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Permits 1655 Beach Ave Ile r t f f J CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD / ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 f- Application Number . . . . . 06-00032394 Date 3/01/06 Property Address . . . . . . 1655 BEACH AVE Tenant nbr, name . . . . . . HURRICANE SHUTTERS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 19100 Owner Contractor ------------------------ ------------------------ WHITAKER, DALE A. ROLL-A-WAY, INC. 1655 BEACH AVE. 10601 OAK ST, NE ATLANTIC BEACH FL 32233 ST PETERSBURG FL 33716 (727) 576-1143 ------------------------------------------------ ---------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00 Issue Date . . . . Valuation . . . . 19100 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 130 . 00 130 . 00 . 00 . 00 Plan Check Total 65 . 00 65 . 00 . 00 . 00 Grand Total 195 . 00 195 . 00 . 00 . 00 d PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL :turn to:(enclose self-addressed stamped envelope Doc#2006072070,OR BK 13100 Page 2137, ame: Roll-a-way Number Pages:1 2375 St Johns Bluff;Rd#303 Box 15 Filed&Recorded 03/01!2006 at 03:09 PM, idress: JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Jacksonville,FL 32246 RECORDING$10.00 tis Instrument Prepared by- line: Roll-a-way 2375 St Johns Bluff Rd#303 Box 15 idress' Jacksonville,FL 32246 operty Appraisers Parcel Identification SPACE ABOVE THIS LINE FOR PROCESSING ,�DATA gg COMMENCEMENT+� �a SPACE ABOVE THIS LINE FOR RECORDING DATA NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida County ofk The undersigned hereby gives notice that Improvements will be made to certain real property,and in accordance with chapter 713 of the Florida Statutes,the following Information is provided in this NOTICE OF COMMENCEMENT. ENT. Legal description of property(include Street Address,it available) -/roe 5� f / . /s—t o General description of improvements 41 U/Q'IP t°U -tit r c e c, Owner's Name z5R'C...- /< " ,-t S Address Cc,P L fav' z Owner's Interest in site of the improvement Fee Simple Title hold!(if other than owner) Address Phone: Fax: Contractor - /` dine,,, -?575 �J S 83 ,O -F t E rs AddrQsa :T A-cK_S c,-,to u (L L 6 F� � �'7 � hone:4D�`��- t� 6 S� Fax:9_D y- 6 q2 -33-5/ Sisreh� Phone: Fax: Addrass I Amount of bond$. Lendar's Name Addrss s• Phone: Fax• Persons:vithin:t a State of Ficrida designated by owner upon whom notices or other documents may be served as pro- vided by Sectfcn 713.13(i)(a)7,Florida Statutes. 13 Mame b AddressFaX: a in addition to himself,owner designates 314 Of Phone: Fax: to receive acopy of the Lienor's Notice as provided in Section 713.13(i)(b),Florida Statutes. Expiration date of Notice of Commencement(the expiration date is 1 year from the date of rec rdhjg unles.s a different date is"specified) Cc Signature of Owner Printed Name of Owner �r 0 NOTAPY RUB3FX STAMP SEAL I have relied upon the f flowing identification of the Affiant t0 Sworn to d suuscritred fore n e s t �� day ofO OI �d�Y PVO Notary Public State ofFionda 96 aY�; Samnang L Waters �"�� oa My Commission Dp407984 Notafy `�yit Expires 04/09/2009 Printed Mame c�: CITY OF ATLANTIC BEACH s BUILDING / ZONING DEPARTMENT L. Higgins 800 Seminole Road Atlantic Beach,Florida 32233 1 J�34�f (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # S Z 3 �7 Property Address: / (y��7 �AC� 4 V4' Applicant: A Project: A .S This permit application has been: M/ Approved F-� Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: a CITY OF ATLANTIC BEACH • PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS, SKYLIGHTS AND GARAGE DOORS OF SINGLE—FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION i Date: — 2 " •d� Job Address: Owner's Name: Address• Phone: 9,6 Legal Description: Block Number: Lot Number: lZ- Zoning District: Contractor: J r F Z&A State License Number: 9 M67 s�FS Address: /o(vD/' 4/9� ST /1/6- Phone: 7:2 7- .5-;�4 1/43 City: c�71c�xzns, tte-6 State: & Zip: 337116 Fax: Describe proposed use and work to be done: ea �c ✓� ✓l ?.�ri' Present use of land cr building(s): Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Building Data: Mean Roof Height' t S (ft) Building Width (ft) Building Length y16 (ft) Roof Slope *Window Elevation from Grade_.,2.0 (ft) Window Height (ft) Window Width _ (ft) Measurement from corner of building to window (ft) S o � S h 4 s s 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fa:: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 1 Revised 127/03 V i . Procedure: In order to Expedite 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 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Descriptibn/Type 6. Elevation View of Window Locations 1 hereby certify that all information pr rovn17 ith this application is correct. �- Signature of Owner.� Date:,X 1113/�06 1 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 rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. 1 understand that the issuance of this permit is contingent upon the above information being tri► rrec t and that the plans and supporting data have been or shall be provided as required a Signature of Contractor: Date: — Address and contact' n ation o/"f son to receive all correspondence regarding this application (please print). Name: C1 0 Mailing Address: !� D/ Bat&-, � X � �'-�oxJdPlle Telephone: Fax: to V2 r 3 33 E-Mail: AS TO OWNER: Sworn to and subscribed before me this 13 day of ��-ti '¢-�°-y ,200,6 . State of Florida,County of Duval X00 ni,� N71ac State of Florida Notary's Signature: SWaters!QEMlysion DD407984 ❑ Personally known 0 E9/2009 Produced identification // Type of identification produced ` AS TO CONTRACTOR: f Sworn to and subscribed before me this ;?Q)'A- day of �i¢iU Lt _' 20,06. State of Florida,County of Duval --- �r Notary's Signature: WHARTON REID NAWSHAW MY COMMISSION M DD 090043 a• a; arch 18,2008 Personally known Bonded ThruNo*PW*Ur&M*�ra EXPIRES:MA ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/27/03 e --. 03/29/2005 23:28 9847310053 CRAWSH M{ PAGE 02!02 Jerry E. Hicks cagom"Nam. =�4 /J4 r1 ns Prope"Owma Address: f -;' rLt Unit# City,cam, �1�.� � '��- 4 ifs.. Ptouc ac)quo`q l Single Fsn* T r' 1>Structur+c: Mswmy 'Wood y`C,o�xat�e 106a Spec (W'wdow Fr ue:If opening varies fovea&bow isles„indite types ) 2>ROOF SLOPS: Lcas Than or Great flan 10 degrees 3>Fire Sprinoucir. Yes Nos,, 4>BUWiDSH 5>(.oauW Zone Yes ✓'No 6>CondoaiiniunVAsseciation Approval: Raiuiced Not R+egtwred t/ AAre Specs AvaiiabL-. 'liest- a &>PSF L-4 D,(p Roll-s-way Phw mqu xcd to wmplete this job: Name: Permitting Municipality /`Y • ` Address145-,5 _ +� _ OCondo City/State/Zip H W Product Plans 3 447 -//7 3� 5, I/If � �~S z 5-D /3 The Dom,tnc. � blioao,! D&RShtrt�ers,hc. S--MBnonswA*Savannah, iwft Wle and the BeachesHaar Head.fl&wfort&Chodesion = sroAu"►n sep>�rsrnxnm • from Amelia Mand to St.Mws&w Hoffm Ofte& Shotwoom 5851 Lowcountry Drive-Ridgeland, SG 29936 1-888-765-2929 Fax 1-843-717-1749 • ° PHONE ATE T0: j cc �Z6 Sfd e; f r 3 JOB NAME/LOCATION 55 %req e i,,- x- JOSMUMBER JOB PHONE . . . . 60 t 3 � 4 �a � e 'a /e ., Autmized lis Date of Acceptance: A l- z Signature Jr Signature The Drowk tu►c. � DAR Shtriters,lnc. stun"$ *,Sara"MI Jacksonville and fie Beadw Niltat Head,t3eaufvrr&Cherteston UK sraa+iwo saixarrvs�wrr rs a from Amelia Island to St.Augusine Home Office& Showroom 5869 Lowcountry Drive•Mdgeland, SG 29936 1-888-765-2929• Fax 1-843-717-1749 s • , ff ( PHONE otitE JOB KkAE/UCA M JOB NUMBER JOB PHONE 4 2`' Y - 9 *` oil m`y� 40h Audxxized Signature Date of Acceptance: Signature, rage 1 of 4 µ r et pp t 4 � � q i C r:ier Proalu i —II;;h >r aanEv prion Pscdttct CA a,, fr Application is• #•, --^irrrr. g r User: Public User -Not Associated with Organization- s , •�m�. Application#: FL5013 ,,.•.,r Date Submitted: 08/03/200 Code Version: 1110.4 Ram= Product Manufacturer: Roll-a-way Storm and Security Shutters Address/Phone/email: loCiol Oat;St. NE Saint Petersburg_FL 33716 (727)9039283 z" Tecluucal Representative: Donald Fowler 5 «„ Technical Representative Address/Phone/email: 10601 Oak Street NE = St.Petersburg.FL 33716 ditm ler-a- roll-a-way.com r Catego>- - Shutters Subcategon-: Roll-up .. .. .,......J Evaluation MethuJ: Testing Report Referenced Standards from the Florida Building Code: Sgcfion Standard Year ,. . Florida 1609 2004 Building Cod , ASTM E 330-02 ?002 ASTM E 1886-02 2()1)2 �atnp: E 1996-o2 L)CBCCD PA201 94. 1994 PA202-94 A2 3-94 Southern STDD 12- 1999 Building 99 Co Florida TAS 2(.)I-()4 2o04 Building Cod littp://w,,vw.floridabuilding.or,g/pr/pr__detl.asp?IPT=5013&RV=O&fin=ROSrch 12/6/2005 vuv vuiiiiz rage L OI 4 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 ibrengineerone it aol.com Evaluation/Test ReportsUploaded: PTLD T ATL R,rott NtWl3G.(?1 '0! pdf i'111) 50 1.3 `'1 A j iRepori 1`11D 50131 T NTL Joh PTID T IITL Job No,Otu,- )__-1 03--1 1-oi f PTID 5013 F HTL Job Ntog..)o- t){-f)Zta t�ttf Fr 11r.) jC1t T RAW Dvca No, t_t),1 h.- i+ histaliation Documents Uploaded: I)T]l)t_�f_)_1, .7 j P_! ('tn t'�canrtu o � ,lii,'�Cilala.�ll't;_pill Product Approval Method: Method I Option B Application Status: Approved Date Validated: 09105/2005 Date Approved: Date Certified to the 2004 Code: Page: Page 1/1 Go pp/Seq Product Model#or Model Limits of Use # Dame Description IjNot to be used in HVH2. Not 156", +/-31 p.s.f., ex. span tested 144", st p.s.f. +/-40, Large ssle"C"91b @ 50FVs. eakest product tested to 013.1 1138ER Roll-up Shutterglify the stronger with ditional testing to verify Epan charts.All span limitations are performance only and y be limited further by choice of mounting on6 urations. http://www.floridabuilding.org/pr/pr__deti.asp?IPT=5013&RV=O&fin=ROSrch 12/6/2005 rwriaa tsuiiuin ��ue vnui►e I a.5c %Ji* -T Not to be used in HVHZ. Span 164", +/-10 p.s.f., ax. span tested 144", est p.s.f. +/-40, Large issle"C"91b @l 50Ft/s. eakest product tested to 013.2 P55DER Roll-up shutter uafify the stronger with dditional testing to verify an charts.All span imitations are rformance only and y be limited further by oice of mounting onfl urations. Not to be used in HVHZ. pan 164",+/-10 p.s.f., ax,span tested 144", est p.s.f. +/-40, Small sle. Weakest product esled to qualify the 013.3 P55ER Roll-up shutter tronger with additional esting to verify span arts.All span limitations re performance only and ay be limited further by hoice of mounting onfl urations. Not to be used in HVHZ. pan 132", +/-17 p.s.f., ax.span tested 144", est p.s.f. +/-40, Small issle.Weakest product ested to qualify the 013.4 P55ER 2nd Roll-up shutter tronger with additional esting to verify span harts.AH span limitations re performance only and y be limited further by choice of mounting configurations. Not to be used in HVHZ. Span 144", +/-40 p.s.f., ax,span tested 144", arge Missle"C"91b @ 50FVs. Weakest product ested to qualify the 5013.5 55TER Slat type Roll-up shutter tronger with addionai esting to verify span harts.All span limitations are performance only and ay be limited further by hoice of mounting configurations. Not to be used in HVHZ, unless less than 96"wide (span)x 96"high. Span 156", +/-31 p.s.f.,Max. pan tested 144",Test rs.f. +/-40, Large Missle C"91b @ 50Ft/s. http://www,floridabuildiiig.org/pr/pr_detl.asp?IPT=5013&RV=O&fm=ROSrch 12/6/2005 CITY OF ATLANTIC BEACH '~ 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029651 Date 2/04/05 Property Address . . . . . . 1655 BEACH AVE Tenant nbr, name . . . . . . REPAIR HURRICANE DAMAGE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8000 Owner Contractor -------------------- ---- ------------------------ HAAS, J. ERIC ARMSTRONG CONSTRUCTION 1655 BEACH AVE. 1810 1ST ST ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-7949 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00 Issue Date . . . . Valuation . . . . 8000 Fee summary Charged Paid Credited Due ----------------- ---------- ------ ---- -------- -- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total 35 . 00 35 . 00 . 00 . 00 c'ranr� rr,t al 105 . 00 105 . 00 . 00 . 00 Cit of Atlantic Beach *" City PEMIPT **+ Ober: 08M Type: OC Brawr: 1 Date: 2/94/05 01 Receipt no: 31362 Descri ion 2961 ity Aaou"t OP WILDING PEWITS (106.01 Tender detailCK 9661 1106.M Totalered HIL N Total payaent 1116LM.N ,E w'rI7H CIT ALL Y OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA Trans date: 2/04/06 Tim: 14s18149 _. BUILDING OFFICIAL f,� CITY OF ATLANTIC BEACH cc: s=' BUILDING /ZONING DEPARTMENT J r 800 Seminole Road 4L. Hns Atlantic Beach,Florida 32233 r (904)247-5800 (904)247-5845 Fax www.coab.us Girl "Di PLAN REVIEW COMMENTS FEB 0 2 200. Permit Application # BY: x Property Address: 44 4�E Applicant: m N co kD —s7iz Project: C-gd;r This permit application has been: V, Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: \r\�r Date: /ALA� J`j /Ila �� FEB ITOF ATLANTIC BEACH Mr ' BUILDI O PERMIT APPLICATION (ALTERATIONS/ADDITIONS) Date: P ob Address:J AV8.nR t /41 Wn�Y& d&,h d ir--iL 30a�)-33 Owner of Property: �R € �' HAILS OD(� / l- Address: / �,.S5" A CG'l,� lTV�n�L� _ Telephone: �4 r7 , I gal Description: Block Number: Lot Number: j Zoning District: 00 Contractor: /4y-/'h S ly!q6 ��1 S+-rli l'r�'i'1 State License Number: CM 1 S/u C),-, . �5 - � ,><- 740<s~ ,IIt- MMCC��i to Contractor's Address: n ¢ ' Telephone: , '( -- ` / C) Fax: / 09(7J Describe propo ed use and work to be done: RL,M 0V' 6 ' cct^07, Vor itrr t CAhC' ymA W �. �° c/ VIA e , g' �+ r!awn r- ' ti 1' fby, S Present use of land or building(s): ji— IV 3:t�N, 4 11 - Valuation of proposed construction: & What are the dimensions of the added space: feet�e----- � � Will the added area be heated and cooled?_ IIJA New electrical or increase in service? Att_� Add plumbing fixtures? Add fireplace? Add heating/air conditioning? Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? tRT10. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ,JR71�0. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required,written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner: r Date: 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 isions of any fede ,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the per f ance of const Fos of the property. I understand that the issuance of this permit is contingent upon the above information being true and rr and 7halnd supporting data have been or shall be provided as required Signature of Contracts L Date: 1 Address and contact information of person to receive all correspondence regarding this application(please print). Name: � AIJNO/J Mailing Address:J�/a / S S ice!// le- k3a ITT Telephone: , /— 7Fax:,2 ,?4 1V 07'7 c E-Mail: AS TO OWNER: Sworn to and subscribed before me this day ofr,Q 20 State of Floridlli,lr ME NNADD 106331,2006 Notary's Signature: Personally known Produced identification Type of identification produced AS TO CONTRACTOR: \ 5 Sworn to and subscribed before me this day ofC 20 . �— State of Florida,County of Duvall ANN MARGADONNA ye MY COMMISSION# DD 106331 Notary's Signature: of t�p� EXPIRES:April 11,2006 I WD.3-NOTARY FL N WY &sa,dlna.l�� k Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/14/03 / NOTICE OF COMMENCEMENT State of F-torI4 Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following inform atiop is�st?ated in this NOTICE OF COMMENCEMENT. 'Legal description of property being u�prcrve0: C� f! ✓ Address of property being improved: &= &I ' Oki ZA General description of improvements: j3,trhvvjjmir c wt- Pli r-01 l- 4 �3� c— r, rLti r r' Owner: . !.• ,._,L Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Address: Contractor: k C/7111 t3 ��✓rr�.*� . u�rt��U £i P��`<� Address: d Phone No: -- Fax No: - Surety(if any): a Address: Amount of Bond$ .� Phone No: Fax No: r) 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 2 documents may served: Name: Address: Phone No: Fax No: R� In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in — �, Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: 3 1`� Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a �� different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER d Signeda, � Date: Z Before e this 315 - day of k in the County Doc#2005038699,OR BK 12272 Page 1365, of Duval, State of F ida,hhapersonally appeared Number Pages: 1 Filed&Recorded 02/01/2005 at 02:35 PM, Notary Public at Larg , State of Florida,County of Duv JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY My commission expires: �� 9 RECORDING$10.00MAMA Personally Known: ` 3310 Produced Identificatio �` l n,zoos OF t� KL%--I mance 8.eond"' Inc. � N07ARY CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 ° r INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029638 Date 2/02/05 Property Address . . . . . . 