Permit SGD 399 Aquatic Dr 2012 (--
� i CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
,r
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
J,1 >
Application Number 12- 00000450 Date 4/19/12
Property Address 399 AQUATIC DR
Application type description WINDOW AND /OR DOOR
Property Zoning TO BE UPDATED
Application valuation . . . 1015
Application desc
REPLACE PATIO DOOR
Owner Contractor
CASELLA JEAN M LOWES HOME CENTERS INC
399 AQUATIC DR 4948 TELSON PLACE
ATLANTIC BEACH FL 322335278 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 . . . . 1015
Expiration Date . 10/16/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACII
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: a ct `i A A i t A-r i L , ✓-
Legal Description 7/ y , - Permit Number
3� Z5 --z� . � 7,
-a eel # J /e/e- Sz �
Valuation of Work $ [ ° : (¶ t
Class of Work (circle one): e
New Addition Alteration Re air ■ , : , 1 r
Use of existing /propose y
d structures ( p �� o liti on pool/spa window/ oor
( '$ k r is tp • Commercial rle � ' eside
If an existing structure, is a fire
Florida Product Approval # /64 / m 4 (Circle one): ' es No N /A
For multiple products use pr
Describe in detail the type of work to be performed: iir • ; e6t,110 , o (if_
Property Owner Information•
Name: TrUk-Ai e.AseZLA n
n , c J �.. Address: 3 ct ' 4 6Q tkik --rt L b! 1 dt�
:it g
State ._Zip 3zr 3 Phone 'lo -¢ -o14 - .) vim{
Mail or Fax # (Optional)
r2ontractor Information: ,, JJ �-
ompany Name: I-0 Lc) `s 4-mac r gal'
kddress: ?(..) Sty 7x/99,3 Q' g Agent 76
)ffice Phonic SSS 3 -3 Job Site/ Contact Numbers [°� State GG— Zip
hate C e r t i fi c a t i o n / R e g i s t r a t i o n # G G t Sr E3-11 Fax #
\rchitect Name & Phone # .4--
3,ngineer's Name & Phone # di--
ee Simple Title Holder Name and Address /At
3onding Company Name and Address ,�//�
✓Iortgage Lender Name and Address -
nu ance of a perm t and � all obtain work will do the d work and meet theta installations all s egulating construction in this j t urisdictio This permit be omes null
nd void If work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a eriod of six (6) months at any time after
'ork is commenced I understand that separate permits must be secured for Electrical Work, Plum Wells, Signs, ells, Pools, F urnaces, Bo Heaters,
'anks 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 YUR NOTICE OF
COMMENCEMENT.
hereby ertify that I have read and examined this and know the same to be true and correct. All provisions of laws and ' di . s governing this
pe of w ork will be complied with whether speci ed herein or not. The granting of a permit does not presume to give autho ' to vio to or cance the
•ovisions of a other feder , or local law regulating construction or the performance of construction.
ignature of Own er -- '�, i �- d • e �i Signature of Contacc / r 4
rint Name --- 4d S 1 - 4 4 Print Name E 1
worn to and subscribed before me
Sworn
is / / Da of and subscrib before me
Day i / , 20 /�Z , Day �'r�1G 20 1Ji
o Public (/`' . I Sand.* Valentine ,, or�.,...P ..... �. ., .o.. /
NOTARY PURL tar ublic D • � 1FZA ti. .' • -
STATE OF FLORi i • Comm# DD0871944
Po w •
. -; Comm# EE089785
1 ` (.fit I. E, ise tiO412,6.10
` �' Expires 5/15/2015 ` ` � Notary Assn., g
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� �!fl ri t �
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14/17/2 012 14:56 3524733167 KEYSTONE DOORS .5 ETC
BUILDING PE PAGE 01/15
R/MIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office ( 247 -5826 Fax (904) 247 -5845
ob Address: 3 ` t 0 Ar i • ii
` J Permit Number: / -- i t $ 0
egal Description / S' - -} :fir :,
Valuation of Work $ t 0 (S G _.
lass of Work (circle one): New Addition _ _
se of existing/proposed n Al
an existing c is s fire : ;. ' ne). Co ial e; ! .: pt;
" °Ir on :°"window / oor Ap t Cirone: • es o
n multiple products use pr r .� ^*• asr, rr n77—
escribe in detail the type of work to be perfornned:_ .1 ?-!-1411.e.#4,_ . eclotho-e_ _._....._.__._.___._.
:operty Owner Inforniation:
flue: ,, `. � LA- Address: a ct A- Q itrk-?`! t d07
ty 4 - �-- c- t ' 42.4'� Stets _Zip 3Zz.�
Mail or Fax # (Optional) p - _ Phone w - 4 V -.
untractor Information:
Name: impauy N t`.vc,v , -f-ice - - eelth Agent AI !dress: ' 10 4 7£s/ 4.3 Qualifying �` t,
C eZZ • .� Slat �� - Zi
horte ' 7 3 Job Site/ C . ' um ,'_ _ _ - P e
fi C
ertification/Registration # G 157-3 EH t l u IL 3k / I A a. I! • t - _ A , , ' ' `
ohiteet Name & Phone # 1 a ■ _
gineer's Name & Phone #
Simple Title Holder Name and Address �~•'
tiding Company Name and Address , , 1 _ - -
>rtgage Lender Name and Address l
REVIEWED BY 1_.. a -L. l l i ?-,
a
�licattan hereby made to obtain a permit to do the work acrd installations as irta ed' j C that no work j _
,ante of permit cord that all work will be to inset the standards o all lays re eommr bec. m s z s o t
nu
'void ework is not commenced within six (6) months, or if construction or work is � d or construction for this of zx d) motes att� becomes
k is commenced 1 understand duo separate permits must be secured n- Electrical WorA Plumbing, SY'gna, Wells, Pools, maces
tics and Atr Condsuons s, ere. , Bptlera, Ile , r
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMIIIENCEN ENT MAY RESULT IN YOUR PAYING TWICE FOR 111TPROVEIVIENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WTI*R
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
reby certify that 1 have read and examined this plication and knoll, the same to be true and correct All provisions of laws and . i .! ,. s governing this
of work will be complied with whether s herein or not: The granting t e a permit does not presume to give autho to vio , te or camel the
, tsfons of any other federal: slat or local law regulating construction or the performance of constructio
nature of Owner 4 - 4 - Q ! �( Signature of Con r ��,.
a Name ---/ -5 C
.,..- .............---- ,_.._.,_........�.._--- - - - - -- -- _- ......_ .._..._........... Print Name -i ' C�
Jra to and subscribed before me Sworn. z : . subscrib .before me
/ / Day of I ' / . 20 / _ .. -: / 12' 1 / f 1. %r / • ../-1 , e Da y • 20
r
•
Publ i, . w - -
NOTARY PURL � tary 'he
t�t�,,, asrisaa c
*I.
: STATE OF FLORI �` `u Comm# Di]
Comm# EEQ89785 i ° ' ` t . E, S 1081 6. 0
51151201$ - ''
„ ' Florida Notary Assn Inn .
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Florida I41 I r 11112 14:56 3524733167
KEYSTONE DOORS & ETC PAGE 09/15
Building Code Online Page 2 of 3
Certified 8y
Product Approval Method Method 1 Option A .b,.. , 0.. .;................„..„.....1
Date Submitted 11/19/2010
i F I L E Q p
Date Validated 01/26/2011
Date Pending FBC Approval --- �„ „;,
,, �; _ ,;
i ,
Date Approved 01/28/2011
summary of Products
; FL # Model Number or Name iDescrl+tion
11646.1 X 3 1 1/312/378 Sliding Glass Door SGD -R25 94 x 80, SGD-R25 71 x 96, SGD -R35 72 x 82
Limits of Use Certification Agency Certificate
Approved for use In HVHZ: No FLI1646_R3 C CA r„ ADW -08 311 312 SD 25 95x„$8
Approved for use outside HVHZ: Yes AA to APC 94 21.01- 801- 47.odf
Impact Resistant: No FL146 R3 C CAC ADW -08 311 312 SD R25 71x96
Design Pressure: N/A AAMA AP • 4621.01-;01- . 7. df
j " ; Other: DP25 94" x 80 ", DP25 71" x 96” DP35 72" x 82" fLi1646 R3 C CAC_ADW -08 311 312 50 R35 71x80
/� AAMA APC 94671.01- $01 -47 rdf
J / FI-11546 R3 C CAC ADW -08 378 SD -R35 72x8 2 AAMA I
1 APC 946 ,21.02- 801- 47- r0.pdf
Quality Assurance Contract Expiration Date
I 09/17/2013 I.
Installation Instructions
FL1.1646 R3 11 At7W -08 311 312 378 5D ljstalletion
ATR023.ndf
i' Verified By: Kristina 5, Daugherty 68455
I Created by Independent Third Party; Yes
Evaluation Reports ,
:i F 1646 R AE AD:N -f1 1 312 378 SD PAR
;, j140, bdf
Created by Independent Third Party: Yes
! 646.2 332 Sliding Glass Door 50 -R50 72 x 96 •
' Limits of Use Certification Agency Certificate ,
I Approved for use in HVHZ: No FL11646 R3 C_CAC ADW -08 332 SO R50 72x96 AAMA ,
Approved for use outside HVHZ; Yes APC 72775 df
.01- 801- 47.D
t ' Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: +50/-50 04/27/2011
I. Other: Installation Instructions
I FL11646 R3 II Atrium ATR001,p4 '
Verified By: Kristina Daugherty 68455
Created by Independent Third Party; Yes
I ' Evaluation Reports
I FL11646 R3 AE Atrium PER 765.pdf
Created by Independent' Third Party: Yes
11646,3 332 Sliding Glass Door SD -R50 96 x 80
' Limits of Use Certification Agency Certificate
Approved for use In HVHZ: No FL11646 R3 C CAC ADW -08 332 SD R50 96x80 AAMA
7 Approved for use outside HVHZ: Yes A3068.01 90i 47 rO.odf
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: +50/-50 08/03/2014 �;
i I Other: Installation Instructions
/ FL:1646 R3 II ADW -06 132 SD FIN Installation.pdf i'
' FL11646 R3 II ADW-08 332 SP Finless Installation,odf
Verified By: American Architectural Manufacturers
Association
j Created by Independent Third Party:
Evaluation Reports
Created b Independent Third Part
I
11646.4 _,352 Sliding Glass Door Impact SD -C60 96 x 96
Limits of Use Certification Agency Certificate
. Approved for use in HVHZ: No FLI1546 R3_C CAC ADW -01 352 SD C60 96x96 AAMA
1 .44... //fl iriai,,d nra /nr /nr ann dtl. aspx? param= wGEVXQwtDgSQFc5K . %2fTrZeBD6KuZ3._. 2/8/2011
City of Atlantic Beach
S 11 Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department.)
!} Atlantic Beach, Florida 32233 -5445 _
re. Phone (904) 247 -5826 Fax (904) 247 -5845
� s �' E -mail: building- dept @coab.us
City web -site: http: / /www.coab.us Date routed: ��
� 7--
APPLICATION REVIEW AND TRACKING FORM
Property Address: S9 9 �
lc� Department review required
Applicant:
Building =
Planning & Zoning _-
Project: ,� . Tree Administrator _-
�/ Public Works
Public Utilities ==
Public Safety _-
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental Protection of Permit Verified B Date
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:
Approved. ❑Denied.
(Circle one.) Comments:
�UILDING
PLANNING & ZONING
Reviewed by:
TREE ADMIN. Date: e t — n - (2—
Second Review: ElApproved 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 05/14/09