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Permit 939 Amberjack LaneCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number Property Address Tenant nbr, name Application description . Property Zoning . Application valuation . 05-00030196 939 AMBERJACK LN . REROOF . ROOF . TO BE UPDATED . 3500 Date 5/02/05 Owner Contractor BEVARDO, ROBERT MONAHAN ROOFING 939 AMBERJACK LN 2050 KING CR S ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 534-2224 (904) 242-8246 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc STARTED ROOF WITHOUT PERMIT Permit Fee 150.00 Plan Check Fee .00 Issue Date Valuation 3500 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ~~,~,~ ~. _ t e_. r _ .i...,^M., ~'~1 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address ~~~,~ f~ L Date ~ L2'8 (oS Heated Square Footage (a~ $(__,, ( per sq ft = $ Garage /Shed ~ @ $ ~1~~~~ per sq ft = $ Carport /Porch `~~@ $ G~ per sq ft = $ Deck @ $ per sq ft = Patio @ $ per sq ft = $ TOTAL VALUATION: $ 3~~ Total Valuation 26R~ 3S 1 $ ~ o00 $ 3s„ $ ~5 Remaining Value $~per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ S 2) ZONING: + 1/z Filing Fee $ ~.~ FLOOD ZONE: ()Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ _ ~ . WATER IlVIPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IlVIPROVEMENT $ SEWER TAP $ C ( )RADON .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( )SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ ~~. °~ CITY OF ATLANTIC BEACH co: BUILDING /ZONING DEPARTMENT D. Ford iggms 800 Seminole Road oerr Atlantic Beach, Florida 32233 (904) 247-5800 (904) 247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # ~ ~'~ ~ ~ ~ ~ ~D Property Address: ~ 3 ~ ~~ r~ ~~/~'C ~ l~y Applicant: ~C~ v ~N /~N ~_-{./ V -~) ~/~ Project: This permit application has been: Approved ~ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: ~(~~' Date: G~'7~ ~ ~-- Date Contractor Noted: ~ , p}.... s,;.i ~, ts1 • :~ • -~Ji3l~~ Job Address: ~4T~( JF ~,TL~~TlC 3EA:~~°` CITY OF ATLANTIC BEAC ~ 26 ~QQ~ ROOFING PERMIT APPLICAT ON ~3~? xOwner of Property: Address: ~ 3'°I ~ m b~~ ~ Jc~c-~~ Telephone: _S ~ ~ - 2.Z2`- Contractor: 11'1 bnc~.rlu„~ ~©~ ~. ~ c~ , t N `- State License Number: (~C,.p ('~~I 7 g `Z `~ Contractor's Address: 20 S y 1c. ' ~ ~ C2 1J ~~ ~~ ~ 6 ~ ~ `~ ~ Ic Telephone: 2."12 ' ~ ~. ~ ~ Fax: 2 `l ? - ~ ~' `~ ~.- Scope of Work: 2 e rcr ~ ~ ,,.5 l~r ~. ~ 1 e. 1'c>c Deck Slope: Greater than 2:12 3 ~' 12. Less than 2:12 Valuation of work: ~ ~O C) Product Name (Example: Timberline): 1Z ~ ~~ ~;, ~ S ~ ~ ~ ~- r ~ ~, Manufacturer (Example: GAF): ('.,- (~ f = ASTM Designation(s): p- 3Sz~ Required Inspections ~ignature of Owner: St Signature of Contras ~~ ~/> ~ ~~s CG2 ~~ c F(~ ~5~~ J - ~Sworn to and subscribed before me ~i, ~ day of ~~~ ~ , 20~• Mate of Florida, County of Duval ~~ SLiare~ l7 (7~cr.- / :-,~~jj ~ ~;, Notary's SignaturJ _"..-2 vhly Hv>`'a.~'z,'~ T"tie cz~+,trucfDy~ personal! known q L'~~ y ,,,„,. '~~gi.,, ~ f L /1'/vY~ ~ ~ia t~ r s~,c v~~~yj,~~-, ^ produced identification '+k~': S~~ D• STARLING iw; :,~ MY COMMISSION # DD 190702 Type of identification prod ,R(,,, . • 8ondad Thru Notary Pu61ic Underwriters AS TO Sworn to and subscribed before me this ~ day of , 20~~ State of Florida, County of Duval v Notary's Signature: ~- [~ Personally known ^ Produced identification KIRT W. LYNCH Type of identification prodilry Publir., State ~( FIDE°-~- Myrcomm. exp. Nov. 14, 20p5 800 Seminole Road • Atlantic Beach, Florida 32233-54~m' Nn. DD 071745 Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 2!21/03 t F z 0 U ~; a ~ > r~ ~ N ~ Q °' a F- m a ,`$ ~ ~ ~o N ~ ~ ~~ Y ~U CD N d' fY ~ U O v~o ~`~ ~Wifl in-pU u~ m mow? °oa~~~ ~~ ~~ ~~O ~'~_~w oz~~~ NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. State of To whom it may concern: Tax Folio No. County of The undersigned hereby informs you that Improvements will be made to certain real property, and in accordance with Section T13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: ~ 31 ~' rn ~° '~ ~ J~~4` ~ ~ ~``~} J ~~ ~ Q~`~~ Address of property being improved: 9 3 ~ ("~ rn h e ~ J G ~ ~ ~ t f.~...-~- ~ ` Q Q ~~~~ -Gn1d~ General description of improvements: R ~e ra ~ F 'E' ^ ~ ~ r `~ ~`° ° ~ W i ~- ~ 2SY ~. Fee Simple Titleholder (if other than owner) Name Address Contractor m o b~ c, ~, a .. ~.a o C~ .~ ~ G~ Cr ,' `/~-~ Address __2 ° -S` a ~~'~• . C r' ~i ti f' n 1_~ ~' ~.. c. i=• F! c Phone No, ~ `t 2 - 2 z ~~ Fax No. Z °1 Z ~ ~ ~f `1 ~- Surety (if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address _ Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the tJenor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): Zs~~ Z . _._,,.._ ... a.. _... r_F cnR RGrnanFR~s usF nii Owner's interest in site of the improvement ~~~ ~ ~ ern ~ ~ ~ ~ QEZt: hQQQ QQQ`~ 2QQZ ~dressee lets iter to ~ ~ 5 r ,~ vc~,i au• 'nted Name)_ _ ate of De1iv ~ ComP ,,,, :,,,,,- the reverse ~! ~ `~ item 4 if Rest..y-and address on g: eceived by ~ Print your name ~~ ^ Yes of the mailpiece, add+~ different from item ~ No so that we can return the card to Yo ' D. is d address bet°wc ~ attach this card to tac bperrnrts. tf YES, enter deliveN or on the front if sp 1. Article Addressed ~~ j~r'~i`'~ "t ° j ~ s~"~/ , '-"' _,,~ ~ t,,..