36 Jackson Rd RES19-0346 11 Windows Js� '' RESIDENTIAL PERMIT PERMIT NUMBER
aW411 ,
CITY OF ATLANTIC BEACH RES19-0346
800 SEMINOLE ROAD ISSUED: 12/5/2019
,.ri �> EXPIRES: 6/2/2020
ATLANTIC BEACH. FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
36 JACKSON RD RESIDENTIAL ALTERATION 11 WINDOWS $9692.00
RESIDENTIAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172087 0000 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
WINDOW WORLD OF 9452 Philips Hwy#1 Jacksonville FL 32256
NORTHEAST FLORIDA
OWNER: ADDRESS: CITY: STATE: ZIP:
WATERS LOUIS 36 JACKSON RD ATLANTIC BEACH FL 32233-4320
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $100.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.25
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$154.25
Issued Date: 12/5/2019 1 of 2
- �S'•`�'`.„,„ RESIDENTIAL PERMIT PERMIT NUMBER
r s • f% RES19-0346
CITY OF ATLANTIC BEACH
7il,., r
800 SEMINOLE ROAD ISSUED: 12/5/2019�' ATLANTIC BEACH. FL 32233 EXPIRES: 6/2/2020
Issued Date: 12/5/2019 2 of 2
q.-L.T , City of Atlantic Beach APPLICATION NUMBER
(To be assigned bythe BuildingDepartment.)
Building Department 9 p )
. 800 Seminole Road R Est
-'�' "' Atlantic Beach, Florida 32233-5445
�,
Phone(904)247-5826 • Fax(904)247-5845
-, A (e,
-r`n >%' E-mail: building-dept@coab.us Date routed: It t
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: i {;e ' • • t i - s rtment review required Yes• No
Applicant: Vk.. ► NOow WOR- .. Planning &Zoning
Tree Administrator
Project: 1 I \JV 11'bd(A)S 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:
APPLI ATION STATUS
Reviewing Department First Review: rdApproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
l BUILD
PLANNING &ZONING
Reviewed by: Date: I/ S-/ei
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
Building Permit\;,-
FApplication
ril
City of Atlantic Beach
800 Seminole Road,Atlantic Beach, FL 32233
��1 Phone:(904) 247-5826 Fax:(904) 247-5845 OFFICE COPY
Job Address: JQ.f 1� (\ d Permit Number: RES 1 ot -04
Legal Description I11 11-1E- rIE PTG10VT IIT 3 ItEGD 6 gK'Lig Q • 14ID1RE# 1-12421 - 0000
((��
Valuation of Work(Replacement Cost)$ CVO, Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool t indow/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residentia
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No e4•
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit oftEllfiRenova
Describe in detail the type of work to be performed:'.eplace ( t •r
. ow's siL2 ( S% e
Florida Product Approval# for multiple products use product approval form
PropertyOwnerInfo/rmatio
Name: 2 ,4e;1/4" // V Address: ,3 TcK,i ed•
City .42.5e;114
13.c,e_I. State G), Zip .3 ..q"33 Phone `1e`7- g35-VeidO
E-Mail
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 PHILIPS HWY STE. 1 City JACKSONVILLE State FL Zip 32256
Office Phone 352-300-3360 Job Site/Contact Number 904-443-7001
State Certification/Registration# CBC1 259710 E-Mail WINDOWWORLDPERMITS@GMAIL.COM
Architect Name&Phone#N/A \
Engineer's Name&Phone#N/A W
Workers Compensation N/A Z
Exempt/Insurer/Lease Employees/Expiration Date N
J Z
Application is hereby made to obtain a permit to do the work an moi ins:F d $,el..�ce hat no work or installatiatyh s a 0 r
commenced prior to the issuance of a permit and that all work 'I .-p+acf• •• •�.to, e th .g _ ds of all the laws regula IC I.nlig 6 !
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIG SIGt E Z H
WELLS, POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. U COO EU C
OWNER'S AFFIDAVIT:I certify that all the foregoing information is accuratcNli th135ll aas will be done in compliance with IN I— G []
applicable laws regulating construction and zoning. o
�
oa
Oq
WARNING TO OWNER: YOUR FAILURE TO REC ,I, i ffiheflg .9f;fygl1�IMENCEMENT MAI a r z
RESULT IN YOUR PAYING TWICE FOR IMPRO 0SINT. UR PRO RTY. IF YOU INTEtplil. ' u,
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE 0 a m
RECDING YOUR NOTICE OF COMMENCEMENT.AA at,e6c_ c>14,:e____
1' `d
W 0 ww w
' (Signature of Owner or Agent including Contractor (Signature of Contractor) CC LI.1 CC Lucr
Signed and sworn to(or affirmed)before me this /�" clay of Signed and sworn 1.0(or affirmed)before - is LO day of
ale. , '9/' ,by MN ' , 019 ,by BRIAN ' f - L
,I use
�f — -
(Sitnatureo Notary) (Signatur. . Notary)
�rarcfn Notary Public State of Florida Notary Public State. chri.,,..., of Florida
Geoffrey M Hartless �'
[ ]personal! Known O' My Commission GG 215852 Personal! Known OR
y a F Expires 05109!2022 [ y C mom' GG 1 77
['1 Produced identificat'•n [ ]Produced Identificatio 14 1 Expires 1
Type of Identification: Type of Identification:
_� TN 1
I
1 cold 111
"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: I Igilq
To: Building Dept.
From: Brian Wall
I hereby name and appoint, Megan Romano, 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•LAi acu for a WINtbvflVI6\e— permit for work to be performed at:
Lot: 3 Blk: cC Sec: 11 Twp: 2S Rge: 2q
Subdivision: DocOO SEC116N LAN)Parcel or Altkey: I1tO�i1 - 000(
Address of Job: I.P )ACKADV v
Owner of Property: ?a IsrILLA 1l„1v
and to sign and do all things necessary to this appointment.
Thank you for your assistance.
Sincerely,
Brian Wall
State Qualifier
CBC 1259710
State of Florida
County of Duval
The foregoing instru /ent was acknowledged before me by Brian Wall,who is personally known to me and
who did not take • i ath. a N ,`
V
Sworn to and sub. ' bed before me this v day of / 2019.
Notary Public
My Commissio, Exp..es:09/29/2021 [SEAL]
, a Notary Pt*,c State of Florid.
hristy Galas
� My Commission��3G 128077
% Expires 09/29/2021
a
Ig LIC.#CBC1259710
❑Referred By: �� �~ .Id,,,,, ',
rtr Glad ,i, , --z,z3.
U\CtO
Installer: of Northeast Florida Cell
"Simply the Best for Less" V/
9440 Philips Hwy#1•Jacksonville,FL 32256
(904)443-7001•Fax:(904)443 7778 • . QFR.; . ( • ) F
Vi60,%%
Name: r'75. Pk - Ph i(H) ' 90%0735-Rim
Install Address: 34' /3-4,./44,0„)
>7 r..-,4„ ') el, 2 Ph.i(W)
City,State,Zip: I'7f 4l'<- ac4[-1t, i ' 3142 3/ Ph.i(0)
WINDOW OPTIONS
WINDOWS PVC
'SIZE LIMITATION VARIES ON LOCAL CODE REQUIREMENTS PPG Solarban 70 Low-EE Elite $ 95.00 ^ 7
Double Hung
��yyy„� $ -$p �4 j Argon Gas'Included with Low-EE Elite Purchase $
�� Series 4000 DH Insulated 10111 (r'�- l Double locks for windows>27- $ 11-0 ZaL
_Series 4000 DH Insulated>101 UI $259.00 Double Strength Glass $ 44-138 Z i -
_Series 6000 DH Insulated $279'00 Foam Insulation on Jambs and Head $ 1s007 - _,...2,....DH 1201 Impact Frame Non Impact Glass $365.00 ��Sliding Lifetime Glass Breakage Warranty $ 19.00
-� $ 2C1-00 27x....2 lite slider all weld&insulated<80 ui $269.00 /� Half Screens $ 30.00
2 lite slider all weld&insulated 80 -124ui $385.00 Full Screens $ 69.00
2 lite slider all weld&insulated>124 ui $455.00 Colonial Grids Contoured or Flat $ 175.00
3 Lite slider all weld&insulated<120 $569.00 Colonial Grids For Shapes $ 199.00
3 Lite slider all weld&insulated>120 $625.00 Specialty Grids For Shapes
PictureL. �( D Simulated Divided Light(Requires 6000 Series) $ 199.00
i Picture Window Small(0-101 UI)Si $ Wood Grain Int Slider/Fixed $ 125.00$ 99.00
_Picture Window Medium(102-130 UI) $385.00 Wood Grain Int DH $ 199 00
Picture Window Large(131-154 UI) $495.00 Color Ext Slider/Fixed $ 155.00
`-- Specialty Color Ext DH $ 49.00
Single Hung Arch Tops Max 115 UI $475.00 Oriel/Cottage Style 40/60 or 60/40 $ 79.00
Casement/Awning $355.00 ---�__Almond/Beige or Classic Cla $ 45.00 gig
�Spedalty Window �g j Obscured Glass Rain or rost-a $ 00
�� _Tint Gray or Bronze ��'
Window Color Inside/am:' Outside er f t _ PATIO DOORS l3 s
MISCELLANEOUS iG 925.00 1016
_Custom Exterior Cap&Wrap $ 70.00 Vinyl Rolling Patio Door 5 ft.'58 5/8 x 79 1/2 $
Custom J-Channel $ 65.00 Vinyl Rolling Patio Door 6 ft.'70 5/8 x 79 1/2 $ 925.00
Window Removal/Labor R3 $ 85.00 Vinyl Rolling Patio Door 8 ft.'94 1/4 x 79 1/2 $1,229.00
~'-•Steel or Cut Out Window Removal $ 50.00 Vinyl Rolling Patio Door 9 ft.'105 1/2 x 79 1/2 $1,535.00
-
_Cut Out Door Removal $ 100.00 _Vinyl Rolling Patio Door 12'3 Panel'140 7/8 x 95 1/2 51,800.00
_Mull to Form Multi-unit $ 80.00 -----'Vinyl Rolling Patio Door 12'4 Panel*139 1/2 x 95 1/2 $1,800.00
Tempered DH Sash(BSO)(TSO) $ 49.00 Specialty/Custom Patio Door $_- _
Repair Sill or Jamb $ 75.00 _ French Rail Upgrade $ 350.00
`�� 399.00
Remove Storm Windows $ 25.00 8'Tall Patio Door Panels $ 50.00
IXExt/tnt Trim To Code r7^`70 $ 50.00 -Screen For Patio Door
Custom Exterior Trim $ 75.00 PPG Solarban 70 Low-EE Elite/Argon Gas-Per Panel $ 1�5 00
1----Awning-Single(Remove)(Replace) $ 20.00 Colonial Grids For Patio Doors Flat or Contour $
$ 200.00
Awning-Double(Remove)(Replace) $ 40.00 Removal and Install $ 150.00
"-Curtain/Blind(Remove)(Replace) $ 10.00 Trim To Code $ 335.00
HP Option $ 35.00 Wood Grain Interior
r�Nail Fin $ 20.00
Exterior Designer Colors $ 550.00
Blinds Between the Glass-Per Panel $ 400.00
Triple Strength Glass $ 59.00
Stainless Steel Spacer $ 15.001Storm or Cabana Door model
Insulated Enhanced Frame 1 00 Almond/Beige or Classic Clay $ 335.00
} `Denotes Exact Size
You the buyers 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
,,g.--a-- ,k.,a..o door than midnight nm the following third business day. THIS IS A CUSTOMER ORDER
You the b era reel to make themselves available to the Cl and or county Inspectors for a veal reap aosi °
CUSTOMER AGREES TO THE TERMS OF PAYMENT AS FOLLOWS: G)j
Please see reverse sidefor Extra Labor !_T O 1
/)14 tri additional terms&conditions. Landfil Disposal Fee $ 200.00
7 auye ag ees mar he nes ead and uncle stands F.B.❑Permit&Fees 259.00 aU terms and cod0ons on front end back of this corthad
tir,106
and agrees to each end eery term and condition. Sales Tax
Check# . Total Amount -p1„'A'' _ p,
(4)/ 4
,/ Custom Order Deposit/50% 'ja dd 5'Q
Estimated Time For Install( /�f Wr1� Balance Paid to Installer Upon Completion / '7PT Se
1:14
DATE
7frr
I FSPERSQN CIS.A.A............ . I
DATE OWNER
This Window Wocld Franchse 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
,q 3 5--,.‘ o(7 M EAS UR E SHEET
CUSTOML:R: (//&. /14/../ ..._.. _ ......_________ DATE: /0/ 1_ II OF STORIES:J ..... CONSTRUCTION TYPE: i.ij ....... ORIGINAL WINDOW 1 YI,F: .c4)o!v/Aikv
11 01WINDOWS INSTALLED: Ii... II 01' WINDOWS REMOVED: i/ CUT-OUTS:..... .._ I.CEIANNEL:.. II OF MULLS ... INSTALLER:
BURGLAR BARS Al ALARM SYSTEMS: 4 AWNINGS: i'd MISC.; _ . _....,...,... ___......_ . .......... .. ... . .. • • • . .._.
f e I '7 tic
, ;.') SIZE OF WINDOW (1N)(1-1) IVIDL IE 08 TP GD IVIL Es X r OFFICE COPY „Pi§05COIV
151 . 44 aQ
cq 7.34'x / X.761
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OFFICE COPY Ivir ,aY
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA
Project Name: i iI S Permit # RE-S/9- G 4/
Project Address: 9)(1' QCkSdN ► -d
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.ora.
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A. EXTERIOR DOORS --_
1. Swinging
2. Sliding
3. Sectional
4.Roll up
5.Automatic
6.Other
B. WINDOWS
1. Single hung
2.Horizontal slider
3. Casement WAX
4.Double hung �M VWCAX UN 117213:�.
5.Fixed. _ MI `xtb0/90911
6.Awning
7.Pass-through .
8.Projected
9.Mullion
10. Wind breaker
11.Dual action
LIBEICEOtr
2. Other
Category/Subcategory urer Product Description „,imitation of Use State# Local#
H.NEW EXTERIOR `_
ENVELOPE PRODUCTS _ H
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 I
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
l ,_;\s;\ CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
" Ir 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
CERTIFICATE OF COMPLETION
RES19-0346
RESIDENTIAL ALTERATION RESIDENTIAL
ISSUED: JOB ADDRESS: REAL ESTATE NUMBER: ZONING:
3/6/2020 36 JACKSON RD 172087 0000
DESCRIPTION OF WORK:
11 WINDOWS
OWNER: CONTRACTOR:
WATERS LOUIS WINDOW WORLD OF NORTHEAST FLORIDA
36 JACKSON RD 9452 Philips Hwy #1
ATLANTIC BEACH, FL 32233-4320 Jacksonville, FL 32256
APPROVED: 1; 1k"----6',4 A&C-6A
CHIEF BUILDING OFFICIAL
VOID UNLESS SIGNED BY BUILDING OFFICIAL