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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