330 19TH ST - WINDOW/DOOR (J' `" 1\ CITY OF ATLANTIC BEACH
--. z' _ f
_ 800 SEMINOLE ROAD
j 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: 16-WIND-507
Job Type: WINDOW AND/OR DOOR
Description: WINDOW/DOOR
Estimated Value: $3.899.00
Issue Date: 3/11/2016
Expiration Date: 9/7/2016
PROPERTY ADDRESS:
Address: 330 19TH ST
RE Number: 172020-1208
PROPERTY OWNER:
Name: MARKEE JOHN A & CHRISTINE L, *
Address: 330 19TH ST
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN WINDOW PRODUCTS
Address: 2633 S POWERS AVE QA KEITH ALAN GURR
Phone: - -
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
PLAN CHECK FEES $34.75
BUILDING PERMIT FEE $69.50
Total Payments: $108.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Florida Building Code Online Page 1 of 4
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racmco®ram
Florida Dewa'trre t BCIS Home Log In User Registration Flot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map L
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Product Approval Menu>Product or Application Search>Application List>Application Detail
--------------
►oFRCE OF THE
SECAETARY FL# FL242-R19 OFFICE COPY
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 PGT Industries
Address/Phone/Email 1070 Technology Drive
North Venice, FL 34275
(941)486-0100 Ext 22318
druark @pgtindustries.com
Authorized Signature Jens Rosowski
jrosowski @pgtindustries.com
Technical Representative Jens Rosowski
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext 21140
jrosowski @pgtindustries.com
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Horizontal Slider
Compliance Method Certification Mark or Listing
Certification Agency Miami-Dade BCCO-CER
Validated By Miami-Dade BCCO-VAL
Referenced Standard and Year(of Standard) Standard Ye:
TAS 201, 202, 203 19
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 10/05/2015
https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquUsD... 2/26/2016
Florida Building Code Online Page 2 of 4
Date Validated 10/16/2015 OFFICE COPY
Date Pending FBC Approval
Date Approved 10/20/2015
Summary of Products
FL# Model,Number or Name Description
242.1 HR-210 (Non-Impact) Aluminum Horizontal Roller Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL242 R19 C CAC 15-0609.05.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 04/05/2017
Design Pressure: N/A Installation Instructions
Other: Please see the Miami-Dade County Notice of Acceptance FL242 R19 II 15-0609.05.pdf
(NOA)for product performance information, anchorage details, Verified By: Miami-Dade BCCO-CER
and anchor type, size,and spacing information. Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
242.2 l HR- 510 (Impact) WinGuard Vinyl Horizontal Roller Window
Limits of Use I Certification Agency Certificate
Approved for use in HVHZ:Yes FL242 R19 C CAC 15-0612.14.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 02/17/2021
Design Pressure: N/A Installation Instructions
Other: Please see the Miami-Dade County Notice of Acceptance FL242_R19_II_15-0612.14.pdf
(NOA)for product performance information,anchorage details, Verified By: Miami-Dade BCCO- CER
and anchor type, size,and spacing information. Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
242.3 HR-610 (Non-Impact) WinGuard Aluminum Horizontal Roller Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL242 R19 C CAC 15-0519.10.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 07/27/2021
Design Pressure: N/A Installation Instructions
Other: Please see the Miami-Dade County Notice of Acceptance FL242 R19 II 15-0519.10.pdf
(NOA)for product performance information,anchorage details, Verified By: Miami-Dade BCCO-CER
and anchor type, size, and spacing information. Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
242.4 HR-710 (Impact) WinGuard Aluminum Horizontal Roller Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL242 R19 C CAC 15-0519.09.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 12/21/2021
Design Pressure: N/A Installation Instructions
Other: Please see the Miami-Dade County Notice of Acceptance FL242_R19II 15-0519.09.pdf
(NOA)for product performance information, anchorage details, Verified By_Miami-Dade BCCO-CER
and anchor type, size,and spacing information. Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
242.5 HR-810 (Large Missile Impact) Multi-Story Aluminum Horizontal Roller Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL242 R19 C CAC 14-0320.04 LM.odf
Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 11/01/2017
Design Pressure: N/A Installation Instructions
Other: Please see the Miami-Dade County Notice of Acceptance FL242 R19 II 14-0320.04 LM.pdf
(NOA)for product performance information, anchorage details, Verified By: Miami-Dade BCCO-CER
and anchor type, size, and spacing information. Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
242.6 HR-810 (Small Missile Impact) Multi-Story Aluminum Horizontal Roller Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL242 R19 C CAC 15-0609.04 SM2.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 11/01/2017
https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEV XQwtDquUsD... 2/26/2016
Florida Building Code Online Page 1 of 4
Business & Professional Regulation
WISIZRESEIZINEM
Fajd p ltd BCIS Home 'Log In User Registration i Hot Topics `: Submit Surcharge Stets&Facts Publications ! FBC Staff f BCIS Site Map L
Businesj({�1��`' Product Approval
Professib lal USER:Public User
Regulation
Product Approval Menu>Product or Application Search>Application List>Application Detail C C (��/
Min
FL# FL243-R17 OFFICE COPY
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 PGT Industries
Address/Phone/Email 1070 Technology Drive
North Venice, FL 34275
(941)486-0100 Ext 22318
druark @pgtindustries.com
Authorized Signature Jens Rosowski
jrosowski@pgtindustries.com
Technical Representative Jens Rosowski
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext 21140
jrosowski @pgtindustries.com
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Fixed
Compliance Method Certification Mark or Listing
Certification Agency Miami-Dade BCCO-CER
Validated By Miami-Dade BCCO-VAL
Referenced Standard and Year(of Standard) Standard Yg
TAS 201, 202, 203 195
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 09/14/2015
https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqu3mw... 2/26/2016
Florida Building Code Online Page 2 of 4
Date Validated 10/05/2015
Date Pending FBC Approval
Date Approved 10/09/2015 OFFICE r 1 '^�/LC�. C O P 1�/
Summary of Products
FL# Model,Number or Name 'Description
243.1 CA-640 Fixed(Non-Impact) Aluminum Fixed Window used with Casement/Awnin
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL243 R17 C CAC 15-0519.16 F.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 04/11/2018
Design Pressure: N/A Installation Instructions
Other: Please see the Miami-Dade County Notice of Acceptance FL243 R17 II 15-0519.16 F.pdf
(NOA)for product performance information,anchorage details, Verified By: Miami-Dade BCCO-CER
and anchor type, size, and spacing information. Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
243.2 1CA-740 Fixed (Large Missile Impact) Aluminum Fixed Window used with Casement/Awnin
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL243 R17 C CAC 15-0519.15.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 04/11/2018
Design Pressure: N/A Installation Instructions
Other: Please see the Miami-Dade County Notice of Acceptance FL243_R17_II_15-0519.15.pdf
(NOA)for product performance information,anchorage details, Verified By: Miami-Dade BCCO-CER
and anchor type, size, and spacing information. Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
)' 243.3 PW- 220(Non-Impact) Aluminum Fixed Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL243 R17 C CAC 15-0609.08.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 08/16/2016
Design Pressure: N/A Installation Instructions
Other:Please see the Miami-Dade County Notice of Acceptance FL243 R17 II 15-0609.08.pdf
(NOA)for product performance information, anchorage details, Verified By: Miami-Dade BCCO-CER
and anchor type, size, and spacing information. Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
243.4 PW- 520(Large Missile Impact) WinGuard Vinyl Fixed Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL243 R17 C CAC 15-0612.13.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 01/08/2019
Design Pressure: N/A Installation Instructions
Other: Please see the Miami-Dade County Notice of Acceptance FL243_R17_II_15-0612.13.pdf
(NOA)for product performance information, anchorage details, Verified By: Miami-Dade BCCO-CER
and anchor type, size, and spacing information. Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
243.5 PW- 620(Non-Impact) Aluminum Fixed Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL243 R17 C CAC 15-0528.27.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 02/19/2019
Design Pressure: N/A Installation Instructions
Other: Please see the Miami-Dade County Notice of Acceptance FL243 R17 II 15-0528.27.pdf
(NOA)for product performance information,anchorage details, Verified By: Miami-Dade BCCO-CER
and anchor type, size, and spacing information. Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
243.6 PW-720(Large Missile Impact) 'Aluminum Fixed Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL243 R17 C CAC 15-0528.26.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 02/19/2019
https://floridabuilding.org/pr/prapp_dtl.aspx?param=wGEVXQwtDqu3mw... 2/26/2016
' BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH F!LE COPY 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 3° (("` — Permit Number: /6- 4//n//)—Sc'7
Legal Description S4Va-
Magi � 2 �'I 3 Parcel # Ir12020 — 2O
0. Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 30 "1-1 - Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial 'iden a)
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval # 242-, 1 axon 245. 3
For multiple products use product approval form Q I ' ,
Describe in detail the type of work to be performed: T �)Q��� W 16 5 ail kited-) 10
and. I { s' -o m ► 62-di
Property Owner Information:
Name: , . 9.2 ' S ' r e., Addrcs : 0Q •
City Afii(/ State Zip 'hone
E-Mail or Fax#(Optional)
Contractor Information: AMERICAN WINDOW
PRODUCTS, INC. 4/
Gta-g-
Com an Name: 26n3 POWERS AVF Qualifying Agent:
Address: ACKSONVILL.F,Fl 322Q7 City State Zip
Office Phone I _ 22 Job Site/Contact Number Fax#
State Certification/Registration# COG 125 1201
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 todo 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)months, 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 federal,state,or local law regulating construction or the performance of construction.
ilcdR
Signature of Owner Signature of Conti etor
Print Name CPI rl A lc><f.kee Print Name aka
.
Sworn t and subscribed before me Sworn to and subscribed before me
this 2( Day of = i _ 20 Ito this 2.1 Day of ail , 20
l I, t Sc,� S'aY pu IRIS G IUIRGROVE
Notary Public / 003':.:% VICKI g1Rp ry blic (5-
,_, * Mr COMMISSION#FF 897106
? ,. nh EXPIRES:September 6,2019
* .
MY COMMISSION#EE 159811 Rev iied'l I�Bvege*Uri Suttee
LI I '7 ....' EXPIRES:May 13,2016
Co�J \LJ '''��,oe�O~ Baled Thu Budget Notary Services /
Doc # 2015236044, OR BK 17335 Page 288, Number Pages: 1, Recorded 10/14/2015
at 10:59 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
s i .
1
NOTICE OF COMMENCEMENT
Permit No. /6^ CV( NO — 5U 9 •--
State of Fla� 1 OFFICE COPY
County of 1.) I I
The undersigned hereby gives notice that improvements will•-made to certain real property,and in
accordance with section 713,13 of the Florida Statutes,the iflowing information is provided in this
NOTICE OF COMMENCEMENT.
g
Legal description of property(Include Street Address,if available) 1.120 20 — 12O
i _ tet va. tut ciz.i nor. U.ttii- 12_ u t 3
l
1 General description f,Improvements r r;a I-/>t _,iar r� , S
Owner ChtLt5tine- Mar
i Address SSC Pitt A 15 Ft~I 3,2.233
i Owner's Interest in site of the Improvement r
1 Fee Simple Title holder(if other than owner) -
Name
Address mwEntscmi• i ,,w •t Pte —22
-t'Contractor T'''.-c78,INC
' Address ' ` -
i • Surety °"
•
t Address " Amount of bond$
I Any person making a loan for the construction of the Improvements:
Name
Address
Person within the State of Florida designated by owner uponwhom notices or other documents may be
served as provided by Section 713.13(1)(a)7,Florida Statutes. •
•
Name
i Address
•
i In addition to himself,owner designates •
Of
to receive a copy of the Lienor's Notice as provided in Sectio i 713.13(1)(b),Florida Statutes. it
Expiration date of Notice of Commencement(the expiration•ate is'one(1)year from the date of '
•
recording unless a different date is specified) -
s
i • . • mo, "e V\c:-v, . L. 711,\06,_Q_
SignaturoofOwner • i
r" \� `,� 1-z 1. 1 <cj 1 C-�
... 1
•
Notary Rubber Stamp Seal 1 t have=lied upo.the Iio 'cots• Ararat n of the Ara, i.
ie 0._a_ue� .
Sworn to and subsn'bcd before me this q day of R J 20 l* F
••
— I
�,� �
] (Ct11
•
Printed..... - •
'.y.,,,, VICKI GUAR•• ''
MY COWSSON EE IS6
fl y t,k' ;
- �t1aa. f EXPIRES:May13,2016. , ,'^sr -dads.]T,20371 N Motlt 5•ria•
r, • . . V},
•V:l.•.'.r.... ■.. :2'':•::•?..-.'.7-y-•....V',r 'U:: ..;.. .'.t..Y:t ..-... <. .
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OFFICE COPY
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rs .tAi , . : City of Atlantic Beach APPLICATION NUMBER
'� * t� Building Department (To be assigned-by the Building Department.)
q., 0 800 Semmole Road
5 �r Atlantic Beach, Florida 32233-5445 /1 ` 4 _ CO
Phone(904)247-5826 • Fax(904)247-5845
'40;110. E-mail: building-dept @coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Addre s: JJ /9 JT Department review required YrNo
Build''.
Applicant: ie0,i n /r✓ber/,t Planning &Zoning
Tree Administrator
Project: f/�./ /fish 0 Kl, e Public Works
Public Utilities
Public Safety
Fire Services
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
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLIC TION STATUS
Reviewing Department First Review: Approved. ❑Denied.
ii
/3/1
(Circle one.) Comments:
ILDIN0
PLANNING &ZONING //�
Reviewed by: Date:3/3/1E_
TREE ADMIN.
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
I
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