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
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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
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( 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