90 Saratoga Cir (vault) CIT OF ATLANTIC BEACH
800 SEMINOLE ROAD
=' r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08- 0000463 Date 4/16/08
Property Address . . . . . . 90 SARATOGA CIR
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3650
---------------------------------------'-------------------------------------
Application desc
REPLACE WINDOWS
--------------------------------------- -------------------------------------
Owner Contractor
------------------------ ------------------------
MARTIN HOME EXTERIORS
5749 HAVEN ROAD
JACKSONVILLE FL 32216
(904) 737-5009
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 50 . 00 Plan Check Fee 25 . 00
Issue Date . . . . Valuation . . . . 3650
Expiration Date . . 10/13/08
------------------------ ----------------------------------------------------
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2004 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 TEE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TC INSPECT FASTENERS
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
--j--
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.
t
' I
CITY OF ATLANTIC BOACH
08- I I I I
800 SEMINOLE ROAD,ATLANTIC 8E CH,FL 32233
OFFICE:(904)247-5826 0 FAX NO.:PO4)2475845
BUILDING-DEPT@COAB S
BUILDING PERMIT APPLICATION DUVAL COUNTY
I.JOB ADDRESS: ,.' FADDIT
3.Sbl.FT. IF
,C, 111-a Of>43.EOAl DEUSE OF STRUCTURE:
❑DEMOLITION ESIDENTIAL
LOT_BLOCK SUB DIVISION ❑CONVERTING USE ❑COMMERCIAL
7iOE$+rRR1TONOF El ACCESSORY BLDG. '_� $PR1NiKl.-E12:
❑REPAI R ❑POOL/SPA ❑YES /A
,..F,. 07 '111-AiL, t OTHER ❑NO
❑MOVE 11� AWWT BINE
9.NAME: , _ 15.COMPANY NAME: 23.COMPANY NAME:
16.NAM
E + 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
18.ADDRESS: �{ 26.ADDRESS:
A+16, L- C�Ft
_;t . Pf 3 l
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHO E: 20.FAX N .: 27.OFFICE PHONE: 28.FAX NO.:
0
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: 22,EMAI ADDRESS: 30.EMAIL ADDRESS:
'77". SID1iiDINli Y R DER:
«, _...
TWAN
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 performec to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced wi hin 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,Furnaces,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 buildin official,as required by law.
*** WARNING TO 0NER: ***
YOUR FAILURE TO RECORD A NOTICE OF COMM NCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR P OPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND PO ED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FI ANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
C _ter,
I' c
Signed: Date:�• Sign '� Date: 3-(2,?
Before me hi Vday of ri+ If 200t' he county of Before r a this day of x' ,20ogin the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
I&,-nne4h m "-yin Mkalli, 9,Q r e--11k4V?-
herin by himself/herself and affirms that all statements and declarations are herin by him If/herself and affirms that all statements and declarations are
true and accurate. �'�y, true an accurate.
Notary Public at Large,State of rL County of--PK [.[ Notary Public at Large,State of ,County of
❑Personally Known ❑Personally Known
01I.PrQruced Identification- Produced Ida '{ M�-.71�1
n„ . kill, at-A'in IL
Notary Signature:
Kit VIIE&
HAM C
Gd1tary Public-State of Florida I O AL
OAS FORM BLDG ;: v mmission Expires Feb 28,2010 REQUIREMENTS AND CONDITIONS.
s? ommission#DD 523638
i ed By National Notary Assn. RE WED BY: DATE:.
f LE
,.cif....w 41Wi1i" -..Mfl:.T1••M.iWnn.�,vr«-.,.
5�, a
-IT I
b W
Na
-� T
ja
� qq �
o
� o
V1 -C a p d
o r
.r _L
A V) _s
kioN
.1 Q
N o a
�
0
1
z p 000 0 `a
p
O rn Z C rn Z p
1 0 D 1 C)D D
W N �o!- x z X C)
- Z D z ,
O Q D�D m T r O D rn -n O
nX �CvN 7o
D Z > m
D ljT ,
�i
r
— E{ I ter•
Z— m D
r SII'— m impZ
Q
� �l ➢p<m
D Z77t ��
z = A m a Z a D D p D
_ ? � D O� = D � � 00M0m
O D mo
C
M —�
O D T
mrn
0 O 0 -n iv
m C G T D z
� TU)
D ovAD m 2 0
r
rn-im p 00�l o
Cn nZD OID DT3k W
m < z D zoo n
M OO m W,
m '
O z T Z
� p m m � �a� _ � m-
-{ Z O cn D z
xz *� Dom . `�60
_ z .X
m
� 1- m p �_ 0
� a � p -� o
z
m
D
a m
X
s m
o -
F. M T
S
.-C)
x
k T O.0 7 I X
�\ n o x n O z z X > C)
coZ
m N \ O n W 3 W
C
n z1 Z D m X Z z 7 � S
M
O
te X O� � � O mz
;az z .
0 —� p�� p
C O fOn
<
- L , coy - - -
w C- m -- — _
�' Cn D Z m D � A
rnNTDr nm�Z IZ
O o m c) c_n z
W ?Ove a Dp�m D
°C T' ' D � mz ��m� r X
r7
nX D z
O D
O
-
n1 f� n p <> p z G) m z o
z h b = AOT m ° Z Z1p
C a 0 m O U ZOf = �.
-
Z
Ian zT l Os
Z1' IC=J z X T O
D ' p
goo m Oo o � � � W
D o m T y z 0
t j N O X
o X Q o Do v
X O -
O -- OZZ
2 p m n m
co m
D
p m j c
c G)
y
<
W m
m
p
n a I m Z
x
i -
Document Title: Document No. FRM BI-02
CERTIFICATION AUTHORIZATION REPORT `�cvlsl " 3 I'agc: I of 1
o.
Required By: PRO B l-03
FMA Keystone Certifi ation Program
Certification Authorization Report
CAR & Product ID Number: 199 - 178
CAR Issue Date: 6/22/2006
CAR Expiration Date: 5/24/2010
Company Code: 199
This Certification Authorization Report (CAR) is issued by Keystone Certifications, Inc. (KCI) after full validation review
of the product qualification documents for the product named below. This report is only valid when signed by the
President of KCI, and indicates the product as manufactured by t e company named below has been tested and meets
the requirements of the referenced standard and is eligible for the application of FMA Keystone Certification Program
certification labels. Licensee stipulates in affixing certification labels to products, that those products are representative
of the specimen evaluated and documented for certification authorization Only products bearing such a certification
label shall be considered certified. The information in this report can be verified at www.keystonecerts.com.
Company Information: Product Information:
PGT Industries (NC) Model: DH 460 Vinyl Tilt Double Hung
210 Wasler Road Operator Type: DH
Lexington NC 27295 Configuratio : ALL
Max Width: 53
Max Height: 76
Referenced Standard: Product Rating:
ANSI/AAMA/WDMA 101/I.S. 2/NAFS-02 H-R50 1348x1933 (53x76)
Qualifying Test Information:
TestReport No: FTL-4953
Test Report Expiration: 5/24/2010
Authorized Signature:
Digitally signed by Marcia P.Falke Keystone Certifications, Inc.
DN:en-Maria P.Falke,c=US,o=Keystone 1790 Old Trail Road, Suite D
Certifications,Inc.,ou=President,
en"ll=mfalke@keystoneeerts,coin Etters, Pennsylvania 17319
Season:I attest to the accuracy and integrity of
!his d—lent Phone: 717-932-8500
Dale-2006 06,22 11:30:32-04'00'
Fax: 717-932-8501
Marcia Falke,President
www.keystonecerts.com
Quality Accuracy Assurance
Fenestration Testing oratory, Inc.
I677 West 31st Place Hialeah,FL 33012 Phone: 05/819-7877 Fax 305/819-7998
e-mail:ftldade@aol.com w w.ftl-inc.com
Lab.Number 4953
May 24,2006
Report Number 52
File Number 06-175
Page 1 of 5
D-8135
OFFICIAL TES REPORT
MANUFACTURER: P.G.T.IndustriesDESIGNATION: H-R 501348 x 1933(53 x 76)
ADDRESS: 1070Technology Drive PECIFICATIONS: NAFS-02,AAMA/WDMA
Nokomis,Florida 34275 CSAJ101/I.S.2/A440-05
DESCRIPTION OF UNIT
Model Designation:Series:DH460;Vinyl Double Hung Tilt indow
Overall Size:4'5 3/8"(53 3/8")by 6 4 /4"(76 1/4")high by .250"deep
Configuration:X/X
No.&Size of Vents:Two extruded vinyl vents;upper vent,4'0"(48")by 3'3/8"(36 3/8")high;lower vent,4'1"(49")
by 3'3/8"(36 3/8")high.
MATERIAL CHARACTERISTICS
Frame Construction: White vinyl test unit has a flange type frame.Frame comers have mitered welded joints.Unit
tested with a 2.375"high overall interior sill flange.Sizes of frame members are as follows:frame head and frame jambs
3.486"by 1.500"by 3.250";frame 0113.496"by 2.375"by 3.250".Frame members are hollow extrusions,with typical
wall thickness of 0.060".
