Permit Window 399 Beach Ave 2013 CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
!J :" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Jjilt '
Application Number . . . . . 13-00002142 Date 2/13/13
Property Address . . . . . . 399 BEACH AVE
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 9800
----------------------------------------------------------------------------
Application desc
window replacement
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GOELZ THOMAS AND DONNALEA CLADDAGH CONSTRUCTORS, INC.
399 BEACH AVENUE 3997 AMERICA AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(9 04) 241-1012
----------------------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 9800
Expiration Date . . 8/12/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 100 . 00 100 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 104 . 00 104 . 00 . 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: / a C // / G Permit Number:
Legal Description Parcel#
p o p Floor Area of Sq.Ft. Sq.1,t
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: OGy
Property Owner Information:
Name: OSI Z- tYl QS Address:
City State ip Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Nam /)6-M90 1,S Qualify'ng A en • V`
Address: '02. City C State Zip
Office Phone �ob Sit Conti umber Fax#
State Certification/Registration# d K3 4o
77
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and in as indicated. 1 certify hat r 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 const airisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is sacspended or abandon a tod of six16)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing, Sig s, lls,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 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 ofYwork will be complied with whether specified 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 C
rformance of construction.
Signature of Owner votaryPublic
' ontras or
Print Name
r`
Before me n
this Day of 20 " of 20
Notary Public
Revised 10.24.12
FLA. 1977 Laws
FS 713.13
NOTICE of COMMENCEMENT
To whom it may concern:
The undersigned hereby informs all concerned that the improvements will be made to
certain real property and in accordance with section 713.13 of the Florida Statutes. The
following information is stated in this NOTICE of COMMENCEMENT.
Description of the property:
399 Beach Avenue
Atlantic Beach, FL 32233
Duval County Florida
General Description of the improvements:
Remove and replace sun room windows
Owner: Thomas and Donnalea Goelz
399 Beach Avenue
Atlantic Beach, Florida 32233
Owner's interest in the improvement: Personal home r
Fee Simple Title holder(if any other than the owner):
Name:
Address:
Conti-actor: C-Iadd—i Qyh_.Co-nstructo-rs,Inic.
3997 America Avenue
Jacksonville Beach, FL 32250
Surety(if any): n/a
Address:
Amount of Bond$
Lending Institution providing funds for improvements:
Name: n/a
Address:
Person within the state of Florida designated by the owner upon who notices or other documents may be served:
Name:
Address:
In addition to himself.the owner designates the following person to receive a copy of the Lienor's Notice as provided
in section 713.13 of the Florida Statutes. (fill in the owner's option)
Name:
Address:
This space reserved for recorder's use only
Owner's Signature'-
Sworn
ignatur Sworn to and subscribed before me this_L/ day of
20j
Doc#2013036565,OR BK 16249 Page 67, }�?,�i GCJ • Cf �.
Number Pages:1 Notary Public
Recorded 02/08/2013 at 02:09 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY ;oog Py*, Notary Public State of Florida
RECORDING$10.00 `` Mona G Carter
cm
,, c My Commission EE057508
-F?oFFofi Expires 04/03/2015
Florida Building Code Online Page 1 of 2
k I$ot "
3(�.- a�✓j�l .l its:" BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search
Busines //
(�}/ Product Approval
Real
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Product Ap2rroydl Menu.>PrOducjorAp li[atiOnSed rch>A,pp,{icd,tion„L„i5t>Application Detail
'moo FL# FL13080-R2
Application Type Revision
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 Andersen Corporation
Address/Phone/Email 100 Fourth Avenue North
Bayport, MN 55003
(651) 264-5308
Alan.Barstad@AndersenCorp.com
Authorized Signature Alan Barstad
Alan.Barstad@AndersenCorp.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative t1l
Address/Phone/Email
Category Windows �O
Subcategory Fixed
y
Compliance Method Certification Mark or Listing
Certification Agency Window and Door Manufacturers Association
Validated By Window and Door Manufacturers Association
Referenced Standard and Year(of Standard) Standard Year
101/IS2/A440 2005
Equivalence of Product Standards
Certified By Approved Testing Lab
FL.1..30.80_R2_Equiv_AAMA,.10.1..-IS2.-,A440,_E,guivaIence:. cf
Product Approval Method Method 1 Option A
Date Submitted 09/13/2012
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvQEb8FEH60... 2/12/2013
,Florida Building Code Online Page 2 of 2
Date Validated 09/18/2012
Date Pending FBC Approval
Date Approved 09/23/2012
Summary of Products
FL# Model,Number or Name IDescription
13080.1 A-Series Picture A-Series Picture Window
Window/APW5656 Flange IG
i
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL13080 R2_C_CAC_APW5656 IG DP50,pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 03/14/2016
Design Pressure: +50/-50 Installation Instructions
Other: Hallmark Certificate 129-H-840.08 Nailing FL13...0.80_R2__TT__A-S.e...r�i.e....s_Windows
_
Flange Installation. Glass complies with ASTM E1300 {Install Guide ALL).pdf
Verified By: Window and Door Manufacturers Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
13080.2 A-Series Picture A-Series Picture Window
Window/APW5656 Jamb IG 11
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No Ft.13080 R2 C CAC APW5656 IG DP70.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 03/14/2016
Design Pressure: +70/-70 Installation Instructions
I Other: Hallmark Certificate 129-H-840.10. Flangeless FL13080 R2 11 A-Series Windows
Installation Only. Glass complies with ASTM E1300 (g}.sta.11_--Gu_ide ALLIpdf
Verified By: Window and Door Manufacturers Association
Created by Independent Third Party:
Evaluation Reports
i
Created by Independent Third Party:
13080.3 APW6080 Low-E A Series Picture Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL13080 R2 C CAC Hallmark CCL APW6080 Low-E.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 04/08/2013
Design Pressure: +50/-50 Installation Instructions
Other: Hallmark Certificates 129-H-840.06 and 129-H- FL.1.3.080_R.2_,11.-A_Series...Windows_(ALL).pdf
840.07. Glass complies with ASTM E1300 Verified By: Window and Door Manufacturers Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
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 mail to this entity.Instead,contact the office by phone or by traditional mail.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 here.
Product Approval Accepts:
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvQEb8FEH60... 2/12/2013
Florida Building Code Online Page 1 of 2
Business & Professional Regulation
p IM
S111"..
Florda DwartCt eW, BCIS Home Log In 1 User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff SCIS Site Map Links Search
s
u
Bines }
in si l Product Approval
USER:Public User
Regulation
Product.ADpt.o„v,,,a.l,-Menu,>Product or Application Search>AQplication...List>Application Detail
MAI 190 of FL# FL13081-R2
Application Type Revision
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 Andersen Corporation
Address/Phone/Email 100 Fourth Avenue North
Bayport, MN 55003
(651) 264-5308
Alan.Barstad@AndersenCorp.com
Authorized Signature Alan Barstad
Alan.Barstad@AndersenCorp.com
Technical Representative �®
Address/Phone/Email
Quality Assurance Representative �®
Address/Phone/Email
Category Windows
Subcategory Casement
Compliance Method Certification Mark or Listing
Certification Agency Window and Door Manufacturers Association
Validated By Window and Door Manufacturers Association
Referenced Standard and Year(of Standard) Standard Year
101/IS2/A440 2005
Equivalence of Product Standards
Certified By Approved Testing Lab
FL,1308I—R2_Eguiv_AAMA 101-IS2-A440 Eaulvalence.odf
Product Approval Method Method 1 Option A
Date Submitted 07/19/2012
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE V XQwtDgvQEb 8 FEH60... 2/12/2013
Florida Building Code Online Page 2 of 2
Date Validated 07/26/2012
Date Pending FBC Approval
Date Approved 08/01/2012
Summary of Products
FL IlModel,Number or Name Description
13081.1 A-Series Casement A-Series Casement Window
Window/ACW3060 Flange IG
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL13081_R2_C CAC�ACW3060 IG DPP,0.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 03/14/2016
Design Pressure: +50/-50 Installation Instructions
Other: Hallmark Certificates 129-H-816.07,Glass FL1,31081 R2_11_.A-.Series WlndowS-1ALL).pdf
conforms to ASTM E1300. Verified By: Window and Door Manufacturers Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
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 mail to this entity.Instead,contact the office by phone or by traditional mail.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 here.
Product Approval Accepts:
NLJ 1 F__11 a
swcu rit:v,.'.t,7 7z.,.i::,
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE V XQwtDgvQEb 8 FEH60... 2/12/2013