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Permit Windows 1800 Live Oak Lane 2011 j liq ■ \ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ° = ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00003021 Date 12/21/11 Property Address 1800 LIVE OAK LN Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 12429 Application desc replace 11 windows Owner Contractor METZLER, CHARLES MIRACLE WINDOW AND SUNROOMS 1800 LIVE OAK LANE INC ATLANTIC BEACH FL 32233 8933 WESTERN WAY # 11 JACKSONVILLE FL 32256 (904) 367 -1797 Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 115.00 Plan Check Fee . . 57.50 Issue Date . . . Valuation . . . . 12429 Expiration Date . 6/18/12 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 115.00 115.00 .00 .00 Plan Check Total 57.50 57.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 176.50 176.50 .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 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 1 SOD Live. (90K l,, O r c Permit Number: /1 30 Legal Description 3(n °59 [�9 _ ar e � ✓ � f, tT �1O L OT V? / 3 /K C3 / Ioor Area o q t r na arcel # F t Valuation of Work $ ig, g Proposed Work heated /cooled n heated /cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa iniow/door..„) Use of existing /proposed structure(s) (circle one): Commercial identia If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # • For multiple products use pro uct approva orm Describe in detail the type of work to be performed: g t , f) )(la( r 11 01 net 5 , _ z e �o /' Si�.� J Property l Owner Information: / Name: /h a t- leS (e2-/{t - Address: . -! 1 y ' 11 . , :. rsfi..,, a City 4 /c1� jj F( "iC., - State aa:233 Phone ghlri S' ', . _ l. E -Mail or Fax # (Optional) • d 1 U iff Lill , Contractor Information: Company Name: 1 Qualifying 1 y 4"'"'" - p Y � 1 r (,k(" � E , �1►'Y�1� � ualifying Agent: l � 1(�l'ti'1 �� / Address: sq 3 � cti -mil City ., ) C J<,C vj PC State Ft r Zip ,3� a Office Phone OLO - .3 Job Site/ Contact - i , - hiiifilliol f 3 - State Certification/Registration # 6o_ j i L/-ig , RF.VWWF.D FOR CODE COM ' f Architect Name & Phone # um . w Engineer's Name & Phone # _ . _ Fee Simple Title Holder Name and Address ; - 1 _ No Bonding Company Name and Address IMIIMMIIIIMPIEMINIMIIIIPIIIIIi Mortgage Lender Name and Address REVIEWED BY: / DATE: /ac '6• i Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation 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 null 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 after work is commenced. / understand that separate permits must be secured for ElectricalWork, 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. I hereby certify that 1 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 /9 / ' it ' Signature of Contractor Print Name L • `Q I E- e k,-- .-?-k-, { Print Name - 1 - hp rn ct S L b 1 f C.- Sworn to and subscribed before me Sworn to and subscribed before me this i' , Day of at. C - I m h i r ✓ ' , 20 1 1 this • 1 of ► .Q, rn. b P./Y , 20 I I Notary Public " TRACY S. YOST N o tw y Pu s ' " s - = Comm fission # DD 843798 " • , i 22, 201 I 22, 2013 Mardi • �� 80046540% . � RX ! 