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1528 W Park Ter (vault) f S6\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD t a ATLANTIC BEACH,M 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032505 Date 3/14/06 Property Address . . . . . . 1528 W PARK TER Tenant nbr, name . . . . . . INSTALL 13 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ GHIOTTO, PHIL TURNER PLUMBING CO. 1528 PARK TERRACE WEST 1903 HENDRICKS AVE. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 396-7044 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 126 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 126 . 00 126. 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 126 . 00 126. 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE 'WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �( BUII.11Iilt1C1ALJ CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION J v� Y Date: Yz-h 1'3 0o Property Address: Z-4 f/I r4� Owner: Z C-Y n Telephone Contractor: A Telephone#: 3A� 70W Contractor Address: '' ,l ' 'Fax#: 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 Souther Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: Re-Pipe Number of Fixtures: i Bath Tubs Z Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: /,3 X$7.00 + $35.00 800 Seminole Road.Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845. http:ltwww.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 k INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000861 Date 6/18/09 Property Address . . . . . . 1528 W PARK TER Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replace Oft fence ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GHIOTTO OWNER 1528 PARK TERRACE WEST ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/15/09 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. roll-off container, if used, must be from approved provider. ---------------------------------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH � oeI ( I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 7 I% I OFFICE:(904)247-5826•FAX NO.:(904)247.5845 BUILDING-DEPTQCOAB.US 1 BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK 3.SO.FT.UNDER ROOF 28 W A,-K r 4.LEGAL.DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCKY,SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DEliCRIPTION OF WORK I❑ALTERATION ❑ACCESSORY BLDG. 8,FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A ❑MOVE ❑OTHER ❑NO PR ER: CONTRACTOR: ARCHITECT/ENGINEER: 9. ME: 1 . A NAM 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.S7 OF FLORI LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 28.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHON ANO.: 27.OFFICE PHONE: 28.FAX NO.: 13.C9 4 PHOI,y/E:' r1l�-1 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: V 22.EMAIL ADDRE . 30.EMAIL ADDRESS: FEE SOP"Tnq Houwk m onm THAN BONDp/G COMPANY: MORTGAGE LENDER: 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. r WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If /A9n.Power d Allan"or Agency Letter Required) (O-V- ) Sign ' �J Dafa:(e 11-d0l - Signed: Date: Before this day of 2009' he county of Before me this day of 2009 in the county of Du7rls-'�e of Florida,hanal pe red Duval,State of Florida,has personally appeared 4 Dirb herin by himself/herself and affirms that all statements and declaration are herin by himself/herself and affirms th ValelW�deehu�fiQrui atY.,,�, true and accurate, true and accurate. NotaryP i rge,State of County Notary Public at Large,State of erso Known ❑Personally Known Pr u Identif do - ❑Produced Identification- Lim Nota Notary Signature: Fq .,-. GRAHAM w �Inolary P taN of Florida MD F •' y Cornmbsion Ex OR CODE COMPLIANCE =N. .. Aires Feb f4 2(110 '•? oF,� co�,miaslon 00 31asa� CITY OF ATLANTIC BEACH BLDGO �� Awn. SEE PERMITS FOR ADDITIONAL REOUIREMENTS AND CONDITIONS. REVIEWED BY. DATE:-J - _ , '- M1-1 SHOWING SURVEY -)F IAT 51 BLOCK 3, SELVA MARINA UNIT NO. 21 AS RECORDED IN PLAT BOOK 27t PAGE b AND bA OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA F'OR'. DUVAL FE:. DERAl__ stivlNe;J LoA1,,l C i r0 -'�. ) �� Q�w S_f'R E E -- Z 0 F" U N W �r lV I pr N w � p` p � Oz 1 � a�01,J I 0 2 (j �� 3W x N.7 8003' IC)"E. 1— 5' 5ERON„1\ 67.4' 4 87.Cv' ui N 3 W o y •�, in TW >ri 0 �VIE (\j I d� =1 p• Si[pS Ul Z 0 s.°aP cc y 02 3` 60.1CM WKLY. o W PLANTER I y1w d � i � J 7 �. Fi.NGE OA1 LINE. A iL t4 Cole J�, S.78oO�' �"W I !"J• Fo JA10 1�2"mow • �X I 0� THI�� I:, A L-ANA 5UF4VEY. • `I'Hjt: VROPEFCTi LIE. 1N FLDOD 'LONE " C•' v4"%CN 1�-. Ihl `T'HE AFCEA OF Mln1lMAL. RECHECKED MAY 15, 1983 -l'o BALING 5URVEY FLOUDINCa. UP TO DATE. I HEREBY CERTIFY THAT THIS SURVEY MEETS THE ,r MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND wURVEYORS, PURSUANT TO SECTION 472.07 FLORIDA STATUTES. N. A. DURDEN ASSOCIATESINC. RQ 011TIR[D .URV[FOR No-'G-14, FLd. LAND 4 HYDROGRAPHIC —SURVEYORS ; 1 POSTOFFIC6 BOX 40670—� SIGNED MA��, J Ig�t� It 3cDI JACKSONVILLE BEACH,FLA.32240 SCALE: THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. 11`!08 sl I -� � City of Atlantic Beach APPLICATION NUMBER .� Building Department I , (To be assigned by the Building Department.) 800 Seminole Road ,�f Atlantic Beach, Florida 32233-5445y�t ` Phone(904)247-5826 • Fax(904) ` 45 ��®� E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address' �� �� Department review required Yes No Building Applicant: Q 0/If/L`if ' Planning &Zoning Tree Administrator Project: h466 Public Works Public Utilities Public Safety Fire Services ' { ���•5,v.��`.x 7 y'7�.rc5 �".,"��'y+" dl 't • ,r�."�^+°..�,3yp�""+"�rgP Tec°i"�"f+n �� fi.7ri,�k�,.�° �..- a�vwx-:a�'�'��c 5V14��:i'•uar'`�.r,"s,*-'`z.cr'i:�.. S�"imv�,"ac^„•l�t ::1��,p�f�7tg���ti�,y�a "i� •.�tvret'F���'::�}�'�r'� �"t-2�-:i Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [Approved. Denied. (Circle one.) Co ments: ��� I _ �• BUILDING PLANNING &ZONING Reviewed by- Date: TREE ADMIN. Second Review: QApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Revievt,ad by: Date: Revised 05/14/09 Public Works Plan Review Comments Date: I (�°( Oct Initials: Y� _ V Project Name/Address: /5d� P► k Application Permit#: 0 q '68(0 Check Boy Application Tracking Comments to Add Comment Provide impervious surface calculations. ❑ Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan, including Right-of-Way Permit if using ❑ right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing l' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting ❑ proper construction will be required. A Right-of-Way Permit must be obtained for use ❑ FARevocable Encroachment Permit must be obtained. ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). All concrete driveway aprons must be 5 inches thick, 4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW(Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. P-Roll off container company must be on City approved list and cannot be placed on City right-of-way. VA.. City of Atlantic Beach APPLICATION NUMBER Building Department ► (To be assigned bythe Building Department:) 800 Seminole Road r Atlantic Beach, Florida 32233-5445 k Phone(904)247-5826 • Fax(904)247-5845 - r' . E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �n �� Department review required Yes No Building Applicant: Q �/I�L` Planning &Zoning Tree Administrator Project: Public works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept of Environmental Protection Florida Dept of Transportation St Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATlO STATUS Reviewing Department First Review: proved. ❑Denied. (Circle one.) Comments: BUt (�NNING&ZO G Reviewed by: aL� Date: l 0 TREE ADMIN. Second Review: QApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviev�red by: Date: Revised 05/74/09 CITY OF ATLANTIC BEACH oAI f I r 800 SEMINOLE ROAD,ATLANTIC BEACH,FL - 32233 �7 I I OFFICE:(904)247-5826•FAX NO.:(904)247-5645 BUILDING-DEPTQCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK 13.SQ.IT UNDER ROOF 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE: 0 NEW BUILDING 0 DEMOLITION 0 RESIDENTIAL LOT_BLOCK,SUB DIVISION 0 ADDITION 0 CONVERTING USE 0 COMMERCIAL 7.DESCRIPTION OF WORK 0 ALTERATION 0 ACCESSORY BLDG. 8.FIRE SPRINKLER: 0 REPAIR 0 POOL I SPA 0 YES 0 NIA !fj 0 MOVE 0 OTHER I 0 NO PROPERTY O ER: CONTRACTOR: ARCHITECT I ENGINEER: 4' ME.' 1 A NAM 23.COMPANY NAME jb 16.NAME: 24.LICENSEE NAME: 10.ADDRESS 17.ST OF FLORI LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO Tf l/ 18.ADDRESS: 26.ADDRESS: 11,OFFICE PHONE: T757NO.: 19.OFFICE PHON nNO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONF: 21.CELL PHONE: 29.CELL PHONE: ?1/6f 14.EMAIL ADDRESS: 22.EMAIL ADDRES . 30.EMAIL ADDRESS: FEE SWPLE TORE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (W-OTHER THAN OWNER) 31.NAME 33.NAME: 35.NAME 32.ADDRESS: 34.ADDRESS: 35.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If AAgent,Power of Aftorneyy or Agency Latter Required) (Qualifier Only) Sign ✓C Dater//� Signed: Date: Beis I day of F- 2009 a county of Before me this day of 2009 in the county of red Duval,State of Florida,has personally appeared 5of Florida,has personal herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. / true and accurate. Notary P i rge,State of County o l` Notary Public at Large,State of County of erso y Known 0 Personally Known Pr u d Ident' do - 0 Produced Identification- Note _ Notary Signature: P 9�• GRAHAM ?°M .`�= (notary p tate of Florida ''x »•-My Commission Expires Feb 14,2010 Commission#DD 518533 BLDGOI%t 411 rehil$otary Assn. City of Atlantic Beach APPLICATION NUMBER Building Department I (To be assigned by the Building Department.) <s 800 Seminole Road '� f3 Atlantic Beach, Florida 32233-5445 ` Phone(904)247-5826 • Fax(904)247-5845 r�31q E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �!� (�h4 Department review required_ Yes No Building Applicant: Planning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: roved. ❑Denied. (Circle one.) Comments: OU/,q ey f h u,)Gr e✓ X� I doll'-r / Va/v 0 t�'o n 'V / "C, BUILDING l PLANNING &ZONING Reviewed by: Date: 6—/0"�9' TREE ADMIN. Second Review: ]Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ]Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised MUM CITY OF r�a�rtle �►'�.aelc-j�lQ�iclala Office of Building Official REQUEST FOR INSPECTION J Date / V Permit No. (� RCi em e eived PM. District No. Y�: Jobdress Locality Owner's �. Name kAW�.4� Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ / Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑/ Top Out C3Heating Lintel ❑ Final i2( Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. on. Tuea — Wed. Thurs. Friday P.M. Inspection Made /�r Inspector Final Inspection W Certificate of Occupancy Date BUILDING AND ZONING INSPECTION DIVISION - d40 S CITY OF ATLANTIC BEACH, FLORIDA z 0 Oil ELECT RICRL -`PERMIT a Date #/ISfI Fee E 'O.+Is@ Permit No. SM 0! Location " I '�� 0° Q ` Between _and a This is to certify that CL W �s ! my" cula - • (Electricol Contractor) (Moster Elktricion) has permission to install Electrical Construction as described herein in Y accordance with the provisions of the Electrical Code and regulations of the City of Jacksonville, and subject to the information shown on the application, drawings and specifications which are made a part of'-this 3 > permit. F' for wallm _ W � Type of work: MA- SERVICE: t A SERVICE: OdStlag 20 r# 1ph 3W $1 I't # , a � Feeders: Outlets: Receptacles: m Switches: '^ Incandescent Fluorescent: Appliances: _ Air Conditioning: Motors: Transformers: Signs: sptior To. Miscellaneous: _ _ IF NO WORK IS DOME UNDER THIS PERMIT DURING ANY SIX_ ISSUED BY ' MONTHS PERIOD, PERMIT Electricoi.lmp j' n supomsol BECOMFES Mt) .. AVOWa: r CITY OF ATLANTIC BEACH, FLORIDA 3 ►pP.Ol-d by APPLICATION FOR ELECTRICAL PERMIT , e.„ TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19_9 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR, DOING THE WORK AS DESCRIBED IN THE FOLLOWIHGv WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIF ATONS- WHICH ARE A PART HEREOF, AND IN-ACCORDANCE WITH THE ELECTRICAL REGULATIONS; CODES AND CIT(OF ATLANTIC BEACH'ORDINANCES. t ECTRICAL FIRM: MASTER ELECTRICIAN E l DAMEli�rG��5 ADDRESS• _ rD sox....._... ..�._ _ BETWEEN: /e 'e—#00 �U� C�GG,LS' BLDG.SIZf�r RES.{4- APT.I I COMM.I } PUBLIC( 1 INDUS.( } NEW i OLD t EW.I I J►ODITION( i TRAILER I 1 TEMP.I i SIGNS t } $O.FT. SERVICE: NEW{ I INCREASEI } REPAIR I 1 FEE - -"" CGNDUCTOR SIZE AMPS COPPERf I ALUM. TCH OR BRfAKER - AMPS PH W VOLT XtST.SERV.SIZE t "-' ANS'S PH W VOLT RACEWAY ,EEDERS NO. SIZE NO. SIZE NO. SIZE �IGHTING OUTLETS SEALED OPEN Tt}'PAL" M1 ECSPTACLES CONCEALED OPEN TOTA 13.x0 AMPS 31A00 AMP$. "SWITCHES DESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS, I ovvR APPLIANCES BELL TRAN$F, 11R H.P.RATING H.P.RATING CONOITIONING COMP.MOTOR OTHER MOTORS AMPS �CEIL HEATa KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H•P• VOLTAGE mom MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. fi NO. KVA . ` NO. lKVA NO NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH , FLASHIER EACH SIGN FORWARDED s $ TOTAL FEES, x. g Y CITY OF AMWIC BEACH ,APPLICATION TO MAKE ADDITIONS OR ALTERATIONS Owner AddressT ptF IgE Phoma?