1839 Seminole Rd (vault) CITY OF ATLANTIC BEACH
i� 800 SEMINOLE ROAD
r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-deptncoab.us
Application Number . . . 07-00000205 Date 2/28/07
Property Address . . . . . . 1839 SEMINOLE RD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
sewer
----------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
RENNIE, JR. , JANICE B . CHRISTY FIRST COAST PLUMBING
1839 SEMINOLE ROAD P .O. BOX 50446
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 247-4419
----------------------------------------------------------------------------
Permit PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/27/07
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 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
PLUMBING PERMIT APPLICATION
OW"
Date:
L �Property Address: M"S
Owner: �/)��Q
(' W2 1 1C Telepbone#: 71
Contractor. l t' . �S 4ti i 1.� / Telephone#- Y�' yY�
Contractor Address: ���16 Q��' ��'"' - i Fax#: el')"
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.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
Q New list the building permit number:
o Re-Pipe
Number of Fixtures:
Bath Tubs Showers
I Closets Shower Pans
Dishwashers Sinks
i Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewe Wen'leaters
ether
Fees
Permit Issuing Fee: $35.00
Total Fixtures: X$7.00 + $35.00=
800 Seminole Road•Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800- Fax: (904)247-5845. http:ltwww.ci.atiantic-beach.fl-Revised 110
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
oil
Application Number . . . . . 07-00000205 Date 5/16/08
Property Address . . . . . . 1839 SEMINOLE RD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
sewer
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RENNIE, JR. , JANICE B. CHRISTY FIRST COAST PLUMBING
1839 SEMINOLE ROAD P.O. BOX 50446
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 247-4419
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . 2/28/07 Valuation . . . . 0
Expiration Date . . 8/27/07
----------------------------------------------------------------------------
Other Fees . . . . . . . . . SEWER IMPACT FEES 1250 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 1250 . 00 1250 . 00 . 00 . 00
Grand Total 1292 . 00 1292 . 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
-r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 07-00000205 Date 5/16/08
Property Address . . . . . . 1839 SEMINOLE RD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
sewer
----------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
RENNIE, JR. , JANICE B. CHRISTY FIRST COAST PLUMBING
1839 SEMINOLE ROAD P.O. BOX 50446
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 247-4419
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . 2/28/07 Valuation . . . . 0
Expiration Date . . 8/27/07
----------------------------------------------------------------------------
Other Fees . . . . . . . . . SEWER IMPACT FEES 1250 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 1250 . 00 1250 . 00 . 00 . 00
Grand Total 1292 . 00 1292 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
May 14, 2008
Mr. Michael Griffin, CBO, CFM
Building Official
800 Seminole Road
Atlantic Beach, FI 32233
Dear Sir:
Enclosed please find my check for$1250 for the impact fee for
connecting to the sewer line which I also paid for.
As an aside, it really does not seem fair that a single person
household pays the same"impact fee" as a multiple person
household. But then when it comes to government mandates
whoever thought it would be fair.
Res ectfully,
nice Rennie
1839 Seminole Road
Atlantic Beach, FI 32233
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
I ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . 06-00033873 Date 9/22/06
Property Address . . . . 1839 SEMINOLE RD
Application type description RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 17700
--------------------- ----------- ---- ----------------------------------------
Application desc
INSTALL IMPACT WINDOWS AND DOORS
------------------------ ------ ---------------------------------------------
Owner Contractor
-------------------- ---- ------------------------
RENNIE, JR. , JANICE B . FLORIDA GEORGIA CONTRACTORS
1839 SEMINOLE ROAD 11433 SAINTS ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 641-7010
III ------------
-----
Permit . II I �� � BUI!L , iNG PERMIT
' -----------------------
Additional desc j
Permit Fee' � I � 120 . 00 Plan Check Fee 60 . 00
Issue Date ;' Valuation . . . . 17700
Expiration Date 3/21/07
------------------------- ---------------------------------------------------
Fee summary Charged Paid Credited Due
-- --------------- !--------- ------- --- ---------- ----------
Permit Fee Total 120 . 00 120 . 00 . 00 . 00
Plan Check Total 60 . 00 60 . 00 . 00 . 00
Grand Total 180 . 00 180 . 00 . 00 . 00
I
I �
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
s, PLAN REVIEW SHEET
"~ 14.
�igagalns
Building Department Public Works&Public Utilities Departments
�J;31>r 800 Seminole Road 1200 Sandpiper Lane S. Doerr
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R. Carper
(904)247-5800 (904)247-5834 D. Kaluzniak
(904)247-5845 Fax (904)247-5843 Fax Public Safety
PLAN REVIEW COMMENTS
Permit Application# 106 - 2 3S I3
Property Address: /D / ��� �Q`� 70/
Applicant: e, e5
Project: h/1'
:2ajk1S ?k Fi I E D
CITY Ut BUILD:. Gt: FICE
This permit application has been:
7Oi
Approved as noted by theit, /ome
Department.
Final application approval murom the#tulding Department.
20" Reviewed and the following items need attention:
1L o�
Go,�7l�At��O e,
Alah 0 �
Please re-submit yoWapplication when these items have been completed.
Reviewed By: Date: t� 0
Date Contractor Notified:
FROM :FL GA CONTRACTORS FAX NO. :904 642 9156 Sep. 22 2006 04:13PM P1
Doc#201)8312490,OR 8K 13504 Pape 2368,
�
+ Number Pages.1
Notice Or l I.OfC menct�I ent Filed 8,RecoMed 09/07/2006 at 11:50 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY
State of FloridaCounty of (/LL— RECORDING 310.D0
The undersigned hereby informs all concerned that improvements will be
made to certain real property, and in accordance with Section 713-13 of
the FloHda Ctatutes (Revised 10=1-96), the following.Information is
provided:
i
Legal Description of Property. rQ vQ„
General Description of Improvements:
Owner's Name:—S
Address: _/73L I A ale '
City: __.LILL AA.h_ � ____Zipcode:
Owner's Interest in Properly:
.Fee Simple Title holder Or other than Owner):
Name:
Address:
Contractor: Florida-Georgia Contractors, Inc. .
11433 Saints Road
Jacksonville, Florida 32246
Telephone: (904) 641-7010 Fax: C9U _642-9156_
Surety. Not Applicable
Lender's Name and Address: Not Applicable
Persons within the State of Florida designated by the Owner upon whom notices or other documents may be served
as provided by Section 713.13(I)(a)7., Florida Statutes:
Namo:
Address:
Telephone: (_� Fax(_)
In addition to himself owner designates the following person(s)to.receive a copy of the Lienor's Notice as provided
In Section 713.13(1)(b), Florida Statutes:
Name: _
Address:
Telephond: ( � Fax
Unless otherwise noted in this paragraph the expiration date of this Notice of Commencement shall be one(1)
calendar year from the dale of recording: _ _ I IvJ
MeryAnne WaMNnan Owner's Name(Printed): G ��
M Cemmiasion OD294144
�« Expirao March 13.2008 $IgnatUi �� ' �tic1QJ
/ I
Sworn to and subscribed before me this y of
Notary Public:
CITY OF ATLANTIC BEACH
WINDOWS, SKYLIGHTS, GARAGE DOORS, HURRICANE SHUTTERS
—J;t13?
Date:
Job Address: ���9 S£miOLE ,��. 47'11n/TiC- de1gCN I-L
J� Ja 33
Owner:
Address: 1839 Phone: A 741-568/
Legal Description: Block Number: Lot Number: Zoning District: _
Contractor. FLO)2)6A GfQP( )A rnA)TeACTDe6 State License Number: CAC OY(-/Dy/O
Address:f/y433Ain/75 ) Phone: 904 6`74/ 70/0
City: /1 Y 50 )✓l U State: FL Zip: ZAA'A4 Fax: 904 (,4.A- q/�5b
Describe proposed use and work to be done: / )_STA L/ 9c�U,Q,ei � )F /M84e7-
S 7�00�5 L3)� / )rl 7' T/e�/l 2)AT -
Present use of land or building(s): 6-Si-b F•)-r L
Valuation of proposed construction: / 7 6 7t4,
Is approval of Homeowner's Association or other private entity required? IVO If yes,please submit with this
application.
Required Building Data: Z _
01
Mean Roof Height /A (ft) Building Width 41D (ft) Building Lengtb (ft)
Roof Slope_ 12-
Window Height 361 63)(ft) Window Width a f (ft)
Window Elevation from Grade
(ft) ,lEp
�- CN
Ft' gEP
Measurement from corner of building to window / ft Pp `�'`� :1G_
( ) yB�F�c
Number of windows being installed �' S A�
AL
Mean Roof Height
I
I � I
--�� I
800 Seminole Road Atlantic Beach,Florida 32233-5445
Page 1 Phone: (904)247-5800 Fax: (904)247-5845 , http:/Jwww.ci.atlantiNbeach.fl.us
Revised 1l27/03
i d SbBS-LbZ-606 ng 4oeaQ oizuei,4H 3o R,41O dib =Z!0 90 61 oaQ
FILE COPY
1
3 V J
s
0
6'Pi)
2vr;y 3,8„
L �
�Ky`v1
.r� CONTRACTORS FAX NO. :904 642 9156 "'L-Sep. 19 2006 04:04PM P7
Fage 1 of 3
to ida Building Code Qnline � tl Uri
Alk - „
.,"
ti [P �" FAMEWRIZO
BCIS Home Login { Hot Topics ! Submit Surcharge ( Stats&r-acts Publications } FBC stafr j B
Product Approval
F 011 USER: Public User G�
f�roduct Approval Menu > roduct oflp�Ical:IpD s—earth � Anplicatlr r�i List Application DoksF}t
FL # FL229-112
Application Type Revision
I' Code Version 2004
Application Status Approved
Comments �y
Archived
t
Product Manufacturer Simonton Windows
Address/Phone/Emall 1 Cochrane Ave
Pennsboro, WV 26415
(800) 746-6687 ext 4807
Chuck_AndersonOn slmonton.com
Authorized Signature Chuck Anderson
Chuck_Anderson @sl monton.com
i Technical Representative Chuck Anderson
Address/Phone/Email 1 Cochran Ave.
Pennsboro, WV 26415
(800) 746-6687
chuck anderson@simonton.com
Quality Assurance Representative AAMA
Address/Phone/Emall 1827 Walden Office Square
Suite 550
Schaumburg, IL 60173
(847) 303-5664
webmaster@aamanet,org
Category Exterior Doors
Subcategory Swinging Exterior Door Assemblies
Compliance Method Certification Mark or Listing
h n•//++nv++r flrniiiah+�ilriino nro/nr/nr 5mn liti n.c»v-/"cram=wCCF.VXnwtT)nvRT,Cd%°/„2hEz... 9/19/2006
arl CONTRACTORS FAX NO. :904 642 9156 Sep. 19 2006 04:04PM PB
ic ida Building Code Online Pagc 2 of 3
Certification Agency American Architectural Manufacturers
Referenced Standard and Year (of Standard
Standard)
AAMA 506
ANSI/AAMA/NWWDA 101/I.S.2
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 09/13/2005
Date Validated 09/13/2005
Date Pending FBC Approval 09/16/2005
Date Approved 10/11/2005
Summary of Products
PfL # Model Number or Name Description
229.1 07-07 07-07 StormBreaker Plus
-i Door (Center Hinge Out S
Llmits of use (See Other) Certification Agency Ce
Approved for use in HVHZ: Installation Instruction
Approved for use outside HVHZ: PTID 229_R2 I 506_07,
Impact Rasistalnt: PTID 229_R2_I_ S:106R'
Design Pressure: +/- PTID 229 R2 I S-1338.
Other: 07-07 Vinyl Hinged Glass Door (Center Verified By:
Hinge Out Swing) 72YBD DP = +/- HGD-R50
Impact Missile Impact Rating: Large For use In
Wind Borne Debri Area Not for use In HVHZ.
Back Next
DCA Adminlson.
Department of Community Affairs
Florida Building Code Online
Codes and Standards
2555 Shumard Oak Boulevard
Tallahassee, Florida 32399-2100
(850)487-1824, Suncom 277.1824, Fax(850)414-8436
® 2000-2005 The State of Florlda. All rights reserved.9-qpyrlght andDlsc,
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_DESIGNATION. Simonton Double Hung Series 07-70 / 75-70 / 07-09 Vinyl Window
./MUM OVERALL NOMINAL SIZE, Single up to 37" x 76"
DESIGN PRESSURE RATING: Anchors: Positive 65.0 PSF Negative 65.0 PSF MASONRY LINTEL
Windows: Design Pressure Ratings Vary; See
Corresponding AAMA Test Report or
Dade NCA or Florida P.E. Evaluation.
USABLE CONFIGURATIONS: _X
X STUCCO
GENERAL DESCRIPTION: The head and side jambs are extruded
PVC. The wall thickness through which SILICONE CAULK
the anchor screw penetrates is a 1/4" MAX. SHIM
minimum of 0.070".
d HEADER JAMB —
d a a 6"
e a
.a
•4
3 1/2' x 3/16" TAPCON
LTYPE ANCHOR, TYP.
f� •4
LLJ
INTERIOR
'•. 3' x 3/16' TAPCON rSASH TRACK
Q TYPE ANCHOR, TYP.
•4
RAIL
'n EXTERIOR
SASH TRACK
Q 3 1/2" x 3/16' TAPCON
TYPE ANCHOR, TYP.
• •4 '
NOTE.
y ' 1. This installation has been evaluated f,
and where pressure requirements as
and Other Structures do not exceed
' A 2. For installations where the sub—buck
Q .. < and sub—sections 1707.4.4.1 and 17(
length must be such that a minimum
3. All interior and exterior perimeter surf
37 MAX. 4. See Manufacture's Installation Instructi
OVERALL FRAME WIDTH—~' 5. Adjust Tapcon anchor locations, if nec
:A
i
AAMA/NWWDA 101/I.S.2-97
TEST REPORT SUMMARY
Rendered to:
SIMONTON WINDOWS
SERIES/MODEL: 07-70
TYPE: PVC Double Hung Window
with A9 Reinforcement
Title of Test Results
Rating H-R65* 37 x 76
Overall Design Pressure 65 psf
Operating Force 28 lb max.
Air Infiltration 0.08 cf Vft
Water Resistance 9.75 sf
Structural Test Pressure ±97.5 psf
Deglazing Passed
Forced Entry Resistance Passed
Reference should be made to Report No. 05-30357.02 dated 03/27/02 for complete test specimen
description and data.
For ARCHITECTURAL TESTING, INC.
Digitally signed by Lynn George
Lynn George, Project Manager
LG:nlb
I
Ak
Architectural Testing
ASTM E 1886-97 AND ASTM E 1996-01 TEST REPORT
Rendered to:
SIMONTON WINDOWS
One Cochrane Avenue
Pennsboro, West Virginia 26415
Report No: 01-42201.03
Test Dates: 07/15/02
Through: 07/19/02
Report Date: 08/15/02
Expiration Date: 07/19/06
Project Summary: Architectural Testing, laic. (ATI) was contracted to perform tests on three
Series/Model 07-09, PVC double hung windows. The samples tested successfully met the
performance requirements set forth in the referenced specification listed below for a design
pressure rating of 65.0 psf. Specimens utilized replacement construction.
Test Specification: The test specimens were evaluated in accordance with the following:
ASTM E 1886-97, Standard Test Method for Performance of Exterior Windows, Curtain
Walls, Doors and Storni Shutters Impacted by Missile(s) and Exposed to Cyclic Pressure
Differentials.
ASTM E 1996-01, Standard Specification for Performance of Exterior Windows, Glazed
Curtain Walls, Doors and Storm Shutters Impacted by Wind Borne Debris in Hurricanes.
Test Specimen Description:
Series/Model: 07-09
Type: PVC Double Hung Window
Overall Size: 3' 1-1/4" wide by 64-1/4" high
Interior Sash Size: 2' 9-7/8" wide by 3' 1-1/2" high
Exterior Sash Size: 2' 9" wide by 3' 0-1/2" high
Finish: All PVC was white.
130 Derry Court
York, PA 17402-9405
phone: 717.764.7700
fax: 717.764.4129
www.arclitest.com
i
01-42201.03
Page 2 of 9
Test Specimen Description: (Continued)
Glazing Details: The sash utilized a V thick insulating glass unit fabricated from a sheet of
1/8" thick, tempered glass on the exterior and two sheets of 1/8" thick, clear annealed glass
with a 0.090"thick interlayer on the interior. The insulating glass unit utilized a foam spacer
system. The sash were exterior glazed against a glazing compound and secured with dual
durometer snap-fit glazing beads.
Weatherstripping:
Descriptio Quantit Location
0.330" high by 0.187' 1 Row Interior sash stiles
backed polypile with
center fin
0.250" high by 0.187" 2 Rows Exterior sash stiles
backed polypile with
center fin
0.250" high by 0.187" 1 Row Sill, interior and exterior meeting
backed polypile with rails, interior sash stiles
center fin
7/16" foam-filled vinyl 1 Row Bottom rail
bulb gasket
1/2" long "C-fold" vinyl 1 Row Bottom rail
bulb gasket
1/4" foam-filled vinyl 1 Row Top rail
bulb gasket
Frame Construction: The flame was constructed of extruded PVC members with mitered
and welded corners. The head and sill utilized snap-fit pocket covers.
Sash Construction: The sash was constructed of extruded PVC members with mitered and
welded corners.
01-42201.03
Page 3 of 9
Test Specimen Description: (Continued)
Hardware:
De scriptio Quantit Location
Metal lock assembly 2 One 8" from each end of the
interior/exterior meeting rail fastened
with two #8 x 1" screws through
each lock and two #6 x 1-1/4" screws
through each keeper
Balance assembly 4 Two in each jamb fastened with
three#6 x 1-3/8" screws each
Plastic impact tilt 2 One on each end of interior meeting
latch assembly rail fastened with three#8 x 7/8"
screws each
U-Channel 2 One midspan of each jamb in the
interior jamb track, adjacent to the
tilt latch fastened with one #8 x 2-
1/2" screw each
Plastic tilt latch 2 One in each end of the top rail
Metal pivot bar 4 One in each end of the exterior
meeting and bottom rails fastened
with one #8 x 1/2" screw each
Drainage:
Descriptio Quantit Location
3/16" diameter 4 1" from ends exterior meeting and
weephole bottom rails draining the glazing
channel
3/16" wide by 1" 2 One at each end of the sill draining
deep weepslot the sill into the interior sill hollow
1" wide by 1/8" high 2 3" from each end of the sill draining
weepslot with cover the exterior sill hollow
01-42201.03
Page 4 of 9
Test Specimen Description: (Continued)
Reinforcement: Extruded aluminum reinforcement was utilized in all exterior sash stiles
(Die #56111), interior sash stiles (Die #561090), top rail (Die #16107), exterior meeting
rail (Die #56110), interior meeting rail (Die #60911) and bottom rail (Die#56109).
Installation: The replacement window was installed into a nominal 2 x 10
Spruce-Pine-Fir #2 wood test buck. The head was secured with one #10 x 2-1/2" screw
6" from each end. The jambs were fastened with one #10 x 2-1/2" screw 6" from each
end of the jambs, one #10 x 2" screw 3" above and below the midspan of the jambs, and
one #8 x 2-1/2" screw through the tilt latch U-channel reinforcement. The interior and
exterior perimeters were sealed with silicone.
01-42201.03
Page 5 of 9
Test Results:
The results are tabulated as follows:
Lab Temperature at Time of Testing: 81°h'
ASTM E 1886, Missile Impact, Section 11. Test Procedure
Missile Weight: 9.0 lbs
Muzzle Distance from Test Specimen: 14.5 ft.
Test Unit#1
Impact#1: Missile Velocity: 50.50 fps
Impact Area: Interior sash, center of glass
Observations: Large missile shattered exterior lite of glass and fractured
interior lite of glass, no penetration.
Results: Pass
Impact#2: Missile Velocity: 50.41 fps
Impact Area: Interior sash, lower right corner
Observations: Large missile fractured interior lite of glass, disengaged left
side I-lock, no penetration.
Results: Pass
Test Unit 92
Lnpact#1: Missile Velocity: 49.87 fps
Impact Area: Interior sash, center of glass
Observations: Large missile shattered exterior lite of glass and fractured
interior lite of glass, no penetration.
Results: Pass
Impact#2: Missile Velocity: 50.41 fps
Impact Area: Interior sash, lower left corner
Observations: Large missile fractured interior lite of glass, no penetration.
Results: Pass
Test Unit#3
Impact#1:.Missile Velocity: 49.14 fps
Impact Area: Interior sash, center of glass
Observations: Large missile shattered exterior lite of glass and fractured
interior lite of glass, no penetration.
Results: Pass
Impact#2: Missile Velocity: 50.00 fps
Impact Area: Interior sash, upper left corner
Observations: Large missile fractured interior lite of glass, no penetration.
Results: Pass
01-42201.03
Page 6 of 9
l
Test Results: (Continued)
ASTM E 1886 Air Pressure Cycling
Design Load: 65.0 psf
Test Unit: #1
Table 1 "Cyclic Pressure Differential Loading", Section 11. Paragraph 11.4.2
POSITIVE ACTING Meeting Rail
Pressure Average Maximum Deflection I Permanent Set
Range No. of Cycle Indicators
Cycles Time Left Middle Right Left Middle1�43
i ht
(PSO (seconds) #1 #2 #3 #1 #2
13.0 to 32.5 3500 2.05 0.15" 0.34" 0.20"
0.0 to 39.0 300 2.18 0.17" 0.39" 0.22"
32.5 to 52.0 600 2.16 0.22" 0.55" 0.28"
19.5 to 65.0 100 2.28 0.25" 0.65" 0.32" 0.05" 0.09,70.07-
Pass
.09" 0.07"Pass
NEGATIVE ACTING Meeting Rail
Average Maximum Deflection Permanent Set
Pressure No. of Cycle Indicators
Range cles Thne
(Psi C Y Left Middle [td
Left Middl(seconds) #1 #2 #1 #2 #3
19.5 to 65.0 50 2.61 0.21" 0.58" 0.29"
32.5 to 52.0 1050 2.10 0.17" 0.47" 0.25"
0.0 to 39.0 50 2.30 0.13" 0.35" 0.20"
13.0 to 32.5 3350 1.94 0.11" 0.29" 0.17" 0.03" 0.10" 0.06"
Pass
01-42201.03
Page 7 of 9
Test Results: (Continued)
ASTM E 1886 Air Pressure Cycling
Design Load: 65.0 psf
Test Unit: #2
Table 1 "Cyclic Pressure Differential Loading", Section ]]. Paragraph 11.4.2
POSITIVE ACTING Meeting Rail
Pressure Average Maximum Deflection I Permanent Set
Range No. of Cycle Indicators
Cycles Time Left Middle Right Left Middle Right
(psi) (seconds) #1 #2 #3 #1 #2 #3
13.0 to 32.5 3500 2.13 0.14" 0.36" 0.18"
0.0 to 39.0 300 2.26 0.16" 0.42" 0.21"
32.5 to 52.0 600 2.06 0.20" 0.54" 0.25"
19.5 to 65.0 100 2.17 0.25" 0.67" 0.32" 0.05" 0.1011T-008-
Pass
.10" 008"Pass
NEGATIVE ACTING Meetin Rail
Average Maximum Deflection Permanent Set
Pressure No. of Cycle Indicators
Range Cycles Time
(ps fl Y Left Middle Ri ht Left Middle Right
(seconds) #1 #2 #3 #1 #2 #3
19.5 to 65.0 50 2.33 0.30" 0.65" 0.35"
32.5 to 52.0 1050 2.04 0.26" 0.57" 0.31"
0.0 to 39.0 50 2.51 0.23" 0.47" 0.26"
13.0 to 32.5 3350 1.89 0.22" 0.41" 0.23" 0.13" 0.18"
Pass
i
01-42201.03
Page 8 of 9
Test Results: (Continued)
ASTM E 1886 Air Pressure Cycling
Design Load: 65.0 psf
Test Unit: #3
Table 1 "Cyclic Pressure Differential Loading", Section H. Paragraph IL 4.2
POSITIVE ACTING Meeting Rail
Pressure Average Maximum Deflection Permanent Set
Range No. of Cycle Indicators
Cycles Time Left Middle Right Left Middle Right
(Psi (seconds) #1 #2 #3 #1 #2 #3
13.0 to 32.5 3500 2.01 0.21" 0.61" 0.22"
0.0 to 39.0 300 2.29 0.22" 0.43" 0.24"
32.5 to 52.0 600 2.25 0.30" 0.60" 0.31"
19.5 to 65.0 100 2.00 0.37" 0.72" 0.37" 0.08" 0.11" T-07078-]
Pass
NEGATIVE ACTING Meeting Rail
Average Maximum Deflection Permanent Set
Pressure No. of Cycle Indicators
Range Cycles Time Left Middle Right Left Middle Right
(Psi (seconds)
#1 #2 #3 #1 #2 #3.