1655 BEACH AVE Tenant nbr, name . . . . . . REMOVE/REPLACE ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 39000 Owner Contractor ------------------------ ------------------------ HAAS, J. ERIC OLD WORLD CRAFTSMEN INC 1655 BEACH AVENUE P.O. BOX 1815 ATLANTIC BEACH FL 32233 LAKE CITY FL 32056 (904) 247-4099 (386) 758-3264 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 337 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 39000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 337 . 00 337 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 337 . 00 337 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDINFFI AL ` RE ❑ E IVED CITY OF ATLANTIC BEACH BI i1'!111v1 ; E r-,iit, CITY OF ATLANTIC BEACH > FEB 01 2005 OFING PERMIT APPL7c� ATION ay' Date: At / 0C)5— N Job Address: NOwner of Property: Q Address: �_6 S-,Y 6&(4 G /ly L , �- G,��FfL Q 6A/F- Telephone: v?I Ko,o 7 N Contractor: _G(d iMa;i d „ a tzc ,,,, , Tn C- State License Number: e,`C— (_ 05 -"7 35'7 11 C09 Contractor's Address: rL (if 60� t FL -3-4-05-6 / Telephone: 010 4 J 3 pf _ 3 d 1 U Fax: Lmr75+ — 9 4 8 r7 ScopeofWork: fi\CmovaI and 66C-,nC14CYC roC.,4-, dena �vl 4mrt-lc C7 Fr ei n Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: 000 It Product Name(Example: Timberline):�• -a c N(Qp i/ t C p�( PQr e l Manufacturer(Example: GAF): a+cz s . 052— Alu R 0 d r s t ASTM Designation(s): A'S fM E7 !S 9Z- Required Inspections: Sheathing and Final 11- �� Signature of Owner: '01 � 41U19 Date:6/ ) OA Signature of Contractor: Ulzma4to Date: 7.7717, QAS TO OWNER: !� Sworn to and subscribed before me this 0k day of �j�� ,20_OL State of Florida,County of Duval ` �' _._ Notary's Signature;. ! Raymond C.DavisPersonally known :•' *- MYCOMMISSM DD222833 EXPIRES lune 14 2007 ❑ Produced identification BONDED TNRUTROY FAIN INSURANC�ING Type of identification produced AS TO CONTRACTOR: SWOM to and subscribed before me this d 7 day of ;im�&e ,200-5—. of Duval�,sFlnrida.County Signature: DALVEM # 9 e onally knoytim " tiny 29, r uced iden"f ation /-5 y of Iden' ation produced �L o05 Florida 32233-5445jto �5 ed Atlantic Beach, htt ��ww-cl.atlantic-beach.tl•uSRevised 2/21/03 Co�'n S�sz' �o� tip�b� 9 •Fax: (904)247-5845 P� G� 6,s, \ tj) P Ust'041 � 7,535 Windsor Drive, Suite B-102 Allentown, PA 18195 June 28,2004 Mr. James Bush ATAS International,Inc. 6612 Snowdrift Road Allentown,PA 18106 Re: MRD Florida Product Approvals Our Project No: 0465 Report No: MRD-052004-1 Dear Jim: At your request we have evaluated the wind resistance performance of the ATAS 24 gage steel and 0.032"aluminum MRD roof panels in conjunction with the Florida Building Code and Florida product approval system. This cover letter is to be attached to the substantiating calculations and design assumptions previously submitted to you. A summary of the results is given below: Panel Type: MRD 110,MRD 150,MRD 194 Material: 24-gage steel and 0.032"aluminum Maximum Wind Speed: 140 mph(High Velocity Wind Zones excluded) Building Exposure: A,B and C Roof Type: gable and hip Roof Slopes: 2:12 through 12:12 Enclosure: enclosed and partially enclosed Panel Clip Spacing: 2'-0"in field, P-0"at perimeter Fastener: (1)#10-13 screw per clip Structural Substrate: 5/8"thick(minimum)plywood Mean Roof Height: 28 feet(maximum) Building Classification: Categories I and II(includes low hazard and residential) It has been a pleasure to work with you on this project. If you have any questions,please do not hesitate to contact me. Very truly yours, Christopher S. Blechschmidt,P.E. Report No:MRD-052004-1 EVALUATION ENTITY MANUFACTURER Gary Pfuehler,P.E. Product Evaluation Report Clopay Building Products Company 5663 Green Oak Court for Florida DCA 8585 Duke Blvd. Fairfield,OH 45014 Mason,OH 45040 Evaluation Report# 94W7-18 513.770.4800 Statement of Compliance: The Clopay Building Products Company sectional doors as described on the drawings listed below meet the design and test pressures shown. Based on the testing and rational analysis detailed below,this product is evaluated to be in compliance with the following provisions of the Florida Building Code: ® 1601.1 Wind Loads ® 1625 Cyclic Tests for HVHZ ® 1626 Impact Tests for HVHZ ❑Other: Description of Product: Steel Pan(min.24 ga.) 16'4"to 18'-2"wide WindCod6v W7 Garage Door Design Pressures: +42/-46 Test Pressures:+63/-69 Specific Models and Technical Documentation: Model Test Report Drawing No. Comments 84AW7,94W7 ATL 0924.02-02 102621 48W7 ATL 0924.02-02 102621 4RSTW7 ATL 0924.02-02 102621 H73,H94W7, ATL 102621 H4STW7 0924.02-02 Installation requirements: Installation must be in accordance with manufacturer's installation instructions. Limitations and conditions of use: Jambs, lintels,sills or other structural elements required to prepare openings are not covered. The design of the supporting structural elements shall be the responsibility of the professional of record for the building or structure and in accordance with current building codes for the loads listed on the drawing referenced above. Certification of Independence of Evaluation Entity: 1 hereby certify that(1)I have no financial interest in Clopay Building Products Company;(2)I am an independent licensed Professional Engineer in the State of Florida;and(3)1 comply with the criteria of independence as stated in 9B-72.110 F.A.C. Signature: Gary Pfuehi r, P.E. Florida P. E.No.49850 Date: FILE:94W7-18 PEv00.Doc 8 r' Q y N @S RtiR 0- bs 4Gy 4 GP •NA's ail W i Z AGO e J J yyE A 1 0,6 Vill, lik= , WKS lb gra .b ' ' "OUT`�� CITY OF ATLANTIC BEACH Co: BUILDING /ZONING DEPARTMENT D.Horarys 800 Seminole Road 99 S. Doerr ` Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Q Permit Application # 05-A9-4 C) Property Address: I LQ55 �Yffleh LNUC) Applicant: 1 ( Co. Project: (OA f n T7Approved itapplication has been: ��viewed and the following items need attention: dl,c� Please re-submit your application when these items have been completed. ,� Reviewed By: � dr U Date: Date Contractor Notified: CITY OF ATLANTIC BEACH s WINDOWS, SKYLIGHTS, GARAGE DOORS,HURRICANE SHUTTERS �- Date: Job Address: )3eacA /T ren lg-&, A1 6,-7 Ht, ?.3 Owner: Address: 16 !T ,(j c oL&h Aye n ti' Phone: 7 g 1 Legal Description: Block Number: Lot Number: 0, Zoning Diss t: Contractor: �(Jtlr,. ( VZ+C1� I� 0, State License Number: Address: es tot L-o �"' rc- ',,,ST"1Z''x+ Phone: *04-772.C14434 3434 City: lce-ksol ut d C State: Fk Zip: 5 L21e. Fax: 4;6q•-jZ/ 2A81 Describe proposed use and work to be done: g C-0114 C- E!l el- '-Y 0 -4 96/-416 e d,06r / nGCGr j4rr cahC-, FS' S' GU Gft71/-` Maur Present use of land or building(s): r- Valuation of proposed construction: _ _I �. Is approval of Homeowner's Association or other private entity required?NO If yes,please submit with this application. Required Building Data: C � Mean Roof Height_1"ZL(ft) Building Width 7. (ft) Building Length S (ft) Roof Slope Window Height (ft) Window Width (ft) Window Elevation from Grade (ft) Measurement from corner of building to window (ft) Number of windows being installed ;: ► Mean Roof Height 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 1/27/03 Procedure: In order to expedite 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 Owner: v Date: o�p0 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 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 being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: j IF Mailing Address: Cry L �Gl�' L / -L 3 3 3 6/,� , Telephone: —�l� �f�Fax: Q O o a—E-Mail: T�As e 4 m-, C d'14 AS TO OWNER: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/27/03 DR-500AR Property R.01/93 Control No. Tax Year Widow Widower Disability Homestead Other 12 Removal of Homestead Exemption(s) ❑ 1 no longer quality for Homestead Exemption because the above property was not my :permanent residence on January i of this year. I no longer qualify for❑Widow❑Widower❑Disability Exemption(s) Do not return this form if you stili qualify for the exemption(s) Warning Florida Law prescribes that it is the duty of the owner of any property to notify the property appraiser promptly whenever the use of the property or the status or condition of the owner changes so as to change the exempt status of the property. if any property owner fails to so notify the property appraiser and the property appraiser"ermines that for any year within the prior 10 years the owner was not entitled to receive such exemption,the property shall be subject to the taxes exempted as a result of such failure,plus 15 percent interest per annum and a penalty of 50 percent of the taxes exempted. Reference Sec.196.131 and 196.161,F.S. Please remove the above exemption(s)from my property for the current year. Signature Date JIM U1iERTCN DUVAL COUNTY PROPERTY APPRAISER PRESORTED C L A U D E P A T E S ANNEX FIRST CLASS 231 E. F D R S Y T H ST SUITE 233 U.S.POSTAGE PAID JACXSCN'YILLE. FL 32202-3373 PERMIT ii 3443 TAMPA,FL RECEIPT FOR 2004 TAX EXEMPTION RENEWAL RETURN SERVICE REQUESTED YEAR Widow Widower Disability Homestead Other GENERAL 15-10 9-2 a-29 E N ATLANT i Property Control No. 6965 5 0000 6EACH UNIT 1 LCT 12 aJ N a� 0 [HAAS. J ERIC 1655 BEACH AV ATLAN71C 9EACHP FL 32233-5840 t*��,�� 223a irrNrrrkdrrtrlrr(treit,�lrfrkrrkrrkrrkllrrrrkrkrrlrtrttrrrt CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029487 Date 3/25/05 Property Address . . . . . . 1655 BEACH AVE Tenant nbr, name . . . . . . REPL GARAGE DOOR Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1800 Owner Contractor ------------------------ ----------------- ------- HAAS, ERIC OVERHEAD DOOR CO. OF JAX 1655 BEACH AVE. 6884 PHILIPS PARKWAY DR. N. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 268-1627 ---- -------- ---------- ----- ---------------------- --------- -------- --- - --- --- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 1800 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH cc: s1 BUILDING / ZONING DEPARTMENT S. Doerr 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 ri J,3 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 2611-1 g3 Property Address: EE':Acf k Avie. Applicant: Qy—"a4:A 7 R co Project: e'Rep)(._ q1oR. 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: LVk' Date: I. (oy� 06/02/2005 14:35 904-721-2881 DUVAL OH DOORS PAGE 01 D_ [NAL OVERHEAD DOOR CO.. INC. 6101 Lottie Street,Jacksonville, FL 32216 Phone: (904) 724-3636 Fax: (904) 721.2881 June 2, 2005 ATLANTIC BEACH BUILDING DEPARTMENT 800 Seminole Road Atlantic Beach, FL 32233 RE: Frame-work required for the garage door replacement at the Haas Residence, 1655 Beach Ave. Permit#05-29487 Dear Sirs, Existing 18X8 wood door is mounted directly to sheetrock wall with bracket mounted track. Door opening is to be framed out with a pressure treated 1X6 and 2X6 to edge of stem wall New garage door will be equipped with a continuous angle track. Track will be attached to stem wall with 3/8"X3" expanding sleeve anchors on 12" centers. Portion.of track above stem wall will be mounted to 2X6 per approved engineering. Enclosed is a drawing of intended frame-work. Please review and respond at your earliest convenience. Respectfully, DUV OVE AD DOOR CO.,INC. tyl TILE APPROVED 44.0 e Boyer CITY OF ATLANTIC BEACH BUILDING OFFICE JB jd JUN 0 6 2005 ,,.� r k.� ✓ - ,�k 06/02/2005 14:35 904-721-2681 DUVAL OH DOORS PAGE 02 r r ;i i ,t i i.� v: 4 1 h61 a CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 37233-TEL: 247-5826-FAX: 247-5877 1 ERMIT W.O.RMAT1 N LOCI TION INFORMATION Permit Number: 18196 Address: 1665 BEACH AVENUE Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: :DVV14M INFORM -TtON Date Issued: 5/07/1999 Name: RONALD C. ROOT Total Fees: 55.00 Address: 1665 BEACH AVENUE Amount Paid: 55.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/07/1999 Phone: (904)354-1320 Work Desc: REPLACE CONDENSER AND AIR HANDLER CONTRA TO S APPLGTION FEES OCEAN STATE HEAT&AIR PERMIT 55.00 Irs ns R uiieii FINAL 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 PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $55.88 14 Date: 5/18/99 81 Receipt: 8854758 LANTIC BEACH BUILDING DEPT. CHECKS 13929 88188883221988 BUILDING AND ZONING INSPECTION DIVISION C17Y UE ATLANTIC BEACH ATLANTIC WRACtI. rl_OPIMA OARS$ APPLICATION FOR MECHANICAL PERMIT --CALI.IN NUhIt3f.R IMPORTANT — Applicant to complete all items in sections I, 11, 111, and IV. LOCATION Sl'••1 Addr•++:i�lV OF (nfer+ecNnq Sfreell: Between ' w And ~ O WILDING Sub-di.itlen II. IDENTIFICATION -- To be completed by all applicants , Ineon,;dere6on of pe•m;f g;.en for do;nq the wort e+ detcril'od In the ebo-e +tetemenl we hereby agree Io perform SAW woit in acrordancn _it I, the •riach►d plant and spec;f;ce"ont which ere a pert hereof and in eceordence with fh• City of Jaction..;lle ordinance+ and standards of good precr;ce luted Ohs 16;n, Neaa♦ •l Menicel �� echI�C. Centracfet. Ceah•efor 1/rind Mille/ 1 Nea. .l heF.rly O - 3g�-- 92�ZCw� CAc0yg310 .ner S4041Nre etO.rner _ Signature et w Artberined A�enl ` Are6lteel or Engineer 111. rWM INFORMTIO /1. irpa et beaN q,Wel: ----_.__-_- J 8. IS OTHER CONSTRUCTION 1111040 DONE ON F3eetrie �` TNI# SUU.OINO OR SITE f es_ ❑ Ger—❑ V ❑ Natural ❑ Central Utility If Y1G1<r GIVE NUMBER OF CONSTRUCTION (] 00 PERMIT 1 Q Oft..r -- Spa<ily IV. N40HAMIGAL IQUWMMt TO It INt?ALLAD NEAATUROF W011K (I'MV le complete DO of compo"Oh•n"ek of Ai• "I & tieeldenliel or CJ Commercial Qr Haat ❑ Speee ❑ Reee»ed W Cei+ttu) O floe. ❑ New Building A;#11Co+tdrf:ewKe: 0 Roane N( Cetlf"I 1f Exisling 9ullding (fsscl STete+w: 1.lete"t ^''►► Tttlelneea_._.___.._.,..- 11 11iplaeement of exleting$yelorn molln+vm espaeify 2 //y� •` 0Q e.l.rn, ❑ Now Installation(No system previously Installed) ❑ Extension or add-on to existing system t a ❑ Rel.:gent:ow ❑ Other -» Bpeclfy __ ❑ C4&01in9 lo+ret' Cepecify �•pn+. (] (;.e •p.inllep: Nernilor el heed ^ [] El..eter o 4/enlat 1NII VAC! 10R OITWA 1JS4 ONLY ❑ 6ewlive "'"m -{nvmlearl IR+«+r+�I [] Teole IFIV4ef) Ren+erit p LPG caellei (evTborl Q Ueflred pro"v"e w«ol ►on+li) Approved by bola O 114m ❑ o+�e. -- Slh ►e►n►il Ree_ LIST ALL EQUIPMENT AIR CONDITiOMM AND REFRIGERATION EQUIYMENT Nure+ber Volts Dercrlptloe MoMl Tium>aee f[anu[svtct»r -Allobav -�•— AJ AS :: 2" Field Locked - Structural Standing Seam Page 1 of 2 ©Home ©Products ®Services ©Gallery ©Company Store Build 2" Field Locked - Structural Standing Seam 14-1/2" _ Double locked standing Related Lii 18-3/4" seam panel system. They See More Photos 2' are installed with concealed Main Photo Gallery clips and fasteners, Interactive Gallery mechanically seamed in the -• "K -- _ field. Panels are available See Other Panels Click image above for a larger picture in smooth or embossed Field Lock 1" (FLL) Drawings may not be accurate. Go to portal for additional texture, and in 29 standard Field Lok 2-3/8" (F details. ATAS colors with KYNAR Dutch Seam 5000 or HYLAR 50000 Batten Seam See Additional finish. PC Panel Field Locked Panels: 1" Double Locked -Traditional Standing Seam (FLL) Standing Searn 2-3/8" Field-Lok-Structural Standing Seam (FLS) Field Lok Accessor Perimeter Edge Tri FLN- Low Slope, Structural, Double-lock seam Rainware Seam Height—2" ATA Shield Underl< Pan Width— 14 %", 18 Material of Panel: Standard Offerings: .032 Aluminum; 24 gauge G90 Galvanized Steel. Special Offerings Available: 22 gauge G90 Galvanized Steel; 24 gauge 55%AI-Zn coated steel with clear acrylic coating; 16 or 20 oz. Copper; .028 Zinc. Consult factory for details. Typical Applications—Minimum roof pitch %:12, Tapered option available Galvalume Plus Steel 2" Field-Lock is a registered ENERGY STAR® approved product of ATAS International, Inc. ENERGY STAR Click image above for a large Trim pieces available with this roofing system include: eave trim,gable trim,J channels,fascia, hip and ri and valley trims. For details and dimensions please go to the ATAS Portal for CAD drawings and specific Materials Available: .032 Aluminum, 16oz Copper, 20oz Copper, 22ga G90 Galvanized Steel, 24ga 55%AI-Zn Coated Steel, 24ga G9 Galvanized Steel Colors Available: = = = = 0 I ' ' , I = Classic Bronze 01 Black 02 Medium Bronze 03 Choc.Brown 04 Concord Cream 05 Sandstone 06 Redwood 07 L'gi Mission Red 08 Sierra Tan 09 Ascot White 10 Forest Green 11 Patina Green 12 Dove Gre 13 Siam Blue 14 s� r Rawhide 15 Rocky Grey 16 Brite Red 17 Regal Blue 18 Teal 19 Slate Grey 20 Slate Blue 21 http://www.atas.com/fieldlockfln/ 1/17/2005 a TGFU.R12113 - Roofing Systems 1°arc ; of QUnderwriters 0 laboratories Inc. TGFU.R12113 Roofing Systems Page Bottorn Questions' Previous Page Roofing Systems Guide Information RTAS INTERNATIONAL INC R12113 6612 SNOWDRIFT RD ALLENTOWN, PA 18106 USA Roofing panels identified as: K3000, KB, KC-140, KC-916, K-Lok, K-Span, K-Vault, Roll-R-Roof, Rumba Shake Bermuda Panel HBS, Grand R Panel BWG390, Belvedere Short Rib BWK360, Belvedere Rib BWR360, Belvedere Span Wall BWS240, Belvedere Corrugated BWC374, 1" Field-Lok Panel FLL, 1.5" Field-Lok Panel FLM, 2" Field-Lok Panel FLN, MRS Panel, PC Panel PCP, Monarch Dutch Seam MRD 150, SCANROOF SCP 163, TECHO TILE SCT, PERMASHAKE HPS, STANDING SEAM SHINGLE HSS, ADVANTA SHINGLE HAS, CASTLETOP HCT(Systems 1 and 2 only). OTHER SYSTEMS Class A 1. Deck: NC Incline: Unlimited Impact: 4 Barrier Board (Optional): — 7/16 OSB or 5/8 in. plywood over polyisocyanurate insulation board or polyisocyanurate composite board, any thickness. Insulation (Optional): —Polyisocyanurate, glass fiber, perlite or wood fiber, any thickness. Ply Sheet (Optional):—Any UL Classified Type G 1, G2 or G3 base/ply sheet, Type 15 or 30 felt, UL Classified prepared roofing accessory or UL Classified membrane. Surfacing: — See roofing panels above, mechanically fastened. 2. Deck: C-15/32 Incline: Unlimited Impact: 4 Barrier Board: — 1/4 in. min G-P Gypsum Dens-DeckO or 1/2 in. min UL Classified gypsum board with all joints staggered a min of 6 in. from the plywood joints. Insulation (Optional): — Polyisocyanurate, glass fiber, perlite or wood fiber, any thickness. Ply Sheet(Optional):— Any UL Classified Type G1, G2 or G3 base/ply sheet, Type 15 or 30 felt, UL Classified prepared roofing accessory or UL Classified membrane. Surfacing: — See roofing panels above, mechanically fastened. http://database.ul.com/cgi-bin/XY V/template/L ISEXT/1 FRAME/showpage.html?name=TGFU.R... 11/23/04 L TOFUA121 l3 - Roofing Systems Page 2 ui 3. Deck: C-15/32 or spaced Incline: Unlimited Impact: 4 sheathing Underlayment:—One layer"VersaShield Underlayment", mechanically fastened. Ply Sheet:—One layer Type 30 base sheet or"VersaShield", mechanically fastened. Surfacing: — See roofing panels above, mechanically fastened. 4. Deck: C-15/32 Incline: Unlimited Impact: 4 Underlayment:—Two layers "VersaShield Underlayment" . Surfacing:— See roofing panels above, mechanically fastened. 5. Deck: C-15/32 or Spaced Incline: Unlimited Impact: 4 Sheathing Insulation: — Rmax "Uttramax" I in. min, mechanically fastened. Surfacing: — See roofing panels above, mechanically fastened. 6. Deck: C-15/32 or Spaced incline: Unlimited Impact: 4 Sheathing Underlayment:—One or more plies "VersaShield Underlayment", mechanically fastened. Surfacing: — See roofing panels above, mechanically fastened. Page Top Notice of Disclaimer Questions:' Previous Pa. UL Listed and Classified I'L Recognized Products Certified for Products Components Canada This page and all contents are Copyright c 2004 by t Juderwriters laboratories Inc.it The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured under iJI.'s Follow-Up Service. Only those products bearing the 111.Mark should be considered to be Listed and covered under 11L's Follow-1 1p Service_ Always look for the Mark on the product. lil,permits the reproduction of the material contained in the Online Certification Directory subjeAt to the following conditions: 1. The Guide Information.Designs and/or listings(tiles)must be presented in their entirety and in a non- misleading manner.without any manipulation of the data(or drawings). 2. The statement"Reprinted from the Online Certifications Directory with permission from I ndemriters Laboratories Inc."must appear adjacent to the extracted material. In addition,the reprinted material must include a copyright notice in the following format: "Copyright c 2004 Underwriters Laboratories Inc.'Ri" http://database.ul.com/cgi-bin/XYV/template/LISEXT/I E RAME/showpage.html?name=TOFU.R... 11/23/04 r Field Rslrlew and understand rorrplteobe Jlulds b lam bsgMnMg Msila tatlM This guide has been prepared as nstallation Guide suggested details to particular design conditions. Each condition has certain limitations to performance,esthetics or economics. Professionals NOTE: This aide to be used for lnstallallons taftit Qualified to assess this information for a specific project, S should determine that the selection and Installation are a roof slops of 2:12 or gm eter only on a solid sub- made to their requirements. ATAS cannot assume any strata. Consult filrctory fbr all other installations. responsibility for the actual selection and/or installation of materials. The panels,flashings and trim shown in this Field tock Panel has extra strength, extra height-field guide are illustrated over solid and plumb substrate. It is seamed panel.Installed with concealed clips and fasteners assumed that the structure has been designed and pre- and a mechanical seamer in a hi-fold lack-in application. pared in accordance with local building codes. Panels are available in smooth or embossed texture in 29 standard ATAS colors are available with premium KYNAR 50M or HYLAR 5000111)finish. Stiffening ribs are optional. FLS Panel 13 3/4"and 18"wide "PENCIL GROOVE" TYPE STIFFENING RIBS f% ( OPTIQINAL OD cni Note: The appro- Field Lock Seam Panel Anchoring prate fasteners must be suMclenty long ermigh to penetrate through a solid substrate. FacWy Bass centerapplied - Ing stops applied sealant sealers (optional) (optlonal) Stop/1-t ocate the anchor Step#2-Fully set the scrawls) Stop#3-Hoak the entire left Step#4-Roll seam the Joint dip over the rgtrt(male)leg of and nabs how this action now (femete)leg d the next pane! utilizing the Joint reamer. the previoualy laid Pard to releases the movable section of over the right(male)leg of afford the Proper dip specing- the dip end allows for roof the previously installed panel nate how the base cantering moment(WPffision! melting sure to iWy engage Mops positions and holds the contraption), the facbry Installed sealant movable section of dee cup. (optional). DO NOT July set the screw(s) until all have been located along this seam line. Eave Detail 1.Apply ATA-Shield"'along save and up the roof to a point at least 24"beyond outside face of exterior well. ATA-Guard 2.Install 3V shim at save. 3.Install drip edge against fascia trim. lay ATA- ` Guard*over save trim. �s / C 4.Trim(cut)both seems back to allow for tum down. Panel ° Install panel panel by siding laver flanged edge over drop ,a % edge. SW Shim 5.See below for proper panel sidelap installation. #12 X 1-1/4e Drip Edge Gerneral(Vale: Batons any;nsQsdabior,be sure to lay Hex Head Screws ATA-Shieb"in all areas where;oe&water can Roof pock occur ATA-Guard oralo nWhate underlayment should be Installed over the entire roof. #12 x 1"water Head Screws PANEL SIDELAP LAMP PANEL- SHMi FOP PRVrR SEAL \ --insioll clump on WN/ �- Inwer po tion of of pone! Eeve —d- � �Sliim of panel yr Whim Gable Detail 1.Install underlayment to gable edge. Place 3/8" Painted Pop-Rivet shim as shown. Closure Trim j Standard 2.At gable start detail,install gable trim starter cleat -r Closure Field-Look with appropriate fasteners at 2'4r into fascia board /Panel 3. At end gable,cut panel to appropriate width to allow room for clips at gable end. If panel Cut off is 3"or wider install cut off portion of panel underneath last panel w/butyl tape applied in between the two Starter Cleat -------------_ _----- panels and Install clips before installing gable assem- bly. 4. Apply double-faced butyl sealant as circled In 3Ar ATA-Guard sketch. Fasten"Z Closure to panel with pop-rivets. Shim `'#12 z 1 1J4'Hex 5. Install starter cleat at and detail same as start Head Screws detail. 'Appropriate Arxxror 6. At both ends snap gabletrake trim over starter Screws cleat and 2'closure to lock into place. Pop-rivet these two pieces together with one pop-rivet per trim #12 x 1'water length- Head Screws ATA-Shield"is the recommended self adhesive undsrtay- 100%monk free.high strength reinforced roofetg merit for eaves,alhwad and any critical areas eogxwed to Ice damming urnderloyrnent for use beneath metal roofirg on steep and extensive water run off. slope applications. 1000 sq.ft.par roll at 48"wide. Available in 65''x'x 39-W rolls(2000 sq.it per roll). Hip & Ridge Detail Hip and ridge aApficaWns are handled in the same manner. Hip/Ridge Cap 1. Install underlayment to roof edge.Place 30 shim ATA-Guard'as shown. Neoprene Closure 2.Cut Ir closure to fit between seams and Install in butyl tape. Fasten through 316•shim to secure panel Painted pop two 4 fasteners on 13 314•,5 on 16") . � Rivet &Seal neoprene strips into'r closures. Field-Lock Panel 4.Snap hipffidge cap over or closures for it to lock into place. Pop-dvet one side only to allow for Anchor A.,-1 expansion and contraction. alp 011 Notes: Trim must be pop-riveted to Z in at least one 3Ar Shim location to control thermal movement. * Unleft Otherwise spedfled,all fasteners for trim X., Closure components should be spaced at 7-(r o.c. #12 x 1-114*Hex * Install splice plates at ridge cap joints. Pop rivet Head Screw splice to one end of ridge cap to allow for expansion and contraction. Headwall Detail Couriterflashing- 1.Install undedayrnent to roof edge.Place 31W shim Neoprene Headwall as shown. Closure Trim 2.In standard headwall situation(without venting), run urWedayrnent from roof plane up tKmdwe& Painted Pop Rival Install panels up to headwall. 3.Fasten-r closure in bed of sealant at top of Fleld-Lock SUM"*r panel. Fasten through 31W shim to secure panel. panel Closure use 4 fasteners on 13 31,r,6 on 10* 4.Soal neoprene closure Into 'r closure. Anchor r 5.lr*W headwall transition over'r closure. "bK-- 6.Apply counterfiashing over the headwall trim, as Clip required. ATA-Guard, Roof Dock '3V Shim #12 x 1-lie Hex Head Screw Valley Deta.l. JoNle asiat Butyl Tape Fleld-Lock Panel 1.Install ATA-ShiaW*approximately 18•up both 4. skim of the valley line. 4% 4K 2.Place Mr shim as shown. 3.Lay valley pan in valley center. Locate Joggle dent at e Pan to W from valley center. valley 4. Install Joggle deal. Fasten it o.c.through butyl sATA-Shield tape and pan into 316'shim and substrate. 4 IN. s. Turn under edge of panel to sole Into Joggle deal. #12 x V Water , Fasten with dips at 24r o.c. Head Screw 318r Shim Roof Deck Sidewall Detail Palrded pop 1.Install undertayment to sidewall. Cou ntefflashing Rivet Place 3W shim as shown. L\ ,,Sidewsit T*n 3fanderd"T �.` 2.Irrstall metal panel up to within 1' Closure of the sidewall. Panel � P 3.Fasten" closure in bed of butyl sealant at top of panel as shown. 4.Fasten sidewal trim over`r clo- sure to face of sidewall. 3MV T td9kt� Shim 5.Apply cou tarflashing over the 1112 x 1-114"Hex sidewall trim,and seal Into reglet. Head Screws - /, NOTE: Trims should be fastened to substrate and sidewall using a #12 x 1"wafer head screw. Nene Regarding Trim Details The applicaiton of flashing and trim requires a detailed approach. Consideration should be given to the roots geometry and course it creates for water run-off. Location of gutters and the use of snow retention systems should also be considered. Proper planning regarding the sequence of material overlay is critical. Sealants,such as butyl Was end tripoiymers,should be used at overlapping trim edges,M conjunction with exposed fasteners,and to seat flashings. Ai fasteners should be properly tightened and not overdriv- en at an angle. Fasteners that are too loose can"back our over time. An overdriven fastener may cause a depression in the materi- al,which becomes a collection point for standing water. Pipe Detail Step 1 Step 2 Stop 3 Stop 4 Step 5 Cut on the proper pipe diam- Position over pipe and slide Apply polyurethane sealant to Mold the flexible base to Fasten with 114"x eter marked on the down the pipe. the bottom of the base. the panel contours. 1-Iff drilling flashing. fastener every 1- 117 around the base. Pipe drawings provided by Triangle Fasteners 1.Never cut the panels with an abrasive cut-off wheal or torch,as Oft will damage the flrkeh. Besic Equiprnent Required: 2.Do not weld the trim or panels. Tle a ropes.safety harness,long level,ladders,scedfoldlng with 3.Reprove any small burrs Islt by cutting.screwing or drilling. appvved planking,arderskn i coals with approved grwxtd plugs 4 Remove prolartive masking imrnedistely ager trim Is Installed, and services. S.Caution dmxM be taken when unloading the panels to prevent !lona! Tools: damage. mom fokirg tool,f rsrrrrtter,chalk Nrre.rrsesswirrg tape,meld eat- B.Use appropriels screws for the type of urderl/yrtrenR and long tools-nibblers.drlis,Mdnsew,utility larrifs,poP- ! ersougts by P and secure Use panel. uirhrg guns,layout and oombirmbon square,C clamps,ahem 7.The stored materiels should be kept dry. meld shears(Mduding RFI,W,straight and averher". Power 8.Do not cut on finished roof. Remove V drill spirals.chips and driven screw nun with proper bits,depllrseftV nosepiece.vari- dust immsdiatelY� able speed. 9.Seat neoprene closures and soft cell fawn by applying appropri- Chooea the oared equ4nims oral trolls be do the Jab In s ale sederk to both surfaces. ask moneran. Weer safely 9w and SoN w OHBA rs p*e- 10.Put approprlo6a seelanUbcRyi We between overlapping trine. rn A, Ill.overlap trims in a manner not to Impede the flow of water. Far furdrsr inibrunitlon or asslsftnm,conhict our TeMnkal Product Support at SW.4WI447 WON"T a,,�,� ATAS International, Inc. Comm"officeAromwed. 1 tratlanertw owned by RTAS Allerrtovm,PA 18106 I� (610} 395-$445 www.atas.aom CITY OF ATLANTIC BEACH Cc: BUILDING /ZONING DEPARTMENT ° L. Higgins J 800 Seminole Road oerr { Atlantic Beach,Florida 32233 .RIT (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS FEB o 1� Poo`° Permit Application # 05 - Property 5 'Property Address: 1655 BSA C N Applicant: O L� WO RL') CMT-J�;MEN INC Project: gwoy� / n LRC. w0 This permit application has been: CEr Approved F-1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: 'C� C—,/ __� Date: .2 ' Z- (J �� CITY OF ATLANTIC BEACH s) PERMIT CALCULATION SHEET Date: 2- - a Address /� SSS Erl t c-f �! - / ' �aoF Heated Square Footage @ $ per sq ft= $ Garage/ Shed @$ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck @$ per sq ft= $ Patio @$ per sq ft= $ TOTAL VALUATION: $ 3 S $ 3 s� Total Valuation I" $ / ba a � aoa / erd $ leo Rema g Value $j:per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ D 2- ZONING: ZONING: + '/Z Filing Fee $ ( 2. FLOOD ZONE: ( ) Fireplaces @$35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 (41 U E C ..at VU 9 CTRIC,fNC. MATT VU ELECTRIC, INC. RESIDENTIAL e COMMERCIAL * INDUSTRIAL P.O. BOX 56214 JACKSONVILLE, FL 32241 PHONE/FAX (904) 396-1666 February 10, 2003 BEEPER ER 0013235 967-0659 City of Atlantic Beach 800 Seminole Road Atlantic Beach, Florida 32233 Re: Enclosed Permit No. 02-00024916 Please cancel the enclosed permit. Matt Vu Electric, Inc. pulled this permit thinking that there was something wrong with this meter, but we determined that it was a JEA problem. The meter seal was not broken. Thank you. APPROVED CM OF ATLANTIC BEACH BUILDING OFFICE Matthew Van Vu, President !I Matt Vu Electric, Inc. iAK 1i enc. Li= --z-j 0-3 vn I I j `.I fJv� CITY OF ATLANTIC BEACH %� IJ 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024916 Date 9/27/02 Property Address . . . . . . 1655 BEACH AVE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --- --- ----- -------- ----- --- ------------------ -- - WHITAKER, DALE A. MATT VU ELECTRIC, INC . 1655 BEACH AVE . P.O. BOX 56214 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32241 (9 04) 260-8882 ---- - - --- - - - - - - - - - - -- -- - -- - - - - - --- - -- - - - - - - -- - - ------- - - ----- --- - - - -- - --- - -- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . TROUBLE 300AMP METER CAN Permit Fee . . . . 25 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----- -- --- --- - -- - -- ---- ---- ---------- ------ -- -- - - - - --- --- Permit Fee Total 25 . 00 25 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 25 . 00 25 . 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 WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. C ' BUILDING OFFICIAL HP OfficeJet K Series K80 Log for Personal Printer/Fax/Copier/Scanner Information Systems 247-5845 Mar 12 2003 2:30pm Last Transaction Date TimeTwe Identification Duration Pages Result Mar 12 2:29pm Fax Sent 96657372 0:45 2 OK R CITY OF ATLANTIC BEACH, FLORIDA l� APProv*dbY— APPLICATION FOR ELECTRICAL PERMIT 71 �. k -19 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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 IN ACCCRDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. &0 tj bi(4-14 J JL CA !tC, ELECTRICAL FIRM: MASTER ELE141 ATURE JOURNEYMAN NAME_ �-"-� � ADDRESS:-J* b-50 ` - - - RFD BOX BLDG.SIZE BETWEEN: RES./(IT'T}----APT. ( ) COMM.( 1 PUBLIC ( 1 INDUS. ( 1 NEW( I OLD ( 1 REW. ( I ADDITION ( 1 TRAILER ( 1 TEMP. ( ► SIGNS ( 1 SG. FT. SERVICE: NEW( ) INCREASE ( 1 REPAIF10",f - FEE _ CONDUCTOR SIZE AMPS COPPER ( ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZEAMPS PH W CULT CEWAY FEEDERS NO. SIZE NO. SIZE 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. OVER — APPLIANCES I BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 11I.P. VOLTAGE PNS MISC ANEOUS P 1 w t St CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD j .r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024916 Date 9/27/02 Property Address . . . . . . 