592 N Nautical Blvd RES20-0143 Window Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
WESTBURY ELIZABETH W 592 NAUTICAL BLVD N ATLANTIC BEACH FL 32233-4119
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:
170703 0348 SEASPRAY
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
592 N NAUTICAL BLVD RESIDENTIAL
WINDOWS/DOORS replace windows $19806.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $150.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $75.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.38
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.25
TOTAL: $230.63
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: 6/26/2020
PERMIT NUMBER
RES20-0143
ISSUED: 6/26/2020
EXPIRES: 12/23/2020
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 6/26/2020
PERMIT NUMBER
RES20-0143
ISSUED: 6/26/2020
EXPIRES: 12/23/2020
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $236.26
RES20-0143 Address: 592 N NAUTICAL BLVD APN: 170703 0348 $236.26
BUILDING $150.00
BUILDING PERMIT 455-0000-322-1000 0 $150.00
BUILDING PLAN REVIEW $75.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $75.00
STATE SURCHARGES $11.26
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.38
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.25
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.38
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.25
TOTAL FEES PAID BY RECEIPT: R12187 $236.26
Printed: Friday, June 26, 2020 2:27 PM
Date Paid: Friday, June 26, 2020
Paid By: Renewal by Andersen of Florida
Pay Method: CREDIT CARD 340608037
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12187
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4/15/2019 Florida Building Code Online
https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvNL6Whvr42woRv3siUMtlP7s6630RVQMZYQ4rHUvzJKg%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 #FL27970-R1
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 Alan Barstad
Address/Phone/Email 100 Fourth Avenue North Bayport, MN 55003 (651) 264-5308 abarstad@andersencorp.com
Category Windows
Subcategory Double Hung
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 FL27970_R1_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
4/15/2019 Florida Building Code Online
https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvNL6Whvr42woRv3siUMtlP7s6630RVQMZYQ4rHUvzJKg%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 12/21/2018
Date Approved 02/19/2019
Summary of Products
FL #Model, Number or Name Description
27970.1 DG Series Double Hung Window DG Series Double Hung 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 and Product Evaluation
Report for allowable design pressures, sizes, installation
requirements and limits of use.
Installation Instructions FL27970_R1_II_AWD234 SS 2018-12-16.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL27970_R1_AE_PER5531 SS 2018-08-17.pdf Created by Independent Third Party: Yes
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