309 Belvedere ST 2014 window CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
7�—
Application Number . . . . . 14-00001169 Date 7/25/14
Property Address . . . . . . 309 BELVEDERE ST
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1000
----------------------------------------------------------------------------
Application desc
window replacement
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
COLLIER, KEITH D PHILLIPS BUILDERS LLC
1639 SEA OATS DR 1250 SELVA MARINA CIRCLE
ATLANTIC BEACH FL 32233 PHILLIPSBUILDERS@COMCAST.NET
ATLANTIC BEACH FL 32233
(904) 349-2999
----------------------------------------------------------------------------
Permit ' ' * * ' ' WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1000
Expiration Date 1/21/15
----------------------------------------------------------------------------
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 60 . 00 60 . 00 . 00 . 00
Plan Check Total 30 . 00 30 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATIO
CITY OF ATLANTIC BEACH
F ILE COPY
JUL 2 2
800 Seminole Road, Atlantic Beach, FL 323V 2014
Office (904) 247-5826 Fax (904) 247-58 5
Job Address: 30 lvs.,46er- Permit 11,11 Ili i
Legal Description Parcel 9
FloorAreaof Sq.Ft. Sq'Ft
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approv_aT1—orm
Describe in detail the type of work to be performed:
Propertv Owner Information:
Name: 'A&CP 9 jgx r-5
I Address: 14 J
city StatqUZip-.522,7,3Phone
E-Mail or Fax�(OFtional)
Contractor Information:
vig
Company Na e- Qualify' Agent:
Address: 4 . 0-.'V%A city
Wilow" or"05 4M State ri zilf
Office Phone �34/4 IT 4 1b Site/Contact Number Fax#
State Certification/RegistrFation
Architect Name &Phone#
Engineer's Name&Phone 4
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
-4 ca * he e ade to o'ta''n a permit to do the work an llationsas indicated I certify that no work or installation has commenced prior to the
i_5 P" c io is ,r by md th I rk ,,bepe�jbrmed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
eo a e t an a a
pu0n ' mi t 1-0 w
, f Pk s ot com , d t�ui six(6)months, or if construction or work i's suspended or abandonedfor aWeriod ofsix(6)months at any time after
and' id i�0 i ii me ce "'
, is co in nc . I , rt" t t,
k e ed de d ha eparate permits must be securedfor Electricaf Work,Plumbing,Slkns, Ws,Pools, Furnaces,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 FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type 111�work will be complied wi hether eci herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provi.si.ons of any otherfederal, a , or localsf,w regulating construction or the performance of construction.
Signature of Ow Signature of Contracd344L, A
Print Name Print Na e fet
............ ... ....... ......
....................................................................................................................... ........ .. .................... ....... ....... ................................
Befor Befo
this Day o /V th'
, 20 20)
rY 0111C S
3
NotaiTTublic N M
hitiey L h9ffl Co I FF 086
M Comm FF 066990 Me 02/14
E . 6 02J14120i 8 Rev edOl.26.10
Florida Building Code Online Page I of 3
It-IN,
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts PublicatiorLs_,FJ�,q,51tatf. BCIS Site Map Links Search
Busines&l.
1�. I Product Approval
ha USER:Public User
FF L F �f,
ILE COPY
A,,mva�Me.,,u P,.d,,C.t or Avolwation Search>Acolication I..ilk-l�A—P—PTI�C—atldh*944aiI
FL#
FL1435 R13
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 Commission if necessary.
Comments
Archived
Product Manufacturer PGT Industries
Address/Phone/Email 1070 Technology Drive
Nokomis,FL 34275
(941)486-0100 Ext 22318
druark@pgtindu stries.com
Authorized Signature lens Rosowski
jrosowski@pgtindustries.com
Technical Representative Jens Rosowski
Address/Phone/Email 1070 Technology Drive
Nokomis,FL 34275
(941)486-0100 Ext 21140
jrosowski @pgtinclustries.com
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency Keystone Certifications,Inc.
Validated By Steven M.Urich,PE
I/ Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard
AAMA/WDMA/CSA IOI/IS2/A440 2005
AAMA/WDMA/CSA 101/IS2/A440 2008
ANSI/AAMA/WDMA 101/I.S.2/NAFS 2002
ASTM E1886 2005
ASTM E1996 2002
ASTM E283 2004
ASTM E330 2002
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 12/10/2013
http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDqsbCUITKel2OD... 7/22/2014
d' FILE COPY
NOTICE OF commwmw�k
- n
Permit N 0. /16? (PREPARE IN DUPLICATE)
State of- Tax Folio No
County of o t�
To whom it may concern:
accordance With Section 713 of the Florida Statutes,the following inform n is ?a
The undersigned hereby informs you that Improvements will be made to ccrtain real prOpeft and n
COMMENCEMENT. atio s ted in th s NOT C OF
Legal description of property being improved:
Address of Pr P bein lr�prov
General descripff n of improv ents:
e-ee
Owner doe I-
Address
Owner's interest in site of he improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor
Address
Phone No. Fax No.
Surety(if any)
Address
Phone No. Fax No. mount of bond
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name ofperson within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as Provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's opflon).
Name -
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY 0 00'4b
R
Signe 17 r 1,�4
Befbre a DATIE
Of in hL!-
e
s on ad
h
cou f Duval.st f -d.,—h.. on d�
of herein by go z
,Doc 9 201414-460,OR BK'i6832 L�age 60'!, OM
.r. Me. ra t
lj�. Me r.
nwn eiri?ne—rseir�and—afMR-..th,(.ti n s�..drat rein
Number Pages, are strue and accurate
Recorded 0-1:0-21 2G 14 at I 11--,1 AM,
CIRCUIT COURT[)(jVAL V
0404b
4.
Z C)
C.)I-
Ronnie Fussell CLERK 3 r-r
Sr
COUNTY
................ 0
R. ECORDING$10 00 a�
te —uny—a, '
commission expkes,
9.
Penionally Known CD
"n
Produced Idenfifica n or 0)
co