1865 Hickory Ln RES20-0253 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
CAMPBELL WALTER 1865 HICKORY LN ATLANTIC BEACH FL 32233-4548
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:
172020 1432 SELVA MARINA UNIT 12C
R/P
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1865 HICKORY LN RESIDENTIAL
WINDOWS/DOORS 2 DOORS $11182.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $110.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.48
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
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: 9/17/2020
PERMIT NUMBER
RES20-0253
ISSUED: 9/17/2020
EXPIRES: 3/16/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TOTAL: $169.48
2 of 2Issued Date: 9/17/2020
PERMIT NUMBER
RES20-0253
ISSUED: 9/17/2020
EXPIRES: 3/16/2021
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
RES20-0253
RES20-0253
Digitally signed by Hermes F. Norero, P.E.
Reason: I am approving this document
Date: 2017.10.20 20:52:38 -04'00'
7/4/2018 Florida Building Code Online
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquiKNpeAsu%2bZPP3j%2ba4esDUpCg99bjsFkZi4GyBlTrjlg%3d%3d 1/3
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Product Approval
USER: Public User
Product Approval Menu > Product or Application Search > Application List > Application Detail
FL #FL14429-R6
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 Exterior Doors
Subcategory Sliding Exterior Door Assemblies
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 FL14429_R6_COI_COI Andersen SS 2015-08-31.pdf
Referenced Standard and Year (of Standard)Standard Year
AAMA/WDMA/CSA 101/I.S.2/A440 2005
AAMA/WDMA/CSA 101/I.S.2/A440 2008
AAMA/WDMA/CSA 101/I.S.2/A440 2011
ASTM E 1886 2002
ASTM E 1886 2005
ASTM E 1996 2012
ASTM E 1996 2002
TAS 201 1994
TAS 202 1994
TAS 203 1994
RES20-0253
7/4/2018 Florida Building Code Online
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquiKNpeAsu%2bZPP3j%2ba4esDUpCg99bjsFkZi4GyBlTrjlg%3d%3d 2/3
Equivalence of Product Standards Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 10/21/2017
Date Validated 10/21/2017
Date Pending FBC Approval 10/26/2017
Date Approved 12/12/2017
Summary of Products
FL #Model, Number or Name Description
14429.1 100 Series Gliding Patio Doors
Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: +30/-30 Other: Refer to pressure tables on drawing AWD120 (Note: All
pressures meet water infiltration requirements)
Installation Instructions FL14429_R6_II_AWD120 SS 2017-10-20.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. #73778 Created by Independent Third Party: Yes Evaluation Reports FL14429_R6_AE_PER4968 SS 2017-10-20.pdf Created by Independent Third Party: Yes
14429.2 200 Series Narroline Gliding Patio Door
Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: Refer to pressure tables on drawing AWD112 (Note: All
pressures meet water infiltration requirements)
Installation Instructions FL14429_R6_II_AWD112 SS 2017-10-20.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL14429_R6_AE_PER5174 SS 2017-10-20.pdf Created by Independent Third Party: Yes
14429.3 200 Series Perma-Shield Gliding Patio Doors
Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: Refer to pressure tables on drawing AWD191 (Note: All
pressures meet water infiltration requirements)
Installation Instructions FL14429_R6_II_AWD191 SS 2017-10-20.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL14429_R6_AE_PER5175 SS 2017-10-20.pdf Created by Independent Third Party: Yes
14429.4 400 Series Frenchwood Gliding Patio Door
Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A Other: Refer to pressure tables on drawing AWD117 (Note: All
pressures meet water infiltration requirements)
Installation Instructions FL14429_R6_II_AWD117 SS 2017-10-20.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. #73778 Created by Independent Third Party: Yes Evaluation Reports FL14429_R6_AE_PER4965 SS 2017-10-20.pdf Created by Independent Third Party: Yes
14429.5 A Series FWGPD Gliding Patio Doors
Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: N/A Other: Refer to pressure tables on drawing AWD118 (Note: All
pressures meet water infiltration requirements). Plastic Material
Certification of laminated glazing interlayers are listed under
current Miami-Dade NOAs.
Installation Instructions FL14429_R6_II_AWD118 SS 2017-10-20.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. #73778 Created by Independent Third Party: Yes Evaluation Reports FL14429_R6_AE_PER4966 SS 2017-10-20.pdf Created by Independent Third Party: Yes
14429.6 A Series FWGPD DP Upgrade Gliding Patio Doors
Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: N/A
Installation Instructions FL14429_R6_II_AWD119 SS 2017-10-20.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports
7/4/2018 Florida Building Code Online
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquiKNpeAsu%2bZPP3j%2ba4esDUpCg99bjsFkZi4GyBlTrjlg%3d%3d 3/3
Other: Refer to pressure tables on drawing AWD119 (Note: All
pressures meet water infiltration requirements)
FL14429_R6_AE_PER4967 SS 2017-10-20.pdf Created by Independent Third Party: Yes
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