2278 Seminole Rd # 2 (vault) CITY OF ATLANTIC BEACH, FLORIDA
E= APPLICATION FOR ELECTRICAL PERMIT
L4 - 1
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, 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 ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
�AIJC,0
ELECTRICAL FIRM: MASTER ELEdR)CIAN SIGk&URE JOURNEYMAN
RFD_BOX_
NAME-� -ADDRESS:.
BLDG.SIZE BETWEEN:
RES. APT. ( COMM. ( PUBLIC INDUS. NEW ( OLD ( REW.
ADDITION ) TRAILER TEMP. ( ) SIGNS ( ) SO. FT.
SERVICE: NEW ( INCREASE ( ) REPAIR-P"t'- FEE
CONDUCTOR SIZE . AMPS COPPER ALUMJ
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY .-
EXIST.SERV.SIZE AMPS PH 3 W. _2�fGOLT '5IEk2-_RACEWAY
FEEDERS NO. SIZE INO. SIZE_ ENO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES 0.30 AMPS. 3 1-100 ��MPSd
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0 to
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
CM-Acv-75 FY) AR-P r.) s c 1) ec-T C)C-)
V
TRANSFORMERS: UNDER 600 V. OVER 600 V.
KVA
NO. NO. lKVA
N EACH SIGN VA. M A MOTOR SIZE SWITCH FLASHER
0. NEON TRANSF. NO. A.
FORWARDED
$ 0 C)
TOTAL FEES
.1�"Lj1j-
It SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000370 Date 3/24/09
Property Address . . . . . . 2279 SEMINOLE RD UNIT 002
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5787
----------------------------------------------------------------------------
Application desc
WINDOW REPLACEMENT
--------------------------------------------------------------
Owner Contractor
------------------------
------------------------
ROYCHOUDHURY, ASHOK WINDOW WORLD OF JACKSONVILLE
11556 JONATHAN RD. 8535 BAYMEADOWS ROAD UNIT 12
JACKSONVILLE FL 32225 DBA NATIONAL HOMECRAFT
JACKSONVILLE FL 32256
(904) 443-7001
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc - - 30 . 00
Permit Fee . . . . 60 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 5787
Expiration Date . . 9/20/09 -----
----------------------------------------------------------------------
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
'1005 NATIONAL ELECTRICAL 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
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total 30 . 00 30 . 00 . 00 . 00
Grand Total 90 . 00 90 . 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
S1
WINDOWS, SKYLIGHTS, GARAGE DOORS, HURRICANE SHUTTERS
Date:
JobAddress:
Owner:
Address: Phone: 9,tS4 - (0-S,75--t2-LT
P- go Cz (i�l-
Legal Description: Block Number: Otot A26e-r':ZS stnct:
Contractor: State License Number: C-ISC- 12-!9-037-1
V W -----1 Ur JALA�UNVILLE, INC, Phone: c1rj4-q`A1--7M1
Address: 8110 Cypress Plaza r)rive, -gi,ito 4os
City: Jacksonville, FL 32256 State: Zip: Fax: 1� %14- 44'S-7-7-7,0-
Describe proposed use and work to be done:
Present use of land or building(s): Q—
Valuation of proposed construction: s-t --q-
Is approval of Homeowner's Association or other private entity required? If yes,please submit with this
application.
Required Building Data:
Mean Roof Height_(ft) Building Width (ft) Building Length —(ft)
Roof Slope— Window Height (ft) Window Width (ft)
Window Elevation from Grade ft)
Measurement from corner of building to window (ft)
owl
Number of windows being installed
FILE COPY
7
Mean Roof Height
3P4T4P—j*R CODE COMPLIANCE
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS.
"7 a
REVIEWED BY: DATE:
F E C
IL OPY 800 Seminole Road Atlantic Beach,Florida 32233-5445
hone: (904)247-5800 Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Revised 1/27/03
—p-a-ge 1
NOTICE OF COMNIENCEMENT
State of EL-- Tax Folio No. (P ?=
County of
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 CONE10ENCEMENT.
Legal Description of property being improved: C, 2— 3-7 9
Address of property being improved: P r
General description of improvements:
h
dress: S
Owner:
Ad
-j
Owner's interest in site of the u'nprovement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: WINDOW WORLD OF JACKSONVILLE, INE),
0-P Address: 8110 CYpress Plaza Drive, Suite 405
wk UaRksonville, FL 32256 FaxNo:
Telephone No.: 9 0%4- 4%—=v�L
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 himselt 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: ss a different date is
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unle
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Date:
Signed: day f Av in the 0 ty of Duval,State
Before me this
ne
Of Florida.,has person appeared
Doc#2009065876,OR BK 14815 Page 2346, .otary Public at Large,State of Florida,County of Duval.
or
Number Pages:1 y commission expires:
Recorded 03/19/2009 at 04:03 PM, rsonally Known:
JIM FULLER CLERK CIRCUIT COURT DUVAL -oduced Identification: 11:ng j,
COUNTY 0,5" My COMMISS110N#DD487195
W
EXPIRES-:CCT 31,2009
X I
0 rough
RECORDING$10.00
,:-4'14Z.:?�P�--)=Bondedpthrough 1 st State Insurance
FLSTATE
8110 Cypress Plaza Drive,Ste.405
Jacksonville,FL 32256 License;4
(904)443-7001 CBC 1250321
Fax(904)443-7778 */04t
(800)549-5132 4
Windborne Debris Statementfor Home Owner
I/WE, Ai�kor" residing at cP- 2-77 �t b 44
d
Florida, -3 2-z-&3
Do swear/affirm that we have or are responsible for providing WBD protection at the
above address. We do realize that the WBD protection IS required by the State of
Florida building codes, as this has been explained to us by the salesperson of Window
World of Jacksonville, Inc.
