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Permits 644 Beach Ave ti CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5826 �. oil Application Number . . . . . 08-00001190 Date 9/02/08 Property Address . . . . . . 644 BEACH AVE Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6000 ---------------------------------------------------------- ------------------ Application desc re roof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HUTCHINSON, HENRIETTA NELIGAN CONSTRUCTION 644 BEACH AVENUE PO BOX 49249 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-3777 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6000 Expiration Date . . 3/01/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 f `�O N V V V PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF A?LANTIC BEAd! 08— I I � I I OWSSWIGLE uwAD.AnANIM BECK FL 3zzs3 OFFICE:00-4W-SM a FAX 11101--4110W-0116 rt BCu1t.DrrCsOEPr�COMB.tJ6 BUILDING PERMIT APPLICATION DWAL CMNW sv 0 r. —� J e . � � 13 ww tutlr Dttrx; 0 DB ouTm LOT_tttOac_StB MIstoN D AoorrtoN D CONYBtTtNG USE 13oor{tr�Rcaiu. 13 AccEss Ry BLDG. i El o POOL/SPA 17 YES E3 wA E3 oTHm 0 No 9_NAME: I&cam Home, 23.COIPAW 1164W lYIFLl i0kAl CO#:!rT4%4W, d Z& 'E QlAd Al A-)&W 24.UCENSEE wuW 10.ADDFWM. 17.STATE OF Ft.0itl0A ND.: 28.STATE OF FEORIOA LICENSE N0.: (a 13a s`Y.S9 66 r�s"9534 1aA00REW Pp oro,e. tiq Z`Iq 25.ADO 11.OFFICE PHONE: 12 FAX Na: 19L OFFICE KD/E: FAX ND 27.OFFICE PF109E 26 FAX IIO.: I&CELL PHONE 21.CELL FltO % --9708 708 2a Cori PHOW: 445 t/TG 2 4101. . COX-& 9LAor ,-&4f vN 04V(�1 LAIC 3G EiYw ADDRESS 31.NAME: 33.MAMIE- NOME- V-ADDRESS 3k A0011111M ADDREW t> 3 ITS Y• 1��� Appicatiort is hereby made to uhtan a pemtl� to do the work and inteta11a6, as irrficaled. i net* that no work or itstsltafm has oornmer ced prior too the isautirtce of a permit and that aN work wiN be performed to meet the standards of ori laws regtriatirtg oortabudon in#6 jtunadidiori. This pemd becorv=Wali and void it work is not aotrrnerlced Atit sou(%months. or E cormhucNon or work is auapertded or abarxWW for a period of sox(6)mord at arty time alter wrrk is ewww ocI 1 urdendand thet separable permits rnust be aectred for Electrical Work,Pkunbft 31gim WISNe6 Pooh.FMnnago.Banta%tbdars,Tadd«, AirCondtlonsm Or— OWNER'S AFFIDAVIT-1 car*drat al the foregoing irdmination is accurate and that ad work ad be done in compNanoe with aN applicable laws regtllatirtg mon and zoning.I will not occupy or use the valla ntosd buidiry or any Part 1}mck urd al inePectians are finaled and prior to obtain kV a cer waft of occupancy or oontpleNort issued by#*building olicink as riq ied bylaw. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. trAgernR t''bwsrd glued �-.7 7-J----OS Sow& me this�day _ 2W it 40 ooaanly d eareaa an Bats day d the ooungr d Stale of Florida,has persa>raaay aPF Duval, of Fhx ss paeaa.aay appeared La MaSC•, P{'1Aa ,1 herxn by hi tsetr i llum and affin. out as*tRWmeMs and dwkvaimas orae haat++chums//herself and alFmtas cwt art at.reataerrts and dechwab=ace true and accumb. �✓ n and anon all& �� 1 Notary Public at Large,Stals of ,Cou ty of Gam( Nslmy PdaRc at Loo stde.r ?. County d at— ==, j� �Id Illicaeon- r �/ 19 tx row+ S l a� Nin s Ndary aa... Smoulft- LYDIA C.SARGENT BRANDONI� 01' , Notary Public- State of Florida '- COMMISSIon DD 745406 COAa FORM BLOGM: 1110M s =. • My Commission ExpiresApr 30,2011 • r f�J8t1U8ry 2,2012 � Commission# DD 668666 t sadedTtwTMVFank*M"a nn9 �°%�° �`' Bonded Through Nationat Notary Assn. NOTICE OF COMMENCEMENT Permit No. Doc;F 2008223071,OR 6K 14622 Page 2173, Tax Folio No. Number Pages: 1 Recorded 09/0212008 at 08:57 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL State of Florida COUNTY County of Duval RECORDING$10.00 TIS UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 7 13,Florida Statutes,the following infunnation is provided in this Notice of Commencement. 1_ Description of property(legal description of property and address if available): 2 Sia /u //.:s Ls/V, 4eve-A► Aec 2. General D ription of i rovements: 3. Owner Information: a)Name and Address: « z Sc�i�tiso�y Gly �c'�c�i .baa. �//�,v��t ave,' L2/ b)Interest in property: c)Name and address of simple titleholder(if other than-owner): 4. Contractor(Name and Address): NELIGAN CONSTRUCTION 5. Surety Information: PO box 49M Jacksonville Pct, FL 340 a)Name and Address: b)Phone Number: c)Fax Number.- d) umber:d)Amount-of Bond: IV 6. Lender Inforn3ation: a)Name and Address: b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.12(1)(a),Florida.Statutes. a)Name and Address: b)Phone Number: c)Fax Number: 8. In addition to h"unselfiherself,owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b),Florida Statutes. 9. Expiration date of Notice of Commencement(The expiration date is one(1)year from the date of Recording unless a different date is specified: Signature of Owner: Sworn and subscribed before me this day of .r te ,20 v ❑ Known Personally 8415- Shown: Signature of Notary: cl ^ 4 My commission expires: LYDIA C.SARGENT Notary Public- State of Florida My Commission Expires Apr 30,2011 ;,F_Fr1oa,, Commission# DD 668666 '"%/ Bonded Through National Notary Assn. CITY OF ATLANTIC BEACH � 800 SEMINOLE ROAD Fs? ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031482 Date 12/27/05 Property Address . . . . . . 644 BEACH AVE Tenant nbr, name . . . . . . INSTALL HURRICANE SHUTTER Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4700 Owner Contractor ------- --------------- -- ------------------------ HUTCHINSON, HENRIETTA ROLL-A-WAY, INC . 644 BEACH AVENUE 10601 OAK ST, NE ATLANTIC BEACH FL 32233 ST PETERSBURG FL 33716 (727) 576-1143 --- ----- -------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4700 Fee summary Charged Paid Credited Due ----------------- ---------- -------- -- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE wiTH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING'BFFICIAL CITY OF ATLANTIC BEACH Cc: 4` BUILDING /ZONING DEPARTMENT Nnigo gins J3 800 Seminole Road oerr Atlantic Beach,Florida 32233 (904)247-5800 Dill (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # — 51 -4 U Co44 Pa�o c� d vz ,w Property Address: Applicant: Project:• (n -��/1 141 f rY fr'a lit-PThis ermit application has been: Approved Reviewed and the following items need attention: C a r T 1Mi Please re-submit your application when these items have been completed. Reviewed By: L Date: —r Date Contractor Notified: a s� CITY OF ATLANTIC BEACH • PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS, SKYLIGHTS AND GARAGE DOORS OF SINGLE—FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION Date: jr o Job Address: &,12,c�k_ /�. Owner's Name: ZZ212fti Address: 4,11q/ti-• l-{' Phone: Y-1 Lit X5_73 1 Legal Description: Block Number: G Lot Number: `1� Zoning District: Contractor: le r iwC J�lc'_ ,6j4 State License Number: 3(2(2 `� 3 Address: /0/ e)/ S T Phone: -74 -7- City: 7-City: lef/'>.S Lk P?C4 State: )r6 Zip: 3 716 Fax: 7 L 7 - �5( Describe proposed use and work to-be done: Present use of land or building(s): a SGL Valuation of proposed construction: tl70 6 Is approval of Homeowner's Association or other private entity required? A10 If yes, please submit with this application. Building Data: Mean Roof Height (ft) Building Width (ft) Building Length (ft) Roof Slope *Window Elevation from Grade (ft) Window Height (ft) Window Width t (ft) Measurement from corner of building to window (ft) 3 o � 3 b 1 4 a S S 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 1 Revised 127/03 Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in't(elay in issuance of permit. In addition to the building data,the following information is required: 1. Mxftfacturer's Test Report 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Elevation View of Window Locations I hereby certify tha2have atio provided with this application is correct. Signature of OwneDale: I hereby certify thead and examined this application and know the salts-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 rules,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 beinpormation"cof d coect and that the plans and supporting data have been or shall be providcd'as required. Ir Signature of ContractorDate: Z* 2 d Address and contact' p son to receive all correspondence regarding this application (please print). Name. of Mailing Address: 1 375 Telephone: /d `��l -7,6 R,S Fax: �'6 V V 33 E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of ,24 State of Florida,County of Duval Notary's Si ry g naturr N'r JAt:GUt:LNiE L.�$ s pappe. of Fbrka F1 Personally known my Comm.Expiry ts.2005 % Produced identification omm •;;Fp,F.d,;.•' C "Iont100064960 ll ,,,,• Type of identification produced .1.-- AS TO CONTRACTOR: Sworn to and subscribed before me this 109 dayof , 20x1�✓ State of Florida,County of Duval P� CAMILLA P CRAWSHAW Notary's Signature: 4 = MY COMMISSION#DD 137724 o` EXPIRES:July 3o,2006 Personally known Bonded Thru Notary Public underwriters Produced identification Type of idamifrcation produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atiantic-beach.H.us Page 2 Revised V27/03 CE OF COMMeNCEMENT RAMCO FORM 40 PS 713.,7 ra ro: IcnNote self-addressed sumped envelope C; D A'R Shutters dba R7 till-s-wpay, cis: L.�`5 St.k"11-IS MUT.� 43�Box 15 Jacksonville;,FL 3)2246 instrumcat Prepared by: Doc#2005390957,OR BK 12837 Page 192, �r Number Pages:1 ri.71i 1:r.�.'`, utit:: i:;l-:a-xvlV e " Filed&Recorded 10/21/2005 at 03:37 PM, .' ? t '` JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Jt).i:iJ tf.'alif:iv i.l L)t?.`•i �� Iii 1L',C1 32246 RECORDING$10.00 rorty Apprasers Parcel Identification SPACE ABOVE THIS LINE FOR YROCESSINO DATA SPACE ABOVE THIS LINE FOR RECORDING DATA NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida County of ,�1P The undersigned hereby gives notice that Improvements will be made to�certafn real property,and In accordance with chapter 713 of the Florida Statutes,the following Information Is provided In_this NOTICE OF COMMENCEMENT. Le of description of propel include Street A,ddrg4s,if avaitabl6) 7--Z—�'� 4ro r Kb , 3) .&R6 G 19 CI VV General-description of improvements Owners Name c v6k o 2- J Address to 'V X G �'Z Z 1 Owners Interest in site of the improvement Fee Simple Title holder(if other than owner) Address Phone: Faz: rq) Contractor �`/�_ SfJu �}e�S h4 0 /-a-tc>.t.s. o?37S �T JDN/i! �S 61 �.�� '� 4�'15 71� Address ✓'�� S o•v del F,G 3 Z-8-V1- Phone: t=ax: 9,9 y- Surety Phone: 37-(�'S loS Fax: Z 3 3 f Address A Amount of bons!$ Lender's Name Address: '15�-- Phone: Fax; Persons within the State of Florida designated by owner upon whom notices or other documents may be served as pro- is vided by Section 713.13(1)(a)7, Florida Statutes, I Name Address r Ph e; Fax: In addition to himself,owner designates Of Phone: Fax: to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. z Expiration date of Notice of Comm c rent(the expiration date is I year from the date of recording unless a different date is specified) a l� x 3 S. stere « Printsd Nsnts of 0-ft, TARY RUBBER STAMP SEAL i have relied upon the(allowing iden incatioe the Afnant to 1�LiZ�v ( 1 o► ,`i►; "iyFa, Sworn to and Subscribed of IW JACOUELME L.HALES No"ftk-Sho of FloWs s,? My Conan.Exom Oct 13,2005 °"q e"""` CammiBBbn ale DOOe�9e0 Jerry E.I-frcks Customer Name. Utnl'eAka- 1a2 1�, P o► r , Address: E-eAe j1 P Unit city.county,-.- Phone# -S?,3 / Single Famil Y, N Phone# 1>Structm: Masonry Wood._�=ete�, Aluminum Other 1 Specify {Window Frame:If opening varies from above materials,indicate type: 2>ROOF SLOPE: Less Than or Great than ---'10 degrees 3>Fire Sprinklers: Yes No --'r 4>Budding Height 5>Coastal Zone Yes t!/Nq 6>condominium/Association ApprovaL• R.equied 1tot Required./ ?>Are Specs Available: Yes No_.,� 8>PSF Roll-a-way Plans required to complete this job: COPY Roll-a-way.Storm&Security Shutters r , Customer_ 4 arc IN sen Address , � -tc� City f/ _ Opening# Track Width Track Height Product type Plans ID L' 79 &-7� ,7, 57 14CC - 3 the Dream,Inc. ONWA D&R Shutters,kic. 0 sand t Vvkv Brunswick,Savannah, Jacksonville and the 8esches Hilton Head,Beaufort&Chadestan Srorar Ara sEcuarr sHurr£Rs from Amelia/stand to St Augustine Home Office&Showroom Rt. 1,Box 75T(Hwy 462)-Ridgeland,SG 29936 1-888-765-2929-Fax 1-843-717-1749 i P DATE 1 a JOB NAME/LOCATION JOB NUMBER JOB PHONE The following is a layout of home or business& is an addendum to contract b� 1 V Qj Auftwized SkjnaWM Date of Acceptance: tance: Jerry E.Hicks Customer Name: Owner T Address: (�q q - Unit# city,Coxmty,.� w t Phone# r q I .-5`7,_3 / Single Famil Y ;Jy Phone# - --------- 1>Str uture: Masonry Woodj�Conc ete=Aluminum Other 4 Specify {Window Frame:If opening varies from above materials,indicate 2.>ROOF SLOPE: Less Than or Croat than _---I-o degrees 3>Fme Sprinklers: Yes No --'' 4>Building Height.a.5 5>Coastal Zone Yes L No 6>Condomininm/Association ApprovaL• Required 'Not Required..-�/ >>Are Specs Available: Yes No_,� 8>PSF Roll-a-way Plans required to complete this job: Q� rr. Rall-a-way_Storm&Security Shutters Customer C1 ` Address ) city Opening# Track Width Track Height Product type Plans ID I& 7 cc D&83*���ky-- The Drean&M ■ J� and lh$Beaches OnmW ck,3avanrmh, Mon HBA,Smdod&Chatb stop � !Mwffms .- fromJPS lSlalld f0 St.I�tI�XS�ie Ham Uwe&Show "n Rt 1,BOX 75T(H%y 462)•Ridgel,-M,SC 29936 �I 1-888-765-2929•Fax 1-843-717-1749 qc,TO: 1 5?3 I v tWE _ , NAWi Loc+mora cl q q -er,e i�4v-, wa eu josPHOW Autxdwd lJ'► � !We of Aocepftnw: e the Qr+Mn,Inc. am 0���� D&R S yrs,Inc. 1M<Brunswick,Savannah, Jacksonville and he Beaches Hilton Head,Beaufort&Chadeston srorw aNlh SEcuPorr si+urrEhs from Amelia Island to St.Aug usiine i Home Office&Showroom Rt 1,Box 75T(Hwy 462)•Ridgeland,SC 29936 1-888-765-2929•Fax 1-843-717 s1749 J ; o wolma - E DATE JOB NAME/LOCATION � p +�l C �l .�V''C � _ JOB NUMBER JOB PHONE F-----The following is a layout of home or business& is an addendum to contract �i trl Q Auuftyrized Signature Date of Acceptance: sig Signature Jerry E.Mks Customer Name: �t .e A � c k ls"vlPrope rty Owner tw unit Plrone# « l . - / Single l± Y ;Jy Pbone W. M _ Y 3>St[l�tLlr!': IVfR'9offiy �OOd_� n�te Altll]liiltit]1 _ Spey (Wm&w Frame:Ifopc6mi g varies fi m Above moaW.%ire type: ) 2>R©OF SLOPE: Less Than or Croat tbw --'to&wees 3>Fw- a SprWl m Yes No 4>RuMing Height ' 5>CoasW Zone Yes L,` No G�Con omininmo/Assaeiaiit>n Approval- Required Not Roquicecl� 7>Are Specs Avaflabk: Yes No-.Z---� s>PSF , , Roil-a-way Pbms req*cd to coWkft tbis jW. OVA iWIP t Roll-a-way.Storm&Security Shutters Customer_4aa4lrjso � Address t�C City AD Opening# Track Width Track Height Product type Plans ID $7 le- C L Florida Building Code Online Page 1 of 2 fill r 'ir 'ir 'ir • Overview Product Search Organization Product Search A lication User: Public User -Not Associated with Organization- Need Help? Application#: FL389-R1 Date Submitted: 08/05/2005 Code Version: 2004 Product Manufacturer: American Shutter Systems Association,Inc. Address/Phone/email: 4268 Westroads Drive West Palm Beach,FL 33407 (561)841-5480 m(.Ci Category: Shutters Subcategory: Accordion Evaluation Method: Evaluation Report from a Florida Registered Architect or Florida Professional Engineer Referenced Standards from the Florida Section Standard Year Building Code: 1609.1.4 ASTM E-1996 2002 1609.1.4 ASTM E-1886 2002 Florida Engineer or Architect Name: Walter A..Tillit,Jr. P.E. APPROVED CITY OF ATLANTIC 3EACH BUILDING OFFICE Florida License: PE-44167 DEC 21 2005 Quality Assurance Entity: National Accreditation and Manage ent Institute By: r Validation Entity: John Henry Kampmann Jr. • Authorized Signature: Bill Feeley bfeeley@eastemmetal.com Evaluation/Test Reports Uploaded: PTID 389 R1 T CERT INDEPENDENCE 05-0715.01.ndf PTID 389 RI T Draw ingNo.05-196.pdf PTID 389 RI T PRODEVALUATION REPORT 05-0715.01.pdf http://www.floridabuilding.org/pr/pr_detl.asp?IPT=389&RV=1&fm=ROSrch 12/10/2005 Florida Building Code Online Page 2 of 2 Installation Documents Uploaded: Product Approval Method: Method 1 Option D Application Status: Approved Date Validated: 09/23/2005 Date Approved: 10/11/2005 Date Certified to the 2004 Code: Page: Page 1 I 1 Go pp/Seq Product Model#or Model Limits of Use # Name Description Extruded This product shall not be aluminum installed within High Bertha HV Accordion interlocking Velocity Hurricane Zone 389.1 Shutter(Non-HVHZ)- blades retained s defined on section Drwg#05-196 by tracks(top and 1620.2 of the Florida bottom)for storm Building Code. protection Next o « W; Copyright and Disclaimer;02000 The State of Florida.All rights reserved. YI RIFY� http://www.floridabuilding.org/pr/pr_detl.asp?IPT=389&RV=1&fm=ROSrch 12/10/2005 Florida Building Code Online Page 1 of 2 .� - -,- Systewi PRODIT"T APPROVAL i Detall r it r "ir I Overview Product Search Organization Product Search A lication User: Public User -Not Associated with Organization- Need Help? Application#: FL389-R1 Date Submitted: 08/05/2005 Code Version: 2004 Product Manufacturer: American Shutter Systems Association,Inc. Address/Phone/email: 4268 Westroads Drive West Palm Beach,FL 33407 (561)841-5480 Category: Shutters Subcategory: Accordion Nu Evaluation Method: Evaluation Report from a Florida Registered Architect or Florida Professional Engineer Referenced Standards from the Florida Section Standard Year Building Code: 1609.1.4 ASTM E-1996 2002 1609.1.4 ASTM E-1886 2002 Florida Engineer or Architect Name: Walter A.. Tillit,Jr. P.E. Florida License: PE-44167 APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE Quality Assurance Entity: National Accreditation and ManagenUCt 2 1 2005 Institute UUCC \ , ,1 Validation Entity: John Henry Kampmann Jr. By: v\� _- Authorized Signature: Bill Feeley bfeeley@easternmetal.com Evaluation/Test Reports Uploaded: PTID 389 R1 T CERT INDEPENDENCE 05-0715.01.pdf PTID 389 R1 T Drawing No 05-196 pdf PTID 389 R1 T PROD EVALUATION REPORT 05-0715.01.pdf http://www.floridabuilding.org/pr/pr_detl.asp?IPT=389&RV=1&fm=ROSrch 12/10/2005 Florida Building Code Online Page 2 of 2 Installation Documents Uploaded: Product Approval Method: Method 1 Option D Application Status: Approved Date Validated: 09/23/2005 Date Approved: 10/11/2005 Date Certified to the 2004 Code: Page: Page 1/1 Go pp/Seq Product Model#or Model Limits of Use # Name Description Extruded This product shall not be aluminum installed within High Bertha HV Accordion interlocking Velocity Hurricane Zone 389.1 Shutter(Non-HVHZ)- blades retained s defined on section Drwg#05-196 by tracks (top and 1620.2 of the Florida bottom)for storm Building Code. protection Next s�►cat d Copyright and Disclaimer;C2000 The State of Florida.All rights reserved. MI Ri�Y� V http://www.floridabuilding.org/pr/pr_detl.asp?IPT=389&RV=1&fm=ROSrch 12/10/2005 Inn1 Ali PRODUCT APPROVAL P Detail r -4r qr 'ir Overview Product Search Organization Product Search A lication User: Public User -Not Associated with Organization- Need Help? Application#: FL5013 Date Submitted: 08/03/2005 Code Version: 2004 Product Manufacturer: Roll-a-way Storm and Security Shutters Address/Phone/email: 10601 Oak St.NE Saint Petersburg,FL 33716 (727)803-9283 Technical Representative: Donald Fowler Technical Representative Address/Phone/email: 10601 Oak Street NE St.Petersburg,FL 33716 dfowler(a roll-a-way.com Category: Shutters Subcategory: Roll-up Evaluation Method: Testing Report Referenced Standards from the Florida Building Code: Section Standard Yeur Florida 1609 2004 Building Cod ASTM E 330-02 2002 ASTM E 1886-02 2002 &amp, E1996-02 DCBCCD PA201-94, 1994 PA202-94 &amp: PA203-94 Southern STDD 12- 1999 Building 99 Co Florida TAS 201-04 2004 Building Cod http://www.floridabuilding.org/pr/pr_deti.asp?IPT=5013&RV=O&fm=ROSrch 12/6/2005 -------'----"---a """- "------- z Testing Lab: American Test Lab of South Florida Inc. Quality Assurance Entity: National Accreditation and Management Institute Validation Entity: THOMAS J. TWOMEY P.E. Authorized Signature: THOMAS TWOMEY jbrengineerone(&aol.com Evaluation/Test Reports Uploaded: PTID 5013 T ATL Report No.0126.01-W.pdf PTID_5013_T ATL Report No.0316.01-05.pdf PTID 5013 T HTL Job No.0006-0106-03.pdf PTID 5013 T HTL Job No.006- 0224-03-11.pdf PTID 5013 T HTL Job No.006- 0224-03-9.pdf PTID 5013._T RAW Dwg No. 3- 01-031a.pdf PTID 5013_T RAW Dwg No. 3- 01-031 b.pdf Installation Documents Uploaded: PTID 5013 I P.E. Certifications of Independence.pdf Product Approval Method: Method 1 Option B Application Status: Approved Date Validated: 09/05/2005 Date Approved: 09/07/2005 Date Certified to the 2004 Code: Page: Page 1 I 1 Go pp/Seq Product Model#or Model Limits of Use # Name Description Not to be used in HVHZ. pan 156", +/-31 p.s.f., ax.span tested 144", est p.s.f. +/-40,Large issle"C'91b @ 50FVs. eakest product tested to 013.1 1138ER Roll-up Shutter uali y the stronger with ditional testing to verify pan charts.All span imitations are rformance only and y be limited further by oice of mounting nft urations. http://www.floridabuilding.org/pr/pr_detl.asp?IPT=5013&RVQ&fm=ROSrch 12/6/2005 Not to be used in HVHZ. pan 164", +/-10 p.s.f., ax.span tested 144", est p.s.f. +/-40, Large issle"C"91b C 50FVs. eakest product tested to 013.2 P55DER Roll-up shutter ualify the stronger with dditional testing to verity pan charts.All span 'mitations are rformance only and y be limited further by hoice of mounting nfl urations. Not to be used in HVHZ. an 164", +/-10 p.s.f., ax.span tested 144", est p.s.f. +/-40, Small issle. Weakest product ested to qualify the 013.3 P55ER Roil-up shutter tronger with additional esting to verify span harts.All span limitations re performance only and y be limited further by hoice of mounting onfi urations. Not to be used in HVHZ. an 132", +/-17 p.s.f., ax.span tested 144", est p.s.f. +/-40, Small issle. Weakest product ested to qualify the 013.4 P65ER 2nd Roll-up shutter tronger with additional esting to verify span harts.All span limitations re performance only and y be limited further by hoice of mounting onfi urations. Not to be used in HVHZ. pan 144", +/-40 p.s.f., ax.span tested 144", arge Missle"C"91b @ OFt/s.Weakest product ested to qualify the 013.5 P55TER Slat type Roll-up shutter ronger with addional esting to verity span arts.All span limitations re performance only and y be limited further by oice of mounting configurations. Not to be used in HVHZ, mess less than 96"wide (span)x 96"high. Span 156",+/-31 p.s.f., Max. pan tested 144",Test p.s.f.+/-40, Large Missle C"91b @ 50Ft/s. http://www.floridabuilding.org/pr/pr_deti.asp?IPT=5013&RV=O&fm=ROSrch 12/6/2005 Loiceof product tested to e stronger with l testing to verity rts.AH span 013.6 S60ER Roll-up shutters are nce only and mited further by mounting tions. Next wHf1 Copyright and Disclaimer;®2000 The Stats of Florida.All saaar+MA _ rights reserved. YIMIfY http://www.floridabuilding.org/pr/pr_ded.asp?IPT=5013&RV=O&fm=ROSrch 12/6/2005 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030354 Date 5/16/05 Property Address . . . . . . 644 BEACH AVE Tenant nbr, name . . . . . . INSTALL 17 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------ ------ GOURNEAU, STELLA M. MR. ROOTER OF CLAY & DUVAL CO 644 BEACH AVENUE P.O. BOX 447 ATLANTIC BEACH FL 32233 MIDDLEBURG FL 32050 (904) 241-5731 (904) 213-4291 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 154 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 154 . 00 154 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 154 . 00 154 . 00 . 00 . 00 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. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHIC "VE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Y - BUILDING OFFICIAL CITY OF ATLANTIC BEACH 1 .� PLUMBING PERMIT APPLICATION N�Ji31)` Date: 5/13/05 Property Address: 644 Beach Ave.,Atlantic Beach,FLe � ' 32233 s. Owner: Stella M.Gourneau Tele ' 241-5731 Contractor: Mr Rooter of Clay and Duval Co, LC rvI Telephone#: 904-272-6100 Contractor Address: P.O.Box 447,Middleburg,FL 32050- 0447 1 Fax#: 904-213-4291 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 City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type•• If other construction is being done on this building or site, ❑ New list the building permit number: ❑ Re-Pipe Number of Fixtures: 1_ Bath Tubs 2 Showers 3 Closets Shower Pans 1 Dishwashers 2 Sinks Disposals Urinals Floor Drains Washing Machine 3_ Lavatory Water Sewer 2_ Water Heaters 2 Hose Bibs, 1 Ice Maker Con.-3– Other Fees Permit Issuing Fee: $35.00 Total Fixtures: 17 X$7.00 + $35.00 = $154 2004-2005 OCCUPATIONAL' LICENSE TAX MIKE HOGAN OFFICE OF THE TAX COLLECTOR CITY OF .JACKSONVILLE and/or COUNTY OF DUVAL, FLORIDA 2st EAST FORSYTH STREET ROOM 130, JACKSONVILLE, FL 32202 PHONE; (904)630:•2D80 PAX: (904)630.1432 Note - A penalty is imposed for failure to keep this license exhibited conspicuously at your aetablishmom er plaoo of IDuciness. This license is furnished in pursuance of chapter 770-772 CitY ordinance codes. P£LKY, JAMES KEVIN 10 MR ROOTER Pi.IMOING OF CLAY COUNTY 449 ARTHUR MOORE OR GREEN COVE SPRINGS, FL 32043 ACCOUNT NUMBER: 179134-0000-5 LOCATION ADDRESS: DESCRIPTION: QUALIFYING AGENT, CONTRACTORS County License Code: 770.000-005 County Tax: N/A Municipal License Code: 772.325 Municipal Tax: $100.00 Total Tax Paid: $100.00 VALID FROM OCTOBER 1 , 2004 TO SEPTEMBER 30, 2005 RCPT #: OO1T000012 DATE: 9/28/2004 AMT: $100.00 ATTENTION '**The Following Construction Contractors Require Additional Licensure*** ALARM POOL ALUMINUM/VINYL RESIDENTIAL BUILDING ROOFING ELECTRICAL SHEET METAL SOLAR MECHANICAL PLUMBING IRRIGATION GENERAL CARPENTRY WATER TREATMENT UNDERGROUND UTILITY HEATING AIR CONDITIONING REFRIGERATION This is an occupational license tax only. It does not permit tne•iicensee to violate any existing regulatory or Zoning laws of the County or City. Nor does it egempt the licensee from shy other licensa or permit required by law. This is not a certification of the licensee's qualification. 12�1t 41 xv� AX COLLECTO TMIS BECOMES A RECEIPT AF ER VALIDATION ZO 39Vd 96-1d 2131008 aw Z6ZOELZV06 8G:01 GOOZ/9T/90 Ce: P L + M a i N c Fax . To: Jennifer From: Maddy Stover Fax: (.9e'4)ot-u'-4 --S SLkIr Pages: 3 Phone: Date: 5/16/05 Re: CC: 0 Urgent 0 For Review 0 Please Comment 0 Please Reply Comments: Jennifer, Here's our State and Occupational Licenses. Our payroll company, Heacock Financial; will be faxing you our Workman's Compensations and Liability Insurance certificates. Please feel free to contact me if there is anything else you may need. Thank you, Madalena Stover Mr Rooter of Clay Co.and Duval Co. P.O. Box 447,Middleburg,FL 32050-0447 (904)272-6100-(904)291-2499/(904)284-9441 -Fax(904)276-5979 Accounting Office:(904)2134291 -Fax(904)213-4292 Z0 39Vd 981d 831008 8W Z6ZOETZ006 85:02 S00Z/91/90 From:Jennifer Pauze At:Heacock Insurance Group FaxID:863-385-4130 To:Atlantic Beach City Date:5/16/2005 10:58 AM Page:1 of 1 ACORD_ CERTIFICATE OF LIABILITY INSURANCE CSR DATE(MM/DDI MRRgO-2 05/16/0/0 5 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Heacock Insurance - Lakeland HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P.O. Box 328 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lakeland LrL 33802 Phone: 863-683-2228 rax:863-683-3309 INSURERS AFFORDING COVERAGE NAIC0 INSURED INSURER A: AaNritan states Irn. companies INSURER B. AwCoap Assuranto Corporation Mr. Rooter of Clay & Duval INSURER LC C 449 Akthur Moore Dr. INSURER 0: Green Cove Springs TL 32043 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING MY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WOK Wu POLICY EFFECTIVE TION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDD/YY) DATE(MMlDDIYY) LIMITS GENERAL LIABILITY EACHOCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY OICE8416884 08/29/04 08/29/05 PR EMISES(E9aCCU're nCe) $200,000 CLAIMS MADEOCCURMED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 X Terrorism GENERAL AGGREGATE s2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY �C El LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X TORY LIMITS I 1 ER _ EMPLOYERS' B ANY PROPRIETOR/PARTNER/EXECUTIVE WCV7036241 07/15/04 07/15/05 E.L.EACH ACCIDENT $100000 OFFICEWMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE I$3.00000 It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES I EXCLUSIONS ADDED BY 9NDORSE4NT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITYARIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 80 SHALL Atlantic Beach City 800 Seminole Rd IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Atlantic Beach aL 32233 REPRESENTATIVES. A ENTATIVE ACORD 25(2001108) 0 ACORD CORPORATION 1988 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 4871395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MR ROOTER OF CLAY COUNTY AND DUVAL COUNTY LC PO BQX 4477 •• MIDDLEBURG - FL 32050-0447 STATE OF FLORIDA ACS 16 8 2 217 DEPARTMNST Or BUSINESS AND PROFESSIONAL REGULATION OR35402 1QE,13./04. 030659152 QUALIFIED:;S[7INSSB''• ORGANIZATION ISR ROOTEF'e`tAX COt 'X AND DWA (NOT A LxNg ` �a.pFoxrs woRx. ALLOWS BUSIN28S IF IT HAS A L=CE308Qt�ALIFTER.) IS QUALIFIED unaas t"vvovisions of Ch.489 FS. expiration arta: AE10 31, 3005 14410130OLOL DETACH HERE ACO ,,,6 8 22 17 STATE OF.FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SECOL04101300181 s LICENSE MDR 170,13/2004, L030,6591521835402 ` ' The BUSINESS ORGANIZATION Named below IS QUALIFIED ` Under the provision,: Of Chap ter; Expiration date; AUG 31, ' (TRIS IS NOT A LICENSE TO PERS'O�iM',`.*ORXk`�' 'THIS ALLOWS COMPANY TO DO BUSINESS' ONLY IF; I •' t7A , PRIER• ) MR ROOTER OF 1268F BLANDZNSC AYBLVD COUNTY AND. DUVl ''' AUN. 'Y LC ORANGE PARK FL 32065 JEB BUSH DIANE CARR GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY 60 39Vd 98"Id 631008 8W Z6ZG£tZb06 8S:01 S00Z/91/S0 CITY OF ATLANTIC BEACH, FLORIDA AFprowd by APPLICATION FOR ELECTRICAL, PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ 19 . IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND 1N ACCORDANCE WITH'THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACHORDINANCES. i ELECTRICAL FROM: MASTER ELECTRICIAN 8,I9MATURE JOURNEYMAN NAME � �1 © ,.-ADOR ESS. RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES APT.1 ) COMM.I I PUBLIC I 1 INDUS.( ) NEW( ) OLD( ) REW:( ) i ADDIT11 ,F�} J TRAILER I ) TEMP.( ) SIGNS ( SQ.FT. SER4m. NEW( 1 INCREASE REPAIR ( I FEE i CONDUCTOR SIZE AMPS COPPER I, ALUMle) I' SWITCH OR BRM ER PH W �9- LT RACEWAY 9-S - EXIST.SERV.SIZE AMPS PH VOLTRACEWAY FEEDERS NO. SIZE' J,NO. SIZE I NO, SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31:100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. QVM APPLIANCES BELL TRANSF. i AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 4ViR MOTORS H.P. VOLTAGE' PHS NO 111•f• VOLTAGE PHS t MAP SHOWING SURVEY OF r .amu- r, 7 -IT' * T•' ' ( . : •1' i rr L' BLOCK ... •_ ... : r v P,r� i_' 1 iw ^L ,4 T 1.J�i: "', •�' �,1 1�' .. .�, .�. '1 __. T _ • 1.. •l"1 r f �j � �l SO � P �. ,�• t sl .SR. Cid ' _ __- I77, �` _ l , J �It l^ SEr /o• /pvN 80. 8a �� �• c t D OFtldT1 FOR OFFICE ONLY IC"Bitx# RtD DateZee 19; __..__ ._..�.- Permit # $ lication f t Permit Valuation . Misc. A].teilit3:t�r �l House # and Rep sass: DESCRIBE: t�.s.-t./' •- ` � c 01 (state if to repair,.. a er, Od to or move building, erect awning. . :. . or� signs, etc. ; Building on.: Lot , v- -& 13lk No. ��► Sub.Div .. . x Address Valuation ,$ . a 4-19 Owner's Namet� l BtTILDIWS & WC,-WANCY Building Use -- Residential ,or bUtiness What Plumbing work to bedone' Size of Present 8149. Size o Extension Lot size Material of Roof No. of stories now after aited Material of Present Building Materia. of Extension RUMS DUST E Su , i SIGNS l Size Classification (state whether ground, roof, wail, ;,projecting banner) ; Material of Construction Illuminated? Type of i lumins�icow CState �thet `ear lamps or neon) Will sign be over public prPparty? SUBMIT DRAWING SHOWING CONST1tUCTION Or SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reserve side) IMPORTAYr NOTICE In consideration of permit given far 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 of At, .antic. Beach. Oouthern S nd rd Budd e) 8u` :fie +0r Signature of ; Address f ' .Phone, ;71 i DEPART OF BUILDING , FOR OFFICE USE ONLY CITY OF ATOTC BBQ , P1501iDA Date 19 Permit # Fee $-i 00-9 APplidition foil oermit Valuation $ .w for Misc. A' Itiritions Hou # and Repa3.re. -�--s DESCRIBE: (state if to repair, after, add to or imoVebuilding, erect awnings 1 or. s qns, etc.) Building one Lot ,� Blk No. Z4Sub.Div. Address Valuation, $ Owner's Name BllitDING§ & OCCUPANCY Building Use - Residential or Business What Plumbing work to be done? Size of Present Bldg'`. Size of Extension Lot size Material of Roof No. of stories now after altered Material of Present Building Material of Extension PLANS MUST BE SUBMITTED HEREWITi SIGNS Size Classification _ (estate whether ground, roof, wall, projecting banner) Material of Construction i Illuminated?Type of illumination: a (State whether lamps or neon) Will sign be over public` property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reserve side) IMPORTANT NOTICE: in consideration of permit 'given fol doing the work as described in the above statement, we hereby agree to perform said work in accordance with the ,attached plans and specifications, whiff. are a part hereof, and in accordance with the building regulations of the City of Atlantic, Beach. Oouthern Standard Building Code? Signature of, Buller or owner Address Phone 'DEPARTMENT OF BILt=tka FOR OFFICE USE ONLY Ovy OF A '110 BAC # FLO Date X19 mit ,# Fee $ A .plicatio# for a nit Valuati $ f#r Misd. Alterdt.i6h t#nuae , and kepai rs: DESCRIBE: v 5 ' ,r,n,,rv+--i (state if to repair, alter, acid to or, move building, erect awnings ter Iigris,. etc;.) Building on: rot ,No. lk No. {e Sub.Div.. Address toy h e. e.. valuation $ q 4 1049— Owner's Name j { BUILDINGS & OCCUPANCY Building Use - Residential or Business What Plumbing work to be gohe? Size of Present 9ldg. , 1.11 Size of Extension Lot size, Material of Roof j No. of stories new after alter$d Material of Present Bui ding 1�atearia�. of Extension ftenTH SIGNS Size Classification (state whether ground, roof, wall, projecting { banned Material of Construction Illuminated? Type of illumination (State whether lamps or neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING 1 f WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reserve side) IMPORTANT NDTICE: ! In consideration of: exmit p given fob doing the work as described in the above Statement, we hereby agree to perform said work in accordance with' tbe attached plans and specifications, which are a part hereof, and in accordance with the building regulati" of the City of AtlaBtic Beach. $outhe n S a` Ruildinc Vie) S;ignatur , ofB 'lder o owner �R ; Phone 11 4,6 CITY OF ATLANTIC BEACH APPLICATION FOR FLUMBING PERMIT PERMIT N0. -9 Date LOCATION Str,6et LOT NO. /A' BLOCK NO.­ & S/D OWNER MASTER FLUMBER ,(� ` Bldg. BUILDER OR CONTRACTOR -�nr-ic�A�o 2 1-0� l`.J Fermit_No... TYPE OF BUILDINGe_ _ L001 SINKS LAVATORY BATH TUBS URINALS CLOSETS FLOOR DRAINS SHOWERS WATER HEATERS DISHWASHERS DISPOSALS OTHER MRi � rte -- e �I��"rnrne-r -- TOTAL FIXTURES X1 , 00 NO WORK MUST BE DONE UNTII A PERMIT HAS BEEN FROCURED PLANS AND SPECIFICATIONS must show a plan and. description of the size-.and` looation of all the soil and vent pipes, and the nueibor and loeation of all fixtures, (in acoordanae with Orclr_anoe no. 188 of the City of Atlantic Beaoh, Florida) must be shown on back of appli- cation and be approved by the Plumbing Inspector. DRAW PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK. Approved by Plumbing Inspec3tor Date (FOR OFFICE USE ONLY) ROUGH-IN INSPECTED REIVARKS FINAL INSPECTION: CERTIFICATE ISSUED: CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 Permit Number: 19990 Address: 644 BEACH AVENUE Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: "A" Est.Value: Parcel Number: Improv. Cost: 2,236.00 Date Issued: 5/02/2000 Name: H.A. HUTCHINSON Total Fees: 37.50 Address: 644 BEACH AVENUE Amount Paid: 37.50 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/02/2000 Phone: (904)241-5731 Work Desc: REPLACEMENT WINDOWS FRANK WISNISKI PERMIT 37.50 MENEM FINAL BUILDING " 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 "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR:BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANSWHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. � $37.5014� s Date: 5/92/90 01 Receipt: B 0@'S4127 CHECKS 4021 ATLANTIC BEACH 6UILDING DEFT. 88188003221800 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS Owner(s) : �Z- -en rleto, c 1 &Mf"ll4 1iel I Address: &HCk /i� Phone: �'/" '31 Lot Block or Unit # Subdivision: Contractor: �! //l�� iy1 �CiS�� State License _ Address _�2.l� ��� J Phone o / 2 City C J / �/ Zic Code Describe work to Present use of bu. e Valuation of Procosed Construction: � �j Proposed use: 4tj� &*1,7 Is this an addition? If yes, what are the dimensions of the added space: ft. Y ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New -fireplace? New Heat/AC? SUBMIT TRREE (CObII&RCIAL) TWO (RESIl„MIT-MIL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COM4EKMmM7T, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: S/Z Signature CON RA �/�� �� Date: �,+' Sworn to and subscribed before me this_ _day of a lowFS '; _Cs1 19 92999 N1(3 ' T RY PUt LI STATE SL7.C© 0j: RGE 4ok'Q'e�71 MIN 711 ee1�F4 � Sears hiding &Windows ��/�ng � ,License No.CB C039161 Siding&Windows Job No.: / P`.0.Box 522290*Longwood,FL 32752-2290 Replacement Windows ❑ORLANDO ❑MIAMI ❑PENSACOLA D CHARLOTTE ❑MEMPHIS (407 7 -0990 � (561)588-0671 (850)478-1535 (704)391-9411 (901)547-1351 JACKSONVILLE ❑ATLANTA ❑LOUISVILLE ❑HOUSTON ❑NEW ORLEANS (904)399-5540 (770)921-1412 (502)491-1810 (713)697-7771 (504)734-8011 ❑TAMPA ❑GREENSBORO ❑KNOXVILLE ❑DALLAS ❑JACKSON (813)621.9774 (336)272-5267 (423)675.6373 (972)261-2020 (601)932.1134 ❑COLUMBIA ❑NASHVILLE ❑BIRMINGHAM ❑SAN ANTONIO ❑TULSA (803)330-9948 (615)254-5959 (205)733-9088 (210)946-6555 (918)610-8131 Name:4k A) V Phone: Res. �- 3 Bus. 13 Address: CC C.l� (- City: I 4 St.: Zip: Z Z I/We, the owners of the premises described below, hereinafter referred to as "Purchaser" offer to contract with Sears Siding & Windows hereinafter referred to as "Contractor", to furnish, deliver, and arrange for installation of all materials necessary to improve the premises located at: (Street) (City) (State) (zip) According to the following specifications: 1. Remove existing units to be replaced.(NOTE:Removed units are likely to be damaged.) 2. Prepare openings as necessary to receive replacement units. (No finish work other than normal installation is to be done unless otherwise noted below.) 3. install Sears 3— Sys Windows in openings described below to the following specifications: Color: White ❑Beige ❑Bronze ❑Mill Fin ❑White/Woodgrain Type: XDH ❑SH ❑2-LR ❑3-LR ❑PW ❑Other ❑Other Qt Qty Qty _ Qty _ Qty Qty — Qty HI FE — — O ❑Other ❑Other Qty — Qty Glass: ❑ Clear ❑ Bronze ❑ OBS 1/2 Screens:CHECK IF OTHER THAN FIBERGLASS: ❑ Low E/Argon ❑ Gray ROBS Full (On Sashes Only) ❑ Alum 'Low E2/Argon ❑ Asurlite ❑ Keepsafe ❑ Solar NOTE:Tempered glass will be installed to meet building codes. add : Bevel Col sculp Col Flat Diamond Flat Top Clear ❑ White Full Tan ❑ Wd Grn Bottom Brass ❑ Warranty: Lifetime ❑ 20 Year ❑ 10 Year Glass Breakage Warranty NOTE:Manufacturer's Warranty mailed after completion. (SH) (GA,ALUM) 4. Existing units NOT to be replaced. _C _ __ X4111 1 om,' Q f-- t u �,rD az/e'c�2 5. SpIpciai Instructions: 4, M -EA -fz�eQ WCU 6. Clean up job rel ted debris and provi neces ry permits and nsurance. £ 7. Allow approximately 3-6 weeks for installation. NOTE: THE WARRANTY PROVISIONS AS STATED ON THE REVERSE HAVE f3EEN EXPLAINED AND UWE UNDERSTAND TH5M4yLLY. ADDITIONAL PROVISIONS AND WARRANTIES ARE STATED ON REVERSE SIDE AND ARE PART OF THIS CONTRACT. 10, Please read the following bold type and initial corresponding line. Verbal understandings and agreements with representative shall not be binding. All understandings and agreqrnentsust be set forth in writing in this Contract.Due to climatic conditions,interior condensation may occur. Purchaser Initials: , The TOTAL PRICE for all Labor&Materials(including any applicable discounts)is $ I _~— Down Payment $ r--- ,� Balance Payable $ 24 A Tarma• r_rarlH Yr ISijhiact In tha annrnvai of tho Credit nanartmant1 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: f 19 2 IMP013TANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, 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 ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. .&j3�L ho k I I",k - nth ELECTRICAL FIRM: MASTER E ECTRICIA SIGNATURE JOURNEYMAN NAME (dAIn ADDRESS: � - RFD BOX BLDG.SIZE BETWEEN: RES APT. 1 ) comm. ( I PUBLIC ( ) INDUS. i ) NEW( ! OLD ( ► REW. ( ) ADDITION ( ! TRAILER ( ) TEMP. ( ) SIGNS ( I SO. FT. SERVICE: NEW ( INCREASE ( ► REPAIR- FEE CONDUCTOR SIZE AMPS "� COPPER I ALUM. r-� SWITCH OR BREAKER c rG' AMPS PH W 2w/OLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. _ FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS I AMPS CEIL HEAT: KW-HEAT d-1 OVER MOTORS N.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PNS MISCELLANEOUS A TRANSFORMERS: UNDER 600 V. OVFR ann v CITY OF ATLANTIC BEACH FLORIDAJ Approved by APPLICATION FOR ELECTRICAL. PERMIT r7 TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_-l-? 19-L-4 IMP013TANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, 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 ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. L P4 (W EL` CTRICAL FIRM: MASTER EL AAJOURNEYMAN - gm NAME. _ �� f ��1�SS:_; L` '_ ` RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RE ( T.f 1 comm. ( I PUBLIC i ) INDUS. ( I NEW( I OLD f ) REW. ( ) ADDITION ( ) TRAILER ( I TEMP. ( I SIGNS ( ) SD. FT. SERVICE: NEW( I INCREASE ( ) REPAIF - FEE CONDUCTOR SIZE AMPS {'""C' COPPER ( ALUM. SWITCH OR BREAKER at2L AMPS C PH � W �ROLT 6- RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS N.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS l: JI TRANSFORMERS: UNDER 600 V. OVER 600 V. f'*' DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 FAX:(904)247-5843 SUNCOM:852-5834 http://ci.atlantic-beach.fl.us February 7, 2003 FEB Ms. Henrietta S. Hutchinson 644 Beach Avenue Atlantic Beach, FL 32233 Dear Ms. Hutchinson: As your letter of February 3rd states, you have called in the past and we have spoken about the Core City Improvements Project. As part of the current construction project, we plan to install basins at both the southeast and southwest corners of 7th Street and Beach Avenue. These structures should significantly reduce the water coming from 7th Street and Beach Avenue. As we discussed today, your lot is lower than Beach Avenue and there may continue to be ponding at your driveway. We agreed to look at the area again after all improvements are complete and, if additional work is needed, we will discuss with you first. If you have any questions please contact me at 247-5834. Sincerely, �4 . Robert S. KosoY, P.E. Director of Public Works Cc - cc: Mayor Meserve � ity' commission Jim Hanson, City Manager City Manager Phil Nodine, Streets and Maintenance Division Director 0 City Attorney ❑Press D Pile RSK/9 0 Date; DATE: February 3,2003 TO: Robert S. Kosoy Public Works Director of Atlantic Beach FROM: H. S,Hutchinson ' S? � Opp 644 Beach Ave Atlantic Beach, FL 32233-5326 RE: Street Drainage/Storm Water Runoff Dear Sir: Every time it rains in the past 5 or 6 years,I have 5"-10"of water runoff around my home and the problem keeps getting worse. When I bought this house in the mid 60's there were no concrete drives in this block on Beach Avenue. Since I purchased my home—everyone on this block has put in concrete drives and sidewalks. Also,the city has resurfaced the street several times which has raised the level of the street. The result of the above is that I sit in a lake every time it rains, as I am the lowest house on the block and my home is on a concrete slab. May home has become a drain field for surrounding homes on Beach Ave between a and 7 street—plus the water draining from Beach Avenue between 7t'and 8t' street. Since you are redoing the water and drainage in the core city and 7h street,would you please see what you can do to alleviate my flooding problem. I have called your department several times concerning this problem during storms and asked that you come and observe the problem. When speaking with you I was told to wait until you worked on the storm problem for the city and 7 street. I am writing to remind you of my problem and thought you could do something to fix the problem while you are in the process of tearing up 7t' street,with perhaps a drain on Beach Avenue between 6th& 7th street that will keep my home from becoming the drain field for this block of Beach Ave and streets south. Anything you can do will be greatly appreciated . Sincerely. .,� Henrietta S. Hutc ' son,Home Owner 644 Beach Ave., Atlantic Beach (904) 241-5731 cc: Mayor John Meserve DATE: February 3, 2003 TO: Robert S. Kosoy Public Works Director of Atlantic Beach FROM: H. S, Hutchinson 644 Beach Ave Atlantic Beach, FL 32233-5326 RE: Street Drainage/Storm Water Runoff Dear Sir: Every time it rains in the past 5 or 6 years, I have 5"-10"of water runoff around my home and the problem keeps getting worse. When I bought this house in the mid 60's there were no concrete drives in this block on Beach Avenue. Since I purchased my home—everyone on this block has put in concrete drives and sidewalks. Also,the city has resurfaced the street several times which has raised the level of the street. The result of the above is that I sit in a lake every time it rains, as I am the lowest house on the block and my home is on a concrete slab. May home has become a drain field for surrounding homes on Beach Ave between 6th and 7 street...plus the water draining from Beach Avenue between 7th and 8th street. Since you are redoing the water and drainage in the core city and 7th street, would you please see what you can do to alleviate my flooding problem. I have called your department several times concerning this problem during storms and asked that you come and observe the problem. When speakinm with you I was told to wait until you worked on the storm problem for the city and 7 street. I am writing to remind you of my problem and thought you could do something to fix the problem while you are in the process of tearing up 7th street,with perhaps a drain on Beach Avenue between 6th& 7th street that will keep my home from becoming the drain field for this block of Beach Ave and streets south. Anything you can do will be greatly appreciated . Sincerely. enrietta S. Hutchinson, fgtne ZOwner ccc 644 Beach Ave., Atlantic Beach "-'` Manager y^Commission City (904)241-5731 )City Attorney 0 Pr ss cc: Mayor John Meserve Pr ss 0 Date: