Permit 1639 Ocean Blvd (vault) 0 LAN
X C3
G)
N-2)
C=
C= 111"Q
OR C=
0
OF
ADDITIONS or CORRECTIO,NSmi
DO NOT REMOVE 0
JOB ADDRESS DATE
-39 fook_a"Q 10- 1(7 W!5-
THIS JOB HAS NOT BEEN COMPLETED
The following additions or corrections shall be made before
the job will be accepted
7UZ
ZZ ROT47 -Izao�u
Ltj'$*9�0"E INSPECT FEE
It is unlawful for any Carpenter, Contractor, Builder or other
persons,to cover or cause to be covered, any part of the work
with flooring, lath, earth or other material, until the proper
inspector has had ample time to approve the installation.
After additions or corrections have been
made, call 247-5826, Building Depart- PLUMBING
ment for an inspection. Field Inspectors ELEC
are in the office,from 8:00 a.m. to 5:00
p.m. Monday through Friday. BLDG
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00031151 Date 9/06/05
Property Address . . . . . . 1639 OCEAN BLVD
Tenant nbr, name . . . . . . WIRE BATHROOM
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ---- --------------------
EASTERN SHORES BROOKS & LIMBAUGH ELECTRIC CO
1639 OCEAN BLVD . 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
ELECTRICAL PERMIT APPLICATION
Date:
Property Address:
Owner: taZtu-PSIL jau-)o Telephone 4-
contractolr--�i6o c-t\,d- L0,bG-L L!;�L� Telephone #-2-'4 qU31 I
Contractor Address:442- Fax
Ln considemion of permit given for doing the work as described in the above statement, we hereby agree to perform said work in
accordance with the artached, plans and specifications wKich are a part hereof and in accordance with the City of Atlantic Beach
orduunoe and standards of good practice Usted thcmin.
Building: I Bu ding Type: Q Trailer Service: f otber, construction is
ing dol
b. e on Lhis budding
Temp. 0 New Or sitc, La the budding
New Residence I
Old i�Comrnercial 0 Signs Q Increase Permi number:
Re-W)re C1 Addition Sq. Ft. C1 Repair
Conductor Size ANT S COPPER ALUMINUM
Switch or PIACE
VOLT WAY
Breaker ANQS PH W
Exislang Sery RACE
Size 'cc AMPS 151) PH W VOLTZ-W WAY
Feeders� NO. SIZE NO SIZE NO SIZE
Lighung Outlets CONCEALED b OPEN
Receptacles CONCEALED OPEN
r)I()A M P S, I I 100 A M?,q
Switches -7
Lricandescent
Fluorescent &
M V
Fixed 0.100 AMPS I OVER BELL
Appliances I TRANSFER.
Air H.P.RATTNG H.P. R.ATING CE[LrN(j KW-HEAT
Condiiion�ng Comp. MOTOR OTHER MOTORS AMPS HEAT
Motors 0-1 H,P. � VOLTAGE PH NO. OVER I H.P, PHS
ij�,;DER600V L-OVER600V
Transformers N& KVA NO. KVA
No Neon Tr-anst.
Ea._Sign
Miscellaneous 76/- &e�I-Vd'4-1 4 dal 7�4
rXLCL-L 4 (cp q 2 C cm S,
800 Seminole Road - Atlantic Beach, Florida 32233-5445
Phone: (904)247-5800 - Fax: (904) 247-5845 - http://www.ci.atiantic-beach.fl.us
!-Aj
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00031068 Date 8/25/05
Property Address . . . . . . 1639 OCEAN BLVD
Tenant nbr, name . . . . . . ADD 5 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
ALTERI , ALLAN STEEG PLUMBING CO. , INC.
1639 OCEAN BLVD. P.O.BOX 330536
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-5191
----------------------------------------------------------------------------
Permit . . . . . . PLUM13ING PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- --------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
L
BUILLeD "CIA
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
D a t c:
Property Address:
Owner: 1, Telepbone W.
Contractor,
Teiepbone 0:
Fax P-.
Contractor Addre33:
-ibcd"g above imment,we hcrcbY aptc w pvTlb"n?;wu vrK t"
in muldwWoa orpamit given for 40IDS(AN w0[k ad doocir
accordum with do anvAcd pwo and ar-cificallom which am a pan hereof and in accordanre witli the Ci�� v f A,I ooll�
ordlRV"04 SandUds of ZvmW pnwdm Listed thore'n.
W%allstion of plumbing%nd Axgtm mum be in acciorO&ncoc with the most recent cdition ofthe soutneri; )tandavQ IIanumv,
Code.
AOPP 1 1(ochcr construction is beW&done on tn�s Dudduig of %ite.
Flurabing Type: Now list the building pormit numbcr:
0 Re-pipe
N umber of Fixturts:
Bath Tubs Showers
closets Shower PWIS
Dishwa3tkers S L-1k S
urinals
Disposals
Washing mLicriine
Floor Draim
Lavatory Water
Sewer water Healers
Oiher
Fees
penalt Issujug Fee: S35-00
Total Flictures: X $7.00 S35�00
ad Atlantic Beach, Floricl
OWU 001".q.010
Phone:(904)247-"00. Fax: J904) 247-SW. httP:Itwww.cl,atiantic4)oach-fi.us
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date:
Property Address:
Owner: 4hk-g1' Telephone
Contractor: ��O—e:j Telephone t$:
ContractorAddres3: 11gn Fax s;: y
C�/#
in con3idcrulon of permit evca for doing tho work w dmcribcd in Lbe above 3taLCMCnI, we hereby agcc Lu pertbrm �.wo work in
accordanoq with the anwhed pILM and 3pCCif!iCa1i0ns -ruch = a part hereof and in accordance with the Ciil� ul'A(14nn� bcucii
ordinance W stanWds of good prwdcc 1131cd thercui.
Insualation of plumbing and fixtures must be in accordance with the most recent edidon of'the Soulncrri �)Idndaw PiUITIU1116
Code.
Plumbing Type: A If other construction is beLng done on this oudduig or site,
New iist the b,ildLng permit number
o Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pari_�
Dishwashers S u-Lk s
1�
Disposals urirals
Was�img Ma�:nine
Floor Drains
Lavatory Water
— .Sewer water Heaters
Fees
i'Permit Issuing Fee- $35.00
X 5,7.0() S35-U0
Total Fixtures:
ido Semlnole R ad - Atlantic Beach, Florida 32233-5445
Phone: (904)247-5800 . Fax: (904) 247-5845 - http:/twww.cl.atlantic-beach.fl.us
,.�% I I ,
C,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 05-00030648 Date 6/28/05
Property Address . . . . . . 1639 OCEAN BLVD
Tenant nbr, name . . . . . . ADD BATH IN GARAGE
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4500
Owner Contractor
------------------------
------------------------
ALTERI, ALLAN OWNER
1639 OCEAN BLVD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit BUILDING PERMIT
Additional desc . -
Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50
Issue Date . . . . Valuation . . . . 4500
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total 27 . 50 27 . 50 . 00 . 00
Grand Total 82 . 50 82 . 50 . 00 . 00
PERMIT IS APPROVED OT*jLy IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILD0 S' 1-k
1 '046. j4k,.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH Cc:
BUILDING /ZONING DEPARTMENT
800 Seminole Road Cz.
S. Doerr
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
wwwwab.us
JUN P 4,
PLAN REVIEW COMMENTS
Permit Application #-Q'-� - E!C L4 S
Property Address: C�C�G"PqQ 9L-VT)
Applicant: 13 --
A I - f t
Project: 15A-rl-4
This permit application has been:
CD-/'�'Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By:._. Date:
Date Contractor Notified:
WATER IMPACT FEE WORKSHEET
ADDRESS: -------------
DRAINAGE
FIXTURE UNIT
FIXTURE TYPE VALUE AS LOAD FIXTURES _ UNITS
Automatic clothes washers,commercial 3
Automatic clothes washers, residential 2
Bathroom group consisting of water closet lavatory,
Bidet, and bathtub or shower 6
Bathtub(with or without overhead shower or whirlpool
allachments) 2
Bidet 2
Combination sink and tray 2
Dental lavatory 1
Dishwashing machine,domestic 2
Drinking fountairOcemaker 1/2
Roor drains 2
Hose bib 1
Kitchen sink, domestic 2
Kitchen sink,domestic with food waste grinder and/or
dishwasher 2
Laundry tray(I or 2 compartments) 2
Lavatory 1
Shower compartment,domestic 2
Sink 2
Urinal 4
Urinal, 1 gallon per flush or less 2
Wash sink (circular or multiple)each set of faucets 2
Water closet,flushometer tank,public or private 4
Water closet,private installation 4
Water closet,public installation 6
TOTAL NUMBER OF LINITS=
MUL-nPUED X 20 1,1(oO
TOTAL$
CITY OF ATLANTIC BEACH
BUILDING PERMIT APPLICATION
JUN 4 200,b (Alte ns & Additions)
Date:
Job Address: C L)'D
Owner of Property: L L_T(Z?-. 1
Address: �E Telephone: (OLI s-
Legal Description: Block Number: Lot Number: + Zoning District:
Contractor: State License Number:
Contractor Address:
Telephone: Fax:
Describe proposed use and work to be,4one: itL-0 R, ct_��� 4 SP��
1;�a--\J-� - - (-t�) kei.� -
Present use of land or building(s): �&_Lrc_yl
Valuation of proposed construction: C"i
What are the dimensions of the added space: VtA k\11A feet x feet
Will the added area be heated and cooled? New electrical or increase in service?
Add plumbing fixtures? L,� Add fireplace?. $1 D Add heating/air conditioning? 11�
Is approval of Homeowner's Association or other private entity required? AJ () If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to
the originsHmpervious area or the removal of any trees?
;-,7--
N 0. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project.
YES See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
;�N�O Applicant certifies that no trees will be removed for this project.
M YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as avvropriate
Incomplete applications way result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please subnriit Building Pen-nit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us
Page 2 Revised 8/04
In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. identify
any existing structures and uses.
3. If required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surface& Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
I hereby certify that all n pAv!ded with this ap catio , co
Val
Signature of owner. Date: /is 16 a
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
Signature of Contractor: Date:
Address and contact information of person to receive all correspondence regarding this application(please print),
Name:
Mailing Address:
Telephone: Fax: E-Mail:
4S TO OWNER:
Swom to and subscribed before me this day of 2005—
State of Florida,County of Duval
Notary's Signature:
J WAAAAL
AMY NOURSE
%i)SSION#DD 21467
S -007
eptember 20,2 Personally known
EXPIRE,:
idl�pubhc UndgwIters
&)rdE)d Thl�,Nr
Produced identification
Type of identification produced
AS TO CONTRACTOR:
Swom to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's Signature:
E] Personally known
El Produced identification
Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us
Page 3 Revised 8/04
CITY OF ATLANTIC BEACH
OWNER/BUILDER AFFIDAVIT
Date:
Job Ad&ess: Pi, v�D
CHAPTER 489,FLORIDA STATUTES,PART I -CONSTRUCTION CONTRACTING"REQUIRES,OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE
APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE
OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—
OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A
COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR Y AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE
BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION.IS COMPLETE, THE LAW WILL PRESUME
THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE
AN UNLICENSED PERSON AS Y CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO
THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT
PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL
LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A
BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. T1-1E ORDINANCE STATES OWNERS MAY
PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE
UNDER"DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TWES WHILE WORK IS IN
PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS.
