Permit Int Alterations 100 W 1st St 2011 � CITY OF ATLANTIC BEACH
•." s) 800 SEMINOLE ROAD
- ATLANC , L
� INSPECTION TI PHONE LC 247 -58132233 4
;J11
Application Number . . . . . 11- 00002841 Date 12/05/11
Property Address 100 W 1ST ST #1 -5
Application type description COMMERCIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 17000
Application desc
FRAME INTERIOR TO MAKE 2 BEDROOMS
Owner Contractor
WATCH CARE, INC. OWNER
100 WEST 1ST ST. #1 -5
ATLANTIC BEACH FL 32233
Permit COMMERCIAL ALTERATION /OTHER
Additional desc .
Permit Fee . . . 135.00 Plan Check Fee . . 67.50
Issue Date . . . Valuation . . . . 17000
Expiration Date . 6/02/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Other Fees STATE DCA SURCHARGE 2.03
STATE DBPR SURCHARGE 2.03
Fee summary Charged Paid Credited Due
Permit Fee Total 135.00 135.00 .00 .00
Plan Check Total 67.50 67.50 .00 .00
Other Fee Total 4.06 4.06 .00 .00
Grand Total 206.56 206.56 .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: 100 si "a4ree / eta n Itc &L , FC 39., 3 3 Permit Number: 1/ -- a kW
Legal W
Legal Description 1 q' - 'Dui 'M - a5 — oZq E , hlb kf , i i c d SEC 14 Parcel #
Floor Area of q.Ft S
Valuation of Work $ 11 Proposed Work heated /cooled ( -tb (Q non - heated /cooled 5 ,3ti
Class of Work (circle one): New Addition Altera Repair Move Demolition pool /spa window /door
Use of existing/proposed structure(s) (circle one): Commercial Res' tial
If an existing structure, is a fire sprinkler system insta e . fere one): es No N /A
Florida Product Approval #
For multiple products use product approval form ji
Describe in detail the type of work to be performed: `-rte k ko ,& ( 4vr i elc,t`, 1 kdot 1 ij . erect )9 .Cif oil
Property Owner Information:
Name: s i .»,,,,",.......,..,„.,� .
ls,lr. G 1r�L kMre, GI t;,:�iict Address: 100 tkl -e,} S reek
City I aA lit, (�zctc jn State FL Zip 3)4-5 ' 7 Phone `10.1 , L IO 62t.ec .. '� p�
E -Mail or Fax # (Optional) 1 1 1
Contractor Information:
! t
Y � t
Company Name: u1`. a f ! TIC - a .
P Qualifying Agent:
Address: 5616 C-'lenc(c iit` n,ri j 51 ucc City `RIC VIA Ilati State FL Zip 3;2)-5
Office Phone 9'04 . 1530 . 1919 Job Site/ Cr ;---- _ --- ._.!_ Fax # 'OL. 4
State Certification/Registration # CGC, 0575'-1;► ! ti ,
_ _ I
�, -
Architect Name & Phone # ' ', ,,- , ' - , lali f ffiA ' t • I v ' /` I
Engineer's Name & Phone # 1 ' Y P: � p -
Fee Simple Title Holder Name and Address I _ ' RMITS FOR ADDITIONAL
Bonding Company Name and Address • th5IICEmENTS AND CONDITIONS.
Mortgage Lender Name and Address I ; - JI ,,_ , „ 14 .L A
Application is hereby made to obtain a permit to do the work an, insta a zo • . - J 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 t is — • tc ion. 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 aperied-of six 6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, 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.
1 hereby certify that 1 have read and examined thisplication 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 specified 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 \\\ `\�
Print Name "'
NT �< �+ Print Name P tru4f2J-
Sworn to and subscribed . ,mmission#DD917567 Sworn to and subscribed before me
this S Day of i .� "Y , . Expires: AUG.1 , 0
Nov
Y y ., 1 .., this I Day of +t��1 r- 20 [ 1 *1 rw f NOTARY PLBLI OF FLORIDA
�� �" ,,� Penny Parr
No r�P is Not. 4 �' u is ,; Commission #DD935578
/ - .,,,,,,•-' Expireii, P ^ - , 10
2s ..
