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1912 HICKORY LN - KITCHEN RENO (---- CITY OF ATLANTIC BEACH 7 ) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 Uill(INSPECTION PHONE LINE 247-5814 RESIDENTIAL - ALTERATION RESIDENTIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: RES18-0204 Description: Kitchen Renovation Estimated Value: 70000 Issue Date: 7/20/2018 Expiration Date: 1/16/2019 PROPERTY ADDRESS: Address: 1912 HICKORY LN RE Number: 172020 1312 PROPERTY OWNER: Name: WALLACE FORREST L Address: 1912 HICKORY LN ATLANTIC BEACH, FL 32233-4577 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Beetree Homes Address: 13361 Atlantic Blvd Jacksonville, FL 32225 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. 01.,A.P..,1. City of Atlantic Beach APPLICATION NUMBER ys T1 Building Department (To be assigned by the Building Department.) - � 8tla Seminolec Road n / E. — O 20 �� Atlantic Beach, Florida 32233-5445 IC p. Phone(904)247-5826 • Fax(904)247-5845 &/ G/�� ""moon 9r E-mail: building-dept@coab.us Date routed: 0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I `Z -R6611 Lavvi,). - • - - ent review required Yes No Applicant: rE e*T€e kAomeS Planning &Zoning 1 ,� ` r Tree Administrator Project: K\*tet\ 2. o V 0.. d r 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: ❑Approved. Denied. ❑Not applicable (Circle o i- Comments: BUILDIN PLANNING &ZONING Reviewed by: rna Date: 6—/If-)Cie TREE ADMIN. Second Review: EI Approved as revised. Nbenied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES t1 PUBLIC SAFETY Reviewed by: ii\V Date: 6�/7".2°/g FIRE SERVICES Third Review: roved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: my Date: 6/27`201 r Revised 05/19/2017 OFFICE COPY ,, Building Permit Application Updated 12/8/17 , City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 L Ci Z 14II Phone:(904)247-5826 Fax:(904)247-5845 Q � Job Address: / _l I iCJ a(L/ -A-N E Permit Number:1 \EZ(g-- 624:1 Legal Description L b •t' 5 g 111J'4- )0v4(2. N4 (An-%_t---r- /2-' RE# i Valuation of Work(Replacement Cost)$ 7a, D 12 D Heated/Cooled SF `/0 C) Non-Heated/Cooled • Class of Work(Circle one): New AdditionAlteration epair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial ' ential • 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 of No Tree Removal Describe in detail the type of work to be performed: /C-'- '4-c-(rI&ft- 2E No 0 A--4-F-C.,/-_ Florida Product Approval# for multiple products use product approval form Property Owner Information /J fc: J / Name: rc�teKt`51- l.cS otw (-1314-14-1 l I, E Address: 1 c f Z l-t-.TcKoety LAA'E City A +hi-A_ e r3&'mac k State ,1- - Zip 3 - Z 3 3 Phone E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information /74%"2-‘ / 41-17e45'7.',4- Name of Company: � �2C2- su tS Qualifying Agent: 'C". e t v-4 l E- Address /3310/ Af/.4-ti-Ic- P /✓ 1 City .TA-c?kso,i—W4-State sC.L Zip 3y�ZS Office Phone goy- %'L -Y/.o c> Job Site/Contact Nu ber State Certification/Registration# CAc /Zs—/may E-Mail Choc S (EP f v�,-2e-/`4.0-e.5 - e•.:,--t- Architect Name& Phone# Engineer's Name& Phone# Workers Compensation s--.F/-Ivt-•, Jti -..44--c c �vn-,. / 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. . p#• �� �(Y 4401 /( ignature of er or Agent) (Signature of Contractor) (including contractor) Signed and s orn to(or affirmed)before me this day of Signed and sworn to(or affirm:d)before met is 1 day of ,by U31.r.4L , L131$ ,b •:.• ' - t o q.' CHARL - ES HOSEA _ ,t �� A. MY COMMISs>i C1 1&4416tar) (Sign.to - . ►• -• -' ..-4; EXPIRES:June 13,2021 „��� TAMI GLOVER [ ]Pers a1 ,M..y,Tfi ThruNotary publi�ctrade ttPersonally Known • •o`�PY......% Notary Public State of Florida [ ]Prod i ]Produced Identific. Bt* 1 commisslon t FF 925578 Type of Identification: I1 Type of Identification: _ ,,,,, ..•res Oct 24,2019 I arou TT. ...4:1;-•:::a-./ fraoral tra�ary ' (1 P . N CITY OF ATL oT [ (�E C C)? l Atlantic Beach - Vow CO1'PAVi1VIE� ' O ALAN 4.(411 > ORRECTIONS T QUEST 1 C Permit# RE�SION ections to CommentS� Revision to Issued Permit Corr Date --3Project Address ,�.T�.� Contact-NameEmail Contractora 0Permit Fee ue Phone ����D'.e' Revision I Corrections A ►i• osed cog–Description of Prop 't' ST�`'L-e i --1 Additional S.E.� N affirm the Revision is i.__ Increase in Building Value$ Additional � (;i��me) nch By signing below,I (printed Date ___S-4 i �� for must sign if increase in valuation) Contracto • gent(Contractor Sign•��re of (Office Use Only) Not ApPl��abl Denied Approved 2__C—_Revision/Plan Review Comments Department Review Required: Re' Building &Zoning ---cY-- Planning (�/ 27/201, Tree Administrator Public Works Public Utilities Public Safety Fire Services A �" i `\A CITY OF ATLANTIC BEACH • 800 SEMINOLE ROAD ' y OFFICE COPY ATLANTIC BEACH, FL 32233 (904) 247-5800 J131�r BUILDING REVIEW COMMENTS Date: 6/17/2018 Permit#: RES18-0204 Site Address: 1912 HICKORY LN Review Status: denied, 2"d review RE#: 172020 1312 Applicant: Beetree Homes Property Owner: WALLACE FORREST L Email: chuckhosea@beetreehomes.com Email: _ Phone: 904.516.4100 Phone: - L THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a few correction items will not be accepted. Correction Comments: 1. I did not received the window engineering from the DBPR product approval website as requested from first plan review comments. Submit 2 copies. Building Mike Jones Building Inspector/Plans Examiner City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 904.247.5 844 Email:mjones@coab.us pa�� I trzet epi not r`ef%e Cvvrvr��-1-3 6 -17 .201 A'Vr Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with "clouding".The revision shall also be identified as to the sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with revisions shall be inserted into each set of drawings.The original sheets must be clearly marked "VOID" but are to be left i c ..'"Yr �� r1'� OFFICE COPY CITY OF ATLANTIC BEACH f i 800 Seminole Road Atlantic Beach,Florida 32233 REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS Date C h -5 / 1 ? Revision to Issued Permit Corrections to Comments Permit# i E_ I C)—WO y Project Address 19 a 4tGV y L p Contractor/Contact Name $¢,Q {-(04v1c4 / 7.0 HtA (j -Te Phone (2OL4 —co 3 i.- Ce S(0 Email E2-1321-2-7014%-N 6iO4,4-(c ; L c9P'l Description of Proposed Revision/Corrections: Permit Fee Due $ 56.© 6 P. A, St �`® - w‘10(c oui Additional Increase in Building Value $ i Additional S.F. N)P.- By 4By signing below,I 3 14I`'l c 6- D '� affirm the Revision is inclusive of the proposed changes. (printed name) ( / 6//s-pg Signat e of Contractor/Ag-nt( - actor must sign if increase in valuation) Date (Office Use Only) Approved Denied `r Not Applicable to Department Revision/Plan Review Comments Old Ad' R.ec.;a ve.-- 0692 we r,-14, pray/ye 4priva I 4r S401141-117t1 PASir1ov,2i 11 41)r C4 ) Otw-1 Department Review Required: Building --) t1-BPLoning Reviewed By Tree Administrator Public Works Public Utilities G-/7. 2 UL r Public Safety Date Fire Services r` ' ��,,°�'` CITY OF ATLANTIC BEACH ";, ` OFFICE COPY SEMINO(904)LE 247-5RO800AD COPY ATLANTIC BEACH, FL 32233 r 4J1,1>f. BUILDING REVIEW COMMENTS Date: 6/14/20184' Permit#: RES18-0204 Site Address: 1912-HICKORY LN Review Status: denied RE#: 172020 1312 Applicant: Beetree Homes Property Owner: WALLACE FORREST L Email: chuckhosea@beetreehomes.com Email: Phone: 904.516.4100 Phone: THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS. Revisions may not be submitted until ALL departments have completed their respective reviews. Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a few correction items will not be accepted. Correction Comments: 1. Submit the Florida Product Approval Number for the new window and 2 copies of the installation instructions from the DBPR product approval website. Building Mike Jones Building Inspector/Plans Examiner City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 904.247.5 844 Email:mjones@coab.us 6/71-01i 1{e //ev; �'v Co.y% w•-0 AM' G--/v-2a r Resubmittal Notes: All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of completely encircling the change with "clouding".The revision shall also be identified as to the sequence of revision by indicating a triangle with the revision sequence number within it and located adjacent to the cloud.The revision date and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with revisions shall be inserted into each set of drawings.The original sheets must be clearly marked "VOID" but are to be left within the set of drawings. Complete new sets of drawings will not be accepted. ADDITIONAL ITEMS MAY BE REQUIRED DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW. OFFICE COPY PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA Project Name: WA c.i--Pr�E..— R ), Permit # REGIS--OQi 4 Project Address: 1 R )'2 01'C-KID D V ) y i-1 e...- As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-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 product approval may be obtained at: www.floridabuilding.or .. Category/Subcategory J Manufacturer Product Description I Limitation of Use State# Local# A. EXTERIOR DOORS lit -4 1. Swinging 2. Sliding 3. Sectional 4. Roll up ' 5. Automatic ! i 6. Other B. WINDOWS i 1. Single hung M= W 6:14 Sir,lG 1 C3 19��P, i a ,� b'1 a7i 2. Horizontal slider 3. Casement 4. Double hung \ _______ — 5. Fixed 6. Awning 7. Pass-through ______ ) _ ____ — 8. Projected 9. Mullion 10. Wind breaker 11. Dual action UM-IUb UUPY 2. Other Category/Subcategory Manufacturer Product Description Limitation of Use 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. (Contractor Name) (Print Name) (Signature) Company Name: 13E�stuf- mEs Mailing Address: 133(,I ATU T)L.- City: Lk'.Sn-\A 11 �. F l\ State: FL. Zip Code: 3a S Telephone Number: ('3)q ) (A,3) (.0 S l 0 Fax Number: (` ) Cell Phone Number: (9t 4 ) E-1 - 41i a E-mail Address: 28 -s,2E.E-` -y t. '(retie ii i--r&owl OFFICE COPY A• L• I AAMA • , (Validator/Operations Administrator) CERTIFICATION PROGRAM -' AUTHORIZATION FOR PRODUCT CERTIFICATION MI Windows & Doors, LLC P.O. Box 370 Gratz, PA 17030-0370 Attn: Rick Sawdey This authorization is based on the successful completion of tests, and the reporting to the AAMA Validator of the results of the tests by an AAMA Accredited Laboratory. The product information below will be added to the next update of the AAMA Certified Products Directory. SPECIFICATION RECORD OF PRODUCT TESTED AAMA/WDMA/CSA 101II.S.2/A440-08 R-PG35*-1324x1575(52x62)-H COMPANY AND CODE CPD NO. SERIES MODEL& PRODUCT MAXIMUM SIZE TESTED DESCRIPTION MI Windows&Doors, LLC 3540 SH (FINLESS) FRAME SASH Code: MTL 11536 (PVC)(O/X)(IG)(INS GL) 1324 mm x 1575 mm 1271 mm x 773 mm (REINF)(TILT)(ASTM) (4'4"x 5'2") (4'2" x 2'6") This Certification will expire August 27, 2022 (extended from August 27, 2017 per AAMA 103-15)and requires validation until then by continued listing in the current AAMA Certified Products Directory. Product Tested and Reported by: Architectural Testing, Inc. Report No.: D0206.01-109-47 Date of Report: October 10, 2013 Evaluated for Certification: May 11, 2017 4A .ted Laboratories, Inc. Authorized for Certification: May 11, 2017 JGS/JTS (iy.....„.777:.46.44L1 ACP-04 (Rev.6/16) American Architectural Manufacturers Association OFFICE CCPV L. Roberto Lomas P.E. Engineering Evaluation Report 233 W. Main St. Danville,VA 24541 Report No.:513015A 434-688-0609 rIlomas@lrlomaspe.com Manufacturer: MI Windows and Doors 650 West Market Street Gratz, PA 17030-0370 Product Line: Series 3240/3540 PVC Single Hung Steel Reinforced—Non-Impact 52"x 62" Compliance: The above mentioned product has been evaluated for compliance with the requirements of the Florida Department of Business and Professional Regulation for Statewide Acceptance per Rule 61G20-3.005 method 1(a). The product listed herein complies with requirements of the current Florida Building Code. Supporting Technical Documentation: 1. Approval document: drawing number 08-02269 Revision A, prepared, signed and sealed by Luis Roberto Lomas P.E. 2. Test report No.: D0206.01-109-47 signed and sealed by Michael D. Stremmel, P.E. Architectural Testing, Inc.York, PA AAMA/WDMA/CSA 101/I.S.2/A440-08 Design pressure: ±35.0psf Water penetration resistance 5.43psf 3. Anchor calculations, report number 513015-1, prepared, signed and sealed by Luis Roberto Lomas P.E. Limitations and Conditions of use: • Maximum design pressure: ±35.0psf • Maximum unit size: 52"x 62" • Units must be glazed per ASTM E1300-04. • Frame and sash material: Extruded Rigid PVC. • Sash stile and rails and fixed meeting rail reinforcement: Roll formed steel. • This product is not rated to be used in the HVHZ. • This product is not impact resistant and requires impact protection in wind borne debris regions. Installation: Units must be installed in accordance with manufacturer's installation instructions and approval document, 08-02269 Revision A. Certification of Independence: Please note that I don't have nor will acquire a financial interest in any company manufacturing or distributing the product(s)for which this report is being issued. Also, I don't have nor will acquire a financial interest in any other entity involved in the approval process of the listed product(s). \\11I111/� \ t R • /ice 07:6151 • TAT OF •I S -ZOR10P G �� 'i,..,, AI. �?\\\� 1 of 1 Luis R. Lomas, P.E. FL No.: 62514 09/17/2015