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Permit 246 Pine St (vault) CITY OF ATLANTIC BEACH, FLORIDA FOR ELECTRICAL PERMIT a�.�by APPLICATION � I TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Mav 1 ..__�_-----19a IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORKHE ATTACHED PLANS AND SPECIFICATIONS, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH WHICH ARE A PART HEREOF,AND IN ACCORDANCE WITH THE ELECTR#CAL REGULATIONS; ODES AND CITY OF ATLANTIC BEACH ORDINANCES. 0 � Bivins Electric David Braddock E E RICAL FIRM: ER LRI i N 1 JOURNEY I MAN NAME Billy Arzie ADDRESS: 246 Pine Strut" RFD_r____BOX BLDG,SIZE BETWEEN: ' NEWJ ► OLD( PEW. REB.(x) APT.( ) COMM.( l PUBLIC( 1 INDUS.i ) 1 t AUDITION( 1 TRAILER i ► TEMP.ix) SIGNS i ) SO. FT. � SERVICE: NEW tFEE. . I INCREASE 4 1 REPAIR i 1 f CONDUCTOR SIZE 3#6 AMPS 60 COPPER ALUM. SMTCH OR BR ER. 60 AMPS 1 PH 3 W 240 VOLT gable RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO SIZE NO. SIYt: LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN_&____�r TOTAL 0.+90 AMPS. 91.100 AMP SWITCHES INCANDESCENT. FLUORESCENT&M.V. F XE0 0.100 AMPS. OVER APPUANCE9 BELL fTRANSF. AIR H.P.RATING H.P.RATING CONDIT!"INtu' COMP,MOTOR OTHER MOTORS AMPS CEIL;HEAT: KW-HEAT Q»1 OVER MOTORS H.P. VOLTAGE PHS NO. i N»P. ' VOLTAGE PHS MISCELLA SOUS tarAiueenQs�cne. imnt-ja m v_ OVER 600 V. CITY OF ATLANTIC BEACH, FLORIDA !� 7 Approved by APPLICATION N FOR ELECTRICAL PERMIT `Z TO THE CHIEF ELECTRICAL INSPECTOR: DATE: _ 19 _ IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK ASI DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPE IFI CATIONSCITY OF WHICH ARE A PART HEREOF,AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM WASTER ELECTRICIAN'SIGNATURE NAME ADDRESS: g// 11"a },yl RFD SOX BLDG.SIZE BETWEEN: — RES. AFT-( } COMM.1 i PUBLIC( } INDUS.1 I NEW OLD 1 } REW.1 1 ADDITION ( I TRAILER( } TEMP.I i SIGNS ( } SO.FT. SERVICE. NEW i I INCREASE( 1 REPAIR ( I FEE CONDUCTOR SIZE tea© AMPS /do COPPER I ALUM. 1 pO TCH OR BREAKER h PH W .2� VOLT RAC WAY EXIST.SERV.SIZE PH W VOLT AC AY FEEDERS >�o:..... . SIZE NO. SIZE NO ' ZE' - LIGHTING OUTLETS ap CONCEALED OPENTOTAL 4 RECEPTACLES ©? CONCEALED OPEN TOTAL # �2. O.00 AMPS. 1 .31.100 AMPS SWITCHES a.SO INCANDESCENT FLUORESCENT&M.V. FIXED 9•f00 AMPS. OVER APPLIANCES BELL RANSF. Ljo AIR H.P.RATING H.P.RATING 1 CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.R.` ; VOLTAGE PHS ON- ISCELLANEOUS r.nue,sr.' iird ca Ann V 'OVER SOO V. CITY OF 4&4a& Beaz44-0;&U-4& Office of Building Official d REQUEST FOR INSPECTION t Permit No. Date Time i F M District No. Received �>f, Job Address locality .owner's Contractor Name — BUILDING PLASTERING ELECTRICAL PLUMBING / HEATING Wire ..........❑ Rough Wiring ..❑ Rough ..(V ........El Foundation •••.❑ Lath ..........❑ Finish Wiring ..❑ Final ..❑ Final .........❑ Chimney ......❑ .❑ Sewers ........❑ Water Heater ..❑ Framing .......❑ Scratch .......❑ Fixtures .• Gas .. .......❑ Final ........❑ Brown ........❑ Motors ❑ Cesspool ......❑ Footing ❑ Finish .........❑ Temp-Pole .....❑ Wallboard .....❑ Final Inspection.[] Top-out ....Beam Lintel Beam ...❑ A.M. READYWed. �FOR INSPECTION P.M. Mon. TueThurs. Fri. s. �`'� A.M.M. P. (� Inspection Ma Ma �OVAInspector i b CITY OF Office of Building Official REQUEST FOR INSPECTION y� 7 — Permit No. Date i- A.M. District No. Time r ^y 3 P.M. c Received Locality Job Address , er's Contractor —��INHEATING Own PLUMB Name PLASTERING �Rough RICAL ❑ Rough ........❑ BUILDINGRough ❑ Wire ........:.❑ iring ..® Fin ❑ Final Foundation ❑ Lath ❑ iring ❑ ers ❑ Water Heater ..❑ Chimney ••• Scratch .......❑ Fixtures ......... '❑ as ❑ Framing ••••• .� Brown ❑ motors Pole Cesspool .... . Top out Final .......• Finish ❑ Footing ❑ Final Inspection.❑ ...... W ate r Slab Wallboard A.M. Lintel,Beam ...❑ READY FOR INSPECTION Fri. P.M. Wed. Thurs. Tues A.M. Mon. Q2 P.M. Inspection Made OO Inspector _ C12 _ • �� it CITY OF Office of Building Official 7 REQUEST FOR INSPECTION Date Permit No. . Time District No. �L Received ob dress Locality Owner's Contractor Name BUILDING P ERING ELECTRICAL PLUMBING HEATING Foundation ....❑ LWair .........0 Rough Wiring ..❑ Rough ........C] Rough ........❑ Chimney ......❑ Finish Wiring ..❑ Final ..❑ Final . ❑❑ Sewers ❑ Water Heater Framing .......El Scratch .......❑ Fixtures . •.❑ Gas ..........11 Final ...... ❑ n ........❑ Motors ........❑ .... Footing .......❑ inish .........❑ Temp-Pole .....❑ Cesspool ......C1 Slab Wallboard .....❑ Final Inspection.❑ Top-out .•❑ .... Lintel Beam ...❑ Water ......... FOR INSPECTION A.M. Mon. Tues. Wed. Thugs. Fri. P.M. r A.M. Inspection Made P.M. Inspector �_�� Tprtif tratr of (Orruvaltry CITY OF l Qmad, h"k- %Gi& 33ppartinpnt of Building Atapprtion This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances lgtI u'ldin«constrwlaon or use. For the following: Use Classification Bldg.PermitNo. /. Group Type Construction Fire District.. �9 Owner of Building —.Address Building Address--T4BtV[—C —Locality Building fficial ate:___ �✓� 2/� V POST IN A CONSPICUOUS PLACE C1 IY OF ATLAN 1 I C }31.l+CH FLOR i DA I1:SI'EC,rI ONS p BUILDING PERMIT NO. f ���� ELFCTRICAL PERMIT PLUMBING PERMIT NO.0- , dy JOB ADDRESS _ �1_� ----L'i•��'___1JXrPG`'�C — ------- ------- — CONTRACTORi1 1 ---L_> Z1-� --------- --------- ---- O'r?;ER DATE F:E1'AR1,S INSPECTOR FOU'JDATION _-__-- ---- --------- - FOOTING SLAB PLU-SING (R) TOP-OUT - - - --- SEWER --. - TEMTJ -POLE ELECTRICAL (R) -- �---------- - -- - -------- ELECTRICAL (F) ----�'---- — `--- ----- --- — FRA.'-:I NG r�l� 2 PLUMBING (F) G--L o`^/ � -.-- — LINTEL/BEAM COLUMN STEEL SHOOT GRADES LOT CLEARING 01-Ti ER F I;;AL INSPECTI ONS 1. c DEPARTMENT OF BUILDING C O /1 2 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. J �} PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date MAY 17 19 82 Valuation$ PLUMBING PERMITFee$ 11.00 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 B & G PLUNGING COMPANY 13997 BEACH BLVD. , JACKSONVILLE, FLORIDA j has permission to build INSTALL NEW PLUMBING AS PER PLANS SUB14ITTED i SINGLE FAMILYZone RA Classification h Owned by MR. BILLY ARZIE Lot 520 Block -- S/D SALTAIR #3 House No. 246 PINE STREET According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 10 O Building material,rubbish and debris Z from this work must not F edr in public space, and must An au�Bway biy��i tr ° r. 42 , --40GAC Building Officift'Uo FOR OFFICE PERMIT DATE -"-CONTRACTOR I USE ONLY NUMBER PLUMBING ELECTRICAL I SEWER r WATER it I i f I r` i I i CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT p / DATE 'S NAME l�L /��C Z I ,E _ NEW _ ✓ TYPE OF BUILDING OWNER — / a 9(� PAA�7 REPIPE RESIDENTIAL t/ s — --- LOCATION ,p ADDITION COMMERCIAL PLUMBING FIRM �d ✓ �UM�'/�� �O. ADDRESS /��I`� lyE,CIC/l eeya MASTER PLUMBER (j�/I�C G', �p�/E� W-7I please print i CITY/COUNTY OCCUPATIONAL LICENSE NO. G STATE CERTIFICATE NO. BUILDER OR CONTRACTOR ,CEJ ---------------------------------------------------------------------------------------------- ' SINKS LAVATORY BATH TUBS URINALS FLOOR DRAINS j CLOSETS ! SHOWERS t WATER HEATERS ( DISHWASHERS / DISPOSALS f WASHING MACHINE OTHER TOTAL FIXTURE COUNT - i 4 INSTALLATION OF PLUMBING AND FIXTURES MUST ;t BE IN ACCORDANCE WITH THE MOST RECENT EDITION _ OF THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. SEC. 27-3 (c) BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W/O OVER SHOWER STALL, WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DOMESTIC (2 UNIT TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK & TRAY (2 UNITS) (3 UNITS) DENTAL LAVATORY (1 UNIT) _ KITCHEN SINK CONBINATION SINK & TRAY W/ DENTAL UNIT OR CUSPI- (2 UNITS) FOOD DIS. (4 UNITS) DOR (1 UNIT) _ KITCHEN SINK W/ DRINKING FOUNTAIN (Z UNIT) DISHWASHER (2 UNITS) WASTE GRINDER FLOOR DRAINS (1 UNIT) LAVATORY (1 UNIT) LAVATORY, BARBER LAVATORY, SURGEONS (2 UNITS) BEAUTY PARLOR SHOWERS GROUP PER HEAD SURGEONS SINK (3 UNITS) (3 UNITS) (2 UNITS) FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP POT, SCULLERY URINAL, PEDESTAL, SYPHON JET STAND (3 UNITS) SINK (4 UNITS)BLOWOUT (8 UNITS) URINAL, WALL LIP URINAL STALL, URINAL TROUGH EACH 2' 2 (4 UNITS) WASHOUT (4 UNIT SECTION (2 UNITS) 3 WASHING MACHINE RES. WASH SINK EA SE (3 UNITS) OF FAUCETS WATER CLOSETS, TANK- WATER CLOSETS, VALVE (2 UNITS) OPERATED (4 UNITS) OPERATED (8 UNITS) TOTAL FIXTURE UNITS __ For INCI.,«rWr tA YrxrRe rory 64 rart+t. : c'xsiq�lleaw(t 4tY. '?1 {s to '. .aatixar tI!Aq v VA, ;Ix �� r �>�ar»strv�f►�rz Mtn , & CW Sponsor _._ .._ 4 A,�►;ia,ess i --W*3'1d*r At" &Mdw S"fNtjor.Tti)°-jS s For siidit Ana; info ssatir:i on 'last tivc form in to be nutxms'tcd, ,til:•sas mm *s'�atirext,ixw Of rOViell etc., aee the instruCtions s�gslicable to hr PIIA them the iriittincxss sccx Ptabie ,uill be psz,uumei 1lcselt AW ClttkM tur !1tcrMeAge 3trsurarrsoa•. of VA Req►u s t for ritnrtncr atlun «F? etYy j r*sr.,aiurn e�rf„+r,ernersts '"rnat be cotuicier+ed unleasa t�:s�xfac�aily P.gsscrsaole Vulsc:, :is the''•&W vwy tae i 1n,lci+:ar nn rultema+es, "sir a ai`• 2, Desc&)e Oil materials *M e'(10y�rnertt to be used.Whether or riot (trcwttusaies t:toss o p Phrases, 'm Contradictory itenw, shanm ixt n e by swing an Z Lr► each ameop tate check-ba: request for of substitute meterials or s ad exitering the it tirmati- called for is so& space. U space is x#s t dworeby Pr+ uciad.) 5. Include si Curea raquirraq An-kqustt, doter See misc. and desedbe under item r or cin tus S- � L! at the�d of this farm xnach shriet. 'THE Lmz of PA11s1'I'CIONTARUM MMR 7'�lAN FAF.- �" ceftststtc^tiott ahae baA-�ited is OxVliance with the dated drW=kinkVe end a nCifik:Ativnss,93 TWIWI(}F C)NF.>'X iT LEAD 13Y 1R1T 1S TED. tions nr,lur?e ytsa tt ihtxsryt ProCsiesissp, Elie spe�cifi .L Maork nsxt ft-iSc�ally da�ibW or sh.wm will not tic camidered i K e ciaptian ;if �isteti,ela +mr! spQiic 03e ldirsitnurJ: Fro- p t+tCI-4,lS. 1. VXCAVA Z FC a4 1'oC41m aa: wacrerc irwz9- lrtsnitidtttiva all: rmtrrw W4w�.m- Interior foundation wall" material �'aarty :bustd�eti�n wall'_. L r,ur€tas sraleriad and sum _..,� _. _ Piton:"sr,:iteriAl ssad ra+inkwcciing Gorden: n-Atr-W and aaixua Silas- material Barseitrteat entratmee areaway-- _ _. _. .v _ Windrow ys wase rprafiog __. Footti ng ;i, a Termite ptowtion dare rnrwtlde sport; ground t+aatr Special kmndaunm Additional takralatmu: Flue Simi material_�.. _a ; �� .�.....,...�..�..„..._. Hesttr tier rsax �. __.._._._ �"ss'r_}.d►ex flier sial_ .M_._. _.,,__......_ >.._<_,...,;.: 1 'carnet (materiel arealacra): gats or ail )*&we 4. RESPIACOc eaiid ltrd a .a Yp'e� , [ gas-burning; C]circulattor(smile and mce cisrrxx ,,,,x tlra:s-out ._..._...�._. � l�irrPiacar. fsc*. 4utrtg ___.__.� .._..w. � ..,_...,._...........,.�,.....__.._,......, ra r,t .._.__.�.. 8dili€. R4ana1 tst>xaes+ss+tiran: __._�_ Woad lanais; mtod , ander grsdt' +y>'c'ctes_...__��_.._._,._,� thickneee seas h mer sc# ; si re eR C,: ,iia ssal. Sedtaag '- -. �`, ,_ ,. grade ..,_.___.. _ ,.trii,r _! #_aa . c� c^xp�rs4are nsatrsutg 51t OO .___ __ .. _: .__.__; grade : i i,K __.. _._.. sr:r __.._.._.._.... crtpdeaur+e W_....._.:.."; butenive .., 54sarco.....___.�_ _._ - _> shirkrsrat__.._.___..__. a `" %tataawy vettee iitla., _ sir .. .__._ Sam,naah*_ _ — 3#arranry: xshd 0 fasard 0 stuccoed, total wail thtria.r!t,m'_._ _.. teasing €',Iatttastu feeing rnaterW � 9etctictp lkaax cella _ �'srido*w Bilis _._ E.nk-ir _ a_ Haan ilaAW lasarrias a facca: r'burafrFw-)of'ng,_:.._._ .,. COWS all �, AJditirstxii ir.4wamian x•,btt^r•P'4Y jsa.+:efiny,'.rsa�t+rriRi __...._.... .._...„_...__,..e..,....._._.___.._...._ _. _.. __. ._. _ ._...__._ _._..t,,.. .,. ..:.,.__. {a,w tYJAf¢..,� s�. d .o-r3xr«C all eacctetrttt:rino: lameas (-%an +lair; wth4r 14'n"ruviA i • Mft +�//M����nawT ^� rT.esngs*w�Ac+xwr.a..swR�.v.ru.Deas•.•w.sawrcvrv,m«wra.rww.nrwws®aa:eaus<mawrarw.r"<wmea.:-.e.n„v,•e.wawa<•,”n..;,+wwr•rrs•".w.,w '.'*++s««.,tie.ataa.ww:'r+.e-wr+w.•..r�eMea...,ssrswyn�a ... M 10o • t Stud+,; �std, graete, *_nd xp�^rice A%;dkfit)AS. irv'rd 1 CM940 RAMNG, _..._. __.. . ►nistc; ,AAixxI, grtrk, arFs': traF'.;.A!9-_...,,..._.•--s+._.;..,.._' :__.._. -.. ;"t;sz ...._-_.. $ J�, °, ( ,h-c4a4Ftewtal Ralkerc "txW,, grade, and species•_ eRMittcuwe! ��. l►t1lC#: Sheath,a wocut gradr, anwi sp+'Fie�._ 4 tuatd, ! FltwF _ x. r y ", gta►dr' �. _ tF r �'" SJs�. E!fc M; axtr_ aw; eaatetsia4 +`�+ .fAi t su•1at isiq Fas►nsret><1_ Ftashia riiLar tt ` "?• t "✓Atr . ir ._ _ _ ..__._ _ __ pr cr w,rti h! + ' �.�iattt)rta,1 ieaPcrTssa� 13. GUTTSt AND iO il°OUT Cuncn, rna4erea, __ ._. ._.__. z ur w i hs r Wwrimpouts: rnnteriat r Lkiwns}xsuis cotinnued to: i) Storm sewer- (� xawiuty sect:., [_� dt} +rtY s j`+`spimts€* +.6>3tt:�n�wYriaet at�f sirs_., .. .,.`� Addisit n!cv"rtatits..: M 4. LATH AM KAM L atta ['j W.Ats, Q ccilifw: materia{ _ _ wciBtit s•fi six'lciacss_ _ _ 1'las er coeu lky-ws,t1 w;.tls,ICcettingn trwtFrrtal.sJr s tta ares_3i ".- vat _r _.,._R Z �.___:._ OattC trrsatr;ia-ast "•Z$� 4i'laSAtCii...^'�'C';'.T 4Wi'PxS'.'.'�'4!:T`%8L^iip,K 1La7nrws WALL t " tdssstu.+t ,raw,) A.Pvtr_.iKm � CIRUW. I't"IM h'4FaxtttVA Auto A"LX.S1t:W lre4t4ie aVA Both �_ V. f i Y4� keidatiunrak iniornutttast: 1400" t+7'V� 7'ii I-)w)r trim: «1 .Y 141f. tYPCIb'. tea$. F Finish ltxt NYC Other v trim 7 item,tygde and larwron/ Additional snfurinanon: 17, VAND Waw 3 V� �.� .. '1T."tje �Y.nc crus t GPI"--: Kra;k a;.la weights; L7) Fzslmrices, ,14m •F. .._. _._,: rrwiertad__..__._._...�_..-...__... _ f'a,,u?.,__-. :... _____. _,__._._..•, a)uanbea twsta__._.._.,___.�,.., Wearherstr pp+isg. type--- -- - _ _. a. _ _._ :_.: :iartcna+ , .._" ___-}-_a _._ .... :Storni aasla. Screens; 0 lull; ® half; type, � _ _ :_._, n.;rrlsrr:__ ........ sCr**n cf°rat, Basement windows. type_.__ ___ _,._� _ *rutitnirsl�_.�.__. .. .�., dotes, r�uintar* _ .-._�v___.:Sewn sasls, stumbex 'Spccaal windows Additional infurmatiaa: 1t, VWIRAHM ANS[! LXIWAM V�/1,1.L2� �� 4 ?�� j a t Main entrant domF material- �___—„; W.Ub _ '__ , ilFi+.�rrreat :_..:t� Frame: maacrist_,i"_"J �L. :`, thukness d : Other entrance Hoon- material M, width ___� _�: thirkarsss_ '°. ' Fratae: material Head &"lunB �- -- _ _ wWeatherunpo" iypr _ � _ saddler Screen loots: thickness number __. _m, aerosis clot}: iriatrivsi,W.._____.___ Suwm dam; thicknewv niamd+er Combination corm and screm doors: thickness _ ; nurawba ; learn ck-)-h mriaeetW a Shutters: 0 hinwa ❑ fitted. Railings ------,AWL_ tcawtaflaz •j` .��^�'� .. t. F.xteriar millwork: grade and species_: ! i,� _ f'aut►t _r; number _. .. coats . Ad&uonal ineorinatiun: 19. CAMM AM PiTR*R MAIL Kitchen E:abineu, Wali tints rraa<criat .__" ?t.f', "". '», r r tyh.. ._...__._ r,ra: €t" r;f xtW'Wel _._._..__.. shv.4f wiirkh�„ _..- lhaar antras. sYFatcrial __.__ _; coaster tot: _, ecising— IkKk and end sr4mh fFuhis! of catiancta t l f"'t".�► ' ' - --_ ; nttrtt;to r .�.,....._.,, Medicitir r-abinety mak, VM3& ROM AND WAJNS=t Iowa ` hoewttoM Mwtaatht,OCMAW.lerattsa.$01ak Caw. Fri: aasteocm WA" &AM UMoaat,=M M41,tat,u. MAMmL Mwrauer. LACAT Me MATatut,O-oa. 90amm.Cy,ltam rv+lert., BTC. s�aH%mWr HOG" titrr 1M SeeowstM Bath lM Ovtta 31n ;EsuH Er orMet llatltrooen aoaeatories: �►RAttiesaetl toMeein! �' �r . ttitttabar� Q ; toateria!.� ..�.—. —___..._�..,_ Additional isbtrttatic a: 32. PU AOW101. Ftzwaa Nuwtipt L•oansstar hLwtta Mw's Ytarrws laawrIncA scite Poo. Sala Cams Sink WON dow Lavatory � ��i Shower amer tubL1 -- Stall showera_ Laundry trays 48 CWtm in trod d 0 Door 0 Shower pas: W&W suPPtY: 10 Publk; Q c mausiq ; O wdivitluaa (prime} synens.* dfi Lmmsl: in pub#ie:; 0 eaaotnusky ; L-1 individual (privave tyrMam.* *SArra and efurtri8r italiaieAasr'genus in esettpdrae detaad irr ryx¢taai akwvrltga sjW rpee7lLWmu r.xsrdtleg as . Houle drain (inside) ❑ cam ims; C til r; M,other_J!:L l#a+azxa aewrr ek"side), � CAN inm tt#r;, %oiher Water Opim ❑ fya►vasitteo► amd; a Wit' tubing; [;j atlsar ___ .a_ _ _ $0 ;.dein, number w _� Iaamtatic wttart i►tMier' tYPe11r 't ; eaakr and enacie# 'fie ri as � beating capacity_ SOL 100M rite. Storage ornk: material_. w _a+ .__ _ _ .. capauty Car service: 0 utility ceaspessy; 0 Aq. pet. gm; 0 ether Gas pit�L �� ••-_-�.•—. ... _ exrJkrng; J hrlaa,sr hxwlseyi. Footing dtnias connected to: Q eta iat savom; rl tenitary arwer; []dry wceil. Sunup O&mp; r"ke stk# model apeeky discharvoi 23,wAmtli t 6.4'?';zbo L f-►Yr � C�«�►.4w'�' # �I , r..,^ 'p;; a e �r�, 0 }int WN-. 0 Steam. O V"W. O Clime-Pwe sytaerai. ❑ Twn-pipe svutcrn 0 Rsdiatm. Q CCsvetwm ® $amebanrd radiation. Mahe ane'. asr<vi'l PJKU tt panel. q inner; Q waN, 0 Ceiling. P" CO& naMerial [I C imulatx. 0 Return pronap. Make and tttodt# Pl kT* ttmke "Al model _ _ _ {)urfxut ..,_--- Eltuh Det t�ttitsij._.__ ...___...... "A. Additional info n►atiem: W,attn sir- C Gravity. [.] Famad. Type a(wyam n __ Duct material: supply ,; mtws _ ...... ._._ ._ #nsulstion__._.._.�.Y..- , thickness___ Furry: make and awAld _a_ ., ..__ _. ltel,ur:_.. �. _. uh , autp�;ez AcAelttwrtai intiorntataretr• _ _ _ __ _ __ _ _ _ _ []Space healet; [j flog furnace;0 wall heater. input _- � __�w1&Uh., ort;ttsut __.84uha number uritt _ - Make, tncrdeT - Atide>mir.,al enicxraetupr Cootroh: make and typ n.._.__ Additional information: Puri: L-]Coal; 0 nil; 0 gas;0 6q. pet. fps; 0 electric; [j otherrracera storsgrr ) y�. AAc iti*W mforrnrcicn: Fir* equipment furnished separately. („') Gju burster, «xInversion type [-j c3tulCrr: hcppe, twd t:-.,tram (t*.d Cil throe:• (",.1, preuure atornkring, ❑ vaparizing kfaire and kn"Acl Adtikmal informattion tle'trk heating system: type ___ _ ____ ir,rtt __ __watts; vults; ru qAO _NINA, 21L WOMAT9M. Luswracw 'Y1�.twhtts M.�tuuc, rra +:wa i�lxr�s r , r Iwraro.rrt+wq �~ _ WON _hr_.�.._-- ._. ... _..._ ..... L " FlowHAJOW ARE! (MOW, wselterial, *MAL 'IIKiMMEW.- (Stale ttr~trl or mt*a, asadiss Md _ equaprrsattt and oml; tam oe*" tam *seepni. ObAo by I" law, cusfoo and appfica" FHA owxfwdx. Do A*'aaee'jf#r'f*om w l", by a�sieebr`itleisal Ustoon, arra IVDP iod by **d nr ret# *#mm her W ar or ch"ANt srrohi!>iw by becoming I r, A It„ 37. MANOOM{dirt tray man #w+ 469 rsohsr+ah, mwip+r ew, cr tonoruct oems no#sMa. thowo o, or uxs to provwo adWttal irt/arwtinAW wfw*the west Provided was inadowam. Always rrrie+em* by loom nunvbw M correspond to numborkv used on this form.) WAM Alii �" AY3 at meril i � �Drhnwy: wNd _ a •Wrist waik: width_._.._:._...._; ammerw ; thicimeet ` ". Srrvice w*&; width____ natena! tfeic4reatt -" 9wpt: etraleliirl ttrestfe� rnen.____ a. fketk waft om am= (4kro aX sxbrior atnte rwoiwtniewtt lett dtsrriiwd ebtwhm, mrlrw *g itr*o rrerA es nnrsssl jrwdjjq, drotme r imrtvrn,rstrrixtq gogs,f~,,reetsaW, ww1 asrrs sberrterei.) , ® d fe4o ice _ + Wr0liC MAMMOX AND MMM IAAA9044% +..P *A# °'r4P t-, S i—E P--T i � r - TaitW » thick. 0 Sum yam: 0 tide yath; Q rerw yank to scat Wkmd semis b Actino,, Ii AM tmoW.mod6d.rr>�riptrtt: (� !Font yard �wk ytt►rd+i : 0 rear ywni.... ..�. .. ....s,.a.-A L— - A--,4—. f"1 — t:-u--- FORM 900 AND,901 -123 v�TNEsrrp FLORIDA MODEL ENERGY EFFICIENCY �. FOR BUILDING CONSTRUCTION A WS GRAHAM SECTION 9 GOVEN003 ENERGY OFFICE 'N W81 GOVERNOR POINTS METHOD LEX NESTER,DIRECTOR PREPARED BY: BRABHAM KUHNS DEBAY* CONSUILTIN6 ENGINEERS PROJECT NAME JURISDICTION AND ADDRESS Tia Z7 BUILDING PERMIT NO BUILDER B144yA 1 OWNER 14.4 Y fi7t oC2/G� To of rIlLss IN sY BLDG.OrFiCIAL Toss FILL90 IM sr OisN R STATISTICAL DATA L�HEATING Zi C dt _ cop EPI 1340-b !Zo `/ ! 9'/•33 SYSTEM TYPE TWATER SYSTEM TYPE , NuwERT of uNlTsi'� GAS OIL SOLAQ CLEC. 'If •AS OIL SOLA Cal FRAW — I t O D 101101 N►SEwom Gomm" Le common ceiling MA7IIMLIMALLOWED _Xd - XI! _ peon AM/M1X D MWM TOTALRMNTs MANS MSATM "VW414 EPI CERTIFIED BY: DATE-L-S-d ZI EPI 33 90 DESIGN CREDIT POINTS(CM 9E 1931,81N PENALTY P091ITS(PP) CEILING FANS (w 90110.MAts l I PER FAN WASH01 Alb DRYER Iw C0M Wawl 3 SPARATso W 6 MAX-OPENING,Of GLASSC 409f� 6 MULT1 ZONE A/C OPMOA Lt 0000) o�[IIASLE w11aoNS (SINK on noRsl _ PCR ROOM rl sIK a Roots .J WHOLE MOUSE RAN (1-6 CrM>sn 5 TOTAL d 901 PERSCRIPTIVE MEASURES CHECK FORCE' COMPLIANSECTION CHECK HEATING SYSTEM EFFICIENCY 603.4 ❑ AIR CONDITIONING CONTROLS •O&T A/C DUCT CONSTRUCTION 603.9 /O46MATINS� 603.10 PIPING INSULATION 1 sTsT WATER HEATER (Aft""90-TO LANL 604.t 0 SWMAIING POOLS 604.1 TOTAL 19401101111111 nowRssT�NCTORS 604.E EDGE INSULATION PERIMETER WPM AWP " co I'm RO- 2.9 92. 7 R3 -5.9 69.5 R6 & UP 46@4 SINGLE DOUBLE OR AREA SINGLE DOUBLE "WOF GWP OR AREA SOF OSP CIR TIN CI.R TIN N ?� 1S7.4 120. 8 540(u N fA 46 123 120 10 NE 1S7. 4 120.8 NE 221 186 190 191 E -77 1S7.4 120e8 , �l qg E 7-7 9 42 2S11209 , �i ' ZD SE 1S7.4 120. 8 = SE 219 2261189 S 2 � 1S7. 4 120x8 �� 951070, < 3 2r 90 160 16013 SW 1 S 7.4 120.8 sw 1 219 226 1 to s w cc 0 -7Z 1S 7. 4 120 .8 �4¢ I6 � �°-� W 89 242 251 a W Nw 1 5 7. 4 120#8 4C NW 21 186 190 1 j} H 46s4 79 .3 �> H 9 408 432 J J a IL < t O i O O � H: HORIZONTAL GLASS ( SKYLIGHTS) FOR TINTED GLASS SL 1 0.83 SEE SEC.902.2d 4WA TOTAL GROSS WINTER POINTS "]'�/�►1 TOTAL GROSS SUMMER POINTS �SZt V W INFISERGLASS 7' 1 q_$ 1.16 8 -7') 2.., t"FISENGLASS 75 -212 Lis 1.5t-ce '/I04MILAS 1.12 ;~ Ld"�[RM.ASS LI! IN COMA 1.00 Q CT a comw 1.00 HSM FROM TABLE 9A grr7171 x , 4-4-5$' CSM FROM TABLE 98 �6T 5� •� FLOOR AREA(DIVIDE) �Cp ftf F100R AREA(DIVIDE) WINTER POINTS (WP) 3 ©, SUMMER POINTS(SP) 3 LFORM 900 AND 901-123 ZONES- 123 ER POINTS SUMMER POINTS HOT WATER POINTS CREDIT POINTS PENALTY POINTS tf � EPI ,9 + o. Cc - 0 3 + FEWER TOTAL POINTS ARE ENCOURAGE FOR MAXIMUM ENERGY SAVINGS FOR OFFICE USE ONLY Date.--•...............................19 .. CITY OF ATLANTIC BEACH Permit #........................Fee$........................ Valuation $---•----••............................................ FLORIDA 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. Date.................. .-.. . 19..__..... Owner... - !f----- ------------•---------- -Address. 7fJ-- � /�5�._.•f/ie__... Telephone No. Architect..... � .�....... �_.... �Z/E Address_.... Telephone No......._._Q-O. e _400-4, --•------- .. Contractor Builder.... ,PILL)'---� /.4.z�4 S NMR N M ........ .. ......................Address---.....--.---•--.••-------------_-----•---....-------Telephone No...---- ------ Lot No. �+-.`"'O. z -rQe.SEG...._..3. --.-Sub Division - SALT/9`/4 Zone-- � IN��..Sr Street ------ .Side Between.._. V/,� and...._. ES-P!QA. Sts- CC ---- •........................... Valuation $_i�.7k.0P#9....._.For what purpose will building be used----4RS1A.EN-T....Type of construction-....-.F*#—P" ... Dimensions of Building-Ar- a(tJ s .....Dimensions of Lot.. •$��.-X--I D O-_-_.... .•...Size of Footings.......l0..x-2 d Size of Piers..----- ._-..Size of Sills_....... _--.__............Greatest Sill Span in ft........._...__.... Type Roof-R. P . How will Building be Heated?..- K..Cr-...._I V-7--Ae-TWill Building be on Solid or Filled Ground?.-.-- ......................... Size of Ceiling Joists-------.._..... .—Aky-------, Distance on Centers... ....... ................................. Greatest Span-------------------------------------------- " Size of Floor Joists---4S?'�---- -------------------- Distance on Centers- ....... _.........---..-------.-.----, Greatest Span---------.-.--..---.---.-..--------------._ " Size of Rafters------------ ............. ...... .. ..... .......... Distance on Centers _.._ ..... ..... Greatest Span.----•--•---------•-----------••-------•--. „ This rectangle is to represent the lot. APPROVED Locate the building or buildings in the CITY OF ATL%.NTIC BEACH right position. Give distance in feet from BUILDING OFFICE all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall 1 987 be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing.B, 2. When steel is in place and ready to pour colum d/or lintel. Z x 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. G G 6. When septic tank drain field or sewer is laid but before it is covered. 7. 7. Electrical inspection by City of Jacksonville. Ift 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the 4tached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of At is•B ch Signature of Builder........ ... ........ .-_M.......... '......... ......------... Address7v-C ,! - Signature of Owner.......... -....... '...... Address... ........................................................ ...... ............. Pl PlliING PERMIT 4l (� I: 1 �• (,1'k AL FRMIT # r �l6 r>,� . LU 1 f.D i N(, PE.RIMIT WC)JvKS)lEET C' P t HEMEED SQUARE FOOTAGE -, ., _ _--- @ —� •�5 per s. f. _ $ _ --=' GARAGE (PRIVATE/SHED) (� ` @ �� •�� per s. f. $ CARPORT @ $ _ per s. f. $ M" SS s7i 7� @ $ __— per s. f. $ _ DECK 7J _._ @ go per s. f. $ 1 TOTAL VALUATION DATA. . . . . . .$ 7 /?M PERMIT FEES TOTAL VALUATION DATE 1st 1,2, -e `-"7- G) REMAINDER VALUATION $ per thousand r T,6TAL BUILDING PERM T $ PLUS 1/2 THE BUILDING PERMIT FOR PLAN FILING FEE $ TOTAL FEE DUE $ ------------------------------------ PLUMBING PERMIT FEE $ WATER METER SIZE e-1' & FEE $ SEWER CONNECTION: SQUARE FOOTAGE J`^D O FEE $ WATER CONNECTION: FIXTURE UNITS @ $10.00 PER UNIT $ �>. " APPROVED TOTAL BP & PC FEES DUE . . . . . . . . . . CITY OF ATLANTIC BEACH 5UILDING OFFICE TOTAL WATER METER CHARGE . . . . . . . .$ MAY 1198 TOTAL WATER CONNECTION CHARGE. . . .$ � :-' • TOTAL SEWER CONNECTION CHARGE. . . .$ APPROVED CITY OF ATLz,,VTICEACH GRAND TOTAL DUE. . . . . . . . . . . . . . . . . .$ E3U1' ll' LDIN1 F;fCJE, f� �1l, �t � AY4 + 1982 r {4 DEPARTMENT OF BUILDING t I CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 5 a �l 3 PERMIT TO BUILD L+ I THIS PERMIT MUSLBE-POSTED ON JOB i Date MAY 1_Q_ _197_ I Valuation$62,477.0 � ---------9 Fee This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. i This is to certify that BI I ;# , NEPTUNE BEACH, FLORIDA 48 SOUTH PEW" DRIVE has permission to build SINGLE FAMILY HOME AS PER PLANS SUBMITTED Classification SINGLE Zone RA Owned by Lot 520 ZIE Blocker—S� SALTAIR #3 House No. 246 PIN According S Ig to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS --_____� AFTER DATE OF ISSUE —♦ Z Building material, rubbish and debris —I from this work must not be placed I in public space, and must c* rec} up an led away birJ C or vyn r ll � A 7/1 i s 175 BfiWng 11.7/il FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING 5042 I ELECTRICAL 3439 I SEWER WATER i AOft CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 `& INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00101127 Date 11/20/08 Property Address . . . . . . 246 PINE ST Application type description ZONING VARIANCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc variance for fence permit ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PRESSLEY, ERICA OWNER 246 PINE STREET ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ZONING VARIANCE `j�Ne4- Additional desc . . VARIANCE FOR PONO& PERMIT Permit Fee . . . . 150 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/20/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150 . 00 150 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 150 . 00 150 . 00 . 00 . 00 44'4 tib. �J )RDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA F__ APPLICATION FOR A VARIANCE City of Atlantic Beach • 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • FAX (904)247-5845 - http://Www.coab.us DateFile No. 1. Applicant's Name -0 q o P, 2. Applicant's Address l 0 e /'C i_ 3. Property Location A A 5A L4 A ` rL 5 e- C 1A 4 '2 sCL c3 4. Property Appraiser's Real Estate Number 3 ()5-I 5. Current Zoning Classification 6. Comprehensive Plan Future Land Use designation 7. Provision from which Variance is requested 5 eC : 11- 6 Y , LIP t ►ei, e xecoIOti 1,1L uU ►n, S-4wwCeS fAtVci.�AiA/ t 4he Rf4So hj �S � o ��.� Piae.t4y 8. Size of Parcel r0 7r /GCd ck_ C c►v��A lLt C �' 9. Homeowner's s ciation or Architectural Review Committee approval required for the proposed construction. ❑Yes No (If yes,this must be submitted with any application for a Building Permit.) 10. Statement of facts and site plan related to requested Variance,which demonstrates compliance with Section 24-64 of the Zoning, Subdivision and Land Development Regulations, a copy of which is attached to this application. Statement and site plan must clearly describe and depict the Variance that is requested 11. Provide all of the following information: a. Proof of ownership (deed or certificate by lawyer or abstract company or title company that verifies record owner as above). If the applicant is not the owner,a letter of authorization from the owner(s)for applicant to represent the owner for all purposes related to this application must be provided. b. Survey and legal description of property for which Variance is sought. c. Required number of copies: Four (4), except where original plans, photographs or documents larger than 11x17 inches are submitted. Please provide eight (8)copies of any such original documents d. Application Fee($150.00) I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT: Signature of owner(s)or authorized person if owner's authorization form is attached: Printed or typed name(s): t e U 12 e J (,Q- Signature(s): - ADDRESS AND CONTACT QPORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDI/nN�G THIS APPLICATION Name: lrj�e Ct G R-y �!�cS S �, x n Mailing Address: Q f Phone: /d k 3 Lj ? "FAX: E-mail: ZVAR, Version 1.12.2007 F-- Instructions to apply for a Variance Variance requests are considered and acted upon during public hearings before the Community Development Board at their regular monthly meetings, which are held the third Tuesday of each month, unless otherwise scheduled. Meetings are held at City Hall in the City Commission Chambers at 7:00 pm. The deadline for filing a Variance application, in order to be heard at the monthly meeting, is 5:00 pm on the first Monday of each month. Applications should be submitted to the Planning and Zoning Department located at City Hall. In order for a Variance application to be scheduled for public hearing, the application must be complete. All required information must be provided, and the required fee must be paid. (Variance fees are not refundable in the event that the Variance request is denied.) Once the required fee and a complete application are submitted, the request will be scheduled for the next available public hearing. An advertised notice of the hearing will be published in the newspaper, and an orange zoning sign will be placed upon the property to notify neighboring residents that a Variance request will be considered. Before filing an application for a Variance, it may be useful to read and understand the following definition and requirements from the City's Land Development Regulations related to Variances. A Variance may be approved by the Community Development Board only when consistent with these provisions. Section 24-17. Definition of a Variance. A Variance shall mean relief granted from certain terms of this Chapter. The relief granted shall be only to the extent as expressly allowed by this Chapter and may be either an allowable exemption from certain provision(s) or a relaxation of the strict, literal interpretation of certain provision(s). Any relief granted shall be in accordance with the provisions as set forth in Section 24-64 of this Chapter, and such relief may be subject to conditions as set forth by the City of Atlantic Beach. Sec. 24-64. Variances. A Variance may be sought in accordance with this Chapter. Applications for a Variance may be obtained from the Community Development Department. A Variance shall not reduce minimum Lot Area, minimum Lot Width or Depth; and shall not increase maximum Height of Building or Impervious Surface Area as established for the various Zoning Districts. Further, a Variance shall not modify the Permitted Uses or any Use terms of a property. (a) Application. A request for a Variance shall be submitted on an application form as provided by the City and shall contain each of the following. (1)a complete legal description of the property for which the Variance is requested. (2) a reasonable statement describing the reasons for the Variance. (3) a survey or Lot diagram indicating setbacks; existing and proposed construction, as well as other significant features existing on the Lot. ZVAR, Version1.12.2007 (4) the signature of the owner, or the signature of the owner's authorized agent. Written authorization by the Owner for the agent to act on the behalf of the property owner shall be provided with the application. (b) Public Hearing. Upon receipt of a complete and proper application, the Community Development Director shall within a reasonable period of time schedule the application for a public hearing before the Community Development Board following required public notice. At the public hearing, the applicant may appear in person or may be represented by an authorized agent. (c) Grounds for denial of a Variance. No Variance shall be granted if the Community Development Board, in its discretion, determines that the granting of the requested Variance shall have a materially adverse impact upon one or more of the following. (1) light and air to adjacent properties. (2) congestion of Streets. (3) public safety, including risk of fire, flood, crime or other threats to public safety. (4) established property values. (5) the aesthetic environment of the community. (6) the natural environment of the community, including Environmentally Sensitive Areas, wildlife habitat,Protected Trees, or other significant environmental resources. (7) the general health, welfare or beauty of the community. Variances shall not be granted solely for personal comfort or convenience, for relief from financial circumstances or for relief from situations created by the property owner. The following paragraph sets forth reasons for which a Variance may be approved Please check the circumstances that apply to your request and briefly describe in the space provided (d) Grounds for approval of a Variance. A Variance may be granted, at the discretion of the Community Development Board, for the following reasons. ❑ (1) exceptional topographic conditions of or near the property. ❑ (2) surrounding conditions or circumstances impacting the property disparately from nearby properties. �(3) exceptional circumstances preventing the easonable use of the pro erty as compared to other properties in the area. �}-! G t� - 1�C Ir—[,—2 -� - ❑ (4) onerous effect of regulations enacted after platting or after development of the property or after construction of improvements upon the property. ZVAR, Version 1.12.2007 ❑ (5) irregular shape of the property warranting special consideration. ❑ (6) substandard size of a Lot of Record warranting a Variance in order to provide for the reasonable Use of the property. (e) Approval of a Variance. To approve an application for a Variance, the Community Development Board shall find that the request is in accordance with the preceding terms and provisions of this Section and that the granting of the Variance will be in harmony with the Purpose and Intent of this Chapter. (f) Approval of Lesser Variances. The Community Development Board shall have the authority to approve a lesser Variance than requested if a lesser Variance shall be more appropriately in accord with the terms and provisions of this Section and with the Purpose and Intent of this Chapter. (g) Nearby Nonconformity. Nonconforming characteristics of nearby Lands, Structures or Buildings shall not be grounds for approval of a Variance. (h) Waiting period for re-submittal. If an application for a Variance is denied by the Community Development Board, no further action on another application for substantially the same request on the same property shall be accepted for 365 days from the date of denial. (i) Time period to implement Variance. Unless otherwise stipulated by the Community Development Board, the work to be performed pursuant to a Variance shall begin within six (6) months from the date of approval of the Variance. The Community Development Director, upon finding of good cause, may authorize a one time extension not to exceed an additional six (6) months, beyond which time the Variance shall become null and void. (j) A Variance, which involves the Development of Land, shall be transferable and shall run with the title to the Property unless otherwise stipulated by the Community Development Board. Additional comments: Dye- 4o Lo �-K4 o w G.,rt,D ig c r4L.) 1IAc- Q- , 4 G.c n IJ.Odvsseo '3 s4 -4,arj of 4A L e S +lr� tge,zc��t c ��e !naw► e. b 0 0 PJ tom- OL, t3 ti, vc- 1— w en e e- 0 heb pi e C,4 4he- 16� � , •�� � OL S ZVAR, Version 1.12.2007 CITY OF ATLANTIC: BEACH �r OWNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA—STATUTES, PART 1 "CONSTRUCTION— - - CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. a9' 4 RA,�C V �6 9 - 3 9 ADDRESS PHONE NUMBER e q o RVIT NAME SIGNATU . am yDATE Before me this day o /((J C/ 2007 in the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. --- Notary Public at Large,State of ,County of V0- x A"t SHIRLEY L. GRAHAM P,Personally KnownIV Notary Public-State of Florida Produced Identificatio - A415-1 . =My Commission Expires Feb 14,2010 (O "'I"D%r1_� Commission#DD 518533—'- Bonded By National Notary Assn. Notary Signatu COAG FORM BLDG07;REVISED: 8/14/2007 CITY OF ATLANTIC BEACH RQ_ /r i ?1 800SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 Ov • I I� IJ n I I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 J` BUILDING-DEPT@COAB.US 71 BUILDING PERMIT APPLICATION DUVAL COUNTY 1'lJOB ADDRESS 2:VALUATIpN OF WORK 3.SQ.F G UNDER,ROOF F We (Si 12 6b 4`LEGAL DESCRIPTION: 5;C SS,OF WORK _ 6,U OF STRUCTURE: "` t ^� /► EW BUILDING ❑DEMOLITION ffRESIDENTIAL LOT BLOCK SUB DIVISION A ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL DESCRIPTION OF WORK..r,, ❑ALTERATION ❑ACCESSORY BLDG. 6:FIRE SPRINKLER SG 13 REPAIR ❑POOL/SPA 13 YES N/A L ❑MOVE ❑OTHER ❑NO PROPERTY OWNER CONTRACTOR ARCHITECT/ENGINEER. :'.. 9.NAME: 15 COMPANY N ME: i 23.COMPANY NAME: 'Ke 9`'`Y Besse,' w 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PH NE: Z 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: IiL7 FEE SIMPLE TITLE HOLDER BONDING COMPANY: MORTGAGE LENDER r,t,t.4.., OTHER THAN OVVNFI2) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OW or AGENT CONTRACTOR „ Agen r Ageniiy Letter Req (Qualifier Only Signed: Date: 4 Signed: Date: Before me this day of 06. 20(`in the co my of Before me this day of 20($in the county of Du , tate pride,has pers reared Duval,State of Florida,has personally appeared f ha ims /hers f and a rtes at all statements d declarations are herin by himself/herself and affirms that all statements and declarations are true a d accu te. / true and accurate. Notary Public at Large,State of County of C(Jl✓ Notary Public at Large,State of ,County of ❑Personally Known ❑Personally Known ❑Produced Identifi 'on- ❑Produced Identification- Not Slatt9f u� Notary Signature: r 1 Notary u I -, a ly Commission Expires 14,2010 Commission#DD 518533 Bonded By National Notary Assn. COA( A �LD 246 Pine Street —��—� 1. FUA 26 4 4 Building Type 0102 - SFR 2 STORY SOH Year Built 1982 Type Gross Area Heated Area Base Area 618 618 Unfin Open Porch 21 0 Finished Garage 252 0 Finished upper story 1 894 894 Total 1785 1512 TE- Skeai7rit1 ��X1r1f,Jl City of Atlantic Beach APPLICATION NUMBER JS } Building Department (To be assigned by the Building Department.) 800 Seminole Road ( _ T '' s j 'r Atlantic Beach, Florida 32233-5445 C J7 7 Phone (904)247-5826 • Fax(904)247{5845 iaNC 2009q E-mail: building-dept@coab.us Date routed: y Z 0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING (FORM Qepaf"nt review required Yes No Bu' Property Address: 1 ��n�� T Tree Administrator Applicant: D a)��� ublic Works u lic '' ' Project: u is 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 Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: WCITY pF Office of ,: REQUEST FOR official Date , `r . INSPECTION 'a Time Received ep;..�w �"'_. ,_., Permit No. .r District No. Owner's Address Owner's Name BUILD Locality Foundation -------Contractor j �rJ,S' Chimney Wire ELECTRICAL Framing ❑,Leth '''•.• ❑ Rough Wiring ��PLUMBING Final H'Scratch ❑ Finish Wiring � Rough 1"IEATING Footing...''•. ❑ Brown ❑ Fixtures •❑ Final '`..•❑ Rough Slab "'•• ❑ Finish "" ❑ Motors ...••❑ Sewers...."'• ❑ Final ""' ❑ Lintel Beam Q Wallboard � , ''❑ Temp-Pole ❑ Gas •. .,., O Water Heater ,-0 ❑ Final Inspection,❑ Cesspool , Mon. ❑ Top-out .....�❑, Tues READY F Water ,-:. Inspection Made Wed OR INSPECTION Th u rs. Inspector Z Fri. A.M. A.M. P.M. P.M. CITY OF 4&4ff,4-c /3e c,4- Office of Building Official �J L N Date.- ��/ 'O �REQUEST FOR INSPECTION Time i Permit No. Received P.M. District No. Job Address,` cality Name Contractor --- V14f , I BUILDING LASTERING ELECTRICAL PLUMBING Foundation ....❑ ire HEATING Chimney ......[:1 L .........❑ Rough Wiring ..❑ Rough ❑ u h Framin rn ❑ Finish Wiring .•❑ Final ....... g """"❑ g ••••.•. cratch ❑ Fixtures ••••••.• Final ......... Final Brown ..... •• ❑ Sewers ❑ Water Heater .❑ Motors ❑ � Siabi1 - ....... ❑ Finish ❑ Temp-Pole .....❑/IIesspool ......p ❑ Wallboard .....C1 Final Inspection. Top-out ....•.,❑ Lintel Beam ...❑ Water READY FOR INSPECTION ❑ Mon. Tues. Wed. A.M. 6 Thurs. Fri. PM. Inspection Made a 2- A.M. P.M. Inspector f�A1141, Pubne Works Plan review Comments Initials: v' Date: p� `f I ►n2 Project Name/Address: S APP lication Permit#: }„�hec�kyBoz ' Cnts to mad BPcation zTraekm�gn. b tjom3nent Provide impervious surface calculations. Provide erosion and sediment control plans with installation details and maintenance schedule. ❑ Provide drainage ply showing site topography (flow arrows, etc.) ment plan, including Right-of--Way Pert if using ❑ Provide construction site manage ri t-of-wa for constriction arkin aced by a Florida Licensed ❑ Provide a pre-construction topographic survey prep Professional Land Surve or, showing " contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ er Section 24-66(b). (See attached info. Sheet) P gr P documenting if on-site storage is required, a post construction to o a hic survey ❑ ro er construction will be re aired. ❑ A Right-of-Way Permit must be obtained for use A Revocable Encroachment Permit must be obtained. area 10' minimum from e into ve etated Pool—well point(if used)must discharg g ❑ street or drama e feature (swale, structure or 1 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 driveways—6"thick . Any utility cuts in the road must be repaired m tinge center of the cut. must�Case X be ❑ must be overlaid 10 feet in each direction from h shown on the plans. roved list and cannot be placed on Roll off container company must be on City app ❑ City right-of-way. D 0 t35 CITY OF ATLANTIC BEACH 08, 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 a FAX NO::(904)247-5845 BUILDING DEPT@COAB US f �r BUILDING PERMIT APPLICATION DUVAL COUNTY ,_-...,,.. .,. 77 a 2 VAL�16�FtWQKi¢ r. AO FT LLUNDERROOFu?x° w 3. 1 H_ ' S B.0 OE STRUCTURE,, x�} dq>4''LgrNtCaA�-DES.CRIRTION EW BUILDING ❑DEMOLITION RESIDENTIAL LOT BLOCK SUB DIVISION �„ L ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL �7".'gFSCI$IR,.�IQN OFWQRK;T+'. " r ( ❑ALTERATION ❑ACCESSORY BLDG . 8 FIFjE$.PRINKLEI3:'• 1 u l_ ❑REPAIR ❑POOL/SPA ❑YES /A SGjz G4 C ^ vtl' ❑MOVE OTHER Ill ❑NO ❑ ER ( mt TY OWPIERESy .r. " .` a ARCHITECT/ENGINEER+1x t a PROPER. „r,.. - {..-• j 23.COMPANY NAME: 9.NAME: // 15.COMPANY N ME: e-pr��� 16.NAME: 24.LICENSEE NAME: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 10.ADDRESS: 18.ADDRESS: 26.ADDRESS: r kllf 13+1 NO.: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX 13.CELL PH NE: t 21.CELL PHONE: 29.CELL PHONE: D S 22 EMAIL ADDRESS 30 EMAIL ADDRESS 14.EMAIL ADDRE eLL u- . C t s yi FEE SIMPLE TITLE HOLDER fM to y BONDING COMPANY' � �+Kz,' �' i{MORTGAGE LENDER a �`.!s �.s,QF 0-MER 33.NAME. 35.NAME: 31.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any-time after work is commenced. I understand that separate permits must be secured for ------------------------ ---- Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,e OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. r WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT W R or AGENT � u , n w NTRACT Ager r Agency Letter Req _ M C Signed: Date: D Signed: Date: Before me this day of —. ,20CI in the co my of Before me this day of 20rg in the county of Du , tate oride,has pers eared Duval,State of Florida,has personally appeared r r he ims /hers f and a rns at all statements d declarations are herin by himself/herself and affirms that all statements and declarations are true a d accu te. // true and accurate. Notary Public at Large,State of County_, of �v Notary Public at Large,State of ,County of El Personally Known 11 Personally Known ❑Produced ldentiffic 'on- — ❑Produced Identficaton- SlgtYa Notary Signature: Nov Notary u 114,2010 ,My Commission xpires Commission#DD 518533 Assn. Bonded By National Notary COAD 1: E E :1/1 20 CITY OF ATLANTIC BEACH 1 OWNER / BUILDER AFFIDAVIT '`r�43t�r I. FLORIDA STATUTES; CHAPTER L ACKNOWLEDGE THE LAW: 1— CONSTRUCTION---------- --- CONTRACTING" REQUIRES OWNERUILDER F STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: TE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED RS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT . EXEMPTION ALLOWS YOU,AS TIID OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR ES RE -uIRED Y STAATTEKLA URE THAT PEOPLE AND BY COUNTY EMPLOYED OR MUNICIPAL LI ENSING LICENS ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THEDEPARTMENT SUGGESTS WORKER'S U m PURCHASEDSURANCE BE NUNDER THE HOMEOWNERS INSURANCE POLICCYT OSATION C EARLYNPROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF IF IN PERSON T A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPART EAD THE ABOVE STATEMEENTLAND ETHAT � I V. I COMPLY WITH ACKNOWLEDGE THE EREQUIREM RETHAT I HAVE QUIREMENTS DISCLOSURE HEREBY S FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 6q — �3,! —g q 7� PHONE NUMBER ADDRESS e of" Pit TN E DATE / SIGNATU �}�.,J /1 Before me thist ' ' day o li� 2007 in the county of Duval,State of Florida,has personally appeared herin by himself I herself and affirms that all statements and declarations are true and accurate. of V� ,.w..a- Notary Public at Large,State of�`- County SHIRLEY L. GRAHAM .SFlY n,e, Notary Public-State of Florida ersonally Known Produced Identiflcatio Commission Expires Feb 14,2010 Commission#DD 518533 Bonded By National Notary Assn. Notary Signatu COAB FORM BLDG07;REVISED: 8/14/2007 t ch City of Atlantic Beaf , APPLICATION NUMBER .� Building Department !?j � (To be assigned by the Building Department.) ` 800 Seminole Road s Atlantic Beach, Florida 32233-5445' A z ; Phone(904)247-5826 Fax(904)247` 845 E-mail: building-dept@coab.us Da t Or routed: City web-site: http://www.coab.us �\ r APPLICATION REVIEW AND TRACKING FORM ��p C-) � S.� tartmentt review required Yes No Property Address:Applicant: o( Le �1'�a- cel ..-Project: Xs R Other Agency Review or Permit Required Review or eceipt Dateof 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 p n (Circle one.) Comments: �[r-Cc yJlao . BUILDING PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Public Works Plan Review Comments 4,1 "� �' I a� initials:Date: � 0�1 p1�p r Application Permi t#: Project Name/Address: oZ�� 1 Box Check, .Application"Tracking Comments to. i dd :'Comment Provide impervious surface calculations. Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan, including Right-of-Way Permit if using ❑ right-of-wayfor 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-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting ❑ proper construction will be required. A Right-of-Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). All 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 driveways—6"thick . Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. Roll off container company must be on City approved list and cannot be placed on City right-of-way. ❑ ❑ 13 r �a � TE- 6a; 7fip City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) Y ^?s 800 Seminole Road Q ;r Atlantic Beach, Florida 32233-5445 Of N-70 Phone(904)247-5826 • Fax(904)247-5845 c� D,ty��' E-mail: building-dept@coab.us Date routed: / o�1 0 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Ye No �1 ui dmg Property Address: 7ngffiffiing & o ree Adminigrrator Applicant: 0 (,� ublic Works Project: et 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: APPLWKTION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: QBUILDING PLANNING &ZONING TREE ADMIN. Reviewed by: Date:d A-02_ 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: T44, City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department SS 800 Seminole Road IFC Q _ f -70 �r Atlantic Beach, Florida 32233-5445 U Phone(904)247-5826 • Fax(904)247-5845 q E-mail: building-dept@coab.us Date routed: PI /0? City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM D nt review re uired Yes No �1 'di Property Address: 1 �� It � nnin &Z Tre dministrator Applicant: D G� ublic W �j is Utilities Project: �` Pu is afety 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 CANNING &ZONIN R iewed by: Date: TREE ADMIN. PUBLIC WORKS Second Review: ��pproved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: �" Date: Third Review: [Approved as revised. ❑Denied. Comments: Reviewed by: Date: pis CITY OF ATLANTIC BEACH 08- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 j OFFICE:(904)247-5826 9 FAX NO.:(904)247-5845 BUILDING DEPT(83COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY '2 6b . .S �' e_U QE STRUC'fURF (,/4''l EGA1 DESCRIPTIbN"rs as'a dt m... x,v., Jt ./ EW BUILDING Ll DEMOLITION RESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL p�p7'DESCR�PTIONOFrRK �,, . . ❑ALTERATION ❑ACCESSORY BLDG. 8 F,IRE,SpRINKLERSs .r 'S ❑REPAIR ❑POOL/SPA ❑YES WA S' ue l+ ❑MOVE ❑OTHER ❑NO TT - r + a t_, �'f ARCHITE,CT/ENGINEER F ; PROPERTY OWNER ..`S��'< 15.COMPANY N ME:ONT.RACTOR# ?.. ; y� ® �y ` 23.COMPANY NAME: 9.NAME: 9`� g o� R C.� 1 Luh 18.NAME: I 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: T9.OFF PHONE: 20.FAX NO.: 27.OFFICE El'N 28.FAX NO.: 13.CELL PH NE: 21.CELL PHONE: 29.CELL PHONE: t S: t 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: e l 1. crI. c IMPLEfTITLE-HOLDER" 4 BONDING COMPANYs` MORTGAGE LENDER OTk1E#,7 ONRJERI r r.';�^.-..� . ,...1 F . 35.NAME: 33.NAME:32.ADDRE : 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work-0 lumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS BE n OTICE OF OMMENCEMEN MUSTRECORDED AND POSTED ON THE JOB SITE BEFORE THE C FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT NT CT x" t x I.J `;r r ��' �W R olr AGENTr .., :�' ` k , t�;.-,y�2 'a,r' I �u: �.'C R,�4 t Man! r Agency Letter Req r s,. O(Qua_I a Only 1f i igned: Date: 4 Signe Sd: Date: In the co my of Before me this day of 20�in the county of 20 Before me this day of �` Du tate pride,has pers eared Duval,State of Florida,has personally appeared r he ims /he and a rms at all statements d declarations are herin by himself/herself and affirms that all statements and declarations are true a d accu te. true and accurate. Notary Public at Large,State ofCounty of �VG Notary Public at Large,State of County of DO ❑Personally Known ❑Personally Known ❑Produced Identific n- ❑Produced Identification- NoV191§4 Notary Signature: « , Notary U I :tv1y Commission Expires 14,2010 Commission#DD 518533 r... Bonded By National Notary Assn. GOA bLD 1:RE ED:1h 20 CITY OF ATLANTIC BEACH Je "r (OWNER / BUILDER AFFIDAVIT I. FLORIDA CONTRACTING"STATUTES; CHAPTER 489, FLORID REQUIRES OWNER BUILDER TO ACKNOWLEDGE THE LAW: 1 CONSTRUCTION DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF, YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES RE LTIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING —ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, ATION THE RCHASEDINUNDER THEDEPARTM ENT SUGGE PU HOMEOWNERST INSURANCE POLICY T OSCL ARLYNPROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN OCCUPATIONAL LICENSE"IS NOT ADEQUATE._ THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY OR THE FLORIDA "CONTRACTORS BOLDING DEPARTMENT ASCERTAIN N8IF IF DOUBT. A LICENSED CONTRACTOR. TELEPHONE THE V. STATEMENTAND THAT ;I ICOMP Y WITH ACKNOWLEDGE THEEREQUIREMENTREAD S FORT THE DISCLOSURE HEREBY SUANCE OF STAAAN S OWNER-BUILDER PERMIT. el �� 3PHONE NUMBER ADDRESS e t/� i NAME DATE SIGNA /t Before me this day o C�" 2007 in the county of Duval,State of Florida,has personally appeared herin by himself I herself and affirms that all statements and declarations are true and accurate. L Notary Public at Large,State of� County of Va' „ SHIRLEY L. GRAHAM 4`��F nr ode n2 Notary Public-State of Florida ny➢ersonally Known My Commission Expires Feb 14,2010 I�Protluced IdentiFicatio Commission#DD 518533 Bonded By National Notary Assn. Notary Signatu l 7 COAB FORM BLDG07;REVISED: 9/14/2007 �s City of Atlantic Beach APPLICATION NUMBER ass yy Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 G — /�-70 Phone(904)247-5826 • Fax(904)247-5845 � DS9 E-mail: building-dept@coab.us Date routed: / 0P7 O / City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM nt review required Yes No Property Address: �a �l nl� T B �I Planning &Zoning a or Applicant: Lo (/,��� ' 'ublic Wor s ti i ie Project: 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 ,y c 4TREE Reviewed by: Date: 1& /SecondReview: ❑Approved as revised. ❑Denied. Comments: S TY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Public Utilities-Distribution & Collection Date: � � Initials: Project Name/Address: e- > Application/Permit#: -OS -Z V70 Check Boz Application Tracking Comments To Add Comment 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. 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 RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer roust be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ by a certified tester and a copy of the results sent to Public 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 13backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow requirements. At a minimum,will require double check backflow preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2"must be installed in a vault as noted in JEA specifications. a a • o ❑ 13 Q F•\PltmRwi�v!'nmrnnn►a_DI 1 d.v CITY OF ATLANTIC BEACH 08, h r 600 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5626•FAX NO.:(904)247-5645 t BUILDING DEPT@COAB.US ` DUVAL COUNTY BUILDING PERMIT APPLICATION t2'VALUA IC)N OF W9RKmw rF M i,'.. 3 S0 FT UNDER ROQF` .'2 6b . 15 nj f 3. !. 5}E SS OFWORKM_ : r, i�• f.,- 6 OF STRUCTU_RF .r M1 4.'LEGA�DESCRIPTIbN r". ).�.'^•-. -`• '" RESIDENTIAL ( �, � E1N BUILDING ❑DEMOLITION LOT�B OCK SUB DIVISION L ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL {�� r ❑ALTERATION ❑ACCESSORY BLDG. B FIRES.PRINKLER r.r .'1 �7 DESCFIP,7ICZN OF WORK t.Ta„ ❑REPAIR ❑POOL/SPA ❑YES NfA 5fJR tti L l+ ❑MOVE ❑OTHER ❑NO IF TY NO M t Ja, , , ,.;CONTRACTOR x, s' )ARCHITECT ENGINEER*`. 9.NAME: / »� 15,COMPANY N ME: i 23.COMPANY NAME: 4/TPy g OIC�f l' f ' 1J3 " / 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 26.FAX NO.: 13.CELL PH NE: 21.CELL PHONE: 29.CELL PHONE: d L 9972 22.EMAIL ADDRESS: 30 EMAIL ADDRESS 14.EMAIL ADDRE S c L cr��. G r in #1, FEE SIMPLE TITLE HOLDERS a* Y� .: , BONDING COMPANY 1, .MORTGAGE LENDER ..'� 33.NAME: 35.NAME: 31.NAME: , 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no =construction ion has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws reguln in thisjurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction onded orabandoned for a period of six(6) months at any time after work is commenced. I understand that separate permured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT M r, CONTRACTORS r OW R:OriFAGENT' � t s (Arial"IfierOnly) Agen _ r'Agency Leitet'_Req Signed: Date: 4 Signed: Date: - Before me this day of ,20 in the co my of Before me this day of ,2000 in the county of Du tete pride,has pers eared Duval,State of Florida,has personally appeared r ' he ims /hers and a rms at all statements epd declarations are herin by himself f herself and affirms that all statements and declarations are true a d accu te. (// true and accurate. t�v Not Public at Large,State of County of Notary Public at Large,State of _.County of ary ❑Personally Known ❑Personally Known ❑Produced Identific ' n- ❑Produced Identification- Not '9iNotary Signature: .'. Notary u I - . �L1 y Commission Expires 14,2010 M z Commission#DD 518533 Bonded By National Notary Assn. COAbrrLD 8 HOME PRIDE ANCHOR CERTIFICATION/APPROVALS All anchors listed below have been tested by an independent testing service*and have exceeded minimum bad levels of 4,725 pounds for the soil classes listed.Spe- cific test results and approvals from state regulatory bodies are on file and available upon request Please contact your distributor for specific state information. SOIL ITEM DESCRIPTION CLASS HPI 5/8"Double Disc Anchor(3("Rod/4"Discs) 2, 3 HP3 3/4" Double Disc Anchor(30" Rod/4" Discs) 2, 3 HP4 5/8"Single Disc Anchor(48"Rod/6"Disc) 2, 3, 4 HP5 3/4"Single Disc Anchor(48" Rod/6"Disc) 2, 3, 4 HP6 3/4"Single Disc Anchor(36" Rod/6"Disc) . 2, 3, 4 HP8 3/4"Single Disc Anchor(60"Rod/8"Disc) 4A, 413 HP10 3'Cross Drive Anchor 1 HP11 4'Cross Drive Anchor 1 HP12 Double Tension Device (Head Only) Concrete HP13, 15 Patio Anchor("t_"Anchor) Concrete HP14 Swivel Head Anchor("J"Anchor) Concrete REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH z SU PERMITS FOR ADDITIONAL � Q y REQUIREMENTS AND CONDITIONS. FILE Co �, # [REVWWEDBY. DATE: * Independent,test results were performed between August 1995 and May 1997 by Product Testing,,Inc.,T6$txt0T#;6np 90MG01 1 IN,NO Qg@"P 609,0302' 3 H O-M-t PRI --E RD M. HUDGINS, JR. P.E P.O.sol Solo �s ,�.tzss>!3-sm Pyne(704)2749244 Fax(704)214-9S25 MILMOORIIML M e*1 stilt+ �- September 15, 1997 W. Brad Blevins Home Pride Inc. P.O.Box 160367 Nashville,TN 37216 Re:Anchor Certification Dear Mr.Blevins: physical testis re for the Home Pride I have analyzed design drawings and physz' g ports Incorporated anchors listed:HPI,HP3,HP70.HP12,HP13.HP14,HP17,as well as the buckles HP20,HP21,hook HP22 along with the stabilizer plate HP30. My analysis and the physical test reports define the breaking strength of each of these anchors and their components to be in excess of 4,725 pounds. The strapping meets Federal Specification GG&79/H for type ASTM D 3953 strapping. The strapping is 1 1/a"x.037 hot dip galvanized steel On file are testing reports of the direct withdrawal strength of these anchors. The tests evaluate the anchorage strength of Home Pride Inc.anchors installed resisting an axial and a 45 degree angle applied withdrawal load. For anchors HPI,HP3, HP1 O,HP12,HP13.HP14 and HP17,the average ultimate holding power is not less than 4800 pounds when install in accordance with manufacturer instructions in the soil types,concrete and rock as indicated in the testing reports. The 45 degree tests for anchors HPI,HP3 and HPI 7 were in soil with a HP30 stabilizer plate. Res w d. s ,�•. INE •r'�• 4 Rod M. .Jr.PE QM E IDG C=PRD7UCT TESTING, INC. NOW*Ad*ft Elm nddrw. (goo)30150 a 4-8 PA.sox 37634 111 Spring SU�rat.Uf*0 FAX(804)384-8154 e,Florida 32254 rwr�,Florida 32236 Jad Home Pride,Inc. June 30, 1997 P.O.Box 160387 Job 4'97-1144 Nashville,TN 37216-0387 Atm: Mr.Brad Slevin$,Gem Mgr. RE: Fidd Pant Tedlng of Aoclsois wlStab bOr Plate in the 90 and 45 DWn Anion OartHicadw far the Stats of Ahd• Alabama MauHonskg Capon Code of Atabarns Tide 24,Cbspter:1354 Dear Mr.Blevins: Product Testing,Inc.was requested by Mr.Brad Blevins, General Manager of Home Pride,Inc. to conduct field testing on Model Nos.HP-4 and HP-6 ancbors with Model No.HP-30 Stabilizer plate, during the period of May 11 through 15, 1997,by Product Testing,Inc. The tests were conducted in Montgomery,Alabama and witnessed by Alabama Manuhchired Housing Commission inspectors. Product Testing,Inc. followed the instruction procedure for instillation of the anchors and stabilizer plate by Home Pride,Inc. Soil type and description,soil class,using the torque test probe method, anchor and stabilizing material description,diagonal load endings,along with drawings and photographs are on enclosed on the following pages. The anchors and stabilizing plan mamcfacxured by Hone Pride,Inc.meets the specification requirements of Alabama Manufactured Housing Commission(Title 24,Chapter 535=X) Code of Alabama, 1993. Product Testing, Inc. is appreciative of the opportunity to provide this service to your Company. If there should be any questions concerning this report,please don't hesitate to contact me at(904) 384- 8150. Respoctfuhly submitted, PRODUCT TWMG,INC. X. C.R. P.E. VP&General Mgr Sr. Registered Engineer rJ a6 ♦♦ �� v V v r C V CO O ir WC p CL 0° 0 ID il} r V ^�. rn O _. M � � W a 9H gena LL �4C �h .CYO ur,� r ID ;. ......___...� _a$...__....... ___.__....... __..............----------- ME PRIDE HPAB ANCHOR BOLT & NUT Permanent Mark HP in Made to ASTM A-307 Head Hardness- SAE J429 GR-2 HRB 80-100 Degree = 5/16 Finish - Zinc Plated .625 - .055 Slot Through Bolt .640 Flat --5/16" 1-1/2" 1-1/16" 5/8" 11 Jam Nut ll�R Vat, F' C� MEX�% pk1,6 HP40 & HP41 STRAPPING HP40: 37' HP41: 1001b. roil HP40:3T �+ HP41:100 Ib.roll AM=1 Strap Marked Every 12" Home Pride Inc. Mr I225.1lled to o3s53 HP80 & HP81 `ANSI 225.1 .035"Min.Thickness x 1-1/4" 472W Wn.Pull Test GALVANIZED STRAPPING HP80: 37' HP81: 100 lb. roll ♦ Approved for use in Florida Z Louisiana-Pacific 1/26/2009 9:48 : 45 AM PAGE 2/002 Fax Server 1,11 Smartsidc Fl,building code is F1,9190 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001470 Date 1/26/09 Property Address . . . . . . 246 PINE ST Application type description SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1200 ---------------------------------------------- Application desc 12x12 shed to be built in back yard ------------------------------------------------- Owner Contractor - ------------------------ ----------------------- PRESSLEY, ERICA OWNER 246 PINE STREET ATLANTIC BEACH FL 32233 ----------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 1200 Expiration Date . . 7/25/09 ------------------------------------------------------------------- Special Notes and Comments * The applicant needs to submit signed & sealed plans from a engineer or arch. * *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 0 8 F i{ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ` OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-CEPT.,OARLIS OR�f' BUILDING PERMIT APPLICATION DUVAL COUNTY T'JOB ADDRESS WORFT'UNDEVALUATION OF R ROOF 12 6n l S Q f l)),4'.LEGAL DESCRIPTION. , a, •e.` .t, c h'` . 777, 7, 5;"C SS'OF,WORK 6.D OF STRUCTURE. , t / /► EW BUILDING ❑DEMOLITION RESIDENTIAL LOT BLOCK SUB DIVISION { ,�^N L 11 ADDITION El CONVERTING USE ❑COMMERCIAL ! 7 DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORY BLDG. 6.FIRE SPRINKLER', ❑REPAIR ❑POOL/SPA ❑YES RTNIA �Gjt,4kj L ^ k 1 ❑MOVE ❑OTHER ❑NO PROPERTY OWNER ' CONTRACTORr ;:ARCHITECT/ENGINEER:'` f 9.NAME: / � e , 15,COMPANY N ME: i 23.COMPANY NAME: 4/T K 16.NAME: t 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 11 18.ADDRESS: 26.ADDRESS: f lU� t�T o 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHNE: 21.CELL PHONE: 29.CELL PHONE: t 14.EMAIL ADDRE S: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: + FEF SIMPLE TiTLE'HOLDER' Ir BONDING COMPANY MORTGAGE LENDER (IF OTHER THAN OINNEr� 3' - 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. _ C NTRAC ,R (Qualifier Only) Signed: Date: 4 Signed: Date: Before me this day o 20CJ)t in the co my of Before me this day of 20CR in the county of Du tate orida,has pets eared Duval,State of Florida,has personally appeared r he ims /hers and efirms tkat ail statements eFd declarations are herin by himself/herself and affirms that all statements and declarations are true a d accu te. true and accurate. Notary Public at Large,State of _,County ofS Notary Public at Large,State of County of ❑Personally Known ❑Perso v Known ❑Produced Identfc n- 4J.5 A ❑Produ d en Noty"Sigrta Notary Notary o OF A "C E "! my Commis o SEE PERMITS FOR /-kDDI BEACH r CommlSsi 53 REQUII2EMEIVTS TTONAL y ' Bonded By'= 'tio 0 O AND CONDITIONS. COA9'I'iLD 1: E E .111 ONS. �, �r •4� .;; .., REVIEW)gp BY' DATE:.��Z }' CITY OF ATLANTIC BEACH r (OWNER BUILDER AFFIDAVIT , I. FLORIDA ST SQTES'7 CHAPTER 1 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION— CONTRACTING" CONSTRUCTIO —CONTRACTING'REQUIRES OWNER BUILDER TO ACKNOWLEDGE THE LAW: — DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST ONING REGULATIONS. IT IS BE DONE ACCORDING TO THE BUILDING CODES AND Z YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES RE UIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE PURCHASEDNUNDER PTHE MSUGGESTS HOMEOWNERSINSURANCE POLICCYT SINSURANCETION O CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY' OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V. EAD THE STATEMENTLAND ETHAT I(COMP Y WITH AHEREBY LL THEE REQUIREMENTHAT I HAVETS FORT THE DISCLOSURE OF AN OWNER-BUILDER PERMIT. ai4--1V1,iy(f �4 PHONE NUMBER ADDRESS T NAME DATE SIGNATU /1 Before me thi.A—day o C�" — 2007 in the county of Duval,State of Florida,has personally appeared herin by himself I herself and affirms that all statements and declarations are true and accurate. �,j .�!!il " Notary Public at Large,State of Count L___, Y of VCL &I SHIRLEY L. GRAHAM OtF Flv CBCs ersonaiiyKncwn = ,�� Notary Public-State of Florida Produced Identificatio - Wy Commission Expires Feb 14' ,2010 y� t;9 C/ ! 0r F` ,, Commission #DD 518y A Bonded By National Notary Assn. Notary Signatu COAB FORM BLDG07;REVISED: 8/14/2007 1Y r CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 s Application Number . . . . . 05-00031309 Date 10/18/05 Property Address . . . . . . 10 FORRESTAL CIR Tenant nbr, name . . . . . . NEW ROOF Application description . . . ROOF Property Zoning . . . . . . TO BE UPDATED Application valuation . . . . 6000 Owner Contractor - ---- -------------------- ----------------------- MESSERSMITH, CHARLES SUNLIGHT SOLUTIONS, INC 10 FORRESTAL CIRCLE 4 SEATROUT ST ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 543-1300 ------------------------------------------------------ Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6000 Fee summary Charged Paid Credited Due ----------- ------ ------- --- ----------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. .t. BUILDING OFFICIAL y� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 1 Application Number . . . . . 05-00031309 Date 10/18/05 Property Address . . . . . . 10 FORRESTAL CIR Tenant nbr, name . . . . . . NEW ROOF Application description . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6000 Owner Contractor - ------------- - ---------- ----------------------- MESSERSMITH, CHARLES SUNLIGHT SOLUTIONS, INC 10 FORRESTAL CIRCLE 4 SEATROUT ST ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 543-1300 ---------- ------------------------------------------ Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6000 Fee summary Charged Paid Credited Due - ----------------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL NOTICE OF COMMENCEMENT State of Ft , Tax Folio No. County of a Jl4 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Sci Legal Description of property being improved: 1 Address of property being improved: a y k 1 + General description of improvements• = Owner: 'S S Address:--% Owner's interest in site of the improvement: t Fee Simple Titleholder(if other than;owner):. f Name: Contractor: -- Address: Telephone No.: Fax No: —--- Surety(if any) - - ----- -- ---- Address:_ _ Amount of Bond$ Telephone No: Fax No: _ — Mime and address of any person making a loan for the construction of the improvements Name: Address: - Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: L�atelpp5 Before me is day of val, tate IeAA A ., DONNA L BLUEY OfFlorida,haspersonallyappeared Ie ,, MY COMMISSION#DD 412624 Notary Public at Large,State of Floriday30,�unity of Duval. <F EXPIRES:March 30,2009 J �� n,mNoWywtaeundeVbffi My commission expires: ►' or Personally Known: .1 RE 7 Produced Identification: r e 5 CITY OF ATLANTIC BEACH 11 , ROOFING PERMIT APPLICATION Date: Job Address: ,+11 �C1 ati�,L �►P�—z Owner of Property: �,� � �r JLC ��`�' Telephone: Address: Contractor• _,It 7 &-1� State License Number: PCC i 32 �6"7 2 Contractor's Address: u~� Telephone: '3' (3�'� Fax: Scope of Work: Deck Slope: Greater than 2:12— Less than 2:12 Valuation of work: D�b a Product Name(Example: Timberline): — Manufacturer(Example:GAF): '-1 Ai jCa ASTM Designation(s): Required Inspections: Sheathing and Final Signature of Owne _ Date: l G'L4-lo C� ... AS TO OWNER: � Sworn to and subscribed be i re this 4 o Oc4o be-(- 20 05 . State of Florida.County of Du_ •«....... DONNA L BUSSEY —' Notary's Signature: ' MY COMMISSION M DD 412624 EXPIRES:March 30,2009 ❑ Personally blown wdeatnru►owyPW* """°'� ., Produced identification Type of identification produced D f i v R r L( L P v s& R cw�cle Cie o �re,Ssl P-� P ZL4 -00-7 -l� -0 Signature Signature of Contractor: t C Date: /x/'247 , AS TO CONTRACTOR: �,,o Sworn to and subscribed before me this / 74-hdayof O CTU '✓` r 120 0-5 State of Florida,County of Duval a Notary's Signature: rs o DONNA L UMEY : Personally known 1kt n 1 D, C ; � , RAY COMMNSSION it DD 412624 �= EXPIRES:March 30,2W9 Produced identification {� Lc( eh S� Bonded TN1 N01 q Pmd*�t Type of identification produced L D r i V e P 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.cLatiantic-beach.fLas Revised 2/21/03 Page 1 Cc: D. CITY OF ATLANTIC BEACH p F \`S1 BUILDING / ZONING DEPARTMENT Doerr 800 Seminole Road r Atlantic Beach,Florida 32233 / (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 3 Property Address: Applicant: h l d 0 l tk�7- S Project: rj- r0 0 This permit application has been: E9""' Approved 0 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: LO Date: Date Contractor Notified: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address ' 1 Date _ I o ( row Heated Square Footage @$ 1 �--� per sq ft= $ Garage/ Shed Cj- @ $TTp per sq ft= $ Carport/Porch �_�@ $ per sq ft= $ Deck @$ - per sq ft= Patio @$ per sq ft_ $ TOTAL VALUATION: $ ©� $ 3S� sr Total Valuation $ noo Remaining Value $S per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: _ + '/Z Filing Fee $ z 6 ------- FLOOD ZONE: ( )Fireplaces @$35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ — GRAND TOTAL DUE: $ S CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD --- `r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 05-00031458 Date 10/18/05 Application Number � 246 PINE ST Property Address • • • • ' REROOF Tenant nbr, name . . • • Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 Owner Contractor -------------- --------------- - ______ -- -------- PRESSLEY, ERICA SUNLIGHT SOLUTIONS, INC 246 PINE STREET 4 SEATROUT ST ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 543-1300 ---- - Permit . . . . . . ROOF PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 00 ' Issue Date . . . . 10/18/05 Valuation 4000 Expiration Date 4/17/06 Fee summary Charged Paid Credited Due ----- ------------ ---------- ------- . 00 --- Permit Fee Total . 00 . 00 . 00 Pl-.=,.n Check Total . 00 . 00 . Oil . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING£ODES. BUILDING OFFICIAL r: CITY OF ATLANTIC BEACH � SI 800 SEMINOLE ROAD �+ ATLANTIC BEACH,FL 32233 \ INSPECTION PHONE LINE 247-5826 d 1�"f.Ji�1r� Application Number . . . . . 05-00031451 Date 10/18/05 Property Address . . . . . 266 PINE ST Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 Owner Contractor ------------------ --------- - -------------- PRESSLEY, GREGORY SUNLIGHT SOLUTIONS, INC 266 PINE STREET 4 SEATROUT ST ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 543-1300 -------=-------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . 00 Permit Fee . . . . 75 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 4000 Fee summary Charged Paid Credited -Due . ---------- ---- ------ Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 i PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD _r I ATLANTIC BEACH,FL 32233 � 1 INSPECTION PHONE LINE 247-5826 Application Number 05-00031451 Date 10/18/05 � � 266 PINE ST Property Address • • • • • REROOF Tenant nbr, name . . . . . Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 Owner Contractor -------------- ------------------ ___ ---------- PRESSLEY, GREGORY SUNLIGHT SOLUTIONS, INC 4 SEATROUT ST 266 PINE STREET ATLANTIC BEACH FL 32233 PONTE(904) 54D 31300RA H FL 32082 -- ------------------------------------------------------------------ ------- Permit . . . . . . ROOF PERMIT Additional desc . Plan Check Fee . 00 Permit Fee 75 . 00 . Valuation 4000 Issue Date Fee summary Charged Paid Credited - Due-- ----------------- ---------- - Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 • 00 • 011) PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL / A CITY OF ATLANTIC BEACH - 800 SEMINOLE ROAD 1� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031451 Date 10/18/05 Property Address . . . . . . 266 PINE ST Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 Owner Contractor - ------------------------ ------------------ ----- PRESSLEY, GREGORY SUNLIGHT SOLUTIONS, INC 266 PINE STREET 4 SEATROUT ST ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 543-1300 --------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . Permit Fee 75 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 4000 Fee summary Charged Paid Credited Due ----------------- --- ------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 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. .J BUILDING OFFICIAL �reQlo�r3xvt�rar�atura-ra�t�� _ __.__-- —1ieIDaYElaiSlaQeralfefltlfaflR , Pella Corporation 10 Basic Now'Construction CNFJSliding Window, Annealed ihet�"asi�1� XO VentlFixed National Fenestration, Clear/Clear Rating Council@ Air Filled Weulzu® ENERGY PERFORMANCE RATINGS U—Factor(U.S.A—P) Solar Heat Gain Coefficient 0.49 0.63 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0.66 _ - Manufacturer stipulates that these ratings conform to applicable NFRC procedures for detemmni., ,hole product performance.NFRC ratings are determined for a fixed set of envircrimental cordiU s and a specific product size. NFRC does not recommend any products and does not warrant tGe itability of any product for any specific use. For more information,sail(641)621-3114 cr visi Peila's web site at www.i)ella.com or visit NFRC's web site at www.ntrc.o Wind Load Design Pressure f 5 0" 1-35 Per ASTM E331 VIEWED To BE THE BEST.` WO, M R35 (Performance Grade3r.) Tweed to ANSUAWNNwDA 1014.S.2—r, •4rur.aua.ga rswwu� � wwwr.rra■u.w HS—R35 r4.500'x36.G' r1DUALiseresNumber411—H-786 TodadtoAAMNwDMNM101n.s2FAMe-0 I&wAwea Means01 r Is *am$ HSR35 IMx M (73.500'x36.0 WOMA Hdmark Certification. Polls products labeled with the Window & Door Manufacturers ciahon Hallmark Certification are tested ir, accordance with applicable WDMA performance standards, which requires products be 'lasted for air infiltration, water infiltration, and structural performance. Peformance of Palle products t will change ower time depending upon the conditions sf use. For details on Hollmsrk Certification, go to www.wdme.com. cocipt is with HUD 111 iwed Columbia.ac Meols or axwseds M.E.C.C.E.G.and I.E.CC.Nr 1nf ift an nequima as