Permit 1276 Main St (vault) If st CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026468 Date 7/10/03
Property Address . . . . . . 1276 MAIN ST
Tenant nbr, name . . . . . . INSTALL NEW SIDING
Application description . . . SIDING
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 14000
Owner Contractor
------------------------ ------------------------
DOANER, SANDRA VINCO INC
1276 MAIN STREET 5860 OLD TIMUQUANA RD #12
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210
(904) 771-9992
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00
Issue Date . . . . Valuation . . . . 14000
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 100 . 00 100 . 00 . 00 . 00
Plan Check Total 50 . 00 50 . 00 . 00 . 00
Grand Total 150 . 00 150 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
800 SEMINOLE ROAD
CITY OF ATLANTIC BEACH
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE: (904)247-5800
FAX: (904)247-5805
SUNCOM: 852-5800
http://ci.atlantic-beach.fl us
LJ
WCOMMENTS
PLAN REVIEN
Permit Application # 0-
Applicant: i n
Address:
Project: XcE�Er-cct.X "/-)W t;,')n cnvr,y- -F- I I
V/Your application is approved
plic i n has been�revie d the following items need
1,---Your permi �ic d th in ite
10
\4ttenti
fcl to �J t
2-12 1W C7
�0. C�AiPP(ILCI MU SAT:
bAr5SQZ UVV)i-L %61F,,Q K.
Of -
9�� VJ t LLN—LA AD FLA LWez, LO
Please re-submit your application when these items have been completed.
Reviewed by q -9-C&
Signed -0?, Date
Contractor Notified Date
CITY OF ATLANTIC BEACH
SIDING PERMIT APPLICATION
Date: 0
Job Address: Z1 74 J'7�--e e--y4- A7YO17hC_ Re-O,-4
Owner ofProperty: ,-��ve
�n I- �_,q,7 Oe?i? e t-
Address: 12-24, &P;-ir7 -<7-ree-�' �1-614Telephone: -L19 —
Legal Description: BlockNumber: Lot Number: Zoning District: A
Siding Contractor: Vin UP6 To 6 �
Contractor's Address: "5749(00 ig Id 13�'M ug P? z z
Telephone: (fiV) 7 71 —qf 5F 2— Fax:
N.— /
Describe proposed use and work to be done:
Present use of land or building(s): idehr -e-
Valuation of proposed construction:
Is approval of Homeowner's Association or other private entity required?l/d If yes, please submit with this
application.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
Step 1. Attach detailed information on product to be used. 7�
Step 2. Attach details concerning attachment of product,i.e.,fasteners,etc.
I hereby certify that all information provided with this appli ion is correct.
Signature of Owner:
-----Date:
I hereby certify that 4ave 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 an correct and that the I s and supporting data have been or shall be provided as required.
Signature of Contractor: --Date: t7 0-3
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us
Page 1 Revised 1/17/03
Address and contact information of person to receive all correspondence regarding this application (please print).
Name: VI�C,0, Ina .
Mailing Address: 5 0,(Vo 08 _F1 al LAQ Lk a n;t 4= 3
Telephone: (q04-) q-l( -9992 Fax: I 1'- 3-717 E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this day of 20L6_5__-
State of Florida,County of Duval
AMY L.SMITH Notary's Signakr_k_,_/1A
—4 4
MY COMMISSION#DD 07�j]39821
EXP
IRES:November 25,M Personally known
Rs
Bor&d
Thru Notary Public'Unda"itsrs
F� Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this .2 day of 12003
State of Florida,County of Duval
Notary's Signature: (A-- CQ
9 Personally known t
—Produced identification
Type of identification produced
7 BENJAMIN G.CHANCE
MY COMMISSION# Do 178623
EXPIRES:February 22,2007
=
1-800-3-NOTARY FL NotluyServloo&Bonding,ft.
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us
Page 2 Revised 1/17/03
07/10/2003 13:2B 9043879021 EXTERIOR SUPPLY JAX PAGE 04
Specification Sheet CertainTeedM
ApPROVED
im 4.i A �.ur, nrAr'W
BUR DING OFFICE
Cedar Impressions JUL 0 8 2003
Polypropylene Siding 4±nt-�00"'
By. 1
Gencr2l Description: Cedar Impressions*siding provides the look of wood shingles,but does not require the upkeep
cominon to wood.Available in perfection s6;ng1r-.ind H-AF-rniindxhin[,1c styles with a true-ro-lifc Cedar shingle texture
moldcd directly from natural wood shingle%,
Cedar Imprcssions siding is appropriate for use in nrw ronti-norl ion f`or.;inF,1c family hornes, multi-housing pro*ts and
light commercial developments. Ccdat Impressions is-also an ideal product i�r remodeling.
Styles:
Profile Futish panel Pancl Willi Lock Colon Accessory
Thickness Projection Thickaus Design Pocket
Perfection Cedar grain 48"x 14" 3/8" 0.iW Molded perimcccr lXk 10 1/2"
Shingle--. texture Double Course for Seamless appearance
H-All',round CcJAr gmin 32"x 15 1/4" 318" o.lwl. Molded perimeter lock 10 1/2"
shint'jes texturc Double Coune for xe-amlem appemnce
Colors' Cedar 1mprcssU*3ns siding profiles are available in the industrys widest selection of colors.AD colors arc
SpectroColorimeter controlled and utilize exclusive Permatek'" color science.
Antique Linen Country Suede Granite Gray Liglit Maple Rustic Cedar
Colonial White Dcscrt Tan Ivy Green Natund C I lay Sterling Gray
Lack: Moldcd perimeter locking system locks on all sides of panels to provide a seamless appearance and superior wind
resistance.
Accessories: C-trtain'feed manufactures a wide range.of siding accessories which am compatible with Cedar Impressions
siding stylesand colors.Accessory products include installation components, soffit,window and door trim,corner lineals,
LOU= NYACHIS and dmuraLivc inulding,%,
Composition: Modified polypropylcnc copolymer has a cell classification of PP300AI 1220FOOW202010.3 as defined by
ASTNI D4104, itiecting ot cLeceding the following properties as rcquircd by IC00;
Tahle I
lensele modulus,AS I M 06-.vs(psi) 180,(IOU Terk-tileurength,Ai'I'M L#63a(psi) 51100
Plexural modulms,A.STM D790(psi) 180,000 coefficient of exp:kndon(in/ift/*F) 53 x I W
De&rrinn re.mpri-Ature tender Inail 264 psi('F) 160
'lechrucal Data: Cedar Impressions siding, tested to ASTM flame test procedures.
Ta6le 2
Burn Pure.ASTM D635 2 incliesintinute
Smoke Density Racin&AS*1M D2843 40
Minimumnelf-ignition temperature ASTM 1)1�)-296,50*F
07/10/2003 13:28 9043879021 EXTERIOR SUPPLY JAX PAGE 05
IlLIFOLUJIL Filt;SfCiy JUf0jjjjAtjUAj. Wlien rigid,polypropylene is exposcd to significant hCat UK(6111t, Lite 11olyplupylClic
will soften, sag,mclt or burn, and may thereby CxP05t Material underneath. Care must be exercised when selecting
underlayrnent materials because many underlayment marcriak are made from organic matcrials that are combustib1c.
You should ascertain the fire properties of underlaymcrit materials prior to installation..All burning materials should be
insr2lW in accordancc with local,-itate mid federal building codc and fire regulations.
Wind oad Testing: CertainTecd Ccdar Tmpressions'siding has been tested per ASI'M 5206 standard rest method for
wiZ loaTcststance to withstand negativc wind load pressures of 73 psf whim installed with nAN,which converts to
1.9() "'J'h. - ctor for wind load requiremcnts in your area on the type Of."MCEure
rherk wirb yow local hij0ding in.5p&-
You am building.
Installation: Complete instructions for instilling Ce-dar Impre.;.dons siding are available in the "Jnsra)lationfnstructions�'
triantial avidable from CcrtainTecd, Please review this manual pilor to installation, it contains important installation
rcquirements.
Warranty- CertainTeed supports Cedar Impi-cssions-siding products with a Lifetime Limited Wirranty.ne warranty is
ri-ansferable.if the home issold.
Tec6ical Smices: CerrainTeed maintains an Architectural Services staff to issist building professionals with questions
reparding CerrainTeed siding products. Call (800) 233-8990 for samples and answcm-to technical or installation
quesciolu,
Sample Short Form Specification: Siding as shown on drawings or specified herein sh,211 6c Cedar Impressions6'as
rn.anufactured by Certainlied Corporation, Valley Forge, PA.The siding shall be 0.1.00" norninal rh;Acnrq%and provide
wind rcsistance of 73 psf negative pressure, Instillation shall be in accordance with manufi.crurees written instructiom.
Three-part Format Specifications: Lnne form qperirirarirtn-�in three-part fnrmar are available from CertainTeed by
calling our Architectural Services Staffat (800) 233-8990.These specifications 2re also available on our world wide wcb
sitc at www.certainteed.coni.
