547 Selva Lakes Cir RES20-0162 5 WindowsOWNER:ADDRESS:CITY:STATE:ZIP:
CRUISE ELENI 2310 BEACHCOMBER TRL ATLANTIC BEACH FL 32233-6607
COMPANY:ADDRESS:CITY:STATE:ZIP:
Renewal by Andersen of
Florida 997 W Kennedy Blvd Orlando Fl 32810
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172027 5516 SELVA LAKES UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
547 SELVA LAKES CIR RESIDENTIAL
WINDOWS/DOORS 5 WINDOWS $9633.00
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
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: 6/25/2020
PERMIT NUMBER
RES20-0162
ISSUED: 6/25/2020
EXPIRES: 12/22/2020
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 6/25/2020
PERMIT NUMBER
RES20-0162
ISSUED: 6/25/2020
EXPIRES: 12/22/2020
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $158.50
RES20-0162 Address: 547 SELVA LAKES CIR APN: 172027 5516 $158.50
BUILDING $100.00
BUILDING PERMIT 455-0000-322-1000 0 $100.00
BUILDING PLAN REVIEW $50.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $50.00
STATE SURCHARGES $8.50
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.25
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.25
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R12170 $158.50
Printed: Thursday, June 25, 2020 9:48 AM
Date Paid: Wednesday, June 24, 2020
Paid By: Renewal by Andersen of Florida
Pay Method: CHECK 1157
1 of 1
Cashier: CT
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12170
RES20-0162
RES20-0162
4/15/2019 Florida Building Code Online
https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqs%2fmGFoyT6raUonPmV%2fPD0kVqJXWRvuYURETx%2b06Ek2Ag%3d%3d 1/2
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications Contact Us BCIS Site Map Links Search
Product Approval
USER: Public User
Product Approval Menu > Product or Application Search > Application List > Application Detail
FL #FL19562-R3
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived
Product Manufacturer Andersen Corporation
Address/Phone/Email 100 Fourth Avenue North Bayport, MN 55003 (651) 264-5308 alan.barstad@AndersenCorp.com
Authorized Signature Alan Barstad alan.barstad@AndersenCorp.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Fixed
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed the
Evaluation Report
Hermes F. Norero, P.E.
Florida License PE-73778
Quality Assurance Entity Window and Door Manufacturers Association-QA
Quality Assurance Contract Expiration Date 12/31/2020
Validated By Locke Bowden P.E.
Validation Checklist - Hardcopy Received
Certificate of Independence FL19562_R3_COI_COI Andersen SS 2015-08-31.pdf
Referenced Standard and Year (of Standard)Standard Year
AAMA/WDMA/CSA 101/I.S.2/A440 2011
AAMA/WDMA/CSA 101/I.S.2/A440 2008
AAMA/WDMA/CSA 101/I.S.2/A440 2005
Equivalence of Product Standards Certified By
Sections from the Code
4/15/2019 Florida Building Code Online
https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqs%2fmGFoyT6raUonPmV%2fPD0kVqJXWRvuYURETx%2b06Ek2Ag%3d%3d 2/2
Product Approval Method Method 1 Option D
Date Submitted 12/17/2018
Date Validated 12/17/2018
Date Pending FBC Approval 12/20/2018
Date Approved 02/19/2019
Summary of Products
FL #Model, Number or Name Description
19562.1 Renewal Series Picture Windows Picture Window - Full Frame
Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: See Installation Instructions, AWD092, and Evaluation
Report, PER4163, for sizes, design pressures, and installation
requirements.
Installation Instructions FL19562_R3_II_AWD092 SS 2018-12-17.pdf Verified By: Hermes F. Norero, P.E. FL PE No. 73778 Created by Independent Third Party: Yes Evaluation Reports FL19562_R3_AE_PER4163 SS 2018-12-17.pdf Created by Independent Third Party: Yes
19562.2 Renewal Series Picture Windows Picture Window - Universal Frame
Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: See Installation Instructions, AWD244, and Evaluation
Report, PER5899, for sizes, design pressures, and installation
requirements.
Installation Instructions FL19562_R3_II_AWD244 SS 2018-12-17.pdf Verified By: Hermes F. Norero, P.E. FL PE No. 73778 Created by Independent Third Party: Yes Evaluation Reports FL19562_R3_AE_PER5899 SS 2018-12-16.pdf Created by Independent Third Party: Yes
19562.3 Renewal Series Picture Windows Picture Window - Fixed Casement
Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: See Installation Instructions, AWD094, and Evaluation
Report, PER4087, for sizes, design pressures, and installation
requirements.
Installation Instructions FL19562_R3_II_AWD094 SS 2018-12-17.pdf Verified By: Hermes F. Norero, P.E. FL PE No. 73778 Created by Independent Third Party: Yes Evaluation Reports FL19562_R3_AE_PER4087 SS 2018-12-17.pdf Created by Independent Third Party: Yes
19562.4 Renewal Series Picture Windows Picture Window - Insert Frame
Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: See Installation Instructions, AWD091, and Evaluation
Report, PER4084, for sizes, design pressures, and installation
requirements.
Installation Instructions FL19562_R3_II_AWD091 SS 2018-12-17.pdf Verified By: Hermes F. Norero, P.E. FL PE No. 73778 Created by Independent Third Party: Yes Evaluation Reports FL19562_R3_AE_PER4084 SS 2018-12-17.pdf Created by Independent Third Party: Yes
Back Next
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:
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BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications Contact Us BCIS Site Map Links Search
Product Approval
USER: Public User
Product Approval Menu > Product or Application Search > Application List > Application Detail
FL #FL19563-R3
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived
Product Manufacturer Andersen Corporation
Address/Phone/Email 100 Fourth Avenue North Bayport, MN 55003 (651) 264-5308 alan.barstad@AndersenCorp.com
Authorized Signature Alan Barstad alan.barstad@AndersenCorp.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Horizontal Slider
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed the
Evaluation Report
Hermes F. Norero, P.E.
Florida License PE-73778
Quality Assurance Entity Window and Door Manufacturers Association-QA
Quality Assurance Contract Expiration Date 12/31/2020
Validated By Locke Bowden P.E.
Validation Checklist - Hardcopy Received
Certificate of Independence FL19563_R3_COI_COI Andersen SS 2015-08-31.pdf
Referenced Standard and Year (of Standard)Standard Year
AAMA/WDMA/CSA 101/I.S.2/A440 2008
AAMA/WDMA/CSA 101/I.S.2/A440 2011
Equivalence of Product Standards Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 12/17/2018
Date Validated 12/17/2018
Date Pending FBC Approval 12/26/2018
Date Approved 02/19/2019
Summary of Products
FL #Model, Number or Name Description
19563.1 Renewal Series Renewal Glider Window
Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: See Installation Instructions, AWD243, and Evaluation
Report, PER5898, for sizes, design pressures, and installation
requirements.
Installation Instructions FL19563_R3_II_AWD243 SS 2018-12-17.pdf Verified By: Hermes F. Norero, P.E. FL PE No. 73778 Created by Independent Third Party: Yes Evaluation Reports FL19563_R3_AE_PER5898 SS 2018-12-16.pdf Created by Independent Third Party: Yes
Back Next
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:
Digitally signed by Hermes F. Norero, P.E.
Reason: I am approving this document
Date: 2018.12.17 18:27:17 -05'00'
RES20-0162
RES20-0162