55 BEACH AVE - RES20-0166 APPLICATION Building Permit Application10/9/18
Upda[ed
City of Atlantic Beach Building Department **ALL INFORMATION
\�, 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
IS REQUIRED.
"Phhone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: 5VSip �JC E 3L233 Permit Number: ` Z�- (�
1-4- /6.2S- 9E 4 • r3.. w /acs•Cr r� CEx of/S-4t
Legal Description ' .• • A.)/m..1 ) ic 22) RE# r 70/sr-woo
Valuation of Work(Replacement Cost)$ /G 060.6a Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ERAlteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial Wilkesidential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No /KA
• Will tree(s)be removed in association withproposed project? EYes(must submit separate Tree Removal Permit) ! o
Describe in detail the type of work to be performed: eove 2S 'Rills _ . Aiemc rd2 Sr+(lc_,1,c....vr �c('aen
kit els /Ks frfl 2 , o ti*.-e toll ctck.a„, Irricu.l'- S #cfs
Florida Product Approval# fC 12244 1t4.I 8343 f27. for multiple products use product approval form
So►,
Property Owner
wner Information //
Name fiQC c 60.�. of Address Z�l� dc1.(pnrir
City Artte.. acp[ro. State ' Zip32&? . Phone 'log- SVC Ocfgf
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company CUSTOM STORM SHUTTERS DIRECT,INC. Qualifying Agent MICHAEL E.O'CONNELL
Address 826 HULL ROAD City ORMOND BEACH State FL Zip 32174
Office Phone 904-669-5923 Job Site Contact Number
State Certification/Registration# CGC1516284 E-Mail rose@cssdus.com
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer BRIDGEFIELD EMPLOYERS INSURANCE OR Exempt fl Expiration Date 41--/6/-Zo2.1
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 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 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.
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
CULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
ars.- �`('� OBTAIN FINANCING, CONSULT WITH YOUR LEND AN :'TTORN BEFO E
°9; ..• E .ORDING YOLK NO�I �
CF 0 ,..C"OMMENCEMEN .
,/,� NOL
�Q..Q.,NLS 1
Fri 3 (Signature of Owner or A ignature of€ tractor)
g S O
T at i Pned and sworn to(or affirmed)before me this /5day of Signed and sworn to(or affirmed)before me this 24 day of
oN - m
G-)i �� V
,Zeno ,by / atii/Le - by _/ '• ' •AirfetWriab
rn I (Signature of Notary) ('"gnature of otary)
+.' WILLIAM R.POWERS
Personally Known OR [Personally Known OR ;;c•' •
Produced Identification [ ]Produced Identification .: "` •;* Commission#GG 321827
"' Expires 29,2023
Type of Identification: �� Type of Identification: .'r•�•P; P July, .•..a!i.385.7019
Doc # 2020105928 , OR BK 19216 Page 534 , Number Pages : 1 ,
Recorded 05/26/2020 04 : 17 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10 . 00
4'
NOTICE OF COMMENCEMENT
Permit No. Parcel ID,Tax Folio No. /7U/S(-WOO •
State of Florida,County of Duval
•
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
I. Description of property(Ie•al description of property and address if available):
il1L.....1 .C. . •.. _ Co w . (G/ CAL Ar 34 f ti2,Pr cc
2. General Description of improvements: W!•••Ff) k Lo '
INSTALL HURRICANE PROTECTION l r� Ale_
3. Owner Information: ,/
4Tca,rroc r,43LL33
a)Name and Address: /VQ/lrn ,, cae, ff.% , ,u • 1 ' - C— Jr. 32.ej
b)Interest in property: 100%
c)Name and address of simple titleholder(if other than owner):
NA
4. Contractor Information:
a)Name and Address: CUSTOM STORM SHUTTERS DIRECT,INC.,826 HULL ROAD,ORMOND BEACH,FL 32174
b)Phone Number: 904-745-9779 5. Surety Information:
a)Name and Address: NA
b)Phone Number.
c)Amount of Bond:$
6. Lender Information:
a)Name and Address: NA
b)Phone Number.
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
' provided by 713.13(1)(a)7,Florida Statutes:
a)Name and Address: NA
-b)Phone Numbers of Designated Person:
8. In addition to himself/herself,Owner designates NA of
copy of the Lienor's Notice as provided in Section 713.13(1) o receive a
a ¢'I ' `' Cs ilL)Name and Address: NA (b),FloridaFloada Statutes.
~ '• Phone Number ofperson or entitydesignated by owner.
M c-y o I en E 'Expiration date•ofNotice of Commencement(the expiration date may not be before the completion of construction
m' en ,'74�a N y 'and final payment to the contractor,but will be one(1)year from the date of recording unless a different date is
. R a I L specified:
a 8�.� o c
goy x- s,
- , ci w.a,s WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
m a c �- c; NOTICE OF COMMENCEMENTARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,
�j ro !.m "m SECTION 713.13 FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
.r?i i 1 p IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
c4�O tt. •&':. ,`,3 a. POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
g SI. 5, m Q' CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
m �� ,--; E. YOUR NOTICE OF COMMENCEMENT.
nA §' Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated
p g$ goo therein are true to the best of my knowledge and belief.
'. " /YGlC/;r e SQA/r't.r /OWNER
SS �• Signature of Owner or Owner's Autho' ed Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office
The foregoing instrument was acknowledged 'before me this / day of Pay 20 Oj
by IQ nQ S'0.6a_ v as — for se(1'
(I', eofPerson (Type of Authority,i.e.Olt. r/Attorney) (Name of Party
ent was Executed for)
'' Va: , .;., PATTI L.O'CONNELL
c NOTARY P�:ty�\�{j L)IC TATE OFF A
�% .,:Commission#GG 982086 � ,( jA lt�
'-•.%;fi..;o= Expires June 8,2024 Print Name: '''' `,Y _ d�V�
''"to?,n°P' Bonded Thru Troy Faln Insurance 800.3857019
0 Personally Known A�
(Affix Notary Seal Above) C�Identiiicatiort7ype:
Revised I/18/I8
CUSTOM STORM SHUT I'ERS
826 Hull Road
Ormond Beach, FL 32174
877-670-3737 Toll Free
June 10, 2020
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach, FL 32233
Dear City of Atlantic Beach:
Please process the enclosed permit application for:
505 Beach Ave, Atlantic Beach 32233
I can be reached at the phone number above if any additional information is needed.
Once application is ready to pick up, contact me either by phone or by emailing me at:
rose@cssdus.com. Thank You very much!
Sincerely,
Rose Smith
Enc.
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CUSTOM STORM SHUTTERS
DIR EC T
Property Information Building Information
Owner: Sabatier Nadine Wind Zone: 130 MPH.
Address: Exposure Category: D
Minimum Building Dimension: 60 ft.
Mean Roof Height: 25 ft.
Risk Category: II
Design Pressure Calculations
Opening Max Positive Max Negative
Number Pressure(psf) Pressure(psf)
29 35.5 -42.5
30 35.9 -38.4
31 37.8 -40.3
32 37.1 -39.5
33 37.5 -46.4
Prepared in accordance with:ASCE 7-10,Chapter 30.Wind Loads-Components and Cladding.6th Edition(2017)Florida Building Code.
Page 2 of 2
Opening
2 Armor Screen
(Hemcord Armor Screen)
3 Armor Screen
(Hemcord Armor Screen)
4 Armor Screen
(Hemcord Armor Screen) 11 10 9 8 6
5 Armor Screen MIMI MEM MINI MIMI I
(Hemcord Armor Screen) 1 (41) ..6. Armor Screenu(Hemcord Armor Screen) 12 33 32 31 30 29 5
Nom simmimis
8 Armor Screen
(Hemcord Armor Screen) ' 4 —
9. Armor Screen
(Flemcnrd Armor Screen) 28 / —
10. Armor Screen I
3 C
(Hemcord Armor Screen)
11. Armor Screen 27— )
(Hemcord Armor Screen) I
12. Armor Screen 26
(Hemcord Armor Screen)
14 Armor Screen
(Hemcord Armor Screen)
15 Armor Screen
(Hemoord Armor Screen) 1
20 Armor Screen
(Hemcord Armor Screen) 14 I 25
21 Armor Screen
(Hemcord Armor Screen) `"
22 Compact Crank Roll Down 24
(Compact Manual Roll Down)
23 Armor Screen
(Hemcord Armor Screen) 23
24. Armor Screen — 22
(Hemcord Armor Screen) 15 I =
25. Armor Screen 6 2
(Hemcord Armor Screen) T 21 r I )
13
28. Armor Screen
(Hemcord Armor Screen) Z
27. Armor Screen
(Hemcord Armor Screen) Q 20
28 Armor Screen CLS
(Hemcord Armor Screen)
St
29 Compact Crank Roll Down CO
(Compact Manual Roll Down) (I)
30 Armor Screen
(Hemcord Armor Screen)
31 Armor Screen
(Hemcord Armor Screen) /
32. Armor Screen / o..laGr.E.,arev'cd
(Hemcord Armor Screen) SGALE
33 Armor Screen / DATE
or TO SCALE
(Hemcord Armor Screen)
May 17,2020
PAGE
DESCRIPTION
Site Plan
i :
1O1
\ PAGE
J
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA *RE UIRED
1 4 )
*Project Address: S. GS - ./".' /�� U (36.e.- Permit#:
*Owner/Project Name: N -'- A Z r ' ,,P-
As
As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72, please provide the information and product approval number(s)for
the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your
product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide product
approval may be obtained at: www.floridabuilding.org.
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
A. EXTERIOR DOORS
1.Swinging
2. Sliding
3.Sectional
4.Garage Roll-Up
5. Automatic
6. Other
B.WINDOWS
1.Single hung
2. Horizontal slider
3. Casement
4. Double hung
5. Fixed
6.Awning
7. Pass-through
8. Projected
9. Mullion
10. Wind breaker
11. Dual action
12. Other
Page 1 of 4 Updated 10/17/18
Category/Subcategory Manufacturer Product Description Limitation of Use State# Local#
E.SHUTTERS
1.Accordion
2. Bahama
3.Storm panels
4. Colonial
5. Roll-up ES-5MisF4.c nr� /e// w� �1oh #171/Z fL(L2-414 /
6. Equipment JJ>>
7. Other 'r�rerscrGLk �r,O f 4�rye r�A.e" 1/141i rZg.g6312 7 /
F.STRUCTURAL
COMPONENTS
1.Wood
connector/anchor
2. Truss plates
3. Engineered lumber
4. Railing
5. Coolers-freezers
6. Concrete admixtures
7. Material
8. Insulation forms
9. Plastics
10. Deck-roof
11.Wall
12.Sheds
13. Other
G.SKYLIGHTS
1.Skylight
2.Other
H. NEW EXTERIOR
ENVELOPE PRODUCTS
1.
2.
Page 3 of 4 Updated 10/17/18
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the
ones listed in this document must be approved by the Building Official.
/1 ! ����
*Contractor Name (Print Name): MICHAEL E. O'CONNELL *Contractor Signature: //���
*Company Name: CUSTOM STORM SHUTTERS DIRECT, INC.
*Mailing Address: 826 HULL ROAD
*City: ORMOND BEACH *State: FL *Zip Code: 32174
*Telephone Number: 904-669-5923 *E-mail Address: rose@cssdus.com
ti,
/ &'9 59
Cell Phone Number: Fax Number: 386-672-3738
Page 4 of 4 Updated 10/17/18