Permit Storm Shutters City Hall 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
kv":
kv"��:
kv",:
kv",:
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-0000179S Date 12/11/12
Property Address . . . . . . 800 SEMINOLE RD
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 189S4
----------------------------------------------------------------------------
Application desc
31 STORM SHUTTERS FOR CITY HALL
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF ATLANTIC BEACH CUSTOM STORM SHUTTERS DIRECT
800 SEMINOLE RD 411 WATEROAK STREET
ATLANTIC BEACH FL 32233 ORMOND BEACH FL 32174
(904)
----------------------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee . . . . 14S . 00 Plan Check Fee 72 . SO
Issue Date . . . . Valuation . . . . 189S4
Expiration Date . . 6/09/13
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 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 . 18
STATE DBPR SURCHARGE 2 . 18
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 14S . 00 14S . 00 . 00 . 00
Plan Check Total 72 . SO 72 . SO . 00 . 00
Other Fee Total 4 . 36 4 . 36 . 00 . 00
Grand Total 221 . 86 221 . 86 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLI
CATION NUMBER
Building Department (To be assigned by the Building Dqwhert)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 lc;2
Phone(904)247-5826 - Fax(904)247-5845
E-mail: builcring-dept(Mcoab-us I[-Date rot*ed.
Cityweb-site� hV:/A&ww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: SOO 6e4l" /4&/ A)epaWMent review required Yes No
11 Buildin
Applicant: :92G&Zoning
Tree Administrator
Project: Public Works
Public Utilities
1-Public Safety
Fire Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
I of Permit Verified
Florida Dept of Environmental Protection
Florida Dept.of Transmnation
St Johns River Water Management District
Army Corps of Engineers
Division of Hotels and RestaLwants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ffJA' pproved. E]Denied.
(Cirde one.) Comments:
PLANNING&ZONING Reviewed by: /*/3'1 Date: Id—7— 2—
TREE ADMIN.
Second Review: E]Approved as revised. 013enVied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DAppraved as revised. ElDenied.
Comments:
Reviewed by: Date:
I
Revised 07127110
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH ILE Hn
800 Seminole Road,Atlantic Beach, FL 32233 1
Office (904)247-5826 Fax(904)247-5845
Job Address: C�oo Permit Number: /01 - 1!7 61si
Legal Description Parcel# _\ 0_�>%c)
Floor Area of Sq.Ft. Sq t
Valuation of Work$ ProposedWork heated/cooled n�n�heate cWed
"e T11 d
vi r_
Class of Work(circle one): Addition Alteration p I"rq
Repair Move Demolition pool/s
6;� A4
Use of existing/proposW structur4s)(circle one): 4 ommercia Residential ��l
:g
tall irC
If an existing structure,is a fire sprinkler system ins rc e one): Yes No N/A
Florida Product Approval# 1� 0
For multiple products use product app—ro—Wamorm U
Describe in detail the type of work to be performed: 0- C) ki Q-,F
Prowrty Owner Information: Pik
"\-A OS S'IN
Name:,(,--_, vii_"�,C_ AddressASC) Q1\ ZA
City \�-,>QC�, Statet\Zip73�:Q�3 hone 90L-\.. A-S'%1
E-Mail or Fax#(qptional 5 0 A - 5-9A 5 114 _5
Contractor Information:
Company NameLx��\-Tov�� Qualifying Agent:
Address:J,DQo K6, City 01�-mox,,c\ State 'V-\ zip -I
AfficePhone 901A- '79 S- c1TV4 Job Site/Conta Fax#
State Certification/Registra ion#—C-�D C_ N 5)\ �0
Architect Name&Phone# N
Engineer's Name&Phone# r',.1
Fee Simple Title Holder Name and Address fj
Bonding Company Name and Addri C C- e C. SCLV-q,-O-�-�
Mortgage Lender Name and Address j\j 0,_ ;-,,-\-z,-t_\0
A a er ade btain a 0 m! do the work and installati?ns as ind� or installation has commencedprior to the
n�e pe eym ha k "be t to 0 ed to mZt t tan a thisjurisdiction. This permit becomes null
r
rm 0 0 1 qW4�i�d oLs�J6.) on ata ;,ea ter
t s ct r
c W pi P(6 m t Or, c t ru
h to 0
ix f 0 m
t t 'wo w er
nd d ithin on f I P0 B lati tL
-p
'ssua 0 a rmit an
a id' 'o k is not comme e w
e �fi I u rs t t s r r ts u t cur ctil s rnaces 0
f d d d h ate pe Z be se ed r Ee
k is com, 'c' n tan a epa
TanksandAir Con tionen,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 Y614i NOTICE OF
COMMENCEMENT.
I here certify that I have read and examined th* ap R ation and know the same to be true and correct. Allprovisionss 0 laws nd ordinances governing this
"s,
f
,je§Ic
work will be coi with whether ec herein or not. The granting of a permit does not presume to aut ority to violat or cancel the
provist.ons ofany otherfederal,state, or localsf,w regulating construction or the peFfo�mance ofconstruction,
type pl�l
Signature of Owner Signature of Contractor
e
Print Nam Print Name F_ Co vie-
SVNI -m*subscribed bene Sworn to and subscribed before me
thl ID of 1 1 20 this Day of 1i . 20ka
a-- PrA.*, (10r,,Id
mm____ . _,i , M-11... - -
N is NI ri If L rM,.b1i .1
C u"Wl
MY c0i� t.EU jary 14 2014 Mmissbn
EXP�R'
terS
ed T'
'ot ablic U��eryi ExOres June 8,2016
onded I
Revised 01.26.10
71
NOTICE OF COMMENCEMENT
Stateof TaxFoHoNo. Y'NOISV� - 0 vii r
Countyof I ILL COP
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 SWdes,the following information is stated in this NOTICE OF COMWENCEMENT.
Legal Description of property being improved:
10-15 16-2S-29E 12.900 SALTAIR SEC 2 LOTS 27 TO 66,103 TO 150,CLOSED STREETS ADJACENT
THEREOF 34-64 SALTAIR ACRES SECTION 02 PT TRACT A RECD 4094-1017
Address of property being irnproved- SO C) Svv�,,
�>-A
General description of improvements: :;;n5Ac,-kN Vm3y-,r,�Le,^.P
Owner: C-A�Al, ft-� a VN�t� \Z>kc-C YN Address:'V--.,So
Owner's interest in site of the improvement: i9WV-\e-V-
Fee Simple Titleholder(if other than owner): tj A%
Name:
Contractor:�-,.,%�M"N
Address: S \4 3,A QIr s-c.V--\ 'A
Telephone No.:10(\ '4 5 -9-1-)-j- FaxNo: .396 -6-1 QN - "3Q3,9
surety(if any) C- L "I-c,%N q-t. C-,t:3 VVN3�Ck.VIA
Address: \!,(Nz4VAmountof Bond$
Telephone No: 9 q I-q b-) ]25 Fax No: (0 -
Name and address of any person maldrig 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:
Telephone 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 Statues. (FRI in at Owner's option)
Name:
Address:
Telephone 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 OWNErxw-�t Date:
Signed: 12,-7-
xe me%is day of in the County of DuvaL State
In
SH
IRLEY L GRAHAM Flori -hfis perso
f�"'Y CON4MISSION 40jr ,57760 Public at S of F rida,�
-S-Fpbruary 14 014
EXP;nS
P, r3 YDuval.
r3onded Thru Wa�ry Pu'�jjc u,j',je-R,,,j COMMISS10 s:
ters
0-4) >
0" M
--J ON th tA 4�, w t)
>
COD
ro Ao- m
C) . 0 o
W Qq
cr
h ITI
o
0. �=.
21 g s= o
>
m 0
�=i �t a
CD
to
CD
fb "NOW
OR
cz)
CD
;t �o �o cl C)
5
CD 0 0
o
(D
CD
(D lot,
UQ
tz am
(D (D
CD 0 0
rp 0
tv 0
110 oo -4 aN t-A .4. W t,)
cn ::� 110 ll� 4 (-) (") H :� 4 m 0 A w
0
04)
(*D CL CD
(D
eb
CA
WE
rA
0
IrD
S- 54;
ra
w
zi (D
9 -4 g E�
00
CD
> 8 r
�3 r
u-, J)
5D
0
tv
coo
Pi
CD
C3
fD
Fat
U'J
CD 30
0
CD
(rrD
(D
EF-1.L E C 0 YI
CUSTOM STORM SHUTTERS
D I k 1, C T
Property Information � [- Building Information
Owner: City of Atlantic Beach Wind Zone: 130 MPH.
Address: 800 Seminole Rd Exposure Category: B
Atlantic Bch.,FL 32233 Minimum Building Dimension: 50 ft.
Mean Roof Height: 20 ft.
JIL Risk Category: Il
Design Pressure Calculaiflons
Opening Max Positive Max Negative
Number Pressure(psf) Pressure(psf)
1 16.9 -18.5
2 17.3 -18.9
3 16.5 -18.0
4 17.1 -18.6
5 16.8 -18.3
6 16.9 -18.5
7 14.6 -16.2
8 17.3 -18.9
9 16.1 -17.6
10 17.3 -18.9
11 18.2 -19.8
12 18.2 -19.8
13 17.8 -19.3
14 17.0 -18.5
15 13.6 -15.1
16 16.9 -18.5
17 16.6 -18.2
18 15.2 -16.7
19 16.5 -18.0
20 16.5 -18.0
21 17.3 -18.9
22 16.5 -18.0
23 16.5 -18.0
24 14.6 -16.2
25 15.2 -16.7
Page I of 2
CUSTOM STORM SHUTTERS
D I 1\ 1, C
Property Information Building Information
Owner: City of Atlantic Beach Wind Zone: 130 MPH.
Address: 800 Seminole Rd Exposure Category: B
Atlantic Bch.,FL 32233 Minimum Building Dimension: 50 ft.
Mean Roof Height: 20 ft.
Risk Category: 11
Design Pressure Calculations
Pressure(psf)
Opening Max Positive Max Negative
Number Pressure(psf)
26 13.6 -15.1
27 16.2 -17.7
28 17.1 -18.6
29 14.6 -16.2
30 13.6 -15.1
31 13.6 -15.1
Prepared in accordance with:ASCE 7-10,Chapier30. WindLoads-Components and Cladding.Florida Building Code 2010ed.
Page 2 of 2
AA, Ak f- A- Sh, . . . . . . . .
(A N 0 00 -4 0 UI 41, W 0 90 -4 Ch 4. W �I 4n 0, C4
0
Z
CA
CD
Ca
w
(A)
(A)
Aw CA)
4 -4
Co
Ca
0 z
(n a City of Atlantic Beach
C= C'>
D 0
Co 800 Seminole Rd
CD� >
M o Atlantic Bch., FL 32233 CusTom STORM SHurrERS
1 1) 1 11 1 C
Florida Building Code Online Page I of 2
n 1-N
,
ME
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats Facts Publications F5C Staff BCIS Site Map Links Search
Busines� Product Approval
Professi6l (0 USER:Public User
0 i t i
Product Approval Menu>Product or A1212fication Search>Application Us >Application Detail
4w, FL# FL15519
Z 25&i
Application Type New
Code Version 2010
Application Status Approved
Comments
Archived
Product Manufacturer Ultratek Worldwide
Address/Phone/Email 3801 N.Washington Blvd.
Sarasota, FL 34234
(941)351-6700
info@hurricanesafeproducts.com
Authorized Signature Steve Motosko
info@hurricanesafeproducts.com
Technical Representative Steve Motosko
Address/Phone/Email 3801 N.Washington Blvd.
Sarasotar FL 34234
(941)924-2285
info@hurricanesafeproducts.com
Quality Assurance Representative Steve Motosko
Address/Phone/Email 3801 N.Washington Blvd.
Sarasota, FL 34234
(941)924-2285
lnfo@hurricanesafeproducts.com
Category Shutters
Subcategory Storm Panels
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who John H. Kampmann Jr., PE
developed the Evaluation Report
Florida License PE-47516
Quality Assurance Entity Keystone Certifications,Inc.
Quality Assurance Contract Expiration Date 07/08/2019
Validated By Frank L. Bennardo, P.E.
Validation Checklist-Hardcopy Received
Certificate of Independence FL15519 RO COI Certificate of Independence 10-630b-revl.[)df
Referenced Standard and Year(of Standard) Standard Year
ASTM E330 2002
TAS 201,202&203 1994
Equivalence of Product Standards
http://www.floridabuilding.org/pr/pr�_app_dtl.aspx?pararn=wGEVXQwtDqvKmQdIOUtQ... 10/22/2012
Florida Building Code Online Page 2 of 2
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 04/26/2012
Date Validated 05/03/2012
Date Pending FBC Approval 05/09/2012
Date Approved 06/11/2012
___—-"-- -—-------------
,Summary of Products
FL* 1114odel,Number or Name Description
15519.1 lClearTek shutters Clear corrugated storm panel
Limits of Use Installation Instructions
Approved for use In HVHZ: No FL15519 RO II Installation Drawings 10-0630br2.Dd
Approved for use outside HVHZ:Yes Verified By:John H. Kampmann Jr., PE 47516
Impact Resistant:Yes Created by Independent Third Party:Yes
Design Pressure: +75/-75 Evaluation Reports
Other: FL15519 RO AE Product Evaluation ReDort 10-630b-
revl.i)d
Created by Independent Third Party: Yes
Contal Us::1940 North Monroe Street,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer.copyright 2007-2010 State of Florida.::Privacy Statemen ::Accessibility Statement::Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not
send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.
.Pursuant to Section 455.275(l),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department
with an email address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are public
record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.
To determine if you are a licensee under Chapter 455,F.S.,please click b2m.
Product Approval Accepts:
0 FAR F_-� E
sccuritN,i)ta�i
WN M,
http://www.floridabuilding.org/pr/in�_appAtl.aspx?param=wGEVXQwtDqvKmQdlOUtQ... 10/22/2012
PPI:4 P
-n
All, Piz 'A
12]VI On a I I
A
P1 221,
N
t4
Epp
Jill
11- jig!,
I
p NJ q A SIR
fig
x"A 1q,
5 Fi
A
C3
5-il P i 111 Us!
C,-4
��;'.1 M V-31 N
?c C7 ?c
LR M, W.59 6, pigs -4
CD
(A A
X M,
201 r
3.
2MI44 mot C--.' W
zoo-
lom
w 16 FU ca
-4-4 x
-4 Fn rn b b
1E p �K 'WR
rn V t2 w
fn rro
10
rn
C� -4
-u
r y:V
Cl 6* wfq
FILE COPI
SAM
V" cowl
W.fty-"—owamm
N-., ukw*womwW= I
CUMM =Koo&"
0 6"nm
SMRMpmasym
MR
rr-v
L2
di LL:9
0=4
amfi -
b-2
IF
VA"
&4W
Um w
lAm
OF;
PAM
LZ mi-i
CA pm
p"w
TIII Uh**wmmwi&hm NEA
X a"TEK
STORM PANEL SYSTEM @mom
MON
If
I ph
WMI
*Rk
LM
IRL
saft
Rol
-al;A
lip
c
ts
L%d*Woftn&br,
CLMTff
SMRMPM&ffsm
r rd
A
W
Poo 4
A
19w—
PAWM SPAN-10r
ma TVF FOR LOW V&WM
q
v
W
d
PANCL SPAIW
Lm V& Sm
wig
4
WX PMEL Was-ICW
h P"
Am
IN
A
PI IS '.
I-A
WX PAIML SPAN-10r
my
9pp
Cb
ubsta wm(h MEA
CLMnK
0
-I smRmpmasym =BMW= 36W
M
UZ
LYM
Im PM&
Rmt LOAD VS.SPAN mx "4Wpkj
1 IJ41
A
lor
mv."Vt— L
W.L P.Al.*,L or
SHM S-1
SPM
wig
...........
at"M
2-mbs.
Ukftk WAM&IN. VLMEA
CLWIM =RAW""
0 smmpmmsym
Gift
F, PPq
-M
gill 2,U) P
f
WEI
1:
fail oz ra"N
R 11
max
Ire
JAI
10 1 1.N
oil
V sm -
SKIS" 16-11
Ell
ok Pm
cc
00 ubmaworkm&bc. LM EA
aEARTEK MILU*"m
0 U^A= --
SMRM PME SYM imams=
C* M Mal I
Florida Building Code Online Page I of 2
5"N
R WX
W
0
0 INS 1'g�
"Am
in
"-w
BCIS Site Map Links Search
8CIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff
Businm,.,' Product Approval
Professio' '6�I kv,-, USER:Public User
ApLLcatmnu-_,jt>Application Detail
`Zq-
FL# FL14078-Rl
Revision
Application Type
Code Version 2010
Application Status Approved
Comments
Archived
Product Manufacturer Ultratek Worldwide
Address/Phone/Email 3801 N.Washington Blvd.
Sarasota, FL 34234
(941)351-6700
info@hurricanesafeproducts.com
Authorized Signature Steve Motosko 71
info@hurricanesafeproducts.com
Technical Representative Steve Motosko
Address/Phone/Email 3801 N.Washington Blvd.
Sarasota, FL 34234
(941)924-2285
info@hurricanesafeproducts.com
QualityAssuranceRepresentative Steve Motosko
Address/Phone/Email 3801 N.Washington Blvd.
Sarasota, FL 34234
(941)924-2285
info@hurricanesafeproducts.com
Category Shutters
Subcategory Products Introduced as a Result of Newrechnology
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who John Henry Kampmann Jr., PE
developed the Evaluation Report
Florida License PE-47516
Quality Assurance Entity Keystone Certifications,Inc.
Quality Assurance Contract Expiration Date 07/08/2019
Validated By Frank L. Bennardo, P.E.
I Validation Checklist-Hardcopy Received
Certificate of Independence ELL4Q78 R! C01 Certificate of indp f
f.mn den ce UT-11-1224A-p-d!-
Referenced Standard and Year(of Standard) Standard Year
ASTM E1886 2005
ASTM E1996 2005
ASTM E330 2002
http://www.floridabuilding.org/pr/pr�_app_dtl.aspx?param=wGEVXQwtDqtGLR��/`2byC... 11/19/2012
Florida Building Code Online Page 2 of 2
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
quiv E
Aljivalence e terpdf
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 12/22/2011
Date Validated 02/24/2012
Date Pending FBC Approval 02/28/2012
Date Approved 04/03/2012
Summary of Products
FL# Number or Name Description
14078.1 Flat Polycarbonate Panel
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL14078 R1 II Installation. Drawiliq 11-1221A.Pdf
Approved for use outside HVHZ:Yes Verilf—ied By: John Henry Kampmann Jr. PE-47516
Impact e istant:Yes ,Created by Independent Third Party:Yes
Design Pressure: +60/-60 Evaluation Reports
Other: See Installation Instructions for additional FL14078 R1 AE Product Evaluation Repkrt 1 -
J-1-
information
Created by Independent Third Party:Yes
E�
Contact Us::1940 North Monroe street.Tallahassee FL 32399 Phone:850-487-182
The State of Florida is an AA/EEO employer.Copyright 2007-ZOIQ State of Florida.::Privacy Statemen ::Accmibility Statement::Refund Stateman
Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-reCords request,do not
send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any cluestions,please contact 850.487.1395.
.Pursuant to Section 455.275(l),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department
with an email address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are public
record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.
To determine if you are a licensee under Chapter 455,F.S.,please click here.
Product Appro"ll Accepts:
M El M
http://www.floridabuilding.org/pr/pf�_app_dtl.aspx?param=wGEVXQwtDqtGLR`/`2byC... 11/19/2012
r
M-
"M%
lilt',
T-1 ;Smog
pp!s IS
u
loom
J i
41 No I
lisp
lop
I
IL
I.
.941
I all
IT I
cli
FEE
Uftrdek Wwk**Inc. FLMEA
PWI
Fid
mn
r
ri r.
119
too a
am
tn
W"ML
NO
2MO NO OM-#M-OMM MkWMW OMR
ukmtek WmVwide Inc. JMEA
KE�
RNM
FW Pbbwbon*Pod
ML
Vx, m
.. ....... .....
C06
0 FOC zoo
2"o
K-M=iMD Ukr*kWW&Wlw. FLMEA
MKW~NA mmamw-
hl"Mum
FW Pobubw*P80d WROMOM
I wmukdmdbmum
piing
Pon-
Ir
40
CA#am
moo—
R.4 r 'r6MEA
MEARIEK-PPMEED ON&Ww"br-
mlawpot 0 L Mmlor-m-t.,a c
FW Po4vaboub Pod bolka3m om lboulp son
L soft 34M
CA40n
CA cc
(a —
z
44 31
0 -4 CD -4 cm
'A 00
30
ru-
z t I
41h
a M
Omm
co
lu Cc Ce
0 Cc* Co C
z ji
m
M
01
I m
z V
I
0 i
2
0
0
0"no Van=WWAWK=MW
-'NVEINIQ ;&*kwmwwwe mc. qMEA
—two.
S. Flat Pobvmbm*Pod
9%rh if
FILE uury
4 Bond No. 9000501
Executed in 2 counterparts
IMM.
warp-"Wr
The American Institute of Architects,
AIA Document No.A311 (February, 1970 Edition)
KNOW ALL MEN BY THESE PRESENT&that Custom Storm Shutters Direct, Inc.
(Here insert full name and address or legal title of Contractor)
826 Hull Road, Ormond Beach, FL 32174
as Principal, hereinafter called Contractor, and,FCCI Insurance Company
(Here insert full name and address or legal title of Surety)
6300 University Parkway, Sarasota, FL 34240
as Surety, hereinafter called Surety, are held and firmly bound unto City of Atlantic Beach
(Here insert full name and address or legal title of Owner)
800 Seminole Road,Atlantic Beach, FL 32233
housand Nine Hundred Fifty Four and 00/100ths
as Obligee, hereinafter called Owner,in the amount of Pghtee�---
Dollars($18,954.00 —),for the payment whereof Contractor and Surety bind themselves, their heirs, executors, administrators,
successors and assigns,jointly and severally, firmly by these presents.
WHEREAS, Custom Storm Shutters Direct, Inc.
Contractor has by written agreement dated November 16 2012 —, entered into a contract with Owner for
P.O. Number 130369; Wind Protection Shy in accordance with Drawings and Specifications prepared by
N/A
(Here insert full name and address or legal title of Architect)
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
NOW,THEREFORE,THE CONDITION OF THIS OBLIGATION responsible bidder, arrange for a contract between such bidder and
is such that, if Contractor shall promptly and faithfully perform said Owner, and make available as Work progresses(even though there
Contract,then this obligation shall be null and void;otherwise it shall should be a default or a succession of defaults under the contract or
remain in full force and effect. contracts of completion arranged under this paragraph) sufficient
The Surety hereby waives notice of any alteration or extension of funds to pay the cost of completion less the balance of the contract
price;but not exceeding,including other costs and damages for which
time made by the Owner. the Surety may be liable hereunder,the amount set forth in the first
Whenever Contractor shall be, and declared by Owner to be in paragraph hereof. The term"balance of the contract price,"as used
default under the Contract, the Owner having performed Owner's in this paragraph, shall mean the total amount payable by Owner to
obligations thereunder, the Surety may promptly remedy the default, Contractor under the Contract and any amendments thereto,less the
or shall promptly amount properly paid by Owner to Contractor.
1) Complete the Contract in accordance with its terms and Any suit under this bond must be instituted before the expiration
conditions,or of two (2) years from the date on which final payment under the
2) Obtain a bid or bids for completing the Contract in Contract falls due.
accordance with its terms and conditions, and upon determination by No right of action shall accrue on this bond to or for the use of
Surety of the lowest responsible bidder,or,if the Owner elects, upon any person or corporation other than the Owner named herein or the
determination by the Owner and the Surety jointly of the lowest heirs,executors,administrators or successors of the Owner.
Signed??e6,kealed this 3rd day of December 2012 —' 4,ire I
it ssr- Custo S ShutJ (Seal)
VTitirr
-EJ:CdJnsurance Com urety) (Seal)
C— itneZss)
(I Peggy Sn (Title) Attorney-In- act
Performance/Labor and Material Payment Bond
Revised to February,1970
S13 5715b(1) Printed in U.S.A.
Executed in 2 counterparts Bond No. 9000501
LABOR AND MATERIAL PAYMENT BOND
The American Institute of Architects,AIA Document No.A311 (February,1970 Edition)
THIS BOND IS ISSUED SIMULTANEOUSLY WITH PERFORMANCE BOND IN FAVOR OF THE
OWNER CONDITIONED ON THE FULL AND FAITHFUL PERFORMANCE OF THE CONTRACT
KNOW ALL MEN BY THESE PRESENTS:that-C-ustOm Storm Shutters Direct, Inc.
(Here insert full name and address or legal title of Contractor)
826 Hull Road, Ormond Beach, FL 32174
as Principal, hereinafter called Principal, and, FCCI Insurance Compa-nv
(Here insert full name and address or legal title of Surety)
6300 University Parkway, Sarasota, FL 34240
as Surety, hereinafter called Surety, are held and firmly bound unto -C-ity-of Atlantic Beach
(Here insert full name and address or legal title of Owner)
800 Seminole Road, Atlantic Beach, FL 32233
as Obligee, hereinafter called Owner, for the use and benefit of claimants as hereinbelow defined, in the amount of
Eiqhte!���������Oths Dollars($18-,-954-QO---),
(Here insert a sum equal to at least one-nalT of the conuact pice)
for the payment whereof Principal and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly
and severally,firmly by these presents.
WHEREAS, Custom Storm Shutters Direct,Inc.
Principal has by written agreement dated November 16 2012 entered into a contract with Owner for
P.O. Number 130369; Wind Protection Shutters, Citv Hall in accordance with Drawings and Specifications prepared by
N/A
(Here insert full name and address or legal title of Architect)
which contract is by reference made a part hereof, and is hereinafter referred to as the Contract.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such furnished the last of the materials for which said claim is made,stating
that, if Principal shall promptly make payment to all claimants as with substantial accuracy the amount claimed and the name of the
hereinafter defined,for all labor and material used or reasonably required party to whom the materials were furnished, or for whom the work or
for use in the performance of the Contract, then this obligation shall be labor was done or performed. Such notice shall be served by mailing
void;otherwise it shall remain in full force and effect,subject,however,to the same by registered mail or certified mail, postage prepaid, in an
the following conditions: envelope addressed to the Principal, Owner or Surety, at any place
I. A claimant is defined as one having a direct contract with the where an office is regularly maintained for the transaction of business,
Principal or with a Subcontractor of the Principal for labor, material, or or served in any manner in which legal process may be served in the
both, used or reasonably required for use in the performance of the state in which the aforesaid project is located, save that such service
Contract,labor and material being construed to include that part of water, need not be made by a public officer.
gas, power, light, heat, oil, gasoline, telephone service or rental of b) After the expiration of one(1)year following the date on which
equipment directly applicable to the Contract. Principal ceased Work on said Contract,it being understood,however,
2. The above named Principal and Surety hereby jointly and that if any limitation embodied in this bond is prohibited by any law
severally agree with the Owner that every claimant as herein defined, controlling the construction hereof such limitation shall be deemed to
who has not been paid in full before the expiration of a period of ninety be amended so as to be equal to the minimum period of limitation
(90)days after the date on which the last of such claimant's work or labor permitted by such law.
was done or performed, or materials were furnished by such claimant, c) Other than in a state court of competent jurisdiction in and for
may sue on this bond for the use of such claimant, prosecute the suit to the county or other political subdivision of the state in which the
final judgment for such sum or sums as may be justly due claimant, and Project, or any part thereof, is situated, or in the United States District
have execution thereon. The Owner shall not be liable for the payment Court for the district in which the Project, or any part thereof, is
of any costs or expenses of any such suit. situated,and not elsewhere.
3. No suit or action shall be commenced hereunder by any 4. The amount of this bond shall be reduced by and to the extent
claimant: of any payment or payments made in good faith hereunder, inclusive
a) Unless claimant,other than one having a direct contract with the of the payment by Surety of mechanics' liens which may be filed of
Principal,shall have given written notice to any two of the following: the record against said improvement, whether or not claim for the amount
Principal,the Owner,or the Surety above named,within ninety(90)days of such lien be presented under and against this bond.
after such claimant did or performed the last of the work or labor, or
SignetM*.,sealed this day of December 2012
Cus St ec , C.
ri (Seal)
(Title)
Insurance om a urety) (Seal)
�(W=ness��Z) �-6 4--J
Revised to February,1970 Pe gy Sno Fact
SI3 5715b(2) Printed in U.S.A.
INSURANCE
FCCIGROUP
PROTECTING BUSINESS,PROPERTY AND PEOPLE
GENERAL POWER OF ATTORNEY
Know all men by these presents: That the FCCI Insurance Company, a Corporation organized and existing under
the laws of the State of Florida(the"Corporation")does make, constitute and appoint:
Peggy Snow
Each, its true and lawful Attorney-In-Fact, to make, execute, seal and deliver, for and on its behalf as surety, and
as its act and deed in all bonds and undertakings provided that no bond or undertaking or contract of suretyship executed
under this authority shall exceed the sum of(not to exceed$500,000): $500,000.00
This Power of Attorney is made and executed by authority of a Resolution adopted by the Board of Directors. That
resolution also authorized any further action by the officers of the Company necessary to effect such transaction.
The signatures below and the seal of the Corporation may be affixed by facsimile, and any such facsimile
signatures or facsimile seal shall be binding upon the Corporation when so affixed and in the future with regard to any
bond, undertaking or contract of surety to which it is attached.
In witness whereof, the FCCI Insurance Company has caused these presents to be signed by its duly authorized
officers and its corporate Seal to be hereunto affixed, this 22 ND day of September 2011
X CE
Attest: cAa--�-q �k,4�
%
Craig,4bhnon, President Thomos)k Koval Esq.,SVP,G-e`?1traLCzt!unseI,
SEAL
FCCI'Tnsurdhce Company Gov ent Affairs and Corporate Secretary
WIN
OR FCCI Insurance Company,
State of Florida
County of Sarasota
Before me this day personally appeared Craig Johnson, who is personally known to me and who executed the
foregoing document for the purposes expressed therein.
ARLENE CUEMAN
My commission expires: 9/25/2016 Notary PW*,state of Florift
MY C411M.EVW"Sq*M 2016
No.EE 213092 Notary Public
State of Florida
County of Sarasota
Before me this day personally appeared Thomas A. Koval, Esq., who is personally known to me and who
executed the foregoing document for the purposes expressed therein.
ARLENE CUEMAN
Notary Pubk,State of Florift
My commission expires: 9/25/2016 My C—.E*W SSPL 25.2016
No.EE 213092 Notary Public
CERTIFICATE
1, the undersigned Secretary of FCCI Insurance Company, a Florida Corporation, DO HEREBY CERTIFY that the
foregoing Power of Attorney remains in full force and has not been revoked; and furthermore that the February 24, 2011
Resolution of the Board of Directors, referenced in said Power of Attorney, is now in force.
Dated this k 3rd day of December 2012
Thom9flk Koval, Esq., SVP-Seagral Counsel,
Sbt
Govonent Affairs and Corporate i-etary
1-IONA-3592-NA-04, 11112