Permit 270 Belvedere St CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J � ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Jfl=)'
Application Number . . . . . 08-00001093 Date 8/07/08
Property Address . . . . . . 270 BELVEDERE ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3000
----------------------------------------------------------------------------
Application desc
reroof fl 206 . 2
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
NELSON SCHULTZ ROOFING, INC.
216 N. 20TH STREET
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 246-2315
-----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 3000
Expiration Date . . 2/03/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 55 . 00 55 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH i
F7
800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 07-
OFFICE:(904)247-5826•FAX NO (904)247-5845
f,? BUILDING-DEPT@COAB US
�.� fir-r1"fes BUILDING PERMIT APPLICATION DUVAL COUNITY
i JOB ADDRESS: 2.VALUATION OF WORK: SQ FT.UNDER ROOF
3.
4 LEGAL DESCRIPTION: 5.CLASS OF WORK: 6 USE OF Sl RUCTURf-
1&",-2.1;;2 - ❑NEW BUILDING ❑DEMOLITION ESIDENTIAL
LO BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
7.DESCRIPTION OF WORK. ❑ALTERATION ( ❑ACCESSORY BLDG 8 FIRE SPRINKLER
W � ` F� 2-0(..2-
n�`Z Cg`REW4MC YC.fQt�L ❑
POOL/SPA Q YES Q N;P..
µ+ ❑MOVE ❑OTHER ❑NO _
PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER:
9 NAME: 15.COMPANY NAME. 23.COMPANY NAME.
LL)ncLtL NtISoei Schultz Rooting Co , In
16.NAME: 24.LICENSEE NAME
Douglas A Schultz
10.ADDRESS. 17.STATE OF FLORIDA LICENSE NO.. 25.STATE OF FLORIDA LICENSE NO.
(V'�a(ere &tre CCC0636989
�e�ch 216 N 20th St
18 ADDRESS: 26.ADDRESS.
Jacksonville Bch., F1
11 OFFICE PHONE: 12,FAX N0.'. 19,OFFICE PHONE: 20.FAX NO.. 27 OFFICE PHONE- 28.FAX NO.
246-231.5 247-3808
13 CELL PHONE 21 CELL PHONE 29 CELL PHONE
904-759-0063
14 EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS. ^
schroof2315C)yahoo. com
FEE SIMPLE TITLE HOLDER:
(IF OTHER THAN OWNER) BONDING COMPANY: MORTGAGE LENDER;
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 of
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,Tarks, 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: ?22
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRACTOR
(If gent,P r of Atlor ey o ncy Letter Required) (Qualifier Only)
I
Signed Signed: Date:
Before me this day of^ 204in the county of Before me this__ a day of 20D in the cou+iq
Duval,State of Florida.has personally ap ared Duval,State of Florida,has personally a eared
r �v a fi. 2--
herin by himself/herself and affirms that all statements and declarations are 1herin by hi sel /herself and affirms that all statements and declarations a.,-,
true and accurate. true and accurate. r7��
Notary Public at Large,State ofQ a. County of Notary Public a Large,State of__ -� County o -- _
❑Personally Known erf5ersonally Krawn I
roduced Identificati - a Produced Identification
Notary Signature Notary Signature: �r
r�y,, S IND CLARK
f � MY COMMISSION#DD 544427 r ROSAUND CLARK
EXPIRES;August 25,20W
coAB FORM BL000 `29(D MY COMMISSION#DD 544427
RE, ,• gonuea 71tru Notary Public UndenvrHera a EXPIRES:August 25,2010
%f pj Bonded Thru Notary Public Underwriters
-'^-• '�^^•�•-' IIMIgVV I VItIY YYO '
FS 713.13~4
Return to-(enclose self-addressed stamped envelope
Ne me: Schultz Roofing Co. , Znc.
Address:216 N 20th fStreet Jacksonville Bch '
This Instrument Prepared by: Fl 32250 ------------_. __.__._.
Doc#2008204798,OR 8K 14600 Page 1085,
Nam`: Rosalind Clark Number Pages: I
Schultz Roofing Co. , Inc. Recorded0810at UI
JIM FULLER CLERK CIRCUIT C .
COURT DUVAL
Address: 216 N 20th St. COUNTY
Property Aj; spgMvf AgtjBeach, Fl. 32250 RECORDING$10.00 '
D SPA ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE POR RECORDING DATA
NOTICE OF COMMENCEMENT i�os
Permit No. Tax Folio No.
State of Flo' 1
County of rt U A C !
The undersigned hereby gives notice that Improvements will be made to certain real property,and in accordance with chapter
713 of the Florida Statutes,the following Information Is provided in this!NOTICE OF COMMENCEMENT.
legal description of property(include Street Address,if ave'able) f2, l,? _, � fir'''/
General description of improvements
Owner's Name {"
Address
Owner's Interest in site of the improvement
Fee Simple Title holder(if other than owner)
Address Phone: _ Fax:
Contractor Douglas A. Schultz Schultz Roofing CO. , nc. C
Address 216 N 20th St Jsnvllle Beabh, 6one:904-246-2315 Fax: 904-247-3808
urety Phone: Fax:
ddress Amount of bond$
ender's Name
Address: Phone: Fax:
Persons within the State of Florida designated by owner upon whom notices or other documents may be served as pro-
vided by Section 713.13M(a)7,Florida Statutes.
x Name
Address Phone: Fax:
Y
0.
In addition to himself,owner designates
Of Phone: Fax:
0
to receive a copy of the t-ienoes Notice as provided in Section 713.13(1)(b),Florida Statutes.
Elpir dat7of otice of en e e expiration date is 1 year from the data of recording unle s 'fferent date is specified)
esign ura or O r Prim Name or Owner —
S
p NOTARY RUBBER STAMP$EAL ve ttlie upon the following I& tificatin n of e tient
10 ,.�;;�;�,"�•., 1�C�K S to and wbst:' b o me ttti
o I ?Et "''` . A6Y CCMhMISsl�i 1 DO 544427 Q� y�
9ti
z;12 ; EXPIRES:A piWo i'map iwmre"-"Li
er$
�j �:
z2�nt� ga,dadTlruiVdo7
Pdnted Name
t !
BUILDING AND ZONING INSPECTION DIVISION CM
CITY OF z° t�?
am, R
-�
4CTRICAL PERMIT
z
I
Bate — 1-14-73_._._. Fee $ +► Permit No, 9+61
0
Location 270 IV* m
Between
an
This is to certify that a.
® 1 a`+
w
.._ cam _ a
W
(Electrical Contractor) (Master Electrkionj '' E
has permission to instal! Construction as described herein irr I�w 1 a
accordance with the provisions of the Flectricol Cade and regulations
of the City of Jacksonville, and subie:-t tc, the informotion shown or, the W 1 c
application, drawings and SpeCifitiatitans which are made a pew of this v
permit. m
for ------------
. {
a
Type of work:_._— �t:r�l�
SERVICE: - CMdeatM 2/0 Alm. Ovibah"_ N
a
Feeders: Uj
Outlets: lad O I
Receptacles
Switches:
Incandescent
Fluorescent:
Appliances:
Air Conditioning:
Motors:
Transformers:
Signs:
Miscellaneous:
IF NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY: R. C l
MONTHS PERIOD, PERMIT Electrical Inspection Supervisor
BECOMES VOID. 700 City Hall 355-0411
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
PERMIT NO. 19.x ! Date :.A /,-Zf 7�-
LOCATION A70- Street
LOT N0 . 7Y S� BLOCK N0. S�D &Lt 7' Air
OWNER o STrVC o J Ser ',/f
MASTER FLUIMBER
n Bldg.
BUILDER OR CONTRACTOR CWC_7� Sery1Qe _ ro.Permit_.1qo.. -
Cw&rd Cros6y�
TYPE OF BUILDING /n1
IQ
;,jLSINKS_2 LAVATORY oZ BATH TUBS URINALS CLOSETS
FLOOR DRAINS SHOWERS_ WATER HEATERS DISHWASHERS
DISPOSALS OTHER hllis4 jA/G
TOTAL FIXTURES ',1l 00
NO WORK. MUST BE DONE UNTII A PERMIT HAS BEEN PROCURED
PLANS AND SPECIFICATIONS must show a plan and. description of the
size - and - location of all the soil and vent pipes, and the number and
location of all fixtures , (in accordance with Ordinance no. 188 of
the City cf Atlantic Beach, Flurida) must be shown on back of appli-
cation and be approved by the Plumbing Inspector.
DPJi.W PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK.
kpproved by
Plumbing Inspector
Date
(FOP OFFICE USE ONLY)
ROUGH-IN INSPECTED I - 14-22--
FINAL INSPECTION: '/G�? CERTIFICATE ISSUED:
CLRIgEDSTINGUBQERATD BS
Architectural Division• 7252 Narcoossee Rd. •Orlando,FL 32822 i
(407)384-7744 •Fax(407)384-7751
Web Site: www.ctlarch.com
E-mail: ctlarch.com C/f 6Ti
Report Cn A-744W-B
Report Date: • November 15,2001 W ''
STRUCTURAL PERFORMANCE TEST REPOT APPROVED
Client: M I HOME PRODUCTS CITY OF ATLANTIC BEACH
650 WEST MARKET STREET BUILDING OFFICE
P.O.BOX 370 GRATZ,PA_ 1'7030-0370 NOV 2 Q 2002
Product Type and Series: Model 470 HP Aluminum Sliding Glass Door SGD-R40(144" x 80")
Actual Structural Pressure OR+ 40 psf=Smxtuxal Test Pressure 60 psf
Actual Structural Pressure D/P -40 pef= Structural Test Pressure 60 psf
Test Specification: AAMA/NWWDA 10I&S.2-97,"Voluntary Specificatian for Atmninuma Ymyl(PVC)
Wood Windows and Class Doss".
_Test SRujan
Frame:' The extruded alp main frame mmmnvd 143.751Sk 8025"oveiall. Coped and butted
comer comtruc tion seamed with two(2):#8 x.750",PE.;pau bead,SMS each corner.(Two
(2)pod buk)
configuration: OXO as viewed from do cde=ior lee to rigbt
Panels: Two(2)fixed panels and am(1)active podia�,ameascring 48.25"x 78.5".One(1)
astragal fixed pend left of nwamn*48.75'x 78.5".Ona(1)fixed paced ri&of
cxat measuring 47.5"x'78.5"Clear lite opening for each measured 45"x 75".Coped and
butted corner construction sectued with one(1)#Sx.75"Pan head,S.M.S.fiustene at each
comer.
Weatherstripping: j�aaay
TTmeur(3)strips Woolptle with mftgnd Each Frame Dead/kR and
plastic fin.M0"bigh right jambs
Two(2)strips Woolp&.300"high Active panel bottom rail
Two(2)strips Woolpile with integral laactive intesiock pard stele
plastic f n.170"bigb
One(1)ship Woolpik.300"high Told
Hardware&Location:
One(1) Siugie-sted roller Active panel bottom
assembly in stud housing rail each comer
Ono(1) Flush mount mortise lode Active panel lode sole midspan _
One(1) Metallic kuper Astragal pard lock stile midspap
One(1) Pard stop l a@ jamb
A.
R
_ _ -t1•-� 1.
N
Page 2 of 3 M L Home Products
Repati# CTIA 744W-B
Glazing: 5/32"Clear tempered giass,cnannd or marine glazed with vinyl wrap around glazing
gasketealant: A snliccoc type sealant was used to seal the main frame to the woodcut test back(interior est
exterior). A nxzrow joint/Wica®e We seal-it was used at each frame comer
weep.System: Two(2)weep notches located on frame sM.750"fnmm each jamb.
Reinforcements: One(1)aluznini=C-Bar measuring 3"x 1.421"x.250*located on active panel left stiles
Secured with seven(7)#8 x.500*P.IL,flat lead fasteners-One(1)aluiniaum L shaped
bracket measuuri ng.125"x 1500"x 2250"located on frame lead secured with#8 x
.7574,pan 1xad,SMS..faste ners.,
Additional Dewription: N/A
Installation: Head: Fourteen(14)48 x 1.50"PIL,pan head,SM&were used in two(2)parallel mens
of seven(7).Measuring from kft jamb 3.75",28",52 ,73 ,95.75",115"and
1-39.75'..
Sill: Seven(7)#8 x 1.25"P.H.,flat head,SMS.were used on will.Measuring fivm left
jamb 5.75",24",48",70',95m,11V and 137.75".
Jambs: Eigb.t(8)#8 x 1.25",P.H.,S.S.,SMS.were mod in two(2)parallel rows of four
(4).Measuring firm head 3.5 .3r,42"and 745".
Surface Finish: Mill
Comment: Non incl 2 moil polyethylene film was used to seal against at leakage during structural loads.
The film was used in a mamer that did not influmoe the test results
Performance Test Results
Paragraph No. Tide of Test Me&od
Allowed
ASTM E283-91
2.1.2 Air Infiltration 24 c6nW 34 c nW
@ 1.57 psf
This test specimen exceeds performance levels specified is IOI/LS-97.
Results refected in two(2)decals at the cliwds request.
2..1.3/4.3 Water Resistance ASTM E547-93 No Fahy No Pantry
5.OWWft Four(4)five(5)mimnte cycles
WTP—525 psf ASTM E 331-93 No Entry No hey
One(1)fi8,an(I5)minute tydc
Unit tested with and without insect screeem..
2.1.3/4.3 Watrw Resistanc a ASTM E547-93 No Entry No Entry
5.Ogph/S Four(4)five(5)minute cycles
WTP--6 psf ASTM E 331-93 No Fatry No Entry
One(1)fifteen(15)minurbe cycle
Unit tested with and wi xxzt insect screen.
�� r q/
Page:3 of 3 M L Hpme Produds
Report# CTIA 744W-B
2.1.4?J4.4.2 Uniform Load.Structural ASTM F330-90
Peananent Defivninbion Ten(10)second loading
60 psf Positive .069" 314"
@60psfNegative 271" .3I4"
2.1.8- Forced Fury Resistance AAMA 1303.5-76
Test A .0" 'A"
Test B
Test C
Test D,E&F
Test G • •0" 'A"
22.19.5.1 Operating Force AAMA/NWWDA 101/LS-97
Measured to opwlto keep in modde Allowable to openho keep in motion
Active Panel 15 lbs. 12 lbs. 30 lbs. 20 lbs.
2.2.I9.5.2 Deglazi ng ASPM E997-M
Top Rag 70 lbs. .017' 3.4'/.<100%
Botboan Rail 70 lbs. .01513 3.0%<100°/.
Lead Stile S0 lbs. .020"'- 4.0%<100*/0
Interlock Str7e 501bs. .022' 4.4%<100%
Test Date: August 4,2001
Test Completion Date: August 4,2001
Aemarks: DdAed dmwmgs wane available for laboratory records and comparison to the test specunen
at the time of this report. A copy of this apart along with rep esentatives==Ctti0=wof the test
specimen will be retained by CTL for a period of four(4)years, The results obtained apply
only to the stoecimm tested..
This test report does not constitute eertifica inn of this product, but a*that the above best
results were obtained using the designated boat methods and they indicate compiisince with
the Perf (Parngn&as Ifst4 of the above n 6orance d specifications.
Catif ed Testing Laboratories assumes that all inormation.provided by the clients is accurm
and drat the physical and chemical properties of the components are as stated by the
mam�ctra+er. •
Certified Testing Laboratories,Inc.
"U- 6stopher Bennett
Lab M=W
-.Q
Ardiite ctural Division t'
cc: M.L Home Products (2)
1
A.L.L (2) -
Ramesh Patel PY- (1) .
File (I)
NOva 09-98 05: 12P P.02
FASTENF�R LOCATIONS
Typ.
s-In•.
TEST BUCK
26-3/8"
26-3/8"
26.3/8"
8-1n"
Typ.
8- 1 b-I/2- I M4/2" U-1/2- 23-Il2" 23-11t" 23-18 23-1rz- 1 8- Typ.
The test specimen was fin mounted to the test buck using forty-eight
(48)(#8 x 1-1/2'7 screws at locations shown.
V — Denotes double row(2)at each location.
NOTE: Head fasteners identical to sill both jamb fastening identical
METRO DADE COUNTY REQUIRED
NATIONAL CERTIFIED TESTING LABORATORIES INC.
JOB NO.: NCTIr210-2065-1&2
COMPANY: BETTER BILT
i TEST DATE: 07-15-98
Metal Industries Some Products
In-Plant Witness
Structural Performance Test Report
NCTL 810-0005-5.1
Series"740/744"Fixed Lite
Aluminum Prime Window ;;. y
Test Date: 07/15/98 ;� - ' ••f
N
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A
a ;
Napo Ne1Mt
QIP Y 3z- p•.
WAbA
k�MIM Iww a
17�
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ttom�. �h
f}
Wind-borne Debris Region
Section-1606.1.5,
HMm l+t�
pi
ilk
�'124!nph&above(ASCE7 5�9) � (�
1 mr�e of 0k3st'(F.a�plxr)
Basic Wind Speed '"
Section 16061.6 •;
x Ctid! .ti
3a a
1)Values are nominal design, secord,gust,wind speeds U, "Nary hk
Ein.. per
E au(rnph)at 33 feet(10 m)above ground
Yca
2)'Thrs map is aCClrrate MAW
to ttLe County.�OCdI g0VefT1lTlenLS `/
estabish speck wind speedA.mrd-borne debns ' t
, 9 physk l landmarks such as major naafis, ones
nVerS and shorelines 1' r
Islands and areas outside the Inst contour shah `
fast w 6Veed contour of the coastal area
r 4)Mountainous isrrai gagm
m"onbies,
, ' .M
M1
wind mg�s7W UceX3 .r/y VnLmJaU--
Wd
i
F
5} speeds are American Sa�ety of Civi�pneets k �, � � �� �� � � � F
FIGURE'1806
,STATE OF FLORIDA � �"
Rol WIND BORNE DEBRIS REGION&BASIC WIND SPEED
_. A
Hli7.;
}
§1606.1.4 Protection of openings. In windborne debris regions, exterior
glazing that receives positive pressure in the lower 60 feet (18.3 m) in
buildings shall be assumed to be openings unless such glazing is impact
resistant or protected with an impact resistant covering meeting the
requirements of SSTD 12, ASTM E 1686 and ASTM E 1996, or Miami-Dade PA
201, 202 and 203 referenced therein as follows:
1. Glazed openings located within 3Q feet (9.1 m) of grade shall meet
the requirements of the Large Missile Test.
2. Glazed openings located more than 30 feet (9.1 m) above grade shall
meet the provisions of the Small Missile Test.
EXCEPTION: Wood structural panels with a minimum thickness of
7/16 inch (11.1 mm) and maximum panel span of 8 feet (2438 mm) shall
be permitted for opening protection in one= and two-story buildings.
Panels shall be precut to cover the glazed openings with attachment
hardware provided. Attachments shall be designed to resist the
components and cladding loads determined in accordance with
Table 1606.2B. Attachment in accordance with Table 1606.1.4 is
permitted for buildings with mean roof height of 33 feet (10 m) or
less where wind speeds do not exceed 130 mph (58 m/s) .
"I CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
.'3 ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00027417 Date 12/17/03
Property Address . . . . . . 270 BELVEDERE ST
Tenant nbr, name . . . . . . RE-PIPE 13 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ----------------- -- -----
NELSON, MIKE DOUG' S DRAINS & MORE, INC.
270 BELVEDERE STREET 2453 BAYWAY CT
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 71-0172
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 126 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 126 . 00 126 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 126 . 00 126 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW,
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date: Z Z/-Zz:
Job Address: 2%b
Owner of Property: _.1�� /e-, 1,11e4, Telephone: Z Y 2- g 9Y5;
Plumbing Contractor: '
Contractor's Address: zYS 3 y c y
Telephone: 7 y- Fax:
State License Number: C y ZS 8U o
How many of the following &xtures(re-piped or new):
Sinks Showers / Water
Z Lavatory / Water Heaters Hose Bib
7--Bathtubs / Dishwashers Sewer
Urinals Disposals
Z Closets Washing Machine Shower Pans
Floor Drains Re-Pipe(List fixtures being re-piped)
Total Fixtures: x $7.40 + .$35.00 (Min;mum Permit Fee:535.00)
Signature of Contractor:
Installation of plumbing and Extures must be in accordance with the most recent edition of the
Southern Standard Plumbing Code.
Call a day ahead to.schedule inspections: (904) 247=5826
ror , 2005
VA For accurate register of carbon copies, form Form approved.
VAorm 2;-,852 may be separated along above fold. Staple Budget Bureau No.61-R055.11.
P.cv.3/58 - completed sheets together in original order.
Proposed Co,Nstruction DESCRIPTION OF MATERIALS No. 091 ', 105-7419
(To be inserted by FHA or VA)
❑ Under Construction LST ��S S,Ft^TIoN #
Property address City-!fTGAit/TiC� �,E',9G�i� State ZLd
Mortgagor or Sponsor Empire Home Loans, Inc.. � 4 So. First St. Sax Beach, Fla.
Construction 96"Ice Contractors 2843 San Pabt6"1koad
Contractor or Builder._lu�parat fan _ Jscksonvi 11 Fl oridA
(Name) (Address)
INSTRUCTIONS
1. For additional information on how this form is to be submitted, number required, then the minimum acceptable will be assumed. Work exceeding
of copies, etc., see the instructions applicable to the FHA Application foeminimum requirements cannot be considered unless specifically described.
Mortgage Insurance or VA Request for Determination of Reasonable Value, as 4. Include no alternates, "or equal" phrases, or contradictory items. (Con-
the case maybe. sideration of a request for acceptance of substitute mqterials or equipment is
2. Describe all materials and equipment to be used, whether or not shown on not thereby precluded.)
the drawings, by marking on X in each appropriate check-box and entering the 5. Include signatures required at the end of this form.
information called for in each space. If space is inadequate, enter "See mist." 6. The construction shall be completed in compliance with the related drawings
and describe under item 27 or on an attached sheet. and specifications, as amended during processing. The specifications include this
3. Work not specifically described or shown will not be considered unless Description of Materials and the applicable Minimum Construction Requirements.
1. EXCAVATION:
Bearing soil, type Sandy Loam
2. FOUNDATIONS:
Footings: concrete mix1% _ 4trWith psi_ `2500 Reinforcing As Required
Foundation wall: material Cone.`MonOlthhic t�lReinforcing As Required
Interior foundation wall: material None Party foundation wail None
Columns: material and sizes None Piers: material and retpforcing None
Girders: material and sizes __ None Sills: material—7 Alum. Sble r1its
Basement entrance areaway None Window areaways None
Waterproofing 6 Mil. Poles.V. „ Footing drains None
Termite protection Soil Poison
Basementless space: ground cover None insulation foundation vents
Special foundations
Additional information:
3. CHIMNEYS: None
Material Prefabricated(make and size)
Flue lining: material Heater flue size Fireplace flue size
Vents (material and size): gas or oil heater _ ; water heater
Additional information:
4. FIREPLACES: None
Type: ❑ solid fuel; ❑ gas-burning; ❑ circulator(make and size) Ash dump and clean-out
Fireplace: facing lining ; hearth mantel
Additional information:
5. EXTERIOR WALLS: Alcoa Alumi Frame (See FHA BuIletin #717) - Corners pen ngi
� c�C�Xe rade ndospecies ?"x4 t1 A1LID ►ttiria �►t Iff Corner Tracing. Building paper or feljelt r 4 Mil .
Sheathtng r. ; thickness width 4$ ] solid; ❑ spaced " o. c.; ❑ diagonal;
Siding grade_ type size ; exposure "; fastening
Shingles ; grade_ _; type size ; exposure "; fastening
Stucco 3 c o8 t work thickness- 1"; Lath Expanded Ga l V Lath ; weight_Ib.
Masonry veneer Sills Lintels Base flashing
Masonry: ❑ solid ❑ faced ❑ stuccoed; total wall thickness "; facing'thickness_ "; facing material
Backup material ; thickness "; bonding-,
Door sills Window sills �. Lintels Base flashing
Interior surfaces: dampproofing, coats of! furring
Additional information:
Exterior painting: material Prime " oil base number of coats._
Gable wall construction: same as main walls; ❑ other construction
6. FLOOR FRAMING: Power Actu.
Joists: wood, grade, and species_ None _._ ; other Conc. slab ; bridging anchorpH Steel Stud
Concrete slab: n,basement floor; ® first floor; K] ground supported; ❑ self-supporting; mix` 103:5 thickness 4 ,
reinforcing &T X6
If #10 W.W• Me8h • insulation membrane •006 FO1Y V.
21. SPECIAL FLOORS AND WAINSCOT:
4�blkjk, 'TC. THRESHOLD WALL BASE UNDERFLOOR
�OCATION MATERIAL, BORDER, Stz&I, GAGE, E MATERIAL MATERIAL MATERIAL
Kitchen a storaweZutAltty__rgaq_ 6 V-.A.T None Wood Conc.
Bath_ 1/16" Armstronv V.A.T. or equal hone Wood Conc.
All other roods -- Caroet Alum. wood
LOCATION MATERIAL, COLOR, WIRDER, CAP, SIZES,GAGE, EHEIGHT HEIGHT SHOWERSTC. HEIGHT OVER TUB (FROM FLOOR)
Z Bath— Fiberglass Reinf. Tut____ 8411 8411 84
Bathroom accessories: [] Recessed, material-_—_._---; Dumlxr___;1D Attached; material Cbr. Plate
tel ,rnbr 10
Additional information:
22. PLUMBING:
Ix E NumBEk d LOCA FION MFR'S 11XIURE, IDEN-TIFICATION No. CoLoR
Sinkl Kit (a _16-2J4 321IX21" ME
If it
Lavatory 2 1 Be ths 1 Gerber 16-y44 19 x16" hit
to Water closet 27 Bi the LGerber 21-202 jh i te
to Bathtub 2 BFjthS__'_ Corl Fibervlas (one Diece) hite
Shower over tubes 2 Baths Gerber 48-T20
Stall showerA
Laundry trays
Washer Conn. 1 Util. I Guv T-200 fffilte
Aix, Curtain rod A[] Door 1-1 Shower pan: material
Water supply: 1K] public; E] community system; E] individual (private) system,*
Sewage disposal: Z] public; [] community system; 0 individual 'private) system.*
*Shou,and describe individual system in complete detail in separate drawings and speccations according to requirements.
House drain (inside): E] cast iron; 0 tile; [] other House sewer (outside): E cast iron; E] tile; 0 other
Water piping::K] galvanized steel; C] copper tubing; E] other Sill cocks, number
Domestic water heater: type Dbl . Elm Elec trj sake and model RheeM heating capacity 40
27.5 gph. 100* rise. Storage tank: material G18-SB lined _; capacity 40 gallons.
Gas service: E] utility company; 0 liq, pet. gas; E] other--- Gas piping: F1 cooking; E]'house heating.
Footing drains connected to: n storm sewer; E] sanitary sewer; E] dry well. Sump pump; make and model
capacity discharges into
23. HEATING:
F1 Hot water. E] Steam. E] Vapor. L-] One-pipe system. [] Two-pipe system.
❑ Radiators. f-I Convectors. 0 Baseboard radiation. Make and model
Radiant panel: [] floor; E] wall; C] ceiling. Panel coil: material
E] Circulator. E] Return pump. Make and model capacity gpm.
Boiler: make and model Output Btuh.; net rating-Btuh.
Additional information:
Warm, air: Ej Gravity. Pq Forced. Type of system Central
Duct material: supply_ G.I ....un—_Same In.sulationP��rMI�S_ thickness El Outside air intake.
Furnace: make and model Carrier 40LA002 input 1()-5KW _Btuh.; output 37 000 Btuh.
Additional information: *or
E] Space heater; 0 floor furnace; E] wall heater. output Btuh.; number units
Make, model Additional information:
Controls: make and types MI nn. -Honeywell
Additional information:
Fuel: (-] Coal; Ej oil; E3 gas; [] licl, pet. gas;J!] electric; []other storage capacity
Additional information:
Firing equipment furnished separately: E] Gas burner, conversion type. [ Stoker: hopper feed bin feed ❑
Oil burner: 0 pressure atomizing; 0 vaporizing
Make and model Control
Additional information:
Electric heating system: type Input____Nvatts; Q��-volts, output Btuh.
Additional information:
Ventilating equipment: attic fan, make and model capacity elm.
F. L1 Grav & Dudlev Electric Hood & Fan
PLOT PLAN
LOT 445 - SECTION No.'Z- SALTAIR
_ ATLANTIC 6E AC H , F LA.
,S E A SP �2 A Y A VENUE ' 50� Q1 w
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uj
0 h � h
W o
1 = 20' OT W
goo '
20' c
h CARPORT 9 CONCREtf Vt2ivE
�0 0 EL. /l.00 ,gyp• � ,
4�
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WALK W t 1 ,
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1.33 4 "
ck
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10
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✓oo, �J
�O _ 4V
` PIAN N0: A PJ - 152 DATE: 3-29-72
cs TITLE: L,57 PLAN ORWN: C.r4• B.
•
cc CNKD:
_SHEET OF
CONSTRUCTION SERVICE -L CONTRACTORS CORPORATION
JAC4fSONVILLE, FLORIDA DUOLIN, i2COROIA
FOR OFFICE USE ONLY
A
r7 0 4
Date........... ......
Permit # l q...Fee$.n-V ......
CITY OF ATLANTIC BEACH Valuation $ 1904Q0---------------------------------
FLORIDA House
...........................................................................
APPLICATION FOR BUILDING PERMIT
............................................................................
Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that list of sub-contractors be submitted to this office so that licenses can
be verified.
Date...................... . .......... 19.7i
Owner...C.0',eV'S. K*Sddress------------------------------------------------------------Telephone No.............................
Architect-------------- Address,................ ...................................Telephone No......--------_----------_
e-------------------------
rr3
X - -----.....Telephone
Contractor Builder---CEoy.1.-AA0-70K$ 0.-,4 0------------------Address..........
I-6 t"Al
Lot No..-..--.----- -----------------------------J3t6i6o._7____----------,,*/.-Sub Division-----. ---------------------------------------Zone----
------------------Street------------------------Side Between.... ......141C.......and---------------DAe��....eh ......9*1w
Valuation Fhat purpose will building be used_4$:40,P-n6(0ff-----Type of construction..._...Fx.6*7E-------
Af
Dimensions of Building------- -.Y----Dimensions of Lot------ ..........---Size of Footings
Size of Piers_.._-_--./V/ __-__._.-_.-:Size of Sills_-------/4,/--,4-----...Greatest Sill Span in ft------ I/_1 4.-------Type Roof_----- --.----_--
How
- ------
How will Building be Heated?0,�Wrz 14_;X1__._Will Building be on Solid or Filled Ground?
Size of Ceiling Joists_4),_'._71& .22(. ........ Distance on Centers_.-._........---_........ Greatest Span------....... ..................
Size of Floor Joists---------------- Distance on Centers__.....-_- ---------------- Greatest Span---_--------------------_-------------
ofZ)e /
Size of Rafters-Aller.-740t7s--------- ....... Distance on Centers. .... <,7._*'e..'._., Greatest Span.------------------_----------------
...
This rectangle is to represent the lot.
Locate the building Or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z
S. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed,-and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
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 the City of Atlantic Beach
-------- -----
Signature of Builder-------- Address.. --
z
OF
Signatureof Owner --.....-----.....---------- Address......................................-------------------------------------------------------
I
CITY OF ATLANTIC BEACH
s 800 SEIVIINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
S.03
Application Number . . . . . 02-00025197 Date 11/21/02
Property Address . . . . . . 270 BELVEDERE ST
Tenant nbr, name . . . . . . REPLC WDW W/ SLIDING DOOR
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1000
Owner Contractor
------------------------ ------------------------
MICHEL & MIKE NELSON STEVE MABRY RESIDENTIAL CONT.
270 BELVEDERE STREET 1805 FIRST STREET
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 502-9627
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50
Issue Date . . . . Valuation . . . . 1000
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total 17 . 50 17 . 50 . 00 . 00
Grand Total 52 . 50 52 . 50 . 00 . 00
a
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
WHI PART OF THIS PE T AN SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
W,Uzz
BUILDING OFFICIAL
12 C_
FC.
A P P R OVEDm°y-` Irf
CITY OF ATLANTIC btRA,O
BUILDING OFFICE "
0 2002 x �•
NOV 2
City of Atlantic Beach • 800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone:.(904)247-5800 • FAX(904)247-5845 •h=://www/ci.atlantic-beach.fl.us
PERMIT APPLICATION FOR REPLACEMENT f--'F WINDOWS,SKYLIGHTS AND GARAGE
DOORS OF SINGLE-FAMILY OR TWO-1,AIVULY (DUPLEX) CONSTRUCTION
Date 11 OL
Address where work is to be performed s2f70 e'e 4o c-Q
Applicant ! k I e k CL 4 M t ke— PC In(
Address d e) &-let"1 eco:='t'F c5f Phone:,j'yj
Legal Description: Block Number
si Lot Number Zoning District
Contractor 1 lstjyj Q i`� State License Number
Address Phone�}j
City State Zip :3'2Z4(n Fax // 9 44-
Describe Proposed Use and Work to be Done
11.5
C- f'
Present Use of Land or Building(s)'
Valuation of Proposed Construction�1Ott n �2
Building Date: /
Mean Roof Height j/ s ' (ft) Building width_5�
Roof Slope ct *Window Elev.S� (ft) 1A
Window Width Y- _(ft) Measurement from comer of
.*Window Eley.From Grade