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Permit 1742 Ocean Grove Dr (vault) 1 JOB ADDRESS Z77"'02 WOE' / � f PROP=d� ��i ms`s �'� T'z:1- EON ,?'1!- 17V CONMCTOR Arz�, M, i-PHONE T'ERMTNU30ER f 9ZD3 DATE EVSPEMONS• FOOTZVG .SL4R =BEAM L,LYTEL IYA9-LVGSHZ41MVG -� FRAAWVG1CDVER UP .NSULA170 I 4l !O -�► '� FEYAL BUZLDING CFY=CATE OF OCCVPANCY .Fy, c,4L PEM / �,V - INSPEMONS BOUGH FLTAL IWECEAMC4Z PE Rkm IZVSPEC170NS TtOiIG�' FINAL PLanMVGPERMM ZVSPEMONS BOUGHIUNDER SLAB TOPOUT WATEAB SEWER FILIAL NOTES. �- y`v C.1 ' ty ie,a-� 1 r-)0 �► �tvy ,rte ,�, .ir CITY OF ATLANTIC BEACH 8"-SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034234 Date 11/27/06 Property Address . . . . . . 1742 OCEAN GROVE DR Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10550 ---------------------------------------------------------------------------- Application desc re-roof shingle to shingle ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ELSIE HARRIS TOP GUN ROOFING, INC. 1742 OCEAN GROVE DRIVE 5570 FLORIDA MINING BLVD. ATLANTIC BEACH FL 32233 STE.# 501 JACKSONVILLE FL 32257 (904) 342-0211 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 82 . 50 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 10550 Expiration Date . . 5/26/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 82 . 50 82 . 50 . 00 . 00 Plan Check Total . 00 .00 . 00 . 00 Grand Total 82 . 50 82 . 50 . 00 . 00 punny IS APPROVED ONLY IN ACCORDANCE WITH ALL QTY OF ATLANTIC BEACH ORDINANCES AND TAE FLORIDA BUILDING CODES A { -j JVJ+.Ir.:.. r CITY OF ATLANTIC BEACH Sf PLAN REVIEW SHEET �t D.Hufstetler Building Department Public Works&Public Utilities Departments S. Doerr J'35 800 Seminole Road 1200 Sandpiper Lane R. Carper Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application# Property Address Applicant: &- Project: —���F 69ZA(6! SA(Ak�E This permit application has been: Approved as noted by the Department. Final application approval must come from the Building Department. El Reviewed and the following items need attention: - X00 X 7 � Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the cor ect department may delay your permit from being issued. Reviewed By: Date: Date Contractor Notified: s CITY OF ATLANTIC,BEACH 111 ROOFINP PERMIT APPLICATION Da PLEASE SUBMIT(2) COMPLETE SETS OF PRODUCT APPROVALS AND INSTAL TINSTRUCT WITHAPPLICATION. ,1,, Job Address: 1297— o cc,R"j &fee V-c-_- 4T1.,q Owner of Property: Address: <,S7,A Telephone: Z_f ci Z—'-+R 1 Contractor: 'Tn p 6yPj (C'{>< - rw , ; ' t �C+, State License Number: C,-(-(- C)52 f Contractor's Address: j 1 r C, e2_) r3 1,k) ; Q, 0 f _TA A Telephone: 3,,I Fax: _- '? ,) Z-3i Scope of Work: ESC% <�'r �� t.1 •'t.a 's� �.r 3 Deck Slope: .Z_ Greater than 2:12 Less than 2:12 Valuation of work: 1 0 , 5E�0 S Product Name(Example: Timberline): (7 A K K►O&L Manufacturer(Example: GAF): O W ErJ s r✓p(Z1J 1 n3 ASTM Designation(s): P j L� �,-L Required Inspections: Sheath• g and Final Signature of Owner Date: AS TO OWNER: Sworn to and subscribed before me this I day of 0���>�F �� ,20�] State of Florida,County of Duval 's Signature: F TW BOWERS Nohry Public,State of Florida Personally known MY COMMISSION#D0589087produced identification My yBn Commission te�ru�uraance Co 10 Type of identification produced Ann r4m Fm Signature of Contractor: Date- t o 1`P 4r'o AS TO CONTRACTOR: 9� Sworn to and subscribed before me this day of C �.f C� ,20 0 State of Florida,County of Duval Notary's Signature: likw BOWERS Personally known c,State of Florida produced identification SION#OD58908T Expires Aug 27 2010 Type of identification produced te Farm Insurance Co. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.atlantic-beach.fl.us Page 1 Revised 10/06 NOTICE OF CA CES T Pem*No. Tax FOND No. Stare ofY To whom ft may conoerm: The undmig"d haraby Informs you that w4wownents will be mach to own reit property,and M aftordance with Section 713 of do Florids Statutes,the kMw*lna MomrMion Is stated le*48 NOTICE OF COMMENCIS IENT. Lepel description of Property Ming mWoved: l Address of irnProvsd { Genera!description of Nnpreve nwW. a 6,!�'C ._ Address -SAM Ow ices UKetsst in she of the in mwerwnt Fee Unple 111IetwWer(it ottwr than owner) Name Address n AtWrass op-2 AJ Mijalpaoi -8LvgT- N11= Plane No Fsx Na O 25 Surety(M any) Adtlross ArncYrrd of bond a Phone No. Fac No. ------ Name end sddress of my person m"v a Iosn for the=10bucdon of the hnpraveawnw Name Address Phone Nm Fax Plc Name of person waft do State of Florida,o0tsr don himtMf,dBOWN ed by owns upon whom rafts or 01tw doaumwft may to serverx New Aft"s Ptars►No. Fax No. In sWrdon to himea.amwr desipnatas the MW,,*V M+son to MONO a Dopy,of 110 Uwwrs Nofte as MvWW In Sedfon 713.06(2)(b).Florida$fatales.(FIN In at owners op*m). Name Address Phone No. Fax No. - ' Expbadw dale of NOW@ of Cwmnenosment go exdkation daft is ons(1)yew from 80 data Of recording unless e dNkmt data to$P~. i THIS SPACE#OR RECORCEkS USE t)NLY - -------� -— -- - !]euro this_LZ.—day ...