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221 Pine St wdo permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 WINDOW AND/OR DOOR PERMIT MUST CALL BY 4PM FOR NEI(T DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-WIND-2700 Job Type: WINDOW AND/OR DOOR Description: REPLACE DOORS AND WINDOWS Estimated value: $11,000.00 Issue Date: 12/8/2016 Expiration Date: 6/6/2017 PROPERTY ADDRESS: Address: 221 PINE ST RE Number: 170564-0000 PROPERTY OWNER: Name: Sprague, Judith Address: 221 Pine ST PERMIT INFORMATION: FEES: PLAN CHECK FEES $52.50 BUILDING PERMIT FEE $105.00 STATE DBPR SURCHARGE $2.00 STATE DCA SURCHARGE $2.00 Total Payments: $161.50 PERM]IT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE 11ORIDA RUILDING CODES. Li, City of Atlantic Beach APPLICATION NUMBER 1EBuilding Department (to be assigned by the Building Department.) 800 Seminole Road ' (2 N 0 z 7 Atlantic Beach,Florida 32233-5445 -W IN 0 -Z Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@wab.us Date routed: 17,_�/ City web�slte: http:#�.coalb.us APPLICATION REVIEW AND TRACKING FORM �ent review required Y �No a 142ul - 7— Property Address: , pa-) C- 11sa 1 De p1d, Applicant: _ nu-) to E-rz__ _Planning &Zoning Tree Administrator Project: 101000LAD Tublic Works -Public Utilities 62\e_PLAQcfnr_- Qr Public Safety -Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required 'v'rew or. eceP'y Date of Pe rmt V rified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Divislon of�Al�holic Beverages and Tobacco Other APPLICATION STATUS Reviewing Department First Review: DApproved. DIDenied. (Circle one.) Comments: E�D PLANNING&ZONING Reviewed by:— Dt-- Date: 12--7-16 TREE ADMIN. Second Review; [JApproved as revised. E:]Den!eP PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: —Date: FIRE SERVICES Third Review: DApproved as revised. ElDenied. Comments; Reviewed by: —Date,— Reylsed 05/14109 BUILDING PERMIT APPLICATION OFFICE COPY CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office;(904)247-5826 - Fax:(904)247-5845 G-W W D Z700 Job Address: A-P,4.�, /2 -A, Permit Number: -20C Legal Description RE# t ;&A -000e) Valuation of Work(Replacement Cost)$ / 0.000-) Heated/Cooled SF Non-Heated/Cooled _L Class of Work(Circle one): Nm Addition Alteration R arr �M�e 0 Pool ��Wndow/Do, in Use of existing/proposed structure(s)(Circle one): Comno 'I sidential If an existing structure,is a fire sprinkler system installed?(Circle one): e, N/A Submit a Tree Removal Pertnit Application if my trees mr,to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed:ge,-,*-Q C_Xj, �_d Zs b 45U 142�� W­J",�daui, .42 Florid.Prodmi Approval# for multiple products use product approval form Property Oytrier Information Nmnc� e- Address: Ar� 5�- city StateFL_ Zip ,��33 Phone JDj- E-Mail r 0� O��oryglit-Ilp(CItz��-�fAto�mAgmy�m 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 NOTIft OF COMMENCEMENT. Contractor Information: Name of Company: !�Elj F,4YaVI-5 FVK Qualifying Agent: (!�;j tW4 Z� &ggQC Address: VC2 79 C;7 Ic 60677W CityW aa � _ Stafe Zip 224;75l 7 mfie Job Site/Contact Number L6� OW g state Certification/Registration -E-Mail Architect Name&Phone# Engineer's Name&Phone# Worker's Compensation Qi TVt In.. 1,ease Employees, Expintion Date .m ..sit . risdicdon. doredt. phan Mr. p 0 r "'orn d 'a it 0 h s n e t a is no h cu er' an om aw y n 0 ua a d e a a 0 o n b ve t a a it n a it ,f, a t rk is t we in n r 0 c in a we e r pe n k d a 0 rid t "o ed hmm m s is 6 ors 'ca r u, Icen. . .no 6� a at" —4 Od Or r r� "'t so of a""is re g co j,p nine w cric Jun -04 0 co-ouce" or r is a as 'oje d v 0 pe ad d ad rd` 0 in n in d ed n 0 0 r sit 4 a �_1 mg, p` be 7 r "r ge a d it an a _red hicarca W 00 y fier or"is comm e ere nh sp nuepormn'nes s for 's Fur _` 0 Hemer"Ta and Co. m0m,-'in. S 'e" S' M PE GER Silpianne of ptoperry Own T-NI �s R L f E ..... "y of Notary Nbhc Nirua�Public i i I hereby certly,that I have read and examined this a tion and know the same to be true and corre Allprovisions aflaws,and 0 r i no ordinances governing this type k will be complied with whether sp�yzedherein a'not granting of a pe�mht does not wo presume togive authority to vilae=r cancel the p visions ofanyotherffe eral,state, orlocal w regulating construction orthe .g perforvance ofcomtruction. Rev.3/14/16 OFFICE COPY NOTICE OF COMMENCEMENT Stateof EL County of Tax Folio No. To Whom It May Concern: The undersigned limby informs you that improvements will be made to certain real property,and in accordance with Section 713 Of the Florida Statutes,the following infisonation.is stated in this NOTICE OF CON2AFN NT. t 'Ll. Legal Description Ofproparty being impiroved:-1� -/L P. a.-�- �I rqir, 9R�-3 UJO 2 V R Ck z4� L§+ -!���i- Addrws oflimparty beingidprii-d: saa S+ A41 Kb - J).�1, Citmeraldeacriptionofimprovements: pr-D)4� - zknp.—&—�e C)� Owner: 77V&A�MQVAAWL Address: Owner'3 interest in site fle impQryovement: - I Titich Id (ifoth than ) ISF,aeSmipe I o at a owner Narne: Contractor: Addi— Telephcmeblo.:�?,Q'/�R,92—�y 6 F-No': Surety(if=y) Address: Amount ofBand Telephone No: Fax:No:— Doo#20162752".OR SK 1 T796 Page 1470, Name and address of my person nisking a loan for the construction ofthe improvements Number Pages:I Name: Recwded I ZMQOI 6 at 11:35 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL Address: COUNTY RECORDING$10.00 Phone No: FaxNo: Name Of Pasco within the State of Florida,other dian himself,designated by OWoff upon whom notices or other documents my be served: Name: Address: Telephone No: Fax No: 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 Statues. (Fill in at Owner's option) Name: Address: Telephone No: FmNo- Expiration date ofNotice ofCommencement(the expiration date is one (1)year from the date oftecandirLi;unless a different date is specified): THIS SPACE FOR RECORDER'S ESE ONLY 0 NE Sigued: Date: A 70 Beforeinee is theComtyofDuval, tate W, TONI 0 1MILD'71%Z' 1.] OfTIorid has�M�naOyamppmciered I,w�-r] My C'M ION#FF92 951 1 M COMISS 'In" � " 2oq 75EYX octoa,6.2019 Pecsonally Known: or or El a.I�X�F 5� q P, Produced Identification: NotaryPublic: My commission expires: CITY OF ATLANTIC BEACH OFFICE COPY OWNER/ BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART I 'CONSTRUCTION CONTRACTING"REQUIRES OWNER I BUILDER TO ACKNOWLEDGE THE LAW. DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION To THAT LAW THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACrAs YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUS SIT-ERYISE THE CONSTRUCTION YOURSELF, YOU MAY 13UILD OR U14PROVE A ONE-OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF S25,000.00 OR LESS. TEE MUST 13E FOR YOUR USE AND OCCUPANCY IT MAY NOT BE BUILT FOR SALE ORLEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EMWTION. YOU MAY NOT FURE AN alLCENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE 131B]LDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE B-NELOYED BY YOU HAVE LICENSES REQUIRED 13Y SIM LAW AND BY COIaUY OR MUNICIPAL LICENS ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. Ill. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICEN�ED CONTRACTORS CANNOT BE EMPLOYED UNDER AN CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN -OCCUEATIONAL LICENSE' IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA 'CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. AUVRESS �)JQ I �E RE SIG G nal .fare..Mrs dayof 2d-�--unty of Du.],�eof�Flod�da,hmpemonallyepwr ,mn by hImseffl hemeffand affims that .11 statements and clenclamUcas are toaa and a=rate. Notaryftlhdcatl-ar,,�Stateof Cwntyof--D—OVO—( 0 P—n,�. GIRDB� ER 0 Pmd�fden�on- 1p"FROZ ,.0 tho��ohtnann Notary Signatum Pseill �16onay ZZ-1, p( KDe 's�T 100-1 70 Series Impact Patio Doors 2 Panel-5802 1 M PACT $1z'7i7.96 1 95.625 x 80 $1,460.26 $1,460.26 Installation Zip Code=32233 U.S.ENERGY STAR-Climate Zone=Southern Save$257.70(15%)until 10/5/2016 ENERGY STAR Required=No S/0 SILVER LINE BLDG PRD-273309 Promotion Standard Width=RO:96 1/8" 1 UNIT:95 5/8" 1120/5/2016 Standard Height=RO:80 1/2" 1 UNIT:80" OFFICE COPY Frame Width=95 5/8 Frame Height-80 Unit Code=80x68 Venting/Handing=Stationary-Right Eicterior Color=White Interior Finish Color=White Performance Grade(PGj Rating z PG50 Unit 1:Patio Door Assembly=Factory Assembled Unit I Left Slab Left Glass,1 Right Slab Right Glass:Glass Construction Type=Dual Pane Unit 1 Left Slab Left Glass,I Right Slab Right Glass:Glass Option=Lo.-E Argon Unit I Left Slab Left Glass,I Right Slab Right Glass:High Altitude Breather Tubes=No Unit 1 Left Slab Left Glass,I Right Slab Right Glass:Glass Strength=Tempered Impact Resistant Unit I Left Slab Left Glass,I Right Slab Right Glass;Glass Tint=No Tint Unit I Left Slab Left Glass,1 Right Slab Right Glass: Specialty Glass-None Unit I Left Slab Left Glass,1 Right Slab Right Glass:Gas Fill=Argon None Hardware=Stainless Steel Insect Screen Type=Full Screen ell Insect Screen Material=Fiberglass POZ Re-Order Item=No Room Location=Custom Location Custom(Enter Room Name)=1 Unit U-Factor=0.28 Unit Solar Heat Gain Coefficient[SHGQ=0.29 C FAICTOY IFrFffwa";;y 1-46* U.S.ENERGY STAR Certified=No SKU=273308 Vendor Name=S/0 SILVER UNE BLDG PRO Vendor Number=60660514 Customer Semice=(888)888-7020 Catalog Version Date=09/10/2016 v .A-rn rwc(�y Al ajr-j:-�Tei6w C 5 d Aft (4 44 1� r ) �.HomeDepotxorn Page 2 of 10 Printed By: GARRY Date Printed:9/23/2016 4:42 PM 200-� 70 Series Impact Patio Doors 2 Panel-5802 1 M PACT $1,444.3; 71.625 x 80 $1,119.76 $1,119.76 installation Zip Code=32233 U.S.ENERGY STAR*Climate Zone=Southern Saw$197.59(IS%)until 10/5/2016 ENERGY STAR Required=No *S/O SILVER U NE BLDG PRD-273308 Promotion Standard Width=RO:72 1/8" 1 UNIT:715/8" until 10/5/2016 Standard Height=RO;80 1/2" 1 UNIT:80" Frame Width=715/8 Frame Height=80 Unit Code=6Ox68 Venting/Handing=Left-Stationary Exterior Color=White Interior Finish Color=White Performance Grade(PG)Rating=PG50 Unit 1:Patio Door Assembly=Factory Assembled Unit I Left Slab Left Glass,I Right Slab Right Glass:Glass Construction Type=Dual Pane Unit I Left Slab Left Glass,1 Right Slab Right Glass:Glass Option=Low-E Argon Unit I Left Slab Left Glass,1 Right Slab Right Glass:High Altitude Breather Tubes=No c Unit I Left Slab Left Glass,I Right Slab Right Glass:Glass Strength=Tempered Impact Resistant Unit I Left Slab Left Glass,1 Right Slab Right Glass:Glass Tint=No Tint Unit I Left Slab Left Glass,I Right Slab Right Glass: Specialty Glass=None Unit 1 Left Slab Left Glass,I Right Slab Right Glass:Gas Fill=Argon None Hardware-Stainless Steel Insect Screen Type-Full Screen 7X Insect Screen Material=Fiberglass Re-Order Item No ROOM Location Custom Location Custom(Enter Room Name)=2 Unit U-Factor=0.28 60 Unit Solar Heat Gain Coefficient(SHGC) 0.29 t 4�%eC- J�lr 0 U.S.ENERGY STAR Certified=No SKU=273308 Vendor Name=S/O SILVER LINE BLDG PRD Vendor Number=60660514 Customer Service z(888)888-7020 Catalog Version Date=09/10/2016 Ila A z 574(,vAF_,;_(_ 574:?-FL_ 5-C12FW '& ,F www.HomeDepoLcorn Page 3 of 10 Printed By: GARRY Date Printed;9/23/2016 4:42 PP4 "ac,U."eGli",8700IMPACT 300 npact Double Glider $499.29 $679.40 $2,717.60 Installation Zip Code=32233 U.S.ENERGY STAR'Climate Zone=Southern Save$479.56(15%)until 10/5/2016 ENERGY STAR Required=No *5/0 SILVER LINE BLDG PRD-260803 Promotion Frame Width=72 until 10/5/2016 Frame Height=48 Venting/Handing=Active-Passive Exterior Color=White Interior Finish Color=White Performance Grade(PG)Rating=PG50 Glass Construction Type=Dual Pane Glass Option=Low-E Argon High Altitude Breather Tubes=No Glass Strength=Impact Resistant Glass Tint=No Tint Specialty Glass=None Gas Fill=Argon None Number of Sash Locks=Double Lock Type=Standard Insect Screen Type=Half Screen Insect Screen Material=Fiberglass Foam=Foam in Frame Vinyl Sill Angle=Anchor Plate Re-Order Item=No Room Location=Custom Location Custom(Enter Room Name)=3 and 6 Unit U-Factcur=0.31 Unit Solar Heat Gain Coefficient(SHGQ=0.27 U.S.ENERGY STAR Certified�No Florida Product Approval Number(FL#)=14994 High Velocity Hurricane Zone(HVHZ)=Yes Clear Opening Width=30.4375 Clear Opening Height-43.5 Clear Opening Area=9.194661 SKU=260803 Vendor Name=S/O SILVER LINE BLDG PRO Vendor Number=60660514 Customer Service=(898)BW,7020 Catalog Version Date 09/10/2016 /*w4 "o� q4- �.HomeDepoLcorn Page 4 of 10 Printed By: GARRY Date Printed:9/23/2016 4:42 PM 400-1 70 Series Buck Impact Double GI ider-87001 M PACT 2 48 x 24 $332.27 $664.54 Installation Zip Code=32233 U.S.ENERGY STAR-Climate Zone=Southern Save$117.22(15%)until 10/5/2016 ENERGY STAR Required=No S/0 SILVER LINE BLDG PRD-260803 Promotion Frame Width=48 until 20/5/2016 Frame Height=24 Venting/Handing=Active-Passive EAerfor Color=White Interior Finish Color=White Performance Grade(PG)Rating=PG50 Glass Construction Type=Dual Pone Glass Option-Low-E Argon High Altitude Breather Tubes=No Glass Strength=Impact Resistant Glass Tint=No Tint Specialty Glass=None Gas Fill=Argon None Number of Sash Locks=Single Lock Type=Standard El Insect Screen Type=Half Screen .--v Insect Screen Material=Fiberglass Foam=Foam in Frame Vinyl Sill Angle=Anchor Plate Re-Order Item=No Room Location=Custom Location Custom(Enter Room Name)=4 Unit U-Factor=0.31 Unit Solar Heat Gain Coefficient(SHGC)=0.27 U.S.ENERGY STAR Certified=No Florida Product Approval Number(FL#)=24994 High Velocity Hurricane Zone(HVHZ)x Yes Clear Opening Width=19.4375 Clear Opening Height=19.5 Clear Opening Area=2.496745 SKU=260803 Vendor Name=S/O SILVER LINE BLDG PRO Vendor Number=60660514 Customer Service=(888)898-7020 Catalog Version Date=09/10/2016 wvov.HomeDeport.cont Page 5 of 10 Printed By: GARRY Date Printed;9/23/2016 4:42 PM 500-1 70 Series Buck Impact Do ubleGlider-8700IMPACT 659&78 $598,48 48 x 48 $508.98 $508.98 Installation Zip Code�32233 U.S.ENERGY STAR'Climate Zone=Southern Saw$89.80(15%)until 10/5/2016 ENERGY STAR Required=No *S/O SILVER LINE BLDG PRD-260803 Promotion Frame Width=48 until 10/5/2016 Frame Height=48 Venting/Handing=Active-Passive E,tterior Color=White Interior Finish Color=White Performance Grade(PIG)Rating=PGS0 Glass Construction Type=Dual Pane Glass Option=Low-E Argon High Altitude Breather Tubes=No Glass Strength=Impact Resistant Glass Tint-No Tint Specialty Glass=None Gas Fill=Argon None 0 Number of Sash Locks=Double Lack Type=Standard Insect Screen Type=Half Screen Insect Screen Material=Fiberglass Foam-Foam In Frame Vinyl Sill Angle=Anchor Plate Re,Order Item=No RO-40 114 ROOM Location=Custom Location Custom(Enter Room Name)=5 Unit U-Factor=0.32 Unit Solar Heat Gain Coefficient(SHGC)=0.27 U.S.ENERGY STAR Certified z No Florida Product Approval Number(FUI)=14994 High Velocity Hurricane Zone(HVHZ)=Yes Clear Opening Width=28.4375 Clear Opening Height=43.5 Clear Opening Area=5.569662 SKU=260803 Vendor Name=S/O SILVER LINE BLDG PRO Vendor Number=60660514 Customer Se"ice=(888)888-7020 Catalog Version Date=09/10/2016 �..HomeDepotxom Page 6 of 10 Printed By� GARRY Date Printed:9/23/2016 4:42 PM 600-1 70 Series BUCk Impact Double-Hung-9500IMPACT 36 x 36 $434.30 $434.30 Installation Zip Code=32233 U.S.ENERGY STAR-Climate Zone=Southern Save$76.64(15%)until 10/5/2016 ENERGY STAR Required=No -S/O SILVER LINE BLDG PRO-260803 Promotion Frame Width=36 until 10/5/2016 Frame Height=36 Exterior Color=White Interior Finish Color=White Glass Construction Type=Dual Pane Glass Option=Low-E Argon High Altitude Breather Tubes z No Glass Strength=Impact Resistant Glass Tint=No Tint Specialty Glass=Obscure Gas Fill=Argon None Number of Sash Locks=Double Lock Type=Standard X Insect Screen Type=Full Screen Insect Screen Material=Fiberglass Foam=Foam in Frame Re-Order Item No Room Location Custom Location Custom(Enter Room Name)=7 1 36 Unit LI-Factor=0.32 RO-36 114 Unit Solar Heat Gain Coefficient(SHGQ=0.27 U.S.ENERGY STAR Certified-No Florida Product Approval Number(FL#)=14996 High Velocity H urrica ne Zone(HVHZ)=Yes Clear Opening Width=31.302 Clear Opening Height=9.536 Clear Opening Area=2.072888 SKU=260803 Vendor Name=S/0 SILVER LINE BLDG PRO Vendor Number=60660524 Customer Service=(888)898-7020 Catalog Version Date=09/10/2016 v,v,w.HomeDepot.wm Page 7 of 10 Printed By: GARRY Date Printed:9/23/2016 4.42 PM 700-1 70 Series Suck Impact Double-Hung-95001M PACT $49?.92 2 $999 64 24 x 36 $423.14 $846.28 Installation Zip Code=32233 U.S.ENERGY STAR-Climate Zone=Southern San$149.36(15%)until 10/5/2016 ENERGY STAR Required=No -S/O SILVER LINE SLOG PRO-260803 Promotion Frame Width=24 until 10/5/2016 Frame Height=36 Exterior Color=White Interior Finish Color-white Glass Construction Type=Dual Pane Glass Option=Low-E Argon High Altitude Breather Tubes=No Glass Strength=Impact Resistant Glass Tint=No Tint- 1� Specialty Glass=Obscure Gas Fill=Argon None Number of Sash Locks=Single Luck Type=Standard Insect Screen Type=Full Screen Insect Screen Material=Fiberglass Foam=Foam in Frame Re-Order Item No Room Location Custom Location Custom(Enter Room Name)=7 Unit U-Factor=0.32 Unit Solar Heat Gain Coefficient[SHGC)=0,27 1 24 U.S.ENERGY STAR Certified=No I RO-24 1/4 Florida Product Approval Number(FUI)=14996 High Velocity Hurricane Zone(HVHZ)=Yes Clear Opening Width=19,302 Clear Opening Height=10.8145 Clear Opening Area=1.449594 SKU=260803 Vendor Name=S/O SILVER UNE BLDG PRO Vendor Number=60660514 Customer Service=(8881988-7020 Catalog Version Date=09/10/2016 Pre-Tax Price: $9,119.99 Promotional Price: $7,751.72 A ,66 4oP,-' Y6 /00 --All prices are subject to change '-Customer is responsible for verifying product selections.The Home Depot will not accept returns for the above products **All graphics viewed from the exterior www.HomeDepot.com Page 8 of 20 Printed By: GARRY Date Printed:9/23/2016 4:42 PM 1, 1., r V Y V'A�4 .1p If 14 crahen srrWa byAndersen ......... 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LLICIBILPYREQUIRI'MENIS: W.L,,Nfi, flk k,,.fb ndJmIhd,,nnn,dd,,cml, flu:.-lun, in�,Idl, 11,MkAdl i.l", Any t�I,du,n M�O 10 MUA N MNk il�MIIV�'md mduJin ft Origi.1? .Axd� lindrI"I af All, ions nmc�-irliric,0,.W 1,t.an1cd I.Ill,fulinum,n1llrd,A, Aancricin Clilb—nn WiM.& L W, Ann: I-IJAict.2� Ndnh Bnun,m�NIt. 181112�V It a IL NON rikAWERAB11.11Y danion, ill nn,.Ink,�nnin-in MI iln.,old ffild, 17 2016-2017 BUSINESS TAX RECEIPT MICHAEL CORRIGAN,DUVAL COUNTY TAX COLLECTOR 231 E.FORSYTH STREET,SLITE130,JACKSOWILLE,FL 32202-3370 PhWa:(9D4)630-1916,oplim 3; Fax: (904)63D�14W 0 Website:�.cco.netft:Email:WxcNWctor@wj.w Note—A penalty is imposed for failure to keep this receipt exhibited conspicuously at your place at business. This business tax receipt is furnished pursuant to Municipal Ordinance Code, Chaptera 770-772,for the period October 1, 2016 through September 30,2017. NICHOLS, EDWARD R NICHOLS, EDWARD R 905 IN 11 TH ST JACKSONVILLE BEACH, FL 32250 ACCOUNT NUMBER: 109811 LOCATION ADDRESS: 905 N 11TH ST JACKSONVILLE BEACH, FIL 32250 DESCRIPTION: CONTRACTOR-ALL TYPES STATE LICENSE NO.: COUNTY RECEIPT DESC: CONTRACTOR-ALL TYPES COUNTYTAX: 11.25 MUNICIPAL RECEIPT DESC: MC 772.309 MUNICIPALTAX: 0.00 TOTAL TAX PAID- 11.25 VALID UNTIL September 30, 2017 ***ATTENTION*** THIS RECEIPT IS FOR BUSINESS TAX RECEIPT ONLY. CERTAIN BUSINESSES MAY REQUIRE ADDITIONAL STATE LICENSING. This is a business tax reoelpt only. It does not permit the receipt holder to violate any exisfing regulatory or zoning laws of the County or City. It does not exempt the receipt holder from any other license or permit required by law. This is not a certification of the receipt holder's qualifications. TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION. PAID-4098383.0001-0001 Y02 08/23/2016 11 .25 EDWA-10 OP ID:AF I WE IN I CERTIFICATE OF LIABILITY INSURANCE 71717 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY MEND, EXTEND OR ALTER TFIE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFI IMPORTANT: If the cartificate holder I.an ADDITIONAL INSURED,the policy(ift) must W endomed. If SUBROGATION IS WAIVED,subject to tha terms and conditf.ris of the pollcy,ceftIln Policies may require an andomememL A statement on this certficate does not confer dghts to the certificate holder in lieu of such ndomement(s). PRODUCER Phone:904-249-2345 mmNTecY Allison Folds FletcherStein Fax:904-246-7986 =,d,90"94-03211 P,0.Box 50069 Jacloom,ille Beach,FL 32240,0069 afticisiftfletcherertelln.com FletcherlSmin MU�S)MFORMO� NSU�A:Southem Owners Insurance,Co. 10190 INSURED Edward R.Nichols,Inc. afflueffte� Edward Nichols 905 11 th Street N. Jacksonville Beach,FL 32250 INSURER 0 mu.E� COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF NSURJkNCE LISTED BELOW MVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TI-fE POUCY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OITiER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAUN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEMN IS SUWECT TO AU-THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY MVE BUN REDUCED BY PAID CI-AIMS. 09 �C"OCCURFE)ICIE a 11,000,00( COMMERCI�.EIIER�LVISILITY 97106 07HEM6 07115117 a A X _300,OOC C�I�m 1K OCCUR ED EXP(MY S 10,00( PERSONN=&�INJURW a i'000' GENER�AGGREGNTE 3 2,000,001 GEK,NGGREGAnUxm"PUESPER- PRODUCTS COMPRAPAGG 6 2,000,00q POLICY F�D.— F-1,oc COMBINED SINGLE LIMIT E.Iu=kU;. BODILY IMURY(PW pvNNN) 3 ALL�D q SCHEDULED BOIULY MURY(P�RIck*SIQ 3 AUTOS AUTOS — NONLONNAIED P... a RRED ALITOS �Gx Hu�Las "OCCUR EACH NCE a mm� AGGREGATE I—19--UMDE I I DED I I RETENTION$ SKARKERS�mm� AND EMPLOYERS LNUINUDY YIN E MHACC N IA EL $ If .m.. ELDO�-P�yMff S FULPTION OF OPERATORS W. CERTIFICATE HOLDER CANCELLATION FORIN-1 SHOULD ANY OF THE ASIGIRE DUCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VALL BE DELIVERED IN FOR INFORMATIONAL ACCORDANCE WITH THE POLICY PROVISIONS. PURPOSES ONLY AUTHORWED IUEPIUESISITA� Aphita v jW41 C 1988-2010 ACORD CORPORATION- All rights Reserved. ACORD 25(2010105) The ACORD Game and logo am registered marks OfACORD