The URL can be used to link to this page

Permit 95 Robert St (vault) CITY OF 4&4140 � y � Z. Office of Building Offic REQUEST FOR INSPECTION 7 , 7 ---' Permit No. Date (G A.M Time P Received x U r" Loca'y f Job A dres � Owner's Contractor (e� MECHANICAL Name ELECTRICAL Air Cond. & =' BUILDING CONCRETE Rough Wiring ❑ Heating ❑ r To Out F� Footing Temp Pole p C) Fire Place Framing Slab [I Sewer Pre Fab Re Roofing ❑ Final Lintel A.M. Insulation RnEA INSPECTION Wed. Thurs. Friday Tues. A.M. Mon. C P.M. Final InspectiInspectioancy Certificate o OccupInspecto�:ad,,e Date A/ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING i 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 ' PERMITIN ' FORMATION LOCATION INFORMATION Permit Number: 17788 Address: 95 ROBERT STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: DONNER Est. Value: Parcel Number: 'Improv. Cost: OWNER INFORMATION Date Issued: 2/11/1999 Name: THEODORE WELLS Total Fees: 25.00 Address: 95 ROBERT STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/11/1999 Phone: (904)721-8436 Work Desc: REPIPE I ROTO-ROOTER SERVICES COMPANY PERMIT APPLICATION FEES 25. 00 CONTRACTOR(S) I� ' I Inspections Required FINAL I I NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. i ^ n ATLANTIC BEA H BUILDING DEPT. i x t CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : OWNER OF PROPERTY : PLUMBING CONTRACTOR . CONTRACTOR ' S ADDRESS : STATE LICENSE NUMBER : C C jf TELEPHONE : HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS - —1—LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS ___ WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER gi F L OC; igr TOTAL FIXTURES:-_ x $3 . 50 + $15 . 00 c;j MINIMUM PERMIT 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 f AGENDA ITEM#8B MAY 10,2010 CITY OF ATLANTIC BEACH CITY COMMISSION MEETING STAFF REPORT AGENDA ITEM: Resident Concerns about the Robert Street Ditch SUBMITTED BY: Rick Carper, P.E., Public Works Director DATE: May 3, 2010 BACKGROUND: At the April 26th meeting, the Commission heard from residents living near the Robert Street Ditch about concerns for safety, The residents expressed great concern for the continuing erosion/growth of the ditch, the poorly constructed temporary repairs, the depth of the water pool at the headwall on Robert Street, the lack of guard rail/handrails at road/ditch crossings here and at Lewis Street and the need for sidewalks. At an earlier meeting with residents, an additional concern for erosion undercutting the ditch banks, especially north of Lewis Street, was expressed. This ditch is a shared responsibility drainage ditch with the two block portion between Roberts Street and Dudley Street belonging to FDOT and the remaining block between Dudley and Dutton Island Road an unplatted drainage easement running through private property but maintained by the City of Atlantic Beach (-700 feet total length). The FDOT segment of this ditch is not included in the maintenance agreement between AB and FDOT, meaning Atlantic Beach is not reimbursed for any work done here. We contract with Bluewater Environmental to perform aquatic weed control and "weedeat slopes and remove debris" from the entire ditch. The residents requested that the City and FDOT enclose the ditch either by piping it or bulkheading and fencing as was done with the Hopkins Creek ditch in Neptune Beach. Either of these options would be very expensive and piping the ditch may also require providing alternative stormwater treatment (e.g., pond) to compensate for water quality impacts. Staff has contacted FDOT concerning work to correct the erosion and water pool issues at the ditch end at Robert Street. The District Two Maintenance Engineer has indicated their intention is to reconstruct the sand cement bulkhead originally installed in March and to fill the deep sump at this junction. The reconstructed bulkhead is to be extended and raised to more effectively combat erosion along the east bank of the ditch. As an alternative to the sand cement bag bulkhead which is a temporary fix, Staff proposed a cost share project with FDOT to construct a cast in place concrete bulkhead joined to the existing concrete endwall on the south, but they have declined this offer. Construction of a bulkhead along the east bank, which should include-30 LF of ditch pavement to fill the sump at the junction and preclude continued erosion, would be a permanent repair. A rough cost estimate for the bulkhead and ditch paving is $30,000. FDOT will do a field survey of the Lewis Street bank issues to determine necessary repairs in that ditch segment. FDOT considers that guardrail for the protection of vehicular/pedestrian traffic on Roberts St., a local two-way street, is the City's responsibility. After bulkhead repairs or construction, Staff proposes to install City standard wooden handrails (resident primary concern is safety of children, not vehicles), rather than FDOT metal guardrail, here and at the Lewis Street crossings. Cost per handrail installation will be about $500 for materials and 30 to 40 Staff manhours. We are seeking quotes from contractors to see if that is a more cost effective method for installation. A standard four foot wide sidewalk will be constructed on Dudley Street from George Street to AGENDA ITEM#t 8B MAY 10,2010 Mayport Road later this summer, using CDBG funds (estimated cost$25,000). There is no other sidewalk construction budgeted in the current fiscal year, or projected in the FY 2010-2011 Budget Request. Other than the planned Dudley Street sidewalk and extension of the existing sidewalk on Dutton Island Road, there have been no previous requests to Public Works for sidewalks in this neighborhood. As a result, actual cost estimates have not been made for Robert or Lewis Street, but cost is expected to be similar to the Dudley Street sidewalk. When the Police Department did a Safety Survey of sidewalk needs in 2008, they recommended sidewalk on Dudley, Robert and /or Lewis because of the large volume of pedestrian traffic, but noted that the right of way width on Robert and Lewis (30 feet) was probably too small for sidewalks. Dudley Street has a 50 foot right of way and was chosen for the sidewalk installation. RECOMMENDATION: Commission direction as to whether Staff should pursue the permanent fix of bulkhead construction discussed above or additional sidewalks in the neighborhood. Staff will install handrails at the Robert Street and Lewis Street crossings after necessary bank and ditch bottom repairs are completed. BUDGET: The repairs discussed in this report are not funded. If the cast in place bulkhead is the desired repair method, a budget modification ordinance will be required to fund these repairs. REVIEWED BY CITY MANAGER: k CITY OF w' c� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 F, , ,-ant , c_: �„ •,d;_:1�, f;•t. t .._... : . ?. y ."ac'.'It 2 w to �- Erw it r , -.;i f S E ,i ,aFP_ t l2�.t: t to-r.s ��1�;D p0. t i r� t i ' :,w :rq yAt,1��rr: �t � ' i� .-,E.r9�_:1'l � t.l;(..,t:�IIlc3,(7� x_' .- <:d,3T�f rt , d ? . C'{r f12 all t i ;W; t'2 3. 'J L a-,,, ;t 7 r ie;cr { i;ar# tr a a �� { .,r t.cafad I ti0xr tt ..dik., t:, )ald e } .vty ( ,3t)) t }zc-, x� ateY,r•�, zrEt t.c7 tlae ("cetr 1:rr:f r.r.. r .sr�arrt: its: y ;:. Under V1 ida yt�1t:ute .162. !:)�� t,h(-? f r� f3<�<�z „ 1r z,�e x� ars t.dt UP 'tv , '. ,"iC . t:)(1 1ac r tray (jr_) �� 'd;:�y t r; it t�epeat >utr c,c ,e YC-i L ) c:rljev t y i zi to i oreiy , -ridoc. �/RL �C�w 1 D "i A 11- 4 IMPORTANT ME"AOC ol FOR DD L TEATIME -(C.� A.M. L PHONED OF RETURNED PHONE _ YOUR CAL{ ARE CODE NUMB R�+ EXTENSIO PLEASE CALL- MESSAGE � 4)F._S J CTi wAGAINLL S C- CAMETO SEE YOU WANTS TO SEE YOU SIGNED TOPS 19 FORM 4006 • A.M. FOR DATE TIME P.M. M / , HONED, OF RETURNED Vii, 0UR CALL PHONE NUMBER - EXTENSION _�Lc�+ '(•, („j„. AR A CODE MESSA / WILLCALL ARAIN S 7- E;Tp YOU WANTS TO SIGNED • SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address in the"RETURN TO" Space on the reverse side Failure to do this will prevent this card from being returned to you.The re recei t fee will rovide you the name of the arson delivered to and the date of deliver . For ad rtiona t e o owing services are avai a e. onsu t postmaster or tees an� e�c�� ox as or additional servicelsl requestbd. t• If'��^ to whom delivered, da a nd addressee's address. 2. ❑ Restricted Delivery (Extra chr (Extra charge) 3. Article Addressed to: 4 rticle Nu J / Type of Service: Registered ❑Insured Q 1 rtified ❑ COD ❑ Express Mail ❑ Return Receipt 3��3 2 for Merchandise J Always obtain signature of addressee or agent and DATE DELIVERED. 5. S' at — Add se 8. Addressee's Address (ONLY if X requested andfee paid) 6. ignature — Agent X 7. Date of Delivery PS Form 3811 Apr. 1989 *U.S.G.P.O.1989-238-815 DOMFSTir_ RcTr roiu oe— CITY OF 800 SEMINOLE ROAD ��--..--_ _--_------- - ATLANTIC BEACH,FLORIDA 32133-SUS TELEPHONE(9(4)247-SM FAX(904)247--4805 April 27 , 1994 Mr . Thomas R. Wells 95 Robert Street Atlantic Beach, FL 32233 Dear Mr. Wells : Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida : Lot 12 , Block 3 , Donner Replat RE#172228-0000-7 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of City of Atlantic Beach Ordinance Section 23-36 (high weeds and grass ) . You are hereby notified that unless the condition above described is remedied within fifteen (15 ) days from the date hereof , the City will remedy this condition at a cost of the work plus a charge equal to 100% of the cost of the work to cover City administrative expenses , which will be assessed the property owner or occupant . If not paid within thirty ( 30 ) days after receipt of billing, the invoice amount plus advertising costs , will be posted as a lien on the property . Within fifteen ( 15) days from the date hereof , you may mare written request to the City Commission of the City of Atlantic Beach for a hearing before that body , for the purpose of showing that the above listed condition does not constitute a publi:- nuisance . Sincerel y , / '� arl Code Enforcement. Officer A KG/pa Enclosure cc : City Manager Don Ford CERTIFIED MAIL RETURN RECEIPT REQUESTED SENDER: 'y • Complete items 1 and/or 2 for additional services. I also wish t0 receive the C • Complete items 3, and 4a&b. • Print your name and address on the reverse of this form so that we can following SerViCES (for an extra V return this card to you. fee): t 2 m + Attach this form to the front of the mailpiece;or on the back if space 1. LJ Addressee's Address does not permit. to Z • Write"Return Receipt Requested"on the mailpiece below the article number: • The Return Receipt will show to whom the article was delivered and the date 2' ❑ Restricted Delivery L Gdelivered. V Consult postmaster for fee. m m 3. Arti le Addressed to: l 4a: Article Number 9 h � 4b. Service Type m 0 �P� - ❑ Registered ❑ Insuredcc Artn��- c (3e�c�, �=c 322 certified ❑ CODUJI E-] c Express Mail ❑ Return Receipt for 0 p Merchandise Q 7. Date of De'ver c� -- '� Z o Signature (Ad a eel 8. Addressee's Address (Only if requested X and fee is paid) W _� 6. Signature (Agent) t a F O HPS Form 3811, December 1991 *U.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT a CITY OF ALTANTIC BEACH COMPLAINT MANAGEMENT JYSTEM TAKEN (date/time) : �� ,Z 5/ COMPLAINANT: L st Name '—� O&-'- _/I ADDRESS: �� o �2 First Name CITY/STATE/ZIP: S T. MI TELEPHONE COMPLAINT: ©u r/2 2GKiJ(v LOCATION: �6 � ..-�•- d F �.5`-- a�tF� PROPERTY OWNERS PHONE: ( ) G PROPERTY OWNERS NAME; DEPARTMENT FORWARDED TO: COMPLAINT TAKEN BY: a2Q DATE/TIME: OFFICE USE ONLY INVESTIGATED: (date/time) _ ASSIGNED DEPT./DIVISION: INVESTIGATOR: li�� PRIORITY: CONDITIONS FOUND: ACTION TAKEN: COMPLIANCE: NOTES: ' n ACITY OF y`/r s'�Zeic /Sp.G -O;k"A Office of Building Official RE EST FOR INSPECTION Date C TimePermit No. ReceivedA.M. M. A�Job Addr Owner's Loc ity Name BUILDINGCRETE Contractor C ELECTRICAL Framing F7 PLUMBING MECHANICAL. Re Roofing ❑ Footing CJ Rough Wiring � Insulation Slab ❑ TePole ❑ Air Cond. & Temp❑ ❑ Lintel ❑ Final D Top Out ❑ C7 Sewer Heating Fire Place Mon. Tues. READY FOR INSPECTION ❑ Pre Fab Wed. Thurs. Friday PM Inspection Made r A.M. Inspector P.M. Final Inspectio Certificate of Occupancy G Date 1041 090ARTMENT OF BUIL6I4G CIl'Y OF-ATLANTIC BEACH Fo Addres J "RCS FtT STREET PerM C1 fr H ►rk ? ATLANTIC SEACH, FLORIDA 32233 , COnst r, T p0. WOOI? � Lot : FTI ock I'rrsptred i31SINOX,S ?AM IL Sats©n 1 n =� 3 c+c3 Q T r wn h p R tv« 0 Subdivision: DONNER ue; $12830,00 improv., Cost,*, SQ.DE? Total rs $6.00 r CATION; 'k ~- AgPLIC iTI tN FRES S PERMIT $0.00. At STREET p { 1447 TXPAC 1, .0 ZZ $0 .010, T + FLON I 7 8@ }t r"'a.,e ar¢'i'r *,pf s" .At�xua Tf,1" ei* � i' *� ° ,�R ,.w✓) R.S". $0 .00 T I$FON -- RADON CAI$ Vii% to»0 0 t�tXt LE BALE' �iC, CAPITAL IMPROVE. Sfl.t34 �( +y32207, k +�y� /�Y'g+Y��.�CONNECTION 1 `L +31L� L+,FSF-Wi4' 37IitVJ.V kRV a VSJ Li c; ,, FR Type: TSSG IMPACT SSEf�A 00 Ja3mwa CONS .SUIkCHARdE 6,00 � Y. - fkm&lull I NOTICE!—ALL CONC!.LEE'FORMS AND FOOTINGS MUST BE INSP66TED SEJFORE Rt UR]ING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 1�I Ot1MATERIAL;RUBBISH"AND OI BAtS.FROM THIS WORKMUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CIIAI iwD"UP AND-HAULED AWAY BY"EITHER OONTRAGT©R OR OWNER " t #LURE TIS l #P 1' WITH THE MEGHA#�1�'� L# N h. W CAN T IM ,!r"E PROPERTY'OWN R#-AYINGTWICE FORTH SUiL NO ##I PR NTS. a , ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOOATION ' OF APPLICABLE PRQVISIONS OF LAW. Glty'�1#�Atialt#Ic T4I'1"1C BEACH t3U1LC3ING EPARTMENT j CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : v Jv, s Address :__ Phone: Lot #___ Block or Unit # Subdivision: Contractor: (. C �� State License # C / c�_ Address : / Qf C_r`yl .Z- i i phone No:` ` _ Describe work to be done: 1 , A i— .0 Present use of building: . Valuation of Proposed Construction:__ Proposed use: 1�,g s Is this an addition? If yes, what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled? i New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: ., Date: Signature CONTRACTOR: ( XX ��--'C �✓�C Date: ' =9- License Supplied: Liability Insurance: Worker's Compensation Insurance: 11011"fe of �or�rnreriferirerit droop*"MI wrwwnl To whore It a+a♦ eoftowns . The undersigned borobr lelorwns r" that lmproysusertts will be made to.eertaln tool property, and In accordance with rection 113.111 of the Merida Statutes, the following Worsnalloq is stated to this Ito-riCC or comuttic"mT. Uoacriplloa of SINGLE STORY BLOCK DWEELING LOCATED AT 9.5 -'.' . propuly «-- - •-------- ---------------- Doneral dowilptlon of knproveaboula Owner _______ THEODORE WELD?S „ «_«_.«........«........ Addrou _-«.95 ROBERTS STREET ATL. BCH FLA. .. ----------------- Ownar'o lntoroot in dte of the knproromeni---------- - -------- Toy Simple Ttlle bolder (W other %*a *Wa#r) .....r CITY OF ATLANTIC BEACH APPLICATION cc,FOR fPLUMB'INNG PE(R'MIT JOB LOCATION: OWNER OF PROPERTY: PLUMBING CONTRACTOR l CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER: TELEPHONE: �3 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED l SINKS / SHOWERS LAVATORY ` WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: x $3 . 50 + $15 .00 MINIMUM PERMIT 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 CITY OF' Office of Building Official REQUEST FOR INSPECTION ^� Permit No. (•� District No Date A M Time ,[�• Received localit r � Job Address Contr or fN CHANICAL owner's LECTRICAL PLUMBING ❑ Air.Cond',& ❑ Name CONCRETERough Heating BUILDING ❑ so mg ❑ Top Out ❑ Fire Place ❑ Footing ❑ Temp pole ❑' Pre Fab Framing Slab Re Roofing ❑ ❑ A.M. LintelP.M. READY FOR INS Friday Thur! Wed. A.M. Tues. / p.M. Mon. �r C ref Made Final Inspection , Inspection �' Certificate of Occupancy inspector Date CITY OF 1* to cVed - 96uIa 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 May 22, 1986 Pre-Service JEA 233 West Duval Street Jacksonville, FL 32203 The following final inspection has been made and is satisfactory: Permit #4923 - 95 Robert Street Permit issued to Penny Electric Sincerely, Hilary(4hompson Building Department so CITY Of ATLANTIC BEACH, LORIDA Approvwd by APPLICATION FOR ELECTRICAL PERMIT ' TO THE CHIEF ELECTRICAL INSPECTOR: GATE. 19. IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIII"ED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THEA ACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF,AND IN ACCORDANCE WITH THE ELECTRI 1 REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. Melva` ECriambAL FIRM: MWER ELECTRI2JAN I NAME /rf/e L L S ADDRESS: RFDBOX i BLDG.SIZE BETWEEN: F '� � 'eq*o � I I i �I ` BULLDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82298 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT - Applicant to complete all items in sections I, II, III, and IV. �• 9S h�a 6 ,9 /2 T"S LOCATION street Address: T"" �t OF Intersecting Streets: Between MAyFVo I? lflc� And BUILDING► sub-division 11. IDENTIFICATION To be completed by all applicants 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 Jacksonville ordinances and standards of good-.practice listed therein. Contractors Master Name of Mechanical , Contractor (Print) PjW!,� A4 GC Nama of Property Owner Siynalure of Ownar signature of er'A re Agent Architect or-Engineer M. 69IIERAL INFORMATION A. Type of heating fuel: B. IS OTHER ONSTRUCTION BEING DONE ON THIS LOING OR SITE: I] Gas *^-�❑ LP ❑ Natural Q Central UWHY IF YES, GIVE NUMBER OF CONSTRUCTION 1 OE PERMIT tY. 4*0M'LICAL 1011i11hA NT TO 56 INSTALLED NATURE OF WORK t►b„we Complete no of componentson beck of this form) Residential or ❑ Commercial Q• most 0 Space0 Recessed O Contoel O Floor ❑ New Building Q Air CorldWafting: ❑ ;Roos► t�}-'t'ltral ' ❑ Existing Sullding Q Duct system: Mehrfol> _ Thickness ❑ Replacement of existing system e.f.m. ❑ New installation(No system previously,Installed) Maximum capacity ❑ Extension or.add-on to existing system Q Refrigeration ❑ Other--'Specify Cl Cooling tower: Capacity Q Fire sprinklers: Number of heeds_ (,Q E WOW 0 Manlifl Q Escalator (nund»r) tHl3 9PAGE J1101111 ONNCE USE ONLY O Genuine pumps- (number) poetiwd) 13 (number) Remarks d LPG ea►#ai (number) Q Unfired pressure vepel Permit Approved by Data ., 'Q Eeil�rs 00W Specify Permit FST ALL EQMPMENT AMR CDNW iONWG AND REFRIGERATION EQUIPMENT App Ntmlber t7h t+ DeSedptfoa Ho"Number SWmfactimer 3� tw FOR OFFICE USE ONLY a Date .__....... :- ...... - _ o� Permit #-cog��.....Fee$_:3Tf............. CITY OF ATLANTIC BEACH valuation ;,0�0 • M ......... FLORIDA House #..9. 46.. APPLICATION FOR BUILDING PERMIT ----------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- The a ed b him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- tractors e Y ' eases can con engaged that 1ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office�sobe verified. sDate..........,,� -----••----.--� - 19 --------------------- Owner... leph ne No.- Address.... ..... --------••----- P -- ------- - ------------------------ � ------ Addres .... __ Q.-LL-�eU_ !fe Noir.. -�.r 0�, Arch' ee / -�Z - ,�. . �p Contractor Builde �r� l�Pl ' ........ ..��... ... �--- T 1 hone No.--7- ,6- -- - Contractor -9- ----._Block/No....--3 'YII ---------- - Lot No. .i Sub Division....__., �XKe----------- Zone_. Between 45;,P 44f ---•---_-----� 4n ---_-----_--Type o co tructio Sts. Valuation $- - � ��-•-- `1'jp��r what pi3rFose will building be used. - ._�.4>-- ------:Size of Footings..... Dimensions of Building. ✓✓// _ --------Dimensions ofGLot._-._ �1' .Z�.__Size o� 11 Y ( _ 4-.-Gmeateat Sill Span in ft...__---------------------TYPe Roof__ _. _ x-.- --•-•- --- Size of Piers_..__._ _..._._... __ How will Building be Heated?_...pp ..Will guildl'ng[,b��on Solid or Filled Ground?:_---- ................•------- :1� '�.._Z,Distance on Centers_.t _7`'�� , Greatest Span Size of Ceiling Joists` .----- � ---------,Distance on Centers.......... ._.:.._.._f------•-------, Greatest Span „ Size of Floor Joistso! 15---[1--- C/ *9 c / Size of Rafters..._ 'x-,) -------------------------------- Distance on Centers....._.. .-T---- •--_-- Greatest Span-----G---T.--•-----•- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. Z z 2. When steel is in place and ready to pour columns and/or lintel 7 * a 3. When steel is in place and ready to pour beam. /sF E H 4. When framing is completed. 'l t'+� Qa 5. When rough plumbing is completed,and ready to cover up. W 6. When septic tank drain field or sewer is laid but before it is covered. A A 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in aeco a wit the attached plans and specifications, which /eart ereof, and in accordance with�the building/� regulations the f Atlantic B ach. . .... ................ Addre ..... Signature o Builde ... ._---- - ---- - ---------40&_-'1 Signature of 0 r.. .. /%Address............................----------- •-------- ----•-------•-------- October Toney Quality Builders P, 0' Bic " OCOM l►ay Jaakck,s,savilla, Florida 32218 Gentlemens Res HO &t 9S t Street, this City- 2 have examined the glass installed is Iwase you have ani' amstruction Tor- Mir. T. R. Wells at above noted &d&essa, which is an Lot 18 of Block 3 in Denner R, 1st (area nest of M&YpOrt Road). The 1=9* pan* of qhs - middle section o ,three its - wast wall sof living room is of s ven-thirty ►-s ds (7/33) inch thickness, which is fully acceptable in a+ rd with our Building Cole fft window, of s ► sion and height above floor* The sliding glass t000r of family and dining rose, in ,wast wall of building, is.fitted with satisfactory mullions and i.s also fitted with glass of acceptable tni+olaftse anA qualitys harmonious with the intent of *Vx code. very truly, YOUM A. J. Craig City Manager and building Official AJC/ cat Mr. Sibley r Q 1 /y VA Form V34-1852 -v r For accurate resister et ear4oa eoviea,form = Farm approved. FHA Forty 2045 twos be separated along above fold. Staple Budget Bataan No t i P(>�S.b Jan. M6 completed sheets together in original order. [7g Proposed Construction DESCRIPTION OF MATERIALS No• .....(To be laserte--- ---e--.....FI -d bs FA or VAA)) ❑ Under Construction Property address Lot 18, Blk 3 Donner's Replat Atlantic Beach Sfa#e Florida -------t................. ............................-......_..... City ...------...................... Mortgagor or Sponsor FLORIDA TITLE & MORTGAGE CO. ....Jacksonville,. Florida ....................................................................... (Name) P. Q. Box 68 (Address) oceanway Confraetor or Builder ...TQNEX..QUALITY..BUILDL-RS,...IhC....................... Jacks=vi_Ll_e,...Floxida._32218....... .._.-. (Narne) (Address) INSTRUCTIONS 1. For additional information on how this form is to be submitted, number minimum requirements cannot be considered unless specifically dmfin ce, of copies, etc_, see the instructions applicable to the FHA Application for 4, Include no alternates, "or aqua)" phrases, or contradictory items. (Co, Mortgage Insurance or VA Request for Determination of Reasonable Value, sideration of a request for acceptance of substitute materials or egaipme• as the case may be. is not thereby precluded.) 2. Describe all materials and equipment to be used, whether or not shown S. Include signatures required at the end of this farm. on the drawings, by marking an X in each appropriate cheek-box and entering the information called for in each space. If space is inadequate, enter "See b. The construction shall be completed in compliance with the relate mise:' and describe under item 27 or on an attached sheet. drawings and spccificatians,as amended during processing. The specii}ca+ior 3. Work not specifically described or shown will not be considered unless include this Description of Materials and the applicable Minimum Cons+r1j0;0 required, when the minimum acceptable will be assumed. Work exceeding Requirements. 1. EXCAVATION: Bearing soil,type----.4rift-Ittan4--------------------------------------- ---------------------------------------------------- - - ----•- - rm_vrgn-_soil-------- --------------------------------------------------- -------------- --- -- 2. FOUNDATIONS: Footings:Concrete mix �QQ_ QSL-_--------------------- Reinforcing.__ s�eg�__r4d�------------------------------------------- r,✓�//s� r1leod0,0ee 1S ke 6 e,--t S� e,--A CITY OF ATLANTIC BEACH 2 SPECIAL INVESTIGATION TO BE FILLED OUT BY COMPLAINTANT DATE—5-_ 2rq-s? ADDRESS 0 W - LOCATION COMPLAINT elf- OWNER OF PROPERTY ,�?,5(/_ L 4S' ,L/ fe { D`Gll Jl�ht�f COMPLAINTANT Z#ti /,V",- C-L,p PHONE # 9j -------------------------------------------------------------- FOR OFFICE USE ONLY DATE OF INVESTIGATION / f°� INVESTIGATOR CONDITIONS FOUND ACTION TAKEN COMPLIANCE NOTES: HOMEOWNER - CONTRACTOR AGREEMENT Property Improvements To: ------``J-L---/� (Adder)ess/)/ Owner (s) : -----�� --- ��9�1ZK4---lN__`e1L ------------------- (Name) e --------------------------------------------------- (Legal Description) 1 . HOLD HARMLESS. Contractor shall agree to defend, indemnify, and hold harmless the Owner, City of Atlantic Beach, Florida from liability and claim for damages because of bodily injury, death, property damage, sickness, disease of loss and expense arising from Contractor s performance under this agreement to install or construct home improvements to be paid out of the proceeds of the Owner' s rehabilitation loan. Contractor is acting in the capacity of an independent Contractor with respect to the Owner. 2 . LIEN WAIVERS. Contractor agrees to protect, defend and indemnify, Owner from any claims for unpaid work, labor or materials with respect to Contractor' s performance. Final payment shall not be due until the Contractor has delivered to the Owner complete release of all liens for work completed arising out of Contractor's performance, or a receipt in full covering all labor and materials for which a lien could be filed or a bond satisfactory to the Owner indemnifying him against any lien. 3 . SCOPE OF WORK. Contractor acknowledges that he has prepared the Contractor' s Proposal (Part II of this Agreement) and that such proposal is accurate and consistent as to the name of the Contractor will undertake, and the price. Contractor acknowledges the performance requirements established in the General Specifications of the Rehabilitation Standard Performance Manual effective June 1, 1982 and warrants that all work undertaken will conform to said specifications . 4 . CONTRACT AMOUNT AND PAYMENT SCHEDULE. The City of Atlantic Beach shall pay the Contractor for the performance of the rehabilitation work, subject to additions and deductions by approved Change Order, the contract sum of ---------------- ------------------------- ($- -'-----------) . Payments will be scheduled as follows, subject to the Owner' s acceptance of the work to be done: Upon completion of 40% of the work, a progress payment of 30% will be made. Upon completion of 80% of the work, an additional payment of 30% of the contract price will be made. Upon completion of .100% of the work, the remaining funds will be disbursed. 5 . TIME OF COMMENCEMENT AND COMPLETION. Owner shall provide written authorization to Contractor to commence work. Contractor agrees to start work ten (10) calendar days after the receipt of the written Notice to Proceed. If the Contractor fails to commence work within ten (10) days of the Owner' s notification to commence, Owner shall have the right to terminate this Agreement. Such notice of termination shall be in writing. executed Change Order. No extra costs will be athe when he has neglected to properly evaluatthetoextent Contractor of ethe rehabilitation work. Under no circumstances will the contingency fund, if any, be authorized for work other than circumstances arising after the commencement of the workally unforeseen 7. TERMINATION OF AGREEMENT. If the Contractor defaults or neglects to carry out the work as specified under the paragraph "Scope of Work" or fails to perform any provision of the Contractor documents, the Owner may, after fifteen (15) calendar days written notice, terminate this contract and , select a substitute Contractor. If the expenses of b finishing the work exceeds the unpaid balance on this contract, the Contractor shall pay the difference to the Owner. If the Owner fails to Perform any applicable provisions of the Contract, the Contractor may, after fifteen (15) calendar days, terminate the contract and recover from the Owner payment for all work satisfactorily completed including reasonable profit and damages. $• WARRANTY. For good and valuable consideration, the Contractor hereby agrees to provide a full one-year warranty to the Owner, which shall extend to subsequent Owners of the property to be rehabilitated. The warranty shall extend to subsequent Owners of the property to be rehabilitated. The warranty shall provide that improvements, hardware and fixtures of whatever kind or nature installed or constructed on said property by the Contractor are of good quality, and free from defects in workmanship or materials or deficiencies subject oto the warranty contained in this paragraph. Contractor and Owner agree, however, that the warranty set forth in this paragraph shall apply only to such deficiencies and defects as to which the Owner or subsequent Owners shall have given written notice to the Contractor, at its principal place of business, within one (1) year from the date of Contractor's final payment . The Contractor further warrants that failure by the Contractor to respond to valid complaints by the Owner, or subsequent Owners, that causes additional damages to the property are also subject to the warranty contained in this paragraph. 9. ARBITRATION. If a dispute arises as to the validity of a complaint not satisfied under the warranty clause of this contract, a panel of three (3) independent professionals shall be chosen by the City of Atlantic Beach to arbitrate the dispute. The panelists shall be - chosen on a rotating basis. The finding of the panel shall be irrevocably final, conclusive, and binding on the Homeowner and the Contractor. 10 . SUB-CONTRACTORS. Contractor agrees that all warranties contained herein shall apply to all work performed under the Contract, including that performed by any sub-contractor. 11 . ACKNOWLEDGMENT. The above warranties are in addition to, and not in limitation of, any and all other rights and remedies to which the Owner, or subsequent Owners, may be entitled, at law or in equity, and shall survive the conveyance of title, delivery of possession of the property, or other final settlements make by the Owner and shall be binding on the undersigned notwithstanding any provision to the contrary contained in any instrument heretofore or hereafter executed by the Owner. 12 . INTEREST OF CERTAIN FEDERAL OFFICIALS. No member of or delegate to the Congress of the United States, and no Resident Commissioner, shall be admitted to any share or part of this Agreement or to any benefit to arise, from the same. 12b.BONUS, COMMISSION,OR FEE. The Borrower will not pay any bonus, commission, or fee for the purpose of obtaining the Government's approval of his application for this loan, or any other approval or concurrence required by the GnvPrnmant 44.,, _3__2 ___ Homeowner-Contractor Agreement cont'd or ' employee of the Public Body who exercises such functions or responsibilities, shall have any interest, direct or indirect, in the proceeds of this loan, or in any contract entered into by the Borrower for the performance of work financed in whsle or in part with the proceeds of this loan. 12d. INTEREST OF OTHER LOCAL PUBLIC OFFICIALS. No member of the govern- ing body of the locality in which the property to be rehabilitated is situated, and no other public official of the locality who exer-b cises any 'functions or responsibilities in connection with the administration of the loan shall have any interest, direct or indi- rect, in the proceeds of this loan, or in any contract entered into by the Borrower for the performance of work financed in whole or in part with the proceeds of this loan. 13. CIVIL RIGHTS. The Grantee agrees to abide by the spirit and intent of the Civil Rights Act of 1964, as amended, and the Civil Rights Act of 1968, as amended, and the anti-discrimination provisions of Chapter 120 of the City Ordinance Code, in that its operation under this contract is free of discrimination against its employees, persons, or groups of persons on the basis or race, color, sex or national origin. 14. EQUAL EMPLOYMENT OPPORTUNITY. The Grantee agrees to abide by the Equal Employment Opportunity Clause for Contracts subject to Execu- tive Order Number. 11246, as described in Attachment 1, attached hereto and made a part thereof. 15. LEAD BASE PAINT HAZARD ACT. The Grantee agrees that no lead based paints or substances containing lead shall be used in any part of this project. Treatment necessary to eliminate immediate hazards shall, as a minimum, consist of the following: a. All surface conditions identified as immediate hazards shall be thoroughly cleaned (washed, sanded, scraped, wire brushed or otherwise cleaned) so as to remove all cracking,- scaling, peeling, chipping and loose paint on applicable surfaces. Such surfaces that have been so treated shall then be repainted with two (2) coats of a suitable non-leaded paint. b. Where the paint film integrity of the applicable surface cannot be maintained, the paint shall be completely removed or the surface covered with a suitable material such as gypsum wall board, plywood or plaster, before any repainting is undertaken. Name of Contractor ame(s) of Owne (s) c Signature of Co actor Date fSiA f Owner Date n ATTACHMENT 1 EQUAL EMPLOYMENT OPPORTUNITY -CLAUSE FOR CONTRACTS SUBJECT TO EXECUTIVE ORDER 11246 During the performance of this contract, the contractor agrees as follows.: 1 . The contractor will not discriminate against any employee oz applicant for employment because of race, color, religion, sex, or nation- al origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to the following: employ- ment, upgrading, demotion, or transfer; recruitment or recruitment adver- tising; layoff, or termination; rates of pay or other forms of compensa- tion; and selection for training, including apprenticeship. The contrac- tor agrees to post in conspicuous places, available to* employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause. 2. The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all quali- fied applicants will receive consideration for employment without regard to race, color, religion, sex or national origin. 3. The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, a notice, to be provided by the agency con- tracting officer, advising the labor union or workers' representative of the contractor's commitments under Section 202 of Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The contractor will comply with all provisions of Executive Order No. li246 of September 24, 1965, and of the rules, regulations, and rele- vant orders of the Secretary of Labor. ATTACHMENT 1 Page -2- 6• In the event of the contractor's nonc mPliance crimination clauses of this contract o with the nondis- crimination with any of such rules, regula- tions, or orders, this contract may be cancelled, terminated or su in whole or in spended part and the contractor may be declared ineligible for further Government contracts in accordance with procedures authorized in Executive Order No. 11246 of September 24, 1965, and such other sancti may be imposed and remedies invoked as ons 11246 of September 24, 1965, or b provided in Executive Order No. y rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. 7. The contractor will include the provisions of Paragraph ( 1 through ( ) in ever h 7 sub-contract or ) y Purchase order unless exempted by rules, regulations, or orders of the Secretary of labor issued pursuant to Section 204 of Executive Order No. 11246 of September 24, 1965, so that such provisions will be binding upon each sub-contractor or vendor. The contractor will take such action with respect to any sub-contract or purchase order as the contracting agency may direct as a means of enforc- ing such provisions including sanctions for noncompliance; provided however, that in the event the contractor becomes involved in threatened with, litigation with a sub-contractor or vendor as a result is such direction by the contracting agency, the contractor may re t of United States to enter into such litigation to y quest the g protect the interests of the United States. The offerer's or bidder's attention is called to the "Equal Opportu- nity Clause" and the "Standard Federal Equal' Em to Employment Opportunity y Con- struction Contract Specifications" set forth herein. The goals and timetables for minority and female participation, ex- Pressed in percentage terms for the contractor's aggregate work force in each trade on all construction work in the covered area, are as follows: 1 . The goals for minority participation are 21.8$ for each trade. 2. The goals for female participation aro r, no- r__ ' rI. REHABILITATION LOAN PROGRAM RESPONSIBILITIES OF HOMEOWNER AFTER CONTRACT IS SIGNED Until Work Be ins Start planning ahead. tools, equipment and Plan adequate Stora get into materials. Make arran a space for the contractor' Your property if arrangements for the contractor t, you will not be home during the day. To avoid mutual confusion the spokesman to discuss °ne member of the famil Problems or Y should be delegate8 a; If all household members work questions that may come up. consider household meor will designating an a not be home during the construction, rela- tive not living with gent such as a close friend or neighbor rive not l to make h you to supervise the ghb. or rola- he would do in the contractor does the work exactlywork. YOU are your contract. as he stated Prepare your property and furnishings for the rehabilitation There will Your drapes to the _ ings and clothes be dust and dirt from theawork wash use this ' Put all breakable and valuable items away your curtains. be broken or misplaced. - Protect your furnish- be so they won' t When the Work Be ins Keep your copy of the work description with your Case Manager P handy and refer to it often. Remember you are responsible there is an Check work correctly ensuring you do not understand. work must be acceptable to Assistance will g that the contractor does the you. be provided if required but the .Try to stay out of the construction area help prevent injuries and allow the workmen room especially children; this will Try to keep a to work. someone drel atio ship between be the spokesman family and the contractor again, delegate - pokesman for the family. Stop problems before the feel it should, or if y start - if something once and You don't understand it isn t going the way you too far. get an acceptable peak to the contractor at explanation or correction before i s t roresse canno stop the work nde calltthe tCase Mana give you an acceptable explanations Expect the unex acted ger for assistance. - in m and exciting to most cases changes and improvements will problems may YOU and will give you much be new a change y be uncovered during the course ofethere' however, g to the contract. Be work which may require unforeseen changes with the contractor prepared if this should happenY require required and Try to .visualizes what the change Planation f discuss flexible. why. of the change A11 changes to the contract must be approved will look like. Case Manager and must be in writin Be Pproved by you and your Your contractor is responsible for ery cannot be present, make sure that he tells ision of his workers. a problem or questions. You who to talk to if If he You have of Win cooperation from the workmen with good basic hum water pre Sma1�n„e�,.unexpected pot of Coffco an relations. A w,,,-,a PROC EORDER DATE; TO: �2-2 /G This is to .authorize you to proceed with work specified in ourcontractdated J at for improvement work on the 5 property located "l tationThe amount s Agreement is $ 2 Pec.i#led in the Rehab- the Contract. 3� ©D• Please proceed in accordance with You are to commence woxk no- later than All work shall be completed according to the Work Write,. Orders., Addenda and UP► plans, Change SPecificatioa$ within- Sixty (60) calendar days Y after start- ing construction. Name,s ( ) of Owner s (Owner Signature) (awaer s Signature) ADDRESS: /7 3 ,'33 (L a1 p is 4gencyRe esentative) Copy; _ PRE-CONSTRUCTION CONFERENCE REPORT READ CAREFULLY BEFORE SIGNING I (WE) THE UNDERSIGNED HAVE ON THIS DATE AT PARTICIPATED IN A PRE-CONSTRUCTION CONFERENCE PRIOR TO THE SIGNING OF A CONTRACT FOR THE REHABILITATION OF MY (OUR) PROPERTY. WE ACKNOWLEDGE THAT WE UNDERSTAND THE TERMS OF THE CONTRACT, THE EXPLANATION OF THE WORK TO BE PERFORMED BY THE CONTRACTOR, THE ROLE OF THE CONTRACT ADMINISTRATOR OF THE REHABILITATION LOAN PROGRAM, AND OUR RESPONSIBILITIES DURING THE CONSTRUCT- ION PHASE. I (WE) HAVE BEEN GIVEN AN ADEQUATE EXPLANATION TO OUR QUESTIONS, IF ANY, AND ARE AWARE THAT ASSISTANCE WILL BE PROVIDED BY THE STAFF OF THE REHABIL- ITATION LOAN PROGRAM IF REQUESTED. WE FURTHER UNDERSTAND AND ACKNOWLEDGE THAT THE REHABILITATION LOAN PROGRAM ASSUMES NO RESPONSIBILITIES FOR THE WORK PERFORMED AND DOES NOT WARRANT ANY WORK PERFORMED. i gnat o�p rty wner to gnature of Property ner Daj - - - 1 , THE UNDERSIGNED, HEREBY CERTIFY THAT THE PRE-CONSTRUCTION C ON THIS DATE BETWEEN THE HOMEOWNER(S) , REHABILI CONFERENCE WAS HELD REHABILITATION LOAN PROGRAM CONTRACT ADMIN- ISTRATOR AND MYSELF. I UNDERSTAND THE PROCEDURES TO BE ,FOLLOWED FOR CHANGE ORDERS AND REQUESTS FOR PAYMENT. I UNDERSTAND AND AGREE THAT THE WORK PERFORMED MUST MEET THE STANDARDS OF PERFORMANCE REQUIRED BY THE REHABILITATION LOAN PROGRAM AND ESTABLISHED BY THE REHAB STANDARD PERFORMANCE MANUAL. ggnaitu�reoon ctor ��ft aDa to �9 I, THE UNDERSIGNED, HEREBY CERTIFY THAT I PARTICIPATED IN A PRE-CONSTRUCTION CON- FERENCE THIS DATE AND THAT I HAVE COMPLIED WITH ALL OF THE PROVISIONS OF THE REHABILITATION LOAN PROGRAM PROCEDURAL MEMORANDUM #49. MORTGAGE NOTE Atlantic Beach,Florida For value received, the undersigned (jointly and severally, if more than one), promise to pay to the order of the City of Atlantic Beach, a municipal corporation, 800 Seminole Road, Atlantic Beach, Florida 32233, the principal sum of Twelve Thousand Eight Hundred Thim Md 001100 Dollars (S12,830.00) being payable in lawful money of the United States of America at 800 Seminole Road, Atlantic Beach, Florida 32233 or at such other address as the holder from time to time may specify by written notice to the maker. Said principal sum shall bear no interest and shall be reduced in amount at the rate of 1/10th per year until reduced to a zero balance at the end of 10 years. Any unforgiven balance shall become immediately due and payable if the maker transfers title to or moves from the premises securing this note within the 10 year period. In the event of the death of the maker of this note, this note shall remain in effect and the principal sum reduced at the above rate of 1/10th per year only if a member of the makers immediate family takes up residence in the subject home,under any other circumstances the note shall become immediately due and payable. This note is to be construed and enforced according to the laws of the State of Florida, and is secured by mortgage on real estate of even date herewith. If default be made in the payment of any of said sums or m the performance of any agreements contained herein, then, at the option of the holder of the some, the principal sum then remaining unpaid shall immediately become due and collectible without notice, time being of the essence of this contract, and said principal sum shall bear interest at the highest rate allowed by applicable law,from such time until paid. Each maker and endorser waives presentment, protest, notice of protest and notice of dishonor and agrees to pay all costs, including a reasonable attorney's fee, whether suit be brought or not, if counsel shall after maturity of this note or default hereunder or under said mortgage, be employed to collect this n e or to protect the security thereof (seal) Name of Maker (seal) Makers Address: 95 Robert Street Atlantic Beach,FL 32233 STATE OF FLORIDA DOCUMENTARY STAMPS IN THE AMOUNT OF S HAVE BEEN AFFIXED TO THE MORTGAGE SECURING THIS NOTE AND CANCELLED. a2 c .n N o O� 3 n e 3 " ° o O A p �3 c _ N.. m x Z p N n Z �+ W = o o N = I N $ N O w 0n o'W W W a o W $-� 3 O ' O ` 3 m C 0100-i O p^ ANN a- 0 � x x aaN m CO _ u� r_. r o I R- 1685 I N In N m `Mr. 0 pr jr c s'N ' .• — N (—1 G G �il ► N rC� �;: g - - - t1 x s I 1 1 1 1 A N N U Ilk 1� A cn"0 o o r- (� •�' ♦ a A A < z z z vQ PPP _ Otn O 3 O W W wR-M Y. N pw 0 0 O W .ca (4W. N <n W- -- _ C p _ (�x ,° I 1 I NNNW A DW W A A am NP.O- - -~ 1 1 1 (C o 0 7o p - c on� N • - N � "0 0 . �93s a I0 0o Ln D " . aNNI - 2��, nN o Q 'aoan 0 -4La A N NN �w l p .,° 3 ° Q A N N 7o D RP •_t a'— 3 W 1 1 7 D o N LA coa pp aw p = C X cr 7c' OD f—b -N Ct q A A 1 O 0Ca 112 q = 1 — _ W d T co a s o. N 9 - $ '•' O _ C# 3 N 1 n e U a $ c co Z SANFORD TRUSS® BI-I3-FORM ALEXANDER W. N BALFE, INC. TIFIED BUILDING COTR CERACTOR THEODORE WELLS 101 CENTURY 21 DR SUITE 211 (Home Owner) JACKSONVILLE,FL 32216 95 ROBERT STREET (Contractor or Bidder) (Address ) (Address) (Phone) Material Specifications Material Labor 1. STRU�L: Jack house at center line and level. Build u p piers to maintain level structure. 2. ROOF: Tear off and replace all deteriorated wood and metal compone is at flat roofs only. Install torch down roofing system. 3. SHEETROCK: Retape and finish damage /ceiling joints. Patch ? ?a and texture water damaged ceilings. 4. ELECT AL: Troubleshoot and repair illegal and faulty wiring an fixtures. Install exhaust fan in bathroom. 5. SEPTIC: Connect septic lines to � L{O z� municipal sewer service. �L4 00 6. INTERIOR FINISH: Patch and paint walls, trim and ceiling to spec. Stain kill bathroom. 7. SIDING: Replace deteriorated siding and trim with consistent materials. Prime and paint to match. y r Subtotals : $6LI !< Totals : $ 19 �J 2- (Date) -(Date) G �-✓ /� , (Con tractorori derS-anature ) E t EDIT BUILDING ,Y ' ��f Off'ATLANTIC BEACH.: . . .. " Pte ' ` I 'bM' " C -_ .. ..,. - � i if Itbt:"'.S 10# IMOURL Lot OLS JfAMI LY SubdiVIS if *i4d' V aiue 00 Wt 06 00 r Ali low ,.12 1 F111, #.� `�'.► TOTt ' � ' ' � ' � 0noRl .tt ` " - 77, � .. � Cid RADON Cr!SC3S ''co�1� .Elft az° " .;; �;*w if I l L -'ALL-C N TE Ft 3 FQOTttVta�S`MUST BE MISPE�'t �Et"�I `PCtUFttt�tQ . , a PERMIT VOID SIX MONTHS AFTER DATE OF."�UE r . 1 1 t.�htC MAT RLJI t }SH ANL1 6�tS FROM THIS WORK MUST NOT SE PIKE®It�F t' t.l� 'AANN-�� x `. CLEAT I CJ IJP AND HAt L"E�AWAY,,SY�E}TkIER CONTRACTOR OR OWNER " AS IC IN . s= �CQRQINC TO APPROitEQPLANS WHICH ARE PART 4F THIS FERMI fAt' q VI TOR F ; s A#�PktCAt3LE PR +'ISIONS OF LAW. t3ING:CEP { /►�t,/K� CITY OF //�� ri/ &c B� "t,<4 - 7� Office of Building Official REQUEST FOR INSPECTION Date / ` Permit No. Time A.M. Received P.M. eg Job Address Locality Owner's / Name CContractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. Friday A.M.PM. o -9 A.M. Inspection Made (( P Inspector Final Inspection o Occupancy ❑ Date DEPPATMENT OF BUILDING PERMIT NO. 3805 CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Dat„---8411/2 is Valuation 1 1 500 Fee 5.00 it not valid until above fee has been paid to City Treasurer, and is This perm subject to revocation for violation of applicable provisions of Lw. This is to certify tha to enclose carport and build sr� has permission to buil on his with appy. offstreet parking Classificatio residential Zone Owned by tsnrt x��►r>wat Lot House No 95 BobeIrt I;t 1 According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUUST+ � I11L SPECTED ifOREPPFut,14/70 P AFTI7T�'y �" SIX fiE O USS M IFt /7U O Building material, rubbish and �-- —� � Zi from this work must not be pl m public space, and const be cleared up and hauled away by either contractor or owner. Baildfus Offfefal• FOR OFFICE PERMIT DATE CONTRACTOR NUMBER USE ONLY PLUMBING ELECTRICAL SEWER WATER t FOR OFFICE USE ONLY t Date....................................19 ......5 CITY OF ATLANTIC BEACH Permit #........................Fee$:_.... ..� . Valuation $.....-•%•-�.J'-�........................... FLORIDA House #..... .. .....•---------•-•-------•-••....------•--•.......................•----..... G U jLAION FOR BUILDING PERMIT CITY OF ATLANTIC B --------------------------------------------------------------------------- ERC H Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date......------------•- .....................................119.--•--...... Owner_. C .----------------------------------Address... (l� ...... �� t;/� __..___...Telephone No�..._. ...= Architect..------•------_--------... ............................................Address._.......................................................Telephone No-----_--------------...... Contractor Builder------- _ -------------------------------------------Address............................................................Telephone No...........................-- Lot Nojkl.a f.. .....5..ti` Bl N0.3------- -----------Sub Division-----------------------------•---•---•---------............--......._.--•---...Zone_- ------ ................................................ •- Street Side Between...... C> .. a Sts c �/ i Valuation $...JJ ---------_-- For what purpose will building be used_ ... of �-� �' ype construction...................................... Dimensions of Building----------------------------------------Dimensions of Lot----.,.................................................Size of Footings...................................... Size of Piers-------------•-•-----------------Size of Sills----.........------...--------Greatest Sill Span in ft...........................Type Roof..................................... How will Building be Heated?-----------.---------------------------------------------------Will Building be on Solid or Filled Ground?........................................ Size of Ceiling Joists.--------------_-_---._.------........... Distance on Centers............................................, Greatest Span............................................ " Size of Floor Joists-----------------------------------------------Distance on Centers........... ---.............................. Greatest Span............................................ Size of Rafters------------------------------------------------- Distant ft1 .i;?-•V-,.,•----- -------------, Greatest Span............................................ of OF ATLAIVTtC r4aH This rectangle is to represent the lot. E Locate the building or buildings in the right position. Give distance in feet from A U G 111978 all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall 01 be submitted with application. 4 Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Ip 3. When steel is in place and ready to pour beam. a --- ! ►a 4. When framing is completed./ i` 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. \ q m ,I W 7. Electrical inspection by City of Jacksonville. m 6 f 8. Final inspection. �j Note: In case of any rejection,re-inspection MUST be called for after corrections are made. ~9 D' FRO � F LOT In consideration of permit given for doing the work as described in the above statement;eve herea ee to per�orm said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City o tlantic Beach. I -A-Signature of Builder--•--• --•---------•--•--•..... .............. .•-•--. . Address---.....................-------------------------------------•-•-•..... ••------......-•----•---••--- "—�.$ignature of Owner. =..� .:... `� E Address.................................................................................................... DEPARTMENT OF BUILDING 3148 CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 8,16,!76 19 Valuation x_160.00 Fee 3.00 This permit not valid until above fee has been paid to City Treasurer. and is aubject to revocation for violation of applicable provisions of Lw. This is to certify that The_c re R. Wells has permission to build 6' hsfend~ on side 10t lane Classification residence zone Owned by '1•hec�df� R We 1 1 s Lot 20 BlockDOI2l' er S/D House No 9 Rcher+ S re•_t According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE 11 ► 0 Building material, rubbish and debris from this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. c R. C. V©g-j Building official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL i SEWER W,ATKR I FOR OFFICE / USE ONLY Date............�;f -.L..-- 19 .. -� CITY OF ATLANTIC BE Permit #• -�- ......Fee$. .. ...... ACH Valuation FLORIDA House #. . . APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. ^10/ 1 � D ...... ...........C-_-_..-T---e--l-e--p--h--o--n--e----N----o-- ..----, 19.....7tr,26l./L � /Owner--- -----------• -----Address....Z- / - Architect--------• j •--.. I Address.. ----------------------Telephone No............................. Contractor Builder....._ .afe Address_.._.__.._._ '.'.............. --- ------------------------------------------ ._—. r'�`-X .----------------------Telephone No.----------•---------- Lot No.. 151------ -------Block No---------- ' -------------Sub Division----- '-� - Zone... - --------- --------------------------------------------------Street--------------- ---.Side Between..... - and......................................................Sts. Valuation $__ �F f. --.For what purpose will building be used.....-.... t � 4..Type of construction-----14"OAD.C./.............. Dimensions of Building----------___---------_---._...-__-,Dimensions of Lot-......................... .__--------------,Size of Footings Size of Piers__--- ------Size of Sills---------------------------Greatest Sill Span in ft _--------------Type Roof------------•----------------------- How will Building be Heated?----------------------------------_---..-.------_-.-.-----...Will Building be on Solid or Filled Ground?------.................................. Size of Ceiling Joists--------------- -----, Distance on Centers.-----.--_ •----------, Greatest Span............................................ of Size of Floor Joists------------------------ ---.-, Distance on Centers.......... -------•-----.................. Greatest Span----------................................. 'r Size of Rafters------------------------------------__------------- Distance on Centers.. .....-- ......... ................, Greatest Span------------------......---------...-------- „ This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. aMM LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. 1A a 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. l/- 'r 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. � Sto4tUMM 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 are a part hereof, and in accordance with the building regulations of the City o Atlantic Beach. f A Signature of Builder--- •_ .-.-t --. . .. . •_._ . Address.......✓... � - ; . . l . .. Signature of Owne ....... Address_..... s. .._.. ... . .. ..._...... JOB ADDRESS S CONTRACTOR OWNBR TYPE �RA FOUNDATION 3I,AVA PIARIBXING (R) SEWER LINTEL t,°0LTRH N + PLUMBING (F) FRAMING ELECTRICAL (F) OTBER FINAL 11011ce Of �Otiltlletl�etlletlt I�aeti►wa w e+Kaw�n1 To wh«r It onar ooa~pu ' The undersigned berebr Worms r*u that lmprovan.nta w!!I be made to'eortalA reel properly, end In OTCO>vt�4tNC accordance HCL1►tLNT. t with .cellon 713.13 of the rlarMa itatute4 the loliowlnt Wormatlon Is staled in this ttOTIC I�+ecrlpUon »_of SINGLE STORY BLOCK DWEELING LOCATED AT 9.5 pr"V L------------- Osneral do!uiptloa of Impreveawals .»�3LLC? T.AIS � �--SEWER CONNECTION Owner ....... THEODORE WELLS- »........»........ »— - »»«�»»»» Address 95 ROBERTS STREET ATL. BCH, FLA. Owner's Interest b site of the Improrsment ___---_-» .--_--- roe Simple TIU* bolder (If other Uua owner) -- _» _-».w_ ------------------------- Nuns —____--._-- -------------•---------------•---------------- _ Address ».__ .......... Cootraetor «ALEXANDER-W. BALFE, INC. »»-----------•_.._.....__.-------------------«,- -------- Address - 101 CENTURY 21 ' DRIVE 0211 JAX.., FLA. 32216 _—«__ »----•- »«».r-..»«_._-.»»__•___...«� Address ------- «.._�_««-_»_.»-..«.-»«-__--- _-ArAovnt of bond Hum sad edd/su of aar Pssa* puking a 1"0 for the ootutructloo o(tbe knprorcments. Near* --------------------------------_-.-----r--------�--•---------»------------- -- - ------_. owl o! ved.a wkbla lbs Stns o!1'brkis, other tb+et bfir", J"'Vwed by owner upon,whoca notices a otha docwnenu m+r b served: Nurse Address In addition addition to himself, owner designates the following per"a to r*"Ivs a ropl o< fh4 L14aws Notke u provided la flscUoa 713.04 I11 IN, Florida SWItttae. (PIU la &I Owners optlots), w CITY OF ATLANTIC BEACH, FLORIDA APPLICATION EOR ELICTRICAL PERM ApProwd:bYIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: AA`f 199 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,- WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRI L FIRM: ER ELECTRI NJOURNEYMAN NAME y(/ LL ADDRESS: gS 9-0 bfr 4ll"' RFD BOX 8I.60.SIZE BETWEEN: QLP lel*YA*t7- 6 RES.'S _ APT.( ) COMM.( 1 PUBLIC I ) INDUS. (,1 NOW( 1 OLD-04REW. ADDITION( I TRAILER ( 'I TEMP.( 1 SIGNS ( 1 SO.FT. SERVICE: NEW( ) INCREASE(>Q,, REPAIR( 1 FEE CQNDUCTOR SIZE ? aPj AMPS ;-6>c) COPPERf ALUM.. TCH OR BREAKER 4 0 I PH -W X56 VOLT CCC RACEWAY EXIST.SERA/.SIZE a d AMPS / PH 3W 3d VOLT SZ7 G RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, 3t.100 AMPS. SWITCHES .INCANDESCENT FLUORESCENT&M.V FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT . 0 1 �; O.1 OVER MOTORS H.P. VOLTAGE- PHS NO. I M.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: CINDER 600 V. OVER 600 V. DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD PERMIT NO. ��2A V I THIS PERMIT MUST BE POSTED ON JOB 4- Or 00 T Date I 19 ' 5/ I/ p 86 C00CA Valuation$ 40.00 4?7a ails � �$ This permit not 1000valid until above fee has been paid to City Treasu subject to revocarer,and is tion for violation of applicable provisions of law. This is to certify that Paul kfurray �_ J 2824 Florida Ave. 7I9.Iax, FL Ihas permission to j residenti— Classification Owned by Wells Zone Lot House No. 95 Roberts Street Block�_S/D Accordingto approved pproved plans which are part of this permit NOTICE—ALL CONCRETE FORMS l AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS i �-------♦ AFTER DATE OF ISSUE ----------♦ z Building material, rubbish and debris —I from this work must not be placed in public space, and must be cleared. up and hauled away by either con. tractr or o wner,t Building official.. OFFICE PERMIT ' USE ONLY NUMBER DATE CONTRACTOR i PLUMBING ELECTRICAL SEWER I WATER _ VA Forst Vs4--1832 FHA Form 2003 " y' For accurate register at carbon copies,form JR". Ms may be separated alone above told Staple ' F'>n appprrooved. completed sheets together in original ardor. Budget$arena Ai o. IN Proposed Construction DESCRIPTION OF MATERIALS No. .................... Under Construction (To be Inserted br FRA or VA) Properfy address ----Lot 18, Blk 3 Donner's Replan Cit Atlantic Beach Florida Y ---------•---•••.............•--- ._._....... Stafe Florida _ . Morfgagor or Sponsor...FLORIDA TITLE & MORTGAGE CO. Jacksonville Florida ...--•--_._..Name........................ .... .....-.----_•__....._.__,_.__Jacksonville, P. 0. Box 68 (Address) «cean>~a;- Contracfor or Builder _--TONEX..QUALITY..BUILDE-RS."-I,N?c.................•---.. Jacks.oAv. .1_eD.. (Name) (Address; INSTRUCTIONS t. For additional information an how this form is to be submitted, number minimum requirements cannot be considered unless specifically descri6cu, cf copies, etc,, see the instructions applicable to the FHA Applicafion for Mortgage Insurance or VA Request for Determination of Reasonable Value, 4. Include no olternafes, "or equal" phrases, or contradictory items, (Co as the case may be. sideration of a request for acceptance of substitute materials or cquipmc- Z. Describe all materials and equipment to be used, whether or not shown is not thereby precluded.) on the drawings, by marking on X in each appropriate check-box and entering 5- Include signatures required at the end of this form. fhe information called for in each space. If space is inadequate, enter "See (i. The construction shall be compicted in compliance with At relate mise" and describe under item 27 or on an attached sheet. drawings and specificofions,as amended during processing. The spceir=+ior 3. Work not specifically described or shown will not be considered unless include this Description of Materials and the applicable Minimum Cons+mct;a required, when the minimum acceptable will be assumed. Work exceeding Requirements. I. EXCAVATION: Bearing soil,type----Sandy-__LQ31J1-__--- Al1..__9QL_ Ing_sh �_� herr otl f i nl_.vi�rgin,__so l --- - -- - Z. FOUNDATIONS: �'g' Footings;Concrete mix-___25QQ PSI _. Reinforcing - - ----•------------------.•_.-----•----..._.._ ---_2--- __step_-rods----------•----•--._ Foundation wail: Material SOnx_11ocks------...._ -------------- Reinforcing------------------------------ Interior foundation wall: Material----------------------- _ -.___-- Party foundation wall ____._.-_____.__ Columns: Material and size-------.-------------------------- Piers: Material and reinforcing _--____--._ Girders: Material and sizes.........._------- -------- -. ........... Sills: Material -._0i a. 1 J2-2)cB_.!1aile �)_-•-_---.__._-----.... Basement entrance areaway---------._.._____________________•.,.__--_---.-.. Window areaways_..P>C_.Cast__con-c-rete__lint-_AY_e.T__is Waterproofing.............------------------------------ ----------- Footing drains------- Termite protection __Soil._TxeatmeaoLt______________•-------------------_._._- Basementlesss space: Ground cover-______-______________________ Insulation-------------------------------- Foundation vents -.---------------------- Special foundations _________________ a -- ---------------;---------------------------------------------— ll----- ---------------------------------------- -MG'I'E.:-____ ._ __ _ _ DA_P-SI__Mix_s l.ia_.with_ rods-----------------------------_---------- ------------------- 3. _--__-------G-----=:y'^3. CHIMNEYS: yjaterial._____Dura Vent 7- Inside Diam Prefabricated (make ----------------------------------------------------------- -- V - --- -- ---- Flue lining: Material Stainle s s-_Steel....... Heater flue size-----------------__ ____-. Fireplace flue size-___________--_-. ---.____-_ Vents (materia' and size)! Gas or oil heater -----none _____---_ Water heater-------------------------------- ---------------•-•----- 4. FIREPLACES: Type: ❑Solid fuel;Q gas-burning; Q circulator (make and size) ------ -- __ Ash dump and clean-out_____________ ____ Fireplace: Facing ---------------------------; lining ------------------------------; hearth-------------------------------; mantel _..---------_____-__-__-- R EXTERIOR WALLS: Wood frame: Grade and species____________________________ p Corner bracing. Building paper or felt____-________..____.----__--_ Sheathing--------------------------- thickness------------;width ------------; ❑ solid; [I spaced -------------- o.c.; ❑ diagonal; —------------ Siding---------------------------- -; grade----------------; type-------------; size---------------;exposure-------- fastening---------•-------- Shingles --------------.; grade -__---; type.... ......... size ,exposure ",fastening Stucco-------- -----; thickness............... Lath-.----•---------------------•---- -----;weight._...—......lb Masonry veneer----------- Sills -----------------•------•--------------------- _. Lintels Masonry: Facing _CoA.__Block..; backup ------------------------- thickness ...$.......... Bonding-------_----------,--------------___,___-----_--_--- Door sills ..CAnCxete........ Windowsills.�Ie__LASIcilII�._ .bsi_ck.__.. Lintel8__Pxa_.Cast_con.._.zeinfoxced_._.. Interior surfaces: Dampproofing, _______. coats of ----------------------------------------- furring lx2-_PT_-16" OC__----------------- Exterior painting: Material ...Waterproaf_.-p-ol txinyl__latex;__-wo-ojL.ni1._}Taint__________________________number of coats__..__ Gable wall construction: C1 Same as attain walls;®other_-_1X10.11__Sprxxce._BDS.ton_-Pattern-----_______________________________________. ------------------------------------------------------------------------•__--------------------------------____--------------•------------------•----------------------•--------•--- �. FLOOR FRAMING: Joists: Wood.tirade and species__D4S__It2__P_ine-P_T nther ,.• DESCRIPTION OF . `Ar.TITlON FRAMING: ^�----. Studs: V,o^d,grade and species - ---------- 0(_- --------- ---- - --.....r _Siz?and qPYC2n," oxo1€ _» Zt�e, X .. � r, ..._:.. .'------- FRA-A-------- --------------------------------------------------------- --------_------------^-------------- ----------------------------------- ------ VIG g:,;le and species -NS a fire Sanford _._ Other r ___._.-_--___-__ 3 Bridging --------------- flu r.'.�Or Ftf12tAlPIG: Pafters: Wood, grade and species ...__-------------------------------------- Roof trusses see + st Sanford ( - detail): and species____::1__P�ne_____._ .__. •-------•------- - Truss --- Txuss__datajj__akta h cd-------------------- i:f: �ling: Grade and species size4 Nx tyPe pI ta�� _-.- -._ _ X .;solid; ❑ spaced--__-._" -------------; grade ------C-------------; weight or thickness _235#; size ._NX_3,bfastenin E n o paint ------------- .. Underlay z la _ S# f �i'S 14 V-i l r-m-fing _-------- .-- -------------------------------------------- - ; number of plies -------------; surfacing material---------------. ..-__ _ %shing: :Material -----Coal_Y_._._1xS?II--------------------,----------------- ; gage or weight -------��----------; ❑ gravel stops; ❑ sno-A ^—..._._fully._-metal__eaY_e__-dxa.p._ax__xaQ£__edge---tbTnughout.--------------------- - ;UT PS AtQ DOWNSPOUTS: -- - - - - - - -- - ----- --------- --. ._.. - tJ-.a+ esra: 9alerial--------- ----------------- -- gage or weight ;size ;shape --------- ----------- ------------------- ------------.---- .,•:spouts: ihaterial ---------------- r . ----;�6"e or weight-------------size---------------;shape Pe ---------------------------- number - --- --- '' .; l5pouts connected to: ❑ Storm sewer; 0 sanitary sewer; ❑dry-well. ❑ SpIash blocks: Material and size-_---_..__.-___ --------------------------------------- --------------- LATH AND PLASTER: -------._._ ___... ❑walls, ❑ ceilir_gs: Material ______________________weight or thickness --------------- Plaster: Coats-------; finish _ ! r;-,vall ® walls,jieeilings: Material -_Sheetrack_____; thickness 1/_2"_; finish _paint------------- joint treat me,;t __ t ir.> TQ_.k-e--petty__£i zdsh--__met, l.._Izeads_.at ----- -- - - `a''=C°R,ATMi: (Paint, wallpaper, alt.) ROOMSi ------------ ... __ WALL.�'1N781S i14ATBRtA4 AND ArrLICATION C ETLINO FIN13H MATFAIAL AND APPL1CATIDv P 7 trip ¢ * tT� .} L..iin`len-------------------�---I_T.w�tiKr &-_ ._2---rQSa-vi._aname.1------_------------- . ; . ---------------------- .--P-r alcex._-&--2-_t.Qats__enaMe 1----------- ------ - _-A_11__PUXPQse__cement._st ippIr -- - -- : trvf_.iuuse----,---P_xipler_- -1__sAas._flat__£i.nisk-------------------� �tlauzszse__ee�ent_stz1�-----------_.------. �- --- ---------------------------------------------------- _-- _.._.- 7$ 11tiERlOR DOORS AND TRIM: _._.._�___._______._________ Doors: Type --Bush-----------------------------------------------.-.—; material -•--RC-Mahsan y---•----------------------; thickness -1-312-7^_rllaor trim: TypeM9_ ed_2._jJ4._, material ____F .li_-- Base: Type _M_'Idea--_ material F1r_---------; size �_.i 2 Fiai-,h: Doors __-_.__..----------------------------; trim ___- X__pai.nt--------------------- ------------------------ -------------------------- Other trim -(item, type and location) _____ShQQ-RQld_-__ - -x xx__paint-_ 11'. WINDOWS. / - -�"""tern s�✓' 7- Windows: Type--singlfeUl?g ; Tnake ..._[enahar! _...._.....__..; materialAluminum Class; Grade _-- SSB - _; sash thickness sash weights; ($ balances,type ------ ----- _ t t_G_'---------; material Paint ---------------- ---- -- ------ - - ------_-._-: number coats_.___-- `N--sal.nerstripping: Type -_A1I_ metal_ y e Wool _pile_ ---; material ----------------------- ---- Storm sash numb+r__--_-_. ------- - -------- - Screen-: �] Full; half; type _Llg�d__£I�2till ----------------------- _______________•_--___; nu:nber,.ea_..N inAcreen cloth material l$/-14__M.cSh-_0_LU- Basement windows: Type -------------------------; material -------------------__; ❑ screens,number --------; ❑ Storm sash, number S;ecial ticindows ---- -- -- - -- - ---- r�___xx Tl__-. '1ast� _1 1�bhnds__f._cuxam , -4;--tile__s-too----ls --------------------------------------------------------_----- w',":tANCRS AND EXTERIOR DETAIL: 1,lain a,trance doer: Material-JiC_1Asuan__EX41.'_.;width_3_1......;thickness 1__3t4 Frame: Material.__Fi,;~_____;thickness 0,1.ier entrance doors:Material IiC_1.,2UAm_Exj.;width 2'_a".____; thickness 1_3/_4. Frame: Material.-BT------ thiclmesr. 11-ad flashing ---------------------------------------------- Weatherstripping: Type ------------------------------------ saddles_Alm_v3 yAny1 Screen dont;: Thickness-----------;number-----------; screen cloth material ____________ ___ Storm doors: Thickness-------- ;nurnb,,r-_ C sf- in:.zion storm and screen doors: Thickness.......... number--------; screen cloth material -------------------------------------------------- Si z°tars: ❑ Hinged; ❑fixed. Railings -_----------•-------------------- -------------- Louvers 1 ::ler=,or millwork: Grade and species --------------------- _ _ Paint ------_---.---_-•- ----------------- - --------; nnmher coats .. ._ ----------------------------------- -------------------------- -------------- C A IINE'I'S AND INTERIOR DETAIL: Kixllen cabinets,wall units: Material ___Y�DS?sl - CuSLi1D1_ ---------------------_ lineal feet of shelves ------------; shelf widih Bn,ge units: Material - - --wend 4?,...,..4__ 21. SPECIAL FLOORS AND WAINSCOT " LocAnm i MATERIAL.COLUK T ORM?.SIM3,GAGFTC. CHRMHOIA) BA,96 I UNDERFLOOR Kitchen___-i+..-_ / A;' ------.----- _-_.-ialuai_ atria 3_112...wDa i,._i/8__iLyxaojj B th.__..__.{ C�ramiG -tl.lf_ 'i/4"._ .hi chi- g 1�2 bat111�� I __...��a��hla__----.----------;____VinylAsb. _til A/16",' thick alum �tr_i _�_L/_2__u�ac�d__--------.-•-------- LOCATIOM MATERIAL,CD1 Ol7 RIR IrP (AP, Ilr9,(1: k'.TG }r.101T HUGHT AT Tc' HRIONT AT SHOWU t� ii ___________ _--- TMitr__�zla__��xs__.31 -3-------- --------12-------- _-- 7Z.......... 7 1 -2 sheetrock - semi gloss paint finish to__c.eiU11g --------------------------------------------� - -- - -- ------ -- ---- - - - --- —___.-�_---------------------------------- Bathroom -- -. _=----•-----. .- Bathroom accessories: ❑ Recessed; material _ _________ _________ number ------, (2 attached; material ._Gg a ;� ;number $_.. _ ----•-----------------------------------------------------•----- ------ --------------_--------- ------------------------------------------------------------------------------- 22. PLUMBING: FIXTURE Numxrn LOCATION MAKE h'TFR9 FIXTURE TDENTIFICATIUK No, 1 SIZE i COLOR Sink--------------------- --- ---- --kitchen----- _.._-Gerber-------------- •-_Ferber_ t,avato ' - �'----------------�._� .__----..bath___...---�------Cezh�----------------_; _ #3.LO•----------------------------------�- Watercloset_..__-----_'_ 7 hath...... i -Gerber_._-_-----------'_- 9QQ_WASb.-Ao3w7i--------------,--------------------------------------- Bathtub ____._ 13 thtllb_______.__•....___.__l-_-__.__bath... - ' _.__.Gerber_------- ----------- Ger_�Zar.._st.�e1Obl-------._. S..__x_.lE:_-----�---_-- _- a . a I II Shoxerover tub*-----i_-.----- ___hat11--------'.___..x4xi er-----------------` .#F___4.802__3__lY-alve__diY_ -------< _. Stall shower—__.._____.I-----•.__-i --...._--__-_ -------------------- --•---------------- Laundry trays-------------------- L-_-___-]------------------- ' - ------ , *❑ Curtain rod **[; Door ❑ Curtain rod Water supply: ES Pubh [] community system; ❑ individuaI (private) system,* Sewage disposal: [3 Public; ❑ community system;$] individual (private) system. � *Show and describe in U iduai syst_m in complete detail in separate draur rags t:nd g eciti,rttiors a°cording to requirements. House drain (inside): Xi Cast iron; Q tile; Cl other-.._.______-____- Rouse sever gout%;Idol: C] Cast iron; u tile; N other_fibex__)2]pe Water piping: R5 Galv,.uized steel, [; copper tubing; ❑ other......_....... __.---------------_--------------------- Sill cocks,number Domestic water heater. m Elec. Auto ____.__; make and mo�lel Wagoner Upright-_8R42KK5 YID -- -- --- -- ----- recovery ..._high gph. '00' rise. Stozag<, tank: Material _..gla.ss._l.ined-. _• capacity gaIlons. -- - P y ---4.0--- Gas service: F-j Utility•.ompary; [I lig. pet. gas; (,D c her-.----------------- - .------------------ Gas piping: ❑ Cooking; ❑ house heating, Footing drains connect 3 to: ❑ Storm server; 7 sanitary sewer;❑ dry :veil. :rxurrp piump __..---------------------------------------------- ------- - - - ------------------- 23. HEATING: ❑ Hot water. ❑ Stn•.n- Q Vapor. ` lane-pipe system. ❑ Two-i.,ipe syst£rlr. ❑ Radiators. ❑ "onvectors. Cl Baseboard radiation. 1,14%ke and model ---_ __-_-_------_------------------------- --------- Radiant panel. [ Floor; ❑wall; ❑ cei,ing, Panel roil: lwiste;iat __-_-.._...__-.___._._---------------------------------------------------- __•-- ❑ Circulator. Return pump. Make and Tra el _.. .___...___...-.__._----__.-----------_---__.._..----------------.-; capacity ------__-_-__ gpm. Boiler: ,Make an( model ......... Output_. Output ------- _.--_ __ Btuh.; net rating ------------------ Btub. •---------•-----._ .__--.------_ --- ------------------------- •-------_----------__-------------•------------------------ ------ Warm air: ❑ Gravity. Q Forced. Type of system ____...._.._.._..--.•_.--_..--------- -------_-------_._._.----_._-_._----.--_-----_- _---------------------- Duct material: : pply---------------------- return -------------------- _...----__ Insulation -------- ------- thickness --------- ❑ Outside air intake, Furnace: Blake ,ad model ---------------.......__.__._______--------•----------- Input----------------_--- Btuh.;output--.---------------_- Btuh. - ------------------------ ---------_------------------------------------------_---------------------------------_--------------------------------------- ® apace beater; ❑ i^or Earns e; P_9 w 1 e ter. Input ___..__s________------ Ptuh.; output.__._57�000____ Btuh.; number units Mor Sun C 75 a Make,model ----- --- - ------- -- ----------------------- ----------------------- --------------- -----..-----------------_------------------------- .---------•--•------- _ - ------._.___- -------- -------•------------------------- -------- Controls: Make and types_____White Rogers _ ----------------------------------------•---_------__------------•---_--------------------------- -..----•-------•--•----•- -------------- ------------------- ---------- Fuel: ❑ Coal; F9 oil; (]gas; [Iliq.pet.gas; E, electric; ❑ other--------------------------------------- storage capacity ___----------__._---_--_-___- -------------------------------------------- ----•-------_-••------_-----------------------------------------•----------•-_•----- ----------------...---- Firing equipment furnished separately: [DGas burner, conversion type. Stoker: ❑ Dopper feed; ❑ bin feed. Oil burner: ❑ Pressure atomizing; ❑ vaporizing ----------.---------------------------------------------------------------- Make and model ------------------------ --------------- ......--• - Control ---_------------------------------------- ------ ------------_----_-------...._-_.--------------------------------------------------------------------------- Electric heating system: Type--------------------------------------- ------- Input ------------ watts; @ __..__- volts;output----------------Btuh. - - - ----------------------•--------------------------------------------• ------ VeAti'lating equipment: Attic fan, make and model ----------------..-------------------------------..-----------_----_--; capacity---------- _.._dm. ESCp Z•ON ffes�. 26. INSULATION: LncA-xav 1nYcsxexa — I— b"AYF,R2AL,TXPE,AND Y+AFTkiCtU<'P SYS Az.c.nrteta Ceihn. - - Pon APgLR fnof........ 159 Felt tacked to she "; z--�- ---- - -I--- _at3e_ ,a--S - - ---- ------ --------------------- ------------ Iootrr ----------- -------------------- ---------- ----------------- -- -- - - � __. -- -------------- -- ••-•-------- ----- _ - - . I�IsceLLAI4>:Ovs: __._ _ ___ _____ _ ( '`s ibt ani-win du,ctling"Wterifils,6quiPment,or constructio n z rm,.s not slzousar eine _---___-----__.. -____.__ - _____ HARDWARE: (bloke, ,rnj"r'1.f ane'fYni•hS-_•- c ' , ,1 , ---_----_- E'zUIPRtEN'i': rS!cft matr...;a' or made and magi.} V^mtian blinds __..__------- _________________ Number ---------------- Automatic washer_______-----_.______.--_--__- ----•-• __-- ----. 1•;tchFn range --------------___e....__.______•---___--- _.__ Clothes drier---•---•-- ----- +� ri�-rrator----------------------- --__-- Other---------- --- - -------------------------------- ------------------------------------------------- ------------------------ a! arbage dis?�osal unit -----_-_--_ _----__ __. --- �r a et; ----------------------------•--•----- . --------------------------------------------- ------------ TZIMACES: - ---------•----------------.-------_---- ------11----•-------------- -------------------------------•- ------ GARAGES: ---------- ------------------------------------------.1------------- ---------- ----------- ------------ ------------------------------------------------- -•- --------•--- WALKS AND DRIVEWAYS: t)_iveway. Width------------ Base material---- ----- thickness_.____ ', Surfacing material -------------------------------- ---; thiclnesr . v-xit walk: Width___--__- Material---------_-------------;thickness_.____". Service walk: Width------ Material ..........ti;ic'�:nes,_..:._ >teps: Material - -----------------------------; treads , rise—, ...__.. Cheek walls - ------- --- --- ------ ---------------- ...... -------•------ OTHE't ONSITE IMPROVEMENTS: (S-rcify all extcriar onsite improvemcnts rol described elsewhere, including items sucli as az.nusual grading, drainage struct,.:r:- retai-ling wails, fence, railings, and accessory structures.) ------------------------ _ _.__. __.___________________________....._-______-____-.._._____-____-__-__---_.__-__._....___.-________-----..__-------___-_ UNDSCAPING. PLANTING, AND FINISH GRADING: 'o soil _________" thick: ❑ Front yard; ❑ side yards; ❑ rear yard to ................... feet behind main building: Lawns (seeded, sodded,or sprigged): ❑ Front yard------.._______------; ❑ side yards--------------------; ❑ rear yard _____---__--____------_ _ Yiam:;ng: ❑ As specified and shown on drawings; ❑ as follows: _-----____ Shade trees, deciduous- ----------- caliper, _ Evergreen rgreen trees. - R :� 1 p lett Nealt6 lepadmeat 8390 DUVAL COUNTY COURHO 66 JACKSONVILLE, FLORIDA fmpvc TANK PERMIT j FEE $5.00 Name of Owner , 4 Address 19— Date Installation At: ' 0 >rt Geor t Installation By: f M ti,;, NOTE: does not 9 onin eof this unit and theaoccupant will be resp On ble for its satisfactory sanitary operation at all times. 1 (,lallons. Septic Tank Capacity: -- +------ N Drain Field ,. r��y� U L C H£`kL'iF�r PT. iWa� DIRECTO CONSTRUCTION By;, TIn E PERMIT VOID SIX MONTHS AFTER ABOVE DAIS IF NOT STARTED f APPRDVED*� CITY�UII.D NG ATLANTIC BEACH-- Date,...... ........... .........................�..... a a a j