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1318 ROSE ST WINDOW CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 WINDOW AND /OR DOOR PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814 JOB INFORMATION: Job ID: 16- WIND -987 Job Type: WINDOW AND /OR DOOR Description: WINDOW REPLACEMENT Estimated Value: $5,899.00 Issue Date: 5/6/2016 Expiration Date: 11/2/2016 PROPERTY ADDRESS: Address: 1318 ROSE ST RE Number: 171064 -0020 PROPERTY OWNER: Name: HILLMAN, WILLIE C & MELISSA C, * Address: 1318 ROSE ST GENERAL CONTRACTOR INFORMATION: Name: AMERICAN WINDOW PRODUCTS Address: 2633 S POWERS AVE QA KEITH ALAN GURR Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $39.75 BUILDING PERMIT FEE $79.50 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $123.25 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 assi ned by the Building Department.) 4 8 a Seminole Road �j _ W � r _ 9r 7 - .,.,... , Atllantic tic Beach, (0 h, Florida 32233-5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 '/ E -mail: building- dept @coab.us Date routed: 1 / 27 /0 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /Sig S E Si (—Depart t review required Yes No Bui . V Applicant: J/ (', - r tiJ' f aS Planning & Zoning Tree Administrator Project: A i 4) 6 0 / )") ) // Public Works Public Utilities Public Safety Fire Services k < , Revi ; ew fee $:� _Dept Signature x . ` ik-, ., ` afa. 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: ie roved. ❑Denied. (Circle one.) Comments: /1/ BUIL DING 0 PLANNING & ZONING Reviewed by: /7 ' Date: 5 ^ 3 ^) 6. 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 05/14/09 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY Office (904) 247 -5826 Fax (904) 247 -5845 � • Job Address: 1 W3 P ermit Number: A 4/< A/1) 87 Legal Description Alb 5 eCi 14 Lo + 5 1 2 • Parcel # (0k ' 0020 G QnO() Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ 519CI -- Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa vindow /door Use of existing/proposed structure(s) (circle one): Commercial esidentia If an existing structure, is a fire sprinkler system i stall d ? ?ircle one): es No N /A Florida Product Approval # e ' For multiple products use product approv orm Describe in detail the type of work to be performed: q to 4 'vie.' U W l • {\ VS 1 P Property t ` Ow , ne Informat�i �j, p Name: W l l C X11 Addres : (J� D 4- City �� ' P StateR Zip A ' hone Ir �►�ir' 1i E -Mail or Fax # (Optional) Contractor Information: AMERICAN WINDOW PRODUCTS, INC. G Company Name: 2633 POWERS AVE. Qualifying Agent: Address: JACKSONVILLE, FL 32207 City State Zip Office Phone 1 St- 2 S ti ob Site/ Contact Number Fax # State Certification/Registration # V 2 - 5 1 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. 1 cernfv that no work or installation has commenced prior to the issuance of a permit and that all work will be pe orned to meet the standards of all laws regulating constntction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6 months, or if constntction or work is suspended or abandoned for a oenod of six 6) months at any time after work is commenced I understand that separate permits must be secured for Electrical Work, PLunbing, 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 OU YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YR 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 orthnances governing this type of work will be complied with whether specified herein or not. Thee granting of a permit does not presume to gyve authority to violate or cancel the provisions of any other federal, state or local law regulating contrac or the performance of construction. Signature of Owner Signature of Contr etor - i ��, Print Name f I (IYtCIJ'? �� C I ' Imo �( .. Print Name ti/l, E[LLL?Je Swo • and subs . P ed • ef• re me / Sworn t and subsc . b -d beforg me this • Pa v of . . t _ f _ . 2 0 i W t hi 2. - Day of ' � JL�I .20 i MIS L HARGROVE • Notary Public " Mr COMAI�SSEW t FFE7106 i o . ublic / * MY C W41 # F F % 11 �1 = Ti 1 EXPIRES: September 6, 2019 ORES 4TeoF mew Balled TbrV Bu Notary S y = K �� . ■ I 1 FILE COPY ,c,.. f `'‘` ..,1■#.: ,,...s. - ■ $,.. -- 41 --- -1 I 1 .4Ir ! i z. ...:... - - ->-. . ; ■ r1 rs -... )1 . to PT (J1 Ni \ •*=.-0 ."' ----. i 0 17' ;.. 1 6/ iilfi ' 1 . --r-i "Th .93 . . , ---4.--- i -.. ; i on ; I ......-, _-,, c .... Tv,N ,.... ;'. I 1 i ; 5,.. . I . i* ?" 0 ° -..r• •! ( j',1 '',1-, — --1 _ (r■ , ...1 la s.,,, Florida Building Code Online ragc 1 ui J FILE COP BIii::"iE.5 & PtOft'SSvfial ReqtllatEcn Rtllllla BCIS Home I Log In 1 User Registration i Hot Topics i Submit Surcharge Stets & Facts 1 Publications 1 FBC Staff t SOS Site Map I L RI' Laic Regulation > Application Dotal - product AoOroval Menu > FL # FL14604i a 3 Revision p 4 Application Type R Code Version Approved Application Status *Approved by DBPR. Approvals by DBPR shall be reviewed and the POC and /or the Commission if necessary. Comments Archived Product Manufacturer 1 Eastern Architectural Systems Address/Phone/Emall 16341 Domestic Ave. Ft. Myers, FL 33912 (800) 432 -2204 Ext 4314 thoard@easternmetal.com Author Timothy Hoard ed Signature thoard @easternmetal.com Timothy 3. Hoard Technical Representative 10030 Bavaria Road Address/phone/Email Fort Myers, FL 33913 thoar 432-2204 Ext 4314 @easternmetal.com Quality Assurance Representative Address/Phone/Emall Windows Category Single Hung Compliance Method Certification Mark or Listing National Accreditation & Management Institute Validdfiteated d ion Var Agency National Accreditation & Management Institute By Referenced Standard and Year (of Standard) AAMA 506 AAMA 506 AAMN/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 httnc • //fl nT-1 clah uildine.org/vr /Ur app dtl. px ?per = EVXQwtDgsw8ZV... 1/6/2016 Florida Building Code Online Page 1 of 5 FILE COPY Bus„,ess & Professional Requiatior, r poidaDepariente BCIS Home I Log In 1 User Registration I Hot Topics I Submit Surcharge I Stets & Facts 1 Publications I FBC Staff I BCIS Site Map I L Busmes ) Approval Profess • I 1 user Regulation Pro Amrovai Menu > Product or Application Search > Aoojiotion List > Application Detail FL # FL14605 -`IC • C Application Type Revision Code Version 2014 Application Status Approved *Approved by DBPR. Approvals by OBPR shall be reviewed and the POC and /or the Commission If necessary. Comments Archived 0 Product Manufacturer Eastern Architectural Systems Address/Phone/Email 16341 Domestic Ave. Ft. Myers, F',L 33912 (800) 432 -2204 Ext 4314 thoardOeasternmetai.com Authorized Signature Timothy Hard thoard@eastemmetal.Com Technical Representative Timothy 3. 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 Exterior Doprs Subcategory Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency National Accreditation & Management Institute Validated By National Accreditation & Management Institute Referenced Standard and Year (of Standard) Umilard AAMA/WDMW/CSA 101/I.S.2/A440 ANSI/AAMA/NWWDA 101 /I.S.2 ASTM E1886 ASTM E1886 ASTM E1996 ASTM E1996 TAS 201 TAS 202 TAS 203 Equivalence of Product Standards Certified By httos: / /floridabuilding.org/pr /pr app dtl .aspx ?param= wGEVXOwtDasw8ZV_.. 1/7/2016 NOTICE OF CO CEMENT i No Tax � 08o No. 11 t C 'txo L0 e of FLORIDA County d IAu\J PK 1. 0 i whom It may concern: 1 3t —I(o The undersigned hereby Worms you that improvements will be made to certain real property, and In j Xordarce with Section 713 of the Florida Statutes, MI following information Is stated M this NOTICE OF Nal description of property being improved: Q. _ ,1 ::e' “ L1 61—u-- 23q i Address d property being improved: 131 (1o K G description of Improvements: -L% i . (1 s W) r••4N - I owner (,-)i t 1I . C, s- `r,LL'n A u`v),• .L P C: 1k, l - p ) Address 1 I' 112 5L-- 5 fr y fk r- ilk 'ex.'" C- c.,- 3 3 3 Owner's interest in site of the improvement NIA Fee Sample Titleholder (if other than owner) NIA Ni a WA Address GPnttaictor AMERICAN WINDOW PRODUCTS, INC. I Address 2633 POWERS AVENUE - JACKSONVILLE, Fl 32207 I ,/ . Phone No. 904-7312247 ax N 904- 731 -8824 SivetY Of any) MA Address ! Amount of bond 3 Phone No. ax No. Name and address d any person makig a loan for the dl improvements. Ni irne N/A • Address Phone No. lax No. Njerne of person within the State of Florida, other than himself, designated by owner upon whom notices or other decuments may be served Nara N/A I Address Phone No. flex No_ n addition to himself. owner designates the following perms to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (FE in at Owner's option). Name WA . ! Address i I Phone No. Fax 4o. Expiration date of Notice of Commencement (the expiration date is one (1) year from the deb: of recording unless a different date is spedfled) Tin SPACE FOR 'S USE ONLY • ' - �L DATE 3 -24-4 Nava d!'a ±� �IfiV * hee Cult*/ • . .. . - _ WWII - anthill/nu as spYnrnbi and d.doraaulis Web Doc # 2016095885, OR BK 17543 Page 1261, imbue Number Pages: 1 n `` • • ' " '•• t' Recorded 04i28 /2016 at 02:42 PM, .4 *MYCOMMISSION #FF972181' Ronnie Fussell CLERK CIRCUIT COURT DUVAL `�' `o � F.XPIRES:May13,2020 4 FOFlt BondedThN COUNTY ��"*"'Y jra RECORDING 310.00 Wry F at LIMA Mil at tom L ���t► Knox,,, / , pro dirsd ∎ft.�r r TI,DLit lt6S"8: 3 - o •