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Permit 1708 Park Terrace W (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r} ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �R Application Number . . . . . 09-00000601 Date 5/08/09 Property Address . . . . . . 1708 W PARK TER Application type description SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3809 ---------------------------------------------- Application desc new shed 1OX14X9 ---------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MITRICK, JOE BUILT ON SITE SHEDS 977 BLANDING BLVD ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065 (904) 213-9019 --------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee 25 . 00 Issue Date . . . . Valuation . . . . 3809 Expiration Date . . 11/04/09 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED TO MEET 120MPH WIND LOAD. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total 25 . 00 25 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. R> IEWED FOR CODE COMPLIANCE CJTY�OF ATLANTIC BEACH SEE PERMITS FORND REQUIREMENTS ACONDITIONS. D REVIEWED BY: DATE: CITE 0F ATLANTIC BEACH u BUILDING PERMIT APPLICATION w ; (New/Residential & Commercial) FILE COPY Date: lq6J/i Job Address owner's Name: l Phone: �'5xle- Address:.L: OPS F49:9= Legal Description: Block Number: Lot Number: Zoning District: Contractor: �, �l[ter O S�1'�� State License Number: v C�. . �L 7�6 cb , Phone: Address: Z City: � ©12�71� State:�_Zip:� Fax:. �9U� fl cP' ,R�ot Describe proposed use and work to be done: Present use of land or building(s): Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required?e)Lf yes'please submit with this application. Will this project involve changes in elevation,site grade or any use.of fill material or the removal of any trees? 53�NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. VAL pF YNO. Applicant certifies that no trees will be removed for this project. is YES. Removal of Tri�to bewill revrewed by the Tree Conserva . Tree tion Boa d,,wh ch meets twe required for this project. T o times each month. Removal Perm the. Tree In order to expedite issuance of permits, please follow all steps and provide all information as aanroariate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. of Public Works to determine if apre-construction or post-construction STEP 2. Contact the City of Atlantic Beach Department topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms. Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)`complete sets of constriction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road. •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • fittp://WWW.ci.atiantic-beach.fl.us Revised 1/04 Page 2 3�/Gd rook8703 R RECORDER THIS INSTRUMENT PREPARED BY:7.Lamb mb Pg 765 WATSON 8 OSBORNE,P.A. 298 Ponte Vedra Park Drive,Sete 101 Bk: 8703 Peak Vedra Bach,Florida 32082 DOCti 97186569 6 Filed S Recorded RECORD AND RETURN TO: 08/20/97 Joseph hL hutr t 03:54s52 P.M. 1708 Park Temee Wad HENRY W. COOK AWnth:Beach,Florida 3M33 CLERK CIRCUIT COURT DUVAL COUNTY, FL REC. $ 10.50 REPARCIM 172=43" DEED $1,351.00 BUYERS WARRANTY DEED THIS WARRANTY DEED made this Sth day of August, 1997 by Mildred W. Richards, an unmarried woman, hereinafter called Grantor,and whose address is 2035 Timotby Rad,Apt.8-105,Athens,Ga 30606 to Joseph M.Mitrick and Lean A.Mhrkk,his wife,hereinafter called Grantee and whose address is 1708 Park Terrace West,Atlantic Beach, Florida 32233. (Wbemcr used betein the term'enntoe and'��aanntee' indude all the patio to this ieattumeat and the beits, tool ncpnsena— sad —go of iadividuds, and the suceeoao and osips of eorpondons) WITNESSETH: THAT the Grantor, for and in consideration of the sum of Ten and NO/100 Dollars and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens. remises, releases, conveys and confirms unto the Grantee, all that certain land situate, lying and being in Duval County, Florida, vox Let 15, Block 10,SF LVA MARINA UNIT 8,aoeording to the plat thereof as recorded in Plat Book 34, Page 85,of the current public records of Duval County,Florida. SUBJECT TO taus accruing subsequent to December 31,1996. SUBJECT TO cavenants, restrictions and easements of record, if any, however, this reference thereto shall not operate to reimpose same. TOGETHER with all the tenements, hereditaments and appurtenances thereunto belonging or in anywise apPe TOliAVE AND TO HOLD the same in fee simple forever. AND the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee simple; that the Grantor has good right aced lawful authority to sell and convey said land; that the Grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever;and that said land is free of all encumbranceL IN Wf1`NESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first above written. .asst rsea aoaa.n by AAMOW a.at e.t.."Mw^NO.i.asaaWIM ern+w Book 8703 Vg 766 Signed,sealed and preuaa: c rRiclwds BARBARA J. LA4B VI f-jilArm i)w.S-wUkture DAWN Pd. is STATE OF FLORIDA COUNTY OF 5f.JOHNS The forego instrument was acknowledged me this Sri day e(�xw W ���� womae. He�he is personally (mown w has produced D1tll1�� as identification. No and County Af or BARBARA J. Notary rim ignatureany OVn� BARBARA J, LAMA(rerial No,it COMMISSION*CC 373615 : ^EXN.RES JUNE 26, 1999 4F BDNDfd THRU N OFATLANTIC QONDINQ CO., INC, pyo f Fam$.a—4y AwmmM Ruf 6rY^ Ir./Ja0-f1►I H6 $MtH MAP SHOWING BOUP,JDAh•l SURVEY OF LOT 15, BLOCK 10, SELVA MARINA UNIT NO 8, AS RECORDED IN PLAT BOOK 34, PAGE 85, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: JOSEPH M. & LAURA A. MITRICK STEWART TITLE OF JACKSONVILLE, INC. WATSON & OSBORNE, P.A. TRUST MARK NATIONAL BANK i LOT 4 B�O 'g'PSv? p 3' FONO IDEN T' IRON IFlCATIONPE 1� E 63 92 + ,0\1 J .� FOUND 1 2' IRON PIPE NO IDEN TIFlCATION -✓ A8 rn, • LOT 15 0.0.1 w LOT 14 a a w l N .4. l.9, LOT 16 n SPG �- 1 s.2• a�� 0�PSOr1R��OB in In ZA,\' fO (D , 4V N 279• / \�6 FOUND 1/2" IRON PIPE \�\. NO IDENTIFICATION Z Z 0\30- U\ 6 -0/\N� ' 3 0��� CD y, O 0 1• L In, FOUND X CUT "�5 &Z POINT OF CURVATURE OO !pc `� 0A P� °�RRP FOUND 112- IRON PIPE a5 Lw NO IDENTIFICATION 5 2`Z A,�..5(O P PR�I R 6p 0 NOTES: ACCEPTED BY: N rr r Fa p, N O W �J Q O O O O_ WH td _ - --- � Oro rn � ' o z � . 