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Permit Windows 1282 Hibiscus 2012 r �� 1 e - CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J 1.0 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000193 Date 2/28/12 Property Address 1282 HIBISCUS ST Application type description WINDOW AND /OR DOOR Property Zoning TO BE UPDATED Application valuation . . . 6300 Application desc window replacement Owner Contractor PATTEN, JAMES MIRACLE WINDOW AND SUNROOMS 1282 HIBISCUS STREET INC ATLANTIC BEACH FL 32233 8933 WESTERN WAY # 11 JACKSONVILLE FL 32256 (904) 367 -1797 - -- Structure Information 000 000 WINDOW REPLACEMENT Permit WINDOW AND /OR DOOR PERMIT Additional desc . Permit Fee . . . 85.00 Plan Check Fee . . 42.50 Issue Date . . . Valuation . . . . 6300 Expiration Date . 8/26/12 Special Notes and Comments need noc Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 85.00 85.00 .00 .00 Plan Check Total 42.50 42.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 131.50 131.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. , s ,..„--„ , ) 1 s r ( ,-_ E .. : 0 a . i --- c€)' . \----- .-,._-\ c•-•._ m T.P\ , „ , ,t1) 9,--_- t p --- _____—t - F f CITY OF ATLANTIC BEAC BUILDING OFFICE ("-,-) �� ? FEB 17 2012 . FILE COPY By r Cif► f' aoricta riu1lfaing Lode Online Page 1 of 2 i:fp}kJlo. ;�i� ' { Mffi1�FT L1K" A t ..,.. i BCIS Home Log In User Registration ; Hot Topics Sub Searth mit St Stets & Facts Publications ; FBC Staff ! BCIS Site Map ! Unks s Sear I ' K., Product Approval frr j USER: Public User Community F; Affairs S: + ` aixtiiG7.9LS2rova1 Menu > erstam L4LA.120ll43SLQS> .4CS.t!. > iSFI i aS.19. l.s;t > Application Detail SEESERSORESEVERSPEKEESI FL # FL11411 • Application Type New i•►tou 6g24*ttiut'1/* Code Version 2007 ftf VF GPTEk } Application Status Approved Atr ,* Comments c!facSdrl '' " Archived �Cs:ES�v' Product Manufacturer Regency Plus Incorporated Address /Phone /Email 1024 Locust Gap Highway Mount Carmel, PA 17851 (570) 339-3374 rich@window-pros.info Authorized Signature Rich Hine rich@window- pros.info Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Windows Subcategory Horizontal Slider Compliance Method Certification Mark or Listing Certification Agency National Accreditation & Management institute, Validated By Rene J.Quiroga, PE Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) Standard Year AAMA/ N W W DA101 /1:.5.2 -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 Date Validated 11/06/2008 http : / /floridabuilding.org /pr /pr_ app_ dtl. aspx" para1T 1= =w(EVXQwtDgv8JyggZ,9WuE01... 24 Apr - 2009 i i i i • j � QyA 1 13 Z i rn Al S �iT{� ��nj U 1 m6n mi [ r7 � l 0111 I iut :11 2 ,O N t j r 'p f { - U 8 ° i F A Mrn M Ima1 l i +� 4 j '; m f h *t gi; _ $1 Q pm��,, Iii ii 7 m b 3 .i c7 III � � r7 �' F r N )y q .,, t . !N i d OiF rili; gi gl. r 1 s r n li 1„, eNi 1. 8 4g E DE .1. — g Y € ml�x 3 .i 9TW > I I xm .3x q � � : , 5 iRt 8 A - i t il 1 i 0 S' I l il l a ; ; ij - RH g m Rlii pg i i 4 ql g l ir ipl IJI It i m lul g 6 p No Z tl 4 .14 n Pi. = lil i 4 P 41 rip vii ! i5 4 4 F� C " 4 4 t t *ilmt pi will it t 3 1 1 a p Npp p V Y A s RT y al . 1 2 I 0I i 1 X m 0 x 1 m L_ ��... _...,�...1 ...-- Pfw4E4T #308-07,24 REOflNCY Ptua, NC. t02M TOCUST OAP HIOMYAY �= Cnorx . 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SERIES 6305 IMPACT DOUBLE HUNG WINDOW 0..- wooD SECTIONS & oLAZwxs DETAIL MI Mt[t11MO M tttuw rt: 11.11. `I_. -. /.- A C B 00/150 C.OAMIEf7TS 9Y M. LAC N. , ADMH915TRATOR �� C.VpwWl9yyK.AAe CRS }� 5.165514 M 451ertn0:tS�s IV • • 1610. WA ©IIIII:=III®® 16.5 01A0. City of Atlantic Beach APPLICATION NUMBER ; Ss - 4110:ay Building Department (To be assigned by the Building Department.) ;, i 800 Seminole Road e , .0 Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 J �J,3 0` ) E -mail: building- dept @coab.us Date routed: .0? d l0/ �o� /2. City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM y Property Address: � 0 �j �S ment review required Yes No ` B uilding Applicant: 7 t/e O/» J fo - �tafining & Zoning j Tree Administrator Project: / Ct C f4AA � r G4 ) //✓�0 ((�`S Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date it r C u 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: APP CATION STATUS Reviewing Department First Review: Approved. ['Denied. (Circle one.) Comments: BUILDIN PLANNING & ZONING N, I Z. 11 —/z Reviewed by: Date: TREE ADMIN. Second Review: ['Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 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 ASA -1--1 1 hL se,U35 5T• \1C(' tY b Permit Number: 5( Legal Description n -g- g c t Etc k LDT6 I, 2- lb1 a 01 12 (?K- Parcel # Floor Area of Sq.Ft. Sq.Ft L o Valuation of Work $ �n 300 Proposed Work heated /cooled 12 00 non - heated /cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial d' esidentia If an existing structure, is a fire sprinkler system installed? (Circle one): es o N /A Florida Product Approval # I 11--11 . "a 4- 1 H L( I I . a_ For multiple products use pi approval form Describe in detail the type of work to be performed: {--e (*tee_ if Ii i° _ . 5 �1 i�C� c u) / � ► 2, c Co{ 'S Property Owner Information: Name: J O - C l-e s Pa itetm Address: 1 aga H i b i s e- & 51 - ice+ City Pv C. IlyeaC{r\ State EL, Zip 3:,)013,1 Phone CaOU)G9 Lai - 5I39 E -Mail or Fax # (Optional) Contractor Information: Company Name: ■ \ la f. V� � (\c &) 6■-)0(O( 11 Qualifying Agent: On"f U Address: 3 S � wO ( . \1 City ; jpYCKSoi�l\f 112, State et u'1 Zip 3aa5(o Office Phone OD -- 3103 gb►A Job Site/ Contact Number Fax # G33c( -3( - State Certification /Registration # C. e1 G 15 1 k 4 g Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 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. l 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. 1 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 vi o e or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor )\-- Print Name PICJ-S' / , / - I /) —C'. Print Name iP J uo , Sworn to and subsced before me Sworn to and subscribed before me this a'{rDa of t�l'VCVV, , 20 / a' this � Da of 20 0 0 Wit. . e • _g� a /14 _Mt, - - No ary Publ TRACY S. YOST '1 , tary Public TRgCY S. YOST X 4 1 - � Commission # DD 843798 , "" 84 3798 " 1 Expires March 22, 2013 i�' I • � � / 1 r113 mat J o f •^► Fa JnlMteelK6�003867019 �, , y TlpuTro/ . d� ;'k °: p FaM lmmenoo90� '7010 t '�O4 - '? g o nded TMUT m Y , pp Doc # 2012033241, OR BK 15852 Page 354, Number Pages: 1, Recorded 02/15/2012 at 01:19 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 fax Folio No.,,_. ___........__._.._...,_....._ _.._._..._.__ NOT1C :E OF COMMENCEMENT State tit ........_......,... __..._._._...__..... County of The undersigned herehy gives notice that improvement will he made to certain real property, and ire aCc:ortfence with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1 Description of property: (ie +l description ;fr the xoptctY, anti 7trrat t tr avxitatrihl e1e bra >‘ i �01�z t of � . rsir 3 .� 12.. 1 v�'s\ . 2. General dtasctipt "sort of improvement' • rcp ce, \N C \. F3Cle., — :at 1 i 1. :C� 3. C1:k'ner information: �.:1 T 1� a. Name and address: ' h.. Intewst in property: 0O 1..1 \ , . k ! c. Name 8nd addf'e of fee simple titleholder IS( other than Owner): \ C } } � , t � \y � I C . ,�. t � [At 4. Contractor: a. C name and address`.'1 ii C ! O el Q ►✓ (.� \f~•1 f") \ NI j i " h. Contractor's phone number: Q Cm '9 c: 'i . Surety a. Surety name and address: t h. Phone number: mo i c. Amount of bond: 6. Lender: a. Lender's name and address: 0 C`"ij b. Lender's phone number: 7. a. Persons within the State of Florida Florida ntted by O wn r m notices or other documents may be served as provided by Section 71.3,.1.._f t • )() ., b. Phone numbers of designated persons: to receive a Logy of the l ienor'sN provided r in Section 743 11(1)(b), t Florlda Statutes. �_ _._ _... h. Phone number of person or entity designated by owner: 9, Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified): ___.__________ OF ARE CONSIDERED IDERED IMPROPER PAYMENTS MADE NDER CHAPTER 713,E PART I,S ECTfC» 111_11, FLORIDA NOTICE TAY TES D CAN ARE Cd Rf:SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON CONSULT WITH YOUR LENDER AN BEFORE ATTORNEY FIRST BEFORE Y COMMENCING WORK OR RECORDING YOUR NOTICE OF OMMENCEMENT ‘. f5iynatc�ry's TVt4e /oftito) , e Author rP "orttwneror er' sAuthart. tir> fficerr (liret.tarlPtrtner7tAanagGIC }{ C '{4� i The tcrecjaing instrument was acknowledged before me this ..._._._ (yeari. (name of person) AV �' .. off'v:e trustee: stt rrey In rad inarne c part on hahatt or w n InstrurneL t was ettetu teadl St. se of authority, , c• .(� n ature of Notary PM • Stele }'tnr7d..11! Personalty Known _. OR Produced Identification Type of identification pr ;s TRACY S. YOST ,_,._- .__---- _....— ...- .. - - -- " 7 = Commission # DD 843798 ° , as Expires March Z2, 2013 Section 97.5 5, Florida Statutes. < ' ? 0. Sward Swars Troy Firti are 0:03854On , . Verification pursuant to .>t:a .,. Under pena ties of perjury, I declare that I have. read the forego ire t the facts stoma am t. art " - rue to the /Cs : of my knowledge and bel ef, p' i c of NaWrnl prrsor ,nkr6 n5nre