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Permits Folder 961 Atlantic Blvd (NFCU)~ e PERMIT WORKSHEET Job Address: Property Owner: Contractor: Permit #: Certificate of Occupancy n ~3`vb. ~ ui ftirT C~oN~~cn~lc~- .~Nc. U(o - 05~. Tree Permit # Foundation Permit # Demolition Permit # _ BUILDING Footing Slab Tie Beam Lintel Nailing/ Sheathin Framing Insulation Building Final Drainage Inspection: Pool Permit # ELECTRIC # Tem .Power # JEA Release Date Temp. Power Letter Recd. Temp Pole # JEA Release Date Rough JEA Release Date Electric Final JEA Release Date Type Work: Phone # Phone # Date Issued: Inspections: Steel Elec./Grounding Roofing Permit # Inspect: Nailing/Sheathing Fire Inspection: Failed Inspections: CaRZ. tea) 9a9-tau /~ I PLUMBING ~ #O6-3N/3fd Underslab Water/ Sewer Rough/ Top out Plumbing Final Final Final Final (~ Date Paid: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00034197 Date 11/03/06 Property Address 961 ATLANTIC BLVD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc HMOl NEW SERVICE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MKM ELECTRICAL CONTRACTOR, INC ~n t ~p ~~„~~ 2373 CEDAR SHORES CIRCLE U (' (,V ~ ~ 1 ~ ~~ JACKSONVILLE FL 32210 ~']P(j~~Da(/(g I,U (904) 545-6199 PERMIT ~5 a5 ~- ~ ~ q ~, ~ __ N~o - ~ ~tMO - 2 ~ (~ I - .Now~.l#" 1 q61 #2 qCo I rs r/ ~ ~ w _ ___ _ _~~rna,~ rte. ~M o #~ ~~~________ Plan Check Fee .00 Valuation 0 --------------------------------------- Paid Credited Due - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 105.00 .00 .00 .oo .oo .oo 105.00 .00 .00 PERMTI' IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00034198 Date 11/03/06 Property Address 961 ATLANTIC BLVD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc .~(~ HM02 NEW SERVICE 200 AMPS ---------------------------------------------------------------------------- Owner Contractor OCCUPANT MKM ELECTRICAL CONTRACTOR, INC 961 ATLANTIC BLVD. 2373 CEDAR SHORES CIRCLE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (904) 545-6199 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 105.00 Plan Check Fee .00 Issue Date 11/01/06 Valuation 0 Expiration Date 4/30/07 ---------------------------------------------------------------------------- Special Notes and Comments METER # 05230188 HM02 (WAS ADDRESSED AS 957 ATLANTIC) Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ------- Permit Fee Total Plan Check Total Grand Total 105.00 105.00 .00 .00 .00 .00 .00 .00 105.00 105.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CTCY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00034196 Date 11/03/06 Property Address 961 ATLANTIC BLVD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc SAFETY CHECK - 200 amps ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OCCUPANT MKM ELECTRICAL CONTRACTOR, INC 961 ATLANTIC BLVD. 2373 CEDAR SHORES CIRCLE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (904) 545-6199 - - -- ---------------- ----------------------- Permit ------------- ELECTRICAL - - ------------------ PERMIT Additional desc . Permit Fee 105.00 Plan Check Fee .00 Issue Date 11/01/06 Valuation 0 Expiration Date 4/30/07 --------------------- - ---------------- ----------------------- Special Notes and ------------- Comments - - meter # 05230237 THIS WAS TEMP /THIS POWER IS ON PERMIT # 06 34199 (WHICH WAS ADDRESSED AS 959 ATLANTIC,NOW IS 961 ATLANTIC) ---------- ---------------- ----------------------- Fee summary ------------- Charged ----- - - -------------- Paid Credited ---------- ---------- Due ---------- ----------------- Permit Fee Total - - - 105.00 105.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 105.00 105.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. HP Officejet 7410 Personal Printer/Fax/Copier/Scanner Log for Information Systems 904-247-5845 Nov 03 2006 2:37PM Last Transac'~on Date Time Type Nov 3 2:36PM Fax Sent Identification 96654470 Duration Pages Result 1:08 3 OK CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00034302 Date 1/17/07 Property Address 961 ATLANTIC BLVD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc INSTALL FIRE ALARM ---------------------------------------------------------------------------- Owner ------------------------ OCCUPANT 961 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 Contractor ------------------------ JACKSONVILLE SOUND & COMM 5832 MARTRAM CIR S JACKSONVILLE FL 32207 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 35.00 Plan Check Fee 100.00 Issue Date 11/21/06 Valuation 0 Expiration Date 5/20/07 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 35.00 35.00 .00 .00 100.00 100.00 .00 .00 135.00 135.00 .00 .00 rEat~rg' is nrra~®~ED ®ivg,~ ilv ~.cc®aaDA1VCE waaa~ ~.~, ca'r~ ®~ ~~~,~ac BEACa~ ®RDnvAlvcES ~vD ~'I~E ~.®aa~D~ BUILDYNG C®DES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number Property Address Application type description Property Zoning . Application valuation . ---------------------------- Application desc new service 200 amps ---------------------------- Owner 06-00034197 Date 11/01/06 955 ATLANTIC BLVD ELECTRIC ONLY TO BE UPDATED 0 -------------------------------------- -------------------------------------- Contractor ~ f~'~ 1,,'/ ~~' MKM ELECTRICAL CONTRACTOR, INC ciG~',vVr ~~ 2373 CEDAR SHORES CIRCLE ~'~~ JACKSONVILLE FL 32210 (904) 545-6199 RMIT ._ .~_.:.e. _v. ~,r.._._...._ a_..._,.... .w. __ .~. _..__ _ 1 (U(OZ Plan Check Fee .00 w _ ,,...._ .~._._. ......_..__....___.~. Valuation 0 . ~ __..,._ .._...~~~~~.~..~._._ ....~.W_a.~.n.. _w.._... __.. ------------------- ~.~_v .._,~. _~.. .. _ _.. ~ _._ . _4_._. ~-~ .....~-~,f~_c~ ~lU~._ .AMP 1 ------------------------------------- Paid Credited -- Due-- ' ------- ---------- - _ 105.00 .00 .00 .00 .00 .00 _ .. _... ,,.. _ _ 105.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City ofAtlant.ic Beach .Pejmitlnformatton Tos JEA Electric Order Fulfillment, (Fax No.: 665-7'372) Attention: Carol Schweizer/Lorie Craven, 21 West Church St T-4 (665-6521) Subject: City of Atlantic Beach Permit # ~ ~0 ' ~`~ ~ ~ 7 Date: l/ - / - ~ ~ Service Address: ~.~~ .~ I~a~~ ~ G ~~~~ Owner: Owner Phone: Electrician: ~ ~ ~r f ~ ~ ~ Electrician Phane: ,1~~f.~ ~ ~ g Type of Work: New Service ~ M-Home Subfeed [_] Increase Service [_] Heat & AC [~] Repair Service [_] Other [~ Rewire [~] Other Description: Temp Pole [ ] _ Service Type: [~jOverhead (R.epairiReplace) [,,,,Underground (New Services) Building Use: [Residential ]Church ]Environmental ]M-Home Commercial [„Other Other Use Description: Service Size: New Service: Amps:~_ Volts: ~0~ Phase: Existing Service:Amps: Volts: Phase: E-mail; cravli,,;r iea.com or schr~:cin c ,'e~ a.corn or resQiil~jea.ca~i2 ~-, ~~ ~~. ~ ~ .r"Z 3 alb' 9 CITY OF ATLANTIC BEACH 800 SENHNOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00034199 Date 11/01/06 Property Address 959 ATLANTIC BLVD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc new service 200 amps ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MKM ELECTRICAL CONTRACTOR, INC 2373 CEDAR SHORES CIRCLE JACKSONVILLE FL 32210 (904) 545-6199 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 105.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 4/30/07 ---------------------------------------------------------------------------- Special Notes and Comments meter # 05230190 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105.00 105.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 105.00 105.00 .00 .00 PERMTI' IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City ofA~lurntrc Beach Penmit`In ormat~on .._.._.. To: JEA Electric Order Fulfillment, (Fax No.: 665-'7372} Attention: Carol Schweizer/Lorie Craven, 21 West Church St T-4 (665-6521) Subject: City of Atlantic Beach Permit # ~~' ° .~`~/ ~9 Date: ~~ / . D (o Service Address: /~~ ~~u~~` ~ Owner: Owner Phone: Electrician: h'7 ~ ~ ~ /f ~--- Electrician Phone: ~y ~ lp % 9 9 Type of Work: New Service (~ M-Home Subfeed [_] Increase Service [_] Heat & AC [~] Repair Service [_] Other [~ Rewire [~] Other Description: Temp Pole [~ Service Type: (~ jOverhead. (Repair/Replace) [,,Underground (New Services) Building Use: [_]Residential ]Church j_]Environmental [_jM-Home j~Commercial }Other Other Use Description: Service Size: New Service: Amps: ~ ° ~ Volts: °~ D ~ Phase: Existing Service:Amps: Volts: Phase: E-mail; cravli(~,iea.con~ or sch~vc.m(n~jea.com or resazu~~}ea.com ~ ~ ~~~- ~ ~~~ ~ a i 9 ~ CITY OF ATLANTIC BEACH 800 SENHNOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number Property Address Application type description Property Zoning . Application valuation . ---------------------------- Application desc new service 200 amps ---------------------------- 06-00034198 Date 11/01/06 957 ATLANTIC BLVD ELECTRIC ONLY TO BE UPDATED 0 -------------------------------------- -------------------------------------- Owner Contractor OCCUPANT MKM ELECTRICAL CONTRACTOR, INC 957 ATLANTIC BLVD. 2373 CEDAR SHORES CIRCLE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (904) 545-6199 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 105.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 4/30/07 ---------------------------------------------------------------------------- Special Notes and Comments meter ## 05230188 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105.00 105.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 105.00 105.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City ofAtluntrcBeach Permit~n ormu~ion To: JEA Electric Order Fulfillment, (Fax No.: 665-7372} Attention: Carol Schweizer/Lorie Craven, 21 West Church St T-4 (665-6521) Subject: City of Atlantic Beach Permit # Q (0 ' ~'y/ 9O Date: ~/ - I - d (v Service Address: Owner: Owner Phone: Electrician: Electrician Phone: Type of Work: New Service Increase Service Repair Service Rewire Temp Pole [,~] M-Home Subfeed [_] [_] Heat & AC [~ [_] Other [~ [~ Other Description: Service Type: [~j,Overhead (Repair/Replace) [,~jUnderground (New Services) Building Use: []Residential ]Church ]Environmental [_jM-Home [„-]Commercial []Other Other Use Description: Service Size: New Service: Amps: ~ D ~ Volts: ~~,~_ Phase: Existing Service:Amps: Volts: Phase: E-mail: ci~avli~jea.con~ or seliGVCm~'e2 a.com or resain~jea.co4n HP Ofigcejet 7410 Personal Printer/Fax/Copier/Scanner Log for Information Systems 904-247-5845 Nov 02 2006 8:08AM Last Transaction Date Time Ty~e Identification Duration Pa4es Result Nov 2 8:07AM Fax Sent 96654470 0:58 2 OK Y f l.A,yr~} ~~ ~ - ~ CITY OF ATLANTIC BEACH l . ~~~ .. r ELECTRICAL PERMIT APPLICATION ~.,, J~V Date: ~~ - f - 0 ~O Property Address: ~~/ /~`"1,~~~7'- C ~d~ca~.. ~zPc.,~rcY Owner: ~~i(,1 t? ~~c0~~-~ f ~1`~ o'- T ~~~ ®,~~ Telephone #: r~-~~~r-~=~' Contractor: ~~~~~ ~~-c~~~0' yC' ~~~yr~-,~~~' Telephone #: ~~ ~/~f Contractor Address: ~ ~ ~3 C~o`.m r sLi~ <,rs C ~' Fax #: !a ~3 ~Q ~'~{ Contractor Si nature: ~ ~ c In consideration of pernut given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of ood ractice listed therein. Building: ^ New ~f Old ^ Re-wire Building Type: ^ Trailer ^ Residence ,B^ Temp. ~ Connmercial ^ Si s ~ ^ Addition Sq. Ft. Service: ^ New ^ Increase 1~' Repair If other construction is being done on this building Or site, list the building Permit number: Conductor Size: AMPS: COPPER ALUMINUM Switch or Breaker AMPS PH W VOLT RACE WAY Existing Service Size AMPS ~ Q~ PH ~ W _y~. VOL ~/rs0 RACE WAY Meter Number ~~ ~ ©~ ~ ,7 Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Rece tacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 .AMPS OVER BELL A liances TRANSFER. Air Conditionin H.P.RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEILING HEAT KW-HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDERb00V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Si Miscellaneous 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Revised 1/04 -f v~~~J jlJ~i,.