~'~ 3. ~Sefrvice TYPe ~ express Mail + ~~~~ ~ ; ~~ ~- ~' ~' ~ 5d Certified Mail i t for Merchandise l /0~-Registered C~ Return Race P ~'<~,,,, ~ ~ [] G.O.D. C] Yss ...~ ~ sured Maii DetiveN? (Extra Fee) 4. Restricted r ~ ~~ ~ ~4/ - fs° ~ ~ 1025S5-~z.M-1435 2 Article Number ~ ~ rrransfer from service label) pomestic Return Receipt - ~ • must 2001 t..c,n ~ ~~ ~~~ No Insurance C (Domestic Mail Only; u~ (_ J rn ru C`- Postage $ S Certified Fee Q O Return Receipt Fee d {Endorsement Requred} O Restricted Delivery Fee p (Endorsement Required} O ''a Total Postage & Fees ~i ~ Sent ?o ~+reet, Apt. No.; CITY OF ATLANTIC BEACH BUILDING AND PLANNING 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE: (904) 247-5800 FAX: (904) 247-5845 http://ci.atlantic-beach.fl.us June 12, 2003 Ms. Leigh Anne Giles 939 Amberjack Lane Atlantic Beach, Florida 32233 Dear Ms. Giles, Our records indicate that you are owner of th Beach. Investigation of this property discloses that a issued. Failure to obtain a permit as required per Flo will result in the case being turned over to the Statute 264 the City of Atlantic Beach may in Thank you for your prompt attention to this m Regards, 1.., t-~~.c,,---- Larry Hjggins flepu#y-Building Official ~1 f~~`t ~, I~+~ No ~~, ~~: )4, la Cc.. Don Ford, Building Official Alex Sherrer, Code Enforcement Official file ~ ~'..r ~e/~' ~'t~/ Tie Qor,~ ~~~ a ~oc~ Z-~ ~" " ~ _ ~ CITY OF ATLANTIC BEACH BUILDING AND PLANNING 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE: (904) 247-5800 FAX: (904) 247-5845 http://ci.atlantic-beach.fl.us June 12, 2003 Ms. Leigh Anne Giles 939 Amberjack Lane Atlantic Beach, Florida 32233 Dear Ms. Giles, Our records indicate that you are owner of the above property in the City of Atlantic Beach. Investigation of this property discloses that a permit for a room addition has not been issued. Failure to obtain a permit as required per Florida Building Code, Chapter 1, Section 104, will result in the case being turned over to the Code Enforcement Board. Under Florida Statute 264 the City of Atlantic Beach may impose a fine of up to $250.00 a day. Thank you for your prompt attention to this matter. Regards, Larry. Mggiins Dep,u#y-~~tilding Official Cc:. Don Ford, Building Official Alex Sherrer, Code Enforcement Official file .~.r.~.,_., t Application zs hs building or oth~ the City of Atl Beach and'all ru herein specified The Contras contractors eng: ing intermediat, be verified. i'~"-. P~. ~" I c ~~ ~ 2 ~c ~.P W c T-t'` (. ~ ~ T r 25 `~ BEACH )ING PERMIT detailed statement of the plans and specifications herewith submitted for the nation is made in compliance and conformity with the Building Ordinance of ions of the Laws of the State of Florida, all ordinances of the City of Atlantic Department of the City of Atlantic Beach, shall be complied with, whether i issued a BuildinJ; Permit is auboma'tically responsible to ascertain that all sub- 1e City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ~d that a list of sub-contractors be submitted to this office so that licenses can FOR OFFICE US ,~O~NLY Date.......~~!!~ ...x....19 ...... Permit . ~~. _ ~~ ~'~ ..... # .. ~.. ......Fee $--~~........... Valuation $..~~.~..~ ............................. . House # .... .....................•---•-- ... ~~ - - Owner...~(s2~~....~'~!~.tJ.~ ..........................................._ _ -Address--_~,~.f~21.~e2~~'~.K.~. - ~ .........Telephone Noa..y..~...~7„.,~• Architect........----• ...........:...................~._{................-..-----...------- - - .......Address...............\.......-----.........._....... ----•---.....Telephone No.---•--................--•-- Gontractor Builder.~e.-~.,I,.S...711.(.~d[..1....-_•--•.--•----._......__Addresss~Qlc~.~11~[txtsK~-../.~_f~~.......Telephone No.,~.~1~o/~.z- Lot No.._....s~.. ~ .......................•--------...Block No._.._..... ~ -__ - --.snb Division....~o;~.eQ~-....P!t=.~••~t..S...k.r.~!_ r ... °~cJ~2i..Zone................. ...............................•---•--.............. _._..Street-•--------•-•-----••- .-Side Between _. --_....--•--..._._..........__.........._...---.and....__..--•-•-••----•-•---•---....----•-•-------......Sta. - -- .3 - .~ ~ v ~'9 Valuation $..,~.OOD~ ,For what purpose will building be used.. -...~t u~a1-~s~s .............Type of construction.. ~oN.G'!~efC._!~'Ccc~G i i i~ Dimensions of Building. ~`...c~~y_.~ .............:Dimensions of Lot.. -~s'....:!r BOO :Size of Footin yr . Site of Sills__...._.. Greatest S' 1 S n in ft._..~........ . Site of Piers--• ............................... ~ - - - -- -- Y R~e~s> _ - - ... wu Sc C~f~ - .4l ...Type Roof...~~~.i!7/:.A~r.4.°.E.,... How will Building be Heated?~~~/1L..~_S.1~rG..FL2o~_~+~'sZ"` ~-Will Buulding be on Solid or Filled Ground?.._...s.~-~ .................. Size of Ceiling Joists._..~`~fcSS•4.5.--•.-.°---.---., Distance on Centers __ ..........................._..........., Greatest Span._...~.fi.~....._~.~/........