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Permit 409 Mako (vault) L i < , r c / . _ FOR OFFICE USE ONLY Date Feb. 26 19 70 CITY OF ATLANTIC BEACH Permit # 925 Fee $ 30.00 Valuation $ 0, 000.00 FLORI House # 409 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. Date 2 - 19 - 7Q , 19 Owner X RICIPClitnitCANUMIS Address Ein X Telephone No. Architect R. 1,. Jo }.nsC�T3 COlie . drew Telephone No. Contractor Builder 14 XW4XX4WW 4X Address X1 99 8C4 r4gPaRIRS Telephone No Lot No 25 Block No. 12 Sub Division. .. Rta,jral_._Pa1ms Zone 409 Drive an Sab� MekO Street East Side Between Trito Sts Valuation $._1Q For what purpose will building be used R . e. B Type of construction Brit-. _.Venee r Dimensions of Building. __ _26__. x ..4.0 Dimensions of Lot ._.. .__x 93 Size of Footings 8 x 20 Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof AS.hpalt How will Building be Heated ?C.entral__._Gas Will Building be on Solid or Filled Ground ?._.. Size of Ceiling Joists Tru -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 PP This rectangle is to represent the lot. e n ��1'JJ n � D 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 1970 be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing.THE CITY OF ATLANTIC BEACH W 2. When steel is in place and ready to pour columns and /or lintel. Z Z 3. When steel is in place and ready to pour beam. ':4 i- 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. W al 7. Electrical inspection by City of Jacksonville. w 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 t e attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City o / : i :each. !. r r • - € R. L. JOHNSON CO T. Signature of Builder__ ____ ° , P , Address F Signature of Owner X X ess c O . �.,,z " 8/08/03, 8:07:01 16 CITY OF ATLANTIC BEACH INSPECTION TICKET INSPECTOR: LARRY J HIGGINS PAGE 03 ------------------- ADDRESS . : 409 MAKO DR DATE 8/08/03 TENANT, NBR: 125AMP,1PH,3W,240VOLT,CAB SUBDIV: CONTRACTOR : BIVINS ELECTRIC CO. OWNER BOYLE, S. PHONE : (904) 249 -4308 PHONE PARCEL . . : 171468 -0000- APPLE NUMBER: 03- 00026625 ELECTRIC ONLY 41/ PERMIT: ELEC 00 ELECTRI -------------------------------------- __ CAL PERMIT ---------------- - - - - -- _ _____ _ REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RES ULTS /COMMENTS 23 01 8/— /08/03 LJ TIME - l -1 i] L FINAL TIME: : 13:00 J / l- pam 2494308 ---- - - - - -- ------- - - - - -- COMMENTS AND NOTES ----------------- I, d 1 x I\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J A ATLANTIC BEACH, FLORIDA 32233 1 ' INSPECTION PHONE LINE 247 -5826 •.f J j3 ' ` Application Number 03- 00026625 Property Address Date 8/05/03 409 MAKO DR Tenant nbr, name 125AMP,1PH,3W,240VOLT,CAB Application description . . ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor BOYLE, S. BIVINS ELECTRIC CO. 409 MAKO DRIVE 1004 SOUTH SECOND STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249 -4308 Permit ELECTRICAL PERMIT Additional desc . INSTALL125AMP,MAIN BREAKER 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 .. BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL ^ , .;.". 