544 Plaza (vault) Jr,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
w
,I
Application Number . . . . . 05-00031400 Date 10/12/05
Property Address . . . . . . . 544 PLAZA
Tenant nbr, name . . . . . . ROOM ADDITION
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 20000
Owner Contractor
------------- ----------- ------------------------
QUINIF, DEBRA OWNER
544 PLAZA
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
-------------------------------------------------------------------- --------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 180 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 20000
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 180 . 00 180 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 180 . 00 180 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL
Cc:
CITY OF ATLANTIC BEACH
BUILDING / ZONING DEPARTMENT ". Hi gins)
800 Seminole Road _9.78Lem)
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # 9,/fi-0
Property Address: '4
Applicant:
Project: 14z)
This permit application has been:
a�/ Approved
F-1 Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date: 10 f(do",
Date Contractor Notified:
CITY OF ATLANTIC BEACH
OCT 11 2005
BUILDING PERMIT APPLICATION
....... .....
(Alterations&Additions)
BY,
Date: - Zo — //—Os—
Job Address: 9-44 /�-4 z-* I__re_47_�4"I,
Owner of Property: 4&BA3 1,-A;
Address: 104-1-�- Telephone: 5FZ7 Ic
Legal Description: Block Number: Lot Number: / 0 Zoning District: 5
Contractor: ,00-&h 4,e5— 15� V/,-.I 1,1r— State License Number:
Contractor Address:
Telephone: Fax:
Describe proposed use and work to be done: A&CIn '4-_y"0
Present use of land or building(s):
Valuation of proposed construction: Ao. e)00
What are the dimensions of the added space: feet x c0,4 feet
Will the added area be heated and cooled? New electrical or increase in service?
Add plumbing fixWres? Add fmplace? &0 Add heating/air conditioning?. 0
Is approval of Homeowner's Association or other private entity required? A,1 0.If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to
the original impei:vious area or the removal of any trees?
NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project.
El YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
NO. Applicant certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and REovide all information as approuriat
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zonmg designation and proper setbacks for the proposed construction. If you are unsure of this information, picase
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is requireA (If not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trws are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is conuactor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,Fl, 32233 Telephone:(904)247-5826
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -bttp://www.cLatiantic-beach.fLus
Page 2 Rcvtsed VO4
in addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
1. Current survey showing the propea-ty boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. identify
any existing structurvs and uses.
3. ff required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
I hereby certify that all information provided with this application-is correct.
Signature of owner. —Date:
1 hereby certify that I have read and cxamin this appilication an ow 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 pr==C to
give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and conta and that the plans and supporting data have been or shall be provided as required.
Signature of Convactor. Date:
Address and contact information of person to receive all cozTespondence regarding this application(please print).
Name:
Mailing Address:
Telephone: Fax: E-Mail:
AS TO OWNER`T�e rv-&.r-,Qe_ e
Sworn to and subscribed before me this day of C*C;X�
State of Florida,County of Duval
1EANNE M.SMW Notary's Signature:
My COMMISSION#DD 435%6
EXPIRES:May 31,2009 Personafly kno4
.1. P B=WTt"NftYP"CL4WMW*M
Er Produced identification
Type of identification produced
0 b-10. Flo- 5-9— &fs;�_o
AS TO CONTRACTOR:
Sworn to and subscribed before me dus day of
State of Florida,County of Duval
Notary's Signature:
E] Personally known
Produced identification
Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.cLadantic-beach.fLus
Page 3 Revised 8/04
L
C
K OCT I I
CITY OF ATLANTIC BEACH
OWNER/BUILDER AFFIDAVIT
Dafe:
Job Address: -d-f oetl=4-z-4- -A77r mil
CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTINal 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 SE 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 S25,000.00 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 PRESUNE
THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF Ti-HS EXEMPTION. YOU MAY NOT HIRE
AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO
TEE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT
PEOPLE EMPLOYED By YOU HAVE LICENSES REQUIRED BY ST LAW AND BY COUNTY OR MUNICIPAL
LICENSING-ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO APROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMMy USE, AND LIKEWISE REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A
BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY
PHYSICALLY Do WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE
UNDEII,-DIRECT SUPERVISION OF THE OWNER,WHO hMT BE ON THE JOB Al.ALL 1ME5-WHILE WORK IS IN
PROGRESS By UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS-
SINCE OWNERS MAY BE_LWLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS*WORKER',S CONDENSATION INSURANCE,BE PURCHASED LINDER THE HONEOWNERS INSURANCE
POLICY To CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECONE EMPLOYERS AND
SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS
THEY EMII�LOY ON THEIR DWROVEMENT TRADES.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES OWNERS BEING
SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN - CUP TION LICENS IS
OC &__ E-
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 DEPARTWNT(247-5826)IF IN DOUBT.
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.
PROPFKT7 OWNER/BUILDER
SWORN TO AND SUBSCRI13ED BEFORE ME THIS 14-- OF Ock4ocir- 2o*5
_qLDAY
'IEM' W
�ON 4MM
.M
M Y?
:S
RE
JE4NNE M.iMi W
N,
My CO
My COMMISSION#DD435m
EXPIRES:May 31,
Bonded Thru Not"pd*Ur&MVbM NOTARY PUBLIC-
MY COMIMISSION EXPIRES: N'-&i
NOTE: PHRASES UNDERLINED ABOVE.
Cc:
CITY OF ATLANTIC BEACH
-D-FOFd-,
BUILDING /ZONING DEPARTMENT
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application #
Property Address: S 14 2-A--
Applicant:
Project: R6 6 f2n /4))
This pe it application has been:
tApproved
Reviewed and the following items need attention:
Please re-submit r ap .cation when these items have been completed.
Reviewed By: Date: 7
Date Contractor Notified:
CITY OF ATLANTIC BEACH
"Alh
BUILDING PERMIT APPLICATION
(Alterations & Additions)
Date: Z 0 -
Job Address: #
4 -14 10�-4 Z- len' /9 4?i�-14-
Owner of Property: �96VI� /,--
Address: Telephone:
- �?, - ;I#-
Legal Description: Block Number: Lot Number: / 0 Zoning District:
Contractor: __.. V State License Number:
Contractor Address:
Telephone: Fax:
Describe proposed use and work to be done: X&0 177 A-AW
Present use of land or building(s): ___ //*0 6-
Valuation of proposed construction: (:go. 000
What are the dimensions of the added space: feet x 61, feet
Will the added area be heated and cooled? f**'60-5 New electrical or increase in service?
Add plumbing fixtures? Add fireplace? 0 Add heating/air conditioning? OAZO
Is approval of Homeowner's Association or other private entity required? Al 0 If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to
the original impervious area or the removal of any trees?
NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project.
El YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
NO. Applicant certifies that no trees will be removed for this project.
YES. Removal of Trees will be required for this project TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and vrovide all information as agpropriate.
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this application.)
'Me Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affldavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,Fl, 32233 Telephone:(904)247-5826
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Page 2 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Revised 8/04
In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify
any existing structures and uses.
3. If required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
5. Impervious Surface area calculations: include driveways,sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
I hereby cerfif�that all information provided with this application is correct. 0
Signature of owner: Date: e�o — �(/-01
I hereby certify that I have read and examin&/this application an ow the same'to be true and correct. All provisions of the laws and
ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the
governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
Signature of Contractor: 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.--f;e Cv-p_r-,r_e
Sworn to and subscribed before me this day of 0 CAOPP� 20CY5- .
State of Florida,County of Duval
JEANNE M.SHAW Notary's Signature:
N"- MY COMMISSION#DD 435986
EXPIRES:May 31,2009 M _Personally kno:��
Bmded Thru Notary Pubk Undvwftm
2'�`Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's Signature:
M Personally known
Produced identification
Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atiantic-beach.fLus
Page 3 Revised 8/04
01 ,; CITY OF ATLANTIC BEACH
OWNERMUILDER AFFIDAVIT
Date:
Job Address: A—r c, T/C--
CHAPTER 489,FLORIDA STATUTES,PART I ,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 EXEM?TION 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, TEE LAW WILL PRESUME
THAT YOU BUILT rr FOR SALE OR LEASE, WHICH IS IN VIOLATION OF TTIIS 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 ST&
U LAW AND BY COUNTY OR MUNICIPAL
LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMpROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A
BUILDING PERMIT' AND PASS ALL NORMAL INSPECUONS. THE ORDINANCE STATES OWNERS MAY
PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE
UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TRAES WHILE WORK IS IN
PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS.
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. OWNERS HIRING WORKERS BECOME EMPLOYERS AND
SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS
THEY ENGLOY ON THEIR MPROVENM14T TRADES.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING
SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSE" IS
NOT ADEQUATE. THE OWNER SHOULD P14YSICALLY 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.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WIT`H ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT.
PROPECIT OWNER/BUILDER
SWORN TO AND SUBSCRI13ED BEFORE ME TIES -
_11!7DAY OF 0 C,� 2045
-JEANNE M.SHAW
My COMMISSION#DD435986
EXPIRES:May 31,2009
cmded Thru Notary PLtlic UndriAors ARY PUBLIC
1` COMMISSION EXPIRES:
NOTE: PHRASES UNDERLINED ABOVE.
-----------
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030676 Date 7/13/05
Property Address . . . . . . 544 PLAZA
Tenant nbr, name . . . . . . 1OX12 SHED
Application description . . . SHED PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
Owner Contractor
------------------------ ------------------------
QUINIF, DEBRA OWNER
544 PLAZA
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2000
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
CITY OF ATLANTIC BEACH Cc:
L. Higgin
BUILDING/ ZONING DEPARTMENT
800 Seminole Road (t]5oerri)
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # .0 r7-1-
J
Property Address: 4 4- P I
Applicant: -ei Q1 J-6A,i DU)WC C
Project:
This permit application has been:
Q, Approved
fFf�Re iew Ins n
e 10 "en f
��he
0 �-A
Please re-submit your application when these items have been completed.
Reviewed By: Date:
Date Contractor Notified:
CITY OF ATLANTIC BEACH
Ile
SHED PERMIT APPLICATION
JUN 2 8 P-00b
Date: ID 0� b
Job Add, 5q q
Owner: IT �D A I f"\'� Phone:
Contractor: 4me, h-L,)ney�� Phone:
Address: Fax:
City: \12'sokv State: F1 Zip Code:
Valuation of Proposed Construction:
*Impervious Surface Calculation:
Is approval of Homeowner's Association or other private entity required? �Jb If yes,please submit with
this application.
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.
Procedure: In order to expedite issuance of permits,please follow all steps and provide all
information as ammovriate. Incomplete applications may result in delay in issuance
of permit.
I. Recent Survey—including all existing,init)ervious areas, with calculations showin
percent of lot coveraLge.
2. Two (2) complete sets of plans.
3. Recorded Notice of Commencement.
4. Tree Removal Application if trees are to be removed or relocated.
5. Comply with 120 mph exposure"C"wind load requirements.
Scheduled Inspections:
Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247-5826. Requests
can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following
work day; please specify a.m.or p.m.inspection. When calling in an inspection please have the permit number,
job location and type of inspection needed.
BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of$35.00
is charged for all re-inspections.
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us
Pagel
3/25/05
I hereby certify ftPri�mforrpition providgjl-�vith this application is correct.
Signature of Owne 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 and correct and that the plans and supporting data have been or shall be provided as
required.
Signature of Contractor: Date:
AS TO OWNER:
Sworn to and subscribed before me this day of 20 613
State of Florida,County of Duval 'C
Notary's Signature ov,
E�lXrsonally known
M Produced Identification
Paula Drake Dean
Comn*sWon S DD397569
Type of Identification Produced
4 V.,v Expireg-AprN 8, 2009
OF T,"PsM-InUMM,Inc.WO-US-7019
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20-.
State of Florida,County of Duval
Notary's Signature:
Personally known
Produced Identification
Type of Identification Produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 - Fax: (904)247-5845 -http://www.ei.atlantic-beach.fl.us
Page 2
3/25/05
APR-06-05 WED 02:30 PM ATLANTIC TRUST MORTGAGE FAX NO. 3389402 P. 02
11-1106105 J-4:28 FAX 904 646 0066 CHICACO ABSTRACT
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CITY OF ATLANTIC BEACH Cc:
BUILDING / ZONING DEPARTMENT D. Ford
800 Seminole Road L. Higgins
(-T—�oe
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # bs-��UV-7�0
F:�,A-A- P
Property Address: �,_Z T—T- lazaj
Applicant: T1.::Y:-;,1L bbi-C) 011 .1'014 - W)K-f-r-
Project: I o K I 3� d
It
This permit application has been:
P'-�Approved
Reviewed and the following items need attention:
Please re-submit yo apnlica on when these items have been completed.
Reviewed E Date: 49
Date Contractor Notified:
L
CITy Or A-r[JAN11C BD�'-H, CITY OF ATLANTIC BEACH
JIJ
I N U,
SHED PERMIT APPLICATION
JUN 2 8 2005
Date:
By'.
Job Address:5q q A20�,
Owne LIFE,P— Q A 1 Phone: <
Contractor: e., Lzney�� Phone: _Y9 1—%n&S
T�4q4 $ — t
Address: k Fax: 9-25-<Y-)
City: tl-c� State: Zip Code:
Valuation of Proposed Construction:
*Impervious Surface Calculation:
Is approval of Homeowner's Association or other private entity required? wo If yes,please submit with
this application.
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.
Procedure: In order to expedite issuance of permits,please follow all steps and provide all
information as avvrovriate. Incomplete applications may result in delay in issuance
of permit.
I. Recent Survey—including all existing impervious areas, with calculations showini!
percent of lot coverage. -
2. Two (2) complete sets of plans.
3. Recorded Notice of Commencement.
4. Tree Removal Application if trees are to be removed or relocated.
5. Comply with 120 mph exposure"C"wind load requirements.
Scheduled Inspections:
Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247-5826. Requests
can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following
work day; please specify a.m.or p.m.inspection. When calling in an inspection please have the permit number,
job location and type of inspection needed.
BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of$35.00
is charged for all re-inspections.
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Pagel Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us
3/25/05
I hcrcby certify thaT-aKinforryKition provide_d-,jvith this application is correct.
Signature of Owne 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 and correct and that the plans and supporting data have been or shall be provided as
required.
Signature of Contractor: Date:
AS TO OWN ER- day
Sworn to and subscribed before me this 0 20 V3.
State of Florida,County of Duval
Notary's SignatureT:
aX,"rs,nally known
El Produced Identification '14 Paula Drake Dean
Y
t Com6ssion#DD397569
Type of Identification Produced. 1 V - — . - . --"
-4 ,V Expires PW(K 8. 2009
(N,P--aw46d Tmy P&M-IftswV40,IM 800,M&7019
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20—,
State of Florida,County of Duval
Notary's Signature:
F1 Personally known
D Produced Identification
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 2
3/25/05
APR-06-05 WED 02:30 PM ATLANTIC TRUST MORTGAGE FAX NO. 3389402 P. 02
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This appr"verifies VA miosmal,
zoning, subdivision 10"I fond
developrnent regule0m, W dW ad*W*RV% ------------------ ..........
approval for the Issuance of praft Compkm
with Florida B%M-"Code and mg a"W
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PERMIT LOC
INFORMATION
A D R,IV 9
Add oss,*. 514:
P4 Thi t N
umbe r
X T
ATLA IC�,,SZACR, FLORIDA 32233
m y
er it T MECHANICAL '
C1 s$ of W.o r t ALTERATION DWRIPTION :
on: �
t' 400D, FRAME, ' Lot' , Sect!
nstr. yp,
0
'Us so.
.0posed
b 1 , code: OL
Subdivision*
im ated V a I ue,-,
Improv., 00�st : $0.00
Total. Pees: $,33.00
$33 00
Da t
De ITRAL- HEAT AND AIR
P
10110 Ai OLI'CATION FEES
PER141T $33.00
$0 .00
:`At de RIVE, WATER IMPACT FEE
IMPAC
'-T
FRE f $0 .00
FLORIDA 42, 2 , ,�1 '01 1?
"Ph
00
$
- ----- 0 FORMAT I ON RADON, GAO'' $0.00
WATER, TAP
$0"06
Name F ZRATION",
$0 .0 Or
BENZ
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RE
L FL 32-2i'l RAULIC SHA $0 ,00'
cons CA003- Type,. � O FEE,
FEE 0 .00,
01,
�Av $0 .
NO rES:,
NOTIC E "ALL CONCRETE FORMS
AND FOOTINGS MUST Of.INSPECTEO BEFORE POURING
E OF ISSUE
PERMIT VOID SIX MONTHS AFTER DAT
MUST BE
ILDING MATERIAL,RUB618H AND DEBRIS FROM THIS WORK MUST NOT BEPLACED IN PUBLIC SPACE,AND
F-AsED up Am HAULEDAWAY BY EITHER CONTRACTOR OR,OWNER'
FAILURE: MPLYMITH THE MECHANICS' LIEN LAW CAN RESULT IN
oco
RTY 6WNER PAYING TWICE FOR 6 UILDING IMPROVEMENTS.
dtA
�70
'04
-03 PH
Tllf.�
UED ACCO PROVED PLA14S WHICH ARE PART OF THIS, PERMIT AND: REVOCATIOROOR
R ING TO.AP SUBJXMTO
LATION OF,-AI IP
LICASLer PROV-1$IONS OF LAW. Ak
H 3utLD DEPARTME
ANTIC BE ING
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC 9EACH
ATLANTIC BEACH, FLORIDA 32133
CALL IN NUMBER
APPLICATION FOR MECHANICAL- PERMIT " "
IMPORTANT — Applicant to complete all items in soctions 1, 11, 111, and IV.
Mritof Address: S�vy ?kA .2-A
LOCATION
OF Interfecting streets. 1116tw000l I And
NILDING
11. IDENTIFICATION — To be completed by all applicants
Im coms;dorot;on of perm;t g;v*n for doing the wosk as described in the &bcve statement we h-e,eby ag,es, to re-Ic'," sa;d -o-t
,A the iittsclLed plans and specifications wh;ch &to a part hereof and on accordance w;t� the C;fy of JacksonvTo ofd;nar�es &�j
o; good procf-ce listed therein.
Uaj" of Mock I n1cal Contractors
CONIV6091F (Pri.1) S1 ;QV C- master 1"'A" 3,346/y
Name of
h*p*riV Owner I c-4A 1ViTe->111r A4
s4adquro of O.not Signature of
ar A�Aorised Agent Architect or Eng;nsor
IIL GWRAL INF6161410' N
A. I"*of Iii-sating Not: IS OTHER CONSTRUCTION SEING DON
,F
(is 6octric THIS SUILOING OR SITE I oat()
0 Goo—0 L), (3 Natural 13 Central Utility
IF YES. GIVE NUPASER OF CONSTRUCTION
0 00 PERMIT
0 0*— — Specify
IV. �SICHANWAL E*UfPk4fiNT TO Of INSTALLAO NATURE OF WORK
(Ftoviolle comploote W of compoftefth on bock of this fan") Residential 6r f I Commercial
tO 14"t 0 Space 13 Rocessod A Confrial 0 Flow Now Building
J1 Air Conold;onittill; El Room or Central Existing Building
0 Dwc� system: mahoriat Thic Replacement of existing system
Maximum capacity 0 New Installation(No system previously installed)
0 111.0449refigot EJ Extension or add-on to existing system
13 Cocir" love,: Capacity 9.pm. 0 Other — Specify
0 Fire sprinklion: Number of h"A-
0 Sixinelor 0 monlift E3 Es"Itifts— THIS SPACE Folt OFFICE USA ONLY
E3 Goso"or pumpo —Inumber) 0 A/ C,
0 TOA& (Sumba*) C G
Remarks
0 LPG (ftomber) 3 CC)
0 U04rod presswe
n beamn Permit Approved by_� D,,t,.__
0 atheir — specify Permit Fex,-,�
LJ8T ALL EQUIPMENT
AM ONING AND REFRIGERATION FIQUIPMENT
XUiiisber Vanot capaselty Appravt4s
D"Crfpuon 31114411*1 Number Min)
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CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: .
OWNER OF PROPERTY: TEL. 210
PLUMBING CONTRACTOR:
CONTRACTOR'S ADDRESS:
STATE LICENSE NUMBER: TEL.
HOW MANY OF THE FOLLOWING FIXTURES
RE-PIPED OR NEW
-SINKS SHOWERS
-LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
-CLOSETS WASHING MACHINE
-FLOOR DRAINS SHOWER PANS
-SEWER WATER
(LIST FIXTURES BEING REPIPED)
OTHER 7(7-).S-r6t_,tt
TOT FIXTURES: X$3.50+$15.00=
Nffl*QM[UM[PERM[IT FEE: $25.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS-(904)247-5826.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00029175 Date 11/01/04
Property Address . . . . . . 544 PLAZA
Tenant nbr, name . . . . . . METAL ROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1100
Owner Contractor
------------------------
------------------------
QUINIF, DEBRA OWNER
544 PLAZA
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
----- -----------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 1100
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
PERWT IS APPROVED ONLY IN ACCORDANCE W171711 ALL CrFY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
WELDING OITFICIAL
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: OQ
Job Address:54ct Pla�n,
Owner of Property:
Address: To 2rf Telephone: Val
.Goatfaeter. --9ta1e_L!=n&e.NuPab er:
C_nntrnc,,tor'.,;_A.ddrzSg:
Fax:
Scope of Work:,�Rlwl,
—Deck Slope: Greater an 2:12 Less than 2:12
Valuation of work: ..do
,Product Name(Example: Timberline): 5-,Mk6Ck
—Manufacturer (Example: GAF): S-1 me c)
_ASTMDesignation(s): SEE lkrW�W
Required lnspections�,Sheapng and Final
Date:
Signature of Owner: Id
U
.Siffnatur4 GpGont-dctor: Date:
AS TUOWNER:
Sworn to and subscribed before me this day of 20 6Y
State of Florida,County of Duval 117
Notary's Signatur
r"W A&CAL
My COMMISSION#DO 342192 El erson ly own
EXPIRES-ildy29 2008 VP oduc d ' entification -36
ftded TM";Aft 1r - I tif i C
Type o *Ventification produced #
Sworn to and subscribed before me this da of 20
y
State of Florida,County of Duval
Notary's Signature:
F-1 Personally known
El Produced identification
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 I Revised 2/21/03
CITY OF ATLANTIC BEACH
OWNER/BUILDER AFFIDAVIT
Date: CD
4�4an�-,c- Rc h F-1
Job Address:SAL( +
CHAPTER 489,FLORIDA STATUTES,PART I "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 TIES 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.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A
BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY
PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE
UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN
PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS.
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. 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.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING
SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). 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.
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.
4y2g,2008
WONEM.CALvem
MY COMMISSION#W 342192
E)(PIRES:A t/B DER u
I Md . 9w4&dThruN0lwyFubkcWftwftm I
SWORN TO AND SUBSCRI13ED BEFORE ME THIS �AAY OF 20_q
za
/-�ARY PUBLIC
NOTE- PHRASES UNDERLINED ABOVE. v Y COMMISSION EXPIRES/
N I A M I-MPADE- MIAMI-DADE COUNTY, 'LORIDA
WTRO-DADE FLkGLER r-UILDING
13 ULLDING C Q�WLIANCZ Or,FICIE(.8CC0) 140 WEST nAGLER STREI&T,:SIL ITE 1603
PRODUCT CONTROL DIVISION WANE,FLORMA 3- 130A 563
375-2908
NOTICE OF ACCEPTANCE (NOA) CITY. OF ATLANTIC BEAC�
Southeastern I�Jetals Man-afteturing Corporation
I 1801 10dushy Drive
Jacksonville,YL 32218 OCT 2 ,�-, 2-004
scom; 00.
This NOA is being,issued under dio applicable rkiles and i�:golation, govtrniag Oxc i �ctii�rnat,-nals.
The documentation s�ibrnitted has been reviewed by Miami-Dade C-tunty Product Control Division arAd ac(epted
by the Board of)kulcu and Appeals(130RA)to be wtd in Miami D,,-de County and other areas Wbtzc allo)&ed by
the Autboxity Having Jurisdiction(Al-U).
This NOA sha)l not be valid after thc expiratiox�date stated bclow.Ilie Miami-Dade County Froduct Contr)f
Division(In Miami D4de County)andJor the AHJ (in areas otbi�rr th;in Miami Dade County)rescrve the r4,1 a to
have this product or material tested for quality assuranoo purposes.If this product or matcrial fails too perfoi-n fii
the accepted-nw=er,the manufaa tuxer will incur the expensr.of sue b testing and tho A�11 may immediate13
revoke,riaodif�,or s-usspend'the use of such product or rnatciial withi n Thcir jtaiiidiotion. BORA reserves th,�rigbi
to revoke this acceptance, if it is deten-nined by Mianii-Da&:Cow-it)-Prodi4ct Control Division that this pro.laot or
material faiIs to rnt-et the requirements of tht applicabla bUilding cot le,
'niis produqt j.s-fpproyed as desc-ribedherein,and has been designed to comply with the High Vclooity Hu�.icane
Zone of the Florida Building Code.
)DESCRIPTION: SEM-Lok Snap Lok Standing Seam Metal Roof'..-Ianels
LA.naaNG- Each anit shaIlbeerr a pernianent label with the nianu,acturerls narne or logo,city, state and
followinZ utatement: 11M.N1n1i-E)Ad.e Co,4Tty Pfoduot Cantrol Approyod",utlbss otbt�rwis-.notcd hvrein-
RIENEWAL of this NOA shallb;�considcrcd after a renewal applic nion has been filed and there has been io
change in the applicable buil4iri&code negadvolY jWffrCtjng tho;peifbrmatice of this product.
TE RMINATION of this NOA will occur aji-f,,,r tho expiraticm date t:r if there has been a revision or change in the
materials,use,a-adfor inanut.heture ofthe product or process, Misuse of this NOA as tin chidorseintnt of ony
PTO&Wt,for sales, adveatisixig or any other purposes shiiii atitoulatically tti-minate thisNOA.Failure to com.)IY
with any section of this NOA shall be ca-use for terniffiationand rerrwV41 of NOA,
ADVLRTISEMENT: -1he �;QA riuviber preceded by the Nvords �JiujvA-Dade Cou;aty� Floilda, and follo ved by
the expira:tioa date may be displayad-ko adver�ising literature. If an) portion of the NOA is displayed,,ther)it Shall
bt done inits entirvty.
INSFE'CTION:A copy of-tbis entire NOA shall be-pfovided to the Iser by the maxjufkct�wer or its disrx*Lr-ors;
and sball be,avai)4ble for inspection at the job site at the rcqutst of flieBuilding Official.
TIA3 NOA.consists of pages I throu&9.
"rhe subnrmd documentatimi was reviewed by Frank Zuloaga,RRC
NOA No.:03-0213..19
ExpiratioYa Date:04103/1S
Approval Date- 04/03/13
page I a,; 4
go/To 39V8 Aidins JSVOOV3S 6Z7,06T8V06 96:0Z VOOZ/61/OT
Room hi ArmovAL;
Metal,Fanels(Non-Stwtom)
,Y�
Deck TyRIL.- Wood
Ma_xi, imDesi&UPressure -57.5 Psf
TPUDENANMS OF PRODUCTS MALNUFACTURED O:R LABIELED 3BY AkPLICANT6'
Test Product
PrGdvict Dimensions specificatious Description
"SIEM-Lok Bnap-Lok I various TAS 110 Corrosion rcsistant,galvanized,
Standing Seam" v= 1611 & preformad,standing seam,coated,
m1n.0.0217"tMok TAS 125 prefinl8hcd.,metal pwols.
Trim Fiooes Varies TAS 110 Standard flashiilg and trim piecea,
w vaxies Manufacwred for imch panol Nvidth,
min, 0,0217"thick
F-%rWENCE,SUBNUr=,D
Test Agemy Test Ideatiller Test Nswo/Reporf Date
Hunicane Test Laboratoxies,bo. 0041-0703-98 UL—580 test 07/10/9S
TAS 125
Celatex Corporation Testing 520504 TAS 100 12/21/99
Sa-vioes
NOA No.:03-0213A 9
Expirotion Date:041031(s
Apprawl Date,04103A 3
Page 2 oJ 4
SO/ZO 3E)Vd A-icidns iSVOOV3S E3ZO6T8t7OG 96:06 VOOZ/6T/01
Ax.rROVEff Assr.miBm"s
SYSTEMA-14S. - "Se-m-LokSnap-Lok Standing Searri"26 ga.Metal Panels
Deck Type: Wood,Non.jmulated
Deck Description: '9132" or greater plywood or wood plank.
Slope Range. 211:12" or greater
?4g4romm Uplift
Pressure; Tbe.viuximurn allowable design pressure for the 16"wide pam:l shall be
.7.5 psf.
Deck Attachment: In accordance with applicable Building,"Ode, but in no case shall it be less th.n
#8 x 2" wood screws spaced 6" o.c around the perimeter and 12" o.e. in tlh-t;
field.. In reroofing,where the deck is less than �'/32"thick(Minimum 1%2")71 to
above attaclunent method,mwi be inadd ition to existing attachment.
U,urlerlaywent, Minimum underlayment shall be an A-SIM D 226 Type 11 installed with a
ininimum 4" sjda�jap and 6" end-laps Underlayment shall be fastened wi h
corrosiim rosisTant tin-caps and 12 gaugt I V4" annular ring-shank nails, $pact d
61, o.c. at all laps and two sgaggom�d raw 3 12"o.c.in the field of the roll. Or� al y
approved undcrlayment having a cttrrcrit NOA,.
Valle),consbruction shall be in complianoewith Roofing Application Standard
RAS 133 and with Southeastern Metallv.:anufacluring Cornpany's current
published installation inslxuotioAs.
ire
Fire Burriur Board: Ariy approvocl firt barrier having a curreit NO.A., orfoxclassAorl9f -rating.
insTall Trdnimurn 1/,)"thick Georgia Facifi,, "Dens Dccle'(with current NOA)or
mirdmum.4=n thick of Tritex,RoCkRo(f(with current NOA)or%"water
resitaint type X'gypsum sheathing with treated corc and f4okz
Metal klavels and
Accessories: Install tho ,,EM_Loj,Panels" aild zcees,,ories in complLince with Southeastern
Metal Manufacturing Company's curren-,published,installation instructions an(
details. Flz5birig,penetTations,valli6.y coastruction and other details shall be
constructed in compliaxice with the minimurn requirements provided inRoo�n�l
Applioatioxi Standards RAS 133.
IISF.M-Lok Paneli" sh�ll be installed through the prefabricated panol sI)t
optnirigs with a mininium 0-10 pancakc'vood scrt-vvs of sufficient length(but r-I)t
less t1jaIL I") to penetmte- througl� the '�116htlllng a Minim= OV/16 Of Un in(4-
Fasteners shall be spaced a jTr&-,,nrXjurn of 7"ox.
NOA No.:03-071-3-19
Expiration Date.04103/:Is
Approval Date:04/03P 6
4
A-ldins ISVOOV3S EZZ0618V06 96:0Z VOOZ/GT/OT
SYSTEM LISUTAnONS
I Increased ddsip prossures for at perimeter and coiner areas,:u compliance with applic2ble building
code rray bc met through rational analys;*�by inc:reasing thr�vumber of attachmcnt points in ft�s
arcas. The maximurn fastentr spacing noted in the"Sy6timu Descripti.on"soction of this appronl
shall not be exj�et;dvd.All rational analysis comptitation shall be prepared,signed and sealttd by a
Florida R(-.gJjqtr-rc-d Professional Engineer,Registercd Archite,.t,or Registerud Roof Consultatt.
2. Panel shall be roll forav-d in oontinuous lengths f�om eave to ridge.Maximum lengths.shall be
desciibed in the Roofing Applicati on Protocol RAS 13 3.
3. All panels shall be penmanently labolodwith the manufacture:'s name arid/or logo,=d the following
statement; "Miarrii-Dade County Product Control Approved.
ftopmx DPA,WrNG:i'
16"
5 11132*1 5 IM211 3/411
"SEM-Loi�',�NAi�,Loji�S'I'ANI)ING SEAM"AIETALRooFPANvjs
E�Np OF'fBIS ACGEPTANCE
NOA No.:05-0213-t 9
Fxplratian DaTt; 04103A 8
ApprorAl Date.-0-1/03103
ftge 4 at 4
SO/VO 3DVd Aiddns iSVOOV3S EZZOGTBVOG 96:OZ POOZ/GT/01
r
kx
&_7tt_h_,P�L7S_t_qr1, e1r, r 1C.
7
r1i'd v stry,Did ve - p.o.BoX 26347
$Q;w Group,Iric,
Apocton Supoy Ciz.,Inc. (90-1) 7;7-4200 (800)874-0333
USP LvffZ4r ConneClors
�'IPOME-f GU8rd BUR01V Products
DOT Klqtp:Pe�,<jijcts
Mar'Ufacture:rs Recommerlded Fasten'inE,
Fbr buli'din ILI]
roof hs�'qht 7/12 pitch
JRaSed ot)A,030t 7-98 (exposure 0)
SEM - L01< Met,-,�j Roofing Pariel
_MLrr-_RNATF FAS ___T0____7
VAR UiiWj Zizebt:Ut;
IFIND—SREE0 RIR�fo—N—
ROOF FASTENER FASTENER P'LACEWN'r j20_130?AP__ 140-1 GmPH
ZONE TYPE SiZE TO TA11M
I TRIM 00. Ttvm
ZONE D SPC,.�G' ARW; SPA,�,,�. AREAS SFAr*-1?Ja ARF-AS
I SCREW e-40 x 1" WOOD 261, 14" 21 14" 14" 7"
_ __ --- _ ___ I -
414 x 718" >IS GA 23** 14, 211, 14' 7"
AIRTAL tlz
SCRC
14"
ZONES WOOD
IM
P"
A' j
2 Z,3 SCRzW 010 XV, WOOD 14" 7"
7'
hIETAI- 112 x 1" .4-13 aA
ScRt:V1 #14 x 719. 1,18 CA 14" 7-1 7" 71. 7'
Zone 2-
a
"F
Z7 �-R�
......... . . . . .. . . . . . .. .. . . . . . .
Eave
Zone 3
Note: Dimension (a) is da-fined ab- 10% Of the minlri'iUrri-Width Oil
ilia building or 40'el, of the meall height of the roof, %,vh1chever i�
smaller, however, (o) cannot bo les6 than either 40,,'0 of-the
rnininioni width of the building or Z� feet.
e [7-Ito f ncj_��
90/90 39Vd Aiddns iSVOOV3S E2'Z0GT8V06 96:OZ t100Z/61/0T
10/21/2004 02):1 G GIBRALTAR SOUTHEt4STERN METALS 4 91991482965412PP0555 NO.0?5 Dool
i-G]IBR-ALTAR S
00WRUCTION 'Southgavterg Wils M an
PRODUCTS _ALk - dU_ri11.g_CzJnc.
IISOlIxidustryDi-!*ve-P.O.Box26347
S0416wern rAws manufacturiN Jacksonvitleo F19rida 32218
W,V Group,foe. (904)757-4200 (80)874-0335
AXIelan Supply Co.,Inc,
USP Lumbef Connectors
Woatwr Guard SWIdng ftdums
DOT Wal PfodurAs A P P Pt q v e o
CITY OF ATLANTIC BEACH
13UILDING OFFICE
OCT 2 L, 20h
Gibraltar-SEMCO
Florida Building Code Acceptance
72ds is to advise; that Southeastem Metals Manufacturbig Co. Inc. pTaduces metal
roofLug =d t6m, flashing, and ventilation, building compa=atS, that are in compliatice
with the Florida Building Code 2001. These pxoducts are prAuced irdlizing raw material
as specified in table's 15073).9.2 and 1508.43. of the co.de.
'11c pioducts are manufkturiA fiom shcot xiietal cither ot
1, Galvanizvdsteel, .019(26 gauge),in.accordance with A�TM A 653 0-90 zinc coated,
2, Pre painted steol, ,019 (26 gaage),in=cordmcdwithASTMA 755,
3. AJ=iinwn, 024 in accordance with ASIM B209.
Rwof Edge, and Eave Drip flashing component,;, xquire prescriptive product
profile sizc specifications that require a 2" xaii- roof fl,,;Mge, aud,also a 1-14"
rain. faw dimension. The code ft-ther requircos, a cleated fare prod=for all
vertical taims greater than, 3"' 'for aluminum, or greatier than 4" for steel
components.
Angle, mid step ilashing componexits, requirv, a 4" x 5" rain. flange
dimcusion.
Roll valley requixes d 15" min. width dimeasion tmd a 16" wia. 'Adft
dixuension.for pre-formed valley products.
SpQcifics relating to application on your particular job shot Id be discussed either with a
building code official or Soutbeastern Metals teclInical serlices,
TO/10 39Vd A-Iddns iSVODV3S EZZ0618VOG 6,7:60
Cc:
CITY OF ATLANTIC BEACH D. Ford
i�ns
BUILDING ZONING DEPARTMENT
S. Doerr
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application a4- 29r7s
PropertyAddress: . 51+J+ FLA-ZA
Applicant: D QUIN)f
Project: M
This permit application has been:
F
Approved
Reviewed and the following items ne-
wl
7M
VVow't"q
Please re-submit your application when these items have been completed.
Reviewed By: Date: Jo LZ I loc-(
CITY OF ATLANTIC BEACH
SS PERMIT CALCULATION SHEET
,nit Date:- J6
Address
Heated Square Footage @ $ persqft=
Garage Shed @ $ per sq ft= $
Carport Porch @ $ per sq ft= $
Deck @$ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION: $
$
Total Valuation ist $ 16b6
$
Remam* m' g Value per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $
ZONING: + V2 Filing Fee $ 2- 0
FLOOD ZONE: ) Fireplaces@ $35.00 $
IMPERVIOUS SURFACE:
BUILDING PERMIT FEE $ ile 0
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT$
SEWER TAP $
C ( ) RADON HRS .005 0 $
SECTION H PAVING ( ) $
CROSS CONNECTION $
ST( ) SURCHARGE $
OTHER $
GRAND TOTAL DUE: $ L/
1/13/03
OCT 2 0* 2004
IM I A M I-ML)AIDE
MLAMI-DADE COUNW, -LQRIDA
KETRO-DADE FLAGLER t U11-DINr,
D VILDING CODI��.O-IPLIANCE Or,F IQE(gCQP) 140,W-EST nAGLER STREET,SI ITE 1603
PRODUCT CONTROL DIV1810N By
hAANU,FL0=A3- 13(H563
(305)37S-2901 FAX(305�375-2908-
NOTICE OF ACCErUANCF-� (NOA)
Southeasterzi INIetals Manufacturing CorporAtion
I 1801 Industr-y Drive
Jacksonville,FL 32218
This NOA is being issued under use of construction rnat,:nals.
The documentation wabrnitted ho ]ontrol.Division�md ac(epted
by the 33oard of Aulezb ;md Appe,� other areas whcrc:alloy�ed by
the Autliority Having Jurisdictio:
This NOA shall not be valid afte. e Counry Prt)duct Contr)f
Division(In Miami D;�tde Courit� L County)resvrve the rjg�'a to
havt�thi�product or =tarial test --, :5
the necepted manner, the manuA �r matcrial fails to perfoi-n in
revo.ke, o AkIJ may immediateb
modify,or su-spend the u ion. 130RA reserves th.:right
to revuke this acceptance, if it is ol Division that this pro,lact or
mat erial fails to moet the requirej
"niis producg is 4pprovcd as de.5ci i the HighVclo<;ity H&-icaae
Zone of the Florida Building Qo�
DF,SCRJP'fI0N: SEIVI-Lok SM:
LA)31CLING- Each unit sha)lbear a permanent label with the nianuIcturer'sname or logo,city, state and
following statement: "MNtrni-I)ade County Prodoot Conrrol Approyod",utl&ss otbr�rwise noted h,=tin.
RENEWAL of this NOA shall bi-,r-onsidcred aftcr a renewal applicition hasbeen filed and there has been io
change in the applicable building code negativoly affvctlng*x;peifb=ance of thfs product
TE TUYUNATION of this NOA will occurafur tho expiration date c r if there:has been a revision or change in the
materials,use,and/or manufacture of the product or process, Misuse of this'NOA as aTi endorsetnent of any
PTO(ftlCt,fOr SaleS, advertising or any other purposes 51xallautomatic,-Ily Terminate tl-�s X0A.Failure to com.)Iy
with any section of this NOA�hullbe cause for tonni-nation'and rmn.)r4l of NOA.
AJ)V-CRTI8ET%(MNT: The ROA riuviber precededby the -words Kumi-Dade COUAV, Florida, and follo ved b�
the expiration datt may be displayed ia advertising literature. If an) portion of the NOA is displayed,them it shall
be done in its tntiray.
INSPEC11ON:A copy of tbis entire NOAshall be provided to the iser by th4 xnaviufact-ofer or its distjibu:ors
and sball bc:available for inspection at the job site at the mquest of tlie Building Official.
This NQA consists of pages I through 9.
The subm,,tted documentzitioiiwas reviewed by Frank Zuloaga,RRC
NOA No.:03-0213..19
Expiradou Date: 04103PS
Approval Date- 04/03/:0
4
-11—T—nr nc- -n7 4,Mn7Ir-Tir;IT
ROOMTqd§%STE,Al APPIZCVVAL;
CategeL Pwofing,
Metal,Panels(Non-SMctura)
Steel
Deck Typ—e! Wood
Maxi Design Pressure -57.5 psf
TiuDENANas 07ftaDUCTSMAINUFACTURED O:R)LABF-ILFJD IBYAXPLICANT6,
Test Product
Product Dimtnsions specifications Description
"SEM-Lok Snap-Lok 1 -vanous TAS 110 Corrosion r,�sistant,galvanized,
Standing SeaTn" w-;--- 16" & preformad, standing seam, coated,
m1n.0,0217"thick TAS 125 prefinibhca,metal pawls.
Trim Pioe=s I=varies TAS 110 Standard flashing and tim piece s.
w=varies Manufactured for each panol)vidtfi-
inin, 0,0217"thial<
E%rWVNCE SUBIMM,D
Test Agency Test Identiller Test Natue/Repork Date
Hurricane Test Laboratories,lzm 0041-0703-98 UL-580 test 07/10/98
TAS 125
Calotex Corporation Teming 520504 TAS 100 12/21/99
sa-viccs
NOA No,;03-0213-t 9
ExplrsLtion Date:04/03AS
ApprayAl)bata-04103/t 3
ragt 2 W 4.
A:PmovE -Assrwma s
"Stin-Lok Snap-Lok Standing Sewn"26 ga.Metal Panels
Deck Type: Wood,Non-in.,mlated
Deck Description: 19/3z" or greater plywood or wood plank.
Slope)Ra�uge. 2":12" or greater
MRximum uplift
Pressure; Tbe ataximum allowable design pressure for the 16"wide parAA Sball be
7-5 psf.
Deck Attachment- In accordance witli applicable Building Code, but in no case shall itbt less flit n
#8 x 2" wood screws spaced 6" 0-c around the perimeter and 12" o.c. in vh.i�
field.. In reroofing,wbere the deck is leis than �9/32" thick(Minimum 1%2")T�e
above attaclunent method-mus,ibt in addition to existing attacbment.
Uuderlayment, Minimum underlayment shall be an A..STM D 226 Type H installed with a
minimum 4" sid&lap and 6" end-laps Underlayment shall be fastened Vvi h
corroaioi� ro!�isratit tiii-caps and 12 gaugt I Vi" annular ring-shank nails, spact d
6" o.c. at all 13ps and%--o staZgec�d row312"o.c. in the field of the r6il. Or, ai y
,approved undtrlayrrienthaving a currcrit NOA.
Valleys: VZey coustruction shall be in complian,;e with Roofing Application Standard
RAS 133 and with Southeztstc�rr)Metal&:anufac-hzing Company's currout
published installation instructions,
Fire Barrier Board: Any approv�-,d fire barrier having a curreit NOA, Or-for class A or 13 fire rating
insTall rrdnimurn 1/,"thick Georgia Pacif,"Dens DecV(with curient NOA)or
rr�xiimum 4mrn thick of Tritcx,RockRoc.f(with current NOA)or 51s"water
rcsi�i tant-type X Lypsum sheathing with treated core and f4ctr-
Metal P;uxels and
Accessories: Install tho "SSEM-Lok Panels" and Acces,,iories in compliance with Southeastern
Metal'Manufacturing Company's curren,published installation instructions anc
details. Flashing,penetrations, vallity construction and other details shall be
constructe�in compliance with the niiiiii nurn requirements provided inRoohn�,
Applioatioxi Standards RAS 133,
"SI�U-Lok Farieli" shall be instrdled through ibe prefabxicated panol sl)t
operzings with a minimum 9-10 pancalcr,wood screws of sufficient length(but in.)t
less th= I") to penctrzte througt the .h6athing a rnhiizurn of?/16 of an ine�L
Fastcners shall be spaced a maximum of 7" o.c.
NOA No..,03-0213-19
Expiration Date-,QVQ31:18
Approval Date:04/031,0
]p:lgc 3 o� 4
SYSTEMIMA,IIONS
1� 11-1creased ddslga prcssures for at perinieter a-rid corner areas,;�x compliance witti applicable building
code-rraiy bc met through rational analysis by increasing tht tuniber of attachment points in dAs
arcas. The nia-ximurn fastentr t5pbuing rioted in the "Syaw-rris Descripti*on"soction of this approval
sh"not be ex,cetdod.All rational analysis compuution sball be preparitd,zigned and sealt�d bya
Florida R,:�gi�-Vtcrcd Frokssional Engineer,PtgistcrcdAxchite,;t,or Registemd Roof Consultwjat,
2. Panel shall be roll forme-d-ixi oontinuous lengths f�om eavato ridge.Maximum lengths,shall be
described-in the Roofing Application Protocol RAS 133.
3. All panels shall be pern-ianently labol-5d with the manufacture:'s narne and/or logo,aud the followiq
statement.; `.Miarr&Dadt� County Product Control Approved.
16"
5 IIJ3211 314"
;,ISEM-Lox,�,SNAiLoxS'I'ANDING SEAM" )IETALRooFPANvis
EN� D OF'I'BJS ACC)EPTANCE
NOA No.:03-02 13-L 9
04/03/�8
Appro)-al Date. 04/03/�13
page 4 ot 4
A9
P77PFnTRt?AG 9E:oz VOOZ/GT/01
M
lip 5 grit Al�ta L
all, 'g—cz..LLL.
MA 1.1801 Industry Drive - JP,0.Bo.,y 26347
r-lorlds '12216
$C;v ramup,Ina. (90-1) 7-57-4200 (800)814-0333
Appleton Supp').0Q.,Inc.
USP Lurnb4r Connectors
Weather Guard WwildinQ Products
DOT klgta:Pczducts
MartUNC tUrers Recommended Fzsten'ln��i schecjule
Fbr baildings V.'"` -< 40' nlean rooF f1clIght- 31-12 �, 7/-'2 pitch
2ased or) ASCL 7-98 (exposure C)
SEM - LOK Metal Roofing Pariel
;CCr—r--rNATF- FASTEMMS SCHEDU LE AA1OU�,-W—flRZj8PfEE0S
NIN SRXED-RIEGION
ROOF FASTENER FASTENER PLAC5NUzNT -100- 0 M�;)j (120--130?AFH 140 150 r,1PH
ZONE TYPE 817-E TO 0�0. TRIM —0 C. -rr'UM
I I SPAChNG AREAS SPACING ARVIS SFAa' *l--j ARUA$
ZONE WOOD I -
I SCREW 41'�x 1" WOOD lea" 14 14, 7"
14"
NIRTAL t1z X T' 16 GA
23- I't 21" 14" 14" 7"
i�14 X 718" >IS GA
ZONES WOOD
2&3 S CRFEW 410 X V WOOD 14" 7" 7" 7" 7.
h1ETAI- 012 x 1" .1 a C�A
SCRV"-.Vl 14" 71, 7" ya V. 7-
#14 x 7JB" 18 GA
zone 2
a .
y a
.... ...........1.- I
F
Fj d
......... ... . . .
-------- --- . .... .
—Gable
.. .. . ... ...
.. .. ........ Z
Eave
Zone 3
Note� Dimension (a) is defiried ias 1()% of the minilTiLlr5i'width 0!
ilia bulilding or 40'/,, of the rneatj heioht of the 1-00f, %rvhichever i� 0
smaller, howdver, (o) cannot be iess than ��ither 49140 o!'the
l-nininwi width of the bi.jilding or S feGt-
qP:P7 bPA7/rT/nT
TLAZA oe4 175
eet-d lo
e-46P
6 QIS
LO
CP
-he
bP -34
sc,
o n4+0
'wen
�-�w
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00029160 Date 10/21/04
Property Address . . . . . . 544 PLAZA
Tenant nbr, name . . . . . . CHANGE EXTERIOR OF HOUSE
Application description . . . SIDING
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2800
Owner Contractor
---------- ------ -------- ---- --- -----------------
QUINIF, DEBRA OWNER
544 PLAZA
ATLANTIC 13EACH FL 32233 ATLANTIC. BEACH FL 32233
(904) 241-2103
----- ------------ ------------------------ -----------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 45 . 00 Plan Check Fee 22 . SO
Issue Date . . . . Valuation . . . . 2800
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 45 . 00 45 . 00 . 00 . 00
Plan Check Total 22 . 50 22 . 50 . 00 . 00
Grand Total 67 . 50 67 . 50 . 00 . 00
PERMIT WPROVED ONLY IN A WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDIPZES.
o6. C I OQ
BUILDING OFFICIAL
W,
CITY OF ATLANTIC BEACH
SIDING PERMIT APPLICATION
Date: _1/
Job Address:c,�(*A Plan .1.0
Owner of Property: kkn q
Address: L� k)- qw- Telephone:
Legal Description: Block Number: Lot Number: Zoning District:
Siding Get* or:
Fax:
Describe proposed use and work to be done: * A Ck Abe ha 6E,
Present use of land or building(s):
Valuation of proposed construction:'Zipom nc�
Is approval of Homeowner's Association or other private entity required? if yes, please submit with this
application.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriat
Incomplete applications may result in delay in issuance of permit.
Step 1. Attach detafled information on product to be used.
Step 2. Attach details concerning attachment of product,i.e.,fasteners,etc.
I hereby certify that all information provided with this application is correct.
Signature of Owner: 4LA Date:
(9,S-10 —1 sy-
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
g6verning of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
'Siplat WrrfC_""tf�- -Date:
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Page I Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Revised 1/17/03
Address and contact information of person to receive all correspondence regarding this application (please print).
Name:Dab(a (N I Z
Mailing Address:C:-,L1Lj I
E-Mail:cnuio,�-j
Telephone
AS TO OWNER:
Sworn to and subscribed before me this. day of 20
State of Florida,County of Duval
Dotary's Signature:
YVONNIE M.CALVERLEY
P
MY COMMISSION#DD 342192
EXPIRES:My 29,2008 P rsonally kn
B740 Thm NOWY PW*Wftw*m Produced ide fication
f ti n
Type of iden ification produced
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's Signature:
F1 Personally known
Ej Produced identification
Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Page 2 Telephone: (904)247-5800 -Fax: (904)247-5845 -hftp://www.ei.atiantic-beach.fl.us Revised 1/17/03
17� CITY OF ATLANTICBEACH
OWNER/BUILDER AFFIDAVIT
Date:10-c-)O-c�)W4
Job Address:S—M'
CHAPTER 489,FLORIDA STATUTES,PART I "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 TIES EXEMPTION. YOU MAY NOT HIRE
AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO
TEE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONS1131LITY TO MAKE SURE THAT
PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL
LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A
BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY
PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE
UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN
PROGRESS BY UNLICENSED TRADES PEOPLE." TEIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS.
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. 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.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING
SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSF' 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.
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.
YVONNE M.CALVERLU
MY COMMISSION#DO 342192
EXPIRES:My 29,2008 PROPERTY OVNER/BUILDER u
Bwded Thm Nowy PL9*Lkwerwom
_ _ ;_—I
SWORN TO AND SUBSCRIBED BEFORE ME THIS c;�0'4DAY OF eP— 20 OV
/-�TARY PUBLIC
NOTE: PHRASES UNDERLINED ABOVE. v Y COMMISSION EXPIRES/
Cc:
CITY OF ATLANTIC BEACH D. Ford
CC HigginRsD
BUILDING / ZONING DEPARTMENT
'T—ffo—err
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
cc)R (904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application # 04- 20160
Property Address: 544 PLA -ZA
Applicant: OulyilF
Project: (SIDING-) CMNQ2� MOIR Of MkAt
rmil application has been:
Approved
"iew d the following items need attention:
Lw
.cd�dthe i
6P e-5 C'0- C 4*—
UQC--O,. , �
z
Zz
Please re-submit your application when these items have been completed.
Reviewed By: Date:
aq 191
OF
3X6 '34: 6: W---------- WES NOTES ----------
3x5 34 8 ZBSs 2X4 #3 HEM-fIR, rIR-L"CZ. OR A�;
5 , I
E3X4 liff 80 50. FINE. =j C= ��STRNORRO��
C=
e
'HOLMES LUMBER COMPANY 41LIP I �E=
C= C=
C=
6550 PDOSEVELT BLVD. C=
c:3 X<�TRUSS
Sin eT
Fd3OUT'L- 1ACCOPIVILL& FLORIDA 32210 . ALPINE ENGINEERED PRODUCTStINC.
5xs 34' V
5x4 14, 0" P.D. BOX 2225
1 - POMPANO BERCHIFLORIOR 33061
5X5 34, 6" LOCATE top CHORD orr-PAxzL SPLICE - 305-781-3333
5X4 34' 0" WITHIN 6" Or PANEL 1/4-POINT. DESIGN CRITERIA TPI
4X4 30, s" TC LIVZ LOAD w 30.0 PSr
1.5X4 34' 6: DASHES SHOW TO DEAD LOAD a 7.8 PSr
34, a DIRECT
1.5X3 I I ION or SC DEAD LOAD a 10.0 PSF
IX3 30, a" ELONGATED TOTAL a 47.0 PSF
HOLES IN DUR. FACTOR 1.33
PLATES ON TYPICAL CONTINUOUS IZOINTS SPACING 24.00 OC
SO. OVERALL SPANS
PINE 2XII TC 2X4 SC
55 DER RD 34' 6" 346 d'
55 DEN 23* 8" 341 6"
4 EQ. TC PANELS SS KD 331 iff" 341 6%
f I EQ. SC PANELS SS 32' 8" 341 V
MEASURED FROM
3XG 34: 6 INSIDE SCARFS 01 DEN IV 33' 4* 34' V
2X8 34 2: #1 DEN 32* 6' 34, 6%
2x7 38 Z" #1 KD 31* 15* 34' V
2XG 25 8" #1 3jff@ 9m 340 60
IMIN BRG SPAN
71 #2 DEN RD 31' 40 340 60
#2 DEN 30, 2* 34, 60
SXG 341 6" 34, 6" #2 RD 290 a" 33: 3:
5X4 38, 0" 9271 9" , 31 3
3X6 341 6" LORDING SPRUNG
3X5 341 8" 0 $
3X4 301 8" 47.0/1 .33 24.0
J_w 34* G" MAX
PLATE TYK--RLPINE 2X4/2Xq PITCH
ES SPECIFICRTIONS FOR LUMER RW T'RUSSES REWIRE EXTREM CRRE 114 HONOLING,
GENERRL NOTES UNLINES WC &CIORS AN FOLLOWED FWD THE WFMING L 41,
ONNE ERECTION " BRXING. SEE '20-16' 43VTS ri 4.0/12
WITH I
INUSUS BUILT IN GONFORMCE -QURLITY CONTROL AFNUHL' BY &tPI, MIXING HDM =SES'- CarlIENTRAY PJC RELZiMIERMILONS -
THERE SHALL BE NO VARRPATIES OF THIS OESIGN, E)PRESS OR IMPLIED. *TPI). SEE THIS DESIGN FOR ADOITIONRL SPECIAL BRRCING CIJMPICA J
RLPINE CONNECTOR$FRE FWAFACTURE0 FROM 20 MjGE GALVRNIZEO STEEL REOUIREPENIS. UWESS OTHERWISE SH0^, TOP CKGRO SidLL ha bit SPANS TO 349 13* I
UNLESS OTHERWISE SHOWN. raTING REQUIREMENTS OF FIST"FA% GN74E 0. BE LATERRLLV BRACED WITH PROPERLY ATTACHED PLYWOM STATC
APPLY CONNECTORS 10 BOTH FFICES 81 EKH JOINT AM LOCKE R6 SHIAM SHEATHING, BOT10"-HCRO WIT14 RIGIO CEILD&OR BRKINr.
BERRING VIDIHS Off iv kcntmiL UNLESS OTHERWISE SHOWN. OESIGN All 11MIMIn OF 10 ;EEY 0. C. DO NOT USE THIS DESIGN =0A CopW$jIGHT 1979 4860443
siftow" CONFOW it I"APPL I -C PMISIONS OF dNDS-P? AND 01PI-M I WITH FIK REIRMANT TKRTM LUOMER. Argo a -
*--TPI - TRUSS PLATE fk%rt,UTE, NOS- NR71ONK DESIGN SPECIFICRTION FOR WOOD CONSTRUCTION 3/22/79 DRAW# A424.043
- �, �' --j nu-cVf1k, �- vvv�'PT91M Airtm"- 4711 li-la# 7+ia- 24
6" Less Over 6" to 11211 Over 1 1 211 to 1 169t Over 116fl to Itiolf
Use 2x 2X8 x or Toenail 3x10 r
Common 3x8 Ix4 or Toenail
x6
3x 8- --
8 Lx4
v er 116 t
3 10
0 10"
1x4 or To ena
Truss 3x9 3x9
U
2x4 i 2x6
2X8
L '0" 1 4 1
d I 2x8 1 .1
Wedge 11 121f 21011 Wedge g f 10" Off
2 f Off f 10"
$aft 0 Wedge - ------ 2
Max. Max. Max. Max. Max. Max.
Over L/6 to L/4 Over 111011 to L/6
This Dwg. to be used in conjunction 5xiO(Splice ) —Add -1x4 Cont- Lateral
with Dvg. #AI0310. See #A10310 for Br�cing if *ueb over
5x4 Lumber and Plates not shown. 3x1O 12 -14 412"
-2x4 Same grade
12 as Bot. Chord
4 Tx8 W/Splice 3x4
5x8 \-17
12 3x5 i 3x8 Over
1 1 110f,
12 12 2fOfl
3x4 Iso fn I.& Max.
NOTE: Where 21011 max, Rake
Overhang is permitted, up to
L.J
4'0" Overhang with level
3x5 5x5 3x5 return is also permitted
Over L/6 2 'Olt provided the level return is
solid butted against. the
L 33'0" Max. to L/4 ' Max, wall or -equal.
ALWA16.10"oelor rt 20 gage 8.1......4 t*o! ad boll I.. zi-d 1. b.th t.— �' tr.99 .1 ...h r.B RwB Chkd.By----R�M---1
b. 1:.%
."atoo "it 00 *ft.", Jb., or t"st.4 by t,FtI*. (a) or V.Isra.ea
as poreatled. CtIrTING-sad-FaBstchlING - "eat sells V.11 Proo" 0A lug
joist*s,"'ToX. 2EML --se :.to 0.
be seed, Pom.tlieS as ss.r.sse to
Pre-toboas of op Mp
":16t4osel Deals* 5P.C.ra.as'" ro. II.X lo..804. W! ;;W T,!
Doo-ga&-el ats"s to* L,Cbt %tal Plato C.saoltod Wood
te.8 0
I
I.",X&4 sed 4—a—S4 A�r;.g or—t—, %�d b. :4,..
Pllt&%t0a$. boll V=
tl� ,
_P
A-tt be
PPI a d
T Ussa ......
zw
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN TH FOLLOWING,
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH T14E ATTACHED PLANS AND'SPECIFICAATIO
WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, ES AND CITY
ATLANTIC BEACH ORDINANCES.
ALLSTATE ELECTRICAL CONTRACMRS, INP- jl�' dew�1-ge
ELJCTRICAL FIR11: JOURNgM
N&M ELLaRIC#AN S19NATURF-
NAME Al/-,e ADDRESS: RFQ-BOX
SLOG.SIZE -SEMEN:
RES. APT.( COMM.( PUBLIC( INDUS. NEW AM OLD REW. I
Q
ADDITION( TRAILER ( TEMP.( SIGNS I I SO.FT.
SERVICE: NEW Od INCREASE REPAIR FEE
22tLD�UCTOR SIZE_ AMPS,,,'�Q COPPER I ALUM.VC)
SWITCH OR BREAKER PH -'5Ar& .8-A9EWAY
-.2 A VOLT
EXIST.SERV.SIZE iAWS PH , w VOLT RACEWAY
SIZE,
10 11 0'w
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
1 0.30 ps, $I-looAmps.
SWITCHES
INCANDESCENT 13 A 3
FLUORESCENT&M.V.
0.100 AMPS. OVER
APPLIANCRS BELL'TRANSF.,
AIR, H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL 04LAT: KW-14EAT
0-1 OVER
MOTORS H.P. VOLTAGE PH$, No. 1 N-P- VOLTAGE PHS
RRIMLIRE"Ous
TRANSFORMERS: UNDER 600 V, OVER 600 V.
NO. KVA NO. l'KVA,
NO.NEON TRANSF. 0.- -Ivlk. MA. MOTOR SIZE- SWfC-H FLASHE
EACH SIGN
� FORWARDED
$
TOTAL FEES
CITY OF
4&404.0
office of Building Official
REQUEST FOR INSPECTION
Date z Permit No.
Time District No.
Received
Job Address oc 11
Owner's
Name 1,4 Contractor
BUIJ61jid PLASTERING ELECTRICAL PLUMBING HEATING
Foundation ....0 wire ..I....I...0 Rough Wiring ..C3 Rough ......—0 Rough ........El
Chimney ......0 Lath ..........E] Finish Wiring ..El Final .........D Final .........C1
Framing .......0 Scratch ....—0 Fixtures S ........[1 Water Heater
Final ..........C) Brown ........0 Motors Gew5va.........
0
Footing .......ED Finish ......—E] Temp-Pole ..... es ......C]
e
Slab ..........(3 Wallboard Final Inspection.VTopspuotol .......Cl
0
Lintel Beam ...0 Water .........El
FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. Fri. P.M.
A.M,
Inspection Made C�-- P.M.
Inspector
CITY OF ATLANTIC BEACH FLORIDA
INSPECTIONS
-4/,2 7ep
ELECTRICAL PERMIT NO.#
BUILDING PERMIT NO.0 17 ",
PLUMBING PERMIT NO.0
JOB ADDRESS
CONTRACTOR
OWNER
DATE RE14ARKS INSPECTOR
FOUNDAT10N
FOOTING 2,
SLAB
PLUMBING
TOP—OUT
S EVIER
TEMP—POLE
ELECTRICAL (R)
ELECTRICAL (F)
FRAMING
PLUMBING (F)
LINTEL/BEAM
COLUMN
STEEL
SHOOT GRADES
LOT CLEARING
OTHER
FINAL INSPECTIONS
DEPARTMENT OF BUILDING PERMIT NO. 4979
CITY OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date MARCH 25 19 82
Valuation$1!TJ=1XQ PRRMTT Fee$ 9.00
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 DON HARRIS PLUMBING CONPANY
PL 0. BOX 14468, JACKSONVILLE, FLORIDA
has permission to build INSTAT.I. NEW PID411THr. AR PER PT.ANq S1rRMTrMD_
Classification SINGLE FAMLY —Zone RA
Owned by THE NEW MET C011FANY
Lot 3 Block 1 S/D SEA SPRAY
House No. 5/44 PT.A7A DRT31E
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 No 0 Building material,rubjbishbriy
t
_zq from this work must not b I
m s
1)
in public s A and m t be
up and ha=3�way b�V ei
1�a OOCAC
0
0 3/25/8
Building Offici
FOR OFFICE PERMIT DATE XONTRACTOR
USEONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
CITY UF ATLANTIC BEACH
APEUQAT I W FOR---PJWADLNQ-,PIl%AJ-I
DATE
LOCATI ONI- 3 A-
PI-11-131 NG FI
MASTLR PLUI-nER
Cl TY/CO(JNT-Y OCCUPATI ONAL LI CENSE NO. Q 0 00
STATE CERTIFICATE NO.--
BUI LDER OR CONTRACTOR— f� PL Bo P, rs m i�'s
TYPE OF BU I LD I NQ--N%r W - R;zs\bji ts-N t L
I t4Ks SHOWERS
WATER HEATERS
ti-BATH Tu9s .—DISHWAStiERS
NALS —DISPOSALS
CLOSETS —1-WASHI N`G MACHI NE
DRAINS
.A-TOTAL FIXTURE COUNT
I NSTALLATI ON OF PLLV,3I NG AND FI XTIJRES MUST BE I N ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SXrMERN STANDARD PLU?43ING CODE.
CITY OF ATI-ANTIC BEACH
WATER CONNECTION CHARGE
DATE—a
LOCATION-__G '5 �Li-4
OWNER- fA R
PLUMBING FIRM
MASTER PLMiBER bow tio (gR" 's
BUILDER OR CONTRACTOR
TYPE OF BUILDING
BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC 2 UNITS)
WATER CLOSET,LAVATORY AND BATH
TUB OR SHOWER STALL.(6UNITS) SHOWERS GROUP PER HEAD 3 UNITS)
BATHTUB ( WITH OR WITHOUT OVER SURGEONS SINK 3 UNITS)
HEAD SHOWER) (2 UNITS)
FLUSHING RIM SINK ( 8 UNITS
BIDET (3 UNITS)
SERVICE SINK TRAP STAND ( 3 UNITS
COIKBINATION SINK AND TRAY ( 3 UNITS)
POT,SCULLERY SINK ( 4 UNITS
COMBINATION SINK AND TRAY W/FOOD DIS.
4 Units) URINAL, PEDESTAL,SYPHON JET
BLOWOUT. ( 8 U.NITS
DENTAL UNIT OR CUSPIDOR ( I UNIT)
URINAL, WALLL LIP ( 4 UNITS)
DENTAL LAVATORY ( 1 UNIT)
URINAL STALL, WASHOUT ( 4 UNITS)
DRINKING FOUNTAIN (!I UNIT)
URINAL TROUGH EACH 2 'SECTION
/DISHWASHER ( 2 UNITS) 2 UNITS)
FLOOR DRAINS I UNIT) WASHING MACHINE RES. ( 3 UNITS)
A— KITCHEN SINK 2 UNITS,' WASH SINK EACH SET OF FAUCETS
( 2 UNITS
KITCHEN SINK W/WASTE GRINDER
3 UNITS) WATER CLOSETS, TANK- OPERATED
4 UNITS
LAVATORY 1 UNIT
WATER CLOSETS, VALVE OPERATED
LAVATORY ,BARB FR.BEAUTY PA.RLOR 8 UNITS
2 UNITS
LAL`NDRY TRAY ( 2 U111TS
LAVATORY, SURGEONS ( 2 LTNITS)
t�kPARTIAENT OF BUILDING
4978
CITY OF ATLANTIC BEACH,FLORIDA P�RMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date MARCH 2 3 19-82-
Valuations 45,885-30 Fee$ 180-00
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..........THE..NEW MET CONPANY
1140 EDGEWOOD AVENUE, JACKSONVILLE, nORIDA
has permission to build SINGIX FAMILY H014E AS PER PLANS SUBMTTED
Classification SINGM FAMILY —Zone RA
Owned by THE NEW HET COEPANY
Lot 3 Block S/D SEA SPRAY
House No. 544 PLAZA DRIVE
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
0 Building material, rubbish and debris
_Z4 from this work must not be placed
in public space, and must be cleared
up and hauled away
tractor w-*qwner. I- If'"T I
UCKT )
4970 ' 'Buildingc#WAC ;
21;14' 1 A 34:39/z
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING 4979 3-25-82 DON HARRIS PLUMBING COVIPANY
ELECTRICAL 3393 ALLSTATE RUCTRIC COMMY
SEWER
,WATER
1 T
7k
i i ',V;
-EH T 1 T -153
per s. f
HEATED SQUARE FOOTAGE
CARAGE (PRIVAI E/SHED)
(�e per s.
CARPORT per s. $
PORCHES per s. $
DECK per s. $
'10TAL \'.A.T-UATIO , DATA. . . . . . . . . . . . . .
------------------ -
PEkMIT FEES
TOTAL VALUATION DATE 1 S t $,�9
RE'-'AINDER VALUATION thousand
TOTAL BUILDING PERMli $
PLUS 1/2 THE BUILDIN-G PEP21IT FOR PLAN FILING FEE $
TOTAL FEE DOE $
----------------------------------- -
PLU'IBING PERTMIT FEE $
WATER 'METER SIZE & FEE $
SEWER CON�NECTION: SQUARE FOOTAGE FEE $ c-,
WATER CONNECTION: FIXTURE UNITS @ $10.00 PER UNIT $
TOTAL BP & PC FEES DUE . . . . .. . . . . .$
TOTAL WATER METER CHARGE . . . . . . . .$
TOTAL WATE R CONNECTION CHARGE. . . .$
7ECTION CHARGE. . . .$
TOTAL SEINTER COYN
GRAND TOTAL DUE. . . . . . . . . ... . . . . . . . $
FOR OFFICE USE ONLI
Date------- ......................19 -----
Permit *.......................Fee $....................
CITY OF ATLANTIC BEACH Valuation $----------------------------------...................
FLORIDAHouse #-----------------------------------------------------------
................... ............................................
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 Pertnit 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.......... ................................... 57-
19_.........
Owner........ ---------------------------------- -- ------ ....Address//-//u
....... ..... ---
....................__................. ephone No ................
Architect.... ..... .............................................---------_--_------Addres&..................................___.................Telephone No.............
Contractor Builder------------------------------ -------------------------_-- ....Address....._.._.................I...... ............._-Telephone No.............. .... ..
3_ ..........-------.......Block No--------�./...................Sub Division-�..................... -----------I----------_........Zone..... ..........
Lot Xo.___;
r, to
-----------_--------- .........................Street----- .........Side Between. -------.... nd............ ............................
--------------
Valuation
............. ......For what purpose will tuilding be use d....... —---..Type of construction ......................../---
;? ',- '119cl) .4 6 '
Dimensions of Building----��_lK\-.7-�./�_Dimenslons of Lot....... ........................-Size of Footings...
Size of Piers...... -----------------Size of Sills.--------------------__......Greatest Sill Span in ft------- .........Type Roo'-QS11///1!X
.........
ill Buil(ling be on Solid or Filled Ground?.....
How will Building be Heated?...... ------------- .............W
............
Size of Ceiling Joists----------- ------................I Distance on Centers.......................................... Greatest Span-----------................................
Size of Floor Joists.... ................, Distance on Centers__. .............. Greatest Span...... --- --- ------------
Size of Rafters.----
of
------------ Distance on Centers. ..... ... ........ Greatest Span........ ..................
This rectangle is to represent the lot.
Locate the building or buildings in the
& pPR0\/ Er) right position. Give distance in feet from
%Nrji
GIT :orr�l all lot-lines and existing buildings.
Two copies of plans and specifications shall BUILDING I REAR LOT LINE
be submitted with application. uAR 2 219821-
Inspections required.
L When steel is in place and ready to pour footing.
2. When steel is in place and ready to p-lir columns an*ipr b Z Z
3. When steel is in place and ready to pour:)earn.
4. When framing is completed.
5. When rough plumbing is completed,-and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered,
.ville.
7. Electrical inspection by City,of Jacksor
& Final inspection.
Note: In case of any rejectionp re-inopection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which %re a part hereof, and in accordance with the building
regulations of the City of Atlantic Beach.
Signature of Builder................................................................................ Addreive..................................
Signature of Owner..........___....................................____........---__ Addreas...............................................
CITY OF
4&44dwo Be"4-&7ku*d6
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No. 4197zt:
Ti A
Remc:i,,.d Z 52 0 M. District No.-
Job Ad ess LocWity
Owner s
Name' �_ J,.C� Contractor
BUILDING PLASTERING ELECTRICAL F(LUMBING HEATING
Fo ndation ....0 Wire ...........0 Rough Wiring ..C] Rough ........C1 Rough ........El
ChY ney ......F Lath ..........E] Finish Wiring ..E3 Final .........0 Final .........Cl
11m
Framing .......C] Scratch .......C] Fixtures .......C] Sewers ........0 Water Heater
Final ..........0 Brown ........0 Motors ........0 Gas ..........[I
Footing ....... ih .........C] Temp-Pole .....E] Cesspool ......0
-r -out
Slab '6e***....R alsiboard .....(I Final Inspection.[] Top .......El
Lintel am ...M Water .........
READY FOR INSPECTION A.M.
�n. Tues. Th7 Fri. P.M.
V- .-wl.2- A.M.
Inspection Made PU
Inspector /T
CITY OF
Office of Building Official 1�3
REQUEST FOR INSPECTION
Date Permit No.
Time
Received— District No.
W
Job Address Locality
Owner's
Name Contractor
BUILDING PLASTERING ELECTRICAL ,,,-I.SLUMBING HEATING
Foundation ....0 Wire ...........E] Rough Wiring R.0 . ........0 Rough ........0
Chimney ...... Finish Wiring Final .........0 Final .........(j
... Scratc�.........Ej
Framing .... .......[I Fixtures Sewers ....._0 Water Heater
Fine! ..........0 Brown ........E] Motors ........ Gas ..........0
Footing .......El Finish .........0 Temp-Pole ..... Cesspool ......
Slab ..........C] Wallboard .....C) Final Inspection.[] Top-out .......
Lintel Beam ... Water .........n
READY FOR INSPECTION A.M.
Mon. Tues,.�Z,_�__ W d Thurs. Fri. P U
Inspection Made
Inspector
FofjM 900 AND gol - 123
- FLORIDA MODEL ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
GRAHAM SECTION 9 GOVERNOfft ENERGY OFFICE
LEX NESTER,DIRECTOR
GOVERNOR POINTS METHOD
PREPARED sy: BRADHAM KUHNS- DESAY CONSULTLW ENGINEERS
JURISDICTION
PROJECT NAME
A.4 4,VA 4
ND ADDREESS BUILDW PERMIT NO.
BUILDER ff 7k - ------A
TO 09 IFILLCO Wily @L94 OFFICIAL
�.�O�WNE�R - ----- iTO Of ML10 14 &V N446114m
STATISTICAL DATA
119k a C
zom co VAL
-Zvo 13
1 -96 �3
;HEATIMSYSTEM TYPE W E TE TYPE MAWR Of UNITS
ITIK
*AS OIL ZLIC. SAS I OIL ISOLAX C96 _111AW1 DUIL"allf INUCT
sTillip Pumpi
El 0
U: l 0 1 U--LLi I u
COMMON WALL$ MAXIWJM ALLOWED
*&SE
FOA x1t
X3
Fvwgw TOTAL PONT11 "ItAk" [PI
Ip a ON NlPtNINX D
CERTIFIED BY: 4� DATE elop J.EP I
;REDIT POINTS(CP) s 3N PENALTY PO S
I'm cbm Oftcgl 3
CEILING FASIS (IN COND #PACE) I rtm FAN WAS"Ell AMC DAYIN
Al
WIPARAT114 lly OPE N IN 0 Of *LASS< 40% 5
MlJLTl ZONE A/C (*f4m"Ll 0000) 5 MAX
M
OFERADLE WWOWS PC" ROOM
WWOLK HOUK VAN (1 6 cl'N/of) TOTAL
9 9
G RSCRIPTIVE MEASURES
CHECK FOR COMPLIANCE ' SECTION CHECK
HEATINS SYSTEM IFFICIf WCy $03.4
AlAIR CONDITIONING CONTROL$ 603
A/C DUCT CONSTRUCTION 603.9
A�
pt
MV14" INSMATIom sotio
WATEAH"Ttit $04.1 cl
SWIMMING POOL$ 604.2
0
----------
TOTAL $How" FLOW 499TWICTORS $04.5
IEDff IINSULATiON KMME TER WPM QWP
R 2.9 q2. 7, 16
R3 - 5-.9 6qoS
—u -
R6 & 46. 4
P ..L�
SINGLE DOUBLE
OR AREA SINGLE DOUBLE *OF OWP OR AREA CLR TIN CLR TIN SOF asp
N 1S ?, 4 120 * 8 ZY3 7, 1'46 123 120 101
TE 157, 4 120* 8 N F. 321 186 190
isl
E 15?, 4 120, 8 E 289 242 2Sl 2014
SE 15704 120 , 8 SE P-61 r---'Lq 226 11A
Z
S is?# 4 120*8 3 --- 190 160 1LO 134
2950
sw 15?* 4 12.D@8 sw -361 219 226118F
o co a .--
W 1S7* 4 120o8 2 w ?89 242 251 2UF
a– Wa
"I- lS?o4 120o8 4c mw 221 186 190 1V
04 46# 4 7qo3 m 489 408 432 36C
J
0
0
H: HORIZONTAL GLASS SKYLIGHTS FOR TINTED CLASS SL ji 0.03 SEE SEC.902.24
IOIAL GROSS WINTER POINTS TOTAL GROSS SUMMER POINTS---1
4Q;
1/ 118 5,:;t 94� t"FIBMILAS
8"flOCROLASS
P ")
"ll floill SO 1.00 DUCT colMoM 1'.00
C SM FROM TABLE 9A
CSM FROM TABLE 98
4z Z7
(DIVIDE) FLOOR AREA,(DtVtDE)
TER POINTS ZL2 SUMMER POINTS(SP)
JFORM 900 ANDI 901 - 123
ZONES - 123
CREDIT PQlNL r S PFNALTY P LJT�
WINTER POINTS SUMMER POINTSJM�l INATE P`
I/ E P I rA
FEWER TOTAL PO RE ENCOURAGE FOR MAXIMUM ENERGY SAVINGS
'--'N['.RGY DATA REQUIRLD WITH PLANS
-Te— 75j--fj7, Plans)
(Must i3e 1 ntif-i-ed On This Form
,1E DATE
P 1.
;3 ADDRESS
.Lasulation In Walls R
insulation In Ceilings R -36)
insulation For Wood Floors R
�.*cncrate Slab Edge Insulation R
Insulation Around Ducts
i�u�;ts Tn Conditioned Space
lype Heating System COP
Type Cooling System EER oV
Type Hot Water Heater
7'ype Glass In Windows and Doors :
Double Glazed Tinted
Single Glazed Tinted
-e Exterior Doors
CHECK FOR IFOLLOWINGi INFORMATION ON PLANS:
:,re the dimensions of pll windows and doors shown?_ If not,
/-Ih.
th�Ls is required either on floor plan , clovations or J'o a s ule. Al-
:_-)o iJentify any fixed glass.
is the overhang size identified on plans '.'._ If not , give
here :
- s the washer and dryer locaLion shown on floor plan?
not , draw in on floor plan. Also identify area as cdnAitioned or
;,xe there any ceilrvj fans? If so, they should be iden-
titied cn floor plans.
I:i a multi-zone A/C system to be used?-- (Operable door
niust separate systom) .
is the building oricntod an plot plan wit". compass directi Qld�_�_
if not , drZiw in on ploL plan.
i th,-,rc a whole hoki,,o fan (attic type fan with 1. 5 Cr:.M, /SF) ?
I i�Jen t i f y on f lclDr p ion.