1130 MAYPORT FIRE REVIEWCity of Atlantic Beach
Building Department
' 800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 • Fax (904) 247-5845
E-mail: building-dept@coab.us
City web -site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1 130 MCV r? 0r -i 9A
Applicant: TG "if `if C� n\ <
Project: � '3' 0-64
Department review required Yes No
Buildin
anning & Zoning
r or
Public Works
Public Utilities
Public Safety
F� ire Service
130MOR WE
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B
Date
Florida Dept. of Environmental Protection
❑Denied.
Florida Dept. of Transportation
Comments:
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
Date:
APPLICATION STATUS
Reviewing Department
First Review:
❑Approved.
❑Denied.
(Circle one.)
Comments:
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
BUILDING PERMIT APPLICATION` �1
CITY OF ATLANTIC BEACH
• 4
800 Seminole Road, Atlantic Beach, FL 32233 O(fC 2 ?01,
Office (904) 247-5826 Fax (904) 247-5845
IC
�BY m _
Job Address: / �(.� 1~ vi . M � � �- � = Permit Num err
Legal Description�;41 ��.�-�1 6-, Parcel #
�, rioor Area or Sq.rt. aq.rt
Valuation of Work $ 0Proposed Work heated/cooled non-heated/cooled
Class of Work (circle one): {' N Addition Alteration Repair Moves Demolition pool/spa window/door
Use of existing/pro osed structures) (circle one):. �-Commercial .� Residential
If an existing struc ure, is a fire sprinkler system installed? (Circ a one): Yes No N /A
Florida Product Approval # r / 3 G ' / . / ;" o
For multiple products use product approval form
Describe in detail the
A 1
12,-,V Sri
� a
of work to be performed:
Property Owner Information:
r'/be 3
Name: l dl '15h .0.• t''`c? r+! ,'� ir� Address: 1130 11' �P� �v4
City e� , x £.da &1; State Zip Phone 7o 1'2- V -7 .. 6,5L f .
E -Mail or Fax # (Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: < ���! : r ter.'_ • Quali ing Ament:
Address: / & sw-4At City ,,fit "� ,,c -rte State - / Zip 3,-,2,2,5a
Office Phone 9ocl - 2 3,1-• .3 c; 7 V Job Site/ Contact Number Fax #
State Certification/Registration # 44v+C YAX o 3L 2.
Architect Name & Phone #�f
Engineer's Name & Phone # 'r
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address ii
Application is hereby made to obtain a permit to do the work and installations as indicated .1certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be peiformed 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 r6) months at any time after
work is commenced.. I 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.
I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o 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 - 1 0 (,Z
Signature of Owner � �[ �� aL Signature of Contract
x �Pi' Print Name
Print Name ��
Before me
this 7 -AC Day of bo <em-N6e , 20 13
Notary Public
$ °c Notary Public„ State of Florida
Commission# DD998148
My comm. expires July 20, 2014
Before me
this Day o_�
�Y`� _IU U
Prrb*FERw
;+r MY COMMISSION P 01141
EXPIRES: April 94, 9017 Revised 01.26.10
ftI(l1, Bonded Thru Naary Puab unGilWrNetii11
FLA
Doc # 20133064-5
Number Pages: 1
Recorded 12/02!201
Ronnie Fussell CLEF
COUNTY
RECORDING $10.0(
i
NOTICE OF COMMENCEMZNT
(PREPARE IN DUPLICATE)
Permit No. Tax Follo No.
State of County of
To whom N may concam:
The undersigned h®rsby informs you. that improvements 1#111 be made ft certain, deal property, and in
acc nb nce wnk Section 713 of the Florida Statutes, thf fo1fo1#1ng hfformat[4n is stated in this NOT)CE OF
CO11fAlfENCEMENT. i ,
,s
Legal descriptiop of propertylong Improved:i�-,nit,: a - y� i i� �s ti e! i' f
Owner's interest in site of the improvement,
Fee Simple Titleholder (d other than owner)
Phone No. ' 0 4 ZR t1- 3, b "7 Y Fax No.
Address Amount of bond S
Phone No. Fax No.
J
Name and address of any person matting a loan for the construction of the
Name
Address _
Phone No.
Fax No.
Name of person within the State of Florida, other than himsW 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 tdenor's Notice as provided in
Section 713.06 (2) (b), Florida Statutes. (Fel In at Owner's option).
Name
Address
Phone No.
Fax No.
Expiration date of Notice of Commencement (the expiration date Is one (1)
dit%rent date Is specitled):
are
Pemnatyf(m m_
Produced idenli M
the date of recording unless a
by
T.PUTNAM
State of Florida i'
SECTION 1
LETTER OF COMPLIANCE
The booths manufactured by Standard Tools / Tools USA are designed for code approval.
The booth is supplied in kit form and is assembled on site by the booth owner or a contractor
hired by the booth owner.
The booths are designed to comply with the 2011 edition of the National Fire Protection
Association (NFPA33) requirements. The booth is also compliant to OSHA 29CFR.1910
code and IFC International Fire Code. The materials, design, ventilation and documents
supplied by Standard Tools and Equipment Co. are compliant to these codes, but other
materials may be required by the codes, such as fire suppression systems and makeup air
suppliers.
Optional ETL kits are available with our most popular paint spray booths and mixing rooms.
These kits include the electrical control panel, air solenoid valve and the ETL label that
shows satisfactory acceptance by Intertek that the booth or mixing room meets NFPA-33
requirements. This kit must be purchased and installed prior to the booth leaving our facility.
Standard Tools and Equipment Co. is not certified by any firm to label a booth as compliant
once it leaves the manufacturing facility.
Standard Tools and Equipment Co. is not responsible for third party inspections should
local fire marshals or inspectors require it. Standard Tools is not responsible for
requirements beyond what is supplied with the booth such as control panels, fire
suppression or signage on the booth unless these items are purchased from Standard
Tools.
INFORMATION ABOUT THE BOOTH KIT CONTENTS
GALVANIZED STEEL - Each booth is fabricated from 18 gage -galvanized steel. The steel
meets ASTM A-653 requirements and the galvanizing is G90, 1.25 ounces per square foot,
and meets ASTM A527LFQ requirements.
EXHAUST FAN - The fan is equipped with a non -sparking blade that is driven by belts
enclosed in a motor duct and is designed for paint booth service. The fan meets the AMCA
testing requirements and bears the "CA seal.
ELECTRIC MOTOR - The motor (supplied with the fan) conforms to National Electric
Manufacturers Association ratings A and B and is UL Rated (reference E47479). The motor
is also CSA rated (reference LR6153). Fan motors should not be controlled via a VFD
(variable frequency drive). Safe ventilation is designed at 100% of operational rpms.
Revised 11-8-2012 3
LIGHTS - The standard lights are 120V 2'x4' T8 fluorescent lay -in and are UL and CSA
approved. They are mounted and serviced from the outside of the booth. The lights are
separated from the interior of the booth by 0.25" tempered glass, sealed from the inside to
insure a vapor proof seal. Inside -access lights (explosion -proof, Class 1/ Div II) are available
at an extra charge (ref. LDPI 390 -series, 4 -bulb, T8 with interlock switch).
WINDOWS - Windows are fully tempered safety glass and meet the requirements of the
following:
• ANSI Z97.1
• Federal Standard 16 CFR 1201
• ASTM C-1036-91
• ASTM C-1098-92
The windows are %" thick tempered glass, designed to be sealed with caulking to insure a
vapor proof seal, and meet NFPA-33 requirements.
MANOMETER DRAFT GAUGE — Mark II Model 25, manufactured by Dwyer Instruments
to meet NFPA 33.
INTAKE FILTERS - Manufactured by CHEMCO Mfg. Co. Inc., 92.4% efficiency.
UL Class II [reference R13314 (N)], equal alternates maybe used
EXHAUST FILTERS - Manufactured by CHEMCO Mfg. Co. Inc., Average Arrestance
Efficiency 98.66%, Holding Capacity 0.41 Lbs/ft2 ,UL Class 2 [reference R13314 (N)J,
equal alternates may be used
POWDER BAG FILTERS - Manufactured by Air Technologies Inc., 97% efficiency.
UL Class 2 [reference R13314 (N)], equal alternates may be used, powder coat booths
POWDER PREFILTERS - Manufactured by Air Technologies Inc., 99.76% efficiency.
UL Class 2 [reference R13314 (N)], equal alternates maybe used, powder coat booths
HEPA FILTERS - MERV 14,95% efficiency. UL Class II [ref R9118], powder coat booths
CAULK - Manufactured by DAP, Inc. Meets ASTM specification C-834. MSDS is
available at www.dap.com or www.toolsusa.com.
CONTROL PANEL - an ETL-listed assembly for controlling lights and fans using all UL
and CSA listed items, comes with instructions for installation. ETL-listed booths require this
control panel, but it may also be purchased as an option.
AIR SOLENOIDS — Made by Redhat, sold separately or included in ETL kit. Optional
except for ETL kit.
Revised 11-8-2012 4