Permit Windows 1750 Ocean Grove Dr 2013 CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
��Js31�r�
Application Number . . . . . 13-00002008 Date 1/24/13
Property Address . . . . . . 1750 OCEAN GROVE DR
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7162
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Application desc
REPLACE 11 WINDOWS FPA#14263 . 2
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Owner Contractor
------------------------ ------------------------
GOWEN WILLIAM G & MARYLU M AMERICAN WINDOW PRODUCTS
1750 OCEAN GROVE DR 2633 POWERS AVENUE
ATLANTIC BEACH FL 322335845 JACKSONVILLE FL 32207
(904) 731-2247
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00
Issue Date . . . . Valuation . . . . 7162
Expiration Date . . 7/23/13
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Special Notes and Comments
NEED RECORDED NOC
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total 45 . 00 45 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 139 . 00 139 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ys' `�r� City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Builft DaM tment)
--� 800 Seminole Road 1-3
2 oG'
Atlantic Beach. Florida 32233-5445 J
Phone(904)247-5626 • Fax(904)247-5645
row tI E-mail: buildng-de"coab-us Date routed. �C
City web-site: http:1twanw.coab.us
-----------
APPLICATION REVIEW AND TRACKING FORM
----7-7ff
Property Address: 677 Gf1Y^e I)r,
-,% ----%
Department review wired Yes No
]. � Building
Applicant: Liu,I((.&A, kll im 6w &4ic;f3 Planning&Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Renew or Receipt Date
B
Florida Dept.of Environmental Protection of Permit Verified
Florida Dept. of Transportation
SL Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPUCATION STATUS
Reviewing Department First Review: 10Awroved. ❑Denied.
(Circle Comments:
C-UILD71N4G§
PLANNING&ZONING Reviewed by: t
Date:1
TREE ADMIN. Second Review: ®Approved as revised. Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: pie.
FIRE SERVICES Third Review: (Approved as revised. ❑Denied.
Comments:
i
Reviewed by: Date:
Revised 07127/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
01 Office (904) 247-5826 Fax(904) 247-5845
Job Address:
1760 Qeem 6k"eP— - Permit Number:
Legal Description w e wuO 5/7 b+ Z Z Parcel#1626/ _ 0050
Valuation of Work$ 692 00 Floor ea o q. t. q. t
_Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition 6ratio Repair Mov emolition pool/spa window/door
Use of existing/pro osed.structure(s)(circle one): Commercial esidenti
If an existing structure,is a fire syinl�ler system installed? (Circle one): es No N/A
Florida Product Approval# L(0?J L
For multiple products use product approvTtor^m
Describe in detail the type of work to be performed:
Property Owner Information:
Name: C-ACW M Address: ItI60p- Do-
City AA Statej�JZip '2 ?5 Phone S20
E-Mail or Fax#(Optional)
Contractor Information: AMERICAN WINDOW
Company Name: 2ag.q POWFRPRODUCTS, INC.S AVE_ Qualifying Agent:
Address: JACKSONVILLE, FL 32207 Ci State Zips
Office Phone -731 - 2 2 4-1 J Site/ um er -88 Z 4
State Certification/Registration# CrtJLI D
Architect Name&Phone#
Engineer's Name&Phone# '
Fee Simple Title Holder Name and Address UI
Bonding Company Name and Address
Mortgage Lender Name and Address 1' D s
Application is hereby made to obtain a permit to do the work and installations as Indic ed. I certify that no work or�insiaal�on has comme pxlor4
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This per Y.be�0 y j
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of sixJ6)months at arty time alter
work is commenced. I understand that separate permits must be secured for Electrica Work, Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters,
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 hereb cert that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of Iwork will be complied with whether speci ted 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 local law regulating construction or the performance of construction.
r;.
Signature of Owner Signature of Contractor p,,
Print Name Print Name P7X1'1"►
........ . .. .......... .....................................
Sworn, o and subscribed before me Sworn to and subscrib�ie before me
this f Day of SCXn , 20 1?J this Day of JQJ1 2013
Notary Public Notary Public ":";'�,� IRIS L t1AROROVE
* MY COMMISSION t EE 127993
R%XPlltd:%%1442015
BN*Ttn W W"SMVI016
NOTICE OF COMMENCEMENT
Permit No.
State of Florida
County of 1)L"-7'' }
'?) IGI
The undersigned hereby gives notice that improvements will be made to certain real property, and in
accordance with section 713.13 of the Florida Statutes, the following information is provided in this
NOTICE OF COMMENCEMENT.
Legal description of property (Include Street t dress, if available) ���o tv - ��
General description of Imp ovements I WALIPul 16"a "L S
Owner Wilticuil 'Z
Address MID CJ XL 2 'Z Z
Owners Interest in site of the Improvement
Fee Simple Title holder(if other than owner
Name
Address RWANw»iw 224-7
Y Contractor MOW,CTS,uc-
�bA" Address
Surety
Address Amount of bond $
Any person making a loan for the construction of the Improvements:
Name
Address
Person within the State of Florida designated by owner upon whom notices or other documents may be
served as provided by Section 713.13(1)(a)7, FI a Statutes.
Name
Address
In addition to himself, owner designates
Of ,.
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes.
Expiration date of Notice of Commencement(the expiration date is one (1) year from the date of
recording unless a differe f%d is specified)
-�J,Aot"— 6zr��
Ti"nature of owner Printed Name of Owner
I Notary Rubber Stamp Seal 1 I have relied upon the following identification of the Affiant
tray Pie LARRY J.GALLAGHER
MY COMMISSION f EE 127992
Sworn to subscribed before me this Z day of��n�20 3
` EXPIRES:September 6,20`15
—
s, Bonded Thru Budget Notwy SM06 t e ;VVt\1
Notary Sign
ature
Doc#2013021337,OR BK 16228 Page 630, Printed Name
Number Pages: 1
Recorded 01/24/2013 at 02:35 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY -r
RECORDING$10.00
American Window Products, Inc.
2633 Powers Avenue FILECOPY
Jacksonville, Florida 32207
904-731-2247 - Voice
904-731-8824 - Fax
January 15, 2013
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, Florida 32233
904-247-5826
Re: 1750 Ocean Grove Drive
To whom it may concern:
Enclosed please find the permit application for the above-
mentioned address in duplicate. I know the homeowner signed the
expired application in error and I have made sure to have all the
correct applications in the future, please accept this if at all
possible. I will also bring the recorded NOC at the time of pick up.
As always, thanking you in advance for your cooperation with this
matter.
eg rds,
Viki
Happy New Year to all!!! !!
0 - 101
r CITY OF ATLANTIC BEACH r
,i 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
n OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPTQCOAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
cc
Atlantic Beach, FL 32233 I IPT—
.' AGI if3i14; `1W . .: STJGTilFt`
�n f 11 NEW BUILDING 11 DEMOLITION RESIDENTIAL
LOT BLOCK_SUB DIVISION V/ �� ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
G-ALTERATION ❑ACCESSORY BLDG. 10
❑REPAIR ❑POOL/SPA ❑YES ❑N/A
❑MOVE ❑OTHER IONO
OR" IGHIiTffNGiNEE..:
9.NAME: 15.COMPANY NAME, 23.COMPANY NAME:
16.NAME: 24.LICEN E N
AW
10.�ADDRESS: / �// /�JJ 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
/� 1If
/) 18.ADDRr 26.AD"S '
11.OFFICE PHONE: (,r 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NCO)
13.CELL PHONE: j! ^�^ 21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: 'J�(rJ 22.EMAIL ADDRESS' 30.EMAIL ADDRESS:
I oYL.1'4 BO DIG ;
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.
**�k 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.
Signed `>:— Date: ZI
2 Signed: Date:
Before me this Z N day of 2007 in the county of Before me this W10f 2 07 in the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,he ppeared
i,rLLZLAf-1
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affi t all statements and declarations are
true and accurate. true and accurate. _
Notary Public at Large,State of County of 09 jv4 L Notary Public at Large,State of o my o
❑Personally Known L [I Personally Known
Produced Identification ❑Produced Identification,
Notary Signature: Notary Signature:
�aY?�e�,� LARRY J.
