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Permit Siding 85 W 9th St 2010 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001284 Date 10/25/10 Property Address . . . . . . 85 W 9TH ST Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5878 ---------------------------------------------------------------------------- Application desc siding ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MARIAH HOMES, INC. THD THE HOME DEPOT AT-HOME 9428 BAYMEADOWS RD SERVICES SUITE 120 207 KELSEY LANE SUITE K JACKSONVILLE FL 32216 TAMPA FL 33619 (813) 402-3700 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 80 . 00 Plan Check Fee 40 . 00 Issue Date . . . . Valuation . . . . 5878 Expiration Date . . 4/23/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check Total 40 . 00 40 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 124 . 00 124 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION S,Z�S �7 CITY OF ATLANTIC BEACH ,(j; 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904)247-5845 Job Address: dg.!�t,/ Rl h s . ;c- rg-01� R 3Z2-73 Permit Number:' /� y Legal Description 10h-Sy %-OS`a9l - 110 0MCU Kc Parcel# ( Ooo Valuation of Work$ 5t-�00 Class of Work(circle one): New Addition terati Repa' -�4 emolition pool/spa window/door Use of existmg/pro sed structure(s)(circle one):, ommercia Residenti If an existing structure,is a fire sprmkler system installed?(Circle one): o N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: Cis '"0 4E. l I 'b uareS _ Property Owner Information: Name: Address: f�r W ,j'4— 4j4k 'KP., City l StatedZip�L Phone 9'6u� �, g d Z-- E-Mail or Fax#(Optional) Contractor Information: THD At-Home Services,Inc. Company Name: 207 Kelsev Lane Suite,K Qualifying Agent: x�Si� Address: Tampa,FL 33619 City —� State Zip Office Phon o Fax#Cgi3) to3o-4t►Q) State Certification/Registration# (JI WFORCODEeo ­­1 Architect Name&Phone# Engineer's Name&Phone# A Fee Simple Title Holder Name and A ress DITIONAL Bonding Company Name and Addres ONS. Mortgage Lender Name and Address REVEEWED B • YI - — - Application is hereby made to obtain a permit to do the work and instal at:ons as i 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 a pertod of six months at any time after work is commenced. I understand that separate permits must be secured for Electrical Rork,Plumbing,Signs, Wells,Pools, urnaces,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 IMPROVEMENTS 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 plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether sped ied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor ,0-�- Print Name .0j..1 .. . [ /. .)2 ......................... Print Name x���e....... ur �a�..!................................................ Sworn to and subscribed before me Sworn to and subscribed before me this Day of X20 this Day ofC�h ,2010 Notary Public Nq�`D ALLENiREEDY1611 fltaryb 1c SAMANTHA KAAA INnryr„ Comm#DD0847844 NOTARY 01.261.10 STATE OF Expires 12129/2012 a Comm#EE017867 ,c Florida Netery Assn,,Inc Expires 10/25/2014 }}{}I►{ #.}}.......•}}}►}}!}}}IRIiiliiii•...1 Doc # 2010246578, OR BK 15404 Page 2047, Number Pages: 1, Recorded 10/21/2010 at 11:47 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 2 This Instrument Prepared By, THD At-Home Services 207 Kelsey Lane,Suite K Tampa,FL 33619 p- NOTICE OF COMMENCEMENT / Permit No. EC) t Tax Folio No.IOU, toxo State y Flo a # 5a iso$, County of V THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement: C� 1.Description of pro (le description of property,and street address if available) car 11b4 �8-age mo ; 1 _j6ftti }� 2.General description of improvement:_ �� S'3.Owner information I- (a)Name and address: (b)Interest in property: N. (c)Name and address of fee simple titleholder(if other than owner): 4.Contractor (a)Name and address: THD At-Home Services,Inc 207 Kelsey Lane,Suite K,Tampa,FL 33619 (b)Phone number: 813-402-3700 5.Surety (a)Name and address: (b)Amount of bond 14. (c)Phone number: 6.Lender (a)Name and address: (b)Phone number: N 110 7.Persons within the State of Florida esignated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: (a)Name and address: (b)Phone number: N16 8.In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(lxb), Florida Statutes: (a)Name and address: (b)Phone number N 9.Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF CONRAENCEMENT 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. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WO OR RECORDING YOUR NOTICE OF COMMENCEMENT. Sigr wuic-of Oiwm of Owner's Aiahoriaed OffiarlDi actor Parmcvmanw Signatory's TiddOffix The poregunig iastrriment was acknowledged befom me& day o b o by Arcs 'L (nano of person)as L7Ln rim (type of authority,a.g.off cer,hustee.attorrwy in fact)for (name of party on behalf of whom instrument was executed). rfruurrrrNrurrr.rr...rrr.ru..nnu.u.5 ;;���/:� _O� � �� �p0 pALLENREEDY 'VignatrreofMotery P6bhc–State of Florida ' Comm#OD0847844 Personalty known—or Produmd Ides on_ Expires 12/ ?rte w.r�.w to Section 92 525 Florida Statute• Rlodde Notary.,Iric a Under penalties of periuiy;•1tl Elilt!'Ek#YEIgddYd!![f illt'Ibl�g3SSg and that the has stated in it are true to the best of my knowledge and belief. rgnature o on ignmgm Lina 10)Above Revised 7!1!07 ��---� �> V' uu Branch Office: HARDIE SIDING SPEC SHEET spec sheet#:�7 L( DESCRIPTION OF WORK Branch#: J Job#:_ s -�'�"'{ �( Customer Name: t-_rj � -' Home Phone#: Z l , t � Installation Address: Work/Cell Phone#: Siding Drop Location: c,V ,121e _.o�aae DumpsterLocation: .- HARDIE SIDING SOFFIT/FASCIA/FRIEZE BOARD/TRIM/DENTIL MOLDING Indicate areas to be: SIDING Circle H for Hardie,V for Vinyl,or P for Paint&indicate applicable areas Indicate a plicable aterials S�_— Paint Only Select Cedarmili Sierra 8 Front Left Back Right Other Areas Frontront Select Smooth Stucco Soffit&Fascia: H V P Left Left Beaded Cedarmill Straight Edge Soffit Only: H V P Back Back Beaded Smooth Staggered Edge Fascia Only: H V P Right Right Colonial Roughsawn Rounds Frieze Board: H V P r; Other Trim: H P Fascial Frieze/Trim Dentil Molding: P Other Rustic'= Smooth= 'Available ONLY in GA&TX REMOVE 2"D LAYER= WINDOW&DOOR TRIM?SASHES PAINT ONLY Indicate Type of Siding removed TRIM SASHES' Circle H for Hardie,V for Vinyl or P for Paint&indicate#of Frames #of Sashes #of Items Aluminum #of Fram s Window/Door n !l Knee Braces Vinyl/Wood j -. Window/Door: -H,' V P - Single Garage/Pali Door °/!�'-"�- Door Surrounds 'ONLY where new aiding is to be installed. Single Garage/Patio Door: H V P .r-fir Double Garage Doo l; Bay/Bow Caps Asbestos siding and Stucco will not be removed Double Garage Door: H V P 'ONLV IF frames are painted. Chimney Caps° 4 Painted in Black enamel ONLY GUTTERS REMOVE&REINSTALL ACCESSORIES New Gutters #of Items #of Items Paint New Vinyl I New Vinyl Tuck Coil Under Storm Windows _ Awnings :Up to 8' Gable Vents Gable Vents Shutters Paint Existin Storm Doors' \j Awnings': Over 8' #of Vents #of Vents #of Pairs Remov'5 tl. Burglar Bars° I \ A/C Units Rectangle Raise -/ Octagon Louvered s ONLY if S&F is covered with Vinyl c Burglar Bars can be removed,but not reinstalled. 'Fabric awnings will NOT be removed. PORCH CEILING' PORCH POSTS IRAILINGS/SKIRTING Indicate selected material Indicate area(s)to be painted Plywood-Sped the locations: Hardie n Posts Vinyl'::," Railings Dimensional-Specify the locations: Paint Skirting 'Beams are not included in price for Ceiling 'ONLY if Soffit 8 Fascia is vinyl COLOR SPECIFICATIONS �- -� For AREAS to be PAINTED: Indicate LOCATION by entering color CODE in applicable row ,�•,� " •j 7,/,��' f For AREAS to be covered in VINYL: Indicate LOCATION by entering color NAME In applicable row r Gutters I Sid'n - Shakes I Rounds Soffit Fascia Frieze Corners I Tr m Dentil Molding Downspouts Window Frames Accents Front Left Back Right Door Frames Door Sashes Knee Braces Door Surrounds Bay I Bow Cap Paint Gable Vents Vinyl Gable Vents Vint Shutters Porch Ceiling Post I Rail/Skirt Front Left Back Right SPECIA 'CONSIDERATIONS Jam/ lt:-e i,_ I have reviewed and agree with the job specifications described above,and I have reviewed and agree with the Special Terms and Conditions listed on the reverse side of the yellow(Customer)copy of this Spec Sheet. If rotted wood is discovered AFTER removing the existing siding,or if it could not be identified at the time of sale, there will be an additional charge of$4.00 per Sq.Ft.for Plywood and$5.00 per Lin.Ft.for Dimensional Lumber. Customer Signature: Date: 03-17-06 SFC-S-H White Copy-The Home Depot Yellow Copy -Customer Pink Copy-Sales Consultant c Railings m x w / c N a Posts 1v x Chimney Caps a Paint a Existing IL Bay/Bow Caps Vin i c Y ru O H Z Door Surrounds Hardie c .5 O 3 Knee Braces 5;�j P to o vi a c z 0 U � Paint u ` Existing oc -- a a0 Vl m N � - °r a a B Vinyl U j O < v vJl 3 2 0 O Hardie Paint Exisitng VPI' Gable Vent. CJ i D Paint G oo Existing '�` A/C Units to u- �"\ m `o " Vinyl / ?i m Over B' N Hardie l �a eJ t N Up to ft' Z G _ W K Paint os o Burglar W Bar. Existing 0 9 (Remove or :: o Lu only) O Q c Vinyl w Storm ��1 U — Doors s.� Hard Storm Windows R7 LD N RenwYe 2nd Layer of p Z d Siding(Sq.Ft.) Q Dimensional 3' tri Q . O (Lin.Ft.) ZO w 5 o F w lu IL w Paint Dentil Molding q }PlywoodC O = w (LIR.Ft.) (Sq.Ft) !� X w to Z LL Y F J , U O cU S Q F- F O CJ C Q N 0 m ~O 2 LL U = Q J LL F- M ul J m a O V Q rn a � 4 � aa ; « ; � ` I o � � . ƒ | { } � \ � } ) � � ) ■ § � \ > ! | k | . � t - . � & - . ¢ !! ! X22 2 ��§ u TIT � / Jill MilillillI- . � § ' � �5 { . i / § � 79 — r ^ & � { � | } - �\ � } k k ~ �� ^ ■ } ) � )� / ) § \ �} g #; r, J M I A M I•DADE MIAMI-DADE COUNTY,FLORIDA _ METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) James Hardie Building Product,Inc. 10901 Elm Avenue Fontana,CA 92337 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 AHD 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:Hardiplank,Cemplank,Hardipanel,Cempanel,Hardisoffit and Cemsoffitt APPROVAL DOCUMENT: Drawing No.HPNL-8X,HPLK-4X8&HSOFFIT-8X,titled "Hardipanel& Cempanel;Hardiplank&Cemplank;Hardisoffit&Cemsoffit Installation Details",sheets 1 through 3 with no revisions,prepared, signed and sealed by Ronald Ogawa,P.E.,dated 04/02/04, bearing the Miami-Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING:Large and Small Missile Impact LABELING:Each unit shall bear 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 renews NOA#02-0729.02 and,consists of this page,evidence page as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M.Utrera,P.E. NOA No 07-0418.04 Y Expiration Date: May 01,2012 Approval Date:May 31,2007 Page 1 James Hardie Building Products,Inc. NOTICE OF ACCEPTANCE: EVIDENCE PAGE A DRAWING(submitted under NOA No.02-0729.02) 1. Drawing prepared by James Hardie Building Products,Inc. titled"Hardipanel & Cempanel; Hardiplank&Cemplank; Hardisoffit&Cemsoffit Installation Details", drawing No HPNL-8X, HPLK-4X8 &HSOFFIT-8X, dated 04/02/04,with no revisions, signed and sealed by R. L. Ogana,PE. B TEST (submitted under NOA No.02-0729.02) Laboratory Report Test Date Signature 1. ATI-16423-1 PA 202& 203 03/18/96 A. N. Reeves PE. 2. ATI 16423-2 PA 202&203 03/18/96 A. N. Reeves PE. 3. ATI 16423-3 PA 202 &203 03/18/96 A. N. Reeves PE. C QUALITY ASSURANCE 1. Building Code Compliance Office. D MATERIAL CERTIFICATION(submitted under NOA No. 02-0729.02) 1 Standard Compliance (ASTM C-1185) issued by ETL Testing Laboratories on 05/09/95 signed by D. K. Tucker, PE. 2 Evaluation Report NER-405 issued by National Evaluation Service, Inc. on 01/01/93, with no signature. E STATEMENT (submitted under NOA No.02-0729.02) 1. No change letter issued by James Hardie Building Products,Inc. issued on 02/16/99, signed and by J. L Mulder. 2. Power of Attorney and Appointment of Domestic Representative, signed by P. Shafron on 04/17/02, Assignment and Memorandum of Assignment signed by T. P. Dolmans on 04/16/02 and Assignment for the trade marks of Cemplank, Cempanel and Cemsoffit to the Assistant Commissioner for Trademarks signed by V. Lester and P. Shafron on 04/18/02. E OTHERS 1. No change letter issued by James Hardie Building Products, Inc. issued on 04/02/07, signed and sealed by Chad Diercks,Technical Services Manger. 2. Engineer of record letter issued by Ronald Ogawa &Associates, Inc., dated April 3, 2007, signed and sealed by Ronald I. Ogawa,P.E. oa—z;;� Carlos M.Utrera,P.E. oduct Control Examiner NOA No 07-0418.04 Expiration Date: May 01,2012 Approval Date:May 31,2007 E-1 a,UtiW JZq yam. p?ao ¢Vl¢ wZNP OS ZU ul,2 a Q,i' tld p ZW E jm4 N wZ, 3Nw ooh O ul rE7p pq1 �4U W ELU d b dwW JO_.YJ C7J ¢ Cayy Z(n D_da JU¢�` �JO �a�d Q� u ¢uo 3¢UWZ ''rrn oc, rv\i zc�o N¢z d y¢ E m r F Orn W o Z tl vt i� K owo J um aui'3 3 N ca �wuw r¢-maW Q us uI L d JpZr Joo c oo� c ®O 4 Za8 C da z dmIn ¢Z w w '0'F- .: KR ci Wh- ❑ "n L i W J W L d d r O a 3 W Z ¢ d 'V OS. 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O3 o U L tl L C s t O U H Zy4 d�4LI L itl+ Q ray �j n'a N L W >4'`�' Oto' C] L.1 q t a, a E g L -O L N N N OJ 3 aa3+ O ' amoX( uiv mu = as o a-5vm\o o o_oma?°o \uQ =I u 0..431f1#Ea3S u. NQZ �x p.© N P ru U \ K QZ p >Q N� W OWw oPgP< �.l g+ r jy m Q C �U H w u W m a LJ W LipiJ"4. NN 13i1 gZNQ 3Jq=O a l D In �CQo W 9 od Q y m $ Q Ca 1 0 C mi¢Z0: n0L'�,-o �.v. Jw^� o3�zWz i' a�cco sv ua'aa ¢�<w 3Yr'_iaZ 4c ~\ ZC xQW oEQa ', a.��n ZWs oo w� °r ;'`ti'.'- �v.0 La L mow« oos NWI-O •._<m mie W E U v_,- Ny,. q O JSq W �- a U �u yob w < w aVJitJ �m� �o€ q¢g L d C� 0_' Q..p_.x W J(Y. `� C2 rOr LN, ZJW N JpZ =aa=Qx . QZ �-- .�Z..t,4 COSL W C N v aZp W W SND:~ go v Tr-� 4 Vtai'' p O d° W d.O. ti w Z Ua d U+' �L lJ dam N j~JO ZNJW Q^ D'^QZW Li d ax d_ E N3vi q,.,3f z...3?N 2=mow z W L - - - - - - - - - -- � z ¢ W - J ~ - - - - - - - - - Q 7Q Q a F] < ¢U - — — — — — — — — — c I ujo � w z 17 3 E S O 4 v C W d d N L E L p I I xaNNoa Eo v uL 6 N N U Q O a 0 O w N 6 4 E ho C C�. C N V-- ;_0=Oa4S�0 O)7i U E E Z W C ;m W a O W N ° w Lv �N�naaza C s O uC ma ° i a y °+C s L L�m \ a o — — — — Qo3+.e=y - � N ;L 0i4 u d O ~_ 0 O O&1 C P a U S d }UI V d a+ O 1+Vi �3 15- a� City of Atlantic Beach APPLICATION NUMBER s o� Building Department (To be assigned by the Building-Department.) r 800 Seminole Road /A "� O r� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 Date routed: d P oil E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 0 a+ 2TV If lFireServicesF7 ent review re uired Yes No �/�,� rnF &Zoning Applicant: inistrator orks Project: tilities afety ices Review fee.$ Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑ Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: Date:/V d �© TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [-]Approved as revised. ❑Denied. Comments: I Reviewed by: Date: Revised 05/14/09