_....... ,~ Size of Floor Joista..__..---•-• ....:.............................. Distance on Centers....- .__ ................................, Greatest Span....--.•---...... » Size of Rafters.-----._...~/Z~e.sS.~S---....-----•- ... Greatest S ~ ~ » ..._.._.., Distance on Centers .................................. , Pan....°'~S~•-•------....-----•--•-•----- R4D~ S.TAI~ RE~ISZRATlO~t #~,____. --- Two copies of plans and specifications shall be submitted with application, Inspections required. 1. When eteel is in place and ready to pour foaling. 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbingls completed, and neatly. 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. This rectangle is to represent the lot. Locate the building or buildings in -the right position. Give distance iq feet from all lot-lines and existing buildings. REAR LOT L'TNE z .. a W 43~ c" 0 O .4 O ^i g-~ ~~/- b~ "o ----_ O +M ~ • 1 K ~^ z .`~ is FRONT OF LOT In consideration srf pe given for doing the work as described in the above statement, we hereby agree tai perform said work in accordance with e a shed plena and specifications, vahich are a part hereof, and in accordance with the building regulations of the City o tl 'c Beach. Signature of Builde .. . ... .~~ ~~.e_s,..a-~-----• Addressp~.~~..~G.~.~~E~~a!~!5~..~.~..l~G.!`-~........~.~.... Signature of Owner. .......~ . ~^--i~2~L-•~~'~-G~-~•-=! ------- Address. :3y`•• .....-• -----•---•--- ~~~ ..~ ................. I~DDENDUM This plan approved subject to the following provisions being included in the buildings In hollow masonry unit construction, each unit cell shall be reinforced with at least one 130. 5 bar at all corners; poured and tamped with concrete; such reinforcing shall be properly tied into the footing and spandrel beam. All wood truss rafters----roof construction shall be securely fastened to the exterior wars with approved hurricane anchors or clips. Footings shall be continuous monolithic concrete uri~er exterior walls, reinforced with two 5/8" deformed ,reinforcing rods for one-story building and three 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods shall be p]_aced in the lower one-third of the footings, properly placed and fastened on metal saddles with wire. Footings shall be 20' wide and 8" thick miniiittim. The undersigned hereby certifies that he has read the above and understands that this addendum takes precedence over any contrary details td the plans and specifications and agrees to comply wAPPReOV~~t of this addendum. CITY of ATLANTIC BEACH gU1LDIN OF !CE L 3 7~ BY Dat By `I'. f~ ;, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 05-00031098 Date 9/07/05 Property Address 939 AMBERJACK LN Tenant nbr, name e REPLACE WINDOWS W/OSB Application description F2ESIDENTIAL ADD/RENOVATE/ALTER Property Zoning TO BE UPDATED Application valuation . 3346 Owner Contractor ------------------------- ------------------------ HAMPTON, MARY AMERICAN WINDOW PRODUCTS 939 AMBERJACK LN 2633 POWERS AVENUE ATLANTIC BEACH FL 32.33 JACKSONVILLE FL 32207 (904) 731-2247 Permit BUIL,DLNG PERMIT Additional desc . Permit Fee -100.00 Plan Check Fee .00 Issue Date Valuation 3346 Fee summary Charged Permit Fee Total 1.00.00 Plan Check Total .00 Grand Total 1.00.00 Paid Credited Due 100.00 .00 .00 .00 .00 .00 100.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE V1'f'I')i :~d.l, t'1'1`Y C)F ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,-,, :, -, ~ =4 4 ~'; r . r .: BUILDING OFFICIAL CITY OF ATLANTIC BEACH '' ~ ~~ ~ PERMIT CALCULATION SHEET ~~ ~~ ~~,~~r ~~s ~' Date: ~ ' 3 f 0 S~ Address ~f 3 ~ ~ ~~ f _ , <: ~ _; . + ~ :. ~ ~v . - t-.~~.v ,On ~ s Q~PG rl- c r Heated Square Footage Garage /Shed Carport /Porch Deck Patio Total Valuation Remaining Value __ per sq ft - _ (a~.$ persgft= $ (~? $ (~ $ per sq ft = $ _ i~ $ per sq - $ (~ $ per sq ft = $ TOTAL VALUATION: $ 3 ~ Y ~ I st $ _ $ $ .per thousand or portion thereof CONSTRUCTION TYPE: ~;r TOTAL BUILDING FEE $ ZONING: 4Z G " 2 + %2 Filing Fee $ FLOOD ZONE: X OFireplaces @ $35.00 $ ~-~ -- IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ S E WER TAP $ C ( )RADON HRS .005 0 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ ST( )SURCHARGE $ OTHER $ GRANll TOTAL DUE: 1!13/03 Doc # 2005319696, OR BK 12717 Page 965, Number Pages: 1, Filed & Recorded 08/30/2005 at 10:33 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 i43-off NOTICE OF COMMENCEIV~E1~~. ~ ~- ~,~ ~ ~~'~,; ~. Permit No. ~i { ~-UU~ ~ ~~ ~0~ State of Florida County of ~~. _ .. The undersigned hereby gives notice that improvements wil! be made to~certairrreat rty;-and in accordance with section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. of property (Include y~eet Addre~, if,available~ ~~ p!l~DJ(_ ~,(~ General d s ri tion of Owner _~U • ~~33 Owner's Interest in site of the Impro~ment Fee Simple Title holder (if other than owner) Name . ~ ~~/ Aaaress ~ 1 Contractor ~M~R~CAt~t vvn~n~~' ~ Address Surety • Address ~ Amount of bond $ ~~' Any person making a loan for the construction of the Improvements: Name /~ Person within