� In the Doc#2006396506,OR BK 13646 Page 314, County of Dtwaf,Ststs of Flpft.tut Pewona§Y aPPmvd Number Pages.I Filed&Recorded 11/16J2006 at 01:51 PM, j c JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Notary Public at Lar",3"of Florida.Cow"of Duval my commission mq es: PerewMy Known or Prod TW BOWERS Public,State of Florida C I }�SiON#DDSM87 ''o r .;a Expires Aug 27 2010 nr+r�Ibwvy r ate Farm IntWww(;a� M 1 A M hDADE MIAMI-DADE COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) _ Owens Corning One Owens Corning Parkway Toledo,Ohio 43659 FILE COPY SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (in Miami Dade County) and/or the AHJ (in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Oakridge Pro 30 AR LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales, advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This consists of pages 1 through 3. The submitted documentation was reviewed by Frank Zuloaga,RRC Aft NOA No.:02-1104.04 Expiration Date: 12/12/07 Approval Date: 12/12/02 Page 1 of 3 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub-Cateeorv: 07310 Asphalt Shingles Material: Laminate 1. SCOPE: This approves a roofimg system using Owens Corning Oakridge PRO 30 AIL Asphalt shingles manufactured by Owens Corning Corporation as desscribed in this Notice of Accpetance. 2. PRODUCT DESCRIPTION Product Dimensions Test Specifications Product Description Oalaidge PRO 30 AR 13-'/,"x 38-3/4" TAS 110 A heavy weight,fiberglass reinforced four tab asphalt shingle. 3. EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date PRI Asphalt Technologies, Inc. OCF-064-02-01 TAS-100 06/06/96 Underwriters Laboratories,Inc. 96NK305033 UL 790 10/11/96 Underwriters Laboratories,Inc 02NK02878 ASTM D 3462 09/26/02 Underwriters Laboratories,Inc OINK44201 UL 997 09/09/02 4. LIMITATIONS: 4.1 Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 4.2 Shall not be installed on roof mean heights in excess of 33 ft. 5. INSTALLATION: 5.1 Shingles shall be installed in accordance with Roofing Application Standard RAS 115. 5.2 The manufacturer shall provide clearly written application instructions. 5.3 Exposure and course layout shall be in compliance with Detail'A', attached. 5.4 Nailing shall be in compliance with Detail IT,attached. 5.1 Shingles shall be installed in accordance with Roofing Application Standard RAS 115. 6. LABELING: 6.1 Shingles shall be labeled with the Miami-Dade Logo or the wording"Miami-Dade County- Product Control Approved". 7. BUILDING PERMIT REQUIREMENTS: 7.1 Application for building permit shall be accompanied by copies of the following: 7.1.1 This Notice of Acceptance. 7.1.2 Any other documents required by the Building Official or the applicable Building Code in order to properly evaluate the installation of this system. O NOA No.:02-1104.04 Expiration Date: 12/12/07 Approval Date: 12/12/02 Page 2 of 3 DETAH,A EDGE OF ROOF TRIMMED SHINGLES 13"---- -- OWENS CORNING OAKRIDGE PRO 30 AR LAMINATE THIRD COURSE) SECOND COURSE FIRST COURSE FULL SHINGLE DETAIL B - 38 3/4" i" NAIL LINE 134" 0 F EXPOSURE END OF THIS ACCEPTANCE NOA No.:02.1104.04 Expiration Date: 12/12/07 Approval Date: 12/12/02 Page 3 of 3 Installation Instructions Oakridge PRO' Series Laminate Shingles These larninated shingles are designed for new of reroofing work over any properly built and supported wood roof deck having ade- � a Deck Preparation quate nail holding capaci:y and a smooth surface. For standard Slope decks(4"In 12".or mors) UL Glass Q �Iwe Resistance of underlayme�tit,metal drip edge and eaves flashing: &e Wind Resistance Rcdings (A)Apply one layer of uncierlaymerit ovrnr metal drip edge at eaves. Use only enough fasteners to hold in place. When applied In accords tce with Chose Instructions,these shingles I (S)Overlap successive courses 2".Overlap course ends 4". carry the UndUnNriters Laboratorles Class A fire resistance rating, Side laps are io be staggered 6'apart. the top rating for resider dal shingles,They will resist wcposure to (C)Apply metal drip edge over uriderlayrrrent;at rake. fire in accordance with t Standard 790.1 When applied properly, Note.Where lcc-damming may cause lealcs,apply Owens Corning these shingles also meet 1JL wired resistance Standard 997.All lard- Weatherl.oi*q underlayment•or equiwtlualr eaves flashing at least 24* uaCed shingles have a Fac tory-applied strip of sl+ectal thermoplastic beyond the inside wait line.When using a coated sinooth roll or mineral adhesive on each shingle..After direct ex 7osure to the surfs heat, suriamd roll roofirng,apply over Che underlayn-lent.Where using a spe- 6 1 clalty eaves ifashirq;product,follow thL manufacturer's inwuctlons, each course bonds secur.ly to the course below (a nratu:r of days in spring through fall sea sons,in winter it varies deperrcling on geographical location,roaf slope and orienradoo of the house on the site,in relation W tlt R sun). ec! Deck Other Rooting Malrerials Rnkn Metail Drip Uges-are imommended along rake and eaves edges {AJ � of all decks. Underlaymont-is feM:upended for roofing over any bare dL'ck, and is required for a LUL