Permit Windows 230 Magnolia 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001244 Date 10/20/10
Property Address . . . . . . 230 MAGNOLIA ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6949
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Application desc
new windows
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Owner Contractor
------------------------ ------------------------
ROBINSON, BARBARA J. FLORIDA GEORGIA CONTRACTORS
230 MAGNOLIA STREET 11433 SAINTS ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 641-7010
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee 42 . 50
Issue Date . . . . Valuation . . . . 6949
Expiration Date . - 4/18/11
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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
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 85 . 00 85 . 00 . 00 . 00
Plan Check Total 42 . 50 42 . 50 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 131 . 50 131 . 50 . 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 n
OFFICE:(904)247-5826 0 FAX NO.:(904)
247-5U5
BUILDING-DEPTQCOAB.US
BUILDING PERMIT APPLIC OCT 13 2018u
AT11 0 9
4COUNTY
W Fr.tROM ROGPW'V
18V
I CLA45 OF WOrm
LOTq%LOCK N 171 NEWRI DING El DEMOLITION
SUB DI'VISIO 13 ADDITION 0 CONVERTING USE 13 COMMERCIAL
AI&ALTERATION 0 ACCESSORY BLDG &FIREE
0 REPAIR (3 POOL/SPA 13 YES A87N41A
N 13 MOVE 13 OTHER 0 NO
f-)-F LL
COMR%marl-
9.NAME 15.COMPANY NAME: 23.COMPANY NAME-
be"-'x' , (7NC%- C!l, Ccc-�z C S
Car \0 S'Cc C (2-"e 16.NAME: 24.LICENSEE NAME
10.ADDRESS: 17.STATE OF I-LORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
_"N 0RC-04\0q0
18.ADDRESS�
��d W ADDRESS:
`—�Z 7-q(,
11.OFFICE PHONE ___112.FAX NO.: 19.OFFICE PHONE, 120.FAX NO.: 27.OFFICE PHONE- FAX NO.:
13 CELL PHONE: T
21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: 22,EMAIL ADDRESS. 30.EMAIL ADDRESS:
31.NAME: 33.NAME: 35.NAME:
3Z ADDRESS: 34.ADDRESS 36.ADIDRESS:
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,Fumaces,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:
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.
Sigi Date: -'7' Date:
Wore�111104his /2 -dwyof Q this 12 day
268 in the county of Before me of 2NO in the county of
Duval,State of Florida,has personaby appeared Z— Duval,State of Florida,has personally appeared
C'�'"'� �, '�'-- "� ��C,-k�� \\�' vr) . CA(-'�
herin by himself/herself and affirms that all statements and declarations are bedn by himself/herself and affirms that all statements and declarations are
true and accurate- true and accurate.
Notary Pubic at Large,State of C��'County \J Notary Public at Large,State of C't.n d 6,County Of DLt V a--(:
0 Personally Known *ersonally Known
Et Produced Identification v 1 V-4--C s. Produced IdqabfiGaUpn-
Notary Signature-
RE"E"D F
C1 te of Florid
OF AM, 49 Notary Public State of Florida
0
SUPERM ion DDS94117 Renee L Santeler
W013 y tAY Commission D0894117
Expires 05/28/2013
REMWED BY DAM: 0
Notice of Commencement
State of Florida County of Ck
The undersigned hereby informs all concerned that improvements will be
made to certain real property, and in accordance with Section 713-13 of
the Florida Statutes (Revised 10-1-96), the foll6Win
provided: g information is
D
N';Oc P':u 1 U_'jt39*/-,UH bK I b,396 Page 4�6,
Legal Description of Property: L umber� ages: i
Recorded 110 132010 at 09:37 AM,
LD�_ 419 -B jIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
General Description of Improvements: RECORDING S!0 00
n-
Owner's Name: 7) 5
-_tz �
Address:
0
City:
L Zipcode: 3 '.3
Owner's Interest in Property-.
Fee Simple Title holder(if other than Owner):
Name-,
Address:
Contractor: Florida-Georgia Contractors, Inc.
11433 Saints Road
Jacksonville, Florida 32246
Telephone: (20A) 641-7010 Fax: QQ4 642-9156
Surety: Not Applicable
Lender's Name and Address: Not Applicable
Persons within the State of Florida designated by the Owner upon whom notices or other documents may be served
as provided by Section 713.13(l)(a)7., Florida Statutes:
Name:
Address:
Telephone: Fax
In addition to himself, owner designates the 11ollowing person(s)to receive a cf py of the Lienor's Notice as provided
in Section 713.13(l)(b), Florida Statutes:
Name:
Address:
Telephone: Fax
Unless otherwise noted in this.paragraph the expiration date ofthis Notice of Commencement shall'be one(1)
calendar year from the date of recording:
Owner's Nam nted):
21it,, Notary Public State of Florida Signat
r: Renee L Santeler
U�_
9 My Commission DD894117 _N
Expires 05/28/20113 Swor to and subscribed before me this day of L bc V-
Notary Public:
Tbis docwnent prcpared by:Florida-Georgia Contractors, 11433 Saints Road,-Jacksonville,Florida 32246
102.
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FL# FL1435-R6
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Code Version 2007
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Archived
Z .
r
Product Manufacturer PGT Industries
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941) 486-0100 Ext 22318
druark@pgtindustries.com
Authorized Signature Jens Rosowski
jrosowski@pgtindustries.com
Technical Representative Jens Rosowski
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941) 486-0100 Ext 21140
jrosowski@pgtindustries.com
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency Keystone Certifications, Inc.
Validated By Steven M. Urich, PE
F Validation Checklist - Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/IS2/A440 2005
ANSI/AAMA/NWWDA 101/I.S.2 1997
ASTM E-1886 2002
ASTM E-1996 2002
ASTM E-330 2002
Equivalence of Product Standards
Certified By
Florida Licensed Professional Engineer or Architect
17 /1)1)
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FL#
FL5012-R5
Application Type Revision
Code Version
2007
Application Status Approved
Comments
Archived
Product Manufacturer PGT Industries
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext 22318
druark@pgtindustries.com
Authorized Signature Jens Rosowski
jrosowski@pgtindustries.com
Technical Representative Jens Rosowski
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941) 486-0100 Ext 21140
jrosowski@pgtindustries.com
Quality Assurance Representative
Address/Phone/Emaij
Category Windows
Subcategory Fixed
Compliance Method Certification Mark or Listing
Certification Agency Keystone Certifications, Inc.
Validated By Steven M. Urich, PE
F-1 Validation Checklist- Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/IS2/A440 2005
ANSI/AAMA/NWWDA 101 I.S.2 1997
ASTM E 1886 2005
ASTM E 1996 2005
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
EL5Ql2-R-5LE-q-ui—v-Equ-�v-al-QGCYCenl:f-'Ca-LiQ-n52D-p.df
.FL.5.0.jZ_R5 E
-- quiy� Eq-uiv.a.len!Zy.��ertificatic�n540..Q.pof
http://www.floridabuilding.org/pr/pr al)V dtl.asl)x?t)aram=wGEVXOwtDcitUOE2x88XL%2bYv9RfBuGn... 7/21/2010
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FL#
Application Type FL10348-RI
Code Version Affirmation
Application Status 2007
Approved
Comments
Archived
r
Product Manufacturer StormWatch
Address/Phone/Email 254 Tafleyrand Avenue
Jacksonville, FL 32202
(561) 324-8811
mmurray@stormwatchinfo.com
Authorized Signature Michael Murray
mmurray@stormwatchinfo.com
Technical Representative Michael Murray
Address/Phone/Email PO Box 14224
North Palm Beach, FL 33408
(888) 759-7054
mmurray@stormwatchinfo.com
Quality Assurance Representative Meridith Anzulis
Address/Phone/Email PO Box 14224
N. Palm Beach, FL 33408
(888) 759-7054 Ext 2
manzulis@stormwatchinfo.com
Category Shutters
Subcategory Products Introduced as a Result of New Technology
Compliance Method Evaluation Report from a Florida Registered Architect or a
Licensed Florida Professional Engineer
r- Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed the Daniel T. Koenig
Evaluation Report
Florida License PE-52999
Quality Assurance Entity National Accreditation and Management Institute
Quality Assurance Contract Expiration Date 12/31/2012
Validated By Jorge A. Pomerantz, P.E.
r Validation Checklist- Hardcopy Received
Certificate of Independence FL10348 RI COI Certificate of Independence.pd
Referenced Standard and Year(of Standard) Standard Year
ASTM E330 2002
TAS 201 2004
TAS 202 2004
http://www.floridabuilding.org/pr/pr app dtl.aspx?param=WGEVXQWtDqud%2fA7YzPJyVqaEhN8Tvr...
9/22/2010
FloridaBuild�,pg Code Online
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Product ADDroval Menu>Product or Application Search>Application List>ADDlication Detail
FL # FL12766
Application Type New
Code Version
2007
Application Status
Approved
I .... Comments
Archived
Product Manufacturer USA Shutter Company LLC
Address/Phone/Email 1450 Rail Head Blvd
Naples, FL 34110
(239) 596-8883
christer.kallstr0m@maestroshield.com
Authorized Signature Chris Kallstrom
christer.kallstrom@maestroshield.com
Technical Representative Christer Kallstrorn
Address/Phone/Email 1455 Rail Head Blvd
Unit #6
Naples, FL 34110
(239) 596-8883
christer.kaIlstrom@usashutter.com
Quality Assurance Representative Paul McCreight
Address/Phone/Email 1455 Rail Head Blvd
Unit#6
Naples, FL 34110
(239) 596-8883
paul-mccreight@usashutter.com
Category ShMttgn
Subcategory Roll-up
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
P_ Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who Kristina Daugherty
developed the Evaluation Report
Florida License PE-68455
Quality Assurance Entity National Accreditation and Management Institute
Quality Assurance Contract Expiration Date 12/31/2011
Validated By Steven M. Urich, PE
F' Validation Checklist - Hardcopy Received
Certificate of Independence FL12766 RO COI Certificatp..of Inder)endpnce.i)d
ttP://wWW.floridabuildiniz.or2/i)r/t)r avo dtl.asi)x?Daram=wGEVXOWtDasmFBcODh9Xlx3MKeLYVIJO... 10/11/2010
City of Atlantic Beach
N Building Department APPLICATION NUMBER
800 Seminole Road (TO be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us
Date routed:
City web-site: http://www.coab.us 12M
APPLICATION REVIEW AND TRACKING FORM
—))'-?0
Property Address: 2�3)((�_) Irl 10
ment review required
Applicant: Building Ye No
anning &Zoning
Project: Tree Admin'strator
Public Works
P/-,:, 7-f Public Utilities
Public Safety
Fire Services
�"Pp'
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental Protection Of Permit Verified B Date
Florida Dent �f Transportation
St. Johns River r Management District
-Army Corps ot Engineers
Division of Hotels and Restaurants
0 ivision of Alcoholic Beverages and Tobacco
Reviewing Department First Revi VC APPLICATION STATUS
(Circle one.) Comments: Approved. E]Denied.
(:B:UI]L�D�QD
PLANNING &ZONING
TREE ADMIN. Reviewed by: Date:/C2—/3—/rC),
Second Review: DApproved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date: 7
FIRE SERVICES Third Review: ElApproved as revised. DIDenied.
Comments:
Reviewed by: Date:
Revised 051WOS