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359 Plaza (vault) Clly OF AILANEIC TI?AQ[ Date Address end/or Location of- "tion V. Owner Paid/or Tenant of Property`s Phone fl ' [1DDRLS5 Date of Investigatioci/t//— $' Investigato t �����-��' CC��'L • �� .,tom � � a� 2,Q Ot--At U4-elZ, [ELLS 6PARTM�MT OF BUILDING CITY 4F A►Tt.ANTIC BRACH j PERMIT, TN ORMATION,. � � � LOCATION "INFORMATION wvw PLAZA ATL.ANTTC BEACH� FL ORI A� 22,�;� ' Mie N ! »�� � LEGAL DE CAIPTION --- •. WOt L F AMI Lot! ? a ressubdivision'. , ILANTIC BEACH, flip r OV s ` _ ', 50 w �^ BOOP t t' 'T`H NEW ' 0-Y AR", " 'A13': HID E ; P, ATIONA 'PLICATION FEES s k S P RMIT ` WATT IHRACT. FEE $O 00 E • . »�� ^ PAWN O �.HR , $OuOOH R FORMAT I�t �.�� ��� RAOOt�� A� �.. $0.00 x # t t CTION' WATER TAR *0l.00 Fs A c, L BEACH PQM 2 50, kdYORAU -,I C AR $0:.00� • y TP .'FEE *»EC uN IMC ACT 4 O ,, P l t I JAN 2,11:W�4r fi e , " 140TICO,—ALL CONCRET8 FORMS A►ND FOOTINGS MU$T����� �� $G�� U� Na � fi PERMIT VOID Six MONTHS AFTER DANE QF ISSUE w IL ING MATERJA►L,008.8.ISH ANC? %eBR1S FR©M,THIS WORK MUST NOT.SE PLACED IN PUBLIC SPACE,AND.M. `ST 8E A ED UP ANO HAULE6 A to "BY irtkER,06NTIRACTOR.OR OWNER 'I:,W 'ET#' CC31111 1.1�' !'IT14 THE MECHANIICS' LIEN tA,W CAN' RESU T IN PRC�PR`t`l fE,RAIIVQ ' ` IfICE 1* IIVIICIVMEIiI 3." "ACCQfl©11+ T4 j4►t I* Fl ANS"WHICH ARE PART OF`TH18 #�(1�llf A�iQ.,�t�8�ECT Tfl FiEV+(�CATi �+C F��?" LATIQN OFA,PI?LICAI !BI# NS.OF'LAW. ' f Alli' +tT#C BEACp I "ILC3 D'PA.RTAatENT.. F • S i`�..�rr amu.._.—.�vu. 3 _ . • .. �...,v.«.�.. >� r, r. DEp/IRTMENT©tsu11 D1NQ C[TY CrF,ATLANTIC BEACH ' r £IC3TDNiF# NATI�1fi . dd�r s 3,66 �LA, STREET. it TIC BEA _QR cm IDA ATLAS OAil t4 t soot fon "t Wt1 ► 'FRA-lit- D UaItGL FAI!4Il�Y3ubd3v� ittct a1 s'gs s 1 0 a 0 ►► ct..Yia a $0,00 Copts 00 00 °V Y �+iMD ER T 4 &[i Px#A�li� s b ( r,,ATIOW FEZ AT iow ° a # 00 , C'AT F # STREET- Pl+ t .#FLO> t A D � lC3 'DAA, w 5 tkN X . 3# E D Dk OT* $0. t AP .„ o* wTypo 2 ,. ` #_ 1 FES SJ ES: + i 9 s NOTICI} ALL C0NCR4TE FARM$AND FOOTINGS NIU$T-9E"I is soTIrD BEFORE POURING PERMIT V010 SIX MONTHS AFTEA CIATE OF ISSUE , III �'i1vlATE IAI.,RUBSISH AND, EBRIS FROM THIS WORK MUST:NOT BE PEACED IN"PUSLiC SPACE,AND UST BE {. A�1 Af�i �HAUIEb'AWAY SX 1:ITHER CONTRACTOR 4R C71NNI R s I,Y V 1' H THE MECHA W", 1M.i iii �."';,CA i R es TIN ! r►I E tTlf t 'i i 1 ;P'l YI1 G TwWE UEt?AC"CARQtNG TO APPRO3 Ell PLANS WHICH ARE PARTbF THIS.PERM#T AND' SU8 2t VOCAT 'Q OLA IC?N CaRA 'PLICA1'OLE PRt3V SlBNS CF LAW. # £IQ .."' A .EANTIC 6FACFliU160ING REPARTMENT , APPLICATION FOR FENCE PERMIT Owners name_ _'( (C f G GPhone- 2 � �'21 ----- ------------------------- -- - Job Address 3�� 7 -Z-�4 ____ ----------------- ----------------------------------- Lot Block and/or Unit Contractor if different from owner4-- ---------- ------------------------------------------------------------------ ®•o Valuation of fence S_ Corner or interior lot__��- ��./L,_ Type construction _AzOD_Q------------------_ Show location and height of fence as well as location of street(s) . G 4 r1�C io,x"t Owner signat --------------------- ---- ---------- Date �Q - Z � Contractor signature ^- _______________________________Date----_____ ICA M w 4 j off .4L o M V� .. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 a a,; INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027896 Date 3/15/04 Property Address . . . . . . 359 PLAZA Tenant nbr, name . . . . . . REPLACE EXISTING HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------ ------------- ----- ------------------------ RAISER, VICTOR N. OCEAN STATE HEAT & AIR 359 PLAZA 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ------- --------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due - ------------ ----- ---------- ---------- ---------- ---------- PermitPFee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ,0, C y BUILDING OFFICIAL r1 CITY OF ATLANTIC BEACH s' MECHANICAL PERMIT APPLICATION n S+-1..(. Date: Property Address: �' 'ri( - J 1 Owner: rn Y, -i t I s-,C-t— Telephone#: Contractor:OC Y� Sl� tl+t,. l� Telephone l 1. a j �i &h Fax#: � � -OV Contractor Address: , Z Z4, -, In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: Electric 1�0. ❑ Gas: _LP Natural _Central Utility ❑ Oil ❑ Other-Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space Recessed L Central _Floor 0- Residential Air Conditioning: —Room h-E-tntral ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfrn ❑ Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpM ¢� Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalator (Number) Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify, ❑ Other-Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency Qiwp,10 HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD �,.� �? ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034568 Date 1/10/07 Property Address . . . . . . 359 PLAZA Application type description- ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5800 --------------------------------------------------- Application desc re-roof --------------------------------------------------------------------- Owner Contractor - - ----------------------- ------------------------ RAISER, VICTOR N. HARRISON CONSTRUCTION & 359 PLAZA REMODELING, INC. ATLANTIC BEACH FL 32233 917 1ST AVE. NEW SMYRNA BEACH FL 32169 (386) 689-0689 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . 59. 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5800 Expiration Date . . 7/09/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ----------- Permit Fee Total 59 . 00 59 . 00 . 00 . 00 Plan Check Total. . 00 . 00 . 00 . 00 Grand Total 59 . 00 59 .00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t CITY OF ATLANTIC BEACH ROOFING PERMIT .APPLICATION 5 Job Address: � l-R-����� Date: Owner of Property: d3 Address: .� ) � � 7��9Telephone: /chi' Contractor: ��:t,��'4�z State License Number. 3a f b` Contractor's Address: _X17 !7 ,kle J��,�. Telephone: �G•I Z)( Fax: Scope of Work: , �, ,kA !,Irl Deck Slope: !L, CZ Greater than 2:12 �.It,( Less than 2:12 Valuation of work: �"' � , J�0- Florida Product Approval#(or NOA#from Miami-Dade) ,/ 3 Product Name(Example:Timberline): Manufacturer(Example:GAF): ASTM Designation(s): T(2 2= RequiredInspections: Sheathing and Final Signature of Owner:a( ,n AS TO OWNER: Sworn to and subscribed before me this day of +'% 20 - State of Florida,County of Duval Notary's Signature: 1' ANN.MARGADONNA Personalty known MY COMMISSION#DD53G834 Produced identificat' �'►.�.,d� E)CPM S:April 11,2010 Type of identificatio ' '""Y F`No roc.Co. Signature of Contractor-. Date:_ /— /�•- j AS TO CONTRACTOR: "s Sworn to and subscribed before me this LO day —,20LZ �, State of Florida,County of Duval -- Notary's Signature: Personally known &AAProduced identification '""`°�� ANN MARGADONNA T of identification MY COMMPSSION#DD53G835 ]� S:A ri1 11,2010 OF VN ftr, t-8044-NOTARY 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.cLatlantk-beach.fLus Pagel Revised 11/06 DH NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Address of property being improved:T, GY� f A2-A/''�—P General description of improvements: Owner: r� lop- Address: ��T. �g - •��-i 7 T"X I , F Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: tor: fit J ��4f ; r r Address: Telephone No. 3t _����^C5_jr9q Fax No: Surety(if any) Address: Amount of Bond S Telephone No: Fax No: Name 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 on 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 diffe !dates specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Doc#200701 Signed: •'��' t�'`— _ Date: — 2340,OR BK 1.3750 P )efore me this Number Pages:1 �92 )f Florihas day o in the County of Duval,State Filed&Recorded 0111 4 personally aPP JIM FULLER CLERK CI�RCLII CpURI pUVAC COUNTY 4o crommibsic a Large,State of Fl • County of Duval. RECORDING$1o.00 ?ersonally Known or hoduced Identification: NOTiVCV Ef.MLr90igmva Awoq Co. JOB ADDRFSS362 /" TYPE WORK)e-&��� PROPEI�T'Y o Q.0 Q,ce.� r TT:LEPEoNE CONTRACTOR rte_ T .EPEONE A' PERMIT NUl1 M l 9 3 DATE #1;lr12o o f INSPECTT'ONS.• FOOTMG SLAB nE BEAM LINTEL NAILING%SHEAAT�.IING FRAWVG/COM UP ` 4-27-a" EMSULA3?ON FINAL i3Ul�:DING�s CERTlHCA.TE OF OCCUPANCY ELECTRICAL PERMITS /99ST LYSPEMONS ROUGE FINAL MECUANICAL PES iNSPECTIONS ROUGH FINAL PLMMIG PERMM INSPECTIONS R0UGE/UNDER SLAB TOPOUT WATEMEW R FINAL NOTES. /�P1►�Ge- /9925' `�l Z� /�° f : CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 f INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031760 Date 12/06/05 Property Address . . . . . . 362 PLAZA Tenant nbr, name INSTALL PROPANE TANK Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ----------------------- - HAYNES \AWYER GAS COMPANY 362 PLAZA 98 PENMAN ROAD ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-6471 ---------------------------------------------------------------------------- Permit . . . . MECHANICAL PERMIT Additional desc . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --- -------------- ------- --- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 a PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL ;'. CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: )z - D S Property Address: Owner: 1 lr l .(N fjL S Telephone#: Contractor: �(Jw E_� Cres Telephone "71 Contractor Address: Fax#: _Z11 Contractor Signature: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: ❑ Electric ❑ Gas: _LP —Natural ,Central Utility //^s ❑ Oil ❑ Other—S eci MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed _Central _Floor Residential ❑ Air Conditioning: Room _Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfin ❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm '47 Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalator (Number) Replacement of Existing System L3 Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers _ (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers - Gas Piping ❑ Other-Specify, ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions ntained Manufacturer No. !Ajency J & 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845* http://www.ei.iitlantic-beach.#l.us Revised 1/04 Ss� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 p� INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031137 Date 9/06/05 Property Address . . . . . . 362 PLAZA Tenant nbr, name . . . . REMOVE REPLACE 200 AMP Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ---- -------------------- HOPKINS, MILLARD FIRST CHOICE ELECTRIC 362 PLAZA 716 VALLEY FORGE RD. N. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 241-1331 ------------------- --------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee 45 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------------ - ---- ---------- ---------- ------- --- ------- -- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 45 . 00 45 . 00 . 00 . 00 t PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL } �i L, CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: e Q(., 0-�' Property Address: Owner: Telephone#: Contractor: STC to c� r.f'� �-�c G��r E L Telephone#• Contractor Address: s- Fax#: Contractor Signature: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New ;k' Residence ❑ Temp. New being done on this building f Or site,list the building Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS 2-cx� PH W 3 VOLT Zy6 WAY Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Rece tacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• http://www.ei.atlantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031898 Date 12/29/05 Property Address . . . . . . 362 PLAZA Tenant nbr, name . . . . . . INSTALL 9 FIXTURES ONLY Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ OCCUPANT COYLE PLUMBING & UTILITIES 362 PLAZA 3536 UNIVERSITY BLVD N, #212 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32277 (904) 743-9018 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 98 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98 . 00 98 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 98 . 00 98 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL ` CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: 3 k:;, Owner: Telephone#: Contractor: (f G'l�t �1,,, L r,�l ` 1, f✓ Telephone#: A,ff ?7-01?5 3 Contractor Address: 6-t i L ea->;<, fIj A v ;-�Ag Fax#: 2_1 2- Contractor Signature: j f4oz� In consideration of permit give or doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. ,* Plumbing Type' �'�0. �i'y�' h�' ��/ If other construction is being done on this building or site, • ❑ New list the building permit number: ❑ Re-Pipe Number of Fixtures: I Bath Tubs Showers 2- Closets Shower Pans Dishwashers C Sinks j Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: _ X$7.00 + $35.00 800 Seminole Road.Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• http:l/www.ci.atiantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031854 Date 12/21/05 Property Address . . . . . . . 362 PLAZA Tenant nbr, name . . . . . . MISCL REPAIRS Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------- ----- ------------------------ HOPKINS, MILLARD FIRST CHOICE ELECTRIC 362 PLAZA 716 VALLEY FORGE RD. N. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 241-1331 ---------------------------------------------------------------------------- Permit . . . . . . W/W/O ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 140 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 140 . 00 140 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 140 . 00 140 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: - t 0 Property Address: —3>(,4>Z- Owner: 1.4>Z- Owner: Telephone#: Contractor: "IDA r� +r�,C_ Telephone#: 7 Contractor Address: —i la Vc t� ' � 't,� Fax#: Contractor Signature: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: if other construction is ❑ New 9? Residence ❑ Temp. ❑ New being done on this building �r Old ❑ Commercial ❑ Signs ❑ Increase site,list the building Pe $ Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair ? Conductor Size: AMPS: COPPER F1 ALUMINUM El Switch or RACE Breaker AMPS PH W VOLT WAY _ Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous n ry 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• http://wwmr.ci.atiantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH J 800 SENIINOLE ROAD ` ATLANTIC BEACH,FL 32233 v INSPECTION PHONE LINE 247-5826 s.i JIsI�r' INSPECTION EMAIL REQUEST: Buildinz-d_ept.2a coab.us Application Number . . . . . 07-00001154 Date 8/16/07 Property Address . . . . . . 362 PLAZA Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL AHU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SHEPHERD OCEAN STATE HEAT & AIR, INC. 362 PLAZA 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 55. 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/12/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total '55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55. 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES t' tii\ CITY OF ATL-AINTIC BE ACI-1- Y s MECHANICAL PEP-MIT ©..PPLIC ATI i Date: &7 /�P Property A_d ess: 3 (�.. Owner: Telephone#:. _ J Contractor: C)CeQ,I2 ETIME F (Q�4 Telephone #: - _Contracto r<kddress: 147(L C71 1 rC .t n R) Fax 1: in consideration of permit given for doing the work as described in the above staternem,we hereby agree to perform said work in accordance with the attached plans and specifications which are a pati hereof and in accordance with the City of Atlantic Bmrh ordinances and standards of °Doti practice listed therein. Type of HestinQ Fuei: If other mnsstru dm is being done on this building or site,list the building permit number: _ ❑ Oras: LP Natural ✓fft=al Utility ❑ Oil ❑ Other-Specifv 1VIECHANIC_4L EQUIPMENT TO BE LNSTALLED NATURE OF'WORK Heat _Space Recessed 1^<iitral _Floor 3--" Residendal V'Air Conditioning _Room ,Ventral ❑ Duct System: Matenal Thic'Itess ❑ Commercial Maximum capacity can Eng C3Re�iaeraiion ❑ New Bt�l i z Cooling TDwer: Capacity -pm r r ��1St1nR rSZ11L(1'7-t-L ❑ Fire Sprinklers:Number of Heads - J ❑ Elevamr: llanlift Escalator (Number) 7-41"P=Iacement O--L E dsrina System ❑ Gasoline Pumps -(Number) ❑ Tanks (Number) ❑ New installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Ln,c scion or Add-on to Emsting System ❑ Boilers ❑ Gas Piping ---- ter- peck `--- - —— ----- ❑ Other-Specify LIST ALL E Q UIP3YIENT CONDITIONING,RE,FRIGERATION EQUIPIYIFi'`TT&CONDENSOR'S Approving Number Units Description Madel n Manufacturer Ton's Agency f w w.•y, HE MN BOMZRS,FMZf?LACFS&AM HANDLER 15 Approving Nunber ITnits Description Model R Mamirbcturer BTU's Agency Le p ad-ay lP 4 - -Approving TANI�.S Nominal Ca T• eLi uid Serial How tvlanv &Dimensions Contained ivlanufacturer No. Aeencv SOU Seminole Road • Atlantic Beacb, Floridn 32233-544 Rhone: (904)247-5800 . Fax: (904)24"-3345 • hi#p:!/www.ci_aklantic-beach_fl.us 08/15/2007 11:28 FAX 9042498949 OCEAN-STATE-A/C + ATLANTIC-BEACH ®001/001 - -7 CITY OF ATLANTIC BEACH IYUCRAMCkL PERMIT APPLICATION Date: Property Ad ess: 3 Owner- c�n,,., GC Telephone #• 88� Contractor-O�/�..Cl.l.! ( �''l�t_.L P— lC.j� Q t C Telephone#: gQ Contractor Addre3s:14-1 l�,� t l",g�� �� Fax to amadman of perms mveo for dobg the wart as dosrnbad in the abate staoN==we hereby agree m VWiWW WAd work io ntxerdancz aAb the auittxd pi ms tad Vee6cmium whu,h ace a pea hereof and is=m*mm with dw City of Adaodc%2xh wdmanoes and eruWuts of listed t4aeia. Type of Hcoiing Fail: If orbit'c muctim it;bCQ d ow on tis bu ikbn8 or site,fist the bt&ft pt=u=b -- i�'E1«xric a Gra+: .}3 xmmi ✓ u teat UtsW ` MICHA.NICAL EQUIPMINT TO BE INSTALLED NA OF WO RIC 9--ttat _ g:Space _Recessed , ural —Floor Wo Rcsid=dal Air Cm&dQ —Room jecbx rel 0- Und System: IMing[W Tbiclmem a CQ=W=casl Maximum capacity cfm o Reaiigeraiim ❑ New Bvlltiin; C1 Cootie;Tower.Capacity Fpm 0 Fire Spriukltes:Number ofEeads O''�F dsnn3Buileihz ❑ Elevator: __ Maatift &_c210= "imbe) �'"gepl �Svsteta a Gasoline Pumps (Nmnbcri ❑ Taeks (Number) ❑ Ncar hw4lazion ❑ LPG Coatamers (Ntmxber) (No*w=Dmn0u11Y ❑ Unfired Pressure Vessel O Fammaau ar Add-w toE-6sUg System a Boilers a Gas Pipian -- _-- a Other-Specify LIST A!E ' n%MNT ,tet CONDMONIN6,RL8 MMATIOV XQUl I sic CONDENSOX'S t►p> iatF Numbs Units Dest#ptim biodd 0 Manu Tom's ageW HWA=%-FUMACB5,Son ZZA InILZMAC*S wlst HAN1D UMTS Awing Number Uahz Desaipdas Adodd 0 mW=dACbjTw BTtrs Agency rGn_ 3. Nmia TwC Liquid sww ARaro.'W6 Hour Mem &t)iraemioss au tined ManuSuraesr No. Ammon 300 Scminole]Load-Atlantic Beach, Florida 32233-5.W5 Phone: %4):!47-5300 - Fay[: (904):47-3845. ht3p_//wvm.cLat►sgtk_beach gLus CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031733 Date 12/05/05 Property Address . . . . . . 362 PLAZA Tenant nbr, name . . . . . . KITCHEN/2 BATHS REMODEL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 15000 Owner Contractor ---- - -- - - - - - -- - - - -- -- - -- ------------------------ HAYNES, MARGARET GAUTHIER BUILDING CONTRACTOR 362 PLAZA 14436 AQUA VISTA ROAD N. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 ----- ------- - -- - ---- - --- -- ------ - ------------------------------------------- Permit . . . . . . W/W/O BUILDING PERMIT Additional desc . . Permit Fee . . . . 260 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 15000 Fee summary Charged Paid Credited Due -- - -- --- - - - - - - - - - - - -- - ----- ---------- ---------- ---------- Permit Fee Total 260 . 00 260 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 260 . 00 260 . 00 . 00 . 00 e PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH cc: x. BUILDING/ZONING DEPARTMENT D�err 800 Seminole Road Atlantic Beach,Florida 32233 r µ f (904)247-5800 V (904)247-5845 Fax \\� www.coab.us PLAN REVIEW COMMENTS " Permit Application # 05- - J/ 73 3 Property Address: _ (�Z Applicant: -61 t,�e Project: Ztnodil . /1ryTGh f'o 4-n d 02 -?97(-A .5 This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your\a cpplication when these items have been completed. Reviewed By: y�� Date: Date Contractor Notified: jLy CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION Q (Interior Remodel) W� Date: 1 I 816 E; Job Address: ,36 PL.r�Z-,E3- IT-1L-H1Lj T! d 18C' 9614 Ff. S �� -3 Owner of Property: }- C'.S Address: ) 51 /`-1 b C p-!' 1-t to s i` D F �-fftJ i Te epT6 ` Legal Description: Block Number: Lot Number: Zoning District: ALLdjt�7ri C! R i Contractor: _�g/� -s r/�d OciJx/fA State License Number:C Go 5 79 S e Contractor's Address:�: , fS f Telephone: gyp2�Sa r Dr,C� Fax: Describe proposed use and wor to be done: 12 ;1j;_ u9roc/ �. _ I.,� Present use of land or building(s):__/��S Valuation of proposed construction: ��J4000, � =electricalr increase in service? Add plumbing fixtures? _ Add fireplace?_ N O Add heating/air conditioning? M O Is approval of Homeowner's Association or other private entity required? / a If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and Provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two (2) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,Fl, 32233 Telephone:(904)247-5826 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/04 I hereby certify that all information provided with this application is correct. C Signature of Property Owner: L Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above intbrmation being true and con• t and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date:1, —� S Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: t3>!s.5 � R- • � � � . r 1 3Z�-3 Telephone:_A,q 2—!?q,5 3 Fax: All-'y5,6 6 E-Mail: Ct,/K 59/- 7-4PZc4 AS TO OWNER: Sworn to and subscribed before me this S I day of 1& ,20 State of Florida, County of Duval Notary's Signature: KAREN LBREUER personally known MY COMMISSION#DD 407862 EXPIRES:March 16,2009 ❑ Produced identification 8-W Th-NdaryPw1k,undwwrirera Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of / ,200s'. State of Florida,County of Duval f Notary' Signature: `�' " VIA KAREN LBREUER Personally known ,r MY COMMISSION#DD 407862 EXPIRES:March t6,2009 ❑ Produced identification &f';tk sa�aed P-NabW Pj*UndM Mere Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 3 Revised 1104 NOTICE OF COMMENCEMENT p State of )a` a Tax Folio No. ! 7 b as County of a k-Dh tJ iZ 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. Legal description of property being improved: L' a'-` ► Address of property being improved: loo AZ A A-f L H u-t, r 3 3 General description of improvements: 1 c L' r Owner• rt1,0 aQr A ti e fi Address: a?S'r Cjt41t-n-1 j r -s-f- 4 f4-fLAtUTi c Owner's interest in site of the improvement: rfs-- -'S`>y,;o/Q Fee Simple Titleholder(if other than owner): Name: Address: �,,� ✓ Contractor: — ! "j_� Address: C 17� Phone No. Fax No: Surety(if any): Address: Amount of Bond $ Phone No: Fax No: Name and address of any person making loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of norida,other than himself, designated by owner upon whom notices or other documents maybe served: Name: Address: Phone 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. ( 11 in at Owner's option). Name: Address: 4.41 Phone No: Fax No: Expiration date of Notice of Com encement(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 �-�n OWNER Signed: l W4 jj1tAt* 4. - _Date: 1 -Zi` 1 _ O S Before me this Qt day of T*Ce-MUe� in the County of Duval tate of Flo I has personally appeared /y 1 -A Doc#2005439232,OR BK 12918 Page 1780, ���f �� "��� of Duval Number Pages:1 Notary Public at Large, State of Florida,County ty Filed&Recorded 12/01/2005 at 02:17 PM, My commission expires: :j� (lo` l'°1, JIM FULLER CLERK CIRCUIT COURT DUVAL COUN, Personally Known: or RECORDING$10.00 Produced Identification: „1111 KAREN L BREUER MY COMMISSION#DD 407662 EXPIRES:March 16,20()g f11;, B-W Th-Notary p ft Unftwtara , i APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE DEC 02.._ i, BY. �,&''""""'""" ', ti , .c W y 1 �4 a i R� a t a to IV-6.10 VlZe too UK ..x �i y�•,Y �� `✓�M:a f F~ ' y1;P S d + 4 I., $ yg G J < : wil !j tt 'v&;o L a m (366 r~ � GG Y` 00; `,` �or,�A � �l FROM :JIDLYTTLE FAX NO. :9047459021 Nov. 13 2005 11:17AM P2 N,<V C t a a O 0 0 0 0 7 U) W Z C/7 N Q c- 0 o LZ o W J LI.J z 0 = c.n o r� N • o o Q r- W CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD mit ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031406 Date 10/13/05 Property Address . . . . . . 362 PLAZA Tenant nbr, name . . . . . . REPLACE WINDOWS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 Owner Contractor ------------------ ------ ------- ----------------- HAYNES, MARGARET ELIZABETH WINDOW WORLD OF JACKSONVILLE 362 PLAZA 8535 BAYMEADOWS ROAD UNIT 12 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 443-7001 ---------- ------------ -------------------------------------------- ----- ----- ---- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 4000 Fee summary Charged Paid Credited Due Permit Fee Total 100 . 00 100. 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDINC_.CODES. s � i BUbDING OFFICIAL f' ' 'r'- CITY OF ATLANTIC BEACH Cc: \its\ BUILDING / ZONING DEPARTMENT Zr,� , f 800 Seminole Road L. Hins Atlantic Beach,Florida 32233 S. rr y — (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # (> -'` I& Property Address: �ftaq-1 P at ou Applicant: Lt)1 n dao i)( i ft ol ta�4 ( 1�t Project: �--(0 a)1.6 AD W ' This permit application has been: Lld Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed / By: � Date: (Q( a.,(05 Date Contractor Notified: CITY OF ATLANTIC BEACH `` WINDS, SkY&HTS, GARAGE DOORS,HURRICANE SHUTTERS J �,s W Date: Zp� ds Job Address: Owner: El, Address: 2X51 /S• &-00k �'o�PS Q��u o Phone: Legal Description: Block ^Number: Lot Number: Zoning District: Contractor: I))Ll a—Iw0 State License Number: (),djj ZsQ3 a 1 Address: 21W i"t PSS Oyu Ot- *. q0T Phone: 904- `f qs- � city: r 3 -yL (, Fax: blot j'- C�q3 Z� q.;` S try State: G'L' Zip: _ Describe proposed use and work to be done: 1 ca. QY YSC p nK W;,," , t L V o nti l Present use of land or building(s): S c"cX- Fal tri Valuation of proposed construction: q CM tr-X Is approval of Homeowner's Association or other private entity required? /00 --If yes,please submit with this application. Required Building Data: ` I Mean Roof Height (ft) Building Width 3 (ft) Building Length '1 (ft) Roof Slope Window Height (ft) Window Width q j$� (ft) l3 (ft) Window Elevation from Grade Measurement from corner of building to window t (ft) Number of windows being installed Mean Roof Height ----ACT 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 127/03 Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data,the following information is required: 1. Manufacturer's Test Report with Uniform Structural Load(psf) 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Hurricane Shutter Description/Type 7. Elevation View of Window Locations I hereby certify that all information provided with this application is correct. �Signature nature of Owner7t a. Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions.of any federal,state or local rules,regulations,.ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true an correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor. Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn toan�u—bs bbed bPfc�tem e1e13day of L�r�'I� � ,20,� lonY it, Q' la M,0ommissw Expm Jun 7,AM Conte 6 OD 438460 Notary's Signature: P'rsonally known [ oduced identification Type of identification produced L IJ,QG!/� AS TO CONTRACTOR: Sworn to and subscribed before me this day of P:P% ,20 Or . State of Florida,County of Duval R LEE WEAVER Notary's Signature: WRy --J COMMISSION#DD395570 nuc EXPIRES FEB 10 2009 ( Personally known sommTHROUGH moo+ ar oow~ ❑ Produced identification Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/27/03 ti Permit number Tax Folio number NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property: 2. General,description of improvements: ^� o°©6c Lr GCl 1 ft�l�C Gy 3. Owner information: a. Name and Address: 8CiA b. Interes6h Interest ' property: C. Name and address of fee simple titleholder(other than owner): 4. Contractor's name and address: ►`S J0 9( - vF\a a S a. Phone number: ` 3 7 b. Fax number: `-1 L 0� (p F,5 3 5 6"A-y rn-� at S 5. Surety information: t0*1 Wd 6 Lo l nl # ) V S(c a. Name and address: b. Phone number: lfX13 766 (c. Fax number: d. Amount of bond: 6. Lender's name and address: a. Phone number: b. Fax number: 7. Person within the State of Florida designed by owner upon whom notices or other documents maybe served as provided by 713.12(1 (a),Florida Statues. Name and Address: /J ) 1 a. Phone number: b. Fax number: 8. In addition to himselffherself, owner designates of Gly r QCAb O O� to receive a copy of the Lienor's Notice as provided in Section 713.12(l)(b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of Recording unless a different date is specified) Signature of Owner: �'` Florida Building Code Online Page I of 2 all C014- PRODUCT j Product / Detail * Overview � Product Search �Organization� � Product "i Search Application User: Public User Not Associated with Organization- Needtel[ Application#: FL226 Date Submitted: 09/23/2003 Code Version: APPROVED 2001 CITY OF ATLANTIC BEACH Product Manufacturer: BUILDING OFFICESimonton Windows Address/Phone/email: OCT 12 20051 Cochrane Ave Pennsboro, WV 26415 (800)746-6687 By: V� Technical Representative: Chuck Anderson Technical Representative Address/Phone/email: 1 Cochran Ave. Pennsboro, WV 26415 (800)746-6687 chuck—anderson@simonton.com Quality Assurance Representative: AAMA Quality Assurance Representative 1827 Walden Office Square M Address/Phone/email: Suite 550 Schaumburg,IL 60173 (847)303-5664 webmaster@aamanet.org Category: Windows Subcategory: Double Hung Evaluation Method: Certification Mark or Listing Referenced Standards from the Florida Building Code: Section Standard Year 101/1.S.2 1997 _-� ASTM E 1886 1997 ASTM E 1996 2002 Certification Agency: American Architectural Manufacturers Association Quality Assurance Entity: http://www.floridabuilding.org/pr/pr_detl.asp?IPT=226&RV=O&fm=ROSrch 9/27/2005 Florida Building Code Online Page 2 of 2 Validation Entity: Authorized Signature: Chuck Anderson Chuck—Anderson@simonton.com Evaluation/Test Reports Uploaded: Installation Documents Uploaded: Product Approval Method: Method 1 Option A Application Status: Approved Date Validated: 09/23/2003 Date Approved: 10/15/2003 Date Certified to the 2004 Code: Page: Page 1/1 Go pp/Seq Product Model#or Model Limits of Use # Name Description Storm Breaker Plus-Vinyl - Size: 37 X 76; 26.1 SP Reinforcement: SP 37 X 76 H-R65 SP 52 Aluminum All X 50 H-R50 Rails and Stiles; Rating: H-R65; 1/8" Glass Storm Breaker Plus-Vinyl -Size 52 X 50; 26.2 SP Reinforcement: SP 37 X 76 H-R65 SP 52 .036 Steel All 50 H-R50 Rails&amp; Stiles; Rating: H- R50; 1/8"Glass Next lam, ,... , , .. ,. . F ,,. .,k ;. .,..., P i. ,. r� .. ��< �. �.... ,ta��os.,, •f`'r. ...�.` . .. 3... ft ,I'r'k.... t ,_� ' ,Z,", vraisra Coo�Yright and Disclaimer;02000 The State of Florida. All Mated rights reserved. 9 v—i . moo._.'.�: ;. ., �"..., 4 •i' ....... http://www.floridabuilding.org/pr/pr_detl.asp?IPT=226&RV=O&fm=ROSrch 9/27/2005 Florida Building Code Online Page 1 of 2 rNProditict Type Detail Ir' , r , r" "q r "1 Overview Product Search Organization Product Search ApAb pl cation User: Public User -Not Associated with Organization- Need 1-Ielp ? Application#: FL226 Date Submitted: 09/23/2003 Code Version: 2001 Product Manufacturer: Simonton Windows Address/Phone/email: 1 Cochrane Ave Pennsboro, WV 26415 (800)746-6687 Technical Representative: Chuck Anderson Technical Representative Address/Phone/email: 1 Cochran Ave. Pennsboro,WV 26415 (800)746-6687 chuck--Mderson@simonton.com Quality Assurance Representative: AAMA Quality Assurance Representative 1827 Walden Office Square ? Address/Phone/email: Suite 550 3. Schaumburg,IL 60173 (847)303-5664 APP ROVED Webmaster@aamanet.org CITYu'`DINGNOFF CE CH B Category: Windows Subcategory: OCT 12 2005 / Double Hung Evaluation Method: �y' Certification Mark or Listing Referenced Standards from the Florida Building Code: Section_ Standard Year 10-1/1.S.2 1997 -- ASTM E 1886 1997 ASTM E 1996 2002 Certification Agency: American Architectural Manufacturers Association Quality Assurance Entity: http://www.floridabuilding.org/pr/pr_detl.asp?IPT=226&RV=O&fin=ROSrch 9/27/2005 Florida Building Code Online Page 2 of 2 Validation Entity: Authorized Signature: Chuck Anderson Chuck—Anderson@simonton.com Evaluation/Test Reports Uploaded: Installation Documents Uploaded: Product Approval Method: Method 1 Option A Application Status: Approved Date Validated: 09/23/2003 Date Approved: 10/15/2003 Date Certified to the 2004 Code: Page: Page 1/1 Go pp/Seq Product Model#or Model Limits of Use # Name Description Storm Breaker Plus-Vinyl - Size: 37 X 76; 26.1 SP Reinforcement: SP 37 X 76 H-R65 SP 52 Aluminum All X 50 H-R50 Rails and Stiles; Rating: H-R65; 1/8" Glass Storm Breaker Plus -Vinyl -Size 52 X 50; 26.2 SP Reinforcement: SP 37 X 76 H-R65 SP 52 .036 Steel All X 50 H-R50 Rails &amp; Stiles; Rating: H- R50; 1/8" Glass Next v. iape Copyright and Disclaimer; 02000 The State of Florida. All 71 rights reserved. WERIF Y'0 http://www.floridabuilding.org/pr/pr_detl.asp?IPT=226&RV=0&fm=ROSrch 9/27/2005