Permit Doors 374 Magnolia 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
.........
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000621 Date 5/31/12
Property Address . . . . . . 374 MAGNOLIA ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6247
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Application desc
sgd and swing door replacement
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Owner Contractor
------------------------ ------------------------
PISCITELLI, STEVEN V & LAURIE AMERICAN WINDOW PRODUCTS
374 MAGNOLIA ST 2633 POWERS AVENUE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 731-2247
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee 42 . 50
Issue Date . . . . Valuation . . . . 6247
Expiration Date . . 11/27/12
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl 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
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
map 1--)ICAI'a �� . 1 '2- 2--1
Job Address: Permit Number:
Legal Description 1&15 Parcel# /76 c(D c)c
Floor Area of Sq.Ft. q
Valuation of Work$ 7 —Proposed Work heated/cooled 'n�n-heated/cooled
Class of Work(circle one): New Addition <Z]teraLtion,,) Repair Mo emolition pool/spa window/door
Use of existing/pro osed structure(s) circle one): Commercial identia
If an existing structure,is a fire spr=er system iustall d9 (C' cle one): es No N/A
+ICLC
Florida Product Approval# See-
For multiple products use product approval form
Describe in detail the type of work to be perf6rmed:_4_/qPemyi.�[ swi�iq Dacwz
1�j
Property Owner Information:
Narne:- &e4 h w A 46 Address: 43- 17Y St -
city Statea-Zip �3 ?�_�hone 2q7- c//59�_J
E-Mail or Fax#(Optional
Contractor Information: AMERICAN WINDOW
PRODUCTS, INC.
Company Name: 2633 POWERS AVE- Qualifying Agent: e4h
jA-CKS0NVItt:;E, FI=3220:7 Gu_le�
Address: -city State Zip
Office Phone —7,�;� q, J Job Site/Contact Number
State Certification/Registration# 11 REVIEMWn FcOR eODEeor It
Architect Name&Phone 4
MrLLAPKE
Engineer's Name&Phone OF ! 711:�
'AjL!ANRC_134�
Fee Simple Title Holder Nam d esr___A.n n a r-CKMI F5 FOR ADDITJMAL -
'R 93111 FfRE?fl!j ni
Bonding Company N miume aand d Cur V I '�lwxx%,L;,KvkrANIZiA.NFF!9mmoNs-
Mortgage Lender Name and ress wo 0 0
al 0
"F "fu
ndicat
�'.'w^or*ra�n-d-in-sli*27taldhs as i the
A 'c e
i,p ,a,,ion is hereby made to obtain c,7�Zt to do t
P' c ion in thisjuri ispermill:_ I
ma ofa permit and that all work will be performed to meet the standards ofall laws regulating construct' sdiction. Th' becom null
and void i k not commenced w-hin six(6�months, or i(construction or work is suspended or abandonedfor aVeriod ofsixj6ul months at any time after
understand that separate permits must be secured r Electrical Work,Plumbing,Sikns, i j
Lwbern ieed ells,
work is co m c fo Pools, urnaces,Bolleis,Heafers,
Tanks andAir Conifidoners,e1c.
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 I have read and examined this application and know the same to be true and correct. All provisions ollaws and ordinances governing this
lied with-Weethm s e herein or not. The granting 9f a permit does not presume to give authority to violate or cancel the
work will be comp
Provisions ofany otherfederal,s , orl c ulating construction or the p&f&mance of construction.
Signature of Owner Signature of Con ctor
tra
Print Name Print Name
..........................................................................................................................................
........................................................................................................................................
and subscrib e me ��J.Ay Pq VRAR0VE Swom-to and subscribe
Day of thi Day of
4 hontw
1RIS L
EXPIRES:September6,2015 MY COMMISSION#EE IVSK
n7rMN-11 a0WTMjNffkWNftL68*" lzlxal el _,L� EXPIRES:September 6,2015
Owded ft
Notary Public Notary Public 61
Revised 0 1.26.10
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name: 00twhW H115cdeA h, Permit #
Project Address: 3'74 (10L, 3t .
As required by Florida Statute 553.847 ative Code Rule 9B-72,please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
product approval may be obtained at:www.floridabuilding,
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A.EXTERIOR DOORS
1.Swinging at )?a 1:5214/.5
2.Sliding
3.Sectional
4.Roll up
5.Automatic
6.Other
B.WINDOWS
1.Single Fung
2.Horizontal slider
3.Casement
4.Double hung
5.Fixed
6.Awning
7.Pass-through
8.Projected
9.Mullion
10.Wind breaker
11.Dual action
12.Other
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
C.PANEL WALL
1.Siding
2.Soffits
3.EIFS
4.Storefronts
5.Curtain walls
6.Wall louvers
7.Glass block
8.Membrane
9.Greenhouse
—10.Synthetic stucco
11.Other
D.ROOFMG PRODUCTS
1.Asphalt shingles
2.Underlayments
3.Roofing fasteners
4.Nonstructural metal roof
5.Built-up roofing
6.Modified bitumen
7.Single ply roofing
8.Roofing tiles
9.Roofing insulation
10.Waterproofing
11.Wood shingles/shakes
12.Roofing slate
13.Liquid applied roofing
14.Cement-adhesive coats
15.Roof tile adhesive
16.Spray applied polyurethane
roof
17.Other
Category/Subcategory Manufacturer Product Description Limitation of Use State N Local#
E.SHUTTERS
1.Accordion
2.Bahama
3.Storm panels
4.Colonial
5.Roll-up
6.Equipment
7.Other A kin 0/,' 5aile W
F.STRUCTURAL
COMPONENTS
1.Wood connector/anchor
2.Truss plates
3.Engineered lumber
4.Railing
5.Coolers-freezers
6.Concrete admbctures
7.Material
8.Insulation forms
9.Plastics
10.Deck-roof
11.Wall
12.Sheds
13.Other
G.SKYLIGHTS
1.Skylight
2.Other
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
H.NEW EXTERIOR
ENVELOPE PRODUCTS
I. i
2.
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge.I further certify that use of different components other than the ones
listed in this document must be approved by the Building Official.
(Contractor Name) (Print Name) AMERICAN WINDOW (Signature)
Company Name: PRODUCTS, INC.
2633 POWERS AVE.
Mailing Address: JACKSONVILLE, FL 32207
City: State: Zip Code:
Telephone Number: Fa,Number:(
Cell Phone Number: -E-mail Address:
City of Atlantic Beach APPLICATION NUMBER
....... ..... Building Department
800 Seminole Road (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us EDate routed: 7zl-Z_
City web-site: http:/A~co9b.us
APPLICATION REVIEW AN D TRACKING FORM
Property Address: J7- Oeffartment review required YOV No I
Building V
Applicant:
z&z �1()I'W -17135—nning &Zoning
7 1)
Tree Administrator
Project: -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: —1
APPLICATION STATUS
Reviewing Department First Review: E];�Pproved. F]Denied.
(Circle me.) Comments:
P� BUILDIN
LA ING&ZONING Reviewed by: Date: 5" 2—
TREE ADMIN.
Second Review: DAPProved as revised. FjDehl/ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 07127110
NOTICE OF COMMr' " - - OR BK 15956 Page 886.
Doc#201211457/1,
Number Pages: I
Recorded 05/31 12012 at 1153 AM,
Permit No. JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10 00
State o F Oda-
County of
The undersigned hereby gives notice that improvements will be made to certain real property, and in
accordance with section 713.13 of the Florida Statutes, the following information is provided in this
NOTICE OF COMMENCEMENT.
Legal description of property (Include Street Address, if available)
General description of Improvements
Owner tA
Address
Owner's Interest in site of the Improvement
Fee Simple Title holder(if other than owne
Name
Address AhBWANWuqDow 964-131- 224-7
PROVUM UjC.
n-e -e Contractor 203 POWEO'Xv&
Address
Surety
Address Amount of bond $
Any person making a loan for the construction of the I-mprovements:
Name
Address
Person within the State of Florida designated by owner upon whom notices or other documents may be
.served as provided by Section 713.13(l)(a)7, Florida Statutes.
Name
Address
In addition to himself, owner designates
Of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes.
Expiration date of Notice of Commencement(the expiration date is one (1) year from the date of
recordi ifferent date is specified)
0'
Signature o Trinted Naxn�of Owner
FNotary Rubber Stamp Seal I have relied upon the following identification of the Affiant
Sworn to rd subscribeAbellbrit rat this P/day of1$L2ij__L,),-
Notary S Vitu�',, IRIS L HARGROVE
- )jf4F MY COMMISSON I EE 127993
Printed Narne E X P I R E S.-S ep—te—m&r 6,2015
BmM Thru Budl;0 Way Swvbs