599 Sturdivant Ave (vault) 1 f= ✓J3
CITY OF ATLANTIC BEACH
I 800 SEMINOLE ROAD
-� ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030593 Date 6/21/05
Property Address . . . . . . 599 STURDIVANT AVE
Tenant nbr, name . . . . . . REPL WINDOWS
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10946
Owner Contractor
------------------------ ------------------------
WILBY FLORIDA GEORGIA CONTRACTORS
1015 ATLANTIC BLVD. 101 11433 SAINTS ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 641-7010
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 135 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 10946
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 135 . 00 135 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 135 . 00 135 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CO
, C. 1wk
BUILDING OFFICIAL
VfJ� CITY OF ATLANTIC BEACH Cc:
BUILDING / ZONING DEPARTMENT �tG
J800 Seminole Road S. Doerr s
Atlantic Beach,Florida 32233
(904)247-5800 R E C E I V E D
(904)247-5845 Fax CITY OF ATLANTIC BEACH
www.coab.us BUILDING &ZONING
PLAN REVIEW COMMENTS JUN 17 20N f
Permit Application # 3 C)s 9 BY:
Property Address: l ✓v4►�T"
Applicant: -L
Project: 2EP(- (��K-)C>sa w 7�,
F
This pe it application has been-
Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed./
Reviewed By:�� Date: �9 II zi to s.S-
Date Contractor Notified:
CITY OF ATL ,N-ir ,3EACA RECEIVED l
---- - g,_;n_-nlNc �`iNG - - CITY OF ATLANTIC BEACH
� UN 2005 BUILDING �ZONING
s
J 17JUN 17 2005
i'`'~ _ CITY OF ATLANTIC BEACH B1('
PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS,SKYLIGHTS AND
GARAGE, DOORS OF SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION
Date: 44/Ca�Z --
Job Address: 5" �s4 u rC I �/C1.,11'�- -
Owner's Name: C�►1i1 L 5 ���I
Address: IDI Phone: �_4 9 - as�
Legal Description: Block Number: - Lot Number: 33 Zoning District: Sr I-f22 6 r
�� Contractor: r'1 17 i-z—G(I�_b_Q I State License Number: i✓' RCl�'4I Q
Phone: Jo
Address: Q ]J
State:
City:
Describe proposed use and work to be done: __- _
Present use of land or building(s): -
Valuation oFproposed construction: (a o -
[s approval of Homeowner's Associ to or other private entity tred?�Q if Yes, please submit with this
application.
Building Data: t
Mean Roof Height C (ft) Building Width '�� (ft) Building Length _�/� (ft)
Roof Sa�ope
GI_ l�- *Window Elevation from Grade G� (ft) Window Height L! L (ft)
/ �l (ft)
Window Width (ft) Measurement from corner of building to window
S
r
o
sh
® a
� ti s
8110 Seminole Road Atlantic [leach,Florida 32233-5445
Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atiantic-beich-fl-us Rcviscd 1/27/03
Page 1
Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may
result in delay in issuance or permit-
In addition to the building data,the following information is required:
1. Manufacturer's Test Report
2. Installation Procedures
3. Window Dcscription/Type
4. Garage Door Description/Type
5. Skylights Description/Type
6. Elevation View of Window t,ocations
I hereby certify that all intvrma. in provided with this application is correct.
4 '/
Signature of Owncr: Uale:----
1 hereby certify tha ave read and examined this/Pplication and know the same to be true and correct. All provisions of the laws and
ordinances governing this type of work 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 federal,state or local rules,regulations,ordinancesi or laws in any manner,including the
governing of construction or the performance of construction of the property. I understund that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or sha11 be provided as required.
Signature ofContractor:— / GLG t/ - Date:
Address and contact information of person to receive all correspondence regarding this application (please print).
\ame: I IC�� I✓r; (�--� -
Mailing Address: 14
SC(�t/1�5 t "'�•� --,.---/�� x -�-
Telephone: _ 1 -1 D 10 Fax: �J _- --1_I�_I�L--Mail:
AS TO OWNER:
Sworn to and subscribed before me this�_ _day of 91r
State of Florida,County of Duval
AMY C.WILLIAMS Nota�Crsslo,
' ignature _ �� CD✓1-[w -- -
< MY COMMISSIONS DD 123868
'F�tvo4`� EXPIRES:June 13,2006 allyknown
148043NOTARY FLNotary 3"ee8Bonding,Inc. ❑ Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this / -day of �?� `_= 20 Q
State of Florida,County of Duval
Notary' Signature: —
�`�YPu� AMY C.WILLIAMS
g MY COMMISSIONS DD 125868 Personally known
?pr�o� EXPIRES:June 13,2006 ❑ Produced identification
1 eooaNOTAtaY F�Naerys«��aeon�rq•iro, Type of identification produced___ __ _ __ ---- ---
g00 Seminole Road • Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us
flc.•rtcd 1!271(11
Page 2
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JUN 21 2005
s FILE COPY
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Architectural Testing
ASTM E 1886-97 AND ASTM E 1996-01 TEST REPORT
Rendered to:
IND wTIL E
SIMONTON W O Copy
One Cochrane Avenue
Pennsboro, West Virginia 26415
Report No: 01-42201.03
Test Dates: 07/15/02
Through: 07/19/02
Report Date: 08/15/02
Expiration Date: 07/19/06
Project Summary: Architectural Testing, Inc. (ATI) was contracted to perform tests on three
Series/Model 07-09, PVC double hung windows. The samples tested successfully met the
performance requirements set forth in the referenced specification listed below for a design
pressure rating of 65.0 ps£ Specimens utilized replacement construction.
Test Specification: The test specimens were evaluated in accordance with the following:
ASTM E 1886-97, Standard Test Alethod for Performance of Exterior Windows, Curtain
Walls, Doors and Storm Shutters Impacted by Missile(s) and Exposed to Cyclic Pressure
Differentials.
ASTM E 1996-01, Standard Specification for Pefformance of Exterior Windows, Glazed
Curtain Walls, Doors and Storni Shutters Impacted by Wind Borne Debris in Hurricanes.
Test Specimen Description:
Series/Model: 07-09
Type: PVC Double Hung Window FILE C
Overall Size: 3' 1-1/4" wide by 64-1/4" high
Interior Sash Size: 29-7/8" wide by 3' 1-1/2" high
Exterior Sash Size: 2' 9" wide by 3' 0-1/2" high
Finish: All PVC was white.
130 Derry Court
York, PA 17402-9405
phone: 717.764.7700
fax: 717.764.4129
www.archtest.com
01-42201.03
Page 2 of 9
Test Specimen Description: (Continued)
Glazing Details: The sash utilized a V thick insulating glass unit fabricated from a sheet of
1/8" thick, tempered glass on the exterior and two sheets of 1/8" thick, clear annealed glass
with a 0.090" thick interlayer on the interior. The insulating glass unit utilized a foam spacer
system. The sash were exterior glazed against a glazing compound and secured with dual
durometer snap-fit glazing beads.
Weatherstripping:
Descriptio Quantit Location
0.330" high by 0.187" 1 Row Interior sash stiles
backed polypile with
center fin
0.250" high by 0.187" 2 Rows Exterior sash stiles
backed polypile with
center fin
0.250" high by 0.187" 1 Row Sill, interior and exterior meeting
backed polypile with rails, interior sash stiles
center fin
7/16" foam-filled vinyl 1 Row Bottom rail
bulb gasket
1/2" long"C-fold" vinyl 1 Row Bottom rail
bulb gasket
1/4" foam-filled vinyl 1 Row Top rail
bulb gasket
Frame Construction: The frame was constructed of extruded PVC members with mitered
and welded corners. The head and sill utilized snap-fit pocket covers.
Sash Construction: The sash was constructed of extruded PVC members with mitered and
welded corners.
01-42201.03
Page 3 of 9
Test Specimen Description: (Continued)
Hardware:
Descriptio Quanfty Location
Metal lock assembly 2 One 8" from each end of the
interior/exterior meeting rail fastened
with two #8 x 1" screws through
each lock and two #6 x 1-1/4" screws
through each keeper
Balance assembly 4 Two in each jamb fastened with
three #6 x 1-3/8" screws each
Plastic impact tilt 2 One on each end of interior meeting
latch assembly rail fastened with three#8 x 7/8"
screws each
U-Channel 2 One midspan of each jamb in the
interior jamb track, adjacent to the
tilt latch fastened with one#8 x 2-
1/2" screw each
Plastic tilt latch 2 One in each end of the top rail
Metal pivot bar 4 One in each end of the exterior
meeting and bottom rails fastened
with one #8 x 1/2" screw each
Drainage:
Description uant� Location
3/16" diameter 4 1" from ends exterior meeting and
weephole bottom rails draining the glazing
channel
3/16" wide by 1" 2 One at each end of the sill draining
deep weepslot the sill into the interior sill hollow
1" wide by 1/8" high 2 3" from each end of the sill draining
weepslot with cover the exterior sill hollow
01-42201.03
Page 4 of 9
Test Specimen Description: (Continued)
Reinforcement: Extruded aluminum reinforcement was utilized in all exterior sash stiles
(Die #56111), interior sash stiles (Die #561090), top rail (Die #16107), exterior meeting
rail (Die#56110), interior meeting rail (Die#60911) and bottom rail (Die#56109).
Installation: The replacement window was installed into a nominal 2 x 10
Spruce-Pine-Fir #2 wood test buck. The head was secured with one #10 x 2-1/2" screw
6" from each end. The jambs were fastened with one #10 x 2-1/2" screw 6" from each
end of the jambs, one #10 x 2" screw 3" above and below the midspan of the jambs, and
one #8 x 2-1/2" screw through the tilt latch U-channel reinforcement. The interior and
exterior perimeters were sealed with silicone.
01-42201.03
Page 5 of 9
Test Results:
The results are tabulated as follows:
Lab Temperature at Time of Testing: 81°F
ASTM E 1886, Missile Impact, Section 11. Test Procedure
Missile Weight: 9.0 lbs
Muzzle Distance from Test Specimen: 14.5 ft.
Test Unit#1
Impact#1: Missile Velocity: 50.50 fps
Impact Area: Interior sash, center of glass
Observations: Large missile shattered exterior lite of glass and fractured
interior lite of glass, no penetration.
Results: Pass
Impact#2: Missile Velocity: 50.41 fps
Impact Area: Interior sash, lower right corner
Observations: Large missile fractured interior lite of glass, disengaged left
side I-lock, no penetration.
Results: Pass
Test Unit#2
Impact 91: Missile Velocity: 49.87 fps
Impact Area: Interior sash, center of glass
Observations: Large missile shattered exterior lite of glass and fractured
interior lite of glass, no penetration.
Results: Pass
Impact#2: Missile Velocity: 50.41 fps
Impact Area: Interior sash, lower left corner
Observations: Large missile fractured interior lite of glass, no penetration.
Results: Pass
Test Unit#3
Impact#1: Missile Velocity: 49.14 fps
Impact Area: Interior sash, center of glass
Observations: Large missile shattered exterior lite of glass and fractured
interior lite of glass, no penetration.
Results: Pass
Impact#2: Missile Velocity: 50.00 fps
Impact Area: Interior sash, upper left corner
Observations: Large missile fractured interior lite of glass, no penetration.
Results: Pass
01-42201.03
Page 6 of 9
Test Results: (Continue(':)
ASTM E 1886 Air Pressure Cycling
Design Load: 65.0 psf
Test Unit: #1
Table 1 "Cyclic Pressure Differential Loading", Section 11. Paragraph 11.4.2
POSITIVE ACTING Meeting Rail
Pressure Average Maximum Deflection I Permanent Set
Range No. of Cycle Indicators
(ps f) Cycles Time Left Middle Right Left Middle Right
(seconds) #1 #2 #3 #1 #2 #3
13.0 to 32.5 3500 2.05 0.15" 0.34" 0.20"
0.0 to 39.0 300 2.18 0.17" 0.39" 0.22"
32.5 to 52.0 600 2.16 0.22" 0.55" 0.28"
19.5 to 65.0 100 2.28 0.25" 0.65" 0.32" 0.05" 0.09" 0.07"
Pass
NEGATIVE ACTING Meeting Rail
Average Maximum Deflection Permanent Set
Pressure No. of Cycle Indicators
Range Cycles Tune
(psi) Y Left Middle Right Left Middle Right
(seconds) #1 112 #3 #1 #2 #3
19.5 to 65.0 50 2.61 0.21" 0.58" 0.29"
32.5 to 52.0 1050 2.10 0.17" 0.47" 0.25"
0.0 to 39.0 50 2.30 0.13" 0.35" 0.20"
13.0 to 32.5 3350 1.94 0.11" 0.29" 0.17" 0.03" 0.10" 0.06"
Pass
01-42201.03
Page 7 of 9
Test Results: (Continued)
ASTM E 1886 Air Pressure Cycling
Design Load: 65.0 psf
Test Unit: #2
Table 1 "Cyclic Pressure Differential Loading", Section 11. Paragraph 11.4.2
POSITIVE ACTING Meeting Rail
Pressure Average Maximum Deflection I Permanent Set
Range No. of Cycle Indicators
(psf) Cycles Time Left I1Iiddle Right I Left Middle Right
(seconds) #1 #2 #3 #1 #2 #3
13.0 to 32.5 3500 2.13 0.14" 0.36" 0.18"
0.0 to 39.0 300 2.26 0.16" 0.42" 0.21"
32.5 to 52.0 600 2.06 0.20" 0.54" 0.25"
19.5 to 65.0 100 2.17 0.25" 0.67" 0.32" 0.05" 0.10" 0.08"
Pass
NEGATIVE ACTING Meeting Rail
Average Maximum Deflection Permanent Set
Pressure No. of Cycle Indicators
Range Cycles True
(psf) Y Left Middle Right Left Middle Right
(seconds) #1 #2 #3 #1 #2 #3
19.5 to 65.0 50 2.33 0.30" 0.65" 0.35"
32.5 to 52.0 1050 2.04 0.26" 0.57" 0.31"
0.0 to 39.0 50 2.51 0.23" 0.47" 0.26"
13.0 to 32.5 3350 1.89 0.22" 0.41" 0.23" 0.13" 0.18" 0.13"
Pass
01-42201.03
Page 8 of 9
Test Results: (Continued)
ASTM E 1886 Air Pressure Cycling
Design Load: 65.0 psf
Test Unit: #3
Table 1 "Cyclic Pressure Differential Loading", Section H. Paragraph 11.4.2
POSITIVE ACTING Meeting Rail
Pressure Average Maximum Deflection I Permanent Set
Range No. of Cycle Indicators
(PSO Cycles Time Left Middle Riht Left Middle Right
(seconds) #1 #2 #3 #1 #2 #3
13.0 to 32.5 3500 2.01 0.21" 0.61" 0.22"
0.0 to 39.0 300 2.29 0.22" 0.43" 0.24"
32.5 to 52.0 600 2.25 0.30" 0.60" 0.31"
19.5 to 65.0 100 2.00 0.37" 0.72" 0.37" 0.08" 0.11" 0.08"
Pass
NEGATIVE ACTING Meeting Rail
Average Maximum Deflection I Permanent Set
Pressure
Range No. of Cycle Indicators
(PSO Cycles Time Left Middle Right Left MiddleRi ht
(seconds) 01 #2 #3 #1 #2 #3
19.5 to 65.0 50 1.94 0.37" 0.68" 0.42"
32.5 to 52.0 1050 2.15 0.35" 0.60" 0.38"
0.0 to 39.0 50 2.23 0.29" 0.50" 0.32"
13.0 to 32.5 3350 2.03 0.27" 0.44" 0.31" 0.15" 0.19" 0.18"
Pass
01-42201.03
Page 8 of 9
Test Results: (Continued)
ASTM E 1886 Air Pressure Cycling
Design Load: 65.0 psf
Test Unit: #3
Table 1 "Cyclic Pressure Differential Loading", Section IL Paragraph 11.4.2
POSITIVE ACTING Meeting Rail
Pressure Average Maximum Deflection I Permanent Set
Range No. of Cycle Indicators
(psf) Cycles Time Left Middle Right Left Middle Right
(seconds) 41 #2 #3 #1 #2 #3
13.0 to 32.5 3500 2.01 0.21" 0.61" 0.22"
0.0 to 39.0 300 2.29 0.22" 0.43" 0.24"
32.5 to 52.0 600 2.25 0.30" 0.60" 0.31"
19.5 to 65.0 100 2.00 0.37" 0.72" 0.37" 0.08" 0.11" Fo.08"
Pass
NEGATIVE ACTING Meeting Rail
Pressure
Average Maximum Deflection I Permanent Set
Range No. of • Cycle Indicators
(psf) Cycles Time Left Middle Right Left Middle Right
(seconds) #1 #2 #3 #1 #2 #3-
19.5 to 65.0 50 1.94 0.37" 0.68" 0.42"
32.5 to 52.0 1050 2.15 0.35" 0.60" 0.38"
0.0 to 39.0 50 2.23 0.29" 0.50" 0.32"
13.0 to 32.5 3350 2.03 0.27" 0.44" 0.31" 0.15" 0.19" 0.18"
Pass
01-42201.03
Page 9 of 9
General Note: Upon completion of testing, the specimens rnet the requirenren& of Chapter 7 of
ASTM E 1996.
Note #1: A I mil plastic film was used on the interior of specimens to seal against air leakage
for the negative loading portion of testing. In our judgment the film used did not influence the
results of the testing.
Witnesses: The following representatives witnessed all or part of the testing.
Ed Grey Simonton Windows
Jeramie Grabosch Architectural Testing, Inc.
Allen N. Reeves, P.E. Architectural Testing, Inc.
Adam Fodor Architectural Testing, Inc.
Representative samples of the test specimen, and a copy of this report will be retained by ATI for
a period of four years. This report is the exclusive property of the client so named herein and is
applicable to the sample tested. Results obtained are tested values and do not constitute an
opinion or endorsement by this laboratory. This report may not be reproduced, except in full,
without the approval of Architectural Testing, Inc.
For ARCHITECTURAL TESTING, INC:
a__— aZ4"'-'O� /f�tx"'
Adam Fodor Allen N. Reeves, P.E.
Senior Technician Director-Engineering Services
,zD AUGv5T zoo I
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01-42201.03
DOCUMEN'r CONTROL ADDENDUM #01-42201.00
Current Issue Date: 08/15/02
Report No.: 01-42201.01
Requested by: Cindy Dodson, Simonton Windows
Purpose: SBCCI SSTD 12-99 testing of three Series/Model 07-09, PVC double bung
windows.
Issued Date: 08/15/02
Comments: Florida P.E. seal required on report.
Report No.: 01-42201.02
Requested by: Cindy Dodson, Simonton Windows
Purpose: SBCCI SSTD 12-99 testing of three Series/Model 07-09, PVC, double hung
windows.
Issued Date: 08/15/02
Comments: Texas P.E. seal required on report.
Report No.: 01-42201.03
Requested by: Cindy Dodson, Simonton Windows
Purpose: ASTM E 1886-97 and ASTM E 1996-01 testing of three Series/Model 07-09,
PVC double bung windows.
Issued Date: 08/15/02
Comments: Florida P.E. seal required on report.
FROM :FL GA CONTRACTORS FAX NO. :904 642 9156 Jun. 29 2005 10:46RM P1
Nance of Commencement Doc a 2006236491,OR BK 12577 Pepe 1792,
f Number Pages t
State of Florida Countyof V Filed d Recorded 08/28/2005 at 03:14 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY
The undersigned hereby Informs all concomed that improvements wilt
EcORD►Nc ato.ao
be made to certain real property,and in accordence with Section 713-13
of the Florida Statutes (Revised 10-1-96), the following information is
provided:
Legal Description of Property:
General Description of Improvements: 10-,jO h I Of C r
_ J
Owner's Name: J,2'C-r 5 1-n��
Address: 1.0-ciI✓�,L°ll'� )�
City: 4�q% Zipcode:
Owner's Interest in Property, n tlt 1c� E I V E 0
CITE' OF AT'_An!TIC REACH �
Fec Simple l'itic holder(if othe rOwncr): !
Name: JUN 2 9 2005
Address:
i
Contractor: Florida Georgia Contractors
11433 Saints Road Jax. , F1.32246 BY.
Telephone:(904)641-7010 Fax:(904)642-9156
Surety, Not Applicable
Lender's Name and Address: Not Applicable
Persons within tl►e State of Florida designated by the Owner upon whom notices or other documents may be served
as provided by Section 713.13(I)(a)7., Florida Statutes:
Name: •----_._..,�______.^--
Address: --
Telephone:(_) Fax
In addition to himself,owner designates the following person(s)to receive a copy of the Llenor's Notice as provided
in Section 713.13(i)(b),Florida Statutes:
Name: -- ---
Address: _
'telephone:(___jFax�---�
Unless otherwise noted In this paregraph the expiration date of this Notice of Commencement shall be one(1)
calendar year from the date of recording: I e
Owner's Name(Pr' d): • n m e 5 Z W t L Z
+ ALMY C.WILLIAMS si ature:
tiV COMtd1a8i0N A 00125M A PFG 4 ZO O'Dr
%XPtr►ES.Juno""006 .97r# day of
1�•1�
UaY RL�re�„r, subscribe efor me this
Notary Public;
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JOBSITE COPY
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CITY OF ATLANTIC BEACH
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IJUN 21 2005
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Architectural Testing
JOg TE
ASTM E 1886-97 AND ASTA�I E 1996-01 TEST REPR 'Opy
Rendered to:
SIMONTON WINDOWS
One Cochrane Avenue
Pennsboro, West Virginia 26415
Report No: 01-42201.03
Test Dates: 07/15/02
Through: 07/19/02
Report Date: 08/15/02
Expiration Date: 07/19/06
Project Summary: Architectural Testing, Inc. (ATI) was contracted to perform tests on three
Series/Model 07-09, PVC double hung windows. The samples tested successfully met the
performance requirements set forth in the referenced specification listed below for a design
pressure rating of 65.0 psf. Specimens utilized replacement construction.
Test Specification: The test specimens were evaluated in accordance with the following:
ASTM E 1886-97, Standard Test Method for Performance of Exterior Windows, Curtain
Walls, Doors and Storm Shutters Impacted by Nfissile(s) and Exposed to Cyclic Pressure
Differentials.
ASTM E 1996-01, Standard Specification for Performance of Exterior Windows, Glazed
Curtain Walls, Doors and Storm Shutters Impacted by Wind Borne Debris in Hurricanes.
Test Specimen Description:
Series/Model: 07-09
Type: JOB`ITE Cop
3p PVC Double Hung Window PY
Overall Size: 3' 1-1/4" wide by 64-1/4" high
Interior Sash Size: 2' 9-7/8" wide by 3' 1-1/2" High
Exterior Sash Size: 2' 9" wide by YO-1/2" high
Finish: All PVC was white.
130 Derry Court
York, PA 17402-9405
phone: 717.764.7700
fax: 717.764.4129
www.archtest.co►n
01-42201.03
Page 2 of 9
Test Specimen Description: (Continued)
Glazing Details: The sash utilized a V thick insulating glass unit fabricated from a sheet of
1/8" thick, tempered glass on the exterior and two sheets of 1/8" thick, clear annealed glass
with a 0.090" thick interlayer on the interior. The insulating glass unit utilized a foam spacer
system. The sash were exterior glazed against a glazing compound and secured with dual
durometer snap-fit glazing beads.
Weatherstripping:
Description Quantit Location
0.330" high by 0.187" 1 Row Interior sash stiles
backed polypile with
center fin
0.250" high by 0.187" 2 Rows Exterior sash stiles
backed polypile with
center fin
0.250" high by 0.187" 1 Row Sill, interior and exterior meeting
backed polypile with rails, interior sash stiles
center fin
7/16" foam-filled vinyl 1 Row Bottom rail
bulb gasket
1/2" long "C-fold" vinyl 1 Row Bottom rail
bulb gasket
1/4" foam-filled vinyl 1 Row 'Top rail
bulb gasket
Frame Construction: The frame was constructed of extruded PVC members with mitered
and welded corners. The head and sill utilized snap-fit pocket covers.
Sash Construction: The sash was constructed of extruded PVC members with mitered and
welded comers.
01-42201.03
Page 3 of 9
Test Specimen Description: (Continued)
Hardware:
DescriptioQuanti!y Location
Metal lock assembly 2 One 8" from each end of the
interior/exterior meeting rail fastened
with two #8 x 1" screws through
each lock and two #6 x 1-1/4" screws
through each keeper
Balance assembly 4 Two in each jamb fastened with
three#6 x 1-3/8" screws each
Plastic impact tilt 2 One on each end of interior meeting
latch assembly rail fastened with three#8 x 7/8"
screws each
U-Channel 2 One midspan of each jamb in the
interior jamb track, adjacent to the
tilt latch fastened with one#8 x 2-
1/2" screw each
Plastic tilt latch 2 One in each end of the top rail
Metal pivot bar 4 One in each end of the exterior
meeting and bottom rails fastened
with one#8 x 1/2" screw each
Drainage:
Descriptioi Quantit Location
3/16" diameter 4 1" from ends exterior meeting and
weephole bottom rails draining the glazing
channel
3/16" wide by 1" 2 One at each end of the sill draining
deep weepslot the sill into the interior sill hollow
1" wide by 1/8" high 2 3" from each end of the sill draining
weepslot with cover the exterior sill hollow
01-42201.03
Page 4 of 9
Test Specimen Description: (Continued)
Reinforcement: Extruded aluminum reinforcement was utilized in all exterior sash stiles
(Die 956111), interior sash stiles (Die #561090), top rail (Die #16107), exterior meeting
rail (Die#56110), interior meeting rail (]Die#60911) and bottom rail (Die#56109).
Installation: The replacement window was installed into a nominal 2 x 10
Spruce-Pine-Fir #2 wood test buck. The head was secured with one #10 x 2-1/2" screw
6" from each end. The jambs were fastened with one #10 x 2-1/2" screw 6" from each
end of the jambs, one #10 x 2" screw 3" above and below the midspan of the jambs, and
one #8 x 2-1/2" screw through the tilt latch U-channel reinforcement. The interior and
exterior perimeters were sealed with silicone.
r
01-42201.03
Page 5 of 9
Test Results:
The results are tabulated as follows:
Lab Temperature at Time of Testing: 8.1°F
ASTM E 1886, Missile Impact, Section 11. Test Procedure
Missile Weight: 9.0 lbs
Muzzle Distance from Test Specimen: 14.5 ft.
Test Unit#1
Impact#1: Missile Velocity: 50.50 fps
Impact Area: Interior sash, center of glass
Observations: Large missile shattered exterior lite of glass and fractured
interior lite of glass, no penetration.
Results: Pass
Impact#2: Missile Velocity: 50.41 fps
Impact Area: Interior sash, lower right corner
Observations: Large missile fractured interior lite of glass, disengaged left
side I-lock, no penetration.
Results: Pass
Test Unit 42
Impact#1: Missile Velocity: 49.87 fps
Impact Area: Interior sash, center of glass
Observations: Large missile shattered exterior lite of glass and fractured
interior lite of glass, no penetration.
Results: Pass
Impact#2: Missile Velocity: 50.41 fps
Impact Area: Interior sash, lower left corner
Observations: Large missile fractured interior lite of glass, no penetration.
Results: Pass
Test Unit#3
Impact#1: Missile Velocity: 49.14 fps
Impact Area: Interior sash, center of glass
Observations: Large missile shattered exterior lite of glass and fractured
interior lite of glass, no penetration.
Results: Pass
Impact#2: Missile Velocity: 50.00 fps
Impact Area: Interior sash, upper left corner
Observations: Large missile fractured interior lite of glass, no penetration.
Results: Pass
01-42201.03
Page 6 of 9
Test Results: (Continuec')
ASTl17 E 1886 Air Pressure Cycling
Design Load: 65.0 psf
Test Unit: #1
Table 1 "Cyclic Pressure Di&-enfial Loadhig", Section 11. Paragraph 11.4.2
POSITIVE ACTING Meeting Rail
Pressure Average Maximum Deflection F Permanent Set
Range No. of Cycle Indicators
(psO Cycles Time Left Middle Right Left Middle Right
(seconds) #1 #2 #3 #1 #2 #3
13.0 to 32.5 3500 2.05 0.15" 0.34" 0.20"
0.0 to 39.0 300 2.18 0.17" 0.39" 0.22"
32.5 to 52.0 600 2.16 0.22" 0.55" 0.28"
19.5 to 65.0 100 2.28 0.25" 0.65" 0.32" 0.05" 0.09" Fo.07"
Pass
NEGATIVE ACTING Meeting Rail
Average Maxinnuu Deflection Permanent Set
Pressure No. of Cycle Indicators
Range Cycles Time Left Middle Right Left Middle Right
(Psi (seconds)
#1 #2 #3 #1 #2 #3
19.5 to 65.0 50 2.61 0.21" 0.58" 0.29"
32.5 to 52.0 1050 2.10 0.17" 0.47" 0.25"
0.0 to 39.0 50 2.30 0.13" 0.35" 0.20"
13.0 to 32.5 3350 1.94 0.11" 0.29" 0.17" 0.03" 0.10" Fo.06"
Pass
01-42201.03
Page 7 of 9
Test Results: (Continued)
ASTM E 1886 Air Pressure Cycling
Design Load: 65.0 psf
Test Unit: #2
Table 1 "Cyclic Pressure Differential Loading", Section IL Paragraph 11.4.2
POSITIVE ACTING Meeting Rail
Average Maximum Deflection Permanent Set
Pressure No. of Cycle Indicators
Range Cycles Time Left A'Iiddle Right Left Middle Right
(psi) (seconds) #1 #2 #3 #1 #2 #3
13.0 to 32.5 3500 2.13 0.14" 0.36" 0.18"
0.0 to 39.0 300 2.26 0.16" 0.42" 0.21"
32.5 to 52.0 600 2.06 0.20" 0.54" 0.25"
19.5 to 65.0 100 2.17 0.25" 0.67" 0.32" 0.05" 0.10"
Pass
NEGATIVE ACTING JNIeeting Rail
Average Maximum Deflection Permanent Set
Pressure No. of Cycle Indicators
Range ycles Time(Psi C3 Left Middle Right Left Middle Right
(seconds) #1 #2 #3 #1 #2 #3
19.5 to 65.0 50 2.33 0.30" 0.65" 0.35"
32.5 to 52.0 1050 2.04 0.26" 0.57" 0.31"
0.0 to 39.0 50 2.51 0.23" 0.47" 0.26"
13.0 to 32.5 3350 1.89 0.22" 0.41" 0.23" 0.13" 0.18" 0.13"
Pass
01-42201.03
Page 9 of 9
General Note: Upon completion of testing, the specimens met the requirements of Chapter 7 of
ASTM E 1996
Note #1: A 1 mil plastic film was used on the interior of specimens to seal against air leakage
for the negative loading portion of testing. In our judgment the film used did not influence the
results of the testing.
Witnesses: The following representatives witnessed all or part of the testing.
Ed Grey Simonton Windows
Jeramie Grabosch Architectural Testing, Inc.
Allen N. Reeves, P.E. Architectural Testing, Inc.
Adam Fodor Architectural Testing, Inc.
Representative samples of the test specimen, and a copy of this report will be retained by ATI for
a period of four years. This report is the exclusive property of the client so named herein and is
applicable to the sample tested. Results obtained are tested values and do not constitute an
opinion or endorsement by this laboratory. This report may not be reproduced, except in full,
without the approval of Architectural"testing, Inc.
For ARCHITECTURAL TESTING, INC:
Adam Fodor Allen N. Reeves, P.E.
Senior Technician Director-Engineering Services
,zd AUGUST ,zo'a Z
AF:n1b
0142201.03
DOCUMENT CONTROL ADDENDUM /101-42201.00
Current Issue Date: 08/15/02
Report No.: 01-42201.01
Requested by: Cindy Dodson, Simonton Windows
Purpose: SBCCI SSTD 12-99 testing of three Series/Model 07-09, PVC double hung
windows.
Issued Date: 08/15/02
Comments: Florida P.E. seal required on report.
Report No.: 01-42201.02
Requested by: Cindy Dodson, Simonton Windows
Purpose: SBCCI SSTD 12-99 testing of three Series/Model 07-09, PVC, double hung
windows.
Issued Date: 08/15/02
Comments: Texas P.E. seal required on report.
Report No.: 01-42201.03
Requested by: Cindy Dodson, Simonton Windows
Purpose: ASTM E 1886-97 and ASTM E 1996-01 testing of three Series/Model 07-09,
PVC double hung windows.
Issued Date: 08/15/02
Comments: Florida P.E. seal required on report.
•fes=L'Jj-I
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
j ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
��J1319)
Application Number . . . . . 03-00025377 Date 1/15/03
Property Address . . . . . . 599 STURDIVANT AVE
T6nant nbr, name . . . . _ . RE-ROOF
.Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1697
Owner Contractor
----- ------------------- ------------------------
JAMES, WILBY POTTER, DALE BRIAN
1015 ATLANTIC BLVD. 101 5921 WESCONNETT BOULEVARD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32244
(904) 249-2574 (904) 993-1697
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . Valuation . . . . 1697
Fee summary Charged Paid Credited Due
------------ ----- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT'IN THE PROPERTY OWIR PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF IS PEW AND UBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH PERMIT . CALCULATION SHEET
Address ; ':R q
Date 1 • 1' '•O Z
Heated Square Footage 1per sq ft = $
Garage/Shed V-/@ $ per sq ft = $
Carport/Porch @ $--- per sq ft = $
Deck e $ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION : $
.oto
`b
.Total Valuation 1st $ 160.6
$ S
Remain 'ng Value $ per thousand
or ,portion thereof
TOTAL BUILDING FEE $ O•
+ 1/2 Filing Fee $ ;k.0.
( ) Fireplaces @ . $15. 00 $.
BUILDING PERMIT FEE $ �.
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL .IMPROVEMENT. $
SEWER TAP $
( ) RADON (HRS) .0050 $
SECTION H PAVING ( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $
( ) SURCHARGE . 0050 $
OTHER $
GRAND .TOTAL DUE $ ,
ADDITIONAL PERMITS OR FEES : Mechanical ; ..Plumbing
Electric/New Electric/Temp ; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
R�..'L�1 CITY OFATLANTIC BEACH
J l�� 800 SEMINOLE ROAD
J� ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX:(904)247-5805
�.
-- SUNCOM: 852-5800
h //ci.atlantic-beach.fl.us
ttp:
y ELAN REVIEW COMMENTS
Permit Application
Applicant: �Gt/P � *tfk— —
Address:
Project:
M.Xyour application is approved
o Your permit application has been reviewed and the following items need
attention:
Please re-submit your application when these items have been completed.
Reviewed by --t'C� 3 Z`
Signed Date
Contractor Notified Date
k
yM
1 _S JRECE
AN 3 2003
J ti' .
aux::
BY
City of Atlantic Beach• 800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 •FAX(904)247-5805 •http://www/ci.atlantic-beach.fl.us
PERMIT APPLICATION FOR ROOFING
JOB LOCATION— ",
OWNER OF PROPERTY Ni NOV J00-e S PHONE# �7 / �S A
CONTRACTOR C l e Yy #4 45 D O
CONTRACTOR ADDRESS ? WOO U
ZIP 3zz
CONTRACTORS LICENSE NO. ( C� ��U PHONE#
SCOPE OF WORK Mo
DECK SLOPE GREATER THAN 2 : 12 LESS THAN 2 : 12 1/Z ACTUAL
VALUATION OF WORK S UJGJ
PRODUCT NAME&MATERIAL f�
TO BE USED G-� �� ASTM DESIGNATION(S)57
REQUIRED INSPECTIONS SHEATHING FINAL
LIBILITY INSURANCE POLICY SUPPLIED YES NO A P P R G v ED
CITY OF ATLAWIC "E'iCH
WORKERS COMP.POLICY SUPPLIED YES NO BUILDING OFFICE
CONTRACTOR LICENSE SUPPLIED YES NO JAN 1 2293
OCCUPATIONAL LICENSE SUPPLIED YES NO
SIGNATURE OF OWNER
SIGNATURE OF CONTRACTOR.
CTOR
SWORN TQ. UBSC RW THIS /D DAY OF 2003
,} MY COMMISSION 14,2006
* 7anuaN
BoNDEDTNRUTROY FAININSURANCF
AS TO OV&F mwWOTAXY PUBLIC
,�MY COMMISSION* 14
]ano:Iry ,2006
.R gp p1}{RUIROYFAININSURANC�W
AS TO CONTRACTOW1 ���'� NOTARY PUBLIC ��
81!1312yE3 12:24 9043840550 ALL. LINES INSI_IRANCEE PAGE In,,&
-CPR--?,. CERTIFICATE OF LIABILITY INSURANCE � OPID 1 P DATE(MMIDWY fYv)
-
•-.-•__.u. 20TTE-
PR:DUCER THIS CERTIFICATE 15 ISSUED A MATTER OF INCORM'ATIOIV-_
OPILY AND CONFEPS NO RIGHTS UPON THE CERTIFICATE
All Lines :r.9urar oe A:7e4uy Inc HOLDER.THIS CERTIFICATE DOES 0140T AMEND, EXTEND OR
4U.263 Rland:.nj Blvd Sui.to 1 ALTER THE COVERAGE AFFORD`!E BY THE POLICIES BELOW,
Jam• k-io,nvili.e 5'L 32210-:•329 — --.
P`orr.4: 904-364-;l 03 Fax: 904-304-0530 INSURERSAFFORDING CO1'ERtG IP:AIGi�
INSURERA: Atlantic Casualty_Inauranca_�C:C1
INsuRERB: Progr+eseive Inauranca Com•Owmf
r:i CGfEDa ,a�Brian Potter INSURERC:
591 Weappnnett Blvd.
Jackson:•i11q FL 32244 =RD:
-AGES ERE:INSLIR _
TME P;,(.ICIES OF INSL,-AA VCS LBTED BELOWHx.'E BEEN ISSUED TO THL INSURED NAMED ABOVE F(ft THE POLICY PERIOD INDICAEC.N=TNATHSTANDING
A::Y RtOIAREMFNT,TE RNI C?CDNO'nON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 4AY gC iSSUED OR
N.AY?F RTAIN.THE INS ARAN:E AFFCRDUD BY THE APOLI''DIES I)ESCRIBE,!H�R,EIN 18 SUBJECT TO ALL THE TERMS,EXCLUSIONS ANC CONDITIONS OF•OUCH
F_LICIfq,AGGF!)ATL L34",S 5H, .N MAY HAVE BEEN REDUCED by PAIL LAIMS.
I�bI1G'P7:T#r:?)71 Y XPIIC 1
ITR eNaq. 'YP-CFINSIIP-A NCE _ POLICY ju AMIgR - -- ^------.-
DATE NN Ir,��DATE SMWOO _ LIMIT!
OENF./:ALLJr.-3IL1>-Y —^� --T�- �-_._ iACH'.,;CURRENCE i
A X C':MMElcCI.ALGE10AALL:ABII:TY L02?01)7148 ( 10 11x'02 10/11 03 ' RE?w— Y--
- / / I:•R`edWcS{Eaoxuronca) S�bOQ7
:LAIM3 1,AAO.: XO"UR; 91E�•D EXP(Any Ona parson, w o - --
j •. -,�f 70an
FERW AL&ADV INJURY 13 300000
_ GENERAL AGOREGATT E 1$300000
I
�N•L AGGREGATE LIMI?APPLIES PER:
ppiRpp I PRODUCTS-COMP)OPAGG S 300000
POLICY
JEC7 LOC --
AU'(OMOBI.E LIABILITY COMBINED SINGLE LIMIT 13
ANYAUTO 016223920 04/26/02
f I !I� II
04/26/03 !IEemkJon:)
ALL OWNED AUTOS �D
"JURY
X SCMEDULEDAUTOS Il$50000� I Pp�
HIRED AU'rU8
f _BOILY �
NON-OWNED AUTOS I I(PeD c )
olQan RY IS100000
`- i PROPERTY DAMAGE
_ i I(Pereac�eantl i A 250Q0
GARAGE t,iABILITY I AUTO ONLY-IEA ACCIDENT 9
ANY AUTO I '�-OTHER EAgCC ;
AUTO ONLY: AGG $
I EXCESMUMBRELLA LIAdILITV I EACH OCCURRENCE $
OCCUR LJ CLAIMS MADE '. AGGRECvATE�;
DEDUCTIBLE ��•
RETENTION II
WORKERS CONPBNSATION AND ?DRY UMIT9 ERM
EMPLOYERS'LIABILITY I I
ANY PROPRIETORIPRATNEPVEXEC:!TIVE I f E FACHACCIDGNT 11
OFFICER><uIEMBER EXCLUDED? - El.DISEASE,EA EMPLOYEE S
If yyeF,OaecrASe 4f�K ._--.
SPECIAL PPOVISIONS be±owEk DISEASE POLICY UMR Is
OTNER
I
I
i I
DESCRIPTIO!!OF OPERATIONS!LOCATIONS!VEHICLES!EXCLUS10N5 ADDED BY ENDORSEMENT r SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
F_ ATLBC-1 SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXFIRATIG
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR 70 MAIL 10_ DAYS WRITTEN
City of Atlantic Beach NOTICE TO THE CERTIFICATE MOLDER.NAMED TO THE LEFT,BUT FAILURE TO OO SO SMALL
Fax #:247-5077
800 Seminole Rd IMPOSE NO OBLIGATION OR LIAe1LITI OF ANY KIND UPON TLE INSURER,ITS AOE.NTS OR
Atlantio Beach FL 32233-5444 REPRESENTATIVES.
A�REPRflSENTX ' ---- ------�--..-
ACORD 26(2001108) 9)ACORD CORPORATION 195
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
t 1940 NORTH MONROE STREET
TALLAHASSSEE FL 32399-0783
POTTER, DALE BRIAN
INDIVIDUAL
51526 PO BOX
JACKSONVILLE FL 32240
i STATE OF FLORIDA AC#0 5 2 416 8
91DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
CCCO51580 08/12/02 140015235`
CERTIFIED ROOFING CONTRACTQR
POTTER, DALE BRIAN
INDIVIDUAL = - "
-
IS CERTIFIEDunder the provisions of Ch.489 FS.
Expiration date: AUG 31, 2004-_.$SQ #L02081202375
DETACH HERE
STATE OF FLORIDA
AC* 0524168
-
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION SEQ#Lo2081202375
CONSTRUCTION INDUSTRY LICENSING BOARD
12002 14- _n
The ROOFING CONTRACTOR
Named below IS CERTIFIED 2 -
Under -the provisions of Chapter 489 FS
Expiration date: AUG 31, 2004
ji_"' ry
S _
��yy
1,
YJJ.. ♦ _ I I y 11 y 4.,L, _
POTTER, DALE BRIAN '0� ` -:Uw
INDIVIDUAL yX
3644 PHILIPS HWY
JACKSONVILLE FL 32207
JEB BUSH " M�'u N KIM BINKLEY-SEYER
SECRETARY
GOVERNOR DISPLAY AS REQUIRED BY LAW
12/23/2002 12:32 9046355546 PROFESSIONAL T PAGE 01
STATEF FLORIDA 12-13-20021
DEPART N�OF INSURANCE
DIVISION OF WKERS' COMPENSATION
CERTIFICATE OF EXEMPTION FROM FLORIDA WORKERS' COMPENSATION LAW g�
4
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from ,
Florida Workers' Compensation Low.
EFFECTIVE 12/10/2002 EXPIRATION DATE 12/09/2004 r
PERSON POTTER DALE 13 p
SSN 387-56-7108
FEIN 387567108
BUSINESS DALE S. POTTER
5921 WESCONNETT BLVD
JACKSQkrJI ,LE FL 32244
NOTE: Pursuant to Chapter 44 0 . 10(1),(e), 2 ,F ,S, 0
. s sole proprietor , partner , or an
officer of a corporation who elects exem tion from the Fiorida Workers'
Compensation Law may not recover benOTIts or compensation under Chapter 440 .
7
I
PLEASE CUT OUT THE CARD EFLOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF MJSURANCF
DIVISION OF WORKERS' COMPENSATION F
CONSTRUCTION INDUSTRY O
CERTIFICATE OF EXEMPTION FROM FLORIDA L
WORKERS' COMPENSATION LAW O
fICM Purlwnt to chapter 440 10111,;gi,2, F.S.,
EFFECTIVE 1101002 H
I saN proprietor, partner, or officer of an corptriti4n i
EXPIRATION: 12f09'2004 who Betts examptim from tie %rids Workers' Cogomilion
PERSON POTTER CALE R law moy not recover benefit= or competIsoon urxltr Cfupter 140.
SSN: 301.58.71 D8 E
FEN: 387887108
RUSINESS: DALE B. POTTER
5921 WESCONNETT BLVD
JACKSONALE R 32244
CUT HERE
" Carry bottom portion on the job, keep upper portion for your records. r
r
PSR-3844 8142
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION ------ ------- LOCATION INFORMATION ------- -
Permit Number : 8142 Address : 599 STURDIVANT AVENUE
Permit Type ' PLUMBING ATLANTIC REACH . FLORIDA 32233
'lvcz of work : ADDITION ====------ LEGAL DESCRIPTION -------
Constr . Type: WOOD FRAME Lot : Block : Section:
Proposed Use: SINGLE FAMILY Township : RNG: 0
Dwellings : I Code: 0 :subdivision:
Estimated Value : $0 . 00
Improv . Cost : $0 . 00
Total Fees : 518 . 50
Amount Paid : $18 . 50
Date Paid: 4 ' " /94
TNr"T'ALL ATHTUBB
OWNER INFORMATION - ---- APPLICATION FEES -----
---Name- ?AME» WTLBY PERMIT $18 . 50
Address - 599 STURDIVANT AVENUE WATER IMPACT FEE $0 .00
ATLANTIC BEA'.."_H . FLORIDA 32231 SEWER IMPACT FEE $0 .00
ph- ne ' `?941249-53141 WATER METER./TAP $0 .00
RADON GAS-H .R . S . $0 .00
CONTRACTOR INFORMATION ------ RADON CAB 5% $0 . 00
Name : ATLANTIC COAST PLUMRtNl F, TT E CAPITAL IMPROVE . S0 .00
Address : 315 4TH AVENUE SOUT-- SEWER TAP $0 .00
JACKSONVILLE BEACH , FL 322` HYDRAULIC SHARE $0 .00
License : CFCA 1529 Type: 0 CROSS CONNECTION $0 .00
SEC .H IMPACT FEE 50 .00
C-ONST . STJRCHARGE S0 . 00
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
000000000 000000000 818.50 14
ATLANTIC BEACH BUILDING DEPARTMENT Date: 4/06/94 01 Rcpt' 0043210
13509
CHECKS
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:
OWNER OF PROPERTY: -��9 e-S
BUILDING CONTRACTOR: IQ
PLUMBING CONTRACTOR a�
AND ADDRESS:
316
TELEPHONE NUMBER: `� --2/z 7 53
STATE LICENSE NO: �"`� 50:5 q
TYPE OF BUILDING: 85<�).Q
TYPE OF WORK:
-T
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
i
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURE COUNT: x $3 . 50 + $15 .00 = $
------------------------------------------------ ---------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826