Permits 411 Skate Rd (vault folder) v-
CITY OF ATLANTIC BEACH
SS
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
19
Application Number . . . . . 03-00025951 Date 5/02/03
Property Address . . . . . . 411 SKATE RD
Tenant nbr, name . . . . . . INSTALL NEW GARAGE DOOR
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 649
Owner Contractor
------------------------ ------------------------
JOHNSON, RON ATLANTIC OVERHEAD DOOR CO
411 SKATE ROAD 475 STURDIVENT AVE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 710-8083 (904) 241-9933
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee 17 .50
Issue Date . . . . Valuation . . . . 649
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total 17 . 50 17 . 50 . 00 . 00
Grand Total 52 . 50 52 . 50 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OFATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE:(904)247-5800
FAX: (904)247-5805
SUNCOM: 852-5800
...... http://ci.atlantic-beach.fl.us
PLAN REVIOW COMMENTS
Permit Application # CS- ZS'�--) St
Applicant: PyrL"'�C_
Address: L A I t T T:: _C'
Project- �i'��Ac�C_- '��
t;,,�our application is approved
0--ly-our permit application has been reviewed and the following items need
attention:
Z'
t4
F ("Ic
\C-4?46 LPLA
Please re-submit your application when these items have been completed.
Reviewed b 4jZF/q;-
Signed L4d -,g &_2z —Date
Contractor Notified Date
CITY OF ATLANTIC BEACH
PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS, SKYLIGHTS AND
GARAGE DOORS OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION
JobAddress: �� S�_C,+e_ P-<k , Date:. 4
Owner's Name:- RDn Jdk�sn So r-\
Address: �fl I nka�-e_ �zj , Phone: CC) -1 C) — g()y,2
Legal Description: Block Number: Lot Number: Zoning District,
Contractor: Dt�o( 6)State License Nuinber:
Address: Whs- Sio \nv-\_+ Phone: 941
City: A�oaA� Lc_ State: Zip: '2_)�J3Fax: __
Describe proposed-use and work to be done: CcA rn
kPiCIL C*cn"
Present use of land or building(s): ('A
Valuation of proposed construction: It L�49
Is approval of Homeowner's Association or other private entity required? �J 0 If yes, please submit with th�is
application.
Building Data:
_>Mean Roof Height _(ft) -�Ruilding Width (ft) �>Building Length 4�5- (ft)
Roof Slope_ *Window Elevation from Grade (ft) Window Height e) ft)
Window Width ft) Measurement from corner of building to window (ft)
to
h
4
ninole Road -Atlantic Beach,Florida 32233-5445
.5800 Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us
Revised 1/27/03
Procedure: In order to expedite issuance of permits provide all information as appropriate Incomplete applications may
o Fesuli in delay in issuance of permit
In addition to the building data,the following information is required:
1. Manufacturer's Test Report
2. Installation Procedures
3. Window Description/Type
4. Garage Door Description/Type
5. Skylights Description/Type
6. Elevation View of Window Locations
I hereby certify that all inform ided wi is correct.
Von provided wi
Signature of Owner: Date: C4 V-
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
Signature of Contractor: Date: /0
to -
Address and contact information of person to receive all correspondence regarding this application (please print).
Name:
Mailing Address:
Telephone: Fax: E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this
day of 0112 v1 I
State of Florida,County of Duval
Notary's Sig Inature-
JENNIFER SCHLUETER Persona ly known
MY COMMISSION#DD 121301
EXPIRES:May 27,2006 ;3��roduced identification
Bonded Thru Notary Public Underwriters Type of identification produced
AS TO CONTRACTOR:
73 Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
JENNIFER SCHLU
Notary's Signatur-d6_/,,Wyv1'Lo
My COMMISSION#DD
21301
�4s* EXPIRES-May27,2 6
nded Thru Notary Public Und rwriters
Ba Personally known
IR2roduced identification
Type of identification produced Lo
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Page 2 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us Revised 1/27/03
City of Atlantic Beach
*** CUSTOMER RECEIPT ***
Oper: CKOMOREK Type: OC Drawer: I
Date: 5/02/03 01 Receipt no: 55050
Descri t* 9ty Amount
2S@3'0n 25951
BP BUILDING PERMITS 1 452.50
Tender detail
CK CHECKS 1272 $52.50
Total tendered 152.50
Total payment $52.50
Trans date: 5/02/03 Time: 16:56.25
NOTES:
4 STRUM POSITIONED AS SHOWN WITH 4 THRM FORMING
SCREWS 1/4--20 X 3/4- AT MH M S71LE & 2 AT
wawmwE STILES PER sEcwN *a-W. 3 t/r HDrJZOkTAL TAA= SHAFT
L FOUR 21' sEcmm FoRm THE 'r-w HIGH DOOR.
V, ALL SECTIONS EMBOSSM 14-W'k2O-375. x 25 go.
4. TORSION SPRINGS SHOWN. EXTENSION SPRINGS AVAILABLE. 2- It
5. SLIDE LOCKS WAIT K ATTACHED TO 0CH SIDE OF DOOR HORM TUCK f 404W
CAM & aAR LOCKS OR AM OPOM MY BE SUBS1711M. SWT
a. WHERE THM DRAWIHO CONnj=TM OTHER INSTALLATION (VARIES)
aanttxnok% TM ORAM OOVEMM F_
ym.rp" 4047" -7
2.093'
OPEWC HEG"r b 7
KfERMEDATE STILE C",am
SME 021475 TIP.LOW 0 61478 TYP.UNO �AEW
OPENM Hadw 2'TAWN
Hun mm skvwncAL- is wL
BRKT pa WTL HammoNvAL.-is QL
r t/r
2-
"wF==, F
SW J4-
DWR mmf*
VRUT-r
>
m
1/4-TRACX qxT mg I N
"B 3/6-X 1 1/2-t-0 SCR�v MM32&"So 4-
SECTION —13 jwW15 yP.uw STiANDARD TRACK DETAIL
__T
7 1/21— 5' REF.
7/16' ULL I L L
13 GAL 3 INT. SnLES
71 DUAIL "D" 1 7 PER SECr7ON
DIA. T' Uo 9,-0" md
0
2 15/16- 0
P/N 80439 ROLLER ASSEMBLY 11 11132'r- 72
7/16 0421 0
1 7/6-
a 3/32-
P/N B0262 R + L BOT. FIXTURE 2 3/4"
12 GA. SmLrr
wman I -c- Aw WANO
4
4- _0
P/N 80298 SCREW
a 51ir I A 0 C=)( C=).>.C=) spar
TRACK BRAC KET 0
0 P/N 80100 LOCK SECnON -A-A'
9 7 15* 2 1"-
0 14 3/4' 13 GA.
L0 z Sir Z#-- 0 2 1 1 —
M,l 1--7 1/2-
E�E( D 7 P/N 80428 CTR. HINGE
14 GA. r---t--2 11/32-
=A*�"f -kl Mw msumm 4
-1 14 110480
2 3111' H. "Ary -
13 GA. 14 Gk 2 14 Spe LAD XAWM
no
—3
14 _"�:�P�/N804�85 FLAG BRACKET
P/N 80447 TOP FIXTUK END HINGE OATt
Daum Or AD 9�t"
-TI-L�CHW-
NOTES: 'on ORMM AMID / ON TECHNIICAL swoRMAMm 014 TM=*Xr IS THE MWIPERM OF MV-40311CA DOW OOWAW AM IS
LOMED IN CONFOOCE MR ENCINEEIRING AM MUTLAL ASSWM" PUW�WES 00CY. *0 MKY ftT SE ROMOUCED OR Lf= TO
4AWC�-or j-- �r, w—v Wr�(N rr�r *09T'T�Fj 4uj-;l,;IrN 'JF %W-AUrRIe_% A, W::wl w on
nu Qj- +W.1
P
DOOR FRAME PLATE CONNECT70N DOOR FRAME PLATE CONNECTION NOTES
SCHEDULE 1.1 SCHEDULE 2.1 1. MAO LOAD PERFORmANcr LABEL MUST BE AFFIXED TO THE INSIDE OF THE DOOR IN A LOCAI
WOOD Q'Wff OF WAS PIN AW— M4S0NRY1CONC,'?ETE QUW17TY CWuwn, 2 WHERE THIS DRAWING CONFLICTS WITH OTHER INSTALLATION INSTRUCTIONS. THIS DRAWING GOV
coNsTRUCTfON SYP IDOUGFIR SPF CONSTRUCTION ANCHORS we 3 THE TESTING METWJDS FOR THE DOORS PERIAINM TO DRW`*S LISTED HEREIN WERE IN ACCO
7OTAL DOOR LOAD PER SPECIFIC SPECIFIC SPECIFIC TOTAL DOOR LOAD PER HOLLOW 3,000 PSI SEIC logo & ASCE 7-98.
LOAD ass-) A" (Lim) MK-aM GIK-0.46 COK-D.42 LOAD (Lim) Aus (LBs.) BLOM CONCRETE 4. DOORS ABOVE too Irf IN SIZE ARE QUALIFIED FOR 25'MEAN ROOF HEIGHT TO + 26.4 PSF 0
DOORS UNDER 100 sf IN SIZE ARE QUALIFIED FOR 25' WEAN ROOF HEIGHT TO + 27.4 PSF 0
Soo 7 10 YOOC 500 J 5. DESIGN pRESSLIRES ARE HELD FOR I MIN. DURATXK TEST PRESSURES (1.5 x YM4�.
__199 m 7 a 12 1250 so 3 6 NEGATIVE PRESSEMES ASSUIWE DOOR HAS 2' WIDTH IN BUILDING END ZONE
1500 730 1 15 150C 730 j 3 Z GARAGE DOORS LISTED HEREIN HAVE BEEN EVALUATED WITH A USE FACTOR OF 1.0 ANr, EXPC
1750 075 9 13 17 17M 675 4 3
2000 --jow 1 14 20 20100 1000 4 3
2250 1125 IV 22 1 225C 7125 5 3
2500 1250 13 is 24 1 2-100 1 5 .3
2750 14 20 27 1 27W fin 4
JIDDO 1500 1 15 21 " I 300c 15W 4 OR OPNM DR OPNGLj
3250 1 d25 17 2J 32 1 3250 160 6- KING CRIPPLE
ct7
1 75
3500 1750 to 25 34 jW 1750 7 5 SHEATHING STUDS STUDS
3750 26 jo 3730 Yx JAMB
J 1875 1673 7 5 1
4000 2ODO 20 2S jo 4QQQ 2000 5 TYP WALL STUD TRIM
4250 2125 22 x 4-1— 425C 2125 a 6
4500 z2w 2J 32 44 4500 2250 9 6
4750 2J75 24 jj 46 47W 2jn 9 6
7— 5000 2500 10 6
5QDD__ 2500 25 35 1 40
5250 2025 10 7
&ISED ON I Ad. 3 112'LONG THREADED. NVWENED 3300 27.50 11 7
AM ASSUMING 2'ON. PENETRATION. 5750 2675 ii 7
ANCHORS TV BE EVENLY SPACED BETWEEN THE HEADER 6000 1 11
AND THE FLOOR. 6250 12 0 4�11 I- 27TRIAMI
2. PREDRILL MIL HOLES TV PREVENT SPUTIW- 6W J" 12
J. Ch4RT LS SAM ON 8'-D'bW. DOOR HEIGHT 6750 JJ75 73
I INT SHE47HINGY I
DOOR FRAME PLATE' CONNECTION 70017 35W zj
SCHEDULE 1.2 7250 JIM 14
75W 14 9 2x 6 SPF kfJ WOOD If OR-,-__�
OD QW OF 14C SUM I&Aff!!_1 BETTER DOOR FRWE r
Q - 2.0d
0144CaONSTIRUICTION S_rp DOUG.FRI SPF BN
EDW. TAPCON ANCHOR WITH A 1 112- CONNECTED TO WALL SYSTEW
PER APPUCABLE CONNECTOR
z TOTAL DOOR LOAD PER SPECIFIC SP-Emmmx 1. ANCHORS TO BE EVENLY SPACED BETWEEN THE HEADER SCHEDULE.
a ) 3-,7
LaAD BS.) 44US (UM) Ott-a55 GOIN.-�a 406 Gmmft-a
(LBS AND THE FLOOR.
Z 114-MASHERS REDUIRED WH EACH TAPCON ANCHOR TRACK BRACKET& 00,
J. CHART IS BASED ON 8'-0'MU. DOOR HEIGHT. L40 SCREW PER BRA(
3 3 DOOR FRAME PLATE CONNECTION DOOR DWG. TRACK PER
7%n DOOR DRW'G.
875
SCHEDULE 3.1
2000 ODO 1 3 3 1
2=0 1125 1 .3 3 1 MASONRYICONCRETE awmr OF
2300 IMO I J .3 CONSMUCTION ANCHORS JAMB FASTENER DETAIL.
2no 1375 1 3 3 TOM a" LOAD PER &Taff-zom ps SECTION 'A-A'
im 1500 j 3 LaW aA&) JOAN(LBS.) FILLED C
3250 3 3 BLOCK
3 4 low 500 3 1 3
1875 1 4. 1250 m i i
4000 3 4 ism 730 3 3 1 3
4250 25 3 4 4 17W m j 3 1 3
4.%V J. 4 5 2000 low j 3 1 3 J� 1
4750 2J7,5 3 4 5 z2W 1125 j 3 1 3
5000 2500 4 1 4 5 2300 f2w j 1 3
52W 20= 4 4 5 27W I I= 1 3
SPECFW :�k:00,
42
14
55DD 27M 4 3 6 1 1500 3 3 1 3 1
57W 2M 4 - 5 _ 6
em xm ,_4 5 6 111 1 . 4
62W j? 4 5 6 Im R4 j 3 1 W I
Sm jZ50 4 5— s 2OQQ 4 j 3 1 A-
67W —5 6 7 2125 4 j 3
7000 Am 2250 4 - 3
7250 im 5 4 5 3 1
5
1 5 3 1
Z&ON 318 2750 5 3 1 3
TION SEZASCREW ASSUMING 2'AIK
WOOD, Wr USE 5730 2875 6 3 1 3
1. ANCHORS TO BE EVENLY SPACED BETWEIN THE HEADER am 3000 6 IT IF
AM THE FLOOR.
2. CHW IS 1914SED ON 8'-U'AMX DOOR HErHT. 6250 3125 6
6500 JIM 6 DOOR WIDTH
$750 im 6
7ODO 3500 7
72W ELEVA77ON NOTES.
7
7 1. SPACE BETWEEN INSIDE OF VERTICAL TRACK AND END OF I
BILSM ON 3/11*0 NIL77 SM TYPE EIMANSM ANCHOR
WITH A 2 IA-bW EIMEDMENK
I. ANCHORS TO BE EVEXY SPACED IIETWEEN THE MWER
AM THE'FLOOR. DOOR ELEVATIO�
2. NIM"DISIANCE FRW CVNCREIF EDGE TO ANCHOR
SMALL
Kate., ApPlY this drawing to the following apedffc ReqcVC&Iebrity door drw'gs.: I Q,*AT 66%4et�8'-0'A64X DOOR HEIGHT. (WTERIOR ELEVA770N)
FL-05701037 FL-0WOI0JT FL-097010JT FL-091110ian s
FL-1070103T FL-IOWlaYT FL-127010.37' FL-12WI03T
FL-1470103r FL-1480107 FL-1570103T FL-1590IWr
N.T.S. OM
FL-1670103T FL-16MI03T FL-1870103T FIL-16810103T im
SM&CHL
NOTES: THIS DRAWING AND / OR TECHNICAL INFORMATION ON THE SHEET IS THE PROPUM OF MID-AMERICA DOOR CDMPAW AND 5 vi—ft INWALL
OR USED TO
LOANED IN CONFIDENCE FOR ENGINEERING AND MUTUAL ASSUINNICE PURPOSES ONLY. AND MAY NOT BE REPRODUCED
M~ACTURE AwrHING DISCLMED HEREON WITHOUT THE DIPRESSED PERMSSION OF kfg)-�DOOR COMPANY- -------
ILAA AN
0 R
CITY OF ATLANTIC BEACH
CODE ENFORCEMENT DIVISION
800 Seminole Road
Atlantic Beach, Florida 32233
PHONE: 247-5855
COURTESY
NOTICE OF VIOLATION
DATE 9,!5�� TIME zZ,
OWNER/OCCUPANT
ADDRESS
THE INSPECTION MADE OF THE ABOVE PREMISES
THIS DATE DISCLOSED YOU WERE IN VIOLATION OF
ORDINANCE:
OF THE CODE OF THE CITY OF ATLANTIC BEACH,
FLORIDA.
YOU CAN COMPLY BY e--
WITHIN DAYS OF THIS NOTICE
THIS IS A COURTESY NOTICE IN ORDER TO MAKE
YOU AWARE OF A VIOLATION OF THE CITY CODE
OF ATLANTIC BEACH. IF YOU HAVE ANY QUESTIONS
OR WOULD LIKE ADDITIONAL INFORMATION
PERTAINING TO THIS NOTICE, PLEASE CALL
ATLANTIC BEACH CODE ENFORCEMENT OFFICE.
Kz--0
# I --)
4z CODE ENFORCE9tNT OFFICER
x
RECEIVED BY
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
October 20 1995
Keith A . Jorgenson
411 Skate Road
Atlantic Beach , FL 32233
Dear Mr . Jorgenson:
our records indicate tiiat- vou are the owner Of the following
property in the City of Atlantic Beach, Florida :
411 Skate Road
a/k/a Lot 10 , Block 18 , Royal Palms 2A
RE#171529-0000
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 vehicle , i-,e . .
unregistered vehicle on front driveway ; Section 12-1-3 - High weeds
and grass present on property .
You are hereby notified that unless the condition above
described is remedied within ten ( 10) days f rom the date of Your
receipt hereof , this case will be turned over to the Code
Enforcement Board.
Under Florida Statute 162 .09 , the Code Enforcement Board may
impose f ines of up to 8250 . 00 per day f or a f irst violation and
$500 . 00 per day for a repeat violation.
Sincerely ,
Karl W . ("'runewald
Code Enforcement officer
KWG/pah
cc : City Manager
CERTIFIED 14AIL
RETURN RECEIPT REQUESTED
CITY OF
l*&w4e Te4d - 57&u�&
SW SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-SM
FAX("4)247-5905
October 20 , 1995
Keith A. Jorgenson
411 Skate Road
Atlantic Beach, FL 32233
Dear Mr . Jorgenson:
our records indicate that you are the owner of the following
property in the City of Atlantic Beach, Florida:
411 Skate Road
a/k/a Lot 10 , Block 18 , Royal Palms 2A
RE#171529-0000
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 Vehicle , i-. e . .
uni:egistered vehicle on front driveway ; Section 12-1-3 - High weeds
and grass present on property.
You are hereby notified that unless the condition above
described is remedied within ten ( 10) days from the date of your
receipt hereof , this case will be turned over to the Code
Enforcement Board .
Under Florida Statute 162 . 09 , the Code Enforcement Board mav
impose fines of up to 8250 . 00 per day for a first violation and
$500 . 00 per day for a repeat violation.
Sincerely ,
Karl. W . Grunewald
Code Enforcement Officer
KWG/pah
cc : City Manager
CERTIFIED 14AIL
RETURN RECEIPT REQUESTED
Z 074 007 615
"Ogs— Receii�', �,rlr
CertifAd Mail
Aw� IN(-, Insurance Coverage Provided
XONNONOM ,
...'M SWE I "to r international Mail
(See
2
PO d 'iP od,
.,M4 1 E��z 3
Po�tacre $
CeMfied Fee
Spe(�,ai D0,,(,,y F,1,
Restricted Deh,eir�Fee
0 Return RLce,pt Show nq
t.Whom&Date DPW(,red
Return Receipt ShQwing tO WhOrTI,
Date ana Add,,nsec's Add,ess
tv -
ToTAL Postage
C; &Fees $ -:2,5;—e-
0 Postmark or Date
Go
Cl)
E
0
U.
CO
(L
11737
-DEPARTMENT OF,04!LDING
166#
CITY OF ATLANT
PEMIT INFORMATION- ------ LOCAT'ION INFORVATION ----- --
Permit� Number, 11737 Addivis'': 411 SXATE ROAD
Permit Type:RE-ROOF ATLANTIC BEACH, FLORIDA 32233
c 1 ass o,f14ork:NEW LEGAL DESCRIPTION ---------
s Sectiow ,
Con tr. TypekWOOD FRAME Lot'. Block:
'Plat Book., Page:O
Proposed; Use*
Dwellings : I S4bdivi$kOW ,
NFORMATION ---------
gst . Value* 0-00
Improv Cost : 1 None VO&KINS
Address f 411 SKAf
Total 25 .00
A.TLANTIC' BEACH, FLORIDA 32,233,
-53S1
9,b!
----------
APPLICATION FEES
G ,
AL ROOPI PERMIT
150
3 0 ,
NOTES:
Inspe�ctions Required Inspections Required Anspections Required
N ED BEFORE POURING
OTICE, �ALL CONCRETE VOR"S AND FOOTINGS MUST 09 INSPM—
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUBOISH AND,DEBRISPROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED Up AND HAULED AWAY BY,EITHER,CONTRACTOR,OR OWNER.
44FAILUREITO COMPLYWITH THEMECHANIC'S' LIEN I W CAN RESULT111W
_G
13UILDI: I
OWN �PAYING TWICE FORTHE MPROVEMENTS
THg P 0 ' ATY
R VE
H ARE PART OF THIS'PERMIT AND SU T T%RE
� 1 ACCORDING TO APPAOVED PLANS WHIC Dikt N
%
ONQF APPLICABLE PROVISIONS OF LAW.
A BEACH BUILDING DEPARTMENT
_TLANTIC
0
ge-
CITT or ALUTIC DUCH
RWFIXQ PXRNIT APPLICATION
owner(*) :
Address ed Phone: JR q- 1)1�1
Lot #�, Block or Unit subdivision:------
Contractor:-n- I k -ja cgi4r-�' 8-
Address: LUC)..W� r-
city, $tat* and xiv��OLP vd)( -'7Y 7 C.
State License
Describe work to be performed:,
v&luoti*n of Proposed C*nstruction: Ils-0- oo
materials to be used.- CLI�l
' Signatur* of Owner;.
Signsturo of Contractor:
""2 �Vl 77
Liability insurance supplied
Workers Compensation Insurance Supplied
License lnformation &Qoql'�23
'690ART1141ENT OF SUILOING
ANT10 0 'A
e
CITY OFATL
4Oc
Acidr 9 '4il SXATE ROAD
it 4305-
A TLAOTIC 99
PLUMSIX6
parmit Type, --------
-------- , )COAL �-DZSCRIOTiOk-
Close O:f Work,I REPAIR
i0o I
Lot I 11look:
dooittr. Ty0v s WOOD FRANS A40
.I& FAMILY
*d U I SINUL ,
pro", We A slub($iVivion 7,
I, O'�
tsti*atwd�'valu&"t
*b.00,
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50,
t
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pJ& MIT-:',' .18. 50
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T Fj&% .'00
" 40i% '
9*04 FLOR 3 33
"0
P
�ftADON'L G*S 00. 00
RhATION *0.00
TILE WATER AP
T
OA9T PLOWING
�"':':*O 00
E
Adarwas I It, I I I 11� L '-M, 11-1111 , 1_1111 1111-- I I,—L ,00-
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NOTES.
'EDLBEFORP.POURINO
NOTICE—ALL CONCRET9,111ORMS AND FOOTINdS MU§T�*EJNSPECT
ISSUE
:PERMIT VOID SIX MONTHS AFTERDATELOF,
MUST BE
OEBOIS ROM THIS WORK MUST NOT Be PLACED IN PUBLIC SPACE,AND
s UtLIDING MATERIAL,RURBISKAND F
C ONTRACTOR 00
CLEARED AND HAULED AWAY,'121Y'Sl HER "O.WNER
mEci4AN-1d8' L11EN 1AW,C
'To ANIAELSULTIN ,
'M "y
'l-WLITH THE
AILU - 0 - -11, ", - I : �:" L f
�L' � 'o 'Oft'gulw IMPROV
RL 'AYINO TWICef EMENTS."
A -W
TH E''PAP PFE , TY ON 'N4E
�RgVdwolv
-,I$SUIED_ ACCORDING TO APPROVEU.PLANS; WHICH ARE PART OF THIS PERMIT AND SU1BJEf&J6
1bjNSbF LAW.
�-'VIOLA A AOViS
MMPT *jMj SM734
ML
�,ATLANTIC BEACH BUI'L6IN6'16ePART. ENT
0y:
CITY OF ATLANTIC BEACH
APPLICATIO14 FOR PLUABING PERMIT
JOB LOCATION P/ -a
PLUMBING CONTRACTOR
LICENSE NUMBERS do
OWNER
BUILDING CONTRACTOR
TYPE OF BUILDING e, Z�,
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS -OTHER
lAk- f IV
—TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF' THE SOUTHERN STANDARD PLUMBING CODE .
DlEPARfM9NT OF BUILDING
CITY OF ATLANTIC MACH
ION
OCATI INFORMAT
L
PERMITrINFORMATION ------
2748 Ad4roant 411 'SKA�tE ROAD
'NumbOrs ATLANTIC BEACH, FLORIDA 32233
P I or I thi t Types MECHANICAL
---- ----- LEGAL DESCRIPTION ----------
Sectl
*�,Jaos, of Work% ADDITION Lot3
Constr. -,Typo: N/A 0
RHO%
sod Us*% SINGLE FAMILY
Propo
Code%
$0.00
Estioutod Volu*l
prov. Cost $0.00
Tot 042-00
� � 042. 00
Aw#ou
'b N, 420
Work li jIvAc n TON 41RAT WKE
k,A '-0,4 14T,
PLICAT16H FEES
K"
Al ATION AIR
$42.00
ialt *0.00
�WATF 01411V
Addimsel ROAD XMPAI
'3 gal,
FLORID FEE
Zak�,,
P A
A�`ll I YR14 10
$0 00
...... RADON GAS H. R.S.
P_,Ru, RADON' 'GAS, 00
RM TT, m
F0 A
WATER TAP
TING A 4,
EA NO,* R 09:00,
*o
HyDRAAJL IC SHARE
Addr*g*i"1001 4 15- TIll Sttlar SEWER TAP
FLORIDA 322150
RE-INSPISCT FEE ..........
L Ty po 1 3
1po" *0
SEC,N,
IMPACT FEE 0
Yh
�2!1
" p ,
OTjqL
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECAD BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUBBISH AND DEBRISTROM 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
G IMPROVEMENTS.15 ,
THE PROPERTY OWNER PAYING TWICE FOR BUILDIN
T%VW
N FOR
ISSUED ACCORDING TO APPROVED PLANS WHICH'ARE PART OF THIS PERMIT AD $ftECT TC v
�,_,:WOLATION OF APPLICABLE PROVISIONS OF LAW.
FEWT Nma.
ATLANTIC BEACH BUI D TMENT
BY:
!!t*
CITY OF ATLANTIC BEACH, FLORIDA
APWO"d bV APPLICATION FOR ILIICTRICAL IP.O**IT
-2 - 4-0 5�0
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-
RAPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FO :wl�
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHE.6,PL,PS D S
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE,ELECTRICAL R-94
ATLANTIC BEACH ORDINANCES.
ELECTRIMLIFIR
M: MASTER IELECTRICIM SIrjN&URE
NAME o /e- �gr s cl:�� ADDRESS.— RIP
BLDG.Size BETWEEN:
-A
RIM AFT.( COMM.( PUBLIC INDUS.( I NEW OLD(Z'y' Rm c! "A'
ADDITION I TRAILER I TEMP.1 SIGNS SQ FT,
FEE
SERVIC* NEW INCREASE (i,-r REPAIR
AMPS '��o COPPER I
ENJO 28 AMPS PH W -- -��YOLT
RP--V-IJHE /0 0 AMPS PH W 6 VOLT . A
FIERDERS NO. SIZE NO. SIZE NO. SIZE
'a
UGHTING OUTLETS CONCEALED OPEN LOTAL
CONCEALED OPEN T
OTAL,
1 0.30 AMPS. 131-100 AMPS. I
mWITC641cs F
�T'
FMRRESCEMT&M.V.
0.100 AMPS, OVIER
INIXED
BELL TR4ANSF.
AIR�-'
H.P.RATING H.P. RATING
comopmom—w , (;.Ow,.-MOTQR OTHER MOTORS AMPS CEIL HE
"J14
0VEIt 7 '77
7777-1
Z�
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE'
M1161=1 �m;o' 1
Jill 0" 'r ,
CITY OP
4&444.0
Office of Building Official
REOUEST FOR INSPECTION
Date Permit No.
Time A,M.
2 District No,
Job AdOess J-0cality
Owner-;1
Nan, 'no,
Buly CONCRETE �LE lCAL UMBING MECHANICAL
Franti+i�� 0 Footing 0- Bough Wiring 0 Bough 0 Air.Cond�& 0
Re Roofing 0 Slab D Temp Pole 0 Top Out 0 Heating
Lintel 0 Fire Place 0
Pre Fab
READY FOR INSPECTION
�'_DMon. Tues. Wed� Thurs. Friday-P.M.
A.M,
Inspection Made KM'
Final Inspection C)��
Inspector
Certificate of Occupancy
Date
CITY OF
4&.1.
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time
Recei- District No.
"ay
Job�ddr6s' Local't
0 —ContractoA K�a'42�. i
Nt -- . I
B Dljo� CONCRETE ELECTRIC, 0 IN MECHANICAL
UIL IkL (��MBI N
Framing D Footing 0 Rough Wiring 0 Air,Cond.& 0
Re Roofing 0 Slab 0 Temp Pole 0 Top Out 0 Heating
Lintel 0 Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed� Thurs. Friday—P,M,
(E) A.M.
Inspection Made— -- �—q )- '�/ P.M.
lnspector—�� Final Inspection 0
7
Certificate of Occupancy
Date
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, 11, 111, and IV.
Street Address; 4L —CkA--&
LOCATION
OF Intersecting S+reets: Between And
BUILDING
Sub-division
11. 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 attacked plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good-practice listed therein.
Name of Mechanical Contractors
Contractor (Print) Do Nov& Z,4?1 7
�� Zia,
Name of 0
Property Owner )I'�_t-r
jq U 0 tZ 50 A/
Signature of Owner Signature of
Architect or Engineer
or Authorized Agent ?z1L&4_4_4-y
III. 6MBL41 INFORMATION
A, Type of hooting fuel: B. IS OTHER CONSTRUCTION BEING DONE ON
1� Electric THIS BUILDING OR SITE 7
13 C"s—0 LP 0 Natural 0 Control Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
C1 Od PERMIT
13 Other — SP*dfY
IWI1101111CHMWAL L9UfPM1NT TO 86 INSTALLED NATURE OF WORK
(PmvWo complete list of components an beck of this form I X Residential or 0 Commercial
(1 most 0 Space C3 Recened 0 Centrsl 0 Flow 13 New Building
9 Air Condifiening: E3 Room it�Central , C3 Existing Building
0 Duct, SyOem: Material Thich"05L_ Replacement of existing system
Maximum capacity New Installation(No system previously installed
C3 Reffigerafion Extension or add-on to existing system
0 C�Wifig I tower: Capacity Other — Specify
0 Fire sprinklen; Number of hood.
0, Elevator 0 Monfift (3 EwAllate (number)
THIS SPACE OOR OFF= US*ONLY
Gesorine Pu PA —(number) (Recelved)
T0.6 (number) Remarks
(3 LOS confeenon—(numbor)
C3 Unfired prenure ve"
0 Sellen Parmii Approved
13 Other Specify Permit Fee
UST ALL EQuipbaNT
W& CONNTIONING AND REFRIGERATION EQUIPMENT
C=tY ApPrOV1111119
Numberunft D"0111PUon MOM NUMber iftnufacturer
1;3 7- (01 AW-70 16
DEPARTMENT OF BUILDING FOR OFFICE USE ONLY
19 7
,CITY OF ATLANTIC BEACH, FLORIDA t Date
Pelrit Fee
Application for P e rm i t Valuation $
for Misc. Alterations House
and Repairs
DESCRIBE: r�
A4
r
(state if rep r, alter, add to or ove building, erect awnings
or siqns . etp. )
Building on: go. Blk No. Sub.Div.
11-7
Address Valuat--ion $
Owner' s Name
BUILDINGS & OCCUPANCY
Building Use Residential or Business
What Plumbing work to be done7
Size of Present Bldg. % Size of Extension
Lot size Material of Roof
No. of stories now after altered
Material of Present Building Material of Extension
PLANS MUST BE SUBMITTED HEREWITH
SIGNS
size Classification
(state whether ground roof, wall, projecting
ban;er)
Material of Construction
Illuminated? Type of illumination
(State whether lamps or neon)
Will sign be over public property?
SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING
WRITE ADDITTONAL INFORMATION BELOW
(For canvas awnings provide dimen.sioned drawing on reserve side)
IMPORTANT NOTICE:
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. (;outhern�&7drd�rilding Co�;�)
Signature f Builder r Owner
Address Pbone
c
L7�151 v s
)4 SKJ�j
FOR OFFICE USE ONLY
Date--- ......19,7�
.*14
CITY OF ATLANTIC BEACH Permit #-A _��4..Fee
Valuation .......
..........
FLORIDA House #......�ul )
----------------------
...........................................................................
APPLICATION FOR BUILDING PERMIT
.............................................................I.............
..........................-
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of 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.....I.A_ 97 19............
......................................................0
--------------- ------------Telephone Nolfg-lAt2----
Owner-
Architect................... --------------------- ---..............._Address_.-_.----------_--_--_------------------------------Telephone No---------------__..........
Contractor Builder.
LotNo..----16 ---- ------------Address.----------- ------------ --_----------------Telephone No...............-------------
---_-------------------_--- ...Block No..-- -9----------_-------Sub Division------.....----------------- - ------------------------------------------Zone---__.......
-----------------------Street. 4�__Side Between._6�1_� I �4ee
'Au4tz--------and__6�'
............ --V-,
------ --------Sts.
Valuation $ Type of co .................—...........
--For what purpose will building be used-,A nstruction
Dimensions Of HiriFing-----35)�.4��f------------Dimensions of Lot------$!o X.9 3
- -- ----------------------_---_-----..Size of Footings---- ..........-
Size of ----Size of Sill,_AX f-------------Greatest Sill Span in ft.-Y. ....-----------Type Roof-a. ....
How will Building be Heated?---tlp�
--------------- ------.......... ----Will Building be on Solid or Filled Ground?_4�_ ------------_---
Size of Ceiling Joists... --------..........I Distance on Centers-------- ...................... Greatest Span------ ----------............. pp
Size of Floor Joists_,__��_�l------......... Distance on Centers.........
Greatest Span.-------------------------------------
Size of Rafters----------- --------- Distance on Centers.......g I -
.............. Greatest Span---- -� ) I#
----------.........
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. �F.
3. When steel is in place and ready to pour beam.
4. When framing Is completed. E-4
5. When rough plumbing is completed,-and ready to cover up. all 2
6. When septic tank drain field or sewer is laid but before it is covered. Q Q
7. Electrical inspection by City of Jacksonville. M
8. Final inspection,
Note: In case of any rejection,re-inspection MUST be called forafter
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 perforin 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 R
Signature of Builder ... ..................... ............ .... ......... 77
............. Address.999e.��----�!� , �5 r-
.............. ........
Signature of Owner.. . ................. ............................ Address........................................
1111FJL�_91�k—_27 T, 7�rl, M7
E- -�':.......
MR0
UZ
A t1i n
DWRIPTIONOFMATERIALS - No. . .......
(To bt iniierted by FA*A�iir'V/t)
Y11
0
a
A�
OWY S$ et ri Vote/
�ddire City
or spon eve
..................
7 (Nam,-)
T.
r Of, uo d r
AdO
INSTRUCTIONS
;ot information on ioi*w this form is to be submitted, number minimum requiremeMs'ccirinc,f be vonsidered unless specifically Idisseri
file
ee, etc, uctions applicable to the FHA Applicution for
qje Wuroate or VA Request for Defe(minationt of Reusonoble Que, 4. Include no alternates, "or it"ol" phosei, cir'contrai4icfory items. fcori.
44
100y be. siderotion, of a request for acceptance of %ubstitite materials or equipi*enti,
is not thereby precluded.)
D*scribe off mate-riali; and equipment to be used, whether o'r not'shown
�i'464 4reviiings,'-by marking aft X In each apPtoproute check-bbx and enferinq S. Include signatures requIred at the end of,this form.
,e
i4ft irifeit"fibiry callrd for in each space. If spoce is inadequate, enter "See 6. The consfruc#;on shad be ccmplefe� 'in comptionc.C with the
isr." evid Jrscii6v uncle, ttr,r 27 or on an otiach�d shtet. dro-ings and spec;firaf ions, as orricrided dLrinS processing. The specificaticiiis f
t specifically descr;bed or shown wilt not be considered unless include this Description of Maier.rfls and the applicable M;nirr,irn Consfruci4m
u;re when the minimum acceptable will be assumed. Work exceeding Rc9uiremcn+s.
MC44A ION:
�,i,iug 390. pi, )�,O A/,V Z41 V.0-
',Z' FOUNDATION
exl
4r
4
it.7TAit) Party fou'lidatiotit,N�alj
U IT$:,AT�tel:3� IIII) I
Tiers
r,6 nforciniz
(4irders Alattiri,al.,j)n,! �7i. -s Sills: Material
lit ciltraric
a -,,,t w a y
Window areaways
rp 1-77—_77�
,?, W*W roofing OV4,io, A Aw;owvi v Avimo r F,.ting drains
4r
j,
Otiectit�li "ReA 11WAV AM-ILY $41e
it 141OW5 -
P�m V P1
'G!
4asernprit1c,91, qr�.jci -o-A vo�-er Foundation verit,;
Nizial foundations t",
v.
A
YS.
114fabricated (m,ike and ,ii�e) �4r
Flue lijlili�r, Matei ia I Heater ffire size ...... ... Fireph�ce flue s;,,e
"��44;-Vpntt-(mater'lil h;d Nic) G a!T,, or oA liviater
------- Water heater ----- -
........... ......
.,rype. Ash fhnnp�amd
votilator (vtoike andsize) ------
'ac i n,
- .01
Fireplacis:4 lining -- ---- inalfto -------
---------_
's RIOR WALLS-
Cotner
N,Go(,frarne: Grad(-;A11d SI)CCIPS bracing. Bu Idiriz papei oi-folt ---------
thickness width solid; spaced n. c.; �Uag nal
Sheathin&, 0
Siding grade tvpe exposure fi4m�iling
Shingles �rrade type
size - e-"posilre fjoelling
V Irfi,
CCU ---- --
S -W e i .........
thick-riess Lath
1114801TrT, ven"'r
S i 11 - - - -- - - --
Lintels, . .........
#Aai�
at C*"
ry: Faci-g_,64.0111 t< 1-ackup thickress pond:rig.
"0;
Window Sills Lintels
interior surfaces- Dampprobfing
coats of
f urvinz
ainti�'g: Material
number of coats
J�$M�*�J':CUV In: Sarne a$Main Walls; other _440�10%. V.
:71
U0001r,
lab 11 k.
e an
rea iw d species ...... size an,d sps*int
.................. .......
.. . ........ .......
..........
Li
4�,-"'7,
.. .......... ......... Other .............. ------ ....
W064. grade sad species ...
.... .........
............ ....... .......... ....... . ....... .......
.........
apeeles Y11-
Raftaret Wood, grade and .. ........ .................. Roof.�AAiswsmft see'dttsil).- Grade"it
"cie$ ....... ............
..... ........ ... .. ... .............I ........
.......... ...... ........ ........ ................
'ShOAthing.. Grade and species
r �41.441"09?size type ---
t.�jid;,(Jspaced
Rooling
�, 4j,,A Kra do ....... ,,,eight or hickness
Stain or paint
. . ...... Underlay
Ong�_mAl * i at
Built7up roofing .... .. numb4e+o plies _4- surfa &Z4A4C4_.
Flashing: Material *1416.416� -------- .......... ...;,gage al.,w ght
Snow Pardo
A-
............. ........................ ------------- ..... .... ...... .........
GUTTIMS AND DOWNSPOUTS:
dutters: Material ....... ge or welot shape .......
Downspouts: Material gage or weight j size ; shape numbor
'Downspouts connected tv: [I Storm sewer; r -wi� 'plash.blocks: Material and size
sanitary sewer: n dry .Tr�
..........
4, LATH AND PtASTIR:
Lath Ej walls, n ceilings: Material weight or 0�ickyws� Plaster: Croats finish
Dry-wall X walls, X, ceilings; Material J6.0,op" fhlrl,rlvs�,; fillish joint treafrneiit 7.4kod-1-0
lt�S, 91COItATING: (Paint. wallpoper, Oic.)
!V Amin WALL �INTSJJ MATPRIAL AND ArPtICATION FIxIS)i_MAft01*6*N0:�'A Pr' CArjQ*
-------------
............. ............ --- ------
JAC
A? -'g# --- ---
---- -------------------------- --------- --------- ------ . .... ...... -------- ------------- ------------------
.................. --------
............... ----------- ------
7
41011TIA11011t -DOORS AND TIUM:
-------------
Doorr Type ............... material jV
------ A4 tvy�-------- thickness— AL
I)o or triin: T*pe al --------- Base: Type
material ---314
Finish- r m
Door* A 4�47. jV4,4_tVZ" ------
Otber'tritri (item, type and location) .....................
............
------------- ....................... ----------- ---------------- ------- ..... -----------
----------IL-_
*itwows.
00, .0
'Windo*a,: Tnw�d#V_604efp.... make... AA.- material Aili�-------- --------- sash thickness
d1w: Grade ------- El sash weights; 0 balances,type --- ------- head flashing
------------ -
Trim: Typ* ------------- -------- Matehal --- ----- .. ..... Paint ----- ------- number coats
Weatherstrippitir: Type __,�----------- -I- --- -------------------------- material A.__ ------- Storm sash, number ......... .
Screen*: IX'Full; [I half;-t� ......�4.4.4 W-OV-04 W 5-------.; numbei.__.__`,
ithilt mateorial
t wb4ows: Ty ..........I-----------------; material ................. number ---------; [I Storm sash, number -------
pe
__-1; C3 ftree
Specialwindows ---_-------- --------------------- ------- - -- -------------- ----................. -,:----------------- -- -
...............................__......0A------ ---------------------- -- -------------------------------- -------------------- -------------- -------
INTRARM AND EXTIM110111 MAIL:
Main entrance door: MaterIKI --------- width _3 thickness
Frame: Material YrtAL_. thickness
Other entrance doors: Material . Frame: Material thickness
width .; thickness ,, --------
Head flashing ...... Weatherstripping: Type - --------___; saddles
Screendoors: Thickness J
number screen cloth material Storm doors: Thickness number
lCombination storin and screen doors: ThiCkness ; number screen 'cloth i-n terial --- ---- - .. ...........
'Shutters: Q Hinged; X.fixed. Railings ....... -------- ------- ......... Lou --- ----- - - ------------
Exterior millwork: Grade and species,_.- _.A.7.7 - ---------------- Paint number costs
---------------------------------- ------------------------------------------------------I......
C"N"S AND INT111111011t 99TAIL:
Kitchen cabinets,wall units: Material --- 0------ ------------------- lines feet of shelves 024W--- f
she) wid
th
4 counter top .... ------- edging
Base units: Mai rial
vwmi
UNNOP1000k 7
Six t�%,Aw.I�Tc�
....................
A
X44f
----------
------- _,woRnP
------------- --4_-_
KATCOAa,CakAq,, m C&P,Sings.GAGII. FZiM..; -Hinoittir j HIU4HT AT Tun 11ricitir AT SHowas
er
j 0 -40
--------- --
Bath------- ............... —-----
................. ...........
"J L�. ------ I---------- ---- ......f--------- .. ......
number
ij�# number attached; material
accessories: Re m
... ....... ............-
4',
FIXTuvx Numaza, LACA"ON U AKS W100 FIXTURE 1�14,NTWICATIOH NO. Siza COLOR
Jr ------
-1 -.' ,_ i -
Ar ------
t i. Avtl"----------
........... ......
......... .
/Y
41/
R& U'b. ----------
at
..........
Shower over tub- ------ ---------
shower". ------- -------
tatindrytrays. ---------------_-_-------- - - - - - -------- ........ ......
..... ---------- - - - ------
-----------—-------- --------------- ............
.......... ------ --------
I 6irtairi ro4 *1C] Door [1,CUrtaktr fod
ei:
;0
mm4n i.W�a yst(t
iii, ,
it, and do-se"'be indit irystem,j" ecirnpletie 4tnif in separate drowings accordirg to requireMents.'I
t,l other other
TIA sw drain finside) Cast Iron e House sewer (outside) F1 Cast iron; f1 tile;
ter pi ing.'Jr Galvanized steel; copper tubing; other Sill cocks, number
R�
vatic watfIr heater: Tyrx m ak e a n d m od e I
overy ._40'f#?.* 9Ph. 100' rise. StqraKe tank: Material, -4.446.W. 5P(A r4 re.. ..... capacity -4f4,), gallons.
1 UW 4P*rvii�e. ��- Utility �oznpany; %liq. pet. gas; other.., .Ai4re_,rA_AC_ Gas pipir.g: Cooking; house h^64
d z
oot g drains'6muecW to: L] storm,sewer; I sanitary sewer, -y well. Sump pump
.................... ...... ---------
*x,
Steam. C' One-pipe system. -I Two-pipe system.
LJ
dt �j Vapor. r
diatr,. Convectors. lia'seboard radiation. Make and model -- ----- -------
wal
Floor'
1;,',! ceding. Panel roil: Mati-rial ..........
T�di nt panel: �7, Ej
g'tci ulator. Return pump. Make anj model Capacity --------- gpm,
er- Make arid model Output 11tuh.; net rating Btuh.
Arrinwr: UIA"ravity. ':.; Forced. Type of system
ma I rial; Supply roJV rr; Outside air intake.
1) t Insulation
Fu
rnace. aker and niodet Input Btuh.; Output Etuh.
nace; wall heater. Input 11tuh.; output S8 00-0 Stult., number units
t
Spaee hedhe�l i floor fur
!;T9--J A-MY T
----------------
xt
Fuel; r Coal; oil ga8; licl pet. gas; f4pcirle: rither storage capacity -45 64.4,
bin fi�,ed.
I-xi'lig equiplaelit futills A separate)y: (,as hortifil, conversion type. Stoker: Hopper feed;
'Oii burner-.%L-�, 1),r
es"re atontizing i 1
vaporizing .... ..
Make arid modp.l Conti .1
lctric'heat,4g Sys!.
Bt"l
a
OESC,
10 1 OF
TICM:
14 Ir.K XU441t Tytu.Av-� r1o"l)*�t#
AL44fA A$oe JJpA4 7r 01 40
LL"1101)S:
t
(Iot�.rvmp ary f'"Al Un 4114-r I hr fl 7rulferildA, ('r Covotriertion dcr�'R -tio qhOwn Ch,-uberr) .. .... ...
A J�
A/ AA-0 44" V
Agro 4
d I.",A) 611 AC 11,o"
A (h(CfAf,
�,OSCJAL EQUIPPASNT.',f or n7vie, aP4 model.)
Vofv�,tiab blinil, Number Automatic wsilier
(J(,�thps duer ......
OthOr -- --------
at lihil
......... ..
WALKS AND DRIVEWAYS:
'Vriveway: Width thmkilexx
Ba,,�e Material thA.jw,;v,'— Surfaciolf MAte lix.. 4�4�1-r'a
&1k: JVidth t C I i-al
,hickawss Service walk-, Width Materia!
I r":,dn I'S C h Nv&tls
OTHER ONSITE IMPROVEMENTS-
N
LA%I)SCAPING, PLANTING, AND FIX-ISH �,R,�DING:
r--r* va,rk�– -du –I, i,. t'J! .144ill tl�I;Njalg.