The URL can be used to link to this page

Permits 1883 Beach Ave PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: �� Property Owner: 64 Phone # Contractor: Phone # Permit#: Date Issued: O - Zcos(09 Building Inspections: Footing Slab rZ�c�� c3-Z�rS77 Tie Beam Lintel Nailing / Sheathing q. A5. p Framing / Cover Up ta.9 c3 Insulation la rCa.p� Final Building g•d ' .p Tree Permit# YES NO Electrical Permit# Date/ Copy to JEA Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric .ci• r,,3 Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final S d Z4, Released to JEA Mechanical Permit# Inspections: Rough la �3 Final Plumbing Permit# Inspections: Rough / Underslab Topout uq. G Water/Sewer Final s•ay.c? Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final Fire Inspection: Failed Inspections: Date Paid: Date Paid: CITY OF ATLANTIC BEACH + Sze 800 SEMINOLE ROAD .. ;� ATLANTIC BEACH,FL 32233 +, INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001407 Date 10/13/09 Property Address . . . . . . 1883 BEACH AVE Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- KIMMEL, DR. SUART OCEAN STATE HEAT & AIR, INC. 1883 BEACH AVENUE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/11/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 10/13/2009 06:58 FAX 9042498949 OCEAN-STATE-A/C i ATLANTIC-BEACH IA 001/001 �r CITY OF ATLANTIC BEACH Ogg _. WSWWW=ROW,AYIANTIC BEACH.FL=M of ofiFlGi?(404PA7-Nn•FAX No:(W1121-W5 aulum"UTACOM-Us DUAL COUNTY MECHANICAL PERMIT APPLICATION •AODRESIi: OrNo+fps neRM(Y s' /O/rs j0 9 f q,.,•y,ddC., r,,•' 'A• ;,k.'d•v'f'�i+4 sgnr.'.4.Gi�.ay^Y::°'e@'+.:r ADpRESS W DIFFERENT FROM JOB AOd18SR PPI'loG: Z yII" .3/7 r• AN 7.NA1E OF COMPANY to C&L PHMM 11,FAX No.; =5TATE ��QRRrat ucENee ND 2 Y Ess' ,a orvlcE PMDNE 2YF.•pGTI Appkaran is hen¢,by made to obtain(a permit to do the work and instaNaW=as Indicated. I am*that atl work we be performed to meet the Mm derde Of all laws rapulstIrV ow*mrotlon in tW)uriediCtlon. Tr"permit hop m'mas work OBd months,or if aonsbuotlon or work is suspended or abandoned for a period at- ARID Z c's-5I CON,R SIGNATURE r „-�•�� y..tE: +^'yil :••1T' :dt>�l,a dCORR@N3 v r n �i1C WpRK:"t' 0AI 13'07 FLORIDABUILDING CODE- D f4W INSTALLATION 13 N Psn_AIL E, W OF EXISTING SYSTEM W Da G ❑COMMERC MECHANICAL P ALTERATION I ADDITION TO EXIST SYSTBN O OTHER 0 REPAIR r -,a, Y,r:• ,"t�,d•rrzr t^P ;;+' l 18-NEAT. [3SPACE O RECESSED 7b D FLOOR BURNERS: 20.ANi<c,M01TIONING: O ROOM CENTRAL 21.DUCT SYST61I11: MATERIAL' THICKNESS: MAX CAPACITY: dM 22.REFRIGERATION: MAX CAPACITY: drn a3.COOLING TOWER: CAPACITY: OPm 24.FNS SPRINKLER: NUMBER OF HEADS: 15.LIFT SYSTEM: ELEVATOR: MANLFT: ESCALATOR: AUTOUFT: ,'!{'i.COMMERCIAL HOOD NUMBER 27.FIREPLACE: PREFABRICATED: MASONRY' 21L IRRIGATION: ❑PUMP . O WELL O PIPING 20.GAS PIPNG- OF OUTLETS' CI GAS AHU: O GAS WATER HEATER X.OTHER-SPECIFY: BOLAR NEAT94 BDIU MB,UWWW _ PmmE8511RF?t��t J►7 VALUE FOR'CrMEtITEMS:' OR COR W DUC1"a ETC. _ � r; ..�•e a +i L'•:.:-• xf .ar•w+ 'R1f�• t! is ,INdi., •4"y+„ A• 3 �'x'"Y.' '1'',:,. .^r y!'. ai%' �•,(.Y.E'''mj,,nv< •,Y•r 7'm x, y,r!}��:'i�'W..j:?'�• -,tv,• •'Y BGG�:,i_:x.51i�ti.w:•f''.r'b nx'� t r�•'•'_ is NUMBERMpDELa MANUFACTURER TONS AGENCY OF UNITS DESCRIPTION N AWNLIVINLI UNITSOF DESCRIPTION MODEL• MANUFACTURER BTUNUMBER GALLOWS G AINE MANUFACTURERSERY1La A CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 n OFFICE:(904)247-5626 0 FAX NO.:(904)247-5645 BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2"IS THIS'A'SUB PERMIT: 3.DATEr' 1f N0 �g83 r7t _f �vG OYES PERMIT /o/13/07 PROPERTY:OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: Q►�. S-�-vu-✓ k r j Z y - 317 1 MECHANICAL CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.: C� �- w>�c, l`l710 ,4 fl�..�� /Slvd !t(54 /S�.,.C, f=L 3 t z 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: L'4-c'O(l3/0 ZYfi-$Sv9 12,EMAIL ADDRESS: 13.OFFICE PHONE: 14. ZYF_8e r l Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null air coiiX(6) months,or if construction or work is suspended or abandoned for a period onths at ti er work mmenced. ARl# 3z(u lo�"i 3 CONTRAC S SIGNATURE: i 16.0 LASS OF WORK: 16sBUl DING: 17. 18CURRENT CODE:' ❑NEW INSTALLATION ❑N 81 RESIDEN L ❑'07 FLORIDA BUILDING CODE- �'REPLACEMENT OF EXISTING SYSTEM RrEXIST G 11COMMERCI MECHANICAL 13 ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR ❑OTHER MECHANICAL EQUIPMENT TO BE LLED: 19.HEAT: ❑SPACE ❑ RECESSED CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ROOM OrCENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22.REFRIGERATION: MAX CAPACITY: ch 23.COOLING TOWER: CAPACITY: gpm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER_ OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: - 31:COOLiNG`EQUIPMENT: AIR CONDITIONING.`REFRIGERATION EQUIPMENT CONDENSORSETC. NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY 32.HEATING EQUIPMENT.: ` FURNACES BOILERS FIREPLACES AIR HANDLERS ETC. NUMBER APPROVING- OF NOF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY 33.TANKS: TYPE LIQUID APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit Apphraton Meds:REVISED:12118/2006 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001300 Date 9/19/08 Property Address . . . . . . 1883 BEACH AVE Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 CU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KIMMEL, DR. SUART OCEAN STATE HEAT & AIR, INC. 1883 BEACH AVENUE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 67 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/18/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 67 . 00 67 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 67 . 00 67 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 09/18/2008 15:32 FAX 9042498949 OCEAN_STATE_A/C ATLANTIC-BEACH ®001/002 -7q' l g1, 1/09 CITY OF ATLANTIC BEACH MECMA.N -AL PERMIT APPLICATION 131 c� pAte- 9l o Property Address: &73 —B4O4 c4 /4t, f Owner. 4AN!.AjTelephone#:.AJ-3111 Contractom C Telephone�: E�cl- r+ -1 Contractor ,,L.1�C :hsps.[-d.srl�+l 1�: Pax#'.Gr ' In cmdemlion of pip'veo for doing the wort:u described m the above,gym mms,we be+aby ugrce•m perform:mid wgrlc in ateordnnoc whhtbe==bed gins and specifics m which area pars beceof and in aeoorduwe with the Coy 91AAMlic Beech orditiaaees and E=dnrds of drxdtc limed therein Type of Healing Fuel: -if other comaucl Ots is being dune an thi:bnUding or site,list the buiildiag peamit number. 0 Gu: YAP 40122W _C =sl Mty ' 0 OR 0 Other—Seacdfv mjcUMG4,I,EQ'(BMENT TO BE INSTALLED NATURE OF WORK eat _Space Rwesaed . % mal —Floor Residential 6"I r CoadWoninff- _ROOM %.Oftt ml 0' Duct System Midenell Thir-Imeas Q CeMmeraial mumum cz?16ty Cwt ❑ Reiii�eraiion ❑ New Butlalns Cl Cooling Tower:Cspsciry "� 0-0, F� Builtiini= 0 Fire SprQ-ere;Number of Hods 0 Elevator: Maulifz Eseslsxar -K=ber) go'R.-p a=mg=ofE.'S.sriag Sysccm 0 Gasoline Pumps (N=ber) 0 Tanks (N=ber) ❑ New hmdladon 0 LPG Container: (rTuutber) (No syatctm pvvlonsiy MSMIled) .0 Unfired Pressure Vemal C ExmvAm to Add-on to B4sting Syn= 0 Boilers o Gas Piping _.___ ._� spleavy — 0 Other-specify. LW ALL E TJiPIYIm AIR C0NDTrI0NVC4REMGZRA770N S;Q'im+MM&COINDEKSOR'S Appo•owmg Number Unite Drsw4h= Model R manubanm Toa's Agenry 1�'nyG�FCJ8t+1a.C1"•3,bOQa.89.�78F.1?'Ir10ES.ic A"1i<t S�14fbLE7t•S Ap{mvvf>'g Numbsr Units Demipdon Model`. iviaaaiaeturer BTU's AFmr-y ANYCu' blomunul icy J.lquid .�.enal Ap�toriaB How Mom &Obcxmiom Caomined lrhanfaemrer ' No. d,Reac Boo Sominoia Ito - -WiLntic Beach, Flaridn 32333-5445 Phnnr fQAd'0.d,7-2;Rnn . Fn T: t904s 247-5R45- hitm/hvw•w ri.w Mantic-beneh.fl.o•+ -7(17 J CITE' OF ATL--,',�NTIC BEACH Daae: 911 PC� Property 4ddress: F3 a C..4 A� Owner: 1�'`e . Kc�11�'��/h,eX Telephone 9: A(q-,3 Contractor: oCean ''-�1C.:1 L �~L' 9 `{ C Telephoner 0�Q-s j _C ontracto r-�d.dress:-C4 1.4 1 f].( =t -1..� - �l—L r: �`—t— h cousideranon of permir given for doing the work as descrihed in the above statemeni,we hereby agree m perform said work in accordance with the attached plans and specifications which are a parr hereof and in accordance with the Citta of Atlantic Beach ordinances and standards of eood pracrict listed therein. Type of Heatina fuel• LF other CoA==don is being done on this building or site,list the building permit number. ❑ Electric ❑ Gas: Li, Neral _antra.l Utility ❑ Oil ❑ Other—Specify N11CBANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK M--�eat _Space _Recessed —<ntral _Floor R" Residential it Conditioning Room central ❑ Duct System: Matenal Thic' css ❑ Commercial ia=um cap_aciry C= ❑ Rte iaeratim ❑ Nev'Bitiidi-ng ❑ �,OG11nE TC�Wer: �,aD3C1C c"']j m 1 ❑ YII'e SprmKiers:NumDtT ofHtaC]s ❑ ElevaTGr: TyllanlfC Escalator / (�l'umber 1 !fes R-mH_�.�meIIt 0I_.1,SL]a'-'S1_'nem I ❑ Gasoline Rumps CWumber) ❑ TaDL- (NUMberj ❑ New himlLauon :1 LPG Containers (�lumberj (No system previously installed; ❑ iled Pressure Boers ElVessel T--a cion or Add-on to Em ting System ❑ Boil ❑ Gas Piping er- ----- ❑ Other-Specify LIST ALL E Q MPT-WENT AIR CONDITION-IN G,RE,IFRIGERATION EQUIPIvILtTT&CONDENSOR'S Approving Number Units Description Model Ton s y gency ix v �13 - HEATING—FURNACE 5,BOa_Zf RS,Ir713EI'LACES&AIR HANDLE,RIS Approving Number Units Description Model R Ialanuiaciurer BTU's Agency TANKS Nominal Capacity Type Liquid Derial _ Apprgymj FIory ivlanv w Dimensions Contained tvianufacturer NO. Aaencv 3fl0 Seminole load . A dantic Beach. Florida 32233-5445 Phnnr• (Ndl 7.:17-=,„i(0 . Fal: (904)247-3845 . htt-n-//www ri_ntlan#ic-beach_fl_n.5 CITY OF ATLANTIC BEACH Co BUILDING / ZONING DEPARTMENT L. Higginsr: 800 Seminole Road S. J s1 Atlantic Beach Florida 32233 (904)247-5800 1 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C3 - ZCI<s r7'1 Property Address: 1,3a'_ 43ectr h !q✓P Applicant: Project: ►�M-Lor h n e 6/1F RLl PJ-1 Th's ermit application has been: pp ve Reviewed and the following items need attention: 4L e r4-,,sE- WA=( 100 f3fZ_ e—Ucyst0&t L`-' tc, � p 1 l d e, 1z x t f (,,ect4 re-Eki Please re-submit your application when these items have been completed.. Reviewed By: W Date: 3 . 2 9 ' nx CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 F Application Number . . . . . 03-00026577 Date 7/31/03 Property Address . . . . . . 1883 BEACH AVE Tenant nbr, name . . . . . . TIMBERLINE GAF, RUBBERIOD Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 Owner Contractor ------------------------ ------------------------ KIMMEL, STEWART COPPEN ENTERPRISES 1883 BEACH AVENUE 562 KING STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 --------------: . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 68 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2400 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68 . 00 68 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 68 . 00 68 . 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 CITY OF ATLANTIC BEACH PEjR�M'I,T . CALCULATION SHEET Date •p Heated Square Fo-otage @ $ per sq ft ..= $ Garage/Shed @ $ per .sq ft = .$ Carport/Porch @ $ per sq ft .= $ Deck @ $ per sq ft = $ .Patio @ $ per sq ft = $ TOTAL VALUATION: S Total Valuation 1st bo a Remaining Value $,�� per thousand ' or :portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ F.ir.epIaces .@. $15 .00.. S. .BUILDING PERMIT FEE WATER IMPACT ,FEE SEWER IMPACT FEE S WATER METER/TAP. $ CAPITAL IMPROVEMENT, $ . SEWER TAP $ -RADON . (HRS) .0050: $ SECTION H PAVING ( } $ HYDRAULIC SHARES $ CROSS CONNECTION. $ ( ) SURCH..RGE .0050 $ OTHER $ . o GF-AXD .TOTAL DUE $ (v . ADDITIONAL PERMITS OR FEES : ,Mechanical ..Plumbing Electric/New Electric/Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : PHONE#� Permit number __ Tax Folio number NOTICE OF COMMENCEMENT Book 11286 Page 1157 STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property: 1,6 73 pcz,C—, 9/(Q q-- 2. General description of improvements: _(1 77` Bodc:�1219T�64111 3. Owner information: Pa e: 1157 a. Name and Address: Filed & Recorded 08!13/2403 01:08:02 PN b. Interest in property JIM FULLER c. Name and address of fee simple titleholder(other than owner): CLERK CIRCUIT COURT DU AI. COUNTY RECORDING $ 5.00 i5. ontractor's name and address: �� &mo i `s s� TRUST FUND S 1.00 a. Phone number: $ B'�3> b.Fax number: urety information: a. Name and address: b. Phone number: c.Fax number: d.Amount of bond: 6. Lender's name and address: a. Phone number: b.Fax number: 7. Person within the State of Florida designed by owner upon whom notices or other documents maybe served as provided by 713.12(lxa),Florida Statues. Name and Address: a.Phone number: b.Fax number: 8. In addition to himselfTherself,owner designates Of to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b),Florida Statutes. 9. Expiration date of Noticeroen(�ment ( exp tion date is one(1) year from the date of Recording unless aa s ed) Signature of Owner: Sworn to and subscribed before me this _day of 20a 3 I LYNN BRILL _ --- -- x « N I DD 188492 n (Knowpersonal shown: ;, 11 EXPIRES:March 2 ---- of n hru Sudpt Notary Services My commission expires: rry OF AT,,Awnc-SEA CS �f 11101111 lab Addb W- pwnwo(popeow- 2 sNu Adm- saw�wow- d , ,x:12 p Koos C�'��T1s4b��Y �T'!d Da Find � S $wow*of Camasow- 05. AS TO owe -- aWOO p•r'°boxi bod ....... ' *to 3 p,", ,taws► ro' Ad-tic ��+atD� •s tiPnr�' -�-" some( gier'ds. ❑ A Debbie,��►fib Commis s.r r auu 3mngle nureau - New tcooi Lonsuucnon manual - Clow to Kead A (;erti-Label Page 2 of 3 i J111ww'PL I T CUMBER GRADE 3 +tf"st Rhe She :,. CEMV SHAKE UGLE BUREAU TfPE:RE+rOCl�di /�eSIMCE 1973 C�RT[PICATE NCI: Quality Contrmt �� Building Code Agency Logo i Standards Min Quality s Product Testing Certification Number tlember Numbers Aia.ire Cwtlw grew erp +Mowry of ri ' • ,.Mill L ►tioh �. Mt Pt6 Number 1 3 tGR sa ft.(q 9art) i112 # E I tv{75EMn contents back i I,egal About Our Site Web Site Policies Web Site Inquiries Questions?Send us an e-mail: info(a-,cedarbureau.com All Content Copyright 2001 Cedar Shake and Shingle Bureau I, l lttp://www.cedarbureau.org/rooftnanual/roofmanual_25_howtoreadcertilabel.hhn 8/15/2003 !I d Shingle Bureau-New Roof Construction Manual - How To Read A Certi-Label Page 1 of 3 Cedar Shake and Shingle Bureau New Roof Construction Manual Page 25 H OW TO R EAU A C ERTHAS El Roof Manua/ Contents Previous Page 1. The"Certi" Brand Name-Your Quality 9. Cedar Bureau Label Number Assurance 10. Building Code Compliance Numbers 2. Product Grade 11. Product Performance Tests These Materials Have 3. Product Type Passed 4. Independent, Third Party, Quality Control 12. Label Identification Number Agency 13. UPC Code 5. Number Here Shows Compliance with Total Quality Manufacturing System 14. Coverage Chart Showing Bundles Per 100 Square Feet and Recommended Exposure 6. Mill Name, Location, and Phone Number 15. Application Guidelines on Reverse Side 7. Industry Product Description 8. Product Dimensions http://www.cedarbureau.org/roofTnanual/roofinanual_25 howtoreadcertilabel.htrn 8/15/2003 08/11/2003 09:09 9043389787 COPPEN PAGE 03 _ Hug 11 03 09:19a Gatos Ewpir• 2473920 p.3 C 'Y OF ATI-ANTIC BEACH ZtOOFWG PERMIT APIPUCATIOr Job Ad*=$: Dew: 40 Owaar of Ptgx . 3 ciQ C+�ntraotor's Addt'ae: C, -Z. ` t sbsts LieMw ldatttbar; L Tw"how: c s - '3 I fat: ape of wa t: r^o O then 2:12Om2;12_ v:tustioi,of work: d Ca�160L _ 1A Prodact Nano(Ex+ta�ts:Tiait6wlit►e): G S S ^�t 7 � � Manufacdt rer(EXWVIo:OAF): er,�4/' !^•, d- 1.. .L. �.�. -� ASTM ppq(s). Rewinw lawac dow: sh"d ing and Finat Si3ttature of Qwnar. Dato� Si p"WT of Commew. ' .r..,,..