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185 POINSETTIA ST - WINDOWS ,t r Jr ' , ,si. CITY OF ATLANTIC BEACH 'J ,‘,. 3i.,-- ,. f 800 SEMINOLE ROAD "'' "° ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 \0.21 9r WINDOW AND/OR DOOR PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-WIND-3616 Job Type: WINDOW AND/OR DOOR Description: REPLACE WINDOWS Estimated Value: $9,511.00 Issue Date: 4/7/2017 Expiration Date: 10/4/2017 PROPERTY ADDRESS: Address: 185 POINSETTIA ST RE Number: 170641-0010 PROPERTY OWNER: Name: ANDERSON TRST, DEAN S & CATHY, * Address: 460 DAVID ST GENERAL CONTRACTOR INFORMATION: Name: GREEN MACHINE GREEN MACHINE REFLECTIVE TECHNOLOGIES LLC JAMES BISHOP, wd-6 L11000144012 Address: 267 SOPHIA TER SUITE 112 Phone: 904-436-5151 PERMIT INFORMATION: FEES: PLAN CHECK FEES $48.78 BUILDING PERMIT FEE $97.56 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $150.34 0 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i otA,./' City of Atlantic Beach APPLICATION NUMBER Building Department'�► (To be assigned by the Building Department.) 800 Seminole Road o. _ Atlantic Beach, Florida 32233-5445 �D Phone (904)247 5826 Fax(904)247-5845 7; E-mail: building-dept@coab.us Date routed: 3/z9 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 15 S Pov Property Address: - �U ( De . + ent review required Yeses No � q :uildin. Applicant: GRE.E.,j I V l A C +c fit` 'lanninq &Zoning Tree Administrator Project: 0 Public Works 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: APPLICATION STATUS Reviewing Department First Review: roved. ['Denied. (Circle one.) Comments: 0� :UILDING PLANNING &ZONING Reviewed by: Date: q.4/*/ 7 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 OFFICE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904)247-5845 Job Address: Li (O D�v S f /4�� I3C I fL 32� ermi Number: 17 vVJ I D 3 6o 1 co Z D s arc l# 13.5- Legal 3S I70 04"2- b 2 SO Legal Description JO-lb ZL- �' �E � g 7 S{9-t,T�}IR AL3 �p Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 975-1 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/span dow/door Use of existing/proposedstructure(s)(circle one): Commercial • If an existing structure,is a fire sprinkler system installed?(Circle one): es CV N/A Florida Product Approval# i 11 '/i.3 I 2O I`1 l 12-32.3 .2.(0 For multiple products use product ap ova orm Describe in detail the type of work to be performed: 1Z� Q C� t l)t IA 0 0(.J 5 Property Owner Information: Name: T n exS(> Address: I{ tie t t\J T • City : e s State&Zip 3ZZ33Phone q O y- 80$ - E-Mail or Fax#(Optional) Contractor Information: _ S (..SRO � Company Name: C� iVvi.(L wv&e. ce [At`)C- Qualifying Agent: ��IVIES Address:'0)..,(c:-) $D P N i r1 `T etg. City S T Au fro E State fL Zip 3 2 0`l Office Phone - ! Job Site/Contact Number q/. 5-1 S I Fax# State Certification/Registration# 1)- (Q L ft O D D 1 4 1 7_ Architect Name&Phone# Engineer's Name&Phone# Fee Simple Tide Holder Name and Address _ 6 Bonding Company Name and Address /V/( Mortgage Lender Name and Address /1/) 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 ofsix(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,Heaers, 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 1 have read and examined this epplication 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. Signature of Owne Signature of Contractor ,o -+1•0-0-fi Print Name =�2 Print Name � ( ryl �F- I..�S...h. . Sworn to and subs ribed before me Sworn to and subsc 'bed before me ,20) this 1 Day of ► a 20 1'7 this 2 Day of i �— Nott "i+� LINDA BISHOP N• Public ("1:,1. Commission 8 GG 54124 ;I". Commission ii GG 5ItRIS 01.26.10 . MyCommission1 1 Expires *s,� , i My Commission Expires a,°F,„`,„' December 1 1, 2020 'w.;,„;;,,0� December 1 1, 2020 dkiskiem Sales Person: Dealer Acknowledgement O Quote Date 3/23/2017 Dealer Name: OFFICE COPY I Date Ordered I Quote Not Ordered I 310470 GREEN MACHINE REFLECTIVE TECH- User Initials: Bill To: Ship To: GREEN MACHINE REFLECTIVE TECH- SAME 267 SOPHIA TERRACE ST AUGUSTINE, FL 32095 Quote Created By: asc232 Phone: (904)436-5151 Fax: 904-808-8707 Order Notes: Delivery Notes: Quote Name: Project Name: Cathy Anderson: Phase#2 Green Machine Reflective QUOTE# RUSH STATUS PO# 1371070 No None Line Item# Qty Width x Height UI Description 1-1 1 58.25"X 34.125" 94 3002-Mezzo XX 58.25 x 34.125 Sash Split=Even Operation/Venting=XX Steel Reinforcement,Frame Option=Standard Block Frame - Frame Color=White CLIMATECH ELITE U-Factor=0.28,CR=58,SHGC=0.21,VT=0.48,CPD= ASO-A-90-13838-00001 Brickmould=No Brickmould,Frame Size Line Item Notes: Comment/Room: None Assigned Line Item# Qty Width x Height UI Description 2-1 1 30.25"X 46.375" 78 3001-Mezzo Double Hung 30.25 x 46.375 Sash Split=Even Operation/Venting=Double Hung Steel Reinforcement,Frame Option=Standard Block Frame Frame Color=White CLIMATECH ELITE U-Factor=0.29,CR=56,SHGC=0.21,VT=0.48,CPD= ASO-A-89-13838-00001 --- Brickmould=No Brickmould,Frame Size Line Item Notes: 30._3 Comment/Room: None Assigned Page 1 Of 4 QUOTE # RUSH STATUS PO# 1371070 No None Line Item# Qty Width x Height UI Description 6-1 1 30.375"X 46.375" 78 3001-Mezzo Double Hung 30.375 x 46.375 Sash Split=Even Operation/Venting=Double Hung Steel Reinforcement,Frame Option=Standard Block Frame Frame Color=White I j CLIMATECH ELITE U-Factor=0.29,CR=56,SHGC=0.21,VT=0.48,CPD= ASO-A-89-13838-00001 Brickmould=No Brickmould,Frame Size Line Item Notes: 7- a6 / s---- 30.375 Comment/Room: None Assigned Line Item# Qty Width x Height UI Description 7-1 1 21.5"X 33.25" 56 3001-Mezzo Double Hung 21.5 x 33.25 Sash Split=Even Operation/Venting=Double Hung Steel Reinforcement,Frame Option=Standard Block Frame Frame Color=White CLIMATECH ELITE,Tempered,OBSCURE FULL i U-Factor=0.29,CR=56,SHGC=0.21,VT=0.48,CPD= 'v ASO-A-89-13838-00001 Brickmould=No Brickmould,Frame Size Line Item Notes: a r,. I / /74 / 1-7 �— 21.5 Comment/Room: None Assigned Line Item# Qty Width x Height UI Description 8-1 1 21.625"X 33.5" 56 3001-Mezzo Double Hung 21.625 x 33.5 Sash Split=Even Operation/Venting=Double Hung Steel Reinforcement,Frame Option=Standard Block Frame Frame Color=White CLIMATECH ELITE,Tempered,OBSCURE FULL U-Factor=0.29,CR=56,SHGC=0.21,VT=0.48,CPD= ''• G1r: ASO-A-89-13838-00001 Brickmould=No Brickmould,Frame Size Line Item Notes: ry I.1 I �-- 21.625 Comment/Room: None Assigned T QUOTE# RUSH STATUS PO# 1371070 No None Line Item# Qty Width x Height UI Description 3-1 1 30.25"X 46.25" 78 3001-Mezzo Double Hung 30.25 x 46.25 Sash Split=Even Operation/Venting=Double Hung Steel Reinforcement,Frame Option=Standard Block Frame Frame Color=White CLIMATECH ELITE U-Factor=0.29,CR=56,SHGC=0.21,VT=0.48,CPD= ASO-A-89-13838-00001 Brickmould=No Brickmould,Frame Size Line Item Notes: _ I 30.25 Comment/Room: None Assigned Line Item# Qty Width x Height UI Description 4-1 1 70.625"X 79.5" 151 Overall Rough Opening: 71.125"X 80" 6406-6400 Series Standard XO 70.625 x 79.5 Call Width=72,Call Height=80 Operation/Venting=XO Sash Type=3"Sash Frame Color=White CLIMATECH ELITE Standard Screen Rough Opening Line Item Notes: / a3 a5 . a6 Comment/Room: None Assigned Line Item# Qty Width x Height UI Description 5-1 1 30.375"X 46.375" 78 3001-Mezzo Double Hung 30.375 x 46.375 Sash Split=Even Operation/Venting=Double Hung Steel Reinforcement,Frame Option=Standard Block Frame Frame Color=White CLIMATECH ELITE U-Factor=0.29,CR=56,SHGC=0.21,VT=0.48,CPD= ASO-A-89-13838-00001 Brickmould=No Brickmould,Frame Size Line Item Notes: r 39.3�5 d6 �-- • Comment/Room: None Assigned Page 2 Of 4 QUOTE# RUSH STATUS PO# 1371070 No None Line Item# Qty Width x Height UI Description 9-1 1 30.25"X 46.375" 78 3001-Mezzo Double Hung 30.25 x 46.375 Sash Split=Even Operation/Venting=Double Hung Steel Reinforcement,Frame Option=Standard Block Frame Frame Color=White CLIMATECH ELITE U-Factor=0.29,CR=56,SHGC=0.21,VT=0.48,CPD= ASO-A-89-13838-00001 Brickmould=No Brickmould,Frame Size Line Item Notes: t9 • V l� 30.25 --, Comment/Room: None Assigned Line Item# Qty Width x Height UI Description 10-1 1 70.625"X 79.5" 151 Overall Rough Opening: 71.125"X 80" 6406-6400 Series Standard OX 70.625 x 79.5 Call Width=72,Call Height=80 Operation/Venting=OX Sash Type=3"Sash Frame Color=White CLIMATECH ELITE Standard Screen Rough Opening Line Item Notes: .625 Comment/Room: None Assigned ATTENTION Total Unit Count 10 Please note that all weights provided are estimates and subject to change based on actual order shipment. NOTICE:The rating information provided on this quote is based upon the NFRC ratings at the time of quote. Such ratings are subject to changes in the standard by the applicable regulatory agencies and will be finalized at the time of manufacturing. All ratings printed on the NFRC label will supersede the NFRC rating set forth in the quote. Any changes made to an order after submission may also result in changes to the NFRC rating. Customer shall be solely responsible for determining whether the product ordered meets their jurisdiction's requirements. I have reviewed this order and certify that it is correct. I understand that this order is noncancellable, nonreturnable,and nonrefundable. By Authorized Representative Page 4 Of 4 i --t-, _ ,..__ , Qs?) a 0 41 6) to Tom/ Y,kr 1. i o --i 6-- - - glC \i/ .S i , (f) 13 0 9 1 v co,gip . � '' .- . (b .. ,) .-- i . .--- pI oh I Y 7 i 6 i t t