BONDED THRU ArLAMIC tentatb.; :.
DO NOT WRITE BELOW _
pp was e of es: 11 OFFICE USE ONLY
Review Result (circle one) !ing ore W 11 • ' evasions
Approv Disapproved
Approved w/ Conditions
Review Initials /Date: /77 2 2 -
Development Size
Habitable Space Non - Habitable
Impervious area
Miscellaneous Information
Occupancy Group
Type of Construction ■_
Number of Stories
Zoning District
Occupancy Load _21_9 u po A l
Fire Sprinklers Required
Flood Zone
Conditions /Comments:
NOTICE OF COMMENCEMENT
Permit No. Wm) scV f/ Tax Folio No. ICI G'1 "G, C'c`-
State of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property (legal description of property and address if available):
lam- � - S �� X10 A+Ia �C 1 �' b `3 C t1 100 l' ..z- 1�t , 2. Geral Description o improvF 3e� nt) : 1,_, ,,,L, �: •,._ �) .,ec 1 . 1 -'1' 3. Ower Information:
a) me and Address: _ `c, 4 `'" ` - . 1 Lithe Y c b∎ L 731 ' ° :' 1 ,
b) erest in property: c) me and address of simple titleholder (if other than owner):
4. Coractor Information:
) e and Address: (0 �i �1�.a :i� �c,) . �� S5 , f= (�,�� tc�r (u ,n, ,1tj 13 tut ` 'l
b) Phone Number: cioLi ' b rr` i `i i Fc�x ( 169 . �� . �1.3� )�� � ,�,sl #
Surety Information:
a) Name and Address:
b) Phone Number:
c) Amount of Bond: $
6. Lender Information:
a) Name and Address:
b) Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Statutes:
a) Name and Address:
b) Phone Numbers of Designated Person:
8. In addition to himself /herself, Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a) Name and Address:
b) Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commencement (The expiration date is one (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 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. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
The foregoing instrument was acknowledged before me this' Chi'
day of 0 -' , 20 t
#c_ .�
G l y i C•� NOTAI PUBLIC1"TATE OF FLORIDA
Jay Drayton
�i �+ : Commission •DD9
NT(l'T ORV PTTRT - �•. ��•.. . D
4'4 ` JAA ARCHITECTURE INC.
4 00.1d n + � A 4661 KERLE ST. JACKSONVILLE EL. 32205
LIC: AR92749
a � kr a 'k ,� P: (904) 537 -3992
e x ` . ;. P E: JOHN @JAAARCHITECTURE.COM
A R C H I T E C T U R E INC
City Review Comments
Project: Almost Home Beaches
100 West 1 Street
Atlantic Beach, FL Submission No.: 01
Submitted JAA Architecture Date of Issuance: 11.10.2011
By: 203 N. Laura St.
(904) 537 -3992
Permit No: 11 -2841
Description:
The purpose of this submittal is to rovide responses regarding
P P plan review comments.
1. NFPA 101 - 6.1.1.1 Occupancy Classification. The occupancy of a building or structure, or portion of a
building or structure, shall be classified in accordance with 6.1.2 through 6.1.13. Occupancy classification
shall be subject to the ruling of the authority having jurisdiction where there is a question of proper
classification in any individual case.
Identify all rooms/areas according to intended use. — OK. See Revised 1/A1
2. NFPA 101 - 7.3.1.2* Occupant Load Factor. The occupant load in any building or portion thereof shall be not
less than the number of persons determined by dividing the floor area assigned to that use by the occupant
Toad factor for that use as specified in Table 7.3.1.2, Figure 7.3.1.2(a), and Figure 7.3.1.2(b).
Provide Occupant Load and number of licensed residents for facility. — OK. See Revised Code Summary.
3. NFPA 101 - 32.3.3.4.1 General. A fire alarm system shall be provided in accordance with Section 9.6.
OK. Existing Fire Alarm System to Remain.
