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Permits 1975 Beach Ave L CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000408 Date 3/25/09 Property Address . . . . . . 1975 BEACH AVE Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc meter for sewer 100 amp 120/240 loc by 1973 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BEACH AVE CONDO ASSOC FRANKLIN ELECTRIC SERVICE 1975 BEACH AVENUE 13810 SUTTON PARK DRIVE N ATLANTIC BEACH FL 32233 SUITE 627 JACKSONVILLE FL 32224 (904) 629-4925 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/21/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 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 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- r y OFFICE:(904)247-5826 0 FAX NO.:(9N)247-5845 / BUILDING-DEPTCCOAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY JOB AD_ SS: 12.IS THIS A SUB PERMIT: 3.DATE 7 7 7! ! &�c4 AVE. IMLNO OYES PERMIT#: Z.f A4A?-O PROPERTY OWNER: 4.NAME: I/ �J K l�R R tZ age 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: h8�oo,t Ar;IZfNv2 v.�1�JGF2 ELECTRICAL CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.: 26. a -3 speoleX Flo 18OX 51247 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: cit - of s' Z 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. A 15.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 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. CONTRACTORSSIGNATURE: 16.C OF WORK: 17.SERVICE: 18.METER NUMBER: ULTI FAMILY-#OF UNITS: ❑RESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE RCOMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE: ❑ALTERATION ❑SIGN ❑OLD ❑NEW ❑'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK:' 20.TYPE OF SERVICE: ❑OVERHEAD XUNDERGROUND ❑UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE:_1_ ❑ POWER IS ON R POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: J OO ❑COPPER M-ACCJMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH:�_ W:�_ VOLT: VO RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: (28.FIRE ALARM: ❑YES ❑NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 600V: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: ,,� s fe�J,� N�'W ID ID k St-a�u� Co t?- JaoµFowNffe5 AI.S o J BLDG02 Permit Application Elec:REVISED:12/182008 HP Fax Series 900 Fax History Report for Plain Paper Fax/Copier Mar 25 2009 12:43pm Last Fax D-= Time 1_)= Identification r i Pa= Result Mar 25 12:4lpm Sent 96657372 1:17 4 OK Result: OK - black and white fax Application Number . . . . . 09-00000404 Date 3/25/09 Property Address . . . . . . 1975 BEACH AVE Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc sewer tap ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ARTHUR ATLANTIC COAST PLUMBING CORP. 1975 BEACH AVENUE DBA:ATLANTIC COAST PLUMB. &TILE ATLANTIC BEACH FL 32233 Q/A: PARRISH, NICHOLAS JACKSONVILLE FL 32224 (904) 249-5381 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/21/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 -r_u,. CITY OF ATLANTIC BEACH 0 PLUMBYNC PERMIT APPLICATION . t 75 071-17 v Property Address: - _ Owner: OU (3DV Telephone Contractor: Telephone N.- Contractor :Contractor Address: in eotsideruion of permit given for doing the.cork asdrn�bwin the above atatemcnt,we hereby a oto 1 gra perform said work in7 accordance with the attached plans and specifications which ore a pans hereul'and in iuxordance with the Cite o�Aduadc Beach ordinance and standards of good practice listed therein. ar5_` ©6J,'0 je 9 Q Installation of plumbing and fixtures must be in accordance with the most reccm edition of the Southern Stan lard Plumbing Code. Plumbing Type: If other construction is being done on this building or site. O New list the building permit numbir: 0 Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks ' Disposals Urinals Floor Drains _ Washing Machine Lavatory Water �4 Sewer Water Heaters Other Feed Permit Issuing Fee: $35.00 Total Fixtured: X 57.00 + S35.00 800 Seminole Road . Atlantic Beach, Florida 32233-5445 Phone: (SO4) 247-5800 . Fax: (904) 247-5845 . http:itwww.ci.atlantic-boach.fl.us CITY OF ATLANTIC BEACH sl 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 ,•µms vJ:if i�'' Application Number . . . . . 08-00001072 Date 10/13/08 Property Address . . . . . . 1975 BEACH AVE Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4068 ---------------------------------------------------------------------------- Application desc window replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ARTHUR HOME DEPOT AT-HOME SERVICES 1975 BEACH AVENUE 1478 KATHLEEN WAY ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (813) 630-4111 --- Structure Information 000 000 WINDOW REPLACEMENT Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 4068 Expiration Date . . 4/11/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 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 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Grand Total 82 . 50 82 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. tfoqc?2- CITY OF ATLANTIC BEACH _ - tdi 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OvRR_ OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 77717407 11q 15 e. a.-.c.k Ave pp �l,o( B d.. ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT_BLOCK_SUB DIVISION 11 ADDITION 11 CONVERTING USE COMMERCIAL ❑ALTERATION ❑ACCESSORY BLDG. rJ� J��� �� �,vd ���� ❑REPAIR ❑POOL I SPA ❑YES 11N/A ( d� ((�\ N Cl ❑MOVE ❑OTHER ❑NO CONTH CTTORJIilllh!{,.. z : i., .. t., ...l.d it,I, ,,da: I • °'w 9 NAME: 15.COMPANY NAME: 23.COMPANY NAME: Wl!ii&4/^ Ar a f , lit �-ri�yes 16 AME: 24.LICENSEE NAME: ��- 10.ADDRESS: 17.STA OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: Ave , 18.ADDRESS: 26.ADDRESS: AHo. J L ZZ 33 (tt1ZZ. 1�t°�cn2y (ZcI S� 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 3010W 13.CELL PHONE _ 1� 21.CELL PHONE: /D� //6 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS' LI t 30.EMAIL ADDRESS: I „< $ I NC�>ir c ►�(ww ! . All 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. * 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. i iF4l Signe t / te: I �� Signed: Date:t Id q 'O R Before me this day of Se' �L'M 1p ,2007 in the count of Before me this }� y '7 day of 7 20CSin the county of r■ urxi•■q . ...Oq.. N Duval,State of Florida,Iles■5�.r§onaa. ... ...■.. � W.PAM Duval,State of Florida,has personally appeared �pN5ltl/„� - - herin by himself/herselt#i _tall s1l�pieni5� 91�ratiops are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. - Florida Notary s .,Inc C Notary Public at Large,S'�aiq �..... ■GowY�raf Notary Public at Large,State of L County of ❑Personally Known ❑Personally Known Produced Identifcat(nf-- �� r) �. i-` C � ❑produced Identifcatio Notary Signature: Notary Signature: �unuu■■ ■. uuun■■ ■unnuunu. REVIEWED FOR CODE CO MPL KELLY L.JULIAN IANCE - - CITY � ,,,,, Comm#DD0766318 OF ATLANTIC BEACH '��Yy� + wr . E @ �tiillt COAB FORM BLDG01 R ISED:1/10/2008 EE PERMITS FOR�ADDMONAL = ' '`r'"`$"� `�` ••'” c QUIREME OF REQUIREMENTS Fbrid Nota Ln NTS AND CONDITIONS. ■•••..........®.REVIEWED BY: C'DATE: . HOME SERVICES To Whom It May Concern: This letter will authorize the following person(s)to act as agent(s)on behalf of THD At-Home Services,INC,D/B/A The Home Depot At-Home Services, 3200 Cobb Galleria Parkway, Suite 200, Atlanta,GA 30339 to pull for permits and inspections with respect to the installation,maintenance and repair of windows,siding,and fencing under Florida State Residential Contractor license number CRC046858. Authorized person(s): John Christionson Erick DeDios Kelly Julian Brian Kirby Don Kirby Jason Kirby Jim Kirby Tim O'Malley Robert Stephenson Lennox Errol Theodore Jr. Elizabeth Grote Aaron Graulau &V-4P-. .� Quali er—Boysie Ramdial THD At-Home Services,INC The Home Depot At-Home Services STATE OF FLORIDA COUNTY OF HILLSBOROUGH The foregoing instrument was acknowledged before me this 181h day of August,2008 by Boysie Ramdial. Notary Public—State off Florida -..5. fiband atraniha y„ C'��.158�t$� Printed Name i25,1201 0 "-3r M,,s Inc I ¢. ..y r,.Y. 4 My Commission Expires Personally known_x_ or Produced Identification THD At-Home Services,Inc. 6422 Harney Road, Suite A•Tampa, FL 33610 813-383-7000•Fax 813-630-4112•Toll Free 866-653-8438 Property Appraiser- Property Details Page 1 of 1 ARTHUR ANN W TRUST Primary Site Address Official Record Book/Page Tile# 1015 ATLANTIC BV SUITE 279 1975 BEACH AVE 1975 10870-1952 9409 ATLANTIC BEACH,FL 32233 Atlantic Beach FL 32233 1975 BEACH AVE Property Detail Value Summary RE# 169723-1004 I ........ .....12007"dil'i d 2008 In Progress ... __. _,_ ... __ ._.„-........ ._.._.-......._ ... . lax District :USD3 Value Method€Condo ;Condo Property Use 0400 RESIDENTIAL CONDO ,Building,Value(3707,000.00 i;707,000.00 .............. .... ....... ........__....... .�. ........... ...._...... ................ ..... ........ ............. .._..... ............ ............. .._ .._....................... .......... .................. Extr #of Buildings 1 a Feature Value'$0.00 €$0.00 . 09-2S-29E Land Value(Market) $0.00 $0.00 LegalDe . ---. -----_--,- ._._.__..�..�.._ ..._. BEACH AVENUE CONDOMINIUM Land Value fAaric.);$0.00 $0.00 Subdivisioe 04325 BEACH AVENUE CONDOMINIUM Just(Market)Value $707,000.00 $707,000.00 _... .__. ..... .... ............ .__.... _._._... .__._._.........._._____._..___............................__.._.� _.-....._ ........... .. ..._,....... ............... € .......... ..........._. .......... ..............._................... The sale of this property may result in higher property taxes.For more information go to Save Our Assessed Value(A10) $289,812.00 $298,506.00 Homes and our Pro ....-_..._......______._._..._..._....___ 0.00._._.. _.....�.._...._.._�_ Property Tax IEst mator.Property values,exemptions and other informabon listed as'In Exemptions;;25,00_0 00 '.See below Progress'are subject to change.These numbers are part of the 2008 working tax roll and will not be - — ------------- certified --- --•-certified until October.Learn how the Prgprty Appraiser's Office values property. Taxable Value $264,812.00 See below Taxable Values and Exemptions-In Progress If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SIRWMD/FIND Taxable Value School Taxable Value Assessed Value $298,506:00 Assessed Value ;298,506.00 Assessed Value $298,506.00 ............................................................................................................................. ......................................................................................................................... Homestead Exemption(HX) ............................:$25,000,00 Homestead.Exemption.(HX)...••.,,,.•.,,,,,,,•,,,,,,,,,,,.•,.,,,....,_:$25,000.00 Homestead Exemption(HX) -$25,000.00 ................................... ......................... ......................................................................................................................... Amend 1 Homestead(HB) _$25,0001.00 Amend 1 Homestead(HB) -$2,5,000.00 Taxable Value ;273,506.00 Taxable Value $248,506.00 Taxable Value $248,506.00 Sales History 10$70 1@52 .12/13/2002 �;100 00 WD-Warranty Deed i Unknown r Improved 46 17- 149 11/14/1988 � ;286,000.00 _�;WD-Warranty Deed 3 Unknown Improved Extra Features No data found for this section Land&Legal No data found for this section Land Le al _LN.....Legal.Description........................................................ 1 09-2S-29E 2 BEACH AVENUE CONDOMINIUM _3 DWELLING UNIT 1975A_-.�____,._.,_. . ................._...___....................................................................................... . 4 O/R BK 6617-149 Buildings Building 1 Building 1 Site Address 1975 BEACH AVE -------•Atlantic Beach Beach FL 32233 _. SOH CONDOMINIUM- .. .._ Buildmq Type :0401 . ... l Year Built 1982 Last Notice of Pro sed Pro Taxes Truth in Milla a Notice Iexrnp District Assessed Value _. Add'I Exemptions ,r Taxable Value_ Last Year1111-1-1-...... ._€Pro Rolled-back ....._., .Gen Govt USD2 2A 2B 3,4 $298,506.00 3$50,000.00 i$248,506.00 $1 375 27 €$1,290.59 $1 352.37 .... ... .. ... ... ...... .. ....... .. ........ ........... Public Schools By State Law I;298,506.00 i $25,000.00 i$273,506.00 $1,292.02 ,;1,398.16 $1,287.99 By Local Board 1$298,506.00 $25,000.00 �� �� ;721.61 E$669.82 ;719.38 FL Inland Navigation Dist $298,506.00 $50,000.00 1$248,506.00 $9.14 $8.57 ;8.82 Atlantic Bch ..----,••.w_,w.,__. ...__.....�_._.. .,�.. ;298,506.00 ,.., ....._ ..... ,,,... ......,,,.„ ..__.. ;50,000.00 15248 506 00 $793.75 $778.25 $778.25 ..... ........ Water Mgmt Dist.SJRWMD $298,506.00 $50,000.00 $248,506.00 ;110 11 $103.33 $111.55 General Gov Voted $298,506.00 _ =$0.00 $0.00 W. $0.00 .,...�.... ._.._._....�..._____.._ 50.00 ;0.00 Urban Service Dista ;$298,506.00 ;$0.00 ;$0.00 $0.00 `$0.00 $0.00 School Board Voted ;298,506.00 -' _ ..._...... ............ ............ ...._I 50.00.................... i 30 .... .....$ 'Totals $4,341.89 ;$4,248.72 $4,258.36 Last Year I$707,000.0 .__.- Assacsad Value Exem onsValue Just Value 0 $289,812.00 j$25,000.00 -.L..-.,,...._._._.._... _,_.._.... ._.._,....._._...-_._..._ 1$264,812.00 Current Year i$707,000.00 $298,506.00 ._.............................._.._.._. .. .. _ j$50,000.00 $248,506.00 Property Record Card(PRC) The Property Appraiser Office provides available historical record cards(PRC).The Property Appraiser's Office no longer uses PRCs;therefore,there will be no PRCs available from 2006 forward. You must set our browsers Page Set Up for printin to Landscape to print these cards. 2445 124 2443 I zom 1 2441 1 2444 Iim I 1998 11997 More Information Parr-el-Tax:Record I GIs Map 1 Map this property on le Maps http://apps.coj.net/pao_propertySearchBasic/Detail.aspx?RE=1697231004 9/22/2008 Friday, September 19, 2008 HOME JOB DETAILS F30 DAY PRICE GUARANTEE SERVICES ROOFING ■ SIDING ■ WINDOWS GUTTERS ■ ATTIC INSULATION 1 -8UC�►-HO/VIEDEPOT CUSTOMER JOB NUMBER William Arthur 4040262 www.MyHomeDepotProject.com (Log-in using 123-456-7890) HOME DEPOT CONSULTANT j INVESTMENT Richard Pait 904-200-5815 PROMO? 12 Months No Int & Hurricane Protection, Attic Insulation, 6" Gutters Windows, Impact Windows, Siding (Hardie &Vinyl) No Payments ........j.........j........:.........:........:........�........i............... ... ......�........:..... ... ...............j...... ... .......j.........�...... ... ... .......... ... _ .. ... ... .....j........ ........j.........j.........j........y........q........� ......j.........j.........j.........jfr _ - _ !......................................q........•........�...................•......... � .. i ... ... ... ... e e 1 1 r ..a'--r1�.. ...�... ...�... ...�....-.. ... .... ... ... ... ... ... ... ... ........... ... ... i i i i L i L ........j.........j.........j.........j........a........j.........j.........j.........j..... ... ... ... .. ... .... ................... ... ... ... ................. ... ... ... ... ............................................ ........ ........•..................'.. .... 1 1 > O ? f 1 1 ... .......y........q........a........j.........j.... . ........j.........1.........1........•j.......•0........p........1.........1.........1......... .. ... ... ... ........I.........1.........1.........i........i.........8........<.........j.........1......... .. ... .. .. ........i.........i.........f........J........v........4........i.........i.........i......... ...... .. q.... ..i........:.........i.........i.........i.........5.........i..........i.........i. ........:...................)........y........4........4........i.........1.........i......... .................. ... ... ...............J .. ... ... ..................._ ... ... ... .....j........' ... ... ... .... ... .... .... ......... ... ... ... ... ... ... ... ... ... i .........:.........:.........:........;..... €. ....'........'......... 3. ... 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YYJN0"-"iV 'tiPE4..U:ICAT101l S1-0=1 S'Pec. sbael: Jo b Consultant: Daxe: C, V- 4,-4,C, w--�- i, W-w VFndow m 9 'linclow Weasuremenis Grids Product Options ccnor Rough Opening 4 of bars of bars F ny 1 Pnl, s--L.R r, GIs,Ylardwr,3craens' Misc!terns — %M Li I I Code E E 't�Code Style Series U 1 -6 0 -J > I-- cd. L Code Width Height M j 7- Tr H z 'Ff ' - .7 C-C 2 2, �J - evki-7 4- SPECIAL CON SIDERATIOiNS: Casing11 _Type Salt or Bow vilindomr Seatboard Material:(vinyl only..Birch or Oak) Bav Projection Angle(,10°or 45 u Bay Flanker Type(DH,SH or Csmnt) Top of winclow to soffit(inches) I Tied to soffit,color of soMit matai ial I have reviemad and agree with all the job sponcificat lions above and the 0!!, mct Roof(Yes ,I,No) Special Terms and Conditions on the back of the ye-llow CCustomer)copy. Garden Vhndmm 10-PP F:17— --N—7.Ori '0 1�i 'It.";ard 111 m iny, o. 01k) T JJJi - Customer Signature Wll Thickness,{inches) AMitional She.-If(Yes or NO) 1,The n, .,aniw,.,..!le',nh:.-!ss*.;,T:li i.,.-" coi- S I 1,V11 I 1.11V i()2 0� While-1h.H-0 Depot Y111-1-Customer Pink-SO-Consultant THD-16P Florida Building Code Online Page O � 1 of 6 } s� R 6 � BCIS Home Log In Hot Topics Submit Surcharge Stats& Facts Publications FBC Staff BCIS Site Map ; Links ; Search Product Approval e �USER: Public User a Product Approval_Menu > Product_nr Application Search > Application_List > Application Detail FL # FL5177-RO Application Type New Code Version 2004 Application Status Approved Comments Archived Product Manufacturer Simonton Windows Address/Phone/Email 1 Cochrane Ave Pennsboro, WV 26415 (800) 746-6687 ext 4807 Chuck_Anderson@simonton.com Authorized Signature Chuck Anderson Chuck_Anderson@simonton.com Technical Representative Chuck Anderson Address/Phone/Email 1 Cochran Ave. Pennsboro, WV 26415 (800) 746-6687 chuck_anderson@simonton.com http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtQclh%2bCtWN65AxLolopGhX%2bNnGQpgVr3c... 11/29/2006 Florida Building Code Online Page 2 of 6 Quality Assurance Representative AAMA Address/Phone/Email 1827 Walden Office Square Suite 550 Schaumburg, IL 60173 (847) 303-5664 webmaster@aamanet.org Category Windows Subcategory Fixed Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Referenced Standard and Year (of Standard Year Standard) ANSI/HAMA/NWWDA 101/I.S 2 1997 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 08/31/2005 Date Validated 09/21/2005 Date Pending FBC Approval 09/29/2005 Date Approved 10/11/2005 Date Revised 11/15/2006 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtQclh%2bCtWN65AxLolopGhX°/`2bNnGQpgVr3c... 11/29/2006 Florida Building Code Online Page 3 of 6 ..._..______..__................._---..___.........._....._...___.._..___._....._......_........_.____..___..._.._____.._._....._.._..._...___.._..__.__.__.______....___._....__._._......_......._.__._...__....__......__._._..._...._._.........._.._........._._...__.._.._.__._...._._.._ ;Summary of Products FL # Model, Number or Name Description 5177.1 07-09 waivers to 07-07 and 07-09 waivers to 07-07 and 75-75, Reflections 5500, 75-75 Prism Platinum, PL Ultimate, Sears 9300, Storm Breaker, Vinyl Fixed Limits of Use (See Other) Certification Agency Certificate j Approved for use in HVHZ: Installation Instructions 4 Approved for use outside HVHZ: PTID_51.77_1_i^in_Finless...08_08_09_approval.pdf Impact Resistant: PTID_51,77_I__Frarne_Sash_-approval.pdf Design Pressure: +/- PTID_5177_I-profile change to 0709_approval.pdf Other: 07-09 waivers to 07-07 and 75-75 See PTID.-5177_I_S-104R1.pdf attached waivers. 74x60 DP = +/- F-R55 60x60 DP PTI.D_5177_I_S-10SR1.pdf F-LC50 72x60 DP = +/- F-LC60 96x72 DP = PTID5177_I_S-118R.pdf +j- F-LC45 60x60 DP = +j- F-LC50 Non-Impact, Not PTID5177_1._S-122R.pdf for use in HVHZ. PTID_5177I_S-123R.pdf PTID_._5177I_S-134R.pdf PTID_5177_1_S-143-1.pdf PTID_51.77_I_S-144-1,pd f PTID_._5177_I_S-158-2._pdf PTID 5177I_S-169-2.pdf PTID_5177_I_S-172-2.pdf } PTID.._.5177_IS-_173-2.pelf PTID.--5177_lS-180-2.pdf PTID_51.77 IS-1 8 1-2,pdf Verified By: i 15177.2 07-75 waivers to 75-75 7-75 waivers to 75-75, THD @Home Services { 1[6065(00, Polar Wall, Vinyl Fixed f £ Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: s Design Pressure: Other: 07-75 waivers to 75-75, see attached waivers, Vinyl Fixed. 60x60 DP = +/- F-LC50 72x60 DP = +/- F-LC60 96x72 DP = +/- F-LC45 Non- http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtQclh%2bCtWN65AxLolopGliX%2bNnGQpgV r3 c... 11/29/2006 Florida Building Code Online Page 4 of 6 Illmpact, Not for use in HVHZ. II III; 5177.3 08-09 08-09 Reflections 5500, Prism Platinum, PL ultimate, Generations, Impressions 9400, Impressions 9800, Sears 9300, StormBreaker, THD @ Home Services 6100, THD @ Home Services 6500, Luminess 4500, Vinyl Casement Fixed Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: 3 Design Pressure: Other: 08-09 Vinyl Casement Fixed, 80x60 DP = +/- F-R55 96x72 DP = +/- F-R40 80x60 DP = +J- F- R55 Non - Impact, Not for use in HVHZ. 5177.4 08-08 08-08 Profinish Contractor, Profinsih Mastser, Luminess 700, Luminess 800 Vinyl Casement Fixed. Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +J- Other: 08-08 Vinyl Casement Fixed. 74x60 DP = t +/- F-R55 Non-Impact, Not for use In HVHZ. 5177.9 40-17 40-17, Profinish Contractor, Profinish Master, Luminess 700, Luminess 800, Vinyl Fixed Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 40-17 Vinyl Fixed, 96x60 DP = +/- F-R35 96x72 DP = +/- F-LC35 Non-Impact, Not for use in HVHZ. I 111r5177.10 75-09 waivers to 75-75 75-09 waivers to 75-75 Impressions 9800, Vinyl i htip://www.floridabuilding.org/pr/pr_app_dtl.aspx?parain=wGEVXQwtDgtQclh%2bCt"65AxLolopGhX%2bNnGQpgVr3c... 11/29/2006 Florida Building Code Online Page 5 of 6 I� ,lFixed 3 Limits of Use (See Other) Certification Agency Certificate 1 Approved for use in HVHZ: Installation Instructions i Approved for use outside HVHZ: Verified By: s Impact Resistant: Design Pressure: Other: 75-09 waivers to 75-75 vinyl Fixed, See t attached waivers. 60x60 DP = F-LC50 72x60 DP = F- LC60 96x72 DP = F-LC45 Non-Impact, Not for use in HVHZ. 15177.11 75-75 75-75, Generations Vinyl Fixed Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: Other: 75-75 Vinyl Fixed, 60x60 DP = +/- F-LC50 72x60 DP = +/- F-LC60 96x72 DP = +/- F-LC45 Non-Impact, Not for use in HVHZ. i 5177.16 40-40 40-40, Reflections 5050, Reflections 5300, Prism Bronze, Prism Ultra Gold, PL Prestige, Impressions 9400, THD @ Home Services 6100, Luminess 4500, Vinyl Fixed Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: Other: 40-40 Vinyl Fixed, 74x60 DP= +/- F-R50 80x48 DP = +/- F-R50 96x72 DP = +/- F-R40 74x60 DP = +/- F-R50 80x48 DP = +/- F-R50 Non-Impact, Not for use in HVHZ. i 5177.17 40-06 40-06, THD @ Home Services 6060, Profinish Builder, Luminess 500, Vinyl Fixed t I http://www.floridabuilding.org/pr/pr_app_dtl.aspx?parani=wGEVXQwtDgtQclh%2bCt"65AxLolopGhX%2bNnGQpgVr3c... 11/29/2006 Florida Building Code Online Page 6 of 6 3 Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: i Impact Resistant: Design Pressure: +/- Other: 40-06 Vinyl Fixed, 96x60 DP = +/- F-R45 148x60 DP = + - F- R50 Non-ImP act e i s Not for u n HVHZ. eac Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850)487-1824, Suncom 277-1824, Fax(850)414-8436 © 2000-2005 The State of Florida. All rights reserved. Copyright and Disclaimer Product Approval Accepts: Ek: ucsi5l�n YEp?FYy http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtQcIh%2bCt"65AxLolopGhX%2bNnGQpgVr3c... 11/29/2006 f t N CO _ QS O SIMONTON WINDOWS ECTRLUfDYML Gr"t}FI=R(C SHAM Ti.GD Ii^.KIX7W SEL 1.7L6 S2 k a C Ci• O I < r O � m s u Ofl n 0 0-0ato 02 m ' r C o E 7J C -� f Tn t7 0- 1 tc DS51Gr1 pRrSSURE, Uh'T S1Z'_' h 5^U4RC FoUT�a OF GJuS = GLASS 7Y?F a 'Y.�ory wl.rCS tt.'Lr tl':C'r _ m 430 'y35 '_40 =45 +59 0 _ d4'x SO" 54-x ro" 40 x EOJ" 42"x 50' 42' ¢� to ANm I B7 sq rt. P .3 sq. �. 30 s?. iL 19 so. FL 16 s;. ft. our no 5E" z 72` 96' x 60" 85" i 6G' 77- x oC 0' 7x 60- m 3/I r",tiN'L 45 40 .G. i1. f 35 sq. ft. 37 mg. i:. 19 sq. !L u n� _5,o id 46' f ;2" 60 x 72 72 x T 96" z 6G74" x fin" 49 sq. ft. 40 So. TT 1 36 sq, fl. do sq !t. ]1 sq. it. < PR 5SURE 60714f0 BY EDM-AP•1504 AgAI)SLS r 4L Ai4Y, }Y,i}Tr{ I �9c� 1/.S.i, IYIDT'I = u a FORRELAT"OP @_'_-SFCfR GLASS THTC-KAF55, L7i11 WE AND 17FS(-r1 rr_ uw P77LSSURE WAS VEWED WTTH ASTAi 1:1300. Hk:ROUVIJ I ' I ct lJt�r.1 11GT'c5 x ' ^' 41 7. THS PRDo_12 G Lf51,"hFp 70 LLW.RT riT1H TPF TLL{?l9l4. O:IILCIHll NOE � 2 P1?D,i V7 Jr1LHW75 5YAL W AS UPD)AND SvACEJ A35143w.% UN F.tiDUS. 3. i4tiH THJ Ft7?IAXT r d5'S A A4 ARSJ RFCi.0 VL' W?,VOG72Yf DaRS p.HOTjCI]LYI,710RAA BLJUJI.t_CLUE IFF.SGItir 91MI-FPS x�r`+ttau?zta. 1 4. Ai•UCt1'RF 1LH:HpRw,FOR 2.90.K 5Ft SHF—t r5 7 AY0 3 L:4. 72' MAX. N197H 74"MAX. 'd'.D7Y----I I I I 01. 3. rQP. ALL AjaMV,L"CR^'_5 SIXTULS R,'7 u'U.4t's SUc};M 4 OF L LIPS 6. ARIA Ck You4.,£ WAC OF CLASS 15 CACULA tUl OY ME Oifm4? of!SER RWING � 5i'!P7'i AYG.-�iL'f, d]HE S1tT19011 RKPL [��v_�•r-.enc. � ElJ 5'i�.519r . I N yr 07/25/tl P.H;n7ULT DL•;CF1I­i7nv ;rx t1.T5 -a T. E%1RLt7 0 P r fTtf4 FYNDDR N17? Vlrl c775 AH9 H4LCD :ORSEPSwe er UK o 7'19 HEAD,SCtS JAT65 Im'LD SL'L AHE rx7Rbi0 PIC 76.11 AM 3yndon F_ S=F.-nr_L _a a. RV � E tl7,'7.q 1"U 8 _X*_`5 M am, Florida P. E No. 43409 ' ' o S r M-7: m 3_ I!d GLASS 15 3f4'7/8'OR t"ItiSU!,tT.c G[}55. J:E 0EnS GH PF.ZSUIt i 93D5 french Le_e Uri-e LuL2. F'_ 3355B GHrm A!3uA FLV LeMO Ud 1A%YE' GLASS WXE-YP ><=' s 4 N f9 Ql d (31 _ i51 S=l i'.-TAL5 .. v 0 x 2 !/4 AftS'. n FHar MrIAL SC<:k SHT 4 TYP. 4 177A.4� TC BLOT. TI'S- 3' u W. P 6-�-- - O _ ' .• .� 1 L U c Lo 1 F" rRAME BRACE rt— r to v c m ILS D 47 V y .•.i ,• J. 5'A &;- -- 110 r 7 lfA' NIIT. F T.405114r-1 PTIIh, 45• Ji0 r 2 f/4- &if:. 51r 4 1�.'P. _,j- L`J SHE^• SAL _S''f6FI MEI" C-FZ-H' � F"N.M: TO 9UC4, 71P. '® I Fs f-?.JJAF TO BF.,ir_'£. M. b+l —3 v1 L'1 0 o 2- r 3/16'MIN. fi_ k ms` T f 2 3/4' 3/7E'xlw t-7APCQN, 7YP. SILL �' [ - II -''_' m 1 SoWy )APCGN. rr. B1?_1rTO v l0 s., MASS-rar i 1 rn �� >n _ - f RAGE c 3 m I u ` 4S' AIAY. 04E?p1L 5N0171 (iLI x 2 if{'Ail?.'. :�. I p` �-Ci 0 z S.F-, Melti SCREW • FR4&.-E TO BRACE. T7P. TJ,VCEhT F%+ �ryc`aa o - CENTE RL-V Et-TWY ' i f r a ` 4 CGFI%-R iA1YOfl k SSE C_IRES yl7O z ? 1/4"MIN. f T,1:G[,A`! 3'OOHN rj S.'{sF'T WETAL SCREW 1750.4nC.N EiRACE C-!NE 4 L 11 F-A, /—FRAMs 70 al,". ?YP. I i' x 3 _ "1°�,f"- \• I —3- .3' _ - -- /�L-1.1L1011 Trp- BUCK TO MASOt1RY 71 -'�' _ _ _ p l TO NtiuVRY I Il- 04AX SP;:i-V. I -4 :�,7 'n �' N i � O U p rst SE' viii 09Eakli 41L771 Q ry rlfy.TN: PONT {4,5" FYrASrrM''M11.1 FGS 110 r 2 1/4' A114. C! A' a"' r 3/16' Alth'_ SHM- M.��5 CREW ' Td :07;, M SL•! FRAWE ra 5'i.4CE, T}T:. 2 3/4' x 3%16"tt'h'. �•'y�-•�'��Ir; 1 TAPCCIY, Tl r. fii1�R i o Ai-5.2•JR; nr- ( B7S'S9.9197 ^� ra uAU3Nw N 4 _ I Tt 97/24/02 7JM o v HIN rrrc r� 0 90 N�3•. C1•�R14LL H"OTN 5_I!y_nZ m rtal E nr�1 f -2R -s O? W 1 N 1 d 5:r DETPU csa 3 { f = o n'� ' '�•If'1 -_ _ � 4 v n r n � i r rMS,E rr PtCY T 51Y DGALIr .• lox 2 1/4•AIN. SWI .4 T1•P_ �J 3• ? 1 m (I sNG[r Mau SCFtvf _ _ (T FT�a1JE 70 hKACE. Tl?. 3- I 1 '•- U- 4) url o �• a a i __ S _ i?1J_4ff J N� N Cr I"arr � L JIM x 2 1/4"WIN. _rE BRACE is- flu . � 1/.-rt.;v 4♦y � � X a - S� ME-W EE7 MSCREWI "�• B -SKELT VEI SCR- N N c a ffLlbli TO BUCK TY.-.. W_ j T�.r1GrA7 POnJT FR�kiC 7O E?4CE, T 3 41 N � �- ':� I O � m 5 ;n �_ 11 2 311`r 3/16- MN. 1 TAFCr3n• TY-r. SUCK FWA4E TO BUC74, TYR U f i TrJ 1VSO•JfcY _ �. , P h x 0 6 6 tr l L� CO 7/1 dl �1, a 3/16`l,rlr;. 2` C Cl I h +6'j �= 7AFtiOY, TYR 5..1a 03 On-U- 72'A14Jf_ (0.'L-RrLl vewri r - 3/4 r 3jr6-FGA 7 x 3/15 41111, r, 7rR:Or1, T)-. BUCK C OL.14R- rc1JA11 TAPEOP. Trp- 51U TO MA�OIVR.- TO VJSU.V4Y 5E-DEVILS A'S 'B• Ef!' r t` 111' Mlv, f1�7 -1•Vr � < Sw. �F PP. SHS N_1RL 5CR-"Y 2ICO r J/15E- MIM. } N7>• TT2a11rC TTi 5UCK, TYF- Oa-tRALL µl�T4 IA tet-, -SE- RACE LJ pUp,O SrL S_� DETAILS _ 3- 3" T'�I'I Ci3rLC =oR <_PACRrG MY 2 Za m 2 1/4'U(N. O x Z J' 5H_rFT IICTAL SCRE'A' U ry n FRAME TO L.4/l_'; TYP, Z S2 7ANGc`M liDr 1. This rn5(albI-bl Jlns cern e.nivatrd fur u_e Tn locehn adharirg to ihp Flaridc Ruild.*Ag Code 1 Li�.ilrllN.:3.f.� Ul �•' and stlrre p•c53 Jr, regmr-rnrn:s es detemlined by AS•CF 7 Ati•Ilnurn ilesyn Loads far r3cik�.gs 613 tl595191 N and Otho Slmcfura- do no! e.cerd the design prrrJre ra'irp Rsled helcrn. 07/24/02 _ 2'r 3116' 11101• - A11 inl-rirr and crlrri.r�rirncrrr w-faces o!the a•ir.ioe rnusf Se crvl4vd. sxr N.T.S. -3/4' s 3jr n- - ' ' 7•WCQN7YP. 51H ab;w 1J•rr o -L TAP'CUri• TT?. To MBSbNRY 3.Aetus) lze—,Doan Ir_alinrs, it rcrr5>:ry,ra r,�We'n a�,nirr m 2.0'deara-ce Dram rn7rki'jriYls VK \ �K 70 Id45OtfNY 4fk Y. iOVTTUL WLDY r. 4t'nen inrlonil5 rr_ vnit i•1 z wcad carsirudion 3a,•Bcolnr. tlr-Q"chOr Ilpr and rxing for the 0 5_j19-O: ao EIIIPS (IG x z' 1/t• V.'.,. wlll be rhe "m- The 2X buck wBl to raplaced Dy 'he Jromed prk -lads. T Q] b •� N m 1 Q] O LI1 1 3fa'z 3!le' e4R�+JN �FLRQt47 QZ"xI�1 � � 0 9 I?5 4Cfi. �I 7.0 Yrr APiCh1C+?, UN Jr u�-RINSr UtiTt1 r f Af4. I�C-5illt KULO'iF G+LL`r •1 � r `� � 1 L J <nr<c3 1 t fIL :7 s/+' n ,'Ra1Nc t SHs-_, 4=7x1 SE2 x ,Jl o a LL m o m 2 z!4'r 3/76":AP:Afi + —1 Z SCL"CNC -!F AIICHOR, IJTi. 1 �m UUP Ck41M15'�ll Wf IS�A!'N_C-SQ1K ;J Lr] yrtu —SlUccWE CAULK�. /� m 1 25'V,".U- liff I/i'pjkx 5Ya! 47 to HI 40-Ml 9�f+ t 10 r 2 1/4' £JJF_ jf >�y t m SHED k.ETA1 Si:F.-lF' _ S'. Oi uL'�r to Q ry ;-o HE+D-lxM9 L�1.3£x,MIN C O N � srucco 3 s o-� vrp71C11 JzJJ9 C C 06 o _0 O c L% i,-1 cu E C N Y f^OLS r7vx_ xvc1toa 2 w JJ 3/a'r• 3/16' �[tV. L1HTII O p a � '•7h'E CAUDK I-AMOK. Tl?- rAt" f- S m UULY f UIC50.`IRT 117 k"sa 4Y W/ 1..5 'rill Y O w m SVYO IkSIJE 5107! JV�4, Lriy_uMuvi �� • O N Sew Z is!• 11 a"lT['1 Ln d J Z rn Lq 3 �_ uAiCNlis _ «U 1': 2-ilraai5 s'u 1X BUCK a 1 _ N ? SILL - TfJ ORrM1ul —---i-.1 V U W X 4 Z U LL �d s 2 1/2'WG7D tn y SCRIX Tri. SEE ' NRi. NU1L 'r SKI. i � SCR('M, 7 % f MIN. BRACE ;TOTE 7 SHT. A �' P.RACE Pj LL'TA4 'AR4ACr ATTACHMU f W-3JCI<I( 9UCIf 5CREW. F'iP. SFE N h07E 2 SHV d 6rAEE AlTAC4VShT > Hi TT v H m T T, J 1.A o ALL ROLES 7}IE 2% 3.41'CE rUr. Tri£ ATTACr'V�Af SCREWS MUF'ncLI_FD ST DC -ORo TQ FxNEN7 i rL LIR-ICS IT?'7U S?IJTIr 7, Wim.31. fFri' m 2 IN 7;;f FULL CIRCLE AFFOCATION 12'PIAEE, THE SEB Y .7 1/2' SCREAS ATTACHING THS PRACE5 15 Y° o JO THE SILL K7F.-f F 112- . 3/IS-IAIq TAPGO.`15. 1313-cc m T 1 -~P e City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road &4, r �� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 j;31�r E-mail: building-dept@coab.us Date routed: f0 City web-site: http://www.coab.us 11 APPLICATION REVIEW AND TRACKING FORM MS15e tM ��E ent review required Yes No Property Address: Building ning &Zoning Applicant: C ))�v d Public Works Project.. llyb zo:, ? /� IST Public Utilities Public Safety 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: APPLI ATION STATUS Reviewing Department First Review: Y3Approved. @Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: (7 q U� PUBLIC UTILITIES Second Review: []Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: 10/16/2088 10:54 4074693499 TEAM K5 CONSTR & DEV PAGE 01/01 -..... w svvocoorvD, Vx LRC 14664 fiego 2099, Number "oi 1, P4Mrftd IO/Oy/2008 at 01:20 M, JIM riLI.ER czzp R ciRm%T CA(JR? DUVAL cOUI(TY pzco Dim 010.00 Thi:instreman Ncpaod By: THD At•Horm 3orvica 6412 Nanwy Rd.Whe A Tampa,PL 33610 NOTICE OF COMMRI'ICEMf$T Tae Fodo No. lucl'12,3- J bbq co"d( THE UNDERSIGNED hereby 61ret notice OM Imptevena 0 VOW be"aide w amain rani 0,Wy,aced In a.,,dartee W0 Chap#&7R 1,Fbrlda Sapuln,lho Ibgowiae htfemweioe k ptevided hl Ads Nola et Canawnvgrone 1, of ( deealptiat improperly,end ttteet addnae If wailebk) 2. of improvenwN F+. 3a a3 3 3.Ormer info I" (e)Nameatdad&mw-jW IW+M_Ar -SK' is aw SIH&n#�cE�Szs33� (b)htteeeet M ol"Wly 4 CWAMcW *Wadd►es a ie i aer�(i 110111 tt swan)._^ (a)Nero sed Odom t11t�M10111�S�A— (b)pharw"rrrha: S.Bway (aNepro end.iditm FL 32810 (b)Amount of bead (v)Flom numbers 6.tamer " -- ` (a)Nww wA addrw: ��ffM (b)Pbwe comber. ..! 7.Pernow Wilhbt the Stater ofnbrft ftipiftd by OVwee.opal whwn"Wm or oiler cosy bo nerved a provided by Soetian 713.13(I)(a)7,Florida Stnmto: (a)Nemo and address: (b)Phone comber R.in wofte to kwoolf,Owner dalpbtee Ow fol ' paeea(s)to r welve a copy tithe ua w's Notice as prrwided in Beellat 713.13(1 ft FkA ti Srmrka: (o)Now std adOw (b) 9.Eapiratioe dela orwics of wmam—.w- the ert*wo.e.ANe is 1 yw iam ft dw oRcaed,ag a dilfetmidas 4epedfrtd) WARNMO TOOWMM'. ANY PAYMENTS MADS BY THS OWNER AFTER THE MIRATION OF THE NOTICE OP COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHA"M 7l3.PARTY. SECTION 713.13.FLORIDA STATUTI M AND CAN RESULT IN YOUR PAYING TWICE FOR IMFROV RMENTB TO YOUR PROPERTY.A NOTICE OP COMMENCEMENT MUST BE RECORDW AND FOSW-D ON THE JOB SITR BEFORE TH9 PBtST INSPECTION. IF YOU t►T OND TO OBTAIN P(NANCINO, CONSULT WITH YOUR LENDER OR AN ATTORNEY 9211018 COMWWNCIWG OR RBCORDINO YOUR NOTICE OF COMMENCEMENT. �—ref0"eo►wowwo'AathMiaal sMaarwye Tmtlomos TM farePala[krea�erem over wdenwlMpd bCfMe as rMe eayN .p{. .Q�Iry l�y�r (araw d )w (type aetksrltr.e.A.aflMw,awtna etbrnay In for ��r ✓' ri(!awanw_o-7—pae(y'aa�ifof twtneweabl� r���i.�rtlT"" tpWraea bks— a� Beea�vweR� Pam [IV kbrrn_ of produced tdwdfwtba IN rr.r..l ,tdZi,.EtrY►.S.wrasl • Malar paealae of pplYry,l deeleR flat 1 have read NIt krqullMt and dor ew AIeIt aeecd M S an rma b Ale batt adeq aced belkR e,vocal trsoa�relp r nNl uvrs�--� Rsvieed Vix1'► sm OF Fl9pIGA "a CM;v L TILE YMKRSIII80 dull M Nla C11lwp O1RIN,OMM CB( ft rwo,be NEK"c mlFr Nle Ilam e(l1 loolob R Is A tw of and an M IM WOO All N PONu M MW AM Nle lo Mte dke at NN C" M CiFI;W Emit Of b" tJ"ft FwIft BRr MB am K in INl IN=Bud Masi VAT" my 10d so M Cork CIRCUM Colt at Iedioniollk. rMIRIat. Mlis Nie aMl 0( 0. 14,4 JIM FULLER C" Caw Ad coumb cwb low By oepo CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD rh ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r s3I Application Number . . . . . 05-00030557 Date 6/14/05 Property Address . . . . . . 1975 BEACH AVE Tenant nbr, name . . . . . . INSTALL CU/AHU Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ ARTHUR, WILLIAM L. OCEAN STATE HEAT & AIR 1975 BEACH AVENUE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING i NS. tw BUILDING OFFICIAL CITY OF ATLANTIC BEACH �� � MECHANICAL PERMIT APPLICATION �7 Date: (0 ' & Property Address: / �7 r13Aell &-f Owner: ���� 41Wf a� Telephone#: �q /��.� Contractor: i[ C Telephone #: EqQ-S'E51 Contractor Address: �4� '11] C d Fax #:Slq-Cr 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 eood practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: ❑ Electric �. ❑ Gas: LP _Natural `Central Utility ❑ Oil ❑ Other—Specify__ MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed —Central —Floor Residential ❑ Air Conditioning: —Room Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm :I Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm ❑ Fire Sprinklers:Number of Heads ❑ /Existing Building ❑ Elevator: _— Manlift Escalator (Number) ` „placement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping n� ( Other-Specify �Other—Specify /r�►`V d� LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model Manufacturer Q B(TUU's'�! Agency TANKS Nominal Capacity Type Liquid Serial Approving How Mame &Dimensions Contained Manufacturer No. Agency 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us CITY OF ATLANTIC BEACH s� 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5826 F Application Number . . . . . 09-00000125 Date 1/26/09 Property Address . . . . . . 1977 BEACH AVE Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replacement of water to air 30000u. 1 . ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WALKER DONOVAN HEATING & AIR 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc REPLACE WATER TO AIR SYS 30KUL Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/25/09 ---------------------------------------------------------------------------- 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. PREPARED 6/18/04 , 15 : 58 :44 PAYMENTS DUE RECEIPT CI'�Y OF ATLANTIC BEACH PROGRAM BP820L --------------------------------------------- APPLICATION NUMBER: 04-00028497 1975 BEACH AVE FEE DESCRIPTION AMOUNT DUE DEMOLITION PERMIT 100 . 00 TOTAL DUE 100 . 00 � s Please present this receipt to the cashier with w i' coca 3�}q- 4055 Mit• NgRipN CAQV NE- v4u. DROP Py TA15 WfK R. tO�� SQokE O M�• N QWR �T 1450 (�M • HE wlu �QtCK U� TOWRK\N - oil KOS CITY OF ATLANTIC BEACH ' � ) ) DEMOLITION PERMIT APPLICATION I 9 7 Date: �16 -7 Job Address: Owner of Property: VV ILLI it" 11-, � Address: I. �r Q�� 4VC Telephone: Zq b'7 t o j Legal Description: Block Number:_�� Lot Number: Z'" Zoning District: V Contractor: l cf4&vw ND AA—pAf State License Number: 5-6(; r Contractor's Address: /�? 2– C 0 61'c 7 lZk,,t1le-f-- Telephone: ?,o Y, -7 L/f – YO.S-� Fax: PB 2- Describe Describe proposed use and work to be done: �E ►au'� ��L Crr�G�JvrzE /�✓�/" Present use of land or building(s): Is approval of Homeowner's Association or other private entity required? IWO If yes, please submit with this application. Will this t involve changes in elevation,site grade or any use of fill material or the removal of any trees? 21 0. 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. C 0. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Attach Tree Removal Application if trees are to be removed or relocated I hereby certify that all information provided with this application is correct. Signature of Owner: .1 Qz Date: 6 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 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/14/03 � t Signature of Contractor: Date: I Address and contact information of person to receive all correspondence regarding this application (please print). Name: `"f0/1/� 5 Mailing Address: /-r7 � � / � �-' ,� �'WK IaCl* /�Zi_ Telephone: �j�Of�-3�� w Fax: �a `� L(�- C�%� E-Mail: 1f 7/ .D c��,Ca J--7'- �� AS TO OWNER: Sworn to and subscribed before me this 1. day of ft(A�— ,200� . State of Florida,County of Duval Drj31227p Notary's Signature: �2- Q /All o� yF�V, 11Ssior,#r 2�$ r j '�•o� Expires' 3un Thn► � personally known 4l �•' ��;° ptItticBot�B*'* ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 15— day of �Gk , 20 6 State of Florida,County of Duval o ;i 1• 10 Notary's Signature: Wr ersonally known y '; Acgot>d Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 • Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/14/03 o 45" 45" 451, 45" " 44 ( 44" 45" 45" 45" 45" 45" 45" 45" 44" 13Z, qQ V co a7�f k. Y y � I 11' 3" 15' 3" 34 3 15 3 II 3" 87' 3" 1C��F]C� ©�COGr1 0' a R \ 16' 0" \ N M ao 1a• 24' 0" ©IDdl ©QooEDaBoo -1b9l t7blltil'll�J4 11:Jb W4-641 DiVLR Y JAX PAUL F92 003* 2004 0^^UPA►T1ONAL LICENSE TAX CIFFICS OF THE TAX COL LEG`tOR CITY or jACKBG1NVI m t coUNTY of t>tWAL, FLORIDA 221 CASs 1`6II8YTH$TftffT ROOM 190,-4ACR8GV9VIi M F4 82242 PPiOft F81f On-7lO� FAXI W4MG-1482 laeta - A ptnertY is lrAposed for tellers to keno this Ileeese.exhiblt*d eoospItkowly etyt4tr uetebllahn+ant or plows of bushmes. pt This ijv~ is furolatted In pursusnds of Walsr 770-772 City.arrlinaoee Dods* NMTM.. RICNAii(} ROSS 03 FLRIDA POOLS OF JACIMWILLE, - INC 1502 CESERY TM JACKSOWILLE,. FL: 322U ACCOUNT NUMBER: 057410-0000-4 LOCATION AD SS:- 7502 CESERY TE 52211 DWIPTION:: QUALIFYING ANT, CONTRACTORS.. County L-i.cense Codd: 770,OW -005. County Tax: N/K Muni ci pal. License Cone: 772.325 Mmi ci pal' Tax. s100.40. Total- Tax. Paid: $100.00 WTD" FRtaM` OCTOM 1. 2003 TO SEPTMER W, 200 RCPT #: 001/1-31302-1/0114/08112003 DATE-.' $!08/21103 AMT: 5100"..00. AT TWT ION "" Tho Following: Caner° ConWwkxs Regdite' Addidonst tbwm wo***; ALARM- POOL . ALUMINUN/VINYL. RESIOENTiAL. SUILOING' FtOOFING ELECTRICAL-. - SHEET METAL:. SOLAR- MECHANICAL. OLARMECH'ANICCAL PLUMBING:. : IRRIGATION GENERAL:. CARPENTRY WATER TREATMENT- UNDERGROUND REATMENTI:NVDERGROUND UTILITY HEAT-ING AIR CO►NOITIONING REFRIGERATION Thiti t'e w eseupetlmm floor,"wit Calif. It do" hot•permit•tAr ttoense*t4 viel*ts ser-exlstt"W.r"al*tory for zoalug'Iayre_of•*8 Cognty or City. 1 w-ftew it *wmVt the ileoneee,Aem.my other licamts or perthit rbqulrsd by fj*z This iA not ar oertiiteaNirn vl tM(iemn4s*'s•qusiiflcrtlen TAX. COLLECTOR TM BECOMES A RRIOMPT AFTW, VALIDA170N , 2 m 44 S 'A�' P�.ORIDA F'r P*P*V�' OF,BURT-IfffS ANI)' PROF S3 O ULD R ?SON 1' "'' ' . ► 4ol"TRUCTTIO.-A STRY Ur 431"1:RO SF �4g�S�ak74� m co AvIft IAL• POI:L/Sl?A• }, '`• m IInd+ar ia proavpeoynS ofGha t�i #��• 8 'FS. NOR t 1502' CFSM RRA 3AC1t$t �4� 'L Mil w GOVBRIMR DISPi.AY AS REQUi9M 8Y LA+1V J. AGS 0 6 OTATA OF Ft-ARIDA Mwn or susiiess AM PROFESSMI Misuz Trow : COIT$TRC{CTTOM IIID F3'T3tX TC SIIm ROW SEi�#yp2n9MQ'3s7 � .. �� The $P)ICIAL'l,TT .STltt1CTV1YIlr �Q��QT�. - : 1Qamed he],a�'3:$ CBRTFIRD' Under the 04ppeZCh4ppter 469 F$, Xxv4r44to4 dst;p i; AqQ 2004NORO 1 OTRTIIL 1 8`jA&ffoWXLTpz I:sc a JACKSG� PL 32211 j URB BIi9H KIN BINKLRY-SBYER r . R DISPLAY AS REQUIRED BY LAVV SECRETARY. RE-ISSUANCE 01-16-2004 l; 4 TOM GALLAGHER STATE OF FLORIDA CHEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSA. **RE-ISSUANCE OF CONSTRUCTION INDUSTRY C . TIFICTE OF EXEMPTION This certificate exempts the Officer of the Corporation t ber of the Limited Liability Company listed below from the provision of Florida Workers',, ' 'm enation Law for the period indicated below . EFFECTIVE DATE: 01/13/2004 (RATION DATE: 11/13/2005 CORPORATE OFFICER/ � 4 LLC MEMBER NAME: NORTON RICHARD FEIN: 5929737 : BUSINESS NAME ANDOR DA POOLS OF JACKSONVILLE INC ADDRESS: $ 3 ALLENBY DRIVE ACKSONVILLE FL 32277 SCOPE OF BUSINESS OR TRADE: SWIMMING POOL CONTRACTOR/SOLAR IMPORTANT: Pursuant to Chapter 440 . 0 50 4), F .S . , an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter . QUESTIONS? (850) 488-2333 NC-253 RE-ISSUANCE OF CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION REVISED 11-03 Please cut out the card below and retain for inspection by any Department of Financial Services representative while conducting work. STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES IMPORTANT DIVISION OF WORKERS' COMPENSATION F This certificate applies only to the corporate officer named on this certificate and REISSUANCE OF CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTI,OM } O applies Only within the scope of the business or trade listed hereon. This certificate exempts the Officer of the Corporffi2 t sliste I w from L A copy of this card or the dupPlicate above must be carried and available for the provision of Florida Workers' Compensatio ...Lavvit t 'period D InSpeCt10" at 311 time While COnOUCting any C?..^.StruCtllln Work. indicated below. EFFECTIVE DATE: 01/1312004-1 H Pursuant to chapter 440.05(14), F.S., an officer of a corporation who elects EXPIRATION DATE: 11113/ 5exemption from this .chapter by filing a certificate of election under this section CORPORATE OFFICER/ - R may not recover benefits or compensation under this chapter. LLC MEMBER NA RICHARD E Notices of election to be exempt and certificates of election to be exempt shall be FEW: 3750 subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets BUSINESS N ND FLORIDA POOLS OF JACKSONVILLE the requirements of this section for issuance of a certificate. The department shall ADD PSSC, 4PP 3803 ALLENBY DRIVE revoke a certificate at an time for failure of the person named on the certificate JACKSONVILLE FL 32277 to meet the requirements of this section. WPE OF BUSINESS OR TRADE:SWIMMING POOL CONTRACTORISOLA QUESTIONS? (850) 488-2333 CUT HERE YC-253 REASSUANCE OF CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION REVISED 11-03 OP ID DATE(MM/DD/YYYY► ACORD CERTIFICATE OF LIABILITY INSURANCE FLORII5 01/15/04 PRQDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurance By Ken Brown, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 540569 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 1339 Arlington Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orlando FL 32805 Phone: 407-849-0490 Fax:407-648-0197 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Amerisure Ins Company 09088 INSURER B: Florida Pools Of Jacksonville Inc./Master Screens INSURER C: 1502 Cese Terrace INSURER D: Jacksonville FL 32211 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MR ADU'� POLICY NUMBER L FFE TIVE POLICY i TI LIMITS LTR NSR TYPE OF INSURANCE DATE MM/DD/YY DATE MM/DD/YY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea..urence) $ CLAIMS MADE F] OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR EICLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X TORY LIMITS ER A EMPLOYERS'LIABILITY WC 1315457-01 01/01/04 01/01/05 E.L.EACH ACCIDENT $ 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ATLANTI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Atlantic Beach NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building Dept IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 800 Seminole Rd Atlantic Beach FL 32233 REPRESENTATIVES. AUTH i REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 CITY OF ATLANTIC BEACH i� 800 SEMINOLE ROAD } ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 �Jsfi�p Application Number . . . . . 03-00026621 Date 8/05/03 Property Address . . . . . . 1975 BEACH AVE Tenant nbr, name . . . . . . 1 WATER SOURCE Application description . . . MECHANICAL ONLY Property Zoning .. . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ ARTHUR, WILLIAM L. OCEAN STATE HEAT & AIR 1975 BEACH AVENUE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (9 04) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . 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 r 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 w- CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Owner of Property: b.!�2d� (I-Ahilly U Job Address: t Q q s heQ j'wL- Contractor: a C141(p (aTL In consideration of pe t given or 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 A. T pe of heating fuel: B. Electric IS OTHER CONSTRUCTION BOEING DONE ON THIS Gas: _LP _Natural _Central Utility BUILDING OR SITE? ❑ Oil ❑ Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK INSTALLED A Residential or Commercial New Building (Provide complete list ofcompone is on back of this form) Existing Building Heat _Space _Recessed Central _Floor Replacement of existing system Air Conditioning: Room �Central New Installation(No system previously installed) Duct System: Material Thickness ❑ Extension or add-on to existing system Maximum capacity cfin C3 Other.Specify ❑ Refrigeration ❑ Cooling tower: Capacity Qpm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift_Escalator (Number) (Received) ❑ Gasoline pumps (Number) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel Permit Approved b Date ❑ Boilers pp y ❑ Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving (Tons) A enc t 1..� HEATING—FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving (BTU) Agency 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• htty://www.cLatlantic-beach.fl.uts 1/14/03 ..r �� CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD -+' ATLANTIC BEACH, FLORIDA 32233 J INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026601 Date 8/01/03 Property Address . . . . . . 1975 BEACH AVE Tenant nbr, name . . . . . . REPL WATER SOURCE Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ ARTHUR, WILLIAM L. OCEAN STATE HEAT & AIR 1975 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 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 v 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. p4 BUILDING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Owner of Property: Me eu �`'�Y Z4,e7-11C-AQ Job Address: Contractor: a C 141(-p aTL by d. Inconsideration of pe t given Tor 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 A. Type of heating fuel: B. Electric IS OTHER CONSTRUCTION BEING DONE ON THIS C U Gas: _LP _Natural _Central Utility BUILDING OR SITE? CI Oil ,1 Other—Specify t!t} 2 SJu�cG� IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE ^� NATURE OF WORK INSTALLED (•�( Residential or Commercial ❑ New Building (Provide complete list of components on back of this form) 4d Existing Building EX-- Heat _Space _Recessed Central Floor td Replacement of existing system P Air Conditioning: Room ❑ New installation(No system previously installed) ❑ Duct System: Material Thickness ❑ Extension or add-on to existing system Maximum capacity cfin ❑ Other-Specify ❑ Refrigeration ❑ Cooling tower: Capacity gpm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift Escalator (Number) ❑ Gasoline pumps J (Number) {Received) ❑ Tanks (Number) ❑ LPG containers (Number) Remarks ❑ Unfired pressure vessel ❑ Boilers Y Permit Approved by Date Other—Specify 1...>,cltm 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) Agency 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• http://www.cLatlantic-beach.1l.us 1/14/03 r w oM� CITY OF r�'�a�ctca �t°cat! - �Gvtiala v y4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 November 18, 1993 Ms. Garnetta Walker 1975 Beach Avenue Atlantic Beach, FL 32233 Dear Ms. Walker: Our records indicate that you are the owner of the following property in the City of Atlantic Beach: 1975 Beach Avenue Beach Avenue Condominiums Dwelling Unit 1975 RE#169723-1004-7 w,. An investigation of this property discloses that there is a violation of the National Electrical Code Section 373-10(a) (Metal Cabinets and Cutout Boxes Shall be Protected both Inside and Outside against Corrosion) i .e. , meter can and disconnect boxes on north side of property. Please be advised that you must correct this condition immediately. You are required to contract with a licensed electrical contractor to perform the work. The work must then be inspected and approved the the Building Official of the City of Atlantic Beach. Failure to comply could result in discontinuation of service by the Jacksonville Electric Authority. S' cerely, Don C. Ford Building Official DCF/pah cc: City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED CITY OF t��a.eti�e �ute� - ��ertedQ. 800 SE INOLE ROAD - '- --- - ---- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)241-SM November 18, 1993 Mr. Kenneth N. Fink 1973 Beach Avenue Atlantic Beach, FL 32233 Dear Mr. Fink: Our records indicate that you are the owner of the following property in the City of Atlantic Beach: 1973 Beach Avenue Beach Avenue Condominiums Dwelling Unit 1973 RE#169723-1002-5 An investigation of this property discloses that there is a violation of the National Electrical Code Section 373-10(a) (Metal Cabinets and Cutout Boxes Shall be Protected both Inside and Outside against Corrosion) i.e. , meter can and disconnect boxes on north side of property. Please be advised that you must correct this condition immediately. You are required to contract with a licensed electrical contractor to perform the work. The work must then be inspected and approved the the Building Official of the City of Atlantic Beach. Failure to comply could result in discontinuation of service by the Jacksonville Electric Authority. sincerely, z t� Don C. Ford Building official DCF/pah cc: City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED w CITY OF r*&aj2e Te4d - 174V4& 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 December 1, 1993 Ms . Garnet Walker 9472 Aberdare Drive Indianapolis , Indiana 46250 Dear Ms. Walker: Our records indicate that you are the owner of the following property in the City of Atlantic Beach: 1977 Beach Avenue Beach Avenue Condominiums Dwelling Unit 1977 RE#169723-1006-9 An investigation of this property discloses that there is a violation of the National Electrical Code Section 373-10(a)' (Metal Cabinets and Cutout Boxes Shall be Protected both Inside and Outside against Corrosion) i . e. , meter can and disconnect boxes on north side of property. Please be advised that you must correct this condition immediately. You are required to contract with a licensed electrical contractor to perform the work. The work must then be inspected and approved the the Building Official of the City of Atlantic Beach. Failure to comply could result in discontinuation of service by the Jacksonville Electric Authority. S' cerel , Don C. Ford Building official DCF/pah cc: City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED ' LOBRANO, KINCAID G QUESADA ATTORNEYS AND COUNSELLORS SUITE 2100 - 76 SOUTH LAURA STREET JACKSONVILLE, FLORIDA 32202 STEPHEN D. LOBRANO ALLEN L. POUCHER HARRY G. KINCAID OF COUNSEL A.AUGUST QUESADA.JR. ANNE TILFORD PAYNE TELEPHONE(904)359-2100 FACSIMILE (904) 353-1332 HOPE ADAMS ISELEY GEORGE K. BREW November 30, 1993 Mr. Don C. Ford Building Official City of Atlantic Beach, Florida 800 Seminole Road Atlantic Beach, Florida 32233-5445 Re: 1977 Beach Avenue Beach Avenue Condominiums Dwelling Unit 1977 RE # 169723-1006-9 Dear Mr. Ford: On behalf of my client, Richard E. Loving, I am responding to the letter, dated November 18, 1993, from you to Mr. Loving concerning the corrosion on the meter can and disconnect boxes on the north side of the property. Mr. Loving sold this property on September 3, 1993 to Ms. Garnet Walker, whose address is 9472 Aberdare Drive, Indianapolis, Indiana 46250. Please note the name and address of the current owner of the referenced property on your records. You should notify Ms. Walker of the corrosion problems with the meter can and disconnect boxes. Thank you for your assistance. Sincerely, Stephen D. Lobrano SDL: jc cc: Richard E. Loving y # 1993 uiiding and Zoning CITY OF /*&O a &"4 - 574W c& 800 SEMINOLE ROAD -- -- - ATLANTIC BEACH,FLORIDA 32233-540 TELEPHONE(904)247-5800 FAX(904)247-SM November 181, 1993 Mr. Richard E. Loving 621 Park Avenue Orange Park, FL 32073 Dear Mr. Loving: our records indicate that you are the owner of the following property in the City of Atlantic Beach: 1977 Beach Avenue Beach Avenue Condominiums Dwelling Unit 1977 RE#169723-1006-9 An investigation of this property discloses that there is a violation of the National Electrical Code Section 373-10(a) (Metal Cabinets and Cutout Boxes Shall be Protected both Inside and Outside against Corrosion) i •e• , meter can and disconnect boxes on north side of property. Please be advised that you must correct this condition immediately. You are required to contract with a licensed electrical contractor to perform the work. The work must then be inspected and approved the the Building Official of the City of Atlantic Beach. Failure to comply could result in discontinuation of service by the Jacksonville Electric Authority. Sincerely, �Q HCl Don C. For Building Official DCF/pah cc: City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED CITY OF ATLANTIC BEACH, FLORIDA Approwd by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— IMPORTANT ATE: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. BILL THOMPSON ELECTRIC CO., INC. P. 0. BOX 3CQ150 � -7,j A NTIC BEACH. ELECTRICAL FIRM: J p K MASTER ECTRICI SIGNATURE NAME 14&W 4k:T ADDRESS:_ 19 --75- 80ekl AUL RFD BOX G tt� � 00 BLDG.SIZE BETWEEN: f_1 ` -O� S j S RES)() APT. ( ) COMM.( 1 PUBLIC( ) INDUS. ( ) NEW ( ) OLD ) REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP.( j SIGNS ( ) SQ.FT. SERVICE: NEWII ) INCREASE ( 1 REPAIR ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY oZ� !'pO EXIST.SERV.SIZE AMPS PH 3 W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR -OTHER MOTORS AMPS CEIL HEAT: KW-HEAT O.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS e..( JSrKa Qjf- W_ R1L*gF Ar IScLw� CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Required Submittals: I. Two complete sets of plans 2. Detailed site plan including setbacks and utilities 3. Recent survey 4. Florida Energy Efficiency Code Sheets 5. Contractor's license on file Inspection Schedule: 1. Footing 2. Rough Plumbing 3. Slab 4. Framing, rough electric, mechanical, top out plumbing, fireplace 5. Final inspection 6. Certificate .of Occupancy inspection Requests for inspections will be accepted Fromm 8:00 am until 4:00 pm. All inspections will be made the following working day between 8:00 am and 4:00 pm. In case of rejection, re-inspection must be called for after corrections are made. There will be a $10. 00 charge for all re-inspections, to be paid in cash before the re-inspection is made. Pour no concrete or cover up any work until the building card is signed by the inspector. You will be required to uncover any work that has not been inspected. BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Building Department 716 Ocean Boulevard Atlantic Beach, Florida 32233 249-2395 page 1 CITY OF ATLANTIC BEACH ' APPLICATION FOR BUILDING PERMIT 7 f jg�� f�� .r .j�,8_zip3ZLz phone Owner_ E=-----�----Address----------- - - ------- Architect jItiftStAddress _ �✓v/ 4 r L___zip______phoneY'_ Contractor/V -------�j DEW, __Address o29 _I '91' _____zip 2233 phone Contractor's License number_ &CQAy expiration_E-—0=3—_ Lot&,�►tBlock or Section Subdivision AM-c%&. 0 _ Zonin Street4A___between1 = TT -____-_and__,2 Q ---------side----------- Type Construction -------No. Units ______No. Fireplaces ----- - ----------- Purpose of Building_&5.Ld6.,#j4-0,(-______________Est. Valuation ��� 000 _____ Utility Method - Water_ CL ___ Sewer-a4,----- Dimensions - Building______________Lot-------------Size Footings___________ Sz. Piers __Sz. Sills-------------Greatest Span Sills_______________ Sz. Ceiling-Joists _______Distance on Centers---------Greatest Span_______ Sz. Floor Joists _________Distance on Centers---------Greatest Span_______ Sz. Rafters ____Distance on Centers __Greatest Span_______ Method of Heating-----------Solid or Filled Ground-----------Roof__________ Flood Zone-------If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of- Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over' dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner------ -------- -----------Date----------------- Signature Contractor ✓1 / Date Z© Page 2 re,AY 2 i9r39 Building and Zoning 4 t FLOODPLAIN DEVELOPMENT INFORMATION Type of Development:-------------------------------------------- Flood Zone:----------------------- Required Lowest Floor Elevation:--------------- If building is located within a flood hazard zone (Zone A), a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed development. Date--------------Applicant's Signature-------------------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ----------------- As Built Lowest Floor Elevation ----------------- Survey Filed with Building Department ----------- ----------------------------------- Building Department Representative page 3 , . 4 e DEPARTMENT Clf @ilLl�id CITY OF ATLANTl0T ER lir $��H LOCATI y■ yy{y tN F l u4' "+1�P ASM qw.aM.MY'M/,+yR XA5'+W.;KM=YF}�w!w'ev. U Ober A �! is'" BEACH AVENUE P anri,k Typ ,t I :' 'ATLANTIC BEACNf 1~'L�ORIAA L90AL DESCRIPTION C3 ago of Worlt x ; t1-:T A" Const r, Typo P eapc� + cf tis ►e Plat sook x A s Q w L L r sioti s MORTli ATLANTIC BEACH INFORMATION p rv. C+rr + i #li t ILL IA J ARTHUR JR, 'faL "I BEACH AVENUE ATLANTIC BEACH, FLORIDA 3223 904)246-0936 a a for s y ., . .. « LICATION FEES *51. OO MAOR IlCPAC`�' PE» *0. t�Q id9n. �o"' 0A 6 OR 44 cy yyam�,, ,r�:q t N'S/t.3 TAP ld 1 } elMa1`. y AU"o } $0s00 h aa4.na.. jia'b ,s'; � NOTES: F NOTICE--ALL CONCRETE'FORMS AND FOOTIPIGS MUST 8E INSPECTED BEFORE POURING PERMWTVOID SIXL MONTHS AFTER DATE OF ISSUE i BUILDING MATERIAL,RUBBISH ANQ DEBRIS FROM THIS WORK MUST NOTBE:PLACED IN PUBLIC SPACE,AND MUST BE CLEARED'UP AND HAULED AWAY 8Y EiTHER CONTRACTOR OR OWNER. ``FAILURE TO GQIIIIPL'Y WITH THE MECHANICS' 'IGEN' LAW CAN RESULT IN THE PRiJPERTY C3HNR PAYINIG TWICE Ft)F# BU�Lfl1NG IMPROVEMENTS. _, ISSUED AGCCJRDING T(3.APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT 70 REVOCATIfJN FOR V LATIONI'OF,APPLICABLE PROVISIONS OF LAW. ATLANTIC CH`BUILD IING"OF,llllll:FARMENT By: Fr' f Address_ 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: $ Tota 'Valuation lst $ Remainder Valuation $-3-.Doper thousand or portion thereof -------------------------------- Total Building Fee ----------- , ADDITIONAL PERMITS and/or FEES REQUIRED + Z Filing Fee $ j Fireplaces @ 15.00 $ i.cal BUILDING'PERMIT FEE ✓PlL:nig 1E1ectric/New ' ✓ �------------------------------------- �c ------ Electric/Temp Septic Tank BUILDING PERMIT $ WATER METER CHARGE $ Well Sfainming Pool SEWER II�lPACT FEE $ WATER IMPACT FEE $ � Sign MISCELLANEOUS Water Connection Sewer Connection $ __- Water Meter $ Elevation Certificate ���� GRAND TOTAL DUE $ , ------------------------------------------------------------------------------------------- - CALCULATIONS and/or NOTES PLANS REVIEW CHECK LIST Address- / ---7 ----Owner-11Y�1' Legal Description_ -Z�----------Contractor- - - -------------- _- .------------------License Number-----------------------. License on File YES , NO Section 24_101 * Zoning Regulations . Zoning District____ Proposed Use______________ Required Lot Size_ - __ _ L Actual Lot Size___________ Setbacks Rquired Provided Section 24_17 front CORNER LOT INTERIOR LOT rear Flood Zone________________ aide-1 ------- -------- Required Elevation aide-2 -------- -------- Max. Height Allowed___ _____ Proposed Height___________ Section 24_82 * Minimum Lot Coverage Required Heated Area ________ Proposed Area Section 24_161 * Offstreet Parking Number Spaces Required_______ Spaces _Provided Segtiog 24_82 = DuplIgntg Bu11LIjags Is there a similar building within 500' of 'prop,cssed_.building?YES NO Utilities Water and sewer service is to be provided bys Buccaneer Utilities _____ City of Atlantic Beach Utilities Private Source SEPTIC TANK WELL Plans Reviewed by:------------------------------Date________________ Building Permit #---------- ISSUED DENIED a I CITY OF l*fcta c Ve d - ;7&u�& - _ 716 OCEAN BOULEVARD P.O.BOX 26 �- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: ' ------) -------------------------------- -------------- ------ )------------------------------------------------- ------ ------------------------------- _--_----------- -- -- )------------------------------------------------- SINCERELY, BUILDING INSPECTION DIVISION cc:FILE a.. CITY OF ATLANTIC BEACH, FLORIDA A,p.a,,.d 13V APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 6 r 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. B k XH0RPSC. ,ELf CTRf'C Coq Zyq'"cOt P.aC$(S io§*8 �2� ELECTRICAL FI 8 M ER EL i NAME 1 -- ---ADDRESS: 1-:%&ZAo t - RFD BOX BLDG..SIZE BETWEEN: RES, APT.( ) COMM.( ) PUBLIC( ) INDUS.( 1 NEW( 1 OLD( 1 REW-K ADDITION( ) TRAILER ( ) TEMP.( ) SIGNS ( I SO.FT. SERVICE: NEW t ) INCREASE ( 1 REPAIR( ) 41r FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY d EXIST.SERV.SIZE Z 422AMPS PH 3 W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN I TOTAL 0.30 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS, I OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 QYER MOTORS H.P. VOLTAGE PHS NO. I P. VOLTAGE PHS MISC Ll NEOUS "