2269 N Fairway Villas Ln alteration permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NE)rr DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 17-RAAR-2923
Job Type: RESIDENTIAL ALTERATION
Description: 3 ACCORDION HURRICANE SHUTTERS
Estimated Value: $2,325.00
Issue Date: 1/10/2017
Expiration Date: 7/9/2017
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
Michael Ecl�rd O'Connell,CGC1516284
Address: 826 HULL RD CIA MICHAEL EDWARD O'CONNELL
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $30.81
BUILDING PERMIT FEE $61.63
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $96.44
PERMIT IS APPRO� ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLOMA
BUILDING CODE&
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road -7 !2
Atlantic Beach, Florida 32233,5445 zC)zf'
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://w�.coab.us
APPLICATION REVIEW AND TRACKING FORM
Lil,3 �J
Property Address: gartment review required Yes 40
Building _7>
Applicant: LnTom STO 14 o T-r annin . 9
I me Administrator
Project: Public Works
Public Utilities
Public Safety
Review fee $ bept Signature
zzc,.g Fpti V,LL� D a em review re uired
L
40 -r-r anmn g
Tra,Adn'"'balor
P'bI'c Work'
P'bl"Ubl'be.
P'Ibl"Safety
, S."c's
Fire Services
Other Agency Review or Permit Required Review or coipt
of Permit Verified By Date
Florida Dept.of Environmental Protection
Flonda Dept of Transportation
St.Johns Piver Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: lwp�pllved. ElDenied.
(Circle one.) Comments:
(E��
PLANNING&ZONING Reviewed by: Date:
TREEADMIN. Second Review: E]Approved as revised. DIDemed. U
PUBLICWORKS Comments;
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. ElDenied.
Comments:
Reviewed by: Date,
Revised 05/14/09
effiCE COPY
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Senumle Road,Atlantic Beach,Fl,32233
Office(904)247-5826 I=(904)247-5845 1 -7-Rr)(AR-Z97-3
Job Addm,: 2269 N FAIRWAY VILLAS LN Permit Number:
Legal Description 39-22 08-2S-29E FAIRWAY VILLAS LOT 45 pami# 169398-1090
Floor Arm of Sq.Ft Nqkt
Valuation of Work S 2,325.00 Proposed Work liated/cooled non-heated/cooled—
I
Class of Work(circle one): (SD Addition Altb. Repair Move Demolition poollspa wuidw/door
Use of existing/ProFosed structure(sWeircle one), Commermal 61FM�
If an existing struc ul . fi . er stem installed?(Cirde one) Y—mNo N/A
Florida Product rov al# 9 - -7
For multiple p4spucls me product approval form
Describe in detail the type of work to be performed: INSTALL 3 ACCORDION HURRICANE SHUTTERS
Property Clavier Information:
Name- COLLIN&AMY SKOCIK ___Address 2269 N FAIRWAY VILLAS LN
City ATLAN71C BEACH State-ELZIP—3;2—mPhow 9D4-226-7816
E-Mail or Fax 4(Optional)
Contractor Information:
Company Name:CUSTOM STORM SHUTTERS DIRECT, INC.Qualifym8 Agcnt. __MICHAEL E.O'CONNELL
Address: 826 HULL ROAD ity ORMOND BEACH State FL Zip A'2174
OfficePhone go4e6m923 Job Site/Contact Number Fax#
State CertificationfRegistration# c=516284
Architect Name&Phone iq
Engm='s Name&Phone#
Fee Simple Title Holder Nam and Address
Bonding Company Name and Address
Mortgage Lendicr Name and Address
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR E04PROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
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OFFICE COPY
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CUSTOM STORM SHUTrERS
D I R E C T
ProperLy Information Building Information
oumer: skocik Collin Wind Zone: 130 MPH.
Address: Exposure Category: B
Minimurn Building Dimemion: 50 ft.
Mean Roof Height: 20 ft.
Fisk Category: it
Design Pressure Calculations
Cm�—n-g � Max Positive Maut Negative
Number Pressure(Psf) Pmssum(Pat)
1 22.1 -23.6
2 22.8 -24.4
3 22.1 -23.6
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Business & Professional Regulation
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AWNraltica Tlr� Revision
�V.1an 2010
Application Slabla Approved!
crhrara,�
Ancinvad
Product Manufacturer American Shutter Syslanno Asaocanion,Inc.
Add.QPW./E.11 4268 Wealmarah,Dr.
West Palm Mach,R 3MO7
(561)209-8263
Amhumnedl Sigmame Bill Facley,
rodrimampazat.nann.l.com
Tachanical�phommmve
Addr�f/PhonanEanafi
Quality Asamance M,msantmlye
AWhany/Plame/Enroll
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Honda uoeh� PE-44167
Qtrafitf koraramc:Efflity National Accreditation and Marmagenhand:Inatome
Qnallrr Aaamary, Ombract Expiration Date 1213112017
Validated!By John W.l(moevich,PE
Validation Ch.k1bit-H.ralcopy,Recalvay!
lZeffificato of IndeplarWorcP F089 R7 COX ASIA INC CERUND. HV3 14-0428.02 DRWG13-
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ASTM E-1886 2005
ASTM E-1996 2005
ASTM E-330 2002
TAS 201,202,203 19%
Equi,alearoa of Pmdud Slamalar&
Certified By Florida Ucaaaaadl Primlannonal loonaaer.,Anctatect
FL389 R7 Eauly LMER CERTIFY ASTM E 1996.0
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Proceed Aixorl Method Memm I Ounce D
Date Sulenimel 05/05n014
Date Validated 05/05�014
Dam Pending FK Approval 05/06=4
Data ftweed 06n3n014
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Model,Number or Normax Demarbationa
389.1 Borden HV Accimillon Sholder- Extended aluminum Interal burdes revelmool by tocks
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husel W we s,,orift medium shman In soon mom.Max Created by Independent TWnJ Party:Yes
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Impact Rmixtaxt:Yes Created by Thad Party:Yess
beside lervemaree N/A Exhahurtion Repearte
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p.,f negall.ASID land depencle,on enthernmes am Zamml by Indemedend There Patty:Yes
loclaw rool maliguradon for the HVI blade,W-0-fier+64,
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Indeed Resonant:Yes Created!by Third Party;Yes
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for Steve I am 18W for lilade 2.See schedules on dead 194,nd!
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