the"State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a) 7, Florida Statutes. Name i^ In addition to himself, owner designates / Of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified) Mgt RY ~ . t1Am~TON Signature o Owner ~rinted Name of Owner 1 Notary Rubber Stamp Seal 1 I have relied upon the following identification ofthe Afrant 3wnm to and syt~cribedbePore me thi ~ ay of 0 Q~ N tary Signature ~ t~ ~1*ar - in NacitS~ _ ~~R * * ~ COMMIS510N t DD 235510 EXPIRES: Decemter 7, 2007 • . f : ~~rFCF~d'°' BandeA Thrn Bndyet Noury Servius U CITY OF ATLANTIC LEACH BUILDING/ ZONING DEPARTMENT 800 Seminole Road Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # ~J ~" ~ ~ Property Address: _ ~~~~~ ~ ~ ,~ ' ~ ~ t ; ~~ ,~,~ Applicant: ~.11 /L~~ L~~~ ' r ~ ; ~ ~ f t` Project: 1 . ~'~~ This permit application has been: Cc: D; For iggms . oerr ^ Approved ^ Reviewed and the following stems need attention: Please re-submit your application when these items have been completed. Reviewed By: Date Contractor Notified: Date: ~ ~~ ~ n~ ~`'~'`~'"'v CITY OF ATLANTIC BEACH J 1 ~ ~ WINDOWS, SK:YIH, `~ ° AGE. I}OORS, >EIURRICANE SHUTTERS a '~~ • r Date: ~* Job Address: ~ C~ L(~'L'e-' Owner: /~ ~ '/~j _ Address: ~ i ,'fir=~ ~ = one: ~T I ~ a'! Legal Description: Block Number: `~ Lot Number: 2 ~ Zoning District: G~11'-'1S AME1tICAN ~~- State License Number: ~~ ~~~ C Contractor; pttni~ilCl'S tZLG, ,, // Address: 2633 POWERS AVE. Phone: ~~~ - ~-~-~F'~ City: State: Zip: Fax: Describe proposed use and work to be done: Present use of land or building(s): ~,, II /~ Valuation of proposed construction: ~~'t'~O~ Is approval of Homeowner's Association or other private entity required? I~G If yes, please submit with this application. Required Building Data: Mean Roof Height ~ ~_ __(ft) Building Width 25 (ft) Roof Slope ~ ~ Z- Window Height 5 ft) Window Elevation from Grade ~ ~ (ft) Measurement from corner of building to window ~~(ft) Number of windows being installed ( ~ Building Length ~~ (ft) Window Width ~(ft) Mean Roof Height ~~/~~ 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Faz: (904) 247-5845 http:J/www.ci.atlantic-beach.fl.us Page 1 Revised 1127103 - ~'rocedure: In order to ezpedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data, the following information is required: 1. Manufacturer's Test Report with Uniform Structural Load (psf) 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Hurricane Shutter Description/Type 7. Elevation View of Window Locations I hereby certify that all information provided with this application is correct. Signature of glat~/off I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions, of any federal, state or local Hiles, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true,an~i correct and that the Signature of Contractor. and supporting data have been or shall be provided as required. ~. Date: ~ 2(0 0~ - Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: AS TO OWNER: Fax: E-Mail: Sworn to and subscribed before me this ~~ ! day of ~ 20~ State of Florida, County of Duval ~~~aV~%:~~%• BETTY FELDER ~.CG%~L~--~ * ,t MY COMMISSION # DD 239510 Notary's Signature: EXPIRES: December 7, 2007 ~r,~~a-`~ ~.. Bonded Tlw BuslgetNoury 6ervf4d5 Personally known ^ Produced identification ^ Type of identification produced AS TO CONTRACTOR: / ~~ Sworn to and subscribed before me this ~~U~-,' day of 20 _ , State of Florida, County of Duval Notary's Signature: ~~ ~'"~''~~'0 9ETTY FELDER Personally known ,~ ~ ~ * MY COMMISSION # DD 239510 ^ Produced identification EXPIRES: December 7, 2007 ~1'ea F~o~~°~ sondes 7hm Budsec Notary serve, Type of identification produced 800 Seminole Road' Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http:!(fvww.ci.atlantic-beach.fi.us Page 2 Revised 1/27/03 C~ ~ ~ ~. p '~ r~/[JJ~} ... ". w..er~~ ~~ ~~'°"~.~ W '` `~, ~ W 0 ~ ~. D ~~Y ~F pR ANT Fib EACH m $VILDIN~ 3 ~ 20 AUG ~~ ~ 1 1 ~~ tT'1 ~ ~ ~ py- sr ~ ~.,r ca -..,,, `~ Florida Building Code Online User: Public User -Not Associated with Organization - Application #: Date Submitted: Product Manufacturer: Address/Phone/email: Category: Subcategory: Evaluation Method: {y , a~~~l ± w FL747 , 10/29/2403 Gorell Enterprises Inc. ]380 Wayne Ave. Indiana, PA 15701 (724)465-1839 Windows Double Hung Page 1 of 3 lYeed Help ? Certification Mark or Listing Referenced Standards from the Florida Building Section Standard ~[ Code; 1707.4.2.1 AAMA/NWWDA 1997 101/I.S.2 Certification Agency: Keystone CertiOcations, Inc. Quality Assurance Entity: Validation Entity: Authorized Signature: Richard Gibson rgibson@gorell.com Evaluation/Test Reports Uploaded: Installation Documents Uploaded: Product Approval Method: Method 1 Option A Application Status: Approved Date Validated: 10/29/2003 Date Approved: 11 / 19/2003 http:/lwww.floridabuilding.org/pr/pr_detl.asp?IPT=747&RV=O&fm=ROSrch 3/17/2005 ~~ r ~r ~r ~r ~ Overview Product Search Organization Product 1~'lorida Building Code Online r- Page: i :..................... G Page 1 11 Page 2 of 3 pp/Seq Product Model # or Model Limits of Use # Name Descri tion 65305 R55@44 x60 R30@54x77 Double hung 65155,5115,5195,5265,5275 747.1 65115 replacement R40@44x60 R50@32x54w/Mod sill SVDH R20@44x60. GSVDH-2 R20 44x60 65305 R55@44 x60 R30@54x77 Double hung 65155,5115,5195,5265,5275 747.2 65155 replacement R40 cL044x60 R50~32x54wlMod sill GSVDH R20@44x60 GSVDH-2 R20 44x60 65305 R55@44 x60 R30@54x77 Double hung 65155,5115,5195,5265,5275 747.3 65195 replacement R40@44x60 R50 cr/D32x54w/Mod sill GSVDH R20@44x60 GSVDH-2 R20 44x60 65305 R55@44 x60 R30@54x77 Double hung 65155,5115,5195,5265,5275 47.4 65265 replacement R40 cLD44x60 R50@32x54w/Mod sill GSVDH R20(c~44x60 GSVDH-2.R20 44x60 65305 R55@44 x60 R30@54x77 Double hung 65155,5115,5195,5265,527 747.5 65275 replacement R40t~44x60 R50t~32x54w/Mod sill GSVDH R20 c~44x60 GSVDH-2 R20 44x60 65305 R55@44 x60 R30@54x77 Double hung 65155,5115,5195,5265,5275 747.6 65305 replacement R40@44x60 R50@32x54w/Mod sill GSVDH R20~44x60 GSVDH-2 R20 44x60. 65305 R55@44 x60 R30@54x77 Vinyl Double 65155,5115,5195,5265,527 47.7 GSVDH hung new R40 cLD44x60 onstruction R50@32x54w/Mod sill GSVDH R20@44x60 GSVDH-2 R20 44x60 Vinyl Twin 65305 R55 cLD44 x60 R30~54x77 47.8 SVDH-2 Double hung 65155,5115,5195,5265,5275 new R40~44x60 onstruction R50t~32x54w/Mod sill GSVDH R20~44x60 http:/lwww.floridabuilding.orglpr/pr detl.asp?IPT=747&RV=O&fm=ROSrch 3/17/2005 Florida Building Code Online Page 3 of 3 ~ ~GSVDH-2 R20~44x60 Niexf ~~~ Coovright and Disclaimer ; ®2000 The State of Florida. All rights reserved. '~"~~~ rEeirr r http://www.floridabuilding.orglpr/pr_detl.asp?IPT=747&RV=O&fm=ROSrch 3/17/2005 Farabaugh Engineering and Testing, Inc. PERFORIvIANCE TEST REPORT GORELL MODEL GSIS~ TILT DOUBLE HUNG WINDOW I-I-R50 (DOWNSIZE) FOR GORELL ENTERPRISES, INC 1380 WAYNE AVE INDIANA, PA 15701 Project No, T106-O1 1 /22!01 BUII_pING PLANS EXAMINF_R REVIEWED FOR CODE COMPLIANCr KEEP THIS PLAN ON J0~'s MAY 1 3 2003 Building & Zoning Inspectio •Jax,, ; _, Examiner Signature License No. DANIEL G. FARABAUGH, P.E. 255 Saunders Station Rd. Trafford, PA 15085 (412) 373-9238 ~~~ j .., C~ Keystone Commons ~ 515 Braddock Avenue • Turtle Creek, PA 15145 ~ ~ ~ ~3, (412) 824-3316 • FAX (412) 824-3367 Project No. T106-O1 Report Date: January 22, 2001 Page 1 of 4 PERFORMANCE TEST REPORT Manufacturer: ' GORELL ENTERPRISES, INC 1380 WAYNE AVE INDIANA, PA 15701 Product Identification Product Type: Double Hung Window Secies/1~lodel #: G5165 Specification: AAivIA/NWWDA 101/I.S.2-97 Designation: H-R50 DOWNSIZE (32" X 54") AAt~i.A/NWWDA 101/I.S.?-97 GRADE 50 Test Reference: See Test Report No. ETC-98-155-6330-0 (dated: 1/13/99) by ETC Laboratories for full size test report. ~~ . Product Description: Attached N Test Results: Test Equipment Testing Date: Attached FET 11/27/00 Detailed assembly drawings showing wall thickness of all members, corner construction and hardware application are on file and have been compared to the sample submitted. A cope of this report and test sample will be retained at FET for a period of 4 years. The results obtained apply only to the specimen tested. No conclusions of any kind regarding the adequacy or inadequacy of the glass in the test specimen may be drawn form this test. The above results were secured by using the designated test methods and thev indicate compliance with the performance requirements of the referenced specification. This repon does not constitute certification of this product, which may only be granted by the certification program administrator. Prepared, y: Approved by: i ' Paul G. Farab gh Patrick arabau E Project No. T106-O1 Product Description ^ ~~~ General: Page 2 of 4 Test sample was comprised of Gorell Model "G5155" Tilt Double Hung Vinyl Prime, one- over-one (tilt loading type) double hung window, with an overall master frame size measuring 32" wide X 54" high X 3-1/2" wide. The bottom sash measured 29-7/16" wide X 26-11 / 16" high overall. The top sash measured 28-11116" wide X 25-7/8" high overall. The frame corners were of welded mitered with one screw in bottom corners construction. The sash corners were of welded mitered type corner construction. Bottom sash had an exterior screen (28-3/4" w x 26-13/16" h). A sill riser was pressure fitted and silicone was added for the attachment to the sill. A '/a" spacer block was at the corners of the sill located near the corners of the bottom sash. Weather-stripping: Single strips of center fin pile seal (0.187" w x 0.23" h) at side face and exterior face of both sashes stile's. Single strips of center fin pile seal (0.187" w x 0.23" h) at head enclosure and at exterior face of the top rails of both sashes. Single strip of bulb seal (0.187" w x 0.30" dia} at bottom of the bottom rail of the bottom sash. Single strip of foam filled vinyl interlocking weatherstrip on keeper rail of the top sash. Single strip of pile seal (0.187"w ~c 0.3~"h) at interior face of the top rail of the screen. Operators and Other Hardware: Each sash had two sets of constant force balance shoes, one per jamb. One cam-type sweep lock was attached'to the center of the bottom sash meeting rail with keeper on top sash meeting rail. One plastic tilt latch with thumb actuator was housed at each end of the top rail and interior meeting rail of the bottom sash. One die-cast pivot bar was fastened with (1) screw at each end of the bottom horizontal rails of the top and bottom sash. Glazing System: Each sash was exterior drop glazed with 0.85" thick insulated glass using double-sided foam Glazing tape. The sash utilized two (0.09") thick clear annealed glass lites with a 0.67" continuous metal spacer. An exterior snap-in single leaf dual durameter~rigid vinyl-glazing bead secured the glass. Weep Holes: " Two (3/8" x 3/32") weep slots were located on the bottom side of the bottom sash horizontal rail, one 1-114" from each end. Two (3/8" x 3132") weep slots were located on the glazing track of the bottom sash bottom rail, one 1-1/4" from each end. Two (1/4" x 3/32") weep slots were located on the bottom side of the top sash horizontal rail, one 2-1/4" from each end. Four (1/4" x 3132"} weep slots were located on the glazing track of the top sash bottom rail, two at 1-1/2" and two at 1-314" from each end. The frame sill was a sloped sill. Three (1/4" dia) weep holes were located on the bottom rail of the screen, one 2-1/2" from each end and one in the center. t Project No. T106-O1 Page 3 of 4 Sealant: Silicone sealant was used at exterior perimeter of frame to buck intersection Anchorage: ' A 1/2" wide x 1/2" deep wood furring strip were located around the perimeter of the exterior and interior side of the frame. The (finishing) nail pattern for the interior furring strip was 6'' on center (nominal} and for the exterior furring strip the nail pattern was 12" on the jambs side and 6" on the header and sill. GORELL "G5155" DOUBLE HUNG WINDOW Test Results ~UI~-A~N~ pLANfi E~uw~a~ri~-~, Paragraph Test Title / Test Res~l`I'L~~`~~'~~1~ll0 Referenced Test Method CODE C;E.)~'t~ ~ ,`~ ~ - KEEP T"'~ pI.AN 0`V 103 Gateway Performance Requirements MAY 1 ~ .~dd.~ 2.1.2 Air Infiltration Test , ,,w-Jax., FL. (ASTM E-283-91) ~ Building & .. ~•,,,b ~~~~~-~~"~' @ 1.57 psf 0.1~~.;~nature ~ c s The tests ecimen meets the er ormanc E~,~ ecr red ' _-------- P P f ~~ ~li~~Stv~P~.- - At1MA/NYVWDA 101/I.S.2-97 for Air Inf ltration. 2.1.3 Water Resistance Test (ASTM E547-96) @ 2.86 psf (with & without No penetration No penetration screen) 2.1.4.2 Uniform Load Structural Test (see optional performance results) 2.1.7 Welded Corner Test Meets As Stated 2.1.8 Forced Entry Resistance (ASTM F588-97) Performance Level 10 Type A (Section 10) Sec. 10.1 Lock Manipulation Test No Failure As Stated Sec. 10.2.1.1 Test Al No Failure As Stated Sec. 10.2.1.2 Test A2 No Failure As Stated Sec. 10.2.1.3 Test A3 No Failure As Stated Sec. 10.2.1.4 Test A4 No Failure As Stated Sec. 10.2.1.5 Test A~ No Failure As Stated Sec. 10.2.1.6 Test A6 No Failure As Stated Sec. 10.2.1.7 Test A7 No Failure As Stated Sec. 10.2.1.8 Lock Manipulation No Failure As Stated Project No. T106-O1 Page 4 of 4 GORELL "G5155" DOUBLE HUNG WINDOW Test Results (cont.) Paragraph Test Title / Test Results Allowable Referenced Test Method 2.2.1.6.1 Operating Force Test top sash 10 lb up, 11 lb do 30 Ib bottom sash 11 lb up, 12 lb do 30 1b Specific Window Performance Results 2.2.1.6.2 Deglazing Test (ASTM E987-88, Method B) Top sash left stile @ 50 Ibf 12 % <100% right stile @ 50 lbf 12 % <100% top rail @ 70 lbf 12 % <100% bottom rail @ 70 lbf 12% <100% Bottom sash left stile @ 50 lbf 12 % <100% right stile @ 50 lbf 12 % <100% top rail @ 70 lbf 12 % <100% bottom rail @ 70 lbf 12 % <100% Optional Performance Results 4.3 Water Resistance Test (ASTM E547-96) @ 7.50 psf (with & without No penetration No penetration screen) 4.4.2 Uniform Load Structural Test (ASTM E-330-97) {0.4%xL} @ 75 psf positive 0.040" * 0.118" @ 75 psf negative 0.052" * 0.118" * - Ma.~cimum Deflections. . +I , ~~FT y4 h 1 ~~, ~'~~*~, ?~ 1,~I (kN',{~ ~7 ('~~~y'R~aV ,-~, R ~yK~~ 1<~ ~~~+~`-'' y~i. ~ } >'q,l. ~ ,j4 }~I ~nf>< ?' x~ c ~ 1 s h i ~' ~ yt '' ;~ i 9~ ~ ~ l .,''3r'1 ti •r ac ~ S VVIL. C)I: Y.~ r'L/'1 ~I w.CV ~h,ol, Pd ' 1't ~. ;. ,. ,'~„ rr'; ~ - . , i~l~l' 1. ~ ~'ta(;f;~ .t. ?: r; } .. , Build.ii~g ~ Zoning Illai~4c"tiuii ~.~iu' J~: y ,_. j • ~, INEERING AND ;' ' ~ ExarTi ner. ~ NG',"1NG~---- ~~ ' LicQnsg Np a r: / , r v ._ '. ~' 15 ~ - o z I 'CONCRETE OR ANCHOR .,~'rn0y~'S'" ;~' ,y„ 'k .': ,w 4 .. MASONRY .~'' '. - •'1, f ..~.,,;.i r,w.>,~: ,. ~w r' OpENIMC, CAULK ~ SECURE `•,~,~) SHIM AS REOUIREfD' A~'EACH INSTALLATION ANCHOR AS SHOWN, WITH LOAD 4 J D ~ BUCK To uASONRY ` BEARING SHIM, As pESICNED BY OTHERS. a; ~ ~,~ OPENING. AS DE- 2.J ANCHOR MUST BE OF SUFFICIENT LENGTH TO PROVIDE 1 ' 1/4' EMBEDMENT SIGNED BY OTHERS,' INTO BUCK. BY OTHERS. ~ - ~ ... J.) CAULK BETWEEN. WINDOW FLANGES k BUCK ANp CAULK FVLL PERIMETER OF WINDOW. . 4.) ANCHOR SPACING SHALL'NOT EXCEED 12' OC, '$ ~ S. CLASS THICKNESS WILL VARY WITH WINDOW ,SIZE do DESIGN LOAD, ANO b ro{ ' ~ ~ ~ ~ MUST COMPLY WITH ASTM-E 1300. ,', PERIMETER CAULK, ~ 6) SEC APPU('i1BU CHART FOR DESIGN LOAD DETAILS, CONCRETE OR z ~' 9Y'orHERS. ALSO, ,:. , MASONRY OPENING. 1 <` ~. ~~ BETWEEN FIANCE 1~ SHIM 32' mar ~ ANCHOR ,,' It BUCK.. ."'~~"~^ WSIOE DIMENSION ~ ,, r. I .,~ _' ... .. 1' SHIM ~. WOOD BUCK Ic ANCHORAGE, BY OTHERS ;~ 1.:, ,: H AWOOD BUCK !t! ANCHORAGE, ~ ` i BY OTHERS . ~•/ ~ ~ ANCHORS IN PAIRS - ~~ ~ ~ < 12' O.C. ~ ;, r4,.~ Sul, ANCHORS ARE Q ~ SECURELY ANCHOR WINDOW UNIT TO Z X 1 y NOT PERwSSABLE THRU t BUCK. ANCHOR EMBEDMENT MU57 BE WNDOW FRAMES. 1 1/4', .. ,, t. •' ~ I , CAULK BETWEEN FLANGE k BUCK ',~j ~': ,` PERIMETER CAULK ANCHORS EXTERIOR DIMENSION TO WITHIN < 0` EXT~0~ ' Of FRAME CORNERS ~A A A -- ~ V ' CAULK BETWEEN , BUCK k OPENING ;w ~ ~ s~ "~ A A (DENOTES TO ANCHOR) 1 ~ ,fir, PERIMETER CAULK. xe ~ BY OTHERS. STOOL, BY OTHERS A A ~~ ,~ - ~ l ~ ~ .I`~ a ' .Q j d MAX. STRUCTURAL, TEST PRESSURE 82.0 PSF. d < A A i]RELt. ENTERPRISES,IN~.;"^,,;, ' w~ rlAl .nmow t PRE-CAST SILL '. CAULK BETWEEN FIANCE kPRE-CAST SILL. Tmt vsw "~~ ;' . BY OTHERS, MODEL 5100 INSTALLATION ~ ~ EXTERIOR ELEVATION Ic FASTENER DET.UI 0100 IFO • 4 t:' - ~ ~ ~. y~, r ~ }• Y -.: ~~l ti ~,~ 1 .. Y DANIEL G. FARABAUGH, P.E ~ ~' -`^ - , - 255 Saunders b'ta8on Rd. ~,,~,~ ~-'~-- - w °-~ ; . Traffat+d, PA `15083 ' ~;: ,~. ~~ { ~ f' (412) 373,9238 , ~ 1 ~,. , i' !* =',, t ~, This is t ~adx~ise that I understand the requirements of off-street parking being provided~a~ per the attached plan. ~? .~~.~~r~~ie e z.~.--~' %'-~' r ~~ a ___~ ~ FOR OFFICE US ~O~NLY Date------~~ ...x_...19 ------ ~A ~ ; ~• ba Permit #---=~--~-~===---------Fee $--~~..._....... CITY OF ATLANTIC BEACH p Valuation $... ..~ ...................}....... . FLORIDA House --•. -•- --•-~.------••- .- # {~ 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 Atlantic 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. Date .............~°~../`.~......:----------•-•---•----.........----~ 19.7`S~ Owner---~L.,P.~.~----~'~'.r~.!J-R-----------------•-----------•----•--------------.Address---~~.1~..f~!~f~e2f~c~.K~......----Telephone Noa..y~-.~76.~- Architect_....- • -•------------•------~---• -- - --~---...-._-•----------------------------Address.~•-.......:...-•---•-------•------•--••-•-•-•-------.......Telephone No.-•--••-•-•--••-----.....-•-- Contracbor Bu ~ en~.~2~ ..~ S.. ~~(. ~.1_...__.~ ...............Address QToS.d~.ESC.t~~/---/~_f~~_....._.Telephone No.~~~-a/.~.z- ------------ ~ Y -~---- ---- ---- - Lot No.------ --------------•-••-•---------Block No.-------------------------------Sub Division---- --- -~ --~--. P~4ll.S---~-~•'- r----~.tJ~..Zone.---•------------ ----- ---------•---------------•---...--•--•----------- ----Street--- -------- --- - ----- Side Between-- -•----•------•----•----------------------••-----..and------.....-----•--•----••----------•---•----.........Sts. ~ 9 - Valuation $..~.OOD~/ .....For what purpose will building be used._...~ ~ ~.~1c,cS ............. ype of construction... oyC!~e •----- Ciz_`G T ~- -----~ ~---- -- i i ~ yr Dimensions of Buildin ~~...,~~`~ .............Dimensions of Lot._...~s~.....~ BOO.......................-..:Size of Footin _ .. - b' --- - -------------- ------------ ga....l~-----------•--•---•---••--- ,2CCA51~ Size of Piers ............... .. ____..-.-:Size of Sills ~._.._...__._.__.____....-Greatest S' 1 S n m ft.....~l...`~.........Type Roof--.~~y.~'rs,,,~.~... -- .. aS~~~.f~ How will Building be Heated?Ce~~L-_~y,S.1~c.•,F(Zo«c-.~sy~~ ill Building be on Solid or Filled Ground?......5~~~ ~ ~i Size of Ceiling Jaists_._.~/~~SS--I-S .................. Distance on Centers.............___............................, Greatest Span...._~.c~......_~..................... " Size of Floor Joiats .............................................., Distance on Centers__...._... ..........._.._. Size of Rafters._____.._..:~~i+._sSts._.....__.__..._.._._, Distance on Centers ............._..... F#.~3~D,'~ STATE 6;EGISTRATIQN # Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 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. ---•------~ Greatest Span ................•-•-- --- r~-i/ __........, Greatest Span.... ~ ~........_.. This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE z .. a W A m ~3s ,a„ o r ! ' c) (3 ,.~ ~ ~ ~'-L. ~ ~u' ~, I ~sl a ~~ 1)3~0a FRONT OF LOT z ~. a s Q In consideration of pe given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with e a ched plans and specifications, a*hich are a part hereof, and in accordance with the building regulations of the City o tl 'c Beach. Signature of Builde -- -- ;G. .~~~:~_G:G.e.~::..... Addressp~.~~..~G.'.~~~~~'~P-Q'~- ~~. Signature of Owner. -------- - • --'..... ~ ..... ..:......•- Address.~>3 ~ .....-- -----•-----...G. .. --•t-------.......---• CITY OF ATLANTIC BEACH BUILDING AND PLANNING 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE: (904) 247-5800 FAX: (904) 247-5845 http: //c i. atlantic-beach. fl. us June 12, 2003 Ms. Leigh Anne Giles 939 Amberjack Lane Atlantic Beach, Florida 32233 Dear Ms. Giles, Our records indicate that you are owner of the above property in the City of Atlantic Beach. Investigation of this property discloses that a permit for a room addition has not been issued. Failure to obtain a permit as required per Florida Building Code, Chapter 1, Section 104, will result in the case being turned over to the Code Enforcement Board. Under Florida Statute 264 the City of Atlantic Beach may impose a fine of up to $250.00 a day. Thank you for your prompt attention to this matter. Regards, ~..., l-~ ~z,,c,,- Larry.. Higgins Dep,u~jr ~B~ilding Official Cc.: Don Ford, Building Official Alex Sherrer, Code Enforcement Official file erTlr Of= azc.Af~tTic sEae>-~ JOB LOCATION: -/ OWNER OF PROPERTY: ROOFING PERMfT APPLICATION ~- CONTRACTOR: /~ tUivLA/` , C0IVTRACTOR'S ADDRESS: Z1P: STATE LICENSE NUMBER: TELEPHONE: DESCRIBE WOR14 TO BE PERFORMED: ~iJ ~ ~/NIrGG% ~~.~ VALUATION OF PROPOSED CONSTRUCTION ~ ®Q~, ~, MATERIALS TO BE USED: -sI7 i SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: r/~ SWORN TO AND SUBSCRIBED BEFORE ME THIS~_DAY OF , 19 ... NOTARY PUBLIC Liability Insurance Supplied Workers Compensation Insurance Supplied Contractor License Information Supplied Occupational License Information Supplied SaRMY'P,~;6': i~etdCi8A1TW08ttB S :.: :: My co~n~xssioN x cc~ee~ oa~~s ~::a~ august 27, 2000 • ~" eoNOeo nmu raov ram ursuw~, tt~. ~~R;~,t~~•. f PSP-3844 IF , « ,~ DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ______ PERMIT INF~~Io~.i~lATIb~6 _,__ __.. Permit. number', ~.~541 Permit Tvpe:RE-RO~?F "1 ~~~ ~~ dark . AL~'ERA~'IO~1 '.'027 t r . TyPr~ : FaC~OL° FRAME z~rrly~y~A~ ~3se: SI~(OI,E FAMILY I?we~ ~ incxs : ~ Est. ~'a~tte: CI.nI~ ~Fnpz~o~r. COSt ~ ~.C>~J~.~~ I't~ta1 Pees: 25,~+Q .Arr~~~,tnt Paid: ~5.(~~ Date E'~id:llf~3f1~~7 W0~?: L~nSC>RERQt~F __.._.____ nWNFR INF~RMA,T'IGPi _~--_.. ,. ?~a:ne; RIC'FiARL APID 3L3ILI,EI~.MA fiRAPp~~.. Ac~~r ~ ~a ~x, q AM1~Ek~~AG~ l,?1~tE .A.~`I~AnTr~' ~E?ai~I3. FI.,ORII7A. 3233 ___--__ COtdT~2~:'T~I~. `I~'OR:MATIntd __,..._._a_ ~Ca:a~e , f~P.±~FEF:T~C ~WE~ER` A~dr t:s.~: T~~~ 1. NOTES E~;P : / - LOCATI+~?V IIeiFORMAT'IOI~ -----_-_ A~~ress : 93Q P,MBERJACK I~A~E ATLRNTIC BERCIi, FLORIDA 3L~3? .._..__....~_w LIECAL L}ES~tiFtIE"~ItJN w_--~--._-_.__ Se~'ti rn t (7 31abcl : ~~~ : ~ Subd~.visz ~n : RCl~ALPALB~S _.__._ APE'LI~'A`TION FEES ------_.___.,_ t PERM I ~` ~ `~ ~' ~ 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 f "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDINGp~IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ;25,88 14 CHECKS ~~ai ATLANTIQ`B,EACH BU~LDIf~ DEPARTMENT 88188883221888 ~ f ~ ~a:~t~~ s~e~ek - ~uu 51.:~1>uo1.l•J i~l~~u ~~TL_1 vTIC 3E.1('H. 6'LOK1D~A :>'~_,i.; :; LI:; 'I'[:LI?PHl)`1E i 90-1) '3~1 i- i;7U1i I':~.X X90-1~ 'ski-:ia0:i Si'N('O4I ,ti5 '-5,500 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW; DISCLOSURE STATEMENT FOR SECTION 489. 103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE ' OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING 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 EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND.. BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. " THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNEfLS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO 5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1 ). AN °OCCUPATIONAL LICENSE'S IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE D OS RE STATEMENT ANO~coMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILD~ PERMI SWORN TO AND SUBSCRIBED BEFORE ME TH NOTE: PHRASES UNDERLINED ABOVE ARE EMPHASIZED BY THE BUILDING DEPARTMENT. PROPERTY OWNER/BUILDER ~°~ ~ mil/ C'~~r~~ ~r'- _' y`~°~~ . ADDRESS `G r Gyp ~/G'-'~3 EPHONE~J 7 ~" DUX O F ~~ / 1 ~-l-S, i . NOTARY PUBLIC MY COMMISSION EXPIRES: ::: deb!' I~`NI11111SSIOA # 10~1(~$ ~,~ Bad tllM111n1f f#M ~IAMCE, ~'„ DEPARTMENT OF BUILDING L+ ~ ~^ C CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. p {„) PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date JgA ~, 7 19,$LE,__ Valuation $ gLLTM~3ING Fee $ 20 • ~~ i?i~. CiG T 2l~ r 1l~CK T This permit not valid until above fee has been paid to City Treasurer, and is ~ 1 ~~ ~ ~ (~~I t~ subject to revocation fox violation of applicable provisions of law. This is to certify that ENERGY CLINIC ~ ~ ;~;~ ~ ~ (/~~,/s 1 Qt10 has permission tt~~ INSTALL 2 SGLAft II©LLECTORS Classification RESIllENTIAL Zone Owned by VIaLA KILNA Lot Block S/D House No. 9~9 Amh~r~ark T~am~; According to approved plans which are part of this permit NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ~~ ~----- O Building material, rubbish and debris ~ from this work must not be placed in public space, and must be cleared t up mauled away by either con- owners ~ Building Official. FOR OFFICE ' PERMIT I DATE ~ CONTRACTOR USE ONLY NUMBER '` PLUMBING ELECTRICAL SEWER WATER Wis. CITY OF ATLANTIC BEACH ;~ ~ s_. .w APPLICATION FOR PLUMBING PERMIT OtdN E R e S NAME V i~~ e ~~ i~ (~ ~ `2 LOCATION ~ .- ~"` ~ ~ _ __ MASTER PLUMBER ~ ~~ ~ ~, ~ j C~ , ~ ~' ~; ~ ~ ~, STATE/COUNTY OCCUPATIONAL LICENSE N0. _ CERTIFICATE N0. ~„ ~~ ~~~~ ~~ y _____ __ CONTRACTOR c~ i`- ~ .~ ~, !~~__ --_-- t ~ - TYPE OF BUILDING ~`~" e SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH.THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. ~~ !~ ~' R C,~ `,/ is ~F ` 1'L'J; ; f ..~I d iC ~D ~H ;J~ GF-FIC$ ~' •-, •, ~ ,-~~t~~ f~ , G.~~~ ~3~~