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Permit Windows 385 Garden 2011 r CITY OF ATLANTIC BEACH `? ) 800 SEMINOLE ROAD 01 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 r te / . 0 1 1S Application Number . . . . . 11- 00002150 Date 6/03/11 Property Address 385 GARDEN LN Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . 2700 Application desc window replacement Owner Contractor HINES WINDOW WORLD OF JACKSONVILLE 385 GARDEN LANE 8110 CYPRESS PLAZA DR #405 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 443 -7001 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 65.00 Plan Check Fee . . 32.50 Issue Date . . . Valuation . . . . 2700 Expiration Date . 11/30/11 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 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 LE Office (904) 247 -5826 Fax (904) 247 -5845 L 1 M k Job Address: .85 6 R- �rJ I! . L Permit Nu .1 er: i - g 1 Legal Description lc;' -3'/ CR -2S-2? sit V4 , j 1 # 'y c. Floor Area of Sq.Ft. Sq.Ft Valuation of Work 5 ��C© Proposed Work heated /cooled l 7 1 2 - . non - heated /cooled Class of Work (circle one): New Additio ° iteration Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial Ts d If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No efr• Florida Product Approval # 5� 0 q-Tt-Ac N QD For multiple products use product approval form r Describe in detail the type of work to be performed: (,D 0A-c l.£ c �r Property Owner Information: Name: V ' 4, - - , ae Address: 3 g5 •Oe L Ae City I_' . : 3 1 . State FLZip 22233 Phone it. -.A t` 7 - St to 7 E -Mail or Fax # Optional) Contractor Information: Company Name: iA,4 ow Paid "'f )0LC 01 Vttitif Qualifying Agent: Otrerri t`�. Address: 8k 0 t..›te55' ' a a P. • _ _ Cit Ja.cks�o'tr;,tte l State G i_. Zip SZZSc Office Phone `(o 4-• 4-43 - 1 Job 1 - • s um •e - - _ -_.__ L. 3 State Certification /Registration # L' :C -12_S !� D F 1 ' _ 1 1 0„ r n Architect Name & Phone # 1 Y III . , u . ., _ • ,: . . , "r'^ 7 - Engineer's Name & Phone # "' ' • ' or ' ' 41 __ . .: ; Ill '" I / al Fee Simple Title Holder Name and Address RE�UI; ,, ►w Bonding Company Name and Address i qi 1111 �. ' Mortgage Lender Name and Address I /o .4 . Y4 ia%'a 0 t��=� /LEI �� ;'. Application is hereby made to obtain a permit to do the work and installations as indiated. 1 certi that no wor• • • I ation has commenced prior to the 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 nub and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time afte, work is commenced. I 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. / hereby certify that / have read and examined this application 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 s•eci ied herein or not. The granting of a permit does not presurn• • •ive authority to violate or cancel the provisions of any other federal, state, or loca • regulatin: construction or the performance of construction. ■ Ili Signature of Owner , ��� `�� Signature of Contractor ,rr.1M111 1 °11 11 Print Name ,4 , c' C%e t 141 - 9s Print Name GiCti Sworn nd subscri t ed .efore me Sworn to and subscribed before me this ay of � a � - , 20 `� this _j_ Day of "Ai , 20n � Gs� - Notary Publ$ ''4 » "' GREGORY RAY Notary Public * i , , ; * MY COMMISSION 1 DD 876401 sr � o` � \ � f B pri N l a t n 20 Nowy>61lodF6 Revised 01.26.10 Commillon Nix a 12071 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. / r- / 5 Tax Folio No. ('�' -b R S 2© State of FLOe t 4 County of 0V.v To whom It may concern: • The undersigned hereby Informs you that Improvements will be made to certain 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: 3g3 -' 07 25— Z'7 $ L U p 4'L4,./,1}4 Address of property being improved: 44-1 , 67E h`, / General description of improvements: (1 fiff4 + j" Owner Address 2 3 `5" ) 1 4 ! 4 + 1 4 � C 1 vte / t `L 2_233 Owner's interest in site of the Improvement . Fee Simple Titleholder (if other than owner) • e1 Name / A ddress ` f " ` prfTe Contractor Lt) Lv1, 4l9i,J LOW (et o Tee-c-1 c L c Address $ (tt7 Pd PS S . R ec. Aa. 9DSr r4 >' PC 22,5 b(f Phone No. • • Fax No. _ • Surety Of any) Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida, 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 designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name ,Address Phone No. . Fax No. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY W ER ...tAx Signed: DATE 7 • Before me this day fv e in t County of Duval, State of F nat Persona � s�+ � y AY n FI pF TI � : �� him / herself and affrm t " e rheM C° 1�'l Mi by ar W nd accurate : Apf, 2013 Doc # "2011 1990, OR BK '15606 Page 1294, 4'14 de Bonded Thru Budget Notary Unic a Number Pages: 1 Recorded 05;19120'11 at 02:11 FIVt, JIM FULLER CLERK CIRCUIT COURT DUVA! COUNTY Notary Pu is o t t e La e, tale of County of M commis lo a s: RECORDING $10.00 Per re Personally n > ! or Produced Identification ,,� ' �7 TM f iii 8 6 110 Cypress Plaza Drive, Ste. 405 1 � , FL STATE Jacksonville, FL 32256 ' 904 443 -7001 � 888 License # ( ) WI! ��`� - CBC 1250321 Fax (904) 443 -7778 ` L_"""�� (800) 549 -5132 � (((/// Windborne Debris Statement for Home Owner I /WE, a <<'6--el 7 ,6c5 residing at 35" f✓ ,J . , 4 7C,tci , Florida, 322__ . Do swear /affirm that we have or are responsible for providing WBD protection at the above address. We do realize that the WBD protection IS required by the State of Florida building codes, as this has been explained to us by the salesperson of Window World of Jacksonville, Inc. OR Do Swear /affirm that we have existing WBD protection that meets the State of Florida building codes, as this has been explained to us by the salesperson of Window World of Jacksonville, Inc. „),),.._, J ,..____p -. _Th ,/,--/ /1 HOMEOWNER DATE HOMEOWNER DATE POST A COPY OF RECORDED NOTICE AT JOB SITE. 1., STATE OF FLORIDA COUNTY OF Jt 1/41` , THIS INSTRUMENT WAS ACKNOWLEDGE BEFORE ME THIS day of�1 .20 l 1 Known Personally Or Identification t p11r r ro ; • •.. , / GREGORY RAY FITE Type of Identific #t y �% s , MY COMMISSION # DD 876401 !!u . �= EXPIRES: April 1, 2013 Notary Public _ �t V 41:::_ - )4 4 . o ; F,,, Bonded Thru Budget Notary Senices V V V 's- ' (N Nota t p or rinte) (Commission Number and Expiration Date) I ij I i ,l 1' 1 I1 1 , N I I 1 , j ,' ; 11 1 1 I I ,1 I1 • II 1i I 1 11 ' 1 1 1 it I 1 1 1 1 , 1 I li Ili 1 I 1 , b I1 a II ■ r 1 11 1 I 1 II ! I I I i' I 1 I 11 I ;1 1 I. I 1 1 I I I I I, 1 , 1 I II 1 1 I I Florida Building Code Online Page 1 of 3 1 a /r '�`' i i, i —104,00 ;� I � ,. v OCA H # tam IPOSIGRAMS cc cT isTA BCIS Home Log In User Registration'. Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search ; , I: Product Approval t ,.. .,:.,A; " 46 USER: Public User y aw. z Community ,, Affairs ���_ Product Approval Menu > Product or Application Search > Application List > Application Detail ti FL # FL8134 -R7 Application Type Revision Not � Mme - Code Version 2007 . Application Status Approved Y °'r? Comments Archived Product Manufacturer Alslde Window Company Address /Phone /Email 3773 State Road Cuyahoga Falls, OH 44223 (330) 922-2108 rickw @rwbidgconsultants.com Authorized Signature Marsh Fernbaugh rickw @rwbldgconsultants.com Technical Representative Marsh Fernbaugh Address /Phone /Email 3773 State Road Cuyahoga Falls, OH 44281 mfernbaugh @alside.com Quality Assurance Representative Address /Phone /Email Category Windows Subcategory Double Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer ,^ °' Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Lyndon F. Schmidt, P.E. developed the Evaluation Report Florida License PE -43409 Quality Assurance Entity Architectural Testing, Inc. Quality Assurance Contract Expiration Date 12/31/2011 Validated By Ryan 3. King, P.E. Validation Checklist - Hardcopy Received Certificate of Independence FL8134 R7 COI Certificate of Independence.odf Referenced Standard and Year (of Standard) Standard Year 101 /I.S.2 1997 AAMA /W DMA /CSA101 /I. S.2/A440 2005 Equivalence of Product Standards Certified By Sections from the Code http:/ /floridabuilding.org /pr /pr_ app_ dtl. aspx? param= wGEVXQwtDqu 1 jdteSXaTw %2fYnf... 5/31 /2011 Florida Building Code Online Page 2 of 3 Product Approval Method Method 1 Option D Date Submitted 12/15/2010 Date Validated 12/21/2010 Date Pending FBC Approval 12/25/2010 Date Approved 02/01/2011 Summary of Products FL # 1 1 Model, Number or Name Description 8134.1 ' a. Model 0201 Extruded Vinyl Double Hung Window "Non- Impact" i :. I Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R7 II INST 8134.1.odf I Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports I Other: See INST 8134.1 for Design Pressure Ratings, FL8134 R7 AE EVAL 8134.1.odf any additional use limitations, Installation Instructions Created by Independent Third Party: Yes and product particulars. 8134.2 lb. Model 0301 Extruded Vinyl Double Hung Window with Nail Fin - "Non- Impact" Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R7 II INST 8134.2.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports 1 I Other: See INST 8134.2 for Design Pressure Ratings, FL8134 R7 AE EVAL 8134.2.odf any additional use limitations, Installation Instructions ; Created by Independent Third Party: Yes and product particulars. 8134.3 lc. Model 0401 Extruded Vinyl Double Hung Window - "Non- Impact" Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R7 II INST 8134.3.1;1df Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 8134.3 for Design Pressure Ratings, FL8134 R7 AE EVAL 8134.3.odf 'any additional use limitations, Installation instructions Created by Independent Third Party: Yes and product particulars. 8134.4 id. Model 0501 Extruded Vinyl Double Hung Window - "Non- Impact" Limits of Use Installation Instructions ' Approved for use in HVHZ: No FL8134 R7 II INST 8134.4.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 8134.4 for Design Pressure Ratings, FL8134 R7 AE EVAL 8134.4.odf ;any additional use limitations, installation instructions Created by Independent Third Party: Yes and product particulars. 8134.5 le. Model 0501 HP Extruded Vinyl Double Hung Window - "Non- Impact" Limits of Use ;Installation Instructions Approved for use in HVHZ: No FL8134 R7 II INST 8134.5.odf Approved for use outside HVHZ: Yes Verifed By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports M Other: See INST 8134.5 for Design Pressure Ratings, FL8134 R7 AE EVAL 8134.5.odf any additional use limitations, installation instructions Created by Independent Third Party: Yes and product particulars. '8134.6 if. Model 0601 Extruded Vinyl Double Hung Window - "Non- Impact" Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R7 II INST 8134.6.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes i Design Pressure: N/A Evaluation Reports I Other: See INST 8134.6 for Design Pressure Ratings, FL8134 R7 AE EVAL 8134.6.odf any additional use limitations, installation instructions Created by Independent Third Party: Yes and product particulars. ! 18134.7 Og. Model 8001 Extruded Vinyl Double Hung Window - "Non- Impact" http:/ /floridabuilding.org /pr /pr_ app_ dtl. aspx? param= wGEVXQwtDqu 1 j dteSXaTw %2fYnf... 5/31 /2011 -Florida Building Code Online Page 3 of 3 Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R7 II INST 8134.7.pdf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 8134.7 for Design Pressure Ratings, I FL8134 R7 AE EVAL 8134.7.pdf ■ any additional use limitations, installation instructions Created by Independent Third Party: Yes and product particulars. 8134.8 ih. Model 9001 Extruded Vinyl Double Hung Window - "Non- Impact" Limits of Use :Installation Instructions Approved for use in HVHZ: No FL8134 R7 II INST 8134.8.odf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 8134.8 for Design Pressure Ratings, FL8134 R7 AE EVAL 8134.8.pdf any additional use limitations, Installation instructions Created by Independent Third Party: Yes and product particulars. 18134.9 I. Model "i" 201 Extruded Vinyl "Tilt' Double Hung Window - "Non - Impact" Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R7 II INST 8134.9.pdf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 8134.9 for Design Pressure Ratings, FL8134 R7 AE EVAL 8134.9.pdf any additional use limitations, Installation instructions Created by Independent Third Party: Yes and product particulars. 8134.10 0j. Model V101 Extruded Vinyl Double Hung Window with Nail Fin - "Non- Impact" Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R7 II INST 8134.10.odf Approved for use outside HVHZ: Yes ° Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 8134.10 for Design Pressure Ratings, FL8134 R7 AE EVAL 8134.10.odf any additional use limitations, installation Instructions Created by Independent Third Party: Yes and product particulars. ■ 8134.11 lk. Model V121 Extruded Vinyl Twin Double Hung Window with Integral Mullion and Nail Fin - "Non - Impact' Limits of Use Installation Instructions Approved for use in HVHZ: No FL8134 R7 II INST 8134.11.pdf Approved for use outside HVHZ: Yes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 8134.11 for Design Pressure Ratings, FL8134 R7 AE EVAL 8134.11.odf any additional use limitations, Installation instructions Created by Independent Third Party: Yes and product particulars. _ r Back . 1 I Next 1 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 C 2000 -2010 The State of Florida. All rights reserved. privacv Statement 1 Cooyriaht Statement I Accessibility Statement I Plus -In Software I Customer Service Survey 1 Contact Us Product Approval Accepts: . .urit MEI RI( Creel "at Rr t http : / /floridabuilding.org /pr /pr_ app_ dtl. aspx? param= wGEVXQwtDqu 1 j dteSXaTw%2f Ynf... 5/31 /2011