Permit 343 Ocean Blvd (vault) CITY OF ATLANTIC BEACH
........... 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-deptLq coab.us
Application Number . . . . . 07-00001479 Date 10/23/07
Property Address . . . . . . 343 OCEAN BLVD
Application type description ROOF PERMIT
Property Zoning . . . . . .. . TO BE UPDATED
Application valuation . . . . 4500
----------------------------------------------------------------------------
Application desc
REROOF FL7154 . 1
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MEYER SUNLIGHT SOLUTIONS, INC
343 OCEAN BLVD. 4 SEATROUT ST
ATLANTIC BEACH FL 32233 PONTE VEDRA BCH 32082
(904) 543-1300
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4500
Expiration Date . . 4/20/08
-------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 55. 00 55 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WrFH ALL CM OF A*rLANTIC REACH ORDINANCES AND THE FLORIDA
BUMDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
07-
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
MAX, _00
&A$s,
- TUPE,
NEW BUILDING 1:1 DEMOLIT10N 0 RESIDENTIAL
LOT BLOCK SUB DIVISION ADDITION 11 CONVERTING USE 11 COMMERCIAL
pv�
NER�I I- Air,_fl Amo!"Aw PnIN ALTERATION 11 ACCESSORY BLDG.
REPAIR
C, OPOOL/SPA 11 YES 0 N/A
MOVE 0 OTHER 11 NO
-RACTO 1 7,
TO
1WIP
TEQTTENGIN W
9. A MI E: 15o!90MPANY NAME: 23.COMPANY NAME:
_5 L4 44
16.NA"ftv�el. 24.LICENSEE NAME:
lGkARDRESS: 17.STATEt_W.,,FL.QR1DA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
3CI�3 06 ofpo 4"It'-d el'ellc
18,ADDRESS- r�.S /',J?f:,,.26.ADDRESS:
&2, 4�j
047
11.OFFICE PHONE: 19.OFFICE fHONE: 20.FAX NO., 27.OFFICE PHONE: 28.FAX NO.:
5Z119 - /10- 1 .��_?1-?(fs— 1
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: 22.EW4�ADDRESS: 30.EMAIL ADDRESS:
0-On",
1 THE$,-T*4
,A
r, T51
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and 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 or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
EFLictrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
_16 0�
Signed: Date: 10-12x-01 Signed: Date:
Befor-9-this dayofQ _,2007 in the county of Before me this_431—day of 2007 in the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
%Vf-R 0 Im e 2�2 G�i
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of L ,Cou Notary Public at Large,State of r,- L County of
EI Personally Known 13 Personally Known
AELProduced Identification-- If L (De4'_ P/Produced Identification 1LtUDA %.%c- Qo-kcio %(&Lt C, qc,�;-_C
Notary Signature: Notary Signature: -.91 It, 'In
*1eSUSAN SPEAKS GORMAN
My COMMISSION#DD643668
v EDOIAES:February 25,2011
AMNON. EI.M3.NOTARV � Fl.Notary ni—t A.—r�
00,111ift WPM.ar.
FOR OFFICE USE ONLY
Date-----
Permit *ff__V_7.._Fee
CITY OF ATLANTIC BEACH Valuation
FLORIDAHouse ......................................................t....
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 Atlaniic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that -a list of sub-contractors be submitted to this office so that licenses can
be verified.
Owner_%,/ Date......;;Y,.p.... ........ _---------------------------
.,A41 /'f/ E - 1129"
<----------
........... --------------Address-..,3.0d-4........./j0jVAcW.,A.-o1We1ephone No.Ja___A_'_AV77
Architect.......................--------------------------------.......................................Address------------------------------------------------------------Telephone No..............-----------_
Contractor Builder........ ------------------------------_--------------Address....................-------------_----------------------Telephone No-----------------_--------
Lot No -_--_-------------_------__....Block No-----2�6-----------------Sub Division1_ 4.t1-4'V7K9........"-W-CIA--- ----------Zone-------------
----------------------_----Street___-QS__77_.Side Between... ------------------------------------
--------------------------and------------77-- Sts.
Valuation ......r or what purpose will building be used.......ORK�i----------------Type of construction/lO�-�P,---_jo4c**,.N?�----
Dimensions of Building_,UX.-V_9�_.__.----------Dimensions of —--_---------------Size of Footings---- -------------
Size of Piers-------------------------------.-..--Size of Sills------------ -------------Greatest Sill Span in ft---------------_---------Type Roof....................................
How will Building be Heated?-.-.------------------------------------------------------._Will Building be on Solid or Filled�Ground?---------------------------------------
Size of Ceiling Joists----------------_----------------------- Distance on Centers............................................ Greatest Span........................................... "
Size of Floor Joists---------------------------------------------- Distance on Centers,.......... ......-------------------------- Greatest Span_---------------------------------------- 12
Size of Rafters_------_---------_----------- ------------ Distance on Centers........ ...----------------------------- Greatest Span_-------------.......................... to
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z
3. When steel is in place and ready to pour beam.
4. When framing is completed. E-4
5. When rough plumbing is completed,and ready to cover up. 3
6. When septic tank drain field or sewer is laid but before it is covered. rA
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City q&Atlautic Beach
Signature of Builder - -------e......�?... ................................
----------------------
Signature of Ownei!.�� .................................................................... Address..................................
September 12, 1988
Ms. Carolee Nelson
City of Atlantic Beach
. 716 Ocean Boulevard
Atlantic Beach, Florida 32233
Reference: Relocation of Sewer Tap at 343 Ocean Boulevard
Dear Ms. Nelson:
Enclosed please find my check for $348.95 as payment in full for relocation of
the sewer tap at my house located at 343 Ocean Boulevard.
This is in accordance with the price quoted to me today by Teresa Blanchard.
If you need anything further to proceed with this work, please let me know as
soon as possible.
Thanking you in advance for your prompt attention to this matter, I remain,
Sincerely,
Betty Meyer
Enclosure
LANTIC BEACH No. 2627
FLORIDA
Sept, 15, -19 88
llptty blevev
t705 Ricliardson PLace
6 1 �'�"7 1 1"
Tampa, Florida 36606
6 1 :'7 1
Sewer Impact Fee # 43-343-5200 348.95
['�or Relcation of Sewer Tap
343 Ocean Blvd, Atlantic Beacli, Fl. 32233
When Signed, Dated and Numbered, This Becomes an Official Receipt
PAYABLE TO Received Payment
F ATLANTIC BEACK FLORIDA TRFASURER
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
L WATION
Permit Number: 22456 Address: 343 OCEAN BLVD.
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: Wk INFORMATION,-
Date Issued: 8/06/2001 Name: MEYER
Total Fees: 47.00 Address: 343 OCEAN BLVD.
Amount Paid: 47.00 ATLANTIC BEACH, FL 32233
Date Paid: 8/06/2001 Phone:. (000)000-0000
Work Desc: HVAC
-T ' C FEES -
4*::N��, "-�T
47.00
ARCTIC AIR OF N.E. FLORIDA "PER
71�
3E
17, .....
4
I CTION
0::
RE�QQE "AT,LEA -'24 H
47�
LIC SPACE,AND
V U- T1
BUILDING MATERIA� RUBBI )S,, *CM.;
N
Mkp-R-CO
V
MUST BE CLEARED�jp AND H kyd t", NTRACTOR OR 0
CON! t KIIEN
"FAILURE TO Co jMTH� $TRO&OJI' R IN THE
W4N�l
PROPER OWNER ING IMP I Is
ISSUED ACCORDING TO APP W R, I tl - 4�7 50AD SUBJECT TO REVOCATION
S F
FOR VIOLATION OF APPLICABL
$47.N 14
AT_jTIC BEACH BUILbINIG DEPT. Date: 9/06/01 61 Receipt: 8978678
CHECKS 1847
06106MR21on
City of Hantft Beach:-
MechanicaFFI-ermit
Awgmnt to complete mirnbemd spam oniv
Job Address:
UAQ
1 Lot No. I Block: Trea- see attached shoe
2 Owner(Mailing Address): Phorne#
3 Contractor Aftiling Address). Regildration A'
4 Architect or Designer(Mailing Address); Registration M
a Engineer(Meft Address). Registration*
7 Lender(Matting Address): Branch
8 Use of Building:
9 Class of work: Addition Alteration Repair
10 DescrJA Work*
76,0
c-
10- D 5-—tAx—7—2—
Special Conditions: .1,11,111,111,11 ,...............
Accepted FIAM L;neekea
I A.Ppn�
NOTIC NOW 7
This permit becomes null and void If work or construction
authorized Is not commenced within 6 months.or it construction or
work is suspended or abandoned fior a period of 6 monthe at any
time after work is commenced. -4
I hereby ca*that I have read and e=T*md this appilmdon and
know the Sam to be true and coffecL AN provisions of laws of
laws and ordwwnm govermrM do tAw of work will be oomplied
with whether spacftd twein or nrA,the granft of a pem*don
not presume to give authority to vk**or cancel the p�imoviaion&
any other state or local low regulaft construction of the
..............
performance of construction.
�4
------- ...........
Signawre ol owner(it Emner tKUKW) Uaw
225�,'RN 'M
DATE : 7
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
'233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32'ZO2
THE FOLLOWING FINAL INSPECTION ( S) HAVE BEEN MADE AND ARE
SATISFACTORY :
-------------------------------------------------
_ZY2 -,_6��--(f cz�-i/---;?�-,�_&--------------------
------------------- -----------------------------
-------------------------------------------------
---------- --------------------------------------
Enclosed are the blue copies of the permits.
SINCERELY,
BUILDI G INSPECTION DIVISION
cc: FILE
CITY OF ATLANTIC BEACH
APPLICATION FOR ROOFING PERMIT
BUILDING OWNER PHONE
JOB ADDRESS 3q5 )6lud,
LOTH LOCK OR UNIT # UBDIVISION
CONTRACTOR 60,f4 PHONE 39 6 66 ;7--5
ADDRESS l<
3,�L, 7
LICENSE NUMBER 9 EXPIRATION
JOB VALUNHON
MATERIALS:
SIGNATURE OWNER DATE
SIGNNI'URE CONTRACTOR DATE
v
DEPARTMENT OF BUILDING 8520
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.-
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
7 11 OCR
3/2S/87- - — 19— 0793
Date I A
Valuation$ Fee$ 7.50 0520 0 00CACI
3 7 013 1 A 3/25/8''
This permit not valid until above fee has been paid to City Treasurer,and is I
subject to revocation for violation of applicable provisions of law.
This is to certify that Intracoastal Roofing Co. - Inc.
RC11042109 W P.O. Box 10816 Jax, 32207
has permission to bU re-roof
Classification— ROSidential —Zone
Owned by Betty Meyer
Lot 4 Block 2S S/D
House No. 343 Ocean Blvd,
According to approved plans which ate part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
0 Building material,rubbish and debris
-zi from this work must not be placed
in public ace, and must be cleared
u up a led away by either con-
t a
rfa or owne
1171 official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
APK
CITY OF ATLANTIC BEACM, FLORIDA
Approyod by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:�z _Z3 19-qe7
IMP013TANT 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.
ELECTRICAL FIR MASTER ELECTRICIA SIGNAfURE JOVRNEYMAN
\3 om
NAME -ADDRESS:Sq'g 0l�_l_a.kq'V_.SdRFD_BOX_
BLDG.SIZE BETWEEN:
RES. (vl�APT. I comm.( PUBLIC INDUS. NEW ( OLD ( REW.
ADDITION ( ) TRAILER ( I TEMP. ( I SIGNS ( I SQ. FT.
SERVICE: NEW ( ) INCREASE REPAIR ( FEE
CONDUCTOR SIZE Kn AMPS2fn COPPER ALUM. Wl'_
SWITCH OR BREAKER Onz!�? AMPS PH 44W[;?rVOLT Wr� RACEWAY
An
EXIST.SERV.SIZE fi�c AMPS -01 PHT:�7W brifO VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
MPS, 31.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED b.100 AMPS. OVER BELL TRANS=
APPLIANCES
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. -VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
OVEF
NO. KVA INO. IKVA
NO.NEON TRANSF. NO. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES
r
-6 _322,VZ
;C:1T Y:C(F
Office of Building�Offi
P
REQUEST FOR I PE ION 77c --2 -7
Date 5 — Permit No. 7 �27-
Time A.M.
Received
Job Address%-
0 awner's Locality /Z
N me �Ccntractor
BUILDING CONCRETE AL PLUMBING MECHANICAL
Framing D Footing 11 inng PRo.Lg0h D Air Cond. & U
Re Roofing 11 Slab 11 Temp Pole E) Top Out D Heating
Insulation D Lintel Ll Final 11 Sewer 11 Fire Place El
Pre Fab
READY FOR INSPECTION _(�A�M
Mon. Tues. Wed. Thurs. (Frd.y
A.M.
ns ade
Final Inspection
spector O >�
Certificate of cc.p. y E)
Date
Per - 1 00 register of owbom 0 (am
ow be at"reird along above told, stople
asatteied,ohoets wileth4w is orwisall or4er.
Proposed Conslimcf ion
'SCRIPTION OF MATERIALS
................. -------------
0 Undei constructi" (To be Insorted by FHA or VA)
Propertyaddren ........................... ........ ...... ................ City .......... ........................... State ..............
Mortga#or or Sponsor ----------- ......... - -----
I Name)
Contrac0or or Builder ....440-k AL Jffai* -3W& Harboll')RO"
114STRUCTIONS
L For a4ditionai information on how this form is to The sAfaitled, number inin4riwn requirements cannot be considered itilea specifically jCsC(.6tJ.
of copies,4fe.. se; As intfogetiono appliaoillis to Jilts FHA Application for 4. Include so cifetrialgii, "or equal" phrases. of coistrojktory ifesns� (Can-
Mortsoll )-suience or VA Psqwosf lot of Itoosona6le Value. si4areli" of I request for acceptance of suhsfifufa�aliateriols, of aquiptnt"t
as the caso,,"be. / .
2. Doliciiiis sit rsaftirials and,squipasent to bi used. whether or flat shown
on#6 kiiivialls,by marking an.X in sarch stiptilipriorls ch#ck-bdT and entering 6. Inclu4s si$norfuras required of 111ho; ofull of Ais folios.
A$jefo"yarlijoa 4V011ej for Lip each Iowa. 11,4poes is inadequate, enter "See C The construction "I be completed in compliance with the velated
rnisc" orgid4ticribe w#W*r Oars 27 of an so,attach" skioll. drawings and specifiterfloft, "erner4ed during proesslij, The specificotmns
qwi:
J� 04ciCaMy 4josetibed or lijio" will no4l be considered unless incitido this Desiorliption of Materials*"a the applicable Minimum coas-luctoo"
to the rnioiftutw 04ceptalilt.2,will be 41. Work exceeding Raqvitefflan4s.
Bearingwil,type ------------------ ............................ ---------------------------- ......... ...... ......
7-
---------- ------------- -------- .................... -------------------------- - - ---- ----------
L 1104*11liATIONS:
'ra I r........ ........... Reinforcing ----------------
Footings: Concrete mix- _0.. ......4
wall: US
Fouildation teria ....... t 0--,K ODIC........ Reinforcing... ...... --------------------- .........
lnte�*r foundation I wall: Material.................................. Party foundation w411 - -------- ...... .
Columns:Material&nil size -------------------- ------ Piers: Material and rvinfurcing
Glrdqrs: Material w4vizes ------ Sills:,Material ......... --------- --- --- -L,
Uav�mtnt entrance,areaway .4 . ....... ----------- -- - Window areaways
...... Footing drains
444 --- ------
... .........
Basigmentlexis spa":GrotincycovolT . ........... Insulation ............... ......*.. Foundation vents,-
Sp66al foundation* --------- ......
------------ ... ....
---- -- ------ ..........—------- ..... ..... - ------
.. .......... ................... ......................... .........
------------............. ----------------------------------- ...... -------
-------- -------
Material-------------------------------- ....... Prefabricated (make ailid nZe ......
Fluelining: Material".. Heater flue size ....... ----------- Fireplaftflue*is*....
Vens mVerwl and ske) Gas or oil heater..........—-------------------------- Water heater..........
----------4---------------- ....... .................................... ........................ --------- ----------------
4. FMOWLACES-
Type: 0 Solid fuel; Q gas-burning; 0 circulator Onsaks and*is@) 4----------------------------- Ashdump and tleawout---------
------------------------ lining .......... .................;hearth ...................... mantel
Fireplace. Facin ..........
7--------
---------------------—------------- ........................................................... .................... ........................
L 1X?*UQ4 WALLS:
Wood frame: Grade "d gipe�lft ................. Ej Comer bracing. Building paper.or felt
0.
sheatb,�W---------------- thiek1*81111t ------- width .......; [3 solid; 0 spaced ------- 0 diagional; -------- .... ...
�Sidilig...........--............ grad'i ... ..... . type .... ; six* .............. e L xpo4ure ...........;fastening....
Shingles................... grade ... ........ type -- ----------; size ............... exposure...-------';f6stepiag ...... ---------
eight .
....... -------�; w I --- lb.
$tucco ------------------------ t*kneds -............. Lath -----------------------------------------
Masonry venew . I.-I.. .................1-1—.... Sills . ............... Lintels, .......................................
-------------------
Masonry: Facing.;;------------------- backup ------------- ---------- thickneu .......... Bonding..... ......--------------- ..........
Door sills ......--------------- Lintels............. ---------------- ... .........—........
Window lilills ...........-----------------------------------
:Interior surfaces: DampprootbiL...
f T44*4 ............... number of coats
Exterior painting: Material Vah------------------------ - .. . ....... furring ............. ----------------
---------- --- ----------------- ------
04*wall�0mgtrilmuca: 0. main wells; D'other ------- -------------- ... ..... ...... .......
�J, ---------------------- ------------- -------------------------------—---------------------------------------------------- --------------I---------------I---------7-
Joisis: Wood, treat and spedei other .... ........ --------- 1brdffjj%r ----- Mine rs .......................
Cw*rvte slab:-0 Blisitment flo4r; [I first 666r, 0 groiind supported; 0 pelf'-supporting; mix ......... ....... thicknen
.............. ------ ......... inowation --------------- 111111411"raffilo ...
F* uiliderelisib.-.1 Material ......... ----------------;thickskesi .......... . ...................... .......................
-------------............ ------------ --------------
ut*- "Ilme- (0044t gofferegiorio L I illor lip"livain isider does 21.)
.................. .....
...............
Sq.ft; M'digiViinel.
0 right
--------------------
---- ---------- .......... --------....... ............ ........ .......................
L "gifiral itirele'i"t"2'1
Z--
GR WX
�Z
'vivo amr. 4
7
'e7.....
Aft
17
6.
----------
I w flowering trees, deciduous, ...... to_----- - Evergreen shrubs, .' to - .... ... B& B.
Vines, 2-year --------- -- ------- -----
High-growing shrubs, deciduous. to - ----------
deciduOus, to ........ . — ------
---- -- Lo—kr—ing shrubs, ilt�cidunus,
�rNTIFICATWX.—This exhibit&hall be identified by th* signature of the builder, or sponsor, and/or the proposed mortgagor if the latter
i known at the tinte of suo. cation.
)at* ..................... . ......... Signature --_-------_--_------- -------------------------- ......
JeAk As 'Wales
Sigy,ature ---------------------------- —------------------------
Gutters- Material------GI veight 26 site 4" OG
Downspouts: Material_G1---------------------- g�ge or v ------------ shape
- —.1-------- ------- -.;gage or we'ght ----;§... size shape ------------ number --------
Downspouts connected to: 0 StoiM Newer; C1 sanitary se-er; 0 dry well. blochs:* Material and size ------------- -----------
...........
---------------- ........ ------- --------I------------ ----------------------------
14L LATH AND PLASTER:
Lath �7j walls, C3 ceilings: Material _-----__---- ------; weight or thickness ------- ------- Plaster: Coats finish �-------------------
MEnnum
Dry-wall F5 walls,yn ceilings: Material --- Pw...__- _ Is.- - #aA.8
thicknesoy finisk -.3M08tJ1,_.---- joint treatment...
--------------------------------------__----------------_---------- -------------------- ------- ---- --------------------- ---------------------
15. DECORATING: (Poiowf, wallpaper,etc.)
P00312 NVALL FINISK MATTSIAL ANP Am ICAIJ(04 CEIIANG FINISH MATZRIAL A14D ArPt4CATION
Kitchen---- ............ .... ----------------- ---------------------------------
Bath—- ----------_----- ------------ --------------0--------------- ---------------------------- ------------------
---------- ------LR,-&- ------------- ----------------------------------------------------------------------
--------------------------- --------------------------------------------------------------------------- --------------------------------
---------------------------------
-------------------------------------------------_-----------------------------
---------------------- --------------- ---------------
14. INTERIOR 00025 Aft TRIM,
Doors: Type ----------lu-Ah------ZI U&h----------------_-----..; material ---------------------------------------- ..........; thickness -------------
Door trim: Type ------Q......---------; material __71r---------------- Base: Type__Aa1n&jW;matir&I -------;size--------
Finish: Doors --------Cb61111Q-A---VaTnIALb------------------------; trim -----_----------------------
Othertrim (ilem, tVpe and location)------------------------------------------------------------ ------------------------- ----------------- ------------
----------------------------- --------------------------------------------_------------------------------------------------------ -------------------------
17. WINDOWS-
Windows: Type---- make --------------------------------__; material ...AIAMIL---------------_----; sash thickness -------------
Glass: Grade---------------------------- C3 sash weights; C] balances, type ---------------------------------; heAd flashing ---------------- ---------
Trim: Type------7----------------- material ----------------------------------- --- Paint ---------------------------------_.......; nuin.ber coats
Weatherstripping: Type --- -------------------------------------------------.; material ------------------------------ Storm sash, number ---------
Screens: 0 Full; 0 half; type ---- ---------------------------------------; number -----------.; screen cloth material ...... ........ ..... -------
Basement windows: TiVe ----------_-------------; material .------------------------; C-) screens, number --------�; 0 Storm sash, number-------
Specialwindows ------------- -----------------_------- -------------------------------------------------- ---_------------ ............. -_---------_--------------—
---------------------------------------------------------------------------- ------------- ------------------ ----------------------------------------------------- ------
L INTZANCIS AND EXTERIOR DETAIL:
Main entrance door: Material ._V�----------------- width 36------ thickness 1 Frame: Material...19---------- thickn
Other entrance doors: Material J?---_--------- ;,idth------------ thickne Frame: Material---11�--------- thiekri:".�t::
Read flashing ---------------I I ---------Weatherstripping: Type----�Ar Uze -------; saddles AIUMO
f----------------- 91-------------------- - ---------------
Screen doors: Thickness ). __"; number screen cloth material ------- Storm doors: Thickness--.."; number..—
Combination storm and screen doors: Thickness __"; number ._..; screen cloth material --------- ------ -----------------------------
Shutters: 0 Hinged; ff fixed. Railings ---------------- -------------------------- --------- Louvers -------------------------------- -----------------------
Erterior millwork: Grade and specias ------ -------------_-------------- Paint... -------------.; number coats _-3-..
- -------------------__----------------------------------------------------------------------------------------------------------------- --------------------- -------------
9. CABINETS AND INTERIOR DIVAOU
Kit.chen cabinet&, wall units: Material --------------------------------------I---------------; lineal feet of shelves------------;shelf width
Base units: Material ----- 40od .; counter top Ire M i 10a ; edging _------------------------- ----------
- q .......fii---------- ----------------------------------;-
Back and end splash --- Rk2TT.........q�------ Finish of cabinets --------------------_---- ---------- ------- number coats
Medicine cabinets: Make-------------1A9A`AQA--_-------------- ... .... ........; model ---------- -------- -- ----------------- ---------------_--- ---------
Other cabinets and built-in furniture-------- --------------------------------------------_--- ------- ------ --------- ------------------------ _---------
---------I�------------------------------------------------ ------------------------------------ ------------ --------- ......... ------ .... ... ---- ------ ------
1. STAIRS:
TRzAm Risexii antmos HANDRAIL HALV11TURS
STAIR
Material Thickikres Thickne" Material Mae Material Size Material size
Basement -------------
----------------- --------------- ---------------- ---I-------------------- ....... ---------- - ------- ----------
Main------- -------------- ------------- ----------- ........... ...............
Attic--------------- ------- ---------- ----I------------------ -------- ..............-1-------------
Disappearing: Make and model number --------- ---------------- ------- ............ _------_-----—-------------- ------- ------ --------_---------
-_-------------------—--------------------------------.................__------------------ ------------------- -------------------
2