00 Qin o � wH �Ov c N aLn x I..., R1 ro O AW O Aro V r ° CD �a � _ z � z o oaz CLQ ',� �Y zmavn ~ x W x o n rd O O A O Oro rn n 1", 1:4 N H f H o x p r ra 0 x 1y N :0 CD to O tJ IC A z b d A z �7 0 CP z VCC °' m ro r HE:=- d b Cptl x M H W r7 H w M ���+++ rr f7 M k' A N O to ° H n H pFc n z O m H x w 0 ° m A vp z � cnroa ri Z a z 9 U C7 y td t w M CO T nA � H ls1 co w � a F-3 O T m H W CD INn �D F Z H [a�te+ 1p 110 Z 1 N 5 -1 LTJ try x z 0 o CrM H y to hi � d � x n v d Ir n /0 z H _ sIDEW= A. o HEIGHT ,DATE: 01-07-05 FLORIDIAN BUILT ON SITE SHEDS Robert Theodore Haug P.E. 977 BLANDING BLVD ELEVATIONS 1820 E. Edgewood suite 105 oxANGE PAxx F, 32065 o '` '` AP PR°VED Lakeland, FI. 33803 909-213-9019 Mrs SCALL: H m � N O O O O O F r W N N N N O C 0 o m o m oFRAMING S�EIII)II[E nIIII FLIIII OOIIIIR FRAMI$III' DETA$'IIL $II — J URXCy v. 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V417 y tNi u� � 0 O C7 ',tl R1 tri N !n !n 'T1 MO ebflA�J....IiW DATEFLORIDIAN Robert Theodore Haug P . BUILT ON SITE SHEDS 1820 E. Ed ewood suite 105 977 aLANDINc BLVD rs•` . "= FLOOR FRg oRANr£ PA.PX FL 32065 AMING N ; Lakeland, FI, 33803 904-213-9019 ss yyy fq A O m F7 H bd t+1 H N - 10 p A 4 O O O O Z N IG b IG O [Hq O W N H 7a $ H O O O 00 m yyG M 103 00 w � - C7 �' x QE 0 0 IP O N O �j �� I 'ri O 1-' rnc, H � F, r H D CC 'V y 0 10 t. ta'' `3 N w Ny co N � r SII p p a � h SII N L, to ;fit 6d Q 1•�, „ yC. Ry� 10 10 b b 1 Cl S r Z,,,. 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Edgewood suite 105 ORANGE PARK FL 3 t^• exov�sl;(` ; Lakeland, FI.33803 904-213-9019 5 t r r r T N O m 8 x N N 2 2i4 STUDS @16"oc (T'YP) 2' 1 1 CD N N 11 Q d n a9 a N0 A La \ 10 Yx a 0 o � � o w O r t1 � OPOr r W W . a k O N p w r P 8 0 to A !? A (1 N N O fpl N p o 0 S � r g •�` p; p N V 'pq7 w a a a � n W YYY to 0 a 0 0 0 0 t7 N � ld Pi pUY1 N 10 o A Qg� a v 11-x'Jj Z p A A q 10 D V� � Y 0 twc v tq w Y F2 o E70t/1 //(/ w a .a a �OSO r � o w < a I W H a 0 Q :z OD > v � w r7ny / o y a m n b 2 ,�1 wcn r rn rn � x Nr taa o - a n i px 4 a 0 0 Q VCd F•\ G r � x � H CN � HvNn0.0. Gyy� p6aFa ❑ � AY ax O Z1 o � � 8 m a Nx Zy r' O A N O M o v tv n r p n ,••t ,,: 4,.,f�;,.,. W m W O a 0 w w rn a m 7S p r a 'OZ R Q s` f L7 -0iS.JHY 4\!T: 01-07-05 CL4D0.TD IAN Robes Theodore Haug P.E. goal off 311M s®s { ) - g 977 aLANDI:Nc aLvo .-U.t oeruL 1820 E. Edgewood suite 105 O�� PARK Ir 12065 �rwootia Lakeland, FI. 33803 901-211-9019 :-•9. .-e' `�-^ a'sc.�c.e� Irl•5 r r r A b 4 H E 0 0 0 0 a > RAFT&M P24"oc 4AR SCHEDULE BELOW , w R 0. a Y r p Y tl N II N O £ II ■ ■ Y N N H ■ Ob Rio II q q q g q q G r II fl fl N fl II II ■ z x C Wa0t7 g n q q q q II A � � a H in O� [N] ' g P A p b r`i m Z °zr N N N II ■ H H Y P h1 a x ° how O H g Y Y Y Y II N 11 11owl 0 UU r r N Y H N H N O p ■ It N 11 11 a ■ m p N VY N g q q g q q q " `° 0 x a a p a n n u ■ r c7 Y Y a p n N u ■ p ip n_ n n H if, W r m P N O n N {u+ x PO •-1 „ A r M A O [1L W fG In v r o .ro N O O N 8 o ° w Dd H N M o y h%C11. a r H r /\ 47 P / 1p "1 N N N N O P \ A A A P O r H CO v O rn O N 11 j N p p• P W '� / W •nJ p x M OId jl � 0tc � ? ) ;: p z o D o 0 m r� � 'vW O d O O rro � LQ F) A V �' OMC' t1 � Md QrrN{Y. 1-+ n mt7 � ^n �" � •< < . -_' mM sQ +� � 0 3fc � wzn �rWN mH O � a D `� w °' roacxi N N W3 -� 1q �oa ~ raw �•�r� Imo � n, t� w � Dm a)' 0 mm N AIy� O d ND '!� QrA, � H a r o Ypd R W LIddU y fcmy c' m -i zmz ro ,ADO °• n 7p da ;l>�11y'� .4lAlY: 01-07-OS MCI RM TAN l - BUILT ON S= SHEDS M o� ; Robert Theodore Haug P.E. 977 a7.MMI NG aLvn aoor MWINc 1820 E. Ed ewood suite 105 hiL ,y g OfiA71GE PAAX FL 72067 Lakeland, FI. 33803 901-217-9019 r{} z yC1to � � o� ormroo ca Ego k1 M �a b .0t4 .1 � o8y 14 to W � ��jjH ohl H yCN[ARMALL D951= MAIL CPAGI N6 0� ��9 y � � g O r mory.M m {+ ro w h1tam pypdp H m ti r O y�y ° td y+ fdbx0 � g � y � Fdr r 3 s E roo � to W N m r ribtoHtd r !d y A td O Y m w a• i- w Nm k x O W o z 0 yy+ zz M r . m . . to a W N r y � p tnN x �yn H `A ym, o ° pCtMMd gHxdM�� H'-44, �rO tUhHN `on tzj o �a RIDGENJ toOV C t. nCn GyrH 51 to H4) OEDM pxMyOh H m O (rCn a td OHtoW00 I td Ory 0 1��+1 p H 0 P+ x W I I I pO "y O1 � t7 Y I N I I [ K .CmyC�] Ny a C R o Z N I I I I ,y �' tnr tp � t�pyLA m H 7 y x ro i"� H R+ bd y M ILO G1 ro�td ��yd ��qq to cc Lydd �t O to HHrMW togMxb GyI ' 0 b Zt4 eC7N O t+J � � fA � � •il t0 � � '7. h1 x N yC K -i ~ M CN k Q' H HCr� G� DO � m -{ W- Fd C to C H ©A 1A b w x 00 aro .b0e � �a QH Hqp �G O � yZpP ?+ O xj r KH to [d id 0 - x m� � C M CJ bro '-Ai N `(D] n m ` j --1 m.T1 CJ C7 N H V1 O S S 07 0[7 .� 0 H � y H t1 Kf vi .G O Oo ���� � VQG b y 0 H x 2 mC7 —1 H °z H K C n tor)m m l]N IA G� H d � rm5E3m x � g 0 t4 0 to H , 4 1 l i • ,F4I '.-k. .5. G) DATE: 01-07-05 MR-TDIAN BUILT ON SITE SHEDS Robert Theodore Haug P.E. 977 BLANDING BLVD t3 NOTES & DETAILS 1820 E. Edgewood suite 105 ORANGE PABX FL 32065 PROM 904-213-9019 Lakeland,FI. 33803 :�• NTN hti�.k�x i 1 rh: r zzc � x D C O }FH H � O Tt -irn � D M frlrrTl = p I O O N / • • p p Z � 0 � � ~ � N / • • -� -i G) O Z • In N � I � OODQC • • ' N A Fr� Zp v N „ 0 � m m H O � ai t� M H °,r a�aaa i NORM �, � d d 7; :, r r o O K a' o > : aEn O a � � ,-rte X p O p y !7 r+ ^ F m ° b < V, rrC c � n N rt y � o H � C9 h m � � frt9 QC G' M O p y ~ Q R p` o OQ p .y p � p � a rt p .p O m ! O n p 8 c a y w .h 0 cn � ° o y c� c� O 9 m o p A H orA x Z p En p 3 � w CA a A C 0C4 tz C ° 0 o � N a 05 o o m n td o c d :�-4 C R � � e 0 8 p o o a n C b e S R1 gd 4n y ^ NOcn 6= x m z b d p � o o C or. o p .A+ 3 C � A A � r A � o a ° o C o ev c a � r n C er n y � � o c � 5 o � � n n 5 n ° Dq I G a c s ''yr�_° City of Atlantic Beach [F7(Tobe PLICATION NUMBER Sty Building Department gned by the Building Department.) 