735 Redfin Dr (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00001047 Date 8/04/08
Property Address . . . . . . 735 REDFIN DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
RE-ROOF
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
MCCUEN, HENRY A. OWNER
735 REDFIN DRIVE
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . -
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2500
Expiration Date . . 1/31/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08-
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
DDREW DER"R
0
7(?,) Aedri/VdPAtlantic Beach, FL 32233 15o
�018
7-_777--1 "CaS"FwOAR"45"T
0 NEW BUILDING 0 DEMOLITION IN RESIDENTIAL
LOT_BLOCK SUB DIVISION El ADDITION 1-3 CONVERTING USE 1:1 COMMERCIAL
CRIMP
11 ALTERATION E3 ACCESSORY BLDG.
13 REPAIR 11 OL/SPA 13 11 NIA
Q MOVE ZOOTHER A, Qj: VN OS
:.EN N E
4TRQPERTK*0WNER!','e"�- F!, ARCHUTEU!, Pi JE
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
16.NAM&,-�/Y)
LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
o'
18.AIDDRESS: 26.ADDRESS:
?
a(9s33
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: NO.:
13.CELL PHONE, 21.CELL P 29.CELL PHONE:
0 qE:
;97A� '50 a —I? (S-oa-3 S-'3in
M
14.EMAIL ADDRESS: -224 DDRESS: 30.EMAIL ADDRESS:
K
FIER,IS bi'W
RgMMER!
NIER)�
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or
abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNEFUS AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws.regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of,occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
.. .... NTRA - - -
`�,"�I-k!OWNE
R
Ar� qu M.
g 6111
il i5�
PC
(IfA we
Signed:L44�-� QeCsaiDate: 46 Signed: Date:
Before this 0"M
day of A" 2007 in the county of Before me this day of 2007 in the county of
O?uv ,State of Florida,has person4y appeared Duval,State of Florida,has personally appeared
otq ul ne b.W,*L n n I v
herin by hAself I herself and affirms that all statements ancIdeciarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of JrL County of DIAVA L Notary Public at Large,State of County of
El Personally Known IFR—M El Personally Known
?w Produced Ida q4U 11 Produced Identification-
Notary S IVA., Notary Signature:
ignatu
'1A X AWR
4 '
PA, PATRIC
G/ 70]
conmission=676811
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Approx.64 PieceslSquare(MOInO
Approx.78 Pleces6quare(English)
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Approx.312 Nails(Square(English)
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Z CITY
OF
800 SEMINOLE ROAD
ATLANTIC REACH,FLA)RMA 32233-5445
TELEPHONE(904)247-ssoo
FAX(904)247-5905
September :,15, 11-)�)j
Jacqueline P. McCuen
735 Red Fin Drive
Atlantic Beach, FL 3223�J
Dear Ms. McCuen ;
Our records indicate that you a:r-t-� tjjL� uwjjf!j (_If t1le :f(jjjowjTjq
property in the City of Atlantic Beach, Floiida :
735 Redfin Drive
Atlantic Beach, FL, 3223',1
RE170278-0000
Investigation of this property Lhat I have found
and determined that a public nui.,;ciiice L-xi.,�;U-; thereoll E-30 as to
constitute a violation of Sectior, 12-1 ol UiL, Code 01 Uic- City of
Atlantic Beach, and 'that there axe jujilt (_31E, c- resell
c)jjtijjt)uuk3j.y p t
on the property.
You are hereby notif i ed that miloE:�L; Lhe corld i tiorl above
described is remedied within thix Ly ( 30) day.-, f 1 0111 UIL' date
hereof, this cai3c- will be -LUX-ned LIVE-1 Lo Lfi(-- Code Eni orceirlE.n t
Board.
Under Florida Statute 162. 09, Hie Code ElifolcoillerlL Boald may
im'pose fines of up to $2,50. 00 per day fox, ti 1� i .-A viulation and
$500. 00 per day for a repeat viulaUoyi.
Doti G. FLIX-d
COLIE? Ell-ftly t. 01.1 j UL'I
DCF/pah
City Manager
C-
CK: FLOR11
5(7;117)f 'OF ATLANTIC'�`BEA )A
Ends I hot
v a ARMS
TAM!Ron I 1_1.�', 1,��: '' I' ll:
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0002923
DEPARTMENT OF BUILDINd"
CITY OF ATLANTIC BEACH
DRIVE
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1�onwtr. Type% woov ritAnt
Lot 3
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NOTES:
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NOTICE ALL CONCRETE FORms AND FOOTINGS MU
$T BE,1114SPECTIED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
MATERIAL, RUBBISH AND Q,EB,RfSFAQM THIS WORK MUST NOT a JE- 'PLACED IN PUBLIC SPACE,AND MUST BE
CLS�RED UP AND HAULED'AWAY BY EITHER CONTRACTOR OR OWNER.
ILURE. TO COMPLYNITH THE MECHANICS' LIEN LAW CAN RESULT IN
T E PROPERTY OWNER PAYING TWICE FOR BUIL16INGIMPROVEM r E N T%C5.1)
I'S DATE; 081
S 31/9
S D ACCORDING TO APPROVED PLANS' WHICH ARE PART OF THIS PERMIT`T* susigmereaMOCATIO
V1 N'FOR
V1 TION OF APPLICABLE PROVISIONS&LAW.
$19.0
it
RECEIPT Njor
AQ- P RTMENT'
DING D A
a
FENCE REGULATIONS
CITY OF ATLANTIC BEACH, FLORIDA
No owner , occupant or other person shall erect ,
keep or maintain in existance any fence , wall or
structure between the front property line and the
front building setback line exceeding four feet
in height . In the area between the front building
setback line and the rear property line , no fence
or wall shall exceed six feet in height. (Front
yards of corner lots are not determined by
address . The exterior lot line of the narrowest
side of the lot abutting the street is considered
the front yard. The exterior lot line of the
longest side of the lot abutting the street is
considered a side yard. )
No owner, occupant or other person shall erect,
keep or maintain in existance any fence , wall or
structure exceeding four feet in height , nor plant
keep or maintain any hedge bush or shrubbery
exceeding three feet in height upon real property
within a distance of 25 feet from the point where
the right of way of any road or street intersects
the right of way of another road or street .
APPLICATION FOR FENCE PERMIT
,Owners name--- __phone
Job address -------
Lot block and/or unit *.............subdivision--------------------
Contractor if different from owner-----------------------------------------
-----------------------------------------
Valuation of fence $ Corner or interior lot Ir
---2�ki2---------
AJ
Type construct ion�I-Lao.4Q--jus�---
Show location and height of fence as well as location of street(s).
wk-)
11�-)47
...11A
Date
'A 0
Owner signature—
Contractor signature----------------------------------Date-----------------
CITY OF-
4&4.49& BeacA-4&WJ61
Office of Building Official
REQUEST FOR INSPECTION
Date PermItNo.-
Time /--2 A�M.
Recei,ed Dlstrk�No.
-'7
J b Add Locality
Owner's
Name 31 -
Contractor
BUILDING CONCRETE ELECTRICAL �IN MECHANICAL
Framing 0 Footing 11 Rough Wiring 0 Rough El Air,Cond.& 0
Re Rooting 0 Slab El Temp Pole U, Top Out 0 Heating
Lintel 0 Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. T h Friday P.M.
4
inspection Made
Inspecto -/44
Final Inspection U� �,atZ7 C--C;PCr
Certificate of Occupancy
Date
4 :
.442
0 MT OF aumolow-
OPAWUM
'ANT110i SEA�dtf
VTY OF ATL
P2
*XXT NFOIMATImc,
CATION I
4424, AddIr4*44"
LANT1,C SEACH, FLORIDA',32233'
elrwii Tfy *J "Itie r,
000
GA -09SC)d
10 LZ L"
of Wqtk t NEW"
nst1r-,,,'T-yp4�s W.04D,FRANC, Lot I 11� -9 :sOction;
SIMOL9, A-SILY,
opos*4 Vat, A Ri4dll I
co
Ing YAL 'P, L"S
0- Subdivi
0
ifn*tipa volue.13
ap,
Total Ji
40 so
1A
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mom 0
T,
NOTICFE,�-ALL Cc��rg:F�I ANO F00TINGS MUST, "i -Re p
$IE_J st
fO
R
ff)SIX MONTHS AFTE
PAT
DING`MATERIAL,R0BBI$H AND OESAIS'FA M THIS WORK MUST NdTT 01IN"Oukit SPACE,AND MUST BE
0
RED 'P AU 4f 0 AWW�Y:Ii, t ITH" J RACTOR 014 N,
O;AN Ow,
PONT
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001
F. ABI�t �'R i�.
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AC WDING Of
T
lk
CITY OF ATIANTIC BEACH
APPLICATION FOR ROOFING PERMIT
IZ-Z IA"
BUILbING OWNER /,c) _PHONE Q2
JOB ADDRESS Z,,06) r
DI
LOT# LOCK OR UNIT SUBDIVISION
CON,rRA(7I`O ?HONE
R ZA
ADDRESS,3
1), to-44-vt IS7,1 CT,4,X
LICENSE NUMBERI-4ee ' EXPIRATION
JOB VALUATION $
MATERIALS:
S141
SIGNATURE OWNER DATE
SIGNATURE CONTRACTOR DATE
Rotice of Commencement
(PREPARE IN DUPLICATE)
To whom it rnev concern:
The undersigned hereby informs you that Improvements will be made to certain real property, and In
accordance with section 713.13 of the Florida Statutes, the following information Is stated in this NOTICE
OF COMMENCEMENT.
Desc riptiork of property ---
13
---------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------
General description of improvements -------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
Owner- ------N-LO-L-1122n----j�----I�a F--A.L-1----------------------------------------------------
Address -?SV----lk VE i-P-'- -0--?L---------&-- h 4--c�-/---------------------------------
Owner's interest in site of the improvement ------------------------------------------------------------------
Fee Simple Title holder (if other than owner) ----------------------------------------------------------------
Name ---------------------------------------------------------------------------------------------------------
Address ----------------------------------------------------------------------------------------------------------
Contractor ----------------------
8-3
Address ---------- -0,-4--- ----------------
SUreiyZif any-) ---------------------------------------------------------------------------------------------
Address -----------------------------------------------------------------Amount of bond $--------------
Name and address of any pe iaking a loan �or the construction of the improvements.
Name --------------- -- ---------------------------------------------------------------------------
s
Address ------------ - -----------------------------------------------------------------------------
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
In addition to himself, owner designates the following person to receive -a copy of the Lienoes Notice as
provided in Section 713.06 (2] [b], Florida Statutes. (Fill In at Owner's option).
Name
4693
MaNTOF BUILOINOW
L
OTYOF.AT 4NTIC6t** '
-09
PdATION XOPOOATI
on +
It" lluob4sll, 7140��m E
P-1
I INS,
ZA04, FLOO
rolt'' k
�2233
Tyl 7 OA
ADJ6 T- 160
GA: '028C IPTION
00 0' k`,:�:_ Lot's
"Ott I 010a, RHO
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4 , Code I Subdiv,***P#;�
#0 00
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On FEES
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44
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$0 O-A
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N �ktl qo� POOTINGS % PQUAING
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P 0 FTeP
T- �I*,M' NTHS A
OA 64THIS W'ORK M Q$ -N
MATEIR,IAL,RUBB'*H,ANDDE PFR T OTOE' JR PU61LIC SPACE�,AND MUST BE
��PLA -ED
'4
1,� �OtwkEo Up A 'D tr AU LED A�NAYSY E�gfMONTRACTORO' A OwNtA
L
le",tv,6,�6010 P y 'USM",AAW,:.CAkf.,RZsu
IN
TY NG',lrwic'E
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ED 14, APPROVE F ' �i� "HICH AREPART OP T"
ACCORDMIG TO W
VOCATIO4
;AL 103N,,PF LE,, -ROVI$ LAW.
A�IdAg
AT TIC$i5ACH-li�,VtLbINGP.,.PAfiTMCN,7,,
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBI�G PERMIT
JOB LOCATION: 7FO 77'
PLUMBING CONTRACTOR:
L.ICENSE NUMBER:.6r7c
OWNER: )l6leeiL�a--
BUILDING CONTRACTOR:
TYPE OF BUIL"ING:
SINKS SHOWERS
LAVATORY YATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT:. + $15.00 50
------------------------ --------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUThERN STANDARD PLUMBING CODE.
777'777"
4-A,
SUIL0
ot "tot
ING
-CITY 0 T 11
AN 6i
4
-OCATIONJNFORNATION
PERM!T,� ,A—NFORNATTOX
7�
9 *OPT, DRIVE
1 0
Pe 4
12233
FLORIDA
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0
bf kis' ADDI IPTION
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1ON
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ow *0�00
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1 A 'ic
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$0,100
WAU To
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'7
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A ;223i HYDRAULIC.
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4
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AILLC01" AST 'I" FOOTINGS
Ootfog,;� C POUAIMQ�
OERMIT VOID:SIX�MONTHS AFTE DATE:OFAS S
T
RUBBISH AND OSSA'IS- OM THIS WORK M WN.PUBL'IC SpACE,AND MUST BE '
',BY
-140i4A Lt OR
P, D ,WAY f IT,H
13EA 9 ER%CONTRACTOR 0
-,V 14 M-EC HANICS11,"LIE"W"t-AW�l AN
PLY":
Al LURE,"To 11 lb 6 kssu�
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AT N.TIC BEACH WiLaING DEPAR
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7
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CAI-L-IN—NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address: 7Y15—
LOCATION
OF Intersecting Streets: Between_ And
B Ul
UILDING
Sub-diy;sion
11. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as de�cribecl in the abcve statement we hereby agree to perform said work in accordance
with the attached plars and specifications which are a part hereof and in accordance ith the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) oc_o,-^/ a2:iq 7e- Master C-AC-9-0310
Name of I
Property Owner z4a4c�
Signature of Owner Signature of
or Authorized Agent Architect or Engineer
Fllrlt�- I
Ill. GENERAL IN. RM N
A, Type of heating fuel: B. J�'
IS OTHER CONSTRUCTION BEING DOV 9N
Electric THIS BUILDING OR SITE 7 A/10
(3 Gas—[3 LP [3 Natural [3 Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
0 Oil PERMIT
[3 Other — Specify
IV. MICHAN11CAL E9UIPMENT TO BE INSTALLED TURE OF WORK
(Provide complete list of components on back of this form) Residential or E Commercial
Heat 0 Space 0 Recessed A Control 0 Floor New Building
Air Conditioning: [3 Room )p Central Existing Building
(3 Duct System: Material Thickn Replacement of existing system
Maximum capacity c.f.m. 0 New installation(No system previously installed)
0 Refrigeration El Extension or add-on to existing system
0 Cooling tower: Capacity 9-P.M. Other — Specify
C] Fire sprinklers: Number of head-
C3 Eltvafor I_-] Manlift 0 Escalato (number) THIS SPACE FOR OFFICE USE ONLY
C] Gasoline pumps (number) (Raiceivad)
0 Tank- (number) Remarks
[3 LPG contain* (number)
[3 Unfiriod pressure vessel
13 boilers Permit Approved b Date—
b Other — Specify Permit Fee
j LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUtPMENT
CAPACIV A
Number TJxLitm Description Model Number Manufacturer (Tons)
4ejet
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00031963 Date 1/20/06
Property Address . . . . . . 735 REDFIN DR
Tenant nbr, name . . . . . . REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1200
Owner Contractor
- - -- ---- - - - - - - - - - - - - - - - - ------------------------
MCCUEN OWNER
735 REDFIN DRIVE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
--- ---- ---- -- -- - - --- -- - - - - - -- - ----------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 1200
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL
Florida Building Code Online Page I of 2
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PRODUCT APPROM Product Search
Overview Product Search Organization Product
SearGh A pplication
User: Public User Not Associated with Organization-
Need HAp?
Code Version:
Product (ALL)
Manufacturer:
Category: F(A L_Q APPROVED
r---r Ot ATLAN11C BEACH.
Subcategory: _7j BUILDING OFFICE
Application/Seq 4-081.1
#: JAN 0 9 2006
Application (###or###.#) By:
Status: IfA—LL) �7j
Evaluation ,(ALL)
Method-, F
Order by: Manufacturer r Category r Subcategory
App/Seq# �_ Status (- Evaluation Method
To edit an application that is NOT YFJAPPROVED,log in,search for the Application/Seq#and
click on the link under"Category".
The products approved to the 2001 Floiida Building Code are applicable to the 2004 Florida Building
Code provided the standard,the year edition of the reference standard,and the code requirements for
the product are the same in both codes.
.NeWProduct_j Search
Page: 90OZ 6 0 NW Page I I I
MAO E)Nicninu
App/Seq Manufacturer Category "V3'N$NV"V JO A113 Validation
# --ofte'T Entft-vN&Hdator Status
Intertek Testing
Services-
FL4081 Tallant fWaftng sphalt Shingles n/Wamock Approved
Industries Hersey
(604)520-3321
L408 1, Model: Ondura Corrugated Asphalt Roofing Description: Corrugated asphalt
04
117ofing sheets
http://www.floridabuilding.org/pr/pr—srch.asp 12/15/2005
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CITY OF ATLANTIC BEACH PERNUT CALCULATION SHEET
Address zc)
Date
Heated Square Footage @ per sq ft= $
Garage/ Shed
@ $ per sq ft= S
Carport Porch $ —.persqft= $
v
Deck per sqft= S
Patio per sq ft S
TOTAL VALUATION:
Total Valuation
Remaining Value $,�'per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE
ZONING: + 1/2 Filing Fee J 0
FLOOD ZONE: )Fireplaces@ $35.00 $
IMPERVIOUS SURFACE:
BUILDING PERMIT FEE $
WATER IMPACT FEE S
SEWER IMPACT FEE* 3
WATERMETERITAP
CAPITAL IMPROVEMENT S
SEWER TAP $
C RADON .0050 S
SECTION H PAVING
HYDRAULIC SHARES S
CROSS CONNECTION S
ST( ) SURCHARGE S
OTHER $
GRAND TOTAL DUE: C)
CITY OF ATLANTIC BEACH Cc:
BUILDING /ZONING DEPARTMENT Q. F=d-
800 Sentinole Road
Atlantic Beach,Florida 32233
A (904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # D (0 —
Property Address:
Applicant: J 10 Al 0
Project:
This permit application has been:
12�Approved
Reviewed and the following items need attention:
6-74 W "I
Please re-submit your application when these items have been completed.
Reviewed By: --- L4 Date: 11410(,
Date Contractor Notified:
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date.
PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION.
Job Address: 7s-� a/P---Z
Owner of Property: ael-v
Address: 0 Telephone:
Contractor: 0 W 77 State License Number:
Contractor's Address: ea>
Telephone: 4Q 4/""�317ax:
Scope of Work: >v ze�r Xo O!E z36 -z!�� c:2---�aPx 5A-oc9
Deck Slope:
Greater than 2:12 Less than 2:12
Valuation of work)� 00'. 01)
Product Name(Example: Timberline):
Manufacturer(Example: GAF):
ASTM Designation(s):
Required Inspections: Sheathing and Final
Signature of Owner: Lj-j� o i�, 7n aLXjc Date:
AS TO OWNER: ("j
-4L —AjiAarq
Sworn to and subscribed before me this -5- day of jn 2 0 6)
State of Florida,County of Duval
tary's Si
CALVERLEY
'r YVONNE M.
MY COMMISSION#DD 342192
ly 29,2008
EXPIRES:Ju El rso#ly own
Bonded Thru Notary Pubk UnderMters
Pr
T;d �ed ' entification
e�o f i ent i fi c ati o n pro du c e d /,nd 56-4-/,>)y L/S-
Signature of Contractor: Date:
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of jAP"If/0-Lf 2006
State of Florida,County of Duval
Notary's Siggyna
y P*, YWVONN AL ERL 'A,
-C #V L
I.LON D D 2 y
CALVEJ
RL
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DD
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MY COMMIS* 21�
.192 11 kno
ersonall
EXPIRES:July 2S,2 'de ification
ndedThrun .,.6 1 roduced'd
-o 7 H-.IPP tion
Ey 1 2008
on q-6,;)1
Type of i tificalion produced -/-z 1),d,5 -/s 3
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us
Page I Revised 2/21/03
Florida Building Code Online Page 2 of 2
Page: Go Page 111
Gqpy-�ght an!� lqfrn
_qr 02WO The State of Florida,All rights reserved.
http://www.floridabuilding.org/pr/pi�_srch.asp 12/15/2005
CITY OF ATLANTIC BEACH
OWNEWBUILDER AFFIDAVIT
Date:
Job Address: 115
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 THIS EXEMPTION. YOU MAY NOT HIRE
AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO
THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT
PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL
LICENSING ORDINANCES,
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 TTIE 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.
OVOPEYWY OWNER/BUILDER
v
-j,v,
SWORN TO AND SUBSCRIBED BEFORE ME TIES-tLDAY OF —2"-)
JEANNE M.SHAW
MY COMMISSION#DO 435986
..g. EXPIRES:May 31,2009 -T�116TARY PUBLIC
Bonded Thru Notary Public Underwriters
MY COMMISSION EXPIRES: -,3 1, Xcl'
NOTE: PHRASES UNDER]711 ABOVE.
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
INSPECTION REPORT
JOB LOCATION 735 RED FIN DRIVE PERMIT# 1398
if ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION ROYAL PALM
OWNERNAME MR. MC CUEN PHONE (904)76a-6902
LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE ELECTRICAL
w
CLASS OF WORK INCREASE
CONTRACTOR R&R ELECTRIC COMPANY PROPOSED USE
ui SINGLE FAMILY
0
ow
Lu
2
WORK DESCRIPTION CS 4/0 200AMPS ALUM SE 200AMPS IPH 3W 240V EXIST 100 AMPS
INSPECTION REQUIRED 12 FINAL ELECTRIC INSPECTOR A*
Pm
0 DATE INSPECTED
Ow B Y APPROVED REJECTED
COMMENTS