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Permit 1931 1933 1935 Beach Ave +Ly- .. CITY OF ATLANTIC BEACH *' 800 SEMINOLE ROAD J =�' ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 ~, r ., i'19 Application Number . . . . . 09-00000367 Date 3/19/09 Property Address . . . . . . 1931 BEACH AVE Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------------------- Application desc 1 250 1pg ------------------------------------------------------------ Owner Contractor ------------------------ ------------------------ LEE FLORIDA PROPANE PARTNERS DBA:GRIFFIS GAS & MACK GAS ATLANTIC BEACH FL 32233 115 B SOLANO RD PONTE VEDRA BCH FL 32082 (904) 543-4343 ------------------------------------------------------ Permit MECHANICAL GAS PIPE PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/15/09 ------------------------------------------------------------------ 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. CITY OF ATLANTIC BEACH I I I -,I -I k" 09- 'td� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 p OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTCC OAB.US L�alsr� MECHANICAL PE RMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2 IS THIS A`SU8 PERMIT:' 3.DATE: ❑NO YES PERMIT#:09-00000 PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: MECHANICAL CONTRACTOR: 7.NAME 0 MOMPAN�,,, 8.ADDRESS.: 9.STATE OF FLORI ICENSEN : 10. ELL PHO N 11.FAX NO.: a 12.EMAIL ADDRESS: 13.OFFIC PHONE: 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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 mmenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at ag r work is comm d. CONTRACTORS SIG URE: 15.CLASS OF WORK: 16'BUILDING: 17.SERVICE: 18.CURRENT CODE: NO NEW INSTALLATION UD NEW RESIDENTIAL 11'06 FLORIDA BUILDING CODE- ❑REPLACEMENT OF EXISTING SYSTEM ❑EXISTING ❑COMMERCIAL MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR ❑OTHER MECHANICAL EQUIPMENT TO BE INSTALLED; " 19.HEAT: ❑SPACE ❑ RECESSED ❑CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ROOM ❑CENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: ch 22.REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: Spm 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 AS Ri 17 PRESSURE VESSEL,HEAT EXCHANGER ��// OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: 31.COOLING EQUIPMENT: -AIR CONDITIONING REFRIGERATI N EQUIPMENT CONDENSORS ETC. NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY 32.HEATING EQUIPMENT: FURNACES BOILERS FIREPLACES.AIR HANDLERS ETC.NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURERBTU AGENCY 33.TANKS: TYPE LIQUID APPROVINU- L UMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLOG04 Permit Applicaton Mech:REVISED:12/182008 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD !:) = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000161 Date 2/02/09 Property Address . . . . . . 1931 BEACH AVE Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 2 hp ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LEE DONOVAN HEATING & AIR 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/01/09 ---------------------------------------------------------------------------- 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. ` S CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J " ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Ji 19'" Application Number . . . . . 09-00000796 Date 6/16/09 Property Address . . . . . . 1935 BEACH AVE Application type description WELL PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc new well ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WILLIAMS WELL DRILLING INC P. 0. BOX 330567 ATLANTIC BEACH FL 32233 (904) 241-8489 ---------------------------------------------------------------------------- Permit . . . . . . WELL PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/13/09 ---------------------------------------------------------------------------- Special Notes and Comments A reduced pressure zone backflow preventer must be installed if irrigation wil be provided or if there is a private well on the property. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities . ---------------------------------------------------------------------------- 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. City of Atlantic Beach APPLICATION NUMBER Building Department r :a (To be assigned by the Building Department.) �, € 800 Seminole Road fJ I D w 0/40 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 .r ;yt' E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �9�� E�� H AVE Department review re wired Yes No Building Applicant: Planning &Zoning Tree Administrator Project: wi t L Pub' Public Utilities is afety Fire Services Revlew fee $ s Dept.Sigraature.. .. Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: )4Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b : Date: lq 10q TREE ADMIN. Second Review: Approved as revis ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES P IC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 <}. SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000522 Date 4/20/09 Property Address . . . . . . 1933 35 BEACH AVE Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5500 ---------------------------------------------------------------------------- Application desc siding and impact windows ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LEE D.L. DAVIS CONSTRUCTION CO. 1903 N. 3RD STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 237-2222 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 5500 Expiration Date . . 10/17/09 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 25 ST CONSTRUCTION SURCHARGE 4 . 50 AB CONSTRUCTION SURCHARGE . 50 STATE RADON SURCHARGE 4 . 75 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 000 30 . 00 . 00 . 00 W PERMIT IS hROVElf O1gLYT&tA4ORDANCE WI'l i� nVd0CITY OF ATdARTIC%EACH ORDINANeAPAND THE FLORIDA 0 BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 iS19 Page 2 Application Number . . . . . 09-00000522 Date 4/20/09 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. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O� I I I I s1 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT(d COAB.US ter BUILDING PERMIT APPLICATION DUVAL COUNTY a;1'iUOB gOD(xESS w 2:VALUATION OF VyQRK. 3.SQ.FT UNDER ROOF C ® J 0 U es 4 L DESCRIPTION .. 1 r - :�, '9 is!;5.Cass QF WORK�, r -F.' 6.USROF STRUCTURE- w ❑NEW BUILDING ❑DEMOLITION 4i RESIDENTIAL LOT_BLOCK_SUBDIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL P7 ,,T10N OF WORK._ „�,a .- " A�ALTERATION ❑ACCESSORY BLDG. 8:FIRE❑REPAIR ❑POOL I SPA ❑YES ❑NIA ❑MOVE ❑OTHER NO tPROPERTY OWNER�, _.. `, `',` CONTRACTOR.• ARCHITECT/ENGINEERr.;> 9 AME: 15.COMPANY NAME: r„ 23.COMPANY NAME 18.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: f1[71 OcAzl, AUe, �,DOGO (oto �'�l A►��-t r,. pC,1 18.ADDRESS: D 28.ADDRESS: 6 is01 Pew L--"t' -SAk 4 I 4, ONE: 12.FAX O.: 19.OFFICE Py ONE: 20 FAX NOY:T J 27.OFFICE PHONE: 28.FAX NO.: 1 L PH 21. 37CJ3{a 2111...CELLL PHONE` Gd j V l/D 29.CELL PHONE: Y_ 7-3-7 7_7t_7_,,7_ �^ / 14.EMAIL ADDRESS: 22 EMAIL ADDRESS:b�ULs 30.EMAIL ADDRESS: FEE SIMPLE TITLEsHOLDER- BONDING COMPANY i `r MORTGAGE LENDER ;'r•,F ,t pp Q7HER TI9AN ovuNer:) � 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,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S 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. r WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent Power of Attorney br Agency tetter Required) Lalfier Only Signed- �t_Date: `S—Q Signed: �_Date: Before me this day of !`rr _!2009 in the county of Before me this day of rr f! 200 in the unty of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared :t�EA-n]�PrJ 15; - herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. /��/ ,,� Notary Public at L to of County of Notary Public at Large,State of� County ot</n��" ❑Personally K VLWrsonaily Known ❑Produced Iden' - ❑Produced Id No Notary gnat e: .""""' -- ,, u IC-S to of Florida T4 �" NotaryPubl DFORCODECO ��' po mission Ex i s Feb 14.My Commission plres 2010 ;` Commissio #DD 5185 OFATLANTIC B Bond d m'ssio, °;, ' By Nab Bonded By Na nal Notary As$ PERMITS FOR ADDITIONAL sn. 3LD •e n 9b L 1.29MTZOMIREMENTS AND CONDITIONS. COPY I t REVIEWED BY. DATE: 7 0 cy Florida Building Cgde Online _ r j; /, r! Pagel of 4 t.9 r ., t' " �° `" a " t „A�r.r,"' s aka c Y U tla ' x'.&. k'�c +t' i y a". fi y� � �.��':r BCIS Home Log In Hot Topics Submit Surcharge Stats& Facts Publications FBC Staff B, st azz Product Approval USER: Public User 4a Product Approval Menu > Product or Application Search. > Application List > Application Detail FL # FL6184 Application Type New Code Version 2004 Application Status Approved Comments Archived Product Manufacturer Plastpro Inc. j Nanya Plastics Cc Address/Phone/Email 9 Peach Tree Hill Road Livingston, N] 07039 (440) 969-9773 Ext 16 RonOConnell@plastproinc.com Authorized Signature Ron O'Connell RonOConnell@plastproinc.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Swinging Exterior Door Assembl Compliance Method Evaluation Report from a Floride a Licensed Florida Professional E Evaluation Report - Hardcop Florida Engineer or Architect Name who Wendell W. Haney developed the Evaluation Report MIIA�AMNDiADE 17�i1ii1 MIAMI-DADE COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130.1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE(NOA) www.buildingcodeonline.com PGT Industries 1070 Technology Drive Nokomis,FL 34275 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 Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division(In Miami Dade County)and/or the AHJ (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 manner, the manufacturer will incur the expense of such testing and the AHD may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION:Series 111X Heavy Wall Aluminum Tube Clipped Mullion-L.M.I. APPROVAL DOCUMENT:Drawing No.6221,titled"1"Heavy Wall,Elevations Aluminum Tube Clipped Mullion",sheets 1 through 7 of 7;dated 04/28/00,with last revision on 05/30/06,prepared by PGT Industries, signed and sealed by Robert L.Clark,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 Missile Impact LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement:"Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-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 entire 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 Building Official. This NOA renews and revises NOA#04-0528.05 and consists of this page 1 and evidence pages E-1 and E-2,as well as approval document mentioned above. The submitted documentation was reviewed by Jaime D.Gascon,P.E. e1 NOA No 06-0125.07 2$tJe Expiration Date: June 28,2011 V Approval Date:July 20,2006 Page 1 eHR'TIrIGTONIF.,IMC: p q D.btL?wntThLo UaanheatNo: �]4uv1 1'02 GE 'I LF IA'fIO1�I:A UTQTI4IT FLEI'QItT 3 1L 1 Revidod Page: No: RequUid 8y: P 613 f'03 FMA;Keystone C rt f kation. Program Certification:uthorization Report CAR& Product ID Number: 199 179 CAR Issue Date: 6/2212006 CAR Expiration Date: 5125/2010' Company Code: 199' This CertificationAuthorization Report;:(CAR}'1s issued by Keystone Certifications, Inc. (KCI)after°full validation review lot.the:;product qualification documents for the product named below. This fepo iorliy valid .when 5ignad uy:the President of KCI, arid:IndlOtes the product:as'.rrtanufactured'by the company named below has been tested and meets the.re of the referehced sfandard and is:eligible-f¢r the applicat(o of FIvlA Keystone:Certtficat on Rragram certification:labels..:.Llcensee_atipufates in affung certficattoti ahels.fo prndugts,Ghat those.products are representative {, of the .speoitnen Ievaluated;and documented for certification authorization:Only products bearing such a certification Iakrel shall be;cGnspered"certified..'The fiforrrtation fn:this report can lie verified at:vvww.keystonecerts,.com.. i Company Information: Product Information: PGT Industries(NC) Modet DH 560 V nyi Tilt Double Hung 210 Wasler Road Operator Type: H Lexingtonl KC 27295 Cdhfl+quratiom ALL:; Lami 10 1 Max Width: 53 Max Height: 76 Referenced Standard: Product Rating: ANSI%AAMi 0D.MA 101/I S:;/NAPS=02 14-1150 1.34.8x1933;(53x76.) Qualifying Test Information-. Test Report.No: FTL4928 Test_Report'Expiration: 5125/20:10 Authorized Signature; Kaystone Certificationsf Inc. bigijutly;elpnnn byMeriYoi P FaINe: ON..e:nMmetaP "'k°tura o-x°,�"^° 1790 Old Trail Road, Suite l) CenlKeatYaes mtalke�kkk gwProtitlsnl, email- aye�nnarAM1¢ El1'.eM5ylvanla 17;319' f�yMr- Roietlif lnitoet�bth'ecoeurneyand:!Megf"yOf µtgrSt giaddumenl Phone,; 717-932 8500 Ggtb;2pOppg291VW2S-Mir Marcia;Faike Piesiiertt Fax;7.17-932-850:1 WW,W_'keyttonecetls com City of Atlantic Beach Building Department APPLICATION NUMBER (To be assigned by the Building Department.) r s 800 Seminole Road 9 Atlantic Beach, Florida 32233-5445 D�ZZ Phone(904)247-5826 • Fax(904)247-5845 9 V1119, E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Ye No /933ZI93� 44 c . ILBuildingProperty Address: Planning &Zoning Tree Administrator Applicant: L . —D#V is Public Works Project: -�-,i-�, 7- L!/ 94,z /'"r►p&eT Public Utilities Public Safety I,u1717. aaS 10C-r I Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. enied. (Circle one.) Comments: (�_�BUDIN nPtal Arw GC/ /� oral,R l r Gv/K a16 w PLANNING &ZONING TREE ADMIN. Reviewed by: Date: / PUBLIC WORKS Second Review: VApproved as revised. ❑Denied. PUBLIC UTILITIES Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: / 0 Third Review: [-]Approved as revised. ❑Denied. Comments: Reviewed by: Date: € F• 1 y�J\f 1 4 f r CITY OF ATLANTIC BEACH \ 111 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 v:.02111 Application Number . . . . . 09-00000283 Date 3/02/09 Property Address . . . . . . 1935 BEACH AVE Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc RE ROOF OF GARAGE APT ONLY (VALUE INCL IN #09-282 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SCHULTZ ROOFING, INC. 216 N. 20TH STREET JAX BEACH FL 32250 (904) 246-2315 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc RE ROOF GARAGE ONLY SEE#09-282 Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 3/02/09 Valuation . . . . 0 Expiration Date . . 8/29/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 .00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. \js `S, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD s) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000282 Date 3/02/09 Property Address . . . . . . 1931 BEACH AVE Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 16500 ---------------------------------------------------------------------------- Application desc RE ROOF ---------------------------------------------------------------------------- Owner Contractor ----------------- ------- ------------------------ LEE SCHULTZ ROOFING, INC. 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2315 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . RE ROOF Permit Fee . . . . 115 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 16500 Expiration Date . . 8/29/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115 . 00 115 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 115 . 00 115 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH I ` SUC SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ` OFFICE(904)247-5826•FAX NO (904)247-5845 +` BUILDING DEPT@COAG US BUILDING PERMIT APPLICATION DUVAL COUNTY JIlU Air ��SS.J 2.VALUATION OFWORK: 3.SO.FT.UNDER ROOF L31- - � -t L.EG,t,UL.SCF IP PION 5,CL SS OF WORK: 6.USE OF STRUCTURE: El NEW BUILDING 0 DEMOLITION ESIDENTIAL BLUCK - SUB DIVISION ❑ADDII-ION ❑CONVERTING USE 11 COMMERCIAL LaC1ifF'l ION OF WORK: 0 1 ` ALTERATION 0 ACCESSORY BLDG 8 FIRE SPRINKLER. L � �JJ � � 1��• � REPAIR 11 POOL /SPA 0 YES ❑N/A 0 MOVEB F ' PROPERTY OWNER: CONTRACTOR: ARCHITECTt ENGINEER: 15.CO<,1PANY NAME: 23.COMPANY NAME. Schulte Roofing Co, Tn 16NARIS. 24.LICENSEE NAME. 1_ roti . 1cs R Schultz ADDRESS 17.STATE OF FLORIDA LICENSE NO.. 25.STATE OF FLORIDA LICENSE NO.. CCC06 6989 18 ADL.KESS. 216 16 N. 20th St 26.ADDRESS: Jacksonville Foch, F1. �PHONL1'2.FAX NO. 19.OFf-ICE PHONE, 20.FAX N0.'. 27.OFFICE PHONE. 28.FAX NO.. 2.46-2315 247-3808 y�IIhI,Hy�NE 21.CELL PHONE. 29.CELL PHONE. Z h3 904-759-0063 14 F.NiAiL ADDRESS: 30.EMAIL ADDRESS: 22 EMAIL ADDRESS: schroof 2315Cyahoo .cont FEE SIMPLE TITLE HOLDER: {IF OTHER THAN OWNER) BONDING COMPANY: MORTGAGE LENDER: sI NAME 33.NAME. 35 NAME: 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,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S 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 pi or to obtaining a certificate of occupancy or completion issued by the building official, as required by law. 222 WARNING TO OWNER: 222 YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OW R or AGENT CONTRACTOR (it Agent,Power of A y or Agency Letter Requirl d) I (Qualifier.Only). Iynad _ " -^' T Date: 2 Signed: ^A Date. bamre ma th s day of Qy G ` 20 7 in the county of Before me this �h day of_/•t Q/� 2007 in the county of Dual,State of Florida,has personally appearedDuval,Stabof Florida,has perso Ily appe redyd )AVIoS1 hemi by himself/herself and affirms that all statements and declarations are herin by himself!he4elf and affirms that all statements and declarations are Il Lia and accurate. /I true and accurate. �^ I Nocary Public at Large,State of �L County of Dk VCI ! Notary Public at Large,State of r— L_ County of A4A VOL Parsonally Known �� 2 270 O LY'Pgrsonally Known Proaucea la�nnncauon- Produced Identification- lvarary Signature �(�u O � /I�f�( Notary Signature: �& 4 4- a DONNA L BARTIP ?•• b DONNA L BARTLE Y•• PW* 796 MY COMMISSION#DD 097 rs My COMMISSION#D ?•. r D097 796 COaB EORM BLDGo1:RE "9/&nded Thru NotEXPIRES:March 30,2009 EXPIRES:March 30,2o0g - ary UrFderrrdlers '�l, .• , B=W Thru Nft7 PttbMc Undelwrlfers CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5828-FAX: 247-5877 PERMIT INFORMATION _ LOCATION INFORMATION Permit Number: 23354 Address: 1931 BEACH AVENUE Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: _Parcel Number: Improv. Cost: T_ OWNER INFORMATION Date Issued: 1/23/2002 Name: STADELMAN Total Fees: 83.00 Address: 1931 BEACH AVENUE Arpount Paid: 83.00 ATLANTIC BEACH, FLORIDA 32233, Date Paid: 1/23/2002 (904)246-4731 Work Desc: REPLACEMENT OF AS _ i CONTRACTORS j - ICATION FEES - GRANDE OPENINGS, INC _ w r, a,c '�II 1L Tr :13 j d'g', NOTICE- I V CTION BUILDING MATERIAL, ELIC SPACE,AND MUST BE CLEARED Ui Y:B 1, UN O "FAILURE TO COMPLY ,. .. LT IN THE , . PROPERTY OWNER PAYI ISSUED ACCORDING TO APPROVED MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISID - i $6LW 14 'ATLANTIC BEACH BUILDING D — lata: 1/24/92 91 Receipt: 112M DECKS 5475 1111111WIM CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address- / 9 3 i0 c fC�F_ cJ DQ O� s T Date / — )- ; Heated Square Footage A0@ $ per sq ft = $ Garage/Shed I0 @ $ per sq f t = $ Carport/Porch (' @ $ per sq ft = $ Deck , @ $ per sq ft = $ �S 6 Patio @ $ per sq ft = $ q TOTAL VALUATION: $ r Tol Valuation 1st $ /00 o $ 4 0 c� Rem fining Value $Jc," per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ Z ( ) Fireplaces @ $15 . 00 $ c� BUILDING PERMIT FEE $ WATER IMPACT FEE $__r 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: National Accreditation and Management Institute, Inc. 207 S. Washington Street-PO Box 366 Berkeley Springs, WV 25411 TEL(304)258-5100 FAX (304) 258-5111 DATE: 01/22101 TO: Don Ford FROM: Sharon Durand REF: NuAir: Report CTLA-386W-W I-W2 AA&.3 1u,1, ..a,ls,uissi0n consists or ll page(s Hi Don: First, here is NuAir's Structural Report for the 500 SGD. The professional engineer's signature is located on Page 4 of 4. Also, I have included some tables and information on SGD from the AAMA/NWWDA 101/I.S.2-97 specification. The "R" represents a residential rating which means that the SGD minimum panel width was 2'10" and 6'6" frame height. Any product with the commercial rating for SGD begins at a minimum panel width of 3'10" and minimum frame height of 6'10". Therefore, the commercial rating is a much more demanding rating than the residential. Also, we are a certification agency only, that means we review test reports, drawings, and bills of materials from independent test laboratories, validate them, inspect the product at the manufacturing location to see that they comply with the product that was tested at the laboratory and permit them to label the product if they meet all requirements. Here is our listing for The Department of Housing (HUD) as an approved inspection/certification agency. We are also approved by NFRC, IGMA and Dade County. If you have any questions at any time, please contact me. That's what we are here for! Have a good afternoon. Sharon RECEI V Eta AN 17 2002 0117 OF A.-T-LANTIC BrIVIC-111 CitY of Atlantic Beach PF"RUT111 APPLICAVION RTKA100RI, ADDITITONS, OR A1AWAWT1WW,?onlng AMVINGI, PENOL-T11TONS 0.4LL MIKE— wAi-Stf Se !3TXDELHAQ -- 3 3 1931 BEPCH IVC 11wil-w: ZLIJ / Llis--s OPF,141465 WC Sr,ilt! licX-03/SQL :I .1 r f, 9:P __F-.-16V7' 6r I,Frnrm (c.-cwmepCjAZ) Two (PF.1;xrAwH1TTAT.) COMPLL .17T3 OV KANS, X.NCLUDInG 9 1 IT PLAN, C,-EMVRY, BNEPOY CODE FORMS, N(.)IrTr-L' OF ",FXVAVIT, YF' ORNM IS 0ONT7ZACTOR. OWNT.*'p. IT"i 44 4 Z!b '2— GEORGIA.A.HORN -7f jlal�.la 06 ra. :%rlmYl00IV1MI$GI0N%bmo3o5tb b(,, W EXPIRES:June 3,2005 Bonded Thru Notary Publk Underwriters iv,3 it) t f. F`7 Swt'lll tr) suh,.tl(-ri,bpd hr. forf% 1110 1.'1)iS .1 Y Q!:�� t-Ki t Nu. 185672690282 Nov. 26 2001 09:19Arl P9 �. NOTICE OF PRODUCT CERTIFICATION c ,.I%T I F O C,�, 'A6ACC4F01r �k S tiO �i O z p NA 1 CERTIFICATION NO: NI t1 = DATE: _0612A/-" ~ {w CERTMCAT>ON PROGRAM: +'GFaENT ��' 4� COMPANY: 1Yu_Ai� J F,p p rR°10 CODE: N-187-1 The"Notice of Product Certification"is valid only when Administrator's Seal is applied to the upper k!t hand portion of this form and a certification label is applied to rhe Imodue!. Tkis oersif caTi�Ts s,;d tc sza prsdict conformity to the applicabie specification and that all certification criteria has been satisfied. The product described below is approved for listing in the next published issue of the Direc"of Certified Products. Please review,and advice NAM immediately if data,as shown,raiuitea cortnclions. COMPANY NAME AND ADDRESS PRODUCT DESCRIPTION NuAir Ahtminnm Window and Doom Series"500" 8105 Anderson Road Aluminum Sliding Class Door Tampa,FL 33684 5G1)f=CCP3116"TEMP GU MR SIP-Pair Frame-W-610" PaneltW-311" IN7-120.0 11.6'8" II-4171' EXT-120.0 SPECIFICATION PRODUCT RATING AAMA/h'wwDA tot/I.S.2-s7/ SGn-C75 AAMA 1303576 Product T"ted By: Certified Testing Laboratories Report No: CTLA-386W2(StroewroMR)/386W(Parent) Expiration Rate: Ftbruary 28,2003 Administrator's Sigxtatwe: � 6a NATIONAL,ACCREDITATION AND MANAGEMENT INSTITUTE, INC. P.O.Box 366 Berkeley Springs,WY 25411 TEL:(304)258-5100 —FAX: (304)(304)258-5111 FROM GA—FLUSH FFA?; NO. : 18502690282 Nov. 26 2001 09:19Rrl PS NOTICE OF PRODUCT CERTIFICATION e`40 ��1{TIf7C�t� . aeo10 o x v �• A' 1 s CERTIFICATION NO: NI a3MIA • W DATE: Ofi/MW. CERTWICA730N o fiNT SNS � PROGRAM; Alt�mieam COMPANY: X"k f9''�►Eo pR°°�� CODE: N-187-I ?he"Notice of Pmduc i Czrifiration"is valid only when Adtniuistrator's Suri is applied to the uN*r'sets hand portion of this form and a certification label is applied to the product. This eerti5cafm seat represent product conformity to the applicable specillcavon and that all cenificaiton criteria has boon satisfied. The product described below is approvW for listing is the nova publlslied issue of the Uiroctoty of Certified Products. Please review,and advise NAN1 immoSately if data,as shower reriuirts pmectio", COMPANY NAME AND ADDRESS PRODUCT DESCRIPTION NuAir Aluminum Window and Doors Series"500^ 8105 Anderson Road Aluminum Sliding Glass Door Tampa,FL 33634 SGI)MUC6i13116"TEMP GI..IFF.>Et 52LI-M Frame.WAT" Pancl:W-41" INT-90.0 11-61g" R-W7" RXT 90.o SPECIFICATION PRODUCT RATING AAMAINWWDA 18111.8.2-971 SGD-C60 MMA 1303,5-76 Product Tested By: Certified Testing Laboratories Report No: CTLA-3$GW1(lStruetur&=R)/386W(Parent) Expiration Date: feybruaj3 2$,I'OQ�3 Administrator's Signature_ /� s.X----_... NAT16NALACCRASITATiON AND MANAGEMENT INSTITUTE,INC. P.O. Box 366 Berkeley Spritigs,WV 25411 TE.(' (304)258-5100 5J40 O FAX: (304)258-5111 rJ MIN. RETURN Book 10321 Page 2152 PHONE# V911 Page. Page. 2152. Filed & Recoided 01/22/2002 12:50:53 Gly NOTICE OF CONIMENCENIENT JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY TRUST FUND $ 1.00 RECORDING $ 5.00 TO WHOM IT MAY CONCERN: The undersigned hereby inforrms all concerned that improvements will be made to certain real property, and in accordance with Secton 713.13 of the Florida Statutes, the following Information is stated in Itis NOTICE OF CONINIENCENIENT. Qescri tion _ ' .General Oescriptiori mprovement Owner Address: Owners interest in site of improvements: Fee Simple Title Holder(if other than owner) Name Address .-� ' Contractor Address xr ,•, -- - _ �' �,- �,�; Surety (if any) 3 Address Amount of Bond Name of person within the State of Florida designated by owner upon whom-notices or other documents may be served: Name Address In addition to himsetf, owner designates the following person to receive a copy of the Leinor+s Notice as provided in Section 713.13(1)(F), Florida Statutes. (Fill in* at Owner's option). Na GEORGIA A.HO AN EXPIRES.Jae 3,2005 I Owl 1 C Swami to and subscribed before me this -1day of IS, 6.C..• -7 ppPROUF. gACN C1TY13UiLoTNGNo FIDE �N 2 3 X0'2 C RTIFIED�ESTING ABORATORIES BSI, ®®® Architectural Division •7252 Narcoossee Rd. •Orlando,FL 32822 �� \ (407)-384-7744•Fax(407)384-7751 Report Number. CTLA-386W-W1-W2 Report Date: February 22,1999 STRUCTURAL PERFORMANCE TEST REPORT Client: NUAIR ALUMIIIUM WINDOW AND DOORS 8105 ANDERSON ROAD P.O.BOX 15436 TAMPA,FLORIDA 33684 Product Type and Series: 500 Aluminum Sliding Glass Roo° 96" 96" ) (Downsize: 500 Aluminum Sliding Glass Door SGD C60(96"x 80" ) NrJS r-%- Downsize: 500 Aluminum Sliding Glass Door SGD C-75 (72 x 80") S il- Test Specification: A 101/1.$.2-97"Voluntary Specifications for Aluminum, Vinyl(PVC)and Wood Window and Glass Doors" Test Specimen Frame: The extruded aluminum flange frame measured 96"x 96"overall. Coped and butted comer construction,each frame corner secured with two(2)#8 x.625"Phillips pan head fasteners. The downsize frames measured 96"x 80"overall and 72"x 80"overall. Configuration: XX Panels: Both panels measured 49.5"x 94.5"overall. Coped and butted corner construction secured with one(1)#8 x.750"S.H.S PH fasteners. The downsize panels measured 49.5"x 78.5"overall,and 37.375"x 78.5"overall. Weatherstripping: Qua tiwn description jocati,Qg Two(2)strip Woolpile with integral fin.370"high Exterior of top rail on all panels Two(2)strip Wool pile.350"high Recessed into each side of bottom rail all panels One(1)strip Wool pile.200"high In both interlock stiles Four(4)strips Woolpile.200"high Two(2)in each jamb Hardware&Location: Qllantsly locfiution t apati�t Two(2) Die cast lock set and pull handle 41"up from sill on lock stiles Two(2) Metal single roller assemblies Each end of bottom rail all panels � •d Ills-asa (006) IWdW 489: 10 20 02 Uer Page 2 of 4 NUA1R Aluminum Window and Doors Report Number: CTLA 386W-W1-W2 Glazing: 3/16 tempered glass. Channel or Marine Glazed with wrap around vinyl glazing gasket. Sealant: A narrow joint sealant was used on all frame corners. Weep System: There were three(3)weep notches in each end of sill measuring.800"x leg high, Weeping to the exterior. Reinforcement: N/A Additional Description: N/A Screen: Extruded aluminum screen frame,fiberglass mesh with vinyl spline,two(2)spring roller assemblies. In the top rail and two(2)springs roller assemblies in the bottom rail. Installation: Twenty six(26)# 8 x 1"Phillips flat head fasteners were used to secure the specimen to the wooden test buck. Ten(10)in the head in two(2)parallel rows,at 6",27",48", 67"and 90"measuring from left jamb to right jamb. Eight(8)in each jamb,in two(2) parallel rows 4",37",59"and 92"measuring from head to sill. Ten(10)#8 x 1 %" Phillips flat head in the sill in two(2)parallel rows 6",27",48", 67"and 90"measuring from left jamb to right jamb. Downsize: 96"x 80"had twenty two(22)#8 x 1 Phillips flat head fasteners,ten(10)in the head in two(2)parallel rows 6"27",48",67"and 90". Measuring from left jamb to right jamb. Six(6)in each jamb in two(2)parallel rows 4",42"and 76"measuring from head to sill. Ten(10)8 x 1%"Phillips flat head fasteners.In the sill in two (2)parallel rows 6",27",48",67'and 90"measuring from left jamb to right jamb. Downsize: 72"x 80"had twenty(20)8 x 1"Phillips flat head fasteners eight(8)in the head in two(2)parallel rows 6"26"46"66"measuring from left jamb to right jamb. Six(6)in two(2)parallel rows 4"43" 76"measuring from head to sill. Eight(8) #8 x 1%" Phillips flat head fasteners. In two(2) parallel rows 6",26",46"and 66"measuring from left jamb to right jamb. Surface: White Comment: Nominal 2 mil polyethylene film was used to seal against air leakage during structural loads. The film was used in a manner that did not influence the test results. Performance Test Results PurzgBph Na Title of Test Method Kessund Allowed *2.1,2 Air Infiltration ASTM E 283-91 .32 cfnVft2 .34 cfn/ft7 @ 1.57psf The specimen tested exceeds the performance levels specified in AAMAiNWWDA 101/I.S.2-97 for air infiltration. *2.1.3/4.3 Water Resistance ASTM E 547-93 No Entry No Entry 5.0 gph/ft2 Four(4)5 min.cycles ASTM E 331-93 No Entry No Entry 15 thin.duration g •d ills-esz tt,ot:l IWUW d8s r to ao 22 Uer Page 3 of 4 NUA1R Aluminum Windows and Doors Report number: CTLA-386W-W1-W2 1�/:"sill height overall WTP=4.5 No Entry No Entry 2"sill height overall WTP-6.7 No Entry No Entry 2%2"sill height overall WTP=9.0 No Entry No Entry 3"sill height overall WPT=I 1.25 No Entry No Entry Testing conducted with and without insect screen. 2.1.4./4.4.2 Uniform Load Structural ASTM E 330-90 Gateway Unit Permanent Deformation 10 second duration 96"x 96" @ 67.5 psf Positive .312" .378" @ 67.5 psf Negative .320" .378" Downsize: @ 90 psf Positive .237" .314" 96"x 80" @ 90 psf Negative .268" .314" Downsize: @ 120 psf Positive .185" .314" 72"x 80" @ 120 psf Negative .240" .314" 2.1.8 Forced Entry Resistance Results AAMA 1303.5-76 Test A 0" 1/2" Test B 0" 1/2" Test C 0" 1/2" Test D,E,&F 0" 1/2" Test G 0" 1/2" 2.2.1.6.1 Operating Force AAMA/NWWDA 101/l.S.2-97 Gateway Unit: To open left panel 9 lbs 30 lbs 96"x 96" To open right panel 11 lbs 30 lbs To keep in motion left 6 lbs 20 lbs To keep in motion right 5 lbs 20 Is Downsize: Operating force AAIMA/NWWDA lOi/LS.2-97 96"x 80" To open left panel 9 lbs 30 lbs To open right panel 10 lbs 30 lbs To keep in motion 5 lbs 20 lbs To keep in motion 5 lbs 201bs Downsize: Operating Force AAMAMWWDA 101/i.S.2-97 72"x 80" To open left panel 10 lbs 30 lbs To open right panel 9 lbs 30 lbs To keep in motion 5 lbs 20 lbs To keep in motion 4 lbs 20 lbs 2.2.1.6.2 Dieglazing: ASTME 987-88 Top rail .005= 1.00/0 <1000/0 Bottom rail .004= 0.8% <100% Left stile .010= 2.00/9 < 100% Right stile .008= 1.61/6 <100% *Reference CTLA 361 W Testing done at NUAIR facility in Tampa,FL. � •d Ills-esatt,061 lWUW des = 10 20 22 Uec PageA of 4 NUAIR Aluminum Window and Doors Report Number: CTLA-386W-W 1-W2 Test Date: February 16, 1999 Test Completion Date: February 17, 1999 Remarks: Detail drawings were available for laboratory records and comparison to the test specimen at the time of this report. A copy of this report along with representative sections of the test specimen will be retained by CTL for a period of four(4)years. The results obtained apply only to the specimen tested. This test report does not constitute certification of this product,but only the above test results were obtained using the designated test methods and they indicate compliance with the performance requirements(paragraphs as listed)of the above referenced specifications. Certified Testing laboratories assumed that all information provided by the client is accurate and that the physical and chemical properties of the components are as stated by the manufacturer. Certified Testing Laboratories,Inc. �r � ( p Christopher Bennett Laboratory Manager Architectural Division cc: NUAIR (2) NAM (2) Ramesh Patel P.E. File WTIWESS: Christopher Bennett,CTL Jens Rosowski,NUAIR Ken Moran,NUAM s •d Ills-esa (vos) Iwdw des : Io 20 22 Uer -3- Copies of this standard are available from the HAMA, Inc., 1827 Walden Office Square, Suite 104, Schaumburg, IL 60173-4268. ADMINISTRATORS. Qualified organizations interested in becoming Administrators under the HUD Building Product Standards and Certification Program should submit their request to the Department of Housing and Urban Development, Office of Consumer and Regulatory Affairs, 451 7th Street, SW, Washington, DC 20410-8000. The following Administrators have been accepted by HUD as qualified to validate fenestration products (windows and doors) : AU,Wr- P.O.Bax 15705 DaUas,TX 75215 (214)565.0593 , National Assoclatfou of Home Builders Research Foundation 400 Prince Ck orgs's Blvd. - Upper Marlboro,MD 20772 (301)244.4000 Northwest Testing Lab. ' of Semis 241 South Holden Street Seattle,WA 98134 (206)622-6252 National Aacreditiou& Management lm itute,Inc. �r P.O. Box 366 �• Barkely Springs, k'v 25411 (304)2S8-SiQO ATI Archit=ty"Testins,Inc. 'nva Interchange Place York PA 17462 �� (717)84&770o rm,Inc. W H 8431 Murphy Drive Madison,W1 53562 (609)8364400 PFS,Inc. PF5 2402 Daniels Street ' Madison,W1 53704 (608)221-3361 NWWDA.Inc- 1400 nc1400 Eau Touhy Avenue Suite 0-54 Des Plains,IL 60065 (706)299-5200 ZT 'd LITS-8SZ (b0E) I14UN dT0 :Z0 20 22 Uer SECTION 2 SPECIFIC REQUIREMENTS (TABLE 2.1) - GATEWAY PERFORMANCE REQUIREMENTS NOTE:This table contains the Gateway Performance Requirements applicable to particular types of aluminum.vinyl(PVC)and wood windows and doors. It shall be used in conjunction with Section 1,Section 2.2 and,when required,Section 3. Design Pressure Performance Grade Water Test Pressure;R.LC,C&HC = .15 x Positive Design Pressure(12 psf max) Structural Test Pressure = 1.5 x Design Pressure AW .20 x Posflive Design Pressure(12 pat max) Stnx*unl Teat water Rselslsnoe Ale lnflltratlotr Design Pressure Praeaare Ted Praaame Teat Pressure Maximum Rate(1) Window/Door Designation Reference *3/fin (ma (Minimum Tom Sim) Section *FAV (Pa) Ibf/ftZ (Pal Ihl/as (Pa) tbrIH2 (1'a) At /nr Group I Sliding Seal Window Products Single/Double/Triple Hung Windows 22.1,p.9 H-R75 (3'8'x 5'0' 15 H-LC25 (3'S'x 6'S'} 25 (720) 22.5 (1080) 2.86 (140) 1.57 (75) 0.3 (5) �� (1200) 37.5 (1800) 3.73 (100) 1.57 (75) 0.3 (5) (4'6'x 7'67 30 (1440) 45.0 (2160) 4.50 (220) 1,57 (75) 0.3 (5) H-HC40 (5'0'x 8'01 40 (1t� 60.0 (2880) 6.00 (200) 1.57 (75) 0.3 H AW40 (5'0'x 8'07 40 (1920) 60.0 (2880) 8.00 (5) (390) 6.24 (300) 0.3 (5) Horizontal Sliding Windows 2.2.2,p.11 HS-1115 (5'9•x 4'0') 15 (720) 22.5 0080) 2.86 (140) 1.57 (75) 0.3 (5) HS-LC25 (5'e'x 4'6 (1 80) 1.57 0.3 HS-C30 (5'11•x 4117 30 (1440 45.0 ((2160) 4.50 (220) 1.57 (75) 0.3 (5} HS-HC40 (8'0'x 6'61 8'0'x 6'6' HS-AW40 40 (1920) 60.0 (2880) 6.00 (290) 1.57 (75) 0.3 (5) (1920 eD.o tzaecr) e.00 (iso) 6.24 (300} 0,3 Vertical Sliding Windows 22.3,p,12 VS-R15 (3'8•x 5'0') 15 (720} 1 22.5 (1080) 2.86 (140) 1.57 (7s) 0.3 (5) Group 11 Compression Seal Window Prodtmta Awning/Hopper/Projected Windows 2.2.4,p.13 AP-R15 (4'0'x 1'4'/4'0'x 1'47 15 (720) 22.51080 2.86 (75) 0,3 (s) AP-LC25 (4'0•x 1'41/4'0'x 2 5') 25 (1200) 37,5 (1800)3 .75 (180) 1.57 0.3 AP-C30 (4'0'x 1'4/4'0'x 2.57 30 1440 45.0 (7� (5) ( ) (2160) 4.50 (220) 1.57 p5) 0.3 (5) AP-HO40 (5'0'x 2'8')5'0'x 2'8') 40 (1920) 60.0 (2660) 8,00 (290) 6.24 (300) 0.3 (5) AP-AW40 (5'('x 3'0'/5'0'x 3'0') 40 (1 SM 60,0 880) 8.00 (390) 6.24 (300 0.1 (2) Casement Windows 2.2.5,PAS C-R15 (1'S'x 4'0') 15 (720) 22.5 C7 (1080) 2.86 (140) 1.57 (75) 0.3 (5) -LC25 (2'0'x 4'0 C C30 (2'0'x 4' 25 (1200) 37.5 (1800) 3.75 (180) 1.57 (75) 0,3 (5) 30 (1440) 45.0 (2160) 4.50 (220) 1.57 (75) 0.3 C-HC40 (2'0'z 4'07 40 (1920) 60,0 (2880) 6.00 (290) 6.24 (300) 0.3 (�5) C-AW40 (3'0'x 5'07 40 (1920) 60.0 (2880) 8.00 (390) 6.24 (300, 0.1 Verticaliy/Horizontally Pivoted 2.2.6,p.18 Windows VP-R15 HP-R15 (3'8'x 501) 15 (720) 22.5 (1080) 286 (140) 1.57 (5) VP-LC25 HP-LC25 (4'0'x 5'07 25 (1200) 37.5 (1800) 3.75 (180) 1.5T �� 0.3 VP C30 HP-C-30 (4'0'x 7'07 30 (1440) 45,0 (2160) 4.50 (220) 1.57 (75) 0.3 VP-HC40 HP-HC40 (5'0'x 8'0') 40 (1920) 80.0 (2880) 6.00 (290) 6.24 (300) 0.3 (5 VP-AW40 HP-AW40 (5'0'x 8'0') 40 (1920) 60.0 (2880) 8.00 (390) 6.24 1 (300) 0.1 (2) Side Hinged(lnawinging)Windows 2.2.7,p.20 SHW-AW40 (4'0'x e'01) 40 (1920) 60.0 (2880) 8.00 (390) 6.24 (300) 0.1 (2) Top Hinged(Inswinging)Windows 2.2.8,p.21 TH-C30 (4'0'x 5'01) 30 (1440) 45.0 (2160) 4.50 (220) 1.57 (75) 0.3 (5) TH-HC40 (5'0'x 8'01) 40 (1920) 60.0 (2880) 6.00 (290) 6.24 (300) 0.3 TH-AW40 (5'0'x 8'0') 40 (1920) L 60.0 880) 8.00 (390) 6,24 300) 0.1 (2) Group 111 Fired Window Products Fixed Windows 2.2.9,p.22 F-R15 (4'0'x 4'07 15 (720) 22.5 (1080) 2.86 (140) 1.57 (75) 0.3 5 F L5 (4'6'x 4'67 25 (1 200) 37.5 (1800) 3.75 (180) 1.57 (75) 0.3 () (5'0'x 5'0') 30 (1440) 45.0 (2160) 4.50 (220) 1.57 F-W40 (6'0'x 6'0`) 40 (1920) 60.0 (2880) 6.00 (290) 6.24 &3 (5'0'x 8'07 40 (1920) 60.0 (2880) 8.00 (390) 6.24 (300) 0.1 (2) 4 9 'd TITS-BsatiroE) IWUW d6S= 10 ZO 22 Uer Shuctund Test Wd)r Wsaiatwrse Air InOrstlan Design Pressure Pteeeure TW Pn.re. Tot Pneeuw atednuer Rees(1) Wiedootmoor Designation Reference *%dn (M31h irdaem Tom Sia) Section ib"2 (Py "Oto (pts) two (i'y RrtW Group IV Dust Action Window Products Dua(Action Windows 2.2.10,P.23 DA-R15 (3'8'x 5'01 i5 {720} 22.5 (1080) 2.86 (140) 1.57 (75) 0.3 (5) DA-LC25 (4'0'x 5'01 25 (1200) 37.5 (1800) 3.75 (180} 1.57 (75) 0.3 (5) DA-C30 (4'0'x SDI 30 (1440) 4a.0 (2160} 4.50 (220} 1.57 (75) 0.3 (s) DA-HO40 (5'0'x W(r) 40 (1920) 80.0 (2880) 6.00 (290} 6.24 (300) 0.3 (5) OA-AW40 (5'0'x 8'01 40 (1920) 60.0 (2880) 8.00 (390} 6.24 0.1 (2) (croup V Sps tWW Window Products Basement Windows 2.2.11,p.24 BW-R15 (2'8'x 1'41 15 (720) 22.5 (1060) 2.86 (140) 1.57 (75) 0.3 (5) 8W-LC25 (2'8'x 1'41 25 (1200) 37.5 1804) 3.75 180) i.57 (!5) 0.3 (5) Hinged Egress Windows 22-12,p.25 HE-R15 (Minimum size based on window type) 15 20) 22.5 1080) 2.86 (140) 1.57 (75) 0.3 (5)(e,1 Greenhouse,Windows 2.2.13,p.26 GH-R15 (3'(Y x 31(r) 15 (720) 22.5 (1080) 2.86 (140) 1.57 (75) 0.3 (5)m Jalousie Windows 2.214,p.27 J-RI5 (317 x 4'17) 15 (720) 22.5 0080) 2.86 (140) 1.57 (75) 1.2 (22) JabAwning Windows 2.2.15,p.27 JA-815 1451 x b'31 15 (720) 22.5 (1080) 2.86 14q 1.57 5) 0.3 rel (5)R) Tropical Awning Windows 2.2.16,p.28 TA-R15 (4'0'x 210'/410'x 5'31 15 (720) 22.5 (IOM 2.86 1.51 (73) 0.3 {5) TA-LC25 (4'S'x 2'2'µ'S'x 8'0' 25 (1200) 37.5 (IBM 3.75 1.57 (!5) 0.3 (5) TA-C3D (45'x 2'VXT x 8'0•} 30 (1440) 45.0 (2180) 4.50 1.57 (75) 0.3 (5) Group Vi poor Products Hinged Glass Doors(4) 22.17,p.28 HGD-R15 (2'8'x 8'61) 15 (720) 22.5 (1080) 2.86 (140) 1.57 (75) 0.3 HOO-LC25 (2-1 O'x 6.81 25 (1200) 37.5 (1800) 3.75 (180) 1.57 (75) 0.3 (5) HGO-CM (3V x 6'10') 30 (1440) 45.0 (2160) 4.50 (220) 1.57 (75) 0.3 (5) HOD-HC40 (4'8'x 8'0') 40 (1920) 60,0 (2880) 6.00 (290) 8.24 (300) 0.3 (5) Dual Action Hinged Glass Doors(4) 22.18,p.29 DA-HOD-RIS (2'8'x 6'6) 15 (720) 22.5 (1080) 2.88 (140) 1.57 (75) 0.3 (5) DA-HGD-LC25 (2'10-x 8'81 25 (1200) 37.5 (1800) 3.75 (180) 1-57 (75) 0.3 (5) OA-HGD-C30 (3'0•x 6'101 30 (1440) 45.0 (2160) 4.50 (220) 1.57 (75) 0.3 (5) DA-HGD-HC40 (4'e'x 8'0•) 40 (1920) 80.0 go" 6.00 (290} 624 (300) 0.3 Sliding Glass Doors(4) 2.2.19,p.31 SGO-Rt5 (2'105c 6161 16 (720) 22.5 (1080) 2.86 (140) 1.57 (75) 0.3 SGD-LC25 (J'6'x 6'8') 25 (1200) 37.5 (1800) 3.75 (5) SGD-C30 (3'10'x VI(r) 30 (1440) 45.0 (180) 1.57 (75) 0-3 SGD-HC40 (4'1(ri 7'10') (2160) 4.50 (220) 1.57 (75) 0.3 (5) (1920) 60. 0(2880) 6.00 (290) 6.24 (300) 0.3 (5) SGD-AW40 (4'lWx 7'TO') 40 (1920) 60.0 (2680) 8.00 (390) 6.24 (300) 0.3 (5) (1)Products Shan be rated for air infiltration on a Pass/Fail basis. (2)Air infiltration rete for Greenhouse and Jai-Awning Windows she#be measured as cubic teat per minute per square foot(cubic meter per tour per square meter)of finished window opening in the plane of l ha wall. (3)Air infiltration for hinged perimeter frame window assemblies shall be rated on the basis of CFMift(cubic mererffidmater)of sash crack.On Hinged perimeter frame window assemblies,the perimeter crack between the stationary pednteter frame and the window frame plus the operable sash crack of Me window itself shaft be used in determining dye sash crack.If the hinged pedmeter frame window is a fixed window,only the perimeter crack between the stationary perimeter frame and the window frame shall be used. (4)Sizes for doors are given as panel width x frame height. 5 �•d T Z T S-8S�t bOti l IWUW ds5 10 430 as utar SLIDING GLASS DOORS 2.2.19 SLIDING GLASS DOORS largest size for which acceptance is sought under this standard but in no case less than the minimum size shown 2.2.19.1 Definition below. Sliding glass doors consist of one or more lues of glass contained in panels which, in turn,are contained within an Where stile conditions of identical design are installed in overall frame designed so that one or more panels are repeating multiples, a single full module of panels is movable in a horizontal direction. Panels shall be all sliding permitted to be submitted and tested as representative of or some sliding and some fixed. Panels shall lock or the entire group of modules. interlock with each other or shall contact a Jamb member where the panel is capable of being securely locked. Doors shall be designed and assembled so that panel to panel Designation minimum Panel Minimum frame P P Width Height contact between horizontal members moving relative to one SGD-R15 2'10' (860mm) 6'6'(1980mm) another does not occur. SGD-LC25 3'6' (1070mm) 6'8'(2032mm) SGD-C30 3'10'(1170mm) 610'(2080mm) 22.19.2 Designations and Types SGD-HC40 410'(1470mm) 7'10'(2390mm) Sliding glass doors shall meet all the applicable I SGD-Aw40 4'10"(1470mm) r1o'(2390mm) requirements of Sections t, 2.1,3 and this Section for one of the following designations: NOTE:Because the size of the panels submitted for laboratory tests and cerifficaton defemrines the maximum-size panels recognized as approved Designation Type by any persons or agencies requiring such certification,it is recommended SGD-R15 Residential that the manufacturer submit a unit with the largest-size panels for wtuch SGO-LC25 Light Commercial acceptance is sought under this standard.Any stile condition contained in SGD-C30 Commercial the test unit shall be considered approved regardless of the number of SCID-HC40 Heavy Commercial panels used SGD•AW40 Architectural 2.2.19.5 Performance Requirements The following tests are in addition to Gateway 2.2.19.3 Hardware Performance Requirements specified in Table 2.1. 2.2.19.3.1 Rollers and Roller Assemblies NOTE: The A4MA Cerfifica8on Procedural Guide may be referenced Movable panels shall be fitted with rollers and roller for further explanation of specific performance tests. assemblies conforming to HAMA 906.3. Rollers and roller assemblies shall be designed to provide easy movement 2.2.19.5.1 Operating Force and to adequately support the panel during extended usage Each movable panel shall be adjusted before any tests without deforming or developing flat spots. Corrosion are performed so that they shall operate in either resistance of hardware components shall comply with direction with a force not exceeding the value indicated in HAMA 907,where applicable. the table after the sash is in motion. 2.2.19.32 Locks Designation Maximum Force to Force to Keep in Movable panels shall be tested with a lock of compatible Open Motion material, which is corrosion resistant or which has been SGD-R15 30 lbt(135N) 20 Ibf(90N) properly treated to resist corrosion and of sufficient strength SGD-LC25 30 Ibf(135N) 20 ibf(90N) to perform the function for which it is used. Locks shall SGD-C30 30 Ibf(135N) 20 Ibf(90N) provide reasonable security against forced entry and shall SGO-HC40 40lbf(I BON) 25 Ibf(115N) be readily accessible for service. Bolt and/or strike shall be SGD-Aw40 40 lbs(I BON) 25 lbf(li5N) designed so that no damage will result if the door is closed with the unit in locked position. No further adjustment that would affect the operating NOTE:The term lock as used in this specification,derines the mechanism force shall be made for the balance of all tests. fumished for latching and urdatching the door and does not mean that a key-operated Cylinder must be supplied. 2.2.19.3.3 Adjustability Rollers and locking devices shall be adjustable to assure proper fit and operation. 2.2.19.4 Test Sample Requirements Each specimen submitted for tests shall be a completely assembled and gla2ed door of standard construction in the 31 8•d TTTS-892(1►0E) IWHW d6S =T0 20 22 Uar 2.2.19.5.2 Deglaxing Test When tested in accordance with ASTM E 987, the panel members shall not move from their original position, in relation to the glazing materials,by more than the original glazing bite. The load for vertical rails shall be 70 Ibf (320N), and 50 Ibf(230N) for all other rails. 2.2.19.5.3 Life Cycle Testing (AW designated doors only) When tested in accordance with AAMA 910,there shall be no damage to fasteners, hardware parts, or any other damage which would cause the window to be inoperable, and air infiltration and water resistance tests shall not exceed the Gateway Performance Requirements specified in Table 2.1. 32 g•d T t I S-9S�(1►0E l IWHW dOO:00 20 22 uer U_&DEPATt' U NT OF HOIJSMG AND URMN DEYF2APSUNL' USE Of NAMEWArS AMMOAM S-X"-7 F-HoiriWWWANW How Ciemicdseer BI7IIZM NQ 111 To: DnV.. 0R$.HOUSMG DIVISION DAn UMM DOLECTORS.MULTIBAMILY DTVMON DIRECTORS„SINGLE FAMMY DIVISION February 2, 1998 SUBFWP HUD BUILDING PRODUCT STANDARDS AND CERTIFICATION PROGRAM FOR FENESTRATION PRODUCTS (KINDOWS AND DOORS) Members of the HUD staff processing cases and inspecting construction, shall use this information in determining acceptability of the subject products for the use indicated. This bulletin should be filed with bulletins on Special Methods of Construction and Materials as required by prescribed procedures. Additional copies may be requisitioned by the Field Offices. 7be technical description,requavanents and limitations er nssed berein do not constitute an endorsement,or appraral by the Department of Housing and Urban Development(MM/FHA)of the subkd man=,and any statement or reMmmts ion, however made,Indicating approval or endorsement by the Department of Housing and Urban Development is unauthorised and a dse,and will be considered a violation of the United States Criminal Cade 14 U.S.C.709. Any reproduction of this Bulletin must be in its entirety aid any we in sales promotion or aadvertidug is not anaodn& Subject to good workmanship, compliance with applicable codes, And the methods of application listed herein, the products described in this bulletin may be considered suitable for HUD housing programs, including. Housing for the Elderly and Care-Type sousing. The eligibility of a property under these programs is determined on the property as an entity and involves the consideration of underwriting and other factors not indicated herein. Thus, compliance with this bulletin should not be construed as qualify- ing the property as a whole, or any part thereof, as to its eligibility. The method of application for the products listed herein are considered ..a part of the HUD Minimum Property Standards and shall remain effective until this bulletin is cancelled or superseded. QX •d leis-g9ZtbQEI IWUW duo ZQ 00 20 uBC -2- HUD BUILDING PRODUCT STANDARDS AND CERTIFICATION PROGRAM FOR FENESTRATION PRODUCTS (WINDOWS AND DOORS) GENERAL - ADMINISTRATION: This certification program shall be administered by organizations that qualify under the Administrator Qualifications and Procedures of the HUD Building Product Standards and Certification Program, and shall comply with 24 CFR 200.935, except as modified by the provisions of this Use of Materials Bulletin 111 (UM 111) . Copies of Administrator Qualifications and Procedures for the HUD Building Products Standards and Certification Program may be obtained from: Department of Housing and Urban Development Office of Consumer and Regulatory Affairs 451 7th Street, SW, Room 9152 Washington, DC 20410-8000 The procedures for carrying out the certification program for . fenestration products (windows and doors) shall be in accordance with 24 CFR Section 200.935 and this UM which supplements 200.935 by providing that: 1. The Administrator shall issue to the manufacturer, labels containing the Administrator's mark, the manufacturer's statement of conformance to UM 111, the manufacturer's name, and plant location. 2. The certification label shall be affixed to each fenestration product. 3. At least every four years, the Administrator shall visit the manufacturer's facility to select a commercial sample for testing in a laboratory approved by the Administrator. 4. The Administrator also shall review the quality assurance procedures twice a year to assure that they are being followed by the manufacturer. STANDARDS: All fenestration products (windows and doors) shall be designed, manufactured, and tested in compliance with the following American Architectural Manufacturers Association (AAMA) standard. AAMA/NWWDA 101/I.S. 2-97 "Voluntary Specification for Aluminum, Vinyl (PVC) , and Wood Windows and GlAss -Doors" II 'd IIiS-BSZ(IF06) IWHW d00:20 20 22 Uer 1�,�,�� //CITY OF 4&fes /3�—&;&U-4:& Office of Building Official REQUEST FOR INSPECTION Date Permit No. � Timefi A.M. Received RM. 1 e 4, 421� Job Addres ocality Owner's � •/ -�'((( Contractors Em�,ng CONCRETE ELECTRICAL PLUMBING MECHANICAL ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulations r ❑❑' Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTIO A.M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. r Inspection Made PM. Inspector Final Inspection ❑ �� —70. 33 Certificate of Occupancy[71 Date �ti�,j. RETURN Book 13371 Page 475 PHONE# Books 037154315 PaI�s 475 . Fiij a PJMI od MW nN FUF1?LER 0810839 Al! NOTICE OF CONIMENCENIENT CLERK_ CWnT MIRT IM C6UIITY TRUST FUND s 1.00 REMIN : 5.00. TO WHOM IT MAY CONCERN: The undersigned hereby informs all cancemed that impravements will be made to certain real property, and in accordance tiyith Sectian 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF CONINIENCENIENT. Oescrtption of Proaerty General 0escripton of Improvements Address: Owners interest in site of improvements: �4_?W Fee Simple 7tte Haider(if other than owner) -Name >� Address Contractor PSP o Address o5 OV6 A' Surety (if any) Address Amount of Hand Name of person within the State of Florida designated by owner upon wham notices Cr other document ay be s rued: Name Address � In addition to himselfi, owner designates the following person to rec..aiie a copy. of the Lelnars Notice as provided in Section 712.13(1)(F), Florida Statutes. (FII i6 at Owner's option). < 2 Name Address: E$Q' (iEORMAAHM ' MY COMMISSION#DU 030526 Own r EXPIRES:JUne 3,2005 � amwa rw Notary Pw*Undenrt- r Sw7e r e me this day of _-Z;, n CITY OF ATLANTIC BEACH - DEPARTMENT OF BUILDING 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233-TEL: 247-5826-'FAX: 247-5877 PEI2MtT INFt?IMATION. _ _� _ �,__ LOCATION IIVFORMATK3N Permit Number: 23556 Address: 1931 BEACH AVENUE Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: _ Improv. Cost: l µ WRIER"INFORMATION Date Issued: 3/05%2002 e- ELMAN Total Fees: 3 ACH AVENUE k Amount Paid: EACH, FLORIDA 32233 Date Paid: 3/ 6. 1 Work Desc: EXT _4 CONTI ES DOMESTIC DESIG 00 f EPMIT 38�� +s!,.e - a`'.- .ytiy R --y M11711OR s �yrv�rri 'a��`p'�.>'"'+�.'yG ria n r -ikh y u _ ""X 2 4 fk� 20 '4��`� ter' 3Ff� fit'1 a A» �,x srt a� 5 t, ; ?+, 'r6 ntkw'h qk < sT,-•ct, p -sem �'^.k-,F. ' �. a , ' +. 7 ,r 3, w,;�ra'•d`'�� r,tib'. it : ..fat rF� # ss4c .; krMwis6 r 3 !' 3 s�Sg�"w."* wy A4 _0 �1 NOTICE- INS ` 1 P TO INSPECTION BUILDING MATERIAL, RUBBI LACED IN PUBLIC SPACE,AND. MUST BE CLEARED UP AND HALL' NER ti "FAILURE TO COMPLY WITH THE CON L� N 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. Oder: DSOI H Tvoe: OC Drawer: I Date: 3/07i'02 01 heceipt no: 39733 `` 14 PERMITS-RJILDING I $38.00 ATLANTIC BEACH ILDIN PT. Trans numbe._ 793719 CK CHECKS 1340 38.010 J °ans date: 31107/02 'Tige: RECEIVED 7 AIN � . I FEB 2 " R-0 City of ,Atlantic Beach Building and ZQning City of Atlantic Beach - 800 Seminole Road - Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - FAX (904)247-5805- http://www/ci.atiantic-beach.fl.us PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION �'' _ DATE APPLICANT -A0!57 /� .. ADDRESS AM/ /em� j PHONE: ` -- ' 1411- ADDRESS WHERE WORK IS TO BE PERFORMED ! `^/�� 215K� LEGAL DESCRIPTION: BLOCK NU BER LOT NUMBER ZONING DISTRICT CONTRACTOR, � 5 /�C�✓� STATE LICENSE NUMBERao��SOr ADDRESS % , !% ', ��i PHONE CITY �� STATE r v ZIP FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE PRESENT USE OF LAND OR BUILDING(S) O�iliT VALUATION OF PRO ED CONSTRUCTION Is this an addition? If yes,what are are the dimensions of the added space: feet by feet Will the added area be heated an cooled? blew electrical or increase in service? New plumbing fixtures. New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required?_� 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.) 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 is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4) complete sets of construction plans to t1kFR9iTdi&1JFe gnt, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32,1ig `�-5826 8U1 w L.addit4on 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 appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE o I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME fC� /' MAILING ADDRESS PHONE AAl- a�70e FAX E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: P?/Personally known ' GEORGIA XHORN ❑ Produced identification MY COMMISSION A OD 030526 Type of identification produced EXPIRES:June 3,2005 h l` cawed Tnru risen Nunes Und—d- AS TO CONTRACTO Personally known ❑ Produced identification k HORN Type of identification produce = Y91RES: DD 030526 ruNoJune 3,2005 01/02/02 eadedThru Notary Pubes U 0;06 eew (� I : b3A 01 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: PLUMBING CONTRACTOR: - CONTRACTOR'S ONTRACTOR:CONTRACTOR'S ADDRESS: 4v STATE LICENSE NL�IAER: f %/��Q/ TELEPHONE:_ �I HOW MOY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PLNS OTHER TOTAL FIXTURES: X 3.50 + $15.00 M`iNIML'M PERMIT FEE - $25.00 SIGNATURE OF OWNER: / a,� t SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH :H3 L994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLEL IN TO ?UBLIC [FORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. +Sp� lr r µ 1623. '. ' DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH R w? PE ?MIT INFOR�iATT41Y - - LOCATION I NFO f6fAT 1C Nub ► . address : 1931 BEACH AVENUE Permit; Tipsi*PLUMBING ATLANTIC BEACH, FLORIDA 3223Ic of Work»ALTERATION --------- LEGAL T}ES�"RIP'PT�+ f --------- C n tr. T Pe».NG,OD FRAME Bloch: Lot;: T Dwe� lnc 1 5u divas 0n:NORTH ATLANTIC :BEACH . E t.. 'V-au , Improv.', Cott d 1.00 } TotaI Fto �.y2y .tl t ' ryw 4 , K ION � ., ` " APPLICAT, YN FEE --- -- PERMIT 25�.00 r y,, 'LO DA r p , effil ,*P ;k. 1 '$ .. , "' I Name, . F.47, PA LUNB J:N CO ' "'Add { AOKSO3 AI "CH' FL 32240-1558 a LIC. * m T 8x r , "" e k NOTES; i NOTICE-INSFECTIONS'MUST I3E REQUESTED AT LEAST 24 HOURS'PRIOR TO INSPECTION i 1 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 MECHANICS LIENLAW SAN �t SULT fhfi THE PROPERTY OWNER PAYING TWICE FOR BUILDING:1MPR, 'itNTS. � ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART,OF THIS PERMIT'AND :SUBJECT TO REVOCATIOAb CN ,t 140LAMON OF APPLICABLE PROVISIONS OF LAW. ATLANTIC EACH BUILDING DEPARTMENT r CITY OF P 4&4^4-c Office of Building Official REQUEST FOR INSPECTION Date Permit No. Received �� P.M. District No. jf Owne JoC �c/c 1.� Locality Name - / r BUILDING CONCRETE ELECTRICA PLUMBING MECHANICAL Framing ❑ Footing ❑ �ReugA wJ. . ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Stab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab yam, READY FOR INSPECTION A.M. Mon. Tues: Wed. Thurs. _ Friday P.M. C C A.M Inspection Made Inspector Final Inspection❑ Certificate of Occupancy Date —` w.y ' 6 CITY OF ATLANTIC BEACH, FLORIDA Approwdew APPLICATION FOR ELECTRICAL'-RERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:�-7:-Z2—l9y--?-j 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. �e4x'ELECTRICAL FIRM: MWER E NAME.._—TLXW;��..._,.ADDRESS:- Ili L J?�5� . RFD BOX BLDG.SIZE BETWEEN: RES.1 APT.( ! COMM.I ! PUBLIC( I INDUS.( 1 NEW( ) OLD I 1 REW.( ) ADDITION I ) TRAILER( 1 TEMP.I ! SIGNS ( I SCL FT. SERVICE: NEW I 1 INCREASE 1 1 REPAIR FEE CONDUCTOR SIZE4& AMPS O COPPER I I ALUM. MOTCH OR BREAK PH W VOLL RACEWAY EXIST.SERV.SIZE AMPS PH 13 W -2 "1/' Olsy I RACEWAY FEEDERS NO. SIZE I NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0•20 AMM. il•f00 AMM. SWITCHES INCANDESCENT _ FLUORESCENT 6 M.V. FIXED Io-loo^Mrs. ovsw APPLIANCES I I BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 M.P. VOLTAGE PHS MISCEL ANEOUS CITY OF � �'*c.ct4lAG I7eRCA - 57(4'Za4 t 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 h TELEPHONE(904)249-2395 January 24, 1984 Mr. Homer H. Humphries, Jr. 801 Blackstone Building 233 East Bay Street Jacksonville, Florida 32202 Dear Mr. Humphries: As you have been advised by our staff, the City Commission of the City of Atlantic Beach granted your request for water service at 1931, 1933 and 1935 Beach Avenue. The approval was granted subject to the provision that all costs be absorbed by you and that all lines be installed as approved and subsequently inspected by the City of Atlantic Beach. As a matter of policy, we only install 3/4" water meters. .Additionally, we would prefer that 1933 and 1935 Beach Avenue receive their own 3/4" meters. If this is not possible, it will be necessary to bill the property owner for the water consumed by the tenants at those locations. You may contact our Building Department regarding the appropriate connection charges and water meter charges. Sincerely, A. Wil i" Mos City Manager AWM:j 1 cc: Wally Bowles, Public Works Superintendent Rene' Angers, Building Clerk MINUTES OF THE REUTAR IKEI•TTI,K] OF `THE A`IZANTIC BEACH CITY V V MIUSSION HFZ,D AT CITY MALT, ON JANUARY 9,1:'84 AT 8:00 P.M. O O T T E E PRESENT: William S. Howell, Mayor-C'omni.ssioner D D Robert B. Cook, Sr. John W. Morris, Jr. Catherine G. Van Ness, Corini_ssione.rs M S E AND: A. William Moss, City Manager Z C Claude L. Mullis, City Attorney I O Y Adelaide R. Tucker, City Clerk NAME OF O N E N CO�2MRS . N D S O _ ARSEI�IT eWilliam I. Gulliford, Corcmissioner - In hospital for surgeKy The meeting was called to order by Mayor Howell. The invocation, offered by Commissioner Van Ness, was followed by the pledge to the flag. l roval of the Minutes of the Regular Corrvission Meeting of December 12, 1983 Motion: The minutes of the regular Coiivnission meeting of December 12, Cook x 1983 be approved as submitted Morris X x Van Ness x x The motion carried unanimously. Howell x Recognition of Visitors - None Correspondence A. From Homer H. Humphries, Jr. , Requesting City Water Service at 1931 B ch Mr. Humphries requested city water service for his residence at 1931 Bea Avenue and also for two apartments at 1933 and 1935 Beach Avenue. Cook x x Morris x x lotion: Approve cut-ins for water service at 1931, 1933 and 1935 Van Ness x Beach Avenue as requested by Homer H. Humphries, with the Howell x understanding that all costs will be at the expense of Mr. Humphries with no reimbursement expected. The motion carried unanimously. B. Bewt-ween Mr. & Mrs. E. B. Then and the City Imager Regarding Varian Request - 193 Beach Avenue. `Che correspondence was furnished for information only. No action taken. Advisory Planning Board - No Report. c Pr r'E FiIAD --- - V V "111\ 1ITZ Names of JPNIARY 9x1984 Commrs. M S Y N City Manager's Report A._Itcln #l-Award of Contract for Street P.esurfacirng Selva 1,1a.rina Dr. The City Manager reported that the bid opening was held on Jan,4,198 at 2:00 p.m. Two bids were received and opened - Dickerson of Fla, , Inc. in the amount of $35,195. and W7U Paving, in the amount of $35,525. The tabulation of bids is attached hereto and made a part hereof. The low bid submitted by Dickerson does comply with the terms and conditions of the specifications. The City Manager recom mended award of bid to the low bidder. Mr. gloss was asked if he had pursued the possibility of going through the City of Jacksonvill for resurfacing bids, and he said yes, but the City of Jacksonville was not interested. Notion: Award the contract for street resurfacing to the lag Cook x bidder, Dickerson of Fla. in the amount of $35,195.00 11`brris x x Van Ness x x The motion carried unanimously. Howell x B. Item i2-Voluntary Cooperation Agreement The Mayor presented the Voluntary Ca TA-_ration Agreement between the cities of Jacksonville Beach, Neptune and Atlantic Beach for law enforcement activities. Both he and the Citv Attorney voiced their approval. Motion: Approve the Voluntary Cooperation Agreement with Jack- Cook, x x sonville Beach and Neptune reach. The Playor be authorizMorris x x to execute the agrer3-rent on behalf of the City. Van Ness x The motion carried unanimously. Howell x * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * C. Item #13-Proposed Agreement with England, Thims, & Pliller,Inc. Consulting Engineers - Saltair Drainage Study. The 1983-84 Capital Improvements Program has allocated $4,000 for an engineering study of the Saltair Subdivision Storm drainage system. Mr. 11oss reported that England, Thirsts & Pliller have submitted a proposal to conduct an engineering evaulation and drainage study in the areas within Saltair and along the Selva marina lagoon to the weir structure near Mayport Rd. The City Manager recor.Ynended that England, ThiTns & Miller be authorized to perform the engineering evaulation. Mayor Howell expressed the opinion that he believed a study had already been done several years ago, and it was found that we need to enlarge the culverts under Sa-rLinole Toad, Plaza, and 11th St. Discussion followed. Cook x Motion: Table action on the matter until further study is done. morris x x The motion carried unanimously. Van Ness x x * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Howell x New Business - None Unfinished Business - None PAGE V V PIINUl'ES Names of JANL:AF.Y 9, 1984 Coirunrs. M S Y N Report of Committees A. Committee of the Whole Meeting of January 3, 1-984 The Ccnunission met as a Ccmuttee of the Whole on January 3, 1984 to discuss the proposed "Purchasing Ordinance". The minutes are attached hereto and made a part hereof. Action on Resolutions - None Action on Ordinances A. Ordinance No. 5-83-11 - Second and Final Reading-Public Hearing AN ORDINANCE TO PRESCRIBE AND AUTHORIZE A UNIFORM TRAVEL POLICY AND PROCEDURE FOR THE CITY OF ATLANTIC BEACH OFFICERS, EMPLOYEES AND AUTHORIZED INDIVIDUALS; AND PROVIDING AN EE'FECTIVE DATE. Said Ordinance was presented in full, in writing for second and final reading by Mayor Howell. Said Ordinance was posted in line with Charter requirements. Mayor Howell then opened the floor for a Public Hearing. As no one spoke for or against, Payor Howell declared the Public Hearing closed. ^ioti-on: Said Ordinance No. 5-83-11 be passed on second and Cook x x final reading. Morris x During discussion before the vote, Commissioner Morris asked if Van Ness x x Section 6, page 3 - requiring receipts for meals was intended to Howell x be left in. The City Manager answered yes. The question was called and the iiotion carried unani-iriously. B. Ordinance No. 5-83-12 AN ORDINANCE PRESCRIBING RULES AND REGULATIONS FOR THE PURCHASE OR CONTRACT FOR SUPPLIES, MATERIALS, EQUIPMIVr, SEM7ICES, AVID PUBLIC IMPROVETETIS; REIDEALING SECTION 72 OF THE CHARTER FZ?TITLED "CONTRACT FOR CITY D1PROVE,E: TTS", AND ARTICLE II, SECTION 8-4 THROUGH 8-8 OF THE CODE OF ORDINANCES =ITLED "PURCHASING". Said Ordinance was presented in full, in writing on first reading by Mayor Howell. Cook x x Motion: Said Ordinance No. 5-83-12 be passed on first reading. Morris x x During discbefore the vote, Playor Howell asked t-he City Van Ness x Attorney if he had determined if Section 72 of the Charter could be Howell x repealed by home rule. City Attorney Mullis replied that Section 72 of the Charter can be repealed by home rule. The question was called and the motion carried unanimously. Public Hearing was set for January 23, 1984. PAGE TOUR V V MINUTES Names of JPNUARY 9, 1984 Commrs. M S Y N Miscellaneous Business 1,1-iyor Haaell sadly announced that Judae Charles Anderson, our municipal judge from 1958 until the courts were abolished, had sassed away Sunday night. Mr. I�bss announced that the Department of Transportation will be doing a study on traffic signals at I'ayport Road and Levy Rd this rmnth. There being no further business, the Mayor declared the meeting adjourned at 7:53p.m. (SEAL) William S. Howell I iayor-Coixrd ssioner AITEST: Adelaide R. Tucker City Clerk CITY OF ATLANT APPLICATION FOR APPLICATION IS HEREBY MADE FOR_ THE FOLLOWING ADDRESS CUT-IN CHARGE OF D STREET N0. LOT BLOCK ACCOUNT NUMBER DATE METER NO. DATE INSTALLED 7 CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT INS APPLICATION IS HEREBY MADE FOR_ WATER CUT-114 AT THE FOLLOWING ADDRESS FOR w UNITS .. CUT-IN CHARGE OF C>2- STREET STREET NO . �� LOT_ BLOCK_ SUBDIVISION ACCOUNT NUMBER BUILDING DEPAR ��1E T DATE METER NO_ DATE INSTALLED 03 PLUMBING WORKSHEET SINKS _ SHOWERS DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. _ BATHROOM GROUP CONSISTING OF LAVATORY (1 L'NIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) _ DRINKING FOUNTAIN (2 UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED _ WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) SHOWER STALL, DOMESTIC _ BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) _ LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) t KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10.00 EACH a � PLUMBING WORKSHEET SINKS SHOWERS DISHWASHERS CLOSETS _ BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT 4 FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE [,LATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. # BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (1�2 UNITI URINAL, WALL LIP FLOOR DRAIN (1 UNIT) (4 UNITS) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) _ WATER CLOSETS, VALVE OPERATED _ WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) SHOWER STALL, DOMESTIC _ BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) _._ KITCHEN SINK (2 UNITS) 1 KITCHEN SINK/WA&TE-GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10.00 EACH PLUMBING WORKSHEET SINKS — SHOWERS DISHWASHERS CLOSETS / BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT "a FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF _ LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN 02 UNIT) URINAL, WALL LIP FLOOR DRAIN (1 UNIT) (4 UNITS) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (B UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK—OPERATED (8 UNITS) (4UNITS) _ SHOWER STALL, DOMESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WWF&-.-G�DFR (3 UNITS) TOTAL FIXTURE UNITS @ $10.00 EACH