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Permit Door 1538 Linkside Dr 2011 1 ` CITY OF ATLANTIC BEACH • "' "" '° - 800 SEMINOLE ROAD J '' ', ~' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002110 Date 6/02/11 Property Address 1538 LINKSIDE DR Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 4165 Application desc REPLACE 1 DOOR Owner Contractor CALDWELL ANGELA M PELLA WINDOW AND DOOR 1538 LINKSIDE DR 8174 BAYMEADOWS WAY W ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 731 -8330 Permit WINDOW AND /OR DOOR PERMIT Additional desc . REPLACE 1 DOOR Permit Fee . . . 75.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 4165 Expiration Date . 11/29/11 Special Notes and Comments RECORDED NOTICE OF COMMENCEMENT MUST BE SUBMITTED TO BUILDING DEPT PRIOR TO 1ST INSPECTION *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 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 79.00 79.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Doc # 2011112432, OR BK 15607 Page 206, NOTICE OF COMMENCEMENT Number Pages: 1 Recorded 05/20/201 at 08 :21 AM, J I M FUL LER CIRCUIT COURT DUVAL COUNTY Permit No. RECOR DING CLERK $10.00 Tax Folio No. THE UNDERSIGNED hereby gives notice that improvements 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): 17.15 n. S• 2i4 Ssb ✓a, , t kai cL Llr► O Z a) Street (job) Address: 1 '5 S? L t v4, t1 . L - 14. I A+ l ct,v►. , e. . L, Sv 51 Z 3 3 2.General description of improvements: /Z eft 6 i / i7 oo e c , 3.Owner Information a) Name and address: A ,j 9 c.14. IM c(.. Id. to.A. 11 , 153 $ i.J kks 1 IL , A i-lciwtie. ,Rxciet.. It b) Name and address of fee simple titleholder (if other than owner) l .3 2233 c) Interest in property 4.Contractor Information a) Name and address: i t = (. >o Co. Jo mee-x —LI ',my w. ..j- ex_se,,fwc.c f'L 3 b) Telephone No.: 73 /..- Scs 3 Fax No. (Opt.) 73 7- 0 7 c 2 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 whom notices or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) 8.In addition to himself, owner designates the following person to receive a copy of the Lienor'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 PROPERTY. 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 COM ENCEMENT. STATE OF FLORIDA d,► l I I / / COUNTY OF PINELLAS 0 . � S.igna re . ' O \ • or O Au rite Officer 're /Partner /Manager Print Na / I Vl The foregoing instrument was acknowledged before me this • day of Mal , 201 1 , by A n g d £q /d w 4 // as //OM i d ahl IL (type of authority, e.g. officer, trustee, attorney in fact) for (name of party on be ; If of whom instrument was executed). Personally Known OR Produced Identification •✓ Notary Signatur� _4'1i _ _ _ -4 Ask 0.4.1.-C2- _ Type of Identification Produced • Na (prini) _ r d`c 1 a Cxt Crtgr OR Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare i• have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. ' °i JANICE S. RAVEL ; t4, '__ Commission # EE 048771 FORMS/NKrvsd2OIO c „tv,‹..1i.41 Expires January 13, 2015 Signature of Natural Person Signing (in line # 10.) Ab1i e.;;!.” Bonded Thn, Troy Fain Insurance amag5.7p19 S!.:ilp, City of Atlantic Beach APPLICATION NUMBER � 4 , Building Department (To be assigned by the Building Department.) 800 Seminole Road // 2 /1 Atlantic Beach, Florida 32233 -5445 // 1/ M Phone (904) 247 -5826 Fax (904) 247 -5845 r 3 > E -mail: building- dept @coab.us Date routed: l�/ f City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /6 Li'i,i £ De artment review required Y uildin V 9 Applicant: 73-/Itt-- ring & Zoning Tree Administrator Project: 7 el / )oe z Public Works Public Utilities Public Safety Fire Services "`�_y1r-,- �,}r����� c �y �7� li""� � li a i it E'�"'1 � , 1 ) ! d i Revrev� fee I� rli'1I� C � Dept Aignaturi q i y I) i ` iI m ti u ( II 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: APPL TION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDIN (9,. lam-' .� PLANNING & ZONING 3 ^�/ Reviewed by: /� Date: $' 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 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 1 a�i►.�tt.�ear.�,l � .1.., 2Z33 Permit Number: 1/ — 0 / 0 lob Address: 1 314 LI naksii,el 1.• �. ' Legal Description 41.0 17.2911E 5s 1114 k;stkc•ds i for 1 a i. Par # Sq.r o 0 Floor Area of Sq.Ft non- heated /cooled Valuation of Work $ / 6 5: Proposed Work heated /cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa windo door Use of existing/proposed osed structure(s) (circle one): Commercial esidentia If an existing structure, is a fire sprinkler system installed? (Circle one): o N /A Florida Product Approval # / 1 Al S9. 1 3 For multiple products use product approval form Describe in detail the type of work to be performed: g ortike c f PoE) e..... Property Owner Information: Name: A41 am of 11 Address: 1 53 g Ll k kti i t. 4 = =s .,..,,: , , � . City o •�1a A cue h. State .(Zip 3Z2.33 Phone fQ 41. renes62 - . 4. E -Mail or Fax # (Optional) FILE Contractor Information: ; - Company Name: l Q W jr taw loo c 2 C Quali fying Agent: f�ra1- / .� ;,.i Address: «(7 q/ 1301 et *Qo , j 1... tally City i -etc'S Oa c/ / mo t..- State , FG_ Zip 3 z Zf 6 Office Phone 731 -Y0 � 3 Job Site/ - 3 3 Fax # 7 -07c2 State Certification/Registration #.0 3C 12.3-Trial FU CODE 1 u ' A rchitect Name & Phone # -*� ,fig4,,„. �,;.,,��n ,,,,,,,,, Engineer's Name & Phone # 1 Ty 1 = e - – ' Fee Simple Title Holder Name and Address SEEP '4r _ ; e r r . ill '4 •U I REME NTSAND • ki! _ `1. Bonding Company Name and Address_ ilk i' , �,�� � 1 F Mortgage Lender Name and Address I i� a it�i : ": �•.. :,: DATE: 1 Application is hereby made to obtain a permit to do the wor• •. • •— ••–.. -� .. '- ,• • • • ins . • e h0s C 7 t�`c ' to the issuance of a permit and that all work will be performed to meet the standards of all laws regu ating cons ruc • ' - io This permit becb»iZ Tiult work is� if work of 1 understand that separate permits must be secured for Electrical Wo pl Plumbing, Sig a period — Welis, Po Boile time Heat s, 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. 1 hereb certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws . d 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 a hority to violate or cancel the provisions of any other federa , state, or local law regulating construction or the performance of construction. j1 A , / Signature of Own r . ' Signature of Contractor �� t ". ^ � Print Name 4 '' i�� , 1 P rint Name - - 4_ /f2 f_ i . 3 .o, •744 .4•37.0 Sw• • • and subscrib before me Sworn • . • • subsc 'bed •efore me 20 �� is _ bay of IV al , 20 11 this Da of '‘ ` Q .) _ , . -, ` . parse STAIR OP FrnRTDA Nota Public :_,.p�� "rti, , JANICE S. HAVEL Notary Public Deanna Bailey Commission # EE 048771 0 5 tip•. � =Co om mmis si ' 1A849274 ye a Expires January s i M, 2013 .!.;.,i.sv galled Thm Troy Fain Iwo= 800-385-7019 BONDED TURD ATLANTIC BONDING C0., )NC. ii'� , r\ City of Atlantic Beach Building Department „ 800 Seminole Road in ' Atlantic Beach, Florida 32233 Telephone (904) 247 -5800 . i 9'. Fax (904) 247 -5845 www.coab.us WIND -BORNE DEBRIS PROTECTION AFFIDAVIT Date: Permit #: //— ?HO Property Address: /538 1., N.1‹. I , b.. M- 1,Q.Ai��e,u ►eti, 3 2233 I understand the Florida Building Code requires replacement windows in a Wind -borne Debris Zone be impact glass or have openings provided with wind -borne debris protection. I recognize the structure involved is located in a Wind -borne Debris Zone. I am in the process of having windows replaced which require this protection but have elected not to have the required protection installed by my window contractor. I understand that before a final inspection may be approved, the required window protection must be provided. If the required window protection is not provided it will be a violation of State law and the City of Atlantic Beach may take appropriate code enforcement action which may result in fines beings made against this property. I also understand that my insurance company may not reimburse me for damages suffered due to the lack of required window protection. 5 �f ,LL! ^ I agree to have the required window protection installed on or before: ✓ (A ( S (Date) I will be using the fo)�owing material to provide the window protection: (check one) A. , � / / Plywood per the Florida Building Code B. Other approved method (Provide Florida Product Number) Nam: .f Home owner's Insuran - Company c-Gui-rattairo � � 4 ! ; 1 �� 5 3 —ZO ( l . ir► of Property Owner) (Date) (Print ame) jt a OA CL , CI STATE OF FLORIDA COUNTY OF DUVAL The foregoing instrument was acknowledged before me this 3 day of .. , 201t , by i\ 'Alt S.'_ CA. `\0.Wt.(,'t (name of person acknowledging). '"',, ti JANICE S. HAVEL !+ , / �.� , Commission # EE 048771 Signatur of Notary Public -- StSFlorida Y, �" : r;.. � .: Expires January 13, 2015 r`i„ aF rh' Bonded Thu Troy Fain Inararce 8003957019 Personally known OR Produced Identification 4.54 -013•74"147"0 fi , City of Atlantic Beach Building Department ,,.` 800 Seminole Road Atlantic Beach, Florida 32233 r Telephone (904) 247 -5800 '$ Fax (904) 247 -5845 www.coab.us WIND -BORNE DEBRIS PROTECTION AFFIDAVIT Date: Permit #: r j --d.//0 Property Address: /53 L,ia.k 1€ IA - 44.v�p�e -' + 4t 3 223 3 I understand the Florida Building Code requires replacement windows in a Wind -borne Debris Zone be impact glass or have openings provided with wind -borne debris protection. I recognize the structure involved is located in a Wind -borne Debris Zone. I am in the process of having windows replaced which require this protection but have elected not to have the required protection installed by my window contractor. I understand that before a final inspection may be approved, the required window protection must be provided. If the required window protection is not provided it will be a violation of State law and the City of Atlantic Beach may take appropriate code enforcement action which may result in fines beings made against this property. I also understand that my insurance company may not reimburse me for damages suffered due to the lack of required window protection. �'n I agree to have the required window protection installed on or before: 5 ! (�Lt! (____ (Date) I will be using the following material to provide the window protection: (check one) A. Plywood per the Florida Building Code B. Other approved method W (Provide Florida Product Number) CO CC � Nam: e f Homeowner's Insuran - Company C O • i � 1 i i S'' '1,0 ( 1 0 = 0 1 .irbu of Property Owner) (Date) .� Al # 1 0 at 6LOje/a 0 - cal (Print ■ ame) CO • ID Z ; STATE OF FLORIDA to �I COUNTY OF DUVAL � The foregoing instrument was acknowledged before me this 3 day of llVlt 20 it , by liIr 0 ' �n��l� Cj.,`�c,.�t,(~� (name of person acknowledging). X • : iii' a�.. 0 -•4,� JANICE S. RAVEL a. ...� �_....._._._ ,� ; �. = Commission # EE 048771 Signatur; of Notary Public — State o Florida : <,r r..,..- , ...:v. Exp January 13, 2015 % • • Bonded Ttuu Troy Fain Maraioe800- 3854019 Personally known OR Produced Identification REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS. 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BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search @• Product Approval 1 ,, Y : USER: Public User ommunity Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail NZ."„ AatVAIKR% FL # FL12459 ' Application Type New Code Version 2007 Application Status Approved 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 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.S.2 -97 1997 AAMA 101 /I.S.2 /NAFS -02 2002 AAMA /WDMA /CSA 101/I.S.2/A440 -05 2005 ASTM E1886 -05 2005 ASTM E1996 -05 2005 Equivalence of Product Standards Certified By http:// www. floridabuilding .org /pr /pr_app_dtl.aspx ?param= wGEVXQwtDgsj 1 XgYDJMD2... 5/17/2011 • Florida Building Code Online Page 4 of 5 Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12459 R0 C CAC CCL for Pella 6 -9 -09 (12).pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 11/12/2012 Design Pressure: +75/ -75 Installation Instructions Other: Configurations of Glass Shall Conform to current FL12459 RO II 1666.pdf ASTM E1300 standard. Verified By: Warren W. Schaefer PE 44135 Created by Independent Third Party: Yes • Evaluation Reports FL12459 RO AE 1666.pdf • • Created by Independent Third Party: Yes 12459.11 Architect Series Sliding Non- Clad French Sliding Door Operable /Fixed - Type 2 (95.5" Impact Glass Doors x 95.5 ") Limits of Use Certification Agency Certificate I. Approved for use in HVHZ: No FL12459 RO C CAC CCL for Pella 6 -9 -09 (13).pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 11/10/2012 Design Pressure: +55/ -55 Installation Instructions Other: Configurations of Glass Shall Conform to current FL12459 RO II 1666.pdf ASTM E1300 standard. Verified By: Warren W. Schaefer PE 44135 Created by Independent Third Party: Yes • Evaluation Reports FL12459 RO AE 1666.pdf Created by Independent Third Party: Yes (' 12459.12 Architect Series Sliding Non- Clad French Sliding Door Operable /Fixed - Type 2 (95.5" • Impact Glass Doors x 81.5 ") Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12459 RO C CAC CCL for Pella 6 -9 -09 (14).pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 11/10/2012 Design Pressure: +70/ -70 Installation Instructions Other: Configurations of Glass Shall Conform to current FL12459 RO II 1666.pdf ASTM E1300 standard. Verified By: Warren W. Schaefer PE 44135 Created by Independent Third Party: Yes Evaluation Reports • FL12459 RO AE 1666.pdf Created by Independent Third Party: Yes 12459.13 Architect Series Sliding Non- Clad French Sliding Door Operable /Fixed - Type 2 (71.5" Impact Glass Doors x 95.5 ") Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12459 RO C CAC CCL for Pella 6 -9 -09 (15).pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 01/15/2013 Design Pressure: +70/ -70 Installation Instructions Other: Configurations of Glass Shall Conform to current FL12459 RO II 1666.pdf ASTM E1300 standard. Verified By: Warren W. Schaefer PE 44135 Created by Independent Third Party: Yes Evaluation Reports FL12459 RO AE 1666.pdf Created by Independent Third Party: Yes • 12459.14 Architect Series Sliding Non- Clad French Sliding Door Fixed /Operable w /Fixed- Type Impact Glass Doors 3 (144" x 95.5 ") Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12459 RO C CAC CCL for Pella 6 -9 -09 (10).pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 11/14/2012 Design Pressure: +40/ -40 Installation Instructions Other: Configurations of Glass Shall Conform to current FL12459 RO II 1666.pdf ASTM E1300 standard. Verified By: Warren W. Schaefer PE 44135 Created by Independent Third Party: Yes • Evaluation Reports • FL12459 RO AE 1666.pdf • Created by Independent Third Party: Yes 12459.15 Architect Series Sliding Non- Clad French Sliding Door Fixed /Operable w/ Impact Glass Doors Operable /Fixed- Type 4 (188" x 95.5 ") Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12459 RO C CAC CCL for Pella 6 -9 -09 (11).pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 10/29/2012 Design Pressure: +20/ -20 Installation Instructions Other: Configurations of Glass Shall Conform to current FL12459 RO II 1666.pdf ASTM E1300 standard. Verified By: Warren W. Schaefer PE 44135 Created by Independent Third Party: Yes • • Evaluation Reports http : / /www. floridabui lding . org /pr /pr_app_dtl. aspx ?param =wGE V XQwtDgs j 1 XgYDJMD2... 5/1 7/2011 Florida Building Code Online Page 5 of 5 FL12459 RO AE 1666.pdf Created by Independent Third Party: Yes Back 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 I Coovriaht Statement I Accessibility Statement I Plua -in Software I Customer Service Survey I Contact Us Product Approval Accepts: 't S'i'4ti http:// www. floridabuilding .org /pr /pr_app_dtl.aspx ?param= wGEVXQwtDgsj l XgYDJMD2... 5/17/2011 ° k' 0001- 1 Z9-1 b9 C06. 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