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Permit Windows 378 Sargo Rd 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001474 Date 10/10/12 Property Address . . . . . . 378 SARGO RD Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 481 ---------------------------------------------------------------------------- Application desc window replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DONOR, JOSE P JR AMERICAN WINDOW PRODUCTS % LORI D SANDERS 2633 POWERS AVENUE 12603 FISH HAWK LANE JACKSONVILLE FL 32207 JACKSONVILLE FL 32225 (904) 731-2247 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 481 Expiration Date . . 4/08/13 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 86 . 50 86 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITU 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 Job Address:$ Permit Number: Legal Description Ctrl Jin 5 UnAl -2A L-C22 i3'Parcel # 191(C'90 c c oc ' Floor Area o q, t. q t Valuation of Work$ l Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New AdditionAlteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial <ReQ�" e;li i If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval # 53214 For multiple products use product approval form f Describe in detail the type of work to be performed:_ I 7' � � W1,n Property Owner Information: Name: /W Address: 12(0( Sh - City 117� State FLZip '32_ Z,?, Phone .2315- E-Mail 15-E-Mail or Fax#(Optional) Contractor Information: AMERICAN WINDOW PRODUCTS, INC. 1 Company Name: 2633 POWERS AVE. Qualifying Agent: 14-44-1 Address: .LACK , City State Zi Office Phone `131- -2-2-q1 Job rte/Contact Number Fax# --7-_-3_t 2 ..,� State Certification/Registration# G l25 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Z' 1 Bonding Company Name and Address FOR Mortgage Lender Name and Address D COND MONS REV&-wEDpy: Application is hereby made to obtain a permit to do the work and as an tca t ndAQ'Fpr installation has mm d pri o t e issuance of a permit and that all work will be performed to meet the s a is s pe b mill' and void if work is not commenced within six(6 months, or if construction or work is suspende or a an ontany time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, ells,Pools, urnaces, offers,i.meaters Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF . COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 work will be complied with whether s eci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or localaw regulating construction or the performance of construction. Signature of OwnerSignature of Contr ctor Print Name ..I. .. :(...........(/(/�.�........ Print Name 1�TI"I �-i u-►"` ,_ ................................................................................................................................ Sworn toand subscribed befbire me Sworn to and subscribed j efore me this ` '4! Day of C.`)u r/� 201 L t "s Day of_ 0 C± . 20(1'2- /-40LM-CAN y A91 Not ry lic hP"ffulviy J. * * My COMMISSION I!EE 127992 * * M OMMISSION a EE 127982 EXPIRES: Tivu September 6,2015 �,, EXr ,ico. r : r;:.?.1i5 Revised 01.26.10 BoWDov ct� Bonded Thu Budo Notary Sa; , oC , \_ L7- i I I .... ill I - I •.dry, 4. Florida Building Code Online Page 1 of 3 as' . .r SCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search Busine ,:,a lnProduct Approval USEserR:Public U ii' i LZ= M Product Approval Menu>Product or Application Search>Application List>Application Detail 9:;- �RIG'; FL# FL5327-R2 Application Type Affirmation Code Version 2010 Application Status Approved Comments Archived Product Manufacturer Bell-View,Inc. Address/Phone/Email P.O. Box 208 150 Industrial Blvd. Wrightsville,GA 31096 (478)864-2227 bvieng@bellsouth.net Authorized Signature Adrianne Bell Jordan bvieng@bellsouth.net Technical Representative Bell-View, Inc. Address/Phone/Email P.O. Box 208 Wrightsville, GA 31096 (478)864-2227 bvi@belisouth.net Quality Assurance Representative Bell-View, Inc. Address/Phone/Email P.O. Box 208 Wrigthsvilie, GA 31096 (478) 864-2227 bvi@bellsouth.net 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 developed the KRISTINA S DAUGHERTY Evaluation Report Florida License PE-68455 Quality Assurance Entity National Accreditation&Management Institute, Quality Assurance Contract Expiration Date 12/31/2015 Validated By Joel Grenstein, P.E. Validation Checklist- Hardcopy Received Certificate of Independence FL5327 R2 COI COI BVI 3100 SHW.pdf Referenced Standard and Year(of Standard) Standard Year ANSI/AAMA/NWWDA 101/I.S.2 1997 TAS 201 1994 TAS 202 1994 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvBaw2gXbdtho... 10/5/2012 Florida Building Code Online Page 2 of 3 TAS 203 1994 Equivalence of Product Standards Certified By Sections from the Code I affirm that there are no changes in the new Florida Building Code which affect my product(s) and my product(s) a,-e in compliance with the new Florida Building Documentation from approved Evaluation or Validation Entity No N/A FL5327 R2 COC FL5327COMP.pdf Product Approval Method Method 1 Option D Date Submitted 05/17/2012 Date Validated 05/17/2012 Date Pending FBC Approval Date Approved 05/18/2012 Summary of Products FL* I Model,Number or Name Description 5327.1BLUE CHIP" ALUMINUM SINGLE HUNG WINDOW Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL5327 R2 II BVIO08 03.11.09.pdf Approved for use outside HVHZ:Yes Verified By: KRISTINA S DAUGHERTY FLORIDA PE Impact Resistant: No 68455 Design Pressure: N/A Created by Independent Third Party: Yes Other: CONFIGURATION: O/X MAX SINGLE FRAME Evaluation Reports SIZE: W-60" H-96"TWIN MAX FRAMESIZE: W- 104"H- FL5327 R2 AE PER 671 - 3.11.09.pdf 72"GLAZING A: 1/2"O.A. INSULATED Created by Independent Third Party: Yes GLASSCONSISTING OF: 1/8"ANNEALED GLASS,AIR SPACE, 1/8"ANNEALED GLASS, GLAZING B: 1/8" ANNEALED GLASS, GLAZING C: 3/16"ANNEALED GLASS,GLAZING D: 3/16"TEMPERED GLASS. 5327.2 =13100 Aluminum Single Hung Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL5327 R2 II BVI009.pdf Approved for use outside HVHZ:Yes Verified By: KRISTINA S DAUGHERTY FLORIDA PE Impact Resistant: No 68455 Design Pressure: +55/-55 Created by Independent Third Party: Yes Other:CONFIGURATION: O/X MAX FRAME SIZE: W- Evaluation Reports 52" H- 73" MAX VENT SIZE: W- 51" H-36"GLAZING : FL5327 R2 AE PER 672.odf 5/8"O.A.INSULATED GLASS. GLASS TYPE AND Created by Independent Third Party: Yes THICKNESS MAY VARY PER ASTM E 1300 GLASS REQUIREMENT CHARTS. 5327.3 PA-20 Aluminum Single Hung Window Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL5327 R2 II BVI004.pdf Approved for use outside HVHZ:Yes Verified By: KRISTINA S DAUGHERTY FLORIDA PE Impact Resistant:Yes 68455 Design Pressure: N/A Created by Independent Third Party: Yes Other: CONFIGURATION: O/X MAX FRAME SIZE: W- Evaluation Reports 53.125" H-74.125" MAX VENT SIZE: W- 50.75" H-37" FL5327 R2 AE PER 677.Ddf GLAZING A: 7/16"O.A. LAMINATED GLASS CONSISTING Created by Independent Third Party: Yes OF: 3/16"ANNEALED GLASS, 0.063" POLYCARBONATE BY S.I.G., 3/16"ANNEALED GLASS GLAZING B: 5/16" O.A. LAMINATED GLASS CONSISTING OF: 1/8" ANNEALED GLASS, 0.063" POLYCARBONATE BY S.I.G., 1/8"ANNEALED GLASS 5327.4SERIES 500 ALUMINUM SINGLE HUNG WINDOW Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL5327 R2 II BVIO05-03.11.09.idf http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvBaw2gXbdtho... 10/5/2012 Florida Building Code Online Page 3 of 3 Approved for use outside HVHZ:Yes Verified By: KRISTINA S DAUGHERTY FLORIDA PE Impact Resistant: No 68455 Design Pressure: N/A Created by Independent Third Party: Yes Other:CONFIGURATION: O/X MAX FRAME SIZE: W- Evaluation Reports 52" H- 72" MAX VENT SIZE: W- 50"H-36.25"GLAZING FL5327 R2 AE PER 675 - 03.11.09.Ddf A: 0.125"ANNEALED GLASS, GLAZING B: 0.125" Created by Independent Third Panty: Yes TEMPERED GLASS,GLAZING C: 0.54"O.A. INSULATED GLASS CONSISTING OF: 0.120"ANNEALED GLASS, 0.300"AIR SPACE, 0.120"ANNEALED GLASS. Back Next Contact Us:: 1940 North Monroe Street,Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer.Copyright 2007-2010 State of Florida.::Privacy Statement::Accessibility Statement::Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic mall to this entity.Instead,contact the office by phone or by traditional mall.If you have any questions,please contact 850.487.1395. *Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address If they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455,F.S.,please click her . Product Approval Accepts: 11001 eC Mrk y http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvBaw2gXbdtho... 10/5/2012 M�No-pMAO!.i0>Im�✓M'I�YAi01-01.1W Yna3AiYV �riw.700MAK 1f YYAW IX7�19i O 1m tea- Onp p$pmxy� -N�DO��iti� iyO�3 2-Ul1sa m�'�3OOT�2-r myT-3_Z3 rrrar,2�Nn0'0pZ-n xDn,�CNmal.(gna.ai OT•s�n mmm Nn!y!�'09n m�p�NNZ�xNry m�NN?'y�A' 2xkS-'1-010^�am0K 2y-2�1 2N?aZm .O aD N s W.bI mQHC MpxOm. yj.7 3a x,Zir N^ ; �n2[$g] � Noo egg �nzm. i�p O's�: =g 3yKT 3• C2 asNin9= m =� Ob� ��S zwr•s >� m C 50� Y O C > A�Dbr D } �T aG O N Tuai mmNm m m Pii 2r i l Z Q O 3 b y O r O Tf p T" r b 3c n r n O T n ilk z;..Z3,Ns ;b baOYN R No U^b, tia ;m G17J. 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VMOHTSgMLE,GA 31.096 SL4LE: a,�,xwan�a+: a 4xsesaxzn FY-- 4�igbszws .v, City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the 13w�i Department) i 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 4 Will - E-mail: building-dept(Mcoab.us Date routed: xo / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Q,� ICU =Buildin nt review required Yes o Applicant: / � '22 . / � Zoning /' 9 / Tree Administrator Ly Project: / /227 ) X, ����y�C.7/� Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature 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: proved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING&ZONING Reviewed by: Date:zc)—V—/2_., TREE ADMIN. Second Review: ❑Appnmved as revised. ❑ Hied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [-]Denied. Comments: Reviewed by: Date: Revised 07127110