800 Seminole Road �r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 0 d City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM ent review required Ye No Property Address: ���1� ;Ia=nnin &Zonin �,� A^ Tree Administrator Applicant: l� on �� I�.S Public Wor qq Public Utilitie Project: X �� �L] u iic Safety Fire Services Review or Receipt Date Other Agency Review or Permit Required 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: MApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: � Q TREE ADMIN. PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by:- Date. City of Atlantic Beach APPLICA ION NUMBER Building Department (To be assigned by the Building Department.) r 800 Seminole Road 'J Atlantic Beach, Florida 32233-5445 ` rU Phone(904)247-5826 • Fax(904)247-5845 i s E-mail: building-dept@coab.us Date routed: D d City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORD ant review required Yes No Property Address: �Q U �i�� 1 J4�1� ,CIFFire &Zonin ministrator Applicant: Public on1�� .5 Wor Utilitie Project: /0' X A X`7 AL1 Safety rvices 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.) Comments: BUILDI G PLANNING &ZONING Reviewed by: Date: TREE ADMIN. 4A�: PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. comments: I �e:te z : Rsvis.Ayed by CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION V. _ �r (New/Residential & Commercial) ��� J J Date: Job Address: a� Owner's Name: 7— / Phone: 9X1 Ze * Address:/7cV7� Legal Description: Block Number: Lot Number: Zoning District: Contractor: ,P�a9,of 0/I/S _State License Number: Phone: Address: City: ©12i�I1�'7� ► Stater Zip=�L��Fax:. Describe proposed use and work to be done: / ,.Xz Present use of land or building(s): fN/L Valuation of proposed construction: • O DIf ' Is approval of Homeowner's Association or other private entity required?���— yes,please submit with this application. Will this project involve changes in elevation,site grade or any use.of fill material or the removal of any trees? 53�NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance.of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and grovide all information as approariate. incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole.Road. Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 . http://Ww*.ci.itiantic-beach.fl.us Revised 1/04 Pave 2 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. -: 2. Location of all structures.,temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. . 5. Impervious Surface area calculations. Include driveways,sidewalks,patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Provide drainage plans. 7. Provide erosion and sediment control plan. 8. Any other documents requested by Building-Dept.,Planning Dept.,Public Works and Public Utilities. I hereby certify that all info ation provided with this application is correct. C /J 9. Signature of Owner: f / Date: F l 116/ I hereby certify that I ha read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or. not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the goveniing of construction or the performance of construction of the property.: 1 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. . Date: Signature of Contractor: C� Address and contact information person to receive.all correspondence regarding this application(please print). Name: Mailing Address: /11-7-7 � ����� Phone: �lly.�//�-���/�7 Fax: �P� 7i/ _ 9/�Z- E-Mail: AS TO OWNER: Sworn to and subscribed before me this day 0 20 •. State of Florida,County ogiw` S F. LE%IS �11 Public,State-of Florida Notary July 13,2009Notafy,s Signature: My comm.exp•4D450286 Comm.No. ❑` Personally known Produced identification 1'V5;.?- , YVG_ Type of identification produced AS TO CONTRACTOR: �. ' Sworn to and subscribed before hie this day of /"' 20 C State of Florida,County of Duval CFIARLES F. LEW1S 111 Notary'sSignature: Notary Public,State of F12909 My comm. exp. July 13, Personally known Comm. No. DD 450286 Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax_ (904)247-5845 • http://www.ci.atlantic-heach.fi.us Revised 1/04 Page 3 rj t.L'.frJ� CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION \` (New/Residential & Commercial) Date: Job Address: Owner's Name: Address:/7O� ®�' Llr Phone: �O Legal Description: Block Number: Lot Number: Zoning District: �,;'f O/I/� � State License Number: Z- Contractor: ! Address: 9-n &,dd(2/4Z(::-7iyl7• !�. P • Phone: : zip:, L�'�Fax:_ City: �i�,�'Ilt�i' ..��►G— State �/ Describe proposed use and work to be done: Present use of land or building(s): 9,14161 Valuation of proposed construction: 00 Is approval of Homeowner's Association or other private entity required? if yes,please submit with this application. Will this project involve changes in elevation,site grade or any use.of fill material or the removal of any trees? 531NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. KNO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as anprooriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit.Application, Energy Code Forms. Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall.,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl-us Revised1..1/04 Page 2 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. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. . 5. Impervious Surface area calculations. Include driveways,sidewalks,patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Provide drainage plans. 7. Provide erosion and sediment control plan. 8. Any other documents requested by Building-Dept.,Planning Dept.,Public Works and Public Utilities. I hereby certify that all information provided with this application is correct. Q Signature of Owner: Date: f I hereby certify that I ha read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property: I understand that the issuance of this permit is contingent upon the above information being true'and correct and that the plans and supporting data have been or shall be provided as required: Signature of Contractor: • r/ �-:�•�/`-� Date: v Address and contact informatio/person to receive.all correspondence regarding this application(please print). Name: e21V ;71 e�cs Mailing Address: / 77 ?r!f`f ,211 ( Zeal E-Mail: 50L; Phone: �Dy•7//� ��/�7 Fax:��y• 7i(� 9/�� 2d4/ /T� AS TO OWNER: 99 Sworn to and subscribed before me this , � day of k/LG L "20 .. State of Florida,County o1R*'KIES F, LEW15 Ill Public,State.of Florida Notaty ex9. July 13;'2009 Notary's Signature: NoDD My comm. 450286 Comrn• . - ❑` Personally known K'Produced identification �l_3�1^Y91—,Ct ,Y06_ Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before nne this day of /zt' 20 State of Florida,County of Duval CNRRLES F. LEWIS III Notary's Signature: Public, State of Florrda Notary July 13,2009 My ca*� omm. exp. � Personally known Comm. , a. DD 4502$6 Produced identification Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone_ (904)247-5800 Fax: (904)247-5845 . http://www.ci.atlanti6-beach.fl.us Page 3 Revised 1/04 a City of Atlantic Beach APPLICATION NUMBER z� Building Department (To be assigned by the Building Department.) 800 Seminole Road jr Atlantic Beach, Florida 32233-5445 O — / Phone(904)247-5826 • Fax(904)247-5845 3I� E-mail: building-dept@coab.us City web-site: http://www.coab.us Date routed: 0 a APPLICATION REVIEW AND TRACKING FORM jDaparhmQ ent review required Yes No Property Address: tannin &Zonin .l f 0A �� nTree Administrator Applicant: h�-5 - Public or R ,, n 0. Public Utilitie Project: /0 X /9 k `7 Etn/% -F-ub tic 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: Approved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING TREE ADMIN. Reviewed by: Date: PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Revie%ev: ❑Approved as revised. [-]Denied. Commenf:s: SRsveu.ed bu: Data.- _ --- s Cit of Atlantic Beach APPLICATION NUMBER ` Building Department (To be assigned by the Building Department. Mk 800 Seminole Road Atlantic Beach, Florida 32233-5445 " Jr Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us -- Date routed: D d City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORD ent review required YesN® A'ex Property Address: U �) I e tannin &Zonin Tree Administrator Applicant: 735U� l� on �17� �� PublicUVor A Public Utilitie Project: u iic Safety Fire Services Review or Receipt Date Other Agency Review or Permit Required 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.) Comments: BUILDING PLANNING &ZONING Reviewed by(:: Date: S S TREE ADMIN. PUBL WORD S Second Review: ❑Approved as revised. ❑Denied. Comments: :::::PUB IC I ES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: �I Third Review: ❑Approved as revised. ❑Denied. Cacctme€ts: Date: J CITY OF ATLANTIC BEACH , r r M 'sS J BUILDING PERMIT APPLICATION M �r (New/Residential & commercial) Date: Job Address: Owner's Name: �l7 Phone: zegl, Address:/ r6 ' Zoning District: Legal Description: Block Number: Lot Number: �Z Contractor: State License Number: g� C3/.�/1/(J/�L/�&49 (� P • J' ?�6�. Phone: ��4/ Address: mn d,. � A,O L State: _Zip:�LG16b�-Fax: �� �f l — City. 092 d , / �- em. Describe proposed use and work to be done: �0�/y X 9 ��� I/ s Present use of land or building(s): l �L Valuation of proposed construction: . C)O Is approval of Homeowner's Association or other private entity required?e)if yes' please submit with this application. Will this project involve changes in elevation,site grade or any use,of fill material or the removal of any trees? 51�NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. RYES. Removal of Treeswill to bene required b the Tree Conservation Board,VA -PERmeettwo IS REQUIRE es eQUIR°DthTree Removal Permits y Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appro0date. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, have please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, pleas Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit.Application, Energy Code Forms, Notice of Commencement,owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of constriction plans to the Building Department,which is located at the Atlantic Beach City Hall,goo Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 $00 Seminole Road. •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://Www.ci.iiiantic-beach.fl.us Revised 1/04 Page 2 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. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations. Include driveways,sidewalks,patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Provide drainage plans. 7. Provide erosion and sediment control plan. 8. Any other documents requested by Building Dept.,Planning Dept.,Public Works and Public Utilities. I hereby certify that all information provided with this application is correct. / 9 Date: Signature of Owner: i v I hereby certify that I ha, read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to visions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the give authority to violate or cancel the pro 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: . Date: CJ Signature of Contractor ' Address and contact information person to receive all correspondence regarding this application(please print). Name: y Mailing Address: / '7 - �� � 6 b Phone: �0��//� 0/'Cl Fax: 1'�,PY • 7i(� _ 9/�L E-Mail: AS TO OWNER: 199 Sworn to and subscribed before R me this day of 412'a20 State of Florida,County o 'i� ES F, L�WIS State of Florida Notary public July 13,'2009Notary's Signature: MY comm.exP• A50286 Comm.No.1)D ❑`.Personally known Produced identificationyn '/9 , Y06 ,.) Type of identification produced /- AS TO CONTRACTOR: Sworn to and subscribed before me this day of 2 20 . State of Florida,County of Duval CHARLES F. LEW15111 Notary's Signature: Notary public,State of Florid My comm. exp. July 13,2009 personally known Comm. N4. DD 450286 produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 http://www.ci.atiantic-beach.fl.us Revised 1/04 Page 3 + CITY OF Office of Building Official REQUEST FOR INSPECTION /11I Permit No. Date / A . District No. Ip Timep Received ea/ , Locali Job Address Contractor MECHANICAL Owner's PLUMBING Name ELECTRICAL ❑ Air.Cond.& ❑ CONCRETE Wiring ❑ °p Rough Heating BUILDING RoughOut ❑ Footing _ Temp 11 Framing pole ❑ Fire Place l - Slab Sewer pre Fab Re Roofing r, Fina Lintel A.M. READY FOR INSPECT P.M. huts. Friday�----- Mon. Tues A.M Inspection7�L� Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA Approval by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Z"` 19 Y9 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. c ELECTRICAL FIRM: MASTER ELECTEI CIAN SIGNA,n RE JOURNEYMAN NAME T ADDRESS:I M IF�II,aC �C �j BOX BLDG. �SIZE BETWEEN: RES.(/ APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ( 1 REW. ( 1 ADDITION ( I TRAILER ( 1 TEMP. ( ► SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR k ) FEE CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT } RACEWAY EXIST.SERV.SIZE AMPS PH '�W f6VOLT se RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALEDJ__ OPEN TOTAL RECEPTACLES I CONCEALED OPEN TOTAL 0-90 AMPS. 31-f00 AMPS. SWITCHES INCANDESCENT _ FLUORESCENT&M. V. _ FIXED 0.100 AMPS. OVER �— APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS r �� CITY OF DTIC 8BRC8 ROOFING PERMIT "PLICATION Owner(s) : ' S Address:_ 00Q4It1 ttA Phone: Lot # Block or Unit # Subdivision: Contractor: 1 110AAt S#""t Address :— P 4"t Sd� City, State and Zip !" f 3 Z 2S6 Phone State License # 0 C C 0,-'{ S I C Describe work to be performed: -e- 40l� Valuation of Proposed Construction: 1/, ��� Materials to be used: 3- [ if?Y'iIllr-f Signature of Owner; Signature of Contractor: - Liability Insurance Supplied Workers Compensation Insurance Supplied License Information PSR-3844 3 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- --- PERMIT INFORMATION ---- - ----- - LOCATION INFORMATION - Permit Number: .13317 Address : 1708 PARK TERRACE WEST - Permit Type:RE-ROOF ATLANTIC BEACH , FLORIDA 3223{ Class of Work :ALTERATION ------�-- - LEGAL DESCRIPTION --------- Constr . Type:WOOD FRAME Block : Lot : Proposed Use: Twp : 0 Section: 0 Subd :O Rnq: n Dwellings : 1 Subdivision : SELVA MARINA Est . Value: 0 . 00 Improv . Cost ,. 4 , 500 . 00 Total F --_ 25 . 00 t T ---- wNEF LNFORMATION APPLICATION FEE- Name - ':Lt IVER RI"H ?R?`^ PFRM7T 25 .00 Adds I7�FK TERRACE WEST ATLAINTI rEA_"H FLORIDA 3< - - CONTRACTOR INFORMATION ---__ ?dame : SHORE ROOFIN^ Addr: 91.4 7TH AVENUE SOUTH JACKSONVILLE BEACH , FL 32250 Lig,: CCCO54811 Eyr ' / NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.0014 Datew &1147 01 keeipta CHECKS 3g23 ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000 By: DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA 5 7 PERMIT NO. �V 7 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Uiy-- —_ 19$$_ �nOCA Valuation$ Fee$ N/C ! 17171 C A 7/ l loin 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 (;rover Ric-har I i i has permission to If Classificationll,' dentia 1 Zone Owned by Lot BlockS/D House No. 1708 Park rrace Nest According to approved plans which are part of this permit = NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- j SPECTED BEFORE POURING. i PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE --♦ —♦ Z Building material, rubbish and debris --I from this work must not be placed in public space, and must be cleared = up and hauled away by either con- tractor- owner. Building official. FOR OFFICE PERMIT USE ONLY NUMBER DATE I CONT�A OR PLUMBING ELECTRICAL SEWER I!I WATER 1 I PSR-3844 6782 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ - ------- LOCATION INFORMATION ---- -- - Permit Number - r)7 f4 jd1,es S -* 1,708 PhRK TERRACE WESST Pei-mit Type : WELL ATLANTIC' BEACH , FLORILn Class of Work - NEW LEGAL DESCRIPTION ---- ------ o n s t r T y T,, WCjf._tl) FRAME Block : Sect i Or., r o p os Fs.4. �Ise: SINGLE FAM11,J Township : RNG Dwel I inqs - 1, fTode : 0 ' Jivision : SELVA MARINA Estimated. V. 1 i,j e { S0 r,; Improv , Cost : $0 , Total -Fete - --------' OWNER INFORMATION ---- APPLICATION FEES PERMIT 1708 PA'AR-,,`­TERRACE WEST WAT e Aft� 1 M F A C FEE; ATLI - Z;,_ I EE 0,,-6 �11T T F H , li RADON GAS-H . R . S , CONTRACTOR TNFORMrA IT'T I-INT RADON GAS - 5 oai-ue , L , N � WILL, TTM,�'7 WATER TAP d v s SEWER TAP ATLANTIC EE!,,!1­H HYDRAULIC SHARE RE- INSPECT FEE SEi H I M P AC NOTES: NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99 YkIDATIN PATEe O&A4493-- ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJWkTO REV6CA4W6ZR VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENDERED $10.00 DANI33F RECEIPT NUMBER: 087813 ATLANTIC BEACH BUILDING DEPARTMENT By: FEL $10.00 4 — APPLICATI)N FOR " LL PERMIT CITY OF ATT.ANrIC BEACH PROPERTY OWNER Name' b U �6— Address c (? DaYl Phone 29��3��T .�. ---- APPLICANT, IF , Zip Z�33 OTHER. THAN OWNF,R Name; ° Address, y 3Y � �� O� JOB Zir �z 33 Address or Location; Legal Description; Is well to be used for drinking. purposes? 'OV Any Person, individual, corporation. or other entity receiving a pernd.t as provided in Section 22-40 of the Atlantic Beach, Code, and who water from the permitted well for plans to use bacteriological test r g Purposes, must first obtain a bacteriological i al test report from the State of Florida Health Depart, Atlantic Beach. A certificatte of occupancytoe building depart of the City of report is on file with the buil will not be issued unntil said department. DePartment Notes: I agree to cam. 1Y with regulations stated herein: gnatur Date l CITY OF 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 92233 TELEPHONE(904)249-2396 APPLICATION FOR TREE REMOVAL PERMIT DATE ,, Z b 119 g � Applicant NAME �IznveR C , G Hf-Wb S ADDRESS Owner NAME [7'.0c+-y-�- ADDRESS Location of tree if different from owner' s address : Reason for Removal ! LAs Ll V / Rear Lot Line a� a� indicate possition of tree on o o lot a a v v ,r4 ,H Front Lot Line lzi-ldinv Official �1 APPROVED Arc ' I trol j ittee .............. .. ..i��.. ............... 1 v° GATE:.... ...............1..1............................. n 0 m /SIC 2 ' � SIT L_ coT i B t-k, . 1 O , U ti I-t 6 t i CITY OF ATLANTIC FEACH APPLICATION FOR SEWER CONNECTION PERMIT NO. (f ,DATE _ LOCATION 2 STREET LOr" NO. � PLOCK NO. SUF DIVISION_ OWNER �'� /Y. ? 'c��'l�t c2 /t-- TYPE L-TYPE OF FUILDING V `7 MASTERPLUMPER INSPECTED BY PILLED ACCOUNT N0. — 't �i APPLICATION FOR WATER CUT-IN TO THE CITY OF ATLANTIC BEACH: Application is hereby made for Q water cut-in at the following address for 07u,, unit(s) Cut-In chare of Street No. Lot 1�� Block S/D -T Ordered by Owner e4a,17� Mailing Address-436 , Date Account No. Meter No. Date Installed C6 ev,/ e 7-c d -3120177 A r CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO. � DATE : « "� LOCATION $-JOS Varv, e6yfolcft LOT NO (51� BLOCK NO )Q S/D OWNER C � Vh►�ly :iAS' ER PLUMBER4s" wr BLDG BUILDER OR CONTRACTOR��� �LJ�.Pa: PERMIT NO. TYPE OF BUILDING _SINKS_ LAVATORY- BATH TUBS URINALS f�_CLOSETS FLOOR DRAINS _SHOWERS WATER HEATERS__ DISHWASHERSTDISPOSALS — OTHER TOTAL FIXTURES @1 . 00 NO WORK MUST BE DONE UNITL A PERMIT HAS SEEM PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the site and location of all the soil and vent pipes , and the number and location of all fixtures , (In accordance with Ordinance No . 188 of the City of Atlantic Beach, Florida) mi-st be shown on back of application and be approved by the Plu.ribing Inspector . DRAW PLAND SPECIFICATION OF ABOVE PLUMBING ON BACK Approved by #.- Plumbing Inspector Darr: (FOR OFFICE C, Rough-In Inspected Final Tnspected r ____„_CERT1F1CATr. ISSUED : r r H r• ' 4 a o^� 3 d r J Q � a �Q coo V Cj Q , A Q z0 r4 s t �w� 'FOR OFFICE USE ONLY ....//,/......Date. ------- 19Z �s -�j--- CITY OF ATLANTIC BEACH ........................Fee$ ANTIC BEACH FLORIDA Valuation 7 . .... 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, herein specified or not. shall be complied with, whether 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. Date-------------------------liaTTh -----1924...... 19............ ............... Owner-Clh.ar.-I-es R & Eenrietta M. Hardman ---------------------------------------------------------------------------------Address...a�O 17th qt. A.R. Architect__..t ..........................Telephone 6116­ ------------------- owner—-BLI-i-1-d-e-r----------......................... Address.-----Yo&,•--------• fmt.e_._-r---------------Telephone No.--•-....................... Contractor Builder-------------------------------------------------------------------------- Address.-- above 15 ...... ..........................................Telephone No._...---.._............_ ._. Lot No................... .............................Block No..........10................Sub Division... 4i�eq�ya_jiarina Unit 8 - ---P-ark----Terrace- - - ----ke.s_t---Street------WeSt , Between-..----- .. ....................................................Zone---322-33 42,500 ... ....... .Side Between-----------------------------------------------------and......................................................Sts. Valuation $---------­----------.....................For what purpose will building be used............................9.._..---..Type ell'n Dimensions of Building 3 1 X 84 of construction....��Zi'Ck V'e,ri, -- ----------------------------------Dimensions of Lot- 74Yx15.6--.-Size of Footi,gs.---8--.x__.20...concrete Size of Piers_.�j�40..........--------Size of Sill&---- ...Greatest SM Span in ft...-,...!n---------------Type Roof---. 6.0#. la� ._C0=p,. How will Building be Heated?----GE --------­----------Will Building be on Solid or Filled Ground?-------Solid . Size of Ceiling Joists..Tru s s e s ................................. Distance on Centers....-2.411.............................I Greatest Span_...:�41 PF ------------------------- ..................................... Size of Floor Joists----------------------------------------------- Distance on 2xCenters-15'1 b..._-..-_--.-----------------, b----------*------------------ Greatest Span.......................................... ip 4 Size of Rafters. ...........T......russ................................... Distance on Centers 24 to .......................................I Greatest Span....26­1............................... po 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 buiWings. , Two copies of plans and specifications shall REAR LOT LIE).qV' 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. 3. When steel is in place and ready to pour beam. __JQ_ i 4. When framing is completed. Er 5. When rough plumbing is completed,and ready to cover up. 40 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. 30 19 ril Note: In case of any rejection,re-inspection MUST be called for after corrections are made. -49 S1 FRONT OF LOT In consideration of perm* even for doing the work as described in the above statement, we hereby agree to perform said work in accordance wl attached plans and specifications, which are a part hereof, and in accordance with e building regulations of the C' ntic e A. c wi th so e Signature of Buil ........ . ................................................ Address...................... -------- ----------------------------------------------- Signature of 0 ......­ ......... . . ... .... ............ .....c Address..........33.9.......1-1h t....... ....._Re.acti Fla r VI�,�j CITY OF ATLANTIC BEACH J j 800 SEMINOLE ROAD '=> ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000927 Date 7/15/08 Property Address . . . . . . 1708 W PARK TER Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ----------------------------------------------- Application desc REPLACE ENTRY DOOR ------------------------------------------------ Owner Contractor ------------------------ ------------------------ MITRICK, JOE ACE DOOR & WINDOW SERVICE 9123 HARE AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 727-6811 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ----------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50 Issue Date Valuation . . . . 2400 Expiration Date . . 1/11/09 -------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ------------------------------------------------------- Fee summary Charged Paid Credited Due ------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ri�rLvr BUILDING PERMIT APPLICATION ff CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 3223 0 C/R C E 1 Office: (904)247-5826 • Fax: (904)247-58 5' eUl�p q?C NTV tr D NG C SFA Job Address: `� Q� f''�r( CP . Q��arl� �La �L Pe iumber: Legal Description 3 S- "I Z Z �-' f 1= �! M V Valuation of Work(Replacement Cost) $ t ■ Class of Work(Circle one): New AdditionAlteration y Repair ■ Use of existing/proposed structure(s)(Circle one): Commercial Zesidential' ■ If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No,.� N/ Is approval of homeowner's association or other private entity required?(Circle one): Yes ' No 5 Describe in detail the type of work to be performed: c,,��-2- Property Owner Information Name: IN 01(�1G- - Address: &rv,City \ 1 State�Zip � Phone Contractor Information: Name of Company: ee on r f CcJ,'nd�,J S ery<«OL� ualifying Agent: �l Address: City State Zip Office Phone Job Site/Contact Number goy - State Certificatio egistration# C A C (-'23 S/g"D Office Fax# 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 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 sax (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 and Air 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. hereby certify that I 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 grantin of a permit does not presume to gave authority to violate or cancel the provisions of any other federal, state, or loci law regulating construction or the performance of construction. Signature of Property Owner: Q Signafore of Contractor: _.. NOTICE OF COMMENCEMENT S of ��� ` �� Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information s ted in this NOTICE W COMMENCEMENT._ Legal Description of property being improved: MSA-y" --,) t Address of property being improved: "�(�� �(�� �f'1� (-u[� ��1CZ PQ d7, �`- 32,23 General description of improvements: I\AQ U) b-p rry d po f- Owner:-oC.j k ,,,QAoy(A Address: \102 Paydl T y-A W, 1A Al I an-h(- BCS} Owner's interest in site of the improvement:—�O d / C--3dl L 3 33 Fee Simple Titleholder er than owner): N Contractor: _Qr-p— Wo r }-Ll) IIAC(Ott) 6't tZ3 0.re Av-a ?'wLv— F( 3 Z L t. Address: Telephone No.: Fax No: Surety(if any) Address: Amount of Bond$ T ephone No- Fax No- Name and address of any person making a loan for the construction of the improvements Name: Addre one No: Fax No: Name of person within the State of Flori - ther than himself designated by owner upon whom notices or other documents may be served: Name: Addres - T ephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's o Name: Address: Telep o- Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER n ^� g Doc##2008i7W8,OR 5K 14568 mage 327, Signed: l W t/ 'I Date:' of WO C) Number Pages:2 Before me this __day of_ in the C uval,State Recorded 07/10/2008 at 09:48 AM; Of Florida,has personally appeared C JIM FULLER CLERK CIRCUIT-COURT DUVAL Notary Public at Large,State of Flo 'da,County of Duval. COUNTY My commission expires: OC� �^�� 'Z-%09 RECON€DUUG$18.50 Persa�rt` or Deanna M.VVilmore r Iv1y Commission DD398666 `�c•c� ` ExQires02/2112009 ( 7 J RW R W Building Consultants Inc. BConsulting and Engineering Services for the Building Industry C P.O.Box 230 Valrico,FL 33595 Phone 813.659.9197 Facsimile 813.754.9989 Florida Board of Professional Engineers Certificate of Authorization No.9813 Product Evaluation Report Report No.: FL 6142.8 Date: February 20,2006 Product Category: Exterior Doors Product sub-category: Swinging Exterior Door Assemblies Product Name: Distinction Series 3'0"x 6'8"Glazed Fiberglass Door Lip Lite Screw Frame with Sidelites Inswing/Outswing Manufacturer: Nan Ya Plastics Corporation Plastpro Inc. 9 Peach Tree Hill Road Livingston,NJ 07039 Phone: 800-779-0561 Facsimile: 973-758-4001 Scope: This is a Product Evaluation report issued by R W Building Consultants,Inc.and Wendell W.Haney, F.E. (System ID# 1993)for Nan Ya Plastics Corporation,Plastpro Inc.based on Rule Chapter No. 9B- 72.070,Method 1 d of the State of Florida Product Approval,Department of Community Affairs- Florida Building Commission. RW Building Consultants and Wendell W.Haney,P.E.do not have nor will acquire financial interest in the company manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein. This product has been evaluated for use in locations adhering to the Florida Building Code(2004 Edition)and where pressure requirements,as determined by Chapter 16 of The Florida Building Code, do not exceed the following design pressures: Design Pressure Rating: Maximum Design Pressure Rating Positive 50.0 PSF Negative 50.0 PSF (See Limitations for size restrictions) See Drawing No.: FL 805 prepared by R W Building Consultants,Inc. and signed and sealpd by Wendell W.Haney,P.E. (FL#54158)for specific use parameters. Wendell Z VanP FL No. 54158 February 20,2006 FL 6142.8.doc PF 893 Sheet 1 of Limitations I. The Distinction Series 3'0"x 6'8"Glazed Fiberglass Door Lip Lite Screw Frame with Sidelites Inswing/Outswing has been evaluated and meets the requirements for use within the State of Florida excluding the"High Velocity Hurricane Zone". 2. When used in areas requiring windborne debris protection this product is required to be protected with an impact resistant covering that complies with Section 1609.1.4 of the Florida Building Code. 3. This product is intended for use where Section R 314.2.4 of the Florida Building Code is applicable 4. Size Limitations: Co.nfieurations MAX. Width MAX. Height Single with Sidelites OXO 68,0" 82 0" 5. See Drawing#FL 805 for Design Pressure ratings. Wendell ey E. FL No. February 20,2006 FL 6142.8.doc PF 893 Sheet 2 of 3 Supporting Documents A Drawing 1. Drawing No.FL 805 titled Distinction Series 3'0"x 6'8"Glazed Fiberglass Door Lip Lite Screw Frame with Sidelites Inswing/Outswing prepared by R W Building Consultants,Inc. (Florida Board of Professional Engineers Certificate of Authorization No. 9813),with no revisions, signed and sealed by Wendell W.Haney,P.E. B Tests Performed 1. Testing per 101/I.S.2-97 as performed by Certified Testing Laboratories and reported in test report numbers CTLA 900W3-5,CTLA 900W3-10,CTLA 900W5-3 and CTLA 900W5-4 signed by Ramesh Patel,P.E. C Calculations 1. Product anchoring is in accordance with manufacturer's published recommendations as substantiated by tested specimens reported in test report numbers CTLA 900W3-5,CTLA 900W3-10, CTLA 900W5-3 and CTLA 900W5-4. 2. Buck anchor analysis for loading conditions,prepared,signed and sealed by Wendell W. Haney,P.E. 3. Glass Load Resistance Report ASTM E1300-02 prepared by Wendell W. Haney,P.E. D Other 1. Certificate of Participation issued by National Accreditation&Management Institute,Inc., certifying that Nan Ya Plastics Corporation,Plastpro Inc is manufacturing products within a quality assurance program. tell .H E. FL No. 54158 February 20,2006 FL 6142.8.doc PF 893 Sheet 3 of 3 11RwtcsrvNrwbcAPrq 801 9001p(8931FL-80518-805-1.dwg W _ O F�'i -. m mn ;con Dv� v1 v,v �g� '10 OU-O cn?OZ00 p2U1 AZ v!-'A O _- n � mZ j�-yft o�om mom Amo 00 MMO r z D 2 p r C �1 Z v v D 2 N C W p ' �rZr �Z Z v -I m y_ (�Orrti n m 0 z T Zto D 1ZTlO En-CD =(%1=Z O-I= :1? V D A n r m A mtn U1D ZD0 n rn n V Tui ria0 < AO C2 �1D17A Or-zmUrim ZP VJ +�, (I) V � m om =1mz p- 0u) ZE* mA� f" VJ -{ y n D(A z Dm z�"" AnOCAROOM Fz�` o a y n Z 2 (n 0_�� y ryrr11 ^Z (mfg N nZ .,rn m �� En Czu)Q Am m�C--1- i1J `ems " j m m Z(AAzf -1C 6 00 �m,�a `z'o' n �1 * m � c) -0 c� o 0 Do -n X L = O � o Nmol v o a_- Dov, civ Z t)-I A Z T D (nN2m 2 O mO Amm O D m m W Z x r co r 0 ZR om O ZM AA �O mcvm n00 >0c c' �+ ..A.1 V 0 J ym ��� =Z m -n m 00 D cn � m AZ v �� o O z z c xo i0N mm �x z m CO cn� c �b Z O Q ~n OH cmir�. A� Fri 0 0 �m ov �m m N 0 0 O z z z m v 0 82.00" MAX. OVERALL FRAME HEIGHT 00 m m m K v x o c x o ti 79.25" MAX. OVERALL PANEL HEIGHT Oma z gv 0I N 0 j O x o O x o z O O O'er O� Z K>OON Z G V W V Do A x 0 x 0 mrm m 0 0 0 orq =m A / rD� m� mrri D � D r �1 m ® ® F I O tt O N U, i Ln O 00 1 Z O O m v m En Ln z 0 N cmi m c e m 0 0 0 0 v y'a PRODUCT: Daaumente Prep—d By: - o DISTINCTION SERIES 3'0"x 6'8" �p BUILDING CONSULTANTS. INC. r GLAZED FIBERGLASS P UTE ,JL P.o. eo:230 Vold—Fl_ 33595 DOOR W SIDELITES IN OUTSWING Pnone No.: 813.8 9.9197 PART OR ASSEMBLY: Florida Board o1 Praie onal Engineers hU N Certificote Authori tion No. 9813 rn NO DATE BY TYPICAL ELEVATION, DESIGN Z ZB 06 REVISIONS PRESSURES k GENERAL NOTES w del H ey. P. Ne. 54158 • \\Rwb6 \r be\Prof 801'900\Pf893\FL-805\R-805-2.dwg 2" MIN, 2" MIN. FROM EDGE ROM EDG N (TYP.) (TYP.) .q. W N A 10 N W v � N 01 N W N D W W � W v N V W v rn W W 00 N Q N � � m t0 N Z CO ) N N Z W n D O A O O C � D V) � m z 1-1/4" MIN. z N N EMB. (TYP.) A N 1/4" MAX. 0< mcnc�v SHIM SPACE O =j C)N zoAz n z rn C)z' r v o�Jlu1--; N oNmo X O o W AFm Iv v3 I r*1 N W OOm� -O_i v00j3 m m�� Z mz ti mZ1C _ O rrrlCO N A Ovlti A N OAC o N y m-1 A � rn � W V N A 01 t xg PRODUCT: 0...m nt.Pnp—d By: BDISTINCTION SERIES 3'0"x 6'8" n,/ BURRING CONSULTANTS. INC. N r o GLAZED FIBERGLASIP LITE W P.O. — .-valve. -33595 I o Z DOOR W SIDELITES INS OUTSWING Phone No.: 813.639 197 Qn O -1 W PART OR ASSEMBLY: U 1n C.M M.. ho . Of otthr„= .e. in No. 813 n I� = 0) NO DATE BY HORIZONTAL & VERTICAL G f REVISIONS CROSS SECTIONS w.nd.11 W. a P. No. 54158 \111wbc Vrwbc1Pm1801-900\pf893\FL-805\FL-80.5-3.dwg 1-1/4" MIN. EMB. (TYP.) EMB. (TYP.) rn w -.• 1/4" MAX. r SHIM SPACE r L � zo c�T zj �yZ to o U1 O L*1 ON N W m _ _ ICLpOU 1>• UT O W 1-1/4" MIN. 1-1/4" MIN. EMB. (TYP.) EMB. (TYP.) rn cn 1/4" MAX. w SHIM SPACE m � m rn to D � �? � r m C-) p O p Ln m O SON y � tNo X e �p2 p O zz o m � A A (A w ^pN W N QI z p (4 L m 3 z N Lq �m O N N � O �7 tt + to w � x m � w w � W rmmt m p ;UO to y Z N 0 Z 1-1/4" MIN. 1/4" MAX. EMB. (TYP.) {' SHIM SPACE 1-1/4" MIN. 1-1/4" MIN. EMB. (TYP.) EMB. (TYP.) ww n N A U) p 0 0 •� n Ll C) _ C) z w -+ 0 S F PRODUCT: Document. Preperod By: "J DISTINCTION SERIES 3'0"x 618. CU !BUILDING CONSULTANTS, INC. r'I" GLAZED FIBERGLASS LIP LITE ,/l W P.O. So. 230 Vold— FL 33595 DOOR W SIDELITES IN OUTSWING Phone No.: B13.659.9197 Cl -t W PART OR ASSEMBLY: Florida Board of Profe..io enINn.en IUl V)\ Certificate Of thodzaG No. 9813 L" x ChNO DATE BY VERTICAL �� 2ZB-V6 REVISIONS CROSS SECTIONS w.nd.11 W. N ey, P. 54158 _�__�_ems_ \0, ®® \ \ £ )§ co < q mm �r �z . e § &! 2 \ / j\ z �m a� \ R\ \G � \ | | | | \ N,� \/ \ / ------e33a=33-saaseJ_ �§] a _° \( 7 °Jt \»\ %) mZ / \ ( aE \`2 @: c� ! \< /} §[ § / m `k \2 n{ ( d � % §& a= �� A) a £ «ayay»sysa=s33333339 - 2A q2 G ` mz § % (# )e m | f | | | / ®( \ Ea MAX.� , " ) \ > ON CENTER ! $ 2 $N 7) 2 k! - m E % )> . \ o t _ . x / R , G \ { @ $t/ § « C� \ / ` \ \\ \ ) \ ��� )\ (\ �/ ¥ ) \ - { � [_ [@ {t E 6 z e8 n = \ } . 12" MAX. z� /� @ ON CENTER K � £ 2'� 2" r no/G « 922§ 00 rri 4q = k #G e R2rrl `2 m ` 4 \:210 - Aa(e a w 5.75" &gz FROM TOP OF FRAME | 2 _o! ©_, P-p_ By: mr msSERIES 3rx q' R2�Gee @��& @ � &_ Fl- ^- / oR « gewo+«ea_z} m o E E e K & FRAME ` , fes REVISIONS ANCHORING \\RWbc Vwbc\Prot 801-900\pf893\R-BOS\R-805-5.dwg mo Co �O ��o . oA20 ZrA'..] SZ$ w w2_kic a; i pe Ln c woo �z c� � o o ^m; c x+ mf Emoop�p �� a m 3; Z A A \ 2 C � ZN� � Z SA�o agog ED N y O< O G s y N m m rn o �x � o r F1 1.375" �� n Ln(4 "r-1oo�gn q. r N m �1 2 D 2 C 0 G7 !� .563" D I P" Ln rrm o o .125'�I Z C 1.759" It f o rr (A D m r r r 1.375" L7 N D_ 00 to D_ 0< L7 7 _ Es D n-�i D'D 5\ O {' L m 0Z m m�' o 975„ rr D D m a p 1� mr x� 3 O O CD 700 o m 1.218" m 1.208" —+{ .250" r� N W N V L � m L N U W to o 906" a � 1 �1 r rn m _,L A --j1.588" N N CC-) r p n m O 00 O v C U Fes—.7$0" �1 Vi cu m M T .200" , o p � p 1.250" r f� PRODUCT: D--t- Prepared By: p DISTINCTION SERIES 3'0"x 6'8" RU(.. N.CONSULTANrS. INC. GLAZED FIBERGLASS IP LITE �/ti Ul/P.O. Box 230 Vaineo FL. 33595 DOOR W SIDELITES IN OUTSWING Y Phane Na.:813.859.9197 PART OR ASSEMBLY: Florian Board of Prof eeelon Engineers Ln er Ctiflaote Of thoAiatlo No. 9813 rn NO DATE BY BILL OF MATERIALS, GLAZING Z�B Q( REVISIONS DETAIL & COMPONENTSW. arr.y. E. 54158 rs >>�/1, City of Atlantic Beach APPLICATION NUMBER �' Ss� Building Department (To be assigned by the Building Department.) 800 Seminole Road x Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 -o"ns), E-mail: building-dept@coab.us City web-site: http://www.coab.us Date routed: �� D 8 APPLICATION REVIEW AND TRACKING FORM Property Address: G r t review required Yes No � Aa 7� Build" Applicant: D661( anning &Zoning Public Works Public Utilities Project: GJ C s✓ .. ...,,.. . - oor. . .. 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: Approved. FIDenied. (Circle one.) Comments: "_ �_ -G BUILDING PLANNI ZONING PUBLIC WORKS Reviewed by: Yl.G2 Date: -10-0 PUBLIC UTILITIES Second Review: QApproved as revised. ❑Denied. PUBLIC SAFETY Comments: FIRE SERVICES Reviewed by: Date: Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: