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Permit 618-618-1 W Dutton Island 11/16/95 CITY OF ATLANTIC BEACH 9 : 02 : 58 ClIR007 SPECIAL INVESTIGATION CMN007 COMPLAINT # 3810 COMPLAINT DATE : 95/ 11/16 ASSIGNED DEPT/DIV: 10 06 PRIORITY CODE : 0 COMPLAINT TIME : 8 : 58: 24 TAKEN BY: KARLGRUN COMPLAINANT : JONES JAMES ADDRESS : ATLANTIC BEACH FL 00000 PHONE ; 904-642-5244 EXT: LOCATION: 618-1 DUTTON RD ATLANTIC BEACH FL 00000 OWNER : COMPLAINT DESC : ABANDONED BOAT DATE OF INVESTIGATION: 95/ 11/15 INVESTIGATOR: GRUNEWALD --------------------------------------------------------------------------- CONDITIONS FOUND : BOAT STORED ON SIDE OF PROPERTY APPEARS TO BE ABANDONED AND DETERIATING ACTION TAKEN: COMPLIANC NOTES : Flotida'Building Code Online Page 1 of 4 rA 14 « BCIS Home Log In Hot Topics Submit Surcharge Stats& Facts Publications FBC Staff BCIS Site P Product Approval USER: Public User • Product Approval Menu > Product or Application Search > Application List > Application Detail ` J FL # FL1089-R1 Application Type Revision Code Version 2004 Application Status Approved !, Comments Yy Archived , Product Manufacturer Alside, Inc., Division of AMI Address/Phone/Email 3773 State Road n ; Cuyahoga Falls, OH 44223 a (330) 922-2108 mfernbaugh@alside.com Authorized Signature Marsh Fernbaugh mfernbaugh@alside.com Technical Representative Marsh Fernbaugh Address/Phone/Email 3773 State Road Cuyahoga Falls, OH 44281 mfernbaugh@alside.com Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers AssociE http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtwudLxnkwGmV1tZ74... 4/19/2006 Florida Building Code Online Page 2 of 4 Referenced Standard and Year (of Standard Standard) ANSI/AAMA/NWDA 101 IS-2 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 06/14/2005 Date Validated 08/05/2005 Date Pending FBC Approval 08/09/2005 Date Approved 08/24/2005 Summary of Products FL # IlModel, Number or Name__j Description 1089.1 0201 Replacement: 48x78 DP30, 44x7 11 DP45, 36x72 DP55; 1/8" glass Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 0201:48x78 (1/8" annealed) DP30, 44x77 (1/8" annealed) DP35, 44x60 (1/8" annealed)DP45, 36x72 (1/8" annealed) DP55 1089.2Ir 01 144x6O New Construction: 48x77 DP25, DP35, 36x72 DP50; 3/32" Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 0301:48x77 (3/32" annealed) DP25, 44x77 (3/32" annealed) DP30, 44x60 (3/32" annealed)DP35, 36x72 (3/32" annealed) DP50 1089.30401 Replacement: 48x78 DP25, 44x7 11DP40, 3602 DP35; 1/8" glass Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 0401:4808 DP25 (1/8" annealed), 4407 (1/8" annealed) DP30, 44x60 (1/8" http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE V XQwtDq twudL xnkwGm V 1tZ 74... 4/19/2006 Florida Building Code Online Page 3 of 4 �annealed)DP40, 36x72 (1/8" annealed) DP35 1089.4 0501 Replacement: 52x84 DP25, 44x7 DP45, 3602 DP45, 36x60 D1360; Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 0501:52x84 (1/8" annealed) DP25, 4407 (1/8" annealed) DP40, 44x60 (1/8" annealed)DP45, 3602 (1/8" annealed) DP45, 36x60 (1/8" annealed) DP60 1089.5 0501 Replacement: 52x61 DP35; 1/8" 11 locks/keepers,"DP" tilt latch w/"F Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 0501:52x61 "C" package (1/8" annealed) DP35 1089.6 8001 Replacement: 4407 DP30, 44x6 DP40; 3/32" glass Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 8001:44x77 DP30,44x60 DP40,36x72 DP40 1089.7 9001 Replacement: 4407 DP35, 44x6 DP50, 36x60 DP65; 3/32" glass Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 9001:4407 DP35,44x60 DP50,36x72 DP50,36x60 DP65 Back Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtwudLxnkwGmV1tZ74... 4/19/2006 Flarida'Building Code Online Page 4 of 4 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850)487-1824, Suncom 277-1824, Fax(850)414-8436 © 2000-2005 The State of Florida. All rights reserved. Copyright and Disclaimer Product Approval Accepts: hk http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE VXQwtDgtwudLxnkwGmV 1tZ74... 4/19/2006 Ak Architectural Testing AAMA/WDMA/CSA TEST REPORT Rendered to: ALSIDE WINDOW COMPANY SERIES/MODEL: 0201 PRODUCT TYPE: PVC Double Hung Window Summaa of Results Title Test Specimen#1 Test Specimen#2 Test Specimen#3 PrimaryProduct Designator H-LC25 1118 x 1956 H-LC45 1 1 18 x 1524* H-LC55 914 x 1524* g 44 x 77 44 x 60* 36 x 60* Design Pressure* 1200 Pa 25.0 sf9 2160 Pa 45.0 sf) 2640 Pa 55.0 s Negative Design Pressure* 1200 Pa 25.0 pst) 2160 Pa 45.0 pst) 2640 Pa 55.0 st Operating Force in motion _ 89 N 20 Ib N/A N/A Air Infiltration 1.1 L/s/mZ N/A N/A 0.21 cfm/ft Water Penetration Resistance Test Pressure 440 Pa 9.0 s N/A N/A Uniform Load Structural Test Pressure 1800 Pa(±37.5 sf) ±3240 Pa ±67.5 s ±3960 Pa ±82.5 sf Forced Entry Resistance Grade 10 N/A N/A *-Optional Secondary Designators Test Completion Date: 01/27/06 Reference must be made to Report No. 62609.02-501-47, dated 02/14/06 for complete test specimen description and data. 130 Derry Court York, PA 17402-9405 phone: 717-764-7700 fax: 717-764-4129 www.archtest.com Ak Architectural Testing AAMA/WDMA/CSA TEST REPORT Rendered to: ALSIDE WINDOW COMPANY 3773 State Road Cuyahoga Falls,Ohio 44223 Report No.: 62609.02-501-47 Test Dates: 01/25/06 Through: 01/27/06 Report Date: 02/14/06 Expiration Date: 01/27/10 Project Summary: Architectural Testing, Inc. (ATI) was contracted by Associated Materials, Inc. to perform tests on three Series/Model 0201, PVC double hung windows at their facility located in Cuyahoga Falls, Ohio. The samples tested successfully met the performance requirements for the following ratings: Test Specimen #l: H-LC25 1118 x 1956 (44 x 77); Test Specimen #2: H-LC45 1 1 18 x 1524* (44 x 60*); Test Specimen #3: H-LC55 914 x 1524* (36 x 60*). Test specimen description and results are reported herein. General Note: An asterisk (*) next to the performance grade indicates that the size tested for optional performance was smaller than the Gateway test size for the product type and class. Test Specifications: The test specimens were evaluated in accordance with the following: ANSI/AAMA/NWWDA 101/1.S.2-97, Voluntary Specification's for Aluminum, Vinyl (PVC) and Wood Windows and Glass Doors. AAMA/WDMA/CSA 101/I.S.2/A440-05, Standard/.Specification for Windows, Doors, and Unit Skylights. Test Specimen Description: Series/Model: 0201 Product Type: Poly Vinyl Chloride (PVC) Double Hung Window Test Specimen #1: H-LC25 l 1 18 x 1956(44 x 77) Overall Size: 1118 mm (44") wide by 1956 mm (77") high Top Sash Size: 1035 mm(40-3/4")wide by 940 mm (37") high Bottom Sash Size: 1060 mm (41-3/4") wide by 965 mm (38") high Screen Size: 1019 mm(40-1/8")wide by 965 mm(38") high Overall Area: 2.19 m2 (23.5 ft2) 130 Derry Court York, PA 17402-9405 phone: 717-764.7700 fax: 717-764.4129 www.archtest.com AL 62609.02-501-47 Architectural Testing Page 2 of 10 Test Specimen Description: (Continued) Test Specimen#2: H-LC45 1118 x 1524* (44 x 60*) Overall Size: 1 1 18 mm (44")wide by 1524 mm(60")high Top Sash Size: t035 mm(40-3/4")wide by 721 mm(28-3/8")high Bottom Sash Size: 1060 mm(41-3/4")wide by 748 mm(29-7/16") high Overall Area: 1.70 m2 (18.3 ft2) Test Specimen #3: H-LC55 914 x 1524* (36 x 60*) Overall Size: 914 mm (36") wide by 1524 mm (60") high Top Sash Size: 832 mm (32-3/4") wide by 721 mm(28-3/8") high Bottom Sash Size: 857 mm (33-3/4") wide by 748 mm (29-7/16") high Overall Area: 1.39 m2 (15.0 fe) The following descriptions apply to all specimens. Finish: All PVC was white. Glazing Details: The sash were exterior glazed with nominal 21 mm (13/16") thick, sealed insulating glass fabricated from two sheets of 3.0 mm(I/8")clear annealed glass a U-shaped steel spacer system embedded in sealant, single sealed. The insulating glass was set against a double-sided adhesive tape and secured with rigid vinyl glazing beads. Frame Construction: The PVC frame was constructed using mitered and welded corner construction. A snap-in PVC adapter was applied to the head. Sash Construction: The PVC sash were assembled utilizing mitered and welded corner construction. Screen Construction: The screen was constructed with extruded aluminum. The corners were miter cut and secured using plastic corner keys. The fiberglass mesh screen cloth was held-in-place with a flexible vinyl spline. Ak 62609.02-501-47 Architectural Testing Page 3 of 10 Test Specimen Description: (Continued) Weatherstripping: Description Quantity Location 4.7 mm (0.187") backed by I Row Head insert, sill, lock rail 6.6 mm (0.260") high pile with center fin 4.7 mm (0.187") backed by I Row Exterior meeting rail (exterior), 8.9 mm (0.350") high pile top rail with center fin 4.7 mm(0.187") backed by 2 Rows Sash stiles 8.9 mm (0.350") high pile with center fin 4.7 mm(0.187") backed by I Row Exterior meeting rail (interior) 14.0 mm (0.550") high vinyl jacket/foam filled bulb 4.7 mm(0.187') backed by I Row Bottom rail 10.2 mm(0.400")diameter, offset vinyl jacket/foam filled bulb 25.4 mm (1.0") by 12.7 mm (1/2") 4 Meeting rails, one at each end by 6.4 mm(0.250") high adhesive backed pile pad Hardware: Description Quantity Location Metal button cam lock I Lock rail at mid-span, with mating and keeper keeper at exterior meeting rail (Test Specimen#1) Metal button cam lock 2 Lock rail,216 mm (8-1/2") in from and keeper each end, mating keepers at exterior meeting rail (Test Specimen#2 &#3) Plastic tilt latch 4 Top corner of sash Metal pivot bar 4 Bottom corner of sash Constant force balance 4 One per jamb system with locking tilt shoes AL 62609.02-501-47 Architectural Testing Page 4of 10 Test Specimen Description: (Continued) Drainage: Description Quantity Location 22 mm(7/8")wide by 2 Exterior face of sill, one at 4.7 mm(3/16") high weepslot each end (with flap) 32 mm (I-1/4") wide by 2 Sill/jamb intersection, one at each 12.7 mm (1/2")deep weepslot end 25 mm (I") wide by 2 Intermediate sill wall, one at 4.7 mm (3/16") high weepslot each end 19.0 mm(3/4") wide by 2 Sill screen track, one at 4.7 mm (3/16")deep weepslot each end 9.5 mm (3/8")wide by 4 Bottom sash rail and exterior 3.2 mm (1/8")deep weepslot meeting rail, one at each end Reinforcement: The lock rail contained a custom shaped, formed steel reinforcement measuring 22.2 mm by 11.7 mm by 1.2 mm (0.875" by 0.461" by 0.047"), reference Drawing No. UY0095. The keeper rail and bottom rail contained a custom shaped, formed steel reinforcement measuring 11.7 mm by 12.0 mm by 1.5 mm (0.875" by 0.473" by 0.059"), reference Drawing No. UY0094. Installation: The unit was installed in a wood buck constructed of Spruce-Pine-Fir construction lumber and secured through the jambs to the buck using four #8 x 64 mm (2-1/2") long screws, one at the top and bottom of each jamb. The exterior and interior perimeter was sealed with a silicone sealant, with the exception of an approximate 102 mm (4") long void at each interior sill corner. A nominal 5 mm (3/16") gap was maintained at the perimeter between the buck and window frame. AL 62609.02-501-47 Architectural Testing Page 5 of 10 Test Results: The results are tabulated as follows: Paragraph Title of Test-Test Method Results Allowed Test Specimen#1: H-LC25 l l l8 x 1956 (44 x 77) 2.2.1.6.1 Operating Force 5.3.1.1 Bottom Sash Open Breakaway 67 N (15 lbs) 230 N (50 lbs) Maintain motion 89 N(20 lbs) 155 N (35 lbs) Close Breakaway 36 N (8 lbs) 230 N (50 lbs) Maintain motion 45 N (10 lbs) 155 N (35 lbs) Top Sash Open Breakaway 27 N (6 lbs) 230 N (50 lbs) Maintain motion 89 N (20 lbs) 155 N (35 lbs) Close Breakaway 53 N (12 lbs) 230 N (50 lbs) Maintain motion 80 N (18 lbs) 155 N (35 lbs) Lock Open 5 N (I lb) 100 N (22.5 lbs) Close 5 N (i lb) 100 N (22.5 lbs) Latches Open 5 N (1 lb) 100 N (22.5 lbs) 2.1.2 Air Leakage Resistance per ASTM E 283 (See Note#1) 5.3.2 75 Pa(1.57 psf, 25 mph) 1.1 L/s/m2 1.5 L/s/m2 (0.21 cfm/ft2) (0.30 cfm/ft2)max. Note #1: The tested specimen meets (or exceeds) the performance levels specified in ANSI/AAMA/NWWDA 1011I.S.2-97, 101/1 S.2/NAFS-02, AAMA/WDAWCSA 101/1.15. 2/A440-05 for air infiltration. Ak 62609.02-501-47 Architectural Testing Page 6of10 Test Results: (Continued) Paragraph Title of Test-Test Method Results Allowed Test Specimen #1: H-LC25 l l 18 x 1956(44 x 77) (Continued) 2.1.3 Water Resistance per ASTM E 547 5.3.3 (with and without screen) 180 Pa(3.75 psf) No leakage No leakage 2.1.4.1 Uniform Load Deflection per ASTM E 330 5.3.4.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 1200 Pa(25.0 psf)(positive) 6.9 mm (0.27") See Note#2 1200 Pa(25.0 pso(negative) 9.1 mm (0.36") See Note#2 Note#2: The deflections reported are not limited by AAAfA/WDMA/CSA 101/LS.2/A440-05 for this product designation. The deflection data is recorded in this report for special code compliance and information only. 2.1.4.2 Uniform load Structural per ASTM E 330 5.3.4.3 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1800 Pa(37.5 psi)(positive) 0.5 mm (0.02") 4.1 mm (0.16") max. 1800 Pa(37.5 psi)(negative) 0.3 mm (0.01") 4.1 mm (0.16") max. 2.1.8 Forced Entry Resistance per ASTM F 588 5.3.5 Type: A Grade: 10 Hand Tool Manipulation No entry No entry Tests A t through A7 No entry No entry Hand Tool Manipulation No entry No entry 5.3.6.2 Thermoplastic Corner Weld Test Meets as stated Meets as stated 62609.02-501-47 Architectural Testing Page 7 of 10 Test Results: (Continued) Paragraph Title of Test-Test Method Results Allowed Test Specimen#1: H-LC25 1 1 18 x 1956(44 x 77) (Continued) 2.2.1.6.2 Deglazing Test per ASTM E 987 5.3.6.3 Top Sash In operating direction - 320 N (70 lbs) Meeting rail 1.5 mm(0.06") 11.43 mm (0.45") Top rail 1.5 mm(0.06") 11.43 mm (0.45") In remaining direction -230 N (50 lbs) Left stile 0.8 mm(0.03") 11.43 mm (0.45") Right stile 0.8 mm(0.03") 11.43 mm (0.45") Bottom Sash In operating direction - 320 N (70 lbs) Meeting rail 1.5 mm(0.06") 11.43 mm (0.45") Bottom rail 1.5 mm (0.06") 11.43 mm(0.45") In remaining direction -230 N (50 lbs) Lett stile 0.8 mm(0.03") 11.43 mm (0.45") Right stile 0.8 mm (0.03") 11.43 mm (0.45") Optional Performance 4.3 Water Resistance per ASTM E 547 4.4.3.4 (with and without screen) 440 Pa(9.0 pst) No leakage No leakage / 62609.02-501-47 Architectural Testing Page 8 of 10 Test Results: (Continued) Paragraph Title of Test-Test Method Results Allowed Test Specimen #2: I-1-LC45 1 118 x 1524* (44 x 60*) Optional Performance 4.4.1 Uniform Load Deflection per ASTM E 330 4.4.3.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 2160 Pa(45.0 psf)(positive) 10.7 mm (0.42") See Note#2 2160 Pa(45.0 psf)(negative) 14.7 mm (0.58") See Note#2 4.4.2 Uniform Load Structural per ASTM E 330 4.4.3.2 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 3240 Pa(67.5 psf)(positive) 0.3 mm(0.01") 4.1 mm (0.16") max. 3240 Pa(67.5 psf) (negative) 1.5 mm (0.06") 4.1 mm (0.16") max. Test Specimen#3: H-LC55 914 x 1524* (36 x 60*) Optional Performance 4.4.1 Uniform Load Deflection per ASTM E 330 4.4.3.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 2640 Pa(55.0 psf) (positive) 9.1 mm (0.36") See Note#2 2640 Pa(55.0 psf)(negative) 7.6 mm (0.30") See Note#2 4.4.2 Uniform Load Structural per ASTM E 330 4.4.3.2 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 3960 Pa(82.5 psf)(positive) 1.5 mm (0.06") 3.3 mm (0.13") max. 3960 Pa(82.5 psf)(negative) 0.3 mm (0.01") 3.3 mm (0.13") max. Ak 62609.02-501-47 Architectural Testing Page 9of 10 Drawing Reference: The test specimen drawings have been reviewed by ATI and match the test specimen reported herein. Detailed drawings, representative samples of the test specimen, and a copy of this report will be retained by ATI for a period of four years from the original test date. The above results were secured by using the designated test methods and they indicate compliance with the performance requirements of the above referenced specification. This report does not constitute certification of this product, which may only be granted by the certification program administrator. This report may not be reproduced, except in full,without the approval of Architectural Testing, Inc. For ARCHITECTURAL TESTING, INC. wry grW for Dym GwW by J&wWar L D@VW Digitally Signed by:Michael L Ma"Wred, Lynn George Michael L. Mackereth Project Manager Director-Operations LGJ1d Attachments(pages): Appendix-A: Alteration Addendum(1) Appendix-B: Drawings(13) CITY OF ATLANTIC BEACH s WINDOWS, SKYLIGHTS, GARAGE DOORS,HURRICANE SHUTTERS ( Dater / Job Address:_ (p Owner: D 4v . C) T- 5EN N E%T Address: 1( t t 1�0�-�a 1 � � 4.� -� . FC... Phone: 9 6 4-244- bio 6S Legal Description: Block Number: Lot Number: ^ ,1. _ Zoning District: fa 2S Zg g Contractor: Wi AdW =nL State License Number: C QC 1 ZS O 3 2/ Address:-0110 Cy Pr.56 Pt e r� �2 405 Phone: 9O4 -4-43 .--fOCA City: TAa State:_ Zip: 32,,S4, Fax: 9Cp4 -94-5 - -7-g Describe proposed use and work to be done: t,�Lc-a 4 ' b r A0 0,1 0 Ae 31t(o M 656 2 LO Q ID Cr-, ova _— Present use of land or building(s): .n L Valuation of proposed construction: nv Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. Required Building Data: Mean Roof Height_ _(ft) Building Width �+' (ft) Building Length (ft) Roof Slope Window Height (ft) Window Width (ft) Window Elevation from Grade 3 (ft) Measurement from corner of building to window' (ft) Number of windows being installed _ Mean Roof Height )p W 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Page 1 Revised 1/27/03 ray in Ud Ue: i up t nt orm at i on bystems cf r-oalr:, p. e- 4'' Procedure: In order to expedite issuance of permits provide all information as aauropriate. Incomplete applications may result in delay in issuance of permit. 400001, In addition to the building data,the following information I& required: 1. Manufacturer's Test Report 2. Installation Procedures 3. Window Descriptiosaype 4. Garage Door Descriptionfrype 5. Skylights Description/Type 6. Elevation View of Window Locations I hereby certify that al ' ation provided with this ap lication is Correct. SignatureofOwner: 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 constriction 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 pians and supporting data have been or shall be provided as required Signature of Contractor. L Date: 19 AR?n� 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 / day of 7 20�-�i State of Florida,County of Duval =, D)AVID BO e o Notary's Signature: • State of Honda Expires Mar 20,201f. ❑ personally known n S DD 53056ctional Notar, a;sr Produced identification M,, Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of_f- f P_i L 20 .04. State of Florida,County of Duval Notary's Signature: �a-� L/ personally known R LEE WEAVER ❑ Produced identification n"iib fig' s X95570 Type of identification pr_ jr'"aOF WM�n lnp� CCNPW 880 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 2 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ei-atlantic-beach.(Lus Revised l/27/03 r-' NAap Af &v4 rt- ZR-T- ^e CQ 23 Y'4 �Z Z�► 7Z- 2� t �, w^� _� ►( 2c--�C'�R 1' .'ts�. e s2 r Zs o3 z.. l 8110 Cypress Plaza Drive,Ste 405 • Jacksonville,FL 32258 V Fll rida'Building Code Online Page 1 of 4 0 man BCIS Home Log In Hot Topics Submit Surcharge Stats &Facts '. Publications FBC Staff BCIS Site D Product Approval USER: Public User Product Approval Menu > Product or Application Search > Application List > Application Detail ;i FL # FL1089-R1 � l Application Type Revision Code Version 2004 r. Application Status Approved Comments some= „„e Archived Product Manufacturer Alside, Inc., Division of AMI Address/Phone/Email 3773 State Road Cuyahoga Falls, OH 44223 (330) 922-2108 Ease= mfernbaugh@alside.com ,eim 28r ,4,ui p�> >es Authorized Signature Marsh Fernbaugh mfernbaugh@alside.com iiF9grr '(4i'. r' Technical Representative Marsh Fernbaugh EVEN= Address/Phone/Email 3773 State Road Cuyahoga Falls, OH 44281 INNNOMMmfernbaugh@alside.com 11101M Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Associz http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE VXQwtDgtwudLxnkwGmV 1tZ74... 4/19/2006 Florida'Suilding Code Online Page 2 of 4 Referenced Standard and Year (of Standard Standard) ANSI/AAMA/NWDA 101 IS-2 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 06/14/2005 Date Validated 08/05/2005 Date Pending FBC Approval 08/09/2005 Date Approved 08/24/2005 Summary of Products FL # Model, Number or Name Description 1089.1 0201 Replacement: 48x78 DP30, 44x7 DP45, 36x72 DP55; 1/8" glass Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 0201:48x78 (1/8" annealed) DP30, 44x77 (1/8" annealed) DP35, 44x60 (1/8" annealed)DP45, 36x72 (1/8" annealed) DP55 1089.2 0301 New Construction: 48x77 DP25, 44x60 DP35, 36x72 DP50; 3/32" Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 0301:48x77 (3/32" annealed) DP25, 44x77 (3/32" annealed) DP30, 44x60 (3/32" annealed)DP35, 36x72 (3/32" annealed) DP50 1089.30401 Replacement: 48x78 DP25, 44x7 DP40, 36x72 DP35; 1/8" glass Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 0401:4808 DP25 (1/8" annealed), 4407 (1/8" annealed) DP30, 44x60 (1/8" http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtwudLxnkwGmV ItZ74... 4/19/2006 I Florida';Building Code Online Page 3 of 4 111annealed)DP40, 36x72 (1/8" annealed) DP35 1089.4 0501 Replacement: 52x84 DP25, 44x7 DP45, 36x72 DP45, 36x60 DP60; Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 0501:52x84 (1/8" annealed) D1325, 44x77 (1/8" annealed) DP40, 44x60 (1/8" annealed)DP45, 36x72 (1/8" annealed) DP45, 36x60 (1/8" annealed) DP60 1089.5 0501 Replacement: 52x61 DP35; 1/8" locks/keepers,"DP" tilt latch w/"F Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 0501:52x61 "C" package (1/8" annealed) DP35 1089.68001 Replacement: 44x77 DP30, 44x6 DP40; 3/32" glass Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 8001:44x77 DP30,44x60 DP40,36x72 DP40 1089.7 9001 Replacement: 44x77 DP35, 44x6 11 DP50, 36x60 DP65; 3/32" glass Limits of Use (See Other) Certification Agency Certificai Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 9001:44x77 DP35,44x60 DP50,36x72 DP50,36x60 DP65 Back Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGE V XQwtDgtwudLxnkwGmV 1tZ74... 4/19/2006 Mridal uilding Code Online Page 4 of 4 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850)487-1824, Suncom 277-1824, Fax(850)414-8436 © 2000-2005 The State of Florida. All rights reserved. Copyright and Disclaimer Product Approval Accepts: FIAN eClk http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtwudLxnkwGmV ItZ74... 4/19/2006 V V A IU4 fic.- vC. GJ �4 Z47-�^6 23 Y4 © 234 x �Z zit 2 3 1 x 3 1 3X4 z� � ( 2-S o3 Z. f IJ�i�aut 8110 Cypress Plaza Drive,Ste 405 • Jacksonville,FL 32256 CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032844 Date 4/25/06 Property Address . . . . . . 618 W DUTTON ISLAND RD Tenant nbr, name . . . . . . REPLACE 4 WINDOWS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY Application valuation . . . . 1138 Owner Contractor - ------------------------ ----------------------- BENNETT, DAVID WINDOW WORLD OF JACKSONVILLE 8535 BAYMEADOWS ROAD UNIT 12 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 443-7001 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 1138 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILD CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH cc: \ s BUILDING /ZONING DEPARTMENT Ford 800 Seminole Road L. iggins j oerr fi Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # IA Property Address: Q I � —LI Applicant: Wi � U ULU ��1 l T V Q l.lLV t Project: old �� t 4 lXJ( �tLLo2r, Tapplication has been: Approved F-1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: `� Date: Date Contractor Notified: AGENDA ITEM#2A MARCH 8,2004 HIDDEN COVE NEIGHBORHOOD OWNERS ASSOCIATION, INC. P. O. BOX 330026 Atlantic Beach, FL 32233 (904) 249-8599 (904) 249-8598 February 26, 2004 City of Atlantic Beach Department of Code Enforcement 800 Seminole Road Atlantic Beach, FL 32233 To Whom It May Concern: I have been requested by the Board of Directors of the Hidden Cove Subdivision to contact you regarding the appearance and condition of the lot located at 618 Dutton Island Road West, Atlantic Beach, FL 32233. The lot in question is located across the street from the entrance to the Hidden Cove Community and as you can see from the attached pictures it is a real eyesore. The Board of Directors of Hidden Cove would like to know what the City of Atlantic Beach is doing, if anything, to make the owners of this property clean up their act. The property values in the area have increased in recent months but the appearance of this lot is unacceptable and if the owners of this property are allowed to continue living in this manner without consequence, neighboring property owners could potentially see a decrease in the value of their properties. Also for your information we believe that there are at least 16 people living in the home at the present time. The Board of Directors would like to be added to the agenda of the next Atlantic Beach City Council Meeting to discuss this matter. Please advise if this is a possibility and if so please provide the date, time and place of the next scheduled meeting. We look forward to hearing from you in the very near future regarding this matter. If you have any questions please call. Sincerely, aAAAA— Karn Floyd Manager AGENDA ITEM#2A MARCH 8,2004 Y r RL nib' -jimmog s A � r s 5" "o a.. yy 77�'•,'�.& i zn b s '� '67 k d . 1 �,K --- - AGENDA ITEM#2A MARCH 8,2004 t c t` f} s YD'S°. ' . r �' t�" ,� x✓ i fp ��i � �N of�xn.;,..� a nA �1<q a,�1�, a N, i( �n+'�+4f*� �, �.. ..� tK�u' d�"P z n 'f6 ,��k >t ��. a � ^+n �' 'w •� �� '+ � � � �weesro uF " R'��''�'�` 8 ° F Ar ..s a PF 1 z � ,mayrz v N a t .> �.. n a �y max gk" .;iia • ,`rE a»+; CITY OF -*e4 c Ve4d - 800 SEMINOLE ROAD A _ ---- ---_-- ATLANTIC BEACH,FLORIDA 32233-Sii? TELEPHONE(904)247•S800 FAX(904)247.5805 CERTIFICATE OF SERVICE hereby certify that I delivered a notice to [/iT�' �%�vvE� at 1524 North Third Street,, Jacksonville, 1kEffi$acx4sa , FLorida 32250 x3144 , t h i s a5--- day of-- July 1996. at,2,JrC/ 3r O , clock M. This notification was in reference to CITY OF ATLANTIC BEACH CODE ENFORCEMENT •618-1 Dutton Road a/k/a Part Government Lot 1, 0/R 5659-1084 RE#172385-0025 SIGNATURE OF SERVER: SIGNATURE OF RECEIVER: DATED: July :Z,5— 1996 CITY OF /*&4 is 800 SEMINOLE ROAD -------_ ..__ _.__-_______ ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 "' 96 SUNCOM 852-5800 David J. and Catherine Bennett 1524 North Third Street Jacksonville Beach, FI 32250 Dear Mr. and Mrs. Bennett: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 618-1 Dutton Road a/k/a Part Government Lot 1, O/R 5659-1084 RE#172385-0025 Investigation of this property discloses that I have found and determined that a violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-8 (Unsafe- Unsanitary Building) and Standard Housing Code violations as follows: 1. Standard Housing Code Section 304, Unprotected wires in kitchen ceiling outlet; 2. Standard Housing Code Section 304, Jacuzzi motor not secured; 3. Standard Housing Code Section 304, Unprotected wires in bedroom and living room ceiling outlets; 4. Standard Housing Code Section 304, HVAC air-handler has exposed wires; 5. Standard Housing Code Section 302.1, Sink shut-off valves in kitchen defective; 6. Standard Housing Code Section 302.1, Toilets do not flush and refill properly; 7. Standard Housing Code Section 305.16.2, Kitchen floor not impervious to water and food; 8. Standard Housing Code Section 305.16.2, Living space floors are bare concrete; 9. Standard Housing Code Section 305.7, Window in living room inoperable; 10. Standard Housing Code Section 303.3, Bathroom exhaust fan missing; 11. Standard Housing Code Section 305.12.1, Front door not weathertight; 12. Standard Housing Code Section 305.20, Trim missing from doorjamb; 13. Standard Housing Code Section 305.5, Front and rear decking has several rotted areas; David and Catherine Bennett Page Two July 18, 1996 14. Standard Housing Code Secion 302.9, No visible smoke detector; 15. Standard Building Code 91, Section 804.3.4, Fireplace hearths shall be constructed of noncombustible material; 16. Standard Mechanical Code 91, Section 302.2.1, No filter installed in air handler; 17. City of Atlantic Beach Ordinance Chapter 12, Section 12-1-3, Yard strewn with trash. When the above violations have been brought into compliance call this office at 247-5826 for an inspection. This will prevent any further action on the part of the City of Atlantic Beach. You are hereby notified that unless the condition above described is remedied within thirty (30) days from the date of your receipt hereof, this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, arl W. Grun wald Code Enforcement Officer KWG/pah cc: Public Safety Director VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED CITY OF > a*'e Ve d - �Cmrcda 800LE ROAD ATLANTIC BEACHEACH.,FFLORIDA 32233-5445 TELEPHONE(904)247.5800 FAX(904)247.5805 I Dear Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: Investigation of this property discloses that I have found and determined that a violation of the Chapter 12, Section 12-1-8 (Unsafe-Unsanitary Building) and and Standard Housing Code violations as follows: When the above violations have been brought into compliance P- call this office at 247-5826 for an inspection. This will prevent any further action on the part of the City of Atlantic Beach. You are hereby notified that unless the conditions above described are remedied within thirty (30) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250 .00 per day for a first violation and $500 .00 per day for a repeat violation. Sincerely, Karl W. Grunewald Code Enforcement Officer KWG/pah cc: City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED David and Catherine Bennett Page Two July 18, 1996 14. Standard Housing Code Secion 302.9, No visible smoke detector; 15. Standard Building Code 91, Section 804.3.4, Fireplace hearths shall be constructed of noncombustible material; 16. Standard Mechanical Code 91, Section 302.2.1, No filter installed in air handler; 17. City of Atlantic Beach Ordinance Chapter 12, Section 12-1-3, Yard strewn with trash. When the above violations have been brought into compliance call this office at 247-5826 for an inspection. This will prevent any further action on the part of the City of Atlantic Beach. You are hereby notified that unless the condition above described is remedied within thirty (30) days from the date of your receipt hereof, this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, �arl W. Grun wald Code Enforcement Officer KWG/pah cc: Public Safety Director VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED CITY OF 1'¢t�sctic �eac� - ��i�ida 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-54.5 TELEPHONE(904)247-5800 FAX(904)247-5805 96 s SUNCOM 852-5800 David J. and Catherine Bennett 1524 North Third Street Jacksonville Beach, FI 32250 Dear Mr. and Mrs. Bennett: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 618-1 Dutton Road alkla Part Government Lot 1, O/R 5659-1084 RE#172385-0025 Investigation of this property discloses that I have found and determined that a violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-8 (Unsafe- Unsanitary Building) and Standard Housing Code violations as follows: 1. Standard Housing Code Section 304, Unprotected wires in kitchen ceiling outlet; 2. Standard Housing Code Section 304, Jacuzzi motor not secured; 3. Standard Housing Code Section 304, Unprotected wires in bedroom and living room ceiling outlets; 4. Standard Housing Code Section 304, HVAC air-handler has exposed wires; 5. Standard Housing Code Section 302.1, Sink shut-off valves in kitchen defective; 6. Standard Housing Code Section 302.1, Toilets do not flush and refill properly; 7. Standard Housing Code Section 305.16.2, Kitchen floor not impervious to water and food; 8. Standard Housing Code Section 305.16.2, Living space floors are bare concrete; 9. Standard Housing Code Section 305.7, Window in living room inoperable; 10. Standard Housing Code Section 303.3, Bathroom exhaust fan missing; 11. Standard Housing Code Section 305.12.1, Front door not weathertight; 12. Standard Housing Code Section 305.20, Trim missing from doorjamb; 13. Standard Housing Code Section 305.5, Front and rear decking has several rotted areas; IV i CITY OF Aft aw a Tead - 57&u�& 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 Sop f 10, 1996 FAX(904)247-5805 SUNCOM 852-5800 David J. Bennett 1524 N. 3rd Street Jacksonville Beach, FL 32250 Dear Mr. Bennett: Our records indicate that you are the owner of the following property in the City ®f Atlantic Beach, Florida: Re: 818-1 Denton Road aWa Part Govt Lot 1, OIR 5659-1084 RE#172385-0025 Investigation of this property discloses that I have found and determined that a violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-8. Please be advised that 1 am waiting for your request to inspect the above property for compliance of violations listed in my notification dated July 18, 1996. (copy enclosed) n Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, Karl W. Grunewald Code Enforcement Officer KWG/pah Enclosure cc: Public Safety Director VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028565 Date 6/30/04 Property Address . . . . . . 618 01 W DUTTON ISLAND RD Tenant nbr, name . . . . REPL HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------- ----------- ------------------------ OCCUPANT HUXHAM HEATING & AIR 618-01 CHURCH ROAD 1078 NINTH STREET SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-6721 --------------------------------------------------------------- ------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/30/04 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 4 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING COD I 0%-K BUILDING OFFICIAL r rL`I Plp CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION ., Lft '!T s�- Date: 0 Property Address: &L- Owner: ��,It1iV4�'TT Telephone #: Contractor: 9SLIely- nm Telephone #: 546 Contractor Address: /02tf &!Ak- R@rk Sq— Fax #: gq(2-037 7 In consideration of permit given for doing the work as described in the above statement,we hereby agree to perforin said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of —good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: L'lectric ❑ Gas: !LP _Natural e—<cntral Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Cr'Heat — Space _Recessed 'Central _Floor CKResidential ElAir Conditioning: _Room _Central ❑ Duct System: Material Thickness O Commercial Maximum capacity cfln CI Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpin Or' Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— Manlift Escalator (Number) IUY Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel LlExtension or Add-un to Existing System O Boilers O Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model N Manufacturer 13TU's Agency I #/1/_/ 19(Ag--g`( 6"c�m.��. G2 y CX2 TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road- Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845 - http://www.ei.atiatitic-beacii.fl.us i DEPARTMENT OF BUILDING C CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 4O V PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 5/13 1983 795O,._T 1A 5/13/6 Valuation$ RER00F Fee$ 7.50 iAu •UUCAC :31� 1A 5/13/0 This permit not valid until above fee bas been paid to City Treasurer,and is 1 0U subject to revocation for violation of applicable provisions of law. This is to certify that THOMAS J. BENNETT 618 CHURCH ROAD has permission to build REROOF Classification Zone Owned by THOMAS J. BENNETT 'i Lot Block S/D House No. 618 CHI RC'bi RfOAT) - According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. I PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE 4 4----i O Building material, rubbish and debris Z from this work must not be placed in public space, and must be cleared yuphauled away by either con- owner. Building Official. I I FOR OFFICE PERMIT DATE CONTRACTOR i. USE ONLY NUMBER i PLUMBING ELECTRICAL SEWER WATER Date......................... ........19 . CITY OF ATLANTIC BEACH Permit#........................Fee$........................ Valuation $...................................................... FLORIDAValuation * APPLICATION FOR BUILDING PERMIT --------------------------------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified / l/ Date.. ._./ . .2 > ` ..... ...................•---•--....., 1 ....__._... Owner.:. ' � ....... Address-------------------------------•---------------------------Telephone No.---.------------------•----- Architect.................... /. � f C.�.Address-.----------•---------------------••--•--••------•--......Telephone No.---..-.--------_--- ContractorBuilder----------------------.........................___•---..........._..-----Address-_... .....................................................Telephone No.-•--....................... LotNo.--•-..............................................Block No.........................-------Sub Division..............................................____.....................Zone................. -•---•-•---•----•----•-------------------- ------Street.-------------- ------..Side Between.....-........... ---.............................and--••----............................................Sts. Valuation $--------------------------------For what purpose will building be used.........-..............................Type of construction------------------------------------._ Dimensions of Building.. ._.._.Dimensions of Lot.- .......................................Size of Footings Size of Piers...................................Size of Sills............------ .. ----------Greatest Sill Span in ft..-.---....................Type Roof. L.'11 ' :--_----..- How will Building be Heated?................................................................Will Building be on Solid or Filled Ground?........................................ Size of Ceiling Joists------------------------------------------ Distance on Centers__..... ...........------------......... Greatest Span..................---------------------.--- » Size of Floor Joists-----------------------------------•.......... Distance on Centers.. ... . . ... ................. Greatest Span--------------------........................ " Size of Rafters---- ------------------------ _....--- ---------- Distance on Centers _... ..... ............................. Greatest Span.. » This rectangle is to represent the lot. /7 Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z ` R Q V i= D Z aGiTY .oIWIC BEAC 3. When steel is in place and ready to pour beam. � �t1r�QtrrG �� 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. AA ��93 M 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builder... .. ... Address--_----_--••---•----------------- --------- -••---•---•---•------ .................. v , Signature of Owner. ..... :: "-••---- Address...............................................................•- ............................. i! EPARTiNENT OF BUILDING 4700 � 7 O O CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. `t PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date NAY 1.-, 1981 Valuation$ 3,000 Fee$ 5.00 ' This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. i This is to certify that DAVID J. ASLA14 CO INC. has permission to build a_anlid fnundat-ton and piers as plans `4 t Z submitted. Repair work. Classification SIF DWELLING gone R.ESIDt.� .,. Owned by -TACK R EAb*dETT j € 4 Lot Block S/D House No 618 CHURCH ROAD ATLANTIC BEACH FLORIDA 32233 � According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS I AFTER DATE OF ISSUE �-�� ► O Building material, rubbish and debris Z from this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. ACTING CITY I4IANAGER, +I CAVY, F, STUCKI Buildim official. FOR OFFICE PERMIT D { USE ONLY NUMBER ATE CONTRACTOR i PLUMBING ELECTRICAL t SEWER WATER v r I 1 BUILDING AND ZONING INSPECTION DIVISION -. CITY OF .JACKSONVILLE, FLORIDA d O BUILDING PERMIT Ido. —�fr� y s o Separate permits are required as provided on reverse of this permit Q AT: C Q. LIRE_F QR._AILAN-T-.I (STREET ADDRESS) O BETWEEN STREETS: (AIA) AND _ m i a DATE 5-15-81 ZONING _) <Q CONSTRUCTION p '{- COST S T+50O PERM17 FEES 2.+_(�_�.______ 3 r THIS CERTIFIES w p E 1 Ed Aslan & Co Inch _ o W ti (CONTRACTOR) (QUALIFYING AGENT) V L) FOR Jack Beneett _ F w ON PROPERTY (OWNER) ZO «° DESCRIBED AS: (LOT) r (BLOCK) uJ (SUBDIVISION) C) m CONSTRUCT: _J Q x ? ! juriS_dInt.iD <41, 7 e----- 0 U LU s f _ m REMARKS: ~ T � HA2;?C S' LIEN LAW i.LURE LV CAN RESULT IN TEF, PROPERTY OWNER PAYING TWICE FOR n INSPECTOR BU1l1nQtOn 633-48ASEA 4 THE WORK DESCRIBED HEREIN IS TO BE ACCOMPLISHED IN ACCORDANCE WITH THE PRO- j VISIONS OF THE BUILDING CODE AND REGULATIONS OF THE CITY OF JACKSONVILLE, i SUBJECT TO THE INFORMATION SHOWN ON THE APPLICATION, APPROVED DRAWINGS, {(1 AND SPECIFICATIONS WHICH ARE MADE A PART OF THIS PERMIT. p IF NO WORK 15 DONE UNDER APPROVED: �a�4Ve� , THIS PERMIT DURING ANY BUILDING INSPECTION SECTION SIXMONTHS PERIOD. PERMIT BECOMES VOID. ROOM 70o CITY HALL 6332953 fi ` STATE OF FLORIDA DEPARTMENT OF HEALTH I & REHABILITATIVE SERVICES I I SEPTIC TANK CONSTRUCTION PERMIT Duval County Health Dept. No. 172'38 1 Owner Thomas Bennett I For Installation At: 620Church Road I Drainfield Size 420 ISand Filter Size Septic Tank Capacity Minimum 900 Grease Trap Capacity Minimum Dosing Tank Drain Tile Hold building sewer stub-out at finished grade. (a) Installation must be in accord with requirements of Chapter 10D-6, Florida Administrative Code. I (b) Final inspection required before work is covered. (c) Permit void if riot used within one year. (d) Approved installation does not guarantee performance. Date of Application 5/11/81 Issue 5/29/81 _ Issued B C. E. Dou s, Supervisor r i _ �=f� �! L �,av c:• 'G�(� �-.mac 3�f-- �� '.�t� -� 'f0!'Ifti.1...N :s+s.-sa"�WVi4 jE. tr}.waw.vrrJ'F�+�`,`-'w�'o•��.K .s+iVM+wrlul/LA.E�L r'P7.Yi�'"r l{�iV1r;. ��. ..-r�. ''.,wrL d.ir.t'�7t`'-i5:'M,^�"��'+IC.�+'�.�Au=•�r. .�i-R-Y'"�►1�+ta-'�fL aY1�F�'w'WW.�+n+v��wlwrs:r�.t'+r+.rc*Yrs`� � ��' �.:�'ens�.;j,`°�E"t:�.�A.r'"�"L"��/ _ ..Yi'_`Y.1 CD".0• k'�• F',.¢� t►� "� j r_AL Ln iI � t i t i ....+d T,.KK( �t�� .xn � -r �, r s .� ..g .ri +� ..... .w.� r+.. .w.s •....� Er ,�� "•1-rrrr,....,.r.r:<..e+e.�rt•�r�-c.�r+.,.+nr--...+r•,a�....�.�P.w.`.Mwrs`-�aN�,?h:F�sOt+taWgaw.rw•.::<f..w.lw.lewa>r'u'\;"i''•b1''Vns:�dd�_� .. �..�..-_._ 't-2is...r�'-•ane-4�.a:n..sv•.asc:W,..n.:.,ry�ascHa+=h�wvs.>*�....a.r�.r;mw•,�:.,.y..r..a.s.Ai„�...r-w•v..++s�xr:..•,,.e-+�- - �+d-..in"''��"1/ t ' APPr QV = d U vi D AT 10 � L— 1�-----CP ITY OF Al LANTIC BEAC:1 UUILD1NG OFFICE MAY 18 1981 J ----------� \/T EX15 <Z P,T. GI¢vaZ. lt,v�.�.�t.c�`, _...�-t-� ��rJ �_ -q..•.d,-- �j�tZ M i T� 'S 1-!1 r LD —�-/�[ '--� LL 'TOP 50 .1 D �1�C613C• = :t R, 8" xt�" Cal[c, f3Lt�, PtC - 1. CLC A.DX. to ^Q N wig 1t� T cy tn G V Cl TY OF ATLANTIC BEACH A�pPU„ Ajj ON FOR PLU MBI NG PEM T DATE_ LOCATION AV PLUMBING FIRM MASTERPLU1,0ER l I-, CITY/COUNTY OCCUPATIONAL LICENSE N0. STATE CERTIFICATE N0. _ BUILDER OR CONTRACTOR TYPE OF BUILDING SINKS SHOWERS ___�_LAYATORY WATER HEATERS / BATH TUBS DISHWASHERS URI NALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS / OTHER f� TOTAL FIXTURE COUNT 1 NSTALLATI ON OF PLU•;BI NG AND FIXTURES DUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLU=NG CODE. CITY OF ATLANTIC BEACH WATER CONNECTION CHARGE $110.00 DATE LOCATION 618 CHURCH ROAD. ATLANTIC BEACH FLA 32233 Ot,'NER JACK BENNETT PLU'-lBING FIRM :LASTER PLUI-1ER BUILDER OR CONTRACTOR r PE OF BUILDING S/F DWELLING, RESIDENTIAL 1 _ BATHROOM GROUP CONSISTING OF _ _ SHOWER STALL, DO2-ESTIC ( 2 UNITS) WATER CLOSET,LAVATORY AND BATH TUB OR SHOWER STALL. (6 UNITS) 6 _ SHOWERS GROUP PER HEAD ( 3 UNITS) BATHTUB ( WITH OR WITHOUT OVER _ SURGEONS SINK ( 3 UNITS) HEAD SHOWER) (2 UNITS) FLUSHING RIM SINK ( 8 UNITS ) _ BIDET (3 UNITS) SERVICE SINK TRAP STAND ( 3 UNITS ) CO",BINATION SINK AND TRAY ( 3 UNITS) POT,SCULLERY SINK ( 4 UNITS ) _ COMBINATION SINK AND TRAY W/FOOD DIS. ( 4 Units) URINAL, PEDESTAL,SYPHON JET BLOWOUT. ( 8 UNITS ) _ DENTAL UNIT OR CUSPIDOR ( I UNIT) URINAL, WALLL LIP ( 4 UNITS) DENTAL LAVATORY ( 1 UNIT) URINAL STALL, WASHOUT ( 4 UNITS) DRINKING FOUNTAIN (11 UNIT) URINAL TROUGH EACH 2'SECTION DISHWASHER ( 2 UNITS) ( 2 UNITS) FLOOR DRAINS ( 1 UNIT) I WASHING MACHINE RES. ( 3 UNITS) 3 — KITCHEN SINK ( 2 UNITS; 2 WASH SINK EACH SET OF FAUCETS ( 2 UNITS ) — + KITCHEN SINK W/WASTE GRINDER ( 3 UNITS) ._ _ WATER CLOSETS, TANK- OPERATED ( 4 UNITS ) j LAVATORY ( I UNIT ) , WATER CLOSETS, VALVE OPERATED LAVATORY ,BARBER,BEAUTY PARLOR ' ( 8 UNITS ) t' ( 2 UNITS ) ! - LAUNDRY TRAY ( 2 UNITS ) _.� LAVATORY, SUR:ECNS ( 2 UNITS) --- Y y CITY OF ATLANTIC BEACH No. 07765 FLORIDA �� JUNE 23, 19 81 (� "w +( WZ � I� 0 0 �� i I NAME JACK BENNETT I� 00 ~ " °u o o ADDRESS 618 CHURCH ROAD. N a. IL 1 F U Z U CITY ATLANTIC REACH FLA_ } �i o 4j 'w _a o 1" N 0 ! w ! ACCOUNT No. #40-343-3700 - WATER CONNECTION CHARGE. . . . . . . . . . . . . . . . . . . . $110.00 I{ �; ACCOUNT No. ��40-343-3800 - WATER EXTENSION LINE. . . . . . . . . . . . . . . . . . . . . . . 54.00 ++( $ 164.00 w Q 3 w U Z c jp < W Ln M Q? 3 f00 V} !1 ?W -- wa 'r wo 0 Q Z N Q IL When Signed, Dated and Numbered, This Becomes an Official Receipt Y MAKE CHECKS PAYABLE TO Received Payment �' CITY OF ATLANTIC BEACH, FLORIDA TREASURER I JULY 24, 1981 PRE-SERVICE SECTION 3RD FLOOR JACKSONVILLE ELECTRIC AUTHORITY BLDG. 233 WEST DUVAL STREET. JACKSONVILLE,FLORIDA 32202 DEAR SIR: THE FOLLOWING LISTED FINAL INSPECTIONS HAVE BEEN COITLETED AND ARE SATISFACTORY. PERMIT NO.# 3227 - 618 CHURCH ROAD. ATLANTIC BEACH FLORIDA 32233 ACTION ELECTRIC CONTRACTORS. Sincerely, GAE/REV G.A.EDt,JARDS DIRECTOR OF PUBLIC WORKS BUILDING AND ZONING INSPECTION DIVISION O CITY OF ATLANTIC BEACI-1, FLORIDA 2� 0 N 0 ELECTRICAL PERn T a Z Date "' t t - Fee $� Permit No. 7 O W Location r Between _and_ Q This is to certify that a O Co/^ of c+or) -- tMosterr£fecfricia+l `L E has permission to install Electrical Construction as described herein in ce a accordance with the provisions of the Electrical Code and regulations of the City of Jacksonville, and subject to the information shown on the = u application, drawings and specifications which are made a part of this 3 ro permit. for` —_ ------ - ce j W a Type of work: SERVICE: S T > v Feeders ---_- Outlets:_ O -- --- ---�_. V Receptacles: _.> >._—_._ Wm Switches: 2 Incandescent: ►- Fluorescent: Appliances: - Air Conditioning• Motors: ROUGH & FINAL INSPECTION 7-24-81 - G.A.EDWARDS Transformers: Signs: _ Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY- — MONTHS Y: _MONTHS PERIOD, PERMIT E�bctric A4 lr+specfion Supervisor 'k£ a✓ BECOMES VOID. " '" tT � k CITY OF ATLANTIC BEACH _ No. 4750 FLORIDA June 15, 14 87 NAME David Bennett i ADDRESS 31770011 11 1 3n70.0pcKT CITY A 7/01/0 0-:RUCAC 312 IA 7/01/17 620-622 Church Road ! IOOtI ydraulic Share - water 75' , } 40-229-00 Hydrau3tcc are - sewer 75' 40-229-00 _ ARVWX 61 Church Road % are - sewer 75' 40-229-00 Sewer Tap ! 41-343-5200500..00 Homer Impact Fee � t 41-343-5200 1,035.00 { 619 urch Road I Hydraulic Shard - sewer 75' 40-229-00 Aw" Sewer Tap 41-343-5200 500.00 Sewer Impact Fee 41-343-5200 1,035.00 $3,070.00 When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO JAeceived Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD -r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028596 Date 8/05/04 Property Address . . . . . . 618 01 W DUTTON ISLAND RD Tenant nbr, name . . . . . . REPLACE ROTTEN WOOD Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1000 Owner Contractor ----------------- ------- ------------------------ BENNETT, DAVID J. ERNEST RUSSELL 618-01 DUTTON ISLAND DR 460 OCEAN BOULEVARD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-2624 (904) 241-2624 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 1000 Fee summary Charged Paid Credited Due ----------------- ---------- ------ ---- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. B DING OFFICIAL cc: CITY OF ATLANTIC BEACH D. Fo J� n � BUILDING / ZONING DEPARTMENT L- oerrs J 800 Seminole Road j � Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # q q Property Address: Jr ✓ Applicant: /'1 !Q U S S 1CJ' Project: L-A t' m fiC-J-) VJq-(D 4 This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: O CITY OF ATLANTIC BEACH %UILDING PERMIT APPLICATION (Alterations & Additions) Dill _ . Date: Job Address: Co - NA" J7 .-d 0 x-ev c Owner of Property: Z' Address: f) S r 13 � } A4�71,c _322 SP Telephone: 2iF� G G S Legal Description: Blorck Number: Lot Number: Zoning District: Contractor: rrva ST �55�' Q 1 �S�tlate Licenise Number: C G C Ca Contractor Address: )+60 � «4 (I v /'7'TI, F.A E) 3223-5 Telephone: 2.41 26 2 Y Fax: S crm Describe proposed use and work to be done: poar 1A+ r,.-,))a c- r-AP w01 . AL* P\ Present use of land or building(s): Valuation of proposed construction: j Oars, What are the dimensions of the added space: feet x feet Will the added area be heated and cooled? New electrical or increase in service? Add plumbing fixtures? — Add fireplace? Add heating/air conditioning?ALAA Is approval of Homeowner's Association or other private entity required? /\IG4 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? C4NO. 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. NO. Applicant certifies that no trees will be removed for this project. D'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.ei.atiantic-beach.fl.us Page 2 Revised 1104 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: j— Z Property Address: u r -or./ 7- ')4 Owner: " J,r� r h�,.J. E Telephone #: Contractor: 1?(U"'J PtA/ Sic Telephone #: Z Contractor Address: IV8 5WC3CL5_e(3(r1A C`-`� `��'� `�� Fax#0'Y) ZYZ- C'Q rc, 32.2 In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, �// E3 New list the building permit number: ZE-S,�5-r^�— ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers -2- Closets Shower Pans l Dishwashers Sinks C'�> Disposals Q Urinals © Floor Drains O Washing Machine d Lavatory Water _ Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: _ X $7.00 + $35.00 = 800 Seminole Road• Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800• Fax: (904) 247-5845 . http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028587 Date 7/02/04 Property Address . . . . . . 618 01 W DUTTON ISLAND RD Tenant nbr, name . . . . . . 5 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---------- -------------- ------------------------ BENNETT, DAVID PLUMB-PAL, INC. 618-01 CHURCH ROAD 1728 SABEL PALM ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-8856 ----------------- ------------ ---------------------- ------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. \Q�1... ' BUILDING OFFICIAL Tratf tratr of (Orrupattry CITY 4F OWN& &Os-AW& ErVadmut of Nuffbitto ,Jupprumt This Certificate issued pursuant to the requirements of Section 149 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following: , Use classification ' Bid.Permit No. Group const ru F District. Owner of Buil 1SrAddreu Building Add ?+� f Mali __ Sr •lK� ti...— Building Official Date: POST IN A CONSPICUOUS PLACE - 'IF:('H:''; I (::1L: ELFC I I`]CAI.: BUIIA)JNG PE}•::•1IT t-:UR}:SIIEET HEATED S(�UARE FOO'T'AGE: -- )7-p2- ---- @ $ -- 2- -- --- - ----- Per sq. ft. = $ CARAGE {} RIIATE/SHED) : @ $ !O .a. per sq. ft. = $ CARPORT: @ $ per sq. ft. = $ PORCHES: `7 @ $ C. `�� - per sq. ft. = DECK: - --- - — @ $ - per sq. ft. = $ PATIO: @ $ per sq. ft. = $ TOTAL VALUATION: $ U PER'IIT FEES U TOTAL VALUATION DATA 1st (3 L) i Jv FR VA�,L�ATION - -----� $ v-- - @ $ 2 . er thousand or portion thereof TOTAL BUILDING PERMIT FEE. . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . $ PLUS z THE BUILDING PERIMIT FOR PLAN FILI':G FEE. . . . . . . . . . . $ - ?✓P_j��C'r� � S�.L.2�--- _7_5 _e�z� TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLL?`BI'vG PER:•fIT FEE: $_ ,— MEl"'iIA\ICAC PERMIT FEE: $ ELECTRICAL RESIDENTIAL: _`EC $ _� -------— F7 � TRI CAL TE'•�'OR?RI WATER METER SIZE: FEE: $ SEWER CONNECTION CHARGE: SQUARE FOOTAGE: FEE S WATER CONNECTION CPARGE: FIXTURE UNITS @ $10.00 PER UNIT: $ ACCOUNT NO. : APPROVED BY: 'TOTAL BUILDiNG/PL.?N FILI':G FEES: S TOTAL WATER "'ET-R CHARGE: $ APPROVED CITY OF ATL►.NTIC BEACHTOTAL EATER CO':':ACTION C URGE: $ BUlt-DING OFFICE; TOTAL SEWER CO' -CTION C'='_RGE: S 2 1093 GP?ND TOTAL DUE: $ FOR OFFICE USE ONLY Date------------------- --------------19 ------ Permit #........................Fee$........................ CITY OF ATLANTIC BEACH valuation $- FLORIDAHouse *----------------------------------------------------------- ---------------------•---------------..................................... APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. / /� �c / Date.........../:-.....-7------------------------------------- 19 . Owner... .al/.r i.---------- 11 _eA,,.!!/e.-/.-....-------------------Address---LP-�/�.. JCL�=G�t. 1&(...-•--Telephone NocW..-..�7qLlZA Architect.R/t4jjd.rw-.A.Valley:C off-------------------•---------------Address,..........................................................Telephone No.9.v------(1. .x`3 Contractor Builder-..e0ivL.4... ------------------Address............................................................Telephone - Lot No./------ Y ... ../..�Q-Ww.Al,/ Blo2 ckSNoodth.-- ---Sub Division......................................--.............................. 6'. •---------------------------------------------------- ----Street..-------------- --------Side Between.- ....-----....................and......................................................Sts. Valuation $................................For what purpose will building be used._// O.M_r_....................Type of construction.6.de4.7C..-....-------_- Dimensions of Building-3 ,I2../.).1.sS6-./_......Dimensions of Lot/,?7..Pt.,:Y5 ................................Size of Footings........................... _ ``......... Size of Piers...---____. ------_-------------Size off Sills......_...------ .__-.......Greatest Sill Span in ft...........................Type Roof. ,_,.• .sell. X's How will Building be Heated?-!C'.'C�I1A-9./....j..AYY _-...........Will Building be on Solid or Filled Ground?........................................ Size of Ceiling Joists...1.1-vss'.,es--_---_---_, Distance on Centers-----.9_lf............................. Greatest Span......................................... " Size of Floor Joists........................._.................... Distance on Centers- ...__ .--------------------------..._, Greatest Span............................................ „ Size of Rafters.................. ....-............... ..... ------., Distance on Centers . ..... ............................. Greatest Span............................................ This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W N 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. 'a 4. When framing is completed. p 5. When rough plumbing is completed,and ready to cover up. W W 6. When septic tank drain field or sewer is laid but before it is covered. q 7. Electrical inspection by City of Jacksorville. m 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City .,"tlan#c B ach. Signature of Builder=:�9= ^1 2.... Address........................_...--------------•-------- . ---...-• .......------.._....Signature of Owner. . �J,' . -•-- Address... -----Cz� .................cL.............f....../nc.....e...............•--. �vE,r4,p FLORIDA MODEL ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 902 u BOB GRAHAM SECTION 9/9H POINTS METHOD CLIMATE ZONES '�o. ■.•°P GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 Of PROJECT NAME AND ADDRESS b / 9 Lor—Adl ZIP ZONE BUILDER PERMIT NO. OWNER JURISDICTION NO. STATISTICS j RENOVATION IF MULTI-FAMILY, NO. OF UNITS [-M GLASS AREA AND TYPE COVERED BY THIS CALCULATION: CLEAR TINT OR FILM ADDITION (SEPARATE CALCULATIONS REQUIRED �l _E]SGLM Gl.[] EF-1_: LTI-FAMILYFOR EACH WORST CASE UNIT TYPE.) SEC. H901.1 I_]DBL[] I I I I IDBL[] GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME R= FLOOR AREA UNDER ATTIC SGL. ASSEMBLY ] E=l I /10EEl= l I / I i = F/ I COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM (� CENTRAL NONE El STRIP ( GAS NONE RESISTANCE SOLAR UNITARY M OIL Y❑tel SOLAR t❑J HEAT RECOVERY GAS EER-SEER = El HEAT PUMP: COP = ❑,a o DED. HEAT PUMP: COP = OTHER: ❑OTHER: MAX. E.P.I. ALLOWED (from 90 p=Q]. d CALCULATED E.P.I.: ==-[El CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)* CERTIFIED BY: DATE FORM COMPLETION DATE (owner/agent) CHECKED BY: (building official THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT. 9A MAX. E.P.I. ALLOWED (CAL ULATED E.P.I. MUST NOT EXCEED VALUE SHOWN BELOW) CONDITIONED 901- 1101- 1301- 1501- 1701- 1901- 2101- 2301- FLOOR AREA 0-900 1100 1300 1500 1700 1900 2100 1 2300 ABOVE BASE E P 1 120 115 110 1 105 100 1 95 90 1 85 80 A/C EFFICIENCY LESS THAN 8.0 EER/SEER (7.5 HEAT PUMP) (as of October 1, 1982) -10.0 DEDUCTIONS IF MULTI-FAMILY: COMMON WALLS (maximum of 5 points) - 2.5 IF MULTI-FAMILY: COMMON CEILING and/or FLOOR (maximum of 12 points) - 6.0 TOTAL DEDUCTIONS COMPUTE MAX. BASE E.P.I. DEDUCTIONS MAX. E.P.I. ALLOWED E.P.I. ALLOWED *RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11) ARE REQUIRED TO MEET OR EXCEED ALL MINIMUM PRESCRIPTIVE LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM AND ALL OTHER APPLICABLE PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 9B. THE E.P.I. FOR A HOUSE COMPLYING UNDER THIS METHOD IS NOT CALCULATED BUT WILL BE THE MAXIMUM E.P.I. ALLOWED FOR THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THE STATISTICS SECTION ABOVE SHALL BE COMPLETED AND SUBMITTED TO THE LOCAL BUILDING DEPARTMENT. »: ��. >:::......... � ,�'.. ... ......l0..EA INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION 903. WATER HEATER - ASHRAE LABEL 903.2 PIPING INSULATION 3. SWIMMING POOLS 903.3 HVAC CONTROLS 903.7 SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM EFFICIENCY SECTION 903.8 CEILING INSULATION 903.10 :q I DEPARTMENT OF BUILDING , I CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO•-5 (T PERMIT TO BUILD I aw(i7 • l��r`af`; THIS PERMIT MUST BE,;OSTED ON JOB Date 5/2 19 P Valuation$ 40'991.75 Fee$ 186.00 i This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. ` I This is to certify that DAVID J. BENNETT 620 CHURCH LOAD, A.B. has permission to build SINGLE FATI` LY 110MRSAS PER 121 ANs � Classification SINGLE FA,' Zone RG 1 Owned by DAVID J. BENNETT Lot 1 Block 9 ee.119 S/D House No. 619 CHURCH ROAD I According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE �--Ap. O Building material, rubbish and debris _ from this work must not be placed in public space, and must be cleared up and hauled away by eit con- ;tractq }�f gwner. I Building Official. j j II FOR OFFICE PERMIT D USE ONLY NUMBER ATE CONTRACTOR PLUMBING i j � ELECTRICAL SEWER WATER t i i DEPARTMENT OF BUILDING o.4755 CITY OF ATLANTIC BEACH,FLORIDA - PERMIT N PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date JUNE 30, 19 81 6•Ul1 T G.UUCKT Valuation$ PT.jjMTNG PFRMTT Fee$ 6,00 1�J j 4 1 A 7/151/81 4/5 � eUUCAC This permit not valid until above fee has been paid to City Treasurer,and is 1 i 1{ 1 A7/ it/ ,I subject to revocation for violation of applicable provisions of law. I ti i7 This is to certify that CAWS PLUMBING og 645 ATLANTIC BEACH FLORIDA 12213 has permission to inat-a11 1 GTN8,1 LAYATl1RYTI BATH "TR Tl TQSV__T i 1 WATER HEATER,1 WASHING MACHINE. ` Classification S/F DWELLING Zone RESIDENTIAL Owned by Lot Block S/D j House No. 618 CHURCH ROAD, ATLANTIC BEACH FLORIDA 32233 According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 0114---- 0 0 Building material, rubbish and debris 4 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. ACTING CITY MANAGER, CARL—F STjjCKI Building official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER f PLUMBING ELECTRICAL SEWER WATER 1 1 (FORM 902 CLIMATE ZONES 123 9 F WINTER OVERHANG FACTOR (WOF) 9F ISUMMER OVERHANG FACTOR (SOF) FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW ------- ---- ---- ---- ---- ---- ---- ---- ---- 0-0,9 1.00 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1 .00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00 2-2.9 1 .00 0.98 0.99 0.77 0.76 0.84 0.94 1.00 2-2.9 1.00 0.98 0.94 0.92 0.91 0.92 0.94 0.98 3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.89 0.95 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91 5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0.79 0.88 6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0.75 0.85 7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83 8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0.77 0.68 0.70 0.81 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0.76 0.67 0.68 0.79 10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77 11-11.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0.76 0.64 0.64 0.76 0.64 0.64 0.76 12 UP 1 .00 1.00 1.00 1.00 1.00 1.00 1.00 1,00 12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75 of 9G HEATING SYSTEM MULTIPLIER (HSM) HEAT PUMP COP ;i.2-2.3 2.4-2.5 2.6-2.7 j 2.8-2.9 1 3.0-3.1 1 3.2-3.3 13.4 & UP HSM 0.45 0.42 0.38 1 0.36 1 0.33 j 0.31 0.29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT Y # NATURAL GAS / PROPANE (q)(SEE TABLE 9D FOR CREDITS) OIL 1.0 (SEE TABLE 9D FOR CREDITS) 9 H COOLING SYSTEM MULTIPLIER (CSM) ESE R 6.8-6.9 7.0-7.4 7.5-7.9 8.0-8 1 8.5-8.9 9.0-9.4 9.5-9.9 10A-10.4 105-10.911.0-11.9 12-Q-UP ELEC. CSM 1.00 0.93 0.87 0.81 0.76 0.72 0.68 0.65 0.62 0.59 0.54 COP 0.40-0.44 0.45-0.49 0.50-0.54 0.55-0.59 0.60-0.64 0.65-0.69 0.70 & UP GAS - I CSM 1.50 1.25 1.20 1.09 1.00 0.92 0.89 *ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH MINIMUM AIR CONDITIONER EFFICIENCY LEVEL 8.0 SEER/EER FOR STRAIGHT COOL OR 7.5 FOR HEAT PUMPS. NOTE: EER= COOLING MODE COP x 3.413= ARI RATED COOLING OUTPUT IN STUH = TOTAL WATTS CONSUMED 91 HOT WATER CREDIT POINTS (HWCP) ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 1 INSTANTANEOUS WATER ELECTRIC BACKUP 4.5 HEATER GAS BACKUP 12.6 HRU (A/C) WATER HEATER ELECTRIC BACKUP 6J 137 GAS BACKUP HRU (HP) WATER HEATER ELECTRIC BACKUP 9.7 GAS BACKUP 14.5 HEAT PUMP WATER HEATER COP 1.60 - 1.89 1.90 - 2.19 2.20 - 2.49 2.50 - 2.79 2.80 - 3.00 (DEDICATED HEAT POOP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4 SOLAR OVERALL SOLAR FRACTION* 0.1 0.21 0.3 1 0.4 0.5 0.6 0.7 0.8 0.9 1.0 v. ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0 . OT WATER G z Ll 9 GAS BACKUP 11.4 12.8 '14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0 U d *PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM = 100 = OVERALL SOLAR FRACTION 4 -li!,l E _ 07 ..1:l - -- - -- - - - - T] ON CO::'lKik CIAL 1ta. }Ll"'�ER ,iir 1iIVTIC BEACH -- - — - -- -- ---- -- — ---- ")JI:LDINGO FFICE please print --- - -- ---- _ I 7r• UCCUP:-'1 10::.4L LI CENISE 1,10. 1993 ;E ( Er,'I 17 CAI E 110. -DET: UY. CO';T?:':CTOP. -- - -- - - - -- - - - -- - - - ------ ------------- ----- ------- ---- ---------------- - -- --- --- - - --- ):S ;0RY - BATH 7chs _- - U?I':..Ls - _- tLOOR DRINs S,G...RS - C- 1,. 1 r P - ' , U1 SL,' .S _RS -- Uj S)':'c nLS �'..'.S-;II;G _=Ci-=:I ;;E 0TlF_R TOTAL F-07JL'�.E COUNT -I_?.'.7 )U1� UT ✓1 �:"I':G A2--D FJ)_j_CPES MUST CE 1=j i 1 nL '';UST i:=C -1�T _-_DIT]ON P1 L:iFI',G CCIDE_ - S7 C„�"!LKE U: --'.S7ter; PL`2 R .. i T i i tI T-6 PRE UNli _ .- L,•� , S `c- -.I '-'_ S ED AS TIL " SL= Fj)'f- =_ t-. 1 �? _ _D -_:D CC' DC7 .0 10 TSE Ci 5�' ?:..” .R S;S_ _*:_ !;;:7 :'r"I EF. SL='✓LY CL_-.RGE I S , r.-3: r_?.=DAl D'+'.- =.RS k F R =I):: uRE L;;1T CO';.':rCi ED TO i l Cliff- S S %'•:_ SEC_ 27-3 (c) �p iliJ'' G=:i�u-p CC-ISI S i I':G OF E__Ir 1 LTEP ( '/UR 1";/0 OVER �R C C`SET, :y b _'11 I DEPARTMENT OF BUILDING j CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 5/31 19 83 Valuation$ PLIJIMING Fee$ 41.50 T This permit not valid until above fee has been aid to Cit Treasurer,and is i, P P� Y f4! ♦4.iisLKT subject to revocation for violation of applicable provisions of law. This is to certify that CARL'S PLULIBING CO. o •ULICAC. s has permission tom TNSTA.L 1 wink} 2 lay. 2 closets, 1 wh, I 1 dw, I w1u Classification SINGLE F'A14ILYZone RGI Owned by DAVID J. BENNETT Lot t Block Sec j$ S/D j House No. 619 CHURCH ROAD According to approved plans which are part of this permit i NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE : � ------► O Building material,rubbish and debris -Zi from this work must not be placed in public space, and must be cleared p"I'fi"uled away by either con. �tractoowner. � Al.61— Building Official. i lY FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER 40WVie, 1 '3 G CN 11 n 1J 0Z ;i:!SSk-)S 3 0 i;0 f! IGA Itis;.= ,r ►SC.; -4-U P-1 1,4t ^r;.CSN ;; ( �a !qr;'r: S3N L►`� fi Or;'; SN It t td �0 �.0 I�'�ti':'i S.1 2S11) 0 V �S , S fG�-/ — cr r'! S C .S- - - - S SIS 1 ON 1 ICI f � / 3 i CITY OF ATLANTIC BEACH FLORIDA INSPECTIONS BUILDING PERMIT NO.#__ ELECTRICAL PERMIT NO3 1 PLLTIBING PERMIT N0. l MECHANICAL PERMIT # JOB ADDRESS CONTRACTOR ��`' �� t 01,TNER - - - CALLED IN INSPECTED REINSPECTED JEA FOUNDATION APPROVED REJECTED " FOOTING SLAB PLL.IBING (R) TOP-OUT SE:,'ER TE21P-POLE ELECTRICAL (R) rJ -1q -7-19 ELECTRICAL (F) FRAMING 7- PLLT,IBING (F) LINTEL/BEAM COLUMN STEEL SHOOT GRADES LOT CLEARING OTHER FINAL INSPECTIONS DEPARTMENT OF BUILDING 5846 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 11-13 191 9 Valuation$ MF.CI4ANTC.AT. Fee$ 38-Of) :30*uU T This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. I 1 This is to certify that HUIs i HEXCINO & AIRCOND, 1' -0141 j(" 12/ 16/8 246-6721 has permission to bWk4X INSTALL HEAT & ATR Classification SINGLE FAMILY Zone RGI Owned by DAVID J. BENNETT Lot 1 Block Ser- 18 S/D 1t141� House No. 619 CHURCH ROAD According to approved plans which are part of this permit = NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE --► �---► 0 Building material, rubbish and debris Zi from this work must not be placed in public space, and must be cleared = up and hauled away by either con- fact �6pJ,owner.. Building Official FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER s"�MM BUILDING AND ZONING INSPECTION DIVISION CITY OF A'PLANTIC BEACH, FLORIDA APPLICATION FOR MECHANICAL PERMIT IMPORTANT--Applioant to complate J items in section: 1, 11, 111, and IV. 1. On Lida of bow" St. 0-4 Sf. LOCATION (North, South. East,west) (Address) (Wersacti"StneM) OF BUILDING Lot No Block No Su"44sion (State portion of lof if loa than full lo+-,/attach 6941 description per deal in duplicate if necessary) II. TYPE OF PROPOSED MECHANICAL WORK - An apprcants cornplofe Parts A -- D A. USE OF BUILDING B. 0WNE0HI-► RESIDENTIAL IS. b rrivate (individual,corporation. 1. "0 family 11. ❑ Utility nonprofit imtitution,etc.) 16. ❑ Public (Peden!.State or local goverssment) 2. ❑ Two or nen family- 12. ❑ School. library. Enter number of rpymx otter aducatioeal C. NATURE Of WORK 3. ❑ Transient, hotel, motel, 17. &?'Neer Building rooming house- 13. ❑ Ston, mercantile Enter number of units Other 18. ❑ Existing lw;W69. 4. ❑ Other residential 14. ❑ OTHER-SPECIFY It. ❑ Replecoment of existing system 20. ty-New installation INo.systam previously las/eNed) NON-RESIDENTIAL 21. ❑ Extensan or add-on to existing system. S. ❑ Amusement, recreational 22. ❑ Other--Specify 6. ❑ Cbu'rch, other religious 7. ❑ Industrial 8. ❑ Garage, service station 9. ❑ Hospital, institutional E- TYPE Of BUILDING 36. ❑ Number of stone= 10. ❑ Office, bank, professional 37. 8�-'9iTood fame 0. MECHANICAL EQUIPMENT TO BE INSTALLED 38. p Masonry and wood (Provide complete list of components on back of this form) 39. ❑ Reinforced concrete 23. mace: ❑ Space ❑ Recessed _Centro) O Flow 40. ❑ Structural steel 24. Er--kr Conditioning: ❑ Room Centra) 41. ❑ Other 25. ❑ Duct System: Material/ T1+icknes Maximum capacity / y c.f.rss. 26. ❑ Refrigarafioo THIS SPACE FOR OFFIM USE ONLY 27. ❑ Cooling tower Capacity 9•pjns• ) ) CITY OF 716 OCEAN BOULEVARD P.O.BOX 25 �- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE 4904)249-2395 August 7, 1987 Por. David Bennett c/o Fashion Optical 675 Atlantic Boulevard Atlantic Beach, Florida 32233 As we discussed today, we have found an address error on property owned by you, Since odd numbers are reserved for the north side of the street we have made the following address change: 619 CHURCH ROAD is now 618-1 CHURCH ROAD Please change the house numbers and any numbers that may be on the electrical meter can to reflect the new address. If you have any questions please call, Sincejely, Rene' Angers / Community Development rector cc:file 3EA Post Office No. 1763 DATE OF ORDER 5/28/87 CUSTOMER'S ORDER NO. PHONE MECHANIC HELPER STARTING DATE Bennett A re j7 5 15/87 A BILL TO ORDER TAKEN BY David Bennett Rene' ADDRESS ❑ DAY WORK 2115 Bav Street CONTRACT CITY Neptune Beach Fl. 32233 E] EXTRA JOB NAME AND LOCATION BENNETT HOMES Church Rd. JOB PHONE Sewer Taps two to s DESCRIPTION OF WORK Make two separate sewer taps to single family residences existing at the addresses listed below. CAUTION_M The Services must be laid so as NOT to interfere with existing drainage ditch. Owner has marked the PREFERRED sewer service locations. DO NOT LAY PIPE BEYOND PROPERTY LINE. Acct Address Date Pipe completed 100103 618 Church Rd. 6 12D148 619 Church Rd. 2 c� Drawing attached. Verify the 619 Church as correct. TOTAL MATERIALS TOTAL LABOR TAX DATI`aCOMPLETED WOR R B .A. r 'd TOTAL AMOUNTS ❑No one hom ❑Total amount due ❑Total billing to for above work: or be mailed after Signature VW completion 1 hereby acknowledge the s isfactory completion of work of the above described work. JWO 860-3 AGREEMENT This Agreement between the City of Atlantic Beach, a municipal corpo- ration hereinafter referred to as City, and Thomas J. and David Bennett, individuals of Atlantic Beach. hereinafter referred to as Developer, is for the purpose of providing procedures for the financing of sewer impact fees and connection fees on two residences on Church Road. The parties agree as follows: 1. Developers will take the steps necessary to connect two residences on Church Street to existing water and sewer lines with the understanding that payment of the sewer connection fee of $500.00 per unit and a sewer system capacity charge of $1,035.00 per unit will be paid in full on or before the close of business Tuesday, June 30, 1987. 2. Once the above fees have been paid, City will agree to furnish water and sewer service to a third residence on Church Road for which fees have already been paid, identified as 620 and 622 West Church Road. 1A) sk4-k�4j')pqs,, 3. The parties hereto mutuallygree to the above this day of ��, 1987. Thomas J. Beikfiett Witness 1 David Bennett Witness �— CITY OF ATLANTIC BEACH: f Richard C. Fellows, City Manager Witnes I' r. . ` - •Y 1 �!��- �`"tel! !lf9IA(LL&Ief,"'QEO. - !llsTdct F.11 WfU'' G"P✓� o �: 3 EXls3T. 14- _ rsl��c�-iliJr 7 _ o�.vQi�� o � - . o q 5• a CITY OF ATLANTIC BEACH _ � No. 4750 FLORIDA June 15, 19 87 NAME David Bennett ADDRESS 307000 3070,003CKT CITY A 7/01/F +` CA[ 312 I A 7/01/9 620-622 Church Road ! IODti Hydraulic Share - water 751 ,' ' 40-229-00 Hydraulic Share - sewer 75' 40-229-00 _ XONNX 618 Church Road Hydraulic Share - sewer 75' 40-229-00 � ! 'Ker"'T w 1 41-343-5200 500.00 Homer Impact Fee 41-343-5200 1,035.00 y 619 Church Road Hydraulic Shard - sewer 75' 40-229-00 Am" 41-343-5200 500.00 Sewer Impact Fee 41-343-5200 1,035.00 $3,070.00 When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Aeceived Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER Cl 7Y OF AMANTI C BEACH APPLICATION FOR WATER CUT-INS. . . . APPLICATION IS HEREBY I•LADE FOR _(/- _ - - � WATER CUT-IN AT THE FOLLOWING ADDRESS FOR r UNITS. CUT-IN CHARGE OF_ "�?o SWEET N0.((i_( LOT _ - _/ `BLOCIy f SLJBDIVI SION - ACCOUNT NLTMBER ?•AILING ADDRESS DATE METER N0. DATE II;STALLED CITY OF ATLANTIC BEACH No. 4750 FLORIDA June 15, 19 87 t, 1 NAME David Bennett ADDRESS 3n7n,(1(1 TL 3Q70,00CKTt CITY - ""`— 111 7/01/87 312 1 Q 7/01/87 620-622 Church Road rw ID001 Hydraulic Share - water 75' , '; 40-229-00 Hydraulic Share - sewer 75' 40-229-00 XjX 618 Church Road Hydraulic Share - sewer 75' 40-229-00 #MAN Sewer Tap 41-343-5200 500.00 act Fee r 41-343-5200 1,035.00 /619 Church Road Hydraulic S r4. - sewer 75' 40-229-00 (MMA" Sewer 41-343-5200 500.00 ewer Impact Fee 41-343-5200 1,035.00 ------R_e_. $3,070-00 When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO ,Receiyed Payment 0' CITY OF ATLANTIC BEACH, FLORIDA TREASURER PLUMBING WORKSHEET SINKS SHOWERS DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF _ LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL _ SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (2 UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) JWATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10.00 EACH / Q) l) i.� CITY OF ATLANTIC BEACH, FLORIDA Aap.owde„ APPLICATION FOR ELECTRICAL PERMIT cr TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A-PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES, ELECTRICAL FIRM: MASTER ELECTRICIAN NAME / ,c[ ADDRESS; RFD BOX BL :%AFrT. BETWEEN: RES. ( ) COMM.( PUBLIC( 1 INDUS.( 1 NEW( 1 OLD( 1 REW.( ! ADDITION ( ! TRAILER ( ) TEMP.( 1 SIGNS ( 1 SO.FT. SERVICE: NEW INCREASE'( 1 REPAIR { 1 FEE Q. O CONDUCTOR SIZE AMPS �S Q COPPERf ALUM.(56 SWITCH OR BREAKER GJAMPS PH W VO T RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY F>£E9lERS N0. ${ZE N06SIZE 111 ?., SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES 3 CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES 0 INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING CQMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER ON V. ? CITY CITY O F zs ' 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 October 10, 1093 Pre-Service Section 3rd Floor 233 West Duval Street Jacksonville, FL 32202 Dear Sirs: The following final inspection has been made and is satisfactory: Permit 1`3665 - 619 Church Road, Atlantic Beach Permit issued to Action Electric Co. Sincerely, John M. Widdows Building Inspection Supervisor JibJ/ra