287 Nautical 2014 window CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
dji 19
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-WIND-417
Job Type: WINDOW AND/OR DOOR
Description: window replacement
Estimated Value: $2,368.00
Issue Date: 11/20/2014
Expiration Date: 5/19/2015
PROPERTY ADDRESS:
Address: 287 S NAUTICAL BLVD
RE Number: 170703-0371
PROPERTY OWNER:
Name: BRUGGEMAN OLIVE H & TOM,
Address: 275 S NAUTICAL BLVD
GENERAL CONTRACTOR INFORMATION:
Name: LOWES HOME CENTERS INC
Address: 4948TELSONPL QA PETER ANTHONY CAFARO III
Phone: - -
PERMIT INFORMATION: BUILDING DEPARTMENT:
* WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED*ALL STICKERS ARE TO
REMAIN ON THE WINDOWS*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT
FASTENERS
* 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
FEES:
PLAN CHECK FEES $30.92
BUILDING PERMIT FEE $61.84
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building DepartmeL-A "T o be assigned by the Building Department.)
800 Seminole Road 11
Atlantic Beach, Florida 322:33-5445 7
Phone(904)247-5826 - Fax(904)247-5845
City web-site: http://wv�w.r-(:)ab.us Date routeLd: 4 g
APPLICATION REVIEW AND TRACKING FORM
Proper�y Address: d�'j 1j1o4&7??A 1. ojt�/jta/ De artment review required Yes No
Buildin
Applicant: Z -Mnning A.Zoning
Tree Administrator
Project: 'ejep Xa L-19M 94 7- Public Wo.eks
Public Utilities
-�-u b I-ic S��T�t-y-
Fire Serv'ces
Review fee Dept Signature
vr_"�'ONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: P<Plp*�roved. []Denie-�
(Circle one.) Comments:
(E ;1 -
PLANNING &ZONING Reviewed by:
Date:
TREE ADMIN.
Second Review: []Approved as revised.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:--
FIRE SERVICES
Third Review. []Approved as revised. []Denied'.
Comments:
Reviewed by:_ Date:
REVISED 09252014
�,J_Lu f Nr-y Z)I UlNr- 1.)UJMZ3 dt r_I I- �-IAUL U:Z/U2
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
Atlajitic Beach, FL 32233
800 Seminole Road, FILE COPV.
A
".-hice (904)247-5826 Fax (904)247-5845
z1-
JobAddress: 01001 /)-M 7-1',t -,,z, zl_ 4 e 7-,7 PerwitNumber:
n 7—,7LS7-2_�67- ,/7,1, �eelo_l / 70703 — e671
Legal Descrillffi� loor Area of Sq.Ft.- Sq.1-t
Valuation of Work sc�--3(p 7. 5-3 Proposed Work heated/cooled non-beated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa Lin�d000r
Use of existing/proposed structure(s) circle one): Commercial �g:es;id�e�n *
tailed? (Circle one): es
If an existing structure,is a fire spriWer systemi s es No N/A
Florida Product Approval
For multiple products use prodhoft approval form
Describe in detail the type of work to be performed:
V
Property Owner Information;
Name: -12)M Bie IZ66"A-?J Address:c2 76 11,*4 77C/;�L Z_I/D 5
City State ip.3!���3Pbone- 'I a V ;I,/'i -If--f A
E-Mail or Fax#(Optional
Contractor Information:
Company Name: 4,,.t��,
Qualifying Agent:
Address: P1 9 A I'X e;�_T City Oe oea state le-e— Zip 13?--676
Office Phone ZIU7-015�03 Jol) Site/Contact Number Fax it
State Certification/Registration f�:_/ 7 K3 S--z--c3-7,57-3
Architect Name&Phone fi X46�
Engineer's Name& Phone#
Fee Simple Title Holder Name and Addres�
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain apermit to do the work and installations as indicated. I certify that no work or installation ha;5 commemed prior lo the
Issuance ofa permit and that all work wi.tl be performed to meet thestandards ofall laws regulating construction in thisjurisdiction. This permit becomes nufl
r work is sus
and void[fwork is not commenced withfnsix'(0)month$. 00'if Construction q -pended or abandonedfor eriod ofsix(0)monihs at any time after
awl ers
work is commenced. I understand that separtite permitv must be.�ecuyedfbr Electrical'Work,Plumbing,Si�ns, �ells,Pools, JI&nacev, Bollers, Heat
Tanks andAir Conilitionem eta
WARNING TO 0'% R: YOUR FAILURIE TO RECORD A NOTICE OF
COMMENCEMENT MAY 1, "' SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF �, 3U INTEND TO OBTAIN FINANCING CONSULT WITH
VOUR LENDER OR AN TTORNEY BEFORE RECORDING YO��NOTICE OF
COMMENCEMENT. .
I here certify that I have read and examined this 4 lication and know the same to be true and correct. All provisions oflaws Land ordin ces governing this
work ivill be co�qplhed with whether specij d herein or not. The granting of a Permit does not pPestime to gz4ve'autho to o1o7te or cancel the
ciating construction or the peiforynance ofcon.struclion.
provatomy ofany otherfederal,state, or local law P
Signature of Owne Signature of Contractoi— __-44
PrintName ................................ .........
A-2,-).................
Print Name _41VI ..............
hi-.fhrn Me Swo t I re me
Sworn to an( 10 this O�T_cTi�eo_�� dh..d&..W1h_jM�
thisfY DE _D
A y
A L CARTER
r nf FinridA
No Expires hiar 18,2017
Notary Publ,
,(407)39&OM3 FloddallotaryService-cOm ',,OF% 0 Is
rev 1,Sio njo�
Y-,i s: 0
'lorida Building Code Online Page 3 of
FL11834 R9 -=AC ADW-01 120 130 SH Twin Stack H-LC50
73xI09 Fin APC D5171.01-801-47.pd
Quality Assu ice Contract Expiration Date
05/10/2017
Installation Instructions
FL11834 R2 i �ADW-01 120 SH Installation-Mulled.pdf
Verified By:A., --rican Architectural Manufacturers Association
Created by In�- !pendent Third Party:
Evaluation Reports
Created by Independent Third Party:
/r11834.4 130 Single Hung, Fin and Flange, Single LC-PG50-1346x1956(53x77)-H,LC-PG50*-1219x2756(48xlO9)-H
and Mulled PW/SH,LC-PG50--1842x2756(73xlO9)-H PW/Twin SH,LC-
PG50*-2769x1956(109x77)-H Triple SH,R-PG40-2451x2134
(97x84)-H Twin SH
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL11834 R9 C CAC ADW-01 130 SH H-l-050 53x77 Fin AAM
Approved for use outside HVHZ:Yes APC 135167.01-801-47j)d
impact Resistant: No FL11834 R9 C CAC ADW-01 130 SH H-LC50 53xZZ Finless AAaA
Design Pressure:N/A APC D5167.02-801-47.1)df
Other:All frame and sash components are fabricated from FL11834 R9-C CAC ADW-01 130 SH Stack H-LC50 48x109 Fin
extruded vinyl(PVC). AAMA APC D5171.01-801-47.pd
FL11834 R9 C CAC ADW-01 130 SH ack H-LC50 4 x10.9
Finless AAMA APC D5171.01-801-47.pdf
FLI 1834 R9 C CAC ADW-01 130 SH Triple H-LC50 10907 Fin
AAMA APC D51 ).01-801-47.pd
FL11834 R9 CAC ADW-01 130 SH Triple H-LC50 109x77
Finless AAMA D5170.01-801-47.pd
FL11834 R9 -.AC ADW-01 130 SH Twin H-LC40 97x84 Fin
AAMA APC D5 :.01-8 1-47.od
FL11834 R9 CAC ADW-01 130 SH Twin H-LC40 97x84 Finles
AAMA APC D51 u8.01-801-47�pdf
FL11834 R9 CAC ADW-01 130 SH Twin Stack H-LC50 73xI09
Fin AAMA AP 171.01-801-47.pd
FL11834 R9 -'AC ADW-01 130 SH Twin Stack H-LC50 73x109
Finless AAMA A -'-D
Qyajity-Ags—drance Contract Expiration:Da
05���
,,.46-Aallation Instructlons
FL11834 R9 II ADW-00 130 SH Installation 7FBC2:0:10:�AT�6
SS.Dd
- Heomes
Verified By
Created by Independent Third Party:Yes
Evaluation Reports
FL11834 R9 AE ADW-00 130 SH PER FBC2010 PER2731 SS.vd
Created by Independent Third Party:Yes
11834.5 ingle Hung H-LC30 48 x 96, H-LC40 36 x 96, H-LC50 36 x 74,R-LC35 73 x
109 Twin wl Tr&-1som
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL11834 R9 C CAC ADW-08 150 160 SH H-LC30 48x96 AAMA
Approved for use outside HVHZ:Yes APC B8797.01-801-47-110-0
impact Resistant: No FL11834 R9 CAC ADW-08 150 160 SH H-LC40 36x96 AAMA
Design Pressure: N/A APC B8797.01- J1-47-110.od
Other:All frame and sash components are fabricated from FL11834 R9 C f-,AC ADW-08 150 160 SH H-LC50 36x74 AAMA
extruded vinyl(PVC). APC B8 97.01-,-�1-47-RO.Ddf
FLI 1834 P9 C ��C ADW-08 150 160 SH Mulled TW ST H-1135
Z3x109 AAMA tPC C1749.01-801-47.1)d
Quality Assurznce Contract Expiration Date
04/18/2016
Installation U�;�tructlons
EL11�24 Rq_�� AaW 1 0 1�6O SH M
Fln.pd
FL11834 R9 11 ADW-08 150 160 SH Sinale Fin Installation.pd
Verified By:American Architectural Manufacturers Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
11834.6::::::::—=150/160 Vinyl Single Hung,Triple w/ H-LC30 108 x 74(Standard), H-LC50 108 x 74(HP)
50/1'
C C
wt. Head and Sill
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No EL11U
A_B2
_Q_CAC ADW-08 150 160 SH CHS Triple K QaQ
Approved for use outside HVHZ:Yes 108x74 AAMA APC C5189.01-801-47.pd
impact Resistant: No FLI 1834 R9 C CAC ADW-08 150 160 SH CHS Triple H-LC50
Design Pressure:N/A 10804 AAMA APC C1748.01-801-47-RO.i)df
Other:CHS Triple configuration also qualifies twin and single Quality Assurance Contract Expiration Date
ittp://www.floridabuilding.org/pr/pr�_app—dtl.aspx?param7--wGEVXQwtDqub� )f.M2eroZGl4lYyj8OJ7V... 11/12/201,