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2279 SEMINOLE RD UNIT 8 - RES18-0150 CITY OF ATLANTIC BEACH 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: RES18-0150 Description: 1 Replacement Window Estimated Value: 1132 Issue Date: 5/15/2018 Expiration Date: 11/11/2018 PROPERTY ADDRESS: Address: 2279 SEMINOLE RD UNIT 8 RE Number: 1683450325 PROPERTY OWNER: Name: HENNIG CHRISTOPHER Address: 2279-8 SEMINOLE RD JACKSONVILLE, FL 32233 GENERAL CONTRACTOR INFORMA77ON: 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. 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 Ag" Building Department (To be assigned by the Building Department.) -P, 800 Seminole Road Atlantic Beach, Florida 32233-5445 —so Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 4/. Cftyweb-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM 94aqq S�c-_,rnl' Dt4p a OA�� S,' Department review required Y No Property Address: Applicant: Am-edco-,,, KJO-W _qlaiii+iA61-2oning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services eview fee $ Dep .1.Signa-ty're- 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: [E'Approved. OlDenied. ONot applicable (Circle one.) Comments: lip'1111,ftN -, PLANNING &ZONING Reviewed by: Date:_S' '7 TREEADMIN. V Second Review: DApproved as revised. F]Denied. ONot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. E]Denied. ONot applicable Comments: Reviewed by: Date: Revised 0511912017 Building Permit Application City of Atlantic Beach OFFICECOPY 800 SBminole Fbad,Atlantic Beach,R_32233 Phone (904)247-5826 Fax (904)247-5845 .bb Addrewao?-19-a Permit Number �_r--S I IRS —0-1 :5 Legal Descriptio G =noSj'S W44�;14% S--o3c9s- Valuation of Work(Fbplaoement Cost) BcP.00 Heated/Cooled SF — Non-Heated/Cooled— El (lass of Work(arde one): New Addition Alteration Rapair Move Demo Pool(gip�or dential El Lise of e)dstingt proposed structure(s)(Orde one): Commercial d� El If an eAsting structure,is afire sprinkler system installed?(Orde one): Yes Nj��Nf El &bmit a Tree Parnoval Permit Application if any trees are to be removed or Affidavit of No Tree Fbmoval Describe in detail the type of work to be performed: Rorida Product Approval# for multiple products use product approval form ProDertv Owner Information I�M I Address.-9c;j 00b qate JFL 21p n9, R" —Phone Owner or Agent(if Agent,Power of Attorney or Agency Letter Paquired) Cbritractor Information AMERICANWINDOW Name of Company: PRODUCTS,INC. Qualifying Agent: -2=POWERS ML Address 207 01ty q at e' 0 p umber Nn-EF ? Office Phone bb StelCont 8E�:4 - State Oaftification/Fi4stration#CE)C,06 1 b1c:5-7 E-Mail F,14 4-13(in Architect Name&Rhone# Engineer's Name&Phone# Workers Compensation Eanpt/Insurer I Lease Employees/Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated.I oertifythat 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 thisjurisclict ion.I understand that a separate permit must be secured for RB:;RCALWORK PWMI3INQ SGNEj WELL$PCOU9 RJRMA=BOILEFFA HEATER�TANIC4 and AJROONDITONEF;:�eta OWNERSAFFIDAVIT 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. WAMINGTOOWNER YOUR FAIWRETO R1330RD A NO-nCEOFOOM M ENCEVI ENT MAY RESULT IN YOUR PAM NG TWICE FOR IM PROVB\A BJTSTO YOUR PROPERTY IFYOU INTEND TOOBTAIN RNANCINQ 00NSULTWITH YOUR LBNDE]RCIRAN ATrORNEY BEFORE RE1j1N01%%/^URN0TICE0FCOMM ENCEM ENT (SgnaWre d-Owner or A#t including Contractor) (EIgnture of Contractor) -7" Sgned and sworn to(or ed)y bb effore m e t hn i s d ay of Sgned anq sworn to(or affirmed)before methisc9 �avof 's ' .7,e AWW Z6) affj CIG)kb&B, y 4<14EO�) Glor_r (Sqn4umoft%) gnature of Notary) OG USTI ROGER AUSTIN EVANGELIE CLARKE my coMMISSION I FF 897096 Commleglon#GG 102835 EXPIRES:September 6,2019 0' Boded Thru Bu*t Notary SeriLee Expires May 9,2021 F�rsonally Known OR 418 OF N (4ersonally Known OR -SM."'Oe- Banded Thru Budget No[Dry SvvlM D.rRoduced Identifi ion Produced Identification Type of Identifi ion: Type of Identification: OFFICE COPY PERMIT COPY ba 4— PERMIT COPY Florida Building Code Online https:Hfloridabuilding.org/pr/p�_app_�tI.aspx?param=wGEVXQwtD... 7- o�D 77 ....... PERMIT COPY BCIS Home Log In User Registration 1 HotTopics SubmitSucharge i stats&Facts Publications FBCStaff BC15sitemap Unks Search Florid Product Approval If%rj%%1 USER:Public User OFFICE Clufory d r Product Aoproyal Menu> Search>Apol[catlQn Lis >Application Detail K FL# FL243-R20 Application Type Revision Code Version 2017 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 PGT Industries Address/Phone/Email 1070 Technology Drive North Venice, FL 34275 (941)486-0100 Ext 22318 Uj druark@pgtindustries.com 0 Z < 3: Authorized Signature Jens Rosowski _j 0 jrosowski@pgtindustries.com IL Q Z j_= < 0 Uj — 0 11-- Uj M Z L_ Technical Representative Jens Rosowski 0 0 ;cc V Address/Phone/Email 1070 Technology Drive Lli Nokomis, FL 34275 5' (941)486-0100 Ext 21140 0 0 jrosowski@pgtindustries.com _j UL F- 0 < Z 0 U. W Quality Assurance Representative ILL IE 2 0 LL, W Address/Phone/Email m CC Uj Lu —S a �: Lu a W Category Windows LU LLI Subcategory Fixed Uj LLI > Compliance Method Certification Mark or Listing Certification Agency Miami-Dade BCCO-CER Validated By Miami-Dade BCCO-VAL Referenced Standard and Year(of Standard) Standard Year TAS 201, 202, 203 1994 Equivalence of Product Standards Certified By I of4 4/20/2018,3:41 PM Florida Building Code Online https:Hfloridabuilding.org/pr/pi�_app_dtl.aspx?param=WGEVXQWtD... Created by Independent Third Party: ............. ......... ................................... ..................... ........................................ .....................------- Aluminum Fixed Window . 243.6 PW-820 (Large Missile Impact) .................................... ............................ ...................... Certification Agency Certificate Limits of Use Approved for use in HVHZ:Yes FL243 R20 C CAC 17061411.Ddf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes 02/19/2019 Design Pressure: N/A Installation Instructions Other: Please see the Miami-Dade County Notice of ""%FF1"E C FL243 R20 11 17061411.pd Acceptance(NOA)for product performance information, Verified By: Miami-Dade BCCO-Ad Created by Independent Third Party: anchorage details,and anchor type, size,and spacing information. Evaluation Reports Created by Independent Third Party: .......................................................................... ....... .......... 243.7 i PW-5420 (Non-Impact) Vinyl Fixed Window ........................... ........................................ Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL243 R20 C CAC 17061408.pdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 04/30/2020 Design Pressure: N/A Installation Instructions Other: Please see the Miami-Dade County Notice of FL243 R20 II 17061408.pdf Acceptance(NOA)for product performance information, Verified By: Miami-Dade BCCO-CER anchorage details, and anchor type,size, and spacing Created by Independent Third Party: information. Evaluation Reports Created by Independent Third Party: ..................... .................................. ....................... ................................ 243.8 PW-5440 (Non-Impact) Vinyl Fixed Window used with Casement/Awning Certification Agency Certificate Limits of Use Approved for use in HVHZ:Yes FL243 R20 C CAC 17061407.pdf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant: No 09/24/2020 Design Pressure: N/A Installation Instructions Other: Please see the Miami-Dade County Notice of FL243 R20 II 17061407.r)df Acceptance(NOA)for product performance information, Verified By: Miami-Dade BCCO-CER anchorage details,and anchor type, size,and spacing Created by Independent Third Party: information. Evaluation Reports Created by Independent Third Party: .................. ............................................................................................ ......... ............................... .......................... Vinyl Fixed Window PW-5520 (Large Missile Impact) i Limits of Use I Certification Agency Certificate Approved for use in HVHZ:Yes FL243 R20 C CAC 17061409.i)df Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes 04/30/2020 Design Pressure: N/A Installation Instructions Other: Please see the Miami-Dade County Notice of FL243 R20 II 17061409.pdf Acceptance (NOA)for product performance information, Verified By: Miami-Dade BCCO-CER anchorage details,and anchor type,size,and spacing Created by Independent Third Part y Evaluation Reports information. Created by Independent Third Party: ............... ......................... ....... 243.10 PW-5540 (Large Missile Impact) Vinyl Fixed Window used with Casement/Awning ................................................... ............................................................. .................... ..... Limits of Use Certification Agency Certificate Approved for use in HVHZ:Yes FL243 R20 C CAC 17061406.pd Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:Yes 09/24/2020 Design Pressure: N/A Installation Instructions Other: Please see the Miami-Dade County Notice of FL243 R20 II 17061406.pd Acceptance(NOA)for product performance information, Verified By: Miami-Dade BCCO-CER anchorage details,and anchor type,size,and spacin Created by Independent Third Party: 9 information. Evaluation Reports Created by Independent Third Party: Mext! Contact Us 2601 Blaor Stone Road,Tallahassee FL 32399 Phone,850-487-182-4 The State of Florida is an AA/EEO employer.copyright 2007-2013 State of Florida,::Privacy Statemen ::Accessibility Statement Refund Statemen 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 3 of 4 4/20/2018,3:41 PM