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Permit 780 Jasmine Street t CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J =' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 jilt Application Number . . . . . 08-00001292 Date 9/18/08 Property Address . . . . . . 780 JASMINE ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc re pipe and fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GAFFNEY, JOSEPH PLUMBERS INC. 780 JASMINE STREET 8437 ALTON AVE. ATLANTIC BEACH FL 32233 Q/A:RICHARD MANSEAU JACKSONVILLE FL 32211 (904) 724-1945 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . RE PIPE Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/17/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. k* '3o " 91 6 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: J&1n117e_ <57- Owner: �5/�'S"Ti4,� 4�i/'1-/ Telephone#: i�7 " Contractor: 24-?M�er5 1-Re. L�C di0j7-97 Telephone#: Contractor Address: J Y, Contractor Signature: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: XRe-Pipe Number of Fixtures: Bath Tubs Showers _ Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains / Washing Machine _J Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: i�?, ` X$7.00 + $35.00= _I D S 800 Seminole Road •Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800. Fax: (904) 247-5845• http://www.el.atlantic-beach.fl.us Revised 9106 tt�f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD � ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033577 Date 7/28/06 Property Address . . . . 780 JASMINE ST Tenant nbr, name . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2000 Owner Contractor ----------- ------------- ------------------------ DALLIMONTI OWNER 780 JASMINE STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2000 Fee summary Charged Paid Credited Due ---------------- - ---------- ---------- ---- --- --- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT is APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. . CITY OF ATLANTIC BEACH PERNTT CALCULATION SHEET Address O J R�5 vv, c ,mac C . Date e7Co Heated Square Footage @$�.—�--- per sq ft= $ Garage/ Shed @ $ per sq ft= $ ( , Carport/Porch �►� @ $ per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft= $ -TOTAL VALUATION: $ Total Valuation 1st $ �coy Rm aini g Value $,.5'per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ L{p ZONING:' _ + 1/g Filing Fee $ &M p FLOOD ZONE: ( )Fireplaces @$35.00 $ IlOPERVIOUS SURFACE: BUILDING PERMIT FEE $ 60 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT.$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ 1 GRAND TOTAL DUE: ® cJ r CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Routed to: >^ �~ S.Makowski Building Department Public Works&Public Utilities Departments . Higgins 800 Seminole Road 1200 Sandpiper Lane err Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R.Carper (904)247-5800 (904)247-5834 D. Kaluzniak (904)247-5845 Fax (904)247-5843 Fax Public Safety PLAN REVIEW COMMENTS Permit Application# b�Q 335-1-7- Property Address: t G�/�f Y 1. ��, vr} 1 1 l e Applicant: Project: �U 7J This permit application has been: CR"- Approved as noted by the OC,06-7 Department. Final application approval must come from the Building Department. EJ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: W-- Date: Date Contractor Notified: s!.,11 jam, CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION ,. ; Date: J T J ! `7 Z GS- PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: -7 g o 5,P, S A4 j A/-Cf-' S Owner of Property: S o1-I:^4 D A-L-L• A,"n Address: (576(3 1-"S'S At-0 14 o �' D Telepho - �E�- 7yZ- 62L7 Contractor: b LO Y1'e- State License N ber: 5t Contractor's Address: Telephone: Fax: Scope of Work: o t 9 S`7 a i r /t,� s-1-1 g,5 le's Deck Slope: 'VZ(L Greater than 2:12 Less than 2:12 Valuation of work: f w0 1 6 o v s /.)0 L oA--c j Product Name(Example: Timberline): C L,4 SS; L. 14 t Manufacturer(Example: GAF): o w E-s C-o �- ASTM Designation(s): /1 ST AA /� Z Z 8 Required Inspections: Shea ' Signature of Owner: Date: Jy L`'I 2 6 y�,r,6 AS TO OWNER: Sworn to and subscribed before me this Je4%. day of J a tA 20 _. 1 i ounty of Duval ,,•:�aY:%•, K. CUNNINGHAM Notary's Signa Z ¢ hEl PlyCE t o „q ff. COM48M#W 5239M oduced ident' NOINN Assn Type of identification produced F U Signature of Contractor: Date: 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 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.cLatlantic-beach.fl.us Page 1 Revised 2/21103 These laminated shingles are designed for new or reroofing work over any properly built and supported wood roof deck having adequate nail holding capacity and a smooth surface. UL Class A Fire Resistance and Wind Resistance Ratings When applied in accordance with these instructions,these shingles carry the Underwriters Laboratories Class A fire resistance rating,the top rating for residential shingles.They will resist exposure to fire in accordance with UL Standard 790.When applied properly,these shingles also meet UL wind resistance Standard 997.All laminated shingles have a factory-applied strip of special thermoplastic adhesive on each shingle.After direct exposure to the sun's heat,each course bonds securely to the course below(a matter of days in spring through fall seasons, in winter it varies depend- ing on geographical location,roof slope and orientation of the house on the site,in relation to the sun). Other Roofing Materials: Metal Drip Edges are recommended along rake and eaves edges of all decks. Underlayment is recommended for roofing over any bare deck,and is required for a UL Class A fire rating.Use only "breather type" material such as Asphalt Saturated Felt or Shingle Underlayment classified by UL as a Prepared Roofing Accessory to assure Class A fire performance and watertight performance from wind-driven rain. Nails must be galvanized, 11-or 12-gauge,with heads at least 3/8" in diameter.Staples must be 16-gauge minimum, 15/16" minimum crown width and sufficient length to penetrate 3/4"into wood decking or through APA rated roof sheathing.Staples are to be corrosion protected. All Fasteners must penetrate at least 3/4" into wood deck or completely through plywood sheathing. Notice: Owens Corning recommends the use of nails as the preferred method of attaching shingles to wood decking or other nailable surface. Plastic Cement where required must meet ASTM D-4586Type 11 (Asbestos Free). 1 Deck Preparation For Standard Slope Decks(4"in 12"or more) Application of underlayment,metal drip edges,and eaves flashing: (A)Apply one layer of underlayment over metal drip edge at eaves. Use only enough fasteners to hold in place. (c) Deck (B) Overlap successive courses 2".Overlap course ends 4". (a) Side laps are to be staggered 6' apart. Rake (C)Apply metal drip edge over underlayment at rake. (A) Eaves Note:Where ice-damming may cause leaks,apply Owens Corning WeatherLocke underlayment or equivalent eaves flashing at least 24" beyond the inside wall line.When using a coated smooth roll or mineral surfaced roll roofing,apply over the underlayment.When using a specialty eaves flashing product,follow the manufacturer's instructions. For Low Slope Decks (2" in 12"to less than 4"in 12") (c) Rake Application of underlayment, metal drip edges,and eaves flashing: 11311 (A)Apply 19"starter strip of underlayment over metal drip edge at eaves. Use only enough fasteners to hold in place. Deck (B) Use 36"strip of underlayment for remaining courses, overlap- (A) ping each course 19".Side laps are to be staggered 6' apart. (C)Apply metal drip edge over underlayment at rake. Note:Where eaves flashing is required apply Owens Corning WeatherLock underlayment or equivalent specialty eaves flashing product or apply a continuous layer of asphalt plastic cement between the plies of underlayment at least 24" beyond the inside wall line. 2 Shingle Application Apply shingles over properly prepared roof deck,starting at bottom of roof and working across and up.This will blend shingles from one bundle into the next and minimizes any normal shade variation. Laminated shingles are applied with a 6 1/2"offset.While a 6 1/2"offset is recommended,any repeatable offset pattern from 4"to 8" is acceptable.Caution must be exercised to assure that end joints are no closer than 2"from a fastener in the shingle below and that side laps are no less than 4" in succeeding courses. Refer to course applications steps for specific instructions. Starter Course (See illustration on next page) (A)Trim tabs off all starter course shingles. (B)Trim 6 1/2" off rake end of first shingle.Extend 3/8"beyond rake and eaves,and fasten. (C)Complete rest of starter course. Note:Start at rake edge. Use five fasteners for each shingle,placed 2"to 3" up from the eaves. First Course—(A)Apply first course starting with a full shingle,even with the starter course. Fasten securely according to instructions. Note: Complete course with full shingles.The fastening line should not be used for course alignment of shingles. Second Course—(B) Begin second course by positioning first shingle 6 1/2"from the end of the underlaying shingle, and flush with the top of the overlay tab(dragon tooth). (C)Leav*5 5/8"exposure,fasten securely,and trim excess overhang at rake. Note:Complete course with full shingles. Third Course-(D)Begin by positioning the first shingle 61/2"from the end of the underlying shingle,flush With the`top of the dragon tooth pattern. Complete by repeating step(C). Note:Complete course with full shingles. -. Fourth Course-(E)Begin the fourth course by positioning the first shingle an additional 6 1/2"from the end of the underlying �`/' shingle,flush with the top of the dragon tooth pattern.Complete <,,e,/,��'� by repeating step(C). (A),,-' Eaves Note: Complete course with full shingles. Fifth Course-(F)Begin fifth course by positioning full shingle flush with rake edge and leave 5 5/8" exposure.Complete by repeating step(C). Note:Complete course with full shingles.For succeeding courses repeat steps for second,third,fourth and fifth courses. IA► Trim f h 8'/d' ' (C) with rake3 b6/" Valley Construction A closed cut valley is recommended and is applied as follows: valley Liner s"Min. (A)Lay a 36"wide valley liner of smooth surface roll roofing or Extra Nail No. t5 Asphalt Plastic Owens Corning WeatherLock underlayment or equivalent product. underlayment Cement Fasten on outer edges only. (8) Lay all shingles on one side of valley and across center line of � valley a minimum of 12".Fasten a minimum of 6"away from center co'R,.r line on each side of valley. (C)Strike a chalk line 2"from the center line of the unshin led 9 side. . „ Apply shingles on the unshingled side up to the chalk line and trim, 2 Centerline taking care not to cut the underlying shingles.Clip upper corners of these shingles,cement and fasten. (D)A metal valley is an acceptable alternative.A woven valley is also acceptable for Oakridge®PRO 30 m(Oakridge®25) Fastening Instructions 4. Place fasteners 6 1/8"from bottom edge of each shingle and Standard Area High Wind, g Mansard or 1"from each end. steep Slope (A) Use four fasteners in normal wind areas. _(A).,121 ., tBl, ,•, (B) Use six fasteners per shingle for mansard construction. ' ._... ____ '�.,._-__•,. _1__�"__ Use of six fasteners is recommended in high wind areas. Note: Fasten on the 6 1/8" nail line to penetrate both segments 61/." 5-ICExposure of the shingle. Dragon Tooth shingle Side View Fastener Through Nail Line 5 Hip and Ridge Application High Ridge Hip&Ridge and High StyleTm Hip&Ridge available Hip and ridge cut from by region. If cutting 3-tabs for hip&ridge,adhere to the metric 3-tab shingles. following instructions. Cut full three-tab shingles into three 12"x 12"(13 1/4"x 13 1/8" Prevailing 5" metric) hip and ridge shingles. Start hips at the eave and work up Wind Direction - - to ridge.Apply ridge only after hips have been applied,beginning 5?0 Fastening on end of ridge opposite prevailing wind direction. Leave 5"(5 5/8" Distance metric) exposure per shingle for hip and ridge application. Bend over the ridge;fasten on each side 5 5/8" (6 1/4" metric)from exposed end, 1"up from the edge. Cover exposed nails with asphalt plastic cement.For more information on hip and ridge application refer to Owens Corning's "How To Apply Hips & Ridges" (Pub. No. S-RR-18491). Note:For best appearance,when using 3-tab shingles for hip and Hip and ridge cut from ridge,apply double thickness(two 12"x 12"shingles or 13 1/4"x metric 3-tab shingles. 13 1/8"if using metric sized products).Do not cut hip and ridge shingles from full size laminated shingles. s•/r _... Prevailing Wind Direction t_ 6 VV'Fastening Distance Distance \ These laminated shingles are designed for nevb or reroofing work over any properly built and supported wood roof deck having adequate nail holding capacity and a smooth surface. UL Class A Fire Resistance and Wind Resistance Ratings When applied in accordance with these instructions,these shingles carry the Underwriters Laboratories Class A fire resistance rating,the top rating for residential shingles.They will resist exposure to fire in accordance with UL Standard 790.When applied properly,these shingles also meet UL wind resistance Standard 997.All laminated shingles have a factory-applied strip of special thermoplastic adhesive on each shingle.After direct exposure to the sun's heat,each course bonds securely to the course below(a matter of days in spring through fall seasons,in winter it varies depend- ing on geographical location, roof slope and orientation of the house on the site,in relation to the sun). Other Roofing Materials: Metal Drip Edges are recommended along rake and eaves edges of all decks. Underlayment is recommended for roofing over any bare deck,and is required for a UL Class A fire rating.Use only "breather type" material such as Asphalt Saturated Felt or Shingle Underlayment classified by UL as a Prepared Roofing Accessory to assure Class A fire performance and watertight performance from wind-driven rain. Nails must be galvanized, 11-or 12-gauge,with heads at least 3/8" in diameter.Staples must be 16-gauge minimum, 15/16" minimum crown width and sufficient length to penetrate 3/4"into wood decking or through APA rated roof sheathing. Staples are to be corrosion protected. All Fasteners must penetrate at least 3/4" into wood deck or completely through plywood sheathing. Notice: Owens Corning recommends the use of nails as the preferred method of attaching shingles to wood decking or other nailable surface. Plastic Cement where required must meet ASTM D-4586Type II (Asbestos Free). 1 Deck Preparation For Standard Slope Decks(4"in 12"or more) Application of Underlayment, metal drip edges,and eaves flashing: (A)Apply one layer of underlayment over metal drip edge at eaves. Use only enough fasteners to hold in place. (c) Deck (B)Overlap successive courses 2". Overlap course ends 4". (B) Side laps are to be staggered 6' apart. Rake (C)Apply metal drip edge over underlayment at rake. (n► Eaves Note:Where ice-damming may cause leaks,apply Owens Corning WeatherLocke underlayment or equivalent eaves flashing at least 24"beyond the inside wall line.When using a coated smooth roll or mineral surfaced roll roofing,apply over the underlayment.When using a specialty eaves flashing product,follow the manufacturer's instructions. For Low Slope Decks (2" in 12"to less than 4"in 12") (q Rake Application of underlayment, metal drip edges,and eaves flashing: (B► (A)Apply 19"starter strip of underlayment over metal drip edge at eaves. Use only enough fasteners to hold in place, Deck (B) Use 36"strip of underlayment for remaining courses,overlap- (A)- Eaves ping each course 19". Side laps are to be staggered 6'apart. (C)Apply metal drip edge over underlayment at rake. Note:Where eaves flashing is required apply Owens Corning WeatherLock underlayment or equivalent specialty eaves flashing product or apply a continuous layer of asphalt plastic cement between the plies of underlayment at least 24" beyond the inside wall line. 2 Shingle Application Apply shingles over properly prepared roof deck,starting at bottom of roof and working across and up.This will blend shingles from one bundle into the next and minimizes any normal shade variation. Laminated shingles are applied with a 6 1/2"offset.While a 6 1/2"offset is recommended,any repeatable offset pattern from 4"to 8"is acceptable.Caution must be exercised to assure that end joints are no closer than 2"from a fastener in the shingle below and that side laps are no less than 4" in succeeding courses. Refer to course applications steps for specific instructions. Starter Course (See illustration on next page) (A)Trim tabs off all starter course shingles. (B)Trim 6 1/2" off rake end of first shingle. Extend 3/8" beyond rake and eaves,and fasten. (C)Complete rest of starter course. Note: Start at rake edge. Use five fasteners for each shingle,placed 2"to 3" up from the eaves. First Course—(A)Apply first course starting with a full shingle,even with the starter course. Fasten securely according to instructions. Note: Complete course with full shingles.The fastening line should not be used for course alignment of shingles. Second Course—(B) Begin second course by positioning first shingle 6 1/2"from the end of the underlaying shingle, and flush with the top of the overlay tab(dragon tooth). 0AW (C)Leav*5 5/8"exposure,fasten securely,and trim excess overhang at rake. Note:Complete course with full shingles. Third Course-(D)Begin by positionigg the first shingle 6 1/2"from the end of the underlying shingle,flush with the top of the dragon tooth pattern.Complete by repeating step(C). Note:Complete course with full shingles. (�---• ';� Fourth Course-(E)Begin the fourth course by positioning the 7%" first shingle an additional 6 1/2"from the end of the underlying (s► , shingle,flush with the top of the dragon tooth pattern. Complete (A) = Bates by repeating step (C). Note: Complete course with full shingles. Fifth Course-(F)Begin fifth course by positioning full shingle flush with rake edge and leave 5 5/8"exposure.Complete by repeating step(C). Note:Complete course with full shingles.For succeeding courses r repeat steps for second,third,fourth and fifth courses. — (A) Trim flush' 8'/i' " (C) with rake 6'/" 3 Valley Construction A closed cut valley is recommended and is applied as follows: vall.��'".' s"Min. (A)Lay a 36"wide valley liner of smooth surface roll roofing or .. Extra Plastic a Nail —�' Owens Corning WeatherLock underlayment or equivalent product. unaerlaNo.15yment Cement Fasten on outer edges only. (B) Lay all shingles on one side of valley and across center line of clip valley a minimum of 12".Fasten a minimum of 6"away from center !:;:; Cerner line on each side of valley. (C)Strike a chalk line 2"from the center line of the unshingled side. tie" Apply shingles on the unshingled side up to the chalk line and trim, Centerline taking care not to cut the underlying shingles. Clip upper corners of these shingles,cement and fasten. ,rte- (D)A metal valley is an acceptable alternative.A woven valley is also acceptable for Oakridge®PRO 30TM(Oakridge®25) 4 Fastening Instructions Place fasteners 6 1/8"from bottom edge of each shingle and Standard Area High Wind, 9 9 Mansard or 1"from each end. steep slope (A) Use four fasteners in normal wind areas. +' (A)--_ +` +' (e!, + , -amu° -{ 8 8� (B)Use six fasteners per shingle for mansard construction. _12 i {` F,B; 8,y Use of six fasteners is recommended in high wind areas. Note: Fasten on the 6 1/8" nail line to penetrate both segments a/ 5%"Exposure of the shingle. Dragon Tooth shingle Side Vlew Fastener Through Nail Line 5 Hip and Ridge Application , High Ridge Hip&Ridge and High StyleTm Hip&Ridge available Hip and ridge cut from by region. If cutting 3-tabs for hip& ridge, adhere to the metric 3-tab shingles. following instructions. Cut full three-tab shingles into three 12"x 12"(13 1/4"x 13 1/8" Prevailing 5 metric) hip and ridge shingles. Start hips at the eave and work up Wind Direction "\ to ridge.Apply ridge only after hips have been applied, beginning r- 5'.'r"Fastening on end of ridge opposite prevailing wind direction. Leave 5" (5 5/8" Distance metric) exposure per shingle for hip and ridge application. Bend over the ridge;fasten on each side 5 5/8" (6 1/4" metric)from exposed end, 1" up from the edge. Cover exposed nails with asphalt plastic cement. For more information on hip and ridge application refer to Owens Corning's "How To Apply Hips & Ridges" (Pub. No. 5-RR-18491). Note:For best appearance,when using 3-tab shingles for hip and Hip and ridge cut from ridge,apply double thickness(two 12"x 12"shingles or 13 1/4"x metric 3-tab shingles. 13 1/8"if using metric sized products).Do not cut hip and ridge shingles from full size laminated shingles. Prevailing ( Wind Direction 6':'•"\Fastening Distance Distance \ rVJffr�' �� = ,.�s, CITY OF ATLANTIC- BEACH , =1 800 SEMINOLE ROAD s� ATLANTIC BEACH;FL 32233 INSPECTION PHONE,LINE 247-5826 Application Number 06-00034308 Date 12/05/06 Property Address . . . . . . 780 JASMINE ST Application type description SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1200 ---------------------------------------------------------------------------- Application desc 10 x 8 shed ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- PARTLAN OWNER 780 JASMINE STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ----------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 1200 Expiration Date . . 6/03/07 -------------------------------------------------------------------- Fee summary Charged Paid Credited Due - ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 .00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUH,DING CODES. # e Outdoor> Storage Sheds>Vinyl Coated Steel Sheds> 10 Foot>Arrow Sheds>Homest... Page 1 of 3 N� A Subtotal: $0.00 TV View CartI Check Out I Login to C CIPA�Iy K Register for kcal rvsa ar�Y S�Mot 1s our 9utis CLEANING &JANITORIAL OFFICE PRODUCTS BREAKROMA &VENDitAms Call Toll Free: 1.800.BettyMills (238.8964) Monday,lNc Outdoor }Storage Sheds }Vine to ed SteelSheds >10 Foot } ArrowSh_ed SEARCH FOR PRODUCTS Arrow Sheds Homestead 10'x8' ARR HS108 by Arrow Sheds SHEDS& # ««' Heavy gauge steel for greater durability in severe weather. Miami- ��y9Ip Dade County Product Control Approved#01-0430-04 expires 1 Canopies&Covers August 24,2006. Greenhouses Lighting Meets South Florida Building Code,ASCE7-95 wind standard applied Patio&Deck Storage 6'x5' 147 cubic feet of storage Patio Accessories Long-lasting vinyl-coated steel includes a 15 year limited warranty Pet Kennels Full Line of Accessories Wall Color: Eggshell Shed Accessories&Kits Roof Color.Taupe Specialty Products Model#HSI 08 Storage Sheds Size: 10'x8' Storage Area:Sq. Ft:74'Cu.Ft:413' Window Coverings Interior Dimensions:Width: 118 1/4"Depth:90"Ht:71 5/8" Retail Pt Wall Height:62" Door Opening:Width: 53"Height:58 1/2" BettyMills Shop by Manufacturer Recommended Foundation Size:Width: 122 1/4"Depth:94" Recommended Anchor Kit:ARR DCAK108(Sold Separately) Shipping Wt(lbs):3 cartons(#1:237 lbs.;#2: 140 lbs;#3:63 lbs.) Quantity Special Promotions Offers&Rebates Don't get left in the Dark!Click here to see the Betty Mills Soar Powered Shed Lightf. Click here to learn about Betty's Outdoor Products.Policies& Frequently Asked Questions Size: 10'x8' WFI511n secured YERIRY1, FREE£SHIPPING FOR THIS I r "Restrictions May Apply.Click to view our frelg icy. http://www.bettymills.com/shop/product/view/Arrow%20Sheds/ARRHS 108.html 11/20/2006 i Outdoor> Storage Sheds>Vinyl Coated Steel Sheds> 10 Foot>Arrow Sheds>Homest... Page 2 of 3 ARROW Mbr S Ltednp Muer d sor.v esongsf See all Betty Mills related products by Arrow Sheds. Related Products Roof Streng1hening Kit by Arrow Flooi Sheds ARR RBK10610 $115.92 ARS For Dcak Anchor Kit for the Homestead sola ARNOW by Arrow Sheds OTC r ` ARR pCAK108 $111.15 WL For Homestead 10'x8'Bldg Tool Cart on Wheels by Suncast Outd th SUA RTC1000 $56.35 _71_ SUA Taul Shed Rack by Arrow Sheds Attic She( ARR RS4 $50.39 ARF 58"H` µ 4 shelves Fits Shelving System by Arrow Sheds Tool ARR SS404 $33.75 ARF x. nv a (� t Shelf Unit by Arrow Sheds 4-Pir ARR SS900 $41.05 y" MLK 211 1 A http://www.bettymills.com/shop/product/view/Arrow%20Sheds/ARRHS 108.html 11/20/2006 MIAMI- DOE MIAMI-DADE COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO-DADE FLAGLER-BUILDING 140 WEST FLAGLER STREET,SUITE 1603 MIAMI,FLORIDA 33130-1563 PRODUCT CONTROL NOTICE OF ACCEPTANCE (305)375-2901 FAX(305)375-2908 Arrow Group Industries,Inc. CONTRACTOR LICENSING SECTION 1101 N. 4th Street (305)375-2527 FAX(305)375-2558 Breese,IL. 62230 CONTRACTOR ENFORCEMENT DIVISION (305)375-2966 FAX(305)375-2908 PRODUCT CONTROL DIVISION (305)375-2902 FAX(305)372-6339 Your application for Notice of Acceptance(NOA)of: Cold Formed Steel Utility Sheds under Chapter 8 of the Code of Miami-Dade County governing the use of Alternate Materials and Types of Construction,and completely described herein,has been recommended for acceptance by the Miami-Dade County Building Code Compliance Office(BCCO)under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 01-0430.04 EXPIRES: 08/24/2006 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET,SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE&PRODUCT REVIEW COMHTTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami-Dade County, Florida under the conditions set forth above. Francisco 1.Quintana,R.A. Director Miami-Dade County APPROVED: 06/14/2001 Building Code Compliance Office 11045000I\pc2000\\tenp1ateslnot1ce acceptance cover page.dot 2 Internet mail address: postmaster@buildingcodeonline.com homepage:http://www Arrow Group Industries,Inc. ACCEPTANCE No. : 01-0430.04 APPROVED 06/14/2001 EXPIRES 08/24/2006 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE This renews the Notice of Acceptance No. 98-0113.03, which was issued on August 24, 1998. It approves Cold-Formed Steel Utility Sheds, as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami-Dade County, for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION This Cold-Formed Steel Utility Sheds and its components shall be constructed in strict compliance with the following documents: Drawing No. S1, S2,and S3,titled"6' x5', 8' x 6', 8' x8',& 10' x 8' Utility Sheds",prepared by R. T. Wharton,P.E.,dated December 12, 1997,last revision#1 dated July 13 (sheets S 1& S3) and July 14 (sheet S2), 1998, total 3 sheets, bearing the Miami-Dade County Product Control approval and renewal stamps with the Notice of Acceptance numbers and approval dates by the Miami-Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS All permanent set components,included but not limited to embedded anchor bolts must be protected against corrosion, contamination and damage at all time. 4. INSTALLATION This Cold-Formed Steel Utility Sheds and its components shall be installed in strict compliance with the approved drawings. This Cold-Formed Steel Utility Sheds shall not be installed within 1500 feet of the shoreline. 5. LABELING Each panel shall bear a permanent label with the manufacturer's name or logo, city, state and the following statement: "Miami-Dade County Product Control Approved". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or the South Florida Building Code(SFBC)in order to properly evaluate the installation of this system. #a=d. geit�:� Helmyakar,P.E.-Product Control Examiner Product Control Division -2- Arrow Group Industries,Inc. ACCEPTANCE No. : 01-0430.04 APPROVED 06/14/2001 EXPIRES 08/24/2006 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1 Renewal of this Acceptance(approval) shall be considered after a renewal application has been filed and the original submitted documents,including test-supporting data,engineering documents,are no older than eight (8)years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name,city,state,and the following statement: "Miami-Dade County Product Control Approved", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product(identical)as the one originally approved. C. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer, who originally prepared, signed and sealed the required documentation initially submitted,is no longer practicing the engineering profession. 4. Any revision or change in the materials,use,and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested(through the filing of a revision application with appropriate fee)and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami-Dade County,Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed,then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer needs not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1,2 and this last page 3. END OF THIS ACCEPTANCE Hehny A akar,P.E.-Product Control Examiner Product Control Division -3- NOTES: • _.__.- ® _ .... -.._._- -.O N'SAX O/G - t1E3RiP damAr 1 SUM MARIDA BMOM C f r _- OOS t ABLE 7-M(00 Lo=MY) I i ' taunt L—_ _J 4 _ MA WAM ACTU&LOM f X S LO uw umm 10 PSF 011 LMM M-it i/+' 6� •C-S 1 4'+ 6 1 � SIS 1f1)�MdIS TJ 1&!l PO ABLE 7-BB ..._._.... PAN" AM FFyy-M KS FRONT ELEVATION SIDE ELEVATION ROOF PLAN REAR ELEVARON FOUNDATION_ PLAN At 0itt t MIA AW-m q-S6 xm . SOUS a SCAM AM AM FY-30$0 mom BOLTat ASM*.at fl' X 5' BUILDING oon ' MM um A°f�re T-i0 als 16'1 xa'Wma C/A - L� A•NaGirQt o qT L I N 4 © ti I I S ��r�� L1 A,r c 7_10,/e 1011 my �x1uy►r�ortnet8'S 2. Zoo j, FRONT ELEVATION SIDE ELEVATION .ROOF PLAN TEAR ELEVATION FOUNDATION PLAN 8IN0� 8' X 6' BUILDING lArf x r L4 r-lo ate 14 -_---"� •AL7ERNAIE ANQ,tYk+6Ln xtex BOLT A. 3/6M X r W COtid@,7E ANMM W. L. 1 l Y 1/a't]IBEBLExL META OAQE co" ACCFPTA1gC�a-ma�OA, m R I 1 zr t a-r 7-M 7-HI uA• 10 1 6 t/3'HO q ears l1LPPROYL3t is CUAfPLflNO miw . B-6sle 0 Am 00 IOA BUIU111D LxLIs>: OA 3 lfr q-1 FRONT ELEVATION SIDE ELEVATION ROOF PLAN REAR ELEVATION FOUNDATION PLAN BY, 8' P80DUN X 8' BUILDING a ♦x d•� G MIX "7 ant DUtLDiMtL COc�0y�`tR...amiliot a v 1 Mao ACCMANCE tm:_Jh.` t 1 1 t 6 6 h i i x ar to I .. I MW I e PUNS a1 e"APM �vx••� c1 r-r a,tt' a'x s,11•x S., a'x a•at 10'x or �++ UTNlTY 9AEUS FRONT ELEVAT1LNd SIDE ELEVATION ROOF PLAN REAR ELEVATION FOUNDATION PLAN ARROW GROUP IN LIMES s 1101 N. STH S'IMMI I 1O' X fl SUILUNG (918) WALL OR ROOF PANELS-------- .. -ROOF PANEL p0 f IME smw 2e asFEM ,Nnt,. r 9 18/3r TYP r R¢ 1.1 Ir^- (e PET::.PMiW PANEL nMOMM Ale'1 2 ROMs/10 X 7/10' NO/ISE'TER F__7 WALL OR ROIIF r W��tE05 AT %T/Bz1 1 t/ WALL 7A147. •. A ° I- •a12' • I 11 SECTION A SECTION e CHANNEL TYPICAL WALL PANEL CUT INSIDE RANGE AT CORNEA MOTE PANEL WIDTH VARIES DOCi SOI Mir 4'X,'%0.010' D T -ONAN1EL r X l'X 0.aww 52 sa ° e X 1 1/r x CLOW CHANNEL 4090'iEE WLL PAN L � a ANEQN �«U+ WALL CHANNEL r xr Xaazr ZEE 2/I�OXt (1m2 0A70• FLOOR FRALE((L02� CORNER CONNECTION �7 ao29'rAere a}1D x 1 47 r,1MIX DaaR ° ASR sEcnoN e , � � „ 51 m 59 n 0.010'OOtIR 9R1 //11 PMH FLm MME(awn - c NACONEa9ChEw9 AIO NUTS ( FOIXOAnONP All AND 53 K ANGLE r x R. PRODUCT R1� ° Sy ,9/B'x aaeo• 1Mn caNala:lE ANLRDR. A,aOrnNceMab 1—8 3Hs,o1� SECTION SECTION D SECTION E TION DAlE sq.Z¢ ZOU6j sz � e1 �} 2 X 1 nHANNe1 WO X r LONG ANCHOR SON 00.15 AT 24'Qa AT SEE AND BAC, By Y-J,/D' 601Y 1HIIX Al tr YAX as AT FRONT WALL � Z (TYPICAL) AL7ERNA7E AN04M MLR MMIL BMT L - DOOR ELEVATION 2)1 z e'M La�NCETE momUAK W/ waF 2 1/1'FA09�11FM.NEtllO DACE TxXMHTr AixEPTAAILE p9-072�.oa I 0 NACHME=KW . tD/n,D Mesa®ww MEW r,ATLnGAL RNSH GRADE ALT.-03 BARS AT 1B'as EA WAY L 1'x A X.070' ANGLE ro aAITIt AaEMB ONL/"o PANEL RETLM1 PANEL W7H VANS Wx7M1E SCENE•RU15 N —7§ AMOVW AS COMKY!ND W'IH UE _ § SECTION H sourx FL WIWI%CODE. � oar d lL te.2d-. ,—i BY r t•�. M eAn:caNT. BUILDING CODE COMPLWVCE OFiiCE ' ppo z, stxEla RDOP 7�� Pa NM�sLUE MTAEYIS ACCEPTANCE NO. 10 EA tf ITA�. I ((++BOLT UEAnaN. ROOF ffi SECTION ANGLE ro:L r PAN0.RERM L T/B',i A0%7/,e'NACRE I MN[telar�WP� AN SCREW M'J NUT +10%2 EAP L,7/0'X 1 ANGLE Mw[ . - SECTIONS 3 DETAILS - AT z 1'S smETR AT x I" SECTION I... �. OF PAND. 9'X S',r X G',r Xe'ET 1D'x Ir �O UITUTY SHEDS >k1>~R TYPICAL PANEL ARROW(RauP..INDUSTRIES FASTENER ELEVATION. ._.. 1101 N.41H STREET ^ __._. —_-- .-. BREESE,H.92230. _.-.... L -- '---- w N0�0�5 ,,..y-st X A�>Q A x F ' '�j °� �J✓� M t5 �9e�v��t FOOS W, WOO �00 WOO ir y�tx: ati tx. NOu03S tl0 t5 N0�03 u toi x,wizt � N-two %f,- wu ate' 1w, w�"t to woo lent two lom fl NO�O�S 11 ts ,x s 1 ` NOLO-3S � o�'�x° ttwLww sem Q�ltr 00% IL x r � 'r ✓5s CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Building Department Public Works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D.Koluzniak {904)247-5800 (904)247-5834 Public Sal* (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# Q & ' 3`f309 Property Address _ 7h j -s k i,,f -s1 Applicant: eS 7"f'� A r% cc--fl Project: �t £CL This permit application has been: Approved as noted by the 0 Department Final application approval must come from the Building Department. 0 Reviewed and the following items need attention: Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department.requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. 1,152 Reviewed By: Date: Date Contractor Notified: CITY OF ATLANTIC BEACH SHED PERMIT APPLICATION r p �!rJiil� Date: oo Please submit(3)complete sets of plans with application. Job Address: I x 0 A t FL- Owner: LOwner: ��sY'1 CA ` C:L� Phone: (12 Contractor: �r��?`�, Phone: Address: Fax: City: State: Zip Code: Valuation of Proposed Construction: QQ -CO �� b JJs �,scT `` 5is *Impervious Surface Calculation: �� t?�/JJ514,/4n £ Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Recent Survey—includine all existing impervious areas with calculations showiniz percent of lot covers e. 3) 2. Two(?)complete sets of plans. 3. Recorded Notice of Commencement. ka 4. Tree Removal Application if trees are to be removed or relocated. 5. Comply with 120 mph exposure"C"wind load requirements. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m.to 5:00 p.m.Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following work day; please specify a.m.or p.m.inspection. When calling in an inspection please have the permit number, job location and type of inspection needed. BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of$35.00 is charged for all re-inspections. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax:: (904)247-5845 •http:/lwww.ci.atlantic-beach.fl.us Page 1 3/25/05 4 Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any 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 requi ed. Signature of Owner: /A pri 4--jit,41Date: k 1 AS TO OWNER- Sworn WNERSworn to and subscribed before me this day of�� ,20_k�O State of Florida,County of Duval SHIRLEY L.GRAHAML.GRAHAM Notary's Signature: Notary Public-Stale of Fbft n My Commission Expires Feb 14,2010 ❑ Personally known Commission#DD 518533 ❑ Produced identification �Jr+ded By National Notary Assn. Type of identification produced Signature of Contractor: Date: 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 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 3/25/05 Special Information for Owner/Builders DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THE LAW. The exemption allows you as the owner of your property,to act as your own contractor even through you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one(1)year after the construction is complete,the law will presume that you built it for sale or lease,which is a violation of this exemption. You MU not hire an un-licensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that the people employed by You have licenses required by state law and by county or municipal licensing ordinances. In addition,the owner must supervise construction and becomes liable and responsible for the employees he/she hires. This responsibility includes,but may not be limited to: 1. Workers Compensation, for workers injured on the job. 2. Social Security Tax must be deducted from employee's wages and matched with owner's funds. 3. Federal Withholding. Since owners must be liable for iniuries to workers they hire,the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers become employers and should also observe IRS withholding tax Form 1099 requirements on the workers they employ on their improvement work. Un-licensed contractors cannot be employed under any circumstances. Owners are subject to a$5,000 penalty under Florida Statute#455.288(1)instigated via Building Division citations. An O"u ational License is not adequate. The owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is a licensed contractor. Telephone the building Division(:247-5826}f in doubt. I hereby acknowledge that I have read and understand all the above on this Day of, a 0 PCV ct '0N, Owner uild r Signature AddressAtka-out-ut- L at I VL_ 3Z2-3 j 0,l 1q (nCr7 0 C, Print Name Telephone Number STATE OF FLORIDA: COUNTY OF DUVAL Before me personally appeared to me well known to be the individual and owner builder described in and who executed this instrument and severally acknowledged the execution thereof to be his own free act and deed as such owner builder hereunto authorized. WITNESS my hand and official seal this J day of, la t c Be o State aforesaid. NOT AR P S A F F RIDA SHIRLEY C.dl Print Name: - Notary Pu' bNc.$tab of Flog My COMMISSION EXPIRES: EM co _ Y mission Expires Feb 14,2010 ❑Personally Known %F Commission#DD 518533 ❑Identification: Bonded By National Notary Assn. fT, CITY OF ATLANTIC BEACH f s PLAN REVIEW SHEET J is Building Department Public Works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D.Kaluznlak {904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# 3 Property Address l SO JASIK In f Applicant: P j e57��'� QT% Project: t— t F cL This permit application has been: 0 Approved as noted by the Department. application approval mast come from the Building Department. Reviewed and the following items need attention: Of lam.. Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department re uestin them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. Reviewed By: Date: "ZZ Date Contractor Notified: CITY OF ATLANTIC BEACH z SHED PERMIT APPLICATION *131 ' Date: Please submit(3)complete sets of plans with application. /n� Job Address: x Q CKSw11th � �1 ACOX1 (.- btfj C )A ► FL. -7�eL:- 53 Owner: P g(-U ck-n Phone: 62(`1-7 '09 3 Contractor: -�L ��U Phone: Address: Fax: City: State: Zip Code: Valuation of Proposed Construction: [- )-'*266 -CO -W,�4 *Impervious Surface Calculation: "�� & 0h/&4,/ffM Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Recent Survey-includinij all existin2 impervious areas with calculations showin percent of lot coveraee. 3) 2. Two( }complete sets of plans. 3. Recorded Notice of Commencement. fc o44M %ZINX7 4. Tree Removal Application if trees are to be removed or relocated. 5. Comply with 120 mph exposure"C"wind load requirements. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m.to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following work day; please specify a.m.or p.m. inspection. When calling in an inspection please have the permit number, job location and type of inspection needed. BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of$35.00 is charged for all re-inspections. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http:/twww.ci.atlantic-beach.fl.us Page 1 3/25/05 Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any 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 requi ed. L Signature of Owner: Date: i AS TO OWNER: Sworn to and subscribed before me this day of f}Y �� ,20 State of Florida,County of Duval SHIRLEY L.GRAHAM Notary's Signature: Notary PubNc-State Of Florida .My Commission Expires Feb 14,2010 ❑ Personally known Commission#DD 518533 ❑ Produced identification ��rePd By National Notary Assn. Type of identification produced Signature of Contractor: Date: 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 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 3/25/05 Special Information for Owner/Builders DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THE LAW. The exemption allows you as the owner of your property,to act as your own contractor even through you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourselfwithin one(1)year after the construction is complete,the law will presume that you built it for sale or lease,which is a violation of this exemption. You may not hire an un-licensed person as ,your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that the people employed by you have licenses required by state law and by county or municipal licensing ordinances. In addition,the owner must supervise construction and becomes liable and responsible for the employees he/she hires. This responsibility includes,but may not be limited to: 1. Workers Compensation, for workers injured on the job. 2. Social Security Tax must be deducted from employee's wages and matched with owner's funds. 3. Federal Withholding. Since owners must be liable for injuries to workers they hire,the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers become employers and should also observe IRS withholding tax Form 1099 requirements on the workers they employ on their improvement work. Un-licensed contractors cannot be employed under M circumstances. Owners are subject to a$5,000 penalty under Florida Statute 4455.288(1)instigated via Building Division citations. An Occupational License is not adequate. The owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is a licensed contractor. Telephone the building Division(:247-5826�f inXdooubt. I hereby acknowledge that I have read and understand all the above on this tit�^�� Day of,�. 54 S ��,�� Owner uild rSignature Address .�j-IG4_ati r. ea(_ , Vt_ 322.33 qi'► Print Name I Telephone umber STATE OF FLORIDA: COUNTY OF DUVAL Before me personally appeared to me well known to be the individual and owner builder described in and who executed this instrument and severally acknowledged the execution thereofto be his own free act and deed as such owner builder hereunto authorized. WITNESS my hand and official seal this day of, la t c Be Co �Stateforesaid. NOT P A FF RIDA Print Name: O,,pRY PUB/•� SHIRLE�pAMM i •`�: Notary Public ll 'State Plaids MY COMMISSION EXPIRES: Os a• ;4 My Commission Expires Feb 14 2olo ❑Personally Known Commission# •.,;F .'``;:� DD 518533 Bonded By National Notary Assn. ❑Identification: Outdoor> Storage Sheds>Vinyl Coated Steel Sheds> 10 Foot>Arrow Sheds>Homest... Page 1 of 3 H£ + Subtotal: $0.00 View Cart I Check Out I Login to CU PA�tYII' } IRsgleter For Inst rM i Fouad sw4w is Out Kamm Call Toll Free: 1.800.BettyMills (238.8964) Monday, Nc Outdoor >Storage Sheds >Vinyl Coated$tee1 Sheds 10 Foot > Arrow—S ed: SEARCH FOR PRODUCTS Arrow Sheds Homestead 10'x8' ARR HSI 08 by Arrow Sheds Heavy gauge steel for greater durability in severe weather.Miami- Dade County Product Control Approved#01-0430-04 expires Canopies&Covers August 24,2006. Greenhouses Lighting Meets South Florida Building Code,ASCE7-95 wind standard applied Patio&Deck Storage 6'x5' 147 cubic feet of storage Patio Accessories Long-lasting vinyl-coated steel includes a 15 year limited warranty Pet Kennels Full Line of Accessories Shed Accessories&Kits Wall Color: Eggshell Roof Color Taupe Specialty Products Model#HS108 Storage Sheds Size: 10'x8' Window Coverings Storage Area:Sq. Ft: 74'Cu. Ft:413' Interior Dimensions:Width: 118 1/4"Depth:90"Ht:71 5/8" Retail PI Wall Height:62" Door Opening:Width:53"Height: 58 1/2" BettyMills Shop by Manufacturer Recommended Foundation Size:Width: 122 1/4"Depth:94" Recommended Anchor Kit:ARR DCAK108(Sold Separately) Shipping Wt(lbs):3 cartons(#1:237 lbs.;#2: 140 lbs;#3:63 lbs.) Quantity Special Promotions Offers&Rebates Don't get left in the Darkl Click here to see the Betty Mills Solar Powered Shed L4hjt. Click here to leam about Betts Outdoor Products,Policies 8. Frequently Asked Questions Size: 10'x8' V*rtsion Secured V10IRTr FREw"SNIPPING FOR THIS I M! "Restrictions May Apply.Click to view our fr cy. F, http://www.bettymills.com/shop/product/view/Arrow%20Sheds/ARRHS 108.html 11/20/2006 Outdoor>Storage Sheds>Vinyl Coated Steel Sheds> 10 Foot>Arrow Sheds>Homest... Page 2 of 3 MOM I &dnp M*wge r4*0 See all Betty Mills related Products by Arrow Sheds. ,Related Products Roof Strenothenina Kit by Arrow Flooi Sheds " 10'xf ARR RBK10610 $115.92 ARR For _ Dcak Anchor Kit for the Homestead Sola by Arrow Sheds —leiOTC ARR DCAK108 $111.15 For Homestead 10'x8'Bldg '— Tool Cart on Wheels by Suncast Outd with SUA RTC1000 $56.35 "- "..., - SUA Taul Shed Rack by Arrow Sheds Attic, Shet ARR RS4 $50.39 ARR 58"H 4 shelves Fits Shelving System by Arrow Sheds ^4y Tool ARR SS404 $33.75 `' ARR Shelf Unit by Arrow Sheds ,-. 4-Pir ARR SS900 $41.05MLK 2"yA http://www.bettymills.com/shop/product/view/Arrow%20Sheds/ARRHS 108.html 11/20/2006 MIAMI DADS MIAAH-DADE COUNTY,FLORIDA _ METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO-DADE FLAGLER-BUILDING 140 WEST FLAGLER STREET,SUFFE 1603 MIAMI,FLORIDA 33130-1563 PRODUCT CONTROL NOTICE OF ACCEPTANCE (305)375-2901 FAX(305)375-2908 Arrow Group Industries,Inc. CONTRACTOR LICENSING SECTION 1101 N. 4th Street (305)375-2527 FAX(305)375-2558 Breese,IL 62230 CONTRACTOR ENFORCEMENT DIVISION (305)375-2966 FAX(305)375-2908 PRODUCT CONTROL DIVISION (305)375-29M FAX(305)372-6339 Your application for Notice of Acceptance(NOA)of: Cold Farmed Steel Utility Sheds under Chapter 8 of the Code of Miami-Dade County governing the use of Alternate Materials and Types of Construction,and completely described herein,has been recommended for acceptance by the Miami-Dade County Building Code Compliance Office(BCCO)under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 01-0430.04 EXPIRES: 08124/2006 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET,SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE&PRODUCT REVIEW COMNTTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami-Dade County, Florida under the conditions set forth above. Francisco L Quintana,R.A. Director Miami-Dade County APPROVED: 06/14/2001 Building Code Compliance Office \W450001\pc2000\\temp1ates\not1ce acceptance cover page.dot Internet mail address:postmaster@buildingcodeonline.com Homepage: http://www O �^ 5-�2 J Arrow Group Industries,Inc. ACCEPTANCE No. : 01-0430.04 APPROVED 06/14/2001 EXPIRES 08/24/2006 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE This renews the Notice of Acceptance No. 98-0113.03, which was issued on August 24, 1998. It approves Cold-Formed Steel Utility Sheds, as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code, 1994 Edition for Miami-Dade County, for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION This Cold-Formed Steel Utility Sheds and its components shall be constructed in strict compliance with the following documents: Drawing No. S1, S2,and S3,titled"6' x 5', 8' x 6', 8' x 8',& 10'x 8' Utility Sheds",prepared by R. T. Wharton,P.E.,dated December 12, 1997,last revision#1 dated July 13 (sheets S 1& S3) and July 14 (sheet S2), 1998, total 3 sheets, bearing the Miami-Dade County Product Control approval and renewal stamps with the Notice of Acceptance numbers and approval dates by the Miami-Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS All permanent set components,included but not limited to embedded anchor bolts must be protected against corrosion, contamination and damage at all time. 4. INSTALLATION This Cold-Formed Steel Utility Sheds and its components shall be installed in strict compliance with the approved drawings. This Cold-Formed Steel Utility Sheds shall not be installed within 1500 feet of the shoreline. 5. LABELING Each panel shall bear a permanent label with the manufacturer's name or logo, city, state and the following statement: "Miami-Dade County Product Control Approved". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or the South Florida Building Code(SFBC)in order to properly evaluate the installation of this system. L4=W. a,,Ze—� Helmy A04akar,P.E.-Product Control Examiner Product Control Division -2- Arrow Group Industries,Inc. ACCEPTANCE No. : 01-0430.04 APPROVED 06/14/2001 EXPIRES 08/24/2006 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1 Renewal of this Acceptance(approval)shall be considered after a renewal application has been filed and the original submitted documents,including test-supporting data,engineering documents,are no older than eight (8)years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name,city,state,and the following statement: "Miami-Dade County Product Control Approved", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product(identical)as the one originally approved. C. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer, who originally prepared, signed and sealed the required documentation initially submitted,is no longer practicing the engineering profession. 4. Any revision or change in the materials,use,and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee)and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami-Dade County,Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed,then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer needs not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1,2 and this last page 3. END OF THIS ACCEPTANCE Helmy A akar,P.E.-Product Control Examiner Product Control Division -3- _ y-e t/4' _.. -- -- -- NOTES: -- -.. a/s"s x Ir Lo .. _ ANCHOR BOLTS - --- t 0 24r MAX Olr- a 0 --- swim FLCRGA&MONO C= r Q r � I ASCE 7-N(MIND LOMB ONLY) 'rp 1` to m I i RAAM - i+ b _ P DEM LOANS ACRAL LOAN T ..o X B'LO 79 I VK LOAM 18 PBF a r-s 1/a' 4'-!I 1/4' 6'-11 1/4• BJ � •B'-s i e t o M"T� MI En ASCE 7-BB .. PANFlB.. ASM A825-78.FY 50 ROI FRONT ELEVATION SIDE ELEVATION ROOF PLAN REAR ELEVATION FOUNDATION PLAN CIIANNIIS a OTM M1IB M ASM AW-84 Fy-55 K9 SOLIS'e SCRM M ASTM/-A9 iMA FY so x ANCHOR BaTSN ASM A-BtB,GRAVE 40 6' X 5' MY BUILDING +omcom zmo po AT 28 OAYS r-10 s/C /p♦%Yl0 APIC1Qt eats Q, •aP MAX O/C. a Q n t7 i b O LTO.4 310, ot •'�#Xis AT T1pNDE O Z. Zoo 6 'r-10e-a 4• -t0 s/0 e FRONT W. f.mowm"MMMMM FRONT ELEVATION SIDE ELEVATION .ROOF PLAN REAR ELEVATION FOUNDATION PLAN E V X e' BUILDING 0 x r w MAX I� -----"'T •ALTERNATE ANCFOIk txLn NMN DOLT I. 2r8 x YETS'TZ M mom of e0OA1TY Tt7 4-11-7 . I Q r r1 AtANOE P3 082401 k.Ail • r � I 1 ti o i I f; o I I Y-to s/4' w t e t/Y co AF X.,r"PROM A4 EOABLn88 MITI TEE • T W. IDA BUILDING( - FRONT ELEVATION SIDE ELEVATION ROOF PLAN REAR ELEVATION FOUNDATION PLAN DA BY ..1 s •z e^LO PRO COW G 8' X 8' BUILDING 80. BURRING CODE c�crFH P,51A•FiCE r-10 t/4• Q eat 0 ACCEPTANCE NO::(� r-- -------1 I a BOLTS ti 11 e Am.f L --- --- J PLANS 6 ELEVATIONS TA a t/a' 8'X 5'"S.x 8',8'X 8'h 10'X Ir +� -Y r-B' I'-to t/4• 10-2 Ile UTILITY SHEDS 1f-1MF FRONT ELEVATION SIDE ELEVATION ROOF PLAN REAR ELEVATION FOUNDATION PLAN ARROW GROUP INDUSTRIES 1101 N.47H STREETBREE ^ lo' X d' BUILDING (618)5528-4548 .. WALL OR ROOF - PANELS -ROOF PANEL #10 WE SC1EW 20. SI0 StRE!•S WTN,. f S 10/32"TYP r R 1 1/4' (e P6 PMiw PANEL WNOOESS Ai0'I� 2 ROIs: to x 7,Mlr ANGU 02J" NAOL 5CREw5 AT %7/9'%1 7/ WALL PANEL •. w MANNELS r CIN CENTER d.02r. _ f 4'X mr Q • • I �1' I 20 3/4• SECTION A SECTION s CHANNEL TYPICAL WALL PANEL CUT POW FLANGE NOTE PANEL WIDTH VARIES AT COATER OWN SIW we 4'x t•X 4ow D f-CINIAN—MM r x t'x4mor 4•X 1 1/r X:00r QHNeEt4410.2EE1WA PAN0.c o SCREWS NUT WALL CHANNEL r x f'x a a= ZEE P z t�ts�10 xR (ate CORNER CONNECTION CK oaaN SECTION a sL m ^ 0.010'DOOR SNeI F100R FRAME(:02n ° YX e u�/1e�FUT!b 3/e•0 ANCIOR OM73 L +, MACWE MEI N0T4 (SEE FWWATION PIAN AND 53 K ANGIE r x sEtmaN FHxt REa1NrEwDns) pDA'efWTfYW m gi 1 3/0'x:000' 1tl Wt GEENt 0 i AVC/ c AmwrAI,C6wo l—o 3 0.04- SECTION 5.0 4- SECTION SECTION D SECTION E TIM01 DATE o8 2.¢ 20.06 s2 S2 } 2 x 1 CHANNEL 3/ro x r ia110 ANCHOR pyo 7-3 1/a• CAW iNm MLTs AT 24'QQ AT 410E AND eA KWWA 12- pOAQIJAl1Q0!!�i (T7PICAI.t ALLMM79 M MAX MLI KM et FWMT 0.L . 3/r/X r LB W xwm mom W/ row BEAMS DOOR ELEVATION 2 7„ O1A�"�"FS.,,'."01'0E COUNTY I D MACWE salEws • 0 x 0-IOAQ 111DED IME MEBN T VE7IRLAI. FN09f ORAS ALL-13 AARs AT it Q:EA WAY L I'x I"x.OW AN"To WASE BRACE AT ROOF PMS BERM MANS ONLY w/DIC PANEL YID711 VAIa10 . . MACHK SCREWS r JKM OC! ' x ...:.:g._ 'r C" IVIN ---f'P APPRDYED AS CO ILD*"G0 ODE. ThT r• _ SECTION H so uru� BUILD*"G �. BY .J 04 MARS CONT. PR p BUILDING CODE COMKOCE DWPI , �10 x /2•strews ROOF (4olm ACCEP�MICE N0.AM-11—ilSJ e u P ffi SECTION + A°Qii T`tl"'o GAILE PAM KRM pox 7,rr HAACAIIE L 7/e•1 1/A•x.ata' .o1e•'RWDK . M PW uT ro x 1/r smv •a wR n•••I L 17/r x H 1µ•x JW WALL ARAC - SECTIONS dt DETAILS Nva 010 x 1• AT CommSECTION �... �"-- w PANEL 0 "— as 6'X 5.�UTTIIUTY SHEDS ,D X g tl.f4-f/ TYPICAL PANEL ARROW GROUP RVUSMES -- FASTENER ELEVATION. _ 1,01 N:4TH STREET --- S2 E(RfESE.x.8 __... Vol OU cam � 30� Svc r 11 s� ��alul .6 x A oo'L o o Qp d z � x » SC400 OCUO s a % tow aw 9w�tins `dn vi .p,xsg0��zK`' So� ' Vol 6p" y � S7 XSK -OWM tw woo OW to Ow K.�%,1 7 A so cc X NOuoi�' 11 aN^°'x s 4 cs Nolois y °iMro°x sx�' xei mr+ wo e"oLn ow MAP SHGdING BOUNDARY SURVEY OF THE SOUTH 30 FEET OT LOT 4 AND THE NORTH 30 FEET OF LOT 5, BLOCK 146, AS SHOWN ON MAP OF SECTION "H" ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18. PAGE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLA. CERTIFIED TO: KQLSfEN PARTLAN: K T TITLE SERVICES, INC.; OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY: SOUTHERN HOME IENDING, ITS SUCCESSORS AND/OR ASSIGNS AS THEIR INTEREST MAY APPEAR SCALE: 1'-20' DATE: 09-02-06 WEST 9TH STREET (50' R/W) 0 _ 0 I --- -- u cc, LA LOT 3 v —_�— NORTH 20' OF LOT 4 v r NOT PART OF THIS SURVEY N88'56'00"E 102.00' a r 0 0 + 0 j� u A0 O m 26.1' f 1 32.1' O 3'%3'COrIC.PAD . Imit > " t.e•� AIR CONDITIONER C v N { Lr v O yy Ow Y rn 'D'0 Com--:. --- VI r tar ait' a ^281 ', m v w •.coira Dawe' v N 6•M7wFENCE i'!)0 w (TYPICAL) r •o '� • UxE x x /� • EA Iw o S88'50'10"W 102.00 c X m SOUTH 20' OF LOT 5 �^ 6 rrn NOT PART OF THIS SURVEY o 4- I 0 (I• OT LOT 6 m THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN BEARINCS'SHOWN HEREON ARE ASSUMED ON THIS MAP THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. UNDERGROUND FOUNDATIONS TIUTIES NOT LOCATED THE LOT SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE "X' SHADED AS SHOWN ON FLOOD INSURANCE RATE MAP 1200750001D FOR THE CITY OF ATLANTIC BEACH, FLORIDA, DATED 04-17-89. C &a ORTI�ATTE ROAD NO.SURVEYORS INC 1 CNC. JACKSONVIIM. FI.DRIDA 32289 - 904 287-0407 - LICENSED BUSINESS NO. 7390 AeeREwtATIONS USED IN THIS DRAMIND ALL MAPPED FEATURES SHOWN HEREON WERE PERFORMED UNDER A .ARc rarmlr xnva- xAtlarAA Demm MY DIRECT SUPERVISION AND DIRECTION. THIS MAP/SURVEY AM- LvAMMA DAUN MEETS OR EXCEEDS THE MINIMUM TECHNICAL STANDARDS .eanRrD Lxx MOrRRCTrT ESTABLISHED BY THE BOARD O:PROFESSIONAL SURVEYORS AND Restwcrrorr ue Q - PLAT MAPPERS PURSUANT TO CHAPTER 471027 FLORIDA STATUTES ON -CHORD INSTANCE . PONT OF GIMYA1D11E AND CHAPTER 61G17-6 FLORIDA ADMINISTRATIVE COOS. GONG.famcmm P.C.C. . PONTIL O<COP(RND A .DDENTIOUC T P.I. PONT a ELFIIOxIECIgN THIS MAP/SURVEY IS NOT VAUD ESIrT-EASEMENT PAC: . Parr CF rtwt%q f WITHOUT SIGNATURE AND RAISED SEAL FFX--nNES1 FLOORCURVATURE ELEVAnw P.T. - Pan OF TANDUCT SAMUEL C. COOLER RTD.-fotM R/W (DONT OF MAY 9+s•"�/ LP. .NW PPE RLft NM RDD CK, . NA" TAM . Tmow Imm (r) nmEss PROFESSIONAL SURVEYOR&MAPPER NO.LS 6076 '- __ .,.Fn __ _. orn _._ n.in,Mr.Annnw ....- nw_.c. _.._......., n•_.e: s r CITY OF ATLANTIC BEACH r PLAN REVIEW SHEET Building Department Public Works&Public Utilities Departments �R7>r 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS '` Permit Application# Q & - .37 3 0 9 Property Address 7h is At in f Z'/ Applicant: 1K'e--� '?Q.rl l a� Project: 'SA £CL This permit application has been: Zf" Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the rect department may delay your permit from being issued. Reviewed By: Date: Date Contractor Notified: CITY OF ATLANTIC BEACH SHED PERMIT APPLICATION Date: Please submit(3)complete sets of plans withapplicatioon. Job Address: x FL- Owner: -Owner: PCA(J ` Ck-n Phone: (92 CD 7 L� Contractor: is Phone: Address: Fax: City: State: Zip Code: Valuation of Proposed Construction: Gd -G *Impervious Surface Calculation: Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Recent Survey-includine all existing impervious areas with calculations showing percent of lot coveraee. 3) 2. Two(3)complete sets of plans. 3. Recorded Notice of Commencement. ru-z;y 4. Tree Removal Application if trees are to be removed or relocated. 5. Comply with 120 mph exposure"C"wind load requirements. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m.to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following work day; please specify a.m.or p.m. inspection. When calling in an inspection please have the permit number, job location and type of inspection needed. BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of$35.00 is charged for all re-inspections. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 1 3/25/05 Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any 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 requi ed. d e Signature of Owner: PrL4Date: AS TO OWNER: Sworn to and subscribed before me this day of�j(aY�.t►� ,20_0_�Q State of Florida,County of Duval SMKLIY L. Notary's Signature: Notary Pubic-sMM of Flo" • ;My Commission Expk a Fab 14, ❑ Personally known Commission 4 DD 5IW ❑ Produced identification jr�pd F+y National Nota Ann. Type of identification produced Signature of Contractor: Date: AS TO CONTRACTOR: Swom 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 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 2 3/25/05 Special Information for Owner/Builders DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THE LAW. The exemption allows you as the owner of your property,to act as your own contractor even through you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. . The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one(1)year after the construction is complete,the law will presume that you built it for sale or lease,which is a violation of this exemption. You may not hire an un-licensed person as your contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that the people employed by you have licenses required by state law and b city or municipal licensing ordinances. In addition,the owner must supervise construction and becomes liable and responsible for the employees he/she hires. This responsibility includes,but may not be limited to: 1. Workers Compensation, for workers injured on the job. 2. Social Security Tax must be deducted from employee's wages and matched with owner's funds. 3. Federal Withholding. Since owners must be liable for injuries to workers they hire,the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers become employers and should also observe IRS withholding tax Form 1099 requirements on the workers they employ on their improvement work. Un-licensed contractors cannot be employed under any circumstances. Owners are subject to a$5,000 penalty under Florida Statute#455.288(1)instigated via Building Division citations. An OcMational License is not adequate. The owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is a licensed contractor. Telephone the building Division(:247-5826�f indoubt. I hereby acknowledge that I have read and understand all the above on this�Jcy.3may of,-xI-T%-/ PC,"AA, 'NCI) -Tt smioe_ �24 . Owner uild r x ignature Address 3 ZZ3 Print Name Telephone umber STATE OF FLORIDA: COUNTY OF DUVAL Before me personally appeared to me well known to be the individual and owner builder described in and who executed this instrument and severally acknowledged the execution thereof to be his own free act and deed as such owner builder hereunto authorized. WITNESS my hand and official seal this_day of, ar}t c Be o State aforesaid. NOTAR P A F F RIDA Print Name: Sc 3MRLEY L.Notwy Ib1NWM1 l Pubf�c'3MM d MY COMMISSION EXPIRES: JC t any Commission Expit"trap 14,ZOtO ❑Personally Known ;F Commission�DD 518533 ❑Identification: 30ndld By National Notary Assn. CITY OF ATLANTIC BEACH CROSS CONNECTION CONTROL BACKFLOW PREVENTER INSTALLATION REQUIREMENTS INSTALLATION: General installation instructions. 1. All devices larger than 2 inch must be installed on hard metal pipe. The metal piping must include all components up to and including the first upstream and down stream underground elbow joints. 2. Assemblies 2 inches and smaller may be installed on PVC pipe. Schedule 80 pipe must `be used near trafficked areas. Support brackets and guard posts are recommended. 3. Device assemblies,are to be installed a minimum of 12 inches above flood grade. Measurement is to be made from the lowest point of the device. The maximum height of a horizontally installed assembly is not to exceed 60 inches. No vaulted installations are allowed. 4. Vertical installation of DCAs is permitted on fire risers only and only if approved by USCFCCCHR. 5. All Devices are to be installed in a manner to facilitate testing. All valves must be fully operational.All test cocks must be easily accessible. 6. Freeze protection is required for Fire Suppression System Backflow Preventers and is recommended for all other Backflow Preventer installations. Such protection may not prevent the unit from operating or being tested. All Backflow Preventers must be inspected by a COJB representative prior to application of freeze protection. 7. Thermal expansion must be addressed in situations were a device application may restrict such expansion. 8. AVBs and PVBs must be installed a minimum of 12 inches above the highest outlet served.No valve may exist downstream from these devices. 9. CALL MALCOLM CLEMONS AT 247 5839 r FILE COPY MAP SHOWING BOUNDARY S GRVEY OF THE SOUTH 30 FEET OT LOT 4 AND THE NORTH 30 FEET OF LOT 5, BLOCK 146, AS SHOWN ON MAP OF SECTION "H" ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18, PACE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLA. CERTIFIED TO: KIRSTEN PARTLAN; K T TITLE SERVICES, INC.; OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY; SOUTHERN HOME LENDING, ITS SUCCESSORS AND/OR ASSIGNS AS THEIR INTEREST MAY APPEAR SCALE: 1"-20' DATE: 09-02-06 WEST 9TH STREET (50' R/Y) O �I� y � co E" 10 LOT 3 q l N r I COL NORTH 20' O:LOT pr NOT PART OF TIrl 5 Ei N88'56'00"E 102.00' r a Frax o r O r Z a 26.1' s 3Z.1' r`/1 D n 13 o r 1e'1 caHoinoPilm =8 "'1�J o N N O C7 r ` �� .. G r1� py aZ m Rt n1 r caN� v^ m o R WALK m A> - ^m 't o U X O N E•MOD FENCE- 4 ENCE/ ON UME, CL (TYPICAL) •C f CA i U N Fig a o S88'50'1 O"'W 102.00r r�m SOUTH 20' OF LOT 5 4 I r� NOT PART OF THIS SURVEY v 1 v 41 I 102'(P) r LOT 6 m THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN BEARINGS SHOWN HEREON ARE ASSUMED ON THIS MAP THAT MAY BE FOUND IN THE PUBUC RECORDS OF THIS COUNTY. UNDERGROUND FOUNDATIONS TIUTIES NOT LOCATED THE LOT SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE 'X' SHADED AS SHOWN ON FLOOD INSURANCE RATE MAP 1200750001D FOR THE CITY OF ATLANTIC BEACH, FLORIDA, DATED 04-17-89. C & C LAND SURVEYORS INC. 774 NORTH STATE ROAD N0. 13, 3[RTLI 13C JACKSONVILLE. FLORIDA 32259 - 904 287-0407!. LICENSED BUSINESS NO. 7390 A�rtEtnAnaNc Ian IN nuc eaAY1No ALL MAPPED FEATURES SHOWN HEREON WERE PERFORMED UNDER A .ARC U NM Kayo. NAnow OE100EtIC MY DIRECT SUPERVISION AND DIRECTION. THIS MAP/SURVEY <AOO.,CMN, Mtn DAMM MEETS OR EXCEEDS THE MINIMUM TECHNICAL STANDARDS exl_eu101to uON. _ MOWA04T ESTABLISHED BY THE BOARD OF PROFESSIONAL SURVEYORS AND CROWuc�Pt : �T MAPPERS PURSUANT TO CHAPTER 472.027 FLORIDA STATUIES ON .COMOR dETANTE P.G PONT OF COMPOUND AND CHAPTER 61617-6 FLORIDA ADMINISTRATIVE CODE. AWNC..MNTWJJmt NgKR P.C.a PONT a COMPOUND -MI Pl. _ POINT OF NnxsEVDoM THIS MAP/SURVEY IS NOT VALID ETMT-EASEMENT P.u.O. PONT Of RflFitSE WITHOUT SIGNANRE AND RAISED SEAL FTE.FRESH NOON CUEVA11A6 FIQ. FOUND ELEVAIM n T' INGHT PONT a wA""r°E"" SAMTJL''1+ C. COOLER c) v.LIL _om PPE M Itwo /S 6 in = TANGENT PRO@OVAL SURVEYOR& MAPPER N0.LS 6076 r lot S � � IO w '° w YY UA d> i\'', �j� t�l� fir+�, �,i• wow V 00 Y w r a rA `� w u► i t y \ 00 I' cc _ O / D za � r AT A+!TIC DEACH \ ACTION ORDER Ac-tion Cent.y ; Iv NO 01-0000003 ;. O =O E ENFORCEMENT 4--SIGNED TO r'E E r„•1 GF.RS - o CITIZENS NAME RICHARD R C.GEi's gDDR .5 : 780 JASMINE STREET CITY / STATE. ATLANTIC S ICH -L S CO'Jl bw 7 OJASMINE F.T. z ;tC:rL;Zti 0021 i,EED VIOLATION 3 SEt.T LEft E.. "TO BE CUT 11/2/83" a . r r;r r r+ ++ +r r.+ . a + + +r +r r+++. . r r r++ + .r .-r + ♦ . 1 ' 1 i _ EL. c V, _,.. z YES i i ilO c: _1 . rix, >:CT / H ,. '. ..tet{ �'.K.�,•, � .-.. 6 CITY OF AiLANiIC LEACH COME 'VIOLAT'ION 101M Dat " Address;-and/orcation of Violation ' Cowl AINr: , Owner and/or Tenant of Property. SIC=UI E OF C IPLAINANr Phoney ADDRESS ' ��.. ----..-............--------..-rrr----r..-...•....rrr----------------- -----w---r. ----rr- Date of Investigation Investigator Conditions Found Ll4 Talo. Action Taken �,, ib ZA Ompliance • FITS: .. CITY OF, ATLANTIC BEACH, FLORIDA ..� APP, ,ev Al�pLICATION FOR ELlCTR1CAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �--------1 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK ATTACHED PLANS AM©$P'ECiFICAAS OESCRIBED IN" THE l TIONS HEREBY AGREE TO PERFORM'ik"t0 WORK'IN ACCORDANCE WITHOF WHICH ARE A PART HEREOF, AND IWACCORDANCE WITH THE ELECTRi REGULATIONS, CODES AND CITY ATLANTIC BEACH ORDINANCES, . Ael s A&—f ELECTRM FIRM MAVER ELECTRICIAN, NAME4_ e �' ADDRESS:. `' RFD----,BOX BLDG.SIZE BETWEEN: RES. Apr.( i COMM.( 1 PUBLIC( I INDUS.# I NEW. OLD# ! REW,!# 1 ADDITION# I TRAILER# 1 TEMP.t I SIGNS ! i SO2.FT. SERVICE: NEW t. 1 INCREASE 11 REPAIR t I CONDUCTOR SIZE AMPS` ALI TCH OR K PH W . EXIST.SER ,$It AID'S PH W VOLT CE Y FEEDERS, NO. SIZE NO!' SIZE NO. SIZE LIGHTING OUTLETS „CONCEALED OPEN TOTAL RECEPTACLES CONC ALEDOPEN TOTAL, . 0.10 A,MP$•, $1400 AM PS SWITCHES INCANDESCENT FLUORESCENT&M.V. FUiED 0.100 AMP$ oYSR APPLIANCES BELL"I` AN$ . AIR M.P.RATING H.P.RATING CONDITIONING COMP,MDTpo OTHER MOTORS All H;.itool xwmEA1, 0.1 OvFAl Mt1TORS= M.P. "VOLTAE PHS NO. 1 H.P. . OLTAQE �PHS MISCELLANEOUS OVER TRANSFORMERS: UNDER, NDERV: 1 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: C1 filml�'t�c� PLUMBING CONTRACTORS d � 1 LICENSE NUMBER: , ^� OWNER: ZAtI7!?Al l � BUILDING CONTRACTOR! TYPE OF BUILDING: SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT: + $15.00 i • rrr -------------------------- -rrrrr..-rrrr..rrr000rrr..rrrrrr-r-r-• INSTALLATION OV PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. • i 1 - I a I DEPARTMENT OF BUILDING 7737 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date May 30 1986 !39on TL 44 002.04 139.00 4 5/"30/ Valuation$ s Fee$ ��f3,. 1 ;� �131Jl�' 7737 00th This permit not valid until above fee has been paid to City Treasurer,and is �i 1 p r?� subject to revocation for violation of applicable provisions of law. 01 This is to certify that David Baker RGO014690 innni Jhas permission to build Single Family Home RBsidential ZRS2 Classification one Owned by David Baer Lot So. 301 of 4 & No. 30' o£ 5 Block 146 S/D Set H House No. 790 Jasmine Street According to approved plans which are part of this permit !S NOICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 00 4—---0 o Building material,rubbish and debris ii from this work must not be placed in public space, and most be cleared up and hauled away by either con- {i = tra for�orj owner.. Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER to CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner ess zip— Phone Architect Address zip Phone Contractor &1/,U Address ielvl� Phone%17. IS/ Contractor's License Number Expiration Date Copy on File $0- -?v, LOTy Lot Ytdv -�'4.,OMck or, Section # dLoc,/2& Subdivision �� fl Zoning Street Between (2 �"� and Valuation $ Type of Construction 'el 60,-;1,57- Purpose 0.-;1,5 i Purpose of Building &`-�7 Number of Units Fireplaces Utility Service: Water G r r`y !9i/l f f'X Sewer If the City if providing water or sewer service, do we need to make taps? f-D i Dimensions: Building I t x 3 Z Lot 60 x r0 Size Footings to Sz. Piers Sz., Sills Greatest Span Sills Sz. Ceiling Joists-Wa 5 5 Distance on Centers 2 Greatest Span Sz. Floor Joists Distance on Centers Greatest Span Sz. Rafters Distance on Centers Greatest Span Method of Heating Z- /✓ C ;A'Ic Solid-Filled Ground Roof Flood Zone If located within a FLOOD HAZARD complete page 2 SUBMIT: Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required; 1. When steel is in place and ready to pour footings. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, plumbing, electrical, fireplace, is completed and ready to cover up. 5. Final inspection. SETBACKS NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB. / f E/ 0 In case of rejection, reinspection MUST be called for after Rear Lot Lune corrections are made. In consideration of permit given for doing the Z work as described in the above statement, we FJ' FJ' hereby agree to perform said work in accordance / with the attached plans and specifications, 16' �+ - 5 l0 2- which are a part hereof, and in accordance �Q Z rt 3Z rt with the building regulations of Atlantic Beach.. Signature Owner L tS Signature Contractor-Z)0-t, A / Ton e r0 liddres s � Heated Square Footage a o @ $ aF)• C)O per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport orch -\O @ $ OS per sq ft = $ 33La.o0 Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ y y , oo a. o 0 ooa. OO Q0. 00 $ \9 , oo Total Valuation lst $ \5 , o00 a9 , 0oa. (DO s- 00 $ Remainder Valuation a.5cper thousand or portion thereof --------------------------------------------I Total Building Fee $ 101 y O O ADDITIONAL PERMITS and/or FEES REQUIRED , + 2 Filing Fee $ Fireplaces @ 15.00 $ Mechanical P1tmbing ✓ i BUILDING!PERMIT FEE $ OO Electric/New I------------------------------------------------- Electric/Temp BUILDING PERMIT $ 00 Septic Tank V/ Well WATER METER CHARGE $ � , Op Swimidng Pool SEWER IMPACf FEE $ Sign WATER IMPACT FEE $ aL)O. 00 Water Connection ,/ MISCELLANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES PLUMBING WORKSHEET I SINKS 2. SHOWERS I DlSH14ASHERS C- CLOSETS Z BATH TUBS FLOOR DRAINS I WASHING MACHINE WATER HEATERS 0 DISPOSALS 2- LAVATORY O URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) ICE rnAK[I2 DRINK-ING-FOUNTAIN (� UNITI URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (B UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) L SHOWER STALL, DOMESTIC BATHTUB (WIOR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (.2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) at! K TOTAL FIXTURE UNITS @ $10.,00 EACH . CITY OF r16OCEAN BOULEVARD � p.O.BOX uo ATLANTIC BEACH,FLORIDA oouox TELEPHONE(*04)249-2395 bb Pre-Service Section Jacksonville Electric Authority 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit # 4931 - 851 Begonia Street Permit # 4932 - 780 Jasmine Street~/ Permits issued to Dennis Electric Company Sincerely, / w�[ . / ^'^__. nene' Angers ~ Community Development Director cc: building file ` n n 'Ti M O F9 n z (D x b n P rt n G b H w H r• rt W Cly 0 z n n pa En Sv fD rt t-d i-- (D cD M n .. O H It t-h H %_,, O O z n %Lkn ifiratr of Orru am C k4 CITY OF _ ErVartmrnt of Wntthing 34noprrtion a This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. J 7737 � f Use Classification Single Family Bldg.PermitNo.— _ ' Group Type Construction F`rauie Fire District_. Atlantan hennh Owner of Building David Baker Address_.— _ Building Address_780 Jasmine Streetality _ Se t Rene' Angers By: - Building Official Date: _ POST IN A CONSPICUOUS PLACE - J BUILDING AND ZONING INSPECTION DIVISION �`� CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections 1, ll, 111, and IV. i. -7'S o LOCATION Street Address: OF Intersecting Streets: Between _ �� And BUILDING Subdivisions! L;dys-"O.1J II. IDENTIFICATION — To be completed by all applicants, 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 attac4d plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good-practice listed therein. Nesse of Mechanical ..•- Contractors Contractor (Print) (hc et Master >p g Name of Property Owner -tj! "4.,. 5iymatun of Owner ,--- Signature of or IwfAoriud Agent Architect or Engineer 1". GENERAL INFORMATION A. Typo of beating fuel: B' IS OTHER CONSTRUCTION BEING DOME ON O�Wehie THIS BUILDING OR SITE? Vita's ❑ yeas--❑ LP ❑ Natural Q Cenfral Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q OR, PERMIT IV. 6110Ii1Nt!CJ1l 9UIftAWT TO RE INIVAU.iD NATURE OF woRk (Pravide complete list of components on bad of this farm) L�Residential or. ❑ Commercial Q/'HBat O Space ❑ Recamw "011el O floor 54--'gtew Building CAU COWWWnmg: ❑ Room' %.`tswsltral ❑ Existing Building M �Dus:! 'System: Material wel-jo m'> Ulawls1 ❑ Replacement of sxlsting system /a as,0 D"New Installation(No system previously Instolled) Maximum capacity efnl. ❑' Extension or add-on to existing system D Rrion ❑ Other — Specify CI Cooling lower. Capacity g•p•n1• Q Fire sprinitton: Number of head Q Elevator Q Manlift ❑ Esoalatoe (number) THIS WACI 004 OPS US ONLY CI 6eso1•ne pump (number) (Ra«Iwd) Q. Teaks (number) Remarks 17 LPG coMeisni+ ...(number) p Unfired prawrs weal Permii Approved by p 0 011W — Specih P.rmit Fra. EBT ALL EQUIPMENT AIt COt+I M6MNG AND REI!*It1GERATIONt EQUIPMENT xmbwThdfi Dseorlptba !Nolle"Number >Waut r (TO111111111) DEPARTMENT OF BUILDING 77391 s7Ls CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. •ie.� t'.JdJ it PERMIT TO BUILD n.nOCKT THIS PERMIT MUST BE POSTED ON JOB 511168 1A 6/04!9 7739 *90CAC Date June 4 1986 1 A 6/04!8 I }80Q Valuation$ Fee$ 38.00 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Grenier Services Inc. RA0027018 has permission to W install heat 6 air Classification residential Zone RS2 Owned by David Baker Lot So• 30' of 4 & No. 30' of 5 Block 146 S/D Sect. H House No, 780 Jasuise Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 —D �---� o Building material, rubbish and debris 4 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tracto or owner. Q kh._ Building Official. FOR OFFICE PERMIT D USE ONLY NUMBER ATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER May 2, 1997 MEMORANDUM TO FILE: RE# 170927-2040 South 30 ft. Lot 4, South 30 ft. Lot 5, Block 146 Section H, Atlantic Beach A lien letter was requested on the above referenced property. A lien letter was provided indicating the amount of the water and sewer assessment on the property; however, an old lien in the amount of$92.44 for weed abatement was overlooked. A check was received and the water and sewer assessment paid off. The property has now been sold and the new owner cannot be held liable for the weed abatement lien. f N° 3058 0,,,.-+�` LANTIC BEACH FLORIDA RICHARD P. ROGERS +NAME , 780 JASMINE STREET AppRESS ATLANTIC BEACH, FL 32233 L. j 4 L�L1�5 CREDIT ACCOUNT #01--363-1000 1i CHARGES FOR REMOVAL OF EXCESSIVE GROWTH AND WEEDS DEI TO BE A NUISANCE IN ACCORDANCE WITH ORDINANCE NO. 55� RE:170927-2040 3/780 JASMINE STREET. FAILURE TO MAKE PAYMENT WITHIN THIRTY DAYS FROM BILLING DATE SHAIL RESULT IN A SPECIAL ASSESSMENT LIEN BEING PLACED ON THE PROPERTY. i -7 fo 530 F7 Lo f IP34 r-r~ Z'0 - - f , When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment ITY OF ATLANTIC BEACH, FLORIDA Ta..- N O T I , C E T O A B A T E TO -PUBLIC WORKS DEPARTMENT Date:1� _ WEED ABATEMENT IVY" NUSIANCE ABATEMENT C ] Property Address: -- -�--- --------------- ----------------------- Legal Description:,/7 7_ _/--- -�1- ��--- ------------------------------ Property Owner: ----- Q� `- - --- ----------------------- Mailing Address: ------------------------------------------=------------- --------------------------------------------------------- Type of Work: `.� �L' lr --------------- - ---------- --------------------------- i Lot Size: l Ordered By: " N w N N N N N w w w N N N N N N w w N N N N N N N N N N N N N N N N N N N w N N N N N N N N N N N N N N N N N N N N N w N N N N N N N N N N N N TO ZONING DEPARTMENT -1 eeyy Date Work Performed: 1( ( �K_ EQUIPMENT EMPLOYEES #_-3 # hrs. 1. Z,4d 'w zd---- # hrs. 2. WCie �_l9 fLC`__ # hrs. - ------ 3- -----3. ---------------------- # hrs. _------- 4- ---------------------- # hrs. Comments: i� �Signed: *- �� liperi _tet, Pubc Works N N N w N N N N N N N N N N N N N N N N N N N N N--------------------N N N N---------------- COST NNNNNwNNNwNNNNNCOST COMPUTATION ------------------------------------------------------------------------- I No. of I Equipment I No. I Amount I Sub- I Admin. I I 1 Employees I Used i Hours I Per Hour 1 Total 1 100% 1 TOTAL i ------------ ------------- -------- ---------- ------- -- 1 1 1 I 1 _ 1_________I 1 I I I I 60 f ! I------------I -------------I-- -----I----------1------- i-------- 1 - ------1 /}CO IC1/G ------------ 1------------1------------- 1-------- 1----------1 ------- I------ I I --------- 11 _�_ �--: TOTAL BILLED: ----------------------------I Date Billed: --' , ______ Date Payment Received:___ ------------------- r ATLANTIC BEACH ACTION ORDER Action Center SUBD A ID.-_RQ- :_01-0000003 DATE 10/31/68 SOURCEx P gw Aw !, • TO CODE ENFORCEMENT ASSIGNED TO RENE' ANGERS CITIZENS NAME RICHARD R ROGERS_ -- ADDRESS : 780 JASMINE STREET CITY / STATE : ATLANTIC BEACH HOME PHONE BUSINESS PHONE ZIP CODE LOCATION 780 JASMINE ST. PROBLEM 002 WEED VIOLATION COMMENTS RE. *170927-2040 3 SENT LETTER "TO BE CUT 11/3/884 tttttttttttwtttttttttttt+tttttttttttttrttt............................ TIAL ACTION : DESCRIPTION OF ACTION TAK : 6 �6 �- --------------- - ------ - -- --------- y _ 2/isl DATE PERFORMED ______ TIME : INSPECTOR IS ADDITIONAL ACTION SCHEDULED ? t O YES t ) NO IF YES, WHEN ______ WHAT ACTION ---------------------------------------- CITIZEN ADVISED t ) YES t ) NO ttt.t+t++ttttttttttttttt+ttttttttrtttttttr+... ....................... C PLETED ACTION DESCRIPTION OF ACTION TAKEN .S ,. ��=-----!-=- -------------------- -------------= ----------------------- � � NOTICE TO ABATE � TO PUBLIC WORKS DEpABTi'lENT ` Date: VOW WEED ABATEIIENT IV1 NUSIANCE ABATEMENT [ ] Property Address: ' / � L/ - -- --------- ~____-__________-__-_-__-_-_-_ ______ Legal Description: ---------------------------------------------------- Property _ _________ ___________________property Owner : �� / �_ ___________________ Mailiogv~____________-_-_________________-___--____________ _________________________________________________________ ype of Nor!c ; __/./`--/ _ - ~ ^^"�`--,^~-______-_-_____-___ Lot Size: Ordezed By:--- `--- -v-/�/ --..----.-----..--..��- -------------- TO ---.-------.TO ZO0Z0G DEPABTNEAHT Dote 1',ork Perfozmed :____________________ EQUIp�ENIT E11PL8YEES 1. br�. ________ ______ # _ ________ 2. _________________ _ hzs, ________ C;-:,rneot - -- ---------------- _____________________________________________-_____ Si�oed:____________________________ SoReri ?oblio lt1or.",,u; ------------------11------------------..-.-----��.�� cOST CO��VTuTIO� ________________----_______________________________ | 1 1 E,quiP ut | Do. i Amouat | Sub- ( Admin. | | | ZmPlo yeeUoed urs } Per 1k,0ur | Total } J00% | ------------- | _____________ | ________ < -------- __ | _______ | ________ | _________ � _________ | _____________ i ________ | __________ ! _______ i ________ i _________ } � TUTAL GIU-117,D� ' ] ----------------------7 '- ,i�ftw^ Dote Bill--d - ------------------ � � CITY OF f �a 716 OCEAN BOULEVARD -_ - -- %'. ---- - -------- P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE (904)249-2395 re: 780 Jasmine Street N. 30' Lot 5 with S. 30' Lot 4, Sect H Dear Owner and/or Occup , / 70 '?a �'_ao,41-0 This is to advise that the City of Atlantic Beach has found your propr rty to be in violation of Ordinance Mo.,--/ 5b-•82-19, ( the weed ordinance) . If the property is not cut b //-3-ffthe City of � p Y Y -___-- Atlantic Beach will perform the work and bill you aq--`prescribed in Ordinance No. 55-82-19. CITY OF ATLANTIC BEACH CODE ENFORCEMENT DIVISION CITY 0 i , . t A 'L,MIrIC BEAM' .,l; C.E 7C . i"OODE. VIOLATION EMU Date *Address and/or Location of Violation �� r 30 :ice -7�, .$� , t.S (/0 OOMPL11INr - ,�•.•�_ 1,�' Owner and/or Tenant of Property _ OF OOIPLAINAMri PhoneJ4 ADDRESS --- --------------------------------------------------------------------------- Date of Investigation Investigator Conditions Found • Action Taken Z Z� . 41 . e Copliance MrE.S CITY OF ATLANTIC BEACH FACSIMILE TRANSMISSION TO FOLLOW a� a wp i� i7 V �tORta�` T .a FAX # p2- V-7— 3z2- FROM: %� � PAGES TO FOLLOW: DATE: MESSAGE: � r ecx 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904) 247-5800 FAX (904) 247-58 7 7 5754 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH FERAiT 7 f M A' 3 2'._ _E'L I% i3aristr. Type : W G O'D F R A ME n Proposed Uoe; S'S I'i G LE F., M I L'i �NG 0 Dwellings : I Code : 0 n . ,EC . ._ IN H Estimated Value : Improv. "Ost .. �O. 01C Total Fees : L035. 00 Amount Paid : 10335. 00 Date Paid : 8,,, 31-32 6,u Wo_-k Deisc_. : SEWER IMPA",'T 1;'EE FOR 7" 77 T ----- ----- UWNER INFGRMA11 A,`P-L I-A 4ame ; 'iQNALD MARTIN AddreSS : 780 JASMINE STREET 4A FE? 1.1PACT - E 2 1'MP,%kT FEL1L?:7. 0 0 ATLANTIC REACH, FLORIDA 2-2-2-2E4 Z" I Phone : (904)727-7/C)06 `a ;'"ER I ET ER �Q. 00 RA 1.}ON GAS -Ii. R. 0. 0C !-ONTRACTOR IAF1)PMATION RADON GAt-" Sk3. 00 Name: PUBLIC WORKS DEPARTMENT W AT E R TAP =io. OC Address: SEWER TAP -1;0. 00 HYDRAULIC SHARE L icense : Ty Pe: RE- INSPECL FEE $0. 001 _). SEC. H 1MPACT P,'-"E $1, Ox, OTHER $0. 00 NOTES: (44 NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT I N THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." '!r4 7^fjTrN TT -ME, 12: ,7 ni ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJEC.-YPrO REVOCATtqN!fQR T.PIVU:Ert $4 1 VIOLATION OF APPLICABLE PROVISIONS OF LAW. 0_7 NELEIVIT tlnER: 1)6276.-, ATLANTIC BEACH BUILDING DEPARTMENT By: 5753 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH kMAT i! RM-1 T IN F,I A C N _0 3 A�D -i E Perm-i k, \1 u m r;er- �575j Ad r ,t , PerJA fU M 9 1,N G P Per Type-. L -' ass D-1 Worit . A DO_'T., N T y pe- ML t : e c-t i,.�i% Constr. . WOOL) FRAI E oc k Proposed Use: S1'4f_:LE FAII TLY To w n s,h 1 ,D RNG Dwellings: I Code. .3 u da 'C'71i N H E3timatL-d -1a i,.A e $0. ORD I ..Mpr4OV. COSI : 50. 00 T.otai Fees : 5L8. 50 Amount Paid : -$18. 50 Date Paid; 8/ 3/921 Wory Desc. : INSTALL SEWER SYSTEM OWNER INFORMATION A I :;N IF E E S Name; TSR. RONALD MARTIM G Address: 780 JASMINE STREET 'd A TE R 11-M PA CT ir"E -:;0. 00 ATLANTIC BEACH, FLORIDA 32-331 SEWER IMPACT Fi.E $O. 0() Phone: (904)7-'17-7008 WATER METER $0. 00 RADON GAS-H. R. S. 50. OU ------- CONTRACTOR INFORMATION RADON GAS - 5% $C-1. 00 Name : ECONO ROOTER WATER TAP SO. CIO Address: 9020 COCOA AVE SEWER TAP t�0. 00 JACKSONVILLE, FL 32211 HYDRAULIC SHARE $0. 00 License: Type: 0 RE-INSPECT FEE $0, 00 SEC. H IMPACT FEE $0. 00 13THER $O. 00 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 BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND Zip: T TOREV c N FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT 5754 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH w -- PERMIT INFORMATION - -_ LOCATION INFORMATION --------- Permit Number: 5754 Address: 780 JASMINE STREET PermitType: UTILITIES ATLANTIC BEACH, FLORIDA 32233 Glares of Work: NEW - LEGAL ,DESCRIPTION Canstr. Type s WOOD FRAME Lot: Block: Section: Proposed Uses SINGLE FAMILY Township" ;R'NG: 0 Dwellings: 1 Code°: a Subdivis ons SZCTION H Estimated slue: $0.00 mpro'v. Coast: *0.00 Total Foes s *1035.00 Amcaunt *1035.00 Dst�� /2.4 / Wo ark E}o.sa � T FEE FOR TIE IN TO CITY SEWER SYSTEM M APPLICATION FEES - $0.00r Add E STREET, WATER IMPACT FEE $0.00 I CH, FLORIDA,# SE' PAC FEE 035.00', Pry a, d� ,�� ; S. *6'.' 00.. ._ --_ _ 0 FORMATZbN - RADON 5% *0. 00' Mme: B , 0 DIrPAR 1 NT WAFER TAP , $0.00 Add es � SER "TAS* 9RVr4 .«. w,�.,., .w, .moo,..,..-...w�...,�..r. ,w.., .,..�-� IIYDFtA0LIC SHARE $0. 00 Llce:x Type: 0 RE' INSECT FEE ""AO. 00 SEC. H IMPACT FEE S AC ,' O NOTES: . NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUSTSE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE T� COMPLY WITH THE MECHANICS' L,�E1�1 .I AW C�11ht RESULT IN THE PROPERTY OWNER PAYING rwICE PCXR BUJIIPI1%04MPROVEMENTS,NMI " TOE: ija09 E Ak ; I UED ACCORDING TO APPROVE[ PLANS WHICH ARE PART OF THIS PERMIT AND SUBJREVOC% ` tl ELATION OF4APPLICABLE PROV13IONS OF LAW, 183 .00 DOME NUMPT : 06M ATI*AN`C1C BI~ACH BUILDING DEPARTMENT i 5753 DEPARTMENT OF BUILDING CITY dF ATLANTIC BEACH PERMIT INFORMATION - - 'LOCATION INFORMATION it Number: 5753" Addreas z :780 ;JASMINE STREET Pe resit Type; PLUMBING, ATLANTIC, BEACH, FLORIDA 32233 I"mss of �1or3ci ADDITION ---------- LEGAL. DESCRIPTION ---------- onStr. Type i WOOD FRAME Lots Blocks Section Proposed .Use: SIMILE FAMILY Tcrnhipi;. INt3i 0 Dw*11ings i I Codes 0 Subdivisions SECTION .H Esti ated Values $0.,00 Improv. Co at i $0. 00 Total Fees* $1a.50 A*aunt $18. 50 Det 'Mork Dem RSYSTEM _.� _ , RMATI0N - rot, APPLICATION FESS N a� PERMIT $18. 50 Add STREET WATER IMPACT FEE 0 .00 low 1N ACT FEE so.00 P GI10 AVLORIDA SE �} t, S. -------- " F'CIRM idm It�►OtrII�I OAS .� "5% $0. 00 Address s ..9.�CI Q A!M�ASE. .r SEWER .'I'AP,. . 0C i 00 JACKS LLE, FL, 3221.1 HYDRAULIC SHARE $0. 00 IV Li Ai s Type 1 0 REINSPECT FEE ".00 r SEC.,E IXPACT FEE �f` O."OO ` '* .'+;ee .^a<t*:a;..: aw"p•w,,.. MAW _ �.«.,aaan. so.WIN • NOTES. i E NOTICE�=ALL CONCRETE,FORMS AND FOOTINGS MUST SE;NSOEtCTEO BEFORE POURING r" PERMIT VOID SIX MONTHS AFTER"DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND"DEBRIS FROM THIS WORK MUST NOT BE"PIAC"ED IPl PUBt_IC SPACE AND MUST BE CLEARED UP AND HAULED AWAY'BY EITHER'GONTRACTOR OR OWNER. 1ICAILURS TQ C0'MPLY WITH"THE MECHANICS' LEEN t.�►W CAN REE►ULT IN THE P4 PIERTY OWNER PAYING TWICE OR BUILDII� AM11sr s ,I$$UED ACCORDING Tt?APPROVED PLANS WHICH ARE PART OF THIS"`PERmrt' AND T TO REV N FOR ;" titOLAMON OF•APPLICASLE PI�OV SIC}t+tS OF LAW. . ATLAMTIC'BEACH BUILDING DEPARTMENT OWg ep CITY OF ATLANTIC BEACH APPLICATIO14 FOR PLUMBING PERMIT JOB LOCATION 00, PLUMBING CONTRACTOR LICENSE NUMBERS OWNERY BUILDING CONTRACTOR TYPE OF BUILDING SINKS SHOWERS LAVATORY WATER HEATERS ' BATH TUBS _DISHWASHERS URINALS DISPOSALS CLOSETS __WASHING MACHINE FLOOR DRAINS OTHER , 13 TOTAL FIXTURE C4T S, Sd '-f- CSO INSTALLATION OF PLUMBING AND FIXTURES TMST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. DEPARTMENT OF BUILDING 7738 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 1 f V PERMIT T4 BUILD THIS PERMIT MUST BE POSTED ON JOB 55150 T 5r)sSnr?T Date June 2 lq 86 518U 1 Q 9/02/9 7738 .HOCA Valuation$ Fee$ 55.50 19" f n 002/8 1 QQO 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 Duckworth Plumbing RF0037336 has permission to M install plumbing Classification residential Zone 882 Owned by David Baker Lot So• 301 of 4 & No. 30. Of 5 Block 146 S/D Sect. H House No. 780 Jasmine Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4--1111 4----01 O Building material,rubbish and debris —ZI from this work must not be placed in public space, and must be cleared up and hauled away by either con- tract r or owner.. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER w