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Permit 465 Mako Dr (vault) 4 0 Proposed Construction DESCRIPTION OF MATERIALS No. iillitrttif by 7 0 Urider Construction Property address City State Mortgagor, or Sponsor---_-_-_-__-_ Nam,,) 4Address) Contractor or Builder Njun, INSTRUCTIONS I. For odditionol informal ri on how this form is to be submitted, number required, then the minimum acceptable will he assumed. Work oxceeding of copies, etc., see the inst:octions applicable to the FHA Application for minimum requirements tornot be considered unless specifically described. Mortgage Insurance or VA Request for Determination of Reasonable Valve, as 4, Include no alternates, "or equal" phrases, or contradictary items. (Can- the caio,may be. siderotion of a request for acceptance of substitute materials or equipment is A 2. Nstribe all materials and equipment to be used, whether or not shown on not thereby precluded.) the 4draiiiiings,by mat-king (in X in each appropriate check-box and entering the 5, Include signatures required at the end of this form, information called for in each space. If space is inadequate, enter "See rnisc.'* 6. The construction shall be completed in compliance Vith the,jwlatod Orowings and doicTibe under iliern 27 or on an attached sheet, and specifications, as amended during processing.. T#*,;0v4;ficah*M 4 3.,Wark not specifically described or shown will not be considered unless Description of materials and the applicable Minimuts Construction' ftZt-114 I 1. IXCAVATION: Hearing soi), q pe sandy lown 2000 3.b. Fricitivigv. curterele mix — Reinforcing 71 Founil1tion wall: matt�rial Reinforcing Interior foundation wall- matcrial Pariv ll'oundation %vall Coltmins: material and sizes Pic,s: material and reinfor(ing Girders: mawrial and sizes Silk: tuatcrial basement entrant c arca%,ay \Vindo%� arvawaNs Walerpirmfing Footing dram% pt ion Basementless space: ground coNer fiallidation Vents Spmial foundatiouis Additional inlbrmation� 3, CMMNFYS- Prefabricxcd nw4i, and Z Flue lining� matchai I leater flut: i-t FireplAce flue size VeAts (niater tat and Nv.t ga s or oi I heater Nvater heater Additional information 4. FWPLACES: Type: 0 solid fuel; C] bu r it i n g: c ir(ulatot make and i v-e Ash dump and civan-out FirePlaCT: fAcilIK lining hearth mantet Additional initirmatino: 7�7 S. EXMIOR WALLS: Wood fvame� wootl gradv, and pri ies Corner bracing. Building paper Gr felt SheaEbling thickness 'Aidth n solid: [–I spaced o. c�� E3 diag6n al; Siding grade t v pe size exposure fastening Shingles grade vxjv% fastening tire ifuckncss________._ ": Lath weight tvx Masonry veneer lk Wid [] fived E] -stuccoed: total %,all thickness facing fixing material Rtivdock Backup material thickness boriding Door sals sills r) Interior s"qaQ"; dampproofing._ coats of fu rring P 1*2 at-rips A4ditional i nformation: Exterior [jai in t i ng� n kat eria I - ----- number ofc1!lA"__ anic its main ails, (iiher constj umon Tn,vv, Gable wall (onstru(tion� 6.',FLQOR, FRAMING: Joists: wood, grade, and species other brilging –anchors Qjacretv slab: 0 bascinent floor; first floor; &gr0Lln(f �upjxme& iclf-supporting. mix thickness r.r favcing(v t, t1A membrane a FiR "n(let slab: malcrial_ Additional infor malion:_ StXWAMjtW4Cv.(Describe underflooring for speciol floors under item 2 1 Silaterial: t4radir and speries size type taid� Ej first floor; [] second floor; E] attic sq. ft.: Lj diagonal; ED right angles. Additional information: 4 V. FINISH FLOORING: (Wood only. Desc;ibe other finish nooring under item 2 1 GRADE -SPYCIES rol Nils �VIVTH od Attic 7�.7 .117, 7777777!!� OF "TERIAL$�, 9. �*MdK FRAM040, wood, grade, and species ve�l and �ps` -C I�dw, Ad ..0itional information: 10. SpI-cir s 2—z pir,I f Other Ndditional inrormation- 11. ROW: FRAM,040: o .0 14,4irrs-wrood, grade. and specirs 0 Rooftrusses (see detaii)- *fid,species- Additional itilbrmafion': 12. ROOFING: -I it She#thing� wood, graoc, and specir..............4 1 Ij C)X, L,-a C C� 'Roofin eETJ-,a" t I r ff,E" ir I E grade size ty solid; Underlay Ae d f elt weight or thickness auift�up rooting number of plies gu,rfli" material Flashing material 9f IV X!,Le t a_ gage or weight ........... gravel stops; snow guards, AMitional inlitirmation! 14. GUTTERS AND DOWNSPOUTS: Gutle'rs: material �I X. rae t gage or weight size shape 1xivV119pubts: material 2 gage or weight size shape. number— a C, Downspouts connected to: C3 Storm scwer� n sanitary se%%cr; 0 drv-wril. Splash blocks: material and size 2 A"tional information: 14. LAIN AND PLASTER Lat4 0 walls, F wt.io)t ceilings: niawrial or thickness Plaster: ccqts finish D -wall t) walls,0 -111 1 thickness finish N ry, Vet vi�s: rna eTia U ed and em joi* treatment 6 eii:�E6- 'IS. WtORATINO.(Point, wcillpaper, ek.) WAVL FINISH MkIERIAL ,%xii A"LICATIGIN Can4m Fmtsw MATERIAL Afil) Arfuc;ATip4i 4 3� au"Ic;L ja"nt Rath 7 ar,Q) u:lij t Afor 16., 101111RIOR, DOORS AND TRIM: Doors: type 7311 material thickness -Z8 I Door trim: type :-,tt i r 1" material Yel Dine -Base: type StUQk' material yel. �oir_a size Finish: doors it i Q_q i t trun Other trim (ilein,fype,7ndT It'. Additional information: 17. WINDOWS. Windows:-type 4 7 make material saih thickness � 1 1 � r% Miss: grade 5 C3 sash N,�eights; balances, type head flashing Truin; type a3rM- bd U�b material Paint number coats, Weatberstripping: type material Storm sash, 4umber SCfeeru,20 full; 0 half� t)rl)e number—; screen cloth material Basement windows:, type— niaterial 0 screens, number E] Storm sash, number Special windows 'Additional information: 114. 04MAWES AND EXTERIOR DETAIL: Main entrance door: materialEQ2`10 ckne.1-3/4 thickness j6i� width -1 thi 1�rame: material ck' 3 thicknessl 1/4'Vrame: material thi Other entrance doors: material POnder- Pinj width neu Head flashing Weatherstripping: type iaj�Xl �_. b:�onze ; saddles Screen doors:. thickness__"; number screen cloth material Storm doors: thickness nornber Combination storm and screen doors: thickness _"; number—; screen cloth material Shutwrs; Q hingrd�o fixed. Railings Louvers Exterior millwork: grade and species better y_a��a Paint exteri or house numb er coats Additional information: 19. CAIDVS AND INTERIOR DETAIL: Kitchen cabinets, wall units: material — ; lirical feet of shelves 1-2 shelf width 3 2" Base units: material counter top Tjtam�� rjstj!C edging IRE- 3:)1 C-6 ti 0. Back and end splash ILL- 1-1c'—sti C Finish of cabinets ble,led el)"'r-rej number coats— Medicine cabinets: make model Other cabinets and built-in furniture Additional information: 20. STAIRS- RUERS STRtNQ _4 ST*k n Material Thi,kness Material Thicknen Material Size Material Size �.Utcriai, Ste Basement N*n Attic Di make.and model number ,uppearing j(d4itionair iriformation: 2 A, X. COGSWELL SUPPLY CO. -bESCRIPTION OF MATERIALS 26. INSULATION: LoCATION THICKNESS MATERIAL, TyPr, AND ME rtict) OF;INSTALLATION VAPOR BARRMA Roof Ceiling 2-t Wall Floor HARDWARE: (make, material, and finish.) SPECIAL EOUIPMENT: (state material or make and model.) Venetian blinds umber Automatic washer Kitchen range �T C c,t 3 c 4 Clothes drier Refrigerator Other Dishwasher Garbage disposal unit 27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere;or use to provide additional information where the space provided was inadequate. Always reference by item number to correspond to numbering used on this form.) POACHES: i_ER_R,��CES. GARAGES: WALKS AND DRIVEWAYS: Driveway: width ,� r ; base material I' thickness surfacing material thickness Front walk: width material thickness Service walk: width material thickness Steps: material------; treads-- risers—_". Check walls OTHER ONSI TE IMPROVEMENTS- (Specify all exterior onsite improvements not described elsewhere, including itenis such as unusual grading, drainage structures, retaining walls,jence, railings, a;id accessory structures.) LANDSCAPING, PLANTING, AND FINISH GRADING: Topsoil—" thick� [] front yard; 0 side'yards; F] rear yard to feet behind main building Lawns (seeded,sodded,or s22&ed): [;I front yard _; 0 side yards rearyard— Plantint�: E] as specified and shown on drawings; F] as follows: Shade trees, deciduous,_" caliper. Evergreen trees. to B & B. Low flowering trees, deciduous, to-' Evergreen shrubs, to-', B & B. fligh-growing shrubs, deciduous, to Vines, 2-year Medium-growing shrubs, deciduous, to Low-growing shrubs,deciduous, to II4;;7rj6N--This exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the latter .is knowa at the time of application� Date Signature A. R. COGSWELL SUPPLY CO. Signature 433 WEST DAY STRKET JACKSONVILLit 2. rLORIDA "4 .. .......... 77, X, 77:77--77T-!---T- 7111 ,77 Slow R000, AM WARUCOT: 7_7 MATERIAL, COLCM, BMI)Ek, SIZES,GAW19,FTC. MJI*TU#AL MAIXWL yiLyl ak.,bcja�6u,,� tile WOR oath 11; "160 cl s t 0 ff C;"j; J mp 14vogr LOCAT-fdlN MATERIAL, COLOR, BoRI)ER, CAP. SizEs, GAGE, ETC. Hz1cWT Ovet TVs in (:�hower 2nly 6' -b b zed ceran ji2 e zed certzle tile ar0*0,1!d tub Only J Bal6room accessories: n Recmed; material number—; Attached; triRterial number Additional in"ation: 22-� PWMSM: NumBER LoCArioN F.XTURr MAKE MM'S FIXTURE IDENTIFICATION No. CDIA* SiA I-Q11" 221" > La"Wry Water doset, Inil 1[---2 1�17—PB A Bathtub Shower over tubi�_ I b&th 2. 1,01, k-7w 4 StA show rr 472 Laundry trays 40 Curtain rod C] Door E3 Shower pan: material Wator.supply: r] pipblic;r) community system; [] individual (private) systern.* ��diSal: Cj public; acommunity system; [] individual (private) systern.* 4 *$how and dejeribe individual ystem in coonptett deletit in separair drawitIgs andspeqficalions according to requirements. �._144W dirotin ouide)�Jo cast irop; 0 tile; 0 other House sewer (outside):Xl cast iron; 0 tile-, Cj other 'galvanized steel; 0 copper tubing; C3 other Sill Cocks, number Woestic water-hea -. type e'l a 0:Lri C heating capacity ter make and model gph. 100* rise. Storage tank: material f� i r,r-ja Capacity gallons. Gas service, E) utility company; E] liq. pet. gas; C] other Gas piping� 0 cooking; [D hotpe h#ail storm sewer; [3 sanitary sewer; E) dry well. Sump �ump; make And model Footing drains connected to: capacity discharges into 23. NWING: 0 Hot water. 0 Steam. [I Vapor. C] One-pipe system. E] rwo-pipe system, 0 Radiators. 0 Convectors. [I Baseboard radiation. Make and model Radiant pan�el: n floor; 0 wall; El ceiling. Panel coil: MAtCrial Circulator. []Return pump. Make and model— capacity—"I' Boiler� make-and model Output Btuh.; net rating Btuh. Additional inform I #tion m e dravd��gs W&M air: Obravity. a Forced. Type of syste C 6 4 Duct material; supply return Insulation—, thicknew— 0 Outside air intake, Furnace: make and model Input _Btuh.; output Rtuh. Additional information: 0 Space heater; 0 floor furnace; 0 wall heater. Input Btuh.; output Btuh.; number units Make, model Additional information: Controls: thake and "s Additional informaticin� Fuet: [3 Coal; C] oil; 0 gas; C3 liq. pet. gas; electric; 0 other storage capacity Additional informottion. Firling equipment krnished separately: 0 Gas burner, conversion type. Stoker: hopper feed bin feed C3 Oil burnei: Q,'pressure atomizing; 0 vaporizing Make aacl,�xnoddl Control Additional information: f4ectric heating system: type Input watts; (9 volts; outpW Btuh. Additional information: Ventilating equipment: attic fan, make and model j capacity cfin. kitchen exhaust fan, make and model tone" V-2 Ccao (�tlier hoating, ventilating. or cooling equipment :-j o.verhead; underground, Panel: fuse box; circuit-breaker; mak,_100 AMP l36iYi GNumbc, circuits, Wi [j conduit; 0 armored cable; nonmetallic cable, 0 knob and tube; [3 other Sp&-W-outlets: n range-, [3 water heater� C] other 0 CNmes. Push-button locations---- Additional information; I At�olhesr or,fixtures Total allowance for fixtures. typical kwallatitiri, Noarypical installation 3 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029330 Date 11/30/04 Property Address . . . . . . 465 MAKO DR Application description . . . DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner contractor ---- -------------------- ------------------------ EQUITY TRUST OWNER 225 BURNS ROAD CONNEAUT OH 44030 ATLANTIC BEACH FL 32233 (904) 247-7443 ------- ----------- - ------------------------ ---------- ----------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --- -------------- ---------- ---------- -- -------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDINGqftS. Ift 'Q, C I IMK BUILDING OFFICLAL CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD *F= ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029497 Date 1/07/05 Property Address . . . . . . 465 MAKO DR Tenant nbr, name . . . . . . 12 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ -------- ------------ ---- ALGE, KEVIN RINKWELL PLUMBING INC 465 MAKO DRIVE 5105 PHILIPS HIGHWAY 205 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 732-5554 ------------------------------------------------- ------- -------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 119 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 119 . 00 119 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 119 . 00 119 . 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 OwNhR. -FAILURE TO COMPLY WITH THE CONSTRUCTTON LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHt%VtE PART OF THIS PERWT AND SU13JECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. cftz�dd*-" - BUILDING OFFICLkL CITY OF ATLANTIC BEACH ?) PLUMBING PERMIT APPLICATION Date: I os- Property Address: �p -S 1':-� Owner: t-v'I Nj Telephone#: Contractor. �j w Q--k Telephone#: —5 Contractor Address:. s �Lw L1 . I Fax#: -q U4--7 3Q-�S 77 a&x . r, 0 -3 ;�- In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, C) New list the building permit number: 2—'Re-Pipe Number of Fixtures: S, Bath Tubs howers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 800 Seminole Road-Atlantic Beach, Florida 32233-WS Phone: (904)247-5800- Fax: (904)247-5845- http:ltwww.ci.atiantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH DEMOLITION PERMIT APPLICATION Date:—11/30/04 Job Address: 465 Mako Dr Owner of Property: Equity Trust Co Address: 225 Bums Rd, Elyria, OH 44036 Telephone: 904. 247. 7443 Legal Description: Block Number: —12 Lot Number: —18—Zoning District: Contractor: 0 t-J A3E-'2' - State License Number: — Contractor's Address: Telephone: Fax: Describe proposed use and work to be done:—Rernove shed in rear of property,refloor interior and hang drywall where there is paneling Present use of land or building(s): Residential House Is approval of Homeowner's Association or other private entity required?_If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? X NO. Applicant certifies that no change in site grade or fill material will be used on this project. MYES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. X NO. Applicant certifies that no trees will be removed for this project. M YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. 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 Tree Removal Application if trees are to be removed or relocated. I hereby certify that all information provided with this application is coff ect. Date: Signature of Owner: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page I Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Revised 1/14/03 Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: PA*0\0A46 CY41,�L-T— N I Mailing Address: 22 "50 Telephone: -74-7 -744-3 _Fax: !204 *2Lj ^744 '7S- -E-Mail: AS TO OWNER: Sworn,to and subscribed before me this c3-00�'- day of t�0 NZJ-4 20 State of Florida,County of Duval Notary's Signature: )ulie M.Haynes August 19,2006 Personally known �AYCOMMISSION# DD126313 EXPIRES BONDED THRU TROY FAIN INSURANC4 WC El Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: M Personally known Produced identification 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 2 Revised 1114103 FOR OFFICE USE ONLY Feb. 26 70 Date....................................19 ...... Permit .....9.1.8...........Fee$.10-..0-0...... CITY OF ATLANTIC BEACH Valuation $.�P.r..0.00.-..0.0........................ FLORIDA House #......4.6..5...Ma.ko...Drive......... ............ ................ ............................................................................ APPLICATION FOR BUILDING PERMIT Application is hereby made for theapproval 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 duIy licensed in the City of Atlaniic 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 verihed. R. L. Johnson Constr. Co. Date...........2----- 9........70--------------------------------1 19............ Owner R"XJV1=tW)0QW0CX TVM*X --------------------------------------------------------------------------------------------------Address-24#4W---------------------------------Telephone No............................. Architect------------------R_----L_---Johnson...ConS.tX_._-._Co_4Lddress...................----------------------------------------Telephone No-------------------------- Contractor Builder k�;X'-&X)kkAV8aXk 3C�%5i&XRX=M3X=CK ----------------------------------------------------......................Address-----------.....I-------------------------------------I....Telephone No----------_---------_---- Lot No------18--------------------------------_....Block No--------_12--------------Sub Division..-.-Roy-al--..Pi�-IMS.--------------------------------------Zone................. ---------M-a-k-0-------------------------------------Street....E-a-st........Side Between..... ...T-rit.an-------------------and---S&b.&J.G------------------_-----------Sts. Valuation $-----1.0.9-00()--------For what purpose will building be used--------Re-s--------__........Type of construction----Bri-c-k----Vene-er Dimensions of Building.-2-6---x.--.40----- -----Dimensions of Lot.------8.0---X...93�--------------_-------Size of Footings----&---X---20---------- Size of Piers-...........__---------------...Size of Sills--.-.-..-----------------------Greatest Sill Span in ft-----_--------_-_------Type Roof--.Ashpalt----------- ------------------ How will Building be Heated?----C.e-ntr-al.......G.a-s..---------_------Will Building be on Solid or Filled Ground?......Solid. I—.___1........... .................................. Size of Ceiling Joists------Trusee-s.--......... Distance on Centers............................................ Greatest Span-----------................................ 11 Size of Floor Joists----------S 1,-�b ........... Distance on Centers,......... ......-......................... Greatest Span.------------------------------------------- IF - ------------ Size of Rafters-------2 x 4 TrusseS... Distance on Centers 24 it --------_--------- - ----- ........ Greatest Span...----------------........................ PD This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. Two copies of plans and specifications shall FEED 20 19-jo REAR LOT LINE be submitted with application. Inspections required. THE CITY OF ATLANTIC BEACH 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. 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. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. 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 attache4 plans and specifications, which are a part hereof, and in accordance with the building regulations of the City o lantic R. L. JOHNSON Cq�STR. CO. Signature of Builder.. .. ............ ........ ........... .............. /Address..... ee ---- --- --------- - r Signature of Owne . ... ........................................ ................... man-----Q�;� ...... FOR OFFICE USE ONLY Date----- Permit #-------------..........Fee$........................ CITY OF ATLANTIC <�10 e r;, C. Valuation $_!��.............n............................... FLORIDA S House #C�T xf--!�AUX 004- 1977 y , -VEA-WIC...BEA6H------------ BUILDING OFFICE: ........................................................................... APPLICATION FOR BUILDING PER ma HR.12 1977 .. ............... .................... ............... Elm Application is hereby made for the -approval of the detailed statement of the plans and spiecifie'a"t—ions 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...........X - ------------- Owne r-----4 -------V Z111AZ ........ AV----_-------Address.... ...h�LA_. ................Telephone No......�2.)Z2..-220 3 Architect------- 0(---------- ...... ---------------------Address........'t----------1-7r---------2_i_----_---------_--Telephone Contractor Builder---- ......jA16_;K_^------------------------------------------------Address....___a............14...........1-4.....................Telephone No.......... ------ �d / Lot No-_----------- ------------------------Block No--------fi�----------_---Sub Division-,---- ........ .0-/........ --_-----_------........Zone...----------- ------------------- ------------------Street...------------ ........-Side Between. ........ -A-1.....and----- 1"a __Sts. ----D 4_1 -.4-- - Valuation .. ......-For what purpose will building be used.. 4'v-v/---vk�,T)Okqo construction.... Dimensions of Building------- --------------------Dimensions of Lot...-----------&A---_------------_- -------Size of Footings......... .../t................ Size of Piers----------_---L ---------------Size of Sills----__111t------------Greatest Sill Span in ------.-Type Roof-...........A.I'-,l ............. How will Building be Heated?...........A-J...-------------___.......-----Will Building be on Solid or Filled Ground?......... ................. Size of Ceiling Joists----- --------------------_---- Distance on Centers........... ----------------------- Greatest Span..............111t1_/..................... Size of Floor Joists...---Az�--------------- .......Distance on Centers...... ...................... Greatest Span..............A__e�t............. Size of Rafters---------�All.lq-------------_----------------, Distance on Centers... 11'14 _----_--- Greatest Span---------................................ This rectangle is to represent the lot Locate the building or buildings in the right Position. Give distance In feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 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. �4 3. When steel is in place and ready to pour beam. 4. When framing is completed. E-4 5. When rough plumbing is completed,and ready to cover up. 2 6. When septic tank drain field or sewer is laid but before it is covered. W 7. Electrical inspection by City of Jacksonville. Q 02 M 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called forafter corrections are made. 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 Beach. Signature of Builder..... .......AV as...jzk4— A7Z . ... ......... .... Signature of Owner.. .. ..................... ...... Addre .........../Sf.................. ............... X(......... -1.....I_............ S��- ------------ Address......c "IF 1�-") Z)/Z' -"- ' 16` J /I---------------------I......1-1----*-----------------I------------------------------------ lKAP .51-10WIA16 5UA?V6Y OF /Z 14S S/ OPVA1 ON MAR OF r 22VO A A/ 24, r.4,,,eR ceRrloclAfs rAIA r nom saR v-a Y Rs�-AwsemXfo AeRCaw A*M,07X 7NW A4kW^00 4AA140 5,UAV4&y4O4W5 AIVO ;Owle )mkA:)R1j!24 4141vo r1r4df 7-HI-5 15 7-0 (fER7-1,,c: Y zar4OV-45-T4(1RV&)o'e'O &M40WA? MY .SZIPZ,QV1510.lV AIVO XvAr AS JW*JWAI AND rw.4 r roWOq4ff A RS IVO IWAX rAqClq V Zl.-4,V 4- Iz y. Mo. 14-7 14 DEPARTMENT OF BUILDING 3492 CITY OF ATLANTIC BEACH, FLORIDA PER- PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB D 9/12/ 19-Z—) 5.00 Valuation$ 800-00 Fee$ This pemit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. Mr. Romeo B. Silao rhis is to certify that has permission to build an addition onto house residential Classification— Owned by, Mr. Rmea B, Silao Block— S/D Hot pe No- 465 Mako Drive Acc6rdingio`ap�ro4id plans which arepart Of Q41perhd NOTICE—ALL CONCRETE FORMS AND- FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE Ok. 0 Building material, rubbish and debris z from this work must not be placed in public space, and must be cleared up and haifled away by either contractor or owner. R.0 Vogel Building Official. FOR OFFICE PERMIT 'DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER 77" Ilk 4-rM)AI. Al Z YEV"r 1/yZ> Xj VN L Z A�L -V/�JC )r, jo s (56 12- S' MA i.,fo t) AT � LAQ 00� 011%00 -V V:ovk ooeb IGNU d. py. 1p Ore Pd CTIOV4 lFrOs, 'Inc IFV,m A .Of% VO 1INsgoal o-,w-f"-v [)ate �Ad- CITY OF ATLANTIC BEAe%l�i RICA'', APPOCATION FOR BLICTWI;,A IF TO THE C"191F r > ;IoE CTRICAL INSPECTOR: DATE: �ANT NOTW: -P"T IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESC PEW F. Rif REP EE TO PERFORM SAID WORK IN ACCORDANCE WITH T14E ATTAI�HFEJ) OTA PART HEREOF, AND IN'ACCORDANCE WITH THE "fPTR",t'wpt T� SF R PAC C#"A' C'XS fiu -l, w (o coo,(T Lf"-, Al AL fAtw: I_WER E6LMpCj6N 31 QUAl `4, ADDRESS: TWFfN A� OWA C I PUBLIC( I "'A NEW,(. 11 Tw. siqNs I -W'75 u ovo A V AMF 00 COPPER f 7 All, Qo f w 7 -SI44-, I�NO. '71 k4 CONCEALED OPAN 7�, lama Ari ,CONCEALED - OPEN J:: L 31.100 AM W7 7P; "-7 P A Wly, v R P K BILL T H.P.RATINQ oftll"W 04' ER MAT �'7-77 'o ,7 ZIV 10VIR PHS NO. I KOK, VOLTA" v �77, �777 V5 771' —m f 77-7,TlTr, 717 w Ann 7,� V. OVER OW V. w A0, KYA NO. V MA. V 7� 17 �v V -01, j '�A Jij te CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029370 Date 12/14/04 Property Address . . . . . . 465 MAKO DR Tenant nbr, name . . . . . . INSTALL FIBER CEMENT SIDE Application description . . . SIDING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2385 Owner Contractor ---- -------------------- ------------------------ BREAULT, RAY UB EXTERIOR DESIGN, INC. 708 3RD STREET NORTH TINA BIASIZZO JAX BEACH FL 32250 5316 COLONIAL AVENUE (904) 247-7443 JACKSONVILLE FL 32210 (904) ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . - Permit Fee . . . . 45 . 00 Plan Check Fee 22 .50 Issue Date . . . . Valuation . . . . 2385 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 PERMrr IS APPROVED ONLY IN ACCORDANCE WTrH ALL MY OF ATLANnC BEACH ORDINANCES AND THE FLORIDA laUZ6 COODES. BUH,DING OFFICIA1, CC: CITY OF ATLANTIC BEACH D.Ford SS BUILDING/ZONING DEPARTMENT <�. gins� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5845 http://ci.atiantic-beach.tl.us PLAN REVMW COMNENTS Permit Application# 0� - 2CIS70 Property Address: —4G5 MAK10 NIVE Applicant: J45 C)�NIEIZIOL bMGN Project: INGI�ql �1KR --CFMFNT WiNG This permit application has been: [9-A"pproved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by: Date: CITY OF ATLANTIC BEACH 0E( AIDWG PERMIT APPLICATION Date: 2-7-e�'l Job Address: 1t6( 5__ )))aK' o 10r. Owner of Property: 13 rea L)Z r-C ;��46 Address: 709 3 51� ItI, 31ecL, FL, 5-6) Telephone: V'f-'2,L/ Legal Description: Block Number: Lot Number: Zoning District: Siding Contractor: Contractor's Address: &( 6'f2 �'_�2 /0 Telephone: c Fax: -3 3 S"- `3 6 . /09-3_sr/-5-/25 - Describe proposed use and work to be done: Yeplac-e 11, - e.1 IC-Q-4 C�crffedf Present use of land or building(s): Valuation of proposed construction: 0 2_1 Is approval of Homeowner's Association or other private entity required?—".U2..If yes,please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriat . Incomplete applications may result in delay in issuance of permit. 1. Provide detailed information of product being used and bow it is to be attached,i.e.,fasteners,etc. 2. Provide completed Owner's Authorization Form if applicant is other than property owner. Address and contact information of person to receive all correspondence regarding this application(please print). Name: Des Mailing Address: & & q I Ovde -e 4 ?2210 Telephone: 10 ct- 3 V1-5�_'12 ��_Fax: 3 � 3 —01136 E-Mail: 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -bttp://www.ci.atiantic-beach.fl.us Pagel Revised 3/04/04 I hereby certify that all infbfi��ati provided with this application is correct. Signature of Owner Date: i Z62;-761, 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct an that the plans and supporting data have been or shall be provided as required. Signature of Contractor: zz�2i� Date: 1'7 AS TO OWNER: Swom to and subscribed before me this day of ------------ 20 L) State of Florida,County of Duval Notary's Signaturec-, Personally known Produced Identification Julie M Haynes MYCOMMISSION# DD126313 EXPIRES W August 19,2006 Type of Identification Produced V�,, BONDED THRU TROY FAIN INSURANck INC AS TO CONTRACTOR: Sworn to and subscribed before me this day of 2 0 State of Florida,County of Duval Notary's Signature: X"Personally known E3 Produced Identification Type of Identification Produced MILDREI) C. PARASRAM of Flodde Public - SWO Wn Dow hG 2Z 2D06 C) Ioy cAnT' s 33 ,,m�zsion * DW26530 otary san. tilt Bonded BY N60nal NotarY Assn. FP 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us Page 2 Revised 3/04/04 7- u 131 , iog 1'2""-iL,) tn 6 of rt-?'e r r c"0,e APPROVED CITY O� ATLANTIC BEACH BUILDING OFFICE DEC 0 8 2004 BY: 05 _,Oro id SPECIFICATION SHER GENERAL DESCRIPTION:WeatherBoards' FiberCement Siding is available in different products providing both traditional and contemporary aesthetics. It is suitable for residential and light commercial applications.These products offer a high degree of dimensional stability and impact resistance. STYLES:Shapes Lap �Leqjcal soffit Perfection Shingles Textured Dutchlap Stucco Smooth Non-ventilated Random Square Straight Edge Textured Beaded Lap Smooth Cedar Non-ventilated Random Square Staggered Edge Smooth Beaded Lap Cedar/no groove Smooth Ventilated Half-Rounds Sm '�j.=Lap Cedar/8'groove Cedar Ventilated Octagons Cedar Lap FINISHES: CertainTeed's exclusive FiberTect" Sealing System, ready for field top coating with high-quality acrylic latex paint or stain. Factory Prefinishing available with paint or stain. SURFACE PATTERNS: Smooth, redwood grain,cedar-textured grain, stucco texture,vertical grain SIZES:Shapes—8 1.,4"x 12 (209mm x 3657mm), 12 x 48'(305mm x 1219mm), 16'x 48'(406mm x 1219mm) Lap Siding—5 1,4'(1 33mm).6 14' (1 62mm). 7 14' (11 85mm),7�2' (191 mm). 8 'i4" (209mm), 9`4' (237mm), 12" (305mm),x 12' (3657mm) length Vertical—4'x8 (1219mm x 2438mm), 4'x9' (1219mm x 2743mm),4'x10 (1219mm x 3048mm) Soffit Non-ventilated—12"(305mm),16"(406mm), 24"(610mm) x 12' (3657mm) length Soffit Ventilated—12' (305mm),l 6"(406mm), 24" (610mm)x 12 (3657mm) length THICKNESS:All siding is�.i6'thick, Non-ventilated and ventilated soffit is �,4"thick, Net free air of ventilated soffit=6 in 2/LF COMPOSITION:The products are manufactured using a multi-step high-pressure process combining portland cement,sand, wood fiber and specialty additives. Wood grains and other architectural features are pressed into the surface. TECHNICAL DATA:CertainTeed WeatherBoards"FiberCement siding was tested in accordance with the American Society for Testing & Materials (ASTM)standards of the following specifications: ASTIM C1185-96 Sampling and Testing Non-Asbestos Fiber-Cement Flat Sheet, Roofing and Siding Shingles, and Clapboards ASTM E72-95 Conducting Strength Tests of Panels for Building Construction ASTM E84 Surface Burning Characteristics of Building Materials ASTM El 19-95a Fire Tests of Building Construction and Materials ASTM E136 Non-Combustible ASTIM E330-96 Structural Performance of Exterior Windows,Curtain Walls,and Doors by Uniform Static Air Pressure Difference ASTM G26-95 Operating Light-Exposure Apparatus(Xenon-Arc Type)With and Without Water for Exposure of Nonmetallic Materials APPROVALS: international Conference of Building Code Officials ER-5735 National Evaluation Service, Inc., report no. NER-537 Texas Dept. of Insurance Product Evaluation EC-16 WEATHER AND OTHER CONSIDERATIONS: Product offers resistance to freeze/thaw cycles and is highly dimensionally stable. It is resistant to damaging ultraviolet(UV) rays and salt spray. It is immune to wood-boring insects, Product can resist high wind forces when installed in accordance with CertainTeed application instructioni; see instructions for details. FIRE RESISTANCE CHARACTERISTICS: CertainTeed WeatherBoards' FiberCement siding products have a Class 1(A) Fire Rating, Flame Spread-0. Smoke developed-5. per ASTIVI E84. UJ3 8e,,.J,no(I-e-d-Rqp Ict(-P t-e�W ey-�e r�o f- Oa 1/ 5 El-A t'i-13 6(oclo'115 e,,),d vetj 5A Af 6 Ji,U P 1�e,. /Mco;57(ur-e b-r,,,,. Cerio(m4ee�/ fter Ce/n-Ne,,.,,4 $I al,;,, 'A ;4�t ? �k 0 V E D '%;LAtiflC BEACH U01 DING OFFICE DEC 0 c 200 R CITY 0 -)ING 7C)NING 'T y DEC 0 8 20 04 12Aq BY,. nre- fi6�r R E C E i \/ 'E_ D CITY C)FATt.,�,NT IC SPECIFICATION SHEET. DEC 0 8 2004 BY: GENERAL DESCRIPTION:WeatherBoards"FiberGement Siding is available in different products providing both traditional and contemporary aesthetics. it is suitable for residential and light commercial applications.These products offer a high degree of dimensional stability and impact resistance. STYLES:Shages Vertical Perfection Shingles Textured Dutchlap Stucco Smooth Non-ventilated Random Square Straight Edge Textured Beaded Lap Smooth Cedar Non-ventilated Random Square Staggered Edge Smooth Beaded Lap Cedar/no groove Smooth Ventilated Half-Rounds Sma&Lap Cedar/8"groove Cedar Ventilated Octagons dar La FINISHES:CertainTeed's exctusive FiberTect'Sealing System,ready for field top coating with high-quaI4 acrylic latex paint or stain.Factory Prefinishing available with paint or stain. SURFACE PATTERNS: Smooth, redwood grain,cedar-textured grain, stucco texture,vertical grain SIZES:Shapes—8 1/4"x 12' (209mm x 3657mm), 12"x 48'(305mm x 1219mm),16"x 48"(406mm x 1219mm) Lap Siding—5 IX(133mm),6 1/4"(162mm), 7',,4"(11 85mm),7 1,2'(1191 mm), 8 1/4" (209mm), 9 1/4"(237mm), 12'(305mm),x 12' (3657mm) length Vertical—4'x8' (1219mm x 2438mm),4'x9' (1 219mm x 2743mm),4'x10' (1219mm x 3048mm) Soffit Non-ventilated—12'(305mm),l 6' (406mm),24"(61 Omm) x 12' (3657mm) length Soffit Ventilated—12" (305mm),l 6"(406mm),24" (610mm)x 12' (3657mm)length THICKNESS:All siding is 5,16'thick. Non-ventilated and ventilated soffit is 1/4"thick. Net free air of ventilated soffit=6 in 2/LF COMPOSITION:The products are manufactured using a multi-step high-pressure process combining portland cement,sand,wood fiber and specialty additives.Wood grains and other architectural features are pressed into the surface. TECHNICAL DATA:CertainTeed WeatherBoards"FiberCement siding was tested in accordance with the American Society for Testing&Materials (ASTM)standards of the following specifications: ASTM C1 185-96 Sampling and Testing Non-Asbestos Fiber-Cement Flat Sheet, Roofing and Siding Shingles, and Clapboards ASTM E72-95 Conducting Strength Tests of Panels for Building Construction I_ASTM E84 Surface Burning Characteristics of Building Materials ASTM E119-95a Fire Tests of Building Construction and Materials ASTM E136 Non-Combustible ASTM E330-96 i �truct�ral Performance of Exterior Windows,Curtain Walis,and Doors by Uniform Static Air Pressure Difference ASTM G26-95 _�Operating Light-Exposure Apparatus(Xenon-Are Type)With and Without Water for Exposure of Nonmetallic Materials APPROVALS: international Conference of Building Code Officials ER-5735 National Evaluation Service, Inc., report no. NER-537 Texas Dept.of Insurance Product Evaluation EC-16 WEATHER AND OTHER CONSIDERATIONS: Product offers resistance to freeze/thaw cycles and is highly dimensionally stable. It is resistant to damaging ultraviolet(UV) rays and salt spray. It is immune to wood-boring insects. Product can resist high wind forces when installed in accordance with CertainTeed application instructioni; see instructions for details. FIRE RESISTANCE CHARACTERISTICS: CertainTeed WeatherBoards'"FiberCement siding products have a Class 1(A) Fire Rating, Flame Spread-0, Smoke developed-5, per ASTM E84. R E C E I CITY 0FA7Lt't%47C �TA SPECIFICATION SHEET. DEC 0 8 2004 BUILDING AND ZONING INSPECTION DIVISION CIW OF ATLANTIC BEACH ATLANTIC REACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. Street Address: 1h'A/1�0 LOCATION And 400 Intersecting Streets: Between BUILDING Sub-division 11. IDENTIFICATION —To be completed by all applicants , In tonsideration. of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attach9d plans and specifications which are a part hereof and in accordance w i th the City of Jacksonville ordinances and stan clards of good,practice listed therein. - Name of Mechanical Contractors cqiafrac+or (Print) Master New* &F .110reparty Owner Ah oc signature of ==,of Own Architect or Engineer .d A.;,:t A s- A B. Type al 6ating fuel: IS OTHER CONSTRUCTION BEING DONE N c THIS BUILDING OR SITE 7 A 0 See—C3 LF 0 Natural Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION C) on PERMIT rj 06or — Specify IV* MMIANCAL GWIPMINT TO N INSTALLED NATURE OF WORK — (I'Mirwe cbmpleft lkt of compon6oft ON bad is form) Residential or E] Commercial /5 Host 0 Space E3 Recessmill oycentrall a Root Now Building All.r Conditioni I ng: C3 Room 4* control Existing Building 13 Duc� 4d*M:L Material Thickneu— Replacement of existing system Maximum capacity cfm. n Now Installation(No system previously lnst*R.ad) C3 Extension or add-on to existing system El Other — Specify (3 C�eeling ftWer CapeC, Ity [3 FIr* qogn,Merv: Number of Q Elwaftw 13 Manlift 0 Escalate (number) THIS SPACE POR OFF= US ONLY (3, $*aariise Pu Po —(number) -(number) Remarks 13 LM confet"" (nufnb*r) Unfited p"ure ve" Permili Approved 04% C) d 0116W Specify Permit UST AU EQUIPMENT AM CONWTIONING AND REFRIGERATION EQUEPMENT CIANdtY APPMvft XMbW`U2ft DMriptift No"NUMber Mmufactum (ft"117 7— _2 I lialmahm'. 111EATING - FURNACES, BOILERS, FIREPLACES cavaefty I man*"lauft �Ptlm ISO"N%mber X11013faftlaw (grmi 55AQW0 czyne'�%'2 c3pQ22 :;ANKS 0001 r07oF:::; DEI�ARTMENT OF SPILDI NO, CITY OF ATLANTIC BEACH 'A, AdOr0*0 S #wrart -rypw-. 7 Lcft% rypw% Lot PA"Z16T, rro.po 00 cot 00.foo *s-r.tie Aso� �, Al, Ow 1*10 :7 2- �00PVM-STU 77�rk P, am, 00 v AL 00 9 & a V w 0010"i 05 ? A� MIX for 00 4" 4 2, 00 offAfto: 00 MmO�4 cm, 7 0"N wrls" NOTES: NOTICA ALL,CONCRETE FORMS AND FOOTINGS MUST BE 1 7" NTHS AFTER DATE,OF.I$SUt OtSMItVO: 1D SIX MO BE H ANt)(DEBRIS FROM THIS WORK MUSTNOT PLACED IN PUBLIC SPACE,AN,D MUST BE ILDING MATERiAL,.RUBBIS U EARtD UP ANPHAULED AWAY BY 51t!-IER�CONTRACTOR OR OWNSR. EL'To COMP Ly WITH THE MECHANICS"UENLAW CAN RESULTIN, MING, IMPROVEMEN SRTY OWNIER PAYING TWICE FOR BUIL 'j, HE PROP THIS PERMIT AND SUEU �REVQCATI A, SUED ACC OR15ING TO: APPROVEDL PLANS WHICH ARE PART OF PROVISIONS Of OF APPLICABLE LAW. _VIOLATION Ts, IBU ILDING DEPARTMENT l ;";TANT 1C BE CH Y. CITY OF 4daa& AeacA-&7k*d- 6 office of Building Official REQUEST FOR INSPECTION -316J- Date Permit No. Time M. Received M. District No, Ad Locality Owner's Name Contract PLUMBING MECHANICAL BUILDING C�ONCRET rELECTR IC Rough 0 Air.Cond.& 0 F "7 M t'n. 0 Framing 13 Footing 0 Re Roofing 0 Stab 13 Temp Pole 0 Top Out 0 Heating Lintel 0 Fire Place 0 Pre Fab READY FOR INSPECTION A.M. Tues. Wed. Thurs Friday-P.M. Inspection Made tl Inspector Final Inspection L1.1 Certificate of Occupancy Date