895 SAILFISH DR WINDOWS t,SS\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4 PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-1647
Job Type: WINDOW AND/OR DOOR
Description: window replacement
Estimated Value: $3,644.00
Issue Date: 8/5/2015
Expiration Date: 2/1/2016
PROPERTY ADDRESS:
Address: 895 SAILFISH DR
RE Number: 171250-0000
PROPERTY OWNER:
Name: WILLIAMS, PAUL
Address: 895 SAILFISH DR
GENERAL CONTRACTOR INFORMATION:
Name: ECOVIEW WINDOWS OF THE GULF COAST
Address: 6483 Ban Buren ST
Phone:
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $34.11
BUILDING PERMIT FEE $68.22
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $106.33
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
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
n
Job Address: /Dv-. PermitN.j' er: j15--f1-i1V&- 16117
Legal Description -7
tftcl PO4JW 41Ai?4P`arcel# /
P loor Area ot Sq.Ft. 'q
Valuation of Work 3M A/ Proposed Work heated/cooled �n=�'heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp�r-w�dow�/door�
Use of existing/proposed structureQ)(circle one): Commercial <Z]�esi n�:5�,
If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: 0 0 WR V7 -C J-7 ZiC
S72
Property Owner Information:
Name: P a u/ yjah q, Address: 1p�'T 5-dC111qAD0-1
city '4Ha4-04ir- &CA Stato!!4lZip. �23-4 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: cavljo U1,1dov Qualifying Agent: C-4 0jq C, 7r-C4t
Address: 0-50 City Ci�!-On Vill& tate 1--C- Zip .3
1� —S
Office Pho! V- /-,006- Job Site/C�ontact Number C�U Fax# VO-7--4 VI- g' 01
C
State Certification//Registration# 0 fs'�f
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address A
Mortgage Lender Name and Address
A a" s he eb made, bana e m 0 he work andin t fla"ons as'nd'c or installation has commencedprior to the
ds a,law thisjurisdiction. Ais permit becomes null
0 k Iss a erod s mont at a " e 'e;
,Is,P f ' c 0,1a
r We 11s',xPurna es�B Weale
r it' �9 t tom tt s! r 0
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'o s f , c d d d be c, ed or Ejeanc
T rk i co e e e an a e a ate pe
a,ks andAl,Cn.�ht'on=ete
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.
I hereby cerpfy that I have read and examined th* plication and know the same to be true and correct. Allprovisions oflaws and or&nances governing this
oj work will be coMplied with whether siZ'dsyaf%herein or not. The granting 9f a permit does not presume to give authowity to Wolate or cancel the
prownmu ofany otherfederal,state or locai law regulating construction or thepeFformance qfcomtrucwn.
Signature of Owner (4 Signature of Contractor
Print Name .14 1 W tfl-tqjr�..j Print Name <94- ..gf c t,3 C, c-,/C-
..... . ........ . . . ......................... -.............................................................................
SworQ and subscrft' d before me Swom4o and subscril;Ied Pefore me
this 7S Day of_1-1 this —Day of J 44 1 L1 204-
Notary Public "12AkT.Nk1- KARWEEMAHADAMS otary Public
My COMMISSION#EE 18992 KA)I::---1
My C(M
E Xpi
d Th. rY Public Undermote,
9 KA
E
EXPIRES:Apol 16,2016 m Y 6.
Bonded Thru Notary Public Underwrite- 9929
E
We XP' Apol 16,2016
6.1 a d TIVIRINZI
FILE COPY
LIMITED POWER OF ATTORNEY
Date:
1 hereby name and appoint Lla'fm J'n �fl t7 C�,j to be my lawful attorney in
I
fact to act for me and apply for a b- #4 permit for work to be
performed at the location described as:
f 5 5- Xc-, 1,4 n i-i-c
(Address of Job)
19c, U/ W I///
(Owner of Property)
And to sign my name and do all things necessary to this appointment.
&Wwv &A39
(giFa—tur-e of Gffiffled-Contractor)
&J 0"'-f'C' 'RC–C'Ac
(Printed Name Jf Contractor and License Number)
STATE OF FLORIDA COUNTY OF Vc'l
J u/Y
The foregoing instrument was acknowledged before?m thi day of 20
Joel
by 6�-j 0 ef c Pc-4c who is personally known to me or has 0 produced
(type of identification) as identification and who did
take an oath.
(SEAL)
Signature of Notary Public, State of Florida
�4(:Z V/ p4 C�k KARWE::EMAH ADAMS
My COMMISSION#EE 189929
Pr' I
Print/Type/Stamp Name of Notary Public EXPIRES:Aprii 16,2016
.'.t.
Bonded Thru Notary Pulbfic Undar�,,,
October 2009
FILE COPY NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of V c,/
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this 'TICE OF COMNIENCY.I.
Legal Description of property being improved: �49 .4 0 J -2 S -2 VE
Fq5 C
Address of property being improved: jr' C,
General&-scription 4 improvef rtents:
Owner: It It 6,t-f-j Address:
Owner's interest in site of the improvement: 0,;') 0
Fee Simple Titleholder(if other than owner)-
Name:
Contractor: C—-0 14-L L) 63 ton CIO"aj
Address: (v F!S� 1011XI&J. I Vi
Telephone No.: 50 q- 2 FI-6 06 -7, Fax No:
Surety(if any)
Address:
Telephone No: Fax No: Doc#2015157954,OR BK 17229 Page 832,
Number Pages:1
Name and address of any person makin a loan for the construction of th( Recorded 07/10/2015 at 08:59 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Name: A— COUNTY
RECORDING$10.00
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone 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
7b.06(2)ft Florida Statues, (Fill in at Owner's option)
Name:
Address:
Telephone 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 RECORDEWS USE ONLY OWNER
Signed: ?&J. Date:3 5-
Before me this—( �5 day of the County of Duval,State
Of FloyiU bas personally
-appp-argi wid"I
Notary Public at Largp,Stateof F�jt County of Duval.
My commission expires:
Personally Known:
Produced Identification: KARWEEMAH ADAMs
EE 189929
PI ES:April 16,2016
ownd Tb
Now/Riblic UnderwI
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7/7/2015 Florida Bulding Code Oniine
B
usiness Professional Regulation
da D_Ta"nd BCIS Home Log in , user Registration H Submit Surcharge Stats&Facts Publications FBC Staft BCIS S��e MaD .,,ks Se,&
usines Product Approval
USER: Public User
Product Amiroval Menu>P[pduct or Apolication Search>Application List>Application Detail
5111'
-115
FL# FL9333
Application Type Revision
Code Version 2014
Application Status Applied For
Comments
Archived
Product Manufacturer Vi Win Tech
Address/Phone/Email 2400 Irvin Cobb Drive
Paducah, KY 42003
(270) 538-4431
swheeler@viwintech.com
Authorized Signature Steven Wheeler
swheeler@viwintech.com
Technical Representative Steve Wheeler
Address/Phone/Email 2400 Irvin Cobb Dr
Paducah, KY 42003
(270) 538-4431
swheeler@viwintech.com
Quality Assurance Representative Ronnie WIlliams
Address/Phone/Email 2400 Irvin Cobb Dr
Paducah, KY 42003
(270) 538-4437
rwilliams@)viwintech.cam
Category Windows
Subcategory Double Hung
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
AAMA/WDMA/CSA/101.1/I.S.S/A440 2005
ASTM E1886 2005
ASTM E1996 2002
TAS 201, 202, 203 1994
Equivalence of Product Standards
Certified By
http:/twww.floridaWichng.org/pr/pr_app /Wam=wGE\/XQwtDqt%2fAIdUdyTLMaF3d8B7Qske7aYa4�MF23LJw%3d 1/2
_00.aspx'
717/2015 Florida Building Code Online
Product Approval Method Method I Option A
Date Submitted 07/03/2015
Date Validated
Summary of Products
- I
FL Model,Number or Same Clescription
9333.1 5100 DH Non-Impact HVHZ 5100 DH Non-Impact HVHZ 52 x 75
Umits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL9333 R5 C CAC N1010803-R1.Ddf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 08/31/2016
Design Pressure:+60/-60 Instaillation Instructions
Other: GLASS COMPLIES WITH ASTM E1300-04. FRAME FL9333 R5 II 08-01317A.Ddf
MATERIAL TO BE RIGID PVC FROM ROYAL WINDOW AND Verified By: Luis Roberto Lomas 62514
DOOR PROFILES PLANT#7 AAMA CERTIFIED (TPL-1) Created by Independent Third Party: Yes
Evaluation Reports
FL9333 R5 AE 5119265,L)df
Created by Independent Third Party: Yes
I k933:3.:72 SL 5100 i DH 5275 ShoreLlne 5100 Double Hung WIndow,Impact Rated, 52 x 75.
H-1170. lamb install method.
�Li-its of Use Certification Agency Certificate
Approved for use in HVHZ: Yes FL9333 R5 C CAC N1008081-R5-sianed.oclf
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impact Resistant: Yes 04/30/2016
Design Pressure: +70/-70 Installation Instructions
Other: When used in HVHZ color of frarnes to be WHITE FL9333 R5 11 08-00206C.od
only rigid PVC. GLASS COMPLIES WITH ASTM E1300-04. Verified By: Luis R. Lomas, P.E. 62514
FRAME MATERIAL TO BE RIGID PVC FROM ROYAL WINDOW Created by Independent Third Party: Yes
AND DOOR PROFILES PLANT #7 AAMA CERTIFIED (TPL-1) Evaluation Reports
FL9333 R5 AE 510926D.pdf
Created by Independent Third Party: Yes
FNED
Contact U :: 1940 North Monroe Street,Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer.Copyright 2007-2013 State of Florida. :: Privacy Statement:: Accessibility Statement Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send 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. -Pursuant to 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 off kial communication with the ficertsee.However ernaR ad&esses are pubk record.If you do not wish to supply a
persona4 address,Please provide the Department wft an emad address which can be imade ava4able to the pub4c.To cleteninwie ff you are a hcensee�urMer Chapter
455,F.S.,please click here.
Product Approval Accepts:
9L M F_-_�E
Now-, A
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road _1A
-5445
Atlantic Beach, Florida 32233
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: lo//–,5
City web-site: http://www.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Depadjaent review required Yes/-No
Property Address: yjs�� 4'�_k
I elBuildinq_�
Applicant: 71—anning&Zoning
Tree Administrator
PublicWorks
Project: 'Q a)
Public Utilities
Public Safety
Fire Services
Review fee Dept Signature
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: RA-pproved. []Denied.
(Circle one.) Comments:
PLANNING&ZONING Reviewed by: Date:
TREE ADM IN. Second Review: FlApproved as revised. F]Deni
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
To: Permitting Page 1 of 1 2015-08-13 12:40:53(GMT) 14076419807 From: Karweemah Adams
Doc # 2015157949, OR BK 17229 Page 827,
at 08:59 AM, NUMber Pages: 1, Recorded 07/10/2015
Ronn's FUSS011 CLERK CIRCUIT COURT DUVAL COUNTy RECORDING $10.00
45-N.
St Me of NOTICE OF COMMENCEMENT
County of ICU Tax Folio No.
TO Whom ft May concem.
The Undmigned hereby infwm you that impyove
the Florida StatutM the following inf Mcnts will be ma&to certain rW
ormation is Uated in this NonCE Op COM PrOPWY,and in accordapee with Section
L-Itgll Description of propeM being Improved: OMCEMENT, 713
2 S �2
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J�, Address of propr
,rty being jnWQveCL
General dmriplioo 0 _—
flimprovemenEs: 6Q,
Y Owner.-
0%sner!s in
t in sire of the improvement:
Fee 5 imple Tideholder(if Otho'than ownprol.
Name:
Contractor C
A-ddress:
Telephone No.: 7Z
Surely(if any) 44-1 Pax NO:
Address:
Amount of Bond S
Telephone No. ��:— -------
Fax No.-
Name and address orany pmon making it loan for the construction of the improvenM)ts
Nmne:
Address:
Phone No:
Fax No.,
Nalne Of Person within the Stac of-Florida,other ftn hfinSW
de3j
gnaW by owner upon whom notices or 11dw document m
served: Name:
Address:
Telephone No:
Pax No:
In addition. to ilimself.
owner designates dle followin4
713-06(2)(b),Florida Statues. (Fill in at()Wndes option) person to receive 8 cOPY Of the Licum's Notice as provided i,,
Name;
Address: 9
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Telephone No:
Fax NO:
Expiration.date of Notice of Commencement(the expimtion date is
specified): one-(1)Yew frOM the date of recording
unless a diffbmat
THISSpACE FORRWORDER'S USE ONLY OWNiEF4
oftis
Date: f
day o, in th't UMMY of Duval.S—fate
(XFlOrWk has na ly 3ppeared V I # JA
NOWY Public at Larse,9 di4 n or vuval.
MY comniZon expires:'I"10f Flori
PWSonally Known:
Produced ldcadfi
of