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1741 SEMINOLE RD - WINDOW 'r JO-44 , CITY OF ATLANTIC BEACH A .) 800 SEMINOLE ROAD j V - '� ATLANTIC BEACH, FL 32233 __________) 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-2783 Job Type: WINDOW AND/OR DOOR Description: WINDOWS/DOOR REPLACEMENT Estimated Value: $5,211.00 Issue Date: 12/14/2015 Expiration Date: 6/11/2016 PROPERTY ADDRESS: Address: 1741 SEMINOLE RD RE Number: 169640-0500 PROPERTY OWNER: Name: SAPIA TRUST ET AL. PETER C Address: 1655 SELVA MARINA DR GENERAL CONTRACTOR INFORMATION: Name: AMERICAN WINDOW PRODUCTS Address: 2633 S POWERS AVE QA KEITH ALAN GURR Phone: - - PERMIT INFORMATION: FEES: -- -- ----- --- PLAN CHECK FEES $38.03 BUILDING PERMIT FEE $76.06 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $118.09 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 0),A,jy City of Atlantic Beach APPLICATION NUMBER $,' 9s� Building Department (To be assigned by the Building Department.) p 800 Seminole Road J Jc / Atlantic Beach, Florida 32233-5445 ' I v�/r 4'i 2783 Phone(904)247-5826 • Fax(904)247-5845 ,o;; �, Z E-mail: building-dept @coab.us Date routed: If A City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /7VI A De artment review required Ytertlo Building Applicant: A--ThieeitnV i/2sock) g &Zoning Tree Administrator Project: W e ld / Z5 Public Works 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: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: :UILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pP ❑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 r l r-, r- ^ " _ ' 800 Seminole Road, Atlantic Beach, FL 32233 r,,,.,... L,,. ,, .1 ti Office (904) 247-5826 Fax (904) 247-5845 Job Address: I q 41. ,€l 1 WIe tat Permit Number:/S U////Q'—o?78Z? Legal Descriptiontetan &Aft *2 S1/2 LL* 4 Parcel #'01�140_0500 0o Floor Area of Sq.Ft. Sq.li"t Valuation of Work$ 5 .- J Proposed Work heated/cooled non-heated/cooled, Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp., window/door Use of existing/proposed structure(s) (circle one): Commercial •esident.. If an existing structure,is a fire sprinkler system installed? (Circle one): ---es No N/A Florida Product Approval # For multiple products use product approval orm Describe in detail the type of work to be performed: ' eet0 bekinera W(nGLQWS 2 IDla he 11 oc-s Property Owner Information: Name: .a PO Addre : 1141 ey/t , p.O . City State0,Zip 3fl Phone "304-' (o©$O E-Mail or Fax#(Optional) Contractor Information: AMERICAN WINDOW A�� G-cutiz. PRODUCTS, INC. Company Name: 2633 POWERS AVE. Qualifying Agent: Address: JACKSONVILLE, FL 32207 City State Zip Office Phone '1?j-'Z2 Job Site Contact Number Fax ft State Certification/Registration# i � 2031 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 commenced r (6) or suspended months at yt after work ismcd to d thatseparae perm itmt be secred for ElectricalWork, 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. 1 hereby certify that 1 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 comp • 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 fed: a, tate,or local law r rug construction or the performance of construction. Signature of 0 ner Signature of Contra for Print Name C` C -w Print Name Sworn to,�p.nnd subscribed before me Sworn to and subs c i>a bed bpfore me 20�� this 67-`May of ftJ V- , 20/S this L Day 1 V — _ ;.k... tppY PO� tFiIS L i VE Notary P�11�.4. •• v p PD. ..Y J.GALLAGHER No . . 'P , l r COMMISSION#FF 897106 I * .,- * MY COMMISSION#FF 902227 EXPIRES:September 6,2019 Revised 01.26.10 EXPIRES:September 6,2019 .:109- Bonded Thru Budget Notary Sentes 15 X I„ 45. ride Bonded ThN Budget Notary Services ■ PI Y n ° Z) o¢ g ( °. 6. p ,0 CO J ON to W N O\ n A W N !--' M 2 -0 a a nn.. Pa• °" o 5. a c7 3 8 76, z 0 cra i < o a o o �- ° (IC cro xj 0 _ o o UG (1=o to (To 0 g E \ as �< -+ Q. -�` -0 CD o v x ,< ( X C CA °r ° DI. ' .-T---- d ¢ o �'. o n D ¢, o o v, "� O N) D a. w N Z 1• 1po� , 3 O < Oc > w 5 a. m r =Z (C>ZO C ¢ F 2 � cr s7 Al ,c CD c O 1c o ° O 3 2 (3)_ Q. C...)3 ti -► o c/ ,, a- _ C MI -F- o � •`O o • 5- ° TJ CD JN f . ,-. I r ,2• CD m •E . C➢ to .: n • - O R3 "C CD "'t O o O CDD `z7 a 0 y oc 2 _ CA _ 6- '-d .c- U\ a� o `-° o y 6 _ g• b . ri 0 4- -- . a- a- n 'n It x m -.3 \.), o ° O m a °-<� n w 5 z `,4V) < o 0 ao < 'o CD CD 0 Cr C31 1 3 t-\ r.__,..._,,_,...... r- r r, 7 :',.■ -------to.„......_ 6" < 4.` 6-• k N J `i > N I On 0 m n 1 13 0 lof4 Florida Building Code Online Page OFFICE COPY f lOr+:C>W o 11,170 M OF Business & Professional Regulation KEZIEMENEXICIE :.,or?Depa;t.r, 1 BCIS Home Log In User Registration Hot Topics ! Submit Surcharge Stats&Facts Publications I FBC Staff BCIS Site Map L Busines ,t �Product Approval Professibal USER:Public User Regulation Product Approval Menu>Product or Application Search>Application List>Application Detail OFFCE OF'HE FL15221-R1 sECEru� FL# Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Plastpro Inc./Nanya Plastics Corp. Address/Phone/Email 5200 W CENTURY BLVD. LOS ANGELES, CA 90045 (440) 969-9773 Ext 16 rickw @rwbidgconsultants.com Authorized Signature Vivian Wright rickw @rwbldgconsultants.com Technical Representative Scott Johnson Address/Phone/Email 5200 W Century Blvd. Los Angeles, CA 90045 (440) 969-9773 Ext 18 scottjohnson @plastproinc.com Quality Assurance Representative Ron O'Connell Address/Phone/Email 5200 W Century Blvd. Los Angeles, CA 90045 (440) 969-9773 Ext 16 ronoconnell @plastpro.com Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Evaluation Report from a Florida Registered Architect or a Licen Professional Engineer 4 Evaluation Report- Hardcopy Received • Florida Engineer or Architect Name who developed the Lyndon F.Schmidt, P.E. Evaluation Report Florida License PE-43409 Quality Assurance Entity National Accreditation and Management Institute Quality Assurance Contract Expiration Date 12/31/2018 Validated By Ryan J. King, P.E. 4 Validation Checklist- Hardcopy Received Certificate of Independence FL15221 R1 COI Certificate Of Indeoendence.odf Referenced Standard and Year(of Standard) Standard AAMA/WDMA/CSA101/I.S.2/A440 ASTM E330 TAS 202 Equivalence of Product Standards Certified By https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQWtDyv3yV... 12/1/2015 • Florida Building Code Online Page 1 of 3 • OFFICE COPY r.. . 0.M.0,1 CAPAMMASIfir Business 81 ofessional Regulation • rosnotom mow CR"i=3:3 =h,w ro,3r«1Fii:, BUS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BUS Site Map L Busines % product Approval Professional USER: Public User Product Aoaroval Menu>Product or Application Search>Appi■caSion Llst>Application Detail • FL# FL14604-R3 Application Type Revision Code VerSion 2014 Applicatidn Status Approved *Approved by DBPR. Approvals by DBPR shall be reviewed and the POC and/or the Commission if necessary. Comments Archived • Product Manufatiturer Eastern Architectural Systems Address/Phone/Email 16341 Domestic Ave. Ft. Myers, FL 33912 (800)432-2204 Ext 4314 thoard@eastemmetal.com Authorized Signature Timothy Hoard thoard @easternmetal.com TechnicalRepresentative Timothy J. Hoard Address/Phone/Email 10030 Bavaria Road Fort Myers, FL 33913 (800)432-2204 Ext 4314 thoard @easternmetal.com Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Single 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 AAMA 506 AAMA 506 AAMA/WDMA/CSA 101/I.S.2/A440 ANSI/AAMA/NWWDA 101/I.S.2 ASTM E1886 ASTM E1886 ASTM E1996 ASTM E1996 ASTM E1996 TAS 201 TAS 202 TAS 203 • • https://floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgsw8Z... 11/7/2015