701 BEACH AVE #101 -WINDOW /DOOR CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
30b ID: 15-WIND-1383
Sob Type: WINDOW AND/OR DOOR
Description: roll down Shutters
Estimated Value: $9,692.00
Issue Date: 6/16/2015
Expiration Date: 12/13/2015
PROPERTY ADDRESS:
Address: 701 BEACH AVE 101
RE Number: 170237-0702
PROPERTY OWNER:
Name: FORBES, RAYMOND E& BARBARA H,
Address: 4975 E LAURE GREEN WAY
GENERAL CONTRACTOR INFORMATION:
Name: CUSTOM STORM SHUTTERS DIRECT
Address: 826 HULL RD CIA MICHAEL EDWARD O'CONNELL
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $49.23
BUILDING PERMIT FEE $98.46
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $151.69
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION n/1)
F@" ��n� CITY OF ATLANTIC BEACH r� JUN iW 70 V y r 800 Seminole Road, Atlantic Beach,FL 32233
Office(9004)x,247--5826 Fax(904)247-5845 1 2 U
Job Address: 7�/ H� y� �r L56 e0 /o l Permit Now
Legal Description Parcel#
nor o q. t. q. t
Valuation of Work$ 9 b�Proposed Work heated cooled non-heated/cooled
Class of Work(circle one): Addition Alteration Repair olition pooVspa window/door
Use of esistinglproppsed structures) am one):, Commercial Reside
If an existing structure,is a fire seri er system installed?(Circle oce): No N/A
Florida Product Approval#R.1 5 Z
For multiple products an p net approve orm L _
Describe in
detail the type of work to be performed: /2e 01 Z e //
A- Aot7K SZWc
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Property Owner Information:
Name* 4:k r,;4C45 OA Address: 70
-&..
City .41 -f1. BZ.• State;E Zio Phone
E-Mail or Fax#(Optional)
Contractor lnformatiol�n:..�
Company Name: &696_ �.50 rAy �GCtr� ✓lry rQuahfyrng Ageeoo�� /�![-AIrL �7 Conn
Address: ? k City Qtr. 0-4 9,44 State ir/. Zip ZZt
Office Phone —7 5- 1 loti Site/Contact Number 901/. G to g. G9 z3 Fax#
State Cer[ification/Registration#�(e(1 A 6Z��
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Appllcnam is hereby made to obtain a l enert wdo the won*and trumllaawu as indicated f cettify that w weak or immlla m Ilse emnmenced prior to the
umtanre ofa perniit and trarall work will be per(amedwmeerthestadandsofanla mgdanngcrost dminthvjufis4c'tim 71ispennubkome,null
and out fwork is notcommenced xvthin six(b montu,or ifcorzaruefirm or work is su,�amr�edorabardonedfora pened afar/6)months at mry time aper
work is ronvnenced. I urderswrd that separate penrrhits must be.,d far Eledr0 N'mk Prumbirg,Signs, IYax Poarr,Famaces Boilers,Ileden,
Teaks am(Alr Cewi t maef;,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 YOM NOTICE OF
COMMENCEMENT.
I here rectify tllmlhave trod and emmined W'sa h'rotion ant7bhow tre.vmne to be true amimmeG ABpovisian of laws arul onlinan'es govemin2 this
type of work wifl be camdted with wl ether sped herein or rtoG The granting aJ'a permit does rrm presmne ro gm x r riry ro violate caxe/the
pnmuuans ofanry otl�erf state,o ( l law regulating construction wthe perforrruaire ofcwubvetian.
Signature of Own p�' I -C'� /S Signature of Contractor
Prim Name ie. /�q__`�1'•___S_�,/��/d�'V Pant Name
�N....... .........�F--Jct . . _."` _...___..._......__. ..._—___....__.__..._..___
om L and subscribe�b me Sw rrf to scrib i before
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Don R 2015131034, OR RR 17193 Page 1489, Number Pages: 1, Recorded
06/09/2015 at 11:46 AN, Ronnie F,seell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
FILE COPY # is - r,,, A40- /'y
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Business & Professional Regulation
Hot Submit State SCIS
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3usines
)rofessi Product Approval FILA COPY
3egulation USER: Public User
Protluct Approval Menu > Product or Application Search >Aoolication Lis[ >Application Datall
FL # FL12546-112
Application Type Revision
Code Version 2010
Application Status Approved
Comments
Archived r
Product Manufacturer CROCI NORTH AMERICA
Address/Phone/Email 6360 TOPAZ COURT
FORT MYERS, FL 33912
(239) 278-3066
info@crociusa.com
Authorized Signature Gil Morzaniga
info@crociusa.com
Technical Representative Gil Morzaniga
Address/Phone/Email 6360 topaz court
fort myers, FL 33912
gmorzaniga@crociusa.com
Quality Assurance Representative
Address/Phone/Email
Category Shutters
Subcategory Roll-up
Compliance Method Evaluation Report from a Florida Registered Architect
or a Licensed Florida Professional Engineer
r Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who Pedro De Figuereido
developed the Evaluation Report
Florida License PE-52609
Quality Assurance Entity National Accreditation and Management Institute
Quality Assurance Contract Expiration Date 12/31/2016
Validated 8y Jesus Gonzalez, P.E.
r Validation Checklist - Hardcopy Received
Certificate of Independence FL12546 R2 COI 12-199 Cl.pdf
Referenced Standard and Year (of Standard) Standard Year
ASTM E1886 2005
ASTM E1996 2006
ASTM E330 2002
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 12/18/2012
Date Validated 12/18/2012
Date Pending FBC Approval 12/25/2012
Date Approved 02/04/2013
Summary of Products
FL # Model, Number or Name Description
12546.1 ES 55SUP ES 55SUP Rolling Shutter (NHVZ)
Limits of Use Installation Instructions
Approved for use in HVHZ: No "I-12546 R2 II 12-199 dwu.Ddf
Approved for use outside HVHZ: Yes Verified By: Pedro De Figuereido PE# 52609
Impact Resistant: Yes . Created by Independent Third Party: Yes
Design Pressure: +120/-120 Evaluation Reports
Other: Glazing separation must be used per FL12546 R2 AE 12-199 PER.pd
General Notes #3 in Dwg. 12-199. Product to Created by Independent Third Party: Yes
be manufactured, designed and installed as per
dwg 12-199 —1
0
Contact Us :: 1940 North Monroe Street,Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida. :: Privacv Statement :: Acoessibllity 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(1), 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 smalls
provided may be used for official communicetion 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 Appecrai Accepts:
secun�
CUSTOM STORM SHUTTERS
D I R E C T
Property Information Building Information
Owner. Davidson Hal Wind Zone: 130 MPH.
Address: Exposure Category: D
Minimum Building Dimension: 60 ft.
Mean Roof Height: 36 R
Risk Category: II
Design Pressure Calculations
Opening Max Positive Max Negative
Number Pressure(psf) Pressure(Psl)
l 37.3 -39.9
2 37.3 -39.9
3 39.8 -42.5
4 40.7 -43.4
5 39.8 -42.5
Aepmed in ac cord.MA,ASCE]-10.Chprt 30.Wind Loads-Componenb and Cladding.Fonda aa0dirgC 2010vd.
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assi ned by the Building Depanmepnt.)
r 800 Semincle Road �{�''- ��n/� .
A'tiantic Beach, Florida 322335445
S
\/I
Phone(904)247-5826 Fax(904)247-5845 /Z .�
E-mail: building-dept@coab.us Date routed:
-- Otyweb-site: http7lwww.coab.us
APPLI-C7ATION REVIEW AND TRACKING FORM
Property Address: /D I �E¢/�/iof /O Department review required Yes No
(r 'ding
Applicant: �//'i Om _JTf g /o? '417A Planning&Zoning
Tree Administrator
Project: 0�� A/ Public Public Works
n` Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Flonda Dept.of Transportation
St.Johns River Water Management District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: aApproved. []Denied.
(Circle one.) Comments:
BUILDIN
PLANNING 8 ZONING Reviewed by: Dale: 6-iz-/$'—
TREE ADMIN. Second Review: ❑Approved as revised. E31kried.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Dale:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revved 07127/10