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Permit 1075 Hibiscus Street , = =z CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD J ', ,, '" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 09- 00000945 Date 6/30/09 Property Address 1075 HIBISCUS ST Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 4300 Application desc reroof f11744.6 Owner Contractor HINDS, PATRICIA ROMANO ROOFING SERVICES 1075 HIBISCUS STREET P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246 -5649 Permit ROOF PERMIT Additional desc . Permit Fee . . . 55.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 4300 Expiration Date . 12/27/09 Fee summary Charged Paid Credited Due Permit Fee Total 55.00 55.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 55.00 55.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit 64 t Tax Fo r State of - t 1 County of To whom it may concern: The undersigned hereby infonrs you that improvements will be made to c rtain 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: , Address of property being improved: � , s • ri ► General description of improvements: r Q a Owner C 4 f t c Address Owner's interest in site of the improvi rent _ Fee Simple Titleholder (if other than 'r -. ner) Na Address 4 Contra t"1M,.. V �.., l l� S �� _ � k Address . ii ,p ► C r i , Phone No. l „ . q , 19 Fax No. ) L L., Surety (if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person mac g a loan for the onstruction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Flu i - ia, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No _ . Fax No. In addition to himself, owner designate the following person to receive a copy of the .ienor's Notice as provided in Section 713.06 (2) (b), Florida Statute i. :Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commenc: nent (the expiration date is one (1) year from the date of recording unless a different date is specified): _ THIS SPACE FOR RECORDER'S WE ONLY p _ f OWNER ' nef Lt / • _ 4.- DA -o5 I me stns � �� �� Ca,rn r , l Y i t fll1 ? [e t a STS rein hunse �` - ; Z �:. _ :. -. +, . 5rrre in Doc # 2009154849, OR 8K 14923 Page 1205, are tree and a•-•7` • : DD832935 Number Pages: 1 + a Ex C plrea /2012 Recorded 06/30/2009 at 11:37 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Notap p • Pr state of County c; RECORDING $10.00 Mycoi �ionexpires: r:rr P SO. ,el flown or V Prodwsrd Identfication .7 3 - (c j -- -� 0sQSZli�ii CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DEIOLITIONS Owner (s) : ` - t `(( 0,_,.. 14 Address: /1) 75 /`-t /h.,.„�,Li, S? Phone: � 4' 9 Lot # ck or Unit # Subdivision: Contractor: ealS / 6C) / 12 , 0 ._/ r 1 --- i p / k M1 SK , State License # ry /,4f6 / "TG C ,#' Address: /4/4; c2-Z Phone No: ( 132./ -n99 •'S J 70 City /0 state j, Zip., code 32 7rz Describe work to be done: V /if) c 'L.-. Present use of building: ec ..pA J Valuation of Pro sed Construction: 3/9S" . Proposed use: Is this an addition? , VI ^ If yes, what are the dimensions of the added space: ft. X ft. W the added area be heated and cooled? New electric (tr nor )? • New plumbing fixtures? N fare ace? New Heat /AC? SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER /CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR A - �, , ��,,, ,_ Date: ,, i ce dr 1P to and subscribed before me this / ay o`i_ , 19 Sworn / Y LL — 411r....7 RY PUBLIC S ..,, FLO q{�� URGE g s• 4 • :1, MY COMMISSION # CC553881 EXPIRES August 27, 2000 NZ" BONDED THRU TROY FAIN INSURANCE, INC. i s ' , PSEi -3844 r '72 DE ".411111AENT OF BU1LI?INO ' ti*tst OF ATLANTIC BEACH` w % - PERMIT INFO1 'ZION ,.- --_-:, __-. - -' 'LOCATION INP'ORMATIOI - ..- --- _,_ Perinoit Numa el": 16672 Address:. 1075 NISISCU�S STREW . '' 'Permit Type :SIDING ATLANTIC BEACH; FLORID . , 32233 Cl of Work NEV.? LLOAL DESCRIPTION - -- ---_ Constr. Type :WOOD, FRAME Block: Lot :, Twp: 0 'Proposed Use SINGLE FAMILY Section: 0 Subd: ' Rna . ... ' 0 '' Lwel1ings: 0 Subdivision: 'Est . Va I ue :< 0.00 improve Cost: 3.195.01 Total Fees 45.00 Amoctitit Pai •� 45.00 D i. L1 p. . 4 f ON!R'* ',, F RM* IONS .:.» _ ,. . ri , . , -. APPLICATION FEES --'. tame : PAT1 I.O * S ?ERl+ ' ' 45.00 Addy: 107 ** * STREET +� So AT . 3 'IEAC.H,` - 'LORI 32233 , , f r e x a rP Sne : = `O 4 6$5 7 a �- ✓ .wx :t, ,. rm r �t' g -: -- C OPN� ; TG : IPI "+ MAT`ION ,-:-- -- L'a e : SEARS IE T`ct E COAT ING,SPA Y - 'TECH . . I ddr :.. " P 0 , ° BOX 150157 • ' - ALTAMON'TE:INOS , FL 32715 -0157 Lid :: CB 03 1 Lxp: / / rTp t „,i gyp• "' t t '"''''' , ' "a k ^, , r1, „r, I NOTES: :..., - NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PR1OR TO INSPECTION ' BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACE{ 1,14. PUBLIC SPACE, AND MUST BE , CLEARED UP AND HAULED AWAY BY'EITHER- CONTRACTOR OR OWNER ' " FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING`' TWICE FOR BUILDING IMPROVEMENTS." ACCORDING , •TO AP PROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR 'ISSUED sUBJ C R O V VtO1ATION QF APPLICABLE PROVISIONS OF LAW. , I 1,At : 4/17/ R 141 PP4 f , . V 4 ( ,1'. ' net �, - r "` A T.ANTI BEACH BUILDI G D- `I'ARTMENT ' ..,._A. - By . .. . , , ... , . . 6 #ja •S CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 k th3 9', INSPECTION PHONE LINE 247 -5826 Application Number 08- 00001248 Date 9/17/08 Property Address 1075 HIBISCUS ST Application type description RESIDENTIAL ADDITION /ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 9120 Application desc replacing windows Owner Contractor HINDS, PATRICIA SEARS HOME IMPROVEMENT 1075 HIBISCUS STREET 7255 SALISBURY ROAD ATLANTIC BEACH FL 32233 SUITE 1 JACKSONVILLE FL 32256 (904) 470 -0115 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit BUILDING PERMIT Additional desc . Permit Fee . . . 80.00 Plan Check Fee . . 40.00 Issue Date . . . Valuation . . . . 9120 Expiration Date . 3/16/09 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Fee summary Charged Paid Credited Due Permit Fee Total 80.00 80.00 .00 .00 Plan Check Total 40.00 40.00 .00 .00 Grand Total 120.00 120.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. { ,�� fi 6// --e , ,Si L�r' " %B /°-' 6S6 9J/3 • CITY OF ATLANTIC BEACH � , WINDOWS, SKYLIGHTS, GARAGE DOORS, HURRICANE SHUTTERS c) 1 r J; :I Date: .. o / Job Address: /0 7.5 X7'� g4..s - �'- a3 !� S � P 1 '� 200 6 Owner: pn % 2 i .6 79 /Al.D.S 60 Address: /0 7 5 f�t /v.s C cal S ,57 Phone: eel/ ?o .q3 , R0284 Legal Description: Block Number: Lot Number: 36 Zoning District: \ �p ts //9 `N, Contractor: fLfi /` Ny/I'i State License Number: C4 Co/ 7$3ct Address: 7, SS lirs PA, ,Sui?E / Phone: 9/ P 4/70 _,/k A City: e77i,� ldoh'J>l /E / State: / . Zip: J Z.2 S Fax: 90 < ( 7 4 70 — ®!/ Describe proposed use and work to be done: i e,§6/,9 t / $ 7— louek 1 4c,,. i /c' /.t/Qehws AACA xi ,, .a/v4 9-/c t/ pee,, O zovivzvt., .S /ZE • 74 ' /t .Sim iir /Z? // rrICT/ et72'4 .i o ir, 6 S . k'&e WA w /nr.Dv s . Present use of land or building(s): s/ '4 ' A Valuation of proposed construction: % /20 -V • d C' Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Required Building Data: J Mean Roof Height /6 (ft) Building Width (ft) Building Length (ft) Roof Slope Window Height T ' (ft) Window Width 9Z / (ft) Window Elevation from Grade 3 o (ft) Measurement from corner of building to window 2' (ft) Number of windows being installed O _ ... 00011111 1111111111111111111111111111111.--- . - � Me Ro eight �C D , R Can O DE of L�DM NT B EACH SEE PER FO REQUIREMENTS `ADDITIONAL 1 ,: , en t L E C 0 P y l REVIEWED AND CH t <.,a _- BY. � BATE: 9 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 1/27/03 , P.'rocedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may , result in delay in issuance of permit. In addition to the building data, the following information is required: 1. Manufacturer's Test Report with Uniform Structural Load (pst) 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Hurricane Shutter Description/Type 7. Elevation View of Window Locations I hereby certify that all info p ation provided with this application is correct. Signature of Owner: jj/c J Date: g' / a ci I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the 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 federal, state or local rules, regulations, ordinances, or laws in any manner, including the goveming of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: C Date: / / , O ' Address and contact information of person to recei a all correspondence regarding this application (please print). Name: / 0N7, /a -ISSe 1 Mailing Address: -7 0 . 55.c / s.41., ki3 • . & / . Telephone: 3 ` ` 9 ° 011_5 Fax: g0 q' 1/70-0/0-7 - O / l E -Mail: AS TO OWNER: I Sworn to and subscribed before me this ST day of ,5e -76e2 , 20 O e. State of Florida, County of Duval ARY PUBLIC -STATE OF FLORIDA Notary's Signature:,; William R. Long Jr. 'It/ i Commission # DD572485 I:1 Personally known Expires: JULY 10, 2010 Produced identification BONDED THEW ATLANTIC s °LADING co., INC. Type of identification produced Le L AS TO CONTRACTOR: 1," Swom to and subscribed before me this /0T day of oirn/w.t 20 0k . State of Florida, County of Duval Notary's Signature: , 7' , ;►"r: RHONDA L YATES - : = Jam . Personally known MY COMMISSION # DD789513 1, El Produced identification •7 i i EXPIRES May 26, 2012 4 °' Type of identification p V• roduced I>L •., : ■ • e 1 3 (407) 398 -0153 FloridallotaryService.com !!qq� ' „7: ;, ' ;': 'lll MY COMM(SS(O111<A'I?B951 800 Seminole a an lc Beach"Fibriaa r .: , EXPIRES Ma I s Phone: (904) 247 -5800 i b ' trR - 4 ) 247 -5845 http: //' v ci. , ` � , h.fl. - - y 2 sa�012 r ` Ior id a ll otaryServlce.com Page 2 - 0789513 '; 1 i Revised 1/27/03 • o:i` , 2012 (407) 398•L atom 09/13/2008 21:07 9042824829 #0158 P.002 /002 09/12/2000 11:49 4077678536 SHIP PERMITS&LICENSE PAGE 02/02 .0 0.0 11 i i !"7"" 1024 Florida Central Parkway, Longwood, FL 32750 PH: 407-531-6000 September 2008 LEn---a0" 21521WA33921. 1, Alfred W. Nyntaxi, Jr., Assistant Seiretary and Florida State Qualifier for Sears Home Improvement Produ.ets, Inc., grant perrrtission to Ralph Yates to submit pertnits and licenses, pick up permits and licenses, make changes to permits, licenses and plans and initial changes made by the building department on beh# of Sears Home Improvement Products, Inc. I also grant permission to Ralph Yates to purchase permits and/or licenses with a company &ea personal check, personal credit card or cash. This authorization is valid through September 30, 2009. I certifiy that the above toformation is true and coma 0./ ICIj'4V \ ewn4 "'' Alfred W. Nyman, Ir., Assistant Secretal and Florida State Qualifier (CGC012538, (CMC1249510) Sears Home improvement Products, Inc.; STATE of Florida • • • COUNTY of Seminole . . • • SWORN TO AND SUBSCRIBED BEFORE ME THIS 12th day of July 2008, by Alfred W. Nyman, Jr., Assistant Secretary for Sears Home Irk:movement Products, Inc. and who is ?LPersonally know to me or has producted A valid Drivers License. • Seal 4,1. • ._. • NOTARY IABLICATATZ /LOMA Prt Name: Deborah P. - . • - Deborah P. Phillips Notary Public, State of Florida Commission SIDI:489032 Expires: AUG. 13,2011 Coliondssin' DD689052 =be ATLANTICIONDINC COMM. COMMISSION EXPIRES: Aug.13, 2011 • • • • • This Instrument Prepared Name: /7/W ES SEARS HOME IMPROVEMENT PRODUCTS, INC. 1024 Florida Central Parkway Longwood, FL 32750 Phone: 407 -551 -6000 NOTICE OF COMMENCEMENT 1q1 Permit No. k3/seos-- Tax Folio No. / 7/(), ? 0 j THE UNDERSIGNED hereby gives, informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of property (legal description:) 2-4G'713) ,Q,07G'//it To,e, ,S LECoRl1F.1� 4' 7°Z/97 av0A - ' � P 39 F$ '•7 - of Thise_ k.'Prttip a_s- ', Oat a) Street Address: /O 7 F1 5 -- f fi6Ar j • s7 2. General description of improvements: .ee 1 3. Owner Information n - 7 a) Name and address: /3 /C /4 jb/,ps /075 ,, '/Sclet- "9"/-11 ,(?tit , . 02,A b) Name and address of fee simple titleholder (if other than owner) c) Interest in property: /peep 4. Contractor Information: a) Name and address: SEARS HOME IMPROVEMENT PRODUCTS, INC. — i1--- = ✓AE - t0 At507j9// 1024 FLORIDA CENTRAL PARKWAY, LONGWOOD, FL 32750 b) Telephone No: 407 -551 -6000 Fax No. (Opt.) 407 - 767 -8536 5. Surety Information: a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6. Lender a) Name and address: Phone No.: 7. Identity of person within the State of Florida designated by owner upon who notices or other documents may be served: a) Name and address: b) Telephone No.: 8. In addition to himself, owner designates the following person to receive a copy of the Lien or's Notice as provided in Section 713.13 (1) (b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) _ 9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified:) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR i'ROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLO TDA COUNTY OF \''.(1\,\) a4- Si nature of Owner or `` Owner's Authorized Officer /Director /Partner /Manager "ca. Ito 41l , A PRINT NAME The foregoing ins ment was acknowledged before me this day of /9/1611,9S7 , 20 OF , by 16rr • : /t a Gry l�t�%i�� (type of authority, e.g. cr. ti. .,... _.._C......\r_ Offer Code: HONK JMP40YC\GM CCU. I WINDOW PROPOSAL WORKSHEET Date: 8\\ l010 4 3 Phone: \�'O y ' 'C �`Z Lq 1 Office Loc. and #: f ZC� Customer. -) t - a--\ C i' N \A \�;r b S Sales Rep: cV S S �-o 1•1 City: \\ LA kr \'''\ L \'', A CA `4-- ' \Z , b S Job No. /Lead No.: WD HT WD HT WD HT ENTER WIDTH & HEIGHT ', -7 #'S0 X # X # X FOR EACH UNIT TO BE , sc., # S cy X # X # X REPLACED AND ENTER CORRESPONDING NUMBER RIGHT BACK W HT 9., `7 #C J XIS WD LEFT HT # (,. X y L # X # X # X # X # X �' #— X # X # X # . X # X ' � MODEL PD Patio Door DH Double Hung I z. ' 2LR Two -Lite Roller Series � t O EV Three -Lite Roller FRONT PW Picture WD HT WD HT WD HT SH Single Hung f 2 -`k# 9z- 3 x , # -1 X # X 1 LR Single Slider 'z- '-(t #4't Y X z # (} 6 x # X CR Casement Right For second story- use additional worksheet CL Casemrrnt Left ITEM MODEL COLOR U.I. GLASS SCREEN GRID TEMP /OBS $ AMOUNT AWN Awning �. 1 'b 1 ti:, , (Zy 0 HOP Hopper GW Garden Window 2 b1 0 9 Z) (t'fo BAY Bay 3 hH, ,v (,o 4' (Z - f' O BOW Bow 4 &tAlt. ki"- - 7 Z (S 0 0 COLOR: 5 b \- G, '? Z- d•`7 9 White 6 W ° l .. `c.I i Tan 7 / t. \-- IN G (f? LWG Light Woodgrain 8 `l. iz-iC1 : DWG Dark Woodgrain 9 GLASS: 10 CLE Clear Hy -Lite Block 11 E2 Low E /Square 12 GRAY Gray Tint 13 BRZ . Bronze 14 OBS Obscure 15 OBSBOT Obs. Bottom 16 KEEP Keepsafe 17 TEMP Tempered 18 GRIDS: CF Colonial Full Total $ \ q, Vl CT Colonial Top Detail additional labor and charges: DF Diamond Full DT Diamond Top SCULP Sculptured PER Perimeter SPECIAL INSTRUCTIONS: PRA Prairee SCREENS: FULL OR HALF , �N - rb 76 ✓4\ 81 SC' c - PRODUCT APPROVAL SPECIFICATION SHEET As required by Florida Statute 553.842 and Florida Administrative Code 9B -72, please provide the information and approval numbers on the building components listed below if they will be utilized on the construction project for which you are applying for a building permit. We recommend you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Statewide approved products are listed online © www.floridabuilding.org Category/Subcategory Manufacturer ! Product Description `Approval Number(s) ! 1. EXTERIOR DOORS A. SWINGING B. SLIDING C. SECTIONAUROLL UP D. OTHER 2. WINDOWS A. SINGLE/DOUBLE HUNG x440 .. • _ - • = r B. HORIZONTAL SLIDER C. CASEMENT .� D. FIXED � o 0 — T1• E. MULLION F. SKYLIGHTS G. OTHER 3. PANEL WALL A. SIDING B. SOFFITS C. STOREFRONTS D. GLASS BLOCK E. OTHER 4. ROOFING PRODUCTS A. ASPHALT SHINGLES B. NON - STRUCT METAL C. ROOFING TILES D. SINGLE PLY ROOF E. OTHER 5. STRUCT COMPONENTS A. WOOD CONNECTORS B. WOOD ANCHORS C. TRUSS PLATES D. INSULATION FORMS E. LINTELS F. OTHERS 6. NEW EXTERIOR ENVELOPE PRODUCTS A. The products listed below did not demonstrate product approval at plan review. I understand that at the time of inspection of these products, the following information must be available to the inspector on the jobsite; 1) copy of the product approval, 2) performance characteristics which the product was tested and certified to comply with, 3) copy of the applicable manufacturers installation requirements. Further, I understand these products may have to be removed if approval cannot be demonstrated during inspection. PP CANTS NATURE DATE R -1305 01 -04 YF1orida Building Code Online / Page 1 of 6 / e 25 /6 /s e l 3 al ' FLORIDA DEPARTMENT OK. is omr uni yr Affairs ni ncA HOME ABOUT , - BCIS Home Log In Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff B di • Product Approval O MI USER: Public User Community - Afl!a:irs Product Approval Menu > Product or Application Search > Application List > Application Detail EMMUNIMOSEMORIMME FL # FL5419 -R3 icM Y NO Application Type Revision , SINGa uN Code Version 2004 DEVELOPMENT • Application Status Approved Comments i OFFICE OF THE Archived FE '.. NARY Product Manufacturer Simonton Windows Address /Phone /Email 1 Cochrane Ave Pennsboro, WV 26415 (800) 746 -6687 ext 4825 patricia_robison @ simonton.com Authorized Signature Patricia Robison patricia_robison @simonton.com Technical Representative Chuck Anderson Address /Phone /Email 1 Cochran Ave. Pennsboro, WV 26415 (800) 746 -6687 chuck_anderson @simonton.com Quality Assurance Representative AAMA Address /Phone /Email 1827 Walden Office Square Suite 550 Schaumburg, IL 60173 (847) 303 -5664 webmaster @aamanet.org Category Wind. A.,. Subcategory 40 © P 0;-. 0 : ,- Compliance Method Certification Mark or Listing ' tlbrida Building Code Online Page 2 of 6 Certification Agency American Architectural Manufacturers Referenced Standard and Year (of Standard Standard) AAMA 506 ANSI /AAMA /NWWDA /101 I.S, 2 ASM E 1996 ASTM E 1886 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted Date Validated 06/23/2006 Date Pending FBC Approval 06/26/2006 Date Approved 07/12/2006 Summary of Products FL # Model, Number or Name (Description 5419.1 107 - 09 1107 - 09, StormBreaker Plus Limits of Use Certification Agency Ce Approved for use in HVHZ: No FL5419_R3_C_CAC_APC Approved for use outside HVHZ: Yes SBP DH 2.pdf Impact Resistant: Yes FL5419_R3_C_CAC_APC Design Pressure: +50 / -50 SBP DH 3.pdf Other: 52x71 Twin DH 75x76 Missile Impact Installation Instruction Rating: Large FL5419 101R1. FL5419_R3_I I_S- 141 -1. F FL5419_R3_II_S- 157 -2. F FL541 R3 II 5- 159 -2.E Verified By: American Are Manufacturers Associatior 5419.2 07 -09 07 -09 StormBreaker Plus Limits of Use Certification Agency Ce Approved for use in HVHZ: No FL5419_R3_C_CAC Approved for use outside HVHZ: Yes DH.pdf Impact Resistant: Yes Installation Instruction Design Pressure: +60 / - 60 FL5419_R3_II_IN0066 S Other: 37x84 Missile Impact Rating: Large by.pdf FL5419_R3_II_IN0067 S From : KARENF ts4 /SuJo r r 4 u' Of t w cut , a AAMA ( Validatorl Operations Administrator) CERTIFICATION PROGRAM 7:117 AUTHORIZATION FOR PRODUCT CERTIFICATION IVI/1 Simonton Windows 1 Cochrane Ave. Pennsboro, WV 26415 Attn: Chuck Anderson The product described below is hereby approved for listing in the next issue of the AAMA Certified Products Directory. The approval is based on successful completion of tests, and the reporting to the Administrator of the results of tests, accompanied by related drawings, by an AAMA Accredited Laboratory. 1, The listing below will be added to the next published AAMA Certified Products Directory, SPECIFICATIONS AAMA 450000 RECORD OF PRODUCT TESTED H-R50 *53x107 AAMA 506-00 Missile Level: D CODE SERIES MODEL & MAXIMUM SIZE COMPANY AND PLANT LOCATION Rating: PRODUCT g NO. DESCRIPTION TESTED +50/ 533(107 Wind Zone: 4 _ Simonton Windows - Pennsboro, WV Rating above c.informs 07 10/07,20 Simonton Vifutdows - Paris, IL to requirements.of; SIM -1 (1/C)(O/X/X)(iG & OG) FRAME . SASH Simonton Windows •McAlester, OK AS7M E1886 SIM (INS LAM GL) 4'S' x 8'11' 4'2 and E1996 SIM (MODIF)(REINF) (11LT) (AAMA) 2. This Certification will expire February 18, 2008 and requires validation until then by continued listing in the current AAMA Certified Products Directory. 3. Structural Test & Report by: Missile Impact Test & Report by: Architectural Testing, Inc. Architectural Testing, Inc. Report No.: 05. 49739.01/57708,01 - 112 -47 Report No.: 57150,01 - 122-47 Date of Report: March 15, 2004 /July 29, 2005 Date of Report: February 21, 2006 Vaildated for Certification: • NOTE: PLEASE REVIEW, AND ADVISE ALI IMMEDIATELY IF DATA, AS SHOWN, NEEDS CORRECTION. Associated Laboratories, Inc. Date: April 10, 2006 Authorized f ertificatian: • cc: AAMA JGS /df American Arrhitar:tural Manufacturers Assneiation • Architectural Testing / 75 AAMA✓WDMA /CSA TEST REPORT Rendered to: SIMONTON WINDOWS SERIES/MODEL: 75 -75 TYPE: PVC Double Hung Window with A2 Reinforcement and Slotted Sill Summary of Results Title Test Specimen #1 Test Specimen #2 Test Specimen #3 Rating H -LC25 1422 x 2134 H -LC35 1321 x 1803 H -LC50 914 x 1880 (56 x 84) (52 x 71) (36 x 74) Operating Force 120 N (271b) N/A N/A Air Infiltration 0.46 L /s /m 0.09 cfin/ft N/A N/A Water Resistance Test Pressure 179 Pa (3.75 psf) 251 Pa (5.25 psf) 359 Pa (7.5 psf) Uniform Load Deflection Test Pressure ±1196 Pa ( ±25.0 psf) ±1675 Pa ( ±35.0 psf) ±2393 Pa ( ±50.0 psf) Uniform Load Structural Test Pressure ±1794 Pa ( ±37.5 psf) ±2512 Pa ( ±52.5 psf) ±3589 Pa ( ±75.0 psf) Forced Entry Resistance Grade 10 N/A N/A Reference should be made to ATI Report Identification No. 60506.02 - 501 -47, dated 12/30/05 for complete test specimen description and data. 130 Derry Court York, PA 17402 -9405 phone: 717 - 764 -7700 fax: 717 - 764 -4129 www.archtest.com Architectural Testing A MA/WWDA/CSA TEST REPORT Rendered to: SIMONTON WINDOWS One Cochran Avenue Pennsboro, West Virginia 26415 Report No.: 60506.02 - 501 -47 Test Dates: 10/11/05 And: 10/14/05 Report Date: 12/30/05 Expiration Date: 10/14/09 Project Summary: Architectural Testing, Inc. (ATI) was contracted by Simonton Windows. to witness testing on three Series/Model 75 -75, PVC single hung windows at Simonton's test facility in Pennsboro, West Virginia. The samples tested successfully met the performance requirements for the following ratings: Test Specimen #1: H -LC25 1422 x 2134 (56 x 84); Test Specimen #2: H -LC35 1321 x 1803 (52 x 71); Test Specimen #3: H -LC50 914 x 1880 (36 x 74). Test specimen description and results are reported herein. Test Specifications: The test specimens were evaluated in accordance with the following: ANSI/AAMA/NWWDA 101/LS.2 - 97, Voluntary Specifications for Aluminum, Vinyl (PVC) and Wood Windows and Glass Doors. AAMA /WDMA/CSA/101/I.S.2 /A440 -05, Standard Specification for Windows, Doors, and Unit Skylights. Test Specimen Description: Series/Model: 75 -75 Type: Poly Vinyl Chloride (PVC) Double Hung Window 130 Derry Court York, PA 17402 -9405 phone: 7 17 -764 -7700 fax: 7 17 -764 -4129 www.archtest.com wom • 60506.02 - 501 -47 Architectural Testing Page 3 of 11 Test Specimen Description: (Continued) Test Specimen #3: H -LC50 914 x 1880 (36 x 74) Overall Size: 914 mm (36 ") wide by 1880 mm (74 ") high Top Sash Size: 809 mm (31 -7/8 ") wide by 895 mm (35 -1/4 ") high Bottom Sash Size: 835 mm (32 -7/8 ") high by 902 mm (35 -1/4 ") high Full Screen Size: 806 mm (31 -3/4 ") wide by 1810 mm (71 -1/4 ") high Half Screen Size: 806 mm (31 -3/4 ") wide by 902 mm (35 -1/2 ") high Overall Area: 5.2m (18.5ft Reinforcement: (Simonton Code A2) The lock rail utilized a 22.8 mm (0.796 ") by 25.1 mm (0.989 ") by 1.5 mm (0.060 ") aluminum reinforcement, reference to Drawing No. RE0043. The exterior meeting rail utilized a 19.1 mm (0.750 ") by 12.5 mm (0.492 ") by 1.5 mm (0.060 ") aluminum reinforcement, reference to Drawing No. RE0044 The following descriptions apply tp all specimens. Finish: All vinyl was almond. Glazing Details: The sashes were glazed with 19 mm (3/4 ") thick, sealed insulating glass, fabricated from two sheets of 2.8 mm (3/32 ") thick, clear annealed glass and butyl spacer material with a "U" shaped steel substrate, single sealed. The sash were glazed from the exterior. Each insulating glass unit was set against a dual -sided adhesive tape, and secured with rigid vinyl glazing beads 60506.02 - 501 -47 Architectural Testing Page 4of11 Test Specimen Description: (Continued) Weatherstripping: Description Quantity Location 4.7 mm (0.187 ") backed by 3 Rows Sash stiles 6.1 mm (0.240 ") high polypile with fin 4.7 mm (0.187 ") backed by 1 Row Exterior meeting rail 11.4 mm (0.450 ") high polypile with fin 4.7 mm (0.187 ") backed by 1 Row Interior meeting rail 6.4 mm (0.250 ") high polypile with fin 4.7 mm (0.187 ") backed by 1 Row Lock rail 6.6 mm (0.260 ") high polypile with fm 4.7 mm (0.187 ") backed by 1 Row Lift rail 11 mm (7/16 ") high hollow vinyl bulb seal 4.7 mm (0.187 ") backed by 1 Row Lift rail 14.2 mm (9/16 ") high vinyl bulb seal 4.7 mm (0.187 ") backed by 2 Rows Top rail 7.9 mm (0.310 ") high Q -lon 4.7 mm (0.187 ") backed by 1 Row Head 1.9 mm (0.310 ") high Q -lon 4.7 mm (0.187 ") backed by 1 Row Sill 6.1 mm (0.240 ") high by polypile with fin 4.7 • „.„00iv 60506.02- 501 -47 Architectural Testing Page 5 of 11 Test Specimen Description: (Continued) Drainage: Description Quantity Location 28.6 mm (1 -1/8 ") wide by 2 Exterior face of sill, one 108 mm 6.4 mm (1/4") high weepslot (4-1/4") in from each end (with flap) 32 mm (1 -1/4 ") wide by 2 Sill /jamb intersection, one at each 12.7 mm (1/2 ") deep weepslot end (with slotted cavity plugs) 25.4 mm (1 ") wide by 2 Sill intermediate one at each end 4.7 mm (3/16 ") high weepslot 4.7 mm (3/16 ") diameter hole 4 Bottom rail and keeper rail glazing pocket, one at each end Frame Construction: The PVC frame was constructed using mitered and welded corner construction. Sash Construction: The PVC sash was assembled• using mitered and welded corner construction. Screen Construction: The screen was constructed from formed aluminum. The corners were square -cut and secured with plastic corner keys. Fiber mesh screen cloth was held -in -place with a flexible spline. Hardware: Description Quantity Location Metal lock and keeper 2 Lock rail, one 8" in from ends, new FER lock mating keepers on the fixed rail Constant force 2 One per jamb balance system Plastic sash tilt latch 2 Lock rail, one at each end Cast metal sash tilt pin 2 Bottom rail, one at each end Atk 60506.02- 501 -47 Architectural Testing Page 6of11 Test Specimen Description: (Continued) Installation: The unit was installed in a installed in a wood buck constructed of Spruce- Pine -Fir construction lumber and secured with two #8 x 63.5 mm (2 -1/2 ") fasteners per jamb. A nominal 4.7 mm (3/16 ") gap was maintained between the window and wooden buck. Silicone sealant was used between the exterior perimeter and wood buck. Test Results: The results are tabulated as follows: Paragraph Title of Test - Test Method Results Allowed Test Specimen #1: HLC25 1422 x 2134 (56 x 84) 2.2.1.6.1 Operating Force 5.3.1.1 Lower sash Open Breakaway 93 N (21 lbs) 178 N (40.0 lbs) Maintain motion 107 N (24 lbs) 133 N (30.O lbs) Close Breakaway 71 N (16 lbs) 178 N (40.O lbs) Maintain motion 71 N (16 lbs) 133 N (30.0 lbs) Lock Open 13 N (3 lbs) 100 N (22.5 lbs) Close 13 N (3 lbs) 100 N (22.5 lbs) Latches Open 4.4 N (1 lb) 100 N (22.5 lbs) Close 4.4 N (1 lb) 100 N (22.5 lbs) 2.1.2 Air Infiltration per ASTM E 283 1.57 psf (25 mph) 0.46 L /s /m 1.5 L /s /m 0.09 cfm /ft 0.30 cfm /ft max. Note #1: The tested specimen meets (or exceeds) the performance levels specified in ANSI/AAMA/NWWDA 101 /1. S. -97, 101 /I.S.2/NAFS -02, AAMA /WDMA/CSA 101 /I.S.2 /A440- O5 for air infiltration. 60506.02- 501 -47 Architectural Testing Page 7of11 Test Results: (Continued) Paragraph Title of Test - Test Method Results Allowed Test Specimen #1: HLC25 1422 x 2134 (56 x 84) (Continued) 2.1.3 Water Resistance per ASTM E 547 (with and without screens) 179 Pa (3.75 psf) See Note #2 No leakage Note #2: The client opted to begin at a pressure higher than the minimum required. Those results are listed under "Optional Performance ". 2.1.4.1 Uniform Load Deflection per ASTM E 330 5.3.4.2 (Deflections reported were taken on the fixed meeting rail) (Loads were held for 52 seconds) 1196 Pa (25.0 psf) (positive) 28.4 mm (1.12 ") See Note #3 1196 Pa (25.0 psf) (negative) 23.3 mm (0.92 ") See Note #3 Note #3: The Uniform Load Deflection test is not a requirement of ANSI /AAMA /NWWDA 101/I.S.2 -97, or AAMA /WDMA /CSA 101 /I.S.2/A440 -05 for this product designation. The deflection data is recorded in this report for special code compliance and information only. 2.1.4.2 Uniform Load Structural per ASTM E 330 (Permanent sets reported were taken on,the fixed meeting rail) (Loads were held for 10 seconds) 1794 Pa (37.5 psf) (positive) 2.3 mm (0.09 ") 5.3 mm (0.21") max. 1794 Pa (37.5 psf) (negative) 3.0 mm (0.12 ") 5.3 mm (0.21") max. Alk 60506.02- 501 -47 Architectural Testing Page 8 of 11 Test Results: (Continued) Paragraph Title of Test - Test Method Results Allowed Test Specimen #1: HLC25 1422 x 2134 (56 x 84) (Continued) 2.2.1.6.2 Deglazing Test per ASTM E 987 In operating direction at 70 lbs Bottom rail 0.10" 0.500" Meeting rail 0.10" 0.500" In remaining direction at 50 lbs Left stile 0.06" - 0.500" Right stile 0.06" 0.500" 2.1.7 Welded Corner Test Meets as stated Meets as stated 2.1.8 Forced Entry Resistance per ASTM F 588 5.3.5 Type: A Grade: 10 Disassembly No entry No entry Tests Al through A5 No entry No entry Test A7 No entry No entry Hand & Tool Manipulation No entry No entry 60506.02- 501 -47 Architectural Testing Page 9of11 Test Results: (Continued) Paragraph Title of Test - Test Method Results Allowed Test Specimen #2: H -LC35 1321 x 1803 (52 x 71) Optional Performance 4.3 Water Resistance Test per ASTM E 547 (with and without screens) 251 Pa (5.25 psf) No Leakage No Leakage 4.4.1 Uniform Load Deflection per ASTM E 330 5.3.4.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 1675 Pa (35.0 psf) (positive) 23.6 mm (0.93 ") See Note #3 1675 Pa (35.0 psf) (negative) 24.3 mm (0.96 ") See Note #3 4.4.2 Uniform Load Structural per ASTM E 330 5.3.4.3 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 2512 Pa (52.5 psf) (positive) 3.0 mm (0.12 ") 4.9 mm (0.192 ") max. 2512 Pa (52.5 psf) (negative) 2.8 mm (0.11") 4.9 mm (0.192 ") max. Test Specimen #3: H -LC50 914 x 1880 (36 x 74) ' Optional Performance 4.3 Water Resistance Test per ASTM E 547 (with and without screens) 359 Pa (7.5 psf) No Leakage No Leakage 4.4.1 Uniform Load Deflection per ASTM E 330 5.3.4.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 2393 Pa (50.0 psf) (positive) 6.9 mm (0.27 ") See Note #3 2393 Pa (50.0 psf) (negative) 6.4 mm (0.25 ") See Note #3 4.4.2 Uniform Load Structural per ASTM E 330 5.3.4.3 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 3589 Pa (75.0 psf) (positive) 0.8 mm (0.03 ") r 3.3 mm (0.13 ") max. 3589 Pa (75.0 psf) (negative) 1.3 mm (0.05 ") 3.3 mm (0.13 ") max. Agik 60506.02-501-47 Architectural Testing Page l0 of 11 Detailed drawings, representative samples of the test specimen, and a copy of this report will be retained by ATI for a period of four years from the original test date. The results herein were secured by using the designated test methods and they indicate compliance with the performance requirements of the referenced specification. This report does not constitute certification of this product, which may only be granted by the certification program administrator. This report may not be reproduced, except in full, without approval of Architectural Testing, Inc. For ARCHITECTURAL TESTING, INC: \, • Digitally Signed by Michael Clay Digitally Signed by: Michael L Maciceretti Michael Clay Michael L. Mackereth Regional Project Manager Director - Operations MC:jld Alk 60506.02 Architectural Testing Page 11 of 11 Revision Log Rev. # Date Page(s) Revision(s) 0 12/30/05 N/A Original report issue. • it ' 71 MAX OVERALL FRAME HEIGHT I I 1 I © ._ O • p o E E x += n XIX En v) A sm ?;n+ p . mo o ° ° a o m 3 Zr N m 1 E m x F F S O O ° 3 m ?5. A D a N '° c C ZEE 3 Z m S � .� o x o. 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A 800 Seminole Road Atlantic Beach, Florida 32233 -5445 Or- ! /01( Phone (904) 247 -5826 • Fax (904) 247 -5845 E -mail: building- dept @coab.us 5 City web -site: http: / /www.coab.us Date routed: // // APPLICATION REVIEW AND TRACKING FORM Property Address: /6 75 , C . s S r Department review required Ye7' No uilding t/ Applicant: i/ /mft ✓ A% h rG mg & Zoning Public Works Project: Woibrcio Public Utilities /P rc T Public Safety Fire Services 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: APP (CATION STATUS Reviewing Department First Review: 1,114Approved. ❑Denied. (Circle one.) Comments: ("BUILDING PLANNING & ZONING PUBLIC WORKS Reviewed by: tL Date: 9 °y5 PUBLIC UTILITIES Second Review: Approved as revised. ['Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ['Approved as revised. [Denied. Comments: Reviewed by: Date: