303 Sargo Rd (vault) CITI 7 OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Buildin&:de�
Application Number . . . . . 07-( 0000226 Date 3/06/07
Property Address . . . . . . 303 SARGO RD
Application type description RODE
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 9087
---------------------------------------- ------------------------------------
Application desc
reroof
---------------------------------------- ------------------------------------
Owner Contractor
------------------------ ------------------- -----
GOLEZ, FE BLANCO THD AT HOME SERVICES INC
303 SARGO ROAD DBA THE HOME DEPOT AT HOME
ATLANTIC BEACH FL 32233 SERVICES
TAMPA FL 33610
---------------------------------------- ------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 .43 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 9087
Expiration Date . . 9/02/07
---------------------------------------- ------------------------------------
Fee summary Charged laid Credited Due
----------------- ---------- ---- ------ ---------- ----------
Permit Fee Total 75.43 75 .43 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75.43 � 75.43 . 00 . 00
PERMrf IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF Al LAWIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODE&
CITY OF ATLANTIC BEACH
R 30FING PERMIT APPLICATION
Date: Z-Z( a]
JobAddress:-3o3 56a6o Po PIT(JW*c 6e)-CL, C-L 3 123 3
Owner of Property: (�"F 6�oi.,Gz
Address: 3o2, S 9,3 (�J�,WnL ict- Telephone: --+�,k
Contractor: LL&n, State LicenseNumber: 6CCO--) S�D-7
Contrador's Address: t)q dp(aW 12d sje /A ��c
Telephone: Fax: F/3- bso-vll'o
Scope of Work: ,e-cr),j �e ,)ta rz3r,,� r reo) 2u L�/ LiAr-- 5Zri-khLi��
I I �h,V,(
Deck Slope: 3112- reater than 2:12 Less than 2:12
Valuation of work: N7 `
Product Name(Exarnple:Timberline): G,.,r 40 56� 56
Manufacover(Example: GAF): GAr
ASTM Designafion(s): DS40
Required Inspections: Sheathing and Final F LE copy -07
Signature of Owner: ate: X-21
AS TO OWNER:
Sworn to and subscribed before me this— )t day of
State of Florida,County of Duval oc,
Notary's Signaturc:
E
Personally lmown #DD33689
Produced i lep0l)ation
Type of id,!�9xifion produced
Signature of Cont�mctor- Date:
AS TO CONTRACTOR:
Swornmandsubscribedbefinerne is—.2� qdayDf —20
State ofFlorida,County of Duval Notary's Signa ure:
Cr-p�—nally o"
712 Produced i Jentification
MY Type of id mification produced
=EmM0MYAi0
800 Seminole Road Atlantic Bea.b,Florida 32
ttp��
Telephone: (904)247-5800 Fax; (904)2, 7-5845 -h _*FLY
Page I M1103
Return to
Nunn:TNT)At-Hume,Saoicc,hin
d/b/a no Home DOpm At-Home Sersecav Doi;It 230707=,OR BK 1� Page
Mdmss:32W Cobb Gallarrus Pky.Sun Numloar Pages:1
200,Atlanta.CA 30339 Fred&Recorded DWM�7 9 03 01 PM.
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY
T1n,Imstrunient Prepared BY: RECORDING$10W
Name
Address
Property Appraisers Pateel Identification
NOUCE OF COM3ff NCEMIENT
Permit No Felt.No. 1 C)q OCJL)6
STATE OFFLORD)A,—a—
COUNTY OF _)LA� CIA
Tlm misimailpmd givea matme that ruip.,con, ,ill Ite made at c m us,W, and in it.volt Chapter 713,Flmidu Statartes,the
fdl.,sm,information is provided in this NOT[CE OF COMN[EN-ma try
CEMENT.
L.giddeacm,ob...fpospe (. -- J(n
U cludeM"%-=ab�, r
G�.rWd..h . ammoname t:
C.—A117
Inourguna dMand add.:
Name and address office
muselor-name and address: The Home Deptut At-Hmam S..
M22 Hartax Road Suite A Fartia F]3MIO
1-1.—.�. arl-�W-10UU Fear Numb,r. 813-6304112
Surety-name and mld���
ph.. ——————Fear No.b—� ��Oaj of
Numb.,. Bond: W7
Persons%itWa die Staw ofFlorida designated by Ovowr whom makes ofodicidoem news way be served as provided by Section
7l3J3HXa)7.,Flands Santa.
Name and add.
F.Naink-
In addition to himselZ Overar dcamma IF
to receive a wPY Of the Listrat's Notice as provided in Sectione 713 13(1—Xbj 11mdu 5 M—W��(FiII i",0--c-—.ph..)
Phone Number Fact Numme
E.piummat data 411mice ugmanlicausamm,(the Mention data is I year foma the data of recording unless a different date is specified).
a fOvrm —S�—luce--fO--1
61
&LIZ
.tec!Natem OWO.v, —P;w.TNmv---fo��
Sloon to it stibsertbcd ctiam,on by ,vho is personally knotoo to me or produced
- ZX- .u1saitificatisr, it clat it ke flai day of c, 7
Signature allomr,
Pointed Name fNom,: Store A.
Cmantissum N.JEspination 12
FILE COPY
MIAMODAM MTAMI-DADE COUNTY,FLORIDA
METRO-DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE Ism
PRODUCT CONTROL DnISION MIAMI,FLORIDA 33130A563
(305)375-2901 FAX(305)375-ZM8
NOTICE OF ACCEPTANCE (NOA)
GAP Materials Corp.
1361 Alps Rd.
Wayne, NJ 07470
SCOPE:
This NOA is being issued under the applicable rules and regulal ions governing the use ofconutruction materials.
The documentation submitted has been reviewed by the BCCO;tid accepted by the Building Code and Product
Review Committee to be used in Miami Dade County mid other areas where allowed by the Authority Having
Jurisdiction (AHJ).
This NOA shall not be valid after the ex-piration date stated bel aw. The BCCO (In Miami Dade Couriti) and/or the
Al-Ij (in arm other than Miami Dade County) reserve the rigi I to have this product or material tested for quality
assumncz purposes Ifthis product or material fails to perform in the accepted manner, the mamofiv:turcr will incur
the expense of such testing mid the AHJ my immediately rcv)ke, modify, or suspend the use of such product or
material within their jurisdiction. BCCO reser%,es the right to voke this acceptance, if it is deterrmined by BCCO
that Us product or material fails to meet the requirements of the applicable building code.
This product is approved as described herein,mid has been demE tied to comply with the South Florida Building
Code, 1994 Edition for Miami-Dade County or Florida Building Code.
DESCRIPTION: GAIT Sloteline Shinile
RENEWAL ofthis NOA shall be considered after a renewal ap)lication has been filed and them has been no
change in the applicable building code negatively affecting the pc rfornimice ofthis product
TERMINATION ofthis NOA will occur after the expiration d:te or ifthcrc has been a revision or change in the
materials, use, and/or manufacture ofthe product or process. Mimse ofthis NOA as an endorsement ofany
product, for sales,advertising or any other purposes shall autorm tically terminatc:this NOA. Failure to comply with
my section ofthis NOA shall be cause for termination and remo,al of NOA.
ADVERTISEMENT: 'Me NOA number preceded by the wor& Miami-Dadc County, Florida,and followod by the
"piration date my be displayed in advertising literature. If an y portion of the NOA is displayed, then it shall be
done in its entirety.
INSPECTION: A copy ofthis entire NOA shall be provided to he user by the manefficturer or its distributors and
shall be available for inspection at thcjob site at the request ofth� Building' Official.
This NOA consists of pages I through 3.
The submitted doc�umemtation was reviewed by Frank Zu1caga, R RC
NOA No.:01-1203.06
Expiration Date: 06107106
Approval Date:02/14/02
Page I of3
ROOFING SYSTEM APPROVAL
Calc2om Roofing
Sub-Cat"o": 073 10 Asphalt Shingles
Material: 5-Tab
1. SCOPE:
This revises GAY Slateline as manufactured by C AY Materials Corp described in this Notice of
Acceptance, designed to comply with the South f londa Building Code, I994Edition for Miami-
Dade County.
2. PRODUcTDFSCRIPTION:
Product Dimensions Test Product Descrintion
Sj?eci&atiGns
GAF Slateline 17".v 4ff' PA 110 iberglas reinforced Aspkah five tab shingle. All
Shingle hingles shall be labeled on the underside with the
Lliaml Dade Insignia.
3. LIMITATION:
3.1 Fire Classification is not part of this acce3cance, refer to a current Approved Rooting
Materials Directory for fire ratings of this prc duct.
3.2 GAF Slateline shall not be installed on roof ff eanheights in excess of 33 ft.
4. INSTALLATION:
4.1 Shingles shall be installed in compliance with Mimi-Dade County Product Control Shingles
Installation Procedure No.115
4.2 Flashing shall be in accordance with Section .3 Option "B"(stop-flashings)of Miami-Dadc
County Product Control Shingle Installation rocodurcl,lo.115.
43 The manufacturer shall provide clearly writtea application instruction.
4A Exposure and comse layout shall be in compliance with Deal'W',attached.
4.5 Nailing shall be in compliance with Detail"B",attached.
5. LABELING:
5.1 Shingles shall be labeled with the Miami-Dwle Logo or the wording "Miami-Dadc County
Product Control Approved"
6. BUILDING PERKIN REQUIREMENTS:
6.1 Application for building permit shall be accon ponied by copies of the following:
6.1.1 This Notice ofAcceptance
6.1.2 Any other doeuments required by tht Building Official or the applicabic building
code in order to properly evaluate the i�istallation of this system.
NOANo.:01-1203.06
Expiration Date:06/07tO6
Approval Date:02/14/02
Page 2 of 3
DETAIL A
RAKE
12'
'r
EXPOSURE
7 lf�(!igl�j
ELIE—
DETAIL B
15 117 18 I�(410�n.
7 IZ(191�
8 112-(216ftm,
NAILS
n.
EXPOSU�TE 7
r(22ft�)
7 1�091.
Nailing Pattern
END OF THIS ACCIP-'ANCE
NOA N�:01.1203.06
Expimtion Date:G6107106
Approval Date:02114102
Page 3 oF3
NOTICE OF ACCEPTANCE, E IDENCE$UBMMEp
(ror File ONL Y. Not p 7rj of AroA.)
A. TESTS
Test Azency Test Identific Test Name/Rcpb Date
Center far Applied Engineering MDC- 134 PA 100 08195
Center for Applied Engineering 257387 ASTM D3462 09/08/95
Undenvriters Labordlorim, Inc. 99NK9632 M 107 10/11/95
Underwriters LAbomtories, Inc. UL 790
Underwriters Labomtortes, Inc OINK43792 PA 107 11/14101
B. OTHER
1. Noti�ofAc=ptanccnumbcrOl-1203,06
E-I
Fl(rida Building Code Online Pagel of5
vow
BCIS Home Log In Hot Topics Submit Surcharge Stats&Fa cts Publications F13C Staff 3
-`c
Product Approval
USER: Public User
Product Appm�al Menu > Product or Applic nor Search > Application List > Application Detail
FL # FL183-RI
n=1112 Application Type Revision
Code Version 2004
40"
y Application Status Approved
Comments
ArChived
Product Manufacturer GAF Materials Corporation
Address/Phone/Emall 1361 Alps Road
Wayne, NJ 07470
(973) 628-4119
mrew@gaf.com
Authorized Signature Roger Anderson
randerson@gaf.com
Technical Representative Michael Raw
Address/Phone/Email 1361 Alps Road
Wayne, NJ 07470
(973) 628-4119
mrew@gaf.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Asphalt Shingles
Compliance Method Certification Mark or Listing
Certification Agency Miami-Dade BCCO - CER
Florida Building Code Online Page 2 of 5
Referenced Standard and Year ( f Stan ard
Standard)
ASTM D3462
TAS 100
TAS 107
TAS 110
Equivalence of Product Standards
Certified By
Product Approval Method Method I Option A
Date Submitted 07/15/2005
Date Validated 07/27/2005
Date Pending FBC Approval 07/27/2005
Date Approved 08/24/2005
F;ummary of Products
is
IlL # 7E—m—odel, NU nber or Name IlDescription
183.1 :ates Architectural Laminate
Limits of Use (See Other) Certification Agency Ce
Approved for use in HVHZ: Installation Instruction
Approved for use outside H VHZ: PTID 183 R1 I M-D NO
Impact Resistant: estates.pdf
Design Pressure: +/- PTID 183 R11 M-D NO
Other: See Limitations in Miaml-Dade NOA. shingle.pdf
PTID-183—RI—I—M-D NO
shingle.pdf
PTID 183 R1 I M-D NO
shingle.pdf- — —
PTID 183 RI—I—M-D NO
sovereign shmgle,pdf
PTID 183—RI—I M-D NO
weathermax,shingle.pdf
PTID 183 R1 I M-D NO
shingle.pdf
PTID 183 R1 I M-D NO
PTID 183 R1 I M-D NO
PTID 183 R1 I M-D NO
40.pd—f —
PTID 183 R1 I M-D NO
VerifiedlBy—: — —
IlCountry m2nsion Laminate
Florida Building Code Online Page 3 of 5
Limits of Use (See Other) Certification Agency Ce
Approved for use In HVHZ: Installation Instruction
Approved for use outside I�VHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: See Limitations in Mia ni-Dade NOA.
Can Architectural Laminate
183.3 [Grand Can ton
Limits of Use (See Other) Certification Agency Ce
Approved for use in HVHZ: Installation Instructior
Approved for use outside H VHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: See Limitations in Mia ni-Dade NOA.
L83.4 �Gra joia Achitectural Laminate
Limits of Use (See Other) Certification Agency Ce
Approved for use in HVHZ: Installation Instructlor
Approved for use outside H VHZ: Verified By:
Impact Resistant:
Design Pressure:
Other: See Limitations in Maini-Dade NOA.
183.5 ___JlGrand Slat Architectural Shingle
Limits of Use (See Other) Certification Agency Ce
Approved for use in HVHZ: Installation Instruction
Approved for use outside HVHZ: Verifled By:
Impact Resistant:
Design Pressure: +/-
Other: See Limitations in Mianni-Dade NOA.
183.6 113umbo Royal Sovereign 11-arge 3-tab shingle
Limits of Use (See Other) Certification Agency Ce
Approved for use in HVHZ: Installation Instruction
Approved for use outside H 6FHZ: Verified By:
Impact Resistant:
Design Pressure:
Other: See Limitations in Miami-Dade NOA.
183.7 7[Marguis W( atherMax [3-tab Shingle
:1 Limits of Use (See Other) Certification Agency Ce
Approved for use in HVHZ: Installation Instructior
Approved for use outside H 6FHZ: Verified By:
Impact Resistant:
Design Pressure:
Other: See Limitation in Miami-Dade NOA.
183.8 IlRoyal SOVE�'eign 13-tab asphalt shingle
Limits of Use (See Other) FCertificatlor Agency Ce
Approved for use in HVHZ: Installation Instruction
Approved for use outside H 6'HZ: Verified By:
Impact Resistant:
Ylorida Building Code Online Page 4 of 5
Design Pressure:
Other: See Limitations in Mia ni-Dade NOA.
183.9 -1. Slateline Multi-tab Shngle
LLimits of Use (See Other) Certification Agency Cc
Approved for use in HVHZ: Installation Instructior
D
0
1 m
Ae
t
ph
S
P
Approved for use outside HVHZ: Verified By:
e
t
rg
S
r
r
0
0
n
' S
0
vf
P
ve
e
dU
r
d
e
e
s
f
f
s
L
e
0
0
s
r
r
m
u
(S
u
u
r
it
e
s
e
a
e
e
e
t
S
0
0
n
0
n
a
tS
t
h
u
e
e
H
ts
n
in
r)
S VH
id
M
e
Z
a
a
H
n Dade N OA
M ut'-tab Shn g'e
Certification Agency Cc
Insta I latlon In 5tructio'
V H Ve rifled By
Z.
ct ta
t S g
Impact Resistant:
Design Pressure:
Other: See Limitations in Miaint-Dade NOA.
183.10 ITImberline 30 Laminated shingle
L m
imits of Use (See Other) Certification Agency Cc
Approved for use in HVHZ: Installation Instructlor
Approved for use outside H WHZ: Verified By:
Impact Resistant:
Design Pressure:
Ot r.
L,m,tat,0,
S , M
Other: See Limitations in Miami-Dade NOA.
183.11 ITimberline Select 40 Laminated Shingle
Limits of Use (See Other) Certification Agency Cc
Approved for use in HVHZ: Installation Instruction
Approved for use outside H 6PHZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other: See Limitations in Miami-Dade NOA.
183�12lllllilli�ffinnberllne ltra Premium Laminated Shirt
Limits of Use (See Other) Certification Agency Cc
Approved for use in HVHZ: nstallation Instruction
Approved for use outside H /HZ: Verified By:
Impact Resistant:
Design Pressure: +/-
Other; See Limitations in Miami-Dade NOA.
Back F Ne.t
DIZA Adhinistudin
Department of community Affairs
Florida Building Code Online
Codes and Standards
255S Shumard Oak Boulevard�
Tallahassee, Florida 32399-2100
(850 487 1824, SI.Com 277-1824, Fa�(850)414-8436
Q 2000-2005 Ti a State of Florida.All rights roseried. C.Dyrn t�rd Distl
Product Approval Accepts:
CITY oF
Berc,It 9&,a
Offew'tf BuIldi,
AEQUEST 9 Offl
FOR I YSPECTION
A.M, Perri No.
Rm,
Owner'a Address District Na.
ame
F-1--------------- Local%
U LDING PLASTE_...�,,ar,sale
U RING ELE"TRICA L
`7 1c, :1,1n. R.a,h HEATING
'-uaA
Dioni
F L PLUMBING
Fee,, .a,,, Fiitu,sa `o`- 0 Fla -
a w 0 .1.
Fo`pin Mature 8"lle F
Lint.1 D a
,iolb...d Ter, Pole .'a a'. 0
earn
V'r-p i-reut., colion.,
rues READY FOR INSPE�TIGN A.,
(t2o Made n, A.M.
,reporter A.M.
s�jd,
BUILDING AND ZONING INSPECTION DIVISION
z CITY OF ATLANTIC BEACH, FLORIDA
ELECTRICAL PERMIT
Date 4-2245 Fee 1160 '..it No. 40M
Location 3W SOW AMR
Between and--
This is to certify that e.
MMI XLEC= Ii.le� aim
TA01tar.,-E1.u.C..)
has permission to install Electrical Construction c s described herein in a
accordance with the provisions of the Electrical Zode and regulations
of the City of Jacksonville, and subject to the inf(rmation shown on the
application, drawings and specifications which at a made pan of this 3:
permit. It
for Qu 9 a
Type of work- 03A IssUbm" Ad"gn Q.
SERVICE: 411111191=1114 &WVILft SIM LW 4
Feeders:
Outlets: 0
Receptacles:
Switches:
Incandescent:
Fluorescent:
Appliancem
Air Conditioning:
Motors:
Transformers:
Signs..
Miscellaneous:
IF NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY:
MONTHS PERIOD, PERMIT
BECOMES VOID.
CITY OF ATLANTIC BIACH. FLORIDA
Aw�bv APPLICATION ]FOR IMTRICAL panm,T d
TO THE CHIEF ELECTRICAA�INSPECTOR: DATE:— W-If
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING TH WORK AS DESCRIBED IN THE FOLLOWING�, WE
HEREBY AGREE TO PERF RM SAI WORK IN ACCORDANCE I ITH THE ATTACHED PLANS AND SPECIFWATIONS,
WHICH ARE A PART HEPRE F.ANDDIN ACCORDANCE WITH THI ELECTRICAL REGULATKINS,CODES ANDCITT OF
ATLANTIC BEACH ORDI CES.
ir
ELECI IWAC FIRM: MAIITER ELECTRICIAN IGNATURE JOURNEYMAN
I ADDRESS: ZQ I ;IC -RFD__BOX
NAMSS:/���
W
BLDSLWZE
_11 ETWEEN'
REL(4 AFT.I I DOW.I I PUBLIC I I INDUS,I I NEW( I OLDI-f"� REWA I
AODITION (_� TIUMLEIRI TEMP.I I SIGNS ( )--SMFT.
SERVICE: NEW I INCREASEll I REPAIR I —FEE
CONDUCTOR SZE AMPS CO'PER I I ALUM.f I 'W'49
WATCH OR BREAKER I AMPS I PH I Wl VOLT RACEWAY
IDUST.SERV.SIZE k5-A AMPS PH 1_�_ w 111)VOLT RACEWAY
FEEDERS NO. $SZE IND. SIZE NO. SIZE
wl I WEN
LIGHTING OUTLETS I CONCEALED1 TOTAL
RECEPTACLES I CONCEALED1 I EN TOTAL 1,,A 6
1 0.34 AMM. I F I.IMAME�
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
F=D 0AW AM". I ov" I
BELL TRANISF.
"ATMG:-j- -___ J-'
CONDITIONING COW.MOTOR OTHI EIL HEAT: KW44EAT
MOTORS H.P. VOLTAGE ILP. VOLTAGE1 PHS
MISCELLANEOUS
TRANSFORMERS: UNDER OW V. 1111 OV:
.R OW V.
[NO. I KVA 111 IND. KVA
NO.NEON TRANSF. [NO. VA. MOTOI I SIZE omwi H FLASHES
EACH SIGN
FORWARDED
_W;TAL FEES
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT N06699
PERMIT TO BUILD
THIS PEPMITMUST BE POSTEDON JOB
42.00 T
Date k,32:11 1 19 pq 4i2.UGCKT
746d i A 4/01/0
vahati..s ��QAL Fee s 42.00 6659 .0 OC AC
TL, ]sd...I �1—pmd I.C,T--,-d 74G, I A 4/01/6
d."16k.......a — 10ju
This is to certify that N&L HEAI & AM 0=17WRC. TJ 10.
has permission to BW 110CATI BEAT F, AIR
ChUificati.. 'UPIRTL4L —Zone
Owned by F.E. GD=
Let Block_S/Di
House No. 303 SAFM RDAD
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
I
PERM T VOID SI" MONTHS
AFTER DATE IBF ISSUE
4 0 41 0, �O Building material, rubbish and debris
Z, firm this work ..at not be placed
in public space, and most be cleared
up Rod hauled away by either con.
U, owner.
FOR OFFCE F...IT DATE CONTRACTOR
USE ONLY NU..ER
PLUMBING
ELECTRICAL
.Ewe.
wATE.
BUILDING AND ZONING DISPECTION DIVISIONKff
CITY OF ATLANTt� BEACH
A`yLANTI�lasass,, 1W. OA 32233
0
APPLICATI N FOR MECHANICAL PERMIT NUMBER
IMPORTANT — Appl;cant to complete . 11 items in sections 1. 11. Ill. and IIV.
LDCATION Shaset Add...a: Tk,!r3,
OF fiessactin' strareft: Between
BUILDING And
swb"-dis;I.. W.
11. IDENTIFICATION —To be completed by all applicants
�T . ..
In consideration of Nranif given for doing the work as described in the ab, a statement we hereby agree to ,erform said work in accordance
"Is
arth A, Istlait,kid 11.a, ad notifications eltich a,. fort hereof and in ccordance with the City of Jackson,ille ordinances and steadiness
css�. .
of good Practice listed therein.
N..f Maintains. Catenate.
als,
Contender, (Isi AO�Z A Al Al.essl—
Ms. I
Arks'.4 0....
$I,..Ivra of
t==f Ar hiback as Eng!....
Ill. SOMPAL INPORMATI10114
A. T"Ne of hattkno W: 8
0 IS OTNER MRSTMMON BEING �R M
THIS WILDING ON SITE?
E3 Us 13 Nolksual [3 Codlal UK%
0 US IF YES, GIVE NUMBER OF�S�MM
PERMIT
13 Oil— — Staidly
IV. INNICKANICAL I*UrMIW TO N INUALLO MATURE OF WORK
(he Residentialor El Cornmenclat
0 Makit 13 Sissen, C1 Itakessenead 0 Canthatt 0 MING, Nerest Building
Ak CendlMeakinalk: E3 RNNN 91, Central Existing Building
D.Ct Spaske: M.MM . Replacturranst Of"Ming apt=
Nine,ingtallathsel(No SyStent feloniously Insualled)
Massearken D-lenew, ilm
13 Itnalinsiannown, 0 Extension Or Mid-on to existing liptarn
0 COON" ... CNPWAY 0 Ofther— Swity
(3 Fift Wrinliken: Member, of has&
13 16 &a E3 Inkedlift 0 Eass-Inklea—(awaslawl "M SPACE FOR OPFM UN ONLY
C3 Gookkap-anspne—(
13 Tvalark—lostakner)
C3 LPG asseaftlanst—(kneable)
13 U-fiNd Bassakens, rental
93 Balm Fahernit App,..d le,—_ Dala-
13 Olike, — Spo* sis"a"F�
UBT ALL RQUIPMENT
AR CONDFIIONU4G AND RRIFIRIGERATION EQUIPMENT
39MAbWU*M Dua*U" Noid N�bW
ar
N"TING - FURNACES. BOO"% FMEn-,A=
NaMbWttaft c� AnffVMW
Damrqa- 3ffo"ito=bw AEMW
SDA,21,= e4f A'
TAM
NMI%" NMOMI Cs"dw Naza of saw A=
Md Db*WAkft Nat.
CITY OF,
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O"les Of Buh ding otilel.,
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CONCR E ELECTARAL MING
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Mon, RE I FOR INS Fire add
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THIS PERM
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DEPARTKIENT OF SUILDIJIG
Cl�OF AT�NTIC SEACN."ORI I'A PERMITm,.6678
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED 0 q JOB
Date
Valuation$ 7,392.00 42.00 40 00 T i
�F,,c$_ 42:UUCKT
Th6 NTtIt It IA6d ntil IdOt, I A 3/19/8 1
�NT ItI�I 11.d "1 11 -11 vd CITEAC
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7Z�54
This j, to ccrtify that FE GO=
__T088 Wrnell :j,�.
ITS, Pelm-10- to hoild_A&W1a"L_P
11cf."ill,.tio. resdidritiai
_zoor RS1
Owned by
Lot 12
BIU,k_ SD ROyal P
-House No. 303 sARM
According to -PPIMcd PIS.� which a,, part Uf�j j,
PrrUUt
NOTICE—ALL CONCPLETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFOPE POURING.
PEP-MIT VOID SIX MONTHS I
AFTER DATE OF ISSUE
O� Budding
z 'rnbbislb and fibei,
fiman this work I
must not be PI "d
in public space, sad most be cl�ed
Up and haulOd -way by either con.
USE ON PERMIT
Pop OFF
.U..E. DATE
CONTRACTOR
PLUMB,
ELECTRII L
SEWER
TCR
7-10 0 6h,'&Z Yi
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EXISTiAld 51,9e WAti, Or- 7NN HCUSE
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CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Owner —Address 3'63 �o f�V -Phone -741
Architect —Address— — Phone
Contractor FIF_� `qbt_� —Address t S rce,4tad— L0�1�one ;LA
License Number Expiralion Date
Lot # 1Z Block # Subdivisionj;�� 5 Zzing 9�!�PGFQ7
Street <A-leac) Between CAVALLA —an side
Valuation $ ;2,S2-4f:). 6>0 Purpose of Building L ype Const.\�Jo�p
1 .1 1
Dimensions : Building JC> 8� V t�� e�'L,t S Footings
Sz. Piers Sz. Sills a2'�< 4�' Gres est Span Sills
Sz. Ceiling Joists Q X:A istance on CenlersS 1 4 Greatest Span te)J 9 V
Sz.Floor Jois
itt a Distance on Cent( rs—Greatest Span--or
< 140 Greatest Span [0a
Sz.Rafters QX G Distance on Centers . I
Heating C�H6' Solid-Filled Ground Roof -�*1t4CLAE;S
Flood Zone If located within a FLOOD HAZARD ZONE fill out
reverse of this ipplication.
Inspections Required:
1. When steel is in place and ready to p( ur footing.
2. When steel is in place and ready to pour columns/lintel.,, ,, ,,
3. When steel is in place and ready to p( ur beam,
4. When framing, mechanical , rough plutnbing and fire place
is completed and ready to cover up.
5. Rough electrical�
6. Final inspection.
In case of rejection, reinspection MUST be called SETiW—CKS
for after corrections are made.
In consideration of permit given for doinj Rear Lot Lip&��
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 reguLatiors M M
of the City of Atlantic Beach. r� r
0 0
t4
HA_�
Signature OWNER, XE
Signature BUTLDE '3c! S
Front Lot Line
ADDRESS MECHANICAL PERMIT#
PLUMBING PERMIT
BUILDING PERMIT WORKSHE �T ELECTRIC PERMIT
Heated Square Footage �,Q TEMPORARY ELECT. #
$- 3X er sq ft = �3 ?n , -6-�
Garage/Shed $- er sq ft = $
Carport $______per sq ft = $
Porches $— er sq ft = $
Deck _____per sq ft =
Patio sq ft = $
TOTAL VALUATION
-I rc
Total Valuation Data Ist
Remainder Valuation @ s 3o6 per thousand
or portion thereof
TOTAI BUILDING FEE $ C7
+ k FILING FEE s
FIREPLACE @15 . 00 s
TOTAL BUILDING PERMIT $ C�D6
---------- -------- ------------------ ----------- ---------------- -------------------
PLUMBING PERMIT FEE$ MECHANICkL PERMIT FEE$
ELECT. TEM�PORARY ELECTRIC�L PERMIT $
WATER IIETER SIZE—$— ACCOUNT iUMBER—
SEWER IMPACT FEE $
WATER CONNECTION $----(@10 . 00 pe -- fixture unit)
APPROVED BY: TOTAL BUILDIN ,,/PIAN FILING FEE $
TOTAL WATER METER CHARGE $
TOTAL SEWER IMPACT FEES $
TOTAL WATER CONNECTION CHARGE $
MISCELLANEOUS CHARGES $
GRAND TOTAL DIJE: $
MAP SHOWING SURVEY OF
Lot 12, Block 25, as shown on the Replat of par; of Royal Palms Unit 2A, as recorded in
�lat Book 31, Pages 16, 16A , 16B , 16C and 161, of the Current Public Records of Duval
For: -Wiff?,Sdo Gqez
X B'01
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LZGZND �RAY, DURDEN, SNYDER & ASSOCIATES
0 WMAL nA SW PROFESSIONAL LAND SURVEYORS
I 1"Al 67�.K.a VIAND 38 EAST 17TH S,TRZE T