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Permit 162 Magnolia St (vault) FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-01 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additbns,Renovations&Building Systems Corroance with Mefcd C of Chapter 6 of tie Florida Energy Effi wq Cade may be demonstrated by the use d Form 6000-01 Ion addtions of 600 square lee,of less,sire-Installed tompOw t of"SUacdued homes,and renovations lo and multifamily tesiderces.Alternative mes>ods are vwkWlor additions by use of Forth 6008-01 or 600A-01. PROJECT NAME: S 7-4411 a 14CAICK BUILDER: AND ADDRESS: 2 OG PERMITTING CLIMATE OFFICE: ZONE: 1 2 3 OWNER: �S7'lI) /---36� PERMITNO. JURISDICTION NO.: .12- SMALL ADOPTIONS TO EXISTING RESIDENCES(600 Square leer or less of conditioned area) Prescriptive requirements n Tables 6C-1,6C-2 and 6G3 apply onlyb the components d the addition,not soft existing W4N Space Neat%wolin and water heating eWp*N efficiency levels must be met army when ewmient is instated spealicaN to serve he addtion or is berg irsWed n cory'ucoon with the addtion corsh,aion. Carnonem separamg tncon6tioned spaces from m-dwined spaces must meet the presabed mininm ins Ation levels.RENOVATIONS(Residential buildings udo9oing renovations;ozfiN more than 30%of he assessed vakle d the bukdng) Prescriptive regvirements n Tables 6G t and 6G2 apply only to the carponents and equip TW being renovated or replaced.MANUFACTURED HOMES AND BULDINGS.Onhy site istaAed certgocents and leatues are covered by his bum BUILDING SYSTEMS Cortrply when conplele new system is instated. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. '- 2. Single family detached or Multifamily attached 2• 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area(sq. ft.) 4. 5. Predominant eave overhang (ft.) 5• oZ 6. Glass area and type: Single Pane Double Pane a. Clear glass 6a. sq. ft. -1----sq. ft. _ b. Tint, film or solar screen 6bsq. h. sq. ft. 7. Percentage of glass to floor area 7. % __- 8. Floor type and insulation: a. Slab-on-grade (R-value) 8a. R= _ lin. ft. b. Wood, raised (R-value) 8b. R= _ sq. ft. c. Wood, common (R-value) 8C. R= sq. ft. d. Concrete, raised (R-value) 8d. R= sq. e. Concrete, common (R-value) 8e. R= sq. 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 9a-1 R= sq. ft 2. Wood frame (Insulation R-value) 9a-2 R= _ C�_sq. ft. b Adjacent: 1. Masonry (Insulation R-value) 9b-1 R= _sq. ft. 2. Wood frame (Insulation R-value) 9b-2 R= sq. ft c. Marriage Walls of Multiple Units' (Yes/No) 9C - - 10. Ceiling type and insulation: a. Under attic (Insulation R-value) 1Oa. R= 0 �� sq. ft. b. Single assembly(Insulation R-value) 1Ob. R= sq. ft. 11. Cooling system' (Types:central, room unit, package terminal A.C.. gas, existing, none) 11. Type: SEER/EER: 12. Heating system': (Types:heat pump,elec. strip,natural gas, L.P gas. 12. Type: _- gas h.p.,room or PTAC,existing,none) HSPF/CO FUE: 13. Air Distribution System': a. Backflow damper or single package systems' (Yes/No) 13a. _ b. Ducts on marriage walls adequately sealed' (Yes/No) 13b. 14. Hot water system: 14. Type: (Types:elec.,natural gas,other,existing,none) EF: __- Pertains to manufactured homes with site installed components. I hereby certify that the plans and specifications covered by the calculation are in Review of plans and specifications covered by this tabulation indicates compliance compliance with 1tv Florida Energy Code with the Florida Energy Code. Before construction is completed,this burtding will be _�, 77 " �_�- 3 inspected for compliance In accordance with Section$53.908.F S. PREPARED BY: CC2 GATE I hereby certify thio bud is in vnmpffance with the Florida Ener y Code(J BUILDING OFFICIAL: OWNER AGENT: I ,_ -. DATE l==L-'� DATE: FLORIDA BUILDING CODE-BUILDING 13.201 CITY OF ATLANTIC BEACH DEPARTMENT OF BUfLDfNG 844 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5828-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number:-201647--- Address: 162 MAGNOLIA STREET---------- Permit Type: FENCE ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: 10 Proposed Use: SINGLE FAMILY Lot(s):644 Block: Section: 1 Square Feet: Subdivision: SALTAIR Est.Value: real Number: Improv. Cost: 200.00 OWNER INFORMATION Date issued: 6/05/2000 Name: BLACK, CHRIST(NE Total Fees: 10.00 Address: 162 MAGNOLIA STREET Amount Paid: 10.00 ATLANTIC BEACH, FL 32233 Date Paid: 6/05/2000 �_ Phone: (904)241-7147 Work Desc: CONSTRUCT FENCE PER PLANS _ _ _ CONTRACTOR(S) _ ! APPLICATION FEES PROPERTY OWNER PRM EIT 10.00 II I i I I __kpe_ ctions Re ui d - -_ re 1 i NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY 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. -^..- Q � $18.8814 Date: 5/87/88 81 Receipt: 8862982 ATLANTIC BEACH B LDING PT. 0858 88188883221888 CITY OF ATLANTIC BEACH ^ APPLICATION FOR FENCE PERMIT y� 7/q 7 Owners C`9-lei S ?M 4 Address & c)- IWO 4') J� , _ L A Ch Lot ka2lleckandlerUnit# Subdivision Contractor if Different From Owner Valuation of Fence $ Corner or Interior Lot Type of Construction , Attach Survey Showing location and height of fence as well as location of street(s). ti,0�N �JGOh.PGE J Owners Signature Contractors Signature MAr SHOWING SURVEN OF 'F �XCE).>Jl Tjjl�; I_A�Xyj IfERI,Y 6.60 FEI,'17, i)F SWT10N NO. _1 SAI,I'Alit N:33 WE 644, _k 1() NAC ;II)K 1.0 PAGE 8 OF THE CIJRRT-M' 1110(31,W Kia YWU '�, 1f)(7V.Al, C(-AJI\rPY, LOT 631 LOT 630 1 LOT 629 (34.37 FIELD) srm. FNO,�,/P. 14—v' r (17) (15.6 0 /0 EA&rA cN r 6,woov my FENCE 8,w= P*w aw (34.37'FIELD) FOUND 1/21RON FOUND 1/2' IW ROB PIPE "L.B.3295" PI PE"LA.3295 A 0.3, 2nd SroRr COW Aw OVERHfNG 31.7 pso 9.41 soum jj' IvoRrly 17' SU17HI56 2-STONY LOT 643 OF LOT 645 OF LOT 645 OFLOr 644 MASONRYz 49 FRAhE 2 I—Z) z gz 0 cr No. 0 lz cr .9 r Zfid STORY 10.9 4'AFOO WOW �Ql 0 4, FEW 0) DRIVE', (L70') .__ — 2500 (150 34 - - ,FOUND 1/2"IRON FOUND X-CUT (34�46 FIELD) PIPE L.B. 3295 50' /?/w PAVED NOTES A' WGNOLIA SMEET - THIS 19 4 B"DARY SURVEY. - NO BUILDING RESTRICTION LINES AS PER PLAT. - ANDS ARf AS PER FIELD MEASUREMENTS. A 00701 [,HEREBY CERTIFY TO CHRISTINE BLACK, BARNETY B 89'42'08* SAW OF JACKSONVILLE. N.A., COMMONWEALTH LAW' C 89`33'23* TITLE INSURANCE COMPANY AND BUSCHMAN, AHERN D iou'02*57* PERSONS THAT I HAVE SURVEYED THE LANDS AS SHOW W+ 7K ASDW* CAPTION AND THAT THIS MAP IS A TRUE PRIV. DENOTES PRIVilklE AND CORRECT REPRESENTATION Olr-THAT "VEY AND STOlk, MUMS STORAGE THAT THE suRvEy PIMI'Lo ZD ON MEETS YkAel M"MUM 6OK QMOTES.CONCRM TECHMdAL STANDARDS Of FL A ADMNS- Alft CEDE CHAPTER 61 '1311-8 AND THE FLORIDA, LAND TlU AA7110N. THE PROPERTY SHOtW HEREON APPEARS TO LIE IN FLOOD W y�r`1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 x http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # 6 3 Applicant: MG7i Y x ??U U / /l ek— Address: a Project: Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by . Fo 2 a Signed Date - .2- Contractor Contractor Notified Date CITY OFATLANTIC BEACH 800 SEMINOLE ROAD ® ATLANTIC BEACH,FLORIDA 32233-5445 a: TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # 10 Applicant: n')Qy rh(eP' Address: Project: ^ GP 77T deck Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date 61 j 30''4 3 Contractor Notified Date R.. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233 a47-5826-Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFOtfil{ Tl LOC, A. tNF MATS REET N Prmit Number: 22006 Address: TLANTIC BEACH, L 32233 Pe A Permit Type: ELECTRICAL Township: Range: Book: 10 Class-of Work: ALTERATION 644 Block: Section: 1 Proposed Use: SINGLE FAMILY Subdivision: Square Feet: Subdivision: SALTAIR Est. Value: Parcel Number: ATION SER iNEfRM --�� Improv. Cost: Name: BLACK, (.,HKI�I INN Date Issued: 5/21/2001 Address: 162 MAGNOLIA STREET Total Fees: 25.00 ATLANTIC BEACH, FL 32233 Amount Paid: 25.00904 241-7147 Date Paid: 5/21/2001 Phony L Work De c: WIRE CIRCUIT FOR POC ��� - 1 :�ON FEES -CONTw CT Q►R. 25.00 BILL THOMPSON ELECTRIC C, , INC Rl�dflT n = n �0-i N L z { .- �' r����_ mss..• ,„— .x _ - I : ea < ----------- ' FINAL ` y. n4 HM, ti x, z NOTICE- INSPECTIONS .- ST BE REQUESTED AT LEAST 24 HOURS R10R TO,(NSPECTION BUILDING MATERIAL, RUBBISH Alr{D; EBRIS FROM THIS WORK MUST NOT , LACED INb 'UBLIC SPACE,AND MUST BE CLEARED UP 414D HAULED A*AY BY EITHER CD_`NTRACTO WNER ° R �tJLT 1N THE "FAILURE TO COMPLY WITHIM CONS CU 1�H = NC3_ IC *OR. "UILQIVI III�P - •, — PROPERTY OWNER PAYI ISSUED ACCORDING TO APPROVED PLAID 4Vj: ICA AR PAT ERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS A� $25.6614 Date: 5/23/81 81 Receipt: M606 ATLArIC BEFXCH BUILDI G DEPT. CHECKS 1888 CITY OF ATLANTIC BEACH, FLORIDA APF'LlcAiriON FOR ELIECYWCAL NErt1MIT __A TO THE CHIEF ELECTRICAL INSPECTOR: DATE:..._--- IMMfITANT NOTICE: 'IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCOHDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACHICNANC 1S.c._ P. 0. BOX 3SQ150 ATLANT C BEACH, F 32233.0150 ILEURICAL M: E i A 1 // NAME �1� ADDRESS. 6 nQI + RFO UOX BLOC.SIZE BETWEEN: REi'i , APT. ( 1 COMM. ( I PUBLIC 1 1 INDUS. ( 1 NEW ( 1 OlD REW.l ) A001TION 1 I TRAILER 1 1 TEMP.1 1 SIGNS 11 SQ. FT. SERVICE. NEW ( ) INCREASE 1 ) HLPAIR 1 1 FEE NDUCTOR SIZE AMPS COPPER I ALUM. SWITCki OR KER AMPS PH W VOLT BACEWAY EXIST.SERV.SIZE WO AMPS PH W /79VOL7 3 RACEWAY FEEDERS NO. SIZE NO. SIZE No, SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN _ TOTAL 4 30 AMPY SWITCHES INCANDESCENT _ FLUORESCENT&M.V. FLED 0.100 AMPY. UV►h �� APPLIANCES i I I BELL TRANSF. AIR H.P. RATING HY, RATING CONDITIONING COMP.MOTOR OTHER MOTOR:: Atwi?S CEIL HEAT: KW-HEAT • 0.1 OVFIt MOTORS H.P. VOLTAGE PHS NO ) N•P• VOLTAGE PHS MISCELLANE S /77 7-FAZZr� TRANSFORMERS: UNDER 600 V. OVER 600 V. N0. KVA I NO. �KVA ` NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHEIRIl EACH SIGN ? ----- -- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING Boo SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5828-FAX: 247-5877 _� RM 62 - - PERMIT11 NFt�RMATION - Address: 162 MAGNOLIA STREET NTIC BEACH, FL 32 Permit mber: 21777 ATLABook: 10 Permit Type: POOUREMARCITE Township: Range: Section: l I Class of Work: NEW Lot(sj:644 Block: Proposed Use: SINGLE FAMILY Subdivision: SALTAIR Square Feet: Parcel Number: Est. Value: ( if1iNEFt IPRISR�T NE{ON Improv. Cost: 2,500.00 Name: BLACK, CH Date Issued: 4/13/2001 Address: 162 MAGNOLIA STREET Total Fees: 40.00 ATLANTIC BEACH, FL 32233 Amount Paid: 40.00Pham904)241-7147 . 4/13/2001 — Date Paid: _ _ _ - - — - - Work Desc: ABOVE GROUND 15L ROUND POOL U 1C` Ttf3R FEES 40.0 PROPERTY OWNER . .neo '14- 0 .' .sf5h-kd{i ix. it hex . '. - f �`+•�.tW t• �� :af! .xR+F` t +}SCA S,I k; S* � '�v an F- FINAL t, xK UST BE REQUESTED AT LEAST 24 HOURS POR T� INFECTION NOTICE-+ 1SPEC7101�1 _ - SH AND"DEBRIS FROM THIS WORK MUST NOIpERCED IN 'UBLIC SPACE,AND BUILDING MATERIAL, f�#,JBB] =�-- --- - -� - - MUST BE CLEARED UP AND HAULED AY BY EITHER CONTRACTOR ` aY "k R LT IN THE RE TO COMPLY VV1TH44HE C1PNt�r�T*N[`L..FAILU DINIMPSPROPERTY OWNER PAYICR PORE! ,.. ERMIT AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPROVED PLANS i tK PTF=' FOR VIOLATION OF APPLICABLE PROVISIONS-- MAO ROVISIONM O 1; Date: 4/13/0101 Receipt: 004F!4 AT NTIC BEACH BUILDING DEPT. r©�� ---- RECEIVED ' CITY OF ATLANTIC BEACH APR 5 2001 G � APPLICATION FOR POOL PERMIrity of Atlantic Beach �Buiiding and Zoning icb Address (" Se- e Lc t tt Block # Subdivision Address (P /56--dr. !'L 223 3 Contractor Address TELEPHONE: License Number ''ll aluation S 6 �5 06. Gallons � SITE PLAN front N N � a m M rear Sicnature ODate `7 l� 6 Signature Contractor Date ,^3 ' LOT 629 L1�T 63/ � LOT 630 i (34.37 FIELD) WOOD.SIM 34-1A, -QVCD tom, FND%/'p 15 a' /0EASEMENT 6'WOOD APlV CE ti 6'WOAD PRA! FaWE (34.37'FIEL q FOUND I/2)RON FOUND 1/2 IRON PIPE L.B.3295" PI PES L B. 3295 A I 0.3' 1 2ne STORY �' t ( CONCOVER H4,V •.q --�-- —-.7/ PSD 9.41 SOUTH 33' NORTH/7' SGY/TH152-STORY [DT 643 OF LOT 645 OF LOT 645 OFLOT 644 MASONRY o & FRAME a C,) RES/DENCE "�' Q)o p No. /62 O �m F PSA' 2� O W 9. 0 Z U — x 2nd SIOAY/ X09' t'NOSWAW ro OVERHANG 7 Q !OACRETE. fENCE tt I ORIVE f ll) Q � -j c ay -- — (15.634,f0. —? (34 46 FIELD) FOUND 1/2' IRON FOUND X-CUT PIPE l.B 3295 50' R/W PAVED NOTES.: MAGNOL/,4 STREET - THIS-IS A-BOUNDARY SURVEY. - NO BUILDING RESTRICTION LINES AS PER PLAT. - ANGLES ARE AS PER FIELD MEASUREMENTS. A 00'21'31' I HEREBY CERTIFY TO'CHRISTINE BLACK;''BARNETT B 89'42'08' BANK OF JACKSONVILLE. N.A., COMMONWEALTH LAND' C tin3'23' TITLE INSURANCE COMPANY AND'BUSCFHMAN. AHERN do D bU,'Q2'57' PERSONS THAT I HAVE SURVEYED THE LANDS AS SHOYMI -LEGEND IN- THE ABOW CAPTION AND 114AT-THIS I MAP IS A TRUE PRJV: DENOTES PRIVATE AND CORRECT RFPRESENTAIM OF. WT SURVEY AND VOR. t>F71107ES STORAGE THAT,THE ;SURVEY REPRESENTED HEREON..MEETS.ViE.MINIMUM 0ONC. DENOTES-CONCRETE TECHNICAL STANDARDS OF HE FLORIDA 'AbWNS AYIVE CME'.CHAPTER .61 'Gll"6' AND:?THE`FLORIDA- LAND 'TITLE ASSOCIATIION. THE PROPERTY SHOWN HEREON APPEARS TO UE IN FLOOD ZONE O)r AS WELL. AS CAN BE DETEMINED FROM THE FLOOD INSURANCE RATE MAP COMMUNITY PANEL NUMBER 120075 0001 D, REVISED APRIL 17, 1989 FOR THE CITY OF ATLANTIC BEACH, FLORIDA. RECHECKED:OCTOBER 26, 1995 . ��'�.r•-L�1 rJv� , CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025413 Date 1/30/03 Property Address . . . . . . 162 MAGNOLIA ST Tenant nbr, name . . . . . . 2ND STORY ADDTN W/DECK Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . TO BE UPDATED Application valuation . . . . 17000 Owner Contractor ------------------------ ------------------------ BLACK, CHRISTINE MARK LOUIS GAUTHIER 162 MAGNOLIA STREET 14436 AQUA VISTA ROAD N ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 270-1137 (904) 992-0615 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 17000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115 . 00 115 . 00 . 00 . 00 Plan Check Total 57 . 50 57 . 50 . 00 . 00 Grand Total 172 . 50 172 . 50 . 00 . 00 0 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 1q s� PERMIT CALCULATION SHEET ri3<� Date: /'' 2 4 3 Address / 2 1'1,4 /V©C UQ ell Heated Square Footage @ $ per sq ft= $ Garage/ Shed @$ per sq ft= $ L Carport/Porch _@ $ per sq ft = $ Deck y �� @ $ per sq R = $ Patio @$ per sq ft= $ TOTAL VALUATION: $ / O 4 u Total Valuation 1st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + '/s Filing Fee $ FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 v3 �� C, TY OF ATi_AN'IC 5r, A., s @UILDiNG 3 ZONING JAN 2 2 ?Jud BY' City of Atlantic Beach 800 Seminole Road •Atlantic B --1 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION (FOR NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) �—r-- DATE � „� JOB ADDRESS �(p `Z �[ --��tOQ�/,�- ��� � OWNERS NAME_ s'r/,c�-� � ADDRESS 16a A46N®G.t,/J- ATL 6C PHONE: a 7O LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER 7 ZONING DISTRICT CONTRACTOR M,4/2/tC' C� 7�L -f STATE LICENSE NUMBER C,9C05 7O ADDRESS 1 y r A,,--4- ,- / D N0� PHONE - 0 6 F76 / CITY / STATE -; ZIP y�� r FAX U & l DESCRIBE PROPOSED USE AND WORK TO BE DON -/ago/m 3�6 1 1 i r � C. PRESENT USE OF LAND OR BUILDING(S) �C VALUATION OF PROPOSED CONSTRUCTION goo � Is this an addition? If yes,what are.the dimensions of the added space: / 07 feet byl:3 feet Will the added area be heated and cooled? X70 New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? 44a If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ®NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Protected Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. 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 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. 11/27/02 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 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. SIGNATURE OF OWNER' DATE 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 ���� � ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME�141V 4 C4 n4 1 a MAILING ADDRESS {`f Y.7 Cj A4 u A- s�",� ,0 A)v JA 3d07 ��F PHONE 9. 2 ^O�l s FAX 7 9 — DCO 1,6 E-MAILDO/�LJ TLS e(p(8 (9� ALC_ SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE � �L �f, `�� AS ER:MARKLYN L GAUTHIER Personally known MY COMMISSION#DO 154913 0 Produced identification 'A', a EXPIRES:October 3,2006 Bonded rhruNary Public Undenmure Type of identification produced AS TO CONTRACTOR: Fersonally known Produced identification .�.r..�.� Type of identification produced ANNETTE W.KELLY ' ' : 11/27/02 =,_ ,� MY COMMISSION#DD 174942 y a EXPIRES:December 30 2006 R Pfn Bonded Thru Notary Public Underwriters 40 t , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025413 Date 3/24/03 Property Address . . . . . . 162 MAGNOLIA ST Tenant nbr, name . . . . . . 2ND STORY ADDTN W/DECK Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 17000 Owner Contractor ------------------------ ------------------------ BLACK, CHRISTINE MARK LOUIS GAUTHIER 162 MAGNOLIA STREET 14436 AQUA VISTA ROAD N ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 270-1137 (904) 992-0615 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . 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 PERMITAND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. a BUILDING OFFICIAL ` CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION, TO THE C14IFF F.,LE(A'RIC AI,rNSPFCI'OR DATE: J � %Q�'/3 IMPORTANT N()TICE IN CONSIDERATION OF PERMIT GIVEN FOR DOING TI"IE WORK AS DESCRIBED vs THE FOLLOWING. WE HEREBY AGREE TO PERFOR I SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART IIFREOF, AND IN ACCOR.DANCE. WITH THE ELECTRICAL REGULATIONS, CODES ANIS CITY OF ATLANTIC" BEACH ORDINANCES. ELECTRICAL CONTRACTOR: T C,r-1 �61 � lilt � MASTER ELECTRICIANS SIGNATURE:- OWNER OF PROPERTY: JOB ADD SS: Aa d Mn (9 RES. APT,( COMM.( � PIBLIt( � INDUS.( ) NEW( ) OLD( � RM( ) ADDITION�A RAILER( ) TEMP.( ) SIGNS( ) SCS. FT. SERVICE NEW( ) INCREASE( ) REPAIR.( 1 CONDUCTOR SIZE ANIPS: COPPER( ) ALL'=NI.( } FEES E SWITCH C OR BREAKER A,VPS PFI W VOLT RACEWAY E EXIST. SERV. SIZE A7mpS PFT W bOLT RACEWAY FEEDERS N, C). SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED ; I OPEN 1 TC3TAL RECEPTACLES `-� CONCEALED OPEN TOTAL 0.3#3AlwiPS 31,100AMPS SWITCHES I tNCANDESCENT [ F'LOURESCENT&AM.V. 9 FIXED 0-100 AMM OVER APPLIANCES BELL TR.ANSF. AIR H.P. RATING H.P. RATING CEIL. KW-HEAT f CONDITIONING COMP. MOTOR OTHER MOTORS . AMPS FEAT t) I OVER MOTORS II.P. VOLTAGE PHS NO, I H.P. VOLTAGE I PNS MISCELLANEOUS UNDER 600V ! OVER 600V TRANSFORMERS: I NO. ! KVA NCS. KVA NO.NEON TRANSF. NO 1 VA I MA FLASHERS EACH SIGN 800 Seminole Road . Atlantic Beach. Florida 3:233-5445 Phone: (904)24'-5800• Fav (904)1.4?-5845 • http://vvww.cL:itlantic-beach.f.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 CERTIFICATE O F OCCUPANCY P E R M A N E N T Issue Date . . . . . . 4/18/03 Parcel Number . . . . . 170617-0000- - Property Address 162 MAGNOLIA ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . BLACK, CHRISTINE Contractor . . . . . . MARK LOUIS GAUTHIER 904 992-0615 Application number 03-00025413 000 000 Description of Work RESIDENTIAL ADD/RENOVATE/ALTER Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . Building Official VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 �J131�* Application Number . . . . . 04-00027816 Date 3/04/04 Property Address . . . . . . 162 MAGNOLIA ST Tenant nbr, name . . . . . . REGROUND AT METER CAN Application description . . . ELECTRIC ONLY Property, Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --- -- ----- -------- - - --- - ------------------------ BLACK, CHRISTINE ADVANCED WIRING SERVICES INC. P.O. BOX 350177 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32235 (904) 744-4446 ----- ---------- ----------------------------------------- -------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 ---------------- ----------------------------------- -------_------------------ Special Notes and Comments 7 n n T NTD 1 DLT ']W O d M70T.'T Ied Paid Credited Due ------ ---------- ---------- ---------- 70 . 00 70 . 00 . 00 . 00 . 00 . 00 . 00 . 00 City of Atlantic Beach 70 . 00 70 . 00 . 00 . 00 *** CUSTOMER RECEIPT *** Doer: DSMITH Type: DC Drawer: 1 Date: 3/04/04 01 Receipt no: 38171 Description Quantity Amount 20% 27815 BP BUILDING PERMITS 1.00 170.00 2064 27816 BP BUILDING PERMITS L 00 $70.00 Tender detail CK CHECKS 3951 1140.00 Total tendered 1140.00 Total payment 1140.@@ Trans date: 3/04/04 Time: 10:09:04 HIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED t OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN It1L rkt i L.., . 'OR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. a �+i t`;rye rM � ,✓ :.4� y i BUILDING OFFICIAL U yr CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Jia 3 Date: Property Address: M 0-c o O i 0, Owner. c-�1 S�i n L 11�&-_Q_IL. Telephone#: Contractor: PrzVQX1C Q d JA)ir'i n! S2rv;cis znG Telephone#: 4i-'1e1( Contractor Address: (9q( L; l 1, an U. X00K 551a(( Fax#: 7a a1-l a a01 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 OfgDod practice listed therein. Building: B dngType:_ _—_a U. Trailer__ _ __ __ Service:. If ottnx construction is ❑/New J 0 Residence ❑ Temp. ❑ New being done on this building Old ❑ Commercial 13Perniknik nwmb�Signs ❑ Increase or listthe budding ❑ Re-wire ❑ Addition Sq.Ft S"'Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE .Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS Od D D PH W 3 VOLT WAYS64,( Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Q—'W AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 ILP. PHS v y Transformers NO. KVA NO. KVA No.Neon_Transf Ea._Sign Miscellaneous �pt,c.,�c1. ✓i C�0— 0J-f YUJC 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• http://www.ci.adantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 CERTIFICATE O F OCCUPANCY P E R M A N E N T Issue Date . . . . . . 4/18/03 Parcel Number . . . . . 170617-0000- - Property Address . . . 162 MAGNOLIA ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . BLACK, CHRISTINE Contractor . . . . . . MARK LOUIS GAUTHIER 904 992-0615 Application number 03-00025413 000 000 Description of Work RESIDENTIAL ADD/RENOVATE/ALTER Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . Building Official VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027765 Date 2/24/04 Property Address . . . . . . 162 MAGNOLIA ST Tenant nbr, name . . . . . . 13 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --- - --- -------- ---- ----- ----------- ------------- BLACK, CHRISTINE DAVID GRAY PLUMBING INC. 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 744-7255 ------ --- - ------ ---- - --- -------------- ------------- ------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 126 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---- ------------- - --------- ---------- ---------- -- -------- Permit Fee Total 126 . 00 126 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 126 . 00 126 . 00 . 00 . 00 tit of Atlantic i Owl Gta T� OC not s YAM �1 2141" n ips bolaat ftwilirtioo &"titr um p MlIUI PWI ii ii26.11 detail THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED T� +4743 9 N OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS T� 412LM )REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Tran dates V24AK 1168" 12,5,145 y' ^' CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION -r BANK: Wachovia Check Number : Date: Property Address: /62 AAC S®Li A Owner:&0,S_(1AAk AY_ Telephone #: Contractor: DAVID CRAY PI IIMBI-NG, 11A _ Telephone #: 724-721 ] Contractor Address: 8850 Corporate Square Ct . Fax #: 723-5668 Jacksonville El 32216 In consideration of permit given for doing the work as described in the ahove statement,we hereby agree to r rform said%Norl: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: tf other construction is being done on this building or site, Lj New, list the building permit number: Gl Re-Pipe -- Number of Fixtures: Bath Tubs Showers Closets Shower Pans ` ( Dishwashers Sinks Disposals Urinals I Floor Drains Washing Machine Lavatory Water Sewer ( \ titer Heaters j i Other Fees Permit Issuing Fee: $35.00 Total Fixtures: J� X X7.00 + $35.00 = 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 . http://wrww.ci.atlantic-beach.fl.us Book IL08!7 page: 3$ 5 MIN. RETURN PHONE# - 0(1 !5 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE Permit No. Tax Folio No. Stale of County of To whom.it may concern: The undersigned hereby Informs you that Improvements will be made to certain real property, and In accordance with Section 713 of the Florida Statutes, the following Information is staled in this NOTICE OF COMMENCEMENT. Legal description of properly being improved:� �� tt� / / .. /�-u, / _ /1��le Address of property being improved: 6Z_t 2C,1'A-- .. General description of improvements: 44 Owner 7— Address C)G G21 _• Owner's interest in site of the improvement Fee Simple Titleholder (if other than owner Name Address Contractor Address r/� G, Phone No. .No. Surely(if any) Itz Address 1_ Amount of bond Phone No, Fax No. Name and address of any person making a loan for the construction of the Improvements. Name Address Phone No. Fax No. Name of person within the Slate of Florida, other than himself, designated by owner upon.whom notic.es or other documents may be served: Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided In. Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option), Name Address Phone No. _ Fax No. Expiration dale of;Notice of Commencement (the bxpiration dale Is one (1) year from the da(e•of.recording unless a different date is specified); MA( SHOWING SURVE` OF WP 644, F'XCEP'[' 'I1-IE. SOU`IIIERI.,Y 15.60 Fo,'I', PLAT op S.F.CTION NO. 1 SAL'PAIR AS RECORDBD!6 P1,A'P 13(X.)K 10 PA(F) 8 OF THE CURREWl' PUBLU" RFICORDS OF DUVAL COUNTY, F RIDA I I I LOT 631 LOT 630 I LOT 629 (34.37 FIELD) WOOD STOR '.f, FND%I.P -- (17 ) (15-6) 13.7 l0o EASEMENT `o a 6'WOOD AWV. FENCE 6'WIXIJ PRIM FDWZ —� FOUNDI/2'IRON FOUN01/2"IRON (34.37 FIELD) 8 pq PIPE "LB.3295° PIPE.L.S. 3295" A 1 1 0.3' � � 2nd STORY a' ( OVERHAN; —r-- Q k _ JL7' pao , 9.41 SOUTH 33' NOr4TH 17' 5IXITH/5. 2-STORY LOT 643 OF LOT 645 OF LOT 645 OFLOT 644 MASONRY o & FRAME o RESIDENCE p p No. 162 O a o Q IZ"o r end 93� W tQu 9• �_5 _ J, Z x 14 2ndSTORY 10'9 4'H08W/W OVERHANG Q G�RETE. FENCE DRIVE ct 0 C O � 03' (/roe) (IS.$) —— -- 3440, 2.50.0 (34.46 FIELD) FOUND V2"IRON FOUND X-CUT PIPE L.B. 3295 50, R/W PAVED NOTES.: I UAGNOL 1A STREET - TNIS'I$4, 86UNDARY SURVEY. - NO BUILDING RESTRICTION LINES AS PER PLAT. ANGLES ARC AS PER:FIELD MEASUREMENTS. '2131 I HEREBY. CERTIFY' TO CHRISTINE BLACK;' BARNETT A QO B 89 21 31 '` BANK.Of ACKSONVILLE, N:h , C4 ON*EALTK LAND r�ll$�HA�A�1, C Ei9'53'23" TITLE. INSURANCE COMPANY ANI?` 'AHERN 1c, D buW'57' PERSONS. THAT I HAVE SU�iVE`YE0 THE.LANDS AS 'SHO*4 -LEGEND IN-.TI4 ASOWE' CAWnl A,ND '.I*T THtS'.w'AP IS A, TRUE P AIV' DEN01ts 'PRIVATE ANA CORRECT REPRESENTAT{t)y OF T " A . STOR, CpiO.1-C$;STORAGE' �1HAT,THE:SURVEY RtPRE%A "*t.Ft`OMDA-l" p H91,EQN. 4UTS !" �i1 WUN dONC, pt N0�E5 6C?NCf �CIN4AL' STANt,I4RO OED,� ADWMS AVE" � ,HAPTER Bi 'GI' �»6TITLE A3SA'iIION. THE PROPERTY ,SHOWN HEREON .APPEARS TO LIE IN FLOOD s, CITY OF ATLANTIC BEACH 804 SEAMOLE ROAD ATLANTIC BEACH,FL 32233 ` INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034284 Date 11/20/06 Property Address . . . . 162 MAGNOLIA ST Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3280 ---------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ B LACK, CHRISTINE CARR ROOFING INC 11309 N COUNTY RD ATLANTIC BEACH FL 32233 GLEN ST. MARY FL 32040 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17.50 Issue Date Valuation . . . . 3280 Expiration Date . . 5/19/07 ---------------------------------------------------------------------------- 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 PER1WIT IS APPROVEW ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH a PLAN REVIEW SHEET ' D.Hufstetler Building Department Public Works&Public Utilities Departments rr r J'31�r 800 Seminole Road 1200 Sandpiper Lane R. Carper Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# Q 6 —31�2 s Property Address 710// Applicant: 64, Project: E �o This per it application has been: Approved as noted by the Department. Final application approvaY—musf come from the Building Department. Reviewed and the following items need attention: Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify theco t department may delay your permit from beim issued. Reviewed By: Date: Date Contractor Notified: CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: PLEASE SUBMIT(2)COMPLETE SETS OF PRODUCT APPROVALSAND INSTALLATION INSTRUCTIONS WITHAPPLICATIONN, Job Address: a Owner of Property: A L-' 111ACIC Address: 1(O 2 Telephone: '701f,-76 -031 Contractor: 00 . ��C . State License Number: CCC.,k 3 a S 1 19' Contractor's Address: Tol zog 114q Qe, S . FL, 320UD Telepho )-)-Q 19-7G a Fax: qoq OS 3-a a Scope of Wor : -Sra Q- � S Deck Slope: �/ Greater than 2:12 Less than 2:12 Valuation of work: Jo b d.Q3 r� ` Product Name(Example: Timberline): Manufacturer(Example: GAF): �. ! ASTM Designation(s): t�R--ym � �/ Required Inspections: Sheathing and Final Signature of Owner: Date: I/— 7 49(,e AS TO OWNER: �/� Sworn to and subscribed before me this day of/l/�/v�I'1'I�,O/e 20,U L State of Florida,County of Duval Notary's Signature: rr/1�����C—�C!✓ tea+ <Ito ROSWITHA KLEBER Notary Public.State of Florida Wproduced ersonally known My comm.expires Jan. 15,2008 identification No.DD 281531 Type of identification produced �LUiE�id/9 Uri[/CSS t' Signature of Contractor: Date: LJUP(,:�,7 AS TO CONTRACTOR: Sworn to and subscribed before me this C day of ,g�t% ✓f�'�2 ,20 . State of Florida,County of Duval Notary's Signature: y pG ARDESHIR EBRAHIMI Personally known o� Notary Public,State of Florida [,Produced identification tomm+ssioO DD218819 Type of identification produced My comm.expires June 02,2007 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 1 Revised 10/06 Plan Review Check Dist All of Atlantic beach is in. 120 mph. Exposure C Wind load calculations to match. FBC 106.3.5 Two sets of Product Approval's for all exterior doors,windows, skylights, cladding, garage doors, shutters, roofing, etc showing pressures that they were tested too, including installation instruction's . Wind pressures, pos and neg on all the openings. FBC 106.3.5 Site specific structural drawings no cookbook engineering.FBC 106.3.5 A full wall section from foundation to roof. FBC 106.3.5 Show all shear walls. FBC 106.3.5 Connector schedule for all connections truss,rafters, columns to beams,beams to walls etc. FBC 106.3.5 Egress windows in all bedrooms. FBC R 310 Halls 36"FBC R 311.3 Front door 36" FBC R 311.4.2 Garage door to house 20 min fire rating. FBC R 309.1 Duct penetration in to the garage minimum No. 26 gage sheet metal. FBC R 309.1.1 5/8 Type X Drywall ceiling of garage if living space above, V2 all remaining. FBC R 309.2 Smoke detectors in all bedrooms and outside each sleeping area etc. FBC R 313.1 Smoke detectors in existing areas to be wired together—remodel FBC R 313.1.1 see Exceptions. Are fault branch circuits all bedrooms. (receptacles, lighting, etc) NEC 2000 210.12 (B) Under stair protection. FBC R 311.2.2 Stair drawing to show thy comply with all of R311.5 width,headroom,riser height, tread depth,profile, Landings, handrails—height—continuity—grip size, Illumination.FBC 106.3.5 Riser diagram electrical FBC 106.1.1 Load calculations for electrical. FBC106.1.1 AC drawings FBC 106.1.1 Two full sets of Energy calculations FBC Chapter 13 Two full sets of truss plans. Draft stopping for floor truss FBC R 502.12 Tempered glass in hazardous locations. FBC R 308.4 Attic access shown. FBC R 807.1 not less than 22in by 30in. Attic ventilation FBC R 806.1 Accessibility FBC R 322.1.1 one bath on grade level with 29" clear opening. Doc#2006398589,OR BK 13646 Page 613, Number Pages:1 Filed&Recorded 11/16/2006 at 02:16 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 NOTICE OF COMMENCEMENT To whom it may concern: The undersigned hereby informs you that auprovements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Description of property /&J [i c, `te(-t 7 h C- 1�eic�=Ct"? 1, /1- 2)- CrJ ' S - G" 07 5�.1f4�r- .SC'c ! LvT' 4f General description of improvements Owner l c"+-f L e- �� c k- Address 11,,2 6--T c �� t�� h e 322-3 3 Owner's interest in site of the improvement Fee Simple Title holder(if other than Owner) Name ddress Address .,Co actor C` C` ddress lella �,k. Surety(if any) Address Amount of Bond Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name Address In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes(Fill in at Owner's option) 1 NameCAntsr� B14 Address 0).- Florida Building Code Online Paget of 3 a 101 lli Bill BCIS Home 11 Log In Hot Topics Submit Surcharge Stats & Facts Public Product Approval USER: Public User Product_Approval Menu > Product_or_Application Search > Application Detai FL # FL1476-R2 Application Type Revision p r Code Version 2004 Application Status Appl�l /,j`r Comments Archived Product Manufacturer Elk Corporation Address/Phone/Email 4600 Stillman Blvd. Tuscaloosa, AL 35401 (205) 342-0298 daniel.dejarnette@elks Authorized Signature Daniel De]arnette daniel.dejarnette@elk( Technical Representative Daniel DeJarnette Address/Phone/Email 4600 Stillman Blvd Tuscaloosa, AL 35401 (205) 342-0298 daniel.dejarnette@elks Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Asphalt Shingles http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqueufsxW4GV... 11/15/2006 Florida Building Code Online Page 2 of 3 Compliance Method Certification Mark or L Certification Agency Underwriters Laborato Referenced Standard and Year (of Standard Standard) ASTM D3462 TAS 107 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 09/20/2005 Date Validated 09/27/2005 Date Pending FBC Approval 09/29/2005 Date Approved 10/11/2005 Summary of Products FL # Model, Number or Name Descripl 1476.1 Elk Prestique Shingles LaminatE Limits of Use (See Other) Certifice Approved for use in HVHZ: Installai Approved for use outside HVHZ: PTID 14 Impact Resistant: PTID 14 Design Pressure: +/ Verified Other: 1) All FBC sections apply except for those pertaining to Miami - Dade and Broward Counties 2) Refer to NOA # 0500706.07 for use in Dade and Broward Counties 11 Back Next http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqueufsxW4GV... 11/15/2006 Florida Building Code Online Page 3 of 3 DCA Administration Department of Community Florida Building Code On Codes and Standards 2555 Shumard Oak Boulez Tallahassee, Florida 32399- (850) 487-1824, Suncom 277-1824, Fa; O 2000-2005 The State of Florida. All rights resery Product Approval Accel dLI En E w.ts�4n s.car.a YEIYARY http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqueufsxW4GV... 11/15/2006 { s ; I PRESTMUE' It HIGH DEFINITION RAISED PROFILE' „rx9: I'€��=�ti��tzc�(;<13}a�ry�1_asslt�csicki� Pt<'ti�era$�xofiir.� i'rz�sf ria€t� p ti; �ti.:rr war, HIP AND RIDGE SHINGLES x{"7 .. W'! €k T's's.=sk�crotta� t` Ik Siaih,r F Y + I Sq All Pres€ique and Raised Prefile:shioyles near UL Wind Resisiram iUl_9971 aM Clrss`A'-Fvr Ratiyggs iUL T.M1i, and ASTM Specific:atlions 11 3018,Type-1;D 31G1,fvpe-i;E Fla mid ttte rr 1t r flet,*tits of ASTM 0 MQ AU Prestignn and Raised Prefile sb'ingtes,have,approna4lenna 4rte€tarida Rrtiitdinq Code C"Imis3ie a Mere-Nnie County,:1086•rad i'exas Nparntrent of hisurtl f6i t i Y 2YW 11 / g Ddt h.t L 4,I. Vt Ekw f hiTi, V t t 1 d f r yt 3 t-RI C M � .. i !'M. RI 1�}t 11." t ii aNT,q i 9E C.*rn S,t A#he.ing il�cle la(inrtma ,Y¢.A.lAc.o t+Vkti dr n�;p Sl-tiAd , fv .� x.�yf rx rri.i`•A1 yOx+ �. _ �!A .MW Rc DL U,PGRie aliri•.t!!YiSG i,lly-.'m Pu:..;MA.tk,K�.3. ,+a,.t. a.. ..,v. rt catinr zr Fx nt tl ,0'q:, pip",IT A ,a -,. ill ylwi Mafena,a t _„r,, .. .t l,1,. yi s In a f, vee Y I rt- _v 1. )v. PRFpARATMN of RUGF oars;P r,,f ki, v r �:.Y,n<. a rille.l T.', .t. N i.f L l' 1 _`it:': . y Scy>"1111:,tis't & C0131(112a1k. 3i1 ;`k1f+1U�ta11-Rs: �'1.�� � Iatlct'!. �■e[✓, 800J45.4551 lh }'resniwu Ch,q c DIRECTIONS FOR APPLICATION 0 VALLEY CONSTRUITFON HELP STOP BLOW OFFS AND CALL-BACY.S _... ,•5rrr a am nmu .rurrr;r' u¢r... ,.,r ai i...,..,. a wt r .�., .i r:r,n.. ... ....,... .,... . . ,.. ., «�..,._ i,, _ i t �, r r� .rtr r t r�r e r r .,A,v .'N ... Z._L r L .. ,._ (D RIDGE CANSTRUCJ ON _ r PREPARATION ! - FASTENERS i Tin a nc r rc.•y ^.e t n�^ar �,s"�r_o..• Using,fsv,asteei�r,inr,as a caac.m.z nail nx siapFe eho shine}Ir �. ;. -. � _.- - Fit,the A a e th�k.. ) r a h,,Fm i r ai FnF xfl nglas withAuir , P UNDERtAYMETNT ,.(as;n rr me..raliw e r,YdF lcs n^'n, 1iw pia—I betv,een aarf,Anr - ' I,I.,>.e,a . .,,, r., .Jr •iS i.r. ^.i,4S ,,. . r rr ,.,,, .` , c�•*. � 'Jet '� t .r.f-,n r..� ,.�._. r.,: .... i ort .. , .. . . ..... ., iF I fA9'E LASHING FDR ICE DAM � -,. .,r ' S+A SK A ROOFING CONTRACTOR. �� � r _ RdFR'TO ARMA MANUAL OR CHECK LOCAL CODES} ,•� rA n „-n CAUTION TO WHOLESALER:Careless ane{iteproper storage or ,. ._.... ,^•�,:.�;� -M asp's;? MAN'SARD APPUC.AII(INS hai;dDuq can Dania tibery3ass shingles. Keep these shingles completeli covored,dry,re.a„nnnhly ;.ani and profected trom the weather en not store near varlsus ... ,'._ sources of Treat.Of)oat:dare in rhrect s+.mlight unci!applied. .zr,a. .. ,;:!. ,r 00 NOT DOUBLE STACK.Systematically rotate all mask ao that the material that has heel stored the iorrgestwiitbethe East to be.ruoved not $A SFAR'IF 9 SHLNOLE COURSE Lill 11E.U MNO WARRANTY 1F t., ' 9"RST Gr7URfl,E ,t v:i L.,�,.i_ c .L SE"OkG COURSE i -, i , t.,r.TNifRO COURSE F4 . +$F(LPRTH COiJRSE 14 AND SUCCEIE)MC COURSES, NO,u1brook OMSIOn Underwriters 333 Pfingsten Road Laboratories Inc. Northbrook,IL 00062-209G USA wvyw.ul.com tet 1 847 272 8800 fax:1 847 272 8129 Customer service:1 877 854 3577 September 27, 2005 Mr. Ted Berman P.E. Senior Project Manager A&A Arnold&Associates,Inc. 1711 W 38th Place, Unit 1207 Hialeah, FL 33012-7077 Subject: Elk Corp. Dear Mr. Mr. Berman: This is to confirm that Elk's Raised Profile, Prestique, Prestique I, and Prestique Plus, produced at Tuscaloosa, AL, Ennis, TX, Shafter, CA, and Myerstown,PA locations are Listed in accordance with ANSI/UL790, Class A(ASTM E 108, Class A),ASTM D3462, UL 997/ASTM D3161 (modified to 1 lOmph) and Dade County Protocol 107-95. These products have been tested and meet the criteria for these standards and are covered by UL's Follow-Up Service Program for File R3915 If you should have any questions,please feel free to contact the writer. Very truly yours, / Martin K. Rowan(Ext. 42349) Senior Project Engineer Fire Protection Division An independent organization working for a safer world witn integrity. precision and knowledge_ ;1; PERMIT WORKSHEET on JOB ADDRESS (�" CSU �' TYPE WORK rd S t fl PROPERTY OWNER S}� � t ' TELEPHONE '2�7 Q ' ) 13�7 CONTRACTOR ELEPHONE C2 0616 ll-PERMIT NUMBERS �L� 3 DATE ISSUED 03 INSPECTIONS: FOOTING 'Z-f-3-03 SLAB TIE BEAM LINTEL NAILINGISHEATHING FRAMINGICOVER UP 3'A�S , L3 , INSULATION 3,31 FINAL BUILDING CERTIFICATE OF OCCU A CY TREE PERMIT ISSUED? PERMIT NI MBER ELECTRICAL PERMIT NUMBER DATE COPY SENT TO JEA TEMPORARY POLE PERMIT NUMBER DATE COPY SENT TO JEA TEMPORARY POWER LETTER RECEIVED? YES NO INSPECTIONS: ROUGH ELECTRIC 3'A 5 0 3 RELEASED TO JEA TEMP. POWER RELEASED TO JEA TEMP. POLE RELEASED TO JEA FINAL _ 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. Climate Zone; ± 2 3 TABLE 6C.1: PRESCRIPTIVE REOUIREMENTS FOR SMALL ADOFT#G9IiISI40P 4 FL bad LtssJ RENOVATIONS TO EXISTING BUILDINGS AND SfTE-INSTALLED COMPONENTS OF MANUFACTURED HOMES. MINIMUM INSULATION MINIMUM INSTALLED COMPONENT INSULATION INSTALLED EQUIPMENT EFFICIENCY EFFICIENCY Concrete Block R.7 Central A/C•Splh SEER = 10.0 SEER = Frame,2'x 4' R-11 z Frame,2 x 6' R•11 9 Single Pkg. SEER = 9.7 SEER = Common,Frame R-11 9 Room unit or PTAC EER = 8.5' EER = Common,Masonry R•3 Under Anic R-30 _ Electric Resistance ANY W Single Assembly;Enclosed z Heat pump•Split HSPF = 6.8 HSPF = Z Frame R-19 Single Pkg. HSPF 6.6 HSPF Metal Pans R•13 Room unit or PTHP COP = 2.7' HSPF/ = U Single Assembly;Open R-10 w Common,Frame R-11 a COP V) Slab-on-grade No Minimum veru Gas,natural or propane AFUE = .78 AFUE = Raised Wood R•19 Fuel Oil AFUE = .78 AFUE = 8 Raised Concrete R-7 G_ Common,Frame R-11 w Electric Resistance EF = .88 EF = In unconditioned space R-6 0x 3 Gas; Natural or L.P. EF = .54 EF = o In conditioned space No minimum Fuel Oil EF 54 EF = TABLE 6C-2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY See Table 5.3.6-7 Maximum percentage glass to floor area allowed is selected by type,overhang length,and solar heat gain coefficient. Maximum%= Installed%_ GLASS TYPE,OVERHANG,AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 20% UP TO 30% UP TO 40% UP TO 50% Single Double Single Double Single Double Single Double 1'-.87 0'•.78 2%.87 1'-78 2'• .78 3'-.78 0 .75 V-75 0%.61 NOT 1 .61 NOT 2'-.61 0%.57 ALLOWED 0 - .44 ALLOWED 1 .44 0'-.35 Get certified SHGC from the manufacturer or use defaults: Single clear SHGC = .87,double clear SHGC=.78,and single tint SHGC=.75 TABLE 6C•3 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHEC Exterior Joints&Cracks 606.1 To be caulked asketed weather-stri ed or otherwise sealed. Exterior Windows& Doors 606.1 Max.0.3 cfm/s .h.window area, 5 cfm/s .h door area. Sole& Top Plates _ 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. Recessed Liqhtinci 606.1 Type IC rated with no penetrations two alternatives allowed). Multi-story Houses 606.1 1 Air barrier on perimeter of floor cavity between floors Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers,except for combustion devices with integral exhaust ductwork. Combustion 606.1 Combustion space and water heating systems must be provided with outside combustion air, Heating except for direct vent appliances Water Heaters 612.1 Comply with efficiency requirements in Table 6.12. Switch or clearly marked circuit breaker(electric) r cutoff must be providecl, ernal orbuilt-in heat Ira reQuit Irvertical i risers Swimming 612.1 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a Pools& Spas - pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%. Hot Water Pipes 612.1 Insulation is required for hot water circulating systems(includinQ heat recovery units). Shower Heads 612.1 Water now must be restricted to no more than 2.5 Qallons per minute at 80 PSIG. HVAC Duct 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed,insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be Insulation&Installation insulated to a minimum of R-6. HVAC Controls 607.1 1 Separate readily accessible manual or automatic thermostat for each system. GENERAL DIRECTIONS I On Table 6C.1 vacate tie R-value d fie insulation berg added to each component and the effcrerry levels d the equprrierq berg nstaled.Al R•values and effiaemes nslaled must rreel a exceed the nhihimxn values listed Compixena arid awriau neither berg added Thor renovated may be Leh blank. 2 AWTICNS ONL Y Determine die percentage of new glass b condi oned An area n be ablation as bows Iota)ase areas of all glass wn0ows.siding glass doors and glass door pm-les Darbte tie area of all non-vertcal red lass erect add 1 b fie previous total.When glass in e islirg exterior walls is berg removed or enclosed by IN addition.an amaxx equal 10 the SWI area of Chs glass may be subtracted from the local glass area Divide Cie Mf6sled lass area IoW by Cie=,domed hour area of fie addlim Multiply b/100 lo get the pereert Frd Che largest lass percentage finder Much your calculated perceruage falls on Table 6C•2.Presapc+es are given by Cie type of glass (Sc*or Dw*pane)aro the overhang(CH)paired with a solar heat gain coefficient(SHGC) For a pen Bass type and ovemarg,fie mrniurn solar teat gain coefficient allowed a specified.kcal glass windows erect doors previcusy in Cie exlew Ovals d tie(house and being reinstalled n Che ilddtion do rat have b co,lply wM fie overhang and solar heat gan codfic en requirements m Table 6C•2.N new glass in the addlforh mist meet Che req xerr erx b one d Che t>plors n fie glass percentage category you rdicated. The overtw+g(OH)d5larice is meawed perperhdaAry from Che lace of fie glass to a poiu directly wder he orlerrrizi edge d Che wedharg. 3 RENOVATIONS ONLY Replacernent glass Meds lo Med Che ktlowirg mgxerrherlts.Arry glass type and solar Iwai gar^cceCiaerit may be used for glass areas which are under at least a Iwo bot o+erharg and whose lowest edge roes rot en=d kilo Chan 8 leer from the werhang.Glass arras berg rerhovaled that do not meal It's criteria m,sl be ether sril-p*tiled,double pane clear of dotble-pam killed /BUILDING SYSTEMS Corr ply when new system is,staled for system installed, 5 Compete fie dwriaoon requested on fie lop hag d page I 6 Read-Annum ReQxemem br Sinal Addkins and Ra Waboru-.Table 6C-3,and dieck all applicable Mens I Read.sign and date he•OwrieriW ceAficalo,slalernerl on page 1 13.202 FLORIDA BUILDING CODE-BUILDING PREPARED 2/13/03, 9:43:11 INSPECTION TICKET PAGE 4 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 2/13/03 ------- ------- -------- - --- - - ---- --------- - ---- - -- - -- - - ADDRESS : 162 MAGNOLIA ST SUBDIV: TENANT, NBR: 2ND STORY ADDTN W/DECK CONTRACTOR : MARK LOUIS GAUTHIER PHONE (904) 992-0615 OWNER BLACK, CHRISTINE PHONE (904) 270-1137 PARCEL . 170617-0000- - APPL NUMBER: 03-00025413 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------------------------ PBYNIl: BLDG 00 BUILDING PRIXIT REQUESTED INSP DE IPTION TYP/SQ COMPLETED RESULT SULTS/COMMENTS ------------------------------ ----------------------------------------------------------------- 10 01 2/13/03 LJ BD FOOTING TIME: 13:00 __ _ _ S concrete piers - footing inspection -------------------------------------- COMMENTS AND NOTES -------------------------------------- 11 _ /CITY OF l�t�€��. Beads•0;" Office of Building Official REQUEST FOR INSPECTION Date Permit No. ✓{ .2 S—q`f 3 Time A.M. Received P.M. Job Address Locality Owner's Contractor U&T H I CO— SUILDING GCONCRETE ELECTRICAL PLUMBING MECHANICAL Framing C Footing C Rough Wiring C Rough C Air Gond.& C Re Roofing C Slab C Temp Pole C Top Out C Heating Insulation D Lintel 0 FinalSewer C Fire Place C Pre Fab READY FOR INSPE ION A.M. Mon. Tues. Wed. Thurs, Friday P.M. t. A, Inspection Made Inspector •^-..� l Final Inspection C Certificate of Occupancy C Date PREPARED 3/25/03, 8:36:14 INSPECTION TICKET PAGE CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 3/25/0: ------------------------------------------------------------------------------------------------ ADDRESS . : 162 MAGNOLIA ST SUBDIV: TENANT, NBR: 2ND STORY ADDTN W/DECK CONTRACTOR : MARK LOUIS GAUTHIER PHONE (904) 992-0615 OWNER BLACK, CHRISTINE PHONE ; (904) 270-1137 PARCEL 170617-0000- - APPL NUMBER: 03-00025413 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------------------------ PNYNIT: BLDG 00 BUILDING PBRNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------------- --------------------------- 10 01 2/13/03 LJH BD FOOTING TIME: 13:00 2/18/03 AP 8 concrete piers - footing inspect on 13 01 3/25/03 LJH BD FRAMING TIMI: 08:00 MARS 813-9469 ------------------------------------------------------------------------------------------------ PMIT: AM 00 ALIMICALL PSRNIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 22 01 3/25/03 LJH EL ROUGH TIME: 08:00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/28/03, 16:40:07 INSPECTION TICKET PAGE 7 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 3/31/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 162 MAGNOLIA ST SUBDIV: TENANT, NBR: 2ND STORY ADDTN W/DECK CONTRACTOR ; MARK LOUIS GAUTHIER PHONE : (904) 992-0615 OWNER BLACK, CHRISTINE PHONE (904) 270-1137 PARCEL . : 170617-0000- - APPL NUMBER: 03-00025413 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------------------------ PWIT: BLDG 90 BDILDIBG PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 10 01 2/13/03 LJH BD FOOTING TIME: 13:00 2/18/03 AP 8 concrete piers - footing inspection 13 01 3/25/03 LJH BD F AMING TIME: 08:00 3/26/03 APMA 813-9469 15 01 3/31/03 LJH IISULATION TINE: 08-AD 4-3-L'ki -- i--\IlllK 813-9469 -------------------------------------- COMMENTS AND NOTES -------------------------------------- ,,/re��ll-� �__��,,c //CITY OF /-` *A Office of Building Official REQUEST FOR INSPECTION Date ~)— 3 —__ Permit No. Time Received e — PM-1-1 Sob Address Locality Owner's t a _-__- Name � ctor ._ BUILDING CONCRETE LECTWAL PLUMBING MECHANICAL Framing 0 Footing C Rough Wiring Ci Rough Air Cond.& ❑ Re Roofing Cs Slab fl 7e-Pole C Top Out D, Heating Insulation a Lintel C; mat fl Sewer fl Fire Place n Pre Fab READY FOR INSPECTION A. � M. Mon. Tues, Wed. Thurs. - �r,�r^—Friday PM. A.M. 1 Inspection Made _____P.M. — Final Inspection Inspector Certificate of Occupa cy CI Date .. ----- VUanUc Box* ER REf3 O W Tom° oc *- R=ft7 sa. 31174 otp lowat ITS 1 o*72.54 7023 972,550 972.58 Tire: 16:44:23 Cit of Atlantic Beach *** Cl1STOMER RECEIPT *** OperDSMITH Type; OC Drawer: 1 Date: 2127/64 01 Receipt no: 37877 Description g6uantity Amount BP BUILDING PERNITSS1.0 135.88 Tender detail CK CHECKS 1458 $35.88 Total tendered $35.88 Total payment $35.88 Trans date: 2127/84 Time: 16:14:19