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2400 SEMINOLE RD - INTERIOR RENO PERMIT .S y��yJ• CITY OF ATLANTIC BEACH ) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 0;tysr INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0088 Description: INTERIOR RENOVATION, NEW WINDOWS AND DOORS Estimated Value: 500000 Issue Date: 7/26/2017 Expiration Date: 1/22/2018 PROPERTY ADDRESS: Address: 2400 SEMINOLE RD RE Number: 168354 0000 PROPERTY OWNER: Name: GATSBY LAND TRUST Address: 839 PONTE VEDRA BLVD PONTE VEDRA BEACH, FL 32082 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Address: 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$7,500. 4 otAn- City of Atlantic Beach APPLICATION NUMBER Js l'" f,n, Building Department (To be assigned by the Building Department.) r °).?, 800 Seminole Road r _ _ Atlantic Beach, Florida 32233-5445 l\ CSS 1-7 — U 08 P) '� / Phone(904)247-5826 • Fax(904)247-5845 ���� �� E-mail: building-dept@coab.us Date routed: ,2-s r ( 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: z4 00 S �I �� 2.,_ Department review required Yes No p Caiiildingp Applicant: !v€{2- _ 'Planning &Zoning ) Tree Administrator Project: (v T E-2( o R ,0C'' v ( .`( (0/t-) Public Works Public Utilities RGPL, CE- V v (,.._,D3 ops �co a_S Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: }Approved. ❑Denied. ['Not applicable (Circle one.) Comments: 56-e-- 17%E.--- M`-r' A o -z-+°- 5 BUILDING PLANNING &ZONING Reviewed by: Date: 1[2. I c‘l TREE ADMIN. Second Review: Approved as revised. ['Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. ['Denied. nNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 syL�r;„ Building Permit Application Updated 5/5/17 ._ Y'~ ;, City of Atlantic Beach M 800 Seminole Road, Atlantic Beach, FL 32233 0;1 9" V Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: 24cr Senh., 2 c 4-7›. Permit Number: l� E - 17 - d 0 ED E, Legal Description --De?? 1*• ") RE# Valuation of Work(Replacement Cost)$ 5 Q O 'C] Heated/Cooled SF S"0C0 Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residentiaj) • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes 0 N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: :-.1A-•e(L i c L R-e,Jc,l/A-�-ko tJ - aeQlt� WIN/CZ w ,c S /DOaa5: ( c 4�F� j 0,E 1'V l e c.&. ate a. P cv►,13, r',)4, R`r (n,..c r Florida Product Approval# for multiple products use product approval form Property Owner Information II p Name: Crt-SG L,t►JI) 12u 94"' Address: G 3/ e V Q41..-- )LIT. City ' , . •i- i State_rF( Zip '37c ? Phone_ goet• 4G3- � �e -Ir E-Mail -krv�i!` r ;'vt ) bovaC V,%'2 - ` Owner or Agent(If Agen , Power of Attorney or Agency'Letter Required) Contractor Information 2 Name of Company: C )L ,t ex.),L1 _ Qualif ing Agent: Address 6sci fCA.I help/4._ $L. City 'r....• V' P a. . State Zip 5 2vgZ Office Phone Job Site/Contact Number C{• 4C.3 4 d State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name& Phone# Workers Compensation J11hJ2 ��� I Exempt/Insurer/Lease Employees/Expiration Date 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 the taws regulationg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS,FURNACES, BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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. . moo . K,Owl UJaAk (Signature of ner or Agent) (Signature of Contra r) (including contractor) 1'` Signed and sworn to(or affirmed)before me this .G day of Signed and sworn to(or affirmed efore me this day of JVD , 261'1 ,by SC;,r &ct Kj.CAWCIC 01 , , by,/ ITIVilf (Signature of Notary) / (Signature of Notary) CARRIE MANLEY `�4 MY COMMISSION M FF 042150 1 ` ` EXPIRES:December 2,2017 ('4-Personally Known OR " ' Bonded Thru Wary Public Underwriters [ ]personally Known OR [ )Produced Identification .• [ ]Produced Identification Type of Identification: Type of Identification: NOTICE OF COMMENCEMENT State of r L County of 1N,)VA,. Tax Folio No. To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: A _ 2- 2• 2. 0 - k) >; LAt .--• P-i- Lr* 2_D;✓ •3 P..acb of-. / 7-45 -7o '( Address of property being improved: Z.M 0(.2 5e 01.0- /e General description of improvements: Lonn(��4-•L �N'}'�R-I dL .IJcVA'��0r-'/ kii\I Owner: L ¶n ,94 Address: 1 oN' oe i, t/r &3LUo. 3Zt wner's interest in site of the improvement: f E,7 Sr't pL e AA SB L V te._ F •imple Titleholder(if other than owner): Name: Contractor: b )psi. q /� r, /� Address: eYi• '�o A,.},�'(Mk/A_ 13 . ? V eti I Jj .• fes`-` 3 Z.l� Telephone No.: go�P• 40 3• Fax Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: 1 t) ct L Ej Address: 10- ei De.Q2tvac,0 (3744fr. 04 D. 32_2_S-4 Telephone No: R pC4• e93.4&80 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: PTX) -&,4240,4.0.1 Address: igaISFS CA-3i ,, 3i v t ,O* ?<1'1e Obi) 321. Telephone No: e(L'4 e{(53• '4 sec) Fax No: Expiration date of Notice of Commencement (the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNERrl �yy �,,� Signed: �,.{•- tl.�[ Date: *;()•11 Before me this etO day of in the County`of Duval,State Of Florida,has personally appeared Scot CA �G� LOCA P G Personally Known: ✓ or Doc#2017150341,OR BK 18032 Page 2332, Produced Identification: W " ' w Number Pages: 1 Notary Public: l9r\CA/W Recorded 06/27/2017 at 11:40 AM, My commission expires: VP•2• Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY CARRIEMANLEY RECORDING$10.00 ,,..! ,= MYCOMMIS:TAWep FF042150 EXPIRES:December 2,2017 Bonded Thm Notary Public Underwriters ?sept \• = ti s +1 CITY OF ATLANTIC BEACH ho—M JAN 1 G 2018 &l � ' `� t`! s,' i I 800 Seminole Road ��; 081 NUmber ctCpURI vv Page ell CLERK CIRCU 1-1991- FUSS 5o 69 pR M Ron is ,42528 at �3• DEED DpC NG $2� o0 � Instrument?To u.b :.- Ibis efeat,tit.,est1pt Make 1...1,C ;tet conveying 82215.1%dSB t,South,. flobd32101 aCCaDty Deed married plan aGatsb9 Land e 250 Vilacvij6 46 Genera 'Warr for Glover, Trustee of the afteYcalledth kson p2 10 by San Taylor FL 32082,hecein F;�et�O• Ward as 2411, V ed Beach, any, tot,to ra d the \cies, 11 I Feb d the fan vd,p°rite 1-K�day :e ;\ ote faadethisV e2: 83 grantee" include all the partes of corporations) h°rnho ea office a successors and assigns d other valuaSes, '1°11 - t whose post „ and„grant a p'15,`1p1.88,atetniges,tele Trust, ancon d the o{$6, aliens,grantee: an of the sum $ells, herein the terns of individuals, enation barga'ns' Florida,viz (Whenever used ves and assign din consideration grants,vat County, representatives epr Witnesseth, tau ancon,for cknowledged,d situate in D° the,+properry+,). legal tuesseth,thatethe is me e,a; t certain las a Hereof' gtate of W1 made p tion°f the rece1pt w antee, to the reference der the laws and COnstitu ere0n c n eys and confirms un by hold of Grantor reside th hereto and l'exhibit in "at attached h of the Grantor the house Se homestead b voter erty's not the h°m or any mem either Grantor n ower and authority to p Said property COp that n 11 p of the Trust' s tnteres Florida in have the d dispose 16g35A-�p00 shall H Number: Trustees, manage an Parcel sencumber and otherwise to and her and p°sse The Granteeen t to full use re to lease,to tight e and to sell, bed above f said trust thewithout limitation196 `� Conserv toand the real property described beneficiary ° trust,including196 031 �r to the ed by the Sections is otherwise ell ants property rider beneficiary�' owned u The trust agreementreal edpertyual qualify such property u the bereft producing m ants, d easement l any non-tnc°n�emterest is intended to A eXentptions for estead restrictions an .this beneficial for s ho 31,2016,coVen Statutes,as amended December taxes subsequent to the same' thereto belott+ Seren ct TO operate to reimposeencs and appurtenances shall not with all the tenements, hereditaments j by this I Together appertaining. the sante in fee simple forever. have and to Hold' is lawfUIi' To with said grantee that the grantor hereby covenants authority to sell and convey said lar And the grantor right and lawful simple;that the grantor has good rt Page:1 of 2 `4 �,-rl CITY OF ATLANTIC BEACH tJ 1J►WNER / BUILDER AFFIDAVIT • I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/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 ACT AS YOUR OWN CONTRACTOR EVEN TI-IOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE TI-IE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. 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 EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING 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. III. 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; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL 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. ADV P�+e. ✓e.04. u• evoPFiOoNE NUMBE ���O 5 t/ Lal t) ,,,,,,z_ P T NAME ('', SI ATU 01 wp DATE • 0 • 17 Before me this av f'day of V1.)A-R. ,20n in the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true {rue and accurate. Notary Public at Large,State of FL ,County of \)k.)CA.\ _ �. _ 11 ��• 4%, CABBIE MANLEY ersonally Known n 4:,: F=_ MYCOMMISSIONYFF042150 ❑Produced Identification- EXPIRES:December2,2017/ ' / Bonded Thru NotaryPutdic Underwrders Notary Signature: C CAJ 1/� �W�/ - `^ F:BLDG/O wrer•Builder Afladavit;REVISED.4/16/2009 0 CITY OF ATLANTIC BEACH a ' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 (904) 247-5800 PERMIT NOTES July 21, 2017 2400 Seminole Road RES17-0088 Interior remodel and new windows 1. This project is classified as Alteration Level 2 and all provisions of the FBC- Existing Building, Chapter 8 apply. Please review. 2. Separate building permits or revisions to the original permit should be obtained before doing any work not shown on the approved plans, including stair systems and structural framing. 3. The COAB Sea Turtle Protection Ordinance is attached. This project falls under Section 5-38, Standards for existing lighting. Requirements from Section 5-38 become effective after May 1, 2018, but it is highly recommended that these requirements be addressed now, during remodeling. 4. No new work should be covered over before it is inspected. CO 1 Ay -, 00y b ro To ! - = =.2� 00 �l t � AN � O` �n � wN �-' � � n '� n b b' y x d nix a cA c . °0 SA, " Cr -. _ o, y a a E C N, c 0 E4 o o 0. - a 7d v, VI a u ao' �' cT o co 40, 4 B (gyp q3 �--� C o o e co 19:1 n eta cr °cog G 8. o g W y A 4 K o0 �.. s_.. • �. N b 70 V 7 \i ° � � CY < t. = cr S c) P z L • b - � o . - - - - 0 5. '6, Y 17. b r L. 0 N I\ o � � < c v. cD up $. .P. 2 w o a o y .,..) 