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1652 Sea Oats Dr (vault) t JOB ADDRESS s� D � L� PROPERTY OWNER PERMIT NUMBER � DATE INSPECTIONS: FOOTING SLAB Z-z-9 TIE BEAM LINTEL NAILINGISHEA THING FRAMING/COVER UP INSULATION FINAL BUILDING -a2- CERTIFICATE OF OCCUP CY ELECTRICAL PERMIT# INSPECTIONS ROUGH FINAL MECHANICAL PERMIT# INSPECTIONS ROUGH FINAL PL UMBING PERMIT# INSPECTIONS ROUGHIUNDER SLAB TOPOUT WATER/SEWER FINAL NOTES: 3-25-q pae, � � I CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032565 Date 3/23/06 Property Address . . . . . . 1652 SEA OATS DR Tenant nbr, name . . . . . . HURRICANE SHUTTERS Application description . . . RESI ENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 Owner Contractor - ------------------------ ------ ----------------- POU, SR. , WILLIAM B. ROLL-A-WAY, INC. 1652 SEA OATS DR, 10601 OAK ST, NE ATLANTIC BEACH FL 32233 ST PETERSBURG FL 33716 (727) 576-1143 ---------------------------------------- ----------------------------------- Permit . . . . . . BUILDING PERMI Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee 47 .50 Issue Date . . . . Valuation . . . . 13000 Fee summary Charged Paid Credited Due ----------------- ---------- ----------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total 47 . 50 47 . 50 . 00 . 00 Grand Total 142 . 50 142 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF TLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL - _ I s rS-) ��= CITY OF ATLANTIC BEACH cc: BUILDING / ZONING DEPARTMENT D.H°fd s U 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 ' �►,3l9r (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: &6'2- Applicant: x p Project: / This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these ite s have been completed. Reviewed By: j Date: q) Date Contractor Notified: i s , hoo CITY OF ATLA IC BEACH PERMIT APPLICATION FOR REPLACEME T OF WINDOWS, SKYLIGHTS AND GARAGE DOORS OF SINGLE—FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION Date: Job Address: Owner's Name: Address: Phone: Legal Description: Block Number: / '� Lot Numb Zoning District: Contractor: Je U" �. �-"s State License Number: Se e b q Q 3 V Address: 1066) f S L Phone: \'� `? - `/S_ 6 , 1/q 3 City: 5' A,— C State-. C. Zip: 3 37V.—Fax: Describe proposed use and work to be done: Present use of land or building(s): Valuation of proposed construction: ` on n Is approval of Homeowner's Association or other private entity required? /Ut�) If yes, please submit with this application. Building Data: Mean Roof Height (f) Building Width (ft) Building Length (ft) Roof Slope *Window Elevation from Gude (ft) Window Height (ft) Window Width (ft) Measurement from corner of building to window (B) S 0 o q S h �P S S Y \ a� 800 Seminole Road •Atla Page 1 ntic each,Florida 32233-5445 Phone: (904)247-5800 • Fax: (90 4)24745845 - http://www.ci.atiantic-beach.fl.us Revised 1/27/03 I Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data,the following information is required: I. Manufacturer's Test Report 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Elevation View of Window Locations I hereby certify that all information provided with this applicationect. Signature of Owner: 4 Tscro)-5 Date.., 4 7 —D I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether spe ified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local 1rules,regulations,ordinances,or laws in any manner,including the governing of construction or rformance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being and rrect and that the plans and su porting d a have been or shall be provided as required. Signature of Contractor: Date: /��X96 Address and contact' ormation of erson to receive all corresponde ce regarding this application (please print). i Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this / day of 20e7L. State of Florida,County of Duval Lie v. LXPIRES:July3O CMWSHIAW Notary's Signat re: � cLe4� ..y ON#DD 197724 s� �• ,2006 Personally�entification own v .h.. Public Underwr ters K"` ❑ Produced i Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this_ 1 day of State of Florida,County of Duval Notary's Signature: MY CAMILLA P.CRAWSMAW COMMISSION#DD 137724 Personally nown EXPIRES:July:i0,2006 �o�edThItt"YUP cUndenvritera ❑ Produced id tification .,,. Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 2 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us Revised 1/27/03 NOTICE OF COMMENCEMENT I HEREWITH GIVE NOTICE IN SECTION 713.13 FLORIDA STATUTES THAT IMPROVEMENTS, DESCRIBED AS: Doc#2006096013,OR BK 13141 Page 16, Number Pages:1 ' GLI?1?1 Ove- low- coo/J Filed&Recorded 03/20/2006 at 10:54 AM, WILL BE COMMENCED WITHIN 30 DAYS AFTER RECORDING OF THIS JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY NOTICE UPON THE REAL PROPERTY SITUATED AT THE FOLLOWING RECORDING$10.00 ADDRESS: �(�j j S - o --f`S �y PERMIT#: FOLIO#: LEGAL DESCRIPTION FOR SAID PROPERTY BEING AS FOLLOWS: S/ _,3?S SEAV� /P ,U 7—ek 146r /Yt13 OWNED BY 161 S&P— ADDRESS NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER(IF OTHER THAN OWNER): THE FIRM MAKING SAID IMPROVEMENTS UNDER DIRECT CONTRACT(S)IS:Y �L CONTRACTOR'S NAME: Rolla-way Storm&Security Shutters,Jerry E.Hicks,qualifier SCC049534 CONTRACTOR'S ADDRESS: 10601 Oak Street N.E.St. Petersburg, Florida 33716 PREPARER: THE NAME AND ADDRESS OF THE SURETY ON THE PAYMENT BOND IF ANY AS PROVIDED UNDER SECTION713.13 FLORIDA STATUTES IS: ti AND THE AMOUNT OF SUCH BOND IS$ , THE NAME AND ADDRESS OF THE LENDER IS: COPY OF NOTICE TO OWNER AND OTHER DOCUMENTS AS PROVIDED I ECTION 713.13(1)(A)7 AND SECTION 713.13(1)(B)FLORIDA STATUTES IS ALSO TO BE SENT TO: a )/"4— AS DESIGNATED BY OWNER. /i/ EXPIRATION DATE OF NOTICE OF COMMENCEMENT: (1 YEAR FROM DATE OF RECORDING UNLESS SPECIFIED DIFFERENT Y) Please return to: 7wd1/ D&R Shutters Inc. SIGNATURE OF OWNER dba: Roll-a-way Storm and Security Shutters ��- ,� p AU -C'a 2375 St Johns Bluff Rd South PRINTED NAME OF OWNER Jacksonville, Florida 32246 /C- -z 5 S .� ADDRESS OF OWNER STATE OF FLO DA ICL- OL ' - COUNTY OF: L_O� L SW RN TO AND SU CR ED BEFORE ME THIS DAY OF BY: �(,l,rl err+ e u �� WHO IS RERSOtJACLY-KN�W�1 TO ME OR HAS PROD AS IDENTIFICATION. :_ NOTARY RUBBER STAMP SEAL SIGNA RE OF NOTARY PUBLIC ?� "y CAMILLA P.CRAWSHAVI =; MY COMMISSION If DD 137724 PRINTED NAME OF NOTARY PUBLIC EXPIRES:July 30,2OW wed Thru N%VY PIMIC Und..,4grs Jerry E. Tis Custourr N �13t . Ipo ft ow" udit Com,Com', . f >Jiiu ' �'oodCanccee�,�tumiui Ut�ae� Specify f'%'m&,,,w F :1f opeake mies frmn above maurials,ate type: Z>ROOP SI.f3 : Less flan or Chem thorn 10 dcpv s 3>Fim SPR W. Yes No 4>$u�ikfiAght S Yes 140 ?C is bn Approvat R� Not RNukred� Are Spow A` le: Yea M-,4C),I ROU-a-way PU 5,required to aom Amc this j; Name: 'PO c-l-, Permitting Municipality ?I-/3 Address r 4 5Z- ;ZO�2 0,44-< ,�,� • S/F Condo City/state/zip 1,9 Opening H W duct Plans �Y bo � 7I&A :�,? - 0/OR/ d6- r¢ c 14'4?l is' Vt William B Bou 1652 Sea Oats Drive Atlantic Beach, Florida 32233 (904) 246-7508 ss KOOM--Not to De 00ne (7) (6) (5) (4) Roll Shutter Roll Shutter Roll Shutter Roll Shutte P55TER P55TER P55TER P55TER 76"x 84" 76"x 84" 74"x 52" 76"x 84" (Soffit Cut) (Soffit Cut) (Soffit Cut) (Soffit Cut (3) Accordion Hi-Velocity f� = Accordion Shutters 85"x 56" = Roll Shutters Accordion = Not to be tone Hi-Velocity All Shutters to be OhMe 33"x 60" 9) Accordion Hi-Velocity 33"x 60" x, (2) Accordion (1) Hi-Velocity Roll Shutter 85"x 56" P55TER (10) (11) 60"x 84" Accordion Accordion (Soffit Cut) Hi-Velocity Hi-Velocity 85"x 56" 85"x 56" Not to be done i Not to be do )wry E. Hicks cto�aryer K . �Osto ftvelly ow" City,COY, >sirQc. tsy �ToodCaete�,�fe�minu�a c?t Specify f©rMdow F :Ifopeake va6es fromabovic materbkK irAhCgft tape 3 2>R40F SLA : Less Team or Oreat tars_Y,– 10 c3epv= '3>Flm S : Yes No.� qyes—S� 7,10 itAssociatim Approva_ Rrquited____ Not Rani ed�: - Are Slow A,` bk- Y+ _No�_ 1 oi -a-srar juapired 4o aMpilft tNSjDb I Name: Permitting Municipahty Address �°�Z-' �t�g_ -s 0,< • S/F Condo City/State/Zip / 372,:7.3 3 Opening H W Product Plans t 4cc 3 5 �S V Sy fps-�- ?4 6 a 35 9 n -33 William B Pou 1652 Sea Oats Drive Atlantic Beach, Florida 32233 (904) 246-7508 ass Dorn o 0 be ZIM (7) (6) (5) (4) Roll Shutter Roll Shutter Roll Shutter Roll Shutte P55TER P55TER P55TER P55TER 76"x 84" 76"x 84" 74"x 52" 76"x 84" (Soffit Cut) (Soffit Cut) (Soffit Cut) (Soffit Cut { (3) Accordion i Hi-Velocity D = Accordion Shutters 85"x 56" = Roll Shutters ($) e = Not to be c one Accordion Hi-Velocity Ail Shutters to be ite 33"x 60" 9) Accordion Hi-Velocity 33"x 60" (2) Accordion (1) Hi-Velocity Roll Shutter 85"x 56" P55TER (10) (11) 60"x 84" Accordion Accordion (Soffit Cut) Hi-Velocity Hi-Velocity 85"x 56" 85"x 56" Not to be done Not to be do .�••M» M..Ma.avl tvMr Vllllllb rage i or 4 • EM111r � . / • � -r.— -Ir -Ir 'ir OKieryProduct Search CrganiTation Product �pi,lcuhun User: Public User -Not Associated wi Organization- • Need Help ? Application#: FL5013 Date Submitted: 08/03/2005 Code Version: 2004 Product Manufacturer: Roll-a-«-ay Storm and Security Shutters Address/Phone/email: 10601 Oak St.NE Saint Petersburg,FL 33716 (727)803-9283 Technical Representative: Donald Fowler s Technical Representative Address/Phone mail: 10601 Oak Street NE St.Petersburg.FL 33716 dfowler,a roll-a-ivay.com Category: Shutters Subcategory: Roll-up Evaluation Method: Testing Report Referenced Standards from the Florida Bi ilding Code: Section Standard Year Florida 1609 2004 •-- Building Cod ASTM 330-02 X002 APPROVED ASTM 1886-02 002 -- CITY OF Al LAtJ)C 3EACH &amp, _ -_--- --Btifi-DtNG-4FF1EE--- --- - -- --- — -- - -Ei-996=02----- - - D ' C PA201-94, 1 94 MAR 21 2006 PA202-94 &amp-. PA203-94 So em STD D 12- 999 By: Build 99 Co Florida T _O 1-04 2004 Building Cod littp://www.floridabuilding.org/pr/pi_detl.asp?IPT=5013 RV=0&fin=R0Srch 12/6/2005 A'iv►iva .Puiiuilly, vuc v111111c rage vi -t Testing Lab: American Test Lab of South Florida Inc. Quality Assurance Entity: National Accreditation and Management Institute Validation Entity: THOMAS J. TWOMEY P.E. Authorized Signature: THOMAS TWOMEY jbrengineerone(d?aol.com Evaluation/Test Reports Uploaded: PTID 5013 T ATL Report No.0126.01-00.0 PTID 5013 T ATL Report No.0316.01-05.pdf PTID 5013 T HTL Job No.0006-0106-03.pdf PTID 5013 T HTL Job No.006- 0224-03-11.pdf PTID 5013 T HTL Job No.006- 0224-03-9.pdf PTID_5013_T RAW Dw No.o. 3- 01-031a.pdf PTID 5013 T RAW Dwa No 3- 01-031b.pdf Installation Documents Uploaded: PTID 5013 1 P.E. Certifications of Indenendence.pdf Product Approval Method: Method 1 Option B Application Status: Approved Date Validated: 09/05/2005 Date Approved: 09/07/2005 Date Certified to the 2004 Code: Page: Page 1/1 Go pp/Seq Product Model#or Model Limits of Use # Name Description Not to be used in HVHZ. Span 156", +/-31 p.s.f., - ? - - ax..span_teated_144", est p.s.f. +/-40, Large issle"C"91b @ 50Ft/s. eakest product tested to 013.1 1138ER Roll-up Shutter ualify the stronger with dditional testing to verify pan charts.All span imitations are erformance only and ay be limited further by hoice of mounting onfiurations. http://www.floridabuilding.org/pr/pr_detl.asp?IPT=501 &RV=0&fm=R0Srch 12/6/2005 rioriva uuiiuing t_oue vnime rage -7 vi Not to be used in HVHZ. Span 164", +/-10 p.s.f., Max. span tested 144", Test p.s.f. +/-40, Large Missle "C"91b @ 50Ft/s. Weakest product tested to 013.2 P55DER Roll-up shutter qualify the stronger with additional testing to verify pan charts. All span imitations are performance only and may be limited further by hoice of mounting onfi urations. Not to be used in HVHZ. Span 164", +/-10 p.s.f., Max. span tested 144", est p.s.f. +/-40, Small issle. Weakest product ested to qualify the 5013.3 P55ER Roll-up shutter tronger with additional esting to verify span harts. All span limitations re performance only and rt ay be limited further by oice of mounting configurations. Not to be used in HVHZ. Span 132", +/-17 p.s.f., Max.span tested 144", Test p.s.f. +/-40, Small Missle. Weakest product tested to qualify the 013.4 P55ER 2nd Roll-up shutter stronger with additional testing to verify span harts. All span limitations re performance only and may be limited further by choice of mounting configurations. Not to be used in HVHZ. Span 144", +/-40 p.s.f., Max. span tested 144", Large Missle"C" 91b @ 50Ft/s. Weakest product tested to qualify the 013.5 P55TER Slat type Roll-up shutter stronger with addional testing to verify span _ harts. All span limitations are performance only and may be limited further by choice of mounting configurations. Not to be used in HVHZ, unless less than 96"wide (span)x 96" high. Span 156", +/-31 p.s.f., Max. 1pan tested 144", Test p.s.f. +/-40, Large Missle 'C" 91b @ 50Ft/s. http://www.floridabuilding.org/pr/pr_dett.asp'�IPT=501 &RV=O&fiii=ROSrch 12/6/2005 http://www.floridabuilding.org/pr/pr_dett.asp'IPT=501 &RV=O&fni=ROSrch 12/6/2005 RECEIVED CITY OF ATLANT C BEACH c'e 9 19998 PERMIT APPLICATION REMODEL, DITIONS, OR �tNBeach MOVING,DEMOL TIONS Building and Zoning owner(s) :�d�Cl(rum , &Z Job Address: 1 Phone: 90q- a y 6 ^ Lot # 7" Block or Unit # �� Subdivision: �, � (��, Contractor: PctcjSd7e r CoroState License Address: ?S�50 CO)')'m(R rC e- / C�( Phor e No: / 900- p2dL2EU City State 'Aa. Zip Code-?j j Describe-work to bedone. LdowS c r o a Present use of building: p - 1 Ti )n Valuation of Proposed Construction: . 00 Proposed use: h) Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE (CGM1ERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS NOTICE OF COINMEENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: (- Date: 441/6 — ITX/ i Signature CONTRACTOR: - , Date: r I AS T cwt :JEFFREY JOHNSON N MY COMMISSION#CC 568223 Savor 'i s ' �� e thi9YI da of 19 B AS TO CONTRACTOR: Sworn to and sub g�:.bed before me th' s da of 90� V A Z �G(4 -j3 NOTARY PUBLIC �,e���`\ \� l Patricia Amomft i MY COMMISSION#CC5M1 EXPIRES o`r August 27,2000 BONDED THRU TROY FAIN INSURANCE,INC. 1 PSR-3844 17467 DEPARTMENT O� BUILDING CITY OF ATLAN IC BEACH PERMIT INFORMATION LOCATION INFORMATION it Number - 17'1467 1dress : 1652 SEA OATS DRIVE F rmit Type :REMODELING ATLANTIC BEACH , FLORIDA 32233 a s of Work : REMODEL LEGAL DESCRIPTION ---------- - o str . Type:WOOD FRAME Blcck , Lot , Twp: L) ,r Posed tis e: S1N1k_1LE FAMILY Section: 0 Subd- Rng: Dwellings : 0 Su division: st . Value- 0 .00 : M,, rn.v. Cost : 17 , 000 . 00 I" .otal Fees : 142 , 50 Amount Paid; ,-,-,,, 142 . 50 Date P i i rl, 11, q Des c.",REPT_,ArM49NT14­W'1 N DOW S ON MAIN HOUSE AND S. PORCH ON REAR Or HOME PER PLA JW N h' APPLICATION FEES - - - ----- FRANC!'§ �),T 1,42 50 ATLAUT,111 f LORI DA 321233 One qpb ON AT I ON PACES E ATION/NtRPASF". it: 7550 C6tmm CN TR DRIVE5i,1-. ORLANDO', pA 32-81q CRC057364 Emp: NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MOST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR ORO NER FAILURE TO COMPLY WITH THE MECHANICS' 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. ATLANTIC BEACH BUILDING DEPARTMENT By: V10440404%PRINT IW-.C.y,wntr, Bk,: 9115 p9= 459 Doc# 982264714 mmeneement Filed S Recorded Notice of (v 10/29/98 HENRYW. OK. : CO� M. rPRu•u e��ee�« oueAfE' CLERK. CIRCUIT COURT T DUVAL COUNTY, FL N To whom it may concern: REC. $ 5,00 It The undersigned hereby informs you that Improvements will be made to certain real property, and in Or accordance with section 719.19 of the Florida Statutes, the followin` information is stated !n this NOTICE CL OF COMMENCZN7.NT. 94 Description of property ----------------------------------------------------- _--_-------------------------------_______________________ General description of improvements26 --- ° ---------------- Owner ----___ 1f_ -------------------- ------------ ------------ Address _l_l-60-1------ Owners interest in site of the improvement __________.•_______ -------------------- Fee Simple Title holder (if other than owner) Name ---------------------- Address --------------------- -------------------------- Contractor - ------------ Address -7—r%90 _ Surety (if any) ---------------- ------ Address ------_--__Amount of bond $________ Name and address of any person making a loan for the construction of the improvements. Name --------------- Address Name of person within the State of Florida, other than himself, designated bY owner upon whom notices or other documents may be served: (� Name ------------- Address _ ,7 - - -Q � ----- b01"_LIrPSek-----�.e�L>7/.�ej'_----Nf-- In addition to himself, owner designates the following person to receive a provided in Section 719.06 (2) [b], Florida Statutes. (FIII in ■t copy of the Lienor's Notice as per's option). Name ---------------------------------------------------------- - ------------ Address ------- ---------------- -------------- TWO arAC[FOR RtCORD[R•a U119 ONLY ---__---_-- 1,04 fCuJ,sy pa .• 0ccSam SCRM:July a.2mo I, Jill UNDER lant;d Dr ds.DO y 81t1NCb(�! S tan h t fREBY k4�tltN Clra.+It Ccurt, Du i'nt coned re f criFrfhs tafth)nenI form g County, Sworn to and',subscribed nefore me this In the offire of theof the pripingl as it appears on eco d IS a and file " IYITNESS m Clark of Cltctrlt Court of vu rd County,FloridaMY hand and ll��hh Y Flori -------- day f Ap ----------- Jacksonville, Florida, t5is�4tFydsy c�er f - ------ '79 ��-- u;t Cour HENRY R.D.. l W. COOK --- -- Cir ,,, . 1J and County Courts Note Pu c � h•C unty ►i e:,.. + f)�DutY Cler l r _ CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address J6 T-S 7-1 o J�p2CN Date ) /- / /- Heated /- / f-Heated Square Footage _@ $ per sq ft = S Garage/Shed �O @ $ per Ja - .5 Carport/Porcrn 1 (a S per sq ft = S Deck r, p@ S per sq ft = S Patio ©� f` @ S per sq ft = S TOTAL VALUATION : S QQQ D T/zgl ka,ivation 1st $ C� U Remaining Value S . per thousand or portion thereof TOTAL BUILDING FEE S S- + 1/ Filing Fee $ 5U ( ) Fireplaces @ $15 . 00 -- BUILDING PER IT FEE S WATER IMPACT FEE $!_ SEWER IMPACT FEE $ WATER METER/ AP $ CAPITAL !MPR VEMENT S SEWER TAF i ) RADON (HRS ) C050 S SECTION H PA ING i i $ HYDRAULIC SH RES a CROSS CONNEC ICN $ SURCHA GE . 0050 S OTHER $ GRAND TOTAL DUE S Z .,�5 ---) ADDITIONAL PERMITS OR FEES : Mechanical Plumbing_ Electric/New Electric/Temp ; Swimmi.naPooi Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : MAI-' SHG, .JING BOUNDARY S,, .'?VEY OF LOT— BLOCK 13 AS SHOWN ON MAP OF SEC IIA MW,p7,t/4 AS RECORDED IN PLA T BOOK_,z4_ PACES S/-S/BOF ]N PUBLIC RECORDS OF OLIVAE COUNTY, FLORIDA CER TlFIED FOR:_yy/GL Z4 e BSP.__o�/_ eE,S'_L r Qsr_T ri r!1w4q,46/TY 3 N O 6 • /6 ' /o IV w. 9 5, 00 v•l+ /o•o' k /6• Z ' LvooO SNEO Q Q � O Q v 00 6S•o, ,_,r'•A�G /3 m OA/E STOAQY BQ/C� o W �o Q Xf, Fk4^16 00ecl Q 4.9 Cl PeQP��PIP V. 30' B• f'.( . z4•o /4•S" RECEIVE ' f � ' . •` f tri 5:1 ,7b ', ' ' ` OCT 2 a 1998 /,•G. - - f Atlantic Beach $, 06 °/6 ' LO '96.00 ' Building and Zoning 69E4 0.4T6 490 E 'E!//SEO CERT/F/C4T/A,%/S:$-6-9Z 660'Rlu) OT VALID UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON kfL_ LINE AS SHOWN THE PROPERTY SHOWN HEREON APPEARS TO IIE WITHIN FLOOD HAZARD ZONE X AS SCALED FROM FLOOD INSURANCE RATE MAP 00D/ FOR .4 TG.4A_/71C B�q(f//� FLORIDA, DATED _ 4-i 7-g 9 TRI-STATE LAND SURVEYORS, INC. 3411 RA MEADOWS WAY SUITE #2, JACKSONVILLE, FLORIDA 32256 (904) 731-72,35 LEGEND CAP 9 1 HEREBY CERTIFY THAT THE ABOVE- LANDS RE SURVEYED UNDER MY WON Coq. oq. RESPONSIBILE SUPERVISION AND DIRECTION, AT THERE ARE NO (517 Wr ENCROACHMENTS EXCEPT AS SHOWN AND TH T THE SURVEY SHOWN ruvwrtr cs +rs+) HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY tw THE FLORIDA BOARD OF LAND SURVEYORS P SUANT TO SECTION dvoss cur cpa. (rouNo) 472.027, FLORIDA STATUTES � ro I.RL 60tD/NC RESTRICTION UNE ,w,r cavo» LARRY G. D Y, S. No. 4144 r/W MG"T-#-WAr /J by OOVAMP ARE, SCALE. f rn+tv+cveE /t AM CY)vDIIloNTNC PAD G/BIERRVFYOR7F OF FLORIDA 61 RADIAL DISTANCE DATE. 7-Z.9-�Z , ccwwTr ANC ,L NATIONAL CERTIFIEDTESTING LABORATORIES C ;:1VE '_SIGH DRIVE YORK. ?ENN YLVANIA 1 71C? TELEPHONE '71,% 346-1200 b FAX ',,7'' 767-4100 STRUCTURAL PERFORVAN CE TEST REPORT REPORT NO: NCTL-110-5820-1 TEST DATE: 05/02/97 REPORT DATE: 06/20/97 EXPIRATION DATE: 05/31101 CLIENT: Pacesetter Corporation 4343 South 96th Street Omaha, NE 68127 TEST SPECIMEN.- Pacesetter Corp.'s Model "6002" Type XX Horizontal Sliding Vinyl Prime Window (HS-Grade 30). TEST SPECIFICATION.- ASTMD4099-93, "Standa d Specifications for Poly(Vinyl Chloride) (PVC) Prime Windows/Sliding Glass Doors". TEST SPECIMEN DES CRIPTION GENERAL: The test specimen was a type XX i,orizontal sliding vinyl prime window measuring 60" wide by 48" high overall. Both panels measured 29-1/4" wide by 43-1/2" high. One metal cam-type sweep lock was located at 5-5/8"fmm each end of the interior meeting stile. The metal keepers were located on the exterior meeti g stile at the lock positions. A plastic combination end cap/corner gusset was fastened with o me(1)screw at all panel corners. A metal roller/plastic housing was located at each end of both panel bottom rails. The frame was of triple screw butt-type corner construction with closed cell foam gaskets. The panels were of single screw butt-type corner construction with plastic corner gussets. GLAZING: Both panels were channel glazed using se led insulating glass with a flexible vinyl glazing bead. The overall insulating glass thickness w s 7/8"consisting of two (2)lites of single strength annealed glass and one (1) space created by remco's "Swiggle Strip" spacer system. A pyrolytic type low emissivity coating was applied to glazing surface no. 3. WEATIIERSEALS. Double strips of center fin weatherstrip (0.250" high) were located at all panel rails and both jamb stiles. A single strip of ce ster fin weatherstrip (0.450" high) was located at both meeting stiles. Two (2) polypile dust pads (0.230" high) measuring approximately 1/2" long were located at all jamb stile rail corners and at the top rail/exterior meeting stile corner. One (1)polypile dust pad(0.230"A igh)measuring approximately 1/2"long was located at the bottom rail/exterior meeting stile coMer. PROFESSIONALS IN THE SCIENCE OF TESTING i �C NATIONAL CERTIFIED TESTING LABORATORIES C ="/E LEIGH DRIVE YORK. PENNSYLVANIA 7ELEPHONE17, 171 346-1200 ! FAX 7171767-4100 STRUCTURAL PERFORMAIVC TEST REPORT REPORT NO: NCTL-110-5204-1 TEST DATE: 05/17/96 REPORT DATE: 05/22/96 EXPIRATION DATE: 05131/00 CLIENT- Pacesetter Corporation 4343 South 96th Street Omaha, NE 68127 TEST SPECLUEN.• Pacesetter's Model "6000"Side Load Double Hung Vinyl Prime Window. (DH-R25) TEST SPECIFICATION. ANSIAULA 101-93 "Volul tary Specifications for Aluminum and Poly (Vinyl Chloride) (PVC) Prime Windows and Glass Doors." TEST SPECIMEN DESC PTION GENERAL: The test specimen was a one-over-one d1t double hung vinyl prime window measuring 45" wide by 60" high overall. The exterior ash measured 42-3/8" wide by 29-1/2" high. The interior sash measured 42-15/16" wide by 29-518" high. Both sash were removable via a double coiled spring balance system located in each.jamb track. One metal cam-type sweep lock was located at 5" from each end of the interior meeting rail. The metal keepers were fastened to the exterior meeting rail at the lock positions. Aplastic tilt latch was housed at each end of the top rail and interior meeting rail. A cast metal solid pivot bar with rounded end fastened with one screw was housed at each end of the exterior meeting rail and bottom rail. The frame was of triple screw butt-type corner construction with closed cell foam gaskets. The sash were of single screw butt-type corner construction. GLAZING: Both sash were channel glazed using seale insulating glass with a flexible vinyl glazing bead. The overall insulating glass thickness wa 13/16"consisting of two lites of single strength annealed glass and one space created by Trem o's "Swiggle Strip" spacer system. A pyrolytic type low emissivity coating was applied to gla 'ng surface no. 3. WEATHERSEALS: A single strip of centerfin weathe strip (0.200" high) was located at the head. A single strip of centerfin weatherstrip (0.250"hig ) was located at the top rail. A single strip of centerfin weatherstrip (0.300" high) was located at the bottom rail. A single strip of centerfin weatherstrip (0.350" high) was located at the sill. A double strip of centerfin weatherstrip (0.270" high) was located at the stiles. A double strip of centerfin weatherstrip t (0.300" high) was located at the interior meeting rail, A double strip of centerfin weatherstrip (0.350" high) was located at both jambs. A single foam filled vinyl covered bulb weatherstrip was located at the head and bottom rail. PROFESSIONALS IN THE SCIENCE F TESTING T / NATIONAL CERTIFIED TESTING LABORATORIES C - _c!G DRIVE RK. PENNSYLVANIA ?i102 i EELEPHONE 1717)846-1200 FAX 7?7) 767-4100 STRUCTURAL PERFORMAN 7E TEST REPORT REPORT NO: NCTL-110--6331-3 TEST DATE. 08/06/98 REPORT DATE. 08/07/98 EXPIRATION DATE: 08/31/02 Client: Pacesetter Corporation 4343 South 96th Street Omaha, NE 68127 Test Specimen: Pacesetter Corp.'s Series "6000"Fi ed Vinyl Prime Window (F-R35 48x48). Test Specification: Ai1111A/NWWDA 101/LS.2-97, "Voluntary Specifications for Aluminum, Vinyl (PVC), and Wood 6Vindows and Glass Doors." TEST SPECIMEN DES 4.7RIPTION General: The test specimen was a fixed lite vinyl prime window measuring 48"wide by 48"high overall. The fixed lite was glazed to the frame members, roviding a viewing area of 43-3/8"wide by 43-3/8"high. The frame was of triple screw butt-type corner construction. Glazing: The fixed lite was interior glazed using an adA esive foam tape back-bedding and a snap-in two (2) leaf dual durometer rigid vinylglazing bad. The overall insulatingglass thickness was 7/8"consisting of two (2) lites of double strength annealed glass and one (1)space created by Tremco's "Swiggle Strip"spacer system. Weatherseals: No weatherseals employed. Weeps: One (1) weep hole measuring 1'x 1/4"and employing aplastic weep cover was located at 2-1/4"from each end of the exterior sill face. Interior&Exterior Surface Finish: White vinyl (PV0 . Sealant: No apparent sealant employed. PROFESSIONALS IN THE SCIENCE 6 F TESTING !i � �a- \ NATIONAL CERTIFIED TESTING LABORATORIES CFIVE '_EIGH DPI'i= YORK. PEN SYLVANIA 17102 r-E`�cPHONE j717 346-1200 FAX (71 7) 767-4100 STRUCTURAL PERFORi CE TEST REPORT REPORT N0: NCTL-110--6331-7 TEST DATE: 08105198 REPORT DATE: 08105198 EXPIRATION DATE: 08/31102 Client: Pacesetter Corporation 4343 South 96th Street Omaha, NE 68127 Test Specimen: Pacesetter Corp.'s Series "5000"Aixed Aluminum Prime Window (F-R35 48x48). Test Specification: AAY1A/NWtifiDA 1011LS.2-97, "Voluntary Specifications for Aluminum, Vinyl (PVC), and Wood Windows and Glass Doors." TEST SPECIMEN DE CRIPTION General: The test specimen was a fixed lite aluminum prime window measuring 48"wide by 48" high overall. The fixed lite was glazed to the frame me bers,providing a viewing area of 44-112" wide by 44-112"high. The frame was of butt-type corn?r construction with closed cell foam gaskets. The frame was thermally broken using poure urethane thermal barriers, debridged to 3116". Glazing: the fixed lite was interior glazed using an a esive foam tape back-bedding, an interior glazing gasket, and a snap-in extruded aluminum glazing bead. The oaerall insulating glass thickness was 718"consisting of two (2) lites of double strength annealed glass and one (1)space created by Tremco's "Swiggle Strip"spacer system. Weatherseals: No weatherseals employed. Weeps: No apparent weeps employed. Interior & Exterior Surface Finish: RAIte painted 2luminum. Sealant: No apparent sealant employed. PROFESSIONALS IN THE SCIENCI OF TESTING • f tCERTIF I( CATION 'PR v �e�� ()(JKAy1 SPECIFICATION CONFORMANCE TEST REPORT • ; NC 000223N 'NE INTERSTATE PLAZA VALID ONLY NHEN ADMINISTRATORS 7K, PENNSYLVANIA 17302 CERTIFICATION VALIDATION REPORT :LEPHONE (717) ads-IZoo NUMBER APPEARS IN BOX ABOVE MANUFACTURER: Pacesetter Corporation HS-R35 (XX) SPECIFICATION TYPE; ADDRESS; 4343 South 96th Street Omaha, NE 68127 SERIES-MODEL Series "5000" TE 3T SIZE: 610" 10" x 51 011 CERTIFICATION PROGRAM APPLYING FoR ANSI/AAMA 101- J 85 H P�� RATING IF APPLICABLE DESCRIPTION OF SAMPLE TESTED: Type XX horizontal sliding a uminum prime window 6'0" wide by 5'0" high overall . Both panels measured 2 ' 11-7/8" wide by 1 '8-3/8" high. Frame and panel members were thermally improved using poured-and-debridged ure hane thermal barriers. One metal cam- type sweep lock was located at mid-span of the interior meeting stile. The keeper was extru- ded into the exterior meeting stile. A rigid vinyl serlarator was employed at the head and sill . A rigid vinyl filler was employed at the right interior view) exterior jamb track. A full length rigid vinyl slide was used at each top ar d bottom rail . One metal roller/plas- tic housing assembly was employed at each end of the active bottom rails. The frame and sash corners were of double screw butt-type corner construction. 3LAZING: Both panels were channel glazed using 13/1611 hick sealed insulating glass with a 'lexible vinyl glazing bead. The overall insulating gl ss thickness was 0.812" with an air pace measuring 0. 568" created by Tremco' s "Swiggle" st ip. CONTINUED ON SUPPLEMENTAL PAGE ONE) TEST RESULTS PARAGRAPH NUMBER TITLE OF TEST MEASURED ALLOWED ?.2.4. 5. 1 Operating Force 13# 20# '• 1.2 Air Infiltration 0. 56 psf 0.09 CFM/FT 1. 56 psf 0. 16 CFM/FT 0.37 CFM/FT .. 1. 3 Water Resistance - 5.0 GPH/FT2 WTP = 2.86 psf No Entry No Entry . 1.4 Uniform Load Structural 30 psf exterior 0.003" 0.225" 30 psf interior 0.01911 0.225" CONTINUED ON SUPPLEMENTAL PAGE ONE) 'AILED ASSEMBLY DRAWINGS: SECTION AND PART DRAWINGS: CORNER CONSTRUCTION: WALL THICKNESS OF ALL MEMBERS AND BILL OF MATERIALS !RETAINED FILEE AND HAVE BEEN COMPARED TO THE SAMPLE SUBMITTED AND ARE IN COM LIANCE WITH THE APPLICABLE STANDARDS. TEST SAMPLE WILL ETAINED AT THE TEST LABORATORY UNTIL EXPIRATION DATE OF CERTIFICATION. COPY OF THIS REPORT HAS BEEN FORWARDED TO THE NCTL ADMINISTRATOR OF CERTIFICATION, THE ABOVE RESULTS WERE SECURED BY TESTING A-ATORY ISE 3N�v WITH THE PROCEDURE DESCRIBEIN ACCORDANCE 'WD IN THE C RRENT PROCEDURAL GUIDE AND THEY INDICATE COMPLIANCE WITH THE REFERENCED STANDARDS. / NCTL-110-1771-2C /' ..Itrt,,,;- �zn�tunr;>1 !'estingLaborutu>-y 2 - NCTL/AV 03/20/85 NATIONAL CERTIFIED TE TING TABS I WILLIAMG. ELINE ICXPIRATION DAT= n�/Biro SUPPLEMENTAL PACE ONE Pacesetter Corporation NCTL-110-1771-2C WSTP : Single strips of Center Fin Weatherstrip (.230 x . 187) were located at each top and bottom rail . Double strips of Center Fin Weatherstrip ( . 300 x . 187) were located at the interior meeting rail . Three st ips of Center Fin Weatherstrip (.230 x . 187) were located at the interior jamb stile. Double strips of Center Fin Weatherstrip (.230 x . 187) were located at he exterior jamb stile. WEEPS: One weep hole measuring 1" x 1/8" was located through the bottom of the in- terior sill track to the sill track to the sill hollow 12" from each end of the sill . One weep hole measuring 1" x 3/16" was located through the exterior vertical sill track 12" from each end of the sill . One weep ole measuring 1" x 3/16" was located through the exterior wall of the sill hollow 12' from each end of the sill . INTERIOR SURFACE FINISH: White painted aluminu . EXTERIOR SURFACE FINISH: White painted aluminum. SEALANT: No sealant was used. SCREEN: A half screen measuring 2 ' 10-1/2" wide by 4'8-1/4" high was of mitered type corner construction with aluminum corner keys. The screen employed fiberglass mesh cloth with a solid vinyl spline. PARAGRAPH NO. TITLE OF TEST MEASURED ALLOWED 2.2.3. 6.2 Deglazing Test - Exterior Pane Pull Stile - 7071 18. 9°0 100% Meeting Stile - 707 21.0% 100 Top Rail - 507 9.3% 100°0 Bottom Rail - 507 6.4°o 100°0 Deglazing Test - Interior Panel Pull Stile - 7071 18.7% 100°0 Meeting Stile - 70; 23.7% 100% Top Rail - 507 9.3% 100% Bottom Rail - 50# 6.4°' 100 3.3 Water Resistance - High Performance (5.0 GPH/FT2) *WTP = 5.25 psf No Entry No Entry 3.4 Uniform Load Structural - High lerformance 75 psf exterior 0.016" 0.225" 75 psf interior 0.020" 0.225" *Tests performed with and without screen. TESTS COMPLETED: 02/ .8/85 PSR-3844 17070 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ LOCATION INFORMATION t Number : 17070 're s : 1652 SEA OATS DRIVE mit Type:PLUMBING ATLANTIC BEACH , FLORIDA 32233 'AS of Work:ALTERATION LEGAL DESCRIPTION --)n tr. Type .WOOD FRAME to k : Lot : Twp , 0 S osed Use: SINGLE FAMILY 'ec ion: 0 Subd- Rng, 0 wellings : 0 '1,lblivision- t , Value : 0 . 00 m1p �� p ov . Cost : 0 . 00„- tal Fes -,, 25 . 00 Alunt P-i(3 2..5 . x?,”' ate 0 ATj,.ON APPLICATION FEES e VERM I T r 2r r IVE AT' 40RIDA 3^ 1 n e U, CON 1JR, INF` RMATI ON ,ae: DARLE a S PLU MB106 INC 35,52-,S'r-. AUGUSTINE ROAD JACKSONVIL4, 32207 L c: CF10,,$ .02 M4, al, NOTES: 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 MECHANICS' 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. t2s.Be 14 Date: 8/28/98 01 Receipt: 0082170 ATLANT)r�'BEACH BUILDING DEPARTMENT CASH x' 80108883221088 By: T _ o o � J V? L� r I' o C2 �L AVi J U v CD C'S X �U � J i If(A hie M o o LQ _ w _ � m d a �- o �, S v o W J, Q4� J Qw O m y oo W ru. rn _ U h CP 0 V 02t I_ ao o I � � drm z C5 x =J ,y r-6 _x b ! � I 00 droops aC t� v 1 .L O � do 4 � 0 n � L7 � J � U i u C9 ,Q It O l a "/ •S CO Q) 'C 3 c1, m Q � ta. u N g �c ar 3 _-0 80 � ac LJ D' i S°ao. w •• 0 e 3 x a a „°'��. 1(7 rcn•pu;ch u�p F FOR OFFICE USE fONLY Date------= %�L1..... 9 ...... Permit #---14.01.....Fee$_ .... ...-- CITY OF ATLANTIC BEACH Valuation $- --�1%C/1.�............................ y FLORIDA House #---/. ... ,;.� APPLICATION FOR BUILDING PERMI Application is hereby made for the approval of the detailed statemeni 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 oC 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 verifieA, ' L - D t .... tV� p 19. ...... L Owner- --- - ---- -------- ----- � ---�--------------Cal--- Address- --'�',---I'-o-�0 'J_ ---- G'1Cl`------Telephone No..733_._'�l..S-•---t Architect------ L ....�. '� Address �a � � Telephone No. - ------------ r' Contractor Builder.....1.`_u lC.._.._ _ �itr_S�.....J ri -Address.............. $-----__ }_4�__ .=_._Tele one No..._..---.`.-_'--.._._.._--- Lot N 1- --�-�-•-�-•-.�---,-----------------Block No Sub Divi ion ©/------ ri 64.0---gone--. -------------- 1 � ----- ._Ll -------------Street-------- -----------...Side Between... -- 4A4 ---and-------•------_------_--• ------•-- --------Sts. Valuation $---------------•---•------------For what purpose will building be used -._. _ �sl- ke of construction- ------------- ---------- - Dimensions of Building ___._-___-_____Dimensions of Lot__.._.._ /._..x.__1_ Q-� Footings_'; 6� X.�...r -------- ---- - - ---•----Size of Footin - ----- --- Size of Piers---------- Size of,Sills_-__-_-_. -_... ..........Greates Sill Span in ft...._.._...................Type Roof.. 56t, _.__ .------------- How will Building be He ed?_-__-___ Q .._.�� .:..______Will Building be on Solid or Filled Ground?.....__... ... �............. �1--- ----- Distance on renters--- ..- �l 5�= - Greatest Span. --- ----------------•---•------•• » Size of Ceiling Joists -----_-i- , Size of Floor Joists._-__-_-__- I.................. Distance on Centers........ -_.- .................. Greatest Span_._.__-.--_.__^-....................... " _ Size of Rafters.-------------- _ ---------------_, Distance on Centers.....f rv_4 „�_..-_.., Greatest Span. " This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. r a, Inspections required. 5 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. "a ►a 4. When framing is completed. p P j 5. When rough plumbing is completed,and ready to cover up. W """` W G. When septic tank drain field or sewer is laid but before it is co eyed. q q 7. Electrical inspection by City of Jacksonville. 8. Final inspection. LJ Note: In case of any rejection,re-inspection MUST be called for after corrections are made. V FRONT OF LOT In consideration of permit given for doing the work described in the above statement, we hereby agree to perform said work in accordance with the attached plans specifications, which are a part here f, and in ac dance wi t building regulations of the City of A bNntic Beac Signature of Buiider...._..__: �. _ �. ddress.3.44- l 1 - Signature of Owner - ---................................_... .._:. A ddress.................................................................................................... CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: QY=! OWNER OF PROPERTY: TELEPHONE PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS: v STATE LICENSE NUMBER: ins` TELEPHONC.gS HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY 1 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 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: Ir( ------------------------------------ ---------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTH RN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION CITY OF ATLANTIC: BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 322 -Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION f LOCATION INFORMATION Permit Number: 20326 Ad rens: 1652 SEA OATS DRIVE Permit Type: at ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Tov Fnship: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot s): Block: Section:0 Square Feet: Suk division: Est.Value: Pa el Number: Improv. Cost: OWNER INFORMATION Date Issued: 7/06/2000 Name: FRANCIS POU Total Fees: 25.00 Address: 1652 SEA OATS DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 7/06/2000 Phone: (000)000-0000 REP Work Desc: LACE WATERHEATER CONTRACTORS APPLICATION FEES ALLCITY PLUMBING PER IT 25.00 FINAt. Inspections Requilmd NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUIL ING MATERIAL, RUBBISH AND DEBRIS FROM THIS VgORK MUST NOT BE PLACED IN PUBLIC SPA E, AND MUST BE CLEARED UP AND HAULED AWAY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMEN TS11 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART 0 THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. X25.88 14 ATLANTI EACH BUI ING DEPT. Date: 7/07/00 01 Receipt: 0070646 CHECKS ° 08108803221080 ACITY OF 4&4#94'e /3 Pavy"474u- 4, Office Of Building Official t'll REQUEST FOR INSPECTION Date � 2 _( — Time Permit No. 7t� Received A.M. Job Address Owner's calit Name Contractor �Ce BUILDING CONCRETE ELECTRICAL Framing ❑ PLUMBINGMECHANICAL Re Roofing ❑ ❑ Rough Wiring Rough ❑ Slab ❑ Insulation Temp Pole ❑ Air Cond.& ❑ ❑ Lintel ❑ Final Top Out ❑ Heating �j Sewer ❑ Fire Place READY FOR INSPECTION Pre Fab Mon. Tues. A.M. Friday Inspection Made Wed. Thurs.— Z _ Q A.M. Inspector P.M. Final Inspe tion ❑ Certificate f Occupancy❑ Date