' MY COMMISSION 0 EE 127992
" * EXPIRES:September 6,2015
'"i °` Baded Ttyu Budget Notary Services
ATE OF FV&
COAG FORM BLDG01:REVISED:11/6/2007
FILE COPYkk,
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Business & Professional Regulation
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Floli✓a Depa,int! BaS Home ! Log In User Registration Hot Topics Submit Surcharge Stats&Fads Publications FBC Staff SCIS Site Map Unks I Search
Busineg�.'
rofessProduct Approval
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Product Approval Menu>Product or Application Search>Application List>Application Detail dQ�
E
FILE Co
FL# FL14263-R1 27? 1
Application Type Revision "ION
Code Version 2010
Application Status Approved
*Approved by DCA. Approvals by DCA shall be reviewed and
ratified by the POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Gorell Windows and Doors
Address/Phone/Email 10250 Philipp Pkwy
Streetsboro,OH 44241
(330)528-3400 Ext 1150
delder@soft-lite.com
Authorized Signature Derek Elder
delder@soft-lite.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Double Hung
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By American Architectural Manufacturers Association
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/I.S.2/A440 2005
ASTM E 1886/ASTM E 1996 2002
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 03/15/2012
hq://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquDEJErtOSCeq... 8/21/2012
Flonda Building Code Online Page 2 of 3
Date Validated 03/27/2012 ''
Date Pending FBC Approval
FILE COPY
Date Approved 04/06/2012
Date Revised 05/16/2012
iiiM)r'OlrliiYi`
Summary of Products
FL# .]Model,Number or Name Description
14263.1G5305 Double Hung G5305 Double Hung 44x84 DP 50
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL14263 R1 C CAC G5305 Double Hung 44x84 DP50
Approved for use outside HVHZ:Yes T337-10.odf
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: +50/-50 09/14/2014
Other: Installation Instructions
FL14263 R1 II P5305 DP50 fastener detail 44x84.pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Parry:
Evaluation Reports
Created by Independent Third Party:
14263.2 G5305 Double Hung G5305 Double Hung 52x72 DP 50
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL14263 R1 C CAC G5305 Double Hung 52x72 DP50
Approved for use outside HVHZ:Yes 501-44.pdf
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: +50/-50 10/09/2013
Other: Installation Instructions
FL14263 RI II P5305 DP50 impact fastener 52 x 72 3-
14-12.dwg Model (i.Pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
14263.3 G5305 Double Hung G5305 Double Hung 44x63 DP 50
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL14263 RI C CAC G5305 Double Hung 44x63 DP50
Approved for use outside HVHZ:Yes 501-44.pdf
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: +50/-50 05/04/2013
Other: Installation Instructions
FL14263 RI II P5305 DP50 fastener detail 44 x 63 3-
14-12.dwg Model (i.Pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
14263.4 G5305 Double Hung IG5305 Double Hung 52x72 DP 35
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL14263 R1 C CAC G5305 Double Hung 52x72 DP35
Approved for use outside HVHZ:Yes 501-44.pdf
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: +35/-35 05/04/2013
Other: Installation Instructions
FL14263 RI II P5305 DP35 fastener w wood stops 3-
6-12.dwg Model (I.pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
4263.5 IGS305 Impact Double Hung G5305 Impact Double Hun 52x72 DP 50
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL14263 R1 C CAC G5305 Impact Double Hung 5202
Approved for use outside HVHZ:Yes DP50 501-44.pdf
Impact Resistant:Yes FL14263 RI C CAC G5305 impact glazing details.odf
Design Pressure: +50/-50 Quality Assurance Contract Expiration Date
Other: 12/12/2012
Installation Instructions
FL14263 R1 II P5305 DP50 impact fastener 52 x 72 3-
14-12.dwq Model (i.pdf
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquDEJErtO S Ceq... 8/21/2012
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