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE
POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND
SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS
THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING
SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSE" IS
NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR
THE FLORIDA"CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOIL
TELEPHONE THE BUILDING DEPARTMENT(247-5 826)IF IN DOUBT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUELDER PERMIT.
PROPERTY OWNER/BUILDER
SWORN- SCRIBED BEFORE ME THIS 54�"DAY OF 200
julij— —
OU E
OMI=10N SDD024�6.74N
Y
A N )I
AMY NOURSE
SS
Ay Co''
�Ay COMMISSION DID 214674
LXPIRES:September 20,2007
otary Pu"cu
L�,O` Blonded I hru Notary Public Uncfwwita,� NOTARY PUBLIA
MY COMMISSIM EXPIRES:
NOTE: PHRASES UNDERLINED ABOVE.
NOTICE OF COMMENCEMENT
State of PLo(? jq A Tax Folio No.
County of
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance
with Section 713 of the Florida Statutes,the following information is stated*in this NOTICE OF COMMENCEMENT.
Legal description of property being improved: 44y�-a q zs=* +
Address of property being improved: (Ir—el.--6N GL-LJj0 A 1-�,A jj 7-,c -11A
GeneraOsscription of improvements: -9
Z
�. 1-Q q- (,C; -CiI
Owner: L-L-ft Jj Pr 11 41 -4 -
Address: (2) Q-0-� Fk Yl-0 9\ Pf"
Owner's interest in File of thi improvement: 9*W U9 &&Aazz-jk
Fee Simple Titleholder(if other than owner): kj-
Name:
Address:
Contractor:
Address:
Phone No: I V Fax No:
Surety(if any):
Address: I
Amount of Bond S
Phone No: Fax No:.
Name and address of any person MLaki g a loan for the construction of the improvements.
Name:
Address:
Phone No: Fax No:
Name of person within the State of Plo a,other than himself,designated by owner upon whom notices or other
documents may be served:
Name: A
Address:
Phone No: Fax No:
In addition to himself,owner designates the ]lowing person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2Xb),Florida Statue� (Fill in at Owner's option).
Name:
Address:
Phone No: V Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
TMS SPACE FOR RFCORDFR'q T TqP OMT V
Doc#2005221594,OR EIK 12554 Page 1707, Signe/,)) Date:
Number Pages� I Beforenfe't@-sj
5jj�_day of 2pps, V*i tl�e Coun
Filed&Recorded 06il6/2005 at 09*05 AM, of DUVal State ofFlorida,has personally appeared
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING$10.00 R� V-I
Notary Pubiic' at-Large' State of ri a4 County of Duval.
My commission expires: , —W�0
Personally Known: 1�(- or
A '�OURSE Produced Identification:
MY[,�o
My COMMISS!ON#DD 214674
EXPIRES:September 20,2007
Bonded Thru Notary PubJic Undervrjt6�rs
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A P P R 0 V E D
FIL t CITY
COPY OF ATLArvnc BE.ACfi
oe t BUILOING QFFIC�
It
JUN 2& 2005
By:,
COP'
Page I of I
1�1�! C
Print Date:
6/16/2005 9:06:33 AM
................
Transaction#: 685100 4"Comm,
Receipt#: 647122 Jim Fuller
Cashier Date: 6/16/2005 Clerk Circuit Court
9:05:09 AM Duval County
(KPEARSON) 330 E. Bay Street Rm 103
Jacksonville, FL 32202
(904) 630-2044
Customer Information Transaction Information Payment Summary
DateReceived: 06/16/2005
Source Code: BEACH
ALLAN ALTERI Q Code: BEACH
1639 OCEAN BLVD Return Code: Over the Total Fees $10.00
ATLANTIC BEACH, FL 32233 Counter Total Payments $10.00
Trans Type: Recording
Agent Ref
Num:
I Payments
$10.00
EJ CASH
I Recorded Items
BKIPG: 1255411707 CFN.-2005221594 Date.-611612005
(N/C)NOTICE 9:05:07AM
COMMENCEMENT From:AL TERI ALLAN To: COMMENCEMENT
INDEXING 21 $0.00.
RECORDING $10.00
10 Search Items
10 Miscellaneous Items
file://C:\Program�/�20Files\RecordingModule\default.htm 6/16/2005
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 05-00030275 Date 5/10/05
Property Address . . . . . . 1639 OCEAN BLVD
Tenant nbr, name . . . . . . REPL AIR HANDLER
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
ALTERI, ALLAN DONOVAN HEATING & AIR
1639 OCEAN BLVD. 315 SIXTH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-3785
------------------------------------------------ ----- -----------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
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
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.
EiL-T%b, 1R70FFfC1AL
"J" fc/:15 9042413745
DONOVAN
PAGE
CITY OF ATLANTIC BEACH
MECRAMCAL PERMIT APPLICATION
Date., r1oclo
owner or Property. A/me
Job Address: a, 7 –4;
we bars 46re,
fteo��ib am ausel"A pit"&ed opwzwiml�Whieb am lk PIA baser end ill satord"64 widbi @I*C IQ
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0 �Eir I'tesell Avoroveil by_ Outir
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0 CXbor-Spoolty L Permit PC#
LW A3,L 90UlltMZN'f
AM CONDMOKWO AND XMWI
Number VeiW D"emplas NUM111ter M"U"Wer c4pomly Appirovift
Aazftl�
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Number Uafto Ofiftipsw model Number Maulals"Urc, CIRP644y AV"$
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77.17-3 9Z 7
How kolwy N94%iial Copadly TypGLiquid WAUnt at Ser(Al Approving
Aad' aracesiM& comainvil No.
FOG�&jsja�lc 14*4 ACkadc lkagh.Fulida 32Z33-W5
Pboxt,(904)2474400 Fax.(9")347-3.945
is CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00028158 Date 4/28/04
Property Address . . . . . . 1639 OCEAN BLVD
Tenant nbr, name . . . . . . WINDOWS, GARAGE DOOR
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3000
Owner Contractor
------------------------ ------------------------
ALTERI , ALLAN EASTERN SHORES CONSTRUCTION
1639 OCEAN BLVD. 1015 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-6056
--------------------------------------------------- -------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50
Issue Date . . . . Valuation . . . . 3000
Fee summary Charged Paid Credited Due
-- -- ------------ - ---------- ---------- ---------- ----------
Permit Fee Total 45 . 00 45 . 00 . 00 . 00
Plan Check Total 22 . 50 22 . 50 . 00 . 00
Grand Total 67 . 50 67 . 50 . 00 . 00
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
ERV
WH AR OF THIS PT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
r jj CITY OF ATLANTIC BEACH
PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS, SKYLIGHTS AND
GARAGE DOORS OF SINGLE -FAMILY OR TWO-FAMILY (DUPLEXJ��PONSTRUCTION
Date: Lk
JobAddress:
Owner's Name: eXA #64&,�
Address: k(,I� 0 c,e-e__ 3 �.j 0 , Phone: to "A0
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: 6(_4&-W � 60," twz�-ror�.0" State License Number:
Address: 16 k c AAACr�,_ lqb Phone: 71,7&
city: wkr-�(. tL"� State: fL Zip: 31,z3l Fax:
Describe proposed use and work to be done: +WO W" Jou—, 4_1 3 +-j.,o o AJ-4 ,
L1011- .1" ea-i C_f, DOG'A.
V-CA
Present use of land or building(s):
Valuation of proposed construction: 50.0
Is approval of Homeowner's Association or other private entity required? tAL) If yes, please submit with this
application.
Building Data:
2-
Mean Roof Height (ft) Building Width (ft) Building Length (ft)
Roof Slope *Window Elevation from Grade -36'1
(ft) Window Height _(ft)
Window Width (ft) Measurement from corner of building to window
T
5
h
4 a
S
800 Seminole Road Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ei.atlantic-beach.fl.us
Page I Revised 1/27/03
Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may
result in delay in issuance of permit.
In addition to the building data,the following information is required:
1. Manufacturer's Test Report
2. Installation Procedures
3. Window Description/Type
4. Garage Door Description/Type
5. Skylights Description/Type
6. Elevation View of Window Locations
I hereby certify that all info7ation provided with this application is correct.
Signature of Owner: Date:
LIL6
1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the perfonriance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
Signature of Contractor: Date:
Address and contact information of person to receive all correspondence regarding this application (please print).
i1c,t
Name: I Lt, Ak,^
Mailing Address: 10 k1l L.,^1,, i�W, 3-1437
Telephone:_1", —Fax: a-1- E-Mail: \2.A V.,., -CA
AS TO OWNER:
Sworn to and subscribed before me this day of 20 0y.
State of Florida,County of Duval
Notary's Signature:
AMY NOURSE
MY COMMISSION#DD214674
EXPIRES:September 20,2007
Bonded Thru Notary Public Underwriters Personally known
El Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of_ 114
20 A
State of Florida,County of Duval
Notary's Signatur
kt*4 ALTERI
MY CAIMMfSSION#CC 992 5 9--*P'er onally known
:W
EXPIRF'S:May 2 2005 duced identification
ad Thru Notary public'jnd,,,w ,
0ond El Pro
Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Page 2 Phone: (904)247-5800 Fax: (904)247-5845 - http://www.ei.atlantic-beach.fl.us Revised 1/27/03
5 MIN. RETURN
PHONE 11 NOTICE OF COMMENCEMENT
0 47
45
=.�1?7 W7322
Par: la44,
State of Tax Folio No. Fi d & Remrd d
04/28/M4 04:22:21 PH
It County of JIM FULLER
It CLERK CIRCUIT COURT
CC To Whom It May Concern: DWK COUNTY
V4
The undersigned hereby informs you that improvements will be made to certain real property, a4mR&dance ith Ses.411111 713 of
0 4
CR the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
to Legal Description of property being improved:
0(1"'A 13,1--1
10 Address of property being improved: �6 V��-k 4, (3tA , F,.
N
N General description of improvements: -r
V4
V4
.9 Owner: Address: q 0(_er_^ Pmcpt�- FacL
0 7 Z,L's 7
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: Ge-
Address: 16 1 S C,—\% rZ 3
Telephone No. Fax No: `4
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNE Z
Signed: e: //1 ')�' '(
Before me this 941 day of in the Count�of Duval,State
TANYA HANEBRINK
'F Win
Notary Public.Stata'of Florida Of Florida,has personally appeared
da
My commission expires: O-Li eP-&jq0Jq
Commission No,949399 Notary Public at Large,State of Florida,County of Duval.