19.5 to 65.0 50 1.94 0.37" 0.68" 0.42"
32.5 to 52.0 1050 2.15 0.35" 0.60" 0.38"
0.0 to 39.0 50 2.23 0.29" 0.50" 0.32"
13.0 to 32.5 3350 2.03 0.27" 0.44" 0.31" 0.15" 0.19" 0.18"
Pass
01-42201.03
Page 9 of 9
General Note: Upon completion of testing, the specimens met the requirements of Chapter 7 of
ASTM E 1996.
Note #1: A I nail plastic fihn was used on the interior of specimens to seal against air leakage
for the negative loading portion of testing. In our judgment the film used did not influence the
results of the testing.
Witnesses: The following representatives witnessed all or part of the testing.
Ed Grey Simonton Windows
Jeramie Grabosch Architectural Testing, hic.
Allen N. Reeves, P.E. Architectural Testing, Inc.
Adam Fodor Architectural Testing, Inc.
Representative samples of the test specimen, and a copy of this report will be retained by ATI for
a period of four years. This report is the exclusive property of the client so named herein and is
applicable to the sample tested. Results obtained are tested values and do not constitute an
opinion or endorsement by this laboratory. This report may not be reproduced, except in full,
without the approval of Architectural Testing, Inc.
For ARCHITECTURAL TESTING, INC:
Adam Fodor Allen N. Reeves, P.E.
Senior Technician Director- Engineering Services
,z c 'q U G Z/.5 7- ,z do 2•
AF:nlb
01-42201.03
DOCUMENT CONTROL ADDENDUM #01-42201.00
Current Issue Date: 08/15/02
Report No.: 01-42201.01
Requested by: Cindy Dodson, Simonton Windows
Purpose: SBCCI SSTD 12-99 testing of three Series/Model 07-09, PVC double hung
windows.
Issued Date: 08/15/02
Comments: Florida P.E. seal required on report.
Report No.: 01-42201.02
Requested by: Cindy Dodson, Simonton Windows
Purpose: SBCCI SSTD 12-99 testing of three Series/Model 07-09, PVC double hung
windows.
Issued Date: 08/15/02
Comments: Texas P.E. seal required on report.
Report No.: 01-42201.03
Requested by: Cindy Dodson, Simonton Windows
Purpose: ASTM E 1886-97 and ASTM E 1996-01 testing of three Series/Model 07-09,
PVC double hung windows.
Issued Date: 08/15/02
Comments: Florida P.E. seal required on report.
MODEL
MA's
-rove
,d
ASTM E 1886-97 AND ASTM E 1996-01
TEST 1tEPORT
Rendered to:
SIMONTON WINDOWS
SERIES/MODEL: 07-09
TYPE: PVC Twin Mulled Double Hung Window
Report No.: 01-42202.03
Report Date: 08/22/02
Expiration Date: 07/26/06
Architectural Testing
ASTM E 1886-97 AND ASTM E 1996-01 TEST REPORT
Rendered to:
SIMONTON WINDOWS
One Cochrane Avenue
Pennsboro, West Virginia 26415
Report No: 01-42202.03
Test Dates: 07/16/02
Through: 07/26/02
Report Date: 08/22/02
Expiration Date: 07/26/06
Project Summary: Architectural Testing, Inc. (ATI) was contracted to perform tests on three
Series/Model 07-09, PVC twin mulled double hung windows. The samples tested successfully
met the performance requirements set forth in the referenced specification listed below for a
design pressure rating of 50.0 psf. Specimens utilized replacement construction.
Test Specification: The test specimens were evaluated in accordance with the following:
ASTM E 1886-97, Standard Test Method for Pei formance of Exterior Windows, Curtain
Walls, Doors and Storm Shutters Irnpacted by Missile(s) and Exposed to Cyclic Pressure
Differentials.
ASTM E 1996-01, Standard Specification for Performance of Exterior Windows, Glazed
Curtain Walls, Doors and Storm Shutters Inipacted by Wind Borne Debris in Hurricanes.
Test Specimen Description:
Series/Model: 07-09
Type: PVC Twin Mulled Double Hung Window
Overall Size: 62-7/8" wide by 6' 4-3/8" high
Interior Sash Size (2): 2' 10" wide by 3' 1-1/2" high
Exterior Sash Size (2): 2' 9" wide by 3' 0-1/2" high
Finish: All PVC was white.
130 Derry Court
York, PA 17402-9405
phone: 717.764.7700
fax: 717.764.4129
www.archtest.com
01-42202.03
Page 2 of 9
Test Specimen Description: (Continued)
Glazing Details: The sash utilized a 1" thick insulating glass unit fabricated from a sheet of
1/8" thick, tempered glass on the exterior and two sheets of 1/8" thick, clear annealed glass
with a 0.090" thick interlayer on the interior. The insulating glass unit utilized a foam spacer
system. The sash were exterior glazed against a glazing compound and secured with dual
durometer snap-fit glazing beads.
Weatherstripping:
Descriptio Quantit Location
0.330" high by 0.187" 1 Row Interior sash stiles
backed polypile with
center fin
0.250" high by 0.187" 2 Rows Exterior sash stiles
backed polypile with
center fin
0.250" high by 0.187" 1 Row Sill, interior and exterior meeting
backed polypile with rails, interior sash stiles
center fin
7/16" foam-filled vinyl 1 Row Bottom rail
bulb gasket
1/2" long "C-fold" vinyl 1 Row Bottom rail
bulb gasket
1/4" foam-filled vinyl 1 Row Top rail
bulb gasket
Frame Construction: The frame was constructed of extruded PVC members with mitered
and welded corners. The head and sill utilized snap-fit pocket covers.
Sash Construction: The sash was constructed of extruded PVC members with mitered and
welded corners.
01-42202.03
Page 3 of 9
Test Specimen Description: (Continued)
Mullion Construction: The windows were joined together with an aluminum reinforced
extruded PVC member. Each window frame was secured to the mullion with#8 x 1" screws
7" from each end and 14" on center. The head and sill of the units were further secured
together with a 17-1/2" long, 0.060" thick galvanized steel strap. The strap was fastened to
the frames with three#8 x 1/2" screws per frame, per end. Two 2-1/4" long steel angles with
0.060" thick legs were riveted together through the mullion with two 1/4" diameter rivets at
each end. A base plate connected to the slots in the angle, and was anchored to the test buck
with four #8 x 1-1/2" screws per plate. The window frames were bedded in sealant to the
exterior leg of the mullion.
Hardware:
Descriptio Quantit Location
Metal lock assembly 4 One 8" from each end of the
interior/exterior meeting rail fastened
with two #8 x 1" screws through
each lock and two #6 x 1-1/4" screws
through each keeper
Balance assembly 8 Two in each jamb fastened with
three#6 x 1-3/8" screws each
Plastic impact tilt 4 One on each end of interior meeting
latch assembly rail fastened with three#8 x 7/8"
screws each
U-Channel 4 One an J
raids of each jamb in the
p
interior jamb track, adjacent to the
tilt latch fastened with one#8
x 2-1/2" screw each into the buck,
and one#8 x 1-5/8" screw into the
mullion
Plastic tilt latch 4 One in each end of the top rail
Metal pivot bar 8 One in each end of the exterior
meeting and bottom rails fastened
with one #8 x 1/2" screw each
01-42202.03
Page 4 of 9
Test Specimen Description: (Continued)
Drainage:
Descriptio Quantity Location
3/16" diameter 8 1" from ends exterior meeting and
weephole bottom rails draining the glazing
channel
3/16" wide by 1" 4 One at each end of the sill draining
deep weepslot the sill into the interior sill hollow
1" wide by 1/8" high 4 3" from each end of the sill draining
weepslot with cover the exterior sill hollow
Reinforcement: Extruded aluminum reinforcement was utilized in all exterior sash stiles
(Die #56111), interior sash stiles (Die #561090), top rail (Die #16107), exterior meeting
rail (Die #56110), interior meeting rail (Die #60911) and bottom rail (Die #56109). The
mullion utilized an extruded aluminum reinforcement (Die#16991).
Installation: The replacement window was installed into a nominal 2 x 10
Spruce-Pine-Fir #2 wood test buck. The head was secured with one #10 x 2-1/2" screw
6" from each end. The jambs were fastened with one #10 x 2-1/2" screw 6" from each
end of the jambs, one #10 x 2" screw 3" above and below the midspan of the jambs, and
one #8 x 2-1/2" screw through the tilt latch U-channel reinforcement. The interior and
exterior perimeters were sealed with silicone.
01-42202.03
Page 5 of 9
Test Results:
The results are tabulated as follows:
Lab Temperature at Time of Test: 79°F
ASTM E 1886, Missile Impact, Section 11. Test Procedure
Missile Weight: 9.0 lbs
Muzzle Distance from Test Specimen: 14.5 ft.
Test Unit#1
Impact#1: Missile Velocity: 49.87 fps
Impact Area: Interior sash, center of glass, left hand window
Observations: Large missile shattered exterior lite of glass and fractured
interior lite of glass, no penetration.
Results: Pass
Impact#2: Missile Velocity: 50.25 fps
Impact Area: Interior sash, upper right corner-left hand window
Observations: Large missile fractured interior lite of glass, no penetration.
Results: Pass
Test Unit#2
Impact#1: Missile Velocity: 49.63 fps
Impact Area: Interior sash, center of glass, left hand window
Observations: Large missile shattered exterior lite of glass and fractured
interior lite of glass, no penetration.
Results: Pass
Impact#2: Missile Velocity: 50.12 fps
Impact Area: Interior sash, lower right corner, left hand window
Observations: Large missile fractured interior lite of glass, no penetration.
Results: Pass
Lab Temperature at Time of Test: 80°F
Test Unit#3
Impact#1: Missile Velocity: 49.87 fps
Impact Area: Interior sash, center of glass-right hand window
Observations: Large missile shattered exterior lite of glass and fractured
interior lite of glass, no penetration.
Results: Pass
Impact#2: Missile Velocity: 50.25 fps
Impact Area: Interior sash, lower left corner, right hand window
Observations: Large missile fractured interior lite of glass, no penetration.
Results: Pass
01-42202.03
Page 6 of 9
Test Results: (Continued)
ASTM E 1886 Air Pressure Cycling
Design Load: 50.0 psf
Test Unit#1
Table 1 "Cyclic Pressure Differential Loading", Section H. Paragraph 11.4.2
POSITIVE ACTING Meeting Rail
Pressure Average Maximum Deflection Permanent Set
Range No. of Cycle Indicators
(psi) Cycles Time Left Center Right Left Center Right
(seconds) #1 #2 #3 #1 #2 #3
10.0 to 25.0 3500 2.28 0.16" 0.36" 0.29"
0.0 to 30.0 300 2.60 0.19" 0.44" 0.34"
25.0 to 40.0 600 2.33 0.25" 0.55" 0.42"
15.0 to 50.0 100 2.48 0.28" 0.70" 0.51" 0.03" 0.11" 0.05"
Pass
NEGATIVE ACTING Meeting Rail
Pressure Average Maximum Deflection Permanent Set
Range No. of Cycle Indicators
(psi) Cycles Time Left Center Right Left Center Right
(seconds) #1 #2 #3 #1 #2 #3
15.0 to 50.0 50 2.07 0.29" 0.74" 0.65"
25.0 to 40.0 1050 2.33 0.21" 0.57" 0.50"
0.0 to 30.0 50 2.78 0.17" 0.45" 0.41"
10.0 to 25.0 3350 2.35 0.16" 0.42" 0.39" 0.08" 0.17" 0.17"
Pass
01-42202.03
Page 7 of 9
Test Results: (Continued)
ASTM E 1886 Air Pressure Cycling
Design Load: 50.0 psf
Test Unit#2
Table 1 "Cyclic Pressure Differential Loading", Section H. Paragraph 11.4.2
POSITIVE ACTING Meeting Rail
Average Maximum Deflection Permanent Set
Pressure No. of Cycle Indicators
Range Cycles Time Left Center Ri ht Left Center Right
(psf) (seconds) #1 #2 #3 #1 #2 #3
10.0 to 25.0 3500 1.96 0.15" 0.35" 0.25"
0.0 to 30.0 300 2.42 0.16" 0.37" 0.27"
25.0 to 40.0 600 2.03 0.21" 0.48" 0.35"
0.60" 0.42" 0.06" 0.09" 0.08
15.0 to 50.0 100 2.58 0.25"
Pass
NEGATIVE ACTING Meeting Rail
Average Maximum Deflection Permanent Set
Pressure No. of Cycle Indicators
Range Cycles Time Left Center Right Left Center Right
(psf) (seconds) #1 #2 #3 #1 #2 #3
15.0 to 50.0 50 2.62 0.24" 0.64" 0.57"
25.0 to 40.0 1050 2.46 0.23" 0.56" 0.44"
0.0 to 30.0 50 2.79 0.20" 0.43" 0.35"
10.0 to 25.0 3350 2.19 0.19" 0.41" 0.34" 0.11" 0.17" 0.15"
Pass
01-42202.03
Page 8 of 9
Test Results: (Continued)
ASTM E 1886 Air Pressure Cycling
Design Load: 50.0 psf
Test Unit#3
Table 1 "Cyclic Pressure Differential Loading", Section IL Paragraph 11.4.2
POSITIVE ACTING Meeting Rail
Average Maximum Deflection Permanent Set
Pressure No. of Cycle Indicators
Range Cycles Time Left Center Right Left Center —Right
(Psf (seconds) #1 #2 #3 #1 #2 #3
10.0 to 25.0 3500 2.23 0.26" 0.31" 0.13"
0.0 to 30.0 300 2.59 0.28" 0.36" 0.16"
25.0 to 40.0 600 2.20 0.41 0.52" 0.22"
15.0 to 50.0 100 2.06 0.49" 0.66" 0.26" 0.10" 0.13" 0.10"
Pass
NEGATIVE ACTING MeetingRail
Average Maximum Deflection Permanent Set
Pressure No. of Cycle Indicators
Range Cycles Time Left Center Right Left Ceuter Ri ht
(Psi (seconds) #1 #2 #3 #1 #2 #3
15.0 to 50.0 50 2.24 0.53" 0.61 0.28"
25.0 to 40.0 1050 2.29 0.46" 0.55" 0.24"
0.0 to 30.0 50 2.60 0.37" 0.43" 0.19"
F_
10.0 to 25.0 3350 2.22 0.34" 0.39" 0.17" 0.13" 0.10" 0.08"
Pass
01-42202.03
Page 9 of 9
General Note: Upon completion of testing, the specimens met the requirements of Chapter 7 of
ASTM E 1996.
Note #1: A I mil plastic film was used on the interior of specimens to seal against air leakage
for the negative loading portion of testing. In our judgment the film used did not influence the
results of the testing.
Witnesses: The following representatives witnessed all or part of the testing.
Ed Grey Simonton Windows
Allen N. Reeves, P.E. Architectural Testing, Inc.
Adam Fodor Architectural Testing, Inc.
Representative samples of the test specimen, and a copy of this report will be retained by ATI for
a period of four years. This report is the exclusive property of the client so named herein and is
applicable to the sample tested. Results obtained are tested values and do not constitute an
opinion or endorsement by this laboratory. This report may not be reproduced, except in full,
without the approval of Architectural Testing.
