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Permit 1251 Gladiola Street f dc,; City of Atlantic Beach - - Building Department ' " 01319 Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the Florida Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Date: August 7, 2008 • Contractor: Just Wright Construction Address: 1251 Gladiola St., Atlantic Beach, Fl 32233 Construction Type: Residential Occupancy Class: Group R -2 Permit Number: 07 -00476 '14 , u / _ MICHAEL GRIFFIN BUILDING OFFICIAL HP Officejet 7410 Log for Personal Printer /Fax/Copier /Scanner Information Systems 904- 247 -5845 Mar 26 2008 9:25AM Last Transaction Date Time Type Identification Duration Pages Result Mar 26 9:25AM Fax Sent 95195402 0:25 1 OK �T, CO N Z Li" Is u O � a_ ( n 0 li CO J m N ...., W U O o 6 N I j Z z Z 7 v W N = CC W W 0 W w W - U�,ZQ d Z Q� _ w V) J � < O 0 (n I I- J -(n 0 IZ Z • � 3 Z O ~ O D O Li L1.J ' 0 a J a. = J c 0 1 W 0- t�� 0 Lu )09 L. LOS Q WW D Y mQ C4. 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U N 7 .— J Se r CO Z w z W u_ 4 o n d J.HM- _d0 11 , 1a3eaS V 0V-10 PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: Sfieft Property Owner: Phone # Contractor: # a 33 Jo( GOrl�y hT L Permit #: 7 o 4 7(0 Date Issued: 30 O i Tree Permit # Foundation Permit # Demolition Permit # BUILDING I ELECTRIC # MECHANICAL # PLUMBING # Temp.Power # Footing JEA Release Date Temp. Power Slab Letter Rec'd. Underslab Tie Beam Temp Pole # Lintel JEA Release Gas Piping Date Nailing/ Water/ Sheathing Sewer Rough/ Framing Rough Rough Top out Insulation JEA Release Date Building Electric Mechanical Plumbing Final Final Final Final JEA Release Date Drainage Inspection: Pool Permit # Inspections: Steel Final Elec. /Grounding Final Roofing Permit # Inspect: Nailing /Sheathing Final Fire Inspection: Failed Inspections: Date Paid: HP OfficeJet 7410 Log for Personal Printer /Fax/Copier /Scanner Information Systems 904 -247 -5845 Mar 26 2008 9:27AM Last Transaction Date Time Type Identification Duration Pages Result Mar 26 9:26AM Fax Sent 94935701 0:25 1 OK GELS F04 F04 F04 F04 F04 F04 F04 CONVENTIONAL F04 FRAMING F04 F04 F04 F04 — F05 F04 — F05 F04 • sacr F04 F04 F03 CONVENTIONAL F03 FRAMING F02 FO1 F02 ELEV F01 E L2 GEL1 Stairs This drawing is not sufficient alone for installation. Additional instructions accompanying this drawing, including BCSI —B1, If BCSI —B1 has not been shipped to the site with the components shown on this page, please contact Apex Technology for other lateral forces, and permanent bracing for all structural elements, is the responsibility of the Engineer of Record fo. o TRUE TRUSS JOB NUMBER: 0602342 Cc t/ 4 BUILDER: 8 JUST WRIGHT CONST. < SUBDIVISION: id GLADIOLA LOT NUMBER 151 MODEL BLACKENBAKER RES. g DESIGNED /CHECKED: F DB /DM 01 COUNTY: • ATLANTIC BEACH TRUSS PROGRAM: MITEK 1 Roof Loading (Cd= 1.25) " TCLL 20 psf 5 TCDL 7 psf w BCLL 10 psf A. BCDL 5 psf GEL4 Floor Loading (Cd= 1.00) =F06 a TCLL 40 psf 4 TCDL 10 psf BCLL 0 psf — F06 o BCDL 5 psf --F06 o Wind Loading (Cd= 1.60) < ASCE 7 -02, 3s Gust U 120 MPH a Exposure Category C =P07 E Importance Factor 1.0 F07 o Enclosed Structure g 1''07 g ss..... 1007 ,1 IW ■ r-F07 TRUETZISS sue.. , A- , —INOMr U �� —F07 N I— F07 i Fr 1,9 F07 0 l "07 a r -, F07 !.. -T07 1'07 1 : . H ti l r- —F07 z 03 " --GEL5 U QC Er! o. v S bb S 0 v -26-07 Duld be used in conjunction with the architectural and structural plans during installation. free copy. Permanent bracing for the building, including bracing to resist wind, seismic, or JEFFREY P. ARNESON ie structure or the building designer, per ANSI /TPI 1 — 2002 Chapter 2. PE NO. 58544 Co'( t -- - - t 0 ni • P ll Just Wright Construction - - � 11t1 GLADIOLA County: Duval Building Code: FBC2004 Computer Program Used: MiTek 6.2 General Truss Design Loads Roof Gravity: 42 psf Total Load (Cd = 1.25) Floor Gravity: 55 psf Total Load (Cd = 1.00) Wind: 120 mph from ASCE 7 -02 Individual Truss Drawings Show Special Loading Conditions This package includes 12 truss design drawings with individual date of design. With my seal affixed to this sheet, I hereby certify that this serves as an index sheet in conformance with Rule 61G15- 23.002(2) and 61G15- 31.003 of the Florida Board of Professional Engineers. Notes: The seal on this index sheet indicates acceptance of ! J professional engineering responsibility solely for the Truss Design 11 ■ Drawings listed below and attached. The suitability and use of each - rey P. Arneson drawing for any particular building is the responsibility of the P. No. 58544 Building Designer, per ANSI /TPI 1 -2002 Section 2. 03/26/07 Structural Engineer of Record Apex Technology is a fictitous name owned by Jax Apex Technology Inc., P.E Jeffrey Arneson, P.E. a Florida Corporation. Florida Engineer . Numm ber 58544 Business No. 75447 4745 Sutton Park, Suite 402 Busl ess N .75Court, Suite 402 4745 Jacksonville, FI. 32224 904 - 821 -5200 Jacksonville, FI. 32224 904 -821 -5200 NO TRUSS ID # DATE 1 0602342 -F01 03/26/07 2 0602342 -F02 03/26/07 3 0602342 -F03 03/26/07 4 0602342 -F04 03/26/07 5 0602342 -F05 03/26/07 6 0602342 -F06 03/26/07 7 0602342 -F07 03/26/07 8 0602342 -GEL1 03/26/07 9 0602342 -GEL2 03/26/07 10 0602342 -GEL3 03/26/07 11 0602342 -GEL4 03/26/07 12 0602342 -GEL5 03/26/07 cnHW -1 WO) rev' O. w nx ��- Teri �� d a z a b P,;?A' a m p (��� �yr n o � "'O trJ �; y °y/ �l$ � w M H �' z //�'� � M M / ° � � t� � Yea 1 \ 1,4 0 M le _ . 0 M/O N� 7ya� l���«d � • � m.0-3 0E it: WI P i 0.p 0 MO .21M z 8 m t q c .7,2 , 4.= 0 no m 1 i 1111 �O 'U zo nib �� C7 �VC n� �� ° y't1 �Cn OC t" y M0 Mn 1! 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C4 4 . 0 o i : r d y1 o Z a O Z ri ri t� P twi U) ' 3 > I I I I I k ' r 1 I Z I - 3 g S td z 535i 1 a o Cil >I< tii Q Job T russ Truss Type Oty • Ply BLACKENBAKER RESIDENCE R 0602342 F02 FLOOR 2 1 Job Reference Iopt.onaq 6.300 s Apr 19 2006 MiTek Industries. Inc. Tue ,1a- 20 13 36;52 23'.3' 'ac= t 1 0-1-8 1 -5-0 1-3-0 0-1-8 . . , 5_• 9'. a.5 1.) 10 -1 -2 10- -2 3 - - w. 3.3x4{0" 3 -3-8 LOADING(PSf) SPACING 2-0-0 CSI DEFL In floc) Ildefl Lid PLATES GRIP TCLL 40.0 Plates Increase 1.00 TC 0.12 Vert(LL) -0.00 6 >999 360 M /20 2491190 TCDL 10.0 Lumber Increase 1.00 BC 0.01 Vert(TL) -0.00 5 >999 240 BCLL 0.0 Rep Stress Ina YES WB 0.06 Horz(TL) 0.00 4 n/a nib BCDL 5.0 Code FBC2004/TPI2002 (Matrix) Weight: 221b • LUMBER BRACING TOP CHORD 4 X 2 SYP No.2 TOP CHORD Structural wood sheathing directly applied or 3 - - oc purlins. except enc BOT CHORD 4 X 2 SYP No.2 verticals. WEBS 4 X 2 SYP No.3 BOT CHORD Rigid ceiling directly applied or 10 - - oc bracing. REACTIONS (lb/size) 6= 16110.3 -8.4 =161/0 -3 -8 FORCES (Ib) - First Load Case Only TOP CHORD 6.7= 154, 1 -7= -154. 4.8= -155, 3-8= -155, 1 -2= -127. 2 -3= -127 SOT CHORD 5-6 =8, 4.5 =8 WEBS 3.5= 158.1 -5= 151,2 -5= -180 NOTES (3-4) 1) All bearings are assumed to be SYP No.2 2) Recommend 2x6 strongbacks, on edge. spaced at 10 -0-0 oc and fastened to each truss with 3 -16d nails. Strongbacks to be attached to walls at their outer ends or restrained by other means. 3) Apex Technology is a fictitious name owned by Jax Apex Technology Inc.. a Florida corporation. Florida engineer Business No 7547 - 4745 Sutton Park Court. Suite 402, Jacksonville, Ft. 32224 - 904.821.5200 4) This drawing is not sufficient alone for installation. Additional instructions accompanying this truss drawing. including BCSI 1 -03. should be used in conjunction with the architectural and structural plans during installation. If BCSI 1 -03 has not been shipped to the site with the component pictured on this page. please contact Apex Technology for a free copy. LOAD CASE(S) Standard ' Job Truss TFUSS Type Oty Ply BLACKENBAKER RESIDENCE R 0602342 F04 FLOOR 16 1 Reference topt.onai 6.300 s Apr 19 2006 MiTek Industries. Inc 'rue b1>' 23 13.36 53 233 page 1 0 -1 -8 - 1-3-0 0 -8-0 p - -8 1r 3.34 23 1.3 1.1112C - S +S 3a25.'512C- 3a? 5' 20' 3aa r1.. vv ..A',.2!' '.'rtn2'v c , a 5 T 2, TI i ` is ., - _. _. _ 0'lr 63' ▪ ~, 22 23 2 2 2 ' 25 5+5 e!' 2k:-_', 25 3.155:20- 3.1CV'423HFP- S+E V11222 -•+ 2,1211 - 4+5./1120 we 3 +3 N:'.2G 3.3 5/02C- 10 -'.-2 10-1 -2 1 -6 -0 4 -0 -0 6 -6-0 9 -0 -0 14 -11 -0 17 -5 -0 19-11-0 22 -5 -0 23 -11 -0 1-6-0 2 6 0 2-6-0 2-6 0 5-11-0 2 6 0 2 -6 -0 2 -6 -0 1-6 -0 -_,-. 1 4 Ed e 1 -8 26 Ed A 1 8 . Plate Offsets (X,YZ L.Edge,0 -1 -8y [ 3:0- 1- 8.Edge]: [1 0 _ q � L e [ fl__ ] __�- -- _ - -_ - - --- LOADING(psf) SPACING 2 -0-0 CSI DEFL in (loc) lidefl Uri PLATES GRIP Plates Increase 1.00 TC 0.38 Vert(LL) -0.57 21 >502 360 M1120 249,190 TCLL 10.0 vertTL -0.88 21 >321 240 MiI20H 167/143 TCDL 10.0 Lumber Increase 1.D0 BC 0.7D ( ) BCLL 0.0 Rep Stress Incr YES WB 0.70 Horz(TL) 0.14 14 n/a Ma Weight 124 lb BCDL 5.0 Code F8C2004/TPI2002 (Matrix) LUMBER BRACING TOP CHORD 4 X 2 SYP DSS TOP CHORD Structural wood sheathing directly applied or 5 -9 -3 oc puffins. except enc SOT CHORD 4 X 2 SYP DSS verticals. WEBS 4 X 2 SYP No.3 BOT CHORD Rigid ceiling directly applied or 10 -0-0 oc bracing. REACTIONS (lb/size) 26= 1295/0 -7.8. 14= 1295/0.7 -8 FORCES (lb) - First Load Case Only TOP CHORD 26-27= - 1290.1 -27=- 1288,14.28 - 1290.13 -28 =- 1288..1 -2=- 1353.2 -3=- 3465.3 -4 =- 4981.4 -5=- 5933.5.6 = - 5933.6 -7 =- 6349.7 -8=- 6349.8 -9=- 6349. - 10 = - 59333.10 - 11 = 11 - 12 = - 3465. 12.13= -1353 BOT CHORD 25- 26=67. 24 -25 =2558, 23-24=4346, 22-23=5591, 21 -22 =6247. 20 -21 =6349, 19-20=6247. 18 -19 =5591, 17-18=5591, 16- 17=4346, 15 -16 =2558, 14.15 =67 WEBS 13.15= 1749.1 -25 =1749,12 -15 =- 1675.2 -25 =- 1675. 12 -16= 1262.2.24= 1262,11.16 = - 1225.3 -24 =- 1225.11.17= 883.3 -23= 883. 10 -17 =- 849.4.23 =- 849.10 -19= 475. - 22 =475. 9 -19 =-438. 6 -22 =-438. 9.20 =137, 6 -21 =137, 7-21=-77. 8- 20 = -77 NOTES (6-7) 1) Unbalanced floor live Toads have been considered for this design. 2) All plates are MT20 plates unless otherwise indicated. 3) All plates are 4x5 MI120 unless otherwise indicated. 4) All bearings are assumed to be SYP No.2 5) Recommend 2x6 strongbacks. on edge, spaced at 10 -0-0 oc and fastened to each truss with 3 -16d nails. Strongbacks to be attached to walls at their outer ends or restrained by other means. 6) Apex Technology is a fictitious name owned by Jax Apex Technology Inc.. a Florida corporation. Florida engineer Business No. 7547 - 4745 Sutton Park Court. Suite 402, Jacksonville, Ft. 32224 - 904.821.5200 7) This drawing is not sufficient alone for installation. Additional instructions accompanying this truss drawing, Including SCSI 1 -03, should be used in conjunction with the architectural and structural plans during installation. If SCSI 1 -03 has not been shipped to the site with the component pictured on this page, please contact Apex Technology for a tree copy. LOAD CASE(S) Standard ' Job Truss Truss Type Qty Ply BLACKENBAKER RESIDENCE R 0602342 F06 FLOOR 3 1 Job Reference ioptlona) - - �. , 6.300 s Apr 19 2006 MiTek incusr�es Irc. 'rue Mar < "- � 55 13 7J -. .�- 0-1-8 0-1-5 1 -3-0 2-2 -8 1+4 M.O.- 3v3 Mn2' _ ,._ "Mi2J 113 Win -- 3.3 Mir.:, - 4 ' Y7 F i g. . _ .3 1.11.29 ' .3 1,1+:2CY . .31.112/ 3.3 MO21. Act Mi.21;- x_N t. 30 1112, 10 - 1-2 10-1 -2 1-6 -0 4-0-0 8 -11 -8 11 -5-8 12 -11 -8 1-6-0 2 0 4-11-8 2 -6 -0 1 -6-0 --- - . , Plate_Offsets (X,Y): j6:0.1$.Ed4e]-___ _ - LO ADING (psf) SPACING J` 2 -0 -0 CSI DEFT in (Ioc) 1 /dell Lid PLATES GRIP TCLL 40.0 Plates Increase 1.00 TC 0.38 Vert(LL) -0.10 11 -12 >999 360 M520 249 TCOL 10.0 Lumber Increase 1.00 BC 0.62 Vert(TL) -0.13 11 -12 >999 240 BCLL 0.0 Rep Stress Incr YES WB 0.35 Horz(TL) 0.02 7 n/a Na Weight 67 Ib BCDL 5.0 Code F8C2004/TPI2002 (Matrix) LUMBER BRACING TOP CHORD 4 X 2 SYP No.2 TOP CHORD Structural wood sheathing directly applies or 6-0-0 oc puffins. except era BOT CHORD 4 X 2 SYP No.2 verticals. WEBS 4 X 2 SYP No.3 BOT CHORD Rigid ceiling directly applied or 10 -0-0 oc bracing. REACTIONS (Ib /size) 14= 693 /0- 7- 8.7= 693/Mechanical FORCES (Ib) - First Load Case Only TOP CHORD 14 -15 =-688. 1.15 =-687, 7 -16 =-688. 6 -16= -687, 1.2 =-671, 2 -3= -1535, 3 -4= -1809. 4 -5= -1535, 5-6=-671 BOT CHORD 13- 14 =36. 12 -13 =1255, 11- 12=1809. 10- 11=1809, 9.10 =1809. 8 -9 =1255, 7 -8 =36 WEBS 6-8=864, 1 -13 =864, 5.8 =-811, 2-13=-811. 5.9 =390, 2 -12 =390, 4 -9= -372. 3- 12 = -372, 4-10=17. 3-11=17 NOTES (4-6) 1) Unbalanced floor live roads have been considered for this design. 2) All bearings are assumed to be SYP No.2 3) Recommend 2x6 strongbacks. on edge. spaced at 10 -0-0 oc and fastened to each truss with 3 -16d nails. Strongbacks to be attached to walls at their outer ends or restrained by other means. 4) Apex Technology is a fictitious name owned by Jax Apex Technology Inc.. a Florida corporation. Florida engineer Business No. 7547 - 4745 Sutton Park Court. Suite 402, Jacksonville, FI. 32224 - 904.821.5200 5) This drawing is not sufficient alone for installation. Additional instructions accompanying this truss drawing, including BCSI 1 -03. should be used in conjunction with the architectural and structural plans during installation. If BCSI 1 -03 has not been shipped to the site with the component pictured on this page, please contact Apex Technology for a free copy. 6) Use SIMPSON THA422 to attach truss to flush beam. LOAD CASE(S) Standard Truss Truss Type Qty Ply BLACKENBAKER RESIDENCE Job 1 0602342 GEL1 FLOOR 1 Job Reference ;oplIona! 6.300 s Apr 19 2006 MiTek Indusnes. Inc TJe Mar 20 13 36 56 Y =777 Page • 0 -1 -6 0 -1 -8 4 B . 3 N.2:... 10-1 -2 8 -3 -4 8-3 -4 LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) tldefl Lid PLATES GRIP TCLL 40.0 Plates Increase 1.00 TC 0.09 Vert(LL) n/a nla 999 Mu20 249 190 TCDL 10. Lumber Increase 1.00 BC 0.02 Vert(TL) nla - nla 999 BCLL 0.0 Rep Stress Ina NO WB 0.03 Horz(TL) 0.00 8 nta n/a Weight 38 IC BCDL 5.0 Code FBC2004/TPI2002 (Matrix) LUMBER BRACING TOP CHORD 4 X 2 SYP No.2 TOP CHORD Structural wood sheathing directly applied or 6 -0 -0 oc puriins. except erc BOT CHORD 4 X 2 SYP No.2 verticals. WEBS 4 X 2 SYP No 3 BOT CHORD Rigid ceiling directly applied or 10 -0-0 oc bracing. OTHERS 4X2 SYP No.3 REACTIONS (Ib/size) 14 =60/8 -3-4, 8= 71/8 -3-4. 13 =138/8 -3-4. 12 =149/8 -3 -4, 11 =147/8 -3.4, 10 =143/8 -3.4. 9 =162/8 -3.4 FORCES (lb) - First Load Case Only TOP CHORD 14- 15 = -53. 1- 15 = -52, 8- 16 =-65. 7- 16 = -64. 1- 2 = -12. 2- 3 = -12, 3- 4 = -12, 4- 5 = -12, 5- 6 = -12, 6 -7 = -12 BOT CHORD 13- 14 =12, 12.13 =12. 11.12 =12. 10- 11 =12, 9- 10 =12, 8 -9 =12 WEBS 2 -134- 128, 3.12 = - 135. 4 - 11 = - 134, 5 -10 =- 130. 6 -9= -147 NOTES (7.8) 1) All plates are 1x3 MI120 unless otherwise indicated. 21 Gable requires continuous bottom chord bearing. 3) Truss to be fully sheathed from one face or securely braced against lateral movement (i.e. diagonal web). 4) Gable studs spaced at 1 - oc 5) All bearings are assumed to be SYP No.2 6) Recommend 2x6 strongbacks. on edge. spaced at 10 -0-0 oc and fastened to each truss with 3 -16d nails. Strongbacks to be attached to wails at their outer ends or restrained by other means. 7) Apex Technology is a fictitious name owned by Jax Apex Technology Inc.. a Florida corporation. Florida engineer Business No. 7547 - 4745 Sutton Park Court, Suite 402, Jacksonville, FI. 32224 - 904.821.5200 8) This drawing is not sufficient alone for installation. Additional instructions accompanying this truss drawing. including SCSI 1 -03, should be used in conjunction with the architectural and structural plans during installation. If SCSI 1-03 has not been shipped to the site with the component pictured on this page. please contact Apex Technology for a free copy. LOAD CASE(S) Standard Job Truss Truss Type Qty Ply BLACKENBAKER RESIDENCE 1 0602342 GELS FLOOR 1 Job Reference (ept onali 6.300 s Apr 19 2006 MITek Industnes, Inc Toe Mai 2C 13 36 5E. 251 Rage ' 0 - 1 - 8 0 -1 -8 -.,e w!sc ro - 6 4 y v ' 12 '] IS T2 .. TI I 11 L3 is li ST 5* SL' S" S - a ,, 5 . 4 . 1 41'+ Sr T 9 " 5". S" 571 4+i STt 4`t - El : !'. I Rae n _ ». tt n n _0 n a1 t ' n , 3.7 M520 FP- - ],) 14420- 4 . 10 -1 -2 23 -11 -0 23-11 -0 LOADING SPACING 2-0-0 CSI DEFL in (loc) Udefl Lid PLATES GRIP TCLL 40.0 Plates Increase 1.00 TC 0.06 Vert(LL) n/a n/a 999 MI20 249:190 TCOL 10.0 Lumber Increase 1.00 BC 0.01 Vert(TL) n/a - nia 999 BCLL 0.0 Rep Stress Inc/ NO WB 0.03 Horz(TL) 0.00 21 n/8 n/a Weight 104 It BCDL 5.0 Code FBC2004ITPI2002 (Matrix) LUMBER BRACING TOP CHORD 4 X 2 SYP No.2 TOP CHORD Structural wood sheathing directly applied or 6 -0 -0 oc purlins. except end BOT CHORD 4 X 2 SYP No.2 verticals. WEBS 4 X 2 SYP No.3 80T CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. OTHERS 4 X 2 SYP No.3 REACTIONS pb /size) 31= 14723-11. 0.30 =14723 -11 0.28=147/23-11-0. 27 =147/23 - 1 10.26 =14723- -0. 25 =147/23 -11 -0,24=1 6/23 - 111 -0. 23 =149/23-111-0.22= 38.2 -1 - 32=147/23-11-0, FORCES (lb) - First Load Case Only TOP CHORD 40- 41 = -50, 1-41=-49, 21-42=-45, 20- 42 =-45, 1 -2 = -7, 2 -3 = -7. 3 -4 = -7. 4 -5 = -7, 5 -6 = -7. 6.7 = -7, 7 -8 = -7, 8 -9 = -7. 9 - 10 = - 7. 10- 11 = -7, 11- 12 = -7, 12- 13 = -7, 13-14=-7.14-15=-7. 15- 16 = -7. 16- 17 = -7, 17- 18 = -7, 18- 19 = -7, 19 -20 = -7 WEBSHORD 39-40=7, - 9 =- 31, 3 38 4- 37= -133 ?5.36 X 7-34=-133. 8 -33 =- 33310.32=-133, 1 - 31 - 133. 12. 3= 0-133213-28=-133. 14- 276133. 15-26=-133, 16-25=-133. 21-22=7 .133 17-24=-133, 18-23=-135. 19-22=-126 NOTES (7 -8) 1) All plates are 133 MII20 unless otherwise indicated. 2) Gable requires continuous bottom chord bearing. 3) Truss to be fully sheathed from one face or securely braced against lateral movement (i.e. diagonal web). 4) Gable studs spaced at 1.4-0 oc. 5) All bearings are assumed to be SYP No.2 6) Recommend 2x6 strongbacks. on edge, spaced at 10 -0-0 oc and fastened to each truss with 3 -16d nails. Strongbacks to be attached to walls at their outer ends or restrained by other means. 7) Apex Technology is a fictitious name owned by Jax Apex Technology Inc.. a Florida corporation. Florida engineer Business No. 7547 - 4745 Sutton Park Court. Suite 402. Jacksonville. FI. 32224 - 904.821.5200 8) This drawing is not sufficient alone for installation. Additional instructions accompanying this truss drawing, including SCSI 1-03, should be used in conjunction with the architectural and structural plans during installation. If SCSI 1 -03 has not been shipped to the site with the component pictured on this page, please contact Apex Technology for a free copy. LOAD CASE(S) Standard Job Truss Truss Tyoe Qty Ply BLACKENBAKER RESIDENCE 0602342 GELS FLOOR 1 1 Job Reference (optrona, 6.300 s Apr 19 2006 MiTek Industnes. Inc. Tue Mar 20 13 3659 20 °a e 0 -1 -8 s 6 - 6 6 < - 1 s -t vit s -i s - 1 5 1 - 1 W1 F"1 8.I 10-1 -2 12 -10-0 12-10 -0 LOADING(psf) SPACING 2 - - CSI DEFL in (loc) I /deft IJd PLATES GRIP TCLL 40.0 Plates Increase 1.00 TC 0 06 Vert(LL) nia me 999 Mu20 249'19C TCDL 10.0 Lumber Increase 1.00 BC 0.02 Vert(TL) nra - We 999 BCLL 0.0 Rep Stress Ina NO W8 0.03 Horz(TL) 0.00 12 n/a nisi Weight 58 IC BCDL 5.0 Code FBC2004fTPI2002 (Matrix) LUMBER BRACING TOP CHORD 4 X 2 SYP No.2 TOP CHORD Structural wood sheathing directly applied or 6 - - oc puriins except end SOT CHORD 4 X 2 SYP No. verticals WEBS 4 X 2 SYP No.3 BOT CHORD Rigid ceiling directly applied or 10 -0 -0 oc bracing OTHERS 4 X 2 SYP No.3 REACTIONS (Ib/size) 22 =52/12 -10-0. 12 =27/12 -10 -0, 21 =148112 -10 -0. 20 =147/12 -10 -0, 19 =147/12 -10 -0, 18= 147112 -10 -0. 17= 147112 -10 -0 , 16= 147 - 10 - 0. 15= 145/12 - 10 - 0. 14 =1531 13=113/12-10-0 FORCES (Ib) - First Load Case Only TOP CHORD 22- 23 = -48, 1-23=-48. 12- 24 = -21, 11- 24 = -21, 1 -2 = -5. 2 -3 = -5, 3 -4 = -5, 4 -5 = -5, 5 -6 = -5, 6.7 = -5. 7 -8 = -5, 8 -9 = -5, 9.10 = -5, 10-11=-5 8OT CHORD 21 -22 =5, 20 -21 =5. 19 -20 =5. 18 -19 =5. 17 -18 =5. 16 -17 =5, 15-16=5. 14 -15 =5, 13 -14 =5, 12 -13 =5 WEBS 2.21 =- 133, 3 -20= -134. 4-19=-133. 5-18 = - 133, 6 -17 =- 133. 7 -16 =- 134, 8 -15 =- 132, 9 -14 =- 139. 10 -13= -107 NOTES (7-8) 1) All plates are 1x3 M1120 unless otherwise indicated. 2) Gable requires continuous bottom chord bearing. 3) Truss to be fully sheathed from one face or securely braced against lateral movement (i.e. diagonal web) 4) Gable studs spaced at 1-4-0 oc 5) All bearings are assumed to be SYP No.2 6) Recommend 2x6 strongbactts, on edge. spaced at 10 -0-0 oc and fastened to each truss with 3 -160 nails. Strongbacks to be attached to walls at their outer ends or restrained by other means. 7) Apex Technology is a fictitious name owned by Jax Apex Technology Inc., a Florida corporation. Florida engineer Business No. 7547 - 4745 Sutton Park Court. Suite 402. Jacksonville, FI. 32224 - 904 - 821.5200 8) This drawing is not sufficient alone for installation. Additional instructions accompanying this truss drawing, including SCSI 1 -03, should be used in conjunction with the architectural and structural plans during installation. 4 BCSI 1-03 has not been shipped to the site with the component picturec on this page. please contact Apex Technology for a free copy LOAD CASE(S) Standard TRUE TRUSS JOB NUMBER Co fy 0602343 • BUILDER: g JUST WRIGHT CONST. , SUBDIVISION: 1 I 13'4 "0 4 GLADIOLA e LOT NUMBER _1,151 MODEL BLACKENBAKER RES. ° DESIGNED /CHECKED: DB /DM g COUNTY: • ATLANTIC BEACH t TRUSS PROGRAM: MITEK 0 Roof Loading (Cd= 1.251 E°.• g E°- H E g g g o ° TCLL 20 psf 5 TCDL 7 psf BCLL 10 psf BCDL 5 psf E Floor Loading (Cd= 1.00) TCLL 40 psf TCDL 10 psf BCLL 0 psf BCDL 5 psf g Wind Loading (Cd= 1.60) • ASCE 7 -02, 3s Gust 120 MPH " Exposure Category C • Importance Factor 1.0 t Enclosed Structure 2 TRUETRUSS m ago. Fr11 ApE • _ 13'4 "0 3- • - 07 hould be used in conjunction with the architectural and structural plans during installation. free copy. Permanent bracing for the building, including bracing to resist wind, seismic, or JEFFREY P. ARNESON the structure or the building designer, per ANSI /TPI 1— 2002 Chapter 2. PE No. 58544 0 � .61 t .a • . CV CV CV N o C N p -4 C CO g el g F F g H H F F E F E HE 1 I I 1 i 1 i 1 1 I 1 1 1 I I ; I 1 i I 1 I i I j Q'J 1 1 11 i 1 i i 1 1 1 1 I I 1 I i I I I i 1 i 1 I 1 1 I I 1 in 1 i 1 I I I 1 P ! I 1 I ' ' 1 i 1 , ELEV 11 ! � I j 0 1 CO I I if3 ! 0 1 ..-1 I, 8'8 "0 11'0 "0 6'8 "0 I 10'0 "0 This drawing is not sufficient alone for installation. Additional instructions accompanying this drawing, including BCSI -1 If SCSI -B1 has not been shipped to the site with the components shown on this page, please contact Apex Technology 1 other lateral forces, and permanent bracing for all structural elements, is the responsibility of the Engineer of Record Just Wright Construction v: 1 Ip1 GLADIOLA County: Duval Building Code: FBC2004 Computer Program Used: MiTek 6.2 General Truss Design Loads Roof Gravity: 42 psf Total Load (Cd = 1.25) Floor Gravity: 55 psf Total Load (Cd = 1.00) Wind: 120 mph from ASCE 7-02 Individual Truss Drawings Show Special Loading Conditions This package includes 7 truss design drawings with individual date of design. / � With my seal affixed to this sheet, I hereby certify that this serves as an index sheet in conformance j with Rule 61G15-23.002(2) and 61G15-31.003 of the Florida Board of Professional Engineers. Notes: The seal on this index sheet indicates acceptance of professional engineering responsibility solely for the Truss 40 / Drawings listed below and attached. The suitability and use of each Ar eson drawing for any particular building is the responsibility of the ► o 8544 Building Designer, per ANSI/TPI 1 -2002 Section 2. 03/26/07 Structural Engineer of Record Apex Technology is a fictitous name owned by Jax Apex Technology Inc., Jeffrey P. Arneson, P.E. a Florida Corporation. Florida Engineer P.E. Number 58544 Business No. 7547 4745 Sutton Park, Suite 402 4745 Sutton Park Court, Suite 402 Jacksonville, FI. 32224 904 -821 -5200 Jacksonville, FI. 32224 904 -821 -5200 NO TRUSS ID # DATE 1 0602343 -T01 03/26/07 2 0602343-TO1A 03/26/07 3 0602343 -T02 03/26/07 4 0602343 -T03 03/26/07 5 0602343 -TO3A 03/26/07 6 0602343 -T04 03/26/07 7 0602343 -TO4A 03/26/07 cnHm -,2 wO Caul 0� W nx c Ar 1111111 r r� �3 t -, to 41 -3 x "d Z O z nom '� w elwO z o ' � o ] Q 'i z m m -'"mm i \ - i 8 1 M i M F / - 1. . Y� / �"'J `�Jy / v � / ° S S h g �y �W.y b"q V !may tzi r, � G • � � t / / 1 1�1 l l O `'i " b Pi 0 �x 0 m° m LJV -3 dry y3 Pi m d F `Y.z n � -j d x �"� �T7 Pi 1 / �" ° ax �Cn O C� cn M -3 to 11 ori Iii C �z� o z d� ro v es tt cA ti tzi 11 wb � 1 h � = i .. #.4, : j � �y i 9 �i t .� � y CJ]! A i- 0 0 o rzi mr2 bl 11 AO N ,� ! ',� M zx x �x o / Za b° tli • Y4''' MI z z yz a ° 1-3 -3 m o ' trJ C11 O O af �� x �y �0 � z GC z x vi 0o HN w �� fJ�� r � r -. W� �g� z O H �� v n o a to P r '�J -1 C7 z n tt a 00 a ow 0 G� cn zt rr z o Nit O ` x 0y •-3,-3 rt 9 Z �0 y g 1 O � n z K 1 t si PiM 00 Ng d o i Eno cp m > =P* � �c� - cnm K t0 • En m ai F p.r.4. °ro a 11 03 '1:1 x x . m o. I: 9 4 ti o z [ z n,l, m m - g _ � � o 0 „ � v z Z m � a o 111 l za cn �� b 0 x ro ZZ ,...4,.. I. iviii 'c� ' p ro °� m x 1 C IP ' t \ I 1*) t p N m m l�� C . � Ft tr'y �� _ \ I N N OS w oo �3 ►< cn Z z x 0 O x &I til CM Cn : >II.. > tmi Z Gw En cn O Z � n mZ Z ym x r�o KM g MVJ MI t21 r z 'mi rn ° z 00 z ot a z Z z d dz > - o i z • rr z CD '-. 97' -144" o ttnn t: a / A 3 „ TYP � C r i Fa / 73"-96" 1 / . tg • 25 " -7 �� FA o -....3 ri , . Z (=j v z.../..... - , - ..; WA 1%) '1:1 al. 'i O I o z z ° <24 N z •��� tng tna • �N �F �.i ,- o -' y W W I `0 y " k 1 f� wzz I ,rzzo ° n� co NIA tzi - • t / C� M ti N n o � � , / 0 , w o �� ry / _ °� _� # PZ!PZ / : / z k tTn tTi /, G1 �lcto � to i al 0 !b•• ' !-3 tri `Th •,. a Z do z� ~ PcT Cd m , _. CJ ) A t: M 1 Cn tli n �� ►1 ( co O ►-3 _A i 1 1 C---/,' I° o O 1 o O 1.701 z Z .■ .. CD Hw, R3 z 4 ,, 0? z � to /g `: N ' `. t\' n � `.ry Co :Z0 I 'M�x / I =Zo I =zoo d° � k t7 tr./ ry N W li - 3>ii■ CI C ;-. y0,4 ao 4 T1 o o w ym z 2 t� Z to o�� E r II flO c'-' z "3 644 1 � N OE z ��z o >. b / =O O r O'IP / a� x O Fri d tm� tdc 5 _x tm � p m x tm 4 IN 'dE 5_ S y ° d Z t '�oz o a d C� , .< N i.Nm �d oo � aCrJ cn 11 > " R. > W t;ji i ...„ , tii ,_, d4 T z m �O• o o o t, to t, .-a / x O i d s 0a w ,, A z � � � 1? a tri / n O Z) o z °z% a' 04 l o a - C�'� O • o� z a o4 p x zto y � Z CD II � N �� o -3 ° L Z l , a. W txj t 04 l o 0 c C4 P N o �" n y y O 1- ril o C" n C J t-4 D4 d r'. x v t _' t:1 .' ` z d O U) 1 I � �► q ° 0 O O Z I 1 0) \ \ 1-. Pi C ›•• 1 ' r 144 p // r tli U) ' 3::". y" s � n �,� 4 "7 �� o � �� rb C o >< H vi vroa n 2V � a Jot Tnhss Truss Type Oty Pry BLANKENBAKER RESIDENCE 0602343 T01A ROOF TRUSS 1 1 Job Reference (optional; _ _ 6.300 e Apr 19 2006 MiTek Industries, Inc. Mor +.tar 19 09l jfl71�')2 ^2 - -. 21 -7 -0 9 -4 -0 13 -11 -13 20 -10 -0 27 -8 -3 34 -6 -5 41 -8 -0 9-4 -0 4 -7 -13 6 -10 -3 6 -10 -3 6 -10 -3 7-1 -11 a.8 Mein: y d.e seas. rs f 6at7 W1201.1:- d At .•t5 dx8 W120- . � 16 6,2M 2C 20 t9 18 17 5.8M!!2'., -" 3.6 M620 645620_ 7.e 1,120. 2'-7-0 21 -7 -0 9-4-0 13 -11 -13 20 -10 -0 27 -8 -3 34 -6 -5 41 -8 -0 9 -4.0 4 -7 -13 6-10-3 6-10 -3 6-10-3 7-1-11 Plate Offsets (X.Y): 12:1- 11.7,0 -1 -91, 12:0- 8- 4.0 -1 -81, [12:0-13 114 0-4-0 0 5 -01. [16:0 -4 0.0.4 -81 • LOADING (psi) - SPACING 2-0-0 CSI DEFL in (loc) I/defl Ltd PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.81 Vert(LL) 0.74 17-18 >666 240 MI120 249..190 TCDL 7.0 Lumber Increase 1.25 BC 0.97 Vert(TL) - 0.92 17 -18 >537 180 MII20H 187143 BCLL 10.0 Rep Stress Ina YES WB 0.83 Horz(TL) 0.12 14 n/a n/a Weight: 347 Ib BCDL 5.0 Code FBC20041TP12002 (Matrix) LUMBER BRACING TOP CHORD 2 X 6 SYP No.2 TOP CHORD Structural wood sheathing directly applied or 2 -3 -1 oc puriins, except eno (P) BOT CHORD 2 X 6 SYP No.2 'Except' verticals. 81 2 X 10 SYP No.2 BOT CHORD Rigid ceiling directly applied or 2-2-0 oc bracing. WEBS 2 X 4 SYP No.3'Except' WEBS 1 Row at midpt 12.14. 5-17. 7 -16. 8.15, 10 -14 WI12X6 SYP No.2 REACTIONS (Ib /size) 14 =1952/0 -5-8.2 =1962/0 -5.8 Max Horz2 =496(load case 4) Max UpU ft14 =- 955(load case 3). 2 =- 1125(load case 5) FORCES (1b) - First Load Case Only TOP CHORD 1.2= 26.2 -3 =- 6290. 3 -4 =- 6280, 4 -5 =- 5751.5 -6 =- 4645.6.7 =- 4625.7 -8 =- 3205.8 -9 =- 1639.9.10 =- 1608,10.11 = -42. 11.12 =33.12 -13 =- 48,12 -14 -455 BOT CHORD 2 -20 =6217, 19-2046193, 18- 19199. 17 -18 =5646. 16.17 =4562, 15.16 =3128. 14.15 =1586 WEBS 4.20 = - 160.4.18 = - 600.5.18= 365.5 -17 =- 1166. 7 -17= 653.7 -16 =- 1644.8 -16 =1011. 8 -15 =- 1910,10 -15= 1338.10 -14= -2098 NOTES (6-7) 1) Wind: ASCE 7 - 02: 120mph (3- second gust); h =30ft: TCDL =4.2pst BCDL =3.0psf; Category II: Exp C; enclosed: MWFRS and C -C Exterior(2) zone: end vertical left and right exposed: Lumber DOL =1.60 plate grip DOL =1.60. This truss is designed for C -C for members and forces. and for MWFRS for reactions specified. 2) All plates are MT20 plates unless otherwise indicated. 3) All plates are 4x5 MI120 unless otherwise indicated. 4) All bearings are assumed to be SYP No.2 5) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 955 Ib uplift at joint 14 and 1125 Ib uplift at joint 2. 6) Apex Technology is a fictitious name owned by Jax Apex Technology Inc., a Florida corporation. Florida engineer Business No. 7547 -4745 Sutton Park Court. Suite 402, Jacksonville. FI. 32224 - 904.821.5200 7) This drawing is not sufficient alone for installation. Additional instructions accompanying this truss drawing. including SCSI 1 -03, should be used in conjunct with the architectural and structural plans during installation. If SCSI 1-03 has not been shipped to the site with the component pictured on this page, please contact Apex Technology for a free copy_ LOAD CASE(S) Standard Job Truss Truss Type Oty Ply BLANKENBAKER RESIDENCE 0602343 T03 ROOF TRUSS 2 1 _ Job Reference (optional) 21-7-0 6.300 e Apr 19 2006 MiTek Ino4stnes Inc Mo Ma- 19' 41 12 2t017.7.45€ -4 -0 -8 7-4 -6 14 -5 -11 21 -7 -1 28 -8 -6 36 - - 4-0-8 7-4 -6 7 -1 -6 7 -1-6 7 -1 -6 7 - - 14 an 0.x,20.- - 44 • E a.e uza. 4srm1x,- .. 2 6 MI120-- . _. } tit Sr • : sa 38Mi-2`-• i, MU20 - Mr!2' . Mi,2C. '_A %C41, ,.90.0'X ',2eA -2" • _. 21 -7 -0 - 7-4 -6 14 -5 -11 21 -7 -1 28 -8 -6 36 -1 -4 7 -4 -6 7 -1 -6 7 -1 -6 7 -1-6 7 -4 -14 Plate Offsets (XY). [16:0 -3. 8_0.2 -81 LOADING SPACING 2 -0 -0 CSI DEFL in (Ioc) Udell Lid PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.90 Vert(LL) 0.49 14 - 16 >870 240 MO20 249 TCDL 7.0 Lumber Increase 1.25 BC 0.80 Vert(TL) - 0.60 14 - 16 >709 180 M11201 187;143 BCLL 10.0 Rep Stress Incr YES WB 0.75 Horz(TL) 0.14 10 nla n/a Weight 244 It BCDL 5.0 Code FBC2004 /TPI2002 (Matrix) LUMBER BRACING TOP CHORD 2 X 6 SYP No.2 TOP CHORD Structural wood sheathing directly applied or 2 -2 -0 oc puriins. except enc IP) BOT CHORD 2 X 4 SYP No.2 `Except' verticals. 81 2 X 4 SYP No.2D BOT CHORD Rigid ceiling directly applied or 3-6-4 oc bracing. WEBS 2 X 4 SYP No.3 *Except' WEBS 1 Row at midpt 9 -10. 5 -13. 7.11. 8 - 10. 2 - 16 W1 2 X 10 SYP No.2, W11 2 X 6 SYP No.2. W2 2 X 4 SYP No.2 REACTIONS (lb/size) 17=1747/0-3-8, 10=1475/0-3-8 Max Horz 17= 419(load case 5) Max Uplift17 =- 1019(load case 3), 10 =- 711(toad case 5) FORCES (Ib) - First Load Case Only TOP CHORD 2 -17 =- 1617, 1 -2=40, 2 -3 =- 3746. 3 -4 =- 3843,4.5 = - 3811, 5.6 =- 2887, 6-7=-2830. 7 -8 =- 1584. 8- 9 = -78. 9 -10= -177 BOT CHORD 16.17= 290,15 -16= 3650.14.15= 3650,13. 3772 -13 =2816 -12 =2816 -11 =1533 WEBS 3 -16=- 310.3 -14 =128.5 -14 =187,5 -13 =- 1057.7 -13= 663.7 -11=- 1523.8.11 =1033,8.10 = - 1905,2.16 =3395 NOTES (5 1) Wind: ASCE 7 -02: 120mph (3- second gust): h =306: TCDL =4.2psf. BCDL =3.0psf: Category II: Exp C: enclosed: MWFRS and C -C Exterior(2) zone: end vertical left exposed: Lumber DOL =1.60 plate grip DOL =1.60. This truss is designed for C -C for members and forces, and for MWFRS for reactions specified. 2) All plates are MT20 plates unless otherwise indicated. 3) All bearings are assumed to be SYP No.2 4) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 1019 Ib uplift at pint 17 and 711 lb uplift at joint 10. 5) Apex Technology is a fictitious name owned by Jax Apex Technology Inc.. a Florida corporation. Florida engineer Business No. 7547 -4745 Sutton Park Court. Suite 402, Jacksonville, Fl. 32224 - 904.821.5200 6) This drawing is not sufficient alone for installation. Additional instructions accompanying this truss drawing. including BCSI 1 -03. should be used in conjunction with the architectural and structural plans during installation. If SCSI 1 -03 has not been shipped to the site with the component pictured on this page. please contact Apex Technology for a free copy. LOAD CASE(S) Standard Job Truss Truss Type Oty Piy BLANKENBAKER RESIDENCE 0602343 T04 ROOF TRUSS 6 1 Job Reference (optional) 21-7-0 6.300 e Apr 19 2006 MiTek Industries, Inc Moe Mar 192 -4544 2•+C? Pape -4 -0 -8 7 -5 -10 14 -8 -3 21 -10 -13 29 -1-6 36 -7-0 40 -7 -8 4 -0 -8 7 -5 -10 7 -2 -10 7 -2 -10 7 -2 -10 7 -5 -10 4 -0 -8 u.020. 4.5 N112[, -- y+ -.. f.'. 4■6 1.1U2! c 6.fi N1,20 4 - -. - WE' r,3 4a6M,12C' . - cl ay !.9 M112J- 3.41.11120 - 4.6 .1:20 3v4 K1120 1.8 NO20 1.6 N!12(! _ -- 2 21 -7 -0 21 9 -3-4 18 -3-8 27 -3 -12 36 -7 -0 9-3-4 9 -0 -4 9 -0-4 9-3 -4 LOADING SPACING 2 -0 -0 CSI DEFL in (loci Vdefl Ud PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.84 Vert(LL) 0.39 14 -16 >999 240 MO20 249 190 TCDL 7.0 Lumber Increase 1.25 BC 0.85 Vert(TL) -0.59 14 -16 >739 180 BCLL 10.0 Rep Stress 'nor YES WB 0.91 Horz(TL) 0.15 11 n/a n/a BCDL 5.0 Code FBC2004/TPI2002 (Matrix) Weight 282 Ib LUMBER BRACING TOP CHORD 2 X 6 SYP No.2 TOP CHORD Structural wood sheathing directly applied or 2 -11 -3 oc purlins, except ebb (P 80T CHORD 2 X 4 SYP No.2 verticals. WEBS 2 X 4 SYP No.3'Except' BOT CHORD Rigid ceiling directly applied or 3-9-14 oc bracing. W10 2 X 6 SYP No.2. W1 2 X 6 SYP No.2 WEBS 1 Row at midpt 9-11 6-12. 8 -11, 3 -17 LBR SCAB 8-10 2 X 6 SYP No.2 one side REACTIONS (lb /size) 11= 1748/0 -3.8, 17= 1750/0 -3 -8 Max Horz 17= 507(load case 4) Max Upiift11=- 863(load case 3), 17=- 1026(Ioad case 5) FORCES (Ib) - First Load Case Only TOP CHORD 1 -2 =38, 2 -34-247, 3-4= -3322, 4.5= -3301, 5-6= -3026, 6 -7= -1713, 7 -8 =- 1679. 8-18=-49. 9-18=14, 9-10=-38. 9 -11 =-467, 2 -17= -532 BOT CHORD 16 -17= 3051.15.16= 3283.14 -15= 3283,13 -14= 250 -1 3 = 2507,11 -12 =1326 WEBS 3.16= 345, 5 -16 =- 33.5 -14 =- 486.6 -14 =770,6.12 =- 1173.8.12= 11 32.8. 11 = 1735 -17 = -3046 NOTES (5-6) 1) Attached 11 -8-0 scab 8 to 10, front face(s) 2 X 6 SYP No.2 with 2 row(s) of 104 (0.148'x31 nails spaced 9' o.c.. 2) Wind: ASCE 7 -02: 120mph (3 -second gust); h =306: TCDL =4.2psf BCDL =3.0psf; Category II: Exp C; enclosed: MWFRS and C -C Exterior(2) zone' end vertical left and right exposed; Lumber DOL =1.60 plate grip DOL =1.60. This truss is designed for C -C for members and forces. and for MWFRS for reactions specified. 3) All bearings are assumed to be SYP No.2 4) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 863 lb uplift at joint 11 and 1026 Ib uplift at joint 17. 5) Apex Technology is a fictitious name owned by Jaz Apex Technology Inc.. a Florida corporation. Florida engineer Business No. 7547 - 4745 Sutton Park Court. Suite 402. Jacksonville, F1. 32224 - 904.821.5200 6) This drawing is not sufficient alone for installation. Additional instructions accompanying this truss drawing, including BCSI 1 -03, should be used in conjunction with the architectural and structural plans during installation. If BCSI 1 -03 has not been shipped to the site with the component pictured on this page, please contact Apex Technology for a free copy. LOAD CASE(S) Standard -tfe, ,!› CITY OF ATLANTIC BEACH -f 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 JiI >' INSPECTION EMAIL REQUEST: Building- dept@coab.us Application Number 07- 00001588 Date 11/20/07 Property Address 1251 GLADIOLA ST Application type description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 1 CU lAHU Owner Contractor AIR ENGINEERS INC 10947 BEACH BLVD JACKSONVILLE FL 32246 (904) 641 -2333 Permit MECHANICAL PERMIT Additional desc . Permit Fee . . . 87.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 5/18/08 Fee summary Charged Paid Credited Due Permit Fee Total 87.00 87.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 87.00 87.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ` 1 y .,.. r .�- F CITY OF ATLANTIC BEACH 0, _ , f MECHANICAL PERMIT APPLICATION 0i,i 9 Date: /!— c 0— O 7 Property Address: / ,75/ G1, t2 /o J 4 Owner: ,BLAiUtc%l_25f//rit, Telephone #: Contractor: ,15/// gi / fV P etc-5_ j Telephone #: t V/ _ .23 3 Contractor Address: /Q W7 ge29e / /3LvL9 Fax #: 6 ..2 O v - o/ I ' 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 ordinances and standards of I,,''! good practice listed therein. I I' Type of Heating Fuel: If other construction is being done on this building 6 I or site, list the building permit number: ❑ Electric ❑ Gas: _LP _Naturalntral Utility ❑ Oil p7.0 7 - 0' 2 4 jl/ Sr" 6,)/zi re i t ❑ Other— Specify 0 04) S"TZ6' 6TH d nJ ;', MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK i' ❑ Heat Space _ Recessed —"Central _ Floor pl. Residential 1 I ❑ Air Conditioning: Room _central I ❑ Duct System: • Material Thickness ❑ Commercial . Maximum capacity. cfm ' . . ❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm ❑ Existing Building ❑ Fire Sprinklers: Number of Heads ❑ Elevator: _ Manlift Escalator (Number) 0 Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously, installed) ❑ Unfired Pressure Vessel ❑ . Extension or Add -on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other Specify. ❑ Other — Specify 1 LIST ALL EQUIPMENT AIR CONDITION/NG, REFRIGERATION EQUIPMENT & CONDENSOR'S Approving Number Units Description Model # Manufacturer Ton' s • Agency I i /T fti/4 f 4/1 Lt,v v x g7 1 1 HEATING — FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S ' i ' Approving Number Units Description Model # Manufacturer .'4 BTU's Agency Ij 1 1 / 1 L , 1 /CP ✓ .�' hlitU�� Lr � wNo ; IC t l i1, TANKS Nominal Capacity Type Liquid Serial Approving lj How Many & Dimensions Contained Manufacturer No. Agency , i t i 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 I Phone:. (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us i; j' MYLEN STAIRS ARCHITECTURAL STAIR OPTIONS STRINGER TYPES MONO 5 RINGER 4" x G" STEEL TUBING MONO STRINGER 6' x 8 " STEEL TUBING FRONT VIEW SIDE VIEW -.. TOP VIEW If KONT 'VIEW SDE VEW nIDE VIEW MONO STRINGER 4" x 6 " STEEL TUBING MONO STRINGER G" x 8" STEEL TUBING with CARRIERS with CARRIERS ,,,,T VI EW 5"DE VEW - -- _ oP view FROM VIEW S!DE VR=W 5IDE VIEW M5-30 2" x G" STEEL TUBING MS -20 1 7/8 " x 6 " STEEL CHANNEL DOUBLE STRINGERS DOUBLE STRINGERS I ".' b,bL SIDE VI EW TOP VIEW FRONT VIEW SIDE VIEW TOP VIEW MS- I 0 15/8'I x 4 STEEL CHANNEL DOUBLE STRINGERS ' <,,,- . ,E' SIDE ' W TOP VIEW I 0 " x 8.4ibs STEEL CHANNELS 1 2" x 10.6Ibs STEEL CHANNELS PAN -TYPE PAN -TYPE . TIDE VIfW TO' VIEW PRON VII 'A SIDE VIEW TOP VIEW _ (1 C tn LJ > m O 1-, z 7 70 °3 \ K H J - < 1.4. lft (,„1 (.„.X..) Q 0 0 C r\) C-.)3 ...... n CD G < .. ... (...$) ..... rn - NJ (j) ■ vi M 7 ''""""""i d z h Z r-I-1 x -i= a v • G ) o ■ ,7:3 ---1 , , to 3 n., U O ~rn2 - CI:rj -13 r z Z f"Tl rn r- x G") , • .... ...... ... - n 0 Z --1 rn X 0 ., Lo Z9 (0 0 - N r U) rn —1 ,,, _ ‘ . ,.. 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S POSTS 01 1/2" STEEL TOP 39 4114 , t• r /16 �s 444444111 SPACES b it, • Qf3 /4" OWER lio k LINES 9 3/1� 411 14414*. 36'H, RAIL \ FROM NOSE OF TREAD ■ iii • 9. 9" I26 48° -..... 18 7/16" 1/2 "+ centerline GAP TO of rail NOSE OF TREAD C----7 --- 7aN - -, , C--• ccr-.., ci i -.... ) --,"--- .-- O I- lk- 0 c L N.) -A NJ --, (..) CO CO 03 -P. 1\3 N3 -A --x II 0 5...... 4 (7, a k< C —.I ..e... 11 cn cn - ri - 71 . 7 7 7 m c....) (./..) N) N.) )2. 0 c, ( -D 0) CJ1 -N CD CD 0 0 cD CD CD g c a a a u.. 0. a a o o o Ca = -c o a: r` 0 23 8 8 8 8 8 2 2 2 2 -, Iv N.) N3 03 --x 03 co CP CP CP a; - 0 co Co CO 0 0 0 0 0 0 a) 0 CD CD a) © 0 , f - - rn m - ID m m rn _ c a) _ ...... ... ...... ...... ..._ - - ,.... - A- a) Pr) ,- 3 3 3 m m m m x m \ CD. CD. Co Na ID - 0 --, '0 "0 - 0 (j) (f) w w 0 rn _ 0 a C r cr) ca iv 0. 0 0 0 0 V 1 3 0 "I Z.. .--. •.... j o 0".*. 2 *A. c1) (1) = 1-4 ) (13 (13 fa , a) CD ... i (f) C) a rt ... -... ... = r tr fr , . ll1y?ofIB/fmJ5/7Ip.. Ga-k Ld p� o6f 6t3 -fu \ ° Q �) 1 d � _4 /e 0 7 _ (Tl _ S� � - r o iG o (fJ VLSI/Crt .3/40 - V V / 9--r. (AirtA:7 (z) c91(9 a - ) 1'11C 4 (`) 93 - 5o �./� � �_,/� jitt°11,/ 0 1'1'5 /EA?) iewfaxt? . / 4)14 Ling F�-i�s Cr. x ,�kp 3zz7.4 . v' City of Atlantic Beach 4 C) Building Department J jn Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the Florida Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Date: August 7, 2008 Contractor: Just Wright Construction Address: 1251 Gladiola St., Atlantic Beach, Fl 32233 Construction Type: Residential Occupancy Class: Group R -2 Permit Number: 07 -00476 MICHAEL GRIFFIN BUILDING OFFICIAL 4 35,P Building, � Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: 2 Contractor Name: f la-f14 - .6/ Permit #: ?- Q qh Property Address: i 257 G/Aciida2 Legal Description: Improvements to the above - described property have been completed in accordance with the terms the permit and are certified to be ready for occupancy as: Single- Family Residence ❑ Commercial ❑ Other: Lowest Floor Elevation: Required As Built FFE The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire_ Dot. 2. Public Works %/ ‘,1 A> j..,9,;.vL, Public Utilities Building d ! /0 Y17/0 e /e� l� Planning 62 --D$ -/ 0 e- mod i ),(\. Final Survey with FFE k � Yes ` ;:: No V TM Jt ) (l in 1 3 All Re- Inspect Fees Paid Ties , No � ; Termite Treatment \Yes No k • Q E m ao E w W o o - co N CU O ti 5 5 0 0) O Q W -0 G) cu .� 'V�C� �— O W to in N W N 0 C 03 c U o0 W 1 >, U c) 0 0, >1 .0 L L J C • O W d N W J� cnCMpa3 C i ••— CO 3 10 1 S O WD v a�Q l_ y N EL co C.n W cu .4. N m 0 W O 0 N E U 0 c ...J �Q (p p R v A • .� 0 0 `- 0) t • Q) >,..2 avp — L' O C _0 0 = O 9 L X 0 1L Nl 1- to 0 i' d U r Q a_ LL 0 N • N E ? - o ® / o E It / 8 s / $ / c o 7 co co 7 � w & 0 2 • CO c } 6 k � 0 -6 N _ / • k _he � � c . f22.- to E/ % . O' e f f� a) vl £ 2 �E� oo E k c� 2§ = ƒ co 2 2 O q 2om� 1 8 -5 too § : k � X k £ - ® c E $f 77 a) - 'CS 10 1:3 �■ • @ E a ;O 0- _c _c : § (`.10t 2 2 2 § O r i § .. at 0 • / § % 2 0 co 2en / u. qn1h =- ma" ;... //`' ' ' 8.61 ... 4 -4 1....:.-. t -.S 9 aoa 0 �• 1111:;_s.! ... . ., 2 ,1: '' ' ,#.. . 5> . 0 1 . A wiz . • In q /..-.' . • • 1 I NI_ Ti.- . A ": . I. NMI h 311 r N N • � N ri IlL\ ... _,. — - 1 bp. ,„ . ii, , . .6 , ri. . ,,„....„ ... . _ . • . ca -,,,,, • . N N V L , v • 241.716" \ 2K4 311113 • e, — 47) l'"D \, `"F' . . ' . . • . CITY OF ATLANTIC BEACH r j 800 SEMINOLE ROAD 3 = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 . ' 41 . 0.111 Application Number 08- 00000535 Date 5/16/08 Property Address 1251 GLADIOLA ST Application type description RESIDENTIAL ADDITION /ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 8200 Application desc POOL ENCLOSURE t) . Owner V � c ontractor LIFESTYLE ENCLOSURES 1439 NOLAN ROAD MIDDLEBURG FL 32068 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit BUILDING PERMIT Additional desc . Permit Fee . . . 75.00 Plan Check Fee 37.50 Issue Date . . . 4/25/08 Valuation . . . . 8200 Expiration Date . 10/22/08 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. • 2005 NATIONAL ELECTRICAL CODE. Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total 37.50 37.50 .00 .00 Grand Total 112.50 112.50 .00 .00 a a lit wy ili nf a: REVIEWED FOR CODE COMPLIANCE PERMIT IS APPROVED ONLV�IN ACCORDANCE °WI`I"IU ALL MY OF ATLAN C BEACIOANINTtNTC'H BUILDING CODES. << =' "' '` ` ='., Ysa�'z = `� SEE PERMITS FOR ADDITIONAL r REQUIREMENTS AND CONDITIONS. M I L E COPY REVIEWED BY: -_ DATE:; il " 4w: '3+1:1fi+d;? +iEar:;tiva+U tZ #.:k - tK.i;r.`sti. n' r __ IN s V �� �� *, --._ (.. i7 p . ?„ f ..rte p a 7 7 V P L o £ r tif r t n Z Z -t r fa I , ... 7: n A" :SIGNED FOR: I QQ COPYRIGHT 2006 1 REV• #I DESCRIPTIO :1\11:3AKER DRAWNC4S RELEASED FOR CONSTRUCTION BY COTE 4 I 2 i 1 • AND R DIMENSIONS. NO i. r REVIEW 3 ENC)E TO ALL. APPLICABLE suusma CODES PRIOR TO I TI-IE COMMENCEMENT OP ANY CONSTRUCTION `2 -- ▪ OF ANY DISCREPANCY OR ERROR IN DimeNsictve, 7 / s„ CITY OF ATLANTIC BEACH .'' PLAN REVIEW SHEET o. 4 fc }a +l Building Departments Department Public Works & Public Utilities �.Do- 0131S A' 800 Seminole Road 100 Sandpiper Lane 4 _ Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 .1!tl}lL P1• (904) 247 -5800 (904) 247 -5834 rlic Safety (904) 247 -5845 Fax (904) 247 -5843 Fax RFC ivpzire dept. APR i 0 ZUOI PLAN REVIEW COMMENTS Permit Application # t 7- 00 z/7 (a BY: Property Address / / ahi 6' fir Applicant: J km A) r i y) r 40-7 C ►i 6 71 9 Project: h /77 Review Result (Circle one): Approved Disapproved pproved w /Conditions Review Initials/Date YFB>1v 3,14 _ 1 /07 ,( 61 7 De Development Size: Habitable Space Non - Habitable Impervious area Total Area Miscellaneous Information : Occupancy Group Type of Construction Number Of Stories Zoning District # Parking Spaces Max. Occupancy Load Fire Sprinklers Required Flood Zone g y41" 02 ( st�J&2 4.'4(114111e &-- phi S Conditions or Comments: Piei,V A well perm I p/' col o,l ruts/ Co r -eo/ &Are i a Ch2 -111 iP 4ew rote, pte/rid C'ra.7, SZTk i.vinsi is to fuN'eo1, 6- copy, r)us't be ,Purn8h ed /v /e Ci`1 -g - ` Pro ✓ /de copies r, # s 'h2 m Apoi t C49-u.ry� Building Dept, Public Works and Utility information at top of page, failure to notify the correct department of your revisions may delay your permit from being issued. 6 CITY OF ATLANTIC BEACH '� ) PLAN REVIEW SHEET o: . ;.r ,� Building Department Public Works & Public Utilities Departments 46111 � ! Jp31�' 800 Seminole Road 1200 Sandpiper Lane ''may Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 .•1!ZI}- - (904) 247 -5800 (904) 247 -5834 ` Public Safety (904) 247 -5845 Fax (904) 247 -5843 Fax / EWE') ( Jax Fire dept. APR l 0 2007 PLAN REVIEW COMMENTS BY: Permit Application # D 7 - 0 0 '/7 ' Property Address /2 . ' / a1.4 d /0 1 ai Jr Applicant: J k,.s1 A) /7'9 6)46 - nteiVi' e1_ 9 b r Projec • /V h irk t / il ew Result (Circle on :i • A s 1 ove • i isa • • rov • • Approved w /Conditions i ,' Review Initials/Date //?/C) 7 Development Size: Habitable Space Non - Habitable Impervious area Total Area Miscellaneous Information : Occupancy Group Type of Construction Number Of Stories Zoning District # Parking Spaces Max. Occupancy Load Fire Sprinklers Required Flood Zone o vide complete set of erosion control plans with details. Temporary construction access shows drive crossing over neighboring lot -- provide written documentation of lot owner's approval. ovide parking plan - right -of -way permi'(required if i keif struction parking is not on private property. L r ,Aki_ -Ns, 4 '/ �v„.5. . i..h13l)f cikti 7/e---- Building Dept, Public Works and Utility information at top of page, failure to notify the correct department of your revisions may delay your permit from being issued. rax,,,,,, y/ ,f `02,2-o - 011-1 / 7 BP250UO2 CITY OF ATLANTIC BEACH 4/18/07 Application Tracking Individual Step Review 12:52:24 Application number • 07 00000476 Application type • SINGLE FAMILY RESIDENCE Revision number Agency /path /step /seq . . . : PUBLIC WORKS A 01 00 Date submitted, resulted . : 41707 Approval code • Reviewed by • Revised est cpl date . . . : 41207 Copies of plans • Seq Comments Prt Date 1.00 Provide complete set of erosion control plans with details. 41807 2.00 Temporary construction access shows drive crossing over 41807 neighboring lot -- provide written documentation of lot owner's approval. 3.00 Provide parking plan - right -of -way permit required if 41807 construction parking is not on private property. More... F3 =Exit F12= Cancel etitei 4 / \I))t1 4 0 \4 7 0/ 7 // ‘\ /\ h ti • tk N‘I(' HP Officejet 7410 Log for Personal Printer /Fax/Copier /Scanner Information Systems 904- 247 -5845 Apr 18 2007 1:50PM Last Transaction Date Time Type Identification Duration Pages Result Apr 18 1:49PM Fax Sent 92202417 0:32 1 OK Sys`' n BUILDING PERMIT APPLICATION ( i ' M yi, = CITY OF ATLANTIC BEACH \ / l 800 Seminole Road, Atlantic Beach FL 32233 Ji3y9f Office: (904)247 -5826 • Fax: (904) 247 -5845 Job Address: / 7i 01,4. Ai Q Z a. vS7' Permit Number: Legal Description Valuation of Work (Replacement Cost) $ 0 50 0 00 • Class of Work (Circle one): Addition Alteration Repair , ' : , • Use of existing/proposed structures) (Circle one): Commercial C . I - i • Ilan existing structure, is a fire spr system mstalled? (Circle one): ' es No N /A • Is approval of homeowner's association or other private entity required? (Circle one): Yes No Describe in detail the type of work to be performed: NW t) CwSrani / /dm g Property Owner Information /, f Name: /''( X20 !/,,,,/,(#6,Q /64 Address: /z // `V 1 l/e /f! //s G T City Y fA / Sor1V IL E. State Zip St 224 Phone 90 4 4/0S /2 !S Contractor Information: qq Name of Company: Jtoi G0 r - 1'1h r £M15 W 1-LL Qualifying Agent: Ji r7W /1)r h r Address: 45 rkrn my- Spin 9 5 C T City .J (D State f l Zip Office Phone 90 if 310 /3 3 (o Job Site /Contact Number 914 &70 4 /336 State Certification/Registration # C' 6 I26 (v Office Fax # 9'0 226 X4/7 Architect Name & Phone # Engineer's Name & Phone # Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance o f a permit and that all work will be erformed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if is not commenced within six (6) months, or of construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. thereby certi y that Ihave read and examined this application and know the same to be true and correct. All provisions of 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 other federal, state, or local law regulating construction or the performance of construction. Signature of Property Owner: Siva . L = of Con or: - Sworn to and subscribed before me , ' i I -: 'I an, subscribed before me this Day of ` ` this Day of Notary Public: Notary Public: REVISED 03.05.07 49 AapTff9 J6 l& 7 ; ; - 7 - 7 i / /i£ATtQ a - IN I PUBLIC WORKS AND PUBLIC UTILITIES. FEC 553. 79. Address and contact information of person to receive all correspondence regarding this application (please print). Name: Justin Wright Mailing Address: 352 Summer Springs Ct. Jacksonville, FL 32225 Telephone: _904- 370 -4336 Fax: 904 - 220 -2417 E -Mail: Justwrightconstr @aol.com I hereby certify that I have read and examined this application and attached documentation 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 maimer, including the governing of construction or the performance of constrnction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner:, '' 7 19 Y Date: / 0 7 AS TO OWNER: Sworn to and subscribed before me this Z clii day of A, r t t 200 State of aa4ifla, County of Notary's Si_ atu� 11111111111111" ■11111111/ DIANNE E. DAILY NOTARY PUBLIC, STATE OF MI E Personally nown COUNTY OF WASHTENAW y MY COMMISSION EXPIRES Jan 12, 2013 E I Produced identification Type of identification produced 1 Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this 1 day of , 2atZte of Florida, County of Duval Q g Y Reva J. Bond Notary's Signature: Pp� ' C # DD } Expiroisss gpri19, 2409 41g3 99p• 395.701 44)44. OF Pon* toy fain • Inwnnua. Inn ' ._. E Personally known E I Produced identification Type of identification produced 800 Seminole Road Atlantic Beach, Florida 32233 - 5445 Phone: (904) 247 - 5826 . Fax: (904) 247 -5845 http: / /www.coab.us Page 4 Revise 1 Y S J a BUILDING PERMIT APPLICATION -1 CITY OF ATLANTIC BEACH K z 800 Seminole Road, Atlantic Beach FL 32233 O'is.9r Office: (904)247 -5826 • Fax: (904) 247 -5845 Job Address: /2 6/ giA bi o Z a Sr Permit Number: Legal Description Valuation of Work (Replacement Cost) $ o?5D, 000 . • Class of Work (Circle one): Addition Alteration Repair , . • . • Use of existing/proposed structure(s) (Circle one): Commercial A:: I — • If an existing structure, is a fire sprmlder system installed? (Circle one): ' es No N /A • Is approval of homeowner's association or other private entity required (Circle one): Yes No Describe in detail the type of work to be performed: /V /A) et -ST Alm Property Owner Informatiion / �/ Name: /''l t t 0 D4 /3 ift/d lax. Address: /' // `� /, ll7e fH //s 67- City Y 'licsan y f ll. f. State f) Zip 52224 Phone 904 6b1 ikitg 12.1 Contractor Information: Name of Company: 116/ 116/ (�r eth r ( /qJ .o�5W Qualifying Agent: Je inf /1) rig h r Address: 45Z Sam mkr c� to jv in 9 $ CT Cit .-A f0 State f/ Zip Office Phone 90 4 37o `/3 3 Job Site /Contact Number 90 4 376 ti336 State Certification/Registration # CA & J26 -C3' to Office Fax # qo 4/ 226 .31//1 Architect Name & Phone # Engineer's Name & Phone # Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the issuance oa permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. .1his permit becomes null and void t work is not commenced within six (6) months, or i construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of 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 other federal, state, or local law regulating construction or the performance of construction. Signature of Property Owner: 441 . L , of Con or: - Sworn to and subscribed before me ^ 1 I 41 • -: ' • an. ubscribed before me this Day of ` ` this Day of Notary Public: Notary Public: REVISED 03.05.07 4 foopt9i d6 7& 7T7/ NAT" a s 411 PUBLIC WORKS AND PUBLIC UTILITIES. FEC 55553. Address and contact information of person to receive all correspondence regarding this application (please print). Name: Justin Wright Mailing Address: 352 Summer Springs Ct. Jacksonville, FL 32225 Telephone: 904- 370 -4336 Fax: 904 - 220 -2417 E -Mail: Justwrightconstr@aol.com 1 hereby certify that I have read and examined this application and attached documentation 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 maimer, including the governing of construction or the performance of constrnction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: i, v Date: 2 AS TO OWNER: Sworn to and subscribed before me this Z n"'\ day of AP t' ( t 20t State of g.lierif2ift, County ofd Notary's Si: atur-. DIANNE E. DAILY NOTARY PUBLIC, STATE OF MI E Personally nown COUNTY OF WASHTENAW y MY COMMISSION EXPIRES Jan 12, 2013 E I Produced identification Type of identification produced Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this 1 day of Am { , N to of Florida, County of Duval l et Pu Rev$ J. Bond Notary's Signature: � Commission # 38 DD416 * res April X009 a 4 , 1144.0F y �n • xtw wa, Inc . eoo- �sao19 �.. EI Personally known E I Produced identification Type of identification produced 800 Seminole Road Atlantic Beach, Florida 32233 - 5445 Phone: (904) 247 - 5826 Fax: (904) 247 -5845 http: / /www.coab.us Page 4 Revise J1 r' ` J 3 CITY OF ATLANTIC BEACH r S r) PLAN REVIEW SHEET Building Department Public Works & Public Utilities Departments ais$HIMMTo rlSil' 800 Seminole Road 1200 Sandpiper Lane .rill$t!*Ts Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 ,•1!ZI}lL *► (904) 247 -5800 (904) 247 - 5834 Public Safety (904) 247 -5845 Fax (904) 247 -5843 Fax Jax Fire dept. PLAN REVIEW COMMENTS Permit Application # D 7 - D 0 '/7 ( Property Address /2 ../ ah9 d /0 d'T Applicant: J & i ) r-i, n r AdNd - eh' 0-1 Project: Review Result (Circle I • • • p i r s • s Disapproved Approved w /Conditions Review Initials/Date Development Size: Habitable Space Non - Habitable Impervious area Total Area Miscellaneous Information : Occupancy Group Type of Construction Number Of Stories Zoning District # Parking Space Max. Occupancy Load Fire Sprinklers Required Conditions or Com Building Dept, Public Works and Utility information at top of page, failure to notify the correct department of your revisions may delay your permit from being issued. s CITY OF ATLANTIC BEACH Y '< . ' PLAN REVIEW SHEET o. Building Department Public Works & Public Utilities Departments t.._ JF31 >r 800 Seminole Road 1200 Sandpiper Lane .711WIEMmur Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 41!Rl OW (904) 247 -5800 (904) 247 -5834 Public Safety (904) 247 -5845 Fax (904) 247 -5843 Fax Jax Fire dept. PLAN REVIEW COMMENTS Permit Application # Q - 00 e/7 (p Property Address /2 57 ebi d le G d'r Applicant: d L r A) rig fir 40- 7 e7 Project: / 1 -- t Review Result (Circle one Approv • Disapproved A proved w /Conditions Review Initials/Date s�,z) " 0 7 Development Size: Habitable Space Non - Habitable Impervious area Total Area Miscellaneous Information : Occupancy Group Type of Construction Number Of Stories Zoning District # Parking Spaces Max. Occupancy Load Fire Sprinklers Required Flood Zone Conditions or Comments: Building Dept, Public Works and Utility information at top of page, failure to notify the correct department of your revisions may delay your permit from being issued. V . .iir - i , , rf CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1 4' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 ..0,.31} INSPECTION EMAIL REQUEST: Building- dept(acoab.us Application Number 07- 00000476 Date 4/30/07 Property Address 1251 GLADIOLA ST Application type description SINGLE FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 250000 Application desc new custom home Owner Contractor BLANKBAKER JUST WRIGHT CONSTRUCTION INC JUSTIN WRIGHT ATLANTIC BEACH FL 32233 352 SUMMER SPRINGS CT JACKSONVILLE FL 32225 (904) 370 -4336 Permit BUILDING PERMIT Additional desc . Permit Fee 910.00 Plan Check Fee . . 455.00 Issue Date . . . . Valuation . . . . 250000 Expiration Date . . 10/27/07 Special Notes and Comments a well permit application must be completed before installing the new well. If a permit from SJRWMD is required a copy must be furnished to the City. provide copies of stptic tank permits from the county. Fee summary Charged Paid Credited Due Permit Fee Total 910.00 910.00 .00 .00 Plan Check Total 455.00 455.00 .00 .00 Grand Total 1365.00 1365.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION r . CITY OF ATLANTIC BEACH ! v 800 Seminole Road, Atlantic Beach FL 32233 Office: (904)247 -5826 • Fax: (904) 247 -5845 Job Address: / 2 " g/µ d i G a. Sr Permit Number: Legal Description Valuation of Work (Replacement Cost) $ 025 0 0D . • Class of Work Circle one): Addition Alteration Repair : • Use of existing/proposed structure(s) (Circle one): Commercial 4 • - ■ If an existing structure, is a fire sprinkler system mstalled? (Circle one): ' es No N /A • Is approval of homeowner's association or other private entity required? (Circle one): Yes No Describe in detail the type of work to be performed: All tt) elL6nri / /dn7 g Property Own er Information /, Name: / x'( / fli✓ , oA / < ' Address: /7 // / 1111/e ,A /46 G T City ACiSem v1 {(.E. State F"1 Zip Sz224 Phone 904 408 /2 Contractor Information: Name of Company: 1 W r, r eo-n5 rl' Qualifying Agent: „LS/7W /J)t'i h r Address: 52. k rn mfr Syin 9 s (v...7 City ..)-A (D State f / Zip Office Phone 90 4 37'i 4/33 !o Job Site /Contact Number 90 4 37d 134. State Certification/Registration # CA ", /26 6.03 !v Office Fax # 90 226 '//7 Architect Name & Phone # Engineer's Name & Phone # Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance Tea permit and that all workwill be erformed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void i, be performed is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical W ork, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Ihereby certify that Ihave read and examined this application and know the same to be true and correct. All provisions of 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 other federal, state, or local law regulating construction or the performance of construction. Signature of Property Owner: Si y• . L = of Conor: Sworn to and subscribed before me � 1 • -: ' • any subscribed before me this Day of ( v / , this Day of pry Public: Notary Public: `ED 03.05.07 4 k J676' 7e- i 1-/,T 4 BP250U01 CITY OF ATLANTIC BEACH 4/27/07 Application Tracking Step Selection by Revision 11:49:52 Application number • 07 00000476 Address • 1251 GLADIOLA ST RE number - - - Application type • SINGLE FAMILY RESIDENCE NCR OLD ACCOUNT NUMBERS . . Tenant name, number • Type options, press Enter. 2= Change 4= Delete 5 =View 6 =Fast log 8=Action log maintenance 9 =In /out maint Path - - -- Key Dates - -- - Action Summary - Opt Agency description Rev Step Req In Est Cmpl Last Type By _ BUILDING DEPT. A 01 Y 04/27/07 04/27/07 04/27/07 AP DH _ PLANNING & ZONING A 01 Y 04/10/07 04/12/07 04/10/07 AP SD _ PUBLIC UTILITIES A 01 Y 04/19/07 04/12/07 04/19/07 APN LS PUBLIC WORKS A 01 Y 04/17/07 04/12/07 04/20/07 APN LS Bottom F3 =Exit F5 =Land inquiry F6 —Add F7= Revisions F8=Misc info inquiry F10 View 3 F11 =Sort by agency F12= Cancel F14= Action log inq F24tore keys fj - 01 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ;- ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 • A'r INSPECTION EMAIL REQUEST: Building-dept@coab.us Application Number 07-00000832 Date 6/19/07 Property Address 1251 GLADIOLA ST Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc temp pole Owner Contractor SCHUMAN ELECTRIC INC. Q/A:SCHUMAN, JOHN PO BOX 48171 JACKSONVILLE FL 32247 (904) 737-4040 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 70.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . Expiration Date . 12/16/07 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. , ,,, CITY OF ATLANTIC BEAC � : ( 'i 'A ELECTRICAL PERMIT APPLICATION Date: Ild 67 Property Address: 12 S\ Glaclinlo U..).-' Owner: 11 Onv‘5 (1n Telephone #: g61.1•22,0 Contractor: t ty) AA .. / of J 1;e. In r- • Telephone #: C IA-737- 1 1,03 Contractor Address: , , 0 • ; L � i . t .r . Fax #: qQy 9h 4Jc,i/ Contractor Si' nature: �%L In consideration of permit given fe Sling the wr as descri'e. 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. Building: Building Type: ❑ Trailer Service: If other construction is *. New X Residence etit't Xl New being done on this building Or site, list the building ❑ Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re -wire ❑ Addition Sq. Ft. ❑ Repair Q7 -• O 4 7 Co Conductor Size: AMPS: 9-00 COPPER ❑ ALUMINUM Switch or RACE Breaker AMPS ac., a PH t, W 3 VOLT ■a WAY Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN n In AMPS 31 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW -HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT -2 10 30 (op 10 Motors 0 -1 H.P. VOLTAGE PH I NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Revised 1/04 tt��t Yv m , , , . ' ' ,,,,,-,,, .. 00" E v 102.00 . `J L i`Jr Z z -�. !� I S 5' SETBACiE «- 1 1 __________ : _ • 1 2,20/..; 2 34' -0 5/16' ' : 0 1 -- ----I 1 I . . 1.' q 1 ,., : c I r 1 ‘17223E„Eir:=22t,>) tp,. • 1 y I N'� rr g 1 n Cllr 1 w 1 a, a .-. +, � ' � P ... x e i.ik j ( p 1 ` , . !, .4 ii� -'P 4 a `; " i 1 ...I 0 4 .� x{ •a ' t I F 9 5 �.. .,.,.,,..,,,,,,.... . oo L . ' ,...:,..,...„, ..i..,,...r...„,,,,. ,, . t_ 1 .....,...,,,.:.:.„ 1 .,,,,,,,:....::,:.4...4..,::::::__., ,;,c..:,:r.„, ... 0 ..' ,/.1 ', - 1 1 i 1 1 1 I _ s/ S . 1 r - N Se.02 ° fix' 1 1 1 1. AI i•::n ... 1 f , i II N we 7 , ' II � - I� I + • • I • 1 -. • 0 Ifili' ■ • 1t g CP A o i..: • I , i I • i i.„..2.,..„..„......:, • V • • I ir ---- I I II v2 in • e • I - I' Vi- c 9 , CITY OF ATLANTIC BEACH � 800 SEMINOLE ROAD 0 ATLANTIC BEACH, FL 32233 U -- INSPECTION PHONE LINE 247 -5826 INSPECTION EMAIL REQUEST: � .1 ' 4 0111 9r* Building -dept a@coab.us Application Number 07- 00001508 Date 12/10/07 Property Address 1251 GLADIOLA ST Application type description SWIMMING POOL /SPA Property Zoning TO BE UPDATED Application valuation . . . 25000 Application desc SWIMMING POOL Owner Contractor SURFSIDE POOLS 313 BEACH BLVD. JAX BEACH FL 32250 (904) 246 -2666 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 155.00 Plan Check Fee . . 77.50 Issue Date . . . Valuation . . . . 25000 Expiration Date . 6/07/08 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. Wellpoint cannot discharge directly into ditch. Must discharge to vegetated area and drain to ditch. Fee summary Charged Paid Credited Due Permit Fee Total 155.00 155.00 .00 .00 Plan Check Total 77.50 77.50 .00 .00 Grand Total 232.50 232.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Graham Shirley From: Graham Shirley Sent: Wednesday, April 18, 2007 1:57 PM To: Carper, Rick Cc: Showman, Lisa Subject: 1251 Gladiola St Rick, Lisa, royal. I explained to Jim that Mr Blankbaker (home owner) called Jim about these plans, Claims it is taking too long for app ex p we fax the comments to the contractor and wait for them to reply back with the information we need to process the application. He had me call the homeowner back to address his questions. Mr Blankbaker said he did provide the erosion control information on the construction site management plan, is this a sheet you did not receive? 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I 1. a - ' D PROJECT LOCATION \''',1t; UMIT OF EXCAVATION. j' ' • BACKE:ft WITH Z D z z SECTION "A —A" SAIG LIMITED / _ —4 \\._ ; NTS I 1 v aI & SEED OR SOD A' 4 TOPSOIL If as VICINITY MAP 6 s O u . . BULKHEAD OR CONC. NON - WOVEN GEOTEXTILE S 16 f WRAP ON SIOE & ENDS 8 : 'd TERRACE MODULES (BY (NOT BOTTOM) :, '. R OTHERS) Ili �ftititf/itflfifl:TREATMENT VOLUME: - 23 x4.5 x35 302 CF vs 4 0 HOPE i> ftO�ll� MIN. 300 CF REO'D. BY PERF. PIPES ,��� z � CITY OF ATLANTIC BEACH _-� __llr�� . EUCr GRADE CL. 4p .,�' 6Zj: Il .... „l /// -- CONST 4'' HOPE •VERFLOw / REMOVE & REPLACE WITH / PIPE FROM STORM ATER CLEAN SAND r / TREA 7 AREA .- 5� � / d 99 0 Q 0 SECTION -s —B" 3 NTS rA � sc a 0 _ 7. GENERAL NOTES :8 7 I. ALL WORK SHALL BE IN ACCORDANCE WITH CHAPTER 64E -6, F.A.C. 2. CONTRACTOR SHALL COORDINATE ALL WORK AND U INSPECTIONS WITH THE DUVAL COUNTY HEALTH PC 0 DEPARTMENT (630 -3274) AND SCOTT JOHNSON. PE 7 (904- 721 - 1888). W 0 3. ALL KNOWN EASEMENTS ARE SHOWN ON THE PLAN. e U) 4. SEMI ANNUAL INSPECTION OF THIS SYSTEM IS REQUIRED W i BY AN APPROVED, HOOT MAINTENANCE ENTITY. ALTHOUGH A SPECIFIC EFFLUENT SAMPUNG SCHEDULE IS CL NOT SPECIFIED BY THE STATE OF FLORIDA. WE ° o RECOMMEND ANNUAL SAMPLING AND TESTING OF C800 -5, W 2 TSS TN, TP AND FECAL COLJFORMS FOR COMPLIANCE WITH Y ADVANCED SECONDARY STANDARDS. FUTURE, MANDATORY W Q O SYSTEM TESTING IS EXPECTED WHEN FL CHAPTER 64E -6 m 7.0 ` IS NEXT AMENDED. Lv _... ,, , jri 3 N SYSTEM GALGULATJONS '. U 0 f Q Z — J s MAX ALLOWABLE FLOW: NET USABLE AREA x 1.500 CpD /Ac. p Z = 0.16 Ac. x 1,500 GPD /Ac x 1.5 = 360 GPO (BASED J (Y I a ON ADVANCED SECONDARY TREATMENT STANDARDS) O 1 DESIGN FLOW: USE 300 GPD BASED ON: GREATER OF 300 CPO • GPD BEDROOMS) OR 2,250 SF CONDITIONED SPACE (300 Q La �T � ti � GRAINFIELD: 300 GPD DIVIDED BY 0.30 GPO /SF (MOUNOEO C7 �' TRENCH) x 0.5 (41796 REDUCTION) = 225 SF OF AREA r J I o r (UIMMUM). _ ° - UNOBSTRUCTED AREA REQUIRED - 2 x 225 = 450 SF UNOBSTRUCTED AREA AVAILABLE - > 600 S.F. USE DRIP IRRIGATION SYSTEM W/ EMITTERS (SEE OE TAIL) (NI CONSTRUCT - AVG. 16'814' FIELD AREA - 240 S.F. c ADVANCED SECONDARY TREATMENT SYSTEM: USE 1 - HOOT 600 GP0 DRIP IRRIGATION UNIT. l /n - ELECIHICAL REQUIREMENTS: 1 - 30 AMP - 120V. ORCUIT PLUS DEDICATED TELEPHONE UNE IN CONDUIT. r LOCATION: C_1 LOT 3 (Sc 4, BLOCK 211 ATLANTIC BEACH SECTION "H SUBDIVISION — . r` 0 or, N p W N Q N m w _ W w OWmO Q c a H W i i 0w0 Z .-CL0N 0 di W � W H 0W W p I— D U p 0 z m z t z w Q z J Q�za >Q o QOo!OW� I rna oo a cc o co co■rommolommomilwr -. 4 To (`- LIIIIIII o . c.) 11■ S~ V O 5, /►, m � w N a 1, � � to a a PooL Data N Volume r '/ N Tum Over )) LU � Pq Filter i�r'I • ,i1 > it '` / fp1 Pump r , J � W may Conc. Deck (2500 psi pea rock) _ with Kooideck Finish I I (!) I) l � 8 Ii a. z c Tile — 0 0 >- > c t i Q Z J 4- w Q U w ray Tamped Earth .- Y J Q O w Z E m w w 0 EL e. co i7-) J J (NI co �Q m 6" r Wall Section ,,,, o 0 ' N.T.S. ° Q o - W — W Cn - - - 11 1 ‘71-011.-i _ ‘71-011.-i r L - r F L I'4 V t1 [ L VI 111L ..7V VIIVi1V1i1VV r 1.".../1 Z W 0_ IT IS NOT MEANT TO BE AN EXACT RENDITION. 0_ cr W co w 0 Q -,o < (/) Rx Date /Time NOV- 26- 2007(MON) 10;47 P.001 . - Public Works Plan Review Coloa.ments �� Initials: ?it Date: 1!1 `�jI7'� Project Name /Address: o�, �J O A.pplication/Pezmit #: O . 7 - 1 ' 0$ .� F " �', " .0 ,„,„„,,,,,,,,, , 5 4 ,-. : - •�„ , 'G�! ,y I .7 F. Ihy f ° i „r h � ,:r' '4: r:0 ! ` 1 :.•- 4 1 "5 ■ J ° G'" „ ", r 0.34,IV14'::3 H .w w �� �, . A � � � , � �' ,f � "�A„q!�"r,. F y 'w�rr+ r � If �„ � � • � r. w'h � .0 u� •p (yi. � � � x � � �j�,��, . ��a�� ^ . � ', fi to4,s ', '4 .r .4:, ,, • F4 5 , . ,a f �.F ,, t , ,rx.'�'"'". , 4 . P ,. �, r. T+1 �� .� .1 F +J+ y ^ i Q ?A'�q ' " 1 r� �• y L ' � • M .II `( 1 y ` -�'.� ���' Y 1 JLX� ��1F,� � vF �YL.f a wy '`x F * !S� }�K i; 1 1 34 '�' a 4 '" '+` i! �r ):„ vi L �"i�. ° l %rL •� 1 :; • e r ,o! V 9 i 1 Y I 1 ' - t. I II 1 yy��u ,' F W �.} .. . : I• �} ' J { ' Mw r 'Y , 17 Sf �CM'.i.•f *f:1KA '. ;r• � t'~t "'yiv F4 M "^+t wy, •�iYt . ?, y r l K ii 4f A � � .fit _, ,.... .....,. ,� . o ideim impervious surface calculations. S vv ., )a 1 T . 1111111111U11.. I Provo p e Provide erosion and sediment control plans with installs on • etails and maintenance ,kr Q schedule. Provide drainage plans . showing site topography (flow azrows, etc.) Provide construction site management plan, including Right-of-Way Permit if using } T right -of -way for construction parking. I A Provide apre- construction topographic survey prepared by a Florida Licensed El Professional Land Surveyor, showing 1' contours. Section. 24 -66(b) of the Land Development Regulations requires on -site storage for increased runoff. Provide Delta volume calculations and on -site retention required per Section 24- 66(b). (See attached info. Sheet) If on -site storage is required, a post construction topographic survey documenting proper construction will be required. 1 _ A Right -of -Way Permit must be obtained. . • J 0 A Revocable Encroachment Permit must be obtained for 1 0 Pool — Wellpoint (if used) must discharge into vegetated area 10' mi4im • om street e or drainage feature (swale or structured"-- 7/ D �-c. '�.) Tx 'Zo / All driveway aprons must be concrete, 5 inches thick, 4000 psi, with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not allowed in , 0 the ROW (Commercial driveways — 6" thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must Q be overlaid• 10 feet in each direction from� shown. the center of the cut. Repair must be show on the plans, • 0 V V-12— ...... 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HDV HI DLLAIV IIV JO A LID r, c� 1 % h O� f CITY OF ATLANTIC BEACH ,_ .. . ~ 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 .- �._. „.__.,._. � ... r OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 I BUILDING- DEPT @COAB.US **= - "ill BUILDING PERMIT APPLICATION DUVAL COUNTY :'t ,. ,„ ,..F ,' ,,' i e ` . , . , i ,..-.,, , ,. `n fr 2INAWATION OPNVORK7 �,p,Agi r '3: SO: FT UNDER.ROOF, , , •., '.fz7 X ADDRESS . ...., „,.�., e „ ,,, . . ,� "„ . ... , s ilii a . ,i di 'titLiASS N EW BUILDI s ❑DEMOLITION .. - w. �.SE OF STRUCTURE: . z�;'LEGAL DBSt•RIPTION..� $4-9 AL LOT BLOCK - SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL " 7, DESCRIPTION OF WORK! r _ • `(• 4, 01 - .. „. bi g as3' ❑ ALTERATION ❑ ACCESSORY BLDG. iWIFIRESPRINKLEFtniiiiiii ❑ REPAIR MI,POOL / SPA ❑ YES laN /A Swi MMs ,IJ G Pod L ❑ MOVE ❑ OTHER ❑ NO p a N' E OPERTY OWNER. _ PA J lei s � CT " ° '° X 23. COMPANY ARCHITECT ENGINEER:; ... . a. d�.. n... 9. NAME: 15. COMPA NAME: MY et 94, r i3,4 e.iie S 16. NAME:. .•-•••••-• 24. LICENSEE NAME: �v t v C. CO 77 U-L-• 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: j AS ( GLA 9 • ' o2..a I N 2 C Pc-O L4 L o to 14-r CJ" n t L 18. ADDRESS: 3 2 . 3 944 0 2.,j,' ?i..0p 26. ADDRESS: 3 2.233 --54.,L• CI •.Q, FL. 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: Ce g -2 ?S j ,- `i 9 --p•ro • 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: cai , �� �� , FEE SIMPLE TITLE HOLDER is , r )f( , . _ ' t „. BON,DING , OMPAN ; ; m b x , � 1 e a , MOR TGAGE LENDER , ' ,, gr�"° "�`� 8: ,tip' "2.l}; QiHEitTHAN OW NCR) ° �. , „� . 3„ . -f .�,+.a, ,�"��F i . .. r��x 9„ „�i an43.? „ . ,:. ��"Ss�t, b, r,!ka ,z�"' a.�a, .., , „i ., .,.w • 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN MENT. T °,'1�a,,, a r:: z , rax, ,... e6 ar»: a G a r y u�"7`- x 8 "'.� 72:{; ° c fit. y i s r � ,�. a, �� � r��a =. � OWN ER.or gGEN� x � su � < � ,�� , � ai, A „ ��aG � ��,�� � m � Ctt ONTRACTO� �� 4 �� � 2. , s,. '"z�ti „ 8� °� s n , e x r S t y d,r. 6° 3 su s. et i)'1 / r e� °„ M, �d' !'. €1 a t . uaIifie Onl r z p ci si P n `����a,.(:a.�,'. °,,.,` IfA Powel ?' 4fAHdrn�yo( AgencyLEtterReptUrBd )a......,.,.'....,. ,� �'a.a.�.r, -�x� Ar.n.a „ti�k'a,alnp.Cr.siz.,a§ (Ou f Y)�S ,,,x. .x .., ,:..., ,... :, O Signed: Date: Signed: Date: Before me this day of , 20 in th county of Before me this d of _ \ ' . , in the county of Duval, State of Florida, has personally appeared Duval, State of Flori , ha )ersonally a. p: herin by - mself / her -IIf an s tr - :II tat ents and declarations are herin by himself / elf and • r 1 h 0- Ii statements and declarations are true and accurate. true and accurate v Notary Public - - ge -2.a • , County of Notary Public at Larg. . _ •f , County of ❑ Personally Known ❑ Personally Known ❑ Produced Identificati• • ❑ Produced Identification - Notary Signature: Notary Signature: C,Dn-fra,c1 I�a.�- r�u� a.Q P li Co, -fi fi)d-vult COAB FORM BLDG01: REVISED: 8/2/2007 03 0 r • • ' A '1.1 1 CITY OF ATLANTIC BEACH PERMIT .:i: VI4'.. B ITILDING / ZONING DEPARTMENT APPLICATION # . (c 7--: ', 1 . ) - 800 Seminole Road \ ,.:.- ' • '' Atantio Beach, Florida 32233 07--/5D5 fr (904) 247-5800 (904)247-5845 Fax www.coab.us / 1 ir t. 1 1,/ ''.4 I,• APPLICATION TRACKING FOR 40 0? R ,z DEPT: . 111C4:1111 PLANNING Property Address: a5I - 11 11 Pia.. 2 0241fli BUILDING Applicant: Atr-cdr, 661-1 g win PUBUC VVORKS App , • R rarAl ill PUBLIC UTILITIES Project: a) . immin3 OD 1 Norm FIRE DEPT. Y CP PUBLIC SAFETY co I -APPROVAL UJ 5 m REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: z Lu LII m Y N D.E.P HUFSTETLER o — 04 .07,N N S.J.R,W.M. CARPER tt Y W ARMY CORPS of ENG = CARPER 8 Y N HOTELS & RESAURANTS HUFSTETLER , APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITI : DATE: 1 0 I 0 1ST REV cre 0 - la6pee 5plevt7- PLANNING • 0 0 2ND REV 0 Or - BUILDING/ PUBLIC WORKS 1 1 ( ( ON/ - 1(C5 L. PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFEw • 0 0 3RD REV 0 0 C eld----' Return this form to the Building Department once you have entered your comments into the AS480. i..d gt799 sweisAg uonewmjui Bab: I. I. LO l•C PO Illfl 'd 517R5 1177 17(16 tiF :7I caw/Au-H-13o amiliam xm Doc # 2007292136, OR BK 14180 Page 487, Number Pages: 1, Filed & Recorded 09/12/2007 at 12:56 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT. (PREPARE IN DUPUCATE) Permit No. Tax Folio No. • State of FLc R- I r, n County of t7 U VA- L To whom It may concern: The undersigned hereby Informs you that Improvements will be made to certain real property, and In accordance with Section 713 of the Florida Statutes, the following Information Is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: L. - .t)T - '3 4 q (3 LOCK / r ArLr. T , L t 3 Address of property being improved: / .2-5 ! G LA c.; e LA. t2 General description of Improvements: S W i 4444 ■ „ (, 69, L Owner P v.0 .0 3 [ (� ek, r3 tc.er2 Address /26 6, Lit o :O L G4 O g, ,44-L._ . ( %C . g Z2. 3 '3 Owner's interest In site of the Improvement S PL. If Fee Simple Titleholder (if other than owner) Name Address, • Contractor - S"' I - �DO .S 4t 0 - , • II p.,ac I f Address .R.--to r4r—Pel T., 1 yin l / 79k- AI tit /t- q -c 3a 2-S 0 Phone No. fi `-1'(7 ZC , (r, ( Fax No. '7U 1/ c i-(— ;- 4)9 0 urety (If any) , Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the Improvements. Name Address Phone (Jo. Fax No, / Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address • Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in r\ 1 Section 713.06 (2) (b), Florida Statutes, (Fit in at Owner's option). l Name Address Phone No. Fax No, Expiration date of Notice of Commencement (the expiration date Is one (1 - -r from the date of r= cording unless a different date is specified): , .4.8 I - 4 40 ' • ■ THIS SPACE FOR RECORDER'S USE ONLY , 'I • / X � OWNE ' Signed: A a�.G7� .,- II Date: • Before me this [1 -y of ;rte , 'o Ar in the Cou o Duval, State of Florida has personally a appeared Notary ublic at Large, State of Fi.; .: My commission expi - i t w Ito IET.W • Personally Known ' - , h. ��:. :mesa 2011 • or Produced Identlficatt• j , _ _ _ - - - - - ' �` r s �;,J,,r CITY OF ATLANTIC i:�EAC t r PERMIT J % �" y , s} , 1 D G / ZONING D PART NT A PI'L@CATICdf� # �� S �- 04 ' 800 Seminole Road \\ ' V Atlantic Beach, Florida 32233 0 6 ,,, 904 247 -5800 (904) 247-5845 Fax www.coab.us APPLICATION T".' ,CMG FORH R. a IRED DEPT: n r /� t � er N PLANNING Property Address: : )0 e-qa lJ .l 1 lil Z 0 BUILDING N PUBLIC WORKS • Applica,I t: truf-pstoe, `P U / V N PUBLIC UTILITIES �wV -=aI FIRE DEPT. Project: C;3l Min n in3 p t)6 I V 0 PUBLIC SAFETY co w APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: LLI p = Y M D.E.P HUFSTETLER 2 Y S.J.R.W.M. CARPER /CC-- / /g `Q 7 Y ARMY CORPS o f ENG CARPER / O V N HOTELS & RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SIT BUILDING DA AP REVIEWED BY: INITIAL: / A TE: 0 15T REV �� i. ® / I ( \f • PLANNING 0 0 / /G � 1�1, 2ND REV 1��i�i �'�- /� BU ■, i) r . c )4 . , ((sr )4 c G 6 PUBLIC UTILITIES 1(Z TD ' FIRE DEPT. PUBLIC SAFETY 0 0 3RD REV • 10 Ret, [ rn this firm to the I; nilding i epartment once you have e,1 tered your commits into the AS400. tel,,,,-.1„,s,s, \ 1 .?4 CITY OF ATL IC I EAC I; PERMIT �LD G / Z ` I �TG DEP TMENT APPLICATION ��'� 800 Seminole R oad \ 0� 068 Atlantic Beach, Florida 32233 °/ . r (904) 247 -x800 _J,.1 (904) 247 -5845 Fax www.coab.us APPLICATION Tim) A CMG FORM R RED DEPT: /PO C�-1 all d /a) N PLANNING Property Address: 0 BUILDING = N PUBLIC WORKS Applca to "P5) d �) 1 9 a la Y N PUBLIC UTILITIES ...,..—^ tC// Y FIRE DEPT. Project: Ot )i mm i rn P2) ( Y PUBLIC SAFETY co w APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: Ow Lu Y N D.E.P HUFSTETLER ¢ � d Y N S.J.R.W.M. CARPER _ Et Y N ARMY CORPS of ENG CARPER O Y N HOTELS & RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: 0 0 1ST REV PLANNING BUILDING 0 0 2ND REV 0 IS PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY • • 3RD REV IS IN Return this form to the is wilding II epa xi ent once you have entered your comments ii to the AS400. • Public Works Plan Review Comments Initials: Date: Application/Permit #: " I GOO' Project Name /Address: 1 t ® 62- J.ilehecklim gaiSINAWfil �phcationaclungCo� n #s{ sG�amment Provide impervious surface calculations. Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan, including Right -of -Way Permit if using ❑ right -of -way for construction parking. Provide a pre - construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 1' contours. Section 24 -66(b) of the Land Development Regulations r o to on-site on-site ge for pr ❑ increased runoff. Provide Delta volume calcul o Section 24- 66(b). (See attached info. Sheet) If on -site storage is required, a post construction topographic survey documenting proper ❑ construction will be required. ❑ A Right -of -Way Permit must be obtained. A Revocable Encroachment Permit must be obtained for ❑ Pool — Wellpoint (if used) must discharge into vegetated area 10' minimum from street ❑ or drainage feature (swale or structure) All driveway aprons must be concrete, 5 inches thick, 4000 psi, with are not allowed fro t he ❑ edge of the pavement to the property line. Reinforcing rods or mesh the ROW (Commercial driveways — 6" thick). must Any utility cuts in the road must be repaired using COT Standard Detail must Case on Cj1 be overlaid 10 feet in each direction frommthe center of the cut. Rep the plans. 0 • 0 0 4 . • '0 c• CITY OF ATLANTIC BEACH 07- r-i *ri 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 i s ' ,_. `- OFFICE: ( )247-5828 • FAX NO.:(US }247 -5945 Ib tk - .rt - BUILDING PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRESS: 2y l.UNTior OF WORK: _ 3. SQ. FT. UNDER ROOF ( ,.4:I.EGni,DESCR1PTiOt9 - � - ... . _: 5, CLASS OF WORK', ', . 6. US'E.OFSTRUCTURE: _ a � y 0 NEW BUILDING ❑ DEMOLITION SIDENTAL LO 7 9LOCK I t sus DIVISION 0 ADornoi. 0 CONVERTING USE 0 COMMERCIAL n DESCRIPTION OF WORK: _ ..... _ 0 ALTERATION ❑ ACCESSORY BLDG. 8= FIRE SPRINKLER: ❑ REPAIR pi,ROOL 1 SPA 0 YES RNA 5r,1) 6 tv6Mi ,n3 G i'd c3 is ❑ MOVE El OTHER ❑ NO PROPERTY O W N E R x. _ , . . . . . . , .:..,.CONTRACTOR :. _ , .., ..... ,,„ , ARCHITECT t _ ;__ 9 15. COMPANY NAME: 23. COMPANY NAME: MY 20N G4elAr01.4)134ierzE ct)2t =sN oc, (t .q 16. NAME: ....-. 24. LICENSEE NAME: � # 4.rC. S c-oi t,,___ 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: / XS 1 t- 4 t7 +af.A 9c2 CPc-O Li 4o it 41 C3 L- 18. ADDRESS: 3, G t4 1 26- ADDRESS: 52-2-3 3 --%'- 63 •.12,, FL. 11. OFFICE PHONE 9. OFFICE PHONE: 20. FAX O.: 27. OFFICE PHONE ( 28. FAX NO.: C cs g (2 ?,s 12. FAX NO.: 1 X44 -Z4� C I N .1-A4 9--4- ro t 13. CELL PHONE: 21. CELL PHONE 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: FEE SIMPLE TITLE, MOLDER: BONDING CQ>`IPNY MORTGAGE LENDER 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This pert becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that serrate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - l certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 1 will not occupy or use the referenced building or any part the rof, until all inspections are ffnaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN MENT. OWNER or AGENT ON CONTRACTOR C (IAgeld, Puffer 0f.1*C 1 3!01 . !cY,tat er Requiredl ., . _. , Y _...( Cfier 0 MY�_ _ i. x Signed: Date: Signed: Date: Before me this day of inth county of Before me this d of : •• •• the county of . , a. ..ill .. Duval. State of Florida, has PAY appeared Duval, State of • ' ed V l herin by , / / ,f, - , . eats and declarations are herin by himself / ; S and `� ii; statements and declarations are true a • accurate. true and accura - r Notary Public .,, • _ to ■',1� , County of Notary Public at _ . County of 0 Personally Known ❑ Personalty Known ❑ Produced Identfca r • , 0 Produced Identification - Notary Signature: Notary Signature: i C ;) -f /i-M-11' J COAB FORM BLDG01: REVISED: 8/2/2007 W 6 r 1/ ?s'' 4.1 Fl CITY OF ATLANTIC BEACH , = �- } POOL PERMIT APPLICATION O,3 Date: "I ( Job Address: 1 2 5 - • GE-A--0, 0 t- ev l7 (? , • ' tSLA.J L' 7 i3113a< 1 2- Phone: 6; 6 8 12-25 Owner: f �'1� IZ.a et% Contractor: .SU p N S, v G tvL-S Phone:" L /C. - 4 Address: '3 3 a Fax: gg City : , E=C. State: / L Zip Code: 3 7 - 2 -S -6 Valuation of Proposed Construction: . o Gallons: g 6 . 3 ° 0 *Impervious Surface Calculation: 42-10 • Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, decking around a pool may be considered impervious depending upon materials used Is approval of Homeowner's Association or other private entity required? duo If yes, please submit with this application. hi 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. 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. 1. Recent Survey 2. Two (2) complete sets of plans. One (1) copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8 :00 a.m. to 5:00 p.m. Monday through Friday at 247 -5826: Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following workday; please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number, job location and type of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of $35.00 is charged for all re- inspections. 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : //www.cLatlantic- beach.fl.us Revised 3104 I hereby certify that all ' • • •, : • I provided with 1, • application is 44721:7 Signature of Owner. r r / Date: I hereby certify that I have -: d and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that t i • : H i s : , . supporting data have been or shall be provided as required. Signature of Contracto / /,. Date: 0 AS TO s ' R: wom to and subscribed before me this day of , 20 U 1. State of Florida, County of Duval Notary's Signature. / „„,_„ —_ €` _,..% a � ❑ Personally known r- ppgt 1 s. ., ,: Sep g 2011 a Identification • ' -� F IIw Nato, Pubic unotoNws Type of Identification Produced AS TO CONTRACTOR: Sworn to and subscribed before me this / - day of Y , 20 State of Florida, County of Duval Notary's Signature: ~ p ersonally known ❑ Produced Identification Type of Identification Produced � MY COMPASSION 4 DO 710801 saeG �. *:I 3, 2011 � �.. x zc tkoneY Pude townies Bon 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : //www.cLatlantic- beach.fi.us Revised 3/04 %-5. )-- ; CrFY OF ATLANTIC BEACH PERMIT :: � , f i BUILDING / ZONING DEPARTMENT APPLICATION # jel r � � 800 Seminole Road Atlantic Beach, Florida 32233 U (. 6 .08 "� Oi,lr (904) 247 -5800 v (904) 247-5845 Fax www.coab.us APPLICATION TRACKING FORM , R,.t. IRED DEPT: Property Address: is, 0' eq U. ti 6 1 L Dr. z [ BUILD P ING tflir-Pd-e., 1";'' op� PUBUC WORKS Appplicant: POev.-- 0 ham PUBLIC UTILITIES ES �l Min n � / �S / ' 6u I GJ i FIRE DEPT. PTO P.Ct: I Y N PUBLIC SAFETY c APPROVAL w REQUIRED AGENCY: RECEIVED BY: INITIAL' DATE Z rc Y N D.E.P HUFSTETLER Y N S.J.R.W.M. CARPER ice Y N A RMY CORPS of ENG CARPER 1- O Y N HOTELS & RESAURANTS HUFSTETLER • APPLICATION STATUS CIRCLE ONE: nE , BUILDING DA AP REVI D i� DATE ❑ , ST REV ® 5�'� Ti G �/`� _ I i 4 PLANNING - ❑ ❑ 2ND REV BUILDING PUB WO S ip i r ES FI - . ■3= . PUBLIC SAFETY 0 0 3RD REV ❑ ❑ ' Return this form to the Building Department once you have entered your comments into the AS 400. ,. ' Ltr i, CITY OF ATLANTIC BEACH 07� �� ct 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 r sR U OFFICE: (904)247 -5826 • FAX NO. :(904)247 -5845 `fir BUILDING- DEPTQCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY ; JOB ADDRESSLUA[lON CF -WORK .: '> 3. SO: FT. rI1VDEft_ROOF, :_ ,.:.:1 . G N='DESC.RIPTIOM.. ,...;. ... --_ -- ___- _ -- "5;.CLASS8OFWOR . .4,�.,.w,.,_ ... =3., ..._. __ 6. _ USEOFSLRUCTURE:;i_._, ❑ NEW BUILDING ❑ DEMOLITION aRESIDENTIAL LOT.. .BLOCK •I! SUB DMSION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL 7aif{30N OP '_ ❑ REPAIR POOL / SPA ❑ YES gN/A s ,._. ._.- __ _ Se �� G ❑ ALTERATION ❑ACCESSORY BLDG. B: FIRE SPRINKLER:: --" ,7W 6 AA.d ,N G �p d L., ❑ MOVE ❑ OTHER ❑ NO :_.. - -. PROPERTY,: OWNER. - . ............ .':.. , , .CONT_R_ACTOR. _ ,. _ , . .., .u:„. . ARC)1ITESILENGINEER . _ _ , -_ 9. NAME 15. COMPANY NAME: 23. COMPANY NAME: 16. NAM 24. LICENSEE NAME E # k.r C. SCO C' L 10. ADDRESS: 17. STATE OF FLORIDA FLORIDA LICENSE NO.: 25. STATE OF FLORIDA UCENSE NO.: i ,z 1 C L - d cA. D'2 C. PC-O 4# 4O to 26. ADDRESS: (.I.-t'i.. C3� 4= � �aa33 18. ADDRESS: 3t a�c( 0..02 ` !),••. (3 ..Q, FL. 11. OFFICE PHONE 12. FAX NOS 19.OF PHONE FICE PHON 20. FAX NO.: 27. OFFICE PHONE: ( 28. FAX NO.: (o Or g" t 2 ? .•2 -.-(( ( .-`{ 9.2' CO 1 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: F EE iMPI_E TITLEHOL BONDING COMPANY MORTGAGE LEN©Ek- 31. NAME: 33. NAME 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN MENT. r OWNER o r AGENT x, ' _ ,i CONTRACTOR _ _ A P w±et of A �tomey_ar AgelLcy Lotte Req urced) . _ `� _ L arfier_oNy)_ :i1 : :2 _ Signed: Date: Signed: Date: Before me this day of , 20 in th county of Before me this d. of _ , - f A�m the county of Duval, State of Florida, has personally appeared /"" Duval, State of Flori, , • .1+ .rsanally a.. ;iv herin by mself l h �f an,,: f i s II ants and declarations are herin by himself 1 {' elf and :` ` 8 statements and declarations are true and accurate. i )e., true and accurate '! Notary Public -,..e -tar'; , County of Notary Public at Larg: _ .f , County of ❑ Personally Known 111 ❑ Personally Known ❑ Produced Identifica ❑ Produced Identification - Notary Signature: Notary Signature: C ate- rtco ac o )1* co,,,+ ITY1 - htf fi)1/4,H COAB FORM BLDG01: REVISED: 8/2/2007 03 0 f • _ CITY OF ATLANT BEACH POOL PERMIT APPLICATION Date: '7 / /0'7 Job Address: 1 251 GiA- -Pa-(J LA f7 a. Owner: /Yl`/R 3 44.12, e. Phone: 8'-7 , Iz 2 .5 = Contractor: Sii e N S , (3 ti Phone's .tea 4 Address: 3 i i3 (G J > Fax: 0 , City : State: /L Zip Code: 3 22 S Valuation of Proposed Construction: ��,, 000 Gallons: 2oc" *Impervious Surface Cakulation: ` 2-- 20 • Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, decking around a pool may be considered impervious depending upon materials used Is approval of Homeowner's Association or other private entity required? ,' k If yes, please submit with this application. 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. 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. 1. Recent Survey 2. Two (2) complete sets of plans. One (1) copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from .8:00 a.m. to 5 :00 p.m. Monday through Friday at 247 -5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following workday; please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number, job location and type of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of $35.00 is charged for all re- inspections. 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.cLatlantic- beach.fl.ns Revised 3/04 I hereby certify that all info it . ' • . provided with ' application is • rrect Signature of Owner: INF i r ` Date: / I hereby certify that I have . d and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that : F s + s supporting data have been or shall be provided as required. Signature of Contracto . / / /... Date: 9/, -7 //o f AS TO e , R wom to and subscribed before me this day of c/1 , 20 G 1. State of Florida, County of Duval Notary's Signature. � - -' s e SUTHERM ❑ Personally known '% [ 001 IME 3 [}''P roduced Identification It,,, Notarl Pubk Undervaltes seeded Type of Identification Produced / AS TO CONTRACTOR: / • Sworn to and subscribed before me this ,/ day of SAY , 20 U State of Florida, County of Duval ed-/-4& t Notary's Signature: Personally known ❑ Produced Identification Type of Identification Produced p gT. -11 N 4 01114 COMMISSION # DD 710801 EXPiHES: septa 3, 2011 '+.&f 0adeduN�Y ups 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.cLatlantic- beach.fl.us Revised 3/04 rs ,,,, A 'TL N TIC E+ AC 4 CITY OF � ,.� �.�, PERMIT X; ;,I;'\ 1 FILBING / ZO ■ DE' AR NT APPLICATION # J r a 2 800 Seminole Road 7.-q505 \ ` ., / , y v r Atlantic Beach, Florida 32233 / (904) 247 -5800 `.U; I9r (904) 247 -5845 Fax www. coab.us APPLICATION TRACKING FOR R ..IRED DEPT: PLANNING Property Address: / 5l `0W 6 � . 2 [P Gel BUILDING NCI PUBLIC WORKS A.pplica 1, t: , r-f d r r1 ?1 m or N PUBLIC UTILITIES at) � r� m i � a ��� 1 �a� FIRE DEPT. Project: PUBLIC SAFETY co APPROVAL w E3 a REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w 1 Y N D.E.P HUFSTETLER C - < c� N S.J.R.W.M. CARPER _ = Y N ARMY CORPS of ENG CARPER 0 Y N HOTELS & RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: IN!TI : DATE: 0 0 1ST REV Grr 0 74/4 • — h16#e SoR" (7. `, p4 /D. 3/. 6 7 PLANNING BUILDING/ ® 0 2ND REV 0 i n PUBLIC WORKS I I I ( i 1 W i i PUBLIC UTILITIES `C C/ FIRE DEPT. PUBLIC SAFETY I 0 3RD REV 1111 1111 ', Return this form to the Bnnttdhiig '! epartment once you have entered your c + mments i I to the AS400. HP Officejet 7410 Log for Personal Printer /Fax/Copie r /Scanner Information Systems 904 -247 -5845 Oct 31 2007 11:48AM Last Transaction Date Time Type Identification Duration Pages Result Oct 31 11:47AM Fax Sent 92498801 0:26 1 OK sL�•�. CITY OF ATLANTIC BEACH PERMIT ',,� J -' ":�1 BUILDING / ZONING DEPARTMENT A P PLICATION # I . 1w� -� s , ; ., r ! 800 Seminole Road ����� �' ;' •:�•:' ' . ' A3lantio Beach, Florida 32233 (904) 247 -5800 --- --0.P. 19,- (904) 247 -5845 Fax www.coab.ns APPLICATION TRACKING FORM ,,, RED DEPT: Well 1 A F I &/adJi � / j 2 `ri BUILDING 'O�?Orty Address: / l✓ ' w g IMO PUBLIC WORKS • Applicant .r4 d r, r66) 0 rr jA PUBLIC UTILITIES WAN FIRE DEFT. Project: . (7)D1mming P KM PUBLIC SAFE • N APPROVAL Lu U REQUIRED AGENCY: RECEIVED BY: INAL: DATE 6 a ITI Y N D.E.P HUFSTETLER 8 Y N S.J.RW.M. CARPER • w ct ce Y N ARMY CORPS of ENG CARPER O Y N HOTELS & RESAURANTS HUFSTETLER . • APPLICATION STATUS I CIRCLE ONE • SITE BUILDING DA AP REVIEWED BY: INITIAL NITIAL_ DATE 0 1 0 1 1ST REV 1 0 1 0 1 I/ ' ° 1 20 1 -d p-la--"3 " am dam. CP IANNfNG LNG ❑ 1 0 1 2ND REV 1 0 1 Err 1 sO 1 //— & -D7 �,Q PUBLIC WORKS 1 (Q r e ° Yl/L 46( ' PUBLIC UTILITIES l FIRE DEPT. r' ; PUBLIC SAFETY ' 0 0 3RD REV I ❑ l ❑ 1 : s3 ±r 1 1 , Y ie"---- • • . Return this form to the Building Department once you have entered your comments into the AS400. L' d 9689-LbZ -1706 suaeisi(g uoiiewaojul et t: L L LO L£ 2 inn ' d 5685 L67 606 OF :7I (011,11/007-IF-100 ami.i /alEf )0 • rI y.'1 : CITY OF ATLANTIC BEACH PERMIT \�'' BUILDING / ZONING DEPARTMENT APPLICATION # ; ° r �' A tl S eminole Road �` ' °' Atlant , Florida 32233 �r t ;.,4477:55845 -'15,05 • J;; i w r- (�) Fax www.coab.us APPLICATION TRACKING FORM R. RED DEPT: PLANNING Property Address: / 51 -1 C1 lc� t. Z [M� BUILDING G r ' d �n 1110.11011 _ PUBLIC WORD Applicant: '1 0 r a. PUBLIC UTILITIES 11111A� FIRE DEPT. Project: a)I mrninJ Pub I Y Gip PUBLIC SAFETY co w APPROVAL 0 REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE Z a Y N D.E.P HUFSTE LER Q _ = - m a Y N S.J.RW.M. CARPER X CC Y N ARMY CORPS of ENG CARPER 0 Y N HOTELS & RESAURANTS HUFSTETLER APPLICATION STATUS • CIRCLE ONE SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ❑ 0 ,ST REV ❑ 0 / 7 ride- 4dalu.e-z.. , ki-y ( e c 4 s . e . ,,,, /0.31.0 i PLANNING u ING I ❑ ❑ 2ND REV ❑ ❑ PUBLIC WORKS I 1 1'e t mod . PUBLIC UTIUTIES FIRE DEPT. PUBLIC SAFETY 0 0 3RD REV ❑ ❑ • Return this form to the Minding Department once you have entered your comments into the AS400. HP Officejet 7410 Log for Personal Printer /Fax/Copier /Scanner Information Systems 904- 247 -5845 Oct 31 2007 11:44AM Last Transaction Date Time Type Identification Duration Pages Result Oct 31 11:44AM Fax Sent 92498801 0:26 1 OK ,, 4.A. r11`! r lei : ' ' � CITY OF ATLANTIC BEACH r s 800 SEMINOLE ROAD J� M r. '� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 08- 00000535 Date 4/25/08 Property Address 1251 GLADIOLA ST Application type description RESIDENTIAL ADDITION /ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 8200 Application desc POOL ENCLOSURE Owner Contractor LIFESTYLE ENCLOSURES 1439 NOLAN ROAD MIDDLEBURG FL 32068 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit BUILDING PERMIT Additional desc . Permit Fee . . . 75.00 Plan Check Fee 37.50 Issue Date Valuation . . 8200 Expiration Date . . 10/22/08 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total 37.50 37.50 .00 .00 Grand Total 112.50 112.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Y � �� % 3 CITY O 'I� ' ■. iI.V PERMIT . . Std ;: 1 " [ F G / Z •� C G !: DE ES NT APPLICATION BOO Seminole Road �ri .�::'•. • Atlanfiia Beach, Florida 32233 ' ` Fn •, (904) 247 -5800 ` �0Fil� r (904) 247 -5845 Fax vwv. coab.ns ' APPLICATION T C K I N G FOR \!1 . R a UIRED DEPT: CrICIdibla)--1-tee-4- WPM PLANNING Prop A ddress: /� / 0 w ¥ � BUILDING P ' PUBLIC WORKS ApLA l Life +y1 c EncJmr � � PUBLIC UTILITIES J�� / (/ Y h FIRE DEPT. Project: ?a)1 I V (5� Je7 Y PUBLIC SAFETY • w • APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE w c Y N D.E.P HUFSIb1LER 3 Y ,N S.J.R.W.M. CARPER i D Y N ARMY CORPS of ENG CARPER 0 Y N HOTELS & RESAURANTS HUFSTETLER APPLICATION STATUS _ - CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: 0 0 1 1ST REV 0 4 Py Ike :).mt) ml 4- ” D • • PLANNING , ® 0 2ND REV 0 ;n sUILDI� � PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY p --� 1$ N I 3RD REV 0 II • Address of property bein • improved: 051 Cs la d id General description of improvemen - 1 Lim l rv,( "TI T/ M qr.rI e r1 / u It it t41 )/ ekwner U 111 * • , - —' or —s7 Address MLIIHNIM i /, i ■ (O. Owner's interest in site of the improvement OII) rein Fee Simple Titleholder (if other• than owner) Name Address p w Contractor c ■ t _. t_ Are y i e,, Address )43 r Iflh4 ,/1 Ilea • m i�l.�l� iewf Pi'!2 i9 Phone No. q04. ' o�8c -,Q- ]r Fax 0 - )A , � e+ D' - 53 Surety (if any) . Address Amount of bond $ Phone No. Fax No. Name and iaress of any person malung a 1oa ' 8 gtiettorrotere imprpvernenio. Name Address � _ Phone Fax No. Name of person within the State of Florida, other than himself, designate owner upon whom notices or other documents may be served: Name Address Phonje Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b). Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. • Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is.spec.af ed): THIS FOR RECORbER'S USE ONLY • E F G o Signed: � i/�i � i/ 41141.4„.f# _ :.r date: Before me tti 1 day of 4I . .. I4 in the yam County of Duval, State of Florida, has persily a. peared 4 ; ,�` hoary P Ic - 8wr d t'bti , + y ' • C,nnrebMoaEalelocl nV. r/1. , / J / 4 ' . 4 40 / / ./ 1 > /A cornrow 1 OD MIIp i . OI 6ondcd Wool Nwr ANn. Notary - ublic at Large, State of Florida, Co g ty of Duval My commission expires: 69 -- c-71 . --20/0 Doc # 2008106443, OR BK 14475 Page 901, Personally Known Or Number Pages: 1 Filed & Recorded 04/25/2008 at 01:35 PM, Produced Identification JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 03 RPR- 18- 2008(FRI) 10:31 Surfside Pools (FRX)902d98801 P.003 /003 - T GLADIOLA STREET - 50' R CH : ". 0 .`• r. :c C v v T t. 74.'77. IP )1,� 7�J.00 NO1't6'00 75.0 • .-w r- �= r as 1 (23.00') (25.03' ) (50.00') • O 1 0 t 0 0 -> • 071 - 1 4. C00 K I N • Z m i 1 -iQ I \ t � .. Z t - "I V o� I � > a -S I ,.r 11..' v \ -d ri-' 1 Q `I °'' c \IV u t : • > 0--,,, I .: `C 1..1 Q r 0�� ON 1 t v) '"_ - .,.. 1 O_. 4 - O 0 1 O Q t A7p.= r Cc -8 rTiz NO 1 �-1 t r' ■ N • ' WN v 0 ur G: CO 0 N Q << I . O P. 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' C� o L. x")� °LiC zx� 0 o .t 10.1 cV " a J U ...__f____ j to 6'Et IJJ a 1 � n Q F-- L-1 '• G 0 N _J 5 J "z � u LA o (f) 0. c 00 1 o. i • F -�- N i V) 7:" .., 8 Q LLi T I L . r= L 2 Il I s — W OQ MI I Li La )a,g �,1 _ _ _ _ u F7: o „ c ::- !_rj1 r l : ' •d A8 .00'07L Vi z=,. J a L` Up 0 4 Vi=i � ""<Ca 2 � Oa - - co - 4. -U c ^Z Qp a c - jt. - . Z « L7 L4v r '-' }- d ti -< w Q ..' ►-� ? O QQ1 - n LJN :h i -- p �m ° z ak z Z °. } 01 4 . - ) <w zzo a --. — 1 ° 0 ° o m r - zu`o:je W z �.n Ca :, SAO Y LP . 2 . cc ry U L` < x o -' L7 ` X1 d Z __L./ 0 )/200 d 10836 D2 06 '" iC cxdd) ii S[ood aptsj.inS 1 E : 01 (Ib8)8002 31 -Hau w f CITY OF ATLANTIC BEACH v . P 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 0 Q V ^`' OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 r BUILDING - DEPT @COAB.US j'.4-11.1119" BUILDING PERMIT APPLICATION DUVAL COUNTY //'' la z- /f1/ , .. +`Y , ,:;' ,, ''� . `8.. § '' �°'� d a . y 1 >A�N Y a " °` �. �3 19* - yp� �./ 1 az i 1 c � * . ?Qo0 Xx '. , � ,, .. e „ Q.,.rr , ,�y 1 �� l L O T 1 • OC s , SUB DIVISION � �� : • � d ❑ N�rw BUILDING ❑DEMOLITION v ' ESIDENTIAL lii ��� r� ° 1 1 ADDITION ❑ CONVERTING USE ❑ COMMERCIAL _ • , 'ms° .. 1. °:' ❑ ALTERATION ❑ ACCESSORY BLDG. r ILtminurn Nine I ' 1 •ery,losure. ❑ REPAIR ❑ POOL / SPA ❑ YES ❑ N/A r ❑ MOVE ❑ OTHER v f .. .€t. €,::,, ; . ',a,:2,.. ,, i,L, ,.. .1a.ra d ., C£ ` ., ,4J. t2 `”. .. e „ '+ _ _ O 9. NAME: 1 yrarl 15. COMPA , NAM : b r. kCOMPANY NAME: ', 1 0. /,� o p j[ ,r. � (yes, b ia. I n I' er 16. E: i 24. L • NSEE NAME: d t Z e e (f. r / . j � 10. ADDRESS: ' 4 ' o p TA7F i pi ill LICENSE 25. STATE • F FLORIDA LICENSE NO.: 1++I arr tc / 2, e f i Fl 18. ADDRESS: ip_ y 1 y � Nolan an ed , 26. ADDRESS: 3Aa33 Mdd Ie.k Pic. 3 agog 11. OFFICE PHONE: 112. FAX NO.: 19. OFFICE. HON 77 20. FAX _ �� j / 27. OFFICE PHONE: 128. FAX NO.: 13. CELL PHONE: ^� 21 Vn'r C i _, _ i) L'tNE - .37 29. CELL PHONE: 14. EMAIL ADDRESS 2 C EMAI JI/ L ADDRESSS , 30. EMAIL ADDRESS: net "'1 lo� xuA � � sx' q Ey�. d .�, •�.s , a a „ / r 1 „ '. ` �" � � - 4 s � � � ,� f��'�t o �E s° 31. NAME • 33. NAME: � 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: II Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y. • LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENC ,i NT. 4 . Signed: /ION l , Date: S igned: �� Date: 2UA �� . O e.; - _ Befor me thi -' 31 da of /S/, AL, \. the c my of Before me this / ' day of , 2007 t114�o e...% it V Duval, State .f Florida, as personally appeared Duval, S -te of Florida, has personally appeared F o v A ,,, herin by 1 - herself and affirms that all statements and declarations are herin by himself / herself and affirms that all stat=es -nts and de ! ar>an- _ rt true and accurate. true and accurate. i A a Z Notary Public at Large, State of /^� , County of t..L Notes ' Public at Large, State of •,., t , County of �i� . C . CI Personally Known {� / Personally Known VI E-4 L1 ' lduced Identification - 4! L ❑ Produced Identification - * I ' I"' „ W Notary Signature: / jr �e� #! i - N otary Signature: C . _ , g; - f 1 ■I ; = 0. � , TMIA M 'T _ - t , „,, � ROBERTA E i 1 W ? . NOW/ Pubic - SfMe of i W A COAB FOR f t '� � E 0 00 I s U COMMON N OD �c - � l /Nil > 1 a °"'!Y Gonad ex :done t: ? gonad Tim. N/o11dNOtIry - r i (/ O S? .61 1 ` 4, I ! r sAl r 6 e •w MI 6 . o w _ Lnl _r -' ,....1 9>' . 0 Heu e & ' -1 (::\ . tA z.. 1:1 9 --- z? 1 0 „ B a �` .. --� \ 0 . in \ • 7 �, ! a Z Z.b t) • `� , .0-922 9We bxZ c / ... .0/Eti4.9Z �A 1 ' 7 • -T • L....-- - li E E i r., • 7/ : ,,, Niffl ig I 9 w • Q 1 \ ‘ N. \ 1az L V ; f i b IL . g g g ',. `tit!) , 4 Z = f w• • 241 • •; . 2x4 = za g 1x2 9-) *Ir'.ril \ P cY --.). . • ...._. ca . 4110 \<;s3 CITY OF ATLANTIC BEACH A 800 SEMINOLE ROAD , � ATLANTIC BEACH, FL 32233 } INSPECTION PHONE LINE 247 -5826 1 INSPECTION EMAIL REQUEST: Application Number 07- 00000670 Date 5/22/07 Property Address 1251 GLADIOLA ST Application type description WELL PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 3x2 well +/- 500 ft Owner Contractor PARTRIDGE WELL DRILLING CO. Q /A:DONAL PARTRIDGE JR. 4744 COLLINS RD. JACKSONVILLE FL 32244 (904) 269 -1333 Permit WELL PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 11/18/07 Special Notes and Comments Contingent upon receipt of City of Jacksonville permit. Send copy of permit when received. Fee summary Charged Paid Credited Due Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORIANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. , yL r7 CIT OF ATLANTIC BEACH PERMIT r APPLICATION # 4 ' es� BUILDING / ZONING DEPARTMENT r ' ` 800 Seminole Road C D . r Atlantic Beach, Florida 32233 , (904) 247-5800 , .ril ' �' - y (90) (904) 247 -5845 Fax www.coab.us M g y.. 1r 41 APPLICATION TRACKING FORM .., i ? o[ei REQUIRED DEPT: J Y N PLANNING A ddress: /9 ° " ` .,,, / Z Y N BUILDING Property F- Y N PUBLIC WORKS � ■ [' 1 U� O Y N LIC UTILI - Applicant: /.ate ✓ I♦ OC Project: 3) 2, ��1wt Y N FIRE DEPT. ���J� Y N PUBLIC SAFETY cn APPROVAL RECEIVED w REQUIRED AGENCY: BY: INITIAL: DATE: z o Y N D.E.P HUFSTETLER 0 Y N S.J.R.W.M. CARPER rY cc Y N ARMY CORPS of ENG CARPER 0 Y N HOTELS & HUFSTETLER RESAURANTS AP • ■ICATION STATUS DEPT: SITE BUILDING D ' AP REVIEWED BY: INITIAL: DATE: 1ST REV II ❑ PLANNING & ❑ 2ND REV ❑ ❑ DOERR / HALL ZONING 3RD REV ❑ ❑ 1ST REV ❑ ❑ BUILDING DEPT. ❑ ❑ 2ND REV ❑ ❑ HUFSTETLER 3RD REV ❑ ❑ 1ST REV ❑ ❑ PUBLIC WORKS ❑ ❑ 2ND REV ❑ ❑ CARPER ■ 3RD REV ❑ ❑ Iffninill.. 1ST REV g ❑ [aMet PUBLIC UTILITIES pc U� � ❑ 2ND REV ❑ KALUZNIAK te 1 ( a TTTT����`"" 3RD REV ❑ ❑ 1ST REV ❑ ❑ FIRE DEPT. ❑ 0 2ND REV ❑ FIRE DEPT. IN COMMENTS 1 - 1 ENTERED TO AS400 3RD REV ❑ ❑ Return this form to the Building Department once you have entered your comments into the AS400. Public Utilities - Distribution & Collection Initials: Date: Project Name /Address: IL DLR. Application/Permit #: 0 7 qo Check Box Application Tracking Comments To Add Comment Avoid damage to underground water /sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247- ❑ 5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch -read meter in a properly sized vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247 -5839 for backflow ❑ requirements. At a minimum, will require double check backflow preventer. Fire lines must be metered with a Sensus touch -read meter. Meters larger than 2" must ❑ be installed in a vault as noted in JEA specifications. Piece,_ domes , a.l XeI 41Je1 /i 7 a8'/ t add-GA v n fb 1)//115-enf reecho,- 0.1 COI kW/ % rh � -- Szree Cep? al per/e71?' er) 0 0 0 0 F:\P1anReviewComments -PU. do c CITY OF ATLANTIC BEACH WELL PERMIT APPLICATION Date Owner's Name: Address: Well Address (if different than above): Well Location on Property (i.e. northeast corner, etc.) Well Installation Contractor: Contractor License No.: Phone: FAX: Contractor Address: Check Use of Well: Domestic Irrigation Other Estimated- Well Depth: Casing Depth: Screen Interval from to__ Well Diameter: Casing Material Is address currently connected to the City water system? Is address currently connected to the City sewer system? Has a Well Permit been obtained from the City of Jacksonville? Permit # Does the well require a permit from the St. Johns River Water Management District? (Not required for wells under 2- inches diameter installed by resident or wells under 6- inches diameter if installed by licensed well contractor). If permit is required, note Permit Number and attach a copy. r . /2/ (y 1#td I D /A, 72p Cfr' % P-M'k/' 6i/ /4/S lG G4.h t oss . / NOTE: WHENA WELL IS INSTALLED ON YOUR PROPERTY, YOU MUST .-) INSTALL A REDUCED PRESSURE ZONE TYPE BACKFLOW PREVENTER ON THE CITY WATER SERVICE, ON THE CUSTOMER'S ER BYA CERTIFIED TESTER THE BAC %FLOW PREVENTER MUST BE TEST AND A COPY OF THE RESULTS SENT TO THE PUBLIC UTILITIES DEPARTMENT. 05/15/21db/ 'L1:5`! 'se) `itl / 4 t ,r rrf rti i,/u1- w,,,... .... -'V 1 • As BUILDING PERMIT APPLICATION f4; * l'' CITY OF ATLANTIC BEACH zi" 800 Seminole Road, Atlantic Beach FL 32233 `" w Office; (904)247 -5826 • Fax: (904) 247 -5845 A - 1 u . r , Permit Number: Job Address: .. - 4. i 4 a • __ . • -, it .tt i u : ., ) .. L ( q. .. 3 40 all Legal Description 1%- t: - - t'7IOtata IOW ` Valuation of Work (Replacement Cost) S A • Class of Work (Circle one): thrp Addition Alteration Repair Move ttta • Use of existing/proposed structu -, (Circle one): Commerci al • If an existing structure, is a fire sprinkler system installed? (Circle one): Yes o liaPA • Is approval of homeowner's association or other private entity required? (Circle one): Yes Describe in detail the type of work to be performed: .3)pt1IJ1n All, I1)LiL 4n , • ... _ 1 ra.• . ta. ..d iLer ' . a ' . 1 Property Owner Information Name: i., Address: Ja51 (ii4w(QJ •. City I i n rti, e, .Road -, State LLZip , aaa33 Phone (AU- f 1 75 Contractor Information: - Name of Company: t)P t 1.16111 n . Quali' ing Agent - ,j',.1,! A , r . . Address: 4744 O'b (1 t AS City ♦ _ 4 , , State Ki. Zip A.a073 Office Phone C D4 Z(cA- 1333 Job Site /Contact Mani be 9 Oi -.N - 1333 State Certification/Registration # jl 7 Office Fax #___9_01 -Q lr 5- f 37 4-7 Architect Name & Phone # It& Engineer's Name & Phone # AI Application is hereby made to obtain a permit to do the work and installations as indicated 1 certify that no work oi a installation has commenced prior to the i ssuance o permit and that all work will be performed to meet the standards of al laws regulating construction n this f urisdiction. This permit becomes null and void if work is not commenced within six i� (6 months, or construction or work is suspended or abandoned for a period of six (h) months at any time after work £ commenced f 1 understand that separate permits must be secured for .Electrical Work, Plumbing, Signs, Welk, Pools Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YO1. BEFORE R RECORDING YOUR NOTICE OF COMMENCEMENT. WITH LENDER OR AN ATTORNEY I hereby certify that 1 have read and (=mined this application and know the same to be true and correct. All provisions 0, laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting oft permit does not presume to give =Marity to violate or cancel the provisions of any other federal, state, or local lam regulating construction or the performance of construction. c-k a L taA WI417 Signature of Property Owner , y C ) S'renatnr ofContractor. Sworn to and subscribed before me Sw, +, , • ' before me this Day of _ '‘'` .. ' ,,� i� _ _ - • ' 7 . = a d' t ir Notary Public: • l�er�by ' * i t ", . /1_ _ _ lit= pa". / ' . � mo o 1 REVISED 03.05.07 q 9 . � 'r�°hi"''""`� �4 • 05/15/2007 21:53 yy4'Lb31i /4 / rHR I RI inac wr.1-1- ' "," La ...I City of Atlantic Beach 800 Seminole Rd. Atlantic Beach FL 32233 Re: Permit Application Site: 1251 Gladiola St. To Whom It May Concern: Please find this correspondence as authorization for on nay behalf Partridge, t. of Partridge Well Drilling Company. Inc., to act as agent obtaining the permit /permits for the above referenced property. For any questions regarding the permit application, please contact Partridge Well (904) 269-1333. Should you require any additional information or assistance, please contact me at the phone number listed below. Sincerely. kv-- ( OF / i 44,44___,_ Authorizezd Agent of Site Signatu:c x_ Myron Slanke.abaker — ��__ Print Narne x 1251 .. Gladiola _ St_ - - - - - - Address for Copy of permit to be mailed Atlantic Bch. , FL 32233 City ----- -_.- -_ - State -- - - - - -- Zip x_ 904 -608 --1275 Phone number of owner or authorized agent (Please provide all information requested -this will expedite the permitting process.) 05/15/2007 21 :5,3 ytl4'Lbyti /4! rrrc,aruu •• , , __ PARTRIDGE WE6t ENDUING CO.. INC. 4744 CODAS RD. ORANGE PARK. FL 32073 fax -260 -3747 Pho n_ a 2, I$33 -} i l I " __... . I .1�.A ' ! -- _.. ._ -+ -.r. - -- ; - 1 .---. i I I '_ __t , ' . • ill i ; 1:11 :11 TIi ■� .' .. _ .n_... 1■IIi11 _ .. 4 • ■ .. ._! .. .. .1_ . .... 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Y_ • ._. .. - ._, !.. 1. ._ 5 .......1 MIN= ■ ■■■ n■ ► 1_ ! .� _ .. a__ : _. � � . . . .._ _._. allouth..,1 - • •t- i T- i 1 ._ T T I _ ihs 1 l:1n Property O wners Name v Mums► fe r ba-tex _ : -, Site Address -. = i 2111 — . Sale- - 05/15/2007 21:59 9042698747 PARTRIDC.. WELL PAGE 08 ' BUILDING PERMIT APPLICATION 5 Iv . . • • • _ r. . ts� • ( CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Reach FL 32233 -CM o''' Office: (904)247 -5826 • Fax: (904) 247 -5845 Job Address: ,.+ii S . a / S. < „ • 4 it r to • Permit Number: • Legal Description 1. - t: - S = - -ll , n a } .. 4-.111-1144- 3 ' 241 I rt I Otat, 1010 Valuation of Work (Replacement Cost) S AO • Class of Work (Circle one): %MP Addition Alteration Repair d • Use of existing./proposed structu - (Circle one): Commercial c otta • If an existing structure, a fire spnnkler system nstalled? (Circle one): Yes o N l • Is approval of homeowner's association or other private entity required? (Cirete one): Yes Describe in detail the type of work to be performed: \ � r t i l l . n r � A X o Z [ L A l i t, 4.13 , • • . a 14 .+ 4 4e nu c. , r Prouertv Owner _ , IInformation Name: Ca :t t7 �1.t1 U Address: 051 4(4 11.440,1 +S t. City 1 l a ii c , .P 1 om 4 State r...4 . Zip ,12a33 Phone (d la 7S Contractor Information: • Name of Compan IJP r'� L� .LL DrJLi (�tt ali ' ing Agerst . s, !! Address: . City ♦ 4 r State ri. Zip .3JO73 Office Phone 4O4 Z( 1233 Job Site/Contact Numhe tW-' - 02G4 - 13.33 State Certification/Registration # Jei 7 Office Pax # , - Q lr. 9 - ..1 Architect Name & Phone # Iii Engineer's Name & Phone # JJ _ Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work of installation has commenced prior to the issuance ea permit and that all work will be performed to meet standards of al laws regulating construction in this; urisdiction. This permit becomes null and void if work is not commenced within six (tS months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work r commenced 1 understand that separate permits must be secured for .Electrical Work, Plumbing, Signs, Wells, Pools Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOL INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that 1 have read and itxamined this application and know the same to be true and correct. All provisions o. laws and orr ices governing this type of work will be complied with whether specked herein or not. The grantin of permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local lm. regulating construction or the performance of construction. / Signature of Property Owner: , a a.P � Signature of Contractor: Itt(4167 Sworn to and subscribed before me Sw■ ' � _ . . , • , - before me 2- 7 this ^ Day of _ etc r]� N♦ ~r l�('i l a Notary Public: >�e , t _ il�i�.,.;, i I V 100 MUM ♦ s REVISED 03.05.07 1 , 1:.. ♦- 05/15/2007 21:59 9042698747 PARTRIDGE WELL PAGE 09 City of Atlantic Beach 800 Seminole Rd. Atlantic Beach, FL 32233 Re: Permit Applicat:,on 1251 Gladiola St. To Whom It May Concern: Please find this correspondence as authorization for Donal M. "Pat" Partridge, Jr. of Partridge Well Drilling Company, Inc., to act as agent on my behalf with regard to obtaining the permit /permits for the above referenced property. For any questions regarding the permit application, please contact Partridge Well P (904) 269-1333. Should you require toy additional information or assistance, please contact me at the phone number listed below. Sincerely, waer r Authoriz Agent of Site SignaLur^ R Myron B1anke.zbaker Print Name x 1251 gladiola St. Address for Copy c'f permit to be mailed Atlantic Bch . , FL 32233 City w State Zip x_ 904-608-1275 Phone number of owner or authorized agent (Please provide all information requested -this will expedite the permitting process.) 05/15/2007 21:59 9042698747 PARTRIDGE WELL PAGE 10 .......■.• PARRIIIDGI WILL ORURO CO.. INC. 4744 COLLIN' 110. ORANGE PARK. Fl 32073 Fax-204747 Phoe.20. t333 _ - -- °r - { • r I r •- -• - . ' .._ - i '-�- _ - _- .... - -- -�.... :I .... • ■■ ., . I- -,_ _...._ -4.4.. - ! i -. - IIIII I -I -t r.- ■l ■.. _ ._ _.. f ._ _ .. _- _... _ . i. 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T ■■■ _ �' ■■ • l' $4210.L44 . n � .. _ . - . -. ■■ L _ . i i ,: . _ ...L ! ; 1_.. __ 4_ r_ ...�.. , ._ r ' I : I _ ( ; j- + 1-� -1 - i t --4 - -. it s a ■■■ ■ ■■ L 1 i t , _ , I i .�...I . .1.' ■/ If Property&vrters tame 1Ki nri fen t i'b�t.krr = � a . MI Site AdcWess I S 1 G a- 05/21/2007 19:57 9042698747 PARTRIDGE WELL PAGE 10 LtXj! CITY OF ATLANTIC BEACH WELL PERMIT APPLICATION Date 5 1 1 00 fi bad Owner's Name:�y,r0� � e _Add ess:� ���— �- c�.Wla� JJ -- V . Well Address (if different than above): a A& tti).v6 1,�2.1t (,,01 he J m rrttd• a. r v,l P re ra f Well Location on Property (i.e. northeast corner, etc.) NuJ elSt ' iyaro� SQ_'_ 1sefthb Well Installation Contractor:V110 1 ) • a - cr P( Yt'1 d9e, ),c)2 L.L Nan) Contractor Liccnse No: )col`') Phone:Atq - 1 3 PAX: AO 2LT Contractor Address:_ 114; 00110'6 cI • L YGtnl� y i Z- ;:1073 Check Use of Well: Domestic Irrigation . Other - Estimated- Well Depth: / ,BOO Casing Depth: - - Screen Jnterval fromtto/)( Well Diameter: 3 X e .. Casing Material PVC Is address currently I;oznnected to the City water system? 1■1_0 Is address currently connected to the City sewer system? No sate c4- Lua5 5 b»Af Q-- Has a Well Permit ben obtained from the City of Jacksonville ?_ Pen-nit b �e /o Peg-- Does the well require a permit from the St. Johns River Water Manageiiient District? —11 �!al1 (Not required for wells under 2- inches diameter installed by resident or wells under 6- t eu na l inches diameter if installed by licensed well contractor). t og u (kart or E��ct -- () 6.110 rot s If permit is required, note Permit Nurnb r "jand attach a copy. (e30- /,,/ 3g13 - 3"3 -fi NOTE: WHENA 1VELL IS INSTALLED ON YOUR PROPERTY, .YOU MUST a s iAL INSTALL A REDUCED PRESSURE ZONE TYPE BA CKFLO Hv PREVENTER ON THE CITY WATER SERVICE, ON .THE CUSTOMER'S SIDE OF THE METER. THE BACKFLOW PREVENTER MUST BE TESTED BY CERTIFIED TESTER AND A COPY OF THE RESULTS SENT TO THE PUBLIC UTILITIES DEPARTMENT. 05/21/2007 19:57 9042698747 PARTRIDGE WELL PAGE 11 .$' ° k.. BUILDING PERMIT APPLICATION , ,. fit` CITY OF ATLANTIC BEACH �a% � r1 800 Seminole Road, Atlantic Beach FL 32233 ' -� -� ` ' � Office: (904)247 -5826 • Fax: (904) 247 -5845 � Q ei 114.1 e J c L Permit Number: Job Address: I A') i 4, . 4 . 0 ! .� , I 4 L 1 ',L rya l 3 l� III Legal Description 1SS- i - •=J -40 , I 7 I 0 , . ( / n 1 010 Valuation of Work (Replacement Cost) $ ti\ • Class of Work (Circle one): %- P ► Addition Alteration Repair Move; • Use of existing /proposed structure (Circle one): Commercial egi emtta • if an existing structure, is a fare sprinkler system installed? (Circle one): Yes o N • is approval of homeowner's association or other private entity required? (Circle one): Yes o ) Describe in detail the type of work to be performed: Property_Owner Information Name: r • is C. a OL, � .J Address: 1 5i ) r City r _ • State Zip ,5,9_,'33 Phone - 1 a '75 Contractor Information: Name of Cornp I h- . . 1.L2 L�- r 1 . 111 try Qualifying Agent;. . t !IG_� Address: �' g i. - City 3r iti ale, .GtLLState �'c. Zip 73 Office Phone CV! ZVI - 13.33 Job Site /Contact Numbed t 0 (z(.__ State Certification /Re istration # �U� 7 Office Fax # __ � _,,, U 7 7 Architect Name & Phone # o k , . - Engineer's Name & Phone ##. NINA Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work o� installation has commenced prior to the issuance n ff a permit and that all work will be perfOrmed to meet the standards of al laws regulating construction in this jurisdiction, This becomes null and void if work is not commenced within six (6, months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work commenced 1 understand that separate permits roust be secured for Electrical Work, Plumbing, Signs, Wells, Pools Furnaces, Boilers, Heaters, Tanks: and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOL INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNn BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions o, laws and ordinances governing this type of work wilt he complied with whether specified herein or not. The granting of c permit does not presume to g ive authority to violate or cancel the provisions 'of any other federal, state, or local laic regulating construction or the pert artnance of construction, *Jacky cL L tack, . Signature of Property Owner: anal ` , .Tit cct' ff) Signature of Contractor: Sworn to and subscribed before roe SwiwOctIttififhtbsc it e before me .� this Day of — �,lr 4.03 I . • .. ZQ� "MISSION La . spa bar "• Notary Public: iietae Pu Iii: 41_411 s' : ~ • 2 ; CD 344580 REVISED 03.05.07 'r,� (..Ptocuo, •"; " °7'. 05/21/2007 19:57 9042698747 PARTRIDGE WELL PAGE 12 City of Atlantic Beach 800 Seminole Rd. Atlantic Beach, FL 32233 Re: Permit Application Sfgi 1251 Gladiola St. To Whom It May Concern. Please find this corritspondence as authorization for Donal M. "Pat' Partridge, Jr. of Partridge Well Drilling Company, Inc., to act as agent on my behalf with regard to obtaining the permit /permits for the above referenced property. For any questions regarding the permit application, please contact Partridge Well @ (904) 269 -1333. Should you require any additional information or assistance, please contact me at the phone number listed below. Sincerely r ran weer r AuthoriV d ^ rgent of Site Sigrtatt . X Myron Blankenbaker Print Name X 1251 G1adiOXa St. Address for Copy of permit to be mailed Atlantic Bch. , FL 32233 City State Zip X 904-608-1275 Phone number of owner or authorized agent (Please provide all information requested-this will expedite the permitting process.) 05/21/2007 19:57 9042698747 PARTRIDGE WELL PAGE 13 - - �� PARTRIDGE WELL DRILLING CO , INC. 4744 COLLINS RD, ORANGE PARK, PL 37073 pax 269 - 67-07 Phone 269-1333 L Tr T - T ' ._ � ! �- - - -I-- --r l _L_ -- - 1 _ 1 i -. I- _- _ 1 1 .. - I , ••I _ 1� I ! �� 1 • i _ _r k -- ■■0 _ 1 i j !L _ _ �_. _ . - _ _H . _i__ .L_ { _. — T - .... I I - ,- _ l _ 1 -- �- L. � Il 1,_ ___L___1 ' ' i __ .___ __— ., ii ■ II ■ - pup L -L g 1:7>iloila 1 1 _ _ _L _. I ` . _ _J H. 1 G .. N.. 1 . _� In I I , 1 ,_I I � I. - ... L . -. j I i , i 1 , 1 I ,_ Owners Name R i • a � �47L l Property 1 - 1 S ite Address -• r 'T "—' __ - " . !J.._. .,..:•. , ( • ' _ ' . . • 1 • , :- i''' CITY OF ATLANTIC BEACH PERMIT 2 ' . s' BUILDING / ZONING DEPARTMENT APPLICATION # 800 Seminole Road Q G v j Atlantic Beach, Florida 32233 (904) 247 -5800 9Ftl > (904) 247 -5845 Fax www.coab.us / M4Y 1 rfr APPLICATION TRACKING FORM ,i� i ,,,� - �ll i / REQUIRED DEPT: 961.40-( c/ ``... Y N PLANNING Property Address: 9 JTt' - 'V M z Y N BUILDING / / / 1-- Y N PUBLIC WORKS .. , ' I 0 Y N BLIC UTILI Applicant: / � . `� l ■ ! J C`i uA _ -- � Y `� J Y N FIRE DEPT. Project: 5 X W Y N PUBLIC SAFETY cn APPROVAL RECEIVED w REQUIRED AGENCY: BY: INITIAL: DATE: w w Y N D.E.P HUFSTETLER Y N S.J.R.W.M. CARPER cL Lu ill Y N ARMY CORPS of ENG CARPER HOTELS & O Y N HUFSTETLER RESAURANTS APPLICATION STATUS DEPT: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: 1ST REV ❑ ❑ PLANNING & ❑ ❑ 2ND REV ❑ ❑ DOERR / HALL ZONING 3RD REV ❑ ❑ 1ST REV ❑ ❑ BUILDING DEPT. ❑ ❑ 2ND REV ❑ ❑ HUFSTETLER 3RD REV ❑ ❑ 1ST REV ❑ ❑ PUBLIC WORKS ❑ ❑ 2ND REV ❑ ❑ CARPER 3RD REV ❑ ❑ ,),<12�#.7 1ST REV Fi ❑ S' - . 5t7. -67 PUBLIC UTILITIES : ❑ 2ND REV ❑ ❑ KALUZNIAK 3RD REV ❑ ❑ 1ST REV ❑ ❑ FIRE DEPT. ❑ ❑ 2ND REV ❑ ❑ ENTE INTO AS400 3RD REV ❑ ❑ Return this form to the Building Department once you have entered your comments into the AS400. Public Utilities — Distribution & Collection Date: Initials: Project Name /Address: I1 Application/Permit #: n 7 '(D Check Box Application Tracking Comments To Add Comment Avoid damage to underground water /sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247- ❑ 5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch -read meter in a properly sized vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247 -5839 for backflow ❑ requirements. At a minimum, will require double check backflow preventer. Fire lines must be metered with a Sensus touch -read meter. Meters larger than 2" must ❑ be installed in a vault as noted in JEA specifications. eorn e_ 6z I4 steI ML /hC-yyu/ w ig• I o-, �v .y fb 2 V7 8' 3 0 0 0 0 0 0 0 F: \P1anReviewComments -PU. doc (11...tVik r� -' te r k Eno , CITY OF ATLANTIC BEACH WELL PERMIT APPLICATION Date Owner's Name: Address: Well Address (if different than above): Well Location on Property (i.e. northeast corner, etc.) Well Installation Contractor: Contractor License No.: Phone: FAX: Contractor Address: Check Use of Well: Domestic Irrigation Other Estimated- Well Depth: Casing Depth: Screen Interval from to Well Diameter: Casing Material Is address currently connected to the City water system? Is address currently connected to the City sewer system? Has a Well Permit been obtained from the City of Jacksonville? Permit # Does the well require a permit from the St. Johns River Water Management District? (Not required for wells under 2- inches diameter installed by resident or wells under 6- inches diameter if installed by licensed well contractor). If permit is required, note Permit Number and attach a copy. �9f rep-cirri ire /ma-C/ ‘ /a Ci WA/et' R.* 1 4 /oCa../i`on / NOTE: WHEN WELL IS INSTALLED ON YOUR PROPERTY, YOU MUST ,3 INSTALL A REDUCED PRESSURE ZONE TYPE BACKFLOW PREVENTER ON THE CITY WATER SERVICE, ON THE CUSTOMER'S SIDE OF THE METER. THE BACKFLOW PREVENTER MUST BE TESTED BYA CERTIFIED TESTER AND A COPY OF THE RESULTS SENT TO THE PUBLIC UTILITIES DEPARTMENT. a CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD y Z ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 `— .r . INSPECTION EMAIL REQUEST: Building- dept @coab.us Application Number . . . . . 07- 00001029 Date 7/19/07 Property Address 1251 GLADIOLA ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc INSTALL 22 FIXTURES Owner Contractor DON HARRIS PLUMBING CO.,INC. Q /A:HARRIS,NELSON D. PO BOX 14668 JACKSONVILLE FL 32210 (904) 7 -0900 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 189.00 P .00 Issue Date . . . 0 Expiration Date . 1/15/08 Fee summary Charged Pay N. Permit Fee Total 189.00 / Plan Check Total .00 h Grand Total 189.00 O PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. . 7 , — 4' 4*-- , -,:>, CITY OF ATLANTIC BEACH cs -. : — ,,,.. 1,.. ,, , , ;--, 800 SEMINOLE ROAD r-. ',' , , s - , ) ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: ' —01319 Building-dept@coab.us Application Number 07-00001029 Date 7/19/07 Property Address 1251 GLADIOLA ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc INSTALL 22 FIXTURES Owner Contractor JUST WRIGHT CONSTRUCTION INC JUSTIN WRIGHT 352 SUMMER SPRINGS CT JACKSONVILLE FL 32225 (904) 370-4336 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 189.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 1/15/08 Fee summary Charged Paid Credited Due Permit Fee Total 189.00 189.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 189.00 189.00 .00 .00 i 4' ? ) Lij 1.- A , 1 • 7 3 1 ° PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t VJf CITY OF ATLANTIC BEACH Y PLUMBING PERMIT APPLICATION -) ;3 t ) » r / 77 Date: '� Property Address: /23 /4 Owner: L.t SH O Telephone #: • Contractor `‘ . 4 }-t 0 Contractor b Telephone #: Contractor Address: 1 Fax #: 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, New list the building permit number. 0 Re -Pipe Po T 04-7 Number of Fixtures: 1 ' Bath Tubs ., Showers 4 Closets Shower Pans / Dishwashers Sinks /6- 1-(kINl Disposals Urinals 1:42 `- r'`-'x`I Floor Drains i Washing Machine 5 . Lavatory / Water / Sewer / Water Heaters ---- Other U Fees PLUMBING CONTRTACTOR: DON HARRIS PLUMBING CO., INC. Permit Issuing Fee: $35.00 NELSON D. HAR S ��/ Total Fixtures: 2-2, X $7.00 + $35.00 = 'A(. 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : /Iwww.ci.atlantic- beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5455 TELEPHONE: (904) 247 -5800 FAX: (904) 247-5805 SUNCOM:852 -5800 www.coab.us May 22, 2009 Mr. Myron K. Blankenbaker 1251 Gladiola St Atlantic Beach, FL 32233 Subject: Violations of Florida Building Codes Dear Mr. Blankenbaker, Duval • •• - ores identify y• as the owner of the following business in the City of Atlantic Be- 7� %rida E ; A/K/A 1251 Gladiola St Legal Desc: 1834 38 -2S -29 Atlantic Beach SEC H Lot 4 S1/2 Lot 3 Blk 211 - # 171026- 0 The purpose of this is correspondence is to serve as an Official Notification of Violation. You have been identified as being in violation of the Florida Building Code, Sections 109.1 and R4101.17.1.9 and under Atlantic Beach City Code: Chapter 6, Sec 6 -16 Adoption of Florida Building Code. 1. Failing to install the proper pool alarm on door having access to pool. 2. Failing to have the required final pool inspection. The City's Code Enforcement Officer has been notified that you have failed to have the aforementioned work and inspection accomplished. To eliminate any undo hardship I am granting you 14 days from receipt of this notification to bring your property into compliance. Furthermore I would remind you of your responsibilities as a homeowner and that failure to comply can result in fines of up to $500.00 per day, per violation from the Code Enforcement Board. Should you have any questions or concerns involving this matter, you can contact Code Enforcement at (904) 247 -5855, Building Department at (904) 247 -5826. /7//1„e44/,11e7i ALEXANDER J. SHERRER Code Enforcement Officer C: Assistant City Manager Building Dept m 1:1 w . ho i ro�£ O 8 CJ 1 , x 1 rnm ' K • h o 0 0 o I y 1 Z g c i o s�v r r r •• 1 C 5' 1 rot . VI r on i �.. xi. CH"N 0 V t N W W N N O d ` �' +,1 NNNrr t O 1 OH E;', r 1 HN W W [ 'q - J W " V O 1 -1 H H 1 0 ..$ 00 .. `� 0000. H H 1 fl 1 m ��, Q ....0 0 0 0 I O N 0(] 1 0 !,� �,: Cy Cy H I 0 m H fit i by O 0 t+ 0 r `� IAN 1 ,c_'._, to dy 1 nm (1 CT�CYC O z OH 00 w x w G ro - 4 — 4 m 4 MHO O i O O 0 O r 1 t., N4 C m roI n C y i N rro� m ` H 1 A , y H `,1 ■ Z. A A �+ '0 CO r o [��] LT�I O 1r - k.9 �{ nN H 0 n O En .Q V 0 .p 0 P .1 0 H ro OH i V H H En En al al Q 0 p m cn H S'.. H H �(� W 0 H OH H !n 1 . "..it.". ..t% � V ,1 m 3 t 0 f i � O z 3 Cy N 0a, al C a Om•• 1 (� (y z m 3 1 H H o ro H 1 ro ro m N n I al N ' 11 _ i -1,,, / (fin m 0 w [ al al t7 I 0 H ' fV.�y + Co Z w i .. .. . z, 7 6 r . L- n V> w H o i 0 N1 C 7` H O A 0 H " cn N k 0 I J H I m N ,� T{ e F d] by `I , 1 ® M A H v _ 'S X N 5 1, a 0 C.1 �, LS to '° 1 � b 5 -� . `� "b �� r .4 S A 't Az, ea NJ N �. o 3 v is 3 -.0 b s• N- it 1 b a SWIMMING POOLS R4101.15 Gas piping. Gas piping shall comply with the R4101.17.1.7 Where the barrier is composed of diagonal Florida Building Code, Fuel Gas. members, the maximum opening formed by the diagonal R4101.16 Electrical. Electrical wiring and equipment shall members shall be no more than 1 inches (44 mm). comply with Chapter 27 of the Florida Building Code. R4101.17.1.8 Access gates, when provided, shall be R4101.17 Residential swimming barrier requirement. Res- self - closing and shall comply with the requirements of idential swimming pools shall comply with Sections Sections R4101.17.1.1 through R4101.17.1.7 and shall R4101.17.1 through R4101.17.3. be equipped with a self - latching locking device located on the pool side of the gate. Where the device release is Exception: A swimming pool with an approved safety pool located no less than 54 inches (1372 mm) from the bot- cover complying with ASTM F 1346. tom of the gate, the device release mechanism may be lo- R4101.17.1 Outdoor swimming pools. Outdoor swim- cated on either side of the gate and so placed that it ming pools shall be provided with a barrier complying with cannot be reached by a young child over the top or R4101.17.1.1 through R4101.17.1.14. through any opening or gap from the outside. Gates that R4101.17.1.1 The top of the barrier shall be at least 48 provide access to the swimming pool must open outward inches (1219 mm) above grade measured on the side of away from the pool. The gates and barrier shall have no the barrier which faces away from the swimming pool. opening greater than mm) within 18 inches The maximum vertical clearance between grade and the (457 mm) ) of the release ass inch e mechh anni sm. bottom of the barrier shall be 2 inches (51 mm) measured R4101.17.1.9 Where a wall of a dwelling serves as part on the side of the barrier which faces away from the of the barrier, one of the following shall apply: swimming pool. Where the top of the pool structure is 1. All doors and windows providing direct access above grade the barrier may be at ground level or from the home to the pool shall be equipped with mounted on top of the pool structure. Where the barrier is an exit alarm complying with UL 2017 that has a mounted on top of the pool structure, the maximum verti- minimum sound pressure rating of 85 dB A at 10 cal clearance between the top of the pool structure and feet (3048 mm) and is either hardwired or of the the bottom of the barrier shall be 4 inches (102 mm). plug -in type. The exit alarm shall produce a con - R4101.17.1.2 The barrier may not have any gaps, open- tinuous audible warning when the door and its ings, indentations, protrusions, or structural components screen are opened. The alarm shall sound immedi- that could allow a young child to crawl under, squeeze ately after the door is opened and be capable of be- through, or climb over the barrier as herein described be- ing heard throughout the house during normal low. One end of a removable child barrier shall not be re- household activities. The alarm shall be equipped movable without the aid of tools. Openings in any barrier with a manual means to temporarily deactivate the shall not allow passage of a 4- inch - diameter (102 mm) alarm for a single opening. Such deactivation shall sphere. last no more than 15 seconds. The deactivation R4101.17.1.3 Solid barriers which do not have openings switch shall be located at least 54 inches (1372 mm shall not contain indentations or protrusions except for) above the threshold of the door. Separate normal alarms are not required for each door or window if ormal construction tolerances and tooled masonry sensors wired to a central alarm sound when con- joints. tact is broken at any opening. R4101.17.1.4 Where the barrier is composed of horizon- Exceptions: tal and vertical members and the distance between the tops of the horizontal members is less than 45 inches a. Screened or protected windows having a bet (1143 mm), the horizontal members shall be located on tom sill height of 48 inches (1219 mm) or more the swimming pool side of the fence. Spacing between measured from the interior finished floor at the vertical members shall not exceed 1 inches (44 mm) in pool access level. width. Where there are decorative cutouts within vertical b. Windows facing the pool on floor above the members, spacing within the cutouts shall not exceed 1 first story. inches (44 mm) in width. c. Screened or protected pass- through kitchen R4101.17.1.5 Where the barrier is composed of horizon- windows 42 inches (1067 mm) or higher with a tal and vertical members and the distance between the counter beneath. tops of the horizontal members is 45 inches (1143 mm) or 2. All doors providing direct access from the home to more, spacing between vertical members shall not ex- the pool must be equipped with a self - closing, teed 4 inches (102 mm). Where there are decorative cut- self - latching device with positive mechanical outs within vertical members, spacing within the cutouts latching /locking installed a minimum of 54 inches shall not exceed 1 inches (44 mm) in width. (1372 mm) above the threshold, which is approved R4101.17.1.6 Maximum mesh size for chain link fences by the authority having jurisdiction. shall be a 2 inch square (57 mm) unless the fence is R4101.17.1.10 Where an aboveground pool structure is provided with slats fastened at the top or bottom which used as a barrier or where the barrier is mounted on top of reduce the openings to no more than 1' / inches (44 mm). the pool structure, and the means of access is a ladder or FLORIDA BUILDING CODE — RESIDENTIAL 41.5 MRY- 20- 2009(41E0) 14:08 Surfside Construction (FRX)9042462759 P. 002 /002 Pools • Spas • Service April 20, 2009 Mr. Myron Blankenbaker 1251 Gladiola Dr. Atlantic Beach, Fl. 32233 Dear Mr. Blankenbaker, 1 hope all is going well with you and your family. I am writing to you today to let you know that Surfside Pools has to have a final inspection for your pool. It is my understanding from Gina that we scheduled a final inspection on your pool on 12/23/0S that failed due to a door needing to be alarmed. Gina tells nie she discussed getting a final inspection with you on January 30, 2009 where you indicated that you hesitate defacing your door in any way. Surfside is obligated, in the building of any pool, to follow the city / cocoa) guidelines. The City of Atlantic Beach requires a final inspection to be passed. There are other options available to you rather than arming the door with an alarm. You could install a baby barrier around the pool area for instance. (please see attached copy of the building code regarding pool safety barrier(s) pages one thru three.) If you would please, let Gina know when you either have the alarm handled, or if you decide to use another option so that we can schedule a final inspection on your pool. If we do not hear from you by May 20' 2009, Surfside will be obligated to advise the City of Atlantic Beach that we have been unable to complete the inspection process on your pool. Please do not hesitate to call with any questions you might have. Thank you and have a great day. Sincerely, Terry Brown Construction Manager State Certified Llcenae 313 BEACH BOULEVARD NCP•C044080 & #CP•C044081 JACKSONVILLE BEACH, FLORIDA 32250 -FSPA (904) 246 -2666 nn7 cu cuu7letU/ la:Utf 5urfside Construction (FAX)9042462759 P.001/002 F iI'V4 585 South III 3 : l(1 Jacksonville Beach, Fl. 37250 904.24E-266$ ext. 3 phone SurfSide Pools 90424t -2759 tux • Construction Dept. To: / Ql1 �/7 From: (41/074_1(2499/y . Fa= !'. 5 jJ f Pages: , (including cover) Phona _.. late: V Re: ca O Urgent O For Review 0 Please Comment ❑ Please Reply Q Please Recycle • ge /a set Ciatho4 / au. :vatA- • • • • • • CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD .� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 INSPECTION EMAIL REQUEST: Building- dept @,coab.us Application Number 07- 00001508 Date 3/10/08 Property Address 1251 GLADIOLA ST Application type description SWIMMING POOL /SPA Property Zoning TO BE UPDATED Application valuation . . . 25000 Application desc SWIMMING POOL Owner Contractor SURFSIDE POOLS 313 BEACH BLVD. JAX BEACH FL 3225 (904) 246 -2666 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 75.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/06/08 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. Wellpoint cannot discharge directly into ditch. Must discharge to vegetated area and drain to ditch. Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r . ,-,,,, CITY OF ATLANTIC BEACH I . 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 0� I I I OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 J BUILDING- DEPT @COAB.US h22j +p., ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRESS. p a ,:i .,S 2:1STHIS A SUB PERMIT. DYES PERMIT #: / / 5 Atlantic Beach, FL 32233 3/10A 5. ADDRESS 4. NAME: IF DIFFERENT FROM JOB ADDRESS: 6. PHONE: IlA A lk . vi `. •;' a .., , „.� : ,.. ; p , ,. ELECTRIC CONTRACTOR: r,.; .. r . 8. ADDRESS.: V � ) y 7. NAME OF COMPANY: ��4v% 4Q.Lkti 1� ��` .. ∎ ( VAC V ✓ ✓tcl e AV .,.� 0 P 2.O(0 9. STATE OF FLORIDA LICENSE NO: 10. CELL PHONE: 11. FAX NO. eCOnC>172G 13 °WI(- - lsq - l3ZY 90L1 z7-Z -4-11y 12. EMAIL ADDRESS: ` �s , 13. OFFICE PHONE: 1 ) 1 to -P-t•'E-'Q 1`C 1 14. 15. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. CONTRACTORS SIGNATURE: 1 &CLASS.OF.WORK a.;; 0WW Y a.,, , . ... ,., ::, 17: ,SERVICE s,iR. ,, ,.: 1 &41ETER,NUMBER = ❑ 1\31LTI FAMILY - # OF UNITS: ITFtt DENTIAL []'SINGLE FAMILY ❑ TEMP SERVICE ❑ COMMERCIAL ❑ ADDITION ❑ TRAILOR 19. BUILDINGS 4 ,.,;g9:,.. ...., 19 CURRENTCODEntW 'Wn tri<_" "' P' ill,. ❑ ALTERATION ❑ SIGN Ja'OLD ❑ NEW ❑ '05 NATIONAL ELECTRICAL CODE ❑ REPAIR ❑ POOL / SPA p s# :: ❑ REWIRE p . w, ❑ OTHER: x e ms O = 1#, t0-,. � ,.,. ,. 7 .' „ i , e# , .. o_ ry� ;, LIST.Au;: ELEO :WORK.t a ,� aim _, ,tea. t _ s -'" ' a i , i 'zw =. y ; ;. 20. TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: r ❑ POWER IS ON ❑ POWER IS OFF 22. SIZE OF CONDUCTOR: AMPICITY: ❑COPPER ❑ ALUMINUM 23. SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24. EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: # OF AMPS: # OF AMPS: # OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: L FLUORESCENT & M.V.: 27. FIXED APPLIANCES: 0 -30 AMPS: 31 -100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑ YES ❑ NO 29 -31 DO NOT APPLY TO NEW SINGLE FAMILY, MULTI - FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0 -30 AMPS: 31 -100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0 -30 AMPS: 1 31 -100 AMPS: OVER 100 AMPS: a: t *c > ., 9+ a ' =+ , > r ., 0": ';104.w. , '. _„ ?.,c. {.,. '3= 32:-AIR CONDITIONING , # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: . ;, r . 1 - kP... ,a ., it .N- ,. i ,. 33:MOTORS: � a�. �" ^t 5,d s :' , t ... , , .. eii ' .., w , r . > ; P ,., �c�.r4 44v 0^zV. ,S s .e .w: NUMBER: I VOLTAGE: 1 -40 HP: ?- • 11 (' KVA. NUMBER: VOLTAGE: HP: KVA: Ak .... h :. „ ..,. 4 .,.. ; :a i s , ).,, _ ;v 34:TRANSFORMERS . ;: UNDER 600V: NUMBER: KVA: OVER 600V: NUMBER: KVA: ..r' ,. r, ..4s;; 's.W a,....' t . rAi ,,.. 6..., V35a M ISCELANEOUS REPAIRS ... ; r • . 0 T'':,', 1, ,„ ._ ,;',•?,::: ,. . , ,.: ?. cM s,,...ab. 's _ ; fiN i DESCRIBE IN DETAIL: COAB FORM BLDG02: REVISED: 8/13/2007