Permits 45 Levy Rd (vault folder) Ire
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 04-00027828 Date 3/09/04
Property Address . . . . . . 45 LEWIS ST
Tenant nbr, name . . . . . . REP 4 WINDOWS
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property' Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1000
Owner Contractor
--- --------- -- ---------- ---- --------------------
YOUNG, GEORGE BUILDER' S CARE
45 LEWIS ST. 103 CENTURY 21 DR. - STE 108
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 727-3443
----------------------------------------------- -----------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . 3/09/04 Valuation . . . . 1000
Fee summary Charged Paid Credited Due
--------------- -- - --------- ------ ---- - - -------- ----------
Permit Fee Total OQ . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 0,0 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RES IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
Ul-T E PROVISIONS OF LAW.
S E UB
W, H PART OjK1. P JECT TO REVOCATION FOR VIOLATION OF APPLICABL
BUILDING OFFICIAL
Cc-
CITY OF ATLANTIC BEACH
L. Higgins
BUILDING ZONING DEPARTMENT
S. Doerr
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application # b C4 - 2-7 ,S Z
Property Address: �4 S Le�w I
Applicant: )I L T>E;QS
Project: CL4 I�J-zx ws
T pplication has been:
ved
ED Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Lw Date: 3)0 1(-Ic-f
Jun 24 03 03: 32p Information StIstems 247-5845 P. 1
VIA MAR' 0 4 tj 4
CITY OF ATLANTIC BEACH
PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS, S]�YLIGHTS AND
GARAGE DOORS OF SINGLE—FAMILY OR TWO-FAMILY (DUPLEX) C'ONSTRUCTIOJI�
Date:
Job Address: 17ZSZ4j!57Vkj7
Owner'sName: (gad6cc, 4 &&Jotoe"9
Address: Phone:
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: 14301t4641K (fe7
Vi� ZJK� State License Number:
Address:103 CeW74��Y,71 ,6gf 5�1,ef
1�, Phone:
City: StaterhL_Zip:3Z;-V6 Fax: '77,-7-31,0-j A6
Describe proposed use and work to be done:
OT �4451,— ZI 4�11&ZVWS
Z 9-z/0 -7/9 '0�� 7 3�4
Present use of land or building(s):
Valuation of proposed construction:
Is approval of Homeowner's Association or other private entity required? If yes, please submit with this
application.
Building Data:
Mean Roof Height 0 ---_(ft) Building Width (ft) Building Length 11,� .00
Roof Slope �2//—,7 *Window Elevation from Grade_Z (ft) Window Height_11L(ft)
0 Measurement from corner of bui i g o window (ft)
Window Width (ft)
5
h
S
a
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 F2x: (904)247-5845 - http://www.ci.atlantic-beach.fl.us
Page I Revisod 1/27/03
Jun 24 03 03: 32p Information S!dstems 247-5845 p. 2
Procedure: In order to expedite issuance of permits provide all information as appropriate Incomplete applications may
result in delay in issuance of permit.
In addition to the building data,the following information is required:
1. Manufacturer's Test Report
2. [installation Procedures
3. Window Description/Type
4. Garage Door Description/Type
5. Skylights Description/Type
6. Elevation View of Window Locations
I hereky certify that all information provided with this application is correct.
k'- LK 0"�
Signature of Owner:a�t� — Dale:
1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal.state or local rules,regulations,ordinances,or laws in any manner,includingthe
governing of construction or the performance of construction of the property. I understand that the issuance ofthis permit is contingent upo_nWc
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
Signature of Contractor:
U
Address and contact information of person to receive all correspondence regarding this application (please print).
Name:
Mailing Address:
Telephone- 72-2-34��--7—]Fax: '�2-3��4� E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this- 3 day of C- 20 01-+
State of Florida, County of Duval
CHRIS SIMONS Notary's Signature:
Notary Public,State of Florida
My comm.expires July 10,2005 a4e-rsonally known
Comm.No.DD 041161 Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of a(C., 20 12'f
State of Florida,County of Duval
N gnature.
OF'11, CHRIS SIMONS
Notary Public,State of Florida
My comm.expires July 10,2005 known
dentification
Comm.No.DD 041161 Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us
Page 2 Revised /27103
02/19/2004 15:59 9043500061 KINCO:LTD PAGE 02
Quality Accuracy Assurance
Fenestration Testing LaboratoryTZ.
1677 West 31st Place Pialeah, FL33012 Phone. 3051819-7877 Fax3051819-7998
e-y iad:ftLdade@aol.com www.ftl-inc.com
APPROVED
CITY OF ATLANflC BEACH
BUILDING OFFICE
Ub.Numb=3079
MAR 0 3 2004 April 30,2001
Report Number 13
File Number 0 1-102
BY, Page I of 3
A4266
OFFICLAL TZST REPORT
MANUFACTURER: Kinco"t 4 DESIGNATION: H-LC50*-53 X 63
ADDRESS: P.O.Box 63 98 SPECW[CATIONS: ANSVAAMA1NWWDA
Jacicsonville.Florida 32236 1014-S.1-97
DESCREMON OF UNIT
Model Designation. Series"M-40/30 H�';Aluminum Sines Rung VnWow
Overall Size.4'5"(53")by 5'3n(63*)1 igh by 2.0000 deep
Configuration:OIX
No.&Sin of Ventoz Out extruded alun inum vog.4'2w(SON)by 2'8 318*(32 3/8*)high
MATEO"CMARACTZRMTICS
Frame Construction: Test unit has a ftme vft butt joints and a white we finish Aluminum alloy is
6063-TS. except where indicalc& won fastened wkb two No.4 by 5180 pan head aheK metal screm.
Fixed meeting rail was fastened at awach aue No.9 by 540 pan head-nl3ast metal sannv. Frame sill has a 1.939"
overall interior sill fiangs Size of Amne members we a fallows: *ame head 1.0000 by 2.0500; ftm am(alloy-T6)
0.938' by 2.062- by 2.188';tumne j s 1.188" by 2.000"by 1.9380;find meating rag(ho;;aw causion, alloy-T-
F't
a
cc
nenv
n
4 type
M"
di
j c; 1.1
6)1.550'by2.100-byl.064'.Frnmmc' me solid c*u&iws.except wixte ind From members haw qpical
wall thicknesses of0-062".
Vent Construdion;Vent has bunjoixo a Mute coated finisk Alummum alloy is 6063-T6,owept what indicated.
W
Vat comers vxre fastened with am Noi by 5/9'pan head shad metal screw.Size of vat rails are a follows:top rail
5
(hoUowext*ion) 1.500"byO.984'by2. 50';bottom rail 2-062*by 0.812'by 1.500"by 1.624%vagjamb rails(alloy-
TS)0.937' by 0.912- by 0.322". Vent rale are solid ommsions,"t where indicated. Emmions have typical wall
thicknesses of 0.062'.
Glazing:
Material:3/16"annealed glass
Moithod:UrAt is exterior glazed with 0.3.1 V glazing penetration using a dear colored ailiome and an aluminum rolled
glazing be&d.
Daylight Opening: Clew opening of vent�and fixed lite,48 114'by 28 3/9-higL
Weatherstripping-
-mantily Description LoIcaton
Single row pile with integral plastic at vent jamb rails an the vaerior and vent top nul
I I Frei Plastic
Single row at vent bonom rail
Hardware,
-giandt; Description Lovadon
Two adjustable spring loaded plastic h 3ok lock,with no J.D. at vent bottom rail,9"=0 from Idt
marks
Two wing mW puiley balsam with L.).No.BSI 129 N am at each kame jamb
Ll�.mats
Two Clastic balum guides.with no 7-91wal each end of vat top rail
rms PaPaRY IS susmirreo FOR 1TW EXCLUSIVE USE OF THE CLEW TO 000001 IT 15 ADDRESSED.ITS AMICATON is ONLI TO 7"9 SA"PkE TESTED AND 0 NOT IRCEOWLY INDr.Anvt OF THE MAUVES OF APPAREPMV
900-AR OR IDENTICAL PRODUCTS.PUKJCAT0N OF STATEMEWS,CONCLUSION&00 PYTPACTS PODIA OR AE"NOW,CNIS ASOCATS.DO Of ANY OF OUR SMS ON'NSIGMA Vffy"OU'OUR EXPRESS PEPPA135M.is PAD"W"D.
02/19/2004 15:59 9043500061 KINCO:LTD PAGE 03
Lab.Number 3079
April 30,2001
Report Number 13
File Number 0 1-102
Pap 2 of 3
A4266
MATERIAL CHARACTERISTICS
Hardware:(continued)
Location
Fouwr plastic face guide.with no 1.1).marks TWO at 9W1 jamb rail of VCK 3 VV and 29*
from bottom
Two
T 1 balance take out steel cup,w th no ID.m&,kj one at each fto fiam bottom
Jamb,59
r=12& Descripfio* Location
TWO weep notch one at each end of r P P a retainer leg in fiome sill
FTo�tir %"Weer)110tCh at==yellim log in*me QL 3%%.2 1'.28"and 4S K"ftm left
Mustins.,NCM
MoUlaiu:None
ReWorcesisaw None
Sealants:FrMe comers gown were With a clew Colored silicone.
