Permit 55 Lewis St (vault folder) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030156 Date 4/20/05
Property Address . . . . . . 55 LEWIS ST
Tenant nbr, name . . . . . . 1 FIXTURE (J�
Application description . . . PLUMBING ONLY C-1 -ry
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
DILLARD, HOMER L. MARCHAND PLUMBING INC.
717 TRITON ROAD 10139 BOOKWOOD FOREST BLVD
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073
(904) 759-1485
------------- --------- ------ ---- --- --- --- -- -- -- -- --- - --- - -- -- -- - -- ------- - - -
Permit PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . .
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 � 00 . 00
Plan Check Total . 00 * 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
PERMITIS APPROVED ONLY IN ACCORDANCE WITH ALL CrrY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES,
BUIL ING OFFICIAL
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Expires: 08/31/2006
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https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=828784 4/20/2005
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date: �-o`b-05
Property Address: E6 le,6�jffi
Owner: - �Wxf- alooe8 Telephone
Contractor:. Telephone
Contractor Address: u'L Fax
Contractor Signature: Gsexl�
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,
13 New list the building permit number:
0 Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Sprinkler System Other
Fees
Permit Issuing Fee: $35.00
Total Fixtures: X$7.00 + $35.00
800 Seminole Road-Atlantic Beach, Florida 32233-5445
Phone: (904)247-5800- Fax: (904)247-5845* hftp://www.ci.atiantic-beach.fl.us
Revised 1/04
City of Atlantic Beach
CUSTOMER RECEIPT
Dir- BORDEN Typti OC Drawers I
rsk 4/26/05 0 Receipt no: 49M
Description Quantity Amount
M 39156
BP BUILDING PERMITS
1.N $42.0
Tender detail
CA CASH $59.0
Total tendered SSL as
Total payment $42.98
Omni W go
Trans date.- 4/26/85 Time: 15:5041
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030259 Date 5/05/05
Property Address . . . . . . 55 LEWIS ST
Tenant nbr, name . . . . . . SEPTIC TO SEWER
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
---------------- -------- ------------------------
DILLARD, HOMER L. CITY OF ATLANTIC BEACH
717 TRITON ROAD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 5/05/05 Valuation . . . . 0
Expiration Date . . 11/01/05
----------------------------------------------------------------------------
Other Fees . . . . . . . . . SEWER IMPACT FEES 1250 . 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 1250 . 00 1250 . 00 . 00 . 00
Grand Total 1250 . 00 1250 . 00 . 00 . 00
BUILDING MATERIAL,RU13BISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. �FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
'11'. (* �4k-
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030259 Date 5/05/05
Property Address . . . . . . 55 LEWIS ST
Tenant nbr, name . . . . . . SEPTIC TO SEWER
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
DILLARD, HOMER L. CITY OF ATLANTIC BEACH
717 TRITON ROAD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
---------------- ------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 5/05/05 Valuation . . . . 0
Expiration Date . . 11/01/05
----------------------------------------------------------------------------
Other Fees . . . . . . . . . SEWER IMPACT FEES 1250 . 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 1250 . 00 1250 . 00 . 00 . 00
Grand Total 1250 . 00 1250 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
004,0 C*
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-4445
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD NO, 66485
ATLANTIC BEACH,FLORIDA 32233-4445
RE# 172212-0000 04/21/2005 410-5506-535.34-07 1,250.00
RE# 170869-0030 04/21/2005 110-1005-515.83-00 1,250.00
RE# 172384-0000 04/21/2005 110-1005-515.83-00 1,250.00
GROSS IRETAINAGE DISCOUNT NET
$******3, 750 . 00 $******3,750.00
CHECK REQUEST
DATE 04/22/06
VENDOR NO. 2948
PAYEE City of Atlantic Beach
ADDRESS 800 Seminole Road
CITY Atlantic Beach
STATE FL
ZIP CODE 32233
ACCOUNT DESCRIPTION ACCOUNT NUMBER PROJECT NO. AMOUNT
Sewer Other Contractual Services 410-5506-535-34-07 $1,250.00
Subtotal from Page 2
TOTAL $L,250.00
DESCRIPTION OF ITEM OR SERVICE:
Sewer impact fee for 55 Lewis St. RE# 172212-0000 ""'TED
Pus
SPECIAL INSTRUCTIONS:
Please forward check to the Building Department for processing
To expedite processing,please attach adequate documentation to support payment.
ADDITIONAL APPROVALS ONLY REQUIRED
WHEN CHECK REQUEST IS OVER$500
...........
V Z717
REQUESTEP BY DATE DEPT HEAD DATE FIN /DATE CITY MG )ATE
H:1DKaIuzniaqIh4IAWM,:�,;w1r Collection\[sewer impact fee check request.xls]Form Pg. I
pp
CITY OF ATLANTIC BEACH, FLORIDA
PAYMENT PLAN AGREEMENT
OWNER: Homer Lee Dillard
2304 Alderman Oaks Drive
Jacksonville, Florida 32224
PROPERTY ADDRESS: 55 Lewis Street
RE4 1722120000
LEGAL DESCRIPTION 17-2S-29E Donners R/P Pt Lot 3 Lot 13 Blk 2
TOTAL AMOUNT OF AGREEMENT: $1,284.11
This document.shall serve as an extended payment agreement between you and the City of
Atlantic Beach, Florida for the above listed total amount and for which said amount will be filed
as a lien with the Clerk of the Circuit Court for Duval County, Florida until the entire balance is
paid.
CHARGES: Sewer Impact Fee $1,250.00
It Lien Filing Fee 35.50
TOTAL CHARGES: $1,285.50
Payment of lien filing fee 35.50
TOTAL AMOUNT FINANCED $1,250.00
TOTAL AMOUNT OF LIE $1,284.11
TERMS: Number of Monthly Payments
Due Date Due monthl
y
Billing Monthly statement
Payment Amount $107.01 per month
5.00%
Interest Rate
LIEN: A lien in the amount of the TOTAL AGREEMENT above shall be executed and
recorded against the above referenced property. The owner hereby agrees to pay all
recording fees and costs involved with the execution of the lien. Upon payment being
made in full, the lien shall be released of record.
Please indicate your acceptance of the provisions of this agreement by signing in the place
indicated. Your signature signifies your agreement to indemnify and hold harmless the City of
Atlantic Beach, FL, from any and all damages resulting from your failure to timely make the
above payments, including reasonable attorneys fees and court costs.
or WILDING POMITS
1.0 Sim s
Tender detail
CK DECK am*
Total tenderid MAN
Total paysent 137SLO
Tms datut 51OW15 Tim 9.
.14116
VT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Appitcaulon Nuf0er . . . . . 02-00024868 Date 9120/02
Property Address . . . . . . 55 LEWIS ST
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
Owner Contractor
------------------------ ------------------------
DILLARD, HOMER OWNER
55 LEWIS STREET
ATLANTIC BEACH FL 32233
(904) 221-3001
----------------------------------------------------------------------------
Permit . I . . . . BUILDING PERMIT
Additional desc . . REROOF
Permit Fee . . . . 20 . 00 Plan Check Fee 10 . 00
Issue Date . . . . Valuation . . . . 2000
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 20 .00 20 .00 . 00 . 00
Plan Check Total 10 .00 10 .00 .00 .00
Grand Total 30 .00 30 .00 .00 .00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOTBE 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 OWNE AYIN TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDINGTO APPROVED PLANS
To
WHICH AVNARTOF THIS PERMI]j 1)SUW�QCT REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
TIC BEACH PERMIT . CALCULATION SHEET
Z*AU6
K31:9
*66M
Wow Im V3
44.m jrrpq AVOL @ $ per sq ft .=
SLVR9d 911032 41 @ per sq ft = $
per sq ft =
fima :ON
:Armia 30 :*U1 Um
*** JAIM 1011"20 - *** $_per sq ft = $
qmq oqwnv to '413
$_per sq ft = $
UATION: $
1st $ cj(�)n
,-zma.Lning Value per thousand
or portion thereof
TOTAL BUILDING FEE $ _:;2-C1-1
+ 1/2 Filing Fee $
Fireplaces ,@, $15 .00 $.
BUILDING PERMIT FEE $
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT. $
SEWER TAP $
RADON (HRS) .0050. $
SECTION H PAVING
HYDRAULIC SHARES
CROSS CONNECTION
) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE
ADDITIONAL PERMITS OR FEES : Me,chanical_.; ..Plumbinci
Electric/New Electric/Temp_; SwimmingPool
Septic Tank Well_; Sign Finish Floor Eleiiation
Survey Other
CALCULATIONS and/or NOTES :
APPROVED
CITY OF ATLANTIC BEACH
BUILDING OFFICE
SEP 2 0 2002
tvitlyk0q Atlantic Beach* 800 Seminole Road *Atlantic Beach,Florida-512� 54i
�. �-5800 is FAX (904)247-5805 e http://www/ci.atlantic-beach.fl.us
PERMIT APPLICATION FOR ROOFING
JOB LOCATION_, T f A- zV 7— C--
OWNER OF PROPERTY_14 PHONE#
CONTRACTOR fJ E,;-
CONTRACTOR ADDRESS
ZIP
CONTRACTORS LICENSE NO. PHONE#
SCOPE OF WORK 5 0 47 r' 41
DECK SLOPE GREATER THAN 2 : 12 LESS THAN 2 : 12 ACTUAL
(VALUATION OF WORK $ QL
PRODUCT NAM� &MATERIAL 2--
TO BE USED f2' f ft ZZ- A-SS� 5:H I 1,45 STM D SIGNATIQN(S)Awmftffi4i:��
REQUIRED INSPECTIONS SHEATHING FINAL
LIBILITY INSURANCE POLICY SUPPLIED YES,-"(V NO
WORKERS COMP. POLICY SUPPLIED YES NO
CONTRACTOR LICENSE SUPPLIED YES NO
OCCUPATIONAL LICENSE SUPPLIED YES NO
SIGNATURE OF OWNER /-/ 6 M ? r;�. L
SIGNATURE OF CONTRACTOR
SWORN TO& SUBSCRIBED BEFORE ME THIS DAY OF 2oo2—
I
AS TO OWNER NOTARY PUBLI
Patrkic k4onette
COMMSSION# C047012
my co" 2
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'lug 0,14
AS TO CONTRACTOR NOTARY PUBLIC s,�. -,nwnvp Tw 11itloy F
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03
A&U WA W.
Limited Warranty on Roofing Shingles
Limitations on the transferability of this warranty are set forth herein.
Introduction What Is Your Remedy Replacement Shingle Variations
Thank you for your recent purchase of Owens Corning shingles.We believe we manufactm 1.7ku PROtecdoo-Coverage Period-Diuing the ft PROIectwn coverage period of As a result of our ongoing efforts to improve and enhance our shingle product line,
the highest quality and most attractive shingles available anywhere,and that is why we this warrarty,we will pay you IOD%of material and labor costs,as reasonably determined we must reserve the riot to discontinue or modify our shingles,including their colors.
stand behind them with one ofthe best warrantiesin the industry.We have attempted to by Owens Corning,to repair�replace or recover defective&WI subject tocertain We are nothable to you ifyou make a warranty claim in the future and any replacement
write this warranty in clear,plam-EnI term,including the Imutations and restrictions, limitations.Specifically,we will not pay for any metalwork,flaslungs or other related work, shingles you receive vary in color either because of normal weathering or changes in our
so you will fully understand the warranty we are making to you,However,the terms and we will not pay for the cost to remove or dispose of your shingles.The ft PROWtum product line.You should understand that if we replace any of your shingles under this
eantairied herein are subject to change without notice.If anything in this warranty is not coverage penod is three(3)years for 20-year waimted sWes and five(6)years for all warranty,we reserve the right to provide you with substitute sWes that me
clear to you,please call us at I-WROOFING,or visit our Web site Other Shingles. comparable only in quality and price to your original shingles.
at www.owemom�ng.corn. 2.Promted Period-Once the ft PROtection coverage period of this warranty has Claims Process
Who Is Covered expired,material will be covered,but labor will not be covered,and we will take into To,make a claim under this warranty,you need to do so within thirty(30)days after you
If you live in the United States or Canada and you am the original consumer purchaser, account the number of months of use you have enjoyed through the date of your claim, discover the problem.Just taus at I-SWROOFWG or send us a letter addressed to
Ci.e.,the homeowner,not the installer or contractor)or the first transferee from the and reduce the amount of our payment to you accordingly That is,we will prorate the Owens Corning,Customer Response Center,One Owens Coming Parkway,Toledo,Ohio
original consumer purchaser of we of our shuigle products listed below,you am entitled amount of your payment through the date of your claim.For emmI If you have a 40-year 43659.Explain the problem and include prmt of purchase for the shI and the date
to the benefits of this warranty. warranty(480 mrsiths)and you make your claim in the last mouth of the I ft year of the they were installed on your roof.Shortly after we receive your commuriicabon,we will
Transferability of This Warranty warranty(i.e.,the 120th month),we will not coveflabor but will pay you 360/480ths of contact you regarding your claim and will walk you through the entire process.To My
the reasonable material cost to repair,replace or recover your shingles.As an alternative, evaluate your claim,we may ask you to provide,at your expense,picturesof your
You can traI ft warranty one time,anytime during the life of the warranty.For this we may elect to provide you with replacement shingles rather than provide you with sh*es and/or shingle samples forus to test,If you have any questions,do not hesitate
warranty to be transferred,the homeowner must complete and return the attached the prorated payment described above.Therefore,we reserve the right to provide such to write us at the address above,caM I-8&ROOF1NG or visit out Web site at
Warmly Ttansfer Card,along with a transfer fee of fifty dollars($50.00),within sixty replacement shingles as an alternative remedy at our sole reasonable discretioru wwwowerts�.com.
(60)days after the date of the real estate transfer to obtain the benefits of ft warranty.
Proof-of-purchase of the Owens Coming shingles and the installation date must be What About Wind Resistance Limitations
submitted at the same time.AMR YOU HAVE TRANSFEWD THIS WA$QiNTY TO shingles contain strips of asphaft sealant that require direct warm surifight for several AXIi 94PLIED WARRANTY(NCLUDTNG THE IMPLIED WARRANTIES OF
THE PURCHASER OF YOUR HOME,IT MAY NOT BE TRANSFERRED AGW.THAT IS, in order toseal propedy.If your shingles are installed during a period of cool weather, MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE,IS LIMITED IN
THE PURCHASER OF YOUR HOME MAY NOT TRANSFER THIS WARRyff T3 ANYC`14 my not adequately seal until the season changes or the weather warms,mid if your
SUBSEQUENT PURCHASERS. C=> 'y DURATION TO THE EXPRESS WARRANTY PROVIDED A13OVE UNLESS A SHORTER
WC, es never receive direct sunfight or are nut exposed to adequate surface temperatures, PERIOD IS PERMITTED BY LAW,
y
t)[
L&- C-�4 my never seal.Prior to sealing,your shinglis me more vulnerable to blow-olls and YOUR RUIEDY FOR DEFECTIVE SHINGLES IS FULLY DESCRIBED IN TTIE
How Long Are You Covered 0 v d darnage.This is the fundamental miture of shingles and riot a manufacturing defect,
The duration of your warranty dependson the type of shingles you p.Q* , we are not responsible for am blow-offi;or wind damage that my occur prior to thermal PRECEDING SECTION,"WHAT L5 YOUR REMEDY.-YOU ARE NOT ENTMYD
See the chart at the end of the warranty for the specific warranty penoA=PR- C\2 having occurred.After your shingles.have sealed,however,they will be covered 10 ANYTHING MORE THAN WHAT IS DESCRMED IN THAT SECTION UNLESS
a- — OTHERWISE COVERED BY THE OPTIONAL OWENS CORNING ROOFING SYSTEM
to Your Shingles. <c iz so er this warranty if they experience blow-offs or wind damage in winds up to the levels
,- =t 0— 1 ed in the chart at the end of this warranty.HOWEVER,FOR ALL SHINGLES,THE ADVANTAGE'UMITED WARRANTY*WE ARE NOT RESPONSIBLE FOR ANY
What Is Covered :.) LU ( VERAGF AGAINST SHINGLE BLOW OFFS OR WIND DAMAGE IS IN UPECT FOR A CONSEQUENTIAL OR NCIDENTAL DAMAGES,INCLUDING DAMAGE TO YOUR
We warrant that your Owens Corning shingles am free from any manufacti TION,AND HOME OR TO YOUR ROME'S CONTENTS.
F RIOD OF FIVE(5)YEARS ONLY FOLLOWING THE DATE OF INSTALLA
that materially affect their performance on your roof
NOT FOR THE FULL WARRANTY PERIOD OF THE SHINGLE. Some states do not allow limitations on how long an implied warranty lasts andlor do
I not allow the exclusion or limitation of incidental or consequential damages,so the
What Is Not Covered "What About Algae Resistance above limitation or exclusion my not apply to you,This warranty gives you specific
Earnage to the product due to any cause not expressly covered herein.After our shingles If the shingles that you purchased were not specifically labeled as"Alpe Resiataru!'(AR), legal rights and you may also have other rights which vary from state to state.
leave our manufacturing facility,they are subjected to conditions and banifling beyond our then any discoloration caused by algae is not covered by this warranty as explamed in
control that could affect their performance.This warranty does not cover any problems the section above,'What is Not Covered."However,if you did purchase AR shingles,they of
with non-defective shingles caused by conditions or handling beyond our control.Some lype of es:Check appropriate box Product Wind
are covered under this warranty for a period of ten(10)years(prorated after the first mffffl , I I
examples of conditions not covered by this warranty include: twelve 1121 mI following the date of installation(AR Warranty Petiod)against Effec, / Warranty Warranty
3 0almde 0 -Deep Shadow,OaknW 40 Deep Shadow 60 Yew 90 mph
1.Acts of God,such as hall storms and winds in excess of wind levelslisted in the chart discoloration caused by algal,fungal,lichen,or cyanobacterial growth(Algae Growth). L)=e Shadow,Oakridgel 30 Shad.. 41)Years 80 mph
':PRO
at the end of this warranty, If such discoloration occurs during the AR Warranty Period,you will be entitled to the PRO 0~25 30 Years 70rnph
Eff
P
ecof
live
�WPI
e-PRO
PRO 30
mmen
2�Foot traffic on your roof or damage caused by objects(such as tree branches)falling following remedy: CI Prommence 30yem 80 mph
on your roof, 1.Remedy for Algae Growth-If your AR shingles are discolored by algae growth during the C1 SuprI 30 30 Yew so mph
me.
3.Improper or faulty Installation of your shingles—installation must be in accordance Est twelve(12)months of the AR Warranty Period,we will cover the cost,including labor U suprew 26 Yom 60 mph
as
with our written installation instructions; (such cost not to exceed the initial cost of the AR Shingles plus the initial coI of a Glaske 26 Yeari 60 no
c.
ChA
4.%coloration caused by algae,fungi,lichens or cyanobacteria(uniess covered under installation),as reasonably determined by Owens Coming,to repair,replace or recover U 0 20 years W mph
the section"What About Algae Resistance"that folows); the affected AR shingles,subject to certain limitations.Specifically,we will riot cover any LJ AR ' -Please dieck ifyoursWes are a%aeresistant,
� ,ci
5.Inadequate ventilation or roof drainage.If you have ally questions about appropriate metalwork,OWungs,or other related work,and we will not cover the cost to tear off or
ventilation requirements,please contact us at IVD-ROOFING; dispose of your AR shingles.For purposes of this AR shingle warranty,the term"repair' Name of Contractor or Dealer Date of II15tallation
as used above mfers to cleaning or otherwise removing any algae growth from affected
6.Settlement of the structure Dfyour home or buckling or cracking of the deck over AR shwiI Decisions regarding whether your AR shingles,should be repaired,replaced *See tual for details,limitations and requirements.
Subg to warranty
which your shingles are mg1alled; or recovered will be made solely by Owens Corring. change ivithout notice
7.Damage to the Shingles caused by alterations made after completion of application,
2.Proration-If your AR shingles have been installed longer than twelve(12)months,labor
including structural changes,equipment installation,painting,or the application of will not be covered and we will prorate the cost of your coverage to take into account
deaning solutions,coatings,or other mo0catiom, the number of morift of use that you have enjoyed through the date of your claim,
8.Labor costs incurred after the Tru PROtection coverage period has expired;and For examI If you make your claim in thelast month of the 5th year of the AR Warranty
9,Any costs that YOU incur that are not authorixed in advance by Owens Corning. (i,e�,the Wth month),we will riot cover labor but will cover 1/2 of the reasonable material wl am New
cost ofthe affected AR shingles(such cost not to exceed 1/2 of the initial cost ofthe OWENS CORNING WORLD HEADQUARTERS
PMI�d m USA,D�,Mb�l 2001 AR productsD. ONE OWENS CORNING PARKWAY
Ni,No.16-WZ4767-C TOLEDO,OHIO,USA 43659
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD -5445
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE:(904)247-5800
FAX:(904)247-5805
SUNCOM:852-5800
http://ci.atlantic-beach.fl.us
January 17, 2001
IVII. Homer Dillard
2304 Alderman Oaks Drive
Jacksonville, FL 32224
Dear Mr. Dillard:
Our records indicate that you are the owner of the following described property in
the City of Atlantic Beach:
Re: 55 Lewis Street
During inspection of 55 Lewis Street on January 16, 2001, we found the following
code violations:
Standard Housing Code Section 309.1 1 & 2 - Damaged floor, electrical, lack of
illumination and ventilation
Standard Housing Code Section 302.1 - Defects and leaks in plumbing;
Standard Housing Code Section 302.4 - Unsafe water heater;
Standard Housing Code Section 302.5.1 - No heat;
Standard Housing Code Section 302.6 - 2 - Danger to access kitchen cabinets
(unsafe floor);
Standard Housing Code Section 302.6 - 4 No working refrigerator;
Standard Housing Code Section 303.4 - Lights not working in two bedrooms and
bath;
Standard Housing Code Section 305.7 - Windows Damaged;
Standard Housing Code Section 305.11.1 - Front Door not in sound working
condition;
Standard Housing Code Section 305.11.2 - No lock on rear door;
Standard Housing Code Section 305.13.1 - No central airlmissing screens.
Homer Dillard
Page Two
January 17, 2001
These items must be corrected within ten (10)days or services will be discontinued.
Sincerely,
C --"L —
Don C. Ford, !Bk0",,_'
Building Official
DCF/pah
cc: City Manager
FOR OFFICE TISE N
ate---- -----------I
D ..... qc�
Permit hfi_a.....Fee
TOWN OF ATLANTIc BEACH
Job. Valuation $---
FLORIDA House #-------------- ------- -----
'..,c r ZC-------
...... ----------------------------------
APPLICATION FOR BUILDING PERMIT
...........................................................................
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic
Beach and all rules and regulations of the Building Department of the Town 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 Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified. Z' 11�)/' Date-----------------/-------------------<5--------------------- 19-60-
Owner.,�.--- --------------- ------------.--Address------------------------------------------------------------Telephone No--------------_------------
Architect...--------- --------------------------------------_------------------------ ----Address-----------------------------------------------------------Telephone No.---.-----------------------
Contractor Builder.--------------------_---------------------------------------------------Address-. .. ------------------- "7 TVIep�one No---------------------
------- ---- ---- ---- ---------
Lot No...-.-.---- ---------------------------Block No..-.------:��--------------Sub DivisionA.0
1 ------- -----------------Zone--_------------
------ X---------Street--------------------------Side Between----------------------------------------------and.-------------------------------------------------��Sts.
Valuation what purpose will b.uilding be used----------___------------------.--Type of construction,,,,-�y--------------
W Dimensions of Building-__-------------------------------Dimengions of Lot-------J_ _X_1_1J______--------.-Size of Footings ---
0i
Size of Piers.-----------------------------------Size of Sills----415(9-----------Greatest Sill Span in ft..__Ab.__A-----------Type Roofx3,--,. ------
How will Building be Heated?-------------------------__-----------------------------------Will Buildv'ng be on Solid or Filled �Ground?-- ---- ---//_dt-------------
Size of Ceiling Joists---------Y'--X---C------------ - /___ py
__.' Distance on Centers------74_7- ---------------_- Greatest Span-------------------------------------------
Size of Floor Joists-------- E---------------.--,Distance on Centers----- //------------------- Greatest Span--------- ------------------------
------- ...
Size of Rafters----------_--------- (=0------------- Distance on Centers -Y C/-_----------------, Greatest Span.----------------------------- ......
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z
3. When steel is in place and ready to pour beam.
4. When framing is completed. E-1
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field is laid but before it is covered. A
7. Electrical inspection by City of Jacksonville. M U2
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called forafter
corrections are made.
FRONT OF LOT
In consideration of pep�it given for doing the work as describod'in the above statement, we hereby agree to perform said
work in accordance with the attached plans andpecifications, which are a part hereof, and in accordance with the building
regulations of the Town of Attlant* Beach.
Signature of Builder.... ... /. . ........
-- -------- ---------------------------------- -----------
Signature of Owner--- ------------ - ----------------
RECEIPT FOR CERTIFIED MAIL-30� (plus postage)
SENT TO POSTMARK
Homa� Lee Dillard OR DATE
STREET AND NO.
717 Triton Road
P.O., STATE AND ZIP CODE
Atlantic Beach, Fla. 3
OPTIONAL SERVICES FOR ADDITIONAL FEES
RETURN 1. shows to whom and date deliver 15
With delivery to addressee only 65
RECEIPT � 2. Shows to whom,date and where dell.
SERVICES With delivi ly
--6-E—LIVE—R—TO ADDRESSEE ONLY ......................
SPECIAL DELIVERY (2 Pounds or less) ................
POO Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side
July 1969 NOT FOR INTERNATIONAL MAIL *Gpo: 1954 0-3sa-3f2
WILLIAM S. HOWELL R. C. VOGEL
Mayor-Commissioner CITY OF ATLANTIC BEACH City Manager
P. 0. DRAWER 25
F.W. FOGG ATLANTIC BEACH, FLORIDA 32233 OLIVER C. SALL
Commissioner City Attorney
(90A) 2A9-2303
ROBERT R. ROSBOROUGH 11 MRS. JUNE KNIGHT
Commissioner City Clerk
L.W.MINTON,JR. MRS. EMMA M.STEPHENS
Commissioner City Treasurer-Comptroller
ROBERT 9, COOK,SR. CARE STUCKI
Commissioner Chief of Police
and Fire Department
RICHARD HILLIARD
June 2, 1975 Director of Public Works
CERTIFIED #684468
Mr. Homer Lee Dillard
717 Triton Road
Atlantic Beach, Fla. 32233
Dear Mr. Dillard:
This letter concerns the house that you own at
55 Lewis Street, Atlantic Beach. I have today
made an inspection and find that the unsanitary
conditions there are reprehensible and will
not be allowed to continue.
This is your official notice that the entire sewer-
age and drainage system at 55 Lewis Street will
have to be put in a first-class operating condi-
tion. If this is not complied with by the next
meeting of the City Commission on June 9, 1 will
ask for condemnation proceedings against this
property.
Very truly yours,
R. C. e8gcr
RCV/s City Manager
cc: Ms. Hazel Gross
55 Lewis Street
Atlantic Beach, Fla. 32233
I OLISO * 0 s klot ell
O%VSJOG)I- .SsedspddtOss
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A g4jtot 01 13 tot
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of 0 Itte bee tvvrot. s
-WO 3,"1 dd,ess 10 ?!!�
90
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04 Oe date
at
pot aev," lot
*,WdtOyOII.j"mtO" .cle
iiisa.l.Iffiks ed' to
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DateDate if requ
Date
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Is ess
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A DOC
FOTM
CITY OF
l*&aeze Vead - 94u�&
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
December 4, 1997
Homer Lee Dillard
717 Triton Road
Atlantic Beach, F] 3 223 3
.Dear Mr. Dillard:
Our records indicate that you are the owner of the following property in the City of Atlantic
Beach, Florida:
Re 55 Lewis Street
aka Lot 13, Blk 2, Donners Replat
Re 172212-0000
Investigation of this property discloses that I have found and determined that you are in violation
of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-7.
Abandoned Silver Buick
Vehicle must be capable of operating on public road and show proof of ownership (title)
displayed in window.
You are hereby notified that unless the conditions above described are remedied within 10 days
from the date of your receipt hereof this case will be turned over to the Code Enforcement Board.
Under Florida Statutes 162.09, the Code Enforcement Board may impose fines of up to $250.00
per day for a first violation and $500.00 per day for a repeat violation.
Sincerely
Karl W. Grunewald
Code Enforcement Officer
KWG/gah
cc: Public Safety Director Via certified mail-return receipt requested
c.e.c. 7033
Winston Cunningham
Z 425 115 828
US Postal Service
,*Receipt for Certified Mail
No Insurance Coverage PrG�ided.
0 nonusA for international MqjI(,See rqverse)17
RStre"�7b-? <�
Post Office,State,&ZIP C�e
Postage
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
'Return Receipt ShoyAng to
Whom&Date Delivered
Return Receipt Showing to Whom,
< Date,&Addressee's Address
0
0 TOTAL Postage&Fees $
Go
M Postmark or Date
E
') -Y - � 7,
U� 4-7,
FOR OFFICE USE ONLY
Date /0.19 Z
..... ..... ------
'0.0
Permit #.. ..........._ K.Fee$
CITY OF ATLANTIC BEACH Valuation $...... e,>
....................
FLORIDAHouse #..........................................................
.................................................
APPLICATION FOR BUILDING PERMIT
-------------------*-----------------------------
Applf cation is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Buflder who has been issued a Building Permit is autom9tically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlaniic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that -a list of sub-contractors be submitted to this office so that licenses can
be verified.
Date.... .....----------------- ...........
's --------------------
V------ --------Address-_,_...
Owner.__//re��.... PK��409 ........... --------------Telephone No.
Architect_.---------_--__------_------------- ----------------------------------------------Address..................----------------_----------------------Telephone No.-.-..............
Contractor Builder_/_ftft6c�" &eSK2d�r"iss.3.f-_XP----4W-fi.W'..LVk,&_Telephone No1.V_ -_f-7-*A1
LotNo---_------ ---------------------------_Block No..._- ----------...Sub Division--------_----__---------------------------------------------------...._.Zone........--------
---------------------------------------------------------Street...------------------_Side Between.--------------------------------------------------and----------------------------------_-- -------Sts.
Valuation ---For what purpose will building be used...Pk of constructioneoi-,de---k,/4-AZrl.0
Dimensions of BuildinAP../**!_,13_a"__,/P._b1mensions of Lot_ ..............-.Size of Footings_,f_/.r_ ZP-
)09�5AX'*.4_7-------
-------------Type Roof-�:�h
Size of Piers.... -- --------------Size of Sills----- ------Greatest Sill Span in ft...,
How will Building be Heated?-------V-_;4�t........ *-7—__............Will Building be on Solid or FilledGround?----- -----------
Size of Ceiling -------------, Distance on Centers_....... ............ Greatest Span--------- -----------_-------
e on Centers........ Span----------- ..........----------
Size of Floor Joists--- ------ -------------------Distane -----------, Greatest
Size of Rafters---------------- -------.......---------,Distance on Centers........ ..... ................. Greatest Span...-----
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z
3. When steel is in place and ready to pour beam. �1
4. When framing is completed.
5. When rough plumbing is completed,-and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered. Q
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit 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 building
regulations of the City of Atlantic Beach.
Signature of -------------------
---------- --------_------- ............
Signature of Address..AA'__W_ __f.4..
0 --------------
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R�.r=P L A
P L A,7 ec>o v_ 1!5 PA41 F. I(v
D U V A, L COUWTV ) IFLOIritwhil
.............
d-luval County Health le'prtment D 3887
DUVAL COUNTY COURT HOUSE
JACKSONVILLE, FLORIDA
FEE $5.00 SEPTIC TANK PERMIT
",\-ame of Owner: ji a- D133=d
Address:
Date: 19—
Installation At: Lot 12S M2. 4 "ewer S?b
Installation By:
NOTE: This Permit does not guarantee the successful fune-
tioning of this unit and the occupant will be responsi-
ble for its satisfactory sanitary operation at all times.
'-,eptic Tank Capacity: 2.630 —Gallons.
Drain Field: h20 aq A
34t x 30t beft 7, 3-4n- - tilea an o
77Y
DIRECTOF COUNT--41EALTH D�'PT'
CONSTRUCTION '6r
PERMIT Same TiTLE
VOID grx MONTHS AFTER ABOVE DATE IF NOT STARTED