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748 VECUNA RD - WINDOW `, s,Y CITY OF ATLANTIC BEACH Air • A J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ,J 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-2780 Job Type: WINDOW AND/OR DOOR Description: WINDOW REPLACEMENT Estimated Value: $3,800.00 Issue Date: 12/14/2015 Expiration Date: 6/11/2016 PROPERTY ADDRESS: Address: 748 VECUNA RD RE Number: 171356-0000 PROPERTY OWNER: Name: BEATY, ANNA M Address: 748 VECUNA RD GENERAL CONTRACTOR INFORMATION: Name: AMERICAN WINDOW PRODUCTS Address: 2633 S POWERS AVE QA KEITH ALAN GURR Phone: - - PERMIT INFORMATION: FEES: BUILDING PERMIT FEE $69.00 STATE DCA SURCHARGE $2.00 PLAN CHECK FEES $34.50 STATE DBPR SURCHARGE $2.00 Total Payments: $107.50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. p City of Atlantic Beach APPLICATION NUMBER jiv JS r \ Building Department (To be assigned by the Building Department.) Atlantic tic Seminole Road 4(--"N/4// I o2 7�y0 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 1145.9." 9:. E-mail: building-dept @coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7 V 1 �(4i4i d � review required Ye o Buildi PTnTmmg &Zoning Applicant: Tree Administrator Project: £,&)/A/'D 0 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: APPLIC A ION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUILDING /1)o PLANNING &ZONING Reviewed by: Date: ) lO'7S/ TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni . 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 ., min I•^, 800 Seminole Road,Atlantic Beach„FL 32233 k,,,,,,,,; `,..,i Office(904) 247-5826 Fax(904);247-5845 Job Address: 14 Ve I Permit Number:/5--14//n/D--a7 Legal Description C) Palms 2/1 Lc' 1 (& I5 Parcel# 11 15 ~ OOC)C p w Floor Area of Sq.F't. �Sq.Ft Valuation of Work$ 3S U3 Proposed Work heated/cooled,_ non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move -Demolition pool/spa windov /door Use of existing/proposed structare(s) (circle one): Commercial ' -_ identi•. If an existing structure,is a fire sprinkler system installed? (Circle one): No N/A Florida Product Approval# V+(p 3 For multiple products use product approve form , . Describe in detail the type of work to be performed: ( 0 R ^�U WI()CLEW S Property Owner Information: l/ ' Name: 5041'1UE:i /OQ Addre s: r 4c V ECIA - 0- City /a State -Zip - Z2? Phone 2 4-ct' - 't'0 1 t E-Mail or Fax#(Optional) AMERICAN WINDOW Contractor Information: PRODUCTS, INC. ``J 2633 POWERS AVE. Qualifying Agent: �>ATt1 61 -t' Company Name: JACKSONVILLE, FL 32207 City State Zip Address: tY Fax# '�3�- 8 8 24- Office Phone '-i 9)l- 2'2`M Job Site/Contact Number - State Certification/Registration# C Y C 12'�t 201 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 th 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 mu and void rf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for age od f� 6)months Boilers,t work is commenced I understand that separate permits must be secured for Electrical Work, ing, gns, Wells, Heaters Tanks and Air Conditioners,etc WARNING TO OWNER: YOUR FAILURE T(RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAWN 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 application and know the same to be true and correct. All provisions of laws and ordinances governing thi 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 th provisions of any other federal,state, or local law regulating construction or the performance of construction. �� _lib;: Signature of Contractor 7�-`'-- Signature of Own- - -..... c , t �I d1 Print Name � 9,_.,, � Print Name N Sworn and subscribed before me Sworn to and subscrid before me 0 �� this Day of N 20 this 9 Day of f` / r r��.ar vuB�o IRIS L HARGROVE yY �` �t ,t/X i• ( J 'JN IRIS 1 :( :OE uY COMMISSION t FF 8971 U , Zt: Notary Public �. , ; * MY COMMISSION t FF 891106 Notary'.'i°:�+.� EXPIRES:September 6,2019 EXPIRES:September 6,2019 °•Ex ct- aa,oed Thru a-dget Nola S • "revised 01.26.10 P RrdedTr Loge NcnryServices '- 300_ 7P7 -7_54, - t- o (�-r1'bLc .L c? .#_ ox I' . w Jr "t1 r rn C) s� s� C) � xu, W w ` w o �c 4 W ti 1 w 4- w Florida Building Cbde Online I Page 1 of 3 Fl L E CO Y Business & Professional Regulation pvida(mart n:d BCIS Home 1 Log In User Regtstration Hot Topts j Submit Surcharge ! Stats&Facts ; PubbcatIons i FBC Staff BCIS Site Map I Oaks I Search 1 Busines �; Product Approval Professinal USER:Public User Regulation . Product Approval Menu>Product or Application Searc >Application USK>Applicetien Detail ■OFFICE OF THE FL# FL14610-R3 SECRETARY Application Type Revision Code Version 2014 Application Status Approved *Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived Product Manufacturer Eastern Architectural Systems Address/Phone/Email 16341 Domestic Ave. Ft. Myers,FL 33912 (800)432-2204 Ext 4314 thoard@eastemmetal.com Aut Signature Timothy Hoard hoa ea sue Technical Representative Timothy rd(J. Hoard .co m Address/ ne/Email t 10030 Bavaria Road Fort Myers,FL 33913 (800)432-2204 Ext 4314 thoard@eastemmetal.com • Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Horizontal Slider Compliance Method Certification Mark or Listing Certification Agency National Accreditation&Management Institute Validated By National Accreditation&Management Institute, 1 I Referenced Standard and Year(of Standard) Standard I veal AAMA/WDMA/CSA 101/I.S. 2005 ANSI/AAMA/NWWDA 101/I. 2 1997 ASTM E1886 2005 ASTM E1996 2005 TAS 201 1994 TAS 202 1994 TAS 202 1994 Equlval of Product Standards Certified y hops.//flondabu ildin .or r/ r _dtl.aspx?param=wGEVXQwtDgsw8Z... 824/2015 g g/P P _app Florida Building Code Online Page 1 of 3 COPY ' µ9J F;,aR10A CEFAMhSEM CF ; Business & Professional Regulation ., Fe.daDvart,ner. BCIS Home i Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map L Busines±�'. 4Product Approval Professional USER:Public user Reguiatior, ;arui'^rt^av`9are�a'r Product Approval Menu>Product or Application Search>Application List>Application Detail ,„;:N M5•` FL14604-R3 Application Type Revision Code Version 2014 Application Status Approved *Approved by DBPR. Approvals by DBPR shall be reviewed and the POC and/or the Commission if necessary. Comments Archived Product Manufacturer 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@eastemmetal.com Technical Representative Timothy J. Hoard Address/Phone/Email 10030 Bavaria Road Fort Myers, FL 33913 (800)432-2204 Ext 4314 thoard @eastemmetal.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 httos://floridabuilding.orJ/pr/pr app dtl.aspx?param=wGEVXQwtDgswBZ... 11/7/2015