1655 BEACH AVE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ WHITAKER, DALE A. MATT VU ELECTRIC, INC. 1655 BEACH AVE. P.O. BOX 56214 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32241 (904) 260-8882 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . TROUBLE 300AMP METER CAN Permit Fee . . . . 25 .00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 25 .00 25 .00 . 00 . 00 Plan Check Total . 00 . 00 . 00 .00 Grand Total 25 .00 25 . 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 WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL 6 ,� A d CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ` P `L -T 20 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 ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER EL IAN SIGNATURE: AA 4}T vu LtcfR1C, C , V � OWNERS NAME:f C f f%s ADDRESS: /v 4M 4 RFD BOX_ BLDG. SIZE BETWEEN: RES.( APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW INCREASE REPAIR CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE 3 D AMPS PH 3 W VOLT 1?-(gkACEWAY 'I rr FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMI'S 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING I CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. IKVA NO. IKVA NO.NEON TRANSF. NO I VA I MA I MOTOR SIZE I SWITCH FLASHERS EACH SIGN Updated 5/20/2002 s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 r, TELEPHONE:(904)247-5800 FAX.(904)247-5805 .�".� SUNCOM: 852-5800 t + http://ci.atlantic-beach.fl.us Tuesday, January 15, 2002 Clark Edwards Insurance Agency Inc. 828 Beach Blvd. Jacksonville Beach, Fla. 32250 Subject: Dr. Haas residence- � Enclosed is the Florida Windstorm Underwriting Association Mitigation Verification Affidavit that has been completed by the City of Atlantic Beach Building Dept. for the property at 1655 Beach Ave. Atlantic Beach. Please contact me at 904-247-5826 or by E-Mail dford@ci.atlantic-beach.fl.us if you have any questions. �. C_ DonC. Ford CBO Building Official Cc; File Dec-01-00 04:36P Clark Edwards Nationwide 904 241 9726 P.02 FLORIDA WINDSTORM UNDERWRrnNG ASSOCIATION MPPIGATION VERIFICATION AFFIDAVIT Policy Number_ _-- - .-.-- Item No- Named Insured Location Address Description _ Sheatbing/Attachment 1. Does this roof have,at a minimum, 1/2"roof sheathing? YES V� NO NOT VERIFIED 2. Is the sheathing attached to the roof trusses by 8D nails or greater, e.g. (IOD nails or NO screws)which are spread 6'on edge and IT or bwer-in the field or a AFG-01 structural adhesive that is continuously applied,using the manufacturer's instructions,an both sides of the trusstrafter with a VV or greater bead between the sheathing and each truss/rafter over the entire length of the truss/rafter and its connection with the sheathing to within a foot of the roof overhang? A foamed polyurethane sheathing adhesive described under"secondary water resistance"meets this requirement. YES i/ NO NOT VERIFIED Secondary Water Resistsoce 3. Does this roof have a self adhering polymer modified bitumen roofing underlayment(thin rubber or asphalt sheets with peel and stick underside located beneath the roof covering)or a foamed polyurethane adhesive that is applied to seal all joints in the sheathing to protect from interior water intrusion? All secondary water resistance products must be installed per the manufacturer's instructions, Hoofing felt or similar paper based products are not acceptable for secondary water resistance. YES NO ' NOT VERIFIED Roof Straps 4. Arc there roof ampstclips installed on each truss/rafter per the manufacturer's installation requirements? YES NO NOT VERIFIED f Roof Construction S. Is this a reinforced concrete roof?(A roof deck designed in accordance with the provisions of ACI(American Concrete Institute)318. The roof deck shall be monolithic and constructed integrally with the wall system and meet the wind toe requirements of the local building code.) YES NO NOT VERIFIED Wall Construction 6. Is this a reinforced masonry structure? (Exterior walis tyre txinsuuLAcd of masonry materials that are reinforced with bo4h vertical and horizontal steel reinforcement and are relied upon for structural stability. Vertical reial'ofeerinent shall be fully grouted in the cells of hollow masonry units,and horizontal reinforcement shall be fully grouted in specially formed Bond Beam, units designed for that purpose or poured concrete tie beams. Tilt-up arlpoured concrete wall units shall be reinfcxce d both verticallyandhorizontally with reinforcing steel.) YFSNO V NOT VERIFIED_ _ Continued on Page 2 MIT_1 1/00 MCe'_I_7riMn COT MA-A-ZOM TM-0A7—CZ0/IC POfC•a Dec-01-00 04: 36P Clark Edwards Nationwide 904 241 9726 P.03 FluiRIDA WINDSTORM iJWDERW G ASSOCIATION MMGA110N VERIFICATION AFFIDAVIT Page 2 Gable Bracing 7. If this is a gable roof, is the gable braced? (Trusses for the wall portion that extends above the gable end wall]are wen$ihened by properly securing[via i6d nails or s", 14 guage wood screws]the bottom chord of tate truss to the top of the end wall and bracing the bottom chord to the adjacent trusses to prevent the wind from pushing or pulling the gable end where the gable truss is connected along the gable wall.) / YES NO NOT VERIFIED V Garage Doors S. If there is an attached garage does the door(s),meet or is retrofitted to meet ASCE 7188 wind and debris impact standards adopted by Dade County in September 1994, or any local code that meets at a minimum these standards;or is the door(s)compliant with SSTD-12 wind pressure and debris impact standards? YES_Z NO NOT VERIFIED I hereby certify that I am either a resident Licensed Builo)ing Contractor, Registered Architect or an Engineer in the State of Florida or a Building Code Official(who is duly authorized by the State of Florida or its county's municipalities, to verify building code compliance). In my professional opinion, based on my knowledge, information and belief, I certify that the above statements are true and correct. This certification is intended only for the benefit of the named insured's receipt of a property insurance premium discount and for no other purpose. By completion of this Affidavit, the undersigned does not make a health or safety certification. Signature L' i. otarize below) Date i 2-- License No_lam l9 -100-0 O;2 State of Florida County of VICI L_ With respect to the above, The above named signatory has sworn to and subscribed before me this f k� day of D.,2OG; b)�h C_r0P_0(name of person making th statement)the information within this document is accurate anc],tnue. The above signatory is personally known to me l/ or produced (type of identification) for identification. MAUREEN KING Signa tare of Notary Notary Pubic-State of Florida My Comrnir-:?^r Enp!ros Mar 31,2002 Conan-ission ii CC720781 Print, Type of Stamp Name of Notary FWUA reserves the right to confirm all information contained in ibis form via a survey of the risk- "Any isk"Any person who knowingly and with,intent to injure,defraud,or deceive any insurer files a statement of claim or an application containing any false,incomplete,or misleading information is guilty of a felony of the third degree.- 2 MIT-1 7/Q0 r1C1_4_0MMr;k COT r.Vl.AAMM TM-0A'7-1Z0/IC -1Z Dec-01-00 04: 37P Clark Edwards Nationwide 904 241 9726 P.04 WINDSTORM PRO"T"ECTIVE DEVICES - (IiURRICANEJORDINARY) PROOF OF COMPLIANCE RESIDENTIAL FORM The intent of this form is solely for the application of shutter discounts. This form is not for use in conjunction with arty other mitigation features or discounts. APPLICANT OR INSURED'S NAME: x 1 t/7/� APPLICATIONIFOUCY NO. DATE DEVICE(S)INSTALLED-. U ri-17 � _ AGENTIAPPLICANT: The property address shown in D.2 must match the property address on the Application for Coverage to which this document patains. Shutter Requirements: -3. Window or other wall,and roof opening(s)are covered A.All exterior wall and roof openings,such as doors by permanently installed glazing material that, along with respective window or other wall and roof opening structural {exterior and garage),windows,sky-lights and vents, components,meet both the pressure and debris impact of the insured building or unit,if a condominium omit, requirements noted in Al. as described in the Declarations,is fully protected with STORM SHUTTERS of any style and material,or As the Insured,I certify the following: alternative as noted in Section 8, designed and properly installed to meet one or more of the criteria requirements listed below. C. 1. 1 will close and secure my shutters in event of a tropical storm or hurricane affecting my pranise(s);and All shutters and/or alternative to shutters at the location shown in D-2 of this form are designed to meet one of 2. 1 have made arrangements to close and secure all more of the following: shutters in sty building or unit(if in a multi-unit building) 1. withstand wind pressure that at a minimum meets the when I am away from the premise. American Society of Civil Engineers,July 1988 standards (ASCE 7188)and impact from wind-borne debris,adopted 3. The devices certified below are properly installed in by Dade County.Florida in September 1994 or any Local compliance with the manutactttrer's installation recommendation and aforementioned building codes. code that meets,at a minimurn,September 1994 Dade County requirements for wind pressure and impact from wind borne debris or complies with SSTI}-1Z standards for 4. "While your failure to comply with the above conditions will wind pressure and impact from wind borne debris. not result in denial of s claim far loss caused by the peril of Hurricane,Other Wmdsiorm or Hail,we 2. withstand wind pressure that at a minimum meets the reserve the right to discontinue the benefits of this standards set forth in the South Florida Building Code, endorsement,including any related premium credit,in adopted in Dade County,Plaids in August 1988. the event of such Failure',and as stated in the policy conditions,".........we may cancel immediately if there NOTE:Roof ridge vents,soffit vents,and breakaway walls has bees a material misstatement or mimvpreaetttation or as defined and required by the National Flood Insurance failure to comply with underwriting requirements Program(NFIP),and other non shunter openings as established by us." required by the Dade County building code,do not have to be protected by shutters. t B. As.an Alternative to Storm Shutter(s); AgAture of Applicant Dite 1. The garage door(s)meets or is RETROFITTED to meet the wind pressure and debris impact requirements noted in At. 2. The exterior door meets both the wind pressure and debris impact requirements described in A1. t A signature of either a Registered Architect, Regulations and Code"Qualifier"for a Manufacturing Company, Engineer,or Building Code Compliance Official is required to va*section A and/or B. Notary Public to affirm.(Continued age on P 2) WPD-IR(7/00) Revised 3/14100 1,35 Piet Pace 142 .��.. • r.rar..-. rr.. .ten. �.n.�ww rr...-.nom �r.nr rnrr.n Dec-01 -00 04: 37P Clark Edwards Nationwide 904 241 9726 P.05 This certification is intended ONLY for the benefit of the Named Insured's receipt of a property insurance premium discount and for no other purpose. Unless otherwise specifically agreed in writing,other persons or entities, including assigns and successors of the building or unit owners,shall not be entitled to rely on this certification. 1. 1 hereby certify that 1 am a State of Florida registered Architect, or an Engineer, proficient in structural design, or a duly designated Regulations and Code"Qualifier"for a Manufachning Company,or a Building Code Official (who is duly authorized by the State of Florida or it's county's municipalities,to verify building code compliance);and 2. In my professional opinion, based on my knowledge, information and belief, 1 hereby certify that shutters, or alternatives to shutters,on the building or unit at the address indicated below, comply with one or more of the stipulations set forth in section A, and where applicable section B: {cE1 one only) (che�ic all that apply) ( e only) (chock all that apply) A.1 (Hurricane) ��// B.1 (Hurricane) V A.1 (Hurricane) B.1 (Hurricane) A.2(Ordinary) B.2(Hurricane) A.2(Ordinary) B.2 (Hurricane) B.3(Hurricane) B.3 (Hurricane) ! —L C=,= k _--/! /q - O 2_ Signature of Registered Date Signature of Building Date Architect/Engineer/Qualifier(Notarize below) Code Compliance Official(Notarize below) Print Name Below Print Name Below O " C FoA D Address Title lsu I c-D10jC, O F F r c t rt-c. City/State/Zip Department dress ��010 =ZRegistration Number DeP s M �7 r- t ty n� _ CitylStatdZip ,4T L r4 nJTi r,�F A-r-(41 F C 3 22 3 3 Phone Number Q C r-! - �c/'7 - Si 1 Property Address: State of Florida County of DVV d L With respect to the above, The above named signatory has sworn to and subscribed before me thisi_ `"^day of byZ-)W, e- (name ofperson making the statement)the info ation contained bin this d stmt is accurate and true. The above signatory is personally known to me 1 or produced ,(type of i MAUREEN KING -• Notary Public-State of Florida Signal a of Notary My Commission Explires Mar 31,2002, Commission#CC720781 Print,Type or Stamp Name of Notary E. Hardship Acceptance when signature in Section D.above cannot be procured: I have attached docmmcntetion proving that shutters,other devices,and doors without shutters meet the wind pressure and debris impact requirements stated in the rule and the devices are properly installed in compliance with the manufacturer's installation recommendation and aforementioned building codes. Such documentation must come from a Building Code and Compliance Official, the Regulation and Code "Qualifier" for the Manufacturing Company, a Florida Registered Architect, or Engineer proficient in shuchral design. Such documeritation maybe waived if said individuals complete Section D of this document. Signature of Applicant Date FWUA reserves the right to confirm all information contained in this form viae a survey of the risk. "Any person who knowingly and with intent to injure,defend,or deceive any insurer files a statement of claim or an application containing may false,incomplete,or misleading infurenation is gui]ty of a felony of the third degree." WPD-IR(7/00) hp 2 ail Revi,A4 11!3/94 11:05 AM 75 `CITY OF ATLANTIC BEACH, FLORIDA Approved bV APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: L� 1906T 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 IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. \� V%f V( ELECTRICAL FIRM: MASTER ELEC-fRJGIAN SIONaURE NAME L _ADDRESS: �U A�'- �y�' t RFD BOX BLDG.SIZE BETWEEN: RES.( 1 APT.( I COMM.( ) PUBLIC( ) INDUS.( 1 NEW( OLD( 1 REW.l 1 ADDITION( ) TRAILER ( 1 TEMP.V SIGNS ( ) SO. FT. SERVICE: NEW(� INCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE 60P AMPS GO COPPER ALUM. SWITCH OR BREAKER �® AMPS t PH -3W -''f7�/OLT ,C RACEWAY 0 . o '?r EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED0 .100 AMPS, OVZR APPLIANCI �� BELL TRAMP AIR N.P. RATING H.P.RATING CONDITIONING COMK-MOTOR OTHER MOTORS AMPS 'CEIL HEAT: KW-HEAi 0.1 r OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS LANEOUS va INCANDESCENT LAMPS TIME SWITCH FLUORESCENT LAMPS DISCONNECT NUMBER SIGNS RECONNECT NUMBER SIGNS MISCELLANEOUS WELDERS: PRI. PRL TRANSFOAMER TYPE NO. AMPS PHS NO. AMPS PHS MG MOTOR NO. H.P. VOLT PHS AMP GENERATOR NO. K.W. VOLT AMPS TRANSFORMERS: UNDER 600 V. OVER 000 V. NO. KVA I NO. KVA ORWARD UTILITIES: CITY ( 1 FLA. LIGHT&POWER ( 1 CLAY COOP. REA( 1 OKEFENOKEE( 1 OTHER ( ) WORK BEING DONE FOR ADDRESS OWNER-AGENT-GENERAL CONTRACTOR CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION Ij65S BEACH AVE. PERMIT# 9846 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION OWNER NAME PHONE } _ � a Lu c LEGALDESC: LOT BLOCK SECTION PERMIT TYPE BUILDING w CLASS OF WORK NEW z CONTi t3?OR PROPOSED USE SINGLE FAMILY a WO RK DESCRIPTION INSPECTION REQUIRED INSPECTOR tk Z # 4 COVER-UF AM AAD Foo-�;,ny o.'► �Jr�� DATE INSPECTED � BY APPROVED REJECTED ❑ 1 COMMENTS q COAT-Y Vi th v 14 lirm Yll "JUJI" �jEVCH' Erof� r;�,,! VAr* CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION PERMIT# SUBDIVISION .r 1655 BEACH AVE. 9848ry} OWNER NAME ATLANTIC BEACH, FLORIDA 3223�HONE N Lu LEGAL J)ESC: LOT BLOCK SECTION PERMIT TYPE aw '� CLASS OF WORK BUILDING CONT ACTOR PROPOSED USE z NEW SIz NGLE FAMILY Q# WORK DESCRIPTIONcr I U INSPECTION REQUIRED INSPECTOR Z_ f j SLAB AM DATEINSPECTEDN—Z BY APPROVED REJECTED ❑ COMMENTS -"*THCFF EV�4TI V, IIS u 13fl T r'D "I'vili.IC" BF_%J" H Lf It!I r)v CITY OF Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. District No. f 1J Jab Address lit Ownet"s Name Contractor r BUILbING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framirfg ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ TOP Out ❑ / Heating Lintel F-7 *R� 3 r� Fire Place ❑ i,,l '(w ILs V` Pre Fab READY FOR INSPECTIaly A.M. Mon, Tues. Wed. urs. Friday P.M. /�c —�' 'js`f A.M. Inspection Made �. P.M. C tnspector 'K'hi Final inspection❑ (:22 Certificate of Occupancy Date CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 1655 BEACH AVE. PERMIT# 9848 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION OWNER NAME PHONE t LEGAL DESC: LOT BLOCK SECTION PERMITTYPE BUILDING CLASS OF WORK NEW w CONTRACTOR PROPOSED USE SINGLE FAMILY WORK DESCRIPTION e a _ INSPECTION REQUIRED 4 COVER–UP INSPECTOR AM f- a DATE INSPECTED/f gy G C-CLc. /lam— APPROVED REJECTED ❑ , rY COMMENTS �� _ n '1 � �i r i �`. � j I, CITY OF ATLANTIC BEACH BUILDING DEPARTMENT . INSPECTION REPORT JOB LOCATION PERMIT# 1655 BEACH AVE. SUBDIVISION ATLANTIC 4.0-,lk f;e.WRA OWNERNAME PHONE LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE u CLASS OF WORK BUILDING CONTRACTOR PROPOSED USE W NEW z SINGLE FAMILY 0 WORK DESCRIPTION 11 i g INSPECTION REQUIRED INSPECTOR z 0 12 FINAL ELECTRIC AM ou DATE INSPECTED BY df4z�rjz,-� APPROVED REJECTED ❑ COMMENTS N 7 MPM �> r rn 110 y,i r"i+1.1.I J CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION PERMIT# 1655 BEACH AVE. SUBDIVISION 9848 ATLANTIC BEACH, FLORIDA 32233 OWNER NAME PHONE W LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE w CLASS OF WORK BUILDING aCONTRACTOR PROPOSED USE NEW a SINGLE FAMILY f Z 0 a WORK DESCRIPTION .D INSPECTION REQUIRED INSPECTOR ! 13 F/IINAL BUILDING AM DATE INSPECTED2 - r�a -99 BY Gl/p��s�i y/ APPROVED REJECTED ❑ i ' COMMENTS d . Q_ lC V14 -i"PrE JJEJA 1 C. t f' t 'k ADDRESS__�a - _ 4 COiITRAC'I'OR -- -------------------------------- OWNER- -------------------------------OWNEiI �,,,Q�_ BUILDING MECHANICAL _ PLUMBING ELECTRICAL TEMP POLE MISC ELECTRICIAN DATE FAILED DATE PASSED TEMP POLE JEA f�.�m�'x�omvJasLStr. FOOTING ----------- ROUGii PLUi4BING __-________ M pp SLAB ' aa FRAMING -------____ MECHANICAL/FIREPLACE ----------- __lO"lc-tu_ TOP OUT PLUMBING ROUGH ELECTRIC FINAL ELECTRIC ----------- ---------_- FINAL BUILDING ELEVATION SUBMITTED CERTIFICATE OF"OCCUPANCY DATE ORDERED DATE ISSUED -.c • � 1 � � i CITY OF ATLANTIC BEACH T DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FI 32233-Tel. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22568 Address: 1655 BEACH AVENUE Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0 Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 12,000.00 OWNER INFORMATION Date Issued: 8/27/2001 Name: ERIC J. HAAS Total Fees: 70.00 Address: 1655 BEACH AVENUE Amount Paid: 70.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 8/27/2001 Phone: (904)247-4099 Work Desc: REROOF *.a. CONTRACTOR APPLICATION FEES _ MOBLEY ROOFING ' PERMIT 70.00 -• , Pte' a " 'eY x.i+: `�. A 4$? . 3 e y ry 45, ` r vT _ x NOTICE-1NSPECTI ST BE R� AT�LI=A '24 ISO S,( IOR TO.4�NSPECTION BUILDING MATERIAUBBiSI-( DEBRIS FROM THIS WORK MUST NOT PLACED ( PUBLIC SPACE,AND MUST BE CLEARED AMD I-fA ) AWAY BY F, tTiiER-CONTRACTOR VY "FAILURE TO COMPL 111 t Al N' .ULT IN THE ;. PROPERTY OWNER PA 0 CA F0114ILEI M k ISSUED ACCORDING TO APPROVEERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVIS Y CITY OF ATLANTIC BEACH (78.80 14 Date: 8128181 @i Receipt: 8884666 — ---- GOSH _ 80188883221888 CITY OF ATLANTIC BEACR �6(11 City or Atlantic Beach ROOFING PERMIT AP0LJ$0Xrb 1 t)t ir), JOB LOCATION: 6� 6ECt& 1 -3.).4Y3 OWNER OF PROPERTY: d� TELEPHONE.: CONTRACTOR: CO.NTRACTOR'S ADDRESS: yG.� Iti so U�'I (t ZIP: STATE LICENSE NUMBER: l�C O O l r�[c�I/ TELEPHONE. DESCRIBE WORK TO BE PERFORMED: vo© VALUATION OF PROPOSED CONSTRUCTION 1�� &,iL/ MATERIALS TO BE USED: SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: `� Swan P Mobley SWORN TO AND SUBSCRIBED BEFORE ME THIS o4Vj- b ��i85 www, uP 1 n:o+rfarewc AS TO OWNER: e� NOTARY PUBLIC SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF Susan P.Mobley i MY CC7211#p84285 E)�IRES AS TO CONTRACTOR NOTAR LIC Liability Insurance Supplied ✓ Workers Compensation Insurance Supplied Contractor License Information Supplied Occupational License Information Supplied R ., 5 MIN. RETURN Book 10124 Rage 394 PHONE#14 ' ook: 14132 Pale:. 394 Filed & Recorded NOTICE OF COMMENCEMENT 06/27/2001 09:28:04 AM JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY TRUST FUND f 1.04 TO WHOM IT MAY CONCERN: RECORDING f 5.04 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT, Description of Property General Cescription of Improvements C'c0C& Owner } Address: ht�u' 4 ,EL Owner's interest in site of improvements: (r i Fee Simple Title Hoider(i€ ether than owner) Name Address Contractor p C� c Address d aA Surety (if arty) Address Amount of Eond S Name of person within the State of Florida.designated by owner upon whom-notices or Other ddcuments maybe.served: Name Address In addition to himself, owner designates the following person to receive a copy of the I-einor's Notice as provided in Section 713.13(1)(F), Florida Statutes., ;(Fill int at Owner's option). Name Address: Owner Swam to and subscribed before me this c day of 401 Z 1� mvwnbw n,ioo, •. �►f��iAl1EEMG Notary Public - CITY OF.ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX: 904 247-5805 SUNCOM:852-5800 http://ci.adantic-beach.fl.us January 2, 2001 Mr. Eric Haas 1655 Beach Avenue Atlantic Beach, FL 32233 Re: 1655 Beach.Avenue Dear Sir. - I have inspected the two houses at 1655 Beach Avenue to determine compliance to the wind resistant requirements for the storm shutters. The shutters were installed to the manufacturers specifications and should withstand the required 110 mph standard. One item of concern is the tracks mounted on the window sills for the drop in place panels. The tracks are preventing water flow over the sill and causing water to stand in the space between the track and the sill. This could cause the paint to deteriorate and the sill to rot. The sill on the northeast corner window has some rot on it now. Please contact me at 247-5826 if you have any questions regarding this matter. Sincerely, Don C. Ford, C.B.O. Building Official DCF/ph cc: City Manager BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 92288 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. Street Address: Ro 5 LOCATION OF intersecting Streets: Between And BUILDING Sub-division 11. IDENTIFICATION To be completed by all applicants 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 Jacksonville ordinances and standards of good.practice listed therein. Name of Mechanical Contractor: Contractor (Print) 'rMaster Name of ^A Property Owner SigMture of Owns Signature of er Authorized Agen Architect or Engineer 1ft. +GENERAL ON A' Type of heating fuel; B. IS OTHER CONSTRUCTION BEING DONE ON EIeCMit THIS BUILDING OR SITE? Q Gas—0 LP Q Natural 0 Contra[Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q on_ PERMIT Q Other.— Specify IV. &49* i WAL EW1PMBWT TO RE INSTALLM NATURE OF WORK (hevide complete list of component%on back of this form) � Residential or ❑ Commercial Heat Q Space )] Recessed Centra) O flew New Building Air Conditioning: Q Room I F1 Existing Building �„taterl DV CastraTMkk„� 1 ❑ Replacement of existing system 2 Ce ©U J ( system previously Installed) Masrmum capacity cf.m. 'New installation No s sta ❑ Extension or add-on to existing system Q Refrige►etion ❑ Other — Specify Q Cooling tower: Capacity 9.p.m• Q Fins sprinklers: Number of hoe.. Q Elwator Q Monlih Q Escalator (number) THIS SPACE POR OPFM USE ONLY Q:Gasoline pump$ (number) (ReeaivadT I`7. Te�kc (number) Remarks Q: L6 contains" (number) { Unfired pressure vessel Q Milan Permit Approve d b techs _.._ ...�. Other ....Specify l, ST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Ca t`r AMPWVMX Numberunits Deecdptioe Model Number (Toas) t< rtMOR-Z c� k MAPSHOWING SURVEY OF LOT 1:2, WWTH AT"WW",tC BOM-INIf NO 1, R-C-8--S nON AS � IN tT 7, -HOOK 15 1 E qo "o `lam E UL''- L DOt]F N, FLORIDA. I HAY CERTIFY THAT THS pftopaoy � =14M LIES IN FLOOD rOW "C" AND WO" AS SHOW ON THE FWOD E�dARD Ba*U MRP F'l" i J,1,CI iYiLLE, FLORIDA. BEACH AVENUE (90 R/w, PAV ,of • SET 4/Z 4A I AM 0 LO Es I.rMYS IS AOT&X/At 4W SURVEY. 2.BE.ARfN& BASED AN COASTAL COWPLACrIOV NO IAtPIADV£MENTS CGW'79xx LINE LOCAFED BY M/S .� 3 Alb S.R.L. AS PER PLAT. SURVEY. ,� tl• 4 T HKOMY C eMPY TO PETE MARRY N THAT I HAVE SURVEYED THE LAt" AS S iO N IN THE ABOVE CAPTIO AND THAT THIS MP IS A TRUE AND C16RRWr REPREFNTATION OF THAT SWM AND THAT THE SURVEY REPRE- SENTED HERBON MEMS THE MINDW TVCMzCAL STAN QF THE nMDA �•�°�s:Z AUl KSTRATIVE 0000 CHAPTER 21.- �► .. Ht -6 AND THE FLC)I t)A EJW TITLE ASSOCIATION. ,+ we V " "I8 ser P, I/ c.L strR UTILITY SERVICE AGREEMENT (Water and Sewer) THIS AGREEMENT entered into this 22 day of June 198$, between the City of Atlantic Beach a Municipal corporation, hereinafter called "City", and .Mabry Developement , a , corporation, its successors and assigns, hereinafter called "Developer". W I T N E S S E T li WHEREAS, Developer owns land in Duval , County, Florida, more particularly described as Lot 12 Unit refer to acreage, plat engineering 16SS Beach Ave. drawings, or legal description as Exhibit A and WHEREAS, Developer plans to develop said land by constructing 1 buildings,' ' 1 residences and/or other improvements thereon consisting of, Single Family and WHEREAS, City is the owner of water and sewage treatment plants and water distribution and sewage collection systems in the vicinity of the property described above; and WHEREAS, Developer desires that City provide water and sewage collection service to said property and City desires to furnish same; and 0 to them and to their occupants water and sewer service subject to all terms and conditions of this Agreement; and WHEREAS, in order to provide water and sewer services to Developer it has been or will be necessary- for City -to enlarge and expand its offsite water and sewer plants and facilities and it is the desire and intent of Developer to contribute financially to the costs of building such additional offsite water and sewer plants and facilities and to reserve capacity in City's water and sewage treatment plants so that City can provide service to .the Development without imposing a burden on its existing customers; NOW, THEREFORE, in consideration of the premises and other good and . valuable considerations and in consideration of the mutual covenants and conditions hereinafter . contained, subject to any necessary approval by other governmental agencies having jurisdiction, it is .agreed by the parties hereto as follows: 1. Developer agrees that City shall have the exclusive right to furnish water and sewer service to the real property described above and hereby grants to City . this exclusive right..to provide water and sewer service for all uses within all structures now or hereafter constructed on the real property described above. 2. City agrees that after Developer has connected to the systems of City, City will provide at its own cost and expense, water and sewer service to Developer's property in a manner conforming to the reasonable requirements of- public or governmental agencies or parties having jurisdiction over City's water and sewer operations; provided, however, that such service shall be in accordance with other provisions of this Agreement, including City's rules and regulations and rate schedules. 3. In the event that Developer or assigns fails to complete construction of all improvements required to be built by Developer and Agreement• under this provl'slun, City reserves the right to negotiate with Developer a new agreement for any additional sums to be paid by Developer to City as plant capacity and service availability charges, fees or other charges based upon increases in the cost of living and/or such other factors as relate to the cost of supplying water and sewer service. d. All taxes or charges imposed upon the property described above by any governmental entity or agency shall be paid by Developer except such part thereof that has been deeded to the City in accordance with the terms of this agreement. S. The rates charged by City for water and sewer service shall be in accordance with its rate schedule which shall be subject to change . from time to time. City shall have the right to determine reasonable meter size and location. G. Developer will grant to the City, at Developer's expense, adequate easements for water and sewer lines, for access to lift stations and water stations and related appurtenances. Said easements shall be transferable. Developer will also furnish title evidence satisfactory to the City that said easements are superior to mortgages or other interest in the land, and Developer shall cause any such mortgages to be released or subordinated to said easements. Basements will also be furnished to provide for onsite water distribution lines, including meters and sewage collection lines. Sites for lift stations and water stations and related appurtenances shall be conveyed by warranty deed in fee simple by Developer • to City. Developer will furnish City a warranty deed, title evidence satisfactory to City and any releases from lien holders for any sewage pumping station and avatar to said state road right-of-way. Developer shall further grant to the City, its successors and assigns, the exclusive, perpetual right, privilege and easement to construct, reconstruct, operate, maintain, repair, replace, improve, alter, remove, relocate and inspect water transmissions and distribution mains, sewer collection mains, sewer lift stations, pipe lines, lateral lines, valves, connections and appurtenant equipment over, across and under the Developer's property, including the right to ingress and.egress to each of the building sites on Developer's property which are served by City. All such easements shall have a .width which is acceptable to the City. 7. City does not guarantee an uninterrupted supply of water, or water at any particular pressure, and reserves the, right to shut off the water in its main at any time for the purpose of making repairs or extensions of for providing temporary or emergency water supply. City will not be responsible for any damage caused by low pressure or interruption of service. Neither Developer nor any of its successors or purchasers shall discharge into the sanitary sewer system water from "non-domestic" drains including without limitation swimming pools, air conditioning condensation lines, cooling lines or other discharge from any type of equipment. City shall not be obligated to furnish any water or sewer service to any building which is built on Developer's property to which the City does not have access. The Developer hereby agrees and warrants that the City will not be held responsible for flooding problems which may result from the failure of sewer line back flow preventor valves on Developer's property. The Developer hereby agrees to hold harmless and indemnify City for all costs and damages resulting from flooding due to back flow preventor valve failure. 8. The construction and design of all facilities to be + Developer or its contractor. Developer will pay the cost of all such construction. The Developer's engineer shall incorporate into the Developer's engineering design, plans and specifications the applicable standards and specifications of the City. 9. A. If the Developer modifies his development plans for Developer's property which would require greater water usage, greater fire flows, additional water facilities, greater sewage flows, or additional sewage facilities than the water and sewer demands previously approved by the City, then the Developer must obtain approval by the City for the construction of such additional water or sewer facilities which shall meet all City and governmental design requirements. The Developer shall pay all additional contributions and fees as may be authorized by the City's service availability policy which is in effect on the date said new agreement is executed. B. In addition to paragraph 9A above, any other change order between Developer and its utility contractor issued after City approval of original plans must be approved by the City before the change order , is put into effect. C. City shall have the right to review the systems design drawing and specifications to ensure that they meet the requirements of the City. The systems design drawing and specifications are to be in accordance with the City of Atlantic Beach requirements unless otherwise specified by City, or its engineer. D. The City also reserves the right to approve the utility contractors to which construction bids are sent by Developer as well as the contractor to which the award is made. E. A representative of City or its engineers will be the .inspector of the project along with the Developer's engineer, blit city absolute and exclusive owner of the facilities of said water and sewer systems whether located on, under, above or outside of the property described and regardless of who may have installed or constructed same to the extent described below: A. All water mains, pipes, valves and fittings and appurtenances up to and including all meters shall be dedicated to and will be owned, operated and maintained by City,. All water pipes on the customer's side of the meter shall be owned, operated and maintained by the customer or its assigns. B. All sewer mains, manholes, pumping stations, force mains and appurtenances, including service pipes in public right of ways and dedicated easements, shall be owned, operated and maintained by thle City. Except as provided in paragraph 9C, all sewer lines on the customer's side of the property line shall be owned, operated and maintained by the customer or its assigns. C. With reference to any blanket easements for multi-family projects such as apartments, mobile home developments, condominiums and PUD's or for commercial developments, all water mains to and including the water meter, all sewer mains, force mains and manholes in such blanket easements over private property allowing utility operations shall be dedicated to and shall be owned, operated and maintained by thb City except that the full length of sewer services from the sewer main or manhole shall be owned and maintained by the customer. All such City lines shall terminate with a manhole. U. By these presents, Developer hereby transfers to the City, the title to the water distribution and sewer collection systems to be installed pursuant to this Agreement, such .conveyance to take effect without further action upon the completion and acceptance by City 11. Developer shall pay the City upon, execution of this Agreement the sum of . 10 per water connection per equivalent residential connection (ERC) as an advanced deposit to cover engineering, plan review, inspection, test, legal and administrative expenses of City in connection with this Agreement. Developer shall also pay to City upon execution of this Agreement the sum of , 10¢ per sewer connection per ERC as an advanced deposit to cover engineering, plan review, inspection, tests, legal and administrative expenses of City in connection with this Agreement. The charges for engineering and legal expenses and for engineer's inspection and plan review. fee for non-residential units shall be based upon estimated cost to City; Actual cost will be determined and a refund or additional charge will be made for the difference between the advanced deposit as calculated above and actual costs. City agrees to .provide water and sewer service , to the Developer's property in consideration for plant capacity charges, fees and other charges to be paid by Developer as follows: A. A water plant capacity charge at the rate of $20,00 per fixture unit. Such charges shall be due and payable as provided in paragraph 12. , B. A sewer plant capacity charge at. the rate of onethousand thi.Tty ,five dollars ($ 1,035.00 per single family unit. Such charges shall be due and payable as provided in paragraph 12. C. A sewer plant capacity charge for any commercial customers on the land as described above at. the rate of f t D. A meter installation fee to. cover meter cost and meter installation (but not including curb stop or meter box) according to the City's service availability policy at the time of installation which currently is $85.00 per 3/4" x 5/8" meter E. If available, construction .water will be charged to building based on metered usage in accordance with current rates. F. Hydraulic share of main extensions - payment or refund, 1. Developer recognizes that water or sewer utility service to the Developer's property.. is prqvided by the use of a mein extension and other improvements constructed by a prior developer and that Developer is obligated to refund a said prior developer�Developer's share of the cost of said main extension or other improvements. Accordingly, Developer shall pay its pro rata share of the cost of said' main extension or other improvements to City. Said prq rata share shall be based on Developer's percentage of the hydraulic capacity of said extension or other improvements. For the purpose of this Agreement, the cost of Developer's said hydraulic share shall be $ payable upon execution' of this Agreement. 2. With respect to utility facilities installed by Developer to which future developers connect directly, and .in consideration for monies expended by Developer toward said facilities, City shall refund to Developer, or Developer's successors or assigns, solely from monies collected from said future developers, said future developer's pro rata share of the cost of said facilities. Said refunds shall be calculated on the basis of the Hydraulic capacity and demand of said future developer whenever .feasible. The refund obligation of City hereunder and the benefits to Developer related thereto shall expire at a cost of $ 12. All charges to Developer shall be paid by Developer to the City in accordance with the following formula and procedures: A. The advance deposit for engineering, administrative and legal fees and the inspection and plan review fee upon the execution of this Agreement, a total of ; and B. Water plant capacity charge upon the execution of this Agreement, a total of ' $160.00 ; and C. Sewer plant capacity charge upon the execution of this Agreement, a total of ' Shcfic Tank ; and D. Meter installation fee according to the City's service availability policy at time of installation which currently is 85.00 per 3/4inch by 5/8 'inch 'meter - upon application for hook-up of individual lots, apartments, multi-family lots or units; and E. Construction water based on meter readings in accordance with City's rate schedule; and F. Hydraulic share payment, in accordance with paragraph 11F-1 of this Agreement upon execution of this Agreement, in a total amount of'$ and G. Service availability charges and other additional aids in construction in accordance with paragraph 11G of this Agreement in a total amount of . 13. City agrees to connect individual buildings and structures on the developed property upon application by the builders, plumbers or individual owners subject to the operating rules and regulations of the City and payment of all fees and charges in effect on date of application and compliance by Developer with all provisions of this Agreement. 14. The charges, costs and fees for any separate emergency fire protection water systems. for subject project will be subject to negotiations between City and Developer. If buildings of more than two stories are a part of. the project, Developer shall furnish at its expense water pumps and other appurtenances as necessary for pumping water above. 15. All plant capacity and service availability charges, fees and other charges as outlined above are based on normal domestic sewage defined herein as containing not more than three hundred (300) parts per million biochemical oxygen demand or three hundred (300) parts per million suspended solids. Whenever water which contains more than these amounts is to be admitted to the sewers, both the City and the pollution control agencies must specifically agree to the connection. An additional charge will be calculated in direct proportion to strength at seventy-five cents ($0.75) for each part per million of either biochemical oxygen demand or suspended solids over three hundred (300) parts per mill-ion. All such connections shall provide for a suitable point for the waste to be sampled by the City or the regulatory agencies. An additional charge equal to the pro rata share of any additional sewage treatment plant costs, above ninety percent (900) treatment, and of the cost of any additional required outfall pipes to " ' may be required by City. subordinated to tlae terms of the Agreement and easements required herein prior to any acceptance of tho iucilitles by tho City'. 17. Upon application by owners, builders or their authorized representatives, the City agrees to connect the requested dwellings or structures on the said property at no additional connection fee (i.e. , in addition to those provided for above in this Agreement) , but subject to the continuing operating rules and regulations of the City including, without limitation, tl►e periodic payment of the water usage and sewer usage charges in effect on the date of such application or thereafter reflected in the City's rate schedule. 18. This Agreement shall be binding upon and shall inure to the benefit of the Developer, City and their successors and assigns. However, in the event the Developer has not paid and delivered to the City the plant capacity and service availability charges, fees and other charges provided to be paid to the City by Developer under the terms of this Agreement, and all easement and conveyances required by this Agreement, then this Agreement shall not inure to the 'benefit of the successors or assigns of the Developer. 19. It shall be .�the responsibility of Developer to locate for builders any water and sewer taps or lines necessary in conjunction with residential or commercial construction. 20. Unless the damage to any onsite improvements, are the result of the negligence or willful act of the City, its officers, or employees or authorized agents, the owner or Developer ,of such property upon which the damage occurs shall be responsible for the payment to the City of such damage to City's property including all »ecessary and reasonable repairs which must be. made by the City or independent contractors prior hereto, for the payment of such necessary and reasonable costs and expenses for effecting such repairs and restoration to such onsite facilities located upon the owner's or Developer's property. Notice of such lien or claim on lien describing the real property and the amount owed may be filed within ninety (90) days of the date from the last date upon which any such repairs or restoration were made by the City or its authorized representatives. Thereafter, the City shall be entitled to bring an action for the foreclosed under the laws of Florida. 21. Prior to final acceptance of the utility and other public facilities improvements by the City the following requirements must be met at Developer's expense: A. If the property is platted, one copy of the recorded plat shall be furnished to the City.' B. "As built" drawings of utility improvement shall be furnished one week prior to final inspection. "As built" drawings shall be certified by a registered engineer with the cost being borne by the Developer. Two mylar and three printed copies of said drawing shall be furnished to City. C. All lot corners shall be properly marked so that utility company or its engineer can, upon receipt of "as built" drawings, verify the marked water and/or sewer services as to location and depth. In addition, for purposes of locating and protecting installed service lines and valves' Developer or his contractor shall mark each service line and all valves with an eight (8) foot pressure treated wooden post in the manner as shown on the design drawings and specifications. Developer's contractor is required to install curb stop, meter box and valve box on each water service and valve as shown on design drawings. Address _ Heated Square Footage `' @ $ �''�er sq ft = $ Garage/Shed y @ $ per sq ft = $ Carport/Porch @ $ per sq ft = 5 Deck c1 @ $ per sq ft = $ 2 Patio @ $ per sq ft = $ TOTAL VALUATION: $ � _ 6 $ Total ValudtiorY1st $ ,0 X 2- Remainder Valuation per oi and or portion thereof -212 ' --------------------------------------------� Total Building Fee $ .. � ---— ADDITIONAL PERMITS and/or FEES REQUIRED + 2 Filing Fee $ l Mechanical Fireplaces @ 15.00 $ _ Plumbing ; BUILDING'PERMIT FEE i Electric/New i-------------------------------------- - - -- Electric/Temp � BUILDING PERMIT - Septic Tank $ Well WATER METER CHARGE $ Swhmii ng Pool SEWER IMPACT FEE $ Sign WATER IMPACT FEE $ I .00 CMD Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate $6543 GRAND TOTAL DUE $ / ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES DEPARTMENT OF BUILDING 9848 V 4 Q CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 9 V VV t PERMIT TO BUILD ro.j 3 T THIS PERMIT MUST BE POSTED ON JOB 649.13"KT '4 r, si1(IcIAC Date .Tu'n� 20- 19-&&— 2n�4 1 A 6121/9 j Valuation$ 504,444.04 Fee$ b49.I3 1100 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that MABRY DEVELOPMENT CGCO06748 Ut ATLANTIC BOUTAWD, ATL. RCH_ has permission to build Single Family Dwelling Classification ResiAent3a,l Zone'c2 Owned by Peter Mabry Lot 12 B1ocillnit Z S/D fi0xth A t _ " House No. EM REAC14 AVFNIIE 165S 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 4 in public space, and must be cleared I` up and hauled away by either con- i --gatrt or owner., )) f jl. FOR OFFICE PERMIT D USE ONLY NUMBER ATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER ADDRESS ---- BUILDING PERMIT # -f INSPECTIONS FOOTING__, ��QINSULATION____________ SLAB----- f��J� STEEL----------------- FRAMING-_-_-^-^------ FIRE-_---__^___ __-- FINAL BUILD_ o�_Lp-r_ C/O ELECTRICAL PERMIT #� Lp INSPECTIONS ROUGH_ FINAL PRELIMINARY SENT TO JEA FINAL SENT TO CALL TO JEA - MECHANICAL PERMIT b (D - -------- INSPECTION ROUGH PLUMBING PERMIT #t v w ---------------------- INSPECTIONS UNDER SLAB__ ROUGH__ SEWER_L; '3� ______ PUBLIC WORKS 1 °s t City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF _ ___SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH - (8) TUB OR SHOWER STALL (6) WATER CLOSET VALVE -!__WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) __J_-SHOWER GROUP PER HEAD (3) _____FLOOR DRAIN ( 1 ) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) ___-_LAVATORY ( 1 ) COMBINATION SINK AND TRAY (3) I.-WASHING MACHINE (3) _____POT, SCULLERY SINK (4) __]__DISHWASHER (2) _____WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY ( 1 ) KITCHEN SINK WITH WASTE GRINDER (3) DENTAL UNIT OR CUSPIDOR ( 1) _____BIDGET (3) _____URINAL STALL, WASHOUT (4) _-_-_FLUSHING RIM SINK (8) _____COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) --_-_URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) DRINKING FOUNTAIN ( 1/2) _____LAVATORY, BARBER/BEAUTY SHOP (2) _____LAVATORY, SURGEONS (2) _____SURGEONS SINK (3) ICE MAKER ( 1/2) WET BAR (2) TOTAL FIXTURE UNITS__ q2 @ $20. 00 EACH JOB INFORMATION �/ `�'7 r i City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee i FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED! A1' TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. i i __BATHROOM GROUP CONSISTING OF ----_SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) I TUB OR SHOWER STALL (6) ___ LWATER CLOSET VALVE ___ WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) _____BATHTUB/SHOWER (2) �/ URINALIWALL LIP (4) _,_ SHOWER GROUP PER HEAD (3) _FLOOR DRAIN (1 ) _____SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY ( 1 ) 1COMBIN�TION SINK AND TRAY (3) I ___,_WASHING MACHINE (3) _____POT, SCULLERY SINK (4) ___I_DISHWASHER (2) Z __ _WASH SINK EACH SET OF ; FAUCET (2) ____KITCHEN SINK (2) DENTAL �LAVATORY ( 1) ____KITCHEN SINK WITH WASTE ✓ GRINDER (3) DENTAL UNIT OR CUSPIDOR ( 1) _____BIDGET (3) __URINAL STALL, WASHOUT (4) _____FLUSHING RIM SINK (8) _____COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) _____URINAL, PEDESTAL, SYPHON JET J BLOWOUT (8) ____DRINKING FOUNTAIN ( 1/2) _____LAVATORY, BARBER/BEAUTY SHOP (2) ____ LAVATORY, SURGEONS (2) _____SURGEONS SINK (3) ICE MAKER ( 1/2) __-- WET BARI (2) q4 TOTAL FIXTURE UNITS_`_ @ $20. 00 EACH $ 30B INFORMATION__-__-- 112 -____---_----------- _l_ ----- -- i -�� 1 * CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner-aj-e� _ b _ Address_j� _ E _1�_✓_ zip3 �3_ehonea l ZL3g ----- �fVCd✓Sr►�yrtrv„� C ------- Architect-ObAC6 Gl ---Address_[,i (_�✓o2fG�_ Jy�Ei_zip'S �`�_phone1_f�2�-,323 ContractorM69-1-Dg _____ Address ziI311-233 .aj3eo -------- Contractor's License number_ - expiration Lot_1_;�___Block or Section---1____Subdivision_______________Zoning_&S____ REWA Street__ _ __ A✓__between_-EI�______and__. _______side___________ Type Construction_E ______No. Units_______No. Fir ��E, e Purpose of Building__tt4 tg � sau Et. Valu ion ----- ---�r---0---- Utility Method - Water_jc„jA________ Sewer_CI-S------- Dimensions - Building_11_LXL06"$"_Lot (4110 ��S•57--Size Footings ----------- ----------- Sz. Piers------------Sz. Sills------------_Greatest Span Sills --------------- Sz. Ceiling Joists---------Distance on Centers---------Greatest Span_______ Sz. Floor Joists Distance on Centers---------Greatest Span_______ Sz. Rafters _________Distance on Centers---------Greatest Span_______ Method of Heating AR/Ak JW PSolid or Filled Ground-----------Roof__________ Flood Zone C_ If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over P P R O V E O dedicated City rights-of-way and to clear, clean, grade, CF ATLANTIC BEACH drain said right-of-way to City guiLo�rsG o��tc6 specifications. Signature Owner__�/ �/ _ ________________Date_ __�3_��F5 Signature Contractor_ � /- --------- page 2 't 4a JUN Building and Zo;�ing 5 K FLOODPLAIN DEVELOPMENT INFORMATION J Type of Development: _ S/� u��- ------------------------------------- Flood Zone: �- ----------------------- Required Lowest Floor Elevation:--/ t/- t, N___-_-_ If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date-16 I-:-a fr ___Applicant's Signature_____ ---------------------------------- --------APPROVE D CITY Cr- ATLANTIC BEACf1 BUILDING OFFICE Department Use Required Lowest Floor Elevation _________________ As Built Lowest Floor Elevation Survey Filed Filed with Building Department ___________ ----------------------------------- Building Department Representative page 3 9 APPLICATION FOR WATER METER DATE: CONTRACTOR: --- ------------------------- BILLING ADDRESS: C --------------------- ------ --------------------------- SERVICE ADDRESS:�5� ��r�'c�-�_Zmk=----------------------- LOT: 1K;-------UNIT;__--X------SUBDIVISION:_ !_A e_-____ ACCOUNT NUMBER:-- METER UMBER:--METER SIZE: I HEREBY REQUEST THAT A WATER METER BE SET AT THE ABOVE SERVICE ADDRESS. I UNDERSTAND THAT I WILL BE BILLED. FOR TEMPORARY CONSTRUCTION WATER UPON SETTING OF THE METER. I FURTHER UNDERSTAND THAT I AM RESPONSIBLE FOR ANY AND ALL DAMAGES TO THE METER, BOXES, VALVES, LINES, AND ANY PARTS THEREOF, UNTIL PERMANENT WATER SERVICE HAS BEEN ESTABLISHED BY THE CUSTOMER. CONTRACTOR- _ _ --^ ------ CITY OF ATLANTIC BEACH r 0',V OF ATLANTIC BEACH No. 17?2 FLORIDA June 2 0. 19fl$._. NAME MABRY DEVELOPMENT - ADDRESS_ 323 ATLANTIC BOULEVARD 1K009 TL CITY ATLANTIC, BEACH, FLORTDA 32233 160e01C9.TV t D 5 1 1730 .00CACS 11 BEACH AVENUE p�, � Q 0 '��5 ' A S/22/9g 1655 10001 JUN z Z� 1,-)n WATER IMPACT FEE #40-343-3700 $160.00 (includes wgigdit sg demolished home) i i a i When Signed, Dated and. Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER ' 't ,„4 ..... . ... ....... FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 1000-M86 SECTION 10—RESIDENTIAL PRESCRIPTIVE COMPLIANCE METHOD CLIMATE ZONES Revised: 1/87 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 COMPLIANCE W17H SECTION 10OF THE FLORIDA ENERGY EFFICIENCY CODE MAYBE DEMONSTRATED BY USE OF FORM IOOOA•86 FOR SINGLE AND MULTIFAMILY RESIDENCES OF 3 ST:JRIES OR LESS IN HEIGHT,AND ADDITIONS TO EXISTING RESIDENTIAL BUILDINGS TO COMPLY,A BUILDING MUST MEET OR EXCEED ALL OF THE ENERGY EFFICIENCY PRESCRIPTIVES IN ANYONE OF TF:E PRESCRIPTIVE COMPONENT PACKAGES AND COMPLY WITH THE PRESCRIPTIVE MEASURES LISTED IN TABLE 10A OF THIS FORM COMPLIANCE BY THIS METHOD WILL BE IN MOST CASES. EQUIVALENT TO AN EPI OF 100 POINTS OR LESS AN ALTERNATIVE METHOD IS PROVIDED FOR ADDITIONS OF 600 SQUARE FEET OR LESS BY USE OF FORM 10DOC-86 IF A BUILDING DOES NOT COMPLY WITH THIS METHOD.IT MAY STILL COMPLY UNDER SECTION 9 OF THE CODE. PROJECT NAME Y F45,41 P O`Ik�- BUILDER: Pwreyw '{ AND ADDRESS: �'' V PERMITTING CLIMATE 1 ❑ 2❑ 3 �'tC'I•-hd�l'CIe 1156ft •.e.}.) OFFICE: ZONE: PERMIT JURISDICTION OWNER: `L 1L11L tom`i OWNER: FsTrar, JE CARds- most- e NO.: NO.: r 1 NEW CONSTRUCTION IF MULTIFAMILY,NUMBER Of CONDITIONED SQ GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA b q' _ FT CLEAR TINT.FILM SOLAR SCREEN ADDITION ❑ THIS SUBMITTAL ❑� EAVE OVERHANGZ 0 SINGLE• MULTIFAMILY ATTACHED ❑ CHECK IF THIS SUBMITTAL LENGTH ❑•❑ FT PANE ❑�FT so SIPANLE = FO (3 stories or less) REPRESENTS A WORST CASE PORCH OVERHANG DOUBLE- �1 SO DOUBLE- SO SINGLE-FAMILY DETACHED CONDITION. ❑ LENGTH ®•S FT PANE l�_i J FT PANE �lI l j ; ( i i WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FLOOR TYPE AND INSULATION OF GLASS _ PERCENTAGE WOOD FRAME MASONRY WOOD MASONRY TO FLOOR: 96 EXTERIOR: EXTERIOR: UNDER ATTICR: O RAISER:_(�q RAISED {`❑.❑ R - R = ❑��❑ ff ii 11 11f R _L COMPLIANCE ADJACENT ❑.❑ ADJACENT. ❑•❑ COMRON.❑•❑ COM AOM= PACKAGE COM ROH: .❑ COM ROH: r COMMON: R- ❑,❑ GSLjRADEO.N R = ,�( DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER 5 � pTtANfila_ C IN 9 CENTRAL ❑ NONE ❑ ELECTRIC STRIP 9 HEAT PUMP ELECTRIC ❑Elg1� RING OFFICE UNCONDITIONED _ SPACE: R = El ROOM ❑ NATURAL GAS ❑ OTHER FUELS ❑ NATURAL GAS F HEATp�RECOV77EF� tmL_I LnJ ❑ PACKAGED TERMINAL ❑ ROOM UNIT OR ❑ NONE El OTHER FUELS ❑ JEURTEI H'ttAT rb'v IN CONDITIONED AIR CONDITIONER PACKAGED TERMINAL ((��''�� SPACE: R = HEAT PUMP EF = J9 _ ❑,W SF/EF - EKE SEERIEER = .(91 COP/AFUE _ ®.❑ D NUMBER OF BEDROOMS = In accordance with Section 553.907 F.S.,1 hereby certity that the plans Review of the plans and specifications covered by S ' calculation indicates and specifications coveredPy this calculation are In compliance with the compliance with the Florida EneK' ce e.Bef ruction is completed,this Florida Energy Code, building will be inspected for comin accord ith SWi 53 908 F.S, OWNERIAGENT: BUILDING OFFICIAL: _ _ e DATE: DATE: _ P TABLE 1 A MINIMUM REQUIREMENTS FOR All PACKAGES COMPONENTS STIN REQUIREMENTS CHEQ t WINDOWS .t MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK. EXTERIOR A ADJACENT DOORS 904.1 SOLID CORE,WOOD PANEL,INSULATED OR GLASS DOORS ONLY. MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA. INCLUDES IDIN GLASS MR$, EXTERIOR INT CRACKS .1 _M BE CAULKEO. A K D WEATHERSTRIPPEQ OR OTHERWISE SEALED, _ SOLE&TOP PLATES 903.2 SOLE PLATES N PENETRATIONS THROUGH TOP PLATES OF EXTERIOR WALLS MUST BE SEALED. NFILTIRATO BARRIER 903.2 1 INFILTRATION BARRIER MUST BINSTALLED IN E TERIQH W I F RS. INTERIOR JOINTS JCRACKS 903.2 ALL OPENINGS IN INTERIOR SURFACES OF CEIUNGSAND EXTERIOR WALLS MUST BE SEALED FIREPLACES .2 FIREPLACES MUST HAVE FLUE DAMPEROAMPEBS,GLASSR ND OUTSIQUQMBUSTION AIR INTAK . tj EXHAUST FANS VENTED TO UNCONDITIONED SPACE SHALL HAVE DAMPERS,EXCEPT FOR COMBUSTION DEVICES WITH EXHAUST FANS 903.2 NTE RA EXHAUST DUCTWORK. COMBUSTION HEATING 903 2 COMBUSTION SPACE AND WATER HEATING SYSTEMS MUST BE PROVIDED WITH OUTSIDE COMBUSTION AIR,EXCEPT FOR DIRECT VENT APPLIANCES MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND STANDBY WATER HEATERS 004.2 LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF(GAS)VALVE MUST BE PROVIDED. AN EMRNAL OR BUILT-IN HEAT TRAP MUST BE PRO QED, _ SPAS AND HEAPED 904.3 SPAS AND HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST HAVE A _$WIMMINGPOOLS PUMP TIMER. GAS SPA&POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%. HOT WATER PIPES 4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS. IN SUCH CASES,PIPING HEAT LOSS SHALL BE LIMITED TO A MAXIMUM OF 17.5 BTUH PER LINEAR FOOT OF PIPE HR MILOS WATER_FLQW MV$T BE RUTRICTED TO N9 Mtn THAN_9SAI ION$PEN MINV`F€,AT_&Iq,QQ PSIG. _ HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHNICAL C OUE JOINTS IN UNCONDITIONED ,. UST$SHALL BE I%WLATED TO A MINIMUM OF R4.2. _V Y 904.7 A SEPARATE READILY ACCESSIBLE MANUAL OR AUTOMATIC C HERMOSTAT FOR EACH SYSTEM. I i 10-1-1 Revised 1/87 t " 4 CLIMATE ZONES 12 3 MINIMUM REQUIREMENTS i COMPONENTS PACKAGES FOR NEW CONSTRUCTION TO BE INSTALLED A B C O E J Maximum Percent 15 of Glass to Floor Areal96 15°K 2096 2096 2596 Joe DC DC OC DC DT DC: ❑ OT: I Overhang 114' 2' 2' 2' 2' 2 FEET i EXTERIOR AND ADJACENT MASONRY WALLS R-7. EXT: R Masonry ADT: R= J COMMON MASONRY WALLS R-3. COM: R- J 3 Wood EXTERIOR,ADJACENT,AND COMMON WOOD FRAME EXT: R - Frame WALLS R-11. ADJ: R = COM: R CEILINGS CEILINGS UNDER ATTIC R-30.FRAME COMMON CEILINGS R-11. UNDER ATTIC: R - (NO SINGLE ASSEMBLY CEILINGS ALLOWED) COMMON: R = Slab-On-Grade R-0 R - N Raised Wood R-19 (ONLY STEM WALL CONSTRUCTION ALLOWED) R = 19 Raised Concrete R-7 R OND.- DUCTS R-4.2 R-4.2 R-4.1 COND R-4.2 COND. .R= COND. SPACE COOLING 9 3 9.0 9.0 9.0 9.0 (SEER) SEER=� � Electric 2.8 COP 2.8 COP 2.7 COP 2.7 COP 2.7 COP COP- 'L•7 = Natural Gas MINIMUM AFUE OF.70 AFUE cc Electric EF.88 EF.88 NOT ALLOWED EF 88 NOT ALLOWEDZE x Resistance See Below) See Below) EF- 3 ti Natural Gas MINIMUM EF OF.54 EF - o h ANY OF THE FOLLOWING ARE ALLOWED:DEDICATED DHP: ❑ EF = s Other HEAT PUMP,HEAT RECOVERY UNIT,OR SOLAR WITH HRU: ❑ + A SOLAR FRACTION OF AT LEAST.40. SOLAR:❑ SF - 11 GENERAL DIRECTIONS 1.New construction including additions which incorporates any of the following features cannot comply using this method:raised wood floors of post and beam construction,steel stud walls,single assembly root/ ceiling construction,skylights or other non-vertical root glass,electric resistance space beat,or propane or fuel oy space or water heating systems. 2.Choose one of the component packages"A"through"E"from Table 1OB by which you intend to comply with the code.Circle the column of the package you have chosen. 3.On Table 10B you will find a column labeled"To Be Installed".In this column fill in all the applicable spaces with the information requested.All'To Be Installed"values must be equal to or more efficient than the required levels. 4.Complete the information requested on the top half of page 1 based on the"Tb Be Installed"column information. 5.Read"Minimum Requirements for All Packages",Table 10A on page 1 and check each box to indicate your intent to comply with all applicable items. 6.Read,sign,and date the'Owner/Agent"certification statement at the bottom of page 1. DESCRIPTION OF BUILDING COMPONENTS LISTED Percent of Conditioned Floor Area:The percentage of total glass area to the conditioned floor area shall not exceed the prescribed percentage.This percentage is calculated by dividing the total of all glass areas by the total conditioned floor area. Glass Type:In order of increasing energy efficiency,the glass types are:single-clear(SC),single-tint(ST),double-clear(DC),and double-tint(DT). Overhang:The overhang is the distance the root or soffit projects out horizontally from the face of the glass.All glass areas shall be under an overhang of at least the prescribed length with the following exceptions:1)glass on the gabled ends of a house and 2)the glass in the lower stories of a multi-story house. Wall,Ceiling,and Floor Insulation Values:The R-values indicated represent the minimum acceptable insulation level added to the structural components of the wall,ceiling,or floor The R- value of the structural building materials shall not be included in this calculation.'Common"components are those separating conditioned tenancies in a multifamily building Adjacent" components separate cOno*ned space from uncordslioned low mloSed brace."Exterior"compmems Separate conditioned two Imm uncOndiiiky"and unenGbbed space Floor:Slab-on-grade floors without edge insulation are acceptable for all packages.Raised wood floors shall have continuous stem walls with insulation placed either on the stem wan or under the floor. Ducts:"Cond"indicates that the ducts must be installed within the conditioned space.That is,the ductwork shall be located on the conditioned side of the insulation so that any leakage will be into the conditioned space Ducts in conditioned space are acceptable for any prescriptive package.If R-4.2 is specified,the ducts may be lex unconditioned space but must be insulated to a minimum installed insulation level of R-4.2. Space Cooling System:Cooling systems shall have a Seasonal Energy Efficiency Ratio(SEER)for central units or Energy Efficiency Rata(EER)for room units or PTAC's equal to or greater than the prescribed value. Electric Space Heating Option:Heat pump systems shall be rated with a Coefficient of Performance(COP)equal to or greater than the prescribed COP.Heat pump systems may contain electric strip backups. Natural Gas Space Heating Option:Natural gas systems must be rated with an Annual Fuel Utilization Efficiency(AFUE)of at least.70 for all packages. Electric Resistance Hot Water Option:For".EF.88"designation,the electric water heating system shall be rated with a minimum Energy Factor(EF)of.88.For the packages designated"Not Allowed".an electric resistance hot water system may be installed only in conjunction with one of the"Other Hot Water Systems Options".See below. Natural Gas Hot Water Option:Natural gas hot water systems with a minimum Energy factor of.54 may be installed in any of the packages. Other Hot Water System Options:Any dedicated heat pump,heat recovery unit,or solar hot water system which meets the requirements o(904.8 of the Energy Code may be installed Solar systems must be designed to provide at least 40%of the total hot water(solar fradion of 40)Electric resistance systems having an EF of.88 or greater,or natural gas systems with EF 54 or greater may be used in conjunction with these systems. 10-12 Revised 1/87 d� CITY OF _ r��&urric �'e+�i - ��C�ida 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 i DATE PRE-SERVICE. DIVISION JACKSONVILLE ELEC'T'RIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE POLLOWI14G FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY : ------ ----L-- �? -------------- -------------------------------------------------- INCERELY, BUILDING INSPECTION DIVISION cc:FILE `a :�, 3 rtif iratr of (err aur *._. CITY OF OMA60 &494- % 13rpartntpnt of +Vidibing Atapprtion This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification ! � Bldg.Permit No _ Group Type Construction I ;L Fire District.. f r Or Owner of Building il. t---Address - Building Address_ Building Official Date: POST IN A CONMICUOUa ►LAC[ mt �' a BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: Building Contractor: Building Permit Number: �f Address: Legal Description: cy/� ' �/ Improvements to the above described property have been completed in accordance with the terms o the permit d is certified to be ready for occupancy as ' Lowest Floor Elevation: required as built n/a Sales Tax Certificate: ~ date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY: Fire Chief --------------- --------------- --------- Public Works Planning Director _______________ ' ------- Building Inspector _____ r' k DEPARTMENT OF BUILDING E; CITY OF ATLANTIC BEACH` 1404,p .� ,.. LOCATION, INFORMATIoti tol "T A Oat BB BEAC14 AVENUE C Ork i ADPITZOIC ATLANTIC BEACH, IrLORIDA 32233 r- TYP*I tit`/A " L ROAL DESCRIPTION - M 1.,:ot's ast*d It s III:OtvE FAMILY east 8s►ak.i . Paget 0 O Crad�, qw € E L+ si a ltsBubdivislon s ATLANTIC 8EAGIj �b 00 OWER INFO sRM A1I ON -rov. Cost I' foci 00 tt sn+e x PETER BAORX Total - L #I0« 00 A re s r A I( OO X655 BEACH AVEMUS 8 ATLANTIC SEACH, FLORIDA 32,133 t ra = `OR!" DRIi�IMII�I t"iRF^t3BBl Olt; TC TION Fams' *10. X10 WAVIER ItI'PACT .FEE "� BE E� a" ., "Irl RAIN #C).06► RADON OAS �p *0.CO ' ATR TAP ' *'A.00 ,.; ._...;..., '� R TAS' ...... .,... ; _. y Y HYDRAULIC BARE 00.00 NOTES. 70 I 1 NOTIGE"—ALL coNCRETE,FORMS AND FOOTINGS `MUST BE.tNSPLCTt?D BEFORE POURING I'ERMIT'VOifl SIX MONTHS AFTER HATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST.NOT BE PLACED IN PUBLIC SPAC€,AND MUST BE Cfi.EAFfiED UP AND HAULED AWAY B1Y EITHER CONTRACTOR OR OWNER. "FAII uRE TCS COMKY ITH.THE MECHANICSS LIEN LAW CAN RE ul. THE PROPERTY ©1NER=PAYfNG TWICE Ft�R IlllL©ING IMPROVEMENTS. 1$ UED ACGORpING-TG3 APPRpVEt7 F'LAN8 WHICH ARE PART OF THIS PERM#T AND SUBJECT TO REVOCATtt7N FOR N OF Ai Pi;ICABLE PROV#$IC3N$ FLAW. " 7,7`7777{ 3` r. ,, � _ . ��,.,;:;��..�z..� :: �.�� ,�, ,�.�.. =� ..�_� _...rte- a_ ..�� ,� 1 s �. � ,... �� FFE $10.00 APPLICATION FOR WELL PERMIT CITY OF ATLANTIC BEACH .PRSJPERI'Y 0[Ji�R Name: e e (r- 41 Day Phone Address �i ZJ� Jc^ � U Zip �� 2 33 APPLICANT, IF OTHER THAN OWNER r Namec Ct cv .y C e �" C l(q /'U S Day Phone Address,, l4t J?(C ge Qc4 Zip � ✓�- `Z y 3 JOB Address or Location; Legal Description: Is well to be used for drinking purposes? Q Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: I agree to comply with regulations stated herein: z ture _ Date tI 715 DEPARTMENT OF BUILDING CITY OF ATLANTIC 13EACH PERMIT INFORMATION ,- ------- LOCATION INFORMATION --------- M t ,,Number» UTILITIES 7158 A dressy 1,6+55 BEACH AVENUE + �" kda.'�, e'".E,�►�Y e« ..�:3,�s�`� �.r" BEACH, FLORIDA 32233 ' 'Work,- � «"� i.+,.._... s..._ LEGAL l)E`SCRI:P`I'ION tt Crar1;3S'�t � TY e: N/A L LEG L» Section:---� ed°el se» SINGLE FAkiLY" Townsh, p» RNa« 0 e .: 1rCs•, 2 Code. } bd V 15 C3x1 NOR vaue. $0.00TH AT ANTIC I�ancx � ' co", $0 ,00 $Q .CIC) Da" Carle Des CFESS aR waWt tS IRENCES IO �._.;_---- � �� APPLIhTICJN PaEs PERXI gess A rtUE t? 00 w a FLE Phone. 6. NATER METER $0,00 R,ADO CA,S-H a R.S. . $0 . 00 AC _, IN TIO RA3t:}I C3AS � 00 WATER TAPM ddres $ tltJ l $ZWER TAF, Cl.Ot HYDRAULIC SHARE i b Tyv .' 0 :CAPITAL IMPROVz,. NPTES: Chex to also exeOute a soparate letter agrtsment, that ha will be reepa�nsibl,e Tari his shave of'. the, caste invC>lvad when the. sower lines. etre laid io,,the, area. T419 tonAOctiM l,s tmpaxarythrough i the nearby manhoii &A4 work perform" by out contrroctor. i i i NOTICE--ALL CONCRETE FORMS AND FOOTINGS MUST SE IMSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MAI ERIAL;RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN'PUBLIC SPACE,AND MUST BE ` CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER #F lLIRE TO°COMPLY WITH TIE IM9CHANICS' LIEN LAW GAN RESULT IN THE`PF#OPERTY OWNER "PAYING TWICE FOR IWILDING IMP,OV# ENTS." a FER =11 �j� 194L.0 IiSUED ACCORDING TO.APPROVED, PLANS VtpLlCTIC)N OFA APP CAL3LE PROVISIC)NS OF I AW. CH ARE BART OF THIS PERMIT AND SUBJEg3TjO REV© TOW! ATIAMT p1�ItUIhIG I EPARTMENT 01 Iia. 10014 ( € t r , r . , r E c c v y 04 e + _ g t�f 7 A ww PON 1 AA 3r x 3 i y F ' tx4 r,Mw„1 cS — " ,. . . .•,,,�..� r�,,t ;..X35 �, y�- ._ ;. �� r 10 Mol i :;;,,$ �x'�'.n2 p�a iG� a., r k � ,� � � '� >:z�� g k;'tw��.�'• � � �.�** '' '"� � i �� t v- ,a August 6, 1993 tg� Mr. Bob Kosoy City of Atlantic Beach 1200 Sandpiper Lane y_ Atlantic Beach, FL 32223 '`•'. _ 1993 Re: Sewer Hookup for 1665 Beach Avenue Building and Zoning Dear Mr. Kosoy: Thank you for speaking with my husband, Ron Root, today regarding our property at 1665 Beach Ave. in Atlantic Beach. We agree to/understand the following: 1 . The City of Atlantic Beach will grant us the temporary right to use the City sewer system which ends some 20 or so feet south of our property line. This temporary tie in would be at the manhole at 16th & Beach Avenue and will be available until such time as a new main trunk line is installed along Beach Ave. 2. We understand that if/when the new trunk line is installed on Beach Avenue we may be assessed a prorata fee based on the cost of the construction of the new trunk line. We understand that for purposes of this assessment that we will be treated in a like fashion as other property owners involved in the new trunk line. We understand that we continue to reserve our rights to vote against installation of a new main trunk line if we choose to do so. For the record, we also object to having to pay two impact fees, which are for the stated purpose of funding "future" improvements, and also having to pay an assessment when the line is installed. My husband also participated, along with Peter Mabry, in the construction of the sewer line that we are tieing into which cost over $100,000.00. This line is now owned by the City of Atlantic Beach - so we feel that we have "made our contribution" to Atlantic Beach's sewer system. I trust that this confirms our mutual understanding. Very truly yours, Fran Ferguson Root Property Owner 2244 St. Johns Ave. Jacksonville, FL 32204 c� .` r � CITY OF 1*e144-c vead - 57&t414 a 716 OCEAN BOULEVARD -- — — ---------- — P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 UTILITIES WORK ORDER Order Date: 3/26/87 Owner/ Contractor Mabry Development Street Address X55`. achAva Lot No. Block Development/Sub-Division Type of Building Residence MEINSTALLATION When Neede Meter Location Size Meter Me erial No. Reading Installation Costs :Date Installed ns ed By SEWER TAP Top 11.50 When Needed ASAP Size Service Required 6" Approx Depth Inv. 6.58 Type Pipe PVC Main Location M.H. # 8A (No Stub-outs indicated on plans) Installation Costs Date Installed 2- 'E Installed By COMMENTS: Manhole & Main placed by B.B. McCormick during 1986-Still in Warranty CITY OF --►r____ ATLANTIC BEACH No, 40 .34 FLORIDA March 19, 19 8 i NAME.. MMBR.Y DEVE RIIW ADDRESS CITY SEWER TAP FEE 3/4'! water service 500.00 SEWER IMPACr FEE IX1-343-5200 1 035.00 1.535.00 1651 Beach Avenue CITY OF ATLANTIC BEACH No. !� . 0 FLORIDA March 19, 19 87 NAME,_ MABRY DEVELDPMEVT ADDRESS CITY__ SEWER TAP FEE 3/4" water service 500.00 SEWER IP'IF'ACr FEE 1/41-343-5200 1,035.00 1,535.00 1655 BEACH AVENUE THIS RECEIPT SERVES AS A WORK ORDER, TAKE RECEIPN�U E IIYORK. IC WORKS DEPT, TO SC 1200 SANDPIPER LANE. When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER i (Urtifiratr of Mrruvatcrg CITY OF 4(4 r494+Rai& DrVartmpnt of 'Nixilding Atapprtimt This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification Bldg.Permit No. ---- trrraup Type Construction Fire District., --- Owner of Building Address_ Building Address _ Locality By: Building Official Date: — PMT IN A CO"PICUOUY RACE Y DEPARTMENT OF BUILDING ` CITY OF ATLANTIC BEACH,FLORIDA PERMIT N .y PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB44,DONT • Date9-14- lq 88 62'67 l " 9Il?1IT 44.04 100CA Valuation$ Fee$ 6267 l A 9/19/81 Ono This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Ocean State 1t HAR-786 N has permission to JINStall Heat $ Air Classification Residential Zone Owned by Pete Marbx Lot_ Block SID House No. 165S Beach Ace According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS 'j AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE ♦ ------♦ O Building material, rubbish and debris 31 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. 13 s A. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER A ,- a DEPARTMENT OF BUILDING Q � CITY OF ATLANTIC BEACH,FLORIDA •.... PERMIT NO. `r PERMIT TO BUILM 9273 + A 7/11/3 985n rInc THIS PERMIT MUST BE POSTED ON JOB 927 1 A ;/j�jri 10 o j Date a 20, 19 88 { Valuation$ Fee$ R3 S() This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Atlantic Coo"t pj�tma_l__ CPCA21S29 has permission to bid INcMI II a1,11mill= I Classification RESIDENTIAL Zone Owned by MABRY Los Block S/D 1651 BERCH AVENUE House No. jAccording 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 31 from this work must not be placed in public space, and must be cleared up and hauled away by either con- i tr b o ner.. Building Official. i f�f FOR OFFICE PERMIT DATE CON*RACtI'OR USE ONLY NUMBER i PLUMBING ELECTRICAL SEWER ` WATER f r ac CITY OF ATLANTIC BEACH, FLORIDA A ,M by APPLICATION ` FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1900 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORKAS 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 4N ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 62A J ERE E JOURNEYFAAN L RIC IAN ADDRESS: __RFD BOX BLDG.SIZE BETWEEN: RES. APT.t ! COMM.I I PUBLIC 1 ! INDUS.I ) NEW( ! OLD( ► REW.I ! ADDITION i 1 TRAILER ( ? TEMP.( ! SIGNS t ► SQ.FT, SERVICE: NEW INCREASE ( I" REPAIR l t FEE CONDUCTOR SIZE AMPS 1 00 COPPER ( ALUM.1)0 ICH ORB KER AMPS PH !W O T C'_ RACEWAY ioC� IIXW.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE' IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.SO AMPS. 31400 AMPS. SWITCHES INCANDESCENT FLUORESCENT 6 M.V. FIXED 0.100 AMPS. I OVER APPLIANCE$ ' BELL TRANSF. AIR H.P.RATING M.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT- KW-HEAT o MOTORS H.P. VOLTAGE PNS NO. Z IL VOLTAGE PHS VVEMNOM INCANDESCENT LAMPS TIME SWITCH FLUORESCENT LAMPS DISCONNECT NUMBER SIGNS RECONNECT NUMBER SIGNS ISCELLANEOUS WELDERS: PRL PRI. TRANSFORMER TYPE NO. AMPS PHS NO. AMPS PHS MG MOTOR NO. H.P. VOLT PHS AMP 2ENERATOR NO. K.W. VOLT AMPS TRANSFORMERS: UNDER 600 V. OVER 000 V. NO. I KVA I NO. lKVA FEEFORWARD UTILITIES: CITY ( ) FLA. LIGHT&POWER ( 1 CLAY COOP.1 ) REA( 1 OKEFENOKEE ( i OTHER ( ) WORK BEING DONE FOR ADDRESS OWNER-AGENT`-GENERAL CONTRACTOR � � r �T-0010*000 K 46" QUALITY BUSINESS FORMS, Jax., FL 32247-0836 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO., PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 3 Date _ 19- Valuation 9Valuation$ Fee$ This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that has permission to Md INSTALL HEAT$AIR Classification RESIDENTIAL Zone Owned by MABRY Lot Block S/D House No. 1651 BEACH AVENUE 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 /-----10 4------► O Building material,rubbish and debris 4 from this work must not placed in public space, and must be cleared up and—hauled away by eith con- owner.. Building Official. FOR OFFICE PERMIT DATE C ACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER 00k, u rGs RECEIVEb, CITY OF ATZ"TIC MUM 11",11-aT APPLICATION REWDEL, ADDITIONS, OR Afti&Ooms MOVING,DM40LITIONSCity 0j Atlantic Beach and Z Building "'ng Owne r (S) c� Address: Ptione: Lot 4 Block or Unit # Subdivision: Contractor: ae I State License Address: Phone No: city-()La oc State ---Zip Code Describe work to be- dcne:- Present use of Valuation of Proposed Construction: Proposed use: Is this an addition?- If yes, what are the dimensior- of the added space: ft. X it. Will the added a- -1 and cooled?--------.— New electrical (or increalk"�1, New plumbing .textures? New fireplace 'A SUBbaT THRIX (COOMaiCIAL) TWO INCLUDING SITE PLAN, SURVEY, ZYMtGY CODE FORW, CMdENCEMERT, AND OWNERICONTRACTOR AFFIDAVIT, IF MIER IS CUM Signature OWNER- A ate: D Signature CONTRACITOR: Date: Sworn to and sub6cr ned before me this---,----- —day �ttttttttt•tttttttyt:� NUTAR HLI STATE OF FLORIDA AT LARGE < Y Alargamt L.Smith"OtalY Public,Starc Of Florida Coxzulli-�Sjon No.Cr- OFF my co=,,'�n No'CC 5846,47 1400-3.NiDT, '"'on":xP.09/12,200o Fla. x S."i I-- , C*& C. NATIONAL KEAZOUARTERS"MANUFACTURING FACILITIES .'0.. ��QQ� (((� ( a ' I� 10591 Oak Sheet N,E.,St.Petersburg,FL 33718 i0 ` St.PeteRsmpa 570-1143 Toll Free(800)683.9505 ■ 119ae r ' ;O%� FLORIDA SALES OFFICES-Ft.Myon•3800 Fowler AYs.,Ft.Myers.FL 13901 ^✓ v1f l/ Naplas•4910 Tamlaml Trall North,Suite 210.Naples.FL 13941 O Pampana Beach,3150 Park Central 13".North,PQITI no Be4d,,FL 330Ga S : ' TORN AND SECURITY SHUTTERS Jadtaonvllle-4850 Collins Roa4 Sults 102,Orange Perk,FL 32071 �n FL Slits Llc,aSC C049534-ECA0001435 A7me 'ca' Favorite Roiling Shutter(� f�APRODUCTOFPRIMEMARKETINCi0R0UP SALES AGREEMENT SALE _-�5 . by0//,)4.) DATE �'• 30 • 50 PAGE of I ESTIMATED TIME OF INSTALLATION iiY—G WEEKS ORDER NO CUSTOMER NAME c ,E4S HOME PHONE 9d4t- ADDRESS i/G - WORK PHONE':-;VY-,;2#- C ITY 117-4 . STATE ZIP 32-0-33 S.S. # JOB ADDRESS NAME OF CONDO # ELEVATION Shutter Classification: O Solarshade U Security hurricane Protection Manufactured and installed in compliance with all local building codes, Standard Colors for Tracks and Valance are: (WH)White; QV) Ivory; (BZ) Bronze; Special Color Slats 10 Mulls/Angle PJ Buildout/Angle LO Track 1-(.) Valance �-� Back Panel Bim. Slat CJ Purlin t SHUTTER OPENING NUMBER t! #3 !7c #S C # 8' #� /U #// /,7 #r / e TYPE OF SHUTTER . TYPE OF SLAT PROFILE P Q� WIDTH (TRACK TO TRACK) 8� 137 ;Z!� U� "7 50 /6 28 3G /.9 1 � TRACK HEIGHT B,7 5-1 G6 4 fob y 90 Sir 52— SL 03 6Y 6`1 OPERATOR TYPE Pj D v /) D P J? 3 P OPERATOR LOCATION (ISLO) R N N _ A) /U I MOTOR OVERRIDE (YES/NO) PURLIN CODE AND TYPE 33 BACK PANEL(YES/NO) /V /1/ OPERATORS NS ISP 0 IAL�+4�'�t L�o� , u--) % vvt_l,. J 1) Pull Strap ► 2) 3:1 Crank w/Strap 5-0 6(Z—_ 3) tear & Crank Handle I nave Disen Ium1911e0 a Copy 01 trio L ansumor mignts Notice and a Notice or"mmencemem required Dy 6latUe/iJ. (In ilia+) 4} Motorized Execution of this Sales Agreement by Buyer consmute6 authorization lot Prime Marketing Group to obtain Buyer's credit report from a credit reposing agency. V TERMS: CONTRACT PRICE $ 17Q, US 3 DOWN, BALANCE ON COMPLETION LESS DEPOSIT FINANCING CHECK NO. ❑ OTHER BALANCE DUE AT INSTALLATION d y CIRCLE ONE: MC VISA DISC AMX MAKE ALL PAYMENTS TO ROLL-A-WAY PAYMENT IN CASH, C ACCOUNT NO. EXP. DATE ALWAYS REQUEST A RECEIPT. SALESMAN BUYER ACCEPTED UY BUYER THIS ORDER BECOMES A CONTRACT ONLY WHEN ACCEPTED BY PRIME MARKETIN3 GROVPAr ITSNNY OME OFFICE,AS REFLECTED SY THE ACCEPTANCE AND SIGNATURE OF A COMPANY SALES 64ANAGER. AN INTEREST CHARGE OF 1.6%PER MONTH WILL BE ADDED TO ACCOUNTS NOT PAID AT INSTALLATION ADDITIONAL TERMS ANO CON017,0NS APE ON THE RCVEngE SIDE OF TMf5 CONTRACT CITY OF ATLANTIC BEACH MECHANICAL PERMIT j 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 j' PERMIT INFORMATION L LOCATIONINFORMATION Permit Number: 17860 Address: 1655 BEACH AVENUE �I Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0 Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: — — — ------- Improv. Cost: OWNER INFORMATION _ Date Issued: 3/02/1999 Name: ERIC J. HAAS Total Fees: 25.00 Address: 1655 BEACH AVENUE Amount Paid: ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/02/1999 Phone: (904)247-4099 _ Work Desc: REPLACE AIR HANDLER - CONTRACTOR(S) _APPLICATION'FEES I OCEAN STATE HEAT & AIR PERMIT 25.00 i Inspections Required CFINAL ii I 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 r "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I i I I j AT TIC UABUIL NG DEPT. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH A7LANTIC ■t:ACtf. /LOR/DA $1232 APPLICATION FOR MECHANICAL. PERMIT �cnL�.lN NUM©ER IMPORTANT -- Applicant to complete all items in sections 1, 11, 111, and IV. 1. X55 P ��' LOCATION Street Addreu: .trn; rt.0 �-� --Q --- � lollartecfieq Slreels: Between (� And ....._ WILDING Sub•diritis� 11. IDENTIFICATION -- To be completed by all applicants, In cons dere+ion of permit q;wn for doinq the work as described in the above statement we hereby agrole to perform solid woA in accordance rh rhe d arrachfplans and speci(ioations which ate a part hereof and In accordance with the City of Jacksonville ordinentes and standards of goed precrlce 64told therein. 5 Homo •f "tchenicel e n C•nhattert C•atracfer (►sial) Matter Neese of h•parfy Owner S+&Nf$ •1 Own tr _ _ SI9na1w• of or Avtkviud AJent Archlltel of Engineer Itt. Qe4 AL IN TI r type of baring 1! OTHER CONSTRUCTION ICING DONE ON Polaris THIS BUILDING OR SITE f ❑ Got--O L1 D Netvrsl ❑ Central Utility If Y[><s GIVE NUMBER OF CONSTRUCTION ❑ Oq PERMIT / J ❑ Of#W -- specify IV. WWHAoNIC.AL 8QUIPM1I14T TO IIE INSTALLiD NATURE OF WORK (►rovid• complete 144 of compenerth•q"A of#hit 1W"j 0/ nesldenllst or ❑ Commercial Heal ❑ SPoce ❑ Recet"a ■ Ceefml O /lee+ L7 New building ❑ AIt Corsdrt;"Ilowg: ❑ Room O C•ah•1 � Existing Building ❑ O+r<f �ef•ws: ►Aalw4L_. T7.1ckn•ta_ Replacement of existing system Mttirwwtt eapaeity �f,N ❑ New Installatlon(No system prevlously Install" O Extension or add-on to existing system ❑ Il•iri9•nt;oa ❑ Other — 8peclfy ❑ Cuolieg lo.at: Capacity gaga+. ❑ fire tprinkl•t- NYtrs`•r eI 1►eadt ❑ tlwefor ❑ M4A;tt ❑ THIS SPAC! FOR O►11C! Usti ONLY ❑ wtow�. rr.,.,a (nssnd.r) Itt.«are�) (] Tewkt InYrnbe/) Rtxner4s (� L1S eeotteinos— - (ItYR1I/e♦I ❑ Vx&" "We veMe1 0 sea ►orml) Apprev.d al. ❑ O,r», -- sr«;fy ►etntlt tae LIST ALL EQUIPMENT AIR COMX'nONMG ANA REFRIGERATION EQUIPMENT 2ttsmMr Vttlb 1DNcrlptlee Model Ttumtset tltaauhtoWirer i i i I ►" t . � CITY OF ATLANTIC BEACH fl 800 SEMINOLE ROAD c ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5805 t SUNCOM: 852-5800 http://ci.atiantic-beach.fl.us Wednesday, October 17, 2001 Dr. Eric Haas 1655 Beach Ave. Atlantic Beach,Fl. 32233 Subject: Insurance info. Dear Sir, enclosed is the information I had received from your insurance agent on Dec. 1't, 2000. I have not received any further information from you and am returning what I have to you. If I can be of any help in the future please do not fail to call on me. Sincerely, �)0�' Q - q Don C. Ford CBO Building Official Cc: File CITY OF 1*&o&c Fed - TQdu-�(a 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 April 5, 1988 Memorandum To: Building File - 1651 Beach Avenue From: Rene' Angers, Community Development Director Subject: Administrative Variance Granted This is to advise that an administrative variance, as provided in Section 24-47. (8) of the Code, has been granted to Pete Mabry for his property at 1651 Beach Avenue; Lot 12, North Atlantic Beach Unit No. 1. While other lots in the subdivision have widths of 501, Lot 12 has a width of only 41 ' . The narrowness of the lot is causing a hardship in the design of the structure. The code requires 15' total side yards. The variance will allow ction of a single family home with total side yards of 13. 5' • and location of the structure 8. 5' from the south property Note that Mr. Mabry's mother owns the property to the south of the subject lot and that she has no objection to the variance. n rely, Ren Angers / J cc: City Manager' Building Inspector Building File b� ��VJI U� CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION PLUMBING CONTRACTORI L'4`4 � (!1)45f LICENSE NUMBERS QFC-R 2-t Tq_< l �JA- OWNER BUILDING CONTRACTOR TYPE OF BUILDING `�''� SINKS _- SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS I 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 PLUMIBING CODE . PAAP OW,, SURVEY OF L0T 12, ,!M ATLANW, volm Met. ONVOW Ai AS XBOORM IN KAT . MW 145 . qty. ZONES 'C' AND y10 . AS SiOIN BEACH A VENVE SFr f�2"f.P. .•. lM ` tM Jt7! rr"+a t.rr. .war QTaal APR 0 51988 a Building and Zoning, �O LO 1,01 15 I.rN/S IS A° XUAV"Y St/Rvtrr. 2 BEARwes "M OW COWSr& C0WR&t7XW NO hfIPRgVENFNTS cavr9a LINE LOCAm IY THIS S A#O 0.0..4. AS P9X PLAT. Swwy 4 � s I HMMY COMFY TO PETE M MY THAT I HAVE SUHVEYED TNELANDS As SHOWN IN THE ABOAM CA XO h AND THAT THIS MAP IS A TES: Atm C6RRECT R P'A'I OF THAT gUWOY AM T*T THt 9JRVEY REM, - &RfM MOM WNTS TW MSN TvcwIC.AL► sTiAmm w Tus FEARIDA A04ENISTRATIVE CODE CHAPTER 21- �%►� HH4 AND IN fiat LAW TME m ASSOCIATION. -% ea SET 112"1P. ~ J]RDT' 10lTtldJ a '` i