1230 OCEAN WINDOWS 2016 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DIM
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-104
Job Type: WINDOW AND/OR DOOR
Description: REPLACE DOORS
Estimated Value: $9,671.00
Issue Date: 1/27/2016
Expiration Date: 7/25/2016
PROPERTY ADDRESS:
Address: 1230 OCEAN BLVD
RE Number: 171821-0000
PROPERTY OWNER:
Name: ETTLINGER, ELLIOTT FARRELL
Address: 1230 OCEAN BLVD 1230 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA HOME IMPROVEMENT
Address: 4070 SW 30 AVE WAYNE T BURNETT
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $49.18
BUILDING PERMIT FEE $98.36
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $151.54
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 1"14- (zq_
City web-site: http://www.coab.us I =======J
APPLICATION REVIEW AND TRACKING FORM
Property Address: rtment review required Y "N o
B!Bui�lding
uilding
pV Ej\A ,Bqnning &Zoning
Applicant: of Y�F___ — I cv�Joe, Tree Administrator
(2\ p(O'CC;1RE, Public Works
Project: OcDe 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:
APPLIgATION STATUS
Reviewing Department First Review: [PeApproved. r]Denied.
(Circle one.) Comments:
(��D
PLANNING &ZONING Reviewed by: Date-.—/—,;246
TREE ADMIN. Second Review: FlApproved as revised. nXied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION MOO 301AA0
OFFICE COPY CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 1 &wwo - ) 04
'ess: a;;o ann 131vd. Permit Number:
escriptionlb-11 Ili-2S_7AF- HAN28LAJ LET -L MLIL 4CI Parcel# 111 RV - 0DOD
Floor Area of Sq.Ft. "q
.ition of Work$ q (011 - QDProposed Work heated/cooled n�n"-heated/cooled
Class of Work(circle one): New Addition tio Repair Move Demolition pool/spa window/(E)
Use of existing/proposed structure(s) (circle one): *ommercial siden i
If an existing structure,is a fire sprinkler system installed? (Circle one):R4S ��No N/A
Florida Product Approval# �h, I bJ !� I - I
For multiple products use product approval form
Describe in detail the type of work to be performed: V_e121(2(_p rlmrS
-1 1 L
Property Owner Information:
NameV4hnQty-, mjt*i � camAyn Address: tQ31D (XeGLn Mvri
City A-VkrilnA�L nt-Ckt StatefELzip Phone qb 4)50 1- 4 1�1-71
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:f9DY&A 110mg-1 M P 114 A-550L, Qualifyin Agent: Ao rffj s �u M
Address: 46-10 SW 3('1th AVR - City JAI) State r-L ZipIlIE-2,
Office Phone C15q)76 �15 Job Site/Contact Number_q Fax# T)423-1C(- 3Q-F0
State Certification/Registration# Q_&C, 0 LP
Architect Name&Phone# N I/
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address. N)
Bonding Company Name and Address AJ/A-
Mortgage Lender Name and Address tJ/I'"&
A ca,, Ii h reb ade bana e d e ork and ns a 10a * n a 'Indi cgd certify that no work or-installation has commenced prior to the
�n s �aws e atng ction in this jurisdiction. This permit becomes null
0 1 l rmi'to 0 t' i t ' t Ods s ' �dled or=nedfor a period ofsix months at any time after
b dtorn tthe stan ar a
r k is.S,
f� E 'd d ectrc, "k Plumbing,Signs, Wells, Pools, A urnaces, Boilers,Heaters,
to t p
Y"d ha a k e e e
6 in riths, or construct n or 0
.PP c a p t an t -0 six p it f I
hi
d d f work is not corn ericed t
"o P P, t scur 0
is orrun"c, rst , w se arate rm be ed rE
,k d de a d that
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 herelb 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 this
nit does not pre u to give authority to violate or cancel the
0. work will be complie th whether specified herein or not. The granting of a perr, t ction. rh,y U V,
provisions of any otherfede , t or local law regulating construction or the pe�formance of cons ru
Signature of Owne Signature of Contractor
.........
Print Name toil C4--14,q. Print Name c�f.............................
. . . ............................ Asre��k................... Q.f
.....................................................................................................5
Sworploandsubs b d JfoWme S dsubs *bedb foreme
'wom-'o an 20
this D of this Day o CA
OY. e)l,VN.
�V�A'j %
ised 01.26.10
Property Appraiser-Property Details
A ELLIOTT FARRELL Primary Site Address Official Record Book/Page Tile#
N BLVD 1230 OCEAN BLVD 04734-01117 9416
BEACH, FL 32233-5742 Atlantic Beach FL 32233
iER CAROLYN W
CEAN BLVD
Detail 171821-0000 Value Summary 2015 Certified 1 2016 In Proaress
USP3 Value Method CAMA CAMA
Total Building Value $142,982.00 $141,620.00
aperty Use 0100 Single Family
Extra Feature Value $821.00 $821.00
of Buildings 1
Land Value(Market) $481,120.00 $481,120.00
10-11 16-2S-29E — ,—
Legal Desc. MANDALAY Land Value(Ag ic.) $0.00 $0.00
Subdivision 03126 MANDALAY Just(Market)Value $624,923.00 $623,561.00
Total Area 8041 Assessed Value $227,763.00 $227,763.00
The sale of this property may result in higher property taxes. For more information go Cap Diff/Portability Amt $397,160.00 $0.00 $395,798.00 $0.00
to Save Our Homes and our Property Tax Estimator. 'In Progress' property values, Exemptions $50,000.00 See below
exemptions and other supporting information on this page are part of the working tax
roll and are subject to change.Certified values listed in the Value Summary are those Taxable Value $177,763.00 See below
certified in October, but may include any official changes made after certification Learn
how the Property Appraiser's Office values property.
Taxable Values and Exemptions-In Progress
If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value
Summary box.
County/Municipal Taxable Value SIRWMD/FIND Taxable Value School Taxable Value
Assessed Value $227,763.00 Assessed Value $227,763.00 Assessed.Value $227,763.00
.......................................................................................................... ............................................................................................................ .......................................................................................................
HOMESTEAD(HX) -$25,000.00 HOMESTEAD(HX) -$25,000.00 HOMESTEAD(HX) .................................$.2.5.,.0.0.0...00.
........................................................................................................... ........................................................................................................... .................................................
Homestead Banding 196.031(lXb)(HB) -$25,000.00 Homestead Banding 196.031(l)(b)(HB) -$25,000-00
.................................
............................................................................................................ ..................................................... Taxable Value $202,763.00
Taxable Value $177,763.00 Taxable Value $177,763.00
Sales History ---- - I
Book/Page --rie
Sale Date Sale P !Deed Instrument Type Code Qualified/Unquallified Vacant/Improved
04734-01117 10/5/1978 $42,000.00 WD-Warranty Deed Unqualified Improved
04952-01070 8/29/1979 $100.00 QC-Quit Claim Unqualified Improved
01111-11914 1/14/1991 $101,00 QC-Quit Claim Unqualified Improved
08207-01404 10/31/1995 $100.00 WD-Warranty Deed Unqualified Improved
i
09204-00137 10/31/1995 1 $100-00 QC-Quit Claim Unqualified Improved
09204-00138 2/11/1999 $100.00 QC-Quit Claim Unqualified Improved
Extra Features
-�alue
LN Feature Code Feature Description Bldg. Length Width Total Units
1 FPPR7 Fireplace Prefab 1 0 0 1.00 $434.00
2 SHWR2 Shed Wood 1 8 14 112.00 $387.00
Land&Legal
Land Legal
Land V�n d LN Legal Description
LN I Code Us e Description Zoning Front Depth Category Units Land Typ 1.7e 1 10-11 16-2S-29E
RES LD 3-7 UNITS PER Front 2 MANDALAY
1 0100 ARS-2 62.00 125.00 Common 62.00 $481,120.00
AC Footage
- - i 3 LOT 2,S 12 1/2FT LOT 3 BLK 49
Buildings
Building 1 -
Building 1 Site Address Element Code Detail
1230 OCEAN BLVD 24
Atlantic Beach FL 32233 Exterior Wall 16 16 Frame Stucco
Roof Struct 3 3 Gable or Hip L
Building Type 0101-SFR 1 STORY Roofing Cover 3 3 Asph/Comp Shng
Year Built 1953 Interior Wall 3 3 Plastered
Building Value $141,620.00 Int Flooring 14 14 Carpet
Int Flooring 12 12 Hardwood
Gross Heated Effective Heating Fuel 4 4 Electric ADT J FGR
lyp-e Area Area Area I
1 1 Heating Type 4 4 Forced-Ducted L-: L,:�J
Base Area 2352 2352 2352
http://apps.coj.net/pao_propertySearcWBasic/Detail.aspx?RE=1718210000 1/2
OFFICE COPY
FHA - DIAGRAM SHE
MEASURE DATE
CUSTOMER NAME LEAD NUMBER TYPE OF PROPERTY FLOOR N. MR.HIGHT MEASURE TECH
E4� -308 ASON GIACCHI
SGD
711/2 x 79
(+/-60)FL13241.1
SGD SGD
70 1/2 x 79 70 1/2 x 79
(+/-60)FL13241.1 (+/-60)FL13241.1
A -4
44- "t,
M7
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Florida Building Code Online Page I of 2
7777�
Business & Ptofessional Requlnfipxi�
AW
Aa De"m KM WMS I Log In ! UW RegWiirtion Hot Topics SubrNt Surcharge Stilts FilaS F13C 51;3A pCIS Site Wp iuri,. Sarch
hsinesg' �
h��, I a Product Approval
ryaUSER;PubliCU5er
Regulation
Search>AmAcaflon Lis >Application Datall
FL 13241-R2
Application Type Revision
Code Version 2014
pproved
Application Status e
Comments 04/15/2015vd
Archived
Product Manufacturer Custom Window Systems Inc.
Address/Phone/Emall 1900 SW 44th Avenue
Ocala,FL 34474
(352)366-6922
ekoss@cws.cc
Autinorized Signature Koss Erin
ekoss@cws.cc
Technical Representative Erin Koss
Address/Phone/Ernail 1900 SW 44th Ave.
Ocala,FL 34474
(352)368-6922 Ext 291
ekoss@cws.cc:
Quality Assurance Representative Jay Lathrop
Address/Phone/Email 1900 SW 44th Ave.
Ocala,FL 34474
(352)368-6922 Ext 291
jlathrop@cws.cc:
Category
Subcategory
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
PJ Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Lucas A.Turner
the Evaluation Report
Florida License PE-58201
Quality Assurance Entity Keystone Certifications,Inc.
Quality Assurance Contract Expiration Date 07/21/2020
Validated By Steven M.Urich,PE
9-6 Validation CheckJist-Hardcopy Received
Certificate of Independence FL13241 R2 COI EvalRei)CWS-496B(SGD-8900,NI),od
Referenced Standard and Year(of Standard) Standard YSAr
AAMA/WDMA/CSA/101/l.S.2/A440-05 2005
ASTM E1300-04 2004
PA TAS 202 1994
Equivalence of Product Standards
Certified By
http://www.floridabuil ding.org/pr/pr—app_dtl.aspx?param=wGEVXQwtDqvRk6bsvZ66F... 6/24/2015
Florida Building Code Online Page 2 of 2
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 04YI412015
Date Validated 04/21/2015
Date Pending FBC Approval 04/25/2015
Date Approved 06/22/2015
Summary of Products
Fl.# Model,Number or Name Deliscription
241.1 SGD-8900 PVC Sliding Glass Door. SGD-8900,Sliding Glass Door, 15080,OXXO,Non-impact.
Limits of Use installation Instructions
Approved for use in HVHZ.,Yes FL13241 R2 11 CWS-496D(SGD-8900,NI).od
Approved for use outside HVHZ;Yes VerlW By: Lucas A.Turner 58201
Impact Resistant:No Created by Independent Third Party: Yes
Design Pressure:+N/A/-N/A Evaluation Reports
Other:See Installation Detail for DP and Max.Sizes,OXXO, FL13241 R2 AE EvalReo CWS-4960(SGD-8900.NI).Ddf
OXO,OX,&XO. Glass complies to ASTM E1300-04. FL13241 R2 AE Quari fMikron)NOA 12-1017 02.pdf
I Created by Independert Third Party:Yes
F-7-.1 F7—
Contact Us ;1940 North Monroe Str Phi SSO-487-1624
The State of Florida is ar.AA1EE0 employer� Privacy Stateni ACci Statemerg :Refund stato—it
under Florida law,ern&W addresses are public racords.If you do riot want yout e--mall address released in response to a public-nii request,do riot send
electronic mall to this entity,Instead,contact the office by phone or by b*itional mall.if you haw any qL*stions,please contact 850.487.1395.-Pursuaryt to
Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an emall address if
they have one.The emalls provided may be used for ofricial cairwinunication with the licensee.However emall adildresses an public record.It you do rot wish to
Supply a personal address,please provicle the Department with an emall address which can be mai available to the public.To dete—Ine if you am a licensee under
Chapter 455,F.S.,please click h2l
Product Appnoval A�ceptili
W r"P6� E
securitvmi Tau,
W&UM,
http://www.floridabuilding.org/pr/p�_app—dtl.aspx?param=wGEVXQwtDqvRk6bsvZ66F... 6/24/2015
URNER 1239 Jabara Ave.
North Port, FL 34288
ENGINEERING & Ph. 941-380-1574
TCONSULTING,INC. FBPE C.O.A.#29779
Evaluation Report 496B
April 18,2015
Product Description: Series 8900 PVC Sliding Glass Door,Non-Impact,4'x8'nominal panel
size, 3/16 Tempered—Air—3/16 Tempered glass
Manufacturer: Custom Window Systems, Inc. 1900 SW 40 Ave, Ocala,FL 34474
Statement of Compliance: This report evaluates the above-listed product per the requirements
of FAC Product Approval Rule Chapter 61 G20-3.005 (4). This product complies with the
requirements of the 5-�Edition(2014)Florida Building Code including the High Velocity
Hurricane Zone. The product testing standards perfor m- ed are outlined below.
Technical Documentation:
1) This report,prepared by Lucas A. Turner,P.E.,at 1239 Jabara Ave.,North Port,FL
2) Approval drawing CWS496B,signed and sealed by Lucas A. Turner,P.E.
3) Test Report NCTL-210-3614-3 and-3A,National Certified Testing Laboratories,
Orlando, FL,with test completion date 06/15/2009
a. Testing Performed: TAS 202 1994(Full 202 performed on 3 identical specimens
of 1901/8"x 951/2" size OXXO with Design Pressure+/-60 psf)
b. Testing Performed: AAMA/WDMA/CSA I Ol/I.S.2/A440-05
4) Supplemental Calcs.to support CWS-49613,signed and sealed by Lucas A. Turner,P.E.
Installation: Units must be installed according to approval document CWS496B.
Limitations of Use: This product:
May be used with door heights up to 95_1/2",with 45 5/8"max.panel widths and
41 1/2"x 85 7/8"max.glass DLO sizes
Achieves the design pressures shown in CWS-496B
Is non-impact resistant and requires the use of shutters in windborne debris regions
May be used in the High Velocity Hurricane Zone
Requires 3/16 Tempered—Air—3/16 Tempered glass minimum
Requires Quanex(Mikron)white rigid PVC framing per Miami-Dade NOA 12-1017.02.
I have evaluated the framing material in this NOA and find that it complies with the
requirements of the 5h Ed. (2014)Florida Building Code for use in this product.
Certification of Independence: I do not have,nor do I intend to acquire,nor will I acquire,a
financial interest in Custom Window Systems or in any company manufacturing or distributing
products for which this report is being issued. I do not have, nor do I intend to acquire,nor will I
acquire,a financial interest in any other entity involved in the testing or approval process of this
product. 10"1110"f"4F
No 5=1 .V 4/18/2015
S Lucas A. Turner,P.E.
FL PE#58201
Z STATE 0 F
J*I&4
OF Lucas A. Turner
....... 2015-04-18
4;10NA%� 22:16-04:00
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NOTICE OF COMMENCEMENT OFFICE COPY
(PREPARE IN DUPLICATE)
e . Tax Folio No. -0000
Permit No. 171821
State of FLORIDA County of DUVAL
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 NOTICE OF
COMMENCEMENT.
Legal description of property being improved- 10-11 16-2S-29E MANDALAY LOT 2,S 12 1/21FT LOT 3 BLK 49
Address of property being improved: 1230 OCEAN BLVD Atlantic Beach FIL 32233
General description of improvements: REPLACE DOORS
Owner ETTLINGER ELLIOTT FARRELL, ETTLINGER CAROLYN W
Address 1230 OCEAN BLVD Atlantic Beach FL 32233
Owner's interest in site of the improvement OWNER
Fee Simple Titleholder(if other than owner) N/A
Name N/A
Address N/A
Contractor FLORIDA HOME IMPROVEMENT
Address 4070 SW 30TH AVE HOLLYWOOD FL 33312
Phone No. 9547924415 Fax No. 9544728380
Surety(if any) N/A
Address N/A Amount of bond$N/A
Phone No. N/A Fax No. N/A
Name and address of any person making a loan for the construction of the improvements.
Name N/A
Address N/A
Phone No. N/A Fax No. N/A
Name of person within the State of Florida.other than himself,designated by owner upon whom notices or other
documents may be served:
Name N/A
Address N/A
Phone No. N/A Fax No.N/A
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name N/A
Address N/A
Phone No. N/A Fax No. N/A
Expiration date of Notice of Commencement(the expiration s one(1)year from the date of recording unless a
different date is specified): !�7
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Sign - DATE
Bet. day of I /X f, in the
C. �*,:=�
a,,S tpte of F�ri.dara i 'Q-nally peare
herein by
Doc#2016008820,OR SK 17 427 Page 337, hirrislellf 6arself'and affljm- mts and declarations heret
Number Pages: 1 are true and accurat
Recorded 01113/2016 at 04:274 PM, 0 EE
OURT DUVAL
be(
Ronnie Fussell CLERK CIRCUIT C -)(PIBES"Dece IbVic
COUNTY
RECORDING$10-00 Ko-tarylTubl�at Large,State of :1,
My commi!tion expires:
Personally.,Known--N or
Produced Identification