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550 Royal Palms Dr (vault) I' u A-` CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-010029159 Date 10/18/04 Property Address . . . . . . 550 'ROYAL PALMS DR Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---- -------- ------------ ------------------------ JACOBS, TRUDY G. CRAWFORD ELECTRIC 550 ROYAL PALMS DRIVE P.O. BOX 51045 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 249-0673 (904) 241-5591 -- ---------------------------------------- Permit . . . . . ELECTRICAL PERMIT Additional desc Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 Fee summary Charged Paid Credited Due ------ ---------- --------- - ------- Permit Fee Total 70 . 00 '... 70 . 00 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 r PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL . xl CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: �� 6 Property Address: Owner: - r-'s C_66_j Telephone #: 2 V -0� Contractor: �� l �1Svscc �G-�c/y� c Telephone Contractor Address: Q -� `o�'! Fax#• .2 2-2 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New Residence ❑ Temp. ❑ New being done on this building Old ElCommercial ❑ Signs ❑ Increase or site,list the building Permit number: Re-wire ❑ Addition Sq.Ft. � Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 10 AMPR 11-100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning— COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous Z cG e.4 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845 • http://www.ei.atlantic-beach.fl.us PS 9156 DEPARTMENT OF ILDINGi CITY OF ATLANTIC 80CH i' . PERMI I RT`ORNAT I ON .._WOW' -- -.-- LOCATION I NFORMAT I OIC Pat Numbr a 916 Ad 550 ROYAL PALMS DRIVE Ptrinit TT P1 ROO ATLANTIC BRACH, FLORIDA 32233 of IO �. NSI _.. .'.. . . I,ItAL DSCRIPfiION -----—. ... wotr. TY WOOD �'RAM9 LokSection: � Pa Li S II�tOL9 PAI LY Tr�riShi p: RNG; p i ` i2C I ti Q; + s c n: ROYAL PALMS ' d V uer 20000 E Pr rt . $22 50 Amo { N a s h APPS OA 'IOt TEES ----- PERMIT � $22. 501 A PALMS 1RVE WT peg, A IMPAC *� b 5 015 WADER MZ-VZr, TAP` Std ry a b ,r RADOR OAS-H;.R.S $0.0 RADON CAB 5% Woo CALTAIi�fPfR �. 0 00 " 53 '2 SII BLVD SE19RR TAP4}.t2£t; LLE RL 32254 �`R SS CONNECTIOIC Type; SES R .I ?A.CT FEE � �O @€I P 1AIM $0 SCR�OR :" C f P' 7 NOTICE ALLCONCRETE'FORMS AND FOOTINQS NIU T BE INSPECTED BEFORE PUUI3INQ PERMIT VOID SIX MONTHS AFT R DATE OF ISSUE i To 'ptNG MATERt,r L RUBSISH AND DEBRIS FROM THIS WORK M ST NOT BE PLACED 1N PUBLIC SPACE,AND MUST BE DIN UP AND HAULED AWAY SY EITHER CONTRACTOR ORO NER { "I AILURE " OMPLY WITH TME ME�CH ICS' LIEN LAW -CAN RESUL ; IN PROPS TY O1 NEWP'AYING TWICE BUILfl1'NG 'IiIIPR VEMENT ." lB ktED ACCORDING TO APPROVED PLAN$'WHICH ARE PART O THIS PERMIT AND SUBJECT'TO REYbCpTtOl+t FOR IATION OFAPI�1tCABLE PROVISIONS OF LAW. i { At T BEACH'SU LOING DEPARTMENT: i s CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owner(s) : Address: �.Sb , tomV'4�_ �¢ ,Z Phone•_—y�G - 7.3 Lot # Block or Unit # Subdivision: Contractor:-' ' Address :_, City, State and Zip_ �J �=1 /a- ��L,L Phone_J—S_YLo�� State License #—C'47 Describe work to be performed:_h?-e Mav ap�)g Valuation of Proposed Construction V o G Materials to be used: Yo6'A-'7 ;,u,!! 4f ice ell- Signature of Owner; Signature of Contractor:--z �. Liability Insurance Supplied-C� }_ Workers Compensation Insurance Supplied ZgS License Information W�L SS, CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD !� ATLANTIC BEACH, FL 32233 (INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000696 Date 5/19/09 Property Address . . . . . . 550 ROYAL PALMS DR Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc service upgrade 100 amps to 200 amps ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AVERITT RIVER CITY ELECTRIC 550 ROYAL PALMS DRIVE 2825 HOLLYBAY ROAD ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073 (904) 278-4904 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/15/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITI4 ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ' I IWD SEM MOLE ROAD,ATLANTIC BEACH.FL 32M 09— OFRCE:1904)247SM♦FAX NO.1904)247-6845 ti. BUILDINGDEPTOCOASMS =j1 ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB A ESS: LIS A 3.DATE NO ❑YES PERMIT* — 9 — 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: PHONE: S.ADDRESS.: ��✓ ti Z 4 0 3ZLn 3 9.STATE OF RJMDA UC&M NO:; LJ� 10.CELL PHONE: I 1 NO.:^7 y' 12.EMAIL ADDRESS: 13. „) 14. 15.Application is hereby made to obtain a permit to do the work and irsumations as Indicated. 1 that all work”be performed to meet the standards of all laws regula&V construction in this jurisdiction. This permit becomes null arid If work is not commenced wiUdn six(6) months,Or if cDrmbu cction or work is suspended or abandoned for a period of sic at any c:orrrmrnnerlc:ed. CONTRACTORS SIGNATURE: 16.CLASS OF VVOIM- 17.SERVICE: 1a. Nm1118ER: ❑MULTI FAMILY-#OF UNITS: WRESIDENTIAL IRSTNGLE FAMILY O TEMP SERVICE ❑COMMERCIAL 0 ADDITION ❑TRAILOR 19.BURLDING: 19.CURRENT CODE: D ALTERATION O SIGN 113-01-1) ❑NEM/ 13'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA 13 REWIRE ❑OTHER: UST ALL ELECTRICAL WORK- 20.TYPE OF SERVICE: ❑ RHEAD ❑UNDERGROUND ❑UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: R IS ON ❑POWER IS OFF 22.SIZE OF CONDUCTOR: AgiL�AMPACITY:-.ATV 13COPPER 05ALUMINUM 23.SIMTCH OR BREAKER SIZE: AMPS: PH:�_ W. 3 VOLT 8 RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: ,OD PH:�_ W VOLTRACEWAY SIZE: 25.FEEDERS: OF AMPS: S OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 2931 DO NOT APPL-Y—TU NEW SINGLE FAMLy,HLILWAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32 AM 22EMM: #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW. _1D #OF UNITS:— _ COMP.MOTOR HP RATING:-C T AMPS:A-0 _ HEAT KW: [NUMBER: 33.MOTORS: — VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34. UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: A DESCRIBE IN DETAIL: BLDM P-MAppkuftn Elea:REVIWD:12J1HR008 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J a ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-010000664 Date 5/13/09 Property Address . . . . . . 550 'ROYAL PALMS DR Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------------- ----------------------- Application desc 1 CU 1 AHU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AVERITT PADGETT' S A/C & HEATING 550 ROYAL PALMS DRIVE 339 BRUNSWICK RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 588-5222 ------------------------------------------------------------------------ Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 11/09/09 --------------------------------------------------------------------- Fee summary Charged Paid Credited Due ------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CRY OF ATLAUM MACH 09- _ s SOMINM ROAD.ATt.ANTI C VWX FL xms y�...�..._.T= OrF�cs:pog2tratos.FAx Na�ssgytT.es� etsLostdat*TOOOAsus MECHANICAL. APPL�ArM DWAL COUNTY t�EfMAIT r 1 OMME: rm%cZvl%lseMo�,".r.1 ►R MQM JOB cua OF •.atA uC— NOt 10 09"pww: • r 1 OFFKr& H. r AppljQMipt1 k msdB to ttlttsRT•pBra�N to tto the wOtk MId Mgis ds - ��b171 t11��woTk wIN b0 psrbrrrted(O flTlBt RIM dwwbft of A Isws Tspu mWV oVidNow in Otis M%SC*n- This pwyeA bBoomss nuM and wW N www is not co trTleeoed w1111k►SW(6) nmft,or X owu&ua#on orwork in susptt"or sbw donsd for i period d six(0)matt at wV time suer wait N me onotcod. CONTRACTORS SowT1AtB: ^r •• lo-zdr4�- a PEW IAL HUIL *EPLACEIENT OF EX TING SYSTEM ISTING COMMERCIAL MECHANICAL O ALTERATION t AI mOm TO EXIST SYSTEM D REpAR O OTHER 19.HEAT: O SPACE Q RECESSED WENTRAL O FLOOR BURNERS: 20.Apt CONDMOPIMIO: O ROOM ENTRAL 21.DUCT SYSTl11: MATERIAL: ICKNESS MAX CAPACITY: dm 22.REFRIGERATHM. MAX CAPACITY: Ch" 23.COOLING TOWER: CAPACITY: 24.FOIE SPRINKLER: NUMBER OF MEADS: 25.LIFT SYSTEM; ELEVATOR: MARJIIFT: ESCALATOR ALITOUFT: 2i.COWWRCIAL HOOD NUMBER: V.FIREPLACE: PREFABRICATED: MA$ONRY: 2t#.IRRfGATK>41: O PUMP O VVELL 43 PIPING 2f.G/1i PIPING: OF OUTLET$: n G�/U IU O CLAS V ATER HEATER: 30.OTHER.SPECWY: WI APIWATM Omm umno PREMM VRA MAT EXCHANKA OR COs.w OUCTS E1C NLUE FOR OTHER ITEM;: OF UMTS oE13CMPTION MQmLi MANUFACTURVt TONS ;;10);E6=CRWW;MT*0N MANUFACTUR BTU AGENCYNUMBER TA MANUFACTURER SERIALt KOM PM+*Aob tW Morn[RMSEM 12namon L00/t00® 1V3H $ 0/V S.11300Vd 1898ZZLOO6 XV3 LVet 6002/Et/SO S-k,' f CITY OF ATLANTIC BEACH N °sf 800 SEMINOLE ROAD J7 ATLANTIC BEACH, FL 32233 * ` INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-0'0000681 Date 5/27/09 Property Address . . . . . . 550 ROYAL PALMS DR Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3036 ------------------------------------------------------------------------- Application desc REPLACEMENT WINDOWS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AVERITT AMERICAN WINDOW PRODUCTS 550 ROYAL PALMS DRIVE 2633 POWERS AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 731-2247 ----------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 50 . 00 Plan Check Fee 25 . 00 Issue Date . . . . Valuation . . . . 3036 Expiration Date 11/23/09 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- ;106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL 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 ----------------------------------------r----------------------------------- Fee ----------------------------------Fee summary Charged Paid Credited Due ----------------- ---------- ----+----- ---------- ---------- Permit Fee Total 50 . 00 ' 50 . 00 . 00 . 00 Plan Check Total 25 . 00 ; 25 . 00 . 00 . 00 Grand Total 75 . 00 ! 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09 I I I I I s OFFICE:(904)247-5826•FAX NO.:(904)247-5845 IN,2�� " BUILDING-DEPT@COAB.US ` BUILDING PERMIT APPLICATION DUVAL COUNTY 1.IMADDFE : 550 ROYAL PALMS DR. , ATLANTIC BEACH, FL 32233 ✓O': t)&Oi A,LEGAL OESC 0K- 0P W LOT'21'BLOCK I 1 SUB DIVISION f)aJ � ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL ,-` _- ®'ALTERATION ❑ACCESSORY BLDG. INSTALL REPLACEMENT WINDOWS W O�IO, ❑REPAIR ❑POOL/SPA ❑YES ❑WA (/ ❑MO E ❑OTHER ❑NO 9.NAME: 15,COMPANY NAME: 23.COMPANY NAME: BARRY C. AVERITT 16.NAME: I2 I',,7 24.LICENSEE NAME: 10.ADDRESS: 17 STATEAOF FLOP Aff�Y' �W 25.STATE OF FLORID ENSE NO.: 3010 SOUTH THIRD ST. , STE B JACKSONVILLE BEACH, FL 32250 1a.ADDR2633POWERS AVE. 26.ADD JACKSONVILLE, FL 32207 11.OFFICE PHONE: 12.FAX NO.: 19.OF,EJ 04-998-83E PHONE: 20.F ':NO � 27.OFFICE PHONE: 28.F 0.: 60 9904-758-0546 iil� Z Z 7- 13.CELL PHONE: 21.CELL PHONE: 904-514-4560 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL RESS: BAVERITT@ACLEGAL.NET _mlo, 77771, 71, .^ .,.n 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I 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. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Fumaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. -00AD 111* Signed: ell, Date:A.W4. ed: �J} n� Sign Date. Before me this "► day of I v► ` 2009 in the county of Before rile this day of 2009 in the county of \\ Duval,State of Florida,has personally appe red Duval,$tate of Florid ,has personally ap ared c. herin by himself/her el herin b himself/herself and affirms that all statements and declarations are true and accurate. 0 U I a y,' :° 0 k@ L Kestner true and accurate. Pry Public at Large, at Nota Public at Large,State ofCounty of V w ersonally Known Personally Known \ ❑Produced Identificatio ❑Produced Identification-. Notary Signature: Notary Signature: FOR CODE COMPLIANCE} :k BETTYFELDER * MY COMMIp C��'�Y" OF AT •IC EXPIRES: BLDG01Permit Appli tion Bldg:REViSmppn B+�'�►C� rFPFFIpQ' Bonded Thruervices REQUI�AFD DITTONAL REVMWEcoNDrrrorrs. D> fill!IL E COP Y '=i DATE: 5 a0„D - Parcel ID: 171517-0000 Permit No: State of Florida NOTICE OF COMMENCEMENT Countv of Duval THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Section 713.3, Florida Statutes, the following information is provided in this Notice of Commencement. l. Description of Property: Lot 22,Block 17 of RIiPLAT OF PART OF ROYAL PALMS,UNIT TWO A,according to the Plat thereof as recorded in Plat Book 31, Pagc(s) 16, 16A, 16B, 16C, and 16D, of the Public Records of DUVAL County,Flooida, 2. Description of Improvements: Replacement of thirteen (13) windows 3. Owner: a) Name and Address: Barry C. Averitt 3010 South Third Street, Suite B Jacksonville Beach, FL 32250 b) Interest in property: Fee Simple 4. Contractor: American Window Products, Inc. 2633 Powers Avenue Jacksonville, Florida 32207 5. Surety Information: N/A 6. Lender Information: N/A 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7, Florida Statutes: N/A' 8. In addition to himself, owner designates N/A to receivela copy of the Lienor's Notice as provided in §713.13 (1)(b), Florida Statutes. 9. Expiration date of Notice of Commencement: One (I)year from the date of Recording. OWNER: Barry C. Averitt STATE OF FLORIDA COUNTY OF DUVAL The fo going instrument was acknowledged before—me this 4°i d of ay, 2009, by Barry C. Averitt. He is personally known to me or aRnoduced a dentification. Notary Public State of Flonda Brooke L Kestner (Signat e of Nota blic) My Commission DD622704 �0�n° Ex ires 12/14/2010 1 Y � V ,kia(.A 44 S//-,, � q qQ lip \ Florida Building Code Online Page 1 of 2 qq BCIS Home Log In User Registration ! Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links search E F Product Approval lit USER:Public User Product Approval Menu>Product or Application Search>Application List>Application Detail FL# FL6163-Rl lye Application Type Revision Code Version 2007 Application Status Approved Comments Archived Product Manufacturer Silverllne Building Products Corp. Address/Phone/Email One Sliverline Drive North Brunswick, NJ 08902 (732)435-1000 rickw@rwbldgconsultants.com Authorized Signature Craig Calderone rickw@rwbldgconsultants.com Technical Representative Craig Calderone Address/Phone/Email 1 Silver line Drive North Brunswick, NJ 08902 (732)435-1000 CraigCalderone@silverlinewindow.com Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Single Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida,Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who Lyndon F. Schmidt, P.E. developed the Evaluation Report Florida License PE-43409 Quality Assurance Entity National Accreditation and Management Institute Quality Assurance Contract Expiration Date 12/31/ 011 Validated By Ryan J.j King, P.E. Validation Checklist- Hardcopy Received Certificate of Independence FL6163 R1_COI_CERT of INDEPENDENCE.pdf Referenced Standard and Year(of Standard) Standard Year AAMA/WDMA/CSA101/I.S.2/A440 2005 ASTM E1300 2004 ASTM E1300 2002 TAS 202 1994 Equivalence of Product Standards http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE VXQwtDgvJ%2bVZhSN... 5/14/2009 Florida Building Code Online Page 2 of 2 Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 01/05/2009 Date Validated 01/09/2009 Date Pending FBC Approval 01/16/2009 Date Approved 02/03/2009 Summary of Products FL# Model, Number or Name Descri tion 6163.1 a. 2100 Series/Model 2111 Extruded Vinyl Single Hung Window-Flange Limits of Use Installation Instructions Approved for use in HVHZ: No FL6163._.R1,_II.._INST 6163.1.pdf j Approved for use outside HVHZ:Yes Verified By: Lyndon F. Schmidt, P.E. 43409 1 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See INST 6163.1 for Design Pressure Ratings, FL6163_R1-_AE_EVAL 6163.1.pdf any additional use limitations, installation instructions Created by Independent Third Party: Yes and product particulars. 6163.2 b76HZ: s/ Model 2111 Extruded Vinyl Single Hung Window- Flan e Limits of Use Installation Instructions Approved for use in HFL6163_R1_II_INST 6163.2. df Approved for use outYes Verified By: Lyndon F. Schmidt, P.E. 43409 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other:See INST 6163.2 for Design Pressure Ratings, FL6163_R1_AE_EVAL 6163.2.pdf any additional use limitations, installation instructions Created by Independent Third Party: Yes and product particulars. (Note-ASTM E1300-02 utilized for areas inside the HVHZ) i__.. ..._.. ..-._ ....... track Next DCA AQministration Department of community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee,Rorida 32399-2100 (850)487-1824,x'Fax(850)414-8436 ©2000-2005 The State of Florida.All rights reserved.Copyright and Disclaimer Product Approval Accepts: 92 FM uCE V�rlOtlgn E�rdrsd ve eirr. _ http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE VXQwtDgvJ%2bVZhSN... 5/14/2009 R:\A-Projects\Project Folders\Proj 901-1000\pf9071D.RWBC Orawings\F1_{7163\6163.1-5.dwg,Model N a Q� y 0 [CDw ID $ O N Q n. do G Z c m en Q3- x3- a� m j 8. Z �" o? oO yrn � Q g � P0 Ei o 1 P a CIL ��'` 0 3. n °.1 `Z ++. cn Ind■ " moo � N �� g9 3 � m rn moo ..... o o �C Z3 3 (` IV7 Z3 CD 3 2'i g C 0 "� i 3-'m o ° � a � a z (,+ v < D • o � m �. m o >r '^ C� m CL „�' � " o T a ro m � �" 1 0 0 3 nz rn Z t� no pow 0 ? m �ti c �i y o _ CD '32 ° f O@ n � � 0 a 3 � 3 09 C7 z m -� W CD G 7 NNp O ZO, — s A ? CD_O. eV N c 3 2 Cm V o CL 0' o 1bT m m 0 W O V (J .� 0 O x x x m 73.00"MAX.OVERALL FLANGE HEIGHT --------- g $ 72.00'MAX.OVERALL FRAME HEIGHT-------� N a x $ T�0 x ; x x x O R I40�+ 11 N Ce. 0 Qb x 0 F- o a e + g z 0 0 0 3 PRODUCT: Doaamente Prepared By: a p�� ING CONSULTANTS, INC. SINGLE HUNG WINDOW R UI/PU.OILD. Box-2 -a rico FL 33-595 2 i PBhone No.:817.859.9197 (.1 rn' ~ PART OR ASS B Y: Florida Board of Profogional Englnwn ly, y t��p Certificate Of Authorizat n No. 981 S 00 NO DATE !!!! gy TYPICAL ELEVATION, DESIGN L q REVISIONS PRESSURES!, GENERAL NOTES Lyndon F. SSchmidt, RE No. 434(f9 9aOB R.W.Bui�oiNa OON9U LTANTe INa. a ° e _ v Z � U v N N APaw IA CNo N p O A N o A p p r- H �f n T No Cl 0 O N n f+1 V a� 0 IA 4 �A� L—rte� _E�pr 3 apo 3� azmm t-t/4"Mw. D Z A n p EMB.