439 Sargo Rd - RES18-0139 CITY OF ATLANTIC BEACH
tir
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: RES18-0139
Description: REPLACE 8 WINDOWS
Estimated Value: 3639
Issue Date: 4/20/2018
Expiration Date: 10/17/2018
PROPERTY ADDRESS:
Address: 439 SARGO RD
RE Number: 171502 0000
PROPERTY OWNER:
Name: EVANS SIGNE A
Address: 439 SARGO RD
ATLANTIC BEACH, FL 32233-3815
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Window World OF Northeast Florida
Address: 8110 CYPRESS PLAZA DR APT 405 BRIAN WALL
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.
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.
City of Atlantic Beach APPLICATION NUMBER
2 Building Department (To be assigned by the Building Department.)
800 Seminole Road 'R _ 0 t 2 J 9
�r Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 /�
E-mail: building-dept@coab.us Date routed: ``C l C�
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 43 U R Department review required Ye No
uilding
Applicant: W t\Z ow Q(�L� anning oning
Tree Administrator
Project: � VQ IN dJQ�JjS 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 B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation v v
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: Q pproved. [-]Denied. ❑Not applicable
(Circle one.) Comments:
UILDIN / V
PLANNING &ZONING Reviewed by: Date: /7"201
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
AHki Building Permit Application Updated 12/8/17
�ti City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
�/ �� ( �
Job Address: /, t &. a rG 1 �77� \ `Permit Number:
Legal Description;�'I[D•►1.as-cr 121? OF 'PA-6 I&S01 16S
Valuation of Work(Replacement Cost)$ &P Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool indow/Doo
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes �' N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit o No Tree Removal
Describe in detail the type of work to be performed: Replace 8 ���dowS Sac {p( S7%?-,c
Florida Product Approval# I Jn7 nA for multiple products use product approval form
Property Owner Information p
Name: Address: q 3 q SQ r q n Kd-
City State F,E_Zip 3� 9 Phone '7 y- 1/(e,- 7,9 L 7
E-Mail Sign,' 4/ah a- /0 gahoo, CD,47
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: WINDOW WORLD Qualifying Agent: BRIAN A WALL
Address 9452 PHILLIPS HWY STE.1 City JACKSONVILLE State FL Zip 32256
Office Phone 352-300-3360 Job Site/Contact Number 904-443-7001
State Certification/Registration# CBC1259710 E-Mail WINDOWWORLDPERMITS@GMAIL.COM
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.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, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signed,and sworn to oJa
before me Mils day of Signed nd savor to(or affirmed before me this of
11 'Z. Ky�_s �� v 0- byENIDV,JOHNSON
;Commission#GG 008504gnature Notary) (SignatugofNotarty)Expires July 5,2020
sp1�8 I� ["Personally Know v►r
reduced Identification [ ]Produced Ident Icati k oridaType of Identification: Type of Identification: r077
"Simply the Best for Less"
Of NE Florida
9452 Philips Highway Suite 1
Jacksonville, Florida 32256
(352)443-7001 • Fax: (352)861-7587
Limited Power of Attorney
Date: (u
To: Building Dept.
From: Brian Wall
I hereby name and appoint, Megan Romano, Josephine Kidney, and Hailigh Schwingel, a permit
service for Window World NE Florida, to be my lawful attorney in fact to act for me to register my
license and apply to:
I��lo�)i c '`f+u.J i l for a w lrye,
um permit for work to be performed at:
Lot: I Blk: _ Sec: I Twp: J Rge:
Subdivision: \ 5 Parcel or Altkey:
(�
Address of Job: L� t %� K.
0 -C�
Owner of Property: Vo107)
and to sign and do all things necessary to this appointment.
Thank you for your assistance.
Sincerely,
WA
Brian Wall
State Qualifier
CBC1259710
State of Florida
County of Duval
The foregoing instrument was acknowledged before me by Brian Wall,who is personally known to me and
who did not take an oath.
Sworn to and sub 'bed fore me this ) o day of 2018.