For ARCHITECTURAL TESTING, INC:
41cl—
Adam Fodor Allen N. Reeves, P.E.
Senior Technician Director- Engineering Services
�3 U G SSI" ,7,Oo Z.
AF:nlb
01-42202.03
DOCUMENT CONTROL ADDENDUM #01-42202.00
Current Issue Date: 08/22/02
Report No.: 01-42202.01
Requested by: Chuck Anderson, Simonton Windows
Purpose: SBCCI SSTD 12-99 testing of three Series/Model 07-09, PVC twin mulled
double hung windows.
Issued Date: 08/22/02
Comments: Florida P.E. seal required on report.
Report No.: 01-42202.02
Requested by: Chuck Anderson, Simonton Windows
Purpose: SBCCI SSTD 12-99 testing of three Series/Model 07-09, PVC twin mulled
double hung windows.
Issued Date: 08/22/02
Comments: Texas P.E. seal required on report.
Report No.: 01-42202.03
Requested by: Chuck Anderson, Simonton Windows
Purpose: ASTM E 1886-97 and ASTM E 1996-01 testing of three Series/Model 07-09,
PVC twin mulled double hung windows.
Issued Date: 08/22/02
Comments: Florida P.E. seal required on report.
PSR-3844 12305
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
pE501T INFORMATION -- ----- LOCATION INFORMATION --
Permit Number : 12305 'address : 1839 SEMINOLE ROAD
Permit Type•PLUMBING ATLANTIC BEACH , FLORIDA 3223_
"lass of Work: ALTERATION --------- LEGAL DESCRIPTION ----------
Constr . Type:WOOD FRAME Block: Lot : Twp:
Proposed Use: Section: 0 Subd: O Rng;
Dwellings : 1 Subdivision:ATLANTIC BACH
Est . Value: 0 .00
Improv . Cost : 0 .00
Total _F- 25 .00
AmP- 25 .00
�NER INFORMATION - --- -- - APPLICATION FEES ----------
Name , rr , ,".F F_ENN'7F; PERMIT 25 nn
Addr - i 3 3'9 SZMINO ROAD
LnITISQA " FLORIDA 322'
e
------ COTRA R FORMATION
N ame
Addr :" 1103 PA
ACKSO!V _ F BEACH , FL 32250
LCF" Exp : 8/3111c.
NOTES:
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 MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
$25.00 14
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANIRUUBZeW6fe1REV00 #TIR§4ftP192
VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS
ATLANTIC BEACH BUILDING DEPARTMENT
CITY OF ATLANTIC BEACH
APPLICCATION FOR PLUMBING PERMIT��
JOB LOCATION:
OWNER OF PROPERTY:
PLUMBING CONTRACTOR: �'r( _ / ✓�
CONTRACTOR'S ADDRESS:
STATE LICENSE NUMBER: Cie c��y'a� TELEPHONE:
HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORIES WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS _ WASHING MACHINES
FLOOR DRAINS SHOWER PANS
OTHERc
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERMIT FEE _ $25.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR: ` len
-----------------------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
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0 N a 11208
❑c a UILDING
� BEACH
I r T T .
y Q-C n
O 0 I ---- "
\ z ------- LOCATION INFORMATION -
m ddress : 1839 SEMINOLE ROAD
m -ATLANTIC BEACH . FLORIDA-32. -
_ - LEGAL DESCRIPTION
°�D D A - Block : Section:
m O ,Ot. : O
n C = Township: RNG:
3g m Cn Subdivision: ATLANTIC BACH
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�D z I m
CD CD
o c r z °7 HANDLER
I o CD z Z _ ---- APPLICATION FEES
o I PERMIT 547 .00
$0 .00
WATER IMPACT EEESO .O^
❑❑r I SEt IMPACT FEE
0 3
"� \ 1A r CTAP- AI '
CD
W
m \ -SO . 6'
0 -RADON GAS-H•R - S .
z RADON CAB 5� 50 .40
� oc CAPITAL IMPROVE. 50 . 00
n "O ,..-�. ' A0 .
CROSS CONNECTION SO 0
SEC H IMPACT FEE 50 .00
CONST . SURCHARGE 00
BCH .s SO.w,.. ,
NOTES:
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 MUST T BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN REMENTSSULT IN
53
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPRO
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. gate: 12/20/95 Cit Rcat: 002118
CHECKS
ATLANTIC BEACH BUILDING DEPARTMENT
04100100003221000--- - ----------------
BUILDING AND ZONING INSPECTION DIVISION
CITY Of ATLANTIC BUCH
A%AWIC ■"C". r"WIOA o:talo
APPLICATION FOR MECHANICAL PERMIT CALWN NUMBER
IMPORTANT — Applicant to complete all items in sections I, il, III, and IV.
Sc'Q�i/�Dl� /C c/
LOCATION
Street Address:
Of Intenactinq StreNs: Between � j�lf� Aad �� J/Y/ ../
WILDING
3y`•ef iritien
II. IDENTIFICATION — To be completed by all applicants,
In cons;deratloa of perm;t 9iv4n lot doing the work as describd in the above statement we hereby ogres to perform Said work in accordance
with M• •tt child plans and sp•cifiution% which an 4 11404 hereof and en accordance with the City of Jacksonvifle ordinances and standards
of good erect ce luted therein.
Had" of hlethankcl C"freaft" L
coeir"ter Wat) 4�1 Meow C
Home *f 7—
p"pe04y owner tJk�tcz 1CC�n C
s a*%re of Owner -- Si�netwo of
w Aaswiuid Agent A►tlslbci w fFtt9it►eer
Ill. 6040 AL INFORMATION—
A.
NFORMATIONA• T"W of basting W. e'
Is OT"9111 CO*9TWJcTION ul"ON" I
Tins BUILDING Oft SRE if�l2
O G«--O L► O Nehsrel O Cwh►ei U*Wb IF yes. OIVIL NWMR Of CONSTIOtMON
O p,� 1109AMIT
® 0*— — spoc,'fy
tV. k�FIANICAL 9"ff'ttooW TO W NOTAUND 1111TkN0E w0ekit
(►.wrid.66000s lees of awweeeeh em Mak of 46 SN"ta, fANldontlal w ❑ ConKSWCW
e--14001O Spoto O Reweese/ ® C« W ® Ro«
Air ctStidrii..kn't O Room QJ�6aeird Et1�f3f"� *Busing
® oec! Syeiew: Mete+kal ^eY'toilllotlt of"M "W1914M
�A ❑ flew W499NOUM Mo WWWR PtWeMVWYMtstallby
h4eaiteStet•upetNy
® EX1106 an Or 8060010*"WV ogebiti
O Other—8W.Ify
O cooiep mer d11ssay_+ s
® Foespoinklem: News►er of weeL
Q Eieweter O irkpf:f4 O bseletw— TM WAS IBR ORICII II US OWY
® fieaofsee f%",r` - ISI � �
® Tet" . �o.leitllliterl ReRINs{
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® Usf d Pon-o•cera
Pwte10 /1ppweed ft!µ calm._..�.._._.
® Iofi.re
Q 0*W
UNT ALL EQUIPMZNT
Alin COM"ONIM AND REFRI CAUTION 1QUlWff
BUILDING AND ZONING INSPECTION ?IVISION
CITY OF ATLANTIC BEACH
ATLANTIC: DFACH, FLORIDA 32233
_ APPLICATION FOR MECHANICAL PERMiT CAI-L-IN NUM-BER
IMPORTANT -- Applicant to camp ate all items in se ins I, II, Ill, and IV.
LOCATION ( Street Address: • ____�—____._
OF f Intersecting Streets: :Between And __
BUILDING 1
Sub-division
11. IDENTIFICATION -- To be completed by all applicants
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 specif taboos which ave a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Nems of t:echanicalCon+rectors �___�__
Contractor =Frint) 'A&Ifar
Name of /1
Property Owner i I `�, C}
Signature of Owner signature of
or Authorised Agent yy Architect or Engineer
III. GENERAL INFORMATION
A' Type of(seating fuel: E3• "
IS OTHER CONSTRUCTION BEING Q0�6E
THIS BUILDING OR SITE I L !
0 Gas—❑ LP [] Natural 0 Contral Utility
IF YES, GINE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ Other — Specify I
IV. M/CHANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK
(Provide complete list of components on beck of this form) Residential or l.1 Commercial
Q• Hut ❑ Space ❑ Recessed 0 Control O Floor � ❑ Now Building
11ir Conditioning: ❑ Room `❑ Control �J Existing Building
i
(] Duct System: Material ._ Thickness Replacement of existing system
Maximum capacity cleft. �01
New installation(No system previously Installed)
0 Extension or add-on to existing system
❑ Refrigeration
L� 01her — Specity-- — —
Q
Cooling tower: Capacity q.p.m.
❑ Fire sprinklers: Number of heeds. --
❑ Elevator 11 Ma"011' 0 Escalator (Ruro I I THIS SPACE PAR OffICE USE ONLY `
(� Gasoline pum — (number) (Rocs'")
Q Tank. (number) Rsmerks
❑ LPG container (number)
r
W Urtfirod prouero v6sw
Parrnii Approved by Doh
Ij,j AuiOuri i
7
Q Other -- specify, i Pormit .�
LIST ALL EQUIPMENT I
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
�ty AAS
NwgDer UnttA f r9>:t.s r E[a:►uf.qtssrer
>
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. 9 4 6 3
PERMIT TO BUILD 11
THIS PERMIT MUST BE POSTED ON JOB
200013 T �
Date January 28 19 88 460120.00CRT
Valuation$ Fee$ 20.130 9463 1 A 1/28/8
900CAC
4601 1 1/28/8
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revoation for violation of applicable provisions of law. 1 R00
This is to certify that Williams and Sons Heat Air RA0018227
i
has permission to
#1t install re lacement s stem
Classification Re t i dent i al
Owned by Zone
Lot
Block
��S�
House No. 18313 Seminole Road
According to approved plans which are part of this permit
= NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN- I
SPECTED BEFORE POURING. I
i PERMIT VOID SIX MONTHS
�—--� AFTER DATE OF ISSUE
Z Building material, rubbish and debris
A from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
It cor owner.
i ,.
Buil g Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE
CONTRACTOR I
PLUMBING
ELECTRICAL
SEWER
WATER
I
1
, S J is CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000632 Date 5/07/09
Property Address . . . . . . 1839 SEMINOLE RD
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 cu lahu
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RENNIE, JR. , JANICE B. A/C MASTERS HVAC INC
1839 SEMINOLE ROAD 11243 ST JOHNS PKWY #3
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 79 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/03/09
----------------------------------------------------------------------------
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
I
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
05/06/2009 10:53 9046455999 AC MASTERS HVAC INC PAGE 02/02
CITY OF ATLANTIC BEACH 08�i
ace WMINOLE ROAD,ATIANTIO BEACH,FL 92233 I 1
OFFICE:(904)247.4828•FAA N0.3e00247.660
BUILDING-WrOCOA9,US
MECHANICAL PERMIT APPLICATION DUVAL COUNTY
�� I � 1YW'`try ❑NO
O YE3 PERMIT s: o
.. _ ,'.-'::.:;' ..PROP •...'.':*,1f:',,"J':r ......,„.�Y, . _ :: �'...' " :`.,
4. ., E... 8.ADME.49 IF DIFFERENT FROM JOS AODRE98 8.PHONE:
"•'w't'-;;: . .•��'. :...;�. �,.....•. .. M N OONTAACTOR:.'I:. •. ._. :y.,... . ,. .
rZ Ai� 1 C / L 3 4- lin`t
1103.CF
7F�ALVLQPEH�pO�NpE
e.So AUC(
11e1..
11q VQC ,n
�7
V
Applkatlon is hereby made to obtain a permit to do the work and Insta11311k s as indketecl, i cer"that all work viii be performed to meet the
Mandards of all laws rsguleting conaftWlon In this)urladkWn. This permit becomes nul and void 11 work Is rot him six(a)
months.or if constnutlon or work is suspended or abandoned fora period of six(6)months at any 8 e eller wo t oe
I
CONTRACTORS a GNATURE
CODE:
^1S:rtAs9 OF'a9011K: -^'",.._;..:�.: 1a:e1JIL0IN6C 5`'.` ...::. 17 iCE:•,:r.a. > 1a:.
O NEW INSTALLATION ❑NEW RESIDENTIAL [1'08 FLORIDA BUILDING CODE-
(III&PLACEMENT OF EXISTING SYSTEM 11f EXISTING ❑COMMERCIAL MECHANICAL
O ALTERATION/ADDITION TO EXIST SYSTEM 0 OTHER
O REPAIRk..
„r ;.r:.'..:.. : NICALEVIL TOB a9aTALCEp F?.c: ..r
V 19.HEAT: 0 SPACE' O RECESSED CENTRAL ❑FLOOR BURNERS:
20.AIR CONDITIONING: 13 ROOM CENTRAL
21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: elm
22.REFRIGERATION: MAX CAPACITY: cfm
23.COOUNG TOWER: CAPACITY: 9Pn't
24.FIRE SPRINKLER: NUMBER OF HEADS:
25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT:
26.COMMERCIAL HOOD NUMBER:
27.FIREPLACE: PREFABRICATED: MASONRY:
28,IRRIGATION: O PUMP ❑WELL ❑PIPING
29.GAS PIPING' E OF OUTLETS: O GAS AHU: O GAS WATER HEATER:
30.OTHER-SPECIFY:
SMAR HEAnNo,t!OiLERs,UNRRED
PRMURe VESM MEAT EXCi,IANOER FOR
1 T HER ITI?MS:
ORiCOIL Nt1UC StE10. .r,-•-;'R..S• ::]I.000LMIO . W ,::`�Y;, E-.•:
e:
—NUMBER
N MODEL MANUFACTURER TONS AGENCY
OF UNITS DESCRIPTION
o Tl,+lt�ll) 1A r- UIL
i
91 Att'M1VIW
OF
4ikr,r�. ::^�`.Y..G•:• ";,jTe: .+f'-.di.?,sw.;-��::>-:i.•. Q (P'ME .��:sar..��. ..'�"f..>:_:, :M`c. .!''�:' .��
UN D59CRLPTION MODELS MANUFACTURER BTU /t /
r>< c_ Q Q t� Ol.
S3.TA
NUMBER GALLONS MANUFACTURER "ALF
COAG FORM BLOW:REMlSE7T.1111NAPM
IT, jor
114�11'.' 1 /' CITY OF ATLANTIC BEACH 08- -1 I I
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE(904)2475826•FAX NO.(904)247-5845
BUILDING-DEPT@COAB.US
MECHANICAL PERMIT APPLICATION DUVAL COUNTY
JOB ADDRE93: \ rISIS A SUB PERMIT: .DONO
Mg, 1 n� C1 u PERMIT#: ]-JI610
PROPERTY OWNER:
4.NAME: ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
I CC..
MECHANICAL CONTRACTOR:
7. 7E OF C(�(PANY: �� 8.ADDRESS.:
l 11 i,3-II��3 Tur C l/, V _� S� �j :Ti, J,�+ ;a� 1 Y�l✓ �p �r��
9.ST OF FLOIDA LIC 10.CELL PHONE
1 ,3(M:
12.EMAIL ADDRESS: a� I I 13. FIFE PHON n O 14.
a C LA-1r'rl V CC C Q �Q�'Sc k Jt� n 1� U q— y (�`y ('j
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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 n thin six (6)
months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after wor ce
CONTRACTORS SIGNATURE:
15.CLASS OF WORK: 16.BUILDING: 17. ERVICE: 18.CURRENT CODE:
❑NEW INSTALLATION ,❑J/NEW RESIDENTIAL 11'06 FLORIDA BUILDING CODE-
�EPLACEMENT OF EXISTING SYSTEM YEXISTING ❑COMMERCIAL MECHANICAL
❑ALTERATION/ADDITION TO EXIST SYSTEM
❑REPAIR ❑OTHER
MECHANICAL EQUIPMENT TO BE INSTALLED:
19. HEAT: ❑ SPACE ❑ RECESSED CENTRAL ❑ FLOOR BURNERS:
20.AIR CONDITIONING: ❑ ROOM WCENTRAL
21. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm
22. REFRIGERATION: MAX CAPACITY: Cfm
23.COOLING TOWER: CAPACITY: gpm
24. FIRE SPRINKLER: NUMBER OF HEADS:
25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFf:
26.COMMERCIAL HOOD NUMBER:
27. FIREPLACE: PREFABRICATED: MASONRY:
28. IRRIGATION: ❑ PUMP ❑ WELL ❑ PIPING
29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER:
30.OTHER-SPECIFY:
SOLAR HEATING, BOILERS,UNFIRED
PRESSURE VESSEL,HEAT EXCHANGER ,
OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS:
31.COOLING EQUIPMENT:
I CONDITIONING, F G A EQUIPMENTN
NUMBER APPROVING
OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY
32.HEATING EQUIPMENT:
FUR ACES BOI RS FIRFPLACES AIR HANDLERS ETC.
APPROVING
OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY
33.TANKS:
NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY
COAB FORM BLDG04:REVISED:1/102008
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
>f-
Application Number . . . . . 09-00000611 Date 5/01/09
Property Address . . . . . . 1909 SEMINOLE RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6325
-----------------------------------------------------------------------
Application desc
REROOF
--------------------------------------------------------------------------
Owner Contractor
PARDEE, RUSSELL R.L. HAINES CONSTRUCTION, INC.
1909 SEMINOLE ROAD 130 UNIVERSITY PARK DR.
ATLANTIC BEACH FL 32233 SUITE 125
WINTER PARK FL 32792
(407) 384-1908
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date Valuation . . . . 6325
-----Expiration-Date10/28/09
-_-_---- -
---------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 65 . 00 65 . 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 �9�
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
(�!
OFFICE:(904)247-5826•FAX NO.:(904)247-5845
Y ,
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
F(94P-
� :! ,.
o Se r+.ti k 61
BLOCK y SUBDIVISION .1(,(.,(Y�GG�"G ❑NEW BUILDING ❑DEMOLITION E RESIDENTIAL
❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
- '=' ALTERATION ❑ACCESSORY BLDG. 8,FIRE SPRI7U
`Y l / J ❑REPAIR ❑POOL/SPA 11 YES 11 N/A/Le
❑MOVE ❑OTHER ❑NO
;,^,TAR 1yl .l NGINEER
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
26ai �s
16.NAME: 24.LICENSEE NAME:
10.ADDRESS. 0 -.)L�'to 4 kA_ 17.STATE OF FLORIDA LI ENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
(9 R CCC 0! l 6Sti
78.ADDRESS: 26.ADDRESS:
�t,144� �ZIX 32233 22 .5 /nt0,CV%An OOA.
04,(,,,ao , IGC. I LYO
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICEYL �/EHI�ONE:( 2ie 0.FAX N0.:3!tet!T��
(• -11
27.OFFICE PHONE. 28.FAX NO..
13.CELL PHONE: I n - 6 �/� 21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: l _ 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
a
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,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 building official,as required by law.
*** WARNING TO OWNER: k
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.
OWNER or AGENT CONTRACTOR
{1('„ n4Fo-.(af"Atto-yor. Letter.Required) (Qualifier Only)
Signed: / Date: Signed: `-tee Date: 3 cc)
Before me th _ day of n 2009 in the county of Before me this 1�30L day of 2009 In the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
A (�ic s
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. r/I1 true and accurate.
,.
Notary Public at Large,State of County of��(,l _ Notary Public at Large,State of County of
❑y6rsonally Known aPersonally Known
Produced Identification- -73 10-' "O 13 Produced Identification-
Notary Signature: (- Notary Signature: (�
.aeuueoeeczeeee.vu�,.-,:e aee aeeaeeex�uemeee
ANGELA VESCOVI-SRIT0 KATHLEEN ANN CASEY
""" Comm#DD0676201
MY COMMISSION#DD834501 a 0 W� j�+L�AY
qq�� o/�_� Expires 9113/2011
BLDG01 P. on BI�PF�etl7�1��321�/�fJ$Q p {t"3>iC;fc
w 6?nded;hrnl,nn 1siState Insurance Florida Notary Assn.,Inc
-.. ann„
- ""� Meseeeuuuneeuueeneueeeeeeeeeneeueeex
NOTICE OF COMMENCEMENT
State of )'76 02C Tax Folio No.
County of Q(,,U o,L
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF C MMENCEMENT.
Legal Description of property being improved: Y?- - (u( of - 2W 2 11 "k.
c.
Address of property being improved: 707/ IC/h �.e a(< /Ldp Gf?�w.r-n L d Gh l-L 3 2 2 3J
General description of improvements: . C h t A,5 f c. /j L-/L coo(z
Owner: A(-if-< LC {'4.".a(-c t Address:
Owner's interest in site of the improvement: 7 2 233
Fee Simple Titleholder(if other than owner):
Name:
ontractor: /2 6 of rit5 l L C
Address: 2ZI,( A-C,&640b-- A*t.
Telephone No.: y",- 3 Y`T-I god' Fax No: 2 L(- ,L j 7-/7-? 3
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER ��11
- Signed: �Date:T
Doc#2009103442,OR BK 14860 Page 2231, Before me this day of h DCounty o Duval,State
Number Pages:1 Of Florida,h personally appeared
Recorded 05/01/2009 at 02:35 PM, Notary Public at Large,State of Florida,County 9_Duval.
JIM FULLER CLERK CIRCUIT COURT DUVAL My commission expires: OC D fes' -70 LU�2
COUNTY Personally Known: or
-RECORDING$10.00 Produced Identification: ILI
ANGELA VESCOVI I.O
2°- -7�j KV COMMISSION#DD834501
EXPIRES:OCT 27,2012
OF Bonded through 1 st State Insurance
✓ , 'ri�L��rJ y3
CITY OF ATLANTIC BEACH
i J 800 SEMINOLE ROAD
r ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
r�Ji31�r
Application Number . . . 05-00029938 Date 3/23/05
Property Address . . . . . . 1839 SEMINOLE RD
Tenant nbr, name . . . . . . REPL MAIN PANEL
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------
------------------------
RENNIE, JR. , JANICE B. BILL THOMPSON ELECTRIC CO, INC
1839 SEMINOLE ROAD P.O. BOX 330150
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-5601
--------------- ----- ---------------------------------------
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
' ELECTRICAL PERMIT APPLICATION
e Date: 2 Z
2
Property Address:
Owner:
��y<rG /'� eh�� Telephone#: Zy�
BILL YHOMPSON El. Telephone#:
Contractor: — _
Contractor Address: PILWIC REACH EL 32233
Fax#: ZTdzS
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: Buil 'ng Type: C) Trailer I Service: If other construction is
❑ New being done on this building
(3 New Residence ❑ Temp. Or site,list the building
o', Old ❑ Commercial ❑ Signs ❑ jAcrease Permit number:
❑ Re-wire ❑ Addition Sq. Ft_ Repair
Conductor Size: AMPS: COPPER I ALUMINUM
Switch or RACE
Breaker AMPS PH _ W VOLT WAY
Existing Service Zr �/� RACE
Size AMPS /Zr PH / -- I W VOLT WAY
Feeders: NO. SIZE ! NO SIZI-_ NO SIZE I
Lighting Outlets I
CONCEALED i OPEN —;
Receptacles CONCEALED ; OPEN
0 10 AMPS
Switches
Incandescent
Fluorescent &
M.V.
Fixed 0.100 AMPS OVER BELL
Appliances TRANSFER.
Air H.P.RATING H.P.RATING CEILING KW-HEAT I
ConditioningCOMP.MOTOR OTHER MOTORS AMPS HEAT
Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS
UrIDER600V I 0VER600V �
Transformers NO. KVA KVA
No.Neon_Transf.
Ea. Si
rI
Miscellaneous / GP G�iG/�/'1 e '
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800• Fax: (904)247-5845 • http://www.cLatlantic-beac A