4. NFPA 101 - 32.3.3.4.7 Smoke Alarms. Approved smoke alarms shall be installed in accordance with 9.6.2.10
inside every sleeping room, outside every sleeping area in the immediate vicinity of the bedrooms, and on all
levels within a resident unit.
OK. See Revised 1/A1
5. NFPA 101 — 32.3.2.2.2 Doors. Doors in means of egress shall be as follows:
(1) Doors complying with 7.2.1 shall be permitted.
(2) Doors within individual rooms and suites of rooms shall be permitted to be swinging of sliding.
(3) No door, other than those meeting the requirement of 32.3.2.2.2(4) or (5), shall be equipped with a lock or
latch that requires that use of a tool or key from the egress side.
(4) Delayed- egress locks in accordance with 7.2.1.6.1 shall be permitted, provided that not more than one device
is located in any egress path.
(5) Access- controlled egress doors in accordance with 7.2.1.6.2 shall be permitted.
(6) Doors located in the means of egress that are permitted to be locked under other provisions of Chapter 32,
other than those meetings the requirement of 32.3.2.2.2(4) or (5), shall have adequate provisions made for the
rapid removal of occupants by means such as remote control of locks, keying of all locks to keys carried by
staff at all times, or other such reliable means available to staff at all times.
(7) Only one such locking device, as described in 32.3.2.2.2(6), shall be permitted on each door.
Provide detail of all locking hardware and doors. OK. See Revised 1/A1
JAA ARCHITECTURE INC.
' w ,N,44-K% '�-' F 4661 KERLE ST. JACKSONVILLE FL. 3
g 4 d tea` a . � $ ` L1 C: AR9274B
� ' P: (904) 537 -3992
<
t & ;x
E: JONNOJAAARCNITECTLIRE. COM
A R C H I T E C T U R E INC
6. NFPA 101 — 32.3.2.8 Illumination of Means of Egress. Means of egress shall be illuminated in
accordance with Section 7.8.
OK. Existing Exit Signage to Remain.
7. NFPA 101 — 32.3.2.9 Emergency Lighting. Emergency Lighting in accordance with Section 7.9
shall be provided, unless each sleeping room has a direct exit to the outside at the finished ground
level.
OK.
8. NFPA 101 — 32.3.2.9 Marking of Means of Egress. Means of egress shall be marked in
accordance with Section 7.10.
OK. Existing Exit Signage to Remain
9. NFPA 101 — 32.3.3.5.6 Portable Fire Extinguishers. Portable fire extinguishers shall be provided
in accordance with 9.7.4.1.
10. NFPA 101 — 32.3.3.8* Cooking Facilities. Cooking facilities, other than those within individual
residential units, shall be protected in accordance with 9.2.3
Provide hood suppression system for cooking areas.
Existing Hood Suppression System to Remain.
11. NFPA 101 — 32.3.3.6* Corridors and Separation of Sleeping Rooms.
32.3.3.6.1 Access shall be provided from every resident use area to at least one means of egress that is
separated from all sleeping rooms by walls complying with 32.3.3.6.3 through 32.3.3.6.6.
32.3.3.6.2 Sleeping rooms shall be separated from corridors, living areas, and kitchens by walls complying
with 32.3.3.6.3 through 32.3.3.6.6.
32.3.3.6.3 Walls required by 32.3.3.6.1 or 32.3.3.6.2 shall be smoke partitions in accordance with Section
8.4 having a minimum 1/2 -hour fire resistance rating.
32.3.3.6.4 Doors protecting corridor openings shall not be required to have a fire protection rating, but shall
be constructed to resist the passage of smoke.
32.3.3.6.5 Door - closing devices shall not be required on doors in corridor wall openings, other than those
serving exit enclosures, smoke barriers, enclosures of vertical openings, and hazardous areas.
OK. See Revised 1/A1
,JAA ARCHITECTURE INC.
'05#44,-;WO. 4661 KERLE ST. JACKSONVILLE FL. 32205
r LIC: AR92749
•' - r., r "' a': dk I` P:19041 837 - 3992
E: JOHN @AAAARCHITECTURE.COM
A R C H I T E C T U R E INC
AAA
12. NFPA 101 - NFPA 1- 11.1.7.1* Means shall be provided for the fire department to disconnect the
electrical service to a building, structure, or facility when the electrical installation is covered under
the scope of NFPA 70.
OK. See Fire Marshall Notes
11.1.7.2 The disconnecting means shall be maintained accessible to the fire department.
11.1.7.3 Identification of Disconnecting Means.
11.1.7.3.1 Each disconnecting means shall be legibly marked to indicate its purpose unless located
and arranged so the purpose is evident.
11.1.7.3.2 The marking shall be of sufficient durability to withstand the environment involved.
13. NFPA 101 — 7.10.1.3 Provide Tactile Signage at each door requiring an Exit sign. Signage to be
mounted on latch side of door, 60" AFF.
14. Please answer all comments in written summary with revised /clouded plans.
r j :�N fi, CITY OF ATLANTIC BEACH
Building Department
.. s 800 Seminole Road
Atlantic Beach, Florida 32233
(904) 247-5800
'
PLAN REVIEW COMMENTS
Permit Application # / / 3—
Property Address: /0 C- Ge/e s t 2 r s I
Applicant: X0(7 /a I G P C.,c'r r 5 / r U c //Y 7 e._.
Project: '--// /-4' /U/' ///r g, Jic 1 " G 7 'Ala 1 46)droa,rts
This p it application has been:
Approved
0 Reviewed and the following items need attention:
; : `! .;/ / " / / - .)_ /1 ck/c a (A/ a I4 Thr A (./r
C.+ r e p. 4w y, Loa c;-I a / R`e C OP 5`7
r`✓ /°_-e %c 'l )tq i -1O ! plc .--, u ,ya $ 'd'? T - i fekov otn,i.
4 41-‘ s i'1.""`` — 1I, 5 1
Re(taiv'PC' / " PO/ .>(../ c2f)2 4 " p,,,, f =t "-e rr1 a,1 ,4k //5' ge
/1 T /? -2- `1
r
Please re- submit your application when these items have been completed.
Reviewed By: /r Date: /J-2-1/
S1a,r, City of Atlantic Beach APPLICATION NUMBER
, S ( To be assigned by the Building Department.)
.� /
`� Building Department 800 Seminole Road 2-"
e Atlantic Beach, Florida 32233 -5445
L) 'W Phone (904) 247 -5826 Fax (904) 247 -5845 Date routed: ft
E -mail: building- dept @coab.us
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property . /00 60 / sr Er. Department review required Yes No
; sin.
%�Jj 1 - g . Z. •
(ioa S�( G S aA *op. Applicant: -e •ministrator
Project: l/1 iei'io r - &fr orrt 5
Public Works
Public Utilities
(.t 7/yf s f P laliaSafety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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: E pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date: / Z
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:
Reviewed by: Date:
Revised 05/14/09
_ !_.A.s City of Atlantic Beach APPLICATION NUMBER I
�s ; Building Department (To be assigned by the Building Department.)
-. j "4 800 Sem Road (( 2 cl T/ in
; Atlantic Beach, Florida 32233 -5445
J Phone (904) 247 -5826 • Fax (904) 247 -5845 [ / /� "�
'-• E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION AND TRACKING
Property Address: /00 lam/ / :5:1 9 . Department review required Yes No
Building
�j Planning & Zoning
Applicant: e,19 L_ /te l�"� % ''� Tree Administrator
L � C , � 4 Public Works
Project: 4/l7/rJ Public Utilities
/4Z-n7 a S /41)/1&--4-/ Public Safety
�servi d...--
Review fee $ p g
De t Signature
Review or Receipt Date
Other Agency Review or Permit Required 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:
APPLIC N STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: 4,Mi ,- Date:/ / .- /I
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:
Reviewed by: Date:
Revised 05/14109
r C ity of Atlantic Beach APPLICATION NUMBER
•i.A•yr '' (To be assigned by the Building Department.)
, j _
r �t � Building Department 800 Seminole Road / /�
1 r� Atlantic Beach, Florida 32233 -5445 Date routed:
/ // - ' a� J
�, V Phone (904) 247 -5826 • Fax (904) 247 -5845
-Pi J;i s.)':, E -mail: building- dept @coab
City web -site: http://www.coab.us TRACKING FORM
APPLICATION REVIEW AND
�j �) J De • artment review required ==
Address: �/ a �" B -
Property & _
l den
C Planning --
Applicant: � � Tree Administrator _-
Public Works
Public Utilities -
�� rn $ _
Project: ���� 0 -
; ATh 6 ill3 Pu s . .f �� ety _-
i
Review: fee $
Dept Signature 1 i.
Review or Receipt Date
Other Agency Review or Permit Required
of Permit Verified B ig3.-
Florida Dept. of Environmental Protection l `
Florida Dept. of Transportation INIIIIIIIIIIIIIIIIIIIIIIIIIII
St. Johns River Water Management District
Army Corps of Engineers IIINIIIIIIIIIIIIIIIIIIIIIIII
Division of Hotels and Restaurants 1111111111111111111111111111111 Division of Alcoholic Beverages and Tobacco IIIIIINIIINIIINIIIIIIIIIIIIIINI
Other:
APPLICATION STATUS
t First Review:
QApproved. I' D enied.
Department 4-(1 �
Reviewing p C omments:
(Circle one.) S
BUILDING Al - D ate: �—/-2---
ZONING Reviewed by:� %'
PLANNING & ZON Denied.
MIN. cond Review: approved as revised. ❑
TREE AD Se
PUBLIC WORKS
Comments:
Date:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed bY:
• Approved as revised. ❑Denied.
E SERVICES � hird Review:
omment
Date:_
I
L-1----
0)...4 ri, City of Atlantic Beach
� Building Department AP PLICAT I ON NUMBER
Y; -,; 800 Seminole Road (To be ass by the Building Departme
w z Atlantic Phone (9 Be04) 2ach4, 7 -5826 Florida 32233 -5445 Fax (904) /j 2
//
247 -5845
A " , cm Dr // ' E -mail: building- dept @coab.us Date routed: !! ' if
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /00 &Cl / sr 5^
Department review required Yes No
�Q s j � GO
; •in• s
Applicant: C:a v - - • g --- 8, --
o�'in •
i • ministrator
Project: /' ' P -r - %''a�, - o0 , yt 5 Public Works
Public Utilities
C1/2') 01 0(sf , Public Safety
Fire Services
2;iCCO
Review fee $ � /` � : 1 < < v, ®,�.. Dept S qt),-----
e v 0 Other Agency Review or Permit Required Review or Receipt Date /V eel
of Permit Verified By
Florida Dept. of Environmental Protection /41,<
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 6thrile/r-
Other: 7/ij
APPLICATION STATUS /
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments: 'n eas
_ C, ` - +0 ""`
BUILDING
4 Y�o 'S 1S Q tC-e-
NNING &ZONING '-` t i • • ' b:
�_ Reviewed by: _ / ate: I ' 02 l t
1 KCt • D v IN.
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:
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
Job Address: i LL v,J,i, 1 'r
�h� )�� "s tt <,� 4xc i , ` � . - ;, Permit Number:
Legal Description j 'Ti .. 231-1 j 3 _. )( - L d; h ! ,ii,
fA t.;. ii At 1.= Parcel #
Valuation of Work $ 1 coc Prop ed Work h ted /cooled �- . , S
� { =� �� non-heated/cooled - 3 y
Class of Work (circle one): New Addition ( Alteration; Repair Move Demolition pool /spa window /door
Use of existing/proposed structure(s) (circle one): (,_Commercial' Res �d ntial
i
If an existing structure, is a fire sprinkler system nstalled? (Circle one): (Yes No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: l , t ;.;,, ,' • ,, L , ,, , ,
Property Owner Information:
Name: ,1(, IC k ( lit To (I - )Gal l ie : :" t ^ 6 4_ Address: lui> tk i <1 } F > , „' .x
City ii. ,Q 04 Ar I1 State ! Zip a) X3 ', Phone "it .i . t QCs .Lw L
E - Mail or Fax # (Optional)
Contractor Information:
Company Name: y y )tc.� I`u:c� ",i1 C c,. t Qualifying Agent:
Address: ` 7 > t:, .--',,,' a L, iv + r} i+ 1i �
j City r ; ...+', State j= Zip
Office Phone fi i S ;u + ci is t Job Site/ Contact Number `t, . i ,,. , ..i F # i : ) -r
State Certification/Registration # C . 03159 5 ��
Architect Name & Phone # i Ai; ! 11 , L h ,,, , k,1 t . ) `lei ,3 r i c> i C,
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 a period of six (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo Heaters,
Tanks 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.
1 hereby certity that 1 have read and examined this a placation 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 specified 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 �+,r�� ``� �,�
Signature of Contractor \ ;s . ` ` ° `) _ N -.-.,.._,
Print Name / • s :, ,it.0!` i "..
Print Name - G v—
„ ,.'sion DD917567
Sworn to and subscribed , r Sworn to and subscribed before me
this ; Day of O r . Exp AUG.1 ,
' rauaATLANTIc 0 this 1 Day of 1�c�n >oa>*1�� p� 201 l
i NOTARY PUBLIC-STATE OF FLORIDA
Not s0 P l Not. _ u
' Penny err
is �Commission #DD935578
BONDED f Ex Ai .
6cb, 10
. vi City of Atlantic Beach
'S" f �' APPLICATION NUMBER
, � � Building Department
, " M oV 800 Seminole Road (To be assigned by the Building Department.)
-
:4 ; - Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845 /� _ ����
' 1,)%' E -mail: building- dept @coab.us Date routed: // - 3-/1
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 42. a) /r Jr Department review required q d Yes No
� Building
Applicant: fJ a.3 / einiga GIb Planning & Zoning
/77 Tree Administrator
Project: Iti-/ 0 0C - Dij, V.5 Public Works
Public Utilities
' ' t + ' AB Puhlic: Safety
Fire Services
.................. .
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By ig 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: DApproved. enied.
(Circle one.) Comments: S e xo%614,1
BUILDING
P
1 :00 ( /
LANNING & ZONING /
Reviewed by: tl'/ Date: // b' //
TREE ADMIN. Second Review: DApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
ES E ERVI CES Third Review: DApproved as revised. ❑Denied.
— comments:
Reviewed by: Date:
Revised 05/14/09
T �
Plan Review Comments for:
Almost Home Beaches
100 West 1S Street
Atlantic Beach, FL
Atlantic Beach Building Permit 11 -2841
1. NFPA 101 - 6.1.1.1 Occupancy Classification. The occu pancy of a building or
structure, or portion of a building or structure, shall be classified i
through 6.1.13. Occupancy classification shall be subject to the ruling of the the accordance with 6.1.2
having jurisdiction where there is a question of proper classification authority
case. anon in any individual
Identif all rooms / areas accordin to intended use.
2. NFPA 101 - 7.3.1.2* Occupant Load Factor. The o ccupant load in any building or
portion thereof shall be not less than the number ofpersons determ'
floor area assigned to that use by the occupant load factor for that mea specified
in
Table 7.3.1.2, Figure 7 .3.1.2(a), at use as s
Provide Occu � ant Load and O' and Figure 7.3.1.2(b).
number of licensed residents for facilit .
3. NFPA 101 32.3.3.4.1 General. A fire alarm system shall be r
With Section 9.6. p ovided in accordance
4. NFPA 101 32.3.3.4.7 Smoke Alarms. Approved smoke in
accordance with 9.6.2.10 inside every sleeping room, outsideal�s shall slbe eeping etai the
immediate vicinity of the bedrooms, and on all levels within a resident unit.
a i t rea in t
u
5. NFPA 101 32.3.2.2.2 Doors. Doors in means of egress shall be as follows: Doors complying with 7.2.1 shall be permitted. ollows:
(2) Doors within individual rooms and suites of rooms shall be permitted to be swinging
or sliding.
(3) No door, other than those meeting the requirement of 3 2.3.2.2.2(4)
equipper} - with a lock or latch that requires the use of a tool or key from the ss side.
(4) Delayed - egress locks in accordance with 7.2.1.6.1 shall be permitted, rovided
not more than one device is located in any egress path. p that
(5) Access - controlled egress doors in accordance with 7.2.1.6.2 shall be permitted.
(6) Doors located in the means of egess that are permitted to be locked under other
provisions of Chapter 32, other than those meeting the requirement of 32.3.2.2.2(4) or
(5), shall have adequate provisions made for the rapid removal of occupants by means
such as remote control of locks, keying of all locks to keys carried by staff at all times, or
other such reliable means available to staff at all times.
(7) Only one such locking device, as desc i n 3 shall be permitted on
each door.
Provide detail of all locking hardware and doors.
1 7
6. NFPA 101 32.3.2.8 Illumination of Means of Egress. Means of egress shall be
illuminated in accordance with Section 7.8. tin in accordance with
7. S ection 7..9 9 shall Emer ency ligh g
NFPA 32.3.2.9 provided, r un unless each sl room has a direct exit to the outside at
S allbe
the finished ground level.
8. NFPA 101 32.3.2.1
Marking of Means of Egress. Means of egress shall be marked
in accordance with Section 7.10• shall
9. NFPA 101 32.3.3.5.6 Portable Fire Extinguishers. Portable fire extinguishers
be provided in accordance with 9.7.4.1 • facilities, other than those within
* F
10. NFPA 101 32.3.3.8* Cooking acilities. Cooking fa rotected in accordance with 9.2.3•
individual residential units, shall be protected
hood su • • ression s stem for cookin l areas.
32.3.3.6* Corridors and Separation of Sleeping Rooms.
11. N FPA 101 3 ded from every resident use area to at least one means of
32.3.3.6.1 Access sh all be p rovi rooms by walls complying with 32.3.3.6.3
egress that is separated from all sleeping
through 32.3.3.6.6.
32.3.3.6.2 Sleeping ing rooms shall be separated from corridors, living areas, and kitchens by
walls complying with 32.3.3.6.3 through 32.3.3.6.6.
32.
3.3.6.3 Walls required by 32.3.3.6.1 or 32.3.3.6.2 shall be smoke partitions in
accordance with Section 8.4 having a minimum a not be to rating
a fire -hour 32.3.3.6.4 Doors protecting corridor openings sh
protection rating, but shall be constructed to resist the passage of smoke.
wall openings,
32.3.3.6.5 Door - closing devices shall not be required on enclosures of ertical openings,
other than those serving exit enclosures, smoke barriers,
and hazardous areas.
12. NFPA 101 - NFPA 1 - 11.1.7.1* Means shall be provided lit the fire
the electrical
disconnect the electrical service to a building, structure,
installation is covered under the scope of NFPA 70.
11.1.7.2 The disconnecting means shall be maintained accessible to the fire department.
11.1.7.3 Identification of Disconnecting Means.
11.1.7.3.1 Each disconnecting means shall be legibly marked to indicate its purpose
unless located and arranged so the purpose is evident.
11.1.7.3.2 The marking shall be of sufficient durability to withstand the environment
involved.
13. NFPA 101 - 7.10.1.3 Provide Tactile Signage at each door requiring an Exit 51 11,
Signage to be mounted on latch side of door, 60" AFF.
14. Please answer all comments in written summary with revised / clouded p
41`
` 'r I lya
' :`,,\ CITY OF ATLANTIC BEACH ,..41,,,t,„
x
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
•
INSPECTION PHONE LINE 247 -5814
� 0131c}
Application Number 11- 00002841 Date 12/08/11
Property Address 100 W 1ST ST #1-5
/ 8/11
Application type description COMMERCIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 17000
Application desc
FRAME INTERIOR TO MAKE 2 BEDROOMS
Owner Contractor
WATCH CARE, INC. OWNER
100 WEST 1ST ST. ##1 -5
ATLANTIC BEACH FL 32233
Permit ELECTRICAL PERMIT
Additional desc . WIRE FOR ALTERATION
Sub Contractor . JAGUAR ELECTRIC
Permit Fee . . . 67.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date . . 6/05/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 67.00 67.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 71.00 71.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
20 -C
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845 A l
JOB ADDRESS: ) C 0 W 1<)1.-- 5 4-- PERMIT # ( Li 1
JEA INFORMATION REQUIRED ON ALL PERMITS ( AMPS a ti® VOLTS 1 5X PHASE
VALUE OF WORK $ . -
NEW SERVICE ❑ Overhead 1 1 Underground 1 U Underground up Pole
❑Residential (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑ Multi- Family (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
ETemporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 11200amps ❑ amps OCT Service amps
ADDITIONS, REMODELS PAIRS, 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- 100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 3
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign Gemoke Detectors Qty ❑Transformers KVA ❑Motors hp
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 ❑Panel Change ❑ to UG
❑ Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I 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 Phone Number
Electrical Company 6em-Y 1 =` iC j . 2-K, Office Phone 77fr- Ft5SFFax 52)Sr'- TW
Co. Address: (ti06 evd 4 rs-1 Rh, S, City (09)4._ State ,7 Zip„ 2,1A
License Holder (Print): p 5 /7 ` I S rtification/Registration # 4 5
Notarized Signature of Licen e fhpe ^r
I Sworn and sub scribed before me this TYI day of D C� 20 )1
ot�Q "� ,�, HEATHER N. KARNEOL � t ►" I
I a 4 ' ` Notary Public - State of Florida ■ �J�1J
fi n` rc My Comm. Expires Apr 26, zofa Signature of Notary Public .
.;, :', A Commission # DO 986043
White, Debbie
From: Escanio, Rey [REscanio @coj.net]
Sent: Wednesday, January 18, 2012 4:05 PM
To: White, Debbie
Subject: FW: Final inspection on Almost Home - 100 W 1st Street
Debbie, I conducted the fire safety final at 100 W. 1st St and found the facility to be code compliant. All of Capt. Ratliffs
plan review comments were addressed.
Thank you,
Rey Escanio
CFPE
Fire Safety Inspector
Fire Prevention Division
214 North Hogan, #281
Jacksonville, FL 32202
Phone: (904) 255 -8561
Fax: (904) 2558559
CeII: (904) 891 -7232
From: Escanio, Rey
Sent: Wednesday, January 18, 2012 7:49 AM
To: Escanio, Rey
Subject: FW: Final inspection on Almost Home - 100 W 1st Street
From: Ratliff, Bob
Sent: Wednesday, January 18, 2012 7:47 AM
To: Escanio, Rey
Subject: FW: Final inspection on Almost Home - 100 W 1st Street
FYI
Captain gab. atei ' CFPS
Jacksonville Fire & Rescue Department
Fire Prevention Division
Office of Plans Review
214 N. Hogan Street
Room 281
Jacksonville, FL 32202
(904) 255 -8320 Office
(904) 255 -8559 Fax
CONFIDENTIALITY NOTICE:
Please note that under Florida's very broad public records law, e -mail communications to and from city officials are subject to public disclosure.
1
From: White, Debbie [mailto:dwhite@coab.usl
Sent: Tuesday, January 17, 2012 3:29 PM
To: Ratliff, Bob
Cc: Groff, James; Jones, Mike
Subject: Final inspection on Almost Home - 100 W 1st Street
David Patton 5023225 is the contact for the alteration to the nursing home
"almost home", please email me the results from your inspection.. Thanks,
Debbie
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247-5826
(904) 247-5845 FAX
2
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