Class A fire rating.Use only'breather type"material such as Asphalt Saturated Felt or Shingli.Underlay l b sock Preparation mens classified by UL as a Prepared Roofing Accessory to assure CIass A fire perfonmanco and watertight performance from For Low Slope Decks(2"In 12"to loss than 4"in 12") wIrid-driven rain. Application of underiayt'nent,metal drip edges and eaves flashing: Nails-"must be galvanized, 11-or 12-gauge,with heads at least (A)Apply 19"starter strip of underlayment over metal drip edge at 318"in diameter. Staple:,,must be 16-gauge minirnurn, 15/16" eaves,Use only enough fasteners to hold In place, ri inirnum crown width wed sufficient length to perietrat:e 3/4"into (B)Use 36"strip of underlayment for remaining courses,overlap- wood decking or through APA rated roof sheathing.Staples are ping each course 15".Side laps are to be staggered 6'apart, to be corrosion protected, (C)Apply metal drip edge over'underlayrriont at rake. All Fasteners-must penetrate at least 314"Into wood deck or Noce:Where eaves tlashing is requrred apply Owens Corning Weather- completely e rrcompletely through plywood sheathing, Lodc undedaymenc or equivalent specialty eaves flashing product or Note.,Owens Corning,r'ecorrrtr�erlds the rise oI mails as theawly a continuous layer of asphalt plastic cement between the piles of underlayarent at Least 24 beyond the inside wall line, preferred method of aaachirrg shingles to woad decking or other,nallable surface, plastic Cement-where required roust meet ASTM D 4586'1�ype II ' (Asbestos Free), (CI Nuke {B► I FIL GEnvus b0/Z0 3!D-Vd (INV-1INNf1S ! SSTVLELb06 00:91 900Z/0C/0Z Ldmbnate Shingles Oakrid�;j T'RO'T° Series Shingle Appl1carlari Apply shingles over properly prepared roof deck,starting at bottom of roof' �..•�"` and working across and up.Tl-.4s will blend shingles from one bundle into the next and rninlrnizes any n:rm,-1 shade varlation.Laminated shingles are applied with a 6-1/2"offset,%hau a 6-11'offset is rec.ornmeaded,any lei `s f,;`` ,r•' �+ (A repeatable offset pattern frou 4"ro 8"is acceptable,Caution must be ext r- -,�„ � �- Used to assure that end Joint: are no closer than 2"from a fastener in the shingle below and that side labs are no less than 4"in succeeding courses. Refer to course applications stPps for specific irrsfructlons. Srce"r Course(sae illustr'at&tori con the right) (A)Trim tabs off all st'art'er cc urse shingles. y £' (B)Trlin 6-1/2"off rake end V first shingle.Extend 3/8"beyond rake and eaves,and fasten, ` , �•4 ' v (C) (C)Complete rest of starter cOurse. Trim oe�rwith Note,Start:at rake edW.Use Eiv,.-fasteners L'or cacti shingie.placed 2"to 3"up fruitl the eaves, First Cow-so (A)Apply first course startin);with a full shingle,even with the starter course.Fasten securely a,:cording to instructions, NOW Complete course with foal.shingles.The fastening line should not be used for course alignment of shingle,;. Second Course (B)Begin second course by pasitioning first shingle 6-112"from the end of the underlaying shingle,and flush with the top of the overlay tab (dragon tooth). (C)Leave 5-5/8`exposure,fasten securely,and trim'excom overhang at rake, Note;Complete course with full shingles. Third Course (a)Begin by positioning the Arst shingle 6-112"from the end.of the underly- ing shingle,flush with the top of the dragon tooth pattern,Complete by repeating step (C). Note:Complete course with full,shingles. Fourth Course (�)Begin the fourth coursc by positioning the first shingle an additional 6-1l2"from the end of the underlying shingle.flush with the top of tile; dragon tooth pattern.Complete by repeating scup (C). Note:t ompleie course with full shingles. Fifth Course (5)Begin fifth course by posidon.ing full shinglt!flush with rake edge and!' leave 5-518"exposure.CcinplPte by repeat4.ig step(C). Note:Coinplete course wide fill shingles,For succeeding courses repeat steps'-for i second.third,fourth and flftfc courses. i f�0/�70 add QNV-1INNf1S 99ZbLELti06 00:9Z 90OZ/0E/01 Laminate Shingles bakridge ,P ''C Series 6 Pwetclautionary Mok,,S the entire head is flush against the shingle but does not cut The r►aan acturrr will not be;resporw0te for pr obWas the shingle surface.Art improperly adjusted pneumatic gun res,Wliny fr'am aruy d oiation i"ro•rra lite recommerrided earl result In raised fasteners causing sealing failure,raised application'izwtractiows mad the followiraj precautions; tabs,leaks or blow-off. (A)Roof Geek;Recommended roof decks are 6"maximum width, Glaidetines pore fastener size,number apart locati&n must be 25/32"minimum thlcImess wood sheathing,err 3/8'minimurn faUp'wnd,Frr614re to MOW these'lristr'uetions seriously rMuces thickness plywood sheathing.Use plywood decking wired reWsta oe. Owens Corn iray wall root be responsible for any recommended by the Ame imn Plywood Association, wi�W, damaye spas occurs'with shingles wkich have not been Underwriters Labclratortes,Inc.,or local building codes, appOod'lib accordanw urah these instrtactions. TFeese Owens Cat rt(NI shing&.s have been tasted and rated as (D)'Mansard or Steep 51apnx:For slopes exceeding 60 de&rees or, Class A by Mdervvrllets J ab;ratorles'at7hert these shingles ars! 21 inches per foot,use six fasteners and four spots of asphalt applied pryer recorrirn a'd,*& 7f other deak5 are vsed, Wan plastic cement per shingle.All six fasteners must be spaced resulting construction may%a:tl quaQV as Ckuts A. equally and placed In the fastening line,Place four spdGs of Regardless of deck type used,,tie roofing installer must: !asphalt plastic cement, I"in diameter,under each shingle 1.Install the deck material in strict compliance with the deck immediately upon IcovereUOn: manufacturer's insIxuctions. (S)Storage:Store in a covered ventilated area at a maximum 2.Prevent the deck from gets ng ru4�t before,during and after temperature of 110"F.Stack in a fiat fashion (maximum of 16 Previnstallation,thbundles high).Protect'shingles frorn weather when stored at 3.Insure the attic ventilation meets of aceeds FMA Minimum tlhe Job slte.Ito not store near steam pipes,radiators,etc. Property Standards. (11'Hip A Ridge Shingles:These shingles should be cut from the back (smooth)side.In cool weather,shingles cart be formed Note: o plat through res,espuci:dly Man.'om gird style top touauun.must more easily to fit the ridge if they are stored in a warm indoor have complete through venttlnticut Grum batlorn ro rap rn prr,vant entroprnma of molsturs-Laden air(winter)and hot asp(summer).Seth area,then taken out Immediately before application, condiWns uluy cause premarun5 shingle failure,it is extrenhely irnpor- (6)AN exposed material must be rated Class A by Underwriters Lint to maintain ad6quate.VeILL'te M.11 when rLdrisulating or rerooflnv, 4alborarorirs,to aaaMid)n a Class A s 6tam. Structures with bath coal klrchen vents,which arra vented direcdy into y the attic space,may require additional vuriulacion to rernove excess moisture vapor, (g)Handling:Use extra care.n handling shingles when the temperature is below 40°!?.Do rant drop bundles.Shingles can 7 Reraof n!o be broken easily In cold wrslther or their edges&maged In hot if old asphalt shingles arc to remain in place,nail Aown or cut away weather.Do not attempt h)separate shingles by'breaking" all.loose,curled or lifted shingles.Sweep the surFace clears of all them over another object such as a ridge. lrwse debris just prior to applying the new iooftng.unsure proper (C)Fastening:Owens Corning recornmends nails as the preferred size and length of fasteners.If roofing over old wood shingle,cut method of attaching shingles w wood decking or other rrsilable hack the old shingles at eaves and rakes and apply wood edging surface.Drive all fastener:,.until they:are flush with the surface: slxips,Burne local building codes may require the use of a No,30 of the shingle.Special care must be taken in the use of asphalt saturated felt over the old wood shingles lirior to reroofing. pneumatic staples or nail guns,Staples are to be driven with a Consult local building;code authulities.The surface must be smooth pneurnatic stapler with crown parallel to length of shingle so before shingles are installed,Make deck sranoth by aalung down all that the entire crown bear's tightly against the shingle butt does tome and curled shingles,protruding nails,etc.Install beveled wood not cut the shingle surface.Nails are to be driven straight so ftiathering strips,If necessary. i • OWENS CORNING WORLD HR,0100,t1Ai s ONe OWENS CORNING PARKWAY TOLEDO,❑MIO,USA 43469 VUb Na,15-IeR-169W1 Printba In LIZA..DucembGr 2a01 G*ynght 0 2001 Qwwb coming (INVIINfcs GGTVLCLtr06 00:91 90@Z/06/0T to?"E C E I V D CITY OF ATLANTIC BEACH FEB 2 L 2000 PERMIT APPLICATION REMODEL, ADDITIONS, OR ALftRAfiOKSic Beach O IN D OLITIONS Building and Zoning Owner (s) : Job Address: / � ��QLa� Phone 7 179 7 re sr�) Lot # Block or Unit # Subdivision: Contractor: /1&0 State License # 1 Address: Phone No: City State Zip Code Describe work to be done: azld -1105r Ll Present use of building: Valuation of Proposed Construction: Proposed use• Is this an addition? 64 If yes, what are the dimensions of the added space: ft. X ft. will the added area be heated and cooled? s -i New electrical (or increase) ? New plumbing fixtures New fireplace?A6 New Heat/AC? SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF O IS CONTRACTOR. Signature OWNER: G1C,t/ Date: Signature CONTRACTOR: Date: AS TO OWNER: Sworn to and subscribed before me this a= dayo T —� 2000. NOTARY PUBLIC AS TO CONTRACTOR: tK MY COMPW018 Amonem MISSION N CC5538 I 0 OS Sworn to and subscribed before me this day of Auaust27.MINI2(lnro D THRU TRDY FAIN INSURANCE,INC. NOTARY PUBLIC CITY OF >&� Fend - *;7&url4 800 SEMINOLE ROAD ATLANTIC BEACH. FLORIDA 32233-5445 'TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(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 CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 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- 5826) IF IN D�OUUBB`AT,�,C,�1® (JpE ptil D •'''/ I HER-'A FFFTHAT I HAVE READ THE ABOVE DI LOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREEI !.)R'71rBk5 NCE OF AN OWNER-BUILDE ERMIT. , -� �`SSIONF .� Ep �Z #CC814674 ;pz PROPERTY WNER/B ILD R t Qonded thN dQ� �i9�.�o Ian• t�7717 �J �/,�Z/c!ST0.� \� 1ADDESS , ��/ / TELEPHONE � SWORN TO AND SUBSCRIBED BEFORE ME THIO 11 BLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING DEPARTMENT. (200-0130-D�M�K - 11DDITTDN AI) THIS DWS PREMAE6 FRM CSMPNTER IMPIII (LOADS 6 OIMEOSIOMS) $48MIIIED COY IRUSS NFR- p 70P Can 2%4 SP 02 N 310 w" WINO, 15.00 FT MEAN IMT, SKI N &0T CNM 294 SP #2 N fNC10SED 8106, LOMED ANYMMERE IN ROOF, WISS 2194 SP #3 WHIR TC OL - 5.0 PSF, WINS! K DL - 4.0 PSF. N _ R04-F OVERH11M6 SUPPORTS Z.00 PSF SOFFIT LOAD. a DEFLECTION MEETS 1/340.00 LIVE AILD t/240.00 TOTAL. LOAD. z /S' tJ 7-TeC VIA WI.5X4 B ('40 0 o W2.SMto U) kD M S14 V' kD w2xa �� _ +I+�x3AlN .4- CJT10A✓ v cr m � m a >= a I � d 11 -2-0 Over 2 Supports R-SOS U-320 19-3.5' 0-320 V-3-5' v m N ,d. Pll TVP. wave TPI-95 Design Criteria: TP SI I9_D QFY:7 FL - 4 - Scale —.375• Ft. `WAAMI6^ UISSES K MPA 9.JWAst CARE 3n FOiIL&TIOD, N"MM. SNVF N6. 10►Y4.116 AM :z 6AA91IK. 4sF[N 14 ��•�[ ig+bllla IlKixlzss kb 4DD9)W. IIIUgEb 6/DE ITDas Dtalt �'0.W M, 9. TC LL 20.0 PSF REF R012--6843 E' 4'9MIMMIL IHIW Mti�IMMUS OTMEME MIR[R6. 1b1MOM UR`t'NAI9#41"I/1 I1TKec s �'1 FI��•~�t�`���y TC DL 7.0 PSF DATE 02(28/00 C=) SYMCMUt DAKIS. W1a1 CIMO SMALL Kat 1 PDl/l10 A1190%DI6M cuulE. 3' a •9 o wolTisT» ItU10 A COPY Or IDIS uua m 1119 YNSMtIASIOR U91AACIOR.AL►1RA 1NEb99s16 s � A; •� 6C DL 30.0 PSF IM MCUSRO[2 00059045 0 1 HpDOX". ILC. SNMt 1M 01 6tSM$j&LC PN WT ►A11k11M ISBN MIS 011161: ANO 1ARIMI t0 ?•�i N 9v OBallMCC149OF M n. t JUS IIFIM COW01oalirTI ui ICAMi n0I WiS'niia 194101104%i`ST69 z BC LE 0.D PSF KC-ENG JWCf DR ALPINE INIC6FT1ATDa"MIS"*W TNT RSC4K"Pw9sT AN DAVID IIIWUII04) ADD COI. ADPM1 tI arucrns 4K 111Df M DDs1 AsIll AHA ORO 6111 sit EA. 11UP1 n DOTIO. al"ty AA1=41ols 1. +� *�• • + TOT.LD. 37.0 PSF SEON - I3915 CALM FA6A Or T1M. ADO D1RCsb W ON"K tK114D s1 U"I IF sm. POIfrm Itemg s PER � CS) R. 4R10M NO A•I. fit Ua 41 TAUS ORANIPS 11DICA4S A9CEPUNU 01 ObIVIS1162A [Mtlff11K �9 µE � D(1R.FAC. 1.25 FROM BMf m � � � D iftooUDn 1A141F c1" DPL IBM COIPOI■1 1111"1400- 116 5"USISIID Alb 1"9 0 M. '��„ N � I��f-12. 33641 PT ii l6Ys McT10Rltp� ��1s Billf►p1r to alf Bill A9s)t[166F rD6 wxslrc msu � r[R. 4ER SPACING 24.0' CITY OF ATLANTIC BEACH BUILDING AND PLANNNING 3 }3 800 SEMINOLE ROAD 4s1 ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 FAX:(904)247-5845 http://ci.atlantic-beach.fl.us 4r June 27, 2005 Mr. William Dutter Ms. Elsie Thomas 1742 Ocean Grove Dr. Atlantic Beach, Florida 32233 Dear Mr. Duffer and Ms. Thomas, Our records indicate that you are owners of 177 Pine Street in the City of Atlantic Beach. Investigation of this property discloses that there was plumbing work and brick pavers without permits. You have 10 days from the receipt of this letter to contact the Building Department and apply for a permit. Failure to obtain a permit as required per Florida Building Code, Chapter 1, Section 104, will result in the case being turned over to the Code Enforcement Board. Under Florida Statute 264 the City of Atlantic Beach may impose a fine of up to $250.00 a day. Regards, Larry J. Higgins, Deputy Building Official Cc: Don C. Ford, Building Official Alex Sherrer, Code Enforcement Official file CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD jr ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030497 Date 6/06/05 Property Address . . . . . . 1742 OCEAN GROVE DR Tenant nbr, name . . . . . . SEPTIC CONVERSION Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HARRIS, ELSIE GRUHN MAY, INC. 1742 OCEAN GROVE DRIVE 6897 PHILLIPS PARKWAY DR.N. ATLANTIC BEACH FL 32233 JACKSONVILLE F4 32256 (904) 262-9544 `,, ------------- --------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t BU FICIAL b � CITY OF ATLANTIC BEACH ssl r " ' PLUMBING PERMIT APPLICATION Date: Property Address: 17,YQ ZZI2- AeA-N 6)?o ve Owner: /C • /s Telephone#: 21y -o_75-1 Contractor: -�'y C Telephone#: Contractor Address: iy p "I Fax _Z7 Contractor Signature: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, New list the building permit number: 0 Re-Pipe b Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewers t G G'o vVcRSlo-j Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 = 800 Seminole Road.Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845. http://www.ci.atlantic-beach.fl.us Revised 1/04 Se(tees ij' 171 o-Doo o p34 7)r. 7-,,ts c��od 71-71 -7-01,50 glgCaval kled. RlAarv( YrovJr\ 70 gqz -0000 ;Ullock- L 0 QJI r s --0000---_32_2- 5 Jac 3? . G C? I S, IF - 5 5 to 1179-I 'M - 0000 00 17;�3Vp - 0 Coo 19 iLl (y zb . 1 13o , I q3 S-f. (txt 4) -7?o oo S-- 0000 P q� 0 CIA--, 190 0 0 17og91 - 0500 17(yi72- IM -131 vi'o-S--• 13-73 1-71170 -0000 -sk -Dr- 00 Jun-G3-97A 01 :27P Harry E . McNally P.01 v Jun-03-97 11 :05A P.01 Jun-03-97 10:47A Harry E. McNally P.01 P.Ol May-12-97 09:39A PRICE QUOTE APPMATON FOR WATER ANDAM EWER TAP APPLICIWT NAME., ,,.! PM0M MAWR r- SW-�-�- 'u� SERVICE REQUESTED /t Anv __.. SERVICE LOCATIM 71/0 " /'7 1/2 6�k_ � DATE SET T4 PUBLIC WORKS =,/�_� DATE RETURNED TO BUtLD#4 CEPARTMENT Puftc wows OiIEPART�,9NT �QtJ�TE 1�ElAd�iE WATER: J174 y SEVVER- /7-red OTHER. PRICE OWTE PREPARED 8Y. Signe mime DATE NOTW*o OVWWA STALE Oi FLOADA CU COU l3J CU COO um C6 GOoom CO C041 W P. 5872 1EPARTMENT OF BUILONG CITY OF ATLANTIC BEACH PEtR ''. NFO1 r IQi .:. __ _ LOCA7' tll INFCIRMATON -� Addr+ar> s� ' + C3CEAN taRo ROAD MY CE All ` t :R AT .+ C= REACH, FLORIDA "; .'... va fi r. '` W ih.FRARE Lot I "t`C T7t 1 ►;s RNU: 0 jpi rr sed U € I L1 FAM ^ ' Subt[i.vi a tan s `OCEA9 GROVE well.nos€ 1 Ede s O " I�l�lX'ov. Cost SAmou Total si2,2�50 1 iO/92 :REPLACE, ROOF WITH NE Ilr>BHI0134 Wlrk I 1�PPLICAT10 FEES -_�... ATICIN " .IA ATIrR i.�CiS` W 9 FEE ,.d $00 {.f0 A"d` GROVE TSFIr#�AD R.,8. t3R1 !►T I - RADON SAS -� '�?: . $0.00 .. I -.. IE R RfllO"" I:CI. T �"111TE T AkI' BEAVER TA w ACID LL "+r '1» f 06-2309 RYDRA'ULIC SHARI» �O.OO L.Ecna. C3 t z OI15F 'I` FEE. ,.,r Wil. 00 BSC. R NFACT F E UC S " 4 TQ z'��, c A. NfiTES: [ � 4 NOTICE AI.LCpNCRE7E I? ?RMS AND FO MUS SE INSPECT O BEFt�RE 1�UFtING PERMIT"VOID SIX MONTHS AFTER"DATE OF ISSUE BUILDING MATERIAL,RUBBISI=I AND DESRIS FROM THIS WORK MUST NOT$E PLACED IN PUBLIC SPACE,AND MUST BE , LEARED UP AND HAULED AWAY BY EITFtER CONTRACTOR OR OWNER ITH THE ME LAW CAN RESULT IN :THE PlCIERT' C31tNE R PAYING TWICE FOR S'AJ �tN+G IMP EI TS." USD ACCO D1NG TO APPROVED PIANS WHICH ARE PART OF THIS PERMIT ANS SUBJECT TO REVOCATION FOR Ol.AT10W OF PPLICASLE^PROVISION,S OF,LAW. 4 LANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTXC BEACH PERMIT APPLICATION ROOFING Owners):._.i 2p Address:_��� yof/l. � Phone: _ Lot # Block or Unit #_ � Subdivision _ Contractor: W ��` _ /� �� t Address: Phone: l- ,�r�� ��G c� __ State License No. `Y Describe work to be done: fie meVc C Materials to be used: je�,1,434 /� i �✓�'- S Signature OWNER: ' Date: Signature CONTRACTOR: eqJ PS�k p ------------- sARTMENT OF SUILDING CITY OF ATLANTIC ,$EA►CH N E�OR>wiA'1� QN VOCATION I NrORMAT I ON 7122 Addr,es ��4 O ��N �4�Ov� DRIVE , 'I rmat `` RE§-i 00? ATLAN' BEC ' � r ar w«.iww �3 Tl�tl »k< NEW - �.... Sec t3 o, t r. 'Type: WOOD FRME Lot • T�Wn>��i�� . FIN,C�s � :oposed, U $INOLE PA141LY 5ubdi, is �r�: aCEo GROVE i code. ' + 1000 z at d val ue: . } ITApr st Tota'l 4 * 7 9/ YROLASS pit, r l ! _ T2ON � ` � ....— APPLICATION ��5 ----�— . �„ w FER I" , N. CAT F1 IMR CT FES . " � S� .13f� E. DRIVE SEE'. a aFLC Etl Vii ,� Iwop 10 : x RA DONt Obi -H.R,S. $0 .t? 00 'C} T 119N - Naim tt0 N&2ON TAP #L, 2,220 O1 UG HARE a 4 CA I ' IMPP € . �00 �' �+�m VE u 114PACI �r P A Jt D JUt 2 91993, City of Atlantic #ch: Na1'ICE—ALL. {'N t>~TE E 7 IWfS`AND FOOTING$MUSTBe'I�NS-OCT$ ARF" POURING P RMIT.V61a SIX'MONTHS AFTER GATE OF ISSUE' (. k Uit.'D NEG MAT lAL, RU$BISH;ANa DEBRIS FROM THtS 1NORK MI15't tOT$ pLACEfJ t!�( P.tl�3LtG SPACE ANf� tIUST BE LEA a F AN[S k#AULt a AWAY BY EITI�ER CONTRACTOR O�'t�i11tN�P ' g A I URI T�3 COMPLY,WITH.THEM Ci ANIM O N .AW CAWRESULT IN "I E i t I ERTY QWN R;PAYING TWICE.FC R E3`I~Ih �31�IG fiM'I?R�VEMENTS." SSUED ACCOi flING f APPRC/VEd PLANS.WHICH ARE`PART OF THIS 0010 AND SOR•1ECT Tt).REvoCAT OM FOR ytOLATION OF�PPLICABLE-I�t t Nl3tt fJ5 OF LAIN. �Tl.ANTIC BEACI~I BUILDING DEPART, ENIT +$ a i • $P 3 Si� t CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) : —111 y, /�/:�>'`)'rf — --- --— Address: `� Cce a J 'ye) Phone:_ — - --- Lot # Block or Unit # Subdivision _ Contractor: r 1c oof;,LIq Address:, X1.31 Phone: ,` 6 State License No. 12c ©O,51 (-f-S„3 Describe work to be done: Pefcc '' Materials to be used: Signature OWNER: _ Date: Signature CONTRACTOR: I CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904)247-5800 �I FAX (904)247-5805 --- ,,, SUNCOM 852-5800 July 10, 2000 Elsie D. Harris 1742 Ocean Grove Drive Atlantic Beach, FL 32233 Re: 1742 Ocean Grove Drive Room Addition Dear Mrs. Harris: Enclosed is your check in the sum of$25.00 along with the documents you left for a mechanicat permit. These items were left at the building department on June 30, 2000. To confirm your conversation with the permits clerk on that date the mechanical contractor must be state certified and must furnish a certificate of insurance to the City of Atlantic Beach as to liability and workers compensation. They also must present an original application. Also, the permit fee will be doubled due to work being commenced prior to permitting. Once this matter has been taken care a final inspection of the residence can be performed. If you have any questions please contact me at 247-5826. Sincerely, w �~ on C. Ford, C.B.O. wilding Official DCFlpah Enclosures cc: City Manager CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL ,PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATED Z -z IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: D STER ELECTRICIAN SIGNATURE JOURNEYMAN NAME �► _ �ES,/e r !s FLC ADDREss:�,� 2 C� ' C,R"��.. _ _ RFD BOX BLDG.SIZE BETWEEN: RES. APT. 1 ) COMM. ( ) PUBLIC ( 1 INDUS. ( 1 NEW( ! OLD ( 1 REW. ( 1 ADDITION TRAILER ( ) TEMP.( ) SIGNS ( ) SQ. FT. FEE SERVICE: NEW( ) INCREASE ( ) REPAIR ( ) CONDO TOR SIZE AMPS COPPER ( 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS r2, CONCEALED OPEN TOTAL RECEPTACLES 8 CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS.j OVER APPLIANCES I I I BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA III I NO. IKVA NO.NEON TRANSF. NO. VA. MA. I I MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED TOTAL FEES CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877 ELECTRICAL PERMIT Permit Number: 19829 Address: 1742 OCEAN GROVE DRIVE Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: 20 Proposed Use: SINGLE FAMILY Lot(s):N.1/2 20 Block: Section: Square Feet: Subdivision: OCEAN GROVE Est. Value: Parcel Number: Improv. Cost: WIN am ME Date Issued: 4/03/2000 Name: DUTTER, ELSIE AND BELL Total Fees: 25.00 Address: 1742 OCEAN GROVE DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 4/03/2000 Phone: 904)247-1797 Work Desc: WIRE FOR ROOM ADDITION FERRANTI'S ELECTRIC PERMIT 25.00 WNW ROUGH ELECTRICFINAL.ELECTRIC7mme 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. $25.0014 0 e^� late: 4/03/00 01 Receipt: 004E5 0 NECKS 2275 ATLANTIC BEACH IJUILDING DEPT. 00100003221000 f CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: ?�L �C�� i .'.P �,�7� Me. OWNER OF PROPERTY: L=^G. Gam` �, A PHONE NO. 2- (WIP PLUMBING CONTRACTOR Q &Sam CdA-. /A."C' CONTRACTOR` S ADDRESS: ."s- SrJ'a�rz✓`S Alj/rr STATE LICENSE NUMBER: CI'C d TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS y 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: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 \\ t") "1� CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION, -L'QGATION:INFORMATION Permit Number: 19703 Address: 1742 OCEAN GROVE DRIVE Permit Type: ROOM ADDITION ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 20 Proposed Use: SINGLE FAMILY Lot(s):N.1/2 20 Block: Section: Square Feet: Subdivision: OCEAN GROVE Est. Value: Parcel Number: Improv. Cost: 12,250.00 � OWNER,INFORMITIOM - Date Issued: 3/09/2000 Name: DOTTER, ELSIE AND BELL Total Fees: 112.50 Address: 1742 OCEAN GROVE DRIVE Amount Paid: 112.50 ATLANTIC BEACH, FL 32233 Date Paid: 3/09/2000 Phone: (904)247-1797 Work Desc: CONSTRUCT ROOM ADDITION PERPLANS PROPERTY OWNER . PERMIP' T ►N FEES , �. T 112.50 i i l7n, R FOOTING COVER UP 1 FRAMING FINAL BUILDING INSULATION - 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. $ 1214 Date: 3/18/98 81 Receipt: 0040697 ATLANTIC BEAC141 BUILDING DEPT. CHECKS 1587 89188983221889 5 MIN. RETURN r� � �1 il�.,:- � crook ���� ,�g� �a8o PNONE # r_ r f LA. 1967 LAWS t`I I RAMCO FORM 40e Pf 713.17 wrr . fila of aamutru'rrmritt 4"CrAlli W DUPLICATSI K1U it1(jvm i# uttt� C.CttttPYYt: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Descriptionof property...........................................................................,,............................................................................................................. .... (. .. D.. ��........1/!e..>.. ..........................................................................................................................._.........................I...................... ................................................................................................................................................................................................._...............,........................... Generaldescription of improvements:.................................................................................................................................................. ............, )k..�......... ................ /d S T. ocNO3a4b7 Owner....l . /.�-..................................:.............: .G...........7.. .. ORka. .. .. . ... ... �1 Page: -- Filed 8 Recorded Address. �� (TiPD,G' ed02118100-1-12:02:51.911& ecd 1........................................................................................................................................................—..._ HENRY W COOK O...........cv�� CLERK CIRCUIT COURT Owners interest in site o the improvement.................. ..................................................................."AI:..MTV........................ TRUST FUND $ L Fee Simple Title holder (if other than owner) RECORDING $ 5. ��. Name... . iL.........................................................�ir........... ........ .v..T:.TE .................................................................I............... Address........ ..��.5� ..........��� .. it/,.......���.Ur ................ ............. ................................................................ Conlractor.........QCU !e............. .� .7.�.�!/C JS........CO/yT '!9.��.. ! ............................................... ......... .. Address.. ...... ................................................................................................................................................................................................... Surety (if any)......................................................................................................... ..............................................»...................»............................ Address......................................................................................................................................................Anwunt of bond s................................ Name of person within the State of Florida designated by owner upon whom notices or other doarnents may 6e served: Name .......... .........................._........................................................................................................ .............,.................................. Address..............................—............................................................................................................................................................. ................................. In addition himself, owner designates the following person to receive a copy of the Lienor's Notice as provide In 713.1�1j�3 ( (F), Florida Statutes. (Fill In at Owner's option). Name ... ...k�1!1-152V.?. !.(.:....1 lif.��'. ........................... _.... . . Address...f� y .....i,1.Cl .. — !/C/� . ...J���.:.......... ��_ THIS *PACK FOR ACCOROKR'e UeK ONLY ................. \\1s�laCa 0w `����on NF�.16 v\ MISSIO . C+�#Bch 7.? O9 r • :* Swam to and subscribed before me this....n•.•=........................ #rc814674 0 ..... ... ...da n�.,. q T eonded'ficJ�&. O� Y �� " r CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date Heated Sauare Footage - @ $ ��Q per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ S per sq ft = S 00 TOTAL VALUATION: s 12 Z,S 15-6) $ Total Valuation 1st $ fU� Remaining Value Ste. per thousand or portion thereof TOTAL BUILDING FEE $ r G + 1/2 Filing Fee $ ( ) Fireplaces @ $15 , 00 $ BUILDING PERMIT FEE WATER IMPACT FEE S_ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP S ( 1 RADON (HRS) . 0050 S SECTION, H PAVING ( ) S HYDRAULIC SHARES $ CROSS CONNECTION $ SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: CITY OF /r, Office of Building Official / REQUEST FOR INSPECTION Date T 7 d U Permit No. 9 ,1'7 ,o 3Time ✓ /� AhL Received _ 5— ' Job Address Locality Owner's -�-� -ff �- Name - l for I r� CONCRETE LECTRICA /PLUMBING ECHANICAL Footing ❑ Rough Wiring Rough ❑ Air Cond. & Re Roofing ❑ Slab t Temp Pole ❑ Top Out ❑ Heating Insulation ,*,o'`I Lintel I Final C] Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION M Mon. Tues. Wed. Thurs. Friday r A.M. Inspection Made-- / 0 P.M. Inspector (1— Final Inspection Certificate of Occupancy ❑ Date �F r� h6"r 'CITY OF ••�f_ Office of BuildingVPEON REQUEST FOR INS- y� 29 Date7 �__� Time A.M. Received �• S P.M. YZ ccr+ou I k / 604 Job Address Locality Owner's Name ��••�•u�//�/ _„t r � BUILD6ING CONCRETE ELECTRI 6kING MECHANICAL Framing Footing ❑ Rough Wiring 15t Rough ❑ Air Cond. & ❑ Re Roofing Slab I Temp Pole Top OutHeating Insulation ❑ Lintel U. Final ElSewer ❑ Fire Place ❑ Pre Fab FIiEADY FOR INSPECT A:M. Mon. Tues. ed. —7iV© T urs. Friday A.M. Inspection M de, 5 P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ A..—Date CITY OF 4& a4c /3eacli- Office of Building Official REQUEST FOR INSPECTI N Date 3 ^� `- �` Permit No. ✓ Time A.M. Received J b Ad res ality Owner's �� Name Contractor BUILDING �CO�N�CRETE�i ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing.. Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing F. Slab C7 Temp Pole C Top Out ❑ Heating Insulation ❑ Lintel Cl Final C] Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday_ A.M. Inspection de — / ©o P.M. Inspector Final inspection ❑ Certificate of Occupancy ❑ Date AA11�� //CITY OF ����_ 1797 4& /3�-I&W- fi Office of Building Official REQUEST FOR INSPECTIO 7 Date 7 �© a Permit No. -/0 9 Time / A.M. Received '�-��E P.M. l 7�2 0 s ,, &I Job Address Locality Owner's /j / Name lL Contractor UILDING CONCRETE ELECTRICAL PLUM ING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough CI Air Cond. & ❑ Re Roofing ❑ Slab Cl Temp Pole ❑ Top Out C? Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday 3A.M. Inspection 2 �� P.M. Inspector u n I-- Final Inspection F1 Certificate of Occupancy ❑ Date 4 11''4 ACITY OF dw Office of Building Official REQUEST FOR INSP ON 9 � Date ��7 /�o ermit No. // f1 '✓ Time �� Received Job Address Locality Owner's S_4_� NameContractor7` BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel F1 Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. FridayP.M. A.M. Inspection Ma P v PM. Inspector— Final Inspection ❑ ----6 Certificate of Occupancy ❑ Date LAN = .."C") F10RIOa OF ADDITIONS or CORRECTIONS DO NOT REMOVE JOB ADDRESS DATE / %2 "/- 0 THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted f C( Z �CF_4- A, tfF_ © " /a/zloAcAZT 9 n to FC) It c0�..r $15.00 REINSPECT 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 EIEC are in the office from 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday.