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Permit Windows 297 Seminole 2010 #\ ✓,, 6 #10-.4* CITY OF ATLANTIC BEACH . - z A. � 800 SEMINOLE ROAD r ATLANTIC BEACH, FL 32233 ," INSPECTION PHONE LINE 247 -5826 4. 4Vit1 '? Application Number 10- 00001406 Date 11/23/10 Property Address 297 SEMINOLE RD Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 10387 Application desc replace 8 window 1 door Owner Contractor SLOAN, SUSANN PELLA WINDOW AND DOOR 297 SEMINOLE ROAD ATLANTIC BEACH FL 32233 8174 BAYMEADOWS WAY W. JACKSONVILLE FL 32256 (904) 731 -8330 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 105.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 10387 Expiration Date . 5/22/11 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 105.00 105.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 109.00 109.00 .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: 02 Se-W tl O l-€ A Permit Number: /0 - /9V Legal Description - - ( ' - Set- 1 Parcel # t _ - 7 r co oor • ea o q. t. o heated/cooled Valuation of Work $ 10 , 3 c Proposed Work heated/cooled n Class of Work (circle one): New Addition Alteration. Repair Move Demolition pool/spa windo or Use of existing/proposed structure(s) (circle one): Commercial Residential i If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: kp l a c.-e. S t O 1,n cc11.i S ( C') cn1Y Property Owner Information: Name: SUS.:).ci vl Sot Address: 9 S } Se w11 o c 1-e v City A4-tc unii (- 3 tc&Gt» State ik- Zip Z2 % 3 Phone E -Mail or Fax # (Optional) Contractor Information: Company Name: kVA. t Ji Lv` tkc1U 'Oaf CO Qualifying Agent: (TA W L3 - )ZWI C. S Address: 2:. 'bckynnQ,AC Y'- Wc..`( LA) City I l -- ate • FC •-• ' Zip 3220 Ce Office Phone `lout - 1St - 4 6033 Job Site/ Contact Number _: ► ,ri�. -- - - State Certification/Registration # cac 05 -Z (- (' , i► ^► ; ; . „. Architect Name & Phone # , 1 - Engineer' s Name & Phone # , , art 1 , Pr EA -1/4 OR ADDITIONAL TIO Fee Simple Title Holder Name and Address p tl'r �� � 1 '. @ , i�1 � �ivT I I NAL Bonding Company Name and Address ♦ ;r . Mortgage Lender Name and Address At k , _ l ' a -- , ! : • 14 , r -�•� a■� Application is hereby made to obtain a permit t: an • tal , t o .;; o a'''s regulating i construction i n this jurisdiction. This permit becomes null issuance of a permit and that all work will be • vk o s ; ; nor w ork is suspended r abandoned fora a_period of six f6) months at any time after and work is i m e ie not commenced w men ced. I understand t hatn six ra at separate ? • ` u t r o p g 8 W ells, Pools, urnaces, Boilers, Healers, work is comnh it ust secured for Electrical Work, Plumbing, Signs, Tanks and Air Conditioners, etc. ,, WARNING TO OW eYOUR 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 YOUR NOTICE OF COMMENCEMENT. I hereby certj that I have read and examined this egoplication 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 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 constru tion or the performance of construction. Signature of Owner f �i/� kz._._._____ Signature of ontractor - Print Name �-5 � /�✓ (. �-- d � Print Name !WQL) Sworn to and subscribed before me Sworn t. • d subscribed foe me this 1 %t Day of nloverrla€2. ,20 t° this 1 • :yof subscribed an/ bcG ,20)6 1.4..w•., 4A .. il.* ,t'1 9 •t Try... --. � ' Notary Public e Notary P t�1 ,, 1 Commission # DD602177 R SUSAN SPEAKS GORMAN / " ;.. -o ; Expires Janu$�a��r� 13, 2011 LC i1yi ?. -SY COMMISSION # DD64366R '. OF ��� Bonde Troy Fain - �nsurancAVr l� •2 1 0 " ,T "0 -- / O-XPI► S' Foil unry 29, 2011 , F?. N0tapy 1�i[4uuh1 Assoc. Co. 3 - 1 , OTFF2 �` ' NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) B ¢ - Tax Folio No. 1—'-j'- •CS ?.C..) - %'C'(�. 0 Stat FLORIDA County of , niNAr, Stat To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information Is stated in this NOTICE OF COMMENCEMENT , Legal description of property being improved: • 4 ) yt; . -', k i,r j2 -C _ t 7 Address of property being improved ` k ' ',{" +.` .r, " t 1 `- f:. C. ! 7... Lt : i v, L� General description of improvements: tt 1 Owner J S G VA 5 t U 'c r . _ Address 2-G - C t ". ()La 0 r I — Owner's Interest in site of the Improvement OWNER Fee Simple Titleholder (if other than ownet) N/A Name - Address Contractor PELLA WINDOW S. DOOR CO. Address 8174 BAYMEADOWS WAY , WEST JACKSOkNILLE, FL 32256 904-731-8033 Fax No. 904 - 737 -0764 4v, Phone No. \ Surety Of any) , N 1 4 ,- Amount of bond $ Address Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name ___b,24 -- Address Phone No. Fax No, Name Of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name tJ j,4 Address - Phone No. Fax No. . In addition to himself, owner designates the following person to receive a copy of the Ltenor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill In at Owner's option). Name ,. .� Address Phone No. Fax No. Expiration date of Notice of Commencement (the expiration date ie one (1) year from the date of recording unleaa a different date Is specified): THIS SPACE FOR RECORDER'S USE ONLY ' OWNE 4. DATE / 0-'27 / C) i taped' -- ;_t -. u in me 9eioremathle ��eyaf �- (-• u 1 County fpu`o Ie10 of Flot, has p ersonally d � appeared her by - 1 1 - IVms Ifl herself end affirms Ihet all statements and deetanstlone heroin ere n deccureta \.�0s. P . Janice S. Havel — 'v` - '" Commission # 00602177 =:^ ` °`= Expires January 13, 2011 ug dr�Fain - insurance Inc 900385. Notary Public at Large, Slate of — 4.A.. Ca r My =minion explreo; or �` )oc R LU10 < , 3. CJR dK 15 4:5 Page yooy. pr Ouced Idenliflcstlon , f 4. j Jawed ?ages. 1 / f 5�) ' a Z y/ • / �r / , 17 2eccrded 11222010 at 11.26 AM. v / :/ IIM FULLER CLERK CIRCUIT COURT DUVAL :OUNTY RECORDING $10 00 { Wind - borne Debris Protection Affidavit �d -Q /0 (Date) City of Jacksonville Permit No. B- _ Building Inspection Division Address 2 ct' Semi/rots Qi 214 North Hogan St, Room 225 Jacksonville, Fl 32202 T understand that State law requires that windows replaced in a Wind -borne Debris Zone be installed with impact glass or be provided with another approved method of wind -borne debris protection. 1 recognize that the structure involved is located in a Wind -borne Debris Zone, if am in the process of having windows replaced which require this protection but have elected to not have the required protection installed by the contractor installing the windows. I am requesting to be given until the date shown below to install the required window protection that 1 have listed. i understand that if I do not install the required window protection I will be in violation of State law and that the City of Jacksonville Building Inspection Division may take action to include, but not be limited to, fines, withholding any further permits to this address, and /or termination of utilities, until such time as the window protection is installed. I also understand that my insurance company may not reimburse me for damages suffered due to the lack of required window protection, 1 agree to have the required window protection installed by: 427 '� t3 /12 (Date) 1 will be using the following material to provide the window protection: (check one) ABC Plywood per the Florida Building Code B. Other approved method: (Description) If "B" provide Florida Product Approval Number Homeown 's Insurance Company / / . (Signature of property owner) Before me this 27 day of ( \air ,0I v In the County of Duval, State of Florida, has personally appeared SuSatin `� S 164 • by himself /herself and affirms all statements and declarations herein are true and accurate, , Notary Public at Large, State of IA , County of • Personally known. or Produced identification ID Type — Di- 345 - 732 - '/1- 97/ - ;)1. * Janice S. Havel - .:, •':M Commission # DD602177 !. '' '"- : Expires January 13, 2011 r ?I B omed Troy Fam - Insurance Inc 800385.7019 I- O O v • y C 0 ° 7i cm 9 o m I° m m z= - Z , VI 1„ s o -0 ° r (A 3 t' 0 co m= - • ° o Z. o o s 0 P. -7.6 D a a. Ill j o o w w aD d o x w O 4) r! o 0 o N g N m 9Ti S Q 3 -- n d- m w m m z y m 3 � ., om y i n Z I c Oc C C p •• E gy IMP c = -�� ' °o G = x CL a) B h ci Ia .7n )<n 0 Y. N r i'' O i y' 3 p m �D O Cn O ° D r i u9 • o < m c = m m r D m 3 � � m gg`m oo ca �'`.. 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O O N � y �I N N ) 0 3 o wo o o � ° o f N Cr CD 0 0 n i O co O W_ N et k" o t QQ C: C 0 w M co co Florida Building Code Online Page 1 of 5 Af t f r {{ .1 ? 3Cgrrt'.�" .°" • • , >• BCIS Home Log In User Registration Hot Topics Submit Surcharge Slats & Facts Publications FBC Staff BCIS Site Map Links Search Product Approval r , USER: Public User • Community Affairs ; Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL12600 -R2 Application Type Revision *:H * f Code Version 2007 Application Status Approved *Approved by DCA. Approvals by DCA shall be reviewed and ratified by the POC and /or the Commission if necessary. Comments Archived Product Manufacturer Pella Corporation Address /Phone /Email 102 Main St. Pella, IA 50219 (641) 621 -6096 pellaproductapproval @pella.com Authorized Signature Joseph Hayden jahayden @pella.com Technical Representative Joseph Hayden Address /Phone /Email 102 Main Street Pella, IA 50219 (641) 621-6096 jahayden @pella.com Quality Assurance Representative Ali Zarghami Address /Phone /Email 102 Main St Pella, IA 50219 (641) 621-1000 zarghamia @pella.com Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By Terrence E. Lunn, PE Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) Standard Year AAMA 101/I.S.2 -97 1 AAMA 101 /I.S.2 /NAFS -02 2002 AAMA /WDMA /CSA 101/I.S.2/A440 -05 2005 Equivalence of Product Standards Certified By _mninr_n/ . 77' „ ,,....n,^ Florida Building Code Online Page 2 of 5 Product Approval Method Method 1 Option A Date Submitted 10/18/2010 Date Validated 10/21/2010 Date Pending FBC Approval 10/29/2010 Date Approved 11/01/2010 Summary of Products — — — FL # Model, Number or Name Description 1 12600.1 Pella Imeprvia Double Hung 48" x 78" Contemporary Double Hung Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 9 -27 -10 411 -H- Approved for use outside HVHZ: Yes 1161.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +30/ -30 08/30/2014 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 I1 Pella Double Hung Window Sealed Drawing 1654.pdf Verified By: Warren W. Schaefer 44135 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hung Window Sealed Drawing 1654.pdf Created by Independent Third Party: Yes 12600.2 !Pella Impervia Double Hung 37" x 78" Contemporary Double Hung Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 9 -27 -10 411-H- Approved for use outside HVHZ: Yes 1162.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +30/ -30 07/22/2014 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 II Pella Double Hung Window Sealed Drawing 1654.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hung Window Sealed Drawing 1654.pdf Created by Independent Third Party: Yes . 12600.3 !Pella Impervia Double Hung 142" x 66" Equal Double Hung w /HP Water Kit Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 10 -5 -10 411 -1-1- Approved for use outside HVHZ: Yes 1151.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/-50 09/01/2014 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 II Pella Double Hung Window Sealed Drawing 1654.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hunq Window Sealed Drawing 1654.pdf Created by Independent Third Party: Yes 1 12600.4 Pella Impervia Double Hung 37" x 72" Equal Double Hung w /HP Water Kit lI c Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 10 -5 -10 411 -H- Approved for use outside HVHZ: Yes 1152.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 08/24/2014 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 II Pella Double Hung Window Sealed Drawing 1654.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hung Window Sealed Drawing 1654.pdf Created by Independent Third Party: Yes 1 .. //A • 1 1 0 11. 1 1 1.1 fl !",ra >� ... . .. ,.,.,..,.... Florida Building Code Online Page 3 of 5 12600.5 'Pella Impervia Double Hung 48" x 54" Cottage Double Hung w /HP Water Kit Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 10 -5 -10 411 -H -- Approved for use outside HVHZ: Yes 1154.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 09/01/2014 Other: Configurations of glass shall conform to current installation Instructions ASTM E1300 standard. FL12600 R2 II Pella Double Hung Window Sealed Drawing 1654.odf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hunq Window Sealed • Drawing 1654.pdf Created by Independent Third Party: Yes [12600.6 'Pella Impervia Double Hung 42" x 66" Cottage Double Hung w /HP Water Kit I Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 10 -5 -10 411 -H- i Approved for use outside HVHZ: Yes 1153.pdf • Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 09/02/2014 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 II Pella Double Hunq Window Sealed Drawing 1654.odf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hung Window Sealed Drawing 1654.pdf Created by Independent Third Party: Yes 1 12600.7 'Pella Impervia Double Hung 37" x 72" Cottage Double Hung w /HP Water Kit Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 10 -5 -10 411 -H- I Approved for use outside HVHZ: Yes 1160.pdf . Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 06/13/2014 � Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 II Pella Double Hunq Window Sealed Drawing 1654.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hunq Window Sealed Drawing 1654.pdf Created by Independent Third Party: Yes 12600.8 Pella Impervia Double Hung 48" x 54" Equal Double Hung w /HP Water Kit Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 10 -5 -10 411 -H- Approved for use outside HVHZ: Yes 1163.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 09/01/2014 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 II Pella Double Hunq Window Sealed Drawing 1654.odf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hunq Window Sealed Drawing 1654.pdf Created by Independent Third Party: Yes , 12600.9 Pella Impervia Double Hung 42" x 66" Contemporary Double Hung w /HP Water Kit Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 10 -5 -10 411 -H- Approved for use outside HVHZ: Yes 1157.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 09/02/2014 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 II Pella Double Hunq Window Sealed Drawing 1654.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hunq Window Sealed Drawing 1654.pdf a, 1.++,.•/ /41,,,•;,1..1.,,;1 „ .p ., «..a.,,. /.... ., «,,. ,1 +1 ...,., D,,,,...,,,,—. .,r':- m/vn...+T-1„ +l.Ce0�'1.P.,0,') . A +,.v 1 1 /1n /IA 1 n Florida Building Code Online Page 4 of 5 11 Created by Independent Third Party: Yes I 12600.10 HPella Impervia Double Hung 37" x 72" Contemporary Double HUng w /HP Water Kit Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 10 -5 -10 411 -H- Approved for use outside HVHZ: Yes 1158.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 08/25/2014 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 II Pella Double Hung Window Sealed Drawing 1654.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hung Window Sealed Drawing 1654.pdf Created by Independent Third Party: Yes 12600.11 Pella Impervia Double Hung 48" x 54" Contemporary Double Hung w /HP Water Kit ! Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 10 -5 -10 411 -1 Approved for use outside HVHZ: Yes 1159.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 06/12/2014 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 II Pella Double Hung Window Sealed Drawing 1654.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hung Window Sealed Drawing 1654.pdf Created by Independent Third Party: Yes 12600.12 1Pella Impervia Double Hung 1147.5" x 77.5" Equal Vent Double Hung 11 'Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 9 -27 -10 411 -H- I Approved for use outside HVHZ: Yes 1149.pdf I Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +30/ -30 06/07/2014 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 I1 Pella Double Hung Window Sealed Drawing 1654.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hung Window Sealed Drawing 1654.pdf Created by Independent Third Party: Yes 12600.13 11Pella Impervia Double Hung 137" x 78" Equal Vent Double Hung Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 9 -27 -10 411 -H- Approved for use outside HVHZ: Yes 1150.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +30/ -30 06/07/2014 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 II Pella Double Hung Window Sealed Drawing 1654.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes If Evaluation Reports . FL12600 R2 AE Pella Double Hunq Window Sealed Drawing 1654.pdf Created by Independent Third Party: Yes 1 i 112600.14 [Pella Impervia Double Hung 148" x 78" Cottage Double Hung Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 9 -27 -10 411-11- Approved for use outside HVHZ: Yes 1155.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +30/ -30 08/23/2014 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 11 Pella Double Hung Window Sealed Drawing 1654.pdf Verified By: Warren W. Schaefer 441335 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hung Window Sealed httn• / /flnrirlahnilrlina nrn /rnr /nr arm rlt] aersv9r. aram— a17(: RVY (laa,trintLf'C0/1{-a,0 /_1f:. A +..TI 1 i /1(1)Ai 11 Florida Building Code Online Page 5 of 5 Drawing 1654.pdf Created by Independent Third Party: Yes [12600.15 'Pella Impervia Double Hung [37" x 78" Cottage Double Hung 'Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12600 R2 C CAC CCL for Pella 9 -27 -10 411 -H- Approved for use outside HVHZ: Yes 1156.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +30/ -30 07/09/2014 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12600 R2 II Pella Double Hung Window Sealed Drawing 1654.odf Verified By: Warren W. Schaefer 44135 Created by Independent Third Party: Yes Evaluation Reports FL12600 R2 AE Pella Double Hung Window Sealed Drawing 1654.pdf Created by Independent Third Party: Yes Batt 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 Coovrioht Statement I Accessibility Statement I Plua -in Software 1 Customer Service Survey 1 Contact Us Product Approval Accepts: r - ® check EM sertiritV7t1; SAFE l,+hr•ari rsril nl,,,: I A;vt.. .,.- .. / « « /...• ., «.. .a +l 'i4. _A /nr_ A 11 11 n inn 1 n too-taS j Lost- au -la[ :wawa S[l�ti ON '3'. � N � ����0001-1Z9-11,9 61- : Ottit l! 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NO U w ,.„ t ,, G t. N ] 7 0 . • __. • 1 OOOI -1Z9 -149 - rosr- SLL -I8S :XV! LON- SLL-Loc 7NOId 3 d a3d3Y W47 N5 L1N • d F O V L A wYOnm N 87Y38 V Nd aaYM p: M 61 ZOS VI " Yr3d tOL - ,w MALL O OS ' UN a 1° ' l a J 133615 NNW ZOI. Yd'ONLL1f1SO0 v 600Z S VV ° NOLLVMOda00 VTl3d ONI2133NION3 M333VH3S 'M 'M L G o 4 ann,tavAfNYI1 SLWNISNDD (.0 8 MOONIM OM 318(100 10VdY0 -NON VVSt3dWl ,- H / [ �� � `N 71L ,2NIAWNO N OI�LLM33 - . 7 J E cc O li — T W 4 1 UW cl o "N Z m u, N u., d I W : .. N I1( an 4 LLigejg 6 W Z O . J m N N W O E w W O C „ cn < I 3 Q Z O L Z 1- LtWL1 66,_, • o = 1HOl3H 3WV21.i m 2 2w F � t a.W i P - J H 1 N CO F .,i _ ,„... iftriii 1 1 .,, ,_ .,,..,;, •... ce k L7 , ,I ��`'� Z m Z c o 1 t d O J n 9 m O W F a _ IT a = a LC W Q. ca ow R = o ol N E 2 W ? `` izz O O § W N a 4 . h d N Florida Building Code Online Page 1 of 3 '4 v-ttk -14,TMknif.te f t ', BC1S Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search Product Approval [Rt usER: Public User Community i Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL12937 FC 4 UHlTY PUMSNIMB Application Type New "An*L15 S:o V(1 Code Version 2007 , Application Status Approved A tr + Comments rtFicatd Archived Product Manufacturer Pella Corporation Address /Phone /Email 102 Main St. Pella, IA 50219 (641) 621-6096 pellaproductapproval @ pella.com Authorized Signature Joseph Hayden jahayden @pella.com Technical Representative Joseph Hayden Address /Phone /Email 102 Main Street Pella, IA 50219 (641) 621 -6096 jahayden @pella.com Quality Assurance Representative Ali Zarghami Address /Phone /Email 102 Main St Pella, IA 50219 (641) 621 -1000 zarghamia @pella.com Category Windows Subcategory Casement Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By Terrence E. Lunn, PE Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) Standard Year AAMA /NWWDA 101/I.S.2 -97 1997 AAMA /WDMA 101 /I.S.2 /NAFS -02 2002 AAMA /WDMA /CSA 101/I.S.2/A440 -05 2005 Equivalence of Product Standards Certified By bttn•/ /flnrirlahnilrl;nn nrrr /rrr /r,• artri ae.,. r91- erarr i =xar(:FVX(l.arITln.,d;QGTo /71-0. T(IFrTIlP 1 1 /1 Q/1(1111 Florida Building Code Online Page 2 of 3 Product Approval Method Method 1 Option A Date Submitted 08/18/2009 Date Validated 08/21/2009 Date Pending FBC Approval 08/27/2009 Date Approved 10/13/2009 Summary of Products FL # Model, Number or Name Description `! 12937.1 Impervia Vent Casement 38" x 80" Vent Casement 11 I , j Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12937 RO C CAC CCL for Pella 6 -17 -09 411 -H- Approved for use outside HVHZ: Yes 1006.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 03/17/2013 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12937 RO I1 Casement Installation Drawinq.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12937 RO AE Casement Installation Drawinq.pdf Created by Independent Third Party: Yes 12937.2 lImpervia Vent Casement 132" x 80" Vent Casement with Egress Hardware 1 Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12937 RO C CAC CCL for Pella 6 -18 -09 411 -H- Approved for use outside HVHZ: Yes 1007.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 05/04/2013 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12937 RO II Casement Installation Drawinq.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12937 RO AE Casement Installation Drawinq.pdf Created by Independent Third Party: Yes 112937.3 limpervia Vent Casement 32" x 72" Vent Casement with Egress Hardware l Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12937 RO C CAC CCL for Pella 6 -18 -09 411 -H- Approved for use outside HVHZ: Yes 1008.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 03/23/2013 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12937 RO II Casement Installation Drawinq.pdf Verified By: Wan W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12937 RO AE Casement Installation Drawinq.pdf Created by Independent Third Party: Yes 12937.4 1IImpervia Vent Casement 38" x 72" Vent Casement Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12937 RO C CAC CCL for Pella 6 -18 -09 411 -H- Approved for use outside HVHZ: Yes 1011.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 03/26/2013 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12937 RO II Casement Installation Drawinq.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12937 RO AE Casement Installation Drawinq.pdf Created by Independent Third Party: Yes 112937.5 lImpervia Vent Casement 38" x 30" Vent Casement 1 Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12937 RO C CAC CCL for Pella 6 -18 -09 411 -H- Approved for use outside HVHZ: Yes 1012.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 03/17/2013 Other: Configurations of glass shall conform to current Installation Instructions I ASTM E1300 standard. FL12937 RO II Casement Installation Drawinq.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes al http: / /floridabuilding.org /pr /nr arm dtl. asnx? naram= wGEVXOwtDav4i95T %2bUOFrJOe... 11/19/2010 Florida Building Code Online Page 3 of 3 Evaluation Reports FL12937 RO AE Casement Installation Drawinq.pdf Created by Independent Third Party: Yes 12937.6 IlImpervia Vent Casement 38" x 54" Vent Casement Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12937 RO C CAC CCL for Pella 6 -18 -09 411 -H- Approved for use outside HVHZ: Yes 1018.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 03/17/2013 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12937 RO II Casement Installation Drawinq.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12937 RO AE Casement installation Drawinq.pdf Created by Independent Third Party: Yes Back l 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 1 Coovriaht Statement 1 Accessibility Statement 1 Pluo -in Softwart 1 Customer Service Survey I Contact Us Product Approval Accepts: [01 40 1 el seder txxatrutc Credit g r //.11,.. A+1 TnL'..Tn— 1 1 /1 n/1A1 n /. 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' BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search '.. ....„..,, di : sil, rt Product Approval 0 '--") „, \ 13 USER: Public User Community Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail EEMENNEEMIEMNIS e:et ,ra1I1'v' PLANNING FL # FL12939 Application Type New `11.44clou ltoicoN 4 "r" Code Version 2007 E‘OPm FIT - w Application Status Approved wookoeviewr Comments i Cf ICEQPIr Archived Product Manufacturer Pella Corporation Address /Phone /Email 102 Main St. Pella, IA 50219 (641) 621 -6096 pellaproductapproval @pella.com Authorized Signature Joseph Hayden jahayden @pella.com Technical Representative Joseph Hayden Address /Phone /Email 102 Main Street Pella, IA 50219 (641) 621 -6096 jahayden @pella.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 Terrence E. Lunn, PE Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) Standard Year AAMA /NWWDA 101/I.5.2 -97 1997 AAMA /WDMA 101 /I.S.2 /NAFS -02 2002 AAMA/WDMA /CSA 101/I.S.2/A440 -05 2005 Equivalence of Product Standards Certified By 1.4+....// 41..,.: a "1..,, :1a :....,...,.i.....i.... ....., A +1 ,,......,c)..,,..,......— ..,r -ti✓ Acv /1..,+TI...,A :nGTO%'1b.T - \v.. r: 1 1 iini'n1 Florida Building Code Online Page 2 of 3 Product Approval Method Method 1 Option A Date Submitted 08/18/2009 Date Validated 08/25/2009 • Date Pending FBC Approval 08/27/2009 Date Approved 10/13/2009 (Summary of Products FL # Model, Number or Name Description 12939.1 Impervia Fixed Casement 72" x 80" Fixed Casement Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12939 RO C CAC CCL for Pella 6 -18 -09 411 -H- Approved for use outside HVHZ: Yes 1014.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +45/ -45 04/07/2013 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12939 RO II Fixed Casement installation Drawing.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12939 RO AE Fixed Casement Installation Drawinq.pdf ( i Created by Independent Third Party: Yes 12939.2 11mpervia Fixed Casement 165" x 80" Fixed Casement Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12939 RO C CAC CCL for Pella 8-24 -09 411 -H- Approved for use outside HVHZ: Yes 1015.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50 / -50 04/07/2013 Other: Configurations of glass shall conform to current installation Instructions ASTM E1300 standard. FL12939 RO II Fixed Casement Installation Drawinq.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12939 RO AE Fixed Casement Installation Drawinq.pdf Created by Independent Third Party: Yes 12939.3 jImpervia Fixed Casement 72" x 80" Fixed Casement Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12939 RO C CAC CCL for Pella 6 -18 -09 411 -H- Approved for use outside HVHZ: Yes 1016.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 04/07/2013 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12939 RO II Fixed Casement Installation Drawinq.pdf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12939 RO AE Fixed Casement Installation Drawinq.odf Created by Independent Third Party: Yes 112939.4 lImpervia Fixed Casement 72" x 80" Fixed Casement Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12939 RO C CAC CCL for Pella 6 -18 -09 411 -H- Approved for use outside HVHZ: Yes 1017.0df Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 04/08/2013 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12939 RO II Fixed Casement Installation Drawinq.pdf Verified By: Warren W. 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NO m� �i'wU� mo NOi Q u W NOm4 m InUW = v Florida Building Code Online Page 1 of 3 'r�`� n, iceointroA. zotmEispec C£tATAdTl}C; BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search dal . r f Product Approval USER: Public User Community Affairs Product Approval Menu > Product or Application Search > Application Lis[ > Application Detail ENIMMISEINISMOR FL # FL12606 -R1 w.{.o{ali t.oir Y PtMV4NG 4 Application Type Revision ioug a ^;DmoU rY gEw.L4Pting147 Code Version 2007 a Application Status Approved s;. atgaPnrr Comments Of Fir oPt ° Archived Product Manufacturer Pella Corporation Address /Phone /Email 102 Main St. Pella, IA 50219 (641) 621-6096 pellaproductapproval @pella.com Authorized Signature Joseph Hayden jahayden @pella.com Technical Representative Joseph Hayden Address /Phone /Email 102 Main Street Pella, IA 50219 (641) 621-6096 jahayden @pella.com Quality Assurance Representative Ali Zarghami Address /Phone /Email 102 Main St Pella, IA 50219 (641) 621 -1000 zarghamia @pella.com Category Exterior Doors Subcategory Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By Terrence E. Lunn, PE Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) Standard Year AAMA 101/I.5.2 -97 1997 AAMA /WDMA/CSA 101/I.S.2/A440 -05 2005 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A http: / /floridabuilding.org /pr /pr app dtl. aspx? param= wGEVXQwtDgtkfS %2fv %2fpAtoE... 11/19/2010 Florida Building Code Online Page 2 of 3 Date Submitted 12/14/2009 Date Validated 12/15/2009 Date Pending FBC Approval 12/20/2009 Date Approved 02/02/2010 Summary of Products FL # Model, Number or Name Description 12606.1 Pella Impervia Sliding Door 96" x 96" Sliding Door w /HP Panel Retainer Kit Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12606 Ri C CAC CCL for Pella 10 -09 -09 411 -H- Approved for use outside HVHZ: Yes 1039.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +45/-45 02/27/2013 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12606 R1 II Pella Sliding Door Sealed Drawing 1658.odf ' Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports FL12606 R1 AE Pella Sliding Door Sealed Drawing 1658.pdf Created by Independent Third Party: Yes 12606.2 'Pella Impervia Sliding Door 96" x 96" Sliding Door lI L of Use c Certification Agency Certificate I Approved for use in HVHZ: No FL12606 Ri C CAC CCL for Pella 10 -09-09 411 -H- Approved for use outside HVHZ: Yes 1040.pdf Impact Resistant: No Quality Assurance Contract Expiration Date 1 Design Pressure: +35/ -35 09/30/2013 I Other: Configurations of glass shall conform to current Installation Instructions 1 ! ASTM E1300 standard. FL12606 R1 II Pella Sliding Door Sealed Drawing 1658.odf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes Evaluation Reports I FL12606 R1 AE Pella Sliding Door Sealed Drawing 1658.pdf Created by Independent Third Party: Yes 12606.3 11PeIla Impervia Sliding Door 1172" x 82" Sliding Door 'l Limits of Use Certification Agency Certificate I Approved for use in HVHZ: No FL12606 Ri C CAC CCL for Pella 10 -09 -09 411 -1i- 1 ' Approved for use outside HVHZ: Yes 1042.pdf I Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +45/ -45 03/27/2013 1 Other: Configurations of glass shall conform to current Installation Instructions 1 ASTM E1300 standard. FL12606 Ri II Pella Sliding Door Sealed Drawing i 1658.odf Verified By: Warren W. Schaefer, P.E. 44135 Created by Independent Third Party: Yes I Evaluation Reports FL12606 R1 AE Pella Sliding Door Sealed Drawing 1658.pdf I Created by Independent Third Party: Yes ll 12606.4 1Pe Ila Impervia Sliding Door X72" x 82" Sliding Door w /HP Panel Retainer Kit I Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12606 Ri C CAC CCL for Pella 10 -09 -09 411 -H- Approved for use outside HVHZ: Yes 1041.pdf Impact Resistant: No Quality Assurance Contract Expiration Date Design Pressure: +50/ -50 02/27/2013 Other: Configurations of glass shall conform to current Installation Instructions ASTM E1300 standard. FL12606 Rl II Pella Sliding Door Sealed Drawing __: 1658.odf Verified By: Warren W. 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V O >• O w w W CD IA O I 0 O N W- 1 W Z N U J W= _ Zt W ppOpp W NW Ow0 2� W U JN V) O V)0_ 1 iiot p1 1.A4 City of Atlantic Beach APPLICATION NUMBER J s s, 800 Seminole Road � Building Department (To be assigned by the Building Department.) / 1� a b • , Atlantic Beach, Florida 32233 -5445 f Phone (904) 247 -5826 • Fax (904) 247 -5845 Date routed: P Z / /d •r E -mail: building- dept @coab.us /// City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ' 1 J 'no / t EcJ Department review required Ye No Applicant: ?//t' //Vb dzi) � ping & Zoning pP Tree Administrator Project: A> /i C 6 f IN / Q Public Works Public Utilities / .21' 0 O / Public Safety Fire Services Rev ���` se ?'jl� ' fir �r�r� r� �^ -''n �� �'i'� , �'1 r � �#��� � '� �r'kkr A 4 =�. F�x i.. f t � a ki „9 >' e i�N s N `ar 4F"^' ��` t$ " .. I 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 Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: 1 / Date: SP // ) TREE ADMIN. Second Review: []Approved as revised. ['Denied. 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