1275 Jasmine St res alt permit CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
0 - =' ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-RAAR-1874
Job Type: RESIDENTIAL ALTERATION
Description: repair trusses, drywall, kitchen, bathroom, and bedroom -
tree fell on house
Estimated Value: $5,000.00
Issue Date: 8/22/2016
Expiration Date: 2/18/2017
PROPERTY ADDRESS:
Address: 1275 JASMINE ST
RE Number: 171050-0100
PROPERTY OWNER:
Name: LLOYD, JAMES & LIZABETH, '
Address: 1275 JASMINE ST
GENERAL CONTRACTOR INFORMATION:
Name: E & R ENTERPRISES OF NORTH FL
Address: 2628 WEST END ST CIA EDWIN CHARLES PUTTBACH
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $37.50
BUILDING PERMIT FEE $75.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $116.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
FILE
_.ti pY SOO Seminole Road,Atlantic Beach FL 32233 FILL� COPY
Office.(904)247-5826 • Fax:(904)247-5845
Job Address: 12. 7S .,(AwJ,ryr� I r81 � S Permit Number: 11r&A L-- 11"
Legal Description_12.34- %-owl E o,lao Sr:r H toss RE# 171 0'$d - o0oo
Valuation of Work(Replacement Cost)$ _HeateN�Cjooled S Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Rep Mo o Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commerce sidential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: EP l
1Z��at2 Dam Fclzcow, 13 a�
Florida Product Approval# t^t/ F ^per ( for multiple products use product approval form
Property Owner Information
Name: J#S1&l- I_I o -f Address: 17-1 S J r4 $w�t.S t.;
City p'zc-w .4 Z tC r3C-pec tj State L Zip 32233 Phone �o 14, O/ ^ a 117
l
E-Mail 1 l.- ap- co
Owneror Agent of Agmt,Pawerof Ateomeym Agmcyeaher Required
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
TOULT OBTAIN FINNAN FINANCING, OINSULOT WITH YOUR L TO YOUR
ORRANEg7�TORNEOY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Contractor Information:
Name of Company: 'E4 12 is lT 26rS of
P Y Qualifying Agent: L-Ow:.'k
'2P r51'C'lrt
Address: .6c8 w�T l_ s':. Cit 14 —.Lr.•w[rC Ac
Y -State Zip FL.. 3"4_1LOffice Phone 3
Job Site/Contact Number 9 0 - 6't6 - S 6S ,6
State Certification/Registration# C 4 G ISD 4 1 S8 E-Mail p ck U 1 h
Architect Name&Phone# ..
Engineer's Name&Phone# h 1.L� L 0= t 2ZI nrg O 3 3s�!
Worker's Compensation
xempt aura a oyms zpuahon ate
App[icadon u hereby made ro obtain a permit to do the work and installatloa as indicated. IceMify IM1a[no work or insfo!!a[ion has commenced
enor to the issuance of a pernsit and That al/work will be performed to meet the standardv ofoll laws regu(aling corulruction in this jurudwaoe.
('his permit becomes rmll and void ijwork is not mmmertced within six/6) onlfis, or ijcoanucHon ar work u susppeended or abandoned/or a
pedofsix(6l months at any time after work is pmmenced. fundemta 1Mtsepamte permitsmaf be secured for6lecfrka(Work,Plumbing,
S WWe/!s,PPoo�s,Furmces,l3aifers,Heat ,Tanke andAlr Condiflonery efe �A-' ///�.-y.,t.,L..
Sigmture ofProperty Owner Signature of Contractor: (�"' � / (itMNr�('/`l-.
Before e
this J( Day of fl 1 Before me this Day of gyp) (o
c �
Notary Public: Notary Public:
3 � ��.t ySyl-O
I
here es ( fda. �,.'-f5,' �os I'T P fru}kn 1 ! xp
Y e rend r X547, rcat on a ow he same m be true and Al((ppro Y� qq�
presume to gt a r' ria eFrAlr@fr ed with whether specified herein or no[.; "atiR'@rBjWnRl�s`W a 17rA3.3o
israns ofany otherfe era(,state, or to at
i! rf�2�.4laVBhdM1#YaN rA@ts
performance 'on. Cammisrlan # FF 12244
o,,, commission # FF 122423
J
•�„„ry BOn11W iBmeB�Na"^'i Ndary hssn. '''.'come":'
.q,. Bq atTillo sbisoona away Assn.
FILE COPY
All
zM LEE J.ENGINEERING,INC. Phone 900-5194934
10391 Cy .m "a D,.rc. Fu 900.519-1004
1n9 .ilk.FL 32256 Cell 904.2343518
August 11,2016
Mr. Ed Puttbach
E&R Enterprise of North Florida,Inc. REVIEWED FOR CODE COMPLIANCE
2628 West End Street,Atlantic Beach, Florida 32233 CITY OF ATLANTIC BEACH
SEE PERMITS FOR AL
Ref: 1275 Jasmine Street,Atlantic Beach, Florida 32233 REQUIREMENTS AND CONDITIONS
Inspection Report yyyt���
REVIEWED BY: DATE:
Dear Mr. Puttbach:
I have performed visual external structural inspection for roof trusses damaged by
tree fall due to wind. This inspection is limited area because of unexposed roof condition.
It is noticed that about 8 roof trusses are damaged and 24 to 26 members of top chords
were fractured at rear comer of roof area.
The followings are recommended to repair for the damaged area:
1. Since all damaged trusses including scissor truss are about 4'-0"depth, %2" CDX
plywood will be attached both side with full depth 10d nail at 3"o.c. staggered on top,
bottom chord and web members after installation of mending plate Simpson MP on
both side. New member shall be inserted between broken points with 2x4 SYP#2.
This repair work will be about half or less of full span where applicable.
2. For the repair of member without panel point,new member of 2x6 SYP#2 extended
4'-0"both side will sister on both side nailed I Od at 3"o.c. staggered.
3. Replace roof sheathing of 7/16"OSB 8d ring shank 4"o.c. at edge and 6"o.c. in field.
Above procedures will be acceptable structurally.
If you have any questions,please contact me.
Sincerely, `Mao ,n.....„ „9ry4
Y U ` k
LEE J. ENGINEERING, INC.
N i
Jae Y. Lee P. E. (#31276)
President
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RECEIVED
~� M.0 15 1996
N City of Atlantic Beach
Building and Zoning
„ City of Atlantic Beach APPLICATION NUMBER
i
4`1
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445 O
Phone(904)247-5820 - Fax(904)247-5845
E-mail: buildingAeptiiilcoab.us Date routed: 0 it,
City weh-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Iar-"IrS 145rtin.L St • De artment review reuired Ye No
Applicant: 4 �n•wf pr�S 2S Planning &Zoning
Tree Administrator
Project: fEP0.tf -waztSt QI�WGt� � ••_-_) Public works
barhroOm tio JL ItiimK— "CeF.,F6LL-W ttel-t Sl�- Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verlfled 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: proved. ❑Denied.
(Circle one.) Comments:
BUILDING !f
PLANNING &ZONING Reviewed by: Date: 9�0
TREE ADMIN. Second Review: ❑Approved as revised. ❑De d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05114109