�o5t Architect Address Phone Contracto �,',ca. ��i�(�.5��'�4 Addressly�q C'S1E L\ c��P�, Phanerjyy-p�"I Contractors License/Certification Nuibers 011 Expiration Date Property Address �y , 4 . ay-� Lot # Blcok or Unit Subdivision Valuation of Construction $ ��,'� Type of Construction Q Describe Work to be Performed iy, /�� (� /a✓r G7 Materials to be Usede,Az, be IC Present Use of Building Proposed Use of Building Flood Zane Dimensions of New Area: IMED GARAGE OR STORAGE CIIRPORr OR PORCH LECK ' PATIO d2 © ,f'/ YES NO WIBER Will there be an increase in number .of units? Will there be a decrease in number of units? ✓ Any additional plunbing fixtures? Any new fireplaces? SUBMIT IW CUMPL,EIE SETS OF PLANS INCLUDING SITE PLAN Signature OWI`lER Date Signature CONIRAC110R Date DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. V d Q PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date December 28 1987 Valuation$ 14,220•00 Fee$ 73•SO This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. 73#50 l This is to certify that David Di verei fi edStL1J IA i; 7419 Merrill Road Jacksonville 9J68 *00CA has permission to 7 1"effiOVe 8tld =late sereim Varch r 9go Classification Residential Zone RS-1`' Owned by Doti Wallis Lot Block S/D House No, 1S28 Park Terrace West According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE —� ---� 0 Building material,rubbish and debris -zi from this work must not be placed in public space, and must be cleared up an hauled away by either con• r efoyv`or owner. �. ilding Official: I FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER ,AI� Ate. PLANS REVIEW CHECK LIST f i ' ` fC f Address-/�- _ ` T .f A ' " /_,f r ;- Owner - -- - �--- -- -- ---- ----- ----- ------ -�-- --. Legal Destl cripior // �' ______ContractortC°y l / ✓' f` '�" rt r, 1/1 License Number__- ----------------- License _fLicense on File ES.' NO Section 24-101 * Zoning Regulations - ---- � Zoning District---( �------- Proposed Usez"'-_��--�� Required Lot Size-- ,7j _ / __ Actual Loi' "Size Setbacks Required Provided Section 24_17 front _�� _ `� CORNER LOT INTERIOR LOT --. / rear --`'��--- ---�,.1_-�~V/ :- - Flood Zone _ ------- side-1 --- 1` /- ---- - a r` Required Elevation_ r __ side-2 --- -- --- ���__ Max. Height Allowed__ �L____ V Proposed Height__ I ....... Section 24-82 * Minimum Lot C overage Required Heated Area l/' Proposed Area Section 24_161 * Offstreet Parking Number Spaces Required__64-__ Spaces Provided— /),6H Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES NO Utilities Water and sewer service is to be provided by: Buccaneer Utilities LLJ City of Atlantic Beach Utilities _____ Private Source SEPTIC TANK WELL Plans Reviewed by2t "�. '' °>'� Date Building Permit # ISSUED DENIED - Ma i Address• / S a2 a' rrr�K 7F/Z12 I C Mated Square Footage3 6 @ $ 3` 'S per sq ft = $ Iy a Garage/Shed @ $ per sq f t $ Carport/Porch @ $ per sq ft $ lleck @ $ per sq -ft s' $ Patio @ $ per. sq ft $ TOTAL VALIMION t R�ii-diid r Valuatioct 3.LOper thousand or portion thereof419 ------------------------------------------- Total Building Fee $ ADDITIONAL FERM TS acid/or EELS RG(UIRLD ( -} Filing Fee 'Fireplaces @ 15.00 $ Mechanical : ---------- Plu,bis�g BUILDING,1FE1 M.LT ' ' $ 73 Electric/New J_-„ :;_:.__,_.:.:----- . --------------------------- Electric/Tail) ----------- ----- --- ..w Electric/Tail Septic 7'acilc BUILDING.PERMIT $ x13.5"O Well W IER MLl�it C1 ME $ n"himbig Pool SMR IWACZ' FEE. $ Sigel WA11M IWACx FEE $ Water Connection MLSC' OUS $ Sewer' Comectioci -- Water lip-ter $ Elevation Certificate' �3• . GRAND TOTAL. DUE $ -------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES AR 101!6 Mf � SHOWING SURVEY -tF IAT 5, BLOCK 3, SELVA MARINA UNIT NO. 21 AS RECORDED IN PLAT BOOK 27, PAGE 6 AND 6A OF THE 'CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA FOR: DUVAL FEDEP,/ZL- 1-._0Arel �o grw STR 0 r u c N w �r OT N 5M w U) CO co w� 0? uQ v/ aJ 0'Y 2 N.?8003' 10"E• t-t5' s R N,� ..CONC.; oR�v E' '• •, � N �3.• W ag • • � W u' v w W u 0 � ' Qui e.� QaT o N 54 CPS 1l^(�9lP pNZO St..pPNRZ Z N WXTQF METERNQ ?r UO 0 O u NI Co1Cv2.3' i ? LL FCNGE oN l.�tiG. r � e5.78 a3' I o"w. i75' FoVMP 112„10.01) TH15 15 A LAND 5U5;ZVE'/. F-IROPER.TV LIE!:: 1N FLooP ZONE "C" WW1CH 1�, 1N 'Tr{c AREA OF MIWIMAL. RECHECKED MAY 1$, 1983 -l'o bRtnkL 5UR%/E•Y FLOQQJNGo. UP To DATE. I HEREBY CERTIFY THAT THIS SURVEY MEETS THE I MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT TO SECTION 472.07 FLORIDA STATUTES. � N. A. DURDEN & ASSOCIATESINC • LAND ee HYDROGRAPHIC RtautsRzo •ltRVtYOR No.l(-7 Fro. —SURVEYORS > POST OFFICE BOX 60670 SIGNEDM�•\�_ J 19�_ JACKSONVILLE SEACM,FLA.32260 SCALE: It 3CU1 THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. 1108 Apr 10s sib Mf SHOWING SURVEY ')F IAT 5t BLOCK 3s SELVA MARINA UNIT NO. 21 AS RECORDED IN PLAT BOOK 27, PAGE 6 AND 6A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA'. FOR,. DUVA1_ Ff�. DEPZ/\l— LoArl sJX'-E E � C Ie. its. Qiw STREET - - . 2 0 r U N wr �j Z D. N ww 691 OY l2 �I �0 3w " N.7S'O75' 10"E. IT 5' cr- Of••J' V N 'j,i 'CONC.r•f�RtV E,' •••r•�' ul u' w 0 t9 ef l9 1S 3 }O ti N It 0. SSitPS �' 02 Nv+4, N07 lr,114 � Vz TeP, 13r 2 � N N wATtia ME?ER•� u N Col Co2.3' LL tP I - Q- N Q o� R ? FENGE ON LING. g - S.76�O--ES, I CD" v V. 1-7'Z--; Fo JNO Ir 2"IRON II I i v i i 'rH15 1:. A LAND 5URYE Y. • -t'Hif> F'F.OVERTT L IF-`✓ 1N FLooU ZONE "C" WA%CN I� 1N THE AFCEA OF MttAtMAL. RECHF-CKED MAl 18, 19837'o 13RIrdG 509VE`i 1 LOpU1NCti. UP To DATE. I HEREBY CERTIFY THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT TO SECTION 472.07 FLORIDA STATUTES. H. A. O RDEN & ASSOCIATES 11[01.TIRYO 9VRveyo11 -74 LAND ♦LJ. LAND sk HYDROGRAPHIC -.SURVEYORS POST OFFICE SOX$067,-.�., SIGNED 1'�A•�� JACKSONVILLE BEACH, FLA.32250 SCALE: Lt 301 THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. i 1'708 AF 10196 Mf ` SHOWING SURVEY -)F LOT 5t BLOCK 39 SELVA MARINA UNIT NO. 21 AS RECORDED IN PLAT BOOK 279 PAGE 6 AND 6A OF THE CURRENT RMLIC REOORDS OF DUVAL COUNTY, FLORIDA'. FOIA: DUVA l.. F=F� C7E �/�I_r 5faV1 NC�`� � LoA1J w �=25•_/ Q V N W wo N o� N LLQ v/ Q J QY aJ 02 x (J �� 3W N.?8'03' I O"E. 1'75. 'Ron2 -� Lr r 67.4' J V N S cows.iaCRfUE' .r•'�' cj f 0 Cox v5- N W 0 �a� z 0 Q l9 t, i8''y O>T d N N a 1i• t11 1 }"1 1° SiapS N Z 0 yt.eP j' 60"CK WhLK � W PI ANTeR u N� 18. C 13.E 3 L 0 'r � � • f` N WA.Ts.R MlTCR-�'t LL N I Co I' 3 p f S.713'03' I O" W. 17 5' FO V AlO 1121,m olq �X 10 THI`; 1'. A LAND 5UF4VE'Y. 1'H1'> f-'ROPEF1-TY LIF-t; %r,4 V%-OOD 'LONE "G" W"%CH 1�, IN THE AREA OF MINIMA. RECHECKED MAY 18, 19831'0 bRIniG 50RVE.`1 FL.oc)UING;. UP TO DATE. I HEREBY CERTIFY THAT THIS SURVEY MEETS THE ;.= MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT TO SECTION 472.07 FLORIDA STATUTES. N. AhSOCIATES DURDEN INC. .aalltrwco sumvaYoll MO.1(--74 FL?. LAND 4 HYDROGRAPHIC .SURVEYORS �oaTOFFIc` sox e0670� SIGNED"- �A.�✓ J ip$L JACKSONVILLE B[ACH, FLA.32130 SCALEI 3� THIS SURVEY NOT VALID UNLESS THIS PRINT 15 EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. 11-708 i WEDNESDAY, MARCH 4 , 1998 RECEIVED CITY OF ATLANTIC BEACH MAR 3 1998 PERMIT APPLICATION REMODEL, ADDITIONS, O City Of Atlant c"9Ach MOVING,DEMOLITIONS Building and Zoning Owner (s) : 13RTH GHTOTTO Address: 1528 PARK TERRACE Phone: 246-6564 Lot # Block or Unit # Subdivision: Contractor: d'4 E'_ (?-(A Etq n -t)CYD (Z (DQ O State License # N Address:6984 PHTT,TPS PKWY DR. N. Phone No: 268-1627 City JAX. State FL. Zip Code 32256 Describe work to be done: replace garage door Present use of building: Valuation of Proposed Construction: $807 .72 Proposed use: Is this an addition? NO 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 (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMM =4WT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS;CONTRACTOR. � q Signature OWN Date: 1 � Signature CONTRACTOR: Date: Sworn to and subscribed before me this _day tSTATE lid, NOTARY PUBLIC ORI AT LARGE My COM MN#rm3881 EXPIRES yr0., A.upust 27,2000 ', ;•` BONDEO TNRU TROY FAIN INSURANCE,INC. POR 6040 , i f, 0"ARTMENT O!F BUIWING r CITY OF ATLANTIC BEACH PERMIT INFOR AT1,OI -',------ -------- LOCATION INF`ORMA'TION - NuA*er, I C? 4 Address:� $ #I `PARD TERRACE ermit yla :REM4DILING' ATLAIrtTIC HEACRt `L© IIlA x3223 of Work:ALTER,ATION LEGAL DESCRIPTION don tr. TY :WOOD F (M, LOtBcck T"�oposeaFAMILY ' US ' SINGLE FAMILY S c�ir►z�: 4 u�d: Rn`g: Dwelling`s ."� 3 S eliv raa� `,SSL A_MA MARINA Est . Value: 0 00 Prov. Cost:: 807 , 72 , Total Fe kinount A, 25.00 Date 391 iL = DOOR . r, -"7v, , A PP L,I CAT I CSN PSE - - A � •�IzaITT 2 .00 ACE. �B F`LOIDA � ° " t a,� Y �e wr ,. _N avne Ov 61r,.e JAY iA 'K.SN k , FLORIDA 32256 Nf7T5: P^ i f r, i NOTICE-INSPECTIOW MUST RE REQUESTED AT LEAST 24 HOURS PRIOR T4 INSPECTION f BUDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE.PLACED,IN PUBLIC SPADE,AND MUST BE CL ABED UP AND'NAULED AWAY BY EITHER CONTRACTOR OR OWNER ti. P `1Ii 0AILURE TO COMPLY WIT THE MECHANICS' LIEN LAW CA.N fiESUL Iii TE PRC�PEATY C3WNSR PAYING TWICE`1=QR BU`�LbING IMPROVE1IAENT ," ED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATTOR W ATIEINOF-APKICA$LE PROVISIONS OF LAW. w,. ` .3 #. ATEA TI EACH BUILDING I7EP TMENT II�I; Ib I f By; 1 j DEPARTMENT OF BUILDING C f CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. 063 PERMIT TO BUILD j THIS PERMIT MUST BE POSTED ON JOB s tO19CAC I Date August 31 19 87 fi fS 114 9/01/ i t�t�Q1 Valuation$ Fee$ no fee This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. fThis is to certify that Forrester's Touch I I l has permission to `i remove 4 ead hickoa tree i Classification ReSidential Zone owned by Kates Wallace i Lot Block S/D House No. 1528 Park Terrace West According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 D ---40 0 Building material,rubbish and debris z from this work must not be placed in pub c space, and must be cleared d hauled away by either con. it or owner. 1 u ding Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER I PLUMBING ELECTRICAL SEWER WATER I AAW v 4 CITY OF 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 APPLICATION FOR TREE REMOVAL PERMIT DATE Applicant NAME- ADDRESS Owner NAMEI Q361\� ADDRESS Location of tree if different from owner' s address : Reason for Removal: Rear Lot Line A C/auoo��N V indicate o r� B possition of PP, qcy tree on o o �'3 lot ►-a Front Lot Line tv � �x � dui aw an b , jBuilding Official rluilding and Zoning ,900F FLAN FiBj- RGLA_53 sNINUEs TYI;TIN6 PATIO ROOF REMOVED ANT _f� � PL���D - - q„ � PL Y 2 x 10 PA F T E R S -- T--- RIDGE hl PUS EN A LIT I j pyf IGKE7 f -\v r CN CRETE i �29 0f"v' TtII f , NEW ROOF { E XI ST l ltl� PATI U I �l DEPARTMENT OF BUILDING (,�� CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. y I 32 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 29,50 TL Date December 10 19 87 PP e 5 0 C K T "Uj-6 I n !2/14 /5 Valuations 4,283.00 Fees A&M 28.50 9332 *00CAC This permit not valid until above fee has been paid to City Treasurer,and is (flClfll subject to revocation for violation of applicable provisions of law. This is to certify that Surfside Pools RP0030299 321 Beach Boulevard Jacksonville Beach 32250 i has permission to a install in-groin sPa in exieting screen room Classification Residential Zone RS-1 Owned by Mr. 8 Mrs. Dan Wallis Lot S Block 3 S/D Ss1va Marina House No. 1528 Parc Terrace West Unit ii According,to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ,I AFTER DATE OF ISSUE 4 10 4---- 0 O Building material,rubbish and debris 1 from this work must not be placed in public space, and must be cleared y and hauled away by either con- traet or owner., B 'Iding Official. FOR OFFICE PERMIT DATE CONTRACTO USE ONLY NUMBER PLUMBING ELECTRICAL SEWER' WATER', r tr: flEPARMATLANT1 NT OP II BW Q` ' C BEACH .."IMF'IG3dlT` ' . .� LOCATCtI�INlrQtlt!lATIOti 1lta `rr ' . bc�Idr >drs I AII`K 3"' RII~A+G I+iEST� 'It` m � t.4 ... + ' FLORIDA It i'149W 'YIP Sect3on s 1'AL.LZ iu�rta j=F 3 t �yp l��yy,pp��1y e Iw�d 00.00 w' Prov 00 Tot* alliLf #' 3# .00 D k jis k � L ROT 1't'J►R DRX"AlNi'l WAT" ATXOIIIf 00.0011 + # 3 DJC '' * "� }�t�� + '�`- �� ..., ,. ry ;iso a�`, � "t r•�R� Parc� ��w¢,.a ..rau�'� ° � ., .�� .r RA001i (340-M. it. U ' � "t NAT ltt ------ RAt" GAS' sxMOF s"m TAP WATvit TAP 32233 fi� ..++��....:.,.q... }ye _yy,��. ATLA AIWE ' 'Itic-lueptcT Flat *0.OoX 1119C.;H XN 'lI' PAO ' PKE 00.° , * • � d✓ 'fid`�' '2-,J.as. 5,r',� `a5N ap,. .w., f F r� NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF,dSB t Bt1I" PING MATERIA ,RUBBISH AND DEBRIS FROM THIS WORK.MUSTNOT BE 14PUBLIC SPACE,AND MUST BE CLE 'RED UP AND H IJLED AWAY BY EITHER CONTRACTOR OR OWNER. . [LURE To COMPLY WITH,THE MECHANICS' LIEN LAW CAN RESULT IN T PROPEF TY OW NERPAYING TWICE FOR BUILDING IMPRV M flNTS 1 TI TE: II411 ISS' D ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND,SUBJE . EVOCATIO# Vt it TION OF APPLICABLE PROVISIONS 6F LAW. cww #„ ATLA A ICEACH BUI DWG DEPA MENT By: , n.]. $10.00 APPLICATION FOR 6rELL PERMIT CITY OF ATLANTIC 9EACH 'PROPERTY MTE R Nam: -7 Day Phone A^ ��� Address Le H -Zip APPLICANT, 'IF Orr THAN OWNER Name c C tt1 ,� �e.rrJC co Lfi'l�I ��lS Day Ph°ne, ,,* Address t „ a 70 Zip .�2 3, JOB - Address or Location: ,�Z,-,-7,j- ef- Legal Description: Is well to be used for drinking purposes? IV 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 bac t ri_olo�ical te_streport from the State of Florida Health Department, co finis ng a certified copy thereof to the building department of the City of Atlantic Beach. A certificate an will not be issued until said report is on file with the uilding department. Department Notes: I' AID JUL 4 1990 . I agree to comply with regulations stated herein; tore bate PLANS REVIEW CHECK LIST Address_ Owner__ �_ ,> _ _ _----- Legal Description `/.; ' �-�> `` Contractor, ,"'!/y '� '' -X/­P' -"=kll - 2-----------License Number"- License on File =� NO Section 24_101 * Zoning Regulations Zoning District___ '` Proposed Required Lot Size_ZL2_)(tL).�L__ Actual Lot `Size b, Setbacks Required Provided Section 24-17 front s ---, CORNER LOT �T 'ITERIOR— LOT r rear .f LQ/ Flood Zone side-1 __-L� -- ---� -- t ; ---- Required Elevation_�.� Bide-2 ',; /q, 1 -------- -------- Max. Height Allowed__ Proposed Height_ /1)7,t_____ Section 24-82 * Minimum Lot Coverage Required Heated Area �� Proposed Section 24_161 * Offstreet Parking P q SProvided_ P"L Number S aces Re wired_ ���� � Spaces ___-- Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YESI40 Utilities Water and sewer service is to be provided by: ----- Buccaneer Utilities City of Atlantic Beach Utilities _____ Private Z_/ re SEPTIC TANK WELL Flans Reviewed _ . . .� I> ;j 1 € � ------- z - -=-- %- ---------Date—,-,>�' Building Permit #__ Ss,I SUS DENIED Address k5a r AA41 Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ C (`� $ /U ,t� Tota a uation is t q _ Re a nder Valuation :3 .,,)4er thousand or portion thereof --------------------------------------------I Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED + 2 Filing Fee $ C~ Mechanical ; Fireplaces @ 15.00 $ Plumbing BUILDING'PERMT.T FEE $ Electric/New ------------------------------------------------- Electric/Temp -� BUILDING PERMIT $ Septic Tank Well WA's METER CHARGE $ Swimning Pool SEWER IMPACT FEE $ Sign WATER Rv1PACr FEE $ Water Connection MISCELLANEOUS $ Sewer. Connection Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES 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. _____BATHROOM GROUP CONSISTING OF _____SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (G) , WATER CLOSET VALVE _____WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) -::�A L0 -z-- R ' (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 FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY ( 1) KITCHEN SINK WITH WASTE GRINDER (3) _____DENTAL UNIT OR CUSPIDOR (1) _____BIDGET (3) URINAL STALL, WASHOUT (4) _____FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WII FOOD DISPOS. (4) _____URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) - ------DRINKING FOUNTAIN (1/2) _____LAVATORY, BARBER/BEAUTY SHOP (2) _____LAVATORY, SURGEONS (2) _____SURGEONS SINK (3) ICE MAKER (1/2) • O � L TOTAL FIXTURE UNITS @ $10. 00 EACH JOB INFORMATION---L-�-Z _ � � --------- CITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT Job Address 1528 Park Terrace West Lot # 5 Block # 3 Subdivision Selva Marina Unit2 Owner Mr . & Mrs . Don Wallis Address 1528 Park Terrace West Contractor John C. Scott III/ SURFSIDE POOL Address 321 Beach . Blvd. c11 -_, � License Number LR RP0030299 Valuation $ eo Gallons SITE PLAN r front see survey attach N N Fi. a w (D m 10 ot� V � � 1 rear Building and Zoning Signature Owner Date i' Signature Contractor .;bate o "r L a F'� �x.�,2y` i���� ��.,gy', � °^b�:.,� f.„� yyj� � 4� �`.$(� �� w"k ���♦ Tt-�, 5 � }S6, `��f�� °NAY � ',,�'� �p y, ri# ti f5 } '' ,47 �..f� ,� >�.,� �, .k � r # f z"'�''��� s � ,�",,����� �' t.- x�`� aid * >•, '�. ai. sf y u ✓��' kips T �r M r , � t , 1 v fj ii R S r 4, y ^ k x k T 5 C f � I 1 h�hj�v'.�,{�ry�,+w,yp''•;� •.. �yp r� :. 'zr 3J.' ''��{�p} Fig'„ x i �aa. •.g'•r �."'u t '° w'��+r*��:t "i•„�' .:, �? e wt $ rx �s`� �Ft�a •k ,Fa. MISS � ���� -s ;x,•�` ¢;;z :�”' ks kd �Yt ^, 3' ;�'Ca,3.'�.,:tet.. 'QEF: s,, Pk s :s�.� � �� < �°t�4�,� "$,N'p "s' '� �� �C '� ,�s;c ."4"•t r`�?�P °s��9, �Y • _ Y. xi { Mfr o��� �"�"m4'r`. ,. :�d$ � .a,+� m,r,;��„�° &.M k yrs'" :9' A�>•.:: ar.� r'r .� � � a�A,c� :'�,k 4�✓i ti }V§i- � ql SF •,� �'k .� ,A b $ 9 .�; S� d' q`l.y.� S�e'��Y���,� a ✓r r,w�x��,� ,',�z` n'�-'. � 'a ,�^.� r.+��.f.�-, . .€.. �"'� n.�r.",, •'"� r4'`a�:.1rr, �`p, '��r �"` r ,x rfF'"Y;;S,:,r..� 4 �x,r.??,� :'�'EYr3' .Y�'$ .. F.:' ^"� +��A`✓"� ,,� �p��� yi ,..F 4�+.�m�it�7y� �� L.w� �F"rye:y... y 4� «�,� ,. `ar 4"'�:r.' s�"'�c r er r`r,v :�.,. „.ro>i e "<`.o,X �,.-:� w. .'"' {, «�� r. s '��.�.�•x� ."I k -'�* �` '�y" � �} t- nt °tfi "✓ ` -;.: ti R, y: 1: ^ ,'� � +� , 4 Y°i*'+^*'a,.L y5 �?+�, 'e; ,n 4✓' .��.y 4 M '�`��t w V k$tV F" fiAA „.N," s'y#[uD,"`" 7<� .'+. d � yp MA G t,• JA�ST. p A ,� S � KP(Y L n� '�� #'may�,'.�• ,i+� � v 26903 , REORDEREROM QUAUTV pUSINESS fbRMS.INC (601(766.5652 CITY OF ATLANTIC BEACH No. 6176 FLORIDA December 10 19 87 NAME Surfside Pools ADDRESS 321 Beach Boulevard CITY Jacksonville Beach 32250 20,011 L 20,,0UCKTC 2C37 IA 12/10/87 P_ A I. Q 6176 .00CACG P037 IA 12/10/87 Water Impact Fee #40-343-3700 DEC 101987 $20.00 10001 Lot 5 Block 3 Selva Marina Unit II 1528 Park Terrace WEst When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Paymenf CITY OF ATLANTIC BEACH, FLORIDA TREASURER CITYOF 4&6# ((C Bit-0;&$944 Office of Building Official REQUEST FOR INSPECTION Date �� Permit No. Time A.M. Received — P.M. District No. 1 67zrE ylcm, W es),+ asLS736 Job Address Locality , Owner's �— Name Contractor BUILDING CONCRETE LE TRICALPLUMBING MECHANICAL Framing ❑ Footing ❑ Ro Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. _ Wed. Thurs. Friday P.M. l A'M: )- _ Inspection Made Inspectori Final inspection❑ Certificate of Occupancy Date CITY OF /C)07- ( yA� y /` /C)" ,.&40 do tS 4"-APv� e�K J*-1 Office of Building Official 11 4e REQUEST FOR INSPECTION Date v Permit No. U Time A.M. Received rpm. District No. Job Address Locality Owner's Name Contractor iin, G CONCRETE ELECTRICAL PLUMBING ECHANICAL ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating + t] Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION �--- Pre Fab Mon. Tues. Wed. Thurs. A.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF �` r�laKttc i►eack-�la�Ctala Office of Building Official ? REQUEST FOR INSPECTION Date ( Permit No. 93y � Time A.M. Received _ P.to. District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECH NICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTIONPre Fab w/t A.M. —Iron. l v j Tues. Wed. Thur - Friday PM, A.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date FOR OFFICE USE ONLY Date-----"Y....'.-1-...--.19 -0.6./ Permit #.61. •-Fee ..X CITY OF ATLANTIC BEACH ........... Valuation $ . ..... FLORIDAHouse #.----•----------••-•-•----- -----------------*.......... A(tA, .T ..... -11 APPLICATION FOR BUILDING PERMIT ............................................ .................................. -----_............................. Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarTasment regard- ing intermediate or final inspections it is suggested that-a list of sub-contractors be submitted to this office so that licenses can be verified. w) 1 #7 Date.......tw�................i---------------------------------- 194...... _f ZZ �2AAJ �Y , Telephone No.--.---_---------......... Owner-- --------------Address--- ------ - ------- --- -------------,-Telephone ........ . .........----..Address_, ...... ...... . �,__-Telephone NdC Contractor Builder .;5 Address-------------------------•---•------•-------- -•-----....Telephone No. 4 IA .... —---------------_Zone----------- Lot No.__..!-_� ...........--------------------------------Block No....... ---------j--•-----..Sub Division__$It; n ... :-------Street-----------------------'Side Between-- ---­1.......I-------------------------and--------------------------_-------_--------­----Sts. Valuation .....---For what purpose will building be used..... .......... .........-Type of construction_16"1.ti.,�4,:,_'.A�O.-,�--.�•-$ Dimensions of Build ing__,,32,..Y, _.(J_1_.------------Dimensions of Lot__/t�1*2. Y.2 - ------ ----7_�. .....__.........Size of Footings------V__X---7�---471--------_- Size of Piers------------------------------------Size Of Sills._... ---------__.------.Greatest Sill Span in ft--------------- -------Type Roof--- ........................ How will Building be Heated? Building be on Solid or Filled Ground?.._., .......................------- Size of Ceiling Joists--- ---------­­-------- Distance on Centers..............­_'�-­--------------------- Greatest Span-_-------.------- ---------- Size of Floor Joists-----_ _L141.......------------- Distance on Centers... .- ... ................................ Greatest Span---.--. .........---------------- Greatest Span_------Z. ..............------ Size of Rafters---------t,4----------- - -------------------- Distance on Centers....... -----------------I This rectangle is to represent the lot. Locate the building Or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. _194 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City f �ti nt' Beach. ic ...... Address' A Cj�44, .................. ......- Signature of Builder. Signature of Owner.. .......... Addres94 4- ....... ......T. .........A.A�...... ........................ .................. � � .Jyu�,y."<,.; ;#'r�n..�- .amu:: s�•�.-;`�t,'�y dka 5x ��`,ti-�a*„tri '�tS+. * i9^'".'# =-v.+a^ x � ":_ '-�,F _. ,uV^ • � e'q�s���e told. SiMpi► ' .at,tl+sr erdee.. 0 �'t ,asect Construatl SON VF TUILS offI. ..... ........ ...........•... .- 0 Uh4 1tr'ConstructitNt !' IT*be la>tsrtei by FOIA of VA) Propel y address t - ..._ S:oft Mort fgor or $ponsol ♦.mss , t .- iNumet � .. _ .�fJ�rewi Cont, or Builder¢ _ ____...___ 1N�1"�trlC'�1ipN# J. For ;dditionol information on Trow this form is to,lrs submitted. numfier 'mnnntwr► •rem uta t i of capi etc,. see the iasftuctions bpplicable to the FHA Application for � • cannot be eorrsidsred w+tsu specifically descrd6ed. Martgag Insurance or YA Request for 13s+s* ination of Reasoaabfs Value, 4. Include no eflertrstes. "Of equal"pl►resst,or eoMrodictory items, (Can. as the eo may W. sidsratiob of o m"d toy ocesptaloce of sultetituts materials or equipment 2. t?e ribs alt materials a d rquiprme,rt to be uud, whether or not the" is net tbrrstyr t►rortrri!) on the d wings, by-marking I N X in each appropriate Aot!-bee sad entering L le dv4 slgtrafirrss inquired of the sew of Kris form. *6 11 ion called for in aeh spose. H spots is inodsquate, enter"See +, The oensltret;ost { be saanpisttd to so4tptisares with the totaled arise" describe under its 27 or an en oitaehsd sheet. ilwings sa$,spseifloatwrn. es amended iurieg processing. The specil;tatrons 1. W not specifically d ,heed or shows will not be considered unless ` ssrls Nnia Clrncriptiser of 1At#eriik orad the epphc"1e Minimum tanr'luct,on required, erhsa the minirMrm cceptoblt will U � WOA ssestding !<equirenssats 1. 11X ;YA71GNrBei {{ ring soil,type .�_ _. _ •_�s, _ .�1., �.. - -- . - -- . ______ _ A 1)tl IIAtIQNf: � ,g r�r wt _-­ FIXrngs: Concrete a Rn f ,._fir .. .. ................................. n ot�ng F'o .dation wall: Ma'erial __: ,. ._. _._ Winforcing _- <. In nor foundation ll: Materrxl ,.__.$� _l:,i:• _ Party founrlstiOXWAlt. ,...„ . ... . ........ •• --=. Carl no: Material ar d slze------ ............._ .: ._,_.... _ Piers: laterixi and reinforcing__ , Gil ran Material an xr::es.._.. ,._._._. _-__._ Sills: Material meet entrance a way ,{ Win&*areaways 'Wa rproofing ._t-. .- _ t. let_ �`' ... boating draiui Termite protection _.- _03 Z. ' , �,. Q_t _S.l±i.�,e t' . ...Q.-z..}�.t_f� _ : . -. ti N __... .. - . - --- B mentlrss space: round cover ...:. __,_.. ,;._ _._--_z.;.__._ lnsulat,fuu ..................:�Founr'lation vents S al foundations .i-, ._ __. ...,., .. 3. 0111 NIVS; �+ r�r "» r� A Ma trial - - i, -1r--. - Frefxbriested-f pedike a*d sitO �A, _ ---- Flu; Flu lining: Naterial l._Cr ., lReAter flue size_.:._� _. :: -. _.._.:: .._._.:; Fireplace flue size...1 Vers (intaterial and ac) Gas or oil beater Water beater ' - -------- ----- ......................... ----- •--- ----- 4.-14g ;LACES: �"y : 'Solid fuel; ( gas-burning, 0 40realitarl"lath end sass) „ .__..: »..__. Aslt d4mp and!lean-out--_-------------_---- Pi .. ,__-_ Fir lace: Facing � ��_ _#�j{a'+�. _; l� _�S`,I.�.�C ,,��u;LV. '3�SsrrEkw. �ts�.�:� i .k°M"tet �. flat IDR w�kwl: err � ._------_-------._,.._ .. W frame: tirade rx� species . .IT_. 3..1 '� 144,- n.. wtclth ------._.. a[$ ._,_..,;�'p or feat:---_ __.- _._ __-- Cosner hal Building x Sheethirrg s �, Q spk : [� diagonal; �Btding -------- -------- .._ r t__._----- : grails! y� ;sialt '. p ; fastening t _ _. ex -_ Shingles - Y- ; grade : type :foie ;expe"re--------- fastening - ,stucco ...___� __ _¢ + ; thickness Lath �j ................, Weight lb. ItMssenry ven+ser R �_ MG. Sills _.�_1l4J_#s Dllt Lintels _---- __. xae rnr Facing#--,-- ---^--. _.,.,�; backup .... .. ..... ......... thickness _...,.__._.__ Banding-------------------------------- Poor sills ..-----------------.... .._ Windo,4 sills _ Lintels -_ __ - -- rlterirsr surfaces Datnppraaifng,._ ._..._c"ta of _...._._ ; iii 'Exr ��+�1 g ar painting: Material _. .Aso "►. k CVAT�-_---.Y1_l!, Y1„ - ��� +t_ 1At 1 pgurinbe crfc _1Wt*#•�G Cala vo tssutta�tiqu: 0 tae ss atain•wallo,10.asthar .S__lA..dlNAF__AA,, _irlls�„l .L� s " ,..... .._�,..., .,.__�>_._..,.,.� .._5.... ..............y..,..__,.........L..,------ ....__.. w_...........__:_-...,.... . i. lgtybg ltgilMs `-. ,;. `• Jois Wood, grade and s es ------------ g - - f ; other _, __....... ..... .......: bri+lgtn -- trrneMtts Cart rete dab: p tart floor, p flint floor; {� ground supported self-ettpgot*tag;mtx _1,� __ ' _._,thickness forcing -------------- ; ; fsaienpbxane Q� If X13 arseiibr slab $ riatknees ' - �. _ ro m.*0: i:. tt,t� ------- __.. _. 7. s OORIM6: (akus+ s sndatlooring'fo."mew Asriat,aarifer item 21.) US ial• Grade and sipeeie. site 0 Mrst floor; second.:ftoon 0 sittic.,,. , , .______ sq ft., C1 diagonal; p night angles. _ _. ------- -------- ------ -- ----- ---_---- --------- ------- •--------•---- f. H11i 114.06 INO: ( o«t osty Describe other S ish Rooting sailer ileac pt.) ♦nox Ttonus G 11f* Srscres Tpictirsssv wwr,, Fru.u. Pwrsn F+risa w. Firo floor--- -- •-----F• --_--._.�.__ ., .__.. . ......... -... -- d float 1--------- --- - - ---• ---------------' •--- -- - Atli -_ t` DESCRIPTION OF MATERIALS 9.'VAJIfITM FRAMING ry c p� Stu Wood, rade a d s odes lfr�. . ..i...�-.-�"a._ Size and acro � s $. ; g l spacing _X Other - --- - - It, Oil lsS-`PRAMINO: ,r Joi s. Wood,glad,is,d species. �;}• �.._.:a�_rOther . .... .. ............ Bridging _._ ..$AL.J..o-----_:_---.- -.._ :.. -. . , -..---- - -- - -----------•--- 1h Raf.ers; Wood,grad 4040 FRAMING: j and species ._ �.�!... �:►..�..:rte_._:_. Roof trusses (see detail): Grade and species ..- --.._.--- -•------:-.___. 12. R FiMf.: 3 thing: Grade a species . .._.-- --- size 1 Y, _; type._ _.._#_.-._,_; ❑solid, ❑spaced _..Y.. O.C. ht or thickness :size ---- fastening........ ----__ Sta a or paint . Llulcrlay _ ,...._� - .T. ------ -- Nuil't-up ronfinK .................. ------------------ ; n..rah:r cf plies ;surfacing material .... - --................. / Flaiihing: Material _'' _�.--_-- ._ ..� - --- ._ ._; gage or weight _'?Av--- rid:__.; iggravel stops; ❑ snow guards - - ----•----- ---------- -------...---•------- --- --------•- --- -- - - ---- --- -- ----- ------------ - - N. siltl'ERS AND DOWNS/P.OUTS: /J r„ , + wu*ers: Material �f._�L ____ _ -__-;gage or weight.16-._-.; size 5--- -__ ,shape - - _ Downspouts: Materi �,_: _�� 1�_�'},._;gage or we ght--�„f�lt._; size...WILL. -; shape..2_4T.............. number ------ Do+nspouts connect to: ❑ Stores sewer; ❑ sanitary sewer; ❑dry well. JKSplash blocks: Material and size .. _Q_N ------ ----------------------------------- -k - -- --- t�_ ] 11. LATA AND PLASTER a ._... � - �*� 'f A �.fi� NT F------ ri. _T j4,� / Lata ;Li 4�i�tfeKh .'--._ Plaster: Coats___....; knish ......----•- waits +:!I ater al . .._ --•- wel r h ck e 1)4wat1 f walla, C3 ceilings: Material .�i't_i-T.4.0 ._ .; thickness ..V2.; finish __S.j4d._��.�'�._.; joint treatment IMAPAT4_ ' -- •--•- A_: .?.y: _ -/D __�i-Z. l . t. '� L -t-T .L1 ------ -- ----------------- IL DE€� _ATING: (Pont, lfpoper,efc.) i ftm##a WALL FINISH MAMIAL A�11 Arr:11'ATU04 CRIL.1NO FINISH MATtRIAL AND APPLICATION $ithen------------------ _ Ba ......... ------- --------- -- ------- - - -- ---- --- -- --------------- i - __-1---- -------- -------- -------- ---- -------- ----- --- ------ -- --- ------- - - --- ---- -- - -- ----- ------ -- ----------- --_-._ _._..._._ _. _ _._._ ____,._. __ _ - - --- ------ - { -- -. 1S. INT: 10R DOORS AN TRIM: S '� E T W �'0�qVU _ �-�-�;r -`_ b1 ,"Doors. Type ..(a----PA_)i1_L_ '_-, material ---- �4 _-.- - - thickness Docir trim: Type �Q ic_L'(__ .__.; material W- Base: Type ---5TQ%k , material size_W�n Finch: Doors -_--------------- ------------ ; trim P_A i I E T_ -C?-_.:._ -4 - to..4►_I M Q' .Z.Ft_M13;�s oto Ot1Fr trim (i'CTn, type andlocation)_- A0A>_AS_. J._QUY:E Q 0 A1.1 _0114421__. .�?__t� f._ . . - -----------------44.381.0.111.4IL_.. SKIM, ---S-4.R W-M------------ - -- --- 17. �t �OWS:Type_510'!_Wtij0Q; t make _�_� �`.��.�:!:_-_. -_......; material .(,� � _.__--_-- -; sash thickness Gla' c Grade_-0.5j's------------ C]sash weights; Wbalances,type ------------; head flashing . Trijn; Type..S A !, 1)VJ 4S,_._; material;._ i . k. .,__..:__ __---._ _:.. Paint :Q-1I-------------- .._..- ----- -; number coats _." — Wettherstripping: Tpe _. _----__ --____t__�_- _; material . ........ _ --„--• - Storm sash, number _.: Semens: IR Full; C] alf; type •_- W_, ._.7.�. ...; number _ _ _.; screen cloth material 10,13 &A, --------- Ba'ement windows: �ype --------------------------, material ----------------------- ❑ screens,number ---------; L Storm sash,number_ fslnrNers -avr►,cie.vs t.4 }: ,j'?e __ A L _�2_�t: i�t.±'t I(4�_ _ �.14'�S� ►�i _ . . Q `► y? V A ----------------' _�A--------0_ ..T-A T.-An.-$ 1_--- IL ' -•-- A_.T . �t.:- - ri - ---- IS. ENTRANCES AND EXTERIOR DETAIL: n � Mainentrance door: aterial _-W-00-4; -_---..; widthpV.._fr ;thickness...�.vi. Frame Material:_���_�__; thickness-.., Othr entrance doors Material :_! 1G*_aat._ ; width__2'g__.:;thickness.L!O'.��Frame: Material_.4L�4 !'.e� _;thicknessHe _�_ " d doors: Thickness-- • --•--------------- --.Weatherstripping: Type_.A4_L l M-------------------- ; saddles 3ctyE --.-----. ; number __...__ ;screen cloth material__:.---_!_.._ :._-•-- Storm doors: Thickness_ ,number.. -__ Combination storm and screen doors: Thickness_____:._"; number.__...., screen cloth material _.._ _. ___ _. . __.__. . .______ _ ------I—— Shittters: ❑ Hinged;'$9fixed. Railings -----------------------------------------------n — Louvers -------------------- -.- _ :__ .._ ----------- Extrior millwork Grade and species _4.__" # ;---QAJJ_2Paint I fQ 0-:4. number coats -------------------------------- -- It. CA*NM AND INTEIIIOR DETAIL; ; AC 7 G AT F + 1►t� � }� �_0-444 � �1� C � �� }��1+►.� �, Hit"hen cabinets, wall units: Maternal -- ------------------ --.. ... ; lineal feet of shelves'------------ shelf width__.... k Base units: Material , counter top _a-_! _ 4 edging --- -. ',]ltk and end epash 1-� _ ..�y Finish of ctbinet*. :_ ..._. - number coats Medicine eabinets: Make . -M-1_X. g-� ------t p -._._�. _ _2Z,model _ •--- .- Othier cabinets and built-in furniture .--------- -__.----- - --- :_. .:........ . ..:.7"'_ .. 4__ e_ I:. -- --- - — ------- - to tT IRS: RISCR$ i $TRIM1'0 IJANDRAIL BALUJITe3. MaterialTAtekaem Materfal Thiekner material $Ise Material Size Ma..nal i S e Ba*ment ------- _r 4 ------ -- ---------------�--------------- ------------------ •--------- - i - -------- Main. ------- Man...:. - Att c:-- 1 ------ - --__---• ---------- �= — - Diasppearing Make jand model number -.-----.-- ---_ -..._ ------------------_ - _. -- .._4....---------- ----------------------------------- . ----------------------------- -- -------------------------------------- I' s y : i � r s 21. Al 1K0*0 AN WA"OSCOTs LOCATION XAT=AG,Goma. Bowe, alta.GAG& aw. Taaaanoaa BADS -I- tyl�ssri.oue Kitchen-_ .Q �h�1_S�i_ G - U_J_1`_"-! `�►_._. _fe .�. '� ----------.. »-------- ------ ------ - - -13 -----N------ - Bath ! � 1 L�_ AF S 4--------- --- ----- - - --- I. G ..,., _ - -------------- __,__ - - ----- - _ ---- -- LOCATION !, Jd ATtIAM,CO(OR,BORWIL.CAP.SIZCs.GAOL,ETC. Ht1O11'r HCIGHT At Tvs �-HCICIIT AT SHOWXII ._it _!�.SsllR sI l I1, to Bath. �?ff----------- - '� 4"-'- ------- ; - ------------ ------------------------- -------------------------------------- - - - •-------- _--------------- -------- ------ -- ------------ - broom accessories. ❑ Recessed; material .......... .__--<_._, number _�»__, attached; material . ---- --- -_; number -- -_ ! �.. ----------- ------------ ------ -------------------------------------------------------------------------- .._ t - ------ --- P71rcRr NVURM LoCATIoN MAUS MrcR`s F)ITURs IDtNT4flCATION No. �sizz Cows �t story_ _____ -.. }�--_---- ------ �_7 _ _.�l tt!.l I'�. __ _ f.3i� !7__________ _. G X 4 �.tet;2 SSI - }'4 _bA .......... al ter close!.. t- »----1'W7-.&_A.A_f---_------- _--------- $ th tub_: --- �A1 - - - Q - 1 - '-t 7 1 M_ _Z'v 1?-. :. --- ---- C G .(l wer over tub* a ----------------------------- ---- • - - -------------- ------ S11 show i J� I 1.A_'L k it C_Ji._A.1±1�'s rZ .�t.tOD -•-- undr J---- 1._A_Y_mk C_It_.A l'-Tt--- ---- -- -- (0-'ulp— -,_7_R l!?'1 "' ----- --- ._ -- --------------------- --- ------------------------ - -- ----------- ! .}(. �??S�"lZ ...._��'t`�i � � $P E��1[�►��I 'I��/!4�----- - -------- - •q Curtain rod 4`94Door 0 Curtain rod 4ter supply:V P� blic; Q community syr; O individual (private) system. age disposal:14Fublie; ❑ community system; 0 Individual (private) system, * kou, &*d de 'b individual system itt m mptete detail in separate drawings and speciJteatims aeeoniing to requirements. House drain (inside :',Crit iron; p tile; Q other--- ,»-__---_- House sewer (outside) C1 Cast iron; Lgtile; ❑ other-------- W�jer piping: E) G lvanized steel;fS copper tubin , 0 other ---------------- ----------------------------_-_-_-__ Sill cocks, number ti Dimeatic mater bea r: Type ._ __!...._ --� _---:__.; make and model _1..!■t-JS� l�_! ----------------------------------- ---------- ..__. ...-_J - __. gph. 1Ob° rise. Storage tank: Material.._.------------------------------------ , ca acit - p y--- ------ gallons. Gas ser drains conted company; ❑ liq. pet.gas; []other----------- ---- ----------------- Gas piping: ❑ Cooking; Q house heating. Foo,Ing service: s co il}�,cted to. Q Storm sewer; Q sanitary sewer; ❑ dry well. Sump pump �, -- ------ -- -- -- ---- +t- -- -- ----- -- _ [ Hof water. Q Steam. ❑ Vapor. [I One-pipe system. [I Two-pipe system. / 0 Radiators, 6 Convectors. ❑ Baseboard radiation.. Make and model .-,_.Poo-e Radiant panel: 'CJ Floor; 0 wall; C]ceiling. Panel coif Material _,O/k/ 4 QCirculator. Return pump. Make and model . _---_:._______ _:._ . -. _ . : capacity Rpm. Boiler: Make and model------------------------------ ----------- Output __ --------- - Btuh.; net rating _... _ tituh. -. - ------ ----- ..--------------------------------------------------- ---- - - ---- ----- ----------- - -- ---------- - - Wlarm - ------- --•----- ------- Wlarm air: Q Gravity. t0orced. Type of system. -_ _ . Duct material:!Supply-------_------------; return-------- -- -----__._ Insulation __.:._.- thickness ---------- ❑ Outside air intake. Furnace: Make and model ----------------- --- : - _-.___--- -------- --- Input _.-------- .___ Btuh.; output ----- Rtuh. ----------- .. ------------ ------------ ------------- - -- _. ( 'Space heater; L] floor furnace; 0 wall heater. Input__. . ............ Btuh.; output _._-- -,--: -__ Btuh.; number units _-_--._.-.-_ Make,model • ----------- ---- •------- - ------ -- -- - ---- - -• - - -- � --- Cyhntro}s. Make an types r _ -3"L_>;..._- -- _.-. __-------------------- .... .. ......._---------- - - - ----_..... --------- --•----- ------ 0�el: ❑ Coal;)k 0); ❑ Can; Q liq. pet. gm; ❑.elect ric; ❑ other ..___. _. - -_ -_------------ storage capacity --- _. ------ ---------- - _--- --- -- --------------- ---- --- ---- ------ ring equipment f,rnished separately: 0 Gas burner,conversion type. Sta)ker: C] Hopper feed; L] bin fled. t Oil burner: Q Pressure atomizing; C] vaporizing .-----_.---__. .. . . _ _. - ---- -- ..------- ----- -- - s I -..._,._... ------ Control... --------- Make and rsxid , .. :. ------ ----r.•. .....___- ---=----- --------- - l�trlc heating #**Wm: Type .....--------------------------------------- Input;.__......__ watts; Ni ------------ volts; output ____;_; ,.._._._Btuh. Ventilating equipment: Attic fan,make and model .__1.----- .._.{ ; capacity cfm. Kitchen exhaust tan,make and model a --•/ -`±.T_�.�'tl- -_..,,.P1SIlJ 1l�1._._N-1.1'f Q N.k._--'SVIS Cher heating,ventilating,or cooli,Ig equipment ------ ----- •_ __ ------- _....._-_------- ------ ------------ ---- -- _:-----_._-- .- - -.. ..._._._ - --_ 21 �ECT1ttC WIRING: $stiles: Overhead; ( underground: Panel: ❑ Fuse box;W circuit-breaker ..------------ Number circuits,_ 1�inng: j Conduit;,!] armored cable;%nonmetallic cable; [_! knob and tube, C] other -. __ pecial outlets. Xiltange; Wwater heater; [; other [ Door bell. J1 Chimes Push-button lctcatinna . ; . Qit,+"... $, l _frR r 4 0 (: O t. _ _: ------ 2f.` G41Tuic FtxTu� : e p •• t�hs T +� A C Tt�A ¢,E y4 �� �ptal numlx,r of fires ---_-- -.. Total allowance for fixtures, typical installation, ; .--_----_.------ 10ontypical instalt:tion _._- -------- ----------------------- -�i■.■r■.���■■�■■r■■�M�I■■rr_.■.�i■■■■a■�■.■■r■■.wr■■r■�rr�i.rrl■■�.■■�n■■■�■■���.■n.r�n■��■.■■�r.���r DESCRIPTION OF MATERIALS 0,4 wt # 4Nj A > _ x ,U tufa T , v n lllaatas. ar+tflp+i",Ajt+4rn�►er► ; . •r`" � �� �rar�aa iswala4fa r sV.VIJ �� t As, z� .�.s.«. .. �. _ _ sr ±r u:z ' - +.. � >+-. _.«#.• r. tin, �+3`s.3, a«p+ow.♦ }._,.«.... ( bac axyaeatix tve,{tiiegaJtesta�a +'I stf"Ctiti if #�.oa _ A_�ya�-- tjo .{ip AMI fjai1 _ ' Qtat.�, y1 �k "N fi tK? await i +_: 1_� _ Aw 4 VIOL77, ` ire blind$ a1r -.ti..... n r � "I` £ 52:•a `Seg- % .f _ ran" 'y i8s ws « aaslrea ago r , ....... .. _♦ .._. _si..-.. ., ..}..r!. -_r ,y. t4+moi ,... ... - n n PPR,. y. sf Y �CGAI AGM t "ct AIaf�1HDRittM YS2 w W �_ �(�IG... �+r•'+.� o....iiir`i:... .ttt nneS w*y Wia3th . ° Sats tniwter .. __.athkkite"+� Sarfstin tnaterls� __ thickness Fro t walk: tt"idth 114snCFti l a. a «` ;thi +aess- Servt�''M% l th Mate ;ehicia,a,u Sie :�lY,tc�nal .. ., �,. �. .._ ., � ..:�=.�• r`��asiA ;' ,., . ",.riw'�t , : .-',"< '(`hac:�. w:►Iia ...... Q � CNSCf[ 1MlN .YtMtN1'� .' jS rity all exterior onsite inft"IVe*w%t*'*t d Otribed Osewhers, itrift* ,tueh to unusual pr*dixv drainage struotures, f ,eco, rrltli>yta,sign #c t61e 's1tefq�trt„ - ------ i .. .---------------------- ------------ ------------.--..f' _. ____.a__ ,- 63 . f L�tA!"iNi. !'L�AA/t M11� Mli�#t #�" s -- --- - ----------------- -- -- ~ - T© tl ___._._, " th ,k: Q Fitt yard; Q tide parols; Q rear yard to .•...F ..._... Stt in main building, haM► � soedsd,+wdyl00"of iv'e . �ro�t yayd _. ___ _ G' side yards ; C� r rl� _ 41 Shatfe�trees Jrlrrcit#luciaa,_ daiiper. Evorsseea trew to Tt . _ .._.,_, Low floweripng trees,deciduous, ........:}:_"is_.;.---------- ._._.. ._..Ev�. ream shrubs, .._ . to -',BAB. High-growiing shrubs, deciduauat, to Vines 2- car f+ Y Medium gro ing shua ;.det#e#uatss. to - . --- TVrNrit°tt`Ar[ox_—This exlhihit'shal! �e identified by Pw signature of the builder, or Rponser,.and/or, the proposed mortgagor if the letter to know at the time of a pliIieotion. I)aa to - --------------- - - - - -- - Signature .................... r- --------------- Signature ..., - - --- i a