38 OCEAN BLVD - COMM . VALANCE WITH SIGN ..A.,,%
r,fr. :0
� CITY OF ATLANTIC BEACH
- 800 SEMINOLE ROAD
, ,. �� ATLANTIC BEACH, FL 32233
''''t0.7i 9 INSPECTION PHONE LINE 247-5814
COMMERCIAL - ALTERATION COMMERCIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: COMM17-0028
Description: construct new canvas valance with logo & signage
Estimated Value: 1350
Issue Date: 12/14/2017
Expiration Date: 6/12/2018
PROPERTY ADDRESS:
Address: 38 OCEAN BLVD
RE Number: 170227 0000
PROPERTY OWNER:
Name: JUBRAN JUBRANA A ET AL
Address: 4541 ST AUGUSTINE RD STE 1
JACKSONVILLE, FL 32207
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: THOMPSON AWNING & SHUTTER CO
Address: 2036 EVERGREEN AVE
JACKSONVILLE, FL 32206
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ti _ CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
44.
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date /1/3 Q/) Revision to Permit v Corrections to Comments Permit# L U>'Y)Yvl/ 7 - 6 02,
Project Address 3 0 �� 4 3 & V 0
Contractor/Contact Name jkytp SO IV A..WNI)6 /
d 61 OBe IA)
Phone 90v- s.-1-4. /&/4, Email o•e rL) i 4471r1 pc'd 06 ii-e4-014' it. r etht
Description of Proposed Revision/Corrections: Revision Review Fee Due $
v 1Z y S S -1lu.4w e)
V
0✓) inS 07)1inCIL_ 4-3
Additional Increase in Building Value $ Additional S.F.
By signing b- ; ,I e287? 0/SerAN affirm the Revision is inclusive of the proposed changes.
(printed name)
v. lc 30 /7
Signature of Contractor Agent(Contractor must sign if increase in valuation) Date_,
(Office Use Only)
Approved 7 Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required: , ,___—
Builds•
• anning & Zoni a Reviewed By
-- Administrator
Public Works
Public Utilities 2 /�/
— 17
Public Safety Date
Fire Services
M A P SHOWING SURVEY O F
LOTS 5 AND 6 AND THE NORTH 37.0 FEET OF LOT 7, BLOCK 35, ATLANTIC BEACH, PLAT NO. 1 SUBDIVISION "A", ACCORDII\
TO THE PLAT THEREOF RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
__
FOR: JAMAL A. JUBRAN, ET AL
AHERN STREET
(57.0 FOOT RIGHT-OF-WAY)
ROAD UNDER CONSTRUCTION
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LEGEND-
1 CONCRETE MONUMENT ELLIS, CURTIS & KOOKER, INC.
1 IRON PIPE OR ROD LAND SURVEYORS AND PLANNERS
1660 EMERSON STREET
'E OVERHEAD ELECTRIC JACKSONVILLE, FLORIDA 32207 (LB # 3080) 5531 BRANDIES AVENUE
T OVERHEAD TELEPHONE (904) 396-6334 • CALLAHAN, FLORIDA 32011
CROSS-CUT IN CONCRETE FAX (904) 396-9997 * (904) 879-9161
FAX (904) 396-9997
-X FENCE GENERAL NOTES;
1.) This is a: Boundary survey.
best determined from an ' 2• No abstract of Title furnished. ;, \-
lection of Flood Insurance Rate 3 Not abstracted for easements. C"
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?i.:Lyjy�� City of Atlantic Beach APPLICATION NUMBER
�1 s, Building Department (To be assigned by the Building Department.)
;: 800 Seminole Road /1 O /t/) + —O� Q
!:�t z ,, Atlantic Beach, Florida 32233-5445 l� Aft O
Phone (904)247-5826 • Fax(904)247-5845 I fig Iii
-"i J;3 �? E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
PropertyAddress: % a--e-a-n bloc tom- jreview required Yes No
CBuildin _
Applicant: V\Oiv pad) k R t i 4,S g &Zoning
-,�" Tree Administrator
Project: N)tS\tl,�,iA `(\k_�,} JaVia(Q We�T� Public Works
V R.TO cA, ,,,,,t(6____ Public Utilities
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. ❑Not applicable
(Circle one.) Comments:
BUILDING /Iree/- fraifiG ly p eeded
PLANNING &ZONING //�Z 1—( 74 Reviewed by: Gf Date:
TREE ADMIN. Second Review: Approved as revised. ['Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. I (Denied. I INot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
M A P SHOWING SURVEY O F
LOTS 5 AND 6 AND THE NORTH 37.0 FEET OF LOT 7, BLOCK 35, ATLANTIC BEACH, PLAT NO. 1 SUBDIVISION "A', ACCORDIN
TO Tf------HE PLAT THEREOF RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBUC RECORDS OF DUVAL COUNTY, FLORIDA
— — ----__ FOR: JAMAL A. JUBRAN, ET AL -
--- ---- _
AHERN STREET
(57.0 FOOT RIGHT-OF-WAY) -
•
ROAD UNDER CONSTRUCTION
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LEG ND:
3 CONCRETE MONUMENT ELLIS, CURTIS & KOOKER, INC.
•
> IRON PIPE OR ROD 1660 EMERSON STREET LAND SURVEYORS AND PLANNERS
'E OVERHEAD ELECTRIC JACKSONVILLE, FLORIDA 32207 (L8 # 3080) 5531 BRANDIES AVENUE
T OVERHEAD TEl FPHONE (904) 396-6334 - CALLAHAN, FLORIDA 32011
CROSS-CUT IN CONCRETE (904) 879-9161
FAX (904) 396-9997
FAX (904) 396-9997
-X FENCE GENERAL NOTES:
1.) This is a: Boundary survey. 47,7best determined from an 2-) No abstract of Title furnished- (\iI �j �>ection of Flood Insurance Rate 3-) Not abstracted for easements. . Marlo C. Everett, Jr. P. No. 3287 I
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CERTIFICATE OF FLAME RETARDANCE
ISSUED TO: THOMPSON AWNING
2036 EVERGREEN AVENUE
JACKSONVILLE, FL 32206 Q'�,`k f.• r ~~•O,p�,,
USA : Qs :� I t
PrOcifil �`�,�
*
A
y
P.O. No. ROWAND'S MINIMALL �'�,9r .. .`�'••„f�h4$.Q.
P1R E t&P" Q
NUMBER: 77078
DATE: 6/6/2017 GA- 1201.01
THIS CERTIFICATE OF COMPLIANCE IS ISSUED TO VERIFY THAT THE ITEMS OR AREAS
DESCRIBED BELOW ON THIS CERTIFICATE HAVE BEEN TREATED WITH FLAMECOAT (TM).
FLAMECOAT IS A CLASS A FIRE RETARDANT.
Qty Description of Material, Structure, Etc.
44 YARDS 6097 TRESCO GINGER
TREATED W/FLAMECOAT AND PASSES: NFPA 701 SMALL SCALE, ASTME-84
CLASS A, FLAME SPREAD: 10, SMOKE DENSITY: 25, CALIFORNIA TITLE 19 section
1237, CALIFORNIA TB 117-2013
FOR INTERIOR & OUTDOOR USE and CAN NOT BE WASHED OFF
1 SUPPLIES/HANDLING
SHIPPED VIA UPS 1Z3502W1 03 5834 8725
AMERICAN FLAMECOAT INC,
520 Eagleton Downs Drive-D
Pineville, NC 28134
0: 704.405.2550
F: 704.543.9772
www.americanflamecoat.com
Your solution for Global Flame Retardancy,Fibercare Stain Protection,Knit-backing,Increased double rubs&Anti-microbial treatment.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road A /�/J '
\J
0 Atlantic Beach, Florida 32233-5445 �' ` -
Phone(904)247-5826 • Fax(904) 247-5845 i ('
,:?;-0;119`i• E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 Ocean &skid I?_epartuant review required Yes No
CBuildinq
Applicant: OeyS \ k (\i r ``4,S4\ e./ C.2Lnning &Zoning��
Tree Administrator
Project: 0.,on5-NL&c\ vLuJ u ttnuc w.; Public Works
1.00 Public Utilities P •Ii�SafPty
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: l Approved. ❑Denied. Not applicable
(Circle one.) Comments:
BUILDIN ,M
PLANNING &ZONING Reviewed by: r / ' Date: //'off e'`7
TREE ADMIN. Second Review: Approved as revised. ❑De ied. Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. Denied. fNot applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application1.): EOL {_\i LG.;�
FFICE COP City of Atlantic Beach f! ]
Y
800 Seminole Road,Atlantic Beach, FL 32233 NOV 1 7 2017f
Phone: (904) 247-5826 Fax: (904)247-5845 [I
Job Address: 38 OCEAN BLVD.,SUITE#38,ATLANTIC BEACH, FL 32233 Permit Number: C0 i'V/1 i —00a cic
Legal Description 5-69 21-2S-29E ATLANTIC BEACH LOTS 5,6,N 37FT LOT 7 BLK 35 RE# 170227-0000
Valuation of Work(Replacement Cost)$ 1,350.00 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New •..ition • teration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): ommercia Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): ezi No 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:
New canvas valance with painted-on logo and signage
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: JUBRAN JUBRANA A ET AL Address: 4541 ST AUGUSTINE RD STE 1
City JACKSONVILLE State FL Zip 32207 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: THOMPSON AWNING AND SHUTTER CO. 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
State Certification/Registration# AC04 E-Mail bob@thompsonawnincg.com
Architect Name&Phone#
Engineer's Name&Phone# LTL&Associates/Len Tylka(561)478-1845
Workers Compensation FCCI INSURANCE GROUP-Exp.date:05/05/2018 _
Exempt/Insurer/Lease Employees/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 prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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 OUR NOTICE OF s MMENCEMENT.
! � P pA1
(Signature of/w191-Lont including Contractor) (Signature of Contractor) .f.1„.
Sign and sworn to(or efore me this 9 day of Si ned and w,orn to(or affir )beforelme this day of
99.f:,,r.-r:. ,,)0/7 n, (-4,0, --5 i c, „L_ �?��I�6GY.C, 20t7 , by n� LZ��LL F. 07 -
i� /
,-/-2; (,,�i„7laturc Ur,J�idry) '�^.- - .
$`o''"V``4:: JANICE DIANNE TRASK •``'
R. e, `;„,,� ''•,•s, OLGA TSUKANOVA
• �7tI MY COMMISSION#FF109222 �� = Notary Public-State of Florida
"aa M1, EXPIRES April 17, 201-8'/ ::‘,..1 � A. Commission #FF 994527
[ ]Personally Known OR pa��toeoiea PIArIOANotprytirnyloe,oem [* ersonally Known OR %.',Foptd;:” My Comm.Expires May 19,2020
{.Produced Identification ( )Produced Identification ,
Type of Identification: // ;Pc ) 1 L C pi C Type of Identification: R-
-
51,m-ri,, City of Atlantic Beach APPLICATION NUMBERS� A Building Department (To be assigned by the Building Department.)
ft 800 Seminole Road CO ^n 11
-op., .
app
�� [ Atlantic Beach, Florida 32233-5445 1 All o
Phone(904)247-5826 Fax(904)247-5845 + j
�-4-!0;319 E-mail: building-dept@coab.us Date routed: 11 119 111
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3 OC--AL1'\ bkids Repartme0jreview required Yes No
,�� / Buildin�c _
Applicant: \I1 OeyS�,t Iv Rt i\C, 4S�`14k f`—E.LT ing 8 Zoning�)
Tree Administrator
Project: n5-k(tk(.,-k ‘vQ_L-,} J c{. ttit( 2__ Wc* Public Works
Public Utilities
lC���, syvlt5_, ....F7'44
(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:
APPL ATION STATUS
Reviewing Department First Review: Approved. Denied. fNot applicable
(Circle one.) Comments: 0
BUILDING
PLANNING &ZONING Reviewed by: Date:/X4/7
TREE ADMIN. Second Review: ['Approved as revised. Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:_
FIRE SERVICES Third Review: ❑Approved as revised. (Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
M A P S H O W I N G S U R V E Y O F
LOTS 5 AND 6 AND THE NORTH 37.0 FEET OF LOT 7, BLOCK 35, ATLANTIC BEACH, PLAT NO. 1 SUBDIVISION "A". ACCORDIt
TO THE PLAT THEREOF RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
--- — FOR: JAMAL A. JUBRAN, ET AL
r___
AHERN STREET _ ---
(57.0 FOOT RIGHT-OF-WAY)
ROAD UNDER CONSTRUCTION
FD. 1/7 IRON. . - �� •
FD. 1/7 IRON
(NO ID) . . -S 83' 23' 12" W 102. .36 (NO ID)
v – IIIIeuieR Ce _® PHONE
STEPS
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® EXCEPTIONS AS NOTED
SHEET#
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3 CONCRETE MONUMENT ELLIS, CURTIS & KOOKER, INC.
> IRON PIPE OR ROD 1660 EMERSON STREET ,- LAND SURVEYORS AND PLANNERS
'E OVERHEAD ELECTRIC JACKSONVILLE, FLORIDA 32207 ( B # 3080) 5531 BRANDIES AVENUE
T OVERHEAD TELEPHONE (904) 396-6334 • CALLAHAN, FLORIDA 32011
CROSS-CUT IN CONCRETE FAX (904) 396-9997 * (904) 878-9161
FAX (904) 396-9997
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>: 120075 0001 D 4. Basis of Bearings: Assumed
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CERTIFICATE OF FLAME RETARDANCE
THOMPSON AWNING 0,4 t40
ISSUED TO: 2036 EVERGREEN AVENUE 4-104-
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JACKSONVILLE, FL 32206 4' 4.-* T '• \t
USA ;ZS - I_ •s����
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P.O. No. ROWAND'S MINIMALL -�'�,,�r F,,,_,,-42.
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NUMBER: 77078 4... "R---"p,.!.
DATE: 6/6/2017 GA-1201.01
THIS CERTIFICATE OF COMPLIANCE IS ISSUED TO VERIFY THAT THE ITEMS OR AREAS
DESCRIBED BELOW ON THIS CERTIFICATE HAVE BEEN TREATED WITH FLAMECOAT (TM).
FLAMECOAT IS A CLASS A FIRE RETARDANT.
Qty Description of Material, Structure, Etc.
44 YARDS 6097 TRESCO GINGER
TREATED W/FLAMECOAT AND PASSES: NFPA 701 SMALL SCALE, ASTME-84
CLASS A, FLAME SPREAD: 10, SMOKE DENSITY: 25, CALIFORNIA TITLE 19 section
1237, CALIFORNIA TB 117-2013
FOR INTERIOR & OUTDOOR USE and CAN NOT BE WASHED OFF
1 SUPPLIES/HANDLING
SHIPPED VIA UPS 1Z3502W1 03 5834 8725
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AMERICAN FLAMECOAT INC.
520 Eagleton Downs Drive-D 2
Pineville, NC 28134
0: 704.405.2550 /o'
F: 704.543.9772
www.americanflamecoat.com
Your solution for Global Flame Retardancy,Fibercare Stain Protection.Knit-backing,Increased double rubs&Anti-microbial treatment.
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FRO�I CSa54ARD ,�' a