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Permit Door 725 Sabalo Dr 2010 ' 1.1.= 1,'1; Vie' . 1 CITY OF ATLANTIC BEA D is 800 SEMINOLE .. . ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 10- 00001271 Date 11/09/1 Application Number 725 SABALO DR Property Address Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . • • Application desc EXTERIOR DOOR Contractor Owner CUTCHIN, OLAND GEORGE BURTON CONSTRUCTION INC 1 SUNNY ROAD FL 32174 725 SABALO BEACH FL 32233 ORMOND BEACH ATLANTIC BEACH (386) 676 -2837 Permit WINDOW AND /OR DOOR PERMIT Additional desc • 60.00 Plan Check Fee 30.00 Permit Fee . . . • Valuation . . • . 1297 Issue Date Expiration Date . 5/08/11 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 Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 g Fee summary Charged Paid Credited Due .00 .00 Permit Fee Total 60.00 60.00 .00 .00 Plan Check Total 30.00 30.00 .00 .00 Other Fee Total 4.00 .00 Grand Total 94.00 94.00 .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 BALL `02 ,-�- �T - B 4, - Permit Number: /Q :" /d' 9 / Job Address: 9a5 _ :pq Parcel # l rf (-19? Legal Description 30 ` _ 4 - "a Ae E col p`L l *..s y � 4 izr Valuation of Work $ (3-VA 0 0 Class of Work (circle one): New Addition Alteration Repair ∎'.: , - ! - olition pool/spa window0 Use of existing /proposed structures) circle one): Commercial ' esidential If an existing structure, is a fire sprit. er system installed? (Circle one): • es No Florida Product Approval cts 1 t d t t , ' For multiple prod use p approval o Describe in detail the type of work to be performed: k(st _ c L C sL -� to t _ - ST? — e.... frz s ` . - _Q_ Property Owner Information: Name:O u- ILA Address: t 7oZ,Fi . 5` . Pk-4-v "bfl �i City ..ism 1 L State1 .Zip c' r Phone CO 1( ',4Atq i--y 14 1 E -Mail or Fax # (Optional) Nf ts Contractor Information: �'`�'^'f � � -1 _ S T C- ` Qualifying Agent: • - t. P i l Company Name: Si..� C1 / C .ate - G�!l�f11i State — Zip Address: - -- � .r it Jo • . rte on . c, ■ um • er t9 3?l "1; ..1!! 's � ' Office Phone ..� i �+ : ' ` :FOR 1 �ZI u ' : ■ i , State Certification/Registration # C-- 1 , , Architect Name & Phone # Y II - k - - ' ■ "r Engineer's Name & Phone # 1 Itw . ! 1... it_ . = ••e Fee Simple Title Holder Nam _ e and Address I RE VV.: ,.:aK. ►n rr • ;�� \ ...!" Bonding Company Name and Address ( t , 'r -�. _, Mortgage Lender Name and Address I�'� ' ' �� D` {� TE: / bP' ork Application is hereby made to ; obtain a permit to do the work and installations o all indicated. ula o no w o in 1`R... tal Nike co mit prior to the is of a permit and that all work will be performed to meet the standards and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a • 4•..o ' 6 . tanths at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, ells, 1..1s, 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 ATTO NEEY BEFOR YOUR NOTICE OF I hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work of be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. / . Signature of Owner u L I , _ Signature of Contractor Print Name 404/ i S■ ' C'c,/lG�/ /Y Print Name V - D'1 k Sworn to and subscribed before me Sworn to and subscribed before me , ZOly this Day of , 20 `C� this ,I3 Da y of (VT' c�h- � At/' Ada - , N) tarp 4 rC RODERICK T. CRABBE FL D1-# Notary Public 5' .7:1 , Notary Public - State of Florida OCr s_533 -- 34 - O r RODNEY N WOOD Revised 01.26.10 � a y. • i � ! 0 • My Comm. Expires Jun 10, 2013 1 •.', a,`Q;° Commission # DD 897789 • 0 6. 6 a - 0 # MY COMMISSION DD693914 lirl ��um EXPIRES: July 25.2011 ♦ ` ` � 396.0163 Roddu Notary SeMOe.cem Page 1 of 4 .� I'uil`c ing Co Online T y BCIS Home Log In User Registration Hot Topics ; Submit Surcharge Stets &Pacts I Publications FBC Staff BCIS Site Map ! Links Search 1 I 4411 711; '� Product Approval t , A - ��Q USER: Public User a Community 1 Affairs '344 Product Approval Menu > Product or Aoolication Search > An nlication USA > Application Detail FL # FL11165. t Application Type New a Ki Code Version 2007 Application Status Approved f .F _3 Comme Fintriffir dfn Archived Product Manufacturer Trinity Glass International Address /Phone /Email 4621 192nd Street East Tacoma, WA 98446 (253) 875 -7300 rickw @rwbldgconsultants.com Authorized Signature Vivian Wright rickw @rwbidgconsultants.com Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies 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 Wendell W. Haney developed the Evaluation Report Florida License PE -54158 Quality Assurance Entity National Accreditation and Manages ent Institute Quality Assurance Contract Expiration Date 12/31/2011 Validated By L.F. Schmidt, P.E. Validation Checklist - Hardcopy Received Certificate of Independence FL11165 RO COI CERT OF INDEPENDENCE_pdf Referenced Standard and Year (of Standard) Standard Year ASTM E1300 .2002 ASTM E1300 2004 TAS 202 1994 Equivalence of Product Standards Certified By Sections from the Code http:// w ww ,x/._floridabuilding.org /pr /pr app dtl. asp x? param= wGEVXQwtDgttaGsIp3GvujW... 2/24/2010 Florida .Building Code Online Page 2 of 4 Product Approval Method Method 1 Option D Date Submitted 08/05/2008 Date Validated --"-' . 09/08/2008 Date Pen g FBC Approval �69,422/2008 pate Approved 10/2/2008 ., :Summary of Products FL # Model, Number or Na escription 11165.1 A. Premium Liplite Fibe '8 Glazed Single Premium Liplite "Non- Impact" Door Fiberglass Door - Outswing / Inswing (X) Configuration Limits of Use I nstallation Instructions Approved for use in HVHZ: Yes FL11165 RO II INST 11165.1.pdf Approved for use outside HVHZ: Yes Verified By: Wendell W. Haney, P.E. 54158 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A E valuation Reports I Other: See INST 11165.1 for Design Press9.PE FL11165 RO AE EQ- E84- 05- 04.pdf by specific Model and for any other additi,p1al use FL11165 RO AE EVAL 11165.1.pdf limitations and installation instructions:'(Note - ASTM Created by Independent Third Party: Yes E1300 -02 utilized for areas inside.tttti'e HVHZ) "m-, 111165.2 :,- Premium Liplite Fiberglass 6'8 Glazed Single with Sidelite Premium Liplite "Non - Door Impact" Fiberglass Door - Outswing / Inswing (OX or XO) 1 Continuous Head and Sill Configurations Limits of Use Installation Instructions j i Approved for use in HVHZ: Yes FL11165 RO II INST 11165_2_.pdf I ! Approved for use outside HVHZ: Yes Verified By: Wendell W. Haney, P.E. 54158 ! Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports , Other: See INST 11165.2 for Design Pressure Ratings FL11165 RO AE EQ- E84- 05- 04_pdf by specific Model and for any other additional use FL11165 R0 AE EVAL 11165 2.pdf !limitations and installation instructions. (Note - ASTM Created by Independent Third Party: Yes E1300 -02 utilized for areas inside the HVHZ) 11165.3 C. Premium Liplite Fiberglass 6'8 Glazed Single with Sidelite Premium Liplite "Non- j Door Impact" Fiberglass Door - Outswing / Inswing (OX or XO) Configurations Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL11165 RO II INST 11 165_3.pdf ; Approved for use outside HVHZ: Yes Verified By: Wendell W. Haney, P.E. 54158 Impact Resistant: No Created by Independent Third Party: Yes 1 Design Pressure: N/A Evaluation Reports j Other: See INST 11165.3 for Design Pressure Ratings FL11165 RO AE EQ= E84- 05- 04.pdf by specific Model and for any other additional use FL11165 RO AE EVAL 11165.3.pdf I limitations and installation instructions. (Note - ASTM Created by Independent Third Party: Yes E1300 -02 utilized for areas inside the HVHZ) �, 11155.4 D. Premium Liplite Fiberglass 6'8 Glazed Single with Sidelites Premium Liplite "Non - Door Impact" Fiberglass Door - Outswing / Inswing (OXO) Continuous Head and Sill Configuration i Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL11165 RO II INST 11165.4.pdf • • Approved for use outside HVHZ: Yes Verified By: Wendell W. Haney, P.E. 54158 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 11165.4 for Design Pressure Ratings FL11165 RO AE EQ- E84- 05- 04.pdf by specific Model and for any other additional use FL11165 RO AE EVAL 11165.4.pdf • limitations and installation instructions. (Note - ASTM Created by Independent Third Party: Yes E1300 -02 utilized for areas inside the HVHZ) 1 11165.5 E. Premium Liplite Fiberglass 6'8 Glazed Single with Sidelites Premium Liplite "Non - Door Impact" Fiberglass Door - Outswing / Inswing (OXO) Configuration Limits of Use Installation Instructions I Approved for use in HVHZ: Yes FL11165 RO II INST 11165.5.pdf Approved for use outside HVHZ: Yes Verified By: Wendell W. Haney, P.E. 54158 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports I Other: See INST 11165.5 for Design Pressure Ratings FL11165 RO AE EQ- E84- 05- 04.odf by specific Model and for any other additional use FL11165 RO AE EVAL 11165.5.pdf ______ Liftn_/ 1cxnzTxi_ finrirlahililrlin rr n: n/ r1-/,.,--- n,-.._. .1 +1_,,;,,..,7..,,. «..,,.. . ,l - E:AIVCl__A-1-1_4-4_n_r-- '1n- - -'It r in A1,n,n --- ..„.._. _ - ., ... -- ... ':',;;;_:,,,,.,,, II i..v,,, . .ez u. n. ct w c rMUSlrL a- y 1 /'J : , r•1MH -... _ -. _. f sr .T ^ tD - - -� D x .' 3 m 3. 0 L O z n o ¢ LD a 2 1 c-, ?..,.=, , 1� ,� j 3 J o b j 3 ( ,` '� 1 - > Q� C 2' O , -, F rrz,0. p..... � 3 Z 0 m = J c F3-- n p = o y j m C t C r c a 2 m w 0 ,.L -•.'f - r} 3 a c a N o 9 9"__ ' L' F y g,-. .7 n O Q = O. J - I I 1 IT ti gin f 3 m .. - 25.21° h.1AX. I C g g n J - -- ON CENTER 5 G N p l n P7 n 3 2 i o a . �a m a ° 9 It-Ce n Q�N 0 = C': 0 m 31.00' ,MAX. ----1 o m o b 3 I, "' 0.C. rep. i /, S' Q O N -c 1 F . "- i >➢ rn CII If. n N Q O F '- m w - l m • p : O ^ 3 ¢ G n fl a m 0 3 o a D D O �'jn m. U c - D a 3 ? Q m A n 111 1a G1 , T O 1 1 1 1 1 !_ c3� • re = °3 o N c3 0 X rw D O A r � NN } a Z \ "\` o I 1 1 1 1 1 i • 1 • 1.4 00'' I 6 0. rn �� ON CENTER • rn 1 ',.@'.. ig N cr,-. „ 61isi.... , Z n ti /I /I ci T `^ PRDDUCT: Docun,enb prepared By F m q � • ' TRINITY GLASS 11411 7 BUILDING CONSULTANTS, INC. I � o _ h PREMIUM IJPLTE FIBERGLASS JL /1/ 7 p' B x 230 VolrIco °_1L 33535 Z C o -i r D RT OR ASSEMBLY: Florida Board of Profeeeional Engineers o, PA NBoote 0/Othorizotl• No_ 3813 ID' _ 0 F BUCK AND FAME ANCHORING // 7... &- /: I I NO DATE R E V I S I O N S Y 2X BUCK MASONRY CONSTRUCTION G • i y p E. N 5 1 5 5 a zcoa R.:. Bui,om:c COrvsxrn.i a MC. `-- I G-t 1 s c2 tre l7 0 cd C�1 W 9/5 d 1.68221.999£ « 2.0 108£91,06 X39220 1.5:21, LO- 06-0602 ya'�'1r/rs City of Atlantic Beach APPLICATION NUMBER � Building Department (To be assigned by the Building Department.) f ,• 800 Seminole Road , -/27/ j lefty r Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 Fax (904) 247 -5845 // 1,)} Email: g pcoab.us Date routed: f / / City web -site: buildin http: det @ / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Addres • /1 c 2 ( ' - h De ent review required Ye No Buildi t� Applicant: 1 (I 1 Try �' `I »i Planning & Zoning Tree Administrator Project: F / o e 0 t2 Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature 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 I Reviewing Department First Review: VIApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: `1 Date: / ®" 010 TREE ADMIN. Second Review: Approved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. nDenied. Comments: Reviewed by: Date: Revised 05/14/09