1500 Main St COMM19-0021 One Awning %'SIr�'lr' COMMERCIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH
COMM19-0021
v~ 800 SEMINOLE ROAD ISSUED: 11/20/2019
y ';"e ATLANTIC BEACH. FL 32233 EXPIRES: 5/18/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
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:
1500 MAIN ST COMMERCIAL ALTERATION ONE AWNING - BEACHES $10231.00
COMMERCIAL MEMORIAL
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172386 1000 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
BOREE CANVAS 4635 HIGHWAY AVE JACKSONVILLE FL 32254
UNLIMITED, INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
BEACHES MEMORIAL
SERVICES LLC 1500 MAIN 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 CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $105.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $52.50
BUILDING PLAN REVIEW RESUBMITTAL SECOND 455-0000-322-1006 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.11
Issued Date: 11/20/2019 1 of 2
4`erswo,,r COMMERCIAL PERMIT PERMIT NUMBER
`� �' `��''`�`
A � CITY OF ATLANTIC BEACH COMM19-0021
`.. ' " ISSUED: 11/20/2019
S 800 SEMINOLE ROAD 18/2020
�4i EXPIRES: 5 ATLANTIC BEACH. FL 32233 /
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.08
TOTAL: $212.69
Issued Date: 11/20/2019 2 of 2
� ; City of Atlantic Beach APPLICATION NUMBER
c) \ LA r Building Department (To be assigned by the Building Department.)
'� 800 Seminole Road COm
(9 0oZAtlantic Beach, Florida 32233-5445lJ
Phone(904)247-5826 Fax(904)247-5845 9/ z.:-// lc)
' J;t�gr E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: t00 ' v \ R !U j Department review required Yes No
cl3Tiilding )
( u\ vAf � in ZoninApplicant: GO(�EC S VI�U n1i g 9.
Tree Administrator
Project: O(V C-7- N tC� Public Works
Public Utilities
Public Safety
CFire Services—7.)
kcirrarr &
)ept Signature
\mite canvas- Con) Review or Receipt
•ed Date
of Permit Verified By
.TION STATUS
Reviewing Department First Review: PrApproved. ['Denied. ['Not applicable
(Circle one.) Comments: ft,'oc_-.
q pen / :r 4 1/ ,i,enar-J „,e,„,4-
BUILDING
F ; r-e S.erV i (-es P pprOVa
PLANNING &ZONING Reviewed by: nel Date: /0 "?—/ 9
TREE ADMIN. Second Review: ['Approved as revised. I IDe d. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
r1" • OFFICE COPY
.as= - %3� Building Permit Application Updotedi0/9/18
�� City of Atlantic Beach Building Department ° **A �jNFORi+n iTION ::
800 Seminole Road, Atlantic Beach, FL 32233 ;.:HIGHLIGHTEDINGRAY.;-;
''i.-.:'::.;::,'.'Y .3i1�r" r;':�:�I�REtalUJli}<ED. `: .
Phone: (904) 247-5826 Email: Building-Dept@coab.us p
Job Address: 1.5 Od :. C (C) r Permit Number e-OVVVIY1 1. l -00z.
Legal Description- 6,:12-F17',9:-5,2 �'t '! Q�x 5-:Pel"YYX"t�'�l r, 31,01e'1 ROI 12 2(� ...
Valuation of Work(Replacement Cost)$ 10ios 3I -1 •Heated/Cooled SF _Non-Heated/Cooled
• Class of Work: [ 'ew []Addition ❑Alteration ❑Repair ['Move [Memo DPool ❑Window/Door
• Use of existing/proposed structure(s): .ammercial ❑Residential
• Ilan existing structure,is a fire sprinkler system installed?: ❑Yes ONo
• Will tree(s)be removed in association with proposed prolect?I]Yesimust submit separate_Tree Removal Permit) ONo
Describe in detail the.type of work to be'performed: { ,i i ft 11
Florida Product Approval# for multiple products use product approval form
Property Owner information
Name 1 `7 Qi �'i''tr`�1 K=:`-� Address 15"Cb ( 1 t + —
City'•i C x'4-t i -' State -V-L Zip; 3i� .33 Phone .' `-�.71.000e.::.)..
E-Mail:. (;-:-.)i---)6 ,.. ':-'.-..6,:&..0.::;:\: x'17
Owner or Agent(If Agent,Por of Attorney or Agency Letter Required)
Contractor Information
Name of Company U fal iY11` i Qualt mg Agent roAd I .c,O.
Addres • r5 j Ct p``
s�/v�7 ( �q��. �.t . tY'�Z1�..��Y11/t�� tate � 'iZt `�.D�� .
Office Phone >3 �. '5—i•-' = Job Site Contact Number
State Certification/Registration#'.CC=� S: q ,E-Mail 41 I P .;?` ' °
Architect Name&Phone#
Engineer's Name& Phone ft -`'kOr-l c& try i rX'_2t�1 r 1-1---C-- 94 l- 39 I 5q 90
t-
Workers Compensation Insurer -:C-C-� JJ OR Exempt o Expiration Date 41tr
Application is hereby made to obtain a permit to do the work and installations as indicated.I certify that no work or installatt has `
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulatfhgi ,,,1 2 ,
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS,0 z O 4
WELLS, POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirement f fratO
permit,there Maybe additional restrictions applicable to this property that may be.found in the public records of this couhbar y E OQ
there may be addltional permits required from other governmental entities such as,water management districts,state agent*$S,6 Q V C
federal agencies., "` p 0
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance withal Q O cc a
applicable laws regulating construction and zoning. U _J to H
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA'' LL F s
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INThJ a s m
TO OBT, + + ! LING, CONSULT WITH YOUR LEND, • • • + N ATTORNE B ORE W w 5 iLi
a
R C•1;amik ► - • •1 OTlCE OF COMMENCEMENT. w 0 CO Lu
I= w
'1 "Mgr& 5. . 'rt
(S: ature o . ner or Agent) ► (Sig , .•fontractor)
S." ned and swo or affir 1-: before me this "r ay of Signed and sworn to(or affirmed),before me this/ day of
1 iG �- c�q ,b do 1'/ � by �„6,:1_4e
" 1 ?� /fi
is]. : a . .�i' i UM
(Signature of Not.• ) (Signature of Notary)
MELISSA A FAJRCLOTM c KAREN MARIE BARR
• °., *,a�1� * MY COMMISSION A FF 235078
[,�sonally Known OR •_ MY COMMISSION 0 FF931040 [ 1 Personally Known OR s 'nu” EXPIRES:Jul 9,2019
[ )Produced Identification ;•:••,r EXPIRES October 26,2019 [ ] Produced Identification f�' aF,0a°) &codedihruBudget Notary Services
Type of Identification: jI,•y__ _ ype of Identification: _ _
ty Revision Request/Correction to Comments **ALL INFORMATION
,_:0,1,,/,/,
` :. 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#: L /41A(V\ C i- -' Z--
l Revision to Issued Permit OR ❑ Corrections to Comments Date:/V`'l
Project Address: /�e--p 444/k— 1 ! /4 7( 2, 42.-41a %7 .. 3,,A.,_?
Contractor/Contact Name: B 0 k f_= r� e a44r t,N= 11
Contact Phone: /•O1/ '?
? 27/ Email: , /f
y /,`� � e %.`Lelika. 8a,242e12, c64‘444,1r
Description of Proposed Revision/Corrections:
/ t � /
I LThQ'•v r., r`•,__ ge P--,e_.--...—• affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• Wil oposed revision/corrections add additional square footage to original submittal?
dai No ❑ Yes (additional s.f.to be added: )
• Wi oposed revision/corrections add additional increase in building value to original submittal?
No ❑*Yes (additional increase in building value:$ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: GV' 2'`
(Office Use Only)
LTJ Approved Denied n Not Applicable to Department Permit Fee D 1e$ 50- 6 Z;)
Revision/Plan Review Comments Pe/ll%Ili ik.._ a fro(/a/ (3 -P Pi Ire- PeviY(.✓.
Department Review Required:
d ng'
l
Pannin &Zoning-- Reviewed
� � � By
Tree Administrator
Public Works
Public Utilities' /1- 7 . / 9
Public Safety Date
L re$erviceS -, Updated 10/17/18
,.l1,.Ly;:k City of Atlantic Beach APPLICATION NUMBER
�s ,� :` Building Department (To be assigned by the Building Department.)
800 Seminole Road q /h
�� Atlantic Beach, Florida 32233-5445 e(904Qm ( 1 -00Z
°� Phone(904)247-5826 • Fax(904)247-5845 Date routed: ! z
x o;s vi• E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
rj 00 RA 4 prt K -I Department review required Yes No
uild — �
I l r�.i`Iing
Applicant: 0 REG C_A mv A S bi,DL,/ iliaing &Zoning7-_-,
r���'``�� Tree AdminisFrator
LJ
Project: i' - k.A7r' t i\OC_ 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: f�Approved. ['Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING �
PLANNING &ZONING Reviewed by: �? -.4,1,1 Date: 1 j -3�/- 1 1C�
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
�t Alia r�..
,;., HIGHLIGHTED IN
J `\\ City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
F "Sfr Phone: (904) 247-5826 Email: Building-Dept@coab.us
PERMIT#: .._,c A.M \CA-00.1►
Er--
J Revision to Issued Permit OR ❑ Corrections to Comments Date:///`7
Project Address: /3"'ei-p 41A/°1,- 1 ! /4 7' 2, 1i- /7 . a,.3
Contractor/Contact Name: E o k /7-- , e d(ii 4,Nz 1
Contact Phone: 5017-- 34-') -5?� 77 Email: c-/t,q 'Q--- AOOka.a, Ce/f,..ea,242,12, c oteett .t, 4x..`
Description of Proposed Revision/Corrections:
I •O 6+4v A. lap p.._. ..___� affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)///
• Rikaro-FOsed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added: )
• 1A/ill-proposed oposed revision/corrections add additional increase in building value to original submittal?
EJ No ❑*Yes (additional increase in building value: $ ) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: GU' 21
(Office Use Only)
Approved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$
Revision/Plan Review Comments
Department Review Required: c�L/
_ Buildi—ng' _
Planning&Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities'
Public Safety Date
Te Servl— C2�� Updated 10/17/18
rt-411
s-`�,,1 City of Atlantic Beach APPLICATION NUMBER
:i t- l�\ Building Department (To be assigned by the Building Department.)
' ' 800 Seminole Road 4 ( _Of"v\Y'n..Atlantic Beach, Florida 32233 54 51
J�l Phone(904)247-5826 • Fax(904)247-5845 Q Z-7 /i 9
r . q%' E-mail: building-dept@coab.us Date routed: l/
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ' V4
j 00 pt ti j Department review required Yes No
f (ilding
Applicant: G�O REG CA NV A s VA7l.�n'iwing &Zon nI g,
r^�
Tree Administrator
Project: CND - W N i l\DC� Public Works
Public Utilities
Public Safety
c( ' ire 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. enied. ❑Not applicable
(Circle one.) Comments:
BUILDING
,
PLANNING &ZONING Reviewed by: i2___ Date: /4)-1 't 7
TREE ADMIN. Second Review: ❑Approved as revised. ❑De - d. ❑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:
SC1Ni\JEL)
Revised 05/19/2017
Date:INZIA
Printing :: CR529587 Page 1 of 1
Duval County, City Of Jacksonville
Jim Overton , Tax Collector
231 E.Forsyth Street
Jacksonville,FL 32202
General Collection Receipt
Account No:CR529587 Date: 10/1/2019
User:Prevention,Fire - Email:FirePrev@coj.net
FIRE MARSHALL FEE FOR SERVICES PROVIDED
Name:Beach Memorial Garden Chapel
Address: 1500 Main St Atl.Bch
Description:Fee For Plan review COMM 19-0021 Atlantic Beach
TranCode I IndexCode I SubObject I GLAcct I SubsidNo I UserCode I Project I ProjectDt1 I Grant I GrantDtl I DocNo I Amount
701 ( FRFP159FI 134222 I I I I I I I 1150.00
Total Due:$150.00
Jim Overton , Tax Collector
General Collections Receipt
City of Jacksonville, Duval County
Account No:CR529587 Date: 10/1/2019
FIRE MARSHALL FEE FOR SERVICES PROVIDED
Name:Beach Memorial Garden Chapel
Address:1500 Main St Atl.Bch
Description:Fee For Plan review COMM 19-0021 Atlantic Beach
Total Due:$150.00
httn://financeweb.coi.net/TCCR/Drintinu.asox?cr=CR529587 10/1/2019
COMM 19-0021
Returned for Corrections:
The plans submitted for review have been returned for corrections. Please correct and or provide the
additional requested information to obtain plans approval. When resubmitting corrected sheets, provide a
type written itemized narrative letter responding to our comments and directing the plans reviewer to the
sheets the changes have taken place. FAILURE TO SUPPLY RESPONSE LETTER "WILL" RESULT IN
A RETURNED FOR CORRECTIONS PERMIT STATUS. Revised sheets should be clouded, clearly
showing areas were changes or corrections have occurred and re-inserted with the original set of
drawings with old sheets removed. Unbound plans will not be reviewed. If this is an electronic submission
please make sure that written narrative is submitted under correspondence along with a"complete set"
(not just the revised sheets) of electronic documents. When submitting electronic plans, each discipline
shall upload a single PDF file containing multiple sheets rather than separate PDFs for each
sheet. Please re-upload in this fashion.
1.Fire Code specific code summary
The building code and fire code differ on occupancy types, uses, and occupant loads and can make the
proper application of the code difficult. For example the building code classifies restaurants under 50 as
business where the fire code classifies them as mercantile, thus the need separate code summaries.
Please provide in addition to normal building code summary a fire code specific summary based off the
Florida Fire Prevention Code (current edition)to include all the following information listed below. Failure
to provide accurate fire code summary may delay plans review approvals as we return plans for
corrections and clarifications.
Provide required Fire Code specific code summary: Please Reference 6th Edition Florida Fire
Prevention Code Based on NFPA, 1 Fire Code 2015 Edition & NFPA 101 Life Safety Code 2015 Edition.
•Occupancy type sub-classification (per NFPA 101 6.1)
• Building construction type (per NFPA 101 8.2.1)
•Gross square footage
• Number of stories
• Building height
• Interior wall and ceiling finish requirements (per NFPA 101 10.2
•Allowable dead end limits
•Allowable Common path of travel limits
•Allowable travel distance limits
•Any fire protection systems (sprinkler, fire alarm, etc.)
•Statement from architect or engineers that their design to the best of their knowledge complies with the
6th Edition Florida Fire Prevention Code (FFPC).
•Also all existing building must provide classification of rehabilitation work categories per NFPA 101 43.1
Provide classification of rehabilitation work categories per NFPA 101 43.1
This information is important because the level of rehabilitation work determines how the code will be
applied. The 6 rehabilitation work categories are as follows:
(1) Repair
(2) Renovation
(3) Modification
(4) Reconstruction
(5) Change of use or occupancy classification
(6) Addition
2. Life Safety Floor Plan:
The City of Jacksonville's Fire Marshal's Office requires the submittal of a Life Safety Floor Plan for
building permits for all new construction and existing building alterations in order to ascertain if occupancy
is currently code compliant and to assist fire inspector in performing Life Safety Inspections. Please
provide a Life Safety Plan to include all the following information on one page. If Life Safety Plan was
submitted and you are receiving this comment, it means that all of the required info listed below was not
included in your original submittal. It is understood that all listed items may not apply in your situation.
Required Occupant Load Calculation:
• Provide design occupant load using table 7.3.1.2 of NFPA 101 2015 edition. Area calculations should be
shown with graphic seating configurations or fixtures in order to substantiate occupant load chosen.
Exit Locations:
•Designate main entrance and all secondary exits. All required exits shall terminate at a"public way".
Access to the public way shall be accessible and must be via a stable, firm, and slip resistant conveyance
such as a concrete sidewalk with a min. 5'x5' landing and 44" walkway. Multi story buildings should
designate area of rescue with required communication means. Separation of exits using the one half
(non-sprinkled) or one third (sprinkled)the diagonal distance rule should be shown on plans.
Required Egress Capacity:
•Egress inches for means of egress components (doors, stairs, etc.)
Required measurements: (Worst case only need be shown.)
• Dead end corridors measurements. •
•Common path of travel measurements.
•Total travel distance to exits.
Required separation:
•Show all fire barriers, smoke barriers, and smoke partitions. All rated walls per new directive from
building official wall detail needs to include UL listing and needs to confirm by architect or engineer as
being accurate.
Required Lock Latch details:
•Lock/Latch details: Panic Hardware, Thumb turn lock, Key Lock with indicator and required signage.
Required Electrical Stop/Disconnect Details:
•Any required Emergency stops or Shunt trips.
• Main Electrical disconnects access/location.
Required markings of means of egress:
• Exit signs to include tactile exits signage.
Required fire extinguisher Locations:
•Locations per NFPA 10.
Required Emergency lighting:
•Show emergency illumination.
Required Lightweight Truss Signage:
• Location of lightweight truss signage per FAC 69A-60.0081 (if applicable). Please see below for
clarification to requirement.
http://www.coLnet/Departments/Planning-and-Development/Docs/Building-Inspection-Division/bulletin-f-
01-09-light-weight-truss-rule.aspx
Also if occupancy is to have any permanent open flame devices such as fire pits, gas grills, patio
heaters, gas lamps etc.they should be shown on life safety plan for approval.
See NFPA 1 10.11 (separate fire permits will be required for installation of these features).
3. Floor Layout Plan:
Document on plans the floor arrangement of furnishings or equipment to be used to substantiate the
arrangement of means of egress and occupant load posting for each assembly area. Floor layout plan
should show arrangement of means of egress per(NFPA 101 12.2.5). This layout shall constitute the only
acceptable arrangement unless plans are revised, or additional plans are submitted. Temporary
deviations from approved layout plans are allowed as long as occupant load is not increased and
arrangement of means of means of egress is maintained per NFPA 101 12.2.5.
•
AA! .
MIGUEL Di PIERRI
Fire Safety Inspector/ CDN Reviewer
Hispanic Advocate MHAAB
JFRD PREVENTION OFFICE
515 N. Julia St.,Jacksonville, Florida 32202
Office: 904-255-8561 cell: 904-763-1290—Email: DIPIERRI @ COJ.NET
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#: •'. 12 -!,'(�Z
LJ Revision to Issued Permit OR Corrections to Comments Date:/Vy
Project Address: /3—ere, 444,'w --t ! 474 2, 'Bse- LY j 1.,3 2_
Contractor/Contact Name: 080R 1; , G`. 64,te4s y�
Contact Phone: 501-1—3 y^5 77, Email: Q(4/44re Zelka.,,L c.J4.:eo,20er.. CGifecN4..i 4�—.
Description of Proposed Revision/Corrections:
I L c'.v ; .,_ g p ��___., affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
• r[.11.43151-30osed revision/corrections add additional square footage to original submittal?
No ❑ Yes (additional s.f.to be added: )
• N,1.—proposed revision/corrections add additional increase in building value to original submittal?
L'JNo ❑*yes (additional increase in building value: $ )(Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: GU' 1"`
(Office Use Only)
FN'%pproved ❑ Denied I ) Not Applicable to Department Permit Fee Due$ (•-/'
/
Revision/Plan Review Comments 2 lib 12-c.ok.eu,.
Department Review Required:
'Building — ' e t i
Planning&Zoning Revi, ed By
Tree Administrator
Public Works
Public Utilities / I — I Z f y
Public Safety Date
're Services Updated 10/17/18
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Project: Awning— Beaches Memorial Garden Chapel
Submission No: 1
Awning will be used for the sole purpose of rain protection; no storage, no electrical.
- Occupancy Type; Chapter 3, Assembly A-3. Awning will be used for rain protection while
awaiting transportation
- Building Construction type—Wood
- Gross Sq. Footage—2418'
- Number of Stories—1
- Building height—12'-4"
- No sprinklers
- Occupancy Load - 113
- Means of Egress—Chapter 10. (4) 36" doors provided = 144"
- Max. allowable travel distance to n exit is 200'. The actual distance is 25'
Please see rendering of awning.
5, Certificate of Flame Resistance
:
�=-. .
�� ,!�..,,•Fo CAL
FIRE
r 4)4 � •s Issued By:
94, •in 0'0N-
RE
QPRE T P�` HERCULITE PRODUCTS INC ��
Registered Fabric ABERDEEN ROAD COMPANY
or Concern Number PO BOX 435
Date treated or manufactured:
F-06901 EMIGSVILLE, PA 19175-8310 05/14/2019
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#:
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: REINFORCED VINYL Registration#: F-06901
The Flame-Retardant Process Used Will Not Be Removed By Washing
DONALD E. KAUFFMANN STEPHANIE MUMMERT, Q C MANAGER
Name of Applicator or Production Superintendent Title
RCNs # 00000000001079222904 CUSTOMER ORDER NO. 5063
CUSTOMER INVOICE NO. 2291158
YARDS OR QUANTITY 50.00
DESCRIPTION Weblon Coastline Plus#CP-2704
62" Island Tu uoise (Standard
Pack 50 Yards)
ITEM NUMBER 857204
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.
BOREE CANVAS UNLIMITED
MAILING ADDRESS 4635 HIGHWAY AVE
JACKSONVILLE, FL 32254-4123