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Permit Window 471 Aquatic 2011 s 0 NT ,NI:s\ a,,t CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1 - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002173 Date 6/13/11 Property Address 417 AQUATIC DR Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 1458 Application desc 1 WINDOW REPLACEMENT Owner Contractor MATREGRANO, RAYMOND AMERICAN WINDOW PRODUCTS 417 AQUATIC DRIVE 2633 POWERS AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 731 -2247 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee 60.00 Plan Check Fee . . 30.00 Issue Date . . . Valuation . . . . 1458 Expiration Date . 12/10/11 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 60.00 60.00 .00 .00 Plan Check Total 30.00 30.00 .00 .00 Other Fee Total 4.00 4.00 .00 . Grand Total 94.00 94.00 .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 // - 30 Job Address: `t1 / o 1 u � & Die . Permit Number: //? / 7 3 en Legal Description 38- a$ - 25 - . i e uctl c G el # /7 / 8 18- 52 g Floor Area of u Sq.Ft. Sq.Ft Valuation of Work $ / ' / — Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition iteration ` Repair Mo emolition pool /spa window /door Use of existing/proposed structures (circle one): Commercial If an existing s structure, is a fire s rin er system installed? (Circle one): Yes No N /A Florida Product Approval # 7'3. 2 For multiple products use product approval form Describe in detail the type of work to be performed: 1 £ exC;t �? / t /u s Qee ixdiCcii sh el2. - 4 iu$D Sivacei la plax_x_ Property Owner Information: / ,,.� Name: j 4/flt 77 c � i7v / Address: «'7 ,4Q ia- �' De • City AO State R Zip 3Z2 Phone g •3 ?- Q20 ''' z,_ E -Mail or Fax # (Optional) Contractor Information: AMERICAN WINDOW , n 203 POWERS �i4 t t ` Cii, Company Name: �3 POWERS ERS AVE. Qualifying Agent: _1 Address: JACKSONVILLE, FL ;5; �• 7 City State Zip Office Phones l — 224 Jo. ` - - - _ - 751-S? 2_4- State Certification/Registration # Imo! 7;., i • • • . • . . Architect Name & Phone # • . .� A_� ' - [�l li �I:[�10 ! . , L µ Engineer's Name & Phone # 1 �r ' r y � 4' 11 ]�lYll[ � )r, 1 Fee Simple Title Holder Name and Address ; • ��,.. •___ .ur1�1�J�nl��[�J��`I • � t� Bonding Company Name and Address riallE 3 N H,H ,1 Mortgage Lender Name and Address C" ' rT:1 ' JPENV NIMI E4 WA ' ' iiiii. Application is hereby made to obtain a permit to do the wor an. anstaTThflons as indicated. 1 ?er7iY7hh• • ••.T • • :tton' as com"r nWV4.r " 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) months, or if construction or work is suspended or abandoned for a_perrod 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. 1 hereby ertify that 1 have reed 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 compl • • with whether s•ec' ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other fed' • state, or local aw egulating construction or the performance of construction. Signature of 0 .er . IL. !u-- £- Signature of Contractor - �"e--""-- Print Name 1 t ; a l - 1 A Print Name Aeo- 1►...1 6�- w i .. ' Sword} to and subspr.i • ed before me Sworn to and subscr • ed before me t this / I ay of M. , 20 this 1l D o f a � .. , 20 erid ..: ' 4 i I Notary Public ,o Yw P BETTY FELDER Notary; . BEM( FELDER *Z _ 1 -- * MY COMMISSION # DD 702756 *t I , * MY COMMISSION # DD 7027i6 ev i sed 01.26.10 4 i " EXPIRES: December 7, 2011 n EXPIRES: December 7, 2 Nf iteop F∎Se Bonded Thru Budget Notary Services Nr ireome Bonded Thru Budget Notary Services ->x h I � J ' Florida Building Code Online Page 1 of 2 D BCIS Home Log In User Registration Hot Topics Submit Surcharge Stets & Facts Publications FBC Staff BCIS Site Map Links Search ' ' ' il ' ''' gli *,,41 II Product Approval i f ' tAl ....L.,,,A r, USER: Public User w Community Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL748 -R1 Application Type Revision 41' ,S11.0ilOgift=. Code Version 2004 ' j 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 Windows Subcategory Horizontal Slider Compliance Method Certification Mark or Listing Certification Agency Keystone Certifications, Inc. Validated By Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA /WDMA 101 /I.S. 2 -97 2004 Equivalence of Product Standards Certified By Sections from the Code 1703.5 *1714.5.2.1 *17 Product Approval Method Method 1 Option A Date Submitted 10/14/2005 Date Validated 11/30/2005 http://www.floridabuilding.org/pr/pr _ app _ dtl . aspx ?param =wGE V X QwtDgtb2NRJh8 3 b9Q0... 6/2/2011 Florida Building Code Online Page 2 of 2 Date Pending FBC Approval 11/30/2005 Date Approved 12/06/2005 Date Revised 03/20/2009 Summary of Products IFL # Model, Number or Name Description 748.1 G5352 2 -Lite lift out replacement Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- PTID 748 R1 I G5352 30 CAR.pdf Other: G5352 LC30 @69x54 PTID 748 R1 I G5352 CAR.pdf PTID 748 R1 I G5353 30 CAR.pdf PTID 748 R1 I P5352 fastener det.pdf Verified By: Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 748.2 G5353 3 -Late lift out replacement Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: G5353 R30 ©105x48 Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 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 Coovrieht Statement I Accessibility Statement I Plua -in Software 1 Customer Service Survey I Contact Us Product Approval Accepts: NE1 I I krsckl security r == a yerl5ian re t r 7rurtad http:// www. floridabuilding .org /pr /pr_app_dtl. aspx? param= wGEVXQwtDgtb2NRJh83 b9Q0... 6/2/2011 , 1 ( ---.1 IO DO I � ffill \ is II 61fiti:: • : N prii,: , r ;Ili 1 it 111 r=2 ). - .1F:ii. lig, oa, X I 1 i E L I 1 f , V i I t MI II lifil - * Oirl 1.......r _IL,. a f ,, ,:o =x rn CO g r Sf II rn 1 Z G 0 v �"t C3 I m N 0 0 N n� n tn x ox m ^ N > v ... 0 y � c0co= ON Z m o-icl _ m N x I 7C - m C . Z o -CZrO m A f * 5i 1 1111 rn E * a f D - = A .p 1 r , D D D nN D O E � a , m �y �� Z O m O� W O _ 1 I 1 1 o 0 0 3J> a moo, N =�N O lei N ND rn 0 i / 1 `''', N z rn Z � �"' � mmS LA Zx0 N 1 i � O r o _ D S N1 v r V D ` N - 1 I ,- 5 1,,1,yr)., City of Atlantic Beach APPLICATION NUMBER s . Building Department (To be assigned by the Building Department.) `� 800 Seminole Road // " 02 / 7 _ 'A r ;.- ,- Atlantic Beach, Florida 32233 -5445 :. Phone (904) 247 -5826 •Fax (904) 247 -5845 ''(.;1-01i19'/' E -mail: building- dept @coab.us Date routed: Ili/ City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property �/'7 U o ent review required Yes o p Address: B Applicant: 1 / en77 1/01 /1/ 6DOJ r'ranning & Zoning ` ` Tree Administrator Project: / /1O//2ZO&) ?fPi40. l' �T Public Works P Public Utilities Public Safety Fire Services Review fee $ : �W , `�, 61: trait .Z:1,{ . . 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: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDI G PLA 1 1 & ZONING Reviewed by: 171 Date: h -7-// TREE ADMIN. Second Review: [Approved as revised. OD ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10