(TYP.( T 0 =ti pN —n a = T A 0 fl li om ° z33 „\ v J Im A �0 EMB. X 2 PRODUCT: ooeum.nt. Prepared By: �p BUILDING CONSULTANTS, INC. SINGLE HUNG WINDOW t/L P.0 . eo. 230 v. roo FL. 33393 Z " Pho n. No.: 813.889.9197 W r ~ C3 PART OR OR ASSEMB��Y Florid. Board of Pr.fzauelon.i o.Engine C.rtlflc.t. Of Authorition N 9813 NO DATE By VERTICAL &'HORIZONTAL L�-r�L- 9 REVISIONS CROSS SECTIONS /.,., ®2OOB R.W.Bulcoirvo Ca ua u�rnrlra Irvc. Lyndon F. Schmidt, P.E. No. 43409 n:\A-rrolects\rroiect I-olders\Prot 9U1-IUUU\pr9U/W.RWBC Drawings\FL 6163\6163.1-5.dwg,Model W N — O n O C D nnn FO O QO � h C ° to ro = 3 O z rn O Q o n o m go x n C W N Z z z c a m.n c x g : nn 0 O l fo Z ° ID Z �r a w m 2 m n I n 4rI (rn0 P° N A 3 p A� 3 3 ( o m3 0 ' 3Q n 3 Q a n D A ? mZ 0 a o m O n N Q C < 0 0-- 9-3 O:3 - �3 (b 3 aZ 9 0 L 1 D C Uv Q O A A N O n' < 3:3 Q, — 4"MAX. 3,�—►� ��Is_3,. 4..MAX.—� D OD tD33 � fl ,T h ID. 3 M °-coo a 1Q m 3 °CD D= p d p �V?+ 8, C n cp Inn n O N p Wn o o n D 3 n Z ooh n O o 'Q °N a n z 0 x zz z Q� O A >O n t'o 3 Q �!r rn T i . r' ➢v OP W \� n 7 D x D X x n� y� A o o' 'z I I I -- 6'MAX. 3"_�..�—�,�---3" 6'MAX. FPRODUCT: Documents P.epored By: QA�BUILDING CONSULTANTS, INC. It Z SINGLE'HUNG WINDOW R P.O. o'��o23e 13..59.9197 33593 $ m r O -i PART OR ASS MBLY: Rondo Boord or Pro/eeefonol Engine. CartHlc9te Authorization No. 813 Ca[NO DATE BY BUCK & FRAME � �_ /,o� REVISIONS ANCHORING Lyndon F. Schmidt, P.E. 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IIs ° O A _° C y 0.28"-1 �--- n a .432" CL T:. o V� � o0+ o 0 0 �. ----.359. m O N CL -) .1.0.22' � o n = c 'D o CL O D_ I D m O - - as �^ D > D A L_ 13m z z 0.22" '.^ o m a 1 "a 0 0 N 0' � T -- 0.44 -- a 0.36' as m 0 0 0 C.4X g 3 5 ,rTi PRODUCT: Document* Pnaared By: r- W//�••�7��BUILDING CONULTA SNTS, INC. SINGLE HUNG WINDOW el W P.O. Bos 230 vao-tea FL. 33595 I+ W 1— F --il\ Phone No.: 813 659.9197 PART OR ggggMg�Y Flondo Board or Professional Engineers NO DATEBILL OF MATERIALS, GLAZING centnaate of Aot_ ho;,:cyan No. 9813 BY DETAIL & COMPONENTS L�r�— 9 �S�DNS yndon F. Schmidt, P.E. No.4J�OB �J 200B R.W.BIIILD�NG riON5UlT4NT9 Ivr:. jr�/l"Irk City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road �. Atlantic Beach, Florida 32233-5445 Jf Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: �g 9 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Q �� GL� �A'l�'ni5 11 QopadnXent review required Yes No Build-n Applicant: ann'ng&Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signaure Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: Approved" ❑Denied. (Circle one.) Comments: BUILDING P G &ZONING Reviewed by:; Date: do 0 TREE ADMIN. Second Review: ❑Approved as revised.i ❑ enied. 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 CITY OF ATLANTIC BEACH APPLICATION FOR FLU'_tING_PERMIT PERMIT NO. Date • Apr. 18, 1972 LOCAT I ONS oval 'alms , street • Y LOT NO . BLOCK NO._Z, OWNER Ernest Del Rio MASTER PLUMBER Arthur L. Gann Del Sao Eulders Lldg. BUILDER OR CONTRACTOR ZW1A1=XX 3 ___FP,rm it T,r. . TYPE OF BUILDING Residential j _SILIKS_,& LAVATORY,LBATH TUB& URII\?ALS_&CI,OSETS FLOOR DRAINS SHOWERS_J _WAT�R HEATERS—DIS-11,4ASHERS i DISPOSALS OTHER TOTAL, FIXTURES �',1 • OO��J NO WORK. MUST BE DONE UNTIL A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must show' a plan and. description of the size .-.and location of all the soil 4nd vent pipes, and the number a��w location of all fixtures, (in accordance with Ori ..nance n:, . 138 cf the City cf Atlantic Beach, Flurid1.) must be shown ,n back of appli- cation and be approved by the Plumbing Inspect-A. DRA'd PLAN AND SPECIFICATION! OF ABOVE PLUMBTT:G ON B'JY. Lpproved by Plumbing Inspector Date (FOR OFFICE USE ONLY ) ROUGH-IN INSPECTED J'_- 7-?'t --REMARKS__ FINAL INSPECT ION: �` ��' � CERTIFICATE i FOR OFFICE USE ONLY Date----- 1A3--------19 CITY OF ATLANTIC BEACH Permit #------------------------Fee$..Xf .... Valuation $__Is'aa) FLORIDA /- --------- ---------- House ............................................................................ APPLICATION FOR BUILDING PERMIT ............................................................................ ........................................................................... Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made irk compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws 6f the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of thle City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlanti6. Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list Of suO-contractors be submitted to this office so that licenses can be verified. Da te......... Owner,--6-. S-4//f o. ........ _- ------- >--- --------- ------------------------- ----------------------------- ...Addresw-$17f lQ ----------Telephone No.7-?!V-10 Architect............... ..................... --------- ---- ------------------- --------------------Address,-]----------------- --------------------------------------Telephone No............. ............. -----------_--------Address --- - --- - ------ .__Telephone No7..?"Y-4 40 3 Contractor Builder-AW/0------ ------ Lot No.--------------12-1-2-------------------------..Block No-------- --------------- 17-----..-..-..Sub Divi on. ------------------------------Street.------14 ---------Side Between.- Zone............ "01�--- -• -----------and----- Valuation $-------------------------------For what purpose will building be use .........Type of construction_. Dimensions of Buildin 9-----12-Ll K C(.____--Dimensions of Lot.- Size of Piers___________- ------------------Size of Footings---- t------- -----------------Size of Sills__..._-_-__.._.._......._Greatest;Sill -- ill Span in ft. -.---------------------Type Roof- How will Building be Heated?___ -----------------------------------------------Will >�uilding be on Solid or Filled Ground?--- ... ................... Size of Ceiling Joists-----------------•------------------------ Distance on Centers---- --------------------------------I Greatest Span---------------------------- Size of Floor Joists.-__------ .................. Distance on Centers._.......i; ................ Greatest Span.--- ------ -------------- ......... Greatest Span .... Size of Rafters.-------0711(p.------------- ---------------- Distance on Centers -------------- ......................... This rectangle is to represent the lot. Locate the building or buildings in the right Position. Give distance in feet from all lot-lines and existing buildings. Two copies of plans and specifications shall REAR LOT LINE be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. E-4 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the CityAtlantic.Beach. Signature of Builder_p� �t. . ... . .. ............ Address_.. Signature of Owner.--------t- -------7'�-------------------- ---------------- Address-_--_------- ........... ........... .....................