Permits 2031 Beach Ave IT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAI)
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00033433 Date 7/11/06
Property Address . . . . . . 2031 BEACH AVE
Tenant nbr, name . . . . . . REPLACE 8 WINDOWS
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5000
Owner Contractor
------------------------ ------------------------
BISSELL, W. H. THE DESIGN & BUILD GROUP, INC.
2031 BEACH AVENUE 348 PLAZA
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-2228
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . S5 . 00 Plan Check Fee 27.50
Issue Date . . . . Valuation . . . . 5000
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 5S . 00 . 00 . 00
Plan Check Total 27 . 50 27 . 50 . 00 . 00
Grand Total 82 . 50 82 . 50 . 00 . 00
PERMIT IS "PROVED ONLY IN ACCORDANCE WrM ALL CrfY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1�S6 CITY OF ATLANTIC BEACH
It-K&�x;_1
PLAN REVIEW S14*XT Routed to:
S.Makowski
Building Department Public Works&Public Utilities Departments ins
800 Seminole Road 1200 Sandpiper Lane
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R. Carper
(904)247-5800 (904)247-5834 D. Kaluzniak
(904)247-5845 Fax (904)247-5843 Fax Public Safety
PLAN REVIEW COMMENTS
Permit Application# Up
Property Address: Juc-J I boa. a
Applicant: ML"2n nhWdC4WP
Project: W I alp m:a--
This permit application has been:
Approved as noted by the Roc-) Department.
Final application approval must come from the Building Department.
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: �A- h Date: 7fi,
Date Contractor Notified:
CITY OF ATLANTIC BEACH
WINDOWS, SKYLIGHTS, GARAGE DOORS, HURRICANE SHUTTERS
Date: &10-3
Please submit(2)complete sets of plans with application.
Job Address- 1-0 31 A ATMd Mai ]-&ACA 9::�
AV W I 01svy-- 1:� ]�%1/m
Address: 2,L(721 YaW&A &,JMP Phone:
Legal Description: Block Number+Z Zoning District:
-dqf- Lot Number: � (1�
Contractor-hv- beswq q &W 6atw fnf State License Nurnber:.W. 15�V 57 72 5
Address: 34K N2-� 1 Phone: A41-2-2�rIWJCW3
City: 414A& &&11 State: fl— Zip: -&2-233 Fax: -?Lfi-004-3
Describe proposed use and work to be done: WJV-AVIAL��(8
Present use of land or building(s):
Valuation of proposed construction: 41>74�:.
Is approval of Homeowner's Association or other private entity required? If yes,please submit with this
application.
Required Building Data:
Mean Roof Height_(ft) Building Width (ft) Building Length
Roof Slope Window Height (ft) Window Width (ft)
Window Elevation from Grade 3 (ft)
Measurement from corner of building to window (ft)
Number of windows being installed
L
Mean Roof Height
800 Seminole Road Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us
Page I Revised 1/27/03
Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may
result in delay in issuance of permit.
In addition to the building data,the following information is required:
1. Manufacturer's Test Report with Uniform Structural Load(psf)
2. Installation Procedures
3. Window Description/Type
IGarage Door Description/Type
Skylights Description/Type
6. Hurricane Shutter Description/Type
7. Elevation View of Window Locations
I hereby certify that all in rKati provided 1 is correct.
Signature of Own:.��� Date:
V
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 goveming 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,includingthe
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 corre and that the plans and supporting data have been or shall be provided as required.
I Z4KSignature of Contractor: Date:
Address and contact information of person to receive all correspondence regarding this application(please print).
Name:
Mailing Address:
Telephone: Fax: E-Mail: IAIA�iwA I Q- C-,Yqca s�n
AS TO OWNER:
-17 1 AA
Sworn to and subscribed before me this 2 day of June- 200(o
State of Florida,County of Duval
Notary's Signature:
INNIFER MARY MACRI
My COMMISSION#DD 449518
Personally known
1,2009
EXPIRES:July 11,2009
Produced identification
Type of identification pr
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20
t
State A—,— a
T,TOU1014 013"M
Nolary Pubk-ftb of FW*
JL. Cownission E*kn Fob 28,3 Notary's Signa.,��,
CommWo 0 DO SMW lc��
@oW$d A N & Nallwy Ann. �ersonally known
F-1 Produced identificati
Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 Fax: (904)247-5845 - http://www.cLatlantic-beach.fl.us
Page 2 Revised 1/27/03
NOTICE OF COMMENCEMENT
Tax Folio No.
State of
County of
To Whom It May&ncern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated NOTICU OF, CEMENT. .
Legal Description qf property being improved: qiq ITE /#q jV9,6 ge&CA on,/-/140 3 P7-
Address of property being improved: -&A C,� &FIA04t 4
General description of improvements: Rod 1A Wi Ajw I Ak ek-6011a
Owner: kkIM WM4,;W 1�� 5SQj Address: 2D S I n Q I-
Owner's interest in site of the improvement: OW vlty-s
Fee Simple Titleholder(if other than owner):
Name:
Contractor: CIN". I,(-,/ ke �.L4,2 I wr
Address: P(asp,
Telephone No.: Fax No: W 43
Surety(if any)
Address: Amount of Bond
Telephone No: Fax No:
Name and address of any person maldng a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himselt owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one 1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDEWS USE ONLY 0
Si Date:
Doc-j 2DO6233359,OR.BK 13370 page 2113. Before me day of f Duv State
Number Pages*.1 Of Florida,has personafly aappNeared U "ES-0101
Filed&Recorded 07W,?DO6 at D1-.57 PM, Notary Public at Large,State of Florida, uvaffiNNIFER MARY MACFN
JIM FULLER CLERK CIRCUIT COURT DPY I AL My commission expires: MY COMMISSION#()D 449518
COUNTY Personally Known: or
or
RECORDING W-00 Produced Idenftfication:
M0 RA'�* LtkU4_-J"4uj Y avm W".".
2tl� Alf,-
qqq
_Y� to QJ)
I hA J�f
OA OVED
F ATLANnC BEACH
'CM
I UILDING OFFICE
T)
UL 06 2006
2)g
By-
Ak
AANLA/NW"A 101/LS.2-97
TEST REPORT SUMMARY
Rendered to:
SIMONTON W]INDOWS
SEREESIMODEL: 07-07
TYPE: Poly Vinyl Chloride(PVC)Fixed Window
Title of Test Results
Rating F-R55 74 x 60
Overall Design Pressure 55 psf
Operating Force N/A
Air Infiltration <0.01 efin/ir
Water Resistance 8.25 psf
Structural Test Pressure ±82.5 psf
Forced Deglazing NIA
,En=Resistance Grade 10
Reference should be made to Report No.05-30245.02 for complete test specimen description and
data.
For ARCHITECTURAL TESTING,INC.
DigiWly sig-d by Ly-G—V
Lynn George,Project Manager
LG.mlb
AL
Architectural Testing
A$TM E 1886-97 and-ASTM E 1"6-01 TEST REPORT
Rendered to:
SIMONTON VaNDOWS
One Cochrane Avenue
Permsboro,West Virginia 26415
Report No: 0 142491.03
Test Date: 08/19/02
Thru: 08/21/02
Report Date: 09/11/02
Expiration Date: 08/21/06
Project Summary: Architectural Testing, Inc. (ATI) was contracted by Simonton Windows to
perform tests on three Series/Model 0709, PVC fixed windows. The sample tested successfully
met the performance requirements set forth in the referenced specification listed below for a
design pressure rating of 50.0 psf Specimens utilized replacement construction.
Test Specification: The test specimen was evaluated in accordance with the following:
ASTM E 1886-97, Standard Test Methodfor Performance of Exterior Windows, Curtain Walls,
Doors and Storm Shutters Impacted by Missile(s)and Exposed to Cyclic Pressure Differentials.
ASTM E 1996-01, Standard Specifications for Performance of Exterior Windows, Glazed
Curtain Walls, Doors and Storm Shutters Impacted by Wind Borne Debris in Hurricanes.
Test Specimen Description:
Series/Model: 0709
Type: PVC Fixed Window
Overall Size: 6'0"wide by 5'0"high
Fixed Daylight Opening Size: 5'8-3/8"wide by 4!8-3/8"high
Finish: All PVC was white.
Glazing Details: The vent utilized a I"thick insulating glass unit fabricated from a sheet of
1/8" thick tempered glass on the interior and two sheets of 1/8" thick clear annealed glass
with a 0.090" thick interlayer on the exterior. The insulating glass unit utilized a foam
spacer system. The vent was interior glazed against a glazing compound and secured with
dual durometer snap-fit glazing beads.
130 Derry Court
York,PA 17402-9405
phone:717.764.7700
fax:717.764.4129
www.archtesLcorn
0142491.03
Page 2 of 8
Test Specimen Description: (Continued)
Frame Construction: The fi-arne was constructed of extruded PVC members with mitered
and welded comers.
Drainage:
DqKn
�Rtio Quanti Location
1/8"diameter weephole 2 One 5" from ends of sill draining
the glazing pocket
Reinforcement: No reinforcement was utilized.
Installation: The replacement window was installed into a nominal 2 x 10 Spruce-Pine-Fir
#2 wood test buck. The head, sill,and jambs were secured with#10 x 2-1/2"screws 6" from
each comer and 12"on center. All the screws utilized a 1-1/2"embedment. The interior and
exterior perimeters were sealed with silicone.
01-42491.03
Page 3 of 8
Test Results:
The results are tabulated as follows:
Lab temperature at time of test: 87.3*F
ASTM E 1886,Missile Impact,Section 11.Test Procedure
Missile Weight: 9.0 lbs
Muzzle Distance from Test Specimen: 14.5 ft.
Test Unit#1
Impact#1: Missile Velocity: 50.6 fps
Impact Area: Center of glass
Observations: Large missile fi-actured exterior lite of glass and shattered
interior lite of glass,no penetration.
Results: Pass
Impact#2: Missile Velocity: 49.8 fps
Impact Area: Lower left comer
Observations: Large missile fi-actured exterior lite of glass and shattered
interior lite of glass,no penetration.
Results: Pass
,Test Unit#2
Impact#1: Missile Velocity: 50.6 fps
Impact Area: Center of glass
Observations: Large missile.fi-actured exterior lite of glass and shattered
interior lite of glass,no penetration.
Results: Pass
Impact#2: Missile Velocity: 50.4 fps
Impact Area: Upper left comer
Observations: Large missile fi-actured exterior lite of glass and shattered
interior lite of glass,no penetration.
Results: Pass
01-42491.03
Page 4 of 8
Test Results: (Continued)
The results are tabulated as follows:
Lab temperature at time of test: 87.3*F
ASTM E 1886,Missile Impact,Section 11.Test Procedure
Missile Weight: 9.0 lbs
Muzzle Distance from Test Specimen: 14.5 ft.
Test Unit#3
Impact#1: Missile Velocity: 49.8 fps
Impact Area: Center of glass
Observations: Large missile fi-actured exterior lite of glass and shattered
interior lite of glass,no penetration.
Results: Pass
Impact#2: Missile Velocity: 49.8 fps
Impact Area: Lower right comer
Observations: Large missile ftactured exterior lite of glass and shattered
interior lite of glass,no penetration.
Results: Pass
01-42491.03
Page5 of8
Test Results: (Continued)
ASTM E 1886 Air Pressure Cycling
Design Load: 50.0 psf
Test Unit#1
Table I "Cyclic Pressure Differential Loading", Section I I Paragraph 11.4.2
POSITIVE ACTING Head
Pressure Average Maximum Deflection -T�Permanent Set
Range No.of Cycle Time Indicators
(Psf) Cycles (seconds) Left Center Right Left Ce ter Right
#1 #2 #3 #1 #2 #3
10.0 to 25.0 3500 2.47 0.05" 0.12" 0.05"
0.0 to 30.0 300 2.95 0.05" 0.13" 0.05"
25.0 to 40.0 600 2.45 0.051, 0.17" 0.06"
15.0 to 50.0 100 2.91 0.05" 1 0.21" 0.07" 0.03" 0.03" 0.05"
Pass
NEGATIVE ACTING Head
Pressure Average Maximum Deflection F Permanent Set
Range No.Of Cycle Time Indicators
(psi) Cycles (seconds) Left Center ft�t Left Center Right
#1 #2 #3 #1 #2 #3
15.0 to 50.0 50 2.56 0.01" 0.12" 0.02"
25.0 to 40.0 1050 2.35 0.01" 0.10" 0.02"
0.0 to 30.0 so 2.90 0.01" 0.08" 0.02"
10.0 to 25.0 1 3350 2.29 0.01" 0.08" 0.02" 0.01" 0.04" 0,011-
- Pass
OIA2491.03
Page 6 of 8
Test Results: (Continued)
ASTM E 1886 Air Pressure Cycling
Design Load: 50.0 psf
Test Unit#2
Table I "Cyclic Pressure Differential Loading", Section IL Paragraph 11.4.2
POSMVE ACTING Head
Pressure Average Maidmum Deflection 7'Pe'rmanent Set
Range No.of Cycle Time Indicators.
Cycles Left Center Right Left Center Ri ht
(psi) (seconds) #1 #2 #3 #1 #2
10.0 to 25.0 3500 2.48 0.01" 0.07" 0.01"
0.0 to 30.0 300 2.97 0.01" 0.0 0.011,
25.0 to 40.0 600 2.97 0.01" 0.1 0.011,
15.0 to 50.0 100 1 2.10 0.02" 1 0.13" 1 0.01" O.OF 5-02- _I <0.011-
Pass
NEGATIVE ACTING Head
Maximum Deflection Permanent Set
Pressure No.of Average Indicators
Range Cycles Cycle Time Left Center Right Left Center Right
(psi) (seconds) #1 #2 #3 #1 #2 #3
15.0 to 50.0 so 2.83 0.02" 0.09" 0.02"
25.0 to 40.0 1050 2.43 0.02" 0.08" 0.011,
0.0 to 30.0 50 2.95 0.01" 0.06" 0.01"
10.0 to 25.0 3350 2.73 0.01" 0.05" 0.01" <0.01" 0.02" <0.0111
Pass
01-42491.03
Page 7 of 8
Test Results: (Continued)
ASTM E 1886 Air Pressure Cycling
Design Load: 50.0 psf
Test Unit#3
Table I "Cyclic Pressure Differential Loading", Section 11. Paragraph 11.4.2
POSITIVE ACTING Head
Pressure Average Maximum Deflection Permanent Set
Range No.of Cycle Thine Indicators
(PSI) Cycles (seconds) Left Center Right Left Center Rip-ht
#1 #2 #3 #1 #2 f3
10.0 to 25.0 3500 2.27 0.01" 0.07" <0.01"
0.0 to 30.0 300 2.98 0.01" 0.08" <0.01"
25.0 to 40.0 600 2.00 +1.01" 0.09" <0.01"
15.0 to 50.0 1 100 2.68 0,02" 0.12" 0.03" O.OV O-Or 0.03"
Pass
NEGATIVE ACTING Head
Pressure Average Maximum Deflection Permanent Set
Range No.of Cycle Time Indicators
Cycles Left Center Right Left Center Right
(PSI) (seconds) #1 #2 #3 #1 #2 #3
15.0 to 50.0 50 2.56 0.02" 0.13" O.OT'
25.0 to 40.0 1050 2.06 0.02" 0.12" 0-02" 1
0.0 to 30.0 50 2.99 0.01" 1 0.10" 0.02" 1
10.0 to 25.0 3350. 2.11 0.01" 0.09" 0.01" 1 <0.01" 0.05" <0.0111
Pass
General Note.- Upon completion of testing, the specimens met the requirements of Chapter 7 of
ASTME 1996.
Note#1: A 2 mil plasticfilm was used on the interior of specimens to seal against air leakage
for the negative loading portion of testing. In ourjudgment the film used did not influence the
results of the testing.
0142491.03
Page 8 of 8
Witnesses: The following representatives witnessed all or part of the testing.
Chuck Anderson Simonton Windows
Allen N.Reeves,P.E. Architectural Testing,Inc.
Jay Leader Architectural Testing,hic.
Adam Fodor Architectural Testing,Inc.
Representative samples of the test specimen, and a copy of this report will be retained by ATI for
a period of four years. This report is the exclusive property of the client so named herein and is
applicable to the sample tested. Results obtained are tested values and do not constitute an
opinion or endorsement by this laboratory. This report may not be reproduced except in full
without approval of Architectural Testing.
For ARCHITECTURAL TESTING, INC:
--k" - -
Adam Fodor Allen N.Reeves,P.E.
Senior Technician Director-Engineering Services
/3
AF:baw
0142491.03
CITY OF ATLANTIC BEACH, FLORIDA
Appr ved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:- 1000
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, CODI--_S AND CITY OF
ATLANTIC BEACH ORDINANCES.
Qk
ELECTRICAL FIRM: MASTER ELWRICIAN SIGNATURE-'-' JOULRNLYMAN
NAME ADDRESS: RFD_—BOX
BLDG.SIZE BETWEEN:
RESA APT. ( comm. ( PUBLIC INDUS. NEW( OLDX REW. I
ADDITION ( ) TRAILER TEMP. ( ) SIGNS ) —SQ. FT.
SERVICE: NEW( INCREASE ( ) REPAIR K) FEE
CONDUCTOR SIZE AMPS COPPER ALUMJ I
SWITCH OR BREAKER AMPS +H VOLT RACEWAY
W
EXIST.SERV.SIZE 'al)o AMPS PH W[(?44bVOLT 'S RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMP
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 1 0.100 A OVER
APPLIANCES I EIELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT:l KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS No. I H.P. VOLTAGE PHS
MISCELLANEOUS fl
yv--O�Du� CAJ 1( 6
6LCA,-�
U
C CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
TELEPHONE (904)247-5800
FAX(904) 247-5805
SUNCOM 952-5800
DATE — 31-00
JEA Construction & Maintenance
2325 Emerson Street
Jacksonville, FL 32207
Attention: Connie
Re: Final Electrical Inspections
Dear Connie:
Final Inspections on the following locations have been completed and approved:
PERMIT NO. ADDRESS
Please call me at 904-247-5826 if you have any questions.
Sincerply,
Alla't�
ATLANTIC BEACH BUILDING DEPARTMENT
/0
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax:247Z877
ELECTRICAL PERMIT
PERMIT)NFORMATION LOCATION INFORMATION
#e—niiit Number-, ' 2-0138 Address: 2031 BEACHAVENUE
Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: REPAIR i Township: 0 Range-. 0 Book:
Proposed Use: Lot(s): Block: Section:0
Square Feet: Subdivision: ATLANTIC BEACH
Est.Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 5130/2000 BISSELL ---
Total Fees: 25.00 Address: 2031 BEACH AVENUE
Amount Paid: 25.M ATLANTIC BEACH, FLORIDA 32233
Date Paid: 5130/2000 Phone: (904)724-7413
--Wo-rk-5isc—: ESS-20-0—AMP-8-1-AH-3-W-2-40V SEURW-REPLACE-bA--ffA68b- -WTER-CAN--,
CONTRACTOR(S)
-MUC LURE�ELEC�RIC S§ERVICE APPLICATION FEES
"s eptions ul#V�d
I�INA�ELI�C`
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW,
T
LAN I EACH"ILDIN
$25-0014
Date: 5/30/0001 Receipt: @@61360
CHECY;S
Jun-12-98 03: 14P P.01
PRICE QUOTE
APPLICATION FOR WATER ANDIOR SEWER TAP
APPLICANT NAME-
7—
MAILING ADDRESS
PHONE NUMBER 2q2- !�qp-3 DATE 1.-2 6Y
SERVICE REQUESTED
SERVICE LOCATION
DATE SET TO PUBLIC WORKS (9 - t
DATE RETURNED TO BUILDING DEPARTMENT
PUBLIC WORKS DEPARTMENT
PRICE QUOTE RESPONSE
WATER: &/ArC74
Ar rAe-&�,-w ro- E042�fz 1�?f
SEWER:-/-'5* aA*
OTHER-
PRICE QUOTE PREPARED BY:
Signature - Title
DATE NOTIFIED OWNER
DEPARTMENT OF SUILP
CITY OF ATLANTIC BEACH
PERMIT I RFORMAT 1014 ------- LOCAT I bN INFORMATION
16650 2031 BEACH,� &VENUE
e rmi t Number:
ATLANT I C BZACH. PLORIDAL3,2233
Permit Type:UTILITIES ,
a f Work,*NEW DJESCRIPTIW
0
Constr. Type,*WOOD FRAME,- Block* Lot�: Tvp: 0
o p
osed �Us�e Section: Subd.0 Rng:, 0
Dwe 11 ings Subdivksi'on:ATLANTIC BEACH
Est . vo�lue:
-Impprov. Cost : 0 .00
e es v�i 835,00 �
Amdun t
3 5'�0 0,
P g SA
AT
�v�2gk besc.- ER SERVICE
ON
APPLACkTION FEES
44 . 0 .00
.Mv
7 UE
ATMIMPACT 390.00 ,
r:
FEE
0, 0�: v
0
A WER, P
-,,,,,LO ID
10T
R A 3223,'
4T
th n
W'�;2 4�� 3'
A' bo
T ",
,o e 4 499
ADON GAS-,H,4 R. S.
all 7`111? 0.00
0 .00
1'ON ADON �CAB 5%
CONI#� AT
5,0
'11 PUBLI&'WOAk2$,,1 DE' �kRTMENT 'APITAL IMPROVE 0
AU, 5EWEk 'T]A0 0 .bo
"-ROSS CONNECTION 35.00
NOTES:
NOTICE INSPECTIONS MUST BE REOUESTED AT LEAST,24 HOU,ft PRIOR TO INSPECTION
BUILD-ING MATERJAL,RUBBISH,AND DEBRIS FROM THIS WORK MU
ST NOT,BE PLACED INPUBLIC SPACE AND MUST BE
,CLF-ARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
1::, . .'"FAILURE TO COMPLYWITH TH E MECHANICS', LI-E AW CAN RESULT IN
1 , WL
THE PROPERTY OWNER,PAYING TWICE FOR BUILDINGIMPROVEMENTISO,
4SSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT,AND,SUBJECT TO REVOCATION FOR,
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
"TER
A�ON
t
A
ADON
Yate: 6/12/98 81 Receipt: WV24
ATLANTIC BEACH BU NG/Ef PARTMENT Total payteut 1118
PRICE QUOTE
APPLICATION FOR WATER AND/OR SEWER TAP
APPLICANT NAME
MAILING ADDRESS
PHONE NUMBER DATE
SERVICE REQUESTED
SERVICE LOCATION—
DATE SET TO PUBLIC WORKS
DATE RETURNED TO BUILDING DEPARTMENT
PUBLIC WORKS DEPARTMENT
PRICE QUOTE RESPONSE
WATER:
SEWER:
OTHER:
PRICE QUOTE PREPARED BY:
Signature - Title
DATE NOTIFIED OWNER
CITY OF
900 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904) 247-5804)
FAX(%4)247-5805
Date :
3/4" Water Service and Sewer
Dear Property Owner:
The costs to connect your building to the City sewer and/or
water system are as follows :
Sewer Tap - Labor and Materials to tap into
sewer main (If necessary, amount to be
determined by Public Works)
Water Tap - Labor and Materials to tap into
water main if no tap exists
'YEW
Water Meter - Cost of Meter Only (Tap Already There) $ 8#Z8_0.
Cross Connection Inspection - Inspection by
Public Works to ensure backflow
prevention 35.00
Sewer Impact Fees Funds future.- expansion
-.1 o-f---
Water Impact Fee Funds future expansion
of the water plant S*See Attar-bed
3
Capital Improvement - Funds for improvements ,
expansion or replacement to
water system 325.00
TOTAL COSTS
If you have any questions concerning these charges please cal I
the building department at 247-5826 .
C'7
Sincerely ,
Don C . Ford
Building official
DCF/pah 7-
CITY OF ATLANTIC BEACH
Fixcure Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE C17Y WATER SYSTEM.
i'BATHROOM GROUP CONSISTING OF 1 '2, SERVICE -SINK TRAP STAND
WATER CLOSET. LAVATORY & BATH (8)
TUB OR SHOWER STALL (6)
WATER CLOSET
WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
—DATHM/SHOWER (2) URINAL WALL LIP (4)
—SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
—SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
__i_w.kSHING MACHINE (3) POT, SCULLERY SINK (4)
D ISHWASHER (2) —WASH SINK EACH SET OF
FAUCETS (1)
±KITCHEN SINK (2) DENTAL LAVATORY (1)
"�V KITCM SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
BIDET (2) URINAL STALL, WASHOUT (4)
FLUSHING Rim SINK (8) —COKBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2)
BLOWOUT (2)
LAVATORY, BAR.BER/BEAUTY —ICE MAKER (1/2)
SHOP (2)
SURGEONS SINK (3) LAVATORY, SURGEONS (2)
JACUZZI (2) URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS__j $20.00 EACH $
JOB INFORMATION
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:-
OWNER OF PROPERTY: 9/!5�,c-/
PLUMBINC CONTRACTOR: 1p/'b<7 c--
CONTRACTOR' S ADDRESS:
STATE LICENSE NUM�BER: ef-co
11014 M.AlqY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORIES WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINES
FLOOR DRAINS SHOWER PANS
OTHER 42/
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERI�IIT FEE = �25.00
SIGNATURE OF OUNER:
SIGNATURE OF CONTRACTOR:-
------------------------- /------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST 13E IN ACCOR.DANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SE14ER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
16673 1
'DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------ LOCATION INFORMATION
4rmit Number: 16673 Address 2031 BEACH AVENUE
Perrfti t . Type:PLUMBING
ATLANTIC, BEACH, FLORIDA 322,33
1410s ,of Work..ALTERATION --------
Constr. Typ-e�WoOD FRAME LEGAL. DESCRIPTION ----------
Block: 'Twp 0
Proposed Use:
S'ection'. Q S(ubd:0
Rng: 0
bwe' l 1 ings . Subdivision-ATLANTIC BEACH
XSt . Val,ue-:.
Improv., C O's t
Total Fees ,
Amount Pa
id, 25.00
Qate Rait"Iq
e,
)ftTION
A
PPLICATION FE9$ -------
me -B
I ER4 25.00
J * """2-10�3"-"17'� ' I
M'41""�-'*IVVANUE
Od r
ft IDA 322,3,
"A Ado OR
:,on e,- k", '�'77
Co TION
416e ST-'EE
V L UM0,IN.
:ATLANTIC B
9 �Cff FLORIDA, 32233
Exp.
4
NOTES:
NOTICE-INSPECTIONS MUST BE REQUESTEDAT LEAST 24 HOURS PRI
OR TO INSPECTION
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,
CLEARED UP AND'HAULED AWAY BY EITHER CONTRACTOR OR OWNER AND,MUST BE
"FAILUREL TO COMPLY WITH THE MECHAN.ICS' LIEN LAW CAN: RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPRO
VEMENTS.
JSSUSD ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SU TO REVOCATION,
BJECT
V(16LAT' ION OF APPLICABLE PROVISIONS OF LAW: FOR
Recpjpt: *6,jfi6
ATtANTI, VEACH BUILDING DEPARTMEN
T,