�„Dnssc AS To 0*14ML. swan to OW snbmibed bo&o ate tris dsy of Starr ofFkndk Conary a(DoW ' LYNN&jU yoa"'s 3iplik". • « p'SON A DD INW _ EXPWM ►antF sw S ,'� �hodww ide•dp TV4 ofW**i44Wm prodmW A S TO CC*rmACTOK Sworn M and wbuAbi d Bofors mt pm ay 20 _Q� oaab of Daai Stele offloeAs.C .v Now$Sip mw*; k .y 4" � WILL � eeailly tsOM6 NS CO"St01%492 PVoduad Wotib adw EXPIRES;Maxi28,2007 Nots8 way TYPO of Wwditlt4Qa podwed ------------ w 4onCed 1'ku -�- � � •AIIooMe 9sac�,�hh, AUG 06 2003 13:36 FR WEYERHAEUSER 904 783 3854 TO 2473920 P.01i14 CS38 - 97 Grading and Packing Rules for Western Red Cedar* Shakes and'Western Red Cedar* Shingles of the Cedar Shake and Shingle Bureau 1'M WWW.cadarbureau.org *Also applies to Alaskan Yellow Cedar Copyright 1997—2001 Cedar Shake&Shingle Bureau. All Rights Reserved. S:IDsvi&Gzsd mQ ROWCUB-97 2001 t mected and tam tuA AUG 08 2003 13'36 FR WEYERHAEUSER 904 783 38.54 TO 2473920 P•02/14 M8- 97 SSI: SECTION 15.301--SCOPE Wood shakes regulated under this part shall be of an approved durable wood and shall be manufactured and graded No.1 shakes or No.l or 2 taper-sawn shakes in accordance with this standard,and their use shall be governed by the provisions of Chapter 15 of this code. SECTION 15.302—DEFINITIONS 15.302.1 General. For tho purposes of this part,certain words and phrases are defined as follows; BEST FACE is the side of a shake or shingle which is graded and contains the least amount of defects as described within this Standard. BREAKAGE is damage caused after manufacture and subsequent to packing BUNDLE is a unit or package comprising sufficient material of the same grade and length to cover a specified area at recommended exposures. BUTT is the thicker end of the shake. BUTT CHECK(SUN CHECK)is a condition caused by heat or excessively dry temperature and usually occurs while the raw material is in block form. It is considered a defect when it extends more that 3/8-inch(9mm)upward from the butt of the shake. CHECK is any separation of the wood. A check that causes an obvious,readily identifiable section that is easily separated daring the grading process shall not be considered defective unless the separated sections are less than the minimum required width. CLEAR LINE is an imaginary line across the width of a shake which marks the"clear zone. CLEAR ZONE is that portion of the shake between the butt and the"clear line,"involving both the face and the reverse. COURSE is a horizontal layer forming one of a series of layers on a roof or wall or in the packed bundle. CRIMPS is a breaking down or collapse of wood cells during drying,characterized by a caved-in or corrugated appearance. DECAY(ROT)is the decomposition of wood substance caused by action of wood- destroying fungi,resulting in softening,loss or strength and weight and change of texture and color. EDGE is the long side of a shake. 2 CVynot IM—201'eft snake&shiask Bu au.Ail Rights Rcmvcd. AUG 08 2003 13 37 FR WEYERHAEUSER 904 783 3954 TO 2473920 P.03/14 C88B - 97 EXPOSURE is the portion which,when applied,is exposed to the weather. EXPOSURE LINE is an imaginary line drawn across the shake at the same distance above the butt that is equal to the weather exposure. FEATHER TIP or shim is a condition of manufacture found on the thin ends(tip)of some shakes where the saw came out of the piece prematurely,producing a thin.,flimsy,feather-like tip that is uneven or has corners sawn off. GRAIN is the direction,size,arrangement,appearance or quality of the fibers in wood. To have a specific meaning,the term must be qualified: Cross Grain is a condition that should not be confused with the terms"flat grain"or"edge grain,"and that might better be termed"crass fiber,"since it is a deviation of the wood fibers from the true parallel of the face of the taper-sawn shake. It is a defect when it runs from one face of the taper-sawn shake to the other within a longitudinal distance of 3 inches(75mm)or less in that portion measured 5 1/2(140mm)7 1/2 inches(190mm)and 10 inches(255mm)from the butt on 15-inch(380mm), 18-inch(455mm)and 24- inch(61 On=)shakes. There is to be no excessive cross grain in the remainder of the shake. Diagonal Grain is a condition where the grain of the wood does not run parallel to the edges of the shake. It is considered a defect when the grain diverges of slants 2 inches(50mm)or more in width in 12 inches(305mm)of length measured from the butt. Edge Grain or Vertical Grain is wood cut in a plane approximately at right angles to the annual rings. A condition in which the rings form an angle of 45 degrees or more with the face of the piece. Flat Grain is wood cut in a plane approximately tangential to the annual rings and means a condition in which the rings form an angle of less than 45 degrees with the face of the piece. Mixed grain is the condition in which edge and flat-grain are present in the same piece of wood, Torn Grain(Torn Fiber)is a fuzzy or whiskered appearance in the face of the shake. Usually caused by a dull saw or grain deviations. 3 CoW os 1997—2001 Cede Shako do Shingle 6=9U.All W&W Reserved. AUG 08 2003 13:37 FR WEYERHAEUSER 904 783 3954 TO 2473920 P.04/14 CSS6 .87 HEARTWOOD(HEART)is the inner layer of a woody stem wholly composed of nonliving cells and usually differentiated from the outer enveloping layer(sapwood)by its darker color. KNOT is that portion of a branch or limb which has been surrounded by subsequent growth of wood of the tree. KNOT DIAMETER shall be measured by average facial dimensions. LINEAL INCHES is the total width of any given number of shakes when laid edge to edge. PLY is the minimmn number of thicknesses,when applied,of shakes or at any point on the covered surface. This term is relative to exposure. REVERSE FACE refers to the entire reverse side of a shake or shingle,which would be expected to be installed down. SAPWOOD is wood containing some living cells and forming the initial wood layer beneath the bark of the log. Sapwood may be lighter in color than heartwood. SHIM.See"feather tip." SQUAD PACK is a unit providing sufficient shakes for the coverage of a given area when the shakes are laid at the required exposure to the weather. (See Tables 15-3-A and 15-3-B.) TIP is the thinner end of the shake. TIP ZONE refers to that area 22 (560mm)or more inches from.the butt in 24-inch(610mm) shakes, 17(430mm)or more inches from the butt in 18-inch(455mm)shakes and 14(355mm)or more inches from the butt in 15-inch(380mm)shakes. WARPAGE refers to facial curvature(bow),or twist, or both. Warpage is measured from a level plane,with the shake convex to the highest point at the butt. The shake is held firmly inches down from the tip 4-inches(102mm). WAVES are the washboard-like irregularities on the face of a shake. WORMHOLE is a hole or passage burrowed by a worm or insect. 15302.2 Shake Types. Shake types shall be one of the following types: 1. Handspilt auud-resawn have split faces and sawn backs,and are produced by running split wood blanks or boards of proper thickness diagonally through a bandsaw to produce two tapered shakes from each blank. 2. Straight-split are manufactured by splitting from only one end of a block of wood, producing shakes which are the same thickness throughout. 3. Taper-sawn are tapered pieces sawn both sides. 4. Taper-split are split both sides. A natural taper, from butt to tip,is achieved by reversing the block,end for end,with each split. 4 Copyright 1997—2001 Cedar Shakc&3151ngle Aweau.All Ritrhtc Reserved. AUG 08 20M 1337 PR WEYERHAEUSER 904 783 3854 TO 2473920 P.05/14 CM - 97 SECTION 15.303—QUALITY STANDARDS 15.303.1 No.I Grade Shake. Shakes shall be 100 percent clear,graded from the split face in the case of handsplit-and-resawn shakes and from the best face in the case of taper-split,taper. sawn and straight-split shakes. Shakes shall be 100 percent heartwood,free of bark and sapwood,except that up to 1/8 inch (3mm)of sapwood is permitted on one edge from the butt to the maximum recommended exposure line on the graded face. Additional sapwood shall be permitted above the exposure line providing the sapwood is contained within a diagonally drawn tine from the outside edge at the butt to a point 1 inch(25mm)inward from the tip edge on handsplit and resawn shakes and 5/8 inch on tapersawn shakes. Taper-split shakes and straight-split shakes shall be 100 percent edge-grain--Handsplit-and- resawn shakes and taper-sawn shakes may average up to 20 percent of flat-grain in the lineal inches(mm)of any bundle. Curvature in the sawed face of handsplit-and-resawn shakes shall not exceed 1 inch(25mm) from a level plane in the length of the shake. Excessive grain sweep on the face shall not be permitted. Knots,wormholes,decay,checks,crimps,waves and torn fiber are not permitted. 15.303.2 No.2 Grade-Taper-Sawn Shakes. No.2 grade taper-sawn shakes shall be of sound and serviceable material,graded from the best face. Flat grain is allowed in the No.2;sapwood is restricted to I inch(25mm)in width in the first 10 inches(255mm)above the butt. Defects such as knots,wormholes,decay,crimps,cross grain,waves or torn fiber are not allowed in the first 7 1/2 inches,9 inches and 12 inches(190mm,230mm,and 305mm)from the butt in the 15- inch, 18-inch and 24-inch(380mm,455mm and 61 Omm)lengths,respectively,of the No.2 grade taper-sawn shakes. In the same product,grain characteristics,other than excessive cross grain, are not considered defects;defects may be up to 11/2(39mm)inches in diameter,but aggregate defects must not exceed one half the width of the shakes. 15.303.3 Standard grade shakes. Shakes shall be handsplit-and resawn taper-sawn. Shakes shall be edge grain or flat grain or any combination of edge and flat grain. Shakes shall be graded from the split or best face. Grain characteristics other than excessive cross grain are not considered defects. Curvature shall not exceed I inch(25mm)from a level plane in the length of the shake. SECTION 15.30A—SUZ 5 C.PYddo I",-200 t CW W shake dt ShmgW 8urua All W018 P""Md, AUG 08 2003 13:38 FR WEYERHAEUSER 904 763 3854 TO 2473920 P.06i14 CUB-97 15.304.1 Length. 15.304.1.1 No 1 grade shakes. Nominal shake lengths shall be 15 inches, 18 inches or 24 inches (380mm,455mm or 610mm),with a minus tolerance of I inch(25mm)and a plus tolerance of 2 inches(50mm)for 18-inch(455mm)shakes . A variation,including shims or feather tips,of 1 inch(25mm)from these nominal lengths of 18-inch(455mm)shakes shall be permitted in any bundle. A variation of 2 inches(50mm)below the nominal length shall be permitted in 24-inch (61 Omni)shakes and may contain,but is not limited to,shims or feather tips within the specified variation and shall have a plus tolerance of 3-inches(75mm). See Table 15-3-A. The 15-inch (380mm)starter-finish course grade shall permit a tolerance of 1 inch(25mm)over and under the nominal 15-inch(380mm)length. 15.304.1.2 No.2 Taper-Sawn Grade Shakes.. For No. 2 grade taper-sawn shakes,minimum lengths of 15-inch, 18-inch and 24-inch(380mm,455mm and 610mm)shakes shall be 14, 16 and 22 inches(355,405 and 560mm),respectively. 15.304.1.3 Standard Grade Shakes. For Standard Grade shakes the minimum length of I8-inch (455mm)and 24-itch(610mm)shakes shall be 17-inches(430mm)and 22-inches(560mm) respectively. 15.304.2 Thickness. 15.304.2.1 No. l grade shakes. Shake thickness shall be determined by measurement of the butt within 1/2 inch(13mm)from each edge. If corrugations or valleys exceed 1/2 inch(13mm)in depth,a minus tolerance of 1/8 inch(3mm)is permitted in the minimum specified thickness. (Providing the required minimum shake thickness is maintained within 1/2-inch(13mm)of each edge at the butt,a minus tolerance of 1/16-inch(1.5mm)less than the nominal thickness shall be permitted on the remaining width of the shake.) No minus tolerance shall be permitted. The thickness at the exposure line shall be a minimum of one half the butt thickness,except that 3/8- inch(9mm)shakes shall have a minimum thickness of 114 inch(6mm)at the exposure line. 15.304.2.2 No.l and No.2 grade tAper-sawn shakes. No 1 and No. 2 grade taper-sawn shakes shall have one of two thicknesses at the butt,5/8 inch(16mm)or 3/4 inch(19mm)with a minus tolerance of 1/16 inch(1.5mm)in 10 percent of a bundle. 15.304.2.3 Standard grade shakes. Standard Grade shakes shall have one thickness. Eigbteen inch(455mm)and 24-inch(6101nm)shakes shall have a minimum butt thickness of 3/4-inch (19mm). Thickness at the exposure line shall be a minimum of one-half(1/2)the minimum specified butt thickness. 15.304.3 Width. 6 Copyright 1997—2001 Cedar Slake&SWglc Bureau.All Rights Reserved. AUG 06 2003 13:38 FR WEYERHAEUSER 904 763 3854 TO 2473920 P.07/14 CSSB•97 15.304.3.1 No.1 grade shahs. Shakes shall be of random widths,none narrower than 4 inches (I00mm). Minimum width for taper-sawn shakes shall be 3 1/2 inches(90mm).Taper-sawn shakes less than 4-inches(100mm)in width shall not constitute more than five percent(511.)of the running inches(mm)of each bundle. 15.304.3.2 No,2 grade taper-sawn shake.No.2 grade taper-sawn shakes shall have a minimum width of 3 inches(75mm). Taper-sawn shakes less than 4 inches(100mm)in width shall not constitute more than 10 percent of the running inches of each bundle. Edges shall be parallel within 1/2 inch(13mm). 15.304.3.3 Standard Grade Shakes. Standard Grade shakes shall be of random widths,no narrower than 4 inches(I00 mn);and none wider than 8 inches(200mm). 15.MA Edger. Edges of shakes shall be parallel within 1 inch(25mm). Edges of taper-sawn shakes shall be parallel within 5/8 inch(16mm). SECTION 15.305-PACKING 15305.1 General. Shakes shall be packed in straight courses in regular frames 18 to 20 inches (457mm to 508mm)wick. See Tables 15-3-A and 15-3-8. 15.305.2 Identifcattion. Each bundle of wood shakes graded under this standard shall bear the label of an approved inspection bureau or agency. The label shall be white base stock printed with predominately blue ink and shall clearly indicate No. I grade. For No.2 grade taper-sawn shakes,the label shalt be white base stock printed with predominately red ink and shall clearly indicate the No.2 grade. For standard grade shakes,the label shall be white base stock printed with predominately brown ink and shall clearly indicate standard grade. SECTION 15.3®6—INSPECTION Shakes packed in a five-bundle square shall be off grade if the total lineal inches of on-grade shakes is less than 268 inches(6807mm)per bundle. SECTION 15.307--REINSPECTION In case of reinspection, 10 or more bundles selected at random shall constitute a fair sampling of the shipment. The criteria for inspection of shakes specified in Section 15.306 shall also apply for reinspection. PART 11--Grading Rules for Shake Hip and Ridge SECTION 15.308—DEFINITION 7 Copyright 1997—2001 Csdu Shakc k shingle Barras.All Rights Rimyed. AUG 06 2003 1339 FR WEYERHAEUSER 904 763 3854 TO 2473920 P.10i14 es" - 97 within a longitudinal distance of 3 inches(75mm)or less in that portion measured 6 inches (15(hmm)from the butt. Excessive cross grain must not be present in the remainder of the shingle. Diagonal Gratin is a condition where the grain of the wood does not run parallel to the edges of the shingle. It is considered a defect when the grain diverges or slants 2 inches(50mm)or more in width in 12 inches(305mm)of length. Edge Grain or Vertical Grain is wood cut in a plane approximately at right angler►to the annual rings. A condition in which the rings form an angle of 45 degrees or more with the face of the piece Flat Grain is a condition in shingles or lumber where the growth rings are flat or horizontal, as opposed to edge-grained or quartered material where the growth rings are on edge,or vertical to the surface. Wood cut in a plane approximately tangential to the annual rings and means a condition in which the rings form an angle of less than 45 degrees with the face of the piece. FEATHER TIPS(or shims)is a condition of manufacture found on the thin ends(tip)of some shingles where the saw came out of the piece prematurely,producing a thin,flimsy, feather like tip that is uneven or has corners sawn off. HEARTWOOD(HEART)is the inner layer of a woody stem wholly composed of nonliving cells and usually differentiated from the outer enveloping layer(sapwood)by its darker color. KNOT is that portion of a branch or limb which has been surrounded by subsequent growth of wood of the tree. KNOT DIAMETER shall be measured by average facial dimensions. LINEAL INCITES are the total width of any given number of shingles when laid edge to edge. PLY is the minimum number of thicknesses,when applied,of shingles at any point on the covered surface. This term is related to exposure. REVERSE FACE refers to the entire reverse side of a shake or shingle,which would be expected to be installed down. SAPWOOD is wood containing some living cells and forming the initial wood layer beneath the bark of the log. Sapwood may be lighter in color than heartwood. SHIM See"feather tips." SQUARE PACK is a unit providing sufficient shingles for the coverage of a given area when the shingles are laid at the specified exposure to the weather in Tables 15-C and 23-L of this code. TIP is the thinner end of the shingle. TIP ZONE refers to that area 23 inches(585mm)or more inches from the butt in 24-inch (610mm)shingles, 17(430mm)or more inches from the butt in I8-inch(455mm)shingles and 15 inches(380mm)or more inches from the butt in 16-inch(405mm)shingles. TORN FIBER(TORN GRAIN)is a fuzzy or whiskered appearance on the face of the shingle usually caused by a dull saw or grain deviations. WAVES at the washboard-like irregularities on the face of a shingle. WORMHOLE is a hole or passage burrowed by a worm or insect. IO Copyright 1971—2001 Calcar Shake&Shingic Bureau.1111 Rights Reurmd. f LjD OB 2003 1338 FR WEYERHAEUSER 904 763 3854 TO 2473920 P.09/14 CSW -R7 SHINGLES SECTION 15A01—SCOPE This standard provides a minimum specification for sawn wood shingles of No. 1 grade,No.2 grade and No. 3 grade. It covers length,width,thickness,and grain characteristics for these requirements, plus definitions and specifications. SECTION 15.402—DEFINITIONS For the purpose of this standard,the following terms shall be construed as herein specified, BEST FACE is the side of a shingle which is graded and contains the least amount of defects. BREAKAGE is damage caused after manufacture and subsequent to packing. BUNDLE is a unit or package comprising sufficient material of the same grade and length to cover a specified area at recommended exposures. BUTT is the thicker end of the shingle. BUTT CHECK(SUN CHECK)is a condition caused by heat or excessively dry temperature and usually occurs while the raw material is in block form. It is considered a defect when it extends more than 3/8-inch(9mm)upward from the butt of the shingle. CHECK is any separation of the wood CLEAR LINE is an imaginary line across the width of shingle which marks the"ckar zone." CLEAR ZONE is that portion of the shingle between the butt and the"clear line,"involving both the face and the reverse. COURSE is a horizontal layer forming one of a series of layers on a roof or wall or in the packed bundle. CRIMPS are a breaking down or collapse of wood cells during drying,characterized by a caved-in or corrugated appearance. DECAY(ROT)is the decomposition of wood substance caused by action of wood-destroying fungi,resulting in softening,Ioss of strength and weight and change of texture and color. EDGE is the long side of a shingle. EXPOSURE is the portion which,when applied,is exposed to the weather. EXPOSURE LINE is an imaginary line drawn across the shake or shingle at the same distance above the butt that is equal to the weather exposure. FEATHER TIPS(or shims)is a condition of manufacture found on the thin ends(tip)of some shingles where the saw carne out of the piece prematurely,producing a thin,flimsy,feather like tip that is uneven or has comers sawn off. GRAIN is the direction,size,arrangement,appearance or quality of the fibers in wood. To have a specific meaning,the term must be qualified, Cross Grabs is a condition that should not be confitsed with the terms"flat"or"edge"grain, and that might better be termed"cross fiber,"since it is a deviation of the wood fibers from the true parallel of the face of the shingle. It is a defect when it runs from one face of the shingle to the other 9 CVyASht 1997—201 Cedar Shake&Shingle bureau.All Rights Reserved. AUG 08 2003 13'-38 FR WEYERHAEUSER 904 763 3854 TO 2473920 P.08i14 CSSB-97 Shake hip and ridge are two shakes that have one edge,each sawn on a bevel and fastened together to produce the cap for the hip or ridge of the roof. SECTION 15.309—QUALITY STANDARDS No. 1 hip and ridge units shall be produced from material that meets the standard for No. I shakes;No.2 units shall be produced from material that meets the standard for No.2 taper-sawn shakes. Lower grade material is not permitted. SECTION 15.318--SIZE At the time of manufacture,the shake hip and ridge assembly width shall be 9 inches(230mm), measured on the underneath side of the assembly at the butt end. A minus tolerance of 1/8 inch (3mm)is allowed. Butt misalignment of assemblies in excess of 1/4 inch (6mm)is not permitted. The narrow component shall have a minimum width of 4 1/2 inches(11 Smm)at the butt end. For taper-sawn ridge,top corners at the outer edge of the units shall not be more than a 90-degree angle. SECTION 15.311—PACKING Individual shake hip and ridge units are made up of one wide and one narrow component. They shall be packed 20 units per bundle with an equal number of right-hand and left-hand units(for alternating Iaps). Units shall be manufactured to a 4 units vertical in 12 units horizontal(33.3% slope)pitch or steeper. Units shall be joined with not less than two fasteners applied between 1 inch and 8 inches(25mm and 200mm)from the butt. Either staples or nails are acceptable. Fasteners shall be corrosion resistant,spaced approximately 4 inches(100nim)apart. SECTION 15.312—INSPECTION Each off-grade unit counts as 5 percent of the grade;more than two off-grade units per bundle shall preclude a passing grade. 8 Copyright 1991—20Di Cedar Shake&Shingle Bureau.All Rights Resevcd. AUG 09 2003 13:39 FR WEYERHAEUSER 904 793 3854 7o 2473920 P.11/14 CSae -97 SECTION 13.403—GRADING AND LABELING Each bundle of No. I grade,No.2 grade and No.3 grade wood shingles graded under this sbandard shall bear the label of an approved inspection bureau or agency. For No. I grade,the label shall be of white base stock printed with predominantly blue ink.and shall clearly indicate the No. 1 grade. For No. 2 grade,the label shall be of white base stock printed with predominantly red ink and shall clearly indicate the No.2 grade. For No.3 grade,the label shall be of white base stock printed with predominantly black ink and shall clearly indicate the No.3 grade. All grades shall be well manufactured and neatly packed;they shall comply with or exceed the specifications herein established for quality. All shingles shaU be graded from their best face. Wormholes,decay and crimps are not allowed on either face of No. 1 shingles and below the clear line to the butts on either face of No.2 and No.3 grade shingles. I SA03.2 Characteristics. 15.403.2.1 General. Shingles characteristics shall be in accordance with the provisions of this section: 15.403.2.2 No.1 grade. No. 1 grade shall be vertical grain or edge grain,be clear of defects on the graded face and be 100 percent heartwood. Knots,knot holes,wormholes,decay and crimps are not allowed on either face. Flat grain,cross grain and sapwood constitute natural characteristics that are not admissible. Defects in manufacturing,including shims,excessive feather tips,diagonal grain, and cross gain arc likewise not admissible. Manufacturing defects such as checks,waves or torn fiber are permitted on the ungraded face. 15.403.2.3 No.2 Grade. In No.2 grade,sapwood is restricted to 1 inch(25mm)in width in the first 10 inches(255mm)above the butt. Grain characteristics,other than cross grain,are not considered defects. Refects such as knots,knotholes,wormholes,decay and crimps are not allowed on either face in the first 10 inches, I l inches and 16 inches(255mm, 280mm and 405mm)from the butt in the 16-inch, 19-inch and 24-inch(405mm,455mm and 610mm)lengths,respectively. Manufacturing defects such as checks,waves or torn fiber are permitted on the ungraded face. Defects may be up to 3 inches(75mm)in diameter,but aggregate defects shall not exceed one half the width of the shingle. ISA03.2A No.3 Grade, In No.3 grade,sapwood is permitted. Other grain deviations are not considered defects. Other defects,as listed above for No.2 grade,are not allowed in the first 6 inches(130nmm)flrom the butt for 16-inch(405mm)and I8-inch(455mm)lengths and 10 inches (255mm)for 24-inch(61 Omm)lengths. Defects may be up to 3 inches(75mm)in diameter,but aggregate defects shall not exceed two-thirds the width of the shingle. 11 Copoght 1997—2001 Ceder Shake dt Shinsk aurem All Rights Reserved, AUG 08 2003 13:40 FR WEYERHAEUSER 904 783 3854 TO 2473920 P.12i14 C3SB-97 SECTION 15.404--LENGTH,WIDTH,THICKNESS 15.404.1 Length. 15.464.1.1 No.I Grade. Shingles are usually manufactured in 16-inch, 18-inch and 24-inch (405mm,455mm and 610mm)lengths.A minus tolerance 1-inch(25mm)below the nominal length is allowed.. 15.404.1.2 No.2 Grade. For No.2 grade the minimum lengths,including shims or feather tips for 16-inch, 18-inch and 24-inch(405mm,455mm and 610mm)shingles,shall be 15 inches(380mm), 16 inches(405mm)and 20 inches(510mm),respectively. I SA04.1.3 No.3 Grade. For No. 3 grade the minimum lengths,including shims or feather tips for 16-inch, 18-inch and 24-inch(405mm,455mm and 610mm)shingles,shall be 14 inches(355mm), 16 inches(405mm)and 18 inches(455mm),respectively. 15.404.2 Width 15.404.2.1 No. l Grade. Minimum width up to but not including 24-inch lengths(61(hnm),shall be 3 inches(75mm). Minimum width for shingles 24 inches(610mm)and longer shall be 4 inches (I00mm). In 16-inch and 184neh(405mm and 455mm)shingles those less than 4 inches (I00mm)in width;shall not constitute more than 10 percent of the running inches per bundle. Shingles shall be uniform in width;that is,with parallel sides. Edges shall be parallel within a tolerance of 1/4 inch(6mm)on 16-inch(405mm)and 184nch(455mm)shingles and 3/8-inch (9mm)on 24-inch(455mm)shingles. 15.404.2.2 No.2 Grade. Minimum width shall be 3 inches(75mm). Not more than 20 percent of the running inches(nun)in each bundle shall be less than 4 inches(100mm)wide. Edges shall be parallel within a tolerance 3/8-inch(9mm)in the 16-inch, 18-inch and 24-inch(405mm,455mm and 610mm)lengths. 15.404.2.3 No.3 Grade. Minimum width shall be 3 inches(75m)except it may be 2 1/2 inches (65mm) for the 16-inch(405mm)length. Not more than 30 percent of the running inches in each bundle shall be less than 4 inches(100mm)wide. Edges shall be parallel within a tolerance of 3/8 inch(9mm). 12 Coprigbt 1941—2001 Cedut snake dt shinok Bureau.All Rights Rcwvtd. AUG 08 2003 13:40 FR WEYERHAEUSER 904 783 3854 TO 2473920 P.13i14 CUB-$7 15.404.3 Thickness. Shingles are measured for thickness at the butt ends and designated according to the mranber of pieces necessary to constitute a specific unit of thickness. At the time of manufacture, 16-inch(405mm)shingles shall be"nominally" 5/2[the thickness of five butts will be 2 inches(S(mrn)j, 18.inches(455mm)shall be nominally 5/2 1/4[five butts measure 2 1/4 inches (55mm)]and 24 inches(610mm)shall be nominally 4/2[four butts measure 2 inches(50mm)). Shingles shall be uniform in thickness,with a plus or minus tolerance of three pereent(3%)shall be permitted to compensate for variations in saw movement.-A fiuther plus or minus tolerance of 3 percent is allowable to compensate for the difference in shrinkage due to seasoning or kiln drying. This tolerance is based on the total thickness of the bundle. SECTION 15.404-INSPECTION Shingles packed as a 4 bundle square shall be off grade if the total lineal inches(mm)of on grade shingles is less than 695 inches(17 653mm)635 inches(16 129mm)and 465 inches(11 81 lmm) per bundle for 16-inch(405mm), I8-inch(455mm)and 24-inch(610mm)shingles respectively, SECTION ISA06-REINSPECTION In case of reinspection, 10 or more bundles selected at random shall constitute a fair sampling of the shipment. The 4 percent tolerance for defective shingles specified in Section 15.405 shall also apply for reinspection. Part 11-Grading Rules for Shingle Hip and Ridge SECTION 15.407-DEFINITION Hip and Ridge Shingles are two shingles that have one edge of each sawn on a bevel and fastened together to produce the cap for the hip or ridge of the roof. Hip and ridge units are manufactured from No. 1 or No.2 grade shingles. SECTION 15.408-QUALITY STANDARDS No. 1 hip and ridge units shall be produced from material that meets the standard for No. 1 shingles; No.2 hip and ridge units shall be produced from material that meets the standard for No.2 shingles. Lower--gra&material is not permitted. SECTION 15.409—SIZE At the time of manufacture,the shingle hip and ridge assembly width shall be 7 inches(I84mm), measured over the top of the assembly at the butt end. A minus tolerance of 118 inch(3mm)is allowed. Butt misalignment of assemblies in excess of 1/8 inch(3mm)is not permitted. On the outer edge of the units,top corners shall not be more than 90-degree angle. The narrow component Ahall have a minimum width of 3 5/16(85mm)inches at the butt end. 13 Copyri&1997-2001 Cedar Slake k Shmsk Buroau.All itighte Rvmved. AUG 06 2003 1340 FR WEYERHAEUSER 904 763 3854 TO 2473920 P.14i14 case- 97 SECTION 15.414—PACKING Individual shingle and ridge units are made up of one wide and one narrow component. Sixteen- inch(405mm)shingles shall be packed 40 units per bundle; 18-inch(455mm)shingles shall be packed 36 units per bundle,with an equal number of.right-hand and left-hand units(for alternating laps), Units shall be manufactured to a 4 units vertical to 12 units horizontal(33.3%)pitch or steeper. Units shall be joined with not less than two fasteners applied between 1/2 inch and 5 1/2 inches(13mm and 140mm)from the butt. Either staples or nails are acceptable. Fasteners shall be corrosion resistant, spaced approximately 3 inches(75mm)apart. SECTION 15AII—INSPECTION Each off-grade emit shall count for 2 1/2 percent of the grade;more than four off-grade units per bundle shall preclude a passing grade. 14 Cappight 1997—2001 cedar Shake A Shingle Bureau.An Righm Reserved. ** TOTAL PAGE.14 ** q SCITY OF ATLANTIC BEACH Y 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030583 Date 6/21/05 Property Address . . . . . . 1883 BEACH AVE Tenant nbr, name . . . . . . STORM PANELS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3700 Owner Contractor ------------------------ ------------------------ KIMMEL, DR. SUART ROLL-A-WAY, INC. 1883 BEACH AVENUE t 10601 OAK ST, NE ATLANTIC BEACH FL 32233 ST PETERSBURG FL 33716 (727) 576-1143 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3700 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDIM OFFICIAL ryt!.=1�ti1y� CITY OF ATLANTIC BEACH Cc: D BUILDING / ZONING DEPARTMENT . iggins sa 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 b (904)247-5845 Fax www.coab.us ,JUN PLAN REVIEW COMMENTS Permit Application # ©S -- S8 Property Address: ( 88 3 C.#-} 11-1--- ' Applicant: tic-S.- — 'P i fk�-f Project: F This permit application has been: Approved evie d and th ow ite ed atten on: 3 Please re-submit your application when these items have been completed. Reviewed By:=uE� Date: Date Contractor Notified: City of Atlantic Beach • 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone:.(904)247-5800 •FAX(904)247-5845 •hLR://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS,SKYLIGHTS AND GARAGE DOORS OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION Date 1 . Address where work is to be performed `Le 3 �2 A-j (-1- X Applicant CV)Address �' �j Phone: ' Legal Description: Block Number Lot Number 45- Zoning District Contractor Je r r �' SCS �� State License Number 0-0q X53 y Address 1 C)(o 0 4--K S 7- Phone 12 q-3 City f4Jej�--� k ckro State Zip 337/ L Fax -q`7®( JV �( Describe Proposed Use and Work to be Done 1 ti'1S i q Lr✓ �YY�,4��5 1`z> t�--e:�� 7 t��w� �`'�� C�� Present Use of Land or Building(s)' 6 e y Valuation of Proposed Construction lie Building Date: Mean Roof Height (ft) Building width (ft) Building Length (ft) Roof Slope *Window Elev. (ft) Window Height (ft) Window Width (ft) Measurement from comer of building to window (ft) r 4 ° S S *Window Eley.From Grade - qt The Dream,Inc. Roll-a-way MR Shutters,Inc. servicing Storm and Security Shutters servieing Brunswick,Savannah, Jacksonville and the Beaches Hilton Head,Beaufort&,Charleston from Amelia Island to St.Augustine 3adrsanvillsshowrown byAppoin&mewt-2315 SL Jbhn IF 8/aff Road 0303,Baur 15 904.731-0053 Fax Jerre 18, 20M At/antk Beech Building Department fax: 247--5845 Attentim-t Mr. Hlygir0 Re: 421"$t and 1883 Beach Am submitted 6117105 On Juns 16, we submitted the above neferonced jobs for brd/ding permits far hwricam protection, yaw-office called rye Lwating sealed plans for both Jobs. The plans p v"&d for Storm Panels (GEED ar clear) wens dbwn/oadled front the Staft of Fl&'*A* Building Departl►ient websites. Ws &V eadasirg a copy of the detarmlrratioe On October Z2 zow, stating that man ufactl' w is not required to submit sipped and sealed dnowirgs of such a prtiaiuet. It it arwr render sMnding, and has been acceptable to other local municipalities, that plans downloaded from the state website a/&V witch the PRODUCT APPlI?OVAL is acceptable prrwsuant to this ca et can. Pieaare caatact me at 868-BJO3 regaroxv these two a{gpiicanow. I apprietiere year assistowe in Mis platter. Thwmk ytw. APPROVED CITY OF ATLANTIC BEACH `~ BUILDING OFFICE Reid Crawshow JUN 21 2005 By: 7n/Tn MnHJ MMIIJCMNV/1 rrnnrr i wnr �..•nn rnn� ins inn DEPARTMENT OF COMMUNITY AFFAIRS FLORIDA BUILDING COMMISSION NOUCE IS BERSBY GIVEN that.tip Floaids BugAiag Commission has isauad a Declaratory Stat=nw in response to a resq =t rented from Madder.Maaufaotaxing,on OokAw 22,2003. . It was aw p,icd there number DCA03-DEC x96. 7U Cam n ssion dtftnumed that a load jariaadic oon is only su&.iwd to obtain poor of s�atvww appmval for pmdueb,such as the Piedtiancr"s,that have obtained softwide approval and ars being used in a mems a that is consistent with tho fuiodi us ofuse idw inti by the sWbewide approval and that the Pditiowt is ad mqubed to submit aiwW and scaled drawings ofsnob a product. A copy ofthe DeclazaDary SW=wt be obtained by addW.Paula P.Ford,CoamoaiWw Clark Dqwkmmt of Conununily Alts,2555 Shmmcd Oak Boulaward,Tailshsaaee,Florida 32399-2100. IN ra Jerry E.Hicks,Contractor Customer Name: A-C.k �/r►n'Z-� Property Owner:C?/N Address: 93 A.4t hW& Unit# City,County,-+6' I-;c. �eA 1, �u Phone#�U ��` – iii 7 I Single Family Residence( 1. STRUCTURE: Masonry_„ Wood lConaete— Ahushu m_ Other (specify) (Window Frame: If opening varies from above materials,indicate type: 2. ROOF SLOPE: Less Than or Greater than_Y 10 degrees 3. FIRE SPRINKLERS: Yes_ No J 4. BUILDING HEIGHT S. COASTAL ZONE Yes No S 6. CONDOMINIUM/ASSOCIATION APPROVAL: Required Not Required I. ARE SPECS AVAILABLE: Yes No A- 8. PSF ALL DRAWINGS MUST INDICATE THE FOLL AWING: 1. CORRECT SHAPE OF BUILDING 2. ROOM TYPE(Ktchen,Bedrooms etc} 3. OPENINGS WHERE WINDOWS OR SHUTTERS ARE TO BE INSTALLED. 4. WHETIIER SHUTTERS ARE MANUAL OR ELECTRIC. 5. MAIN STREET. D&R.NOFL.60502 Roil-a-way.St rm& Security Shutters � t Customer:U t'� ►'Y)`IL Address City_ ll�tAt� L�C .�L Opening# Track Width Track Height Product type Plans IB -6 C /rte, L L (� •/1 t i the Dream,Inc. � O&R Shutters,Inc. —k** Bnmswkak,Savannah. otewway Jacksonville and he Beaches Mon Head,Beaufort&Chadeston ssor Nm smamrmE + from Amelia Island to St.Augustine Home Office&Showroom Rt. 1,Box 75T(Hwy 462)•Ridg®land,SC 29936 1-888-765-2929•Fax 1-843-717-1749PROPOSA PHONEE TO: rJ +�.. pM tC.roe,e 1 704- Qq9-301 DAT JOB NWE/LOCAMN 1 $ (3 P-Ack AU-t- JOB NUMBER JOB PHONE followingThe . C� A-(O Autiorized 3hi� rionaa tsuiiumg�_oae vnttne r arc "t v rt _ 1F LfA_lj x+ r ` ". me ... sYs lPRODUCT Oievtew p nduc.".Search 'San Mson� Product ' "i Seh Applicaion µ avhmen.s F10.Y9FFArw.,.. .. User: Public User -Not Associated with Organization- Need Help? Application 4: FL419 Date Submitted: 09/30,12003 Product Manufacturer: Eastern Metal Supply Address/Phone/email: 4268 Westroads Drive West Palm Beach,FL 33407 Category: Shutters Subcategory: Storm Panels Evaluation Method: Evaluation Report from a Florida Registered Architect or Florida Professional Engineer # Referenced Standards from the Florida Building Code: Section Standard Year 1606.1.4 SSTD 12-99 2001 Florida Engineer or Architect Mame: Walter A.Tillit,Jr. Florida License: PE-44167 Quality Assurance Entity: National Accreditation and Management Institute Validation Entity: Walter A.Tillit Jr.,P.E. Date Validated: 09/30/2003 Authorized Signature: Bill Feeley bfeeley Cd,easternmetal.com EvaluationfTest Reports Uploaded: '_ i 4 "I ,viaduct PTID 419 1 3 Dray inn{.'2- 's i Tek http://WWW_floridabuilding.org/pr`/P_deti.asp?IPT=419&:fm=ROSrch 4 '22 Z;W-? flonaa binlamg croue V atute t, E L1.pdf RI—ID 419 T Drawing 03- 053.pdf PTID 419 T Product Evaluation Report.pdf PTID 419 T Test Report 0121. f PTID 419_ T Test Report 0329.adf PTID 419 T Test Report 0512.Adf PTID 419 T Test Report 0525.pdf Installation Documents Uploaded: Product Approval Method: Method 1 Option D Application Status: Approved Pager Page 1/2 P19.33 Product Model#or Name Model Description -055 MS-24ga Galvanized Steel Storm I -057 MS-Clear Bertha Storm Panel -053 S-0.050 Bertha Aluminum Storm aneI T t7 7U77 7 _ ° Copyright and Disclaimer.02000 The State of Florida.All rights reserved. r ' http://www.floridabuMng.ot*pr/pr_dcd,asp?IPT=419&fm=RoSreh 4/22/2004 . fr11\j �} CITY OF ATLANTIC BEACH �J 800 SEMINOLE ROAD ;3 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000733 Date 5/27/09 Property Address . . . . . . 1883 BEACH AVE Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc REROOF 1481 . 2 1251 . 3 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KIMMEL, DR. SUART ROMANO ROOFING SERVICES 1883 BEACH AVENUE P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 11/23/09 ------------------------------------------------ ---------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 'FHE FLORIDA BUILDING CODES. �j' vlri r CITY OF ATLANTIC BEACH =' 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09 I I I I I OFFICE:(904)247-5826•FAXNO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1:JOB ADDRESS..` 2'V LUATION OF WORK.-L` ;3.SQ.FT_UNDER ROOF 3 l 7X23• L> 4'LEGAL DESCRIPTION:` CLAS9 OF WORK. 61 USE,OF STRUCTURE- ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7,;OESCRIP11ON OF WORK-,--'.-. 11 ALTERATION 11 ACCESSORY BLDG. 8.FIRE SPRINKLER 1 L ❑REPAIR IJPOOL/SPA ElYES 13 NIA S / ❑MOVE ❑OTHER ❑NO .=PROPERTY:OWN R' _ ! CONTRAgTOR: .'.,. `ARCHITECT I ENGINEER: 9,NAME: ) r- 15.COMPANY NAME: 23.COMPANY NAME: ,S1✓19'rJ r-' 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: C-o1 .2f19p03 7 13.CELL PHONE: 13^3 21.CELL PHONE: 29.CELL PHONE: , 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:fx-lh a�tr0 FEMPLE TITLE HOLDER BONDING COMPANY:_ MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME. 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Funtaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNERS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. ter WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC F COMMENCEMENT. WNER'or`AGENT' TRAC R f Power ey orAgency letter Required) ` Qualifier nly) f e� Signed: 5 2 6 G/p Signed: Date: 6 O Befo me his day of 2009 in the county of Before me this d f 2009 in the county of Duval,State of Florida,has person appeared Duval,State of Florida,h personally appeared herin by himself/herself an r tall state nts,aingd QeSg+Q�to�s�8e herin by himself/herself and affirms that all statements and declarations are true and accurate. JgMph Jude Rorrisno 110 true and accurate. Notary Public at Large,Stat Myis}ion DDE32935 Notary Public at Ste of Cou El Personally Known Pros 1 /2112012 ❑Person did M ❑Produced Idenfification- ❑Produ Id ' X 00n. Notary Signature: Notary i ub Commi e 0 s on#DD 518 Bonded By National Notary Tssn. BLDG01 Permli Application Bldg:REVISED:12/18/2008 NOTICE OF COMMENCEMENT State of—4- 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 information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Address of property being improve �+ General description of improvements: t( 1 l Owner:715LLrat,, ha A- 1 / Address: `fib '/(Gci-1 W4^�C. Owner's interest in site of the improvement: CA-4>Y-)0--r Fee Simple Titleholder(if other than owner): Name: Contractor: Address: Telephone No.: G Z —/ Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a Ioan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: 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: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWN C �� Signe Date: Befo e m t _day of in the County of Duval, State Doc#200912451 I,OR BK 14885 Page 1198, Of Florid has personally appeared Number Pages: 1 Notary Public at Large,State of Florid f.Do*pubk MR*of Florids Recorded 05l27i2009 at 03:51 PM, My conunission expires: . Joseoh JU id JIM FULLER CLERK CIRCUIT COURT DUVAL Personally Known: y onimissic) DD9J299 or COUNTYF4 I'll of RECORDING$10.00 Produced Identification: 12 NOTICE OF COMMENCEMENT RAMCO FORM 408 FS 713.13 Return to: (enclose self-addressed stamped envelope Name: D&R S1 vlt.^Ts dba Roll-a way 2375 St.JG`Ins p(Iz f <.jil603 Box 15 Doc#2005222087,OR BK 12555 Page 1978, Address: � t ,•tt- FL 32246 Number Pages:1 ��=„%`� Filed&Recorded 06/16/2005 at 01:50 PM, This Instrument Prepared by: JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY D&R SIP-Itterls t o Roll-a.-way RECORDING$10.00 Name: �r...- ,. '•� "5iCtir �t.�"° i',1, i Address: t. ? Property Appraisers Parcel identification SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVETHIS LINE FOR RECORDING DATA NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida of it(14L- County ' f 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. Legal description of property(include Street Address,if available) A-VLO— A 4 ' '6�`' �/, (ft"yNV�_ ) General description of improvements /fu S e j4-&L S�'�i`'t � � < Owner's Name c4 )C Address �J3 - 'e Owner's Interest in site of the improvement Fee Simple Title holder(if other than owner) Address Phone: Fax: Contractor -,bAA -.5.4a ?i4fs 4a e011-4 d 373' ,3T Address �� so•u ,� FL z,Z y!I- Phone: foy- ?j1-(S�,�Fax: Surety Phone: Far. Address Amount of bond S Lenders Name Address: Phone: Fax: Persons within the State of Florida designated by owner upon whom otices or other documents may be served as pro- vided by Section 713.13(1)(a)7,Florida Statutes. a Name AddressFax: —7110Y C In addition to himself,owner designates s Of Phone: Fax: to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Expiration date of Notice of Commencement(the expiration date is 1 year from thedal f�fecco'1ir "ng unless a different date is specified) s X Stpwtlre of Owner PdAud Nam of Oweet O It i�iiiY y�„ t hate t'elicd ellOo l(L "I'lo�Miej IdC�l�f of tilt ArrliOl JEFFREY D.CARR f+ o f I° := My COMMISSION#DD 374461 swain!o before me I fi yday o0bi.14 P.L 01 o EXPIRES:November 23,2008 9111 . ..... ;;...I Bonded Thru Notary Public Underwriters N ' tionaa vunomg\,.o=utlillle Al _75 Product �a M e�c� ;tg�piieation =+i a r-�ri� User: Public User -Not Associated with Organization- Need Held-? Application FL419 Date Submitted.: 0930,2003 Product:Manufacturer: Eastern Metal Supply AddressThone/email: 4268 Westroads Drive West Palm Beach,FL 33407 Category: Shutters Subcategory: Storm Panels Evaluation Method: Evaluation Report from a Florida Registered Architect or Florida Professional Engineer Referenced Standards from the Florida BuildingCode: tion 4qmlard Year 1606.1 A SSTD 12-99 2001 Florida Engineer or Architect Name: Waiter A- Tillit,Jr. Florida License: PE-44167 Quality Assurance Entity: National Accreditation and Management Institute Validation Entirv.- Walter A.Tillit Jr.,P.E. Bate Validated: 09/30(2003 Authorized Signature: Bill Feeley liteeler�,"tteastern metal.com Evaluation Test Retorts Ilploaded: :1 f9-,Y -Ptodu PtID 1s9 11 3 ;:4= a< 4 http://,Arw-_floridabuildins.orgfpr/pr_cuetl.asp?IPT=419&fin=ROSr,—h r rtontla xsutfaing t.oae vwme MAW PTID 419 T Drawinn 03- 05 . PTID 419 T Produet Evaluation Rel ort.gdf PTID 419 T Test Report 0121.ndf PTID 419 T Test Report 0329. f PTID 419 T Test Report 0512. f PTID 419 T Test Report Q525-pdf Installation Documents Uploaded: Product Approval Method: Method i Option D Application Status: Approved Pager Page 1 I! A App/Seq Product Model#or Name Model Description 191 -055 MS-24ga Galvanized Steel Storm Panel 19.2 2-057 MS-Clear Bertha Storm Panel 19.3 3-053 MS-0.050 Bertha Aluminum Storm anel {w ` Copyright and Disclaimer;X2000 The State of Florida.All rights reserved. ' http://www.floridabuilding.org/pr/pr detl_asp?IPT=419&f n=ROSreh 4/22/2004 9 a The Dres62,Inc. Roll-a-way MR Shutters,Inc. servicing Storm and Security Shutters servicing Brunswick,Savannah, Jacksonville and the Beaches Hilton Head,Beaufort&Charleston from Amelia Island to St.Augustine 3aaksaamel//o Showtemow by bMWt—2315 SL yadw'8 R(affReead 0303,Baur 15 904-731-WS3 Fax' Jame 18, 200 Atlont/t Beath Building Departnnent Fox., 247--5845 Aft)wtron: Ab". MjW ss Pa: 42 3"$t and 1BB3 Beach Awa s&Awitted 6/17,oW On .7unt 16, wit A4mittred the above refaivnced jobs for bv/iditq ptsrmits for hw7wane pratuctroa. Yaw office co/kafAsggms0V ssa/rd plans for both jobs. Me pAxw pe►+vtMed far 5ftw Panels(WO or clear)*sere abwtn/oo&d from the State of FitaA*Bu/MW DDeppa lvicat websites. We aril enclosft a cWy of the detehrmftWon an Oerober ZZ, 2W3 stating that manufacftw is not regv~to submit s4ned and seoled aGmwltgs of such o perbaluct. It it ow III rvtandiig, and has been aweptable to other/oral 411aive4POW1e0, Not p✓ w dmsdoaded from the state wee imAr along with the PQO&&-r AAVOVAL is aiweptable pw aant to this cx rt case. Please cav►toct me at 868-8:159 rpgW dpg these tyro am icattorw x appret ore yarnr assistnnre xn ails nattier. Thank yew. CITY OF L o v E p,11LcACH BUILDING, Reid Crawshow JUN or: 1A Z0/10 39Vd MVHSMV80 ES00LEL006 Z0:90 500Z/0Z/90 06/20/2005 06:42 9047310053 CRAWSHAW PAGE 02/02 'ooiZ��£*��`�4sEP�.�'P8 X100 WOWS SSSZ`�Y J aQ a eta ww=umo3'woj•a m■,a**a (a pm.mKo OR WOMB AWMVrJaa mr33o Ow V 'papa3d'Row3o dbMP papa tw peam omp M pwabw 3=a ' ?3Od oq3 WW PON p mud&'aP mp A9 pogq=p on3a m"!w.q*V tppA 3 sc swp,>o tar•m "sas pso�dd� Pa�W*AMR P* aRp baa' tiPo�d mf Wn►cadde oprnea3ele o,prag WMW al P=L FVM AIM in uopWnmf t*ot I V%pommump uopummo a%L '%Z-.-Ma-£o'V3a=qmw ap png.mw pm 31 .£OOZ`a A4,"*0 no`9 pm"w4'P K mag p"p a wmbw im 03 osuodsw m v38 ° gr�+Q R p E �lPrl�S Ri d IV�AiJ X �4i 3I BDUDH tmssuqwoo oxrarma vcnou SWMV vo Ao.tAHM'dvdaa CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026569 Date 10/02/03 Property Address . . . 1883 BEACH AVE Tenant nbr, name . . . . . . INTERIOR RENOVATION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . TO BE UPDATED Application valuation . 89200 Owner Contractor -- -------- ------ -------- -- -- - ----------------- -- KIMMEL, DR. STEWART AURORA CUSTOM HOMES 1883 BEACH AVENUE P.O. BOX 329 ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32004 (904) 246-5400 ------ ------ --------------------------------- - -- --- --- --- ------------ ------- Permit . . . ELECTRICAL PERMIT Additional desc 200 AMP, IPH, 3W, 2 . 5 RACE Sub Contractor TRI COUNTY ELECTRICAL CNTRCTRS Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----- ----- - - -- --- - - - ------- - ----- -- -- - --- ---- - - -- -- -- ---- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 9 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 10/01/2003 14:23 9046461538 TRI COUNTY ELECTRIC PAGE 02 Feb 13 03 01 :08p Inform cion Systems 247-5045 p. 1 •� CITYOF ATLANTIC BEACH, FLORIDA 60 u . Fi.. .CTR[CAL PM:)iMIT.4PPL CATION 1�jT(3 TI IIiCMIt�r Ii1.Y.CTRII'Al.IN!cYhC'TYf DATE —,20,P IN CONSIDERATION OF P6RMi GIVEN FOR DOING TIIL• WOK AS DFSCRIRPF) IN THE FOLLOWING. WF HEREBY AGRIH'CU PtiR1-'O M SAID WORK IN ACCORDAN [i WITH'141L AIVACHLD PLANS AND SPLCU ICATIONS. WHICH ARE A PART IIEREOF'. AND IN A X)RDANCE WITH THE ELECTRICAL REI�ULATIANS.Gl�UE5 AND Gt Y OF ATLANTIC BEACH ORnl. ANCES. ELECTMCAL CONTRACTOR;, MAJi'GK ELECTRICIANSIGN URE: OWNFR OF PKUPERTY; Al p . ....., JOS ADDKLSS:..1Q..P� _ R0-O' APT.( ) CLWM./ ) PURLIC( ) INDUS.( ) FW( ) OLD) RFW AUDITION( ) TRAILER( ) I LMP( ) SIGNS( ) SQ. FT, SERVICE: N1:W'I INC ItF.ASR( ) R .PAIR CU-ND IrCTnR SILL _ A Y5 CIIPNG ALI)- . ) FEES SWITt'II UK 13RFAKI R_ AMPS PH W VOLT_I RACEWAY__ EXIST.SERV.SIZE O AMPS PH W VOLT i 2,6ACF.WAY PEEI)l-Rs NO,I Si'LL NO. SIZE NO 312L LIC7KTING OUTLETS) ��. CONCLALED OP :N TOTAL� �RL_'C_E:PT /,, ACLFS �0 CONCRALE'.) _ OPE TOTAL 1 SWITCIUiS INCAN fiSCENT FLOI'RF;CCL'NT&M.Y. ..»� APPLIANCES _ I I BW,TRANSF. FII .P, RA ING H.P.kA'IINCA CFIL. --TKW-HEn1'' i CONDITIONING � COMP. 0TVR— OTHER MUTONS A P$ HEAT I - Oves LVIO,romIt'r, VOLTA�F. I PIIS NO, ! H.P VOLTAGE _PHS !TA LIVER h00VTRANSI;URtiF.RS; I__.NUrVA NU. �_ANO.NEON FKANSF. NO VM TUK 917.F, 3W1'f i'L�S14F�R r BA('H SKIN 800 kw mule Road•Atlantic Beach,Florida 3ZZ33.5405 Phone:(904)2417-1100- Fox, (M)347-584.1q. http:! w-ci.etlsntk-heacb.fl w de�iw�l QI.'17M7 f CITY OF ATLANTIC BEACH :s. SSS 800 SEMINOLE ROAD Jv ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 04-00028316 Date 5/21/04 Property Address . . . . . . 1550 BEACH AVE Tenant nbr, name . . . . . . 41 & 6 ' BLOCK FENCE Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 Owner Contractor ------------------------ ------------------------ FORE, TRACEY & STUART OWNER 1550 BEACH AVENUE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 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. ( , lq�vvk .. BUILDING OFFICIAL Cc: CITY OF ATLANTIC BEACH D. Ford :> ?u BUILDING / ZONING DEPARTMENT ins c f 800 Seminole Road S. Doerr sl Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # QH- Z<Y_3/(,2 Property Address: /65rl oqv e Applicant: S4 uarr-4 f6i-E Project: If nc e This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: �''l I?X Off' ATLANTIC C1�'F PENT APP BEACH FE APPLICATION Date: Fc ?� CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 19 F Application Number . . . . . 03-00026569 Date 8/11/03 Property Address . . . . . . 1883 BEACH AVE Tenant nbr, name . . . . . . INTERIOR RENOVATION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 89200 Owner Contractor ------------------------ ------------------------ KIMMEL, DR. SUART AURORA CUSTOM HOMES 1883 BEACH AVENUE P.O. BOX 329 ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32004 (904) 246-5400 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 455 . 00 Plan Check Fee 227 . 50 Issue Date . . . . Valuation . . . . 89200 ----------------------------------------------- ----------------------------- Other Fees . . . . . . . . WATER IMPACT FEE 180 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 455 . 00 455 . 00 . 00 . 00 Plan Check Total 227 . 50 227 . 50 - . 00 . 00 Other Fee Total 215 . 00 215 . 00 . 00 . 00 Grand Total 897 . 50 897 . 50 . 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. a BUILDING OFFICIAL �-� 1��✓I _� ��'- . , ,IJV// J � l CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (ALTE Date: Job Addr s• 1883 " �r> A.r��-w6—: 1 ATu-,,�vt c FL_ Owner of Property: S7TOP--(�-7 rrf.L Address: 1-7(o(a c w Avg %aO +Azv�r��c C�ac.}�,Fl_3zza3 Telephone: �►o'1-Z�i`1-31"I I Legal Description: Block Number: 'Lot Number: Zoning District: Contractor: MIG-NAE-L- •1e-r,A�� YL",�� tate License Number: G 6G 029118 Contractor's Address: FL 3zoa4 Telephone: °1Oli-ZLA(.,-5r-{oo Fax: 904-M4(6- I S`f Describe proposed use and work to be done: MrrTGl2►ar7 C2f�t3a�r csr�o,S Present use of land or building(s):_ OEs ,C1,-►c.LIF- fjz-mt�_A Valuation of proposed construction: * 89,Z.c,tn, What are the dimensions of the added space: tAA feet x 1-4141 feet Will the added area be heated and cooled? N/A New electrical or increase in service? 0r,_w►Rec=, PA &k_ New plumbing fixtures? *s New fireplace? Y�-S New heating/air conditioning? `( Is approval of Homeowner's Association or other private entity required? N0 If yes,please submit with this application. Will th' project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NO. 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. [H NO. Applicant certifies that no trees will be removed for this project. E] 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 he 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 I/14/03 souTH YZ oe l'774gL+S I rJ6zrH A-ray4-r,c f c�.i,U,%I-T Z 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 informs' ovided with this a tion is correct. Signature of owner: � --- Date:—�f��—�-- 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: -7 /18 J0 3 Address and contact information of person to receive all correspondence regarding this application(please print). Name: tI It ro f'0. t Som 4tnn ^_. ;�� 14 e( K• L cr►ghe P, Mailing Address: t� 32�1 "4 n,trts 1)P jr, Telephone: g D�(-2-t(b S�lao Fax: E-Mail: AA@ awl. corn AS TO OWNER: Sworn to and subscribed before me this day of 73-LJV ,20�Da. State of Florida,County of Duval Notary's Signature: ti;�9:�•, JULIE A.SCHAFER v�Personally kno ?Q� *; .. MY COMMISSION#CC 881278 EXPIRES:October 19,2003 F1 Produced identification +•. bonded Thru Notary Public Underwriters Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ��l{V , 20 QS State of Florida,County of Duval Notary's Signature: P JULIE A.SCHAFERPersonal] knon MY COMMISSION#CC 881278 y w r EXPIRES:October 19,2003 ❑ Produced identifi a ion Bonded Thru Notary Public Underwriters 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 CITY OF ATLANTIC BEACH 1 s, PERMIT CALCULATION SHEET sus; — Date: Address C eo-C Heated Square Footage @ $ per sq ft= $ Garage/Shed @ $ per sq ft= $ F� Carport/Porch J @ $ per sq ft= $ Deck f� � P _@$ per sq ft = $ Patio ° @ $ per sq ft = $ TOTAL VALUATION: $ F 2=p o Total Valuation 1s $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: ZJ-2 + %2 Filing Fee $ FLOOD ZONE: — (I ) Fireplaces @$35.00 $ 3.5� IMPERVIOUS SURFACE:f--� G/+✓Pfry Ay I BUILDING PERMIT FEE $ / w.+r. C e-os z T - y: 7,g so=� --�.WATER IMPACT FEE $ .0c) i3 (o E r- _ y SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ 3 J� ST( ) SURCHARGE $ U OTHER $ GRAND TOTAL DUE: $ 1/13/03 Licensing Portal -Licensee Details Page 1 of 1 �'FIMlAd9.GQJYJ w.p 1M w �^W Log On DBPR Home I Online Services Home I Help I Site Map Public Services 11:04:48 Al Search for a Licensee Licensee Details Apply for a License View Application Status Licensee Information Apply to Retake Exam Name: LENAHEN, MICHAEL K (Primary Name) Find Exam Information AURORA CUSTOM HOMES INC (Alternate Na. File a Complaint Main Address: P O BOX 329 AB&T Delinquent Invoice PONTE VEDRA BEACH, Florida 32004 & Activity List Search Lic. Location: 366 OSCEOLA AVENUE User Services JACKSONVILLE BEACH, FL 32250 United Renew a License Duval Change License Status License Information Maintain Account License Type: Certified Building Contractor Change My Address Rank: Cert Building View Messages License Number: CBCO29118 Change My PIN Status: Current, Active View Continuing Ed Licensure Date: 07/18/1984 Expires: 08/31/2004 L --1 Term Glossary View Related License Information Online Help View License Complaint LM L I Terms of Use I Privacy Statement I https://www.myfloridalicense.com/licensing/w113.j sp,j sessionid=PEOIIONOBEGBkKj 9f-)... 7/25/2003 Feb-18-04 02:50P AURORA CUSTOM HOMES 1 904 246 1599 P.01 5 MIR RETUP.N I.W1.P10j<We i 4 1 Z 3 7 PHONE t Im I NOTICOF E COMML.NCEMENT F' I U OWIVM Ol.-36-20 PH U state of 1ax folio No. - —----- "Al. CaNTY RECCAD% To Whom at T Concc-n: must FLW ':lac undt.-signed.hereby infbrms you uhaL hriptovemcnrs will be made to certain regi property'andinaccordance with selction 711 -if the Flo6dastatutos.the tollowi.-Ig in!i4nnItion is stated in this NOT T, JCL C)f(,ONLME, N". Legal dz5chption of p-opertty being improvet': 4_-x:)ijrW VT_ o5 L4rv*'+S YA-r_-T� A.ddrcss of proper-,:y biairgiranrcyk i;- JSSM A-?"I-r?k C_ F L_ '4 2=33 C:e r t r a I d-3 c r i o a-0;I TT- I�11 r-na e T i t S- '4-r-4 T*,A o MX rA C T-'r Ac n 5 ZZ _-_71j_A 4--T OwDer't it lWest in-vile of the improvement: _C;.j rWPt_k-_ Fre Simple Tititholder Of Other than owfierl=.®_ A'Awt- A.Coc - ZL,go f 4rM 1�S.WXb444. jR Surety 'tayx: ------ Fax No, 'i I I-----, — Address: ..........Amo=t of Botd S Phone Fax No-- Name and address of zvoy pctm making a loan for the constuction of the improvements_ Addrems; Phone Fax No- Nnmt of person within like State of Floridat,otheracK Wasipated by owner upon%hwn ncltic=or other dtvum4ents may be served: Nam e: Address: In addition to himself,owner desigratts the follo*ing pertels to receive a copy of The Uenor's Notice as previdex!in Section 713-06(-_Xb),F1cviU Statues. (Fill th at owner's option lame, Phone N% Fax:itis: Expiration date of Nouse of Commencement tthe expirstim date is one(1)yeftr—fiom the date ofrecordinz uide 3-3-A different date is snt.,cjr]rdV T1.115 SPACY,FOR.RECORDER'S USE ONLY WEB P ()AW da 1�y efol t j3 day of in 4 e coon-ty of try of F i tai perwnaajy(appcare4 Axle x W4 Ap - k'yC6MiW'5UN#t*08912?8 Notary Public rt Large,State of Fie EXPIAR Kwik Wt My commission expires: r1da,County of Duval, kersonally Known: Idemification; CITY OF ATLANTIC BEACH =� 1r 800 SENiINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 �S3 INSPECTION PHONE LINE 247-5826 }"rte v Application Number . . . . . 03-00026872 Date 9/15/03 Property Address . . . . . . 1883 BEACH AVE Tenant nbr, name . . . . . . REPAIR,REPLACE EXTERIOR Application description . . . SIDING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 Owner Contractor ------------------------ ------------------------ KIMMEL, DR.SUART AURORA CUSTOM HOMES 1883 BEACH AVENUE P.O. BOX 329 ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32004 (904) 246-5400 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 130 . 00 Plan Check Fee 65 . 00 Issue Date . . . . Valuation . . . . 20000 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 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. RIHLDING OFFICIAL �t j CITY OF ATLANTIC BEACH SIDING PERMIT APPLICATION ��, Date: al Zc)a3 Job Address: Imo -► A �� A`-1-�rs-t t c Cmc t�, FL- 33 Owner of Property: S-tvP2-T Kt r4,,,r--N9L Address: I"7lol0�aE�ct�p �A-nA�-r« c�,,F�-3 Telephone: 90y-2yq-3��1 Legal Description: Block Number: Lot Number: Zoning District: Siding Contractor: r�-n-f-�= �� i1g � 4a, 6-crc 0 "j-0,yL t4brn e' S Contractor's Address: FL,3-zooy Telephone: q0H - 'Zti Lioc�l�Sy S /341 d? Fax: 90`i- 24(0-t5,�g Describe proposed use and work to be done: .--TuGco , rz zaarL4c - fzatt MF-fM , 4f m-44. NE�..1 S-tcsccs� Present use of land or building(s):�94i�SI t p�� s i Mt Ly- FAM%-� Valuation of proposed constructi ` Zo Is approval of Homeowner's Assciation or other private entity'required? 116 If yes, please submit with this application. 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. Attach detailed information on product to be used. Step 2. Attach details concerning attachment of product,i.e.,fasteners,etc. I hereby certify that all information ed • t is applicatio ect. Signature of Owner: Date: 2- D 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: i2aLA.-7E.5 '?a �=-7Gt SZ{ -16-., PExzr,-,,-T ` 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 1/17/03 Address and contact information of person to receive all correspondence regarding this application(please print). Name: r... Mailing Address: P•o-( X 3Z'� i �'„s '�lEnrzta acH f (-'L ---,-Zod y Telephone: Fax: 90 4-"Z-4(6- ISi0)4� E-Mail: r.^ AS TO OWNER: Sworn to and subscribed before me this L day of J�6 ,20 Z . State of Florida,County of Duval Shia Notary's Signature: JULIE A.SCHAFER g• MY COMMISSION#CC 881278 ;•. personally known Bo 003 detlThrENoOrytpbbtclUnde ❑ Produced identification Rf' Hunters Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ISe�otew,l-f--- ,20 03. State of Florida, County of Duval Notary's Signature: orry.'ey JULIE A.SCHAFER Personally known Mr COMMISSION#CC 881278 Produced identification a= EXPIRES:October 19,2003 •�pf �e Bonded Thru Notary Public Underwriters Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.us Page 2 Revised 1/17/03 Cc: CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT L. Him991 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application# _� - Z '7 Property Address: i cY%Y3 11 v e- Applicant: j LLS f-c 1-r7 e_s Project: t�E_Y71Gv� /`C 7Li�t" Zt [t/� �7ficr` ir�1 iYr_r7Fr - ��PLj� :ST2eC'('C This permit application has been: �f Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: "tt. Date: r t j ti c ale- Cityy of Atlantic Beach *m CUSTOI R RECEIPT 'per: DSMITH Type: OC Drawer: 1 Date: 12/08/63 01 Receipt no: 17005 Description QQuuantity Amount 2*3 269 BP BUILDING PERMITS 1.00 $35.00 Tender detail CK CHECKS 2724 $35.00 Total tendered $35.06 Total payment $35.00 Trans date: 12/08103 Time: 16:45:09 I i 11/21/2003 13:57 9046461538 TRI COUNTY ELECTRIC PAGE 01 R\ TRY COUNTY ELECTRICAL CONTRACTORS, INC. rM.C. UNt'l 12025 BEACH BLVD, TRI JACKSONVILLE, FL 32246 (904 646.3141 FAX (904)646-1538 CRO 0013190 TO: FROM: Number of Pa3gA Includlna Cover Sheet If you do not receive All page submitted, Please contact us immediately. Thank you, Comments: Have a Great Day! 11/21/,2003 13:57 9046461538 TRI COUNTY ELECTRIC PAGE 02 I P.51a:1+ 0*4LS <oltii", Go"a OrN w dM% Zoo 16 1 rl hn,► COvu w:+h �u�C�. fit._,_,_„` V c7S Fb,�,Q `+-�►�Ar1a.o�iG MOW'+ to CiG/,n SIDE vi, U r A - rest 8k,�A* "," c r+�s C00"149 doc%, ,Alago 14p A04 P1i,�L ' y(q ;oo M►P PAAA4, 3uR�b►ca,Ina.nl�d � S �4: '� '• , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 � r INSPECTION PHONE LINE 247-5826 R Application Number . . . . . 03-00027089 Date 10/15/03 Property Address . . . . . . 1883 BEACH AVE Tenant nbr, name . . . . . . INSTALL 16 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ----------- -- ----------- -- ---- - --- --- ----------- KIMMEL, DR. SUART PLUMB-PAL, INC. 1883 BEACH AVENUE 1728 SABEL PALM ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-8856 ------------------------------------------ ---------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 147 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------------ ----- ---------- --- ------- ---------- ---------- Permit Fee Total 1.47 . 00 147 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 147 . 00 147 . 00 . 00 . 00 Cit+ et3�To sh QIP s t K Types OC Iraner's I es 16/15163 6I Ros:eipt nes 3214 scri ion 271 ootity Arrtelt 1p NIUILDIN6 PERM S $147.0 TwAor detail of= 2.99 $147.0 Total tendered $147.06 Toted payrent $147.06 Tans date: 18/15113 Tires 9:16:36 THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED ur ANO 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 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 1 800 Seminole Road Atlantic Beach,Florida 32233 Uzi (904)247-5800 Job Location: Owner of Property: S'�Pw�� f X�� Telephone: Plumbing Contractor: /-'C "' _� Contractor Address: /'a/;" 6%-,o-c Secc L State License Number: �' Cog"'7� /7� Telephone: �?-� - ?'-W How many of the following fixtures: 2'. New or ❑ Re-Piped SINKS SHOWERS LAVATORY _;_7 WATER HEATERS BATH TUBS / DISHWASHERS URINALS f DISPOSALS CLOSETS / WASHING MACHINE FLOOR DRAINS _SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER Minimum Permit Fee: $35.00 Total Fixtures: 4 X $7.00 + $35.00 Ca--'te4cfa� Signature of fir: CL-0,1 r, Signature of fir: Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904) 247-5826 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -t ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . 03-00026569 Date 10/31/03 Property Address . . . . . . 1883 BEACH AVE Tenant nbr, name . . . . . . INTERIOR RENOVATION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 89200 Owner Contractor ----- -------------- ----- ------- ----------------- KIMMEL, DR. STEWART AURORA CUSTOM HOMES 1883 BEACH AVENUE P.O . BOX 329 ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32004 (904) 246-5400 --------------------------------------------------- ------------------------- Permit MECHANICAL PERMIT Additional desc GAS PIPING Sub Contractor SAWYER GAS COMPANY Permit Fee . . 130 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/30/04 Fee summary Charged Paid Credited Due ---- - ------------ ---------- ---------- --- - - ----- ---- ------ Permit Fee Total 130 . 00 130 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 130 . 00 130 . 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 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IMPORTANT—Applicant to complete all i ems in sections I, II, III, and IV. I. I Street Address: c LOCATION OF Intersecting Streets:Between And BUILDING Sub-division II. INDENTIFICATION—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 Atlantic Beach ordinances and standards of nod practice listed therein. Name of Mechanical Contractors Contractor(Print) GAS Master Name of Property Owner Signature of Owner Signature of Or Authorized Agent Architect or Engine III. GENERAL INFORMATION A Type of beating fuel: B. ❑ Electric IS OTHER CONSTRU O�BEING DONE ON THIS ZY Gas: )CLP Natural Central Utility BUILDING OR SITE? p ❑ Oil ❑ Other–Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT V Se'i le IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK ❑ Residential or _ Commercial INSTALLED ❑ New Building (Provide complete list of components on back of this form) X Existing Building ❑ Heat _Space _Recessed —Central _Floor 15 Replacement of existing system O Air Conditioning: Room Central IL New Installation(No system previously installed) Cl Duct System: Material Thickness ❑ Extension or add-on to existing system Maximum capacity cfm ❑ Other.Specify ❑ Refrigeration O Cooling tower. Capacity apm O Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY O Elevator: _ Mani ift_Escalator (Number) (Received) O Gasoline pumps (Number) ❑ Tanks (Number) Remarks ❑ LPG containers 1 (Number) O Unfired pressure vessel Permit Approved by Date - O Boilers ❑ Other–Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number .Manufacturer Capacity Approving ons Agency HEATING–FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving T ency I/ x E ,tlt+ ow TANKS How Many Nominal Capacity Type Liquid Name of Scriat Approving And Dimensions Contained Manufacturer No. A enc Cc: CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENT S Higgins S. Doerr 800 Seminole Road J y� Atlantic Beach,Florida 32233 (904)247-5800 JF319, (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 01 3 -lqu6iiCl Property Address: Applicant: y Project: This per it application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: C,� �- �r� Date: 49 � . - • i 11 / - 111 111 11.11 ,00 x � T x 5 io x mss.' ' �3 - w / VSs• a - .. -'4. '� �. -:3� ��ML""� y�. '•��' '��`�'',C ` -' ia�,y�,-''' "t�c"-c `"x..-�Ira `..S-��.. ��. ` �.'� zt � �.a..... 5 a 4. .k. C, ::` '„+,1'. ✓.:3:,�` � �YY" +�-.�F«f. t'x- 1�..�0'�re�' � 'R.�...�.F°' "^ y�t'- _• �k }Y_"t�,-4 �.,� � � � "c a4M *.c � 3 „r�tt b7" r"-�C''zw tF" a1 '@'n�n '.,.',`,r�" .rc,.�,'�'4'.s[�<•,ro�'`ir� `�'�.,�.�."'.i..:, '��.—"`�'La„�.`.�.��e".' :i'� ;`a'�':?¢r3.. _,aY�'s�� .. �o'�; TICE } -� :r ^""r�,�- M- .�n2.a.. M1�fux�..yy.R ,, q ✓r,T,. � .v'.".i is '� � '�"r ! "a 4: ®...:.� A`•'•y„!'► +e i k 7 }��R �„ j c,' ''n d y�+Ji�Y•Y�� -�s'4ti.;�x'S6•+--st jc : r ••a�R .ar _ _ .�. T'S � 37:e, x,.� '� ��..-�: 44_°t`�ki. i • 'h sit r s ,:^� Y "��!ql: :. BUIL PUBLIC s, '> •rw 'M ��,. 11: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: � / /�;y�i161. � TEL.'Z44 PLUMBING CONTRACTOR: LARRY TEAGUE PLUMBING CONTRACTOR'S ADDRESS:3d , c1 STATE LICENSE NUMBER: CFC056776 TEL /- Z 5� r HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW _SINKS `SHOWERS LAVATORY _WATER HEATERS BATH TUBSDISHWASHERS URINALS DISPOSALS _CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER DPIP (LIST FIXTURES BEING REPIPED) _OTHER :5 -J%'* TOTAL FIXTURES: A -X$3.50+$15.00= MINIMUM PERMIT FEE: $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTO INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS-(904)247-5826. October 25, 2002 Richard Bell, Building Contractor CBCO 33312 1952 Beachside Court Atlantic Beach, Florida 32233 Department of Building, City of Atlantic Beach 800 Seminole Road Atlantic Beach, Florida 32233 Dear Sir: After the owner, Stuart Kimmel, terminated our original agreement, I am no longer responsible for the job as Contractor under Building Permit dumber 24556 at 1883 Beach Avenue, Atlantic Beach. All subcontractors have been paid, and the owner provided with a final release of lien. S' cerely, Q Richard Bell CI�rD Of.2 8 02 .By; --- – -- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247 5877 —LOCATION INFORMATi_O_N ----- _ PERMIT iNORMATIOIV�----- –—Address: 1883 BEACH AVENUE permit Number: 24556 ATLANTIC BEACH, FL 32233 REMODELING Range: Book: 35 Permit Type: Township: Class of Work: NEW Lot(s):27 Block: 1 Section: Proposed Use: SINGLE FAMILY Subdivision: NORTH ATLANTIC BEACH Square Feet: Parcel Num ber: - --- ` OWNER INFO Est.Value: -- --- _ Improv. Cost: 20,000.007/29/2002 Name: KIMMEL, STUART Date issued: – Address: 1883 BEACH AVENEU Total Fees. 165.00 ATLANTIC BEACH, FL 32233 165. Amount Paid: 00 Phone: (OOOLO00- 7/20l2002 0000 _---------- _ --� Date Paid: REPAIR, RENO -- LiCATI®IV.FES____ _----- Work DeSc_REMODEL, Yr� �, � *'��-� .0 CONTRACTOR S 65 0 i 51 4 3 ' ? 'Xfi� F aro AR tv. ` r ��-- i e r ON NOTICE: AND SPACE, a BUILDING MATERIAL A MUST BE CLEARED r 'T v. h r >3 _._ THE "FAILURE TO COMPL PROPERTY OWNER P TIO SUBJECT TO R Fv OCA N I ISSUED ACCORDING TO APPRO x � FOR VIOLATION OF APPLICABLE , i 14 HNW= 1 $165.0 ATLANTIC BEACH. B�DING DEPT. -- _ --- ------– IQ,cow 6178 $165.0 Tban Qbg SOWN TIN: 16:13:97 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 3 Date IA I • 07- Heated Square Footagepersq ft = $ Garage/Shed @ $ per sq ft = $ S Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ l5C90 Total Valuat�8n 1st $ GCO Remaining Value $SP6 per thousand or portion thereof TOTAL BUILDING FEE $ L1C.7-- - + 1/2 Filing Fee $ �'�d• ( ) Fireplaces @ $15 . 00 $ 00 BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ t � GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical .; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : �t t 26 City of atlantic Beach Building and Zorling City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX ) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) JOB ADDRESS Gre DATE APPLICANT i✓'�rv,09Z_r k ll"0 25 f_ ADDRESS 1456 3 �62::-,A I rPHONE: 2-�-q-W 71 h4*JV'r1to If6plo LEGAL DESCRIPTION: BLOCK NUMBER v407Z LOT NUMBER "W'-S ZONING DISTRICT CONTRACTOR epll-" njLGZI_. _ STATE LICENSE NUMBER 60C& 33312 ADDRESS '0C44+o of G7r. PHONE Z," d7/ 3/ CITY �f��9rv 'lG A STATE J11Z- ZIP -32)27) FAX e*ft4- <`u 44-0 Al'n ti—Y /Z$-*f10CCC_ C_F DESCRIBE PROPOSED USE AND WORK TO BE DONE RCIVO0et L"Dlf4t 14047,+9t!-ftViNh09fAr4s� 91 g?y'CG-0 -774 Pa2QVf5 (Pkerc- 114 lmf�EA"o&;S)__ PRESENT USE OF LAND OR BUILDING(S) -%kb FTS n1t_q -t>V'P!-� VALUATION OF PROPOSED CONSTRUCTION 2,04600 Is this an addition? /ll If yes,what are the dimensions of the added space: �/{ feet by feet Will the added area be heated and cooled? New electrical or increase in service? Illi°,O a ,s New plumbing fixtures? No New fireplace? FAD New heating/air conditioning? NO Is approval or Homeowner's Association or other private entity required? N 0 If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? /5NO. 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. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) 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 904-247-5817. 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 6/18/02 Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Please submit 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 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appro nate for individual applications. I HEREBY CERTIFY THAT AL O ROVIDED WI THIS APPLICATION IS CORREC SIGNATURE OF OWNER 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 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 O Z ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPO ENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS PHONE_IL"fg '013/ FAX i I7 U E-MAIL F. f7A ISO#A r 4&- -7 O#--b$bS 4-4SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF � �= Ods STATE OF FLORIDA,COUNTY OF DUVAL +y -JO N Ampo AS TO OWNER: ry km NO.MOM Produced identification Type of identification produced AS TO CONTRACTOR: ❑ ersonally known Produced identification Type of identification produced�`'lo�`�l► ��. �`lh0 ?Yl"'�?—��'�� 6/18/02 NEW IMPERVIOUS SURFACE REGULATIONS On January 01, 2002, the City of Atlantic Beach enacted new regulations limiting the amount of Impervious Surface that can be developed on property. Within all residential Zoning Districts, the maximum amount of Impervious Surface area allowed is fifty percent (50%). Within all commercial and industrial Zoning Districts, the maximum amount of Impervious Surface area allowed is seventy percent (70%). The Zoning regulations define Impervious Surface as follows: Impervious Surface shall mean those surfaces that prevent the entry of water into the soil. Common Impervious Surfaces include, but are not limited to, rooftops, sidewalks, patio areas, driveways, parking Lots, and other surfaces made of concrete, asphalt, brick, plastic, or any surfacing material with a base or lining of an impervious material. Wood decking elevated two or more inches above grade shall not be considered impervious provided that the ground surface beneath the decking is not impervious. Pervious areas beneath roof or balcony overhangs that are subject to inundation by stormwater and which allow the percolation of that stormwater shall not be considered impervious areas. Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rain water, however, decking around a pool may be considered impervious depending upon materials used. Information verifjng Impervious Surface must be provided prior to issuance of Building Permits whenever new construction, including building renovations or additions, new driveway, decks or porches involves any increase in Impervious Surface area. 51 T � e:. Took 10590 Page 1944 PHONE NOTICE OF COMMENCEMENT To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. / - , L��,.��+ Description of property lF�C 1� %Z O� �D7 � �' dZL! t `G Ci � 14 01VI/7 Vol General description of improvements MOOF W&4; IIV 44VO P I AMM, 711-&4 )969 eHerg, Owner '�'-��rA,�? 'ki M'Wir-A Address /99;3 M9i16d M-, Owner's interest in site of the improvement Fee Simple Title holder(if other than owner) Name VAddress ontractor Ri eww-10 0eyL C Q�o ' 3"3 1 2- Address ly'`�2 , s✓iy�5 l G?. �'2G, ''C e- �1 9-c°'fi 3 - �3 Surety(if any) N'v&-c Docil244209847 Beale: 0-165x9 Address AmourD� 4 Name and address of any person making a loan for the construction of the improvem 7/2E/2002 03:38:55 PH J 'FULLER Name CLERK CIRCUIT COURT Duvk COUNTY Address TRUST FUND $ 1.00 RECORD f No S b.00 Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address 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 Statutes. (Fill in at Owner's option). Name Address THIS SPACE FOR RECORDER'S USE ONLY er tANNotary FubNk SKIN of ftid& Sworn to and subscri before me this 6 >� My=wv.expires Jen.21;200b day of / 1�9-1200.2 No.CC99 M Rotary Public EXHIBIT B uj CL H O N C)TOPAGE < o �-GAP OLD PLUMBING J E-- m �--�_ \ — AND VENT 6ELOW W u � 7 �f \ CO U .aUNA � i LAUNDRY H`✓AG EMOVE TILE _ GL-�0�ET GL-UcDET d_ i EMOVE DOORS 4 TRIM E co N ZMOVE EL-EGTRIGAL OV E GADINET� SAT .� L --� >-- L = Q: C> s XIST. GL0(5ED OVER DOOR OPENING 0 < < REFRAME FOK NEW WINDOW L O5. .� opo ca < -J LIQ Z v. FIF`�T LEVEL_ DEMO LAN � FI V GALE: 1/4'-1'-0' N -- CL- LLU O � I► ---\ U CO Lu 0 \ m nz �IZ' 46' \ _ RFL-OGAT 9 GADI T I- E cc (N / PK2YE _ EW LAUNDRY GOUNTER WA5 Uj LL EW 4" DRYER VENT Lt- � W � AUNDRY SHELF o- > N5TALL NEW 37' x 38 3/6' WINDOW < W IN EXISTING GL05ED OVER DOOR OPENING = m < U U W F?,��- T LEVEL_ LALJNL-)FY FL- ANWoo z SGAL-E. 1/4"al"-O" IN I`o --i _ co }-- CO b f i 2b/'Lbl'J2 115:b2 y%4dbbbbbl K1NUU:L I U rAUL U1 suably Accumey Asmmcc Fenestration Testing Laboratory,- rime. I677 West 3IstPl= Hkdmh.FL 33012 Phone:3051829-7877 lax 305/818.7888 Lab.Number 2015 Apa 16,1598 Report Number 26 File Number 98-102 Page 1 of 3 L-2863 OFFICIAL TEST REPORT MANUFACTtTRER: Kineo Limited DESIGNATIOM.. H-L.C55-53 x 78 ADDRESS: P.O.Boar 6398 SPECMCATIONS: A ;ooksoatville,Flacidwl32236 101/LS.2.-97 DESCRIPTION OF U1ci1T Model Designation: TW-t;Alvminwn Single Hung Tilt Window Overall Size:4'5 1/8"(53 1/$")by 06"(78")High by 2.376"deep. Coniiguradon: O/X No.&Sire of Vents;One cxUuded oluminum tilt vent,4' 13/4"(49 3/4')by T3 1/8"(391/8")him MATERIAL CIIAUCTERLMCS Frame Construction':Uai tended wi$t a Amp type frame,butt joints with a wWta coated finish,aluminum allay 6063•T6. Frame comers wore fastened with two No.8 by 5/8"pan bead shoot metal scxeww,Beed meeting rail fulaned at ends with one No. 8 by I"pan head abed metal scraw. Overall iategior fix=sill height is 2.188". Sin of Imm menbars as fdiows:$tm hand I.0V by 2.43$"by 1.500";frame sill 1.13V by 2.558"by 2.188";frame:jsmba 1.125'by 2.376"by 2.719";AW meeting rail 0.68$"by 1.373"by 2.124". From members are solid eaarusions with a typical wall tWelmom of 0.062". Vent Constructlow Vent has Mitt joints with a white coated finish,aluminum alloy 6063-T6. Top vent cornier:were fastened with ane No.8 by 5/8"pan head sheet metal unw;boaom vent camera were fastened with two No,8 by 5/8"pan head sheet medal screws.Size of raft as follows:vent meeting rail 0.375"by 1.201"by 1.437"by 1.451";vad bottom rail 1.133"try 1.437"by 1.951"by 2.1153';vat jamb rails(solid cutrudm)0.322"by 1.201"by 1.000". Vent rails are hollow extrusions,east wha v Wcd. Vent mambas have a typical wall thiolases.:of 0.06211, Glazing: Material:0.562"overset saalod inaiulated glass using two lights of 0.129"annealed glass with 0.312"air space betwom the two lights of glass. Method:Fnad light a inknor glazed and vent a exterior gland,each with K"glazing penetration using a closed coli foam between glass and&aria and a semi-rigid vinyl snap on glazing bead. Daylight Opening. Clear opening of vent,47 3/4"by 35 9/16"high;fixed light,47 5/8"by 35 3/4'high Weatherstripping- ua"" Deport Ito,: Location Single row Q-Ion No.5743-3301-6 at vent meeting rail Doable row Pile.with integral plastic fm at each jamb rail of vent Sia le row Vin I#2 at vont bottom rail is"""rvr w r.FROM 9043500061 TO _ 7/26/02 1 : 50 PM Page 1 r..rr.w....................�.-.............-.................�.---'__� ._-•__-. .. 07/26/2002 10:52 9JU43bUUUb'1 KiNUU:L I U t AUt oL MiAM to 611AMI-DA01F.COUNTY,PLORIDA M i11E TRO-DA0E FLACLER i3UtLDNNG BUILDING CODE COMPLIANCE OFFICE;(11CCO) 130 WFST F'LAGLER STREET.SUITE J603 PRODUCT CONTROL DIVISION MIAMI.FLORIDA 33.130-1363 (305)375.4901 'FAX(305)375-2905 NO'T'ICE OF ACCEPTANCE (NOA) Kinco Limited P.O.Box 6429 Jacksonville,FL 32254 SCOPE., This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee(BCPRC)to be used in Miami Dade County and other areas where allowed by the Authority Having 3urisdiction(AH1). This NOA shall not be valid after the expiration date stated below.The DLCO(in Miami Dada County)and/or the AW(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. if this product or material fails to perform in the accepted planner.the:manufacturer will incur the expense of such testing and the AH! may immediately revoke, modify,or suspend the use of such product or material within their jurisdiction. BCPRC reserves the right to revoke this acceptance. if it is determined by BCCO that this product or material faits to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the South Florida Building Code, 1994 Edition for Miami-Dade County or Florida Building Code. DESCRIPTION:Series"MPSHat"Aluminum Slagle Rung Window—Impact Resistant APPROVAL DOCUMENT: Drawing No-%Vpt-81.titled:Series"�iPSN-4I"Aluminum Single Hung { Window,sheets 1 through 6.prepared by Al-Farooq Corporation,dated 1.7.126!01,with revision A dated 03/12/02, signed and scaled by Humayoun Farooq,P.E.bearing the Miami-Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small MISS&Impact Resistant LABELING: Each unit shall bear a permanent label with the manufacturces name or logo,city,state and following statement:"Miami-Dade County Product Control Approved",unions otherwise noted herein. RENENVAL of tE:is NOA shall be considered after a renewal application has been fled and there has been no change in the applicable building code negatively affecting the performance of this product. TER,NIINATION of this NOA will occur atter the expiration date or if there has been a revision or change in the materials,use,ane'/or manufactwe of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shalt automatically terminate this NOA.Failure to comply with any section of this NOA shall bt:cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Mismi-Dade County, Florida,and followed by the expiration date may be displayed in advertising literature. if any portion of the NOA is displayed,then it shall' be done in its entirety. INSPECTION:A copy of this attire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Bui!ding Official. This consists of 6--ts page 1 as well as approval document mentioned above, _ The subrrlitteld dorumcntatiou was reviewed by Maquet Perez,P.E. 'NDA No 024123.06 " Expiration Data: March 14.2007 MOM APPfwmt Date:Wrch 14,2042 rage l FROM 90435000.651. TO 7/26/02 1 :50 PM Page 2 m - . m r O 5 m � z N O : m Lll CJt O r O O LO �. m • re Suety OAtALAT[dt ANEMOk :; 4" (ALLK ICrGrtO -0� vpii00ir Nl1 1T f4MtIV43 ,�,- W 1'MDL ERKII�[NT vmIlw fW wow* LT ml"OR u4-t44i. - 6 CHART CUL. WP4001P Y UP TO 70r1r TMv4TIS1t p 1 ae rir m E S f► i�o[ 6 S17F WE HEAD SELL t EA.JAMBS 07"M ' s 4 23 7(r 7 77 Ja ----T b 2mv 4 Y: 2036 23 vp r 55 tys 2 2 2 1044 14L 4T70M 2036 23 J,% A K 41 192 2 2 3 ` 2�05µ6 23�A x 59 2 2 3 s7r POW3: 2040 23 7A:77 t 7 E 2 1 Wma . 2070 23 7js a 13 t 1 2 2 4 3 4 4 9 f �w r 2 2 2 2430 27 We 3S 2436 21 vw k 41: 2 2 2 PG11MEtq F]tfEM@r r 2444 27 LA s St 2 2 3 CAULK Sv CMtR�[tt1 2450 27 PAs So t 2 2 3 OTttE11% 2440 27 rA x 71 2 9 Fp 7lYArK ywM ttrtR104 rzwss Z 4 FW FRAME 2470 21 rA t 13 . 2 + rEAOER 1r pT1ER5 10 27 PA k 9S PtRo E1tR CALLK 2 2 S£CTI©N 2 >a 1TrEr: 4630 31�jL s 35 2 2 2 .2636 31 7w r 43: 2 2 3 ErTEMiOv Z 2144 11 rA M 51 2 2 2 tAMW vR4mv `^. C• 2450 31 rA x 611 ttr 2 7 4 vl3Tr 2860 31 PA S 71 2 2 4 I c- =70 31 31 rn k 15 u 2 2 4 r .A5 SJ4 x 27 3030 35 rn a 3S 2 2 2 %ILL STML 3036 35 rw x 43 2 2 3 1T am-eft e 3044 M rw r 51 u 2 2 3 IIx FRAY .. 304035 0 ,w ?i 2 2 3 4i L t4.T Spa 2 2 4 MRL cTria - 3070 35 r,4:63 � 2 2 4 e � 7 , 9 7A M , CAUL R 2 CW ALT 343D 3P via k 35, 3 3 2 � v11t4D5A 39 MC14NT a LL�rCrfJtL 3444 %rw k 51 3 3 3 � e / 5440 39 VA k 71 tAi 3 3 3 V4'atr 3440 31 vA k 71 tnj 3 3 4 sPMCt 3470 39 vis M/3 3 3 4 «Tim i1♦ 4 3'j.x 3 3 Z 6•MAX 7630 43 rn r 3S 3 2 crv►.' 3i3 vn 741 3 3 3 MIN IT N 7544 6♦4 43>w tt SI ,A 3 3 3 1T PLMESS At Orwn 3850 43 rpx 51 Vr 3 3 3 CMEP41Hs «�`= 3860 43 114 S 71 vt 3 3 4 3670 43 rn k 13 3 3 4r mu • SEC7IQN I 6'IMA.CTTPq allt 4030 47 ra A 26 V1 3 3 - 4035 477nt 37 �n 3 3 3 %j OH E,L,EV�47{4N 4044 47 PA x 45 Vr 3 3 -3 s}41443CA t71r11[MA1tRAL:AWIrM.N AILA7 4Rl7. 4 J rA r 51 rn 3 3 3 2)/0 VWALLATgM AM:W tLS KM K OF'St1A CXXT LM.rO 4050 47 via a 69 to 3 3 3 AOIM IMM.DA MIBIT OF 1'IMO FMU4"tt[tAER L� e' n EXTERIOR m=�. 4040 47 7nr 71 �A: 3 3 4 P)CE 741 scoco A41com 4'raw o RMM t 24'o.t. - VlE�Ea i R�.JM GXT£RIOf� - Y V { 4076 47 ms 63 rn' 3 3 4 LVJL (r S 1)CPA"1fMt0WWW FIM AT WM t JAM"TrfM Wd--S& 4 ♦ ACHMA CAL"ON A7PM AD ECL.AAPLIOOWN GF DUD-1x1 +430 S7 rA t S7 �A 3 3 Z A03 34E�f C1WLM IRIMT CCMPL7 O fx SFAWT u"WACUAMM 6430 cS 51 rw x 4 3�n 3 3 2 g LAW UM TAMS.M W UM FM W U T�K A!ql- E0mo**M4AWXL LTD. 4444 it LIY U0E1L F m dt of WHOM MOA PflILAETER 1tAt AA01M�0 OjAt R7q� a?Lr L!T!>4 (A 5t rn k S1 yr 3 3 3 tAttr10A OF trip0�h°illtlfi _ ....� 7 A450 51 rn s 51 to 3 3 3 SJ W EMACr YA WW 92E tt AOL LWW r1 MOW CMAMf,LIU �� 460 St rA x 71 A 3 3 4 AMCMOt QFMOFT 11WID MFDt WO L ALCM SO. `�•v s u c.-• -`.-• TIOM DETAIL vMD FRAME EWEI4[MLi ^-• LNG VINDOV M40150 t M40/50HP 04470 51 *Ak 63 tq 3 3 4 sl fLhRO t1PE A10 1l4QMIE4S WT VARY PER 4t[ttlAJKYEN7% •�1Y. K�'._ 4486 51 vq k 15 �A 3 3 5 O.A541 E13M GLANS CKNtM SME MANIC 6 SMO M. ._ rt%LAR1114C GLAD%A Al"OKLYM IWSTIHE2 MI 1k106/O1 7}FAtIM PWACK6 MOM 0 FMt OW 00 MDS FMM1E . ..... We!LL,o1MM lrJlE6 x/1;rA1fAF1011 AFwtarM Am ott! 07/26/2002 10:b2 y04Jbb0bb1 K1NUU:Li.0 rr�ut c a Lab.Number 2015 April 16, 1998 Report Number 26 File Number 98-102 Page 2 of 3 L-2863 MATERIAL CHARACTERISTICS Hardware: [many, Desai tion Location spring and pulley balance one at each frame jamb adjustable spring loaded plastic hook lock one near each end of vent bottom rail plastic spring loaded tilt lock with metallic night lock one at each end of vent meeting rail metallic slide pin,slitlieg into plastic shoe at frame jambs one at each end of vent bottixe rail aluminum alIn 6063-Tti vent sto one at of each fraena'iamb Weepholes.- uanaty Drscri lion Location Three 1 %"long weep notch at intamediate sill flange,one at each end and one at midspan Four1 %"tart wee notch [at od rio r sill screen retainer,2"and 20 1/4"from each end Muntins:None Mullions:None Reinforcement:None SeAmts:Lower left frame corner was scaled with a clear colored sealant.Fixed meeting rail at each end on the interior was sealed with white colored sealant. Paris: One closed cell foam gasket at lower right frame career.One 1/4*by%'by 1•long cloud cell foam pad at each cnd of each fixed meeting rail,total of two per frame. Screen:Water resistance test performed with and withart fiberglass screen.Size of screen,501/4"by 38 318"high. Unit Instal iatlon:Units tested in 2 X 12 test bunk with a I X 3 pressure treated wood buck strip.installed with a single raw of No. 8 by 1 114P flat head sheet metal:screws at frame head and frame jambs.Approximate installation of screw spacing as follows;frame head,4%'from each end;framer jambs,from the bottom,V. 16 1/4", 171/4", 15 1/4", 1914' on centers. -product Markings:AAMA label in frame head. OFFICIAL TEST RESULTS Paragraph Number Title of Teat Measured Allowed 2.1.2 Air Infiltration Test:(ASTM E283-96) Passed at 1,57 psf 0.18 cfm/so1.ft.(1.00 cmh) 0,3(1.67)maximum Note; The tested specimen meets or exceeds the performance levels specified in specification reference for air infiltration. 2.1.3 Water Resistance Test:(ASTM 1;547-96/E331-96) Passed with and without screen.no leakage at 8.25(395 pa) 3,7.5(180)minimum ``ll 2.1.41 Uniform Structural Load Test: ASTM 5330-96 PassedU Exterior Load 82.5 psf(3950 pa) 37.5(1796) 'ni Interior Load 82.5 psf(3950 pa) 37.5(1796)m im> > Permanent Deformation 0.051 inches(1.30 mm) 0.199(5,06) 2.1.8 FR ee4apr tSAgTTest Tp Pim6/02 '1 : 0 PM Page 4 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233- Tet: 247-5828-Fax: 247-5877 ELECTRICAL PERMIT _ PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24621 Address: 1883 BEACH AVENUE Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: 35 Proposed Use: SINGLE FAMILY Lot(s):27 Block: 1 Section: Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date issued: 8/09/2002 Name: KIMMEL, STUART Total Fees: 25.00 ss: 1883 BEACH AVENUE Amount Paid: 25.00 _ LANTIC BEACH, FL 32233 Date Paid: 8/09/2002 P 0 -0000 Work Desc: RELOCAqjj§j�Sy TITCRE _ R R� � UT M , CONTRACT Ox - t ,, ON FEES _ UNITED ELECTRIC COMP, YOF 25.00 Aly ti F Kyr f St E NOTICE- INS CTIONS `'BE REQUESTED AT LEAST 24 HOU PRIOR T SPEGTION BUILDING MATERIAL, R , BISH AND 0 IS FROM.THIS WORK MUST E PLACED PUBLIC SPACE,AND MUST BE CLEARED UP A HAULE EITHER CONTRACT , , ` NER "FAILURE TO COMPLY W THE tI NS T10 ' 1 N'+ A SULT IN THE PROPERTY OWNER PAYING B I S" ISSUED ACCORDING TO APPROVED PLANS WH)C "I'tCYF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUI DING�DEPT - t, Sam Q too 49672 QLM CITY OF ATLANTIC BEACH, FLORIDA 'j-9 APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 2002 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. ELECTRICAL FIRM: TRICIAN SIGNATURE: e� C�eJr�-� � gMASTEREL ;; mMP OWNERS NA;"�� ' ADDRESS: I XY3 6ecic- '4,ve-RFD BOX_ BLDG. SIZE BETWEEN: RES.(h}'-�APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.(4)----- ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW INCREASE( REPAIR CONDUCTOR SIZE AMPS: COPPER( ALUM.( FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY I EXIST. SERV. SIZE � 0() AMPS ( PH 3 W VOLT )(/0RACEWAY CG,4/<_ FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMPS 1 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS I HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS C4h _r d _5 w-77 J rL p_ } UNDER 600V OVER 600V TRANSFORMERS: NO. IKVA NO. IKVA NO.NEON TRANSF. NO I VA I MA 7TOR SIZE I SWITCH I FLASHERS J EACH SIGN Updated 5/20/2002 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233 - Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24459 Address: 1883 BEACH AVENUE Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: 35 Proposed Use: SINGLE FAMILY Lot(s):27 Block: 1 Section: Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 7/17/2002 Name: KIMMEL, STUART Total Fees: 25.00 Address: 1883 BEACH AVENEU Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/17/2002 Phi Q),000-0000 Work Desc: REGROUND OF � . vV2 H, 240 VOLT CONTRACTOTION FEES AMERICAN ELECTRICAL CO 25.00 y s f f n tp $ � 4 MIN a a ,ft 4, ' e jp NOTICE INS ECT, t QUEST.EC�AT LEAST 24 I-i 1 IORrTO I PECTION BUILDING MATERIAL, I � Nf�if FROMTfS'WCFC;MUST,Nt7 B U?OEI tN Pt LIC SPACE, AND MUST BE CLEARED 61 L, "FAILURE TO COMPLY. ? E tT IN THE PROPERTY OWNER PAYIN # ISSUED ACCORDING TO APPROVED PLA AR„ A RMI AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS O " ff W =Now Mck am Llli I Wlis ATLAN IC BEACH BUILDING D '1 M ice: 7/16/12 Tim: 16."WX Building Department 904-247-5805 p. 1 CITY OF ATLANTIC BEACH, FLORIDA E .pp. � APPLICATION! FOR ELECTRICAL PERMIT '71/ V TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �=E�c 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 FART HEREOF,AND IN-ACCORDANCE WITH'THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. _ELECTRICAL FIRM- MASTER -� I ELECTRICIANSIGNATURE JOURNEYMA TUOr+ CI6 JNAMrRFD-BOX BLDG.SIZE BETWEEN: RES.(X) AFT.( ) COMM.( ► PUBLIC l ) INDUS.( 1 NEW( I OLD( I REIN.{ i ADDITION{ ? TRAILER( TEMP.{ I SIGNS ( ? SCL FT. SERVICE: NEW( I INCREASE( I REPAIR( ? FEE CONDUCTOR SIZE AMPS COPPER( ALUM,{ I SWITCH OR BREAKER AMPS PH W I VOLT RACEWAY EXIST.SERV.SIZE 366 AMPS PH W VOLT 19fO, RACEWAY FEEDERS NO, SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 3t-100 AMPS. SW ITCHES INCANDESCENT FLUORESCENT&M.V. F'IJCEI7 0.100 AM". OVttt APPLIANCES 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. I H.P. VOLTAGE PHS MISCELLAAIEOUS ' TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA I NO. KVA NO.NEON TRANSF, NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN. FORWARDED s TOTAL FEES CITY OF ATLANTIC BEACH i DEPARTMENT OF BUILDING j aW SEmIb4OLE ROAM-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5B77 i PERlilll�tNORMATION -- LOCATION INFORMATION rPertnit Number: 2A6 Address: 1883 BEACH AVENUE Permit Type: SCREEN ENCLOSURE , ATLANTIC BEACH, FL 32233 f Class of Work: NE1A! f Township- Ranke: Book: 35 Proposed Use: SINGLE FAMILY Lot{s):27 Block: I Section: Square Feet_ Subdivision: NORTH ATLANTIC BEACH Est Value: Parcel Number: _ } Improv. Cost: 6,500.00 �Y OWNER INFORMATION Date Issued: 11/1012000 ! Name: KIMMEL, STUART Total Fees: 63.00 Address: 1883 BEACH AVENEU Amount Paid: 68-00 ; ATLANTIC BEACH, FL 32233 ' Date Paid: 11/10/2000 Phone: (000)000-0000 Work Desc: SCREENED ENCLC3SURE CONTRACTOR(S) _— --� APPLICATION_FEES FLORIDA GEORGIA CONTRACTORS,INC. j PERMIT 68.00 I I t I r 1 Inactions Required FOOTING FINAL BUILDING I ------------- 1 NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORD 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 IMPROVEM€NTS1' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND,SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Ji i 't `f I 168.89 i+i r CKU 811/1 199 9E Receipt: 91110916 - AT TIC BEACHUILDIN EPT. _ 99198821899 CITY OF ATLANTIC BEACH PERMIT CA/L�CULATION SHEET Address l "YR 5 i3 c A o (J F— 2 C►-1 Date 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 : $ 6 ®Q 00 Tot Valuation 1st $ 100 to li © _ rz C1 rd 0 $ Remaining Value $ .co per thousand a portion thereof TOTAL BUILDING FEE $ ,b + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ .� WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $_ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: Q Notice of Commencement State of Florida Count of L�'�..�L Doc# 2000256614 y Book: 9791 Page: 1106 The undersigned hereby informs all concerned that improvements will be Filed & Recorded made to certain real property, and in accordance with Section 713-13 of 11/03/2000 12:45:59 PM 14 the Florida Statutes Revised 10-1-96 the followinginformation is HENRY W COOK provided: ( ), DUVAL COUNTY IRCUIT COURT r4 � TRUST FUND t 1.00 Cl Legal Description of Property: (1 LAC r CL, RECORDING 5.00 General Description of Improvements: �"X. ( `_�(' arimQA r1 CTI Owner's Name: �J C �. -Y\- " ry-, Ci Q Address: City: l�t✓1(� c' �]QCt.0 �� Zipcode: , Owner's Interest in Property: 100% Fee Simple Title holder(if other than Owner): Name: N/A Address: Contractor: Florida-Georgia Contractors, Inc. 1143 3 Saints Road Jacksonville,Florida 32246 Telephone: (9 4 641-7010 Fax: 904 ) 642-9156 Surety: Not Applicable Lender's Name and Address: Not Applicable Persons within the State of Florida designated by the Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: Name: None Address: Telephone: (____) Fax(`) In addition to himself, owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: Name: _Nnna Address: Telephone: (^� Fax(_) Unless otherwise noted in this paragraph the expiration date of this Notice of Commencement shall be one(1) calendar year from the date of recording: Y MARY AW CHRISTIAN FEI ,"" , OwnersName(Prin r , / 2/Yl e;. MY COMMISSION#CC 912964EXPIRES:March 13,2004Bonded Thru Plchard Insurance Agen W, �r Signature: a Sworn to and subscribed before ne t ' ��ay of +2000 Notary Public: J,& This document prepared by:Florida-Getrrgia Contractors, 11433 ints Road,Jacksonville,Florida 32246 RECEIVED CITY OF ATLANTIC BEACHr) t� 2000 PERMIT APPLICATION REMODEL, ADDITIONS, OR AN� ATIO S MOVING DEMOLITIONS City of Atiantic each f � , pjlildin� � Zoning ning Owner(s) : ��7 L�(LI,i�T i Address:—/k,! 3 6=La2,Z J 4e —Phone:- �7% - -?/ "7/ Lot #-- Block or Unit # C� Subdivision: Al- A416LiJ1 1, Pyw,/ Contractor: Fl--6e�ol ,�f�T [rr�lTTTi, State License Address: �� SLiar1; / Phone No: �pL � -ZeA�7 City zzei, ewU/lle State �( Zip Code Z Describe work to be done: Present use of building: no Valuation of Proposed Construction: L5 00, Proposed use: Is this an addition? If yes, what are the dimensions of the added space: _ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? �,� New fireplace? /V New Heat/AC? /U SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: d O Signature CONTRACTOR: t-.. Date: 0 Sworn to and subscribed before me this C day of ,, MARY ANNE CHRUM MY COMMISSION#CC 912984 EXPIRES:March 13,2004 NOTARY P LIC STATE OF- E ORI A AT LARGE Rf,' 80M1ed Thdr Pkherd Wurame agency HOMEOWNER ENCLOSURE AFFIDAVIT The purpose of this document is to make you aware of any limitations in the enclosure that is being permitted. Type A: An enclosure with glass windows,insulated walls, with or without ' heat/air conditioning is considered an addition by the code. This type enclosure has certain structural requirements,requires footings and has certain electrical requirements. EXCEPTION: In a retrofit of a type B enclosure,with glasstacrylic windows, footings will not be required,provided both panes are easily removable (XX sliders). The exterior must have at least 50%of its exposure made up of removable panels. NOTE: Glass/Acrylic windows with OX of XO configuration must meet all of Type A enclosure standards. Type B: A screen enclosure or an enclosure with vinyl windows, is not considered an addition,and has different structural and electrical requirements. If you are installing a Type B enclosure,it may be difficult to later retrofit to Type A. I jS4-t a a jj :E'�v-nyx\-A-� (ho eowner)have read the above,and am aware I am installing a Type A B (check one)enclosure. I understand that according to the current City Building Code to have an enclosure with glass/acrylic windows consisting of one(1)fixed pane and one(1)moving pane(OX or XO)that the enclosure is determined to be an addition and needs to meet with all the requirements of the Type A enclosure. An enclosure that has windows in which both panes operate (XX) and are easily removable is not considered an addition. The addition of(XX) sliders requires that the enclosure meet the electrical and footing standards of the Type B enclosure while meeting the structural requirements of the Type A enclosure. If I chose glass or vinyl slider windows consisting of two(2)XX sliding panels, I understand that the City does not consider this room to be an addition,but a screen enclosure. I understand that I am responsible for the removal of the glass/acrylic(XX) sliders or vinyl windows in the event of severe weather. In the event of severe weather this enclosure(with XX sliders or vinyl windows)is considered a screen enclosure and must have the panes emoved eet that qualification. l Signature VDate / ( U 0 Address: Y Notary Dated�O 0 My Commission xpires: MARY ANNE CHRISTIAN MY COMMISSION#CC 912984 � f'XPIRES:March 13,2004 iordsd Thru Pichard Insurance Agency t � ` '- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026569 Date 9/12/03 Property Address . . . . . . 1883 BEACH AVE Tenant nbr, name . . . . . . INTERIOR RENOVATION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . TO BE UPDATED Application valuation . . . . 89200 Owner Contractor - --- ----- - ------- -- - -- -- ------- ---------------- - KIMMEL, DR. STEWART AURORA CUSTOM HOMES 1883 BEACH AVENUE P.O . BOX 329 ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32004 (904) 246-5400 ---------- ------ ------------------------------- ----------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Sub Contractor . . OCEAN STATE HEAT & AIR Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 f ; 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 c � r, CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION r� 1 Date: Dq' Z-053 Owner of Property: Dr- L� Y�'liM 2I 'B-4�S C1 C-n( - Job Address: 116,63 BQ auk l 7 Ve h U Contractor: QC .n Sk-Lg MDQ Qfc UC* CQ 110oqCj310 In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. III. GENERAL INFORMATION 4 Tof heating fuel: B. ff Electric IS OTHER CONSTRUCTI N B G DONE ON THIS ❑ Gas: _LP _NaturalCentral Utility BUILDING OR SITE? f! ❑ Oil ❑ Other—Specify IF YES,GIVE NUMBEROEO CTION PERMIT IV. MECHANICAL EQUIPMENT TO BE �YATURE OF WORK INSTALLED W Residential or Commercial ❑ New Building ovide complete list of components opback of this form) p"' Existing Building eat _Space _Recessed Central Floor [gam Replacement of existing system Air Conditioning: Room entral ❑ New Installation(No system previously installed) lDuct System: Materiald r Thickness y Extension or add-on to existing system ❑ Maximum capacity -2 U-:Q cfm Other-Specify RP lcuj Q 1 Cl Refrigeration ❑ Cooling tower: Capacity eDm Ali( 1er Sbpvt¢ [e } to )L ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift_Escalator (Number) ❑ Gasoline pumps (Number) (Received) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel Permit Approved b ❑ Boilers pP y Date ❑ Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving (Tons) Agency HEATING—FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving (BTU) A enc r TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800•Fax:(904)247-5845• httn://Www.cLatiantic-beach.fl.us 1/14/03 B, SOUTHS+OC AL UCiRtRT $E RviC E. MAP SHOWING SURVEY OF : TWE 5OUTW 7= OF LUT 45 ,NORTq ATLANTIC gEAC14- ULnT WE Z 2•C-g-S CORPORATION (1861, r3HACN AVENUE) according to plat recorded in Plot Book_15 , Page 51 of the current public records of r2UVAL Counly,Florida. Examination of Flood Hazard Boundury Map, Community. No. I2yo-I , Panel 02Asj 0 dated 12 - IS• 6`3 , Indicaft that the property shown and described hereon lies within a Zone C •3 A 10 4 V12 area. ATLANTIC OCEAN ApF'2JxIMA1E DAILY \ WIGU WATER LINE �1 Q L 4L v WOOD Q� m F v yt^laor+ YII IQAN r Z5 o51F NY-� !IUB f1o4B .-25 o6�F~� ATE LOCAY IoN Or'y=4aoW \ APP20K1N rIU4B ( p E2051oN CtlNT/LDL LINE oG.59 R e9A•vs) ` q>� q'(cnl 14,046 /f 10 _KO �AV DROXIMATE WCSTIpN OF CUA'ITAL COWSTRUGTIUN Y'('I40N / e .wfJ - •r�wc 1 5ET 0AC11- LINE f(O+Q C K'worry�/ Z 4-7 tvu J •'�JTIr TI''�t— — I, Ce NcnflG <�w<�• A p IR SIC 60�CH ASIA oFF�cB `�t 1 tis CtYo4NG / — SLS-,C' o —5( lSTini�. �Z- ON ,l,pou�vJ� I I APPROVED j CITY OF ATLANTIC BEACH BUILDING OFFICE k� FEB 2 1 98 Bx -L LA �B) Or72 51X5/ L�F�FT- i.V C.Poun(j s'�T OWNER BUILDER PERMIT AFFIDAVIT State of Florida ) City of Atlantic Beach ) BEFORE ME, the undersigned authority, personally appeared _, who upon first being duly sworn, depose and say . _ _ _ -----------------, and the legal owne the following roperty: SubdivisionBZ�'S1i� Block _ _ Lots _!� S'____------ AKA __/2a��-4zg- ------------------ I am applying for a building permit pursuant to the Owner Builder exemption set forth in Florida Statute, Section 485. 103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25, 000. 00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. P operty Owner Sworn to and subscribed beforea 7w this c;?c? _ __ day Id LilE LL v Q Ys"ItDN '2S aK�c H) 2S US0+s CFnI—� APPROKIHATE LOCA�IoN OF ♦1048 InoN \ Qo51UN wNTf,9 LINEg E ) FC,,59 L 59 A- rlog9 � ; •\ti ^ tae 35 u' hl ?I F u. W ^ M .t Yt i¢ou _ "7E I,UCA, OF +� ),F - Y4"iRDu cNl pRO 7 'Pp %IPgP D+/ l/ CUAll CouS Y 104e SET RACK LIn1E ---Y•t'IRAN / e J i "ui 1 � _.— --_--- --'-- •1048 l a'woon-� � aur t t oa. g' i '� k9� ,r U to•w6:, Y.. � t i t 94907 { ly44`�rL C .c Rele I ko o, ,a�• � ha �a € 4�"�'"�Tz z fun snmY i F) I `!T < RESIDENCE DUPLEX • 1683 � ,� � '" , r7 Y ry H t! LAE Y `i I ,+ J T �o�t�t Ite o�..aa o � T��to-' '� •'34 � � v��c� '#*«•>� 14. 1[' K• uwtt2Tf '� ,iif) lIN) •t 2Utl.24� ��'AT�i F.1•,1.� N a�z•q� / `° FC - 92 Yt IRoN �25.o4'(oM)J`:25.o2'tc.n.)�'•waa �,w r.; � :,'•� •lo+a al�M =g .° q0 o(n mat � PSE /AGN AVE N U E �'W, AC44 loan) (F02MER�Y GA(LAGE APP20 ; } tp CLARK & SON , LAND SURVEYORS- 2686 5`( OFIN JS BLUFF RD.-JACKSONVI e r S O AND E2UyloN CC-)WTIZUL SOUTH NORZN Yi of Lo'r 45 LEGEND THIS IS TO CERTIFY to..E'— SEo MP( 23 ,1°)88 m E MCNUMEtff this mop is o true roprosontafioyn� of an octlu p4 t�uE SEG ,pik �� aT �� if a1�„oi�E a BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -Applicant to complete all items in sections I, II, III, and IV. 1• /J� LOCATION Street Address:__._ __� ______ *G t ✓ OF Intersecting Streets: Between -- And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve 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 fhe City of Jacksonville ordinances and standards of good practice listed therein. Name of MechanicalIno., 1 Contractors // ✓�j C Contractor (Print) ` T ` Master Name of Pro perfy Owner � Signature of Owner Signature of or Authorized Agent Architect or Engineer III. GENERAL IN ATION A' Type of heating Wel: B• IS OTHER CONSTRUCTION BEING DONE ON C3Electric THIS BUILDING OR SITE? //nC ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) P Residential or ❑ Commercial ❑ Heat ❑ Space ❑ Recessed O Central O Floor ❑ New Building i"t Conditioning: ❑ Room [T—Central e�-x�isting Building ❑ Duct System: Meferfal Thickne•• L.I Replacement of existing system Maximum capacity e.f.m. ❑ New Installation(No system previously installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Capacity q.p.m. E) Other— Specify ❑ Fin sprinklers: Number of heed. ❑ Elevator ❑ Monlift ❑ Escalstor (number) THIS SPACE POR OFFICE USE ONLY ❑ Gasoline pumps (number) ❑ Tanks (number) Remarks 13 LPG Conte;"*K (number) ❑ Unfired pressure vessel E3 Boilers Permit Approved by Date- -- b Other —• Specify Permit Fe• LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Unita Description Model Number Manufacturer jy w t� s%9 O �1 - CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMI' INFORWKTION LOCATION WFORMATION Permit Number: 19252 Address: 1883 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: OWNIER INFORMATION` Date Issued: 11/29/1999 Name: KIMBLE Total Fees: 27.00 Address: 1883 BEACH AVENUE Amount Paid: 27.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 11/29/1999 Phone: (904)725-4402 Work Desc: REPLACE CONDENSER CON; RA :' R S:• � �-� � �PF� 4 NFEI=S ARLINGTON AIR CONDITIONING PERMIT 27.00 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. $27.00 14 ATLANTIC BEACH BUl DING DEPT. CHECKS 11138193 01 Receipt: `dfl1508926 I{Ecrs �J01098e133ir t thlilA f. u ., t ARTMENT OF BUILDING -Y OF ATLANTIC BEACH > . . LOCATION I"FORNATION ,.. �.�. `�x�l� � � ? f� �� Addar�tea►a 1�-s3SEliCN AVENUE Nom; ATLANTIC R ACHE F' ORII?A ,* �CRIPTIOMP it tp .a w X*** C7rl�:tlct k 8I 14 �ars its A To mob 10 I2tIR�s O . yew fey iii .L4 isi �xy,w st l A � Ne l ac I *, t4cK PER P LANO APPLICATION FENS MATER .X!'IIk 4CT FEE { 0tt . �t "Ar✓ «Av to �, 'R". x f" ,'w{'�,„'"�..;,,�,�. '� w�,sYe.�4�g A�J�G�� 3X r�♦ "" +y, „x ro k�.,. Tio. w 9P M RADON GAS /�0 i. wK f4W.5M(w.}ti 4 Y^j Flys p WATER /A P tti.OO sNy�ybR�►�ytULI1C SHARE Ri E00 ,tMOD, OTHER *0 iDr�[ t> i I RCS 3O+CI C y � NOTES n tic" TL T146j2 14 1r c.c. 90 fA S y #90c 071 ASD FOOTINGS MUST BE INSPECTED BEFORE POURING �hITIID SIX MONTHS AFTER MATE OF ISSUE F 'BUILDING MATERIAL,FtU ISS # i5 FROM THIS WORK Mt?ST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE a CLEARED UR ANTRAGTOR OR OWNER. 64FA LURI rt -THE MECHANICS' LIEN LAW CAN RESULT IN " SHE RRC �E;t � s NG "VICE FL7R3UILING IMPROVEMENTS." ISSUED ACCOA0IN ` #. t8 WHICH ARE PART OF THIS PERMIT AND SUBJECT TO 13E CATIONFOR s VIOLATI.QION OF,AfiI�LIGA .Iw�,� �OF�.AW. ATLANTIC H BU ) Jcltzess G _per sq f ,, r_.. ort/'orch _— --- -- $ _ per sq E_ - -- -- xct $ � -per sq ft = $ — �---- F�a.t sq ft = —__ — OU Re2n,"31nder VTalu ati..a1 r6per thousa ld o 1�OY t1C)i7ticrcL ov ----------------------------------------------I---- Total " ldi L ?1 ��I'iT �_n�/or I sS R�,'r�r<�r� ,_ ; $ - -- — -- -- I i lin- Fee — — i F places @ 15.00 $ 3U �� PEPu iL C r EE, S ------- ---------------------.- iJe_'_ ---- -- ----- r S L etlln q Poo — -- K(-n i,YL R : TACT FEE ----- ?'iISCEIIA ECUS v"a ter Corsvo�ction -- Se�.acL C'l:tATti7 lcriAl, LUL Y k NT CITY OF ATU0.NTIC CH .: ERI4 INFORMATION 1,01iF4RIATIOt ... _,.� e .t Nu102 dres . x883H A- IAVRRIPR r � ; t ''i' oe i 14ECHAN I CAI+ 1�TLANT� 81 ACH �'Lt�]R ISA322,33 LEGA DESCRIPTION ' 1 ass of Work:ALTERATION ; 0 Oanst'r; Type T OQD PRA149 fat Pro +d t o 0 Subd:0 R g: 0 p Est:. Value; 0@QQ 1 Prov. Cost: Tots 3 .00 A"unt .00 DTXR ;L�:��- APPLICATION 33.00 OR 1, 2 Addr ''J'ACl ONV I L FL 12'246 I�1 C: ► Exp`: ! / T t3otgs. „X rt t ItoES`tEl kT HSR$ PRIM,TO 119 1flN s r �� m r � icSPACE, >WkST88 fi 00"LT, WC 71,11,77 Sc AN F : ,x> TQwl;H'i4t .P "1 CIS T13 �ttH 1'' 1�It? II .rT Tfti�NNCiA`fit �_ } . Icy: RAI { BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC EIEACN ATLANTIC BEACH. FLORIDA 32203 APPLICATION FOR MECHANICAL- PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, 11. 111. and IV. 1 � LOCATION Street Address: —L�1—� s:? Of Intersecting S1reeN: between o's G1 And MILDING Sub•flirition II. IDENTIFICATION — To be completed by al! applicants In consideretion of permit given for doing the work as described in the abcve statement we •• hereby agree to pe•fcn said .+o•1 .nh the attached plans and specifications which area part hereof and in accordance wifh the City of Jackson-l's ord--ekes a^a oa-.e•ct of good precnco listed therein. Nana of Mechanical / ConNactort ` Ceesraclr (Priaf) r / ti t,,-1 Lti� v Master Name of Property Owner 4^ s4asture of Owner signature of or AwAorhad Agent Architect or Engineer III. GENERAL INFO TION A. Trp!,p4 bating fool: e' IS OTHER CONSTRUCTION RE ONE ON Electric THIS BUILDING OR SITE?. A5 ❑ Gat—❑ LF ❑ Natural E3Central Utility ' IF YES, GIVE NUtA.ER Of CONSTRUCTION ❑ 00 PERMIT O Otter — Specify IV. MIfCKANK:AL EOUIPM04T TO iE INSTA14E9 NATURE OF WORK (►rewido cornpiote East of compo-sh en beck of this forts) LSI Residential or (1 Commercial 0/Heat O Space 13Rocassed �"/ onal O Rea D /New Building Air Coneld;orting: ❑ Roots (a"CenMl aV EExlstinp Building ; ❑ Dect Syetom: Msteriet TMc W Replacement Of existing system Masimt" capacity ❑ New Installation(No system previously installed) C1 Extension or add-on to existing system D R�~� ❑ Other --� Specify ❑ �ia9 lower: Capacity V,P s. Q Fire spr+nkion: Number of heads —_ Irj Eiewwr O Msalih O EkAlator ItNlmb«) THIS SPACE FOR OFFICE USE ONLY O Geact-pump --(samber) (Rocoiwd) ❑ To&iL (aumbw) Retearks ❑ U amd pro"re vs>teel ❑ jeErn Formit Approved by Dat. Q 0^01, — Specify Permit Fe- Li13T ALL EQUIPMENT ADR CONDITIONING AND REFRIGERATION EQUIPMENT Calf it untw Valla Deecrlpuoa MO&I Number Manufacblkrer M= A t r ell 4, . 71 DEPARTMM?OF BUtLpINt3 CITY OF ATLANTIC BEACH _ ..,.. PIT INFORMATION ®CAION INFORMATION --------- z ZTrI vtxmbe r; 7143 A sire $ -. ,,1883 BEACH AVENUE 'ermit, Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 1 ,°.r,, .Warks ALTERATION --.... » LEGAL DESCRIPTION -- _- rwrritr: Type s W4Cb FRAME L t. ~ Black: Sotic►n� rap .04Use: S INOLE FAMILYTownsh p. RN(;: 0 ngI code: 0- S'. baa v a si on 'imt 'Va1 .00 '`I mProv $0 .00 Total. $39.00: y} Des nser and( Y TION APPLICATION FEE dre A A NUR d" . E H, PLORI A 3 23 �SE"NEfi IMPACT PEE �N$0 , 0 n, 'Phone, { 4 Y' ,MATER METER $0.00 _"- T RADON GAS-H.R.S. $0.00 N�4 t ARLING IR CONDITIONING WATER TAP $0.60 ddr X30 U SITX BOULEVARD N. ZR TAP 5t0 x FL '3_ 11 HYDRAULIC SHARE tNOTEsVo fil0"t1C4- ALL CONCRETE FORMS AAID FOOTINGS MUST BE INS PECTI�D BEFORE POURING PERMIT VOD SIX MONTHS AFTER DATE Dk ISSUE 0UILDI.NG MATERIAL,RUBBISH AND DEQRIS FROM THt$WORK MUST N+OT.BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP';,AIND HAULED AWAY BY EITHER CONTRACTOR OR&J NEI R i F 1 ` Pi #t�URE TO COMPLY ITH THE �AECHANtCS° LIEN LAW CAN RESULT #N ' " P' TY WNER, PAY NG TW# E � �"��#�.#3�N(� #�APRaVEM�NTS." l Stfl*13 ACCORDING TQ APPROVED PLANS WHICH ARE PART OF.THIS PERMIT AND SUBJECT TO Rt IMC �LATfiON aF APPLICABLE PROW ICON$of LAW. �� ' .a► e4tLANTI6BEACH BUILDING DEPARTMIENT }PT Klim oggIt3 .#I{+ 4 k F 2 k �•r r Orr 1} d #' BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82288 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. 1. LOCATION Street Address: 4; OC-11L.C4 lel4lze OF Infe►seefing Streets: Between_ And BUILDING Sub-division II. 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 Contractors Contractor (Print) Ar ' Master Name of t IT Property Owner CQ S1� l Signature of Owner Signature of or Authorised Agent Architect or Engineer III. GENERAL INFO ION A, Type of heating fuel: S. IS OTHER CONSTRUCTION uBEING��ON ric THIS BUILDING OR SITE? 6 ❑ Soo—❑ LP ❑ Natural ❑ Central Utility IF VES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this/form) &----Residential or El Commercial /H'eat ❑ Space ❑ Recessed Ef" _C nfrel O Boor LJ New Building � sir Conditioning: ❑ Room 43--Zenfrel i—/Existing Building (3 Duct System: Material Thickness I Replacement of existing system Mealmum capacity c.f.m. ❑ New installation(No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Capacity 9.pm. ❑ Other — Specify ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Monliff ❑ Escalates (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (fid) Q Tonle (number) Remarks E3LP6 contains,es (number) ❑ Unfired pressure vessel ❑ Boilers Penni► Approved by Dam Q Ofher — Specify Permit Fie, LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Caftaf ty royllng Number Units Description ))model Number Manufacturer (W=—) A o► ir L77 y A P P L I C A T I O If F O R B U I L D I If O P E R M I T ® CITY OF 11CRev REQUIRED SUBMITTALSDEQ 2 9r) 716OCFAN BOULEVARD Each application for bui !Wesyand P.O.BOX 26 permit will be accomp ATLANTICBF,ACII,FLORIDA32233 two complete sets of plans, includoning TELEI'IIONE(9041249.2396 a detailed site plan indicating location of utilities, parking, size of yards and other pertinent data= one set of Florida Energy Efficiency Code sheets= recent survey ton new construction) SCHEDULE OF IIISPECTION Requests for inspections will be accepted from 8x00 AH until 4r3o PH. All inspections will be made the following working clay. 1. rooting 2. Rou4l11 Plumbing/Sewer CALL III WITH PERIIIT 3. Slab NUMBER FOR EACH TRADE 4. Fi amirny, Rough Electric, Mechanical, Top Out Plumbing S. Insulation G. Final Inspection/Issuance of Certificate of Occupancy ------------------------------------ BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE RADE Pour no concrete or cover any work until , building card is SIGNED by 'the inspector. You will be required to uncover any work that has not been inspected. `Y *10 fee is required for all re-inspections. +.tiw_ LII tI vl- PROFE'RTY DESCRIPTION wz'�'arttCC t CciCl — TC07ctl�A r14 L '` 7111 DUAN 11f)ULEVARU Cot N___ 7� _Block Section +� P.0.110X25 _--_- ATLANTIC IIEACII,FLURIDA 32233 n T1sLF,l'lIONF 1904)249.2395 Subdi.vini`o'n]__� �_ 7 _ f4�/E� Do2o Street Name ` _- DESCRIPTIONl OF WORK or Addresst ` If in a FLOOD HAZARD Flood Zones _area complete page 3. Brief 77-7-> ___ ________ Dearcriptions « o'_P _ Claw of Works (How/Remodel/Addition) __ fcf ZONING INFORMATION 'type of ConstructionsCF -------- Zoning _______Zoning Proposed Districts Uses Estimated Value 9 Exceptions or Materials ✓ i� � Sfe/�� 'z� _�✓�"✓� Vwrinncary Orotttfrdt_________________________ Solid or ------------------------------------------- Filled Grounds RooEs__ OWIIER 111FORMATION / Hethod of Ilr.atings___-_______ Property Owner l aMi��'f�l(_ 1 .��?)---____ _...._ Phone s -,.'If 7 7 / a---- Moiling r Addresla_ / cPr _ i'C'/ fs / t/U ___--------------- L=---------------- zips CONTRACTOR 111FORHATION Contractors-------_��j1[�/VSA L,!__ r / .;.✓ ",..,_.,,,,,---^^-_ Phonesj ' Hailing r f Address'__1 ----=� -�-- = _-_ ✓ i�� _-_-----z---__ _ TC_�_•� ;' = <^,tf _ �-----.• ---_- Zip s -r- -^- Expiration r - Licen©e Numbers - Dates -• ---------------- ---------_ I NERERY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND Know T11E SAME TO nE- TnUE Alin COnnECT. ALL rROVIS10n9 OF THE LAWS AND ORDINANCES GOVERNING THIS TYrE OF WORK WILL rtE CoMrLIEO WIT11, WIIFTIIFR, SPECIFIED HEREIN on NOT. THE GRANTING OF A PERMIT DOES fiat rRE3UMF. To '`� t tr• GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE On LOCAL nULE!,, '1 RF.OULATIONS, OnDINANCF.S, OR LAWS I14 ANY MAIIHER, INCLUDIII13 THE OoVF,RHINO OF C014STRUCTION OR TIIE PERFORMANCE OF CONSTRUCTION GFTII£ rR ECT. I UNDERSTAND THAT THE ISSUANCE OF TII15 renM1T 15 �• t Ir'A+sr CONTIHOENT UPON TIIE AROVE IIIFORMATIO BEING TRUE AND CORRECT AND THAT THE PLANS AND SUrroRTINO DATA HAVE BEEN OR SHALL BE PROVIDED A REQUI D. Owner Signature N Date_�� g_ Contractor Signature Date f 1 FLOODPLAI11 DEVELOPMENT INFORHATIO14 Type of Development:• J�;e7-/`°_Z2 Flood Zones Required Lowest Floor Elevations,,,______________ If building is located within a flood hazard zone, a survey must be made AFTER VIE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION in equal to or above the base flood elevation antablished :(or,, 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. COMMITS: Applicant Acknowledgements 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 an required. I agree to comply with all applicable proviniolin of Ordinance Ho. 25-7-11 and all other lawn or ordinances affecting the proposed development Date_2A U /�U Applicant's Signature r -- -------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As __-________As Built Lowest Floor Elevation _____ ..---------- SSurvey Filed with Building Department _ ________ - Building Department Representative page 3 