CertaitiTeed Corpofation,P.O.box$60.Valley Forge.PA 19492 CeftinTeedE
0Cxrta4tT4-d Corpantion 1)198 Codc'170-50-It"
07/10/2003 13:28 9043879021 EXTERIOR SUPPLY JAX PAGE 02
Al
Specification Sheet
i nTft%d 0
31)tj DING
I -
JUL
TM
Hamilton ParW RigidForm 13 5
Vinyl Siding �n__
Gcixcral Description; Hamilton ParltRigidForni'135.3iding lu appropriate for u"in new construction for singIr
family homes, multi-hOdsing project.%and light commercial dCyCl0pMent$. H2Mi1t011 Parkis also an ideal Product
for remodeling.
Styles:
Proffic FWsh PlAncl W611 Lock Coleco Axce"ory
Projection Thicktwess Design Packet
Triple 3"Clapbmard WbodArain 1/2" o.o4o" post4o.mW-4 10 1/2"or 3/4"
Dnithle 4"0apbuard Woodpain 1/2" 0.040" Pou-formcd to 1/2"or 3/4"
Doubk 5"(_1,tpbn;rd. Woodgrain 1/2" 0.040" Post4rincd 10 1/2"or 3/4"
Double 4 1/2"Shiplap Woodgrain 1/2" 0.00" Post-finmed 10 1/2"Ur 3/4"
Colors: Hamilton Park siding profiles are available in the industry's widest selection of colors.All colors are,
SpectroColorimcter controlled and utilize cxcltuivc Pcrmatek'color science-
Colonial White Silver&-h Oxfuld Dluc PrairicSand Stcrling Cray
Natural Clity J.4,criragc Crc2rn Desert Tan Sandstone Beigc Light Maple
Rjgid,Forin� I lamilion Park RigidForm 135 double nail hcrn tccl-,nology itiffens siding for a t4raighter-on-the-Wall
appearance and provides wind load perfi)rmatice Lip to 135 mph.
Lock. Desiguct.1 fW (�MC 4.1F ill.MdIaLiOn, I lailliltOn Parl�,C 11jing panCls 1�arurc a post.formed lock popular with ln&tallers
for its locking issurincc and trouble-free handling.
ACCC530r;U$; Cci tainTecd manufactu rc.s a wide range of siding acccasorim which Qre compot;b1c with Hamilton Nrk
,siding styles and colors.Accessory products include instaflation components, soffir,window and door trim. corner
lincals,corner systerns and decorative moldings,
Composition; Hamilton Park siding products are produced using C'ertaVin"custom-formulated PVC resin.
This resin is produced exclusively by CertainTeed,allowing Certairilleed to maintain the high quality of its siding
products.CortaVin PVC resin has a cell classification of 13344-5 W."defined by ASTM. D4216, "id incers or c-xcccds
applicable standards as shown.in Table 1. CcrtuinTeeds Hamilton Park siding is in compliance with the ASTM
Specification for Rigid PolyVinyl Chloride (PVC) siding D3679.
Tabic I
Impact strcngth(ft, -lbsAn.)Test temp.73'F 2.20 'I�J.hiiv 4LICI.6ch(1"i) 7,344
li"Pac,strength(fi,-lbs.ho-)'I�_%t temp.32OF 1.30 clienlical kuivancc mcdIcnt
Flextiral modulus of clastit;ity ill tejksior,(psi) 455.750 Coefficient of expan6on(InAnt'F) 3,4 x 10-1
Deflecdon ccaiperaxtirc tindu loi(l 264 p%i( F) 168
07/10/2003 13:28 9043879021 EXTERIOR SUPPLY JAX PAGE 03
Technical Data; Harnifton Park siding inects ASTM wcathering standard D1435. Asshown isi Tliblc 2, 1 Lunilron Paric
siding is in compl.iance with ASTM Fire and Smoke procedures and meets or excccds Standard Builditig Codc
requirements.
Table 2
AS,rM E-84 Flaine Spread 20
Fuel Contribution 0
Smoke 0ensity,360
ANTM D1927 minimum self-ignitima tris-Imiatuee 024*1:
ASTM Ei 11) Firt En-Aunince ClassificAtiun of f hour rated
ASTM 116,35 Average rime of 6urning- 5 secondi
Average length of burni ng= 10 min
MateriAl is self-cxtinguishing with sio measurable exEctir of burn when tested inaccurdance with thisspecification.
UI%C,26-4 Muld-Story flame TeaiL-iuklik.4tCd Cti td;Z"d Yiny)Ading dow not contr;6ute to the cprca4 of rut in a Mulu-%rnry sittlawm
SBCC1613 Radiant Heat Tor-ignition Resistarice of Exterior Walls-Conclusiun that Ccroirilied inet die coiditionji for allowable
use as specified instetion 61 t.2.3.1 of the Srandiird Building Code.
Important Fire Safety Information; When rigid Vinyl siding is exposed tosignificant heat or flame, the vinyl will softcri,
sag,melt or burn, and may thereby cxpose material underneath.Care must be exerciscd when selecting underlayment
materials liccaust:many underlaymcnt materials are made froin organic materials that are Lumbustibic. You should
ascertain the fire properties of usiderlaymcnt materials prior to insWiation.All burning materials should be installed in
accardince with Inral,Atateand Weral Building Code and fire regulations,
'Wind Load Testing; Ccrtairilleed.Hariiilton Park siding has bccn tested per ASTM D5206 standard test triediod for
—wind resistance to withstand negativc wind load pressures of 46.,3 psf when installeml wi(h n3il*and 65 psf when installed
IT\with stapIcs, which converts to 135 mph and 160 inph rcspectively. Check with your local building inspector for wind
load requirements in.your area on the type of structurc you are building.
DOCUniellts: Certainleed Vinyl Siding tneers rhe standards of the following spccifications.
CCMC Evaluation Listing No. 12181L Soffir pancls conform to ASTM D4477
SB('(.'l PSI &ESI compliancc report No 970) Texas Department of Insurance EC-11
BOCA research,report No. 94-46 Dadc Counry Approval 96-0603-07
lCBO evaluation rcpurt No. 2623 New York City Approval 285-93-M
CuiifuLii-is to ASTM D3679 Conf6rrni. to UBC 26"
Installation: Prior to commencing work,verify governing dimensions of building, cxaminc,clean and rcp2ir, if necessary,
any adjoining work on which the siding i.-in any way dependent for its proper installation. Sheathing rn:irciriak miist
have-,in acceptabic working surface. Siding,soffir and accessories shal I bc installed in accordance with the latest editions
of CcrtainTccd installation manuals on siding and soffir, 1115tallarion manuals are avadabic From CerrainTeed and its
distribUtOrS.
Warraft1r. CertainTeed supports Hamilton Park siding products with 2. Lifctime Limited Warranty.The warranty is
transferable if the home is sold.
Technical Services: CertainTeed iminraim an ArchitecruralServicts staffto assist building professionals with questions
rcguding CcrutijiTecd siditig pauducts.Cill (ROO)233-8990 for sarnplc4 and muswers to technical or installation clumtions.
Sample Short Form Specificatinn: Sidirigas shomrri on drawings 01-SPCLifit:d herein shall be Hamiltun Park'Vinyl Siding
ls 111artufacEurcd by CciLaiuT6:J Cuj potacion,Valley Forge,PA.The at-ding:;hall have a 0.040" nominal thickrics;s;:md wind
rtsistance of 463 psf nqative pressure. tnstAlarion shall he in accordaricc with nianufacturcrs instrucrions.
ThaL:c-paitForoiat Specifications! Long formspecifications in three part format are available firom CertainT-�,d 1:,y
calling our Architectur2l Services Staff at (800) 233-8990.Iliese specifications are also available on our world wide web
site at www.ccrtainteed,coin.
CertainTeed Corporation,P.O.Box 860,Valley�orgr,PA 19492 fgA Otirdy orano at uanamitto corporatkan I
4)Curtaist&vd C*cp*mt;on It" C(Xlc 020-50-869
I st CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
DIM
Application Number . . . . . 03-00026480 Date 7/14/03
Property Address . . . . . . 1276 MAIN ST
Tenant nbr, name . . . . . . REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2400
Owner Contractor
------------------------ ------------------------
DOANER, SANDRA SHORE ROOFING
1276 MAIN STREET 914 7TH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-8842
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 68 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2400
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 68 . 00 68 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 68 . 00 68 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
Ci TY OF ATLANTIC BEACH PERKIT -CALCULATION SHEET
4% �-k
Address
Date 0
Heated square Footage per sq f t
Garage/Shed per .sq f t
Carport/Porchuk x 0., $ T3 er sq ft .= $
er sq ft
Deck @ $ P
Patio per sq ft
TOTAL VALUATION:
.Total Va ation Ist
6u $
4 C)
.Remaining Value $57 per thousand
or .,portion thereof
TOTAL BUIL DING FEE
+ 1/2 FilingFee 73
Fireplaces 80
BUILDING PERM-IT FEE
WATER. IMPACT FEE
'SEWER IMPACT .FEE
WATER' METER/TAP,
CAPITAL IMPROVEMENT.
SEWER TAP $
RADON (HRS) Q05Q $
SECTION H PAVING
HYDRAULIC SHARES
CROSS CONNECTION.
SURCHARGE .0050
OTHER
GRAND TOTAL DUE
ADDITIONAL PERMITS OR FEES : .,Xechani.cal P I umb i ng—
Electric/New 4jectric/Temp— ;Swimmingpool
Septic Tank well_; sign Finish Floor Elevation
Survey
Other-
CALCULATIONS and/or NOTES :
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE: (904)247-5800
FAX: (904)247-5805
SUNCOM:852-5800
http://ci.atlantic-beach.fl.us
PLAN REVIEW U MMENTS
Permit Application #
Applicant:
Address: Mo ,f n -'5+
Project:_
W-.Y, our application is approved
0 Your permit application has been reviewed and the following items need
attention:
Please re-submit your application when these items have been completed.
Reviewed by C-5
Signed Date
Contractor Notified Date
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date:
Job Address: ell
Owner of Property: lc-ve— AA,'�/J_ Telephone: 23 ;�.
Address: S T_ At-la, 11c
Contractor: State License Number: 05y 8'1
Contractor's Address: -S
- f J7 4
Fax: 2_q I _j
__43
Telephone: 2 -7
ScopeofWork: 1?e 12oaC— 10/k
z
Deck Slope: Greater than 2:12 Less than 2:12
APPROVED
Valuation of work: CITY OF ATLANTIC BEACH
13UILDING 01FICt
Product Name(Example:Timberline): JUL 14 2003
Manufacturer(Example: GAF): 0—U f ci
ASTM Designation(s):
tjy*
Required Inspections: SheatWng and Final
Date:
Signature of OwneK
Signature of Contractor: —Date:
AS TO OWNER:
Sworn to and subscribed before me this 0 day of 20 0A, .
U
State of Florida,County of Duval
AMY L.SMITH Notary's Signature:
MY COMMISSION#DD 073821 C)
Personally known
EXPIRES:November 25,2005
t-6-W Bonded Thru Notary Public Underwriters F1 Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 200_�3.
State of Florida,County of Duval Notary's Signatur4t2l
JENNIFER SCHWETER
Pei sonally know
MY COMMISSION#DO 121301
o
�g� EXPIRES:May 27,2006 duced identification
Bonded Th,u Notary Public Underwriters
I Type of identification produced
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us
Page 1 Revised 2/21/03
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
'FlIT INSPECTION EMAIL REQUEST:
Building-deptkwab.us
Application Number . . . . . 07-00000836 Date 6/18/07
Property Address . . . . . . 1276 MAIN ST
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1CU 1AHU
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DOANER, SANDRA SUPERIOR SERVICE INC
1276 MAIN STREET 235 SR 207 BLDG B UNIT 2
ATLANTIC BEACH FL 32233 ST.AUGUSTINE FL 32084
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 79 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/15/07
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
Date:
Property Address:
Owner: - ;�!��, - 2?i OA-o��?, Telephone#:
Contractor: elephone#:
T
Contractor Address: C X- �y 9 Fax
Contractor Signature:
In consideration of—permit—given fo doin e work as described in the above statement,we hereby agree to perform said work in accordance
f
andards of
with the attached plans and specificatio which are a part hereof and in accordance with the City of Atlantic Beach ordinances and st
good practice listed therein.
Type of Heatin Fuel: If other construction is being done on this building
7ectric or site,list the building permit number:
El Gas: _LP —Natural —Central Utility
L] oil
Ll Other—Specify
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
U ,Heat Space Recessed Qentral —Floor 3,1�Residential
or' Air Conditioning: Room central
U Duct System: Material—Thickness Q Commercial
Ll Refrigeration Maximum capacjty__________�cfin Ll New Building
U Cooling Tower: Capacity EDM U Existing Building
El Fire Sprinklers:Number of Heads
• Elevator: Manlift Escalator_(Number) U Replacement of Existing System
• Gasoline Fum�s- _(Number) lation
L] Tanks _(Number) U New Instal
Ll LPG Containers umber) (No system previously installed)
L3 Unfired Pressure Vessel Ll Extension or Add-on to Existing System
L3 Boilers
U Gas Piping 13 Other-Specify—
L3 Other—Specify_
LIST ALL EQUIPMENT
AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving
Number Units Description Model# Manufacturer Ton's Agency
�z . AWIA�2,:��2 21-"—
HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving
Number Units Description Model# Manufacturer BTU's Agency
TANKS Nominal Capacity Type Liquid Serial -��p—poving
How Many &Dimensions Contained Manufacturer No. Agency
800 Seminole Road o Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800* Fax: (904)247-5845 e http://www.ci.atlailtic-beach.fl.us Revised 1/04
CITY OF
lq&4".0 &4414-A;&"*
Office of Building Official
REQUEST FOR INSPECTIO V 6
Date Permit No.
Time
Received
Job Address L 5—oc a I�i ty
Owner*s
Name Contractor
BUILDING CONCRETE ELECTRICAL %��LUMBIN MECHANICAL
Framing El Footing El Rough Wiring D Rough
Air Cond. & E
Re Roofing E Slab D Temp Pole LE-1 TOD-out Heating
Insulation Lintel 17 Final F-, /:RFwe'r'� E Fire Place E7
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues. Wed. Thurs. Friday P.M.
fi-1— / 0- o A.M. (ST
Inspection Made 'j PM.
Inspector- Final Inspection El
Certificate of Occupancy E
q6 � Date
DEPARTMENT OF BUILD114G 4478
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.-
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
D 9/11 1980
Valuation$ 49,350.52 Fee S 134.87
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 Harms Prom Corp/
as penmasion to build a single fa*ily dwelling according to plans
submitted.
Classificati R—AN-1dential zo
Ownedby— Marcus Prom Corp.
Lot s Block 2 6 S/D Sect. H
House No. 1276 Main Street
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
x
.4 0. 0 Building material, rubbish and debris
Z from this work must no 4fed Ift.
public space, and m
and haiiled away by eith
not
or owner. :.��
14
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
DEPARTMENT OF BUILD114G
4485
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Data n 1"0 19-ga—
Valuation$ PIMBING Fee$ 11-DO
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of low.
This is to certify that L G PTIIMTXG—
has permission to build Tuaf-al-1 .1 RiUk, 'A Lablato=J, 2 nth tltb-Q�� 3 1210aet ;
-ag mach.
1 water heater, I dishwashers, 1 disposal, and 1 washi
Classification Residental Zo
Owned by
Lot Block— -,/T)
House No- 127�eMnin Streat
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4 4-10. 0 Building material, rubbish and debris
Z from this work must not be placed in
public space, and must be cleared up
and hatiled away by either contractor
or owner.
A411 DaUja
Buildingl;6Qu T
FOR OFFICE PERMIT CONTRAdTOR I
USE ONLY NUMBER DATE
PLUMBING �J/I tWu
ELECTRICAL
SEWER
WATER
CITY OF AT;-AmIllic 13rlillAcK
APPLICNATION FOR PLUM3MqG PER141T
f/Y
Mlhlsll."�.1111R
/COUNTY OCCUPATIONAL LICMSE: NOO-
&i!ATE
OR COS�VWP�CT
TYPE OF
'alms
-LWATER HEATERfSo
,-,!,PATli TUBS DISMASHERS
—UR'.WALS DZSPOSALS
IUCLUSETS i—VASHING N&CHINE
FLOOR DRAINS
OTHEk
13YOTAL FI=URE COUNT
INSTALIATION OF PLUMBING AND FIXfURES MUST BE TIN ACC"ORDANCE WITH THE MOST
I REC
274T EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CITY OF ATLANTIC BEACH
WATER CONNECTION CHARGE 00
DATE h-9
LOCATION Zp
OWNER
PLUMBING FIRM
MASTER PLUMBER
BUILDER OR CONTRACTOR
TYPE OF BUILDING
0
BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC ( 2 UNITS)
WATER CLOSET,LAVATORY AND BATH--
TUB OR SHOWER STALL.(,6UNITS) SHOWERS GROUP PER HEAD ( 3 UNITS)
BATHTUB ( WITH OR WITHOUT OVER SURGEONS SINK ( 3 UNITS)
HEAD SHOWER) (2 UNITS)
FLUSHING RIM SINK ( 8 UNITS
BIDET (3 UNITS)
SERVICE SINK TRAP STAND ( 3 UNITS
COMBINATION SINK AND TRAY ( 3 UNITS)
POT,SCULLERY SINK ( 4 UNITS
COMBINATION SINK AND TRAY W/FOOD DIS.
4 Units) URINAL, PEDESTAL,SYPHON JET
BLOWOUT. ( 8 UNITS
DENTAL UNIT OR CUSPIDOR ( 1 UNIT)
URINAL, WALLL LIP ( 4 UNITS)
DENTAL LAVATORY ( I UNIT)
URINAL STALL, WASHOUT ( 4 UNITS)
DRINKING FOUNTAIN (l-, UNIT)
URINAL TROUGH EACH 2'SECTION
DISHWASHER ( 2 UNITS) ( 2 UNITS)
FLOOR DRAINS ( 1 UNIT) WASHING MACHINE RES. ( 3 UNITS)
KITCHEN SINK ( 2 UNITS) WASH SINK EACH SET OF FAUCETS
( 2 UNITS
KITCHEN SINK W/WASTE GRINDER
3 UNITS) WATER CLOSETS, TANK- OPERATED
4 UNITS
LAVATORY ( 1 UNIT
WATER CLOSETS, VALVE OPERATED
LAVATORY,BARBER,BEAUTY PARLOR 8 UNITS
2 UNITS
LAUNDRY TRAY ( 2 UNITS
LAVATORY, SURGEONS ( 2 UNITS)
FOR OFFICE USE ONLY
Date---------�&&..............19 F0
Permit #.-YY.7A.......Fee
CITY OF ATLANTIC BEACH viauation ..................
FLORIDA House #... .....
APPLICATION FOR BUILDING PERMIT
.................................I..............................
------------- ------- ------
Application is hereby made for the-approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulationsof 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 beet issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlanfic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that-a list of sub-contmctors be submitted to this office so that licenses can
be verified.
Date........................................................................0 19......
az... -----------Address--2X.PY...... .......S'E...........Telephone No...ZV1-2XZ_!a...
Owner----- /__hzca�..... ----------C. 7
Architect.......... ..........................................................-------------_-------Address..........------------------------------------------......Telephone No...................__......
a r-C(A 5 -
Contractor Builder-------/....nJ- ------------------_ 12 " �'-'P'/0
-----Address............................................................Telephone No 2 1/
............................
Lot No---------- --------------------- ------Block No.......2-Z.-(P-------------Sub Division....11 7-t 41a7le --------5.r............!�......Zone...��s
Mt911V
.......----------------------------------------------.--Street.---------IA-/ ....Side Between... ..................................and... .. ------------------------------------------sts.
Valuation $....t�.O 000!-----------For what purpose will building be used.�;ouctt rA"-1LX.. '4 A AME
t--- ....I—..............._........ -Type of construction..... .........................
Dimensions of Building-------- ----Dimensions of Lot.-_-!�0 X "c, -?- �... Size of Footings.... !?#S
................ ................... --------------------
5 .?2 -
Size of --------Size of Sills--------------- Greatest Sill Span in ft..........................Type Roof------ .e...................
How will Building be Heated? Building be on Solid or Filled Ground?------ ...................
Size of Ceiling Distance on Centers..... .............................. Greatest Span......2-f.../........................... 99
Size of Floor Joists.........2.?�_r----_-----............ Distance on Centers......164- of
..... ...........-1-.............., Greatest Span..... .............................
Size of Rafters.....____----------=---------------.........Distance on Centers...... ............................ Greatest S ai..... tv
P I ...................................
This rectangle is to represent the lot.
cate the building or buildings in the
ght position. Give distance In feet from
9297 1 lot-lines and existing buildings.
Two copies of plans and specifications shall SEP 04 1980 REAR LOT LINE
be submitted with application.
Inspections required. CITY OF
1. When steel is in place and ready to pour footing. ATLANTIC BEACH
2. When steel is in place and ready to pour columns and/or lintel. Z 2S
3. When steel is in place and ready to pour beam.
4. When framing is completed. APPROVED
5. When rough plumbing is completed,and ready to cover up. CITY OF ATLANTIC BEACH 0
,s
6. When septic tank drain field or sewer is laid but before it Xis !NqG OFFICE
7. Electrical inspection by City of Jacksor.ville.
8. Final inspection. 11 9 :Al
Note: In case of any rejection,re-inspection MUST be called for %a
corrections are made. < N
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are -a part hereof, and in accordance with the building
regulations of the City of Atlantic B7ea . ____I _2Xd (1 S , :� tl
Signature of Builder....../X.. ..... . . .. . ....................................... Address....................---------------------------
...................................
-2 '�—J S T,
Signature of Owner... ...........................a................ Addrens..).&R.Y.....:��..........................................................................
PA c 0
o cic D 2-
C 7-ro
APPROVED
CITY 1� -TLAN;lC BEACH
BUIL G OFFICE
A IAI
STATE OF FLORIDA
DEPARTMENT OF HEALTH
& REHABILITATIVE SERVICES
SEPTIC TANK CONSTRUCTION PERMIT
Duval County Health Dept. No. 16059
Owner Marcus Prom Corp.
For Installation At: Main St. , Atl. Bch. , Lot 5
Drainfield Size 420 sq. ft. ___Sand Filter Siz
Septic Tank Capacity Minimum 105 _ gal.
Grease Trap Capacity Minimum
Dosing Tank Drain Tile
Remove hardpan & back fill with oakridge type
sa(V-1ns1WMbnbRthdAiRnVFM AffbreWtenWse Et datp ter
1 OD-6, Florida Administrative Code.
(b) Final inspection required before work is covered.
(c) Permit void if not used within on.e year,
(d) Approved installation does not guarantee performance.
Date of Application 6 V 180 Issue 7/9/80
\JUIA
Issued ka-V C. PDouglas, Supervisor
natural grade level. Match ST with stub-out.
AOW- A00W
CITY OF ATLANTIC BEACH
APPLICATION FOR WATER CUT-IN
APPLICATION IS HEREBY MADE FOR WATER CUT-IN AT
THE FOLLOWING ADDRESS FOR UNITS (S)
CUT- IN CHARGE OF
STREET NO.
LOT- BLOCK SUBD I V I S I ON
ACCOUNT NO.
MASTEVPLUMBER
DATE
METER NO. DATE INSTALLED
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
247-5826-Fax 247-5877
800 Sefffnole Road AjAanjjc Beach, FL 32233-Tel--
PLUMBING PERMIT
jI,lI:itiI;N!ATI0N
PE —' 1276 WINS I REET
Address:
Permit u r: 22469 ATLANTIC BEACH, FL 32233 1
Permit Type: PLUMBING Township: Range: Book: .
Class of Work: ALTERATION Lot(s): Block: Section:
Proposed Use: SINGLE FAMILY
Subdivision: SECTION H
Square Feet: Parcel Number:
Est Value:
TION--:
Improv. Cost: 8/09/2001 —Name: DOANER
Date Issued: 25.00 Address: 1276 MAIN STREET
Total Fees: r
Amount Pa7td: 25.00 ATLANTIC BEACH, FL 32233
I Phone: (9(A)247-9229
Date Paid: 8/09/2001
ijiii�ii:iiii��Iii� il,ie c- REP E SEWEiil!�?, LINE
—�5—06
AA,
CCI-08ts-
a&O"77 1---t
WE—EK S C 0 M P A N Y
A
%
_4
4 4
42
3
51
20,
ILI
LAI--
num 42
mot
FINAL
T
P R-T6*49 I
k16 PECT ON
NOTICE I E�REQUEST
NSP 5-1B _f�,D:_ T ..4�_
-N -
F
BUILDING MATER14, RUBBt �MO-OEBRIS FROM THISWORK MU T ,..PLA�QED IN PUBLIC
' EITHER , TR TQK OR OWNER
SPACE, AND MUSTEW,.CLEARI��AND HAULED1AWAY BY
N RE
S4T IN THE
i��o IN W�61 '
FAILURE TO CONIPL*
P E V�
"PROPERTY OWNER PA 0 .
A--
A� IT AND SUBJECT TO REVOCATION
ISSUED ACCORDING TO APPROVE
FOR VIOLATION OF APPLICABLE PROV
ATLANTIC BEACH BUILDING DEPT. 0.110 14
CHM 1683
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUI-MING PERMIT
JOB LOCATION :— LY) A t Pi _S '5�e e--c
OWNER OF PROPERTY: Dog tic- /Z_ TELEPHONE NO.
PLUMBING CONTRACTOR we-R-k-s (ft.,
CONTRACTOR' S ADDRESS : V34� __� _lap
STATE LICENSE NUMBER: CrC-0 TELEPHONE:
HOW MANY OF THE FOLLOWING FIXTURES
RE-PIPED OR NEW
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER,
RE-PIPE (LIST FIXTURES BEII40 REPIPED)
OTHER
TOTAL FIXTURES : x $3 . 50 + $15 . 00
MINIMUM PERMIT FEE - $25 . 00
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