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Permit 501 Mayport RoadCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 10-00000750 Date 6/10/10 Property Address 501 MAYPORT RD Application type description RIGHT-OF-WAY PERMIT Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc REPAIR POT HOLE ---------------------------------------------------------------------------- Owner THE PANTRY, INC. 501 MAYPORT RD. ATLANTIC BEACH FL 32233 Contractor ------------------------ OWNER ---------------------------------------------------------------------------- Permit DRIVEWAY PERMIT Additional desc . Permit Fee .00 Plan Check Fee .00 Issue Date 6/10/10 Valuation 0 Expiration Date 12/07/10 ---------------------------------------------------------------------------- Special Notes and Comments CODE ENFORCEMENT REPAIR Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BU>iLI1YNG ~RMIT Al?'PLICAT~UN C~'Y OF A'~><.,A~1T~C BF.ACS 800 Staaix~q~le Road, Atlantic Beach, FIr 32233 Office (904) 247,5826 Fmc (9Q~A,) 247~584~ dob Addte9s~ 5 O 1 Maypori~ Road =Vacant Lot pew Number. LegalAeacripti4>a Lot .1 Blk_~ 3-Atlantic Beach Villa 2 l# 171767 000 vsinatiam Qf work S )t'~aposad Warp h~te~dleoolerl NA >aori-hea Cooled NA Class oiP"WO~rk (circle one): New Additl0f- AIf:E4'8~ti0i1 Blta1C MPVe Demolition paol/S window/door Use aI azi~ing/pra a~aetar4( t~sreie oAe):. Cat~uuetcial Residential J,f' uK e~distl~ aer+n o~r~, fid a fra aQr~mlder afy8be-n it~abRl~ed7 (Circle one); Yes Na N /A Florida Product Apprv~-a! # I l~'or ~ultipl+e px+odnctg use produ app o~m Desch-be iuv detail tlxe type of worl~ tv be performed; Patch Pot Hole in accordance with Code Enforcement Requirem nt Pro~~r~y er Information: N~,Regina Rosenstein Trust ~ 105 Ronan Road City ___ _ I State ~ -Zip 6 0 0 4 0 Phone (8 4 7 7 3 6- 5 0 5 5 E-lvlail or Fax # (Optional Contractor Ind ntion- CQm ~y N~,e; Browd & B owd , Inc . ~~yy{{~~gg t; Richard S . rowdy Addreess: 694 St. Au ust~ne Roa C~~ac~csonvi a Staff Zip Qffice 1}hane 7 3 9 - 519 5 Job 3itel Coact Number 813 - 4 3 0 0 Fax # stag C,e~t~oation/Re$~dutina - Archit~ect Name ~t Phone Extgireer's Name 8t Phone # gae51mp1eTideHalderNaraeahd,q~~y egina osens sin onan ig woo I inois Banding Company Name attd Addt~sa NXoart LanderName arnd Address NA Applf~KOn it~~to Qbm[~e a m tin trvrk and bs~allatlo ~ [ ! cer~r that rip work lr~smlldr Jew conr-~enced prior ro tm irsuanc~r a t ~+ wau~k w be Id 1Ha t the atar~dpud; a8 laws cor~tr'~lori to ~ T7~rs rmlt becomes nnt, dndkv aid -~~•w,yr.a~ryt ~ ~w s~q (6 maeth~ yr r~covas~~octton or Ia abartda-i~l~f ~b~r d~gns~l~4-cid of J/.y~~% ma~+a at arty te~yxc r ~~s ~a /r~l' ~ a~.II B '~~l/Y /AXSt lW did fal' ~ a~ f G""i tidal, J`/f741~r ~11Q1~r /a, I ~VA-IiNiN~ ~`CI WN~R,: Y~-UR ~'A,~.rU~E'T~ R.ECO~ A. NU CE {~F CO1~+AV,~N4~N~N'~' M~Y RES'LT~,'~' l~T X'(~YTR PAYIlrT~ TWICE FCI~ Q'VE1V~~+1'I'S T'U Y~L~t I"RCIPERTX ~' YC~U I~1T3~.~ND ~'CI OBTAIrT ~NAN ~ ~ 1~S~,T WITS YOU~t ~FrNDER (1R14N A,'~'O~iN ~'Y' EE~'+~ RECOR~~NG 3cr0 O'X'~CE 4F caNC~n~Nar. 1 ea-3l~jr tleae' ! ha++a ~ tftis ton blow !br ms~se ~o¢ bt n~ and sonsec ill! prnvlstwrs of law~a ardinerru~es auver,ring t taL~ ~~ r f a , ar j ~i. a~iaTfbsperfor~inar~ of dtions M g'tw duf 'ly tv vio[are ao~ tassel Ilia S' of Owner I S of Coni~sGor fgnausre Print Name ~ , _ ~ ; ~ Pllf1X Name - RI C RD__ S . ROWDY ,~-, ~.,r-~~ Swots an ubsorl re me Sworn to and sub before. ma this of '~ this -~ ay of ~0 ~~ , ~ ~r G otnry lit ~p~ Rf]SEN otary c p~ of llt+ttols -' `'ian ~CP- Os1i3112 O i .26. ] U My .- ,,.„ . ~*~ BARBARA A. PUESTOW Ccxnrnission DD 811376 ~ i~res September 5, 201 ,,, ea~a~an~ur~oy~;,,~,,,..,~.eoo-3es~m,e `~ an `.~~ ~ Me A ~~ O r• . ° ~ N_ .~; *C .1 "' ~++ 7, A ''d ~~ O ~'h ROWDY 8t BROWDY, INC. 6944 St. Augustine Rd. Jaekaonville, FL 32217 UBS 1VIay 24, 2010 Certified Mail Jun 1 2010 11 ;14 P. D1 cOI~~.E~+r>aoRClan~NT Bo.~ CITY OIL A.TLANI7C BEA.C~,1~LORIDA NOTICE QF HEARING CASE # 37910 ~~~~ ~ o r~~'Z ~oO ~ ~ n/~O2 ~ '~ n1F R~eg~na Rosextstein Trust c% Regina Rosesstein Tutee I05 Ronan Road Flighwaod, Il 60040 v ., ""''' ,....,".TTO V~1~~1`f M~~ COI1GeIX~.: ~T ss The Code Enfoxee~ment •Board of the City of Atlantic Beach was created pursuaz~,t to Florida. Statutes and. exists fox the purpose of facilitatiutg the ezrfarceinemt of the Cade of Ordno~ances. It is coxaprised of seven citizens, residents of Atlantic Beach, who meet regularly to hear alXegatioi~s of rode viala>~rons. Xou are hereby notifed and ordered' to appear at the next public hearing of the Code •Enforcement Board on Tuesday, tbte 8a' day. of Juute, .201:0, AT '7.Q0 F. M, at Atlantic $eacla .City~~Ia;1~,:,.8QQ .S.emimole R~ad~ to axtswer aztd be heard, to ttae alleged•violations of the fallowing Section(s) of the Intenuational Property Maizatenance Cade, Chapter 3, Sectaom 302.3: Sidewalks artd driveways at px~aperty knowia as: 1V.[aypoxt Road (food mart), 30-13 38-25- 29E Atian#c Belch V'i11a Unit N'o 2, ,Atlanl~c Beach, Flaz~ida #1.X.767-0000. .- The .Code Enforcement Board may levy buries up to $250.00 per day for the first offeztse - and $SOU 00 for the second offense against the property, if a violation is found to exist beyond the date set by floe Board for compliance. If the violation is corrected and then recurs ox if fihe violation is not corrected by the time specified for correction by the code inspector, the case could be presented to the enforcement board evetr if the violation has been corrected prioz' to the board hearing. Xou have the right to obtain an attozraey at your own expense az~.d to. present witnesses in ' •yovr•behalf.. If.you desire to have, winsesses suapaezrae~i ox~if you have quesrioms regarding the . .pzoceduxe, please•cantact Susan iGorntan, Secretary. of the Code Bnforcemerit Board vvithiu foe days of the receipt of this, notice at 247-5810. Please note the presence of a cQUrt reporter for the purpose of. insuring . a verbatim record in the event an appeal should be secured at your expelase. .. ~ i - A,T'TEST• . ~ .. ' ~ Sincerely, .an-GOrlTian ~. ~ ` Eddie Lopez, S~cPetary ~ •: ~ Code Enforcement Officer ~ ' ;_ 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 REPLACE FUEL CANOPY ---------------------------- 10-00000827 Date 7/07/10 501 MAYPORT RD COMMERCIAL OTHER TO BE UPDATED 18350 -------------------------------------- -------------------------------------- Owner Contractor ------------------------ ------------------------ THE PANTRY, INC. CARR-TECH INDUSTRIES INC. 501 MAYPORT RD. 5988 COLLINS RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32244 (904) 771-2340 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . Permit Fee 145.00 Plan Check Fee 72.50 Issue Date Valuation 18350 Expiration Date 1/03/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2004 FLORIDA FIRE PREVENTION CODE 2005 NATIONAL ELECTRICAL CODE Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834. Roll off container company must be on City approved list and container cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 145.00 145.00 .00 .00 Plan Check Total 72.50 72.50 .00 .00 Grand Total 217.50 217.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 - Office (904) 247-5$26 Fax (904) 247-5845 Job Address: 5D ~ ~~ IDOrfi K-u. Legal Description ~~$ -v~S -o~qE • 3~`•{ Qd)E tCQS'fr'bV fet're~~ j Number: ~ ~ ~' ~ 3- 7 -~~~~ Prop ed Work beated/cooled /~`f~' ,~ rt Valuation of Work $ ~$ non-heated/cooled ~ 15a Class of Work (circle one): New Addition Alteration Repair Move Demolition pooUspa window/door Use of existing/propposed structure(s) (circle one): , ommercial Residential If an existing structure, is a fire sprinkler system costa a one): Yes No N /A Florida Product Approval # !i}OS~ _s,, pr7 -Oga'-E• For multiple products use p uct approve oT~ rm Describe in detail the type of work to be performed: ~ 115 ~ Y~-Q.lt~ ~ ~ ~ y'g ~ F(,~.~_ ~ ~~.p.I.D~C.Q-- Q yu st~.n(~ Proaerty Owner Informationsn ,^, Name: ~'Q,11~1 IC..~ OI--~Irl.1-S~Address: Jam' OJ ~ 1~-~ City (~1~'tL' .- 'U'1 State FLZip 3x233 Phone 4 - 5I E-Mail or Fax # (Optional) Contractor Information: Company Name: ~ ~~"TQ-C-~1 ~ I'1(31~1A~51Tl~Q,S Qualifying Agent: ~~l.Vl GL L. - ~'1'~ Address: ' ~ S City ~DV1.U I I lQ• State t(, Zip ~a~'+ Office Phone .'~`]I• O Job Site/Contact Number C9D`!)~Iq-~~~ Fax# 9~ 7~1! 8`JDl State Certification/Registration #__ i ObDI S~-I Architect Name & Phone # Engineer's Name & Phone #~~S 'P1 ~,t-, ,P.E• 0 '7110- ~3(1K.e f Fee Simple Title Holder Name and Address Bonding Company Name and Address _ Mortgage Lender Name and Address ~' Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for apenod of six 6) months at any time a/t'er work is commenced. I understand that separate permits must 6e secured for Electsical Work, Plumbing, Signs, Wells, Pools, ~urnaces, Hollers, Healers, Tanks and Air Conditioners, ete. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY ECORDING YOUR NOTICE OF COMMA ~ ~ ~ T. 1 hereb certify that !have read and examine~l'lhislication and know t~e a bet ',and correct. All provisi s flaws and ordinances governing this type ojYwork will be com a with whethe sg_.eci ie herein or ot. Tli~ a.qf `-' rmit does not presume ve author'ty to viol to or cancel the provisions of any other fe eral state, or 101 Ipsrv; ` gulating cons ctioM~,o h~w~f'gtm e of construction. Signature of Print Name ~.~.,~ ire of Contracto ame ~lir. ~ ~. ............................................................ to and subscribe before me ,_ Day of t,~J~-~ " "`•""1'1 tViVAt,,C7KlANDO VORS Notary Publi; . ;",;' 1 ~LLa~ ~inic, vC !'LVi(117i9 °~ry OIREMENTS AND CO I'y,PUBLIC - St TE OF ILLINOIS '- G121ny A. 8reoker MYCOMMISSIONE iRES02113/13 ~ =Commission#I}~~~~~~01.26.10 REVIEWED BY: DA ~'•,,, .•' Expires: JTJL BONDED THRU ATLANTIC BONDING CO., INC. iD Cioc ~ ~u i u~i ~~289, V r: i3K i 528y wage i 33, NOTICE OF COMMENCEMENT t~[umder Pages: t Recorded 06~t9.<t~10 at 09:4> AM, JIM FULLER CLcRi{ CiRCUiT Ct~URT G~JV'AL CC~JNTY PermitNo._ ~~ " ~ go17 RECORDING $10.00 Tax Folio No. 1 r1r1~7(,P~~DDt] THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property (legal description):..3g ' a 5- aq E . o~-f ,~i ~ e a) Street (job) Address: .SDI I'1'1 0 f t (k.n ~ 2.General description of improvements: _ (rlo l 1 Yl2~.y ~~ >~ ~B ~ F~-~%~+' >L ~" r~ 3.Owner Information nn n ^ ~' .r. a) Name and address: K- ~SA,f1S1t.1 (~ N~-~~-- • Ot, ~~(~1.5'"rJr O I ~Q.~.1 t~DYt l~d • ~' I Q.t') ~( C- / ~-`~~ b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 4.Contractor Information a) Name and address: ~~~" I ~ '~ Y\G{.I.lS1~"i Q.5 SgFS~S Gil L i ~ 5 6td . ~1~t~Dn U i t 12 t't- 3ga~l b) Telephone No.: ~ `lrl l -a3'~ l7 Fax No. (Opt.) D rl - $ 0 S.Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) Phone No. 7. Identity of person within the State of Florida designated by o ner upon whom notices or other documents may be served: a) Name and address: ~n ~ ~ /~ b) Telephone No.: Fax No. (Opt.) B.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: ~~ a) Name and address: b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): 6.Lender a) Name and address: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 1F YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR'GE1~iDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTIC Ob OMMENC~],VIENT. ~ STATE OF FLORIDA COUNTY OF PINELLAS or The foregoing instrument was acknowledged before me this ~~~ day of , 20 ~ ~ , by ~' ~,~(~l b-F4.~.,+'l as ~ G~ ~ (type of authority, e.g. officer, trustee, attorney in fact) for ^~t. S~ ~"~'~~(name of party on b halfof whom, instrument was xecuted). Personally Known - OR Produced Identification Notary Signature ^ [/~ 10: Name (print) OIa Verification pursuant to Section 92.525, Florida Statutes. Under p tes o i erjury, I de hat I have read the foregoing and that the facts stated in it are true to the best of my knowledge and beli FORMS/NOC,rvsd2010 ~ ~~' NOTARY PUBLIC-STATE OF FLORIDA Si ature o Natur rson Signing (i ne # 10. Above """ , Gin:~y A.. Brucker .Commission #DD~08164 '-;` Expires: JULY 28, 2013 BONDED THRU ATLAN'PIC BONDING CO., INC. Type of Identification Produced 0 CARR-TECH INDUSTRIES, INC. Ladte N. White Sales / Project Marr~er Gasoline Canopies Complete Sheet tiAetal Services Spedatty Fabrication 3 Eredion Crane Rental Certified f3uilydinp Cor-trador Certified Roofing Contractor image Changes CStore Fascias ~rcksonv°~i~~e, Fl 32244 {9Q } ~i1.84Qi Fax laa, Cecaeii cso ~Fi~ .`~ ~~$~~3~ .~ V ~n~or~t~on oYstem~-- ~ UC•~-uP ~~ SARaTa~ "` -sc: "~~" ~' y ~~ . ~ ~ o ~ ~ _ z ~ P-1 ~~ o o n °` D t ~,, ~ '~~'" ~,~y 1 i ~ (t ` rt ~~ ti ~ j ~ s ~ i _ ~ ~6i~MK'I $ , pip ~ ~-^"~ ~ t ~.-1 Q-~ N~ ~_ "~ W r '". 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N-r ~ ~ •-i N M ~' V'~ ~D I~ 00 01 ~ .^'i ~ / W ^~ N M ~' V1 \O [~ 00 O~ 0 ~ .N-y ~ ~ ~-+ ~ U U A xr ~~ ~t ~~ a o I C a 0 s. a ~~ ~. ~,.. v d~ ~ ~ I ~ ~ ~ ~ o- i ~ ~ ~ ~ ~~ ~ w ~ ~ ~ ~= o ~ ~, ~ M `* ~~ v w o ~' ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ • ~ ~ ~ ~ ~ ~ O ~ C4 r.: ao ~ ~o.~N"' ~v m 0 ~ ~ ~ ~~,,, o ~ ~~ ~ o ~ '~ ~. ~ o 0 0 0 ~3`~~~ ~~ ~~ ~~~ a ~ _ ~~ ~~ ~~ ~~ cct Q ~~ .-~ ~ o -4 '~ ~ ~ ~ ~ 3 ~ '~ o „~ .~' `a ~ ° o ~ ~ ~ ~ ~~ ~ °' ~~ o 0 O v a~ y ~ .. o ~ ~ °' ~ s ~~~ ~ ° ~, o ~~ ~ ,,, > °' a d = ~, o "" ~ `~ ~ ~~ A ~ ~ © ~, ~ ~ o O 0~ ~ '~ an ~, '~ W°, ~ o ~ "~ ,~ W ,.l o a o ,~, ~ :~ ~ ~~ ~ ~ N ~ ~ ~ V ~ ~ o! ~~ _... ~ ~ cb C `~ r ~~ N 4 ~ ~ ~ W w ~ ~ J ~ o .- d =-~, C ~ ..~ J ~ .°~ ci y ~ ~ ~ ~ ~ ~ `~ ° a a° sQ. ~ ~ ~ ~ H v '~ ~~, v v ~ Florida Building Code Online Page 1 of 2 BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats ®Facts Publications FBC Staff BCIS Stte Map Links Search Prodiuct Approval ~' USER: Public User Product Aooroval Menu > Product or Aooliration Search > AoDlication List > Applintion Detail FL # FL12087 Application Type New Code Version 2007 Application Status Approved Comments Archived Product Manufacturer Mitsubishi Chemical America Address/Phone/Emaii 401 Volvo Parkway Chesapeake, VA 23320 (757) 382-5768 bill@alpolic.com Authorized Signature William Yannetti bill@alpolic.com Technical Representative William Yannetti Address/Phone/Emaii 401 Volvo Parkway Chesapeake, VA 23320 bill@ALPOLIC.com Quality Assurance Representative WIIIiam Yannetti Address/Phone/Emaii 401 Volvo Parkway Chesapeake, VA 23320 bill@ALPOLIC.com Category Panel Walls Subcategory Products Introduced as a Result of New Technology Compliance Method Test Report Testing Lab National Certified Testing Laboratories-York Quality Assurance Entity Southwest Research Institute-Department of Fire Technology Quality Assurance Contract Expiration Date 08/09/2011 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Standard TAS201 TAS202 TAS203 FL12087 RO COI rlctl cert of indeoendence.PDF Equivalence of Product Standards Certified By Year 1994 1994 1994 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquJEQ#'8P6abFG... 6/3/2010 ` Florida Building Code Online Page 2 of 2 Product Approval Method Method 1 Option B Date Submitted 02/03/2009 Date Validated 07/08/2009 Date Pending FSC Approval 07/11/2009 Date Approved 08/11/2009 _. ___. of Products FL # Model, Number or Name Description 12087.1 ALPOLIC /ALPOLIC fr using the LPOLIC /ALPOLIC fr using tine ACCU-TRACR SYSTEM by ACCU-TRACR SYSTEM by Altech ARech Panel Systems,L.LC. i Panel Systems,L.LC. Limits of Use installation Instructions Approved for use in HVHZ: Yes FL12087 RO II NCTL TAS 201 202.203 Test Reoort.odf i Approved for use outside HVHZ: Yes FL12087 RO II noa 06-0531.12.odf Impact Resistant: Yes FL12087 RO II noa 06-0531.13.odf Design Pressure: +501-50 Verified 13y: National Certified Testing Laboratories-York Other: est Reports FL12087 RO TR NCTL TAS 201.202,203 Test Back Next Department of Community Allrairs f/o~ida BuJ/dlny Code On/Jne Codas and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487-1824, Fax (850) 414-8436 p 2000-2010 The State of Florida. All rights reserved. Privacy Statement 1 t-oovrlaht Statement I Acfassibility Statement I plus-In Software i ~,ystomer Service Survey i Con[act Us Product Approval Accepts: VN/ftaw - {~coN awsv• http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquJEQf8P6a6FG... 6/3/2010 Miami-Dade County -Building Code Compliance Office -Product Control Search Page 1 of 2 MIAMI-QRDE Building Code Compliance Office Product Information Product Information for N.O.A. 07-0924.04 NOA o~-os2a.aa File Classification High velocity hurricane zone Category Awning -Canopies Subcategory Unknown / Unselected Material Steel Applicant Metalworks, LLC Status File Approved Expiration_Date May/15J2013 Impact_Rate [None ] Maximum_Design_Pressure_Positive 0 Maximum_Design_Pressure_Negative 0 Description 0.038" (min.) Galvalume 3" Deep x 16" Wide Panel for Canopy http://www.miamidade.gov/buildingcode/pc-result_app.asp?fldNOA=07-0924.44&BasicSe... 6/3/2010 MIAM MIAMI WADE coUNTY, FLORIDA ® MECRO-DADS FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WFST FZAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130-1563 {305) 375-2901 FAX (305) 375-2908 NOTICE OF ACCEPTANCE (NOA) r~ww.miamidade.¢ov MetalWorks, LLC 2545 Munroe Drive, Suite E Gainesville, Georgia 30507 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 (AHJ). 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 AHI 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 1-Tigh Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: 0.038' (min.) Galvalame 3" deep x 16" wide Panel for Canopy APPROVAL DOCUMENT: Drawing No. Dl, sheets 1 through S of 5, titled " 2A ga. (0.038" min.) Galvalume 16" x 3" Deck Pans ", prepazed by Carlos F. Castillo, P.E., dated December O1, 2007, signed and sealed by Carlos F. Castillo, P.E. on December 16, 2007, beazing the Miami-Dade County Product Control Revision stamp with the Notice of Acceptance number and the expiration date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING: None LABELING: Each panel shall bear a penmanern label with the manufacturer's name or logo, city, state and the 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 o7 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 revises & re~ws NOA # 03-0325A1 & consists of this page 1, evidence submitted pages E-1 & E-2 & approval document mentioned above. The submitted documentation was reviewed by Helmy A. Maker, P.E., M.S. ~ J f~ /f,/ ~/ NOA Na 07-0924.04 ., l ~l't~ /7' /Yb/Gr--~- Expiration Date: 05!15/2013 _ Approval Date: 01/17/2008 b) 11-~ I ZpaB Page 1 7-S _..~ ~ Qi ~~ ,~ a n p n ~~~ ~ ~~~ ~ -- ~ ~~ ~~ ~~~ 3~ppJnn~~ W~~ iP M~ ~~ 'c S OY G w ~~ W o ~~ ~ v, N:R N~= ~~ ~ ~ M ~~~ ~ ~~ ...~--"- R ~~ ~~ ~ ~~ ~~ z, ,~ ~~ ~~~ ~~~ ~ J~ ~ ~ ~" a~ ~~~ I ~~~ ~ ~~ u R$ ~ ~~~ ~ ~~~ ~ ~~ `~ ~ ~ ~' m ~ ~~~~~ r~ ~~ 0 P 1 good' ~~ ~~ m a ~ ~ a ~ ~ ~ o'~0~i`# ~~~ ~ ^~~ ~N °a w ~ C w~~ 41 A W N~ A W N g ~ ~ 3 9 c 3 B~ 3 3 c 3 3~ 3 3 c~ 3 3 $$$::33 c c~ c c c c~ c c c c c c £~ 0 33833 33$,33 33333E m ° ~~ ~- ~ ~ ~ ~3 "~~ ~ ~ ~ ~ ~ ~ ~ ~SC~ ~~~ 'Y6 ~ ~~ ~.7 ~ C `~ ~ ~~O>~ ~ ~ t0~ Of ~3 v ~~ ~O m N vM '6' yQ -f S 7((4eeS! ~ v 3X c v 3 3 (7 O~_ 3 3 [_~ o .y ~ c II C 11 v c a ~~~ 33v 333 0 II ~' o ~ ± 11 5 v ~ II ~ ,~ II jpSp 'p ~ 3~ f] t p 3 O~ O~ S C N~ ~~ ~~ N~~ ~ ~~ N N ~c = _ W / 3 w~ ~ ~ v o ~~~+ C) Y ~ ~ ~ m ~ ~ N~ fe f~~€op F~~3 ~ ~~z 9. ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~m a m ~ m w~ o ~ ~ ~ Z ~_~ ~~ ~ ~ ~ A ~~ ~ ~ 3 ~ ~~~ ~ ~ ~ ~ S C ~ N ~~ ~ ~ , tl `" s ~ ~ ~ r$''1'~~''j,,~, City of Atlantic Beach ,~ _• ,:,: ~, Building ®epartrnent J ;• '`,;e~; s 800 Seminole Road ,~- . - _-r Atlantic Beach, Florida 32233-5445 ~~ ~ •~= ` Phone (904) 247-5826 Fax (904) 247-5845 ~~rta~t yr E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) /D- /0~~7 Date routed: (i~o7 % //~ 'r®perty AdcBress: o U~ /r'A ~ d T a rr>Ient review required Ye No B u' nin Zoning Tree Adminis ra or Pub ' or t'li ' Public Safety ire Services Other Agency Review or Permit Required Review or Receipt of Permit Verified i3y ®ate Florida Dept, of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: Reviewing Department First Review: (Circle o e. Comments: BUILDING ZONING APPLI ATION STATUS Approved. ^Denied. PLANNING & Reviewed by: TREE ADMIN. Second Review: ^Approved as revised PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Third Review: Comments: Reviewed by: ^Approved as revised. ^Denied. Reviewed by: Date: / r~ ^~~ Date: Date: Revised 05/14/09 rt'-' ~'l~r~ City of At6entic i3each ~ ~ ` ,,~ ~ -.. ~ APPLICATION NUMBER +` ~. x •~L ~uiiding i]epartrnerst ~ ~U1~ ~ ` •'~- ~ ~ ' (To be assigned by the Building Department.) ~rr~~:S> ~ ~ ~ ~~ a 800 Seminole Road ~> Florida 32233-5445 1=~ ~ Atlantic Beach 49Qf~ /D ~ ~ ,(J U \~ : , ~ .. °• ~~,~, j~ Phone (904) 247-5826 ~ Fax (904) 247-58~~-:~ j• -.;.•~ •"• E-mail: building-dept@coab.us ~;; Date routed: ~ City web-site: http://www.coab.us ~ ~~~ 9r®pertgs Address: ~< /~~~ r d spplocsnt: R~~ ~ Gh ~r®ject: ~ ~ig'~ ~ D D.e.~ rnent reviews required Yes No Bu' nin Zoning Tree Adminis ra or Publ' ork tili Public Safety ire Services „c-r~~~~,-~•~sa-a,-•T-,.r;~-r r----x~c-~-r^-~a-^,--~-,-• c.. + „P•°-?'~~^t"""".~nss~'~a`,..Y &r~. , s`a"^`m`--f.^^+'r~f'.~ f5 ~ ~ -~ Dept~Stgnature~ ~ E ~ x,.~~,>~r ®ther Agency Review or Permit Required Review or Receipt of Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: A,P~PfLICATi ION STATUS Reviewing Department f=irst Review: I {dlApproved. ^Denied. (Circle one.) Comments: / ~T BUILDING ~~ ~~( ~~~ PLANNING & ZONING Reviewed by: TREE ADMIN. Second Review: ^Approved as revised. ^Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: FIRE SERVICES Third Review: ^Approved as revised. ^Denied. C®mments: Reviewed by: Date: ~ /~ / ~ J Date: Date: Revised 05114/D9 CARR-TECH INDl1STR1E5, INC. Latfie N. VYhite Sa/es /Project Manager Gasolene Canopies Complete Sheet Metal Services Specially Fabrication b Erection Crane Rental Certified BuYdinp Comrade Certified Roofmg Contractor Image ChangeRRs C-Store Fascias C e, FLd32244 {s~ ajj ni.s~ao~i ~ ,l~`i ~i ~'~°` o,.~ ~~°0~~3~ y'J4'G`+ i 1[1lU[[S1'dl1US1 JygLE3[TtSUt~ ~ V UG•`'~~ 1~ SARAT~GA `-~~~_ ~~ ~--~ ,~ ,~ -~c.- _ ~~ t i ~~ ~ ~3 ~ ~- ~~ ~ ~~ ~~ ~ ~ ~ y ~ ~3'~v ~ ~ --s e"1~1 1 ~' ~ °• 1, ~v p n ° fl ~ r.., ^ °' ~ po ~ --n ~, ~ ~~ °`~ ~. 1~ ~ j ~. ~~ i -E/ ~ ~ ~ _ ~ L ~ i CI ~ 1 ~ ; ~Sp++M7S RW'"~~~ ..~---"' i ~ 1 1 ~--'"'...- ~~~t F~ dW ~~o ~~ ~o ~°'r` , . AOM~ Fad ~`' ~-P ~°R~ Rory 5ctt ~'~"a std PLI~_ _,..r- .. ~,s.s~'x~:,-f+;~ City of AfP~rrtic ~eac@~ ~e.~.yt ` i3uiiding ®epartrnent r :c-~i •, ' '_~,,r:,.e~ ,~ 800 Seminole Road d ~==~` ra Atlantic Beach, Florida 32233-5445 `~ ~ ~ `~ Phone 904 247-5826 Fax 904 247-5845 ~ ;. ~ ) ( } '~~~t3 j~ E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER (ro be assigned by the Building Department,) /D-/~~~7 Date routed: (~~~ ~ ~/n ~,~~~~~~~~®~ If~s~~i~G1~V6 ~tlV® ~~~~.s~~YY~ ~~~Bi~l 'ir®gaertg~ Address: ~~ ~a r d h].e nroent review rewired Yes No Bu' ' nin Zoning Tree Adminis ra or Pub ' or tili ' Public Safety ire Services "'n ~Sa"`~''-~Tz a. ~as"'P•~;'~"'as``=nh 'r-s^ .i f~T ~--~ ~, .r-vm r, j.., Review.: ee> ~'-~w , ~ ~ ~ ~ ~ S ,k { ~„ .~., -~£ a ~ f ~ fj Y,~.. ~ _ .~. ~y.tir Dept~Stgnature~ ;~~~ ~, ~ ~~ r Other Agency Review or Permit Required Review or Receipt of Permit Verified By ®ate Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: i2eviewing Department First Review: (Circle one.) Comments; BUILDING PLANNIJNG & ZONIN TREE ADMiN. PUBLIC WORKS PUBLIC UT1LITlES PUBLIC SAFETY FIRE SERVICES APPLICATION STATUS proved. ^Denied. Reviewed b ~G~/~''L- Date: lira .~ /C) Y Second Review: ^Approved as revised. ^Denied. Comments; Reviewed by: Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: Date: Revised 05!14109 __~_ ~;. AL NOTES: SE SHOWN ON DRAWINGS, MINIMUM COVER ALL BE AS FOLLOWS: _; -- CENTERED SHALL BE HELD SECURELY IN POSITION WITH :SSORIES DURING PLACING OF CONCRETE. 'ATIONS SHOWN OCCUR IN A DISTURBED, )NSUITABLE SOIL, THE ENGINEER SHALL 3/16" FILLET WELDS UNLSES OTHERWISE NOTED. ~OGEN RODS IF A992 STEEL IS USED) )KEE 20 GAGE DECK TO BE ATTACHED TO BECK CLAMPS AS LISTED ABOVE S OF LiTE GAGE FRAMING MEMBERS ~/4" TEKS, 8c TO DECK W/4 ~ 10 X 3/4" TEKS ~ .. ~!. 1) ~)i_~ f/: 1 C + _ i~.. i ~. Jiiab~k ~. c ~ ~~ ~ ~ I ~ i'. t~~~..a~,,. x .. ,. .. _ .._....~.. ~.. ,_ .w. {/ F} ;~ ~; r. ~..... , t.Jl 1 i ~ L , ~ t ~ ~~~ ~~~ .rya / ' ~ owc ~: rte 5:~~ ua~ ~ < < ' C 6-16-010; _ ___ ___ _.~ ~V 4'L`t e Ii1[QfiTl'dlir.?f1 ~~Si6t(15~~1 Y V ~L.`+tJ~ ATp CiRC~E --.~ ~.~+~ ~` SAR GA ~~-~ ~ ~` ^~`~.-_ ,__~.' t ~ 1 ~~ r ~ ~ .~ ~, a Tw ~.. Ty } .ter, ~ ` 1 ~ 0 ~ o. t~ ~ r ~~ • i =~ ° ~ ° ° a o ¢ o a. -.~ t /~ 1 i ~ ~~ ~ t j ~WCw-+~ ~ ~~ ~ '1 f - _ ~ ~ may{-1 :.--- ~` ~~ ~ 3 x dw..~~~ "-„-~' i t ~ .~'~°I µYr-2 .~ a_ ~-~ _ r- ~' ~. ~ ~~a °o~ ~O ~a-' .- ~~ ,~,,•• ~•~"' Kp 1108 "~ ~~ Ro+~ sr~ ~~_ a=t~'~'`,~" City of Atiartitic i3eech .., j~, - ;~~1 Building ®epartrneret =~°:~r,~,~Mz~ 8D0 Seminole Road H~ Atlantic Beach, Florida 32233-5445 t~ ~ ~~ °~ 1 Phone (904) 247-5826 Fax (904) 247-5845 ` r~Ja3 ;%° E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) /D- a~~7 Date routed: ~ 'r®per~y Adl~iress: ~ ~! ~pplocsc~t: (..~R~r ~r®~ect: ~~~i~-C~ a E?.e s~vent review required Yes IVo Bu' nin Zoning Tree Adminis ra or Pub ' or tilit' Public Safety ire Services "'^-~~.' $ Zf~'~7,y"''~'.~` ~..~* ~ -~~r-~.s-~r~i'-f' n ~ ~ ,. ,,°•P,'s"a',y~v""~.-'.~s.~. 1 ~ is i t '^~~ f ~ ~. 5 Re~r~ew~fee; Y~ .n~~. <.~.,~.' {.,~..~:~~ ,~DeptsS:lgna~ure~.. ~.i~:~~... ~... ~ ~... x~~;,,~r ;~; ®ther Agency Review or Permit Required Review or Receipt of Permit Verified i3y ®ate Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: Reviewing Department First Review: (Circle one.) Comments: BUILDING APf'LICATIO~1 STATUS ^Approved. ^Denied. '~~~I 10 PLANNING & ZONING Reviewed by: Date: TREE ADMIN. Second Review: ^Approved as revised. ^Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Ttaird Review: ^Approved as revised. ^Denied. C®mments: Reviewed by: Date: Revised 05/14/09 BUILDING PERMIT APPLICATICIN CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: ~O I I~'1G~t. Legal Description ~a -vi5 - (3 ~E ~Q~Sy-rb V ferr~r O.~ Proposed Work heated/cooled /~~fi- Jq•ri Valuation of Work $ ~ $ non-heated/cooled ~ 15a Class of Work (circle one): New Addition Alteration. Repair Move Demolition pooUspa window/door Use of existing/proposed structure(s) ((circle one):. ommercial Residential If an existing structure, is a fire sprinkler system insta a one): Yes No N /A Florida Product Approval # Ia'OS'~- S pr7 _u~~ For multiple products use pro uet approva orm Describe in detail the type of work to be performed: I ~S~ ~ Y~.l.(~ o~ ~ ~ ~-$ ~ F 0~, COt,r'l~~ ~ r2~,~,OlC~2- Q yU S~.r1(n. Property Owner Information: Name: ~ 11'1 City rt f t 'L ~C',{'1 E-Mail or Fax # (Optional) Contractor Information: Company Name: _ ~-t"~"T2 I~-~rU-StAddress: Jam' I State F~Zip 3aa33 Phone ~' Number: rll~ - L- CD~rfr Office Phone ~ID~-4 • X1'71. 013.1 O _ Job Site/ Contact Number (QD~1) 8-Iq - ~DS~? Fax # y ~-1 ?rl ( $'-f Dl State Certification/Registration #__ _ ~ O5 ~ I ~~-~. Architect Name & Phone # Engineer's Name & Phone #~~s •n ~.t~ ~P.E• 0 rTICP- 31Ai2 I Fee Simple Title Holder Name and Address Bonding Company Name and Address ,~ Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work wtll be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within srx (6) months, or if construction or work is suspended or abandoned for apenod of six16) months at any time after work is commenced. I understand that separate permits must be secured for Eleetriea! Work, Plumbing, Signs, >!YeUs, Pools, tt~~''urnaees, Boilers, Heaters, Tanks and Air Conditioners, etc WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereb certify that I have read and examined'this a lication and know the same to be true and correct. All provisi s flaws and ordinances governing this type ofYwork will be com a with whether s.~peci to herein or ot. The granting of a permit does not presume ve author'ty to vtol to or cancel the provtstons of any other fe~eral state, or looallaw'i~ gulating cons~uction or the performance of construction. ~~ Signature of Print Name Swo to and subscribed before me this ~ Day of _~ ~t~~ Signature of Con Q ,, Print Name ~ Sworn to and sub this --.- Day of CL ~.. me 1 t~ Notary Public ~tLANDO FAVORS Notary Yubli; . ~^-:.-,'- Ginny ~.~ Brooker NOTARY PUBLIC -STATE OF ILLINOIS - :Commission # D~~~~ 01.26.10 MY COMMISSION EXPIRES:02/13,'13 ,,.,~ Expires: JUL BONDED THRU ATLANITC BONDING CO., INC. CARR-TECH INC>USTRIES, INC. Lathe N. White Saes / Project Marrap~er Gasoline Canopies Complete St~e4 Metal Services Specially Fafxication ~ Etedion Crane Rents! Certified BuNdinp Contractor Certified Roofing Contractor Imams Clmnges CStore Fascias ~~cksonville, FLd32244 ~4j 77i.23~S0 ialnecerrtectr trellerarru-.net g~~5p 4 (904} 7'71.8401 Fax Cell f9o4~966-84`ao ~ZC033~2 t+~,y,- Ciry of Aft~nntic i3each ,~ ,- . _~ ~uiidirDg ®eparttnee~t .-~ _ °° !'~,~~ :^ 800 Seminole Road ~~.~~ '~ ~'~ ~-- , ~ `~-r Atlantic Beach, Florida 32233-5445 G~' ~ -~ ~yj Phone (904) 247-5826 Fax (904} 47-5~ ~.~. ~~ 99 ..JJt ar E-mail: building-dept@coab.us ®<o'D City web-site: http:!/www.coab.us J~?j~~: ~~"6~~~~~~~~~ I(~~~~~1~Yi °r®p~rty Adidc~ss: eppllc~c~t: 'r®~~ct: ~~, /~ ~~ /~~ r d "^'<~"4c" S ~? ~~T"~~~'~.'~~ ~~z-r^ .x^rh ti5 t ~ ,,.c„-~, ~+ ,~+R' £a^ ,~.^r.,--~.,,~'.~?", "--- ~ 'i i ~".` a "~-"r s i .:.`F R~euiew- ee~ .~:~ ~~.ro.~?=tai'. .. i;..:?r. t {~-rrcr..T1 `IQe t'~.7[ natures. ~,, ~~,... ~ ,~ ...~' ,_,>:I*h€N £^',i~,>~k.,;'4i ,.. _P .....9~.y~..y.,~,., ®ther Agency Review or Permit Required Review or Receipt of Permit Verified By ®ate Florida Dept. of Environmental Protection Florida Depf. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATi ION STi ATIJS Reviewing Department (Circle one.) BUILDING PLANNING & ZONING TRE/E~ADMIN. P lll~'~ Il~~-IVO Ra4Ss~ PUBLIC SAFETY FIRE SERVICES Revised 05/14/09 APPLICATION NUMBER (ro be assigned by the Building Department.) /D- Q~~7 Date routed: ~ ~' ~~iG F®~~dl ~e ruvent review required Yes No Bu' nm Zoning Tree Adminis ra or Pub' or ti(it' Public Safety ire Services Public Utilities Plan Re~c~iev~T Comments Date: '~~ 3 b)) 0 Initial . Project lame/Address: ~ ~ ~ m7~1.~p0~L1` ~ Application Permit #: 1 b'bQ~`1 Application Trackiing Comments to add ~:C+omment Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig il'necessary. if field coordination is needed, call 247-5834. Ensure all meter bo~.es, sewer cleanouts and valve covers are set to grade and visible. ~ A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete boy with metal lid. Cleanout to be set to ade and visible. ^ A reduced pressure zone backflow preventer must be installed .if irrigation will be provided or if there is a private well on the property. Bacl~low preventer must be i] tested by a certified tester and a co y of the results sent to Public Utilities. Plans note the building will be unsprinLled. If plans change, any fire line installed must be metered with a Senses touch-read meter in a properly sized vault and au appropriate bacl~low preventer installed. Bacl~low preventer must be tested by a ~ certified tester and a co of the results sent to Public Utilities. lffire sprinkler system is provided, contact lUlalcalm Clemons at 247-5$3~ for bacl~low requirements. At a minimum, will rewire double check bacl~low L1 reverter. Fire Imes must be metered with a Senses touch-read meter. Meters larger than 2" must be installed in a vault as noted in JEA s ecifications. ~ D 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 REPLACE FUEL CANOPY ---------------------------- Owner THE PANTRY, INC. 501 MAYPORT RD. ATLANTIC BEACH FL 32233 10-00000827 Date 7/13/10 501 MAYPORT RD COMMERCIAL OTHER TO BE UPDATED 18350 -------------------------------------- -------------------------------------- Contractor ------------------------ CARR-TECH INDUSTRIES INC. 5988 COLLINS RD JACKSONVILLE FL 32244 (904) 771-2340 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc WIRE 8 CANOPY LIGHTS Permit Fee 90.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/09/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2004 FLORIDA FIRE PREVENTION CODE 2005 NATIONAL ELECTRICAL CODE Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834. Roll off container company must be on City approved list and container cannot be placed on City right-of-way. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90.00 90.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 90.00 90.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORH)A BUILDING CODES. JOB ADDRESS: ~~ PERMIT # 10 ~ 066 ~ ga~ NEW SERVICE ^Overhead ^ Underground ^ Underground up Pole Residential (Main) Service 0-100 amps ^ 1 O 1-150amps ^ 151-200amps ^ amps # of Meters _ Commercial (Main) Service ^0-100 amps U 101-150amps ^151-200amps ^ amps ^CT Service Conductor Type Size (:]Multi-Family (Main) Service 0-100 amps [~ 101-150amps ^ 151-200amps Cl amps # of Unit Meters ^ Temporary Pole ^ amps SERVICE UPGRADE ^ amps ^ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ^ 100 amps ^ 150amps ^200amps ^ amps ^CT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-IOOamps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS Swimming Pool ^ Sign ^ Smoke Detectors Qty ^ Transformers KV A ^ Motors FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts/amps _ VALUE OF WORK $ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can ^ Safety Inspection l ^ Panel Change ^ OH to UG 'Other: ~iC'2r C~ ~Ja~~.~o`~ ~~oP~1 l-n~,`nT amps hp Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. [hereby certify that 1 have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name ~~ ~ar1-I'-~`/ } .^ f1 C Phone Number ~C)u_ ~-{~o`ti 'l~oC~ Electrical Company ~C~O~~p' L.1~C~CY"i (' ~ ~~ ~ae~Scnv'~~~~ Office Phone~0y-'~$ID~iRg~ Fax ~~U-~rb l~ y~8~ Co. Address: (~ S~~ '~ r'e~ ~~C'. City JGC..,~Sbt~~t~~e- State~L Zip~~~~~ License Holder (Print): ~ State Certification/Registration # ~t~(~0(.0~'1 Notarized Signature of License Holder//IUD /~~y v ~--~'" ~ worn an su scrl e e ore met is ~~'q~ ~ NAMfCY LYNN MCDVWIEL :~,C~ommi~ion ~ D06166~45 r 1=xpi~ Ncwember Z0, 2010 ignature of Notary Publyel_-~ awew r~ ny Rs„ ~, a.awiao ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 ,~~ day of 20~