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Permit Door 168 Sylvan 2010 If' I i \j. Nisi ,`1 CITY OF ATLANTIC BEACH A 800 SEMINOLE ROAD J ° `" X ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 10- 00001382 Date 12/08/10 Property Address 168 SYLVAN DR Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 2405 Application desc replace 1 window Owner Contractor GASTON, LOIS AMERICAN WINDOW PRODUCTS 168 SYLVAN DRIVE 2633 POWERS AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 731 -2247 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 65.00 Plan Check Fee 32.50 Issue Date Valuation . . 2405 Expiration Date . . 6/06/11 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 65.00 65.00 .00 .00 Plan Check Total 32.50 32.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 101.50 101.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION klc c e (1; CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 it) _ s ( ( Office (904) 247 -5826 Fax (904) 247-5845 Job Address: I V L � o . Permit Number: /6 3(9'0 Legal Description 2i - 2 - - 2 - c i e P 5 ' j Parcel # 1 r iOP 4 ' t t 0 Floor Area of Sq.Ft. Sq.F't Valuation of Work $ 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): ritlent1a1 Commercial i If an existing structture, s a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # 1 ©ct 2.0 . 1 For multiple products use product approval form ( Describe in detail the type of work to be performed: ( LO.c rnent 5 z -)s -Than n 76% - 1\1c wi3 p -cbvt (L Property Owner \ Information: .�,�� i Name: Lets �C �>1 ' Address: 1 8 1. 11/C �'l D Cit Af5 Statet Zip 7Za3 Phone (15 5 I y- E -Mail or Fax # (Optional) Contractor Information: AMERICAN WINDOW J Company Name: PRODUCTS, INC. Qualifying Agent: Iflt-t L Address: 26 PUwERS AVE. City State Zip J ACR50NVILLE, FL ?22n� Office Phone Job Site / Contact Number 13 - 2 F, a.x 7 l — SS State Certification/Registration # _ _ _ _ _ _ _ 4 2 t 1 REVIEWED FO CODE c;0 Architect Name &Phone # " ` LlANCl; Engineer's Name & Phone # 1 t9'1` Y V 1 : : ► 1 a . Fee Simple Title Holder Name and Addres 1 ' l U i � i 1 . , SEE PERMITS '4 ' ADDITION Bonding Company Name and Address i, , REQUIRE • • S AND CONDITIONS. .t Mortgage Lender Name and Address ; . --74.7.46v, w Application is hereby made to obtain a permit to do the work and installations as indicated. . - „- , , . A 0 • • ...o- •• -•••• - -- 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 of six _(6) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, 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 YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined thisplication 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 speci zed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. Signature of Owner�''7 Yt ' Signature of Contr ctor Print Name 1.� 13 S � Print Name - li.. �-12- Sworn to and subscx ibed before me Sword o and subscribed ib_efoxe me this Ifs ay of NOV , 20 IC this 1V Dw N coif , 20 (0 tbitt cilak 4 Li No Public v aY ta ry Public ' 4 1 :: .,BCC, BETTY FELDER 0"`..•-•, e E TTY F *� , * MY COMMISSION # DD 702756 * ;( , s * MY COMMISSION # DD 702756 Revised 01.26.10 mi EXPIRES: December 7, 2011 iri EXPIRES: December 7, 2011 jrArFOF ps, Bonded Thu Budget Notary Services r„ grf_ of F . o ° °P Bonded Thru Budget Notary Services I 1■) v‘ __ .., . ''''.... c!" •c" t _ .. . ---- "*■,.. ‘10 ,„ •Z`' Zt \ \tk t4 ... '\,..\ •k \* y s--, \ ck‘ l \"4 . 1 , It`.. -... h 4Z 1.... - . = L ....14 •SN \ -11/4..,,,. \ c.,, 4*: 4C4 Florida Building Code Online Page 1 of 2 ' BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search � Product Approval 111:7; '14 'fit m. USER: Public User Community Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail INIIIIMINIIINIOr! FL # FL10920 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 /CSA101 /rS2/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= wGEVXQwtDgvihT9G9wJlk... 11/16/2010 Florida Building Code Online Page 2 of 2 Summary of Products FL # ■odel, Number or Name Description 10920.1 1G6352 'LSO 2 lite vinyl sliding patio door Limits of Use Certification Agency Certificate Approved Z HVHZ: Yes 135CAR.pdf 0_C_CAC_6352 dp 50 Keystone 22- Approved for use outside 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 11G6352 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 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: 1 Back ( 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 1 Accessibility Statement 1 Plua -in Software I Customer Service Survey I Contact Us Product Approval Accepts: q c— ^-: u ,i,; i“ , yerr", re t 7� r s .:. rru�t j http://www.floridabuilding.org/pr/pr _ app _ dtl.aspx?param=wGEVXQwtDqvihT9G9wJlk... 11 /16/2010 t 1 � O t5x p! ,71 C y N C) rn ■ O J mm - - -o .77N i ti , i id Fr _ �� my� c. all I a • &Ai 1 i 1 r'.--r- T' _ 4 _ ii isiellaol Vimil MI s v - = .1 �1ri—v�� � mp m °R mcm * m o y =X �j y 1, � ts/f A N RC �1 w' 4 y f � o m D p\ P . . -, -7 �� D rn �N ail m ,� :- y° : m ,. — ��' x _. 111 A; v m D I l ' .n ' p n 0'TI ODV)?lNm1o,1 f�� Z V � 1 OCtn U) y a o ON�N NO _ (n co I m . p 7 3 7 7 3- o 7 J O7 FIT .. N VI V 0 ti Z -ft 0 3 0 * 7 7 O f0 :°. 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N = 0 `c 7 C 0. 7 N S 0 ? ; W T 3� iO oo .3 • o a = c o C �c y N ' ) a U0 C 7 co y _ _ / r.n 0 �0 0 (0 C a 2 a.. m m 7 o 3 0 0 fD 0 v v U' v • ? o 0 3 n O 7' F 0 0 < 7 o y 0 0 m N a N •0 y a- a 7, y / f I Z i E i° Hi '` li oo LA g K < 5 - ) MIO c,4 N) 0 n X No?2 0 � r O _ 11111111P1 W �m co I — N N > _ 5 a v :� o o n o ` -t iPLlP = y D v V) o 7 3 ` N� zo -, cn D " _ 0 0 'I .Wi N o J � O01 O a m 0 3 © X � g 0 ( ° N o N\ v _. a "0 Z , co _ a) 0 0 n X X P o 0 Qa 00 00 O o w 0 a_ _ 1 7 J 14 0..Ait r4 ., City of Atlantic Beach APPLICATION NUMBER �S Building Department (To be assigned by the Building Department.) 800 Seminole Road — /51 z_ Atlantic Beach, Florida 3 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 0 E -mail: building- dept @coab.us Date routed: 7 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 6 i J �� D rtnt review required Y.esV No p Building Applicant: Anil/ V ‘0/7)06() � 'arming & Zoning Tree Administrator Project: / ' 4J /? I ) Public Works Public Utilities Public Safety Fire Services 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: APPLICATION STATUS Reviewing Department First Review: Approved. ['Denied. (Circle one.) Comments: C BUILDIN PLANNING & ZONING Reviewed by: rt Date: /1'-1 �v 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