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1655 Beach Ave RES19-0111 Man Hurr Shutters RESIDENTIAL PERMIT PERMIT NUMBER l CITY OF ATLANTIC BEACH RES19.0111 ISSUED:4/19/2019 ATLANTIC BEACH, Fl.32233 800 ROAD EXPIRES: 10/16/2019 EA INSPECTIONMUST CALL •NE LINE (904) 247-5814 BY 4 PM F• ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1655 BEACH AVE RESIDENTIAL ALTERATION MANUAL HURRICAN $5656.00 RESIDENTIAL SHUTTERS TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: NORTH ATLANTIC BCH 169655 0000 UNIT 1 COMPANY: ADDRESS: CUSTOM STORM 826 HULL RD ORMOND BEACH FL 32174 SHUTTERS DIRECT • ADDRESS: HAAS 1 ERIC 1655 BEACH AVE ATLANTIC BEACH FL 32233-5840 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF CONDITIONS Rall off container company must be on City approved list. Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT I QUANTITY I PAID AMOUNT BUILDING PT 455-0000-322-1000 0 $8000 BUILDING PLAN CH ECB 4550000-322-1001 0 S4BOD STATE DBPR SURCHARGE 455-0000208-0]00 0 $2.00 STATE DCA SURCHARGE 455-0000-2080600 0 $2.00 Issued Date:4/19/2019 1 of 2 °' %• RESIDENTIAL PERMIT PERMITNUMBER CITY OF ATLANTIC BEACH RES19-0111 ISSUED: 4/19/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 10/16/2019 TOTAL:$124.00 Issued Date:4/19/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER a Building Department (To be assigned by the Building Department) n 800 Seminole Road 1{� _ O l t I Atlantic Reach,Florida 32233-5445 1 Phone(904)247-5826 Fax(904)247-5845 /I ;l er E-mail: buildingdept@coab.us Date routed: `tet City web-site: mp:/haww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I(OSS e)C—AC 1 VE' Depiultiment review require Yes o wilding Applicant: �I CTO/✓i Y� ( �FNJ77GD-SPQIrrfing&Zoning M (� Tree Administrator Project: Iy ���U�(... I\O(�L��k1]7f ublic Works ublic Utilities I� UZZLCAti� Public Safety V Fire Services Review fee $ Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida DBPt.of Transportation SL Johns River 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: U4,proved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDIN M/yr PLANNING&ZONING Reviewed by: Y 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: R.vm.d 05119/2017 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: /d? ' Permit Number: Legal Description o • te .ZaN parcel# / u O rtuur eao L Valuation of WorkS qT Proposed Work aO eated/cooled uou-beated/cow o Class of Work(circle one): Addition Alteration Repair Move Demolition pooVspa windcoalu. 0 ew O Use ofedatiog/pro=d structure(s)(circle one): Commercial identi w F- Q p If an existing struciare,is a fire sprinkler system installed?(Circle one): es o l� O Z a Florida Product od royal# aaU. For multiple products use pr uM approya orm ! , O F m LN. N /� cc. Q ~ w Describe in derail the type of work to be performed: SrlSA& .2 9far �� A/(„� t� O IL � ..e W�,U N-W W Property Owner Information; ' C Name: • G/ Address:_/LSS City-gn4l M' Sa � � 33 /3u<�i.4Jt W S Phone %7-731- q 2 i E-Mail or Fax#(Optional) Contractor Information: Company Name: rjt3)/An .5(Olat 9AIS L�,'z..'�r �_Qualifying Agent:�rlt aa,/ L• D(f,tune// Address: neo/Jaen/Ld City &CA*a•1 &aC& State_�_Zip 3Z7J Office Phone 9pJ--/a/Q f Job Site/Contact Number State Certification/Registration Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address .9pplication is hereby made to obtain a permit to do rhe work and installations as indicatedl rertify that no work or imiallation has emmnermed prior m rhe issuance o,a a rmir and that all work will be performed to meet the standards of all laws regulating comductian in thieftedsdlctiam This permit becomes null ndvoid�dT k n na commenredwirhin s (ti)months.w ifconstruc+ion or j worAv sua�ended or abaMmud f a pepad ojsin/6J morals ar a.ry time atter ark es commenced =omM+hat separate permits most be secomalDeceit Work,Plambtng,Sif e, wall;Pools,Putnam,8ollem,Helen, ranks andAhr Conditio1ners,nc 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. f hereby certify that l have read and mammed this pl'catian andhosw thesame so be arms and correct Allseovion a I s diva s e i no, type al work will be complied with whether speci ted herein or not. The granites of a permit does not income,r in m u alar el d promsions ofany otherjderat.state,or local]aw Mdadng comemcnan or de,perybran n v ofcounvction. n `- �n Signature of Owner i} G'{p� T� Signature of Contractor Print Name t �'y.+l.. _. Print Name Sworr�tt and subscribed before me Sworn to and subscri ed before me this 10 [)ay of Ste( An 20 - this �Day of 20 (� No�ry/2//.A1u/fbhc No 1 .+ ""+ PATn L.oT0NNELL H!gE]N /ACommaelanf FF BbItOt d29&11a3na.mmen Building Permit Application OFFICE COPY uPdot d,o/g„a City of Atlantic Beach Building Department "ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us 15 REQUIRED. Job Address: 1655 BEACH AVE, ATLANTIC BEACH 32233 Permit Number: I_��CS,7 -CJ I ( � Legal Description 15-10 9-2S-29E .210 N ATLANTIC BEACH UNIT i LOT 12 RE# 169655-0000 1 F Valuation of Work(Replacement Cort)$ 5.856.00 Heated/cooled SF 6 .C' � e�tttdJCpole® • Classof Work: V(New []Addition DAlteration ❑Repair []Move ❑Demo []Pool OWindow/Door • Use of existing/proposedstructure(s): OCommercial vlliesidentfal APA _ Q 2019 • If an existing structure,is a fire sprinkler system installed?: []Yes ONo / • Will trees be removed in association with Proposed project'[]Yes must submit separate Tree Removal Permit % No Describe in detail the type of work to be performed: INSTALL 2 MANUAL ROLL DOWliI`HURRfC-ANE-SH0T+FE&q Florida Product Approval# FL12246-R4 for multiple products use product approval form Property Owner Information Name ERIC J. HAAS Address 1655 BEACH AVE city ATLANTIC BEACH State FL zip 32233 Phone 407-731-5273 E-Mail Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contract”Information Nameof Company CUSTOM STORM SHUTTERS DIRECT,INC. Qualifying Agent MICHAELE.O'CONNELL Address 826 HULL ROAD CityORMOND BEACH State FL Zip 32174 Office Phone 904-889-5923 lob Site Contact Number State Certificatipn/Registration# CGC1516284 E-Mail roseGcssdw-mm Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer BRIDGEFIE'1D EMPLOYERS INSURANCE OR Exempt Expiration Date 04/14/19 Application is hereby made to obtain a permit to do the work and installations as Indicated.I certify that no work or instal lation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating 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. NOTICE:In addition to the requirements ofthis permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. 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 YO PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDE RECORDING YOUR NOTICE OF COMMENCEMENT (Signature of Owner or Agent) V�A �7 (Sig ure of Contactor) 41 Signed and swom to(or affirmed)before me this_day of Signed and swum to(or affirmed)before me this_day of by by (9gnatweof Notary) (Signature Of Notary) I I Personally Known OR I 1 Personally Known OR [ I Produced Identification [ 1 Produced Identification Type of Identsration: Type of Identification: s DOC N 2019040922, OR BE 18697 Page 195, Number Pages: 1, Recorded 02/21/2019 11:48 AN, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 OFFICE COPY PCrW71 � #— RESIcl - o/l/ NOTICE OF COMaMCFAUM Smteaf Ta Folio No. &gaf.5S.�ooeo C—tyof wVN\ To Whom It May Concent: The undersigned hereby'alea e"you that helu emeam will be made to certain real property,and in accordance with Session 713 of the Florida Statutes,the fallowing Information Is stated in thisN0710E OF COMMENCEMENT. Legal Deseriptionof property bring improved: /C-k] A-AS-Agt .110 Ka Addressofpmperlybeingimpsoved: //.CS ,9� - AyAa&4:-6 32L33 General description ofimpmvemmts: Owner. aiu Address: RiSJ &94A ]94 a Oar �AL lluk 2AB Owtrer'z in[erest io age ofthe imDmvemene_/®d/i "''r f - Fee SimpieTitleholder Ctfolhathaoowoo):�� Name: Contrattor. /)riCtLfes - Gln is �(E�- 'G'. Adebesse_L ,6// U ,/ZL�A_ate� ac_2J/7w Telephone Nu.: ?Crj- eq-S�L�_ Fan Nu; W...67L-3738 Surety0fany)_- LILA Address; Amount ofBond S Telephone No: Fax No: Name and address of my person making a baa for the construction ofthe impmvemmt6 Name: ](A Addn Phone No: Faallo: Name ofpersom within the State of Florida,other than himself,designated by owner upon whom wrims or other docummu may be served: Name: 94 Address: Telephone Na: Fu No: in addifmn m himselC owner designates tea following person to receive a ropy of the Lienes's Notice.m provided is Session f '713.06PXb):Florida Seamus, (F711mffiOwndsoption) Name: ArA Address: Telephone No. Fax No: Expiration due ofNotieo OfCpmmeneeaoeot(the apiratine,date is one(1)year from the due of recording unless a different date is speciried)r.. THIS SPACE FOR RECORDER'S USE ONLY OWNER / ,��,/fq,� n �Slmeld lJ"SLC.i "T'/ty Dvc /�JO-2e/9 `Befom methw /A_draye 7�_�27a iame CmmryofDuvaLSfine fie..xx��""�y pAiT11.0'CONNELL OfFladds,haepermnalb Wpauad G tLao 1- ( Cammhsbnl FF18I9a2 'Nowypassion ire,SoteofFbMaCauuryo O Espaes JUM B,t010 Mycnmly 1(noorpim: Sr..n< a GO O BwantaNllwfanbaenpaf0]ILlala P ueeo eehy Eeawn: identification or STATEOFFLOROA MNX CWNry I.UNOaRS I GHEO CMA d as COMA S Carat'Cavo.Owl C,, Fir00 HEREBY CERTIFY as aaaae am"WW4 m oov drpegmaaT am meed M,d as- W a a aaowaw2 am fia-,as Am d Wa Clsk d CaaA Oavmv Cave 0O ... Soma WITNESS my nac am mV Cp al CNM 6 C-tjT gJaAuaaAN,Fd MmiI aqd FeBao,za RONNIE FUSSELL CbaE,CBaYI arc Camp Ca Ouv aka 0Y Ca11MQAA OFFICE COPY CUSTOM STORM SHUITExS D I R E C T Property Information Building Information Owner: Haas Eric Wind Zone: 130 MPH. Address: Exposure Category: D Minimum Building Dimension: 40 ft. Mean Roof HeigM 33 ft. Risk Category: B Design Pressure Calculations Opening Max Positive Maz Negative Number Pressure(psf) Pressure(psf) 1 36.8 -39.4 2 37.3 -39.9 PM.p din rod.wUk ASCE 7-10,ChWW 30.W` Ud *-Capin and Cladm, (2017)Florida B.MW Cale. Page I of 1 \ \ §§ ,( C § ! \ \ 2 Haas Eri� � 22 : | _+_s cr er ; ; . , 12120!2818 PICIIEe Milling Coda OnrmR Professional t aae Haeme i ino in '.. uw r� ReylrNm � NptTopKa I Sudna Suduge i eWsa R¢s � pplyye¢ I giya6 Yx i 9^JS A0t WP i IiiNs I SemN dtlprProrlUo[Approval X YR:Nplk User >eeelsarevauu>APMkatlm o.ex F a 812246-Rd ApPliatlon TYPe Revision Corte Verslon 2017 APylication Status Approved Comments Archived Product Manufacturer Expert Shutter Servkes,Inc. / (/ Address/Phone/Emall 1626 SW Biltmore ST {i^( I{6W Port St.Wde,F131984 ' ` (772)871-1915 Ex[IDScalleX J (772) 71-1915 E `CC Authorized Signature Michael Helssenberg allexpertpaol.com Technical Representative Michael Heisenberg AddreWPhone/Email 1626 SW Biltmore St Port St W de,FL 34984 (772)871-1915 Ext 106 CallExpertWaol.mm Quality Assurance Representative Mkivid Heissenli Address/Phone/Emall 1626 SW Wlmom St Port St Lucie,FL 34984 (772)871-1915 Ext 106 CallExpert®aol.com Category Shutters Subcategory Rall-up Compliance Method Evaluation Report from a Florida Registered A¢hitect or a Licensed Florida Professional Engineer Evaluation Report-Hal.,Received Florida Engineer or Architect Name who developed the Walter A.Tillit Jc,P.E. Evaluation Report Florida Ulcer. PE-44167 Quality Asumna Entity National Accreditation and Mena gement institute Quality Assurance Contract Expiration Date 12/31/2019 validated By Jahn Henry Kampmann Jr. ' Validation Checklist-Hardcopy Received Certifiate of Independence Fi J Referenced Standard and Year(of Standard) Mancilm Y®r ASTM E-1996,E-1886 2005 ASTM E-330 2002 TAS 202 19% Equivalence of Product Standards Certified By htlp:iA .flondabuilding-OM/pr/pr aPP_dU.Mpx4param-w EVXQ.Dq.RNL.WOV]iltc,HwT5BBAhhv l8%2fx000a-PM9gCQ%3d%3d W 12=12018 Flonda Building Code Online i Segtlml,from the Code Pion=Approval Method Mallod l 0000n D Date Submitted 09/27/2017 Date Validated 10/19/2017 Date Pending FBC APPMVal 10/25/2017 Date Approved 12/12/2017 Summa of Prods PLA Nodel,Number or Neme Desbiptlon 12296.1 NalAflus Rollhlg Shutter Sy— Nautllus Rolling Shultz System llmifs of Use APProved for use in XVIQ:No Irmbllatlon InstuP APPruved for use outaMe NVN2:Yes 6]2796 R ERT X DR Imp act Resistant Yes IND Design Pressure:+160/-160 Verlied By:Amenran Test lab of Soldh Florida Inc. Otlaer:State Missile level-D'wind zones 1,2,3 and 9(pap[ Bvaluetlon Reports Oeated by ent Thind petty;Yes Protectlon onIY),Pressure mtin9: +30,30 p.s.f.at 20'-0'span FLII796 T R and+160,-1fi0 Ps.r.aI8'-0'span wRh 1/2'slip,See she&, 269 PRODUCT EVAEVA p—�'3_` D I5,ifi and 20 for additional Pressures and spans. 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