1937 BEACH AVE - DAMAGE REPAIRS PERMIT e4,• ,; �`�� , CITY OF ATLANTIC BEACH
A 9800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
0.219r
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-RAAR-2954
Job Type: RESIDENTIAL ALTERATION
Description: hurricane damage repairs - sheetrock, flooring, sgd
Estimated Value: $40,000.00
Issue Date: 1/13/2017
Expiration Date: 7/12/2017
PROPERTY ADDRESS:
Address: 1937 BEACH AVE
RE Number: 169692-0100
PROPERTY OWNER:
Name: ZISSER, ELLIOT AND CAROLYN, *
Address: 1937 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: TDB CONSTRUCTION INC
, CGC1506657
Address: 423 ST AUGUSTINE BLVD QA THEODORE DAVID
BERKSTRESSER
Phone: - - _
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $125.00
BUILDING PERMIT FEE $250.00
STATE DBPR SURCHARGE $3.75
STATE DCA SURCHARGE $3.75
Total Payments: $382.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
61 Sa4Z1*
polyurethane systems
15 February 2016 OFFICE COPY
Subject: SES 0.5 lb Spray Foam Code Compliance
To whom it may concern,
This letter is to confirm the building code compliance of SES Foam's 0.5 lb spray foam insulation. As per
the requirements of the International Residential Code (IRC) and the International Building Code (IBC),
chapters R316 (2012) and 26 (2012), respectively, SES 0.5 lb spray foam complies with the requirements
set forth therein.
As per the IRC(2012) requirements:
R314.3:Surface Burning Characteristics. The foam plastic shall have less than 75 flame spread and less
than 450 smoke developed index. SES 0.5 lb spray foam has been tested at 4 inches at an ICC IAS
accredited laboratory(QAI)to demonstrate less than 25 flame spread and less than 450 smoke developed
index. This test outcome shows SES 0.5 lb spray foam can be installed with unlimited thickness behind
%"gypsum board or other code approved thermal barrier.
R314: Thermal Barrier. The foam plastic shall be separated from the interior of the building by an
approved thermal barrier such as 16" gypsum board or approved alternative. In attics and crawlspaces
(R316.6)where entry is restricted to service of utilities,the foam plastic insulation may be left uncovered
when the foam plastic demonstrates compliance with ICC ES Acceptance Criteria 377, Appendix X
(restrictions apply refer to AC377). SES 2 lb spray foam has been tested at an ICC IAS accredited test
laboratory passed the Appendix X test without an ignition barrier or fire retardant coating at 11.5"on roof
rafters/studs and 7.5" on vertical surfaces. SES 0.5 lb spray foam may be applied in attics in crawlspaces
at maximum of 11.5"on horizontal surfaces and maximum 11.5"on vertical surfaces without an ignition
barrier or intumescent coating(when entry is for service of utilities and no storage is permitted).
As per the IBC(2012) requirements:
2603.3: Surface Burning Characteristics. The foam plastic shall have less than 75 flame spread and less
than 450 smoke developed index. SES 0.5 lb spray foam has been tested at 4 inches at an ICC IAS
accredited laboratory(QAI)to demonstrate less than 25 flame spread and less than 450 smoke developed
index. This test outcome shows SES 0.5 lb spray foam can be installed with unlimited thickness behind
16"gypsum board or other code approved thermal barrier.
2603.4: Thermal Barrier. The foam plastic shall be separated from the interior of the building by an
approved thermal barrier such as %2" gypsum board or approved alternative. In attics and crawlspaces
(2603.4.1.6) where entry is restricted to service of utilities, the foam plastic insulation may be left
uncovered when the foam plastic demonstrates compliance with ICC ES Acceptance Criteria 377,
SES Foam,LLC
4008 Louetta Road#538
Spring,Texas 77388
SucraSeal y Office: 713.239.0252
Fax: 832.767.5013
Green Spray Foam Insulation www.sesfoam.com
61 StS
polyurethane systems
Appendix X (restrictions apply refer to AC377). SES 0.5 lb spray foam has been tested at an ICC IAS
accredited test laboratory passed the Appendix X test without an ignition barrier or fire retardant coating
at 11.5" on roof rafters/studs and 11.5" on vertical surfaces. SES 0.5 lb spray foam may be applied in
attics in crawlspaces at maximum of 11.5" on horizontal surfaces and maximum 11.5" on vertical
surfaces without an ignition barrier or intumescent coating(when entry is for service of utilities and no
storage is permitted).
If you have any further questions, please feel free to contact me directly.
Best Regards,
Jose Luna
Vice President of Operations
SES Foam LLC
+713-515-9873
I
VIO
SES Foam,LLC
4008 Louetta Road#538
Spring,Texas 77388
SucraSeal d Office: 713.239.0252
Green Spray Foam Insulation Fax: 832.767.5013
www.sesfoam.com
oi.A :re, City of Atlantic Beach APPLICATION NUMBER
.4' Y � Building Department
°@ (To be assigned by the Building Department.)
800 Seminole Road _ ��
Atlantic Beach, Florida 32233-5445 11 �i1, -dq,s-'Lf
Phone(904)247-5826 • Fax(904)247-5845
KJ E-mail: building-dept@coab.us Date routed: D. 11c( 1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l c -:1-- aFLQlr\ /WI Department review required Ye No
_ uildir7-7--,
Applicant: 1 0 IS Mbit/LL(z-h1,/1 QPlanning &Zonin )- no/n.r•ec/ed
Tree • • ator lyi(� /.13--1/
Project: h UL c i i c i(\-� CLC,(v-aff_ , kAki j c Public Works o
Sh_.Q_e k,(O(_K_ ‘ A'1cx c :\ 1 S1 aPublic Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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: Ft:proved. ❑Denied.
(Circle one.) Comments:
00 (—....1
BUILrIN
PLANNING &ZONING
Reviewed by: Date: ` 2" 7
TREE ADMIN. Second Review: ['Approved as revised. ❑Denie .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
4,\
Reviewed by: Date:
'Revised 05/14/09
OFFICE COPY
rt1-4.t`i''' BUILDING PERMIT APPLICATION
JS
' CITY OF ATLANTIC BEACH
\
i800 Seminole Road,Atlantic Beach FL 32233
<�0;3s>r Office: (904)247-5826 • Fax: (904)247-5845
Job Address: I q 3����7 Re.46 Permit Number: 1.' — ��-A A 1L-"-aciSN
Legal Description LdXV � ,14/ kir/1 RE#
Valuation of Work(Replacement Cost) $i/0,067° Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration 'epair Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): Commercial Reside '
• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes 6) 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:
�-Q a -0 we. D...ap �,� b,,M S� -4 r to Oraikg
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: extrzDjAi e .•-gJf i of 2,'SS 'k Address: I q 37 Seac 11 Av-e
City ',et,,,..-{-;c. 130.1, State FL Zip 312 3 3 Phone 2 t (,•744 8 ii
E-Mail
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information:
Name of Company:-Ni Ce Kele vc"h o b• rk c Qualifying Agent:Tit e ode Ate P /3exkiteesjeve
Address: £-1 Z 3 Sf A LI us4-t'h c $hid City ex Re-L‘ FL State Zip 32-2 5- o
Office Phone Job Site/Contact Number /e 9- I/6 3-/ 6 3_
State Certification/Registration# C G G /SD to ,S7 E-Mail TD acc,u s'tt L.c..-/-i isi.-.•,c a Khoo .Co 1,4+
Architect Name & Phone# Aket Lecc an,.,-t- $[l{e a C.C;Il BiShe,P 35%.-2 C,S-tf
Engineer's Name & Phone# NM.
Worker's Compensation
.am' nsurer '" ease mp oyegs.)/ Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced
riot to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction.
his permit becomes null and void ijwork is not commenced within six(6 months, or if construction or work is suspended or abandoned for a
period of six(6J months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,
Signs, Wells, ools,Furnaces,Boilers,H•• : Tanks •• •• Air Conditioners,etc.
fb64" -
Signature of Property Own ,./ / /,/ Signature of Contractor: b
Bef e e
thi Day of 'i ' . .w. Before me this V.::".
D' ' LLE ELLY80N
•MY COMMISSION#FF967847
Notary Public: .d" Notary Public Stet•of Florida N, ary Public:t�fx r4z: -
ammy rc'4 -y
,aoriaseo, �� ., �:, t
tc tl j My Commission FF 974634
I hereby cert that I have i:td anti c. ni ffP thisFttf' ' Pl/t RPMd know he same to be true and correct. All provisions o an d
ordinances governing this type t wor . i i .1 i red herein or not. The granting of a permit does not
presume to give authority to vio ate or cancel the provisions of any other.fe eral, state, orlocal law regulating construction or the
performance of construction.
Rev.3/14/16
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l 1: P.*e.
y3},Fy ty
February ,4--.
..,
2016
Subject:
TO whom,t rna SES 0.$lb Spray Foam pOly��
y concern Code Compliance
the
OPPIC aysta
e re9uir °Confir FICA
chapters R3ments of th the building CQ r
set forth therein.(20�n)anInternational Residential
e�compliance of
SFS
As per the/RC(201 (2012) respect vely, Code (/R) aFoam's 0.5 lb spray
tRanq 3;Surface 2)requirements:
0$lb spray foam cohe mplies
nal u/nskv
accredited smoke developed
ev ung Characteristics.
haracter mp/les with tide'ode (ls per
Index Th a laboratory(QAled end eX ,SEs The foam '/rernen s)
/" •sum board d est evel ped in ex. S to 5 l b spray Plastic shall have
less or
R314. cher other code a ES o.5/b s era than 2S flame am spread
been testedthan 7$flame
I ZPrOved ;;lalBarrier he f • r°yedbarbe stal dandIssht4Ies area es6.6) barri Darn ierled wi an 4$0 tar, s
th smo thePfe Bar is barrier Such The as Z plastic shall unlimited smoke de qs
foam restrictedgypsum be separated thickness ed
'Ions app/ plastic demonstrates
to service board or ated from d
pas y refer to nstrates co °f utilities the alternative.
interior
sed the Appendix S mpliance e foam is insulation
of the buil
tec
and 7.5'
ES 2 lb with /C plastic in In attics ding
f $refer
vertical
without
Spray foam CES Acceptance
rn and crawl
11 S„on rtIcal surfac ut an ignition
has been ptance Cr/ ay be left s
'Scan horizontal surfaceses. SES 0.5 lb on barrier tested at teria 377 unco
\equir
toati . whenandsera foamm fire retard fICC/AS accaements t is for service
ut 5,,on Vele a�.lied n atticoatics
at 11.S'/on
haacteri utilities and no s surfaces
Swith Ut an i.crawls.;
index. shcs. The f •ermitted
SES 0 lb Dam Alas
demonstrate l spray foam shall have le
SES o.S lbass than 25 flamem has beentestedss than 7$flame
o roved e thermal than
ra am can bn read ana 4 inches smoke
de and if
farrier, stalled at s ICC
it
with unlimited I
'last;c shall t mled th oke deVeio
'Sum bo be separate �ckness behp
board d from
d°r approved e interior
States °o utilities, alternative. Iof the building attics din
mpl/ance with ICC ESSAc insulationd Cra�,�pace
Acceptance Criteria
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