6 ,,t) r. --sf..s. = �• E 0 0 vii tti 7 a � y V1 c C. W C ri CC *� O * a � til — �° I 0 0 t" cm pa 0 I y o d a. CD 3 I `' cp cd Cr a • _ d; v, .A. W N O oo �1 O\ cn' A W N --� = - p .D pc .--1 G, .n w N -- UA N) Lfln iIflflJ g >y g g cr„0 E. g g g.. 5 0 2, g D �. .- '-. A, aG 11 ch �'.., aC aQ TS Q 't7 Cr; . O A) CS' C - g < Q' a'a. 0 as g �, = a0c 7: CD v) r v `° <R. 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P: o CD C I 1 i FLOR{O5 OQPARTMGNT OF Ousiness & Professional Regulation }�; fii�WilYir BCIS Home Log In User Registration Hot Topics ' Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search 'ID d s\c, duct Approval ,.. r 4 4)Ur R:Public User Product Approval Menu>Product or An,IL sat.,.Qr :iearth>400licat on List>Application Detail FL# FL14320-R4 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Andersen Corporation Address/Phone/Email 100 Fourth Avenue North Bayport, MN 55003 (651) 264-5308 alan.barstad@AndersenCorp.com Authorized Signature Alan Barstad alan.barstad@AndersenCorp.com Technical Representative Address/Phone/Email ; Quality Assurance Representative Alan Barstad Address/Phone/Email 100 Fourth Avenue North Bayport, MN 55003 (651)_7.5.4-5308 abarstad@andersencorp.com 11 tl • Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who developed Hermes F. Norero, P.E. the Evaluation Report Florida License PE-73778 Quality Assurance Entity Window and Door Manufacturers Association Quality Assurance Contract Expiration Date 12/31/2018 Validated By Locke Bowden Validation Checklist-HardcopyQXved Certificate of Independence FL14320 R4I C0 _Andersen COI SS 22154 Q�r; pdf Referenced Standard and Year(of Standard) O0A Year AAMA/WDMA/CSA 101/I.S.2/A440 Njo 2005 AAMA/WDMA/CSA 101/I.S.2/A440 2008 "i, ASTM E 1886 2005 , ASTM E 1886 2002 ttttps://www.floridabuilding.org/pr/pr app dtl.aspx?param.wGEV...bCUiTKel20E3p12relNCvwWb%2byl4v3HyKMMvAeUDEZQ%3d%3a 6/15/17,1:09 PM Page 1 of 3 ASTM E 1996 2002 , 14 ,,,z . ASTM E 1996 2012 TAS 201 1994 TAS 202 1994 TAS 203 1994 • Equivalence of Product Standards • Certified By its . Sections from the Code i, Product Approval Method Method 1 Option D Date Submitted 04/24/2015 ' Date Validated 04/25/2015 Date Pending FBC Approval 04/28/2015 Date Approved 06/23/2015 Summary of Products FL# Model,Number or Name Description 14320.1 A Series FWHID Inswing Doors Limits of Use Installation Instructions Approved for use in HVHZ:Yes Fi..14320.R9, ILAWD021 SS 2015-04-20.{Zdf Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. Florida PE #73778 Impact Resistant:Yes Created by Independent Third Party:Yes Design Pressure: N/A Evaluation Reports Other: Refer to pressure tables on drawing AWD021 (Note: FL1432Q_R4 AE_PER3514 SS 2015-04-21.pdf All pressures meet water infiltration requirements). Plastic Created by Independent Third Party: Yes Material Certification of PVB interlayer is listed under current Miami-Dade NOA. 14320.2 A Series FWHID Inswing Doors with Stationary Panels ' Limits of Use Installation Instructions Approved for use in HVHZ: No . L1432 R4 ILAWD082 SS 2015-04-21.pdf • Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. FL P.E.73778 Impact Resistant:Yes Created by Independent Third Party: Yes li Design Pressure: N/A Evaluation Reports Other: Refer to pressure tables on drawing AWD082(Note: FL14320_R4 AE PER3515.as 2015-04-21.odf All pressures meet water infiltration requirements). Created by Independent Third Party:Yes ,14320.3 A Series FWHID DP Upgrade Inswing Doors os, I"' `Limits of Use Installation Instructions Approved for use in HVHZ:Yes 11_1432,Q R4 II AWD038 SS 20 44.20 pdf Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 " • Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports I Other: Refer to pressure tables on drawing AWD038(Note: FL14320_R4 AE_PER3516 SS2015-04-21.psif I All pressures meet water infiltration requirements) Created by Independent Third Party: Yes '1 4 ,4; 1 l1 Contact Us.::2601 Blair Stone Road.Tallahassee FL 32399 phone:850-487-1824 ilStatement The State of Florida is an AA/EEO employer.Coovrioht 2007-2013 State of Florida,Florida ::::privacy Statement::Accessibility Statemen Refund Statement !l, i1{, Under Florida law,email addresses are public records.If you do not want you-e-mail address released in response to a public-records request,do not send 11I ; electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.'Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if iic 11, they have one.The emalls provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to l^ ' supply a personal address,please provide the Department with an email address which can be made available to the public.To determine If you are a licensee under lI' .i Chapter 455,ES.,please click ball: 'I1? Product Approval Accepts: is https://www.florioabuilding.org/pr/pr app dtl.aspx?param=wGEV...bCUITKe120E3p12relNCvwWb%2byl4v3HyKMMvAeUpEZQ%3d%3d 6/15/17,1:09 PM Page 2 of 3 euP$$L(c6) xi VP9'ddc(GW uaa n;.,1.*:`: SiN ' bOOEE"1d"HOv38 VINVQ ' :31v7S �-i CO r- d S['B'b WS 39NVH0 3(07 Ni NOLLI(3 HIS p:-� ,, N o §„ oust HOV38 VINV('3 ELSE —1 rr? • , :/,. N3H u- ► o 1a '7NI'9d0t1a 9NIQ1V18 bt'0E'b0 WI am/S2f00( m s- z lyl - 8)1H7 Q ► ; w� :AS ZTZ2'Z SW 39NVHO3a000830t02 V N t 4) 888 _ vie "-' � , = s31oNNoumvlSNl 31YQ A8 NOI1dI S30 'ON.- fid,•• S j /� A8 NM0 # F: 9 b00( l9NIMSNI SNOISI/132! ''''I, ON..i sS ttt`�s0 O9 0 o vi i_ S3Itl3S-V :3'1111 - 1 L..1 ti c�i g 3 • z Li 7,N Y E (S V - N Ph N ' Ni ! 2 '3g zN>. .. o 1 ! 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OBPRHOW ABOUT DIPR OBPR 0I¢MONS a,TACT,BPR BCIS Home Log In User Registration Hot Topics Submit Surcharge Stets&Facts Publications FBC Staff SCIS Site Map Links Search dbr jProduct Approval iUSER:Public User °toduct t atdoval Menu>Product or Aoolirabip Search>Aoolicatlon List>Application Detail FL# FL15497-R2 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Andersen Corporation Address/Phone/Email 100 Fourth Avenue North Bayport, MN 55003 (651)264-5308 alan.barstad@AndersenCorp.com i Authorized Signature Alan Barstad alan.barstad@AndersenCorp.com i Technical Representative Address/Phone/Email Quality Assurance Representative Alan Barstad Address/Phone/Email 100 Fourth Avenue North Bayport, MN 55003 (651) 264-5308 • abarstad@andersencorp.com • Category Windows Subcategory Double Hung • Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who developed Hermes F. Norero, P.E. the Evaluation Report Florida License PE-73778 Quality Assurance Entity Window and Door Manufacturers Association Quality Assurance Contract Expiration Date 12/31/2018 Validated By Locke Bowden Validation Checklist-Hardcopy Received Certificate of Independence FL15497E_COI_Andersen COI SS 2.c)15-02-23.0f I Referenced Standard and Year(of Standard) Standard Year 1 AAMA/WDMA/CSA 101/I.S.2/A440 2005 litat https://www.floridabuilding.org/pr/prapp_dtl.aspx?param=wGE...p%2bDhVR(ZHGNCjT8keS6gPTUs8kJLcMjpJM8JiJVwAQ%3d%3d 6/26/17, 10:10 AM Page 1 of 2 AAMA/WDMA/CSA 101/I.S.2/A440 2008 ASTM E 1886 2005 ASTM E 1886 2002 ASTM E 1996 2002 TAS 201 1994 TAS 202 1994 TAS 203 1994 Equivalence of Product Standards • l { Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 04/24/2015 Date Validated 04/25/2015 Date Pending FBC Approval 04/28/2015 Date Approved 06/23/2015 Summary of Products FL# Model,Number or Name Description 15497.1 A Series Double Hung Window Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL15497_RZ LLAWD042 rS 2015-04-20,pdf Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. Florida P.E.73778 Impact Resistant:Yes Created by Independent Third Party: Yes Design Pressure: +70/-70 Evaluation Reports Other: Please refer to installation instructions,AWD042,for FL15497R2 _PER :SS 2015-04-21_pdf further limitations of use. Created by Independent Third Party: Yes Contact Us::2601 Blair Stone Road.Tallahassee fl 32399 phone:850-487-1824 The State of Florida is an AA/EEO employer.Copyright 2007-2Q13 State of Florida,::privacy Statement::Accessibility Statement::Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 550.487.1395.'Pursuant to li Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F-S.must provide the Department with an email address if ii they have one.The emells provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.To determine If you are a licensee under Chapter 455,F.S.,please click here- • Product Approval Accept.: 10. 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M55 sa- _ • No.73778 8� w D :_ A UPDATE TO HVHZ MS 6.21.12 PREPARED BY: fi (D Q CHK BY; k, _1 .*- * _ _ . I O HEN ( ?0 r STATE OF : BUILDING DROP5,INC. o A �, r ?—' 398 E.DANIA BEACH BLVD.#338 1 i M S CIN -Y SCALE: � �� _ _ DANIA BEACH,FL 33004 N NTS % PN.(930399-1478 DO Y34)744-4738 0 Zo m �CAN�� i N C WH 'zrs' — 4m� o. i pp H 11-.-- I 1q � , • U ic;;F: a ` '''-'--,71ID GI 81 rri om' a` til r (n -{ y <>0Z • US 'go 4 G, Q Q . T inO� •! • 7C7 p> °• t 3 '. H F • { r A en f > > VIH o O o N M a x N 71 • 1 : r X7C0 r a ro N o 04pc in oZ Q O< - q °co 3 A., m i-- 1.. tA 0 41 V 1 $ nN N z a P n q O °; m > io 1pvm �1 H X I1 o w _ I vv Q Clip I. ‹D (n ft " �w N p� N m T (Di- 5) N G rs, zw It xv Y aO> 4 '^ 3 LrI1. i r{ v J > m� I v 1 m H Po Za n y w w• P 0 ;4) �I m II m ,- O L H�> Z r H X 1 <g >ZZ M �� )i TITLE: A-SERIES DOUBLE HUNG f _ DATE: `,�,�' S F. '''�•, REVISIONS ISIONS WINDOW g rTl D0 04.03.12 `�e-\'' N� O,. /-- comooAENTS .tg E 7 s# DWN BYE.,4./...C,: ,,`:'•�^pO%NO. DESCRIPTION BY DATE MSS_ $� g' ; gria 1=1' * * _ A UPDATE TO HVHZ MS 6.21.12 PREPARED BY: .1 (p O CHK BY� 9 - BUILDING DROPS,INC. —71 A H� T„,2,0044,:,,t,..-- \ � E 398 E.DANIA BEACH BLVD.#338 ”g 2 , = Q• +\ SCALE %�'`' '�s . _ DANIA BEACH,FL 33004 IV NTS ;' Rid plana nr.(954)3998478 FX: ;954)744-4738 Dcc # 2017046189, OR BK 17891 Page 2081 , Number Pages: 3, Recorded &&2f27/2017 at 03: 14 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $27 .00 DEED DOC ST $42528 . 50 This Instrument Prepared by: Blake F.Deal,111.,Esquire Briley&Deal,LLC 2215 Third Street,South,Suite 101 Jacksonville Beach,Florida 32250 File No. 16-0246 i�11 General Warranty Deed Made this 11-1't✓day of February, 2017, by S. Taylor Glover, a married man conveying non-homestead property, hereinafter called the grantor, to Sandra K. Ward, as Trustee of the Gatsby Land Trust,whose post office address is: 839 Ponte Vedra Blvd., Ponte Vedra Beach,FL 32082,hereinafter called the grantee: (Whenever used herein the term "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) Witnesseth, that the grantor, for and in consideration of the sum of$6,075,401.88, and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee,all that certain land situate in Duval County,Florida,viz: See Exhibit"A" attached hereto and by reference made a part hereof,(the "Property"). Said property is not the homestead of the Grantor under the laws and Constitution of the State of Florida in that neither Grantor nor any members of the household of Grantor reside thereon. Parcel ID Number: 168354-0000 The Grantee and her successors, as Trustees, shall have the full power and authority to protect, conserve and to sell, to lease,to encumber and otherwise to manage and dispose of the Trust' s interest in the real property described above. The trust agreement grants to the beneficiary of said trust the right to full use and possession of any non-income producing real property owned by the trust, including without limitation, any residence. This beneficial interest is intended to qualify such property under Sections 196.031 and 196.041, Florida Statutes,as amended, for all homestead exemptions for which the beneficiary is otherwise eligible. Subject To taxes subsequent to December 31, 2016,covenants, restrictions and easements of record and by this reference shall not operate to reimpose the same. Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby Page:1 of 2 OR BK 17891 PAGE 2082 • • • fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing subsequent to December 31,2016. In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above written. Signed,sealed and delivered in our presence: • -- ----_ (Seal) nn..'' a for Glower Witness Printed Name /24A 1301_v( G-- Address: 133 Luck ie Street,8th Floor,Atlanta,GA 30303 Witness Printed Name Da^"d• k• 1.4./14-k Z"r State of Georgia County of Fulton The foregoing instrument was acknowledged before me this l 7 day of February, 2017 by S. Taylor Glower,who produced a driver's license as identification. Notary Public ---� — 1111111,, .�`ERT HA I,�, Q0�'Z1OT.g4.;'O'•: GEO • Peattut:G4 :z 0.` .. 1.4cok3o Page:2 of 2 OR BK 17891 PAGE 2083 � • PARCEL B A portion of Lot 2, Division 3, of the Andrew De Wees Grant, Section 37, Township 2 South, Range 29 East, Duval County, Florida, lying East of Seminole Road, being more particularly described as follows: Begin at the Northwesterly corner of Ocean Breeze Replat, as recorded in Plat Book 46, page 51 of the current public records of said county, said corner being situate on the Easterly right-of-way line of Seminole Road (County Road No. 608, a 200 foot right-of-way as now established); thence North 00° 13' 08" West, along said Easterly right-of-way line, 224.88 feet; thence North 89° 44' 28" East, departing from said Easterly right-of-way line, 450.55 feet to a point situate on the Erosion Control Line, as recorded in Plat Book, 35, pages 59, 59A and 598 of the current public records of said county; thence South 01° 07' 02" East, along said Erosion Control Line, 225.01 feet to a point situate on the Northerly boundary line of the aforementioned Ocean Breeze Replat; thence South 89° 45' 16" West, along said Northerly line 454.08 feet to the point of beginning. Lands thus described contain 2.34 acres more or less. Being a portion of the same lands lying East of Seminole Road as recorded in Deed Book 747, page 6 of the public records of Duval County, Florida.