5 10th St RES20-0090 Replace DoorOWNER:ADDRESS:CITY:STATE:ZIP:
CAIRNS SCOTT S 2358 RIVERSIDE AVE APT 804 JACKSONVILLE FL 32204
COMPANY:ADDRESS:CITY:STATE:ZIP:
LOWES HOME CENTERS
INC 4948 TELSON PL ORLANDO FL 32812
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170263 0100 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
5 10TH ST RESIDENTIAL
WINDOWS/DOORS replace door $4100.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $75.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $37.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $116.50
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 6/12/2020
PERMIT NUMBER
RES20-0090
ISSUED: 6/12/2020
EXPIRES: 12/9/2020
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 6/12/2020
PERMIT NUMBER
RES20-0090
ISSUED: 6/12/2020
EXPIRES: 12/9/2020
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Document Number
FEI/EIN Number
Date Filed
State
Status
Detail by Entity Name
Florida Limited Liability Company
SSC32207 L.L.C.
Filing Information
L17000030974
N/A
02/08/2017
FL
ACTIVE
Principal Address
2358 RIVERSIDE AVE
APT 804
JACKSONVILLE, FL 32204
Mailing Address
2358 RIVERSIDE AVE
APT 804
JACKSONVILLE, FL 32204
Registered Agent Name & Address
CAIRNS, SCOTT S
2358 RIVERSIDE AVE
APT 804
JACKSONVILLE, FL 32204
Authorized Person(s) Detail
Name & Address
Title AMBR
CAIRNS, SCOTT S
2358 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Annual Reports
Report Year Filed Date
2018 01/23/2018
2019 02/08/2019
2020 01/31/2020
Document Images
01/31/2020 -- ANNUAL REPORT View image in PDF format
02/08/2019 -- ANNUAL REPORT View image in PDF format
01/23/2018 -- ANNUAL REPORT View image in PDF format
02/08/2017 -- Florida Limited Liability View image in PDF format
Florida Department of State, Division of Corporations
Detail by Entity Name http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?...
2 of 2 3/19/2020, 10:10 AM
Date Submitted 10/04/2019
Date Validated 10/31/2019
Date Pending FBC Approval
Date Approved 10/31/2019
Date Revised 03/12/2020
Summary of Products
FL #Model, Number or
Name
Description
21706.1 Premium Vinyl
(V-4500)
Multi-Slide Patio Door 280 7/16" x 120 1/16" Insulated Glass (7/16" SGP Lam In -
3/16" Tempered Out) (OXXXXX or XXXXXX)
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside
HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +60/-60
Other: Laminated glazing interlayer
material requirements meet the current
edition of the FBC in accordance with
Miami-Dade NOA for Kuraray
SentryGlas and Kuraray PVB
interlayers. White ridged PVC exterior
extrusion requirements meet the
current edition of the FBC in accordance
with Miami-Dade NOA for VEKA Inc. For
fixed glass Shore A 70-90 durometer
setting blocks are used. DLO 41.44"
x109.06"
Certification Agency Certificate
FL21706_R2_C_CAC_NI013706.01_XXXXXX_DP60_281x120_TAS201202203.pdf
FL21706_R2_C_CAC_NI013706.02_OXXXXX_DP60_281x120_TAS201202203.pdf
Quality Assurance Contract Expiration Date
01/31/2025
Installation Instructions
FL21706_R2_II_6P4T OXXXXX HVHZ FBC 281x120 SS 2017-07-25.pdf
FL21706_R2_II_6P4T XXXXXP HVHZ FBC 281x120 SS 2017-07-25.pdf
Verified By: National Accreditation & Management Institute
Created by Independent Third Party:
Evaluation Reports
FL21706_R2_AE_PER4820 SS 2019-10-10.pdf
FL21706_R2_AE_PER4821 SS 2019-10-10.pdf
Created by Independent Third Party: Yes
21706.2 Premium Vinyl
(V-4500)
Multi-Slide Patio Door 191" x 120" Insulated Glass (7/16" SGP Lam In - 3/16"
Tempered Out) (XXXX)
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside
HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +60/-60
Other: Laminated glazing interlayer
material requirements meet the current
edition of the FBC in accordance with
Miami-Dade NOA for Kuraray
SentryGlas and Kuraray PVB
interlayers. White ridged PVC exterior
extrusion requirements meet the
current edition of the FBC in accordance
with Miami-Dade NOA for VEKA Inc.