7 ' '''" itk ) ..r) CITY OF ATLANTIC BEACH, FLORIDA 1 ELECTRICAL PERMIT APPLICATION TO THE CHIEF ELECTRICAL INSPECTOR DATE: #20 IMPORTANT NOTICE IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK S DESCRIBED IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HERE* , AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CI iii ' '. FLAN C B AC ORDINANCES. ELECTRICAL CONTRACTOR: al a A. r ) — I I • ‘ MASTER ELECTRICIANS Sir" TITRE: - ir - 40,5r0f11 . rif OWNER OF PROPERTY: /4 d c & s JOB ADDRESS4 4t Litick-z, RES. APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD(... - w,( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT. SERVICE: NEW( ) INCREASE( ) REPAIR( ) CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) - , FEES if ig (// I SWITCH OR BREAKER A2cAMPS 1 PH 3 EXIST. SERV, SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN 1 1 1 TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0 30AMPS , 31 100 AMPS SWITCHES INCANDESCENT PLOURESCENT & M.V. FLXED 0 100 AMPS. OVER APPLIANCES BELL TRANSF, AIR H.P. RATING H.P. RATING CEIL. KW-HEAT CONDITIONING COMP. MOTOR OTHER MOT AMPS HEAT /— A 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS • 1 1 • / / MIS' E LANEOUS 4 NreAwirimaillitallaNtaffail#1_111111#11 ‘ -411111171711 i IffralfIRIFORMIII,EMI, Li vo-• - 6eit 0 ER 610V TRANSFORMERS: 4 NO. KVA NO, KVA - NO.NEON TRANSF. NO VA MA ' MOTOR SIZE SWITCH 1 FLASHERS EACH SIGN , _ 800 Seminole Road • Atlantic Beach. Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845. http://www.ciatlantic-beach.fLus Revmeti n I II 710.1 1 CITY OF -v. ililaslic Beg:44-44441a g,,,,,..,6,,/,..5 f., Office of Building Official REQUEST FOR INSPECTION Permit No. Date Time A.M. - ,. District No. Received 410 ' 1, i ` / 4° % — Locality Job Address Owner's Contractor MECHANICAL Name E PLUMBING CONCRETE p Rough 0 Air. Cond. & 0 BUILDING o Footing Rough Wiring 0 0 Air. Cond. Temp Pole 0 Top Out Fire Place 0 Framing Lint 0 0 Fir re Fab Re Roofing p Lintel 0 READY FOR INSPECTION Friday ------ ---- -- "—' A.M. .M. Wed Thurs. Mon. Tues. A.M. f P.M. Inapection Made Final ►napectiw Inspector / Certificate of Occupancy Date DEPARTMENT OF BUILDING O CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Septe€aber 13, 19 85 Valuation $ 4, 100•00 Fee $ 24,00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that W.R. I3EIZINI er . O t,) TL 409 MAKO DRIVE :444 1A 9/1G/ 65 • MIME has permission to Wilt ENCLOSE MST= CARPORT/PAVE Aurrictitun / IFin 3 10x20 PAD TO ITT PARKING REQUIREMENTS 1 0010 Classification RESIDENTIAL Zone W.R. PERINI Owned by Lot 25 Block 12 S/D Royal P. n• House No. 409 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 — 1 d g / / ' rklin g material, rubbish and debris f -= /t , -1 from this work must not be placed in public space, and must be cleared I I t %' / F ,}� hauled away by either con - S s j / 1 c -or owner. , �. /IL( , Building Official. s FOR OFFICE PERMIT n �. DATE. 4 CONTRACTOR USE ONLY NUMBER �, • , n PLUMBING ELECTRICAL SEWER 1 WATER C 1 1 YOFA AN C AP PT, t GVTI ON 0 Y. ADDi i ONS OR A 1: 1 1-: RATI( )NS ner " A klress _ Pbone Architect ,5,)9/./E- Address Phone_ Contr;,(!tor Address Phone _ Contractors License/Certification Nu:11)ers_ Expiration Date Property Address Zoning It # Blcok or Unit # A:77 - co g/06. Valuation of Construction $ *47.2re9 ' Type of Construction Describe Work to be Performed Ci-e-6-5-/4/ Material s to be Used c _7;1 /1 ,5 Present Use of Building Proposed Use of Building $",/t7t 7 iTLANTIC BEACH Hood Zone 71:!1.