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Permit 831 Amberjack Lane CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 tit Application Number . . . . . 10-00000719 Date 6/08/10 Property Address . . . . . . 831 AMBERJACK LN Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 894 --------------------------------------------- Application desc WINDOW REPLACEMENT LESS THAN 2596 --------------------------------------------------- Owner Contractor ------------------------ ------------------------ RANDOLPH, BASSEL WINDOW WORLD OF JACKSONVILLE 831 AMBERJACK LANE 8535 BAYMEADOWS ROAD UNIT 12 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 443-7001 ------------------------------------------ Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . 3 REPLACEMENT WINDOWS Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . Valuation . . . . 894 Expiration Date . . 12/05/10 ---------------------------------------- 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 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Grand Total 82 . 50 82 . 50 . 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: S-61 L&ftp, Permit Number: Legal Description ' 38-2a - 2.q C ' W PaJrnS Parcel# MIN . N oorrea oq, t, Sq.Ft Valuation of Work$ 949 Proposed Work heated/cooled non-hea coo Class of Work(circle one): New Addition Alteration Repair Move Demolition poo/spa indow/i gain Useofexisting/proposed structures) ((circle one): Commercial identi eY If an existing structure,is a fires rinkler system installed? (Circle one): No N/A Florida Product Approval # 1 �"1 For multiple products use product app—romal form Describe in detail the type of work to be perfornj ed: — \3 &IOLUMU A. L0 2- - N b, . Pro er Owner Informati n: IQ Uru, Name: V�_ ahAddress: (�� Ambwj City Slate�GZip 'D22�Phone E-Mail or Fax#(Optional) Contractor Information: AMERICAN WINDOW PRODUCTS, INC. - aw-4) Company Name: 2633 POWERS AVE. Qualifying Agent: Address: JACKSONVILLt, FE 32207City State Zi Office Phone - Job Site/Contact Number Fax# '7�ag State Certification/Registration# c 125120 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 installatiohce t t no w r installation has c mmenced prior to the issuance of a permit and that all work will be performed to meet the standards of all l Th permit becomes null and void if work is not commenced within six(6)months, or if construction o' works nd o 6)m nths at any time after work is commenced. 1 understand that separate permits must be secured f Ele g s,—Neus, o s, urn es,Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR F I IbF COMMENCEMENT MAY RESULT IN YO ICE 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 cer that 1 have read and examined this application an the same to be true and correct. All provisions of laws and ordinances governing this type ofspecified herein or not. ranting of a permit does not presume to give authority to violate or cancel the w k will be complied with whether provisao s of any other federal, state, or local law regulating construction o he performance of construction. Si ature of Owners g�Tature of Contractor P nt Name Name ......................... ............... .......:.. . ,t ... ....... ....................: .... ...... ...... .................................. .................... S r nd subsc i before me I y, t R � C.'t % ay 20 1 V LANTIC BEACH 4aJ N a Publi(SgEARMITSFORADDITIONAL .j �PU tart' Public a BEITYFELDER R UIREMENTS AND CONDITIONS. .r,■ 3 �°:' ' `'° V MY COMMISSION#DD 702756 4•• ' * EXPIRES:Decernt9f9wed 01.26.10 REVIE Y: DATE: sqP°P Bonded Thru Budget Notary services T eOFF0 CITY OF ATLANTIC BEACH O v Q- �+� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5828•FAX NO.:(904)247-5845 may. BUILDING-DEPTCCOAS.US BUILDING PERMIT APPLICATION DUVAL COUNTY m 0 Ze')) ' / ` At n is Beadh, FL 32;;13 LOT_BLOCK_SUB DIVISION 13 NEW BUILDING ❑DEMOLITION 13 RESIDENTIAL ADDITION ❑CONVERTING USE ❑COMMERCIAL ❑ALTERATION 13 ACCESSORY BLDG. ❑REPAIR ❑POOL/SPA ❑YES ❑WA NE ❑MOVE ❑OTHER ❑NO 9.NAME: 1 COMPANY E: 23.COMPANY NAME: NICU LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE N0: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: r9 OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 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: 38.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. YOUR FAILURE TO RECORD A NOTICE OF COMM WN RF NCEMENT MAY PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OFT IN YOUR 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. Sign Date: 2�Countyoof Signed: Date: BefotState day of in the Before me this day of 2007 in the f Duvalorida,has pe all pea l� Duval,State of Florida,has personally appeared herin by himself/herself d affirms that ail stat ants and declarations are herin by himself/herself and affirms that all s4ents and declarations are We and accurate. �/ true and accurate. No.}/pa(FPublic at Large,State of County of ��YL Notary Public at Large,State ofCo Of Personally Known ❑Personally Known ❑Produced Identification- A ❑Produced Identification Notary Signature: Notary Signature: P U * * MY COMMISSION#DD 702756 EXPIRES:December 7 2011 j9N "."Ooee Bonded Thru Builliet Notary Smim COAG FORM BLDG01:REVISED:11/6/2007 i Vi X G rloridaBuilding Code Online • Page 1 of 4 SCIS Home Log In User Registration Hot Topics Submit Surcharge !, Stats&Facts Publications FBC Staff BC1S Site Map Links Search Product Approval tat USER:Public User Product Approval Menu>Product or Application Search>Application List>Application Detail FL# s FL12077 �t Application Type New Code Version 2007 f Application Status Approved Comments ' Archived r Product Manufacturer Silverline Building Products Corp. Address/Phone/Email One Silverline Drive North Brunswick, NJ 08902 (732)435-1000 rickw@rwbldgconsultants.com Authorized Signature Vivian Wright rickw@rwbldgconsuitants.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Fixed Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer F 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 Window and Door Manufacturers Association Quality Assurance Contract Expiration Date 12/31/2011 Validated By Ryan J. King, P.E. Iw Validation Checklist- Hardcopy Received Certificate of Independence FL12077_RO_COI_CERT of INDEPENDENCE.pdf Referenced Standard and Year(of Standard) Standard Year 101/I.S.2 1997 AAMA/W DMA/CSA 101/I.S.2/A440 2005 ASTM E1300 2002 ASTM E1300 2004 ASTM E1886/E1996 2002 TAS 201, 202, 203 1994 Equivalence of Product Standards Certified By http://www.floridabuilding.org/pr/Pr_app_dti.aspx?param=wGE VXQWtDquJEQfNP6a6FJr... 6/3/2010 Florida Building Code Online Page I of 2 +oo • eC[S home j LAO In ; User Registration Hot Topla i Submit Surcharge j Stets&Facts Publications j FBC StaN j BCSS site Map i Links j Search 1 Aslillillikh Product Approval ER:Public User Product Approval Menu>Product or Application Search>Application Ust>Applkawn Detail FL# FL6163-RI Application Type Revision Code Version 2007 I Application Status Approved Comments 1 Archived Product Manufacturer Sllverilne Building Products Corp. Address/Phone/Email One Silveriine Drive North Brunswick, NJ 08902 (732)435-1000 rickw@rwbldgconsultanis.com Authorized Signature Craig Calderone rickw@rwbidgconsultants.com Technical Representative Craig Calderone Address/Phone/Small 1 Sltverline Drive North Brunswick,NJ 08902 (732)435-1000 cralgCaiderohe@silverilnewindow.com Quality Assurance Representative Address/Phone/Emall Category Windows Subcategory Single Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer ': Evaluation Report-Hardco�y Received Florida Engineer or Architect Name who Lyndon F. Schmidt,P.E. developed the Evaluation Report Florida License PE-43409 Quality Assurance Entity National Accreditation and Management Institute Quality Assurance Contract Expiration Date 12/31/2011 Validated By Ryan J.King,P.E. �! Validation Checklist-Hardcopy Received Certificate of Independence FL6163_PI_COI_CERT of INDEPENDENCE.pdf Referenced Standard and Year(of Standard) Standard AAMA/WDMA1CSA101/I.S.2/A440 Year 2005 ASTM E1300 2004 ASTM E1300 2002 TAS 202 1994 Equivalence of Product Standards http://www.floridabuilding-org/pr/pr_app_dtl.aspx?param=WGEVXQwtDgvJ%2bVZhSN... 5/19/2009 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ,' .,i o s 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 !a. , E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM property Addre s: �3 • � DeFServices review required Yes No ldin 140,0A Applicant: �� aning Tretrator Project: W� .� Pub Pubs Pu Fire Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept.. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hofels and Restaurants Division of Alco`i,olic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ❑Denied. (Circle on Comments: "AU C0W*#J OfWT UILDING� AVgh PLANNIN NING Reviewed by: d Date: 6 7 TREE ADMIN. Second Review: QApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: WE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: i4 ., Reviewed by: Date: Revised 05/14/09