129 Jasmine St ACC19-0055 Pool Enclosure rJr> ACCESSORY PERMIT PERMIT NUMBER
ACC19-0055
CITY OF ATLANTIC BEACH ISSUED: 7/15/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 1/11/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' ! + BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC +CH CODE OF ORDINANCES .
ALL • ! i OF PERMIT APPLY, PLEASE + !
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:
129 JASMINE ST ACCESSORY SINGLE OR TWO POOL ENCLOSURE $6200.00
FAMILY ACCESSORY
TYPE OF
• • GROUP:
170848 5100 ATLANTIC BEACH SEC H
COMPANY: ADDRESS:
CALL THE SCREEN GUYS
INC 41 W. 6th Street Atlantic Beach FL 32233
• + ® ZIP: ■
JUSTIN QUINTAL 129 JASMINE ST ATLANTIC BEACH FL 32233
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 • • •
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL
Notes:
Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(904-247
-5814)to request an Erosion and Sediment Control Inspection prior to start of construction.
2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
Issued Date: 7/15/2019 1 of 2
rS�1+Jjy City of Atlantic Beach APPLICATION NUMBER
2 y � Building Department (To be assigned by the Building Department.)
0800 Seminole Road l��C
Atlantic Beach, Florida 32233-5445 l�l V
Phone(904)247-5826 - Fax(904)247-5845
P`J;t �:' E-mail: building-dept@coab.us Date routed: Z
City web-site: http://vvww.coab.us 11 L
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
G
ilding
Applicant: (-�(,LT(—(C— �C-E� ��y &Zonin
Tree Administrator
Project: �pC'� �h Lt✓O's 0(,.il�_ �c Wor s
u lic Utilities
Pu —is—safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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
PLANNING &ZONING Reviewed by: 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: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application
1+ City of Atlantic Beach OFFICE COPY
800 Seminole Road,Atlantic Beach, FL 32233
Phone: (904) 247-5826 Fax: (904) 247-5845
1a ��cl9 _0aS
Job Address: / Ja,�;r►-,►y)� �r Permit Number:
Legal Description to- —7 r? �j 9 /� , O nj RE#
Valuation of Work(Replacement Cost)$ Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercia Residentia
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes 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:
7r, 6 / enC
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: �i�" Address:
City State & Zip Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information W
_ U
Name of Company: 11
p y: � P_ S"2-erg�s w5 Qualifying Agent: Z �
Address i:// U (off S h JCity Mwt ke- 39,2cKState ?cL Zip -i z
Office Ph ne 90(/- Job Site/Contact Number z (�
State Certification/Registration#_,SCC 151 t 5f y;8 E-Mail 'in fo;tz L-aIi si)xe- 4Li et. n u 4,S . ram
Architect Name& Phone# ku,.l�-1,c.�n �e Di�,7)0.V d LYA pZ F-
Q
Engineer's Name&Phone# qqj 4,0 - / U a U O
Workers Compensation WC C7 Z-CS l --6(R pOc Z
Exempt/Insurer/Lease Employees/Expiration Date 0 0 Q
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installwoo?h N
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws reg ti4� W
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,Sf JVt C z
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. p CLW
W >-
LU m
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance wigla� LUQ tLi
applicable laws regulating construction and zoning. LU U N QCC
w
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT M&
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.
(Signatur f Owner or Agent including Contractor) (Signature of Contractor) a
Signed and sworn to(or affirmed) before me this day ofSigned and sworn to(or affirmed)before me this a day of
TJNL zo19 by r v1i1� J . �7y/�,�;�YL �, &7d , by bilk Ga
12
(Signatur o o ) (Signature of Notary)
;: �� JOSEPH LT / Upo"dollill
Michael N DidelOt
MY COMMISSION#GG034454 .( Comm.,#GG33823A8
Personally Know [ 7 Personally Known OR Ez ire :111 23 20aG3
EXPIRES Oetober 02,2020 Produced Identif cat 8h, [ ]Produced Identification TkmAwo No*
Type of Identificatio Type of Identification:
SUNROOM, SCREEN ENCLOSURE, AND/OR SCREEN ROOM AFFIDAVIT
CITY OF ATLANTICfttopy
JOB ADDRESS: 12 9 7:YaSm.,n-e 3 -r. , y PERMIT # -Oo SS
INSPECTION REQUES 1'IIONE LINE(904)247-5826
The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted at your residence.
The table below, Sunroom and Screen Enclosure Requirements provides a brief description of the various sunroom category
requirements. There may be restrictions on the use of your present home depending on the category of sunroom you are installing.
The property owner is hereby notified that should any form of temperature control system be added to a Category I, H, or III
Sunroom or the removal of the doors separating any Category I thru IV Sunroom from the host structure occur, the room shall
become non-compliant and must comply fully with all of the requirements for habitable/conditioned spaces as mandated by the
Florida Building Code,The Florida Model Energy Code and State Statutes.
Screen Room Sunroom and Screen Enclosure Reauirements
Category I II III IV V
Habitable Space o No No Yes Yes
Foundation Walls<200pif can Walls<200plf can Walls<200pif can Walls<200plf can have Walls<200plf can have
ave 8"Wxl2"D ftg have 8"Wx12"D ftg iave 8"WxI2"D ftg "Wx12"D ftg 8"Wx12"D ftg
3-1/2"slab if no Dr3-1/2"slab if no 3r 3-1/2"slab ifno
ncentrated load concentratedload oncentrated load
7501b 750lb 7501b
Exit Lighting Not Required Required Required Required Required
Interior Electric Not Required Not Required Not Required Required Required
Outlets
Emergency Escape Egress from exist. Egress and Exit must Egress and Exit must Egress and Exit must Egress and Exit must
Openings tructure allowed if meet code eet code. Other neet code. Other meet code. Other
pen to atmosphere o esistance esistance requirements resistance requirements
onsidered screen quirements for or forced entry,air for forced entry,air
nclosure and has orced entry,air eakage and water leakage and water
reen door leading eakage and water 3enetration also apply. netration also apply,
way from residence. enetration also apply.
Mise.Window and Host structure Removable windows lemovable windows 4ost structure windows iost structure windows
Door Requirements windowsidoors shall allowed in sunroom. illowed in sunroom. k doors shall not be k doors may be
of be removed. Host structure 40st structure -emoved. -emoved.
windows/doors shall indows/doors shall
of be removed. iot be removed.
Wind Borne Debris Not Required Not Required Not Required Not Required Not Required
3pening Protection
Energy Sheets I Not Required Not Required I Not Required Required Required 71
I hereby acknowledge that I have read and understand all the above on this Day of ,
,)7U5 ) t-
ome Owners Signature Print Name
STATE OF FLORIDA, COUNTY OF DUVAL:
The foregoing instrument was acknowledged before me this 8 day of J'vNf ,20 Lq , by
J'vs/-,,.v D . ov U/N iwL- herein by himself/herselfand affirms all
statements and declarations herein are true and accurate.
JOSEPH R OFALT PUBLI , TE OF FLORI A
MY COMMISSION 0 0GO34454
EXPIRES Ocbbw 02,2020 <JRY
ame:
14'ersonally Known/0 Identification:
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 PHONE(904)247-5825 FAX(904)247-5845 REVISED 1-20-10
f CITY OF ATLANTIC BEACH
J s� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
(904) 247-5800
BUILDING REVIEW COMMENTS
Date: 7/1/2019
Permit#: ACC19-0055 Site Address: 129 JASMINE ST
Review Status: denied REM 170848 5100
Applicant: CALL THE SCREEN GUYS INC Property Owner:JUSTIN QUINTAL
Email: info@caIlthescreenguys.com Email:
Phone: 9047463445 Phone:
THIS REVIEW IS ONE OF MULTIPLE DEPARTMENT REVIEWS.
Revisions may not be submitted until ALL departments have completed their respective reviews.
Revisions submitted MUST respond to EACH department review. Submittals that respond to only one or a
few correction items will not be accepted.
Correction Comments:
1. An affidavit for attaching a new structure to a host structure is required for this permit application. 2
copies are required. A pdf of that affidavit will be attached to this review.
Building
Mike Jones
Building Inspector/Plans Examiner
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
(904) 247-5844
Email:mjones@coab.us
�emai C o m vr,e!n.4-s r}- /- Z o l I vY\.r7(
Resubmittal Notes: IIJJ
All revisions and changes shall clearly stand out from the rest of the drawing on the sheet as a revision by way of
completely encircling the change with "clouding".The revision shall also be identified as to the sequence of revision by
indicating a triangle with the revision sequence number within it and located adjacent to the cloud. The revision date
and revision sequence number shall also be indicated in a conspicuous location in the title block for each sheet on which
a revision for that sequence occurs. For projects still in the initial review stage and permit pending, all sheets with
revisions shall be inserted into each set of drawings.The original sheets must be clearly marked "VOID" but are to be left
within the set of drawings. Complete new sets of drawings will not be accepted. ADDITIONAL ITEMS MAY BE REQUIRED
DEPENDING UPON NEW INFORMATION AND CLARITY OF FINAL PLANS SUBMITTED FOR REVIEW.
Revision Request/Correction to Comments "ALL INFORMATION
Sti 1r�,. HIGHLIGHTED IN
r,
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 r ( a
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: 07�O�fO4'
Project Address: /e29 Y 5m, ne- S+. AfJaA�%c- 7'>estck , Fj_ ,)a.32_
Contractor/Contact Name: i�-1;r-* (Qf/-Q T
Contact Phone: ?G y- 7)&1&- -Syy_S Email: i y,,r^a j& t-c,I t 4.y`�_S r e em(�!jS C r,1
Description of Proposed Revision/Corrections:
M OV i n 1 4fit g J-+r La 41,01 'e- V)a 17)S IV 1 i�)Ll�/ -�rnyv-- �/�
I Ryas, �g�lf- affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will sed revision/corrections add additional square footage to original submittal?
o ❑ Yes (additional s.f.to be added: )
• tallPosed revision/corrections add additional increase in building lue to original submittal?
o ❑*Yes (additional increase in building valu ) (contractor must sign if increase in valuation)
*Signature of Contractor/Agent:
�� (Office Use Only) ccyy11
LJ Approved ❑ Denied ❑ Not Applicable to Department Permit Fee D e$ J0.00
Revision/Plan Review Comments
Department Review Required:
P ing&Zoning Reviewed By
Tree Administrator
iic Wor` ks�
Public Utilities 7` /0
Public Safety Date
Fire Services Updated 10/17/18
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
i 800 Seminole Road
j ' C Atlantic Beach, Florida 32233-5445 I� C l �l V V U��
Phone(904)247-5826• Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �� pas mI N Si Department review required Yes No
uildin
Applicant: C PL(--
( L—t E= 2EEI� G1 lU anning &Zonin
Tree Administrator
Project: PIC)0 [_ �h C (Ds 0 2C ADT is Wor s
u lic Utilities
Pu is ety
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: C
BUILDING �USfi �/� (el Li 55 t�(� yC(d Sf�T 1�11Uc .
PLANNING &ZONING aa Y � Dat
Reviewed by:
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
Revision Request/Correction to Comments **ALL INFORMATION
s't�,r�c HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
aft Phone: (904) 247-5826 Email: Building-DeNt@coab.us PERMIT#: - 00Ss
❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: � ���
Project Address: 4 ,}45 rin n�'
Contractor/Contact Name: C/�. � L'alk r
Contact Phone: OU t4 7 1/L— L/tel 5 Email: I (.0'1 1 A^-e- -)C,rz L YI ('u�S• L a Y,.,
Description of Proposed Revision/Corrections:
C-ac I (' affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• ,W,illproposed revision/corrections add additional square footage to original submittal?
1�1�10 ❑ Yes (additional s.f.to be added: )
• ,W_,illeposed revision/corrections add additional increase in building value to original submittal?
KJiVo El*Yes (additional increase in building value: $ _ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Ager _ � � --
(Office Use Only)
❑ Approved Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
t 1
Department Review Required: RECEIVED rdivlred 51
S� '
BuildingQ�
Planning&Zoning Reviewed By
Tree Administrator JUN 2 8 2019
Public Works -7-1r1
Public Utilities
Public Safety Building Department Date
Fire Services City of Atlantic Beach, FL Updated 10/17/18
z=vyx 'TREE &WVEGETATION AFFIDAVIT
r � City Of Atlantic Beach
z Department of Community Development
Planning&Zoning Division
800 Seminole Road Atlantic Beach, FL 32233
(P)904 247-5800 (F)904 247-5845 PERMIT#
SECTION 1-APPLICANT INFORMATION (� Owner(s) (— Legal Authorized Agent'
1_
NAME OF APPLICANT J(ALA nTu,I
j NAME OF COMPANY
al/ 17e
ADDRESS OF COMPANY !�` (,� 6Q7 G, Z Qat h A,
EMAIL
PHONE ��ll— �.�/
Zcf�- �5 ryl fy ne Call 4'.. screc.,�uys. oT.
CONTRACTOR CERTIFICATION NUMBER
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION II-SiTE INFORMATIONo
STREET ADDRESS OF PROPERTY /a ! S0.Sn� ✓1 L rJ AJa)-thz &-atk► . FG 3Q),3
If an address has not been assigned to this property,contact the AB Building Department at(94 4)24 7-5 82 6 to request an address.
LEGAL DESCRIPTION 1,16% 3% „d jy 441d- S[Ad, Sec # AJ N(„--
LOT BLOCK SUBDIVISIONr/ti/l7 �
REAL ESTATE NUMBER 7`�y0 - 5/,06 LOT OR PARCEL SIZE: "�t 4 7 SQ FT _ AC
RESIDENTIAL �!COMMERCIAL OTHER(SPECIFY)
i ofFrm that 1 have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation” of the Municipal Code of
Ordinances for the City of Atlantic Beach,,FL and/or 1 have participated in a pre-application meeting with the Administrator of those
regulations. Subsequently,I affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed
from the above-described or adjacent properties in conjunction with this project.
�IGNATURE R SIGNATURE OF OWNER
Signed and sworn before me on this Z:day of TvArt 2 0!y ,by State of rLo x IDA
T✓s.z^rd D . Q v rev rn4-L County of A u v-+4-
Identification
+LIdentification verified. P4-R S oK,tcL_Y b4►o w d
Oath sworn: "'•' JOSEPH R OFALT
(— Yes ( No MY COMMISSION#GG034454
ti ia; EXPIRES October 02,2020
In A NC
No ry Signatu
RE�II-TVA ,00.r2 Commission a 10-2- 20
TREE & VEGETATION AFFIDAVIT
City Of Atlantic Beach
Department of Community Development
Planning&Zoning Division
800 Seminole Roars Atlantic Beach,FL 32233
(P)914 247-5800 (F)904 247-5845 P•S
SECTION I-APPUCANT INFORMATION Owner(s) (" Legal Authorized Agent'
NAME Of APPLICANT cl r j ' C
NAME Of COi1APANY CA11 c- L L
Ai7ORESSOfCOMPANY
PHONE q6-,599 CELL EMAIL jYlt&nfi LOLL 6 LPihT G(,on
CONTRACTOR CERTIFICATION NUMBER
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION II-SffE INFORMATION
STREET ADDRESS OF PROPERTY 9 S s yn i W-0—
W
W an adcYess hes not&-t"a%�g to this gip",conwa ewAS&,OdfV Dewnn%ew at(904)247•sa26 to fe0jesr on«lydresr
LEGAL DESCRIPTION _y a s - a9er 091/
LOT (� BLOCK SUBDIVISION b ?j g �Q►ri
REAL ESTATE NUMBER l/(SVLJS- S►Od LOT OR PARCEL SIZECI SQ FT AC
RESIDENTIAL ODUIMERCIAL OTHER(SPECIFY)
I a&m that I have reviewed the provisions of O*ter 23, 'Protection of Trees and Native Vegetrmon'of the Mtmicipal Code of
Ordbwnces for the City of Atlantic Beach,Ft and/or l hove parricipated in a pre-application meeting with the Administroror of those
regukitions. Subsegrrentfy,I affirm that no regulated bees and no regulated vegetation will be damoged,destroled and,or removed
from the above-described of rxi*ent properties in conjunction with this protect.
)�. z2WzLA4z'
TURE Ct-OWNER SIGNATURE OF OWNER
Signed and, swom before me on this day of ;i u t j� ,by State of Fl oR r 0,4_ Za��t
County of b v✓*1,
kientifitation verified: /"ctR f o�rhu k
JOSEPH R OFALT
Oath sworn: r yes No 0.4 0 ; : MY COMMISSION N GG034454
s EXPIRES October O2,2020
±=misnsion
nauxerl,
R r-;rx viali2 • 2•`L�
ALL
Revision Request/Correction to Comments **HIGHLI HIGHLIGHTED
IN HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 (, /
"'' V Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: (��L ��- L't✓�7
❑ Revision to Issued Permit OR ❑ Corrections to Comments Date: d7�d�j//fit'
Project Address: /29 n5m,rte- 5} Af'la.+t}sc. 7tieQcA , Fl Ze-)2Z:5
Contractor/Contact Name: r-17P ' Caf{-o.l-
Contact Phone: ?Gy- yG- 3N N.5 Email: -ayy-'n 6D [-a It 4+jL :5 r-e e eyi 9 c, y! " ce%ry
Description of Proposed Revision/Corrections:
MOWY7!� 4-" g3-rraetzAre, V)cr)S at,)"/ 4e
I affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will sed revision/corrections add additional square footage to original submittal?
o ❑ Yes (additional s.f.to be added: )
• Will p osed revision/corrections add additional increase in building lue to original submittal?
o ❑*Yes (additional increase in building value-: ) (contractor must sign it increase in valuation)
*Signature of Contractor/Agent:
ly
(Office Use Only)
/Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required:
rB�u'Irdiinn&
_ rr ng&Zoning Reviewed By
Tree Administrator
_,-PT is Works __, �] ,1
�.Public Utilities ` I V
Public Safety Date
Fire Services Updated 10/17/18
City of Atlantic Beach APPLICATION NUMBER
jSn Building Department WJE' (To be assigned by the Building Department.)
800 Seminole Road # Vrr
Atlantic Beach, Florida 32233-5405 f; 1 C ��l UusC)
Phone(904)247-5826 • Fax(90 ).24
E-mail: building-dept@coab.us., �� Date routed: CO Z
City web-site: http://www.coab.usy
APPLICATION REVIEW AND TRACKING FORM
Property Address: I (�S� j N S Department review required Yes No
uildin
Applicant: arming &Zonin
Tree Administrator
Project: Plc)n L �,/�LLO's L)2 C ic Wor s
lc Utilities
Pu is y
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
PLANNING &ZONING n)
Reviewed by' 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: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
J, City of Atlantic Beach APPLICATION NUMBER
}� Building Department (To be assigned by the Building Department.)
i 800 Seminole Road
ri II C C I C] Uas C
Atlantic Beach, Florida 32233-5445
s
Phone(904)247-5826 • Fax(904)247-5845
`•^!�;t1>r E-mail: building-dept@coab.us Date routed: CO Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �� (�r.S�� 1 S7 Department review required Yes No
uildin
Applicant: v anning &Zoaipp
Tree Administrator
Project: d� (_ /�C_l,0;l-) ADU is Wor s
LI c Utilities
P uV is t
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
PLANNING &ZONING ��
Reviewed by: � 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: ❑Approved as revised. ❑Denied. [-]Not applicable
Comments:
Reviewed by: Date:
Revised 0 5/1 91201 7
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: Application#:
Project Address:
Check Box Check
APPLICATION TRACKING COMMENTS to Add Box to
Comment Print
Underground Avoid damage to underground water and sewer utilities. Verify vertical and
Water Sewer horizontal location of utilities. Hand dig if necessary. If field coordination is ❑ ❑
Utilities needed, call 247-5878.
Meter Boxes Ensure all meter boxes, sewer cleanouts and valve covers are set to grade
Sewer Cleanout and visible. ❑ ❑
A sewer cleanout must be installed at the property line. Cleanout must be
RT1 Sewer covered with an RT1 concrete box with metal lid. Cleanout to be set to grade ❑ ❑
Cleanout and visible.
A reduced pressure zone backflow preventer must be installed if irrigation will
RPZ be provided or if there is a private well on the property. Backflow preventer ❑ ❑
Backflow must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Plans note the building will be unsprinkled. If plans change, any fire line
Sensus installed must be metered with a Sensus touch-read meter in a properly sized
Touch-Read vault and an appropriate backflow preventer installed. Backflow preventer ❑ ❑
Meter must be tested by a certified tester and a copy of the results sent to Public
Utilities.
Fire Sprinkler If fire sprinkler system is provided, call 247-5878 for backflow requirements.
Backflow
Requirement At a minimum, will require a double check backflow preventer. ❑ ❑
Fire Line Fire lines must be metered with a Sensus touch-read meter. Meters larger ❑
Meter than 2" must be installed in a vault as noted in JEA specifications.
Utility Map See attached Utility Map. ❑ ❑
Disconnect
DCap Disconnect and cap water and sewer lines. ❑ ❑
Inspection Must call the Inspection Line at 247-5814 to request an inspection of the
Prior disconnected and capped water and sewer lines prior to demolition. ❑ ❑
❑ ❑
❑ ❑
❑ ❑
13 0
''rf LJ/'jir
Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
°"'� Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
Revision to Issued Permit OR ❑ Corrections to Comments Date:
Project Address: /;29 TaSm;;1e Afla4rc. 7*)eecl
Contractor/Contact Name: P_)i ' C'_g3t:y:&r
Contact Phone: QO`�- V&- 'Syy,S Email: 1yX--s ID Luft 4ml, �Se--,re en gc.4S . cell M
Description of Proposed Revision/Corrections:
M W h<1 51-r 1AC-*L-r'e. c Il S 'V 440 QA/ 114e
I affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Will sed revision/corrections add additional square footage to original submittal?
o ❑ Yes (additional s.f.to be added: )
• Will osed revision/corrections add additional increase in building lue to original submittal?
o El*Yes (additional increase in buildingvalu ) (Contractor must sign ifincrease in valuation)
*Signature of Contractor/Agent:
ly
(Office Use Only)
/Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
R
Department Review Requir ..
IECEIVE
P rrrSing&Zoning Reviewe By
—r- Aclmir.r.__ JUL 09 2019
Tree Administrator (�
_,-Ptiic Works
.Public Utilities
Public Safety Date
Fire Services Updated 10/17/18
ALUMINUM SCREEN DESIGN
NEASDAluminum, & Consiruction Engineeri„ g
Plan Types.
✓❑Screen Room/Sun Room/Fill In
[-]Pool Screen/Cage (Non-Removable Screen— Designed to withstand actual Wind Speed)
Car Port/Patio Cover
❑Other:
F
dard ❑Non Standard ❑Revision ❑Commercial ❑$75.00 Rush Fee
t Address: 129 Jasmine St
tlantic Beach, FI 32233 Date: 6/17/19
*Contractor Name: Call The Screen Guys
*Address: 41 West 6th Street
*City: Atlantic Beach
*Zip Code: 32233
*Phone/Fax: 904-746-3445
*Email: cmfcalum@gmail.com
*Choose One: ❑Mail ❑Pick Up FE-File ❑✓ Fed Ex/UPS* 3 # of Copies
❑Single PDF
❑ Each Page Separate
*(For FedEx option go to www.aluminumscreendesign.com and provide FedEx/UPS account#)
* Payment: Check ❑✓ Credit Card*
*(For Credit Card option go to www.alum inumscreendesi ng com to pay by credit card)
Engineering prepared by:
No
qvn,--RmA, S
Engineer: Michael Thompson, MSc, P.E. (P.E.#47509)
4401 Vineland Road- Suite A6 Orlando, FL 32811
Office:407-734-1470 Cell: 407-721-2292
Project Manager Paul Thomas 386-479-9504 Fax: 888-923-8181
Email: aluminum screendesign(aDvahoo.com
Website: www.aluminumscreendesign.com CA#30930
■ ALUMINUM SCREEN DESIGIN,
NEASDAlurninurn & Construction Engineering
* Ultimate Wind Speed (mph): 120 Exposed Category: C Risk Category: 1
Screen Room/Sun Room/Fill In:
✓❑ Insulated ❑Pan Roof
❑ Gutter ❑✓ Fascia ❑Block Wall ❑Conventional Wall ❑e Wall
Uprights 2 X4 Top Plate 2 X4 Chair Rail 2 X2
Uprights X Top Plate X Chair Rail X
Kick Plate
Pool Screen/Cage :
Dome ❑Gable ❑Mansard/Hip ❑Shed/Slope
❑ Gutter []Fascia ❑Block Wall ❑ Conventional Wall
Beams X Uprights X Purlin X Chair Rail X
Beams X Uprights X Purlin X Chair Rail X
Kick Plate
Car Port/Patio Cover:
❑ Insulated ❑Pan Roof
❑ Gutter ❑Fascia []Block Wall ❑Conventional Wall ❑4'' Wall
Beams X Post X
Concrete:
❑ Existing [] New: 4"Slab ❑Pier Ribbon Footer 12 X 12
❑ Pavers ❑6" Thickened Edge
Other:8"x 12 " Footing w/ 1 #5 Rebar
Note: In the event that there is a conflict with the design plans and general notes and design standard,the contractor
shall utilize the more stringent dimensions and member sizes prior to ordering materials,fabrication and/or
construction between the plans and the general notes and design standard.
Engineer: Michael Thompson, MSc, P.E. (PE#47509)
4401 Vineland Road Suite A6, Orlando, FL 32811
(CA#30930)-Ph 407-734-1470/Fax 407-734-1790
ENEMAS
• ALUMINUM SCREEN DESIGN
■A DA:uminurn d Construction Engineering
General Notes &-Design Standards °115
(Screen Patio Room Enclosure)
The following are general design standards.More stringent design standards may be noted on the plans. In the event
of a conflict in plans and/or design standard dimensions and/or member sizes,the contractor must utilize the more
stringent dimensions and/or member sizes prior to ordering materials,fabrication and/or construction.
Design Codes:
Florida Building Code 2017(61 Edition)
Aluminum Design Manual 2015
ASCE 7-10
Design Loads:
Pursuant to FBC Chapters 16&20
Ultimate Wind:-120 MPH(FBC Table 2002.4)(30 psn
Risk Category:-See attach site specific plan sheet(FBC Table 1604.5)
Exposure Category:-See attach site specific plan sheet(FBC 1609.4.3)
Additional Load requirements:
Structural members supporting screened enclosures are designed for wind in both of two orthogonal directions using
the pressures given in Table 2002.4.Each primary member is also designed for a 300 pound load applied vertically
downward along any 1 foot of any member, not occurring simultaneously with wind load. In addition to wind
pressures, purlins is also be designed for a 200 pound load applied vertically downward along any 1 foot of any
member,not occurring simultaneously with wind load.
Design Basis:
Allowable Stress Design(ASD)=Allowable Strength Design(ASD)divide by safety factor
General Requirements:
Reproductions of contract drawings by contractor in lieu of preparation of shop drawings signifies acceptance of
information shown as correct and obligates himself to any expense,real or implied,arising from their use.
A change to the structural drawings due to the acceptance of alternates and/or substitutes is the responsibility of the
contractor and must be submitted to the engineer for approval.
The general contractor and each subcontractor shall review the approve construction plans in its entirety and verify
all existing conditions prior to the start of any work. All inconsistencies shall be reported to the designer and/or
structural engineer, if needed. Should contractor construct the premises in a fashion not consistent with the plans
prepared by the designer and/or structural engineer, or in any fashion, change the plans and drawing without the
review and approval from the designer and/or structural engineer. Then designer and/or structural engineer shall
bear no responsibility or liability for the construction of premises and accuracy of the drawings.
Foundation and Earthwork:
Applicable only when unsuitable soils are encountered.
When unsuitable soils are encountered as specified bearing strata,notify owner's representative/engineer.
Soil bearing capacity—2,000 psf Minimum
Provide neat excavation for footing and place concrete immediately after excavation and inspection.
Pump water from footing excavation if greater than one inch.
Compact all fill to 95%ASTM D698 density.
Unit soil weight= 105 pcf
Internal angle of friction=30 degrees
Coeff.Of friction between footing and soil=0.5
Michael Thompson, P.E. #47509/CA#30930
4401 Vineland Road., Suite A6, Orlando, FL 32811. (P)407-734-1470(F)407-734-1790
www.aluminumscreendesign.com
�■ ALUMINUM SCREEN' r-,'
■A, DAWmlnum L Cons', or, i
Structural Aluminum:
Conform to latest edition of Florida Building Code and Aluminum Design Manual standard practice for aluminum
design.
All aluminum shall be 6005-T5(E= 10,000 ksi;Fy=35 ksi)with a minimum wall thickness of 0.046"
Splicing prohibited without prior approval as to location and type.
Burning of holes in aluminum members is prohibited.Any member with burned holes must be replaced.
Aluminum Protection:
Shall be pursuant FBC 2003.8.4.Aluminum surfaces in contact with dissimilar materials, lime-mortar,concrete,or
other masonry materials, shall be protected with powder coated or ESI' paint or alkali-resistant coatings, such as
heavy-bodied bituminous paint or water-white methacrylate lacquer.
Screws:
Aluminum self-tapping screws shall conform to ASME B 18.6.4 specification.
Self—tapping screws shall meet the requirements of ADM J.5
Maximum fastener spacing shall not exceed(3+20t)where"t"is the member thickness in inches.
For roofing and siding connection, use minimum#12 screws for end and side laps spaced at 12" max for side lap
and end lap fasteners shall be no more than 2"from the end of overlapping sheets.
For bottom plate and column base,secure with '/."tapcons a minimum embedment of 1 1/8"and 2 '/4"respectively
into concrete footer.
Bolts:
Bolts and other fasteners shall be aluminum, stainless steel, hot-dip or electro-galvanized steel. Double cadmium
plated steel bolts may also be used.Bolt holes diameter shall not exceed 1/16"larger than the bolt diameter and shall
be spaced at a minimum of 2.5 times the bolt diameter with minimum edge distance of 1.5 times the bolt diameter.
Bolts shall meet the requirements of ADM J.3
Chair Rails,Purlins&Wind Brace:
Chair rails, purlins and wind brace shall conform-with the below maximum span length. If the event contractor's
specific site plan conflict with the below recommended length, the contractor shall utilize the more stringent
dimensions and member sizes prior to ordering materials,fabrication and/or construction.
Wind Speed=120 MPH
2 x 2 Chair Rail=7'-0" 2 x 2 Purlins=7'-0" 2 x 2 Wind Brace=4'-3" 2 x 3(0.125)Wind Brace=9'-0"
2 x 3 Chair Rail=8'-6" 2 x 3 Purlins=8'-6" 2 x 3 Wind Brace=6'-9" 2 x 4 Wind Brace=9'-0"
Concrete
Conform to ACI 318,latest edition and ACI 301
Compressive Ultimate Strength(Minimum at 28 days)shall be 3000 psi
Exposed chamfer edges shall be'/."
Reinforcine Steel:
Conform to ACI 318 and 315,Latest edition
All reinforcement steel shall be ASTM A615 Grade 60.
Smooth dowels&ties shall be ASTM A185
Welded Wire Fabric shall be ASTM A185 or A82(Flat sheet).
Deformed bar anchors shall be ASTM A496,Grade 70
Cover: Footing 3"
Washer:
Washers shall be used under bolt heads and under nuts.
Michael Thompson, P.E.#47509/CA#30930
4401 Vineland Road., Suite A6, Orlando, FL 32811. (P)407-734-1470(F)407-734-1790
www.aluminumscreendesign.com
■� ALUMINUM SCREEN DESIGN
®■A DAturninurn b Consiruction Engineering
Hole Alignment:
Poor matching holes must be rejected. Contractor shall-prevent holes from drifting and distort the metal. All chips Cold
and foreign matter between contacting surfaces shall be removed before assembly.
Beams&Uprights•
In the event of a conflict with the values in this table and the site specific plan,the contractor must utilize the more
stringent dimensions and/or member sizes between the site specific plan and the below applicable span limitations
prior to ordering materials,fabrication and/or construction.
120 MPH
PRIMARY BEAMS & COLUMNS-SCREEN & PATIO ROOM ENCLOSURES ROOF PANELS
Max Beam
Span & Max
Column Max Column- Pan Roof Insulated Roof
Beam-Size Spacing Column-Size Height Span Span
3" Spans
2 X 3 U-0" 2 X 3 9'-0" 14'-7" 3" Spans 16'-2"
2 X 4 9'-0" 2 X 4 9'-0" 6" Spans 21'-7"
2 X 5 10'-0" 1 2 X 5 10'-0"
Knee Bracing:
Contractor shall provide knee bracing on 45 degree angle pursuant the attach detail sheet that specified size and
length requirements. Knee bracing on upright above super gutter intersection shall be connected to upright no more
than 6"above the super gutter.Knee brace size shall be a minimum of 2 x 2 for beam span of 15'max;2 x 3 for 30'
max;2 x 4 for beam span greater than 30'.
Purlin•
Contractor is required to install purlins spaced to align with column spacing;however,spacing between purlins shall
not exceed 7'-2".
Intermediate/Header Beam:
Contractor is required to install a minimum 2 x 7 intermediate header beam supported with 3 x 3 column spaced at
10 feet(max)when insulated roof span exceeds 15 feet.
Patio Cover:
Contractor is required to install insulated roof covering pursuant to the Florida product approval specification.
Overhang shall be a maximum of 1'-0" along the side, 3'-0" along the front and 1/2" along the front interface
between the super gutter and the attached pool cage knee riser wall.Maximum deflection shall be limited to L/80.
Edge Distance:
Contractor is required to install uprights to provide a 2"minimum clearance from edge of slab and/or footer.
Vinyl,tempered glass,and acrylic panels:
Vinyl,tempered glass,and acrylic panels shall be removable.Removable panels shall be identified as removable by
a decal. The identification decal shall essentially state "Removable panel SHALL be removed when wind speeds
exceed 75 mph(34 m/s)."visible when the panel is installed.
Michael Thompson, P.E.#47509/CA#30930
4401 Vineland Road., Suite A6, Orlando, FL 32811. (P)407-734-1470(F)407-734-1790
www.aluminumscreendesign.com
3 t= Insulated Composite Roof
x4 t p Justin Quintal
2x4 129 Jasmine St
9' p Atlantic Beach, FL 32233
2x2
Category: C
3' Wind-zone: 120 MPH
Call The Screen Guys, inc
16' 3 `° Insulated Composite Roof
3 '` Insulated Composite Roof
�--- 2x4 typ7 16' .lx:-1 tti'p
2 1 typ
33 �p t { 1F�t (� 7
k ,`�t4�
9" 9 2 '27 p 3! iii 2x typ
�f
6t-
61 #}' ' -- �—
(j
nsulated Composite Roof {j'
12° 12'-
n
2'-n the event of s f`,jember sizes shown or
the plans amu the general notes,the crntractor must
utilize the more stringent mamber;.:ze requirements.
House
k:ngineer Michaei Thompsors o.= 4'75091✓A3tt93n
�-a
ALUMINUM SCREEN DESIGN3"EXTRUDED FASCIA IS ATTACHED TO 3"C CHANNEL IS ATTACHED THRU FASCIA INTO RAFTER TAILS WITH#10 2"6"FROM
INSULATED ROOF WITH#10 1"6" ENDS 24"O.C.&TO 3"INSULATED ROOF WITH(6)010 1"PER SIDE
FROM ENDS 24"O.C.
EXTRUDED GUTTER IS ATTACHED T
3"INSULATED ROOF WITH#10 1"6"
FROM ENDS 24"O.C.
ROOF IS ATTACHED TO FRONT WALL
WITH 4 #10 4"PER PANEL UPRIGHTS ARE ATTACHED WITH: "INSULATED ROOF IS ATTACHED TO
BLIND SCREWED WITH(3)#10 3", UMINUM STRUCTURE WITH#10 4"
2X4 FRONT WALL TOP PLATE CAPRI CLIPPED WITH(4)#10 1"PER CLIP FROM ENDS 24 O.C.
BLIND CLIPPED WITH 4 #10 1"PER CL
2X2 POST.046 OR GREATER 2X4 SIDE WALL TOP PLATE
HINGE LOCATIONS 1X2 IS ATTACHED TO FRONT WALL
WITH#10 2"6"FROM ENDS 24"O.C.
1X2 IS ATTACHED TO BLOCK STRUCTURE
WITH 2-1/4"X 1/4"TAPCONS 6"FROM
SCREEN DOOR FULL Z OR ENDS 24"O.C.
DOOR JAM STANDARD DETAIL
0"to 36-
2X4 SIDE WALL UPRIGHTS
2 HINGE DOO
CHAIR RAIL IS ATTACHED TO UPRIGHTS 2"X 2"X 1/8"ANGLE IS ATTACHED TO
EACH DOOR IS SCREWED INTO UPRIGHTS WITH#10 1"6"FROM ENDS 24"O.0 WITH EITHER: UPRIGHT W/(2)#10 1"&INTO CONCRETE
BLIND SCREWED WITH(3)#10 3"OR, W/2-1/4"X 1/4"TAPCON
CAPRI CLIPPED WITH(4)#10 1"PER CLIP OR 2X2 CHAIR RAIL,
BLIND CLIPPED WITH 4 #10 1"PER CLIP
2X4_FRONT WALL UPRIGHT
UPRIGHTS ARE ATTACHED WITH: 1X2 IS ATTACHED TO CONCRETE WITH:
BLIND SCREWED WITH(3)#10 2"OR,
(OPTIONAL)KICK PLATE IS ATTACHED TO 2-1/4"X 1/4"TAPCONS OR 5"X 1/4"IF THRU PAVERS
STRUCTURE WITH#10 1"6"FROM ENDS 18"O.C. CAPRI CLIPPED WITH(4)#-10 1"PER CLIP& OR#10 2"IF TO WOOD DECK 6"FROM ENDS 24"O.C.
BLIND CLIPPED WITH 4 #10 1"PER CLIP
d a.44 .
A v e .a
ALUMINUMSCREENDESIGN.COM DESIGN STATEMENT MICHAEL THOMPSON
METAL IS.046 THICKNESS OR GREATER,ALLOY IS 6005-T5 4401 VINELAND ROAD
ALUMINUMSCREENDESIGN ALL TAPCONS SHALL PROVIDE MINIMUM OF 1 1/8"CONCRETE EMBEDMENT DEPTH SUITE A6
@Q YAHOO•COM THIS STRUCTURE HAS BEEN DESIGNED IN ACCORDANCE TO MEET THE REQUIREMENTS OF THE 2017(6TH EDITION)
PHONE: 407-734-1470 FLORIDA BUILDING CODE FOR OPEN AND SEMI-OPEN STRUCTURES AND SHALL WITH STAND ULTIMATE WIND SPEEDS OF 120 MPH ORLANDO, FL 32811
(FOR 3 SECOND GUSTS)NOMINAL SPEED 93.6 MPH UP TO A 15FT ROOF HEIGHT,FACTOR OF 1.0,AND EXPOSURE C,RISK CATEGORY 1. 47509
FAX: 407-734-1790 CONTRACTOR SHALL FIELD VERIFY ALL PLANS DIMENSIONS PRIOR TO MATERIAL PURCHASE,FABRICATION AND CONSTRUCTION
CONTRACTOR SHALL NOTIFY THE ENGINEER MOvIEDIATELY SHOULD SITE CONDITIONS DIFFER FROM CONSTRUCTION PLANS CA#30930
ALUMINUM SCREEN DESIGN
• L
IN
FOOTER 8"X 12"
W/(1)#5 REBAR
THRU OUT
•e-
•
d
a
CONTRACTOR SHALL BE RESPONSIBLE FOR PROVIDING:
VAPOR&TERMITE PROTECTION(IF REQUIRED)
CONCRETE SHALL BE A MINIMUM OF 3000 PSI
FOR COVERED STRUCTURES,CONTRACTOR SHALL
SECURE COLUMN BASE DIRECTLY TO THICKENED EDGE
ALUMINUMSCREENDESIGN.COM MICHAEL THOMPSON
ALUMINUMSCREENDESIGN 4401 VINELAND ROAD
@YAHOO.COM ORLANDO, FLTE 32811
PHONE: 407-734-1470 . # 47509
FAX: 407-734-1790
CA#30930
�a
s
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(904.)-247--5147 - FAX (904)-24.7-6087
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LEND SURVEYS CONSTRUCTION SURVEYS C3 SU8DhfiSJ0NS
.............
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SSS • • • • •
Cash Register
Receipt
• • e
s1
City
�r
of Atlantic Beach
R9958
DESCRIPTION
• QTY PAID
PermitTRAK $55.00
ACC19-0055 Address: 129 JASMINE ST APN: 170848 5100 $55.00
BUILDING FINAL"08/20/2019 MJ $55.00
BUILDING FINAL"08/20/2019 MJ 455-0000-322-1002 0 $55.00
• R9958
11
Date Paid: Tuesday, August 27, 2019
Paid By: CALL THE SCREEN GUYS INC
Cashier: CT
Pay Method: CREDIT CARD 155768
Printed:Tuesday,August 27,2019 9:57 AM 1 of 1
J Cash
City of
Beach R9958
DESCRIPTION A • • '
PermitTRAK $55.00
ACC19-0055 Address: 129 JASMINE ST APN: 170848 5100 $55.00
BUILDING FINAL**08/20/2019 MJ $55.00
BUILDING FINAL**08/20/2019 MJ 455-0000-322-1002 0 $55.00
ITOTAL FEES PAID LY RECEIPT: R9958 $5S.00
Date Paid: Tuesday, August 27, 2019
Paid By: CALL THE SCREEN GUYS INC
Cashier: CT
Pay Method: CREDIT CARD 155768
010
Printed:Tuesday,August 27, 2019 9:57 AM 1 of 1 j