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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 I�rofessi ��A na) USER:Public User RealUIa €c^�t 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