The URL can be used to link to this page

Permit 2013 Mealy St (vault) -------------- 5'2 ALVING DEPARTMENT OF Slu CITY,OF ATLANTIC BEACH -------- LOCATION INrONIIATION 'm Y TRIXT OOP, I DA 32233, tANTI'C, IRA PLOR T ------- L$OU',DOW sm"t "Do rl" Lot c It r Typlpi k "'o 70 $1,t z 0 r T "s"hip: —RN0t ':, 0 $04*yip on: c x ti" vd 1 00 11wrov 3 t 0'.00 TO 7 7 �7,71 1 0 00, A 0 010 44 4� NAT $0.00: 0 -Pop , RADON, �CA19:1 0 0 11- SLO Z4 1 TAP aar4l"', si sil Vro, $,O,.,Oo ie ON 21 ' 'CTI st �Cbltxz 'Ec 0.0, Type 0 PACT FBI SCH NGS �"p FOOTI MUST,te Ns 11 f M., Vol LJE,' I' IT D SIX MONTHS AFTER DATE QF IS$ T U MATSAIAL,;-f R THIS WORK MUST NOT BE PLAO I PU P, -movus W SIS Ris It N, 6U0,' A BE FROM H R,08 OWNER 'Q AN6H AULED EA CONTRACTO iUR E: -t0lWltff WITN 'THE CHANIV� JlEt OLT' GTw CE'l FORTO --w UED A=ORDING TO%AP�04. ARE PART OFITHIS PESMtT..AN to T t161R.EVOCATION FOR PL 6SUW, OF OF LAW. 'A JU DIRM' r i =W �:BE .4 ---m T-r NO. KVA III I I NO. lKVA NO.NEON TRANSF. — 20. VA. 7MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES P$184 DEPARTMENT OF BUIWING' TLANTIC 8 CITY OF A EACH ATO ------ ------ ------ P 1,04�AT ION TUTOR 10W 2013 MEALY, ,O'tRZET- rmi N Add r*" ATIANTIC B9AC4,_?LQRjbA 32233 Parlmit T 71" e It k :ALTER LZOAL DZBORIPtloti il*s is of wor Alltl,ON ------- 'Sect. Rxtr-* e, WOOD FR .9 Lot*. t1bok, ion: $Iff0tt FAMILY T ims , ip, 0 posed 'Use, ow h ANG. 0111 ings: 1 Code 0 subdiyi�sion: t iini t od 1 Val a i',�$0.00 Improv. To t a I Fees $0., 00 rftkoun,t- $0�.OQ D rk 4- - '0 HEAT AND ,AIR 461S�,t�- A"'T, 10* CAT, PERMIT N ':W'ATZR T)WACT,FtS, $0-00 3 r, E, 0 op LORID SX �'';MPAC 9 tow ""),"o T Aw 0014 R.S. 00 ------- RADON CAV,IV: TUAT,', IR -0 U IMPROVE 1" $0.0 7, LAO OLOR10A 32233 dKOSS a TXON,,, ' $0 00 �c I a'- IXPAICT FEE ' 0.00 TOe 3 st COOT ZU—RCRARGE, 7�.06 , IHAR Av It NOTIct—ALL CO TS FOfWS AND,FOOTINGS MlMT,9i'tNSPEC*#0,,s I vAt"POUNNG PERMIT VOID SIX MONTHS AFTER,D�TE OF I$$Ult, 5 MATERIAL' AND, E OM THIS WOR -IC SPACE,AND MUST BE ILDING RUSSISH D 6RtS F8 K MUST NOT BE MACtO IN,PU$L ARED�UP ANp-fkA(JLEDA tY,FtTHER CONTRACTOR 014 OWNER WAY, W ot', its U ' , tAl ," 'CA, WRE HE, NIECHAI IT 4 EN U 'ROP PAYING TWICEFQR- ��E SUILDINQI!��E 19 WW CORDING TO Ap0RdVE6PL:AN$WHICH ARE PART OF THIS PERMIT, AND SUBJECT TO REVOCATION OF (E#,AOVI-SIONS:,0F LAW, -k r �ivq, J, �,o e,2. E"Op. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC 99ACH, FLOSIDA $2132 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. Street Address: LOCATION OF Intersecting Street$: utween And WILDING 11. IDENTIFICATION To be completed by all applicants , o da , r an pefm,t"q en fo doing the work as described 'in the above statement we hereby agree to perform said _Oft�ce with the attachpd plant a d spe c ifications which Ste a part hereof and in accorclarice with the City of Jacksonville orditancet and sta ardt, of goed practice listed therein. Has" 04 mech� 'Cal Matter C*dtragfer Name Of pmparty owne? 'e-—J7—�, P q- >v13 oor si"asurs of OWAGtN\, of 4w Astiwized Agent Arzhifocf of Engin'Stf fill. WEILAL INOiMAMC)h A. T"s of Is"fing IS OTHER CONSTRUCTION BEING DONE ON C THIS BUILDING OR SIT9t C) G"—0 LP 0 Natural 0 Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION C) 02 PERMIT 0 Othw — speelly IV. blICK44*41CAL 8W*M@NT TO U INSTALIAD MATURE OF WORK (10,8 We Como*%JW of comp"asth**bed of Alls for*) X Residential or 0 Commercial Nest 13 SPO" 13 1116ce"W KC04"I 0 Flow 13 Now building A;#I Co4o6alpq: E3 Existing Building Doct Sywfto: Me M&taI tar Im .�'I Z_ ant of existing system M42400M capacity Cfw �epw,"Installation(No system pr'evftsly Inst0edi D Extension or add-on to existing system E3 K*4;"Nt;- 0 Other—Specify C) C.06409 wow Capacity (3 Fine apeirilklon: Noopliber of h"Ai 0 bowater C3 "ift 0 la"lls 11"Al"or) THIS WACO 111110111 0111111111M UN ONLY a Sam,;"P" (Rosel"W) C3 Teaks (nVo"It6r) 0 LOS coal-, (aw"b") C) U0404 Pressure C3 Pomh Approved 6 Perim on LjrT ALL F.QUIPMENT AM CONIXTIONING AM REFRIGERATION EQUWbMNT Nunib"Uzfta DeanipUess No"NU=bsr K" R�T L I-T- k, HEATING - FURNACES. BOILERS, FIREFLACES Numb"t7b."A Dwaftum X1111"Numbw K&WAUWSM AiRHA;&zLL& Rlg—os MW lg'r boo Ljj 'TANIS now KAny Nowbw capacilty '4" LAIdd Af Irem 9 0ntalb" X4111111111111114twW 1049 DIEPART MENT OF BUILDING CITY OF ATLANTIC BFFACH W LOC 10 VION 0"m I T ATION tit OAMA 1049 i wuml�or,* 7 Address 10 1 MEALY STAXET �lor* t k EAllitt P*tvvit T TIC R rLORIDA, 32233 DIN v k ---------- t# blocit xOT I ON oals, o pr REMOWN 7 WOOD" 0100 Lot: Block Section,., Use: Y Toi0hobiot, ItNG: 0 rb osed OA MIL 'o, Vj$jon* ' DoWW i lio, 1 cod Sub& Fit: AgPLXT $1140.00 timat*d lmprbv.� �cost: $0,00 otzl loolo Am t`jP*id �$0.0'0 D 't-RSMODIEL, PER PLANS- k' TION ------ A, tow �W-J,p,�q jv J�ac $0.00 ON ame, 0, 1144-61iv r kzT PUt $0 .40-,� icul� :IPLORIDA 32,0A 3 3 zw �Ajai ONE, $0*00, �75 Ph 98 , Ine 6 rat, v V 0 V DON CAB $1.11i ON com Y taTo 6iiiiiiijoll C MPROV � $0.00 lk W 06. ress - use causet 9,': �,TY $E a J-XPAC_T'�� ft�r $0,00 CON$T.40ACHAR01 00 0 $ 0 -M a "T, t ALL C - fo"S AND FOOTINGS MUST tt NOTIC INSPOT 80FORle,pouRING t$ PF, MIT A VOID SIX MONTHS AFTER DAT oFi INC.MATERIALRUBOISH ANDIX15AIS FROM THIS W,ORK MUST,NOT BE f��JN PUB CSOACe,ANDJVIUST:SE LI UP AND b kItHE4CONTRACTOR OR OWN64 "AULE ,AWAYV( 'CAN RESULT :Y"WITH"THE, MECHANIC'S UtNtAwl', IMROVEMIENTS" ,, NGTWI. -E.FO 'He C RDING,T0 APPAbVtb-0LAN '0 SU -0 ACCO s wHIcH ARE PART OF THIS PERMIfAt4 SJ ECT T- 6-R# MON AP RQVI,$o*,of LAW. _V, '0 qqp f,"At'I ' 'A T, 0 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s LoLA IA,4F- Jo 4�J-56M Address : Zg) 3 ftA�-Y -S-r- Phone: 214(a - c)3(-q Lot #_ Block or Unit # Subdivision: Contractor: CoPMeUL)S COQ�S-r- (fo State License # CB co 40-cTbrl Address : 241 ATLPQnc- �5LVD,, NFAO-acd- 522-(,& Phone No: 2q1 - Ocbq8 Describe work to be done: tX-F- AITOC-4;:-0 Present use of building: 5Q). FMLY, Valuation of Proposed Construction:4 qi )WO.q-0 Proposed use: 56- MLY. Is this an addition? 00 If yes, what are the dimensions of the added space: — -ft . X — ft . Will the added area be heated and cooled? — New electrical (or increase)? VES FAVCf-05 New plumbing fixtures? cQa New fireplace?__�_ONew Heat/AC? YG--"z- SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: '16 Signature CONTRACTOR:�� Date:1 �4�110T Date: License Supplied: aztekd Liability Insurance: A Worker' s Compensation Insurance:eA 6 BID LOLA MAE JOHN90N (Home owner) 2013 MEALY STREET (Address) Material Specifications 1. ROOF: Tear off and replace all deteriorated wood and metal components. Install 30# felt paper and 20 yr shingles. 2. WINDOWS: Replace four (4) windows at bedrooms-and bath with Pre- finished single hung units. Caulk all seams to be weather tight. 3. ELECTRICAL: Troubleshoot and repair faulty wiring and fixtures. install receptacle in bathroom and light fixture in front bedroom. 4. BATHROOM: Install new faucet fixtures at tub and sink. Install a laun passage door with hardware. Patch and paint walls and 6rim to a semigloss finish. 5. KITCHEN: Repair cabinets. 6. EXTERIOR: Replace deteriorated trim with consistent material. Prime, prep and paint exterior completely. 7. HVAC: Install complete heat pump system. Remove gas space heater and dispose of. . 8. HALLWAY: Patch walls and ceiling and match existiniz finish. Subtotals : Totals : (Date) Return to:tenriow sait-addfass*0 stainped envelope) NOTICK opr COMMENOLMENT RAMCO �QR- Name: Addlesc This Instrument Prepared by: Address: Property Appraisers Parcel Identification (Folio) Nurnber(s)- SPACE ABOVE TM LINE FOR PIROCES61#4 DATA SPArA AWVE Pea LWE FM PIECORDING DATA Permit No. NOTICE OF COMMENCEMENT State of Florida County of 11-7)LIVAL- The undersigned hereby gives notice that Improvements will be made to certain real property. and In accordance with section 713.13 of the Florida Statutes, the following Information Is provided In this NOTICE OF COMMENCEMENT. Legal description of property (include Street Address, If available) 201 S t4f-ALY =. ,, ATLA&MC. BCH :FL. General description of Improvemen Owner 1,0UA, NiAr- JOHNSON) Address ZQ 1-3 tA F-A 6� S T LAj T LA M TIC. Scm . , P"L. - n2255 Owner's Interest In site of the Improvement Fee Simple Title holder (If other than owner) Name Address Contractor Address Pt-rLAuTje 3226(a Surety Address Amount of bond S Any person making a loan for the construction of the Improvements: Name Address Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name I-bL.A MAF-Joy*rj-3m�, Address a 121 M F-A 6Y ;5r- ATLjQ0JTIC- Br_H. - F-L. In addition to himself, owner designates Of to receive a copy of the Lienor's Notice as provided In Section 713.13(l)(b), Florida Statutes. Expiration date of Notice of Commencement(the expiration date Is I year from the date d�Iss rent date 13 specified). "Td n unlessadIll, Swo,ra-��d subscribed bef re me this -1 J wpatkwol 0W"W r,7 "Y Of MAE:- �J04N50N Prk"ed ftnature of Owner nwary*%nature PATRICIA AMONETTE Printed Nwary SIgAOTIAn STATE OF FLORIDA My Commission expires. IFIUBLIVNly Comm Exr-8/27/96 CONINI NBR CC220017 CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION owner(s) :IQL4 Address: 2,0)3 E-ALY T- ATL-AkMr- iF)ci4 Phone: 96 0364 Lot # B c or Unit # Subdivision: o" Contractor: Address : �j City, State and Zip ,, ,QL:,� Phone, State License # �CA �)oqn7 Describe work to be performed:...)SEL ROOF Valuation of Proposed Construction: Materials to be used: Signature of Owner; Ll i Signature of Contractor: V V "d Liability Insurance Supplied Workers Compensation Insurance Supplied License Information CITY OF ATLANTIC BEACH, FLORIDA Approv"by APPLICATION FOR ELECTRICAL PERMIT 14 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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. QiER- JOURNEYMAN ELECTRICAL FIRM- MA"=E ECTR IAN SIGNATURE "-.# r NAMEEOCW-10 CLA[51 ADDRESS% ��V/3 RFD-BOX- BLDG.SIZE BETWEEN: W. RES. APT. ( comm. ( I PUBLIC INDUS. NEW( OLD ( RE ADDITION i ) TRAILER ( TEMP.