Vent Construction:White vinyl and welded mitered joints.Sizes of rails are as follows:upper vent top rail and lower
vent bottom rail 1.160"by 1.647";upper vent bottom rail and lower vent top rail 1.160"by 1.647"by 1.410"by 1.022";
vent jamb rails 1.160"by 1.022"by 1.647'.Vent members are hollow extrusions with typical wall thickness of 0.065".
Glazing:
Material:*0.875"overall insulated glass using two lites of 1/8"• 0.125")annealed glass and an 0.625"air space,A5-S,
between the interior and exterior glass.
Method:Unit is exterior glazed with a 0.527"glazing penetration using a clear colored silicone and a semi-rigid vinyl
glazing bead.
Daylight Opening:Clear opening of upper vent,44 3/4"by 33"high;lower vent,45 3/4"by 33"high.
Weatherstripping:
Quantity Descri tion Location
Single row pile with integral plastic fin at frame head weatherstrip adapter
Single row pile with integral plastic fm at lower vent bottom rail and jamb rails on the interior and exterior
Single row pile with integral plastic fin at upper vent to 3 rail on the exterior
Single row pile with integral plastic fin at lower vent to 3 rail
ZL
Single row fabric coated foam at upper vent ttom rail on the interior -
Note: "*"designates measurements by laboratory
THIS REPORT IS SUBMITTED FOR THE EXCLUSIVE USE OF THE CLIENT TO WHOM IT IS ADDRESSED.ITS APPLICATION IS ON!Y To THE SAMPI F TFSTFD AND IS NOT NFCFSSA'3RY INDICATIVE OF THE DUALITIES OF APPARENTLY
SIMILAR OR IDENTICAL PRODUCTS.PUBLICATION OF STATEMENTS,CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR P_PORIS.OR OF ANY OF OUR SEALS CH INSIGNIA WASHOUT OUR EXPRESS PERMISSION,IS PROHIBITED.
I
i
i
I
Lab.Number 4953
May 24,2006
Report Number 52
File Number 06-175
Page 2 of 5
D-8135
MATERIAL CHARACTERISTICS
Hardware:
Quantity Descri tion Location
Two surface mount metallic cam lock,with no I.D.marks at lower vent top rail,7"from each end
Two surface mount metallic keeper,with no I.D.marks at upper vent bottom rail,6''/2"from each end
Two flush mount metallic tilt latch,with no I.D.marks one at each end of lower vent top rail
Two flush mount plastic tilt latch,with no I.D.marks one at each end of upper vent top rail
Four spiral balance,with no I.D.marks two at each frame jamb
Four metallic pivot bar,with no I.D.marks one at each end of each vent bottom rail
Two I 10"long vc vent gg,with no ID.marks one at each lower frame jamb
Weepholes:
Quantity Descri tion Location
Two I"by 1/4"weep hole with plastic baffle at exterior frame sill,3 3/8"from each end
Two l"by 1/8"weep slot one at eact end of frame sill on the interior track,2 5/8"
from each end
Two 3/8"by 1/8"weep slot one at eact end of frame sill on the exterior track,2"from
each end
Two 3/8"by 1/8"weep slot one at eact end of frame sill on the interior track,2'/2"from
each end
Two 1/4"weep notch one at cacti end of exterior screen retainer leg
Four 1 15/8"by 1/4"weeg slot two at cacti end of sub sill
Muntins:None
Mullions:None
Reinforcement:One 44 3/4"long aluminum reinforcement,drawing No.5157,inside upper vent bottom rail.One 32
3/4"long aluminum reinforcement,drawing No.5156,one inside each vent jamb rail,(total of four).One 45 3/4"long
aluminum reinforcement,drawing No.5156,inside lower vent top rail and lower vent bottom rail one of the same except
41 7/16"long at upper vent top rail.
Sealants:None
;Pads:None
Screen:Water resistance tests were conducted with and without i fibcrelass mesh screen installed.
Additional Description:Unit has a snap on weatherstrip adapter drawing No.5174,at frame head.The metallic pivot
bar was fastened with two No.6 by 1"flat head self drilling scre s.
Unit Installation:Unit tested in a 2 x 12 wood test buck using a x 4 pressure treated buck strip.Frame was installed
with a single row of No.10 by 2"pan head sheet metal screws in frame head,frame sill and frame jambs.Location of
installation screws are as follows:frame head and frame sill from the left, 6 5/8",26 11/16"and 46 3/4",-frame jambs
from the bottom,6 5/8",18 7116",30 1/4",42 1116",53 7/8"anc 65 5/8".
Product Markings:None
d�►-Zd-06
I
i
Lab.Number 4953
May 24,2006
Report Number 52
File.Number 06-175
Page 3 of 5
D-8135
OFFICIAL TEST RES LTS
Paragraph Number Title of Test Measured Allowed
2.1.2 Air Infiltration Test:(ASTM E283-96) Passed
at 1.57 psf 12.3 Us-m'(0.26 fin/sq.R.) 1.42(0.3)maximum
Note: The tested specimen meets or exceeds the performance levels specified in specification reference
for air infiltration.
2.1.3 Water Resistance Test:(ASTM E547-96IE331) Passed
with and without screen,no leakage at 359 Pa (7.5 psf) 139(2.90)minimum
2.1.4.2 Uniform Structural Load Test: (ASTM E330-96) Passed
Positive Load 3591Pa(7 .0 pst) 1077(22.5)minimum
Deflection Permanent Set
Reading at meeting rails 65.56 mm(2.578") 3.46 mm(0.136") 4.98(0.196)maximum
Reading at frame sill 3.56 mm(0.140") 0.23 mm(0.009")
Reading at frame jamb 4.55 mm (0.179") 0.31 nun(0.012")
f
2.1.4.2 Uniform Structural Load Test: (ASTM E330-96) Passed
Negative Load 3591Pa(7 A psf) 1077(22.5)minimum
Reading at meeting mils 57.95 mm(2.279") 4.40 mm(0.173") 4.98(0.196)maximum
Reading at frame sill 4.07 mm(0.160") 1 0.25 mm(0.010")
Reading at frame jamb 4.91 mm(0.193") 0.28 mm(0.01 V)
2.1.7 Corner Weld Test: IPassed
Frame corner 418 N(95 pounds)
Upper Vent comer 178 N(40 pounds)
Lower Vent corner 200 N(45 pounds)
Note: The break did not extend along entire weld line.
2.1.8 Forced Entry Resistance Test Passed
AAMA 1302.5-1976,Paragraph 3.1.1
Test A through 3.1.5 Test G No entry None Allowed
2.2.1.6.1 Top Vent:
Starting Force: 98 N(22pounds) 133(30)maximum
Operating Force: 80 N(18 1 iounds) 133(30)maximum
2.2.1.6.1 Bottom Vent:
Starting Force: 89 N(20ounds) 133(30)maximum
Operating Force: 84 N(19 ounds) 133(30)maximum
2.2.1.6.2 Top Vent
Deglazing Test:(ASTM E987-88) Passed
No disengagement at:
Horizontal Rails 311 N(W pounds) 311 (70)minimumE�i-,to-ei
Vertical Rails 222 N(5C pounds) 222(50) minimum
Percent Deglazement 8 percerit 99 maximum
i
Lab.Number 4953
May 24,2006
Report Number 52
File,Number 06-175
Page 4 of 5
D-8135
OFFICIAL TEST RESULTS
Paragraph Number Title of Test Measured Allowed
2.2.1.6.2 Bottom Vent .
Deglazing Test:(ASTM E987-88) Passed
No disengagement at:
Horizontal Rails 311 N(70 pounds) 311 (70)minimum
Vertical Rails 222 N(50pounds) 222(50) minimum
Percent Deglazement 7 percent 99 maximum
Forced Entry Resistance Test:(ASTM F588)
Manipulation Test No Entry Passed
Test A2.1 thru A2.3,(Grade 10)
Type A Window;Test A 2.4 thru A 2.4.8
SECTION 4,OPTIONAL PEI WORMANCE CLASS:
4.3 Water Resistance Test:(ASTM E547-96/E331) Passed
with and without screen,no leakage at 359 Pa (7.5 psf) 1.44(3.00)minimum
4.4.2 Uniform Structural Load Test: (ASTM E330-96) Passed
Positive Load 3591Pa(7 5.0 psf) 1436(30.00)minimum
Deflection Permanent Set
Reading at meeting rails 65.56 mm(2.578") 3.46 rum(0.136") 4.98(0.196)maximum
Reading at frame sill 3.56 mm(0.140") 0.23 mm(0.009")
Reading at frame jamb 4.35 mm (0.179") 0.31 mm(0.012")
4.4.2 Uniform Structural Load Test: (ASTM E330-96)
Negative Load 3591 Pa(7 .0 psf) 1436(30.00)minimum
Reading at meeting rails 57.95 nun(2.279") 4.40 mm(0.173") 4.9E(0.196)maximum
Reading at frame sill 4.07 mm(0.160") 0.25 mm(0.010")
Reading at frame jamb 4.91 mm(0.193") 0.28 nun(0.011")
Note: At conclusion of above tests,there was no apparent damage to unit,glass or fasteners.
Temperature:86.0 Fahrenheit
Barometric:29.95 inches Hg
Test Began-May 11,2006
Test Completed-May 23,2006 i
Report Expires-May 23,2010
Remarks: This test report does not constitute certification oft is product,but only that the above test results were
obtained using the designated test methods and they indicate compliance with the performance requirements(paragraphs
as listed) of the above referenced specifications. As per manufacturer, unit complies with section 3, material and
component requirements.
Detailed assembly drawings showing wall thickness of all mem ers,corner construction and hardware-application
on file and have been compared to the sample submitted.A test sample will be retained at the test laboratory.A py
of this report has been forwarded to the Validator.
Note:Test specimens were covered with 1.5 mil plastic sheeting t seal from air leakage when load tests were performed,
however this had no effect on the above tests results.
i
Ngml?gr 4W
May 24,2006
Report Number 52
File Number 06-175
Page 5 of 5
*t I I)--81.35
Witnessed by: FENE.Sa TION TESTING L TORY,INC.
Mr.Edmundo Largaespada,P.E.
Mr.Sam Bryant
Mr.Thomas Lamb Robe
Mr.Joe Johnson Testing M mager
Mr.Jim Roemer
Mr.Joe Allison
Laboratory Technicians:
Mr.Roberto Robleto _
Author of Report D6: W—A&
Ms.Dina Cova
,W-'P.G.T.Industries
1 -Keystone
I
i
I
I
I
CITY OF ATLANTIC BEACH PERMIT
zf B G I ZONING DEPA 'T APPLICATION #
000 Seminole Road
J .': :'•. Aflaniao Beach,Florida 32233
i (904)247- 000
. (904)247-5845 Fax
www.coab.ns
APPLICATION TRACKING FORM �
REQ'U1 :
YING
IYING
F=Property Address. ORKS�1�D�BflIllc� etbwA��t�/
YILITIESifPT.Project° YAFETY
w •APP OVAL
v REQUIRED AGENCY: RECEIVED BY: INITIAL DATE:
Lu y N D.E.P HUF TETL�R
Y N S.J.RCD W.M. C ER
i '�( N ARMY CORPS of ENG CARPER
o Y D� HOTELS RESAURA_ HUF TETLER
APPLICATION STATUS
CIRCLE ONE: SITE BUILDING DA AP IEWED BY: INITIAL: DATE:
® ® 1 ST REV ® e �S rn Y— —o r
PLANNING ® ® 2ND REV
BUILDIN
PUBLIC WORKS
I
PUBLIC UTILITIES
FIRE DEPT.
PUBLIC SAFETY
® ® 3RD REV
s� CIT)( OF ATLANTIC BEACH
800 SEMINOLE ROAD
s-,-' ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00000557 Date 4/25/08
Property Address . . . . . . 90 SARATOGA CIR
Application type description ROO PERMIT
Property Zoning . . . . . . . TO E UPDATED
Application valuation . . . . 6500
--------------------------------------- ------------------------------------
Application desc
reroof f12533 . 1 fl 2533 . 3
--------------------------------------- ----------------------------- ------
Owner Contractor
REMLER LIBERTY ROOFING, INC.
90 SARATOGA CIRCLE 4026 FIELDS BROOK LANE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32223
------------ --------------------------- ------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 62 . 50 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6500
Expiration Date . . 10/22/08
--------------------------------------- ------------------------------------
Fee summary Charged Daid Credited Due
Permit Fee Total 62 . 50 62 . 50 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 62 . 50 62 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC E)EACH 07-
i4 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 l C l
t) OFFICE:(904)247-5826•FAX NO!(904)247-5645
BUI LDING-DEPT@COAG.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
6,10 O "W{1
❑NEW BUILDING ❑DEMOLITION ahrESIDENTIAL
LOT_BLOCK_SUB DIVISION ❑ADDI ION ❑CONVERTING USE ❑COMMERCIAL
❑ALT TION ❑ACCESSORY BLDG. B.FSlINK1E �
❑REPAIR ❑POOL I SPA ❑YES ❑N/A
a p yw pxy❑�,MOV ❑OTHER ❑NO
plw N5.:Cp�7�+f h,�,a,2: � 7A3,!y 17 �r
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
///��y �✓ 16.NAME: y 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.:. 25.STATE OF FLORIDA LICENSE NO.:
90 -goo
� 18.AD RES 26.ADDRESS:
r-1,, J~A3
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX O.: 27,OFFICE PHONE: 28.FAX NO.:
13.CELL PHONE:_ I 21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: ✓C 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
G i
�S!M " :Tl t? F p ei ) py S Ml� th �k@( NIS 1"ll + meq. � 55 i
�X h ar (- IP q T(�i' BN* Y (4 l� �j,' >Br G ..i,.`! t�.. 3=?k7ngls T1'tkJ' p ,q nu bl
"`„res„a,. .rF;.Tl'. -a,r rr, 4 ue. , ua a, qaa�, aF,
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 instal ations 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 comme iced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accura and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referen d building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the buildi g official,as required by law.
WARNING TO WNER: ***
YOUR FAILURE TO RECORD A NOTICE OF COM ENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR F ROPERTY. 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 RECORDIN YOUR gNOTICE OF COMMENCEMENT.
,i) G9�tl�r £S
...•"f.. „ ,
o1�k96
's,
SigrA ,4Z Date: "Y o 'Q o Signe : Date:
v
Before me this day of - 2007 in the counx of Befor a is day of 20�in the county of
Duval,State of Florida,has pers ally apps $ NESTLE Duval,State of Florida,has personally appe
EUSSA HREI
herin by himself/herself and affir emer Aar herin y himself/herself and affirms that all 2 b Ifte 1AA UlON#DD 2692
true and accurate. Fiol&NotwyAnn.,Inc ! true and accurate. EXPIRES:A '112,2(11
Not�ty Public at Large,State of County of Nota Public at Large,State of _,
/Personally Known ❑P rsonally Known i L rD L
11 Produced Identification- duced Identification-
Notary Signature: i Notaiy Signature:
i
COAB FORM BLOG01:REVISED:8/2/2007
I
I __
i
NOTICE OF CONBENCEMENT
Permli Nv o. i Doc#2008106512,,OR BK 14475 Page 1022,
Ta?:Polio 1,40. Number Pages:1
Fled&Recorded 04/25/2008 at 02:11 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
State of Florida COUNTY
CoUrit�' OI Duval
RECORDING$10.00
' THE UNDERSIGNED hereby give notice that the improvem ent will be made-to certain real propem- in
accordance urith Chapter 715;Florida Statutes, the following Information is provided in this Notice of
Commencement.
f
1. Description of property (legal description of property p d address if
available):
General Description of improvements-.
w i
3. Owner Information:
a) Name and Address:
b) Interest in property: Liz
c) Name and address of simple titleholder (if other than owner)
tractor(Name and Address):
5. urety Information:
a) Name and Address:
b) Phone Number:
c) Fax Number
d) _Amount of Bond:
o. Lender Information:
a) Name and Address:
b) Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be
served as provided by 713.1: (1) (a), Florida Statutes.
a) Name and Address:
b) Phone Number:
c) Fax Number :
8. In addition to himself/herself owner designates of to
receive a copy of the Lienor's Notice as provided in Section 713,12 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of
Recording unless a different date is specified:
Signature of Owner: C`
Sworn and subscribed before me this day of �1 20 e�9 g
Known Personally u ID Show
6NE8TLE
Signature of Votary: O�II�f�11111�f
res"42010 :
M}, commission expires: G� �...
i
CITY; OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
NSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00000581 Date 4/29/08
Property Address . . . . . . 98 S SARATOGA CIR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
---------------------------------------- -----------------------------------
Application desc
INSTALL 9 FIXTURES
-----------------------------------
----------------------------------------t
Owner Contractor
-
------------------------
---------------- -------
DRISCELL ASAP PLUMBING CO
98 SARATOGA CIRCLE S . SD SERVICES OF JACKSONVILLE
ATLANTIC BEACH FL 32233 P . 0. BOX 16631
JACKSONVILLE FL 32245
(904) 994-6440
---------------------------------------- -----------------------------------
Permit . . . . . . PLUMBING PERMI
Additional desc . .
Permit Fee . . . . 98 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/26/08
---------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
-------------- --- ---------- ---------- ---------- ----------
Permit Fee Total 98 . 00 98 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 98 . 00 98 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i
CITY OF ATLANTIC EACH
PLUMBING PERMIT APPLICATION
Date: "—
Property Address: SA/ %d _ c a,,7a
Owner. rc;s d / Telephone#:,�5-
Contractor: Telephone#:
contractor.tddrts : /4,z 13,K1 �24, r 7 'Fax#: 3 `7 ' o 7 Z
' In coasidervtian of permit given for doing the work as described in the above tateme�tt.wo hereby agroo to perofA
said work in
accordance witb the attached plans and specifications which are a part hereofand in accorda=with the City of Atlantic 8eaoh
ordinatux and standards of good pnw doe listed therein.
Installation of plumbing and fixtures trust be in accordance with the most eoant edition of the Soutltorn Standard Plumbing
Code. -
Plumbin,';ype: If other consiruction is being done on this building or sits
O -,-New list the building permit number:
( Re-Pipe
Number of fixtures:
,l Bath Tubs Showers
Closets Shower Pans
i
Dishwashers Sinks .
. Disposals Urinals
Floor Drains !! Washing Machine
Lavatory Water
Sewer / Water Heaters
Other A
Fees
Permit 1ssuv a- Fee: $35.00
1 otal r►,tCtC;:'ea: _ X$'7.00 + $35.00 ....._,...
800 Seminole Road•Atlantic Beach, Florida 322334M4
13hone: (804)247-5800• Fax: (904)247-5845• h :J1~.CLat1il t1G 4WGh.A.Y*
"J CITY OF
Office of Buil Ing Official
REQUEST FOR INSPECTION
Date— , Permit No. �
Time A.M.
Received ^ P.M. District No.
Gam,
Job Address 113Locality (�
Owner's t/r _ L�C�U I
Name Con ractor�_�-`��
BUILDING CONCRETE ELECTR CAL PLUMBIN MECHANICAL
Framing ❑ Footing ❑ Rough Wiri g ❑ Rough ❑ Air.Cond.& ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Lintel ❑ t,.--- Fire Place ❑
READY ORPre FabI INSPECTION A.M.
Mon. Tues. Wed. Thum. " Friday P.M.
Inspection Made 3s�� P.M.
Inspector �� Final Inspection❑
Certificate of Occupancy
coDate I-,/–
I
0001.61
DEPARTMENT OF BUILDING
f CITY OF ATLANTIC BEACH
fEf'.flf'l' ItiFDfttiA'rIOt1 - - -- <-- LOCATIO11 IfIFORMATT011 -- -_ --
Per mit ftunib r : GI Ad.dreats t 90 SARATOGA CTRCLF: SOUTH
Permit. Typet ELECTRICAL ATLANTIC DEACII, FLORIDA 3224
Cln�ses c:)f WoLk.: INCREASE ___ _ LEGAL DESCRIPTION
cunstr. Type: LoL: Black s Section,
Proposed Use; SINGLE FAMILY. Plat Book t Page: d
Dwellinges O Cute-s 0 Subdivisions
EistimaL<>d Value-: 1po. 00 _----- - OW14ER INFORMATION -------
Improv. Coat: - $0. 00 Names COBS
ToLa.t Feer. $45. 00 Address s 90 SARATOGA CIRCLE SOUTft
Amount fial: $4a. OU I ATLANTIC BEACH, FLORIDA 322:3
Da Lf? Paid: 11/11/88 Phone: (904)358-2046
Work b(24sc. s cts14/0200a")pt3alumob2OOnmpe pti3w240volLseui-wcesalUUampaipit3w240vsH
CONTRACTOR(S) _____ _-; .,APPLICATION FEES ------
PENNY
._-_-
PE:Nt1`l _E:f.E CTE2IG INC. a PE MIT $45. 00
WATER IMPACT FEE $O.,,po (, ,� ;(
EWER IMPACT FEE $0. no
WATER METER gU. 0U U. 1)U.j
RADON 13Aa-11'. R. S. $(_r}w00 I A' 1 1/1 1/
RADON GAS 5% $0. 00
WATER TAP $U;r.!0
., SEWER TAP $0. 00
HYDRAULIC SHARE $0. 00
RE-INSPECT FEE r $0. 00
OTHER $0. 00
00. 00
r
NOTES:
CHeck # 1029
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK UST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE OR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
i
' CITY OF ATLANTIC BEACH, FLORIDA
Approwd ey APPLICATION ICOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: d 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,`WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE APART HEREOF, AND IN'ACCORDANCE WITH THEELECTRICAL REGULATIONS, CODES AND Cl OF
ATLANTIC BEACH ORDINANCES. -7 C ell"-7S--O'Y
4 V
ELECTR CAL FIRM- MASTER ELECT 1 AN GN&URK JOURNEYMAN
NAME -d IT 13 ADDRESS: �pj 6,e L RFD BOX_
BLDG.SIZEBETWEEN:
RES. APT.( ) COMM.I ► PUBLIC( 1 INDUS.( 1 NEW( 1 OLD REW,( )
ADDITION ( ) TRAILER ( 1 TEMP.'t ) SIGNS ( 1 SO. FT. j
SERVICE: NEW( ► INCREASE CL REPAIR ► FEE
CONDUCTOR SIZE AMPS o
-COPPER ALUM.
TCH OR BREAKER OCT AMPS PH W d VOLT - RACEWA
EXIST.SERV.SIZE 10e) AMPS / PH 3 W 'l-ed VOLT S� RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
{
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31.100 AMPS.
SWITCHES
INCANDESCENT,
FLUORESCENT M.V.
FIXED 0.100 AMPS. I OVER
APPLIANCES BELL TRANSF.
AIR H.P.RATING M.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS fimps ICEIL HEAT: KW-HEAT
G � a
0,1 OVER
MOTORS H.P. VOLTAGE PHS NO. -i H.P. VOLTAGE PMS
i
ISCELLANEO S 1
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. lKVA
NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
:EACH SIGN
FORWARDED y-
S
TOTAL FEES
{
�.;
00014,
a DEPARTMENT OF BU LOING
CITY OF ATLANTIC B EACH
PERMIT INFORMATION, LOCATION INFORMATION --
.
Perm _�t _Numb*•a '148 , 0 dd r s . . SARATOGA CIRCLE SOUTH
Pel"soit Ty1p4s IiECHANICAL ATLANTIC I BEACH, FLORIDA
Cl&6# of Works AL.TZRATIIa1N � LEGAL DESCRIPTION ��
Carat Ty P t s Blocks Sect Lein s
Proposed Use s i; SINGLE FAMILY
Plot -Book Paget O
w+ L gl s O;; Code E uIbdi ision s
tf t d V lu = *01,00
O _ `OWNER INFORMATION -
ad�OC 00 Novs 'RICKEY COBB
Total 020. 00
it ►sOunt ,, z : { 2b. OC d9 ' �ARATOGA CIRCLE
ATLANTIC SEACHf :
BUILDING AND ZONING I NSPECTION DIVISION
CITY OF ATLAN IC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR ME HANICAL PERMIT CALL-IN NUMBER
IMPORTANT --- Applicant to completE, all items in sections I, 11, 111, and IV.
I.
LOCATION Street Address: SO Saratoga.(i r(-la S
OF Intersecting Streets: Between, aA=_L�Rd- And Atlantic Blvd.
BUILDING
Sub-division__._
!1. IDENTIFICATION — To be completed by all applican Is ,
In consideration of permit given for doing the work as described in the 5bcve statement we hereby agree to pqrform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of JacksorlIvilie ordinances and standards
of good practice listed therein.
Nerve of Mechanical Contractors
Contractor (Print) McCall Centr Master RA0015176
Name of
Property Owner
Signature of Owner Signature of
er Authorized Agent Architect or Engineer
Ili. 100INAL IN RMATION
A. Type of heating fuel: B.
IS OTHER CONSTRUCTION BEING DOME ON
Electric THIS BUILDING OR SITE? N0
❑ Gas--❑ LP ❑ Natural (r] Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
Q Oil PERMIT
® Other –A Specify
IV. AHCMANICAL EQUMMEfeT TO Sf INSTALLED NATURE OF WORK
IProvide complete list of components on back of this fern) Q Residential or ❑ Commercial
[I. Heat ® Space ❑ Receued Q Control O Floor ❑ New Building
[j Air CoodMorsing: ❑ Room Q Control ® Existing Building
[I Duct System: Material Thickness— ® Replacement of exis'ling system
Maximum capacity 1200 c f.m. ❑ New installation(No system previously installed)
❑ Extension or add-on to existing system
❑ Rsfrigenstion
❑ Other — Specify
Q Cooling tower: Capacity 9 p
❑ Fire sprinklers: Number of heads
❑ Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE PCR OFPCIS USE ONLY
0 Gasoline pumps (number) 1Reeeiwdj
0 Tank= (number) Remarks
❑ LPG containers (number)
C, Unfired pressure vesw
C3 roih>trs Permit Approved by ANe_
0 Other — Ski, Permit Fee
LIST ALLEQUIPMENT
AMR CONDITIONING AND REFRIGERATION EQUIPMENT
I �i d AT3 ty 1 A40
�u'6iptYaN[,;�;�Titta GYsjlt�'r3efvCMeiiY1:1i. �rSalsiiiialYMai>Fe�C
HEATING - PURNACFS, BOILERS, FIREPLACES
)htmber Vnits bwcrlptim 390"Ntna Iiiaianfik0lMlree ��I
1 Air Handler CBT4)36 Comforbmiker 3 UL
TANKS
now Haay Nombw Capacity Type LkgtsMd arae of serial A.Movies
amt! rMWIN 4=2 Contained No. ABeacy