Permit Folder 482 Mako Drive (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . .
Property Address 10-00000652 Date 5/24/10
. . . . . . 482 MAKO DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . .
4300
Application desc ----------------------------------
REMOVE AND REPLACE SHINGLE ROOF
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HATCH TREY AND TARA FIRST COAST PROPERTIES OF JAX
482 MAKO DRIVE 5432 WELLER PL
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) S53-0069
------ ---- ------
Permit ROOF PERMIT---------------------------------------
Additional desc
Permit Fee . . . . 75 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 00
Expiration Date . . 11/20/10 4300
----------------------------------------------------------------------------
Fee-summary------ Charged Paid Credited Due
--- ------- ------- ---------- ---------- ----------
Permit Fee Total 7S . 00 75 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 . 00 . 00
. 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
%-II Y UV�A'F.LA-NTIC BEACH
Eem"'le R04 Adantic Rmch,-FL 32233
Office (904)247-5826 Fax (904) 247-5845
q;�0i, AA A," j,
Job Address: 12.7-37Permit Number: 20e
Legal Description. 31-1(0 jX
-0-I ' Parcel# qS 6 -
'flow,Area �t �.................
Valuation of Work$ TO Nq Ft
rop ;ed or 6aled'cooled to% 9 non-heated/cooled _D
Class of Work(circle one): New Addition D
Alte Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s)(�ircle one): Commercial Resident*
If an existing structure,is a fire sprinider syst"installed?(Circle one)R: Eii��Xo N/A
Florida Product Approval# fL - (+ f( -3-Z 1--C/,-I
For multiple proaucts use pro uct approva
Describe in detail the type of work to be perfonned: tJ6iJ it-*r (L65i 061-Twt- (Ite -
Property Owner Information:
Name: JW-V t4A7-C-H Address:-... 4862 mAk--. OfL.
City AT-LjkA7)C- 6&ck State_fttZip J��IR]hone—9!-q- GS-Y, 5r,91 i,a
E-Mail or Fax#(Optional
Contractor Information:
Company Name: (A-6�
`M` Qualifying Agent: VJ01
Address: �If5L "Olk/ PLAL-t
city ::�A- ro.%�j ff< —State F-C zip —.2-L
Office Phone 74-(-5-s,3- 4wo -7 Jo ) Site/Co A Number
State Certification/Registration# C C 1*3 2-%%-7 1 22!j.SS3 co(c.9 -Fax# 1�aq. ;-2q.
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A ca eb de ba'na e d th ork and gallati�ns as ind�c or installation has commencedprior to the
pe t t ta r a,, thisjurisdiction. This permit becomes null
ork 1. s a period of sixj6)months at any time after
c c 0�
he � F r
pp'i 'io 's r to 0 rmit to 0 e w
suance a a ork be 0 ed to m
d f rm 7
n 'ont i,or n
or Jectric W
ot
ks wi 'st c
wL
's 0 w rm d thin s 6)
a vo'd f rk is n com nce
" I I
T k is 0�meced f u rsta t t separate per: be red E Ms,Pdols, urnaces,Boileis,HeaAers,
an a At,Can�w ae
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING� CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herelb certify that I have read and exami.ned th' plication and know the same to be true and correct. All provisions of laws and ordinances governing this
work will be cotnplied with whether ec'le herein or not. The granting of a permit does not presume o ve authori to vio ate or cance t
oc w fconstruction.
Provisions of any otherfederal,state, or alsfa regulating construction or the perfo�mance q t 91 1 he
Signature of Owner Signature of Cont�ractq
Print Name
Ha.lt.h................ Print Name
...........................................................................................................................
Swom tq aqd subscribed before me Sworn to and subscribed before me
this .7", y of A-to" 20 /C� this " Day of 20 it)
lNoutry rublic
Notaly AAU—c
ry ftbk$%Is of FW" A 01.26.10
swvw N&WY Pok Moe of now$
M,Cc;mm4sion DDS92070 Aura Sovv*
Eipoes OU2112013 MY CwwftWm ODS92070
Nor"/ n OW/201 3
Ex*in
Doc#2U1 01 185ib,OR 8K i 52:53 Page 964,
Number Pages:I
NOTICE OF COMMENCEMENT Recorded 05/24/2010 at 11:38 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Permit No RECORDINO$10.00
Tax Folio No.
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMM[ENCEMENT.
I.Description of property ftal desc*flon): 3 1- 3 Y-TS-90�6 b-blLb f2--/AA.- JOAL-J--&
a)Street(job)Address: q S.L '-1A 00- 1 A-n-,&j--nc- G-r'At4-/ F fc- S -LI-33
2.General description of Improvements: N&V X=�c-P
3.Owner Information TX
a)Nameandaddress: fjAT--,f4 F 9-oL A4AX-- DA ATI-Ap"jc-
b)Name and address of fee simple titleholder(if other than owner)
c)Interest in property Fa6 -5 1,-,,P IL-.-I
4.Coritractor Information 15'q-S-L w e AW'j 6. -X--L t L
a)Name and address: IS7 X-ST CjN-5-r J-evi L-A-4
b)Telephone No.: 9tv 0- T3-3 -0 C) Fax No.(Opt)
5.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt)
6.Lender
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
8.1n addition to himself,owner designates the fbHowing person to receive a copy of the Lienor's Notice as provided in Section
713.13(l)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.(Opt)
9.Expimtion date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IM[PROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IM[PROVEMIENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION EF YOU INTEND To OBTAIN FU#4ANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PINELLAS 'P."( Notary Public State of Florida
!;e- , Aura Bouvier Signature of OWwr or Owner's Authorized Officer/DiTCctor/Partner/Mwiager
Tz '0- 0,,,C nmmisslon ODS92070 Ll
�rfr LxDires 0612V2013 I�t
z.E DPrintblarne,
The foregoing instrument was acknowledged before me this day of- e'U A--f 20_e 0,by
k4-�k _as 6 L..A^e-V, (type of authority,e-g.officer,trustee,
aftomey in fact)for (name of p"on b0W7 of whom instrument was executed).
