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1814 TIERRA VERDE DR - WINDOWS AND DOORS l , y J,v6 �s 0' r It. CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD loy) VN ATLANTIC BEACH, FL 32233 f;3 0%' INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0170 Description: replace 7 windows &door Estimated Value: 5145 Issue Date: 9/21/2017 Expiration Date: 3/20/2018 PROPERTY ADDRESS: Address: 1814 TIERRA VERDE DR RE Number: 169542 5050 PROPERTY OWNER: Name: MORRISON GUY Address: 1814 TIERRA VERDE DR ATLANTIC BEACH, FL 32233-4527 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 •. t { �� City of Atlantic Beach APPLICATION NUMBER r 4', �� . Building Department (To be assigned by the Building Department.) \,;') 800 Seminole Road � Atlantic Beach, Florida 32233-5445 _ sf1 ^o( 1-0 Phone (904)24,7-5826 • Fax(904) 247-5845 041 E-mail: building-dept@coab.us Date routed: !ra City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: II t4 Tilt(O 1.)/4 at_ 01 . Department review required Ye 'No (Building Applicant: henu:w&() W ►ndo Qi o c- s Planning &Zoning Tree Administrator Project: NA W i 1v.o►JS doo( 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 I First Review: pproved. Denied. Not applicable (Circle one.) Comments: 7 / :UILDI ` �/ PLANNING & ZONING Reviewed by: . i Date: / �f TREE ADMIN. Second Review: I lApproved as revised. Denied. I Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 4„,,,,.„ ,,,,,,,„ Building Permit Application 11 — Cr) 6 744 OFFICE COPY City of Atlantic Beach 800 Seminole Road,Atlantic Beach, FL 32233 r !0” , + ^ Phone: (904)247-582658Fax: (904)247-5845 Job Address: le 1`"1 \t C c •\ &. Or . Permit Number: 1A"—O«V Legal Description, —&s8. cR-as G 5ewa Err 1.0-k—as- RE# Valuation of Work(Replacement Cost)$5) 14400 S• Heated/Cooled SF N Non-Heated/Cooled M l+- • Class of Work(Circle one): New Addition Alteration Repair Move Demo Poolindow/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residentia` • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail detail the type of work tobepperrformed:, �1 ncxs Sr r ibc - .-)1z1 - Florida Product Approval# U f t-f4ftehe for multiple products use product approval form Property Owner I formation [� 1 Name:��, I r.% Address: ,U�-"I --c-,&,:r City PA-la-VA-1C. State 1-1.-- Zip_ __ 3 x-1 3 Phone 09—7i', - P ) 7() E-Mail �k Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information AMERICAN WINDOW A Name of Company: PRODUCERNV Qualifying Agent: `,,1� �jucc 2633 POWERS AVE. Address JACKSONVILLE,FL 32207 City state Zip Office Phone q --tot — •-17 Job Site/Contact Nu•• •er e,i" State Certification/Registration#Qi 5.-I D') E-Mail EV ati i.11 .' in,?Ii.fo IM1 Ii.', i�. Architect Name&Phone# l�i Engineer's Name&Phone# Workers Compensation _ Exempt/Insurer/Lease Employees/Expiration Date SEP 1 2 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICPENadfr$MA51i'aN nt WELLS, POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. City of Atlantic Beath. OWNER'SL NAFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all F - 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. ature f Owner or Agent including Contract r) (Signature of Contractor) I S' ned1cran sworn+�to(or affirmed)before me this^ day of Si d ands orn to or affirmed)before a this al day of 9V!/ ,aV/T , by v-AiA rl�! ` .•I� •y .Q4 c, (r• ro�►nY Puq� J RYAN ALWARDT �--�/// �` � II r , * • ' * MY COMMISSION It GG III 41: _ ////�_ . _ `_ w ignature of Notary) ignature of Notary) •„ oma EXPIRES:Dyne 8.2020 � EVAN GELIE CLARKE 'freo,„o'P BondadThai BudAatNotxYSwaias �••�• ' Commisslon#GO10283$ +446,7 Expires May 9,2021 [ Personally Known OR [ ersonally Known OR 'to,f�ov. Bonded TtweudgetNotary Was [ ]Produced Identification [ I Produced Identification Type of Identification: Type of Identification: PRODUCT APPROVAL INFORMAATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: GO LkCfr`1.30\ 1 . Permit # Re S 17 - 017 0 Project Address: l a 1 Tt O1(a x t I . As required by Florida Statute 553.842 and Florida Administrative Code Rule 913-72,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 ?roduct approval may be obtained at:www.floridabuildin .or . Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1.Swinging Pa*-4k2). oC3.&aSS. 2.Sliding 3.Sectional 4.Roll up 5.Automatic 6.Other B.WINDOWS 1.Single hung eict5 144 I Y-(i5 .7.I 2.Horizontal slider p`-' J 3.Casement 4.Double hung 5.Fixed 6.Awning 7.Pass-through • 8.Projected 9.Mullion 10.Wind breaker 11.Dual action OFFICE COPY hEVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS REVIEWED BY: 777 DATE: ?'/y'/ 2.Other Category/Subcategory Manufacturer 1 Product escrip'on itatio i ' Ise State# Local# H.NEW EXTERIOR -� ENVELOPE PRODUCTS 2. In addition to completing the above list of manufacturers. product description and State approval number for the products used on this project,the Contractor shall maintain on the job site and available to the Inspector,a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge.I further certify that use of different components other than the ones listed in this document must be approved by the Building Official. OFFICE COPY (Contractor Name) (Print Name) !'t E)arr , Signature) AMERICAN WINDOW l Company Name:— PRODUCTS,INC. 2633 POWERS AVE. Mailing Address:—JACKSONVILLE,FL 32207 City: State: Zip Code: Telephone Number:(C101-1) 1?I - a Fax Number:(901-4)-13 I 8e Cell Phone Number:( ) E-mail Address: EVEC f m@ri Carl U27 t(' .c)rgax-1--s- Corn