-DING OFFICE DiTia.71 S on.s of New Area: SEP 3 1985 IfEATED Dit# - (RAGE OR STORAGE CARPORT OR PORCH Ad DECK 1 PATIO YE'S NO NUMBER Will there be an increase in number of units? Will there be a decrease in nuther of units? Any additional pluibing fixtures? Any new fireplaces? SUBHIT IWO COMPLETE SETS OF PL,: INCLUDING SITE PLAN f Signature OWNER Date _______ Signature CONTRACTOR Date _ 24 "til! � r c `� e 1 57,2 or' e. v1 4 J\y i C - 9t 5 1 2 v .fir_ >•t c. e {D 0 ! , c a l f �x� / 1 t. \ , tz F, / tr i„,,11,. ys I t . z,x�.i4 r-. ,...a+ t ;---- i ' c ., V fir- •. 4 4 � • � .._ /'c " ,„t• ; I ol',:. V - 9, *DEC. , t, 5 Z X %, < , f r ` ' ..S7 RA,/ A ilJ. c i r° ; c:.% 5 s r 1 sc F'• v 714 44" ."" 2:4 t E ... ' f \-- _ _ yeti 75 I 1 II .:- j ' 1 / -- T d , I . * s \\ \‘.\,,\. , r I u' ;� . 3/4 F /�' ' %'vt (T-e'�A,'' ) x ., '/a C ., _ v4. t _ # ' \ ! B,P* co, ,A.', i iukcikL.,,j4•iLlui s�iirf4lWr.. /' /lltihi \ \ 1 • ' f/1 A L/ a/ /{J ; d \` ��/ /fp f ♦,� /( ..�� d .�. l V 1, 4 / 774 4; Z C U Ai r• £ /6 ., 1 1 , / II / !M - DEPARTMENT OF BUILDING aa CITV OF ATLANTIC BEACH, FLORIDA PERMIT NO. 7346 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Dece' 1E � 19 25 L . Valuation $ Fee $ 7.50 7. T j 12/1b/ This permit not valid until above fee has been paid to City Treasurer, and is 73 l +;J • t d l C, p subject to revocation for violation of applicable provisions of law. y i,. 1;/1tA/ 3 This is to certify that Lfl1) T L OE ROOFING 1 GOO 1 has permission to build IMF -ROOF AS PER. FANS Classification rzsIDEZTTIAL Zone psi Owned by Lot Block S/D House No. 409 1' KO 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 ---110 0 Building material, rubbish and debris -1 from this work must not be placed in public space, and must be cleared up and hauled away by either con- - Irian or owner ji /sJ it AO. Build' : i fiicial. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER 1 CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT Building Owner l n1 'II _ Phone 2Lt ' . 3 c Job Address Lot b _ Block or Unit # , Subdivision Contractor R ( 1 t n of) 6('ctC' hes Phone 1tlt(R c � Address ILL(I CeSc'r I - e CA C License # ` -- -- moires l Cl Co Valuation $ - 1 50 Materials to be used: 21 s s h t n5 l S Signature of Owner Date Signature of Contractor , yam = Date 1 ' q �5 . . . . . . . . . , r : ' . 4. ''• _ ! . , • .. . - - -- - "..f ' - • .• , ..7 ;:. - . -, . ', „.: .-- . , . - c. -, - _-. •• , • - .r. '"-.." -.4 .., .: 7 ..- •-• C C - - . f• i . - . _ . - ---.. - ;-• . . _ . . 1 - 1 ■ 9 • 1 i ckli . • 9 . . ' . . I . ••••\ • . • N . 9 . ' 9 .. . ....• , i 1 . I . - 1 , C i k2_ 1 • 4 ,.: '' .., 1 ■ j /q.3 1 9 . ' ■ I ••":9... S . . _ A lp _ i 1 . , 1 .. . . ;. ', -.--' :DROVED 1 , I • ---.!:.--:: r. 1 1 7. I _,- ,. • , ,/ l I A , _ - . • . . . - ..:.• - , „ . , : . , • , . ... )- / / -'' 7 '- .. 7 , • i'' .•'• ..f. - I • ". ' - • • - " • 9' . ' • 'S • ; Y ! , . C P roposed Co n s tructio n ` N o: 0 Under Constr , uctlQn .. ('r'o he i ed byed s brFi Aor1. Pr operty address . � I Mort a or or $ City _ Sttxte 1 9 g ponsor ,:vas.,) - - --• ----- . . .�.._ . Contractor or Sund � _ __ r:l ckhlya) 9iarnea -- • (:lctdrrssl INSTRUCTIONS ' 1 Fwr astditionol information on how this form is to be submitted, number r of 1. Fo , etc., sep the insfructrons o licabte to the required, then the minimum occeptable wit! b a ssumed. Work exceeding Martgage.insurorxe or VA Re PP FHA Appl icati o n for the c Request for Determination of Reasona as ble Value; minimum c requireme r cannot be c gn p k r e i d unless specifrcaor described; f qM may be. �. Inc n o al "or vas" C oil el p or contradict materials and equipment to siderot of a requ f ac o f subst materials or equipment Kan• i t 2: the drowringe, by meriting p be used, whether or not shown on not thereby Y g on X in each appropriate check -boa d eMerin t precluded.) 4uipment is ` ! in for mat io n called fur t o each space. ifs acs is i g 5. Include signatures required of the end of this fora* and descritse under them 27 or on an attached sheett. quote, e ''See misc. the " 6. The construction shall be completed in compliance yri related dsowi 4 3. Work not specifically described or shown wi!! not be considered unless and specifications, os amended during processi Of- 1 Description of Materials and the applicable Ming., mum Cons tru rf c t on Reg r u r n is'. T. EXC�VATi�I .. . - _ Bearin stmt, type . 1oFug . F4UNGAT1pNSs _ __ __ _ = ! l cuxings; concrete rnix " ' 2000 .1 }. (2) 1 ` � r s } i '- ._ _ _,__, strcrre psi __ - _ - Reinforcing Fo utnriation wall: tanat;Xtias '1 or'," • r i i •' U x' 1- C ti� _ _ _ Reinforcing - Interior 1`ounslaitiirn wall: material _ Parry foundation wall _ _ Crnitrrn t muteriat and sizes _ `Piers: material anti reinforcing - Ciit tiers.: material and slats Sills, • matt i ial �.._,. t i entrance areaway _- kVindow rsreaways . _.._. _____��_ ----- i Wate -..�._- ._..,:T__ Foutinq drains e 1 er rn i t e Et rr,t e ru r ,n ._ . x ....t l..:.__ - -- - - -__- _�_ ' Itaserraentless space°: ground cover ____ ____ .__ , in�ulauon _ __ fcmndatiun �cmts _ ' Special foundatrptrs • _ . atonal ' , &, r 1�' i i Pr ' naaAa ervf x rtr a _� _ - I F ireplace flue si>.e -- i 1 Heater flue wt. cater _____ -_ li" ! ,41 I { 4 i i i j fi , s 1 l C' r 0 Proposed Construction DESCRIPTION OF MATERIALS N o: __ �� (-o be inserted by FHA or V,L# 1 0 Under Construction Property address _ ___ _ _ _ _ _________ ____, City _.__ , State . I. - Mortgagor or Sponsor _f _ NErnC) _ __. —r -- -..- -- {Aikfrcss) Contractor or Builder __ j (Name) -- - - -- -- _ _.,__..__.- -_— (A,1,4„,.„) r 1 i ' INSTRUCTIONS — 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 d, Include no alternates, "or equal" phrases, or contradictory items. (Con x the case may sideration of a request for acceptance of substitute materials or equipment is k `s. 2. Describe all materials end equipment to be used, whether or not shown on not thereby precluded.) the drawings, by marking an X in each appropriate check -box and entering the 5. Include signatures required at the end of this forirt. 9 I. information called for is each space. If space is inadequate, enter "See misc." 6. The construction shall be completed in compliance With the related drawings I and dtnerilse under item 27 or on an attached sheet, and specifications, as amended during processing.. compliance ations include Htfs "' l 3. Work not s pecifically described or shown will not be considered unless Description of Materials and the applicable Minimum Construction Requirements. I _ 1. EXCAVATION: I F sand loam • Hearing soil; type - ___ y _ _ t 2. FOtA1IONS: _, ' z Footings: concrete mix ) .tic" ----- ' , ---.-.r_, �. su'c•ne�l, psi ..;- _--- - - - --- Reinforcing � � � Y''4t1.�.� , :.zQr`71 i. '1 at':i_ C3 i t' R ti foundation s sa1l : material b." , . _ € Interior foundation wall: material _ --- -______ .__-..r Pant' foundation wall { Columns: material and sizes J., l - - __ . Piers: material and reinforcing � ._ ___ ___ Girders • material and sizes : Sills. material - ~ Basement entrance areaway -_-.__ _______________....._._;. _____ ____. Window areaways _ _: _ , i j Waterproofing __- - ____ _ ________ _Y_._ Footing drains ___._.____�_______._ _.. -- --. -- • V ferrnite protection .__rt_ -;__ Jf.2:.:_ _ _ Hasemrntless .space ground cover _-- . _.__ -_ • insulation. .__ • foundation vents • i ' Special foundations �_ _ Additional information: _ - _ 3. CHIMNEYS:' Y' ' Material Prefabricated i make and 1?-..:e t __ i Flue lining: material, . ________ Heater flue sire __._ Fireplace flue'sixe Y ______ 1 . Vents (mfaterrat and . rtze ): lass or oil heater ____ _:_- _.__.__:____.__- .______T_____. water heater 1 I'. Additional information 1 4. FIREPLACES: Type: ❑ solid fuel; 0 gas - burning; ❑ circulator ( make and we _ - - _ _ ' _ -- -- - --., Ash dump and clean -out _- ± j Fireplace: facing ___ - ; lining __. -_ _ ____ _ - __•: hearth . __ --_ - ;mantel I Addi tional information: .,_- .__-_-__ -_.-_- _ - -____ . _._ __ -. _ .__-_ ___ - -- - -. ____: _ - -- - , .1 5. EXTERIOR "WALLS; 1 Wood frame: " W Wood grade, And species___ T .___-___ _____ _ ❑ Corner bracing Building paper or telt _- • Sheathing _._ __ __ ; thickness -___ width _ ❑ solid (_] spact'd o c• . ❑ diagonal; Siding ; grade . type _ ___ , site - _ _ ___ ...__ : exlxosure __ _ " . t astr_ning - r Shingles .___ _ -_ _._ ; grade _ _ _; type _ ._ _.__ - -_ size : ._______ .�. ; exposure .____-___.__ ". fastening 1 4 Stucco —. _ - ; I hick ncss "; 1, ti __:--_ -___ _____ .- __.-__ -__ __..-__- _-____: vs eight ib- } m asonry veneer sill., . _ _._ _ _- _.. __ - - - . .____ Lintels _._. - Masonry: @Wirt Q Rsctd ❑'' stuccoed; total .wall thickness �__ tap ing thickness . _._,_:-.. ". facing material . ' a Rowl.o d k Backup material -__ _ - -_ -_ _; thickness___ ___ -_': bonding______ Door sills gO 't+ Cg ; •:Ca bri'CJedindow sills riCiiM1 01-; IioY.'_.:1 21-- 24u24+1.'C t interior surfaces; dampproofing, - _______ coats of _______ , ____.- __... ___ ___ _ ; furring r''7- r7--a:...- 2 C# ,ja : • Additional inG,rmation: _ - ___-_ ___,-__ ___ - .- .__._-- _-- -_ - -_ - -- - _ Exterior painting: material __.:_. , . _ . __- . ____-- -____: _..... __- _- _ -- -- _--._____ -_ _.._, ntimher of mats _ Gable sha ll construction: ®]lame as main walls; ❑ other construction ._ t T: . , ui'- - ;_31:'--J_- 1..i:.- oV €' -. ,f•,t.,'t1i.1 3 =(y -- - 1 6. FLOOR FRAMING: Joists: wood, grade. and species ____________.____ -; other _._..__- ._ . - - - -..; bridging _ ____._._; anchors • i Concrete slati�] basement floor; first Hour ( ;round supported, 0 so ixo il= suprting mix _ _._;�__.__ • _,_.^ ; thickness + , C , reinforcing - x 6 - 1C),/ - t V" s v - kiblation �_ , membrane It1_ tkti.6 red WAtIt Fill under slab: material _ e_2 e_ s -__o ; - -- : thickness 0±___,.. Additional information __ ___ t _ ` i 7 Stl13n0021,40: (Dssaibe onderflooring for special floors under item 21) , . Marrrialr grade and species_ .,,;;________,______ __._ - - -- size _ , type , Laid: ❑ first floor; t J second floor: ❑ attic __ _ sq. ft:; Q diagonal; ❑ right angles. Additional information :— - - i t 8. FINISH FLOORING: (Woad only. Describe other finish flooring under item 21.) L(x; IIUN Room GRADE SPFAt1ES emcee NESS World Biro. f APER FiViSH -['• fluor • Second ll«x ----- ----- - .,`___.-- ...- ___- -- -_ -- _ — :a Attic ;}nor , Sq. ft. . _---_ Additional infbi- oration: r- • A R: coeirWELL SUPPLY GO, e 1 DESCRIPTION Of MATERIALS , • pr' a i 9 .1 TiTiON i Studs:. wood, grade, and spettes a ., 2 tlD • y *1 • •' .. ,p .!wise and spacing 2x4 16" ' Di GI; Other Additional itsfiumation: to CIMINO •FANG:" foisw: "wood: grade,'species '- and sec .� I " -- t C> • Additional inf , Other Bridging "X'' i3X Z (.3. •' >l�i i, Ci" _ Ct x . , € 11. ROOF FRAMING -- - Ka tern' ''''''''d' g rudc ; Lnd species 26 I atk v, c tt U , ( • t -- . Ro tr (see detail)- grade and species Additional intormatiprt: 12, ROO ING; Sheathing: wood, grade. and species 4 'I2 tl € x per :t r '3:'`, (C.' 't Roofing El. jJ i .":t'i � `tw ; felt i "" �, , J . , size t €.? i 1' L' i, -f:: underla Y{Te� . ❑ soled s _ Built-up roofing � - � R —T weight or thickness • ; ; fas " 'ab ° ad 1 I — : number of plies - ; surfacing material t Flashing: material tgrair . Lire' al 'el? _--.— .. r gage o weight '' ' Additional information" ❑ gravel stops; 0 snow guards ; 13. GUTTERS AND DOWNSPOUTS: ■ Gutters: 7nateriai � - L�''�° t { l.] -J,. r7 ,' • 2 i l ; gage or weight . ___; size ; shape w bonspouts material 4- t) it v tt _�: gage or weight __2., t.- _; size i�ownspouts connected to: 0 Storm sewer; [] sanitary sewer; (] dry -well. ^' Splash blocks: material and size t shape E'' tl ter. 4::`: = number _ • Additional info matron �- �= G( :.C 14. LATH ` AND PLASTER -- — Lath ©waits, [] ceilings: material ;weight or thickness - f Plaster coats , finish Pry ti walls, eeilin s: aterial{ a; ' - k'L �' - � 3 1--- tt �A r -+ - .�- '(_ _..._: ; thickness finish `` � 1 G t.:'( - Joint treatment PeO a31d Cc:IllefteCt IS. OITCCIRATING: (Paint, w43ipaper, etc.) . C Rooms WM - .1. FINIYI4 MATERIAL AND APPLICA7 ION. CEILING FINISH MATERIAL AND APPLICATION r ' KetChen rLa;ml a 1 i�." II t II3 @. 1:? r Bath., y �+'"}"ti.•. t i ii 1 r Other ' M ii, — ._ • t t Additional informations y 18s 1191ERIOR DOORS AND TRIM: Doom: AA*, ' a7.11 T - _ or ; material 11 :',i ; thickness 2 3/8 I; , i, Door tam: eype ' tt r f , ; material y ell r Pine Bas e: type stock- t si 1 & YPe material yel. y)].�3� ��tt Finish: tlonrs art:i t).s . 7t1-, 1 Y11 ; trim_ s., �_'' - ... _.�- �- . -._.r 1. ; Other trim (item, )pe and lwartan) i Additional information: 17. wii pws: Windows : type J-€ .. - a `: - – ; snake T ; molests) ; sash thickness Glass: grade S • g w Fi. - . ; 0 sash weights; gi balances, type ap.Ding. ; head flashing Trim: type yi .1d . s jar4bei material __ Paint number coats • Weatherstripping: type ; material Storm sash, number ' Screens $ full; ,0 half; tyiac ; number • ; screen cloth material c(.:.Ul'i • Basement windows:. type ; material _ .. ; ❑ screens, number ; ❑ Storm sash, number N Special windows "Additional information: __ 18. ENTRANCES AND EXTERIOR DETAIL: Main entrance door: materiaiPo l(deX't`( a. 1 ` :1.i - t; width 3 i —0" thickness' 3 /4 material yel . pint* thickness " Other entrance doors: Material Pane O $ 3,Pa,.2'1.ta r width 3 „� ' tt thickness 3/4 1Z , tie thickrte - I rams: material� Head flashing Weatherstripping: type cif) '1I ,j ;; ' OrO?;tl, (.'• ; saddles ; 1 ' . , l Screen doors. thickness _ "; number ; screen cloth material Storm doors: thickness "; number Combination storm and screen doors: thickness "; number ; screen cloth material • , Shutters 0 hingedil0 fixed. Railings Louvers Exterior millwork: grade and species3 [ better yel . pi lift Paint e xterl' or liOU if? number coats P Additional information: 19. CABINETS AND INTERIOR DETAIL: Kitchen cabinets, wall units: material ; lineal feet of shelves 1 2 ; shelf width 1 211 Base units: material —; counter top Tian: .. �;-' tLS'I;'I C ; edging 1 PP _ 1.1 P i t j Cs_ Back and end splash !,.Pt"„ . I :lae'te F inish of cabinets baked ens... vet ; number coats Medicine cabinets: make ; model . — Other cabinets and built -in furniture _. _ Additional information: _ 20. STAIRS: '.. TREADS Keens 1 .. . STRINGS HANDRAIL BALUSTERS • , Sl'AIR , Material Thickness Material Thickness Material Size Material Sise Material Size Basement y _.._ Main _ ____ —_ - , Attic — • ' Disappearing: make and model number Additional information: _ — _________.-__ ___. _ _ A. R. COGSWELL SUPPLY CO. a ° slam. FLoots , AND 11MAtl SCOT: • LrtcutTtoN - _ '7, I Kitchen 1/16 V Yl Fi}3 e HoauEn. SlZGS, GAGE, ETt ,,„,, tJE .7•1• a m ., tl MktERtAL- Cototl "' [9 lA'U1TjatAL ��Ats 'IATinq(, ItiMTERU[. w Bath T Zt1- -t' v1r Ls.� 3t:1 0,ci - J. mac, iOC� .1 . • U"..1 .?. .i> L .E l.' 2.. ..// 16 tt i, ..I - tt 1:.1..) s , f a t , :; I J • `? J '_ t , • Y E.tC t� . ,� , i „ LOCATION MATERIAL, Cotvg, BORDER. CAP, SiZEE, AGE, E. i G HEIGHT • fl£tGH7 l'f�Bt IN S'tIC?tVsse Oyes. TUR (FROM FLOog) t .,, Bath ;10.1 G1�zed ceramic tine in olcwer orb Et - t,._b a ` ilo ..2 ` Qla cerfkric tile ar'ULi d tub ca y" 5t;. w ( gadtroan accessories: ❑ Recessed; material. ; cumber ; ii Attached; material (si1"'GIie ; number Additional infortation: 4 . 22. PLW MB NG: .� III�I MFR' FIXTUnE Ina r,r .A trGN No ! COLCM r FIXTURB ,, Sink .� � =tellailla 1 - s . Water • cknet +► : OI : 1 c Prill 4iig j k. Eathtub 11111111M_ I . Shoder over t.ub. ' . stall ,shower 6 �. • i Laundry trays �� t =1 I�r�� - 4 ' . Curtain rod' A❑ Door ❑ Shower , r or oer pan:. material Water supply: 0 public ;j community system; 0 individual (private) system.* ' Senyailir dis�esal:` ❑ , public; aticommunity system; ❑ individual (private) system.* • it" . *44v t anddstcribe individual sytsttt/t in comfltte detail in separate drawings. and sfrtcr/ica /ions according to requirements. 1 Houue drain (in cast iron; ❑ tile; ❑ other House sewer (outside): jj cast iron; ❑tile; ❑.other fi Water pipingget galvanized steel; ❑ capper tubing; G other Sill cock, number Dome water hett�dr: ; make and mode ' ` h'Pe . ; � .gge ,„." .Q .heating ,rapacity r ,, gph. 100° rise. Storage tank: material 45'l J e c Iin.Pci ; capacity 4t gallons. service: ] 1 R Gas servi tgllig' company; ❑ liq, pet. gas; ❑ other Gas piping: 0 cooking; 0 house heating. Foothtg.drdtins -cgtt tected to Q storm sewer; Q sanitary sewer; ❑ dr well. Sump pump; snake and model ; capacity ; discharges into ' ' . 23. H 'ING: © Hot °water: ❑ Steam. ❑ Vapor. ❑ One -pipe system. ❑ Two -pipe system. t © Radiators. 0 Convectors. ❑ Baseboard radiation. Make and model Radiant panel: 0 floor;. 0 wall; ❑ ceiling. Panel coil: material Circ 0 Return pump. Make and model capacity Om- 7 , Boiler: mute and model Output Btuh.; net raring Btuh. Additional' information: Warm air: 0 Gravity. a Forced. Type of system Zee G r dA t . ' ll i , e . i . Duct material: supply ; return _ - Insulation , thickness ❑ Outside air intake. Furnace: make and model - Input _Stutz.; output Btuh. Additional information: M 0 Space heater; '❑ floor furnace; ❑ wall heater, Input_ Btuh.; output Btuh.; number units Make, model Additional information: Controls: make and types :. `i Additonal information: - .',1 ' Fuel; "0 Coal; ❑ oil; Q gas; 0 liq. pet. gas; ❑ electric; ❑ other__ ; storage capacity . . Additional information; ) t Firirtg , equiptnent fumigated separately: ❑ Gas burner, conversion type. ❑ Stoker: hopper fad ❑; bin feed ❑ - G Oil burner: ❑ pressure atomizing; Q vaporizing v,.. Make and mochd Control + ;" Additional information: Electric heating system: type Input watts; J volts output. Stull. , . Additional information: Ventilating equipment: attic fan, make and model r � ; capacity s cfm. kitchen exhaust fan, make and model ttfuttOAe V 2. CC3O ` Other heating, ventilating. or cooling equipment b s t *ic ' , Setvice�I*,} overhead ❑ 'underground. "Panel: 0 'fuse box; #1 circuit- breaker; make + L- � p ee is I u m lrer circuits I _ 'r Wiring: ❑ conduit; ❑ armored cable; 0 nonmetallic cable; ❑ knob and tube; ❑ other Special outlets: 0 , rangy; ❑ water heater; ❑ other _ , s rm Doorbell, 0 Chimes. Push - button location_ � _ Additional infoation: i A 't iUNG FocutaiS: . ' iltal isuaaber fixtures Total allowance for fixtures, typical installation, ,$.L , , r C0 `• Nontypical installation ` 't' A,dditional informatio.s: tt�� yy . t ��� y ,, �y m 2 t A. R: Ct �wtT44, ttPt►LY tA. $ a D Ri PION • Of ? A ES .. i ,?x DESCRIPTION OF MATERIALS 26. INSULATION: LOCATION THICKNESS MATERIAL, TYPE, AND METHOD OF INSTALLATION VAPOR BARRIER Roof Ceiling 3tt F' b. 3.' ; % Wall Floor HARDWARE: (make, material, and finish.) SPECIAL EQUIPMENT: (state material or make and model.) Venetian blinds Number Automatic washer Kitchen range t* E '' - 1. -I t (.4 ;. 3'1 t' t j' e7 • 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.) • • • PORCHES: t T . TERRACES: - - - - -- GARAGES: -- -- - -- - - - - - -- . WALKS AND DRIVEWAYS: r Driveway: width ,�._� ; base material ; ; thickness_ 4. ';; surfacing material ; thickness • Front walk: width ; material �__ - -_ ; thickness —__ - -_ ". Service walk: width ; material ; thickness Steps: material —__ —_ treads— ; risers ". Cheek walls OTHER O■SITE IMPROVEMENTS: i - - - -- (Specify all exterior onsile improvements not described elsewhere, including items such as unusual grading, drainage structures, retaining walls, fence, railing:, and aciessory structures. LANDSCAPING, PLANTING, AND FINISH GRADING: Topsoil __" thick: ❑ front yard; ❑ side yards; ❑ rear yard to feet behind main building. Lawns (seeded, sodded, or s i ed): 0 front yard ; qs side yards ; rearyard Planting: ❑ as specified and shown on drawings; ❑ as follows: Shade trees, deciduous, " caliper. Evergreen trees. to ', B & B. «. C Low flowering trees, deciduous, ' to Evergreen shrubs, ' to ', B & B. High- growing shrubs, deciduous, ' to ' Vines, 2 -year Medium- growing shrubs, deciduous, ' to Low- growing shrubs, deciduous, ' to InENTtftcATtort.- -This exhibit shall be identified by the signature of the builder, or sponsor, and /or the proposed mortgagor if the latter ;4, ,, m known at the time of application. Date Signature A. R, COQSWEL.L SUPPLY CO. Signature 433 WEST BAY STREET JACKSONVILLE Y. FLORIDA 4