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Permit 1665 Park Terrace W (vault) FOR OFFIC US ONLY Date........•. . ..............19 ...... Permit #........................Fee$ CITY OF ATLANTIC BEACH Valuation ------- 14............ FLORIDA House # 1 ............... ............................................................................ APPLICATION FOR BUILDING PERMIT ------------------------------------------ ............ .......... 'Ap#jcation is hereby made for the-approval of the detailed statement of the plans and specifications herewith submitted for the bu1W9 or other structure described. This application is made in compliance and conformity with the Building Ordinance of the• I' Ity 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 embarrasment regard- ing interrQediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date. - ----------------------------- Zar Owner----------------- -------------------------- /�elephone Nom:_........ Architect................... ..................... ---------- ------J--_-----------------Address.......I.......... -- ----------------- lephone No--------------------_------ I 1 11!R). Contractor Builder ------ ------ 01.�- ...Addres4w*;?10.� elephone No�?'Xay.f'ow. _s -----4Btlock No+ Division,_ Lot No.- .................... No--------------------------------Sub Division,... ------........Zone. -------------------­---------- treet.. - —------Side Between_................................... ------------and....-----_'_"'.71 --and..........'_"'71—-----­-----------Sts. ........ .............. /. ......... A------ ----I—------- Valuation $- .wr-ca 407070-----For what purpose will building be used---4.,SA '9't'7-'#/rype of constructlon.JhP,4*44--- Dimensions of Building.lx:�P.-. , `,}._._-.-Dimensions of Lot-4MV4..)(.... .. .. .................Size of Footings--..- Size of Piers---------------------------.......Size of sill's-------- ---------------GXTatest Sill Span in ft......"—--_---------Type Roof.................................. How will Building be Heated? 4&f ... Alf)P_��*Xtre -0 d------------- ill Building be on Solid or Filled Ground? Size of Ceiling Joists...77�-*5_54.. ...... Distance on Centers............ca) -'0...................I Greatest Span_....... /.................. vp Size of Floor Joists--------------------------------------------- Distance on Centers......-.-. --------------------------------- Greatest Span___-__--._....._..._.._ ------------------- op Size of Rafters.----.---- --d...... Distance on Centers........ .. ................. Greatest Span---------A.Jr........................ .. 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. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. ►a 4. When framing is completed. E-4 5. When rough plumbing is completed,and ready to cover up."�-­ 6. Wh6n septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. vi 1 8. Final inspection. Note: In case of any rejection,re-inspection MtTST be called for after corrections are made. FRONT OF LOT � consideration of permit *ve�for.0dIn'5g ngtheOescribed in the above statement, we hereby agree aperform said sp 1i are a part hereof, and in accordance wi e work in accordance with the attache P a sp ledtion , .. :,building regulations of the City -c Bea Signature of BuilderAddress.....--•-..i �P-474------- Signature of Owner.. ......---- -••-• -------- ........................................... Address.................................................................................. t t I ` x DEPARTMENT OF BUILDING f CITY OF ATLANTIC BEACH �..,. p I INFO fiIQM -- .. .� . _.._ 1«C? A ICN I 3 'o TION .. _- ..�.. �� _ r Permit $umber, 11417 Address;, �.'665 PARK TERRACE WEEN Permit,t, Type, Sul LDINO ' �TLANTIC 13ERCH, F'LCRII?A 32233 clat6 of-'Work- ALTERATION ----------- L COAL DESCRIPTION x Constr. T pw: ,WOOD-PRAT E Lot , 13+ Bleck, Section, Proposed Use, t1NOLZ 'FAMILY T6wn hxp, IID J D 11 nr , 1 Cade, 0 Subdivi s ion $1LVA MAP,INA, #12 'Estimated Value: $1660 .00 Improv. Cast ; SO.00 Total Fees $301.00 Amount $30.60 Da fork D ATRIUM .PER PLANS "SIC>N' ..� --..w.. --'-- ;APPLICATION PERS --- .. M P I MIT $30 .00 Ad TERRACE "LEST WATT R, IMPACT I'IIE $0 .00 �. FLORID 3 SE IMPAc PRE $0.00 � A NADOO OAS-Ii i R.�S. BO .O . ..,. . Nip ON ------- RADON CAB 51k $0 .00 Nem I ' E CLOSUR INC. 'CAPITAL IMPROVE. $0 .'00 CROSS CONNECTION 0 .00 Lae Type: 0SEG ,IMPAC*P PEE 0 .00 ONST.SD'RCHA,RCE 00 to NOTES. i , N,=E--ALL CONCRETE FORMS AND FOOTINGS MUST BE INSP�CTEQ BEl=01wlE POtIA#NG, PERMIT VOID Six MONTHS AFTER DATE.OF ISSUE BUILDING MATERIAL,RUBBISH AND.DEBRIS FROM THIS WORK MUST NOT BE OLAACEDHV� PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER AMU � H1:,VVHIV'7IE3 ALf f17 �RR I " ' ''.v �MING`�1N10E FOR THE 0, ���� 1�PRC�V�N� + E" t ISSUED ACCORDING TO.APPF`iC)VED PLANS WHICH,ARE PART OF THIS PERMIT AND SUBJECT TO REVOC ,. 1t10► "ICIC3N OFAPPLICAB,E PIC? ISICI+IS'oF LAW. k� s arte . 2113/16 01 C+Q3361 t�1itIIlUO3�1444 "� iTLiTIC B CH Hp IL, EPA ENT s CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address - v a r�tr Date j 7 Heated Square Footage 'j@ $-per s q f t = $ p —# Garage/Shed $ aper sq ft = $ Carport/Porch ( .@ $ per sq ft = $ Deck @ $ per sq ft = $ Patiol @ $ per sq ft = $ TOTAL VALUATION : C; tal V�alAation 1st Remaining Value S per thousand oTportion thereof TOTAL BUILDING FEE $ O + 1/2 Filing Fee $ / 0 ( ) Fireplaces @ $15 . 00 $ Z> BUILDING PERMIT FEE $_ WATER IMPACT FEE $ � SEWER IMPACT FEE $" WATER METER/TAP $ -" CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ 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: 2 9 1996 Building and Zo"'d CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : Nla� Cij P(0 Address : P�4L L-CLL U_E Phone : 2iLet Lot # 1'� 1� Block or Unit #-!2 Subdivision: Sc�\& a " 7 Contractor: Address : Phone No: _ '>1 _,5`J 9Q Describe work to be done:_ C�N<,V" Present use of building:_ C9TC�.�1C lU►� I 6Q Valuation of Proposed Construction: l (E C.-6 Proposed use: C'(0� A+r ►.crw� Is this an addition? 5 If yes, what are the dimensions of the added space:_ ft . X ft . Will the added area be heated and cooled? ►J G New electrical (or increase)?f�O New plumbing fixtures? V�4 New fireplace?0 O New Heat/AC? QO SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER:_ T( 'r(� (C�. �, / � � �- Date: Signature CONTRACTOR:_IL� e� C������N� e �Q' CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTION PERMIT NO. �� DATE 3 LOCATION ,&�Gi �.. /�/ .°� �l cp Gf✓p LOT NO BLOCK BLOCK NOS. SUBDIVISION OWNER TYPE OF BUILDING MASTE ' P UMBER INSPECTED_ "1_7 BY---���� BILLED ACCOUNT NO. S—�� APPLICATION FOR 14ATER CUT-IAS TO THE CITY OF ATLANTIC nEACH: Application is hereby made for � �� is- � water cut-in at the following address for !�jtt'.- units. Cut-In charge of ` �;� 4 Q V Street No..z1,,& Lot Block �, SubdivisionLt� / Ordered by: tae� OWNER Flailing Address : DATE: ACCOUNT NO. METER ISO. DATE INSTALL7D l ( e lam/ •. a rs CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO. Date : LOCATION Lie Street LOT NO. �� BLOCK NO. 1 Z-. U^ S/D OWNER ` MASTER P UMBER Ej_QM01iV6 C)pj),- M IC) - ` BUILDER OR CONTRACTOR Bldg._ 0 rv' t�N�n Permit_N.o.. TYPE OF BUILDING SI FS LAVATORY BATH TUBS URINALS -� CLOSETS FLOOR DRAINS SHOWERS ' WATER HEATERS_3-_DISH4ASHERS DISPOSALS IOTHER TOTAL FIXTURES '!`til .00rva NO WORK. MUST BE DONE UNTII, A PERMIT HAS BEEN FROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size -and location of all the soil and vent pipes, and the number and location of all fixtures, (in accordance with Ordinance no. 188 of the City of Atlantic Beach, Florida) must be shown on back of appli- cation and be approved by the Plumbing Inspector. DRAW PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK. Approved by Plumbing Inspector Date (F R OFFICE USE ONLY) ROUGH-IN INSPECTED .__ REII�ARKS FINAL INSPECTION: � - �`�-- 7�/ CERTIFICATE ISSUED: „ DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 4082 fF PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB i Date 6/22 19Z9 _ Valuation$_ E�9--- Fee$ 7 I-QQ t 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. _ This is to certify that has permission to build. a fi1hi submitted. ( " ( Classification ne Owned by Lo House No Block S/D According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE —� 0 Building material, rubbish and debris Z from this work must not he placed in Public space, and must be cleared up and ha0ed away by either contractor or owner. _ Bill M. Davi Building Official. nIEWER PERMIT NUMBER DATE CONTRACTOR FOR OFFICE USE ONLY Date.. .(,.,.... 2_' - ; ....?............19 Zy CITY OF ATLANTIC BEACH Permit *----�'PZaak....Fee$.../ ..P42.... FLORIDAValuation $ %.-7e ........................ House 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 embarrasment regard- ing intermediate or final inspections it is suggested that-a list of sub-contractors be submitted to this office so that licenses can be verified. 17 2 2- J Date.... ...............................................................I 19.7.. Owner........ 7- 4�4_ le-&)--�' /' ........................ -----------------------------------------------------------------Address... - - -)..Telephone No............................. --------------------------***---------------- Architect--------------------------------------------------------------------------------------- ----_Address... ----- ...*...................Telephone No. Contractor Builder'/2�24_11�_ A._ Telephone No24Y_-S. Lot No. ..................... Address................... ................. -----_----------Block NO-----------------------------_Sub Division...............................................................................Zone.....----------- ..--•--•------------------------------------••---- -----Street-----------__-----------Side Between......................_-------...................and................................................. 0 Sto. Valuation .........--------:----------For what purpose will building be used_.-...._..._..._-.._ -------------------Type of construction..------------------------....... Dimensions of Building-------------------------_--_--------Dimensions of Lot.............._:. Size of Footings...............---------------------- Size of Piers......................................Size of Sills----------------------------•---Greatest Sill Span in ft--------------_----------Type Roof..................................... How will Building be Heated?..-------------------------------------------------------------Will Building be on Solid or Filled Ground?...._....._........_.................... Size of Ceiling Joists.--------------_------------........... Distance on Centers---...........--------------................. Greatest Span............................................ " Size of Floor Joists----------------------------------------------- Distance on Centers.......... --------------------------------- Greatest Span-._-----.---.-.--.-_. " Size of Rafters.---- ----------------------------------------- Distance on Centers....... ......-------- ....... Greatest Span-------------------------------------------- " This rectangle is to represent the lot. Locate the building or buildings in the APPROVED right position. Give distance in feet from CITY OF ATLANTIC BEACH all lot-lines and existing buildings. BUILDING OFFICE REAR LOT LINE Two copies of plans and specifications shall be submitted with application. JUN 1979 Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 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. W 8. Final inspection. N*te: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit gi n for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the-attached ,plans and specifications, which are a part hereof, and in accordance with the building regulations of the City/-q Atlantic Bpi& Signature ofec ................................................ ik f...................... Address�'� Signatureof Owner....--------------------------------------------------------------------------- Address 714-5360 ARMSTRONG ]PENCE COMPANY 724-5360 130 Arlington Road, South - Jacksonville, Florida 32216 581$ Terms Available Directions Customer., A4 61, AddressDate Install at: — ----- - Phone Number Aft: � •r►e When si ned b the -a p y-_� ---P Y P-- ---__ 9 y purchaser and cce ted b this Com an this ro osal becomes a contract---binding doth Purchaser and Company. 4D j��Totel Cost. �� + kl FoWXownPayment g Q Balance Due Upon Completion t � Approximate Starting Date- - --- _Total Feet__._._._.___. _.__..High MATERIALS PAYMENTS NOT RECEIVED AS AGREED ARE SUBJECT TO 1'/2% INTEREST PER MONTH Gate Posts __ C> D. BARBS DOWN -7 CHECK THIS SKETCHBARBS UP ❑ End Posts __ __________-._--____-_ _____ O D Any additional material or la4Qr used will be at the cost of the buyer. ° 7�• —\ — 1 Corner Posts _-----__—__ _,-----^-_-._ O.D. � J Line Posts ---------- _ O.D. Top Rail _---- -----------_---- O.D. /AU /fie "QST FABRIC Mesh Gauge [I GATE SIZES -- --------- --- /V( ( NOT RESPONSIBLE FOR ANY DAMAGES TO UNDERGROUND CABLES, PIPE, OR ANY OTHER UNMARKED OBJECTS. The proposal price is given with the agreement that the Purchaser will clear all lines for construction of fence, and properly mark with stakes, or otherwise, Do Not Sign Before ResdinQ Con4 /�Q Signed _ Salesman Sign --�---------.- -----— - 11582 ' DEPARTMENT OF BUILDING: CITY QF ATLANTIC BEACH -- PERMIT INFORMATION: -».� -.. LOCATION INFORM TSO' .,�.. . ' Permit Number-. 11$82 Address 1165' PARC TERRACE "WEST Permit type* RE-RO6PA' ATLANTIC BEACH, FLORIDA 32"2'33 lass of Work: NEW _--_ "LEOAL DESCRIPTION --------- Constr. Type.* WOOD FRAME Lot': Black . section: E Pt, posed Use,., SINOLE FAMILY Town hiPi 0 I r l lings < Code;p CI Subdivision SELVA MARINA Est`ir+nated Value. 86300.'00 Improv. .Cost t $0 ,00' Totl25;DD Amou $2 5 00 MATION APPLICATION FEES ----- CAT, . PERMIT $25.00 A r EItRACE WEB! WA. . IAiPII,C PER S0 .0 T ONS FLOR E F� P n .' 14 WATER METERITAP $0.00 RADON OAS-°H-R S> q0.00 , SIT O NFORM N - RADON CAB 5% $0.00" Name, D5 ;ROO I� A r" as: 189 NE _D SEWER TAP SO.00 YUL LORIDA 32091 CROS! ` CONNECTIONS0 .00 Li sem. Type: 0 SEC HIMPACT FEE 00 rso 0 SCH TL.BCH. MS; 5 NOTICE=-ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE PUi1R, PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE Q,MATERIAL,'RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE UP"ANI?1 MAULED AWAY BY,EITHER,CONTRACTOR OR OWNER I LURE TCS CO PLY WITH THE MECHANIC'S LIEN LAW CAN RESULT 1I4 RFIOP `"!" I' '� " AYING TWICE FOR THE WILDING IMPROVEMENTS', ', ISSUED ACCORDING TO APPROVED,PLANS'WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCA OF-APP LICABLE PROVISIONS OF LAW. >I a 3Jtw% 41 BrNO 000 y s 0: (." IIILDINII©EPARTMENT "� CIT! OF ALANTIC BzhCH ROOFING PERMIT APPLICATION owner(s): '> Address: '/c _1,; } '6 r G,/o Phone: Lot i Bloc or Unit # Subdivision: Contractor• i Address : ZIC Z City, State and Phone State License Describe work to be performed: Valuation of Proposed Construction: Materials to be used: �-fZ&Az'S 114 j'.r Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information CITY OF 4& Qe4c4-0;&uQGt Office of Building Official /� REQUEST FOR INSPECTION Date— / —kJ �_...._. Permit No. Time A.M. Received P.M. Job A es Lo ality Owner's _---- --------_.,, Name Contrac -='=-i��i UILDIN CONCRETE ELECTRICAL PLUMBING FrRoofing MECHANICAL F Fr Roofing ❑ S of ng 11Rough Wiring El Rough ❑ Air Cond. & E-1 Insulation 11 Lintel 0 Temp Pole El Top Out ❑ Heating ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab A-�M:_� Mon. Tues. Wed..