881 Beach Ave shutters permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH,FL 32233
yr T.,O
INSPECTION PHONE LINE 247-5814
WINDOW AND/OR DOOR PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-WIND-2814
Job Type: WINDOW AND/OR DOOR
Description: replace existing roll down shutters
Estimated Value: $31,042.00
Issue Date: 1/3/2017
Expiration Date: 7/2/2017
PROPERTY ADDRESS:
Address: 881 BEACH AVE
RE Number. 170333-0000
PROPERTY OWNER:
Name: PITTS LVG TRUST, PATRICIA HEAP
Address: 881 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: WEATHER GUARD,INC.
James John McCusker,CGCO57134
Address: 305 N DIVISION AVE CIA JAMES JOHN MCCUSKER
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $102.61
BUILDING PERMIT FEE $205.21
STATE DBPR SURCHARGE $3.08
STATE DCA SURCHARGE $3.08
Total Payments: $313.98
FERMI IIS APPROVED ONLY IN ACCORDANCE WITH ALL CM OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ps `�r City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
`n 800 Seminole Road nn
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 Fax(904)247-5845 II
orn pA E-mail: building-deptCcoab.us Date routed:
City web-site: http://www.wab.us
APPLICATION REVIEWANDTRACKING FORM
Property Address: I
O6 I � 1\U Q- De t review required Yes No
/� ,f uildin
Applicant: W A—Q�-1 L'Lo-f id-Planning&Zoning
f ` �,\ Tree Administrator
Project: 1 `�L 4 L) a JAAn)Vn Public Works
Public Utilities
�) Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
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: CE Approved. [—]Denied.
(Circle one.) Comments:
UILDIN
PLANNING &ZONING Reviewed by: Orr Date:/2 '2z-/4 _
TREE ADMIN. Second Review: ❑Approved as revised. DDeniVd
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05114/09
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845 /6— w l"OkAl
Job Address: 881 BEACH AVE Permit Number: 15584-02113
Legal Description 25-6216-25-29E.N92 CLUB MANOR n LOT 200E 15584-2113 parcel#
Soot. q. h
eaValuation of WorkPropWork hqted sontted/cooled
Class of Work(circle one): New Addition temp Repair Move Demolition pool/spa window/door
Use of existiog/propposed structure(s) arek one): Commercial OFFICE COPY
Ifan existing structure,is*fire sprinlVeraystem installed'(Circle one): Yes o N/A
Florida Product Approval#
For multiple protlusfs use prop net approva arm
Describe in detail the type of work to be performed: REPLACE EXISTING ROLL DOWN SHUTTERS
Program Owner brimarsRon:
Name: PITTS PATRICIA HEAP Address881 BEACH AVE
City ATLANTIC BEACH Some FlZip 322Dphous, 904-241-0709
E-Mail or Fn#(Optionor)
Contractor lofortu tiore
Company Name: WEATHER GUARD INC Qualifying Agent James McCusker
Address: 305 Division Ave. to S CityUmond Beach Store FL Zip MWT
Office Phots Job Site/Cmnact Number Fax# 386677-9281
Store Certifiwtion/Registre[ion# C00057134
Arelmec9 Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Leader Name and Address
Appilvelk a hereby mOJem Morin Ir 11.11 1,1 ev Te wwk uM' ndbuarr.m iMrmled /ort lharrewuxwbnMbtion hal<ommerreeJOrlormrh
/ao Il orxllMlnll wnrkwJ(bepe(( Jameel rh„nambrr4 rW d(bw polo lg (ion In UN+/u ltllmmnI Thamr nlh—el left
=d lw k- m<'mnmen<eJwlrhin na•(6fm IFeio f rvr r, rknxrGeMed % Ge °JOT�xFvinxehr mrY rime aRe.
keek1snJA4Wef I.Ad.mets llwl.repawre perml., .I De xe<uredhr£1[[nlre(Wmk,tbmHag,Slgn.Ws/4.Pw4 a,Bdkm.Neo4rr
Te.ke
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.
/lereey eel tMll Mve rzMade.nmirreJlhu opplmhanmdknow rhe.mmemhe nueOM eorreel. Akpo- v OMwdllmrcw.,Bnvermrrcelk
type work wll/be<wnp'IeJ with wklherseJ herein Or rot The pmnelnB<l0 pemil Jce.nor pery amnry l0 vl Oese
provumme gonrnrbe.�/��Jem(',\y,1�nle nr(rod� bine mnme"I'verrhep/—'evv f"e- e"ke,.
SignatureofOwneQ X\� Signatureol'Contmcto
Print Name S�h�'C\C l�(L F-ICWI Print Name
Swe to nd subsc( ed far me Sworry�send subycf� a beforeme
this eY of .7
this a'JaY ofV (11')el' 20 �D
Notary Pu r Notary 7v
v
eg„i.�y ,{ MI(ALANN E.THOMAS I9,y� MYBALANN E.THOMAS
£ NotaryPublic.Slme m Florida E Notary Public-Stats of Florlda
a My Comm.Expires Aug 30,2078 -My Comm.Expires Aug 30,2015
Commission#FF 129784 ,��., £•
Commission M IF f 28784
"8,9;;,6°`• Baded7lraym NaMnN Nalary0.ssn nfa61rY8”, Bwded Thwmb Nagad Notay Assn
D Go [� (IN/C�
DEC 1 5 2016 D
Pefm? l- # !6-It�rlv/I-a8iy
NOTICE OF COMMENCEMENT OFFICE COPY
State of FLORIDA
Courcy of DUVAL Tax Folio No. 15584-02113
To Whom R May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713'of
the Florida Statutes,the following information is sorted in this NOTTCE OF COMMENCEMENT.
