Loading...
857 Amberjack Ln 2014 Roof CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 14-00000587 Date 4/21/14 Application Number � 857 AMBERJACK LN Property Address . . . - Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------- ----------- ------------------------------ ------------------------------ Application desc siding ------------------------------- Owner Contractor -------------- ------------------------ ---------- KSN INVESTMENT CORP TRI-H CONSTRUCTION LLC 9191 SKINNER PKWY # 501 11215 ST JOHNS INDUSTRIAL PKWY JACKSONVILLE FL 32256 UNIT 10 JACKSONVILLE FL 32246 (904) 545-9978 ------------------------------ Permit SIDING PERMIT Additional desc Plan Check Fee 50 . 00 Permit Fee . . . . 100 . 00 10000 Issue Date Valuation Expiration Date . . 10/18/14 ----------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. -- ------------------- ---------- ---------------- -------- 2 . 00 Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 , 00 STATE DBPR SURCHARGE Due Fee summary Charged Paid--- Credited --- ----------------- ------- . 00 00 Permit Fee Total 100 . 00 100 . 00 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 00 . 00 4 . Other Fee Total 4 . 00 00 . 00 Grand Total 154 . 00 154 . 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 r 800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY ' l Office (904) 247-5826 Fax(904)247-5845 Job Address: 857 Ambejack Lane Atlantic beach, Fl 32233 Permit Number: M S 8"77 Legal Description 30-60 38-2S-29E Royal Palms U4it 1 Parcel# 171181-0000 Floor Area of Sq. t. Sq.Pt Valuation of Work$_, AQ, Q d !� _Proposed Work heated/cooled 1470 non-heated/cooled 44 Class of Work(circle one): New Additionterah'on'` Repair Move Demolition pool/spa i vindow/door Use of existing/proposed structure(s) (circle one):. Commercial Residenti If an existing structure,is a fire sprinkler system s H d? (Circle one): o N/A Florida Product Approval# 50e, 3 A 1fa For multiple products use product approval form Describe in detail the type of work to be performed: �J��Il/Q _ ��► '�_�� Property Owner Information: / Name: KSN Investment Corp. Address: 9191 Skinner pkwy Suite 501 City Jacksonville, State FLORIDA_Zip 32256 Phone 904-710-2884 E-Mail or Fax#(Optional) Wed to"1( Contractor Information: f e Company Name: Tri-H Construction LLC Qualifying Agent: Anton IH uasz III Cej)# q©N s-16 Address: P. O. Box 331118 City Atlantic Beach StaL_� FLORIDA Zip 3223 Office Phone 904-328-2228 ivr Job _ - 224 State Certification/Registration# CB( 02201 Architect Name&Phone#n/a GM OF An&N"C Engineer's Name&Phone# n/a . Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address SY: D Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the AP of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. is permit becomes mill and void if work is not commenced within months, or if construction or work is suspended or abandoned for a penod of sixp) oaths at any time after work is commenced. I understand that separate permits must be secured for Eledrica Work,Plumbing,Signs, Wells,Pools, ur aces,Boilers,Heaters, Tanks and Air Conditioners,etc WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICIij OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPR VEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONS LT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO ICE OF COMMENCEMENT. I here b certify that 1 have read and examined this a ication and know the same to be true and correct. All provisions of laws and or "nances governing this type o�work will be complied with whether sppecie he 'n or not. The granting of a permit does not presume to give authority violate or cancel the ,5rovisions of any other fed state,or lo c la re 1 g construction or the erformance of construction. signature of O Signature of Contractor Tint Nam t_. i�..x...f'?.cll Print Name ,�s . .. ...I. ....... (- . r. . s. ........... >worn subscri�bbefore me Swo to and subscrib d before me his I ay of 20 14 this �Day of 20 lotary Publi ANM A BRYANT yrsNotary Public "AY ANGELI BRYANT W NOTARY PUBLIC rr NOTARY � 1.26.10 RMT6STATE OF FLORIDA STATE OFIN6 Comrt FF089349 ' Conn#FF09P34>a • Expires 213/2018 b Expires 2/312018 ..... Nva,. FILE COPY MIAMI-DADE COUNTY,FLORIDA MIAM112 METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PMIAMI,FLORIDA 33130-1563 PRODUCT CONTROL DIVISION (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) James Hardie Building Product,Inc. 10901 Elm Avenue Fontana,CA 92337 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHD). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AW may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone. DESCRIPTION:Hardiplank,Cemplank,Hardipanel,Cempanel,Hardisoffit and Cemsoffitt APPROVAL DOCUMENT:Drawing No.HPNL-8X,HPLK-4X8&HSOFFIT-8X,titled"Hardipanel& Cempanel;Hardiplank&Cemplank;Hardisoffit&Cemsoffit Installation Details", sheets 1 through 3 with no revisions,prepared, signed and sealed by Ronald Ogawa,P.E.,dated 04/02/04,bearing the Miami-Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING:Large and Small Missile Impact LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA#02-0729.02 and,consists of this page,evidence page as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M.Utrera,P.E. NOA No 07-0418.04 Expiration Date: May 01,2012 Approval Date:May 31,2007 Pagel James Hardie Building Products, Inc. NOTICE OF ACCEPTANCE: EVIDENCE PAGE A DRAWING (submitted under NOA No.02-0729.02) 1. Drawing prepared by James Hardie Building Products, Inc. titled"Hardipanel& Cempanel; Hardiplank&Cemplank;Hardisoffit &Cemsoffit Installation Details", drawing No HPNL-8X,HPLK-4X8 & HSOFFIT-8X, dated 04/02/04, with no revisions, signed and sealed by R. L. Ogana,PE. B TEST (submitted under NOA No.02-0729.02) Laboratory Report Test Date Signature 1. ATI-16423-1 PA 202&203 03/18/96 A.N.Reeves PE. 2. ATI 16423-2 PA 202&203 03/18/96 A. N.Reeves PE. 3. ATI 16423-3 PA 202 &203 03/18/96 A.N. Reeves PE. C QUALITY ASSURANCE 1. Building Code Compliance Office. D MATERIAL CERTIFICATION (submitted under NOA No.02-0729.02) 1 Standard Compliance (ASTM C-1185)issued by ETL Testing Laboratories on 05/09/95 signed by D. K. Tucker,PE. 2 Evaluation Report NER-405 issued by National Evaluation Service,Inc. on 01/01/93, with no signature. E STATEMENT (submitted under NOA No.02-0729.02) 1. No change letter issued by James Hardie Building Products, Inc. issued on 02/16/99, signed and by J. L Mulder. 2. Power of Attorney and Appointment of Domestic Representative, signed by P. Shafron on 04/17/02,Assignment and Memorandum of Assignment signed by T. P. Dolmans on 04/16/02 and Assignment for the trade marks of Cemplank, Cempanel and Cemsoffit to the Assistant Commissioner for Trademarks signed by V. Lester and P. Shafron on 04/18/02. E OTHERS 1. No change letter issued by James Hardie Building Products, Inc. issued on 04!02/07, signed and sealed by Chad Diercks,Technical Services Manger. 2. Engineer of record letter issued by Ronald Ogawa&Associates,Inc.,dated April 3, 2007, signed and sealed by Ronald 1. Ogawa,P.E. CarlosM.Utrera,P.E. oduct Control Examiner NOA No 07-0418.04 Expiration Date: May 01,2012 Approval Date:May 31,2007 E-1 s Z D UI p P N h 0 3-D N O O -i Z Dnp 3 5SP �A o'o -h< SD h m 3 Q N T N 3 P N N r p 3 p UI VI N n N•S d _ N d 3 n S P 3 p N fl.X UIP r ;LI Z< 3 N 3 SP Am N m r` Vitnj£p n N N N P 3 h O O b S O Q Q p iS X Q Ul p - - - - - - - — A P 3 N f VI 1 1 2 L N n 3 h�P � DpD rnp St:l I�il 4.� O Q-DU D Vl A7-i p N 3 N h�N_—'Z Q-A A <+ OHO DQr Cy Gl Iy P n N Z 1 P Ldp nn�QnZ b� � - - -_ - - - - �_ m3 c eya5�°�o �_ d c) 3 p Q S .< td m h 3iIv O gN X-o. Z �(7m SQh` n S'hX 3 WO p C3 'D N S A <M, n�N s p ahn�� — f`7 O Q P T O 1T 7 P m C £ 3 N 3 C C i0 0 �U 3 3 t0 7 �X�Op O =b N 3 '�£ �,Z OSZ _ — — — — — — — — Z O O O I ry un' S A 7 W N'= m - - - - - - - p < n < O rp f0 ai p F Q7 O D 22 N N (b 7.O `a 3 r Z7 M W N N X N Q h O N N O -i �Q�Ih ahN 3`O- �C7 P NNIS iD NO QN 3 3 I I D M Q C O O X N 3 N r ZO X 01 I r N p- I-_ J — — — — — — — — — — —� m c/� z tj C = �M d _ N I 3 o �' --i — — o� ty — — — — — — — d D � 0 — , D_ n r I I D � � I I mco D -i Z� o-£ ;v D Gl€ -a — — — — — — — m tj U tj to mp� z d -i n z Z m z Ll m )7 r � T�P� $N © nZC ri dN o r�z; z;vCm'1 � N °�s EzD, �D r� fl 4 ?c1 sr 3n N�A1> o� A'mzc or� Qr000pD 'P �N fTl mRZtrN ND N 3 3 O m rfTl �SP Dz $ .oh c' r zAEa oozD o m wm z Q� -Q,� D '• r Z r C 1D to p l N N n Z ® s6 �� , A •? o� tummy m osN ��f^� L f r w D!'1D d `f nT 4n j n 3: N '1 x �A�r �pZ j N D 3 rip S 3 3 N 3 n oT C ?�D� C7 f-1y ��1) O h3� ADD o�ro �Nm� 'l-9m m m N 31:m�ZAz- N N 'Fl.� r °°q z�£ yNZr Cf LI D C7 tj S h D fTl p m r-m Cd--I fZTI 4.N A 7;fi s weo Tt t'm D d=fTl Z r" N �N- mDco Ali A Zcnzm I 2a�: D,�D p,�Tl 6 .l O 4ED Z A n/Wa� ' dzrr- tun n; D D f1 W 1 N , =d¢ m�Z m . z C7 OJ No w m f*I A x..�\ y A V In A ZDN SU :c Q 3 f Ln c:S-0 O n -1 x O Q ry O A 0.. VI N p O S D = (7 W l O X O 00 N h C N .'D fTl rC N N N Z O_�3 Q O_O p 5 d D Odr P 3 3 hN0 S L P P x r A Z< n fl 7 rp C V p G D Z Q O Z r- y�£ m �anv° <"LA 7 n 713 v-0, M0 '*i3 C O N 11Z 01 DN 3 hn j � S � N Wp.0�•IpfFp ND�rfl rp� ? m N.Zl W P 2---3 C = m�N Q3 N hO SQZ d Ll 3 C 3 X X 7 y — m� O W•-fp � 3 �0 A�2 SNS<NN3 SCAC tir h3 Z \� NO S Z Z SN \N m0 .TNS 3 CI m r r0 3 t:p0 N A •Ul 4. O \Q.+.. V 0 P Z DW Om N(O Wr07ip'< D S <r�a nr I I v m S X P m 7 O N n N 3 D sn ECD0 Qo<A a1h0 S sin h �7 �N<U1 tj CJ 7 hUl Qry hrp A C — 3 DP\!SNN N mm Ohh U- C — zC CO r'l VI'OP O�4NP S�`+9"�+�� A m N p N p-1 x O SQ3 3 P O h0 r O P`�N 'O UI 3 N ` 3 Vi y O Q3NOPc � .+3 N Q� 3 �p-0 m :5 N N.�I NSP O Z '+ P D /n l r0��0 2 p O n 't7 0-N N IS 3 S F- -n 0 N w< r<p Q N 0 P C l0+F h r Z Q3(1�A 3 A Aro ry h0 SO r- Z 310 3 m m!N V) L7 Cl M d D d — r -A D F- 1>D dn.'o VZ Z3d (-)D �f'ly =� n F- Ma D D £� D N X Z zZ — � =r 7, �"-�N Z �� Gly d v N� in£-0 33Pxd Z d rAizr�i�' mz£Czp m o JA m w-r ro 1A P m d ZD ¢?a fc�mv� mivxrm Sao ci �S� `+n N °-A -i g(/11'U JW� n�i .Dd �rr- d m`D Dd 0p'�} G� S3m pt>m:a+ap :MK c/iD r.Z oG .+� h2N 3 -i (- r'-O < A GM i;'•"=aC mm �N� 333m r13'1 � SA y�sa C Zm o o� DD tiAEm mzZOD vii rug c-3 n m D =y r r c Ip p m n 7C 'o_.°.°" Ao� R m bye mMm� hn� Y IAmD C o a 3 3 o r7 Z mn5C '.j £r 30Z D �0 3 qo 25 CJS 3aa} `dam $ rA�h� f3'1my ��D IO .�. S ry y3 4 mc) Tl 54 -i.� ZM t,n m R)N 3 Z \n �� o¢'<h O OnD£ mDl7r IT3 n N� D��e oo�r �1'IN aN Qm �d AZD� wl L -C 0E- �vn3 .'t1�� CNZm � h D o CO, i x 2 3 3 h Z n D m D m ty C W N A N t1tl Z Z ® ata ttiroX mrrn Pb-im `Z ti t7Ln oln zr� °•� exT Z�Z Z Nx �o a'ar to k'� UMZ mnn3 W x o VODC x� ren m i N i �m o m� mAm �. C7 X (J Al Vl "- � A ' Q3 V Z N MO�---iS N h A +�O S D h N n N C UI N A A b QAn hQO 0p --1 O LA S N W n P3S�A 4^ N C7 p mC Z �_cr QO A N A kn 00 a O x N M 3 3 3 m A x h W Z �A cNf NP N� Ir— — � CT� _ Z rq 3 n O S <O W N r r0 M N g3 Q:P Z P N l N OD N L 3 N �S...QN N 0 P ON N l� — — — — — — - �I O S N P A x 9� s — -.P -x P Qta:3 Z V N b 3 3 p V1 N N 3 I*1 �P B Z W OOi�N a y 0 3 P N�7P 3 :3 :N N`f n�:vi 0 3 sn,}N x I T1 0 P O Sfl-.p IJI 30 A P m �N S3O -I " xQ - - - - - - - - - � r C � Z 3 � V1 I'l N _ _ _ — - n 1> r M 3 (T1 N v7 — r"-i-i D F — frl Z f'l Z7 Z 3 Cy IA E vl 3 3 P S C7 ❑�1ZZD V mcZ/1£v� ° f'1 A v7 N P rn QO Ll ,Sri. cFn IO QC] nZDr+A D rN pZ 3 n N N A (� ZM-f'lN��Z A hQN d�7 N j 3 0 3 OSA ,-I.D H onrN P l m N R° Z Z ZD aia r 10 AD�m =mea m Pn o m� n n r -I rI --I o h 5.� n bd '"I t7 � oS Ii1C M1W3D X-C N 53 O tTJ DV7 '�'Lwo oM �3m Ina.,.e 2nm��o mTI� �w<o vai3r ro ma Z 8 A�d�7ZD= 'x m nconDaS ° h3: -iceh�cS �A c' ... 3-O�.�-�� �'IDnr HNA fl QN �� 'Donn oo S :mzmm r�vr ' ' 2 :, T d n o v r ry �� Im N cn� nom° o Z ® mno C p2 N__j, ZD1�7 N \N Wn N 7 '-M H z .+ h D_ qq jnii � s i+l OC''Im = D• nCy -S �N 3U1 m m a r1 M �0 rD p 3 4M So w I O m.Z7 C/Z Z 3 N h q z r1 c d.-�AM Q N ro D m=rt A rVi `m'u�s N1� z�3� Qc Z aan n_uC� '._... I A n S.r O C7 r MMM D d Ul 4/O\o vWD< N _ A ".'N mgrvZ O mO A J X p City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department No 800 Seminole Road Cf0 Atlantic Beach, Florida 32233-5445 1� Phone(904)247-5826 • Fax(904)247-5845 Date routed: 'T E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM �7 ic D ent review required rYesNo Property Address: 9P Buildin Zoning Applicant: T� " !7 h�rr�t ���7� Planning & Tree Administrator n Public Works Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B 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: BU IN PLANNING &ZONING Reviewed by: Date: yr/� TREE ADMIN. Second Review: ❑Approved as revised. ❑Den' d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised MUM