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76 Levy Rd SIGN20-0011OWNER:ADDRESS:CITY:STATE:ZIP: COX CONSTRUCTION OF NORTHEAST FLORIDA INC 2281 WINDJAMMER LN E JACKSONVILLE FL 32224 COMPANY:ADDRESS:CITY:STATE:ZIP: TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170797 0025 ATLANTIC BEACH SEC H JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 76 LEVY RD SIGN WALL FASCIA SIGN - LANDLORD $700.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $55.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $60.00 FREE STANDING SIGN NO ELECTRIC 455-0000-322-1000 0 $0.00 SIGN WITH OR WITHOUT ELECTRIC 455-0000-322-1000 18 $65.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.70 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING_SIGN_FEE 001-0000-329-1003 18 $30.00 TOTAL: $214.70 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. 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. 1 of 2Issued Date: 2/19/2021 PERMIT NUMBER SIGN20-0011 ISSUED: 2/19/2021 EXPIRES: 8/18/2021 SIGN PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 of 2Issued Date: 2/19/2021 PERMIT NUMBER SIGN20-0011 ISSUED: 2/19/2021 EXPIRES: 8/18/2021 SIGN PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $214.70 SIGN20-0011 Address: 76 LEVY RD APN: 170797 0025 $214.70 BUILDING $120.00 SIGN WITH OR WITHOUT ELECTRIC 455-0000-322-1000 18 $65.00 BUILDING PERMIT 455-0000-322-1000 0 $55.00 BUILDING PLAN REVIEW $60.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $60.00 STATE SURCHARGES $4.70 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.70 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 ZONING PLAN REVIEW $30.00 ZONING_SIGN_FEE 001-0000-329-1003 18 $30.00 TOTAL FEES PAID BY RECEIPT: R14946 $214.70 Printed: Friday, February 19, 2021 1:04 PM Date Paid: Friday, February 19, 2021 Paid By: COX CONSTRUCTION OF NORTHEAST FLORIDA INC Pay Method: CREDIT CARD 425247345 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R14946 ~+; CENTRALSQUARE CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 (904) 247-5800 MEMO To: Plan Review From: Dan Arlington Subject: Sign installation Date: May 25, 2016 In addition to meeting the Zoning requirements for size, location, and design, signs must comply with the structural requirements of the Florida Building Code-Building. Construction documents must show the dimensions, material, and required details of construction of the sign and supporting structure, including loads, stresses, and anchors. Permit applications for sign permits must include the following: 1. Design Criteria: Wind speed: 130 mph (Vult), 101 mph (Vasd) Linear interpolation is permitted. Wind Exposure Category: C or D Building height. Wind Design Pressures. 2. Total load on sign, including wind and gravity loads. 3. Wall material and wall section on which sign is installed. Show blocking where required. 4. Manufacturer’s data sheet for fasteners used. 5. Allowable load for each fastener and number of fasteners used. 1609.1.1 Determination of wind loads. Wind loads on every building or structure shall be determined in accordance with Chapters 26 to 30 of ASCE 7 or provisions of the alternate all-heights method in Section 1609.6. Wind shall be assumed to come from any horizontal direction and wind pressures shall be assumed to act normal to the surface considered. Building Permit Application ~ City of Atlantic Beach Building Department 800 Se mino l e Road , Atl antic Beach, FL 32233 Phone : (904) 247-5826 Email : Building-Dept@coab.us 711,, 2-doted 10/9/18 **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED . JobAddress: 7<,, LE.\J'f (l.oAD , 3z2.~3 Permit Number: ________ _ Legal Description -L...l....1..~...o.::-""""~--;µ.;:.,..:-..i..t-r--"-=:_.=~......L----'-..Q.l--='--~~...;>:::.=i..,.... REIi I ] (57 97 -0 0 Z 5 Valu ation of Work _L..:'-=----He at ed/Cooled SF _____ Non-Heated/Cooled ____ _ • • • Class of Work: □N ew □Addition □Alteration □Repair □Move □Demo □Pool □Window/Door Use of existing/propo sed structure(s): ¢:ommercial □Resi dential If an existing structure, is a fire sprinkler system installed?: □Yes ~o Descr ibe in d etail the type o f work to be performed: I tJ S 17t~ F1tSJC11'4 S tt:,N ~N F'1or1T OF pP,of&a'rf . f5ToA~ Fllot-lT IIAEM"•ES 30' 1AJ1D£ X 19' f/161'/. 1 N -,vi u.. J""\E°i\S&J~E • ,,,.nDE. x • &..A-· 0 Florida Product Approva l II ___________________ for multiple p roducts use product approval form Property Ow ner Information Name Cox co"4~T'2-UcTICUJ OF NE FL.. Address %281 WINO,jl\MME.~ l,..W · E. Ci ty TM,IICS(),-,&v,u.£, State F~ Zip 3,zz,z.y Phone ,o.,. EILS:--reoe.z. E-Mail cy.u yso~ @ 6MI\IL.. COM Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) ___________________ _ Contractor Information Name of Company ________________ Qualifying Agent _______________ _ Address City ________ State ___ Zi p _____ __; Office Phone _______________ Job Site Contact Nu mber _______________ _ Sta t e Certification/Registration II E-Mail _____________________ __:. Arch i tect Name & Phone II __________________________________ _ Engineer's Name & Phone II _________________________________ _ Workers Compensation Insurer _______________ OR Exempt o Expiration Date _______ _ Application is hereby made to obtain a permit to do the work and insta llations as indicated. I certify that no work or i nstallation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of al l the laws regulating construction in this jurisd iction . I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FUR NACES, BOILERS, HEATERS, TANKS, and AIR COND ITIONERS, etc. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicab le to this property that may be found in the public records of this county, and there may be additional permits required from other governme ntal entities such as water management districts, state agencies, or federa l agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicab le laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU~TICE OF COMMENCEMENT. ~ fl.,.)71:!:a ture ~f Owner or Agent) --------(S-ig-n-at-u-re_o_f_C_on-t-ra-ct-o-r) _____ _ Si~nd s~orn to (or affirmed before me this ~ day of [~onally Known 1.&,v-.A.~~~.A.,V,.~~V'II,,~ [ ] Produced Identification Typ e of Identification: QH\Jtt:S Lu,,, Signed and sworn to (or affirmed) before me this __ day of ____ _, ___ _, by __________ _ (Signature of Notary) MPersonally Known OR I ] Produced Identification Type of Identification: _____________ _ Owner Builder Affidavit City of Atlantic Beach Building Department 800 Se minole Rd , Atl antic Beach , Fl 32233 Phone : (904) 247-5826 Email: Bu i ld i n g-Dept @coa b .u s ** ALL INFORMATION HIGHLIGHTED IN GRAV IS REQUIRED. PERMIT#: ______ _ I. FLORIDA STATUTE S; CHA PTER 489, FLORIDA STATUTES, PART 1 "CO NSTRUCTION CO NTRACTI NG" REQUIRES OWNER/ BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTR UCTI ON TO BE DONE BY LI CE NSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU , AS TH E OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CO NTRACTOR EVE N THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERV ISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR I MPROVE A ONE OR TWO FAMILY RESIDENCE OR A FARM OUTBUILD I NG. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BU ILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTI ON. YOU M AY NOT HIRE AN UNLI CENSED PER SON AS YOUR CONTRACTOR . YOUR CONST RUCTION MUST BE DONE ACCORDI NG TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YO UR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AN D BY COUNTY OR MUNICIPAL LICEN SING ORDINANCES. II. INJURY LIABILITY; SINC E OWNERS MAY BE LIABLE FOR IN JURIES TO WORKERS T HEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED .. Ill. IR S WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLO YER S AND SHOULD ALSO OBSERVE IRS WITHHOL DIN G TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CA NNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO . 455-228(1). AN "OCC UPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSI CALLY SEE THE CO UNTY "CERT IF ICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR . CONTACT THE BUILDIN G DEPARTMENT (904- 247-5826 OR BUILDING -DEPT@COAB.US ) IF IN DOUBT. V. ACKNOW LEDGEMENT; I HEREBY ACK NOWL EDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEME NT AND THAT I COMPLY WI TH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER -BUILDER PERMIT. Job Address: 7~ uvy (l.01ro . ATid+NTIC. 8£6<-:H fL, 3Z."Z33 Owner Name: Cox CONSTILvc:rlON oF N.£. FL-PhoneNumber: C,oc/•SZS:-7~62.. Mailing Address: %%,Sf W'""OJ7"'f""\MEfl._ &,N.i . City: JJ'!K State: Ft-Zip: '3%'Z2.t..f Notarized Signature of Owner _...cq;.:=-,,,,,i,:;......,,vJ'------""'----~--"-'-~---=-·=---------------------- The foregoing instrument was acknowledged before me this '3-K day of CxJ--: , 20~ in the State of Florida, County of OUuAL of Notary Public \Q,,uQ..1()'\M.cJh.i'.)ci.t 6 I Personally Known OR I ] Produced Identification Tvfe of Identification: ~0~~~1~oc~· ·~Y~$,-......aW~G~· -------------- Update d 1 0/24/18 76 Levy Road . Atlantic B eac h, FL Fascia Si2n Permit for City of A tlantic Beach Dimen sio ns of Store Front: 30' Wide x 19 ' T a ll Logo to be installed on store front : "Landlord" Dimens ion s of 1020: 6 ' Wide x 3' Tall Material of 1020: Aluminum composite material w ith a hi g h-pe rformance di gital print Mountin2 mate ri a l : Mounting wi ll be done w ith scr ews and anchors directly through t he s ign into the stu cco of the building. Screws w ill be a lead screw (Simpson-Strong Tie) or s imilar, 3" lon g scr ew minimum. S ign crea tor: Shimp Signs 11501 Columbia Park Drive Suite 205 Jacksonv i lle, FL 32258 Sign in s ta ll e r: Cox Con struction of NE FL Inc. 228 1 W indjammer Lane East Jacksonvi ll e FL, 32224 Revision Request/Correction to Comments City of Atlantic Beach Building Department 800 Se minol e Rd , At l antic Beach, FL 32233 Phone: (904 ) 247 -58 26 Email: Bui l ding-Dept@coab.us D Rev isi on to Issued Pe r mit OR [i' Corrections to Comments ProjectAddress: 7(p Uvy /2,olff}. 