Legal Description H property being improved: -62 16-2S-29E.249 CLUB MANOR PT LOT 20 O/R 15584 2113
881 BEACH AVE ATLANTIC BEACH
Address of property being improved: 881 BEACH AVE ATLANTIC BEACH
lateral description of improvements: REPLACE EXISTING ROLL DOWN SHUTTERS
N
weer: PITTS,PATRiCIq HEAP Q' Address: 881 BEACH H AVE ATLANTIC BEACH FL
want's interest in site of the improvement:
Simple Titleholder(if other than owner): _
Name:
Contractor: WEATHER GUARD INC
Address: 305 DIVISION AVE SUITE 5 ORMOND BEACH,FL 32174
Telephone No.: 356-677-5533 Fax No: 386-677-9281
Surety(if any)
Address: Amount o on
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon wham notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Starnes. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the data of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER„ (1
Signed: f�� \%,� W Dare:
Doc S 2016286499,OR BK 17812 Page 1573, Before me this�_�day of /. in the County of Duval,State
Number Pages:1 Of Florida,has personally appeared • 'y
Recorded!1 W/ 018 at 03:34 PM, Notary Public at Large,State of ion
Ronnie Fusaell CLERK CIRCUIT COURT DUVAL a, u tyof Duvet
COUNTY My commission expims:
RECORDING$10.0D Personally K^own: or
— _ Pmd_ uced ldFntifiw
Uf`I�t r (ct
•=My Comm.Expires Aug 30,2018
Commission O FF 129784
��.4;,,h°"�`- BMdetllhppb Nabmltaxayaam.
.Florida Building Code Online Pagel of 2
i
t t
I ppp ���
SCIS Home Log In User Registration Hot Topla Submit Surcharge Stats a Facts Publications Pat Staff SCIS Ste Map L
dbpr proddct Apheir
dbpr Prod:
Product,
PublicA User
1r16,ct Ag,,y13 Menu >PmEuct or Am 2a on Sea,,M1>Aoo"wCon 1,, >1pplkadan pMll
FL# M17000-RI OFF,,,^
Application Type RevisionyisionOP
Code Version 2014 O
Application Status Approved A�
Comments
Archlved
Product Manufacturer CROCI NORTH AMERICA
Address/Phone/Emall 636D TOPAZ COURT
FORT MYERS,FL 33912
(239)218-3066
Info®crociusa.com
Authorized Signature Gil Morza alga
Info@croclusa.cem
Technical Representative
Address/Plane/Emall
Quality Assurance Representative
Address/Phone/Emall
Category Impact Protective Systems
Subcategory Operable
Compliance McNotl Evaluation Report from a Florida Registered Architect or a Licen
Professional Engineer
V Evaluation Report-Hardcopy Received!
Florida Engineer or Architect Name who developed the Pedro De Figueiretlo
Evaluation Report
Florida License PE-52609
Quality Assurance Entity National Accreditation and Management Institute
Quality Assurance Contract Expiration Date 12/31/2018
Validated 6y Jesus Gonzalez, P.E.
v Validation Checklist-Hardcopy Received
Certificate of Independence EL174441i1 CQL15-051 Cf odf
Referenced Standard and Year(of Standard) Standard year
TAS 201 1994
TAS 202 1994
TAS 203 2r���jx-a� ((�� n //01994
ILS Vv LSD V Lam'
Carolled
By of Product Standards
CertlFletl ey I- D
Sections from the Code DEC 1 5 2016
https://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgv2a... 11/14/2016
Florida Building Code Online Page 2 of 2
it
Product Approval Method Method 1 Option D O
Date Submitted 02/26/2015 F���
Date Validated 02/26/2015 tt♦♦
Date Pending FSC Approval 03/03/2015
Data Approved 04/15/2015
Summa of Products
FL# M#delf Number or Name Description
17000.1 ES 55SUP ES 55SUP ALUMINUM ROLLING DOOR
Limits of Use InWllation Instructions
Approved for use in HVHZ:Yes FL17000 113 11 15-051 DWG pdf
Approved for use outside HVHZ:Yes Verified By: Pedro De Flgueiredo 52609
Impact Resistant:Yes Created by Independent Third Party: Yes
Design Pressure: +120/-120 Evaluation Reports
Other:Glazing separation must be used when the installation of FL17000 R3 AE 15-051 PLR-d
this product is In front of a window or door. Product m be Fl RI AE 15-ES55 SUP ADDENDUM df
manufactured,designed,and Installed as per drawing Created by Independent Tills!Party:Yes
spedficaticns 15-051
Back 41¢71
Dbrun U :; 6n1 Blair StarRead Tallahassee FL 3239 PhoneRSO-41117-1824
The State os Florda Is an AA/EEO employer.Coovr oM 2007-2013 State of Flores.::Pr vacv shipment::Acapeopilblifty,Sdtemem::gahm
Under Florida law,email addresses are public records.If you do hot want your e-mail address released,In response to a public-remNs repuc
electronic mall to this entry.Instead,contact the or02 by phone or by traditional mall.If you have arty 9uesmons,please contact 850.497.135
Solon 455.275(1),Florida StaWte;reactive October 1,2012,licensees licensed under Chapter 455,F.S.must provide me Department%
address 9 they have one.The emaB provided may be used for oPotlal mmmunkabon with the littnstt.However email addresses are public n
not wish to supply a personal address,please provide the Department with an email address which can be made avallable to the public.To d[
are a licensee under Chapter 455,F.S.,please click
Produce Approval llswpb:
Wider ■
Crritti-.Caret
Safe
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