Permit Sprinklers for Awning 1 Ocean 2012 \cs , CITY OF ATLANTIC BEACH
.,,,w)
j 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002805 Date 3/15/12
Property Address 1 OCEAN BLVD
Application type description COMMERCIAL ALTERATION
Property Zoning COM GENERAL DISTRICT
Application valuation . . . 10000
Application desc
RAISING EXISTING AWNING /sprinklers
Owner Contractor
ASHFORD ATLANTIC BEACH LLP THOMPSON AWNING & SHUTTER CO
C.O EASLEY MCCCALEB & ASSOC 2036 EVERGREEN AVE
431 E HORATIO AVE SUITE 120 JACKSONVILLE FL 32206
MAITLAND FL 32751
- -- Structure Information 000 000 RAISING AWNINGS WITH SPRINKLERS
Occupancy Type BUSINESS
Permit COMMERCIAL ALTERATION /OTHER
Additional desc .
Permit Fee . . . 100.00 Plan Check Fee . . 50.00
Issue Date . . . Valuation . . . . 10000
Expiration Date . 9/11/12
Special Notes and Comments
NEED RECORDED NOC
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
* PLEASE SCHEDULE A FINAL SPRINKLER INSPECTION WHEN PROJECT
IS COMPLETE. *
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 100.00 100.00 .00 .00
Plan Check Total 50.00 50.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 154.00 154.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Doc # 2012056879, OR SK 15880 Page 2270,
Number Pages: 1
NOTICE OF COMMENCEMENT Recorded 03/15/2012 at U PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10 00
Permit No. / / —o?,,kb 5"
Tax Folio No.
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):
a) Street (job) Address: ON C)C EA *1 P r_ Vo . 4 f N T 1 C_ ( FL 32233
2.General description of improvements:
!1 t_,rE r- x1CT1N"6 EX N1) New Aid iv1NL') on/ L3AtPI64`C. DcecK A/ e4.
3.Owner Information fj'��
a) Name and address: f�f - "M tit/6. 7 C 00C; j NIC; Ali P !'/ C P / I IT
b) Name and address of fee simple titleholder (if other than owner) / L/ l E� i D)1 L LA S /r' w y / s `°
c) Interest in property A t L f-°' 1 X
4.Contractor Information S '`
•
a) Name and address: ( 1-46 M N A I,�.ity r ii 6 c SP er i„,, v 203c, (V t k' iv , c72_57
b) Telephone No.: , , 3c / / ce , it Fax No. (Opt.) i . '' 1
5.Surety Information ;( `t r t / •
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6.Lender
a) Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.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 of e of Commencement (the expiration date is one year from the date of recording unless a different date
is specified): E -r / 2-
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 YOUR LENDER S R • R. ATTORNEY BEFORE
COMME R NOTICE OF COM I, , . T.,,%� , '
( "`9'."w BONNIE J. THOMEN I /
STATE OF F � ) a 4+'s Notary Public • State of Flo rida ( , 0
,,,-
0 COUNTY OF, Ili • My Comm. Expires May 10, 2014 10. /1' ', Commission # DD 986084 ( Signature o Owner or Owner's Authoriz OtficerJDirector /ParIneriManager
� %,',.. Bonded Through National Notary Ail. t . .� C 7"._,- 4 Print Name /
The foregoing instrument was acknowledged before me this loo day of CL.5D , 201/ , by SEj1 AS /lA (M d' R.--
04)44. am� type of author e.g. officer, trustee,
attorney in fact) for � ,^, tl � S B R I (name of party on behalf of whom instrument was executed).
Personally Known i7 UR Produced Identification Notary Signature '" P'• - -- 77 " 1 " ----
Type of Identification Produced - ---- Name (print) - ,:pit..)/t1 / E 1. ( 4 d /n E ill
OR .
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of pe ' , 1 decl , that r e real he foregoing and that
the facts stated in it are true to the best of my knowledge and belief. _ 4 0e
FORMS/NOC.r sd20I0 :f
Signat 1 ""ofNatural Person Signing (in line , 10.) Above
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 .
Office (904) 247 -5826 Fax (904) 247 -5845 L c u' L,
Or ...1 r
Job Address: GIVE GE
MI 9
�LVI�. A -7L. �'jC(. -/ 3Z 233 Permit Num :•r: , /
•
Legal Description Parcel #
oor • rea o q. t. _ t
Valuation of Work $ 10 Proposed Work heated /cooled n : ated /cooled
Class of Work (circle one): New Addition • iteration Repair Move Demolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system insta • :: c e one): Yes No Q
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: IA I5 H'IG EX /S71v6 A WAI(/1 G - ANO gXFEA /NG
O'fETl C.G4 -t7 h'Ji - b vcK f e e A. , oRTN 51 PE of ow cot NG.
Property Owner Information:
•
Name: , &MIS Cr7 / LOD6t#6,_ e HOSI'/TA4L/1 ddress: (WIC Di L. L-4 PK ivy / # (f5'
City DA (, LAS' State7XZip 7525 Phone 97 2 — 777 - 95// 5
E -Mail or Fax # (Optional)
Contractor Information:
C `
Company Name: 1 N014 PSf31■lA UM (NG SWUrrer C6. Qualifying Agent: or y �
Address: 203(0 EVE . LEEki AVE City ,TA ,Ks vlcL State f(,. Zip 32 2O<o
Office Phone 355 - I 6/ (a Job Site/ Contact Number 386 - („4 7 a Fax # 355-- l ( ( 7
State Certification/Registration # (' C7 C 0 Co 2 `1 3 S
Architect Name & Phone #
Engineer's Name & Phone # LTC 4 SSO(147 E5 S! / - Y77- /S 4
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 aperiod of six 6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical {Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo 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 hereby certify that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and or 'nances governing this
type of work will be complied with w •er specified herei clot. The granting of a permit does not presume to give author:, o violate or cancel the
provisions of any other federal, stat• • ,cal law ati nstruction or the performance of construction.
*metre of Owner' Signature of Contractor 17'
• Print Name AN Tf�0NC1°M46-
... - .... a BONNI' , YHOMEN
Sworn o and subscrib-d be - Notary'ubh State of Florida
Sworp,,to and subscribed be re me
this t • Day of i •'; • It • My Cnrnn May 1°, 2°14 this Day if , 20 //
• ;
ommiss:on c) MOM
„ Bonded Through National AIM .��,"
Mf iry Ptibl• de : - i 98' - • Cr. Pu Fie t .r 9t91tt3. Sibti►pCAfnr;
Notary Public • State of Florida
te e �• + l" av 1 2012 pp 78400
0,v r ogAIAP '', dU011o, .. i-s
S.A,'7 ? City of Atlantic Beach APPLICATION NUMBER
J S r i i Building Department (To be assigned by the Building Department.)
- t 800 Seminole Road / _
. "` : !, Atlantic Beach, Florida 32233 -5445
c.
Phone (904) 247 -5826 • • Fax (904) 247 -5845 i ®,
1 •r E -mail: buildin de t coab.us Date routed: / U /�
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4
�' ' z/ Department review required Yes o
, / Bu i+1
Applicant: 111 0/ili Planning & Zonin_
Z 9 - 7-/ / / — Administrator Project: s 7� f�'W7) � ., q (��Oi.�T� fig) Public Works
/ Public Utilities
Public Safety
Fire Service
k :
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: proved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by
.__rP4 Date: 3
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
o_.AFJ City of Atlantic Beach APPLICATION NUMBER
- + , ) Building Department (To be assigned by the Building Department.)
r ° , �ti 800 Seminole Road / C
,„,�=�, Atlantic Beach, Florida 32233 -5445 / ` v ,G
Phone (904) 247 -5826 • Fax (904) 247 -5845
� � f r• E -mail: building-dept@coab.us Date routed: / .2‘1 /•
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
f j/ vJ D artment review required Yes No
Property Address: • �� p q
Bujldin
Applicant: / ,47 / 4 A/q (Planning & Zoning
//JJ f / (Planning
Admiriisfrator
Project: /1 7) ,4) 9 i . 91 , ( ��O/s57 71, ^) Public Works
Public Utilities
Public Safety
Fire Service s j
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: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
ANNING & ZONING Reviewed by: Date: 1°/2 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 05/14/09
1.J-11.I City of Atlantic Beach APPLICATION NUMBER
" � Building Department (To be assigned by the Building Department.)
r:d 800 Seminole Road
4 s Atlantic Beach, Florida 32233 -5445 /
Phone (904) 247 -5826 • Fax (904) 247 -5845
r Email: building dept @coab.us Date routed: 7 24 / ,/
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
` f� / .Department review required Yes No
/ BujJding_
.
Applicant: /h - 77a (Planning & Zoning)
T r=ee Administrator
Project: /�/�-i..S/ . 4 AI-7) . 91 q ��(I / ,6/-i Public Works
j .) Public Utilities
Public Safety
Fire Services`'
Review fee $ Dept Signature
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:
APPLI TION STATUS
Reviewing Department First Review: ®Approved. nDenied.
(Circle one.) Comments: � � w „ .5 ./h . 5 /7) 7;
BUILDING
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:
Reviewed by: Date:
Revised 05/14/09
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CALIFORNIA DEPARTMENT OF FORESTRY and FIRE PROTECTION
OFFICE OF THE STATE FIRE MARSHAL
REGISTERED FLAME RESISTANT PRODUCT
Product: Registration No.
OPAQUE AWNING F -88701
Product Marketed By:
DURACOTE CORPORATION
350 N. DIAMOND ST
RAVENNA, OS 44266
This product meets the minimum requirements of flame resistance established by the California
State Fire Marshal for products identified in Section 13115, California Health and Safety Code.
The scope of the approved use of this product is provided in the current edition of the
CALIFORNIA APPROVED LIST OF FLAME RETARDANT CHEMICALS AND
FABRICS, GENERAL AND LIMITED APPLICATIONS CONCERNS published by the
California State Fire Marshal.
•
I Expire: 6/30/2012
Deputy State Fire Marshal
FR -tl
Ultrashade
Supplier: Innovative Industrial Solutions, Inc.
Customer Order /Invoice No: Sample
Yards or Quantity: Sample
Color: US122 Cinnamon US127 Rust
Type: Ultrashade
Manufactured By: Thompson Awning
Date: 10/11/11
Test methods: CFMS Title 19, section 1237.1