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Permit Windows & Doors 346 Seminole 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 r jilt Application Number . . . . . 12-00000718 Date 6/13/12 Property Address . . . . . . 346 SEMINOLE RD Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7100 ---------------------------------------------------------------------------- Application desc window door replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MILLETTE, LUCIEN J PELLA WINDOW AND DOOR 346 SEMINOLE RD 8174 BAYMEADOWS WAY W ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 731-8330 ---------------------------------------------------------------------------- Permit WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee 4S . 00 Issue Date . . . . Valuation . . . . 7100 Expiration Date - - 12/10/12 ---------------------------------------------------------------------------- Special Notes and Comments NEED NOC 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 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total 45 . 00 45 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 139 . 00 139 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Doc 4 2012118476, OR BK 15962 Page 1214, Number Pages: 1, Recorded 06/08/2012 at 10:21 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 No'ncF OF-COMMENCEMENT Pcrmit No. Tax Folio o. _j I.._7 171- '111F UNDERSIGNED hereby gives notice that improvements will be made jocerfaill real property,and inaccordance with Section 711)3 of the Florida Statutes,the following informadion is provided in this NOTICE OF COMMENCEMENT, 1.Dmription of property(legal descr4ytlon): 15�' a 4e, a)Street(job)Address: 2.0encral description of iMPTOVCFnents: I Owner Information a)Name and address: Lk"; r, 3 16 !;r Masn e_ _8evG '3,D 3-3 b)Name arid address of fee simple titleholder(if other than owner) c)Interest in property (' 4-Contractor Information a)Name and address: -fd IA 3 9 5 4�4V b)Telephone No.: 'iP 5 Surety Information Fax No.(Opt.) a)Name and address: b)Amount of Bond, c)Telephone No.. -ax No.(Opt.) 61crider a)Name andaddress. Phone No. 7.Identity orperson witWn the State ofFlorida designated by owner upon whom noticesorotherdocurnenius niay be s�rvclf a)Nameand address: I b)'I'elcphone No.: Fax No-(Opt.) 8.In addi6on to himself,owner designates the following person to receive a copy ofthe Lienor's Notice as provided in Section 713,13(i)(b),Florida Statutes: a)Name and address: b)Telephone No.:_____ _ Fax No.(Opt.) 9.Expiration date ot'Notice of Conunencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYM-ENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULTIN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON'mE jou SITE BFFORETIIE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER ORAN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT STATE.OF FLORIDA COUNTI OF PINKLIAN to.— Signal COM—rorC wr',%i7t0qra.zed Off)cerll)im�lor/Pann�r/,ki4inager ZUOZ, 11rint Natne The foregoing instrument%%,as acknowledged before me this P1 day of 201!L_by"e, jL177t OLn—e f\,,e-,r- —(type of authority,e.g.officer,trustee, attorney in fact)for— _<0 4 F (name of part),on be - of whom iniltrument wa'$Aecuted). Personally Known_k-011 Produced Identification Notary Signature 5011- re NOTARY PUBLIC Type of Identificabon Produced Name(print) ��TATE OF�FLORIDA OR Commill EE149903 Verification pursuant to Section 92.525,Florid;a Statutes.Under penalties of pedury,I cle,71re thal I ad t kno�'WA PrQ%I,I -d bd the facisstated in it arc true to the best ofirly knowledge ad ief r0R)AS1N(X.20l0 -,/"�' / STOE Of FLORIDA I]ILIVAL COUNTY 1. 1 HE UNUERSIGNED Clerk Of the Circuit Court,Duval Coun% 410 fiEREBY CERYIFY the within and foregoing is a tL% --y 0 the criviri.al as it appear,. -n record and Mo in tile office lit the Clerk of Circuit Cour, of Duval Courq, Florida, and te same is "', lur, torce an-1 W1114� illy 4.,, and s, of Cle�r�' (X 'd court flarkswooi-w, �,ur ua,4as the 1V ay of C4, JIM ULLER Clerk, Circmt and 'writy Courts 011011 C4Y , FIcirlids 1^ or— -- Y�— Uaff Clerk BUILDING PERMIT APPLICATION CITY OF ATLANTIC 13EACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 JUN 0 8 2012 Job Address: -3 jo0jf,_ a. Permit Number: by Legal Description 4k" Wfstir Parcel# / 70q19-a Valuation of Work 71 pC) FToor ,1 1 1�:: I ' q. t Proposed Work heated/cooled— non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa Use of exilting/pro osed struLeture() �)(circle one): Commercial Resident'' If an existing structure,is a Mrs S, I . st�alled9(Circle one): N MAN � � , I (N=/A Florida Product Approval# 2-ii46 pprova �Avdft 6 For multiple products use orm Describe in detail the type of work to be perfbrmed:--�eplacct i doo JUXJOWS 5; 1 ZC- -�Or 5;-Ze., I Property wner Information: Name: Address- q i� City --L 5�.. 5e-M i'A,P le- E-Mail or Fax#(Optional State U—ip 'hone iTlY 7 2-1. Contractor Information: CompanyName: PWD-Orlando, Qualifying Agent: James Rowland Address: 350 W. state Rd. 434 City Longwood tate FL OfficePhone 407-937-282 — -Zip 32750 - 6 J b er 407-463-4106 Fax#-407-937-321!L -W— 07 State Certification/Registration cBE546 Architect Name&Phone LL4_k Engineer's Name&Phone# xF%O-FAR%%e.ODE C0ML I Fee Simple Title Holder Name and Address Bonding Company Name and Address I VATI'A NTIC-REACH Mortgage Lender Name and Address SEE PERMITS - CW3 D Application is hereby made to obtain a permmit to do i ork and installations as issuance ofa permit and that all work will be pe rti that n or s orn? e In d lh' "N"NiWill and void if_work is not commenced within six co th Ic - .. r'or'a ._t mon NIS become'sonS 1W nstruc work is commenced. I understand that sepa e pe 0 abando of six 0 months a t a Tanks and Air Conditioners,etc. r lee -a a f U Wea 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 herelb certify that I have read and examined this application and know the same lobe true and correct. All provisions of laws and ordinances governing this 1 typeo work will he 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 otherfederal,sta ,or local law regulating construction or the performance ofconstruclion. Signature of Owner Signature of Contracto Print Name ......... v Print Name ............ ............................................. ........... ............. Sw Sworn and _sVM4�before me th I this y of 1,Ak— Z.20, P 0 ic U,Y)l - 4 Revised 0/l./26.10 KELLY JULIAN KISOR KELLY JULIAN K�,�,, NOTARY PUBLIC NOTARY PUBLIC _STATE OF FLORIDA Comm#EE149903 STATE OF FLORI L),, 4*Fjs1%7 COMM#EE149903 1%, Expires 3/10/2016 Expires 3/101201 P Oae and Two Family D-weHing WincloW Replacemellt Workshee,0- Jobkddrcgs�: F-rPD,�Ur-M: R 0 C 0 Product approval for viindDw 4— Frodur-t approval for shuttEn Lo,cation o 'F�,,zt of 14'S fapEniUE PrDtItCtio'n 0 WeSt Of 1-95(Dp&ajrLg.protection Dc)t requLrefl MathDd Of DptBinff PrDtI--CLiDn: CD lmpzr-��13-9� D I>IYWC)Dd 0 Shutttrr (-quiFcx!;tPzmtc pm-mjt) �Omponmt and Clad ding'Ch arLs B Fxpucurt 30, mrh C 301 DP=iag Sin in Pzd Zoom" Iut=6 or Z;Dn r DpMaing K=im End Zmcot- Int=iDr Zmt FST S Pt 7>(ZP GLID PSF PST 1 25-9--347 1 )-� ()--2&.1 D-10 25-51- -4-R.6 25.9- -39.4 [41-20 24.7--32.4 24.7--26-9 11-20 24.7- -45.4 24.7- -37-9 23-2--293 23-2--Z5.4 21-50 23-2- -41.0 1 23-2- -35.5 I 51-IDD 22-26.9 22--24-2 5240D —3 7-9 Sketch fDutprint of buRdin�- becIroDm.,,. indicate.s:ir-v and IDcafian of windows to be replace:d 2-nd IDcaffi)n of EH 1 J I I I i I I F I T-T- . ........................ I J I I I I "-01>r-ning prDti--r-tiDn 13 mquir�,-d iri tht wind-bomt dt7bris rt--giDn whcn the:rrplac- �_Mtr exc:f--tds 25 PtMtat Of th t aggregaft arta of glaz�--d OPtningt in tht dWtIling- t gjaziag "'F-od Zant 1 0'/D of tIIC' Itn9th Of-WaD aUd. IaDt thtia 3 fbet Plans Examintr_ e--iNa Building Code Online Page I of 5 C, '7 -6, "x Wy, Y, R Ae, 'Z BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff 3CIS Site Map Links Search Business Professio' nal Product Approval USER:Public User MMMMIM= Product Approval Menu>Product or AvlAcation Search>ApQhcation Lis >APPlication Detail FL# T �q- FL11206-R6 R Application Type Revision "W' Code Version Al� 2010 Application Status Approved *Approved by DCA.Approvals by DCA shall be reviewed and Comments ratified by the POC and/or the Commission if necessary. Archived Product Manufacturer Pella Corporation Address/Phone/Email 102 Main St. Pella,IA 50219 (641)621-6096 pellaproductapproval@pella.com Authorized Signature TROY FARR tbfarr@pella.com Technical Representative Joseph Hayden Address/Phone/Email 102 Main Street Pella,IA 50219 (641)621-6096 jahayden@pella.com Quality Assurance Representative Andrew Nelson Address/Phone/Email 102 Main St Pella,IA 50219 (641) 621-3804 nelsona@pella.com Category Windows Subcategory Single Hung Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By James L. Buckner, P.E. at CBUCK Engineering Validation Checklist- Hardcopy Received Referenced Standard and Year(of Standard) Standard Year AAMA 101/I.S.2-97 1997 AAMA 101/l.S.2/NAFS-02 2002 AAMA/WDMA/CSA IOI/I.S.2/A440-05 2005 Equivalence of Product Standards Certified By http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=WGEVXQWtDqs6WGOndlUHY... 6/5/2012 FloridaBuilding Code Online Page I of 6 W- -1-11,�4-41 :'A BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publica"tions FBC Staff BCIS Site Map Links I Sea I rch Business'.'�. I 'roduCt Approval U�,P ro fe s s 6n'z'i R:Public User Product Approval Menu>Product or Application Search>AQQIFcat�on LiSt>ApPliCation Detail .4"T' FL# FL14896-Rl Application Type Revision "A� Code Version 2010 Application Status Approved *Approved by DCA.Approvals by DCA shall be reviewed and Comments ratified by the POC and/or the Commission if necessary. Archived Product Manufacturer Pella Corporation Address/Phone/Emall 102 Main St. Pella,IA 50219 (641) 621-6096 pellaproductapproval@pella.com Authorized Signature Joseph Ritzert ritzertja@pella.com Technical Representative Joseph Hayden Address/Phone/Email 102 Main Street Pella,IA 50219 (641)621-6096 jahayden@pella.com Quality Assurance Representative Ali Zarghami Address/Phone/Email 102 Main St Pella,1A 50219 (641)621-1000 zarghamia@pella.com Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By Terrence E. Lunn, PE Validation Checklist- Hardcopy Received Referenced Standard and Year(of Standard) Standard Year ASTM E330 2002 Equivalence of Product Standards Certified By http://www.floridabuilding.org/pr�/Pr_app_dtl.aspx?param=WGEVXQWtDquHl FzfePouW8... 6/5/2012 C4 of Atlantic Beach Building Departrnent APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building!Deparjtment.) Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us te ro tec Date routed City w6b-site: http.-/Avww.coab.us APPLICATION REVIEW AN.D TRACKING FORM Property Address: 1�6 Ife- -41 Applicant: 4 Wrk--)P� Bukld�ing t review re ulred YS No opa1rtrn!!n Bull III FP-1anning &Zoning TreeAdministrator Project: -2-4D1.1'PAIC47- Public Works Pu Public Utilities Public Safety jc s //V rFire Servi e nwwvw� -- I - Other Agency Review or Permit Required eview or Receipt Date Florida Dept.of Environmental Protection Pe it Verifted B Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers 3 Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco hi tj Other APPLICATION STATUS Reviewing Department First Review: E�Pproved. E]Denied. (Circle one.) Comments: Qii� PLANNING&ZONING TREE ADMIN. Reviewed by: Date: e/7/ Second Review: ElApproved as revised. DDenie PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: oApproved as revised. RDenied. Comments: Reviewed by: Date: Revised 07127110 06/18/2012 09:28 FAX 4073397742 PELLA WINDOWS & DOORS Z002/002 Doc # 2012118476, OR SK 15962 Page 1214, Number Pages: 1, Recorded 06/09/2012 at 10:21. AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10,OC NOT ICE OF COMMENCEMM T Pcnnh No-//,Q— 71 5�/ Tax Folio Ne -1704 30-.dFo 5 'rrUE UNDERSIGNIZE)hereby gives nuuce that improvernents will bo m:Ac to cerWn real property,and inucoordarre with Section 713.13 ofilie Floridii Statutes.the following inroTma6on i.q piDvidcd in this NOTICE OF CONUNIENCEIMYNT. I Descrip6on of property(legal description). 12-15 /C-�-5419 -k, -'j4*'r a)SLreel(job)Add= 2.Gcnemldcscfipdonofimproveriienls:_f,ef[A(,z "�'r�Adoc 1.0wncr information fi)Nameardaddrcss� Lkatn M,'uv - +* b)Name and adfirtssoffccsimpletideliGidef(iff)(hiff"Illon OW-M) -)Interestinproperty (��tAji`qfr 4.Conimctor Information a)Narric and addircss: '05k q1q4) AdD apr,5 35 t'!W.W4 1/'ea b)Telephone No.: _44p7 -e*&cr� vax No.(Opi.) Ho 7-3,3_t_-7 7y-,f)- 5.9arely Information a)Nwe and addrcssi b)Amount of ljond: �'7 Tel"010"o No.: Pax No.(OPL) 61ender Na me and address. .............. Phone No. 7.Ident-itiol'person i;i'1RW State of Florida designated by owner upon whom notices or other docuincins nuty be served: a)Nainc and address: b)Telephone No.: Fas No,(Opt.) 8.1n addWon to himself,ownerdesigrintz the following person to mccivea copy orthe Licnor's Nodce as pamded tit Section 713.13(i)(b),Florida Statutes: a)Ntifine and address� b)Tulcrihone No.: Fax No,(Opt.) 9.Expimuon date ol-Nolice of Corniricncernent.(the cipint6on date ii one ve2r from the dale of recordinL,unless a diffLrunt date I%itriccifled).' WARNING TO OWNER,. ANY PA".IENTS NIADF,BY THE OWNER AFTER THE EXPIRATION Of TFIE NOTICE OF COMMENCEMENT ARE CONSIDERED[WROPER PAYMIENTS UNDER CRAPTER 713.PART 1.SECTION 711Q, FLORLDA STATUTES,AND CAN KVSULT IN YOUR PAYING TWICE FOR IA[PROVEMFNTS TO YOUR PROP ERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TUE JOB SITE BEFORET119 FIRST I.NSPECTION. IF YOU INTEND TO OBTALN FINANCING,CONSULT YOUR LENDER ORAN ATTOR114EY BEFORE COM116ENCING WORK OR RECORDING YOUR NOTICE OF COMNIFENCEMENT in,PINCIIIAS W- s 61*4 'L'yof �A�' .20)o�- byLle'., f,,Njjre77-e 11fe foregoing intsirument was acknowedged before itic this 0. as (type or authority,if.p,Orfii!tr,trustee, (nanseoffiarlyonbel- otwho Instru merit iv 3' tecu ted). Personaltv Known-_L-011 Produced IdentificaLion, Notary Signature &Qa- NOTARY PUBLIC Type of ldentifica�on Produced Naruc(print) (I V.-t— -STATE OF FLORIDA OR CommN Ea 14OW3 Verif"iCatiork pUM1.1"It to Section 92.525,Florida Stalotes.Under fic"fits of peijury,I d I N I I ha 'ad II&RIWIMUkit Y�V� the facisslited in it are true to the best ofnw kr;uwIcdXc wid belief. Nm VAtE Of FLORIDA (ILIVAL COUNTY 1.1 RE U40ERSIGRED Clerk of the Circuit Court,Ouval Cound% Hof,,Im, 40 fIEREBY CERTI FY the within arid totegoing is a joriff py 0 1 he.ar4rinal as it appeam.if record and file in the office )f the Clerk of Circuit Couir, tit Duval County, Florida. a-id C e same is in lu I orce and e-ict. WHOV-.", iiij hwid ard se- ot Cler, "I Court of for.kswt4ise, I,wi.aa.rcts the )4ay of�/,jv; JIM, ULL..R Clerk, Circuit ancyquortty Courts Duval C'ou Flovidit By