` ~' `~, ~- ~ ~~~~, CITY OF ATLANTIC BEACH ;ter ELECTRICAL PERMIT APPLICATION Date: ~ Property Address: 9~/ ~T ~i9G~1~~~ ,~ pG~ ~~t~,~~ Owner: ~_~~ y T ~t~~ee ,~ ~ (~t~ r~ Telephone #: Contractor: "~~ ~ ({c~~'~~ ~ ~p,.-r.J ~~ c~ Telephone #: S5`~~! ~ Contractor Address: ~ 3 ~~ ~ ~ ~ ~,~~ r ~~~~ ~ s L~`r Fax #: & ~~~' !, Q y~ Contractor Si nature: `? In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of ood ractice listed therein. Building: ^ New ®' Old ^ Re-wire Building Type: ^ Trailer ^ Residence ^ Temp. Gk Commercial ^ Signs ^ Addition Sq. Ft. Service: ^ New ^ Increase ~ Repair If other construction is being done on this building Or site, list the building Permit number: O~ - 3 of Q s'.2 Conductor Size: AMPS: COPPER ALUNIlNUM Switch or Breaker AMPS PH W VOLT RACE WAY Existing Service Size AMPS PH W VOLT RACE WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Rece tacles CONCEALED ~ ~ OPEN Switches Incandescent Fluorescent & M.V. ~yq. ~} Fixed o.loo ,dl~s ovER BELL A fiances TRANSFER. Air Conditionin H.P.RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEILING HEAT W-HEAT ~~ (!GJ ~~~:-~s 3 ~ ~d~~ -!o ~~ ~o~~,~ Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Si Miscellaneous 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-8848 • http://www.ci.atlantic-beach.fl.us Revised 1/04 ~~, ~ 9~~ ~~~ 9~q ~Z~~~g9 U ©~~~~~~~ 0 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00034196 Date 11/02/06 Property Address 961 ATLANTIC BLVD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc SAFETY CHECK - 200 amps ---------------------------------------------------------------------------- Owner Contractor OCCUPANT MKM ELECTRICAL CONTRACTOR, INC 961 ATLANTIC BLVD. 2373 CEDAR SHORES CIRCLE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (904) 545-6199 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 105.00 Plan Check Fee .00 Issue Date 11/01/06 Valuation 0 Expiration Date 4/30/07 ---------------------------------------------------------------------------- Special Notes and Comments meter ## 05230237 Fee summary Charged Paid Credited Due ----------------- ---------- -=-------- ---------- ---------- Permit Fee Total 105.00 105.00 .00 ,00 Plan Check Total .00 .00 .00 ,00 Grand Total 105.00 105.00 .00 ,00 PERMTI' IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. HP Oflicejet 74'! 0 Persona! Printer/Fax/Copier/Scanner Log for Information Systems 904-247-5845 Nov 03 2006 7:59AM Last Transaction Date Time Type Identification Duration Pactes Result Nov 3 7:58AM Fax Sent 96654470 0:38 9 OK CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00034196 Date 11/01/06 Property Address 961 ATLANTIC BLVD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc temp. service - 200 amps ---------------------------------------------------------------------------- Owner Contractor OCCUPANT MKM ELECTRICAL CONTRACTOR, INC 961 ATLANTIC BLVD. 2373 CEDAR SHORES CIRCLE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (904) 545-6199 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 105.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 4/30/07 ---------------------------------------------------------------------------- Special Notes and Comments meter # 05230237 for temp power Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ------- Permit Fee Total 105.00 105.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 105.00 105.00 .00 .00 PERMI"T IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDIlYANCES AND THE FLORIDA BUILDING CODES. C~tv ofAtlantrc Beach Permitln~rmation ~. To: JEA Electric Order Fulfillment, (Fax No.: 665-7372} Attention: Carol Schweizer/Lorie Craven, 21 West Church St T-4 (665-6521) Subject: City of Atlantic Beach Permit # ~ ~ - 3 `ll ~ (p Date: ~~~ /~ ~' (v Service Address: ~!~ ~ ~~ fi ~ ~~/d Owner: Owner Phone: Electrician: /~'I ~.' l~'I ~ /~ ~- f ~ f ~~ Electrician Phone: ~~y~ , Type of Work: New Service [~] M-Home Subfeed [_] Increase Service [_] Heat & AC [~ Repair Service [_] Other [~ Rewire [__] Other Description: Temp Pole [~ _ Service Type: [T, j,Overhead. (Repair/Replace) [,_jUnderground (New Services) Building Use: ]Residential „]Church ]Environmental (_]M-Home [t/ Commercial [„Other Other Use Description: Service Size: New Service: Amps: ~ ~ ~ Volts: ~ 0 g Phase: ~ Existing Service:Amps: Volts:` E-mail: cravli(~c?jea.com or sch~WCm~aea:com or a~esoiu~, jea.co~n Phase: ~~; ~~, ~ asa.~ ~~~ 7 w HP Offlcejet 7410 Log for • Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5$45 Nov 09 2006 4:47PM Last Transaction Date lime Type Identification Nov 9 4:46PM Fax Sent 97377849 Duration Paoes Result 0:33 1 OK NUY-L5-'LUUb 1L:45 !ice'!' 7'~: yU4 Eiyb3y;3:3 Y.U~ ~~~T-TIC ^~~^ ^~^ ~^ November fi, 2406 Hitt Contracting 2T041~m Avenue Fairfax, vA 22031 Attn: Tim hunter ~~,VISED A "~ ~ ` i Re: Navy Federal Gredit Ut-ian -Atlantic Village, 961 Atlantic Blvd., Jacksonville, FL trtierior Renovation Asbestos Survey Dear Mr. Hunter. Pursuant to your request an Asbestos Interior Re~vation Survey has been performed ai t)te above location fc~r the purpose of iderttfying asbestos that needs to be removed prior to the dexswlitio~t aftt~ single (1) one story strudttre at the referenced locaiian_ The ~upose afthe investigation was to secure bulk samples far analysis tc- cleterminc the preseaee of Asbestos Catrtairting Building Materials within the structtue far demolition pttrpases. The stntcOttt+e v~-as built with dry waft firea+alls, cave molding mastic, ceramic t1e grout, vinyl floor file nurstic,, concrete masonry units, wood and steel_ The fifteen (f 5} suspect materials wtxe sampled for Polarized Light Microscopy (PL.M} analysis on November 1, 241)6. The samples were analyzed by the Dove F,rivir~ontnenta! Corporation. The analytical results are provided as enclosure (l). Based on the visual inspection, it was evident that regulated ~ Materials were not found to be present in t#re facility. Materials must contain greater than I.0°Ya asbestos to be regulated. The €ollawing recomrttendatians are provided far the ma#erisi that was determined ~ carrtain Asbestos Fibers within the t+eferencecl strvciures. RECOMMENriA"Ct(~NS R,ecammerrded response actions have beext sel~ted for all Asbestos C;a~ntaining Materials identified by this survey within the facility. Rec~otr>nzeodations for response actions, where arrived at, are stated as follows: FRIABLE ASBESTOS COAiTAtNIN n MAT£RtALS Friable Asbestos Material means any material containing more than one (1°l0) percent asbestos, that wheat dry can be erurrtbled, pulverized ar redneed m powder by hand pr+tsstme. Friable Asbestos Material was found in tfie fallowing areas: "Committed fid Excellence " ~ (~~ Asbestos & Lend Abale~rteRi laelrsanvitte ORioe 6430 Bateau Raad Mold 8e Spore Remediatwn 12451 North Lane Avenue W~si Palm Beach, FL 33407 Demolition -Air Defense Systems Jadcsonvilic. FL 32254 HUV-Ly-LUUb 1'L = bU li~ti'f T~IJ BEST-TEC ^~~^ ^~^ ^^ ^ ~~~. :1U4 b~byy:i:i Y.U:i "lire above material is considered finable and anust be removed by a Certified Florida Asbestos Ab~etemer-t Cwtiza~or prior to any distuttaanoc caused by renovation or demolition of the ref~+enced saucture. CATEGORY 1 NON-F'RrABLE ASBESTOS MATERIALS: None. CATEGORY UNON-FRIABLE ASt3E5'fOS MA1'ERIAL- None. NQNRI~CI.It-,ATE17: None_ The preceding materials are cxmsidered aCategory l or BNon-Friable Material and therefore, under normal cir+eurnstances, the Category I materials does not nced to be removed prior too demalitio>a, becan.4e generally these materials do not released signifiearrt amounts of Asbestos F-bets, even w>'wpi dauisged- Category i materials must be kept wet to prcvert the release of tebers during dernUlition. Tice Category I asbestos waste rriust be planed in a permitted asbestos landfill in accordance with FDEp regulations. gory II material must bE rerrroved prior to demolition or renova~on of the structure, Yet, in the event removal is deemed y as part of razovation all Asbestos Cdntxrining Material must be removed by a Licensed Asbestos Abatement Contractor. The suspect asbestos containing materials identified in this asbestos demolition survey were in significarrtty damaged corxtition at the time of the inspection_ Tire material conditivtt can change over time and wi!! degrade with exposure tv water, air movern~t, physical damage, vvc~drer and cltemicat exposure_ When impierrtentirlgtbe response actions, parties ttrsponsible for final selection should remember that actions shaft be sufficiant m praRerx HUMAN t-IEALTH AN D "Committed 1'o Excellence'. Corporate ~~ Ashesros & Lead Abatement 3aclcsonville Office b930 Bactwur Road Mold & Spnre Remedfatiorr 1249 North Lane Aveau~t West Palm HtaCb. HZ..33449 LAenrntitinn • ~4iiDefense Systems _tactcsrkn,iilP ~7. i7~Sd nuv-~y-~uue iL:~u ~cr~~r ~rr~.: uu4 byuy53;~ r.u~ BEST-TEC ^~~^ ^~^ ^^ 'I`HE ENV1R©NMENT, but may also be t{~e least burdensome ~tu~tho~. Nothing in these r~~,omntentlations should be cpnstrued as PRC}H1BlTING or discouraging removal. Ali parties shall comply with afl spp{icabie laws, otdina~t~ rules and rregutations of ~'ederat, State and IACat Goveznrnents and Agencies r!elatmg to yr affectiag the Ix+oposed work in whole br in part when implementing arty nasponse action at-saciated with the facility. 'This asbea~os survey steal{ rtut be used as a desig<t or specif;~cation ftx the naval of asbestos within the referenced sduchtre. Na samples are iecant»e~nded W be further ana{y~d by the point count method using a positive stop aPprnach. (t ttas laeen a p{ea~ue working with you and I toots forward th working watt you once again in the terArne. I cart be rea~etaed a# {904) 695-9900 or mobile (904) 237-0020 if yott shoutd have anp questions. Rxf~,tty sutxnitted, EtiJeasen Vice President "~ornmitted ?a Excellence " ,2st~estos dE Lead,4bate~+reRr JacksonvilteCk~cx Corporate Q!fI'ice re Remediatipn 1209 iVorih I.aiteAver-ur b93t1 ~arbou~ Road Mold Sc SEw j~.,~.,,,;i~ ~ r . 2•»t~ Wcst Patin ~ ~ 33407 pemolitiooR • Air Defense Syste+ns~" $EST TEC Asbestos Abatement, lnc. Asbestos Business License ZA0000 t 96 HOY-29-2006 12:50 11/86;2886 11:23 904 6959933 P.05 PAGc 95 BEST TFC 38~-020-6350 DELVE LABS ~~ s~..ss ^...~~ s~~. 4 DCy1rE ElVVIRt?NMENT~tL CARP. 477.5 N.W. 157 Street, Suite 203 Miami, F#orida 33014 'T'el. ~3(~5~ 6z0~6~5~ i=ax: ~3U5~ 6~Q-f 350 - ''~~ CLIENT : ENVIROidEERiNG. INC. PAGE Z A~ESS: 3.09 AZALEA POINT DRIVE., SOUTH FINITE YEDRA ACxi FL 32082 DATE 31l02tt)6 PR~DJECT: BEST-TEC, IiVC: 951 ATLANTIC BLYD.. A'tt_Aidl`IC SAf~L~E ID; D61~328 gFACH. FL 3c233: JON 3i4i NYL.AP -_ 2053 COi-lStlLT: T.N. RIIDQZPH .~ -- ~- - LAB t+~. Ol - SAiMPLE NO.: A-1~. FRI/NOM Nf3JYES LAYERS- QI IIA7E OF ANAI..YSIS: 11lOZJ06 DESCRIPTION : CI`RAMXC TILE GROUT -BLACK A58ESTfiS TYPE: I~NE-DETFCTEiI OTHER FIBERS 1x CEI..I.tJLQSE - . NON FIBERS 10~- P(3LYMERS 89x MINE3tI4LS ~'' LAS NO. 42 SAMPLE ND.: A-2 FRIt~1 NOIYES LAYERS: Ol. Du4TE OF ANALYSIS: 11/02IOb [~5CRIPTION :CERAMIC 7TLI: GROOT -BLACK AS6EST~ TYPE: ApiVE-tIETECTEQ QTNER FIBERS lx CELLULOSE NONi FIBERS lOx POLYMERS $9X MINERALS ~ fdD. ~ : 0~ _ _ _ .. _ _ _ . _ _ .. SAMPLE _ NQ _ A-3 FRf/FiDM NO/YE5 LAYERS: Ol DATE dF ANAI,YSZS: 11/02!05 DESCRIPTION :CERAMIC TILE GROUT -SLACK ASBESTOS TYPE: NEE-DETECTED OTi~R FIBERS : I~ CELL.tfL~SE NOM .i: iBERS _ _r ,1C)X ir._1~ME~,S- ~ _ ... 89x. MINERALS • _ _ e_ __~ii~=S~r r..~~3-a. ~9CCtY.=?-__-..a.~2~faa~~=L~r...__-~~~:. ~~=75ii~.J' iiC..~.r.L~---~..~..=eC9t~.~llf.t~_:: ~ ~~J Dore Bpvir~tal Corporation is eolellr reaoo:sible for acalpsia perforeed a saeple content sapplied Mr cheat sad aetlod !D CFA Rart 753 3n6part i Jig. ~4~/i00~I-9I~116. Petceot~ges an ~i~eliy psti~ateQ; point coast proceaore ras not e~loyecl_gesalts relates aaly to itet aealyted. TAis report t~Id eot be regXO~ccd ~r client ar anl-one rithoat arittea ~rsfssiaut Eton flare EIIViropeatal Catporatian. Ail saaple` +rill De stared fat a period oP 3 aontha. tkr Ieboratari uses Carl 3eis6 taiCroscoges sad is ~LdF acsxedited_ Qofst eaaat petfotaeQ at clieati zcgpe9t.F]oor-'vile is Yon-hc~ogeaaoae ~1d reanlts oaly~refitct saaple content. -----~naea_-_------~.=:~arsG=-=~.a..pisi~e---r°'~ai:c..-:r.~------ =ss.°---_.._ a~seo_e3sar___ sea-._: -e Analyst 1 (~' Ra~endranath Rarmath HIV-29-2006 12:50 33/06/208E 3.;:23 BEST TEC 305-620-f 35Q DCT./~' LASS ___~ ti~1~E EtVVIRONNlENTAL CORP.. 4715 N.W. 157 Street, Suifie ~03~ Miami, Florida 33Q14 Tel. X305} FiZQ-60513 Fax: X305} 6~0-f 350 '~ r •. DESCRIPTION :WALL MAS7Y~ -YELLOW IlSBE5T05 TYPE: NODE-DETECTED 07HER FIBERS 10X CELLttlOSE I~DII FIBERS . 90I: RL~SINS 904 6959933 P.06 Pl14~ 05 CLIENT : ENVIROt+tEERIiitG, rec. PAGE 2 A~RESS: 109 AZALEA POINT pRIVE.. SDUTH P VEDFtpt 6C1~1 FL 32082 DATE 12102!05 PRp~7EC7: BEST-TEC. ING: 961 ATU~tTiC SLVD.. ATLANTIC SA~IPE.E ID; 0611128 EL 32233: JQN 3141 BEACH NVLAF :: 2053 •-_- . C{lNSItLT: ?.w. Rt~IOLPN LAB I+IO. 04 SAt~'LE 1VD.: B-1 • ERilt-nONI NDIf~ LAYERS: 02 i]ATE OF Al~lA~4`5iS: 1I.102/D6 DESCRIPTION :WALL MASTIC - YELl.Q~t • A58£STQS TYPE: NDNE-tETECTED OTHER FIBERS 10~ CELLiJLOSE _ ~,_ NON EI$ERS 40X RESINS . : 05 LAB ND S/Y'4PLE NO.: ~!-2 . FRI/}~ ~ NO/Pt0 tAYERS: 02 DATE OF ANA!_YSIS: 11!02/06 LAB N0.- _-_-~----•-----u- -----.•------ ------_.____-~SAFIPLE ~.: 8-3 FRT/HOFt NQ/!~] t.AYERS: 82 DATE QF ANREYSIS: 11/42/06 DESCRTPTIflN : WAEI MASTIC - YELLOW ASBESTOS TYPE: NONE-tiETECTEO aiHER FIBERS 10~ GEE.LULOSE . _ , NUId~ E I8Eit5 . • _ - ~ 90~ RESINS - ;.:_ ,- ;- ' _ ~ -: _ . . _ .. _ __ .. __ ~. .. •'--- -veeaic~a03D-ese~acCO°__-c '~60~~==-=_~ ~OP~ePcs~SC~Oe_eam~Ct~i~S~ peneesea«e~-==_ ~~ =====s~vCY-eae=asOC- Dore Enixo~ental Corporatiop is aalelr rrsponsible #o* aaallrsls petforud oa sao~te ccakpat srpplied br client and •ethDd #D C~ dart 763 $at~Qart P ~tpp. EP~-jSDOjit-!]!116. 4erCaauges 8Y! riSt~nlly O~t2td~2d; poiAE cotnt procadare +as ant e~plored.Heealts relates oe1Y to itei analysed. 'this report aboeld iot be repraducea by client oz agyoae ritbaut rrzcten perdissioo fray Dove ~rironee•atal CoTporuioo. all napie$ .il] be stored foz a period of 3 noaths. Dar laboratotl- naea Carl geia6 iicraaeapes aad is ~ accredited. Poigt caaat perfoned at clients regaesc.Ploor-ii,1e is non-hoeogeaeona aad results onlp replete aaeple content. __ •----- G..-- _-~ satC~?~= 5-.-_~-~~~--_--.n-_ -+.._.-GSe~~:.?YSS1sii~:.:~.=s/~sY~~.~.~~`JSSlti.__n.CeGS3S--r.96dtli.-..-i _- - ---Analj-st 1 + Ra~endra~ath Rarra~8th AF,~,.~1~?Y 1'ila~Jl~Ep NUY-L5-2UUfi 1L:SU ti~`'1' '1'1;C; yU4 bybyy;i:i Y.U'( 11/86/2006 21:23 3@5-520-6358 EVE ~p~ ~~ ~,~ ~~ s~A ~~s. aov~ ~ruv~~oN~En~Ta~ ct~a~, 47.5 lV,W. 157 Str+~et, Suite 203 Miami, Florida 33014 Tei. (305) 620-~-050 Fax: (305) 620-6350 CLIENT : EANIRONEEitING. iNC. PAGE ~ ADDRESS: 109 AZALEA POINT ORIVE., SOUTH PONTE VEDRA Bp-f Ei. 32082 DATE - 11IO2I06 PROJECT: BEST-TEC, INC: 961 ATLANTIC BLVD,, ATLANTIC SAMPLE ID: U611~Z8 BEACH, FL 32233: JON 31~]. NVLAp -: ZQa3 .... CIINSUi.T: T.k, RUDDLPH ~ _ - LAB N0. : 07 51~MPLE NO.: C-I ERIiF-~! : NO/Np LAYER$: 02 DATE OF ANALYSIS: I11Q2/Q6 DESCRIPTION 4" COVE M+~LDI~(G MA5T2C -YELLOW , ASSE570S TYPE: NONE-f~TECTED OTHER FIBERS 14~ CELLULOSE l~tV FI8ER5 7.0~ PAINT - 70~ RESINS ~ T0~ F'OLYh~RS LAB I~}: . ~UB SAMPLE N0, : C-2 FRiIHOM : NOIN[3 ~aYERS: 02 t~4TE OF ANALYSI5: 1U02105 D~SCRIPTIOAI : 4" COVE MpLDI~t6 MASTIC - YEf.LOW ASBESTOS TYPE: NDHf-UETECT'ER OT}~CER FIBERS 10~ CELLULOSE N~ f zDfRa 1~,~ r~AXNT 7d~ RESIfdS 10~ POLYMERS LA8 NO. 09 ~ $AMFLf NU.: C-3 FRIII~OM NQINO LAYERS: U2 OATS OE ANALYSIS: 1U02106 DESCRIPTION .: 4" COVE MOLDY~IG MASTIC -YELLOW _ -- _ - _ ;ASBESTOS_ ;T1fPE: '_NONE.-O~TECTED _ ~ - - - .. - ' -~~'-4 ~ ~ ETHER FIRETtS lO~ ~CEI:I.ULQSE _ .. - . _, ._ . _ _ . . J ,. . NQN FIBERS I{~ PAINT 70X RESINS 10~ POLYMERS -==s~.=___a__.-..-==--'-----~~-~~-aa__ceaG23~ssc.vYC--,.-'^_--=ssC-.-----~~ 03COa~--'rSni--OD.--= --sn-......a_ base ~iroateatai Corporation u scieli respagsible Ear a~pai8 per~n~d on stele c~teat sallied hl- client and nEtBed ~6 CPP Qart 963 Sabpart F Ipp. g~'Jato/R•l311iG. ~ercent8ges are .israllY esti~tea; poixt eaenC prveedure x85 got eaplaped.Reialts rtlates oYlt to ilea dt3lY:ed. riffs rspart Abosid aat ~e repro~l~aced bI client or anions risl~t mitten penisxioa lrai parR xnviroaoeatal tbrparatf~. dll ca~lea rill be Stared tot a period of 3~aoaths. Oar laboraEari saes Grl ieiss •icroscopes ~ fa ~P acc=eaited. Pofnt cent perfaned at clients r~est.tloor-Tile is aoa-~ooogeaeoas and resalts oall reflect maple content. S_~~~~~-- _ ___..~------_____~--..-~..____~-----~____~.----===~s~~~CCii~7CCC~~C °==- ~---____~~--..l7eY~~ Andly5t ~ (~ Ra,~endranath Ratnn~th . LABORATORY MANAGER NOY-29-2006 12:51 ilik7h!-.!F9bb `i1-13 BEST TEC 385-628-b359 ~E LAB'5 DOVE E~[VIRDNME~iTAL CORP. 4715 ~J.w. 157 Street, Suite 203 Miami, Florida 3014 Tel. ~(3t15) 620-GC15C! Fax: X305) 624-63501 . 904 6959933 P.08 PAGE 88 C.IENT EIWIRDNEERZNG, INC. PAGE 4 ADDRESS: 109 AZALFl4 POINT L1FtIVE.. SOUTH PONTE YEf?RA BCH FL.~2082 QATE : I110210b PRO.JEOT: BEST-TEC. INC: X61 ATLANTIC BLVD. , ATLA~iTIC S1~Mhi.E ID: D611128 ~~ BEACH. FL 32238: JfliN 3141 ~iVl_AP - ; 2053 ....'- CONSt1LT; T.W. RUDOLPH tAg ~. : to _ SAMPL€~NO.: 0-1' . F1tIlHOiM NQINO tAYEFtS: 02 DATE OF ANALYSIS: a1f02l05 DESCRIPTION CAIJI.KIN6 INTERIOR -WHITE 8 BLUE ASBESTOS TYPE: NONE-DETECTED fl7H£R FIBERS . ~ FIBERS ~,QX PAINT lOx POLYMERS +' $a$ MINERALS LA8~NO.------. 1.1-- ------- - - ... __ __-__----~-~_- ~..~ .. FRI/HOM NGIIND LAYERS: D2 Cu4TE OF A1~IALYSIS, 11f02f46 DESC~t~IPTION C~AtlLKIN$ INTERIOR - I~IITE b BLUE ASBESTOS TY~'E: IdQIVE-DEl'ECTED 07NER FIBERS NON FIBi:RS IOX ~'/tI1+tT IOX P((}LYH£;4S 8Dx MINERALS LP-B #10. `---- . 7.2 SAMPLE N0.: D-3 FRIfHtl~9 : {+~/!d0 LAYERS: OZ DATE OF ANA~..YSIS: 1L/OZfa6 DESCRIPTION CA~iCING INTERIOR - ~IT~E !~ BE.UE ~-~1Sy,8E~5Tt}-IS~]TYE`E :• A~O~yiE - E3E~C~ . - - - .. _ . N(a(V~(F~IBERS ; 10~ PAINT IOY P~,.YMEFtS . $OX MINERALS rs~c~-~~nas~w.-.e=ee~aoc~-•Oe-~s~-va-.~=zseame--~..~__~,.~~.CG---=~~~.'~:_-xt=so:ea~s~a~:...=eere~:c_~~assc~i Dive Eavitm~aetal Cotporatioa is 9aiely reatwnsible for analysis pecforred ox suple couent sbgplied by cliP$t sad a8t~ad X16 CFQ Part X63 Sa6part F dpp. B~#/bflG/R-93jlif. PercWtages are risaallT estiaated; point coaIIt groCedBre ras nat e~piored.Qesults relates only to itee a,wl~ed. ihi! report ehanld gat be rtprodaced by client Or u1o4e ritioat rtittes parussion froe dove 8ariro~ental CorNaxatzan. X11 aaigles gill be Stored fpr a period of ~ .ent6a. Oxr Zabotatotr uses Carl Feiss aierosco~es sad is P'IF~P accrH3ited. Poiet conat pe1'ioned xt clients regaeat.Fioar-file is non-bueogeaeaas aid resalts Daly xe#lect maple Meat. --- =_----==-_=___-_==--___°=----___--==-----=--=-------======-----====-=----=-=-=---s=---------_-=---=_- l~n to Analyst 1 Ra jendrdrlath Ruth LA$ORATDRY MAirAGER • - s ---~..._.__. NOV-29-2006 12:51 BEST TEC 904 6959933 P.09 _~r c..vs cuua 11. tJ 3rJ~-D1l7-O.~~17 U-1Vt ~~ ~~ $$ r~ ww~ DAVE EN1lxR~[riMENTAL CURP. 4715 N.1111. 157 Street, Suite 203 Miami, Flo~da 33014 TeI. X305} 624-fi0S0 Fax: (3a5} 620-6350 CLIENT' : ENVIRONEERING. INC. ADORE55: 109 AZALEA POINT DRIYE. , S{X1TH PONE YL-IIRA Bit FL 320$2 PROr7ECT. B£ST-TEC, TNC• 961 ATI.AN'TIC OE1t0.. ATl..ANTYC $EACM. FL 32233: JON 3141 PAVE DATE :13102106 ~f Ip: 2053x28 . - .5 CONSULT : T . W . RLIDOLPN t,.AB NO. Z3 S1~M~'LE NQ.. E-1 FRIIHOM t NOIYfS LAYERS: Ol lIATE OF I~NfiLYSIS: 11f02/OS pESf;RZPTION :YELLOW FLOOR MASTIC - AS$ES30S TYPE: P-pETECTEa - OTHER FIBERS ,~ NON FIBERS 1(I~ MINERALS 90~ R€SIMS LA8 N0. 14 SALE NO.: E-2 FRIli•~l : NOfYES LAYERS- OI. DATE OF ANaE.YSIS: ].110Zf06 DESCRIPTION YELLOW FLOOR MASTIC ASBESTOS TYPE: NOt'E-DETECTED OTHER FIBERS NON FIBERS 10I: MINERAL5 94~ RESINS - - - - - - .~SAMp[.E NO.: E-3 FRIHOM ~/YES LAYERS: Ol DATE OF ANALYSIS: I.1f02fDfi DESCRIPTION :YELLOW FLfmR MASTIC A58ESTOS TYPE: NONE-DETEE'i'EO OTHER FIBERS : _ ...- ., _. ::,;{•.~ 'NON -FIBERS ~.._ •- ~~-.Hl~t~tERAi_5'~ _ .. _ _ --- ~ - - - -- -- -::Ne--e-O-....===---=-==ram--s~~~-- -----=xXII~rr-_eeee_ -°-----~~e~:Oaprb^^iaa¢G-----~---~_~=~- Dore Bpsiroas~ntal Ca~ararioa fs selely+reapasible for anai~sis perlars~d as sarple coolant s~ppiied b1 client and aethad t0 CPg ~trt 161 SabpaxL P app. 1PS/dOQ1~-91116. Petce~tages are fisoalll estiaeted: point caasi procedaxe rib pot esplaped.xeaolts relates aoly to itet aDairsed. 'csia report slanld ltot 6e reproaaced by client or aalrone +it~t ^ritkeu pezrissi.aa frog Dore Aotiroueatai Casporatiaa. X11 BaRples sill ~ storms fvs a geriod of 3 t~antha. Oec laboratvri ases Cul kiss aicroga+apsa ud ie lRS1P accredited, Point eoent perforped at clients ngoest.Fieor-file is nvn•~vangeaceos and resplts oalY reflect s~ie cestent. ter2eratse--°--»asrsszesrsrseesa.osssesas^^rr_sssn-: _o..-r:..=~==-'==='======~==srsr==-aesssaa°ssseae-• Analyst 1 Rajendranath Ramnath ~C;C~7~T'K'v MnN~rr.- :-~_,~ ..,,ice; ~v; ~voo ss: <s snv-bLb-b.iZbv Sent 8y: Et1YIRC]N6EflTl10~ IN; . ~ - DCl~~ LABfi .... _ SAGE g9 90e 8aS 07p~4 Nov-~~06 T:te; Page 4t~t _,t..: s ~ ...: ~ :~:~, .. _ .. ~~•_~.'~~'Y'~~~'F ~~~~~~~4MaP/iWi~ A ti dYiS Id9r' TS7~~t ~ OOCrDO~VE-4~+SI41-T.7~S> ~otd~a: ~30j4 ` ~~~u C»~osaer~£o ~ion Dec: 1U1N5 - Camp~ny I~iaafe : $1~tY[R,O~RII~it~, INC.: I (904) 46i-0100 - p _- I09 ~ I~1'~ F~uc (9Q4) 465-0~Q~ - . . Citj-, STS ~ PO VmRA H~A.C~ Ft. 32 Projects BTeST TF.C; INC _ ~ RTJ~4~PR . 9+iI Attie Bade.i~ ~- - .(904? ~-0IflQ FA7C (904 665-0iDt S4N 3 i3S ttll~tTe . FL 32~i3 ~CATKl~: Y WARRH~US~ . - Sampi~ # $amplc T3rpe- ~. - Salk CdIAR F~ - Nt~~ £ , A-1,?.dt3 T3LTi~ ~ ~'ERAI~-t!'C TIY~i ~t)U'I' - B~.Akt~ BI.AG~. 1KC1lJFRI11~~ $-1~.~3 $ULt~ .WALT. MASTIC - YELLdW ~ YBLLt?vil~ - Nd~~?~ - G t. BLTI~ Mt)I,DII~ MASTIC : Yg,I~i''~ - Y~.LCy4~' NO1~LE . ' - D-1~3 BUS '- C,AUI.KiNCr B~t'B~ttO~t - WHO . , NCIA1FRiAlI B-1,~E,3 ,; ~UL K ' FLUOR MAS~`bC - YFSf,LOW - - YEtdflw N{7~CP'R~l~iL~ - - -- . - ._ S~'4 ui1~- ~:3tr - _ .. .. .rte, ..., - . ,' l' ~~ ~ s~~ CITY OF ATLANTIC BEACH ~, `} ~ ~Oa SEMINULE ROAD ~ ; ~~ ATLANTIC, BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00034222 Date 11/06/06 Property Address 961 ATLANTIC-BLVD Application type description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc HP CU ---------------------------------------------------------------------------- Owner Contractor ------------------ OCCUPANT ------ ------------------ WEATHER ENGINEERS ------ INC. 961 ATLANTIC BLVD. 1000 EDISON AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 -------- (904) 356-3963 --------------- Permit -------------- MECHANICAL ------------------------ PERMIT --------------- Additional desc . Permit Fee 43.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 5/05/07 ----------------------- Fee summary ----------------- -------------- Charged ------ - ------------------------ Paid Credited --------------- Due Permit Fee Total -- - - 43.00 --------- ---------- - 43.00 .00 --------- .00 Plan Check Total .00 .00 .00 .00 Grand Total 43.00 43.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH .ORDINANCES AND THE FLORIDA BISILDING CODES. ,- ~`~ r~~ v? '~ 4 .• ~ i+ rt .s , :~ ass>~ CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: ~ 1 Property Address: -"! ~ ~ ~ ~ a n~~ ~. ~ I ~~ -- Owner: _N~IVy\ ~~P_rQ ~ CYt~) ~ LI.Yt\Oyl. Telephone #: Contractor: .Telephone #:~©y ~ -J~ Contractor Address:,~~ ~ 1 S~1~ ~V2 • Fax #: ~(~ ' 3~" ~ `~ in consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of ood ractice listed therein. Type of Heating Fuel: ~, Electric If other construction is being done on this building or site, list the building permit number: O Gas: _1:.P Natural -Central Utility ~ f ~ ~ /~~O `,,~ ~~ ^ Gil L-'~.. V y` ^ Other - S eci NSTALLED MECHANICAL EQUIPMENT TO BE I NATURE OF WORK / Heat _ Space _ Recessed ~! Central _ Floor ^ Air Conditiotting: -Room _ Central Duct System: Material Thickness Maximum capacity y~O~ cfm ^ Refrigeration ^ Residerrtial ~ Commercial D New Building ^ Cooling Tower: Capacity gpm ^ Fire Sprinklers: Number of Heads Existing Building D Elevator: _ _ Manlift Escalator (Number) p Replacement of Existing System ^ Gasoline Pumps (Number) ^ Tanks (Number} ^ New Installation D LPG Containers (Number) (No system previously installed) ^ Unfired Pressure Vessel ^ Boilers ~ Extension or Add-on to Existing System O Gas Piping ^ Other -Specify D Other -Specify LIST ALL E UIPMENT AIR CONDITIONIIYG, REFRIGERATION EQUIPMENT & CONDENSOR'S Approving Number Units Description Model # Manufacturer Toa' s Agency u+nt. WIR. ~~ ~Shi (~ ~ BEAT WG - FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Approving Number Units Description Model # Manufacturer BTU's Agency TANKS Namina] Capacity Type Liquid Serial Approving How Man & Dimensions Contained Maaufactura No. A cnc 800 Seminole Road . A#lantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http:/1www,ci.atlantic-beach.fl.us 5~,~ -~ BEACH ~/'~ ~ vf~il ;T Pnblic Works & Public Utilities Departments ~~~5 0 ~~~~ ~~d `~ ~ s. S. Doerr R. Carper D. Kaluzniak Public Safety +~ 0~ 1~ , ~D 1200 Sandpiper Lane Atlantic Beach, Florida 32233 (904) 247-5834 (904) 247-5843 Fax PLAN REVIEW COMMENTS Permit Application # ~ ~ - ~ ~r7 ~Z Property Address Applicant: Project: This permit application has been: ^ Approved as noted by the Department. Final application approval must come from the Building Department. ~' Reviewed and the following items need attention: l b Ov! '"' C,. ~ '~~ ~~o~~ a C ~- P e re-submit 2-c ies of all revisions. Please re-submit your revision a artment re uestin them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct partment may delay your permit from bein issued. Reviewed By: ~Tf ~. `' , ,~/~ Date: ~OT 3~ O (, ~_ Date Contractor Notified: _~ rS ~`~r JS '• "r { .~ ''~ psi ~~- Job Address Owner of Property: Ob'~~a~2 (Interior Remodel) Address: ~r:~ ~~r~•T[-iC-Asl u~ t~'~II'11 ~i~iZ.~NS ~,~~ /~ "~.~.rt.~ M~ruu ~ -~ .~ ~'1/7 ~~6{.~ ;~.,,:;~~yt f" ~.~;~{I'elephone: ~ Legal Description: Block Number: of Number: Zoning District: ,%, n ,- of Zanone, Contractor: ~ 1-l i t,~~( c_d~L i l~( 1 ~V~, - L-qa t o State License Number: Contractor's Address: _v~7dy J~D ~~ ~.~ Y~:I~IUer ~ ~11ZFA>l 1 V`~ ,ZZc~ j-- ~/~(j ~ Telephone: ~~ ~ ~ ~~ .' ~aUU Fax: ~jzl (~. --~! l )C~ Describe proposed use and work to be done: _ t.'' .~_iI l~r ~Q ~'~ K;y ~~~ ~ ~ p f/- ~'_ ~/~CF~ ~1J17 '. 3c.-rr,rn+!:L' 2A.~1.St-c~~otll ~ (~r1L~ ('- ~~p~'.fN L 1`~-i ilC~' -- ~S - 0 Present use of land or building(s): Valuation of proposed construction: ^~ Will this project involve: l~1. Heating & Air- yet Plumbing Conditioning CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION rnz~ ~tvr~ ~ ~~ ~ ~~~.~oiD DO c~ _ __ ~~ ~ ~M. ~ Electrical ^ Fireplace Is approval;of Homeowner,'s Association or other private entity required?_~ If yes, please submit with this r application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information a~ appropriate. Incomplete applications may result in delay in issuance of permit. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and two (2) complete sets of constivction plans to the Building Departrnent, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being pertormed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. Page 2 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904) 247-5800 • Fax: (903) 247-5845 • http:/lwww.ci.atlantic-beach.fl.us Revised I/d4 Date: ( /Z mmAddress and contact information of person to receive all correspondence regarding this application (please print). ---~ Name: _ ~ ~1 ~Q l1y_E?ly . Mailing Address: _ (3~ ~ S-t-tt,~1,~-t• ~. ( 1 Telephone: ~ ,~3)~31~~. ~~.3 Fax~'lo~~`'~~11-5550 -Mail: ~~e.~1i~-~ y~(ticp. J ~ l I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All' provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a perrnit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. 1 understand that the issuance of this permit is contingent upon the above information being true and con-ect and that the plans and supporting data have been or shall be provided as required. n t~ "" Signature of Owner: ~ 9 - /3 - aG AS TO OWNER: Sworn to and subscribed before me this ~~ day of ,•200 ~ . V+r ~ rr+~ fat"r~~,,t State of.13~e~a, County of~nai. Notary's Signature: Personally known educed identification z:~''' / e of identification produced I Signature of Contractor. AS TO CONTRACTOR: Date~`'q/mom ' 'T Sworn to and subscribed before me this /~(~ day of ~('~ , 20~. State of Florida, Counry of Duval ~"'W~. Lynn AA Drup~ts ~a ~ exv.. August 0~ , 2ooe Notary's Signature: [~ Personally known ^ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904) 241-5800 • Fax: (904) 24?-5845 • http://w~vw.ci.atlantic-beach.fl.us Pn`ro 2 ,~ f` ~ ~ !'~ ~ CITY OF ATLANTIC BEACH ~'~ ;~ 800 SEMINOLE ROAD "~ ~ -"~° ~~ ~~ ` ATLANTIC BEACH, FL 32233 .~ INSPECTION PHONE LINE- 247-5826 _ ~ r- va.?~` Application Number 06-00034052 Date 10/23/06 Property Address 961 ATLANTIC BLVD Application type description COMMERCIAL ADD/RENOVATE/ALTER Property Zoning . TO BE UPDATED Application valuation -------- 0 ---------------------------- Application desc ----------------------- ----------------- INTERIOR REMODEL FOR CREDIT UNION ------------------------------------------------------------ ---------------- Owner ------------ - Contractor - ---------- OCCUPANT ---------------- HITT CONTRACTING -------- INC 961 ATLANTIC BLVD. 2704 DORR AVE ATLANTIC BEACH FL 32233 FAIRFAX VA 22031 ------------- (703} 929-7211 ----------------------- Permit BUILDING P ------------------------ ERMIT ---------------- Additional desc . Permit Fee 1920.00 Plan Check Fee 960.00 Issue Date Valuation 630000 Expiration Date 4/21/07 Special Notes and Comments PER STAN OK TO BEGIN W/ COMMEN TS TO PROVIDE A/C ENERGY CALCULATIONS AND ASBESTOS ACKNOWLEDGEMENT. FIRE DEPT APPROVAL STILL NEEDED. ------------ ------------------------ Fee summary Charged ----------------- ----- ------------------------ Paid Credited ---------------- Due ----- Permit Fee Total 1920.00 ---------- ---------- 1920.00 .00 ---=------ .00 Plan Check Total 960.00 960.00 .00 .00 Grand Total 2880.00 2880.00 .00 .00 PERNA'>' IS APPROVED `ONLY IN ACCORDANCE R'i1'H ALL CITY OF ATLA1V77C BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ~' ' `" t `Y,," ~ '` .~ , :~~ ~fJ ~.,.a /,_;. °?. rj~, Wit` CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00034138 Date 10/24/06 Property Address 961 ATLANTIC BLVD Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation - - 0 - - ------------------------------- Application desc -------------------- --------- ------------ NEW PLUMB - FIXTURES ----------------------------------- -------------------- --------- ------------ Owner -------------- Contractor ---------- NAVY FEDERAL, CREDIT UNION ------------ GARY RODGERS --------- PLUMBING --- CO.,INC. 961 ATLANTIC BLVD. 1910 BASSETT ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32208 (904) 765-79 64 Permit PLUMBING PERMIT Additional desc . Permit Fee 105.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 4/22/07 ------ - - --------------------------- Fee summary Charged ----------------- ----------------------------- Paid Credited ------------ Due ---------- Permit Fee Total 105.00 ---------- ------- 105.00 --- ---- .00 ------ .00 Plan Check Total .00 .00 .00 .00 Grand Total 105.00 105.00 .00 .00 PERMIT` IS APPROVED :ONLY IlV ACCORDANCE R'1TH ALL CITY OF ATLANFIC BEACH ORDINANCES AND THE FLORIDA BUH,DING CODES. rgrs,yr'J -~ CITY OF ATLANTIC BEACH f. - ,1` ,, PLUMBING PERMIT APPLICATION ` ::; ,:~~~?,~ . Date: ~~~~~~ Property Address• #- d h ~ ~~~ Owner: ~ 1i1 ep one Contractor: ~ ~f'' Telephone #: -~~i~ Contractor Address: ` ~ Z®~J` Fax #: ~~S~~U-~ Contractor Signature: In consideration of permit given for doing the work as described in the above statement, we hereby agee to perform said wor'It in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installauion of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code- Plumbing Type' / . If other construction is being done on this building or site, tl New list the building permit number. O Re-Pipe Number of Fiactur~es: Bath Tubs Showers !/ Closets Shower Pans Dishwashers / Sinks Disposals Urinals Floor Drains Washing Machine Lavatory ~_ Water _~ Sewer ~~ Water Heaters Sprinkler System _~_ C?ther *See attached sheet see For 13ackflow and Irri anon rocedures '~ Fees Permit Issuing Fee: $35.x0 Total Fixtures: _~! X $7.00 + $35.0(1-- ~L;~ C L' 800 Seminol® Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-b800 • Fax: {904) 247-5845 • http:llwww.ci.atlantic-beat:h.fl.us Revised 9106 6'd 91~85-LtiZ-ti06 swe}s~CS uoi}ewaolul d00~~0 90 £Z }00 Sb8S Lb~ tr06 ~~, '1'~` ,:., ;~. ,, ~ ;~; ~, 1~~ . ~~ r, r--.m._--~~,,. CITY OF ATLANTIC BEACH 800 SEMiNOLE ROAD AT'I.AN`rIC BEACH, FL .32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00034054 Date 10/12/06 Property Address . 961 .ATLANTIC BLVD Application type description DEMOLITION Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc demo for interior remodel Owner ------------------------ OCCUPANT 961 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 Contractor ------------------------ ALL AMERICAN DEBRIS P O BOX 24071 JACKSONVILLE FL 32241 ----------------------- Permit -------------- DEMOLITION ------------------ PERMIT --------------------- Additional desc . Permit Fee 100.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 4/10/07 Fee summary -------- - - - Charged Paid Credit ed Due - - --- - Permit Fee Total ---------- - 100.00 --------- ------- 100.00 --- ---------- .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 100.00 100.00 .00 .00 PERMTf I5 APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. EQUITY EQUITY ONE REALTY & MANAGEMENT FL, INC. ONE The Supermarket REIT~`"' October 10, 2006 Building & Zoning Department City of Atlantic Beach RE: BUILDING PERMIT, 961 ATLANTIC BOULEVARD ATLANTIC VILLAGE SHOPPING CENTER Dear Building & Zoning Department, This letter shall serve as the Landlords acknowledgement that Navy Federal Credit Union has engaged HITT Contracting, Inc. to construct and secure proper permits for their buildout at the above location. Provided that HITT Contracting, Inc. constructs improvements on behalf of Navy Federal Credit Union, Inc. in accordance with all building and zoning requirements. No other work is hereby authorized. Further, this acknowledgement shall be valid for a period of 30 days from the above date. Drew Mar ol, Se for Vice President of Tenant Relations as Auth ized ent for Equity One (Atlantic Village) Inc. STATE OF FLORIDA ) SS COUNTY OF DUVAL ) I, Nicole G. Hooper , a Notary Public in and for said County, in the State aforesaid, do hereby certify that Drew Margol ,personally known to me, to be the Senior Vice President of Tenant Relations. Authorized Agent for, Equity One (Atlantic Village) Inc., a Florida Corporation. Appeared before me this day in person and acknowledged that he signed and delivered the said instrument as his as his free and voluntary act and as the free and voluntary act and deed of said corporation, for the uses and purposes therein set forth. GIVEN under my hand and Notarial Seal this ~ day of , 2006. (SEAL) :~,~~,Yf••., NICOLECi.H00PER ~i,c,Ri~t~ ~, ~~ ~; ~; MY COMMISSION # DD 544515 NOTARY pUBLI- C ~ ~;'•: EXPIRES: April 24, 2010 n'~%i7f~~~d,<~ Bonded Thru Notary Public UrrderwrNers 10601-107 San Jose Boulevard • Jacksonville, FL 32257 • Telephone 904-292-2222 • Facsimile 904-292-1255 EQY Regional Offices in: Coral Springs • Jacksonville • Lake Mary • North Miami Beach • Palm Beach Gardens • Tampa www.equityone.net NYSE BP200P16 CITY OF ATLANTIC BEACH 10/12/06 Application Master Maintenance 08:58:25 Position to Number Pre Qual Dlr Street name Six Pst Pst Apt Dir Qual Type options, press Enter. 2=General info 4 Delete 8=Subcontractors 9-Misc info Opt Number Property Address ~_ ~4 ~$~ 961 ATLANTIC BLVD 04 00028139 961 ATLANTIC BLVD 05 00029708 963 ATLANTIC BLVD 04 00028075 963 ATLANTIC BLVD 06 00033697 967 ATLANTIC BLVD ~_ 06 00033074 967 ATLANTIC BLVD 06 00032512 967 ATLANTIC BLVD ^_ 05 00100080 967 ATLANTIC BLVD 05 00031606 967 ATLANTIC BLVD 5=View 6=Names 10=Structures 11=Permits... ~~i. ~~ ~3 F3=Exit F5=Refresh F6=Add F8=Switch view F11=Toggle view F18=Set maint path F23=More options This is a subsetted list. 7=Fees Type Status OCCU AP CINT PI ELEC CL ELEC CL PLBG PI TENT PI TENT AP UBEX PR TENT PI More ... F17=Subs et y 5 ( f°.,. ... j ~ 1.iy f. ,, .. . `~ `'' CITY OF ATLANTIC BEACH '=, ~r3~~~ DEMOLITION PERMIT APPLICATION, Date: /~/Z~d ~ Job Address: ~ ~ / /i c /~~ vL,~rg,c.D Owner of Property: C v~ i ~~i-' ~'c-.o /~~ Address: ~ G o / ~ o ~~G-- Telephone: ~ - 2 _ z,. Legal Description: Block Number: Contractor: Contractor's Address: Lot Number: Telephone: 74 3 ^ 92~ - 7,0? // -2ov'7~(Q ~ S'~ Describe proposed use and work to be done: il/.Fay .~C.ra.,,~,a,,G ,(~®~.,.~~~- Cl~~,re--- Present use of land or building(s): s ~~ Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will thisproject involve changes in elevation, site grade or any use of fill material or the removal of any trees? NO. Applicant certifies that ~no change in site grade or fill material will be used on this project. ^ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. [fiNO. Applicant certifies that no trees will be removed for this project. ^ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Attach Tree Removal Application if trees are to be removed or relocated I hereby certify that all information provided with this application is correct. Signature of Owner: /O~i2~y(~ I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is wntingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Zoning District: Page I Revised 1/14/03 f Date:/ ~ Z U Signature of Contractor: Address and con act information of person to receive all correspondence regarding this application (please print). Name: ~,or- ~w.~o.~~6 ~%n~ ~yc~,vTex Mailing Address: ~ 5/o c,/ -~oe~ !'~L~~ ~i9~Z~ ~~• 2 20 ~ / ~- ~/5'a ~ Telephone: 7C7.~-~~ - f1~lJ ~ Fax: ~~ - ~S/G; - ~} // v E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of 20 State of Florida, County of Duval Notary's Signature: ^ Personally known ^ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida, County of Duvai Notary's Signature: ^ Personally known ^ Produced identification Type of identification produced _ 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904)..247-5800 • Fax: (904} 247-5845 • http://www.ci.atlantic-beach.fl.us page 2 Revised 1!14/03 FIL.~ COPY ~ ~,~~~~ ~~ ~~~6 MIAMNDIADE MIAMI-DADS COUNTY, FLORIDA ~~} s ~I~~~~ METRO-DARE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION L~ MIAMI, FLORIDA 33130-1563 t (305) 375-2901 FAX (305) 375-2908 NOTICE OF ACCEPTANCE (NOA) __ www.buildinQCadeonline.com I{awneer Company, Inc. 555 Gutheridge Court Norcross, GA 30092 SCOPE: This NOA is being- issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AH1). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series G°frifab 450" Aluminum Storefront System with Entrance Door-N.I. APPROVAL DOCUMENT: Drawing No. 1431, titled "Trifab 450 Non- Impact Store Front & Entrance Way System", sheets 1 through 11 of 11, prepazed by W.W Schaefer Engineering & Consulting, P.A., dated 09/06/05 signed and sealed by Warren W. Schaefer, P.E., bearing the Miami-Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING: None LABELING: Each unit shall beaz a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County,. Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of this page 1 and evidence page E-1, as well as approval document mentioned above. The submitted documentation was reviewed by Jaime D. Gaston, P.E. ~~ ~~ a ,~ ~~~oe Y NOA No 06-0519.02 Expiration Datc: Apri120, 2011 Approval Date: July 13, 2006 Page 1 Kawneer Comnany. Inc. NOTICE OF ACCEPTANCE: EVIDENCE PAGE A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No. 1431, titled `"Trifab 450 Non-Impact Store Front & Entrance Way System", sheets 1 through 11 of 11, prepared by W. W. Schaefer Engineering & Consulting, P.A., dated 09/06/05, signed and sealed by Warren W. Schaefer, P.E. B. TESTS 1. Test reports on 1) Air Infiltration Test, per FBC, TAS 202-94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202-94 3) Water Resistance Test, per FBC, TAS 202-94 4) Forced Entry Test, per FBC 24113.2.1 and TAS 202-94 Along with installation diagram of an aluminum storefront system, prepared by Hurricane Test Laboratory, Inc., Test Report No. HTL-0049-1117-04, dated 12/03/04- 03/04/05, signed and sealed by Vinu J. Abraham, P.E. C. CALCULATIONS 1. Revised Anchor Calculations and structural analysis, prepared by W.W. Schaefer Engineering & Consulting, P.A. dated 02/07/06, signed and sealed by Warren W. Schaefer, P.E. Complies with ASTM E1300-02 D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS 1. None F. STATEMENTS 1. Statement letter of code compliance and no financial interest, dated 09/07/05, signed and sealed by Warren W. Schaefer, P.E. G. OTHER 1. Letter from the consultant, dated 03/24/06, stating that the product is in compliance with the Florida Building Code (FBC). ~.-~,, , aime D. Gaston P.E. Chief, Product Control Division NOA No 06-0519.02 Expiration Date: April 20, ZOll Approval Date: July 13, 2006 E-1 owe ~ ocswx+ G PIER N sTSrD~s w,vE ~+ ~~~ ~a ~µ°~" Laos°~ s 1. P~Sw~S~NOT~T rO5UP0 ~ ys(~ES NMU~ ~PR~EfNI~ ~~;5 ~ MAY x. evaoNC aio Sovro~ ~s~ ~''~`°~aow~aw~n>+a. ttsrFn ~ 3. ypElRlEE ~EC~'~SY ~ ~STA~ ~p ~~~2ax FoR FORCED CODE 4. ~E~5~4~ O~,trEO~~m ONES ~ 5. ~ STORE6U~LOI~iC09Es~,~5 ~ !qN-~1LR gam/ CODE. ~~f0 6. 'IF~ESE~ ~ iPPRO~EOfNSfPiLED IS ~ w~- ~~~O~CS~~ 0~5 7. ~~ TO BASE ~~ CORROSbM CN15ID BY THE ANCMOR+ cAPAe~ usm °' ~+~ ~ «~i° ~s~ aF ~ ~ nrE E'ra`s. s. TNERE SW1L ~PRO~o AEA A5 ~ ~. w. N~.t CD> Sll~~y. ~FaLL~ C ~JW~~~ °~c. a q = ~ ~' ~- r ~~ ~ ,mow sTVD A~TRAE ~w~. eE , ,{,AT COME TMT0 of c uE sTt:~• stm ~ To s~ ~ ~ REau~MErrts xoo+ ~.o~• am°'"~ ...r ,.urfa~R REQU1REta~ THE S1LI- pAEMBE 0• MUL FA5TENE D WITH S1LtCONE. ON TNIS ~~y°~'"~~~L~~ R SCREW SPUN & SEALS REpUIREMENT5. FASTENED WITH 2 NO' 12 X J " 6 E2JT ~ E3J7. MULLION MEMBE MEMBER INtTO THE N :SEE SECTIONS Etl 8 ~ ~/8_ _ ATTACHE6 COPTHS A~ACHED TO SEE SECTIONS ttla• t,2/ TO 7HE SID WR`'HECSIUCONE. 16" TI{ICK FRAMa CoRNER~ CUT, BUTTE6 BUTTED. AND D00~_~ rcuOLD WAS SQUARE _ 452, OR X200-453)• EACH WELD ED INTO 3/ ~ ct CORNi=K_ '^ PNOT ASSEMBLYT~ CORNER~THE& OP RAtL ~ X200 ARE CUT AND ARE S}IREPD D ONE(1). i j4" THE SIDE MEMB ~R RAID AN AT EACH NT WAS WELDED USING ONE(S), Ile' OIAMECER PLUG WELD R P MEANS GE A 1.094" LONG tW 4L 2a XP 3 f 4"~ PHMS THAT PASSED THROUGH THE DOORS BUTTED, AND ATCACHED TO THE HED TO THEEVERTICAL STILE USING. TWO(2) / H CORNER ~ TOP „AIL - lHE NUT PIATES. THE 4NT£RS~ECTNON LO D EAC 80TH 't~E35 : c Tl; THE BOTTOM RAIL END IS 200 A459), FACH WELD CU~O 3JTb THICK XTEELI' U" ~~~~ ',~Ew TiiAT ~ H BOTTOM CORNER, 451 OR ~ D ONE(1)• 1 4' ED THROUGH THE DOOR STILE AND ARE THR PAN TT RAIL 0 N R : AT EAC TILE BY MEANS OF A 1.0 20 X 3/ WELD CLIP (KAWNEER PART i~2~J ' J S 4 JOINT WAS WELDED USING ONE(I), t/2" DIAMETER PLUG WELD AN VERTICAL 4 PHMS THAT PASS CORNER OF THE TOP RAIL VERTICAL ~PLATUESNGF;~ INTE 5ECTIAOP LIED OC BOTH WEBS STEEL $~ FILLET WELD THAT ARE X I I! I 3. 4 ~ ' MAX- // Gi I I < I i 1/ fl `~ 2 ` i G2 1 ~ ~ 7 I ~ ~ t wIOTH y MULLION LOAD,) ~ ~ ° ~ ~ MUWON L0~7"! D~ ~ (~~ (~' l y~ 00 WINDOW CENTERLINE a 18" MAX. ~ 0.C. AT FIXED ~ WIN ENDOW CENTERLINE ~ MUI.WN ~o PANEL SIDES ~ CE~RUNE i END ~iNE ~ ~ rn ° ~ I' D.L.O. ~ 52 1 J2 tT~) ON ~ 2 FOR ~ I MICHDR I I f 1 I ~, CMU ~ CR~E \~' „~ __ RA.MSti,n~.. ..- 1 6 , - ~~~,. .. SCREWS SHAD- BE ELCO OR OR S.S.) _7~--- CONCRETE HARDENED STEEL- 5" MAX. .~ ~ OR H1LS1 KWVK-CON II ( ~ TO SIDE, FASTENED WISH 4 ~ R INTO 2D" o•c• -` Y HEAD tS SOUARE CUT, BUTTER GH THE SIDE MEMBE ~ MAX. FR HFT TYPE AB FASTENS~ERED W~ SILICONE. WITH 2 P _ VERSION. SPUNES ~ 0 TO SIDE. FASTENED ~, FRAME ANCHOR TAP 12_5'-0" NUMBER OF NHE HEAD MEIABER SCRE'N CUT, BUTTE Ste' j " E HEIGHT SHOWN N R: SILL 15 ~~ F STENERS THROUGH SHE SIDE MEMBER INTO WHERE SH SNORSEE UNIT WIDm~IMUMUMFRAM . FR~t2 X t Ijg• pPHFT TYP SFALEp WISH SILICONE. TO SIDE. "FRAME AN STACKWG ~ OVERN"I.~T INSIDE N0. R SCREW SPUNES ~ LION IS SQUARE CUT, BR~ROUGN THE SIDE REpUIREMS EHNS~T ~" pgNELS S UNLIMITED BUS MUST pEStGP{ PRESSURE f 3/4" OR 4 1/2" 52 I l2. Mme' 52 ill„ MAX. 1314" OR 4 t12. 52 1/2° MAX. ~ 3/4" DR 4 1/2" , 3/4" oR ° I/z' SEE M ~ ~ ON 2D" o.c. ~ z tANS»oR 5" MAX. MAX. ~ / ~OUAi'~Y 6 %1 ~j/ ~~ I I i 6 6 I ~ ~ pu,OWABLE SNEER 5 SEE LOAD SABLES ON yr,a• I-Yr^"'dr y ~OYM b N y y ~ 0 3 aM~ ~ ~~_~~ ~~Nd UO ~ ~u~7Z 0 w ~n a as a: ; - ail, °~~ ~0 3a ~~~ z ~~ ~_° ~: W ~ 5~' s ~ ~N~ ~o ~3~ ra . a f 1 3/4` OR 52 1/2" MAX. 52 1/2` MAX. 4 1/2" SEE MULLION END 1 3/4" OR 4 t/2" CONNECTION DETAILS ON THIS SHEET FOR ANCHOR 20" MAX. L ^'~/- O.C. (II` QUAHtTIY OPTIOWS A IIII ~ 1 ~illl lilt t 1111 -- W a o J ~ X ~ ~ u7 ~ _rn ~ M rn d ~ ~ / 81 2 I 6 6 ~j ~ ~/ 52 1/2° AX. D.L.O. \TYP'/ muwvr (M. WINDOW CENTERLINE 8 I /~ _ 96" OR 84" MAX. (SEE TRANSOM MULLION END NOTE BELOW) 1 3/4" 1 3/4" 6" MAX. 16" MAX. O.C. A7 DOOR TRANSOM 6 s" Max. j DOOR ~ 1 2 3 CENTERLINE 6 7 7 _ 3, ~ Max. /ra /~ ' yj,,~ s / P I \ t \ / I WIDTH I I MULLION LOAD WIDTH (MAX. 76") _ _ ~ _ _ _ _ _ ; 3-PWN( LOCK ! Rt1SFi ALT SYSTEM OR CORCEALED ROD WINDOW CENTERLINE EXR oencES, sEE REM ~.5 ~' 87' ~' ~' 70, OR 7I M PARTS UST DN SHEET it /` 8 \ \// J20'O.C.L II ~. II ~E MUU.IQN END cONNECT~I --- DETAILS DN T?q5 SI1EEf FOR ANCHOR QUANTITY OPTIONS 1~ EXTERIOR ELEVATION TRANSOM MuWQN NorE: STORE FRONT ASSEMBLY WITH DOORS & T ANSOM WHEN TRANSOM MUWON PART ~5 SCALE: 1/2`=1"-0° OR 6 IS USED, MULLION SPAN 15 NOTE: 1) FIXED PANELS MAY BE PLACED ON ONE OR B07H S1DE5 OF DOORS. LINKED TO MAX. 84°. WHEN 2) DOORS MAY BE SINGLE OR DOUBLE DOORS. TRANSOM MULLION PART ~7 OR 8 3) SEE DOOR ELEVATIONS FOR DOOR SECAONS & DETAIL. IS USED, MULLION SPAN MAY BE ALLOWABLE DESIGN PRESSURE UP TO MAX. 96", SEE PARTS DRAWINGS FDR MuWON PARTS. SEE LOAD TABLES ON SHEET SLOAD TABLES ON SHEET 5 (•) THE DOORS IN THIS STORE FRONT SYSTEM ARE NOT APPROVED FOR USE WHERE WATER INFILTRATION RESISTANCE IS REQUIRED BY THE DOOR. UNLESS UNITS ARE INSTALLED IN NON-HABITABLE AREAS WHERE THE UNIT dt THE AREA ARE DESIGNED TO ACCEPT WATER INFILTRATION, UNffS SHALL BE INSTALLED ONLY AT LOCATIONS PROTECTED BY A CANOPY OR OVERHANG SUCH THAT THE ANGLE BETWEEN THE EDGE i s' MAx. O.C. AT DOOR SIDES MAX. / /~ 6" MAX. ~s- ' 6" MAX. --i ~'-- t TYP. FWtME ANCHOR WHERE SHOWN. SEE "FRAME ANCHOR REQUIREMENTS TABLE" ON SHEET 1 FOR REQUIREMENTS. (NOTE: DOOR SILL ANCHORS INCLUDE 9 TOTAL AT DOUBLE DOORS k 3 TOTAL AT SINGLE DOORS AS SHOWN,) THREE(3) 3/8` WEDGE/SLEEVE ANCHORS WffH MIN. 2 1/2' EI AND 2 1/2" EDGE DISTANCE (GALVANIZED STEEL OR S.S. RAMSET/RED HEAD DYNABOLT, HIITI KWQ!_RnLT a nR POWERS Revel POWER BOLT) ApyrwdrwMrl MULIJON END CQNNECTION2DETAIL (CONNECTION TYPE "A~ (2 ANCHORS EACH SIDE OF MUWON) 2" 2.. MULLION €ND CONNECTION DETAIL (~ONNECTiON TYPE 'B'} {3 ANCHORS EACH SIDE OF MULLION) MULLION END CONNECTION20ETAIL (CONNECTION TYPE "C") (4 ANCHORS EACH SIDE OF MULLtONj SILL '< 3 W Z a I 0 z uo Z~~ ' O M ~ ~w~v"~i I = vi v ~~ ~ O U n N $ ~ 4 ~'~ ?a ~~x ~F ~~s ~~ ~~s = 5~~ ~~ R ;~ $~ 3 2 ~ MUWON ENO CONNECT10N DETAIL ~OOOR SIDE JAB MUL~O~) -'O~c: T}1;S A;Ul.UOi+ E<YD CCt YJECTIOiJ U ~~EOUIVALENT IN PRESSURE CAPACITY 70 CONNECTION TYPE "C°. 1 3/4' OR 52 1/2" MAX. 4 1/2' SEE MUWON END CONNECTION DETAILS ON SHEET 2 FOR ANCHOR OUANRIY OPTIONS A f lul IIII 6 I ~inl ~ ~ x v z o w ~ ~ ~ ~ ~ ~ ~ io m ~ M rn ~ d ~ \ _ 52 1 /2" MAX. D.L.O. _ ~) G1 7 G2 7 s1 2 --- SZ 1/2' MAX. 96" MAX. i 3/4" 1 3/4" or 4 1/2" 1 3/4" DOOR 6' ~• CENTERLINE 20" MAX. O.C. Li 3 16' O.C. 8 8 8 r'.-"~ MAX. s" MAx. MULLION LOAD WIDTH MULLION (MAX. 57') ~ (MA) WINDOW WINDOW CENTERINE CENTERLNE // ~ 9 / e LOCK k 'S 68, 67. 6B, 69, \ OR 71 W PARIS ON SHFEf 11 - _ - /~ ~ \ 16" MAX. O.C. AT DOOR SIDES MAX. / /~ 6° MAX. r`rTi -- TT1- i~ d iI~iI~II~if~!I~ I !~ J 2D° O.C. ~ ~ fit 6' MAX. --j MAX. ~~~ ENO CONNEC110N TYP. FRAME ANCHOR WHERE SHOWN. DETAILS qd SHEEP 2 FOR ANCHOR SEE "FRAME ANCHOR REQUIREMENTS QUANTITY dPTIONS TABLE" ON SHEET 1 FOR REQUIREMENTS. EXTERIOR ELEVATION (NOTE: DOOR SILL ANCHORS INCLUDE ~TO~, FRONT ASSEMBLY WITH DOORS & NO TRANSOM 9 TOTAL AT DOUBLE DOORS do 3 TOTAL A7 SINGLE DOORS AS SHOWN.) SCALE: t/2"=1'-0" NO7E: 1) FlXED PANELS MAY BE PLACED ON ONE OR 80TH SIDES OF DOORS. 2) DOORS MAY BE SINGLE OR DOUBLE DOORS. 3) SEE DOOR ELEVATIONS FOR DOOR SECTIONS dt DETAIL. AVOWABLE DESIGN PRESSURE SEE LOAD TABLES ON SHEET 5 (+) THE DOORS !N THIS S70RE FRON7 SYSTEM ARE NOT APPROVED FOR USE WHERE WATER INFILTRATION RESISTANCE IS REQUIRED BY THE DOOR. UNLESS UNITS ARE ~ ~°d~ INSTALLED IN NON-HABITABLE AREAS WHERE 7HE UNIT & THE AREA ARE DESIGNED TO ACCEPT WATER INFlLTRATION, UNITS SHALL BE INSTALLED ONLY AT LOCATIONS Fp I _ ~' PROTECTED BY A CANOPY OR OVERHANG SUCH THAT THL ANGLE BETWEEN THE EDGE OF THE CANOPY OR OVERHANG 70 SILL IS LESS THAN 45 DEGREES. . y etst~~ 2 ~ ~ U ~~ ~~~~ O O~ U~(na tz ~ t ~~~^ 3u~i0 ~'~' z ~ry ~ ~~$ ~ ' ~a ~~R ~F ~~~ ~~~ ~_ ~ NV i~i ;'~ ~~W$ 3c g a 2 3 or 11 48 1/16" MAX. WITH WIDE no mnn. m+n n+uc on+sn a +w 72" MAX. WITH NARROW STILES & RAILS oooR CENTERLINE " Lt 3 L- I- 16" MAX. ~ 8 8 8 I_ _` O C ~ 6 ~ . . _ ~ ~j a ~ ~ ~ .Y 1 ~ P \ ~ a^ 8 ~ ~ 9 ~ ~ 8 1 I ~ 2 _ (^ 8 F~WS~H BOLT~SYS Ell I 2 8 _ ^ 3 oR ca+cPJum Rao E19T aEVICES, SEE aflr ' $ 3 ~ ~ 9 No. s ea, eJ. 9s. s9, 70, aR Jt W PAR75 C Z LIST ON SHEEP 11 _ =.-___-. - ..--- 2 ~ 3 ~ o MA f¢ \ / / o~ ~~ n M // ~ I + 6" MA: .J____~ ~ 6" MAX. --j ~-- K. "MAX. C. AT )OOR TIDES - TYP. FRAME ANCHOR WHERE SHOWN. SEE "FRAME ANCHOR REWlREMEN75 TABLE" ON SHEET i FOR REQUIREMENTS. (NOTE: DOOR SILL ANCHORS INCLUDE 9 TOTAL A7 DOUBLE DOORS & 3 707.4E A7 SINGLE DOORS AS SHOWN.) aI1L[~ ac rcww, 36 7/16" MAX. WITH NARROW STILES & RAILS L1 8 B 6" MA ~ 16" MAX. O.C. 1 6" Ml J ' /~ _ Q ~~ R ~~ y I ~ 2 t f ^~ ~N 8 ^3 9 ~~ i C Z C t 3 _.-_____~__~_ 3-POINT LACK k`~ 2 MA CONCFIIEU ROO E%R ~ QENCES, SEE REM ~ ~ NO.'S B8, 68, 89. 70, I OR 71 R/ PNifS UST p ~ ON SHEEP 11 ~ ` n +n M m g ! Q i 1 I 6" MAX. --{ K. i" MAX. C. AT DOOR SIDES TYP. FRAME ANCHOR WHERE SHOWN. SEE "FRAME ANCHOR REQUIREMENTS (ABLE" ON SHEET 1 FOR 2EQUIREMENTS. 'NOTE: DOOR SILL ANCHORS INCWDE 3 TOTAL A7 DOUBLE DOORS & 3 (OTAL AT SINGLE DOORS AS SHOWN.) ..~_Z EXTERIOR ELEVATION EXTERIOR ELEVATION DOUBLE DOOR ASSEMBLY SINGLE DOOR ASS BLY SCALE: 1/2"=7'-0' SCALE: 1/2"=1'-0" ALLOWABLE PRESSURE _ +/-65 PSF ALLOWABLE PRESSURE _ +/-65 PSF (~`) THE DOORS IN THIS STORE FRONT SYSTEM ARE NOT APPROVED FOR USE WHERE WATER INFLTRATION RESISTANCE IS REQUIRED BY THE DOOR. UNLESS UNITS ARE INSTALLED IN NON-HABITABLE AREAS WHERE THE UNIT & THE AREA ARE DESIGNED TO ACCEPT WATER INFILTRATION, UNITS SHALL BE fNSTALLEO GNLY AT LOCATIONS PROTECTED BY A CANOPY OR OVERHANG SUCH THAT THE ANGLE BETWEEN THE EDGE OF THE CANOPY OR OVERHANG TO SILL IS LESS THAN 45 DEGREES. Wr ~r• Nrt+M~ 7 ~V ZKm c~j ~ vhf yy~~ N ZO~O+ yC~~aia W ~ V ~~°z i ¢ d W~ o~i t ~°' Rig ~F ~ r J ~Z ~~ NU i ~ ;'~ ;~~, 3 a o tr ^. w U Y "C! 4 ~ A 2~ VI (..i N Vl -` C C C C ~NrnZD,y y1 rrrr pOOOF-r-~m m ~ '~ r f- C7 D DA m000I_*i Z ~i n: z~n ~ m ~ v c~ -i to O D N N~ m Z (7r t\Z?O~ m ~ p ~ _ T O ~F N ~ mf'1~=.. m f v -~ m ~~rnmc ~mr a m~oc7~v nZ~ z~-min ~ C Z ~ ryy i m mvy vazr~+~~--~Eiv~ ;m~nF7zz mo~~N,,?o `A NNN m m m ~ N Zy0 ~mfl G7 0 0 o rm,~ <.i m mcN~z~ ~ I" N V m o `T'--~ ~ Am~mtav r Z~~~ACJ Z A Z ~ m ~ D nmo-~o ~ O p ~ S m~ 2 gm ~ fl m NNF-m' m ~ Zo°`~ cn c7zNFn~~ v m -- ~ O m O f m m ~~Zg~a t~ o A O ~ ti lp N N ~'~ON OO Z~ cZ72 v ~~v _~ -a mm~nniz m ofo x <n Z N ~ z c7 c~ c7 .- E p 2 K Ovo:Um V1 V1N m u. ~ v u a v~~ NG)O T.C ~~~ o~~ •~ .~. fil m m m i} o"~®o"' :~kSS,N"'mkSSNrNmkSttbN,,:'~kSS~Ukmk~Sb.`N„ mkg~zo pro n 6 i mn~~; _ ¢ c T+m Az ^~' EIS o>r~Yn>rYntnSY~tntni,~Pn~~n>w~nCt&'Yn~~>rZry~~n~'~T,~NY62r~,~N~ m~ n~~ 2~ v o o oob o o b c b o o c o 0 0 0 o b o 0 0 o b o 0 o b o o m rn ~ m m ~ ~ o ~ rno ~' ~ N U ~ ~ ~ ~ U ~ N RTa u ~ .ir ~' tr G' Pn&' 1F ~ ~ Yh' ~ >r Z+ = u U ~ ~~ ~ Z o o b b b o o b b b o 0 0 o b o b o o b o 0 o b o b b ~ o v o b b ! ma ~ Z bb iobu~ w~ w~bm bb~u.~,. m CFRTIfICATION ~' RE~uwR aPrak ~ wrE ~ TRtFAB 450 NON-IMPACT STORE FRONT de ENTRANCE WAY SYSTEM _~ fi w NiuY 1 CONSULTAN79 wHUF - "~ ~ ~ ,~ W. W. SCHAEFER ENGINEERING KAWNEER COMPANY, INC. ~ k CONSULTING, PA 555 GUTHRIOGE COURT 66os ~. MILITARY TRA1.: swT[ c-zoo NORCROSS, GA 30092 w .H W "CHAFFER, P.E. PqM 9FACH 6FMEN3, R 77sto 770-444-5555 "3 P N0. 44135 PN011E: 587-775-4YOY FA%: 361-773-4903 C rr_r 2 2 Z z ontD> ~ $ ' ~ & ~~~ v II 11 II II J N v S ~ v S 'J^ ~ k S `-" ~ ~ ~ S ~ v F~$i C Zm7 ~ A ~ ; m <Z r. . ~~~~ g ~ ~ o m ~ W ^ & 0 4 ~ ~ ~ ~' ~ ~ ; ' ' b o b N m b m ~ o ~ •~ ~ "' ~;:~~ cccc $ o s EEEE 0 0 ~ ~X F- jr J~ 0 0 ZZZZ a 0 ~ 0 rrn 0 ~n o Q'. c ~ o ,irn o rnn 0 ' ,rrn 0 u°i o ,bie b i'i'i b ~ ,P'w o u b $ i 5 n N v b ., ~~ Q p mm~rr+~m -. w G~ Z Z D ~~mm zzzz in ~ in w iA U ~ y~ tn >r ~ ~ ir ir S lr ~ ,~+ 'p ~ ~ o o b o 0 0 0 o b o - o c i„ ' „ •~ v pp v i m ppp X O X z ~ O ~ (DA DNy Dy yy~ ((JJ~~ b N ~ t 0e O Si m _ g O _ C = ~ Z Z 2 Z v v m m ~ ~ v ~ m ~ mm~~_ - Ni S "' v c'i m & j' ~ m S ~ .Ni ~ e S "" " .~ ~ Y~ ~'i ~n ~ ~ v ~" ~ & .. `" v ^.' 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A O .17 ~1 / yz/\prn lam 1~1 \ t°rG~~ 1 ~~ FRAME HEIGHT (F.H.) -- i-+t N .m n •• N 0 K ~ z 'r ~N ~~ ~r ~~ ~1 ~~m ~~~ °a c=i m (n ~~ vrn os ~~ _~ r~ m m tai ~ g N ~m C7 N Q ~ z ~~ ~rn 1GC S ~~~ ~ ~ ~ v p T Z~ ~ N N ~ N _ N ~ ( (.+ FZ rn0 ~~ ~ O] pp bN~N{ m ~ ~i €`~ --- FRAME HEIGHT (F.H.) ~ ~ ffP~~**mt» cn o _x_ ~;~ ~ n a cn 2 F-r~~ .Tl ~eniir~~niivn r ------TRIFAB 450 NON-IMPACT STORE FRONT dt ENTRANCE WAY SYSTEM ~ M O~ u V ) C r'~r ~ r ~ ~ ~ ~ (~" ~~ CONSULT~{(IS W. W. SCHAEFER ENGINEERING ANNU RER KAWNEER COMPANY. INC. ~ do CONSULTING, PA 555 GUTHRIDGE COURT s. .~ eels N. wuum'mN~; arts c-xoa NORCROSS, GA 30092 ~ W EN . scrweFEre a.e. PuM e~cN crnoeNS, n zs4io 770-449-5555 3 . NO. 4413 PMON6 561-77e-4902 FA%: Set-776-4i0J ~N ~ A ~ ~ml ~ ymy Ut N > Z o= ~ _~ VI ~~ ti ~N m ~ ~ x zA~> ~ _ ~ s N ~ n ~~x x t .~-- \ / ~~ 7 ~ EXTERIOR / ~~" ~5~~1 9 t J4' Mwt_ SHIM AT EACH ANCHOR ~~t~lO~N ~ 9 1 1 EXTERIOR RED ONLY MULLION 'B+ ~ ~ ~ ~ON ~~ 9 1 r- ~ 23 4 JBSTRA GZ ~ ~j r 1HERS rJE~+TION 7 >. z ~ o YO 15 tit SCALE: tJz FtfU- ~ v~ ~ SEALANTS ~ OTHERS v ~ ~ ~iA rn 6 $ FR~'E ANCHOR G~,~ION E~ ~ = ui e 6 PER ELE`IA~ONS ~,..~c 2 FULL ~Ja%o Sw~-`-' t J W U U ~" C 4 ~ sZ ,~ 45 15 ONLY p Y 29 RVO~R~OLUON ~~. 9 ~ ~ ~OR9 5 56 36 3 38 39 Iy~ETNL S ~ ~ ~T F ON SHEET -.,~ SNIT ~ ~ '~ l ~ g a,a SECTION 7 ~ ~ ~,~ s~~ ~ vuu. ` 1 ^-- E2 SGA1-E: 1 J2 L ~0. ~~g. SEC~ON uLL 7 ~ ~ ~,~ ~. SCALE- t J~ 30 X EXTERIOR ,°~ W ~ ~ REQUIRED SECTION ~ ONLY '~~. FUG MAX, SNIM AT MULLION 0 SCALE: t J2 ` ~ ~ u i ~~ t J Ff.CH ANCHOR ~ ~ ~ F 63 64 b5 ~{tl ~ ~~ 4 4 ~~M pi REOUIRED SEE~E 8 ON vlrw' c; 2 MUtaJON 'B'B• ~5~ 9 ~ G '"' ~ ~ t~ tJ eA~ ~c~nt ~ 2 ~ GIN~~ ~N~ $ 5 ` ar ~ r`~ ~ 0 9 ~ ( \ 1 gy OtHERS ~~~~ ~ ! '~. . SHEET 9 ~ ~ / E~ER10R PER ELEVATIONS ~ ` ~~'„~. zs sEA+aNTS 7 °` / 65 } 5 ~„UVRED QNLY gY W1TC ~ L~d N t 3 ~ OtHERs ~0 EXTERIOR 15 ~ ~ n` ~ SEC~ON 7 13 REQUIRED ONLY , FULL WITH MuLUONSEC~ON H sc.~-E~ t /2 Gt ~ SEALANTS ~ OTViERS SECTIONuLL 7 SCALE- t!z Fuu. FRAML ANCHOR SCALE= tJ2 PER ELEVATIONS SECTION Ft FULL ~ SCALE= t J2 PER ELEVAT{~ S 0~¢RS SUB PF OTHERS ,J4^ ~. SSH{M RT NCH ANCHOR 5EC-nory Lt r-- FULL- g ,SCALE: 't2 1 9 \~ 1 EyfTER40R -.._ ` _. nMFRS 1f4^~H SHIM~ATHOR 1 f~ FRAME WIDTH (F W) "' 1 FRAME ~CHOR ~ ELE~A¶ONS SH4M AS EACH "`•1 ~ ~ ~ PNCHOR {{ ~G ~ ~ 13 ~ g 4 3s 37 1 1 aTERfOR n SECYION Nt > ?'~ o 5UBSTRATE 64 g ; o M g{ OTHERS SCALE: ti~2 ~ONOfiION) ~~pTNt{~SERS (BUR HINGE v ~ ~~~ _ rn ~~N.d 1r4^A ~H ` rFRAME WtOTNF (~E~~GHOR PER E~A~NS ~ ~~ qo SHIM~CHOR `} I ~ ~~nz 13 4 ~~t~18 ~ a g w ~ ~~•l .^„_ $EC~ d ~ ~ SHEEP 3g 39 ~ g 5b 8 LL '•^~ t9 ~~ 9 SCALE gLiBSTRATE 8Y OTHERS ~ ~ 4~ ~~ xF 1 ~ ~a~~ FRAME ANCHOR ~~4^ MAX ' Z ~~ PER ATtONS ~ ~ EAGN~ ANCHOR o d ~ s E~ERIOR ± SEALANTS 9Y OTHERS N2 ~ ~~~ i, sues~A~ s3 SECTIO ALL s ~ ; gY OTHERS SF~~yT'$ SCAT ~ GONOl110N) ~ '; ~ g( OTHERS (GEAR MNGE ~~ 35 ~M ~ `~ 83 A~~,xwMl~ j r ~ ~ ~ ~ 56 ~ '~ M1r'f' ~- 46 ypj ~ ~ ~~80N SHEEC g 1 ~--SUBSTRATE BY OTHERS FRAME ~T10NS PER ELEVA ~f 1 `` ~~~ L3 SEC~C~ s y FULL SCALE 1~ ~ 11 t/4" MAx. J SHIM AT EACH ~ t- FRAME WIDTH (F.W.) -- ANCHOR 11 ~~ ,.-FRAME ANCHOR PER ELEVATIONS J' SEE GLAZING ~ DETAIL s oN nos sHEET 56 36 37 °© l ~ / ~,~ wMM A t/4" MAX. SHIM AT ~ ~ FRAME WIDTH (F.W.) -.- EACH ANCHOR FRAME ANCHOR PER ELEVATIONS SUBSTRATE 13 BY OTHERS 40 41 42 43 SEE ~~ 58 DE7A~ g ~ 81 TNIS ~ INACTNE ACTIVE + 1 \ / EXTERIOR SECTION n SUBSTRATE~~ 65 EXTERIOR BY OTHERS © SECTION N3 SEALANTS SCALE: 1/2 FULL 9 BY OTHERS {PIVOT HINGE CONDfT10N) ~ ~\ ~ SEE GLAZING DETAIL 8 ON THPS SHEET 0 w SEE GLAZING DETNL 8 ON THIS SHEET- (l ~_'y""/ SECTION S SCALE: 1/2 FULL 9 SCALE: 1/2 FULL L SEE GLASS 1 I OPTIONS BELOW 59 EXTERIOR 59 3 15 5/8" MIN. BITE SETTING BLOCK IN ~ AS REQUIRED SCALE: 1 2 FULL SEE GLASS OPTIONS BELOW 59 EXTERIOR 59 2 11 5/8" MIN. BITE SETTING BLOCK AS REQUIRED G A?ING DETAIL 2 SCALE: 1/2 FULL EXTERIOR SEE GLASS O 59 ~ ~ OPTIONS BELOW r 5/8" MIN. BITE 59 J.___ 1 3 16 -- -~ SETTNG BLOCK AS REQUIRED DOW 995 SILICONE A7 EACH END OF clASS STOP GLAZING DETAIL 3 SCALE: 1/2 FULL SEE GLASS EXTERIOR 59 ~ ~ OPTIONS BELOW 5/8" MIN. 817E -~ 59 n SEALANTS - BY OTHERS DOW 995 SILICONE ~ LSETTING BLOCK AS REQUIRED AT EACH END OF cuss sroP G INS ~~LA1~4 SCALE: 1 22 FULL 59 SEE GUSS OPTIONS BELOW EXTERIOR I ig 5/8" MIN. BITE t5 19 DOW 995 G IN SILICONE SCALE: 1 2 FULL SEALANT USED ONLY AT SHALLOW TO SHALLOW POCKET GLAZING. FlXED PANEL GLASS OPTIONS GLASS OPTION 1: 1/4" TEMPERED GLASS GLASS OPTION 2: 1/4" HEAT STRENGTHENED GLASS GLASS OPTION 3: 1/4° ANNEALED GLASS SEE "GLASS ~ C..".D TA?LE" 0": _f-.'EET 5 FDR eLggc LOAD REOUIREMEN75. NOTE: GLASS SHALL MEET ALL REQUIREMENTS OF CHAPTER 24 OF THE 2004 FLORIDA BUILDING CODE (FBC) INCLUDING SAFETY REQUIREMENTS OF SECTION 2406 OF THE FBC. c~AZING DETAIL 8 ON THIS SHEET SECTION R JExTERIOR SCALE: i/2 FULL~9 59 SEE GtPSS OPTIONS BELOW EXTERIOR 1 e 5/8" MIN. BITE 4 GLAZING DETAIL 6 SCALE: 1/2 FULL SEE GLASS OPTIONS BELOW EXTERIOR 7/8' MIN. BITE l DOW 995 SWCONE -/ -DOW 995 AT EACH END OF SILICONE SEALANT GLASS STOP SETTING BLOCK AS REQUIRED GLAZING DETAIL 7 SCALE: 1/2 FULL ~ ~ ~ 1/4' TEMPERED GLASS EXTERIOR 1/2" MIN. BITE 51 ~~rE~,;e_, ~ 36 37 3a sy a~U SETTING BLOCK ~ 41 4 4 44 45 AS REQUIRED 46 4 48 49 GLAZING DETAIL B SCALE: 1/2 FULL 3 Zoo 0 U M ~ h Q o ~' rn ~~~ ~~ V O ~~°a U 0 w U a 1 O z N a Eoi S,-" R~ Tv °' ~~R ~_ ~~n ~F Y ~g ~~ 3~ ~~~ T NO. or 4 452 Sv t ,754 0.080 ~ K 4.500 1.750 l~ 0.080 '' ~~,,,~ j M ~ gR~!4~ _~_~- 4.452 1.750 p.oso ,, 4* RI j MU N r--1.750 -~i o.osD a.sDD REMOVE THIS AREa AST pNSON5 4.094 1.750 4.125 ` ~ 4.452 -"_` f0 ~~ R 7 S 5 (l.1MiSE0 TD 84' SPAN) J 0.580 "1 f 4.452 ~ l~ 4.452 -~ ` ~ p , ~~~~~~N D.D90 1.750 0.188 2.000 4.125 4,060 0.188 3.590 "~" 0.125 0.062 1.03'0 O Ij T ~ MU ~ SPANS UP TO 96~ ~ t .928 -'1 7 ~ UP TO 96'~ ®(USED WISH O (USED WITN SPANS 3,766 T {,~.._- 3.590 --~ ~ 15 16 r+~ •rS 0P 3.590 -~"~~ I ~ Y 4.t 50 { o.a6o 0.080 t ,484 0.080 Fl 13 T FI 14 ~ 0.125 12 1 5 0.050 4.875 1.7`-~ 0}g6 ,.is O.D50 ~1~ 0.666 17 ri 0.92 1~p 4.548 0.094 OA94 1.62 050 ~p,893 21 ,,1 ACS ~ P F ~ P~ytr ~5) 19 ~;`~ 2~ n xCN'NG (USED '~ 18 ~~9sS~.10 4.000 4:150 1.1125 0.125 0,125 0.718 D0~12~~5j~~1 FN 1-- ~ P T23 QOOj~'" ~ 'i~l' ~6} ~ 24 (USED WfSN PART fie) (USED WON P ~.-- ~ 3.826 4.188 1"~-+ ___y 62 ... 0.135 1.000 0.135 S 0. f ~~~ ~~~~~, R I 4 29 ~~~-s=`ms's" 30 ~.- ~"~- _--~ i .750 4.125 0.090 0 rl R ~. 6 SPAN) (uMIrEO ~ 4.406 ""~~ 4.452 1 O ' I 3,549 ~ . DD__.--~nr`~1 ~ k.500 N 1 {OR rt µ~~ 3.650 0.125 t .484 4.156 0.09k ... ~~ ~ ,ntu & ~.,~- e.DOO -f"-- R R 33 O.D94 Q.094 ~- 4406 -""~~ N ~~~ 3 ~Ug ~ 4.500 a~~t =V7Q i- ~ ~ moo i t~~nz ~`-' 11 ~ 0.1 N J R P 35 ~Y nn 0- U Y t Z ~o~~ 4 ~~fi Za~ R co ~ c~ F ~~~ in g ~~~ _~ 3~ ~° 10 °_F....-~ iZ7 ~r i-~ I~" C!1 'o ~ ~~ ~ ~~ ~~ a 1 ~_ ~1 N N ~ 1JA 1 ~~~ O O 0 (N ~ ~l ~ ~ ~ ~ m -o ~o~ O Z ~ ~ a Q N N ~ ~ II,~ A ~ 1 U O ON ~ W U Uo 0 J O ~° ~~ ~ f ~~ O (J, ~ O J n o - V N N (n ~ N (N O o ~ Z ~~~ w N O -+ (N71 1 ~ ~ O = sL Z ~ O fril =r f.+ ~ o p~p A O X v I`Q v O °-~= T zo~ L7 fJ N m ~ N u' g IjU -.L~ ~~~ -~ ~ T N N ~~ J a ~ -yl I- p ~ j p 1 N 1 ~P o A R n ~ ~~_~ ~ ~~I r , ~aiV ,~ 450 NON-IMPACT STORE FRONT do ENTRANCE WAY SYSTEM O Z _ V O w U) u . ~ N ~ o ~' rn (O O D • ~~~ ~ N U N O ~ 1 d I--- ~ -I 0 Z V ~P O o u cn W W CNi, O - -- o --f ~ T ~ ~ m ~W. W. SCHAEFER ENGINEERING I KAWNEER COMPANY, INC. do CONSULTING, P.A. 555 GUTHRIDGE COURT secs x. uiuc~m rnw~ suite c-ca NORCROSS, GA 30092 P.E. PNJ1 BiACH OAROEN3. R 3JS10 770-449-5555 PNONE: 301-773-1W2 FA%: 331-773-{B07 Doc # 2006388879, OR BK 13629 Page 1032, Number Pages: 2 Filed & Recorded 11 /08/2006 at 09:53 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 NOTICE OF CC?MiVIENCEMENT ~~ ~ , , C State of Flc~~~lc~, ____,__ ~ `~~~ ~ ~ ~' ~~ax~'Folio No. C~5-C'~5~-~-~ ro I "a- County of puwr,~~ - To Wham 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 follawiag information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: (~ ~x_ Snap ~_._S.ln~ cif.. Address of property being improved: ~ Lo t (J[~-1 C~~n-~; c. cn(P ~I~y~%c~'~ ,~~ ~ 2233 General description of improvements: Owner: ~lA1~~~10,u}~ie. tfi,ll~~Lv,L, Address:[_(og~o (~~ GGttau+; ~= tea ec~s bW.~f,i(!tl'Cal,-1~ ~eG+ch F~- Owner's interest in site ofthe improvement: ~-Al,.r( l,~l~-c{~OLU utlQ- o-G- Slitc~~(~~n.~C'~~t~lL 3 ~ ~ ~~1 Fee Simple Titleholder (if other than owner): ~~,~.c_ri., Name: Contractor. ~ t TT Cot~t>t-i4-Gc,-(-i yi of 1 l~1 G _ P'~`~ Address: ~.av~t -~~yz. GZve~ue T ct~z-fax t/.~ ,~aa~t Telephone No.l,~3 l ~-f.to- GjooU Fax No:C~o3J ~~.~- A l~~ Surety (if any) ~ Address: Telephone No: Fax No: Amount of Bond $ Name and address of any person making a loan for the construction of the improvements Name: i 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 n>ay be served: Name: ~4v/1 "~ ONt` ~"J~L7'1 /SbVlJ /~1ctiVl /.~iC. Address: /O6 l - /07 ~/,~' Oe YD. J~~vii it' ft .~5~ ;t!,~~, ~r Telephone No: d ' G'ZZ Z Fax No: i In addition to himsoli; owner designates the following person to receive a copy of the Lienor's Notice as provided in Section -~ 713.06(2)(ti), Florida Statues. (Fill in at Owner's option) Name; ~_ Address: Toionf.nnn 'AFn• Fax No: • UNIVERSAL ENGINEERING SCIENCES, INC. 3532 Maggie Boulevard Orlando, FL 32811 Phone: 407-581-8161 Fax: 407-581-0313 E-mail: BIDinquiry@UniversalEngineering.com 11_,E MFIRAMEN City of Atlantic Beach Building Department TO: DATE: December 7, 2011 I ORDER NO.: N/A Attention: Michael Griffin, Building Official 800 Seminole Road Atlantic Beach, FL. 32233 Re: Navy Federal Credit Union-Permit# 2011-2929 961 Atlantic Blvd., Atlantic Beach 32233 WE ARE SENDING YOU 0 Under separate cover via * Attached, the following items: 0 Shop drawings 0 Prints 0 Plans 0 Samples 0 Specifications DESCRIPTIONS OF ATTACHEMENTS Notice to Building Official Alternative Inspections Service Agreement Insurance Certificate Licensing information on our Standard Inspectors, Plans Examiners, Code Administrators and Professional Engineer THESE ARE TRANSMITTED as checked below: 0 For approval 0 Approved as submitted 0 Resubmit copies for approval • For your use 0 Approved as noted 0 Submit copies for distribution Please find attached the requested documents. Please let me know if any more information is needed. COPY TO: File SIGNED: REMARKS Please Sign: Docs No.: 933959 • UNIVERSAL ENGINEERING SCIENCE, INC. P 3532 Maggie Boulevard 1►, ,r1 Orlando, FL 32811 Building Inspection Department Manager: Philip W. Sutherland Phone: 407 -581 -8161 Fax: 407 -581 -0313 BIDinquiry@uesorl.com Notice to Building Official of Use of Alternative Provider Project Name: Navy Federal Credit Union- Interior Renovations - Permit# 2011 -2929 Parcel Tax I.D.: 961 Atlantic Blvd., Atlantic Beach, FL. 32233 Services to be Provided: Plans Review Inspections X I Ileana Mirabile, Navy Federal Credit Union the fee owner, affirm I have entered into a contract with the Private Provider Indicated below to conduct the services indicated above. Private Provider Firm: Universal Engineering Sciences, Inc. Private Provider: R. Kenneth Derick, PE, Senior Vice President Address: 3532 Maaaie Blvd. Orlando. FL, 32811 Telephone: 407 -581 -8161 Fax: 407- 581 -0313 E -mail Address (Optional): bid in= iryac uesorl.com Florida License, Registration or Certificate No.: Professional Engineer- Florida License No. 37711 I have elected to use one or more alternative providers to provide building code plans review and /or inspection services on the building that is the subject of the enclosed permit application, as authorized by S.553.791, Florida Statutes. I understand that the local building official may not review the plans submitted or perform the required building inspections to determine compliance with the applicable codes, except to the extent specified in said law. Instead, plans review and /or required building inspections will be performed by licensed or certified personnel identified in the application. The law requires minimum insurance requirements for such personnel, but I understand that I may require more insurance to protect my interests. By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed or certified personnel and the level of their insurance and am satisfied that my interests are adequately protected. I agree to indemnify, defend, and hold harmless the local government, the local building official, and their building code enforcement personnel from any and all claims arising from my use of these licensed or certified personnel to perform building code inspection services with respect to the building that is the subject of the enclosed permit application. I understand the Building Official retains authority to review plans, make required inspections, and enforce the applicable codes within his or her charge pursuant to the standards established by S.553.791, Florida Statutes. If I make any changes to the listed private providers or the services to be provided by those private providers, I shall, within 1 business day after any change, update this notice to reflect such changes. The building plans review and /or inspection services provided by the private provider is limited to building code compliance and does not include review for fire code, land use environmental or other codes. Page 1 of 2 Pages The following attachments are provided as required: 1. Qualification statements and /or resumes of the private provider and all duly authorized • representatives 2. Proof of insurance for professional and comprehensive liability In the amount of $1 million per occurrence relating to all services performed as a private provider, including tail coverage for a minimum of 5 years subsequent to the performance of building code inspection services. F � c D � � 2 , o //ti C 4,a,, r.E iz 17 .imtivitlaat ed4 0i r" U"J,o.4 Corporation Partnership Print Corporation Name Print Partnership Name ,1111111W. a --� By: By: si• na f (signature) (signature) Print Print Print Name: 7A.Acti tite.rr a 0 Name: Name: Address: i Address: Address: 14x. / 141 22/ Ito Telephone Telephone Telephone No.: '703-4 — ry No.: No.: Please use appropriate notary block, STATE OF COUNTY OF F C tux, -c � i - ^' coo \A m( Corporation Partnership Before me, this ` day of Before me, this day of Before me, this day of , r cx�' _, 2011,, personally , 20_, personally , 20_, personally appeared ¶, . eortO appeared appeared J of , Partner /agent on behalf of A Corporation, on behalf of the state. corporation A partnership, who executed the foregoing who executed the foregoing who executed the foregoing instrument, and acknowledged instrument, and acknowledged instrument, and acknowledged before me that same was before me that same was before me that same was executed for the purposes executed for the purposes executed for the purposes therein expressed. therein expressed. therein 'expressed. Personally known . or produced Identification Type of identification produced ,. ■ lit G Signature of Notary Print Name bb MO) Notary Public; NOTARY STAMP BELOW , , 0 .10 t Ri j' 442. Ch, My commission expires: PUBUG .s REG, .7500470 Doo No. 933837 MY COMMISSION; EXPIRES %��s 01131/2015,4y . y ••. WfALtt► 01 Page 2 of 2 Pages Client#: 1405231 131UNIVEENG ACORD,, CERTIFICATE OF LIABILITY INSURANCE DATE ( Y rr) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the po)icy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME _._......_.. BB&T - J. Rolfe Davis PHONE 407 691 9600 r" 888 - 635 - 4183 NQ: No, Ext) _. ._.._...— —. LAIC No): PO Box 4927 - r.MAi� W-- ADDRESS: Orlando, FL 32802- 4927 - -- 407 691 -9600 ,CUSTOMER IDtI: _____, INSURERS) AFFORDING COVERA _ NAIC e INSURED INSURER A: Endurance American Specialty in 41718 Universal Engineering Sciences Inc INSURER 8 : Navigators Specialty insurance 36056 3532 Maggie Blvd. C harter Oak Fire Insurance Com 25615 Orlando, FL 32811 INSURER C : _ _�— -^ __ P INSURER D: T Phoenix insurance- _ 25623 INSURER E: Travelers Indemnity Co of Am _ - 25666 INSURER F : COVERAGES CERTIFICATE NUMBER: 11/12 Master GL - BAI/ REVISION NUMBER: 2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR P OLICY NUMBER POLICY EFF POLICY EXP LIMITS NSR AND (MMIDD/YYYY) (MM!DD/YYYY) A GENERAL LIABILITY X ECC10100846402 01/01/2011 01/01/2012 EACH OCCURRENCE $5,000,000 "DA E'TURERTED" _ X COMMERCIAL GENERAL LIABILITY PREMISE LEa occurrence) $300,000 — 1 CLAIMS -MADE X OCCUR MED EXP (Any one person) $5 PERSONAL & ADV INJURY $5,000,000 GENERAL AGGREGATE $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $5000,000 1 POLICY X 78: I 1 LOC Y $ D AUTOMOBILE LIABILITY X 810544M2006 01/01/2011 01/01/2012 C OMBINED SINGLE LIMIT ( Ea accident $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS ` BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) NON -OWNED AUTOS $ g UMBRELLA LIAO X OCCUR CH11EXC627992IC 01/01/2011 01/01/2012 EACH OCCURRENCE _ $9,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $9,000,000 DEDUCTIBLE X RETENTION $ 0 $ D WORKERS COMPENSATION X UB544M2006- Florida 01/01/2011 01/01/2012 X T�neYiAMTS 1.21 _ AND EMPLOYERS' LIABILITY E ANY PROPRIETOR/PARTNER/EXECUTIVEY /N NIA UBI787X809- Georiga 01/01/2011 01/01 /2012 E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? I N (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 MOM describe under DESCRIPTION OPERATIONS below ' E.L. DISEASE - POLICY LIMIT $1,000,000 A Professional & ECC11100846502 01/01/2011 01/01/2012 Each Claim $8,000,000 Pollution Liab Aggregate $8,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) RE: Navy Federal Credit Union - Interior Renovations at 961 Atlantic Blvd., Atlantic Beach, FL 32233. Additional Insured status is granted with respect to General Liability if required by written contract per (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of Atlantic Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 800 Seminole Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Atlantic Beach, FL 32233 -5445 AUTHORIZED REPRESENTATIVE ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 2 The ACORD name and logo are registered marks of ACORD #S78203141M7166431 PSBE DESCRIPTIONS (Continued from Page 1) endorsement Additional Insured - Owner, Lessees or Contractors- Automatic Status When Required In Construction Agreement with You Form #CG2033 07/04. Primary and Non - Contributory with respects to General Liability if required by written contract per "Automatic Primary and Non - Contributory Insurance Endorsement, Designated Work or Project(s) Form# FEI- 548,ECC0708. Additional•Insured status is granted with respect to Automobile Liability if required by written contract per endorsement Auto Extension Endorsement Form #CAT353 0609. Also included is an Auto Liability Excess Policy (North River Insurance Company, Policy #5317451613, policy term 1- 1.2011 to 1- 1- 2012), which provides an additional $1,000,000 excess Liability layer above the underlying $1,000,000 liability limits provided by primary auto policy with Charter Oak Fire Insurance Company. The $9,000,000. Excess Liability policy is excess above the underlying and excess layers. AMS 25.3 (2009/09) 2 of 2 #S7820314/M7166431 • UNIVERSAL ENGINEERING SCIENCES, INC. 3532 Maggie Boulevard Orlando, FL 32811 Phone: 407-581-8161 Fax: 407-581-0313 E-mail: BIDinquiry@UniversalEngineering.com Alternative inspection Services Agreement Project: Navy Federal Credit Union-961 Atlantic Blvd. Permit# 2011-2929 Private Provider Firm: Universal Engineering Sciences, Inc. Private Provider Name: R. Kenneth Derick, P.E., Senior Vice President Address: 3532 Maggie Boulevard, Orlando, FL 32811 Phone: (407) 581-8161 Fax: (407) 581-0313 Name: License/Certificate No.: License/Certificate Type: R. Kenneth Derick 37711 Professional Engineer Mark C. Israel 47070 Professional Engineer Alfredo Austria BN523, PX244 Standard Inspector, Plans Examiner Bill Pancake BN2957, PX1711 Building Inspector, Plans Examiner BU1344 Building Code Administrator Leslie S. Rutherford BN4564, PX2845 Standard Inspector, Plans Examiner, BU1437 Building Code Administrator David R. Benoit BN4870, PX2544 Building Inspector, Plans Examiner Philip Sutherland BN650, PX311 Standard Inspector, Plans Examiner, BU968 Building Code Administrator Names, License/Certificate Numbers, and License description of provider and duly authorized agents whom will be providing services for this project. As the private inspection services provider for this project, I have read and agree to be bound to the provisions of State Statute 553.791. 1 further agree and understand that only the above listed personnel may perform inspections on this project and that if for any reason the inspection personnel should change, or if any person listed above should discontinue to quality as a duly authorized agent, you will be notified in writing immediately. Printed name of Alternative Provider: R. Kenneth Derick, Signature of Alternative provider State of Florida, County of Orange, Sworn to (or affirmed) an. : cribeu• -fore me this 7th day of December, 2011, by R. Kenneth Derick, who ". - o ow to m or Arthur Love -00P Aer-gme/ Printed name of Notary frnature of Notary Notary Public Stamp: ARTHUR LOVE :*!': MY COMMISSION # DD872163 Doc No. 933959 , • CXPIRES March 19, 2013 J:iunciallotaryService.com U N1VERSAL LOCATIONS: • Atlanta • Daytona Beach Fort Myers ENGINEERING SCIENCES • Fort Pierce • Gainesville 1E1 • 1 Consultants In: Geotechnical Engineering • Environmental Sciences • Jacksonville Geophysical Services • Construction Materials Testing • Threshold Inspection • Kissimmee Building Inspection • Plan Review • Building Code Administration • Leesburg • Miami • Ocala • Orlando (Headquarters) • Palm Coast • Panama City • Pensacola • Rockledge • Sarasota • Tampa • West Palm Beach LICENSES CERTIFICATES 3532 Maggie Blvd. • Orlando, Florida 32811 (407) 423-0504 • Fax (407) 423-3106 www.UniversalEngineering.com