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Permit 372 Aquatic Dr S CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ± ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000195 Date 2/23/10 Property Address . . . . . . 372 AQUATIC DR Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc fire /restore power ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NEVILLE, PEGGY MCDONALD ELECTRIC 372 AQUATIC DRIVE 6915 WEST BEAVER STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254 (904) 356-9473 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/22/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i4J - CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08-Q V I I I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 \ t BUILDING-DEPT@COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY fflq a.^ ,�� o M3-72- U �• ❑YES PERMIT#: Z^ Z3- Id . s .71. r2ri ...:`x . ,...wry �.w r•.;` 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: u 777 7 7 NAME OF COMPANY: 8.ADDRESS.: `Dotua d 9 b cm I L (01 15- W. t1 e✓ �- 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: +14. FAX NO.: 4 c- aOa 1-t9y 9�4-9g 3� 12�7U CIOLI--78(0- I q yq 12.EMAIL ADDRESS: 13.OFFICE PHONE: YY)G S to 1?-v-t 6 oU TJ 7. 610 11- 3.5Z6' 514-7 3 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nu d void if work is not mmenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)Amontaty time aftork' men d. CONTRACTORS SIGNATURE ❑�MULTI FAMILY-#OF UNITS: ESIDENTIAL L7/SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR77 . ❑ALTERATION ❑SIGN LD ❑NEW C3'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: 20.TYPE OF SERVICE: ❑OVERHEAD C3'IJNDERGROUND ❑ UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: I ❑ POWER IS ON ErPOWER IS OFF 22.SIZE OF CONDUCTOR: 2-to AMPACITY: IS-0 ❑COPPER EIIALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: _ PH:�_ W:_� VOLT: Zt U RACEWAY SIZE: f I PE- 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 2931 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: .�rv: � .,,��. �"`�� < .t»a.zts .,�,n� ^t s,l., �,, «.,rs, at: .x�° �',�ia��=r• �.�e 'M 3� #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: DESCRIBE IN DETAIL: SAF15- OFF DUE ?ai t�� ces i bF,e F10L"ier COAB FORM BLDG02:REVISED:1/10/2008 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J =" ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000166 Date 2/16/10 Property Address . . . . . . 372 AQUATIC DR Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------- Application desc AC HOOKUP ------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NEVILLE, PEGGY AMERICAN ELECTRICAL CONTRACTOR 372 AQUATIC DRIVE Q/A:GRASS, ROBERT ATLANTIC BEACH FL 32233 5065 ST. AUGUSTINE RD. #3 JACKSONVILLE FL 32207 (904) 737-7770 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/15/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. From:American Electrical Contract 9047371099 02/15/2010 11 :54 #319 P.001/001 t CITY OF ATLANTIC BEACH OvAQ 600 SEMINOLE ROAD.ATLANTIC BEACH,FL 32233 i t OFFICE:(606)Q-5626•FAX NO.:(601p47-5B45 8UILDINfl4)EPT®COAS.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY OYES PERMIT#: .. y.�a: ..;."�5y' .s,..k- ;�Yw �!• .;;;fie; _ .. _ ' 4. 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: :'e'�F�: i��I:.vi.;,•.�.t.;�p:''::Y`.l.'-;y..:Sn'.-�Y:Y.'+ :N::J' ti`.f:.Sr: .... .� :. .,a. - 7. � ,ANr: 6.ADDRESS: S.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: 1 LAO REss: 13.OFFICE PHONE:, 114. T 7 lq Q J}i19Cll�[1�7�L'�[6f/'i!G/•�C'OM! 7 3!7 77?D 15.App bion Is hereby made to obtain a permit to do the work and Installations as Indicated. I Certify that all work wiq psrfonywd to meet the standards of an laws regulating construction in We jluisdicdon. This permit becomes nub H work not need within six(6) months,or If Construction or work is suspended or abandoned for a period of six(6)months y time iter me CONTRACTORS SIGNATURE: AZI O MUS FAMILY-ff OF UNITS: GrRESIDENTIAL 05AGLE FAMILY O TEMP SERVICE O COMMERCIAL O ADDITION O TRAILOR ta: tI14ClIlt1. . :3:. _;=' :' '`•; '.:_ O ALTERATION O SIGN O OLD O NEW O'05 NATIONAL ELECTRICAL CODE O REPAIR 33 O POOL/SPA O REWIRE O OTHER: uy:�. �•�,'.]4:u•!'i'F49.' ~:+!W:�. x. _..i... :lam: - �� z'"f.::t.`'.rr:art:. 20.TYPE OF SERVICE: er6VERHEAD O UNDERGROUND O UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: O POWER IS ON O POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: OCOPPER O ALUMINUM 25.SWITCH OR BREAKER SIZE:AMPS: PH: W. VOLT: RACEWAY SIZE: 2t EXISTING SERVICE SIZE: AMPS:_,4WQ PH:___L,_ W:�_ VOLT: zYo RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 28.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM.• 0 YES ONO 2aWIWVM TO NEW SINGLE FAMILY,MULTWAVILy AwD RoOK ADDITIONIS 28.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: #OF UNITS: COMP.MOTOR HP RATING:__[_ AMPS:FQ HEAT KW: #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW< 747% sere'. ".f "5,y NUMBER: VOLTAGE: HP' KVA' NUMBER- VOLTAGE' HP: KVA: UNDER 60OV: NUMBER: KVA: OVER 600V: NUMBER: KVA: +DESCRIBE IN DETAIL: j( C CoAs FORM BLDG02:REVISED:U1012006 �pr..H`% CITY OF ATLANTIC BEACH I I I I I ++� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247.5845 BUILDING-DEPT@COAB.US p' ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 13 YES PERMIT M nPEWfi D, 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: f-EN q- V_ A V Ile- 7 — , 7 OMTOP Cp ANY: 8.ADDRESS.: /L , Kan 9.STATE OF FLORIDA LICENSE NO: /� 10.CELL PHONE: 11.FAX NO.:3; 1 �D^34- P � MAIL ADDRESS: Y � 13.OFFICE PHONE: 14 of 0, i9imir�«i-e1eu-1e41„eo.� -7 3 7 777 D 15.Applic6tion is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will b performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and old if work' not co enced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months y time fter wo men ed. CONTRACTORS SIGNATURE: �0z0F W',.. i""iL.G k, .. WTI” ❑MU�JjFAMILY-#OF UNITS: 21RESIDENTIAL 0STN"GLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL 13 ADDITION ❑TRAILOR 18,; UILbINti s,. CODIc. ❑ALTERATION ❑SIGN ❑OLD ❑NEW E3'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: AOT A4 20.TYPE OF SERVICE: C1—OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH:_ 1 W; _ VOLT: zYo RACEWAY SIZE: �v� 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: I ,,,,""! s #OF UNITS: COMP.MOTOR HP RATING:. AMPS: WQ HEAT KW: _ #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: r , NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: , UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: DESCRIBE IN DETAIL: jo COAB FORM BLDG02:REVISED:1/10/2008 C� Bio 4CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD -�' ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000247 Date 3/08/10 Property Address . . . . . . 372 AQUATIC DR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc RELOCATE WATER HEATER ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NEVILLE, PEGGY CHRISTY FIRST COAST PLUMBING 372 AQUATIC DRIVE P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/04/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 62 . 00 62 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 08 10 08:19a Brian D. Christy 9042494660 p.1 P7 CITY OF ATLANTIC BEACH B00 SEMINOLE ROAD,ATLANTIC BEACH.FL 32233 •7 n OFFICE:(804)247-5828•FAX NO.:(9041247-5e45 BUILD ING-DEPTOCOAS.US PLUMBING PERMIT APPLICATION DUVAL COUNTY 1.JOB At7CRESS: t IS THIS A SUB T: 3. DATE- ONO o_4z Od f 10 ->h` ('"' ❑YES PERMIT*. PROPERT Ir OWNER: 4,NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: PLUM0M 7.NAME OF COMPANY: ADD S$•: �(Qs - D &Y- 5044 V@> 30 0 S.STATE OFIFLORIDALICENSE NO: 1D. PHONE: 1 FAXNp.: CFC 50 $ t- z-t"iZ 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. C="?LL> 1.t C •6a( t�. f�- CI M4- X i Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void If work is not commenced within six(6) months,or V construction or work is suspended or abandoned for a period of six(6)months at any time after work is ccommeneed. CONTRACTORS SIGNATURE 0. [ jr Le 15.NATURE OF WORK Is. 17. 1&CURRENT•GOIDS ❑ NEW 0 V6 FLORIDA BUILDING CODE- 0 RE-PIPE PLUMBING 0 OTHER: 19.MAWR OF FUCrURn: BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER(SPECIFY): ROOF DRAIN PERMIT ISSUING FEE: $55.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 SLOGD3 Permit Appkartibn PWmb:121ISF2WS 1r CITY OF ATLANTIC BEACH I I I I I 6SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09-, "' 00 s* OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY �]; 13 NO 3 1 C,."I'�L A/ I'"- OYES PERMIT#: M, 4.NAME: 5.+ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: t eL q0q 5`1 � Ar ',"�, k�,,. "i,.. �w �'�`.S ti, 77-'7777 _ .... 7.NAME OF COMPANY: 8.ADD ESS.: L5 �i Rs 0 gou- 9.STATE OFIFLORIDA LICENSE NO: 10.C Lj PHONE:�� — 11 FAX Nps: el V 41P(o CSC 'J�w'P 9 ('��-1 "'."[ 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. c=kt Z(� i GC1 a4— 3�l'I — Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIGNATURE:It" `V✓. l if/J! u� �. tom`"k°}. "";: ❑ NEW ❑'06 FLORIDA BUILDING CODE- 0 RE-PIPE PLUMBING O OTHER: NR g � �1 BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER W ?- LAVATORY URINALS �L✓��1 L�-- LAUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN t �..t it ,�, f ..,a ..,:;:P,n:tM§,�v". ,^i�r x..2 v }1 z ✓' ..,,: _ ?, f, H„n '.4 7' r s }t,�rr PERMIT ISSUING FEE: $55.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 = BLDG03 Permit Application Plumb:12/18/2008 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000495 Date 5/05/10 Property Address . . . . . . 372 AQUATIC DR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3242 ---------------------------------------------------------------------------- Application desc WINDOW REPLACEMENT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NEVILLE, PEGGY WINDOW WORLD OF JACKSONVILLE 372 AQUATIC DRIVE 8535 BAYMEADOWS ROAD UNIT 12 ATLANTIC BEACH FL 32233 DBA NATIONAL HOMECRAFT JACKSONVILLE FL 32256 (904) 443-7001 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3242 Expiration Date . . 11/01/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. ` v State of 1 O r I(ILI County of To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF COMMENCEMENT. Legal description o property being impro ed: . —� 0 Address of property being improved: AQ I A 0 fif General description of improvements: I N) Owner Ve ca"'IVE Address Owner's interest in site of the improvement 1 Fee Simple Titleholder(if other than owner) Name Address Contractor W i r\d o W Worka Address 9110 C tl fii s s Viiia zC�. fir• r L l- aS G /y Phone No. C109 - N w -:7 0o If Fax No. y u-1u `7- 7 -?--?Y (�l6G Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name _;=j Address o o Phone No. Fax No. Kp In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). ` Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY (///^// O Signed: `�'' /f&J�DATE Before a th' f t ( in the Co of Du , t of da ersonally appeared herein by himseIV h rs If and affirms that all statements and declarations herein Doc t#2010091266,OR BK 15221 Page 5$, are true an accurate Niumber Pages: Recorded 04;22'2010 at 03:0'1 NA FULLER° LI L <-,=� t CC 4R-;�I. AL Notary Public at Large,St to ounty of RECORDiNG$10,00 m nexpires: r all Known r I or Produced Identi kation P7Ds. CITY OF ATLANTIC BEACH r s� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(9U)247-5826•FAX NO.:(904)247-5845 BUILDING-DE PT@COAB.US BUILDING PERMIT APPLICATION APR 22 AL NTY ,. w' 3-)9, ua4ic� 0� 3 a a�f 3s=�s-a Aqua ems.• ' z"", `:• x ,' st �3:,p x .> ��' .,, 4:.. ,.., sk,..,.. s.,i:.. - E,°. „ �E':^.. NEW BUILDING ❑DEMOLITION L LOT-�BLCCK_SUBDIVISION pt3-p 01A8AU(0'GAj ❑ADDITION 13 CONVERTING USE El COMMERCIAL xi' ❑ALTERATION ❑ACCESSORY BLDG. `� ❑REPAIR IJ POOL/SPA 11YES A .. . . ❑MOVE THERW 11^CL%1I ❑ NO 9.NAME. 15.COMPANY NAME 23.COMPANY NAME: Wil'ANQ Warlik, �,:,► 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE FLO A LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 3�a q t.tiI or c %9151 1 1A ADDRESS 26.ADDRESS: P��-Iev)�t� l3etatlt �. 3aa A 00 io cyPdt A4,20, or y sk 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 4(43--700 1 1'143- 7 -79 13.CELL PHONE: 21,CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: t YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING; CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. i AS s'.-;�`.`��•�, � ;'�-- �°.€roves ...:� rte ,„ '�*ar '�u Signed:ZNf4zate: Sign Date: 45 Before me this y of ZO C ,2009 in the county of Before me this day of-��x 20B9in the county of Duv State of Florida,has pe nally appeared Duval, ate of Florida,has person fly ppeared herin by hims if/herself and affirms that all statements and declarations are herrn by him f/helWelf and affirms that all statements and declarations are true and accurate. ,/�y" true and accurate. �j N�ot/arY Public at Large,State of mVelCounty of vY Notary Public at Large,State of I County of tl Personally Known &-Parlionally Known ❑Produced Identification- ❑Produced Identification NotarySignature: Notary Signature: xEV��n o CE --------.._.�.. z s CARLA JEAN PROBST CITY O , .' , i My CQ. ISSI©N#DD 955269 F�P E CO. ' EIS S:January 25,2014 NS. "„ „ Notary public Underwriters REVIEWED BY: DATE:-V2-1/&- !-61FILE iw,.K7�1'MNN'.itlEik/:5r/,fSN�.�M146{''{,t�.W. D � 8110 Cypress Plaza Drive,Ste.405 � TATE Jacksonville,FL 32256 (904)443-7001 c Fax(904)443-7778 El TM /a P c5 � (800)549-5132 R l4 qice. ey 232010 Windborne Debris Statement for Home Owner I/WE, e y residing at' 72 , Florida, Do swear/affirm that we have or are responsible for providing WBD protection at the above address. We do realize that the WBD protection IS required by the State of Florida building codes, as this has been explained to us by the salesperson of Window World of Jacksonville, Inc. OR Do Swear/affirm that we have existing WBD protection that meets the State of Florida building codes, as this has been explained to us by the salesperson of Window World of Jacksonville, Inc. HOME DA E HOMEOWNER DATE ------------------------------------------------------------------------------------------------ POST A COPY OF RECORDED NOTIC JVOB,,SI//TE. STATE OF FLORIDA COUNTY OF -PU q' THIS INSTRUMENT WAS ACKNOWLEDGE BEFORE ME THIS day of 20- Known Personally _ Or Identification -l` 1 J , Type of Identification a Notary Public G' Rkary Alit RtePO p(FI9►(ds � t�dgkli��MEIn J (Name of Notary typed or printed) (Commission Number and Expiration Date) NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) r� Permit No. Tax Folio No. i 1 g O-� !O(C4 State of County of tA. To whom It may concern: The undersigned hereby informs you that Improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information Is stated In this NOTICE OF COMMENCEMENT. Q Legal description o property being impro d: C- Address of property being improved: 3-7 { . A"anl-;c, R Ra .FL 3,;k�--I General description of improvements:_j n I Y�&0(.1-) 1'-214 Owner V► Address Owner's interest in site of the improvement t Fee Simple Titleholder(if other than owner) Name Address Contractor W i ryi ow W c r k o� `3a c.k 3 on%il W2 i t rlC Address 9110 C ess r- l— aSLO s Phone No. al - �y -��of Fax No. — 7 F Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: NameLUZK Address a e Phone No. Fax No. 9 9j ti y In addition to himself,owner designates the following person to receive a ropy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). cc Name r Address Phone No. Fax No. AV Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): n THIS SPACE FOR RECORDER'S USE ONLY O Signed: DATE Before r6a ku ZAP L ( in the of I of I appeared ----— herein by Iq -------- ——--- him and affirms that all statements and dedarations herein Doc#2010091266,OR BK 15221 Page 58, are true aniraccurate Number Pages:1 Recorded 04122/2010 at 03:01 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Notary Public at Large,S e ounty of JOILrOl 44-4 RECORDING$10.00 expires: Known or + Produced all tion City of Atlantic Beach APPLICATION NUMBER` Building Department (To be assigned by the Building Department) f 800 Seminole Road A_� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 ti E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /Z- CPepqqnnt review required YeIr No / L "_r_414 BuildinApplicant: /�� 7I�D k.) Planning &Zoning Tree Administrator rk Project: �.(�l`l' i, ) ip�� A Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept, of Transportation St.Johns Ri er Water Management District Army Corps of Engineer's Division of Hotels ano Restaurants Division of Alcoholic Beverages and Tobacco .2 Other. APPLI ION STAT,I�S Reviewing Department First Review: Approved. ;. ❑Denied. (Circle one.) C�mjrents: BUILDING PLANNING &ZONINGReviewed by: Date: s 1v TREE ADMIN. Second Review: ❑Approved as revised. ❑D ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 F5rida Building Code Online Page 1 of 3 rA DCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications „FBC Staff BCIS Site Map Links Search Product Approval i0M # USER:Public User Product Approval Menu>Product or Application Search>Application List>Application Detail FL# FL8134-R4 Application Type Revision Code Version 2007 Cn a Application Status Approved Comments Archived Product Manufacturer Alside Window Company Address/Phone/Email 3773 State Road Cuyahoga Falls,OH 44223 (330)922-2108 rickw@rwbldgconsultants.com Authorized Signature Marsh Fernbaugh rickw@Iwbidgconsultants.com Technical Representative Marsh Fernbaugh Address/Phone/Email 3773 State Road Cuyahoga Falls,OH 44281 mfernbaugh@alside.com Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Double Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who Lyndon F. Schmidt, P.E. developed the Evaluation Report Florida License PE-43409 Quality Assurance Entity Architectural Testing,Inc. Quality Assurance Contract Expiration Date 12/31/2011 Validated By Ryan 1. King, P.E. Validation Checklist- Hardcopy Received Certificate of Independence FL8134 R4 COI Certificate of Independence vdf Referenced Standard and Year(of Standard) Standard Year 101/I.S.2 1997 AAMA/WDMA/CSA101/I.S.2/A440 2005 Equivalence of Product Standards Certified By Sections from the Code http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqu l jdteSXaTwp/o... 4/14/2010 Florida Building Code Online Page 2 of 3 Product Approval Method Method 1 Option D Date Submitted 12/29/2009 Date Validated 01/04/2010 Date Pending FBC Approval 01/07/2010 Date Approved 02/02/2010 Date Revised 03/19/2010 .......... .... ..... .... .. ..... ... ........ ......... . ........ ..................... ......... . .. .......... .............. ;Summary of Products FL# Model,Number or Name Description 8134.1 Ia. Model 0201 Extruded Vinyl Double Hung Window"Non-Impact" Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R4 II INST 8134.1 pdf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes i Design Pressure: N/A Evaluation Reports Other: See INST 8134.1 for Design Pressure Ratings, FL8134 R4 AE Eval 8134 1.odf any additional use limitations,installation Instructions Created by Independent Third Party: Yes and product particulars. 8134.2 b. Model 0301 Extruded Vinyl Double Hung Window with Nail Fin- "Non-Impact" Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R4 II INST 8134.2.odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 8134.2 for Design Pressure Ratings, FL8134 R4 AE Eval 8134.2 pdf any additional use limitations,installation Instructions Created by Independent Third Party:Yes and product particulars. 8134.3 c. Model 0401 Extruded Vinyl Double Hung Window-"Non-Impact" Limits of Use Installation Instructions j Approved for use In HVHZ: No FL8134 R4 II INST 8134.3.odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 8134.3 for Design Pressure Ratings, FL8134 R4 AE Eval 8134 3 odf any additional use limitations,Installation instructions Created by Independent Third Party: Yes and product particulars. 8134.4 Id. Model 0501 Extruded Vinyl Double Hung Window-"Non-Impact' I Limits of Use Installation Instructions Approved for use In HVHZ: No FL8134 R4 II INST 8134.4.odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 8134.4 for Design Pressure Ratings, FL8134 R4 AE Eval 8134.4.odf any additional use limitations, Installation Instructions Created by Independent Third Party: Yes and product particulars. 8134.5 e. Model 0601 Extruded Vinyl Double Hung Window-"Non-Impact' Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R4 II INST 8134.5.odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 8134.5 for Design Pressure Ratings, FL8134 R4 AE Eval 8134.5.pdf any additional use limitations,Installation Instructions Created by Independent Third Party: Yes and product particulars. 8134.6 If. Model 8001 Extruded Vinyl Double Hung Window-"Non-Impact' (Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R4 II INST 8134.6.cdf I Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports j Other:See INST 8134.6 for Design Pressure Ratings, FL8134 R4 AE Eval 8134.6.odf any additional use limitations, Installation Instructions Created by Independent Third Party: Yes and product particulars. http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqu l jdteSXaTw%... 4/14/2010 Florida Building Code Online Page 3 of 3 i 8134.7 19. Model 9001 Extruded Vinyl Double Hung Window-"Non-Impact' Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R4 II INST 8134 7 odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 8134.7 for Design Pressure Ratings, FL8134 R4 AE Eval 8134 7 odf any additional use limitations, Installation Instructions Created by Independent Third Party:Yes and product particulars. 8134.8 h. Model"1"-201 Extruded Vinyl"Tilt'Double Hung Window- "Non- Impact" Limits of Use Installation Instructions Approved for use In HVHZ: No FL8134 R4 II INST 8134 8 odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 8134.8 for Design Pressure Ratings, FL8134 R4 AE Eval 8134 8 odf any additional use limitations, installation Instructions Created by Independent Third Party: Yes and product particulars. 8134.9 1. Model V101 Extruded Vinyl Double Hung Window with Nail Fin- "Non-Impact' Limits of UseInstallation Instructions Approved for use in HVHZ: No FL8134 R4 II INST 8134 9 odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports I Other: See INST 8134.9 for Design Pressure Ratings, FL8134 R4 AE Eval 8134 9 odf any additional use limitations, Installation Instructions Created by Independent Third Party: Yes and product particulars. 8134.10 Model V121 Extruded Vinyl Twin Double Hung Window with Integral j Mullion and Nail Fin-"Non-Impact' Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R4 II INST 8134 10 odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other:See INST 8134.10 for Design Pressure Ratings, FL8134 R4 AE Eval 8134 10 odf any additional use limitations, Installation Instructions Created by Independent Third Party: Yes and product particulars. Back Nexk Department of Community Affairs Florlds Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee,Horlde 32399-2100 (850)487-1824,Fax(850)414-8436 ®2000-2010 The State of Florida.All rights reserved. Privacy Statement I Cooyriaht Statement I Accessibility Statement I Pluo-in Software I Customer Service Survey I Contact Us Product Approval Accepts: IFAMN mm yrrrsae"4 f�arr�d rtrirrr. http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqul jdteSXaTw%... 4/14/2010 I RAA-Projects\Project Folders\Proj 1201-1300\9f 1273\D.RWBC Drawings\FL-8134\FL-8134.4.dwg,1F Cn A W IJ N o a' (D = 3 0 < z :300 'D CDn 7 x 7 MC 0401 m CD CD t. 9 o c DD a 2 R n Z 0 C'9. 9. N ° Q° . a ' ::S ° O � o o' C � �.° o� o ti O w o z s n U QT c � 3 0O ^ paoga QM ° 0 = m mo � :D torn m � 0 o N z rn � 3 CD 0 n 3 R _ N j g ID a a Z C O n rn Q. m r' n �I n5T� m �a : m .0 o a Ra 0 CL CL 53 OL C a 7 p n W F CCD v ti ° f0 N j• 7.° - =r O W O n_ R o � CD CD nm =r 0 _ Mc m 0 c p D 3O n =r CD :3 o m a o o ° 139 D C o m CD- 4 0 0 D• o• IpJ pA A NN 8 O O O g $ x x x x x x + O N O V (tA $ $ $ $ $ Z 84.W'MAX.OVERALL FRAME HEIGHT w a d N V V N x x x x x x O a a w a m Z� ,t 0 0 0 0 0 0 ' M :A t2 .N O O O O O O .,.,,' ,, Q PRODUCT: Dooumontb Pnpond By: rr /BUILDING CONSULTANTS, INC. m DOUBLE HUNG WINDOW U P.O. ea. 23O Velrleo FL. 3335 N_ Phon. N813.659.9197 2 », L'+ N PART OR ASSEMBLY: Florida Board of ProfrNonal ErpinM ( 4 !A CerllfieaN O-}�Aurtho�ize on No. 9813 4i m NO DATE TYPICAL PRESSURES Qc GENERALEGN NIP.E.ROTES G' No.I$ION$ Lyndon F.Schmidt, No. H 0 20139 A.W.BUILDING CONBUL-InIl INC. R:\A-Projects\Project Folders\Proj 1201.1300\pf 1273\D.RWBC Drawirgs\FL-8134\FL-8134.4.dwg,2F Y • • M N N m r D I N W Q) O N rid OI '111;±\1 � o LI) N w - � N 0 Zin r�m w w y d N L4 j0 00 W�. N N w 0 m Z Z _ ❑ O p Z LI) %Sl ^1�o por a —i to rn z ono n �><> D It O Om r D morn i D Ern N `. • .. O3 j Z 1 A a�A n m 7< a � a ,o c? �1 CD z in ., a o 0 En N _ O En rT1 Cn 1-1/4" MIN. (" ' m zn Z EMB. (TYP.) � �$ Q PRODUCT: Doaumente Prepared By: ONSULTAMS. -rr .f7}f ly'. UILDINO CINC. 1"' a� -�-. DOUBLE HUNG WINDOW •0. Box 230 Valrlea FL 3359 IN m z Phone No.: 813.(139.9197 N Florido Board of Prof—lonal Engineer w y (n PART OR ASSEMBLY: -N (n Certificate Of Au rizotlan e. 9813 I� A r NO DATE BY VERTICAL & HORIZONTAL REVISIONS CROSS SECTIONS Lyndon F. Schmidt. P.E. No. 4340! C 2009 R.W.BUILDING CON.0 T.•NTe INC. R:\A-Pmj"kPmjett Folders\Pmj 1201-1300\pf 1273\0.RWBC Drawings\FL-8134\FL-8134.4.dWg,3F m o �7 • m S w N •' to ♦' PD- 0 I-El El WE7 p. O O Z ♦. . Z �o ❑ a ° 00 mZD f m DII m Z 0 D�Dm —DO D Z �O m D Z Z m z 3 O H � Glm� A D D �vA n m n w w •' '' O n v.'. .. P. y07 = �� ' z U ♦ O O Z Om x (0 ..♦ t Q o (n�w � m V. o c N O' 2 e� NGC ♦p i t ��N Z .N ♦d. 4 . PRODUCT: Do..—M. Prep—d By: I"' r �r��BUILDING CONSULTANTS,INC. It DOUBLE HUNG WINDOW 1/1/P.O. Boz : 8 3.859. FL sas9 Z N Phon.No.: B1�.BS9.9197 [ Y '� PART OR ASSEMBLY: Florida Board of PMenlonol Engine- I� C.rtMeata Of alhoAzatio No. 9813 [N- DATE BY VERTICAL do HORIZONTAL �'� . 813 REVISIONS CROSS SECTIONS Lyndon F. Sehmldt, P.E. No. 4540! BUILa1Na CON9U—N—INo. © : ` -Kects_«_■K_, pf a-<_+ 134� aw«« (q7/(° m R ° ° BE2 2% e \ ' aEa2Q 6a § \\$ a 8nrn w<+ on0 2§ (EIEC$ « Rapt/ ) &r 0 = o –� § CD 0 Z \ 7 (b2R77 2q/ƒ n \ }(CD – ^ \ ga ; J �� kkaa � 2#' C: 0 7 § oE\ � 1--4.' "� \ # g\om a � k�\ �aKt . » %3 \� ƒ%2 § j# §(I3 § 2; 0 § /�° k% �; a}® a � m QD M � k ; maga Q $ E&2R » RD &k f E\ % ECL m� R &R ) /| 0 2« } rn ) 2Ef q . �§ q r — > }%> 2 / JJ «�¢ E(ƒ ! 6 {R ® )(� iT\ §> & ; #a 8¥ ° CCD z p )( C « E� . kz $� § 2 f ( ■ � � # � § \ � � co 2 / §j 3" \ z f§ PRODUCT:■ ° _, �_DOUBLE c WINDOW P.O. � 335/ \ �230 $ q � Florldo ._ma_a , �_ \ S v __. 9813e< & F£ REVISIONS a�s \ Lyndon eSchmidt, P.E. No. 4344 " R:\A-Projects\Project Folders\Prof 1201-1300\M 1273\D.RWBC Drawings\FL-8134VL-8134.4.dwg,5F 00 O {` O D 77O v:Am � rn $ O ZF 03O v Dry2JoXsAi Ak Architectural Testing AAMA/WDMA/CSA TEST REPORT Rendered to: ALSIDE WINDOW COMPANY SERIES/MODEL: 0501 PRODUCT TYPE: PVC Double Hung Window Report No.: 64874.02-501-47 Test Dates: 05/02/06 Through: 05/04/06 Report Date: 05/26/06 Expiration Date: 05/04/10 130 Derry Court York, PA 17402-9405 phone: 717-764-7700 fax: 717-764.4129 www.archtest.com Architectural Testing AAMA/WDMA/CSA TEST REPORT SUMMARY OF RESULTS Summaryof Results Title Test Specimen#1 Test Specimen#2 Primary Product Designator H-LC25 1321 x 2134 H-LC40 1 1 18 x 1956 52x84 44x77 Design Pressure* 1200 Pa 25.0 s 1920 Pa 40.0 s Negative Design Pressure* 1200 Pa 25.0 s 1920 Pa 40.0 s Operating Force in motion 147 33 lb N/A Air Infiltration 0.8 Us/m2 0.16 cfm/ft N/A Canadian Air Infiltration/Exfiltration Level* N/A N/A Water Penetration Resistance Test Pressure* 440 Pa 9.0 s N/A Uniform Load Structural Test Pressure ±1800 Pa ±37.5 s ±2880 Pa ±60.0 s Forced Entry Resistance Grade 10 N/A *-Optional Secondary Designators Summary of Results Title Test Specimen#3 Test Specimen#4 Primary Product Designator H-LC40 1321 x 1549* H-LC50 914 x 1829* 52x61* 36x72* Design Pressure* 1920 Pa 40.0 s 2400 Pa 50.0 s Negative Design Pressure* 1920 Pa 40.0 s 2400 Pa 50.0 s Operating Force in motion N/A N/A Air Infiltration N/A N/A Canadian Air Infiltration/Exfiltration Level* N/A N/A Water Penetration Resistance Test Pressure* N/A N/A Uniform Load Structural Test Pressure ±2880 Pa ±60.0 s ±3600 Pa ±75.0 s Forced Entry Resistance N/A N/A *-Optional Secondary Designators Test Completion Date:05/04/06 Reference must be made to Report No. 64874.01-501-47, dated 05/26/06 for complete test specimen description and data. 130 Derry Court York, PA 17402-9405 phone: 717-764-7700 fax: 717-764-4129 www.archtest.com Ak Architectural Testing AAMA/WDMA/CSA TEST REPORT Rendered to: ALSIDE WINDOW COMPANY 3773 State Road Cuyahoga Falls,Ohio 44223 Report No.: 64874.02-501-47 Test Dates: 05/02/06 Through: 05/04/06 Report Date: 05/26/06 Expiration Date: 05/04/10 Project Summary: Architectural Testing, Inc. (ATI) was contracted by Associated Materials, Inc. to witness testing on four Series/Model 0501, PVC double hung windows at their facility located in Cuyahoga Falls, Ohio. The samples tested successfully met the performance requirements for the following ratings: Test Specimen #l: H-LC25 1321 x 2134 (52 x 84); Specimen #2: H-LC40 1118 x 1956 (44 x 77); Test Specimen #3: H-LC40 1321 x 1549* (52 x 61*); Test Specimen#4: H-LC50 914 x 1829* (36 x 72*). Test specimen description and results are reported herein. General Note: An asterisk (*) next to the performance grade indicates that the size tested for optional performance was smaller than the Gateway test size for the product type and class. Test Specifications: The test specimens were evaluated in accordance with the following: ANSI/AAMA/NWWDA 101/l.S.2-97, Voluntary Specifications for Aluminum, Vinyl (PVC) and Wood Windows and Glass Doors. AAMA/WDMA/CSA 10 1/I.S.2/A440-05, Standard/Specification for Windows, Doors, and Unit Skylights. Test Specimen Description: Series/Model: 0501 Product Type: Poly Vinyl Chloride(PVC)Double Hung Window 130 Derry Court York, PA 17402-9405 phone: 717-764-7700 fax: 717-764-4129 www.archtest.com 64874.01-501-47 Architectural Testing Page 2 of 1 I Test Specimen Description: (Continued) Test Specimen#1: H-LC25 1321 x 2134(52 x 84) Overall Size: 1321 mm(52")wide by 2134 mm(84")high Top Sash Size: 1213 mm(47-3/4")wide by 1008 mm(39-11/16")high Bottom Sash Size: 1237 mm(48-11/16")wide by 1033 mm(40-11/16")high Screen Size: 1206 mm(47-1/2")wide by 1032 mm (40-5/8")high Overall Area: 2.4 m2 (30.3 ft) Test Specimen#2: H-LC40 1118 x 1956(44 x 77) Overall Size: 1118 mm(44")wide by 1956 mm(77") high Top Sash Size: 1010 mm(39-3/4")wide by 921 mm (36-1/4")high Bottom Sash Size: 1035 mm(40-3/4")wide by 946 mm(37-1/4") high Overall Area: 2.2 mZ (23.5 ft) Test Specimen#3: H-LC40 1321 x 1549*(52 x 61*) Overall Size: 1321 mm(52")wide by 1549 mm(61")high Top Sash Size: 1213 mm (47-3/4")wide by 718 mm (28-1/4") high Bottom Sash Size: 1238 mm(48-3/4")wide by 743 mm (29-1/4")high Overall Area: 2.0 m2(22.0 ft ) Test Specimen#4: H-LC50 914 x 1829*(36 x 72*) Overall Size: 914 mm(36")wide by 1829 mm(72")high Top Sash Size: 806 mm (31-3/4")wide by 857 mm(33-3/4")high Bottom Sash Size: 832 mm(32-3/4")wide by 883 mm(34-3/4")high Overall Area: 1.7 m2(18.0 ft ) Ak 64874.01-501-47 Architectural Testing Page 3 of 11 Test Specimen Description: (Continued) The following descriptions apply to all specimens. Finish: All PVC was white. Glazing Details: The sash were interior glazed with nominal 21 mm (13/16")thick, sealed insulating glass fabricated from two sheets of 3.0 mm (1/8") clear annealed glass and a "U" shaped steel spacer system embedded in sealant, single sealed. The insulating glass was set against a double-sided adhesive tape and secured with rigid vinyl glazing beads. Frame Construction: The PVC frame was constructed using mitered and welded corner construction. Snap-in rigid PVC adapters were applied to the head and sill. Sash Construction: The PVC sash were assembled utilizing mitered and welded corner construction. Screen Construction: The screen was constructed with extruded aluminum. The corners were miter cut and secured using plastic corner keys. The fiberglass mesh screen cloth was held-in-place with a flexible vinyl spline. Hardware: Description Quantity Location Metal cam lock 2 Lock rail,216 mm(8-1/2") in from and keeper each end,mating keepers at exterior meeting rail Plastic tilt latch 4 Top corner of sash Metal pivot bar 4 Bottom corner of sash Constant force balance 4 One per jamb system with locking tilt shoes Ak 64874.01-501-47 Architectural Testing Page 4ofII Test Specimen Description: (Continued) Weatherstripping: Description Quantity Location 4.7 mm(0.187') backed by I Row Head insert 6.1 mm(0.240")high pile with center fin 4.7 mm(0.187')backed by 2 Rows Bottom