2307 BEACHCOMBER TR - WINDOW PERMIT ?, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
\ >,N INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-1862
Job Type: WINDOW AND/OR DOOR
Description: WINDOW REPLACEMENT
Estimated Value: $14,840.00
Issue Date: 8/11/2015
Expiration Date: 2/7/2016
PROPERTY ADDRESS:
Address: 2307 BEACHCOMBER TR
RE Number: 169463-0156
PROPERTY OWNER:
Name: ROBERTS. DUANE AND CAROL. *
Address: 2307 BEACHCOMBER TR
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN WINDOW PRODUCTS
Address: 2633 S POWERS AVE QA KEITH ALAN GURR
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $62.10
BUILDING PERMIT FEE $124.20
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $190.30
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
•
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PHONE (904) 247-5855
•
Cashier Id: aspcust\atlbbja
Receipt Date: 8/11/2015
Receipt Number: OS-57441
Job ID: 15-WIND-1862 - WINDOW REPLACEMENT
PC - PLAN CHECK FEES $62.10
Job ID: 15-WIND-1862 - WINDOW REPLACEMENT
BLDGFEE - BUILDING PERMIT FEE $124.20
Job ID: 15-WIND-1862 - WINDOW REPLACEMENT
DC - STATE DCA SURCHARGE $2.00
Job ID: 15-WIND-1862 - WINDOW REPLACEMENT
SS - STATE DBPR SURCHARGE $2.00
Amount Due: $190.30
Tender Information: Check # 38448 $190.30 ,
Tender Type: CN
Tender Amount: $190.30
Change Due: $0.00
•
••. City of Atlantic Beach
'
` Building Department
fAPPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 / ././A • 1 6
%, ;;; / E-mail: building-dept @coab.us
City web site: http://www.coab.us Date routed: // ffif
APPLICATION REVIEW AND TRACKING FORM
y at Id 7 1 £?)) 0 l� `
Property Address: et* Department review required
n o
�Q �/ A^Building
Applicant' '/�-�.ea� /V / 7I.b d Jac -lanning&Zoning ==
L �1 /t Tree Administrator
� _-
Project: Q W 4. (:fa- tiro A Public Works _
• Public Utilities -
Public Safety ==
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept. of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
M.
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: (Approved.
(Circle one.) Comments:
['Denied..
BUILDING
PLANNING &ZONING
Reviewed by: J
Date:y,./.i.—
TREE ADMIN. a
Second Review: ❑Approved as revised.
❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: ❑Approved as revised.
❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH .! ri
800 Seminole Road, Atlantic Beach, FL 32233 l,,,.,,;,,;, COPY
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 1-3t1 €Qi ' 'C'kr Oe T i` Permit Number: /5---w//j//) 1 g'6 2.
Legal Description • L tJ s III— LL J I 16 Parcel# U '`TVA:/— 0 I`J(p
po oor • ea o q. t. q. t
Valuation of Work$ I LI g`'l t u J Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spiindowlld oor
Use of existing/proposed structure(s) ((circle one): Commercial esiden • �)
If an existing structure ,is a fire sprinkler system installed? (Circle one . s No N/A
Florida Product Approval # 1 4(Doti•' I`C 6 O •5
For multiple products use product approval form n ' ' `
Describe in detail the type of work to be performed: 4 4 L Q.Le.1 itet � (IN Vldws
Ku W bD UI(2.('di;
Property Owner Information:
Name: NCtIlc e, Address: 2-3Cil 8,,^ ,, i ' T21—
City State ,Zip S iS, 'hone 55S b2 42 40
E-Mail or Fax#(Optional)
Contractor Information: AMERICAN WINDOW
PRODUCTS, INC.
Company Name: 2633 POWERS AVE. Qualifying Agent: 1441/1 &1U2.12.
Address: ACKSONYILLF, Ft 32207 City State Zip
Office Phone I- 22 Job Site/Contact Number Fax#
State Certification/Registration# • C)25 1
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 commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6) onths, or if construction or work is suspended or abandoned for a period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air 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.
I hereby 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 of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other feder 1,state, or loc l regulating construction or the performance of construction.
t
gnature of Owner `
pi Signature of Contr tor
.---te-e-,
print Name a Li , Print Name 6-111
Sworn to and su cribed before me Sworn to and subscrib-d before me
this rl D o La Wit II AA ,20 IS this `-I Day o ,20 16
lit ,.r
fit° / r' . 4. IRIS L IiARGROVE
Notary Public .►0v;Tar VIC1O GURR Public MY COMMISSION i EE 127993
Y ' •' MY COMMISSION ti EE 159811 =c-}
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Florida Building Code Online Page 1 of 3
Business & Professional Regulation
E o..da BCIS Home 1 109 In User Registration E Hot Topics I Submit Surcharge I Slats&Facts I Pubbcatens I FBC Staff E BCIS Site Map I Linda I Search
Bushes uct, ,
Professi I Public User
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Product Approval Menu>product or Application Search>P,pDlicatwn utt>Application Detail
•�rll
FL# FI14604-R2
=:_R•Te.P.: Application Type Revision
Code Version 2010
Application SUS Approved
*Approved by DBPR_Approvals by CBPR shall be reviewed and ratified by the FOC
and/or the Commission if necssary.
Comments
• Archived ❑
Product Manufacturer Eastern Architectural Systiens
Address/Phone,/Email 10030 Bavaria Road
Ft Myers,FL 33913
(800)432-2204 Ext 4314
thoardtrvnetaLcom
Authorized Signature Timothy Hoard
.thoardtbeastemmetaLcorn
Technical Repre_sentative
Address/Phone/Email
Quality Assurance Representative
Adams/Phone/Email
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency National Accreditation&Management Institute
Validated By National Accreditation&Management InstihAe,
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/I.S.2/A440 2005
ANSI/AAMA/NWWDA 101/I.S.2 1997
ASTM E1886 2002
ASTM E1996 2002
TAS 201 1994
TAS 202 1994
TAS 203 1994
Equivalence of Product Standards
Certified By
•
Product Approval Method Method 1 Option A
Cate Sul:nitted 11/07/2012
Date Validated 11/15/2012
Late Pending FBC Approval
•
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fLOPMA OSPAtm'MCtvr Ot
Business & Professional Regulation ., ''
❑❑,,,, _tt4 r iViSIO!rs CCY+rAC;
fR
D( J eras Home I Log In I User Registration f Hot Topics Submit Surcharge I Scats&Facts f Pubbcations I FBC Staff BCIS Site Map Unls I Search
Busines ,
Professi► • .I
Regulation•-.._ Product Aooroval Menu>product or Application Search>Aoolicabon Uft>Apphcatioe Detail FILE C
1 OFFICE OF THE FL# R14608-R3
SECRETARY Application Type
Revision
Cade Version 2010
Application Status Approved
"Approved by DBPR.Approvals by DEAR shall be reviewed and ratified by the POC
and/or die Commission If necessary.
Comments
Archived D
Product Manufacturer Eastern Architectural Systems
Address/Phone/Email 10030 Bavaria Road
Ft.Myers,FL 33913
(800)432-2204 Ext 4314
ttoardOeastertrtietal.com
Authorized Signature Timothy Hoard
ttoard®eastermetal.com
Technical Representative Timothy 3.Hoard
Addres/Phone/Email 10030 Bavaria Road
Fort Myers,FL 33913
(800)432-2204 Ext 4314
ttoardOeasternmetal.00m
Quality Assurance Representative
Address/Phone/Email
Cate9aY Windows
Subcategory Fixed
Compliance Method Certification Mark or listing
Certification Agency National Accreditation&Management Institute
Validated By National Accreditation&Management Institute,
Referenced Standard and Year(of Standard) Year
AAMNWDMNCS4 101/1.S.2/A440 2005
ANSI/AAMA/NWWDA 101/I.S.2 1997
ASTM E1886 2002
ASTM E1996 2002
TAS 201 1994
TAS 202 1994
TAS 203 1994
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 07/31/2014
https://floridabuilding.org/pr/pr app_dfl.aspx?param=wGEVXQwtDgsw8ZVNfe8A7Zpdf... 1/23/2015