Loading...
Permits 63 Coral St r , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028843 Date 8/12/04 Property Address . . . . . . 63 CORAL ST Tenant nbr, name . . . . . . REPLACE WINDOWS W/OUT PER Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 Owner Contractor --- --------------------- ------------------------ COLLINS, PEGGY OWNER 63 CORAL STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5499 ---------------------------------------------------------------------------- Permit . . . . . . W/W/O BUILDING PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00 Issue Date . . . . Valuation . . . . 4000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 . 00 Grand Total 150 . 00 150 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING �OES s BUILDING OFFICIAL Cc: CITY OF ATLANTIC BEACH D For BUILDING / ZONING DEPARTMENT S. Doerr s a j 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 ,»t (904)247-5845 Fax V V V Y 0 PLAN REVIEW COMMENTS Permit Application # L)- Property Address: ),--c"', Applicant: Pc 04 k I C`�-� �`U Project: Niy '�r I o cl cyy_� This permit application has been: Approved F-� Reviewed and the following items need attention: Please re-submit youa plication when these items have been completed. Reviewed By: Date: �,� �S CITY OF ATLANTIC BEACH z WINDOWS, SKYLIGHTS,GARAGE DOORS,HURRICANE SHUTTERS f Date: d Job Address: f' Owner: At 9 57 Address: f•, C'Q�c,• ,� Phone: .4 ` : Legal Description: Block Number: Lot Number: Zoning District: Contractor: State License Number: Address: Phone: City: State: Zip: Fax: Describe proposed use and work to be done: � '� / /��e,Present use use of land or building(s): .Valuation of proposed construction: QZ�JJ 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) Biu lding W d h XQ (ft) Building Length (ft) Roof Slope_ 9 1, /•+� Window Height.'Pe &p - (ft) Window Width.S'Pe ft) Window Elevation from Grade Measurement from corner of building to window ,! (ft) /C- 01-7'�a Number of windows being installed ^ 4 T— /Ld`y A (10y le,,v; 7- 41,e 4,140 0 4T 4/i.O7-# Mean Roof Height 7i, I I I 800 Seminole Road Atlantic Beach,Florida 32233-5445 p� G O Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci-atlantic-beach.H.us Page 1 Revised 1/27/03 CITY OF ATLANTIC BEACH r � BUILDING PERMIT APPLICATION s �' W (Alterations & Additions) ;. <' Date: Job Address: Owner of Property: Address: 6y b.�'.9 — Telephone: 9 Y Legal Description: Block Number: Lot Number: Zoning District: Contractor:G � 1��s�, /,', 'l�jT State License Number: Contractor Address: Telephone: Fax: Describe proposed use and work to be done: .L o' Present use of land or building(s): o c7 Valuation of proposed construction: ; 4 4 O What are the dimensions of the added space: _ Will the added area be heated and cooled? Ne F Add plumbing fixtures? Add fireplace?_ � f � Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? 23-NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ©-PCO. 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. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road .Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 .http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner:TiOA �/�� — Date: /�((► I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this (PTH day of Ali IQGl ST ,2004. State of Florida,County of Duval Notary's Signature: DELORES RINEHARYPersonally known Notary Public,State of Florida My Comm.expires Feb.20,2005 ❑ Produced identification Comm.No.DD 003084 Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Page 3 Revised 1/04 1 tJ c ' CITY OF ATLANTIC BEACH a };l OWNER/BUILDER AFFIDAVIT Date: -.3-0 _ Job Address: CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE– OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX .AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 'PAD,uu,—, PROPEltlY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF _20D— DELORES RINEHART 44.o "rotary Public,State of Florida NOTARY PUBLIC--/ r m.ex . ass Feb 0 Ori MY COMMISSION EXPIRES: NOTESWINED ABOVE. E{e:ic)k 11977 Rage 1520 IZETURN PHONE# �"� � Doc# 2006983 Book: 1 1 9 NOTICE OF COMMENCEMENT Page: 1520 Filed & Recorded 08/09/2004 10:27:41 AN State of Tax Folio No. JIM FULLER RCUIT COURT County of^/��y,� DUVAL COUNTY RECORDING S 5.00 To Whom It May Concern: TRUST FUND REC ADDITIONAL #4 .00 The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Address of property being improved: 1'77 •t'E.Jegl� zv���3 Genera)description of improvement s!_�E� 1"r wrier: .Z 6✓.ris Address: 1 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Address: Contractor: Address: Phone No: Fax No: Surety(if any): Address: Amount of Bond $ Phone No: Fax No: Name and address of any person makin 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: &- 1�4 Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: ��QQrl� t,�--�' Dat : gfOfo O Before me this'�T�day of�'. AU; in the County of Duval, State of Florida,has personally as peared DELORES RINEHART Notary Public,State of Florida Notary Public at Large, State of Florida,County of Duval. My Cotrim.expires Feb.20,2005 My commission expires: Comm.No.DD 005084 Personally Known: ✓ or Produced Identification: Peggy Collins 63 Coral Street Atlantic Beach, FL 32233 July 20, 2004 Mr. Don Ford Building Official City of Atlantic Beach Dear Mr. Ford: I received your note concerning the permitting of the repairs made to my home at 63 Coral Street. I apologize for not inquiring about the permitting procedure more closely. Since I was originally only covering the existing T1-I 1 siding with Hardiplank, the subcontractor that I hired to make those improvements informed me that we did not need a permit to simply cover the existing siding. There was no rot or other damage to the T1-11. I simply wanted to change the look to lap siding. However, I decided to replace the old windows in the front after realizing that all of them had"leaky seals" that fogged up thetlass. I assumed that the subcontractor would take care of any necessary permitting; and he, in turn, assumed that I would take care of the permitting as an "owner/builder". I have enclosed a manufacturer's sticker from the windows. If you need more information, I could have the manufacturer fax or e-mail more details to your office. I have also enclosed the subcontractor's information. Again, I apologize for the oversight. Please let me know if I need to fill out permitting forms and what the fees will be. Sincerely, Peggy Collins Peggy Collins 63 Coral Street Atlantic Beach, FL 32233 July 20, 2004 Mr. Don Ford , Building Official City of Atlantic Beach Dear Mr. Ford: I received your note concerning the permitting of the repairs made to my home at 63 Coral Street. I apologize for not inquiring about the permitting procedure more closely. Since I was originally only covering the existing Tl-I I siding with Hardiplank, the subcontractor that I hired to make those improvements informed me that we did not need a permit to simply cover the existing siding. There was no rot or other damage to the Tl-1 L 1 simply wanted to change the look to lap siding. However, I decided to replace the old windows in the front after realizing that all of them had "leaky seals" that fogged up the glass. I assumed that the subcontractor would take care of any necessary permitting; and he, in turn, assumed that I would take care of the permitting as an "owner/builder". I have enclosed a manufacturer's sticker from the windows. If you need more information, I could have the manufacturer fax or e-mail more details to your office. I have also enclosed the subcontractor's information. Again, I apologize for the oversight. Please let me know if I need to fill out permitting forms and what the fees will be. Sincerely, Peggy Collins 063--A--01.E 40--l7 '"H CM S-Imortton Windows F'roFinish Contractor JNFRJ Ditigl-e, Htinq — Vi,nyl Air F�. 1 > National Fenestration Rating Council Nc, Grids 1-800-:.litnonton NFRC 2001 ENERGY PERFORMANCE RATINGS U-Factor(U.SJI-P) Solar Heat Gain Coefficient 0 . 51 n . 9 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance G Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance.NFRC ratings are determined for a fixed set of environmental conditions and a specific product size.Consult manufacturer's literature for other product performance Information. www.nfrc.org bib— D' ��L . 1� INCA: REIN E21GLAES SS/*H-R50 Rest Size: 36 x 96 Order- 0:8096047030002 F0:396 HS ACORD,. CERTIFICATE OF LIABILITY INSURANCE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INF INSURANCE CONCEPTS OF FLORIDA, INC. CONFERS NO RIGHT UPON THE SERTIFICATE HOLI 14181 BEACH BOULEVARD, #5 DOES NOT AMEND,EXTEND OR ALTER THE COVER JACKSONVILLE, FL 32250 POLICIES BELOW. (904)223-4470 INSURERS AFFORDING COVER INSURED Richard Felci INSURERA: American Vehicle Insurance C 908 Patricia Lane INSURER B: INSURER C: Jacksonville Beach, FL 32250 INSURER D: INSURER E: COVERAGE, THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDK NOTHWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WF MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN RE INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE.OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) iENFR.AL LIABILITY I.M110CCURANCL X COMM I IIWIAI..GLNH( AL LLABILI I Y 1:111F DAMAGII(Any-,h, 'LAIMS MADF E OCCUld MFD I:XP(Any,mc persam A 04302004FR 147980 04/30/2004 04/30/2005 ITRSONAL AND ADV INI 11)NERAL ACGRP.GAfI` 1P,N1 A(IGRIiGAIIf LIMIT AI'1'I,IIiSITR: PRODUCI'S-COM I'/OI'A( LU(- UJTOMOBILE LIABILITY 'OMBINIA)SINGLE LIMI ANY AU 10 Ica accidcnl N.I.OU'NIA)AU'MOS BODILY INJURY S('IIPDULI:D A1fI0S Par arson) I IWFI)AD'I'OS RODILY IN.IUIZY NUN-OWNFI)AU'IUti Pcr acrid-l) PROPFIR I-Y DAMAGE. 1'ar accidano GARAGE LIABILITY AUTO ONLY-FA AC('IDI' ANY AU10 0.1111i1Z'ITIAN I - UMO ONLY: EXCESS LIABILITY FACII OCCURANCI: )('(IT ❑('LAIMS MAUI( ACORECAIT 4) I .1 UCIM1.II I":TI:N'I]ON WORKERS COMPENSATION AND ( SMATU'I'ORY EMPLOYERS LIABILITY LIMI'IS QO'I'IIISR F.L.FACII ACC1DFN'1' 1:.I..OISFASF IiA EMPLO) Ii.L.DISEASl(-POLICY LIS' THER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDROUSMENT/SPECIAL PROVISIONS - Installs Vinyl Siding Residential CERTIFICATE HOLDER ADDITIONAL INSURED:INSURED LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLE ATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL O THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILUF OBLIGATION ON LIABILITY OF ANY KIND UPON THE INSURER.11'� EPRESENTATIVES. AUTHORIZED REPRESENTATIVE , 0 to ACCORD 26-S(7/97) A( RE-ISSUANCE 04-22-2004 ;ALLAGHER STATE OF FLORIDA !NANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSAj- ' Q,%'' **RE-ISSUANCE OF CONSTRUCTION INDUSTRY CE IFICTE OF EXEMPTION certificate exempts the Officer of the Corporation .q' the�-�'; tuber of the Limited Liability Company below from the provision of Florida Workers',Com enation Law for the period indicated below . 3TIVE DATE: 04/15/2004 FXXPIRATION DATE: 06/30/2005 'ORATE OFFICER/ MEMBER NAME: FELCI RICHARD 1418666 DESS NAME AND L. CONSTRUCTION INC 3ESS: 8 PATRICIA LANE _fz_ ACKSONVILLE BEACH FL 32250 'E OF BUSINESS OR TRADE: SIDING RTANT: Pursuant to Chapter 440 . 0504) , F . S . , an officer of acorporation who elects Qtion from this chapter by filing a certificate of election under this section may not recover Its or compensation under this chapter . QUESTIONS? (850) 488-2333 :-ISSUANCE OF CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION REVISED 11-03 cut out the card below and retain for inspection by any Department of Financial Services representative while conducting work. OF MENTOFFLORIDA D FINANCIAL SERVICES IMPORTANT 4 OF WORKERS' COMPENSATION F This certificate applies only to the corporate officer named on this certificate and IANCE OF CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION..- A ;,� Q applies only within the scope of the business or trade listed hereon. tificate exempts the Officer of the Corporati listed low from L A copy of this card or the duplicate above must be carried and available for lision of Florida Workers' Compensatio .,Law f th period D inspection at all time while conducting any construction work. I below. 'IVE DATE: 04/1512004 H Pursuant to chapter 440.051141, F.S., an officer of a corporation who elects ,TION DATE: 0610R,11105AE exemption from this chapter by filing a certificate of election under this section 6-AA A may not recover benefits or compensation under this chapter. RATE OFFICER/ R :MBER Nd RICHARD E Notices of election to be exempt and certificates of election to be exempt shall be 11866654 subject to revocation if, at any time after the filing of the notice or the issuance SS N ID FELCI CONSTRUCTION INC of the certificate, the person named on the notice or certificate no longer meets S : 908 PATRICIA LANE the requirements of this section for issuance of a certificate. The department shall JACKSONVILLE REACH FL 32250 revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. OF BUSINESS OR TRADE:SIDING QUESTIONS? (850) 488-2333 CUT HERE -ISSUANCE OF CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION REVISED 1 1-03 CITY OF JACKSONVILLE BEACH 2003 2004 OCCUPATIONAL LICENSE CITY CLERK'S OFFICE 11 NORTH THIRD STREET JACKSONVILLE BEACH, FL 32250 PH (904) 247-6250 FAX (904) 247-6256 License furnished pursuant to Jacksonville Beach Code of Ordinances, No. 95-7628, Chapter 15. Display conspicuously at place of business INESS NAME: FELCI CONSTRUCTION INC ENSE NUMBED 04--118:53 - - - — FEE PENALTY TRANSFER $ 79 .'20 $ 19 . 80 $ . 00 ,SSIFICATION: 1761 ROOFING, SIDING& SHEET METAL WORK ENSE RESTRICTIONS: TYPE I HMOC 03-00100645 SIDING INSTALL/OFFICE ONL ID FROM OCTOBER 1, 2 0 0 3' TO'SEPTEMBER 30, - 2004 TANAGER CITY CLERK LICENSE qPE 'IALIgT The City of Jacksonville;Beach is Committed-to the Citizen. First Class Service for First Coast Customers :NG ADDRESS BUSINESS-ADDRESS 9.08 PATRICIA LN JACKSONVILLE BEACH FL 32250 CI CONSTRUCTION INC PATRICIA LN KSONVILLE BEACH FL 32250 rt � , FROM :AMSPICAN iAHGLESALE FA;'-: hIG. :9074 X19 1301 Hug. 09 2004 0S:25FM F AUG 9 2004 � r I A.M?V,.k JNNW)A DA 01/1.S-2-97 TE,SST REPORT S VMMAS:Y �t,eudereci to: r SDIOl`TONW31wiDOWS APPROVED SERIES/Alf) 7E1L: 40-06 E' ,41LA07C BEACH `b YP}L: ITC.' Siii;Ic £lung Window 9011DING OFFICE Cw#h.E9 Rimforcement) AUG 10 2004 Title ofTest ^RJ,- 711 Rating H-R3 OveraU Design:Pressure 3 0]erating;Force �...�25 Ibmax. Air Infiltration 1 0.12Wa,tcr Reswmmce f 2Structural Test Pressure 52 De Iaavag Passed Forced En Resistance Passed Reference.should 'oc- made to Report No, U5-30170.01 for complete test specimen description, and data. For ARCHITECTr r�"y ,STING,.INC:. Lynn G roj cct M=4-er LG:tj� FROM :A;MER I CAN WHOLEEHLE FAX, 1--1 i. :FwJ4 519 1301 Au,;. 09 2VJE14 El:25Rf1 Pmt i Architectural Testing AAP-4'UNI))MiDA 1.07/'1 ,2-9'7 TEST REPORT Rendere�i tt�: SIN 0N^1'ON VFYD0WS One Cocbrme A.ven,ue• Pettnsboro, West:jirgima 26415 jti•_pt�r'tVo: 0`-.�U 17FJ.01 Test Late: 05/221,01 T�e}�art DaC�v: 06/06r(�J Rx-piratioti Date: 05.1'22/0.5 Project Sa-nmary: Architectural Ttstinb, l:ti.2. (ATI) ,,ws co.ntracCed.l;y S1momtou Windom> to witness perform&ic:E. tests on a Sciiesllv,(odel 40-06, PVC single 1wrig whidow to thrir fac•iliq •uz Penn born, West V'Lrt`inia. Tlie sample'tasted uccess:EUHY=t the pe.rfurM,ZIUce rCqu.ireMe,iil;; for. a-a.R-R35 52 ; 71 ratio.,. Test speei.rrien descriptior aad results are report.-d herein. 'Fest ,,pecitleadi - The. 'test spEciMen WU ItV,it tat:;d in aoc.ordatio.e witti .AAMAitl vt')Vr"4.k. 101/1 S-.2-97, upe'c�cations jbr.4.7uminum, P7,n),1 (?V"` and Wo' ..d) 'Imdxjt4� anc'i 71axs Doors. -Ttst Specimen Description: Series/Mode!. 40-06 Type: PVC &ogle Hung Window(wit1i E9 reirdnrcament) Overall Size: 4' 4" wide by 5' 11" high Sash Size; 4' 1-13/16" wide by 2' 10-5/8" L�Sh Daylight Opening Size: 3' 10-13AC, wide by 2' 7-3/4" high Sc•recnY Size: 4' 0-'_/10" wide by 2' 10" Egli Finish., All vinyl was white. r 30 oQny•conte York, PA-17402.9405 phone:717.764c7700 `ax: 717.764..4iZ9 i www.testad.c0m FROM :AMER ICAH JH0LESALF- FAX H0. :904 519 1:301 Pt..L9. 09 2004 03:26PH P� l)5-301 70-01 Fage 2 of 5 'rest Specimen Description: (Continued) -rlaztd with 3/4" ti- zk, se-aled insulating glass Glazing Det�.,dls: 71'he sash and lite were L - 0 &hricated jf�om two sheets of 3/33111 thick, aimealed glass and a metal spacer sysu;in. The sash, was exterior glazed us:zig double-sided adhesive tape and Lial durnmeter STIO.P-In glazed using dotibit-sidcd adhc�;ivetape and vir.-vi glazing beads. 'lie Exed lit: was interior ghi snap-iia vinyl glazing beads. Weath ers trip 1)ing: Location 0.1 S7" backed by 0.260 1 RO-W Sill, aid lock rail high pile with center En 0.187" batched by 0,280 2 P.owsas.11 stiles high pile VA th center fin 0.373" diauleter, offset vinyl I Row Bottorn rail .jackWbollwx foam-filled bidb Franie lConstmiction: 11.c PVC ffiunr.- wa �,Calstruct--i uslrw, 11-di.crcJ and welded ca-imer t4 fi%od meeting -Tail `A,-as fzL-t,-nc:d to the jarkabs usi-,,Ig tii-ce #8 b3.- 3" long sere-,A's per end. S a s.b Constructiun. 71he PVC sada Aas assenabled utilizing mitered and N-velded coila-er CC)Iistfttct on. Screen Constructiou: The screen was constructed with roll-foiuied 2LIiu-airxu=. The comers were square cut and secured using-pla"tL cornu keys, 'rile fiberglass mush screen cloth Was lield-in-place with a flexible vinyl spline. Hardware: Descrirtio (h.,,antity Location Metal Cam look and .keeper Lo,,ck rail, P in from.each en'd)x6tII corresponding keepers at fixed rail Plastic tilt latch 2 Lock rail at each end Metal pivot'oar Bottom ndl at each end - r Constant force balance One perjamb,three coils pebalance Sash stop 2 One per jamb at the head FROM :HhIER I HhJ WHOLESHLE FH,l HO. :904 519 1301 Huy. 09 21=1041 07-:26-P11 F 0S-10170,01. P age:; of S 'Fest Specimen Description: (Continued) Drainage: nescriltion a ,nti Location I-1116" wide bir 1./8" hig�1 ' Exterior face of'sill, .weeps10t urith flap one 4-1/£i" irl from.each end 1-1/8" widc by 1/2" deep 2 Cue at each end of the sULrjmmb weepsl.ot intersection P wide by 3/16 high ' Si1.1 L teemediate leg weepslot 3116" diameter, hole 2 13ottam rail olazin pocket, one 1-118" from each end /8" w.i.da by 3/1.I}" deep Boitoni rail, one at each and of wcep.r_otch bottom pile pocktt T 14" wide by leg height Orae at each end of the sill weepno'ich screen r.ra:k. Reinforcement: The lock rail, f:;xed m;:cdrig rail and bott=om rail e0nt'-dried a cu:toin shaped, steel. .rEiz�-orcemeint measuring 0.86l" ,, 0.567" x 0.090". (D.raNv;ng No. V0932). The sash stiles contained a custom'shaped, .;tee] reinforcement meaouring 0.863" x 0.46911 x 0.060" (Drawing No. SIM 0928 —Simonton Code E9). Installation: The unit was installed in a2" x 10" wool buck constructed'of Spruce-Ping-Fir construction lumber. The unit was sect=.d to the buck through the nailing fm using 98 x'1-1/4" drywall screws spaced approximately 5" o,e. and sealed with a silicone sealant. FROM :AMEP t i_Hhl '.-JHi iLESALE FA';a; h UJ. :90419 13F71 09 -j:25PM P 11_11_ 0.5.30170.01 Page.4 of Test Results; Tht results are tabulated as follows' Parazraph .`de of. Test-Test Method FResults A I I o,veer 2,x.1 6.1 Onerati_na Foroe Opening, 25 lbs 3i) Ibs max, 'losing 14 lbs 30 lbs rna:c. Air Irl-filtrat-ion pei ASTM.E 283 (See Note 41 Co 1.57 psf(25 mph) 0.12 chiVft- 0.3 cfiil/ft,7 III ax., Xwe #I: The tested specimen zlieets (nr exveed�') the Perfi)rn:anc.:e levels qec;'fled in .L,LVL4i1YFT'WDA 1G1.11S'. 2-9i for air infilrration. 1,3 Water Resistance der ASTM E 547 (with and without s;crccn) '7P=2.86 psf No Ieaka;e No leakage 2,1.4.2 Uniform Load Structural;ger ASMAS r 330 (Metl.surements zep0rted were talcen on the fixed meeting rail) (i7J 22.5 psf(exterior) 0.014" 0 19711 psf(j,weri.olr) 2?.I.6.: Oeglaziii.g Test,per ASTM E 98? In operating direction at 70 lbs Lift Rail 0.1'23"/5 0,5110",''100 i Meetin&Rail 0.060"1f1 2.'0 III remaining direction at 50 lbs Left Stile 0.060"/12% 0S0011100°"t; Riwht Stile 0.0601'/12°i"i 0.30011/100% 2.1.7 Welded Comer Test Meets as stated Meets as stated Farad Entry Ftesistlince pEar A.AMA 1302.5-76 Test A No entry No entry Test B No cntiy 11`10 cntr}' Test C No entxy. NO eptly Test ll No entry No eutli, Test.E No entry, No ontry.. Test F No ent~-y No entry Test G No entry No mitiy Option,I Performance 4.3 Watcr Resistance ,per ASTM E 547 (with mid without screeza.) VVTP=5,25 psf No ieatcaae No leakage 4.4.? Uniform Load Structural per ASTM E 33C (Measurements reported were taken on the fixed.meeting rail) 1:, 52.5 psf('exterior) 0.1:6" 0.197" ruax.. @ 52.5 psf(interior) 0.066" 0..197" r.nax. FROM :AMERICAH :JHCJL2D;LE FA?-: NO. :904 X19 I-JOI A_�g. X39 �'��©d �� :27PM F9 Detailed.drawings, representative samplles of the tes° specimen, and a copy of this report will 'be ret mod.. by ATI :for a period of foLx years- T'.he above results wean secured by using the designated test methods wed they iztdicate compliance with the pea-forrii2 zce xequiGeznents of the above refcreneed specificatioii. Ms v-.port does not constitute ce+rtiflutio.0 of this product which may only be granted by the certification program administrator. For ARC=F-CTUR.k.TESTNG, INC: YYY\ Lent Georae Scott A. Warner _ . Project Nfanager Executive dice President LC7:t�� t�JJ01?�.U1 v Z n node NOA or Fterido _ �. - � rsmrerna ,.0 � P.E Ewlukrtion- - ` � CALCK n co i n - 3': 3/15' rAaCON ti W rhe heed and aide jvrnh4 ari axtrudcd'T � _ 02 75 PE XCHOR a ri tl -'VC. The waA thickness Mmugh which - v v the arr frar screw penetrates is a S ORel U u ' CMXK LLTOnimum of 0.070 1"z 'p 6- 125, lVPT1 0 0 1/4'1[AX. 511t64 54UCONE CAULY F38. .� - _ •j 6• T„—i i1ER0f7`.1+1x8--� A- .3' x GN &tTMCOX ANAN . 1-, + MIER70P725' VI4Y 1/4'lmx Smm m� t,h_ SA9i TRACK �r-,HEAU JAAdU SILICONE GW.K l>I LjJ -► 01 Ot h�h d 3 1/2`x 3/16't71ICOR rdFF AMCMP In C14 `7. b m>N EXRERKLR STU= C tO � Opt !T U C �I 00-t;` suKx CAULK SWOW cAtua . Lx STU= SISVE S7VOL ^, R1TEIWOR 519N SA-94 T&ArX to z � r� a -+ - wtsorlRr t'hr 2'F1IRRr1G 2 RAR StLL ..- DRYWALLLj Ll U ti 3 7�izActr CC SASH E Z m Z z yrj to > LL o Q t(OTF, 1. This irobolaWn hex beef ewivated for use in boatlmis adhar*is tbo Florids Reading Cada and or we pretsum raqui0wnerrfa m dernminwd by AME 7 Lsnie.wn D*ign Lamb for buNdino end M.—Sbvety es do rwA aeeed Ltre a"j, pressure ratings Reted herein- �. m tS73.654 oT97 2 Far iu balicnc whoa the sub-buck is fess than 1-1/1_(FBC socbon T7W-4.4 Mehorepa Ue&ode J and =6-sections 1T07.44A and 1707.4.4.2,1 Tepcm tape conaata erebo er meet be we and Me DATE S/17/02 (A ter*h wmA be such fhal o nwiw» 1-1/4'engagement o: the Tap osarrry con inU the m ashis ebtsLrad. SCA-L N.TS. J- - _. I AA interior and wderhor pmirnetc surtoeas of the Wmdaw must be ovL^ed. DWG. Br: T.1H - -- - 4. See Alonataeherr.."e hhxtdbtfon hslrartians Aar addRbnof hardware anchoring if requitasf. CHK. Elf. P.W. - - - - - • 3. Adjust Topcon onchar Iacobmns, ii neressory•, 16 mointan a minimum 2A'demvmv (warm moria-joints ' - .. .- TIRAHInG N0: 6. When earns baton-es om used nsybcs the foeenem in the enrrss bMonoe cvoer with Ue upmcprkee indollofeon 5-1ZbR z! 5" MAX. OVERALL FRAME WIDTH scree hat ed of the types:p2fohriooted ho-4 at thea location in be jamb. 311FEr 1 of t w LL LL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } ATLANTIC BEACH,FLORIDA 32233 V INSPECTION PHONE LINE 247-5826 t Application Number . . . . . 03-00025624 Date 3/17/03 Property Address . . . . . . 63 CORAL ST Tenant nbr, name . . . . . . CERTAIN 3462 3161 Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2375 Owner Contractor ------------------------ ------------------------ GIBBON, CATHERINE M. WILLIAMS ROOFING ELEC. INC. 63 CORAL STREET 6041 LIANA LEE DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32234 (904) 289-7314 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 68 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2375 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68 .00 68 .00 .00 . 00 Plan Check Total .00 .00 .00 . 00 Grand Total 68 . 00 68 .00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 0. �• BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 - 1J; TELEPHONE: (904)247-5800 FAX:(904)247-5805 SUNCOM: 852-5800 f _ http://ci.atlantic-beach.fl.us r PLAN REVIEW COMMENTS Permit Application # Applicant: 0, ( 1 r, vvts, —? n L n Q Address: rr, ! J — Project: - rr,�n F W40(000U'r application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Lock h5y'105 Signed Date Contractor Notified Date . CITY OF ATLANTIC BEACH PERMIT . CALCULATION SHEET Address C,,2 Date Heated Square Footage @ $ joer sq ft Garage/Shed ' @ $ per .sq ft = $ Carport/Porch per sq ft . $ Deck @ $ per sq ft = $ .Patio @ $ per sq ft = $ TOTAL VALUATION : $ $ s .Total VAlittion 1st $ t Remaining Value $,�. per thousand or .portion thereof TOTAL BUILDING FEE $ A5 + 1/2 Filing Fee $ Fireplaces . @. $15. 00. $. . .BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL .IMPROVEMENT, $ SEWER TAP $ RADON (HRS) .0050: $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ - OTHER $ C GRAND .TOTAL DUE $ � ADDITIONAL PERMITS OR FEES : Mechanical ; ..Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : 03i44p 247-5845 P. CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date; Job Address: 0 /9 -T, -3 Owner of Property: Address: et/eh L r 6)9A)I-I C- C/AelephOUC Contractor: -&- 4� ­ ---- -12-- -—0 -— (7,// 4 R� &I M- State License Number; Contractor's address: b r 1, k- /e v E _ ?22 Telt phone: -3 Fax: 4d 12 7 7�4 - Scope ofWork: J&4&dy (r-Y U Duck Slope: Less than 2:12 Valuation of w�x Product Name(Example:Timberline): X-r Manufacturer(Example:GAF): ASTM Designation(s): Required Inspections: Spt4ing and,,Kincl -. -Sigmture of Owner: Date: Signature of Convactor- Date: 3 AS TO OWNER- Sworn to and subscribed before me this —day of State of Florida,County of Duval Notary's Si i on y known C1 rod ed identification �YP James T.Beecher e 0 'd f� v tj 'Cation product 'n of identification produce�",Q' sn*. October 27,2006 AS TO CONTRACTOR: BONDED THRU TROY FAIN INSURANCE,INC Sworn to and subscribed before me this _day of State of Florida,County of Duval Notary's Signature:patur 'cation if C3 Prod i "r produceda tom, JaMesT Beecher ntitication �d' MYCOMMISSION# DD130916 EXPIRES TypinW­ entificationn produced IC L Tk 711,14-100" BONDED THRU TROY FAIN INSURANCE,INC. C� E' I 7 S��, ito e Road •Atl;%atk Beach,Florida 32233-5445 kp#K; (904) .7-5800 Fal. (904)247-5845 htip.lfwww.ti.Allantk.beach.n.us Revisw 2nvw Q MAR u"5 200' 333 Pfingsten Road Northbrook,Illinois 60062-2096 r@ United States Country Code(1) nderwters Laboratories U0LU Y ® o Fax7No.(847)0509-6395 http://www.ul.com April 5, 2002 Mr. R. Allan Snyder APPROVED CITY Cr ATLANTIC BEACH CertainTeed Corporation BUILDING OFFICE 1400 Union Meeting Road P.O.Box 1100 �� ���� Blue Bell,PA 19422 �lCt Our Reference: 8684 Dear Mr. Snyder: This is in response to your request to identify products that are currently Listed with Underwriters Laboratories Inc. Following are those products: Product Conforms to Standards now -DC PA 107 : Attachment (Minimum # -- ------- Nails) Modified to(1113- (110-mph) mph) fres# ers z ,,5 a e TL(8s AR) YES . ... . _._ _YE _. YES 5 Presidential hake(8s AR) YES YES YES 5 Gra-Ad Manor�hQ gle(&AR) YES YES YES 5 Carriage House Shangle{&AR) YES YES YES 5 Hatteras(8s AR) YES YES YES 5 Landmark TL/Ambassador(&AR) YES YES YES 4 Landmark 50(&AR) YES YES YES 4 (formerly Landmark 40&Al2) Landmark 40(8s AR) _ YES YES YES 4 (formerly Landmark 30&AR) Landmark 30(Ss AR) YES YES YES 4 (formerly Landmark 25&AR) y' Celotex Dimensional 40{&AR) YES YES YES 4 Celotex Dimensional 30(&AR) YES YES YES 4 Firehalt 2000(&AR) YES YES YES 4 High Sierra (&AR) YES YES YES 4 Estate(&AR) YES YES YES 4 Highlands AR YES YES YES 4 Classic Horizon(4 AR) YES YES YES 4 CT20(&CT20 AR) YES YES YES 4 XT25(&XT25 AR)/Fun usBuster 25 YES YES YES 4 YES YES YES, 4 A not-tor-profit organization dedicated to nuhlic safefv 9M CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATIQN :. '` LQCATION INFORMATION. tr.t Permit Number: 20964 Address: 63 CORAL STREET Permit Type: PLUMBING ATLANTIC BEACH, FL 33322 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: OCEAN GROVE Est. Value: Parcel Number: Improv. Cost: OWNER,INF:(QRM'IRTIQN. .° . . F�.,�`� Date Issued: 11/09/2000 Name: COLLINS, PEGGY - Total Fees: 25.00 Address: 63 CORAL STREET Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 11/09/2000 Phone: (904)633-1124 Work Desc: CONNECT TO CITY SEWER m CQI'TRAC R S, ,.,{ pP� T Q ':;MES U,. JAX PLUMBING & SEPTIC TANK PERMIT 25.00 .t; f -0t1011Sr.Re F ... FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.0814 htee:s12/19/08 81 Receipts MM39 DIE154 ATLANTIC BEACH UILDI EPT. 08108883221088 Aug-29-00 07 : 45A City Atlantic Beach 9042475805 P . 01 CITY OF ATLANTIC BEACH APPLICATION FOR PLU1482NG PERMIT JOB LOCAT I ON: C 3 Co r G./ J � OWNER OF PROPERTY: / lf I'n S TELEPHONE NO.�•�� `X1.2 `/ PLUMBING CONTRACTOR Q �l u rh�/ n C f%C cr 11 c `7 C CONTRACTOR' S ADDRESS : l 7b( 1-r �T-,a STATE LICENSE NUMBER: C F( 02 /1 / TELEPHONE: [IOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: C SIGNATURE OF CCNTRACTOR:� INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904 ) 247-5834 Aug-29-00 07 : 45A City Atlantic Beach 9042475805 P _ Ol CITY OF ATLANTIC BEACH APPLICATION FOR PLU bMING PERMIT JOB LOCATION: s CUf al �f OWNER OF PROPERTY: S'f r VC j 't` TELEPHONE NO.21q- T190 PLUMBING CONTRACTOR Z2 CONTRACTOR' S ADDRESS : G c 1q i f x j � X ' �r ' '? STATE LICENSE NUMBER: C r-C 0 2 1,5- / TELEPHONE : 7 K 1 3YO HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES : x $3 . 50 + $15 .00 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: _ C SIGNATURE OF CONTRACTOR: -------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP -- (904 ) 247-5834 October 26, 2000 MEMORANDUM To: Nelson Van Liere;Finance Department Susan Gorman;Public Works From: Subject: Septic Ta Conversion; 63 Coral Street Peggy C lins This memo is to authorize you to waive the sewer impact fee and prorated share of the tap fee for Peggy Collins in connection with her conversion to the City's sewer system. Her address is 63 Coral Street. As she described to us, she recently bought the unit after being assured by the City that it was connected to the City's sewer system. City staff reached this conclusion after looking at the billing records and realizing that the past owner had been billed for sewer service. We have since found that the previously owner was incorrectly billed for sewer service, and that this unit has been utilizing a septic tank since it was built several years ago. After discussing this with Alan Jensen,the City Attorney, we have concluded that the City contributed to Ms. Collins' unfortunate situation by giving her incorrect information about the status of her sewer service. While we do not feel that the City is responsible for payment of her conversion expenses to the sewer system, it is appropriate in this case to settle the matter by waiving the impact fee and her portion of the tap fee. I understand that four owners are jointly paying for a sewer tap and her portion will be one quarter of that amount. This memo is to authorize you to waive the City's fees to Ms. Collins upon receipt of a signed release form. Please check with Alan Jensen to get the proper form prepared. I've also agreed that the City will haul away the lumber from her rear deck that was removed so that her contractor could destroy the old septic tank(under the deck). Ms. Collins has been advised to call Susan Gorman at Public Works when the wood is ready to be picked up. By copy of this memo, I am also authorizing Public Works to remove this wood without any expense to Ms. Collins. If you have any questions or require any further information please let me know. Cc: Alan Jensen, City Attorney Bob Kosoy, Public Works Director 5 CUSTQM[ZR NAM : LQ C SERVIC$LOCATION , ADDRW: (7.3 00 r c, 1 S� a�wa.rr�-nwr �.r^.•w�rl.—+��r rir..� CUSTOMER PHONE NUMBIR: 3 3 - /I �I PROPERTY OWNER NAME: S&R"CE NOW: ON CITY'WATER Q ON WELL Q CONVERT FROM ON-SITE SEPTIC SYSTEM TO CITY SEWER: UPT, SOK.- Cattomw to hum owr mwamor ando r coat,. Qmass: Ctlatowerml cops a"Marra 00flowdor W&A CAWS sm"aNco. OPTS Y�N C: cxmw r to mm OWN 0018"wer#ni "N th►"sk ike Ci►O,fA0m*Xm& 01mas D1 7wrxkw&PPOWI. CIO r**h ears coavrybx, aim n Option A a Option a O option c 0 Option D Pkale ratan to: DO NOT COMPLSTR BELOW: RZAL RA AW=NUMBER: LRGAL DRSCRIPTION: PUICE QUO'T'E: P uz 904-247-5872tJ JUI-15-99 D5 07A Hai=T=y i+ic P*+dl ly PRICE QUOTE APPLICATION FOR WATER AND/OR SEWER TAP fi,.PPLlCAN t NAME— & ��� �trrr MAILING ACDRESwP Pw�ONE NUMBER— GATE- ! rJ t ? s l sr 4�f dl SERVICE REc�t.,ES�rE� `��tr: ,� k—, SERV','—,E LOCATION � � �:ryr :,�� --; DATE SET TO PUBLIC WORKS_ — _ �;2 --- r; DATE RETURNED TO BUILDING DEPARTMENT„ PUBLIC WORKS OEPARTM'ENT � } PRICE QUOTE RESPONSE 'P6' 05 OTHER: ,. / PR(CE C?UOTE PREPARED BY- � -fi r Signature: - Tide GATE NOTIFIED OWNER. PAGE,7 CITY OF ATLANTIC BEACH r f 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 �« INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptgcoab.us Application Number . . . . . 07-00000825 Date 6/13/07 Property Address . . . . . . 63 CORAL ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 CU 1AHU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COLLINS, PEGGY OCEAN STATE HEAT & AIR, INC. 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 Expiration Date . . 12/10/07 ---------------------------------------------------------------------------- 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 CODES. • /J�-.Jff�l CITY OF ATL- TIC PEACH �✓ rte, Y I EC -A�NIC-A-L PER-MIT APPLICATION Date: Property Address: l( Y sblu�L Owner: _ o A5 Telephone#: 6 4�J`'l =!_ p _ j 5 � jj q Q Contractor: ocnn �lC E �t1',9 'Telephone 9: 1 Contractor Address: 147�p �1n.1 C- l�'�.� IE F - In consideration of permit given for doing the wort:as described in the abovem-remeni,we hereby agree ro perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the Cite of Atlantic Beach ordinances and standards of good ractice listed therein. Type of Heating Buei: If other construction is being done on this building or site,list the building permit number: LQ Electric _ �„- _ ❑ Gas: _LP Natural _Cearrai Utility ❑ Oil ❑ Other-Specify NIECHAi*TICAL EQUIPMENT TO BE(INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed . ✓ Central _Floor �gesidential ❑ Air Conditioning= Room VCentral ❑ Duct System: Material Thicimess ❑ Commercial Maximum capacity cim ❑ Reiiigeration ❑ �-NewBuiiding :,acooling Tower: Cauaci*y gpin r r ,fisting Building ❑ Fire Sprmhlers:number of Heads / J Elevator: Maalift Escalator (Number) 3- Replacement of Existing System ❑ Gasoline Pumps (Number I ❑ Tanks (Number) ❑ New Installation :1 LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ E.:teu$ion or Add-on to E:dsting System ❑ Boilers ❑ Gas Piping - ---- er- p etj----- -- ——---- — ❑ Other-Specify LIST ALL EQUIPMENT UR CONDITIONING,REFRIGTRATION EQUI fv=&CONDENSOR'S Approving Number Units Description Modelo Manufacturer Ton's Agency HEA.TIN G-FURNACES,BOILERS,FIREPLACES&AM HANDLER'S Approving Number Units Description Madel ff Manufacturer BTU's Agency Y f -VFD03ren- 3& z.) - TAtYKS lh(orninalcapacky TypeLiquid Serial - -A,pprovI How Manv u Dimensions Contained ivlaaufacturer No. Aaenev 300 Seminole Road • Atlantic Beach, Florida 32333-5445 Phone: (904)247-5300 • Fas: (904).47-5345 . http://www.ei-atlantic-beaclh.fl.us 06/13/2007 09:43 FAX 9042498949 OCEAN-STATE-A/C ► ATLANTIC-BEACH 001/001 s Y - CITY Ole' ATY,ANTIC BEA.CE r � • �, �: MECELAMCA.L PERMTT APPLICATION n Date: ' Property Address: Owner. Telephone#:. 410 Coatrr.ctor. 1 Telephone#:_��Q- Contractor Address:. �,(D.QT( n. �� ,+ 1?=#:F4P-ffi!{Q _ la C9aMdai-w9a ot Wmk pYeo for damg dw work at dwcdbod it*e above soacum we bmby affm to Pahm f4i4 W9zk t mmdsnee withda:atmcbed plana and spedmidow wWch an a pets hereof and in occordat►os wlth the Cay of Adaatic Samh mmd o mz and standerdc of wW actin f therein. Type of Restiag Feet: If adur is being done o0 this hiking / or site,list the btaft&permit anmber. ❑ Gas: LP Neral Central LTttlit9 , a 09 ❑ other-s iViUM0 AL LQUIPMENT TO)3Z INSTAL ,Nn NA.TUIU Or WORK 0 Heat Space Recessed . ,Central Floor iT ideatial ❑ Aar Conditioning: �_Roam ZCentrel 0' Dunt Syst=. Material This lmess Q CaIDIDcr©El Maim=capacitq C� 0 Reaigeradam 0 Now H ❑ CoolimgTowe;Ca:paciry OPM d' E.asting$+,;1 . D Fin 5prmilms:Number cfReaas Q Elevaior: __ Maalifc Escalaxar (Nutaberj w,"gepw=nc=o{E.=mg Svm= O GaSelime Putape (Number) ❑ Tanks (Nutabt--) o New lastallzdm ❑ LPG Containers (Numtbe) (No system previously iusWlcd) 0 Unfired Pressure Yesael 0 Boilers d E%t nsioc or Add-on to Lasing gysiem 0 Gas Piping ._.._ . ..— _ Utair Sp a Other-Spexfy Yv�ST AT,,�E YTD.'M�NT Ail COMaor 0MVG,JUMCMATiO>K ZQU7"ZM ik CONDEN9oRIS 1Wumbet Univ Daasipdi0tl btodd w MMAM Top's Apacy ei4Qel 3 � R"TZG—F[1M1+(.UC$.S,DOM.MB.FI8ULAc=&AMX&WaJ,I.1CR'S APP�g MunsbsrUaia +i90 MOM 0 blaaaianatat BTU's A�epcy 1 Dmcrip -v n►F it i!- .. Nominal ytpnJ.lgwC Serial •"+PprA+rlpg How W.VV No. AP-Ske„ 800 Saminolc Road •Atlantic Bcue}a.P'loridu A2233-5"5 v1.nn.• f011.i'�'1rl•7_:Atlt1 . 1i'nr f�11Q\��l�.iRd4_ i.4M.//+.n.... .:.+Irnfio.hr-�vi� iT n.