750 Bonita Rd 2014 Door CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J
Application Number . . . . . 14-00000911 Date 6/16/14
Property Address . . . . . . 7SO BONITA RD
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 17S
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Application desc
DOOR REPLACEMENT
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Owner Contractor
------------------------
------------------------
ZUBIA, HECTOR BUTTERFIELD REMODELING LLC
7SO BONITA ROAD P 0 BOX 1954
ATLANTIC BEACH FL 32233 CLINT BUTTERFIELD
ORANGE PARK FL 32067
(904) 333-8409
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Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . SS . 00 Plan Check Fee 27 . SO
Issue Date . . . . Valuation . . . . 17S
Expiration Date . . 12/13/14
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC 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
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total S5 . 00 S5 . 00 . 00 . 00
Plan Check Total 27 . 50 27 . SO . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 86 . 50 86 . SO . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
'fLOPICA 02PAR1WOUT OF
AMsiness & Professional Requ ation
Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site M-P Links Search
ida C)epq—, r..... BCIS Home Log In User Registration HotTopics
is in est(�a 1 4
Product Approval
USER: Public User
dessi
-ulation
Pro uct ppro List>Application De
!tail FILE COPY
val Menu >Product or Application Search >Application
FL# FL12769-R2 ..vt,"
Application Type Revision
Code Version 2010
Application Status Approved
*Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the
POC and/or the Comi-nission if necessary.
Comments
Archived 0
Product Manufacturer JELD-WEN
Address/Phone/Email 3737 Lakeport Blvd
Klamath Falls, OR 97601
(541) 205-1171
garyr@jeld-wen.com
Authorized Signature Gary Rollinson
fbc@jeld-wen.com
Technical Representative JELD-WEN Corporate Customer Service
Address/Phone/Email 3737 Lakeport Blvd.
KJarriath Falls, OR 97601
(800) 535-3936
customerserviceagents@jeld-wen.com
Quality Assurance Representative
Address/Phone/Email
Category Exterior Doors
Subcategory Swinging Exterior Door Assemblies
Compliance Method Certification Mark or Listing
Certification Agency National Accreditation &Management Institute
Validated By National Accreditation &Management Institute,
Referenced Standard and Year(of Standard) Standard Year
ASTM E330 2002
ASTM E331 2000
TAS202 1994
Equivalence of Product Standards
Certified By
Product Approval Method Method I Option A
Date Submitted 03/07/2013
Date Validated 03/07/2013
Date Pending FBC Approval
BL: PERMIT APPLICATION
i OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 FILE COP �0
Office (904) 247-5826 Fax (904) 247-5845
*17
Job Address: /v� 0 2�? dA, a- A"Ae-&ggj,1 ei Permit Number:
Legal Description,3o-o&,,.-.,, 39-.2 5 2�,Kw-Pgzotj zz,,14 4a�, i Parcel 9 <VC)o-o
/z� Floor Area ot Sq.Ft. Sq'Ft
Valuation of Work Proposed Work heated/cooled
non-heated/cooled
Class of Work(circle one): New ion Alteration Q Lepa�ir Move Demolition pool/spa window/door
ion -1
c
ei-r-
Use of existing/proposed strMp�t�re(s) (i,��i c`ie' c Commercial (::diesidentialD
[Ire,is sv c
If an existing structi Fire sprinkle�rrcsy em' stalled? (Circle one): Yes No (:N:LA
Florida Product Approva
0 a
For multiple products u e product approva - m
or 0 rforrr
Describe in detail the typpe<ofw o e poverformed:
Property Owner Information:
Name: D,0,5 041e611-4 Address: &4AI/rX- 41
City 1h( Statefi 2334h_one c72�2` WV-F36 5-
97716 Ait"eve- _ZZip �[2
E-Mail or Fax#-(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: 1-1-e- —Qualifying Agent: K2.4 S,(.-
Address:yzz_,e,, eAr-5 4��v A� &T-14 C i ty 6)"We, -State jt� zip
Office Phone Job Site/Contact Number %,!PY-If-1 k4& -Fax# �iOIWI o,9'5-1
State Certification/Registration# W55 - IzI
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
B o n d i n g C o mp any N am e a n d A d dre s s Lsz-b R6240��1,05' A%4--k'A'X44!�,A21
Mortgage Lender Name and Address
4pplication is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or 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 construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor aWeriod of sixP6)months at any time after
work is commenced. I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, ells, Pools, urnaces, Boilers,Heaters,
Tanks andAir 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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere certify that I have read and exam ined th' plication and know the same to be true and correct. All provisions of laws and ordinances governing this
�er
type 7%ork will be complied with wheth ecirfleT herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisi.ons of any otherfederal,state, or localsf,w regulating construction or the peiformance of construction.
N�
Signature of Owne
Signature of Contractor
PrintName Print Name ............................................. .........................
Before me
t -1 --�L, 014
ay 1 20/4 1 s Day of ( A 2
QV SttecgFjodda <SF/ — , - d ;�?_
edary UtAiC
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Notary Pu lie M Comrrission*EE 04W09
tV1.-1
502114015 Expires Decern 6.10
�q qW"d 1.2
Bonded IVu Iruy Fain hmrarw 00-385-7019
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: _25_� �&Wf.TA, DeDadment review required Yes 'No
-I'
Building_,,,
Applicant: Pla nning &Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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:
APPLICATION STATUS
Reviewing Department First Review: [9'Approved. [:]Denied.
(Circle one.) Comments:
(:E��
PLANNING &ZONING Reviewed by: Date: 6-6
TREE ADMIN. Second Review: F]Approved as revised. ElDenied..
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. DIDenied.
Comments:
Reviewed by: Date:
Revised 05/14109