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1934 W SEVILLA BLVD - DOOR , r !y-yr `J ,t1 CITY OF ATLANTIC BEACH .--.,0i..1.:'- - ,: ; 800 SEMINOLE ROAD jATLANTIC BEACH, FL 32233 r 0;f19r INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0114 Description: install exterior door Estimated Value: 639 Issue Date: 3/29/2018 Expiration Date: 9/25/2018 PROPERTY ADDRESS: Address: 1934 W SEVILLA BLVD RE Number: 169462 0455 PROPERTY OWNER: Name: DYMOND LIVING TRUST Address: 1934 SEVILLA BLVD W ATLANTIC BEACH, FL 32233-4578 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: BUTTERFIELD REMODELING LLC Address: 4220 PLANTATION OAKS BLVD APT 1516 SIDING ONLY ORANGE PARK, FL 32065 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * 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. s�L��r City of Atlantic Beach APPLICATION NUMBER Js ,ilv S�" Building Department (To be assigned by the Building Department.) o- _ 800 Seminole Road / .- E-Si p _ el I L4 �� ;, Atlantic Beach, Florida 32233-5445 K l 0 Phone(904)247-5826 • Fax(904) 247-5845 \Jw31l`' E-mail: building-dept@coab.us Date routed: IQ (c City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: t Y{ \ . S Q.tJ e . c& Ejw0( . Department review required Ye No Q ` �� { Buildings Applicant: 1)Lkik g Q A tQ%,,Y4Q,`,, j LLL Planning%Zoning Tree Administrator Project: t ,Q.pAItLQ. LX Lr ,Of &OD ( 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: [ proved. Denied. Not applicable (Circle one.) Comments: ILDIN PLANNING &ZONING Reviewed by: Date: 2/24/2404r TREE ADMIN. Second Review: Approved as revised. Denied. pp ❑ ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. fNot applicable Comments: Reviewed by: Date: Revised 05/19/2017 OFFICE COPY � -� Building Permit Application MAR,»8td1 �8/ 7 r. e` i; b 1 '_- City of Atlantic Beach �.r , 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 Job Address: 1934 SEVILLA BLVD. WEST Permit Number: !&-S i 1— 0(1 Legal Description 45-7 08-2S-29E SEVILLA GARDENS UNIT 02 LOT 40 RE# 169462-0455. Valuation of Work(Replacement Cost)$ 639.00 Heated/Cooled SF Non-Heated/Cooled 41 • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • 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: INSTALL EXTERIOR DOOR Florida Product Approval# FL#14998.1 for multiple products use product approval form Property Owner Information Name: KIMBERLY DYMOND Address: 1934 SEVILLA BLVD. City ATLANTIC BEACH State Fl Zip 39233 Phone 904-403-4060 E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: BUTTFRFIFI U RFMOI)FI INC,, I 1 C Qualifying Agent: CLINT$I ErTI RF)FLO Address 4220 PLANTATION OAKS BLVD #151A City QRANGF PARK State Fl Zip 32065 Office Phone 904-333-8409 Job Site/Contact Number 4nd-118-f34n4 State Certification/Registration# NSS-14 E-Mail .IM Hl 1C;HFS1513@f;MAIl r r M Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exempt/ surer/Lease Employees/Expiration Date Application is hereby made to obtain a permit to •• e Y •rk 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.NOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. 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, CONS 1s WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT E 0 s MMENCEMENT. C 44 ,._ , . . : • , , ,.... ,' , (Signature of a wner• Age. (Signature of Contractor) (including contractor) I //, Signed an sworn to(or affirmed)b fore i l ay of Signed and s orn to(or affirmed)before me this L aay of zol tSn / 1 ' ; : . • ✓L ..)0/?y -:•L JFAN HUC;HFS j)42 t re of Notary) .... (Sig,re of Notary) [M „,•:0'44,,,rsonally Known• DEBRA A HENRY Personally Known OR , [ ]Produced Identifica •Qi° `�'- Notary Public State of Florida [ )Produced Identification + ::oi::"'••., CAROL JEAN HUGHES • Commission GG 057665 .:,• •"--,1,-, Type of Identification: a •11 .0 Type of Identification: :;r?��n4:7 My Comm. xp re •• _•' '1; . _ �ommlasion#I 1171958 ,,,E g,, = - ,a Expires December 3,2018 °;,;� Bonded through National Notary Assn P,n,!t Balled Thru Troy fain!intim.800,45-7019 OFFICE COPY 11115 13 41704 4I r 4 1, : BAs 2� 4� 1., -E..... , 1-1 r,1_j FGR 11 OWNER, ABOVE IS A SKETCH OF YOUR PROPERTY FROM THE COUNTY WEB SITE. PLEASE CIRCLE THE AREA WHERE YOUR NEW DOOR IS BEING INSTALLED. PLEASE RETURN THIS ALONG WITH THE APPLICATION TO MY PROCESSOR. THANK YOU. • • r OFFICE FLORiO.i OHaAPIK-P'.O. VOP //(G/ •• 11s ., Business & Professional Regulation `/ rUBPR MOLE 0. BCIS Home Log In User Registration !' Hot Topics Submit Surcharge Stats&Facts Pubhcations FBC Staff BCIS Site Map Links Search F rda pr Product Approval USER:Public User Product Approval Menu>Product or Application Search>Py,jiication List>Application Detail tOFFICE'OF'1 FL# FL14998-R3 • UVtY Application Type Revision Code Version 2017 Application Status Approved Comments Archived Product Manufacturer Silver Line Building Products Corp. Address/Phone/Email One Silverline Drive North Brunswick,NJ 08902 (651)264-4178 Nicholas.Kopp@andersencorp.com Authorized Signature Nicholas Kopp Nicholas.Kopp@andersencorp.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Sliding 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-QA Quality Assurance Contract Expiration Date 08/03/2021 Validated By Locke Bowden P.E. Validation Checklist-Hardcopy Received Certificate of Independence FL1499B_R3 COI_COI Silverline SS 2017-06-14.pdf Referenced Standard and Year(of Standard) Standard Year AAMA/WDMA/CSA101/I.S.2/A440 2011 ASTM E1886 2005 ASTM E1996 2012 TAS 201 1994 TAS 202 1994 TAS 203 1994 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 10/21/2017 Date Validated 10/27/2017 Date Pending FBC Approval 10/30/2017 Date Approved 12/12/2017 Summary of Products FL# Model, Number or Name I Description -- ----------- [14998.1 i V1 Series/50 Series(5500/5700) I Gliding Patio Door Limits of Use I Installation Instructions Approved for use in HVHZ: No FL14998 R3 II_SWD037 SS 2017-10-20.pff Approved for use outside HVHZ:Yes Verified By: Hermes F.Norero, P.E.Florida P.E. 73778 Impact Resistant: No j Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: See Installation Instructions and Product Evaluation FL14998 R3 AE_PER5211 SS 2017-10-20.pdf Report for allowable design pressures,sizes, installation Created by Independent Third Party: Yes requirements and limits of use. — — _—— - 14998.2 V3 Series/70 Series(5800) Gliding Patio Door Limits of Use I Installation Instructions Approved for use in HVHZ: No j FL14998 R3 II_SWD038 SS 2017-10-20.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 Other: See Installation Instructions and Product Evaluation FL14998 R3 AE PER5214 SS 2017-10-20.pa Report for allowable design pressures,sizes, installation Created by Independent Third Party: Yes ;requirements and limits of use. 14998.5 VI Series/70 Series(5800) Gliding Patio boor Limits of Use Installation Instructions Approved for use in HVHZ: No FL14998 R3 II_SWD039 SS 2017-10-20.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: N/A Evaluation Reports Other: See Installation Instructions and Product Evaluation FL14998 R3 AE_PER5212 SS 2017-10-20.pdf Report for allowable design pressures,sizes, installation Created by Independent Third Party: Yes requirements and limits of use. 14998.4 V3 Series/70 Series(5800) Gliding Patio Door Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL14998 R3 II_SWD040 SS 2017-10-20.pdf Approved for use outside HVHZ:Yes I Verified By: Hermes F.Norero, P.E. Florida P.E.73778 II Impact Resistant:Yes Created by Independent Third Party: Yes ' Design Pressure: N/A Evaluation Reports Other:See Installation Instructions and Product Evaluation FL14998 R3 AE_PER5213 SS 2017-10-27.pdf Report for allowable design pressures,sizes, installation Created by Independent Third Party: Yes Lrequirements and limits of use. 14998.5V3 Series/70 Series(5800) Gliding Patio Door Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL14998 R3 ll_SWD041 SS 2017-10-20.p_df 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 I Design Pressure: N/A Evaluation Reports Other: See Installation Instructions and Product Evaluation FL14998 R3 6E_PER5215 SS 2017-10-27.p2f i Report for allowable design pressures,sizes, installation Created by Independent Third Party: Yes j requirements and limits of use. I _ Contact Us::2601 Blair Stone Road Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer.Cho-yright 2007-2013 State of Florida.::Privacy Statement::Accessibility Statement::Refund Statement Under Florida law,email addresses are public records.It 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 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 they have one.The emails 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