Permit 374 Magnolia Street CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001574 Date 1/27/11
Property Address . . . . . . 374 MAGNOLIA ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4150
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Application desc
FRENCH DOOR REPLACEMENT
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Owner Contractor
------------------------ ------------------------
PISCITELLI, STEVEN V. AMERICAN WINDOW PRODUCTS
2633 POWERS AVENUE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 73 1-2247
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50
Issue Date . . . . Valuation . . . . 4150
Expiration Date . . 7/26/11
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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
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total 37 . 50 37 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 116 . 50 116 . 50 . 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
1 - 1 9 Office(904) 247-5826 Fax (904) 247-5845
Job Address: qq M ol a. eej Permit Number: 41
t �
Legal Description -2C167 5w.-, -2 501?WW-Parcel# 170q 0 0 0-0
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ - Pro osed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition<LAIteratio Repair Moy.e.......Demolition pool/spa window/door
Use of existing/pro osed structure(s) (circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval #--- &7/6. /
For multiple products use procTu—et appr—ova-rTo—rm
Describe in detail the type of work to be performed: Impac,� 4ela C&wzt
,Wleh _Pcu�
Property Owner Information:
e
A
Name: Address: 07il Mac
yqb//-�L
city StateFT_Zip�� Phone ZY-7- q1:'5,Y
E-Mail or Fax#(Optional)
Contractor Information: AMERICAN WINDOW
Company Name: PRODUCTS, INC. Qualifying Agent:
2633 POWERS AVE-.
Address: City -State zi]3
-7
JUL)
Office Phone '7-yr-I #
State Certification/Registration# R
Architect Name&Phone# !!Ff 4p; :F C-OMPUANCE
,C-JFL na &Z OF rx A I
Engineer's Name&Phone# S__---.-Q= ", 0_WWO
VA t1u)-ji t IVINAL
Fee Simple Title Holder Name and Add ss A IF A NjrA so ei In n %L_
all
Bonding Company Name and Address_
Mortgage Lender Name and Address_ REVIEWED D4
AV
Application is hereby made to obtain a permit to do the work and installations as indica e certi `"7q"m`m—e n-c'-ei r pk�r 7ir_t*o�t h e
will 0
L
issuance ofa permit and that all work be performed to meet the standards all laws regulating construction in thisjurisdiction. This permit becomes null
and void If work is not commenced within six(6j months, or i(construction or rk is suspended or abandonedfor a period ofsix
work is commenced I understand that separate permits must be securedfor Electricar Work Plumbing,Signs, Wells,Pools, t��months at any time after
J urnaces,Boileis,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.
Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
Zwork will be omplied with whether ecifi-ed herein or not. The granting 9f a permit does not presume to give authority to violate or cancel the
provisions of any oth rfiederal,st r locallylaw regulating construction or the p&f6rmance of construction.
Signature of Owner Signature of Contractor
S/ .....11-0 je
Print Name s #q 11!!?& �
............
Print Name
. ....... ................................................ .......... ......................................I.......................................................
and subscribgA before me Sworn�p and subscribpA-Pefore me
Day of Van this 62V Daly of
this 20 20
4F
Notary Public Notary Public
BETTY FELDER 601P P&��
MY COMMISSION#DD 702756 10 BETTY FELDER Revised 01.26.10
MY COMMISSION#DD 702756
EXPIRES:December 7,2011 EXPIRES:December 7,2011
�410, Bonded Thru Budget Notary Sankes
";�"OF F711_11� I'OFFLd" Bonded Thru Buo Notary Saryloaa
Florida Building Code Online Page I of 2
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications F8C Staff BCIS Site Map Links Search
Product Approval
USER:Public User
Product Approval Menu>Prgduct or Application Search>Application Lis >Application Detail
FL# FL6716-Rl
Application Type Affirmation
Code Version 2007
Application Status Approved
Comments
017,171"Rdml Archived
Product Manufacturer Nan Ya Plastics Corporation USA
Address/Phone/Emall 8989 North Loop East
Houston,TX 77029
(713)674-7822 Ext 105
robertwu—usa@yahoo.com
Authorized Signature Jimmy Yang
quityang369@yahoo.com.tw
Technical Representative Robert Wu
Address/Phone/Email 8989 North Loop East
Houston,TX 77029
(713)674-7822 Ext 105
robertwu—usa@yahoo.com
Quality Assurance Representative
Address/Phone/Email
Category Exterior Doors
Subcategory Swinging Exterior Door Assemblies
Compliance Method Certification Mark or Listing
Certification Agency National Accreditation&Management Institute,
Validated By
Referenced Standard and Year(of Standard) Standard Year
AAMA/NWWDA 101/I.S.2 1997
ASTM E1886/1996 2002
ASTM E330 2002
Equivalence of Product Standards
Certified By
I affirin that there are no changes in the new Florida
Building Code which affect rny product(s) and my
pioduct(s) afe in compliance with the new Florida
Building Code.
http://www.floridabuilding.org/pr/p�_app_dtl.aspx?param=wGEVXQwtDquCetx7zzLqQ... 1/18/2011
Florida Building Code Online Page 2 of 2
Documentation from approved Evaluation or Validation Entity YLS NO N/A
Product Approval Method Method 1 Option A
Date Submitted 03/11/2009
Date Validated 03/11/2009
Date Pending FBC Approval
Date Approved 04/05/2009
Summary of Products
FL# �j�del,Number or Name Description
6716.1 IFIberglass Hinged Patio Door 9'0"x 8'0" Fiberglass Double Hinged Door Outswing
Limits of Use Certification Agency Certificate
Approved for use In HVHZ: No FL67V6 Rl__C� C&C N1006486 pdf
Approved for use outside HVHZ:Yes FL6716 R1 C CAC NIO06486A.i)df
Impact Resistant:Yes Quality Assurance Contract Expiration Date
Design Pressure: +50/-50
Other:This product meets the requirement for the Installation Instructions
State of Florida excluding the"HVHZ", Minimum Design FL6716 R1 11 instati-outswing.pd
Load for building and other structures,does not exceed Verified By: National Accreditation&Management
the design pressures listed.9'0"x 8'0"Fiberglass Double Institute,
Hinged Door Outswing, performance grade, Large Missile Created by Independent Third Party:
EImpact Rate : +50/-50. See NAMI Certification Number Evaluation Reports
NIO06486,NIO06486A for Sizes and Design Pressure Created by Independent Third Party:
ratings -
5E
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 copyright Statemen I Accessibility Statement I Pluo-in Softwa I Customer Service Sun= Contact U
Product Approval Accepts:
W FW E�E
http://www.floridabuilding.org/pr/p�_app—dtl.aspx?param=wGEVXQwtDquCetx7zzLqQ... 1/18/2011
. ......... Fiberglass
FIG.16
DISTINC Hinged Patio Doors
�Outs.ing
RG.19
"'W"Amm
cr- Oiwowmwww�
FIG.17
6 5�1—PiE INIT��—
FIG.20
-1 1 rI :
H G.18
:Mged Patio Doors-Outwing 4.,I.N�A I.[.HA�WARF
-d FW,hmg
FIG.13
FIG.31 :�o
T—kReq—d
c
R
oak FIGA
FIGAF— y--
FIG.7
ON I INIMI NG UNn
UlH I MNI IN111M FIG.6 FT��l UN-
FIG.12
FIG-5
FIGA'
A
FIG.2
777�j
. % k I
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
N is -7�
800 Seminole Road
/5
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: X7- P�A�ent review required Yes No
<-Building
Applicant: 4,L4 4-n /V/-'-P) —Ma—n—n iM-&2o n i ng
Tree Administrator
L4 Public Works
Project: 4 Public Utilities
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:
APPLICATION STATUS
Reviewing Department First Review: [2A/pproved. [—]Denied.
(Circle one.) Comments:
1�DLDIN
PLANNING &ZONING Reviewed by: Date:_z
TREE ADMIN. Second Review: FlApproved as revised. R�/enied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [:]Approved as revised. F]Denied.
Comments:
Reviewed by: Date:
Revised 06/14/09
Doc # 2011021890, OR BK 15497 Page 1955, Number Pages: 1, Recorded
01/27/2011 at 03:18 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$10.00
4 NOTICE OF COMMENCEMENT
Permit No.
State of Florida,
County of
Tbe'undersIgned hereby gives notice that Improvements will be made to,certain real pimpedy.,and In
aceordance with section 713.13 of the f9odda Statutes,the fbilowing*Information Is provided in this
N0110E OF COMMENCEMW.
C)OCJ
Legal desedption of Oroperty"(Include Street Addrem If available) L C)
'to - iS7- I(P :560—
General descAptlon of-Im vements loxeni�a Wj=- '3
Qwner
Addresej-5r& Ma1A1UAfCL
Owner's Interest In site of the Improvement
Fee Simple Title holder(If other th
N w* e
Address
Contractor AMERICAN WINDOW
1-1-1000C 15,lNe.
Address Be , R-Q Ayrz-
Surbty iArn<soNviLLE,FL 32207
Address Amount of b9nd
Any person mMng o0oan fbr the construction of the hprovements:
Name
Address
Person within the State of Florida.desIgn9tafty-oWner upon whom notices or other documents -may be
served a4 provided by Section 713,13(l)(a)7,Florida ttatutes.
Name
Address
In.addition to himself,owner debIgnates—
to receive-I copy Of the Uenor's Notice 83 provided In Sadori 713.13(1)(b),Florida Statutes.
Expk*n.date of Notice of Commencement me'expIration do is one(1)year from the date.of
reco ess differentl*date Is spedfled)
7r
.priaw
N6wy Rubber,stamp see ofthe Afft
edy o�&20_
QtFy
ame
VMGM
My COWN.04 f DD 774313*
EXPIRES:may 14,M12 -
6"'6d Thm NOW Nottry SvL,