32--Z-5_:S Contractor/Contact Name: Gf vJtSO~/ Contact Phone: Description of Proposed Revision/ Correct ions: **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED . PERMIT#: 516 tJ 2.0 -00 I I Da t e: t/ I 1-/ z,az.. f I _..,,.C;~j __ W _ _,.'f-=5:::c......a_c_Jt._--._,_1 ___ affirm the revision/correction t o comments is inclusive of the proposed cha nges. (printed name) • Wi)tproposed revision/corrections add addit ional square footage to original submittal? er No □ Yes (additional s.f. to be added: ____________ ) • WiiY6'roposed revision~c_orrec~ions add_ addi_ti~nal i ncrease in building value to origina l submittal? ~~ D •ves (add1t1onal increase in building va l ue:$ _______ _, (Con tractormustsignlfincreaseinvaluation) •s;gnature of Contractor/ Agent, Cr W 0 /\ , (Office Use Only) 5('Approved D Denied D Not Applica bl e to Departm ent Permit Fee Du e$ _____ _ Revision/Plan Rev i ew Comment s ____________________________ _ De partm ent Revi ew Required: Building Planning & Zoning Tree Administrator Public Works Pu b lic Util ities Public Safety Fire Services Revi ew ed By Date Updated 10/17/18 C ITY OF ATLANTIC BEACH 800 SEM INOLE ROAD , ATLANT IC BEA C H, FL 32233 LOCAL BU SI ESS T A,X APPLICATION Section 1 APPLICATION TYPE: ~New Business □Transfer of Ownership t1 Transfer to New Location: Previous Loca tion _____________ _ BUSINESS NAME: 5 NA~60D I l...-L.C LOCATION ADDRESS: 7(.p L-€.v'f (2.c14D . MAILING ADDRESS: i (JJ l-f:. ,2..ct+-D . A-TL.ANTIC A-rt.-A NTtC. BUSINESS PHON E: 'fo'(-SZ.S· 7~8i. FAX:_________ CELL: G)o"'I-SZ.S -7~8Z.. EMAlL ADDRESS: St-J ,41t-E-6cQErv,.P-112£ ~ 6~_!_~-COM.,__. _________ -=:- BUSINESS ENTITY IDENTI FICATION NUMBER: Ft'dt:ral Ernp luyt:r 1.0. Number o r Social Securiry Numbe r PLEASE EXPLAIN THE NATURE OF T H E BUSINESS: (2..E.TltlL-CLaTHIN6 S To(2.£ SQUARE FOOTAGE OF BUSINESS PREMI SE : -----::1.=--o_o_o___c_SQ.=....;.. _ _;__ ____________ _ (Include bo th buildings and outside areas used in conjunction with the bu siness, but not patron parking a reas.) W ill t he followi n g be served ? Food: D Yes [Z!No A lcoho l: □ Yes 0 No If yes, Select O ne: □ !COP D 2cop D coP rr r esta u rant, will dogs b e a ll owed ? □~ No W ill yo u h ave any ve n d i n g mac h i nes? ~ [Zf Nu If yes, p lea se p r ov id e q u a ntity a nd typ e b e low: *******************************************************************************~********************* Sectio n 2 APPLICANT/ LOCAL MANAG ER/ PRfNCI PAL OFFICE R: {],. Y W'/_S_o_c_~_I ________ _ HOM E AD DRESS: '-113 F/L MtJJL f.. Ori.iv£. ~cl'--.SCN\/IU...£ Ft_ HOME P HONE: ________ CELL: C,o'-1-S"ZS-7 8 Z. DATEOF BIRTH: O'l/'!.0/1~93 DRIVERS LICENSE#: WZZO-JOl-9 3-3~-0(Pleaseattachacopy.) r , EMAILADDRESS: SNAtl.E-6oDE.l"-'\p1re.E. Q 6MAIL. C OM STA TE LICENSE/C ERTIFICATION/REGISTRAT I ON # (if applicable, attach copy): ~t::~ A-TTA(.H£P ***************************************************************************************************** Sec tio n 3 l , t h e u nd ersig n ed , swea r that th e above s ta te me n ts are tru e a n d co rrec t a n d I ag ree to notify the City if the re is a ny c hange i n the above info rm a ti o n. [ fu rther u nd e rs tand th a t iss uance o f a Loca l Business Tax Rece ip t by the C ity in no way re lieves me o f the res po nsib ili ty of co mp li a nce wit h a ll pr ov isio ns of tht' Cod e of Ordinanc es p e rtainin g to cond uctin g a busi ness i n th e C ity o f Atla nti c Beach. PRINT NAME: --=C"--Jy----LW_,_'/_~_C_IL-_I ----- SIGNATURE _.,_C~1re.J-JLW~~~kc.....::,___· ---- TITLE: _____,M:..........;.:_A-.;._N_A-__;6==-c..._£tl...__,_/_o_w_N_E.._t2... __ DATE _~o=------:...1~/_1~2..-+/_2-:::,._o~z.---'-1 __ _ No person , firm o r corporation s hal l engage in or manage any trade, business, profession, or occupation in Atlanti c Beach witho ut first obt ai ning a Local Business T ax Receipt. Application and/or payment does not constitute approva l or issuance of a receipt. W 22 0-0 1 -93-3 50 -0 ,'t•'S JC~ ~, J.~: (~••CER 1 • ~ : • ',,ICRE :)I> J ~C ~SC"''/ 1..LE F .. 3:::5.33~9 ~9 30 1 993 ·,1 o, JO :c2s s ·~ 'lO'lE -.c~e ,, E 1/121202 1 Detail by Entity Na me .I ( ', / I I ; f1j , ,,1J ,; 'I r r Jt "~ ,. O£ma rtment o1 State / Division of CorRQrations / Searct, Recorrls / Search by Entity Name / Detail by Entity Name Florida Limited Liabi lity Company SNAKEGOD LLC Filing Information Document Number FEI/EIN Number Date Fil ed State Status Principal Address 76 LEVY RD L20000353561 85-3947696 11/09/2020 FL ACTIVE ATLANTIC BEACH, FL 32233 Mfilli.ng Address 76 LEVY RD ATLANTIC BEACH, FL 32233 Registered Agent Name & Addrt1A§. COREY-DISCH, KADI N 3117 N MYRTLE AVE JACKSONVILLE , FL 32209 Authorized Person(§.) Det ai l Name & Address Title MGR WYSOCKI , CY 76 LEVY RD ATLANTIC BEACH, FL 32233 Title MGR Corey-D isch , Kad in 76 LEVY RD ATLANTIC BEACH, FL 32233 Annual Reports search.sunbiz.org/lnquiry/CorporatlonSearch/SearchResultDetail?inquirytype=EntityName&directionType:lnitial&sear chNameOrder=SNAKEGOD L20... 1/2 E\N Ass i stant EIN Ass1gre d L ega l N::i n·e. SNAKEGOO LLC l'tPCRTANT: S:n•e and/or print this page an d the c onfirmation letter below for your perm a nent records . • r r:: ,:.-:,.,1 ,,..,. :-J or le ~ter beJow 1s your ott1cia! IRS '10tice and coma ins important ir,formatton regarding yav £: !\ Once y o u have sa ve d o r p rinted your letter cl1cl\ "Continue" to get add i tional inf ormat,on aoout using your new l IN . Continue>> 5 Help Topi " . .· •;i I,! ~ ,. !") ::,: ' Ctn~ Revision· Req e t/Correction to Com m ents City of Atlantic B ac ' Building Department 800 Seminole Rd , Atl ntic Be ach, FL 32233 Phone: (904) 247 58 6 Email: Building-Dept@coab.us ~ Revision to Issued Permit I r(j;),rre ctions t o Co m ments **ALL INFORMATIO 'J HIGHLIGHTED IN GRAY IS REQUIRED PERMIT#: S ,t. N z.o -1,0, , Date: 10 /31 j 2~ Project Address: --'L....3'E:....----!l=:,,.:....+1---=-~:....:...I!~------------------- Contrr tor/Contact N OF NE I Contact Phone: _q_,_-L----+,-~i,:::::..31~==----Email: Descr;ption of Proposed Rey;s;on / 1rre t;ons, Cywysoc/t!J @ 1)£Sl6l!J C(l1T£J I L.OA-0 ON ~roposed revision/correct ans dd additional square foo1Jg,1 to o riginal submittal? ~ 00 Yes (additi onal s .. to e added: ____________ ) £roposed revision~c_orrec~ions d~ addi_ti~nal i ncreas e i :1 !Ju:!,::in1: value to original submittal? ~ OO*ves (add1t1onal mcrea e In building va l ue:$ · ) (Contractor must sign if increase in\ ilu:otio n) *Signature of Con rac r/Agent: ~;:: ____________ _ (Office Use Only) ~Approved D Denied [1 Not Applicable t .> Uc1>Jrt111 L'n t Permit Fe e Due $ ___ _ Revi sion/Plan Review Comments. _ __;i._,1--___ ..:..._ __________________ _ Department Review Required : ~uilding Planning & Zoning Tree Administrator Public Works Public U\ilities ~ublic Saf ety Fire Services Re viewed By Date Updated 10/ '.7/,:8 Fascia Si n Permit fo r Wind Ex os ure C ate o r : C Building He ight: 19 f leet all W a ll Material : Stucco Dimensions of Store Ero t: 3 0 ' Wide x 19' Tall Lo o to be installed J s t "House L O G O " I I I I Dimen~ons of~go:48' re front : M a terial of logo: A lum nu composite material with a high-performance d igit a l pn int Mountine mate ri a l : 6 ast ncrs to be used. Mounting will be done w ith screws and anchors d irectly throug the s ign into the stucco of the build ing. Screws wi ll b e a lead screw (T APCO ) r sim il a r , 3" long screw minimum. (see attached specifics) Sign creator: r l h. s· · imp 1gns 1501 Columbia Park ri e Suite 205 Jacksonville, FL 3225 M L en installer: ~ox Construction of N F Inc. i2s 1 Windjammer La e st Jacksonville FL, 3222 Sl6N {!.ta£f1 ~f.J s/-~in11:>si9n&c e~)19n Estimate #3452 11/8/:?0 20 ====-====-=-=====9i-=ct-===========================-=-=-= Prepare d For: Landlord Cy Wysocki 76 Lf.VY Rd . Atlantic Beach , FL 32233 Phone: 904 525-7682 Alt. Phone: Fa : Prepared By: Jean Shimp Shimp Sign & Design Inc. 11501 Columbia Park Drive W. #205 Jacksonville, FL 32258 USA Phone: 904 268-3335 Alt. Phone : Fax : E-M~il : cywysocki@gma il.com E-Ma il: jean .shimp@comcast.net Desyiption: I ------------ "House" sig n -note : max imu m s ize t fit t ble to p o n C NC router is 47 .5" Qua ntity Descriptio n 1 "House" graphic design n co 1tour cut by CNC router -54.33 in x 47.50 in max metal -aluminum c mpc site material, 1/8" thick; provide art vector I file for contour cutting Term s: Each 438.00 Subtotal Sales Tax Tota l Payment due upon receipt of invoice . Cree t card payments will in cur a 3% fee . Thank you . T ota l T a;: atile $438.00 / $438.00 $30.66 $468.66 By my signature, I authorize work to be Jin a d agree to pay the above amount In fu ll according to the t erms on this ag reeme n t. I I Sig ned b y D at e Amt. Pa id Today Page 1 of 1 ~ :cc EVALUATION SERVICE' IC~-ES Evaluation R po DIVISION : 04 00 00-MASONRY Section: 04 05 19.16-Masonry A REPORT HOLDER: ITW BUILDEX EVALUATION SUBJECT: TAPCON ® ANCHORS WITH ADV NC D THREADFORM TECHNOLOGY ADD TIONAL LISTEE: ITW RESIDENTIAL & RENOVATI N 1 .0 EVALUATION SCOPE Compliance with the following c • j~~)' 201 5, 2012 and 2009 lnte • 2018, 2015. 2012 and 2009 Code®(tRC) Property evaluated : Structural 2 .0 USES des ati al Building Code® tern tional Residential The Tapcon Anchors with ~va ed Threadform Technology are used as anchorage to r isl static. tension an d shear loa ds In uncracked. rou d or ungrouted concrete masonry construction , un li ss therw1se noted in this teport. The Tapcon anchors a re altern tive to cast-in-place anc~ors described in Section 8.1.3 t201 o r 2013 editi on), or Section 2.1 .4 (2011 or 2008 e~ition of TMS 402 as refe renced i n Section 2107.1 of th e BC . The anchors are permitted to l e u ed in structures regu lated by the IRC , provided an eng eered design is submitted i n accordance with Sectio R3 1.1.3 of the IRC . 3.0 DESCRIPTION 3.1 Tapcon Ancho r s with Adl an d Thr eadform T echnology: The Tapcon Anchors with A van ed Threadform Technology are manufactured fro qi c rbon steel with supplementary heat treatment. They_ ha e an alternating high-\ow thread form and are availa , le in 3/u;-and 1/d-inch (4.8 and 6.4 mm) diameters with va iou lengths. Tapcon ca rbon steel anchors are avai lable wi!J:1 a s lied hex washer head,~ slotted hex washer head with uter ead ribs. Phil lips I ESR-1E i71 Reissue d September ; 019 Revised December ~ 0~ 0 This report is subject to re ne wal Sep tember 2 , )2 I . A Subsidiary o f the In ternational Code Gour cil® flat head , Star flat head, Maxi -set h ead or Scots® st 1inless steel head. Different head styles for Ta pcon Ancho s 1vith Advanced Threadform Technology are illustrated in =i~ure 1 and Figure 2 . · The Tapcon Anchors is available in Blue Clirr as ,~al, Si lver Climaseal . Ultrashield and White Ultrashield C< ,ating. B lue Climaseal is a water-based polymer type coati n~ (blue in color } that has been cu red at elevated temperature. Sit var Climaseal is a water-b ased polymer type coating (si 11e · in color) that has been cured at elevated tempeI 3tL re. Ultrashield is a water-based polymer type coating (si 11e · in color) that consists generally of multiple coats wh ich me cured at elevated temperature. White U ltrash ield is a, ,ater- based polymer ty pe coating {whitle in color) that co ,si ,ts generally of multiple coats which are cu red at ele 1at ed tem perature. 3 .2 Grout-filled Concrete Masonry: The specifi ed compressive stre ngth of masonry, Im, at 28 days must be a minimum of 1,500 psi (10.3 MPa). Ft.lly grouted masonry walls must be constructed fron t,e following mate rials: 3.2 .1 C o ncrete Mason ry Units (CMUs): Cor ::rE ·te masonry units are closed-end units. minimum Grae e N , Type 11 , lightweight, medium-we ight , or normal-I/\ ei~ ht conforming to ASTM C90. Th e minimum allowable no nir al size of the CM U must be 8 inches (203 .2 mm) wi c e )Y 8 inches (203.2 mm) high by 16 ir ::h,~s (406.4 mm) long. 3.2.2 Grout : Grout must comply with IBC Section 2-03.3 (2018 and 2015 IBC ), 2013.13 (2012 IBC), Section 21(3.' 2 (2009 IBC) or IR C Section R606 (2018 and 2015 l~C), R609.1.1 (2012 and 2009), as applica ble. Alterna tivel y. It e grout must have a min imum compr essive strength v •h en tested in accordance with A STM C 101 9 equal t< • i :s specified strength, but not less than 2,000 psi (13.8 MF a). 3.2 .3 Mortar: Mortar must be Type Mor S in compli, ,nee with tBC Section 2103 or IRC Section R606.2.8 (2( 18), R606.2.7 (2015). R607 .1 (2012 and 2009), as applicab e. 4 .0 DE S IGN AND INSTALLATION 4 .1 Allowable Stress Des ign (ASD): 4 .1.1 General: Anchors described in th is report ar :l assigned allowable tension and shear loads for de ;ig1 based on allowable stress design (ASD) under the cc des described in Section 1 .0 of this report. 4.1.2 De s ign of Anchors i n Concrete Masonry: A ncl ion are limited to installation into the face shell cf grou ted or ungrouted, uncrac ked concrete mason ry u nit; at I I C.:(,'-ES E,.r atuation Repo,·ts are not 10 be co,utrued as epre., 11i,1g ,w.uhetic.:s or art.v orher auribute.s 1101 spec:ijically nddreued. nor are they to 1w ,:,mstrued as nn e,1ddrsement of the subject of the report or a rec nmc11 ati1111 for its use. There is no "'arra11~v by ICC Eva/11atio11 Service, llC e.J(pre.,s or implied. a.< to a11.v_fi11d/ng or other matter in this report. or ll.f to an prod t covered by the report. Copyright© 2020 ICC Evaluatio n Service, LLC. I right reserved. Page 1 of Ii _E_S_R_-1_6_7_1_1'---M_o_st_~_id_e""/y_A_c_c_e:;..pt __ e_,Jra __ n __ df-T,-ru .... s--te--d;:.._ _____________________ ..:P..:ax• 2 of 6 locations indicated by the non-s)'!ade areas in Figure 5. Masonry wall construction must b e fully ortared . Allowable tension and shear loads for install~;ion concrete masonry under the IBC and IRC are noted f Ta Jes 1 and 2. l11owable load reduction factor, n ed i n Table 3 are applicable to the allowable loads how in Tables 1 and 2 . Allowable loads for anchors insta ed i concrete masonry subjected to combined shear an ten · on forces must be determined by the following equati n : (Eq-1) where: Ps = Applied service tension I ad. P, = Allowable service tension load Vs = Applied service shear loa . V, = Allowable service shear 1jad. 4 .113 Minimum Spacing a1d inimum Edge Requirements : The minimum spsicin between anchors and the minimum edge distance tl',.etwe n the anchor and the edge of th e concrete masonry ,&all ust be as set forth in ]able 3. For anchors installed bbtwe n the critical edge distance , Cc,. and minimum ed~ di lance. Cmin, load red~ction factors must be used in alcor ance with Table 3. For anchors installed between the G[i tic spacing distance. Sc,, 1and minimum spacing distan<!'e, s 11n. load reduction factors must be used in accorda°,fe th Table 3 . Edge distances less than the critical edge di lance. ccr. are not perrr,itted for anchors installed in mer' iu or normal-weight CMUs. 4 .2 Installation: The Tapcon® Screw Anchors ust be installed in accordance with the manufacturer'!pu ished instructions (MP!J ) included in each unit packag as escribed in Figure 4 of this report . In case of confli t , th report governs. Anc~or locations must comply with t is r ort and the plans and specifications approved by the cs,de fficial. Holes must be predrilled in masonry with a Tap<fon® arbide-tipped drill bit s~pplied by rrw. The hole must b dril d to the specified nominal embedment depth plus a nim m of 1/4 inch (6.4 mmH Before anchor installation, dus and o ther debris must be removed using a vacuum or com ressed air. The anchors must then be installed thro gh t e attachment into the r ole, in accordance with ITW in !ructions. lo the specified nominal embedment depth sin a hammer drill in a rotary-only mode w ith an ITW Buil x C ndrive® Tool a nd drive socket. Anchors must not e i stalled until the masonry has fully cured to its specifi d st ngth. 4.3 Sp ecia l Ins pe ction: I Continuous special inspection unde the IBC and IRC, in accordance with Section 1704 of the BC, ust be provided during anchor installation as set forth n T les 1 or 2 of this report. The code official must rece ve report, from an approved special inspector, that i clud s the following details: 1. Anchor description , incl uding the anchor product lilame, nominal anchor diameter and nchor length. 2. 3. trlole description, including v rifi c ion of drill bit compliance with ITW Buildex's i j tru ions. hole depth, concrete masonry wall thickness and ole cleanliness. Insta ll ation description, incl~ing hole location (spacing and edge distance). an hor mbedment, and Jerification of anchor installatio in ccordance with the manufacturer's published il stall lion instructions and this report. I 4. Concrete masonry unit size and compressive st ·ergth, mortar compressive strength and, when re w i red, masonry prism compressive strength. 5.0 CONDITIONS OF USE The Tapcon Anchors with Advanced Thre: 1dhrm Technology, as described in this report, are s 1iti1ble alternatives to what is specified in those codes Iii te<I in Section 1.0 or this report, subject to the fo llowing cone itic,ns : 5.1 Anchor sizes, dimensions and installation must comply with this report and the manufacturer's put lished installation instructions. In the event of a con 'lict between this report and the manufacturer's put lislled installation instruct ions, this report governs. 5.2 Under the IBC or IRC, use of the anchors to resi~ t wind or seismic loads is beyond the scope of this repoI I. 1 'he allowable loads or load combinations for the ar ch Jrs must not be adjusted for anchors subjected to v. nc or seismic loads. 5.3 Since an ICC-ES acceptance criteria for eval1 ,at ng data to determine the performance of ar ::h•>rs subjected to fatigue or shock loading is unavaila Jle at this lime. the use of these anchors under :he se conditions is beyond the scope of this report. 5.4 Where not otherwise prohibited by the applicable :ode, anchors are permitted for use with fire-resistance-rated construction provided that-at least one of the folh ,wi 19 condi tions is fulfilled · • Anchors t hat support fire-resistance-·at3d construction or gravity load-bearing stru, :tu ·a l elements are within a fire-resistance-rated env1 ilo )8 or a fire-resistance-rated membrane, are prot• 1ct,~d by approved fire-resistance-rated materials, or 1a·1e been evaluated for resistance to fi re exposu ·e in accordance with recognized standards. • Anchors are used to support nonstructural elem mis. 5.5 Since an ICC-ES acceptance criteria for evaluatin J the performance of screw anchors in cracked masor ry is unavailable at this time, the use of anchors is limit, id :o installation in uncracked masonry. Cracking o< cu·s when f, > f, due to service loads or deformations. 5 .6 Calculation s demonstrating that the applied load: a re less than the allowab le loads described in this re >01t , must be submitted to the code official. The calcula· ior s must be prepared by a registered design professi :in.ii where required by the statutes of the jurisdictic ri In which the project is to be constructed. 5.7 Special inspection must be provided in accord, nee w ith Section 4.3 of this report. 5.8 Anchors are limited to dry, interior use. 5.9 Use of anchors in contact with preservative-Ire: 1te j and fire-retardant-treated wood is beyond the scop 3 cf this report. 5.10 Anchors are manufacture(! under an approved qu 1lit1 control program with inspections by ICC-ES. 6.0 EVIDENCE SUBMITTED Data in accordance with the ICC-ES Acceptance Criteric fo• Pred rill ed Fasteners (Screw Anchors) in Masonry (AC1 I I6), dated March 2018. 7.0 IDENTIFICATION 7.1 The Tapcon® Screw Anchors are identified by packaging labeled with the manufacturer's name (I M Buildex or ITW Residential & Renovation), con-ac : _ES_~ .... 1 -_1_67_1 ......... I _M_o ... st_Wi_,_a_e/.,_y_A_cc_e.:..p_te...,....J ,a_n_d ... n _ru_s_te_d ____________________ ..;.P..;;a~1gE_!ot6 information , anchor name , a~ch or size and evaluation 7.3 The Additional Listee's con tact informati on is the report number {ESR-1 671 )~ n e lette rs "BX" or following: "TAPCON " and a leng th ide tificc l ion cod e letter are ITW RESIDENTIAL & RENOVATION sta mped on th e head of eac an< h or. See the length identification sys tem illustra ed i Figure 3 of this 155 HARLEM AVE, NlE report. GLENVIEW, IL 60025 (877) 489-2726 7.2 Th e report holder's con tact inform, io n is the following: www.tapcon .com ITW BUILDEX 155 HARLEM AVE , N4E GLENVIEW, I L 60025 (800) 848-5611 www.itwbuildex.com techsupport@itwccna.com TABLE 1-ALLOWABLE TENSION VALUI S FOR TAPCON SCREW ANCHORS WITH ADVANCED THREADFORM TECHNOLCGY I STALLED IN CONCRETE MASONRY UNITS1•2 ANCHOR DIAMETER (Inch) DRILL BIT DIAMETER (inc h ) IBC/IRC4 ASTM C90 CMU Type MINIMUM EMBEDMENT DEPTH (l nch)3 Lightweight (lb) Medium/Norm, I (lb) 0 .173 40 6 0 ,,, 0 .204 4 5 105 For SI : 1 inch = 25.4 mm: 1 lb = 4.45 N. l 'The 1abu1a1ed tension loads are for anchors ins lied ~ the lace shell or hghtwe,ghl. m edium-weight and norm al-weight concrete masonry units in compllan :e v•ith ASTMC90. 2The tabulated tension values are for anchors in t ailed at the speci fi ed cri tical spacing. sa. and critical edge distance. Ce,, as noted in Table 3 . 3The embedment d epth is th e distan ce from l he l oncri e maso nry unit surface to the bottom of the laslener . 'Specla inspecti on s hall be provided i n accorda ce wi , Section 4 .3 of this report. TABLE 2-ALLOWABLE SHEAR VA!-UE~ FOR TAPCON SC REW ANCHORS WITH AD VANCED THREADFORM TECHNOLOG f I IN ,TALLED IN CONC RETE MASONRY UNITS1·2·3 A NCH OR DIAMETER (inch) I DRILL BIT MINIMUM IBC/IRC4 DIAMETER EMBEDMENT ASTM C90 CMU Type I (inch) DEPTH (Inch) Lightweight Medium/Normal (lb) (lb) I 31,s 0.113 1 85 130 I ¼ 0.204 1 110 1a o For SI : I inch = 25.4 m m: 1 lb = 4.4 5 N. 'The tabulated shear loads are for anchors insta ll., d i n I j htweight . medium-weight and normal-weight concrete masonry uni ts complying wit h AST M C90. 2T he tabulated tension values are for anchors ins!alled t the speo lied c ritical spacing . Sa. and cntical edge distance. c.,., as noted in Table 3 . 3The embedment depth is the distance from the ( m cre l masonry ,m it s urfac e to the bottom of the fas tener . 'Special Inspecti on s hall be provid ed in accord an e wi tt Section 4 .3 o f this report. ~hen required, special inspection s hall be provic ed i n ccordance with Section 4.3 of this re port. ES ~-1671 I Most Wide ly A ccepte j and Trusted Page _!:>f 6 TABLE 3-ALLOWABLE SPAC:_r NG I ND EDGE DISTANCES FOR TAPCON AN C HORS W ITH ADVANCED THREADFORM TECHNOLOG INSTALLED IN CO NCRETE MASONRY UNITS (i nches)1·2•3·4·5 I CHARACTERISTIC l y MBOL UNITS NOMINAL ANCHOR DIAMETER (Inches ) 3/,e ¼ Minimum s pacing distance Sm;,, inches 1 1/2 2 Critical spacing distance S c, inches 3 4 Spaci ng load reduction factor• Tension . . 1.00 0 .84 Spacing load reduc tion factor • Shear . . 1.00 0 .8 1 Minifnum edge d is tance c.,.. inche s 2 2 Critical edge distance Cc..,. inches 4 4 Edge load reductio n factor • Tensio n . . 0.916 0 .886 Edge load reduction factor • She ar . . 0 .9 3 0 .80 For SI : 1 inch = 25.4 mm. 'The c ~tical edge and spacing dis tances are lo full ar hor capacity. and the minimum edge and spac ing d1s1ances are for red uced an chor capacily. 'The load red uction faclors in l his l able are app cab le only to th e a llowable load s shown ,n Ta bles 1 and 2 of this report. 3Red uction factors are cumulative Multiple red, tion 1c1ors for more lhan one sp;,c,ng o, edge d1s1anc<> are c alculated separately and mullipl1cd 4 Load reduction factors for anchors loaded 1n l e s ,on r shear with spacing between critical ann m 1111mum are o btained by li near in terpolati on. 5Load red uction factors for an chors loaded 1n te s1on r shear w,111 edge distances belween cnlical and minimum are obtained by linear interpolation. 6 Reduct,on a pplies to anchors installed in light\' ight MU only. r1r n ,,,.,u,,._. '·7·-·.=:::i ' SLOTTED HE WA iHER HEAD SLOTTED HE i( WA >HER HEAD WITH UNDER HI AD RIBS . . . . . j MAXI ,ET I EAD PHILLIPS FLAT HEAD STAR FLAT HEAD -----... "" -.. ~·• H ---· _1_ SCOTS HEAD (STAINLESS STEEL CAPPED) FIGURE 1-TAPCON NCt ~RS WITH ADVANCED THREADFORM TECHNOLOGY HEAD STYLES FIGURE 2-TAPCm ANCHORS WITH ADVANCED THREADFORM TECHNOLOGY ANCHORS LENGTH MARKING ON A B C D E F G H ANCHOR HEAD Length of a nchor I From 11/2 2 2 1/2 3 31/2 4 4½ 5 (inches) I Up to, but not including 1 2 2 21/2 3 3 ½ 4 4 1/2 5 5½ For SI: 1 inch = 25.4 mm. Fl( URE 3-LENGTH IDENTIFICATION SYSTEM I 5 1/2 6 - - - - - - - - ,,j I ff _E_S_ij_-1_6_7_1 _I_M_os_t_W_i_de .... Jy:-..A_cc_e.:...p_te,_a_n_dt-T.-ru_s_te_d _____________________ ..;P..:a~• 5 of 6 I ~~~ .... Installa tion nstr ctions for 3/15" and ¼" diameter T a pcon® S crew Anchors t>:h~<.:/1 1) 2) 3) 4) Using a Tapcon® drill bit , d rill th hol ¼" deep e r than anchor embed ment. I Clean hole with compressed air l?r va uum to remove any excess du st/debris . Wlace Condrive® tool with drive s"ock over drill bit. Using d rill. hammer mode disabl d , d ive anchor thru fixture and in to hole until nut driver spins free from head of anc 101. I I I FIGURE NST L LATION INSTRUCTIONS FO R TAPCON® SCREW ANCHORS .0 2 .0 -2.0 -T 8.0 l For SI: I mcl1•25.4 mm. FIGURE 5-ANCHOR LOCATI NS (LIGHT COLOR AREAS) FOR INSTALLATION IN MASONRY UNITS (ALL DIMENSIONS IN INCHES) www .icc-es.orq (800) 423-6587 I (562) 699-0543 DIVl~ION : 04 00 00-MASONRY I Section : 04 0519.16-Masonry Anchor REPORT HOLDER: I ITW BUILDEX EVAl UATION SUBJECT: II ESR-1671 FBC Supplemt int Reissued September 2 ?19 Revised December 2 ?2'J This report is subject to renewal September 2< •2;. A Subsidiary of the International Code Coun ;ii !> TAPCON ® ANCHORS WITH ADV NC D THREADFORM TECHNOLOGY 1 -~urt ::~RT PURPOSE AND SCO E The purpose of this evaluation repo su plement is to indicate that Tapcon® Anchors with Advanced Threadform Techn Jlogy for rp asonry construction, recognize in I C-ES master evalua tion report ESR-1671, have also been evaluated for compl ance with the codes noted below. Applicable code editions: ■ 20 17 Florida Building Code-Bui 'ding ■ 2p17 Florida Building Code-Re iden ·a1 2.0 CONCLUSIONS The Tapcon® Anchors with Advance Th adform Technology for masonry co nstruction, described in Sections 2 .0 throug 1 7.0 of the master evaluation report ESR 167 , comply with the Florida Building Code-Building and the Florida Building Co :le-- Residential, provided the design an inst nation are in accordance with the 2015 International Building Code® provisions r ot«:d in th~ master evaluation re port. Use of the Tapcon® Anchors with dva ced Threadform Technology for masonry construction for compliance wi th the I lig ,_ Velocity Hurricane Zone provisions , f th Florida Building Code---Building and the Florida Building Code-Residential, h,1 s not been evaluated , and is outside t~e sc pe of this supplemental report. Fo~ products fall ing under Florida t ule N-3, verification that the report holder's quality assurance program is audited 'JY a quality-assurance entity approved t:l th Fl orida Building Commission for the type of inspections being conducted ii tt e resp0nsibility of an approved validati n e tity (or the code official when the report holder does not possess an approval b:· tl'e Commission). This sJpplement expires concurrently ith t e master report, reissued September 2019 and revised December 2020 . /CC-F:S E a'"lulllicm R~fl(n'I,\' u~·e 1101 lo hi! construrcl a.~ ,//,.~-' ti~g 111,.,1/'.''lit·s or any o_,h~r "11rih11t,.< not .,p.·djin1/ly '."'"'~·'-'~•/. nor.,,.~ th~y .''.' '"'. ,,ms1111~~ os u,1 t1ndorsttm11111 nj thtt s11b1ttcl cif thf! l'#!potl or u ,..,,,., 1tnl(IJU 111011 fnr ,tx 11st'. The,·f! ,s "" wwnmt,r hy ICC F.ruluuhun St"n·1e·t-. LLC. 11.,prrs,'i or 1m11lled, <L~ u, wry Jimling or Olht'r maf/t'r i11 this rt'purt, o ,· c,s to cm prvdr ·f t.'tll'f!rt'd hy th t! l't!fUJt'I, Copyright Cl 2020 ICC Evaluation Service. LLC. A right reserved. Page 6 of Ii