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1740 LIVE OAK LN - DOOR y i'Jjp1ri r2, s‘ CITY OF ATLANTIC BEACH r ' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES17-0282 Description: replace door Estimated Value: 6920 Issue Date: 11/29/2017 Expiration Date: 5/28/2018 PROPERTY ADDRESS: Address: 1740 LIVE OAK LN RE Number: 172020 0204 PROPERTY OWNER: Name: ROBBINS DAVID M LIFE ESTATE Address: 1740 LIVE OAK LN ATLANTIC BEACH, FL 32233-5606 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: PELLA WINDOW AND DOOR Address: 7818 PHILIPS HWY QA JAMES SAMUEL ROWLAND JACKSONVILLE, FL 32256 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. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road j c i l j< .Y • Atlantic Beach, Florida 32233-5445 }--� - o c?' Phone(904)247-5826 • Fax(904)247-5845 I r;t 9',=. E-mail: building-dept@coab.us Date routed: It I. t.1-+ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 tO U I O c&. rtment review required Yes o {� \ p Building (X-v Applicant: r thk \/`' .� v.)S OW S Planning &Zoning Tree Administrator Project: C q\ LQ•- Jjjij 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: Eicpproved. ❑Denied. Not applicable (Circle one.) Comments: BUILDtt't PLANNING &ZONING Reviewed by: Date: �'d8-1 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. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Eg ; r Building Permit Application �T �. �. 'FILE COP City of Atlantic Beach J 8 Seminole Road, Atlantic Beach, FL 32233NOV 1 6 2017 "`:! r A?or:l'A' IT_ Phone: (904) 247-5826 Fax: (904) 247-5845 Job Address: I'1gLive d0.�<.. Permit Number: E 19- - MO Legal Description 31/4'1• J I' 0`�' •a'l 6. ,(0.1 s� 1',0.c,,..4 ur.Li• 4;K I�,I RE# )7 �Od U - q-J t Valuation of Work(Replacement Cost) $ CLCtcW Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition epair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial esidential • 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 the type of work to be performed: R.,00,,e),, �Q ,C Size. ' Ste Q Florida Product Approval# I`( 5"1(4-a for multiple products use product approval form Property Owner Information Name: v. . c._60\4-`0-6 Address:17'1 L.v47,_0c c Lo - City 1( -\u..A -\c Q).Q...v..C.-\ State 'FL-• Zip 3 )-- Phone °(O' 'tick).-,14)(p E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information PellaName of Company: Windows&°434 " Qualifying Agent: w-Yl"e (2-al v K.0,‘A- 350 350 oor W State Road 434 Address City State Zip Office Phone-1,17-(4174410J Longwood. FL 3275° Job Site/Contact Number State Certification/Registration#Cti,Ctl`I( .1 l a- E-Mail Architect Name&Phone# Engineer's Name& Phone# Workers Compensation 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 laws 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 RECO ING)'OUR NOTI OF OMMENCEMENT. ignature of Owner or Agent including Contractor.),1,,_ (Signature of Contractor) Signe and sworn to(or affirmed)before a this a`l''day of Signed and sworn to(or affirmed)before me this I day of , -LS C7 ,by ''‘ .0,,1/41 -k o�nb..—� N") , .J►-'7 ,by --Yo).YLQ., (W ,,k0„1"..6.__ 1A / irignatu_ruaatarvL ignature of Notary) 1V'> CHRISTINEO'MALLEY w�;y•., '03••r t Vs CHRISTINEO'MALLEY ' MY COMMISSION SI FF 087307 MY COMMISSION M FF 067307 EXPIRES:January 29,2018 y'• , as EXPIRES:January29,2018 [ ]Personally Known OR € ,, t ' BondedTnruNolaryPuaicunderwrters Personal) Kno n �° y � ;,,;••`` Bonded Thru Notary Public Underwriters Produced Identification [ ]Produced!dent Ica 1. Type of Identification: �--' Type of Identification: Doc # 2017261001 , OR BK 18185 Page 1950 , Number Pages : 1 , Recorded 11/13/2017 06: 54 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10 . 00 A rtri 4- -1 12 ' sl ? —0 . c . NOT ICE OF CONI MENC I.]NI E N T • ' 1 '' - Ta... .•-:....... :,sa,,, i'1 Oi ao -Q....)A•I . ,. • r ,cif- c---1 - .. ___ ___. To Whom 11 Max Conant: The undersigned hereby informs%oil that imprco meats will be made to certain realproperiN.:.and in accotdance with Seetion 713 of .in.Ft.::rioa Stiarat .the fia1itvoic:z.nif--riantinia is stated th this 7iliTE CM-CONIMENI:EMP.,..,'T i*.' 1...:...!it:i..1..NCZ;Plir."..:r!..'C.,r..W 7„! ..)41.;i41 YiE.r7; ..4:. 31/41-,r/ -C"1-.)-S•DI 6 •ct.i 5...c.VJ toAri‘ (-'‘e D-rileil 9.r- Z\V• _ ,.. ____ -'.. (........-1 '1-----V_7,-.4-4-1.6-'1-4-1(...". .6,- 7C,-7„-> General description of improtemmts-. "a) 0 k 'fi_ _ _ _ . _ ILI /.1.f-itn- C I V.; L>C42...‘,.e...-. Aria •••• - . __..._____ -_ -- C...hT.:r,-;itry... ..t.if.-.;,..e..4k ...Ns..-ot C:5_`.—`,1 Fee Simple Titleholder(II i.,iftter:.:12.a i,SN,116.1f):_...fd \6.,... ___. ______ .... Ll.... -- . • Pella VVindows&-poors c..,:,::::::-:,--. 350-WSrcite Road-434 _.. _ ____ ;:;: $..s. ft 32750 Li:mg/400a T.ilop".:.i:inz'N-..-.: :1'...r..,...i.,,, r.... ..,, • Surety t if anv1 -------- Lli .. Oial A i.-"41.7tiss. Z Amour.of B.::,..-fC 0 - T „,_-!--. < 4 1 < Name: -- n La r• a . A.1.1res-i. ------------------- -------- _ \ 0o El 8 < w i:_- < ‘.....187A.,..•::..F"4:7...-:!,1<.+,:7.65.111:1;7.Stili::e:07-`,..n.;-1.—' ,...,:t..;:r:...,h;:...W. it : -t.'.....:73 ..t.ril'f.l.t k..: i',Z.:::-.1r.-.4.7.4i!:-.'"..kl.:,n Ze.:.....2,-'.:"....,,.-S1.14.; k-:.L7.?..C.:7.i,7:-.,.,:!: !-7,.: n z rz z t'ailt:::: Address. AA X __ ___ 0 .,' 2 w ::...: :.'S..,/,20 h.:.IP'...:•,;:•$.7..;.7•:-..7.,:li-:".S 0-:tel-:...7., ...-Z'.:.}14.4.1.:::I..7........,7:.: u9 >. O. ....CC CO 7,:i.C1:11 --_------- --::_i _ — Address: d _ *•-. F- iii D 0 -•--.- — _____ _. La 5 s. ,—,..-•..5,s2 v—NC-13C'. ''.'....tfIrl'•';',Ar—,-,...-A-—t,-,.,;,-“,-,,r--,v--i-its.-q-,el'v-"'","%,"'',"'CV'•":004.,oi ri--.•.,,,,v--r ite2--r-,'s i,-1-.4ti .1 ILI . _ . • ___ X THIS SPACE FOR RECORDER'S USE ONLY OWNER Date: L -f .. 04J-.;;-/,-.7.if.i..-i-' ar..". - .T - .. YCCrr— n* io the Co ,.:4 fravai:S-inte 0..7-742'sw;kis!.!*;:itg.ti;.(,,, ..• .76g,- '..,,i-.---..:?'Pii.:;::V i:;',T,,!....:: 517‘.5,7"_':. ';t',.7.O.:L :"..;,:..4:.:•:iOntiO-3.- .4"..',7.1.-:.-. PCO.:0113ii3 anon n OF •.a..seuaesmtoixa....P•Ie_a._.E. ..or„...s.n_!.n.._mcta".on±,r.?if, Produced Identificautirr MY COGIVASSiGN*Ei-tsoc,73-07 I I— , _ r se..13. ,,,,,.. ..„,...,3_,.... 1 ,... ,... ..,,i, 1 .„, I .,!, 2...5 • ,......____, ,...—is . [ Li, ,, 13 ,,,.___J II f.. L .k ,_r'!-T..L1f.;J f -13- ,- FOP' 6 ) iii it. r,,� 1,1 FGRir.J .....„ -,-; Customer:David Robbins Project Name: Robbins,Dave,1944283 Order Number: 7187MHZ2Z Quote Number:9311409 Lino ft Location: Attributes 10 Entry Pella Brand,Double Entry Door Inswing,74.875 X 81.75,Iron Ore,4 9116" Qty • t 1:7280 Double Entry Door c: Frame Size: 74 7/8 X 81 3/4 !w' I "7., / �: FK Unit Type: Inactive/Active lnsvring,Standard Sill,No Fire Rating,No Fire Rating Dimension OU1Tons:No Cut Down 1990 General Information: 5 7/8",1 5/16",4 9/16" Panel Style: Full Light Viewed From Exterior Glass: Tempered Low-E Air Filled Grilles:No Grille Panel Selection: Smooth,Painted,Eldridge Gray,Painted,Eldridge Gray Frame Selection:Clad,Pine,Oak Threshold,No Panel Reinforcement,Standard Enduraclad,Iron Ore,Wood,Bright White Ntff I ') Hardware Options:Latch Bore with Deadbolt,Latcore with.Deadbolj,2 3/8",2 1/8",No Integrated Sensor,Del Mar,Del Mar,Decorative Match to Active D 1 Panel Handle Set,No Oeadbolt [RubbedBronze`h B ,Flush Bolls,Oil Rubbed Bronze,Single Cylinder,Aluminum Adjustable,Oil Rubbed Bronze,MITI Finish Sill Unit Accessories: Monlelena with Panel Reinforcement,No Surface Bolls,No Bang Panel Performance Information: U-Factor 0.30.SHGC 0.19,VLT 0.31,CPD PEL-M-174-01921-00001,Calculated Positive DP Rating 35,Calculated Negative DP Rating 35.FPAS FL1489 Year Rated 08 Wrapping Information:8"Installation Clips,No Exterior Trim,No Interior Trim,4 9/18",5 7/8",Factory Applied,Pella Recommended Clearance,Perimeter Length=314". Rough Opening:75-5/8'X 82-1/4' Customer Notes: IT WILL BE TIGHT DUE TO GLASS OPTION LIMITING SIZING,WORK WITH IT PLEASE INSTARMCOR010016•Entry System Wood Double wlo Sidelight Qty 1 Line S Location: Attributes 15 Delivery/disposal ADDPRRMCOR020001 -Delivery&Disposal Qty For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com OFFICE C0PY Printed on 9/6/2017 Contract-Detailed Page 2 of 14 SE 1•11344.1.:1 Uttar4IlWelt Cly r Business & Professional Regulation SCIS Home Log In User Registration 4 Hot Topics Submit Surcharge ; Stats&Facts ' Publications FBC Staff SCIS Site Map ( Links Search 0-1,-;--1 Product Approval r `;: �� USER:Public User iiOFFICE CppY Product Approval Menu>Product or Application Search>Application List>Application Detail I,OfFlC'Eur 1i4E FL# FL14896-R3 Application Type Revision Code Version 2014 Application Status Approved *Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived Product Manufacturer Pella Corporation Address/Phone/Email 102 Main St. Pella, IA 50219 (641) 621-6096 pellaproductapproval@pella.com Authorized Signature Andrew Morse morseaj@pella.com Technical Representative Joseph Hayden Address/Phone/Email 102 Main Street Pella, IA 50219 (641) 621-6096 jahayden@pella.com Quality Assurance Representative Pat Bortscheller Address/Phone/Email 102 Main Street Pella, IA 50219 (641) 621-1000 PJBortscheller@pella.com Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By Terrence E. Lunn, PE a Validation Checklist- Hardcopy Received Referenced Standard and Year(of Standard) Standard Year ASTM E330 2002 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 04/23/2015 Date Validated 04/24/2015 Date Pending FBC Approval OFFICE COPY Date Approved 04/27/2015 Summary of Products s (1)Go to Page CO 0 Page 1/21 fa FL# Model,Number or Name Description 14896.1 Pella&Architect Series Steel& 37 1/2"X 97 3/4"single glazed operable door with standard Fiberglass Panel In-swing Doors with latch and deadbolt, unreinforced mullions,dual sidelights,and Aluminum Clad Frame a transom (68 1/2"X 135"overall unit size). Limits of Use Certification Agency Certificate Approved for use in HVHZ: No fL14896 R3 C CAC FL14896 1.Ddf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 05/18/2019 Design Pressure:+30/-30 Installation Instructions Other: Lock system with door shall be standard latch and FL14896 R3 II Drawino 1774.ndf deadbolt.Configurations of glass shall conform to the current Verified By: Warren W. Schaefer,P.E.44135 ASTM E1300 standard&have safety rated glass. Door panel Created by Independent Third Party: Yes may be full or partial light panel. Unreinforced mullions Evaluation Reports horizon al and vertical. Standard or ADA sills apply FL14896 R3 AE Drawing 1774.odf Created by Independent Third Party: Yes 4 14896.2 Pella&Architect Series Steel& 43 1/2"X 97 3/4"single solid operable door with standard Fiberglass Panel In-swing Doors with latch and deadbolt, unreinforced mullion,dual sidelights,and a Aluminum dad Frame transom(74 1/2"X 135"overall unit size). _..._ --------------- Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL14896 R3 C CAC FL14896 2.odf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 08/08/2019 Design Pressure: +40/-40 Installation Instructions Other:Lock system with door shall be standard latch and FL14896 R3 II Drawing 1774.pdf deadbolt.Configurations of glass shall conform to the current Verified By: Warren W. Schaefer,P.E.44135 ASTM E1300 standard&have safety rated glass. Sidelight Created by Independent Third Party: Yes panel may be full or partial light panel. Unreinforced mullions Evaluation Reports horizontal and vertical.Standard or ADA sills apply FL14896 R3 AE Drawino 1774.odf Created by Independent Third Party: Yes 14896.3 Pella&Architect Series Steel& 37 1/2"X 97 3/4"single glazed operable door with 3-point Fiberglass Panel In-swing Doors with lock,unreinforced mullions,dual sidelights,and a transom(68 Aluminum Clad Frame 1/2"X 135"overall unit size). Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL14896 R3 C CAC FL14896 3,odf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 06/27/2019 Design Pressure: +50/-50 Installation Instructions Other: Lock system with door shall be 3-Point Lock. FL14896 R3 II Drawing 1774.odf Configurations of glass shall conform to the current ASTM Verified By: Warren W. Schaefer,P.E.44135 E1300 standard&have safety rated glass. Door panel may be Created by Independent Third Party: Yes full or partial light panel.Unreinforced mullions horizontal and Evaluation Reports vertical. FL14896 R3 AE Drawing 1774.odf Created by Independent Third Party: Yes 14896.4 Pella&Architect Series Steel& 43 1/2"X 97 3/4"single solid operable door with 3-point lock, Fiberglass Panel In-swing Doors with unreinforced mullion, dual sidelights,and a transom(74 1/2"X Aluminum dad Frame 135"overall unit size). Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL14896 R3 C CAC FL14896 4.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant:No 09/21/2019 Design Pressure: +50/-50 Installation Instructions Other: Lock system with door shall be 3-Point Lock. FL14896 R3 II Drawina 1774.odf Configurations of glass shall conform to the current ASTM Verified By: Warren W. Schaefer,P.E.44135 E1300 standard&have safety rated glass.Sidelight panel may Created by Independent Third Party: Yes be full or partial light panel. Unreinforced mullions horizontal Evaluation Reports and vertical. fL14896 R3 AE Drawing 1774.odf Created by Independent Third Party: Yes 14896.5 Pella&Architect Series Steel& 37 1/2"X 97 3/4"single glazed operable door with standard Fiberglass Panel In-swing Doors with latch and deadbolt,reinforced mullions,dual sidelights,and a Aluminum Clad Frame transom (70 1/2"X 135"overall unit size). Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL14896 R3 C CAC FL14896 5.Ddf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 05/18/2019