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2069 Beach Ave 2014 windows CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 -0,8111T Application Number . . . . . 14-00001002 Date 7/02/14 Property Address . . . . . . 2069 BEACH AVE Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 2260 ---------------------------------------------------------------------------- Application desc window ------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FERGUSON, LEE PELLA WINDOW AND DOOR 2069 BEACH AVE 7818 PHILIPS HWY ATLANTIC BEACH FL 32233 SUITE #204-206 C;rl JACKSONVILLE FL 32256 (904) 731-8330 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc - - 32 . 50 Permit Fee . . . . 65 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 2260 Expiration Date . . 12/29/14 --------------- ------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl 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 - -------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 - -------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 101 . 50 101 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Print Form OW BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Add a�961 fkack A/e-. Permit Number: L1 Leg fr!#s� -35 219 Al A41&�c 6eA UA 3 Ill' Parcel# )4- q 7 5 j..3 Fploor Area of Sq.Ft. Sq I Valuation of Work$ roposed Work hented/cooled �,-heated/co 20 2014 Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa oo Use of existing/pro sed structure(�)(circle one):. Commercial Residential ;By If an existing strucr.re,is a fire nnklersystcm installed?(Circle one): Yes No N/A Florida Product Approval 4 sr r)-i T!-7!�.6 For multiple products use product approval form Describe in detail the type of work to he performed: cc(P— �r Pronerty Owner Information: Name: WLt5oo Address: Ave. LA�i�i State City aeotch -_Zip —tQX$134one 101 qT E-Mail or Fax#(Optional) Contractor Information: Company Name: PWD-Orlando, Inc. —Qualifying Agent: James Rowland Address: 350 W. State Rd. 434 —City Longwood .. State FL Zip 32750 Officel?�on 407-937-2826 Job Site/Contact Number 4 0 7-4 6 3-4 10 6 Fax# 407-937-3214 State Certification/Registration# CBC046712 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 installations as indicated I certify that no work or installation has-commencedprior to the issuance ofa permit and that all work will be performed to meet the standards ofall laws regulating construction in thisjurisdiction. Thispermn becomes null a riodqfsJxP5)months at anytime after Zkvo,�o igns wem oals In ces 8 ilers,Heaters, �wberk,;not commenced within six(6)months,or ifconstruction or work is susoendedorabandonedfor I P , Ur a , 0 in tc d. I understand that separate permits must be securedfor Electrical Work,Plumbing,S Tanks and Air Comiltioners,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. Ihereb certify that I have read and inedilus, plicivion and know the same to be true and correct All provisions oflaws and ordinances governing this ga authority to violate or cancel the 7work will be complied with=ber , citied herein or not. The granting of a permit does not presume to give prov I isions ofany otherfederal,sta re;1ating construction or the performance ofconstruction. W( r Signature of Contractor Signature of 0 4�L) Print Name .......... ............ ................. Print Name ­"�..................... ........... Swom to and subscribed before me Swot4 to and subscribed th' -110h Day of -A 20W this -L-0 Dayof A, All 201 N—otary Ptiblic .-YYC A Notary Pub ic Revised 01.26.10 ........ AMBER FLENKER 0 4rJt%U' RONALD L SCHLUETER WY COMMISSION it EF-001537 NOTARy PUBLIC EXPIRES June 16.2014 STATE OF FLORIDA Comm*EF-21%92 (407)36111-01911 pm"S�A�"" E EXPir6S 711'1120" Doc # 2014136779, OR BK 16818 Page 810, Number Pages: 1 , Recorded 06/19/2014 at 01:40 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVA-L COUNTY RECORDING $10.00 A 100 2- Permit Number / t— FILE COPY ParcelIDNumber NOTICE OF COMMENCEMENT State of Florida County of The undersigned hereby gives notice that the improvement(s) will be made to certain real property, and in accordance with Chapter 713,Florida Statutes,the following information is provided'in this Notice of Commencement. 1. Description of propert (I I ipt'pn of thepr9pe and street add ss;if available) no Ss A.e0a rcr Addre d-C .3 �'133 Lega I Descri pti on -q 3 �ek -EE(., Ef-0(r-A VA,4- 3 f!7 2. General description of Improvement(s) 3. Owner Information Name �-� rto Cq ix—_5 926 pone&Fax Number Address '�Q14RC_ kaki . Cz 3 3 Interest in Property_0_41�/ 4. Fee SImple Title Holder(if other than owner shown above) Name Phone&Fax Number Ad d ress S, Contractor Name pe, La- JAJOC'� qitd_LN 0--)f 5 P In o n &F N u m b e r LY 7 Address 6. Surety(if any) NameN/A Phone&Fax Number AddressNIA 7. Lender(if any) NameN/A Phone&Fax Number AddressNIA 8. Persons with the State of Florida designated by Owner upon who notices or other documents may be served as provided by 713.13(l)(a)7, Florida StatuLes. Name Phone&Fax Nurnoer Address 9. In addition to himself or herself,owner designates the following to receive a copy of the Lienor's Notice as provided in 713.13(l)(b),Florida Statutes. Name Phone&Fax Number Address 10. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified: WARNINGTOOWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMM E NCEM E""-GNSIDEREQL�M P ROPER-PN't'M ENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES,-A-N-D CAN RESULT IN YOUR PAYING TWICE-FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMCkEMENT MUST IJIVRECOR - 'PW AND POSTED ON THE)QB SITE BEFORE THE FIRST.INSPECTION.-IF_YOLJ INTEND Tn 013TAIN FINANCING,CONSULT YOURLENDER OR AN ATTORNEY BEFORE COMMEN-CING WORK OR RECORDING YOUR NOTICE /OF COMMENCEMENT.- k Print Name SlEratu—'e-f 0-ner—scrOwnd' �tharized offic�er/[)Irector/Partner/Mana-.er as t C--+^1-nffir—il mnri z,,h,,rih,-d before me this 16V da'v' of 20 by t08 061) A Property Appraiser - Property Details Page I of 3 FERGUSON LEE A TRUST Primary Site Address official Record Book/Paqe Tile# 2069 BEACH AVE 2069 BEACH AVE 16633-00454 9409 ATLANTIC BEACH, FL 32233-5934 Atlantic Beach FL 32233 FERGUSON LEE A FERGUSON LEE A FILE COPY 2069 BEACH AVE Property Detail Value Summary RE# 169718-0000 2013 Certified 201!1 In Proarels__ Value Method CAMA CAMA Tax Dostru USD3 Total Building Value $728,025-00 $656,959.00 Pro y U 0100 SINGLE FAMILY Extra Feature Value $23,655.00 $21,616.00 #of Buildings 1 r 15-93 09-2S-29E Land Value(Market) $1,316,250.00 $1,755,000.00 Legal Desc. N ATLANTIC BEACH UNIT 3 PT i Land Value(Agric.) $0.00 $0.00 Subdivision 03100 NORTH ATLANTIC BCH UNIT 3 Just(Market)Value $2,067,930.00 $2,433,575.00 Total Area 16806 Assessed Value $1,295,691-00 $1,315,126.00 The sale of this property may result in higher property taxes,For more information go Cap Diff/Portability $772,239oOO $1,118,449.00 to Save Our Homes and our Property Tax Estimator.Property values,exemptions and Amt $0.00 _.$0.00 other information listed as'In Progress'are subject to change.These numbers are Exemption $50,000.00 See below part of the 2014 working tax roll and will not be certified until October.Learn how the Property Appraiser's Office values property. Taxable Value $1,245,691.00 See below Taxable Values and Exemptions—In Progress If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value ���d.Valu $1,315,126.00 Assesse Value $1,315,126.00 Assessed Value $1,315,126.00 ........... ...........................................................0.............. ............... ............................0.............0...........................0............... ...0...............................................................................................0. Homestead(HX) -$25,000.00 Homestead(HX) -$25,000.00 Homestead(HX) -$25,000.00 0.............................................................0.......................................... .00 0........................0 0_0.....................................0....................... ........................................................ Homestead Banding 196.031(l)(b)(HB)-$25,000.00 Homestead Banding 196.031(l)(b)(HB)-$25,000-00 Taxable Value $1,290,126.00 ..................... ............................ .....................4 40 0............... Taxable Value $1,265,126.00 Taxable Value $1,265,126.00 Sales History Book/Page Sale Date Sale Price Deed Instrument Type Code Qualified/Unqualified Vacant/Improved 16633-00454 11/13/2013 $100.00 WD-Warranty Deed Unqualified Improved 04311-01071 1/19/1977 $85,000*00 WD-Warranty Deed Unqualified Improved 03633-0083 12/ $100.00 WD-Warranty Deed Unqualified Improved Extra Features LN Feature Code Feature Description Bldg. Length Width Total Units Value I FPPR7 Fireplace Prefab 1 0 0 2.00 $5,653.00 2 POLR3 Pool 1 0 0 1.00 $7,344.00 3 SPAR3 Spa 1 0 0 6.00 $1,489.00 4 DKWR2 Deck Wooden 1 22 32 704.00 $3,546.00 5 DKWR2 Deck Wooden 1 7 9 63.00 $317.00 6 DKWR2 Deck Wooden 1 1 33 4 132.00 $665oGO 7 DKWR2 Deck Wooden 1 4 155 620.00 $2,602.00 Land&Legal Land Legal LN Legal Description Land Land and Value LN Qde Use Description Zoning Front Depth Category Units Type RES OCEAN LD 3-7 Front $1,755,000.0 1 15-93 09-2S-29E 1 0140 1 ARS2 75.00 220.00 Common 75.00 2 N ATLANTIC BEACH UNIT 3 PT UNITS PER AC Footage 3 N1/2 LOT 74,LOT 75 ee Buildings Building 1 Building 1 Site Address FElement Code I Detail F. 2069 BEACH AVE Exterior Wall 8 8 Horizontal Lap I http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=16... 6/19/2014 FILE COP y L 17*-J rF woommi 'r- i j %..j c"i c F -r— V- 0-1 a" ll:..,j -..j 00 CL CNJ L2 CL LO < Lr) LO L: L) E a) co 0 0) LL C3 0 m E C6 a- a) LU -0 E cu cn a. 0 r- LL L: -2 cc _0 E :12 =3 U) > -2 CD Eli 0 t5 10 2 L6 cn (n T = (D ci U) LO x u U-) (D CL 0 z cu CN c (D < 0 -5� 0 ED Ep Lu CL < 0 0) cli z S ca N CL -0 cc 4) L) m -0 m E m 3: C4 L) cc 0) 1 _0 CL- LO in LL c Lo CN ca m (D U)CN , -,:� = to m 0 LL a) m E -0 U- r_ C: -r- 0 0 3: ca T s a :E 0 �5 M C: U- E a) 0 Cc 3 :J,) 0 C*4 a) �5 = M V- cn x w "a —1 0 x 21 -EQ'a- r- E 0 a)LU cn -c: I 'R W (n 0 r- (D o = 3: U- LLI (D 604 (n a)2 a. x < -r- 0 0 0 V) a X -E CD 2 UL ca L) E E Z Q 2 C,13 r=-, m L)U) U) C-4 < :K LL co Z) a) C14 x E mh-ro-) � OL) Q CD CN a CD CD E CD No--q .0- Er-*E 0 'ZM-OQ) CD CD 40 W- .- CD CD — 0 CL— % LL E'S CD �T— E—, — cD -T ' 0 L) r- - 0 ,-�5 —C: 0 (D L) w) 6.2 -62750 ' E 0 0 0 -: A 0 Y) 0 S E C.) () 0 m in z tm 0, L) 0 W) r u L) cl .2 o 4i - < < < < a, CL W Cl CL E CL co F- F- F- :3 m - x Cf) —LL LLJ 0 ,.r- co E �e Cl) UD E E 0 0 V) W (n C= :3 .. = X r co 'n LL cli 0) L 1 -.2 C4 .2 U) 45 .2 .2 x LL- 1� ui u LL E to 0 -1 cu 0 o = 2 C) LL C14 C: CL 0 a) E cm 4) C, Lo 0 C-3 04 w M Florida Building Code Online Pagel of3 BCIS Home Log In User Registration Hot Topics Submit Surcharge Slats&Facts Publications FBC Staff BCIS Site Map Links Search Business Product Approval 0 USER Public User Professi 6al CA) MAIN Product Approval Menu>Product or Anti Search>ApphCatior,1 1,>Application Detail FL# FL10354-R3 Application Type Revision Code Version 2010 Application Status Approved Zed by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived Product Manufacturer Pella Corporation Address/Phone/Email 102 Main St. Pella, IA 50219 (641) 621-6096 pellaproductapprovalPpella.com Authorized Signature Joseph Hayden jahaydengpelia.com Technical Representative Joseph Hayden Address/Phone/Email 102 Main Street Pella, IA 50219 (641) 621-6096 jahaydengpella.com Quality Assurance Representative Ali Zarghami Address/Phone/Email 102 Main St Pella, IA 50219 (641) 621-1000 zarghamiaPpella.com Category Subcategory Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By James L. Buckner, P.E. at CBUCK Engineering Validation Checklist- Hardcopy Received Referenced Standard and Year (of Standard) Standard Year 101/i.S.2-97 1997 101/l.S.2/NAFS-02 2002 AAMA/WDMA/CSA 101/l.S.2/A440-05 2005 Equivalence of Product Standards Certified By https://www.florid-alu-uilding.org/pr/pr—app—dtl.aspx?param=wGE... 6/19/2014 Florida Building Code Online Page 2 of 3 Product Approval Method Method 1 Option A Date Submitted 1110112011 Date Validated 11/07/2011 Date Pending FBC Approval Date Approved 1111012011 ummary of Products FIL# Model,�Num�beror N�ame �Descriptlon 10354.1 77 TuDirect Set Fixed Window 60"x6O" non-impact Aluminum Clad Wood Fixed Frame Window with advanced performance installation Limits of Use Certification Agency Certificate x60.pdf Approved for use in HVIHIZ: No FL10354 R3 C CAC CCL411-H-67060 Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 11/28/2015 Design Pressure: +90/-90 Installation Instructions Other:Configurations of glass shall conform to current FL10354 R3 11 Drawing 1143.pdf ASTM El 300 standard.When required by code,safety Verified By: Warren W.Schaefer, P.E. 44135 glazing shall be used. Installation of this window shall be Created by Independent Third Party: Yes per attached Advanced Performance installation drawing Evaluation Reports 1143. FL10354 R3 AE Drawing 1143.pd Created by Independent Third Party: Yes 10354.2 Direct Set Fixed Window 72"xl 20"non-impact Aluminum Clad Wood Fixed Frame W Wi performance installation inclow with advanced Certil Limits of Use Certification Agency Certificate L Approved for use in HVHZ: No EF1 10354 R3 C CAC CCL 411-H-670 72xl 20.pd Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date 1 1/21 Impact Resistant: No 11/26/2015 Design Pressure: +60/-60 Installation Instructions Other:Configurations of glass shall conform to current FL10354 R� 11 Drawing 1143.12df ASTM Ell 300 standard.When required by code,safety Verified By: Warren W.Schaefer, P.E. 44135 glazing shall be used. Installation of this window shall be Created by Independent Third Party: Yes per attached Advanced Performance installation drawing Evaluation Reports 1143. F1 10354 R3 AE Drawing 11 43�p�Lf Created by I lent Third Party: Yes 10354.3 Direct Set Fixed Window 100.75"x85.125"non-impact Aluminum Clad Wood Fixed Frame Window with advanced performance installation C ti Limits of Use Certification Agency Certificate fo EL1 0 lx85-pdf N Approved for use in HVHZ: No FI-1 0354 R3 C_CAC CCL 411-H-670 10 Approved for use outs�ide HVHZ:Yes Quality Assurance Contract Expiration Date 11 Impact Resistant: No 11/26/2015 Design Pressure: �60/-60 Installation Instructions Other:Configurations of glass shall conform to current FL10354 R3 11 Drawina 1143.i)df ASTM E1300 standard.When required by code, safety Verified By: Warren W. Schaefer, P.E. 44135 glazing shall be used. Installation of this window shall be Created by Independent Third Party: Yes per attached Advanced Performance installation drawing Evaluation Reports 1143. FL10354 R3 AE Drawing 1143.pdf C Created by Independent Third Party: Yes re2 60"x' Wind C ,t 10354.4 Set Fixed Window 60"x6O"non-impact Aluminum Clad Wood Fixed Frame Window with standard performance installation Limits of Use Certification Agency Certificate r EL Ox6O.pdf Approved for use in HVHZ: No F1 10354 R3 Q CAC CCL 411 11 670 Approved for use outside HVHZ: Yes Qua,lity Assurance Contract Expiration Date Impact Resistant: No _11/.28/2015 Design Pressure: �50/-50 Installation Instructions Other:Configurations of glass shall conform to current Fi 10354 R3 11 Drawing 1141.pdf ASTM Ell 300 standard.When required by code,safety Verified By: Warren W.Schaefer, P.E. 44135 glazing shall be used. Installation of this window shall be Created by Independent Third Party: Yes per attached Standard Performance installation drawing Evaluation Reports 1141. If requirecljob pressure is above that listed here-in FL10354 R3 AE Drawing 1141.Ddf as allowable, installation of this window shall be as Created by Independent Third Party: Yes required with the Advanced Performance installation 3 72 1 20"non- 0 th s W"x 'nd Ce rtifii�'ti.n L 0 , R F_1 3 4_3 J�u I 7_"'Fity ssu, 103514.5 Direct Set Fixed Window 72"xl 20"non-impact Aluminum Clad Wood Fixed Frame j I Window with standard performance installation Limits of Use Certification Agency Certificate Approved for use in HVHZ: No EL1 0354 R3 C CAC CCL 411-H 670 72xl 20.pdf Approved for use outside HVHZ:Yes uality Assurance Contract Expiration Date Impact Resistant: No 11/26/2015 Design Pressure: +40/-40 Installation Instructions Other: Configurations of glass shall conform to current FL10354 R3 11 Drawing-1141.Wdf https://www.florid-.',-,uilding.org/pr/pi�_app—dtl.aspx?param=wGE... 6/19/2014 Florida Building Code Online Page 3 ,of 3 ASTM El 300 standard.When required by code,safety Verified By: Warren W. Schaefer, P.E. 44135 glazing shall be used. Installation of this window shall be Created by Independent Third Party: Yes per attached Standard Performance installation drawing Evaluation Reports 1141. If requirecljob pressure is above that listed here-in FL10354 R3 AE Drawinci 1141.pdf as allowable, installation of this window shall be as Created by Independent Third Party: Yes required with the Advanced Performance installation ,drawing 1143 110354.6 Direct Set Fixed Window 100.75"x85.125"non-impact Aluminum Clad Wood Fixed I Frame Window with standard performance installation Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL10354 R1 C CAC CCL411-H-670101x85-wd Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 11/26/2015 Design Pressure: 40/-40 Installation Instructions Other:Configurations of glass shall conform to current FL10354 R3 11 Drawing 1141.pdf ASTM El 300 standard.When required by code, safety Verified By: Warren W. Schaefer, P.E. 44135 glazing shall be used. Installation of this window shall be Created by Independent Third Party: Yes per attached Standard Performance installation drawing Evaluation Reports 1141. If requirecljob pressure is above that listed here-in FL10354. R3 AE Drawing 1141j)d as allowable, installation of this window shall be as Created by Independent Third Party: Yes required with the Advanced Performance installation ,drawing 1143. Contact Us::1940 North Monroe StEeet.Tallahassee FL 3239_2 Phone 850-487-1824 The State of Florida is an AA/EEO employer.Conyrinht 2007-2013 State of Florida,::Privacy statement::6QQQjkjDjljjv 5.ildLQM=::Refund statement Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a pubiic-records request,do not send -pursuant to 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. Section 455,275(l),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 baEc_ Product Approval Accepts: " Ej ­oirttNN��­­ https://www.floridabuiIding.org/pr/pr—app dtl.aspx?param=wGE... 6/19/2014 R z�2,;d> om-3 e� m-zj ul o o. 2 o S mo 05 -4 F5 E,> t� 21 > OZ '!z > 4 -g-� >m Z� om m 0!�E —��Zo xI Sfo > >, 'C' 0.1 m o F5 F Ri .0 M*, 0 L�. 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H-1 i,I %, .*0 Ln HIM,- 'S, ;0 z z =m C-) 7n Ln S C/7,'j /1 0 ---1 M 0 Ef 0 M=Ln ME z 0 mz > No,44135 E 0 'o ir z > E D STATE OF LCJL- 0 4Q LOF00 ji 0 N /ON > 15" MAX. O-C, (ALL SIDES 0.1. "(fill j , > > x -1.1) FIXED FRAME NO. RNSION DESCRIPTION DATE CERTIFICATIO P NON-IMPACT rLUMINUM CLAD VR -nON) A,I IjI[XTE PER ./W" DIRECT SET WINDOW (STANDARD IN:�IALLA 61 vpIxTE Nv�TEST� WWII A &ONSULTANTS N 0 W. W. SCHAEFER ENGINEERING PELLA CORPORATIO & CONSULTING, P.A. (CA 6509) 102 MAIN STREET oc 7480 150TH COURT NORTH PELLA, IA 50219 P"BEACH CARDENS.FL 33418 641-621-1000 w E W.S�HAEFER, P.E. 561-7"-3424 E No PHONE: 0 0;0 CC, a: Ln G 0 Ln 01 > D 00 z m _< >a:) n U)z ,; m Q 0 Ln�, _>w x Ln q C. 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(CA 6809) 102 MAIN STREET R IA 50219 7480 ISM COURT NORTH PELLA, PALM BEACH GARDENS.FL 33418 641-621-1000 P.E. �61-744-3424 WAR W. SCHIEZE.R� PHONE: .E. NO. City of Atlantic Beach APPLICATION NUMBER Building Department To be assigned bVe Building Department.) 800 eminole Road Atlan ic Beach, Florida 32233-5445 Phon (904)247-5826 - Fax(904) 247-5845 �ate routed: E-mail: building-dept@coab.us Ll City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: '?e patIrnent review required Yes No Building_..) Planning Zoning Applicant: Aw r Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Rece+ Date of Permit Verified 5 J Florida Dept. of Environmental Protection Florida Dept. of Transportati on St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants oholic Beverages and Tobacco rOther: APPLICATION STATUS Reviewing Department First Review: [YApproved. []Denipt (Circle one.) Comments: EE�D PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: F�Approved as revised. FlDer PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: F-]Approved as revised. DIDenied. Comments: Reviewed by�_ Date: Revised 05/14109