The URL can be used to link to this page

Permit 322 Magnolia St (vault) ADDRESS 14,4 BUILDING PERMIT NUMBER 1 `f INSPECTIONS : FOOTING UNDER SLAB PLUMBING SLAB FRAMING COVER-UP �C INSULATION FINAL BUILDING CERTIFICATE OF OCCUPANCY 9-9-9 L ELECTRICAL PERMIT # 3 INSPECTIONS ROUGH FINAL MECHANICAL PERMIT # sy PLUMBING PERMIT # NOTES : 's CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �Jjilt Application Number . . . . . 09-00000894 Date 6/18/09 Property Address . . . . . . 322 MAGNOLIA ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10170 ---------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CHALOT, JENNIFER A. THD AT HOME SERVICES INC 322 MAGNOLIA STREET DBA THE HOME DEPOT AT HOME ATLANTIC BEACH FL 32233 SERVICES TAMPA FL 33610 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 80 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 10170 Expiration Date . . 12/15/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 80 . 00 80 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 'Isr ��1r Branch: t p pro, .eA ROOFING SPEC SHEET Spec Sheet o: ;� f Branch DESCRIPTION OF WORK Job#:447 759"1 GI.IS1't�IVIER IAl€bR�iIk�TC�JIIS�. Home Phone#: CION Cu Customer Name: �ti�JJ4 i �� G++ : Cell Phone#: �S,* vdl —(Iii 117 Work Phone#: ( ) Job Address: �"`'�� A V.� ! � iiS'roe,Address q Email Address: INT,t LV__1^_ _� * __ Drop Location: city State Zip ode Dumpster Location: (A)SHINGLIEPPLIAtIflt ANb REMOVAL" SHINGLE SPECIALTY ROOFING REMOVAL REPLACE Product Color Product Color Royal Sovereign Low Slope* Asphalt OSB Timberline 30 High Definition i — Flat* Wood Shingle 1/2"CDX Timberline 30 Natural Shadow Tile* Tile 3/4"CDX Timberline Prestique Lifetime Metal* Modified Recovery Bd Grand Slate Class IV* Tar&Gravel ISO Board Grand Sequoia OtherH* Plank Grand Canyon Slateline Rotted or damaged wood *Name: #of Layers discovered BEFORE removing existing roof STD Premium POM Style: See add'I charges below Roofing System: (f")1{ it ATIQW :(t)Ft 1�S11N�s (E).GUfiTERS;50CX�iGMrS&RINSC., Intake Step GuttersLeaf Protection Soffit Vent 8 Color: Counter Downspouts Color: Vented Drip Edge Base Tile Pan Flashing Skylights # Tile Head Flashing Vented: Size Exhaust Rigid Ridge Vent Miscellaneous Rolled Ridge Vent f Chimney Cricket Turbine Vent Color:' SkylightFixed: Size # Addl.Stories Low Profile Drip Edge Poor Access Dormer VentV ydOt er Steep Charge Color: \a1 Replace Fascia s lA d t E '�'tQ( ` : List locations of metal flashing/gutters/soft&fascia to be installed and any other special considerations. ( ( -TINi3.Ccb111C7t1' lli^)r Describe any pre-existing conditions(stains on ceilings,bent or damaged gutters,etc.)and IIsi locations betoW Walls Ceilings Windows Siding Gutters Drivewayj Landscaping ADDITlQ.A4 � . If rotted or damaged wood is discovered gAFTER removing the existing roofing,or could not be identified at the time of sale, there will be an additional charge of$__g_ E per sheet of 4x8 sheathing and/or$_-It�_per linear foot of dimensional lumber. **If additional layers of roofing are discovered AFTER removing the first layer,or could not be identified at time of sale, there will be an additional charge per square to remove each additional layer based on product to be removed: $ for composition shingles,$ for wood shingles and$ for low slope roofing. I have reviewed and agree with the job specifications described above, and have reviewed and agree with the Special Terms and Conditions listed on the reverse side of the yellow(Customer)copy of this Spec Sheet. Customer Signature: * , MAij Date: Q 0 u 1-17-0e SFC-R White-The Home Depot;Yellow-Customer;Pink-Sales Consultant THD-530 iZAtfMC�M +'URE SH am", (0 L t 1 0 ftASHNO 18KYLi1i1M I GUT M 1.d SAM4Nww1 s1...v«rw aMw. 1 Lm"m VrAm ow ft ibddpqw ft ft ftalw rift u L1' v LP m u «s V- 1r LF 11: iX A C � C 0 ! ° E � OON*whoiwrarenrrr xn4ft TMrt TsINrw IM 1t!N!y its 4�eY lft}�r�r pawl a►» rMaMi My ADWnDMAL LAWN RBWVAL YlNf41LAT10N ow WW O.M t FLAT c�w+a1M aF u u +1A F,i sa H1e 8+o" *9 i4 - Twi8nwl TNY BMeer iaw!M�ralw..pr.1 TWY igwrs l'wt WAM FAC'YCl1t Va" 0.2 u T+ Hip PMN WXT8LWR 7AKA s4ip»POsW iAM i.t0 1.11 1.11 i.i! y�,y, <2142 2117 3112 1 412 11112 M12 7112 st42 8F12 MR2 11142 12112 13112 UM212142 ;W-2 17!42 1SM2 Ta ftokir 1.10 i.il 1.10 1.10 1.M 1.112 1A$ 1 146 1 N 1.12 4.18 12f t 2{ 1.31 1>s tA2 f.q f 34 t.N 187 1.74 1114 Florida Building Code Online Page l of 3 BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search Product Approval € USER: Public User Product Approval Menu > Product or Application Search > Application List> Application Detail FL # FL10124-R1 Application Type Revision Code Version 2007 Application Status Approved Comments Archived Product Manufacturer GAF Materials Corporation Address/Phone/Email 1361 Alps Road Wayne, NJ 07470 (973) 872-4421 bmcsorley@gaf.com Authorized Signature Beth McSorley bmcsorley@gaf.com Technical Representative Beth McSarley Address/Phone/Email 1361 Alps Road - Bldg 11-1 Wayne, NJ 07470 (973) 872-4421 BMcSorley@gaf.com Quality Assurance Representative Address/Phone/Email http://www.floridabLii lding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdMQNZD6Zesy3BpT6YGGOoRawzzkLpN... 4/13/2009 Florida Building Code Online Page 2 of 3 Category Roofing Subcategory Asphalt Shingles Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Robert Nieminen developed the Evaluation Report Florida License PE-59166 Quality Assurance Entity Underwriters Laboratories Inc. Quality Assurance Contract Expiration Date 12/01/2011 Validated By John W. Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL10124__R1_.COI_Trinity ERD Certificaiton of Independence.pdf Referenced Standard and Year (of Standard) Standard Year ASTM D3161 (Class F) 2003 ASTM D3462 2004 ASTM D6381 (Class H) 2003 ASTM D7158 (Class H) 2005 UL2390 (Class H) 2004 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D 'i — uracBeVCbdM D6Zesy3B T6YGGOoRawzzkL N... 4/13/2009 htta://www.floridabuilding.org/pr/prapp_dtl.aspx.param wGPVXQwtDq QNZ p p arida Building Code Online Date Submitted 10/16/2008 Date Validated 12/16/2008 Date Pending FBC Approval 12/10/2008 Date Approved 12/18/2008 _.. .. ...._._..._. __._... .........._.._...__ Summary of Products FL # Model, Number or Name Description [ 10124.1 GAF-ELK Asphalt Roof Shingles Fiberglass reinforced 3-tab, laminated, 5-tab and hip/ridge asphalt shingles Limits of Use Installation Instructions Approved for use in HVHZ: No FLID124_RI_IIer121108FINAL GAF_FL10124- Approved for use outside HVHZ: Yes RI...-,Asphalt Shingles.pdf Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 Design Pressure: N/A Created by Independent Third Party: Yes Other: Refer to ER, Section 5. Evaluation Reports FL10124_R1_AE_er121108FINAL_GAF......FL10124- R1_Asphalt Shingles.pdf Created by Independent Third Party: Yes text DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850)487-1824,Fax(850)414-8436 2000-2005 The State of Florida.All rights reserved.Copyright and_Disciamer Product Approval Accepts: IV 10 17 LEF��>< : 94t C U�Md 5��urcd EXTERIOR RESEARCH & DESIGN, LLC. Certificate of Authorization #9503 353 CHRISTIAN STREET, UNIT #13 ERD OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 EVALUATION REPORT GAF Materials Corporation Evaluation Report 01506.01.08-112 1361 Alps Road, Building 7-3 FL10124-R1 Wayne, NJ 07470 Date of Issuance: 01/03/2008 Revision 2: 12/11/2008 SCOPE: This Evaluation Report is issued under Rule 913-72 and the applicable rules and regulations governing the use of construction materials in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Volume. The products described herein have been designed to comply with the 2007 FBC and 2007 FBC Residential Volume. DESCRIPTION: GAF-ELK Asphalt Roof Shingles LABELING: Each unit shall bear labeling in accordance with the requirements the Accredited Quality Assurance Agency noted herein. CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes, the referenced Quality Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product changes or the referenced Quality Assurance documentation changes. TrinityjERD requires a complete review of this Evaluation Report relative to updated Code requirements with each Code Cycle. ADVERTISEMENT: The Evaluation Report number preceded by the words "TrinitylERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety. INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This Evaluation Report consists of pages 1 through 4. Prepared by: ,,,�<<:��r•.,,,; _ - The facsimile seal appearing was authorized �s C.F fi;�'r by Robert Nieminen,P.E.on 12/11(2008 This does not serve as an electronically signed Robert J.M. Nieminen P.E. F " •••'�.`"F document. Signed,sealed hardcopies have been transmitted to the Product Approval Administrator and Florida Registration No. 59166, Florida DCA ANE1983 '"""'i'"" to the named client CERTIFICATION OF INDEPENDENCE: 1. TrinitylERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products it evaluates. 2. TrinityiERD is not owned,operated or controlled by any company manufacturing or distributing products it evaluates. 3. Robert Nieminen,P,E, does not have nor will acquire, a financial interest in any company manufacturing or distributing products for which the evaluation reports are being issued. 4. Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the product. TRINITYEco ROOFING SYSTEMS EVALUATION: 1. SCOPE: Product Category, Roofing Sub-Category: Asphalt Shingles Compliance Statement: GAF-ELK Asphalt Roof Shingles, as produced by GAF Materials Corporation, have demonstrated compliance with the following sections of the Florida Building Code and Florida Building Code, Residential Volume through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein. 2. STANDARDS: Section Property Standard Year 1507.2.5 Physical Properties ASTM D3462 2004 1507.2.5, 1507.2.10 Wind Resistance ASTM D3161, Class F 2003 1504.1.2, 1609.5.2 Mechanical Uplift Resistance ASTM D6381, Class H 2003 1507.2.10 Wind Resistance ASTM D7158, Class H 2005 1504.1.2, 1609.5.2 Wind Resistance UL2390, Class H 2004 R905.2.4 Physical Properties ASTM D3462 2004 R905.2.4.1, R905.2.6.1 Wind Resistance ASTM D3161, Class F 2003 R905.2.6.1 Wind Resistance ASTM D7158, Class H 2005 3. REFERENCES: Entity Examination Reference Date Underwriters Laboratories ASTM D3462 93NK6295 11/29/1993 Underwriters Laboratories ASTM D3462 99NK43835 01/12/2000 Underwriters Laboratories ASTM D3462 01NK06632 02/02/2001 Underwriters Laboratories ASTM D3161 01NK9226 05/21/2001 Underwriters Laboratories ASTM D3161 01NK37122 12/18/2001 Underwriters Laboratories ASTM D3462 01NK37122 12/19/2001 Underwriters Laboratories ASTM D3161 02NK12980 04/10/2002 Underwriters Laboratories ASTM D3161 02NK30871 09/09/2002 Underwriters Laboratories ASTM D3161 03CA5367 03/11/2003 Underwriters Laboratories ASTM D3462 03NK26444 10/17/2003 Underwriters Laboratories ASTM D3462 04NK13850 06/07/2004 Underwriters Laboratories ASTM D3161 04NK13850 06/23/2004 PRI Asphalt Technologies ASTM D3462 GAF-059-02-01 09/02/2004 Underwriters Laboratories ASTM D3161 04NK30546 03/10/2005 Underwriters Laboratories ASTM D3462 04NK22009 05/06/2005 Underwriters Laboratories ASTM D3161 04NK22009 05/09/2005 PRI Asphalt Technologies ASTM D3462 GAF-080-02-01 05/25/2005 Underwriters Laboratories ASTM D3462 05NK27924 02/10/2006 Underwriters Laboratories ASTM D3161 05NK27924 02/11/2006 Underwriters Laboratories ASTM D3161, ASTM D3462 06CA18077 06/05/2006 Underwriters Laboratories ASTM D3161, ASTM D3462 06CA18074 06/16/2006 Underwriters Laboratories ASTM D3161, ASTM D3462 06CA35251 10/18/2006 Underwriters Laboratories ASTM D3462 06CA31603 12/01/2006 Underwriters Laboratories ASTM D3161, ASTM D3462 06CA41095 12/27/2006 Underwriters Laboratories ASTM D3161 07NK05228 03/13/2007 Exterior Research and Design, LLC. Evaluation Report 01506.01.08-1112 Certificate of Authorization#9503 FL10124-R1 Revision 2: 12/11/2008 Page 2 of 4 TRINITYERD Underwriters Laboratories ASTM D3161 06CA31611 04/04/2007 Underwriters Laboratories ASTM D3161 06CA61148 04/09/2007 Underwriters Laboratories ASTM D3161, ASTM D3462 07CA31742 11/08/2007 Underwriters Laboratories ASTM D3161, ASTM D3462 OBCA06100 03/13/2008 Underwriters Laboratories Quality Control R21 Current ASTM D6381, D7158, UL2390 Underwriters Laboratories Quality Control R3915 Current 4. PRODUCT DESCRIPTION: 4,1 Royal Sovereign is a fiberglass reinforced, 3-tab asphalt roof shingles. 4.2 Camelot, Capstone, Country Mansion, Grand Canyon, Grand Sequoia, Grand Slate, Grand Timberline, Timberline ArmorShield II, Timberline Natural Shadow, Timberline Prestique Grande, Timberline Prestique 30 / Timberline 30, Timberline Prestique 40 /Timberline 40 and Timberline Prestique Lifetime / Timberline Ultra are fiberglass reinforced, laminated asphalt roof shingles. 4.2 Slateline is a fiberglass reinforced, 5-tab asphalt roof shingle. 4.3 Seal-A-Ridge, Seal-A-Ridge Armorshield, Ridglass Hip & Ridge, Timbertex and Universal Ridge Cap are fiberglass reinforced, hip and ridge asphalt roof shingles. 4.4 ProStart Starter is a starter strip for asphalt roof shingles. S. LIMITATIONS: 5.1 This Evaluation Report is not for use in the HVHZ 5.2 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory for fire ratings of this product. 5.3 Wind Classification; 5.3.1 All GAF shingles noted herein are Classified in accordance with FBC Table 1504.1.2 to ASTM D6381, Class H and FBC Tables 1507.2.10 and R905,2.6.1 to ASTM D3161, Class F or ASTM D7158, Class H, indicating the shingles are acceptable for us in all wind zones up to 150 mph. Refer to Section 6 for installation requirements to meet this wind rating. 5.3.2 Classification by this method applies to buildings less than 60 feet high and with Wind Exposure B and C only in an Occupancy Category of I or II. 5.3.3 For buildings falling outside the constraints in 5.3.1 or 5.3.2, calculations by a qualified design professional in accordance with UL2390 / ASTM D7158 / ASCE 7 may be conducted for the specific project with data for the specific shingle. Reference; FBC 1609.5.2. Contact the shingle manufacturer for data specific to each shingle. 5.3.4 All GAF hip & ridge shingles noted herein have been evaluated in accordance with ASTM D3161, Class F. Refer to Section 6 for installation requirements to meet this wind rating. 5.5 All products in the roof assembly shall have quality assurance audit in accordance with the Florida Building Code and F.A.C. Rule 98-72. 6. INSTALLATION: 6.1 Underlayment: 6,1.1 Underlayment shall be acceptable to GAF/ELK and shall hold current FBC Approval, or be Locally Approved per Rule 9B-72, per FBC Sections 1507.2.3 and/or 1507.2.4. Exterior Research and Design, LLC. Evaluation Report 01506.01.08-R2 Certificate of Authorization#9503 FL10124-R1 Revision 2: 12/11/2008 Page 3 of 4 TRINFFY ERD 6.2 Asphalt Shingles: 6,2.1 Installation of asphalt shingles shall comply with the manufacturer's current published instructions, but not less than four (4) fasteners per shingle in accordance with the requirements of FBC Section 1507.2 or FBC Residential Volume Section R905.2, with the following exceptions: Grand Canyon, Grand Sequoia and Camelot require min. five (5) fasteners per shingle > Timberline Prestique Grande requires min. six (6) fasteners per shingle. 6.2.2 Fasteners and fastener placement shall be in accordance with manufacturer's current published installation instructions. 6.2.3 Where the roof slope exceeds 20 units vertical in 12 units horizontal (166-percent slope), special methods of fastening are required. 6.3 Hip & Ridge Shingles: 6.3.1 Installation of Ridglass Hip & Ridge asphalt shingles shall comply with the manufacturer's current published instructions with a minimum two (2) fasteners per side and asphalt roofing cement. 6.3.2 Installation of Universal Ridge Cap asphalt shingles shall comply with the manufacturer's current published instructions with a minimum two (2) fasteners per shingle. 6.3.3 Installation of Seal-A-Ridge and Seal-A-Ridge Armorshield asphalt shingles shall comply with the manufacturer's current published instructions with a minimum four (4) fasteners per shingle. 6.3.4 Installation of Timbertex Ridge Cap asphalt shingles shall comply with the manufacturer's current published instructions with a minimum two (2) fasteners per shingle and beads of Sonneborn NP1 Gun Grade Polyurethane Sealant or Henkel PL Urethane Sealant. 7. LABELING: Each unit shall bear a permanent label with the manufacturer's name, logo, city, state and logo of the Accredited Quality Assurance Agency noted herein. S. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product, 9. MANUFACTURING PLANTS: Contact manufacturer or Quality Assurance Entity for specific information on which plate produces which products: Mobile-AL, Tuscaloosa-AL, Fontana-CA, Fresno-CA, Shafter-CA, Tampa-FL, Savannah- GA, Michigan City-IN, Mount Vernon-IN, Baltimore-MD, Minneapolis-MN, Myerstown-PA, Dallas-TX, Ennis-TX 10. QUALITY ASSURANCE ENTITY: Underwriters Laboratories — QUA1743 - END OF EVALUATION REPORT - Exterior Research and Design, LLC. Evaluation Report 01506.01.08-R2 Certificate of Authorization#9503 FL10124-R1 Revision 2: 12/11/2008 Page 4of4 f/s v' r CITY OF ATLANTIC BEACH Q_ I I I I F7 +' <. 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- OFFICE J OFFICE.(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT(gCOAS.US �!/ BUILDING PERMIT APPLICATION DUVAL COUNTY 1,JOB ADDRESS: i'2.VALUATION OF WORK' 13.SQ FT.UNDER ROOF . l� ID 4.LEGALDESCRIPT 5.CLASS OF WORK: 6.USE OF STRUCTURE' +a�y�� 13 NEW BUILDING ❑DEMOLITION RESIDENTIAL LOTo76/BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK pyf-�,'ALTERATION ❑ACCESSORY BLDG. 6.FIRE SPRINKLER: REPAIR ❑POOL/SPA ❑YES ❑WA ❑MOVE ❑OTHER ❑NO PROPERTY O, NER: ONTRACTO : ARCHITECT f ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: / r 16.NAME: 24.LICENSEE NAME: Qhcz o�- QuVIn V.L-bWS 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 390 J;Dv C1 %. C gn 18.ADDRESS: 26,ADDRESS: A4-ialnk,e ,I�- 3 33 gyp-►ea r ed 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE P ON 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 3c� i .. 8141Z' 1 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: !7( 14.EMAIL ADDRESS 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER* BONDING COMPANY MORTGAGELENDER -. '(jR gTttERSHRN OWNER) - .. ', :. 31.NAME: N1 A 33.NAME: nn 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT iC©NTRAGTQR'- (If Agent,Paver of Attamey or Agency Letter Regiuired) (qualifier Signed Date: Signed: Date: Before:ne this _day of 2009 in the county of Before me this day of 2009 in the county of/ Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true andf aCCUrate. true and accurate. Notary?ublic at Large,State ofCounty of Notary Public at Large,State of�,County of J�� ❑Pers.�:.nally Known ❑Pgrsonally Known ❑Prcd,;ced Identification- roduced Ider,'icatio - _ Notary Signature: Notary Signature: •uss`d lieloN leuolleN AS P Pu013 `-0o ��0 "1 ,a a ££SBIS 00#uol !ww 0 OLOZ'UL gaci sandx3 UOnslt�w BLDG01 Permit Application Bldg:REVISED:12/18/2008 ePPWdio a3elS-�ltqd el NF � ,a�oe 11��. WtlHtlil`J'111,31NIHS HOME IMPROVEMENT CONTRACT PLEASE READ THIS Sold,Furnished and Installed by: Branch Name: Tampa Date: �/ / THD At-Home Services,Inc. d/b/a The Home Depot At-Home Services 6422 Harney Road,Suite A,Tampa,FL 33610 Branch Number:49 Toll Free(866)653-8438;(8 13)630-4111;Fax(813)630-4112 Fein#75-2698460 FL Lie#CCC058327,CCC1326270, CGC1507093,CRC046858,CCC1325540 CRC1327831 Installation Address: City State Zip Purchaser(s): Work Phone: Home Phone: Cell Phone: Home Address: (If different from Installation Address) City State Zip E- ddress(to receive project communications and Home Depot updates): DO NOT wish to receive any marketing emails from The Home Depot Proiect Information: Undersigned("Customer"), the owners of the property located at the above installation address, agrees to buy, and THD At-Home Services, Inc. ("The Home Depot") agrees to furnish, deliver and arrange for the installation ("Installation") of all materials described on the below and on the referenced Spec Sheet(s), all of which are incorporated into this Contract by this reference, along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders(collectively, "Contract"): Job#: (Internal Reference) Products: Sec Sheet(s)#: Project Amount p'1 I -•1•�Sij© t q Roofing ❑Siding ❑Windows El Insulation $ �� Q ,7 I•�`'� I ❑Gutters/Covers []Entry Doors ❑ Roofing []Siding E]Windows E]Insulation �� utters/Covers ❑Entry Doors ❑ i $ 3 � ❑Roofing ❑Siding Windows ❑Insulation ❑Gutters/Covers ❑Entry Doors❑ Roofing []Siding ❑Windows Insulation []Gutters/Covers []Entry Doors ❑ 10% of Contract Amount Total Contract Amount due upon execution of this contract Customer agrees that, immediately upon completion of the work for each Product, Customer will execut a Completion Certificate (one for each Product as defined by an individual Spec Sheet) and pay any balance due. As applicable, each Customer under this Contract agrees to be jointly and severally obligated and liable hereunder. The Home Depot reserves the right to issue a Change Order or terminate this Contract or any individual Product(s) included herein, at its discretion, if The Home Depot or its authorized service provider determines that it cannot perform its obligations due to a structural problem with the home, environmental hazards such as mold, asbestos or lead paint, other safety concerns, pricing errors or because work required to complete the job was not included in the Contract. Payment Summary: The Payment Summary # (G`8 6 "�7 included as part of this Contract, sets forth the total Contract amount and payments required for the deposits and final payments by Product(as applicable). NOTICE TO CUSTOMER You are entitled to a completely filled-in copy of the Contract at the time you sign. Do not sign a Completion Certificate (note: there is one Completion Certificate for each listed Product as defined by individual Spec Sheets) before work on that Product is complete. In the event of termination of this Contract, Customer agrees to pay The Home Depot the costs of materials, labor, expenses and services provided by The Home Depot or Authorized Service Provider through the date of termination, plus any other amounts set forth in this Agreement or allowed under applicable law. THE HOME DEPOT MAY WITHHOLD AMOUNTS OWED TO THE HOME DEPOT FROM THE DEPOSIT PAYMENT OR OTHER PAYMENTS MADE, WITHOUT LIMITING THE HOME DEPOT'S OTHER REMEDIES FOR RECOVERY OF SUCH AMOUNTS. Acceptance and Authorization: Customer agrees and understands that this Agreement is the entire agreement between Customer and The Home Depot with regard to the Products and Installation services and supersedes all prior discussions and agreements, either oral or written, relating to said Products and Installation. This Agreement cannot be assigned or amended except by a writing signed by Customer and The Home Depot. Customer acknowl an agrees tTaTrmtomaLhas read, understands, voluntarily accepts the terms of and has received a copy of this Agreejf _�_ Ac pted by: Submitted X L(.(-,�tw+ f X st er's Sigialure Date Sales Consultant's Signature Date X Telephone No. 1°C 5� � Customer's Signature Date Sales Consultant License No. CANCELLATION: CUSTOMER MAY CANCEL THIS (as applicable) AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO THE HOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING THIS AGREEMENT. THE STATE SUPPLEMENT ATTACHED HERETO CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED r N I0 BY LAW IN CUSTOMER'S STATE. NOTICE:ADDITIONAL TERMS AND CONDITIONS ARE 4AiED-3N-THE-REVE SE SIDE AND ARE PART OF THIS CONTRACT Page 1 of 2 Doc # 2009145206, OR BK 14912 Page 771, Number Pages: 1, Recorded 06/18/2009 at 03:44 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 This Instrument Prepared By: THD At-Home Services 6422 Harney Rd.Suite A Tampa,FL 33610 NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of FI ri'da County of THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement: 1.Descr' gn o�f property:(legal description of property,and street address if aveilable),g0 frQa �liQ U_ lla- 3-Qr1 f n Q sw1ai t -U 2.General description of improvement: Oki 3.Owner information (a)Name and addressSewAr Qduh, fc (b)Interest in property:We CIM PlI( % '39+33 (c)Name and address of fee simple titleholder(if other than owner): 4.Contractor THD At-Home Services,Inc. (a)Name and address: s.Surety,(h)Phone number. �� ey pa, (a)Name and address-. In (b)Amount of bond Mt f/1 (c)Phone number:_ 6.Lender _ (a)Name and address: (b)Phone number: 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(i)(a)7.,Florida Statutes: (a)Name and address: (b)Phone number: 9.In addition to himself,Owner designates the following person(s)to receive s copy of the Lienor's Notice as provided in Section 713.13(t)(b),Florida Statutes: (a)Name and address: (b)Phone number:_ DA I AF 9.Expiration date of riotice,of common mcnt(the expiration date is I year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1, SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT 1N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A N077CE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE 108 SITE BEFORE THE FIRST INSPECTION. 1F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ,/ 10. R • SiplaturelofOwner o mot's Authorize tncer iieetor e anagar Signatory's Title/Office Owr e 7�q f�regoi Wment was acknowledged before me this!i day of J u n 2 e i4 , C.tn6.10 ` (name of person)as VW V%T— (typo o tY. .g.off�ca +Homey r fat)for (name of party onbehalf of whom in t was r�t� N.N.v...............NN.Ntlo `i RAMON E.TtE2ANOf311 Signature of Notary Public-State o t^ DD0775M Personally known_or Produced Winddi�ifieation ■}a EapYaa 413f2012 ND_.ion 92,525,Florida Statutes JJ.•�-.. I.N.NNNN.NN. Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Si acute f Natural P Signing(in LintO10)Above Revised 7/1/07 - )-r OF FLORIDA CUYAL COUNTY 1.THE UNDERSIGNED Clerk Of the Circuit COUrt,DUVai County, 1,,rida, CO HEREBY CERTIFY the within and foregoing is a true ;.;d correct ccpy of the ari-lioal as it appears on record and file i.: 1.e office Cf th3 Clerk of Circuit of Duval County, Florida. iATMESS MY hand snd Seai3Of Clerk f Circuit Court at ;a:::,:s.i:;e, F:cr;da,tistle day D.,20-0-3 Jt FULLER Clerk of the Circuit Court ;al County Flor:l� perty Appraiser - Property Details Pagel of 2 CHALOT JENNIFER A Primary Site Address Official Record Book/Page Tile# 322 MAGNOLIA ST 322 MAGNOLIA ST 07373-0306 9416 ATLANTIC BEACH, FL 32233-4028 Atlantic Beach FL 32233 322 MAGNOLIA ST Property Detail Value Summer _ RE# 170445 0510 2008 ertified 2009 In Progress Tax DistrictUSD3 Value Method I CAMA CAMA Prope Use ;0100 SINGLE FAMILY Building Value $137,026.00 $85,516.00 Extra Feature Value $595.00 $588.00 #of Buildings 1 _ _ . __. - -_ .." I. _.. 11 1 11 Land Value(Market) `$100,125.00 $100,125.00 Legal Desc. 16-2S-29E SEC 2 SALTAIR - Land Value)gnc $0.00 $0.00 Subdivision 03114 SALTAIR SEC 02 Just Market Value i$237,746.00 $186,229.00 property Y 9 p P nY g Asses $97,676.00 $97,773.00 The sale of thismay result in higher roe taxes.For more information o sed Value(A10j to Save Our Homes and our Properrt Tax Lstimat4r.Property values,exemptions and Exemptions •$50,000.00 See below other information listed as'In Progress'are subject to change.These numbers are Taxable V part of the 2009 working tax roll and will not be certified until October.Learnhow alue ;$47,676.00 See below _ < Property Appraiser's.Office values property_. Taxable Values and Exemptions—In Progress If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value Assessed Value $97,773.00 Assessed Value $97,773.00 Assessed........................Value $97,773.00 ......................................................................................... ............. .................. ..................................................... Homestead Exemption(HX) -$25,000.00 Homestead Exemption(HX) `•$2`i,000,00 Homestead Exemption(HX) .............................................................................................. ......................................... ......... ......................... ................................................................................... Amend 1 Homestead(HB) .$2`'i,000.00 Amend 1 Homestead(HB) -X25,0;)0.00 Taxable Value $72 773.00 .....................................................................I................... ..........................................................................................."...".. � Taxable Value $47,773.00 Taxable Value $47,773.00 Sales History Book,Pa,g, ale Date. Sale Price Deed Instrument Type Code ___. Qualified/Unqualified Vacant/Improved 07373-03_06 6/29/1992 $90,500 00 WD Warranty Deed Qualified Improved . ...... - 06838-2033 1/5/1990 $100.00 QC Quit Claim Unknown Improved 06517-2380 5/11/1988 $6,000.00 QC Quit Claim Unknown Improved __ ..._ 0q22K-2276 2/21/1987 $86 500 00 WD Warranty Deed Unknown Improved l 05972-0049 6/10/1985 $79,500 00 WD Warranty Deed Unknown Improved .. _ ......, .....n _ ....._._,__.... _ __. . - .... - ....... 0510�5?�.5� 4/28/1980 $60,500.00 WD-Warranty Deed Unknown Improved Extra Features LN Feature Code Feature Descri ion Bldg Length Width Total U1,11nits Value l FPPR7 Fireplace Prefab 0 0 '0 1.00 $588.00 Land&Legal Le al Land .__� __..._.� _ __. _._ r � _ -. ELN Code RUse ES Description Zoning I Front I Depth ,Category Land Units ;Land Value 11LN LegI'llal 01.11, i11on i 1 0100rt 3-7 UNITS PER AC ARS-2 50.00 100.00 Common 50.001 $100 12500 1 116-2S-29E .....-....... ..... ... _... ......... ........ _ ..__......., 2 SEC 2 SALTAIR 3LOT 292 Buildings Building 1 Building 1 Site Address Element Code Detail 322 MAGNOLIA ST Exterior Wall 6 6 Vert Sheet Siding Atlantic Beach FL 32233 I Roofing Structure 3 3 Gable or Hip .-_.. ......_ _. ........ I Building Type 0102 SFR 2 STORY SOH Roofing Cover 3 3 Asph/Comp Shingle I R Year Built 1978 " I Interior Wall 5 5 Drywall ............................._ ._..... _ -.. _ .. ............... . ... Int Flooring 5 5 Asphalt the ..................... . Type Gross Area q Heated Area Int Flooring 14 14 Carpet n a-, __,_._ Base Area (520 520 Heating Fuel 4 4 Electric L JI Finished upper story 1 r 945 945 Heating Type 4 4 Forced Ducted Unfin Open Porch 21 0 Air Conditioning 3 3 Central Unfin Open Porch 216 0 3 Unfinished Garage 1320 0 Element Code Total 2022 1465 Stories 2.000 http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=1704450510 6/16/2009 11perty Appraiser - Property Details Page 2 of 2 Bedrooms 3.000 Baths 2.000 l Rooms/Units 1.000 Last Notice of Proposed Property Taxes(Truth in Millage Notice) Taxing District Assessed Value Add'l ExemptionsTaxable Value Last Year Proposed „ „Rolled back Gen Govt USD2,2A,2B,3,4 $97,677.00 $50,000.00 $47,677.00 $362.67 $247.61 $259.46 Public Schools:By State Law $97,677.00 $25,000.00 $72,677.00 $340.71 $371.52 $342.25 By Local Board $97,677.00 $25,000.00 ;$72,677.00 $190.29 $177.99 $191.16 ... FL Inland Navigation Dist $97,677.00 $50,000.00 $47,677.00 $2,41 $1.64 $1.69 Atlantic Bch $97,677.00 $50,000.00 $47,677.00 ;$209.31 $149.31 $149.31 ._. .. I Water Mgmt Dist SJRWMD $97,677.00 $50 000.00 $47,677.00 $29.04 $19.82 $21.40 General Gov Voted $97,677.00 $0.00 $0.00 $0.00 $0.00 $0.00 _....,, ........ ............ Urban Service Dist3 $97,677.00 $0.00 $0.00 $0.00 $0.00 $0.00 School Board Voted $97,677.00 $0.00 $0.00 $10.54 $0.00 $0.00 Totals $1,144.97 $967.89 $965.27 _s .......... P ___.._.. Value Just Value _ Assessed Value Exem tions Taxable Last Year $253,927.00 $94,832.00 $25,000.00 $69,832.00 Current Year $237,746.00 $97,677.00 $50,000.00 $47,677.00 Property Record Card(PRC) The Property Appraiser Office provides available historical record cards(PRC).The Property Appraiser's Office no longer uses PRCs;therefore,there will be no PRCs available from 2006 forward.You must set your browser's Page Set Up for printing to Landscape to print these cards. 2045 12 1 200 1 200 � � 1 2000 1 W9, 1 1998 1 997 1 1996 1 199 5 More Information Parcel Tax-Record ( GIS Map Map this proVert�pn Go9gle_Maps http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=1704450510 6/16/2009 COTY OF AMLMTIC BEAM lid► OCEAN BOULEVAFD ATLANn C BEACH,, FLOW IDA ft. X91,1 l ding L*mMen% - 2. Ti h-a al-Imehad p l are for ties above but l di vig i s approved st0je ct to c9 ti Q9 its fellowirV Wille flee tr tiers requiremmts. a. shag f be contimmis vowlithic. concrete wWW a t®rf or eal Or-, i rAfc �t wi it *hjo / " relteforesi : for a3ses but 941 three 5/8" ftfwmd Brei nforci ng rods for -tom tags. i rtf i r "I be placed In the l i rd of the _ f lVis, erly Pemed and fastened on Mahal Saddles tenth OTC 1F4 nP steel€ be sl ae G rotas witier an each si do the tie tool l abovet shal l be at l.egs't atm i rtc.h es ft l ek and aftl l reit on f i rm i l ort lett *halve i mbis beCov 9eaedl siurbed sail. b. .tea i1al I di �'�."�. � �� each easeit C411 shot f be rainforcedWiii at l es9a5t Cne Wo. bw at al l owners,errs, a" tamped *I th : evxAi rel ceforclt shall be ly fled Into The fo9attng Sp*ndml bamn. cc JgRL shag be ply fastened to the exterlar tills wilt approved hurricane andwm. or e:l l ps. d. Conslyvrtlan of raorby orw-faml l yt ell l Ing$, e l�r�are ;l 1 calks W i eeten l v sW gar, sWl ! tae erj'�ris . Such slmi larity� sp Idird the metal 00ftfiSa lOr and rem (I.e., rcaaf, =FW Vel l oWterial s, ajl ndow sl zo aead .'design, A ossa' Ithe cher' erlstlCs) of s ° •tet . in mcdord with fir folnW1090 sill ler or dupf,tested fomes del 4 twat be ci s:tO wiftla etl pt'ozitn tV of each othrar, ansa shag 1 be at 0 ant few . • If !seep sT*1 lar del l Ing is v1slWe from any lmr° t-Al l gt , e. Sow swvlc& c0mgatlan must be praW vi-th c l rads In tto pro==* of a C6 ty l res .t f The f i steef t ion b the se plumbing lee used thee Mien (at fto property lain) east be itis by the C "ly i A s i Stwed hereby oertl f i as a+ he► tas +eve a u n ftot fh i s ed4ondm 12kas deftl Is +0 p;1. mW ifitatlons and sem'"S $o 4MWIV !rift 1110 i:o'l'+oc of "i a, C�fir ®t�re+�er Dete J u CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027460 Date 1/05/04 Property Address . . . . . . 322 MAGNOLIA ST Tenant nbr, name . . . . . . SHOWER PAN REPLACEMENT Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - --- ------ - - ---- ------ -- --- ----------- ---- - ----- CHALOT, JENNIFER A. ATLANTIC COAST PLUMBING & TILE 322 MAGNOLIA STREET 323 9TH AVENUE NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-5381 --------------- ------ ------ --- - ---- ------------ --------- - --- --- -- -- - ---- ---- Permit . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- - --------- ---------- ----- ----- ----- - ---- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 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. r� ,p �y BUILDING OFFICIAL IF 446 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: tM k Job Address: ----llAj dfA Sr 7— Owner of Property: Telephone- Plumbing Contractor: _ Contractor's Address:__j 9 A)c -z,7 5 o 2—x Telephone: Fax: State License Number: How many of the following fixtures (re-piped or new): Sinks Showers --waler —Lavatory —Water Heaters Hose Bib Bathtubs Dishwashers _--sewer -Urinals —Disposals -Other —Closets --Waihing Machine `_Sh}}wor Pans Floor Drains —Re-Pipe (List fixtures ht:ing re-piped.) Total Fixtures: x 57.00 + $35.00 - (Minimum Permit Fce- S35.0tl) Signature of Contractor: Installation of plumbing and fixtures must be in accordanceAith the most re:;Cnt edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904)247-5826 800 Seminole Road - Atlantic Beach, Florida 322.33,19445 Phone;(904)247-5800* Fax: (904)247-5845* h(tp://ww*.ei.atlan tic_bCa4:h.fl.tic, R 44 . t� n — 361 DEPARTMENT OF 11010 40 cITY OF ATLANT#C EACH PEIIT11 INPORMATTON-, LOCATION INFORMATION .w reit 0ulmb!er; 14361 Acic�r �'n322 AGN L,TA :$TREET_ . permi TYp'l-* n DRMWAY ;,A_ TLANTJC BEACH, I` ;nO 1�A ��?� + ;REPA. R LZOML DESCRIPTION const r M "YPe;wool) FRAXI �81 c ,� lot : ' _ � rostir� 0 ' Subd;0R Dwelliri Subdisn.'ATLANTIC BEACH f Est . Value;Amount `} r N t : T JN ` � APPL,TCATI N 1"'FEB ,m P�"R141 T 00 ads BTRT FLORIDA 3 Peri r 5m, v , w� ' a. r. w '•` � 's C'Al. L T ' ffE Exp . �� NO ES: i NOTICE; ,ALL CONCRETE FOAMS AND FOOTINGS MUST BE INEIiSCTEQ BEFQRE POUR-11N� c 1 PERMITV©Ib SIX MONTHS 'AFT DATE OF ISSUE BOLDING MATERIA RUBBISH ANO f�EBRIS FROM THIS WOR MUST.NflT SE I'LACE13 IN PUBLIC SPACE;AND MUST BE CL AREt7 UP ANCA,HAAULI*D AWAY BY.EItt HER CONTRACTOR OR OWNER j TO COMPLY WrfTH THE MECHANI $' LrI N, L. vV CAN t-E-SuL:T w *4PR !� RT'Y N4 PAYING TWICE F+�? �tJ .QI ; MP1 tVEMENTS."1-0 j iS E4 AGCf3RCa1 G TO APPROVED PLANS WHICH ARE PART OF THIS'PERMIT ANO SUBJECT TO ft O 7#�}N FOR 1 ttl L1?tON®! A ' a4$LE PR01/t91ltkl '©F LAW. ATLAN r, EACH B OI Q AFt MEN7 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner (s) Address: 3..,-)_-) 4 5 T Phone: -,�7 Z ,9 0 c. X72 Lot # Block or Unit # Subdivision: Contractor: A-1�'l1` State License # Address : Phone No: � Describe work to be done: ► �� A-d am' ,2aC3 - eCV_��J' y Present use of building: Valuation of Proposed Construction: Proposed use: Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: cir Lol �( Date:_ Signature CONTRACTOR: Date: License Supplied: RECEIVED Liability Insurance: Worker's Compensation Insurance: oiii 2 4 1997 City of Atlantic Beach �Gl.>:ccCsrBuilding and Zoning ,,,,,, rv, , PaWa Amonette ?Q r MY COMMISSION N CC553881 EXPIRES August 27,2000 ,,� , BONDED TNRU TROY FAIN INSURANCE,INC. t j Ji (2 � �� CITY OF Office of Building Official 1 3 �1 EQUEST FOR INSPECTION G` I Date_ L _______!�_ Permit No. ---- -- Time A.M, Received P.M. Job Address Locality Owner's // Name � �{! _ Qoj&,gctor 1' ' _ �� _ �►J"�_+ DING CONCRETE ` ELEC`A-��—_ PLUMBING MECHANICAL Framing = Footing Rough Wiring - Rough Air Cond. & Re Roofing E Slab F Temp Pole Top Out Heating 1 Insulation Lintel CFinal Sewer C' Fire Place Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday A.M. -- Inspection Made Inspector _�,es_ Final Inspection Certificate of Occupancy i_. Date CITY C F V Office of Bulling Official REQUEST FOP INSPECTION Date __ r _— ` Permit No. 42 .-/___ T irne A.M; Received -- --- –— ----- P.M. \ Job Adcy/ -- oc -- -- Owner's Name ._—. ��LL"�`---- _ Contractor _ BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing Rough Wiring 7 Rough Air Cond. & Re Roofing Slab Temp Pole Top Out Heating Insulation Lintel Final Sewer Fire Place JI Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday r _ A.M. Inspection Made _ —_P.M. ( Final Inspection f J Certificate of Occupancy I Date � nn nCITY OF Office of 3uildi g Offic' 2 REQUEST FOR CT10N Date 3 Permit No. Time / A.M. Received / � P.M. Job Aelfes Locality v "- Owner's Nameej— ContractorT74`iQ.Sd��_ B IN CONCRETE ELE RICAL PLUMBING ME ANICAC J Framing Footing _ Rough Wiring Rough Re Roofing ! Slab fE Temp Pole Top Out Heating Insulation ❑ Lintel 1-1 Final C; Sewer Fire Place Pre Fab READY FOR INSPECTION A.M. Mon. e Tues. Wed. Thurs. Friday `P.M. Inspection Made " Inspector _ Final Inspection Cj Certificate of Occupancy i-- Date --__._--- -- POR4W t12419 #EPAR7M NT{ #U"ING CITY 4F ATLANT C C iCH ON -----_- LOCATION I N FOR AT I ON - lYt ra i r: 12419 Addross* 322 0NOLIA .STAZST #arm3t Tjjffi:REMO EL NO ATL.MTIC BEACH, FLORllDA 3.2233 I of Work.ALTERATION �,_��.,. �,.« LtGAL DESCRIPTION ---------- WOOD - -- - T�tie'.WOOD `RAMS B l ook: Lot Twp 0 P ra io d 3 Se t i C1 Sub�d t 4 Rng {f DwellSubdivi$jon:ATL NTIC BEACH E t. V*14'0 /"b 60 t*Vrdv. Coot: 1 ,1: City of Atlantic Beach *** CUSTOMER RECEIPT *** Oper: DSMITH Type: OC Drawer: 1 Date: 1105/04 01 Receipt no: 22999 Description Quantity Amount 2003 27460 BP BUILDING PERMITS 1.00 $42.00 Tender detail CK CHECKS 32MI $42.00 Total tendered $42.00 Total payment $42.00 Trans date: 1/05/04 Time: 9:28:57 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address_ - � �-a J � ��, N 'a rz c Date Heated Square Footage @ $ 3 1. U per sq ft = Garage/Shed @ $ per sq ft = $ Carport/Porch __.@ $ -per sq it = $ a i Deck @ $ per sq it = S Patio @ $ per sq it = $ TOTAL VALUATION : $ To al Valuation 1st $ 106-) $ 1 Remaining Value SS! per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $+ � (CD) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE S WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S �_ SEWER TAP $ ( ) RADON (HRS) . 0050 $ �^ SECTION H PAVING ( ) S HYDRAULIC SHARES S CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ _ OTHER $� GRAND TOTAL DUE $�ZC� ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Y Septic Tank Well ___; Sign_ Finish Floor Elevation Survey Other CRt�CUL.ATTOKS and/or NOTES : _�_ i-,, AP SHOWING SURVE) F BLOCK AL.7—A—Ir—,—SE=C?10 IQ AS RECORDED IN PLAT BOOK 12 PAG L Of THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA 1996 uilding and Zoning L07 Z81 LOT 2 16 c> Lc>T z-7 C) F-OVWD 'I, I Fou No IQou PIPE ieol�j pips oZ J I 9 ALL FE,- C- 06O Po[c,.lZ C,Vvy 6 15 SS z LOT Zq 30 -1�.0 1-7K--- Lo7 Zq I oi - AgAt-r= 7.5 --A 2 9"1 - k)� ZLJP Vroiry 1A 151 0 0. , \�, NSTEPS ui ?ON 1, cl I 1/z irtc*.j 50.00 MAGNJOL-1A 5TZEE5-W!K RESTRI('TIGNS THAT APPLY 1, HA-1 APE NOT SHOW*: C-1 THIS SURVEY 13JI MAY BE FOUN', RCS CR THIS CCU';TY. K be.-it a;ccrtaincd rLr,: Flood Insurance dated 4-1-7-59 panel no.izoo7r—Clc::.0'D I HEREBY CERTIFY TO: A. CWALOT eof-'WEIVS-TQIJG M09Tc.A4.1 OP FLPEMNA iw-. ec*57t�KSTAL TITLE 5LrZVtC1kr, Imc-As ^(-EwTs Cot cNICAC.0 IITUEIWSUZA►.XC Co THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT Marvii Ban TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 21 HH-6 ADMINISTRATIONFLORIDA ADMINISTRATION CODE. A4 c 29"MANGROVE AVE FLORIDA REGISTERED SURVEYOR NO 4470 JACKSONVILLE,FLORIDA Marvin R. Banks (904) 641-2520 S r,-,NED--.:j—uUrc i's 19 97- $CALF: THIS SURVEY NOT VAUD UNLESS THIS M,'1T 1� ? A,60• `,`?ITH THE SEX OF THE ABOVE SIGNED { HU 1L :JJ P. 02 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-93 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions and Renovations Department of Community Affairs Cornp,;ar"with Wlhod C of Chapter a of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-93 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 6000.93 or 600A-93. PROJECT NAME: QN,vf Gr C hallo GUILDER: Q e-I-V. y ti+ es, AND ADDRESS: 2PERMITTING CLIMATE �. a OFFICE: ZONE: 1 1:1 2 ❑3[:1 OWNER: 3 Q to,l t-Per G Ar I o PERMIT NO. JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or lose of cond4loned'4rea). Prescripave requirements in Tables OC-1,6C-2 and 6C-3 apply only to the components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed In conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building). Prescriptive requirements in Tablos SC-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site- ins!alled coirgononts and features am covered by this form. Please Print CK 1. Renovation, Addition or Manufactured Home 1. R C&P v4 f/p f./ 2. Single family detached or Multifamily attached 2. 3. If Multifamlly--No. of units covered by this submission 3. _ 4. Conditioned floor area 4. 1 '3 6 sq. ft. 5. Predominant eave overhang (ft.) 5. 14 6. Porch overhang length (ft.) 6, 7. Glass area and type: Single Pane Double Pane a. Clear glass 7a. sq. ft. _JP5 sq. ft. b. Tint, film or solar screen 7b. sq. ft. sq. ft. 8. Percentage of glass to floor area 8, _ % --�� 9. Floor type and insulation: Slab on grade(R-value) 9a. R= lin. ft. b. Wood, raise -value) 9b. Rsq. ft. c. Wood, common (R-value) 9C. R_ sq. ft. d. Concrete, raised (R-value) 9d. R= sq.ft. e. Concrete,common (R-value) 9e. R= sq. ft. 10. Wall type and insulation: a. Exterior: 1. Masonry(Insulation R-value) 10a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10a-2 R= _ 1 sq. ft. ~ b. Adjacent: 1. Masonry(Insulation R-value) 10b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 10b-2 R= M a AV sq. ft. c. Marriage Walls of Multiple Units' (Yes/No) 10c 11. Ceiling type and Insulation: a. Under attic(Insulation R-value) 11a. R= 3 3 G sq. ft. b. Single assembly (insulation Fl-value) 11b. R= sq. ft. 12. Cooling systems (Types:central,room unit,package terminal A.C., none) 12. Type: e &A, tra SEER/EER:_ 13. Heating system=: 13. Type: (Types:heat pump,elec.strip,natural gas,L.P.gas, room or PTHC.none) HSPF/COPlAFUE: 14. Air Distribution System': a. Backflow damper or single package systems' (Yes/No) 14a. b. Ducts on marriage walls adequately sealed' (Yes/No) 14b. r,C 15. Hot water system: 15. Type:_ Q f (Types:Bloc.,natural gas, other,none) EF: 'Pertains to manufactured homes with site installed components. `here=y certify41�hale apd fications covered by the calculation are in Review of plants and spacik ' ns covered bnal ti0r1 indit2feS cOmpllgrtCe�+nT'P( wiitthhf with the Florida Energy Cod . lore oonsw 'o is ate�Ihis building w(II be PREPARED BY: OATS: Y /y 6 Inspected for compliance In cco an,' with Irop 90I here0y certiy is lance with the orlda Energy Code.LJ �Q aualatiG o r OWIVEA AGI Nr: DATE:� [ Lls�t DATE: _ -t- S RINANCIA\DRINW C yvW��N 110tice of Commencement t►Rl►ARE IN DU►LICAT[) To whom it may concern: - The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property 3 Z -- A G\.i0(_I S '`� LC FA-k L� —-------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------- General description of improvements ------ _._____ u ------- S�Na2�pM ----------------------------�--------------------------------------------------------------------------------- Owner . \ rJrJi ��`/` CtAALk-0-( Address ----------=----- ---------------------------------------- Owner's interest in site of the improvement __--------_.____________________________________________________- Fee Simple Title holder (if other than owner) --_--__.____________________________----^--_--------___--_____. Name --------------------------------------------------- Address ------------------------------- ----- -- -- -- -----••--- ------------------------------------- Contractor ��`�--` S---- c4 M -- �o --- T Address -------- 6/7----P-d(U PsIr,---- --- - -------------------------------------------- Surety (if any) ------------------------------------------------------------------------- Address -----------------------------------------------------------------Amount of bond $-------------- Name and address of any person making a loan for the construction of the improvements. Name ----------------------------------------------- Address --------------------------------------..---..--------------------------------------------- Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be screed: 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). Name ---------------------------------------------------------------------------------------------------- Address ------------------------------------------------------ TNIS $PACE FOR RECORDER'@ USE ONLY =---------------------------- Owner Sworn to and subscrib before me this _-_________---- C� � ZZ42 .-_ - 181 day of __ _________ �. Notary P Wda !4y commission Expires Nov 7, 1998 ''ommission 4CC 419124 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s): Address: .3`2 MAGt,)dUA • Phone: Lot Block or Unit # Subdivision: Contractor• 67/Z9 or,) �)Iq�5 State License (.6 C-)--5-700n Address : �0�� P9 6-1 qNw ' Phone No: Z96�pgS �A,x- 3 �- Describe work to be done: Irz WRL9t='okl,2 rX —r Jr Present use of building: :�5� � Valuation of Proposed Construction: Proposed use• T v�'�'� /\�'©ltq f Is this an addition? If yes, what are the dimensions of the added space: z Z ft. X —ft . Will the added area be heated and cooled? O New electrical (or increase)? Yt�S New plumbing fixtures? tic) New fireplace? New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: l �� '-� Date: 0 5 Signature CONTRACTOR: Date: . 8 5 License Supplied: Liability Insurance: E � —Worker's Compensation Insurance: Building and Zoning MAMMENT OF CITY OFATLANTiC BEACH --- P1I " ` INF` f1 lA 'I41i ,._Mw. _ .w.. ,»»... LOCATION INP4It1!�A 'ION --� Pf t. PIu��9p : 124! 3 Addzessrs; AaiOLIA STILT ...,w. . -,Permit ► �CiU "L9A I DR 32233 t of , c' ,LT A " 0 .., _w�.�.�_ . .. LZOAL -� wDLSC IPT ON - —w — —_ "cr t TY e:WOO � lc Lc� TwP: � osed vie; 5 eticz ca ubd a Rn .. w ! link 1 Subd,ivision.ATL +i'TIC BuGH, " r Lt�t . Teaik l '2's ,0,0 unt> 2 fir,;0 ` TICAL r _ TIQ 1 ». ,.. . ,. - API ►ICATIt?N' FEB -w -- Ips. I 25.00 A Ad, STREET yy g D FLORIDAf- , N 46 ME a, AL/SLC CAL JACI PLd}1 "I 3A 12210 210 � '• Oxt ExP T" tt aMwNaCempMv,� d. :fwuexu%uw � � 4¢k f! IV FOOT*=MST * GL i "OEt:'WAG POIJANG PEAMO': X MONTHS AFTER DATE OF ISSUE 1 VOMATS w RuEI #SF! ISr FRAM THIS WORK,MUST NOT PLACED IN PUBLIC SPACE,.AND MUST BE s CL AREO UP It `HAULI IJ A oy'e"ER CONTRACTOR OR OWNER W TD THE MECHANICS 'ASN 1 AW-CAN RESULT 1N Plll��MING TWICE FORTHE liat" 1f�FARL ING,T�3 APKIMED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO RE ATI A LI, P fISIO SOFLAW. 4 U,Yrla u, F p /( ©EMRTMENT CW BU IXNa clr,r OF, ATL.ANTiC BEACH a - PERMIT INFORMATION - --- --r LOCATION INFORMATION _ 322 j,',rmi t Number: 12484 .P m t '�P : lE NANZCAL ATLANTIC BEACH, FLORIDA 32233 xar :ALxTO .._.�4 LEGALEczPfi'ION -- n tr, T �e:'WOOD FRAHE Bl ack: Leat,: Twp`:--_ t e paaed �t €e lection: 0 Subd:O Rng, 0 bwe l l in.gs: 1 Subdx v'ii i oto.ATLI,ANT I C BEACH Est , VaZ�u4: 0.00 inprov`. ' C64t : 0.00 . Total Fees : 2 :t�Q mount 2OB data 2d9�s 5` tea Y TION. APPLICATION FEES — - Mor, T 25.00 Ate. 41TRR T FLORIDA 32 P�i3n Aon S�w*z' qefta4, L/�E�w CAL r-- c ; ekkti'uawaKKFX ':e' Wu sau.'3s` ,§ :$ y JACKSON y FYaOFi"T DA 32210 OCQ' ESP P. T 2 NOI k. yc,'yYALL ■yy}. �`��{. .Y�I�y {��/� y��{ yyy��y■y. y}��^i sy�� POU qq NQTiCE IAT►COWR M POR AND a WG8 MWT W� #R]T ii� ��. F ikT VOID SIX MONTHS AFTER DATE OF ISSUE u: €3U .Q#NO MAT RIAI RUDOISH"AND OtORIS FROM THIS WORK MUST NOT BB'PLACED IN PUeuc SPA04,AND MUST BE . CL REt3 UP ANQ I;WAULkb AWAY BY"Eft),=R CONTRACTOR OR OWNER �; z " to ► C I .' WITH THE MECHANIC' N L.A I CAN ��»'�s. i „., NER" f NO TWICIEFOR EBut LOINGIMP ,. s .7 u, ACCO TO APPR0VE PLANS WHICH ARE PA�tT OF 3 P j A CAS P € t LAW T SU&1FCT TO R T4s F a BUILDING AND ZONING MPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC e[ACH. FLORIDA 3tta38 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER— IMPORTANT -- Applicant to complete all items in sections I, 11, III, and IV. 1 LOCATIONStreet Address: � 1 OF Iatertectiag Streets: htweaa rrY�r./t �L. And 15,01 WILDING sYkl-diViN•en 11. IDENTIFICATION -- To be completed by all applicants, In consideration of permit given for doing the work at described in the above statement we hereby agree to perform said work in accordance with the atrachjd piens and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Nam* of me,haaicol Contractors C..traat.r (Rint) (`o../ " Master ►baa. of IsreprtY Owaer s4oatwre of Owner Signature of or ArtKriaed Agaat Archihef or Engineer . l8 III. 60� INFORIulATM A' TYtt~of hooting 4w1: B. IS OTHER CONSTRUCTION BEING DONE ON ❑ Eloctric THIS RUILOINO OR SITE? ❑ G«—❑ L► ❑ Natural Q Coo"UtisHy, 1/YES, GIVE NUMSER Or CONSTRUCTION O PERMIT :V. M9CK*X4AL EQUtF1/MfT TO N N/STAUJID NATURE OF WORK (►tr"`de 0s.000,A d compea ate na b*A of ttda bt'tn1 O Residential or O Commercial O ""1 O $pose Q Recomw O cooed O mew ❑ New Sullding O Air Csadrtiooi : O Room Q C40#4 ❑ Existing dAWng Ouct SYeka: Mea..t.t O Ri tiscoment of existing systwn Macst�wteK� L/Do s forst. ❑ New Installation(No system pnvioualy Installed). O to4;te ❑ Extension or add-on to existing system O Com brow copeft ❑ Other— Spedty tt•R•11e• ❑ An q.iatlaa: Nwobr of t," O Ekow+« O Maatih Q 6sel.t..�....!_Itwtsi.v) T11K >rAC! POR OiICS Yfi ONtY ❑ Goes,.I O t"k 1s""'i"r) Rtlstatb O LPG Q**%*--� twtttb«1 O Uefood peowe»ra O Mise Pon%* Appered `t►.. e.r O Other— 111,60100 bj.. LJiT ALL gQtnPMENT AIR CONDITIOMLOG AND RUM11MRATION EQUWMLRT Number Vallis Breus Number HEATING • F1IRNACES. /OILERS, FUMPLAC?i X+t seen,VMS we"Number >ii tlluaeawlr °� ' 'AMU seem xae�..a ca.p.t ► r irx• r >� A� � CITY OF ATLANTIC BEACH, FLORIDA App►owd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �'v- -- 19 �' 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 ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM:-- MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME alPT ADDRESS: tsar cy S�; RFD BOX BLDG.SIZE BETWEEN: / RES. ( * APT. 1 1 COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD M REW. ( 1 ADDITION (-< TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SQ. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 2-0., AMPS / PH ..3 W 7-7`o VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0•30 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. — FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING N.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA I I NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED TOTAL FEES _ r. ij ' UV ¢r C*PA ENT CITY OF ATLANTIC BEACH , PER I'T INFORMATION LOCATION INFORMATION 4'kMit Nix r: 1 157 Address: 322 ,ki6i+ ILIA STREET 1P rmit Typa.RRHIsLI,INO ATLANTIC BEACH, FLORIDA 32233 ` ass of Work --------- L GAL DESCRIP'TICN .lax t r . Type;WOOD FRAME R ®ck; Lot : Twp 17 ru c��dl Section: 0, Subd:0 Rng;: l w I l it t x : 1 Subdiv .sio «ATI ANTIC BEACH s. Est-. Va1iic; 0 .00 mprov. ` cost : 11k792 .00 x Total 'Fe 105.00 Amount ' IOW : APP'LICA'TION" FEES N . I'I Ar o S'TREE'T w ¢° 8 FLORIDA , e a FORMAT N fi NEJTS: , #s N(MCE:--ALL CONCRETS FOR :AND FOOTINGS MUST NE WSPEC"ISp OEFORE POURING g PERMIT VOICE SIX MONTHS AFTER©ATE OF ISSUE r S B Z ©IMG MATERIAL;RUBBISH AND,;QEBRIS FROM THIS WORK MUST'NOTBE PLACE N PUBLIC SAM, i C ARE©UP AND lHAULED A*�*13Y EITHER CONTRACTOR OR OWNER � TWIE.Aff 71 fiJ P'AO' VP.V P WHICH ARE C 3 IIf: IS OF LAW. "r r i ra :.t: 3„•�,� '�.,? °'8 rid?,» °” f CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address C c,rj ©� Date c Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ 1 Carport/Porch 1�`lJ A @ $_p e r sq ft = $ Deck (✓ } / ` @ $ per sq ft = $ Patio ?@ $ per sq ft = $ TOTAL VALUATION : $-/ Total Valuation 1st $ Of, R�0 " � ©- d s_ -S-. $ g Value per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ &0 ( ) Fireplaces @ $15 . 00 S �' BUILDING PERMIT FEE WATER IMPACT FEE SEWER IMPACT FEE S WATER METER/TAP $ CAPITAL IMPROVEMENT S _ S .0050 $ s $ 1050 $ ADDITIONAL Cx-�i�C' -- � /� Plumbing Electric/Nec mmingPool Septic Tank_ f/)-jl _Finish Floor Elevation Survey CALCULATION / OCT 12, 1995 ��fffff Building and Zoning CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : Jennifer Chalot Address: 322 Magnolia Street Phone: 904-249-8522 Lot # 292 Block or Unit # sec 2 Subdivision: Saltair Contractor: HAFTCO, INC State License # CGCO26002 370 4th Avenue S . 904-241-0028 Address: Jacksonville Beach, F1 Phone No: Describe work to be done: ti1p, bathroom, pour slab, install french door Present use of building: Valuation of Proposed Construction: Proposed use: Is this an addition? If yes, wh � the added space: ft . X i be heated and cooled? New electr. New plumbing fixtures? New fireplace?_ SUBMIT THREE COMPLETE SETS OF PLANS, INCLU', ENERGY CODE FORMS, NOTICE OF COMMENCEMENT AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER:, �� • �_ �,��:" 16 Signature CONTRACTOR: Date: ['' J C -e QP�0N\N �41GE License Supplied: Liability Insurance: Worker' s Compensation Insurance:_____�� HAFTCO, INC. GENERAL CONTRACTORS & DEVELOPERS P.O. BOX 50824 370 4TH AVENUE, SOUTH JACKSONVILLE BEACH, FLORIDA 32240 904-241-0028 CGCO26002 V Mr n� W N � "Ik g �Sg 1995 QJ'i`s�Jr Building and Zko sing HAFrCO, INC. GENERAL CONTRACTORS & DEVELOPERS P.O. BOX 50824 370 4TH AVENUE, SOUTH JACKSONVILLE BEACH, FLORIDA 32240 904-241-0028 CGCO26002 n YTl 1 2 N o c� 4� f ja 12 1995 Building and 70 nen `'I—AP SHOWING SURVE JF LOT _ 297 BLOCK _ , SAL.TAI rm. SECT 10N1 N0. Z AS RECORDED IN PI.AT BOOK to PAGE IS OF-THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA LOT ZSI LOT Z6o LOT Zlc9 12ou PIPE c 3 os ¢oAl CIPS K •� O z Y `c 01 / � Alm FEe.KES � 0,O G e Y 1 i I X IS 8 o L WO STO['f \Y- Z w-S7 os LO"T Z93 _x� < 5S Z LOT ZC4 I o1 A— FZA"E7 Z S T 0 2 ( M ze's . t 32L Z Vo S7oCY t` LA4 C>'%J L M W i LnRsu.E 3S Z '>II2 KTE Luo STOGY 1.9 �s' ove 2H AAc' gr I . IDer�E nr A�P��GO Q F w �o UQy i IOo.oo couuo '/: G eJ '/Z I IRoe.1 PIPE SO.00 I2oe.r p M 3 MAGa NOLI A 5T ZE E� (sem e 'j ;ifERF. MAY BE ADI'i10NAL RESTRiCTI( NS THAT APPLY TNA' ARE NOT SHOWN ON THIS SURVEY BUT MAY BE FOUND Ti!E' PUi'lL:C RE'C'CP.US OR FACILi'=IES OF-THIS CCUNTY. N M:S Y i t �ccrtained :r-c Flood Insurance pank'? no.IZ0075.OooID dated 4.1-7-84 I I HEREBY CERTIFY TO: JEQ.A1:5 ` A- CWA.LOT ccx weIcSTow. ' Molt'7'e:.ALs: op- FLOZIZ"^ 36.:f Cc*j-rjwE jTAL TITLE _ssERVtca-.. WC-AS ^(.CW'TS CoC Cy41CAt,O 'rITtjF- l►J5tZAs�Cr& Cc THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT Marvi . Ban TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 21 HH-6 FLORIDA ADMINISTRATION CODE. 2866 MANGROVE AVE. FLORIDA REGISTERED SURVEYOR NO.4470 JACKSONVILLE, FLORIDA Marvin R. Banks (904) 641-2520 SIGNED .� �a z3 19 97- +CA-Z z+CA-Z THIS SURVEY NOT VALID UNLESS THIS Pre"lT t� - , a °'%-MH THE SEAL OF THE ABOVE SIGNED Mice vfteneement (PgLr Ans IN owpiucATa) To whom it may concern: The undersigned hereby informs, you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property ----.322__M3gri41a__Street Atlantic Beach Lot 292 ------------------------------------------------ ta-i.__Section_ Plat -Book_ 10 Page 15 ----------------------------------------------------------•------------------------------------------------ General description of improvements .............Tile bathroom,__ pour slab, install --f-r-encJs__i:',War-------------------------------------------------------------------------------------- Owner Jennifer Chalot 322 Ma nolia Street Atlantic Beach, Florida Address -------------------- -------------------------------------------------------------------------- Owner's interest in site of the improvement ------------- __________________ Fee Simple Title holder (if other than owner) _____________________________________ Name ---------------------------------------------------...------------------------------------------------ Address -------------------------------------------------------- -------------------------- Contractor ------I AZT-C.02__ INC ----------------- Address370 4th Avenue South Jacksonville Beach, Fl . -------------------------------------------------------- ---------------------------•--------- Surety (if any) ------------------------N/A --------------------------------------------------------- - Address LA ----------------------------------------------•---------. - Address -----------------------------------------------------------------Amount of bond $-------------- Name and address of any person making a loan for the construction of the improvements. Name ------------------N�A-----------------------------..------------------------------------------------ Address --------------------------------------------------------•----------------------------------------- Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name ----------- H A F T C O-'--INC----------------------------------------------------------------------- Address --------- 37Q_4th Avenue_ SouthJacksonville_Beach, _-F1___........... In addition to himself, owner desigaates the following person to receive a copy of the Lienoes Notice as provided in Section 713.06 [Z] Eb],'li'iorida Statutes. (Fill in at Owner's option). Name ------------HA�TCS2f__.Z1�L�_w---------------------------------------------------------------- 370 4th Avenue South Jacksonville Beach, F1 . Address ----------------------- ----------------------------------------------------------------------- TNte•PACs IOR R9CORDgn.15 Uei ONLY - - Owner Sworn to and subscribed before me this -�V-9/Uf day of 0 C_�o_� r-------------- 1g9J KATHY PARKER 0Qmpis IM Con cc 7930 DEPARTMENT OF BUILDING ` ,.u. CITY OF ATLANTIC BEACH, ,. F BRM I T I N FOVART I OI`I _ ...y . . .» LOCA`I ON INFORMATION ---------! Permit >Yumber: 93Q ,AddresvI : 322 kAGNOLIA STREET I efrn t `YPe': RL-ROOD' ATLANTIC BEACH,, FLORIDA32233 C`1i s a Work: NEW . ..,�----. t1lL DESCRIPTION _----__ yc� t $''�'�ypp : W�tOOD: FRAME 'p Lot: Blajok: Be��cVtic�r�{: YI#�o +os.e'Lei. �V+R'��-.'s M INGLE FAMI i � :L 'i RNQ: 0 I� r 1411t1s: 1 Code: a Subdivis3vat' ATLANTIC BEACH irnated, value: $22`00.00 Improv. Cost : $0 .00 T,Otatl Fees : $22 .50 Amo ,. ;�q 22-"y 50 fat /21s Nook Les � . .. I'Q# AI'Fa I+CATION PER Na a • PERlI'P E22.5f Add— IA STI�t�CET 4T R REACT. FRE $0 .04 I FLOR I DA v� �S LEACH FEE o;q0 ' B a � F Sm ilC"-�" y i T t 4 0 FORMATION CAA' 5% Nei C W Zx, IM': $0.00 i 'ITAL I PROVE. $4.00 STRt Tx_-- �. ORS R, y 'L207y-174 101 Ce BARE X4,40 Lilrens CCC(0)0 Tylae £ � S,SI3NIEGTICN 0Q k SBC.R IMPACT Felt .09 1114 Ai- waEs 4 1994 CITY OF ATLANTIC "BCH. � I I f, NOTICE --ALL CONCRETE VORM$AND FOOTINGS MUST BE INSOECTEO SEFORE POURING " PERMIT VOID SIX MONTHS AFTER DATE bF ISSUE ; r HUILt I�tG MATERIAL,RUBBISH AND,DEBRIS FROM THIS,WORK MUST NOTJ E PLAC O 1M'#�IJI�LIC.S�'ACE,A,00 MUST BE CI EAREQ UKP ANS MAULED AWAY H t FTI II`R CONTRACTOR OR C3VVNE�I ` � t X 0*46COMPLYWITH THE MECHI RP� tTY +►H 'A NO AC lwtD TO AAPFIOVEEI �'LANB WHICH ARE'PA C?I=;TH TERMlt Airy S11B,IEt T '� k FAP PRtNISIONS.E?F LAWw � 3 I t { w ATLANTIC. ACI~i S�lILDING, ART Ni +� j 3 R CITY OF ALANTIC BEACH ROOFING PERMIT APPLI ?ION owner(s): 4fS. c•- Address:� Phone: Lot # Block or Unit # Subdivision: Contractor: /T? /,✓� Address: City, State and Zip d�� P / �f �So�6-2-phone,:; State License # CC_C OO �y7� Describe work to be performed: /� s c;t^d !`"-, r'111 Valuation of Proposed Construction: Materials to be used: Signature of Owner; Signature of Contractor:_ Liability Insurance Supplied �es Workers Compensation Insurance SuppliedS License Information ��S �- McCURDY-U ALDEN I N r O A P 0 P A T E � POST OFFICE BOX 1748 ORANGE PARK. FL 32067 (904)269-3848 FAX 269-3966 TO: JOB: Ms. Jennifer Shalot Shalot Residence 322 Magnolia Street Atlantic Beach, FL 32233 c — REROOFING: 'fear-off'existing asphalt shingles and related flashings and haul debris to legal landfill. Dry-in existing plywood roof deck with 30# asphalt felt underlayment. Mechanically attach 25-year fungus resistant shingles over felt underlayment. Provide new lead flashings at plumbing V'IR's and rehash existing roof vents. Fabricate and install new prefinished aluminum cave flas�tittgs. - SUM OF: TWO 'nlOUSANll TWO HUNDRED DOLLARS ($2,200.00) NOTE, fink prapecAf may be*Wrawn by M<(MY-LUMDEN. NUC. ri ed P )ftm10 days of prcporal date. Date of Proposal: Feb 10, 1994 Signature: tan"McCurd fIA"Als Contract amount stated above plus any additional luras due to authorized charge orders are due and payable upon substantial completion of work described unless otherwise agreed to in wrKln . Guarantee specified*N be Issued upon receipt of payment in full and term will bepbl upon substantial completion of work. Payment debut automatically Kusa any quarAntee issued to become null and void. AC'CUPTANCB of PROPOSAJU The above prices, specifl ations And conditionl and the General Terms and Conliffons described on the reverse IMI of this form are satisfactory and are hereby accepted. hktwdq-UkAt". Inc.is authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: q _ Signature and Title: APK ICA T t N MR PL UMr9I'i 6 f'ERN f DA El SaL WATER, ziff-ArMV h° OF` PLUM11�N AND F,t�1t6i��S �f��" ,�� .4��Qli�IYlr�� W' IN rffF NOS REC. :V I :t° °fit?N Of T fl: ►OG°FHERN STRAs'DAR5 °PLUMBINC CODE. CITY ?F ATE-1ANt-lFr", CN! 1978 A'"T MY CONCERY. Arripar Ainctloi3ing of the &-ainage SY:3tmrd u-, the a-sevfi!, developeci, Ing 't cn in-"di I g (Sectfan 3) 1,:r" cant- me ta -1 n swaleaYacatzr"d on cach side of the st -ets an as-bi;jxt the Following contrzeturs (0.r !tvlting as con,tTec'.u.rs) wha in t,5e subdivision. gas ouz-117Y i1x? 5ite"preparatson phas, � and b&Ming., ciod K..,r:%nsv to instalineir'n of i'DATCry arva, tc� aw,,'h Jot* paverm-rpt �vke the. lat Unit? --&,77 X�-',Avctel &V IVS�,-, Of mmiPpleoPlYi'm piezoed &f aa.!Y damage (.t.m;,1ue4f;2a spr-diuq.P1 to the zwe.,1!e Shall a t h 0" re-SpOnsylb-11ity or the c,.mt.ravZ-.ozL, If mnie Is not to Its cond'itfaw, the prcvision of' City vtiiitles ,711Y be denied. L> The tup of dr,lvpwg,�p, tye ,r-,- ,mwtr,,jr "0 the s-mejes. The 4.vc"r, n0f; appig ji4 cmyvrart-5, are (Ser esvx�,, perkyrephy). X;r �wqufred, cvlvepts Jrct;, PVC 0j.", corrugatec., meez-0) may be -Fy!�Czllad .irk 6uch a varwa.-e so t"'hat the Mv*,,Zc e2eva- L in the J&L*ndt:e than wilt' Permit free f1cm of qocv.,,nd Ovate, Pfpt, shal.? cAm.,rd a gi7,"P.1mum ^mr' tjv7 feet a&Q- h SMF,= Of d.Vliw,�Maiys pith pm.,ft.-c-tions covezad V.41th gpaeed back-fill. Diameter of pipe shaALi be detowadned by the Citu 8e;S1-UAr,. Offic-laLl laztsmuch as s ry Individval lot sitea. d, A2-7 d.2"VZrMY 0M-)St9tfctJ0j1) MUst bet 1-:111 nspeoted and aparvved 5-.j ase bujiding Official pzjox to 'Paving. R. C. Vogel, City makmage siqnatmL�e *,1, conf;kme a tE, te i DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 3782 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 7/3 S/ 197a valuation$— 37.199 Fee$ 1" 50 ` This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that Don Meuse hasP ermission to build residential Classification SAF Dwelling 7•one Owned by Don Men ae k TI Lot 292 Block- 4 lock – •� ' House No- 322 Maanol k gtr ±t According to approved plans which are part of this permit 14-4 4 in 711 111f7 NOTICE—ALL CONCRETE Fdlk l AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE 4 0. ► 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. nildfn�o e . FOR OFFICE PERMIT D - USE ONLY NUMBER ATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER FOR OFFICESE ONLY Date------------ 2f�' CITY OF ATLANTIC BE 71 a, nation $ ................ R ; FLORIDA ouse #�s�'.�...11244. - ............... .....ac�.,.L.d........... CA . APPLICATION FOR BUILDINeMMIATLANTIC BEAGH.WC 2_Q 0,t.m............ .............. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date. __` P) 7- -2 ---------------------------------- 19a.. -------Address-1-2.11P.--i ...... Owner---D_�._P------ ---------------------_------ . ........ .....Telephone No... Architect..............................................................................................Addres&...........................................................Telephone No..........:.............. Contractor Builder--- -------------------------------------------------------Address............................................................Telephone No----_----------_------- Lot --•-•-------------------------Block No----------------------•--------Sub --------------------- ----------Zone-------------I--- g Street-------------------------Side Between...................................................and...................----------------------------------Sts. - - ----- --------------------- Valuat! ..........For what purpose will building be used. .-- - ------ - -_-----Type of construction....: ....6.0?,p" - Dimensions of Building___Ig4,b--------_---------Dimensions of Lot__P ... ....�.-*......................Size of Footings.-/.O. Size of Piers.---_--_-;_.......................:Si3p of Sills___--_--------..............Greatest Sill Span in ft...........................Type Rod,_C:� . 01 How will Building be Heated?..- ,W__-_...Will Building be on Solid or Filled Ground?' ----------------- Size of Ceiling Joists-2,t/_-Q__ .--._.--.-_..._....I Distance on Centers.... /...................--....._.._I Greatest Span---/6............................_.... Size of Floor Joists----------------------------------------------Distance on Centers.......... ................................I Greatest Span.._--_--.___......--................_---.... Size of Rafters_------ -------------------------------- Distance on Centers ;?........................---------I eatest Span..��c................................... APPROVEDC'-: is rectangle is to represent the lot. CITY OF ATLANTIC BEACH �cate the building or buildings in the right position. Give distance in feet from BUILDING OFFICg, all lot-lines and existrVuildings. 1 17-1 REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. B 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. 4. When framing Is completed. D 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. 0 re Note: In case of any rejection, -inspection MUST be called for after 7_ corrections are made. Tor I — FRObo&t?" In consideration of permit given for doing the work as described in the above statement, we herebyagreeto perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builder.._... .... Address........................ ------ . . .............................. Signature of Owner.--- Address..:2...1)._/q FOR MAT"Eff C07— ,RCOF 111ATER C?jr--IP AT 7, 03tol'ilf3w Z—A AL OVIK Yl .NZ IrV I)i e 71 DoLl�, 7 e c 71" nzr F,pL• T.I •6,^ BUILDER SJ�.�e. a li'� UM d,'OR OF BAY lIDIN y5 y� GROUP.._..� �.< '� y:l�.�ii @�q�!� .,... g3 Ig Y �' �• v a �,«�,YaJ�`<Y� °,,�`�q" ('2 t g 8771»�yftrJ�� .,...s..�..ge�9 '6iF;a.'i:6 .s.il.D'Y..e a'e Si ,pJl+tivsne.B .. � - t '.A5:?.N✓ :e OR STIML .F..sAD SITIO ER I ( 9 fR.GTI l ei 1 a F:4 �i, v c t '- x.�„ e:J(�T..2�tw ... e4J. tid (':Y nnits) �: z?t ;kA`` :O ��'+ 11i �s `_' ' iJC t r r'";; a r' a a� ° UNIT (4 ts DENTAL �J�3IT OR CU P1.13OR U °Wry" g3,:3'a�n:+a°»i�� + T�� @�2 "'.' a:>9 b°o.i S z A,",t F,: i, s �,s DRXNKIiNG FOUN°ZA `tM ( ',E% W-Alt) 'WA is Via.z' (4 ---FLOOR DRAINS (I anitl) 'URINAL TROUGH 1EA'CH I--FT. ION t2 vmits� --KITCHEN SINK (2 lundts, / KITCHEN SINK IWFOM T,-PISTE ��.. GRINDER (3 uiaits� SINK, 1-11CH SET OF LAVATORY o? BARBER, MX TY �M��i..`9�'' (�, un, is� 11 fiF .�'.4�#.�`'Ld p a3�a.tl d't,i��aL%;:' ��w`a (2, �'�a�C.p.F.e X� �haSCCl�ane o� .n8 rlitsG /� DEPARTMENT OF BUILDING 3778 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.- PERMIT O.PERMIT TO BUILD I THIS PERMIT MUST BE POSTED ON .JOB I Date July 14, 1978 Valuation$ Plumbing Fee fl0 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that F. W. Fair Plumbing has permission to buil i es 2 hathi tubs, 2 closets, 1 water heater, 1 dishwasher, 1 dispos lI & 1 washing machine Classification zo e Owned by Don Meuse Lot Block_ S/D House No 322 Magnolia According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE X po ► 0 Building material, rubbish and debris from this work must not be placed in public space, and mast be cleared up and haiiled away by either contractor or owner. 1 11a ' TL f Bill M. Dav4Aq ui)CW T Bni fit owN.1 4/70 FOR OFFICE PERMIT DATE CONTlik&oR I "1,I W 75 USE ONLY NUMBER PLUMBING 1 i ELECTRICAL 4 SEWER WATER `�iI1MMM` ,rii �� E 3 i if If I=1 NO= a 1) ANNOdINIAi &&WWff OP TAPCOM AN04 S AND &.0 AWI A M NYM ?'HE (P.rv.PA sww ON mis CON PRO owr EVA4L6i4 w ak'UMENrp" arm FOR VER►FiBD G`REfE LkOCX tMNT StL4LL f 1/4~ COMPLLANICE AVAOb'ORQANCE MM TW ,aG04 EDR1bN Of 7WfLORIGA kriNMr COW. �, Y ~ MW-AN ANCHORS state W EriMMY m #M 1W COMM fE' STORM AAAAEIL 594LL /war W MILgrALLED At ISI MOCHY NUR10ONE ZONES (Wdl-aW/ VO1KAA'!), �/E�1CK flHl?: MEQ Q11�EDA wr ww Sl'tcCO _%W4 w PAkAA►rfEOl I i al DEWN Mrw�t7 LOW SHALL Of DOMED AS PER SEMN 1809 OF nit ABOVE MEN1/ AO GOOD FOR A' AWVWUW SIOU S t f S �-ZO CII'It`W USED $MLL N I I M COMA STUCCO DW, 94SC i i{ 1 MAID SPEED AS MMM 8Y WJURLSD IXW WHM SM#M AWIL WALL. W INS XLEa MIG FOR A9 AND 1 A�Klwl PON was WN AK! DIREL7IDNALITY f71C7�'iR Xd+rO.B.S. MI ACLORLIIAICE MM7H ASCE T ed SrAWAARa !E3 * 815E ?Wr PRECAST $MWf OR PRECAST COMCAM AWELS 8E FOUND ON YW PAMM' E WH f 'i�'` 5EC1If.>IM ! �f.4 Y N1 7 C"EE A l? at3O a SSmRf TA ) IMIM WILL, ANIMM SHALL Of LOW MICH TO MCH ?W AWN SrRUCnM ' 1 Z CLEAR WERM SIOW PANEL, SHALL aV EXTRUDED WHO G.E PLASMS Lim 10J PC RESIN a2) AROW -PALS � PALL 8E A9 AN�GIIED t7VM NID?'ES Mt �f) � (ftVVAftM?V *M ?W FOLLOW MnW#" PROPERTIES .14!lESLIf.1' (C) A11 NOU S�w�uc W wsr�A�Gyc�dC�faIMING ALL Or YW JPECOMMEMa+rNNVS AND M/IIAY3 O "tANCI ON'S MWIMM0 it i:. 7. PIAN!! MAY ACS!? W WALLED HOIrl2'OWTALLY fGLLOMwMC 0MALLAWN DEri U AOM ON C oft" ASTM 6792 � f l?hNt!/ 3► �Er Y Gli' d, 1 MELr stow mw AM W.733l1 52-8.00 0,/10 rninwi � STMW PANG SMALL St REMOVED AM � HUM IK WF AND SMALL SE SPORED AND P*OPEl�LY AWNTA ! i� cavA law MODULUS ASTM DOS J43.O00 p.t.G ne �w d FLfXllId1L 1AAa1XUS ASTM D78L1 31,1~800 p4d. St�ttl�Tt�F�IMIME�RE SitLr>�RR�� lM /tWY�rirE �INS�E P�ROfi A�s� � � COMPRESSW SixEt+tCTN ASTM D"S 1,7:'100 p s.L ACHED 'I. 10. SFMr M S Ai QUMACn1 M LABEL $MLL WE PLACED ON A READILY AND WME LOCATX4M Ar id; ;i i FiFJft/RAL STJtEMGrH Ar riEYD AS7At DT140 ISA1Ba P.e.l. A4N& ONE t�0W8Z'.SNALL WE PUM ICOR EVERY OPENANQ LMft _N4LL READ AS MLLOMt ; YrAda YW SMINOW ASTM Da38 Mo P.&A 1;0� >� ' R smrhGTH ASTM D732 appy p4LL EAi'YE?PN AIt7At SI tY, A+ESr PI+IL.M OEAC FL �� PLOA& Sl74tEWr PROOUGr APPMML. tip �� ! ', N'O i1 t2"J MILS ASiXI 1?2S8 17:7 P?--LL4/�e1 It. M!S7ALLA fM COW> 'AC7GR lS t17 SFr1L/OAtN.tC ALt SNUTTE1i' CW1P Nf EDIiaES NM CM Row4lN IW CEIlV7?WI/OLAri CtAmw IM1M 71,1E WLIA AM 7t? PwtE aff WMLO'�I�i4ilY !N� Q+ItitX f , i 911ft A�M17E F11VSS,1Gt 0 m1hutt Ar aa80~ AND $fi1L. &Y.M 'R'`M4M ALL AMM FULL LENSIX :i� . MDI` Ei 264 A4.1, 1/8" Asti! DW 3. ALL ALUAN" COMMA DNS SHALL LAE ALUM/NUM ASSOC41WN 6083-1080 ALLOY dt ?Be& 1� ft"m ' RECtIICATIOMS SYOW PAW MALIAMN WILL �9Y JIJRISOtCrxw M1�m PERA11?' Is 4• ALL SCREWS TO 190E STAWLESS STEIr 304 OR 316 AS SERIES OR G�GYPROSION RUWANT CWTED '��'� � CARLION STEL AS PER AW $0018 W1 '.i0 hl MW STRE7 IM AND 90 W TENSILE SnMClk u. o) rhw5 Ara PREPARED BY THIs E7YCMIEE'R 15 aEW m AND DOES NDr P wow S BOLTS YO LAE ASTM. A MIX, GALVANIZED OR AM ,304 SERA STAINLESS SWL, W771W iNf r1ON MR A 511E YPE4'M PRWM Lo. MiWM 71 r SAYE CONO106 DEiVMTE PROM THE 36 kN Alin. 1+w s7REl*?A RE.D. 1 0 8. ANCHORS tl� WALL SHALL A5 FCKLOMks: (a) GOMMlC11e?N Tri K RESPdMAE FOR TME SELECTX7VK, PLTt l*W AMO MISWALLAYM i' i , 1 (A) 70 > POURED CONCREI INCU00 LASE SAPS' Of THLS PROOM4.. SASEs ON M P.E.a PROW OM Nf/SME DOES NOr 0 1 - 1/f' / TAPCOIV ANCHORS AM+wPACTUREO 9Y I.T.W. 9UtLDEX WMrE PMM Mt CGNDI&d Ot7A M ON IMS DOCUAfEN?; CONSTRUC710M MOM Ar ATE AS f' 4' I X�"KEINE.' AND ELCD�TEXIROW, Rt'SPECTJVi'tY. ~A4NIiLMATE~ ANNwACTtIR�IJ BY THE comm"Is + PONSSUM. M �� . A Y M I w 1, NbrL�A (c) > Sa MwcL CO1vSA�'t1EO MAA1LJLi #'AL?ERED WY AN EAN:L A.1) ABAAAINJ�N EAWEWM W MI1b Pf�L/RE0 CONCRETE Ot' TAPCON ANClAORS is 1 5/4`AND nw C �" ELCO PANELAMFES IS 1 .114. O 5a &%^lJ�7IG MUM P AU 8E PREORAM AW A FLaRMU RCW?E'RED VOYE'ER OR ituw0 r *WN *ILL MCOAC-7W 04WEE* OP AAE'CM QR MR 7f�li' MAW AND WHO A A 7/8" C4LK-N ANCHORS SHALL BE' E'NTIROW E71idF M #M THE POURED C0NCRETE MLL WE *9SPONSOX N* ?W PROPM Lam' Or THE P.E.a� R OF AC??IMG AS A i M Ao EMI�AA W MYTb ShiCCO SFWLL BE PERANIM DELMAIS � W THE ATMA FAA9IWEER. "LL St1BWT TO TIAL LAMM ?! SITE SPMWV 1140 0-RD �.F`td'MtS' US'I 0 "LL W 1 I "LOW �V IJW SHMD STUCCO EXISr, DMOV ' FOR RE1/iM i i� 3 AMI"J 1 ANNIAILAM FON iM�LLS W H Alb iff ' C ` A.3) 1N &m *or PRECAST smvc PREL`AST CONCRETE (� rpW P.E.D. 5tOU !RAR ' &M AND OR/CM IL SEAL AND SITi' ftW Of THE PROFESSMNAL .c, i �� PANED Olt A4VERS BE F'OUNO ON ) THE E7fiS" WALL OR NOOK. ANCHORS SHALL BE LONG E'N'OU(W TO REACH TME AWN NCMAEER OP RECORl7 fMr PREPARED If. 0 SS1RLC'MW LI SL01 PANELS. ANCHORAGE SHALL 8E AS INDIC470 ON A10M A.1) � M rt8G Nurrkens ZaFr (9) It EXI,SI7WC CONCRETE BLOW WALLc ,, M•«.; Al ! -- 1140 r tAPCOrY ANG`HORS A44w ACrUREO Br L r.w, gUrtDEx. -'~'cL' �'.•�•r. - CLEAR BERTt,ui 51ORM PANEL. " 1 4 ♦ x 7/8~ CALK-IN AWHORS 0R ELCO mal. t AV"/# *AWELMATE~ AWYUPACrUREO, � ': • knew RY POWERS FASTENERS 1AAC AND ELCO TEXTRON, REV' EG`MUY. -" �,+t OPE MAIL S PPO's INC MAX .k!' t �. �ir 1 N s. 4m wr Mlw awt � ,�r;r •,�r w ,�A, as-era f . Twin. ff " kit r Vm .Q� • ,. L its' t Ot t If qI' r I � 1 4 I 1 ' � k� ��, � t>t.l><•(�Airlt Y�1l� 1 •rll'J�� -� �� 1llaM'� rlllt I�OtS�-- -�•—� !Mph .KMfNlrrl' Ate' 1 f.AOY• T ,�. - �. 1 f� aE aaq,•) 7 gr� �-alar'-•4•---aas'----�-al�t•�-• I-alar-� a:ae�Jr.t. k . �� lQ �. . I'; I JbIN[J I• rerP r 113- i E In a� te'AMM A 1 (0 MDOM 1 i ► SM< .► 4;7 � WWI 4w1, N { II �• • Y A JI iMl1��JOsAIRf/� •�' v � �I +�AL L • ll�"na kf �T 1 J r A= 10 ZW F7 -.-Jl I tjKj DETAIL It ar w w o w,wr, vw r►• h i DOM MIS Jar N .C; �+ww rrrl wp 40 y�•Ah.40--1 7777"'� ., - r t J g 3 { �� k �. t �i °, Jar!€�"r tY �•tJ� €� Am JAW Law 'y (r -wbab Htlr�mn, 1'on1� 1 1 i UUA AA PgN ITS --; c: �'ti^`�'•Yc f, G'LE4R O ?77,Ut STOI?M PANEL �. C a emss. USTE`R1V Mem AMY, M 4M Mr MWMC as-zxs �, ,I 1 f ,, :.. f� ai.... A►i �J/► ,�� rrwalrle Jr. J qq��. I � { 1 - E.T.� •�\ �j JIiT Y M' 4 1 € € 1 s I I § _ j rtiMOl�p A rr a � ,AW t Way �4lat��t c a h a am c y sc++mrsc Aa!►arme xa"'°°'"'cSOMWAMAW OtiatPam ,. r�rAeto L 11 t a ! o sa I', Aerwrtm ! !MCAM grits ( Vs•Att iThr m� �' ! h raw 4OMWma � In�„ I i r as,caw/ ,,r• f iaitr; r i!'ae. ��'� tI o- 1r1iEt t o ( �i6C1K IMtt t a T ! L�4 t4W110M f Atg1AMm AEOLwIm �tA�df 1r111L � 049-*&OT amhXAihOM �� JItLGf� a C a ^� F AIfYt1/Illt MOMMU CMLStll71MfK/O1t>O10Nt lN11lfrWii OM(tEt i MOit NyI 1 5�1�6tt AR llAlftNi� \ QMR I WALL Qu�tl�CiLltlM WUL u xc IMSM anon► r�„M.) �utt� out�� u,ar�awlAfSLWTAAAWXM lGitE �!/� smz: W+ !• SG{�� XALf �11� � 10 dMXri C e I� i I �� G MILK 1 'Ii�CX q I IL t��NI�1%/� �A! ! t� gg .r f 1NM'i Mif a , I r y E; Paw rar mum" s ar a" I yam, �. - wyy •to a& ! ' AEYAM [ i to •�;:.�:`-,l')`�'��- N z e MD1E ADi1 CtlIdYrV1lOM►d�' y� 7.77Z N 00 - y!►� �St i y CLEAR ORTM STORM PANEL rtax y 1 • . r -t a k c ��ISjEyMV SET Y. PC a ILWC d tMt, rwr re ANN we CE`ItlNG FL" A/d 'TNVQ t Tt/OK r..."' ,'•i " ';EMMMOOMW .�ftAl• `: th k �-.— _ _ _ pp�t SMA AW 1 �... �• t lith A E Jams 4► t a r' ' • w u x 41 I � BMW mmum m7m yo jr ON romw"°`�` aA ( 2 aR 3 oft 4 20 �, wee, iwafte maw "`i!iw AND4MFaroe r » • tj" � ON r Q.W AW AM U" Ire 1 4 PON" o rf {$)Arm AN! � �x 4 mDfl111A wut"'r�" _ s Car ) rip. :s- t, Jta'hMf4 OR r +►4aa -+ao r--,r r rr it OWL rN&A%ire r� � —sawa rt•a a ca,c.wn. f:• +► #a" -mo Y-?' 7• tr 12' j f �' 4S0.a -aiO t�f0• 7• �3` f=• f NILfOW1a,U4r i00t1pNPt +Aaa —no a- Y f2• f2• 2'at 2•Y aw mm= pec raEp+wra - 13At WA%f la j '� «tea -�oa r�r• r iz• �z• c•Aim SAW +raa -no d fo• 7• fr 12• :$ X.RA tMAAU/CY .714 -ARO Aw 7" fs' 12' CASK-C� � �.. `� � ' 4A0.a -•ARO d=4` 7• f2 !?' 6p Oh) 4 l I{ �a •••9Ro 4-f1' 7• 12• f2• r �& t14•Of f• 4 I ' ^ +►Aaa -,o n 4-Y T f2• 12• P W14 a � x; dOAf-?r AtL01� A.AI(R[ t� G � �.,L-�• MRM A�MrI" 12'Q d ilv i� t � � � +ae,a fOQo 4'•R• r 1r 11'' 1 IML` !/4'Oil KiV ��, i � � � � �� +tdtlta -100.0 4'•!' 7" f2' f2' �� f ` 9' r*—fmlm =_fma 4'-0• 7• rr tr h � • ANS. FMR0.�. �E11RJ1hf IS J•-0• WL 1 d �i "uUd"NAVW MOM AN WIN�n1W Jr 1Jr dE'if�RiAY0.1E,9w 6 R I=vw mv I y . AMICtIOR SPIIt1Mlo 1N a,r fMti)'�U?32i�IC1Mft AMDMNt OH 9EfiELk+tL If' off AiC1CIRlR�.. IIR x0• � 0. M*C'AIX--M AV=ft+I9 2 t MR "'� """'ammiv UAW Ntl° ;�" D -« -__ E�1lL1 CLOSC/�RL�'SLS r 2�� ..� KL MW er•� r s w rage �.. 4:., K i E`ACiq AA101lO1t 1/At At ANCt�Ili tEaIElICt •� 749.`' r.B,d(Ncn Haniea» Zve+4) � ' '• �„�' r- yI G'LEAR BERl7�fl1 STORM PANEL Y�aK ACIM CA NWffif CAS7yERk MMU SUPPLY. INC a»a IL C O rma. f 1 r/2• .rr 60 :'�, �1; t�'•• i'�• XLW �o" � 03-276 r .'JO ' Q�t� ii�w.r �Ir t -►Y ~ �y• MIMIIM iVl� W. - " hl }i f �k �) i TIMM woiD�i�oor POW--- pR r 1 � ! ' � ` � �" 1/'s IF.,71p g41? I�YI M1�G10 9 �F/ f 4 x-70$f•_Ind y MAP • �'.4 W:�� 114 Ira �•r.AL ` � ��•�„• ..w/ s Noao s� I rAM no SAMW W N, 1 •.SA Aft atom CAWIN 1 ;� � �r LtA�a• ' � !I � , 11➢a I .� No d� I r i s` �-- 1,4 to � 'AY I r we aff 4A6i AWR TO 1 • Ir I � ,z. �e I G I = JiLiiLi.WN�N low ilb� i 1 1oa ( tt91M1lI ! {N{ I ! _ t 3 ALMMrff f AL u fi : to A 1t s I Aa rwr 1 ! Mur I It4•rt*x s• �/fiir I 1 IrAIt *'+-aa A{MtiM1[ • IY+►m I i�•At / x I .fit'MMQ JIkR h i 1 r.rwas �LnR fif �� "E �• •941111110* , I 1.0-0 am "SID NCMJID&AUS fAMMAW • � /ts r I�/i•!• IfX �t r � r f R �• r wo /11 as nut Corsa rY � �� • � >7�MAf M 8•we. I I� fir. fri•fN1HGW•r e.a MA>E solo— mom p�p4 spa. G Mitt SEy. "V aE 61 ICi1W� ! p tt n AV MI►� My PTS S1JJl,iM+MMA l TAS Ti�N 1�r �UL ON �rx��ri!f�'; WaDi e�i�I Mas ` d LOAM AS ARF 21 �A fZaR WO!LCM0.S AMI AYl9Nr �.••;,v..„••,�r � sY,�4cL�fAt,f srasnu ow 3MEE�'J Ai•R .Jt,`i'.•�o. •.+•'�?,p'�s11f�;`4¢ - fe�G(�Vb„ huh t�I�b�tr raer.foon. Y 6 2` �r '�> wamio �n�aPs m a� cr r CL&R 869TM SWW W/SIC t 1Y at Ass do CLAL �L /1� EASTERN s1tElAt $WftY INCiC V 0 INC. a lr wIl rwr ffm "iu1 Mom it�04os t�5-278 r.c awrwr w , «. a I - I � � - - - - agar � k [ t { i -%` CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032316 Date 2/27/06 Property Address . . . . . . 322 MAGNOLIA ST Tenant nbr, name . . . . . . HURRICANE SHUTTERS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5200 Owner Contractor -- --------------- - ------ ------ --- -------------- - CHALOT, JENNIFER A. ROLL-A-WAY, INC. 322 MAGNOLIA STREET 10601 OAK ST, NE ATLANTIC BEACH FL 32233 ST PETERSBURG FL 33716 (727) 576-1143 ----- ------------- -------------------------------- -------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 5200 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 8 r. BUIL CIAL CITY OF ATLANTIC BEACH Cc: BUILDING / ZONING DEPARTMENT Hi ins 800 Seminole Road S. Doerr ` Atlantic Beach,Florida 32233 • r_ � f (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: Applicant: eay L a T Project: A/(/f 't4ol/E TZ',-S This ermit application has been: Approved CZ��—Reviewed and the following items need attention: d k o •C , Please re-submit your application when these items have been completed. Reviewed By: L - 1,VV Date: 02 -3 D(> � Date Contractor Notified: c; r J +i CITY OF ATLANTIC BEACH PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS, SKYLIGHTS AND GARAGE DOORS OF SINGLE—FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION Date: /&/W06 Job Address: f5_2 a-3"3 Owner's Name: c ►h�-�t~� �N� :tvf Address: 5�� 4fa.,17e n4, f_1 3_��33 Phone: Legal Description: Block umber: LK-S Number: c zz Zoning District: Contractor: `d- "& State License Number: ) k Address: l (Qc� �i4 t� Phone: 7 City:5—/ �G f�L!' (v State: /rC Zip: Fax: -T t27__57-S Describe proposed use and work to be done: rrr%c:a Present use of land or building(s): r Valuation of proposed construction: 5 Q 0 Is approval of Homeowner's Association or other private entity required? h U If yes, please submit with this application. Building Data: Mean Roof Height (ft) Building Width (ft) Building Length '90 ' (ft) Roof Slope *Window Elevation from Grade (ft) Window Height (ft) Window Width (ft) Measurement from corner of building to window (ft) S Y , Q S /t 4 a s s 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/27/03 ' Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data,the following information is required: 1. Manufacturer's Test Report 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Elevation View of Window Locations I hereby certify that all information provided with this application is correct. Y Signature of Owner: .Ou4l Date: 10A3/,,o 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 rrect and that the plans and supporting data have been or shall be provided as required. ignature of Contractor: Date: /a//3 AS- Address and contac formation of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of ,20 &6- State of Florida,County of Duval E., ROBERT J,BAILEY Notary's Signature: MYCOMMISSION#DD095040 EXPIRES: imPU*25,2006 ,Personall known Undwwftws Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this ��' day of t9cJ ,20 State of Florida,County of Duval �ROBERT J.BAILEY Notary's Signature: MY COMMISSION#DD 095040 a EXPIRES:February25,2006 [✓personally known Bonded Thru Notary Pudic Urdernriters ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/27/03 act 11 05 03: 17p p• BUILDING DETAIL SHEET Jerry E. Hicks, Contractor Customer Name: :5--o, e Pw, Cko,'� W Y'roperty Owner:�-&� No Address: 3-21 IV& ©1 t qtr. _ Unit#: _ City: plc. J,c ;5 Fi' County: Phone#: 96-1- -249,2_52 :L Single Family Residence; Yes No Condo Residence: Yes Ko._.) Other: 1. STRUCTURE: Masonry w_ Wood ��Concrete_ Aluuninum Other ttirsi�� (Window Frame: If opening varies from above materials,jpdicate type: 2. ROOFS LOPE: Less Than or Cre�lof Than 10 Degrees 3. FIRE SPRINKLERS: Yes No 4. BUILDING HEIGHT: 5. COASTAL ZONE: Yes No 6. CONDOMINIUM/ASSOCIATION APPROVAL: Required Not Required._ 6a. EXPOSURE;: B or C \,,,- � 7. ARE HOMEOWNER/CONDO SPECIFICATIONS AVAILABLE? "Y"es No s. PSF ._ W 7.93 9. BUILDOUT: Yes No ✓ E G: 1, CORRECT SHAPE OF BUILDING 2. ROOM TYPE(Kitchen, Bedroom, Etc.) 3. OPENINGS WHERE WINDOWS OR SHU?ERS ARE TO BE INSTALLED 4. WHETHER SHUTTERS ARE MANUAL OR ELECTRIC 5, MAIN CONNECTING STREET(Cross-road) F RM MUST BE lµ T QQW TE Y! Name:- IC ff Permitting Municipality 0r.1,46 e!ef-c Address S/F Condo City/State/ZipOpening H W Product Plans efo �7 ✓�9 �8 /03 /03 L6 L 7z - �� 7;?- /'7'L z/7'L 77- /7 x/7 i3 7"t iz /8 17 416 -50 LV zo 5z- The Dream, Inc. d�Eon ::0�•�• D&R Shutters,Inc. eprvkJnD eeNb 411111111111 Brunswick,Savannah, Jacksonville and the Beaches Hilton Head,Beaufort&Charleston F 4�� STORM AND 6ECURITY SHUTfER3 from Amelia Island to St.Augustne Home Office & Showroom 5851 Lowcountry Drive-Ridgeland, SC 29936 1-888-765-2929• Fax 1-843-717-1749 • • ` PHONE DATE _. TO: �_ � tiva-ii~�.__ w�� ( `• �� tr 1aCt- `f '�4<!56�-G. tc�yz�1C� JOB NAME I LOCATION n JOB NUMBER JOB PHONE followingThe ract .. (. i \) ick 14) 1 .��rP t;;V Z: t- ; .- C2T- ' -73 - --- X7'73 _--�- Authorized a 1 Signature ! Date of Acceptance: s Signature 7 C� Signature vA$ �� AUj��pvd �� I T b��j��sl��f tk�CI�c dAta�1 ��I'�S �°til QaQ�� Tndn3 dd�Av�Aht� 1�1 ��f� TISE CITY OF ATLANTIC BEACH APPLICATION FORPLUMBING PERMIT �(�� JOB LOCATION : �' �� U"�� f Z"- OWNER OF PROPERTY : r PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS : 2 �� ✓P . I V STATE LICENSE NUMBER: TELEPHONE:9Gy 24 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS _ SHOWERS LAVATORY WATER HEATERS BATH TUBS '2 DISHWASHERS URINALS r DISPOSALS CLOSETS / ='`,ifs ` WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: al x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 .00 i SIGNATURE OF OWNER : SIGNATURE OF CONTRACTOR : ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834