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Permit 1850 George Street 'r lr; k S CITY OF ATLANTIC BEACH ;-, A 9 800 SEMINOLE ROAD . t ATLANTIC BEACH, FL 32233 r INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 09- 00002033 Date 12/21/09 Property Address 1850 GEORGE ST Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 4800 Application desc REROOF FL3663.8 Owner Contractor MITCHELL, MARY DAVID MERRITT CONSTRUCTION 1850 GEORGE STREET 1930 RIVER OAKS ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 858 -9400 Permit ROOF PERMIT Additional desc . Permit Fee . . . 74.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 4800 Expiration Date . 6/19/10 Fee summary Charged Paid Credited Due Permit Fee Total 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. J 09 - CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION 12-1/4P Date: C� Job Address: 1 850 @ e©(� Q S' " 4-41 . r oc 322 33 Owner of Property: 1 v ` 1 , i 1 Address: ) GD c o (y S 1 - Telephone: 'd AA e( AV (A [ I .. " CCG 32 5 9 1 °f Roof Contractor: D c�viS�CtN'C State License Number: PO O , l SZ ) ROt 3Z?(a-(5 Z Contractor's Address: � �. /� i•-�' 1 Telephone: 1 "l 3-1(19 Fax: 7 Email: Scope of Work: E.f O0-f Roofing Material 5 L- !ah FL Product Approval # F ; 3LP(0 8 Valuation of Work: $ t 0 Required Inspections: Sheathing /In Progress-Dry In / Final s- If re -roof: Assessed Value of Structure: V < $300,000/>$300,000; Roof -to -wall improvements required? ( Applies to single family structures only) °WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT* SIGNATURE OF OWNER: r l i_...v11. ..w Date: f d-'1 AS TO OWNER: Sworn to and subscribed before me this day of - , 20 1. State of Florida, County of Duval yln le, MIIERRITT Notary's Signature: .. , DD92667 fl Personally known = ' t - ActrOler 20.20 13 (] Produced identification ' w s 1'4 "."" Type of ide tification produced s ° "`` SIGNATURE OF CONTRACTOR: C %�� �.•fir�•V414 Date: /z / AS TO CONTRACTOR: Sworn to and subscribed before me this -1 day of a.' , 20 , State of Florida, County of Duval Notary's Signature: I �. "�..o .... p " " ; PAERRI $ "Personally know }i ., rl . 0 Produced identification - 'i`1 . k y�,tiv f tlo� `�r'' " r` " Type of identification produce 47 ^r '. 2073 COM 401 3984 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 F: \roof permit applicaton.docx 7/28/09 MAY-4-2001 03:07 FROM: CLERK OF COURTS 904 270 1512 TO: 92475845 P:1/1 N. 1 • • NOTICE 07 CO 1 paawarcirrouvu0Ate) Pamir No. 7sx Falb No. . Ms of Oxus* of la *how it mu concern: Ilto onillaalipold lisortry fitItente you that toprovoromde NU to tiodels carlin roNI propo*, sod to otossIONIO11 SIM SOCOMM 712 of Os nod& illaltdas, d*t inforwmillon bound lit Ma NOT= OF 001111ENCIIIIIINT. Waal deurIplan of WPM MOM Selfroviet 1 ? Alir co rfie S1 lair v v• - RCA F- I et 3Z13 • . • Address of "warty being bnpfervart I t' G-t• °Ito Sq- .11.41 . r..... F (AR 322 3 Gsiw description of improtoments: ge-vo Owner ■ A a. , A t 1 1 Addis's ' 'VI or . r 'i'721111L-Ar. 6 t4 $zZ 3 Owner% Intense* In alb tithe imprassoird Pas 810pb 712enoldet (if odor than owned Nams _ . • Address 4 ,, di e II . Gonttectar U AW Ac (p e-flirt wrist & 1 1, 14 5z 7(46 V 1 W Mayas .... Op efpl Nis. C J ali a) e? Fame .3..? 0 OS" - . • . • ,.. ri VIM Massa Amount of bud $ Phan* Na. f Fox No. , _ None 010 adinssa of any parson nailing a loon Or rho aonsinscOon eta tripmvornents. Naas P H s. fax No. - Rams of pavan NAM the Me di Soria. %MN Ran itimsalf, dasipomed tw awcw upon atm meow ex Ow . documents merg be Name Addams Phone No. Fen ftb, . in oddllon to binosif. ow. dasignsats the Most* parson to eicrit‘v 8 cow �V Liana?* Nalco as provided in SWIM 71102 (2) tid, rpIDe Shistas. (11110 at °woes OW* rims Address ' P b o n s N S . F N o. wow tials of NOM Of Oarvenencentat No atidrallon Moils one (1) post from Os dote of reconikvp unless a dittoed dais Is sped,* -- r - T ... .- - .:-. . • . , ... _ - • TE DOc # •zuLcou4874 • OR em I 61 04 Page 1 ab..1 , suanAse ,,,,,_ • "isms Number Pages: 1 cluporeards. am Kt Mr pwaINIO, aftimill Recurend 12'21 /2009 at 0942 AM, foradnwoillod dllioa Vol MOIlentili anil dialorlisro limat ir JIM FULLER CLERK CiRculT COURT DUVAL . MIMI wanottarets COUNTY RECORDING $10.00 . ' . , .: . ,. ,...................,...... ,.. , . .„, saulimildsa whew •••••ei soave —,...-..”Imionle il, . VA ' ~GM Mr _ if .. . EX . • ... ._ ..... ! :Ot-40-COMMIAi __ _.. .. . 2 ;IMES SePlenibi"L alW .. INMAN. an, ,T v ' . I nrr approved PIA I r :1/11 /1(6 I ! + U( n(41 l ne, ..lour 1.. ut ,.u•hun C 1 .,irt, iunn ISu.I •! Ruo.111 ti., i.1 go.'. .ii M ry I e ss I i r - .I , 1.1. '".ride 1';t I.,rni 1., _ � , ,.,aryl, u.1 tl,c,r•. ti ,: , r. 1..' n1 I .r!F;inal „111•1. ILA Ar I'���I Proposed Construction DESCRIPTION OF MATERIALS No. ci o lu' !us,',lc,l I,t Fl IA ur V.%) _1 Under Construe . l ;-t: Property address .. State Mortgagor or Spc ,1 '"l r, Y. O. Box 50761}v i In'tt) C Ray x.,rtat+le 1 - v Aso. Jacksonville ooh, Fla. 322 0 Ytt�lrai Contractor or Builder 1 N,o.,, . INSTRUCTIONS 1. For additional information on how this form is to be submitted, numbei required, then the minimum acceptable will be assumed. Work exceeding of copies, etc„ see the rn►Iructrons appliroble to the FMA Application fo, rni ern m re iir alter is ca n n ot be con* dere phrases, unless s e lly described. IM the case may b+ insurance or VA Request for l)ntermu al Reusanuble Value, as siderat!on of o request for acceptance of substitute materials or equipment is case . 2. Describe all nraterigh ri Ha equipment to be used, whether or not Chown an not thereby Precluded.) the drowinys, by marking on X in each opprepra1te thick box and entering the I 6. l de g signatures squir d at the en ed n compliance this form: with the related drawings and de n d. Wor und cri and ue item 27 for in +7 or o space. If spade 1" its 1! «quota, entar + mist." and specifications, as amended during processing. The specifications include this or shown sheet. 9. Work not spui:iflcally des cm cdescribed d or shown will not be rnnsid +red unless Description of Materials and the applicable Minimum Construction Requirements. 1. EXCAVATION: Smut, L081� I t . . lilrurulK nail, tyix __ 2. FOUNDATIONS: 2500 PS1 (2) 1/2" Cont. steel rods nlI'rnHih Itr1 tinliN' n1H _. ....._.. _...._.�. - -_ ___.__..._-__._..._._..-- Footin cunclrtr nlix ,, (i Mona),ithtO .Slab _. RA -Odor( ing tounluUmt wall' material _.._, p� Interior foundation wall. tnatenal Party liiundatiun will Piers: material and reinforcing Columns: material and sites - _ ,_. Sills: mairrial., _.... -. �_ Ghdrrs; material and stets Basement entrance areaway Window areaways _ __ ____ — 11111' Hot • Footing drains - """-- Waterproofing ......,..� _ _ - _ _. � Monolithic Slab Termite priori font Compacted, . in nulnuun. foundation vents _ �..__ __._ _.�_._.._ liawmoilirns 9 4,,,,, g vound i over _ _ Special founrlaliunn .. _ .._. Additional information _ °-__,___ _ ___...._.___. 3. CHIMNEYS: 9tN1 a A1Y' Jet Material t al's + 1 11 ( n mAr and et tir) _._. _ . , • .I 1leatel slue tier Furlllaee doe size Floc lining. nrsiru.tl _.. F _ approved _... water 111 0ler . 30 Round Vents (uminuJ and utr) Han 411" cell hriuer ... _ Addit iutirrul:rnuu 4. FIREPLACES: irt'n1.111 nruAr ri .i. ) _ Ash donne and 1 Iran -out l t Ire: � ,J solid Furl: l J Has horning, J ' ( _. _. _ . .,_ ... --- � rnaruel ._ ; lining ; hearth .. . ._ -.. -"" V h'irrplac'r. IacutH _._._ .._... _ . Additional inli1rmution: __ _ .. __., _ S. EXTERIOR WALLS: (J (.turner 1ranitig, building (raper or felt - — Wood frame: weird Ht lr, end species. . _ .. _ __ ., " o. e„ diagonal; ; thickness ; width ... , L.] solid; Li 1 rd __ _ ❑ ti Sheathing _ s1rr , rxl x,sorr _ . g Siding .. grade type ,. ,, fastening grad) , ty1" .tier xlxrsurr H `thlltl(Il v . weight ._ Stoic _ din hnr•. X • 2 Raln.0 _. , _ Silk Lintels _ h1nwrnry veneer ", la) dig,. material — r I ,� {, e 1 J snu, ue. l; 1,l.il will Ihn knex Lair 1K 1111. k„e a GOM - 60 xctn: li [ (j Oat k - f Ito, kola m.urrl , riling 4 12 t,ein.00norete as J 'a•eir�il3tit Q ©1C1L2Y'eTiO i anu•h D --� - Pr Do", sil W!nlirty sills 1 x 2 le, Inleli n surLtcra (lan)J11)I,nrhl4F , (1111 n1' tarri Addiii..rrr■il i111iallitttiun. 2 coats PVA • / number 1,1 coats 1 ceasing material J /� &0 , � ' ape :du Bo w i. t 1 1:.1111. wall i nusli uu11 }.1 u,. ., , u�. ,ii . i L J. 1 PT oa'i'iYens 6. FLOOR FRAMING: Ir „111 1 O .„ _ , J.11*1) wn,w1. Hr.n lr, soil stir u s +�' ' IL—. � !..a 11 ,"1 P c!,.uuil Irlwaried, tilt .- !1•I. +rrinlp MI', O ni ttr 1+IA+ l38n Felt , .. , . • . . -,.. t. „. . , t . , , • ., . . . , ' . ,,....... 0 ,.. ' , 1 DESCRIPTION OF MATERIALS , 9. PARTITION FRAMING: Studs . WI ■0(1, 14 rade, alid spec it-. _____#.2___Fatm_ size and spacing 2 A 4 164 0C Other Additional information: ____________ _ _ 10. CEILING FRAMING: Joists: wood, grade. and species _ ... ()the! _....4.1**00.0- Bridging 1 x 5 Additional information __,___ _ __,, . _ _ 1. ROOF FRAMING: R.1 Itt oc wood, grade, and %per ie. _ ,t...; yp 3311 Roof trusses (ser detail): I I i gla(A. 411l. Ad‘hilmiai inkn.rommri. _21 .. Gierper . 6 , ccrergc . ie . waikii 12. ROOFING: shr.ithing W. kgi. gr A T "e ' ' • Piy OD -Grade +1:r , Roofing ,,.. , „.., ,. ' _, , ; g t.ttle ; NIZe 3.A, ; type ..,t sottd; 0 spAct,(t___:' 0.c. tintierlAY . --,-.. -... ; weight oi thickness. , size . __; fastening . Built-up rooting ' -Alma:sit te -eelte ; number or t oir, i , surf:ming material n .... ura Flashing; mate' ial . _ ..._ .thari._etroi or weight . ti c” 014 _ .;i: gravel sums, snow guards Additional inform-id( iti , , — — &- Drip 13. GUTTERS AND DOWNSPOUTS: Cutters: ritatelial „.._ . ..-, gagr try wrig.tt -_; size ; shape — D ma t e ri a l _ steel .. .__, ___,.; g,age or weig it „ _______; size ; shape _ , number Downspouts connected to; Ej Storm sewer; 0 sanitary sewer; E.] dry-well. 10 Splash blocks: material and size _ Additional inlin.matton: 14. LATH AND PLASTER Lath 0 waits, a ceilings: material . _; ‘yeight or 'ha kness . Plaster: r oats __.; finish,. Dry . wall JO walls, IV r citing*: mate' ial . Gypsum .; thickness., t finish , plaint , • ,loolt treatment _____ ____ ....__ — 15. DECORATING: (Paint, wallpaper, etc.) . 1,. ,,,,,,,,,...7.----7,,,...=1.....:=- ..------..--- ._ RiXIMN )VA? I l'INISII M % 11KIAI AN!) AN' .II.A 11,04 CEILING FINISII MA 4 EiIIAI AND APPLICA 1 ION _ Kitchell ____—.„.,_._. ....... e ° Enamel - 2 - - Coats 2 Coats — — ltasserl titoats 011 - - - - - '---Water Base 2 Coats - • -- - Textured ---- ------------- Additional inliirmation , , —• — _ _- —_ . . 16. INTERIOR DOORS AND TRIM: ' 1),,,,, t 1. V )r ,Thish.. Hollow care , _ , , m „ tr riat . intim mattagazw .______; thickness ..__.t...........3./leas---_ Door trim IVIW .,..,, ,Atellibmit Ilitticrliti Ptis !law, t ..._, ; Mkt teriai —Fix, , stze Finish: doors ___. ,, litsiglit _ alma varnteti _ .; trim __ 58310 Other trim (arm, 1 ype=ftil lort ) .,. .. - 1 4 . -- 0* tielent -ittio'llt — Additional information. , 11. WINDOWS: . W11 " 1 "‘" . I Y " ----Sin material gle- *mg ' 44 ---- Pan - lksmertaast - ; Allattntas- ; sash thickness • 1 Glass: grade __ stock , , ..... , . , ; [ j sash weights; 0 balances, type ... __; head flashing Trim: type ...„_., stock 4144149-tat ceramic vile sine Paint Dx7wan—rsturs—; number (-oats 2 wr.tow.,1,..p 1V)4 --"--6—katilalreal , material. ___Necoprenir Storm sash, number Screens. [1 roll; ii 14 i . - ' Alums ; moorwr.... ; scre.t.tt r loth material _rtber awl, 144,,,,nrnt windows: type . ..,. . „ . material - ; El screens, number . ; u Storm sash, number Special windows _ Additioaal intrarnattori, ,, _ ... . . 18. ENTRANCES AND EXTERIOR DETAIL: mdill e0 ti.In4e11001: 114444.1 441 ... .w _.. , widt:i __...w. ; OM kness _.../ material wood _ ; thickness Other entrance doors. material .. wood ,..., widt., __ thickness _.. material _ ; thickness _fill Dead flashing__ „ . __. , Weittl,rrstripping: type idnim,rweams ; saddles ---1 Screen duo's: thickne2 ss —....liritintbet knw . 2.. ..._...., wryer, nm cloth material irmrp4movaies doors: thickness ; number Combination storm and 4I4TeCII 4 410Iat. 11114 e. ub __ _ er _; seree=rrnI Shutters. [1 hinged; 0 tixrd R 411,11 K% --- - - - ---- 144UN/4114 _ Extertor millwork: grade auti isix•Cirli # rine isir , . , . _ ,.. Pam( _... __ . oct ...__ .____ ; number coats , Additional information , . I gables, EXt. X1101114 Doter Ifientex r 6...o x 6.4 3Tidllig Gras* 19. CABINETS AND INTER . s..tu bra, u.thmets, Wan Willa m.1441141 , lineal tyro, of shelves ..; shelf width 1210 Bina — Barre mitts: m811.1141 , „ . ,,„, , 4 :44444141 44 P ----rorKe - - ' edging — Part — fOrigt - - • n,,,, eoats >m I I i 1 I 1 I* 1 t 1 I if 4 < 1 I r j r C3 gu R i _ ,, • 1 .r4 1 , ..1 ' _ .11 1-a ' I ' Z = „„ , ..) , ' < • 1 1., ,. ••IC I I I . ■ - ■ 0 '• I , i a «,... 1 trI __•- , 4..1 ' i 3- - i 0 Z VI Z 14 7; >. i , < ' ' ,'''' ■ "41'.. `" * ' z ..0 ..'-' 4 4 1 2. - ; •"'• ral , 1 ! .... Ca CI taj; t z 0 a Z. ) 1 C) ,...• P 1 D4 4 • , ii t > 21 C.2 ,..■ E. . 1 , , , _ t e „ , in r 1411 Z 3. f X .4 U 0 ot . 1.- 3 t • [ z , X , a 1 -8 r'V./.: = ' • .--. us hvi C d r Z >r■ i ;Z. . ...., U > _ . r t 0 = , r„..., 1 • ' ):, ::-. . CO i' ilf 0 i 1 i = •-• af .4 i M Q j .. 4. 4 flit Zu rvt 2 -..... .. '''. .2 C) I'S = = , ... 44 : ..... 5 ;-. 11 - , 1 r= 41 . x -. I .- .,.. - - - ii . : - - 0 ...., _.: ..... > 14 cy i C 0 E ,.., 10 T ''.. Z 41 ,.. cr. 4., O Z C 31 4 , -.1•111iiiiiiiii. I ...' . . . ..-..,, . . ..).;RCOLATION TP.T .----- , ...,.. . ' Li.;„::::.: Lccia...zoi,1: STREET ADDRESS /:\I f' LOT NO. BLOCK NO. / SIZE OF LOT 3 LIT 1300K ii , 1 5 PAGE SUDDIVISION.Z212:v____AL...1 NO. OF TOILETS., 2--- NO . ' OF WASH BASINS. NO. OF BEDROOMS .3 NO. OF PEOPLE , WATER TO BE SUPPLIED BY 6 Ili:7 - /).--' SKETCH OF SITE: . ' pl . , —1 : I- .1- d V sT /° 411 i-; , / Si- :)....y,ENsioNs OF TEST HOLE : . _ y 4'•-e--c-v-pow-ce ... AVI:CE TIMM IN MINUTES von 'WATER TO 'ALL j-jUD J,.. fi I, 4.: , , ,...., .. ‘. Adouret . / . ...,5 "?:1C-6 A4. 9 E T 6 Signature of Enginoe or Sanitarian Fla. Registration Number ______ 0 d • AFC f� # _ . ; ' ' � \ llA4G.l �+��f'fl' ft , 2 - ' Pd , 'M C C .�........, MAP SHOWING SURVEY OF LOT 6, BLOCK 1, DONNER'S REPLAT NO. 2 AS RECORDED IN PLAT BOOK 25, PAGE 68 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. r CAR01_1NE PAV EAt_ £5T4TE E EDGtE '. BELL l/ P A R K 6 (t)147 Ro1w) r,,. sn 5 TR E E T (/..., ?' ,e/w) k 01.0 0L ! - .... 4 M f r L ..r 4 rr ,,,_ r* , p .. .., +t ,,....; b y.µ,y,,.,..;,1..�.n:tiaA.�.i: ■ ; „..... aa,;a..., .1'•11 •I ( II. s1 0oT -'!�M „F 4. M n N U M E N 7 ---- 5(1 1 /z ' / ?o,vr '11. y r - _ , `cJN3/4.' rRnW "1°- M c. = loa o,” ve / f J 1 r N 4 ., , • A-- . , N' N Y?i`tk '� A.5t+(M e uY DOWN ,-,4z....4, 60 ELEVATION of /0.00' CEh ' k a. v :t ( 7. "'f ,k/.%/r. `--- � pc. ,; tvi> L“ t ., 1 .c,) Q G�A7 s L 7' / /s /R 0a �! SO' , U E , , �r -N.. t n . 6' r. -'!-_ _- � ot. Conk., /ytr;N..'tit 1iT .:, ( PnWSxt PG% c.) t 0 .• , i 14444 .1.1. 11.11 1I ,1.'14.1+ (N tl' yl t c. j t. ( " .4',) (f. c' i:'1/4 i1. ' T g (PA v ' ' — POD . C O ,0/ T /)rv) N 0 7 t ; ELEVA T /nN F; 4 r:E < , H OK /}.. 'TH,.J (// n) 0002645 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PER1IT INFONMATIOttt ....., ..... LOCATION INFORMATION t NtsMbe :t °.''_ 4" `a Add "aa t t050 GEORGE STREET P t mi t Type OTHER ATLANTIC BEACH, t"LuR.IO Iaa , , , at Wok 14 LEGAL 0E 1.— ,t 1 PTI ON Doti a tx. Types t3/ Lott i c: ts.or, t. DON,/ Nam . N - IttOtiF 7° o 9 is 0't - F{ i R N t 0 M€t l: ittgu 3 1 Code t 0 !A/At/II .::t oft t 1 Ftepi::a -t # tit t, at ed. Value/ 048, .00 I p4 oV. tn:C,r1. S.7 50 rtttri tr x't t. Paid I *7. 50 t:tat,2 ric1.4 s G/ 330 t3rys Ro. 4 & replace. 14 tat4 attittg tt OWNER INFORMATION APPLICA'r71 t» " i?:t .i t;ta me s //ARV S. MITCHELL PEI MI . 5,0 14; 1dt t 16/%O EIEOR E STREET WATER } I tit^A +_:T PEE $0. 00 ATLANTIC BEACH. FLORIDA F: _' : ° ,. ;t SEWER IMPACT FEE SO. 00 f"tttLL tt y ,..z 04 249 . WATER METER 50. 00 kAOLIti UA t1 t4 . ' '. SO. 00 CONTRACTOR INFORMATION RAItOU GAS 0. Ot Neve x GARY GAT VER WATER TAP $0. 00 /tit tt i t : N. CANAL ST. SEWER TAP + , LAO ..TAX ; FL G 11Y*DRAULXC, SHARE S0. r`ft:t L C S -CCCO ;J Type. t 0 RE .:: INSPECT FEE.: 50. 00 CNCIUCCI4INO SO. cm) NOTES: OTHER *0. 00 NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." i. t=ttT s 60i E: {� 1 : 102131 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJE r fIEVOCATIONtr VIOLATION OF APPLICABLE PROVISIONS OF LAW. t mil t.to KELP ,' ( $1010 I itok) t ATLANTIC BEACH BUILDING DEPARTMENT By: .. k ,, r, � - CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT • BUILbING OWNER,,Q1Y i. /22 j *C.ht /I PHONE 0,2(e9- JOB ADDRESS /60-0 6 or s 4 Y c lavel ' J , X 33 • LOTS � ._ a `, n BLOCK OR UNIT # / SUBDIVISION �y,�t.�cs 4 CONTRACTOR ,4<_i - GA ry As PHONE 3 5 ' 4 00 r ADDRESS 3 3, 33 '/, C<4 44! J )-y - SA,� CC. 3a ,90 9 LICENSE NUMBER C.CCo3 'EXPIRATION JOB VALUATION $ O y8 w_ MATERIALS: Pe/n(31/e.4- 1 )O/ +cam. ) i s ) 7 `, 6 Sy /3 rat. SIGNATURE OWNER c c/ _ _ f DATE (o/ (� /yc3 SIGNATURE CONTRACTOR DATE MOORE+^ SPEEDISET• 226 + 8 ! IMPORTANT: FOR LEGIBLE COPIES, PRINT ON A HARD SURFACE AND PRESS FIRMLY WITH A BALL POINT PEN. ux `u~ +ONTRACT COPY ROOFING ESTIMATE AND PROPOSAL _ SEARS ROEBUCK AND CO. No. SALESCHECK NUMBER // ST I „r DATE � n j a y f 1 I. � 4I, acA STORE ADDRESS CITY V, 9T ZIP CODE 9 PHONE 'iER' NA M .. y y ��/ / `'!�I"�� II/ `.i' _ II � I � K , HOME PHONE OFFICE PHONE /J266 / a /l/e �� .4 Cl ? tg e T ATE , /�`+� ZIP COD / 3T CROSS STREET (�`A INSTALLATION ADDRESS IF DIFFERENT v �� P CODE CITY STATE ZIP CODE igrees to arrange installation of: SKETCH Show roof measurements including rise. { Shade out any part of roofs) not to be covered. pang t ,ci' / /� Show location of gutters, downspouts, overhang and trim. / Show location of any roof Meeks show less variation in shade 1 ue to light reflection than solid colors Black M ; fl „ . , • » " ' ly has some shade variation. 7,d / 4 • nstalidona / ca . .: aUa " . ... .. . a>...,aa story house. Rise ' IN 12 ". � • ... • . .... ,, . s » . , oof: Shingles Main, or ❑Gable, or ❑Mansard, or � ,9e'6 t X54 0v// ' . » » ' ° ° . , : : : ; ❑ Cut -up ❑ Hip, or El Gambrel " N Slope (2" Rise up to 4 ") Rise IN 12" / • $ ` ift up (Must be under 2 ") Rise �Ji .. , _ ' IN 12" m lley type LN. FL . • .. , > ' : ; am : ID VENTILATION Z E " ° " » equate ventilation consists of 1 Sq. Ft Free pen Area for every 150 Sq. � fr � �!� , � of attic floor space (50% located at ridge, and 50% at eaves . • ,. : • : a a Ag e e • • •.. * + y e 9 , m NG ROOFINGonsists of layers of �/fj/ i • ; ; • ng Contractor will ; �%� o " ; ; ply over existing shingles. CAUTION: New shingles will conform to uneven rs of existing deck and /or shingles. I off and haul away tabs of existing asphalt shingles to provide a smoother ✓9- m ^ " " : re even deck, apply shingles. u ., � , • Ir off existing ►��/ /I , , 2'C . ; f7 `� � y < . . . » . ti , Ming to the deck, cover wi o. 15 felt, apply shingles. `fj�,,+(f ge .." • . � L"n r _EAKS .' ❑ Existing Teaks are indicated on sketch. T . fl > .. ..... , > . ... < . `�" N OR DETERIORATED WOOD - No charge has been made for replacing rotten siorated wood unless specifically stated under special instructions. If such / `. . ; • ; • 'C,• • : , ins are found during installation, an additional charge will be made in writing m - a,,.�� separate form. - a ^ ... ; > , . . > . .. . TIERING .. .. Special (COLOR AND DESCRIPTION) Instructions will be installed as shown on diagram. • ERHANG AND TRIM (COLOR AND DESCRIPTION) will be installed as shown on diagram. LLATION ESTIMATED I understand that this is only an estimated date and I will be con - GIN WEEK OF _ tacted prior to this date to schedule the actual installation date. (CASH PRICE) (DATE) �//1? Customer can buy For information regarding `r✓ �}�Q at this price until: __ u ins Ilation call: ,J SC /MCP f ' ` SUBMITTED BY — .�" ❑ (ADDITIONAL PROVISIONS F. T PROPOSAL ARE STATED ON A REVERSE SIDE.) CITY OF ATLANTIC BEACH, FLORIDA � �0 .f9--1 � I Approved by 1 APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: *7 7 19 7s' 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. 6 " 7 e diZZide ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE �1 n JOURNEYMAN //) NAME 61.4 Q� fit` A DR ESS: �/ o . ',/, / iy « ` 0kte� RFD BOX BLDG. SIZE '' .0 .,,+ %u r BETWEEN: RES. ( ) APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) OLD ( ) REW. ( j/ ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SQ. FT. SERVICE: NEW ( 1 INCREASE ( ► REPAIR ( ) FEE CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner ( s) : 41'441 /'AT$ e LL, Address: / SL, �� �- 5, Phone: Lot it Block or Unit * Subdivision: Contractor: /1 LFx c i e.� !'� 4.4 G� �: Tz•°7 t State License * CAC ' ' ?Z Address: /0/ / C c, "+-. :7 .2i at_ Zi' Phone No : >)- / ' -t 31, Describe work to be done: 17-1 Present use of building: Valuation of Proposed Construction: / G� r 3 4 5 ' Proposed use: 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)? New plumbing fixtures? 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. f / Signature OWNER: • AW 1 44.4 J AMIALLIALL.2 / Date: • Signature CONTRACTOR: Date: License Supplied: Liability Insurance: Worker's Compensation Insurance: • • Notice of Commencement • • t.�..w.,, unaaeanil • To *whom 11 ane e. es•swt 1 Th • und•ralin•d hereby inform. you that improvements will be nad• to' certain real properly, and In accordance with section 711.I$ of the Florida Statute*, the following information la stated in thla HHOTICE or COMMLJCL LI4T. SINGLE STORY BLOCK DWELLING LOCATED AT• aaacrlpllon of proper --- - - -- -- -- - --- --- General description of improvements .EXx..:2AL I,_JWAC SETOIzR sszT1s,F.azzo.s, - - - - -_ Owner MARY MT�( I R � (�f: -- STREET , J1rH FT.A - — Owners lntereat la alle of the Improvement -_ ---- •-------------— »»�_ --, • Fe+ Simple T1Ue bolder (U otbK lima await) ...... » »._ »- _ »_» „--- N ame doom -- ___ —_. » ..... — • — »•__ ----------- - »_• _ • Contractor ALEXANDER W. BAL - INC. -- "draw 101 CENTURY • 21 DRIVE JAX. FLA. 32216 Musky (U any) Addt.sa at bond #_� - --- N ►rt s MIA edd'au of cur peso** nuking a lam for Iha conuttueibn of the Imp$evcmmts. • . whwn Potkt$ or other docwnen * • " ea • • 1 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: /i V 6eery)2 OWNER OF PROPERTY: // PLUMBING CONTRACTOR c ad/ PIGY/kf�%If e CZ-IC; ( CONTRACTOR'S ADDRESS: �I STATE LICENSE NUMBER: CfC O " Si f TELEPHONE: `g0TFr / HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY ` WATER HEATERS l BATH TUBS DISHWASHERS URINALS DISPOSALS f CLOSETS r WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: a-V (4 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 FOR OFFICE USE ONLY Date 3 fo 19 J . Permit #1 �.1-.- -f Fee $ -.. 3.. CITY OF ATLANTIC BEACH Valuation $-- _. / -2f-- FLORIDA House #...L. ' G ` ( 57 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. e. 22 7`a Date -" 1 6 , le Owner ' L --- Address Telephone No. Architect ddress. Telephone No Contractor Buil _ L 4Q."-d -_ -- .._ "/ Address.. .l� r ' . ' ' Tele one No I . 744 Lot No. £ Block No. / Sub Divis -- .,_c_t °'° d ' 6 '� j ° - Zone Street Side Between .,.___....�._ and Sts • la Valuation $ ��'i ® For what purpose will building be used `' t '' .e Type of constructionG r • Dimensions of ildi Z 1$2')c ` ' Dimensions of Lot t x i Size of Footings�`� ' Size of Pier � ` s Size of Sills — Greatest Sill Span in ft. Type Roof — 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 It 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 W 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. ""i N ' 4. When framing is completed. `t' 7 , ' z S 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 1 A 7. Electrical inspection by City of Jacksonville. cn 8. Final inspection. f v - 4. I 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 t�tached plans d specifications, which are a art hereof, and in accordance with the building regulations of the City , o antic Beach. / �•� ,v r �!�2'us -41""' j1 ` i � .J 74 A st ik e ' yai tl i /tsu 1 ,2/d Signature of Bed ,::"' Addres t Signature of O even r Address MORTGAGE NOTE Atlantic Beach, Florida For value received, the undersigned (jointly 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 Nine Thousand Six Hundred Thirty and 00/100 Dollars (59,630.00) 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 shall 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 =forgiven balance shall become immediately due and payable if the maker transfers title 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 /10th per year only if a member of the makers immediate family 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 herewith. If default 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 sum 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 shall after maturity of this note or default hereunder or under said mortgage, be employed to collect this note or to protect the security thereof / . ' i`�� �� (seal) Nan* of Maker (seal) Makers Address: 1850 George Street Atlantic Beach, FL 32233 STATE OF FLORIDA DOCUMENTARY STAMPS IN THE AMOUNT OF $ HAVE BEEN AFFIXED TO THE MORTGAGE SECURING THIS NOTE AND CANCELLED. D. PRE - CONSTRUCTION CONFERENCE REPORT READ CAREFULLY BEFORE SIGNING I (WE) THE UNDERSIGNED HAVE ON THIS DATE AT 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 UNDERSTAND AND ACKNOWLEDGE THAT THE REHABILITATION LOAN PROGRAM ASSUMES NO RESPONSIBILITIES FOR THE WORK PERFORMED AND DOES NOT WARRANT ANY WORK PERFORMED. � f Si natur f Pro ert Owne Date 9 P Y Signature of Property Owner Date I, 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. Signature of Cont ctor & Title Date I, 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 MEMORANDUM #49. / .mil 6" c_� PROCEED ORDER DATE: �� l le P,5" TO: Alexdu igz,. /re, Li 4. f .� e e, o _2/1 FL 2214 This is to authorize you to proceed with work specified in our contract dated ' , for improvement work on the property located Gated • The amount specified in the Rehab- ilitation Agreement is $ _ 3za c Please proceed in accordance with the Contract. You are to commence work no,later than / _ All work shall be completed according to the Work Writer UPS Plans, Change Orders,, Addenda and Specifications within Sixty (60) calendar days after start- ing construction. t Name(e) of Owner s) • //1 4 _ u i /OF (Owner s ignature) (Owners Signature) ADDRESS: (Local P • is 44.0,4K � _ • Agency Re. esentativ Copy; RLP4.43 REHABILITATION LOAN PROGRAM RESPONSIBILITIES OF HOMEOWNER 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 sure the contractor does the work exactly as he stated he would do in your contract. Prepare your property and furnishings for the rehabilitation - the dry use this period to send your drapes to th . There will x'Y cleaners - wash your curtains. probably be dust and dirt from the work - protect your furnish- ings and clothes - put all breakable and valuable won't be broken or misplaced. e items away so they When the Work Be ins Keep your copy of the work description handy and refer to with your Case Manager if there is anything you do not un d. t a Remember you are responsible for ensuring that the contractor does atd. work correctly as bid. Assistance will be provided if required but the the work must be acceptable to you. Try to stay out of the construction area, especially children; this w help prevent injuries and allow the workmen room to work. ill Try to keep a good relationship between your family again, delegate someone to be the spokesman for the family he contractor - S t should b o o a they start - if something isn't going and you don't understand it, speak to the co tr c or get an acceptable explanation or correction before it too far. If the contractor cannot give you an acceptable explanation, stop the work and call the Case Manager for assistance. p progresses Expect the unexpected - in most cases changes and improvements will be new and exciting to you and will give you much pleasure; however, problems may be uncovered during the course of the work which m a may a change to the contract. nforeseen changes with the contractor and Be $ repared if this should happen require required and why. get a good explanation of n discuss the change Try to . visualize what the change will look like. flexible. Al]. changes to the contract must be approved b Case Manager and must be in writin . by you and your Be Your contractor is responsible for supervision of his cannot be present, make sure that he tells workers. you who to talk to if If he questions. you have a problem or Win cooperation from the workmen with good of appreciation - unexpected pot of coffee asio human relations. A word water. Small rtn��.... -- - •- CONTRACTOR'S AFFIDAVIT STATE OF FLORIDA ) SS • COUNTY OF DUVAL ) • BEFORE ME, the undersigned Notary Public, personally appeared , who, being first duly sworn by me, deposes and says: That on , 19 , as owner, and as contractor, entered into a certain construction contract whereby said contractor 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. • • • • Subscribed and sworn to before ma thie L.)NTRACTOR PAYMENT REQUEST Homeowner: Payment #1 - 40$ Complete Address: #2 - 80$ Complete #3 - 100% Complete Contractor: Amount Requested: $ Contractor: I hereby request an inspection to receive payment # b for the amount of $ . I certify that I have satisfactorily 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 way 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 liens, 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 to to the contractor in the amount of $ p yment Rehab Specialist: Date: At 100% completion: T CHANGE ORDER No. Date of Contract Date Owner Name; Property Address: Contractor Name: • Contractor Address: Description of Work Change: AMOUNT: CATEGORY: No. - �. SUM 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 /S HOMEOWNER - CONTRACTOR AGREEMENT Property Improvements To: f gS- -es? ? �� P �� l,ry _ �// , ( / Ad � dre) / ss Owner (s) . ��►!l.�t��L-- - / (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 completed 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 Atlantic Beach shall pay the Contractor for the performance of the rehabilitation work, subject to additions and deductions by approved Change Order, the contract sum of / Qo do ($ `� ). 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- 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 final 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 limitation 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 benefit 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 concurrence required by the Government or its designee to complete the 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 -" 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. 4,4-C- A4 n'1 s AV7 Name of Contractor f Name(s) of Owner(s) aiE ture of ontractor Date S atu� r of Owner g caner 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 employment 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 comply with all provisions of Executive Order No. 1i246 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 nonconiIiance 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 Governmeiit 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 21.8% for each trade. 2. The goals for female participation are 6.9% for Hart, +rm,io FORM ALEXANDER W. BALFE, INC. CERTIFIED BUILDING CONTRACTOR 101 CENTURY 21 DR., SUITE 211 JACKSONVILLE, FL 32216 MARY MITCHELL (Home Owner) (Contractor or Bidder) 1850 GEORGE STREET (Address) (Address) (Phone) Material Specifications Material Labor 1. FRONT PORCH: Tear out existing 1 � materials and rebuild completely -( 2-0 y ZJ using pressure treated wood, re- screen and paint to match. 2. SIDING: Replace all deteriorated siding and trim with consistent 5- J materials. Replace carport posts with pressure treated lumber. 3. EXTERIOR FINISH: Prep,prime, and paint exterior of house completely GO 0 D with two coats of low - luster finish. 4. SEPTIC: Connect existing septic 5 line to the municipal sewer service. 1 U o S 5. ELECTRICAL: Troubleshoot and 3 repair hallway light and dining rooms 315 1 S f S- outlet. 6. PLUMBING: Re -plumb kitchen sink drain and install a new faucet at 2- t-k 2 L-{ 5� the bathroom sink. Repair commode for proper flush and seal gaps around tub and surround. 7. HVAC: Install complete central 1/ � /, ) heat/air conditioning system. �c Upgrade electrical service as necessary. Subtotals: $ \ ( ( � `� ' ��� Totals: (Date) (Contrac t toorBidderSgnature)