�� Thurs. Friday (14M-" Inspection M iZ 4t `�(j A.M. P.M. Ins p or Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24316 Address: 1665 PARK TERRACE WEST Permit Type: STORM SHUTTERS ATLANTIC BEACH, FLORIDA 32233 Class of Work:-ALTERATION Township: 0 Range: 0 Book: Lotts�:13+ Block: Section:0 Proposed Use: Square Feet:. Subdivision: SELVA MARINA#12 Est. Value: Parcel Number: Improv. Cost: 5,86.1.00 OWNER INFORMATION Date Issued: 6/21/2002 Name: NANCY POTTER Total Fees: 60.00 Address: 1665 PARK TERRACE WEST Amount Paid: 60.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: . 6/19/2002 Phone: 904)731-5580 Work Desc: INSTALL REPLACEMENT WINDOWS WITH HURRICANE SHUTTERS CONTRACTORS �, -s APPLICATION FEES PATTERSON HOMES „ 60.00 y �4 '�S„�r�' ',fit, y.p �'r IC°.1w�Raj v Fu � +§`' iR 4- w a 4i ' ".,s. °`D' ��i5��..�)• ,h h zt+'rS'"arr .M jr f ''i'f'`a w5 r, sa.. x "n°x w¢.^,.k`u'^ .v.: J44” A" �Xu 4 .', is , t ly n- r��'��� v � iax � x'r Ax. `s y,� tc"' ��,�,�t hz•`` '# 'rr xx �rrr" .. v��N ,(°�a �r l,��ka k'^"Nrl`^.4 '°iy a.,„e+ a `S+.off!'.: ° ( >t,,.«�Mr''l.+rs 3'` .a+. NSwf�1' �1, R.' R"t t s § acrd .1111— , - A x� + az r �,� d�'rk ' Sk'��w!s d wrw�.�; '"sr V' ,�' " >•x rr,-� -. �'.7 �' s - &+ ✓ F�� �' x �+��, �+tt�r t, ,� G'"�wsm'rour Ye � a'�r�1�� � xnc�� :�. + '4 s r h r�� r *7 erJ3a+ *ili,�� 1 'Y� 3- Rr •,, . c S a � >? ;wr dtv r x�;{, rs��,2F'',� :., u�v r� �.; v.,a'» €.+�,� � .ef* �' ax � .k s � .✓ x+ �' - - ION :�,✓�z�s� 's x �,� vnsueM�, � Jat.a,Nf���k, ,�;'� r n�aa �p' rn zr��v � tyr�dv� "'", '7� a+Ssu rx � �� a3rt'',.��+ HE ' SPACE AND BUILDING MATEFL1� 1 � �` y MUST BE CLEAR1k fi � 3x - ^' W, '7 fYM�� � ".FAILURE TTHE O CO � � a � � � y',. ,�. d G r.., at.. ': a... PROPERTY K ISSUED ACCORDING TOA ��I + �� SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABL .� �,f 6/ Mita: 41M 41 AiWpt w 4216 61 14 PEMMITS-MLNNG 1 04.0 _ 00100014221010 1665 I= TEWAM VEST ATLANTIC BEACH UILDING D -- a CSS 31314 1600 WW dekri 6/24/42 Title: 17:11:02 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address V0G5 �lC ` � cc Date 6 )?'L (a Z Heated Square Footage @ $� per sq ft = $ Garage/Shed $ per sq ft = $ Carport/Porch @ (, per sq ft = $ V� Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ %00 $ L �, e Total Valua6 on 1st $ c CL-'o Z-YQ� (�)l . $ Remaining Value $j. per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ 0 � BUILDING PERMIT FEE $ ©. WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT, $ SEWER TAP $ ( ) RADON (HRS) . 0050. $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ 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: RECEIVED 6+'1 12 -fl£: City of Atlantic Beach Bu ?dint, arra Zoning ,4io City of Atlantic Beach• 800 Seminole Road• Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• FAX (904)247-5805• http://www/ci.adantic-beach.fl.us BUILDING PERMIT APPLICATION TRucTION FOR SINGLE-FAMILY OR TWO-FAAULY(DUPLEX) CON (INCLUDING NEW CONSTRUCTION,REMODEL, ADDITIONS AND ALTERATIONS,MOVING OR DEMOLITION) DATE JOB ADDRESS APPLICANT .v C_ ADDRESS /l 6,T_: �kg JAI, - PHONE: 90 —2 Y-- LEGAL DESCRIPTION: BLOCK NUMBER /,1 LOT NUMBER ZONING DISTRICT CONTRACTOR ��/TE/2S r ®.yam TM D2a"�'�fE��5 STATE LICENSE NUMBER jl�;eC ADDRESS _1 �t Pf>/�L �► r�'A 1/ PHONE Y'D CITY I�Aa 11 s o v v r L l STATE _ ZIP �G FAX `� d 41 � y U 70 � DESCRIBE PROPOSED USE AND WORK TO BE DONE y V.,�U�l /� E/✓L Ac�.ti�-�'f" ��-���o�-�-'� PRESENT USE OF LAND OR BUILDING(S) f/o, VALUATION OF PROPOSED CONSTRUCTION on h / If es,what are the dimensions of the the added space: feet by feet Is this an addition? Y Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? - New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? O If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of perinits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 02/28/02 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal-description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. ' If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be ezcluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE 8 I HEREBY CERTIFY THAT I HAVE RE AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH,WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR GI DATE_ /'>,g ar /b — D o p ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME 31 ;1-62 j;0 MAILING ADDRESS 9(o '7 PHONE o - 9(. ocv y3! FAX '010�Y- y l66 •- (.,2 7 ® E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF 6L - STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNA AS TO OWNER: ❑ Personally known ,ova'''•, Bonnie L. Gtullet 2Produced identification t ti� Type of identification roduced or-^�`�'s Ca�issian#DD 0748x3 P + F Rqdm1aa 5.7D06 •�: Bated Tlan a fl _ IYIJ![it{C ppKft e-r W ilL AS TO CONTRACTOR: Personally known ❑ Produced identification Bonnie L. Gullet Type of identification produced 'e�=Com#M)074 23 02/28/02 U=am S.an s RECEIVED ,. Gags of Atlantic Beach w° is11ding and Zoilij,,A City of Atlantic Beach • 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone:.(904)247-5800 •FAX(904) 247-5845 •http://www/ei.atlantic-beach.R.Us PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS,SKYLIGHTS AND GARAGE DOORS OF SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION Date Address where work is to be performed /(,(a 4 �" Applicant AI,4 I c u i'o T,FR Address Aokk' 7-1-2kAct= w Phone: Legal Description: Block Number f Lot Number Zoning District Contractor f,1oAr 4- i2j2,ov, It--mate License Number Address 7 /�/ i s iii ,� ;�. A ca Phone City L7,4 G/r.-5p 4vj<<CState _Zip -3.7 ,2 Fax 1 D y - 9l„ Describe Proposed Use and Work to be Done �/!Uel Rf✓J�Ac..t�.y '.y i �v -c, D�^ c,�� C'H 57-062A4v— £ S - Lt-'tan W,Sw 'Jrr- Present Use of Land or Building(s)' Valuation of Proposed Construction Building DaA Mean Roof Height (ft) Building width (ft) . Building Length (ft) Roof Slope *Window Elev. (ft) Window Height (ft) Window Width (ft) Measurement from comer of building to window (ft) j. ® S. h s s .*Window Eley.From Grade C%N— .i MIN. Rt 1 WKN NOTICE OF COMMENCEMENT State of Florida County Of: ;01GL v� Book 14527 Page'"47 The undersigned hereby informs all concerned that improvements wilfbe made to certain real property,and in accordance with Section 713-13 of the Florida Statutes(Revised 10-1-96),the following information is stated: /l Legal Description of Property: I o? S- a 9 C �G VA 4 I A/A General Description of Improv ents: Owner Name:(Printed) A 1'- T ---" Address: e$ Owner's Interest in Property: �t 240 c�1 1 lrt �'S 1� Fes Simple Title Holder(If other than Owner) �©C. Name:(Printed) 7 �A,ddress: Qajei 1447 -Ch 0�/la�iW 44 20 PN actor(Printedl Patterson Home Improvements (Prepared Bvl r...... Elk "CIMAT CM Address: 6967 Philips Highway.Jacksonville,Florida.32216 Mint• W x3ftTAT FVW ! 1.40 Telephone:(904) 296-0045 Fax:(904 29k-6270 CWV FEE 1,00 WAMM ! 5.44 Surety(if any)(Printed): Amount of Bond S Address: Telephone:( ) Fax:( ) Person or Lender making a loan for construction of improvements: Name(Printed): , Address: Telephone:( ) —Fax( ) Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Statutes: " Name: Address: O Telephone:( ) Fax( ) In addition to himself;Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1 Xb),Florida Statutes(Fill in at Owner's option). Name:(Printed) Address: Telephone:( ) Fax( ) Expiration date of NOC is one year from the recording date unless otherwise stated. Owner Signature Date Signed , QtiGy a L'/L 4uy,* ( E2 (lumPr Nam 1Print#-A1 in rniinty Nsimpii W.ltAtP. i .; M11N. RETURN PHONE# - xq51, NOTICE OF COMMENCEMENT State of Florid- County Of: � Hook 10527 RaNO``1447 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(Revised 10-1-96),the following information is stated: J Legal Description of Property: / ' "� 5 a9 6&1,VA 441A/A General Description of Improv encs: '�Gt a�'•S — /U 9 �sT� �'''•Y Owner Name:(Printed) A Al -P Address: r le.1/, Owner's Interest in Property: 1 M toL� Fee Simple Title Holder(If other than Owner) Name:(Printed) x515 IL 7 bolo iOZ27 Address: Page: 1447 for(Printed) Patterson Home Improvements MMRAM¢tl 06/1R/W 0412:06 M CLEM -CIRCUIT CMM Address: 6967 Philips Highway Jacksonville Florida.3216 allla_ta1 CM TRUST FUM f 1.00 Telephone:(904) 296-0045 Fax:(904) 296-6270 Can FEE - ' 1.00 Surety(if any)(Printed): Amount of Bond S Address: Telephone:( ) Fax:{ ) Person or Lender making a loan for construction of improvements: Name(Printed): Address: Telephone:( ) Fax{ ) Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Statutes: • Name: Address: Telephone:( ) Fax( ) In addition to himself:Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1Xb),Florida Statutes(Fill in at Owner's option). Name:(Printed) Address: Telephone:( ) Fax( ) Expiration date of NOC is one year from the recording date unless otherwise stated. Owner Signature Date Signed ail u VA - El r Owner Nam (Printed) In County Named Of State APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE JUN 21 2002 By. R, VEL) J S fir ���tiit� d tIC. �PNt?f) +'JifQ and LV 6i I14 KENSINGTON WINDOWS,INC. STRUCTURAL TEST REPORT Model "HS with Interlock" Type XX Horizontal Sliding Vinyl Prime Window NCTL-110-7161-4 A. re� � NATIONAL CERTIFIED TESTING LABORATORIES C � PENNSYLVANIA 17402 FIVE LEIGH DRIVE YORK,PENNS � TELEPHONE(717)846-1200 FAX(717)767-4100 STRUCTURAL PERFORMANCE TEST REPORT Report No: NCTL-110-7161-4 Test Date: 03131100 Report Date: 04114100 Expiration Date: 03131104 Client: Kensington Windows, Inc. Revised Date: 05126100 RD 1, One Kiski Valley Industrial Park Vandergrift, PA 15690 Test Specimen: Kensington Windows, Inc.'s Model "HS with Interlock"Type XX Horizontal Sliding Vinyl Prime Window (HS-R50 69x48). Test Method: AAMA/NWWDA 101/Z S.2-97, "Voluntary Specifications for Aluminum, Vinyl(PVC), and Wood Windows and Glass Doors." TEST SPECIMEN DESCRIPTION General: The test specimen was a type XX horizontal sliding vinyl prime window measuring 69" wide by 48"high overall. Both panels measured 33-314"wide by 43-718"high.. One (1) metal cam- type sweep lock was located at 6-1/8"from each end and at midspan of the interior meeting.stile. The metal keepers were located on the exterior meeting stile at the lock positions. A plastic cap was snap-fitted at each end of both panels pull handle. A rigid vinyl combination cover/ weatherstrip holder/ interlock was snap-fitted at the length of the exterior meeting stile. A rigid vinyl combination filler/roller track was snap fitted at the length of the interior and exterior sill track. A rigid vinyl anti-lift filler measuring 28-314"long was snap-fitted into the right end of the exterior head track and the left end of the interior head track. A double metal roller/plastic housing was located at each end of both panel bottom rails. The frame and panels were of welded mitered corner construction. Glazing: Both panels were interior glazed using sealed insulating glass with an adhesive sealant, dual leaf dual durometer back-bedding and a snap-in dual leaf dual durometer glazing bead. The overall insulating glass thickness was 718"consisting of a heat mirror film and two (2) lites of double strength annealed glass and two (2)krypton-filled/argon filled spaces created by a desiccant-filled steel spacer system. A sputter-type low emissivity coating was applied to glazing surfaces no. 3 and 5. Weatherseals: A single strip of center fin weatherstrip (0.220"high)was located at the exterior meeting stile. A single strip of center fin weatherstrip (0.280"high)was located at the interior and exterior meeting stile. A single strip of polypile weatherstrip (0.360"high)was located at the exterior meeting stile. A double strip of center fin weatherstrip (0.220"high) was located at all rails and both jamb stiles. A single 1-112"strip of center fin weatherstrip (0.220"high)was located at each end of the interior meeting stile. A polypile adhesive backed pad (0.400"high) measuring approximately 1"by 1"was located at each end of the exterior meeting stile. PROFESSIONALS IN THE SCIENCE OF TESTING Kensington Windows, Inc. -2- NCTL-110-7161-4 Weeps: Two (2)weep notches measuring 112"by 1/4"were located at each end of both track fillers/roller track. One (1)weep hole measuring 3/4"by 1/8"was located at each end of the center vertical sill leg which ran to the exterior hollow. One (1)weep hole measuring 112"by 118"was located at 1-1/2"from each end of the exterior track horizontal surface which drained to a same size hole at the exterior horizontal sill face. One (1)weep hole measuring 3/8"by 3/16"was located at 1-3/4"from each end of the screen retainer sill track horizontal surface. One (1)weep hole measuring 1"by 3/16"and employing a plastic weep cover was located at 4" from each end of the exterior sill face. One (1)weep hole measuring 3/8"by 118"was located at 4-114"from each end of both panel bottom rail glazing channels and exterior bottom rail surfaces. Interior&Exterior Surface Finish: White vinyl(PVC). Sealant: The glazing perimeters were sealed with an adhesive sealant. Screen: An insect screen measuring 32-112"wide by 44"high was of mitered type corner - construction with staked-in-place die cast aluminum corner keys. The screen employed fiberglass mesh cloth with a hollow vinyl spline, two (2)jamb retainer springs and a pull handle extruded onto the jamb stile. TEST RESULTS Par. No. Title of Test &Method Measured Allowed 2.2.2.5.1 Operating Force Exterior Panel Open 10 lbf 20 lbf Close 10 lbf 20 lbf Interior Panel Open 11 lbf 20 lbf Close 10 lbf 20 lbf 2.2.2.5.2 Deglazing -ASTM E987 Exterior Panel Top Rail (50 lbf) 28.0 % (0.140') <I00% Bottom Rail (50 lbf) 25.0 % (0.125') <100% Meeting Stile (70 lbf) 36.0 % (0.180') <100% Jamb Stile (70 lbf) 32.0 % (0.1601) <100% Interior Panel Top Rail (50 lbf) 34.0 % (0.1701) <100% Bottom Rail(50 lbJ) 28.0 % (0.1401) <100% Meeting Stile (70 lbf) 37.0 % (0.185') <100% Jamb Stile (70 lbf) 38.0 % (0.1901) <100% 2.1.2 Air Infiltration -ASTM E283 0.57psf(15 mph) 0.1 scfm/ftp --------------- (0.03 scfm/ftp) 1.57psf(25 mph) 0.1 scfm/ftp 0.3 scfm/ftp (0.07 scfm/ftp) Kensington Windows, Inc. -3- NCTL-110-7161-4 2.1.3 * Water Resistance -ASTM E547 5.0 gph/ft: WTP=2.86 psf No Leakage No Leakage 2.1.4.2 ** Uniform Load Structural-ASTME330 22.5 psf Exterior 0.015" 0.172" 22.5 psf Interior 0.014" 0.172" 2.1.7 Welded Corner Meets As Stated 2.1.8 Forced Entry Resistance -ASTM F588 Level 10 Meets As Stated (See Appendix A for test results) OPTIONAL PERFORMANCE _ Par. No. Title of Test&Method Measured Allowed 4.3 * Water Resistance -ASTM E547 5.0 gph/ft' WTP= 7.50 psf No Leakage No Leakage 4.4.2 ** Uniform Load Structural-ASTM E330 75.0 psf Exterior 0.044" 0.172" 75.0 psf Interior 0.048" 0.172" * Tested with and without screen ** No glass breakage or permanent damage causing the unit to be inoperable TEST COMPLETED 03/31/00 The tested specimen meets (or exceeds)the performance levels specified in Table 2.1 of AAMA✓ NWWDA 101/LS.2-97 for air infiltration. The listed results were secured by using the designated test methods and indicate compliance with the performance requirements of the referenced specification paragraphs for the HS-R50 69x48 product designation. Kensington Windows, Inc. -4- NCTL-110-7161-4 Detailed drawings were available for laboratory records and compared to the test specimen at the time of this report. A copy of this report along with representative sections of the test specimen will be retained by NCTL for a period of four (4)years. The results obtained apply only to the specimen tested. No conclusions of any kind regarding the adequacy or inadequacy of the glass in the test specimen may be drawn from this test. This report does not constitute certification of the product which may only be granted by a certification program validator. NATIONAL CERTIFIED TESTING LABORATORIES DOUGLAS R. YOUNG Technician MARC A. CRAMER Manager of Testing Services DRY/amb f.Kensington Windows, Inc. -5- NCTL-110-7161-4 APPENDIX A Forced Entry Resistance Test Results Test Method. ASTM F588-97, "Standard Test Method for Measuring the Forced Entry Resistance of Window Assemblies, Excluding Glazing Impact". TEST RESULTS Paragraph No. Loads Duration Measured Allowed 10.1-Lock Manipulation 5Minutes No Entry No Entry 10.2.1.1-Test Al L1=150 lbf 1 Minute No Entry No Entry 10.2.1.2-Test A2 L1=150 lbf 1 Minute No Entry No Entry L2= 75 lbf interior - 10.2.1.3-Test A3 L1=150 lbf 1 Minute No Entry No Entry L2= 75 lbf exterior 10.2.1.4-Test A4 L1=150 lbf 1 Minute No Entry No Entry L2= 75 lbf interior 10.2.1.5-Test A5 L1= 150 lbf 1 Minute No Entry No Entry L2= 75 lbf exterior 10.2.1.7-Test A7 L1=150 lbf 1 Minute No Entry No Entry L2= 75 lbf interior L3=25 lbf interior 10.2.1.8 Lock Manipulation 5 Minutes No Entry No Entry 10.2.4.1 Fixed Lite 5 Minutes No Entry No Entry Lock Manipulation Dare: PATTERSON HOME IMPROVEMENTS Phone: Customer: � o �jL, I Sales Rep: Address: 1!a(osR jF/2JPA�� w Lead No.: City State ZipP00One Story House ❑ Two Story House Clear HUNT-HUNTINGTON ! KING-KINGSTON I ; _ formula 0 Glass S-QUESTAR _ QUE Low E/Argon - h f ( Solar 0476 Glass ;DH= UBLE HUNG SC75 w/Argon SECTIONSUDERSolar 09 GlassSC75 LE&Krypton 3 SECTION SUDER,�. ! =3 SECTION SLIDER•EaJAI ( f t ! OSM=Outside Measurement PANEL EWS=Exact Window Size THSS-CV=3 SECTION SLIDER COLOR (1/4.1/2.114) _. W= TE =TAN TYPE HOP HOPPER d s — AWN=AWNING tiT.GEIV f i1 ,4/4Jy.l �� F.. CDL=DEADLITE(PICTURE WOW) _ DS=DOUBLE STRENTH CL=CASEMENT LEFT .I FRS (required U 17 sq.ft.or ' CR=CASEMENT RIGHT ' more of glass or 48"or ( ( more in either direction BOW=BOW lafBAY=BAY I OBS=OBSCURE GDN=GARDEN (_ _ _ I '( COML2=2 SECTION COMMON ' MULL CASEMENT EMP =TEMPERED(required OML3- N I rf glass within 2'of -3 SECTION COMM ( .. MULL CASEMENT 0 door or 18"of floor C PD=PATIO DOOR SIZES TYPE MUNTINS PRICING fTEM U.I. W H MODEL COLOR GLASS SCREEN a Locaion oiemorwa WINDOW MISC TOTAL 1 8 /.`l SI 3-�i .v Fu v ll 2 -<ilE JJ H o 3 /'V.2 72 O -,Ls TX rxAl is iI •C/ 4 G fo -Airr 72,441 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 p!+ gfL*AVr*L FIR ON My UA, sal, �t�hsN�N� INC,.IDLy w©; w/ A t5 f n 'FIT. or f rx4 r.4det'S FL. N L i d �- --lN'C� FIN. WALJ.,.. 4 Vito :ff+P. j TM L x pt,. S"g 10 Nr-6R M n OLSAt4 S&Ho FI u' CITY OF ATLANTIC B EACH 800 SEA11NOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Application Number 07-00000660 Property Address . . . . . . 1665 W PARR TER Date 5/15/07 Application type description DEMOLITION Property Zoning . . . . . . . TO BE UPDATED -----Application valuation . . ------------- -------------- ---------- Application desc ------------------------------- DEMOLITION ---------------------------------------------------------------------------- Owner ---- Contractor ROBERT HAMIL - R.M. HAMIL CONSTRUCTION 1665 PARK TERRACE WEST 60 ARDELLA DR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (604) 631-6268 --------------------------------- Permit DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . Issue Date . 00 Expiration Date . . 11/11/07 Valuation 0 ----------------------- --------------- ------------------ ee summary Charged Paid Credited Due - ---------- ---------- ------- ------- Permit Fee Total 100 . 00 100 . 00 . 00 Plan Check Total . 00 . 00 . 00 _ oo Grand Total 100. 00 100. 00 . 00 . 00 . 00 PERMIT IS "PROVED,ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. L BUILDING PERMIT APPLICATION �r CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax: (904)247-5845 Job Address: ! (� (� �ti r�l 7e r rci Ce �kj Permit Number: Legal Description Z C.fJ /� 't fit( , i%3�o c (-e /L./C, /1'1 G V,/,kit, (A , I� Valuation of Work(Replacement Cost) $ • Class of Work(Circle one): New Addition Alteration Repair Move ■ Use of existing/proposed structures)(Circle one): Commercial Residential ■ If an existing structure, is a fire sprmkler system installed?(Circle one): Yes No N/A ■ Is approval of homeowner's association or other private entity required?(Circle one): Yes No Describe in detail thee of work to be performed: j i-el 07/,,,0 %,j Property Owner Information Name: P 0 6 ✓ f /_(r, t...,,' / Address: / � 0 f � — State/-/-- Zip City � ,�f�.. >Q o- ti c State/-L Zip 3 2QL.33 Phone ? /- Contractor Information: n e vQvI Name of Com an �,P, (CG Qualifying Agent: _ 0�P 0-1 Address:_6 GA,W,- , / l/i, ✓.��. City A 1"-l", ,6,, c4 State /�� Zip 3).� Office Phone �y 6 ') a 9 z Job Site/Contact Number �/4 A 6 State Certification/Registration# CC �-f �L l 3 Office Fax E- cl :)-`%I C Architect Name&Phone# Engineer's Name &Phone# 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 erformed to meet the standards of all laws regulating construction an this jurisdiction. 7`his permit becomes null and void work is not commenced within six(6� months, ora construction or work is suspended or abandoned for a period of six (6) months at any time after work as c0 mencedf I understand that separate ppermits must be secured for Electrical Work, Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and�iir Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. thereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to gave authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. Signature of Property Owner: Signature of Contractor/ Swo ,tend subs i for mei Swo subs ribe before me this L Day of this Day of :4 Notary Public: e. REB7ECCA COOPER• tab of Fbft ?3aMy Commiires Nov 11,2009 _ ." : __ Notary Public-state of FW& 'My commission Expires Nov 11,2M9 ''•;�,a ;�"•` Commission#DD468281 •cr, REVISED 03.05.07 Commission#DD468281 1119'(TOTAL yM 7H) ,000'(EFFFCTW N10TN) `-------- 1.500- SOUTH I110RU BUILOINCECODE DESIGNED pY ACCORU1hrE W1T}/ THE Ml4N/ C1AOE COUNTY, 1994£Dff'DN OF � 4.473' GADS Mi4U BE OE7ERA/INED AS PER SECT>ON 6 OF Sf ASC£7-e4 Mti1f 1!0 m.p.h. S4W JON0 S7OITM PANEL'S ADEOWCY FDR IMPACT AND FATIGUE RESISTANCE RAS BEEN Vp !N ACCpRpVNCE MAN SECRONS 2J15&2J14 RESPEb7ryELy or ne ABOVE ALE 04?5 01-D0 NnGWEp CODE AS PER AA"rW TEST LAS REPORT/ OJO'77/ICK 2. ALL STEEL SHEET METAL PANELS WALL MVC STRUCTLIRAL r-ALYANIZID y GALIMN/ZED STEEL OESICAH77QH t fy� S?J AxL (AFTER ROLLED ASTM A&"SO, GRADE 40 iN111 C-9O N 3. ALL ALUMINUM EXTRLWONS SHALL BE 6063-T6 ALLOY UNLESS 07HERWSE NOTED. 4. ALL SCREW TO BE STAINLESS STEP.304 OR 316 SERIES 2.111' S BOLTS TO BE 2024-r4 ALUIOWUM ALLOY, GAL Vi9fUZED OR STAINLESS SIEtI M7nf J6 As/M/NfAIUMnE1D po#ff f HALF PAN I (A) E MPNGPOUURRED CSMU ONCRETE AS TaLONx luNCEss oTTIERNISr NOTED). SCALE. 44'. I- _ /4*0 �S & AUXI-sEr rAPCONa As ANNUrAC(URED Br/rW./BWLDEX 1ANCHORS AS MWUFAC7URED BY ELCO 7E1 TRLN/ - 1/4'r x 7A'GIUf-W ANCHOR% 114-0 ELCO MCI, # le I GO 7°ANEiANTE' G14 j14,r 7NNELM4TE PLUS'AS MANGFACTL#?o BY POWER FASTE7NINCSy /NC AM ELCO / ELCO moh - 4/6'I REIT NEAR OTTMBOLr SLEEVE'ANaAms AS MANUFACTURED BY LT.W. BUS RESpEGnMY • N07ES- A-1MIVfMI/M fT AVTO Paco CooW7£OF TAPCON n $ $ y 4y A?) 7/e-cALKya 2' Traa RED rEAO LnlweoLr a 1 1/?. T ¢co,Oft TL£x ss4 a r J/4: Fcw + �ry� �i STUCCO > D *_ Y EML�`Y10E0 M1T0 THE NSD of IS 2, i el AND I'MWIMIA4 FOR WALL$ WMI No BTU=x SCREW I/SED SHALL BE 1 1 ANN/MIAN SHOQD STUCCO .150• AJ) IV GAsc "r PRECAsr sTOAE P14ECAST PAVERs fYlSf y �oq� ANCHORS sIMLt BE LOW ENOUGH 7W�STRUCTUREµ7UN0 ON 7TiE a7sr NNLL SHALL BE AS INOIC47M AV NOTES A/)t A2)ABOVE. RHNVO SUCH �0 PANELS, ANCHORAGE .200' (B) TO EXISnVG CONCRETE BLOCK MALL; 1/4'r TAPICONS& "'XI-SET TAPCAkS AS AHNUFACIURW BY 1.rW. 1/4'r CRETE-fi£X SS4 ANCHORS AS AWIIF���BY ELCO > EX. J.000'Max. - 1/4'r x718'CALK-AV ANCHORS CN 114' mal@ 7'ANELAHIE PLUS-AS ELCO mal@ & f@mo% 7FANELAAATE'OR 1/4-r ELCO O BUILD WAIT - 'r RED H£E D MAN/FAcn*wO BY PoNER FASTENINGS, INC AND ELCO 7VaRON, RESPECTIVELY. BRACSLEEVE ANCHORS AS MANUFACTURED BY Lr.W BUILDX. SCALE. ,�/e•. !• KET YNABOLT NOTES: . B") MINIMUAf aft-DMETVT OF TAPCLW ANCIDR,;, ELCo PANELAAAT& ELCO m.A, PAAGAm7r PLUS: RED HEAD D"MomT AAhD G%W--FLEX ss4. INTO'w cavcREIE BLOCK Low sµ1[1 BE 1 1141 B.2) 7/6'CALK-IN ANCHORS SUML 6E / 374` UAffr NO EM9WMf NT INTO snxco L7IW FE EMBEDDED AHTo 0 CONCRETE BLOCK LNpT tae• o B/MUy.SHEOIXD s> �► ARAYM M FOR ql/ WTH Nof 2 USfO SFNLL BE 1 1/2'LONG h M L BE LONG VvUGH TO �THE WAV OR pAErAsr C)CILW1E PANELS BE'FOUND ON THE EXL57IVO NMC4 ANCHORs Q INDICATED ON NOTES IN B.1) t Bt2)ABOVE BEHNVO SUCH PW U ANCHORAGE MMU BE AS ALTERNATE �O • . (C)ANCIAORs srALLED fpLLDN*yG ALL OF THEREcgNMEN0A7TWVs AND S' FICATToNs OF INE ANcrAa4S AAAAI/f LEC LOGTK)N� 093' h `� 7. PANELS ANY ALSO BE INSTALLED 1 7HRU 6 (s1EET 2 & J OF 9) EXCEPT 77N ALLY f27CLON7NG 1NSTAWTIOW DETAKS SINON'N ON S�TpyNS /+EiA0M 2, J & 4 sAULL Nor BE UsEO.. 2.000' 6. IT SHALL BE TW RESPlaWaILIrY CF ITE o SHUTTER a TO BE ATTACHED TO jNgW p�ROyEC� � TO WWY INE SOUNONESS OF THE ® `F' TRACE' ••�•,� $ coNCRE�� etocK OR WOO TRAME BIALDANcs ANCIWbW- TITS MWJTnR SFWL DAILY BE ATTACHED ZRUC7URTp Wf�RE S044EREAD As F : Aft'• !- 9.SHUTYER MWUFACTURES LABEL M AU BE PLACED AT BoTmM OF EACH PANEL 1A9E1 SHALL LTLLOWS. EASTERN METAL SUPPLY, MVC LAKE 0AR71L FLORIDA r.J44' MAW aW COUNTY PRODUCT CLNn?M ARPR " 1.344 h v h APPROVED AS COMPLYING NTH THE SOUTH FLOR DA BUI DING CODE [V-01. DA (O zO�' BY r.625 1,911- ,PRODUCT NTROL DIVISION ® 1C£Y HOLE AT P.dN�7 = Alin. .085' BUILDING CODE COMPLIANCE OFFICE CAST ZINC O1 KEY HOLE WASHER ACCEPTANCE NO.00 -D WING NUT JIQ7-H734 AMn , scold- J/4•. 1• MIAMI DADE COUNTY 24 GAGE GALVANIZED BERTHA AS SWW STEEL STORM PANELS SCAU _ IL E C O ���. 7/10/00 EASTERN "METAL SUPPLY, INC DATF U'ff �TTINO t ENO/NEEaINO CDAIPANr 3600 23rd.Ave. SOUTH 7 ssf6 N.K 31Ati LAKE NC)R1K f1 33461-3247 �sf,S1h.2f7, WOO n JJlII PIS llars167EV-0006719 0 oei19/3�)°s1-1x11 ECK N. 00-252 ITER A ALLf Jr. P. £. RTW ' DRA*ING Ne �riC 4 / l 13.119'(TINA[ WIDTH) 12000'(EFFY nW WIDTH) 5 _ 0 AS APPUCASLE o 1.500' 4.473' 1.500' 4.473' 1.500' 1.500' .00' WK g p GALVM"m L2125- 1 3075 I 2.,25' 1 o d J.D00'Max. 2360' 2.360' ` Ott. � •�?J� .12 ' -4, + ^ 10 ./ ^ • F .075* a y �� . ►i 123' le �' H • $ 075' u�• N 075• 073 .075' 2.340' a 2.340' `jy- 2.681 2.881' 2340' �CF+ ry 2.681• 0 Ux HEADER Q -h" HEADER ° 0 5" Max. "U" BUILD OUT $C41E:jVV'- 1• w"a d/9• t' SO4IE: >(y/U - 1• .380' .188' O •q 1 0• CaKREANaiORS (� VARES 113'Max. • • • • h 00' b 9 a .095 .090' o © -F" nu Q REVERSED "F" ANGLE TF tEn PANQS r/t/4•• sacr:Sys•- t• � -tOx �•ssxs oXi4 iPs Ixlva owl i r — 1/4'/304 s m" • ,1 AMIx.E•SHW.M Q smw aw Urnom MENEMd "? UETAL t � 063' 2.000' MI I STUDDED ANGLE 093 cam ANCHORS 0a sa++ " SME:44'- I• DETAIL 1: sJuo N i MfIC 1•M�IV NICKEL ORM PANEL TYPICAL ELEVATION125• K r. s •�Q$ 114'M. CAP 1/4'Max. GAP N N 3.000' ti _SECTION AA K r s O 2" x 5" (Max.) x .125" ANGLE' — SGYE: a CITY OF ATLANTIC BEACH �y 800 SEMINOLE ROAD '.� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 N R. Application Number . . . . . 09-00001252 Date 10/21/09 Property Address . . . . . . 1665 W PARK TER Application type description SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 475000 ---------------------------------------------------------------------------- Application desc NEW HOME ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NAPIER ELITE HOMES INC. 1665 PARK TERRACE WEST Q/A:LAMBERTSON, CHRISTOPHER ATLANTIC BEACH FL 32233 2038 BEACH AVE ATLANTIC BEACH FL 32233 (904) 241-5251 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X --------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc NEW CONSTR 28 FIXTURES Sub Contractor NELSONS PLUMBING CO. INC. Permit Fee . . . . 231 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/19/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line . Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible . A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a well on the property. Backflow preventer must be tested by PERMIT IS &Pfi@NW0fNifA 1&?&ft?4NC#3dTWAQQP Y®f AtbaTIICeWAdAORI8NA14CE!tODNIPUkFlgWRIDA BUILDING CODES. `r CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 -----Application Number . . . . . 09-00001252 Date 10/21/09 ----------------------------------------------- Special Notes and Comments Utilities . Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities . Connect to existing sewer tap and water meter. Separate permit will be required for swimming pool construction. Roll off container company must be on City approved list anc cannot be placed on City right-of-way. ----------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 231 . 00 231 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 231 . 00 231 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 4 FROM FAX NO. :9048238736 Oct. 21 2009 10:52AM Pi CITY OF ATLANTIC BEACH PLUMBING PERMIT A* PPLICATJON Date: Q� property Address: l iflJ �i✓/�- � �Q'C�. Owner: Telephone#: Contractor:_�UG•130n ��ka1 �rj � Telephone#: Lr Contractor Address: 0 CW($ 'Fax#:lol,�(o rlamnideration afparurit given!or dadag the n desall in thstetwith the attached pians and specificationswhich 0 aj%"hereby 88=-to perform said work in arioe pad:tatuferds hereof and accordance with the City of Atlaotio Beach of good practice listed therein. Installodon oUplumbit%end fixtures must be in s000rdanee with the most recent edttluo of the Southern Standard Plumbing Code Plumbing-Type: If other construction is being done on this building or site, New listthe.buildiitnumber: O Re-Pipe Number of Fixtures: Bath Tubs. Showers. Closets Shower Pans Dishwashers Sinks I Disposals . �^ Urinals Floor Drains ; Washing Machine 'Lavatory -- .. Water Sewer Water Heaters Other (. Fees Permit Issuing Fee: $35.00. Totai.Fixtures: !;N ny X$7,00 .+ S35,00= Phone:.(904Sao 247.5801ilole 0 Fax:(004)247.584e8 chh�Ji dwww eZ-33-5445 atia tle-bsac h.fl.us `r f CITY OF ATLANTIC BEACH r` 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 1A-Jif19r Application Number . . . . . 08-00000449 Date 4/11/08 Property Address . . . . . . 1665 W PARK TER Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------- Application desc DIRECTIONAL BORE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEXTON, BRIAN & JENNIFER HENKELS & MCCOY, INC. 1665 PARK TERRACE WEST Q/A:LIPPY, ALLEN ATLANTIC BEACH FL 32233 1179 SOUTH ELLIS RD. JACKSONVILLE FL 32205 (904) 783-6697 Permit . . . . . . DRIVEWAY-PERMIT----------------------------------- Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date Valuation 0 Expiration Date . . 10/08/08 ------------- Special Notes and Comments Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834 . See attached maps. 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. J� • � 4 f 6656877 JEA SSSC 06:34:27 a_m. 04-02-2008 114 ENGINEERING DESIGN PERMIT VIlRNI:7052968 N O M: N/A O. : 388103 DATE REL CONST 4rM SUB-STA: NEPTUNE BEACH CtR TREE TRIMMING N.O.:585 RECD:NO ENGINEER:Ham►t3atet CUSTOMER/ WA LOCATION: 1888 PARK TERR YYEST/DIRECT BORE 3" i85-4191 STA 1,TO 1666 PARK TERR WEST, STA 2, STAKE AT 1885 PARK TERR JUST STUB UP TO THE STAKE, FOI q tf Qe-A fflalas 7'0 �- 1 STA 2 „ b STA 1 �- 'O 1666 v+ 5op, ► IL f3 .Oeia j e ' 1 5t1A i � o• f COPY • � �Lopy Page I of 2 .._...... , pw 111 YOUR TICKET NUMBER IS 093802007. Ticket 093802007 Rev:000 Taken: 04/02/08 08:46ET State: FL Cnty: DUVAL Geo Place: ATLANTIC BEACH CallerPlace: ATLANTIC BEACH Subdivision: Address : 1659 to 1666 Street : PARK TER W Cross 1 : PALMWOOD LN Within 1/4 mile: Y Locat: PLEASE LOCATE THE UTILITY R/W OF ADDRESSES 1659, 1662, 1668, AND 1665 PLUS THE ENTIRE FRONT OF THE PROPERTY AT 1665 AS WE WILL BE DIRECTIONAL BORING FROM JEA TRANSFORMER #1666 ACROSS THE STREET TO THE PROPERTY AT 1665. Remarks *** LOOKUP BY ADDRESS *** Grids 302OC8124D 302OBB124D Work date: 04/04/08 Time: 23:59ET Hrs notc: 063 Category: 3 Duration: 02 DAYS Due Date : 04/04/08 Time: 23:59ET Exp Date : 05/02/08 Time: 23:59ET Work type: DIRECTIONAL BORE Boring: Y White-lined: N Ug/Oh/Both: U Machinery: Y Depth: 6 FT Permits: N N/A Done for : JEA Company HENKELS & MCCOY Type: CONT Co addr : 1179 SOUTH ELLIS RD City JACKSONVILLE State: FL Zip: 32205 CAller DENNIS DODD Phone: 904-783-6697 BestTime: 7-5 Mobile 904-449-3051 Fax 904-783-6679 Email DDODD@HENKELS.COM Submitted: 04/02/08 08:46ET Oper: DDO Chan: WEB Mbrs : CAB457 CCTV03 FLP539 JEA SBF17 LS1104 Service Area Contact Phone Number Utility Type Day: 9042475834 CAB457 CITY OF ATLANTIC CHERYL KOMOREK Alt; WATER AND BEACH,FLORIDA SEWER Emerg: COMCAST CABLE CENTRAL LOCATING Day: 8007789140 CCTV03 COMMUNICATIONS INC SERVICE** Alt: CABLE TV CITY OF ATLANTIC BEACH PERMIT ;, sJ BIDING/ZONING DEPS NT APPLICATION 000 Seminole Road Atlantic Beach,Florida 32233 a -= (904)247-�a00 L�f-v/J J„! r (904)247-5845 Fax www.coab.us APPLICATION TRACKING, FORM -�^ R E Q U I PAD DEPT: Property Address: � Y PLANNING z Y M BUILDING Y N kE i� fKS A�PpHcante C � 0 Y PUBLIC UTILITIES !Y � ��/?�,,T�„n / ��,� l Y FIRE DEPT. Project: 1 l 6 USI (J Y PUBLIC SAFETY cn Lu -APPROVAL U p REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE uJ Y N D.E.P I-IUFSTETLER cJ Y N S.J.R.W.M. CARPER LU YN ARMY CORPS ofENG CARPER F- O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: lDA : ® 1 ST REV PLANNING BUILDING ® ® 2ND REV CPUBLIQWORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV . � 't CITY OF ATLANTIC BEACH S1 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028580 Date 7/02/04 Property Address . . . . . . 1665 W PARK TER Tenant nbr, name . . . . . . ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7000 Owner Contractor ------------------------ ------------------------ HOLLOWAY COPPEN ENTERPRISES 1665 PARK TERRACE WEST 562 KING STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 338-9757 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 98 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 7000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98 . 00 98 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 98 . 00 98 . 00 . 00 . 00 j PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. w BUILDING OFFICIAL 3r CITY OF ATLANTIC BEACH f r, x PERMIT CALCULATION SHEET DIM Date Address e Q R' cJ 1-9 Permit fee based on dollar evaluation as indicated on permit application. 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: $ $ 4t)E)y $35.00 13` $1000.00 $ $35.00 Total Valuation Remaining Value Per thousand or portion thereof: ■ CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 6S^ ZONING: + % Filing Fee $ _ FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER E%IPACT FEE $ WATER METER/TAP $ CAPITAL 01PROVEMENT $ SEWER TAP $ C ( )RADON HRS.0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( )SURCHARGE $ OTHER $ GRAND TOTAL DUE $ Cc: ir�lr,J CITY OF ATLANTIC BEACH D Ford BUILDING / ZONING DEPARTMENT i gins S. Doerr 800 Seminole Road 1 s Atlantic Beach,Florida 32233 J ry: (904)247-5800 ,3 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # n4 . Property Address: S �LIL Applicant: L___of PE" Project: 'R brs'F== This ermit application has been: Approved El Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: u Date: I' b CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION . Date: 4 tiU Job Address: 1 6 65, Aq—e ✓ -E 4 �- Owner of Property: Address: /"; G S n -� (�/� C Telephone: • Contractor: T Q^ " C� �'����State License Number: f c C- c.--, " Contractor's Address: S Telephone: R Fax: Scope of Work: Deck Slope: Greater than 2:12 '- Less than 2:12 Valuation of work- ?P C-) <2�) Product Name(Example:Timberline): l 1\ Manufacturer(Example- ): A ASTM Designation(s): l Required Inspections: S 1 Signature of Owner- Date.- Signature ate:Signature of Contractor: Date- G AS TO OWNER: Sworn to and subscribed before me this day of 206 State of Florida,County of Duval Notary'U Signature: — (��a�auy known ►�e'h6�aced ide�ti Ic!MDn Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 7 c / .20 C' State of Florida,County of Duval Notary's Signature: Personally known aced - g�Mes,kMna14, 800 Seminole Road •Atlantic Beacb,Florida 32233-5445 Telepbone: (404)247-5800 •Fax: (904)247-5845 •bttp://www.ci.stientic-beacb.fLus Page 1 Revised 2/21103 Hook 11907 Page 828 NOTICE OF COMMENCEM NT Permit Number Tax Folio Number N 5 M%j. R State y Florida PHONE#=25 County of Duval The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with chapter 713FIorida Statithe following information is provided in this notice of commencement. 1. Description of property: 1665 PARK TERRACE ATLANTIC BEACH, FL 32233 2. General description of improvements: ROOF 3. Owner information: a. Name and Address : RUDELL HOLLOWAY 1665 PARK TERRACE ATLANTIC BEACH, FL 32233 b. Interest in Property: OWNER c. Name and address of fee simple titleholder(other than owner): 4. Contractor's name and address: P_REPAIRD Coppen Enterprises _BY__._. 562 King st. Jacksonville, FL 32204 ` 5975 a. Phone Number b. Fax Number pa�e 828 Filed i Recorded 838-8331 247-3920 07/01/M 10:52:05 AN 5. Surety information: JQM ICIRRMIT COURT a. Name and Address: b. Phone Number: WA COUNTY KIMINGc. Fax Number d. Amount of bond: RN f 5.00 6. Lender's name and address: REC ADDITIOWIL f 4;00 7. Person within the state of Florida designed by owner upon whom notice or other documents maybe served as provided by 713.12(1)(a), Florida Statues. Name and address: a. Phone Number: b. Fax Number 8. In addition to himself/herself, owner designed of to receive a copy of the Lenoir's notice as provided in section 713.12(1)(b), Florida Statutes. 9. Expiration date of Noti f Commencement(the expiration date is one(1)year from the date of recording unless differ n �i€i t to is s d) owes Signature of Owner: • l Sworn to and subscri re me this day of �- ` 42004 Notary: —� --� nown personally/ID shown: My Commission expires: V Public Works Plan Review Comments Initials• Date: /� Project Name/Address: � ������� _ Application Permit#: CheckZox A cation ackingCorrimentsto.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 ❑ ri t-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing 1' contours. Section 24-66(b) of the Land Development Regulations requires on storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ er Section 24-66 See attached info. Sheet If on-site storage is required, a post construction topographic survey documenting ❑ ro er construction will be re uired. A Right-of-Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from ❑ street or drama e feature Swale, structure or la oon . All driveway aprons must be concrete, 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 drivewa s—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. CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 8W Seminole Road 9042475800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 Date 4- Z--.Lo-/ PERMIT# ISSUED BY THE CITY Job Address /` �l' Ail Ir ;-Aft 4i* todmArt O Permitee: _ HshliaTelephone# Permittee Address:J/ 7 f Sav7x &Lul /I h J.1F��►S+a!/�tt� FL. ?•x.��rr=-6Jr4 Requesting Permission to Con&ruct' Adb r�, Balm &jn T�rvrae t �!�"+� 3f•� T1l r. Ir l i'fW k T i-a... Location: (Reference to Cross-Street) (I'I l�' 7 7V?ekr* wit 'tit r l"rI wF,r e, 1. Applicant declares that prior to filing this.application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes(--Ir No ( ) Date: 4-1-z" r Bell South Telephone Company Yes(—)- No ( ) Date: ti,L-,Ze o r Ferrell Gas Yes(•►'l'No { ) Date: 4-Z -2 r o t Comcast Yes(...} No ( } Date: 4-2-'x 0e So 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of TiRnseortation Standards and be performed under the supervision of Irj-A►N DR L*w^mt U d j (Contractor's Project Superintendent)located at //7 4 ,I+.rim 08,&4s 12+f _____:Telephone* ?#4-- /FT-10;9 4. All materials and equipment shall be subject to Inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, In keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any Increase in impervious area on owner's lot or in the cfty Right of Way are to be Included with this application. pG ~r OF ^r�' 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the.holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date- -T p�NSATHZS. Before me his day of in the ounty f v My COMhII55t8�t*DW3124 State Of Florida,has personally appeared '0 W ato:oct*a 19.2009 Notary Pubic at Large,State of F,lo CV of© D °"" "°A-W r°1-0QlF�-T%7fNtY. My commission expires: , Personally Known: �� or Produced Identification: t CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 8W Seminole Road 904-247 b800 Atlantic Beach,Florida 32233-5445 Fax 8Q4-247-5845 Date �— Z-Zri•l PERMIT# ISSUED BY THE CITY Job Address /` �l' Joel h anR** ltwS = Tln•rrc p Permitee: IYAPt s 9 04 c C D y. XA.c, Telephone# Permittee Address: Jv>x &tul i? ,�►+►�0 J•F+► t ayt .. f�-� 6.TrF s Requesting Permission to ConXY— ct: _A01 04 9*,7w &&a /MA �"+► 3f./ TiZArr+�� /A &C 11412k 7^04 e Dir l Location: (Reference to Cross-Street) ;AFr 7*7tiity Lv4 s' �"uf r 1"i.�rsr 11iG L?��v L 1. Applicant declares that prior to filing thisapplication he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes(-)-No ( ) Date: d Z-zve r Bell South Telephone Company Yes No ( ) Date: Ferrell Gas Yes( 'No ( ) Date: 4-Z -Z e 0 t Comcast Yes No ( } Date: 4-x.-"t 00 pe 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be perfom�ed under the supervision of iu kL�+�r OR WWA"T 11 d � (Contractor's Project Superintendent)located at IJ 7 y .It-cm &9*,w t R•fat Telephone#: 904-' X7_16197 4. All materials and equipment shalt be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any Increase in impervious area on owner's lot or in the clity Right of Way are to be included with this applicatlon. pG 1t rj"ART. 7. This permittee shall commence actual construction in good faith with _days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are-granted only to the extent of the City's right, titre and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the.holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER signed: i7r Date: 4-z-door �g�MATHIS Before me this day ofin the My f My cpMtYIISS{pN#B!)483124 State Of Florida,has personally appeared Cit_:/�2 a iXrrut>s:Oeaibe*ts.MC Notary Public at Large,State of F,iork�a,•GotlMy of Duval. "'�0C My commission expires: QD A A Personally Known: �� or Produced Identification: t 06:34:27 a.m. 04-02-2008 114 �i6656877 JEA SSSC T ENGINEERING DESIGN PERMIT DATE REL WRN:7052908 N.Q.: NIA M.O.1I: 369103 CONST 4I2 C(R. TREE TRIMMING SUS-STA: NEPTUNE BEACH N.O.: 585 REQ'D:NO CELL ENGINEER:Harry Gale N.O.: 219.9714 ZIP CODE NIA CUSTOMER/ SVC PHONE LOCATION:1688 PARK TERR WESTI DIRECT ARE r 565 CENTER:S= N.O.:885-4191 I STA 1,T#1666 PARK TERR WEST, DIRECT BORE 3"70,TO STA 2. STA 2,STAKE AT 1665 PARK TERR WEST. JUST STUB UP TO THE STAKE, FOR NEW CONSTRUCTION. O STA 2 x STA 1 t ♦° ao 1665 ' ` 1 , 40, OeV7 50A j L .ANP � rn i ` q 4 Page I of 2 . - Vis. • YOUR TICKET NUMBER IS 093802007. Ticket 093802007 Rev:000 Taken: 04/02/08 08:46ET State: FL Cnty: DUVAL GeoPlace: ATLANTIC BEACH CallerPlace: ATLANTIC BEACH Subdivision: Address : 1659 to 1666 Street PARK TER W Cross 1 PALMWOOD LN Within 1/4 mile: Y Locat: PLEASE LOCATE THE UTILITY R/W OF ADDRESSES 1659, 1662, 1668, AND 1665 PLUS THE ENTIRE FRONT OF THE PROPERTY AT 1665 AS WE WILL BE DIRECTIONAL BORING FROM JEA TRANSFORMER #1666 ACROSS THE STREET TO THE PROPERTY AT 1665. Remarks *** LOOKUP BY ADDRESS *** Grids : 302OC8124D 302OBB124D Work date: 04/04/08 Time: 23:59ET Hrs note: 063 Category: 3 Duration: 02 DAYS Due Date : 04/04/08 Time: 23:59ET Exp Date 05/02/08 Time: 23:59ET Work type: DIRECTIONAL BORE Boring: Y White-lined: N Ug/Oh/Both: U Machinery: Y Depth: 6 FT Permits: N N/A Done for JEA Company HENKELS & MCCOY Type: CONT Co addr 1179 SOUTH ELLIS RD City JACKSONVILLE State: FL Zip: 32205 Caller DENNIS DODD Phone: 904-783-6697 BestTime: 7-5 Mobile 904-449-3051 Fax 904-783-6679 Email DDODD@HENKELS.COM Submitted: 04/02/08 08:46ET Oper: DDO Chan: WEB Mbrs : CAB457 CCTV03 FLP539 JEA SBF17 LS1104 Service Area Contact Phone Number Utility Type Day: 9042475834 . CAB457 CITY OF ATLANTIC CHERYL KOMOREK Alt: WATER AND BEACH,FLORIDA SEWER Emerg: COMCAST CABLE CENTRAL LOCATING Day: 8007789140 CCTV03 COMMUNICATIONS INC SERVICE** Alt: CABLE TV Page 2 of 2 Emerg: Day: 9042467316 FLP539 FERRELLGAS INC. ANDY GATLIN Alt: GAS LINES Emerg: Day: 9046658410 3EA JACKSONVILLE ELECTRIC DAVID MEANS Alt: ELECTRIC& AUTHORITY FIBBR Emerg: BELLSOUTH AT&T FL Day: 9043502274 SBF17 ATT/DISTRIBUTION DAMAGE PREVENTION Alt: TELEPHONE HOTLINE Emerg: I Crff OF.ATFLAN'TIC]BEACH[ PERMIT r � DUIIDYNG/ ZONING DEPARTMENT APPLICATION# 800 Samimle Road /� Aflaniia Beach,Florida 32233 T 4q (944)247-5800 (904)247-5845 Fax www.omb us APPLICATION TRACKING FORM REQUI D DEPT: Y PLANNING /� �j // f Grp Adfir8S3: l (I/.J (.V Il _�� Z Y N BUILDING Property / I-- Y N PUBLIC WORKS �1�1�1��#: •� (.. Qom, Y RaJB�dC UTlLT1ES � ) Y FIRE DEPT. Project: � ' �V Y PUBLIC SAFELY -APPROVAL DATE: wREQUIRED AGENCY: RECEIVED BY: INITIAL_ Z� y p D.EP HUFSTETLER Y N S.J.R.W.M. CARPER LLIY N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTEfLER APPLICATION STATUS CIRCLE ONE: S BUILDING DA AP REM BY: I DATE: ❑ 1 sT REV ® W 139 PLANNING ® ® 2ND REV ❑ ❑ 13U IN PUB WORK UB C S F1 DEPT. PUBLIC SAFETY ® ® 3RD REV ❑ ❑ . a —Ann CITY OF r¢t�a.�rtic �eac� - jt�udcz 800 SEMINOLE ROAD _ ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE (904)247-5800 �� FAX(904) 247-5805 1998 SUNCOM 852-5800 Lifetime Enclosures, Inc. 8629-3 Phillips Highway Jacksonville, FL 32256 Re: Required Inspections for Construction In the City of Atlantic Beach Dear Sir: Please be notified that a review of our records reveals that no inspections have been performed at the following addresses: #11415 1625 Linkside Drive Mike Stanley #11417 1665 Park Terrace West Nancy Potter #12119 451 Snapping Turtle Court West Carlton Jones #12666 2266 Oceanforest Drive West Joseph Sherin #13291 2325 Oceanforest Drive West Carroll #13292 1049 Little Cypress Key Edward Weiss #13293 523 Selva Lakes Circle Karen Dunmire #13401 1830 Selva Marina Drive#303 Patricia Riefensnyder #14285 1404 Linkside Drive Barbara Combs #15109 501 Levy Road William Echols #15434 1136 Linkside Court West Beth Robertson #15498 2279 Seminole Road William Duffey #15499 2233 Seminole Road#3 Property Owner #16776 567 Selva Lakes Circle Joann Hoza Please review your records and advise whether the work was performed by your company and schedule the appropriate inspection to close out the files. Please call me at (904) 247-5826 if you have any questions regarding this matter. S' rely, n - 7v" Don Ford Building Official DCF/pah cc: Homeowner