336 10TH ST - MISC PERMIT BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 336 10th Street Permit Number:
Legal Description Easterly 40ft of lot 17 & Westerly loft of lot 15; Blk 12 Atlantic Beach
Parcel# 17037-0000
-, Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ Di 0, 7"0�- L'' Proposed Work heated/cooled 4050 non-heated/cooled 363
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval# See attached sheet
For multiple products use product approval form
Describe in detail the type of work to be performed: Construction of a new single family home
Property Owner Information:
Name: Niels and Kathleen Bull Address: i 1 i Oleander Street
City Neptune Beach State FL Zip 32266 Phone (281) 389-7153
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Claddagh Constructors, Inc. Qualifying Agent: Matthew Fennell
Address: 3997 America Avenue City Jacksonville Beach State FL Zip 32250
Office Phone (904)241-1012 Job Site/Contact Number 904) 813-1728 Fax# (904)242-9344
State Certification/Registration# CBC 058367
Architect Name&Phone#Dennis Williams (904)333-2550 '4 e A •Ay 4`' Va d() I rn
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)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.
1 hereby certify that I have read and examined this 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
1 provisions of any other federal,stale, or local taw regulating construction or the performance of construction.
Signature of Owner``�='�---4- �.�.�/l1 � Signature of Contractor ��
/ J
Print Name /14t--2-..5 a ZUi.../___ "ea fh/e4r/.7 W &(/ Print Name ✓✓l/OTTh■...." f. c-4- x"4,q
Sworn to and subscribed before me Sw� �, . d subsc t ed before,
this l(y4" Day of h%1�,d t~ , 20112 `g D. - .f /1 ! 1 20 i
« _4 1 v
Notary Public N6.7111 : "" '�—i
I Revised 01.26.10
20
eG Notary Public State of Florida
00004,_ Public State of Florida p o
�y' Yassir Cotindres ` Shirley L Graham
' m My Commission FF 086990 •
ap My Commission FF 189902 or tw' Expires 02/14/2018
%ori‘o Expires 01/14/2019
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MAR 282016
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50.00'
'PDX WHACK
D051146 POOL
PAV1325
Lai DECK
GARAGE _-_�
/DOVE
2 STORY MK
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al' IE 8
G 6
FROM PORD4
OO
• -I n•wa SITE CALCULATIONS
PAYERS HOUSE 1481 5F.
GARAGE 363 5F.
FRONT PORCH 195 5F
PAVERS 1116 SF/27 588 5F.
PAV% ,
•
soon TOTAL 2633 SF=
40.0.% SITE COVERAGE
- I
TENTH STREET
(50' RIGHT or WAY) APPROVED
iJ /6
SITE PLAN
NO
SCALE: I" = 20' i
NEW HOME DESI6N
BULL RESIDENCE
556 10TH STREET
ATLANTIC BEACH, PL 52255
F
MAP 5-01AUNO SURVEY Off :
THE EASTERLY 40.00 FEET OF LOT I/ AND THE
WESTERLY 10.0 FEET I OF LOT 15, ALL IN BLOCK 12,
to
ACCORDING TO THE PLAT OF "ATLANTIC BEACH", AS
RECORDED IN FLAT 15O0K 5, PAGE 6.11 OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
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SITE CALCULATIONS
In&1 5F.
PAVets GARAGE 363 SF.
FRONT PORCH Iq5 SF
JPAV I II PAVERS IIl6 5F/2. 588 5F.
- ERS
50.00' 1 — TOTAL 2633 5F=
40.a% SITE GOVERASE
TENTH STREET
(50' RIGHT OF 'NAY)
SITE PLAN
NoRTN
SCALE: I" = 20
e -�"• h sf CITY OF ATLANTIC BEACH
As) 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
�alp)
INSPECTION PHONE LINE 247-5814
SINGLE FAMILY DWELLING NEW
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-SFR-730
Job Type: SINGLE FAMILY RESIDENCE
Description: new home
Estimated Value: $540,703.00
Issue Date: 4/20/2016
Expiration Date: 10/17/2016
PROPERTY ADDRESS:
Address: 336 10TH ST
RE Number: 170037-0000
PROPERTY OWNER:
Name: BULL, KATHLEEN & NIELS, *
Address: 336 10TH ST
GENERAL CONTRACTOR INFORMATION:
Name: CLADDAGH CONSTRUCTORS, INC.
Address: 3997 AMERICA AVE A MATTHEW FRANCIS FENNELL
Phone: - -
PERMIT INFORMATION:
FEES:
ENG REV RESIDENTIAL BLD $100.00
PLAN CHECK FEES $880.70
UTIL REV RESIDENTIAL BLDG $50.00
BUILDING PERMIT FEE $1,761.41
STATE DCA SURCHARGE $26.42 P 6a
STATE DBPR SURCHARGE $26.42 \
WATER CROSS CONNECTION $50.00
PERMIT IS AI'PROYED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
7
, fr, , r � OF ATLANTIC BEACH
EA UAHD
f CITY 800 SEMINOLE R
�`� ATLANTIC BEACH,FL 32233
-;"'), 7
_ �r INSPECTION PHONE LINE 247-5814
I'll C r` f
Total Payments: $2,g94.95
Y IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
PERMIT IS APPROVED ONLY
BUILDING CODES.
CITY CIF ATLANTIC BEACH
1-3
1200 Sandpiper Lane
r JFiS�r
ATLANTIC BEACH,FL 32233
(904)270-2535 or(904)247-5874
NEW WATER/SEWER TAP REQUEST
Date: 3—2 9-/6 Project Address: 336, 10 4-4,-) -ST
No. of Units: ✓ Commercial Residential ✓ Multi-Family
New Water Tap(s)&Meter(s) Meter Size(s) .
New Irrigation Meter Upgrade Existing Meter from to
(size)
New Reclaimed Water Meter Size New Connection to City Sewer
Name:
Applicant Address:
City: State: Zip
Phone Number: Cell Number:
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application#/(o - 3F&-730 Fe-
Water System Development Charge $
Sewer System Development Charge $ ��1��i+dP^'�- �T
Water Meter Only $
Reclaimed Meter Only $ ' N° S G 3` Q'
Water Meter Tap $
Sewer Tap $ (notes)
Cross Connection s,5-r), oo
Other $
TOTAL $ 5, DQ
APPROVED: KavIe Moore,PE Y---nik
(Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE
APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN RE ASSESSED
rs-���\, City of Atlantic Beach - APPLICATION NUMBER
f)5 alltalh Building Department -A 14- VED
(To be ass'gned by the Building Department.)
i 800 Seminole RoadQ
Atlantic Beach, Florida 32233-5 45 M�•rt 2 2016 I� - �1 /L. j 4
• Phone(904)247-5826 • Fax(9J4) 247-5845
-71.4)11)0- E-mail: building-dept@coab.us B- Date routed: AZT
City web-site: http://www.coab.u-s-
APPLICATION REVIEW AND TRACKING FORM
Property Address: !i � Department review required Yes No
a=uildinaApplicant: Ofk_dd •tannin. &Zonin•
Tree Administrator
Project: A/ Tr)L
Cpir.iaric,.ltilities
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:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
.feerPi
BUILDING
�T G'�f/ 44l�!
PLANNING &ZONING
Reviewed by: 2743.2eagael;z..Date j- ,3e.�!b
TREE ADMIN. Second Review: EjApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
I
R ECEIVED-S
01..An;.e., City of Atlantic Beach
APPLICATION NUMBER
4 � Building Department MAR 2 8 2016 (To be ass'gned by the Building Department.)
A s 800 Seminole Road
7.5 �r Atlantic Beach, Florida 32233-5445 • v- (p 40,j ie •
Phone(904)247-5826 • Fax(904)247-5845 --__-- --
0 �,/��
E-mail: building-dept@coab.us Date routed: '
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /6 ' i De•artment review required Yes No
Applicant: ( "tc/cY'Qc % Tannin• &Zonin• -_
Tree :••• i istrator _=
Project: / rn L rub!'
' ECEI PM I I I I I I I
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:
APPyCATION STATUS
Reviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments:
BUILDING •
PLANNING &ZONING WC-
�,✓ �v� 3/ o I�
Reviewed by: r Date:
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['Denied.
1�TIC .7 W0comments:
'UBLIC UTILITIES
1-
29-40
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
(//l...441 City of Atlantic Beach APPLICATION NUMBER
Building Department
to (To be ass'gned by the Building Department.)
it 800 Seminole Road 1� I j
-r Atlantic Beach, Florida 32233-5445 !/ , - 0
Phone(904)247-5826 • Fax(904)247-5845
ry E-mail: buildin -de t coab.us
���3l� g p @ Date routed: ...... Ari ,
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ...14 /o ' Si Department review required Yes No
uiltna M
Applicant: C'/Qc/dQcF nning &Zonin Tree_ cImjnistrator
Project: gilt) rn L ubl.
u is tilities
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:
APPLI ATION STATUS
Reviewing Department First Review: pproved. ❑Denied.
(Circle one.) Comments:
BUILDIN
0 C--I
PLAN ZONING /J /
Reviewed by: Date: ` q'c
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 05/14/09
1
gJ
CITY OF ATLANTIC BEACH
;4-, Building ding Department
/, 800 Seminole Road FILE COPY
- Atlantic Beach,Florida 32233
trv. (904)247-5800
--DEO'
PLAN REVIEW COMMENTS
Permit Application # /G - S rie- 7 30
Property Address: 336 7-e hi iA S-i-
Applicant: C/c dc1 ai')
Project: 7'IJQ 44/ )4)/-7-i e_
This permit application has been:
141-16 11\9/
Pr Approved 41'l II•/6 /71Y-----
y-
AillgtA Reviewed and the following items need attention:
0 Sc, liesisniErto/iieez_/05 In for Aria hor> -Po/MI
S/4 rG/ S/a,'1 c a S_e-r p512.
A3 ,------- -------
(...1) energyy Ca! cs ( 2 c-opip5)-1-8-16 -ASS-inc. /l 'Anvai '
(2) tn0 / n-o.eI2- o/ (ri.sf ae/cgit (ccp s) /0 /J-e S/:54Aal
a A0see)1/t, gv pPhrll3 Cf.,itharnS ei1l-F-/ L
tionn deo/ GIA 42 k. Co m n^en.7- 4l-1-16 JO 410
Please re-submit your application when these items have been completed.
Reviewed By: Iil r4,-- Date: (7V-i6
i
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2010 FLORIDA BUILDING CODE
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials/Date: 9 -/G F(LEDevelopment Size COPY
Habitable Space Ito 5-0 ,F,Non-Habitable
Impervious area
Miscellaneous Information
Occupancy Group Q-
Type of Construction V B
Number of Stories 3
Zoning District S- 2—
Max.
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone X
Conditions/Comments:
111-
.
!0_, qj
jr 4.22, jr
POy4NSTAI!¢S UPSTAIRS
ROTATION COUNTER CLOCKWISE
RIGHT HAND UP @ 22 1/2 DEGREES
FULL ROTATION 427 1/2 DEGREES
FINISH FLOOR ALUMINUM POWDER COATED
t i
u
Q [dJ \
W L
tl1 ' L ,J
tt11 r u
FINISH LOOK--\i
I F11 COPY
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SPI1 SAL STAIRS DETAIL
SCALE: I/4" = I'-0"
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r„._01r4 WINDOW SYSTEMS Quote#: 1487899/1
1900 S.W.44th Avenue.Ocala,FL 34474
Ph:352-368-6922 Fax:352-368-2928
PREMIER WINDOWS& CABINETS,INC. l
Cust PO#:CLADDAGH-BULL RESIDENCE
Bill To: Ship To:
SHIP TO-JAX
5772 MINING TERRACE 5772 MINING TERRACE Route:JAX-
JACKSONVILLE,FL 32257 JACKSONVILLE,FL 32257
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Item No.3 Qty: 12
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LOW E 366,Insulated DLO:38 x 80
CUSTOM GRIDS AS SHOWN,W/SCREW SUPPORTS,SCREEN TIP:37 1/4 x 81 1/4 r• I'iA
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•
3/17/16 6:38:19AM Page 1 of 5
®► v
Quotationg• I/ ustomL
WINDOW SYSTEMS Quote#: 1487899/1 i
1900 S.W.44th Avenue.Ocala,FL 34474
Ph:352-368-6922 Fax:352-368-2928
PREMIER WINDOWS& CABINETS,INC.
Cust POT:CLADDAGH-BULL RESIDENCE
Bill To: Ship To:
SHIP TO-JAX
5772 MINING TERRACE 5772 MINING TERRACE Route:JAX-
JACKSONVILLE,FL 32257 JACKSONVILLE,Fl.32257
Ph:904 262-2525 Fax:904 262-7272 Ph:904 262-2525 Fax:904 262-7272 Version 1 Cust No.PRE400-P1965
Item No,4 Qty:7
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Desc:8150-Picture Window with Standard Frame DP:+40/-40,CUSTOM GRILL
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CUSTOM GRIDS,SEE ENG.DWG.,W/SCREW SUPPORTS,GROOVE FILLER, TIP:24 3/4 x 24 3!4
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Item No.5 Qty:2
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VARIABLES,**OPEN FLANGE ACCESSORY GROOVE**,[FIN ONLY,REMOVE Dimensions a
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LOW E 366,Insulated DLO:231/2x80
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Item No.6 Qty: 1
Model:8100-SH 3050E Color: WHITE 1n .11111
Desc:8100 SINGLE HUNG DP:+50/-50-3050E, CUSTOM GRILL LOCATIONS-SEE
VARIABLES,""OPEN FLANGE ACCESSORY GROOVE**,[FIN ONLY,REMOVE Dimensions _FLANGE],WHITE FRAME,18 x16 ScreenLOW E 366,Insulated DLO:38 x 80CUSTOM GRIDS AS SHOWN,W/SCREW SUPPORTS,SCREEN riP:371/axe/1/aidi.
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3/17/16 6:38:58AM
Page 2 of 5
•
�t: '�' Quotation
I� Custom
I
LIM WINDOW SYSTEMS Quote #: 1487899/1
1900 S.W.44th Avenue.Ocala,FL 34474
Ph:352-368-6922 Fax:352-368-2928
fi,�'' PREMIER WINDOWS& CABINETS,INC. 1
Cust PO#:CLADDAGH-BULL RESIDENCE
Bill To: Ship To:
SHIP TO-JAX
5772 MINING TERRACE 5772 MINING TERRACE Route:JAX-
JACKSONVILLE,FL 32257 JACKSONVILLE,FL 32257
Ph:904 262-2525 Fax:904 262-7272 Ph:904 262-2525 Fax:904 262-7272 Version 1 Cust No.PRE400-P1965
Item No.7 Qty:5
Model:8100-SH 2030 Color: WHITE II�I
Desc:8100 SINGLE HUNG DP:+50/-50-2030,CUSTOM GRILL LOCATIONS-SEE Dimensions
VARIABLES,."OPEN FLANGE ACCESSORY GROOVE",(FIN ONLY,REMOVE 11,
FLANGE),WHITE FRAME,18 x16 Screen
LOW E 366,Insulated DLO:23 1/2 x 35 1/2 :` 181-A
CUSTOM GRIDS AS SHOWN,W/SCREW SUPPORTS,SCREEN TIP:24 314 x 38 314 - ________
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8100•SH•NFRC Rating:CWS-K-11.00260.00002/U•Factor■0.31,Solar SHGC=0.19,V•Transmil=0.44
Item No.8 Qty: 1
Model:8100-SH 4030 Color: WHITE 11111111111 Desc:8100 SINGLE HUNG DP:+50/-50-4030, CUSTOM GRILL LOCATIONS-SEE Dimensions VARIABLES,•'OPEN FLANGE ACCESSORY GROOVE (FIN ONLY,REMOVE
FLANGE),WHITE FRAME, 18 x16 Screen
LOW E 366,Insulated DLO:47 112 x 35 1f2 1 a A
CUSTOM GRIDS AS SHOWN,W/SCREW SUPPORTS,SCREEN TIP:483/4 x 383/4
RIMMINgill
AAMA Std.Gold Labeling
rip ,` : l ;,. .
FPA#4091.1, 138-1007 ITo; ~
DOES NOT MEET EGRESS,
(.4/1-5 ; „j
8100•SH-NFRC Rating:CWS•K•11.00250.00002/U•Factor-0.31,Solar SHGC=0.19,V•Transmlt=0.44
Item No.9 Qty:2
•
Model:8100-SH Color: WHITE
Desc:8100 SINGLE HUNG DP:+50/-50,CUSTOM GRILL LOCATIONS-SEE
Dimensions i
VARIABLES,"OPEN FLANGE ACCESSORY GROOVE**,(FIN ONLY,REMOVE :: -: —
FLANGE),WHITE FRAME,18 x16 Screen
LOW E 366,Insulated DLO:17 1/2 x 47 1/2
CUSTOM GRIDS AS SHOWN,W/SCREW SUPPORTS,SCREEN TIP:183/4x40314 ..
•
AAMA Std.Gold Labeling —
PENN
FPA#4091.1, 138-1007r:& Arro
DOES NOT MEET EGRESS, ((IPA .7eif
8100•SH•NFRC Rating:MS*11.08250.00002/11•Factor=0.31,Solar SHGCa0.19,V-TransmIt=044
3/17/16 6:38:58AM Page 3 of 5
It'rjr-r19-4
•
Custom Quotation
®n WINDOW SYSTEMS i
Quote#: 1487899/1
1900 S.W.44th Avenue.Ocala,FL 34474
Ph:352-368-6922 Fax:352-368-2928
PREMIER WINDOWS& CABINETS,INC.
Cust PON:CLADDAGH-BULL RESIDENCE
pill To: Ship To:
SHIP TO-JAX
5772 MINING TERRACE 5772 MINING TERRACE Route:JAX-
JACKSONVILLE,FL 32257 JACKSONVILLE,FL 32257
Ph:904 262-2525 Fax:904 262-7272 Ph:904 262-2525 Fax:904 262-7272 Version 1 I
I Cust No.PRE400-P 1965
Item No. 10 Qty: 1
Model:8150-PW Color: WHITE
Desc:8150-Picture Window with Standard Frame DP:+40/-40,CUSTOM GRILL
LOCATIONS-SEE VARIABLES,**OPEN FLANGE ACCESSORY GROOVE**,(FIN Dimensions
1111!0
ONLY,REMOVE FLANGE),WHITE FRAME
LOW E 366,Insulated DLO:59112 x 23 1/2 ,
CUSTOM GRIDS AS SHOWN,W/SCREW SUPPORTS,GROOVE FILLER,6047 TIP:803/4 x24 3/4
AAMA Std.Gold Labeling TIP '�/ =' %5i�
FPA#4093.2,
Lird
8150•PW NFRC Rating:CWS-K•2340087.00002/U•Factor■0.28,Solar SHOC•0.21,V-Transmit=0.49
Item No. 11 Qty:8
Model:8100-SH 2040 Color: WHITE
•
Desc:8100 SINGLE HUNG DP:+50/-50-2040,CUSTOM GRILL LOCATIONS-SEE r I I
VARIABLES,"'OPEN FLANGE ACCESSORY GROOVE' [FIN ONLY,REMOVE
Dimensions i
FLANGE),WHITE FRAME,18 x16 Screen
LOW E 366,Insulated DLO:23 1/2 x 47 1/2
CUSTOM GRIDS AS SHOWN,W/SCREW SUPPORTS,SCREEN TIP:24 3/4 x 48 3/4
AAMA Std.Gold Labeling `
FPA#4091.1, 138-1007
DOES NOT MEET EGRESS, r,i �
81004*NFRC Rating:CWS-K•11.00250.00002/U-Factor=0.31,Solar SNGC=0.19,V•Transmit=0.44 l
Item No. 12 Qty: 1
Model:8150-PW Color: WHITE
Desc:8150-Picture Window with Standard Frame DP:+40/-40,CUSTOM GRILL
LOCATIONS SEE VARIABLES,'"OPEN FLANGE ACCESSORY GROOVE",[FIN Dimensions I'®®
ONLY,REMOVE FLANGE),WHITE FRAME
LOW E 366,Insulated
OW:47 1/2 x 23 1/2
CUSTOM GRIDS AS SHOWN,W/SCREW SUPPORTS,GROOVE FILLER,6047 TIP:48 3/4 x 24 3/4POOMMEMIEMINS
AAMA Std.Gold Labeling
FPA#4093.2
Tempered, �;% �►A
8150•PW NFRC Rating:CWS•K•23.00087.00002 I ll-Factor.-0.26,Solar SNGC=0.21,V-Transmit=0.49
3/17/16 6:38:58AM
Page 4 of 5
o!.ay;.4), City of Atlantic Beach APPLICATION NUMBER
l Building Department
, „� (To be ass'gned by the Building Department.)
1 - i• 800 Seminole Road
15 Atlantic Beach, Florida 32233-5445 6" .f
Phone(904)247-5826 • Fax(904)247-5845 �,
f_0ilis)' E-mail: building-dept@coab.us Date routed:
117 -
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ,../. 4 /6 / / De•artment review required Yes No
I:uildina T
Applicant: ( /QCIdQ ) ' anning &Zoniny7
Tree Administrator
Project: ggi J Ain L ubl.c s)
u icJJtilities
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:
APPLICATION STATUS
Reviewing Department First Review: MApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING /
Reviewed by: ,. ../ C.--/—/..--- Date: tilt V/rr
TREE ADMIN. Second Review:
QApproved 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 05/14/09
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