350 Oceanwalk Drive S - Permit Windows 2010 1 k \ ,
\4
CITY OF ATLANTIC BEACH
Ms
";�' 800 SEMINOLE ROAD
S-)
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001141 Date 9/20/10
Property Address . . . . . . 350 S OCEANWALK DR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6700
----------------------------------------------------------------------------
Application desc
replace 4 windows
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
DUNN PELLA WINDOW AND DOOR
350 OCEANWALK DR.S .
ATLANTIC BEACH FL 32233 8174 BAYMEADOWS WAY W.
JACKSONVILLE FL 32256
(904) 731-8330
----------------------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 8S . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6700
Expiration Date . . 3/19/11
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC 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 85 . 00 85 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 85 . 00 85 . 00 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALI, 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: cc en 18\,kx-J�_ Permit Number:
iz
Legal Description LA Z_I S C t' ZS � zq e 7� Ctacl L Un,-�,Z Parcel# I tv qq(g Of 2 Z-
- F oor ea of F-q.Tt—. Sq.Ft
(v PIroposed Work heated/cooled non-heated/cooled
Valuation of Work
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa �mdow/do
Use of existing/prorosed structure(s) circle one): Commercial Res�Qtial
If an existing struc ure,is a fire spriler syst m installed? (Circle one): Yes No N/A
Florida Product Approval#IN'8(4
For multiple products use product approval form
Describe in detail the type of work to be performed: +<-C Q CC'Ag uj
Property Owner Information:
Name bj"
, I V1\ Address: 55,0
city -6�Aq",3�c_ m_cra" State F TL
-L/-Zip Z Z Phone q - ZLt 1 89
E-Mail or Fax#(Optional
Contractor Information:
Company NameA_1-.,L-)Wj0,.�.-,. "a Qualifving Agent:"��, _[L L,)"4 -�cwre s
Address: V174 W L>r-" L..)&si -city Jcu-_ State Zip 3?1
Office Phone -11 STIF140-V311 b Site/C�ont 111% Fax# �Lg
State Certification/Registration# C_kt OS"7Z3* 11 DECUMPILLANCE
I
Architect Name&Phone# Ook CITY OF AILANTIC REAQ_
Engineer's Name&Phone PIA, SEE ADDITIONA-1
Fee Simple Title Holder Name and Address 4 RIBOU14EMENTS AND CONDMONS-
4
Bonding Company Name and Address 4 , ot2_1_11 0 /1
j ftVitw4p DAM%//10 4 1U
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and talww icated, Icerti that no work or installation has commenced prior to the
issuance o,(a permit and that all work will be performed to meet t nda I aws regula ing construction in thisjurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or iffco c sus ended or abandonedfor a Period ofsix months at any time after
� ric7i2aZ,Plu ing,Signs, Wells, Pools, J rnaces,Boilers,Heaters,
work is commenced. I understand that separate permits must b cu
Tanks andAir ConMoners,eta
4
WARNING TO OWNER: Y I RE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESUL IN Y U PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere certify that I have read and examined thisa lication and know the same to be true and correct. All provisions of laws and ordinances governing this
. P
)rk will be complied with whether spect ie§d herein or not. The granting of a permit does not presume to give authority to vio teorcancelthe
wc
provist.ons of any otherfederal,state, or local law regulating construction or the performance of construction.
1-11
jL.I
Signature of Owner All Signature of Contracto
Print Name i D_LL W)o Print Name ..........................................�4
.....................................................
Sworn to and subscIribe ,fore me Sworn to and subscribed before me
11-t )f 4- 20 It)
this Day of "P_ Day(
101111111111111AIM VIN nAu poliwe
A,�
Utr#,ry Public state of Florida
Notary Public ona s Sm th
My Commission DD918800 vised 01.26.10
zx�Kt '?1 ,506 Y22 OF FvO Expires 08/20/2013
-.366 page
L _()j02jb3t54,OR bK1
Number Pages� I
NOTICE OF CONOMNCEMENT Rec,,ded 091162010 at 1131 AM.
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Permit No. RECORDING$.10-00
Tax Folio No. t ka-1)�j
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
in LQ C;-
1.Description of property(ftal descrip&n): Q ce, Z-S "I
u-j
a)Street(job)Address: 3TU CkA2&%-\- - %1C DIr
2.General description of improvements: jZA,0 e_C -2 W (),rA_,-j a>
q
3.Owner Information
a)Name and address:
b)Name and address of fee simple titleholder(if other than owner)
c)Interest in property CTIAP/NA/v"
4.Contractor hiformation
a)Name and address:,�,-&, C.43v-ttt
-2
b)Telephone No.: 704 j Fax No.(Opt.)
tSurety Information
a)Name and address: �J
b)Amount of B ond:
c)Telephone No.: Fax No.(Opt.)
6.Lender a)Name and address:
Phone No.
7.Identity of person within the State ifflorida,designated by owner upon whom notices or other documents may be served:
a)Name and address: V 1;�
b)Telephone No.: Fax No.(Opt.)
8.1n addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(l)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES,AND CAN 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLOIUDA
COUNTY OF PINELLAS 10.
Sign o Owner or Owner'"s Authoriml OfficerlDirectorlPartner[Manager
A V\ -D— - T,\ NJ
Print!6:1
Na e
20
The foregoing instrument was acknowledged before me this-/5—day of by Pt
as ._(type of authority,eg.officer,trustee,
attorney in fact)for (name of party��half of I rument Was executed).
Personally Known OR Produced Identification Notary Signature
JASMBU
MY COANNSSM I
Type of Identification Produced—)Ir�vsy<. 61C Name(print) NWI.-Auqusl
Auk ",T;;;%WyP1
OR
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of pedury,I declare that'
the facts stated in it are true to the best of my knowledge and belief
FORMS/N0C,r,Q010
Si ofNatural Person Signing(in line#10.)Above
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name: Permit #
Project Address: 0GLq'Vic-XZC&A�- '�O'r
As required by Florida Statute 553.842 and Florida Administrative Code Rule 913-72,please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
)roduct approval may be obtained at:www.fioridabuildina. ra.
Category/Subcategory Manufacturer Product Description Limitation of Use State Local#
77 EXTERIOR DOORS
1. Swinging
2. Sliding
3. Sectional
4.Roll up
5. Automatic
6.Other
B. WINDOWS
1. Single hung
2.Horizontal slider
3. Casement
4.Double hung
5.Fixed -6--ui-ur-t S
6.Awning
7. Pass-through
8.Projected
9.Mullion
10.Wind breaker
11.Dual action
Florida Building Code Online Page I of 4
rA
SCIS 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# FL11484-Rl
Application Type Revision
Code Version 2007
Application Status Approved
Comments
Archived
Product Manufacturer Pella Corporation
Address/Phone/Emall 102 Main St.
Pella,IA 50219
(641)621-6096
pellaproductapproval@pella.com
Authorized Signature Joseph Hayden
jahayden@pelia.com
Technical Representative Joseph Hayden
Address/Phone/Emall 102 Main Street
Pella,IA 50219
(641)621-6096
jahayden@pelia.com
Quality Assurance Representative Ali Zarghami
Address/Phone/Email 102 Main St
Pella, IA 50219
(641)621-1000
zarghamia@pella.com
Category Windows
Subcategory Fixed
Compliance Method Certification Mark or Listing
Certification Agency Window and Door Manufacturers Association
Validated By James L. Buckner, P.E. at CBUCK, Inc.
Validation Checklist- Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA 101/l.S.2-97 1997
AAMA 101/I.S.2/NAFS-02 2002
AAMA/WDMA/CSA 101/I.S.2/A440-05 2005
ASTM E1886-05 2005
ASTM E1996-05 2005
Equivalence of Product Standards
Certified By
http://floridabuilding.oriz/t)r/p� app dtl.aspx?param=wGEVXQwtDqv8JyqqZ9WuEJ%2f9... 9/16/2010
J,
4
t5
Y
Nf-
0,
>
I'v"N��z"-'
V v v
lez
oz
r'i
<
z
z
L
U1,
z
A
tit
in
>
171
FA z
rt'qlk-
SHIELD O�RECT SET WINDOW RPAVVI
HURRICANES IMPACT FiXED FRAME
'�11119 1'.."—— — j— I�,,7,
A R 04
v 'k w SCHAEFER ENGINFERlNG PH J.A CC.)RPORATION
CONSULT!NG, OA
71
Lj t!—' p j't
Z,
J
-4'08
>
lz
>
I C
T,
C)
Al
HURRiCANESHIUD IMPAC' f i)(E,) F�RAMF fVRLCI SE— WINOOW
y APR 0 MIO�
W W. SCHAEFER ENOINEERING PL�,A CORPORATION
CONSU(TNCl Q.A ww-,
�d
Ni
L
City of Atlantic Beach APPLICATION NUM13ER
Building Department (To be assigned b the Building Department.)
'7�
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 9
City web-site: http://vmw.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address: fPMp1tnqnt review required Yes No
in
Applicant: ma, I0,2'bog)s Planning &Zoning
Tree Administrator
Project: 'ZD/4e Public Works
Public Utilities
Public Safety
Fire Services
0 4f,
Other Agency Review or Permit Required Review or Receipt Date
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 Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: RApproved. RDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: DApproved as revised. RDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: F]Approved as revised. [—]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09