Notary Pub
My Comission Expir : 09/29/2021 [SEAL]
Notary Public State of Florida
Christy Galas
My Gomrnission GG 128077
12W r6d, Zxpiros 09/29/2021
o Referred By: LIC.#CBC1259710
- i
Installer: of Northeast Florida
"Simply the Best for Less"
9452 Philips Hwy#1-Jacksonville,FL 32256
(904)443-7001-Fax:(904)443-7778 C�
Name: G u Phone(H):
Install Address: y 511 Phone(W):
City,State,Zip: to,.t, 'c BA.0 F - 32233 Phone(other):
DOUBLE HUNG SLIDERS-CASEMENT-FIXED
SIZE LIMITATION VARIES ON LOCAL CODE REQUIREMENTS 2 Lite Slider All weld&Insulated $385
__a_— Series4000 DH All-weld&Insulated $205 11ift/6 3 Lite Slider All Weld&Insulated $569
Series 4000 DH All-weld&Insulated>tot ui $239 Casement/Awning $355
Series 4/6000 DH All-weld&Insulated $269 2 Lite Casement/Awning $615
Half Screens $20 -- Picture Windows Large(141-154 U.I.) $465
Full Screens $30 Picture Windows Medium(106-140 U.I.) $385
Double Locks(on windows>27") $11 Picture Windows Small(0-105 U.I.) $269
Double Strength High Performance Glass $21� Colonial Grids(Contoured/Flat) $69
PPG Solarban 70 Low-EE Elite Glass $85— & PPG Solarban 70 Low-EE Elite/Argon Gas $85
Argon Gas $21 Almond/Beige $79
Foam Insulation on Jambs and Head $16 Lifetime Glass Breakage Warranty $19
Colonial Grids(Contoured/Flat) $49 Wood Grain Interior $99
Specialty Grids $ Color Exterior(FS Included) $155
Simulated Divided Lite $199 Half Screens $20
Almond/Beige $79 Full Screens $30
Wood Grain Interior $99 Tint(Gray)or(Bronze) $49
Color Exterior(FS Included) $155 Specialty $
Oriel/Cottage Style(40/60 or 60/40) $49 SH Arch Tops $415
Lifetime Glass Breakage Warranty $19 — Specialty Grids $
Tint Gray or Bronze $49
Window Color(Inside Outside
MISCELLANEOUS DOORS
Customer Cap&Wrap(INT)(EXT) $70 Vinyl Rolling Patio Door 5ft.or 6ft. $925
Custom J-Channel $25 Vinyl Rolling Patio Door 8ft. $1129
Window Removal/Labor $75 10 6W Vinyl Rolling Patio Door 9ft. $1235
Steel or Cut-out Window Removal $40 French Rail Upgrade $309
Mull to Form Multi-Unit $75 Door Color-IFT /
Tempered Sash(BSO)(TSO) $49 Specialty Patio Door $
Obscured Glass $45 Screen For Patio Door $65
Repair Sill or Jamb $75 PPG Solarban 70 Low-EE Elite/Argon Gas $205
Remove Storm Windows $25 Colonial Grids for Patio Doors $129
Ext/Int Trim to Code $4010 Removal and Install $150
Custom Ext.Trim $75 Custom Exterior Trim $75
Awning-Single(Rem)(Repl) $20 Wood Grain Interior $335
Awning-Double(Rem)(Repl) $40 Exterior Designer Colors $439
Specialty Door $
Storm Door $
You the buyer are responsible for the removal and Installation of any existing security system,burglar bars,drapes,blinds,A/C.
You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.Notice of
cancellation must be in writing postmarked no later than midnight pm the following third business day.THIS IS A CUSTOM ORDER
NO EXTRA WORK IF NOT IN WRITINGI Customer Agrees to the terms of Payment as follows:
Extra Labor$
Landfill Disposal Fee$ $150.00
Permit&Fees$
Sales Tax$
Total Amount$ Y J
Custom Order Deposit 50%$ Ck# ) 9
Please see reverse side for additional terms&conditions. Balance Paid to Installer upon Completion$ sn IT
Buyer agrees that he has read and understands all terms and conditions on front
and ba7f7cordmand agrees to each and every term and condition.
�--- 3 3a11,?
Salesman Date Owner Date
This Window Word-Franchise is Independently owned and operated by Wall to Wall Windows and Doors LLC.d/b/a Window World of Northeast Florida,under license from Window World,Inc.
White Copy-Original Yellow Copy-Customer
OFFICE COPD
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
�r I I 1 II I I I Imo■ Imo■ ■ I A��IIIII �
Project Name: C Ya n� Permit #
ProjectAddress: —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# 60
A.EXTERIOR DOORS IN
1. Swinging
us
2. Sliding U
3. Sectional z
4.Roll up J U 0
5.Automatic w z
12
6.Other U U o v p
B.WINDOWS D z
1. Single hung V y
2.Horizontal slider Q — w
_.. .. ..
3. Casement O w w
cc
4.Double hung Z w M LUo
5.Fixed w
6.Awning W
7. Pass-through
8. Projected
9.Mullion
10. Wind breaker
11. Dual action
UFFICE COPY
2. Other
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
H. NEW EXTERIOR
ENVELOPE PRODUCTS
1.
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.
(Contractor Name) (Print Name) (Signature)
Company Name: WINDOW WORLD BRIAN A WALL A=
Mailing Address: 9452 PHILIPS HWY STE. 1
City: JACKSONVILLE State: FL Zip Code: 32256
Telephone Number: ( 352 ) 300-3360 Fax Number: ( 352 ) 861-7587
Cell Phone Number: ( ) E-mail Address:WINDOWWWORLDPERMITS@GMAIL.COM
Florida Building Code Online Page 1 of 1
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Product Approval Menu>Product or Application Search>Application List
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Code Version 2017 FL# 11720.9
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Search Results-Applications
FL# Tvpg Manufacturer Validated By Status
FL1172 - Revision Associated Materials Inc. Ryan J. King, Approved
R16 FL#:FL11720.9 P.E.
History Model:i.Model 3001/31501/3A01/3AB1"ST" (813)767-6555
Description:Extruded Vinyl Double Hung"Replacement"Window-
"Non-Impact"
Category:Windows
Subcategory:Double Hung
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary.
Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer.Copvrioht 2007-2013 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 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 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 Accepts:
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Crecy Card
Safe
http://www.floridabuilding.org/pr/pr_app_lst.aspx 4/10/2018