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Permit 408 Royal Palm (vault) ' I -� L Y of Atianlic _ bUiidiiira C I i Lv iiia; rr j City of Atlantic Beach • 800 Seminole Road•Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • FAX(904)247-5805 • http://www/ei.atlwtic-b ach.ft.us PERMIT APPLICATION FOR ROOFING JOB LOCATION OWNER OF PROPERTY S ^� PHONE# CONTRACTOR Al-ra CONTRACTOR ADDRESS CONTRACTORS LICENSE NO. PHONE# SCOPE OF WORK A1'Cc--- DECK SLOPE�, GREATER THAN 2 : 12 LESS THAN 2 : 12 ACTUAL VALUATION OF WORK $ -1 � � a " MATERIAL TO BE USED 'C> r j /C `! �TM DESIGNATION REQUIRED INSPECTIONS SHEATHING- FINAL LIBILITY INSURANCE POLICY SUPPLIED YES NO WORKERS COMP.POLICY SUPPLIED YES NO CONTRACTOR LICENSE SUPPLIED YES NO OCCUPATIONAL LICENSESUPPL D YES NO SIGNATURE OF O X / .� E-McLAUGHLtN SIGNATURE OF CONTRAC OR �1llf3iOF F�r MY EXPIRES: Dace b CC 976739 T EXPIRES:December 8,2004 1-80a NOTARY FL Notary Service&Bonding,Inc. SWORN TO&SUBSCRIBED BEFO ME THIS DAY OF ..2�4 200 AS TO OWNER NOTARY PUBLIC c 4P�oy ,GLORIA J.CASTERLINE•McLAUGHLIN M MYCOMMISSION#CC976739 EXPIRES:December 8,2004 70f 110,10 1 4800.33NOTARY FL Notary Service&Bonding,Inc. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address A 7eu aL Date a .Ac( . 07, Heated Square Footage ( $ per sq ft = $ Garage/Shed � per sq ft = $ Carport/Porch Vv per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ Total Valuation 1st $ fi ftoo $ 0. oa Remaining Value .% per thousand or portion thereof TOTAL BUILDING FEE $ S. + 1/2 Filing Fee $ l 3 . ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ � . WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT_ $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ O0 GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES: AV x v' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j - ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Ft1r * Application Number . . . . 05-00029492 Date 1/07/05 Property Address . . . . . . 408 ROYAL PALMS DR Tenant nbr, name . . . . . . INSTALL VINYL SIDING Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4653 Owner Contractor - ----------------------- ------------------------ SIMS, THOMAS J. ALL AMERICAN SIDING INC. 408 ROYAL PALMS DRIVE 3035 POWERS AVE. #2 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-3800 ------ ---------------------------------------------- ----------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 4653 Fee summary Charged Paid Credited Due ----------------- -- -------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Grand Total 82 . 50 82 . 50 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHIC ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL g CITY OF ATLANTIC BEACH cD. v BUILDING / ZONING DEPARTMENT ' r } Sr 800 Seminole Road S. Doerr J � Atlantic Beach,Florida 32233 �* (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # CS - 'Z9 4'1 Z Property Address: L4 OS —R0 4 4SL PAC..?-tS Applicant: CA-" t D i� Project: SThL.L. Vi Q 4 L- S iy i tJ!; This permit application has been: Ell""Approved F-1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: l • `4� Y� x�rc. . 1 City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - FAX (904)247-5805 - http://www/ei.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE January 6. 200ir JOBADDRESS 408 Royal Palms Dr. , Atlantic Beach, FL 32233 APPLICANT MARY J. SIMS ADDRESS 408 Royal Palms Dr. , Atl Bch, FL 32233 PHONE: 904-249-3800 ROYAL PALMS LEGAL DESCRIPTION: BLOCK NUMBER 17 LOT NUMBER 13 ZONING DISTRICT UNIT 2A CONTRACTOR ALL AMERICAN SIDING, INC. STATE LICENSE NUMBER CRC013104 ADDRESS 3035 Powers Ave #2, Jacksonville, FL 32207 PHONE 904-739-7739 CITY Jacksonville STATE FL ZIP 322.07 FAX 904-739-7769 -Dom -�► a, DESCRIBE PROPOSED USE ANDWORKTOBEDONE Installation of vinyl siding, soffit and fascia PRESENT USE OF LAND OR BUILDINGS) single family VALUATION OF PROPOSED CONSTRUCTION $4,653.00 Is this an addition? NO If yes,what are the dimensions of the added space: NA feet by feet Will the added area be heated and cooled? NA New electrical or increase in service? NA New plumbing fixtures? NA New fireplace? NA New heating/air conditioning? NA Is approval or Homeowner's Association or other private entity required? No If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ❑NO. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP I. Verify zoning designation and proper setbacks for the proposed construction. if you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 6/18/02 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the propert boundary with bearings and distances and the legal description. 2. Location of all structures,tempor y and permanent, including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant chvironmental fea xcs,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculat ons. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. 1 HEREBY CERTIFY THAT ALL INFORMATION PROVIDED 1'1'11 THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE. January 6. 2005 I HEREBY CERTIFY THAT I HAIT READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS O THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HE ZEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON TIIE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SIIALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE_ January 6. 2005 ADDRESS AND CONTACT IN11ORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEAS PRINT) NAME KEN WAD MAILING ADDRESS 3035 Po ers Ave #2 Jacksonville, FL 32207 PHONE 739-7739 FAX 739-7769 E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS 6th DAY OF January, 2005 STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE DOUGLAS L T AS TO O MY COMMISSION# 344029 Personally known EXPIRES:Septembe 14,2008 Bvmd d Thru Pktbrd In6ur r ® Produced identification Type of identification produced Driver License AS TO CONTRACTOR: ® Personally known 0 Produced identification DOUGLAS L.TH Type of identification produced MY COMMISSION# 344029 sa, EXPIRES:September 4,20D8 BondedThru pWwd In AgWVV 6/18/02 Product Specification Sheet A!AA,NP 4 TT, l1 'LIE ACV, CITY 0 1 5UILI)AiG 6Fr ICE JAN,Q'� 2 CGR't'1N'me1) Sr,R,lnf4nVn hape la R4fR1 WAR SIDI A Nt'W CiCTIt iat10t10f BU11Cjltlg PIOC1<UCCS. I tult,Ine UE luflurer n Rid It" All Super Polymer and Solid Vinyl Siding,Soffit and Accessories "ISI,"nmanufactured by Heartland are made from exclusive formula- . tions which have the following properties and specifications: __ THICKNESS: WOODHAVEN 044 �\=s,.s• .sr«yr«rumor wn„ffufr SIDINGS 042* /�� _- r-7� RUPCR POLYMER VINYL SIDING ,046 044* `�%ef)Uc s,�i2`L�/'c � .046* Au7raaik-aoi� 042* S.F.,*.or VI.r19141.0 Of..L� E.�.,C�r" (Beaded .046) V turf• ` ' SUPER POIVMlR .050 EMPfn►ONw[• H ' �. 044* • EXTRA-STRENGTH 1_11 (1-10(�V��� 8" .046* wa.rwst.,�.✓te��� ® .040* VER71C AL PANELING Lj.,ny{+R.frnfJrf�I�sr,a PREMIUM SUPER POLr��R 046 RICAN N r[ .044* ..r..P..r« •4 M.1. Hdbff 6 SPIRIT �"�—• 044* MPf R1AL .0A 0>Ic VERTICAL PARELINO BUP[Rr'OLYMER `t0 ceded '042 T FALGAR 044* * a,P�4 _. - .044 ,».,..f...Rr.rr. ( .002) SQUAD ,If So f�it�walnscot ,-N!.LLII1'�IYI'I.VINM) .046* solid Vinyl TEST RESULTS: IUNIVERSAL .040 Impact Resistance(ASTM 4226) . . . . . . . . . . >60 in./Ib. 1 Negative Wind Load(ASTM 5206) . . . . . . . . 55.5 PSI' • Specific Gravity . . . . . . . . . . . . . . . . . . . . . . . . 1.452 Hardness(Durometer D). . . . . . . . . . . . . . . . . .72±3 ��•�`� 090 HEARTLAND fA0 Tensile Strength(psi) . . . . . . . . . . . . . . . . . . . 7260 Nmghf, edarstlatr ( 2) Modulus of Elasticity in Tension (psi) . . . . . . 326,718 Swf(upeJvrlmmrnlArxpRrufs SELECT 32.5 @ 23'C G�pS$IF/FQ Izod Impact(ft-lbs./in. notch) . . . • • • 3.5 @ 0°C •V S llcat Deflection Temperature : 3 12 164°F I SlxLnsorcd Program ® Certified.Pertains to Coefficient of Expansion(in./in°F) . . . . . . . . x 10-s 264 psi (°F) PrUduct used in Sidmall Warp <1/8" Applications Only. Soffit Standard. . . . . . ... . . . . . . . . . . . Aerated D6=13.29 Sq. In./Sq.Ft. Vented Sof (Net Free Open Area)Hidden Vent=7.40 In./Sq.Ft. Center-Vent T4=5.24 Sq. In./Sq. Ft.(16.98 Full Vent) The following lire hazard classification is established by Underwriters Laboratories for the product in comparison with red oak at 100 and asbestos-cement board at 0: Flame Spread . . . . . . . . . . . . . . . . . . . . . .25 Fuel Contributed . . . . . . . . . . . . . . . . .::0500 Smoke Density Developed . . . . . . . . . All siding,soffit and accessories manufactured by Heartland have a Class A fire rating based on ASTM E84 test results. All siding, soffit and accessories manufactured by Heartland meet specifications in accordance with ASTM D-635 and ASTM El 19-88 certification of a tire endurance rating of I hour. Important: Fire Safety Information-When rigid vinyl siding is exposed to significant heat or flame, the vinyl mwill soften,aterials because many undeunelt, or layment mateurn, and rials are ymLade born ose orgi nic materialerial s that aCare re com combustible.Youst be u should when selecting underlaying ascertain the lire properties of underlayment materials prior to installation. All building materials should be installed in accordance with local,state and federal building code and fire regulations. All Heartland siding, soffit and accessories are considered by the maker to be superior products in both performance and weather resistance.All products are extruded flat and formed immediately after extrusion to insure a uniform product. Heartland Building Products, Inc. products feature a low gloss natural patina finish and are not painted,so there is no paint to wear or chip off. All products manufactured by Heartland Building Products, I`Inc.,meet or exceed ls as specifieddardn Ut3679.U'D.,B.O.C.A.,S.B.C.C.L,LC.B.O. and all standards set by American Society for Testing and Ma HEARTLAND BUILDING PRODUCTS,INC. www.heartlandsiding.con) 300 Park Place P.O. Box 880 Booneville,Mississippi 38829 662-728-6261 FAX: 662-728-2194 Code# 19-12-9050 Revised 6/01 Product Specincation Sheet APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE M YeaSd by m * CE,101FIED ,y,,,ty,tRl IJAN 0 6 2005 SOFFITS toms slyRlc Insmtutr.u. A New Generatio"01 Building Pr ucts. L-44— � "Man ar u.a p.A"IM.1,N �.): All Super Polymer and Solid Vinyl Siding,Soffit and Accessories Nyt,d, Rst• BY: MVMR(NN• .. ,Mt nsanufactured by Itcartland are made from exclusive formula- tions which have the following properties and specifications: �r�/ ,�'<j°,�•.Yl(ijG• 'l W.00D..9,Hr' AVEN .044 rI11CKNr,'Ss: 042* ....,r..r SIDINGS /� 9UPCR Po1.YMEe VINYL SIUIIIG .046 �� (G ` yrP.• Yl.rl cul.• ' Oat .044* .046* AvrymNwoon * l� U LECTION (Beaded .046) :. -. __ (, =4••�r .r+t.r..,r,. SU►ER POLYMER 'v50 _)AA 1-11W, NQafill[ ,044* EXTRA-STRENGTH .. . ...,..- 8„ .046* .040* t,i„�,ygMr,bAJ4nlILna PREMIUM sures POLYMER .046 RICAN H`�r .044* 044* . SPIRIT ��” 048* PEN T,C AL 8Y1SINPtTRI„ENSB+,A^fYr Beaded ELINO .04 2 ATOV2 )T( ArAG fwainscotSQUARElij. .046* Solid vinyl Ti--s'r ReSULTS: >60 in./lb. UNIVERSAL .040 Impact Resistance (ASTM 4226) . . . . . . . . . . , Negative Wind Load(ASTM 5206) . . . . . . . . 55.5 1 51• - • Specific Gravity . 1.452 .72 t Sin,CI-01-17,14 .090 HEARTLAND too Hardness(Durometer D). . . . . • • " " 7260 C_._.-" ( AO Tensile Strength(psi) . . . . . . . . . . . • • • • • • • IV,",r Cedar..%at!E SELECT Modulus of Elasticity in'rension(psi) . . . . . . 326,718 staOa�N.(orlwme^la<'w'^nei psslFiFo 32.5 @ 23°C G� • Ixod Impact (ft-Ibsdin. notch) . . . . . . . . . . . . . 32 @ 0'C I Ga64'F @ 264 psi ('F) L *vsl spo"'A * ' ea rrngTaln 11cat Deflection Temperattire • • • • • • • • ' • : 1 * 10-s CenificJ.l'ertainslO Coefficient of I:Xpillision (In./illl ) . . . . . . . . x Product used in Sidcwall <1/81, Applications Unly. Warp . Vented Soffit Standard. . . . . . . . . . . . . . . . . . . Aerated ent T4 29 Sq.I. In./ qt. (Net I-rce Open Area)hidden Vent=7.40 In./Sq.Ft. Center-Vent 1'4=5.24 Sq. In./Sq. Ft.(16 o)8 Cull Vent) 'lhc following fire hazard classification is established by Underwriters Laboratories for the product in comparison with red oak at 100 and asbestos-cement board at 0: Flame Spread . . . . . . . . . . . . . . . . . . . . . .25 I'.ucl Contributed . . . . . . . . . . . . . . . . . . .0 Smoke Density Developed . . . . . . . . . . .>500 89 All siding,soffit and accessories manufactured by Heartland have a Class A fire rating based on ASTM E84 test results. All siding, soffit and accessories manufactured . m ortant Fire Heartland tSafetyfcations in information-When`r'►gidtivinyllsiding(35 and is expose ASTM to significant t eel-tit of a lire endurance rating of 1 hour. Impterial expose ma when heat or flame, the vinyl will soften, se man tuell, underlayment materials are ymade from organic materials thaCare are combustible.You should selecting underlaying materials because Y ascertain the fire properties of underlayment materials prior to installation. All building materials should be installed in accordance with local,state and federal building code and fire regulations. ucts in rod All Heartland siding, soffit and accessories are considered by the maker ta insure a erioruniform product's performance and weather resistance.All products are extruded flat and formed immediately after extrusion Heartland Building Products, Inc. products feature a low gloss natural patina finish and are not painted,so there is no paint to wear or chip off. S.B.C.C.I. I.C.B.O. All products manufactured by Heartland Building Products,Inc.,meet or exceed standards set by FI.U.D..B.O.C.A., and all standards set by American Society for'l'esting and Materials 3679 INE PRODUCTS, INC www.heartlandsiding.coni IM-ARTLAND BUILD 300 Park Place P.O.Box 880 • Booneville,Mississippi 38829 662-728-6261 FAX: 662-728-2194 Code N 19-12.905W Revised 6/01 Doc # 2005004957, OR BK 12218 Page 578, 1 of 1 Filed & Recorded 01/06/2005 at 11:20 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE.OF COMMENCElYYENT (PREPARE W DUP"TC) " Permit No. Tax Folio No. Stale of County of To whom Il may,concorn: The undorsignedoonoroby Informs you that improvomonts will be made to certain real properly,and In accordance with Section 713 of the Florida Statutes,the following Information is staled in this NOTICE OF COMMENCEMENT. Legal description of property being Improved: BLOCK 17 LOT 13 ROYAL PALMS UNIT 2A Address of property being improved: 408 Royal Palms Dr., Atlantic Beach, FL 32233 Goncral description of Improvements: Installation of vinyl siding, soffit and-fascia Owner MARY J. SIMS Address 408 Royal Palms Dr..'Atlantic Beach. FL 32233 Owner's Interest in site of the improvement Fee Simplfs- Fee Simple Titleholder(if other.than owner)___SAME Name_ SAME Address SAME Contractor ALL AMERICAN SIDING, INC. Address 3035 Power's Ave #2,'Jacksonville, FL 32207e('- Phone No. 739-77.39 Fax No. 739-7769 - ~ Surety(if any) NA Address Amount of bond S Phone No. Fax No. Name and address of any person making a loan for the construction of,tho improvements. Name_ NA Address Phone No. Fax No. Name of person within the State of Florida,other than himself.designated by owner upon whom notices or other documents may be served: Name NA Address Phone No. Fax No. In addition to himself,owner deslgnatos the following person to receive a copy of tho Uonot's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name NA Address Phone No. Fax No. Expiration date of Notice or Commencement(the oxpiratton dale is one(1)year from Uho dale of recording unless a different date Is specified): NA THIS SPACE FOR RECORDER'S,USE bNV- NCR Signed:�,Z— / Dale:4 Ooforo mo this 5th ay o January 2005 In Uro County of Duval,Slate of Florkiayhps personally appeared MARY J. SIMS Notary, ublic at Largo,Slato of Florida,County of Duval My c mission oI PorsonallyKnown MrcowtnnssloNMoos�on or r Produced idontift S. � q `— CITY OF ATLANTIC BEACH 1 DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FI 32233 - Tel. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION ____ LOCATION INFORMATION Permit Number: 24553 Address: 408 ROYAL PALM DRIVE Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: ROOF Township: 0 Range: 0 Book: Proposed Use: Lot(s):. Block: Section:0 Square Feet: Subdivision: ROYAL PALMS Est, Value: Parcel Number: Improv. Cost: 2,450.00 OWNER INFORMATION Date Issued: 7/29/2002 Name: MARY J. SIMS Total Fees: 38.00 Address: 408 ROYAL PALM DRIVE j Amount Paid: 38.00 ATLANTIC BEACH,FLORIDA 32233 j _Date Paid: 7/29/2002 Phone: (904)249-3800 Work Desc: RE-ROOF CONTRACTOR(S) LICATION FEES ROMANO ROOFING SERVICES x 38.00 y � °4 ' 4 h I E yr . nfl,y ,•sp i { -,:v.„« �'•" ,.,„.um, "�"�, a °�*`' v P'� ,"k, , '" ti�as Ve r�'.,„. � r-z�' I nn w NOTICE CTION BUILDING MATERIAL, C SPACE,AND j MUST BE CLEARED UY x r "FAILURE TO COMPL IN THE PROPERTY OWNER PAY ISSUED ACCORDING TO APPROVED AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE per; T D wer: 1 1 Date: 7/ Z R ei o: 77371 14 ERNITS-BUILDING 1 $38.80 GFY OF ATLAN IC BE 001 322 Q�0 3 0 2002 408 YAL PALM -- CK ECKICO a 9 q $38.00 Trans 3:31:23 CITY OF 4&4^4'c BeaCA_ Office of Building Official REQUEST FOR INSPECTION Date._ Z O� Time *)J!cr—�3 Received Permit� d"Z .J A.M. P.M. Job Address Owner's Locality Gng� Contractor4w"01i(> CONCRETE ELECTRICAL ❑ Footing PLUMBING Re Roofing C� Slab ElRough Wiring ❑ MECHANICAL Insulation ❑ Temp Pole Rough ❑ Air Cond. & ❑ ❑ Lintel ❑ ❑ Top Out Final 11 Sewer ❑ Heating �(�a ❑ Fire Place Mon. READY FOR INSPECTION ❑ Tues. Pre Fab ©✓G Wed. Thurs. M. Frida A A.M. . Inspection Made P.M. Inspector P.M. Final Inspection ❑ Certificate of Occupancy❑ Date CITY OF 14&4a&' /7e4cA- Office of Building Official �f 2 REQUEST FOR INSPECTION Date— Time Permit No. Received A.M. P. Job Address Owner's Locality Name Contractor g )1.K 07%co BUIL CONCRETE ELECTRICAL PLUMBING MECHANICAL Re Roofing ,ab ng ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Tem Pole ❑ Insulation L7 Lintel ❑ Final ❑ Top Out ❑ Heating ❑ Sewer ❑ Fire Place ❑ f READY SPECTION Pre Fab Mon. Tues. S. A.M. Friday PM Inspection Made `�� -®� A.M. Inspector Final Inspection ❑ l Certificate of Occupancy ❑ Date ADDRESS BUILDING PERMIT NUMBER INSPECTIONS : FOOTING UNDER SLAB PLUMBING SLAB FRAMING CCVER-UP INSULATICN FINAL BUILDING 31 - Z CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # INSPECTIONS ROUGH FINAL MECHANICAL PERMIT # PLUMBING PERMIT # NOTES : E 090,01TMENT OF SUILp#NQ CITY OF ATLANTIC BEACH p RMIT INP'01f4ATIC .:. -t,4CATII N" I ' J T CSB --,.-_ .... 4 er it " umber: 3 6 A dress a 4�0 ROYAL P1�tXS DRI L A'TLANT I C B1A4ZH FLORIDA -12233 Nar :1L' ETIt _� ... , .,_ `LEGAL, ESRIPTION - W0O �'R ` mt " E l ock:17 .. �P: t? 'fir pn d . 11{ LE `A I , recti©n,: 3 Bubd g; q _ 1 fnos .• 4 �ubd3 v§s aw;I Ct RL PALM: - 41�elE t'; Valuer 3"1132 m 00 f k k 'I" t Pies CIJ I k8t ' i4., +E ' AL 'APPLICAT16N rEES SA ,,� t 4 K. , Sf eT `" aLc n' •. a ,s a s' '`''' 4, w3 , ' s Ott Ay ,4v r �3 7, z is NCiTtCE"-;INSPECTIONS MUST EE REQUESTED AT LEAST 24 HOURS PRIOR TO,}I 15PE0'Tt 7tN fl 771 3lILDIN MATERIAL,RUBBISH ANI«}DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE AN -MUST 8E &kARtD UP AND t=IAC1LE ;AWAY I»3Y"Ef HER CONTRACTOR OR OWNER a iE TO GtMPL ( WITH THE MECHANiS' �1N t,.A11 C1 Assw THE N fiH OPERTY �`3'11�'N `PAYING TWICE FOA suiL, l� M S , F7 FAI ISSUED CCORDING,170'APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND Sl18JECT 7Q'FiEVE�C ftQN FOR VtOLATI, N QF APPS iCAB;L E"PRGyV'I&O1NS C3F LAW. i #tLANTI, AGH BU" DIN EP" fMENT � X11 4t bit S . a .0 y A.o$�• CITY OF ATLANTIC .BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, D&HOLITIONS Owner(s) : / Nn lr}7lbs 1 ) " / '5 &'4 "'—t 57111 _5— Address : 1// l� 4-L--Itj�►?�5 �� Phone:-7 07 (q�?��� Lot 31cck or Unit # _ Subdi,ision: Contractor: wk State License Address: Phone 10: -' State Describe work to be done: <;0 D-y'p't aj c� f _resent use of building: Q �� ia'ration of _rocosed Constructicn: Proposed use: ; Is this an additior:? If yes, what are the dimensions of the added space' ft. X ft. W_411 the added area be heated and cooled? New electrical (or increase) ? New tiiumbing fi:Mures? New fireplace? New Heat/AC? SUBMIT TlnUZ (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMEN=EWT, AND OWNER/CONTRACTOR AFFIDAVIT, F OWNER IS CONTRACTOR. Signature OWNER: Date: Q Signature CONTRACTOR: Date: Sworn to and subscribed before me this day of RECEIVED � NOTARY PUBLIC STATE OF FLORIDA AT LARGE MAY 2 0 1998 ,„,,.,N,, �.%. Patricia Amonette * W COMMISSION M CCM81 EXPIRE: City of Atlantic Beach AMusr27,= Building and Zoning ;,. BONDED 71ft TROY FAIN INSURANCE,INC, CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address �0�(�{-L �� S —D PO ✓LCkt 1 Date_ Heated Sauare Footage ® @ $ per sa t Garage/Shed (a $ O ger sa Carport/Pore �r Patio �Yd �.�-pe sq fi = Sy TOTAL VALUATION ' S 3 '2- L Z Total Va i uat:ion 1st /00- _ �.- Remaining Value per thousand or portion thereot TOTAL BUILDING FEE 33 + 1/ � Filing Fee Fireplaces @ $15 . 00 S BUILDING PERMIT FEE S WATER IMPACT FEE $! SEWER IMPACT FEE $ _ WATER METERI TAP $ CAPITAL IMPROVEMENT S _ SEWER TAP ( 1 RADON (HRS ) 0050 S SECTION H PAVING i $ HYDRAULIC SHARES S CROSS CONNECTION S (. ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE ( ' ADDITIONAL PERMITS OR FEES : Mechanical Plumbing_ Electric/New Electric/Temp ; SwimminaPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : J7 3 + fm 24r 7 ;4e J_ 4 \' b� .. .-7, ROVED ( -- TLANTIC 139CH r �NG OFFICE - RECEIVEE -milli . dGt MAY 2 J 1998 cit Z Y of Atlantic Beach ! `/� Building and Zoning � i 1 - Y , Cmc], ) 40 eyvit, s � 4S 1���s .5 x %Zbojq� , /-/s 3' - ACJ 20 o 1 CL S PLOT PLAkl-- LOT .. BLOC- PLAT 1500K � pAGr,. � CF 'THS. PUWL i C MTLC4'�L05 0I / COUWTY� FL.OR. IDA �QrS SWA .L f'r^ 0 i M (� r M AS. MU.S- i N GABA i. i I 1 ; S \ i i Cir.CJA{C.�QIV� i j /09.(0 i 3T arr.l:-..-T� WO- %cam - -------- ----- --- -�----- ---` ` ` '� _� '.���r�w! � rl ' � ^~ ,°n"d ~�-�"w °=" DESCRIPTION nm�m-��0� MATERIALS t4o^ -_----~-_--.----- ^^ - (To x°inwwm^auroKAm,VA) l �0 uwn�v , ` ` ^ � ' ~ '.. Property address '-'--~-'-~------,--'--_-.-...—'-----� C�� -----'-----------~-----_-' State -�--'--,... ^ ' /- . , or Sponsor--------_----'--_-__--.'_..________.__-__ ____.___~____ ................. � "»�e/ w*���) ' ` ` ' _� Contractor or Builder ---.---'-_--_------'_-_-----'-.-----. -----_.-----------_-- _~'........... F DESCRIPTION OF MATERIALS 9. PARTITION FRAMING: # 2 SYP2x4 1611 a C. Studs: Wood,grade and species ----------------- --__-_....- _ Size and spacing ---_----------.-----.-_O.C.Other ---—------------- ----------- ---__ ----.--. 10. CEILING FRAMING: Joists: Wood, grade and species ---------------------------------- Other------------------------------------ Bridging-------------------------_._-------- ---- 11. ROOF FRAMING: Rafters: Wood, grade and species 3 ---------------- Roof trusses see detail • Grade and species IL ROOFING: ------ solid; spaced ac. Sheathing: Grade and species �2_ ►`?.� .........; size-.1�' ___; type--&'M-- ; t3 . � pa -�� Roofing --------------------------- -----; grade ---------------------- weight or thickness ---------; size ---------; fastening ------------------ Stainor paint ----------------------------------------- ------ Underlay --------------------------------------------------------------- ------ Built-up roofing —---------MQFFFw-__F'Sk' ------------------------------; number of pli4--. --------; surfacing material---- �vS+------- Flashing: Material --------------G.• I . ------; gage or weight 26---------------;MCgravel stops; ❑ snow guards ----- 1?. GUTTERS AND DOWNSPOUTS: Gutters: Material---------------------------------------;gage or weight------------ size---------------;shape _---------------------------------------------- Downspouts: Material ---------------------------------gage or weight-------- size---------------;shape ---------------------------; number ------- Downspouts connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑dry-well. ❑ Splash blocks: Material and size----_-•_----_-_-.------------- ------ 14. LATH AND PLASTER: Lath 0 walls, ❑ceilings: Material ---------------------- weight or thickness --------------- Plaster: Coats--------; finish ------------- ---------.-- Dry-wall (walls, ❑ ceilings: Material ---X.?_0IJ--------;thickness ..____._; finish ---FAINTED------; joint treatment--.-TAPED_. ........ .--•----------------- IL DECORATING: (paint, wallpaper, etc.) J ROOKSWALL FINISH MATERIAL AND APPLICATION CEILING FINISH.MATERIAL AND APPLICATION -- - -- - - ------2'_.4QA __ED"EL-- --aTLPZI+ED--------------------------------------------- Kitchen-- n n u it - -- ------- - -- ---------------------------------------------------- Bath-_A,I�L`©TREKS 2 CQI ' - AUFR_. SE ;- - ' - - - -- - - --- -- -- - --- I -I----- ------------------------------------------------- ---- - ------------------------------------- --------------------------—---------- 1& --------------------- ------------- 1S INTERIOR DOORS AND TRIM: 11.� material 1AUIL.N1A,HO NE,Y_-_------------; thickness . Doors: Type F. L---------------------- _, Door trim NOCK ; material ---- +------------ Base: Type ---ST_QCK----; material FIR ; size -- _ Type ---- ------------------ trim 2--.C_(1�'.IZ'a__VAFXISIi--------------•--------- Finishr Doors ---------�_.GQl9,.`�S._yA�l;a.F'i------------------------------; _'_. Other trim (item, type and location) ------- ALL---Q 2._DQE?&S_-ALL--CL.0�S=__SXCEE2QM_.BEDRQ .------------------- pISZSeIi__A�F+__&Y—_Pr@lS,`�I1�1Sz------- --------------------------------------------------------------- 17. WINDOWS: Windows: Type .-JAk�-NIXG------- make___E1ZD_-S.O.i�1T84L.____; material __..AL[IPi------------------------; sash thickness _--:_���_.__ Glass: Grade --------------------------- ❑ sash weights; ❑ balances,type _.-_ ___ _ -------_-------------_ head flashing ---------- •-._.- Trim: Type ----------- ------ -; material -------------------------- - Paint --------------------- - --------; number coats------- Weatherstripping: Type ---_----DQ1;_BU-•aEAr+------_----- ---; material •••------------------ Storm sash, number --_- Screens= Full; p half; type -----ALL_ WINDAida----------- -- number _.-__--_._--; screen cloth material _-A„L-U&-------------------- Basement windows: Type ------------------------; material ---------------------- -; ❑ screens, number ---------; ❑ Storm sash,number......... Specialwindows -----------------------------------------TI.LE__SSLLa----•-----------------------------------------------------------------------•------------- -------------------------------------------------------------- ------------------------ -------• - - 1t ENTRANCES AND EXTERIOR DETAIL: Main entrance door: Material------ UN--------------width thickness_1,134 Prame: Material ..FI,a----;thickness_1_411 Other entrance doors: Material-------------------------- width------------; thickness.......... Frame: Material .-------------;thickness------ Head flashing Weatherstripping: Type ------------------------------------; saddles ------------------------------ Screen doors: ------ ---__-- -------_---- Screendoors: Thickness J---3Anumber__.I__. .; screen cloth material Storm doors: Thickness..........;number.._ ---- Combination storm and screen doors: Thickness.........; number.......; screen cloth material ---------------------------------------- ------------- Shutters: [] Hinged; ❑ fixed. Railings -------------- --------------------------------------- Louvers ------------- ------ Exterior millwork: Grade and species -------------- •-------------- Paint ----QIL__B&SE.-------------------; number coats ._2—. --9 ---------------------- 19. - -.11. CABINETS AND INTERIOR DETAIL: FACTORY MADE LURCH PLANA . Kitchen cabinets,wall units- Matgrial --------_----- -----------------------•------------------; lineal feet of shelves ________----, shelf width . Base units Material ._ AC'1'ORY MADE ; counter top FORMICA __.---------------; edging __FORMICA ------------- ------- __. ------------ ------ W'Kt5ir'Fr'e "-i-7N-- _. _ FAc'T(3T3Y FiA1TSH . .,.....►.e,.—.s. 21. S►SCIAL BOORS AND WAINSCOT: TION MATERIAL.COLOR BORDER.SIZW.GAGE, ETC. – -_—'----I- TNRESHOLD _=-I... BASE UNDearL000 1 .A=.T.Q.a --------------------------------------- 'AI. ....i=---------Jag=:........ .. Bath----- ----�(MMI ------------- - ------ ------------------HARIM .----- -----TILE.........C� _._ ._ __New Cly -------------- -_-_ 2aL .gas -------- LOCATION MATERIAL.COLOR.BORGER.CAr, ZEa,GAGE, ETC. – HEIGHT HEIOHT AT TUE Hwon?AT SHOWER Bath_---.... ....9 `M19---TILSr-------------------------------------------------------------- 4-1-0"-----•-- ---0.00------ ------------------------ ---------------- ----- -•------- - --- ------------------------------------------------------------------------------------------------------------ ---------------- I ----------- ------ __- --- ---- - - ---- Bathroom accessories: ❑ Recessed; material _______________ _____________ number_.__._; ❑ attachgd; material ...__.___._.__ _ ; number_____. - =2. pLYMStNG: PYETUM Numan LOCATION MAKE Mra'9 FIXTURE IDENTIrICAT10N .'ATO. I SIZE � COLON Sink--------------------------1... It-01=l------.ice--------------- I-------------------------------------------- 21X2 - - - --Lavatory................... _.. -�ji-------------- a----- --- -- ---- - - -- - .9X1. - - Water closet---------- --�-• " -1 uHQuaa.------------------- ---BaBathtub----------------- thtub------•---------- - ------- --•--- ------------_------------------------- ---_--•-------- -_---------_------------- " ----5'IiE.CES,a Shower over tub•.----I----�---------------- - ---- ------ --------------------------i ---------- Stall shower•' Laundry trays- - -- ------- -------------------------- ---- + --- ----- -------------- ------------------ ------ ------ --- - •------------------------------------- -------------------- -------- --------- -- ------------ -- -------- ------------------------------------------------------ -- ---- •-- - ---------- ---------------------------- I -------------------------------------------------- ------ ---------------------------- - __:._.. - - - I ------ ----- -- - ---------- - ------ - - ------------- - - - - --- ------ Curtain rod ••❑ Door ❑ Curtain rod Water supply: EX Public; ❑ community system; ❑ individual (private) system.* Sewage disposal: pal Public; ❑ community system; ❑ individual (private) system. *Show and describe individual system in complete detail in separate draivings and specifications according to requirements. House drain (inside): [Z Cast iron; ❑ tile; ❑ other----------------- House sewer (outside): X Cast iron; ❑ tile; ❑ other -_•--_------_.-_- Water piping: ❑ Galvanized steel- ❑ copper tubing; ❑ other-.------------------------------------------------------- Sill cocks,number_ Domestic water heater: Type -A UFeSeTRI-0._--_--; make and model --__•_--_-_ recovery ----1UG�-------- gph. 100° rise. Storage tank: Material --------G.rz ____________________________ capacity -----4.Q....._gallons. Gas service: ❑ Utility company; ❑ liq. pet. gas; ❑ other __F+L.FQTR1a------------ -------- Gas piping: ❑ Cooking; ❑ house heating. Footing drains connected to: ❑ Storm sewer; ❑ sanitary sewer;❑ dry well. Sump pump _______.-_-__-__--_---•-------------------------------- _.-.—.-..--_•---------------------------------------------- ---------------------------•------ --------------•--------------------------------------------------------------------- 22. NtATiNGt ❑ Hot water. ❑ Steam. ❑ Vapor. ❑ One-pipe system. ❑ Two-pipe system. ❑ Radiators. O Convectors. ❑ Baseboard radiation. Make and model ------------------------------------------------------------ ---------.-- Radiant panel: ❑ Floor; ❑wall; ❑ ceiling. Panel coil: Material----------------------------------.-----------------------------------_--------------- ❑ Circulator. ❑ Return pump. Make and model -------_--------------------_._------------------------------------; capacity --------------- gpm. Boiler: Make and model -------------------------------------------------------_ Output ------------------ Btuh.; net rating ------------------ Btuh. Warm air: ❑ Gravity. ❑ Forced. Type of system ------------ -------------------------------------------•-------------------------------------- Duct material: Supply---------------------; return ------------------- Insulation ---------------- thickness --------- O Outside air intake. Furnace: Make and model ------------------------------------------------------- Input --------------------- Btuh.• output _ Btuh. ...---------------------------------------------------------------- •---•--------- ❑ Space heater; ❑ floor furnace;M wall heater. Input --------------------- Btuh.; output____ jQ s,QQ__ Btuh.; number units-.-------- Make,model ...SMART RNER._0-JL25_-A'----------- ---- --------- - --- ---- --- - -- -- - .-----------------------------------------------------------.-•-_-----------------•---------------•-------------------------------------------------------------------------- Controla: Make and types----------------------------------------------------------------------------------------------------------------•-------------- ..-----.--_-------•-------------•----------------------------------•--------------------------------------------------------------------------------------- Fuel: EJ Coal; ( oil; ❑gas; C3 liq.pet.gas; ❑electric; ❑ other-------------------------------------; storage capacity _...0__GALT-------- ----•---------------•--------------------------------------------------------------------------------------------------------------------------------------------------------- Firing equipment furnished separately: ❑ Gas burner, conversion type. Stoker: ❑ Hopper feed; ❑ bin feed. Oil burner: ❑ Pressure atomizing; O vaporizing ----•---------------------------------------------------------------------------------------------------- Makeand model ------------------------------------------ --------------------- Control -------------•-------------------------------------- ------ EU _ -------------- ctric heating system: Type------------------------------- ------------- Input --____------watts; @-----_-___--volts;output---_.__.___ __---Btuh. 4-------------------------------------------------------------------------------.-_-____-_-_-_--_-----_--------_-------.-----_------------_-_-----------_---------.-_-----_- Ventilating equipment: Attic fan, make and model --------------- ------------------------ --------- ------------------ caps ity------- __------efm. Kitchen exhaust fan, make and model 36-n-.IiChm. ---------­--------- DESCRIPTION OF MATERIALS, ! 2e. li$14ATION: - M F IAMB?KIN 4 THKK\Z - RAM0441,,Tlrtl+ AN6 AIrv-4i .OI tN 4#AUATKbY Roof.. VAPOR UARYtitti F3b+arg"]a� >r f>�e� _ ` a G�Wi 'tli;pled .._. .,.. ... i. Fail.._.__..;. ;• n — - _ ..........: ...... ...._ .._....« hd r: ._ :._ MISCELLANEOUS: wz (Deseribe any main dx+Aihi9 "tetrala+a wpm c�Ft,ot^eef�aI Gl �trnd ycaown elefthrre) .. ...... ............ 4 .-sem.. h a Ria B9C �.�J Ole t4 jj ............. ...w �;�IP�M. r rte. •.,_, ._.. i+ a, C '., .� ?}'`,f 'fir _ '♦ . „ •.._., .._.,.. .._...._., x r4 .......... ................ '� 'r '-r _.._. ,. .� HARDWARE: (Mou ................... •- it �.-. ♦._..,...-s. + G4, SPECIAL EQt1tPM[N?, (�{arle nrr�rEiat a? e►o4s��,�d�ief-��:` .r„ � a.. �.w.. f � Venetian blinds p '' Number 1►utarna>iic wasficr Kitchen ranee ....._ �.-....... , ..:_ Itefr Ck)thes drier".'.. .. ....... .._. .. .. gerotor.......... ... .�.. _ . Dishes Other .. .......... ................ cher .... *- Garbage disposal unit r. -- ._.. .._ .. .._._. :... ..._. . PORCHESI .•....................._. ................ ........................... k tEltRncl�s: , .� Single �... ...... . .. .................... ..,...., .. .. ....... ...... .... WALKS AND DRIVEWAYS: ., . ... . Vrivewav: Width .91 _�2". Base nAte}rial -47.­-,i l►laxertat ...1 ...OD..C.2O'.l'9Mxai1t!er..iils►1 .CO -CY'$,' �. ; tk\_takh.ne«t,, a , S,u,rfacing materi sl _ .sl rrs� thicknessFront wank; Width, Sorrice walk: WWW...... Note Steps, r;. '� rIsra " b 'Cheek w t ... �•• .................. OTHER ONS#?E IMPROVEMENTS- (Specify fill MPROVEMENTS(Specify'Htl exterior onAite 840"t,60;enta r~at4osi hed elarwhere. sArtu+tiep femxKaick as'unaiorral -SIrtadtnp, �Crniaape atl7tctiNatr re Gri nrn y icalta fence, mil#nya,�r:iQ act'eaxury'etrkGEurea.J . .,, _.. A ................... . - ... ................._... „ , w... _... . . _ .:. - _... ... . ..._ a LANDSCAPING. PLANTING. AND FINISH GRADMI a sR r Topsoil l".__" thici, -roti', yi rd;F1 side,yard,;.(o rear yard to ,. ..._ teat to hind tuaiA building. Lawns (hecdr,l, awlderl,or ,pri!7gvd).JUFTont,,yard Spred..., 2 aide yards Sprigg6d. G t n .• : [gear yard .bpx4�.. .�._a... /n�11��4 a����c /CITY OF n &�Z Office of Building Official REQUEST FOR INSPECTION DateL- Permit No. _ Time Received Job Address Locality 4Re er's e Contractor — ILDIN CONCRETE ELECTRICAL PLUMBING MECHANICAL ming ] Footing ❑ Rough Wiring ri Rough F! Air Cond. & C7 FF�bOiiITRJ—"' ❑ Slab ❑ Temp Pole Top Out Cl Heating Insulation t Lintel ❑ Final [-I Sewer C] Fire Place IJ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. ®rd.y— P.M. A.M. Inspection Made Ins p for Fina Inspectio cupancy Ii f2" Date __ i ... .., r 1 }�' � 1 �`� C..r,.� .fir` , `,� �. � J _.._..�....r __��, 1 ' �'i , � _'ii �_ a. CITY OF geru! - �76ud4 X00 SEMINOLE ROAD ----- ------ _ -- ATT—A. C 13EAC11. FT.ORIDA:;'22,;:;--)�45 _CELEPHONE ,0011 2 t7-,.;00 r.vX 904) 2IT-5605 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(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 _VEN THCUGH YOU CC 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,CC0,00 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. 17 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 17 IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS 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 CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM I C99 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,CCC PENALTY UNDER FLORIDA STATUTE NO. 455-228( 1 ). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA-"CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) iF iN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT, 0'-e� P P NE BUILDER - ADDRESS TELEPHONE ` SWORN TO AND SUBSCRIBED BEFORE ME THI DAY F I� NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING aAd�ODOW IND DEPARTMENT. �27.1000 111NIAp11AAGNlFRAM ' MAP SHOW'NG SURVEY OF Lot 13 Block 17 REPLAT,OF PART 6F ROYAL UNIT TWO A -16 AS RECORDED. IN PLAT BOOK 31 PAGE �PUBLIC RECORDS OF DUVAL CO., FLA. FO Poo le ild� S S , 4 / �k r 4 -- Q 1 � � N ' �, m VI Zo T/4 Y1 W • � w A w►c N ki0 O o' Y A L.. PAL "-.s" RECEIVED 4 .23 ' DEPARTMENT OF Bt1JL0jNQ Ili'Y`OF ATLANTIC BEACH PRRN LOCATION INFORKATION F rmit „Numb,r t Addre am x 40$ R# YAL PALM " Pettit Type Ri -R 3V . ATLANTIC BEACH, FLORIDA 32233 Clan of Work: NEW - L:,EGAI DESCRIP " " N' - Con tr. Types WOOS? Lots Hlta�ka " sectio Pro otied User B N+PL "ANrLY Tovnjbhip: RNal 0 Dvol nga: I Codes 0 Eubdiv3.sio-ilI ROYAL PALNR Ent >rat*d YaluoI $0.00 Wyk D RQQlF WITH NEW , SHINGLES tR4* QN AI'1PLCATTgN FRES . . A"d ALM DRIVE W 9"'� �.NPACT FEE ""anAv � ACTS, FLOfIDA 022 B �A�' FEW a0.0 IV RA 40. -- f °� ��NFORN ATXOR � - RADON 0AS �. B' *Q. ESO Nttt E ^, t�F'JiTAP 0.01 .'TAP .� 14 HYDRAULIC, SHARE $0. 00 40 Ty06 s 1 P.9-INSPECT E'ER kSEC. H IMOACT FEE �` yy X00 p`r y il� u� o ` � � NOTES: a, s F40TICE-ALL C®NCRETE FQRf0,AN0 FO©TINOS MUST BE IN$PECTEp B*FARE POURING PEAMtT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDIIIG MATERIAL,RUBBISH APT DEBRI FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEAR D u4 ANb HAULED AWAY BY EITH t.CC�NTRACTOR OR OWNI=R a ` FA t, R ��w!�3 + � Y 'WITH THE MEC �H� �1yCp�' 1�� �t l�l+�f�ri� SUL�'�' 1�1 T E Pest OWNER AYNG �1w{'rf B'0 �� i M � vEM ` +& 18SUED�ACCORDING TO.,APPROVED PI ANS'WHICH ARI; PART OF THIS PERMIT AND SUBJECT TO REVOCATION;fOR. YTOLATN!�F APPLICABLE PROVISIONS OF LAW. ATLANTI BEACH BUILDING DEPARTMENT 1110AX 12:38 By. a { zlq�3 CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) : J22it� Address: (/ Phone: Lot # Block or Unit # Subdivision f Contractor: Address: Phone: State License No. Describe work to be done: Materials to be used: Signature OWNER: ' � (� � � Date: Signature CONTRACTOR: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT N0. Date : December 6, 1972 LOCATIOly p� Rnval Palrm%Dr. Street LOT NO . 13 BLOCK NO. �7 S/D OWNER DIASTER PLUMBER Arthur L. Gann BUILDER OR CONTRACTOR Bldg. Permit iso,.. TYPE OF BUILDING Regidgnlial SIhln 2 LAVATORY 1 BATH TUBS URINALS 2 CLOSETS FLOOR DRAINS SHOWERS 2 WATER HEATERS—DISHgASHERS _DISPOSALS OTHER TOTAL FIXTURES * 00. NO WORK MUST BE DONE UNTII A PERMIT HAS BEEN FROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size..atid location of all the soil and vent pipes, and the number and location of all fixtures, (in accordance with Ordinance no. 188 of the City of Atlantic Beach, Florida) must be shown on bask of appli- cation and be approved by the Plumbing Inspector. DRAW PLAN AND SPECIFICATION OF ABOVE PLUMBING ON Br,.CK. Approved by Plumbing Inspector Date (FOR OFFICE USE ONLY) ROUGH-IN INSPECTED ! 21 REIVARI'S_ FINAL INSPECTION: CERTIFICATE ISSUED: FOR OFFICE USE ONLY Date.._....Y 1*7..2-- Permit $... CITY OF ATLANTIC BEACH Valuation E-_ 4..... ..... FLORIDA House #--- .......... .. ...... . ............................................................................ APPLICATION FOR BUILDING PERMIT ............................................................................ Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date....J'VO_1(...............Z.8, .------ 1922.. --------------------------- Owner----- -------&C-A_... --------------------------------AddressL"_3�*.I.P40k U....Telephone No.;74#=4d034 Architect------ ......---------------------------------------------------------------------Address,.....................-------------------------------------Telephone No------------------.......... Contractor ---------_------ ......Telephone Lot No.--..... _13_------------------......Block No.--------1-_)-------------Sub Division.._. 10-- Zone -Street-----*V-------------Side Between---CiJ -_---------------- and.._/_0/,f.Xt9--------------------------------Sts. Valuation $10W -------------For what purpose will building be used-X,&5, _--.Type of construction.S,4,&__4.,�.............. Dimensions of Building.AVA_45'_.________________Dimensions of Lot.40 KX-t.. -AV,9,3.............Size of Footings..--_. ------------ Size of Piers------............................:Size of Sills. _____...._.-.Greatest Sill Span in ft.--.---..................Type Roof��_ Vv_/'e--------- How will Building be Heated?.____Filr.4......ae'_4--_............._.Will Building be on Solid or Filled Ground?_..-. .......... Size of Ceiling Joists------------------------------------------- Distance on Centers---.---..._.. , Greatest Span-----..-----.--.-._..__....__._____.___..... pp Size of Floor Joists--------------•----------------------------- Distance on Centers...._...-- --------------------------------- Greatest Span-------------------------------------------- to Size of Rafters...- ---------- Distance on Centers.__._------- -----12 ............ Greatest Span _-­Aa ............... IV This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from APPROVED all lot-lines and existing buildings. CITY Of ATLANTIC BEACH REAR LOT LINE�45- Two copies of plans and specifications shall13UILDINC OFFICE be submitted with application. I Inspections required. -Dat 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. Z Z 3. When steel is in place and ready to pour beam. ►1 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. F3 6. When septic tank drain field or sewer is laid but before it is covered. t-7 7. Electrical inspection by City of Jacksonville. M 8. Final inspection. I Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRoN'r OF LOT 101.4 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 of Atlantic Beach. 44 Signature of Builder---30111 lt"6 * ..... .... Address_.._. _3._..--------10a --- ------11- Signatureof Owner............._)­.......AI......................------ -------_-_-- Address..................*------------..............(­..................../_ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT . ':, LOCATI N INFO NATION PERMIT iNl`ORMATION Address: 408 ROYAL PALMS DRIVE Permit Number: 214ATLANTIC BEACH, FLORIDA 32233 Permit Type: PLUMBING Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):13 Block: 17 Section:0 Square Feet: Subdivision: ROYAL PALMS Est.Value: Parcel Number: ON Improv. Cost: ER INFORM TITHOMAS AND MARY SIMS - Date Issued 2!12!2001 Name: OYAL PALMS Total Fees: 50.00 Address: A L ANTIC BEACH, FDLORIDA 32233 Amount Paid: 50.00 Date Paid: 2/12/2001 Phone: 904 249-3800 Work Des/c1: REPIPE 10 FIXTURES R I = 7" FE=ES CON '4., fl !�0 ATLANTIC COAST PLUMBIN &TILE PERMIT 50.00 Jns ions Re uired FINAL 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. $56.8014 Date: 2/12/81 01 Receipt: 0633404 A NTIC BEACH BUILDING DEPT. CHECKS 26851 CITY OF ATLANTIC REACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: �C G7�, S TELEPHONE NO. t PLUMBING CONTRACTOR l'Z G� ��"s CONTRACTOR' S ADDRESS: �J tf,Xn- Z ZS p STATE LICENSE NUMBER: CCr- %U 5U5'9'tg TELEPHONE: �`Fg ✓� / HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3 . 50 + $15 . 00 401 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: C� ----------------------------------------------------------------- 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 ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT P R lT F ?Rfi TION 1�QCATt ISI Ii N1AT11N Permit Number: 21487 Address: 408 ROYAL PALMS DRIVE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):13 Block: 17 Section:0 Square Feet: Subdivision: ROYAL PALMS Est. Value: Parcel Number: Improv. Cost: fl INOR Date issued: 2/21/2001 Name: THOMAS AND MARY SIMS Total Fees: 25.00 Address: 408 ROYAL PALMS DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/16/2001 Phone: (904)249-3800 Work Desc: Re lace Sewer Connection C 97TW71N .. y, n FEES ATLANTIC COAST PLUMBING &TILE PERMIT 25.00 SEWERIWATER "P '° l� 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. ATLANT BEACH BUILDING T. f Date: 2/22/81 81 Receipt!25-06 8836614 CHECKS i CITY OF ATLANTIC BEACH .APPLICATION FOR PLUMBING PERMIT JOB LOCATION: Q OWNER OF PROPERTY: /y TELEPHONE NO.o� PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS : STATE LICENSE NUMBER: CI,7 11.5, c TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHE 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 ATLANTIC BEACH f�F 521 p , ? 800 SEMINOLE ROAD - ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030172 Date 5/11/05 Property Address . . . . . . 408 ROYAL PALMS DR Tenant nbr, name . . . . . . REPL WINDOWS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2390 Owner Contractor --------- - - ------------- - --- - SIMS, THOMAS J. SEARS HOME IMPROVEMENT 408 ROYAL PALMS DRIVE 7255 SALISBURY ROAD ATLANTIC BEACH FL 32233 SUITE 1 JACKSONVILLE FL 32256 (904) 470-0115 - ----- ----------- ---- ----- ------------------ -- - Permit BUILDING PERMIT Additional desc Permit Fee . . . 45 . 00 Plan Check Fee 22 . 50 Issue Date . . . . Valuation . . . . 2390 Fee summary Charged Paid Credited Due - ------ --- ---- -- - ---------- -- - ----- -- - Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 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 PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL Ci Oma) ti ri�`�rfv� CITY OF ATLANTIC BEACH Cc. J BUILDING / ZONING DEPARTMENT _ S Hi, in %� `b i• � S.Doerr _s} 800 Seminole Road Atlantic Beach,Florida 32233 rr.J13 (904)247-5800 (904)247-5845 Fax www.coab.us �� r PLAN REVIEW COMMENTS " ?(1 Permit Application # C-. Property Address: --�--� � Applicant: Project: �- �� �•11b WS This permit application has been: 03/" Approved ev' an oll s need attention: 7 Please re-submit your application when these items have been completed. Reviewed By: 1 Date: Date Contractor Notified: -ekt ��) S AM 2 2 200h CITY OF ATLANTIC BEACH WINDOWS,SKYLJ `T ,GARAGE DOORS,)13[URRICANE SHUTTERS ''iUs iy! 79". .Z0 % ? f 5 c-*& a bt5 Date: Job Address: 40 Owner: .,S//y1 S Phone: Address: E Legal Description: Block Number: -7 Lot Number: /3 Zoning District: ,enm s Ks✓ - � State License Number: �'G C O/ a 5 Contractor: /�GFi2 �m e2N - Address: _Z2�S �•4 liS�r,�/Ly �SJ �c P�`TE — Phone: City- State: Zip: o225 Fax: Describe proposed use and work to be done: / t, f � 11AC e m N T W!/�� 's,/ Present use of land or building(s): Valuation of proposed construction: o? 390. ev Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. Required Building Data: Mean Roof Height Jr Building Width 3�'� (ft) Building Length -10 f (ft) {ft) g Roof Slope Window Height .a-5O. —(ft) Window Width (fr) Window Elevation from Grade (ft) Measurement from corner of building to window (ft) Number of windows being installed Mesa Roof Height 8410 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: ("4)247_ Fax* (904)247-5845 • lkttp:/twww.cLatiantic-beach.fl.us Revised 1127/03 PagC; a, IDIOM nu ■moo■ t. ^,•I.:.,•y it t :p- ®���� MEN MEN we ��i�ie�s�e�■�e�■ �iue .. � r.►-��+�eras■ �. �. �as.�— ■� ■ - , eJtr. 11 05/05/2005 13:41 4257394515 PAGE 01 Me" uu U5 Uy:ztla1 4ly,:* or nusal'a%'Aw C BEC 9011 U nANG TLM7-0"C 1 APR 2 2905 + CITY AMBEffiftc c1z o� MUCAM SMTrMMS vvirMows,sxx�. , Jab Addtosa:______,� ••~' AAdresw ?,mu*Dam 1.api DgWiPWW- 8b c 4,nbs r 7 La Nw abor. corua�= ,Oro r gee : 90 ' 7 -o� s• :,, _.•�•.art4g� W C.1RY r e�/OvOSC�a apd wa&b iso dans` Yam of VtopoiW COW*Ucd0s' �a Is �a+f Ham�mQor�►aer's ASSOOWM IN Odw pt''vm W ty xoq>kW? t1oo I[yeas. ..rasabot Witb thlJt 1Lage+6r�1�*q� (ft) Lae m u..tsbrpe � aioiow �. "�� Winam WIMb_UJL.'--0k) wim&w offalism*00 Grade *go eaasax of ia,wiatiew 3/ 1shs,Rbe�roRw�as++rs�iorRatMe+d�..__ as a��o.a • ar�-� ar*��.r�. -� Peons 1l�4l t045M IW P" m,.,rs VXAO Iwo_ 05/05/2005 13:41 4257394515 PAGE 02 063-A-04 07--09 DH °M soars window High T4 Rouble Hung Vile M° Aa:g on 1 Lcsr E SC DS N w1PeeMMlon No v rids 1-800-746-6696 RES 97 "TIM" U•F PI Solar Heat t 0 . 33 . 29 -140 App1TIOMAL PERRbRMAMCE RATING$ VM*itarl-rnillorlce 0 . 48 pMgp�Wy�W .�jMy�w jnillm ol od fmabd oddalAf1MW yea�o unit qualifies for Yaes97 St-W Rppioutxl- Ifarthe", A14atth Centrad. South Ceutral. }�cuhi�eLRI ^,s� XMi R22M 42/CZ*ft M1*11-851 jj"� j„lP w +50/- 50` SUM LfiSe: 40 M 54 Order df:011183906000I� 120�7Ilb gM '3 r} b `fes • , S1 t. ... ... ... Apfe APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE �. MAY 0 9 2005 Wif By. A:A1vM&N-W"A 10111.S,2-97 TEST REPU•RT SUMMARY Rendered to: MMONTON MIMOWS SERMS/l J0JDZ? : 75-75 , TYPE: PVC Doable Hung Wiundows• (with A2 Reinforcement and Slotted Cavity Pings) Title of Test12esuits Test S eclmen n Test S eefinete#2 Test S eci�lnten Overall Ratiw lel'- C25 56 x 84 H�LC35.52 x 71 Desj Prossurc Z s H-LC55 36 x 72 afitx Force 35 sf 55 of 34 IN max. N/•A, N/A Air Inftltro4o <0.08 cfm/ N A Water Resistance 5,25 sf N/A Stxuctu,4 Test Presswce 37 5 N/A 8.25 sf 5 .5 f BZ.S f Forced kn Resistance used 82. N/A, Passed N/A N/A Reference should be nn:adc to Report No.OS-303 dais. 08.01 for co:mplefe test specunen descxiptiQm and For ARCHXT13CTURAL TESTING, INC. Lynn George, PMca Manager 1-G:nlb Architectural Testing A4AMA/NWWT% 10lfir 0.1_97 TEST REPORT Rendered to: SB40NTON WINDOWS One Cochrane Avenue Penasboro,West Virginia• 26415 R"To No: 05-30308.01 TOt]Date: 12/07/01- Rrpvrf Date! 12/19/01 Expiration,Date: 12/07/qS Project Summary: Architectuml Testing, Inc. (AI'I) was contracted by Simonton Windows to witness perfomance,.tests on three Series/Model 75-75, PVC douSle £rung windows at their facility in Pennsboro, West Virginia. The samplas tested successfully rDtot the performatxce requircments for the following ratings: Test Specimen #1 H-I.C'25. 56 x•84; Test Specimen #2. H-LC35 52 x 71;.Test Specimen#3 H-LC55* 36 x 72. Test specimen descriptioxt arxd results are reported herein.. General Note- An asterisk (*) next to theperformance grade indicates that the size tested for optional performance was smaller than the mr tnimwn test size for the product type and class_ Test Spectfication: ThC test specimen was evaluated m accordance with AA11?A/NWWDA. 101/1-S.2-97, Voluntary Spec jicutions for.Aluminum, Vinyl(PVC) ani[Wood Windows and Glass Doors. Test Specimen Description- Strites/Model: 75 75 Type: PVC Double Hung Window(with A2 Reinforcement and Slotted Cavity Plugs) Test S,gec�1 H-LC25 56 x 84 OverQ Size: 4'8"wide by P 0"high Top Sash Size: ,V 3-3/4"wide,bhy 3'4-1116"'high Bottom.Sasbi Size: 4'4-3/4"wide by 3' 5-1/16"high Screen Size. 4'3-7/8" wide by 3'5-3/$"high 130 Derry Court York. PA 17402-9405 phone.717.764.77bo tax.717 764.4129 vwvw archtest.com 05-30308.0 l . Test Spodinett Descsipt ou: (Contsnued) Page 2 of 7 Test Snecf�� e�#2: H-LC35 52 x 71 OveraV Size: 4'4@1 wide by 5' 11 high To1r•Sasbt Size: 3'11-3/4"wide by 2.110-.5/g-high BO'ttOm gash Slide: 4"0.3/4"wide:by 2' 1'.l-5/8'°1d gh Sereext,Size: 3' IT-13/16f, wide by 2110-7/8 high Test Soe'c DMI H-LC5.5* 36 x 72 Overall Size: 3'0" wide by 6'0''high - TOSash Size; 217-N4,!wide by 2-, 10-3116"high Bottom Sada Size:-2'8-3/41' wide by 2' 11-1/8"high Screen Size: 2'7-11/16"wide by 2111-5/8-htgtt The folldrvvi g deseriptionq appo to all specimens. F%Isb: All vinyl was white. GlaGting Drtaias: The sash were exterior glazed with 3/4" thick, scaled imulating ass fabricatod from two sheets Of-3/32" thick annealed' gl was set onto a double•-sided adhesive tape and seemed with dual d weer system. The glass glazMg beads. urometer sztap.in vinyl Westtherstrippi ng: ' Asscriyt,�an 944LIt t 29 '•on 0.187" backed by 0.210" 1. Row Sill high pile with center fin 0.187"backed by 0.250" 1 Row Lock rail, keeper rail, and top rail high pile with center fin 0.187" backed by 0.250" 2 blows .Bottom sash stiles high pile with center£in, 05-3030801 Page 3 of 7 Test Specimen Description.: r " WeatherstrippitIg: (Continued) an es �• • 0.187".backed by 0t25V- 3 Rows . high pile with center fin Top sash stiles .4.187" backed by•0:340" • 1'Row Exterior,of battam•sash stiles, high pile with cortex fm es, and exterior'ofkecper rail •7/16"diaznctar,offset; vinyl 1 Row. Jeckedhollow-foarn- �bulb, Battom.rail• With Semi-rigid exterior leaf 0.187"barked-Cfold 1 Row Anyl jacket/foain,filled lee- 0. eaf'' Bottom rail 0.187"backed 0.250" 1 Row vinyl jacketlfoam filled bulb Head adapter 0.187"backed 0.250"high .2 Rows vinyl jacket/f6m filled bulb Top rail, Frame Construction: The PVC fr#ln was constructed using mitered and welded construction.* ,A PVC The PVC adapter was located at.the head. comer Sash Construction: The PVC sash were asse�rnbled. uttl'izmitered and welded comer-construction, itig Screeq.Co .str l ettoA: The screen was constructed with extruded atuminur The co lners were square cut and secured using plastic coater keys. The fiberglass mesh screen cloth was held-in-Place-with a flexibl6 yinyl splfne. • H�urd�wat-e: • • • •• • • , Aescription QuKatitytiog MOW carn lock and keeper 2 Loch rail, 8"in from each end with adjacent keepers on the exterior rail. Plastic tilt latch 4 Top corzters of each sash Metal pivot bar 4 Bottom corners of each sash Constant force balance system 4Two per Jamb, three cads per balance 05-34308.01 ! P2V 4 of 7 Fest Specimen Description: (Continued( � �l►ral�as�e: Descrip iofi � f Locaxio�g wide by 118"high � . �. . 2• wcephole(with flap) Exterior face o silt, one 3.1716."in:from.each end. 1-1/16"'wide by 3116" deep 2 one at Sill/jamb intersectiou, weephole(with slotted cavity.,plugs) each end. 1" wide by 3/161'ingh 2 Weepslot Sill Intermediate Ieg 3116:'dfarrleter holy . 4 Bottom raltand extenor interlbcic rail, one 3/4" from each end Reinfarcexaemt: (SI nIonton Code.A2) The lock rail,contain extruded alued a hollow rectangular shaped, xxlinum reinforcement measuring 0.989" x 0.796" x 0.062'(refer6we drawing #60074). The keeper rail, contained a hollow custom• shaped,: extruded aluminum reinbrceMent measuring 0747" x 6.488"x 0.060"(reference drawing#58.x 7). IGnstanation: The u-Mt was :instilled In a wood buck- carlstructed of S construction lumber and secured with four#8 wFjr wood screvus, one at the top and bottom each jamb (embedded I. iutO'the wooden test buck). The unit was sealed at the interior and exttrlor perimeter with a silicone caulking, with the'exception of an approx�nnate 6" void at each interior sill comer. Test Results: The results are tabulated--,follorws¢ �� �1�9.�T,es_:.t-•Test Method $, 8 M , _awed wed Test Saec en#i: (H-�25 56 x 84) 2.2.k..6.1 Operating Force Opening 25 lbs Closing 35 lbs max. 2g lbs 35 lbs max. Bott- °--m Sash OPMW8 34 lbs 35 lbs max.Closing 281bs 35 lbs max. 05-3030801 Page 5 of x Test Results: Para a Title of Test -Test Me hn.i es Allowed Test Soecfiner#t: H-LC25 56 x 84' (Continued) 2.1.2 Air k&lbration per ASTM R 283• @ 1.57 psf(25 mph) 0.08 cfm%fi� 0.3 cim/fe max. Note #I: The tested specimen meets the•perforrrrance levels .rpecifred in A"AINW#DA 101,T S. 2=97 for air mftltratton_ 2.1.3 Water-Resistance per ASTM'1:5.47. (with'and without screen) WTP=3 75 psf No leafage. No-leakage 2.1-4.2 Uniform Load Structural per.ASTIR£330 (Measurements reported were taken on the exterior meeting;ail) @ 37.5 psf(positive) 0.101" . five 0 207"xnax_ @° 375s£ rxo P (.negative) 0.1�41 6.207"max. 2.2.1.6.2 Doplazing Test per ASTM B 987 In operating direction at 70 lbs. Lifte rail Me0.125"/25% 0.500"110004 Meting rail 0.060"/12% 0.500"/100% In remaining direction at 50 lbs Left stile 0.060"/61% 0.500"/100% Right stile 0.060"/6% 0.500"/100% Bowa� . In operating direction at 701bs Lift rail 0.125"/6% 0.500"/100'/0 Meeting rail 0.060"/12% 0.500"AW/0 zn zemMing direction at SO lbs Leh stile 0.06011/12%0 0.500"/100% Right stile 0,060"/12°10 0.500"/1000/0 2.1.7 Welded Corner Test Meets as stated Meets as stated 05-30308 of Page 6 of 7' Fest Xtesults: kAMAXAPIT�of Test- Test Met�od RO—Ults Mowed T'�st Speclmeu#x: H-LC25 56 x.84 (Conti�ued) 2.1.$. -Forced RUtry,Resistarce Pet)LAMA 1302.5-76. Test,A. Test B. 1N�o.tr hNio entry Test C 6 emry, Test b No entry No entry Test E No entry: No entry. Test 1" No entry,• lib•-entry. 'fest G No entry MY entry No entry Na entry (�iQnal Fer�orrnance 4.3 Water Pesistance per ASTM E.547 (with and without screen) Vn?-5.25 psf No leakage- Nor leakage Test Stpedmen#2: H LC3.S 52 x 71 QphOl281 PIBTfOIYX1811Ce 4.4.2 Uniform Load Structural pet•ASTM E 330 (Measurements reported were taxa,on tete exterior meeting rail) @ 52.5 psf(positive) 0.092" (negative) @ 52.5 psi' 0.122." 0.192"max: • 0.1 92"max_ Test S»eci em# : H-LC55* 36 x 72 �4pti'onal Pezfoz�m� . 4.3 water Resistame per.ASTM E 547 (with and without screen) WTl?=8.25 psf No leakage No leakage 4.4.2 Uniform Load Structural per ASTM E 350 _ (Meastnements reported were taken on the.extenor meeting rail) @ 82.5 psf(positive) 0.047" 0.127"max. @ 82.5 psf(negative) 0.033" 0.127"max. 05-3030801 Page 7 of 7 Detailed drawings, representative sannples of the test specimen, and a copy of this report will be retained by ATI for a period of four years. desiThe above results wet•$ secured by using- tate gttated test methods aud,they indicate The with the Performauce requi vipeuts of-the about'referenced' specification. This report does not constitute certification of. thins which niay only be grap!ed by the certification product, praigram adinxnisttatox. i For ARCWrECfLgZ AI~ TESTWG,1NC: Lamm George Scott.A. Warner Pirojeer Manager EXecutive Vice President • 4G:ao�1b . 05-3030&01 t?ssC£ -u 'gym MOQNIM LIMA 6fiZZ'9EYOO8 'Hd QAPG 90tn 4ou2JJ 9Q46L BG'69Z IMA''ojogsuuadsol Y� '�N 3 'd oPl+old 0NnH pienOO 80 3I0NIS \ o E anuand auaryoop aup ASNOSdW Ol N.One Xt 210I ?e OAK"M za-ii7{ 3PIW4�S ' ..4RR!!(l a T : SNOUO3S SSOND ONISOHONV - �� 77 . b n W x,�.t,t;`S - gill •$ N � 3 1` iYY i''�ie � �� x. _P •� ^ .tea b4Y apt O M R }y Z. x . H .iG'.•� r c•'.Y'' $ g � � F �� n s .f a u a o •s L O y ` Jig pp y�+ xC pg. � 2 0 •t�gC .�L � F W 3 a a3 h O c 4 £�c O W x IL IX a h 2 � rAv $ c xx fri S adce o Z �xc xtx �i7Ff s o v .. •. O i N rY h .LHO13H 3YV X4 II O 'XVM .14