Permit Front Door 1060 Seminole 2011 `' ''' CITY OF ATLANTIC BEACH
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'" �' 800 PHONE SEMINOLE L ROAD
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J ATLANTIC BEACH, FL 32233
INSPECTION INE 247 -5814
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Application Number 11- 00001988 Date 4/28/11
Property Address 1060 SEMINOLE RD
Application type description WINDOW AND /OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Application desc
replace entry door
Owner Contractor
NEVILLE, T. F. OWNER
1060 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
Permit WINDOW AND /OR DOOR PERMIT
Additional desc .
Permit Fee . . . 69.00 Plan Check Fee . . 34.50
Issue Date . . . Valuation . . • . 600
Expiration Date . 10/25/11
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 69.00 69.00 .00 .00
Plan Check Total 34.50 34.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 107.50 107.50 .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
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: %66 ! e, 12G . Permit Number: /1 /9i k'
Legal Description (n i- 7 p F t t,wt 3 Parcel # Flcvf 1.i a 27
d o Floor Area of Sq.Ft. 'q.Ft
Valuation of Work $ (20 0 Proposed Work heated /cooled I) A non - heated/cooled N ,,4
Class of Work (circle one): New Addition Alteration Repair Move Demolitio s c• s' a window /door
Use of existing /proposed structures) ) (circle one): Commercial Residential / C �'j
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No /A I U
M
Florida Product Approval # I A p LS
For multiple products use product app orm R 26 20j/
Describe in detail the type of work to be performed: ?e 1 ac e Pre, %,./4 ` h a d
Property Owner Information:
Name: 1 `, eV. /' Address: /� &a � PiLLe--Cua' /e Ed
City „ -5 v ' C- j' / , `„G State ip ? 72 33Phone ' rd '''' ''. 1i
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: .1 (�e,v. .e r 4Q S f - tc t c } 1 o� Qual ing Agent:
Address: «i ci R . J e r c l City 1,,,, .4 ' State ,I - Zip g2.233
Jffice Phone 70 Lf -2. lib X2.0 ? 5 Job Site / Contact N -- -� _ _.-. _._ - _ _ _ _ _ _ oq S-
3tate Certification/Registration # C. Q G 12 5- g b 0 - REVIEWED FOR CODE COMPLIANCE
krchitect Name & Phone ,#
Engineer's Name & Pho ; , : r , ,�, � � M 11111;11 MIN +
Fee Simple Title Holde , ';� ..- - - ,d dr ��`' ���sa:���t�Kyli�):�= �Il�ly�[�)`/��
3onding Company N .. ' e • 1. il "VIM 1- 11111111111111 - • • a a • I" . • '
Vlortgage Lender Nam '_ t d Ai .. -s 1=1 ii.
Ipplication is hereby made to • perm T. ` .. talla ons as zn•zca e.. e._. • ,r. . ∎.r' • e . . . -raced prior to the
ssuance of a permit and that all work will be performed to meet t e standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a erzod of six (6) months at any time after
vork is commenced I understand that separate permits must be secured for Electrical 'York, Plumbing, Signs, Wells, Pools, urnaces, Bo Heaters,
ranks 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
COMIVIENCEMENT.
hereby 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
ype of work will be complied with whether speci ed herein or not. The granting of a permit does not resume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construe on the pe ante f c trued n.
>ignature of Owner _' .. / , / ///,___, _ , __ Signature of Contractor CM Gs e ja
'riot Nam l t h -.. �C. , 1../e0/ lid Print Name ,(1
.� l ttu/` (.1...(c ( .e e/
;wor;I to and subs subsg-ibed me Sword t and subsc 'bed *ore me
hisfgt Day of H f kr ! , 201 / this 151 Day of �''t`� , 201/
Adigae e ‘eil-ala adizzi
dotary Public 1*OH i /.S '/CDC 7 RICHARDCOI S.I °`• -rt � ..F c i 5 tttmivtC ele
4 my MI D9 . 4
�, z D Revised 01.26.10
Fl Now>i•• at Nam Co.
tioaufdt RY
04/1912011 :4b
R R W 33uiid g Consultants, Inc.
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rs Consulting and Engineering Sietvic .-3 for the i3uitciintt itnciustry
C r+ f) 1 +x .23tt Vnh'Icn. Ft, $1 19' Fnctc.lntile %I 3,1"∎a.0089
Plor1411 Cv.rdt7c.+cr. ytf 1uti:u- ii..,vtir +r, Nb. 011
_ _ rig. dn+ t Ev*Iention Report
Repori No,: Pl. 47ti4.1 RI ,,2
Date: Sepiimt .1111. 200,1t
Product i `rvtngc)ty Extanttr 1.)o:+rs,
PnxJuct «niv- rntegory. tiwinginp,
Product Nrantc:: i7l+rtinctior, er Cilczed l"iberylacs iJnnt
I!1. w'ing r' Out awing.
"Moirintpnct"
ytenufaoturar: Nan Ytt f tnsticc Cor,cl mien
Plactprn Inc.
g Perri, 'rive Hill Rend
Livingston. r. 070,49
11110):,.; 80-779 Facsimile:9f1 -75g -001
Scopc: i hls ix rr Product Evaluation repent issued by R W Building Consulmnts, Inc. an:1 Lyuciotr f'. 9rhnsi,lt,
P,l , (':1t stem It) 0 r +99!1) for Nan 'Yn PleVat cs Corporation,, Plh;ttprd Inc. hetsrrd tin P.ule C)tiptar tiu. 99
72.070, 'rlt4hr r4 1 ci of the Ninth of I ldrida Produc.i Approval, Dartartnicttt of Cortmunity A1'felrt.
Florida fiuticiin.g Cnmmitrinn.
RU+ RttiidingC'orrs'ttlf.nntt and I..yrtdntr F. Schmidt, P,G. do not have nor will nequiru financial tntoivni
in Ole tan-irony rnantilauturing or cl siribnt'ing I.i a pnvitIct co in any other unity irntit%ncl in the
4.ppmvril prrrc s of kilt product twined herein.
prachrct has ?teen evaluated tot ure in locations adhering IN Pianos. iiuitcii,ta Code (2,:>f14/200'1
Fraltion),
`tier Drawing No. PL- 4764.1 pm:moron by R W Sul taint; Cunnnitints, Inc;, end tignzd and t+ceted by
LyvtdOrl F, Schrnidf, P,t3. (i'i., (i 43409) for specific use 1)ntti:tnetcrsv.
6.d
Lyndon r. Schmidt, P.L.
FL No. 434054
Sopiumhcr 716, 20011
R,1A • fh cic rr;4rPlnlecl !'alOeM{tri`1 G::'% • 8pnAr /8rh1'r tin tt1113. wore T3ncs; nifps rtr.'FI 4754 I RI doc
thaat 1 al
04' 19; ::011 f11: X143 313(^ BOP R -W E ALLST
Linlhhat#onsss
1. This p•rt+tlnct ',n(s been evaii ntc ntld ie it cernoii: ttoe with 11iK 2007 f Jorlde llt Udins Code
(111C) rrluirrrnptit;a Fl;cclt;ding the "Nigh Vc1 city Flurrlvatw Zone" (1-TVNZ)
2 Product ttltc.ltnrs ahhil tx 82+ liste t orrtl nrtcLad RS :chc+wti on ciortnle. , 7chrr elntuedmcht In hum
'retells" shall ht: t,n''ond' U draisinit or stucco,
3. Wltcn Itged in mete +'cr,lt,trinr wind harm debris pref.:1 ticu thie product is required to no
protected crlth m1 I,ttpart thN+ r_rrnpltr s with Scellon 1609,1 : arthc 2407
t t?r.
4. For 2,x a=tttci f nursing coltstn,setiurt, narr,:herinit Of rhesc unlit$ it12111 tx; the MtlIC tts that xliown for 2x
hook masonry cooNtrccction
5 Site conditions iltet f':•nm the dernilt! of teats cirs+wing requira fr+rthcr rsnc;itl+u:ring artelysi;:
by n.11i:+ hsed P.n4`,ll1 Cr or regiister ^d nrchitccr.
5, See drnwinF; Ft,_4754.1 far :I'rn :i i rir.slgn pre %sure lirnitritirms.
1..yndnn P. Schmittt. P F.
1"L No. 434119
soptetrtho• 30.21)O1r
it '\‘', • Ptoitcin r ciSe ^ R,31111+t7STriP'r; 7111' 11 a`'i Wurd 1 ,100 . eralp wt M r1c1Y 1, h7cA.1 II./ dor,
t/ 1 `?/ :Z11 01: 4 3 386°G71- E3394 BOB RATzE PLl_FrAR r wam.
Supporting i ocurnentq
A prow imp,
1. 1)rnwfng Nn. TIC- 4764, i 1lreprrod S+y p. Ni 13vtisting C:enstNtcrnttr, fire. (Frr Board of
I'rntlaartltional rl•+filrt tcr;; . ".r'ri Ficntc: of Atrthrrs-irat+ar> No. `?f1' 3)., +irrted :anc! sentert by Lyndon F.
`5cimlidt.1'.
f3 Tr ets Performed
1. 'testing per ANT /AAM,t NWWt A 101 /i: S,2.•9? nr I:11;1 5.1118d liy t i C Latx+rotorina and
rotrr$,ti ill teAt report rltirnly3.4 f;1'C 0' -7nr1 14i. 4..1 awl ETC O3•209. 4203 I rand sikr.ecl ay
A rt 1■1urr; r Monttrer Wind Fair? i clihf lirbur <atnry.
C' Cnlctrintiohh
1. Product e.ncltaring is 1.1. AC.s:Vrriarloc wkit fr+ttnnfhcturei'a pabli•hcrf ror:orntt•tandarions aN
a+.tbstnntinted by tested 5t,ernitt:n>4 ret. in tent rai)ort ntnnb*.rt LTC Q3 -209- 14(124. told
ETC: 03. - 209.14:tl1S,1. Adttit'iooel prtxitiot s,rci c rin;<; nn;klys!r for ir,rriinas conditions, preptred,
signed rand s +;nled by 1.yndon F. �kltrtidL i'.f.;,
2, Qt+.ak onchnr rtnelysi g ti7r fartAllf .tmditinca9, preperod, sicnt?d arm SeAleci by 1:yt+don F. Sc?rrnidt
P.l3-
11 ' 7ttwtr
t • Certificate of Participation Issued byl∎iinional =,rt slitatinn K M t,wgatttent Institute,
tcttif'ying limn Non Yn Plnstir „e CarporAt;on. Pha5tpr4 Tie ir! RIAPAIreettring products within a
tvaWy ta5tturn et, prograttr ri;n' complies with 1'iO /IEC 17020 sill f3rride :33.
Lyndon F. ScImi'lt, f E.
FL No. 43409
,it.'tatomber 30, 20176
P \A - Prn}rrrrtl'rair0 foltfertlrrn! 64!) - Rf10gnq711 7P1111 r)ne:r rippm tHe'.° 1.47rh
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t-- liVr City of Atlantic Beach / .RATION NUMB
1 +41 t Building Department (To be assign the BwldmgDe 1
r 3 s f 800 Seminole Road + <Er� �, + +
Atlantic Beach, Florida 32233 -5445 i;� - x
" � Phone (904) 247 -5826 • • Fax (904) 247 -5845 € ' r e,Fi i e ±=T� , i i +� F
- -LV i 011 E -mail: building- dept @coab.us , r Date ro f, r 44 ° � 1 7{ ,• ,• 4 .
City web -site: http: / /www.coab.us '� �'' `.
APPLICATION REVIEW AND TRACKING FORM
Property Address: ei !po t 4K / "I 4 � 44 ent review required Yes No
/� Building
Applicant: juin. 4 ie (:, Df,TJ(,(,6-/-7D/'✓ Planning & Zoning
Tree Administrator
Project: STEy e (Ivine) Public Works
Public Utilities
Public Safety
Fire Services
r1.
tee,{ .FiW 3"' 3 , ' U.'i
eviewhfee -- ..,. ,����r4laSi e': 'C'',: e• Sld„ati:� „ 4W-t 1 - �V
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: [gcproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING 7_ </
Reviewed by: Jr? Date:
TREE ADMIN. Second Review: Approved as revised. ❑De
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