2221 BAREFOOT TR 17-RAAR-3438 2 Awnings %.,11.1111-171'1/ . -'el
J CITY OF ATLANTIC BEACH
Ii ,,,, A ,) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'''-4-0.F.091,-
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-RAAR-3438
Job Type: RESIDENTIAL ALTERATION
Description: install 2 awnings
Estimated Value: $2,220.00
Issue Date: 3/23/2017
Expiration Date: 9/19/2017
PROPERTY ADDRESS:
Address: 2221 BAREFOOT TRAC
RE Number: 169463-0642
PROPERTY OWNER:
Name: TAYLOR TRUST, VICTORIA
Address: 2221 BAREFOOT TRAC 2221 BAREFOOT TRACE
GENERAL CONTRACTOR INFORMATION:
Name: THOMPSON AWNING & SHUTTER CO
Jake R. Fulmer, Sr., CGC1524194
Address: 2036 EVERGREEN AVE QA ANTHONY ERNEST
CIMAGLIA JR
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $61.10
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $30.55
STATE DBPR SURCHARGE $2.00
Total Payments: $95.65
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
spay;. City of Atlantic Beach
�� APPLICATION NUMBER
LisBuilding Department
� 800 Seminole Road (To be assigned
(p�by��the BuildingpDepartment.)
r� Atlantic Beach, Florida 32233 5445 I1 F,r k(C—313 U
itisio)
Phone(904)247-5826 • Fax(904)247-5845
A1oswp• E-mail: building-dept@coab.us Date routed: dal pet I ri'
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ' b 1 B Q- 4 T(4LQ Department review required Yes No
•iding�
Applicant: 'ThOnn.pson Abo(,:,M 4— S w k{.[� cgannin. &Zonir
c1�' VV Tree Administrator
Project: 1 n��wt( aa.AJ(1i(\G�S Public Works
�I Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
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: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by:„0,,,z,,,,,,...jr# C// ---------- Date: ,.V1,07
TREE ADMIN. Second Review: A roved as revised.
❑ pp ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
01J-1,9›.4,\ City of Atlantic Beach APPLICATION NUMBER
�� Building Department (To be assigned by the Building Department.)
op)` 800 Seminole Road Q /� (�
43
Atlantic Beach, Florida 32233-5445 II �'" ` `�
Phone(904)247-5826 • Fax(904)247-5845 Date routed: d3��q
Pi 01110- E-mail: building-dept@coab.us
I rt
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: aaa\ Baca. -}- Traci Department review required Ye No
Applicant: "C\nOmpsvn AWN Lf‘. 4- S6.t,tt.t4 ltJannin. &Zoni
c1
�� Tree Administrator
Project: I AM-CAM l a0.w c c s Public Works
Public Utilities
Public Safety
Fire Services
•
:Review fee $ Dept Signature
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: proved. ❑Denied.
(Circle one.) Comments:
BUIL
PLANNING &ZONING Reviewed by: ,Z / 1f\r- Date: J L/
TREE ADMIN.
Second Review: ❑Approved as revised. I 'Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION OFFICE COPY
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 2221 BAREFOOT TRACE, ATLANTIC BEACH, FL 32233 Permit Number: I' QANSkin
Legal Description 42-13 08-2S-29E 09-2S-29E 37-2S-29E OCEANWALK UNIT 2 LOT 70
Parcel#
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 2,220.00 Proposed Work heated/cooled non-heated/cooled X
Class of Work(circle one): Addition,Alteration
Use of existing/proposed structure(s)(circle one): Residential
installed?an existing structure,is a fire sprinkler system (Circle one): No
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: Install Two (2) stationary awnings
Property Owner Information:
Name:TAYLOR VICTORIA A TRUST r .,C/0 J B&V A TAYLOR TRUSTEE Address: 2221 BAREFOOT TRACE
City Atlantic Beach State FL Zip 32233 Phone (904)249-0634 E-Mail or Fax#VATJBTACOMCAST.NET
Contractor Information:
Company Name: Thompson Awning and Shutter Company Qualifying Agent: Robert F.O'Brien
Address: 2036 Evergreen Avenue City Jacksonville State FL Zip 32206
Office Phone (904)355-1616 Job Site/Contact Number (904)355-1616 Fax# (904)355-1617
State Certification/Registration# AC04
Architect Name&Phone#
Engineer's Name& Phone# LTL&Associates—Len Tylka (561)478-1845
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 after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Furnaces , Boilers,Hearers,
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
YOUR NOTICE OF COMMENCEMENT.
I hereby certify that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofwork will be complied with .ether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,sti e, o local law r lating construction or the performance of construction.
Signature of Owner r o Signature of Contractor , -_ .4
11
4
/
Print Name Robert F. O'Brien Print Name Robert F. O'Brien
Sworn to and subscribedDDbefore me Sworn to and subscribed before
/�m�me
this 2y Day of 741/.2tay,2017 this 4 Day of 7— ,2017.
ILS:✓_
1 �y1. • ,�� npi
P IC +p i 4.1 Notary Public•State of Flonoa o Pu/ c `;./��"o;�h•' OLGA TSUKANOVA
��F Commission a FF 994527
,.. Notary Public-State of Florida
•',;F,,,,,, My Comm.Expires May 19.2020
=• Commission r FF 994527
��'••:r;,o;�„d:•� My Comm.Expires May 19,2020
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LETTER OF AUTHORIZATION
Affidavit
•
OFFICE COPY
To Whom It May Concern:
This Letter authorizes Thompson Awning and Shutter Company (or their Agents
or Subcontractors)to act as Agent, to secure permits or variances required by the
local governing body, and to perform sign or awning installations, removals, or
maintenance at the property located at:
Property Address: 2 t t ►• _0 Ls i! .4 I ,
Company Name: Phone Number:q/)q-may (1
Name: Title:
Address:
SIGNATURE OF PROPER# OWNER/AGENT
STATE OF It, I (SCom.
COUNTY OF t,.U c�
Sworn to and subscribed before me this S `��
day of e-iD r u ark./ , 201-7
Signature of Notary State of c r.ctck, Commission Expires I 01 1\ 5
L Srn*1
Print or Type Commissioned Name of Notary Public
Personally Known ( ) OR Produced Identification x3)
Type of Identification Produced: c.I o r. cS-c L- 3-7-) Li9
(Notary Stamp or Seal Required) , "W SUE E.SMITH
I j Nary Nilo• of Moab
;rig
� ;r• Commissions FF 239579
•„,.;:. My ConrytNaugh' Oo14.2019
Bonded Natlonal Notry ANit.
�c,,s, �F Certificate of Flame Resistance
¢..,off..-j,.,.o
CAL
:7(1 o% FIRE
9 .�i'�;aP Issued By: OFFICE COPY ��►"
e R _7 PR1 GLEN RAVEN MILLS INC
Registered Fabric 1831 NORTH PARK AVENUE
or Concern Number i – —
Date treated or manufactured:
F-73101 GLEN RAVEN, NC 27217-1100 • 02/10/2017
This is to certify that the materials described below have been treated with a flame-retardant chemical or are inherently
nonflammable.
FOR: Trivantage, LLC ADDRESS: 1831 North Park Ave.
CITY: Glen Raven STATE: NC 27217
Certification is hereby made that: (Check"a"or"b")
(a) The articles described at the bottom of this Certificate have been treated with a flame-retardant chemical
approved and registered by the State Fire Marshal and the application of said chemical was done in conformance
with the laws of the State of California and the Rules and Regulations of the State Fire Marshal.
Name of chemical used: Chemical Registration#: e
Method of application: -
X (b) The articles described at the bottom of this Certificate are made from a flame-resistant fabric or material
registered and approved by the State Fire Marshal for such use.
Trade Name of flame-resistant
fabric or material used: FiRESIST Registration#: F-73101 •
The Flame-Retardant Process Used Will Not Be Removed By Washing
GLEN RAVEN CUSTOM FABRICS WENDY MILLER, CUSTOMS COMP. MG
"i Name of Applicator or Production Superintendent Title
RCNs## 00000000001051519121 CUSTOMER ORDER NO. ARC of Putnam/A
CUSTOMER INVOICE NO. 1485502
YARDS OR QUANTITY 50.00
DESCRIPTION Firesist#82008-0000 60" Black
(Standard Pack 60 Yards)
ITEM NUMBER 888508
We hereby certify the above to accurately reflect the information contained within a"CERTIFICATE OF FLAME RESISTANCE"issued to
Trivantage, LLC from the registrant set forth above. A copy of the original Certificate of Flame Resistance is available upon
request to Trivantage, LLC and the registration information set forth above is on record with the California State Fire Marshal.
THOMPSON AWNING AND SHUTTER CO
MAILING ADDRESS 2036 EVERGREEN AVE
SUITE #1
JACKSONVILLE, FL 32206-3978
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OFFICE COPY E—MANED DEC 0 62016
GENERAL NOTES g
1. ALL MEMBERS SHALL BE 6063-T6 ALUMINUM TUBE. > M
CO
2. ALL OTHER MATERIAL SHALL BE 6063-T6 ALUMINUM (U.O.N.) Z LL
3. ALL CONNECTIONS SHALL BE FULLY WELDED. Lll w J
4. ALL WELDS SHALL COMPLY WITH A.W.S. CODE(LATEST F
EDITION) > N fz O
5. COVER ALL WELDS WITH CORROSION RESISTANT ° < cr LL
COATING. ~
6. ALL STRUCTURES DESIGNED IN ACCORDANCE WITH N ' °Q
SECTION 31 AND SECTION 16 OF THE FLORIDA BUILDING W X00
CODE (2014-5TH EDITION)-ASCE 7-10. fd N z
7. AWNING COVERS SHALL BE REMOVED IN PERIODS OF HIGH Nq
WINDS; SPECIFICALLY WINDS IN EXCESS OF 75 M.P.H.
AWNING W/COVER WILL SUSTAIN 105 M.PH. (3 SECOND11
GUST)-RISK CATEGORY II, EXPOSURE C.
8. FRAMES WITHOUT FABRIC WILL SUSTAIN 140 M.P.H.WINDS
(3 SECOND GUST), EXPOSURE D.
9. ALL FRAMES HAVE BEEN DESIGNED USING RATIONAL
ANALYSIS.
10. ALL DIMENSIONS TO BE VERIFIED IN FIELD PRIOR TO
FABRICATION. r ,
c)5.
ALL FRAMING TO BE 1"X1"X0.093"(U.O.N.)
APPLICABLE CODES (INCLUDING LOCAL AMENDMENTS): W
�m ci
• 2014 FLORIDA BUILDING CODE(5th EDITION)/ASCE 7-10 j/1
• 2014 FLORIDA FIRE PREVENTION CODE (5TH EDITION) G1 0 zt s
0 D E'
REVIEWED FOR CODE COMPLIANCE F '' a g
CITY OF ATLANTIC BEACH V o ° LL
N
SEE PERMITS FOR ADDITIONAL O N 0 d 0
REQUIREMENTS AND CONDITIONS C p °w
REVIEWED BY: My- DATE: 3<ZIA 7 c I R
N
OFFICE COPY644
i.,,,,00‘‘....1.1.tt.i 1....././..,,,, ,
• No.31738
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DATE: 2/10/11
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TO EXIST. WALL @ 24" 0/C PE
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