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5517 RIGET CT WINDOWS / DOORS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 WINDOW AND/OR DOOR PERMIT MUST CALL BY 4PMI FOR NEKT DAY INSPECTION: 247-S814 JOB INFORMATION: lob ID: 15-WIND-888 Job Type: WINDOW AND/OR DOOR Description: SKYLIGHTS (2) Estimated Value: $2,500.00 Issue Date: 5/1/2015 Expiration Date: 10/28/2015 PROPERTY ADDRESS: Address: 5517 RIGEL CT RE Number: LOC ID-0000 PROPERTY OWNER: Name: NAVAL CONTINUING CARE Address: 1 FLEET LANDING BLVD 1 FLEET LANDING BLVD GENERAL CONTRACTOR INFORMATION: Name: NCCRF Address: JASON PAUL HOLDER JASON PAUL HOLDER Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $31.25 BUILDING PERMIT FEE $62.50 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $97.75 PERAUT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE I�LORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office(904) 247-5826 Fax(904) 247-5845 0'- Job Address: 5517 Rigel Court Atlantic Beach, FL 32233 Permit Number: Legal Description Floor Area of Sq.Ft. - Parcel# S I't Valuation of Work$2,500.00 Proposed Work heated/cooled non-leated/cooled— Class of Work(circle one): New Addition Alteration Repair Move Demolition poril/spa window/door Use of existing/prof:,sed.structure(s) circle one), Cornmercial Residential If an existing struc re,is a fire Tsriler system installed?(Circle one): Yes No N/A Florida Product Apt — 303 For multiple products use product approval lorm Describe in detail the type of work to be performed: (2)New Skylight Property Owner Information: Name:NCCRF dba Fleet Landina Address: I Fleet Landing B CityAtlanticBeach State FL Zip 32233 Phone 904-246-9900 xt 431 E-Mail or Fax#(Optional)jhoidu@fleetlanding.com Contractor Information: Company Name:NCCRF dba Fleet Landing-Qualifying Agent: Jason Holder Address:1 Fleet Landing Blvd City Atlantic Beach -State Fl, Zip 32233 Office Phone 904-246-9900 xt 431 Job Site/Contact Number 904-219-4002 Fax# State Certification/Registration#CBC 1254586 Architect Name& Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Leader Name and Address Application is hereby made to obtain aperture to do the work and installations as indicated I certify that an wark or installation has commenced,ior to the issuance ofaperma and that all work will beperformed to meet thestandards ofall laws regulating construction in thisjurisdiction. Thisperautboomesimil and mid rf wark is not commenced within six(6)months,or ifcorstruclion or wark is�w, ,peaded or abandonedfor a c a WpermdofsixPu5)'month,at any on, the, warkiscomanenced. IundersiandihatseparalepemitsmwtbesecuredforElecwic Work, Plumbing,Signs, edilsP6.1s, ura.e., Bodeetffewers, Tami,,malAir Comfitinnem et. 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. thelcernfi,that I haw read and cormined thisfgheammmulk...the same 1.be froemal correct. All proWsiont ni'laws and ordinances gowyning this I 01',work will be complied with whether sroci Fed herein or not. The granting of a permit does not presume to grivc authority to wolao,or camel the provisions ofam,otherfed.cral,state,or local aw mgulating construction or the performance ofcomtraction. Signature of Owner Signature of Contractor Print Name Jason Holder Print Name Jason Holder .... .... .... .. Sworn t9jand subscrtbed before me Sworn to and subscribed before me this/.�ayof APAI� 20/'S"- this Z eMy of .45P�er� ­204!ij-- LNotary Pffbfic N �.XXIsuhl" IOPP'LNNI SHARI R QUEST IK", MY COMMISSION*FFOW47 li� SHARI R OUEMis vn e 01.26.10 I MYCOMMISStON#FFD 47 EXPIRES Nowmaw 4.W17 EXPI RESNommlow4.2017 1140n 3'0.5a Rmlft?latm,�. Ka)3VmI53 55Z a 2 C/) Ch CD x to ' 0 U3 r-D > c 0 CL 5 K CL co Cl) cr cn CD ET I 3. 0 CA 0 CID -n CD 5- CL ro- CD =r Tz " x 0 IT1 m x FA, -n :3 2 rL (a C, CD @ ,0 (0 0 CID cn CL CD Unit 5517 Nw SWIghtS For Fleet Landing by: Michael G. Holder, PE Lynn* FCM N ENGLISH:FCM Curb Mounted Skylight Installation Instructions ESPANOL:FCM tragaluz montado en brocal-Instrucciones de Instalacl6n FRANqAIS: Instruction d'installationdupultsde lumi6re FCM mont6surcadre 'A� 00�-600 ENGLISH:Content: ESPANOL:luffiche FRANI Index Page 2 Important installation requirements taupe 2 Requips Importartes us instalackin Page 2 Solidifications importartes Page3 Planning Pal 3 Planificauji Page 3 Planurfication Page 5 Installing underlayment Pliginds 5 Instalai de la Unclear de soporte Page 5 Installation de la sous-couche Page 6 Flashing lacigns 6 Tograquartgai Page 6 Salim Pai Mounting skylight Phi 7 Alternate del tragalur Page 7 Installation on puts de Immune ENGLISH;he"tart distribution reakelsomend ESPANOL atonal i.p�.�do instarladjoh FRAII Specifications Importune$ Repolflutch Internal del hope �&�ft FCM is drogroal for pof�h�s OP-60-(0.12 20:12). FCM orta doongdo par,trends canuchri do Le pulty cle norhore FCM on cargo pour las craps do Special consideration for applications takdow hadif V�60-()12-n Uk toit)i(022-20,U). potch 1!P: Couggloddroxionce expeciale,Pour"fichuckgre, an Afternoon Weighers,pour installation sur WU the Any dandensaugh tho form as the glass due to de homes de W; bad de of.do W� high hurninty my pro. Coadquaor concharegai We so frome re of cristal Does de,conditions his harringle,trut,u-screa S�ndingw�eranddia�w�egl�s�rtim debido a In recall ofts made gothor tion se burnout son la surface wines poura c'itoppler. may cause,gradque and opponent of the glass. El coup docanneada y a societal We pernearecon en Aw�Is this I'she�acddmurght diecteniont sur Is therther of the two athon,stated crourages are cry 0 cristal ducherad on Vargas wooden rouser contains orface, hums,nuiling g6ri de,1.corrosion ot des craft und.no VELUX warrearty. ,odgersdon on a caltal. pitches or Is erner. FkAmq borrow do ko,des cases menconall arriba sai Arecures cles desowaidichous treat adentio,ine,sent Flashing ECL is deshomild for mor tchai to-60- couladi nor 1. coarths do VELUX cauryarte,are,1, ,add VELUX. (2:12-2012), TaMu� Win Flooding EW Is desingred!for roof pitches 14',60- Taidefurtak ECL esta chadedo parda rates con incang- Sain ECL ect cargo pour pre, inclianden&I thare (3 V-21 cy6i de 10�60-(2:12-2012), vadrat diri 10-of 60-(Zr-20:12). har,artande of papper hcagd1xUwr Tapallead Ei code doodflad,pora torus,con Inkina $c1in ECVV on cargo Poor one Insfiralson de culture siatisfactor,product wiffacrargance depends an proper hade de 14`�(3,12-201 yanaght offirs,far of Wc(3:12-20:12), installation lnq�de War lartalacluer connector Uldruchrougge Co.We.hospital Sellor accepts an responsibility wongroser for failure U cauffifingere, put produch,de,hered de sh ta Wele,&I Instalfigglian Influence a undercoat do of or installor to instant VEWXa of Ind. it haphosereaustalocion. under et,door cede pulse,I raturprise, skylights In acceptance with now installation i Us kartgres its heard y Ins"i VEILUV di lue keralcur drom was Informer go 11 n ace,pir auxure, thins.Although%TWX peof windows and skylights go, Indonesia arguing once,instacciongo El Preseason a rescrousai quelle qui set.dars I cas ou on ,leskjoral and manufactured th the highest standards, grantor m�. ralauldod algincor par engines del notels- asufflatear he se performe pas aux Instruotiong ressen- .chroutur e,sour,as.11 as advionse Ind., con Actual has wrings nal plans y 1.thai ricauchoo 0.ce forldlot pour I photons,it c polls da condroons is.high humidity)my pren temperature, VELUX se ban diseriaga y pool pla logrin as houndre ch dune fortune,de tolt VEUI Value,spoci cordi which exceed pi court performance stood- chose,de call"nods and,la announcer;a cenducloods .,her We allow hi I,,fori us tat or runs do had,In I hases spi'penonfies person.may diddicatlea,dowas o belong on.candic.casurtaftnes lumedre VELUX andoodent a des normes,do fabrication the peresson, dual assuflucir rively,de tennic,ratur,due devace, g' elevies,if re pup Wo centuries conditions ol churches SdIfier rescue,I right to implement product changes coundidones do dearri del pradurtar En estoo cai hadke,encro, 6,6, A rini...I, hennidift4) for hanewhount Without Prior replication prede ser furnace,establecor madepas proaxi cooked A 'esthrou,affectort Is perficirrance on pa, Suppeoppoldr,ackeeporles El pronvoccor so ricsom of coupled a hater hadiffleacle con gains res,ca,des process preennoves s therent Rotor to let urban,11.11.1 type in i ch has a In,purchistao I,istifficarlun prova can il to do reconari contact VEWX fir former rforranation. .*.do,. Valum W le shadow se course Is ord distant, Seller adames no offigation whortioever for failure Accuracies do proportion salar cards presse,ded denouements A ses proguits;dark le ar an arrigurl histallear or building owner to par. Chi Its rentruceraw,an tip.do scrasera.c..- fund 0,1,duri ply with all applicable laws,onfluences,building neques,con VELUX Para copper mas inforounclon, Acessagoiced pard-opholl coades,and safety rocculdements. El procreation no asoury,prefulandabilindad alliance solue Van le,instructions poor Is type d ancassoles on NOTICE ...do counsel,Instand.,,construct.,per question ou contecter VELUX pour de plus annes All It.on,be,ani to ark,actud and dri el unclumplinflente de ordencepras legales,normad de introductions. an,pricalig,In can,docenotainues due to on,er',, constrecoll a countries do ing,reldad. U wandear W.audine neoppron.bilitas gaille tions In the glass tat are undetectable during the AVISO Wells,sed,dcon,In cas ou on arclutecte,on installa, nernefectiong and cWtuton Precess,by the manufac- am.hartas curcurstrucal tot.onstal"ta opelo. door w on"ritiltalso nobeake pas his settlements turner of the glass and VELUX occurred de macros inesperada a encourages deldhold do le U go knot adifficableI,has nounnes do code do VELUX offers the close of laralrated.1 tomphand ph. hrourfecosprok ed of crual he potelladd,ducams,so blitionern A de recolle. ,homm, acrinated I...ls.exhadinatich di or ren,facturrion6h a derento d puni do aspri for A�MN suche goes guests wtho he or anconalloolayers 0 ecks, of caurfachador oil oregal,pan VELUX Town pro molverre pruffort ediater dune hi broader tic FVB)or mor.1.or.of aseckpiter thishanari VELUX chance Is oncion its thoplacks,de citing I or national,day,ch,sures deconstarres does A des k designed to Mid the fhaW,ink together Tom," do.tonnead. El concl lartleade es.,a droolenci imparlighters do theradocced qui Ing sort pas di glass does not coming an interla,er to hold the fang do do,.has no].do drlyd�l con cas.mar gas tape ders de la fabrul of de ninspectigh sulvart ments topetre,Inthad,terrupered glass is dechgoal to indualudias do PLASholl(isda)a husind.En use de la fabricated par It mandulacturber do thurnotherre et break lot.throph poluble like pieces Who.imposed hatina.1.hear und dil dar.schooner unions I vaux glass books close,of 1.cang less.0 dr,strike fragarepre,do cristal.El cristal template he decrease VELUX page her sighostan do thouralorre Ii a. an adieWb,l oppe ofteraddlado pam yetener unions las forgiagortho theri or ses unts de lanes.U.[no popre,ento Grousidt facced re'sloodure andfin building matgi de crogral.En so Indian el cristal hamphook,uAA doefinago uns coodurnagang he dou.ou per,it note do veve announce;to detioncene which type of glays Is para We se hope re instances Inch coal(aando incident dod do onesiders..,he,pyrnsup,de each night for"a ar If prousted 1.is neighboring I. wer el anstal templado se por,peclaois did costal Wen We pi so pages,Does Is cas de bas lostrapare,can appionalber. safthese,pattern a on nursers. bi depends intereares parent la PrI do notecur Console cook his hand. A a.. le,fi agurent,do theourner/seng ishourenble,Par could, de material de coproduction thers dectuarmloor coul 1.therchaverse tureal a loops pas dettsI conchas bingo de cristal es 0 inder grechapho poor noted o il so coperrourds pour order Ins fragments do thercholverm neoprene crucial landroade,an sm gondolier, chamber U theranyverne temple aft scon,door s ecietter an he ofts fragments ple were Loodare le thround/vorre therri se caui le,trades gisces do sery Winners present do,,pastures;shossiongs oc. sees des comeragsk prostates on its legi blessings aux Igi so faraway A presorted, Consulter were code do lodgment pi un proples, sionnel-consultant affin de Inner disteproplive a tharni sure mommandfi pour votre application an al on therimpoposione alone est recession,does vothe has. 2 VELUX ENGLISH:Clearance around installations ESPANOL:EspaclD Iffire alrededor de las FRANCAIS:D6gagement requis autour instalarclones cle I'linstallartion ENGLISH:Maintain illustrated clearances bi tiveen skylight frame and roof,also maintain thew clearances from critical aii such as vallei ridges and slope changes. ESPAROL:Respete Ins espacros hares dustrados entre el marco del tragaluz y el techo.Tamblim respete as ri libires an arms cinticas comr, 18"/450 in in 24"/600 mm himahoyas,cumbronas y rambles de Ini FRANPAIS:Le d6gagement Midi entre le adrage du pults de uri at is tolture dolt He 12" 12" 12" 12" cespecti,;maintedir Ogaiment ce didgargement, 300 mm 300 mm 300 mm 300 mm lorsquen Pr6sence de vallonmement,anutt do faite on variations de prime. 7 8'/450 num 24"/600 man /1 9 �q ENGLISH:Light shaft application ESPANOL Aplicacii del hueco de luz FRANCAIS:Ouverture du puits de Roof rafter Vigas del techo Chevron Drywall Tablarroca Fruition framing Armaz6n Reinforcement Vapor barrier Barrera de vapor Coupe-vapeur Insulation Alslarriento Isolation VELLA ENGLISH:Build curb according to misism ements ESPANOL:Construya el brocal do acuencro con FRAN�Afli:Constimire on cadre scion les dimen- m the of...t.Use lumber with an actuel thickness la�medficlones de la taba.Use madem con on sions indlquees an diagrainumse.Utifisce do bars de of 116"/38 mm and a minimum height of 3W/ gro5or real do 11h 738 min y una altura minima do llh"138 min do argeur r6oln ct done loordicur mi 90 min.Curb height and attachment should W790...to At...y superior del broxal deban mmale de W/90 men.La hauteur do cadre et les comply with building sodes and regulations and respeter Ins conigirs y normas do construccion y moor dements culvert res,pecter les exul be seen re enough to transfer the skylight loads to estor bien blades pum transforir las cargos del de to r6glementation do Code do hatment et Able the frano ng members. tragaluz a los dowries del armai suffisamment a6cuntairn pour recover le foods Net.:FCM rin,be rotated 90-11 Note:El trai FCM puede girarse a 90-El de to structure do cults cle umuere. 'No VELUX flashing is available for a rotated -No hay timajuntas VELUX para modelo FCM con Note:Le purts de lumhre FCM neut itire towns FCM,we 2270. notorious tamale.2270. de 9W El -Aurim solon VELUX n est disinforble Kur one installation on retell.de 90',ifinuccrislum 2270. Skylight size Outside curb dimensions Tannam del Medida interior tragaluz del brocal Taille on puits Dimensions hi de lum!4re tout 1430 17ttrl x 33W 445 851 ron, 1446 17ihTl x 49-/," 445 nroi,12F rvn ------Y 25W'x 251A" W ------- 2222 548 rom.W IV,'738 -4 min 25W x 33V," :.933X! min 90 min 2230 0.. 2234 25W'x 37W" k �13 ror�x 952 min 2246 25W'x 49uh" 648 mon x�57 min 2270 25W'x 73`h"m,, 648 ran.1867 3030 33V,"x 33W" 851 Min x 851 min 3046 33W x 49W' 851 U57 orn 3434 37y5"x 37!h" 952—�952. 4646 49W x 49W' 1257 our x 1257 min 4 VUUX ENGLISH:Skylight curbs should be completely wrapped In self-adhesIve membrane to ensure waterproofing.To achieve this waterproofing,use 7" VELUX roofing underlayment ZOZ 216 IT wide). 180 min ZOZ 216 must be applied before Installing the flashing. First cut back felt 3775 min at bottom and sides of skylight,and T7160 min at top of skylight Note:In caw of roof pitches below 15'and if snow accumulation on the roof Is likely,wate,� proofing Is achieved by installing a continuous Y' self-adhesive waterproof membrane bomath the 75mn, roofing material and flashing material.Waterproof membrane around the skylight curb must be properly Integrated with waterproof membrane on roof decking.Skylight curbs with heights over 61 3k"may require additional ZOZ 216 material for 150 in proper Installation. ESPANOL:Los brocales del tragaluz deber extar totalmente envuell en membrane autoadhestva Para garartizar la inniparmeabilidad.Pam asegurar la impermeabilicad,use lamina de suporto VELUX -- -- --- ZOZ 216(9'anch.).I-a Anun.ZOZ 216 debe aplicarse antes de instalai el tapapirtas. 75"1", /6"0 Primem corto of fieltro a Y/75 min de la parte 15 inferior y lauds del tragal y a T/180 min de la parte superior del tragaluz. Nol Para Ids tactics con Indmachin de memos de 15o y si se acumula move some el techOr Se logra z) Is limparmeabilided instalando um membrana Im- permeable autwichesiva continua por debajo del material de cublerta y del material del tapajuntan, La membrane impermeable call alrededur del tragaluz dete,integrarse correctamente con la nembrama Impermeable del tablem.Los brocales de tragaluz cuyas alturas supmen los 3W purden 13.. necesifter material ZOZ 216 extra Para una correc- ta Instalaci6n. FRANPAIS:Le cadre desther a receyou le puits de dincre dolt 6tre envelomul d'une membrand autocollante a I'lifireuve des intenquirles pour en assurs,son etanchi Poor cc farm,utilisez Is �us-courlfia pour torture VELUX ZOZ 216(9"de arkeur).Calle-cl dolt etre appos6e avant 'Ini tion des sofins. Recoupez dabord le fieutry A 3775 min sur Is par- tie inlerieure at sun lea c6tes;do pults de Iumi6re et recoulnu le ficurific A 77180 min sur la fall 6" sihninmra. 50 rorn Note:Duns le ous dfune installation sur Inclinalson de tolture Infurieure A 15'at sl des accumula- tions on neige yont probables, 'etunchiib§Sam assur6e en firstallant une membrane ant000llanto A Ilipireuve des Imennip6ries an continu sons le mat6riel do toiture at sous les sollns.La membrane 6tanche autour du cadre do pults de lunigre dolt efire proproment intesgme A la mearribrane litanche did tabler de torture.Los radm.do hanteur SUP6- rieurs A 3%m pourraient demander davantage de matcrIel ZOZ 216 pour une Installation adequate. 6" 15,min ENGLISH:Wrap the curb with VELUX malfing unceirlayment ZOZ 216 and create waten-shedding I over felt at bottom and sides of skylight Note:Obserw the measurements stated In and B ESPANOL En,uelva el brocal min Smina do porto VELUX ZOZ 216 y once solapas imperrovabi- --------------L4 lummes con el fieltm an la parte Infiorlor y adds deltragali Nothic Observe las mendiday,especificadas an 19 FRAN�AIS:Envolopper le cadre avoc Is sous, couche ZOZ 216 de VELUX afin de crew on rebord 2' etanche pan-dessus le fame sur ta pantie nfii- ricure at sur as c6tils do pults de i Ill 11 Note:Respectez les dimensions illustriel anx figures 13 et R VEWX 5 ENGLISH:Wrap the cur b at top frame of skylight with VELUX rocifing underlayment ZOZ 216 and create proper water-shedding lap. ESPAROL:Eri of brocal por In parto superior del manco con lamina de soporthe VELUX ZOZ 216 y cree solapas Impermeamilusantes adecuadas. FRANqAIS:Envelopper Is cadre aver,la sous- concha ZOZ 216 de VEWX sur la partle superlative 150 mr, afin do cruet un rebord 6tanche. 13 r, ENGLISH:To secure the watershedding,inter- weave felt with additional standard roofing un- derlayment as shown in M for new construction applications,For i etroffit applicatli indameave felt with additional standard rounfing underinment as shown In M ESPANOL:Para asegurar la inipermeabilizaci6n, mt,r�oe 0 fieltro con lamina de soporte estandaur d1donal turn,se Inifica an M parm las apilcacto ties all construcciones nuryas.Pam aplicaciones M mi Intertale or fieltro con limits de sopor- te esthri adiciatal como se imlica e,M FRAKAIS:Pour assurer Mtanch6ite,entrecra, Is fout. c do mai de torture standard comme illui 5 la figure M days Is Cos dune Installation sur nouvelle construction.Pour une installation so torture existante,entrecroiser le feutre avec on materiel de tontine additionnel comme Illustre A la figure ENGLISH:Forthin roarfing materials,useflashing ECL ECL is desigmed for roof pitches 1OP-60o (2,12 20:12). For profiled roofing materials,use flashing ECW. ECW is designed far roof pitches 14'-60' (3:12-2012), ESPANOL-Pam materiales de cubierta delga- this,use t.pajuntas ECL.Eft estA closi Pam t.cms con inclinackh,de 10�60'(2:12-2012). "j, Par.materi.les de cublerta ondulados,use 4W mpajuntas ECW.ECW estA disenado Pam techos con Inclimarli de 14--60-(3:12-20:12). FRANi En pulsonce de materiel de tolture muce,utifiviez us satins ECL coni pour Incli- ------ nalson de tolture de 10�60-(2:12-20712).Pout materiel de torture proi infillsez Ii solins ECW corKus pour Indinal.ri do touture 14'-60- (3:12-2012). 6 VEWX ENGLISH:If custom made flashing is used,con. sider opons A,B or C. ESPANOL:Sn se uIllizan tapalumas a modida, considere Ins opciones A,8 a C. FRANQAIS:Dans le cas o�du solin fadarlutwi sur mesure est utills6,consideez les options A 8 on C. ENGLISH:Center the skylight on top of the curb amid secure with#8 1W1382 nern pan head stain- less steel screws founded.Screws will penetrate the curb by at least hi'719 rom. A Apply downward pressure to the top of the skylight frame while securing the scrows. ESPANOL Cadre el tragaluz solare el brocal y fl- jelo cen W tomilloo de seem immidable de cabcoa chaurfleada de#8 lW738,2..s.ruhmst-aclas,Los tomilloo penetrarin el brocal un nininno de W/19 Mon. A Aplique Presum sabre el armau6n del tragaluz culentras Inserta Ins tornillon. FJRAN�AIS;Centrez le pults de lumline sur a cadre et finz.le�ec les vis cylkindriques en acer noxydable#8 IW'/38,2 him fournies.Les vis seront firsdrbes dans le cadre sur ure longueur d'envirron W/19 .. A Appiquez une pression descendaunte sur lar pmtiesupOHeumdupultsdelui�!6relorsde )'installation des vis. VELUX 7 ENGLISH: Home owner Information Please complete and give to home owner. Productnumber ......... ..........................-................................................................................................................................ ...... .......... . ........... .... ...... (stamped on product exterior) Quantity: ...................................................--................................. ...................................... ...................... ................. Flashing: .............................--.................................................................................................................................................................................--- Date ............. .................................................................................................................................................................-........................................................... Accessoriesinstalled ..........................................-- - -.......................---................----................................... .............. Model............—Size........ Variant code-....................... Roofingmaterial:.................................................................................. ............................................................................................................................................. Installationcontractor ...........................--.....................................----....................................................................--............--..........-- ...............-.......... Dealerpurchased from:.................... ......................---...............................-............................—...............--.....................--............ .................. ESPAROU Informacima del propietario Completar y entregar ad propietario. Numerode producto:........-- ................ ....................... .............--............... ....... ........................ Omlpre5o en la parte externa del producto) Canticant....................................... .........................................--............-.............-.................... .............................................................--.......... Tapajuntas:... ............................................................................................................................................................................................................................. Fecha ............................................... ...............- ................................................................... ................ .....................-............. Accesonosinstalados ..................................................................................................................................-........................................................................................ Meddle-............Tamaho...........-C6digo de variante.......................... Materialde cubjerta: ........................................................................................................................................................................................................................ Instalador: ........................---..........--...........................................-.......................................................---.......... ............ ............. Onstribuidor al que se compro ei producto:......................................................................... ........................................................................................ FRAKAIS: Information pour le,proprikaire occupant Veulllez compkier et remettre an propriftaire occupant. Num6rode produh; .............................................................................................................................................................. ............ ........ .............. ..... ........ (ftamip6 sur la partie ext6rieure on produit) Quantit6:................................................................................................................................................................................................................ ...........-................ Solfin ....................................-........................................................................................... .........................................................................--............... Date:................................................................................................................................................................................................................................................ ........ Accessairesinstall6s ................................................................................-...........--............................................................................................................................... Modole................Dimension...............Code.......................... Materielde toiture ............ ...........................................- ...................................................................................................... Entrepreneuren installation: ................................................................................. ............................................................................ .................................. D61alliant ............................... ............ ............. ............................................................................................................ ... ..... USA: Vi America Inc. AUS: VELUX Australia Pty.Ltd 1-800-88-VELUX (02)9550 3288 CDN: VELUX Canada Inc. NZ: VELUX New Zealand Ltd. 1800 88 VELUX(888-3589) 09-6344126 www.veltjx.corn City of Atlantic Beach Building Department 800 Seminole Road th. Atlantic Beach, Flonda 32233�5445 Phone(904)247,5826 I'AX(904)247 �845 F Inalf b.ildin9-depf@c0.b us [D.: citywob-81te httpl/�coab'rs APPLICATION REVIEW AND TRACKWG FORM PropertyAddress S� j ;P*qeZ t De en reviewre uIred Yes No Applicant: uildin anning&Zoning Tree Administrator c:-2 I A3h_T-S_ Public Works lic Utilities Public Safety Fire Servioes Review fee k— Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept of Environmental Protection Of Pe it Verified 8 Date Florida Dept.of Transportation St.Johns Rivei Water anagement DiStrict Army Caps of Engineers Division of Holes and Restaura Division of Mcohohe Bwerari— m T-,— Other. ��—P—PUC N ATIO STATUS Reviewing Depariment First Review: 11,0(p-proved F]De.id (Circle one.) Comments PLAN14ING&ZONING TREEADMIN Reviewed by:_ Date S S Rev... DApproviad a revia.d econd Review: PUBLICWORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date FIRE SERVICES Third Review: [DApproved as revised ODenjed Comments- Reviewed by: Date .m.d 07127110