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Permit Doors 855 Sailfish 2011 ` „NN CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD t),-.0 „, ; '” ATLANTIC BEACH, FL 32233 -,, INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002490 Date 8/15/11 Property Address 855 SAILFISH DR Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 1724 Application desc replace 2 entry doors Owner Contractor O'NEILL, JAMES W. LOWES HOME CENTERS INC P.O.BOX 330721 4948 TELSON PLACE ATLANTIC BEACH FL 32233 ORLANDO FL 32812 (904) 486 -4701 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee • • • • 60.00 Plan Check Fee 30.00 Issue Date . . . . Valuation . . . . 1724 Expiration Date . . 2/11/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC 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 .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. -sI `-r City of Atlantic Beach APPLICATION NUMBER S r s l Building Department (To be assigned by the Building Department.) & 800 Seminole Road Atlantic Beach, Florida 32233 -5445 /1 — i9 °- Phone (904) 247 -5826 Fax (904) 247 -5845 or It 9i. E -mail: building- dept @coab.us Date routed: 0 / t' City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: i ' 7:4r. 9epadment review required y cBuilqLng-) Applicant: m Planning & Zoning Tree Administrator J] Project: l n et c‘,/,--/- QG' es Public Works 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: proved. ❑Denied. (Circle one.) Comments: C UILDING PLANNING & ZONING Reviewed by: "rn Date: 9111/ TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 .. BUILDING PERMIT APPLICATION e _ CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: � 4?L/-l- < Permit Number. I:• // 5 Legal Description Parcel # .._ Floor Area of Sq.Ft. Sq.Ft (`Y) Valuation of Work $ /7 ? 1 Proposed Work heated /cooled non - heated /cooled ,o Class of Work (circle one): New Addition Alteration (Jr ReMove Demolition pool /spa window /door m pai Use of existing /proposed structure(s) (circle one): Commercial Residential If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: A. ifi' 2— d` 4 clevisv- . Property Owner Information: Name: / ei /C9 4 7 '4X/ ode_ Address: '..C:-( 3v #4.(4 7 . i City / '?ILT7 /C�__- /te.4 Statac -Zip 1 / Phone 7 r 1 II MI M 1I i' [ E -Mail or Fax # (Optional) ;. Contractor Information: "' _..., Company Name: l9lc i< - d'7i14` � t`= Cfrzc p Y - - Qua Agent: Address: /90 X '7 / City _ ' State #" -- " Zi �5 � Ve Office Phone "7.35'&9/ Job Site/ Contact Num 1= -- - --- -- = p State Certification /Registration # -- C_._ _ ro u '1' ; A D � : i , " 6 a i . Architect Name & Phone # , / r * , Engineer's Name & Phone # --_ ��, -' �� �., ' � 7 / ' I Fee Simple Title Holder Name and Addres�s /��I '�' TS FORADDITI� Bonding Company Name and Address /yN` 61:0 UIREM�N1S DCONDITT Mortgage Lender Name and Address Aid - na2.1111V/ 4 1 , I ��' Application is hereby made to obtain a permit to do the work and installations as indicate.. cer • .; ; 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 furls, ac ron' " . ' . ecomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a 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, Bo 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 a plication 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 specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. Signature of Owner ._, ,A ,. / ' O + / Signature of Contra( • �* Print Name �J� , -+e, /�•v /�' =.T L. C�%��//� -- Print Name / `Te . Of ,9_6) Sworn and scri • i before me Sworn to and subscrib- , I before me this y of A �4 :i" 20 // this : .y of . ,'" . - . 20 /l i Notary Public .•``�N�YPt + +4 «• .. Notary.: • e : - _� ► e = Expires 3/18/2013 . Expires 3/1812013 : • r fr id Notary oa ., '" i sed 01 .26.10 °y E� m „ � �;`' r ry Assn Inc '�iF 4� ;`` Florida Fbrida Notary Assn. , iiee ti Flor1,sla Building Code Online Page 1 of 3 t g a tr , x .��, s...,, . °"4 i . , . . a"., �, ''''' • w ` "'6` "` BC Home Log In User Registration Hot Topics Submit Surcharge ` Stats & Facts Publications FBC Staff BC1S Site Map Links Search .. Product Approval USER: Public User Community . Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL5262 -R2 Application Type Revision Code Version 2007 Application Status Approved '. Comments Archived Product Manufacturer Therma -Tru Corporation Address /Phone /Email 118 Industrial Drive Edgerton, OH 43517 (419) 298 -1740 sjasperson@tttechnologies.us Authorized Signature Steve Jasperson sjasperson @tttechnologies.us Technical Representative Address /Phone /Email 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 Ryan J. King, P.E. Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) Standard Year 101/I.S.2 1997 ASTM E1886/E1996 2002 ASTM E330 2002 TAS 201, 202, 203 1994 Equivalence of Product Standards Certified By http:// floridabuilding .org /pr /pr_app_dtl.aspx? param= wGEVXQwtDgt8ZAD2ujZOatN1GaG %2£.. 8/11/2011 Florida Building Code Online Page 1 of 4 4 '--,- .. IS Hom rxuwce • w .nareu. oc BCIS Log In User Registration Hot Topics Submit ' ' iw ,. .....�� �� .... „ �,. „n +�, , .: ^s .aar ,c3• '; . -•: • ( Product P ubmit Surcharge Stats & Publications FBC Staff BCIS Site Map Links Search Approval USER: Public User Community Affairs ' , . Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL8228 -R3 Application Type Revision Code Version 2007 Application Status Approved *Approved by DCA. Approvals by DCA shall be reviewed and ratified by the POC and /or the Commission if necessary. Comments Archived Product Manufacturer Masonite International Address /Phone /Email One North Dale Mabry Suite 950 Tampa, FL 33609 (615) 441-4258 sschreiber @masonite. com Authorized Signature Steve Schreiber sschreiber @masonite.com Technical Representative Address /Phone /Email 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 National Accreditation & Management Institute, Referenced Standard and Year (of Standard) Standard Year ASTM E1886 2002 ASTM E1996 2002 ASTM E330 2002 TAS 202 1994 Equivalence of Product Standards Certified By http : / /floridabuilding.org /pr /pr_ app_ dtl. aspx ?param= wGEVXQwtDquftCwaMPtp3T 1 BvStmX... 8/11 /2011