sash stiles, 6.1 mm(0.240")high pile with center fin 4.7 mm(0.187') backed by 3 Rows Top sash stiles,top rail 6.1 mm(0.240")high pile with center fin 4.7 mm (0.187')backed by I Row Exterior meeting rail (exterior), 8.9 mm (0.350")high pile bottom sash stiles, sill insert, with center fin bottom rail 4.7 mm(0.187')backed by I Row Lock rail, keeper rail 3.8 mm(0.150") high pile with center fin 4.7 mm(0.187') backed by 1 Row Bottom rail 9.5 mm(0.375")diameter, offset vinyl jacket/foam filled bulb Contour fit adhesive backed 2 Sill adapter at exterior jamb track Closed cell foam pad Ak 64874.01-501-47 Architectural Testing Page 5 of 1 I Test Specimen Description: (Continued) Drainage: Description Quantity Location 25 mm(I")wide by 2 Exterior face of sill,one at 6.4 mm(1/4")high weepslot each end 32 mm (t-1/4") wide by 2 Sill/jamb intersection,one at each 12.7 mm(1/2")deep weepslot end 25 mm(1")wide by 4 Intermediate sill wall,one at 6.4 mm(1/4")high weepslot each end; exterior sill track,one at each end 9.5 mm (3/8")wide by 4 Bottom sash rail and exterior 4.8 mm (3/16")deep weepslot meeting rail,one at each end Reinforcement: The lock rail contained a rectangular shaped, formed steel reinforcement measuring 17.3 mm by 18.2 mm by 1.3 mm (0.680" by 0.715" by 0.050"), reference Drawing No. UY0088. The keeper rail and top sash stiles contained a rectangular shaped, formed steel reinforcement measuring 16.1 mm by 6.7 mm by 1.3 mm (0.635" by 0.265" by 0.050"), reference Drawing No. UY007812. The bottom sash stiles contained a rectangular shaped, formed steel reinforcement measuring 16.5 mm by 11.7 mm by 1.3 mm (0.649" by 0.461" by 0.050"), reference Drawing No. UY0082 Installation: The unit was installed in a wood buck constructed of Spruce-Pine-Fir construction lumber and secured through the jambs with four #8 x 64 mm (2-1/2") long screws, one at the top and bottom of each jamb. The interior and exterior perimeter was sealed with a silicone sealant, with the exception of an approximate 100 mm (4") long void at each interior sill corner. A nominal 5 mm (3/16") gap was maintained at the perimeter between the buck and window frame. 64874.01-501-47 Architectural Testing Page 6 of 1 I Test Results: The results are tabulated as follows: Paragraph Title of Test-Test Method Results Allowed Test Specimen#1: H-LC25 1321 x 2134(52 x 84) 2.2.1.6.1 Operating Force 5.3.1.1 Bottom Sash Open Breakaway 111 N (25 lbs) N/A Maintain motion 147 N (33 lbs) 155 N(35 lbs) Close Breakaway 90 N(20 lbs) N/A Maintain motion 45 N (10 lbs) 155 N (35 lbs) Top Sash Open Breakaway 67 N (15 lbs) N/A Maintain motion 90 N(20 lbs) 155 N(35 lbs) Close Breakaway 135 N (30 lbs) N/A Maintain motion 142 N(32 lbs) 155 N(35 lbs) Lock Open 13 N (3 lbs) 100 N (22.5 lbs) Close 13 N (3 lbs) 100 N (22.5 lbs) Latches Open 4.5 N (1 Ib) 100 N (22.5 lbs) 64874.01-501-4 Architectural Testing Page 7 of i 1 Test Results: (Continued) Par_aeraph Title of Test-Test Method Results Allowed Test Specimen #l: H-LC25 1321 x 2134(52 x 84)(Continued) 2.1.2 Air Leakage Resistance per ASTM E 283 (See Note#1) 5.3.2 75 Pa(1.57 psf,25 mph) 0.8 L/s/m2 1.5 L/s/m2 (0.16 cfm/ft2) (0.30 cfm/ft)max. Note #Y: The tested specimen meets (or exceeds) the performance levels specified in ANSUAAMA/NWWDA 101/!.S 2-97, 101/I.S.2/NAFS-02, AAMA/WDMA/CSA 101/1.S. 2/A440-05 for air infiltration. 2.1.3 Water Resistance per ASTM E 547 5.3.3 (with and without screen) 180 Pa(3.75 psf) No leakage g No leakage 2.1.4.1 Uniform Load Deflection per ASTM E 330 5.3.4.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1200 Pa(25.0 psf)(positive) 13.5 mm (0.53" 1200 Pa(25.0 psf)(negative) 16.3 mm ") See Note#2 (0.64 ) See Note#2 Note#2: The deflections reported are not limited by AAMA/WDAMICSA 101/I.S.2/A440-05 for this product designation. The deflection data is recorded in this report for special code compliance and information only. 2.1.4.2 Uniform Load Structural per ASTM E 330 5.3.4.3 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1800 Pa(37.5 psf)(positive) 1.3 mm(0.05") 4.9 mm (0.19")max. 1800 Pa(37.5 psf)(negative) 1.5 mm (0.06") 4.9 mm (0.19") max. 2.1.8 Forced Entry Resistance per ASTM F 588 5.3.5 Type: A Grade: 10 Hand Tool Manipulation No entry No entry Tests A I through A7 Manipulation No entry No entry Hand Tool Mani p No entry No entry 5.3.6.2 Thermoplastic Corner Weld Test Meets as stated Meets as stated Ak 64874.01-501-47 Architectural Testing Page 8 of I I Test Results: (Continued) Paragraph Title of Test-Test Method Results Allowed Test Specimen #1: H-LC25 1321 x 2134(52 x 84)(Continued) 2.2.1.6.2 Deglazing Test per ASTM E 987 5.3.6.3 Top Sash In operating direction-320 N (70 lbs) Meeting rail 1.5 mm(0.06") 11.43 mm(0.45") Top rail 1.5 mm(0.06") 11.43 mm(0.45") In remaining direction -230 N (50 lbs) Left stile 0.8 mm (0.03") 11.43 mm(0.45") Right stile 0.8 mm(0.03") 11.43 mm(0.45") Bottom Sash In operating direction-320 N (70 lbs) Meeting rail 1.5 mm(0.06") 11.43 mm(0.45") Bottom rail 1.5 mm(0.06") 11.43 mm(0.45") In remaining direction-230 N (50 lbs) Left stile 0.8 mm(0.03") 11.43 mm(0.45") Right stile 0.8 mm(0.03") 11.43 mm(0.45") Optional Performance 4.3 Water Resistance per ASTM E 547 4.4.3.4 (with and without screen) 440 Pa(9.0 psi) No leakage No leakage Ak 64874.01-501-47 Architectural Testing Page 9 of I 1 Test Results: (Continued) Paragraph Title of Test-Test Method Results Allowed Test Specimen#2: H-LC40 1 l l8 x 1956(44 x 77) Optional Performance 4.4.1 Uniform Load Deflection per ASTM E 330 4.4.3.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1920 Pa(40.0 psf)(positive) 14.5 mm(0.57') See Note#2 1920 Pa(40.0 psf)(negative) 13.2 mm(0.52") See Note#2 4.4.2 Uniform Load Structural per ASTM E 330 4.4.3.2 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 2880 Pa(60.0 psf)(positive) 3.0 mm (0.12") 4.3 mm (0.I7")max. 2880 Pa(60.0 psi)(negative) 1.0 mm (0.04") 4.3 mm(0.I7")max Test Specimen#3: H-LC40 1321 x 1549* (52 x 61*) Optional Performance 4.4.1 Uniform Load Deflection per ASTM E 330 4.4.3.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1920 Pa(40.0 psf)(positive) 18.8 mm(0.74") See Note#2 1920 Pa(40.0 psf)(negative) 19.8 mm(0.78") See Note#2 4.4.2 Uniform Load Structural per ASTM E 330 4.4.3.2 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 2880 Pa(60.0 psf)(positive) 1.5 mm(0.06") 4.9 mm (0.19") max. 2880 Pa(60.0 psf)(negative) 1.0 mm(0.04") 4.9 mm(0.19")max AL 64874.01-501-47 Architectural Testing Page 10 of I I Test Results: (Continued) Paragraph Title of Test-Test Method Results Allowed Test Specimen #4: H-LC50 914 x 1829* (36 x 72*) Optional Performance 4.4.1 Uniform Load Deflection per ASTM E 330 4.4.3.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 2400 Pa(50.0 psf)(positive) 6.4 mm(0.25") See Note#2 2400 Pa(50.0 psf)(negative) 5.8 mm(0.23") See Note#2 4.4.2 Uniform Load Structural per ASTM E 330 4.4.3.2 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 3600 Pa(75.0 psf)(positive) 1.3 mm(0.05") 3.3 mm(0.13")max. 3600 Pa(75.0 psf)(negative) 0.5 mm(0.02") 3.3 mm(0.13")max Drawing Reference: The test specimen drawings have been reviewed by ATI and match the test specimen reported herein. Detailed drawings, representative samples of the test specimen, and a copy of this report will be retained by ATI for a period of four years from the original test date. The above results were secured by using the designated test methods and they indicate compliance with the performance requirements of the above referenced specification. This report does not constitute certification of this product, which may only be granted by the certification program administrator. This report may not be reproduced,except in full,without the approval of Architectural Testing, Inc. For ARCHITECTURAL TESTING,INC. JA l 00Y 34-d dor:4—G!,P by L DOMm DlyibdY Sgnal by Mch�el L Lynn George Michael L. Mackereth Project Manager Director-Operations LG J1d Attachments(pages): Appendix-A: Alteration Addendum(1) Appendix-B: Drawings(15) Florida Building Code Online Page 1 of 4 , BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search d, Product Approval q► `USER:Public User a Product Approval Menu>Product or Application Search>Application List>Application Detail FL# FL10991-R3 Application Type Revision Code Version 2007 Application Status Approved "a Comments t' xi Archived Product Manufacturer Alside Window Company Address/Phone/Email 3773 State Road Cuyahoga Falls,OH 44223 (330)922-2108 rickw@rwbldgconsultants.com Authorized Signature Vivian Wright rickw@rwbldgconsultants.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Horizontal Slider Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who Lyndon F.Schmidt, P.E. developed the Evaluation Report Florida License PE-43409 Quality Assurance Entity Architectural Testing, Inc. Quality Assurance Contract Expiration Date 12/31/2011 Validated By Ryan]. King, P.E. Validation Checklist- Hardcopy Received Certificate of Independence FL10991 R3 COI Certificate of Independence Ddf Referenced Standard and Year(of Standard) Standard Year AAMA/W DMA/CSA101/I.S.2/A440 2005 Equivalence of Product Standards Certified By Sections from the Code http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvihT9G9wJlk3... 4/14/2010 Florida Building Code Online Page 2 of 4 Product Approval Method Method 1 Option D Date Submitted 12/29/2009 Date Validated 01/04/2010 Date Pending FBC Approval 01/06/2010 Date Approved 02/02/2010 ..... ............... I''Summary of Products IFIL# Model,Number or IN Description 10991.1 a. Model 02A2 Extruded PVC Horizontal Sliding Window-(XO or OX Configuration) Limits of Use Installation Instructions Approved for use in HVHZ: No FL10991 R3 II INST 10991 1 odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 10991.1 for Design Pressure Ratings, FL10991 R3 AE Eval 10991 1 odf any additional use limitations,installation instructions Created by Independent Third Party: Yes and product particulars. 111 10991.2 b. Model 02A3 Extruded PVC Horizontal Sliding Window- (XOX I Configuration j Limits of Use Installation Instructions { Approved for use in HVHZ: No FL10991 R3 II INST 10991 2 odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other:See INST 10991.2 for Design Pressure Ratings, FL10991 R3 AE Eval 10991.2.pdf any additional use limitations, installation Instructions Created by Independent Third Party: Yes and product particulars. 10991.3 c. Model 0102 Extruded PVC Horizontal Sliding Window with Nailing Fin -(XO or OX Configuration) Limits of Use Installation Instructions Approved for use In HVHZ: No FL10991 R3 II INST 10991 3 pdf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 10991.3 for Design Pressure Ratings, FL10991 R3 AE Eval 10991 3 odf any additional use limitations,installation Instructions Created by Independent Third Party: Yes and product particulars. 10991.4 d. Model 0103 Extruded PVC Horizontal Sliding Window with Nailing Fin -(XOX Confi uration) i Limits of Use Installation Instructions Approved for use in HVHZ: No FL10991 R3 II INST 10991.4.odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 10991.4 for Design Pressure Ratings, FL10991 R3 AE Eva] 10991 4 odf any additional use limitations, installation instructions Created by Independent Third Party: Yes and product particulars. 10991.5 e. Model 0202 Extruded PVC Horizontal Sliding Window-(XX I Configuration) Limits of Use Installation Instructions I Approved for use in HVHZ: No FL10991 R3 II INST 10991.5.pdf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports I Other: See INST 10991.5 for Design Pressure Ratings, FL10991 R3 AE Eval 10991 5 odf any additional use limitations, installation Instructions Created by Independent Third Party: Yes and product particulars. 110991.6 f. Model 0203 Extruded PVC Horizontal Sliding Window-(XOX Configuration) Limits of Use Installation Instructions Approved for use in HVHZ: No FL10991 R3 II INST 10991 6 pdf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other:See INST 10991.6 for Design Pressure Ratings, FL10991 R3 AE Eval 10991 6 pdf any additional use limitations, installation instructions Created by Independent Third Party: Yes €and product particulars. http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvihT9G9wJlk3... 4/14/2010 Florida Building Code Online Page 3 of 4 10991.7 g. Model 0402 Extruded PVC Horizontal Sliding Window (XX Configuration) Limits of Use Installation Instructions Approved for use in HVHZ:No FL10991 R3 II INST 10991 7 odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party:Yes ( Design Pressure: N/A Evaluation Reports Other: See INST 10991.7 for Design Pressure Ratings, FL10991 R3 AE Eval 10991 7 odf any additional use limitations,Installation instructions Created by Independent Third Party: Yes and product particulars. 10991.8 h. Model 0403 Extruded PVC Horizontal Sliding Window-(XOX j Configuration) Limits of Use Installation Instructions Approved for use in HVHZ: No FL10291 R3 II INST 10 91 8 pdf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 I Impact Resistant: No Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other: See INST 10991.8 for Design Pressure Ratings, FL10991 R3 AE Eval 10991 8 pdf any additional use limitations, Installation instructions Created by Independent Third Party: Yes and product particulars. 10991.9 I. Model 0502 Extruded PVC Horizontal Sliding Window- (XX Configuration) Limits of Use Installation Instructions Approved for use in HVHZ: No FL10991 R3 II INST 10991 9 odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other:See INST 10991.9 for Design Pressure Ratings, FL10991 R3 AE Eval 10991 9.pdf any additional use limitations,installation Instructions Created by Independent Third Party:Yes and product particulars. f 10991.10 Model 0503 Extruded PVC Horizontal Sliding Window-(XOX Configuration) Limits of Use Installation Instructions E Approved for use in HVHZ: No FL10991 R3 II INST 10991 10 odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other:See INST 10991.10 for Design Pressure Ratings, FL10991 R3 AE Eval 10991.10 odf any additional use limitations, Installation Instructions Created by Independent Third Party: Yes E and product particulars. 10991.11 k. Model 0602 rExtruded PVC Horizontal Sliding Window-(XX i urationLimits of Use allation Instructions Approved for use In HVHZ: No 991 R3 II INST 10991 11 odf Approved for use outside HVHZ:Yes ied By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No ted by Independent Third Party: Yes ssure: N/A uation Reports E Other:See INST 10991.11 for Design Pressure Ratings, FL10991 R3 AE Eval 10991 11 odf j any additional use limitations,Installation instructions Created by Independent Third Party: Yes and product particulars. 10991.12 I. Model 0603 Extruded PVC Horizontal Sliding Window-(XOX j Configuration) Limits of Use Installation Instructions Approved for use in HVHZ: No FL10991 R3 II INST 10991 12 odf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes I Design Pressure: N/A Evaluation Reports Other:See INST 10991.12 for Design Pressure Ratings, FL10991 R3 AE Eval 10991 12 odf any additional use limitations,installation Instructions Created by Independent Third Party:Yes and product particulars. j 10991.13 m. Model 0702 Extruded PVC Horizontal Sliding Window-(XX Configuration Limits of Use Installation Instructions Approved for use in HVHZ: No FL10991 R3 II INST 10991 13 odf iApproved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: NoCreated by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other: See INST 10991.13 for Design Pressure Ratings, FL10991 R3 AE Eval 10991 13 odf I any additional use limitations,Installation Instructions Created by Independent Third Party: Yes and product particulars. 10991.14 n. Model 0703 Extruded PVC Horizontal Sliding Window-(XOX I Confi uration http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE VXQwtDgvihT9G9wJlk3... 4/14/2010 Florida Building Code Online Page 4 of 4 f Limits of Use Installation Instructions Approved for use in HVHZ: No FL10991 R3 II INST 10991 14 Ddf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes i Design Pressure: N/A Evaluation Reports Other: See INST 10991.14 for Design Pressure Ratings, FL10991 R3 AE Eval 10991 14 pdf any additional use limitations,installation instructions Created by Independent Third Party: Yes and product particulars. E 10991.15 o. Model 3102 Extruded PVC Horizontal Sliding Window with Nailing Fin ( -(XO or OX Configuration) Limits of Use Installation Instructions Approved for use in HVHZ: No FL10991 R3 II INST 10991 15 Ddf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 10991.15 for Design Pressure Ratings, FL10991 R3 AE Eval 10991 15 Ddf any additional use limitations, installation Instructions Created by Independent Third Party: Yes and product particulars. 10991.16 p. Model 3102 Extruded PVC Horizontal Sliding Window(XO or OX Confi uration i Limits of Use Installation Instructions Approved for use In HVHZ: No FL10991 R3 II INST 10991 16 df Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 10991.16 for Design Pressure Ratings, FL10991 R3 AE Eval 10 91 16 odf any additional use limitations, Installation instructions Created by Independent Third Party: Yes and product particulars. 10991.17 q. Model V102 Extruded PVC Horizontal Sliding Window with Nailing Fin XO or OX Configuration) I Limits of Use Installation Instructions Approved for use in HVHZ: No FL10991 R3 II INST 10991 17 Ddf i Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A lEvaluation Reports Other: See INST 10991.17 for Design Pressure Ratings, FL10991 R3 AE Eva[ 10991 17 Ddf any additional use limitations,Installation instructions Created by Independent Third Party:Yes and product particulars. 10991.18 r. Model V202 Extruded PVC Horizontal Sliding Window with Nailing Fin -(XO or OX Configuration) Limits of Use Installation Instructions Approved for use In HVHZ: No FL10991 R3 II INST 10991 18 Ddf Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E.43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other:See INST 10991.18 for Design Pressure Ratings, FL10991 R3 AE Eval 10991 18 Ddf any additional use limitations,installation instructions Created by Independent Third Party:Yes and product particulars. back Mext Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee,Florlda 32399-1100 (850)487-1824,Fax(850)414-8436 ®2000-2010 The State of Florida.All rights reserved. Privacy Statement I copyright Statement I Accessibility Statement I Plug-in Software I Customer Service Sun=I Contact Us Product Approval Accepts: 0 im gig MM vsrrsr. t+crrotl w[nnrr r http://www.floridabuilding.org/pr/pr app_dti.aspx?param=wGEVXQwtDgvihT9G9wJlk3... 4/14/2010 R."A- Foklm 1301-1400%PF 1316XFL-10991VVI0991JK. ,FL-10991.5.1 frAWN-- m SL �• u a w N nw D� • Ym 1 O r0 No a o HO o m � a. z O p = y. S ti N rem C 66"MAX.FRAME HEIGHT--y 78•MAX.FRAME HE1GFif� I Y Y Y + + 0 0 0 ;! . ,I PROo11Cf: rn-ft PMpamd HORIZONTAL SLIDER Q N LTANM INC. XWMOBNNC230VelrIoo FL 33 51 813.860.9197 FlarWo &Ord of Pra sloml E PART OR ASSEMBLY: ^9f+«1 r' a In N T TYPICAL ELEYA110N, DESIGN « 1i � /a13 REMSIONS PRESSURES & GENERAL NOTES L~F.Wwrl1d1, P.E. No.�J40 02008 R.W.BUILDING CONSULTANTS INC. MA PddeMft 1301-140OW 1316Vt-109911FL-10991JK ft,FL-10991.64 a m T \ wfv Ww A N N 8 � ts � is A c v EMB.(TYP.) P 1-1/4+MIN. EMB.(TYP.) A N N e n 4 • ' r Nn . • e ' Z • • P T IQ�. PRODUCT: r.a eye CONSULTANTS. NC. b HORIZONTAL SLIDER PA. so,270 WWI- FL. 335 2 Phone Ne.: 813.659.9197 PART OR ASSEMBLY: Florida Beard of Profo"leeal En9lneo VERTICAL h HORIZONTAL OwUflwte !!Z;=Mo.�Z9e13 CROSS SECTIONS � � r Lyndon F.lallrnidt.PX No.434( aOOB R.W.BUILo1Ne CONSULTANTe INC. RAA•ProJects\Pro1W ftdemOo)1301.1400\PF 1316\FL-10991\FL-1099I.Xdwg,FL-109913-3 W�+ qqq • d • b A I Z 'a T S e o. x nSL •. N r EMB. e� ww e . o Q e Z � m PROOl1C7: i �p aDIN6 CONSLAXAM .INC. w HORIZONTAL SLIDER ./f o. eex 230 ve5tee FL 3315 Z e Peen.Ne.:ets.eao.otoi tO -i W PART OR ASSEMBLY: Fiorlde goad o1 Pmfoselonel Engine* 7� 0RNSIONS A — - CertNleete AUMa4 No. 9813 a N DAT VERTICAL CROSS SECTIONS /Z,f/,� C-7 F.Sohmlet.P.E.No.4310 2008 R.W.BUILD—Coweu�uwre iwc. RW•Pro)etb\RoJed F9l M\Pfoj 1301.1400\PF 1316\FL-10991\FL-10991JK dwq,FL-10991.54 N 2 '` � � 4•--IIS ;.. c a F--MAX r - T MAY. fk MAX. II!! Y PRODUCT: Dooumonb Prepared By, �i ILOINO CONSULTANI9. INC. I+ 2 w HORIZONTAL SLIDER � o. Bo.23o vdnoo Ft 33.59 PMano Na: 913.es9.9t9� 9i b t 71 (w PART OR ASSEMBLY: nerldo Board of ProfoIntimal Englno.n U H Corufloato Of AutnorltaUon No. 9873 A BUCK& FRAME ANCHORING G� �"" /Z-' KtVlZIlUNb Lyndon F.SWW*it.P.E No. 43401 7008 R.W.8UI1OIN6 OONauLTANra INC. R:1A-ProJablPl6JeU F9ldMV"1301-1401APF 1316%FLd099L%FL40991JK.dwg,FL•10991.5.5 m V r 14 01 CA a w- x n m 0 r) C,, 4,10 O m A _ w m n A (7 0.8T 0 A w 60 1.1T 1.47"1 Pn Q sf0Annnn o a OAT V n I F J A2T T 0.66" O 3.25' N l_1J1� cqa PRODUCT: �Pnpand 6,n � �p llDlllO CONSUL7ANT6. INC. IN a HORIZONTAL SLIDER J1, o. 9a.2ao volrlae FL ate p� Z p PMena Ne.s 61!.939.9197 9i to G PART OR ASSEMBLY, nod" Beard o1 Pnot•■•lonal Engine, fq C•rtNboh Of AuUa'h No. 9613 N DATE BILL of MATERIALS, GLAZING ��s, /s y REVISIONS MAILS & COMPONENTS Lyndon F.Behmldt. P.E.No. 434, acne a.w.Buaow■coww�uwr■twn. Architectural Testing AAMA/WDMA/CSA TEST REPORT Rendered to: ALSIDE WINDOW COMPANY SERIES/MODEL: 0202/A202 PRODUCT TYPE: PVC Horizontal Sliding Window (Type XX) Summau of Results Title Test Specimen #1 Test Specimen#2 Primary Product Designator HS-R15 2134 x 1676 HS-R35 1829 x 1219 84x66 72x48 Design Pressure* 720 Pa 15.0 s 1680 Pa 35.0 pso Negative Design Pressure* 720 Pa 15.0 s 1680 Pa 35.0 pso Operating Force 80 N(18 lbs) N/A Air Leakage Resistance 0.6 L/s/m 0.12 cfm/ft N/A Canadian Air Infiltration/Exfiltration Level* N/A N/A Water Resistance Test Pressure 290 Pa 6.0 s N/A Uniform Load Structural Test Pressure ±1080 Pa ±22.5 s ±2520 Pa ±52.5 pso Forced Ent Resistance Grade 10 N/A *-Optional Secondary Designators Test Completion Date: 03/03/06 Reference must be made to Report No. 63479.02-501-47, dated 03/24/06 for complete test specimen description and data. 1140 Lincoln Avenue Springdale, PA 15144 phone: 724-275-7100 fax: 724-275-7102 Architectural Testing AAMA/WDMA/CSA TEST REPORT Rendered to: ALSIDE WINDOW COMPANY 3773 State Road Cuyahoga Falls, Ohio 44223 Report No.: 63479.02-501-47 Test Dates: 03/02/06 Through: 03/03/06 Report Date: 03/24/06 Revision 1: 05/08/08 Expiration Date: 03/03/10 Project Summary: Architectural Testing, Inc. (ATI) was contracted by Associated Materials, Inc. to perform tests on two Series/Model 0202/A202, PVC horizontal sliding windows at their facility located in Cuyahoga Falls, Ohio. The samples tested successfully met the performance requirements for the following ratings: Test Specimen#1: HS-R15 2134 x 1676 (84 x 66); Test Specimen #2: HS-R35 1829 x 1219 (72 x 48). Test specimen description and results are reported herein. Test Specifications: The test specimens were evaluated in accordance with the following: ANSI/AAMA/NWWDA 101/I.S.2-97, Voluntary Specifications for Aluminum, Vinyl (PVC) and Wood Windows and Glass Doors. AAMA/WDMA/CSA 101/I.S.2/A440-05, Standard/Specification for Windows, Doors, and Unit Skylights. Test Specimen Description: Series/Model: 0202/A202 Product Type: Poly Vinyl Chloride (PVC)Horizontal Sliding Window(Type XX) Test Specimen#1: HS-R15 2134 x 1676(84 x 66) Overall Size: 2134 mm(84")wide by 1676 mm(66")high Sash Size(2): 1051 mm(41-3/8")wide by 1594 mm(62-3/4")high Screen Size: 1080 mm(42-1/2")wide by 1581 mm(62-1/4")high Overall Area: 3.6 m2(38.5 ft) 1140 Lincoln Avenue Springdale, PA 15144 phone: 724-275-7100 fax: 724-275-7102 63479.02-501-47 Architectural Testing Page 2of9 Revision 1: 05/08/08 Test Specimen Description: (Continued) Test Specimen#2: HS-R35 1829 x 1219(72 x 48) Overall Size: 1829 mm(72")wide by 1219 mm(48")high Sash Size(2): 899 mm(35-3/8")wide by 1138 mm(44-13/16")high Overall Area: 2.2 m2 (24.0 ft2) The following descriptions apply to all specimens. Finish: All PVC was white. Glazing Details: The sash were exterior glazed with nominal 21 mm (13/16") thick, sealed insulating glass fabricated from two sheets of 3.0 mm (1/8") clear annealed glass, a "U" shaped steel spacer system embedded in sealant, single sealed. The insulating glass was set against a double-sided adhesive tape and secured with rigid vinyl glazing beads. Frame Construction: The PVC frame was constructed using mitered and welded corner construction. Rigid PVC drop-in roller tracks were applied at the sill. Sash Construction: The PVC sash were assembled utilizing mitered and welded corner construction. Screen Construction: The screen was constructed with extruded aluminum. The corners were miter cut and secured using plastic corner keys. The fiberglass mesh screen cloth was held-in-place with a flexible vinyl spline. 63479.02-501-47 Page 3 of 9 Architectural Testing Revision 1: 05/08/08 Test Specimen Description: (Continued) Weatherstripping: Desc_riyti°n Quantity Location 4.7 mm(0.187')backed by 2 Rows Head, sill, and jambs, all rails 6.6 mm(0.25011)high pile with center fin 4.7 mm(0.187")backed by 1 Row jamb stiles, interior meeting stile 6.6 mm(0.250")high pile with center fin 4.7 mm(0.187")backed by 1 Row Exterior meeting stile(exterior) 8.9 mm(0.350")high pile with center fin 4.7 mm(0.187")backed by 1 Row Exterior meeting stile(interior) 14.0 mm(0.55011)high vinyl jacket/foam filled bulb 25.4 mm(1.0")by 12.7 mm(1/2") 4 Meeting stiles, one at each end by 6.4 mm(0.250")high adhesive backed pile pad Hardware: Description Quantity Location Locking metal cam lock 2 Lock stile,216 mm(8-1/2")in from and keeper each end,mating keepers at exterior meeting rail Dual metal roller with 4 Bottom corner of sash Plastic housing PVC anti-lift blocks 2 Head, one at each sash 63479.02-501-47 Page 4 of 9 Architectural Testing Revision 1: 05/08/08 Test Specimen Description: (Continued) Drainage: Desc�n QqLntity Location I" wide by 2 Exterior face of sill,one at 25.4 mm( )�� each end 4.7 mm(3/16 )high weepslot (with flap) wide b 4 Interior sill track and intermediate 25 mm(1 ) y sill wall,one at each end 4.7 mm(3/16")high weepslot " wide b 2 Sill screen track,one at 19.1 mm(3/4 ) Y 3.0 mm(1/8")high weepslot each end 6.4 mm(1/4 ) Y" wide b 2 Exterior sill rack,one at each end 6.4 mm(1/4")deep weepslot 25.4 mm(1")wide by 4 Sill roller tracks,one at each end 6.4 mm(1/411)high weep notch 9.5 mm(3/8 ) Y" wide b 4 Bottom sash rails,4.8 mm(3/16") deep weepslot one at each end Reinforcement: The lock stile contained a custom 11 bhaped, formed steel 0.047"),f reference rcement m measuring 22.2 mm by 11.7 mm by 1.2 m (0 Y formed steel Drawing No. UY0095. keeper 1shaped, 0 reinforcement measuring 117 mm by 12.0 mm by 15 mm (0875" by 0.473" by 0.059"), reference Drawing No.UY0094. Installation: The unit was installed in a wood buck constructed of Spruce-Pine-Fir construction lumber and secured through the frame to the buck five raids pan of x 64 m (2-1/2") long screws, one at the top and bottom of each jamb, and one head. The exterior and interior perimeter was sealed with a silicone sealant, with the exception of an approximate 102 mm(4") long void at each interior sill corner. A nominal 5 mm(3/16") gap was maintained at the perimeter between the buck and window frame. 63479.02-501-47 Page 5 of 9 Architectural Testing Revision 1: 05!08/08 Test Results: The results are tabulated as follows: Para a h Title of Test-Test Method Results Allowed Test Specimen#1: HS-R15 2134 x 1676 (84 x 66) 2.2.2.5.1 Operating Force per ASTM 2068 5.3.1.1 interior_,__ ORen 125 N(28 lbs) N/A Breakaway 80 N(18 lbs) 90 N(201bs) Maintain motion Close 80 N (18 lbs) N/A Breakaway 53 N (12 lbs) 90 N(20 lbs) Maintain motion Exterior Sash _Qpen 116 N(26 lbs) N/A Breakaway 53 N(12 lbs) 90 N (20 lbs) Maintain motion Close 58 N(13 lbs) N/A Breakaway 49 N (11 lbs) 90 N (20 lbs) Maintain motion Locks 22 N(5 lbs) 100 N (22.5 lbs) Open 36 N(8 lbs) 100 N(22.5 lbs) Close 2.1.2 Air Infiltration per ASTM E 283 (See Note#1) 1.5 L/s/m2 75 Pa(1.57 psf,25 mph) 0.6 L/s/m2 z 5.3.2 (0.12 cfm/ft ) (0.30 cfm/ft )max. Note #1: The tested specimen meets (or exceeds) St 02perf�A%W levels AIspecified S. in ANSI/AAMA/NWWDA 101/I.5.2-97, 101/LS.2/NAF 2/A440-05 for air infiltration. 2.1.3 Water Resistance per ASTM E 547 5.3.3 (with and without screen) No leakage 140 Pa(2.90 psf) No leakage g 63479.02-501-47 Architectural Testing Page 6of9 Revision 1: 05/08/08 Test Results: (Continued) Pgggaph Title of Test-_Test Method Results Allowed Test Specimen#1: HS-R15 2134 x 1676(84 x 66) (Continued) 2.1.4.1 Uniform Load Deflection per ASTM E 330 5.3.4.2 (Deflections reported were taken on the exterior meeting stile) (Loads were held for 10 seconds) See Note#2 720 Pa(15.0 psf)(positive) 26.2 mm(1.03") 720 Pa(15.0 psf)(negative) 33.0 mm(1.30") See Note#2 Note#2: The deflections reported are not limited by AAMA/WDMA/CSA 101/I.S.21A440-05 for this product designation. The deflection data is recorded in this report for special code compliance and information only. 2.1.4.2 Uniform Load Structural per ASTM E 330 5.3.4.3 (Permanent sets reported were taken on the exterior meeting stile) (Loads were held for 10 seconds) 1080 Pa(22.5 psf) (positive) 1.5 mm(0.06") 6.4 mm(0.25")max. 1080 Pa(22.5 psf)(negative) 4.8 mm(0.1911) 6.4 mm(0.25")max. 2.1.8 Forced Entry Resistance per ASTM F 588 5.3.5 Type: A Grade: 10 Hand Tool Manipulation No entry No entry Tests Al through A7 No entry No entry Hand Tool Manipulation No entry No entry 5.3.6.2 Thermoplastic Corner Weld Test Meets as stated Meets as stated 63479.02-501-47 Page 7 of 9 Architectural Testing Revision 1: 05/08/08 Test Results: (Continued) Results Allowed pia h Title of Test-Test Method - Test Specimen#1: HS-R15 2134 x 1676(84 x 66)(Continued) 2.2.2.5.2 Deglazing Test per ASTM E 987 5.3.6.3 Interior Sash In operating direction- 320 N (70 lbs) 11.43 mm(0.45") Lock stile 1.5 mm(0.06") Handle stile 1.5 mm(0.06") 11.43 mm(0.45") In remaining direction-230 N(50 lbs) 11.43 mm(0.45") Top rail 0.8 mm(0.03") Bottom rail 0.8 mm(0.03") 11.43 mm(0.45") Exterior Sash In operating direction- 320 N(70 lbs) 11.43 mm(0.45") Keeper stile 1.5 mm(0.06") Handle stile 1.5 mm(0.06") 11.43 mm(0.45") In remaining direction-230 N(500lbs) (0.03") 11.43 mm(0.45") Top rail 11.43 mm(0.45") Bottom rail 0.8 mm(0.03") Qmional Performance 4.3 water Resistance per ASTM E 547 4.4.3.4 (with and without screen) No leakage No leakage 290 Pa(6.0 psf) 63479.02-501-47 Page 8 of 9 Architectural Testing Revision 1: 05/08/08 Test Results: (Continued) para a h Title of Test-Test Method Results Allowed Test Specimen#2: HS-R35 1829 x 1219 (72 x 48) Optional Performance 4.4.1 Uniform Load Deflection per ASTM E 330 4.4.3.2 (Deflections reported were taken on the exterior meeting stile) (Loads were held for 10 se ) See Note#2 1680 Pa(35.0 psf) (positive) 15.0 mm(0.59 ) See Note#2 1680 Pa(35.0 psf) (negative) 19.3 mm(0.76") 4.4.2 Uniform Load Structural per ASTM E 330 4.4.3.2 (Permanent sets reported were taken on the exterior meeting stile) (Loads were held for 10 seconds) 0.8 mm(0.03") 4.6 mm(0.18")max. 2520 Pa(52.5 psf)(positive) 2 5 mm(0.10") 4.6 mm(0.18")max. 2520 Pa(52.5 psf)(negative) Drawin Reference: The test specimen drawings have been reviewed by ATI and match the g test specimen reported herein. Detailed drawings, representative samples of the test specimen, and a copy of this report will be retained by ATI for a period of four years from he original test date. The above results were the secured by using the ormance designated test methods and theyThis retort does not conance st tutecertification requirements of he above referenced spectficaty n.he certification program administrator. This of this product, which may only be granted by report may not be reproduced,except in full,without the approval of Architectural Testing,Inc. For ARCHITECTURAL TESTING,INC. oar bir Lym oeorye o Signed by:M dmi L Ma mrom Michael L.Mackereth Lynn George Director- Operations Project Manager LG:jldsld Attachments(pages): Appendix-A. Alteration Addendum(1) Appendix-B: Drawings(12) CITY OF ATLANTIC BEACH y` 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000524 Date 4/30/10 Property Address . . . . . . 372 AQUATIC DR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 500 ---------------------------------------------------------------------------- Application desc termite damage repair ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NEVILLE, PEGGY JUENGER CONSTRUCTION INC 372 AQUATIC DRIVE 879 RUDDER RD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-2095 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 69 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 500 Expiration Date . . 10/27/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 69 . 00 69 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 69 . 00 69 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 Job Address: 7.2. W- P L 8W-K-Permit Number: IQ - S)X Legal DescriptionFLI Parcel# % o v Floor Area o q. t. Sq.Ft Valuation of Work$ 560. - Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proosed structure(s) (circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval orm Describe in detail the type of work to be performed: v Wc•t '�.c eC4� ,,, Property Owner Information:: [NameAeViLL6 Address: Nil -nC- ,DP- pXIAAlTtL, 6&Cf4- City e'aAGFt StateRZip 3��Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: N,! e- 4� h/ u� id V`- Qualifying Agent: Address: «` City ,�[u��1.'L r.1... State e, . Zip 2 Office Phone Y- (o^ d Job Site/Contact Number QQ y- 3'g S/--3 YY Fax YG^,��i State Certification/Registration# C C Q D Architect Name&Phone# I Engineer's Name&Phone# - Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby Padetoobtain a permit to do the work and installations asindicated. I certify that no work or installation has commencedpriortoheivancof a permit athat all work willbe performed to meet the standards ofalawsreguatngconstruction inthisjurisdiction. This permit becomes nland void tf work is noommenced within six(6)months, or if construction or work is suspended or abandoned for a�ernod of sixj6)months at any time after work is commenced I understand that separate permits must be secured for Electrical YYork,Plumbing,Signs, ells,Pools, urnaces,Boilers,Heaters, Tanks and Air Conditioners,etG WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complie with whether sppeci ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other feder state, or local lmv regul ' construction or the performance of construction. Signature of Owner � Signature of Contractor Print Name . ......... .........�....t �c!�r� j.lam............._............ Print Name @ eta r� ............... c.G. .......� !P..K.. ... .......!� .... Sworn to and subscr' ed before nie +r ed b`fore me this • Day of O t- t R CODE ri 2.o f O r CITY OF ATLANTI 1'�,TC Aa lie OR AD �s►'"^ JOA UGGIEIj6-�QUIREMENTSAND CO I �j MY CO '"ION#DD614885 �' a °" JO RUGG e �'� , MY C ZMISSION#Dl� w� Fd BY. D "sir EXP :Deceni=06,2010 I�b.B1d0�A11R'K NauY Discount Ann.Co jUejjN a JC, Rick Juenger 9til Craftsmanship. Knowledge. Integrity. 04.334.3448 (c) •904.246.2095( CBC 1258002' 879 Rudder Road •Atlantic Beach, FL 32233 Email: rjrighead@aol.com To Atlantic Beach Building Department, Wall repair from termite damage at 372 Aquatic Drive Atlantic Beach Replace existing 2x10 header with new double 2x10 yellow pine, replace SPF top plate and double plate with#2 yellow pine and replace cripple and king studs on each side of opening. There is no need to replace the black board wall sheathing because there is no damage and is intact Let me know if any questions with any part of this at any time. Sincerely, Rick Juenger Jueger Construct CA i. wak VCI C)f- .1 .;ay;1rCity of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned b the Building D partment.) 800 Seminole Road / .4 Atlantic Beach, Florida 32233-5445 ` c� Phone(904)247-5826 • Fax(904)247-5845 p E-mail: building-dept@coab.us Date routed: ZY City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: z u�►-{� C ment review required Yes No Buildin Applicant: �-er m$-FrjA<Zb gyj Planning &Zoning Tree Administrator Project: j'I'h j'7 Public Works Public Utilities Public Safety Fire Services 0"C "'t Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: Date: 70 � TREE ADMIN. Second Review: ❑Approved as revised. ❑ enied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 "c- 7 ep tell (.Aj te, va-k PIC, cv 1404 C4- ko F-1 7 CITY OF ATLANTIC BEACH '- 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000331 Date 3 Property Address . . . . . . 372 AQUATIC DR /24/10 Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------ Application desc 1 cu 1 ahu -------------------------------- Owner Contractor ------------------------ _______ NEVILLE, PEGGY ONE HOUR AIR 372 AQUATIC DRIVE Q/A:EDDY, CRAIG FARREL ATLANTIC BEACH FL 32233 1015 ATLANTIC BLVD 249 ATLANTIC BEACH FL 32233 ------------------------------------------------- Permit . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 91 . 00 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date . . 9/20/10 ------------------------- Fee summary Charged Paid Credited Due ------ ---------- ---------- ------- Permit Fee Total 91 . 00 91 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 91 . 00 91 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 Dill I,�.a.. INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000331 Property Address . . . Date 3/24/10 372 AQUATIC DR Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------ Application desc 1 cu 1 ahu --------------------------------- Owner Contractor ------------------------ _ ____________ NEVILLE, PEGGY ONE HOUR AIR 372 AQUATIC DRIVE Q/A;EDDY, CRAIG FARREL ATLANTIC BEACH FL 32233 1015 ATLANTIC BLVD 249 ATLANTIC BEACH FL 32233 -------------------- -- ----------------------------- Permit MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 91 . 00 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date . . 9/20/10 ------------------ ------------ -------------------- Fee summary Charged Paid Credited Due -------- ---------- Permit Fee Total 91 . 00 91 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 Grand Total 91 . 00 91 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORH)A BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS: 3-22- oA7) C PERMff# PROJECT VALUE$_ "7cq00 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity t Tons Per Unit 'Z ARI#--Z30a56 2 Heat: Unit Quantity ___ BTU's Per Unit 2 REQUIRED Duct Systems: Total CFM y,� Seer Rating / 6 REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIREPLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's ALL OTHER GAS PIPING Elevators/Escalators Quantity of Outlets Heat Exchanger #Vented Wall Furnaces Pumps #Water Heaters Refrigerator Condenser BTU's Solar Collection Systems Tanks(gallons) Wells OTHER: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Phone Number 631-603 1 Mechanical Company tr t'Z Office Phone I- !0Fax 2j7-�26 Co. Address: City Zk&FLICC( State FL Zip 3ZZ S� License Holder(Print): at Certification/Registration#CqE I£3lky2d Notarized Signature of License Holder Sworn and subscribed before C l` 20 /Z a Signature of Notary Publ' se 'ed rhru NotuMic U 14 ndermiters ftl CITY OF ATLANTIC BEACH r j 800 SEMINOLE ROAD =" ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000372 Date 3/31/10 Property Address . . . . . . 372 AQUATIC DR Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8000 -------------------------------------------------------------------------- Application desc REPAIR FIRE DAMAGE ------------------------------------------------------------------------ Owner Contractor ------------------------ ------------------------ NEVILLE, PEGGY SEDA CONSTRUCTION COMPANY 372 AQUATIC DRIVE 2120 CORPORATE SQ. BLVD. ##3 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 724-7800 ------------------------------------------------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc . . REPAIR FIRE DAMAGE Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00 Issue Date . . . . Valuation 8000 Expiration Date . . 9/27/10 ------------------------------------------------------------------------- Special Notes and Comments PERMIT FOR FIRE DAMAGE REPAIRS VINYL SIDING, DRYWALL, PAINT AND FLOORING REPAIRS WINDOWS REPLACEMENT NOT PART OF THIS PERMIT. SEPERATE PERMIT REQUIRED FOR ANY WINDOWS . . . --------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total 45 . 00 45 . 00 . 00 . 00 Grand Total 135 . 00 135 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904) 247-5845 -24 Job Address: 3� MQ k C '' Permit Number: _ /0 _ 3 7 Z_ Legal Description -7J2Y- Parcel# oor ea o q. t. Sq.Ft Valuation of Work$ Proposed Work heated(cooled non-heated/cooled Class of Work(circle one): New Addition Alteration 6P Move Demolition pool/spa window/door Use of existing/proposed structures)(circle one):, Commercial residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes o. N/A Florida Product Approval#--109171,13 i j Iw+40 w) For multiple products use pro uct approval form Describe in detail the type of work o be performed: y/ GZ , , ri M r CCG° Dye 70 13m o x4-v 1 m,, 6VU Y 4 -.Kt--f Property Owner Information: Name: if e&4 C l Address: S 7 a G( i,a��C �f� W&lli C h C,,/ �a�3 City eac'- State EVip 3),133 Phone 9, t/- S 71=- - 3,4 E-Mail or Fax#(Optional) Contractor Information: Company Name: S E-0 C ruin'h (W/ &57 I sGADYI Qualifying Agent: -fG#'V A. SCA4A-)V1( Address: (-)140 4004- C City WSE�kLIl/c° State XC• Zip i Office Phone G a a 0 Job Site/Contact Number Gil-S-W-a d 3 Fax# 9t)Y- 56 State Certification/Registration# L G C A a o gFO Architect Name&Phone# Engineer's Name &Phone# ,--- Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as ind,cated. I certify that no work or installation has commenced prior to the issuance of a permit and that adl work will be performed to meet the standards of all ws regulating construction in this jurisdiction. This permit becomes null and void tf work is not commenced within six(6)months, or if construction or work sa Period ofsix(6)months at any time after work is commenced I understand that separatepermitsmustbe secured forElecical Work,Plumbing,Signs, ells,Pools,L maces,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordi ces governing this type o1 work will be com lied w' whether speci ted herein or not. The granting of a permit does not presume to give autho ty t v olate or cancel the provisions of any other 11 t e, or local d regulatin truction or the rforjnance of construction. Signature of ani ./ Signature of Contractor Print Name 1 -A, Print Nae h ....... ................ ......... ........................... ...................... . ............ � .... . ........ . .................................................. Sworn apd subscrib efore me Sworn d subscri before me -� this ay of �--s�-�-- 20 i thi ay of L. �l�t_ 20 Y LUCILLE ALVAREZ =•; MY COMMISSION#00720898 AMY LUCILLE ALVAREZ evised 01.26.10 z+ EXPIRES October 01,2011 t MY COMMISSION#DD72069 q;,,, EXPIRES October 01,2011 (407)396-0"^r'<1 FiOrid3NOtarySONIC0tOm i, �� 7) 98-0153 FbriQalloterySOrvice.com NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of To whom it may concern: The undersigned hereby Informs you that improvements will be made to certain neat property,and In accordance with Section 713 of the Florida Statutes,the following Information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 3S` Z—A':�— A ci C 5-7 Address of property being improved: t- a Gene al descgiption of impr erne ts: Owner V Address Ilk f` ti '' Ta'). 3 Owner's interest In site of the improvement t Fee Simple Titleholder Of other than owner) Name Address Contractor Address a140 �� '1h` fih 3Z •l, aJ Phone No.go 7� 'a V Fax No. 0q_ �ay'' qt 9g Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Uenor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Nl- Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OtNN �- Signed: Before y of '" , �g =01."D Site of_F}gdSfa,has pe ally apps -. /` GE fir UOC;F[U'i 0(111345,V R BK'15'198 (Sage 568, s _9 s.''i herein by Number Pages: 1 h her�elrand affirms that all statements and declarations herein are true and accurate Recorded 0313112010 at 01:34 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL �\ COUNTY RECORDING$10.00 otary Public at Larg e of ,C of __---- — -------- My commission expires: erson yr Identification _ P #YCILLE ALVAREZ '_`• •ate' MY COMMISSION#DD720699 p� EXPIRES October 01,2011 WI (407-)39"153_ IFWl"Norary5ervice-com 1c"R CERTIFICATE OF LIABILITY INSURANCE OP ID D1 DATE(MMIDD/YYYY) PRODUCER SEDAC-1 03/31/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Greene-Hazel & Associates,Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 10739 Deerwood Park Blvd, #200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Jacksonville FL 32256-2873 Phone: 904-398-1234 Fax:904-396-7432 INSURERS AFFORDING COVERAGE NAIC# INSUREDSERA COAstrIICtlOIi CO, Tnc. INSURER A: Old Dominion Insurance SERA Constr 8, Restoration, Inc 40231 Semanik Investment Corp. INSURER B: Association Insurance Co k Properties Aline line Guite CPA INSURER C: James River Insurance 2120 Corporate Sq INSURER D: viniri s Insurance Company Jacksonville FL 32216 Blvd# 3 4 mean 16632 INSURER E: Liberty surplus Insurance COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRE TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYYYY) DATE(MMIDDlYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 D X COMMERCIAL GENERAL LIABILITY GLP0012574 02/01/10 02/01/11 PREMISES(Eaoccurence) $ 100,000 CLAIMS MADE IFR711 OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $ 1,000,000 X Retro 2/1/98 Emp GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s2,000,000 POLICY X JEa LOC Emp Ben. 100,000 AUTOMOBILE LIABILITY COMBI $ 1OONED SINGLE LIMIT A X ANY AUTO B2G85558 02/01/10 02/01/11 (Ea accident) 0,000 ALL OWNED AUTOS SCHEDULED ALTOS (Per on) $ (Per person) X HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $5,000,000 C X OCCUR CLAIMS MADE 000361221 02/01/10 02/01/11 AGGREGATE $5,000,000 DEDUCTIBLE $ X RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LABILITY YIN X I TORY LIMITS X ER $ ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ WCV001808903 02/01/10 02/01/11 E.L.EACH ACCIDENT $ lOOOOOO OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $1000000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 OTHER E cont Pollution TIENY101245110 02/01/10 02/01/11 Limit $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Certificate Holder is listed as additional insured in respects to General Liability CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITOFAT DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL City of Atlantic Beach IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 904-247-5845 800 Seminole Road REPRESENTATIVES. Atlantic Beach FL 32233-5445 AUTHORIZEDO RESENTATIVE '7AF gvg' kmr=� ACORD 25(2009101) 1988-2009 ACORD CORPORATION. AN rights Feservod. The ACORD name and logo are registered marks of ACORD STATE OF FLORIDA '- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION £ CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 SEDA CONSTRUCTION & RESTORATION, INC 2120 CORPORATE SQ. BLVD #3 JACKSONVILLE FL 32216 Congratulations! With this license you become one of the nearly one million STATE'00 FLORIDA AG# 5 I#Q Floridians licensed by the Department of Business and Professional Regulation. DEPARTMENT OF BUSINESS AND Our professionals and businesses range from architects to yacht brokers,from PROFESSIONAL REGULATION boxers to barbeque restaurants, and they keep Florida's economy strong. QB20909 08Q5I96'�40 ' Every day we work to improve the way we do business in order to serve you better. 06/Q9109 For information about our services,please log onto www.myfloridalicense.com. QUALIFIED BUSINESS OR There you can find more information about our divisions and the regulations that SERA CONSTRUCTION & RESTORATION, impact you, subscribe to department newsletters and learn more about the Department's initiatives. (NOT A LICENSE TO PERFORM WORK. Our mission at the Department is: License Efficiently, Regulate Fairly. WeALLOWS COMPANY TO DO BUSINESS IF constantly strive to serve you better so that you can serve your customers. IT HAS A LICENSED QUALIFIER" ) Thank you for doing business in Florida, and congratulations on your new license! is QUALIFIED under the Provisions of"'ch.489 ss Expiration date: AUG 31, 2011 L09060961557 DETACH HERE ac# 443,5406 STATE OFT, ORPA DEPARTMENT OF .BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD $EQ#L09660:901557 DATE BATCHNUMBER LICENSE NBR 06',09/2009 080519640 B2fJ909 .BUSINESS ORATFIZATION t' Named ')aelow''�ISQT7ALIFIED � " Under'`the'' ` Chapter 489 ,FS, provisions -o- Expiration on date.:'°`AVG '31_'11;: 20I1 (THIS IS NOTA IrCENSE 'TQ ;PERFORM WORK. THIS ALLOWS " COMPANY: TO DO $USINESS ONLY ;IF <I'I' HAS A QUALIFIER. ) SEDA CO NSTRUCTIC7N;& "RESTORATION," INC 2120 CORPOE SQ iBL;VD'; #3 JACKSONVILLE FL .322.Y6 . CIA_RLIE CAIST CHARLES W. DRAGO OVERI�TOR,,, SECRETARY DISPLAY AS REQUIRED BY LAW ow"s STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 SEMANIK, JOHN A SEDA CONSTRUCTION & RESTORATION INC 2120 CORPORATE SQUARE BLVD. #3 JACKSONVILLE FL 32216 STATE OF FLORIDA AC# ,3 4 514 Congratulations! With this license you become one of the nearly one million DEPARTMENT OF BUSINESS AND Floridians licensed by the Department of Business and Professional Regulation. ONE PROFESSIONAL RGULATI Our professionals and businesses range from architects to yacht brokers,from , _ ,: boxers to barbeque restaurants, and they keep Florida's economy strong. CGCA20880 U8/18/Q8 088035655 Every day we work to improve the way we do business in order to serve you better. For information about our services,please log onto www.myfloridalicense.com. CERTIFIED .GENERAL CONTRACTOR There you can find more information about our divisions and the regulations that SEMANIK, ,JOI�N,.,A.` impact you, subscribe to department newsletters and learn more about the SEDA CONSTRUCTION .& RESTORATION " Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. =s CERTIFIED unser the Thank you for doing business in Florida, and congratulations on your new license! proviaicnx of ch.489 rs Expiration Ute- AUG 31, .2010 L08081801354 DETACH HERE o AC# f,STATE OF-FLORIDA DEPARTMENT OF ttlkki`Sll S :�AN11,VRdFESSIONAL REGULATION _ CONSTRUC 1.0 ,INDUSTRY LICENSING BOARD SEQ#L0'8081'40135': N LICENSE,3�TBR _ 08 18` 20Q8 0$13'035655 ` CGCA208.80; The ,GENERAL'"C'ONTI7ACTOR i Named "��1ow eIS ?,CERTIFIED Under!!",rhe provisions of Chapter $9 Exp'lration' d"ate: 'AUG 31, 2U10 SEMANIK, JOHN A SEDA CONSTRUCTION &m 3tESTORATIQN -INC . 212 0 CORPORATE SQtrARE 'BLVD ii;:#3, rr ; JACKSONVILLE FL 31216 �{CHARLI CRIT CHA'RLES W. DRAGO GC?VERNQ,2 i:: {.;a ('SECRFxTARY [ ISPL'A AS REf UIREt)'.�3Y LACI 2009-2010 BUSINESS TAX RECEIPT CITY OF JACKSONVILLE/DUVAL COUNTY MIKE HOGAN,TAX COLLECTOR 231 E FORSYTH STREET ROOM 130 JACKSONVILLE FL -3 7 32202 3 0 PHONE:(904)630-1916 option 3 FAX:(904)630-1432 WEBSITE:www.coj.net/tc Note -I penalty is imposed for failure to keep this receipt exhibited conspicuously at your place of business. This receipt is furnished pursuance of chapter 770-772 City ordinance codes. Z AANIK, JOHN !;EI)A CONSTRUCTION & 1'0 CORPORATE SQUARE BV TI i 3 ACKSONVILLE, FL 32216 ACCOU 47 NUMBER: 06 1860.06 24 LOCATI XADDRESS �� a 21` 0 CPRPORA' ��tc��R�8V'ST1= 'JACK401FIVIL14 a 1 DESCRI27ION: COUNT' F ECEIPT '," Ll ,Yitm AGENT, Ck 11"RACF E�8 L? I�"�Y TAS• 0.00 MUNICIPA. RECI :' „SAO 7. 5 n,��.:,�� t>> WNW* AX: 100.00 \r� a a� ` � ID 100.00 � Reptember 9^x'7009 TO + i ; 1) c ***ATTENTION*** THIS RECEIPT IS FOR BUSINESS TAX RECEIPT ONLY. CERTAIN BUSINESS MAY REQUIRE ADDITIONAL STATE LICENSING. This is a bt sir ess tax receipt only. It does not permit the receiptholder to violate any existing regulatory or zoning laws of the County or City. Nor does it exempt the receiptholder from any other license or permit required bylaw. This is not a certificatior of the licensee's qualifications. /7#4 TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION. PAID-3343038.0001-0001 M01 07/30/2009 100 .00 2009-2010 RENEWAL NOTICE FOR LOCAL BUSINESS TAX MIKE WOGAN,TAX COLLECTOR CITY OF JACKSONVILLEJDUVAL COUNTY 231 E FORSYTH STREET ROOM 130 JACKSONVILLE,FL 32202-3345 4 PHONE:(904)830-1916 OPTION 3 FAX:(904)830-1'132 1NEBSITE:vuww.coj.netltc Note-A pen IBy is imposed for failure to keep your paid Business Tax Receipt exhibited conspicuously et your place of business. This renewal application is urr ished pursuant to chapter 770-772 City Ordinance codes. 7 - 14185 SE W IK, JOHN ® SE)A CONSTRUCTION & 2120 CORPORATE SQUARE BLVD STE 3 JA;K!ONVILLE FL 32216-1976 i PHYSICAL l.00 ATION OF BUSINESS:JACKSONORPORATE SQUARE BV 3 LLE LOCAL BUS INI 3S ID: 2063180000 ACCOUNT NUMBER:66486 -- - -e A$91M�T-H)NICODE.-00000°3---QU'ALIFYING AGENT--CONTRA;CTORS_..._ .__. UNITS IF PAID BY SEP 30 OCT-10%PEN NOV-15%PEN DEC-20%PEN JAN-25%PEN FCOUNTY-ii N/A N/A N/A N/A N/A MUNIC15P.6 L_I AX S100.00 $110.00 S115.00 ;120.00 15.00$0.00 $0.00 $0.00 TC X DUE $ 100.00 $110 110.00 $ 115.00 $1 120.00 S 125.00 1) PLEA:E I LAKE ANY ADDRESS CORRECTIONS ON THE BOTTOM SECTION OF THIS RENEWAL NOTICE. 2) PLEA;E 1 tEFER TO THE TAX CHART ON THE BACK OF THIS NOTICE OR VISIT www.coj.netNcol FOR TAX RATE CALCULATIONS AND 10 AAKE ANY TAX RATE ADJUSTMENTS IF APPLICABLE. PLEASE NOTE TAX RATE ADJUSTMENTS ON THE BOTTOM SECTI)N IN THE BOX(ES)LABELED ADJUSTED TAX DUE. 3) PLEA.'11 AAKE CHECKS PAYABLE TO MIKE HOGAN,TAX COLLECTOR AND MAIL TO: M1 KE HOGAN,TAX COLLECTOR LC CAL BUSINESS TAX DEPARTMENT 231 E FORSYTH STREET ROOM 130 Ji.CKSONVILLE,FL 32202 4) PLEA 0 ALLOW 5-7 WORKING DAYS FOR YOUR RENEWAL TO BE PROCESSED. YOUR BUSINESS TAX RECEIPT WILL BE AUTO VIA 11CALLY MAILED TO YOU. 5) ACCC RD ING TO ORDINANCE 770-772.THE TAX COLLECTOR IS AUTHORIZED TO WITHHOLD ISSUANCE OF A BUSINESS TAX RECE PT FOR DELINQUENT TANGIBLE PERSONAL PROPERTY TAXES. Please detach and Mum bottom awtim with your payment. .+.�+•ev ewgre rn0eFPi1rIAMS BELOW. TAX RATE CALCULATION CHART Occupatic n Code/Description: RESIQUALIFYING BUILDING, RESIDENTIAL, SHEET METAL, ROOFING, AIR CONDITIONING CLASSES A THRU C, MECHANICAL, COMMERCIAL POOL, RESIDENTIAL POOL, SWIMMING POOL SERVICING, PLUMBING, ELECTRICAL, AND SPECIALTY Section C nu—County Tax NO COU 41Y TAX DUE Section Two- Municipal Tax $100.00 ATTENTION YOUR BUSINESS IS SUBJECT TO RANDOM INSPECTION BY TAX