Certification Agency Certificate
FL21706_R2_C_CAC_NI013706_XXXX_DP60_191x120_TAS201202203.pdf
Quality Assurance Contract Expiration Date
01/31/2025
Installation Instructions
FL21706_R2_II_4P2T XXXP HVHZ FBC 191x120 SS 2017-07-25.pdf
Verified By: National Accreditation & Management Institute
Created by Independent Third Party:
Evaluation Reports
FL21706_R2_AE_PER4822 SS 2019-10-10.pdf
Created by Independent Third Party: Yes
21706.3 Premium Vinyl
(V-4500)
Multi-Slide Patio Door 281 1/8" x 96" Insulated Glass (7/16" SGP Lam In - 3/16"
Tempered Out) (OXXXXX or XXXXXX)
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside
HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +65/-70
Other: Laminated glazing interlayer
material requirements meet the current
edition of the FBC in accordance with
Miami-Dade NOA for Kuraray
SentryGlas and Kuraray PVB
interlayers. White ridged PVC exterior
extrusion requirements meet the
current edition of the FBC in accordance
with Miami-Dade NOA for VEKA Inc. For
fixed glass Shore A 70-90 durometer
setting blocks are used. DLO 40.88" x
85"
Certification Agency Certificate
FL21706_R2_C_CAC_NI013706.03_OXXXXX_DP65-70_281x96_TAS201202203.pdf
FL21706_R2_C_CAC_NI013706.04_XXXXXX_DP65-70_281x96_TAS201202203.pdf
Quality Assurance Contract Expiration Date
01/31/2025
Installation Instructions
FL21706_R2_II_6P4T OXXXXX HVHZ FBC 281x96 SS 2017-07-25.pdf
FL21706_R2_II_6P4T XXXXXP HVHZ FBC 281x96 SS 2017-07-25.pdf
Verified By: National Accreditation & Management Institute
Created by Independent Third Party:
Evaluation Reports
FL21706_R2_AE_PER4823 SS 2019-10-10.pdf
FL21706_R2_AE_PER4824 SS 2019-10-10.pdf
Created by Independent Third Party: Yes
21706.4 Premium Vinyl
(V-4500)
Multi-Slide Patio Door 195 7/8" x 95 7/8" Insulated Glass (7/16" SGP Lam In -
3/16" Tempered Out) (XXXX)
Florida Building Code Online https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqu...
2 of 3 3/19/2020, 10:19 AM
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside
HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +65/-70
Other: Laminated glazing interlayer
material requirements meet the current
edition of the FBC in accordance with
Miami-Dade NOA for Kuraray
SentryGlas and Kuraray PVB
interlayers. White ridged PVC exterior
extrusion requirements meet the
current edition of the FBC in accordance
with Miami-Dade NOA for VEKA Inc.
Certification Agency Certificate
FL21706_R2_C_CAC_NI013706 05_XXXX_DP65-70_196x96_LMI.pdf
Quality Assurance Contract Expiration Date
12/31/2024
Installation Instructions
FL21706_R2_II_2T4P XXXP HVHZ FBC 196x96 SS 2017-07-25.pdf
Verified By: National Accreditation & Management Institute
Created by Independent Third Party:
Evaluation Reports
FL21706_R2_AE_PER4825 SS 2019-10-10.pdf
Created by Independent Third Party: Yes
21706.5 Premium Vinyl
(V-4500)
Multi-Slide Patio Door 71 3/4" x 79 13/16" Insulated Glass (1/8" Tempered In -
1/8" Tempered Out) (OX, XX)
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside
HVHZ: Yes
Impact Resistant: No
Design Pressure: +65/-70
Other: White ridged PVC exterior
extrusion requirements meet the
current edition of the FBC in accordance
with Miami-Dade NOA for VEKA Inc. For
fixed glass Shore A 70-90 durometer
setting blocks are used. DLO 28.75" x
69"
Certification Agency Certificate
FL21706_R2_C_CAC_NI013760.06 (002)_XX_XO_DP65_-70_72x80_TAS202.pdf
Quality Assurance Contract Expiration Date
06/30/2023
Installation Instructions
FL21706_R2_II_PV 2P-2T Multi-Track OX NI FBC 72x80 SS 2019-10-04.pdf
FL21706_R2_II_PV 2P-2T Multi-Track XX NI FBC 72x80 SS 2019-10-04.pdf
Verified By: National Accreditation & Management Institute
Created by Independent Third Party:
Evaluation Reports
FL21706_R2_AE_PER6430 SS 2019-10-04.pdf
FL21706_R2_AE_PER6433 SS 2019-10-04.pdf
Created by Independent Third Party: Yes
21706.6 Premium Vinyl
(V-4500)
Multi-Slide Patio Door 72" x 80" Insulated Glass (7/16" SGP Lam In - 3/16"
Tempered Out) (XO, XX)
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside
HVHZ: Yes
Impact Resistant: Yes
Design Pressure: +65/-70
Other: Laminated glazing interlayer
material requirements meet the current
edition of the FBC in accordance with
Miami-Dade NOA for Kuraray
SentryGlas and Kuraray PVB
interlayers. White ridged PVC exterior
extrusion requirements meet the
current edition of the FBC in accordance
with Miami-Dade NOA for VEKA Inc. For
fixed glass Shore A 70-90 durometer
setting blocks are used. DLO 28.75" x
69"
Certification Agency Certificate
FL21706_R2_C_CAC_NI013760.07 (002)_XX_XO_DP65_-
70_72x80_TAS201202203.pdf
Quality Assurance Contract Expiration Date
06/30/2023
Installation Instructions
FL21706_R2_II_PV 2T-2P Multi-Track XO LMI FBC 72x80 SS 2019-10-04.pdf
FL21706_R2_II_PV 2T-2P Multi-Track XX LMI FBC 72x80 SS 2019-10-04.pdf
Verified By: National Accreditation & Management Institute
Created by Independent Third Party:
Evaluation Reports
FL21706_R2_AE_PER6431 SS 2019-10-04.pdf
FL21706_R2_AE_PER6434 SS 2019-10-04.pdf
Created by Independent Third Party: Yes
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Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Copyright 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:
Florida Building Code Online https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqu...
3 of 3 3/19/2020, 10:19 AM
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RES-20-009