Personally Known_OR Produced Identification Notary Signature 7—f7i Os�
Type of Identification Produced /15 Z,>-1503 -6 W6-- Name(print) A4 fzk A&CU Le r-
OR
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of pedury,I declare that I have read the foregoing and that
the fkcts stated in it are true to the best.of my knowledge and belief. 4
FORMSMC,rv�010
Signature of Natural Person Signing(in line#10.)Above
CITY OF ATLANTIC BEACH
APPLICATION FOR PLU14BIWG PERMIT
JOB LOCATION: (__mcz_,�
OWNER OF PROPERTY: -TELEPHONE NO.,2V�-�
PLUMBING CONTRACTOR
�41 L) .0-
,_ q!ldl
CONTRACTOR' S ADDRE S S :
STATE LICENSE NUMBER: TELEPHONE: ?#4f
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
REPIPE OTHER
TOTAL FIXTURES: x $3 . 50 + $15. 00
MINIMUM PERMIT FEE - $25. 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - (904 ) 247-5834
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826 - Fax: 247-5877
Se -inole Road - PLUMBING PERMIT
0 m
0 ION
I T
N R A
6
T V
:2
80
ON LOCA,ION-IN ORMATION
PERMIT, fORVATI 1ANO DRIVE
19 Address: 4t$Z lvu'%f\
rm i-92-16
FPerm:1tNum:ber: ATLANTIC BEACH, FLORIDA 32233
�jr it Ty .
X . LUM ING Book:
Permit Type: PLUMBING Range: 0
f.1 "f W _ LT ATION Township: 0 section:0
Class of Work: ALTERATION Lot(s)- Block:
Proposed Use: SINGLE FAMILY
Square Feet: Subdivision:
Parcel Number:
Est. Value: INf I . 'A-_ioN-
0 ORM .T
Improv. Cost: Name: MAKY HUKU
Date issued: 11/19/1999 Address: 482 MAKO DRIVE
Total Fees: 25.00 ATLANTIC BEACH, FLORIDA 32233
Amount Paid: 25.00 Phone: (000)000-()()00 —
Date Paid: 11/1911999
REPIPE
F- Work Desc:
'k 'Y'
CO , 25-00
� a.. E PERMIT
ATLANTIC COAST PLUMBING & I IL
FI N NAL
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC
SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
TH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
"FAILURE TO COMPLY WI OVEMENTS12
OWNER PAYING TWICE FOR BUILDING IMPR PART OF THIS PERMIT AND SUBJECT To REVOCATION
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$25.0014
Date: 11/19/99 @1 Receipt: @013181
—LA(T: TIC BEA& ILDING PT. CHECKS 2445A
9551
-7-7-r
'77-77
pEPARTMENT OF SUILOING ,`
CITY OF ATLANTICBEA,�.H
CROSS CONNECTION
nsfERMIT INFORMATION Type Addres#�
f 9551 '
it Numbet S pLo$ X) 3213�',
mit ,Typo* MECHANICAL CHAN4101"t *UCH
r
--------- ZaAL� DESCRIPTION ,
of Wor)t REPLACMT
j?ERMIT
Lot, Stotiow
CZ, nstr. Typ�-- WOOD FRAME, 0
M�:_ I I -RX0
TownshiP
d U ti e SINGLE FAMILY
Pr"olp os 0,
Subdivision: roya-1 Palms
Dw*I Inge;
V' iuet
Eli*
I r $0 . 0c)
ov� Cost
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32133
CALL-IN NUMBER
APPLICATION FOR MECHANICAL PERMIT
IMPORTANT — Applicant to cornE��Iitems in sections 1, and IV.
Street Address-.
LOCATION
And
OF Intersecting Streets; Between
WILDING
Sub-divistan
It, IDENTIFICATION — To be,completed by all applicants,
m it we hereby agree to perform said work in accordance
In consideration of permit given for doing the work as described i, the above state or
with the attach9d plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and stan clards
of good-practice listed therein.
ontractors
Master
r I Print)
of
One (7�i
Po6porty Owner
signature of
Architoct 0
Owner
r Engineer L
r: d Agent
Ill. ODWAL INFOWATM
A. Type of Imoting ftW: 15 OTHER CONSTRUCTION BEING DONE ON
THIS BUILDING OR SITE?
113 E3 LP C3 Naturel C3 COMW UNIHY IF YES, GIVE NUMBER OF CONSTRUCTION
(3 00
13 0#Iw spocify
1PUMAINT TO U INVALLID NATURE OF WORk
(Pmvk%COW496%hit of compio Is on beck of Ws fW*) Reeldentlator 0 Commercial
C) SpwA 0 L C"talill 0 POW Now Building
0 Exlefing'Suilding
Ift Ak Coo0onio 13 ConW
E3
77
01
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ITY OP LAN Of
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-PT11"
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rote
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00,',
SIN lot ,r4m,
ro a
-06d*-:, 0 , '
Sul Palms,
*a, Ul
a
.........
0
4"
�5
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$0 0
04
10AW
Ilk
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A
'5
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0
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dk'" d61ffl'&CT I
Ast r,
0
10
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N 0 T I C E T 0 A B A T E
TO PUBLIC WORKS DEPARTMENT Date: 9- -3 - 92. ......
WEED ABATEMENT EJ NUSIANCE ABATEMENT I I
— 11�111.
Property Address: J � —
-------- -------------------------
Legal Description: C Ct-T- LVfl�F) I'C,4 _S;,S- 2-,4-
Property Owner: cL14 /-JUIC 7> 3 7-163
-------------
Mailing Address: 2-- -?�qA j��) ----------------------------
' C
-----------------------
Type of Work:
------------------------------------
Lot Size:
Ordered, By:-�'/4'w
----------------------------------- Ld"e----------------------
TO ZONING DEPARTMENT
Date Work Performed:
EQUIPMENT EMPLOYEES hre
1- ---------------------- * hra
2- ---------------------- * hro- -------- RECEIVED
3- ---------------------- # hre- -------- SEP 0 /:-� 199-2
4- -- -------------------- * hrs- -------- PUBLIC WORKS
Comments: Je-j
Signed:1�
t?lic� Works
------------------------------------------------- ------------------------
COST COMPUTATION
------------------------
--- -- - ---------
I --No. -of----I-Equipment---I -No- -----I -A--m-o-un-t----F�ub- I Admin. I I
I Employees I Used I Hours I Per Hour I Total 1 100% 1 TOTAL I
------------ I -------------I--------I----------I-------I --------I ---------I
I I I I I I I
------------I -------------I-------- I ----------I------- I -------- I ---------I
I I I I I I I
------------I ------------- --------I ----------I -------I-------- I ---------
I I I I I
------------I------------- --------I ----------I-------I--------I---------
I I I I I
------------I------------- --------I ----------I-------I--------I---------
TOTAL BILLED:
Date Billed:---------------- Date Payment Received:-------------------
N 0 T I C E T 0 A B A T E
TO PUBLIC WORKS DEPARTMENT Date:- Z ------
WEED ABATEMENT IV , NUSIANCE ABATEMENT I I
Property Address: b, V'I -------------------
Legal Description: -------- -
------------------- -------------
Property Ovner:
Mailing Address: ------
- ---------------------------------
'14 7,' �' 'e, -I' '�
----------------------
Type of Work:
------------------------------
Lot Size: -------------------
Ordered By:
-------------------------------------------- --- ----------------------
TO ZONING DEPARTMENT
Date Work Performed;--------------------
EQUIPMENT EMPLOYEES *------- * hrs- --------
1- ---------------------- * hra
2- ---------------------- # hrs
3- ---------------------- # hra
4- -- -------------------- * hra
Comments:------------------ -----------------------------------------------
Signed:----------------------------
Superintendent, Public Works
--------------------------------------------------~------------------
COST COMPUTATION
-------------------------------------------------------------------------
I No. of I Equipment I No. I Amount I Sub- I Admin. I
I Employees I Used I Hours I Per Hour I Total 1 100% 1 TOTAL
------------ ------------- -------- ---------- ------- -------- ---------
------------ ------------- --------- ---------- ------- -------- ---------
------------ ------------- -------- ---------- ------- -------- ---------
------------ ------------- -------- ---------- ------- -------- ---------
------------ ------------- -------- ---------- ------- -------- ---------
TOTAL BILLED:
Date Billed:---------------- Date Payment Received:-------------------
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
-- ---A u 1992 FA-X(904)247-5805
Devon Hurd
482 Mako Drive
Atlantic Beach, FL 32233
Dear Mr. Hurd:
Our records indicate that you are the owner of the following
property in the City of Atlantic Beach, Florida :
Lot 11, Block 13, Royal Palms 2A
a/k/a 482 Mako Drive
RE*171480-0000 3 - #265
An investigation of this property discloses that I have
found and determined that a public nuisance exists thereon as to
constitute a violation of Section 12-1-3 of the Code of Atlantic
Beach, and that there are high weeds continuously present on the
property.
You are hereby notified that unless the condition above
described is remedied within fifteen ( 15) days from the date
hereof, the City will remedy this condition at a cost of the work
plus a charge equal to 100% of the cost of the work to cover City
administrative expenses, which will be assessed the property
owner or occupant. If not paid within thirty (30) days after
receipt of billing, the invoice amount plus advertising costs,
will be posted as a lien on the property.
Within fifteen (15) days from the date hereof, you may make
written request to the City Commission of the City of, Atlantic
Beach for a hearing before that body, for the purpose of shoving
that the above listed condition does not constitute a public
nuisance.
Sincerely,
Karl Gi-unevald
Code Enforcement Officer
KG/pa
cc: City Manager
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
I"
Permit Number: 23539 Address: .482 MAKU DKIVE
Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 2,050.00
vogrismil
Date Issued: 3/02/2002 Name: MARY K HURD
Total Fees: 38.00 Address: 482 MAKO DRIVE
Amount Paid: 38.00 ATLANTIC BEACH, FLORIDA 32233
Date.Paid: 3/02/2002 Phone: (OOO)OOO�0000
Work Desc: REP—GkC—EMENTWINIDOWS
A—P—PLIMT
row 38.00
AMERICAN WINDOWS PRODUCTS
X�
S,
W, 9
-.7 0
Av-
TION
NU I IU T A im
ISPACE,AND
BUILDING MATER Oil WIN
MUST BE CLEARE
4
"FAILURE TO CO THE
PROPERTY OWNER .,,Y9M.
ISSUED ACCORDING TO AP SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICAB .. .. .......
Oper: CHERYLE Type: OC Dr
,0000� Date: 3/21/92 It. Receipt m; 44370
14 PERN17S-NILDING. 1 $38-96
Trans mober: 799679
AT TIC EACH BUILD DEPT. CK CHECKS $38.86
Transdate: 3/21/62 Time: 15:56:35
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address—# �4192 M(41(-C)
Date 31, /C)Z--
Heated Square Footage @ per sq ft =
Garage/Shed @ $_per sq ft = $
Carport/Parch @ $_per sq f t = $
Deck =@ $_per sq ft = $
Patio @ $_per sq ft = $
TOTAL VALUATION: $ 2
lot)
$
Total Valuation ist M .
I atM $—
Remaining Value
.). per thousand
or portion thereof
TOTAL BUILDING FEE $ 2 Is.
+ 1/2 Filing Fee $—
( ) Fireplaces @ $15 - 00 $
BUILDING PERMIT FEE $ vo -
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
) RADON (HRS) .0050 $
SECTION H PAVING $
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE $
ADDITIONAL PERMITS OR FEES : Mechanical_.; Plumbing
Electric/New Electric/Temp_; SwimmingP001
Septic Tank Well Sign Finish Floor Elevation
Survey Other_
CALCULATIONS and/or NOTES:
t_ eb ez) Je li : 4ea builoing Department dUq_e1i /_0bUb p. i
R, C
4 A�+
Ian,
L
City of Atlantic Beach 800 Seminole Road - Atlantic Beach,Florida 32233-5445
Phone: (904) 247-5800- FAX (904)247-5805- littp:i/,A,Ny�v/ci.atlantic-beacti.il.us
PERMIT APPLICATION FOR REMODEL, ADDITIONS AND2kLTERATIONS,
IN10'VING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FANIILY (DUPLEX) CONSTRUCTION
DATE
tsLDDRESS 49 2- MaLO PHONE: 5-L(r)4
ADDRESS WHERE WORK IS TO BE PERFORMED
LEGALDESCRIPTION: BLOCKNUNIBER LQ,� ZONING DISTRICT
E LICE
E
CONTRACTORA_m�,�COJ_) OJI ndt)W f&iP-' A NSE NUMBER SC - W303 10
pHoNE
ADDRhSS _XL�� —
CITY STATF. ZIP 322()q FAX 7-3/-S5>2 4
DESCRIBE PROPOSED USE AND'yVORK TO BE DONF
j
3UI LDING OFFICE
P
PRESENT USE OF LA.ND OR BUILDLNG(S)_ A9 d'uibai
VA.LUATION OF PROPOSED CONSTRUCTION' (DID
Is this �n addition? by feet
A_ If yes, what are the dimensions of the added space: feet
';V;ll t.-ie added area be heawd and cooled'? --,--New electrical or increase in seivice?
New plumbing dxrures? New fireplace? Ni�w heafng,, ai�r conditionina?
:3 approval or Homc,�)wner's Association or other private entity required? - -----__ If yes,please sub rnit with this applic Z6 oil,
PROCEDURE: (In order to expedite issuance of permits, please follo-w all steps and vro"ide all
information as appropriate.)
STEP I. Verify zoning designation and proper setbacks for the proposed construction. If you are urisure ofthis iii-formation, plfase
contact the Plannin-and Zoning Dtpartrnent at 904-247-5817. In order to corrc�ctly verify zoning designatiOn,pleose have
Property Appraiser's Real EsEate Number available.
STEP Z. Contact the City of Atlantic Beach Dtpartment of PLbtic Works to dm!nrdirie if a prt-consmct,,on or post-construction
topographical survey is required. (If not required, written verification rnust be providt�d with this application.), The
Dcpart,nc.rt of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach, Y!_ 32233 Telephone:(9C4)247-5834
STEP 3. Please submit Energy Code Forms, Notice of Commencement, O-Amer,'Contracroz Afflldavi� if ownur is coiitractor, and
four(4) zomplete sets of construction plans to the Building Department, which is located at thc Atlantic Beach City Hal�
800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
APPRO"17
�CJTY OF ATLANTi,
BUILDING OFFIL-;-
7 City of Atlantic Beach
Building Permit
1
Applicant to complete numbered spaceab
Job Address: Mak-0
1 Lot No. I Block: Tract: see attached sheet
2 Owner(Mailing Address):MaxQ 4aJ Mq�o DPc -
Lo Fa' �
3 Contractor(Mailing Address):4y"can VVY)cLo Registration A
C>
4 Architect or Designer(Mailing Address): Registration A
5 Engineer(Mailing Address): Registration M
6 Lender(Mailing Address):
7 Use of Building:
8 Class of work: - New - Addition Repair move - Remove
9 Describe Work: e
Uj rtAwt:l, W
10 Valuation of Work
$
2050 ,00
11 Special Conditions:
P� p
n
".VP too,
n
�1,oad
prinklert,
W�
Accepted Plans UhMed Approved
NUTIQ
�V2
Separate permits are required for electrical,plumbing,heating,
ventil ting or air ocondiWning. This permit becomes null and vo4o 11
a'
work or construction authorized is not commenced within 6 40
months.or if construction work is suspended or abandoned for
a
period of 6 months at any time after work is commenced.
V
I hereby certify that I have mad and examined this applical:ion and
know the same to be true and correct. All provis
.Ais of laws of 77,0
laws and ordinances govenniDg this type of wo Ill be complied ev
;t g
with whether spa d he or not,the g Of a permit does
th other pe a he ;r notathe i.i.dc
is
I wh S g of I.pa7 n
._. I Y.isu Ity,
not presi I iYe au I to violate cat the provision of
Zctio
any oth or law regulati ristruction of the
f 4e,
f 0
fo
pper,
art
wonzed Agent
01wriature of Contra I I ulate
V�
-u
iru
N
Mig-n=aure of Owner(IT Owner uilaer) Uate
�,N
Molt
Betty Feld-r
*S**Cft0rn0nCWtft0b6n CC881315
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NOTICE OF PRODUCT CERTIFICATION
CERTIFICATION NO: NI 004252
DATE: 10/12/28
CERTIFICATION PROGRAM: Aluminum
COWANY; Bell View
CODE: B-153-1
The'Notice of Product Certification"is valid only when AdmirListrator's Seal is appli-ed to the upper left hand portion of this
form and a certification label is applied to the product. This certification seal represents product conformity to the applicable
specificatioa and that all certification criteria has been satisfied,
The product described below is approved for listing in the next published issue of the Directory of Certified Products. Please
review, and advise NAMI immediately if data, as shown, requires corrections.
COMPANY NAME AND ADDRESS PRODUCT DZSCRIPTION
Bell-View, Incoporat:ed Series "Blue-Chip" T�lt
PO Box 208 Single Hung Aluminum Prime Window
Wrighcsville, GA 32096
CX1TLT11G1S..",rG1DS21FER
STP PSF
Frame:W-4'61' Sash:W-41311 !NT-105. 0:i
Jq-6`3 Jr-311 " EXT-105. 0i
SPECIFICATZON PROD17CT JLATX1VG/GRADE
AAmAINWWDA 2021I.S. 2-971 H - HC40
AAMA 1302. 5-76 Modified Sill H HC70
Product Tested By: Certified Testing Uboratories
Repon No: CTLA-280W-3
Expiration Date: AVrH 30, 200.2-
Administrator's Signature:
NATIONAL ACCREDITATION AND
MANAGEMENT INSTITUTE, INC.
PO Box 366 - 207 S. Washingwn Street
Berkeley Springs, WV 25411
TEL (304) 258-5100
FAX (304) 258-5111
--- ------- ---- ---
ERTIFIED?TgESTING ABORATORIES F]
0 '*_1
Architectural Oivi3ion * 7252 Narcoossee Rd. 9 Orlando,FL 32822
(407)-384-7744 9 Fax(407)-364-7751
Repo�rt Number* CTLA-29OW-3
Report Date- May 26,1998
STRUCTURAL PERFORMANCE TEST REPORT
Client: BELL-VEEW, INC.
P.O. BOX #208
WRIGHTSVELLE, GA 31096
Product Type and Serie3: BLUE CHIP ALUMINUM TILT SASH SINGLE HUNG DH-HC40 *54"X 75"
Test Specifications: AAMA/NWWDA 101A.S.2-97"Voluntary SpecTications for Aluminum,Vinyl,(PVC)and
Wood Windows and Glass Doors"
Frame: 71it extruded aluminum fmine measured 54" x 75"overall, Coped and butted comer construction.
Each comer secured with two(2)#8 x.75" S.S., P,P.H.,fasteners.
Configuration: Fixed lite:Top with clear lite opening memring 50,5"x 36.5". Operable sash in bottorm
Ventilator: Operable sasit measured 50.5" x 36.5*high. Coped and butted corner construction, Each corner
secured with(Nvo(2) big x .75' S.S., P.P.H., fasteners,
Weather Stripping:
Quanti!y Deacrintign Location
Two(2)strips Wool pile with integral fln.2SOO high Each sash stile
One(1)strip Wool pile Mth integral fin 250"high Faint sil I
One(1)strip Rubber bulb.350 o.d. Frame sill intermediate leg
One(1)strip Rubber T-spline,170"ria Fixed inecLing rail
One(1)strip Rubber V-spline .200"fin Glazing bead
Hardware& Location:
QunnfilX Dewri2tion Location
Two(2) Spiral balances One(1)per frame jamb
Two(2) Nylon tilt latches Eacb end of interlock rail
Two(2) Nylon s=urity sash locks Mounted on each end of interlock rail
face
Two(2) Nylon balance shoe sets One(1) per fraine jamb
Two(2) Cast aluininuin sweep latch 13,5"frow eaclijamb on interlock rail
Glazing: Jusulawd glass, two(2))lites of 118"annealed glass%vith 3/8" air space,interior glazed with adhesive
back bedding compound and aluminum extruded channel bead. Secured to fmine with ten(10)*8 x V
S.S.,P.H.fasteners, V from each comer and 6"o.e.harizontal, Six(6)#9 x V S.S,,PA fasteners, V
from each comer and 6" o.c.vertioal,
Sealant: Small joint sealant was used on all frame comers.
Weep System: Screen retaining leg of fraine sill was notched.50"x leg beight, located 1.5' from each jamb.
Page 2 of 3 Ball View,Inc.
Report No CTLA-29OW-3
Reinforcement: None
Additional Descriptiou; None
Screen: Rolled formed alurninam with fiberglass mesh.vinyl spline, plastic cornet keys,two(2)pull tabs and
two(2)spring clips.
Installation: Sixteen(16)#10 x I I/s" S.S,,flathead screws were used to secure the specimen to the wooden test
buck, Tlime(3)in head and fill 5'from each end and mid-span. Five(5)in eachjamb 6",21",35',
52� and 67"froin top to bottom.
Surface Finish: Bronze
Comment: Nominal 2 mil polyethylene film was used to seal against air leakage during structural loads. The film
was used in a manner that did not Influence the"results.
Performance Test Results
Earngraph No T"Itle of Tes Method Measured Allowed
*2.1.2 Air Infiltration ASTM E293-91 .06 cfiniftz .3 cfmlft'-
@ 1.57 pst
The tested specimen exceeds the performance levels specified in AAMA/NWV;DA 101/I.S. 2-97.
02.1.3/4.3 WaEer Resistance ASTM E547-91
5.0 SpIVft2 Four(4)five minute cycles No Entry No Entry
WTP-6 psf ASTM E331-91
Fifleen(15)tninute duration No Entry No Entry
Test conducted with and mithout scrten,
2.1.4.214,4.2 Unifonn Load Structural ASTM X330-90
Permanent Dcrorniation
@ 103 psf Positive Exterior .045" .146*
@ 105 psf Negative Interior .0570 .146"
Forced Entry Resistance AAMA 1302-5 1976
Test A ON 1/2"
Test B ON 112"
Ten C ON 1/20
Teg D.E, F ON 1/20
Tesi G 0. 1/2"
*2.2.1.6.1 Operating Force AAMA/NWWDA 101/LS. 2-97 42 lbs. 45 Itra.,
'02.2.1,6,2 Deglazing ASTM.Z981-88
Top Rail 70 lbs. .011"= 2.2%<100%
Bottom Rail 70 lbs, .0 15"= 3% <D0%
Left Stile 50 lbs. .008"- 1.6%<10(rla
Rigbt Stile 50 lbs. .007'- 1.4616<100%
Reference CTLA-28OW dated May 21, 1998
Pago 3 of 3 Bell View,IM,
Report No Cn.A.280W.3
Test Date: April 23, 1998
Test Completion Date; . April 23. 1998
Remarks: Detailed drawings were available for l4boratory records and comparison to the test spocirneu at the
time of this report. A copy of this report along with represc:itative sections of the test specinlen will be
retitined by ML for a period of four(4)years, The mults obtained apply only to the specimen tested.
This test r"rt does not coiWitute,certification of Us product,but only that the above test*results v4m
obudned using the designated test methods and they Indicate compliance with the performance
requirements(paxagraphs as listed)of the above referenced specificatiom.
Certified Testing Laboratories assuines that all inforrtuxtion prMded by the client is accurate and that
Lhe physical and chernical properties of the components am as smted by the ir=ufacturer,
Certified Tcsting Laboratories, Inc.
I I
jj
JaDB�Iakely 4,
Vice President
Architectural Division
cc: Bell-View (2)
NANJI (2)
Ramesh Patel P.E.
File
'77
41,
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C3 Proposed Construction DESCRIPTION OF MATERIALS No.
�Tb 1), inwirteii b� FIIA or VAI
Under Construction
'Property oddress city ------ state
M6rtgagor or Sponsor
Nam,) i A(kiress)
Contractor or Builder
(."dress)
INSTRUCTIONS
I. For additional information on how this form is to be submitted, number required, then the minimum acceptable will be assumed. Work exceeding
of copies, oft'., see the instructions applicable to the FHA Application for minimum requirements cannot be considered v n less specifically described.
Mortgage Insurance of YA Request for Determination of Reasonable Valve, as 4. Include no alternates, "or equal'' phrases, or contradictory items. (Con.
the cop may be. sideration of a request for acceptance of substitute materials or equipment is
IF 2. bescribe all materials and equipment to be used, whether or not shown on not thereby precluded.) I
the drawings, by marking an X in each appropriate check-box and entering the S. Include signatures required ot the end of this foileiii,
infonnortion coliod for in each space. if space is inadequate, enter "See MiSCr 6. The construction shall be completed in compliance with the related drawings
and describe under item 27 or on on attached sheet. and specifications, as amended during processing., The i0ecifications include this
3. Work not specifically described or shown will not be considered unless Description of Materials and the applicable Minimum Construction Requirements.
I. EXCAVATION:
sandy lown
114-Aring soil, type
2. FOUNDATIONS: 2000 Ib.
Footings: concretc mix stl, P�l- Reinforcing 2)—#j
Foundation %%alE material r Reinforcing
jinterior foundation wall: material Part% foundation wall
toluviitts� nvaterial and sizes
Pic,s: niaterial and reinforcing
Girders: material and sizes silli: niatelial
Basemententrance Window afraways
11oVaterprotofing Foo)ting diains,
Termite protection
Basenicurfess space: ground co%er izi�kdatwn Fomidation
Special foundations
Additional ink)rmation:
3. CHIMNEYS,
Material Prcfabri,att-d waoi� and
Flue lining: material I Icaler nut. s; Fireplace Hue sizt.
Vents (rnalortal and gas ,r oil licater water heater
Additional informaLion:
4. FIREPLACES:
Type: C) solid fuel; [] gas-buining; circulator ?n(Ae ind iu-r I Ash dump and (lean-out
Fireplace: facing lining hearth friantel
AdditionA information:
S. EXTERIOR WALLS:
Wood frame: wood Fradc, and spr%io%.,___ Corner bracing Building paper or felt
Sheathing thickness width L] solid Ej spaced o. c.: diagciinal;
Siding grade IN Pe si,,r expoqure fastuning
Shingles grade SiZV 1'XjK)SU3'C fastem
t N pr ng
,Stucco Lill,
thickness Acight—lb.
Masonry venver
Masonry:11-ENOW 0 fkc4:d El s(uc(ocd; total -ah thickness Wing I�cing material
Row1ock
Backup material thickness'-__ boiii-ling
Door -W6 AX0rWf-1F_iL_'
!_tl_ _!�CJ�fi'inclow sills
_b:1tf
'Interior surfitcr&� dampl)roofing,____,__ (oat% of
furring
7 or
Additional infbrtriation�
'of
Exterior painting: material ------- nurnhe N
Gable %%all (onstru(tion: =tinr its Main walls, other ronstruction -.Rrkzt_,
6. FLOOR FRAMING:
joists: %%oo-KI, grade, and species other hridging anchors
C,uncretc slabi [] hascnTni flix)r: IiISL fhx)r� W.gr0kind sup�iorivtl, st-111supporting: mix thickness
re
infor(ing6" X -1.QVIO intembrane
th
Fill under sFtl.).* material C-1 FVI'�.X! -9eTid___ thickness Additional inIfiarmation:
-7, 'kfilAOORJING,. (Dewib*-underflooring for speciol floors under item 2 1.)
Material: giade and species size type
l.aid: [] first floor; F1 second fl(x)i-: Ej attic sq. fi.; [] diagonal; [I right angics. Additional information:
S.,FINISH FLOORING: (Wood only. Describe other finish flooring under item 2 1.)
-10. RIX)MS SPECIF Tiu<,�K
1,,X�Al GRAM �N s Winvii 81 Ns� PAPER FiNtSit
o"
$econd floor
Attic floor - —sq. fl.
Additional information,
A, it. C64SAIWELL SUPPj.Y Co. 'OESMPTION OF MATEKALS`�
A
7r77`7
7, 77
7`1
1�7
twwtipnoN OF MATERIAISi-"
1C,Z0A*T1T16N FRAMING: A
Flo __Vr e-1 size and sparing 0 a 0 Other
4tudc, wood, grade. and spe(ies__��
Additionail information:
10. CWM FRAMING:
C) —1D It
i,2x6 sl�� 6
wood, grade, and spe( Other Bridging
Additional information:
I). ROOF FRAMING:
Roof trusses detad)- grade and,species
Rafters. wood, grade. and spccies—
Additional informatiow
k 12 *OOFINGr
Sheathing: g a and
I t c
g. &-eTT
Kbbofin grade size tyl 0 solid, spl�p!�P
f elt Wei 5
ght or thickness.
Built-up rm)ting number of plies surfacing material
F lashing: material 191�iv* gage or weight C] gravel stops; n snow guards�_
Additional inibrmatioln:
13. GUTTERS AN
0 DOWNSPOUTS:
Gutters: material F g-ge
i o)r weight size shape
Mwnspouts-, material gag, r weight size shape number
Downspouts connected (u:-0 Storm sewer� 0 sanitary,sewcr; [I dry-well. Splash block&: material and size
k4ditional infi>rmation-.
14. LATH 'AND PLASTER
Lath 0 wall&, E) ceilings: material weight oi thi(kness Plaster: coAts finish
Diy-wall b walls,6cie'linp, J thickness finish
reatment. and qementec't
joiat t
-IS. DECORATING: (Point, m�olooper, etc.)
Ms WAt� FIN181i MkILRIAL Am) APPIACAMN CziuNG Fixili", MATxRtAL ANt),ArPwwrzoN
t ---------
Other
- Additional information:
16, IWEIROR DOORS AND TRIM:'
Doors- type material 7_11LZI thickness
'in: type -se: type atook Yel. -i:drlk size
Door In --al mairrial—y-al- pine. w material
Finish. doors ,gRA,'n j 0,�; trim LQ� Q Q;'�,
Other-tritu (ilem, 1,11pe and I(At atwn)
Atdditional information:
17. WINDOWS:
Window%: type." make material sash thickness
c4as s. grade sash weights; balances, type head flashing
Trim: typea2rj�, bd . j=,b�j nlat(.rial__ Paint number coats
Weatherstripping: type material Storm sash, number—
Screensom full; 0 half; q I)c
numher—;,screen cloth materW_
A
Basement windows: type. material 0 screens, numb" 0 Storm sash, number
Special windows
—Additional information:
IS. ENTRANCE$ AM EXTERIOR DETAIL:
At—C)l
M ",4%amr.- material V01 thickness
ain entrance door: materiAF-Ohd CrID Li`� width thickness� pi
ent
Other rance doors: material Pondero a,_-�Xinq width P—O"; thickrie.,l 1/41rame; materialy-Q!,Din thickness 3Y4.*
Head flashing Weatherstripping: type, j"i*XiX4��, bl'0212MI ; saddles L-i",
Screeri doors., thickness number screen cloth material Storm doors: thickness atimber
Combination storm and screen doors: thickness number—; screen cloth material
Shutters; 0 hinged�o fixed, Railings Louvers
Exterior millwork: grade and specicsl_l � better yel Paint QXterj_Qr )�611AP_ number coats 2
Additional information:
19. CANNETS AND INTERIOR DETAIL:
kitchen.cabinets, wall units: material lineal feet Of shelves shelf width
Base units: rnaterial .— counter top !jLT,1 'C",E'tie edging I EM, T.,I P7A t I
Back and end splash IET Y:1,QStiC Finish of cabinets number coats
N 6edi6ne cabinets: make model
Other cabinets and built-in furniture
Additional information:
20.1 HMRS.
RISF.Its STItINGS HANDRAW BALUSTIRS
DS
STAIR
rMaterial Thickrkess Material Thicknem Material Site Material $iae Matexill Sim
Basement
Main
j4dappearing. make and model 11LIMber
2
A,,It 00GOWELL&UPPLY Co.
71
FLOONS AND WAR0001r:
TMtMO&A -VALL Ama
MATWU
MATIMAL, COLOR, WRIDAR, SIZES, GAGIs, ISTC,
1/31,6 tile
Kitcheli
6 'd�
BALth v�'o 6 C;
0
1,1(7.
all,
L -ATtON MATERIAL. COLOR, BORDER, C-8p� SuEs, GAGE, ETC, OvElk TUB (FRom FLO")
OU
on.! b W—o"
BAth IjLj Glazed-cer, '4 r- 6h0v;eL
'�'xol��,d tub m.-,y
NQo,2, Gla z e d. tile
t
terial Chrcglme number
114Aroom accessories: E] Recessed; material number Attached, ma
AMitional infwmation:
-22, "MMM:
FIXTURZ NUMBER LoCATION MAKE MrR'S FIXTVItE IDENTIFICATION NO.
ater clitiset
n
-Uthtub
r.-T" 7 L( 4
Sol S,hQwerA—
Laundry trays 41
rod A Ej Door 0 Shower, pan: material
curtain
supply: public;:r community system; 0 individual (private) I;Vstem.ik
Cktommunity system; C] individual (private) system.*
*Mow and de5mbe individual�Pslem In complete detail in separate drarjuingr andtpec!ficatiow according to requiremena,
C3 other
fjouse drain (4*de):jU cast iron; [] tile; 0 other__— House sewer (outside):X] cast iron; C] tilt I
Water piping.11 galvanized ueel� 0 copper tubing; 0 other Sill cocks, number
r: type- Al eet-ri 0--, make and niodel heating capacity
Don� watu heate
Storage tank: material. 61 t'4 capacity gallons.
gph. 100' rise.
ice: C] utility company, 0 liq. pet. gas; C] other Gas piping: 0 cooking; Cj houw heating,
Gas sery
Footing drains connected to: 0 storm sewer; E3 sanitary sevver; 0 dry well. Sump �ump; make,and model
capacity ischarges into
d
23. WATWO.
[j Hot water. 0 Steam. Vapor. El One-pipe system [3 Two-p'ipe system.
[I Radiators. 0 Convectors. 0 Baseboard radiation. Make and model
Radiant panel: 0 floor, 0 wall; 0 ceiling. Panel coil: matet ial
Circulator, 0 Return pump, Make and model capacity gpm.
Boiler; make and model Output Btuh.; net rating Btuh.
Additional information:
Warm air: C] Gravity. Qj Forced. Type of system - g ee drawirZs
thickness_ C],Outside air intake.
Duct material: supply return--- Insulation
Furnace: make and model Input Btuh.; output Stuh,
Additional information:
L3 Spa" heater; [] floor furnace; 0 wall heater. Input Blub.; output Btuh.; number units
Make, model Additional information:
Controls. make and typr-%
Additional information:
Fipirvzl Coal; oil; C] gas; 0 6q. pet. gas; C1 electric; other-- swage capacity 4-
,Additional infmy-w-
uraiiski�d separately: 0 Gas burner, conversion t�,pv. 'E] Stoker, hopper feed [jj bin feed Ej
'S'equiproem f
�1 '(M burner., 0-pirt—asure atomizing; 0 vaporizing
Control
Make and model
Ad&ional *information:
Ve'ctric heating system; type Input—watts; q %'Olts; output
Additional information:
Ventilating equipment. attic fan, make and model.-- capacity
kitchen exhaust fan, make and model If—?3 ccao t
Other heating, ventilating. or cooling equipment
7 7
100 AMP
3ArYjcC::A oye�rhi�d;' box; circuit-br ma sej�vi emumi. ciroit,
underground. Panel: (3 fuse
Wir"'W; copcivit;'o Armored cable; Ej nonmetallic Cable; knob And tube; C] other
�Gutletjr. Q mgt- 0 water heater; 0 other
El'Ohimes. Push-button !orations
Additional information:
�A'
Total allowance for fixtures, typical Lim
S 150�OO
allation,
fixtu'res
ihAvAlAti011
r
In offnation:
A. ft, C06&WE"'&UpKy
DESCRIPTION OF MATERIALS
26. INSULATM:
LocATION TmCKNESS MATERIAi,, TYPE, AND MEI-HOD OF INSTALLATION V.-,Po;t BARRIER
Roof
Ceiling l!"ib r
Wall
Floor
HARDWARE: (make, material, and finish.)
SPECIAL ECWIPMENT: (state material or make and model.)
Venetian blinds , Number— Automatic washer
Kitchenrange
Clothes drier
Refrigerator Other
Dishwasher
Garbage disposal unit
27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere;or use to provide
additional information where the space provided was inadequate. Always reference by item number to correspond to numbering
used on this form.)
PORCHES:
i—ER—R"CE
GARAGES:
WALKS AND DRIVEWAYS-
:- 1 11
Driveway: wiclthj_�, base material thickness surfacing material thickness
Front walk: width-----_. material thickness--- Service walk: width—; material—; thickness
Steps: treads-----"; risers—_". Cheek walls
OTHER ONSITE IMPROVEMENTS:
(Spec?fy all evterior onsite improvements not described elsewhere, including items such as unusual grading,drainage structures, retaining walls,jenct, railings,
aWd airessory siructures.)
LANDSCAPING, PLANTING, AND FINISH GRADING:
Topsoil--" thick: (I front yard; [] side yards; (3 rear yard to feet behind main building.
Lawns (seeded,sodded,or s
,CL�ged): Q front yard side yards rearyard—
Plantim,,: F1 as specified and shown on drawings; Fj as follows:
Shade trees, deciduous,--" caliper. Evergreen trees. to B & B.
Low flowering trees, deciduous, to Evergreen shrubs, to B & B.
High-growing shrubs, deciduous, to —Vines, 2-year
Medium-growing shrubs, deciduous, to
Low-growing shrubs, deciduous, to
li)EN'r]FICA 110N.—This exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the latter is
known at the time of application.
Date Signature
A. R. COGSWELL SUPPLY CO, Signature
433 WEST SAY STREET
JACKSONVILLE 2, FLORIDA 4
FOR OFFICE USE ONLY
Feb. 26 70
Date---................................19 ......
936
Permit #.......................Fee$.�.Q.,.00.......
CITY OF ATLANTIC BEACH Valuation $...1.0..'.0.0.0....0.0.......................
FLORIDAHouse #....4.8.2....Mak.0...D.r.ive..........
....... ............ ..............
............................................................................
APPLICATION FOR BUILDING PERMIT
.........................*..............**'*"'*........ ......
Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlanfle Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
R. L. Johnson Constr. Co. Date------------_2---- ....19---—----70------_------_------P 19............
Owner--- ..............------------ ---Address....2 M_XW/' /T/WW_ ............Telephone No............................
Architect.---------R.......L,,�---jC)h_n60_11..C_.0_nstr_
W -----Addres&................_----------------------------------------Telephone No.............. ..........
Contractor Builde&./ lugWi/I '2
-----------------------------------------------------_Address........... -------- ------------Telephone No......................
Lot No..--.....------1.2---------------------__....Block No--------13-----------------Sub Division...._Royal....F_alm_'9�-------------------------------------Zone_............
482-1...DLak0_Px:_ive---------------------Street-------W,e s-t.....Side Between...Triton..Rd--------------------and-------Sa-b�&-14a---Dr------------------Sts.
.... --------
Valuation $__1Q_.k-0_Q0........For what purpose will building be used---------Res.----------------...Type of construction_....Rrick_-Ve-neer
Dimensions of Building------2-&---X_1�0-----------Dimensions of Lot------W---X-93---------------------Size of Footings-----&...x--,�-----.....
Size of Piers-------__.........._--------Size of Sills----------------------------Greatest Sill Span in ft-------------------------Type Roof-------A.$..hp a I t........
How will Building be Heated?-.....GeMtr-al...Gas_------_-----_----Will Building be on Solid or Filled Ground?------S.0.1-id----------------
Size of Ceiling Joists-Truzs4a�&-------------.--, Distance on Centers........................................... Greatest Span_....------------------................
Size of Floor Joists------ql��-------------------------- Distance on Centers...... --- ---------_------------------- Greatest Span.....................................
Size of Rafters....?___Y_---4---Trus.S_e-S........ DRIM 2_1
lZeffE-8--------------------- Greatest Span_.......................................
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
FEB 20 1970 all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application. THE CITY OF ATLANTIC BEACR
Inspections required.
1. When steel is in place and ready to pour footing. 4� 14
2. When steel is in place and ready to pour columns and/or lintel. 4 Z
3. When steel is in place and ready to pour beam. 0.4
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical Inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City t9KAt*1anticB�Aach. R. L,,oJson const,6Zo,
Signature of Builder.... ........ ... .. ..... ................ ............. ........ Address-----B. ------
XXX
Signature of Owner........... .. ...... ............. . ............ ess....................
16,76,
77
LOIN
DEPARTMtNT0lFsUi' ,.' '�d
Al
'CITY OF ATLANT 0,01WH,
6
I T INFORMATION
-t 16761
I er"Pi, Number Add r es a 48 2, X .0 ,DRIVt
TLAN-Ir A �PLORIDA 32233 ,
l4rini t`,..,T p A IC"ItkCN,
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NOTICE INSPECYtONS4'MUST BE REQUESTED AT LEAST 24 HOURS'PRiOIR TO INSPECTION,
OJILDI:NG MATERIAL,,RUBBISH,AND DEBRIS FROM THIS WORK'MUST NOT BEPLA gD,INPVBLICLSPACE,AND MUST BE
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TIC BEACH BUILDING- EPA E.NT
AN
BUILDING AND ZONING INSPECTION DIYISION
CITY OF ATLANTIC BEACH
ATLANric MEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
II`,,1PORTANT Applicani fo complefe all Items In sections 111, and IV,
Street Acicl,ess:
LOCATION
�C TIO
OF Intersecting Streets: Bet—on
BUILD71NG
11. IDENTIFICATION — To be completed by all applicanis
In consideration of r—r-if qi for doing the -o'� as 'I'sc,it—d in 11'e A'c" slafel—fil we 11—I)y agrep, Io rerform snic] wofl, ifi accordance
.itk the atlaclitiLed plans And sperifi(al;ons �h;ch are a F)6,t hp,eof And ;ri acrrirdancp wilk he C;1y of Jacl,sonville ordinances and standards
of qood practice listed fke,ein.
Name of Mechanical confrAclors
Contractor (Print) awn-'r.,A k MASfOr CAQ_�--UD
Name of
Property 0.ner
S;gmatur ,I d 0 wn:r, Signature of
or Aulh:r I Aq n Arck;tecf or Engineer I
III, GENE"L INFORMATION/
A, Typo of heeling fuel: I S OTHER CONSTRUCTION BEING DONE 04
0 Electric THIS BUILDING OR SITE
0 Gas — [j LP Natural [I Central Utility
IF YES, GIVE NUMBER OF C0"S-TMJC_V1QH
El oil P ERMI-T
El Ofhvr — Specify
IV. MMHANICAL 1EQUI10ME14T 10 IIIE INSTALLED NATUnE OF WOnK
(Pro�ido complete list of components on bock of this form) or 11 colyunercial
[j Host 0 Space [] Rocogsod 0 Central 11 Floor New DulldIng
lm�_Air Conditioning: C1 Room tg�_Cenfral Existing Building
C1 Duct, System: Material Thicinest 1VK Replacrullont of existIng sysletil
Maximum capacity [) New Installation(No systein previously installed)
C1 Refrigeration I.J Extension or add-on to existing systein
Other — Specify
C] Cooling lower: Capacity
0 Fire sprinklers: Number of heads
C] Elarvator [I Manliff 11 EsrAlafor__(num6or) THIS SPACE FOR OFFICE USE ONLY
[] Gasoline pumps —(number) Rece,lived)
0 Tent' (number) Remarks
0 LPG contaimer. (number)
[j Unfir*d pressure �esiql
Permit Approyod by Date
06or — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDHIONING AND REFRIGER-A-TION EQUIPNIEN-Ir
Capacity A proving
Number UnItA I)eicription Model Number 34anufoLcturser (Tons) Item-f
SMR160rCP0 CV&QMEE__.,_
HEATING - FURNACES, BOILERS, FIREPLACES
C&PACIty Approvft
Number Urdtx Deacription Model Number MiLnuf acturer (BTU) Agovcy
TANKS
flow Many Nominsd Capacity Type UqWd Name of Serial Ap 'ing
and Dimemions Contained Mmufacturer No. xglo'ncy