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Permit Windows 80 Saratoga Cir 2010 ''' lr, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 10- 00001354 Date 11/15/10 Property Address 80 S SARATOGA CIR Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 9267 Application desc WINDOW /DOOR REPLACEMENT Owner Contractor SAXTON, GERALD D. AMERICAN WINDOW PRODUCTS 80 SARATOGA 2633 POWERS AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 731 -2247 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 100.00 Plan Check Fee . . 50.00 Issue Date . . . Valuation . . . . 9267 Expiration Date . 5/14/11 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 Fee summary Charged Paid Credited Due Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total 50.00 50.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 154.00 154.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION ....--,r CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247 -5845 1 0 - 2. ( Job Address: � �CA (,.�t (2- - `J • Permit Number: /0 / 35Y' Legal Description 3 )-015 S''i - 25 - - z 6 i e � 1l - 2 parcel # 1 91 S ot v " C- 0,--Ca-C Floor Area of Sq.F't. S l.t Valuation of Work $ x' 0 Proposed Work heated /cooled non- heated /cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa indow /door Use of existing/proposed structure(s) (circle one): Commercial Residential If an existing structure, is a fire sprinkler system installed? (Circle one): o N /A Florida Product Approval # -- g;l7"Pf%f + For multiple products use product approval form - De tribe in detail the ty of work.to be performed: i 1�=� - .._/z ti, i,' c C & s 'Y` /L-), de,.5 i-! &W €. L / /S /, .&.r e . 00 e, -- . c/? 14-toP in9 Property Owner Information: // /�"1� K' Name: v :SCE - ' ` Address: o�C - L ' ( . . City State FI.Zip ' Z'"l33Phone 2- E (c - `? 8 OO E -Mail or Fax # (Optional) Contractor Information: AMERICAN WINDOW PRODUCTS, INC. `I y Company Name: 2633 POWERS AVE. Qualifying Agent: - ? X1 Ti - Za.2' _ Address: JACKSONVILLE, FL 32207 City State Zip Office Phone ' I - ; — -_ -_ : . - - =. # 7i -882-4 State Certification/Registration # I:. 4 • i .• •; .�, a so h , ea "A11615 I Architect Name & Phone # - ' .� 7 Engineer's Name & Phone # 1� / f 8 iJ r �►: [M �t �►:�y � •1 `..- . � Fee Simple Title Holder Name and Ad• I - , �i �j _ ,`, _! 1'�:i�_��t�[�)►►•�� 111.i i ii im V 1'1 J Bonding Company Name and Address ' ' � r r , Mortgage Lender Name and Address A ,,,, , . Air i I t e _„ . ,,, 4 I NI AIIIIIIIIIM - — ■010 A t-.f,.-.A.... 0..,04, .. -- Application is hereby made to obtain a permit to do t e wor an. insta atto as in, Ica e•. cer • ' . n • . 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) onths, 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 ElectricalWork, Plumbing, Signs, Wells, Pools, F urnaces, 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 ATTORNEY BEFORE RECORDING YOiJR NOTICE OF COMMENCEMENT. I hereby certify that 1 have read and examined this implication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified he -•in or .t. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state cal law ul • ing const ction or the performance of construction. Signature of Ow''''llar—Aallialg Signature of Contr ctor 1 1_ Print Name .off ,7 /77: , 1 ; Print Name ed -.(k} iZ. Swo s�tpk and subscillocd,before me Sworn tg subscr' ed efore me this 7 o l , 20 iO this ` 7 ay of 201 C bsuoz JLECLA , ad as4 Notary Public a, 'u `'` Ng gvFl gc + ` " J o ,.: ' v0ef. BETTY FELDER ^ ..,, . " . . MY COMMISSION # DD 702756 MY COMMISSION # DD 70 2756 ° Revised 01.26.10 * ?t_Y * ,iii ,;, EXPIRES: December 7 2011 gi: EXPIRES: December 7, 2011 r, Bonded Bonded Thai Budget Notary Seems Fl 4? Bonded TM Budget Nota SAMoes freoF FO 6. OF , OF COMMENCEMENT • 1 • Penntt No. /0 — / 3 g • • Tire fetslgcted hereby gives notice that Improvements wiA.be media to. + 5 with'seean 71393 of the Florida Staff the foltarin •i�tfo' and la NOTICE OF COMMENCEMENT. 9 provided s Leo esrxdAon AAA = 43 Clnctude Street Address; r vaIIfe 7 • General d- ptlon of•Itngrove its - Cavnees Interest �..: . c :�,�_ S. , /4 7 • r . 2 . 4. in site of the lm.rovemen ZZ • Fee Sh ipie Title holder (if other than. owner). � - ` Address . OP ) . 1 . � CvmraCtoc AMERICAN . a • • �• _ - -••■ • • • - • • e • NVILLE, FL • • • • Ciress . . . ' } + p s r s v i t tnai g loan fort the • 'ant of bgnd $ tjasae ruco>7 of ale �v�lnent . .. . , p061 ev?ie Std of Plodded= _ � served a s provided by Section 713 .130)(a) _ 7, F t e s, rt nolees or dominants: may :may b Addmss. . lit addition to himself, owner de§ignates Of td receive/ espy of the. lrlerra s Nvtke as • .. .det$ of Notit;e of Coltzm� 4 7j3 C1 o _ lidg it/ - HI ._ = sPeci n 1fa one f'f� yeas • _ l� z . Doc # 201025/ t 89. OR BK •15419 rage 244. hitted " — Ct Number Pages: 1 . ,: Recorded 11104/2010 at 11:19 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL rtriys • COUNTY �'�� RECORDING $10.00 �+av n� �4.c VICKI GUAR RR to• .. � �'- • * .� * MY COMMISSION II DD 774313 ' TI EXPIRES: May 13, 2012 • • f • 41. Fl Bonded ThN Budget Notary Services . • ,� c._ f/ n • • j . •;• • P n o 0 o N Cab b $to . D . 0. 0 — p ' 00 : 5:: P.' :4" W N �-. o. t� W N ,--' y � "10 0 ,.c, A A • • , ... o a ac a = �. ?- • v r a r . . : arc , - y @ o o 0 O A' u . o (1‘. n v, 1 -3 a. o a. W 4 o ' N / � u t C‘ .) 0 ° 0 to .�._, l, M '. a i U. O. � p •Cf' � n Po n+ `+ ri; O - O O$ • • ! I tN a 7d (D N r '"� - `t3 .-. CD co CD -', 1...1 a. N - O hC p ii CD N CD 'rJ o g co CD a. a r* c D N et n et o td °■ - p�� n c o lJ" x I Q A a..0 S O — m o or C) CD O z TZ 0 " a . , ■ , * N . ' ........ "V.......... .4■11001.....1.11 341 ....i ..,., I. ... o 1 'r - i . .... , ....,,,, ..„....„ ..44 ...., 1 ... ....i, ',..) 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Address /Phone /Email 1380 Wayne Ave. Indiana, PA 15701 (724) 465-1839 rgibson @gorell.com Authorized Signature Richard Gibson rgibson @gorell.com Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Validated By American Architectural Manufacturers Association Referenced Standard and Year (of Standard) Standard Year AAMA /WDMA /CSA 101 /I.S.2 /A440 2005 ASTM E1886/E1996 2005 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A . Date Submitted 11/10/2009 Date Validated 01/04/2010 Date Pending FBC Approval 01/05/2010 http:// www. floridabuilding .org /pr /pr_app_dtl. aspx ?param= wGEVXQwtDquFsbTbi %2b3 j ... 4/27/2010 rionaa tsuilamg uoae untme Page 2 of 2 Date Approved 02/02/2010 Summary of Products �FL # I Model, Number or Name Description 13322.1 5305 Double hung ]DP 50 Double hung 52" x 72" I Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL13322_R0_C_CAC_5305 DP50 AAMA APC 52x72.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 10/09/2013 I Design Pressure: +50/ -50 Installation Instructions Other: FL13322_R0_II_P5305 fastener without stops 11 -13- 09. pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 13322.2 1G5305 Double hung DP 50 Impact double hung 52" x 72" Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL13322_RO_C_CAC_G5305 DP50 ASTM APC 52x72.pdf Approved for use outside HVHZ: Yes FL13322_RO_C_CAC_G5305 impact glazing details.pdf Impact Resistant: Yes Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 12/12/2012 Other: Installation Instructions FL13322_R0_II_P5305 fastener without stops 11-13 - 09.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Pa Back 1 Next Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2010 The State of Florida. 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Address /Phone /Email 1380 Wayne Ave. Indiana, PA 15701 (724) 465-1839 rgibson @gorell.com Authorized Signature Richard Gibson rgibson @gorell.com Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Windows Subcategory Fixed Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Validated By American Architectural Manufacturers Association Referenced Standard and Year (of Standard) standard Year AAMA /WDMA/CSA 101/I.S.2/A440 2005 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 06/17/2009 Date Validated 06/24/2009 Date Pending FBC Approval 07/01/2009 Date Approved 08/11/2009 http: / /www.floridabuilding. org/pr /pr_ app_ dtl. aspx? param= wGEVXQwtDgsmFBcODh9XIy... 4/9/2010 Florida Building Code Online Page 2 of 2 Summary of Products FL # Model, Number or Name ( 12741.1 G5301 �G5301 Fixed Lite DP50 48 x 72 Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12741_R0_C_CAC_G5301 DP50 AAMA APC 48 x Approved for use outside HVHZ: Yes 72.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 06/08/2013 Other: Installation Instructions FL12741_R0_II_P5301 fastener det 5-14- 09.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: Back I I Next Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 C 2000 -2010 The State of Florida. AS rights reserved. Privacy Statement I Copyright Statement I Accessibility Statement 1 Plug -in Software I Customer Service Survey I Contact Us Product Approval Accepts: in CO 2+3 Vertalsa #scared VEIIPV• http://www.floridabuilding.org/pr/pr app dth aspx ?param =wGEV XQwtDgsmFBc0Dh9XIy... 4/9/2010 6/18/2010 11:23:40 AM 724-465-1894 (0111.12) 2/2 ,- -, t' • — _ . .. . 0.6.7t1t.`..t CIMETI.S.P.N . ,. 6.. 70 X 13' ill a:‘, 'T; • N. .—.. --- .M . -1 ......- - OP' rri -< -,, ;;;..^.....:.: i •z-dm .•,. \ .4..0., • .01,7 ..- 1 •,, ...... .1 .A...z... rz.z,,..: 'I 1 . V ci• ..ef›:q ''''' • h, =4400 7 , , , k A. • ..::› . .4.t c ., . x. =1 f . i. c.c. •° k k..1. '-:--,..) .— .. , . Is. .:•:-. N, , . r - ; . • f-' " ••••,,; .s.• . • ., ...;*" --1j, • • . . ' . • ,-: . i. . . . . ,. •-1 I . \ • i . • '' . 1 ' S. , .. • ' 1 k : r _...,-;..i , L:6., , . 4 ...,.. • I. i. , 7.1 . , .. .,,,,„„. 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Address /Phone /Email 1380 Wayne Ave. Indiana, PA 15701 (724) 465-1839 rgibson @gorell.com Authorized Signature Richard Gibson rgibson @gorell.com Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Exterior Doors Subcategory Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc. Validated By Keystone Certifications, Inc. Referenced Standard and Year (of Standard) Standard Year AAMA /WDMA /CSA101 /IS2/A440 2005 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 06/23/2008 Date Validated 09/11/2008 Date Pending FBC Approval 09/17/2008 Date Approved 10/14/2008 http://www.floridabuilding.org/pr/pr app dtl. aspx? param= wGEVXQwtDgvihT9G9wJlk9... 11/4/2010 Florida Building Code Online Page 2 of 2 Summary of Products FL # Model, Number or Name I 'Description 10920.1 'G6352 DP 50 2 lite vinyl sliding patio door Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL10920_R0_C_CAC_6352 dp 50 Keystone 22- Approved for use outside HVHZ: Yes 135CAR.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 05/28/2012 Other: 71 x 80 Installation Instructions FL10920 RO II P6302 -6352 Fastening revision.pdf Verified By: Keystone Certifications, Inc. Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 10920.2 G6352 DP 50 2 lite vinyl sliding patio door Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL10920 RO C CAC 6352 do 50 Keystone 22- Approved for use outside HVHZ: Yes 135CAR.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 05/28/2012 Other: 71 x 80 Installation Instructions FL10920 RO II P6302 -6352 Fastening revision.pdf Verified By: Keystone Certifications, Inc. Created by Independent Third Party: • Evaluation Reports Created by Inde.endent Third Part : Back I Next 1 Department of Community Affairs Florida Building Code Online Codas and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2010 The State of Florida. All rights reserved. privacy Statement 1 Coovriaht Statement 1 Accessibility Statement 1 Plua -in Software 1 Customer Service Survey 1 Contact Us Product Approval Accepts: r INN 1 -ek IM L u,c:ur -,, 3g, '.. g----, "VI" plgil Y re.' Arci Tr ustetl http: / /www.floridabuilding.org /pr /pr_ app_ dtl. aspx? param= wGEVXQwtDgvihT9G9wJ1k 11/4/2010 / \ 1 UU m0 m V1° ._„:,_ Ir -.M. 0 C)Op Oxx xl� DCN V \ O VI � m � N 'fl _ - - t � Q t■ -r 7z i i= 1111 =7 i — i �1�1, • �� miOm' IIII Al r- x A 7 / 1 . I �1r ir .... Z O� 0 ; v Ell , O p \ uL • O m A ,VN , `j m r^ Mil (� , � t w9x to i m p - /m PA •O y � -4 to 0> 0 OA D O 0000Otn0 b 0 c y to aoy 1.1) t/1 y''1 Z V/ 0i° � 3FIT to 0�_, 7 v o 7J 7 7 .7 0a . 7 o 7 . 770 N � �3 y i rt to c o tn w O N a O -, Z o 1 0 oot1= c f o ,, 3 3 �•o 3 = -0 = 0 F , o 0 ° � nvoov 0 3 3 - N W °g oz 7 00 . (DD te 0- 1/) 0 tD� � my ? 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Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search � p, Product Approval , gip �,':,;� Public User • Community /1 dIC5 ` Product Approval Menu > Product or Application Search > Application List > Application Detail a�u FL # FL11222 Application Type New Code Version 2007 , Application Status Approved Comments Archived Product Manufacturer Gorell Enterprises Inc. Address /Phone /Email 1380 Wayne Ave. Indiana, PA 15701 (724) 465-1839 rgibson @gorell.com Authorized Signature Richard Gibson rgibson @gorell.com Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Exterior Doors Subcategory Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc. Validated By Keystone Certifications, Inc. Referenced Standard and Year (of Standard) Standard Year AAMA /WDMA /CSA 101 /I.S.2 /A440 2005 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 08/15/2008 Date Validated 09/11/2008 Date Pending FBC Approval 09/17/2008 Date Approved 10/14/2008 http: / /www.floridabuilding.org /pr /pr_ app_ dtl. aspx ?param= wGEVXQwtDgs6WGOndIUH... 11/4/2010 Florida Building Code Online Page 2 of 2 Summary of Products FL # _ Model, Number or Name Description 11222.1 ;G6352/G6402 Sliding door 96" x 96" Sliding door Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL11222_RO_C_CAC_6352.6402 CAR C50.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 05/15/2012 Design Pressure: +50/ -50 Installation Instructions Other: FL11222 RO II P6352 -6402 Fastening revision.pdf Verified By: Keystone Certifications, Inc. Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: Back I I Next Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2010 The State of Florida. All rights reserved. Privacy Statement I Coovrlaht Statement I Accessibility Statement 1 Plua Software I Customer Service Survey I Contact US Product Approval Accepts: E: "41 ® Id:hcc I MI ^ sccur €tv , I #1,,: et w ri'Sien V re * t r rrurtod l/ AFE http:// www. floridabuilding .org /pr /pr_app_dtl. aspx ?param= wGEVXQwtDgs6 WGOndIUH... 11/4/2010 A 1 1 1 X$ o�x lr °. 0 x xi 1 li ' 1) -1 ^ i ��. ff ff 777� � 1,,L t� �i r - � A = �� -R ., • f il J. az ............ 1 1 21ELIIILIIIIIIIW s D o� •O C � y� 0 0 N X +1 �r Y ��l' � _ _ _ . - ' a 0 ' m m _ -mil 1== 1110011,1 v %; R. - in _ to E •r s A y , - n 0 0 am I -7 90 0 1 Z• M OCa 30 y0. =0,0 C'1 d c a- °> -.3 75* 3 ° -.33 °3 g T -0o 3 V Z B o a c a - 0 (/fi n L m 3 Da ° 3 3 �o 00 � � � oo�o a o , �x no A o < ° 5 300 0 0. w om CD Z ' �� .....9, ,:c ° i n o o n y •z c o> >° o.� Fcci9�e 7 rn *0 m--0 0 t a < I ? f0 J A N N 0 m n. ° o., �'. `� o a U S 0 5 Z5- -co CD m >O � nc ° .D O Vl -1 m y N 3" y N 3 0 N E V1m illy N (T). _ o -0 c . O. 0 N S o z D'.1 rn _ f 3 n n .0 3y n o a m e c-6 . c y . � X. a v � . 0 m W / o ' ° 0 . a �o v .° N ° n v 0 0 ° 0 0 a 0 o _. ? m ai y 0 m m m ° y 0. n E p W f 771 y D 1 S 1 / % �I L� 0 x INF nl v co - O O = a ' rn oar c D ll i, o v N \ g m rnrn �� w �'_ .0.. (..4 CI : > - n >: NN D �� -- Q v� xz �o n o.� 3 � ^m v m � 'v D MAIIIIII■da 4. a i -n =l 33 (Jl W n ° Nm o /33 CD 0 ° _-II_1_ �Om m V) D a 0- N n X °' 00 a .p o 5 \ J i 1 - 75/ � Ja City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 f l /� f t3 v E -mail: building- dept @coab.us Date routed: City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ('( &9TtZ 17 9- l 1 5 _ Department review required Yes o Building - ) V Applicant: M / , A)/70)6GOS wing & Zoning pp /�7�� Tree Administrator Project: /IJ, pile) k(imoti r Public Works Public Utilities Public Safety Fire Services �litp � � �a "'� ' � �„ � �4 r t�"s i i�yi i �«,^f �5,t d,ha �°ti " �, i t�"" � r�Et i ,� eview fees, -� i �tii3w" �� 's�' r " 1 ,�:�t�ll PDe `Sign re a r�.. r •��u'�X+�, r�� 3 `, r j �-Ii� `y b i 9r 7,� R I. urm� N r 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: E pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING // Reviewed by: in r--- , Date: TREE ADMIN. Second Review: Approved as revised. ❑Denie . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 't y µ , 0- City of Atlantic Beach Building Department 800 Seminole Road d l Atlantic Beach, Florida 32233 � �f ,. ,. ,. f ; Telephone (904) 247 -5800 ,` Fax (904) 247 -5845 www.coab.us WIND -BORNE DEBRIS PROTECTION AFFIDAVIT Date: le 25 4° Permit #: Property Address: qC' b.. e... k-AP E,, 5 • I understand the Florida Building Code requires replacement windows in a Wind -borne Debris Zone be impact glass or have openings provided with wind -borne debris protection. I recognize the structure involved is located in a Wind -borne Debris Zone. I am in the process of having windows replaced which require this protection but have elected not to have the required protection installed by my window contractor. I understand that before a final inspection may be approved, the required window protection must be provided. If the required window protection is not provided it will be a violation of State law and the City of Atlantic Beach may take appropriate code enforcement action which may result in fines beings made against this property. I also understand that my insurance company may not reimburse me for damages suffered due to the lack of required window protection. I agree to have the required window protection installed on or before: - :c"' .. 14 =- 1,42 (Date) I will be using the following material to provide the window protection: (check one) A. Plywood per the Florida Building Code ' L B. ✓ Other approved method 73Y 7 . I il4 Pj 2)9*S g5/ (Provide Florida Product Number) Name of Homeowners Insur nce Company s.. J ,/,' /e... / a XT' /a`l i7 , t--6 y - --- (Signature o ''roperty Owner) (Date) r , -- C. jY i %2. !' F, 'X! (Print Name) STATE OF FLORIDA COUNTY OF DUVAL .-�- The foregoing instrument was acknowledged before me this '�'� da y of e- , 20 ID , by 8 c `"''- ) (name.g6Therson acknowledging). - �/ + • , VICKI GURR /) /' LA- 14 * y . MY COMMISSION II DD 774313 �l � In '= EXPIRES: May 13 2012 Signature of Notary Public -' Sta e of Florida ' Bonded Thru Budget Notary Servicee Personally known OR Produced Identification Type of Identification . /i Doc # 2010264962, OR BK 15428 Page 1130, Number Pages: 1, Recorded 11/15/2010 at 12:00 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT Permit No. 10 - C 1 524 State of Florida County oral f } The undersigned hereby gives notice that improvements will be made to certain real roperty, and in accordance with section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. Leal description of property (Include Street Address, if available) 1109 0.5 ' 02.52 1 - 2S - 24 i e 5ecL5pp J General des, of lmprovem-n ; .ifL• 1 A _ . • ■/- %. ' . LZ. f - - n Address -J � s a i t rt„ . 73 Owner's Interest in site of the r provement Fee Simple Title holder (if other than owner) -/ Name r. Address RICAN wI ow f ' ow . •Y Con PRODUCTS, INC � n �' � ' - 22 Address 263' rOwax.fAvz. Tot : Surety JACKSONVILLE, FL 92267 Address —mount of bond $ - ---- • Any person making a loan for the construction of the Improvements: Name Address Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a) 7, Florida Statutes. Name Address In addition to himself, owner designates Of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a diff: - t date is specified) Signature of Own / Printed Nam of�wner el/ I Notat Rubber Star 1 I have relied upon the following identification of the Aunt � .... ' * MY COMMISSION 1 OD 774919 * T 1 EXPIRES: May 18,2012 j • '�,, BondMTlwBudpatN0U WI Won Sworn to and subscribed bef re me thi day of .0 to m ot Si . LUG P nted Name CL) • 'r .