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Permit 433 Helmsman Sr'-1.,`1 .1 f f `� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 0 '0,0 INSPECTION PHONE LINE 247 -5826 09- 00000454 Date 4/09/09 Application Number � 433 HELMSMAN LN Property Address Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation . . . • 7253 Application desc hurricane shutters Owner Contractor TAYLOR, FRED WEATHER GUARD, INC. 433 HELMSMAN LANE 305 DIVISION AVENUE ATLANTIC BEACH FL 32233 ORMOND BEACH FL 32174 (386) 677 -5533 Permit BUILDING PERMIT Additional desc . HURRICANE SHUTTERS Permit Fee . . . 70.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 7253 Expiration Date . 10/06/09 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS 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. It, •It-A rte. CITY OF ATLANTIC BEACH 09- I I I I I et " : ,,, '` :.-.0 (' t ; 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 . OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 ..l1BUILDING -DEPT4 COAB.US no BUILDING PERMIT APPLICATION DUVAL COUNTY T 2. VALUATION OFWORK: 3. SQ. FT. UNDER ROOF 1. JOB ADDRESS: , : '''-7 L133 "1‹ImSman �h ,13 5. CLASS OF WORK:'- 6. U OF STRUCTURE: 4. LEGAL DESCRIPTION: ❑ NEW BUILDING ❑ DEMOLITION RESIDENTIAL LOT BLOCK DIVISION CliDDITION ❑ CONVERTING USE ❑ COMMERCIAL ALTERATION ❑ ACCESSORY BLDG. 8. FIRE SPRINKLER: 7. DESCRIPTION OF WORK: H :ntr 1CA L ❑ REPAIR ❑ POOL / SPA ❑ YES ❑ N/A 4. JA u t lerS ❑ MOVE ❑ OTHER ❑ NO PROPERTY -J �^ 3' � 11 ..41 T Y OWNER: CONTRACTOR: ( 1") ARCHITECT I ENGINEER: 15. CO AANY 1,iME: j 23. COM E: r AM 9. NAME: � �G. Y / kor \I R- N,� Gil �. ctk �A. U a t rreco 11.L. 16. NAME� ` py� 24. LICENSEE NAM : '' Csn I I C r v15 �er Wc■ 1 '' I. i l I;+ 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: Li 33 1100nsfrlpLn 1-1,\, 1-1,\, 66-c oS7t / `IL��'7 , 18. ADDRESS: --- 26 ADDRESS: �1L 3o,, D �4IStCM �lv t.5 s I�� - I�r� 3�yca- � 32233 � �,15`,s ALA) 36 � 0 OrMfar�E . L� C -�s I I jni 4 ri ,A.3146 11. OFFICE PHONE: 112. FAX NO.: 19. OFFICE PHONE: 2 FAX NO.: 27. OFFICE PHONE: 28. FAX N (334 X 72--:..5373I(3a)1.77'-9zd1 (3as)R`)). I6 1 C3A3)87i -tS31 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN.ONNER) 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, C • NSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y?11,' NOT E OF COMMENCEME grn ------- or AGENT ) CONTRACTOR Q� (If Attorney Agent, Power of Attoey or Agency Letter Required) ., (Qualifier Only)" (� ij4 V ,' Signed: X , - - -.Date: 63/v24/09 Signed: L I - / A`f Z Before me this q th day of a (`1 x , 2009 in the county of Before me - f day of /Fir , 2009 in the . n V Duval, State of Florida, has personally appeared Duval, S. .f Florida, has person 0 appe red --1 1( nr TD 6 Ma(L5k C I o 2 herin by himself / herself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarati 1 s 60 C) : 0 A al true and accurate. W true and accurate. c^ `l/ / ., A Notary Public at Large, State of t� L , County of 'Z1VS�°� /- l Notary Public at Large, State of _ , County of 1 . ; y rsonally Known Personally Known I I L 0 Produced Identification - Produced Identification - �� • 7 � • Notary Signatur El - Notary Signature: k� _ _ � _ - _ ,� J1 �„i - - 11 MYKALANN E. MARTIN w „.‘,17 PV ' Notary Public - State of F10dda A 0 W Ili FBI SNOW A, *er p �M C ommission Expires Aug 22 2 010 u) B• 1 ti�lye a ` Comm # DD 587 962 V C w_ mmersel�IIrltwt� 1 ,. B By National Notary Assn. L issimiamimairrw. . :.+pGMN4•+�+IM -0c Ar✓.I.p SMaMd., NOTICE OF CMNLENCEMENT a3° - �y1 8 State of u f Tax Folio No. County of V "`r0.` To Whom It May Concern: The ro erty, and . in accordance `�`� Section 713 of ed hereby informs you that improvements will be made to certain p CEMENT• The undersign information is stated • + this NOTICE OF COMIVIEC c ,---,..1 . r4 the Florida Statutes, the following U / Legal Description of property being improved: 3• - n L ) ` N��1�,��:��^ � 3 ZZ33 Address of property being improved: 433 � _ � � � }-� S General description of improvements: �" st- v.tta� ion o -C-- c + Address: 3' 1 e. \ t0 _ ► }tariff ,�aC �. � L 3 Z-1-3 Owner. cam• Owner's interest in site of the improvement: Fee Simple Titleholder (if other than owner): Name: Contractor: .4.. ' -r- 4, Cai- � (—' 1. 32-11 Address: o _ 0 11 , 0 f 'W` % "� 3Z6_1 .___:-----1-1- 5SX3 Fax No: C3 8 4 � ? 7' .� Telephone No.: Surety (if any) Amount of Bond $ Address: Fax No: Telephone No: improvements Name and address of any person making a loan for the construction of the imp Name: Address: Fax No: Phone No: owner upon whom notices or other documents may be Name of person within the State of Florida, other than himself, designated by served: Name: Address: Telephone No: Fax No: In addition to himself: owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.O6(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone 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 \ ii specified): . TWS SPACE-FOR RECORDER'S USE ONLY OWNER '_` Date:.` , O Before : me t k , K , y o f .y+,.. -r l,, zvo �t in the Coun of uval, State Before me i ersonally appeared c e Doc # 2009078683, OR BK 14831 Page 1407, Of Florida, has p County o Number Pages: 1 Notary Public at Large, State of Florio a, ty a N, Recorded 04/03/2009 K at CIRCUIT C My commission_ex•ires: C., -,:.,,. + Y A. JIM FULLER CLERK CERCUiT COURT DUVAL personally Known:� '� FIOfIN COUNTY p;edtice entifica.. on: r. 7 ['1'i +' -' �I RECORDING $10.00 � ' °',1 -1 ;'"' CO M illliO 1 • OD ?NW )-i3, rtial • ) ..1)1 10 f , ...:.,. • IP i \._ )R1 PAC 1 _ ' clIECTO__, 1 ST - r - - • ""1-"" _ . Iwo Copies of proper engineering jr Copies of circled engineering ' , V Two Copies of engirieerin spreadsheet and nurxi ..ered site plan j _Aro duct Approval paperwork V product Evaluation Report 1.- Warranty Deedjrorn customer Signed and notarized Mechanics Lien ,kffidav from the _ custorn er Worker's Compensation Certificate Sub card, filled out, for elktric:ian (if electric is needed) with postage affixed . Mailing envelope addressed•to the property owner with postage ,affixed I eo - py of State License an ji County 0 ccupational License Oermit Application dditional Application (e)i„ectric) or vaperworkz _ --__,,,,etecorded and Certedi)Totice of Commencement C'hecl-dist • F1agler Beach recuires an extra copy of everything. except sub card and mailing enyelop e"**" -._._ Permit, Completed by_ „ 1 --- . Sic . • :, • D ate L / 1 - - • . Florida Building Code Online Page 1 of 2 FLOPIOA OEPAPTMENT OF • '1 # 1 -� Community Affairs jY! +; kRllw.� r OCA HOME ABOUT DCA OCA PROGRAMS CONTACT DCA BCIS Home 1 Log In 1 User Registration 1 Hot Topics 1 Submit Surcharge I Stats & Facts 1 Publications 1 FBC Staff 1 BCIS Site Map 1 Links 1 Search 1 On' Approval ,{ % USER: Public User Community Affairs Product Aonroval Menu > Product or Aoolication Search > Anolication List > Application Detail FL # FL400 -R2 ►COMMUNr1Y PLANNING Application Type Revision HOUSING&COMMUNITY Code Version 2007 DEVELOPMENT Application Status Applied For ►EMERGENCY MANAGEMENT Comments OFFICE OF THE Archived SECRETARY Product Manufacturer American Shutter Systems Association, Inc. Address /Phone /Email 4268 Westroads Drive West Palm Beach, FL 33407 (561) 841-5480 bfeeley @easternmetal.com Authorized Signature Bill Feeley bfeeley @easternmetal.com Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone / Email Category Shutters Subcategory Roll -up Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer r Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Walter A. Tillit, Jr. developed the Evaluation Report Florida License PE -44167 Quality Assurance Entity National Accreditation and Management Institute Quality Assurance Contract Expiration Date 12/31/2010 Validated By John Henry Kampmann Jr. 17 Validation Checklist - Hardcopy Received Certificate of Independence FL400 R2 COI Certification of Indeoendence.PDF Referenced Standard and Year (of Standard) Standard Year ASTM E1886 -02 2002 ASTM E1996 -02 2002 ASTM E330 2002 TAS 201, 202, 203 1994 Equivalence of Product Standards Certified By Sections from the Code httn : / /www.floridabuildina.ora /nr /nr ann dtl. asnx? naram= wGEVXOwtDatz0ClYS %2b95e... 3/4/2009 Florida Building Code Online Page 2 of 2 Product Approval Method Method 1 Option D Date Submitted 01/02/2009 Date Validated Summary of Products FL # Model, Number or Name Descri .tion 400.1 40mm & 60mm Bertha Roll Aluminum Roll Shutter (Up or Down) Slats and Shutter (HVHZ) - Drawing supporting frame for storm protection Number 08 -156 Limits of Use Installation instructions Approved for use in HVHZ: Yes FL400 R2 II Drawing.PDF Approved for use outside HVHZ: Yes Verified By: American Test Lab of South Florida Inc. Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: Large Missile. Pressure rating: +40 p.s.f., -40 FL400 R2 AE Product Evaluation Report.PDF p.s.f. at 4' -2" span and +100 p.s.f., -100 p.s.f. at 2' -10" Created by Independent Third Party: Yes span (for 40mm slats), and +40, -40 p.s.f. at 6' -5" and +195, -195 p.s.f. at 3' -9" (for 60mm slats). See sheet 9 of installation drawing number 08 -156 for additional spans and pressures. 400.2 40MM & 60mm Bertha Roll Aluminum Roll Shutter (Up or Down) Slats and Shutter (Non -HVHZ) - Drawing supporting frame for storm protection Number 08 -157 Limits of Use Installation Instructions Approved for use In HVHZ: No FL400 R2 II Drawing2.PDF Approved for use outside HVHZ: Yes Verified By: American Test Lab of South Florida Inc. Impact Resistant: Yes Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: Large Missile. Pressure rating: +25 p.s.f., -25 FL400 R2 AE Product Evaluation Report2.PDF p.s.f. at 5' -2" span and +100 p.s.f., -100 p.s.f. at 2' -10" Created by Independent Third Party: Yes span (for 40mm slats), and +25, -25 p.s.f. at 7' -8" and +195, -195 p.s.f. at 3' -9" (for 60mm slats). See sheet 9 of installation drawing number 08 -157 for additional spans and _pressures. Back I I Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2005 The State of Florida. All rights reserved. Coovriaht and Disclaimer Product Approval Accepts: 1.21 111 ■rcune i YERIIr■ httn : / /www.floridabuilding.ors /nr /nr ann dtl. asnx? naram= wGEVXOWtDatzOClYS %2b9se... 3/4/2009 /T iiT E IN\ TILLIT TESTING & ENGINEERING COMPANY WALTER A. TILLIT, JR., P.E. tilteco @aol.com FL P.E. License No. 44167 FL E.E. License No. 0006719 PRODUCT EVALUATION REPORT REPORT NO.: 08- 0616.02 DATE: June 16, 2008 PRODUCT CATEGORY: Hurricane Shutters PRODUCT SUB- CATEGORY: Roll Up Shutters PRODUCT NAME: ASSA/40mm & 60 mm Bertha Roll Up SUBMITTED BY: A.S.S.A. /American Shutter Systems Association, Inc. 4268 Westroads Drive West Palm Beach, Florida 33407 1. PURPOSE OF EVALUATION: This is a Product Evaluation Report issued by Walter A. Tillit, Jr., P.E. (System ID # 1906) to the American Shutter Systems Association, Inc. (A.S.S.A.), based on Rule Chapter No. 9B- 72.070, Method ld of the State of Florida Product Approval, Department of Community Affairs - Florida Building Commission. This product is being issued an Evaluation Report as described herein, and has been verified for compliance in accordance with the 2007 edition of the Florida Building Code, and to verify that the product is for the purpose intended at least equivalent to that required by the Code. This Product Evaluation Report shall be subject to review and revision in case of a Building Code Change that may affect its limitations and conditions. 2. EVIDENCE SUBMITTED: 2.1. PRODUCT EVALUATION DOCUMENT (P.E.D.): Drawing No. 08 -157, titled "ASSA/40MM & 60 MM BERTHA ROLL UP ", sheets 1,1A, 2, 3, 3A, 4, 5, 5A, 5B, 6 thru 14 of 14, prepared by Tilteco, Inc.; Biped and sealed by Walter A.Tillit, Jr., P.E.; dated 05/14/08. This drawing is -aff of this Evaluation Report. ' r i b �rr r 6355 N.W. 36th Street, Suite 305, Miami, Florida 33166 - Phone: (305) -- 153¢= Fax: (305) 871 -1531 2 PRODUCT EVALUATION REPORT NO. 08-0616.02 2.2. TEST REPORTS: Large missile impact and cyclic loadings under Protocols TAS 201 and 203, as per section 1609.1.2 of the Florida Building Code. Uniform Static loads in accordance with Protocol TAS 202. Test reports prepared by Fenestration Testing Lab, Reports Nb. 2749 and No. 2751 dated August 24, 2000, and No. 2760 dated August 31, 2000 ; signed and sealed by Antonio Acevedo, P.E., and Jose Chan, P.E., and # 0619.01 -02, dated 09/30/03, signed and sealed by William R. Mehner, P.E. Tensile test as per ATC Associates, Report No.13974, dated September 20, 2000; signed and sealed by Steven A. Black., P.E., as per ASTM B557 -94. 2.3. STRUCTURAL ENGINEERING CALCULATIONS: On ASSA/40mm & 60 mm Bertha Roll Up for maximum shutter span vs. design wind load, as well as maximum anchor spacing vs. design wind load and shutter span including storm bars, headers and mullions based on rational and comparative analysis, and in accordance with sections 1612 and 2002 of the Florida Building Code. Calculations prepared by Tilteco, Inc., dated November 6, 2006, signed and sealed by Walter A. Tillit, Jr., P.E. 3. MISSILE ThWACT RESISTANCE: Large missile impact under section 1609.1.2 of the Florida Building Code, as per Protocol TAS 201. 4. WIND LOADS RESISTANCE: ASSA/40mm & 60 mm Bertha Roll Up has been verified to sustain wind pressures. Maximum Shutter Span shall be as indicated on sheets 9 thru 14 of 14, of Product Evaluation Document (P.E.D.), drawing No. 08 -157. Maximum Anchor Spacing shall be as indicated on sheets 4 thru 8 of 14, of Product Evaluation Document (P.E.D.), drawing No. 08 -157. ASSA/40mm & 60 mm Bertha Roll Up has been verified for code compliance to work as a wind load resistant storm shutter assembly, as per section TAS 202 Protocol. 5. INSTALLATION: Shall be performed strictly in accordance with the details indicated on sheets 3 thru 8 of 14, of Product Evaluation Document (P.E.D.), drawing No. 08 -157. Minimum separation to glass shall be as indicated on sheets 5 thru 9 of 14, of Prodt.uation Document (P.E.D.), drawing No 08- 157. :fi .f • 777r y 1 ST T is C l` ,. �C .ti • 3 PRODUCT EVALUATION REPORT NO. 08-0616.02 6. MATERIAL CHARACTERISTICS AND SPECIFICATIONS: Shall be strictly in accordance with General Notes and Components indicated on sheets 1 thru 3A of 14 of Product Evaluation Document (P.E.D.), drawing No. 08 -157. Anchor specifications shall be as indicated on sheets 1, 3 and 4 thru 8 of 14, of Product Evaluation Document (P.E.D.), drawing No. 08 -157. 7. LIMITATIONS AND CONDITIONS OF USE: 7.1. Shall be strictly in compliance with General Notes No. 1, 5, 6, 8 thru 15, indicated on sheet 1 of 14, of Product Evaluation Document (P.E.D.), drawing No. 08 -157 prepared by Tilteco, Inc. and signed and sealed by Walter A. Tillit, Jr., P.E. 7.2. Product shall not be installed within HIGH VELOCITY HURRICANE ZONES as defined on section 1620.2 of the Florida Building Code. 7.3. 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N �. .' y � m� w � �a D ��. .:.�'�„ � �� O O O ,-°.. s i x am Q 0 00 0 0 0 000 0 0 0 T .0 L .__ 9 F. $g l7 NWA W ?(RWP01p UIV .VO 4 ..c: hi n N- ° 9 S00 1rt OI N -8:1, �.L1.- (i �..= v Y O Ail � ri E J a o mr�3 ri ��,y f � f S City Atlantic Beach (To be assigned by the Building Department.) � 09, �� r 4 k; ` y Buildi ng Department APPLICATION NUMBER 800 Seminole Road r Atlantic Beach, Florida 32233 -5445 �� Phone (904) 247 -5826 • Fax (904) 247 -5845 1//g/0 r, ostiyr' E -mail: building- dept @coab.us Date routed: / City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM ent review required Yep' No / 3 / / ,/� Building anning (/ Property Address: 1 L � & Zoning Tree Administrator Applicant: t Afht4 a ef 'e 6 Public Works Q Public Utilities Project: likr r e -A/5 iii `' S Public Safety Fire Services Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑ Denied. (Circle one.) Comments: BU ILDIN PLAN & ZONING vy1 y! 6,0 9 Reviewed by: / i ` „in ". Date: TREE ADMIN. PUBLIC WORKS Second Review: Approved as revised. Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH -, DEPARTMENT OF BUILDING 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247 -5826 - FAX: 247 -5877 PER ' ' 547 - • LION Address: 433 HELMSMAN LANE Permit Number: 21547 ATLANTIC BEACH, FLORI 32233 Permit Type: REMODE Township: 0 Range: 0 o Work. REMODEL Lot(s): Block: Section: 0 Proropposea d Use: Subdivision: Est. Sgu Parcel Number: Est. . Vaallue e: 0 - a • RIIIiA'1`iON I Date 3 /02/2001 Name: FRED TAYLOR Date Issued: 75.00 Address: 433 HELMSMAN LANE Total Fear: 75.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: Amount Paid: Phone: 904 731 - 2835 Work Desc: Termit s y ; ; • FE • C °� ' l ` = � � � -' � ' °;- PERMIT 75.00 COHEN CONSTRUCTION !IS ?;z runs 1 •: f FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM HER WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY "FAILURE TO COMPLY WITH THE CONSTRUCTION IM L EM CENTRE" SULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILtN ISSUED ACCORDING TO APPROVED PLANS OICHA PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS (2 A‘ Dste= 3/9EIS1 i>< i6eCllpti 6931>i'I • LANTIC BEA H BUILDING DEP CHECKS WE ra f CITY OF ATLANTIC BEACH D OF BUILDING 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247 -5826 - FAX: 247 -5877 ` PERMIT INFORMATION;, .' �' ,' ., ` . ,� .., :LOCATION INFORMATION . ,. , � ; ',:i4-;' �., Permit Num � mber: 21547 ° Address: 433 HELMSMAN LANE Permit Type: BUILDIN G P ATLANTIC BEACH, FLORIDA 32233 BUILDING Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: r 'Y .� �.` u q Improv. Cost: �� -F , fi � , r ' w C y o-�x, Date Issued: 3/02/2001 Name: FRED TAYLOR Total Fees: 75.00 Address: 433 HELMSMAN LANE Amount Paid: 75.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/02/2001 Phone: (904)731 -2835 Work Desc: Termite Restoration /Bathroom h ti ,PLI� �:�ON;FE�. ,� '�„ wF��`��'`` ., � n :�� ,��.p:, .� , p . � � *OW �_ �. . � 75.00 - COHEN CONSTRUCTION 'PERMIT #:: 1 ,-,Z NE-- q, *... �. ' r e x '�' i t . �.� Asi f !''''"t ngN. Q 'P' :an . t+.. �' .. . 1:' s '" "'' .... FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. / • $75.M 14 0�� bate: 312/11 11 Receipt: 1931511 AL CHECKS 19712 • LANTIC BEACH BUILDING Di; . 111l1093221l19 - ~r`l Book 9900 RECIVED CITY OF ATLANTIC BEACH MAR 0 e 2001 PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS Tc Beach MOVING, DEMOLITIONS Building and Zoning Owner (s): LU f vY — T t O' € ' Job Address : '"133 N P YYl YY1Glr� C tie,Phone : l,"TQ` 'I✓ a1I) ~ u 62 a Lot # Block or Unit # Subdivision: t' I � Contractor: I , 0QhP� l 1 6, � ( 1iOi f-�+�- . State License # c u wo c.�2c , '7 ld N wl1t IO " ' RV'P, % &R4' h Phone No: _ (Rog) au i -3s Cit ... 1kr.....3nv `'le-192 6 ► State Orld.& Zip Code '1/4),X4--50 Describe work to be done: - 1 - 42,, , rvyt,A4_ 1'17X1YY1 ppoc# 0010 Book: 9900 Page: 87 Filed & Reta rded cc 03/02/2001 08:44:47 AN Present use of building: 1-Q %ItlQMI*1 �` JIM Fill 1 FR CLERK CIRCUIT COURT Valuation of Proposed Construction: '1 I t DUVAL COUNTY TRUST FUND $ 1.00 RECORDING $ 5.00 Proposed use: Is this an addition? If yes, what are the dimension of the added space : ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures ? New fireplace? New Heat/AC? SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENMITY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTORS AFFIDAVIT, IF OWNERS IS CONTRACTORS. Signature OWNER: — _.i Date: `?- Signature CONTRACTOR: Date: , 2 — 2 F © I AS TO OWNER: Sind LidiliS teUDedostienre • this 02 V day of et k. , :., • :r MY COMMISSION # CC 860460 T w. 41 , EXPIRES: August 3, 2003 F 4:1 • Bonded Thru Notary Public Underwriters N '• RYPUBL 7 — AS TO CONTRACTOR: Sworn to and subscribed before me this a day of Rip i , 1.9_2/kJ L:oMsscc8604 / I P. Li (1) ARY ' UBLI �. nd Boed Thru Notary Public Underwriters FROt1 - v FAX NO. : 9042981155 Feb. 22 2001 05:25Pt1 P1 904 241 - 0952. p. 4 C °6 R, � 6 NSTRUCTION� i0 .l .� ott�n�r�,ucsowl� %. �, . — ISicksbm;ille�oach. }Z 32250 • g�� Flinttc . (904) . 241-3$00 GENE pax (904) 241 -8952 : ►G } l7TOR 'x To: Sears Termite & Control, Inc PO # 19(6' �T Estimfte Chan2A Order — Co Bid • pate of submissJ )n -06 Q / I sTPC. I r FEB 2 2 2001 �J, • • Customer: 7 In r urt , ri I - — — !-f3 yefri,5mz l.�,a i . 33 . • • • Home: $o"b?t'o Work: p4?, DescxipiiOn bf -Work and costs: • ■ • EstimAte Leti'gth to eotnpipte scope of work: Original flint;•$ ' Chg•Order #1 Amt.: $ - ehg.Order# 2: 5- Total Cast S 7 58( 70 (> t t+C�exj eka o� 4 /, � t CzcSloinfr•.rn�,. to cal otvtr plea cos i OA ,5,lw. 4I' dcdr ) Signature of ContrAetor/Date: • • Daule! N. Cohen, President Date AS Seam Stgnitiire ofAcceptanafDate: +� /� R `� Termte 'es '� • � /� P ' tdN'xni *ad Vile; 4F '� b �c�eptance: • APPRDVED=4Y (SIGN : NAME) ... - `.' JAX•1. DATE • • Stale Lit6ttstid General CC.C` na 614 ri,.,,r e -v-• t.. • Book 9901 Page 491 5 MIN. RET,t1RN llot,ice of Commencement PHONE # ,O (PREPARE IN DUPLICATE) • To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property 1- 133 \ k _I rm ,5 m n,,r) L.-a-1 4-Y) Fic°7NX.CA(i ) T . ( orLCIGL 3 0 - 0-3 General description of improvements TPj''rn t---Q P O'C ( 'N Owner t..-CA U >(-P.1! C. Tnm . 1 (-pc (Fy-Erl Address 437 R In'15 1n l x.Irle._ 41 . ,Vl . , T L -- 3a2-3 () Owner's interest in site of the improvement P Fee Simple Title holder (if other than owner) e Name Address r\k p Contractor US l 11 • • • • Clain( t fa III — A Address 10 n ( '1 1 O A v & v' Q 5313)-h X c - In , '1... .r-- Surety (if any) Address Amount of bond $ Name and address of any person making a loan for the construction of the improvements. Name • Address 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 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 13752 DEPARTMENT ; OF BUILDING CITY OF ATLANTIC BEACH ---- - PERMIT INFOi 4ATION - w_ -_„-- LOCATION INFORMATION , Permit Number: 13752 Address : 433 HELMSMAN LANE Permit Typo :sw 'Ii4mING POOL ATLL4.N'TIC BEACH FLORIDA 32233 Class of Work : NE" _ -__-- _ LEGAL DESCRIPTION IPTION _ --- --- Cons tr, Type :WOOD FRAME Block: Lot: Twp: 0 ?reposed Use: Section: 0 Subd :0 Rng: 0 I Dwe l z lugs : 1 Subdivision: 4 Est. Value: 0.00 f Improv. Cost: II . 0 0.03 Total Fe : 30,00 Attmaunt ,. a , 30 t w' �. r , , ,. ... ... . .. . '4"" ,, '"gyp "a Y° t, , ,. � ZO -- _ APFLICA.TION FEES -. 1 Addr: LANE 44- , S B g « ' F'L RIDA 3223 4 4 `...4 4 °m E 4 ' i; 4 t' t ' + ' e c � � e 2 _$+ ., ; ^:,. ,r - `'' ,, sr t.4, ',r F°, , ,. ' A R ' OR iA ION Name : 80- r FID r *L v __. Addy: rPO.,,, BOX`- :*,#.4:4 5,... JACKSON n. , FLORIDA Lic • ' ItPW320 5 Exp / ! " *, + � t3Sar'ra.Na2.'h°t i , r*, , s s'}+,P y . wm,as nwaa., a.. 1 NOTES: 1 of Ott *nttc tktv f NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING } 1 PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILOING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE„ AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN I i THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." k 1 AC C O RDIN G TO A PPROVE PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO FAEVOCATt0N FOR r Y # C A TION OF- AP PR OF $38.0 14 ATLANTIC BEACH.BUILPIN DEPA " 99 1881Im1: . 9687 By: "' . :%.�.r,. Or • CITY OF ATLANTIC BEACH • APPLICATION FOR POOL PERMIT • • • Sob Address £' 3 3 t-}-e.,/e-LS /`-�� (.�•. Lot M '2( Diock i Subdivision SeS ,2,c,-y Owner -� 1 V ( � J / Address 4 1 3 3 - I l o- S r-A,c'n j_ M Contractor f3vrw-( Q Piet 1 2 — t 3 ? Address 2210 c=lam. ()j1,Jk rv.et `�. �3 d Fi 3 -z.0 G License Number (200' ?_oil Valuation $ 1 � D 0 - 0 . % . " 7'- Gallons SITE PLAN •' front • y p.. N a.. a • rear • • Signature Owner f `uL1 Sign ature Contractor /f Date • O� G 6AG \�� \ • j rlr e /WO p S4'ow/1&'c' . IA V ac LOT tG , 4540e, 4 , vEASPRAY 44 f ECoRDEO /A/ P4,4T 54 i • 35' PAGES a 4 AVG' 64 A OF T//E AWE hiT PU6,L /G RECORDS CW OU ✓AG coz./, irV, FL: Ok/G*A . . \14111\ . i, 1 i LOT . .or \\ ' 0 30 ?9 • OS . t L.2a 64S& MM. 1 P'* 4 C , 044u/44f • S fou.,0 3 �� cv i ow nr f G 7 ' t8 ' 00 " E. ` 75.00 Amp SEj/ / i ov /,rs . r .w M ar i' 101140 fE41•6 1 •• nr G/ME) ■ ■I/ Q •,-...:;5 � � 1l) dos l rf.7 • * 1 v 1 „ SCAWEAMD r te.. ■ Awe,/ ti '4',44--: W 1 .., r5. s , Q y. plrcc J Q • IMI i(, O/vE 57-DRY ' u O G' GOT d/?/cA n • 4-9P c;R), "" `` , e P5 't4 /4f StOe-,vice N Q.i31 4" . J t • i. 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G 7' 28 kt/ 75.o o e C/ EL /// SWry L Ah/E •`wwQC° , t o y $ a p eo ,yore - Auo e 04, NAME mu a •ltr w learroa/ • (G"0" R /k/) • A/OreS 11'∎414444416 1 NEREsv coRT /f To: tinge x/CE f. T,4YCae," ' 1.) Tit/ /,, /S A BOat 0ARY' SURI/6) RJR /C4A/ HOME PL/A/O/A/& A1/0 A41ER /C4N T /TGE 2'•) erE4R /A/6S, 4 F ,CW SED Ow TN4T TN/ $ 5 'Rve Y MEETS THE Mitt/ /MvM I r ; iostAT, , deg; s5, PAGES G4 " 64 4 . • TE'NN /GAL STA UG,4,Qp5 4$ SET FORT// SY V' ' ; 'tIe at/0 /MPROYEME,VTS THE P o,r,P4 BAelR0 of L4 /O St RYEYAt 4 ' . . R l • 5 1. Heavy -duty Polyester Filter able cycle indicator, letting you know when Element won't collapse under high pres- to clean the filter sure and is easily cleaned with a garden 6. Jacuzzi's Criptinite"' Thermoplas- hose The coreless element allows you to 4 j I tic Construction is heat - tolerant and clean it from the inside out for a more ' ''j j 1 resists corrosion due to weather and thorough cleaning. 1 chemicals. 2. Automatic Air Relief automaticall t y I 7. Bottom Inlet and Outlet makes bleeds trapped air, eliminating the need installation easy. 50 sq. ft., 75 sq. ft., 100 for manual bleeding. sq. ft. and 150 sq. ft units have 2" NPT 3. Patented Dirt Catcher prevents i ti A , connections • debris from falling into the tank when Mr 8. Captive Drain Plug threads directly the element is removed. The convenient 1 ,� . - into the body wall but stays secured dur- Thandles make cartridge removal easy. • ing draining or can be removed with a 4. Jacuzzi Ring - Loh allows easy 7 slight tug. access with a simple twist. No bolts. No 9. Low Profile allows installation under clamps. No tools. decks, steps and other tight fits where ' 5. Gearless Pressure Gauge displays b competitors' filters won't fit. operating pressure and features an adjust (- 1 1 7L- 7 -\ . ' 7 e ,, `,t;, . L ' . i 1 :': �.4. A _ )� ' K. C h's +`' • The 25 sq. ft. in -line RING- • Pump and Filter Mounting • Dimensions (In Inches) LOP' Cartridge Filter is Kits provide a noncorrosive l Mode A B C ideal for spa and hot tub molded foundation pre- Model 17'Sl�e 4 79he applications. It features a drilled for any Jacuzzi 17 12 N6 13516 coreless element for easy pump and freestanding CFR-50 CFR -50 7 1 cleaning and optimum flow filter. 2 1 6 12'16 13 rates. Inlet/outlet available CFR -100 264 12 13% with 142" slip or threaded CFR -150 31 12'18 _ 13516 connections hi CFR Performance Recommended Total Gallons Circulated Flow Rates 'GPM GPM 6 Hours 8 Hours Model No. Commercial Residential Commercial Residential Commercial Residential CFR -25 9.4 25 — — — MEM _ CFR -50 18.75 50 6750 18000 9000 24000 O :11t�F 1: CFR -75 28.13 75 10127 27000 13502 36000 CFR -100 37.50 100 13500 36000 18000 48000 CFR - 150 56.25 150 20250 54000 27000 72000 M. ; ;OO; ' ' IN•717Y7S '.375 GPMJFT based on NSF standards for commercial pool applications , ilitai,ig a " V (11 7 , . , I iiii tZ1 a Jacuzzi Bros. ❑ 12401 Interstate 30 ❑ P.O. Boot 8903 ❑ tittle Rock, AR 72219-8903 ❑ 504455.1234 ❑ FAX 140462d44 ®1991 Jacuzzi, Inc., AG rights tamed. Niside Its call: Jacuzzi Do Brasil: 011. 554011711 ❑ Jacuzzi Canada: 414675.3333 ❑ Jacuzzi Chile: Olt- 56-2. 577 -57JB ❑ Jacuzzi Europe (Italy): 011- N.434&141 5 1. Heavy -duty Polyester Filter 1 able cycle indicator, letting you know when Element won't collapse under high pres- ...... ,.- to clean the filter: sure and is easily cleaned with a garden 6. Jacuzzi's Criptiniten' Thernwplas • hose. The coreless element allows you to 4 IC ! ! tic Con stru c ti on is heat - tolerant and clean it from the inside out for a more )11'1 1 1 , , resist c o rrosio n due to weather and thorough cleaning. i I chemicals. 2. Automatic Air Relief automatically 41 7. Bottom Inlet and Outlet makes bleeds trapped air, eliminating the need r i 0 installation easy. 50 sq. ft., 75 sq. ft., 100 for manual bleeding. sq. ft• and 150 sq. ft. units have 2" NPT 3. Patented Dirt Catcher prevents 1 ti connections. • debris from falling into the tank when Captive Drain Plug threads directly the element is removed. The convenient 1 �. into the body wall but stays secured dur- Thandles make cartridge removal easy. ' 4, n ing draining or can be removed with a 4. Jacuzzi Ring-Loe allows easy 7 slight tug. access with a simple twist. No bolts. No 9. Low Profile allows installation under clamps. No tools. decks, steps and other tight fits where ' 5. Gearless Pressure Gauge displays is competitors' filters won't fit. operating pressure and features an adjust- ; „ :, fir C .4:11:41;rC ' - ',41 - ,,, �� e , ,,' MOM A { x A 1; • x1 ti` "" 4,, . " 0...4 .,...,. .. ._ ii _...,.. ,; ;K . . <r 1. ;., 1 . • The 25 sq. ft. in -line RING- • Pump and Filter Mounting • Dimensions (In Inches) (AK"' Cartridge Filter is Kits provide a noncorrosive Model A B C ideal for spa and hot tub molded foundation pre- CFR-25 17�Slie 4 7 C applications. It features a drilled for any Jacuzzi 17 12 U& 1351& coreless element for easy pump and freestanding CFR 7 12'10 1351& cleaning and optimum flow filter. CFR - 70 22 1 rates. Inletloutlet available CFR - 100 2644 1240 13510 with 1 lb" slip or threaded CFR -150 31 12 13510 connections. II CFR Performance Recommended Total Gallons Circulated Flow Rates • GPM GPM 6 Hours 8 Hours Model No. Commercial Residential Commercial Residential Commercial Residential CFR -25 9.4 25 — — — MEMOER CFR -50 18.75 50 6750 18000 9000 24000 ril i * • CFR -75 28.13 75 10127 27000 13502 . 36000 CFR -100 37.50 100 13500 36000 18000 48000 CFR -150 56.25 150 20250 54000 27000 72000 ;;; ; :MA; '.375 GPM/FP based on NSF standards for commercial pool applications. ,O(4 . f lit ct g a- V Lt ,,,,,,,r, ' i 4 mi wow 0 jarwzi Bros. ❑ 12401 Iruastate 30 ❑ P.C. Bar 8903 ❑ little Rock, AR 77219-8903 ❑ 504455.1234 ❑ FAX 1400662-4044 ©1993, Jacuzzi, loc., Al rights rennet Allude U.S. call jaci zri Do Brasil: 011 - 554011711 ❑ Jacuui Canada: 416.675-3333 ❑ pcuui Ode: 011. 56.2 - 577.5708 ❑ Jacuzzi Europe (Italy): 011.39-43485-141 Magnum Plus Features: 1 . High performance impeller /diffuser powerful 6. 180 cubic inch strainer basket allows for longer enough to operate a filter and a pool cleaning interval between cleaning. system without a second pump. 9 ' 7. Energy saver motors (1/2 hp - 3 hp) 2 . Exclusive Ring -Lok are available on single access allows "No tool" speed units. entry to all internal arts. 111 as N 2 ` ry p f i ' P, 1 - JACUZZ L` :, Assures optimum service- 1 ;1 :ist • a :* i, _ 7 ability without disturbing r 4 R 3 8. Adjustable base the plumbing. .311 't;11,1 i. ; � ` . _ - ill accept different :: j ! Py motor diameters. 3 . Patented air - cooled 5 heat sink allows pump to run dry without damage to the shaft x 9. Transparent cover allows seal. immediate visual inspection for debris. 4 . floating eye seal between the closed impeller and diffuser maximizes pump efficiency for best flow and 1 O pressure. . Exclusive flap allows full flow through the strainer basket when the pump is running, but restricts reverse flow 5 in your system when the pump turns off. . One piece case molded from glass reinforced, corro- sion- resistant thermoplastic with two convenient drain plugs for winterizing. Performance Rate Dimensions MODEL Gallons per Minute vs. Resistance to Flow (Feet of Head) A � /�____ �� 7 -9/ 16 — 7 {WW11 ......11 11' 30ft 4Oft 5Oft 6Oft 70ft 80ft 90ft IOOft r =t�� ti 5MP/7UMP 55 46 34 IS �� - - 11 -9/16 9 -1/16 . I 1 7MP /LUMP 74 68 62 54 45 33 - 11 -9/1 — � 6 n i ( ' 1MP /15UMP 85 79 72 65 56 43 - - 15MP /2UMP - 108 99 90 80 69 51 31 - Hl' 1/2 3/4 1 1 -1/2 2 3 2MP /25UMP - 120 111 102 92 80 67 52 A 23 -7/8" 23 -7/8" 24 -3/8" 25 -3/8" 25-3/8" 26 -3/8" 3MP - - - 140 130 117 103 85 • mac $. 0 , i Nu) ifQ0 a ix MEMfiER Vi. � 1 t/ S 1 ` FY11 M•TIOMAL• Unit MA• ►OOL JAcu n IM.TITYT{ Jacuzzi Bros., 12401 Interstate 30, P.O. Box 8903, Little Rock, AR 72219 -8903 FAX 1- 800 -662 -6044 ® 1994, Jacuzzi Inc., All rights reserved. Outside U.S. call: Jacuzzi Do Brasil: 011 - 55-409 -1711 Jacuzzi Canada: 416 -675 -3333 Jacuzzi Chile: 011 -56-2 -577 -5708 Jacuzzi Europe (Italy): 011 -39- 434-85 -141 Magnum Plus Features: 1 . High performance impeller /diffuser powerful 6. 180 cubic inch strainer basket allows for longer enough to operate a filter and a pool cleaning interval between cleaning. system without a second pump. �/ 9 \ / . Energy saver motors (1/2 hp - 3 hp) 2 . Exclusive Ring -Lok are available on single access allows "No tool" speed units. entry to all internal parts. 111 1 ' t,' 1 '- JACUZZI ` w,, :, Assures optimum service- ,-...•..: x = t A 7 O 1 8. I Adjustable base ability without disturbing O tt t ', 4 1 - the plumbing. i °I s > - - will accept different .� . motor diameters. 3 . Patented air - cooled 5 heat sink allows pump to run dry without damage to the shaft 8 9 Transparent cover allows seal. immediate visual inspection for debris. 4 . Floating eye seal between the closed impeller and diffuser maximizes pump efficiency for best flow and 10 pressure. . Exclusive flap allows full flow through the strainer basket when the pump is running, but restricts reverse flow 5. in your system when the pump turns off. One piece case molded from glass reinforced, corro- sion- resistant thermoplastic with two convenient drain plugs for winterizing. Performance Rate Dimensions MODEL Gallons per Minute vs. Resistance to Flow (Feet of Head) A 10 7 -9/16 - W IW W1 30ft 40ft 50ft 60ft 70ft 80ft 90ft 100ft = 11=1111111111 Er a% i // Al 5MP/7UMP 55 46 34 15 - - -_ f ± ! !: I1 - 9116 I Q 9 - 1/16 7MP /1UMP 74 68 62 54 45 33 - - � ! ,-, 11 9/1 6 I I 1MP /15UMP 85 79 72 65 56 43 - - 15MP/2UMP - 108 99 90 80 69 51 31 - - 11 1/2 3/4 I 1 1 -1/2 2 3 2MP /25UMP - 120 111 102 92 80 67 52 A 23 - 7/8" 23 - 7/8" 24 - 3/8" 25 - 3/8" 25 26 - 3/8" 3MP - - - 140 130 117 103 85 0 ,,:„,-- "....,im MEUSER • i. V. e r /Litt 11` VVV--_ e /ST`O Full.' M M Se rvi ce .TIO.. t R•cfaryUra �r r� .nrur. •.00� JACUZZI Jacuzzi Bros., 12401 Interstate 30, PO. Box 8903, Little Rock, AR 72219 -8903 FAX 1 -800 -662 -6044 ® 1994, Jacuzzi Inc., All rights reserved. Outside U.S. call: Jacuzzi Do Brasil: 011 - 55-409 -1711 Jacuzzi Canada: 416- 675 -3333 Jacuzzi Chile: 011 -56-2 -577 -5708 Jacuzzi Europe (Italy): 011 -39- 43485 -141 • lil .:, I th , r) 4 p .., . ... ? . '41.. . ‘I ., " .W .. o ' it': • ,.. . . ...„.............____..) ... z II 2 i T------- --..- - 7" 1 8 " - 1 4"'" . %. • /__ e H • r w 4 s i , ) • 1 7 0 'a �. 71 'd Cy Ch 1 . ...... . - i n - %. :•N' - I • n :'1 i , rt ti . CI \ I Z112 VP I x n . 1 W • '1 • I • O • O l II b ti n r 7 H •--le.......:.... • . \ r r Sul • � . . �" , • • . , • 1 1 '. • i l ; V 1 ' v V I U ri • ;,- r... H . I 's1 . \, Ts PO E. z _.. L. O tit VIG ,O d C C.-77-*"..." H H ,,• il r • H .:\ o 1.4 Pi . 1""' V OC C VerOa 41 a F 1 4 f, h o r a o v C NJ o K O rt rt _ . r.:. O F-• 0 �,, n n n 0 N n 141-, % l': -. i , ( I 1...4 n n r t H r te ► / ,, ,_--r4)--- �� ,,,1%) O . +-. P r: . %I` 0 HN " - 'I C - I � r ' . •� - a C n r ._� C N m . a o r.............. r 'w. r x .' "- 3 4"" 1 rte, ; • r. tl s r -0 o a r e •, x = n n o �, tn 10 H O H . • W . ,e0 •-•ess-----.. . --- I . t tt4 p *F 4 a3 17: 4 s I {. , I , ri •11 fi/A144 . .. ... } i I N n as :•rA .rt Iry M X i y . .. •• . '1 • . • '" .-"' No, '•_ H 0a �, I ,' l7 . n I x #A , n • ^ I C . • :U H Di (D; . - o V, T, O C � I H n V ; —1-.1 , '' /• ... n ,j i ,.-._. 1[ � . L', .1 T.. ' y y. re ��\ k i �T 4 I N v \\ A ° I ti n U a s1 ►� p a H r z _ Y L. ___` o �I I o rt.., . r [ .ao • E I 0 • . M IS I! `" N 1 N y' \I C a 2 7K . t'• w N ..• b M b M r H 0 Y� �„" .r– -0 0 c c w 0r o C' 'd > F o i .> Iq o 111 a o v CV o '-4 • �? n n n a a., Pi µl o , (1/ ,n.). _ �•1 0 le r N r d M i �' I t c , I I ' ..: 1: " t — s Jy� CITY OF ATLANTIC BEACH 1=4 • . sJ 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 V INSPECTION PHONE LINE 247 -5826 ' X13 Application Number 03- 00026594 Date 7/31/03 Property Address 433 HELMSMAN LN Tenant nbr, name DRIVEWAY EXTENSION Application description . . RIGHT OF WAY PERMIT Property Zoning TO BE UPDATED Application valuation . . . 2000 Owner Contractor TAYLOR, FRED BLASSINGAME BUILDING SERVICES 433 HELMSMAN LANE 611 NORTH FOURTH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249 -1772 Permit DRIVEWAY PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 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 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. • BUILDING OFFICIAL Cc: 0 „A/1/2rl CITY OF ATLANTIC BEACH D. Ford Y ' BUILDING / ZONING DEPARTMENT S. Doerr r - -A.— A. l � � � 800 (904) Sem247 inole -5800 Road 41 Atlantic Beach, Florida 32233 J ' R 4 Ji319 (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # 03 ° at) 6)1 Property Address: j- -' 3 I t s man L Applicant: 131 CAS l ( -1 .— ri V i Id( Sc ( Les , Project: D ri NC( VU Ck. 3 A . `F �'.�' This permit application has been: r Approved EJ Reviewed and the following items need attention: Please re- submit you, pplication w en these items have been completed. Reviewed By: 1 , — Date: 7 - 31'.. U 5 /V • -11.1n J f" ?A A s) CITY OF ATLANTIC BEACH --r a3' BUILDING PERMIT APPLICATION (ALTERATIONS /ADDITIONS) • Date: 7 ? 03 Job Address: / ? �r'^ S 11 ,r. 1- o ; Owner of Property: rr- f'-r -( Address: '71- f ] / i , = '^^ ° , / o--- `—. Telephone: 02 -1 1 2 -0 3 0 Legal Description: Block Number: Lot Number: ,--- Zo ning District: -� . Contractor: 4/;1/ , A' 6 - 4.).-& :1.---, Q r- �- State License Number: C C �' it 7 `"? .1- s' Contractor's Address: / 'y-...1_2' /(— (q p -r - (' 6/,// J 3 C 5 `�7 `�.:�5 Telephone: .,:7—C 5 i Fax: -- / c.- `' J r _ / Describe proposed use and work to be done: 0 r - y + - 1; Pax `' p - - ; o t Present use of land or building(s): /�_—; e ,1-0.-- ,- — ' Valuation of proposed construction , L' c c , r What are the dimensions of the added space: feet x feet Will the added area be heated and cooled? //1/_, New electrical or increase in service? /vL New plumbing fixtures? A/c New fireplace? /1 New heating /air conditioning? A Is approval of Homeowner's Association or other private entity required? ,M" If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees? ❑ NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. Ir NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904 - 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 1/14/03 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre - construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. 1 hereby certify that all information provided with this application is correct. N� Signature of owne -( - . - -~ r r' ` Date: / Z Y 0,Y I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: s^'r�.. �� .. ---70" =" �••.-‹ - Date: �/ 7/0 0 Address and contact information of person to receive all correspondence regarding this application (please print). Name: W . ;'.,,^~ G � t'o,,s'. •.� o. „,,.A_ —L Mailing Address: / `f" , = - / c0.- -1:.v. # v d , 5 G.), . ri. - , Telephone: ` ) - 7 > Fax: . 2 — ` - /- a 0' - 1 E -Mail: 4o i ( � co ,:..—_.s 49_, . AS TO OWNER: Sworn to and subscribed before me this 9 �/ day of 0 , 20 (73 gt0i fill li; / State of. 8t6d, , kriDuval tg .7 ‘1". � , ' N t 's OWN 1 . ter / / o • ` ; . 1;\ 2s, 4 , 0 ` /�;�• a Notary Signature: ' / * : P ia., : * ❑ ersonally known �� ; #DD113003 o` Produced identification fit, .� Type produced / C J Z/r Y / ` p.. , 4. 0 F Mr ce T e of identification ro duced G ! GC ` L "a� 5 /i �ee S AS TO C ■ , 4 4 1 / Sworn to and subscribed before me this 91q day of / , 20 03. State of Florida, County of Duval Notary's Signature: / �'T • tZ�11�11111 a P►dt � . N Si t 'i d ' . �� ;ostOA/ ' ❑ P nally known ) c. \2 •,0,., A n . ; roduced identification r �� r * • : * = Type of identification produced /162 G �C ., Z • #0D113003 v z �9 .. h ", ied t�N 1 r V ',/,'4,87..;,,,',..; ''' 0 6.(,,,i, 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 19 /69` /C, } �{ r' Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 1/14/03 Al A1 L 111( )‘\ 1, t '''', i R\ 1 i . . wi 2Ca It( ) c K , 3 ,.) I ( - 1, 'I t c2`ii . kt )1 1111 t 1 1:1<1 \ 1 1'1 Mk 11«)1:1 01 1)1. \Al (01, NI) 1.11)1:11 1 , 1 ' at EASE t-1E WI FCC.. DK.AitsIALE 1./T1t_I fit-, , sEc..tece-, , r-C.-”,,E) 'I i ; tEOLI 4 pe , 5. Co/ ' ze, Do.. E . 75 co 0. ; -. 'v...., p,pE. v , 6 S -4 1 , wOoL, J f■ s -' I '5 E A'S E. 1 no FG■A-E 0 _ ii" \. 0 I 4,10410(.. r-_ li 1.;..,....u . .. . ar - 0 7 '31CA p...,... . ' u‘ '._./..-14.EE•., r" .. - 8 1 f V_1 , 4._ — /9 1 . ,-----/----- --.- ,....,......„, ' 2 — ......... tp P — It 1 ' s ,,„..k• I, "" . ./E6. Pa t. 44 (..., s. ^ )1 I° se 1 2 J • 1 lttl_, 6S-11, r r -.- - ectvt•rtaul - r a t Plac. A 1 . --------------, . .i -51..DCY [..] , Lt■ CE-., 6:. /43., t- -- 3 1° a LDI ?%,-, d- C l- t- ■ I 1.-1 - el tn 1-.- ,,, , t..,■,...c. . ....) " - - , • -1 2 i ,1 • - > , LU u' ...) /'' "),,,,, 4. ,.-7 ---- ----......_ ,, 1 4AICA-■,,E 2, iv.),, 8 . -. /— 6 - . i ..... 3 / 5 _I CIO , a 4 .2 C 4E ILE t.. EkJ 1 P.Aki E. 4. i s. e Zir A\ t r. tu N t )/. i 9 9 N , .c -,; ■ NI ''', s t., .. . . • < . '''N.,,,..\\ / , C c CS/ s, , \ ____.../ /..., 504L/INt. N ''''!**,\ ' \ \ , 1 . ZE5T ZIC T 10 1 N — ,.' LINJE h i ,..\ , _■...4 it E T E ' orivE 4 . Dily of Atlantic Beach DepartmeM 2 and Zoning ' D 1 ■ LP 2 1 _.. . ,..., This a d% rila* ttalAarica with applicable F-4 ; (3€0.1L■s-iL. zoning, su bioW nd other local [any! deveio regulations cze %..1.<_i 1 1 t 0 01*dess not constitu -.--) approvai — 11Sititrzie permit's!. Compliance i 1.1. (07 - Z 8 00' '10.1 . 15.d:with Florida Building Code and all other applicable local, State and Federal permitting requirements i ELN15MAM LANE must be verified . signature of the City of Atlantic Basch Building • Opl prior to issuance of a . , Building Permit. 1 , , oc re.,,1 ■,r; . . t APProvfid Or det4."1'^ i ,A ZZi di fira i ;pment a , Date: if 1 i NOTE ' TNERE MA1 BF 1 /.1)1[1c)UAL 10:SIPIc.P.tr... rliAT APP!'l I THAT APE tHrl ',11 (1r1 '111 I II SI Il11 91 ' ISE. 19 THr lq)B1 i , 9F( U999 (,9 1 ,.: . . ,, s 1 'F..n /.. I.. '..X..' ,' l'..;Cf,'.1 t ,ILned f Flood 1 rr.11 i,. , .4_11 It..' i 110 . t ?Col S Cook 0 ( la t e■ i t 4.• ti Eri )11 140t. WEE.L CYtt.1 LI klE OP 0-1ELI I 4 II ■,--■A " sum,qe IS %.4 a," 6, pli, II Or I-W.4"T to■-■ OK 0,.....41.+41 tc, ', . .__, • `.1 Al' L.►HO\\ IN( ,`1( I\,'I) O1 1 0 2(a 1i 1 () ( N 9 , _ 5EA5 Pit Ai <•i•I l1)1(1)11)IN I'IAI It( )l[K 35 l'A(.I (qq;(, vii; 01 I III (l' RR) NI I'l III I( RI(()R1)5O I)l'VAI (OI.NI) iIUKII)A } ' IS \ ..01 5o LOT 29 i LOT 28 T , Lt EAsEF•1EIJY Foe UILAII UTtLI I - 'its SCwEIt" Q FO- -- F14 I Fcx�uD 'It IeU O PI F'e 5. (Dr Z e, fX E . 75. CO ' ItZ.01J PIPE i 0 S -- " `4000 15 EASEMENT J 0 ; x, \ t FFUt-e / w' p�cY ' � i L i .� o l'i I � a .. W lI v 20 O.Z. 8 g 8! g i 1 t �ceEELa 0 ` i o . .IE f c ouc .114.- 44 G y?..‘ � O" wt iu � 7 7 , v 0 . ^ ! r •QvJrtau'T J O. PoG 1 � 1-SToE1 E:3Iu4.t:_ ' 0 id r T r I LI ;,01 Z' . U wl d 1 d 1 t- ,' r 1 dl V) ' 1...1 1...1 ooh ^. ° '� Ml 4 2 F[u�E 2 Wi J) G Z Q ((� 'Z' -J (". ,� fl, 46 to 40 Q t 8 e, 1 tp A EuT¢A14 c:oiEREG .E 0W N tO , ' 1 e t. o Nt A i I 8 ) 4 �_ r M1 k". E ..:, � _ 7 Z0 . bul LUlnic - , C`,1 V btu. N ` a5T21CTIONI (NI f- r 1 LIti1E. ... I ,: •-eE T E . City olf Atlantic Beach Q 2 I r' E Planning and Zoning Department ti F cnxi(, 314 { F� )NL, tse° ,'. (this approval v ertMsleosnptier�Ee with applicable 3i Leo - , PIS r cLEC toauig, subdivisi)n and other local land development regulftiens,— but- doo'rNof co4Stifute- . prq�I for the issuance of permits. Compliance fJ. (P 1 Zt3 • DO W • With'FTbrida Building Code and all other applicable L ^ s g cRi;-�6t ate and Federal permitting requirements E-1 E L M 5 M A N M I1duQbe verified by ' nature of the City of Atlantic Beach Building Off al prior to the suance of a ..'c - ! ' - I v-1 Building Permit. Approved By : '< o Dwro , t velopme irector Date: (JJ // eecuwc.1c¢t7 ' ¢FCe el t c Nm D su¢-t'f NU J��H 1� 1004°1 'MERE MAY DF. A f)U I['li)IlA 1, RF;ti1'It1 cl'IUt `; '111A'I' APP!. Y" THAT ANF N(/'I" 'MOWN (■t1 I'H 111 -1l.1PVI -:1 I(UIT 11AY Ikr, 1•UUN1. 1N '1111' 1'I!tI,I Pr( ()1+1) ,, It 17� ,, IIi1 ∎'[7[INT1'. iF f ..one X .r; Ix ,l .iscei t,t f ran Flood l. n: >ur<11ict' 'i<al , M..]i '' rrrmll., i),1IC1 no .l ?oo is. 000l (xtcd ck 11 H9 VA ',If 1'1 11' .l! : [ • ) , iI NOR.T LIF ULIE of NELMSMAF.■ _::NE BE1t.iL. N lot • 2b GK0" W 4 THIS $UQVb' ,S VA S1 A PVT•¢H(A4A'r lc. 1,-1 of OW1J121Z1Y.11G , :f 4 ` 1 � . �� CITY OF ATLANTIC BEACH A - J 800 SEMINOLE ROAD y ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 03- 00026490 Date 7/14/03 Property Address 433 HELMSMAN LN Tenant nbr, name 150AMP,1PH,3W,240VOLT Application description . . ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor TAYLOR, FRED EARLY ELECTRIC CO. INC. 433 HELMSMAN LANE P.O. BOX 50678 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 70.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 70.00 70.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 70.00 70.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH, FLORIDA ,, , ELECTRICAL PERMIT APPLICATION TO T) {E CHIEF ELECTRICAL INSPECTOR DATE: 2- i "Y No 1MPORTAST NOTICE IN CONSIDERA nos OF pERNtrr GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, V E HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PAR C HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL CONTRACTOR: li . ,C=7 c a.) //ii MASTER ELECTRICIANS SIGNATURE: OWNER OF PROPERTY: _ I Al., 1 AIIIIIIIMIIIIIW 1 2.27 a ,, j JOB ADDRESS: , , Ate al-1 / 1 /0 RES/ APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLDREW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT. SERVICE: NEW( INCREASE( REPAIR( ) CONDUCTOR SIZE AMPS; COPPER( ) ALUM.( ) FEES t SWITCH OR BREAKER AMPS I PH I W VOLT RACEWAY I c9e7 EXIST. SERV. SIZE /59 AMPS / PH g_ W VOLT RACEWAY FEEDERS NO. SIZE 1 NO. SIZE ; NO. SIZE ■ LIGHTING OUTLETS I CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TO FAL 0 30AMPS 31 100 AMPS INCANDESCENT FLOURESCENT & M.V. FIXED 1 0 100 AMPS I OVER 1 APPLIANCES I BELL TRANSF. i , AIR H.P. RATING H.P. RATING 1 CELL. KW-HEAT CONDITIONING COMP. MOTOR OTHER MOTORS f AMPS 1 HEAT 1 , �-t OVER I MOTORS H.P. VOLTAGE PUS NO. 1 1 H.P. i VOLTAGE 1 PHS I I I M I S C E L L A N E 0 U S PAZIVInairdridalrFAIIKWAInroete,?4,17 r i UNDER 600V j OVER 600V TRANSFORMERS: ! 1 I I NO. KVA I NO. KVA , t NO.NEON FRANSF. I NO 1 VA MA MOTOR SIZE swircH j FLASHERS i I EACH SIGN I S00 Seminole Road • Atlantic Beach. Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 24 • http:fiwww.cLatlantic-beach.fl.us J s r � 1v, ' : z 2 CITY OF ATLANTIC BEA b ', ,„ .r 800 SEMINOLE ROAD CSI U - r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 ; -on9>r Application Number 03- 00026031 Property Address Date 5/12/03 P HELMSMAN Application description HE LN Property Zoning PLUMBING UMBINNG ONLY TO BE UPDATED Application valuation . 0 Owner Contractor TAYLOR, FRED 433 HELMSMAN LANE PLUMB -PAL, INC. 1728 SABEL PALM ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 Permit PLUMBING PERMIT Additional desc Permit Fee 133.00 Issue Date . . Plan Check Fee .00 Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 133.00 Plan Check Total 133.00 .00 .00 Grand Total �00 .00 .00 133.00 133.00 .00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WI IICH.ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ` g BUILDING OFFICIAL semennuenewsumemmignowisinompow a, Lit 0 3l 1` CITY OF ATLANTIC BEACH '' PLU MBING PERMIT APPLICATION , 2 y - Date: ;- /l /.3 l Job Address: V 3 3 t i 6 .6„, j - 44 ..,..., ,,,0:" LY\ Owner of Property: Fir"- 7,1 Got- Telephone: Plumbing Contractor: PCufli 13 - P e. - L'" 1 `` Contractor's Address: !7 2.8 S4 3 Cc t" C'" C..•.r . 3- zt-4C( tom. 3ZZ Telephone: ?° Y_ Z l'1 - 8 $- Fax: Z Y Z - 0‘, o I State License Number: C FC a s 74 ZJ How many of the following fixtures (re -piped or new): 1 Sinks 'b Showers ( Water 2- Lavatory / Water Heaters .3 Hose Bib a Bathtubs ( Dishwashers 7 Sewer 0 Urinals 0 Disposals Z) Other 2-- Closets f Washing Machine 0 Shower Pans Q Floor Drains ./ (List fixtures being re- piped) Total Fixtures: 1, x $7.00 + $35.00 = (Minimum Permit Fee: 835.00) Signature of Contractor: -y✓L._� // Installation of plumbing and fixtures must be in with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 1 St 9844 DEPARTMENT OF BUILDING O F ATLANTIC B EACH 1 PERMIT INFORMATION { fy��p rN ' iiroRm TIO N� "� LCA $ 4 M ,. L'{ rR Ali.' l,dS'll'I$k #. d 1Jd ----3-2-2-3: r, er mi Number r 13910 Address s 4 33 HELMSHAN LANE } I "'em i t Type ;ELEC'T I ' A TLANTIC` BEACH, FLORIDA . o :_ Wo k:ALTERATTOIV'. *BlockLEGAL DESCRIPTION o Dtr. T? O3I P AHE' Lots T€�+k 0 Proposed d Sect " on,- n ' Rn s ; Lwel .r r 1, Sabd :icon; 00 `1rnprovr. st * 0,00 i SIG p lgyp try " . l' ;" 3... ^ ' �^, r °r AP PL p T (*AT ION FEES. { $ 1 ON " *µ *�, '"k ^ ," ""` .t"'eF �` Li i ¢w . 3 ,1� t3N pEr, Addy 0 ' . a, LAI ,1E � . D H� C "LORI 32 t P - $ ! r.� , ... '7t iC fl I Nam H��.I;�E ' � � . '� . A d; P. O 368 ,,J ,ACK $ N - B ACL F L 3 SCI L ER � :' Ex p : ` , �. . ? " a,° , t4 4 ,,% � ,. ° .''.'t" ^ x . 1 Gaaa w ,uxsx ,. ; as 14 , �99 NOTES: r d r t 1 1 NOTICE ALL CONCRETE POAMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE r BUILriING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER " F ILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY O WNER ;PAYING TWICE FOR BUILb_N IMPROVEMENTS ". i ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOC F :R VIOLATION OFAPP.LICABLE PROVISIONS OF LAW. I natp;, 61 Receipt: �1357 CHECKS ATLANTIC BEACH BUILDING ® EPA ENT �10 ::3221 5/81197 '8 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ( 191 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. I CCSsc—) . ELECTRICAL FIRM: MASTER ELECTRICIAN SI`G iA'FURE JOURNEYMAN NAME - e �'"D . TA v_6 12 ADD 433 1C� s Y''' ( ! :P" RFD BOX BLDG. SIZE BETWEEN: RES. ) APT. ( 1 COMM. ( ) PUBLIC ( 1 INDUS. ( ) NEW ( ) OLD 0 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ) INCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE 260 AMPS ( PH 3 W A-o VOLT cC) RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZ LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN , TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED i 0.100 AMPS. r OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT • 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 61€0„ 0 /'c -t 17 1,.--1 C° t«, ' G o i c vTz-�7 QQ\ G w.— , r CITY OF A17.10T8 C BEACH 7161 CCM' I BOI LEVJ1RD ATLANTIC BEACH, FLORIDA 4 -33 0,11;;D '.. ' , .. / to fatal I di lig Lcxwatl on: / . / 4. / - . 0 2. The attached plan for the above building is approved subject to meeting the fol i aai rig lopplicable cordon requirements. m. Fsdatlims shall be continuous await concrete to under t o teri or w a l l s , reinforced with two 5/88" deformed rei rnforci ng rode for one-story bui 848 ngs and taros 5/8" deformed ref nforci ng rods for twwwo tort' bui Wings. ngs. Reinforcing rods shall be placed in the lower .vnerthi rd of the footings, properly placed and fastened on metal saddles with ai.re• Ft nes shell bs six inches wider on each side then the wall above, stooli be et least eight ht i nch s thick and Mai I rest on fine sol I at 1 eaat twelve inches bei m undisturbed sol I. b. ,j, ,hot i y >enit car 1t U ti_alla each unit cell i slnal I be reinforced with in least one No. 5 bar art al 1 corners, poured and tamped with concrete; .rear r°ei nfor ci ng shall be properly tied into the footing spandrel been. co Aa_vggiljnagazettariLAMIRLIMIllindai2111 shall be sacuro 1 y fastened to the ecterl oer watts with approved hurricane anchors or ail i ps. d. Construction of nearby one-fami 1 y dyer l i ngs, sla I d are dup l i cstes or i ntent el y similar, shwa 1 be avoided. Such sisal l arl ty considerd the edema' configuration and appearance (I .o. roof, outer wall materials, window size and design, and ( * h e r l i k e characterI sti cs) of structures. I n accord with the foregoing, similar or of each other, end and sha l at least 5O f..t apart within I f any one closer t l ar deesl l i ng is visible from any other similar dwel I i ng. eF Seiner service connections wrist be probed with cl.arr-wt rods in the presence of a City Inspector. f. The final cornn.ctl on between the house p I uwebi ng In end the some service connection (at the property lire) rust b o I by ig*.il. Wag covered. t / me undersigned hereby certifies that One has read thee above and understands that this s addendum takes precedence any ! ' 11 s to ' ens and spat i f i cati ons end agrees to came i y with the 1 , , 1 s r .1111L, Mrs. ir ...... i , ,..-)3 De. ti 33 tja j o5 4/14A/ 4-5 to rA5rt-tr C\J. i! r.r 1G 8 5 \e" N ' ct [ ELLNI srirJ LN E L L._ K. 4 _ . , I . T t- 4 ) 44S1)11 - - CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 PLUMBING PERMIT ____ PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21528 Address: 433 HELMSMAN LANE PL UMBING ATLANTIC BEACH, FLORIDA 32233 Permit Type: Township: 0 Range: 0 Book: Class of Work: ALTERATION Lot(s): Block: Section: 0 Proposed Use: Subdivision: . Square Feet: Parcel Number: Est. Value: OWNER INFORMATION Improv. Cost: Name: FRED TAYLOR Date Tot Total Fees: 25.00 2/28/2001 A ddress: 433 HELMSMAN LANE Amount Paid: 25.00 Total Fe ATLANTIC BEACH, FLORIDA 32233 0 Date Paid: 2/28/2001 Phone: (904)731 - 2835 Work Desc: Chan • in • tuo shower N FEE LeakMaster * 4-3; 1TIO CONTRAC R S � b t sow � R(S) , �� z � s � . � � �, ��e ..�� 25.00 ,�= PERMIT spections yin Re FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING SPACE, AND MUST BE RUBBISH CLEARED UP DEBRIS AWAY BY EITHER CONTRACTOR OR OWNER PUBLIC OWNER SPACE, AND MUST BE CLEA "FAILURE TO COMPLY WITH �C CONSTRUCTION LIEN LAW CAN OR BUILDING IMPROVEMENTS" RESULT IN THE PROPERTY OWNER PAYING ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. A f25. M 14 L ANTIC BEACH BUILDIN c. r 'T. CHECKS 3/81/61 11 Receipts 8138341 2867 16111663221168 16116113221181 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: A re b J - 4, KL • - BU I LD I NO CONTRACTOR: /± '- a S ' o & P LUMB I NO CONTRACTOR / C » k-/Yl A s T r tL, AND ADDRESS: - TELEPHONE NUMBER: C'0') 37$ 50 7 STATE LICENSE NO: ��- D k 3 2.6, TYPE OF BUILDING: 1265 t & TYPE OF WORK: R BOW MANY or THE FOLLOWING FIXTURES INSTA1LED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS . DISHWASHERS URINALS _ DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS / SHOWER PANS OTHER TOTAL FIXTURE COUNT: °= x 63.50 + 815.00 = $ INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION BEFORE COVERING UP - (904) 247 -5834 , 's '; ‘ CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 08- 00000846 Date 6/20/08 Property Address 433 HELMSMAN LN Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 7850 Application desc reroof fl 183.9 Owner Contractor TAYLOR, FRED THE HAGERTY CO. 433 HELMSMAN LANE 3749 QUINBY ISLAND CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 819 -5545 Permit ROOF PERMIT Additional desc . Permit Fee . . . 68.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 7850 Expiration Date . 12/17/08 Fee summary Charged Paid Credited Due Permit Fee Total 68.00 68.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.00 68.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. % rrf CITY OF ATLANTIC BEACH - so : 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 08 . OFFICE: (904)247 -5826 •FAX NO.:(904)247 -5845 �� BUILDING - DEPT©COAB.US '''' C 1 Y BUILDING PERMIT APPLICATION DUVAL COUNTY ,66 'dna"'4 ,1"a e ^ c't. a Y a aaaa.„ aal a o a iw, m , ' aa a , ' 9;,:4,,,, ` V; a a ' "' " a , .'ii . ^ s °mT , 3.3 4ct i-ts l-Ariu -- s7)_0 �� 6 L� 7-,- i C 7-:(ii /t ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT � $LOCK . SUB DIVISION f + ► ' Y 0 ADDITION ❑ CONVERTING USE ❑ COMMERCIAL ..7: . a•` 1. ems' a a: e : 'i,, , liar,. O,,,u'ii „i.. .,/;.',, , ,,,, 1 ALTERATION ❑ ACCESSORY BLDG. . • - EPAIR ❑ POOL / SPA ❑ YES ❑ N/A MOVE 0 OTHER ❑ NO >+ 'l ti" , „ ; "ti 4,i x a,`.i ar T.. r , "62, _ . " a ' ` a7� . �r sc ,' 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME: Fly ' CS - -i tt , L - RA(a tl ` (0 1 w(-, . gAC t E: - 14 24. LICENSEE NAME: 4 10. ADDRESS: OF FLOR {+S: 'ytq, E 17. STATE IS ¢\ 25. STATE OF FLORIDA LICENSE NO.: 1 " " k) 18. ( A / D ' D C E C S: a (/ 26. ADDRESS: t s, ,_ /yl r F E RU i� 7y(ON, F�. o 112. FAX NO.: �/ d ? � . p � I f F � F � I ' l � ` 20. FA)FN @ � 27. OFFICE PHONE: 128. FAX NO.: I% ZIvIG 4 / 7 1F J., llONE� i U 21. CELL MN q ( i as 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: � x �, r a . t - r ry:t f tt,: : „ r , c N� � t , : r v .: a s c a %;, Tye« ✓ � `, ., .,g ^'" t �, e ; r , �, �z 4, 1 s 31. NAME: 33. NAME: 35. NAME: f� j 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 YOU OTICE OF COMMENCEMENT h .a e.r' w,,; ,a.�. ,= ,' / . . � . ; M �'b„,„, v » � a, •,�.� »° e u, , a.x. t •mr Signed: Date: 6- y ' © c r igned: � � Date: e ��t 7 Before me this day of -_4 • . , 200 in the county of - _ • re , e t s air day ) i - , 20 n the county of Duval, State of Florida, has personally appeared Duval, ate of ' lorida, has'= rsonally appeared , L,,..., r 4 r're4 1 O - kw' / r/. /f J / ' y -e..- herin by himself / herself and affirms that all statements and declarations are herin by hi elf / herself and affirms that at statements ana deciaraijefie are true and accurate. (� true and accurate. F Notary Public at Large, State of '- L- , County of Z3 l.) v al) Notary Public at Large, State of . . County of j) ."magi ❑ Personally Known 1 ❑ Personally Known _ IS Produced Identification - N. j (X V. 'trQL fod - Ia,Puced Identification - G dP // Notary Signature: 0 di _ � . Notary Signature: -J .�/I1ele..f� :or .9 �uN� J. wise MURAT DEMIR 4- >r net X NOfary Pubkc - State of Florida i \ Notary om m Puksblic iOn State DD6tl197 of Flo rida COAB FORM BLDG01: REVISED: 1/10/200, (, • V4 Co tion Expires Jan 24, 201 Commission # DD 63277e ''. My comm. expires June 5, 2 011 Bolded Through National Nola a . 1- �+'J J ' .64 "fr H J \j CITY OF ATLANTIC BEACH k 4 A -..:J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 . fi r Application Number 09- 00000409 Date 3/25/09 Property Address 433 HELMSMAN LN Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc install generator Owner Contractor TAYLOR, FRED FRANKLIN ELECTRIC SERVICE 433 HELMSMAN LANE 13810 SUTTON PARK DRIVE N ATLANTIC BEACH FL 32233 SUITE 627 JACKSONVILLE FL 32224 (904) 629 -4925 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 70.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/21/09 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. Prr CITY OF ATLANTIC BEACH t'S'A_ 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 �� I ��r _ OFF (904)247 -5826 • FAX NO.:(904)247 -5845 ur vs- BUILDING- DEPT@COAB,US 07- - -__ss ,- " ELECTRICAL PERMIT APPLICATION DUVAL COUNTY S _... u_... _.' — 2.NOTH1Sx] -SH$ .'ERMIT:' , .. .. s 3. DATE - �ai.�lOHlIDDRESS: 14 13 14k /A.A.A) L,APE - I) NO 1',rtt 0 YES PERMIT # Atlantic Beach, FL 32233 _ = PROEERTY;OWNER: ` 4. NAME: ..... ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6. PHONE: LEA - 1 -1 53 N Et-MSrwa,4 L,%fr i 7 - 6'1bt' __ - ELECTRK AI, CONTRACTOR: ' 7. NAME OF COMPANY: 8. ADDRESS.: 0 AauLI CLEcl2/ S E) ICE P. O. (ox 51237 SA 130140/ 3724/0 9. STATE OF FLORIDA LICENSE NO: 10. CELL PHONE: y 11. FA FAX 1 �� l � ere - 130136398 6z9 IL�� 3 J 12. EMAIL ADDRESS: 13. OFFICE PHONE: 14. .1Anet A re c mc.ASr 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 wo rk is commenced. CONTRACTORS SIGNATURE:' ,d_i /^ - __ 1& Ct:ASS OF WORK: . -- 17._ SERVICE: 181 METER NUMBER: _, o MULTI FAMILY - # OF UNITS: Ll1:1ESIDENTIAL trgINGLE FAMILY 0 TEMP SERVICE 0 COMMERCIAL o ADDITION 0 TRAILOR 19. spit :MG: = 19. CURRENT CODE:.. 0 ALTERATION 0 SIGN t3'OLD 0 NEW 0 '05 NATIONAL ELECTRICAL CODE D REPAIR O POOL / SPA D REWIRE D OTHER: UST ALL ELECTRICAL WORK .:: - 20. TYPE OF SERVICE: 0 OVERHEAD I t1 DERGROUND 0 UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: 0 POWER IS ON 0 POWER IS OFF 22. SIZE OF CONDUCTOR: AMPICITY: °COPPER 0 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: FLUORESCENT & M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31 -100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: 0 YES 0 NO 2931 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: 31 -100 AMPS: OVER 100 AMPS: 32fAIRGONDITIONgNG: � �_ � " � ' # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33,MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: .. 34 TRANSFORMERS: UNDER 600V: NUMBER: KVA: OVER 600V: NUMBER: KVA: -... _ . - .,, 35xMISGELANEQUS, } REPAIRS: :_ - DESCRIBE IN DETAIL: /*Ias - u. , J 21 A) 41 FO R..,_ 11 IG i1 c c - yltctik-rfa2. COAB FORM BLDG02: REVISED: 8/13/2007 6g PERM1T NO D AREN.0 O $ B H1O oRtcp DEP ptt'pNStG ,`D 1'l TO 3t)i ON 308 GtTV Of PERM MUSZ SE P 19i Z�-115 PERM1 va \ Feed Tte.+ °ret. ana i . so tatty of V ve tee .been 4aiL 4ronston� • 9 o f s44ticsble " q s � Valuation til sbv It * q v lia p violation , F y� i Ole permit t °to revocation tot t ��e ��•` • ` .�bie lx; � lr� '�, 1� ,ti�7G t ie 1e to certify tha�l�eZ �' p �.�� QYS. t fis `t4F ,vi' Z tie t., p e�ttieaio �i Dglt t � ` • � nP. • 'D,-- ��- ` '�� :1 Vtg • vt� • _ _ Bioc " an. lcatio _ _ z Eai CIaBSi • • B U! b y erm it ��,8 MU 1 G• lea a part of tb�s STE C F OO$E GoSBB YOU ONES • a N° �� plane yrhich ar pT F IA T I t VD A E F SsU a debri goose to a4pr° � it F p ' FT m a tisl b no be leaT 4 0 ` 1 �t is aror a meet cop �� 2 .1 p ub >>c a lea a� b9 m � \\ , 1 hau a nd ten et. \ or° 1 Offici g„ilaint ONT G O p` N uM ER . --------------- \ O�F y Fug oNt. Pt- V MgtN a E1- E0 11RtG pt ' 9ER 1...°1° -------"---"------ , vi,p,10% \ 'V Aliak cr v OF ATIA C OCACH irELMUNLESELeUnatreigEal Pimento Ff (, CITTICGINITY «ZW ATI ONAL LICENSE NO. STATE CERTIFICATE NO. _23.AVAITRY 4) V i_NATER WATERS AM ___CLOSETS loom 1 ...24.3oTAL roam coma INSTALLATION Cr FUTONS MO FIXTURES MST RE IN ACCORDANCE NUN 'ME MST RUNT EDITION OF THE SOUFNERN STANDARD PIMINAID MOE. P °1111/t4) co Ty CF ATLANflC; tam WATlEIt c oNNEcn ON t3MREE LoCATi ON J 6 tfw .S 6/3 IKSMt 4rz1?-i BUILDER—PR CotapAcTort J a 14� — 6 fS o TYPE OF` BUILDING 2 Si MAROON GROW CONSISTtl13 OF SHOIdER , Dams= C2 !!NITS) WAM CLOSET, tAYAT10RY d t TID on `SHOWER STM L t4 tW TS) SNotiERS (map ) PER WAD (3 LN TS _moms s (WITH R %ft iS' ovER SUFGEOW.; Sink (3 URITS) HEM SHOWER) ( 2 ti NI VS ) ®it P �3 tSN"i5� FUXI to RIM SiliC `D WiTSI ; _c NaI pMT1 QN Si NC 4 TRAY (3 t>NI TS) : i CE Si - '�!i'AP STAND t3 Ian T5 $ c 1IMTtt4l siNC 4 OSA " 1Y W /PD00 OI,SP$, ° - YiCE soIYC -P i1EAP ton Ts) @t (4 UNITS) . • .._._....J'e't', St LLERY sfl (( 4 UNITS) DENTAL UN/ T OR amp 1 DOR tI' (air' UMW. , PEDESTAL, SYPHC N JET, : _:.. ..., DENtA . i.AYAT+D r I 1t41 T ;. SLOK UT (15 LIMA TS' t�R1 Ci NO Ai M $tit 1')' -- --- ., MALL ll P (4 WI 7S i Di SONASIER t2 um ) uRi au. STALL, KASHOUT (4 UNITS? $ I NAL TAOUBN (Epal 2-FT. SE11 oN . It* MI NS (1 LSl6 (2 UNITS) J(It SINit ( 2 UMTS)' • .,,,, .JekSlMNQ WWI NE (RES.) t3 ON TS! . Kt 'DEN S S( WIF = wASTE'i SINK. EACH SET EF FAUCETS (3 1AtiTS) (2 maTS) JAYATt KY ( I UN T) _____ MATER CLOSET, TANG- cPERATED t4 UN1TSf L AVAT Ir, RAND R, BEAM' **Lost (2 UN815) KILTER C SOSET, VALVE- PERATED al tDUTS) um' , S*JI CI (a Uti'TS) 111th T1 Y (2 UNITS) 9 x DEPARTMENT OF BUILDING 3 [C� � J (� 3 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 4/25/7R 19 Valuation $ 39,960.50 Fee $ 111.45 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that JObO Builders. Inc, has permission to build a residential Dw Classification S /Fad -li 11q Zone Owned by .Intic, Builders,, Inc Lot 26 _Block_4 S/D Sea :pray House No. 433 Helmsman Lane According to approved plans which are part of this permit NOTI-0ALL EE RMS t AND F E —0 OTINGS CONCR MUST T BE FO IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE •- -► I • ■ 0 Building material, rubbish and debris I Z from this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. 84.1 PI . L) _: )` "t 1' `"° Build of .'Ti F. ,a FOR OFFICE PERMIT JJ r g USE ONLY NUMBER DATE CONYRI►Cf'OR i ' °t �� PLUMBING ELECTRICAL SEWER WATER • Gille Aid* FOR OFF #CE USE ONLY Date 1 t f 19 7 CITY OF ATLANTIC BEACH permit # Fee $ 57) ) 1, � ' Valuation $ 3 9_i 4 3 80 . � FLORIDA House # 4%1. --_ 1)oic- .1,/ L ed. ez APPLICATION FOR BUILDING PERMIT l Mbo Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner - Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can be verified. Date / .� / 1 �/ , 19 Owner Vt7g6 a, ecte“ 7 " ; c J -� Address.... .. X ..... oL1� .L Telephone No. .._ s2l ! 1 7�. Architect AddresadA X F,1 J1.) / ? Telephone No. Contractor Builder a'� E' Address ,.1 '(n t Telephone No s � a ri ` Lot No. t) Block No. Sub Division SFa SP r-- �/ Zone ... J Pl415l i n AA 4411V Street A/ Side Between /7 u 4 7i L S' / and 56( ( / / 3 4 Sts. Valuation $ 3° 664) For what purpose will building be used /! e� Type e/+( c/feew /� ype of construction Dimensions of Building A_ 77 Dimensions of Lot 73 X /Q0 Size of Footings ' X d 0 Size of Piers Size of Sills Greatest Sill Span in ft Ty pe Roof 77 4 C r How will Building be Heated? EZ._P._C.. Will Building be on Solid or Filled Ground? 7'P ) PP Size of Ceiling Joists \ , Distance on Centers , Greatest Span PP Size of Floor Joists , Distance on Centers , Greatest Span Size of Rafters , Distance on Centers X , / Greatest Span This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot -lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W / W 2. When steel is in place and ready to pour columns and/or lintel. Z S�e Nck /1 S z 3. When steel is in place and ready to pour beam. 7 a 4. When framing is completed. o 5. When rough plumbing is completed, and ready to cover up. 3 6. When septic tank drain field or sewer is laid but before it is covered. q W A 7. Electrical inspection by City of Jacksonville. vi 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit •n for doing . w• k as described in the above statement, we hereby agree to perform said work in accordance with fed p l a n - which are a part hereof, and in accordance with the building regulations of the City of each. Signature of Builde Address , A, 3/40--/- Signature of Owner Address U P4s. 5 - , i'V (V if iry 1 af.lic'Pli '; VAI TER f5 3/4" tap ,I*EP Al 6 APPRE,c1-: PM 1 s itARGF. Oi 85.00 + 4.00, const. water ;TA t 3,,Ijg lrap,Ara n„ , , 26 P4en:°P 4 :460 r 510if Semp.rax _ T H. Ag m b ,, 4 0/ Alge 4111111r ipir> - 744:11ttr.4 1 . 11 4, 1 4-9 P.0 Box 23452 Jax. FL 32217 1 40ME S im ;VA rr 2 — 7 40C 1 r 7 A,r r 6 0 6 72e. co a . . , a . ' CITY OF ATLANTIC BEACH , . CODE VIOLATION FORM Date / . Address and/or Location of Violation 4 7 e :53 /4 / .. COMPLAINT Owner and/or Tenant of Property SIGNATURE OF ODIVLAINANT Phone/,& • ADDRESS . 411110 Date of Investigation - `-' Investigator 4/ 4°' Conditions Found • Action Taken 4 0211 , ' '' ' • 4°P• , • . Compliance • ' . ' NCTES: • • • • . . , p 292 i: im y ge2n1 7- 33 / ee s 3 ,, e s _ e _,,,i 2 ,,,,_ il / e t ..--- ,a...„a___ 94-- / - , / nz ; I I ; ' 1 ; ; ? / 4 ; ■&la■ 1 X pit . 0 ' fei ' 1 ; 1 ) T i . . 6 .4&.-' 6 I : ; I ; ' e4 L ; g 0 f . 4 i 21; 9I C ' d'' 1 ' ;' ;4 ■1Y1 j ee• ,, & S i ef . 2 4 e■ 4 ... a . 0 1 ; 1 ' ; z' l4 C./ gg 1; 0 20 egati efl; I ! 59 I ! i I f"'&64 Aieti 1 3 5 c/ ! 1 1 es-f- GLI AlSer- Ca a. 8 - 1G94 ,5 7 0 C M-I- , . I ii !I i i 6 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH . PE .... _ RM T I NPt R1!4AT ON - LOCAT I 014 INFORMATION Permit Number: 6734 .Addy -s$: 433 HELHSMAN LANE Permit Type: RE ATLANTIC SEACH, `FLORIDA 32233 `it LEGAL DE l ass of Work : N RIPTIC N f` Const °, Type: WOOD FRAME Lot: R1a k: Sert .on: Pr p9 ed Use. SINGLE FAMILY vwe i..n : 1 Co Subcli Coots 0 `T 01,2; 1 p RIYC : n f Estimated Value: v n Improv . Cost : $Q .00 Total Fees: 822 u Arrmont ;- + '" $ 22 .50 t �/ 3/ 93` work ,f D3 ROOD' WITH 20 YEAR FIBERGLA SHIN 3LES\ Rta 1 014 - 4 w R , -4 4 �. �,w *if! .+. �w..w r CAT ION PERS Asld � # „ "U 4 4. , a r PERMIT 822 .50 AEI LANE WATER IMPACT FEE 84.00 p 3 .: CH FLORIAA SE ., " IM,PAC t. FEE SO 04 zu �; 5A � ,. a�' aw i�f r . vA fr' y«! s r „4 cN n of to RADON GAS - B R S. 8G : 0 0 ; k .. O ORM I RADON CAB 5% $0 00 7 Nam BB .NO WA T C 1TOM N - AP $C} Y 41 �,� ,... ..._, ,�... STREET w.. , SE , TAP qn O.4? ,. LIFE, .FL 32217 HYDRAULIC SHARE SO,00 Licen RCQ 3 Type 0 RE- INSPECT PEE 80x.44 G ' SEC, .H IMPACT FEE ' a"k '�':oi•,. ..,,Y .3d,� ,. 'H ” �a�a, aaMxe w,.; r r " S s ' 1 1 ? a ., NOTES: NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID'SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT SE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED " AND HAULED AWAY.,BY EITHER CONTRACTOR OR OWNER "FAILURE TQ COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ,.t.e ! f�U + " <1, T.I ISSU ACCORDING TQ APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT jEVOCATION s Ff. O444Q 54 ICI 'VIOLATION OF APPLICABLE PROVISIONS OF LAW. . �t'F IIIIr Est ATLANTIC BEACH BUILDING DEPARTMENT By , IhisIr"A} ref,