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Permit 298 13th St canopy over garage 2011 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 11-00001625 Date 2/08/11 Property Address . . . . . . 298 13TH ST Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ---------------------------------------------------------------------------- Application desc canopy over garage, stair and lattice repair ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AMERAULT E & R ENTERPRISES OF NORTH FL 2628 WEST END ST. NEPTUNE BEACH FL 32266 ATLANTIC BEACH FL 32233 (904) 270-2185 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50 Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 8/07/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Silt fence not required. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 ENG REV PRE APP > 3 HRS 25 . 00 STATE DBPR SURCHARGE 2 . 00 UTIL REV PRE APP >3 HRS 25 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 . 50 37 . 50 . 00 . 00 Other Fee Total 54 . 00 54 . 00 . 00 . 00 Grand Total 166 . 50 166 . 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)247-5826 Fax (904) 247-5845 Job Address: TO CTRfc' r Permit Number: Z 16 Legal Description 15- t - S -c2qTl.A4TK- ". PR-KParcel# oor Area o t.q, Sq.Ft Valuation of Work$ 5' so Proposed Work heated/cooled no ated/cooled Class of Work(circle one): New Addition Alteration Re Move Demoliti ool/s�a r Use of existing/proposed structures)(circle one): Commercial SEB If an existing structure,is a fire sprinkler system installed?(Circle one): Yes o Q N/A 171-zQ�� Florida Product Approval# y For multiple products use product approval orm Describe in detail the type of work to be performed: Bu%L Cp►e-bPy o%lta.'R. CwAt2a4 ROW%P, S�-M%Q LA&jN N4 A"QEPL# --E t-dTTlce viq%P- - tlNbM Faoo1T a^I- w Property Owner Information: Name:.AtAk f C-*T"Y AvMiz-2AU t 1' Address: 29 S 1314 Zi 14'rL-A..L ft C- SC-4 3's.L33 lity A.%. Stateft-Zip 32-'1,3S Phone 50 q- 270 - Z8&0 E-Mail or Fax#(Optional) Contractor Information: Company Name: E4R. E ATERPWGA eF Aaig ) fL.Qualifying Agent: Ebur 10L P%311SAA C-4 Address: 2G,2.$ W15ST ENA ST City ATLA^t'TtC- BCH State FL- Zip 31233 Dffice Phone 7-70 -24 a 5 Job Site/Contact Number bQ b - 5fo 5(P Fax# 2 0- at 19 9 State Certification/Registration# C Gt IG 150 415;6 Vchitect Name&Phone# S`rt ve 1.-14 2.0 34 3. 07.5.1(.0 ?ngineer's Name&Phone# %.%AL L4M= �1 34' 35 gee Simple Title Holder Name and Address 3onding Company Name and Address vlortgage Lender Name and Address 1pplication is hereby made to obtain a permit to do the work and installati�ns as indicated. Icer#fy that no work or installation has commenced prior to the ssuance of a permit and that all work wi"' l be performed to meet the standarof all laws regulating construction in this jurisdiction. This permit becomes null end void tf work is not commenced within six(6)months, or if construction work is suspended or abandoned for a penod ofsix(6)months at any time after vork is commenced I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Seaters, ranks and Air Conditioners,eta 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. hereby certify that I have read and examined this ph ation and know the same to be true and correct. All provisions of laws and ordinances governing this pe ) work will be complied with whether sped ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the rovisions of any other federal,state, or local law regulating construction or the performance of construction. � G, TA c. P4a ignature of Owner S144ure of Contractor 51 rent Name G r4T_- ------------•---/ uVT...........................:. CZ.P.x Name _1�AW. _..............C'......... yPN..................... wo b fo e e MTWd befo•e uS r%t ]p )ax o20 /� ota:�• u is tate oI Fiori of Public S 1 { 1 11bYQ�rE o - 13C7;. RE I FORA .,,..:a; ci- MENTS AND CONDPrTONS. � ^^lMised 01.26.10 REVIEWED BY: /r DATE•a'/_1/ - t NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. 11- 16-25-� Tax Folio No. state of County of To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and In accordance with Section 713 of the Florida Statutes,the following information Is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: 15— 0.3 1(o -a,9' 1►a C' Address of property being improved: oZ Of 18 1-3 s1. ATS r4TtC Sc." FL. 3Z�-33 General description of improvements: CAe4oPY OVW"T-L !qAP—Ad2tE BOOR. Owner JIM 4 C ATH Y A A/11�"' Alit 'T Address ZC16 1-t ST gTL.Av TCC_ Se-14 FL.. 37-233 Owner's Interest in site of the Improvement Fee Simple Titleholder(f other than owner) Name Address Contractor ADW toi or-MAC—µ' C R 21S 1.S ofiWe7ff F1..02tOo- J Address 1240_14b yJI—=-r19 10. ST.- f-TLA d%`rte— FL.. 3223,3 Phone No. Fax No. WW Surety(f any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided In Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date Is specified): THIS SPACE FOR RECORDER'S USE ONLY WNER f Signed TE I 4 Before m Phis �..Innb� Coon et.S ata of I a ,h. Ily Z IJ himself/herself and affirms that all statements and declarations herein are true and accurate JCC FF 20'i U201 34,UP bk 15496 gage'l 220, Number Pages: 1 r a. Recorded 011 2612011 at 11:11 AM,COURT sston expge, a a.µ,'� � JIM FULLER CLERK CIRCUIT CORT DUVAL onaltytcn c Y tan+rno s�nT1S'L+6F?B r o� COUNTY anthication zr trec C 1 t 1�}i,1:9 RECORDING$10.00 _,...._._..............- -- vS � ,*�•,m a, a,a,.+.+ s _......-- - -....... 5 ' Julius Lee RE: 359047- 1109 Coastal Bay Blvd. Boynton Beach, FL 33435 Site Information: Project Customer: Amerault Project Name: 359047 Model: Canopy Lot/Block: Subdivision: Address: 29813th St. City: Atlantic Beach State: Florida Name Address and License#of Structural Engineer of Record,If there Is one,for the building. Name: Lee, Jae Yul, PE License#: 31276 Address: 10381 Cypress Lakes Drive City: Jacksonville State: Florida General Truss Engineering Criteria&Design Loads(Individual Truss Design Drawings Show Special Loading Conditions): Design Code: FBC2007/TP12002 Design Program: MiTek 20120 7.1 Wind Code: ASCE 7-05 Wind Speed: 120 mph Floor Load: N/A psf Roof Load: 32.0 psf This package includes 1 individual,dated Truss Design Drawings and 0 Additional Drawings. With my seal affixed to this sheet,I hereby certify that I am the Truss Design Engineer and this index sheet conforms to 61G15-31.003,section 5 of the Florida Board of Professional Engineers Rules. This document processed per section 16G15-23.003 of the Florida Board of Professionals Rules In the event of changes from Builder or E.O.R.additional coversheets and drawings may accompany this coversheet.The latest approval dates supersede and replace the previous drawings. No.E2209 Truss Name Date E1 14612209 T01 1/31/011 The truss drawing(s)referenced above have been prepared by MiTek `\Owl � St i t/,/ Industries,Inc.under my direct supervision based on the parameters provided by Builders FirstSource(Jax). r=rrsF' Truss Design Engineer's Name: Julius Lee 'No 3486 * '_ My license renewal date for the state of Florida is February 28,2013. * = Lu NOTE:The seal on these drawings indicate acceptance of ; p tV professional engineering responsibility solely for the truss STATE of _ components shown. The suitability and use of this component '' FtOR!Dfor f designer,per ANSI/TPI-articular 1 Chapter responsibility is the of the building ���/V"Oiyl l 1 tMary 31,201 I I of I Julius Lee JobTruss rasa TYf» � i4ef22o9 359047 TOi kfOrIOTRU38 8 S au8den Pessaorrrce,Jadcsarvge.Fl 32244 7.44 S Oat 12009 MReference itek tndm Im i x.Mon Jan 3115:4757 2611 Pagel 1-On i-&a 3.OA s Scale=MO 3x5 11 4 2x1\N 12.00 12 3 1 !� 2 V $$ B1 2x6= e 1 0 3x4 rr 3�Oa-0 I Plate Offsets : 12-0-&2,0-1401 LOADING(psf) SPACING 2.0.0 CSI DER in (los) 1/deft lid PLATES GRIP TCLL 20.0 Plates increase 1.25 TC 0.17 Vert(LL) 0.00 6 n/r 120 MT20 2441190 TCDL 7.0 Lumber increase 1.25 BC 0.11 Vert(TL) 0.00 6 Nr OD BCLL OA Rep Stress incr YES WB 0.03 Horz(rL) 0.00 n1a nta BCDL 5.0 Code FBC200711PI2002 (Matrix) Might-20lb LUMBER BRACING TOP CHORD 2 X 4 SYP No.2 P TOP CHORD Structural wood sheathing directly,applied or 3-"oc purfins,except BOT CHORD 2 X 4 SYP Not and verticals. WEBS 2 X 4 SYP No.3 BOT CHORD Rigid calling directly applied or 6.0.0 00 bracing. MiTekrecommnds that Stabilizers and required cross bracing be Installed during buss erection,in aocordancewith Stabtiizer Installelign aulde. REACTIONS Obtsize) 6=41Mechanical,4-1131 Mechanka1 Max Horz 6=292(LC 6),4=155(LC 1) Max Uplif S--32(LC 6),4=-134(LC 0) Max Grav 6-64(LC 2),4a1185(LC 1), FORCES (lb)-Max.CompJMax.Ten.-AN farces 250(Ib)or less except when shown. TOP CHORD 2-3=-2eWI90,3-4=-2501239 BOT CHORD 2-6-1141372 NOTES (10.13) 7)Wind:ASCE 7-05;120mph(3-second gust),TCDL=4.2psf;BCDL--3.Opsf;h=t8ft;Cat.ll;Exp C;enclosed;M1NFR5(!ow-rise)and C-C Extedor(2)zono;C-C for members and faces 8 MWFRS for reacito is shown;Lumber DOL-1.60 plate gdp DOL.1.60 2)This truss has been designed for a 10.0 psi bottom chord live load nonooncurreat with any other five loads. 3)'This truss has been designed for a five load of 20.0psf on the bottom chord in all areas where a rectangle 3.6-0 tall by 2-0.0 wide will It between the bottom chord and any other members. 4)Lumber designated with a IF,is pressure-treated with preservathies.Plate lateral resistance values have been reduced 20%where Moisture content In the umber at time of fabrication shIn this lumber.Plates should all notected from exceed19%c.Borate or othersion per the recommendation treatment may be used if fment ent does of corrode the plates. If ACQ,CBA,or CA-B treated lumber is used,improved corrosion protection is required,and G185 galvanized plates may be used with ��� V S S•r\ /// this design.Incising factors have not been considered for this design. Building designer to verify suitability of this product for lis �� �r`.•'\GENS'• �� �/� Intended use. ��•' 5)AN bearings are assumed to be SYP No.2. 8)Refer to girders)for Cross to truss connections. * NO 3 9 * �_ 7)Provide mechanical connection(by others)of truss to beating plate capable of withstanding 32 Ib uplift at joint 6 and 134 ID uplift at N nt 4. 8)Non Standard beating condition.Review required. 0)Gap between inside of top chord beating and first diagonal or vertical web shall not exceed 0.5001n. w 10)This manufactured product is designed as an individual building component.The suitability and use of this component for any Particular building is the responsibility of the bu0dSTATE OF designer per ANSI TPI 1 as referenced by the building code. T 11)For special connections with reactions or uplifts less than 300 lbs.Use typical tae-nag connection(refer to BFS detati package) % ORION.- 12)Truss Design Engineer.Julius Lee,PE:Florida P.E.License No.34869:Address:1109 Coastal Hay Blvd.Boynton Beach,FL 33435 SS, ••-..• ``� LOADCASE(S) Standard //v//OMA''`N\ Januay J1,2011 ® WAAAYI•a-Vir4Jir deeten parasrsrrers and ASHD SOT6S QY 7AlS AHo tN('117DSa rO9Lrl APiERENCAPAQ&Erw49J998EYOJt6 UaE. Destpnvorcd war ue only w%hmirok comectas.7Ns dedpn Is bcsed orsty upon parameters stw m ondb for m irsfividual bukfi g corrpotumt. .10us Lee • App9cob3tyofdesr6nporanentenondpropw isax•porolbnalcomponentbrmporuklyolbukfMdeoWw-mlh"des'grser.emckg sha+,n R• blorbterWxppodof"exRvkWwebmembenonly.AdWriasdtemporaybrocigu tokeestobttydu"co bucrianbtherespOrabOalyofUm "af oosL3343 sFvd. ereclor.Add%onol permanent brocirV of the overall Wctue b the rmpombmy of the butdkrg deowwr.by gemrol gtAk r ee regasp �'cS k bA'ca%om quct9y control storow.dolvery,wectlonanci bmckg.cormAl ANUMIt Quolly CAeda,DSS-89,and 5011 luWtap Component Solely nnfosmc%on ovoioble Mom Inns Pole ea%hAe.583 rYOrwMo Drive.Madam W153719. Symbols Numbering System 44 General Safety Nous l i PLATE LOCATION AND ORIENTATION Failure to Follow Gould Cause Property 11 j � Center plata on joint unless x<y offsets are indicated. 6-4$ dimensions shown in ft•in-sixteerift Damage or Personal Injury Dimensions are in ft-iri-eWeenths. (Drawings not to scale) Apply plates to both sides of truss 1. Addifionol stability bracing for tans system e.g. and fully embed teeth. diagonal orX-braeing,Is always required.See BCSit. T „ 2. Tens bracing must be designed by an engineer.For 3 wide truce spacing,individual lateral braces themselves may require bracing,or attemotive T,L or Efminotor " TOP CHORDS cr.s asci brachg should be considered. �g WEBS q, 4 3. stock materials on na%cluctoly braced never a 4. Provide copies of this truss design to the building For 4 X 2 orientation,locate O u r O designer,erection supervisor,property owner and Oates 0.14e,f m outside U U all other interested parties. edge of truss. 0 5. Cut members to bear lightly against each other. BOTTOM CHORDS 4. Place plates an each face of inns at each .�.... This symbol indicates the $ 7 5 joint and embed W.Knots and wane at ,..... required d1reection of slots in tamtfons are regulated by ANSIfM 1. connector plates. 7. Design assumes trusses will be suitably protected from the enwanment in accord with ANS PI 1. Plate iocation detc&avaiiabie in Mtrek20/20 w"Wam or upon request. & Unless otherwise noted,moisture content of lumber JOINTS ARE GENE1tAUY NUMBERED/LETTERER GIOGKWiS€ shall not exceed 19%at time of fabrication. AROUND THE TRUSS STARTING AT THE JOINT FARTHEST TO THE LEFT. 9. Union or noted,this design is not applicable for PLATE SIZE � use with fire retardant,preservative treated or green lumber. The first dlmt nslon is rite plate CHORDS AND WEBS ARE 1FENTIFtfiR BY END JOINT � l0,Camber is a non ssfnrciurcfi consideration and is the til 4 x 4 width measured peTendiCulor NUMBERS/tETTERS. responsibility of truss fabricator.General practice b to to slots.Second dimension is comber for dead load deflection. the length parallel to slots. { 11.Plate type,sire,orientatlon and location dimensions PRODUCT CODE APPROVALS indicated ore minimum plating requirements. LATERAL BRACING LOCATION ICC-ES Reports. 12,Lumber used shop be of the species and stm,and in of respects,equal to or better than that Indicated by symbol shown and/or ESR-1311,ESR-1352.ER-$243,96048, specified. by text in the bracing section of the M0,95-43,96-31,9667A 13.Top chards must be sheathed or purls provided at output. Use T,I or Eliminator bracing NER487,NER-561 i spacing Indicated all design. 9 indicated. 95110,8432,96-67,ER-3907,9432A ' id,Bottom chords require lateral fxaaksg at 10 ff.spacing, BEARING or less,ff no ceBng Is instated,unless otherwise noted. 15,Connections not shown are the responsibility of others. Indicates location where bearings 16,Do not cut or alter inns member or plate without prior (supports)occur. Icons vary but 0 2006 MiTekS All Rights Reserved approval of an engineer, reaction section Indicates joint 17.Install and load vertically unless indicated otherwise. dumber where bearings occur. 1&use of green or treated lumbar may pose unacceptable Lee environmental,health or performance risks.Gansuft with Julius t Industry Standards: "u l i u s Lam``e project engineer before use. ANSI/TPI1: National Desjgn Specification for Metal 1109 Coastal gay Blvd 19.Rev ew of )betportions of this design ing plait" ibacXt"words Plate Connected wood Truss Construction, y and pictuucie before use.Reviswing piahmes crone Design Standard for Bracing. Boynton, 5 a not sufficient. "^ +a Component Safety Information, 20.Resign assumes monufaclLfe in accordance with "r"ctice for Handling, ANSMI i Quality C4tedo. Iftfal Plate t <`77 g S CONSULTING _ ENGINEER: / IIND)GATES PROJEGT LOCATION '# M El AN LEE J. ENGINEERING, INC JAE Y. LEE P.E. 10381 Cypress Lakes Drive, Jacksonville,FL 32256 '0 FEB0 I Ph 904-519-1934 Ce!! 904-234-3518 e -.ZQI'l =a a 4 ` ;� :� ... LAZO DESIGNS INC. AA26001396 1 � ,. "r \\ Pj 14067 Pine Island Dr. ~ Jacksonville FL.32224 TEL(904)343-2526 lazodesigns@aol.com �© SHEET CONTENT _ RcI mo LoA Do WO N L. xo�ru eon q f 5 7P �5-M E—F S►�..-r �+L-,r�Sc.>�' - r t... � -N 1 S ,o s Site Plan 1 rt_= it�nrr loZlo•5GOS40 ta. t/ _'i Io.w PRELIMINARY City of Atlantic Beach �C� APPLICATION NUMBER Building Department E1 (To be assigned by the Building Department) ` s V 800 Seminole Road �N Atlantic Beach, Florida 32233-5445 Fe® 020It Phone(904)247-5826 • Fax(904)2 ¢5 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: � F � Dejxaitment review required Yes No Applicant: ��,� Tre dministrator Project: C, 1v' mr 4 QA Q � - j ZPublic WQM Public Uf Public Saafeety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING �^ ;"C4 rU � 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 Third Review: ❑Approved as revised. ❑Denied. Comments: i Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road / Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building Date routed: } 1r City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: j am' S4";i DepArtment review required Yes No Applicant: e�� (6'a'au Tre dministrator Project: ! V'� axQ — T ;Of Public W ublic Utiliti Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date 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: APPL ATION STATUS Reviewing Department First Review: (Approved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONIN J'�".�� Date: Reviewed by.• TREE ADMIN. Second Review: [—]Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. @Denied. Comments: Reviewed by: Date: Revised 05/14/09 i,:1,yr�JCity of Atlantic Beach APPLICATION NUMBER Js r f� Building Department (To be assigned by the Building Department.) s 800 Seminole Road j el Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 l/ E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /,5;-P �:�'7"Pf� De ent review required YeV No Applicant: s 1� �� /SSS //��,�� Tre dministrator Project: l�t/VD Public W ublic Utiliti Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date 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: TREE ADMIN. Second Review: QApproved as revised. ❑D ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH - 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904) 247-5845 fob Address: Z 9 E3 3 To C Permit Number: Vr4a *b 42L legal Description 15-102 10-g3S -.29 E ATl,A41W SAH. KKParcel 9 oor Area o q.FIT. `�'t Valuation of Work$ S0—W Proposed Work heated/cooled no ated/cooled D2 lass of Work(circle one): New Addition Move Demoliti ool/sa� r Alteration Re Jse of existing/proposed structure(s) (�ircle one): Commercial iFEB I an existing structure,is a fire sprinkler system installed? (Circle one): Yes 0 e N/A 1 2011 ,lorida Product Approval# Y For multiple products use product approva orm describe in detail the type of work to be performed: 13u%%-I> CaOItOPY 0%JeVL ewARA A R044R, SiAti2 LANDS"4 Atv ReptAGE "TTIGE WOO-V— UN,DM IFd2oo4T SALLOW 'roperty Owner Information: dame:JtAk f 44 lY Aw y-P u t.= Address: 'OZ9 43 13TH Tin A'TL.+4r MC- SCO . t=t, 3zt33 ;ity A•8• Stateft—Zip 3 V-1.3N Phone qO4- 2'70 ' -28(00 -Mail or Fax#(Optional) ,ontractor Information: ,ompanyName: E 4R. EµTERQ1SGS of 40(LT14 fL Qualifying Agent: EZW 4 PV7T(3#ACV4 ,ddress: 2.6 ZO W EST 9 NO C T City AZLA eMC 864 State FL-- Zip 32-7-33 )ffice Phone 270 -248.5 Job Site/Contact Number fjQ f0 - 5(o 5(o Fax# 270' a 19$ tate Certification/Registration# C CW 0.150 415;6 xchitect Name&Phone# s-nEye "7w 3430- .15 a(e ngineer's Name&Phone# `1A W L-69 2 ee Simple Title Holder Name and Address onding Company Name and Address tortgage Lender Name and Address plication 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 suance of a permit and that all won kwzli be performed to mZt the standards of all laws regulating construction in this jurisdiction. This permit becomes null zd void if work is not commenced within six(6)months or, nstructon or work is suspended or abandoned fora period of six(6)months at any time after k is commenced I understand that separate permits mt be secured for Electrical Work,Plumbing,Signs, Wells,Paols, urnaces,Boilers,Heaters, znks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EAPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM IENCEMENT. !ereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this �e of work will be complied with whether speed herein or not. The granting of a permit does not presume to give authority to violate or cancel the ovisions of any other federal,state, or local law regulating construction or the performance of construction. gaature of Owner C/ Signature of Contractor 444& �` 1 intName G............. Y--.---....��M.t,�.Avg•r.............................. --................................---.....--.--.................. .......................... Isoub s b fo e e yr> 0 Sv s. 1 before mV f a t11 a aFlot")ry Uc 5c tae Rod 20 = Ba 'C enn Ily r r e n - Fi 81 C a Mary Public '�oF�°� rr= usrl,rzols N as r lipireaus•,v2c,:. ised 01.26.10 rf $yL�r�Jy City of Atlantic BeachC r APPLICATION NUMBER J• a Building Department Ire l � (To;be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 0 ?0,' Phone(904)247-5826 • Fax(904) +45 E-mail. building-dept@coab.us Date routed: r City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: . S�7rfi� De ent review required Yes No Applicant: e & T /SS �^ Tre dministrator Project: /ISD eJV�� ��Q ✓ PublicW Public Utilitie Public Safety Fire Services x' �r Qept�S�gnature ,t' x�yM� �� f 3 Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: JApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. P WORKS Comments: U LIC UTILI I PUBLIC SAFE Y Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: �d 05/14/09 BvaDING PERMIT APPLICATION CITY OF ATLANTIC BEACH - 800 Seminole Road,Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904) 247-5845 Tob Address: 290 1?j Tw S I i2 "- Permit Number: tlrltT *+ �- Legal Description 115-182 k a-AS -.29 E /7"u*#4iK ScH. KKParcel# oor Area o �q.Et q. 't Valuation of Work$ 5'49W Proposed Work heated/cooled no ated/cooled D � lass of Work(circle one): New Addition Alteration Re Move Demoliti ool/sa r Jse of existing/proposed structure(s) (circle one): Commercial FFB San existing structure,is afire sprinkler system installed? (Circle one): Yes o e N/A 'lorida Product Approval# Y ±or multiple products use product approval orm describe in detail the type of work to be performed: 8y%%-j> CA040Py tWkM atAMACR REPAt(Z, SitAtR LAND%"6j Atyp REPLACE LtlTTVCE W0P-W- U N DM t='avf4T SAI-GoW 'roperty Owner Information: Tame: 10-k f 6 ATHY AWXEPJ4u l i" Address: 'Z9 8 l3T_64 S T ;A-rLAY.VnG 8CO - (-t< 3zZ3� ;ity A.8. StatefL Zip 3 Phone q 0 q- 270 - .264,0 's-Mail or Fax#(Optional) :ontractor Information: ;ompany Name: E4R. E FATE 9-ASI,S eF 404TN FL Qualifying Agent: F.bbu 14 PO-nn3dA C4 .ddress: 4a ZIB W IEST END C-( City ATLA A-R C Re-4 State- FL-- Zip 317-3.3 )ffice Phone 2-70 -2-t85 Job Site/Contact Number toa(y - 5(0'5(o Fax# 2'70' a 19 43 tate Certification/Registration# C G►G 150 415;6 ,rchitect Name&Phone# s'"t*e YI: L 14 Zo �43- .15a(e ngineer's Name&Phone# `V4 L L.:G :t 34' 3 5 1b ee Simple Title Holder Name and Address onding Company Name and Address fortgage Lender Name and Address 9 ication 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 suance of a permit and that all work wall be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null ad void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a peraod of six(6)months at any time after ork is commenced I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Heaters, asks and Air Conditioners,etrw WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM IENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EVIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. iereby certify that I have read and examined th* a!plication and know the same to be true and correct. All provisions of laws and ordinances governing this ie of work will be complied with whether sped ed herein or not. The granting of a permit does not presume to gave authority to violate or cancel the ovisions ofany other federal,state, or local law regulating construction or the performance of construction. gaature of Owner �A_� Signature of Contractor 1 int Name e-AT - ......_........ y 0".t�&01. ................................. Print Name DPW l C•.........P �. .--................. vom sub b fore e Vere Sv s. b befo e m is y of 0 th' ay`oo ; 20 Ba K 'enn Ily °tar(Public State at Flori 8 81 e n C � 3taryPublic �orM°� (nr U3/'!t12013 N 41sed 01.26.10