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Permits 40 Dudley St CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT JPEf�MIT INFORMATION Lodo"JINFORMATION Permit Number: 21993 Address: 40 DUDLEY STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: DONNER Est. Value: Parcel Number: Improv. Cost: L OW-jI�-,-- -jNfQlWMATf Date Issued: 5/18/2001 Name: RUBY JENNINGS Total Fees: 25.00 Address: 40 DUDLEY STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/18/2001 (904)721-8436 Work Desc: SEWER jpy 25.00 JAX PLUMBING & SEPTIC TA oppawT NJ R, ".R 4 g WN FINAU-- UESTM 24�14 UkSA/10R TO PECTION NOTICE- INSOECTION! %alMR-111 AT 0 A BUILDING MATERIAL, "BISH AN 13RIS FROM THIS WORK M OT,BF- ED IN PUBLIC SPACE, AND MUST BE CEtWEIX U ED AWAY B.- 'A"7__ NTRA11 ROROWNER SULT IN THE "FAILURE TO COMPLY WIT PROPERTY OWNER PAYING "H�A �' THIS PERMIT AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPROVED PLANS 1WHIC OOOF CI S F FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25,0814 Date- 5118i3131 Receipt: 00"18?01 2 AT TIC BEACH BUILDING DEPT. CHECKS 159&L- FOR OFFICE USE Y Date__.J��------ Permit #44'5�/_6_.Fee TOWN OFATLANTIc BEACH Valuation .............. FLORIDA Hou ----- --- ............................ s V"a----------I 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 Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town 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 Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date--------------------------------------------------V;Of----I 19_49d_ Owner__.A'2'&41_.------ * e-K--------------------------------Address..4 4 &0 "Z4---Telephone No------......----------- Architect------_--------------------_---------- -----------------------------------------------Address------ -----------------------------------------------Telephone No.---.----------------------- Contractor Builder.AVAP--- Vlo�--------t-_1,nAFrW'&------Add re s s ---?�Z.Telephone No.__44�4-4� Lot No----------------&--------------------------Block No------�L------------- ----Sub Division---- -------------------- ....... -------------.--Zone-.--------- --------- e4ole-,y---------------------.,-Street--------------------------;Side Between---6;r-sove------s��----------------an d —------------------Sts. Valuation $-------- -------For what purpose will building be used-------l2ei-S-------------------Type of construction--- ------- Dimensions of Building__.__;_//.A_,3j----------Dimensions of Lot--- ------ ----------__-----Size of Footings_---------- -------- Or Size of Piers---$f -------Size of Sills--->!"-_0W_*A0---Greatest Sill Span in ft------47.---------...-Type Roof-~.-t ..X60 V-401k ##-f4oAr How will Building be Heated?----_------------------------------------------------------Will Building be on Solid or Filled Ground?--- .......- Size of Ceiling Joists...OU-6------------------------- Distance on Centers--------0?e_ _0 4!------------------- Greatest Span-----------1. —-------------------_- 9F Size of Floor Joists---_.2-14------------------------- Distance on Centers_------- 4-------.......... Greatest Span---------- -----_--_------- Size of Rafters----- ----------------------------- Distance on Centers ....... ---------------, Greatest Span---------/_Am�----------------- 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 Tvm 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 Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 0 5. When rough plumbing is completed,and ready to cover up. P 7. Electrical inspection by City of Jacksonville. 6. When septic tank drain field is laid but before it is covered. 8. �Final inspection. Note: In case of any rejection,re-inspection MUST be called forafter 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 Town tlantlu Signature of Build( --------- ------/.. ....... . . . . .... .. Signature of Owner.__,U&&4V. Zell/ ------------ 112.116-19 '001.1_----- 7'/0 tv PP L NO A0 3P of-- -t- 0 All Dlywood usce, structurally shpli meet the CM of ATLANTIC 119EW nerformance ard 01 ot!ier requiremeft BUILDINC OJFFII�g of applicable U.S. Commerci3l �tandards for t4ft A. type, grade and species of plywood and sW bW so identified by an approved testing aguAlF. 0 C? /'v C, L�PfAIINL3 00t1bZE rA'AlvlfD /N-r f EXT �4 -!,e k/4c 15_D M; vw '7777 7;T All plywood used. struOUPHY and P"r , ,,Iardar nerforv�,rcn of aPpliclNe U.S. Commerci8l Standarft for U'I ----: �$ �AA tkA ba - ccArP to Ct 0 R FS DjtW-/ ,5 0 u 7-14 E R N 'S T1q TF5 HOMF5 PSF;-3M4 10531 !DF-PARTMENT OF SUILPINO I 'C W�,A TY TLANTIC BtAO, ION. --------- FORMAT ON LOCATION INFORMAT A 0,*Ls�* Permit- Number: 10$31, ddr 40 DUDLEY STREET jIEACjj '�Permit TYpo:, ELECTRICAL PLORIDA 32231 ATLANT I C ass of Work REMODEL LROU DESCRIPTION ---------- alodk: Constr. , Type: WOOD FRAME Lot:, 'Pr000se& Use: SINGLE FAMILY Shtp RNG: 0 DWel I ingr I)ON ER REPLAT I, C0404 0 SUb ivision. N $0.100 Estimated Va I ue: Improv. cost : $0 .00 $0.00 Total AM 10 -$0.00 APP ESL LICATION FBI 4, PZlM IT , $0.00 Addre ST IMP&C, RE $0 00 FEE r T -W -11�4,001 wlflFl*14" WAL TAP $0.00 n 2 11 RADON, �R.S. $0,00 RADO" C-" S P6 TR&QjT N amt t, L 75 L A , 'R SwER TV $0.00 'JAC! ILLE, CROS S lCONNECT I ON $0 .00 L i T�pe: 2 S$c 11 IMPACT FEE 0 0 f�j $0 1.4 T R U, pa, -MOE4 ,$CHAR 6 ia 'TiT NOTES: -FORMS AND FOOTINGS MUST!at JINSPE NOTIC ALL,CONCRETIt CTED 8EFORE POURING PERMIT VOID SIX MONTHS AFTEADATE'OF ISSUE BUILDING M#TERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUSTNOT,BE PLACED IN PUBLIC SMCE,AND MUST BE AWAy By EITHER CONTRACTOR OR OWNER, C�OM,PLY'W RE MECHANICS LIEN LAW CAR RESULT IN U ITH,THE'L OW, PL ILI) E YPE NERPA 'ING MICE FOR �AV ING IMPROVEMENTS ISSUED ACCOR6ING3 T o APPROVED.PLANS WHICH A13E PART OF,THIt:PERMIT AND SUBJECT TO,REVOCAT- IONfOR Or-APPLICABLe PR OVI$IONS OF LAW. ON L-ANTIC BEACHBUILDING DEPARTMEN 111i'll gli j jr i',j j j /of - � o CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: zzzz 19 IMP013TANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. eJ6,7�J' j��61w, ��(? 4,f,/-; /'V ��/At"f-I ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME ADDRESS: 37_/6� RFD-BOX- BLDG.SIZE -BETWEEN: RESA APT. ( comm. ( PUBLIC INDUS. ( NEW ( OLD (4-l' REW. ADDITION ( TRAILER I TEMPA SIGNS I SQ. FT. SERVICE: NEW( INCREASE ( REPAIR FEE CONDUCTOR SIZE AMPS COPPER I ALUMA SWITCH OR BREAKER AMPS PH w VOLT RACEWAY EXIST.SERV.SIZE (0 AMPS PH _7 W ZV,�VOLT RACEWAY FEEDERS NO. SIZE INO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M. V. FIXED 0.100 AMP VER APPLIANCES i I BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIO"G COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS '10616 DEPAWMENT OF Suit CITY T TI OF ALAN LOCATION INrOMTION- ------- PERMIT` 1NrOkKAT1014 A 'd Oermi t Numb*r 10616 d DVDLZY STREET 'IDA 322 33, BACH, , PLOR Perm it, Type: class ot Work- REMOVEt LEGAL DZSCRI.PT - ---------- S ct i oil: Constr. Type. WOOD MAKE Lot� Pr6poiedMse. 'SINGLE FAKIILY`� Township. RNG V -c o e, 0, Sub'dil0lis i on DONNER �tatimatod Valvelz $0,00, Impr,6,v. Cost; $0.00 Tot'a $0� 00 A&M6 I Z s goo ""wm. al� APP41CATION TZ �Pg IT IMPAC rNE $0 00 Addre , STREET, 4 s 7. FEE f" ORI T TAP 31 5 RADON OAS-R.R.S. $0.00 "RADON CAB 506 $0..00 D Loma I NO, Name�, OW P SLVZR VAP $0.00 rL $2221 CAOSS CONNECTION $01.00 LLE AC 0-v tj' 114PACT FEE —'140,.00 Typ 0 0 , 0 4�04ST..''tURCHARGE t NOTES: NdnCFE—ALL CONCAM FORMS AND FOOTINGS MUST BE CT90,,11IIEFORE POURING _R , , F PEAMIT,VOID SIX MONTHS AFT 90 ISSU BUILDINOWTERIAL, RUBBISH AND DEBRI,§FROM THIS WORK,MUST NOT OE,PLAPED�IN PUBLIC SPACE,AND MUST BE CLEAR UP 'NO HAULE f I-D A 0 AWAY BY ETHIzR CONKRACTOR OR Ow IYIPLYWIt4THE MECHAN'c�t� U - LAW C NRESULT-IrN., Al URE�To Co 1"I , - EN A IN " 14 PRO ILPINQ OVEMENTS", 4 ,! P1 OU ,71a &, ,Y, io ER G TWICE FORT r E:, I ACC ORDING TO APPROV;:D,:PLAN8 WHICH ARE PART, OFTHIS PERMITAND SUBJECTTO REVOCATIONFOR ' VIOLATION OF,APPLICABLE PROVISIONS,OF LAW. TIG BEACH BUILDtNG.DCPARTMENT IM,ill�' �x 7 71 777 71,� CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY : PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS: Ac,I 222le STATE LICENSE NUMBER: QL�_____�TELEPHONE: 2-M-2 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS z WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: - x $3 . 50 + $15.00 MINIMUM PERMIT FEE - $25 .00 SIGNATURE OF OWNER: AA SIGNAT.UkE 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 ————————————— 0 8 5 4 DEPAOTMENT OF E CITY OF ATLANTIC 815.4 H' ' LOCATION INFORMATION -------- - *RN'Ilr INFORMATION Permit N-umb*r 10485 Addr0se:', 40 DUDLEY STREET P*rmit- T %Avinc BRA-CH, FL09IDA 32233 ype: BUILDING AT wo --------- Class of ,Woxk, REMODEL LEGAL DESCRIPTION Constr.-, Type 4. WOOD FRAME, Lot;,, Block-, ' Section: Propoised �Use- SINGLE FAMILY_ Townshi ' - RN00. ' Q Dwo 11 inigis code I" ' 4siou: �DONNZR Estimated value., $18240.00 Improv,4'. Cost .* $0.60 Total 'Fees: S0.00 Amount Id - so.o.o D , work. -: ,R9MODEL , --------- APPLICATION FEES, ORMATION lam PZRM:1 T , $0.00 Ad STREET WATER IMPACT FEE C FEE So.00 C11 LORID4,dA 1MPA p 7 'r ;% -R,,.R.8 N, $0.00 ------- Plop, 4XT ------ j g ON - $0 .00 INI R4DO01, CAB 5% "it, IMPROVE. C,I?I t $0.00 'Name* LtriT INC. 'fo T" 'Address : �100 TH SHORES �$O .00 L 01 CTION J, CROSS CONNE L foe",��p �CSC 'i SZC�� It, IMPACT FEE $0 01D 0 CONOT.SURCHARGE -,,f TL.BC# �qk $0 1101`04161-111 40 NOTES: NOTICE--ALL.CONCRETEfORMS,AND FOOTINGS MUST BE04SPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING.MATERIA4, RUBBISH AND DI5,f3A1,$,PROMTHIS WORK MUS pot BE PL.ACED N PUBL C S ACE,AND MUST BE T C LEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER FAILUIRE' TO 'COMPLY WITHTHE MECHANIC LIEN LAW CAN RESULT IN THE PROPERTY OWNtR'PAYING TWICE FOR THE SUI INGIMPROVEM ENTS TION I$%)ED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS MRMITAND SUBJECT TO REVOCA 41FOR 'A , , 7"--LA1 bf- ',-,-L1CABL-E,PROV'SIONS OFLAW. �Alt ANTIC BEACHBUILI)t NRTMENT By 199 'Irld Zonin CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : Address : j L Phone : Lot # Block or Unit # Subdivision: Contractor : cl,, State License 05-3 7 -�12, Address :, jo PL 2 i Phone No: (4.3 Describe work to be done: LVI A Oo U,;-S CA A fl 6--T--5 Present use of building:_ k"'92 ipc4i,4L Valuation of Proposed Cons t ruct i or,-. ,Y- Proposed use: 5 je-lk,47� Is this an addition? If yes , what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled? New electrical (or increase)? c' New plumbing fixtures? b-"' New fireplace?_New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: P5 Signature CONTRACTOR: (-4 Date: P,5 - License Supplied: Liability Insurance: Worker' s Compensation Insurance: a&""roan A" VL.^. 1041 LAWS FS 713.#S T of Calluuttwitmeld onap"d W oupu"Tel to filhom mum= The undersigned hereby inform all concerned that knprovernents will be me" to certain real property, and In accordance with section 713.13 of the Florlds Statute% the following infonnation is stated in this NOTICE OF COMMENCEMENT. 1-- 1 Description of property............... ............... ...... 64 ............... .................................... ............ ....................................... ............... .............. ................. 4: 1 Gwwal &scrooien of haprovam 6 44 ................................................... ................. .......................... ............................................................................. ............................................ Owner......... ............. """70--w.................................... Ad&e........ .......... ......... Owner's Wbrod in ske of the limprovamw................................... ...... Fee &mple rdle holder (i a" " e"w) ....................I.............................................................................................................. Ad&"&..................................... ..................-... CA"rasor..... L..........L 7t, 71-Y &Nety W owl............................. ........................... Now of p arso - willin Ow %am of M" dedpoW JW oww qm w1ma mftw w MW&vmwa my be serve& No"............. ....... ...... A"*%&.............................................--.—............................................ In addition to himself,owner desigmtes the folloWing P'ersw.to receive a copy of the Lionor's Notice as provided In Section 713.13 (1) M, Florida Statutes. (Fill In at Owrw's option). Nam...................................................... ...........—....... MORTGAGENOTE Atlantic Beach,Florida For value received, the undersigned Oointly and severally, if more than one), promise to pay to the order of the City of Atlantic Beach, a municipal corporation, 800 Seminole Road, Atlantic Beach, Florida 32233, the principal sum of Ei"en Thousand Two Hundmd E01ty and 00/100 Dollars (S18,140A) being payable in lawful money of the United States of America at 800 Seminole Road, Atlantic Beach, Florida 32233 or at such other address as the holder from time to time may specify by written notice to the maker. Said principal sum "I bear no interest and shall be reduced in amount at the rate of 1/10th per year until reduced to a zero balance at the end of 10 years. Any unforgiven balance WWI become immediately due and payable if the maker tranders tide to or moves from the premises securing this note within the 10 year period. In the event of the death of the maker of this note,this note shall remain in effect and the principal sum reduced at the above rate of 1/1 Oth per year only if a member of the makers immediate fiumily takes up residence in the subject home,under any other circumstances the note shall become immediately due and payable. This note is to be construed and enforced according to the laws of the State of Florida, and is secured by mortgage on real estate of even date herewilb. If defmdt be made in the payment of any of said sums or in the performance of any agreements contained herein, then, at the option of the holder of the same, the principal sum then remaining unpaid shall immediately become due and collectible without notice, time being of the essence of this contract, and said principal surn shall bear interest at the highest rate allowed by applicable law,from such time until paid. Each maker and endorser waives presentment, protest� notice of protest and notice of dishonor and agrees to pay all costs, including a reasonable attorney's fee, whether suit be brought or not if counsel WWI after maturity of this note or defmdt hereunder or under said mortgage, be employed to collect tWe note to protect the security thereof �Y -I - ,-�,Aj-f 77---2-(Beal) Name 4fMaket (seal) Makers Address: 40 Dudley Street Atlantic Beach,FL 32233 STATE OF FLORIDA DOCUMENTARY STAWS IN TBE AMOUNT OF$ HAVE BEEN AFFDCED TO TBE MORTGAGE SECURING THIS NOTE AND CANCELLED. PRE-CONSTRUCTION CONFERENCE REPORT READ CAREFULLY BEFORE SIGNING I (WE) THE UNDERSIGNED HAVE ON THIS DATE AT CAV PARTICIPATED IN A PRE-CONSTRUCTION CONFERENCE PRIOR TO THE SIGNING OF A CONTRACT FOR THE REHABILITATION OF MY (OUR) PROPERTY. WE ACKNOWLEDGE THAT WE UNDERSTAND THE TERMS OF THE CONTRACT, THE EXPLANATION OF THE WORK TO BE PERFORMED BY THE CONTRACTOR, THE ROLE OF THE CONTRACT ADMINISTRATOR OF THE REHABILITATION LOAN PROGRAM, AND OUR RESPONSIBILITIES DURING THE CONSTRUCT- ION PHASE. I (WE) HAVE BEEN GIVEN AN ADEQUATE EXPLANATION TO OUR QUESTIONS, IF ANY, AND ARE AWARE THAT ASSISTANCE WILL BE PROVIDED BY THE STAFF OF THE REHABIL- ITATION LOAN PROGRAM IF REQUESTED. WE FURTHER UMERSTAND AND ACKNOWLEDGE THAT THE REHABILITATION LOAN PROGRAM ASSUMES NO RESP6SIBILITIES FOR THE WORK PERFORMED AND DOES NOT WARRANT ANY WORK PERFORMED. '2 4 gl -nature o roper ner e Signature of Property D-wner Date --------------------------------------------------------------------------------- 1, THE UNDERSIGNED, HEREBY CERTIFY THAT THE PRE-CONSTRUCTION CONFERENCE WAS HELD ON THIS DATE BETWEEN THE HOMEOWNER(S) , REHABILITATION LOAN PROGRAM CONTRACT ADMIN- ISTRATOR AND MYSELF. I UNDERSTAND THE PROCEDURES TO BE ,FOLLOWED FOR CHANGE ORDERS AND REQUESTS FOR PAYMENT. I UNDERSTAND AND AGREE THAT THE WORK PERFORMED MUST MEET THE STANDARDS OF PERFORMANCE REQUIRED BY THE REHABILITATION LOAN PROGRAM AND ESTABLISHED BY THE REHAB STANDARD PERFORMANCE MANUAL. *flgnature df Cont Tt"r & Title Date --------------------------------------------------------------------------------- 1, THE UNDERSIGNED, HEREBY CERTIFY THAT I PARTICIPATED IN A PRE-CONSTRUCTION CON- FERENCE THIS DATE AND THAT I HAVE COMPLIED WITH ALL OF THE PROVISIONS OF THE REHABILITATION LOAN PROGRAM PROCEDURAL M o7/z�919 PROCBED ORDER DATE; '7117 z 3 1 - 7 TO: k�e'e. /C/)/C,--0 tMe-41 DC/,te_- 5h't te J, F-I__ This is to authorize you to proceed with work specified in our contract dated 7//7 1 , for improvement work on the property located at !!M A";&t'- The amount specIfied ih the Rehab- il�tation Agreement is Please proceed in accordance witb the Contract. You are to commence work no, later than All work shall be completed according to the Work Write-Up, plans. Change Orders., Addenda and Specifications within- Sixty (60) calendar days after start- ing construction. A A,1,'A, >f OWnef(s) (0vuer's Signature) 70GQrts Signature) ADDRESS 41,2 D&z D L (7 lzltn (Lo Cal---Pubfle Ajency Rep- Copy: RLP-143 REHABILITATION LOAN PROGRAM RESPONSIBILITIES OF HOKEOWNER AFTER CONTRACT IS SIGNED Until Work Begins Start planning ahead. Plan adequate storage space for the contractor' tools, equipment and materials. Make arrangements for the contractor t, get into your property if you will not be home during the day. To avoid mutual confusion, one member of the family should be delegate6 a! the spokesman to discuss problems or questions that may come up. If all household members work or will not be home during the construction, consider designating an agent such as a close friend or neighbor or rela- tive not living with you to supervise the contractor' s work. You are responsible to make §ure the contractor does the work exactly as he stated he would do in your contract. Prepare your property and furnishings for the rehabilitation - use this period to send your drapes to the dry cleaners wash your curtains. There will probably be dust and dirt from the work protect your furnish- ings and clothes - put all breakable and valuable items away so they won't be broken or misplaced. When the Work Begins Keep your copy of the work description handy and refer to it often. Check with your Case Manager if there is anything you do not understand. Remember you are responsible for ensuring that the contractor does the work correctly as bid. Assistance will be provided if required but the work must be acceptable to you. ,Try to stay out of the construction area, especially children; this will help prevent injuries and allow the workmen room to work. Try to keep a good relationship between your family and the contractor - again, delegate someone to be the spokesman for the family. Stop problems before they start - if something isn't going the way you feel it should, or if you don't understand it, speak to the contractor at once and get an acceptable explanation or correction before it progresses too f ar. If the contractor cannot give you an acceptable explanation, stop the work and call the Case Manager for assistance. Expect the unexpected - in most cases changes and improvements will be new and exciting to you and will give you much pleasure; however, unforeseen problems may be uncovered during the course of the work which may require a change to the contract. Be prepared if this should happen - discuss changes with the contractor and get a good explanation of the change required and why. Try to visualize what the change will look like. Be flexible. All changes to the contract must be approved by you and your Case Manager and must be in writing. Your contractor is responsible for supervision of his workers. If he cannot be present, make sure that he tells you who to talk to if you have a problem or questions. Win cooperation from the workmen with good basic human relations. A w-I of ar)Dreciation - unexuected not of CONTRACTOR'S AFFIDAVIT STATE OF FLORIDA COUNTY OF DUVAL SS BEFORE ME, the undersigne Notary Public,, personally appeared who, being first duly sworn b7- me, deposes and says : That on TLIL-c � I as owner, ina as Contractor, entered into a certain cons contract whereby said contra r agreed to provide certain labor and materials for said owner upon the following described lands belonging to said owner, located in the City of County of and State of Florida, to-wit: That deponent is the of said corporation, herein referred to as the contractor, and has personally supervised the performance of said contract. That said contract, has been fully and completely performed, and said contractor and all persons , firms and corporations contracting or dealing with , or directly employed by said contractor in connection with said building operation or in connection with said contract, have been paid in full. , This affidavit is made in compliance with the provisions of the Uniform Mechanic's Lien Law as approved June 4, 1935, as revised, Laws of Florida , and to enable said contractor to receive his full and final payment from the owner, under the construction contract above referred to. WNTRACTOR PAYMENT REQUEST Homeowner: Payment #1 - 40t Complete Address: #2 - 80t complete . #3 - 100* Complete Contractor: Amount Requested: $ -----------------------------------------------~----------------------- Contractor: I hereby request an inspection to receive payment # f or the amount of $ I certify that I have satisfactoriiy completed the necessary work to justify this request and that all bills incurred for labor used and materials furnished in making said repairs and im- provements have been paid in full to this date. Attached is a description of the work completed and the amount of payment requested by work item. Contractor' s Signature: Date: --------------------------------------------~-----------~-------------- Homeowner: I/We hereby agree that the work stated by the contractor has been completed and approve payment to the contractor in accordance with the contract and contingent upon in- spection and concurrence by the Rehabilitation Inspector. It is understood that the actual amount disbursed will be based on the findings of that inspection. Owner's Signature: Date: Owner' s Signature.* Date: ----------------------------------------------------------------------- Rehabilitation Inspector: I hereby certify that I exercised reasonable care to determine that the work performed at the above address meets specifications and was completed in a satisfactory manner; however, neither the undersigned nor Jacksonville HUD is in any w4y responsible for the acts or omissions of the contractor, any subcontractor, or any of the contractor's' agents or employees, or any other person performing work under the construction agreement. The contractor has provided a release of all lions, if any, in connection with this contract and has provided the proper- ty owner with a copy of each warranty or guarantee due the property owner from the contractor for work performed. I hereby certify that all work is completed as indicated on the contractor' s payment request and recommend payment to the contractor in the amount of $ Rehab Specialist: Date: ----------------------------------------------------------------------- At 1.00* completion: CHANGE ORDER No. Date of Contract Date Owner Name: Property Address: Contractor Name: Contractor Address: Description of Work Change: AMOUNT: CATEGORY; S�m Changes and work affected hereby, are subject to all contract stipulations and covenants. This Change Order'is made a part of the contract dated first above, parties have hereunto set their signatures: Contract Price + or Change Total Owner Approval: Date., Contractor Approval: Date: Sr. Rehab Specialist Approval: Date: Program ,Administrator Approval: Date: Source of Funds; Contingency Owner Contract Copy: Owner, Contractor, .Loan file, Technical file Financial, Institution (If contract price changed) RLP-155 Rev. 12/6 HOMEOWNER - CONTRACTOR AGREEMENT &qawl-�ev Property Improvements To: (Address) Owner (s) --------------------- (Name) --------------------------------------------------- (Legal Description) 1. HOLD HARMLESS. Contractor shall agree to defend, indemnify, and hold harmless the Owner, City of Atlantic Beach, Florida from liability and claim for damages because of bodily injury, death, property damage, sickness, disease of loss and expense arising from Contractor s performance under this agreement to install or construct home improvements to be paid out of the proceeds of the Owner' s rehabilitation loan. Contractor is acting in the capacity of an independent Contractor with respect to the Owner. 2 . LIEN WAIVERS. Contractor agrees to protect, defend and indemnify, Owner from any claims for unpaid work, labor 'or materials with respect to Contractor' s performance. Final payment shall not be due until the Contractor has delivered to the Owner complete release of all liens for work dompleted arising out of Contractor' s performance, or a receipt in full covering all labor and materials for which a lien could be filed or a bond satisfactory to the Owner indemnifying him against any lien. 3 . SCOPE OF WORK. Contractor acknowledges that he has prepared the Contractor' s Proposal (Part II of this Agreement) and that such proposal is accurate and consistent as to the name of the Contractor will undertake, and the price. Contractor acknowledges the performance requirements established in the General Specifications of the Rehabilitation Standard Performance Manual effective June 1, 1982 and warrants that all work undertaken will conform to said specifications . 4 . CONTRACT AMOUNT AND PAYMENT SCHEDULE. The City of Atl antic Beach shall pay the Contractor for the performance of the rehabilitation work, siibject to additions and deductions by approved Change Order, the contract sum of ---------------- ------------------------- Payments will be scheduled as follows, subject to the Owner' s acceptance of the work to be done: Upon completion of 40% of the work, a progress payment of 30% will be made. Upon completion of 80% of the work, an additional payment of 30% of the contract price will be made. Upon completion of .100% of the work, the remaining funds will be disbursed. 5. TIME OF COMMENCEMENT AND COMPLETION. Owner shall provide written authorization to Contractor to commence work. Contractor agrees to start work ten (10) calendar days after the receipt of the written Notice to Proceed. If the Contractor fails to commence work within ten (10) days of the Owner' s notification to commence, Owner shall have the right to terminate this Agreement, Such notice of termination shall be in writing. executed Change Order. No extra costs will be paid to the Contractor when he has neglected to properly evaluate--- the extent of the rehabilitation work. Under no circumstances will the contingency fund, if any, be authorized for work other than totally unforeseen circumstances arising after the commencement of the work. . 7 . TERMINATION OF AGREEMENT. If the Contractor defaults or neglects to carry out the work as specified under the paragraph "Scope of Work" or fails to perform any provision of the Contractor documents, the Owner may, after fifteen (15) calendar days written notice, terminate this contract and , select a substitute Contractor. If the expenses of finishing the work exceeds the unpaid balance on this contract, the Contractor shall pay the difference to the Owner. If the Owner fails to perform any applicable provisions of the Contract, the Contractor may, after fifteen (15) calendar days, terminate the contract and recover from the Owner payment for all work satisfactorily completed including reasonable profit and damages . 8 . WARRANTY. For good and valuable consideration, the Contractor hereby agrees to provide a full one-year warranty to the Owner, which shall extend to subsequent Owners of the property to be rehabilitated. The warranty shall extend to subsequent Owners of the property to be rehabilitated. The warranty shall provide that improvements, hardware and fixtures of whatever kind or nature installed or constructed on said property by the Contractor are of good quality, and free from defects in workmanship or materials or deficiencies subject -*to the warranty contained in this paragraph. Contractor and Owner agree, however, that the warranty set forth in this paragraph shall apply only to such deficiencies and defects as to which the Owner or subsequent Owners shall have given written notice to the Contractor, at its principal place of business, within one (1) year from the date of Contractor' s f inal payment . The Contractor further warrants that failure by the Contractor to respond to valid complaints by the Owner, or subsequent Owners, that causes additional damages to the property are also subject to the warranty contained in this paragraph. 9 . ARBITRATION. If a dispute arises as to the validity of a complaint not satisfied under the warranty clause of this contract, a panel of three (3) independent professionals shall be chosen by the City of Atlantic Beach to arbitrate the dispute. The panelists shall be ' chosen on a rotating basis. The finding of the panel shall be irrevocably final, conclusive, and binding on the Homeowner and the Contractor. 10 . SUB-CONTRACTORS. Contractor agrees that all warranties contained herein shall apply to all work performed under the Contract, including that performed by any sub-contractor. 11 , ACKNOWLEDGMENT. The above warranties are in addition to, and not in 1�mitation of, any and all other rights and remedies to which the Owner, or subsequent Owners, may be entitled, at law or in equity, and shall survive the conveyance of title, delivery of possession of the property, or other final settlements make by the Owner and shall be binding on the undersigned notwithstanding any provision to the contrary contained in any instrument heretofore or hereafter executed by the Owner. 12 . INTEREST OF CERTAIN FEDERAL OFFICIALS. No member of or delegate to the Congress of the United States, and no Resident Commissioner, shall be admitted to any share or part of this Agreement or to any benef it to arise. from the same. 12b.BONUS, COMMISSION,OR FEE. The Borrower will not pay any bonus, commission, or fee for the purpose of obtaining the Government' s approval of his application for this loan, or any other approval or r,onr,iirrPnr.P_ rpani-red hv the Government nr -11-- A--4 Homeowner-Contractor Agreement cont'd or ' employee of the Public Body who exercises such functions or responsibilities, shall have any interest, direct or indirect, in the proceeds of this loan, or in any contract entered into by the Borrower for the performance of work financed in whole or in part with the proceeds of this loan. 12d. INTEREST OF OTHER LOCAL PUBLIC OFFICIALS. No member of the govern- ing body of the locality in which the property to be rehabilitated is situated, and no other public official of the locality who exer-1, cises any 'functions or responsibilities in connection with the administration of the loan shall have any interest, direct or indi- rect, in the proceeds of this loan, or in any contract entered into by the Borrower for the performance of work financed in whole or in part with the proceeds of this loan. 13. CIVIL RIGHTS. The Grantee agrees to abide by the spirit and intent of the Civil Rights Act of 1964, as amended, and the Civil Rights Act of 1968, as amended, and the anti-discrimination provisions of Chapter 120 of the City Ordinance Code, in that its operation under this contract is free of discrimination against its employees, persons, or groups of persons on the basis or race, color, sex or national origin. 14. EQUAL EMPLOYMENT OPPORTUNITY. The Grantee agrees to abide by the Equal Employment Opportunity Clause for Contracts subject to Execu- tive Order Number 11246, as described in Attachment 1, attached hereto and made a part thereof. 15 . LEAD BASE PAINT HAZARD ACT. The Grantee agrees that no lead based paints or substances containing lead shall be used in any part of this project. Treatment necessary to eliminate immediate hazards shall, as a minimum, consist of the following: a. All surface conditions identified as immediate hazards shall be thoroughly cleaned (washed, sanded, scraped, wire brushed or otherwise cleaned) so as to remove all cracking; scaling', peeling, chipping and loose paint on applicable surfaces. Such surfaces that have been so treated shall then be repainted with two (2) coats of a suitable non-leaded paint. b. Where the paint film integrity of the applicable surface cannot be maintained, the paint shall be completely removed or the surface covered with a suitable material such as gypsum wall board, plywood or plaster, before any repainting is undertaken. ker;?-� (" 9A& Je o4 1'jL a 5 Name 6f Contractor Name( sl of Owner(-b) Signature of Conractor Date Signature Of ownet Date ATTACHMENT 1 EQUAL EMPLOYMENT OPPORTUNITY -CLAUSE FOR CONTRACTS SUBJECT TO EXECUTIVE ORDER 11246 During the performance of this contract, the contractor agrees as follows: 1 . The contractor will not discriminate against any employee or applicant for em�loyment because of race, color, religion, sex, or nation- al origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to the following: employ- ment, upgrading, demotion, or transfer; recruitment or recruitment adver- tising; layoff, or termination; rates of pay or other forms of compensa- tion; and selection for training, including apprenticeship. The contrac- tor agrees to post in conspicuous places, available to' employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause. 2. The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all quali- fied applicants will receive consideration for employment without regard to race, color, religion, sex or national origin. 3 . The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, a notice, to be provided by the agency con- tracting officer, advising the labor union or workers' representative of the contractor' s commitments under Section 202 of Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The contractor will coniply with all provisions of Executive Order No. li246 of September 24, 1965, and of the rules, regulations, and rele- vant orders of the Secretary of Labor. ATTACHMENT 1 Page -2- 6. In the event of the contractor' s noncorClAlance with the nondis- crimination clauses of this contract or with any of such .rules, regula- tions, or orders, this contract may be cancelled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further GovernmeQt contracts in accordance with procedures authorized in Executive Order No. 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order No. 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. 7. The contractor will include the provisions of Paragraph ( 1 ) through (7) in every sub-contract or purchase order unless exempted by rules, regulations, or orders of the Secretary of labor issued pursuant to Section 204 of Executive Order No. 11246 of September 24,_ 1965, so that such provisions will be binding upon each sub-contractor or vendor. The contractor will take such action with respect to any sub-contract or purchase order as the contracting agency may direct as a means of enforc- ing such provisions including sanctions for noncompliance; provided, however, that in the event the contractor becomes involved in, or is threatened with, litigation with a sub-contractor or vendor as a result of such direction by the contracting agency, the contractor may request the United States to enter into such litigation to protect the interests of the United States. The offerer' s or bidder' s attention is called to the "Equal Opportu- nity Clause" and the "Standard Federal Equal* Employment Opportunity Con- struction Contract Specifications" set forth herein. The goals and timetables for minority and female participation, ex- pressed in percentage terms for the contractor' s aggregate work force in each trade on all construction work in the covered area, are as follows: 1 . The goals for minority participation are 21.896 for each trade . T1,N in �r%nl 4= -F�� FA=M=I � —r.*4 _4 rNn+.4__ ___ I __ - BID FORM ALE DErl 3ALFE, INC. CER f3U1LD%1C "' CENT '0 CTOR JACKSURY21, ' "A 0 ""L DR S(JI E 211 N RUBY JENNINGS 32216 (Home owner) (contractor or Bidder) 40 DUDLEY STREET (Address ) (Address ) (Phone) Material Specifications Material Labor 1. ROOF: Tear off and replace all deteriorated wood and metal compone ts Install 30# felt paper and 20 yr shingles. 2. CHIMNEY: Remove chimney and patc voids with consistent materials. 3. FRONT PORCH: Jack up and level porch. Buildup piers. Replace all deteriorated joists, flooring, and framing. Install new screens and screen door. 4. SIDING: Tear out and replace all deteriorated siding and trim with consistent material. 5. WINDOWS: Install pre-finished single hung units at all openings. Caulk seams to be weathertight. 6. KITCHEN: Replumb supply and waso lines including all fixtures and washer lines.' Install vinyl floor covering. Install upper and base cabinets. 7. ELECTRICAL: Troubleshoot and 3 repair illegal and faulty wiring and fixtures. A Subtotals : -77,C 3-775�_ 5-5 --Totals 2- 1 — ) <�j— (Contract or or 't?af-der Signature) BID___F0RM ALEXANDER W. BALFE, INC. CERTIFIED BUILDING CONTRACTOR 101 CENTURY 21 DR.,SUITE 211 RUBY JENNINGS JACKSONVILLE,FL 32216 (Home Owner) (Contractor or Bidder) PAGE 2 (Address) (Address � (Phone ) Material Specifications material Labor 8. BATHROOM: Repair walls and install a new tub surround. Re-plumb with handicapped' accessible fixtures and grab bar. Prel� and paint walls and trim to a semi'gloss finish. , 9. EXTERIOR FINISH: Prep and paint exterior complete-ly.- Prime all bare 47� 9 _7� and new wood. Finish with two coats of low luster paint. 10. INSULATION: Insulate attic SpaCE 3 to R-19 with blown-in fiberglass. 11. ,REAR PORCH: Replace all deter- iorated wood components. Re-build C) piers. Install new screens, storm door and steps. 12. SEPTIC: Connect septic lines to '7 0 municipal sewer service. 13. 'TREE SERVICE: "Cut and haul limbs L2 hanging over house. 14. HVAC: Install complete central heat pump and air conditioning system. Upgrade electrical panel as necessary. Subtotals : Totals : s (o (Date) (Contractoi: or E_-j_dd/�gnature) TITLE FIR3T LAST ADDRESS TELEPHONE (2cy4fac4or Mrs. Cynthia Bats 94 Lewis Street 246-4311 Pc-k--)-F>J) Ocl A Lcf 11 -744 OY- a"-) Jackson 2(/6-2 Mr. Charles Campbell 320 Dudley Street 246-2748 Za w C,'—' -4'& -6,-:�3 7 J a 54'- ;R 9S7, Mrs. Ruby Jennings 40 Dudley Street 249-2450 6--?37 Mrs. Lola Mae Johnson 2013 Mealy Street 246-0364 (Cornejj'(�S) Mrs. Ruth Jones 26 Edgar Street 247-3969 JOqce- F;�e-ev,7a12 4�� Y OcLh c kso r) .2 2 Mrs. Lillie McQueen 50 Ardella Road 247-9417 J oLice- Fyee-tqy,�- - ;5�0- 71 9 D/ Mrs. Mary Mitchell 1850 George Street 249-7441 1 I-- �j Mrs. Louise Pollard 150 Ardella Road Mr. Raridy Rhone 1810 George Street 246-9460 SL 2 4 q-3 j 9 62 Mrs. Christine Sanders 30 Ardella Road 247-8573 LCD 01 el)-U-S Mr. Mack Stanford 1860 George Street 2494635 660,'A&/Y�S Pa4he— /Vu oj — I q-7-,37gS— Mr. Theodore Wells 95 Robert Street 246-3513�fS,,/.r, '�T�e.,l e- 7?;1-7 V16 0 PJU,,"n — Q q-7-0 —,� -5c — Mr. John Wingfield 45 Robert Street 246-7793 2E 07Y-j20-',7 jac��O,-) Mr. Joseph Wise 1950 Francis Avenue 241-0816 �&We. 1,9,bbe,+ Jq4v - -74-46-6R37 05/16/2001 11:56 9046952964 JAXPLSEPTIC PAGE 07 CITY OF ATZ"TIC MUM APPLICATZ014 FOR FLEIMMM PERMIT jOB l.00A'l'ION- Lf 0 d OWNER OF PROPERTY: TELEPHONE NO,!�9 - .200 PLUMBING CONTRACTORT4 y /0 OA 7-1 L 7-11 IL CONTRACTOR'S AnDRESS : / 7 (c 131CAl't, ;:J�, , 3.2 2 :Z) STATE LICENSE NUMBER: F( JELF-PHONE: 7 �6-13 go HOW MANY OF THE MLLCWrNG FIXTURES rNSTALLED SINKS SHOWERS LAVATORY WATER HEATERS TUBS DISHWASHERS uRrNALs —DISPOSALS -CLOSETS WASHING MACHINE —FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES:- x $3. 50 $15 . 00 MINIlvfUM PERMIT FEE - $25.00 SIGNATURE OF' OWNER: SlCaNAZURE OF CCNTRACTOR; -------------------------------------------- --------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH. THE MOST RECENT EDITION OF TNE SOUTHERN STANDARD PLUMBING CODE. -ALL A DAY AREAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKSF- - N PECTION PRIOR TO COVERING UP - (904) 247-5834 , A*.