10 10TH ST #33 - GLASS DOOR r1 ` �s
� , CITY OF ATLANTIC BEACH
JJ 800 SEMINOLE ROAD
J
—. rVO
ATLANTIC BEACH, FL 32233
�—�� INSPECTION PHONE LINE 247-5814
T tor.
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-1598
Job Type: WINDOW AND/OR DOOR
Description: 2 replacement sliding glass doors
Estimated Value: $4,650.00
Issue Date: 7/28/2016
Expiration Date: 1/24/2017
PROPERTY ADDRESS:
Address: 10 10TH ST 33
RE Number: 170237-0078
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN WINDOW PRODUCTS
Address: 2633 S POWERS AVE QA KEITH ALAN GURR
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $36.63
BUILDING PERMIT FEE $73.25
Total Payments: $109.88
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 'I IIE FLORIDA
BUILDING CODES.
it_s
•
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)( A1J
800 Seminole Road
J- Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 tJ r I I
A, � E-mail: building-dept@coab.us Date routed: to
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �O nt 10 Si • # 33 DepartmerevievjYesequired o
uilding
Applicant: A Me-t , Lan W 'n 6.0 v3 4A'�A-�Lt s Planning &Zoning
Tree Administrator
Project: a'• (t1.Qm AN S %�
c\ukA 1 U.\S Public Works
Public Utilities
J, 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:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. ❑Denied.
(Circle one.) Comments:
BUILDING j
PLANNING &ZONING Reviewed by: ()I Date: 7�/ /
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09 i
BUILDING PERMIT APPLICATION 5P7--/0
CITY OF ATLANTIC BEACH ILE COPY
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845 1, --W A) p-- I Tcl 53'
i
Job Address: I C ( a ti 5F -+ . Permit Number.
Legal Description '( � '
a i# 1170237- do73
I Floor Area of Sq.Ft. .,} Sq.Ft n-heated/cooled
Valuation of Work$ `1�'�L'`- Proposed Work heated cooled i.• .........--
;
Class of Work(circle one): New • Addition A• lteration Repair Mo -Demolition pool/spa windo door
Use of existing/proposedd str° one):. Commercial esiden
If an egg structure,is a:Sire sprinkler s�atem . • ', =,?(Circle one): No N/A
Florida Product Approvals#
For multiple prodn "ase p i .net approv• _ i
Describe in detail the 2 of work to be'performed: Zee l SCS
i
Property Owner Information: . i • �J.
1
Iii cls e l LiWie42
Name: A•ddress
city State zip 2 phone 1733— 2953
E-Mail or Fax#(Optional) ! i
Contractor Information: AMERICAN WINDOW �,,�(�
PRODUCTS,INC. ) l.e I ►// (VAJZIL
Company Name: �
:pcOM ,I AVF Qualifying AgentSmote Zip
Address: 1p r'�,$ONvi I ErFL 32207 City Fax#
Office Phone -1 S I 1141 Job Site/Contact Number I
State Certification/Registration# C I25 120-1
Architect Name&Phone# • ; •
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address -.,
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to r
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this Jurisdiction. This permit becomes n
and void f workn Li not commenced within e��months,
mior st cbe secured for Elenstruction or u eW abandoned Signs, Welts,
aWdk,paiod Po u He to
ime ay
work is commenced N'd(s,P rtrr'ra�•'r'+
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORECORDING YOUR NOTICE OF
COMMENCEMENT.:
I hereby certify that I have read and examined this twlicati9n and know the same to beanting otrue and correct.f a permit ot All provisions� t � or governing l 1
�ofsiwork will obe ther f�with, or whethera • c reg heracing constructior not on or rformarc construction.
��of es, , or local • regulating
., • er...„_,---
ISignature of Contractor
Signature of Owner :.•... !.: •,����
Print Name I1. I C..4-0.-C--L. k S(3, Print Name e-1
Cilka-
Sworn to and subscribed before ,. - ,2D I Sworn subscribed before me ,20 ��
this S Day of urt� 51 - , y o Su-I'LL
cAJ
IRISI HLRGROVE = '
• �dc alto ,D,,:'_1.1.:0,(4,.
yi"--1
Notary Public �� I -. 4 * MY COMMISSION*FF 897106 'otaiy Public . ,o,"".'.."°Bi.„ IRIS L.HARGRo'
XF!SES:September 6,2G19ISSION t FF
•
_ (� Q I Q ° 6cn:cd ilru Bucket Nohry Services ' ••r, A :September f
La�� J v t r/ ^�� Jl''Eor Re..' Booted 1Itru Beget Notary
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. 17�023-7—t)07B
State of FLORIDA County of �YLt.t/zil
To whom It may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of pro erty being improved: 1 t -2,S0— 21 E
-I' 11-e C�c�ks--- (.0(1C4 elm tn;..,.r► ei11 r2rj Uni4 a
0/1( $I- 5 Zo S33
Address of property being improved: IC) l bT►l c_4lea-f'I l /32233
General description of improvements: IdatA26e.leilo2e14 54C-11.01$ �j . c <
Owner I l l Id 1
10 lb
-h
Address14bei
Owner's interest in site of the improvement N/A
Fee Simple Titleholder(if other than owner)N/A
Name N/A
Address
19'J Contractor AMERICAN 1MNDOW PRODUCTS,INC.
1� Address 2633 POWERS AVENUE - JACKSONVILLE, FL 32207
Phone No.904-731-2247 Fax No. 904731-8824
Surety(if any) N/A
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name N/A
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name NSA
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name N/A
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
r
THIS SPACE FOR RECORDER'S USE ONLY l \ • NER
Signed: DATE i 'CO
Before me i day of C II the
Page County of Dyrv�._ tz{t�of Fk7rida.a personally appeared
Doc#20161 73480,OR BK 17651 Pa a 901, c L S e� herein by
Number Pages: 1 himself/herself and affirms that all statements and declarations herein
Recorded 07/28,2016 at 12:13 PM, are true and accurate
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
Notary PublIc at targe,Stale of Fe_ , County of_Apy i it7a--1:7VICKI GURR
My commission expires:
Personally Known A MY CON-MISSION#FF 972181
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Florida Building Code Online Page 1 of 5
Business & Professional Regulation
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Busines product A
Professional , ; USER:Public Userpproval Regulation FILE copy
Product Approval Menu>Product or Application Search>Application List>Application Detail
OWE FL# FL14605-R4
Application Type Revision
Code Version 2014
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and
the POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Eastern Architectural Systems
Address/Phone/Email 16341 Domestic Ave.
Ft.Myers, FL 33912
(800)432-2204 Ext 4314
thoard@easternmetal.com
Authorized Signature Timothy Hoard
thoard@easternmetal.com
Technical Representative Timothy 3. Hoard
Address/Phone/Email 10030 Bavaria Road
Fort Myers, FL 33913
(800)432-2204 Ext 4314
thoard@easternmetal.com
Quality Assurance Representative
Address/Phone/Email
j Category Exterior Doors
Subcategory Sliding Exterior Door Assemblies
Compliance Method Certification Mark or Listing
Certification Agency National Accreditation &Management Institute
Validated By National Accreditation &Management Institute
Referenced Standard and Year(of Standard) Standard
AAMA/WDMA/CSA 101/LS.2/A440
ANSI/AAMA/NWWDA 101/I.5.2
ASTM E1886
ASTM E1886
ASTM E1996
ASTM E1996
TAS 201
TAS 202
TAS 203
Equivalence of Product Standards
Certified By
https://floridabui lding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgsw8Z... 7/14/2016
Florida Building Code Online Page 2 of 5
Product Approval Method Method 1 Option A
Date Submitted 04/06/2016 FILE COPY
Date Validated 04/13/2016
Date Pending FBC Approval
Date Approved 04/13/2016
Summary of Products
FL# Model,Number or Name Description
14605.1 Series 600 Non-Impact Aluminum Series 600 Non-Impact Aluminum SGD
SGD
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL14605 R4 C CAC NI006120.01-R2-signed.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:No 12/31/2020
Design Pressure: +60.0/-60.0 'Installation Instructions
Other: Maximum 3 Panel, Multi-Track, Bypass I FL14605_R4_II_08-02675.pdf
Verified By: Luis R. Lomas, P.E.62514
I Created by Independent Third Party: Yes
Evaluation Reports
FL14605 R4 AE 513450.pdf
Created by Independent Third Party:Yes
14605.2 Series 600 Non-Impact Aluminum 1 Series 600 Non-Impact Aluminum SGD
SGD
Limits of Use I Certification Agency Certificate
Approved for use in HVHZ: No I FL14605 R4 C CAC NI006119,01-R2-signed.pdf
Approved for use outside HVHZ:Yes �Quality Assurance Contract Expiration Date
Impact Resistant: No 12/31/2020
Design Pressure: +80.0/-80.0 !Installation Instructions
Other: Maximum 4 Panel, Multi-Track, Bypass I FL14605 R4 II 08-02691.pdf
Verified By: Luis R. Lomas, P.E.62514
Created by Independent Third Party:Yes
Evaluation Reports
FL14605 R4 AE 513466.pdf
Created by Independent Third Party:Yes
14605.3 Series 623 Impact Vinyl SGD Series 623 Impact Vinyl SGD
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL14605 R4 C CAC NI011134-R1.pdf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 05/31/2021
Design Pressure: +50.0/-50.0 !Installation Instructions
Other: Maximum Size: 144"x 96" 3 Panel Bypass, 2-Track. I FL14605 R4 II 08-01671A.pdf
FRAME MATERIAL TO BE RIGID PVC FROM DECEUNINCK NORTH Verified By: Luis R. Lomas, P.E.62514
AMERICA AAMA CERTIFIED(DEP-1) Created by Independent Third Party: Yes
Evaluation Reports
FL14605 R4 AE 512351A.pdf
FL14605 R4 AE NOA 14-0423.17.PDF
Created by Independent Third Party:Yes
14605.4 'Series 623 Impact Vinyl SGD !Series 623 Impact Vinyl SGD
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL14605_R4_C_CACNI011134.01-R1.pdf
Approved for use outside HVHZ:Yes Quality Assurance -Contract Expiration Date
Impact Resistant:Yes 05/31/2021
Design Pressure: +50.0/-50.0 Installation Instructions
Other: Maximum Size: 192"x 96"4 Panel Bypass, I FL14605 R4 II 08-01670A.pdf
2-Track.FRAME MATERIAL TO BE RIGID PVC FROM DECEUNINCK Verified By: Luis R. lomas, P.E.62514
NORTH AMERICA AAMA CERTIFIED (DEP-1) Created by Independent Third Party: Yes
Evaluation Reports
FL14605 R4 AE 512350A.pdf
FL14605 R4 AE NOA 14-0423.17.PDF
Created by Independent Third Party: Yes
14605.5 Series 623 Non-Impact Vinyl SGD !Series 623 Non-Impact Vinyl SGD
https://floridabuilding.org/pr/pr_appdtl.aspx?param=wGEVXQwtDgsw8Z... 7/14/2016