1415 Ocean Bld 2013 interior remodel CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Application Number . . . . . 13-00003147 Date 8/05/13
Property Address . . . . . . 1415 OCEAN BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 120000
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Application desc
KITCHEN, BATH AND BEDROOM
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Owner Contractor
------------------------ ------------------------
DAVIS BRIAN AND CAROLINE BOSCO BUILDING CONTRACTORS
1415 OCEAN BLVD. 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-0320
--- Structure Information 000 000 KITCHEN BATH BEDROOM REMODEL
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALVOTHER
Additional desc . .
Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50
Issue Date . . . . Valuation . . . . 120000
Expiration Date . . 2/01/14
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Special Notes and Comments
2010 FLORIDA BUILDING 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
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other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 115 . 00 115 . 00 . 00 . 00
Plan Check Total 57 . 50 57 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 176 . 50 176 . 50 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I I A I I IN 1 1"K Al I I ,%1'11'1 At X I I( PIN
CT r N,, i; A,r L A NTI C I�F,A CI I
800 ScIllillole Road, Atlantic licach, 1:1. 12233
0111cc (904) 247-5826 Fax (904) 247-5845
9
Job Address: U Perrnit Nunibe
Legal DescriptiontO -/I V(U
Parcel 4
Hoor Area 014 SCI.Ft. I S qT. -t—
Valuation of Work S 12-0 TO* Proposed Work III- -1-I non-heated/cooled
(lass ofWork(circle one)-. Ne\� Alteration Repair IN/love DC111olition ICZ6 i
Lise of existinfl/proposed structure(s) (circle one): C'onlinercial
F ILE COPY
If-,in existing structure, is -.I Fire sprinkler system installed? (0rcle one)�.�e'�, N o
I'lorida product Approval 4
For inultiple products use product approval[Torin
Describe ill detail tile type of\vork to be perlornied:
AdIll 4_A4
11'rol)erty Owner Inforniation:
I
Na I I I C:6 CiQ El A— QQ(M U AS, Address:jqt-�;7 0--orwV i%vck
0ty
F-Mail or Fax # (Optional)
Con(ractor Information:
('onipany Narne:--
-c3DK- ---Qualifying A nt: _1 00(d,
--C i ty �StateF--( Zip
Address:aL5 4VQ/ti�c
011-ice Phon er
Job Site/Contact NILInib lbc/ Fax #
State Certification/Registration 9 C-,K2Cj
Architco Naine & I)hone #
Engineer's Name& Plione #
1,ec Siniple Title I folder Naine and Address
Bonding Company Naine and Address___
Mortgage Lender Name and Address
Ipplicalioll ls herebt,inade to oblaill a 1wrinil to do the wof-A and installaliolls(IS ititlicaled cerliti,that 110 it-ol-A or installalioll ha.s conallell(vilprior to l/w
0
issitance ol'a perntil'and that all work will be I to incet/he slatldaret% ol o//laws reglllalal�collsIrlic-lioll ill lillisjurisdiClioll. ThiS lk'I'llill 1)(T0111CS/ill//
"I/d void i�work is 11of coninlenced Ivilhill six illoillh.N, or il coiistrutwon or work is suspemleil(;r al)(111dolled lor ajwrlotl qfsix(0)monihs tit ain,lime atter
11-ol-A is(.().....It'llced I lolderstalld that Separate perillim must he secio-ed 10- Electrical Worh, Phimbing,Si�ns, I ells, FurflaCes, Boiler*s, Heaters,
Tanh, nd Air Conditioners,ele.
WARNINC TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYINC TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINC, CONSULT WITH
YOUR LENDER Oil AN ATTORNEY BEFORE RECORDINC YOUR NOTICE OF
COMMENCEMENT.
hcrcbi cer/l/v that I have r('a(l afl(I ejj)1)1jC.Cjtlj)jj o1j,l Allot,.(/It,S41111t,to he trut,and corrcc/ 111provisioll's ol laws Mid ordllltlllct,,� [�01'0'11111Q fillA
tipc of work-it-ill be compiled with it-licther sz)ect/wil 110,C111 01' Hol. I he Qrtllllit�Q ol a perillit doe.s liol, 011slaill, to gi I't, alalloral, to violate'oi- ctoic�,l ill,,
st.oas o/atil,otlit'r Slate. or/000/ oli,I,t,.Q latilig construch oll o;.the perlormalwe o/cmistructioti.
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0
S44111,111.1reof0mier Signature of'('ontractor
r
4 or
PrInt Nanic Print Name
loe , —16PP 4. 4-30 5 CD
S%%Orn to and SUbscribcd before nic S\\orn to and subscribcd I)cl'()I'C Me
this r,� Day of' )J, this -7-y Da\ of' _zll WJWAM L.P&t4
--OPE
Wl LLIAMf P
,j4e�� ogg5�� Notary Public,State of Roride Notary Public,State of Hodda
lfllll�- -- My Comm.Expires Oct 19,2M
Notar\ Public my comm.Expires Oct.19,2045 Notary PUblic
commission No.EE 128745 Commission No.EE 128745
Revised 0 1.26.10
NOTICE (4' c()N1N1ENCE Doc#2013182148,OR BK 16453 Page 942,
Number Pages I
Recorded 07/15,2013 at 03:31 PM.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Permit No.--/ FILE Cop COUNTY
Ta.X Folio No. RECORDING$10.00
III: I JNDF'RSIGNED herej)\, gives notice that improvenicills \kill be inade to cc rtain real property, iLnd in ac(ordan(c \�ith Section
711.13 offhe I-lorida Suittift*s. fhe follmkine inforn-laijor, is pro\,ided in thk N0 '1'WF'(q,('qO.NlN1VN(+'M FIN'J.
I-Desc,ipti oil ol'property (IrRal de.scripfion).- 10— it /6
it) Street (joh) Address:
2.(;eneral description of improvements:
0
3.0wner Irill'orniatioll
it)Nanle jind jjddre�,sm 2
6 r-ir C(-,-) CCIV-0 14NV ()C(_
b) Name and address offec simple titleholder(if other than owner)
c) I merest in property
4A'ontractor Infivinatioll
a)Name and address:
b)Telephone No.: A4-" i��
90y .--_J'v_t
�.Stl GO Fax No.(Opt.) 90y
rely Information
a)Name and address:
b)Amount of Bond:
6.1.en(Icr 01'elephone No.: faxNo.(Opt.)-- -
a)Name and addrcss:
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.:
8.1n addition tZshimself,own`e`r��s_ignalor_s—the I ax No.(Opt.)
'lorida Statutes: person to r i
713.130)(b), F ecelve a COPY Of the t.ienor's Notice as provided it,Section
a)Name and address:
b)'I"elephone No.:
9.Expiration dale of Notice Fax No. (Opt.)
is specified): orment(the expir"tion dste is one ye4or from the date of recording unless n different date
WARNING TO OWNER: ANV PAVMENTS MADE BV I'llik'OWNER AJq'ER THE EXPIRAI'lION OF THE NO110E OF
COMMf,NC.FMVNT ARE CONSIDERFI) IMPROPER PAV�IENTS 1JNDER'CHAP`1'FR 713,PAR1-1.SE"'11ON 713.13,
F1,ORlDA STATIJTES,AND CAN RES11J.'r IN VOIJR PAYING TWICE ItOR IMPROVEMENTSTO )lot I.R pRopERI,
A N07'1('E OF COMMFN(.'FMFN'f` AND PoS'F'FD ON741F.JOH
S1,1'r
'ND'F0 01111'AIN FINANCING,CONS1.11,1'VOtIR 1,FNDFR Olt AN Al-I-ORNEY liji"IrORF
INSPEA:110N. IF VOIJ IN'I'll' FiRs,j,
('0MMF,N(AN('. WORK ()It OF('ORDING Y011111? N01'1('F,0Ii*('()MMj,,' "E.MVIN'll'.
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'I'lle foregoing instrument was acknoA ledged bef(ge nle(Ilis
day of V/, 'o /_2�,1)y
(1)'Pe AIII11)(01-ilv,e.P. 011ricer,trustee,
attkney in Net) for 1)ff);"-ty oil'i'v"Illfilf'Al"Int illst'A"'Will Nvas executed).
--ec rs�'on a I I�v OR Produced Idenlificlition Nolary Signaltirr 4�144_-
lypc of ldctitification I'lixfocc(I Nartic(print) WILLIAM L.POPE
0 R Notary Public-,State of Florida
VCtificalion purstiant to 92.�2�, 1 p(.1 of ,III%
M mfn.Ex�ires Oct.19,2015
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Florida Building Code Online Page I of 2
FILE 0
Ila
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats Facts Publications FBC Staff BCIS Site Map Links Search
Product Approval
USER:Public User
Product Approval M—u>Froduct cr Application�earc >ALpljg2tton Li� >Aplpll�lllttin D.11I
FL# FL12838
Application Type New
Amz.-., Code Version 2007
Application Status Approved
Comments
Archived
Product Manufacturer IKO Industries,Ltd
Address/Phone/Email 40 Hansen Road South
Brampton,NON-US L6W 31-14
(708)496-2800 Ext 200
rmetzOO1@tampabay.rr.com
Authorized Signature Robert Metz
rmetzOO1@tampabay.rr.com
Technical Representative Maciek Rupar
Address/Phone/Email 6600 S Central Ave
Chicago,IL 60638
(708)496-2800
maciek.rupar@iko.com
Quality Assurance Representative Maciek Rupar
Address/Phone/Email 6600 S Central Ave
Chicago,IL 60638
(708)496-2800
maciek.rupar@iko.com
Category Roofing
Subcategory Underlayments;
Compliance Method Test Report
Testing Lab PRI Construction Materials Technologies,LLC
Quality Assurance Entity FM Approvals-QA
Quality Assurance Contract Expiration Date 08/01/2012
Validated By Samuel M.Wolfington,P.E.
- Validation Checklist-Hardcopy Received
Certificate of Independence FL12838 RO COI PRI CMT Cert of Independencel'11.Ddf
Referenced Standard and Year(of Standard) Standard year
ASTM D1970 2001
ASTM D1970 2009
Equivalence of Product Standards
Certified By
hi I 10/\� fl,it 1,1,IhI 11 11 It M, 1 11 11 ... ...... . ........
Page 2 of 2
Florida Building Code Online
Product Approval Method Method 1 Option B
Date Submitted 09/04/2009
Date Validated 09/24/2009
Date Pending FBC Approval 10/24/2009
Date Approved 12/09/2009
Summary of Products
FL# IModel, Number or Name Description
12838.1 ArmourGard Ice and Water #7910005#7910001
113rotector
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL12838 RO 11 IceanclWater-Armouroard IKO.Ddf
Approved for use outside HVHZ:Yes Verified By: PRI Construction Materials Technologies,
Impact Resistant:N/A LLC
Design Pressure: N/A Test Reports
Other: FL12838 RO TR IKO-041-02-
LQI--MC ASTM D 1970 Lab ReptI11.29
12838.2 StormShield Ice and Water #7910033
115rotector
Limits of Use Installation Instructions
Approved for use In HVHZ:No FL12838 RO II StormShieldIWO806-IKO.od
Approved for use outside HVHZ:Yes Verified By: Samuel Wolfington,P.E.#10948
Impact Resistant:N/A Test Reports
Design Pressure:N/A FL12838 RO TR IKO-041-02-
Other: 101 FBC ASTM Q 1970 Lab Rept[I].Dd
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Department of Conrinunity Affairs
Florida Building Code Online
Codes and Standards
2555 Shumard Oak Boulevard
Tallahassee,Florida 32399-2JO0
(850)487-1824,Fax(850)414-8436
2000-2010 The State of Florida.All rights reserved.
Privacy Statemen I C22zrighL5tAt11nrjA I ALCMibility statemen I Pluo-in Softwa I customer Service Survey Contact Us
Product Approval Accepts:
E
SCL:uritymi-iMLS
City of Atlantic Beach APPLICATION NUMBER
Building Department (ro be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 uted: IL26 ZZ3
-dept@coab.us
E-mail: building
City web-site: hftp:/Mww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address 04Nx-7) &C/ PApadMent review re es �N�o
Building �? 11-11" —d
Applicant: �g&Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee Dept signature
Review or Receipt
Other Agency Review or Permit Required of Permit Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
Rt Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
APPLICATION STATUS
Reviewing Department First Review: [TA—pproved. []Denied.
(Circle one.) Comments:
Q�� —
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: F�Approved as revised. [_]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05114109