Pads*One 2*long adhesive back ded foarn-psket at auk lower hum aorner,total aftwo.
Sereea;Water resistance tests Wemm ucted with and without fiberglass mesh a installed.
Unit Installatim:Ted unit kistaHed in a 2 x 12 wood test buck with a I x 4 pressure Vowed buck strip,Frame installad
wi&a single tow of No.9 by I %-ft
n: shed metal sumn in fissoe WO wid kame jambs.L=aon of instaUtion
sorma am as follows:fivrne head Am lbe Id%40 and 49%fivme jambs *om The bo#km 2 3/4'.28 1/411.34 1140 and
60 1/4'.TbAry were no installation foA ners used in ftm sdL
Product Maddup:None
OMCL4LTES7 RESULIN
Paragraph Number Intle of Tow measured Allowed
SECT]ON 4,OPTIONAL PERFORMANCE CIASS:
4.3 Water Resistance Test(A"ES47-96/E331-96) passed
with and without smvm 730 psf(359 ps) 4.50(114)minimum
4.4.2 Uniform Structural Load Test: ,ASTM E3 30-96) Passed
Positive Load 90.0 psf(4309 ps) 45.0(1144)minimum
Dofiection Perssamat Set
Reading at frame jamb 0.195-(4.96 mm) 0-015-(0.39 mm)
Reading it franc sill 0.310-(7.0 mm) 0.0 IS"(0.46 um)
Reading at meeting raits 1.120-(28.48 mm) 0.057-(1.45 mm) 0.200(5.09)maximum
Uniform Structural Load Test IASTME330-96) Passed
Negative 14ad 90�O psf(4309 pa) 4S.0(1144)minimum
Reading at fiww jamb 0.2004(5,09 nun) 0.0140(0.'36 nun)
Reading at firaxne sill 0.425-(10.91 mm) 0.017-(0.43,mm)
Reading at meeting rails 1.0990(27.92 mm) 0.055-(1.40 un) 0.200(5.09)maximum
02/19/2004 15:59 9043500061 KINCO:LTD PAGE 04
Lob.Number 3079
April 30.2001
Report Number t3
File Number 0 1-i o2
Page 3 of 3
A-4266
Note: At confAusion of above tests,I here was no opparew dmup to unit,glass or hsftm.
Menace Section 2:Revolds taken M gm FTL 3074;Report No.15;A4268-,April 30,2001
Temperawre: 79.0 F
DarameMc:30.04
Tat Begsia-April 24,2WI
Test CmpidW-April U,2001
Report Explrw-April 23,205
Rmarks: This tm report does not certification of tho produc4 but oe#that the dxwe tag reaft were
not
obtained using the deziumated test W the pufarmance requiramift (varambs a linted) of ft above
I
referenced specificedom As per ,%wk ooaqdies with seedon 3.material end coseponent.ro"irewoots.
Detailed asserably drawiW dowm4ingl dwdelam of an merabem comer construction mad hardware application am
an file and have been cow;wnxi to do iample submitte&A tag umple will be relaumed at the tea laboratory A ovy
ofthis mport and dftflod*xwiW wM be knvarded to die Valid"
Now Wben-load tau are performed on test qwAmcM toy me covered with a 1.5=1 plastic dotting to wal from air
leakage,howew,this has no affed an t w test nooks obtained.
Witnessed by: FENIUSTRATION TESTING LABORATORY,INC.
?*.Luis Figuerado,F.E.
W.Jay wrick
W Jim Pudkeft
W.Mike Trent Raq Zavala
MW
Audwrof Report
Miarimm Ayala
LaboraWry Technicians:
Ralph Rodriguez
/-KiW4 Limited
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LA, TO 70#v rpm Irl RUCK of al"m
CALL VANDOW 11="m
ul SIZE HEAD SILL E&70�$S
ev zimi 23 1/0 :27 efa e z e Do
2030 23 Y,,p 36 ./w - 2 p a 04TALLATION
20M 23 In k 43 b/z 2 2 3
Lij 2044 23 711 x 51 /1 ? ? 3
2050 23 71V A 59 %Is V41 NAA
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2060 23 1181171 yj 2 2 6
2070 23 i/a 1 83 ./1 2 2 4
2060 2 P 5
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2450 27 "..50:,Ol 10 2 3
2460 27 via a 7s wo rjK FRAW rip#r*Apc ivome CaTrom Wild"
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2470 27 1)%L 91 Vs a 2 4
so 1 27 vA a 95 va P p -3 ptowita C*A&k
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im 31 -A a 35 p ? 2
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28M 31 7/a 1 71 ma 2 2 4
2870 31 km X&3 vp 2 2 4
25M M vis x 95 km 2 2
33 iA 1 21 /v 2 a
3030 is in 1 35%ft 2 2 2 16LL STMX
3038 15 im 1 43%A 2 3 IV QTkcAl
3044 35 1**1 5( 'A 2 2 3 r IN ra"IE
3050 35 via R 59 /A 2 2 3 SILL
3060 24,RIC.
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3070 35 1/8 x 63 if* .2 2 4 f
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3424 309 na 3 Is i ta"IT
343D 39 35'to 3 3 2 DTK;n WINDWT- 2 tquXLLr
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3444 30 pis x 51 /1 3 3 3 ATTFi
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3838 43 v/s x 43 3 3 3 Exi"MR, LAM VLQNff
3844 43'IS151 V, r1hasm TWO 0,f4k"""M""G,
3850 1/2 3 3 sy MINERS In REMWED FOR
43 in W 59 3 3 3 -CODE COMPLIANCE
3"0 43 1,%11 71 3 3 4 mKv4rxT T
3670 43 ?if X 8) 3 3 4 Im THIS PLm ON JOB
mw 43 In K 95 a 3 3 SEC T ICIN 1 6' VAX.0VVV.;
40qc 47 7/9 L 26 1/3 3 3 i
4030 4 7 I)v v 37 ft 3 3 2 APR 10 2002 F-LEVATIO
4038 .7 In K 43 vi 3 3 3 1)VANDOW fR"AL VATERML: AWU&kuW ALLOV 041.
47 %a w%1 %" '1 :1 2)1��Qw ANCHORS WUST 01 Or SUnV=NT tRk TO lfigpwo"ffiv-w FL.
4050 47 wo 1 50 V, 3 3 3 . C.11M.E., Of I —- -- - --
40W 47 pl%x.71 v, 3 3 4 SPACE 14 SCREW AWWWS a'rPOW COMRS a 24,CC, M tAItKlLJK-
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47 vp%x 83 In 1 3 4 "Mm?swill
4OW 3)CAULK 90A*G WWMW(IN AT WAD& VWM MW144 OLD-SWL mumob N
442-4 AONLSfK CAULK ON APPROVED OOL AlPPLJC0kOK OF OUO-5L
LO 51 221!,a. 3 3
CD 4430 ADNEVA CAPAK NWST CONPILY 61W SIALPM~AM100"
51 vo 1 37 vs 3 3 KOOMEMMMS. 00 80 CAU MUND 004 At WOW SILL.
(s) 4430 51 7/4 x 43�/a 3 3 4) LOSE(AUX CALA.K OR [Wa" MR MINAETER SM AROLON)
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M
C14
N
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City of Atlantic Beach
*** CUSTOMER RECEIPT ***
Over: CKONOREK Type: OC Drawer: I
Date: 3/29/14 81 Receipt no: 44883
Description Quantity Asount
2064 27754
BP BUILDING PERMITS
l.m $35.86
Tender detail
CK CHECKS 3392 $35.90
Total tendered $35.99
Total paysent $35.N
Trans date: 3/29/94 Time: 15:15:21
LAN
0 R
OF
ADDITIONS or CORRECTIONS
DO NOT REMOVE
JOB ADDRESS DATE
4IS7 uewts C,,C9
THIS JOB HAS NOT BEEN COMPLETED
The following additions or corrections shall be made before
the job will be accepted
W 4U_ 4-0
kk�L 4-A�oL,,Az —
fa4D 6TV 04AC
IF MC_
2 9
LJ $15.00 REINSPECT FEE
It is unlawful for any Carpenter, Contractor, Builder or other
persons, to cover or cause to be covered, any part of the work
with flooring, lath, earth or other material, until the proper
inspector has had ample time to approve the installation.
After additions or corrections have been
made,call 247-5826, Building Depart- PLUMBiNG
ment for an inspection. Field Inspectors ELEC
are in the office-from 8:00 a.m. to 5:00
p.m. Monday through Friday. BLDG
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FI 32233 - Tel. (904) 247-5826
ROOFING PERMIT
8=Z92M&M&6MLL0CATW"F0_ M&MQM=!9!=
Permit Number: 18481 Address: 45 LEWIS STREET
Permit Type: RE-ROOF ATLANTIC BEACH, FIL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: LEWIS
Est. Value: 5,000.00 Parcel Number:
Improv. Cost: 5,000.00 i71r1MTTTTffl1W W
Date Issued: 7/09/1999 Name: YOUNG, DAISY
Total Fees: 35.00 Address: 45 LEWIS STREET
Amount Paid: 35.00, ATLANTIC BEACH, FL 32233
Date Paid: 7/09/1999;�;,�" ' Phone: (000)000-0000
Work Desc: REROOF eiV
VE
NU HOME FLORIDA, INC'. PERMIT 35.00
...........
RM
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITHTHE.CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$35.6014
Date: 7114/9901 Receipt: 0071457
CHECKS 2832
CITY CV AtLANTIC,61�ACH 80100003221000
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
glammegma
SUM 19ERMOOM 0
Permit Number: 18482 ddress: 45 LEWIS STREET
Permit Type: REMODELING ATLANTIC BEACH, FL 32233
Class of Work: REPAIR Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: LEWIS
Est. Value: 5,000.00 Parcel Number:
Improv. Cost: 2,000.00 !*=w ME.
Date Issued: 7/09/1999 Name: YOUNG, DAISY
Total Fees: 25.00 Address: 45 LEWIS STREET
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 7/09/1999 Phone: (000)000-0000
Work Desc: REPLACE IR5TTEN WOOb,-SOFFIT, FACIA, DECKING
NU HOME FLORIDA, I.NG. PERMIT 25.00
Af
4
FINAL BUILDI
NOTICE,,�INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL',7RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UPAND HAULED AWAY`BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLYWITH,THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
!25.00 14
Date: 7/14/99 01 Receipt 0071457
CHECKS
AfLANVC BP-AcH BU%51NG DEPT. 00100@03221008 283P
a-14 — ' "
CITY OF ATLANTIC BEACH ME CE I VE D
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATI91111, 9 1999
MOVING, DEMOLITIONS
CitY of Atlantic Beach
Owner(s): S Q is Buii(jia9-aP4-Zoning
Job Address : ne:
Lot# BlDck or Unit# Subdivision:
Contractor: \A.A e 'Ro State License#cj&c- 0
-5 M U ne No: ce) C-'
Address: 5&CD ELI S614 a 0&
k-1
City-�:� Lt' ow Q 'e State F�'- -Zip Code !;i-L-z-1
e,
Describe work to be done: V%- Sa f";
5�
Present use of building: r-4 .-I C.,
Valuation of Proposed Construction:
Proposed use:
Is this an addition?_ f-.) If yes, what are the dimension of the added
space: —ft X ft. Wdl the added area be heated and
cooled? New electrical(or increase)?
New plumbing fixtures? New fireplace? New Heat/AC?
SUBMIT THREE(COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING
SITE PLAN, SURVEY, ENMITY CODE FORMS, NOTICE OF COMMENCEMENT, AND
OW7VERICONTRACTORS AFFIDA VIT, IF OWNERS IS CONTRACTORS.
Signature OWNER: L 1)ii,c---*>, i A i -x Date: C, 9
Signature CONTRACTOR: Date: 7'1 - 5
AS TO OWNER:
Sworn to and subscribed before me this jjday of 19 0,
4f`
INO r%9 4 CC638340
EXPIMIWY 04.2001
wm
AS TO CONTRACTOR: co�wcl
Sworn to and subscribed before me this
�of .
&'6u 62'e
NOTARY PUBLIC gaw!'%" paWa AffionM-
CC5&WI EXPIPES
My CoMmSSON#
August Z7,2000
13ONDED TMU TROY MIN INSuRANCE WC
j-
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00027754 Date 2/20/04
Property Address . . . . . . 45 LEWIS ST
Tenant nbr, name . . . . . . REPLACE EXISTING HVAC
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ -------------------- ----
YOUNG, GEORGE J&W HEATING & AIR CONDITIONING
45 LEWIS ST. 10663 LEM TURNER RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218
(904) 764-0040
---------------------------------- ------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 107 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- -------- -- -- - - ------ - --------- -- --------
Permit Fee Total 107 . 00 107 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 107 . 00 107 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. -FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN-THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-ISSUED ACCORDING TO APPROVED PLANS
.',RICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW,
BUILDING OFFICIAL
4a
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
AN Date:
C
Property Address: awt-s S�--
il Telephone #: 2 9
Owner: Kv O'coa cautj(Tell.5'
Contractor: 141u) 14VIWLA!� 9 11,0 Telephone#: 76, �( 00 z1Q
Contractor Address:
Fax N: Zt�J� 941, ?-1
In consideration of permit given fbrd—oing the work as described in the above statement,we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of
good practice listed therein.
Type of Heating Fuel: If other construction is being done on this building
A( Electric or site,list the building permit number:
Q Gas: —LP —Natural —Central Utility
13 oil
0 Other—Specify
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
U Heat Space _Recessed )(Central —Floor Residentizl
,Xjl� Air Cor�dlitioning: Room XCentral
>r Duct System: Mat�—rial- )S6 --- Thickness 9'6 D Commercial
Maximum capacity_J4/0
• Reftigeration �.cfm E3 New Building
• Cooling Tower: Capacity gpm 13 Existing Building
• Fire Sprinklers:Number of Heads
L3 Elevator: —- Manlift—Escalator_(Number) U Replacement of Existing System
• Gasoline Pumps (Number)
• Tanks —(Number) 0 New Installation
• LPG Containers (Number) (No system previously installed)
• Unfired Pressure Vessel 0 Extension or Add-on to Existing System
• Boilers
• Gas Piping C3 Other-Specify_
L3 Other-Specify.
LIST ALL EQUIPMENT
AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving
Number Units Description Model 4 Manufacturer Ton's Agency
k)W fill"lo ZTU-190q, 2.Jooq,4
r
MATING-FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving
Number Units Description Model# Manufacturer BTU's Agency
I
Alp, 'J'A'oloh Z43r '1/Z 000
&- — -I
TANKS Nominal Capacity Type Liquid Serial Approving
How Many &Dimensions Contained Manufacturer No. Agency
800 Seminole Road*Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.adantic-beach.fl.us
4 City Of Atl&Wt'C kaeh
*** COTNER RECEIPT an
OPNP3 0WNQREK Types OC Drawn I
14tv Pj" K RiMpt wt AM
lescription lbawtity Amst
m 2m
9P NJILSIW PERNITS
IA SIVA
Town detail
CA CAN OWN
TOW told"Id UILM
Total payment $lV.w
Chas" U."
Trm dates 2/M@4 Tins 11:170
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04 -00027752 Date 2/20/04
Property Address . . . . . . 45 LEWIS ST
Tenant nbr, name . . . . . . WIRE AC AND 2 SMOKE ALARM
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO 3E UPDATED
Application valuation . . . . 0
Owner Contractor
-------- --- -- --- -- - -- -- - - - - - - - - --
7'11------------
Ili
YOUNG, GEORGE MOORE ELECTRICAL CONT. , INC.
10526 CRAIG INDUSTRIAL DR
ATLANTIC 3EACH FL 32233 JACKSONVILLE FL 32225
(904) 645-6807
-------- ----- -- ---- ------ ------ --- ----- -- - - -- -- -- - -- ------ ------- -----------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
-------- - -- - - --- - -- - - - - - - - - -- - - - - - - - - - - - - - - - - - - -- - - - - - - --
Permit Fee Total 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 95 . 00 95 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING,TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH A17*kRT OF THIS PERMIT A"SUB CT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
I%V" N,1
��J-
BUILDING OFFICIAL
�A,
CITY OF ATLANTIC BEACH
ELECTRICAL PERMIT APPLICATION
Date: 2810 q
Property Address: S+rc�f
Owner: le—cfUt., �ic_-"Anq Telephone#:
Contractor: rA&
tzT-,e ?J 6ckr� Telephone#:
Contractor Address: DY, Fax
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice fisted therein.
Building: Building Type: o Trailer Service: If other construction is
U New tr-Residence Q Temp. W"'New being done on this building
Or site,list the building
a-'Old 13 Commercial 13 Signs Q Increase Permit number:
C1 Re-wire U Addition Sq.Ft. 0 Repair
Conductor Size: ANTS: 15 L) C
Switch or RACE
Breaker ANTS /15�0 PH W VOLT2'/O WAYJ�5'
Existing Service RACE
Size AMPS 150 PH W VOLTZ-VO WAY
Feeders: NO. SIZE NO SIZE NO SIZE
Lighting Outlets
CONCEALED OPEN
Receptacles CONCEALED OPEN
0 10 AMPR 31 100 AMPLIR
Switches
Incandescent
Fluorescent &
M.V.
Fixed 0.100 AMPS OVER BELL
Appliances TRANSFER.
Air H.P.RATING H.P.RATING CEILING KW-BEAT
Conditioning COMP.MOTOR OTBER MOTORS AMPS BEAT
Motors 0-1 H.P. -, VOLTAGE �PH NO. OVER 1 H.P. PHS
UNDER600V OVER600V
Transformers NO. KVA NO. KVA
No.Neon Transf
a._Sign
Miscellaneous— Ck-)je 6 0� re 422
800 Seminole Road *Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.atlantic-beach.fl.us
City of Atlantic back
11" CUSTM RECEIPT *"
01WI MMM Types OC Irmom I
DAN VMN K Receipt lot 3w
oft"Istion ouwtity Amut
w 27752
IF BUILSO PMTS
1." "5.0
ToWw detail
CK CHM 11215 "5.0
Total tookyted
Total pays"t
Tran dates 2/MM Tint 1165ill
P, 5 MIN. RETURN 19& of (0ffi=ftWt Book 9349 Pg 2336
HONE# 9�
#;PW Concern:
-To whom.,
t I 'W hu-sby informs you gat provements will be made to certain real prop", and in
he ..kAw, oned
mtkm II&IS of the Florida Statutes, the following information Is stated in this NOTICE
or
Dew.dot'= of Fwaly tA c,� _)ajew --------------------
---------–------------–---
----—-–----------------------------------------–----–--–----------------
General description of improvements -------------------—-—------——--------------
--—-—-----------------------------------—------------——--------------
A- 4-U�w--a-----------------------------------------
0WW
2A
---------------------
0wimes.'in'- In site of Ow improvement --------------------------------------—--—-------------—----
'fee�8* hR*P'k'i3d*holder (if other gum owner) _LLI-PA----------------------—------------——---—-----
-----—--—--—--------------------------------—-----——--—-
A4dr= ——--—---—-----------------------------------------—-—----——-----------——
Cantiwkor ----------------
Addna —YALQ--.L LQ�---
----—--—--------------------------—----—---——------------
Address -----—------------------ -------------4mount of bond$--------------
Nam and address of any person making a loan for the construction of the improvements.
Name —-------—-------------—---------- ---------—---------—-------—-
Addr=
the
N%iW4*6--iWkhM Sto of Florida, other &n hknsA deapoted by owner upon whom notica or other documents
—-------------—----------------------------—-----------------—-------
Address ———---—-----—----------------------- -----———--------
k
I:nadd1Uon-to;'bfm@W9-'oftW dedgutes the following person to receive a copy of the, Ltenoes Notice as
provided in Section 713-08 (21 Eb], Florida Statutes. (Fill In at Ownees option).
Nun rz,, ---——----------——----—---
THIN er"K Pon amma mrs USIX ONLY
MWr)= -ntw-aw
Mar-M 7V
-Mx
T
CtT'Y OF A i LAN73C EEACH,
,t�. V.
CE I
FCCFING PERMIT AFF-LICATICN 9 1999
L
C'ty Of Atlantic Beach
JCE LCCATION: Building and Zoning
. ft r-j Q,
(:)WNF-;R CF FRCPER7Y:
CCN7RAC7CR:
CC-N-IRAC7CR*SACORc-:SS'.5�l(cC) gM..L A(3 %A 1'&VL -41-
F- 71P- 3 -z- I,
S-iA7ELICEN4-qE,14UMEE.R:-C-C,C- 0 �,2L 7=; EPI-CNE. IV
OEI:-zll-,.RIEEWCRK7C) SEPE-RFORME,Z-
C,
VALUA71CN CF F-RCPCS&:) CCNS77FRUC7�CNI C) C)
MA71ERL41-S 70 BE USED: U-A ZA C,
N,
SIGN.A7URE CF CWNE:R:'-
S'tC-NA 7U R E C F CCI N7FAC 71C F 1. A
ell
,�f,o =C R M ' �'IS —
S'VVCRN 7C AND SUESSCCRIEED'SE�1) ENVIE���tr! CAY CF
eia
commum 0 WON
my
NC7ARY PUELIC
August27,2000
A.
...... Bon M TROY FAIN INSURANCE.INC
Lability Insurance Supplied Ll�
\Ncn<ers Ccmpensaoc n InSLr2rc-- SLppiiec
Ccntrac*cr License Infcrmadcn Supplied_ t-�'
,-AY 04.=1
Occupaticnai License infcrmatcn Supplied DED WROUGH
V.1
AUANWOOMMMOM
CITY OF ATLANTIC BEACH
APPLICATION FOR ROOFING PERMIT
Building Owner Phone
Job Address
Lot # Block or Unit # �;L Subdivision__
Contractor Phone
Address
License # Expires
Valuation $
Materials to be used:
Signature of Owner Date 162
Signature of Contractor Date
DEPARTMENT OF BUILDING 51;K T I
CITY OF ATLANTIC BEACH,FLORIDA PEA44� NO. 17 R IP310�
PERMIT TO BUILD 72117 Ou"CAr-1;
5/n 5
THIS PERMIT MUST BE POSTED ON JOB too()
Date October 15, 19 85
Valuation$ RE-ROOF Fee$ 7.50
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 JIMM L. MVIS
__ 45 Lewis Street
has permission to Wild RE-RDOF AS PER PIAM
Classification REST1W_=.A1__ —Zone
Owned by
Lot 9 & 8 Block 2 s/r) DMnera
House No. 45 lads Stxeet
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 0 Building material, rubbish and debris
z
A from this work must not be placed
in _4c spacde,aand #s, be cleared
a hule W�r ,y either con-
racto owner.
Building Official,
FOR OFFICE PERMIT V
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
-low
Date...................................
CITY OF ATLANTIC BEACH Permit*.......................Y"$............
Valuation $.....................................................
FLORIDA House *-----------——----------
.....................................................................
APPLICATION FOR BUILDING PERMT
------------------------------...........
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application in made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been Issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of AtIan6c Beach,Florida. To prevent delay or embarrasment regard-
Ing Intermediate or final inspections It Is suggested that a list of sub-contractors be submitted to this office so that Ileenses can
be verifi
Owner Date .. ...............................................................
............................................................................Addre......... 4.� _S1..........Telephone xo..2.k2"1V1_7'z
Architect................................................................................................Address,...........................................................Telephone No............................
ContractorBuilder........................ ...........................................Address............................................................Telephone No.............................
LotNo----------__...................................Block No...............................Sub Division--------------------------------------------------------------------------------Zone.................
'al-j ...................................Street..........................Side Between.. ............................................and.....................................................Sts.
Valuation --_--------------_-_-------For what purpose will building be used....;.)aA&....................Z'ype of construction......................................
Dimensions of Building........................................Dimensions of Lot.......................................................Size of Footings.....9.......C-6X-6,
Size of Piers------------------------------------Size of Sills........---_------- ....Greatest Sill Span in ft.........................I
rype Roof... 12//...........
How will Building be Heated?.............. --------------------------------------------Will Building be an Solid or FIlled Ground?.....................................
Size of Ceiling Joists__...A_,K---6--__......... Distance on Centers_........ ................................. Greatest Spam.....................................— it
Size of Floor Joists-----------_---_--------_--_..............Distance on Centers......._ ..................... Greatest Span--------------------------------------------
Size of Rafters....................... -----------.......... Distance on Centers........ ... ...........___............. Greatest Span............................................
This rectan to is to represent the lot.
Locate the =[�x_ or billdings In So
right position. Give distance in feet from
all lot-lines and existinx buildings.
REAR LOT Lna
APPROVED
Two copies of plans and specifications shall CiTy oF AflAiQC BEACH
be submitted with application. G OFFIC=
Inspections required.
1. Wkien steel Is In place and ready to pour footing. 20
2. When steel is In place and ready to pour columns and/or r
S. When steel Is in place and ready to pour beam.
4. When framing Is completed. B
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or newer is laid but before it in covered.
7. Electrical inspection by City of Jacksonville.
S. Mal inspection. V
Note: In cam of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work an 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 accordence,with the building
regulations of the City of Atlantic Beach.
Signature of Builder .... L.I........................... Address........ .. .....................................................................
10K
... .....................e,
Signature of Owner
ce....................... Address.. .....7. .....i�........................ .... ......
American Association4Medical Assistants
071orida State Society — greater Ouval 04apter
JACKSONVILLE:, FLORIDA
IV,
17 L
N/
Q!o
AP ROVED
CITY GF ATLAINTIC BEACH
\ro SUIL DING OFF'=
20 19
alt.-
B V, A
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 4110
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
D te Jul v 0. 1979-
Valuation S 2 Of) Fee $ 5.00
This pamit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of low.
This is to certify tb t JlLmulie Lee Davis
has permission to build Pati-O
Classification ---7,o 0 0 116
Owned by Jimmie Lee Davis /z Lj 1-13
10 4GQCACG
Lot Block-
7/247
House No 415 Tsawict Stroak
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIXXONTHS
AFTER DATE OF ISSUE
x
4-111. 0 Building material, rubbish and debris
Zfrom this work must not be placed in
public space, and must be cleared up
and hadled away by either contractor
or owner.
Rill M. Dayin
Bulldizq official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER