2269 N FAIRWAY VILLAS LN - HURRICAN SHUTTERS „ rvf j
�' '` , CITY OF ATLANTIC BEACH
., -r ■l 800 SEMINOLE ROAD
j V: `` - �` '-”yr ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-WIND-2562
Job Type: WINDOW AND/OR DOOR
Description: HURRICANE SHUTTERS
Estimated Value: $1,160.00
Issue Date: 11/12/2015
Expiration Date: 5/10/2016
PROPERTY ADDRESS:
Address: 2269 N FAIRWAY VILLAS LN
RE Number: 169398-1090
PROPERTY OWNER:
Name: SKOCIK, COLLIN R &AMY L, *
Address: 269 N FAIRWAY VILLAS LN
GENERAL CONTRACTOR INFORMATION:
Name: CUSTOM STORM SHUTTERS DIRECT
Address: 826 HULL RD QA MICHAEL EDWARD O'CONNELL
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $27.90
BUILDING PERMIT FEE $55.80
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $8730
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
►il r� City of Atlantic Beach
's'r l APPLICATION NUMBER
d .4.40,;\ Building Department (To be assigned by the Building Department.)
r. 800 Seminole Road
) Atlantic Beach, Florida 32233-5445 13 —WI f _ G z
Phone(904)247-5826 • Fax(904)247-5845
9%- E-mail: building-dept @coab.us I d
Date routed: /Z-C) / (S
City web-site: http://vvww.coab.us 4
APPLICATION REVIEW AND TRACKING FORM
Property Address: ZZa° . RLoe t( Department review required YerlS,Io
v t LL S C� Buildinq�
Applicant: Ca.S 7-p tw. S YC)Rvh S t-torrERS Planning &Zoning
Tree Administrator
Project: Hu R Rt o fl-NE S�{ U Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature •
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
Florida Dept. of Environmental P rotection
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:
APPL ATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
UILDIN.5
PLANNING & ZONING �~—
Reviewed by: /7)4 Date://"6 '1 J
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 07/27/10
BUILDING PERMIT APPLICATION
OFFICE COPY CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845 5— (N(J - ZG'
Job Address: 224 9 N 0; Ln Permit Number: _
Legal Description 3R-1108-AS-2c)6 Wise Wisee.k.f th 166 Co/ IFS Parcel# / 0 35$-/0`}0
Floor Area of Sq.F't. Sq.F't
Valuation of Work$ /,/6 0.tra Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial dielarent
If an existing structure,is a fi e.s rinliler system installed?(Circle one): es No N/A
Florida Product Approval# 1' L- 3 Sc) -j 7
For multiple products use product approval form
Describe in detail the type of work to be performed: .Til,.Sta!/ 4.1 Arco c i ;o- Lurr i car.e_ S lu..-if r.t..s
Property Owner Information:
Name: co/[;h .4ies,y S/rocs - Address: 2,241 44. &Jay VI-114s e.4
City An_ar rtc. 1ecs. State Zip 312,53 Phone 904-2.2(,- iI/l0
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:in44576.1 SA.Lepi S4.t cz Ca-wit Qualifying Agent: /Y(i a act e- 0 Conn a/J
Address: 826 !au 11 R d City ei.kar,d2 Bcpc& State Zip 3Z/74
Office Phone 904 GL q S923 Job Site/Contact Number Fax#
State Certification/Registration# CG C Is-14-114
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
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
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time Oler
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers,Healers,
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 YOUJR NOTICE OF
COMMENCEMENT.
I hereby certify that 1 have read and examined thisplication and know the same to be true and correct. All provisions o • s a ' ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to • /'utho to viola c' el the
provisions of any other federal,state, or local law regulating construction or the performance of construction. AI./.14k
1 /i'J• i
Signature of Owner /L Signature of Contracto �► _.ri
nn � iii
Print Name C01( OG 4 Print Name _AL" 4 I IQIL _
Sworn to and subscribed before me S orn o and su t .'•-d •-fo - me r
thi G Day of l j / ,20 l f thi Day • 'a- o to 4. 20-6-J
�o vi/� AVMS
No ublic sia . sSION*FF 924951 I `$P
�„ CONNELL
d:74 PArn L.a ?� EXPIRES:October 6,2019
•, .4 Commission#EE 195635 -0451;.: Bonded inn,Novi Pic Underriters evised 01.26.10
• ' Expires June 8,2016
:.„„ 9ondtd1MiTIWFM1Mauranot 800364019
• Florida Building Code Online Page 1 of 2
.
F.DRtD4 OLpAq!tflM'4..V Business & Professional Regulation O F F I V CC .. ® J .w _.`44,
_` '
rag El Eff,,sou,OQPRI OBPR DiVISfONE CO:TA OOBPR
loaJa Depaffl nt( BQS tome ' Log In !User Registration : Hot Tapia I Submit Surcharge : Stats&Facts ' Publications ' FBC Staff &CIS Site Map Links Search
Busi'nWes Product Approval
Professi�l Pubkc User
Regulation
Product Approval Menu>Product or Appllcatio 5_5u th>App'.icahon Lest>Application Detail
/OFF1Cr.C."-e. FL* FL389-R7
sE..R£rp r, Revision
Application Type
Code Version 2010
Application Status Approved
Comments
Archived
Product Manufacturer American Shutter Systems Association,Inc.
Address/Phone/Email 4268 Westroads Drive
West Palm Beach, FL 33407 f
(561)209-8263
bfeeley@easternmetal.com
L..
Authorized Signature Bill Feeley L
Irodriguez @eastemmetal.com (7
c ty s
Technical Representative / i
Address/Phone/Email A� (/
Quality Assurance Representative
Address/Phone/Email A..<
Category Shutters
\ j'1/4".' -
Subcategory Accordion ' t tr•-•
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
,i Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who developed Walter A..Tillit,Jr. P.E.
the Evaluation Report
Florida License PE-44167
Quality Assurance Entity National Accreditation and Management Institute
Quality Assurance Contract Expiration Date 12/31/2017
Validated By John W. Knezevich,PE
V Validation Checklist- Hardcopy Received
Certificate of Independence FL389 R7 COI ASSA INC CERT.IND. HV3 14-0428.02 DRWG13-
031.pdf
Referenced Standard and Year(of Standard) Standard Year
ASTM E-1886 2005
ASTM E-1996 2005
ASTM E-330 2002
TAS 201, 202,203 1994
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
FL389 R7 Equiv LETTER CERTIFY ASTM E 1996.pdf
Sections from the Code
file:///C:/Users/Mike/Documents/Eastern%20389%20Accordions%20Product%20Approval.... 2/7/2015
, Florida Building Code Online Page 2 of 2
1
Product Approval Method Method 1 Option D
Date Submitted 05/05/2014
Date Validated 05/05/2014
Date Pending FBC Approval 05/06/2014
Date Approved 06/23/2014
Summary of Products
FL# Model, Number or Name Description
389.1 Bertha HV Accordion Shutter- Extruded aluminum interlocking blades retained by tracks
Blade 3-(Non-HVHZ)-Drwg 13- (top and bottom)for storm protection
031
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL389 R7 II ASSA IN(2B_G__.13-031 HV3 NHVHZ.pdf
Approved for use outside HVHZ:Yes Verified By:American Test Lab of South Florida Inc.
Impact Resistant:Yes Created by Independent Third Party:Yes
Design Pressure: N/A Evaluation Reports
Other: Large Missile Level"D". Max span is 12'-7"for 35 FL389 R7 AE ASSA INC PROD.EVAL.REP. HV3 14-
psf positive ASD load and 13'-0"for 35 psf negative ASD 0428.02 DRWG13-031.odf
load for one specific condition shown in span tables. Max Created by Independent Third Party:Yes
span versus load varies with Blade 1 or Blade 1 and 1A
working in unison,as well as existing structure condition.
See sheet 5 for schedules showing appropriate values.
389.2 Bertha HV Accordion Shutter-Blade Extruded aluminum interlocking blade,retained by tracks
1 Only-(Non-HVHZ)-Drwg 11-192 (top and bottom)for storm protection
units of Use Installation Instructions
Approved for use in HVHZ: No FL389 R7 II ASSA drwq 11-192.pdf
Approved for use outside HVHZ:Yes Verified By:American Test Lab of South Florida Inc.
Impact Resistant:Yes Created by Independent Third Party:Yes
Design Pressure: N/A Evaluation Reports
Other: Large missile level"D". Max.Span is 16'-0"for 30 FL389 R7 AE ASSA Productevaluationreportdrwg11192.pdf
p.s.f negative ASD load depending on centermates and Created by Independent Third Party:Yes
locking rod configuration for the HV1 blade,8'-0"for+64,
-72 p.s.f.load for HV blade for Keystone mountings 7'-0"for
• +75,-75 p.s.f.for metals stud mountings and 8'-0"for 110
p.s.f.for HV1 and HV1A working in unison. See sheets 7, 11
and 20 respectively of installation drawings for other spans
and pressures.
389.3 Bertha HV Accordion Shutter- Extruded aluminum interlocking blades retained by tracks
COMBO-(Non-HVHZ)-Drwg 11- (top and bottom)for storm protection
194
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL389 R7 II ASSA DRWG 11-194,_pdf
Approved for use outside HVHZ: Yes Verified By:American Test Lab of South Florida Inc.
Impact Resistant:Yes Created by Independent Third Party:Yes
Design Pressure: N/A Evaluation Reports
Other: Large missile. Max. 16'-0"span at 30 p.s.f ASD load FL389 R7 AE ASSA Product evaluation report drwq 11
for Blade 1 and 18'-0"for Blade 2. See schedules on sheet 194.pdf
12, 25 and 28 respectively Created by Independent Third Party:Yes
fBack) INextl
Contact Us::1940 North Monroe Street,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AAJEEO employer.Copyright 2007-2013 State of Florida.::Privacy Statement:: cessibility 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 mad.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 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 ruder
Chapter 455,F.S.,please click re
Product Approval Accepts:
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security m yni e s
Credit
SAFE
fi 1 e:///C:/Users/Mi ke/Documents/Eastern%203 89%20Accordion s%20Product%20Approval.... 2/7/2015
CUSTOM STORM SHUTTERS
D I R F. C T
Property Information Building Information
•
Owner: skocik Collin Wind Zone: 130 MPH.
Address: Exposure Category: B
Minimum Building Dimension: 50 ft.
Mean Roof Height: 20 ft.
Risk Category: II
Design Pressure Calculations
Opening Max Positive Max Negative
Number Pressure(psf) Pressure(psf)
1 22.8 -24.4
2 22.8 -24.4
Prepared in accordance with:ASCE 7-10.Chapter 30. Wind Loads-Components and Cladding.5th Edition(2014)Florida Building Code.
Page 1 of I
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CUSTOM STORM SHUTTERS
D I R EC T
Property Information . : . ••
Owner: skocik Collin Wind Zone: 130 MPH.
Address: Exposure Category: B
Minimum Building Dimension: 50 ft.
Mean Roof Height: 20 ft.
Risk Category: II
Design Pressure Calculations
Opening Max Positive Max Negative
Number Pressure(psf) Pressure(psf)
1 22.8 -24.4
2 22.8 -24.4
Prepared in accordance with:ASCE 7-10,Chapter 30. Wind Loads-Components and Cladding.5th Edition(2014)Florida Building Code.
Page 1 of 1
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