( ) SIGNS I ) SO. FT. SERVICE: NEW( INCREASip� REPAIR FEE CONDUCTOR SIZE AMPS COPPER ( ALUM. V) SWITCH OR BREAKER AMPS f PH 56&RACEWAY 21�(40LT EXIST.SERV.SIZE le AMPS PH W /)44OLT RACEWAY FEEDERS NO. SIZE INO. SIZE- NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, 31-100 SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0 100 AMPS, OVER Al2PLIANCES = I BELL TRANSF AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT -sc) F � 0-1 OVER MOTORS -H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCE!,bANEOUS 'C" 4144,r- 7-of TRANSFORMERS: OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. IVA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES 95-", MORTGAGENOTE Atlantic Beach,Florida For value receiv4 the undersigned 6ointly and severally, if more than one), promise to pay to the order of the City of Atlantic Beach, a municipal corporation, 800 Seminole Road, Atlantic Beach, Florida 32233, the principal surn of Nine Thousand One Hundred F&Kty and 001100 Dollam (S9,140.0 being payable in lawful money of the United States of America at 900 Seminole Road,Atlantic Beach,Florida 32233 or at such other address as the holder from time to time may specify by written notice to the maker. Said principal sum shall bear no interest and shall be reduced in amount at the rate of 1/10th per year until reduced to a zero balance at the end of 10 years. Any unforgiven balance shall become immediately due and payable if the maker transfers tide to or moves from the promises securing this note within the 10 year period. In the event of the death of the maker of this note,this note shall remain in effect and the principal sum reduced at the above rate of 1/1 Oth per year only if a member of the makers immediate family takes up residence in the subject home,under any other circumstances the note shall become immediately due and payable. This note is to be construed and enforced according to the laws of the State of Florida, and is secured by mortgage on real estate of even date herewith, If defWAt be made in the payment of any of said sums or in the pexformance of any agreements contained herein, then, at the option of the holder of the same, the principal sum then remaining unpaid shall immediately become due and collectible without notice, time being of the essence of this contract, and said principal sum shall bear interest at the highest rate allowed by applicable law,from such time until paid. Each maker and endorser waives prvsentmorit, protest� notice of protest and notice of dishonor and agrees to pay all costs, including a reasonable attorney's fee, whether suit be brought or not, if counsel shall after maturity of this note or default hereunder or under said mortgage, be employed to collect this note or to otect�e security thereof (seal) Nani�&ofMaker (seal) Makers Address: 2013 Mealy Street Atlantic Beach,FL 32233 STATE OF FLORIDA DOCUMENTARY STAMPS IN THE AMOUNT OF S HAVE BEEN AFFDCED TO THE MORTGAGE SECURING TIRS NOTE AND CANCELLED. PRE-CONSTRUCTION CONFERENCE REPORT READ CAREFULLY BEFORE SIGNING I (WE) THE UNDERSIGNED HAVE ON THIS DATE AT PARTICIPATED IN A PRE-CONSTRUCTION CONFERENCE PRIOR TO THE SIGNING OF A CONTRACT FOR THE REHABILITATION OF MY (OUR) PROPERTY. WE ACKNOWLEDGE THAT WE UNDERSTAND THE TERMS OF THE CONTRACT, THE EXPLANATION OF THE WORK TO BE PERFORMED BY THE CONTRACTOR, THE ROLE OF THE CONTRACT ADMINISTRATOR OF THE REHABILITATION LOAN PROGRAM, AND OUR RESPONSIBILITIES DURING THE CONSTRUCT- ION PHASE. I (WE) HAVE BEEN GIVEN AN ADEQUATE EXPLANATION TO OUR QUESTIONS, IF ANY, AND ARE AWARE THAT ASSISTANCE WILL BE PROVIDED BY THE STAFF OF THE REHABIL- ITATION LOAN PROGRAM IF REQUESTED. WE FURTHER ADERSTAND AND ACKNOWLEDGE THAT THE REHABILITATION LOAN PROGRAM ASSUMES NO RESPONSIBILITIES FOR THE WORK PERFORMED AND DOES NOT WARRANT ANY WORK PERFORMED. Signature —OrProperty Owffer — Date )ZSlgn_ature_of_Tr�opert�ynier � Date --------------------------------------------------------------------------------- I , THE UNDERSIGNED, HEREBY CERTIFY THAT THE PRE-CONSTRUCTION CONFERENCE WAS HELD ON THIS DATE BETWEEN THE HOMEOWNER(S) , REHABILITATION LOAN PROGRAM CONTRACT ADMIN- ISTRATOR AND MYSELF. I UNDERSTAND THE PROCEDURES TO BETOLLOWED FOR CHANGE ORDERS AND REQUESTS FOR PAYMENT. I UNDERSTAND AND AGREE THAT THE WORK PERFORMED MUST MEET THE STANDARDS OF PERFORMANCE REQUIRED BY THE REHABILITATION LOAN PROGRAM AND ESTABLISHED BY THE REHAB STANDARD PERFORMANCE MANUAL. o�ntracitoAt�e Date' --------------------------------------------------------------------------------- 1, THE UNDERSIGNED, HEREBY CERTIFY THAT I PARTICIPATED IN A PRE-CONSTRUCTION CON- FERENCE THIS DATE AND THAT I HAVE COMPLIED WITH ALL OF THE PROVISIONS OF THE REHABILITATION LOAN PROGRAM PROCEDURAL MEMORANDUM #49. f 7 SItfiatlureeof fthafb' Speofallst U it—e RLP-142 i tsu 14 - 3,0 �IHGE i,104 PROCEED ORDER DATE: TO: 411 A tIA44 L. LA4,10f/ 4 This is to authorize you to proceed with work specified in our contract dated Ijq - j� _v for improvezent work on the property located I iK AtJjj/LI AAPQiu '151 ALA&H ri. The amount specified in the Rehab- ilitation Agreement is $ ?lease proceed in accordance with the Contract. You are to commence work no. later than qs� J L-3o All work shall be completed according to the Work Write-Up. plans, Change Orders, Addenda and Specifications within- Sixty (60) calendar days after start- ing construction. X/ Name(s) of Owner(S-) r's Signature) (Owner's Signature) ' il ADDRESS: 27/7- (L;6calzVublIc n�y-'Iepresantatl-ve) . Copy. RLP-143 REHABILITATION LOAN PROGRAM RESPONSIBILITIES OF HOM90WNER AFTER CONTRACT IS SIGNED Until Work Begins Start planning ahead. Plan adequate storage space for the contractor ' tools, equipment and materials. Make arrangements for the contractor t, get into your property if you will not be home during the day. To avoid mutual confusion, one member of the family should be delegateh a., the spokesman to discuss problems or questions that may come up. a If all household members work or will not be home during the construction, consider designating an agent such as a close friend or neighbor or rela- tive not living with you to supervise the contractor' s work. You are responsible to make sure the contractor does the work exactly as he stated he would do in your contract. Prepare your property and furnishings for the rehabilitation - use this period to send your drapes to the dry cleaners wash your curtains. There will probably be dust and dirt from the work protect your furnish- ings and clothes - put all breakable and valuable items away so they won' t be broken or misplaced. When the Work Begins Keep your copy of the work description handy and refer to it often. Check with your Case Manager if there is anything you do not understand, Remember you are responsible for ensuring that the contractor does the work correctly as bid. Assistance will be provided if required but the work must be acceptable to you. Try to stay out of the construction area, especially children; this will help prevent injuries and allow the workmen room to work. Try to keep a good relationship between your family and the contractor - again, delegate someone to be the spokesman for the family. Stop , problems before they start - if something isn't going the way you feel it should, or if you don't understand it, speak to the contractor at once and get an acceptable explanation or correction before it progresses too f ar. If the contractor cannot give you an acceptable explanation, stop the work and call the Case Manager for assistance. Expect the unexpected - in most cases changes and improvements will be new and exciting to you and will give you much pleasure; however, unforeseen prcblems may be uncovered during the course of the work which may require a change to the contract. Be prepared if this should happen - discuss changes with the contractor and get a good explanation of the change required and why. Try to visualize what the change will look like. Be flexible. All changes to the contract must be approved by you and your Case Manager and must be in writing. Your contractor is responsible for supervision of his workers. If he cannot be present, make sure that he tells you who to talk to if you have a problem or questions. Win cooperation from the workmen with good basic human relations. A word of appreciation - unexpected pot of coffee or even a pitcher of cold water. Small gestures like these usually produce more efficient and better workmanship. Last but not least. You are paying for the rehabilitation work - the work must be acceptable to you and must be done in accordance with the contract documents. Make sure that you know what is being done to your home and that you are getting exactly what you are paying for. Rehabilitation Loan Program 802 Laura Street Jacksonville, FL 32202 630-3400 pyP-14 5 CONTRACTOR'S AFFIDAVIT STATE OF FLORIDA SS, COUNTY OF DUVAL BEFORE ME, the undersigned Notary Public, personally appeared who, being first duly sworn by- me, deposes and says : That on - as owner 7 anT-, 19—9 as contractor, entered into a certain construction contract whereby said contr r agreed to provide certain labor and materials for said owner upon the following described lands belonging to said owner, located in the City of 31 County of and State of Florida, to-wit: That deponent is the of said corporation, herein referred to as the contractor, and has personally supervised the performance of said contract. That said contract, has been fully and completely' performed, and said contractor and all persons , firms and corporations contracting or dealing with , or directly employed by said contractor in connection with said building operation or in connection with said contract, have been paid in full . This affidavit is made in compliance with the provisions of the Uniform Mechanic's Lien Law as approved June 4, 1935, as revised, Laws of Florida , and to enable said contractor to receive his full and final payment from the owner, under the construction contract above referred to. Subscribed and sworn to before me this day of 19 Mary Public , State of Flori at Large, My commission expires : RLP- 148 %�;ONTRACTOR PAYMENT REQUEST Homeowner: Payment #1 - 40t Complete Address: #2 - SO-% Complete #3 - 100* Complete Contractor: Amount Requested: $ ----------------------------------------------------------------------- Contractor: I hereby request an inspection to receive payment # for the amount of $ I certify that I have satisfactorily completed the necessary work to justify this request and that all bills incurred for labor used and materials furnished in making said repairs and im- provements have been paid in full to this date. Attached is a description of the work completed and the amount of payment requested by work item. Contractor' s Signature: Date: ----------------------------------------------------------------------- Homeowner: I/We hereby agree that the work stated by the contractor has been completed and approve payment to the contractor in accordance with the contract and contingent upon in- spection and concurrence by the Rehabilitation Inspector. It is understood that the actual amount disbursed will be based on the findings of that inspection. Owner' s Signature: Date: Owner' s Signature: Date: ----------------------------------------------------------------------- Rehabilitation Inspector: I hereby certify that I exercised reasonable care to determine that the work performed at the above address meets specifications and was completed in a satisfactory manner; however, neither the undersigned nor Jacksonville HUD is in any w*y responsible for the acts or omissions of the contractor, any subcontractor, or any of the contractor's' agents or employees, or any other person performing work under the construction agreement. The contractor has provided a release of all liens, if any, in connection with this contract and has provided the proper- ty owner with a copy of each warranty or guarantee due the property owner from the contractor for work performed. I hereby certify that all work is completed as indicated on the contractor' s payment request and recommend payment to the contractor in the amount of Rehab Specialist: Date: ----------------------------------------------------------------------- At 100* completion: I certify that the property complies with the Minimum Housing Code. (# of units Rehab Specialist: Date: ----------------------------------------------------------------------- Approved. Forwarded to Financial Institution for payment this date. Direc or, Rehabilitation Loan Program Date RLP-153 Rev. 1-88 CHANGE ORDER No. Date of Contract Date Owner Name: Property Address: Contractor Name; Contractor Address; Description of Work Change: AMOUNT: CATEGORY: S�m Changes and work affected hereby, are subject to all contract stipulations and covenants. This Change Order'is made a part of the contract dated first above, parties have hereunto set their signatures: Contract Price + or Chang Total Owner Approval; Date; Contractor Approval: Date: Sr. Rehab Specialist Approval: Date: Program .Administrator Approval: Date; Source of Funds: $ Contingency Owner Contract Copy: Owner, Contractor, .Loan file, Technical file Financial,institution (if contract price changed) RLP-155 Rev. 12/6 1. HIdden Dozoge 2. Time extension 3. Deletions of non-required items or unused allowances 4. Required items that were missed on initial inspection 5. Equal substitution of material or* alternative cure for deficiency at same or lesser price 6. Totally unforeseen circumstances arising after the co=encement of work HOMEOWNER - CONTRACTOR AGREEMENT Property Improvements To: Lok- J6khS0y1 (Address) Owner (s) : -------------------------------- (Name) --------------------------------------------------- (Legal Description) 1 . HOLD HARMLESS. Contractor shall agree to defend, indemnify, and bold harmless the Owner, City of Atlantic Beach, Florida from liability and claim for damages because of bodily injury, death, property damage, sickness, disease of loss and expense arising from Contractor s performance under this agreement to install or construct home improvements to be paid out of the proceeds of the Owner' s rehabilitation loan. Contractor is acting in the capacity of an independent Contractor with respect to the Owner. 2 . LIEN WAIVERS. Contractor agrees to protect, defend and indemnify, Owner from any claims for unpaid work, labor 'or materials with respect to Contractor' s performance. Final payment shall not be due until the Contractor has delivered to the Owner complete release of all liens for work dompleted arising out of Contractor' s performance, or a receipt in full covering all labor and materials for which a lien could be filed or a bond satisfactory to the Owner indemnifying him against any lien. 3. SCOPE OF WORK. Contractor acknowledges that he has prepared the Contractor' s Proposal (Part II of this Agreement) and that such proposal is accurate and consistent as to the name of the Contractor will undertake, and the price. Contractor acknowledges the performance requirements established in the General Specifications of the Rehabilitation Standard Performance Manual effective June 1, 1982 and warrants that all work undertaken will conform to said specifications . 4 . CONTRACT AMOUNT AND PAYMENT SCHEDULE. The City of Atlantic Beach sball pay the Contractor for the performance of the rehabilitation work, s 'bject to additions and deductions by approved Change Order, the u contract sum of ---------------- ------------------------- ($-—V----------- Payments will be scheduled as follows, subject to the Owner' s acceptance of the work to be done: Upon completion of 40% of the work, a progress payment of 30% will be made. Upon completion of 80% of the work, an additional payment of 30% of the contract price will be made. Upon completion of 100% of the work, the remaining funds will be disbursed. 5. TIME OF COMMENCEMENT AND COMPLETION. Owner shall provide written authorization to Contractor to commence work. Contractor agrees to start work ten (10) calendar days after the receipt of the written Notice to Proceed. If the Contractor fails to commence work within ten (10) days of the Owner' s notification to commence, Owner shall have the right to terminate this Agreement. Such notice of termination shall be in writing. The Contractor agrees to complete the work within sixty (60) calendar days after the commencement of work pursuant to the date of the Notice to Proceed. If completion is delayed for reasons beyond Contractor' s control, Contractor shall provide timely notice to the Owner of the reasons for such delay. It shall be the Contractor' s obligation to substantiate its claim by adequate documentation. 6. CHANGE ORDERS. Except in an emergency endangering life or property, no changes in the work shall be made by the Contractor unless he has received a prior written order signed by the Owner and Authorized by Community Development Director of the City of Atlantic Beach. The contract sum and the contract time may be changed only by a properly 1 of 5 executed Change Order. No extra costs will be paid to the Contractor when he has neglected to properly evaluate-- the extent of the rehabilitation work. Under no circumstances will the contingency fund, if any, be authorized for work other than totally unforeseen circumstances arising after the commencement of the work. ' 7 . TERMINATION OF AGREEMENT. If the Contractor defaults or neglects to carry out the work as specified under the paragraph "Scope of Work" or fails to perform any provision of the Contractor documents, the Owner may, after fifteen (15) calendar days written notice, terminate this contract and , select a substitute Contractor. If the expenses of finishing the work exceeds the unpaid balance on this contract, the Contractor shall pay the difference to the Owner. If the Owner fails to perform any applicable provisions of the Contract, the Contractor may, after fifteen (15) calendar days, terminate the contract and recover from the Owner payment for all work satisfactorily completed including reasonable profit and damages . 8 . WARRANTY. For good and valuable consideration, the Contractor hereby agrees to provide a full one-year warranty to the Owner, which shall extend to subsequent Owners of the property to be rehabilitated. The warranty shall extend to subsequent Owners of the property to be rehabilitated. The warranty shall provide that improvements, hardware and fixtures of whatever kind or nature installed or constructed on said property by the Contractor are of good quality, and free from defects in workmanship or materials or deficiencies subject �to the warranty contained in this paragraph. Contractor and Owner agree, however, that the warranty set forth in this paragraph shall apply only to such deficiencies and defects as to which the Owner or subsequent Owners shall have given written notice to the Contractor, at its principal place of business, within one (1) year from the date of Contractor's f inal payment. The Contractor further warrants that failure by the Contractor to respond to valid complaints by the Owner, or subsequent Owners, that causes additional damages to the property are also subject to the warranty contained in this paragraph. 9. ARBITRATION. If a dispute arises as to the validity of a complaint not satisfied under the warranty clause of this contract, a panel of three (3) independent professionals shall be chosen by the City of Atlantic Beach to arbitrate the dispute. The panelists shall be ' chosen on a rotating basis. The finding of the panel shall be irrevocably final, conclusive, and binding on the Homeowner and the Contractor. 10 . SUB-CONTRACTORS. Contractor agrees that all warranties contained herein shall apply to all work performed under the Contract, including that performed by any sub-contractor. 11 . ACKNOWLEDGMENT. The above warranties are in addition to, and not in 1�mitation of, any and all other rights and remedies to which the Owner, or' subsequent Owners, may be entitled, at law or in equity, and shall survive the conveyance of title, delivery of possession of the property, or other final settlements make by the Owner and shall be binding on the undersigned notwithstanding any provision to the contrary contained in any instrument heretofore or hereafter executed by the Owner. 12 . INTEREST OF CERTAIN FEDERAL OFFICIALS. No member of or delegate to the Congress of the United States, and no Resident Commissioner, shall be admitted to any share or part of this Agreement or to any benef it to arise. from the same. 12b.BONUS, COMMISSION,OR FEE. The Borrower will not pay any bonus, commission, or fee for the purpose of obtaining the Government' s approval of his application for this loan, or any other approval or concurrence required by the Government or its designee to complete the rehabilitation work financed in whole or in part with this loan. 12c. INTEREST OF PUBLIC BODY PERSONNEL. No member of the governing body of the Public Body who exercises any functions or responsibilities in connection with the administration of the loan and no other officer 2 of 5 Homeowner-Contractor Agreement cont'd or ' employee of the Public Body who exerr-.:Lses such functions or responsibilities, shall have any interest, direct or indirect, in the proceeds of this loan, or in any contract entered into by the Borrower for the performance of work financed in whole or in part with the proceeds of this loan. 12d. INTEREST OF OTHER LOCAL PUBLIC OFFICIALS. No member of the govern-, ing body of the locality in which the property to be rehabilitated is situated, and no other public official of the locality who exer-'* cises any 'functions or responsibilities in connection with the administration of the loan shall have any interest, direct or indi- rect, in the proceeds of this loan, or in any contract entered into by the Borrower for the performance of work financed in whole or in part with the proceeds of this loan. 13. CIVIL RIGHTS. The Grantee agrees to abide by the spirit and intent of the Civil Rights Act of 1964, as amended, and the Civil Rights Act of 1968, as amended, and the anti-discrimination provisions of Chapter 120 of the City Ordinance Code, in that its operation under this contract is free of discrimination against its employees, persons, or groups of persons on the basis or race, color, sex or national origin. 14. EQUAL EMPLOYMENT OPPORTUNITY. The Grantee agrees to abide by the Equal Employment Opportunity Clause for Contracts subject to Execu- tive Order Number 11246, as described in Attachment 1, attached hereto and made a part thereof. 15. LEAD BASE PAINT HAZARD ACT. The Grantee agrees that no lead based paints or substances containing lead shall be used in any part of this project. Treatment necessary to eliminate immediate hazards shall, as a minimum, consist of the following: a. All surface conditions identified as immediate hazards shall be thoroughly cleaned (washed, sanded, scraped, wire brushed or otherwise cleaned) so as to remove all cracking; scaling, peeling, chipping and loose paint on applicable surfaces. Such surfaces that have been so treated shall then be repainted with two ( 2 ) coats of a suitable non-leaded paint. b. Where the paint film integrity of the applicable surface cannot be maintained, the paint shall be completely removed or the surface covered with a suitable material such as gypsum wall board, plywood or plaster, before any repainting is undertaken. �4AAJ,rl�>O,Q-IOAI C-0 LoL Ungo Name of Contractor Name(s) of Owner(s) ( Sigffatdre of Contractor Date Signature of Owner Date 426 Vitle ( if- officer of Corporation) Signature of Owner Date A6F_,,0 Belll,, All 1�7WNVC;F*40-1 - Mtalq R8, all . N-H 0 Address of Contractor Address oflowner(s) 17" 7i.tries,w6d b�, 14a t 2 Withessei by_ _1q D-a-te 3 of 5 RLP-145B ATTACHMENT 1 EQUAL EMPLOYMENT OPPORTUNITY -MiUSE FOR CONTRACTS SUBJECT TO EXECUTIVE ORDER 11246 During the performance of this contract, the contractor agrees as follows: 1 . The contractor will not discriminate against any employee or applicant for em�loyment because of race, color, religion, sex, or nation- al origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to the following: employ- ment, upgrading, demotion, or transfer; recruitment or recruitment adver- tising; layoff, or termination; rates of pay or other forms of compensa- tion; and. selection for training, including apprenticeship. The contrac- tor agrees to post in conspicuous places, available to' employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause. 2. The contractor' will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all quali- fied applicants will receive consideration for employment - without regard to race, color, religion, sex or national origin. 3. The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, a notice, to be provided by the agency con- tracting officer, advising the labor union or workers' representative of the contractor's commitments under Section 202 of Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The contractor will comply with all provisions of Executive Order No. li246 of September 24, 1965, and of the rules, regulations, and rele- vant orders of the Secretary of Labor. 5. The contractor will furnish all information and reports required by Executive Order No. 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the con- tracting agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations and orders. 4 of 5 RLP-145C ATTACHMENT 1 Page -2- 6. In the event of the contractor' s noncom-ptiance with the nondis- crimination clauses of this contract or with any of such rules, regula- tions, or orders, this contract may be cancelled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further Governmeat contracts in accordance with procedures authorized in Executive Order No. 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order No. 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. 7. The contractor will include the provisions of Paragraph ( 1 ) through ( 7) in every sub-contract or purchase order unless exempted by rules, regulations, or orders of the Secretary of labor issued pursuant to Section 204 of Executive Order No. 11246 of September 24,, 1965, so that such provisions will be binding upon each sub-contractor or vendor. The contractor will take such action with respect to any sub-contract or purchase order as the contracting agency may direct as a means of enforc- ing such provisions including sanctions for noncompliance; provided, however, that in the event the contractor becomes involved in, or is threatened With, litigation with a sub-contractor or vendor as a result of such direction by the contracting agency, the contractor may request the United States to enter into such litigation to protect the interests of the United States. The offerer' s or bidder's attention is called to the "Equal Opportu- nity Clause" and the "Standard Federal Equal' Employment Opportunity Con- struction Contract Specifications" set forth herein. The goals and timetables for minority and female participation, ex- pressed in percentage terms for the contractor's aggregate work force in each trade on all construction work in the covered area, are as follows: l .' The goals for minority participation are 21.8% for each trade. 2. The goals for female participation are 6.9t for each trade. 5 of 5 RLP-145D CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001152 Date 8/12/09 Property Address . . . . . . 2013 MEALY ST Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 CU 1 AHU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AIRMARK, LLC 2816 ILENE DR JACKSONVILLE FL 32216 (904) 739-9094 ---------------------------------------------------------------------------- Permit MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/08/10 ---------------------------------------------------------------------------- Fee summary . Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 09- 1 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 5 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US all MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A 3 B PERMIT: 3.DATE: Ao L9013 H' OYES PERMIT* PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: "J_6_�r�'� 10�qA- MECHANICAL CONTRACTOR: 7.NTE OF COMPANT 8.ADDRESS.: , ,1AJ"_1qikK_ 9.�TATE OF FLORIDA LICENSE N 10.CELL PHONE: CA Q 1,P)q,�' 12.EMAIL ADDfTESS: 13.OFFICE PHONE: I a V_ �*?1?J/)!I�t Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction orworik is suspended or abandoned for a period of six(6)months at anytime after o is mmenced. CONTRACTORS SIGNATURE: 16.CLASS OF WORK: 16.BUILDING: 17.SERVICE: 18.CURRENTCODE. 0 NEW INSTALLATION 0 NEW 41 RESIDENTIA1 0'06 FLORIDA BUILDING CODE- REPLACEMENT OF EXISTING SYSTEM EXISTING 0 COMMERCIAL MECHANICAL 0 ALTERATION/ADDITION TO EXIST SYSTEM 0 13 REPAIR 0 OTHER MECHANICAL EQUIPMENT TO BE INSTALLED, 11 9.HEAT: [3 SPACE 0 RECESSED CENTRAL 0 FLOOR BURNERS: 20.AIR CONDITIONING: 0 ROOM *CENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: cfm 22.REFRIGERATION: MAX CAPACITY: Ch 23.COOLING TOWER: CAPACITY: 9PITI 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: El PUMP 11 WELL 0 PIPING 29.GAS PIPING: #OF OUTLETS: 0 GAS AHU: 13 GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: 31.COOLING EQUIPMENT: -AIR CONDITIONING.REFRIGERATION EQUIPMENT,CONDENSORS,ETC. NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACIURIER TONS AGENCY (�ClJIVIA 71 �Orl 32.HEATING EQUIPMENT: NUMBER FURNACES,B ILERS.FIREPLACES,AIR H NDLERS ETC. APPROVING DESCJ�I TION MODEL# MANUFACTURER BTU AGENCY OF UNITS 33.TANKS: TYPE LIQUID APPROVING UMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permft Applicaton Mech:REVISED:12118/2008 B-I D FORM LQLA MAE JOHNSON ('�q"Euus cotiv. Co. (Home Owner) (Contractor or Bidder) 2013 MEALY STREET Av Lq MY w- (Address ) (Address) tA Fp. 19C V1 2 'a 29) . -&9-9. (Phone) Material Specifications Material Labor 1. ROOF: Tear off and replace all deteriorated wood and metal 4 q8c) .oc) /0,10 - 00 components. Install 30# felt paper and 20 yr shingles. 2. WINDOWS: Replace four (4) windows at bedrooms-and bath with Pre- L9 o- 2-0 finished single hung units. Caulk all seams to be weather tight. 3. ELECTRICAL: Troubleshoot and repair faulty wiring and fixtures. ZOE. cc install receptacle in bathroom and light fixture in front bedroom. 4. BATHROOM: Install new faucet fixtures at tub and sink. Install laun passage door with hardware. 14 7 6 - ()o Patch and paint walls and 6rim to a semigioss finish. 0 C) 5. KITCHEN: Repair cabinets. 4� 6. EXTERIOR: Replace deteriorated trim with consistent material. 85 0 c) Prime, prep and paint exterior completely. 7. HVAC: Install complete heat pump C)C) system. Remove gas space heater and dispose of. 8. HALLWAY: Patch walls and ceiling 'SO -00 . and match existing finish. -, Subtotals : $ 51 0 3e).00 44 OD Totals : $ (Date) /(Confr<�icTor or Bidder Signature)