OR
Do Swear/affirm that we have existing WBD protection that meets the State of Florida
building codes, as this has been explained to us by the salesperson of Window World
of Jacksonville, Inc.
-'2
HOMEOWNEI� DATE!
HOMEOWNER DATE
------------------------------------------------------------------------------------------------
POST A COPY OF RECORDED NOTICE AT JOB SITE.
STATE OF FLORIDA COUNTY OF
THIS INSTRUMENT WAS ACKNOWLEDGE BEFORE ME THIS day of
Known Personally Or Identification
Type of Identification .,'12zi 1,12 6LL TERRY POULIN
My CON.ImISSION#OD487115
Notary Public
EXPIRES:OCT 31,2009
Bonded throudh 1 st Stato Insurance
(Name of Notaryltyped or lTrinted) (Commission Number and Expiration Date)
-Noe
(904) 443-7001
Fax(904)443-7778
8110 Cylpress Plaza Drive,Ste 405
Jacksonville,FL 32256
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Fl.or,&Building Pode Online Page I of 3
ommunvt�y Affairs�
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val Menu > Produ t or Application Search > Application Ll > Application Detail
Affairs Product App
FL # FL8135-R2
omw� Application Type Revision
Code Version 2007
Application Status Approved
Comments
Archived
Product Manufacturer Alside Window Company
Address/Phone/Email 3773 State Road
Cuyahoga Falls, OH 44223
(330) 922-2108
rickw@rwbldgconsultants.com
Authorized Signature Marsh Fernbaugh
rickw@rwbldgconsultants.com
Technical Representative Marsh Fernbaugh
Address/Phone/Email 3773 State Road
Cuyahoga Falls, OH 44281
mfernbaugh@alside-com
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Fixed
Compliance Method Evaluation Report from a Florida Registered ArchitE
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Lyndon F. Schmidt, P.E.
the Evaluation Report
Florida License PE-43409
Quality Assurance Entity Architectural Testing, Inc.
Quality Assurance Contract Expiration Date 12/31/2011
Validated By Ryan J. King, P.E.
http://www.floridabuilding.org/pr/pr—app_dtl.aspx?param=wGEVXQwtDquljdteSXaTw�/�2f7xKfCWbM... 3/17/2009
APPLICATION NUMBER
PP
(To be assigned by the Building Department.)
Of City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445 9
Phone(904)247-5826 - Fax(904)247-5845 t 131
E-mail: building-dept@coab.us EEDate r0L1 tle!d le)
City web-site: hftp://www.coab.us
APPLICATION REVIEV�#D TRACKING FORM
De artment review required Ye. No
,;�279 SiM i'Ve Building
Property Address: ning &Zoning
Tree Administrator
Applicant: 10 Public Works
-T3) Public Utilities
Public Safetv
Project: �)IAU /U -97
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other'.
APPLI ATIONSTIATI US
Reviewing Department First Review: VApproved' _ U%enied.
(Circle one.) Comments:
(:B:U:1LD�1G
PLANNING &ZONING Date: 3/20/057—
Reviewed by-.4�
TREE ADMIN.
PUBLIC WORKS Second Review: FlApproved as revised. RDenied.
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES Reviewed by: Date:
Third Review: FlApproved as revised. []Denied.
Comments:
Reviewed by: Date:---
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Affai s
AiII111111111I.-
mun
r i
FL10991-Rl
FL #
Application Type Revision
Code Version 2007
Application Status Approved
Comments
Archived
Product Manufacturer Alside Window Company
Address/Phone/Email 3773 State Road
Cuyahoga Falls, OH 44223
(330) 922-2108
rickw@rwbldgconsultants-com
Authorized Signature Vivian Wright
rickw@rwbldgconsultants.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Windows
Category Horizontal Slider
Subcategory
Compliance Method Evaluation Report from a Florida Registered ArchitE
Florida Professional Engineer
- Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed Lyndon F. Schmidt, P.E.
the Evaluation Report PE-43409
Florida License Architectural Testing, Inc.
Quality Assurance Entity
Quality Assurance Contract Expiration Date 12/31/2011
Validated By Ryan J. King, P.E. - Hardcopy Received
"� Validation Checklist
http://www.floridabuilding.org/pr/pi�_app—dtl.aspx?param=wGEVXQwtDqvihT9G9wJlk3ciG�/�2fvQlcZH... 3/17/2009