Permit 202 Pine Street SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000328 Date 3/26/10
Property Address . . . . . . 202 PINE ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1955
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Application desc
WINDOW REPLACEMENT
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Owner Contractor
------------------------ ------------------------
STANG WINDOW WORLD OF JACKSONVILLE
202 PINE STREET 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 . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 195S
Expiration Date . . 9/22/10
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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
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total 30 . 00 30 . 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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
'213
JobAddress: Aa A+Vk�'�C_ Geacb4 �'Nrmit Number: 10—.0d
Legal Description )0 (P Sa 5,,C C, _�) 601- 5d5 Parcel# 110,1:;SS - 0�jO
Valuation of Work$ 0 C)
--------7
Class of Work(circle one): New Addition A-1—ter—atio-n� Repair olition pool/spa ��dow/door
Use of e�xi�tingifproposed.structure(s) (circle one):--___C5ffimercial �Re
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval# A ),'2-,c-I . I T 0 � 0 T
For multiple products use product approval form
Describe in detail the type of work to be performed: k_-k�
f.i I U
Property Owner Information: By
Name: ?�oafl f4o oa Address: Ro�), PIC1=1 �f POA
City— A:�A�c� 0,.P_Q(,j_d StatefiZip 2, �,�a-33.Phone
E-Mail or Fax#(Optional
Contractor Information:
Company Name: vj-0y\A o� ,\c�c�,-5k),.�liLL,,,,,Q4u,alifyingA ent: R k--,
Address: i0110 " t2ies5 1919.?a V)/ �V_ quF� City ji;1C_F5�-j/)VjLk_V --)State F�__ Zip 3,A
Office Phone t�-' -1q 3 -7 ID 0 1 Job Site/Contact Number (-10 L/-L/Y?-70 Q I Fax# 9-0-4-—ILIe-13-
State Certification/Registration#_ C'6C i a 6 Q3 L;t I
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication i's hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commencedprior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void ff work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period ofsi*%)months at any time after
work is commenced I understand that separate permits must be securedfor Electricaf Work, Plumbing,Signs, Wells, Pools, urnaces, Boilers, Heaters,
Tanks andAir Conditioners,eta
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 here certify that I have read and exami.ned this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type pilwork will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provist.ons of any otherfederal,state, or local law regulating construction or the performance of construction.
Signature of Ownet:���vnl .,ignature of Contracto
Print Nam
e O*P- int Name
V)
...................... ............. .... ......... ... ...................................................................................
'j........................... t 111:� 6
Swon)4o and subscribed before me wo o and subscribed before me
_0 AA
C= t is M4" of 20 Itz,
4 ji � C`2
Notary LAJ
S CARLA JEAN PROBST
RE My COMMISSION#DD 955269 evised 01.26.10
EXPIRES,january 25,2014
LOLM Son d Thru NO Public Underwriters
REVIEWMBY.- /11 DAM: 3,42 3,116
a
TIA
8110 Cypress Plan Drive,Ste.405 FLSTATE
Jacksonville,FL 32256 License#
(9")443-1001 CBC 1250321
Fax("4)443-7778
(800)549-5132
Cozy
indborne Debris Statementfor Home Owner
I/WE, 6j(T r) :S-�aY7�n residingat ?,Q()�qp PifAQ_ (Syxrr&A-
4�j
C) Florida,
Do swear/affirm that we have or are responsible for providing WBD protection at the
above address. We do realize that the WBb 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.
'A A 0
HOMEOWNER DAT
HOMEOWNER DATE
------------------------------------------------------------------------------------------------
POST A COPY OF RECORDED NOTICE-A-T JOB SITE.
STATE OF FLORIDA COUNTY OF �),(2 JZ_4 20 ,4�)
THIS INSTRUMENT WAS ACKNOWLEDGE BEFORE ME THIS dav of
Known Personally or Identification
ification_V,r J�j
TyW of Ident 111,01401wilwm1k
000^ — ;ta%qf F fide
Notary Public a t4otory Public St$'*Of FlOfldo
TeM IkOul PW"n
MY 4�omrnlssion 00918757
Or IV ExPW64
(Name of Notary,14 or PrAcd) (Commission Number and Expiration Date)
House Map For: Karen Stan Window World of Jacksonville, Inc
202 Pine Street F81 10 Cypress Plaza Dr. Ste 405
Atlantic Beach, FL 32233 Jacksonville, FL 32256
Contractor: Gregory Fite
License No.: CBC 1250321
NOT TO SCALE
— Window Size Window Type & DP Rating
1) 33 1/2 x 34 201 DP 55
2) 34 3/8 x 46 1/8 201 DP 55
3) 34 3/8 x 46 1/8 201 DP 55
4) 34 7/16 x 46 201 DP 55
5) 34 7/16 x 46 201 DP 55
Florida Building Code Online Pagel of3
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search
Product Approval
USER:Public User
Product Approval Menu>Product or Application Search>Application List>Application Detail
FL# FL8134-R4
Application Type Revision
Code Version 2007
Application Status Approved
Comments
IF 91�� Archived
Product Manufacturer Alside Window Company
Address/Phone/Emall 3773 State Road
Cuyahoga Falls, OH 44223
(330)922-2108
rickw@rwbldgconsultants.com
Authorized Signature Marsh Fernbaugh
rickw@rwbldgconsultants.com
Technical Representative Marsh Fernbaugh
Address/Phone/Email 3773 State Road
Cuyahoga Falls, OH 44281
mfernbaugh@alslde.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 3. King, P.E.
Validation Checklist- Hardcopy Received
Certificate of Independence FL8134 R4 COI Certificate of Independence,odf
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/p�_app_dtl.aspx'?Param=wGEVXQWtDquljdteSXaTw�/�2... 3/4/2010
41k
Architectura( Testing
AAMA/WDMA/CSA TEST REPORT
Rendered to:
ALSIDE WINDOW COMPANy
SERIES/MODEL: 0201/A201
PRODUCT TYPE: PVC Double Hung Window
--—Summary of Results
Title Test Specimen#1 Test Specimen#2 Test Specimen#3
Primary Product Designator H-LC25 1118 x 1956 H-LC45 1118 x 1524* H-LC55 914 x 1524*
(44 x 77) (44 x 60!)__ (36 x 60*)
Des�Pressure* 1200 Pa(25.0 psf) 2160 Pa(45.0 psf) 2640 Pa( 5.0 psf)
Negative Design Pressure* 1200 Pa(25.0 psf) 2160 Pa(45.0 psf) 2640 Pa(55.0 psf)
Operating Force(in motion) 89 N C20 1bf) N/A N/A
Air Infiltration 1.1 Us/m1__
(0.21 CfM/tl2) N/A N/A
Water Penetration Resistance Test Pressure 440 Pa(9.0 psf) N/A N/A_
Uniform Load Structural Test Pressure ±1800 Pa(±37.5 psf) ±3240 Pa(±67.5 psf) ±3960 Pa(±8
Forced Entry Resistance —_ Grade 10 N/A
-Optional Secondary Designators
Test Completion Date: 01/27/06
Reference must be made to Report No. 62609.02-501-47, dated 02/14/06 for complete test
specimen description and data.
1140 Uncoin Avenue
SpringdaLe, PA 15144
phone: 724-275-7100
fax: 724-275-7102
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1� I DOUBLE HUNG WINDOW 230 V.1li— FL'.3&-
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P.-
R$VPI,.n. 1,..: 813.659.9197
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PART OR ASSEMBLY; Fl.rld. 8—rd �f P-f...1-1 E�gj_
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REVIS15N
—r—SULTANTS 11C. Lyndon F. Schmidt. P.F— N.. 434
AW. City of Atlantic Beach APPLICATION'NUMBER
Building Departrnant
Cro be a
800 Seminole Road ssigned by the Building Department)
Atlantic Beach,Florida 3223',11 5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail. buffding-deptQcoab.us Date routed:
City web-site- http.-1/www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ?) Department review required Yes..� No
'eui to
Applicant: /4'1)'d U) J* &Zoning
L/ Tree Administi-ator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Perinit Required Review or Receipt Date
Of Permit Veriffed By
Florida Dept orf Environmental Protection
Florida Dept of Transportation
St Johns River Water Uanagernent District
Army Corps of Engineers
Division of Hotels and Restaurants
Division Of Alcoholic Beverages and Tbbacm
Other.
APPLICATION STATUS
Reviewing Department First Review, gApproved. FIDenied.
(Circle one.) Comments.,
Q��
PLANNING&ZONING Reviewed by.
Date:-3,/d-7116
TREE ADMIN. Second Review: DApproved as revised. r-lDefded-
PUBLICWORKS Connnents:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ElDenied.
Comments:
Reviel,kred by: Date:
'evised 051141G9