Personally Known: -or
Produced Identification:
9 Series 165/3000 Single Hung and Fixed Windows
X a Series 7401744/3740 Single Hung and Fixed Windows
Awm�% B;?'�_ Bfft e Series 16813168 Horizontal Slider and Fixed Windows
DOO"ANDWINDOWS * Series 680 Horizontal Slider and Fixed Windows
NOTE: SEE INDIVIDUAL TEST REPORT(S�FOR DP RATINGS AND MAXIMUM ALLOWABLE SIZES.
INSTALLATION INSTRUCTIONS FOR
"APPROVED FOR FLORIDA" ALUMINUM FIN WINDOWS
BetterBilt Windows & Doors appreciates your recent purchase of a maintenance free prime window, which
will not rust, rot, mildew, or warp. This is a quality product that left our factory in good condition — proper
handling and installation are just as important as good design and workmanship. Please follow these
recommendations to allow this product to complete its function.
1. Handle units one at a time in the closed and locked position and ta e caLp n h frame or glass
t
or to bend the nailing fin. Place a continuous bead of caulk on the e*in mounting flange).
!ttN
2. Set unit plumb and square into opening and make sure that there " + 1116" clearance around the
frame. Fasten unit into opening in the closed and locked position, making sure that fasteners are
screwed in straight in order to avoid twisting or bowing of the frame. Make sure that sill is straight and
level. Check operation of unit frequently as fasteners are set.
3. Use#8 sheet metal or wood screws with a minimum of 1" penetration into the framing (stud). Place first
screws (two at each comer) 3" from end of fin. For positive and negative DPs (design pressures) up to
35, do not exceed 24" spacing of additional screws. For DPs from 35.1 to 50, do not exceed 18" spacing.
4. Caulk entire perimeter of fin to mounting surface joint and caulk over screw heads.
nd rd
Note: this step can be eliminated if 4"wide adhesive type flashing is used (sill 1`4.,jambs 2 ., head 3
5. Fill voids between frame and construction with loose batten type insulation or non-expanding aerosol
foam specifically form -ad for windows and doors to eliminate drafts. The use of expandin_� aerosol
t v
ype insulating fo . can bow-the frame, waives all stated warranties.
Rem I r, paint, and debris that has collected on the uffit and make sure that sash/vent
trackJs %n ocks are also clean. Do not use abrasives, solvents, ammonia, vinegar, alkaline, or acid
solutio-s for clean-up, especially with insulated glass units as their use could cause chemical breakdown
of the glass seal. Take care not to scratch glass; scratches .severely. weaken glass and it
could
eventually break from thermal expansion and contraction. Clean units with water and mild detergent.
- CAUTION -
BefferBilt Windows & Doors or its.representatives are unable to control and cannot assume responsibility for the
selection and placement of their products in a building or structure in a manner required by laws, statutes, and/or
building codes. Q
@AuN4psenJwW'6ly responsible for knowledge of and adherence to the same. BetterBilt
safety glazing unless specifically ordered with such. Many laws and codes
window prot V9
require safety Q�,rvpe,,,q4,qrd7tf9)Pnear doors, bathtubs, and shower enclosures. Also be aware of other
code requirem ur_q n9y.egress and structural energy performan e.,
,"rg ,
I rft-
Corporate Headquarters:
rnihp.corn
L
MA. Home Products
650 West Market St.
Gratz, PA Buj% (Y-ids
7
365-3300
Examiner ;�%nq�Qrv- IeTATT 0F#- Rev.7-24-03
.2� 0 P
!A
CODE C0301"
KEV THIS IPI.�Jl 01"i J33
MAY 2 1 2003
Building Zon -Jax., FL.
A
Examiner(SIdRature
License No.
AAMAJNWWDA 101/l.S.2-97
TEST REPORT
"Rendered to:
MI HOME PRODUCTS,INC.
SERIES/MODEL: 740/744 Oriole
TYPE: Aluminum Single Hung Window with Nail-Flu
Summar Result
y of
Title Test Specimen #1 Test SEecimen #2 Test Specimen#7
AAMA Rating H-R35 47 x 89 H-R30* 39 x 90 H-R35* 39 x 90
Operating Force 25 lb max. N/A N/A
Air Infiltration 0.12 c fiiVft' N/A N/A
Water Resistance Test Pressure 5.30 psf N/A N/A
Uniforrn Load Deflection Test Pressure +35.3 psf +33.3 psf +35.3 psf
-47.2 psf -34.7 psf _:A -�2s f�
Uniform Structural Load Test Pressure +53.0 psf +50.0 psf +53.0 psf
-70.8 psf -52.1 psf -70.8 vsf
Deglazing Passed N/A N/A
Forced Eri�a Resistance Grade 10 N/A !NIA
Reference should be made to ATI Report Noi 01-41979.01 for complete test specimen
description and data.
Architecturat Testing
AAMA/NWNMA 101/I.S.2-97 TEST REPORT
Rendered to:
NU HONE PRODUCTS, INC.
P.O.Box 370
650 West Market Street
Gratz,Pennsylvania 17030-0370
Report No: 01-41979.01
Test Date: 06/19/02
And: 06/21/02
And: 07/24/02
Report Date: 08/26/02
Expiration Date: 07124/06
Project Summary: Architectural Testing,Inc. (All) was contracted by NU Home Products, Inc.
to perform tests on three Sefies/Model 740/744 Oriole, aluminum single hung windows with
nail-fin at their facility in Elizabethville, Pennsylvania. The samples tested,successfully met the
performance requirements for the following ratings: Test Specimen #1: H-R35 47 x 89; Test
Specimen#2: H-R30* 39 x 90; Test Specimen#3: H-R35* 39 x 90.
General Note: An asterisk (*) next to the performance grade indicates that the size testedfor
optionalperformance was smaller than the Gateway test sizefor theproduct type and class.
Test Specification: The test specimen was evaluated in accordance with AANLkNWWDA
I Ol/I.S.2-97, Voluntary Specifications for Aluminum, Vinyl(PVC) and Wood Windows and Glass
Doors.
Test Specimen Description:
Series/Model: 740/744 Oriole
Type: Aluminum Single Hung Window with Nail-Fin
Test Specimen #1.: Gateway Performance Specimen H-R35 47 x 89
Overall Size: 3' 11-1/4" wide by TS-1/4" high
Interior Sash Size: 3' 10"wide by 2' 11-3/4" high
Fixed Daylight Opening Size- 3' 8-5/16" wide by4' 3" high
Screen Size: 3'9-1/8" wide by 2' 11-1/2" high
Glazing Type: 3/16" annealed
130 Derry Court
York, PA 17402-9405
phone: 717.764.7700
fax: 717.764.4129
www.archtest.com
01-41979.01
Page 2 of 6
Test Specimen Description: (Continued)
Test Specimen #2: H-R30* 39 x 90
OverallSize: 3' 3-1/4" wide by 7' 5-1/2"high
Interior Sash Size: 3' 1-7/8"wide by 2' 11-11/16" high
Fixed Daylight Opening Size: 3' 1-1/4" wide by 42-1/2" high
ScreenSize: TI-1/8" wide by2' 11-1/2" high
Glazing Type: Fixed daylight opening 3/16" annealed,Interior sash 1/8" annealed
Test Specimen #3'- H-R35* 39 x 90
OverallSize: 3' 3-1/4"wide by 7'5-1/2"high
InteriorSize: 3' .-7/8"wide by2' 11-11/16"high
Fixed Daylight Opening Size: 3' 1-1/4"wide by4'2-1/2"high
Screen Size: 3' 1-1/8" wide by 2' 11-1/2"high
Glazing Type: Fixed daylight opening 1/8" tempered,Interior sash 3/16" annealed
Thefollowing deschptions apply to all specimens.
Finish: Unit was silver in color.
Glazing Details: The active and fixed sash were single glazed. Both sash were channel
glazed using a flexible wrap-around glazing gasket.
Weatherstripping:
Description Quantit Location
0.170"high by 0.187" backed I Row Fixed sash stiles and top rail
polypile with center fin
0.330" high by 0.187" backed I Row Fixed sash interlock
polypile with center fin
0.090" high by 0.187"backed I Row Interior sash stiles
polypile
0.270" high by 0.187" backed I Row Interior sash stiles
polypile with center fin
5/16" vinyl, hollow bulb seal I Row Interior sash bottom rail
0141979.01
Page 3 of 6
Test Specimen Description: (Continued)
Frame Construction: The frame was constructed of extruded aluminum. The comers were
coped, butted, sealed, and secured utilizing two 5/8" screws through the jambs into the sill
and head screw bosses.
Sash Construction: The sash members were constructed of extruded aluminum. The
comers were coped, butted, sealed, and secured utilizing one 5/8" screw through the jambs
into the rails screw boss.
Screen Construction: The screen frame was constructed from roll-formed aluminum
-members with keyed comers. The fiberglass mesh was secured with a flexible spline.
Hardware:
Descriptio Quanti Location
Metal cam lock 2 10" from ends on interior sash
meeting rail
Balance assembly 2 One per jamb
Plastic tilt latch 2 Ends of meeting rail on interior sash
Metal tilt pin 2 Ends of bottom rail on interior sash
Drainage: Sloped sill
0
einforcement: o
Installation: The u�nit was installed in a 2 x 8 #2 Spruce-Pine-Fir wood buck. The unit�was
secured utilizing 1-5/8" drywall screws placed 3"from comers and 10" on center around nail
fin perimeter. The exterior was sealed utilizing polyurethane.
Test Results: are t ulated as o ows: BUILDING PLAN5
�owedParagraph Title of Test Test
';PH
KEE?
Test Specimen#1: Gateway Performance S en H-R_�5,47 x 89
p
2.2.1.6.1 Operating Force 5 lbs 30 lbs max
2.1.2 Air Infiltration 2
@ 1.57 psf(25 mph 03 cfin/f�max.
'nature
Note #1: The tested specimen me�'&Wfe��anc#'16els i,�_Wirze_d in AAMAINWWDA
101/1.S. 2-9 7 for a ir in filtration.
01-41979.01
Page 4 of 6
Test Results:
paragm Title of Test-Test Method Results Allowed
Test Specimen #L (Continued)
Water Resistance(ASTM E 547-00)
(with and without screen)
VY`TP =2.86 psf No leakage No leakage
2.1-4.1 Uniform Load Deflection(ASTM E 330-97)
(Measurements reported were taken on the meeting rail)
(I.oads were held for 33 seconds)
@ 33.1 psf(positive) 0.7719* 0.26" max.
@ 42.9 psf(negative) 0.8911* 0.26"max.
*Exceeds L11 75for deflection, but meets all other requirements,
2.1.4.2 Uniform Load Structural(ASTM E 330-97)
(Measurements reported were taken on the meeting rail)
(Loads were held for 10 seconds)
@ 49.7 psf(positive) 0.081, 0.18"max.
@ 64.3 psf(negative) 0.12" 0.18"max.
2.2.1.6.2 Deglazing Test(ASTM E 987)
In operating direction at 70 lbs
Interior sash meeting rail 0,12"/25% 0.5011/100%
Interior sash bottom rail 0.12"/25% 0.501,1100%
In remaining direction at 50 lbs
Interior sash right stile 0.06"/12% 0.50"1100%
Interior sash left stile 0.06712% 0.50"1100%,
Forced Entry Resistance(ASTM F 588-97)
Type: A
Grade: 10
Lock Manipulation Test No entry No entry
Test A I thru A5 No entry No entry
Test A7 No entry No entry
Lock Manipulation Test No entry No entry
01-41979.01
Page 5 of 6
Test Results:
Paragrap Title of Test-Test Method Results Allowed
Test Specimen #1 (Continued)
QRtional Performance
4.3 Water Resistance(ASTM E 547-00)
(with and without screen)
WTP=5.3 psf No leakage No leakage
Unifonn Load Deflection(ASTM E 330-97)
(Measurements reported were taken on the meeting rail)
(Loads were held for 33 seconds)
35.3 psf(positive) 0.81 11* 0.26"max.
47.2 psf(negative) 0.91 11* 0.26"max
*Exceeds L11 75for deflection, but meets all other requirements.
Uniform Load Structural (ASTM E 330-97)
(Measurements reported were taken on the meeting rail)
(Loads were held for 10 seconds)
@ 53.0 psf(positive) 0.111, 0.18"max.
@ 70.8 psf(negative) 0.14" 0.18"max.
Test Specimen #2: H-R30* 39 x 90
Optional Performance
Uniform Load Deflection(ASTM E 330-97)
(Measurements reported were taken on the meeting rail)
(Loads were held for 42 seconds)
@ 33.3 psf(positive) 0.31" 0.2 1"max.
@ 34.7 psf(negative) 0-27" 0.21"max.
*Exceeds L11 75for deflection, but meets all other requirements.
Uniform Load Structural(ASTM E 330-97)
(Measurements reported were taken on the meeting rail)
(Loads were held for 10 seconds)
@ 50.0 psf(positive) 0.02" 0.15" max.
52.1 psf(negative) <0.01" 0.15" max.
01-41979.01
Page 6 of 6
Test Results: (Continued)
Paragrgp Title of Test-Test Method Resul Allowed
Test Specimen #3: H-R35* 39 x 90
Q.Rtional Performance
Uniform Load Deflection(ASTM E 330-97)
(Measurements reported were taken on the meeting rail)
(Loads were held for 42 seconds)
@ 35.3 psf(positive) 0.38"* 0.21" max.
@ 47.2 psf(negative) 0.27"* 0.21"max.
*Exceeds L11 75for deflection, but meets all other test requirements.
Uniform Load Structural(ASTM E 330-97)
(Measurements reported were taken on the meeting rail)
(Loads were held ib�10 seconds)
@ 53.0 psf(positive) 0.011, 0.15"max.
@ 70.8 psf(negative) <0.0 1 11 0.15"max.
Detailed drawings, representative samples of the test specimen, and a copy of this report will be
retained by ATI for a period of four years. The above results were secured by using the
designated test methods and they indicate compliance with the performance requirements of the
above referenced specification. This report does not constitute certification of this product,
which may only be granted by the certification program administrator. This report may not be
reproduced except in full without approval of Architectural Testing,
For ARCH[TECTURAL TESTING,INC
M,�k A. Hess Allen N. Reeves, P.E.
Technician Director-Engineering Services
MAH:baw
01-41979.01
R�-
0,
14 0. 1 S 21'rd
C:
It
C-�I`AL
for V?I M 14 1
DOCUMENT CONTROL ADDENDUM#01-41979.00
Current Issue Date: 08/26/02
Report No.: 0141979.01
Requested by: Wilharn Emley,N9 Home Products,Inc.
Purpose: AAMAINWWDA 101/LS.2-97 testing of Series/Model 740/744 Oriole,
aluminum single hung window with nail-fuL
Issued Date: 08/26/02
Comments: Florida P.E. seal required on report. Certification copy to John Smith at
Associated Laboratories,Inc.
13WEDING PLA?r- E�v%frxzR
REVIEWED F07�k a.
NAN YA PLASTICS CORPORAIION I PLASTPRO,INC CODE COMPLIANCE
DIMN CTION FIBERGLASS DOOR
PRODUCT AMOVAL TaT R95VLTS KEV MIS PLAN 0h JOB
MAY 2 3 2002
OUTSWING: Opaque and Glazed &z
9 mag S- ;'jo
Max Door Sb= 6'W'x 6'8" in
ture
DMIGN PRUSURES
OPAQUE GLAMD-------
DescAR!1" Door Size premms DrawjRg iff gpEgiglion Door Size Prmsarem Dmwivig#
Daubic 4'0"x 6'lr' +74 -82 99-09 Double 4'V'x 6'8" +74 -74 99-07
Double 4-18"x 6'9" +fA -70 99-09 DOUNO 4'IP'x 6'8" +64 -64 99-�V
LL
Double 5'9'x 6'r' 4-60 -66 99-09 DoW* 5V x 6'8" +60 -61) 99-07 U-
Double 54"x 6r' +56 -61 99-09 Double 5'4"x 6'8" +56 -5,6 9M7
Double 6T x 618" +50 -55 9.9-09 Double 6'r x 6'8" +50 -50 99k-D7
LL
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and Liveme!Num6er
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co
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0XIMIdo,19vida 001119" 21q:2024 E.-A.NO,1629
AS7M E283-91 Air wfluraim Na&nd Caiffied Testing Lab 10/M 997 210-1993 Bony ratRoy
0rjgmdvLfjcrijk Oftlf)2LS 210-2024 P. N%J-62a— M
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ASTME331-96 Wwa Haboag CmftW Tcstmg Lab I-MA997 210-1993 Hwy remay
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CITY OF ATLANTIC BEACH 111-1-1�
�Hi
BUILDING / ZONING DEPARTMENT ggins
S. Doerr
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application # C)4,2 &/ -S,�3 _
Property Address: C,uuj-� 61vd ,
Applicant: 'FCJ--s4e1"-1J
Project: f
This permit application has been:
E�Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: ,._ Date: /(fz'7-/6Cf
V tv
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00028072 Date 4/14/04
Property Address . . . . . . 1639 OCEAN BLVD
Tenant nbr, name . . . . . . CEDAR SHINGLE TO GARAGE
Application description . . . SIDING
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2500
Owner Contractor
------- ----------------- ------ ------------------
ALTERI , ALLAN OWNER
1639 OCEAN BLVD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc
Permit Fee . . . . 45 . 00 Plan Qhec�k Fee 22 . 50
Issue Date . . . . Valuation . . . . 2500
Fee summary Charged Paid Credited Due
------------ ----- ------ ---- ---------- ---------- ----------
Permit Fee Total 45 . 00 45 . 00 . 00 . 00
Plan Check Total 22 . 50 22 . 50 . 00 . 00
Grand Total 67 . 50 67 . 50 . 00 . 00
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.
BUIL IG OFFICIAL
ce.
CITY OF ATLANTIC BEACH
D. Ford
BUILDING / ZONING DEPARTMENT t� -�Hi i�n
S. Doerr
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application # 0-1 �a(30-�
Property Address:
Applicant:
Project: 0-Y) q
This permit application has been:
[Er'--Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date:
CITY OF ATLANTIC BEACH
SIDING PERMIT APPLICATION�
Date: L
Job Address: acb ]A-i;
Owner of Property:
Address: Telephone: C^A.
Legal Description: Block Number: Lot Number: �S Zoning District:
Siding Contractor:
Contractor's Address:
Telephone: S�� Fax:
Describe propo e and work to be done: ��A
. Cthn F4,rsck-111- " —f%� 64700jz��1W
Present use of land or building(s)
Valuation of proposed construction:
Is approval of Homeowner's Association or other private entity required?/J 0 If yes,please submit with this
application.
Procedure: In order to expedite issuance of permits, please follow all steps and wrovide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
Step 1. Attach detailed information on product to be used.
Step 2. Attach details concerning attachment of product,i.e.,fasteners,etc.
I hereby certify that all is correct.
Signature of Owner: t2nm of — Date: -7/6
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
Signature of Contractor: Date:
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Page I Telephone: (904)247-5800 - Fax: (904)247-5845 - hftp://www.ci.atiantic-beach.fl.us Revised 1/17/03
Address and contact information of person to receive all correspondence regarding this application (please print).
Name: OC==!% o� 0=%
Mailing Address: �2 C-9��
Telephone: q0 4�6 3�_LFax: E-Mail:
(o c4 -66 3_�S_
AS TO OWNER:
Sworn to and subscribed before me this q& day of 20
State of Florida,-County of Duval
"'A..41.1 AMY NOURSE Notary's Signature: AVI 1,
MY COMMISSIoN#DID 214674
EXPIRES:September 20,2007
Bonded Thru Notary Public Undwwriters
Personally known
D Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20_.
State of Florida,County of Duval
Notary's Signature:
El Personally known
El Produced identification
Type of identification produced
o,--) "" 4�0�
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us
Page 2 Revised 1/17/03
CITY OF ATLANTIC BEACH
OWNER/BUILDER AFFIDAVIT
Date:
Job Address:
CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE
APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW, THE EXEMPTION ALLOWS YOU, AS THE
OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A
LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—
OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A
COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE
BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME
THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE
AN UNLICENSED PERSON AS YOUR CONTRACTOR- YOUR CONSTRUCTION MUST BE DONE ACCORDING TO
THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT
PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL
LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A
BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY
PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE
UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN
PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS.
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE
POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND
SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS
THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING
SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSE" IS
NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR
THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR.
TELEPHONE THE BUILDING DEPARTMENT(247-5 826)IF IN DOUBT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
PROPERTY OWNER/BUILDER
SWORN TO AND SUBSCRIBED BEFORE ME THIS kth DAY OF f 20D�f
k.,. AMY NOURSE
My COMMISSION#DO 214674
EXPIRES:September 20,2007
Bonded Thru Notary Public Underwriters
NOTARV`PU8LIC
MY COMMISSION EXPIRES: q-2-0-0
NOTE: PHRASES UNDERLINED ABOVE.
j1j-
CITY OF ATLANTIC BEACH
N
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026189 Date 5/30/03
Property Address . . . . . . 1639 OCEAN BLVD
Tenant nbr, name . . . . . . INSTALL WELL
Application description . . . WELL PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
ALTERI, ALLAN L.N. WILLIAMS
1639 OCEAN BLVD. P.O. BOX 567
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . WELL PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35. 00 35 . 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 13LJILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
)ING OFFICIAL
CITY OF ATLANTIC BEACH
WELL PERMIT APPLICATION
Date:-
Job Address:
4,
Owner of Property e ou -A 7
Owner's Telephone:
Contractor: -/_1 A/
Contractor's Address:
Telephone: Y(/—914 Fax:
Is well to be used for drinking purposes?
Any person, individual, corporation or other entity receiving a permit as provided in
Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted
well for drinking purposes, must first obtain a bacteriological test report from the State of
Florida Health Department-, ftu-nishing a certified copy thereof to the building department
of the City of Atlantic Beach. A certificate of occupancy will not be issued until said
report is on file with the building department.
Department Notes:
I agree t MP1 with regulations statpd herein:
6,/!�igria-ture- Date
800 Seminole Road e Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 e Fax: (904)247-5845 e http://www.ei.atlantic-beach.fl.us
Revised 1/17/03
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 3223)3
411
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026201 Date 6/02/03
Property Address . . . . . . 1639 OCEAN BLVD
Tenant nbr, name . . . . . . SPRINKLER SYSTEM
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
ALTERI, ALLAN HULIHAN TERRITORY
1639 OCEAN BLVD. P.O. BOX 331268
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 285-8505
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 50 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50 . 00 50 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 50 . 00 50 . 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�RE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC 11EACH
APPLICATION FOR fLUM]IING PERMIT
i
A)B-L-OCA-TION: 39
OW14ER0E-PROPERTY:-
p -ff
Et vm"4R
CONTtACTOR'S ADDRESS:Q:�)
&rfA:T-E-JA- C--EN 'r",KrF.T'L-a"'R TEL..
HOW MANY OF THE FOLLOV ING FIXTURES
RE-PIPED OR NEW
SyNyss- SHOWERS
LAVATORY WATER HEATERS
BATH-TUBS DISHWASHERS
L4UNALS, DISPOSALS
CLOSE-T-s- WASHING MACHINE
FLOOR-DRAIW- -SHO-WER PANS
SE-V,;Ek WATER
,E.,-PE?E(LIST-FLXT-URF"EING REPIPE]
THER,
TOTAL FI-XTURE-S- X
MINIMUMPERMIT FEE-. $25-00
SIGNATURE-OF DMINER.--
siGm*TbT&-(w�NTRAeToit-(�&
lr03,L1 'LAT-l0N- W--PLiJ-NffilNa-ANlYFfXTURE8--W.Sl�BEINIAECORDANCE WITH
THE-MOST-RECENT-L-DiTION-OF THE-8��.'L I-ANDAMP4,UMBING CODE.
--(904�247-5826-.,
Claude Baq�%ell, Chief
Building and Zoning Inspection Division
p
.=m 100 - City HaIl
220 East Bay Street
Jacksonville, Florida 322024
Pursuant to Sact-ion 6-56.103 (d) of the Zoning Code, the undersigned owners of
pror,ex-ties ccntiq=us to the followinq described ;narcel have no objec7la-- on to
�he"grantinq of a =,dification of reauired yard as indicated.
Location of Proposed Construction:
Address:
Legal Des(=ipticn:
6 \S'
Cw-ne--:
Yard 'bdification Paquested:
\A V\-0 q)
TQZ W�-q NSV
Amp
. - provall of Contiguous Cwre--s:
Aarzture
i (a r t
W®rt t"'Ij )'t)
City of Atlantic Beach
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND
FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY
WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN
DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
3__BATHROOM GROUP CONSISTING OF --SERVICE SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6) -WATER CLOSET VALVE
-----WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
(___BATHTUB/SHOWER (2) -0--URINAL WALL LIP (4)
0.__SHOWER GROUP PER HEAD (3) - 0--FLOOR DRAIN ( 1 )
Q -SHOWER STALL DOMESTIC (2) -0--LAUNDRY TRAY (2)
f--LAVATORY ( 1 ) 0--COMBINATION SINK AND TRAY (3)
")—WASHING MACHINE (3) C)__POT, SCULLERY SINK (4)
( -DISHWASHER (2) -WASH SINK EACH SET OF
__�-_KITCHEN SINK (2) FAUCETS (2)
-KITCHEN SINK WITH WASTE -DENTAL LAVATORY ( 1 )
GRINDER (3) I_DENTAL UNIT OR CUSPIDOR (1)
0__BIDGET (3) 0--URINAL STALL, WASHOUT (4)
__0__FLUSHING RIM SINK (8) 0--COMBINATION SINK AND TRAY WITH
-URINAL, PEDESTAL, SYPHON JET FOOD DISPOS. (4)
BLOWOUT (8) DRINKING FOUNTAIN ' ( 1/2)
--LAVATORY, BARBER/BEAUTY
SHOP (2) 0 -LAVATORY, SURGEONS (2)
O-SURGEONS SINK (3) __0__URINAL STALL, WASHOUT(4)
00
TOTAL FIXTURE UNITS---- @ $10. 00 EACH 43 (0
JOB INFORMATION
.......................
Claude Bac;�ell, P Chief
Building �nd zoning insrection Olvision
.Rccm 100 - city Hall
220 East BaY Street
jac,ksonville, Florida 32202
�e undersigned owners of
suant Section 656.103 (d) of the Zoning Code, t:17
pror.erties contiguous to the following described =arcel have no ob4ection to
t.l,z granting of a modification of required yard as indicated.
Location of Proposed Construction:
Address: (D 0 Q C4'tN '?Dv
Legal Description:
(,)r-- Q rA C� U- -'�K
Cw,r.e--:
Yard It)dizication Requested:
,�m-crovall of Cont.Jiqucus Owners:
at I e :p-aal :)esc------t--cn
A/,I=n -'�r in
,am d
UTILITY AGREEMENT
(Water and Soqer)
THIS AGREEMENT, made and entered into this 25th ___day of
November , 1986 , by and between the City of Atlantic Beach,
Florida, a munici-Dal corporation, hereinafter referred to as "City", and
Mischenko/Smithers
and its successors and assigns herein referred to as "User".
WHEREAS, User owns land in Duval County, Florida, described as
follows: Lots 3 and 9 , Ocean Grove Unit I
1630. Ocean Boulevard
and
WHEREAS, User plans to develop said land by constructing
buildings, residences and/or other improvements thereon
consisting of addition to existing single family residencea
"i I nd
(sirigie far-ri±y--tu dU,-J'Lt--X)
140�, The City is the owner of a water plant, water distribution
system, sewage treatment system and sewage collection plant in the
vicinity of the above described property; and
MEREAS, User will need water and sewer service, and User desires
City to furnish smie; and
WHEREAS, City is willing to operate such water and sewage treatment
system so that all buildings constructed an User's property by User my
have furnished to them water and sewer service, subject to all terrm
and conditions of this Agreement,
NOW, THEREFORE, in consideration of the premises and other good and
valuable considerations and in consideration of the mutual covenants and
conditions hereinafter contained, the parties hereto agree as follows:
(2)
1. Upon the terms and conditions herein contained, the City agrees
to provide potable water and .domestic sewer services to the User's Property.
The term "domestic sewage" used in this paragraph and referred to
throughout this Agreement is defined as follows: Human waste including
liquids and solid matter carried from plurbing fixtures normally carried
off by drains and sewers, and except where specifically excluded bath
and toilet wastes, laundry wastes, kitchen wastes and other similar
wastes. It does not include commercial or industrial waste.
2. City agrees that after User has connected to the system,
thereafter City will provide, at its costs and expense, but in
accordance with other provisions of this Agreement, including rules and
regulations and rate schedules, sewer service and water service to
User's PrODerty in a manner conforming to reasonable requirements of
public governmental agencies having jurisdiction over City's water and
sewer operations,
3. User shall, at its costs and expense, install all of the potable
water distribution and domestit sewage collection lines which my be
required on User's property, including engineering cost, to connect City's
plant to; the User's property, and all other facilities necessary to make it
possible for the City to provide adequate potable water and domestic sewage
service.
If buildings more than two stories in height are constructed on the
User's property, the User, at its own expense, agrees to furnish to the
City any equipment which my be necessary for pumping potable water to the
additional height with associated back�-flow preventers,
(3)
At all times during the construction of the potable water and domestic
sewer lines and related equipment, the City shall have access to the construction
and the right to inspect the construction to insure that die lines and related
equipment are being installed in accordance wibh the plans and specifications
approved by the City.
User shall construct the domestic sewage disposal lines in such a
manner as to insure that no water from air conditioning systems, ice mad-Lines,
swimming pools or any other form of condensat e water shall flow into the
domestic sewage disposal lines of the City and nothing other than sewage in
its strictest sense shall be discharged into the domestic sewage disposal
system of the City. City shall inspect all connections made by contractors,
plumbers, builders, etc. to any portion of the sewer system that discharges
into the sewage collection system owned or operated by City or contemplated
to be owned and operated by City under the terms and conditions of this
Agreement prior to being covered up.
City shall only be obligated and will only provide water and sewer
service to User's property upon 10TI. completion of all terms and conditions
of this Agreement,
4. User shall pay a planning and inspection fee in order to defray
all actual costs to City of preparing and executing this Agreement, including
any attorney's fees; and conducting the inspection and testing of the
installation of the User's Extension; and all other adn-dnistrative co�ts
incident to accepting the User's extension, Said fee shall be equal to one half
of building permit fee.
5. User shall pay City a "Sewer Impact Fee" of $1,035.00 per residential
unit and a water impact fee of $10-00 per fixture unit/or as otherwise
(4)
provided in the City's Code of Ordinances,
6. The City shall provide water and sewer service to User's property
upon payment to City of the standard meter charges as provided in the City's
Code of Ordinances ($85.00/ 5/8 x 3/4 inch meter) ,
7. Payment of the Sewer Inpact Fee, Water Impact Fee, Planning/
Inspection Fee and Water Meter Charges, shall be made in full at the time
City approves the plans.
8. In the event, at a future date, City's charges, rate schedules
or fees are revised, subject to the operating rules and regulations and
approval of governmental authorities having jurisdiction, then in that
event, User and/or assigns shall pay the charges, rates or ,fees then in
effect on date of payment.
9. Hydraulic share of main extensions-payment or refund':
User recognizes that water or sewer utility service to th User's
property is provided by the use of a main extension and other improvements
constructed by a prior developer and that User is obligated to refund to
said prior developer User's share of the cost of said main extension or
other improvements. Accordingly, User shall pay its pro rata share of the
cost of said main extension or other improvements to City. Said pro tata
share shall be based on Developer's percentage of the hydraulic capacity
of said extension or other improvements. For the purpose of this Agreenent,
the cost of Developer's said hydraulic share shall be $
With respect to utility facilities installed by User to which !future
developers connect directly, and in consideration for mcnies expended by
User toward said facilites, City shall refund to User, or User's successors
or assigns, solely from monies collected from said future developers, said
(5).
future developer's pro rata share o* f the cost of sa:
,�d faci�lities Said refunds
shall be calculated on the basis of the hydraulic capacity,, and demand of said
future developer whenever feasible, The refund obligation of City here-under
and the benefits to User related thereto shall expire five (5)- years from the
date of execution of this Agreement, Said refund shall be made to 'User within
sixty (60) days of the receipt of payment by City- frorn a future developer,
10, If any damage is done by User, its .agents or employees, to
the existing potabld. water lines or domestic sewer lines of City or other utilities
CATV, electric, phone, or the potable water lines or domestic sewer lines installed
pursuant to this Agreement, during or after the installation thereof and by reason
of construction work, User shall at his expense, make such repairs as are required
to restore said potable water or domestic sewer lines to the condition which existed
before such damage occurred, but in the event User does not restore said potable
water or domestic sewer lines (but this clause shall not be construed as to
require the City to make such reparis or restoration) , User shall provide the City
and its agents adequate access and facilities for the making of said repairs. All
costs incurred by the City in making such repairs shall become immediately due
and payable and shall be considered in all respects the same as if said charge had
arisen in connection with the rendition of the regular services of the City,
11. Notwithstanding any provision of this Agreement, the City shall have no
obligation to provide sewer services to any customer producing sewage which is
unusually burdensome, unusually costly to process or substantially detrixnental to
the sewage system.
12. This Agreement shall be beinding upon the parties hereto, their
successors in interest, grantees, transferees and assigns, In the event User
transfers any part of the User's property, it will cause its transferee to con-ply
in all respects with the provisions of this Agreement.
13. In the event the City sells either its sewer treatment plant or
collection system or its water treatment plant or water distribution
system to any governmental body or any other purchaser, then, in such
events, this Agreement shall terminate as to the City on any protion sold
and all of its obligations or liabilities hereunder shall cease and
determine for that portion sold.
14. The City my shut off the water to the User or any other person
and refuse to accept sewage from the User or any od-ier person if the User
or any other persons shall fail to pay any suns due hereunder when the
same becaue due and payable. Nothing herein contained, however, not any
action taken by the City in pursuance hereof shall inpair any other remedy
which the City might have, at law or equity, for breach of this Agreement
by Owner or any other person.
15. City does not guarantee an uninterrupted supply of water for any
purpose or water at any particular pressure for any purpose and reserves
and shall have the right to shut off the water in its min at any time for
the purpose of making repairs or extensions or for other purposes incidental
to its water supply and will not be responsible for any damage caused by low
pressure. City shall have the right to turn off water service at the main
where the User has been found to be useing water illegally, and to assess
a fee for restoration of service.
16. The City shall have the right to assign and transfer this Agreement
at any time provided, however, that no such assignment or transfer shall
impair the rights or increase the obligations to the User or any other
person pursuant to this Agreement.
(7)
17. Unless sooner terminated as provided herein, the initial term
of this Agreement shall be 15 years. After the initial term of 15 years
from the date of the execution of this Agreement, the terms of this
Agreement shall automatically be renewed for successive terms of five (5)
years each, unless written notice of termination of this Agreement is
provided by either party hereto, not less than ninety (90) days prior
to the commencement of any such renewal period.
18. It is expressly agreed and understood between User and City that
there are no other written or verbal agreements applicable herein between
User and City.
19. This Agreement my be amended and modified from, time to time
as necessary by mutual written agreement of the parties hereto.
IN WITNESS WHEREOF, the User and the City have caused these
presents to be executed the day and year first above written.
Signed, sealed and delivered in the presence of:
User Witness
City oT Atlantic Mach Witness
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
T Imem A.M.
Recei'ed P M District No.
Owns J06Fdress Localit
Name C----,—�Contrac—tor
BUILDING CONCRETE �EJILF-CTRICAL PLUMBING MECHANICAL
Framing 12 Footing 1:1 Rc.-U-9—R�-- - Rough El Air.Cond.& 0
Re Roofing 01 Stab D Temp Pole Top Out El Heating
Lintel E Final Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. (�F�nd.y----�--P.M.
<OM
Inspection Mace
Inspector
4 Final inspection 0
Certificate of Occupancy
Date
FLORIDA
CITY OF ATLANTIC BEACH
APPLICATION FOR ELECTRICAL PERMIT
TAD T14E CHIEF ELOECTRICAL INSPECTOW DATE: 411/87 It_
I*ORITANT NOTICE:
IN CONSIDERATION OF PERMIT 'GIVEN FOR DOING THE WORK"AS DESCRIBED IN THE FOLLOWINGz WE
.1 EREBY AGREETO PERFORM,SAID WORK IN ACCORDANCE WITH T14E ATTACHED PLANS AND SPECIFI&iUS,
V!HICH AREA PART HEREOF, AND IN-ACO"ANCE WITHTHE E CTRICAL REGULATIONS,CODES AND CrTY OF
LANTIC BEAC14 ORDINANCES.
ra
R & R EleCtric Co.
dLECTRICAL Fift �JWFER ELIG_TRIC110 Its JoulmLym
NAME SMiO=S ADDRESS: I A19 nruzaZa W3;d- RFD—BOX
#LOG.SIZE BETWEEN:
I Es.N APT. I COMM. I PUBLIC( I INDUS. NEW OLD( REWA
J DDITION I TRAILER I I TOP.I SIGNS ( SM FT.
SERVICE: NEWU ) INCREASE IX) REPAIR I I FEE
bNDUCTOR R?�L AMPS COPPERf I ALUM.
li�!ITClf.OR BREAKIR 4mm" W RACEWAY
PH VOLT V RACEW—AY
603T.SERV.igg W
t' sEDEFts NO. SIZE 11,NO., SIZE No. SIZE
g2HTING OUTLETS �,�CIEALED -OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
31-120 AMLM
*WITCHES
j!qMDESCENT
FLUORESCENT M.V.
0 100 AM". OVCR
A,
Ll
H P�
. ' 'o
VNDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0.1
PHS P40.
�TOR�, VOLTAGE VOLTAGE PHS
'ISCELLAN106m
IRANSFORMERS: UNDER 600 V. OVER 4"
CITY OF
r1&4a& lleacA- L/
Office of Building Official
REQUEST FOR INSPECTION '7
Date Permit No. ---
Time A.M.
Received M.
63
JobZ�j� Locality
Owner's In
Name Contractor — --.1L.
BUILDING CONCRETE ELECTRICAL C-0-1161—m—maz-, MECHANICAL
Framing Ll Footing r Rough Wiring J F1 Air Cond. & L
Re Roofing E-j Slab F] Temp Pole 1-1 Top Out F1 Heating
Insulation 11 Lintel 11 Final F1 Sewer El Fire Place 11
Pre Fab
READY FOR INSPECTION
P
3
�M.n) Tues. W d Thurs. Friday
XM.
Inspection Made —PIVl.
Inspector- Fingf inspection o
( Certificate of Occupancy D
Date
04PARTMENT Of 810 LD
CITY O�ATLANTIC BEACH
LOCATION INFORMATION
PERMIT I,NPORM4T I ON
''I 390CZAN BOULEVARD
'X.TLANT I C BEACH Rl
7993 Address:*. ,, 6-,
PLO IDA 3 3
id-t Type:
UTILITIES SGAU, DESCRIP
L TION
NEW
:of lwor ®r
N/A Sec
T
op6ted ,"Us SINGLE, PAXI LY
1 Code: 0 subdivisiow- ,
oted Val ue
so'.00
fmp-rlov Cos
$7,75.00
Amoun7lll '00
194
VICE
f, %PP
I CAT
ON L''
t so .w
Pt WLI
N,
EVARD
SOULL! WAT IMP-ACT EE 0
ret,
FEE
2%
24
h
0'.00-;�
-RA
4,' OAS�H,.RL S
R
CAB
D ROVE�
$0.90
ZRL TAP
$0, 00
DRAULIC SHARE
0 Aft
Ty 0
'sS co
SA.
fl
IMPACT
E
'OURING,
",OTICt ALL COP(C AND FOOTINOS MUST, P
PERMit VOID SIX MONTHS AF R 'ATE-Of ISSUE
TE'L I D
)fN MATERIAL RUBBISH AND DEBRIS FROM THIS WORK IVIUST�NOT�REPLACED 4N PUBLIC SPACE,AND 14UST BE
R
RAND'HAULED AWAY BY EITHER CONTRACTOR OR OWN9-
L( COMLPLY WITH THg MECHJ N LAW CANRE
f. "M
JR kNIC"W"L SULT IN
4,10ft"RIV loww' "ItkPAYING TWICEL FMSUILDING IMPROVELImtNTS-7,
PPROV
UED TO A ED PLANS WHICH ARE PART OFTHM'PERMIT AND�SUBJECT TO.Rg
R
0
F APPLICABLE P QVI$JONS OF LAW.
5 330
14*rot
t, PAI Tl
ACKSUILD G Date; 3/m/94 01
N�l".l-U,-" "A
7' 77
No, g
OR
Aaw,
CITY OF
AW4ae& Fead - 74%6&
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(9W)247-5805
Dear Property Owner: /630( Ocal,;A) CDcvD.
The costs to connect your building to the City sewer and/or
water system are as follows :
Sewer Tap - Labor and Materials to tap into
sewer main
Water Tap - Labor and Materials to tap into
water main $
$
Water Meter - Cost of Meter 00
Cross Connection Inspection - Inspection by
Public Works to ensure backflow
prevention
Sewer Impact Fees - Funds future expansion
of the sewer plant $
Water Impact Fee - Funds future expansion ()C)
of the water plant $
Captial Improvement - Funds for improvements,
expansion or replacement to 3 �2 )', 0()
water system
TOTAL COSTS $
If you have any questoins concerning these charges please call
the building department at 247-5826.
Sincerely,
Don C. Ford
Building official
DCF/pah
AW%,
CITY OFATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6)
WATER CLOSET
WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3) POT, SCULLERY SINK (4)
DISHWASHER (2) WASH SINK EACH SET OF
KITCHEN SINK (2) FAUCETS (2)
DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
BIDET (3) URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2)
BLOWOUT (2)
LAVATORY, BARBER/BEAUTY ICE MAKER (1/2)
SHOP (2)
SURGEONS SINK (3) LAVATORY, SURGEONS (2)
JACUZZI (2) URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS $20.00 EACH
JOB INFORMATION
T
DEPARTMENT OF BUILDINQ
ACH
CITY OF ATLANTIC Be
FORMATION
PERMIT, INFORMATION ---- LOCATION IN
8006 Address'. 1639 OCEAN
BOULEVARD
mit.�vumber:
LUMBING ATLANTIC BEACH, FLORIDA 32233
rmi t Type: P
----------
LEGAL DESCR
s of Work: N XV IPTIION
Typeo. WOOD FRAME Lot Block: Sect i on
TownshiP: RNG: ,
o,joiiad 'Use: SINOLE FAMILY
subdivision:�
1 Code: 6
ed, value: �OL 4�00
I m C t, $0 .00
T tal Fees:
Amoun d*
t
11/94
v
CITY WATER SYSTEMM ,
------- MEATiON FEES
ION ,
I AfAklt 0
$18 . 50,
N ame 1),F.P.
LEVARD WATER IMPACT FEE $0 .100'
r
DA 3�23�` SEW CE 00111 $0.00�
IMPACT F1
CH, PLORI
AP ;%O, ,w
4,50
ho'
FORMATIT ------- R
f(A : CAB 5% $0,.00
'CAP $0 .00
S PL %T�AL,� ,IMPROVE
SEWER TAP
$0.00
V , LANE
-23S' H
HY
1.kTLA
$0�.0q
L Par d 4 CR66S CONNECTION
E,&".,H, IMPACT FEE sv-,00
*Ottc N.QS MU$ _SPEC
Fonm T
ALL CONCRETE ,$,ANIDLFOOTJ pejo TIE0,0EFOOE POURING
PERMIT VOID SIX MONTHS AFTERDAIE OF ISSUE, ,
N6 MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBL
IC SPACE,AND MUST BE
Z ED UP,AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
_LEAR
�SUIJ
FAILURE TO COMPLY WITH THE MECHANICS" LIEN LAW CAIN RE I IN
-Hg� 11OPtRTY OWNER PAYING TWIM F01 "BUILDING IMPROVEMENTS."
;,,"UED�ACCORDING TO APPROVED PLANS WHICH ARE FART OF T+jISPERMIT�AND,SUBJECT TO REVOCATION FOR
AT16N OF,A00LjcAeLE PROVISI
fIOL CIN$OF LAW.
tw
'LANTI0,Sf- JILDING,!7EP RTMENN 0000wa 000K*w $181w 14
At' ACH� T
;BL
"#jy
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:-,Z-i/�� ,--)2
OWNER OF PROPERTY:
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR-�r�k�
AND ADDRESS:
TELEPHONE NUMBER: oa2—��4�� - z7/-6, S -7
STATE LICENSE NO:
TYPE OF BUILDING: Z2�d--Aq
TYPE OF WORK:
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY -----YATER HEATERS
BATH TUBS -----�DISHWASHERS
-URINALS -DISPOSALS
CLOSETS -WASHING MACHINE
FLOOR DRAINS SHOWER PANS
77�
OTHER-
TOTAL FIXTURE COUNT: $3.50 + $15.00
4-
---------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
-OF ILOING
T
VePARTMEN BU
ACH,
i�[TY OP&LANTIC BE.
-4,tj ON
C 1"PORNATI-611
PUMIT I""IRMT10149
L
u
rmi:t or 10433
ATL
-t,:Ty
mi BU D4SC91PTIOS
jA: N/A
' 4
ags
Lot�.
CON-CRZTZ
two
roposed'-000: DRIVIVAY-1
codli 0 su)>divi toni ,:
timitiod v*luo 2.$, 00
$0 .00
- �Cos,t :
: 00
$25
T4
'CAT 10,14 PERS
'10"
ALT-ER1
p4c PZR 150.00
LIV P
P ddreg
T c�
T
�1, S
$0,00
ON -------
N, 00"CA
N 0it
"Skoklk $0,00
'Ca6#S tdj4*ZCT I ON- $0.0
TYP*
'Con-S SU�CHUGS
014-W
ol
op
ES:
Nonc;f— ETE:FORMS AND POOTINGS M Sp BEFORE POURING�
U�Te
L cot4cR
AL
7-4
PFRMjTyolQ,-SlXM0NTHS,AFT A IS$U
E DOE OF e ,, ,
jLS'WORK MU4T Nd�4 AAC-561N PusLIC S E,AND MUST BE
RIS4440MTH S,
EA
LT IN
AllLA
E P
-WIC'
INOT
660A�!Nd To,,A0R0VtjD,P ARE
UED A CH
0 'n
LA ON,OF:A�006iki OROV
$moo
',f,,,tAN-nC BS"4�CH,OUILDING PgRA
BY.
RECEIVED
RECEWED
J U L 1 0 1995 jull
pUBWC WOKKS F
UBL.IC WORK avid ZNI
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS 0 055
DEMOLITIONS
owner(s
Address: I (,03q (2)ccnr� E) 0 D Phone:. ;q,-q (0
Lot #-� +q- Block or Unit # Subdivision:—OCQ-x�
Contractor: owe- r -
State License #
Address. - -Phone No:
Describe work to be done: -
Present use of building:
Valuation of Proposed Construction:
Proposed use: Z�
U cxe,,� F�=
Is this an addition? 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)?
New plumbing fixtures?- New fireplace?_New Heat/AC?
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* Date:
Signature CONTRACTOR: Date:
License Supplied:
Liability Insurance:
pe-w
Worker's Compensation Insurance:
M'� '. SHOWING SURVEY ,
I-Or,S c9 ,41VAO 10C.=,4111 S.,9?014F e-'11V17- lVo.
49 11V 15, ,,q4a"'F 99 0/11--
le-Z ORZOA
9 A/I c/-
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op
fog bo-&40'
q7
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14
1p
Ac 16�
r
10
N
"k
00
51
A P.-.,FA4s
CITY OF
4&4^4-c Be4cA-AN&"
Office of Building Official
REQUEST FOR INSPECTION
Date- m it No
Time A.M.
Received
Owner's Job Address Locality
F-j Air Cond. & 1-1
Name Contractor " —)
BUILDING CONCRETE ELECTRICAL LU BING MECHANICAL
Framing El Footing El Rough Wiring o*ug
Re Roofing F3 Slab F1 Temp Pole E-� Top Out 1-1 Heating
Insulation 11 Lintel Final 1-1 Sewer Fire Place 171
>Z Pre Fab
READY EOR INSPECTION
Mon. Tues. Owe; Thurs. Friday
A.M.
Inspection Made — /,,7- 7
Inspector— -C Final Inspection x
cu
-:Ct,:Z::�
Date
s�*Pf OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877
P L U M B rN(23 P-E R M 11'
PERWI -!cat Y- &-'
Permit Number 21290 Address: WN SCIRAN 10
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Black: Section:
Square Feet: Subdhdsion: OCEAN GROVE
Est valiw. Parcel Number,
Improv. Cost:
Date Issued: 111612001 Name: ALTERI,ALLAN R.AND THE SA L.
Total Fees: 25.00 Address: 1639 OCEAN BOULEVARD
Amount Paid: 255.00 ATLANTIC BEACH.. FL 322333
Dift Paid: 1/16/2001 Phone: JOT)9W-�
—CITY S R-SEE PAYMENT AGREEMENT FOR IMPACT FEES
Work Desc: CONNECT To
JAX PEUMBI NO&SEPTIC TANK PERMIT
4141M _�i
FIWL =3FAM W-WHE:Ift X
NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
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 UEN 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.
VOLN 14
ATLANTIC BEACH BUILDING_1%�T. Dates 1/17/61 K kctipt, sweg
CKMS 15561
Aug-29-00 07 : 45A City Atlantic Beach 9042475805 P . 01
CITY OF ATLANTIC BEACH
APPLZCATION FOR PLUMBING PEM41T
JOB LOCATION: oce a
OWNER OF PROPERTY : TELEPHONE 110 .2
PLUTMEING CONTRACTOR -r-& ,otf-(- T� 4 -Tnc .
CONTRACTOR' S ADDRESS : x- Ff
STATE LICENSE NUMBER: C/-:-60a /-s- TELEPHONE: "ZF6- 1 o"I
3. 0
HOW MANY OF THE FOLLCWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING mACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
REPIPE OTHER
TOTAL FIXTURES :- x $3 . 50 + $15 . 00
MINIMUM PERMIT FEE - $25. 00
SIGNATURE OF OWNER:
Sl-�GNATURE OF CCNTRACTOR:
-----------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHZA-D TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALTED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - ( 904 ) 247-S834
Prepared by and return to:
Maureen King, City Clerk
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
REAL PROPERTY LIEN
The parties have agreed that this LIEN be filed against the real property owned by Allan
Alteri, and shall be recorded in the official public records of Duval County, Florida.
This LIEN is for financed costs associated with the conversion of a private septic system
to public sewer system and including sewer impact fees on the following real property located in
Duval County, Florida, more particularly described as follows:
RE#: 1695640000
LEGAL DESCRIPTION: 09-2S-29E Ocean Grove Unit No I S/D Pt Lot 7
Lots 8,9 Blk 4 Theresa O/R Bk 6744-1615
OWNER NAME &
PROPERTY ADDRESS: Allan Alteri
1639 Ocean Boulevard
Atlantic Beach, Florida, 32233
This LIEN is to secure payment from Allan Alteri to the City of Atlantic Beach in the
amount of$ 3,511.12, pursuant to Utility Payment Plan Agreement att
�r—n 'A'
Witness (Sign Name)) WNER: Allan Alteri
Witness (Print Na�me
CITY OF ATLANTIC BEACH
Witness (Sign Name)) Byjl�
-1)&';'L eau"S'SC'4 Maureen ing
Witness (Print Nalbe) Certified Municipal Clerk
Page I of 2 Alteri Lien
STATE OF FLORIDA
COUNTY OF DUVAL
Sworn to and subscribed before me this day of 2004, by A 1c,.1
A who are personally known to me or produced
as identification, and who did/did not take an oath.
Notary Public, State of Florida at Large
My Commission expires: Patricia Amonette
MYCOMMISSION# CC947012 EXPIRES
;(W
"ust 27,2004
W BONDED THRU TROY FAIN INSUMNCE,INC
Page 2 of 2 Alteri Lien
CITY OF ATLANTIC BEACH, FLORIDA
UTILITY PAYMENT PLAN AGREEMENT
PROPERTY DESCRIPTION:
OWNER: Allan Alteri
1639 Ocean Boulevard
Atlantic Beach, Florida, 32233
RE# 1695640000
LEGAL DESCRIPTION 09-2S-29E Ocean Grove Unit No I S/D Pt Lot 7
Lots 8,9 Blk 4 Theresa O/R Bk 6744-1615
TOTAL AMOUNT OF AGREEMENT: .$3,511.12
This document shall serve as an extended payment agreement between you and the City of
Atlantic Beach, Florida for the above listed total amount and for which said amount will be filed
as a lien with the Court of the Circuit Court for Duval County, Florida until the entire balance is
paid.
CHARGES: Sewer Impact Fee $1,250.00
Contractor 1,550.00
TOTAL CHARGES: $2,800.00
Less 10%Down Payment 280.00
Payment of lien filing fee 19.50
TOTAL DOWN PAYMENT: $299.50
TOTAL AMOUNT FINANCED $2,520.00
TOTAL AMOUNT OF LIEN $3,511.21
TERMS: Number of Monthly Payments 120
Due Date: Due monthly with your utility bill
Billing Included on utility bill
Late Charges 10%
Failure to pay all charges will result in the water services being cut-off.
Payment Amount $29.26 per month
Total Interest over term of loan $991.12
LIEN: A lien in the amount of the TOTAL AGREEMENT above shall be executed and
recorded against the above referenced propgi . The owner hereby agrees to pay all
tL
recording fees and costs involved with the execution of the lien. Upon payment being
made in full, the lien shall be released of record.
Please indicate your acceptance of the provisions of this agreement by signing in the place
indicated. Your signature signifies your agreement to indemnify and hold harmless the City of
Atlantic Beach, Fl., from any and all damages resulting from your failure to timely make the
above payments, including reasonable attorneys fees and court costs.
The City of Atlantic Beach looks forward to cooperating with you under this agreement.
PROPERTY OWNER
By: Date:
Allan Alteri
City of AtlaZntic ach
Date.
Jim anson, City Manager
PROPERTY OWNER NAME: A L-TE" (I AJ
SERVICE LOCATION
ADDRESS:
PROPERTY OWNER PHONE NUMBER: 7, '71(.-- 0 Z-Y6
TENANT NAME:
SERVICE NOW: ON CITY WATER &'�ON WELL U
CONVERT FROM ON-SITE SEPTIC SYSTEM TO CITY SEWER:
OPTION : Customer hires own contractor andpays costs.
OPTION B: Customerpays costs and hires contractorw. ith City's assistance.
KaOP 4ON C.: Customer hires own contractor andfinances costs through the
\<Lo�qntic Beach.
OPTION D: Turnkey Support. City assists with entire conversion.
CUSTOMER SELECT OPTION PREFERRED:
0 Option A U Option B atption C C3 Option D
OWNER'S SIGNATURE:
Pleas return to: -zoo
TO BE COMPLETED BY CITY: DATE RECEIVED:
REAL ESTATE NUMBER:
LEGAL DESCRIPTION:
PRICE QUOTE:
7/24/00
vimiCECUOTE
APPLICATION FOR WATER AND/OR SEWER TAP
APPLICANT NAME t1b AA_�_
MAILING ADDRESS r-,)ef a,-n 1_�O,�d�raA
PHONENUMBER _')-Y6-oZq (a DATE oc?-ol
SERVICE REQUESTED
SERVICELOCATION 3 ?
DATE SET TO PUBLIC WORKS
jZ
DATE RETURNED TO BUILDING DEPARTMENT
PUBLIC WORKS OEPARTMENT
PRICE QUOTE RESPONSE
WATER:
SEWER-
OTHER.-
PRICE QUOTE PREPARED BY.'
Signature - Title
DATE NOTIFIED OWNER
PRICE 0 UG TE
APPLICATION FOR WATER AND/OR SEWER TAP
APPLICANT NAME
MAILING ADDRESS
PHONE NUMBER 2— 00 5_� DATE
SERVICE REQUESTED
SERVICE LOCATION 9
DATE SET TO PUBLIC WORKS
DATE RETURNED TO BUILDING DEPARTMENT
PUBLIC WORKS DEPARTMENT
PRICE QUOTE RESPONSE
WATER.-
SEVVER:
OTHER:
PRICE QUOTE PREPARED BY:
Signature - Title
DATE NOTIFIED OWNER
CITY OF
4&ao,tia Beac4-6
Office of Building Officia
REQUEST FOR iNSPECT 0
=-t—/ 7-
Date Permit No,
T e
Z,
P
RlZerva,
Owner's
Nam e Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing Footing Rough Wiring Rough
Re Roofing Slab Temp Pole Top Out Heating
Insulation Lintel Final Sevier Fire Pla�e
Pre F b
READY FOR INSPECTION
I'-- I A.rA
(T'u�')
Mon. Wed, 0,s- Friday
4 P M
Inspection Made —/ --___
F nal Inspection
lnsPec1or--14-1/ _1K , , 1 i
Certificate of Occupancy
Date
Jul -15-99 09:07A Hairyy McNallY 904-247-5872 P .05
jUL-b-IL,:",.A 11;-93R FROM: P-47-5845 TO-5872
1-01-0110E QUOTE
APPLICATION FOR WATER AN010R SEWER TAP
APPLICANT NAME
MAILING ADDRE$8 cat-t")
PHONE NUMBER ;2 DATE Z-Y-9 Y
w - "
SERVICE REQUESTED
SERVICELOCATION /6 347
DATE SET TO PUBLIC WORKS
2
DATE RETuRNED TO 15UILC)ING DEPARTMENT 1-1
PUSUC WORKS 002ARrMENT
PRICE QUOTE RECSPONSW
WATER:
SF-WER-LaAXv-o,(
OTHER:
PRICE QUOTE PREPAREU BY. &A le
Signature - Title
DATE NOTIFIED OWNER
PRGE:5
JUL-15-1999 THU 10:23AM ID:247-5845
378
DEPARTMENT OF BUILDING,
CITY OF ATLANTIC BEACH
114FORNATION
PERMIT, LOCATION
ENPOPM-ATIO14
�dd OULVARD
9378 ress: 1639 OCEAN B
t Type MECHANICAL ATLANTIC BEACH. FLORIDA 32231
ALTERATION -------- ----------
A C, s� Of Work;
LEGAL DESCRIPTION
"C* st r, Typeli WOOD FRAME ot : SI dck: Section:
�kr`� posed Us 4 SINOLE FAMILY Township:, RNG,- 0
:DW4 lings : 4 Code. 0 ubdivision:
Est, mated, Val 0
mptov. Co�tl.
Total re s :
A, ipp
mount $37,.00
'18/94
Da't
HANDLER AND CONDENSER
ION APPLICATION FEES
UVERMIT
*37 .'60
"WATER IMPACT PER $0100
LEVARD
A,
$0.00
rw
FLORIDA 32233 SL ,r, MPACT 1,,
,,!EE
oov
P
n
T
42
S. % 10
------- RADON' CAB 5%
C R FORMATION $0 .-00
Coll
ID I T 0 N I N G, CAPITAL IMPROVE. $0 .00
d ess: 1, ER TY BOUT
D N. SEWER T&P 00
C R 6S"# "d ON N kCT,10 N $0.00
RHO 'SE $0 .00
Li C ,H IMPACT FEE
Typet
"$011111.11100
CONST�$URCHARGE
CHARGE/4TL.BCH, so
NOTICE-ALL CONCRETE FO EJN$PtCTfD BEFORE POURING
AMSAND FOOTINGS MUSTS
4
PERMIT VOID SIX MONTHS AFTER DATE OFISSUE
TNOTBE,PLACF.D,I N PUBLIC SPACE,AND MOST BE
�'MLI ,RUBBISH AND DEBRIS f ROM THIS WORK MUS
ED UP ANd'HAULED AWAY BY EITHER CONTRACTOR OR OWNER'
'Y
FIESULT IN '
ILURE Taco
MPLVITH THE MECHANICS' LIEN LAW CAN
RA UILDI ,,' G:IMPAbV#00tS-
fif . N
f t PAYING TWICE, FOR 8
ACCORONG TO APPROVED,PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REV00ATIO , FOR
OF LAW.
ROVIS16NS
L1,0ABLE P
7�
000000m mopowl -
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"OTIC B C4411i:1LOING DEPARTMENT
BUILDING AND ZONING INSPECTION DIVISION
Cirf OF An.01= MM
AT"00TIC 114ACH. n.M10A 820311
APPLICATION FOR MECHANICAL PERMff EAMN Plumout
IMPORTANT— Applicant to complete all items in sections 1. 11. 111, and IV.
Sir"# AJJress: r 1-7
LOCATION
OF Warm" $#feet$: Utwo** /C- f
WILDING I
L -
If. IDENTIFICATION —To be completed by all applicants,
In consWeration of permit given for doing the woe& as described to the above statement wa, hereby agree to perform sold work in accordance
with the 4"achpd P4606 and Specifications which are a part hereof and in accordance with the CitY Of Jectsonville Ordinances and standards
of good practice Nsfad therein.
Home sf Mechanical
cenfrestw I Not) �6/770 0 _S7-�0
Name of
Ansperty Owner
of Owner "two of
!t.4hatiod Agent
Ill. 60*m OVORMOO&ON
A. T"W of heaitiaq
Is 9TWW~116ICTION mine aw am
tl--&'cork TNIS sulLeme 04 X-
0 Go—(3 V 0 Notmeol 0 CWhOW Ufft
or Y", give Wme"OF WNSTWCTM
13 Of 0011111141T
0" — SPW*
IV. blec"Mca 1QuyWW To a NWALLIM NA"M OF Mai"
(FMV40 C6006%so of compeft"k*a be&of Ab fool Er"'Pwakiantw or El comnwow
CY-'"sat (3 Spew 0 RmnW 0"C'Wsol 0 am 13 mew owwq
8---A-k Coeadetbain: 0 Rom Cj—t" WO&V
49Ld srelvins: MOWUL� of exiding
mesk"M CaP66111F 0 "WWA48112WRINSSYSIN
0 2401140,0000 0 2xionsion or add-on to umme sysum
C) coull $woe Capacity E3 00w—apwty
0 Xft IPAPWars: NumbW of 6*66
0 evestm 0 M"" 0 16-
4"Ane
Took ---
0 LPG mift.
13 usfiFed PHWAO
13 bwWo
a odw — Spot* vim"16.
uIrr ALL ZQUIFUZNT
AS COM"WHIM AND ROMIGAIRATION EQURNIM
3ft"xVWbW
E3/
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CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
1 8�O SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION
LOCATION INFORMATION
Permit Number: 18495 Address: 1639 OCEAN BOULEVARD
Permit Type: REMODELING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: OCEAN GROVE
Est. Value: Parcel Number:
Improv. Cost: 2,500.00 OWNER INFORMATION
--A
Date Issued: 7/13/1999 —N-am-e-:--—A-10-M----I,-A-—LL A*N—R.--A`N--D--T-HE--R- E S--A L. A L T E I I
Total Fees: 25.00 Address: 1639 OCEAN BOULEVARD
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 7/13/1999 Phone: (000)000-0000
Work Desc: SINGLE SECOND 6 TORY—AND STUCCO A CHIMNEY
CONTRACTOR(S) APPLICATION FEES
PROPERTY OWNER -F5-E—RMIT
25.00
Ins
NOTICE- INSPECTIONS MUST BE REQUESTED-AT LEAST 24 HOURS PRIOR TO INSPECTION
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.
Date: 7/14/99 01 Receipt: 0071423
CHECKS 838
AT�LAN��BEACH B ILDFING DEPT. 00100003221090
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL,J= NS, OR ALTERATIONS
A40VING, DEN S
A
Owner(s): A
3- q n Phone: 24L -
Job Address:
Lot# Block or Unit# Subdivision:
Contractor. State License
Address- iq A Phone No:
City State Zip Code
Describe work to be done:.
14 L
Present use of building:— 44_�
Valuation of Proposed Construction.0"45on. 'n
Proposed use:
Is this an addition? �j If yes, what are the dimension of the added
space: —ft. X ft. Will the added area be heated and
cooled? New electrical(or increase)?
New plumbing fixtures ? 0 0 New fireplace? IC New Heat/AC?
SUBMIT THREE(COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING
SITE PLAN, SURVEY, ENMITY CODE FORMS, NOTICE OF COMMENCEMENT, AND
OWNERICONTRACTORS,4FFIDA HT, IF OWNERS IS CONTRACTORS.
Signature OWNER: Date: -7 - 13 -
Signature CONTRACTOR: L) f IA Date:
AS TO OWNER:
Sworn to and subscribed before me this ay C" '19 4"'-
NOTARY PUBLIC
Patricia Amoneft
MY C"SSION#CC55W1 EXPIRE','
AS TO CONTRACTOR:
August 27,2000
BONDED THRU TROY MN INSURANCE,INC,
Sworn to and subscribed before me this day of ' 19—
NOTARY PUBLIC