398 SKATE RD - WINDOW / DOOR j'.LyrJ`,
,=' ':P`,' . ,.v' 4 CITY OF ATLANTIC BEACH
A► > 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
1�r;3 va INSPECTION PHONE LINE 247-5814
RESIDENTIAL -ALTERATION RESIDENTIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: RES17-0100
Description: replace 4 windows&sliding-glass door
Estimated Value: 5052
Issue Date: 7/27/2017
Expiration Date: 1/23/2018
PROPERTY ADDRESS:
Address: 398 SKATE RD
RE Number: 171668 0000
PROPERTY OWNER:
Name: RODENBAUGH GEORGE W
Address: 398 SKATE RD
ATLANTIC BEACH, FL 32233-3820
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: AMERICAN WINDOW PRODUCTS
Address: 2633 S POWERS AVE QA KEITH ALAN GURR
JACKSONVILLE, FL 32207
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
I
I
.S, 1,y;# City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road Q Es ( 3 - Q (C O
Jr Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax(904) 247-5845 /`
E-mail: building-dept@coab.us Date routed: C� 113114
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: `J S L Department review required Y7 No
Bnildin�
Applicant: AmtnLa. n 'JtnCIc (11tt(kc-k S Planning &Zoning
L� ,( — Tree Administrator
Project: (t' u�1 ` L- nd�S (4 STA 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: pproved. ( 'Denied. Not applicable
(Circle one.) Comments: 41u c-
BUILDING
PLANNING &ZONING 8"•/-7
Reviewed by: ! 2 1 Date:
TREE ADMIN.
Second Review: Approved as revised. ElDenied.0 ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. nDenied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
BUILDING PERMIT APPLICATION OFFICE COPY
C. v i PY CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 Fax(904) 247-5845 7--5443
Job Address: 38 S3 k PrelVt✓ 32z33 Permit Number: -LSI 1--0113d
Legal Description-3-lb 3$-as'ca9E )e c P of al palms Parcel # I-1 I 1p(08•-�00
oc Floor Area of q.Ft. Sq. 't
Valuation of Work$55)0 S0. Proposed Work heated/cooled 1\(I-k non-heated/cooled ("64-
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa (window/door
Use of existing/proposedstructure(s) (circle one):, Commercial residential ---ti
If an existing structure,is a fire sprinkler sy tem stalled? (Circle one): Yes o (N/A_)
Florida Product Approval# 3eS? PI---k-
For multiple products use product approv form
Describe in detail the type of work to be performed: 1-1 Q r \r1 5 a(),:::,
r' 1 7L'(Yvp-k-- - ---)0 31 2-B b e .i .
Property Owner Information: �A
Name:G Cot e \1\)\l • 1 ,1 U� h Address: - • 4 '1"-)a-i . - 0 46 i '(- 32-2-33
City tori- 1•I-i I dr1 StateWZip 3z2-3 3Phone (log .Lill-crco8o
E-Mail or Fax#(Optional) ki IA-
Contractor Information: AMERICAN WINDOW
PRODUCTS, INC.
Company Name: 2633 POWERS AVE. Qualifying Agent: E� (uCi'
Address: f JACKSONVILLE, FL 32207C S to Zip
Office Phonk `131-aa�'7 Job Site/Contact Numbe�c04 -731 44i , ( Fax#(9oy)-13I-88 1
State Certification/Registration#�.�C. 1 as- 107 b�7
Architect Name&Phone# . .
Engineer's Name&Phone# JUL 1 3 2017
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 abandonedfor 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 ospecifiedwork will be complied with whether 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.
4
Signature of Owner '4_ WSignature of Contractor
(-7
Print Name C5'rd'E/ft e Xiij f .4 Print Name k GSUCT-
Sworn to .;'d subscribed before me Sworn to and subscribed before me
this ii I• of 20 t
Y — this Day of "a01.0.. . 2017
r '1 ` h' LIC
iii/ /- ,,,.i/ice
Notary > f Z.� f1'EAUS11N �-,, o . • ,;1117 ...1,ti - wi•1-1 1
# , - *ISSION It FF 897096 * .Z. * Commission 1100102835
r, I.RES:September 6,2019 ' v Expires May 5,2021 Revised 01.26.10
%0;mo, Bolded Tiro 9utet Notary Santos APOF FsOQ•� eona.a Tram Bakast Nolori.oine
OFFICE COPY i 1 -5HS
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name: E€ \A.) •` n `n Permit # Res/7-0/00
Project Address:
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
product approval may be obtained at:www.floridabuilding.org,
Category/Subcategory Manufacturer I Product Description Limitation of Use State# Local#
A.EXTERIOR DOORS
1.Swinging
2.Sliding GA-3 Z" I'i(oQS,S
3.Sectional
4.Roll up
5.Automatic
6.Other
B.WINDOWS
1.Single hung ce-- I i[t I 1 �,A-1 3
2.Horizontal slider
3.Casement
4.Double hung
5.Fixed
6.Awning
7.Pass-through
8.Projected
9.Mullion
10.Wind breaker
11.Dual action