1 8063867019 B on ded Thu Troy Fain Immo, R : Doc # 2011270447, OR BK 157 98 Page 777, Number Pages: 1, Recorded 12/15/2011 at 03:18 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 Permit No. - i Jot)/ --..._ __.._ Tax i (•30., NOTICE OF COMMENCEMENT State of t- f County of 'I he undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 7 13, Florida Statutes, the following information is provided in this Notice of C;ommencernent. 1, Description of property: (legal deuriptirr. of the ramerl'c and street addae•s if available.) 2. General description of improvement 3. Owner information: a. Name and address: • b. interest in property: c. Name and address of fee simple titleholder or Whet thar 4. Contractor: a. Contractor name and address: l; , b. Contractor's phone number: I P. 5. Surety a. Surety name and address: b. Phone number: c. Amount of bond: 6. Lender: a. Lender's name and address: h. Lender's phone nurnber: 7. a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713,13(1)(a17., Florida Statutes: (name and address) . h. Phone numbers of designated persons: 8. a. In addition to himself or herself, Owner designates _ _ of ..- to receive a copy of the Lienar's Notice as provided in Section 713_73(1)(b), Florida Statutes. b. Phone number cf person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year trorn 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 INSPELiION. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. — '- - - -- ) 1 (sitimture of Owner or , Owrrt s A,.tnpi.sed Orf Icer • birector!!'ari.ner1Mandger) fSttYnazotysTtTlc /OE`:icr The foregoing instrument was acknowledged before me this day of '__ - -. rY (year) (name of 001_0f1) as (tie a(a utb(r lt y fle•3• ofitcet, ulster, atwr nEy in act) Giaire of pa nn behalf of +tiitom insh'urneal was executed) t '; .,,rvx sou ,,,w'.au,,._,,.,. r�.ai, =e,:I A nM t ti (5i TRACY "a YOST Ea. gitature of Notary Public • Stitt or Hot iAa1. ommissi n D[) t3 3 /L" � C o OR Produced identificaon - -_.__ Expires Nlar'h 2c 201 l; Personally Known .. `=?. Type of identification Produced _ .__. - -_ —_ _-- , ,. Verification pursuant to Section 92.57.5, Florida Statutes. Under penalties of perjury I dectare that. 1 hVA read the foregoing and that the facts stated in it are true to the best of my knowledge aud belief. f ' ' of Natural Person Strnjf+' above, • ..'"-:. .,,`"',,, -•'',....,:,",',..,,, vpilt.. „ii , I P roject i)agram Sheet 1 ,4,- . ; , Project Namk st 7e, i. ..!: )', ' ' Rep Narne r \ • , . i • . : 4 L.:. :: • ri "... . -.', ''' • • ,, — • t ., . , , . — . -.• I . . _ : ; • . i " 4 . ' . ', : ... • , , ... a..,,.. ... 4 •• 4 .... 4. „ ..... „ . . .. i' + , 4 • .i. . i - 4 t. • 4 " i ..5 I .- . .. ,,, . .. : -1. „ ... ..... „ .., . — . . , ..:, . . 4 ".. . . .: „. : .... .". .... • 1 '• .. ; ... : . '... -,' ? . . : .. .Z. . c. ..... , ; .. ..„. ... ; . . ‘. .i. , . : ..„ 1 . . .' . . , . ... . . + • ' . . - ' " . 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Application Detail Fk # FL -RO Application Type New Code Version 2007 Application Status r , Approved Comments Archived Product Manufacturer Regency Plus Incorporated Address /Phone /Email 2000 Locust Gap Highway Mount Carmel, PA 17851 (570) 339 -3374 joek@window-pros.info Authorized Signature Joe Korzeniecki joekawlnd ow -pros, info Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency National Accreditation & Management Institute, Validated By Rene J.Quiroga, PE 4'` Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) Standar4 Year AAMA /NW WDAI O1/I.S.2 -97 1997 TAS 201 1994 TAS 202 1994 TAS 203 1994 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 09/15/2008 htt p ://fl o ri dabuilding.org/pr/pr_app_dtl.aspx?param----wGEVXQ wtDq v8.1y qqZ 9 WuED... 18- May -2010 r Florida Building Code Online Page 2 of 2 Date Validated 11/06/2008 Date Pending FBC Approval 12/17/2008 Date Approved 02/03/2009 Date Revised 12/22/2009 E Summary of Products FL # Node' f Number or Name Description f 11413.1 Series 2000 i Series 2000 Non Im•act Double Hun. Window r f Limits of Use _:. Certification Agency Certificate i Approved for use in HVHZ: No IQualtty Assurance Contract Expiration Date pp oved for use outside HVHZ: Yes j 12/31/2011 e Impact Resistant: No installation Instructions i Design Pressure: +41 , t I Ft . _II . -- .2944- .DH,Psif R Othe • Verified By: Paul E. Winter 22693 Created by Independent Third Party: Yes Evaluation Reports 1 ---- ; Created by Independent Third Party: t l 11413.2 Series 5305 ',Series 5305 Impact Double Hung Window I Limits of Use Certification Agency Certificate Approved for use In HVHZ: No K114.13 C 13._.80 4 C.A tu0Q6382 pdf Approved for use outside HVHZ: Yes • uali Assurance Contract Expiration Date Impact Resistant: Yes 1.2/3112011 Design Pressure: +55/ -55 nstettation Instructions Other: F1 1.4 la . R4 ,II_ 5.3051 1111.pdf Verified By: Charles A. Pagen 49121 t ; Created by Independent Third Party: Yes { Evaluation Reports 'Created by Independent Third Party: Ii r Department of Communfy Affairs Florida auddfnp Coda Online Codes and Standords 2555 Shumard Oak Boulevard Tallahassee, Florida 32399.2100 (8501 487-1824, Fax (850) 414 -8436 (Q 2000-2010 The State or Florida. AN rights reserved PriVaLY. ..Statement 14omcisiht-Statemeni I AcossipUityStatelewlt I .FitigLiit *szltteare I CautQtnec.SerxicASurxsx I Czntasti Us Product Approval Accepts: http :! /lloridabu.ilding.org /pr /pr app_ dtl. aspx? paraln— wOEVXQwtDgv8JyggZ9WuED._. 18- May -2010 NOTICE OF PRODUCT CERTIFICATION CERTIFICATION NO: N1006382 DATE: 01/13/06 CERTIFICATION PROGRAM: Structural COMPANY: Regency CODE: R- 750-1 The "Notice of Product Certification" is valid only when Administrator's Seal is applied to the upper left hand portion of this form and a certification label is applied to the product. This certification seat represents product conformity to the applicable specification and that all certification criteria has been satisfied. The product described below is approved for listing in the Directory of Certified Products at www.NAA41Certification,corn. Please review, and advise NAMI immediately if data, as shown, requires corrections. COMPANY NAME AND ADDRESS PRODUCT DESCRIPTION Regency Plus, Inc. Series "5305" Tilt Vinyl 1024 Locust Gap Highway Double Hung Window Mt. Carmel, PA 17851 Configuration: X%X Glazing: SIG -118" TempGl/L.aminate- I /8 "AnQlass/0.090 PV0/ I /8 "AnGlass Overall: W -4'5" H -6'5" Sash: W -4'2" H -3'1" SPECIFICATION PRODUCT RATING TAS 201/202/203 -94 Design Pressure: +55/ -55 ASTM F588 -04 FER Passed Level 10 Glass Complies to ASTM E1300 -02 Large Missile Impact Rated Product Tested By: National Certified Testing Laboratories Report No: NCTL -110- 9867 -1 (Structural/Impa Expiration Date: Noventber 30, 2009 Administrator's Signature: NATIONAL ACCREDITATION AND MANAGEMENT INSTITUTE, INC. 11870 Merchants Walk Suite 202 Newport News, VA 23606 TEL: (757) 594 -8658 FAX: (757) 594 -8659 4 - m _ I _ ii ' ! I 1 1 1 1 111 4 ~ 1 1 1 1 1 1 11 1 111 qhq fl A gill 4 f . ig op iq .fr §Infi 'Tr 1 si ; 1 J ig 4 qi Np pi g Ni41 3N f. 41 41 i m T 2 O If 15 11 d Iglil; 11 Pli lif ipi -4 1 1 itIl 1 ill! ! pot $ 4 V 6 R I I11Ml:lb N� ids l w q IN it i x 8 1 14 I i i in last la liy A x it 111 € Ni iii €i i 4 q s i 3 t i - 11 1 i w 1 - $ m ' 4 a - i i 4 ' A nit - 1 1 1 1 1 . i iiir i I ij iij f © r i 1; 1 Cr m ' i 1 if t r Pi ' A R A z A z t 3 s a q 9, — V:r 4 t f arn."7 ' : ,� 1 IA p 5 i I c°—.1 1 li 1_ 11 aHI 11 L 41 i • III pgojOR IN1E-073 .24 lllOE►ICY VUM, G. 1111.1.1.111.1111 1111.1.1.111.1111 cn ti 4:7 , 1T.0. 1027C?C 87pAPNKi Fbr : P.E. "I 'C�ENERA� MD =tom DOUBLE a ANCHOR Lvov HUNG WIN /1 2 n.....o TO,I. .:= I""' . L /11•11111=■ ; . .., .., , ;,„ ._ , 1 ; ---11 i 2 1/ l 4 1 1 111 P,711 2 1 iIi Mi , 14 A 1 !.% 01 ' i r: : i I'l hill IT.{4... - -.....,i-- -.4.is 4 t , 11 11 rk 4 i ir p I . tp: r ,.,_ P wl lA F.. NI II A 1 1 il 1 it A 1/ i 1 4E ' ' 1 1 . ti w 'il 1 iii At PR08t? #306- 072121 REGEN PLUS, INC. barn A. 1024 LOCUST OAP HIGHWAY P. Anon, P D PTA. MT. CARMEL. PA 17861 SERIES S3015 IMPACT DOUBLE HUNG MOM ` . CONCRETE BECTpNS Ji_ ( +. mama pMinn H: Mob _— PTC. LLC & 11Ce lIUQ 1 MiiwM (It`IA.'pLM 020 , N .7.Si. ant$0000 FoOlitepa, Ford', moo nidG.YpraAihw`i.nw.sMa , X31VA 2 OF 2 A'I arrarnon i 124111 w 1 d jh 1, d i 'vg sl 1 i R, . ill ; N. ►viii i Nip:: �- ' �,� Lewin :il min yi i Ai o. ,, ..,. N ij § 1AL I g m —..... Is 1 til i I II • 1 mo------ 10$ I rte _ 4 i , .,. 1 /14 '' q 1 7 0 s i! 0 ii! sti § 1 E L.; ; 1 w i 1 PQ T /3011- 473].24 REWSNCYPLUE, WC. 11111111111 ■. chap., A, pr. vx.. 'r4�,a. '1424 LOCUST GAP HIGHWAY fl do P. fi. .91Yf MT. A DO PA7Ta51 ��-� 11111 SERf£ w0 0 0?ECTWNS C GLLAZ/NODETA PIP �..Md:....arWlw.,i. r ,'." 12 .•-3 3 OF 1 ©��® .i,;S,y City of Atlantic Beach APPLICATION NUMBER � S ; a ., ,` 4 i Building Department (To be assigned by the Building Department.) a r -; , ;) 800 Seminole Road // S '� , Atlantic Beach, Florida 32233 -5445 „ "I v Phone (904) 247 -5826 • Fax (904) 247 -5845 -- -- wil o= E -mail: building- dept @coab.us Date routed: /Z /9 // City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: O Lv D- • . ment review required Yes No Buildin • Applicant ? a 6 `6 Q/7724 • anning & Zoning Tree Administrator Project: /% // )J/ Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required 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: roved. ❑Denied. (Circle one.) Comments: 61/ w3 a rQ ; n -,Pact PPSi si ,'jT T. BUILDIN PLANNING & ZONING Reviewed by: 141 Date: /09 - 1/ TREE ADMIN. Second Review: QApproved as revised. ❑Den d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. UDenied. Comments: Reviewed by: Date: Revised 05/14/09 •