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Permit 480 Irex Road DEPARTMENT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA Date - S lc,( 7� Permit #,/ i f Fee 8 . L- Ap for Permit for Valuation $ 4'F Miscellaneous Alterations, HOUSE # } and Repairs DESCRIBE: t tt " C NA114,1 L I N & Fs 3' Pe c . :1 ---- (State if to repair, alter, add to or move building, erect sayings, e, signs, etc.) Building on; Lot No. // Bik No. // Sub..Div. �. Address 40r0 I'Ae,}c Rct. Valuation S "aj$, i%Z ,- Name J ss Ae ,C , kl' r"�4t•e,�.: BUILDINGS AND OCCUPANCY Building Use - Residential or Business What Plumbing work to be done? r , Size of Present' Bldg- Sire af. txtensi.on Ito. of stories now altered ltered Lot si Material of Present B�i, Ma Material' of roof ;terial of Extension NECESSARY FS . TO BE SUBMITTED HEREWITH Oil+ B #7 R OR GASOLINE EQU±PMENT Name of oil Burner or Gasoline Pump Type or Model C'',4/N i/N Name and Address of Manufacturer In connection herewith, application is also made to install; gal. capacity tank (s) made by of �' • _ ground gagge metal �(Unlr .ar Above) (Name of Manufacturer) �`Uro r or Above) (Inside or Ouacide} of building. For y , (Name of Purchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK S IGNS Sixe Classification (State whe er groun., r oo , wa , pro ec ng, ex`s Material of : Construction illuminated? Type of illumination Will sign be over p blic pro er ? 4s tate whether Lamps or Neon) SUBMIT PRAWI�N,'SROWXNG CONTRU N OF SIGN AND METHOD OF HANGZN9 WRITE ADDITIONAL INFORMATION BELL - t" ,s (For canvas awnings provide dimensioned drawing on r , .ide) 4 , x:1, IMPORTANT NOTICE: ' In consideretio of permit given for doing the, work as described in the above'stateme t, we hereby. agree to perfprm said work in accordance with the attached plans and specifications, which .a e a ; p part hereof, and in accordance with the building regulations` of .', , City of Atlantic Beach, (Southern Standard Building Code). ' Signature of Builder or Owner Ad4xsss s tx Phone No. -;5.-7-1-r,-- CITY OF ATLANTIC BEACH, FLORIDA Approvwd by APPLICATION FOR ELECTRICAL. PERMIT ), y Et ,' c 2 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: `1 19'90, 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. II III \ tit �//!/1 - o' LILL%..�,. 4 I , 1 __ i Ik, 4:AV -, tea. /L.../W — ELECTRICAL FIRM: / MASTE ' = ECTRICIAN /1) NATURE '/ JOURNEYMAN NAM I ADDRESS: tzs ? RFD BOX BLDG. SIZE BETWEEN: RES. (i)" APT. ( ) COMM. ( 1 PUBLIC ( ) INDUS. ( 1 NEW ( ) OLD (--) REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SG. FT. SERVICE: NEW ( ) INCREASE ( 1 REPAIR 4-1'" FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE /5 AMPS / PH W A 3 VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 1 0-100 AMPS. ' OVER APPLIANCES 1 BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT 0-1 I OVER MOTORS H.P. VOLTAGE PHS NO, 1 H.P. VOLTAGE PHS MISCELLANEOUS _ p -- 1111 -- - -- Ap 6 i A CITY OF ATLANTIC BEACH F = s f 800 S ROAD - 13 . "�' ' "� . ATLANTIC BEACH, FLORIDA 32233 - „, INSPECTION PHONE LINE 247 -5826 ' -401119 Application Number 04- 00027595 Date 1/27/04 Property Address 480 IREX RD Tenant nbr, name REPL HVAC Application description . . MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor FLETCHER, VAN MURRAY SERVICES, INC. 480 IREX RD 802 PARKER STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32206 (904) 260 -3499 (904) 765 -3913 Permit W /W /O MECHANICAL PERMIT Additional desc . Permit Fee . . . 158.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 158.00 158.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 158.00 158.00 .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. f' B UILD Thk • � ` , IAL - . 0 �s , ,''so CITY OF ATLANTIC BEACH 1 '' MECHANICAL PERMIT APPLICATION c Date: 1- )- Property Address: 4-kb .-1- g > 4 R.A - Owner: f { t. -, l Telephone #: S ' 0 9 - 6 M u rrc Se (✓ c -'s '' C- Telephone #: 3S 3 d v Contractor Address: ?"J)- PA'2 k e( 51 Fax #: 5S C, S Z z- z In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work m accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site, list the building permit number: Al Electric ❑ Gas: _LP _Natural _Central Utility ❑ Oil ❑ Other — Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK )5 Heat _ Space _ Recessed XCentral _ Floor .ti9 Residential >C1 Air Conditioning: _ Room _Central ❑ 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) A 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 LIST ALL EQUIPMENT AIR CONDITIONING, REFRIGERATION EQUIPMENT & CONDENSOR'S Approving Number Units Description Model # Manufacturer Ton' s Agency ( 14 eaTA , — P e14 (o Jc ,,. 1 , rdi- 3 HEATING — FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Approving Number Units Description Model # Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many & Dimensions Contained Manufacturer No. Agency 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.cLatlantic- beach.fl.us , eT� T G,r►� o b . . ►yq��./ bc5e c95 - 3S 's '� , ,, CITY OF ATLANTIC BEACH J 1 : . .m+:� a ' r S� .. ��. y 800 SEMINOLE ROAD `- ) ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 09- 00001016 Date 7/14/09 Property Address 480 IREX RD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc service upgrade Owner Contractor ALL CITY ELECTRICAL CONTRACT. 13768 WEBB ROAD JACKSONVILLE FL 32218 (904) 714 -0131 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . 95.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 1 /10 /10 Fee summary Charged Paid Credited Due Permit Fee Total 95.00 95.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.00 95.00 .00 .00 ......2.)4. /„.. \ A (dIA .---------.1 74 - 1 I ID 1 4rfd l . -OS‘' PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r ..,! ..Allii,,,,, , CITY OF ATLANTIC BEACH 09� I L I I I : 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 ~ OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 BUILDING - DEPT ©COAB.US .P,�!�N ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRESS: 2. IS THIS A SUB PERMIT: 3. DATE ' NO � ,may _ ) _ ES PERMIT #: '7- / 9 - 01 �v �-lL� ��� PROPERTY OWNER: 4. NAME: 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6. PHONE: ELECTRICAL CONTRACTOR: 7. NAME OF COMPANY: f 8. ADDRESS.. ff io e f f G t.4.4, t.e- /� / C , /,,,, h✓ S /31(v `( j-JP h 4 /t�c�t . )c 1 r ' 32.2 / 9. STATE O FLORIDA LICENSE NO: 10. CELL PHONE: l 11. FAX NO.: /3 /6 / x ' 7 4 1 . 7/ /7 - c.�Ca,:Z 12. EMAIL ADDRESS: 13. OFFICE PHONE: 14. � (u51, e..kr 411e_� y � ( tcitir° ,- - CarA '7/ 4 1- J 3 i &ico t," 7G 015. Application is hereby made fo 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 • e after work is commenced. CONTRACTORS SIGNATURE: ./ 16. CLASS OF WORK: 17. SERVICE: 18. METER NUMBER: ❑ MULTI FAMILY - # OF UNITS: ,g{2ESIDENTIAL ) (SINGLE FAMILY ❑ TEMP SERVICE ❑ COMMERCIAL ❑ ADDITION ❑ TRAILOR 19. BUILDING: 19. CURRENT CODE: ❑ ALTERATION ❑ SIGN >COLD ❑ NEW %05 NATIONAL ELECTRICAL CODE ❑ REPAIR ❑ POOL / SPA ❑ REWIRE ❑ OTHER: LIST ALL ELECTRICAL WORK: 20. TYPE OF SERVICE: OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: / XPOWER IS ON ❑ POWER IS OFF 22. SIZE OF CONDUCTOR: I/O AMPACITY: , UU ❑COPPER 1,KALUMINUM 23. SWITCH OR BREAKER SIZE: AMPS: .2 C CC) PH: / W:.. _ VOLT: ,2 RACEWAY SIZE: r ' 24. EXISTING SERVICE SIZE: AMPS: X00 PH: / W: 3 VOLT: A 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: ❑ 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: 31 -100 AMPS: OVER 100 AMPS: 32. AIR CONDITIONING: # 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: 35. MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: /� S e-r1/ 1 C., 4 2_ l/( r 'A 60e_ BLDG02 Permit Application Elec : REVISED: 12/182008 •} CITY OF ATLANTIC BEACH Y s -;...3 800 SENIINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 ' Application Number 03- 00027398 Date 1/12/04 Property Address 480 IREX RD Tenant nbr, name REPLACE KIT CTR BASE /TOP Application description . . RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 350 Owner Contractor FLETCHER, VAN W G PITTS COMPANY 480 IREX ROAD 3840 CROWN POINT ROAD - STE B ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 509 -0452 (904) 260 -3499 Permit W /W /O ELECTRICAL PERMIT Additional desc . Sub Contractor . ALL SERVICE ELECTRIC CO Permit Fee 140.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 140.00 140.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 140.00 140.00 .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 , T OF THIS PERMIT AN ,,,SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 14 ',, ' ,',.-.( ' \ BUILDING OFFICIAL sfr CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION r43` 1- 1 0 Date: ) — '2C) Property Address: / 126k IO Owner: F l C / /e-e. Telephone #: Contractor: A L 1 S Ulc6 eucti € /C" Telephone #: 7 1e./ 's a Contractor Address: /S 5 wJr / i Lo& 41/6 Fax #: •7 YS - Quo 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. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New 4 Residence ❑ Temp. ❑ New being done on this building Or site, list the building Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re -wire ❑ Addition Sq. Ft. ❑ Repair e)'7 : , r?s Conductor Size: AMPS: COPPER ❑ ALUMINUM ❑ Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS /60 PH I W 5 VOLT2 /6 WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED • OPEN 0 30 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 I A' )2. 7.-Al 30 la 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 11/011,6-e Ou j' t;0 P 1'11c u & 007 / 5c t ILG 14 Xei oi i)1e-ic°(" C, i, 806 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us , 1 rj4 e ` t , CITY OF ATLANTIC BEACH '' ` , 800 SEMINOLE ROAD LLy 1,-) ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03- 00027409 Date 12/16/03 Property Address 480 IREX RD Tenant nbr, name RE -PIPE 9 FIXTURES Application description . . PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor FLETCHER, VAN JERRY'S PLUMBING 480 IREX RD 4745 BELLADONNA ATLANTIC BEACH FL 32233 PITTS, JERRY EDWIN (904) 260 -3499 MIDDLEBURG FL 32068 (904) 307 -7574 Permit W /W /O PLUMBING PERMIT Additional desc . Permit Fee . . . 196.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 196.00 196.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 196.00 196.00 .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. ,. c ' 1 . +.. . . BUILDING OFFICIAL 4 ,� ` CITY OF ATLANTIC BEACH PLU MBING PE RMIT APPLICATION l{ i Date: f 2 - (( -O3 Property Address: / t„ ,122 x Owner: J ���� ` _j / Telephone #:30 1 1 5 f Contractor �` ; Telephone #: 3o7 - -75-1' I Contractor Address: L / 7 ?5 Q_)1 l ( 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 Code. Plumbing Type: / If other construction is being La O � /New list the building permit numt d/ Re -Pipe Number of Fixtures: Bath Tubs / Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory J Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: 13- 'sta X $7.00 + $35.00 = 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800. Fax: (904) 247 -5845. http : / /www.ci.atlantic- beach.fl.us _.b . .. .ti - i.itwcitsee Letalls Page 1 of 1 N. ....r.f1 ::: , '-'''' - ' ' t , - '.1 * ''''' 10 ' ° iiii ' ' 4 . Log On DBPR Home 1 Online Services Home 1 Help 1 Site Map i lik Public Services 03:38:05 PM Search for a Licensee Licensee Details Apply for a License View Application Status Licensee Information Apply to Retake Exam Name: PITTS, JERRY EDWIN (Primary Name) Find Exam Information JERRY'S PLUMBING (Alternate Name) Find a CE Course Main Address: 4745 BELLADONNA File a Complaint MIDDLEBURG, Florida 32068 AB &T Delinquent Invoice Lic. Location: 1826 SHANNON LAKE DR & Activity List Search MIDDLEBURG, FL 32068 i t User Services Clay Renew a License License Information Change License Status License Type: Certified Plumbing Contractor Maintain Account Rank: Cert Plumbing Change My Address License Number: CFC048491 View Messages Status: Current, Active Change My PIN Licensure Date: 09/29/1989 View Continuing Ed Expires: 08/31/2004 e L View Related License Information L Term Glossary View LicenseCom_plaint ri ) Online Help � New ea aE 1 Terms of Use 1 1 Privacy Statement 1 https: / /www.myfloridalicense. com/li censing /w113 . j sp; j sessionid =HB OGHPFJGDMFkKj 9... 12/11/2003 ., ,.,,,,t...._, j - ? �\ r° CITY OF ATLANTIC BEACH " , s 800 SEMINOLE ROAD . , ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 S4 '011 •W Application Number 03- 00027398 Date 12/16/03 Property Address 480 IREX RD Tenant nbr, name REPLACE KIT CTR BASE /TOP Application description . . RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 350 Owner Contractor FLETCHER, VAN W G PITTS COMPANY 480 IREX ROAD 3840 CROWN POINT ROAD - STE B ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 509 -0452 (904) 260 -3499 Permit BUILDING PERMIT Additional desc . Permit Fee . . 35.00 Plan Check Fee . . 17.50 Issue Date . Valuation . . . . 350 Fee summary Charged Paid Credited Due Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total 17.50 17.50 .00 .00 Grand Total 52.50 52.50 .00 .00 A ,r 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 .411i) WHICH PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. C / BUILDING OFFICIAL Cc: „ CITY OF ATLANTIC BEACH ). Fora Higgins F BUILDING / ZONING DEPARTMENT L -. A 800 Seminole Road s"y Atlantic Beach, Florida 32233 (904) 247 -5800 1 (904) 247 -5845 Fax 13'x PLAN REVIEW COMMENTS Permit Application # ' '13 Property Address: V-0 - Applicant: V/1 a4z Go Project: G∎ Le � � eis -C �", C D r This permit application has been: Approved El Reviewed and the following items need attention: Please re- submit your application when these items have been completed. Reviewed By: 14 Date: it It S / 0 FROM JOAN & VAN FLETCHER FAX NO. :904 551 -5238 Dec. 09 2003 02:20PM P2 1m liemPr CITY OF ATLANTIC BEACH y n BUILDING PERMIT APPLICATION (FOR INTERIOR REMODEL) • Date: ! 4$7-- 0 3 Job Address: 4d Owner of Property: (.44/v -t/- Address: ��i i /r7 #/ i i i c -SOA, tr Telephone: 94 c f — & — a Legal Description: Block Number Lot Number Zoning District: Contractor: W 5 Pi f'fi3 "'NI ,, 7 State License Number: Contractor's Address: 3 7 Cr a n.�N Po w t- / t 4.0. i l-e- 6 Telephone: '..(o 0 — 3 117 Fax: 2-( o `"C 0 Describe proposed use and work to be done: f�/���' /1 / fotg,/1 C0 j e A -/IAA 43.,(i Jt c - GPs Present use of land or building(s): Valuation of proposed construction: .3 -Sb -4. d New electrical or increase in service? /1/A- Add plumbing fixtures? Add fireplace? f1 /a Add heating/air conditioning? Is approval of Homeowner's Association or other private entity required? a if yes, please submit with this application. 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. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and two (2) complete sets of construction plans to the Building Department. which is located at the Atlantic IIeach City Hall, 800 Seminole Road, Atlantic Beach. FL 32233 Telephone: (904) 247 -5K26 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. I hereby certify that all information provi with this appli on is correct. Signature of Property Owner: Dare: 1 hereby certify that 1 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 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 Fax: (904) 247 -5845 • http : / /www.eLatlantk- beach.tl.us Page 1 Revised 1 /15/03 FROM,: JOAN & UAN FLETCHER FAX NO. :904 551 -5238 Dec. 09 2003 02:20PM P3 ' -7- OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: Job Address: CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU. AS THE OWNER OF YOUR PROPERTY, TO ACI AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF, YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING, YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF 525,000.00 OR LESS. THEJ3Uj1JNQ1 MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BIJTLT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YCZjl MAY NOT HIRE. AN UNLICENSED PERSON AS YOUR CONTRACTQ& YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT 15 YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE 1. EMPJ.yv) WY YOU HAVE LICJ.NSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2.000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY 1j RF UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIME WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWJJ_F,RS MAYJ}f LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS•WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS 'T'HEY EMPLOY ON THEIR IMPROVEMENT TRADES. ]_L10ENSE1) CONTRACTORS CANNOT BE EMPLOYED UNDER ANY C RJ UMSTANCES. OWNERS BEING SUBJECT TO 55.000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OC ©JPATIQNAL LICENSE" IS NQI ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER - BUILDER PERMIT. PROPERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS IO4IDAY OF £.ei'QfraGt) 20, 7 h 1/.1.1 L ETARY PUBLIC MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. -0'1°44 KAREN K. MATTHEWS snip MY COMMISSION # DD090593 "'tor n pa EXPIRES: February E0, 2006 1- 8063 - NOTARY FL Notary Service 8 Bonding, Inc �� �' �� � � � e CITY 4 , , M s OF ATLANTIC BEACH I�� s� p' `"`'- ? 800 SEMINOLE ROAD J ...# ,, � t :... ATLANTIC BEACH, FLORIDA 32233 ,,� INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03- 00027142 Date 11/03/03 Property Address 480 IREX RD Tenant nbr, name REPL TWO EXT. DOORS Application description . . RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 600 Owner Contractor FLETCHER, VAN OWNER 480 IREX ROAD ATLANTIC BEACH FL 32233 (904) 509 -0452 Permit W /W /O BUILDING PERMIT Additional desc . Permit Fee . . . 70.00 Plan Check Fee 35.00 Issue Date . . . Valuation . . . . 600 Fee summary Charged Paid Credited Due Permit Fee Total 70.00 70.00 .00 .00 Plan Check Total 35.00 35.00 .00 .00 Grand Total 105.00 105.00 .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 t" 'J ., \ ; ` CITY OF ATLANTIC BEACH r4 , _ 800 SEMINOLE ROAD , , ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 t'- c _Js3 -` Application Number 03- 00027159 Date 11/03/03 Property Address 480 IREX RD Tenant nbr, name RE -ROOF Application description . . ROOF Property Zoning TO BE UPDATED Application valuation . . . 2500 Owner Contractor FLETCHER, VAN AlA ROOFING INC. 480 IREX ROAD 1700 SOUTH SAN PABLO #1011 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 509 -0452 (904) 249 -6999 Permit ROOF PERMIT Additional desc . Permit Fee . . 136.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 2500 Fee summary Charged Paid Credited Due Permit Fee Total 136.00 136.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 136.00 136.00 .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: j , r r.� X -,��, CIT OF ATLANT BEACH D. Fo � `' � , BUIL / ZONING D '' 800 Seminole Road S. oe r_ aE... s Atlantic Beach, Florida 32233 .., (904) 247 -5800 f G•t; (9 04) 247 -5845 Fax P LAN REVIEW COMMENTS j d Permit Application # D - 2-7 [ 14-2— Pro a Address: Applicant: �t-ETc l - t - j,2- V A- OJ Pro ject: 'PL a �X i • 'Dc"'"' -R`j This p erm it app li c ation has been: App Reviewed and the following items need attention: El F Y .F y. yv r te_ .�£' �` ,,r .e`w as ' " i ,. ,a 1 6 e r :` s r tq ,; �� � f a -# ., d Pleas re- subm your ap pli c ation when these items have been complete Reviewed B Date: roC �� • • CITY OF ATL1a_NTIC BE•A.CE PER.MIT.CALCULATION. SEEET Address & ._l_ r Date /e i ��` �E Heated Scruare 1 L,,,_ � � . ' Foafi _age @ $ ner sq ft ..= _ $ • . Garage /Shed , @ $ - r per .sq ft = .$ Carport/Parch \ 1 ■ - T @ $ - �! per sq ft .- $ Deck 4....______@ $ Der sq ft = $ Patio @ $ - oer:sq ft - $ 1 TOTAL VALUATION: • .Total Valuation e $ � -- 5 Va 1st $ t c'c ! $ I Q Remaining Value . $ per thousand :or portion thereof • TOTAL BUILDING FEE $ 4/5 —, 1/2 Filing Fee $ • (. ) . F @.$15.00 $ BUILDING PERMIT PEE `` WATER IMPACT .FEE $ • SEWER IMPACT'.:. FEE .$ . WATER METER /TAP. $ 'CAPITAL IMPROVEMENT. $ • SEWER TAP • .$ • ( )•RADON (HRS) .0050 $ • • SECTION H PAVING ( ) $ • .HYDRAULIC SHARES $ • CROSS CONNECTION. • $ ..( ) SURCHARGE .0050 0 $ • 'OTHER $ 00 GRAND .TOTAL DU G � _ 13 .. ADDITIONAL PERMITS OR Mechani .FEES :. ' ..Plumbing Electric /New Electric /Temp ;Swimm;ngpoo1 •Septic Tank Well • Survey S ign_ Finish Floor Elevation . Other CALCULATIONS and /or NOTES: c � : CITY OF ATLANTIC BEACH o BUILDING / ZONING DEPARTMENT ! 9s ns r # ! 800 Seminole Road S. fi4 r 4 Atlantic Beach, Florida 32233 (904) 247 -5800 tri (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # 03- - ro'7 f S c Property Address: " I O Z" p X R r Applicant: Ain Rp0Ct n Project: p - ror F This permit application has been: Er Approved El Reviewed and the following items need attention: Please re- submit your application when these items have been completed. Reviewed By: L-1-1— Date: 1C' ' - C ` ° ' 1 � r Q 4,- CITY OF ATLANTIC BEACH 1- v i c 800 SEMINOLE ROAD 6, • tt l � 2,. ATLANTIC BEACH, FLORIDA 32233 -5445 T (904) 247 -5800 FAX: (904) 247 -5805 :7 SUNCOM: 852 -5800 http: / /ci.atlantic- beach.fl.us October 1, 2003 Mr. Van Fletcher 480 Irex Rd. Atlantic Beach, Florida 32233 Dear Mr. Fletcher, Our records indicate that you are owner of the above property in the City of Atlantic Beach. Investigation of this property discloses that permits for new roof, front door, plumbing, and interior remodel have not been issued. Failure to obtain a permit as required per Florida Building Code, Chapter 1, Section 104, will result in the case being turned over to the Code Enforcement Board. Under Florida Statute 264 the City of Atlantic Beach may impose a fine of up to $250.00 a day. the ,edin - rear - d t rep -1r-, •-r ' • - - sari uu ,. • C•'e, 1497 di on. Thank you for your prompt attention to this matter. Regards, L - �-- Larry J. Higgins Deputy Building Official Cc: Don Ford, Building Official Alex Sherrer, Code Enforcement Official file Luvai k,uuiity rroperty Appraiser - Parcel Summary Page 1 of 2 iity PA1ICEI. INFO1IMil'IION Owner's Name: FLETCHER , VAN Secondary Name: Real Estate Number: 171428 0000 Property Address: 480 IREX RD Mailing Address: 480 IREX RD City: ATLANTIC BEACH JACKSONVILLE , FL Zip: 32233 Zip: 32233 Unit Number: PARCEL DESCRIPTION (Property Use: 0100 SINGLE FAMILY ''Sale Date: 8/15/2003 I Legal Description: 31 -16 38- 2S -29E R/P OF PT OF ROYAL PALMS UNIT 2A LOT 11 BLK 11 - Sale Price: $90,000.00 (Neighborhood: 943807 ROYAL PALMS (Section /Township /Range: 17 -2S -29E ('No. Buildings: 1 I (Official Record Book and Page: 11333 -1911 'Heated Area: 1424 I (Map Panel: 556A4 'Exterior Wall: CONCRETE BLOCK I VALUES AND TAXES FROM 2002 CERTIFIED TAX ROLL Land Value: $16,800.00 Taxing Authority: USD3 Class Value: $0.00 'County Tax: $488.08 Improvements: $54,200.00 School Tax: $593.49 Market Value: $71,000.00 District Tax: $225.22 Assessed Value: $71,000.00 (Other Tax: $35.53 Exempt Value: $0.00 Voted Tax: $41.19 Taxable Value: $71,000.00 Sr. Exempt: $0.00 Sr. Taxable: $0.00 Total Tax: $1,383.51 I Printable Version I 2003 Proposed Value Additional Links: http://pawww.coj.net/pub/property/RENO.asp?RENUM=171428+0000 10/1/2003 ti , r ? t An," , 111 , CITY OF ATLANTIC BEACH ,: 800 SENIINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 -Jxfl Application Number 03- 00027064 Date 10/10/03 Property Address 480 IREX RD Tenant nbr, name REPL WINDOWS Application description . . RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 1680 Owner Contractor FLETCHER, VAN OWNER 2615 CRYSTAL COVE CT (904) 509 -0452 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 40.00 Plan Check Fee 20.00 Issue Date . . Valuation . . . . 1680 Fee summary Charged Paid Credited Due Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total 20.00 20.00 .00 .00 Grand Total 60.00 60.00 .00 .00 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 m l'A'�' -- , CITY OF ATLANTIC BEACH cc: D. Ford r'2 :).1 BUILDING / ZONING DEPARTMENT • 9 ..^- " j 800 Seminole Road S. Doerr J t i :" Atlantic Beach, Florida 32233 (904) 247-5800 itlIP' (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # 03 - Z77 0 (o '4-- Property Address: 48 J- (2 - RD Applicant: �L. t Ch P. t V/ Project: 'E.PL LkDI 1J` >0(3,. This rmit application has been: Approved 9 L. • 'e e ' a ' following items need attention: Please re- submit your application when these items have been completed. Reviewed By: - C Date: (t) . (C 't C' .- my ) rr Ji39 CITY OF ATLANTIC BEACH y4_ , PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS, SKY I GHT S AND GARAGE DOORS OF SINGLE - FAMILY OR TWO- FAMILY (DUPLEX) CONSTRUCTION Date: /0.- ! - O 3 Job Address: Z "I 0 l Lf� ^ 4- 'f�..,...2 L ,Sc) x Owner's Name: VAN Fie, fz- k- Address: D„(01 S C-Cy S L » - (7 Phone: 96N Soy o yea, Legal Description: Block Number: 1 1 Lot Number: / 1 Zoning District: foj P4-/ »? Contractor: 0 vtI Al - e ie State License Number: ,7`� Address: ' /3" Cr t7 57 4 eiv-e- C.-I Phone: 90'.-t - Soy ' City: , j , frdsAiv 00 ( State: Ff,I Zip: 15 1Ay Fax: Describe proposed use and work to be done: fig_ ff/}t' A 11 AAA' vf° 0 AXIS Present use of land or building(s): (00/tie- Valuation of proposed construction: R ?,t7'f)C4 di( > i,•i° ,IL•t. ; le Fe) . oO Is approval of Homeowner's Association or other private entity required? /4/0 If yes, please submit with this application. Building Data: Mean Roof Height / a (ft) Building Width 7 (ft) Building Length t_', f , (ft) Roof Slope F .. *Window Elevation from Grade L i ' (ft) Window Height !: a (ft) Z - c;✓ Window Width ..�i (ft) Measurement from corner of building to window < (ft) 4 C j 1 ® a ©© 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic - beach.fl.us Page 1 Revised 1/27/03 Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data, the following information is required: 1. Manufacturer's Test Report 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description /Type 5. Skylights Description /Type 6. Elevation View of Window Locations I hereby certify that all information provided /ZtPtionisect. , Signature of Owner: T� Date: �� / ��� I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of 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: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: VW r1e,- - /7 J Mailing Address: a. 6 /.S Cy $/4- Co vim. C-7"" Telephone: ?c"-1— S °Li - Fax: E -Mail: AS TO OWNER: Sworn to and subscribed before me this "7 day of DCiL.J , 20 Q3 . State of Florida, County of Duval Notary's Signature: //4_U-t cA. e ¢.r J rigs' MAUREEN KING `� .. MY COMMIS * DD 095080 I ,; ❑ Personally known tea• - . EXPIRES: March 31, 2006 ; [' Produced identification %;wo.. Bonded Nu Notary Pt c U aas ,A " - Type of identification produced �,.ZL FS 32— $1/ g —6 g — 5430- AS TO CONTRACTOR: Sworn to and subscribed before me this day of , 20 . State of Florida, County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 - Fax: (904) 247 -5845 - http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 1/27/03 §1606.1.4 Protection of o enin s. In wi glazing that receives positive pressure ninothe lower 60 feet s (18.3 e m) o in buildings shall be assumed to be openings unless such glazing is impact resistant or protected with an impact resistant covering meeting the requirements of SSTD 12, ASTM E 1886 and ASTM E 1996, or Miami -Dade PA 201, 202 and 203 referenced therein as follows: 1. Glazed openings located within 30 feet (9.1 m) of grade shall meet the requirements of the Large Missile Test. 2. Glazed openings located more than 30 feet (9.1 m) above grade shall meet the provisions of the Small Missile Test. EXCEPTION: Wood structural panels with a minimum thickness of 7/16 inch (11.1 mm) and maximum panel span of 8 feet (2438 mm) shall be permitted for opening protection in one and two -story buildings. Panels shall be precut to cover the glazed openings with attachment hardware provided. Attachments shall be designed to resist the components and cladding loads determined in accordance with Table 1606.2B. Attachment in accordance with Table 1606.1.4 is • permitted for buildings with mean roof height of 33 feet (10 m) or less where wind speeds do not exceed 130 mph (58 m /s). • • • r 1 TABLE 1606.1.4 WIND -BORNE DEBRIS PROTECTION FASTENING SCHEDULE FOR WOOD STRUCTURAL PANELS Fastener Spacing (in.) {1,2} 1 12 ft< 14 ft< 16 ft< Fastener Type 1 Panel 2 Span 1Panel SpanjPanel Span'Panel Span' ' < 4 ft ' < 6 ft ' < 8 ft ' 2 - 1/2 #6 Wood Screw {3} 16 16 12 9 2 -1/2 #8 Wood Screws {3} 16 16 16 12 Double- Headed Nails {4} 12 6 4 3 SI: 1 inch = 25.4 mm 1 foot = 305 mm NOTES: 1. This table is based on a maximum wind speed of 130 mph (58 m /s) and mean roof height of 33 feet (10 m) or less. 2. Fasteners shall be installed at opposing ends of the wood structural panel. 3. Where screws are attached to masonry or masonry /stucco, they shall be attached using vibration - resistant anchors having a minimum withdrawal capacity of 490 lb (2180 kN). 4. Nails shall be 10d common or 12d box double- headed nails. • ' 4 Quality Accuracy Assurance 41) ' Fenestration Testing Laboratory, Inc. 1677 West 31st Place Hialeah, FL 33012 Phone: 305/819-7877 fax 305/819 -7998 e -mail: ftldade®aol.com www.ftl•inc.com APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE Lab. Number 3079 OCT 10 2003 Apr1130, 2001 Report Number 13 File Number 01 -102 BY: L..------- Page 1 of 3 A-4266 OFFICIAL TEST REPORT MANUFACTURER: Kinco Limited DESIGNATION: H -LC50* - 53 X 63 ADDRESS: P.O. Box 6398 SPECIFICATIONS: ANSI/AAMA/NWWDA Jacksonville, Florida 32236 101/1.32 -97 DESCRIPTION OF UNIT Model Designation: Series: M -40/50 HP; Aluminum Single Hung Window ,! Overall Size: 4' S" (53") by S' 3" (63 ") high by 2.0 deep 41, 00" �i 4( Configuration: O/X -44114 � No. & Size of Vents: One extruded aluminum vent, 4' 2" (501 by 2' 8 3/8' (32 3/8 ") high MATEIIU 1AL CHARACTERISTICS to Frame Construction: Test unit has a flange type frame with butt joints and a white coated finish. Aluminum alloy is 6063 -T5, except where indicated. Frame • corners were fastened with two No: 8 by 5/8" pan head sheet metal screws. Fixed meeting rail was fastened at each end with one No. 8 by 5/8" pan bead.aheet metal screw. Frame sill has a 1.938" overall interior sill flange. Size of frame members are as follows: frame head 1.000' by 2.050 "; frame sill (alloy -T6) 0.938" by 2.062" by 2.188 "; frame jambs 1.188" by 2.000' by 1. 938 "; fixed meeting rail (ho ;;ow extrusion, alloy -T- 6)1.550" by 2.100' by 1.064 ". Frame members are solid extrusions, except where indicated. Frame members have typical wall thicknesses of 0.062 ". Vent Construction: Vent has butt joints and a white coated finish. Aluminum alloy is 6063 - T6, except where indicated. Vent corners were fastened with one No. 8 by 5/8" pan head sheet metal screw. Size of vent rails are as follows: top rail (lwllow extrusion) 1.500" by 0.984" by 2.050 "; bottom rail 2.062" by 0.812" by 1.500" by 1.624 "; vent jamb rails (alloy - T5) 0.937" by 0.812" by 0.322 ". Vent rails are solid extrusions, except where indicated . Extrusions have typical wall thicknesses of 0.062 ". Glazing: Material: 3/16" annealed glass Method: Unit is exterior glazed with 0.350" glazing penetration using a clear colored silicone and an aluminum rolled glazing bead. Daylight Opening: Clear opening of vent and fixed lite, 48 1/4" by 28 3/8" high. Weatherstripping: 1 aridly Description Location S ingl e r ow pile with integral plastic fin at vent jamb rails on the exterior and vent top rail i Single row vinyl flap at vent bottom rail Hardware: Ouantitj Description Location Two adjustable apring loaded plastic hook lock, with no I.D. at vent bottom rail. 9" and 44" from left marks Two spring and pulley balance, with I.D. No. BSI 129 MI at each frame jamb Two pia it balance rides, with no J.D, marks one at each end of vent top rail NOS REPORT IS SMMAR OR IO( NTTICA ODUCTS• .PPUBLICATION OF STATEN NTS. USION OR I COTRAO ' S FROM 0R RC OUR REPORTS. P OF ANY TESTED UR SEALS OR WITHOUT OUR E P$ Of THE OUALITIES OF SS PERMISS,ON, IS PROHIBITED abe- - OIIV1HOdSNVH1 11. 1 ON UVdeL: £O/8 /OL = Panr000u Lab. Ner 3079 Apnl umb 30, 2001 Report Number 13 File Number 01 -102 Page 2 of 3 A-4266 MATERIAL CHARACTERISTICS Hardware: (continued) Q NW_ t/ Description Location Four plastic face guide, with no I.D. marks two at each jamb rail of vent, 3 W and 29" from bottom Two balance take out steel clip, with no I.D. marks _ one at each frame jamb, 59" from bottom Weepholea: !wand Description • Location Two W weep notch one at each end of screen retainer leg in frame sill Four 1 W w notch at sat retainer 1 in frame si 3 W 21" 28" and 45 W from left Mantles: None Mullions: None Rafoforesment: Nave Sealants: Frame carters seams were sealed with s clew oohed silicate. Pads: One 2" long adhesive back closed cell foam•gasket at each lower frame caner, total of taro. Screen: Water resists= tests were oonducted with and without fiberglass mesh screen installed. Unit Installation: Teat Writ installed in a 2 x 12 wood teat buck with a 1 x 4 pressure.treated buck strip. Frame installed with a single row of No. 8 by 1 W flat head sheet Metal screws in frame head and frame jambs. Loostion of installation screws are as follows: frame head from the left, 4" and 49 "; frame jambs from the bottom, 2 3/4 ", 28 1/4 ", 34 1/4" and 601/4 ". There were no installation fasteners used in frame sill. Product Markings: None OFFICIAL TEST RESULTS Paragraph Number Title of Teat Measured Allowed • SECTION 4, OPTIONAL PERFORMANCE CLASS: 4.3 Water Resistance Test: (ASTM E547- 96/E331 -96) Passed with and without screen, no leakage 7.50 psf (359 pa) 4.50 (114) minimum 4.4.2 Uniform Structural Load Teat: (ASTM E330 -96) Passed Positive Load 90.0 psf (4309 pa) 45.0 (1144) minimum Deflection Permanent Set Reading at frame jamb 0.195" (4.96 mm) 0.015" (0.38 mm) Reading at frame sill - 0.310" (7.88 mm) 0.018" (0.46 mm) Reading at meeting rails 1.120" (28.48 mm) 0.057" (1.45 mm) 0.200 (5.09) maximum Uniform Structural Load Test: (ASTM E330 -96) Passed Negative Load 90.0 psf (4309 pa) 45.0 (1144) minimum Reading at frame jamb 0.200" (5.09 mm) 0.014" (0 :36 nun) Reading at frame sill 0.425" (10.81 nun) 0.017" (0.43. mm) Reading at meeting rails 1.098" (27.92 mm) 0.055" (1.40 mm) 0.200 (5.09) maximum 4111 aged `NOTiV 1 ON <- `Wd6L: L E0/9 /01. :peATeoeu Lab. Number 3079 • April 30, 2001 Report Number 13 • File Number 01 -102 Page 3 of 3 A-4266 continued :: Note: At conclusion of above tests, there was no apparent damage to unit, glass or fasteners. Reference Section 2: Results taken from FTL 3074; Report No. 1S; A -4268; April 30, 2001 Temperature: 79.0 F Barometric: 30.04 Teat Began • April 24, 2001 Tat Completed - Apra 24, 2001 Report Expires - April 23, 2005 Remarks: This test report does not constitute certification of this product, but only that the above test results were obtained using the designated teat methods and the performance requirements (paragraphs as listed) of the above referenced specifications. As per manufacturer, unit complies with section 3, material and component requirements. Detailed assembly drawings showing wall thickness of all members, comer construction and hardware application are on film and have been compared to the sample submitted. A teat sample will be retained at the test laboratory. A Dopy of this report and detailed drawings will be forwarded to the Validator. Note: When•load tests are performed on test specimens, they are covered with a 1.5 ml plastic sheeting to seal from air leakage, however, this has no effect on the test results obtained. Witnessed b FENESTRATION TESTING LABORATORY, INC. Mr. Luis Figueredo, P. E. Mr. Jay Wyrick Mr. Jim Puckett Mr. Mike Trent Roq Zavale Tes • Man Author of Report: Maric ruz Ayala Laboratory Technicians: Ralph Rodriguez / l Kinco Limited el 2 -ALI 41 r/ E e6ed !NOI1V1NOdSNVHL 1IWI1 ON <- `Wd6L: L e0/9 /OL :PeATeoed 4.z \ , ; 4,;*•• N., <Z,"---------*1 ,,,, -4‘;',, • ii .t- t ' i ';'› '"''''.. re ,v0r.7) r • il .1"''' „ = i c.) ;-: ■ '. ii 1 LU C ? ,......., . ' I • >-P 0 , z 0 . , 1 '• <... Oa 0 a ' e2 Ei ‘s..; ---TTT---41 . f 1 >.' ' / I^ ! ' . • n ef..../ .., . .. - - ir II 1 .... „„ , i 44 i - - - -..i.■-•' rC . — V (...—....., ! lo f t V...I I v% 1 ....,:4•"'.: - I - i 1 1 > 1 1 — ...I i •(•, A.- '••.; ( t• ‘ •-•'' \ ' 1* **1 t Y 1 ••••.......... • . 7'0 ; 30 4 .4 .............. I .„, .. i 1\ i • 1 1 , f ' ; 0 . f all i . 1 4 t \ , V • 4 ....--- ,: 0,-S' f, .:, f E . Ll .L" , .,. <.-...' i - 1 1 1 ,....1 ..1 l'I , .. ,; .3 126' .39 Sent By: NO LIMIT TRANSPCRTATIUN; 904 757 2297; Oct -7 03 9:54AM; Page 1/4 Equal Opp nali(y$l1ptoycr 3 w , DEPARTMENT OF PUBLIC WORKS Building Inspection Division April 15, 2002 4'4y • Kisco Ltd, 5245 Old Kings Road N. Jacksonville, Florida 32254 Attention: Jim Puckett, Engineering Manager Subject APPROVAL OF WINDOW DOCUMENTATION FOR WIND LOAD COMPLIANCE The product documentation submitted by Kim° Ltd. for windows and sliding glass doors to be installed within the jurisdiction with the the City FLORIDA BUILDING CODE 2001. o'We aan, has been reviewed for compliance pleased to inform you that the documentation has been approved. In accordance with our Bulletin G01 -02, REQUIRED WINDOW AND DOOR DOCUMENTATION FOR WIND LOAD COMPLIANCE, r On File" 9 /02, the product information submitted will be tiled in our office as We are returning two (2) set to you. Both copies of the signed and COMPLIANCE I lt ita on Dr have been stamped. X;EVI WED FOR responsibility to furnish your customers with for h 1 bin$ a fe$ible c pY of t li 5 document at the Drawings. The customer will be responsible uan. An job site for the City's Building Inspector's hbe attached "dry-in'' window AAMA or WDMA or. other approved certification label shall unit, clearly visible after the window is installed. in Should any changes be made to your product, including installation a� new ce with documentation shall be submitted laestions� please refer them William r»- Lyle at 904 - 630- Bulletin CU1-02. If you have any q 2351. REVIEWED BY: APPROVE* .Y: f 1 { I\ - -°J 'Mamas I Coldsbury, P. E., It'O Willli a m L. Lyle, R. A Building inspection Division Plans Examiner Supervisor AREA CODE 904 ! G10.11001 20 E. BAY STREET r JACKSQNVU1.E. FLORIDA 32202.3+01 " ' Sent By: NO LIMIT TRANSPCRTATION; 904 757 2297; Oct-7-03 8:544M; Page 2/4 -R ; -I `y t ... 4 4 li 1 ! ilk i 1 I �� . ;� P rn Ott .1 s �- i � . A yr A ..,g r --- 17_ a :. y • � � 1 11 ii �.: a it ■ " 04 \ 1 11543,01 r - 1 .1 i y k of 1!, 1 , i i t Ni yti 0 \r— 141 :,. .c. L____ ••••-, 4 : ■11111111. 1M / L tc,i ...,_ MI : id -% el • i ,Ai : i C.) \ B 10111111§441Aii$ ' S3i.. !p. ....,, n� t y al ( 0 _ ' � l s fe.aSY e Ib:4Ss 7stg r' ^ � � I) 1 11 lir r II ii ' S i r19.1101. Ol ri il 1 1, 'I r Z+ �', p i ti • 1�- . �ihT� �l.Titn hif 'IYi1�� �ihT r�iTw ♦M _ x Cl. Ct i Vz ° Ill sa till 1 a RS g E t8 ;, x IA l III i 1 II i 110 A i _ ' 1 i3 1111 12 : 1 4; . 41090: t COI9 100. !Panleomzt �AIr.Y I d l -a OasNVal -labial ON Sent By: NO LIMN TRANSPORTATION; 904 757 2297: Oct -7 -03 9:55AM: Pale 3/4 Hoe 1vetl: 7u/ 0/O3 4;O7PM; -f NO l_TMiI ftt. , _ oxibMw1Wk.ITC=7.8 All.....a."....I.M......"1"1"IMIN.1...111 W A AI r1 r r'1„ =1n r "«g Z w 1 1 v�7Dc �'1.C=rsizpm m _ V) M I II --i 3) Oliiiiiii0 SCf'1 in22 - + y ' 0 /sb iq o H V g ' m o n--it acs = r ac V z ,_, _, r1 r7 M M X�' r > CO � Tiy a rt r�i, S r M C4 I C ,,x C 7090 ti ! 0 S \ Ab A 6 4"" ij Y I ........1 i r 1 k RE' ° I 1 v_; 4 „ 1 I A 1i a n I a n Q X Z 1. a en p e rwwrw p e ■ p N 1.--L.4 x T • m 5 ( N c • A - -4 r td 4 1 r 1 1M T n at in r x 41-t TZ L. S .. r w 0�3 s7 m x 3. cb x t. 6 • oei By: NO LIMIT TRANSPORTATION; 904 757 2297; Oct -7 -93 Goceive5: 10/ 0/03 4:07PM; Nca ��,� ...�. _ 9:55AM; Page 4/4 r l 1 al 1 ! i will it ii i ' 1. Ir ilk I 1 1 k I : 1. 1 f l I ill i1 WI til 140 i I I M i I II ' � 10., pi NI , i .i . PA , nips - r , t N - hp., 1 I1 '' L ; ' i p i l � � � ��� I t I 1 Iti ;11 II i I if 14 n pi 4 I „ J ji t i IPI ii al, L ass II i g . 1 rf----. -...,*--i, --,------- ..--• --7.------Eittari -.=-- ;,.,- ." " ' ' a it . : li =� 3ir16 oLD ttlNDS IIOAQ 1wM n iwo4 3717. Q : : +.....rte+ J a- ,.+ . s FIA. � �a r. ► �,. r d ._ .. .. .... , . .... 1a M+4 ar -► rw� �► -owe ens , CITY OF v "Itletietic &ad 710 800 SEMINOLE ROAD t' ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE (904) 247-5800 FAX (904) 247.5805 June 15, 1992 Ms. Huttie Kitchens 480 lrex Road Atlantic Beach, FL 32233 Dear Ms. Kitchens: Our records indicate that you are the owner of the followino property in the City of Atlantic Beach, Florida: /77 a/k/a Lot 11, Block 11 Li Royal Palms Unit 2A fLF RE#171428-0000 2 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as tu constitute a violation of Section 23.36 of the Code of Atlantic Beach, and that there is high weeds and grass continuously present on the property. 4 You are hereby notified that unless the condition abov decribed is remedied within fifteen (15) days from the diitt_. hereof, the City will remedy this condition at a cost of the wulk plus a charge equal to 100 of the cost of the work to cover Cty administrative expenses, which will be assessed the property owner or occupant. . If not paid within thirty (30) days aitel receipt of billing, the invoice amount plus advertising coeie, will be posted as a lien on the property. Within fifteen (15) days from the date hereof, you may make written request to the City Commission of the ity nf Atlantic. Beach for a hearing before that body, for the purpose of showing that the above listed condition does not conotitute a public nuisance. Sincerely, Karl iiiewald Code Enforcement Officer DCF/pa cc: City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED ■ Y tNDER: Complete items 1 and 2 when additional services are desired, and complete items 3and4. Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this from being returned to you Th: r: fro da t rne . Fora. +t d r , ,,',.t : will ° card to c ec ox ver or additional servicejs) requested: services ou the nam of the .erpos delivered 0 owrttgsews are avai ab e. onsult postmaster or r and ees 1. Uk to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery (Extra charge) 3. A cle Addressed t.; Article (Extra charge) (-C:( e ,� ` a 1 4• fA Number ° Numbe J f� cQ/n,Q J a 5-5-- a C 0/17 �8o �' ` f �C OQC Type of Service: i a,, 7 ��� ❑ Registered 0 Insured e-&, c r - / M<ertified ❑ COD 322.1 l-1 Express Mat ❑ Return Receipt for Merchandise Always obtain signature of addressee 5. Sig ature — ' d�ressee r or agent and DATED —RED X ` 8. Addressee's Address (ONLY if requested and fee paid) S. ignature — Agent X 7. Date of Delive ‘ ,e). PS Form 3811, Apr. 11 7 *us.c.PO. 1989- 23e -815 DOMESTIC RETURN RECEIPT , DEPARTMENT OF BUILDING PERMIT NO. "� CITY OF ATLANTIC BEACH. FLORIDA PERMIT TO BUILD 7.51 THIS PERMIT MUST BE POSTED ON JOB 4 3 5 1 A ti ngtir r3V *WICK. Date 4, 6,87 19 4225 1 A 4/06/3' Valuation $ 454'00 F ee $ 7.50 ICl[l0 This permit not valid until above fa has been paid to City Treasurer, and h subject to revocation for violation of applicable provisions of law. This is to certify that Jesse Kitchen has permission to XXXI re -roof Classification Residential Zone Owned by Jesse Kitchen Lot Block S/D House No. 480 Irex Road According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS S AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 r.-- -- 11 O Building material, rubbish and debris -I from this work must not be placed in public space, and must be cleared up an. auled away by either con - t . cm owner. 1 t 4,-/ Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER -- � WATER ■ • CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT BUILDING OWNER JOB ADDRESS i (7 1 e + T[.. , y fre, LOTH BLOCK OR UNIT M SUIIDIVISION CUN'I'RAC'I'OR e P! TONE ADDRESS LICENSE NUMBER _ EXPIRATION JOB VALUATION L w �� MATERIALS: • 1 T SIGNATURE; OWNER / C DATE • • • SIGNATURE CONTRACTOR UA'I'L' • 4 • • • s CITY OF ATLANTIC BEACH, FLORIDA ® p►o,,.d S s APPLICATION FOR ELECTRICAL PERMIT 6) , , ,-.61 r.,,k 0,,Lzi - /TO THE CHIEF ELECTRICAL INSPECTOR: DATE: /1DI Al 19 ;P3 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. 0.11. It /Y1A/S Fleciri , r /'4,9Y1H 8/'Adl3eCii ELECTRICAL FIRM: iz is E3? E R IAN SI NATURE 2Z52 JOURNEYNIAP4 NAME /yrs. #4 en ADDRESS: 'JO .2r' X 1PnRl1' RFD BOX BLDG. SIZE BETWEEN: RES.1X1 APT. 1 ) COMM. ( ) PUBLIC ( 1 INDUS. ( ) NEW ( 1 OLD K REW. ( 1 ADDITION ( ) TRAILER ( ) TEMP. 1 SIGNS ( ) SO. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXST. SEF1V. SIZE , r AMPS PH W :3 ' VOLT :;, . CEWAY.., . I. N ' `"rg ' FEEDERS NO. SIZE NO. � SIZE ����4-v�m. LIGHTING OUTLETS CONCEALED OPEINI TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-30 AMPS. 31 -100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT ,�_ A-n 1 j/,f, 6 1. /O 0-1 1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 11.P. VOLTAGE PHS MISCELLANEOUS' a. IAIi re , r L.1 IN.klio• r 'Li) .41'r lien 4 titm TRANSFORMERS: UNDER 600 V, I I I OVER 600 V. DEPARTMENT OF BUILDING PERMIT NO. 5— C ITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 6/13 19 2•UU T Date 83 2�C1CKT I M ECHANICAL 22 F ee $ 41 uu I A 6/ 13/is Va $ ui o LI . U CAC This permit not valid until above fee has been paid to City Treasurer, and is di 4 subject to revocation for violation of applicable provisions of law. 41 a 1 A I,/ I ;/ OCEAN STATE HEATING & This is to certify that has permission t• 4, .0`I " 1. ■ - . . . CHANGE(}j3T Classification SINGLE FAMILY Zone Owned by e ui II I. Block _.--- -- - S/D Lot I House No. 480 IREX ROAD According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE I _--_-�� O Building material, rubbish and debris �♦ Fi from this work must not be placed j in public space, and must be cleared 1 . . .. auled away by either con - * tract owner. i - Building Official. FOR OFFICE NM DATE f CONTRACTOR USE ONLY I williMI PLUMBING 1 ELECTRICAL SEWER -- 1 WATER • BUILDING AND ZONING INSPECTION m ECTit�N DI�'ISII'3N CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR MECHANICAL PERMIT - IMPORTANT - fpplioent to complete ell items in soclions 1. H. 111. and IV. I. ,I LOCATION North, South, c id• of ".q.Y L Q OF Eest w ) (,,ddr,,,► bet,rse" (Int.r»a;t. t ___ Si. BUILDING Lot No Mock nq meets) Si. (Sash portion of lot if lass then N lot-Attach lag lagai description pot deed in duplica if n•e.».r) 1 1. TYPE OF PROPOSED MECHANICAL WORK . _. _ /111 epplicenh eompJwt Parts A - D �- - A USE OF SUILDING • RESIDENTIAL • E. PWNEASH1► I. One 4mily 15 • Privets (individuel, corporation. 11. ❑ Utility nonprofit institution, etc.) 2 . ❑ Two or more family -- Ent•, number of ►oar,. I. ❑ school. rorery. IL O Public (Ardent State or local 4ovor.n, ,f) other education•% 3. ❑ Transient, hotel, motel. C. NATURE OF WORK rooming house - Enter number of uni , 12 ❑ O ^*�unfifs 17. ❑ Nov, Evading. 4. ❑ Other raudenfial lie ❑ Existing Euildis •- 14. ❑ OTHER - SPECIFY Lj 19. /rJj/` Replace of existing system NON. RESIDENTtAI _ 20 . ❑ Now inrt•lIetion (N. system ► to ) -- __ _ 21. 1. ❑ Amusement. r•creation•1 ❑ Ext•w a adder to existing system. `. U I IYKA, O+I,er ►e1ioloui 71 11 nlh•r 6peci}r ..... 7. ❑ Industrial iar 5 • ❑ GaraQ service startler 9. ❑ Hospihl, inR titutionsl L TYPE OF PU11.DlN¢ M. (j Office. bens. professional 34. 0 Number of stories._ D. MECHANICAL EQUIPMENT TO EE INSTALLED 37• ❑ Wood /tense (Provide complete list of components on back of this form) 38 . Masonry end wood 23. Furnace: ❑ R eused 3 9. ❑ Reinforced concrete ❑ Specs Control 0 Root 14, Air Conditioning: ❑ Room 40- ❑ Stn,ctuml stars! Centre% 25. ❑ Duct System: Meferia! Thicknes 41 ❑ Other M.simum capacity 3- _____L_____ e.f.m. 24. ❑ Refrigeration T 27. ❑ Cooling *wow: Cap.city HIS SPACE CE POR OFF/CI USE ONLY ,I. ❑ Filo sprinkler: Number of heed• (R 2 9. ❑ Riveter ❑ M.nliff ❑ Esulefor -------- .._.._ (number) 30. ❑ 6.so1ine pumDl (AV mbef) 31. ❑ Tens. ( number) Remarks 32. ❑ LPG container ( number) 33. ❑ Unfired pressure sous! 34. ❑ toiler Permit Approved by Dear 35. ❑ Other -- Specify I•rmit F.� , • GENERAL INFORMATION 8. Type of hseting feel: ; ,� I • {/ IL] � KIhC IS OTHER CONSTRUCTION BEING DONE AN s 1