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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 '3 2-Z-3_3 6y--�P-r C�- )(-- i::�k-1-1— C- 2-5- 3 \D Ail- CZ r'3 f�)%LZ 12- D TIN Lis-x -7r- 2— tzs Fl.or,&Building Pode Online Page I of 3 ommunvt�y Affairs� BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Product Approval (0) USER: Public User Community 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:--- Florida Building,Code Online Page I of 5 UT 'Ll', A icbmmunity Affaira BCIS Site Submit Surcharge Stats&Facts Publications FBC Staff BCIS Home Log In User Registration Hot Topics Product Approval USER: Public User 1'Com ity > Product or Application Search >AppAcation—Li5t>Application Detail Product Approval Menu 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