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Permit 141 Seminole Rd (vault) PERMIT WORKSHEET JOB ADDRESS �L4 I JC Ml 0 0TYPE WORK RfO t I T PROPERTY OWNER A rn O,5TELEPHONE CONTRACTOR 5 A COy-.T�-1-► L. t TELEPHONE PERMIT NUMBER -�2-6 U q � DATE ISSUED INSPECTIONS: FOOTING SLAB TIE BEAM LINTEL NAILINGISHEATHING FRAMINGICOVER UP INSULATION al C? FINAL BUILDING_-; -39-9. CERTIFICATE OF OCCUPANCY TREE PERMIT ISSUED? PERMIT NUMBER ELECTRICAL PERMIT NUMBER �2-6y 9 DATE COPY SENT TO JEA TEMPORARY POLE PERMIT NUMBER DATE COPY SENT TO JEA TEMPORARY POWER LETTER RECEIVED? YES NO INSPECTIONS: ROUGH ELECTRIC RELEASED TO JEA TEMP. POWER RELEASED TO JEA TEMP. POLE RELEASED TO JEA FINAL 1 U3 MECHANICAL PERMIT NUMBER INSPECTIONS: ROUGH FINAL PLUMBING PERMIT NUMBER INSPECTIONS: ROUGHIUNDERSLAB TOPOUT WATERISEWER FINAL DRAINAGE INSPECTION POOL PERMIT NUMBER INSPECTIONS: STEEL FINAL ROOFING PERMIT NUMBER INSPECTIONS: NAILINGISHEATHING FINAL FAILED INSPECTIONS: DATE PD. DATE PD. i lI;-nn Ti j, r. DEPARTMENT OF BUILDING 1&&_ji 1 y CITY OF ATLANTIC BEACH,FLORIDA 126% 40 v+ MICA j PERMIT TO BUILD 10/01/ THIS PERMIT MUST BE POSTED ON JOB ' Date 9-26-86 19 Valuation$ Fee$ 15.00 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that GW, CONSTRUCTION has permission to bui43 ld Porch extension Classification ro-sidmttal Zone owned by Philip Grenville i— Lot 633`632 Block I S/DSaltair f House No. 141 SERTMU MAD 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 1 4 --10 O Building material,rubbish and debris zii from this work must not be placed I inpublic ce, and must be cleared up and led away by either con- tract owner.i Bui official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING I ELECTRICAL SEWER WATER V ,,' ne1.Blrk Address Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ _per sq ft = $ Carport/Porch l � @ $ c� per sq ft = $ 7, V-j Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ �o 7 Total Valuation ist $ (7/-3 $ S Remainder Valuation per thousand or portion thereof -------------------------------- ---------, Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED + 2 Filing Fee $ Fireplaces @ 15.00 $ Mechanical Plumbing BUILDING'PERMIT FEE $ Electric/New Electric/Temp Septic Tank BUILDING PERMIT $ Well WATER METER CHARGE $ S` imning Pool SEWER IMPACT FEE . $ Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Cormection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES h CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner.Phil ,T. yy,7,��___AddressZt -qPmjXjQjp -pd- ____zip_JL_Uphone?46_1 8 Architect------------------Address--------------------zip______phone_______ ContractorGrenville&Meuse Address 447 Atlantic Blvd, zip phone24 8, 17 - ------ -- -- Contractor's License number CRC01�98_______expiration 6f0 Lot_�,,�3 Block or Section _ Subdivision_ �,�e r-_ _ Z�onIng_______ Streetbetween______________and_________________side___________ ------------- Type Construct ion_4,�pL._No. Units..........No. Fireplaces___________ Purpose of Building__ 1_____________Est. Valuation 8______________ Utility Method - Water_____________ Sewer Dimensions - Building__, 3 �,1,}_L_Lot__LZd 63L--__Size Footings_Z_� Sz. Piers------------Sz. Sills-------------Greatest Span Sills___________ Sz. Gelling Joists_ ___Distance on Centers_V _____Greatest Span_ ----- Sz. ___Sz. Floor Joists _________Distance on Centers.........Greatest Span_______ Sz. Rafters ��,„,L __Distance on Centers_ /_____Greatest Span1L!___ Method of Heating...........Solid or Filled Ground Roof Flood Zone-------If located within a FLOOD HAZARD ZONE complete page 3 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 Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and drain said right-of-way to City specifications. Signature Owner, L / Date Signature Contract 'v�-� Date----------------- page 2 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r3 Application Number . . . . . 02-00025091 Date 11/21/02 Property Address . . . . . . 141 SEMINOLE RD Tenant nbr, name . . . . . . DRYWALL, INSULATION REP. Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 19000 Owner Contractor ------------------------ ------------------------ AMOS, MICHAEL SEDA CONSTRUCTION COMPANY 141 SEMINOLE ROAD 2120 CORPORATE SQ. BLVD. #3 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . DRYWALL, INSULATION REPAIR Permit Fee . . . . 125 . 00 Plan Check Fee 62 .50 Issue Date . . . . Valuation . . . . 19000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total 62 . 50 62 . 50 . 00 . 00 Grand Total 187 . 50 187 . 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 WHICIRE PART OF THIS PE :ANDTO UBJECT REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. t C,-, C BUILDING OFFICIAL t `` A It. ill-Pli, uo>Too', k RFT OCT 2 8 2002 1, APPROVED y: CITYBUILDING ATLA TI FIBEACH LBY2* OCT 2 g 2002, City of Atlantic Beach 800 Seminole Road •Atlantic Beach,FloridaBP2 - C� Phone: (904)247-5800 • FAX (904)247-5805 - http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX ) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATEo 7 O 2 JOB ADDRESS /'Y/ .Se 0 `1 a/ A - APPLICAN1.0 ADDRESS /�ZZ PHONE: Z YG- of er 7 - LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER ZONING DISTRICT CONTRACTOR STATE LICENSE NUMBER G f--C-o 2,Vied ADDRESS .- ' ` PHONE 74Y - 7,'OV CITY Y cxj o r)�y��[' STATE 9:4' — ZIP .-7zz/lv FAX 7 z j' -�j G /� c,2-- 1 1 DESCRIBE PROPOSED USE AND WORK TO BE DONE f PRESENT USE OF LAND OR B DING(S) cJ VALUATION OF PROPOSED CONSTRUCT Is this an addition? /ld If yes, what aredded space: feet by feet Will the added area be heated and cooled? AD New electrical or increase in service? /t a New plumbing fixtures? 4,o New fireplace? /7 o New heating/air conditioning? ^.o Is approval or Homeowner's Association or other private entity required? nJ,,o If yes,please sul; nit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? FZIJ NO. Applicant certifies that no change in site grade or fill material will be used on this project. ilYES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 6/18/02 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. a ,s SIGNATURE OF OWNER_>( l ' -� t4j DATE, f ti 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 t � ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APiPj�LICATION (PLEASE PRINT) NAME i l'1 MAILING ADDRESS )CL`12zt(. SSC jJl yt°, �Ul@ , S J J PHONE ' 2- 7'�i:0 FAX 12- 4 - (p� E-MAIL Ilt�C� ` LClCt cry #v' t Cli c r� C L t1n SWORN AND SUBSCRIBED BEFORE ME THIS I DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNA v AD -t t' AS TOO JENNIFER SCHLUETER X MY COMMISSION#DD 121301 Personally known Z' 'oe EXPIRES:May 27,2006 Produced identification N /_ pf;h� Bonded Thru Notary Public Underwriters Type of identification produced / �l.• �� � 5� (p(p(0'� AS TO CONTRACTOR: Personally known Q Produced identification Type of identification produced . ,t JENNIFER.KOSKI .` Notary Public- State of Florida •„Its Ccmff*Am Expires Sep 20,2005 Conlmiselon # DD059170 6/18/02 '' .4f;���`''• Bond6d By National Notary Assn. F CITY OF ATLANTIC BEACH PERMIT . CALCULATION SHEET Address ILA\ S--f-7-,VkA Date Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ per sq ft = $ Patio �@ $ t = TOTAL VALUATION : $ Total Valuation 1st $ j' $ Remaining Value $ p thousand or ,portion eof TOTAL BUILDING FEE $ + 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 : ,Mechanical .; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OFATLANCIC BEACH 800 SEMINOLE ROAD r c* ATLANTIC BEACH,FLORIDA 32233-5445 k x! TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 -M http://ci.atlantic-beach.fl.us July 9 2002 To: Jacksonville Electric Authority From: Don C. Ford, Building Official Re: 141 Seminole Road — Meter #74 961 051 Please have line pulled and the electric service disconnected at the above address due to fire damage. If you have any questions, please do not hesitate to contact me at (904) 247-5826. DCF/ph cc: City Manager CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5805 s3 SUNCOM:852-5800 —� http://ci.atiantic-beach.fl.us �i V A T tJ1/i�►f �� t/V✓ vc,tez';?= 0 2=---------pa#e&--------------------- ------------------------------------ �_ _ � � ; City of Atlantic Beads *** RECEIPT *** Open: DSitITH Type; OC Drayer: 1 Bate: 1/68/83 81 Receipt no: 2.5181 Deacrigtion Oty Amount 25889 BP BUILDING PWITS 1 $78.88 2882 25891 BP BUILDING PERBITS 1 $78.88 Tender detail C[ CEM 7884 8148.18 Total tendered 8048.88 Total payaeut $14A.86 Trans date: .1188/83 Tine: 11:16:28 21 s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025091 Date 1/08/03 Property Address . . . . . . 141 SEMINOLE RD Tenant nbr, name . . . . . . DRYWALL, INSULATION REP. Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 19000 Owner Contractor ---- -------------------- ------------------------ AMOS, MICHAEL SEDA CONSTRUCTION COMPANY 141 SEMINOLE ROAD 2120 CORPORATE SQ. BLVD. #3 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 ------ ---- ------------------------------------------------------------------ Permit ELECTRICAL PERMIT Additional desc REPLACE SWTCHS, RECPTS, FIXTURES Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1-07-2003 Ig IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH AREA PART HEREOF, AND IN'ACCORDANCE WITH'T HEAL REIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. R & R E;eei-ric of North Florjd , Int ,�6 4 ELECTRICAL FIRM: . MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME HOBART JOOST ADDRESS: 336 7TH STREET RFD BOX BLDG.SIZE BETWEEN: RES.(x) APT. ( ) COMM.( ) PUBLIC( ) INDUS. ( ) NEW( ) OLD ( 1 REW.( ) ADDITION ()? TRAILER ( ) TEMP. ( ) SIGNS I ) SQ FT. SERVICE: NEW( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER I ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE DO AMPS ( PH 3 W I�,y Y� VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 1 1 91.100 AMP&. SWITCHES j INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES I BELL TRANSF; AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS N0. I H.P. VOLTAGE PHS MISCELLANEOUS ROOM ADDITION TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA N0. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES d x:79 CITY OF 94n4l& 800 MCNOLE ROAD - -- ----- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247=3800 FAX(904)247-SM May 19, 1995 Mr . Michael R. Amos 141 Seminole Road Atlantic Beach, FL 32233 Dear Mr. Amos : Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 141 Seminole Road a/k/a S. 17 ft . Lot 632 , Lot 633, Saltair RE#170610-0000 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Chapter 12 , Section 12-1-3 - High Grass & Weeds, particularly in rear yard; Chapter 12 , Section 12-1-5 - The keeping of animals such as (ducks) etc . You are hereby notified that unless the condition above described is remedied within fifteen (15) 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 may impose fines of up to $250 .00 per day for a first violation and $500 .00 per day for a repeat violation. Sincerely, arl W. Gru ewald Code Enforcement Officer KWG/pah cc: City Manager CERTIFIED MAIL t RETURN RECEIPT REQUESTED City of Atlantic Beach •.• CUSIVM RECEIPT ssi Oper: CKOHOREK Type: OC Orate- I Date: 11/21/82 81 Receipt no: 13888 Description 25842 Qty Amount BP BUILDING PERMITS 1 $52.58 2882 25841 BP BUILDING PERMITS 1 $189.58 Tender detail CK CHECKS 1148 $248.M Total tendered $248.88 Total payment $249.98 ��� 11/21/82 Tice: 18:39:18 ` cgs CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025092 Date 11/21/02 Property Address . . . . . . 141 SEMINOLE RD Tenant nbr, name . . . . . . INSTALL ONE WINDOW Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 400 Owner Contractor ------------------------ ------------------------ AMOS, MICHAEL SEDA CONSTRUCTION COMPANY 141 SEMINOLE ROAD 2120 CORPORATE SQ. BLVD. #3 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 400 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. 'Y'4�' - ) "b V BUILDING OFFICIAL Dr2� - 2�50 q-2, � r7`S UD g 'V28 C ayye;+ f, �gr 1w City of Atlantic Beach• 800 Seminole Road • Atlantic Beach,Florida 32233-5445 Phone:.(904)247-5800 •FAX(904)247-5845 •http://www/ci.atiantic-beach.fl.us PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS,SKYLIGHTS AND GARAGE DOORS OF SINGLE-FAMILY OR TWO-FAMILY(DUPLE),C) CONSTRUCTION Date Address where work is to be performed y t Sf'm 1 n o6 Rmd Applicant 1 V\etro sa '�(1(� Address V l ' QoPhone: Legal Description: Block Number Lot Number Zoning District Contractor�E-DR CY25 ni fi cn G>mrx�-Nv State License Number �-CSG L ASO Address 21 2CC C r i'Yl.� Y:U �� g�V% 5 Phone -'?9C U 502 /l(25 Ci J CtC�c� �� State Zip . a� l l P Fax tY U i P_ CacM�'' QQ Describe Proposed Use and Work to be Done 140 . D � Present Use of Land or Building(s)' (-e SI O © Valuation of Proposed Construction Building Date; Mean Roof Height (ft) Building width (ft) Building Length (ft) Roof Slope *Window Elev. (ft) Window Height (ft) Window Width (ft) Measurement from comer of building to window (ft) . s o S g *Window Eley.From Grade �Q \ 'LEPHONE(AREA C00&214) GA804 ADDRE98"DALA6" ses.osa3 S65.05a4 42io0o DALLAS LABORATORIES, INC. CONSULTANTS AND TECHNOLOGISTS ANALYTICAL AND RESEARCH CHEMISTS— MEMBERS CHEMICAL ENGINEER9—PETROLEUM ENGINEERS MEMBERS EMCAN INSTITUTE OR CHEMICAL ENGINEERS p 0.BOX 152837 AMERICAN CHWICAL SOCIETY TIONAL SOCIETY OF PROFESSIONAL ENGINEERS AMERICAN SOCIETY FOA YESTIN43 MATERIAL LAS SOCIETY OF PROFESSIONAL ENGINEERS 1323 WALL ST. AMERICAN NATIONAL STANDARDS INSTITUTE A INTQANATIONAL AMERICAN SOCIETY FOA'QUALITY CONTROL ,IETY Of PETROLEUM ENGINEERS OF AIME GALLAS,TEXAS 75.315 APPROVED CITY Or AiLAiV11C BEAU Submitted by: General Aluminum Corp. BUILDING OFFICE Date September 28,2001 P.O.Box 819022 (Reissue Date: 03-06-02) Dallas,Tx 753$1-9022 NOV 2 ,,112002 Attn: Ivan Paredes r `l— - Reoort No.: 31239 By: Cl �— (Revised) RF OR Product Typg: Aluminum True Divided Lite Single Hung Window with Flange Frame 8UiLD19G i'i-ANS r•XnMiINr_r? Specification: AAMA/NWWDA 1011I.S.2-97;H-R40.53x72 j)ILVII PLANS] AA,1IN Seri„el Model: 1440 CODE C.:ONI.P 7<aNCE XEF,P THIS ,PLAN ON J09 Frarae.Size: 4'5-1/8"x 6'0" APR 2 3 2.002 SashSize- 4' 3-5116"x 2' 11-5/l6" Building&Zoning I sl e6011 Uiv•1ax., FL. Confl tc.rationi O/X �xpl»iner Signetur9 "• Manufactures License No. Moder Variations, Series 1940(Dual Glazed Fizz Frame); 1140(Single(dazed.Fin came , 14"Dua ------ Glazed Flange Frame) PRODUCT DFSCR.IPTION 3yeatbirstripping., Pile weatherstrip(0-.170"thickness)at exterior face of sash interlock rail. Pile weatherstrip with integral plastic fine(0.170"thickness)at exterior face of sash stile. Vinyl bulb seal was located along sash bottom rail. Hardware; Metallic sweep lock approximately 9'%"from each end of sash meeting rail(32"max. spacing). Spring latch at midpoint of operable sash bottom rail. Spiral-type balance in each frame jamb. Glass: Double strength annealed. laz•n : Exterior glazed with backbedding compound and vinyl snap-in glazing bead. Weep Arrangement! Screen retaining leg of sill notched 2-5/8"from end of member, Segignt., Narrow joint sealant at frame jamb to fixed interlock connection. Frame silt to jamb corners sealed with narrow joint sealant. uti ; 125/16" x 16 W divided lite assembly in fixed and operable sash. One horizontal T�bar secured by ibetal finger at jambs and stiles. Three vertical T-bar float at head and rails. THE ANALYSES OF THE ABOVE SAMPLE OR SAMPLES DO NOT IMPLY AN ENDORSEMENT.TWIS REPORT,OR ANY PART THeMEOF MAY NOT BE REPRODUCED OR USED FOR ADVERTISING PURPOSES WITHOUT OUR EXPRESS WRITTEN rnNAFNT THE DALLAS LABORATORIES, INC. Page 2- Report# 31239 Installationt Test unit secured to 2x4 SPF lumber test buck,by twelve(12)#8 k 1"screws through the Countersunk pre-punched holes,in each jamb and head. The sill was anchored in place with silicon. other Features: Nylon spacer button at mid-point(interior face)of sash stiles. Nylon sash guide with spacer button at each end of sash stile(interior face), Frame corner construction by two(2)#6x3/4" "hex head"screws. Sash corner construction by one(1)#6x3/4"square-head screw At mo-i—­0 - --- THE DALLAS LABORATORIES, INC, Page 2- Report 4 31239 Installation: Test unit secured to 2x4 SPF lumber test buck,by twelve(12)9 8 x 1"screws through the countersunk pre-punched holes,in each jamb and head. The sill was anchored in place with silicon. Otber Features: Nylon spacer button at mid-point(interior face)of sash stiles. Nylon sash guide with spacer button at each end of sash stile(interior face). Frame corner construction by two(2)#60/4""hex head"screws. Sash corner construction by one(1)#6x3(4"square-head screw at meeting rail and one(1) #6x314"square-head screw at bottom rail. Date'TestinQ Started; Sept 24,2001 Date Testing Completed: September 24,2001 Test Performed at: General Aluminum Corp.testing facility in Carrollton,Texas, PERFORMANCE TES1 RESULTS SPECIFICATION PARAGRAPH NO. TITLE OF TEST TEST METfIOD MEASURED ALLOWED 2.2.2.5.1 Operating Force 24 lbs 30 Ibs 2.1.2 Air Infiltration ASTM E 283-91 0.02 CFM/Ft' 0.30 CFM/Ft2 2.1.3 Water Resistance ASTM E 547-96 No Leakage No Leakage @2.86 psf(With and without screen) 4.3 Water Resistance ASTM E 547-96 No Leakage No Leakage @6.0 psf(With and without screen) 2.1.4.2 Uniform Load Structural ASTM E 330-96 -Exterior 22.5 PSF" 22.5 PSF* Interior 22.5 PSF* 22.5 PSF* -Permanent Set Negligible 0.213" 4.4.2 Uniform Load Structural ASTM 13 330-96 -Exterior 60.0 PSF* 60.0 PSF" -Interior 60.0 PSF* 60.0 PSF* -Permanent Set 3132" 0.213" *No glass breakage,permanent deformation,or other damage causing the unit to be inoperable. For all other paragraph 2 test results see Dallas Laboratories,Inc.report#30987. THE DALLAS LABORATORIES, INC. Page 3 -Report#31239 Detailed extrusion and assembly drawings indicating measured wall thickness,corner construction, and hardware application are on file and have been compared to the test sample submitted. Test sample will be retained at the testing laboratory. A copy of this report has been forwarded to ALI. The above results were secured by using the designated test methods and they indicate compliance with the performance requirements of the above referenced specifications. This report does not constitute certification of this product,which may only be granted by ALI, DALLAS j ABO AAT.Q ISS.INC. TESTING LABORATORY C. arra LCW: lw anNeG'.ed -04- K Z -WINDOW Y, GT. p G L F ELEVATION VIEWED FROM EXTERIOR s Kms `` ;t7 ,� .� � � �'• t x"�-z„ x�>sr.. � r t"�` � ���, � S,rt+ rf RIO.: 0k*am in CdWM LIN— , ; Lar Mnntd6a� !!ham M4k�Ap �V rr k%WAM eakw 7iFV m Fmign 4 YMN h S Wind' borne:Debris Region Section 1606 t 5 _ 124 4 , 8�at�avt=(ASCE 7 c,0,, •••••• i 10 mph 1 m coast(ASCE 7- r �" 1 mieoftr ) n Basic.Wihd Spud La 'Section 16061.6 pid` A)Values are nominal`de*,3-seoaxi,gust,..windspewis d tfPff /o�cu/•(_}m�ph�)apt W feet(10 m)above ground , 2j This map is agate to the ceunty.Local gcnremmen<s WiN Physical debris Ones establish landmarks such as ajor mads,canals, r andst>orelines 3)Islands and.Coasbl areas outside the last contour Sltaa use the fast wrind-fid contour at the coastal area x µ an 4)Mountak)ous terrain wind regions shalt examined f �or I r wind conditions Standard KM 7-98}50-imift ar peak gluts s FIGURE 1606 WIND-BORNE DEERS REGION4,B SIC WIND SPEED':' .y r §1606.1.4 Protection of openings. In windborne debris regions, exterior glazing that receives positive pressure in the lower 60 feet (18.3 m) in buildings shall be assumed to be openings unless such glazing is impact resistant or protected with an impact resistant covering meeting the requirements of SSTD 12, ASTM E 1886 and ASTM E 1996, or Miami-Dade PA 201, 202 and 203 referenced therein as follows: 1. Glazed openings located within 30 feet (9.1 m) of grade shall meet the requirements of the Large Missile Test. 2. Glazed openings located more than 30 feet (9.1 m) above grade shall meet the provisions of the Small Missile Test. EXCEPTION: Wood structural panels with a minimum thickness of 7/16 inch (11.1 mm) and maximum panel span of 8 feet (2438 mm) shall be permitted for opening protection in one= and two-story buildings. Panels shall be precut to cover the glazed openings with attachment hardware provided. Attachments shall be designed to resist the components and cladding loads determined in accordance with Table 1606.2B. Attachment in accordance with Table 1606.1.4 is permitted for buildings with mean roof height of 33 feet (10 m) or less where wind speeds do not exceed 130 mph (58 m/s) . 3 Al;m —IM D Cr 6,f4 Permit No.: Tax Folio l � — No.: Ho QL 14740 4685 J� N�fF OTrOMMFNCTMFNT 3 09OPales: 1108 11 led8cdded *V4+ State of i� ` 10/28/2002 01:33:35 PH 11l1 FULLER CLERK CIRCUIT COURT m County of�'�' RE�ING s 9.00 of TRUST FUND $ 1.50 0. The undersigned hereby gives notice that improvement will be made to certain real pF8Ve[q, and in! 2.00 ,a accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of M Commencement. h „0 1. Description of Property(legal description of the property,and street address if available): r� 2. General description of improvement: 3. Owner information: a. Name and Address: '7W iF eiSA AmaS 1 L , b. Interest in property: C. Name and address of fee simple titleholder(if other than Owner): 4. Contractor information a. Name and Address: SEDA Construction Company 2120 Corporate Square Blvd .#3 _ Jacksonville, FL 32216 b. Phone Number: C. Fax Number(optional,if service by fax is acceptable): S. Surety: Not Ap plicable a. Name andpAddress: Page 1 of 2 e �f 1 Book 10734 Page 1109 b. Phone Number: c. Fax Number(optional,if service by fax is acceptable): d. Amount of bond: 6. Lender: Not Applicable a. Name and Address: b. Phone Number: C. Fax Number(optional,if service by fax is acceptable): 7. Persons within the State of Florida designed by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes:. a. Name and Address: b. Phone Number: c. Fax Number(optional,if service by fax is acceptable): $. In addition to himself or herself,Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. a. Name and Address: b. Phone Number: C. Fax Number(optional,if service by fax is acceptable): 4. Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different date is specified): (Signature of Owner) Sworn to and subscribed efore me this 9 day of (NotMy Commission Expires: " J MNFER SCM R 145151.1 W COMMISSOJ#DD 121901 EXPIRES:May 27,2006 eard- rnruNo"Pr tUr4&V W3' Page 2 of 2 17407 DEPARTMENT OF BUILDING y syr•w'•. '('' �{ CITY OF ATLANTIC BEACH Number 17 £T7 -�-_--- LOCATION INFORMATION A dress : 142 SEMINOLE ROAD L T p�:A ECHAIIICAL ATLANTIC BEACH, FLORIDA 32233 .' + tc�rk ALTERATION » _- LZOAL DESCRIPTION ----------- Typo. . . . WOOD FRAME Block: ' Lot* �. NS4C 1C7w SU3C :� Rng: D� Subdivision, U+ . ' C ,tQ P"yy,Vyv �1y;'or t Y /fit*wry }t�l.00 rYyw'SR�, J ib1 rc� y/ A io P'. 98 ter ,.1 ! € c1DLEK APPLICATION ION FEES amt DIKE'; _" _" i ddr est � �j 'gyp, ,'�i A. ��� 25.00, cin : ORIDA 32233 Rt+ A'I OPi a d?.a 1 7!y 0p` "i l'11 er` a OCEA AIR � ddr: J476D. LiC iAR-76 NOTES: 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 ANDHAULED AWAY BY EfPHER CONTRACTOR OR OWNER #LURE Tt COMPLY WITH THE MECHANICS' LIEN LAW C�11U RESULT 1N THE PROPERTY +11 NER PAYING TWICEFOR BUILDING IMPROVEMENTS.$9 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIOW FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Mfi� 1 sf37�:f " ATLANTI EACH BUILDINEP TMENT By. ^^ .. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC ORACN, FLORIDA each APPLICATION FOR MECHANICAL PERMIT cn�l IN NUMQER IMPORTANT -- /applicant to complete all items in sections 1, 11, III, and IV. (r Street Addreu: I'/I �t ojl ol� LOCATION gd OF Iefersetling Streeh: Between /Ind WILDING Sub•di•isien 11. IDENTIFICATION -- To be completed by all applicants , In cons;derer;on of perm;t q;men for doing the wort at described in Iha above sralement we hereby agree to perform raid wort in accordance ►;Ih rhe auectud plan, and specif;uiions which are a part hereof and in accordance with the City of Jacksonville ordinances and slanderdt of qood prect;ce G,ted therein. 2�� Necwe of h/echenicei r C•nlTeelere NL'L G / d Clretler (�rinll Matter Naa,e a s heprty 0-mar S;"*Nre of Orn Slgnalurs el w A,rlkvisad Ajent Architect at Engineer III. CEN INFO"tl�K: r ^• Type of►•afro ►vI; _ �' It OTHER CONSTRUCTION SCINa OONt ON ❑ f3octr;c — — THIS SUILDING OR SITE? Aon (] Gas_(] V D Natural [] Control(Allity If YES, GIVE NUMBER OF CONSTRUCTION (] OA PERMIT ❑ 0*— -- specify IV, MOC KAMIC•AL 119yNtAIM TO It INSTALLND NATURE OF WORK (► cernpioto lied of campewenh•n bad of Ala leant ❑ nevidenlisi or El Commercial Neal ❑ Spot* (3 tectty" l�CeeMal O now L Building �A7r C.04.464j4: 13Roans 01 "It"a (t �*w Istinp Building C3 Oect S"taw,: ustw at_ 5p\ O'c'"u placement of existing system AAeelrntsra capacity a f.ra. ❑ New Installation(No system previously Installed) ❑ Extension or add-on �to ext Iing sysl [:3Re1c;g•ro1;w p� A� Other -- Specify A(-P .� C] C,oeiing 1oww: Capacity g.p�• 0 At, tprinido"! NYTeer el' head"_ Q IHo,.atw ❑ IAenlilt ❑ limalIt tom ) THIS SPACt 000t O"J" UN ONLY Q C"104na wn.pa. lµn-AW) tR«•Tve�) . Q Tutt. (nvtnber) ROMA$ ❑ LPG ce thineK.,----- InvtnbN) ❑ Uotw*4 peww►o voNN hrmit Appr•wd by bel• ❑ sea ❑ otk r -- Specify Permit F•• LIST ALL EQUIPMENT All CONDITIONING AND REFRIGERATION EQUIMENT Number Untt. D••ctlptmel Mot3.1 Number IRanuMatts"r t�•jr A�1� HEATING • FURNACES, BOILERS, FIREPLACES Number Units D"crilp"M Xb"Number IiflaWjftetuter (Ik 1 A_1"X7�t d 3,,-> nty7J" N TANX3 ria+• )Kant d�Dta C�ontaA It NSA" t ti twee SeNo /1p�C°vint r Ind BUILDING P;ND ZONING INSPECTION DIVISION o pp �O CITY bF ATLANTIC BEACH, FLORIDA ? to z ELECTRICAL PERMIT ., 1491►'w,� l U see #5140 Date 11/18/86 Fee $ no fee Permit No. 5168 30 W Location 141 SEMINOLE ROAD 00 0 Between and Q This is to certify that a PHIL GREISIVILLE ROME OWNER UJ Cc (Electrical Contractor) (Master Electrician) x E, has permission to install Electrical Construction as described herein in of W °a accordance with the provisions of the Electrical Code and regulations V °c of the City of Jacksonville, and subject to the information shown on the = o application, drawings and specifications which are made a part of this 3 Y permit. PHIL GRENVILLE t= V Type of work: RESIDENTIAL INCREASE a o fSERVICE: service increased from 60 amps a N to 150 amps a i N V Feeders: Outlets: O V Receptacles: m Switches: �► Incandescent: Fluorescent: Appliances: Air Conditioning: Motors: Transformers: I Signs: Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED B MONTHS PERIOD, PERMIT Electrical Inspect i pervisor BECOMES VOID. CITY OF . 4&4^4'a -S -4u'c& j Office of Building Officiel REQUEST FOR INSPECTION / Date y " Permit NO, Time f A PAWVW- WL/ p - Diatrict No, Job Addretw Locality Owner's Ham, Contractor BUILDING CONCRETE ELECTRICAL / PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring la- Rough ❑ Air.Cond,a Q Ra Aoofing ❑ Slab ❑ Temp Pote ❑ TOP Out ❑ heating Untel Q Final ❑ Fire Place D Pre Fab _AUQXFOR INSPECTION A.M. Man. Tues. Wed. Thurs. Friday P.M. Inspection 1 a. P.M. nspection Mace tOr Final inspection❑ Certificate of Occupancy f� Date CITY OF Office of Building Official REQUEST FOR INSPECTION i( Date Permit No. Time ? A.M. Received P.M. District No. Job Address Locality t Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing D Footing 0 Rough Wiring 0 Rough Cl Air.Cond.& Q Re Roofing a Slab ❑ Temp Pale 0, Top Out n Heating Lintel 0 FinalleFire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Thurs. Friday P.M. A.M. Tu Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date 'BDILDING AND ZONING INSPECTION DIVISION' ? CITY OF ATLANTIC BEACH,FLORIDA , 96 ELECTR CA►L PERMIT Date Fee ; �� rm t No, 3 Location 5 m Between and This it to certify t t - -- a (ElecWW tricetl tro tor) (AAaster Etectricion) E has permission to in a Electrical Construction as described I t- min in t e accordance with the provisions of the Electrical Code and regylations of the City of Jacksonville, and subject to thein#armation shag Vin`the Z e application, drawings and specifications which ore made a part of this permit. for Type of work: SERVICE: 4 Feeders: Outlets: Receptacles: Switches incandescent: La2 Fluorescent: Appliances: Air Conditioning r Motors: Tron krmors: Signs: Miscellaneous: WORK IS PONE UNDER f PHIS" I R 1# DURING ANY SIX ISSUED BYy' ''PERIOD,.PERMIT Electrical inspection S+ipervisor a MADING AND ZONING INSPECTION DIVISION c Co Z CITY OF ATLANTIC BEACH, FLORIDA Z + • t.. ELECTRICAL PERMIT a W' 10-15-86 20.E 5140 Date Fee � Permit No. O 141 am Location /y Q Between on This is to certify that —! BW sm CrInMR a PHIL GREMULE PHILTV v V W E (Electrical Contra' ions ) (Mosler Elecfrician) y, has permission to installectr cal Construction as described herein in w s n { accordance with the prof the Electrical Code and regulations u of the City of Jacksonville, nd subject to the information shown on the x application, drawings and specifications which are made a PP 9 P part of this f permit.or IL GRMILLE I Type of work: RESIDEWMARAMON , a ' p SERVICE: MSCELIAMMS4 Feeders: __ us Outlets: O Receptacles: A N W m` Switches: 1Wa Incandescent: Fluorescent: Appliances: Air Conditioning: Motors: Transformers: Signs _ a: Miscellaneous: ua ,. IF NO WORK IS DONE UNDER - THIS PERMIT DURING ANY SIX ISSUED BY MONTHS PERIOD, PERMIT Electrical inspection Supervisor BECOMES VOID. MAP SHOW/NG SURVEY OF Lot 633, together with the South 17. 00 feet of Lot 632, as shown on the Plat of .saltair Section 1 , as recorded in Plat Book 10, Page 8 of the Current Public Records of Duval County, Florida. For: Elizabeth T. Grenville & Philip L. , her son - (,!HAC Sherry - File No. 7643-B L O T 64ro L O T 047 L O T 648 67 X 3:5'—X— 17' 0.4 N 410 X I.P ,0.2- O T X 34 Ix 0.s' SroraP 33 ,.—L G co G .��• 9V.7' B.r' /-.414 M E m 8.6' w/�54E5TOS � SN/NGL E N N9/4/ x N $TEP✓ :Y . .V: o X D'Nil .l/'. Vi o B CONCRETE WA L K 07 ' SEM/A/ OLE 80.40 /Former y 5a/fair B/vo! - 7t7',g/ly� L EGENO--- Rr4Y, SNYDER_ A650C/A7ES o OEN07"E5 METAL 57,4Ae SWT PR0FE55/0N,41- LAND 5URVEY045 • OEN0TE5 METAL STAKE r0j/,V0 .349 F,45r /7 ry 51'REE'T ® OEn/OTES PERMANENT lIEFERENCE MON. JM Ck50V V 1 L L E, F"L Oo7/Oq OENOTES FENCE P/-/OA/1- 353 0476 GATE 5CAL E Oe NO. 92781 JOE i9 V �•,_ _ ey: N .� -4=: 5 OQAFTBMIN C/+�ECltEO l7EGi5TERE0 --VVVEYGW C.-Rr1,ryCA ,VO 1979 Q04/Q4 M'4 QE6/STERE� 5Y14W-Y0A'C6er1,7C.OTE NO 1488 GEI.Q5/4 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 I, II, II), and IV. I' 1 15MM6� = v LOCATION Street Address: OF Intersecting streets: Between And BUILDING Sub-division II. IDENTIFICATION -- To be completed by all applicants. In consideration of permit given for doing the work as,described in the above statement we hereby agree to perform said work in accordance with the 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) — Master Nems of �! _ Property Owner !Siynaiun of Owner Signature of AslNsorized Agent t Architect or Engineer Ilil. ��.✓I A, Type of hosting W: B. IS OTHER CONSTRUCTION BEING 00 ME ON \Li Electric THIS BUILDING OR SITE? Cj Cm—O LP Q Natural Q Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION D ON PERMIT p O"W — Specify t IV. MOKOl" WUIM W TO K INSTALLN NATURE OF WORK (ProvW0 complete list of compo ft on back of this foam) Residential or ❑ Commercial Meat Q Space 13 Roeewed X Central O 14,10 or ❑ New Building Air CoWdioning: ❑ Room ❑ Control Existing Building 0 " : Material Thicker ❑ Replacement of existing system Maximum capacity ef.m. New installation(No system previously installed) Q Refrigorafion ❑ Extension or add-on to existing system 13 ❑ Other —Specify Cooling %won Capacity q.p.rn. [3 Ftm gWnklm: Number of has C3. ;Eiawfor Q M"Nft Q Ewlato (number) THIS !►ACE POR OiEICE Uig ONLY 0 ,Soohno pumps (nurnbor) (Reeoilrsdl 'Taakt (number) Remarks Q In Wife i� (nurnberj p Uafff"p""Wre MW Psrrni* Approved by Dole fl :dthW specify Permit 1�11111T ALL-EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Libor Vnaw Derestptlolh No"Number atanutactutrr Utz- 7E y> 1"TING- FURNACES'L BOILERS, FIREPLACES lrraffnbifr Vnlb Do=%"= Xo"Number XW11lIftdW r t1I;>fU 03 CfltRtEtZ �r © (° TANKS Herr litany Nmmlaal ap"ty Ty" Uqj" Name at Serial Wd Dbasmdo Contained No. Apacy TL DEPARTMENT OF BUILDING T CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. ���"'***'' 1579 9/in/90 PERMIT TO BUILD cls 1 .r�flrAC THIS PERMIT MUST BE POSTED ON JOB 1579 11 9/10/16 r Date 9-10-86 19i ! Valuation$ Fee$ 40.00 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that OCEANSTATE has permission to bum INSTALL NEW HEAT & AC Classification RESIDENTIAL Zone Owned by CY&M CONSTRUCTION LotBlock S/D House No. 141 SEMINOLE ROAD According to approved plans which are part of this permit t NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE O Building material,rubbish and debris —ZI from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. Building official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER PREPARED 12/23/02, 8:48:16 INSPECTION TICKET PAGE 2 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 12/23/02 ------------------------------------------------------------------------------------------------ ADDRESS . : 141 SEMINOLE RD SUBDIV: TENANT, NBR: DRYWALL, INSULATION REP. CONTRACTOR SEDA CONSTRUCTION COMPANY PHONE OWNER AMOS, MICHAEL PHONE PARCEL 110610-0000- - APPL NUMBER: 02-00025091 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------------------------ PBRNIT: BLDG 00 BUILDING PKINIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 13 01 12/17/02 LJH BD FRAMING TIME: 17:00 AM OR PM BACK DOOR IS UNLOCKED 16 01 12/20/02 LJHBD AL TIME: 13:00 b door is unlocked. 15 01 12/23/02 LJH D INSULATION TIME: 08:00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 2/22/03, 8:34:26 INSPECTION TICKET PAGE 3 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 2/24/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 141 SEMINOLE RD SUBDIV: TENANT, NBR: DRYWALL, INSULATION REP. CONTRACTOR SEDA CONSTRUCTION COMPANY PHONE OWNER AMOS, MICHAEL PHONE PARCEL 170610-0000- - APPL NUMBER: 02-00025091 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------------------------ PRRNIT: BLDG 00 BUILDING PBNNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 15 01 12/23/02 LJH B INSULATION TIME: 08:00 12/23/02 -AP t n n P� 16 01 2/24/03 LJH __ BD FINAL TIME: 13:00 i t�n- __ 703-8300 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 1/16/03, 8:24:32 INSPECTION TICKET PAGE 3 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 1/16/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 141 SEMINOLE RD SUBDIV: TENANT, NBR: DRYWALL, INSULATION REP. �. CONTRACTOR : SEDA CONSTRUCTION COMPANY PHONE OWNER AMOS, MICHAEL PHONE PARCEL 170610-0000- - APPL NUMBER: 02-00025091 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------1�1__= - -- - PERMIT: ELIC 00 BLIMICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESU S/COMMENTS ----------------------------------- ------------------------- - ------------------- 23 01 1/16/03 LtJHH� FINAL TIME: 08:00 V'a �+ ----- -�b�'� --" -- 4-5555 -------------------------------------- COMMENTS AND NOTES ----------------------- ------- 1