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Permit 457 Mako (vault) INTI3 I,IO OM Mans 1 3.11,L (NV SDPIVVEII(III0 HaVan 3I.I.AIV'IIV 30 Ana TIE' RUM 30MVCDIODDV NI A'LNO Q3A02I dO SI ZIL112I3d 00' 00' 00'86 00'86 TPg0L PuPaO 00' 00' 00' 00' TegOI N{ uPTd 0.0' 00' 00'86 00'86 Tagos aad gTwaad anQ PagzpaaD PTad pa6apuO Aaxurtuns aad 0 • ' • • uoTgPnTPA • • • • aTPQ anssi 00' ' • Gad Noagp uPTd 00'86 ' • ' • Gag q ztuaad • • asap TpuoTgTPPFI ZIW2idd ONIEWCYId gTmaad SSZL -T L (T706) 9 T Z Z E `Id S'I`I IANOS)DVf E E Z Z E `Id HOVdH O IINK''ILV ',10 S dVlbS dIVHOcnI00 0 5 8 8 d11I2tQ O){VN L S v 'ONI ONIHWfl'Id AV21O QI VO ddIQ 'NdAIlDN aogopaquop aaum0 0 • • • • uoTTen - [A uoTTeDTTddy QdIVQdfl HE OZ 6uTUOZ Jgaadoad A'TNO ONIEWIYId ' • • uoT dzaosap uoTTe3TTddV Sd2u1LXId 6 atupu aqu qupuas 21Q O)rvW LST ssaappv .Agaadoad 90/60/Z 9. 4PQ TTEZE000 -90 aagtunN uOTqPoTTddV 9Z8S Tin 3NIOHd NOIJ 3adSIsII J , ; ££ZZ£ 'Id `HDva 1 DIZAIV'I,LV ',� j - n QV02I I'IOMIIAMS 008 I'r HDV DIINVTIN JO A III = fl f / r >,f ,, "UMW fo CITY OF ATLANTIC BEACH )r,,,. 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 .,. / , -- :- __- Application Number . . . . . 06-00031945 Date 1/12/06 Property Address 457 MAKO DR Tenant nbr, name REPLACE DRYWALL Application description . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning TO BE UPDATED Application valuation . . . 5000 Owner Contractor NGUYEN, DIEP OWNER 457 MAKO DRIVE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 210.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 5000 Fee summary Charged Paid Credited Due Permit Fee Total 210.00 210.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 210.00 210.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL 01 , f:r �? CITY OF ATLANTIC BEACH Cc. a or. ENT \�' BUILDING / ZONING DEPARTMENT _ 800 Seminole Road L. Higgins g Atlantic Beach, Florida 32233 —On 247 -5800 (904) 247 -5845 Fax \NI W D www.coab.us PLAN REVIEW COMMENTS Permit Application # 1 q 45 Property Address: 457 rvl (. 0 i-r v t, Applicant: (- P 1.16u Project: Qv! 11 C l.J �r 1A) O \ 1 This permit application has been: CEV El Reviewed and the following items need attention: Please re- submit your application when these items have been completed. Reviewed By: 1-44- Date: l q l /b c Date Contractor Notified: CITY OF ATLANTIC BEACH -. \ \N \N 0 BUILDING PERMIT APPLICATION (Alterations & Additions) Date: / `) 0 C Job Address: 17I<7 44/1 /D J k' / ) Owner of Property: 0 t- f' /i) y Y'r7 / ! y i Address: 9S- 7 M Kb doek Telephone: Z1 — 12 I Legal Description: Block Number: Lot Number: Zoning District: Contractor: /I O/L1f . 01 /t y State License Number: /1/f ✓4 Contractor Address: I /S 7 A/1 A Kd De Telephone: Z * / 2- `' Fax: Descrihp ^m -,,,,,,,,.4 1Cc. a Work to be done: Rep I y C .i `'13 Dr y ‹. ` I . . Present use of land or building(s): s i r> /e. ry ^vi, /,/ "i ---<____ Valuation of proposed construction: I J ors) Dimensions of the added space: e9 feet x ,9;04-- feet Will this project involve: Heating & Air- /Plumbing Plumbin //Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? ir PP ra If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% 'pi. m ° F_ „,.;, ;,-,, , .,Tgoaa A or the removal of any trees? EZ Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building � N Permit. L� O. Applicant certifies that no trees will be removed for this project. ❑ 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. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904 - 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Conta hical surve or t grading plan is,requ Department not Public Works to verification ation m st be provided with this application.) The Department Y The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. owner submit Banda and four (4) complete o sets of construction pl to the Building Department, which is located at Affidavit lantic owner is contras , Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Reused 8/04 Page 2 --Revised --- Revised 8/04 ..'.". 4 — CITY OF ATLANTIC C BEACH s3a� OWNER/BUILDER AFFIDAVIT Date: 1 f c.) ' Job Address: I 5 /7/714 . CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE 173E LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT 13E BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN. OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH Wr IIKERS BE UNDER "DIRECT ;.UPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE by ORK IS IN PROGRESS BY T3 LICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS' WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER - BUILDER PERMIT. 1� 1^ 1 ) V� PROPERT O U/LD� + ER SWORN TO AND SUBSCRIBED BEFORE ME THIS S DAY OF v 2004 1 P MY • 1 Dg MY • 1 • 1 EXPIRES: I AtnTV. uvo A CV ThaTCC131 ThT1T rsd 717 Doc # 2006004507, OR BK 12989 Page 1951, Number Pages: 1 Filed & Recorded 01/05/2006 at 10:19 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT State of I /'��q y Tax Folio No. County of / To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 5-r' . l- O \ I L I 1 1 1 $1 ) 2, RD •4L Q!4 (-/uS Address of property being improved: `'/C'7 /v7 4 K d 71-.4 r 'f' 13614 2/ f L 3 2 7- 3 3 General description of improvements: 1 c r / u ' .27 j }/ w" 1/ 0S- 4 4-1-1 en It • � Li J G. ligtov0 Re q v / � 1 ..le.. �; -1 i G d�r, 1 7 L/ec r.' u �a Owner: � j2i e, / i/9L&. / 4..7 ' Address: 'V y ,i . /1'1 IC7014 e . c-- 41-1/1 � . f=G 3Z z 3 3 Owner's interest in site of the improvement: Fee Simple Titleholder (if other than owner) Name: Address: Contractor. /foe-id t) (,/,L r Address: `/S'7 A4 /4 (4) pZ. 477 � � - � � . ,�c /I. Phone No: 4,2 - / L 7 p Fax No: /11-- Surety (if any): Address: Amount of Bond S Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: A.' .ress: F'. No: Fax No: _^ Nam °: ,of person within the State of Florida, other than himself, designated by owner upon iaq ,gym notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in - Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option). — Nam e: Address: Phone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: I ) I , e l ' V t q(7 Date: 11 S, 0 L Before me th S day cif Ja,.� OG in the County of Du • 1, r e •f s personally ap 1ep ar y�; r ,N Notary r . 'c aete, State of lori a, County of Duval. " 11 . am ;I My col, • ion pares: 5 3 0a _,n,,., Person. Known: or Produced Identification: 1.Th t� ^C P k \ oz) ..._ t74. 1 . \ i VI i \"71 *N, ire — 1 I ' - -A 0Z) LI 7 [ \-7, c r I o 7 r v I ' - . 7 r*"' r • 6 0 d C.' t [ r' A vil r ci; --o t t - ri z----... P v.. ' ' ' N'S`O"V al 'S" 4`d's :4 :111391613b _ ' `Y"IS LLB; O14 tJOA3Atlf$ O31t3LSIJ3k1 � `C� - ' :3"1tl�5 4 n3. ** X eczz'£ '1 C1(1tt>"t4 `31'11ANOS 4 VI ao N3OSIV9- <, L . $ t - 1 c�3N�►�S , ,. �It '3AOt3£ as ` M S31 J c p -,s -,s-,- - . :- . "v�Y::7 1 c. 1 bws y Y i3w�s' l C X N UL S LA l 3 Y H4 Y O d o NS ON 30V 341 13141. 1, ww1. t. OW'V NMt'� 4S SY 3WYS N Odn Q31YDO 1 S1 aNy " . ,fia 'tra,.. 1A ar $Y'M . ..c.. ' 3AO Y .3 rat 1dFd1 r r I E , 7'4 H .. D V , , '., . i ,, -„,,,,,,„ , c: ,, v ,,, \ 1 ,, ,.- , ,,,, ..,,,„, , i .„ , , ,Y4 0 } 51:i Y , , . (ft .,, ,,, , , , , Il i \ill (\A t !Ti ix r"^, • r " ,, �. L I. i r r fi r� %'c✓ 00 3 "Y'^i "op ivAna �* SC's Io� Dfl81d ' 40 z I , " :, 3J+dd / )4009 Y'Id NI t]3tftIUD3Zi SY . 7/L ..�✓!Y✓ , ,4i' 7 7 �' 7 ��a - �_.Lc�/x'c+ _ _ '7c ' / 4 ` kaM fS 9NIMONS dV VI CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: / s� p� Job Address: �j - s'7 ,1/,9 p(. CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE — OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF TI -IIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITI TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455- 228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER- BUILDER PERMIT. AJ ( 4jJ) L L7 `. PROPER Y OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF IAA air 2006 - -. DONNA L. BUSSEY L Dv UG4'✓t 5e v ' v, MY COMMISSION # DD 412624 IJ o2 5o (7n 5 5C,0 U ' , • = Q EXPIRES: March 30, 2009 b i e P T H I N6.-t1/7\i '• t • ' r, 1 �,� • . �?� Thru Notary Public UndxNrt�rs N TARY PUBLIC MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. f ' CITY OF ATLANTIC BEACH ''` 800 SEMINOLE ROAD `x � , ' ATLANTIC BEACH, FL 32233 ,� INSPECTION PHONE LINE 247 -5826 / ., f 06- 00031944 Date 1/19/06 Application Number 457 MAKO DR Property Address Tenant nbr, name INSTALL 2 FRONT WINDOWS Application description . . RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . • • 330 Owner Contractor NGUYEN, DIEP OWNER 457 MAKO DRIVE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit W /W /O BUILDING PERMIT Additional desc . .00 Permit Fee . . . • 120.00 Plan Check Fee . Issue Date . . • • Valuation . . . . 330 Fee summary Charged Paid Credited Due Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 1 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL 0` ' °> CITY OF ATLANTIC BEACH `x u =' . BUILDING / ZONING DEPARTMENT C D. F. . j ,. v) 800 Seminole Road . Hig. in. r` Atlantic Beach, Florida 32233 Derr ,.Jf3 (904) 247 -5800 \NI \N! D (904) 247 -5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 0 0-L51 Property Address: 457 F'M a Koff- -r. Applicant: .— D - 1 f p IV u. tdi "( ( p(i) W r Project: fl4 ` 1 1 f r () vv,+ a) 0 01, DW,— This p it application has been: • • proved r R iew d aid the 1'1 1 o• ing items need attention: f LC 040 -, q t, 4 ( a, ., (-6,z, ., , A L. t.--044-0 fir l. I. 41 r ent.,brvi ; H if . Please re- submit your application when these items have been completed. Reviewed By: 14-S— * Date: Q 66 - k L (049 Date Contractor Notified: ) .„,,A4. ` `', CITY OF ATLANTIC BEACH (:� _ f WINDOWS, SKYLIGHTS, GARAGE DOORS, HURRICANE SHUTTERS Date: / 5 Fj k Please submit (2) complete sets of plans with application. Job Address: • 5 M/9 KO A2, Owner: J) :e, 14/5c,,,y.o/\ / i I' Address: '15 n44 K a D(�' ._ Phone: / Ly - /2 y G- Legal Description: Block Number: 12 Lot Number: 1 l Zoning District: ( - ._t Contractor: Novvce, Ot"/l c/ State License Number: /1//i1 Address: LiS7 rte/) P v L).. Phone: - /24=0 City: /a /C.- ac.14 State: f`., Zip: -3 2- Z 3 3 Fax: Describe proposed use and work to be done: �er c , ;73 ( Z) Era/li V Present use of land or building(s): S,`, -) (t f "'" , (`/ )')& Valuation of proposed construction: 1 32t. Is approval of Homeowner's Association or other private entity required ? l - If yes, please submit with this application. Required Building Data: /6 Mean Roof Height / (ft) Building Width /6 • 0 L- (ft) Building Length 4 73 - SX (ft) Roof Slope I` • ' /L Window Height 7 t (ft) Window Width 3 (ft) Window Elevation from Grade 3 •• ' (ft) Measurement from corner of building to window 5 (ft) Number of windows being installed a 411010114*° '(1.-1 Mean Roof Height 1 ‹ > 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 1/27/03 eb' Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result irk delay in issuance of permit. In addition to the building data, the following information is required: 1. Manufacturer's Test Report with Uniform Structural Load (psi) 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Hurricane Shutter Description/Type 7. Elevation View of Window Locations I hereby certify that all information provided with this application is correct. Signature of Owner: ] ) L' y ' �L / • Date: / 5 ( (7 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: ] t) Date: / 5 0 .6 Address and contact information of person to receive all correspondence regarding this application (please print). Name: �; r_' d► v,V �st✓1 i Mailing Address: 4 /S 7 1 /4 t la< gat. /-` -. 52 2-43 Telephone: 6 ' / - / Z y o Fax: , E -Mail: /v /` AS TO OWNER: Sworn to and subscribed before me this S day of Jo- , 20 a £ . State of Florida, County of Duval 1 Notary's Signature: / l� r ID Personally known e identifica ion Type of identification produced K. IQ- AS TO CONTRACTOR: Sworn to and subscribed before me this S day of Jc .� , 20 t, . State of Florida, County of Duval Notary's Signature ---6 45 ❑ Personally known Produced identification Type of identification produced lJ L 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 http : / /www.ci.atlantic- beach.fl.us Page 2 Revised 1/27/03 • ------ - - - - -- --------- - - - - -- Architectural Testing Y/ NOTICE THIS DOCUMENT IS BEING PROVIDED FOR THE LIMITED PURPOSE OF OBTAINING BUILDING CODE APPROVAL ACTUAL TEST RESULTS PROVIDED HERIN SUPPORT AND, IN SOME CASES, EXCEED PUBLISHED PERFORMANCE CLAIMS. SEE PRODUCT LITERATURE FOR COMPLETE PERFORMANCE INFORMATION. APPROVED CITY OF Al LANTIC BEACH BUILDING OFFICE ANSI /A.A1 AJNIVWDA 101/1.S.2 -97 iJAN 12 2006 TEST REPORT t Rendered to: By: L4 PELLA VVTDOWS AND DOORS SERIES/MODEL: 25 TYPE: Vinyl Double Hung Window Summary of Results Title Test Specimen #1 Test Specimen #2 AAMA Rating R -R25 48 x 72 H -R40* 36 x 62 Operating Force j 24 lb max, 14 lb max. Air Infiltration 0.25 cfm fl; 0.27 cfu, ft Water Resistance Test Pressure 5.25 psf 6.0 psf Unifoms Load Deflection Test Pressure ! ±25.0 psf ±40.0 psf Uniform Structural Load Test Pressure =37.5 psf — =60.0 psf Forced Entry Resistance Grade 10 N/A Reference should be made to ATI Report No. 01- 47416.01 for complete test specimen description and data. 130 Derry Court • York FA 17402 -9405 nnnn.' 717 7F,4 7787 Architectural Testing ANSl/AA_'\L.A/N VW DA 101 /I.S.2 97 TEST REP Rendered to: PELLA WINDOWS A.1\1D DOORS 2000 Proline Place Gettysburg, Pennsylvania 17325 Repon No: 01- 47446.01 Test Dates: 10/09/03 And: 11/14/03 Report Date: 12/15/03 Expiration Date: 11/14/07 Project Summary: Architectural Testing, Inc. (ATI) was contracted by Pella Windows and Doors to perform tests on two Series/Model 25, PVC double hung windows. The samples tested successfully met the performance requirements for the following ratings: Test Specimen #1: H -R25 48 x 72; Test Specimen #2: H -R40* 36 x 62. General Note: An asterisk ( *) next to the performance grade indicates that the size tested for optional performance was smaller than the Gateway test size for the product type and class. Test. Specification: The test specimens were evaluated in accordance with ANSL'AA VLAI WDA 101/I.S.2 -97, Voluntary Specifications for Aluminum, Vinyl (PVC) and i' /ood Windows and Glass Doors. Test Specimen Description: Series /Model: 25 Type: PVC Double Hung Windows Test Specimen #1: H -R25 48 x 72 Overall Size: 3' 11-1. wide by 5' 11 -1/2" higl: Interior Sash Size_ 3' 8 -3/4" wide by 2' 11-114' high Exterior Sash Size: 3' 7 -3/4' wide by 2' 10 -1/4' high Screen Size: 3' 7-3/4" wide by 5' 8 -3 :4" high 130 Derry Court York, PA 17402 -9405 Test Specimen Description: (Continued) Test Specimen 42: H - 40* 36 x 62 Overall Size: 3' 0" wide by 5 1 -7/8" high Interior Sash Size: 2' 9 -1/4" wide by 2' 6- 7/16 " high Exterior Sash Size: 2' 8 -1/4" wide by 2' 5 -3/8" high Screen Size: 2' 8 -1/4" wide by 4' 11 -1/8" high The following descriptions apply w all specimens. Finish: All PVC was white. Glazing Details: All sash utilized 11/16" thick insulating glass fabricated from two sheets of 3/32" thick clear annealed glass and an InterceptTM spacer system. The sash were exterior glazed against dual adhesive foam tape and secured with a PVC glazing bead. Weatherstripping: Description Quantity Location 0.187" backed by 0.250" 1 Row Interior meeting rail, exterior high polypile with center fin meeting rail, bottom rail, top rail, stiles, head and sill upstand 0.187" backed by 0.310" 1 Row Exterior of stiles and exterior of high polypile with center fin bottom rail Frame Construction: The frame was constructed of extruded PVC with mitered and welded corners. Sash Construction: The sash were constructed of extruded PVC with mitered and welded corners. Screen Construction: The screens were constructed of roll - formed aluminum with keyed corners. The fiberglass mesh was secured with a flexible vinyl spline. 01- 47446.03 Test Specimen Description: (Continued) Hardware: Description Quantity Location Plastic tilt latch 4 Interior meeting, rail corners and comers of top rail Metal pivot bar 4 Ends of bottom rail and exterior meeting rail Metal tarn lock with 1 Midspan of interior meeting rails adjacent keeper Block and tackle 4 Two per jamb balance system Drainage: Description Quantity Location 1/4" wide by 1/8" 2 2 -1/2" from each end of sill draining high weepslot the exterior sill hollow 1/4" wide by 1/8" 2 1 -1/2" from each jamb draining high weepslot interior sash pocket 1 -1/4" long by 1/4" 2 One each end of sill draining high weepslot screen track 3/8" wide by 1/4" 4 2 -1/2" from each corner in the high weepslot glazing pocket 3/8" wide by 1/8" 8 Two at each end of bottom rail. high weepslot draining glazing hollow Reinforcement: Galvanized steel reinforcement was utilized in the exterior meeting rail (Drawing X20 -108) and the interior meeting rail (Drawing X20 -109). Installation: Each window was installed into a #2 Spruce- Pine -Fir wood test buck. The integral nail flange was set against a bed of silicone aid secured with +6 x 1 -3/8" screws with 1/4" fender washers located 5" from each end and 8'' on center. G 1- 4744 c u Test Results: The results are tabulated as follows: Para2rapli Title of Test - Test Method Results Allowed Test Specimen #1: H -R25 48 x72 22.1.6.1 Operating Force 19 lbs max. 30 lbs max. 2.12 Air Infiltration (_AS TM E 283-99) 1.57 psf (25 naph) 0.25 cfiuift 0.30 cfrn /ft max. Note #1: The tested specimen meets the performance levels specified in ANSI /"AAMA/1vTT TT DA 101 /1.5.2 -97 for air infiltration. 2.1.3 Water Resistance (ASTM E 547 -00) (with and without screen) WTP = 2.86 psf No leakage No leakage 2.1.4.1 Uniforrn Load Deflection (-ASTM E 330 -97) (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 15.0 psf (positive) 0.12" See Note #2 15.0 psf (negative) 0.19" See Note #2 2.1.4.1 Uniform Load Deflection (ASTM E 330 -97) (Deflections reported were taken on the interior sash stile) (Loads were held for 52 seconds) 15.0 psf (positive) 0.32" See Note #2 15.0 psf (negative) 0.04" See Note #2 JVote #2 The Uniform Load Deflection test is not an A T∎'5i/ 4AMA /MITT DA 10.1/1.5.2-97 requirement for this product designation. The data is recorded in this repor'i for 717f0/7?2071011 Deli'. 2.1.4.2 Uniform Load Structural (ASTM E 330-97) (Permanent Sets reported v, ere taken on the exterior meeting rail) (Loads were held for 10 seconds) 22.5 psf (positive) <0.01" 0.16" max. 22.5 psf (negative) 0.01" 0.16" max. 2[3 or Test Results : (Continued) ParamapL Title of Test - Test Method Results Allowed Test Specimen 41: H -R25 48 x 72 (Continued 2.1.4 2 Uniform Load Structural (ASTM E 330 -97) (Permanent Sets reported were taken on the interior sash stile) (Loads were held for 10 seconds) 22.5 psf (positive) 0.01" 0.14" max. 22.5 psf (negative) <0.01" 0.14" max. 2.2.1.6.2 Deglazing Test (ASTM E 987 -88) In operating direction at 70 lbs Exterior top rail 0.11722% 0.50" /100% Exterior meeting rail 0.10 " /20% 0.507100% Interior meeting rail 0.10720% 0.50" /100% Interior bottom rail. 0.10 " /20% 0.507100% In remaining direction at 50 lbs Exterior left stile 0. 08716% 0.507100% Exterior right stile 0.07714% 0.50 "1100% Interior right stile 0.08 " /16% 0.50 " /100% Interior left stile 0.09718% 0.50 " /100% 2.1.7 Welded Comer Test Meets as stated Meets as stated 2.1.8 Forced Entry Resistance (ASTM F 588 -97) Type: A Grade: 10 Lock Manipulation Test No entry No entry Test Al through A7 No entry No entry Lock Manipulati Test No entry No entrx 01- 47446.0i Test Results: (Continued') Paragraph Title of Test - Test Method Results Allowed Test Specimen 41: H -R25 4S x 72 (Continued) Q tional Performance 4.3 Water Resistance (ASTM E 547 -00) (with and without screen) WTP = 5.25 psf No leakage No leakage 4.4.1 Uniform Load Deflection (_ASTM E 330 -97) (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 25.0 psf (positive) 0.20" See Note 42 25.0 psf (negative) 030" See Note 42 4.4.1 Unifoiui Load Deflection (ASTM E 330 -97) (Deflections reported were taken on the interior sash stile) (Loads were held for 52 seconds) 25.0 psf (positive) 0.62" See Note #2 25.0 psf (negative) 0.05" See Note 42 4.4.2 Uniform Load Structural (ASTM E 330-97) (Permanent Sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 37.5 psf (positive) 0.02" 0.16" max. 37.5 psf (negative) 0.02" 0.16" max. 4.4.2 Unifoiva Load Structural (ASTM E 330 - 97) (Permanent Sets reported were taken on the interior sash stile) (Loads were held for 10 seconds) 37.5 psf (positive) 0.01" 0.14" max. 37.5 psf (negative) <0.01" 0.14" max. 01 -4 7446.01 ---- - - - - -- --------...._---------- _...----------- _.-- _- - - - -•— -- _ -- --- arc -�_c'- --',_- - -- Test Results : (Continued) Pa rag Title of Test - Test Method Results Allowed Test Specimer, 42_ H -R40' 36 x 62 Optional Performance 4.3 Water Resistance (AST VI E 547 -00) (with and without screen) AA'TP = 6.0 psf No leakage No leakage 4.4.1 Uniform Load Deflection (ASTM E 330-97) (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 40.0 psf (positive) 0.13" See Note #2 40.0 psf (negative) 0.11" See Note #2 4.4.1 Uniform Load Deflection (ASTM E 330 -97) (Deflections reported were taken on the interior sash stile) (Loads were held for 52 seconds) 40.0 psf (positive) 0.58" See Note n2 40.0 psf (negative) 0.09" See Note #2 4.4.2 Uniform Load Structural (ASTM E 330 -97) ( Peuuanent Sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 60.0 psf (positive) 0.01" 0.13" max. 60.0 psf (negative) 0.01" 0.13" max. 4.4.2 Unifo, in Load Structural (ASTM E 330 -97) (Permanent Sets reported were taken on the interior sash stile) (Loads were held for 10 seconds) 60.0 psf (positive) 0.02" 0.1 max. 60.0 psf (negative.) 0.01" 0.12" max. 01- 47446.01 Page 8 of 8 Detailed drawings, representative samples of the test specimen, and a copy of this report will be retained by ATl for a period of four years. The above results were secured by using the designated test methods and they indicate compliance with the performance requirements of the above referenced specification. This report does not constitute certification of this product, which may only be granted by the certification program administrator. This report may not be reproduced. except in full, without approval of Architectural Testing. For ARCHITECTURAL TESTING, INC: ,...,.,, ji, es_ni—r3FE)------- f 2 1/ Digipliy Signed by Eric Westphal Digitally Signed by: Steven M. Urich Eric 'Westphal Steven M. Urich, P.E. Technician Senior Project Engineer EW: vlm 01- 47446.01 w'.. „` � .1 L i - -F /C Y . '� "•• 4 / 2 � )-)E� K • r — , -. 0 F '. L: � i � i 7 Z�_3 •'�. ''. i+ ' * - •• r�i `' 0 DOCUMENT CONTROL ADDENDUM #01-47446.00 Current Issue Date: 12/15/0 Report No.: 01-47446.01 Requested by: Todd 'Umbel, Pella Windows & Doors Purpose: A_NSTAA_MAINW 1011I.S.2-97 testing on a Series/Model 25, vinyl double hung window. Issued Date: 12/15/03 Comments: Certification copv to John Ken", at Window & Door Manufacturers Association. Florida Professional Engineer review and seal. 'Spandrel Panels DOUBLE - HUNG WINDOW PERFORMANCE • - • ue o a Unit (24" x 48 ") 0,35.0 54 0.39 - 0.34 0.31 0.50 0.54: 0.54* NFRC U -value Total Unit (30" x 60 ") 0.33 ._,_ 0.54 0.39 - 0.33 --- 0.31 - 0.50 0.54 0.53 Design Pressure (psf) 15 - 50 15 - 50 [ 30 -- 50 30 - 50 Structural Test Pressure (psf) 23 75 23 - 75 45 -- 75 45 - 75 Water Penetration none € 4.5 none @ 4.5 none @ 4.5 none @ 15 psf psf psf � psf Air Infiltration (@ 1.57 psf) 0.30 cfm 0.30 cfm 0.30 cfm 0.05 cfm CENTER GLASS PERFORMANCE Winter NFRC U - value 0.25 - , 0.51 0.35 - 0.26 -- 0.25 - 0.50 0.51 0.53 Solar Heat Gain Coefficient 0.32_ 0.79 0.53 - 0.41 -- 0.32 - 0.79 0.76 ` 0.79 0.62- 0.47 -- 0.37 - Shading Coefficient 0 -" 4.91 0.92 0.88 0.91 % UV Transmission 7..._ 25 - 62 16.56 7 - 62 LBL Fading Damage * ** 0.18 - 0.64 032 - 0.33 -- 0.18 - 0.64 0.59 0.64 % Visible Light Transmission 40 -- 83 51 - 83 72 -- 81 40 - 83 • Performance numbers based on standard glass options. SOUND TRANSMISSION PERFORMANCE ** SIZE RANGES MINIMUM MAXIMU MINIMUM MAXIMU WIDTH M WIDTH HEIGHT M HEIGHT 1'1 3/4" 10'0" Operable Units (frame dimensions) (343) 5' 0" (1524) 2'4" (3048 (711)" ) � Nonoperable companion units (frame dimensions) 10' 0" 10' 0" • Rectilinear (maximum of 50 square ft) 8" (203) ) 8" (203) (3048) (3048) • Curve Top 1' 2" (356) 9' 0" (2743) 10 8' 0" (2438) (267) Opening = frame + 3/4" Sizes listed in parenthesis denote millimeters. Larger sizes available on custom basis. ARCHITEC DESIGNE MUNTIN BAR OPTIONS T R PROLINE FIXED SERIES SERIES Historical (permanent interior and exterior) • EMI • Between -the -Glass (wood) Interior (wood) • • Grilles- between -the -glass (aluminum) GLAZING OPTIONS Clear Insulating Glass (IG) • • • Argon- filled, Low -E IG • • • Double Glazing with Between -the -Glass Options Laminated Glass Tinted and Reflective • • • STC Rating 27 -- 30 29 27 28 OITC Rating 24 -- 27 23 22 24 * For 48" by 48" window ** There is no appreciable sound transmission performance difference between clear insulating glass and argon - filled, Low -E insulating glass. * ** Developed by Lawerence Berkeley Laboratories, the LBL damage function is a better predictor of fading damage than UV transmission. Lower values indicate less fading potential. (NOTE: This value does not consider visible light.) IVS G1/17) CL) et) L0 otc.,f, -, l -DO k W-pt R e t 4u- .4e r,,t , S () L.-era oL L -e,vtic 0.1 Rr d (l) 51-1 W ;tip/cc-L.- icy. c c ] j ) �P�+ ;� ((;) s`re ✓s () u . 1 iu, /e-- k,, ._. c t c g`eclt%) "j due�SLt )1 L SViii14ele I1^v41 t'-' e .4 111,164.6 • lTATUTORV WAggANTV DEED --ISO _ IHIN/CANCI� M PRINTING(XY PI\l'JY Vci 5 �736rt 69 C C ORDS �) This e ,, D Flv� I �:. C ,:� -_s, RUSSELL H SHOWALTER, AU �. Attorney at Law a r rarity t g RE e e d son I � �Je cksonv THIS INDENTURE, Made this r ' day of December , A.1/ 19 BETWEEN HIRAM C. CAROOM and JUANITA P. CAROOM, husband and wife, of the County of Duval , State of Florida , parties of the first part, and HUNG HOANG VO and DIEP NGUYEN, husband and. wife, ) r, ? ill k y,l r ; 11 " a M. 1 0 s: j - I : � ( ) •, :3 of the County of Duval. , State of Florida , parties of the second part, WITNESSETH: That the said parties of the first part, for and in consideration of the sum of $10.00 and other valuable consideration -Rollers-, to them in hand paid by the said part ies of the second part, the receipt whereof is hereby acknow- ledged, have granted, bargained and sold to the said parties of the second part, their heirs and assigns forever, the following described land, situate, lying and being in the County of Duval , State of Florida, to wit: Lot 19, Block 12, Replat of Part of ROYAL PALMS UNIT TWO "A ", according to plat thereof recorded in Plat Book 31, Pages 16, 16A, 16B, 16C and 16D, of the current public records of Duval County, Florida. SUBJECT TO covenants, easements and restrictions of record and taxes assessed sub - sequent to December 31, 1982; and further SUBJECT TO 25 -foot building restriction setback line from street lines and easement ; for drainage and utilities over easterly 5 feet of the above property; and further SUBJECT TO, and by acceptance hereof the parties of the second part hereby assume and agree to pay, that certain mortgage and mortgage note from Richard H. Libby, Jr., and Patricia Ann Libby, his wife, to Tucker Bros., Inc., in the original prin- cipal amount of $22,100.00, dated September 17, 1976, and recorded in Official Records 17n1.nme 47"14 P "(TG+ Q .1 c 1 r r cri t pub 1-ic Et_nr—,, - =. ,•+- , -.V ..1_ � s c.c. - .e:y , i tvrlcia. s ; CV ocicum NTAR'f ,. STAIMp TAXI >:.- DEPT. O F R ' EVENUE -rl ; I of; — = - - s ir ° co P.B — DEC20'83 (.:41 �) I 1 0. 0 U. 1 _ And the said parties of the first part do hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. IN WITNESS WHEREOF, the said part ies of the first part ha ve hereunto set their hands and seal s the day and year first above written. SIGNED: AND SEALED IN OUR PR -7.1 ... (SEAL) HIRAM C. CAROOM g 1 ?"-- ANI TA P . CAROOM � �"i'1 _ - (SEAL) i _(SEAL) (SEAL) STATE OF FLORIDA COUNTY OF __ DUVAL_ _ - ___ -• c ss. Before me personally appeared __..- HI RAM C. CAROOM and JUANITA P. CAROOM his and known to me to be the individuals described in and who executed the foregoing instrument and acknowledged to and before me that they executed the same for the purposes therein expressed. %• WITNESS my hand and official seal this __ _ day of December 83 Jacksonville -+ 19 - -- at , County and Sta et • � .•�.. ,,� V ' ,'L.� ' _ � i 4 �S C ��( I � °` ,�. :....., 1 ` fai l (� (l, — �tY"�,�1' Notary Public In foL - the County State Aforesaid. DEC V ,y " My commission expires: NOTARY PUBLIC, STATE OF FL f O !I ' My Commission Expire s and Feb. 22 1986 I :; + 'If :c yeti s ,i +.I ": Bonded by Transamerica Insurance Co. RI 0 ,,.;+; 1, i: 41 1 ;:,. t:t ill,l r n ;'t M. lTA7UTD RY WARRANTY DEED - -I20 - WINPNClAI. PRINTIN(, (0tvw.iv VOL 5'7 36rs 69 i..v�� ,' This Instrument was preparA 1w'f - � RCM Gu, ._,f BUSSE A tto r H aW LTER,. IJ1��- - eY 136 East Bay Street Ii k a r r n y IJeeksonviUe. Florida 32202 1 ..i-1',. THIS INDENTURE, Made this i ,-, day of December , A. D. 19 BETWEEN HIRAM C. CAROOM and JUANITA P. CAROOM, husband and wife, of the County of Duval , State of Florida , parties of the first part, and HUNG HOANG VO and DIEP NGUYEN, husband and wi fe, 1 , y ilia /. ) ( , 1-.1- 0 ,i. ,1 ' t _-, r e . : . i ( -- ' - 3 3 of the County of Duval , State of Florida , parties of the second part, WITNESSETH: That the said parties of the first part, for and in consideration of the sum of $10.00 and other valuable consideration Dollars-, to them in hand paid by the said part ies of the second part, the receipt whereof is hereby acknow- ledged, have granted, bargained and sold to the said parties of the second part, their heirs and assigns forever, the following described land, situate, lying and being in the County of Duval , State of Florida, to wit: Lot 19, Block 12, Replat of Part of ROYAL PALMS UNIT TWO "A ", according to plat thereof recorded in Plat Book 31, Pages 16, 16A, 16B, 16C and 16D, of the current public records of Duval County, Florida. SUBJECT TO covenants, easements and restrictions of record and taxes assessed sub- sequent to December 31, 1982; and further SUBJECT TO 25 -foot building restriction setback line from street lines and easement for drainage and utilities over easterly 5 feet of the above property; and further 1 t SUBJECT TO, and by acceptance hereof the parties of the second part hereby assume and agree to pay, that certain mortgage and mortgage note from Richard H. Libby, Jr., and Patricia Ann Libby, his wife, to Tucker Bros., Inc., in the original prin- cipal amount of $22,100.00, dated September 17, 1976, and recorded in Official Records Vn1 imme A2 Pn(Tr Pq r public c Y'-44,r-, +-.7- .. r...._ -_..z �,..:...., k 4 . nJ 0 CUMEN 1 AFI'Y , 5TAMP TA X I -' DEPT. OF REVENUE '' 7 co U _ — 3 P Cr`) 7 c n t �. = 11029 ':` tt And the said parties of the first part do hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. IN WITNESS WHEREOF, the said part ies of the first part ha ve hereunto set their hands and seals the day and year first above written. SIGNED. AND SEALED IN OUR PRESENCE: i � -.0c n... __ C.-.a."2. : za ---1-2,"., _(SEAL) _ '. HIRAM C. CAROOM - -- ~ _ _ L. r U _i �w • N.,,I ) /V ; .4, — � -, 3 �'° s ANITA P. CAROOM - t t (SEAL) (SEAL) (SEAL) STATE OF FLORIDA COUNTY OF ---DUVAL- i ss. Before me personally appeared _ ._ HIRAM C. CAROOM and JUANITA P. CAROOM r _ ,his wife, to me well known and known to me to be the individuals described in and who executed the foregoing instrument, and acknowledged to and before me that they executed the same for the purposes therein expressed. WITNESS my hand and official seal this __ -• J -- : -__ day of December 83 Jacksonville - 18____., at , County and Sta 83-103970 103970 tr Pblic in and fo�•the County and Stae Ao (t) 4 54 `8 PH M y N o ac om m expires: i NOTARY PUBLIC, STATE OF FLORI V) `! t f � MY Commission Expires Ft 22, 19 said. M' 141 'i II i : Bonded b P,1-+ t r ,1 [ , I. E lit,i `.}t'\ by Transamerica Insurance Co. llEC r , j - :1,I ;» { ,- ; .. CITY OF ATLANTIC BEACH ' 1-;---, ` 800 SEMINOLE ROAD { ` ATLANTIC BEACH, FL 32233 , INSPECTION PHONE LINE 247 -5826 Application Number 06- 00032311 Date 2/09/06 Property Address 457 MAKO DR Tenant nbr, name 9 FIXTURES Application description . . PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor NGUYEN, DIEP DAVID GRAY PLUMBING INC. 457 MAKO DRIVE 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 744 -7255 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 98.00 Plan Check Fee . . .00 Issue Date . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 98.00 98.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 98.00 98.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL Feb 09 06 09:43a DAVID GRAY PLMBG 7235668 P• •;:1,----)4',, CITY OF ATLANTIC BEACH ' r: ;� � PLUMBING PERMIT APPLICATION Date: 2. `a • ot Property Address: `'1 5 I M r'S -'G, c - De. Owner: p t - \ \;g Telephone #: — (p 4 -11 Contractor: David Gray Plumbing, Inc. Telephone #: 7 72 5 88513 Corporate Square Court Contractor Address: Jac,.ks A ille, Florid. 3 16 Fax #: 7,23- Contractor Signature: ," j4A- 022586 r..7 f , qq In consideration of permit given for doing the work as described in the : 1. ve statement, we hereby aed§ 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, ❑ New list the building permit number. Te -Pipe Number of Fixtures: 2 Bath Tubs Showers 2 Closets Shower Pans Dishwashers 1 Sinks Disposals Urinals Floor Drains 1 Washing Machine 2 - Lavatory Water Sewer t Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: (7 X $7.00 + $35.00 = y 0� 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http :llwww.cl.atlantic- beach.tius Revised 1 /04 , T `..* s CITY OF ATLANTIC BEACH �n PLUMBING PERMIT APPLICATION '-t oR19 Date: 2.� `S • O(.o Property Address: `i s '1 m A4k, Q e, Owner: 7 M y i) Telephone #: — 10 1 -1 - .g c 19 . 1 Contractor: David Gray Plumbing, Inc. Telephone #: 7 1 72 5.E 8850 Corporate Square Court Contractor Address: Jacks ifle, Florida 32 16 Fax #: 71-3- Contractor Signature: i AlliA CFC 022586 i f /< - T jr In consideration of permit given for doing the work as described in the . ove statement, we hereby a#46 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, ❑ New list the building permit number: Bye -Pipe Number of Fixtures: 2.. Bath Tubs Showers 2 Closets Shower Pans Dishwashers 1 Sinks Disposals Urinals Floor Drains 1 Washing Machine 2 Lavatory Water Sewer C Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: Cl X $7.00 + $35.00 = 9 R da 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : /hwwv.cLatlantic- beach.fl.us Revised 1/04 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre - construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application (please print). Name: D 1 eii Ab 1,, y .t✓ 1 Mailing Address: L 7 f/ if DA- Telephone: 6 z Z 0 Fax: /7/` E -Mail: / I hereby certify that I have read and examined this application and attached documentation 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. l p 1/V ( , --f G'- Date: 1 5 106 AS TO OWNER: r. � J I� Signature of Owner: `� V J J l , 20 0E . Sworn to and subscribed before me this day of 'V 1,, State of Florida, County of Duval i / Notary's Signature: to' ❑ Personally kno W roduced identi • Type of identification produced E- b)- Signature of Contractor: b 1 p �1 7 �-( 'lam Date: 1( I 6. AS TO CONTRACTOR: 1 ll Sworn to and subscribed before me this 5 day of JU.,(Nv , 20 b(n. . State of Florida, County of Duval / Ai Notary's Signature: ARM' ❑ Personally known 4, ill ' E'roduced identifica Type of identification produced D L- 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Revised 8/04 Page 3 " J r �} CITY OF ATLANTIC BEACH §..s f 800 SENIINOLE ROAD r" ::,1:$ s) ATLANTIC BEACH, FL 32233 ~ ^ t INSPECTION PHONE LINE 247 -5826 J1i1 Application Number 06- 00032295 Date 3/08/06 Property Address 457 MAKO DR Tenant nbr, name METER # 28708450 REPAIR Application description . . ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . . 0 Owner Contractor NGUYEN, DIEP DIAMOND ELECTRICAL CONTRACTORS 457 MAKO DRIVE 2265 ST. JOHNS BLUFF RD. S. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 Permit ELECTRICAL PERMIT - Additional desc . Permit Fee . . . 70.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 70.00 70.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 70.00 70.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. A „ - e rt, x y , ,t10.� , t om - - ,, BUILDING OFFICIAL 02/07/2006 15:50 DIAMOND ELECTRICAL CONTRACTORS •-* 2475845 N0. 142 Wez � ';.k ;, . ... CITY OF ATLANTIC BLACII t. i; —� ') ELECTRICAL PERMIT APPLICATION • _ Date: 92/'7 D G Property Address: g52 CSd 2C _ ,r , .,,, , , Owner: 7»i V� Telephone #: 70t( 7 Contractor: gittiraZA44 A tec,4 )tCat errNL >nt S Telephone ill a 4 1 - 0/ Contractor Address: 84241 $f. 511.0.5 ibe • Fix #: oc. Via Contractor Signature: In consideration of pennit given for doing the work as deiarlbed In the ribose statement, we hereby agree to perform mid work kl accordance wish the embed plane turd speoifeaaions which ore a pert hereof end In socordswos with the CIO' of Atlantic Hach ordinano - ,. d then • ends of : • • , . ructice 11 Lt Building: But ding Type: 0 HI er Service; it • - construction is 0 Naw • Residence • Cl Temp. 0 New - being dons on this euihB■sg to Old Re 0 Commercial 0 Signs 0 Increase a nu, hiss the building building hirinit nu1Q r p -wire Cl Addition Sq. Ft. / Repair F y s.. Con ucto ize AMPS: COPPER (: ALUMINUM Cr Switch or RACE Breaker AMPS Pt! W I VOLT WAY F. ExIstiog Service / RACE er 5iae AMPS _jell . PH ! W 3 VOLT t .', WAY a Meter Nu 2120 /ti''0 readers: NO. SI - NO - NO _ E Lighting Outlets CONCEALED OPT Receptacles y CONCEALED O i :N la Switches �1 ` Incandes : nt ^� V � �" fluorescent & \A M.V, Fixed ' 0.100 AMPS °Vat FELL --r \N A , • fiance T' N I F . ' . Mr H.P.RAT1NO H. ' . ' 't CEILING KW -HEAT Conditioning Cam. MOTOR OTHER MOTORS AMPS HEAT _ Motors 0 -1 H.P. VOLTAGE PII { NO. OVER 1 H.P. ' PHS Transrnrmmrs NO. KVA NO. KVA , . No.Neonratuf. _T Ed Sigrm - Miscellaneous Ara"- e G 11,' /fie ( At 171171, Afit, 17 800 Seminole Road • Atlantic Wadi, Florida 322334445 • Phone: (904) 247 -5800 • Fez; (904) 247-5$48 • htip,((www.ci ygtntie- taesh.n.us Revised 1/04 l • SPOS-GP2 -406 nS Woofs 0ltaytrtaW ja R.4/0 OSS;00 9O CO qad 6b8$ Lte MG HP Officejet 7410 Log for Systems Personal Printer/Fax/Copier/Scanner 904- 247 -5845 Mar 22 2006 2:51 PM Last Transaction Date Time Type Identification Duration Passes Result Mar 22 2:50PM Fax Sent 96657372 1:24 2 OK , r ' , .., . ".. CITY OF ATLANTIC BEACH 1:7;r:: " '' —•... J ELECTRICAL PERMIT APPLICATION Date: 0 2/7/e) 4 Property Address: 4 16 . 7 Aac40 Dr. Owner: Te4/1 V() Telephone #: 70Y-3?? 7 Contractor: D IG.rrieA. tr (ecAri C.4( 4,O)1 t,e 1-71 Telephone #: J`9 J �/�[,Z c ( 02 Contractor Address: .2&'5 64. Lis 2/cc ' Roe Fax #: 6" ` ' Vag Contractor Signature: 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. Building: Building Type: O Trailer Service: If other construction is O New Residence O Temp. 0 New being done on this building Old 0 Commercial 0 Si s 0 Increase or site, list the building lan Permit nu ber (0 Re -wire 0 Addition Sq. Ft. / Repair er 19' Conductor Size: AMPS: COPPER ❑ ALUMINUM C1 Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service ��1 A,/,,(6 RACE V f Size g AMPS Pei) PH / W 3 VOLT WAY Number 628766 V`7 5 Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN /1 A) ADC n ,. Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW -HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0 -1 H.P. VOLTAGE PH I NO. OVER 1 H.P. PHS UNDER600V OVER600V Transtbrmers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous 1 p ail eti e -•rJrd ( 1>1 De/n2$ J& (/ 5 . 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www,ci.atltntic- beach.fLus Revised 1/04 T Sb►BS- Lb2-o06 na y °eag 0T4uei4d 30 R413 e6S:80 90 Co qaJ SUBS 1,t7Z P06 Diamond E(ect'acat Contitachuo Jnc State Electrical Contractor's No. EC0000062 2265 St. Johns Bluff Road, South • Jacksonville, Florida 32246 • (904) 565 -4424 • Facsimile (904) 565 -4434 February 8, 2006 City of Atlantic Beach, Florida Building Department To Whom It May Concern: I John Glover, Qualifying Agent for Diamond Electrical Contractors give the Power of Attorney to sign and pull permits on my behalf for Diamond Electrical Contractors Inc. to Brian Kern. V - ry ly yours, t i. • nd E,•- ctrical Contractors Inc J6hn Glover Qualifying Agent 00 J Notary v++:►w'`.,L OONNA S. ENGLISH :�. ,., '' s NOTARY PUBLIC ', MY COMM. EXP 6-13-2009 2009 ''i`h`' COMM. NO. D0440558 Constructing Excellence NOTICE TO THE OWNER AND ALL PERSONS INTERESTED IN THE ATTACHED PROPERTY This property, to wit: 7a , f �sy� /PA .8) /c5-, oZ riL ",-97 G, located at: $ 7 "/Ait'" 4O' is improperly stored and is in violation of the Ordinance Code of the City of Atlantic Beach, Florida; Chapter 21, Article II, Division 1, Section 21 -24 (a) and must be removed within ten (10) days otherwise it shall be presumed to be abandoned property and may be removed and destroyed by order of the City of Atlantic Beach. If the property is a motor vehicle, the owner will be liable for the costs of removal and destruction. Dated: Signed: _ Code n orcement Officer City of Atlantic Beach 800 Seminole Road Atlantic Beach, Florida 32233 (904) 247 -5826 VEHICLE TOWING AND /OR NOTICE OF IMPOUNDMENT 1 VEH. YEAR 2. MAKE a MODEL 4. C.E.C.# REPORT 5. J P77 � ATLANTIC BEACH CODE ENFORCEMENT '�`� . j '` f�� 5. COL R 6. TAG NUMBER STATE YEAR 800 Seminole Road • 247 -5800 X741 j 16. WAS VEHICLE IMPOUNDED? 7. IDENTIFICATION NUMBER YES p . r y / D NO 1 .0 7 a� S / � C� y � ,A B/ J�r THE OWNER HAS BEEN NOTIFIED OF THIS ACTION 8. OWNER'S NAME (LAST, FIRST, MIDDLE) L YES ❑ NO NOTIFICATION BY PLACARD 9. OWNER'S ADDRESS CITY STATE NOTIFICATION BY PLACARD AND U.S. MAIL 10. DAY, DATE, TIME OF OCCURENCE 41/ > P /6 -; 17. ARTICLES TAKEN FROM VEHICLE (MUST BE PLACED IN PROPERTY ROOM) 11, LOCATION VEHICLE REMOVED FROM NUMBER 18. INVENTORY AND CONDITION OF VEHICLE 12. N ME OF WRECKER FIRM ewer, 7 Acta>: YES NO YES NO 13. ADDRESS VEHICLE REMOVEEt TO RADIO X STRAIGHT WIRED 9/ /J Az- S , P TAPE DECK KEYS IN LOCK 14. REASON VEHICLE TOWED TAPES ( ) DOORS LOCKED e /p / „r�17 C.B. RADIO y TRUNK LOCKED SPARE TIRE VEHICLE DAMAGE x TOOLS ' AREA OF MAGE ❑ NA 15. RELEASE OF VEHICLE BATTERY / f �'' ,I �, g. ❑ I HAVE PAID ALL CHARGES TO THE TOWING COMPANY AND REQUEST MY VEHICLE BE OTHER ITEMS fir RELEASED. ❑ I HAVE PAID ALL CHARGES TO THE TOWING COMPANY AND REQUEST A HEARING. ❑ I HAVE NOT PAID CHARGES BUT REQUEST A HEARING AND UNDERSTAND THAT MY 19. THE INVENTORY OF THIS VEHICLE IS CORRECT VEHICLE WILL NOT BE RELEASED UNTIL THE CONCLUSION OF HEARING. . DRIVER SIGNATURE AUTHORIZATION TO RELEASE VEHICLE 20. HEARING DATE TIME: Date: Code Enforcement Officer HEARING OFFICER FINDINGS: SIGNATURE OF HEARING OFFICER 21. IMPORTANT NOTICE TO OWNER - IMPOUNDED VEHICLES A. You are he� eqy n �t'f)e at the above described vehicle is being impounded pursuant to Atlantic Beach City Ordinance Number a</'6 7(Y . Towing and storage charges will be assessed against your vehicle. You may elect to: 1. Pay towing and storage charges to the towing company; 2. Request a hearing as to the propriety of the impoundment and as to the owner's liability for charges; 3. Pay the towing company and storage charges and then request a hearing as stated in #2. B. Failure by the owner to request a hearing within five (5) days after receipt of this notice may act as a waiver of his right to a hearing and may result in the placing of a lien against the motor vehicle for the towing and storage charges without a further notice to the owner. C. It will be necessary for the owner to obtain a vehicle release at the Atlantic Beach Code Enforcement Office before the vehicle can be claimed. Proof of ownership and payment of charges to the towing company must be presented at the time of the release. 22. OFFICER'S NAME 2a I.D. NUMBER 24. SUPERVISOR I.D. NUMBER COPIES: White - Atlantic Beach Code Enforcement Department Canary - Release Copy - Wrecker Company Pink -Owner Copy 1zY • CITY OF "lactate? Vead - torldct 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233.5445 TELEPHONE (904) 247-5800 FAX (904) 247 -5805 March 25, 1994 Mr. Hung H. Vo 457 Mako Drive Atlantic Beach, FL 32233 Dear Mr. Vo: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 457 Mako Drive a /k /a Lot 19, Block 12, Royal Palms Unit 2A RE #171462- 0000 -6 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Chapter 12, Section 12 -1 -(7) i.e., open storage of building material i.e., ceramic tile stored at front property line. You are hereby notified that unless the condition above described is remedied within five (5) days from the date of your receipt hereof, this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, 7 Karl W. G unewald Code Enforcement Officer KWG /pah cc: City Manager Don C. Ford CERTIFIED MAIL RETURN RECEIPT REQUESTED d • Complete items 1 and /or 2 for additional Complete items 3, and 4a & b. services. r eturn this card to you address on the reverse t also Attach th form to the front of this for wish to receive the r. m s that we following C does not of the iece, or on the can 9 services (for `Write Permit. mai fee): an extra II; . "Return form t Receipt R back if space o • Print your name and ad • The Return rn Receipt quested" on the ' 1. H tldr S j delivered. Pt will show to whort#} � Ipie below the a eSSee Delivery Address jtj articl article number. 3. Articl Addressed as delivered and the date to: 2. ❑ Restricted Deliver a 0 2 . Consult Y 0. • 4. 1 GG� 3 4a. Article Number for fee. c _. \ A . _ 0 i�5 ❑ Registered ❑ Insured ! 7/ g ber r l a E 0 � Service Type 3 �� a�"{ c� l Certified ❑COD ec Ca Q /&" G 3 Z� ❑ Express 3 Mail ❑ Return Receipt c i 5. Si 7. Date of D- e / Merch • disc pt for o 9n. ure (q �� a. / / �On C Signature 6. S atu `) 8. nddfee s Addres . (On! a C is paid) if requested Y l PS Form 1. December 1991 t aus. GPO: tae I— 3 - . 3s2 714 DOMEsrin De-- . -- CITY OF ATLANTIC BEACH, FLORIDA (7/i I I Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: //0_, Z / 19 P1 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOMPSON ELECTRIC CO., INC, /5, - 167E P. 0. BOX 33Q150 / /_ 25- ATLANTIC BEACH, FL 32233-0158 ELECTRICAL FIRM: MASTER E ECTRICI JOURNEYMAN r NAME , ADDRESS: ys 7 4 - RFD BOX BLDG. �SIZE BETWEEN: 112 � �� APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) COLD )- REW. ( ) C ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ) INCREASE ( ) PAIR FEE CONDUCTOR SIZE / AMPS /f' COPPER ( ) ALUM. (.k) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE `re AMPS / PH ,YIN - /iGyOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZ LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED o. loo AMPS. ' OVER APPLIANCES BELL TRANSF: I AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT 0 -1 1 OVER MOTORS H.P. VOLTAGE NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS ^,, t ` , ''/ar, ,._, rte. ..r sr ARE TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA ' NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR IZ SWITCH _ _ FLASHER EACH SIGN jJC(, 61/ FORWARDED $ /(/ ' Cl. • ,,x ,er 7 1 4 ;_, TOTAL FEES DEPARTMENT OF BUILDING Q Q 7 /� CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. v v '�t PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date July 13 19 87 Valuation $ 8 , 225 $0 Fee $ 46.50 I:6.50 T1. 45,5frKTi1 This permit not valid until above fee has been paid to City Treasurer, and is 1950 1 7/2 7/17 subject to revocation for violation of applicable provisions of law. 8074 ; c r This is to certify that Diep Nguyen 1950 1 A 7/ ?7/=3" 7rla has permission to UV enclose existing carport as per plans Classification Residential Zone RS - Owned by. Diep Nguyen Lot 19 Block 12 S/DRnyal Palms House No. 457 Mako Drive 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 O Building material, rubbish and debris from this work must not be placed in public space, and must be cleared - upand' : uled away by either con - '', s , or owner,/ / rte_ Buildin_. a fficial. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER • -.. WATER P CITY OF ATLANTIC BEACH APPLICATION TO MALE ADDITIONS OR ALTERATIONS Owner V j ) u \ Ar-\ Address 4 1 S 7 in Aka p ' Phone? y9 -3 Architect Address Phone_ Contractor S'C \' Address Phone Contractors License /Certification N..ubers Expiration Date Property Address L157 D e , Lot # / Blcok or Unit #. Subdivision i f o i' Pl) t T Valuation of Construction $ f 50D, c9 Type of Construction W000 Describe Work to be Performed C105pD /f 1/-R' poRr Materials to be Used GO 00 0 1)n 0 5 / f T Present Use of Building (me po , - r Proposed Use of Building Aprep ? Room Flood Zone Dimensions of New Area: // X 1 q • HEATED i • GARAGE OR STORAGE CARPORT OR PORCH DECK PATIO YES NO NUMBER Will there be an increase in number,of units? Will there be a decrease in number of units? Any additional plumbing fixtures? V Any new fireplaces? V SUBMIT IUD COMPLETE SETS OF PLANS INCLUDING SITE PLAN Signature OWNER Date Signature CONTRACTOR Date LCM/%RAIS rii,41.0.,/ Real Homes For Real People. U rllii-y Roon' Do o .....-..---.. .....-...) 1 \ 0 C 0 l v) 0 �J cr o ` ) 1017 ft 1 0 _____________ 11 - -= _ __ __ -_ -- _ -__ � �_' � ^ Y^ ,, !_ wl ��y -��1�^ P• ,1 ■ 1 —i -, -, ,,1-, ,yi, iM 1 `i ,, ,,� _7�1 1 _,-- -_i1 =—_- -, ;, .' , _-.,,c 1 ;�, �l� \ 1 � �� I'r � _ 17,+1M .:;,T—I —1 1'�I';... 11 _'l-1� -Y - : -.. '�11 1 \�`.•. 3036 LaReserve Drive • Ponte Vedra Beach, Florida 32082 • 904/285 -4600 • BOS Realty, Inc. • Licensed Real Estate Broker i LeMARAIS ri 141 I ■1111■■ a Real Homes For Real People. l - UT\ \ -)/ Ro°M ,v,\1 k� 0 0 q 0 41° )I t , „ _ - _ . . r ----- - _ - Itol IS-I ilh..:: ' -- =-I--. . r' -= , — i ii -i �` \ t . . �, f '7 c ■ "� - 1 - 1- i -�-� ! 11 -� -i 11 .,+ I 111 w- ,p : iw�.. 111 , x__17 t w' . _ 1- ---1 '-- _ - -- R --- I 1 '} " IN 3036 LaReserve Drive • Ponte Vedra Beach, Florida 32082 • 904 /285 -4600 • BOS Realty, Inc. • Licensed Real Estate Broker CITY OF L ./ o f Building Official T 9 / ,0‘,1/ � t- -yCD 3` REG T FOR INSPECTION / �� — C ` / �- ;G ' 9 / Permit No. Date- - -- //--- A.M. Time /( OU Received — Jo Locali ss Owner's p j _._.__ —. -- Contractor Name PL MECHANICAL C NCRETE L ECTRICA Z UMBING EC NCAL M r Cond. I BUILDING r Rough r_ Heati Footing C; Top Out _ Et Li Temp Pole Sewer Fire Place Slab Final Pre Fab Be Roofing _ Lintel Insulation A.M. READY FOR INSPE Friday _ - -PM Wed. Thurs. Mon. + � A.M. 6 '�{ ____PM. / { `yam F in al Insp PCIIO �- Inspection. Made - - -- ..a — � error - _— - - A� - y � //�� — � — __ i] n�� /A ��k�`^' /' Date __--- f DATE: je)- -- 6- '' 62 r PRE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL. INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: /(; 4)- /1 / /6221 .• I / ( ' _(/' // .) / -- 1 - A / C / S' ,.. /1.--// / , /'/ S - ll Lc • Enclosed are the blue copies of the permits. SINCERELY, / i BUILD NG INSPECTION DIVISION cc:FILE . , ._ g S' 17 e. CITY OF 800 SEMINOLE ROAD 6 ATLANTIC BEACH, FLORIDA 32233 -5445 TELEPHONE (904) 247 -5800 „n 1 FAX (904) 247 -5805 February 21, 995 Mr. Hung H. Vo 457 Mako Drive Atlantic Beach, EL 32233 Dear Mr. Ho: Our records indicate that you are the owner of the following described property in the City of Atlantic Beach: 457 Mako Drive a /k /a Lot 19, Block 12, Royal Palms RE #171462 -0000 Investigation of this property discloses and I have found and determined that this property is in violation of the following City of Atlantic Beach Ordinances: Chapter 4, Section 4 -7(a) Keeping of Chickens or Other Animals Prohibited and Chapter 12, Section 12 -1 -7 Open Storage of Building Material, i.e., Miscellaneous building materials stored under front portico. You are hereby notified that unless the conditions described above are remedied within fifteen (15) five days from the date hereof, this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, Karl W. Grunewald Code Enforcement Officer KWG /pah cc: City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED 4- t r. ® SENDER: M 1 also wish to receive the W • Complete items 1 and /or 2 for additional services. m • • Complete items 3, and 4a & b. following services (for an extra 6 s e • Print your name and address on the reverse of this form so that we can fee): • return this card to you. � � ry ® • Attach this form to the front of the mailpiece, or on the back if space 1. L'�J Addressee's Address t o 6 " does not permit. e, 4.. • Write "Return Receipt Requested" on the mailpiece below the article number. 2. ❑ Restricted Delivery •' • The Return Receipt will show to whom the article was delivered and the date gym o delivered. Consult postmaster for fee. 3. Article Addressed to: 4a. Article Number c .42 • Mi. •huh y. Uo 8 / f 3J .38 ` D � 4b. Service Type cc �� ❑ Registered ❑ Insured v s rL 3 2 23. 3 c C ertified ❑ C OD W ❑ Express Main ' ❑ Return Receipt for o M rchandise `S D 7. Date oliv ry y- Q a z 5. S nature (Addressee) 8. Addresse s A d s (Only if requested Y ib g t and feg i� pa C l i# 1' -EC G //S j W •) rm 1, December 1991 *u.s. GPO: 1993-352-714 ();(:: es3-3 a DOMEST RE U RN RE PT 0 `S4d CITY OF "IttaKtic i ea d - 9tatcda 716 OCEAN BOULEVARD P. O. BOX 26 ATLANTIC ��B((E��AA�CH,,ppFLO��gqRIDA 32233 ,.l CERT EM 1,2395 December 27, 1989 Hung H. Vo and Diep Nguyen 457 Nalco Drive Atlantic Beach, Florida 32233 RE: Lot 19, Block 12, Royal Palms Unit 2A 457 Nako Drive, Atlantic Beach, Florida (171462) We understand that you constructed a carport on the side of your home without benefit of the proper building permit issued by this office. The carport appears to have been built within approximately 1' of the side property line. If the above is correct, then you have violated the zoning code of the City of Atlantic Beach, which prohibits construction within 7'6" of the side property line, and we ask that you take immediate steps to bring your property into compliance. If you feel compliance would place unnecessary and undue hardship on you or your family you may appeal to the Community Development Board for a zoning variance by filing the enclosed application in this office no later than 5 :00 p.m. on January 5, 1990. If you have questions, please feel free to call. 4 111) Rene' Angers Community Develo. -nt Director Building and Zon ng Department cc: filet,/ 1 3EN r4 Comte 1 2 vahl eddh am ► at Ncl, and comp** • : .∎ TTO" th, .. Poisti + to IH # liy ' I '. jp r tttlr ; o ;1-: xi, s z" t z 1 �• s a � z p� e 1s yy��gy� y i y **, ,PFo�fT F "'7,' °F'c.S"' ;tae} for $dd WWMn �� 04:140 .010otet." HU H. 47 ;,1"AIC+� t ° fi - 32233 d ow '' i _ ` MAP SHOWING SURVEI��.,.r5F Z__07 1• . 3LOC' i2 , •,oL,4'T " / OYQ‘ yc'.DL ti9S C✓ti//7 77 -%/0 A AS RECORDED IN PLAT BOOK 9/ PAGE / g, /Ca - OF PUBLIC RECORDS OF DUVAL CO., FLA. FOR .2/G'%i4/Ot::) // L /.E3f3> c /E. Ai i • f C i ii , 1, ) ,.. , , _, ,, . , \is -.‘ ' 5 62°4 3 • 37--c_J 1 ,r, . 24 C I - r —n — I ■ N � a N ∎ � V) 0 : ._- Ni I . .k. , c, 9..,, RI 1, •4 ,__:•,),L,c ,4. ,e___„• • , , i,‘' -,� /Z 'Z II i Q f I 1 f- i ' IN‘ C THAT THE ABOVE ` `�' WAS SURVEYED BY LEGEND: i HEREBY CERTIFY • CONC1lR[ MONUMENT ME AND THAT :- 7-11 � D/v L G /4 -L.; _ IS LOCATED UPON SAME AS SHOWN AND THAT THERE ARE NO ENCROACHMENTS UPON X -X rums SAID L' .71- - C.I� a-� -4_ -21-') v-p '') °-' , ��' W 0 P CHARLES W. DEGROVE, JR. 0 Mot. ►IP[ SIGNED of 1 - ' • - / 19 �' 36 BAISDEN ROAD JACKSONVILLE, FLORIDA 32218 X CROSS cur % - _, - REGISTERED SURVEYOR NO. 971 FLA. SCALE: //.":: MEMBER: F.S.P.L.S. AND A.C.S.M. ORDER J ss• G/ S ? /4 1-S 6 �'Z - Heated Square Footage a ° @ $ ` , per sq ft = $ o?5.5 S Garage /Shed @ $ per sq ft = $ ( : 7) ) Carport /Porch @ $ per sq ft = $ Deck • @$ per sgft =$ Patio @ $ per sq ft = $ TOTAL VALUATION: $ `Total Vua i ' S�CC) • �� 0 • $ 1 (� � al 1st $ ,L 00 • Remain Valuation '$ 3.Wper t or portion thereof • Total Building Fee $ 3/ DO ADDITIONAL PERMITS and /or PEES REQUIRED + % Filing Fee $ 155 Mechanical • Fireplaces @ 15.00 $ Pluthing BUILDINGIPERMIT FEE $ Life,, Electric /New Electric /Temp Septic Tank BUILDING PERMIT $(p. _CO , Well WATER METER CHARGE $ Swimming Pool SEWER IMPACT FEE $ Sign ' WATER IMPACT FEE $ Water Connection MIS OUS $ Sewer Connection $ Water Meter $ Elevation Certificate f � GRAND TOTAL DUE $ `7 ‘ S CALCULATIONS and /or NOTES • • PLANS REVIEW CHECK LIST AddressLSrL Owner L,41 4 : Legal. Description_LO* Ag__LIC2LLA_Contractor License Number ----- License on File YES (N) Section 24-101 * Zoning Regulations Zoning District e15 grcb Proposed Required Lot Size itb Actual Lot Sizeib.(ac Setbacks Required Provided Section 24-17 front 7;35 CORNER LOT WITERIOR LO 9 rear 7, 5' Flood Zone 2Aane side-1 Required Elevation side-2 1 5' Max. Height Allowed Proposed Height / Section 24-82 * Minimum Lot Coverage Required Heated Area _Je c Proposed Area rA.4) Section 24-161 * Offstreet Parking Number Spaces Required Provided Section 24-82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES Utilities Water and sewer service is to be provided by: Buccaneer Utilities V City of Atlantic Beach Utilities Private Sourc SEPTIC TANK WELL Plans Reviewed by. _22e2AL422.14 Datet..4 -)/./ Building Permit #_d# *SUEDL___: ) DENIED 4 , DEPARTMENT OF BUILDING 8657 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date May 11, 19 87 7.50 Valuation $ Fee $ 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. HUNG VO This is to certify that 7.5tl T 8 1 1 1 IA 5/11/0 has ermission to b 1 RE ROOF 3657 t14�CA P 5111 1ik 5l11/B 1000. Classification RESIDENTIAL Zone HUNG VO Owned by Lot Block S/D House No. 4S7 MAKO DRIVE 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 - -� �— ---► O Building material, rubbish and debris -I from this work must not be placed in public . ace, and must be cleared up an, led away by either con - trac . s owner. .L,O .t r Building Official. FOR OFFICE PERMIT DATE C . ACTOR USE ONLY NUMBER II'''' PLUMBING ELECTRICAL SEWER WATER 4 00Nk yaw CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT BUILDING OWNER H o N Vo PHONE JOB AUUItL'S S 4g1 NAKo t;e74.c..11 F 1 . LOT# BLOCK OR UNIT N SUBDIVISION • CONTRACTOR J C 1 f , ?HONE ADDRESS 451 M iW o D LICENSE NUMBER EXPIRATION JOB VALUATION $ • MATERIALS: • .. 111.#1" / • SIGNATURE OWNER 6 ith• t'// SIGNATURE CONTRACTOR • DATE • CITY OF /� n /' A 4I a4 dic 2 Pact - 4 eti a Office of Building Official REQUEST FOR INSPECTION .�/�J�(�� //� Date 7/27/17 Permit No. �� (J / (,/ Time A.M. Received P.M. istrict No. 4 L / r 2u Job Addre s Locality Owner's - 7Z , Name Contractor`�� BUILDING CONCRETE ELECTRICAL P LUMBING HANICAL Framing Footing Li Rough Wiring Rough ❑ Air. Cond. & ❑ Re Roofing Li Slab ❑ Temp Pole L Top Out ❑ Heating Lintel ❑ Final ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION liteb Mon. e" Wed. Thurs. Friday r ' _ A. M Inspection Mane f • - , M. Inspector 1. . ✓ Final inspection ❑ III Certificate of Occupancy Date �� DEPARTMENT OF BUILDING PERMIT NO. CITY OF ATLANTIC BEACH. FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date July 13 19 87 8 225.80 Fee$ 46.50 t5.5 TL Valuation $ , 4 c.5 rix T O This permit not valid until above fee has been paid to City Treasurer, and is 1950 E A 7 /''7/3" subject to revocation for violation of applicable provisions of law. 6674 88.74c , c D ie , NA.). en 1950 { A 7/P7/97 t This is to certify that I 0 : # ' has permission to enclose existing carport as per plans Classification Residential Zone RS 1 Owned by Diep Nguyen Lot 19 Block l_?—_ _ S/DRny'1 Palin House No 457 Mako Drive According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- + SPECTED BEFORE POURING. 1 PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 — - — ------ ----•► Z Building material, rubbish and debris - f from this work must not be placed in public space, and must be cleared up.41nd`' ' uled away by either con- t / . v or owner ffscial. All ._ PERMIT FOR OFFICE DATE USE ONLY NUMBER PLUMBING -- - ELECTRICAL j SEWER WATER .mss tom` CITY OF ATLANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS Owner D •J?_ . u \\Q Y1 Address 4/S ? rn k © 0 iP Phone2 -3i Architect Address Phone Contractor j'e� Address • Phone • t Contractors License /Certification Nunbers Expiration Date Property Address 957 / �,,. , �p zoning vs-1 Lot # // Blcok or Unit #. / Subdivision / r^J yi. / r4/0\5' Valuation of Construction $ / sow' Type of Construction W000 Describe Work to be Performed (10,5F)) n C. Fr /2ae [ Materials to be Used W 00 0 n n /-FT i o ,k Present Use of Building (' fik pot - Proposed Use of Building F oremn Room Flood Zone DiuEnsions of New Area: HEATED • GARAGE OR STORAGE CARPORT OR PORCH '_11111 DIECK PATIO YES NO NUMBER Will there be an increase in number .of units? Will there be a decrease in number of units? Any additional plumbing fixtures? Any new fireplaces? SUBMIT TivO COMPLETE SETS OF PLANS INCLUDING SITE PLAN Signature OWNER Date Signature CONTRACTOR Date • LemitmS at LATRIUM Real domes For Real People. UT Root» (;,00 5 o o 0 (1 0 f!1 o` TiY 1 • 3036 LaReserve Drive • Ponte Vedra Beach, Florida 32082 • 904/285 -4600 • BOS Realty, Inc. • Licensed Real Estate Broker . . . Le1ARAIS at LATRIUM Real Homes For Real People. E X1STt nol t UT\ --y Room ti�kv O 2 0 0 g 0 \n' 0 1-,.. 0 i rip4u1 / 1 ic - , �� A 1 � M M i . A 4 t ti ) ,� 1 - 1111', -1 ,. 1,____, =14:1 -, --,-1-, - t .r 111 -1 -; • r, ; 11 F '1:`" 3036 LaReserve Drive • Ponte Vedra Beach, Florida 32082 • 904/285 -4600 • BOS Realty, Inc. • Licensed Real Estate Broker v = F �ORI� P CITY OF ATLANTIC CODE ENFORCEM ENT DIVISION 800 Seminole Road Atlantic Beach, Florida 32233 PHONE: 247-5855 COURTESY NOTICE OF VIOLATION DATE " OWNERIOCCUPAN s t ry► ,� Y`5 /1"'" ES THE INSPECTION MAD WERE IN OLATION THIS DATE DISCLOSED O ORDINANCE: OF THE CODE OF THE CITY OF ATLANTIC BEACH, FLORIDA. YOU CAN COMPLY BY ,.: , , A WITHIN DAYS OF THIS NOTICE THIS IS A COURTESY NOTICE IN OF HERCITY CODE YOU AWARE OF A VIOLAT ION OF ATLANTIC BEACH. IF YOU HAVE ANY QUESTIONS TION OR WOULD LIKE ADDITIONAL PLEASE A CALL PERTAINING TO THIS NOTICE, ATLANTIC BEACH CODE ENFORCEMENT OFFICE. � E `72 CODE ENFOR E ENT OFFICER RECEIVED BY FOR OFFICE USE ONLY ` ' Feb. 26 70 Date 19 Permit # 919 Fee $ 30.00 CITY OF ATLANTIC BEACH 10, 000.00 Valuation $ FLORIDA House # 457 Mako Drive APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner - Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub - contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can be verified. R. L. Johnson Constr. Co . D a t e 2 — 19 — 7 , 19 Owner Address ! - /--* Telephone No Architect R. L. Johnson--- Eonet - Coadress- Telephone No Contractor Builder XfO Q Address agAtiK1atliallt30 Telephone No. Lot No. 19 Block No. 1? Sub Division_ .R.O.y a1...Pa1 aS Zone 457 Make) Drive Street Past Side Between Triton and S Ste. Valuation $ 10 For what purpose will building be used Re S Type of construction Br i C K Ve ne er Dimensions of Building ...._. 40 Dimensions of Lot 80...x...9.3 Size of Footings ..._ 8....X....20 Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof Ashpalt How will Building be Heated? Central Gas Will Building be on Solid or Filled Ground? Solid Size of Ceiling Joists Trus s e s , Distance on Centers , Greatest Span " Size of Floor Joists Slab , Distance on Centers , Greatest Span Size of Rafters 2 x 4 Trusses , Distance on Centers 24 , Greatest Span " This rectangle is to represent the lot. E r 7 fi E 0 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 FEB 2 0 19/13 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. 3. When steel is in place and ready to pour beam. ''I ■a El El 4. When framing is completed. s S 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. A A 7. Electrical inspection by City of Jacksonville. cn 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 th• attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City o frantic ' ch. .t4,w� '47, 4. A. 011. R. L. JOHNSON CONSTR. CO. Signature of Builder_.. . A • ess • - ." - -z- --• • ;. ' ' '3 ■ "" „I, ,! —' - - -. �. , - . A. . - c.: B ? �! / -- Signature of Owner. — - -- - -- I / \ l r " /"r/ c S _ _ S rJLL A,' -At" c . .pr / \ s ti ; , f,/ kV i • R g s' M fv. , \ I.. / " . = /'O �� II, . —< .:..:s . 1 } ,!,.<? � � - 7",E - eI At...4 + Ili i . f , 1 1 I; j sc 4,' 4 -. ±'1, /'1 y ' yEN7S 1 f "ca; .t r r / \` r, ' rT ' t \ . r • ir i b i \ b„ \ y. x t ; a ..4/1 „ WA - _ f i i c3 ' c S - 4‘ cart/ C, . , L, x y z i iatiltj(j KtK1 ,i1 t41SiN1 it .Miii£lt` \\\ /+6'' I 1 # 7 - >' . ,/,'"` L " `', , ` .,_ { � ; C " ,` 1 • j" / ' C� '' ' -5 - 0 . ..e .,<.) / _,, :'. t to c - j' - c - c,.,-tic , .6' ^' , 4 ■ P n Proposed Construction DESCRIPTION OF MATERIALS No. T � t� inccrt(cl t» FHA or � ❑ Under Construction Property address ___� — ��__. -___ -_ City __ _:.___ :.` State Mortgagor or Sponsor __ ___- . — Address, ,'wine) Contractor or Builder — - - - -- - -- -- Ott tr�esl . _ i I I. For additional information on how this form is to be submitted, number required, then the minimum acceptable will be assumed. Work exceeding ' of copies, etc., see the instructions applicable to the FHA Application for minimum requirements cannot be considered unless specifically described. Mortgage Insurance or VA Request for Determination of Reasonable Value, as 4. Include no alternates, "or equal" phrases, or contradictory items. /Can ` the case may be. siderotion of a request for acceptance of substitute materials or equipment is f. t 2. Describe all materiels and equipment to be used, whether or not shown on not thereby precluded.} . the drawings, by marking on 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. 0 space is inadequate, enter "See misc." 6. The construction shall be completed in compliance .yith the related drawings and describe under item 27 or on on attached sheet. and specifications, as emended during processing., T•he•specifications include this 3. Work not specifically described or shown will not be considered unless Description of Materials and the applicable Minimum Construction Requirements. 9 1. EXCAVATION: Bearing soli, type sandy loam 2. - FOUNDATIONS: 2000 l_l�, ,� .- 4df . __ , Footings: concrete mix _ : stl u�' i st - _____ -_,_._ Remforcin . -1 ; 0 - r ; 4''''',,,t''''-1- :._ 1 OX' :i_ C'i. Reinforcing Foundation wall: material i Party foundation wall _ - i Interior foundation wall: material - - - -- -- Columns material and sizes Pie , s: s: Inatcri.•ll and reinforcing - Girders material and sizes Sills: material ____- -_ i e \Yuulosv areaways _._- ---- -- - -- _ - -- --. __ __- Basement entrance areaway �__:_____ __ _. __ Waterproofing Footing drains "1'ertnite protection ,._. `a .;_.,:a`)i- i ita_ "i _ __._ .._._ _ _ -_. _ -___ _ -__.__ t "B asementlees•&pace: ground cover _______- .____.__.__ _. insulation. _____ ___; foundation vents , .-_._ __ __ , ,., s, k Spec f oundat i ons ;' t, , Additional information; ------ i 3. CHIMNEYS: Material _ Prefahncated niaka and .size1 -- . -.�_ -_ - ' l Flue lining: material _________ Heater flue .ire . -_ - __ Fireplace Hue size _. -__ Vents r ma,erral and size is gas or oil heater - -_._- water heater - - --_. -. -__ _ ' Additional information: ___ _ _____._ - -___ _- -____ ___ �____------- __�._. j 4. FIREPLACES: er Type: ❑ solid fuel; ❑ gas - burning; ❑ circulator r make and s __._ ___ _.- ________ _- Ash dump and clean -out, i Fireplace: facing ; lining -_:_ - _._- • hearth _ _ T_. mantel - -___ -- { ', Additional information: __ -- - -- S. EXTERIOR WALLS: 1 t Wood frame :'Wood grade. and species --- ❑ Corner bracing Building paper or telt __ -- i Sheathing _____.____ ___-__.__ ____ ; thickness - '__-. -. width _____ ; ❑ solid; 0 spaced _____ --__ o. c.. ❑ diagonal: _ Siding _ _ - __.____ ; grade . _- - - -- _ -- : type _._ _ -, -_- -- : silt' - ___.. - -- exposure ": fastening Shingles • grade ,__ __ -- fey' _- , size _-____; exposure _- -_____ "; fastening - l Stucco _ ; t -__ : Lath - - - -- - - -- • weight tb. Masonry veneer _____ _ Sills - -- _: -__ - - - -_ Lintels _ �- - fac ing thickness - _ - - -- -_ _ :lacing material _ _ ---- i Masonry: olid ❑ faced ❑ stuccoed; total wall thickness __...6........._,. _- i + . Rowlock Backup material __. __ _ _. thickness _... - -- .._ -- bonding - a Derr sifts NcIrwCgiaC1 b2'j, clew; ndow sills :i0.,tr10 . .. -�ld, __Ii :fireck - -_-__ # 1 fing, • furring _ t''2 O'�' 4�^-+, V Interior surfaces;, dampprcw- ._ coats of - - - - � - -_. -- -____ _____________ _ , 8 �- e---s- • Additional information _ --------- _-- -_ - -.- - -._ ___- ._-- - - - - -- -_- -- 1 i Exterior painting: material number of coats • Gable % +all construction: tx rme as main walls [] other construction PY'f -SW's`• 13 Fi LQ\i . p a.-t4- 11 - - _ 6. FLOOR FRAMING: joists: wood, grade. and species s._ --_ -. -_._- • other - : bridging _ - -- -- - - -. -- • anchors Concrete slab: V ❑ lust floor [ ; supported ❑ self - supporting; mix _. -_ -__ -_ thickness l X 6 H Z0 basement floor; f f, _s i'i irLLkstuin ; membrane t � �ef�1* etil ' . reinforcing _ -- __..______ ___. -____. i T A dditional information: 2 Fill under slab: material t C c.�IItC. _ thickness _ t a i: 7. SUBFLOORWNG: (Describe underflooring for special floors under item 2T.) I Ntarrrial: Knack• and species __ - - - - -- ; s ize - -- , type - Laid: ❑ first door; ❑ second floor; ❑ attic sq. ft.; ❑ diagonal; 0 right angles. Additional information: ; 8. FINISH FLOORING: (Wood only. Describe other finish flooring under item 21.) 1. l .cx:r rioN RcxoMS t AR DE . Spn "IF,. fnx KNEAS %V MTFi Hint :. PAPER FINISH r �� Second floor _ - _ — c floor _ sq. R. ____ .-._ _____ Additional information: t 1 DESCRIPTION OF MATERIALS ' • b A LES it1U t Cif foal V l•n _ 1 -. x- t i e „P<1.<1 r4.n . t3E$CRiPTiON OF , MATERIALS' r 9. PARTkTI Studs;. wood, grade, and spec ON ' MAMINGa q. t ,,, n " tr O . O ther. =its M so a c E' ' 1.r1�'size and spacing 3 Additional information: s 10. CEILING FRAMING: rt t >' b ' 1 cs t L�� t , D D .4 �.+ 6 t l ' -l _F 0 ..1 +t .____ _ Other Bridging Joists; wood, grads, and spcxies Additional information: __. — 1 1 . ROOF FRAMING: r a�- .re(-.1 f ti { a Rafters:, wood, grade, and species _ Roof trusses (see detai grade and species Additional 'information: 12. ROOFING: f . t 1 wood, grade, and species' . ,1 e''''''‘,,-1.;€:1;,,'3..z1",, y.. Sheathing ti P x t ;l. F4 i:.11, . ❑ solid ❑ � a 1X1 tabbed Roofing f; � f�1�'� 3. � � J. Y d�,E' w .:.' grade 4 .:.' -- -I ° • size' y R� � � � - Underlay felt ; w eight. or thickness , 6- e ; f asten Built -up rooting -t ; number of plies ; surfacing material t` V . pieta-I., ; g or weight ; ❑ gravel stops; 0 snow guards i Flashing: material t 1 Additional information: _____ __ - -- — __ - — 13. GUTTERS AND DOWNSPOUTS: Gutters: material g ;r' ,;.1 -Y , lac- ' t e a, r i.: ___; gage or weight _. �?,t _; s ; shape ti �.� !t a e or wei ht �C _ ; size ; shape ; number I Downspouts: material 2 3� — gage weight '' ` tf -.` ; t , :� r tt C C ^ i , ' Downspouts connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑ dry - well. } Splash blocks: material and size • Additional information 14. LATH AND PLASTER Lath ❑ walls, ❑ ceilings: material — weight or thickness Plaster: coats — _._ finish el Dry - wall'} walls, � s: rnateriak �J —_; t ; finish - Joint treatment atDed anand o mente a -- — ` z 13. DECORATING: (Paint, wallpaper, etc.) � Rooms W ALL F tNISH M 1TEtn . At- ANA AP PLICA TIO C .WING FINISH MATERIAL AND APPLICATION Kitchen X121 a1 nt r' ril IFiO,1_ 1- ...ir.t . Bath r ?..�' t, i -. ',5�. ■ i:. . j; :y. e..1' e :. y;. ,.J; . Other .4' 1 z I tsri ac t , 16. INTERIOR DOORS AND TRIM: - Doors: type . 1 C.. ' a r ; material 7 'Dar 1^ ' thickness l 3 LI Tt Z it Door trim: type.:4"�Li :Ii ; material yel• pine Base; type StOG1 ; material . a 1 a ; size ,a F tnm E.. a C %C.: .1...1 : Finish: doors ct(�_ta"t — sj ().q :. .�. � �. t. Other trim (tient, Type and locattoin) Additional information: 17. WINDOWS: Windows: type " ; make material ; sash thickness Glass: grade ,5 _ S ,T1 , ; ❑ sash weights; gli balances, type SPti -21g ; head flashing Trim: type ''4L= ..., material Paint ; number coats \ eatherstripping: type ; material Storm sash, number Screens( full; ❑ half; type ; number ; screen cloth material 0.11_1)..1'.1.,, , Basement windows: type ; material ._ ; ❑ screens, number ❑ Storm sash, number Special windows ____ ' Additional information: 18. ENTRANCES AND EXTERIOR DETAIL: Main entrance door: material Q (lerO fi c .'1.1' ( , width . 3 i --0 ' t ; thicknes / 4 ' Vrame: material ye .1 a thickness 3 . Other entrance doors: material POndero saPinf width 3? -0" thicknessl 3/4 rame: niaterial y61 . thickness3,4A, Head flashing .___ Weatherstripping: type 01)1'1i 102 /ie ; saddles ,111-1.111.. Screen doors thickness _ "; number ; screen cloth material Storm doors: thickness "; number Combination storm and screen doors: thickness "; number______; screen cloth material S A 21. spropa. FLOORS AND WAINSCOT • C L.oc*TIot MATERIAL, COLOR, BORDER., SIZES, GAGE, ETC• BIATERIAL tVIATERIAL MATERLSL 2 Kitchen e'.CyDG Slat) 8 Bath i ri } �� HxtcHT - Hamer IN $1sowess i MATERIAL., Cows, BORDER, CAP. SIZES, GAGE, Ere: HEIGHT OVER TUB (FROM FLOOR Bath � h No .1 Glazed cerarl.lc t12 c in 6Yiower only " _ $ tt �' 7 "o • 2 Gla _ etx cerfli_i-c tile aroia,l;c tut only 5 4 Bathroom accessories: ❑ Recessed; material ; number • Attached; material (41',rcI. "e ; number Additional information: 22. PLUMBING: FIXTURE L.L/CATION MAKE MFR'S FIXTURE IDENTIFICATION No. SIZE COLOR Sink =NOM emorme Lavatory �r� i Water Closet noteritim Bathtub EMUSCIC • s _ ' Shower over tub Stall shower 11111111111 • Laundry trays i" AID Curtain rod a © Door 0 Shower - pan: material Water supply; 0, public; 2''} Community system; ❑ individual (private) system.* Sewage disposal: 0 public; (''community system; ❑ individual (private) system.* Show and describe individual system in complete detail in separate draw and specifications according to requirements. { tile other House sewer (outs): $J cast iron; tile; Howe drain onside): � cast Trott; ❑ Q _ ❑ d other Water pip galvanized steel; 0 copper tubing 0 other - Sill docks, number• Domestic water heater: type ' electric ; make and model ; heating capacity gph. 100 rise. Storage tank: material el$c '_ ; capacity 40 gallons. ' 1 , Gas service: ❑ ut company: ❑ liq. pet. gas; ❑ other Gas piping: ❑ cooking; ❑ house heating. Footing drains connected to: Q storm sewer; ❑ sanitary sewer; ❑ dry well. Sump pump; make and model � �� rr�� capacity ; discharges into 'r . 23. t'*A ING: .. (� Hot water, Q. <Steam. ,Q Vapor. ❑ One -pipe system. ❑ Two -pipe system. ❑ Radiators. .Q Convectors. ❑ Baseboard radiation. Make and model _ L - Radiant penal: Q Boor; °fl. wall; ❑ ceiling. Panel coil: material Carestlattit. d Reusrn,pump. Make and model ; capacity fpm. i Boiler :;make'aad model Output Btu,; net rating. Btuh. Additional in64Frtit Ott€ rns air: 0 Gravity. a Forced. Type of systeitl see draw Xi S Duct material: supply return Insulation , thickness Outside air iratitkr #‘i r n ac e : Make'' and model Input Btuh.; output &uh. Additional inI rnsatiioii: 0 Space heater; �.j Roar furnace; d wall -heater. Input Huh.; output &uh ;; number units Make, model Additional information: C consols: make, and types t, Additional- infortnation' Punk Q Claal; U +s31, ❑, 0as; Q 14 pet. gas; ❑ electric; 0 other ; storage .capacity a 4 , i s • • • j 1 . t Y 1 t P i ti ar s F ‘:, , .� , . / O, 1 r' 1 b ,1 i 3 i t j „ ` .... Q r � f i ( ,, t f it r; s ( t \ — •— ‘ U q� ? .. - ,/ 249 'o" P , /CI /3f5 , ..k .' e