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1659 SEa Oats Dr (vault) (2) S Comp. By: JWD Date: 4/19/2007 Public Works Department 5 City of Atlantic Beach Permit No: O Address: 1659 SEA OATS DRIVE V LO� Storage Re wired S a Volume q q Criteria: Section 24-66 of the City of Atlantic Beach's Zoning,%Subdivsion,and Land Development Regulations requires that the difference between the pre-and post development volume of stormwawter runoff be stored on site. Volume of Runoff is defined as follows: V=CAR/12 Where: V=Volume of Runoff C=Coefficient of Runoff A=Area of lot in square feet R=25-yr/24-hr rainfall depth(9.3-inc ies for Atlantic Beach) FILE COPY Predeveloament Runoff Volume: Lot Area(A) = 12,127 ft2 Runoff Coefficient Area Lot Area Description ft2 qt) w"C•• Impervious 4,781 12,127 1.00 0.39 Pervious 7,346 12,127 0.20 0.12 Runoff Coeffic ant(C)= 0.52 Runoff Volume V= 0.52 x 12,127 x 9.3 / 12 V= 4,844 ft Postdevelooment Runoff Volume: Lot Area(A) = 12,127 ftp Runoff Coefficient Area Lot Area Description (fj2) (ft2) "C" Mltd "C"Impervious 5,143 12,127 1.00 0.42 FILE ! Pervious 6,984 12,127 0.20 0.12 Runoff Coeffic nt(C)= 0.54 Runoff Volume V= 0.54 x 12,127 x 9.3 / 12 V= 5,068 ft3 Required Storage Volume DV= Postdevelopment Runoff Volume-Pr development Runoff Volume DV= 5,068 - 4,844 DV= 224 ft3 Retention 1659 Sea Oats Dr Retention 040507.)ds 4/19/2007 Ron a vq, OF Date Office o Time •3/ R UR sui/d h Received 9 FOR D�f10ia/-"a �NSp Ob / M. F�'ON Owner's gddrass �a Qams �J� L..¢�7L,J �Y Permit A/o. i �IN FranrO ng t t'017 9 c�NC/?ETF 16/�c� Sladt�ng �C Contractor COcality oIA4017. F MO ' d�L s /��4fj<<,�3 / � �9 W�r�9A� Tz nspection Af es. READ � ghB//ytHsps°tOrde // weOq/NSPE o r 0 qM Co SAN/�C 1 N Heati /l Fire P/, �9 CJ/C L` p hUrs Pre Fab ce O ?�M Friday C17 er d�Inspect;°ry \\ Date plicate o/OcCupancv BUILDING PERMIT AF PLICATION SSS CITY OF OF ATLAN IC BEACH f, 800 Seminole Road,Atlanti Beach FL 32233 J J,319 Office: (904)247-5826 • F (904)247-5 845 4 \Job Address: S S! 0t4 i-S v2 Permit Number: Legal Description Valuation of Work(Replacement ost) $ -��Z1 ■ Class of Work(Circle one): New Jddition Alteration Repair Move,.. ■ Use of existing/proposed structures)((Circ f-one . Comme ial Residential ■ If an existing structure, is a fire sprmkler system installed? es- 7 N/A ■ Is approval of homeowner's association or other private entity required?(Circle onef: Yes No Describe in detail the type of work to by performed: r Property Owner Information �ame: S7L)1�&-7 593/ c/ D R- Address: J S 7-S �2 City L, B,-- State EZip, 3c� 3� PhoneS- Contractor Information: Name of CM�P4-anQy* . �.> �,�<�"� �,C,.; J Qui ng Ag Address: City ASC I5S —'7 tate Zip 3 Z Office Phone -t37 Job Site/Contact Nu ber State Certification/Registration# C fG C/0 Offic Fax Architect Name &Phone# ZH-7-7o Z Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work an installations as indicated. I certify that no work or installation has commenced prior to the issuance qfa permit and that all work will be performedto meet the standards of all laws regulating construction in this jurisdiction. Thispermit beco s null and void if work is not commenced within six(6) months, or_f construction or work is suspended or abandoned fo a period of six_(6) months at anytime after work is commenced. I understand that separate permits must be secure or Electrical Work, Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECO A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPRO MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WI YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO MIVIE CEMENT. Thereby certify that I have read and examined this application and ow the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied ith whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel t. provisions of any other federal, state, or local or regulating construction or the performance of construction. Signature of Property Owner: Sigi iature of Contractor: Swo subscri d befp a meU5w d subscri d bef e thi Day of s thi Day of Notary Public: _ No Public: �- "� S IRL Y L. GRAHAM 00- „ ��•�°� °�a'% ,•oto"aye•: HIRLEY L. RAHAM Nota lic .�, *�`_ Notary Publ�cE State of Fbride ` State Fr2010 REVISED 03.05. `• MY Commission Expires Feb 14,2010 Y Commission expires oma a a•EM �';�F a�' Commission#DD 518533 Pres Feb 1?;g OF F�.�?°` Commission#DD 5185 Bonded By N "' Bonded National Notary Aacn BY National ti �� S = , CITY OF ATLANTIC BEACH PLAN REVIEW SHEET R J �~ Hufstetier Building Department Public Work &Public Utilities Departments . D 800 Seminole Road 1200 Sandpip r Lane Puzniak r Atlantic Beach,Florida 32233 Atlantic Beac ,Florida 32233 (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax Jax Fire dept. PLAN REVIEW COMMEN S Permit Application # J 4 Property Address 9 T Applicant: 4 DA 1/1- Project: 6 Review Result (Circle e)- pprov D' p rove Approved w/Conditions Review Initials/Date r � Development Size: Habitable Space Non-Habitable Impervious area Total Area Miscellaneous Information : Occupancy Group Type of Construction Number Of Stories Zoning District # Parking Spaces Max. Occupancy Load Fire Sprinklers Required Flood Zone Conditions or Comments: Building Dept, Public Works and Utility information at top of page, failure to notify the correct department of your revisions may delay your permit from being issued. r$"VjrJ''' BUILDING PERMIT APPLICATION S% 1 CITY OF ATLAN Tic BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 9 : (904)247-5845 Job Address: J S� ®/1�S c f��'t _ Permit Number: Legal Description Valuation of Work(Replacement ost) $ ■ Class of Work(Circle one): Newddition Alteration Repair —Move, ■ Use of existing/proposed structure(s)Circ1e e .nComme tial Residential ■ If an existingstructure, is a fire spr er system installed?(Circ le one): Yes--- N/A ■ Is approval of homeowner's association or other private entity re 4uired?(Circle onef: Yes No Describe in detail the type of work to by performed: J r Property Owner Information )(Name: 570�27 SHi t D 9-IS Address: I&S SGS o�q 7S c2 City &74, ae State EZip,_jc �Pho e Contractor Information: Name of Com any:_J • L. . �]41�!; ►J ST-� �.�-�..'� Quali ng Agent Address: N "- S City AX 15" p State Zi Z�- Office Phone --t37 - Z.Z,Z Job Site/Contact Nu mber —Z'ZZ? State Certification/Registration# Gly cn 640 Offi(e Fax# Architect Name&Phone# ' z,Ij 7-7a Zi Engineer's Name &Phone# Application is hereby made to obtain a permit to do the work an installations as indicated. I certi that no work or installation has commenced prior to the issuance o_ffa permit and tIes tall work will be performed to meet the standards of all laws regulating construction an this jurisdiction. This permit beco null and void if work is not commencedwithin six(6�months, or i f construction orwork is suended or abandoned a period of six ((6) months at any time affter work is commenced. Iunderstand that separate permitmstbe securefor Electrical Work, Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECO A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROV1P.MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULTEandow YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENT. t hereby certify that I have read and examined this application the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to gave authority to violate or cancel t e provisions of any other ederal, state, or local law regulating construction or the performance of construction. �ignature of Property Owner: _ Sig iature of Contractor: Swsubscril d befpCemte SWI d subscri d bef e thi Day of s thisDay of Notary Public: `-' Nol ary Public. �- "•" "• S RL Y L.GRAHAM Ig�"= N� IiC•Stele of Floridr r` 'f- Notary p�EY L RAHAM * ubNc.S REVISED 03.05. :N, M Commission Expires Feb 14,2010 MY C , �"of Ffodde omm "on Ex Fab 14,2010 F,o ,JP Commission#DD 518533 Commission#D 518533 Bonded 8� National Notary Assn. Bonded 8 ��-.r Y National Notary gssn RECEIVED �S Q S, CITY OF ATLANTIC BEACH APR 1.007 N PLAN REVIEW SHEET R BY H ufstetler Building Department Public Works Public tilities Departments . D 800 Seminole Road 1200 Sandpipe Lane ar er Atlantic Beach,Florida 32233 Atlantic Beach Florida 32233 a uzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax Jax Fire dept. PLAN REVIEW COMMEN S t Permit Application # 0 - Property Address 16-0 T ,r Applicant: D.4 D A VI Project: �. Review Result (Circle one): Approved Disal roved w/Conditio Review Initials/Date 45�� C1 Development Size: Habitable Space Non-Habitable Impervious area Total Area Miscellaneous Information Occupancy Group Type of Construction Number Of Stories Zoning District # Parking Spaces Max. Occupancy Load Fire Sprinklers Required Flood Zone Ur - t d- S� An- v.�-f�ai �l r4 `ls Conditions or Comments: C4usTnNw41,r,Aj Mrwop* &uAr *5LA- U —v&x or., v E Building Dept, Public Works and Utility information at top of page, failure to notify the correct department of your revisions may delay your permit from being issued. f f; � Ile,. SS` CIT OF ATLANTIC BEACH SS�� a 800.SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 t:)c+ Application Number 06-0 )033887 Date 9/12/06 Property Address . . . . 1659 SEA OATS DR Application type description RESI ENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . TO B3 UPDATED Application valuati n . . . . 0 --------------- --------------- ----------------------------------- Application desc �Re. ------RENEW PERMITS 04 28487 AND 04 2822 �� -------------------------------- ---------------- - ------------ Owner Contractor ------------------------ ------------------------ HOEY, JASON OWNER 1659 SEA OATS DR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-9855 ---------------------------------------- ----------------------------------- Permit . . . . . BUILDING PERMI Additional desc Permit Fee 35 . 00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date ( 3/11/07 ------------------------ --------------- ----------------------------------- Fee summary Charged Paid Credited Due --- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 .00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN AccoRDA NcE wrm ALL CITY OF Ai iANTic BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. APPENDIX 13-D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-04R Residential Limited Applications rescriptive Method C NORTH 1 2(D Small Additions,Renovations&Building Systems +Compliance with Method C of Sub-Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the ui e of Form 60OC-04 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovations to single-and multiple-family residences.Alternative methods are provided or additions by use of Form 6008-04 or 60OA-04. PROJECT NAME: BUILDER: AND ADDRESS: u PERMITTING CLIMATE OFFICE: �` ZONE: 1 D 2 3 OWNER: S PERMIT NO.: JURISDICTION NO.: SMALL ADDITIONS TO EXISTINd RESIDENCES(600 square feet or less of conditioned area).Prescriptive requiren ants in Tables 6C-1,6C-2,and 6C-3 apply only to the components of the addition,not to the existing building,Space heating,cooling,and water heating equipment efficiency levels must be met only when equipmentis installed specifically to serve the addition oris being installed In conjunction with the addition construction.Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels.RENOWTIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building).Prescriptive requh Dments in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced.MANUFACTURED HOMES AND BUILDINGS.Only site-installed components and features are covered by this form.BUILDING SYSTEMS.Comply when complete new system is installed. Please Print CK 1. Renovation,Addition,New System or Manufactured Home 1. tory- 2. Single-family detached or Multiple-family attached 2•�3I 1AC1 3. If Multiple-family-No.of units covered by this submission 3' 4. Conditioned floor area(sq.ft.) 5. Z 5. Predominant eave overhang(ft.) 6. Glass type and area: Single Pane Double Pane a.Clear glass 6a. sq.ft. _sq.ft. b.Tint,film or solar screen 6b. sq.ft. sq.ft. 7. Percentage of glass to floor area 7. Iq % 8. Floor type and insulation: J a.Slab-on-grade(R-value) 8a R= -40r' 13 lin,ft. b.Wood,raised(R-value) 8b. R= sq.ft. c.Wood,common(R-value) 8c. R= sq.ft. d.Concrete,raised(R-value) Sd. R= sq ft e.Concrete,common(R-value) 8e. R= sq.ft. 9. Wall type and insulation: a. Exterior: 1. Masonry(Insulation R-value) 9a-1 R= sq.ft. 2. Wood frame(Insulation R-value) 9a-2 R=�_ 3 Yy sq.ft. b. Adjacent: 1. Masonry(Insulation R-value) 9b-1 R= sq.ft. 2. Wood frame(Insulation R-value) 9b-2 R- sq.ft. c. Marriage Walls of Multiple Units'(Yes/No) 9C 10. Ceiling type and insulation: a.Under attic(Insulation R-value) 108. R= 19q sq.ft. b.Single assembly(Insulation R-value) 10b. R= sq.ft. 11. Cooling system' 11. Type: (Types:central,room unit,package terminal A.C.,gas,existing,none) SEER/EER: C rls�1 12. Heating system' 12. Type: (Types:heat pump,elec.strip,natural gas,LP-gas,gas h.p.,room or P7 AC, HSPF/COP/AFUE:I x= existing,none) 13. Air distribution system* a.Backflow damper or single package systems'(Yes/No) 13a. b.Ducts on marriage walls adequately sealed'(Yes/No) 13b. 14. Hot water system: 14. Type: FX[3'-{_4tAh (Types:elec.,natural gas,other,existing,none) EF: 'Pertains to manufactured homes with site-installed components. I hereby certify that the plans a d sp a i covered by the calculation are In compliance with Review of pla s and specifications covered by this calculation indicates compliance with the Florida the Florida Energy Code. - �.... Energy Code.Before construction is completed,this building will be Inspected for compliance in PREPARED BY: PATE; 1 ordance w th Section 553.908,F.S. I hereby certity is building is in compliance with the Florida Energy Code: BUILDING OFFICIAL: OWNER AG DATE: DATE: FLORIDA BUILDING CODE-BUILDING 13-D.33R rr r l�r�1ll f J� CIT OF ATLANTIC BEACH 'f 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 SPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Buildi .�=-dei-wi ?c�.,hus Application Number . . . . . 07-( 0000649 Date 5/14/07 Property Address . . . . . . 1659 SEA OATS DR Application type description PLUDBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------- ------------------------------------ Application desc Installation of new bathroom/fixtures --------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ HOEY, JASON TDG PLUMBING 1659 SEA OATS DR 4426 LOYS DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 246-9855 (904) 545-7341 -------------------------------------- ------------------------------------ Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 56 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/10/07 --------------------------------------------------------------------------- Fee summary Charged aid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56. 00 56 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 _ 00 Grand Total 56. 00 56 . 00 . 00 . 00 PERMPT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF AT ANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Comp. By: JWD Date: 4/19/2007 Public Works Department City of Atlantic Beach Permit No: Address: 1659 SEA OATS DRIVE Provided Storage: Elevation Area Storage (ft) 0 BOTTOM 0 0 TOB Required Storage:Volume= 224 ft Supplied Storage:Volume= 227 ft Retention 1659 Sea Oats Dr Retention 040507.)ds 4/19/2007 �S F CITY OF ATLANTIC BEACH Ss1 PLAN REVIEW SHEET R Hufstetler Building Department Public Works&Public Utilities Departments jQ 800 Seminole Road 1200 Sandpipe Lane a*er Atlantic Beach,Florida 32233 Atlantic Beach Florida 32233 a (904)247-5800 (904)247-583z Public Safety (904)247-5845 Fax (904)247-584 Fax Jax Fire dept. PLAN REVIEW COMMEN S Permit Application # 0 �� Property Address Applicant: , DA VI Project: b .b Review Result (Circle one): pproved Disapproved Approved w/Conditions Review Initials/Date d `'Z -'e Development Size: Habitable Space Non-Habitable Impervious area Total Area Miscellaneous Information Occupancy Group Type of Construction Number Of Stories Zoning District # Parking Spaces Max. Occupancy Load Fire Sprinklers Required Flood Zone Conditions or Comments: Building Dept, Public Works and Utility information at top of page, failure to notify the correct department of your revisions may delay your permit from being issued. t Yi y,J`l '" BUILDING PERMIT A PLICATION CITY OF ATLAN IC BEACH r 800 Seminole Road,Atlant1 Beach FL 32233 Office: (904)247-5826 ■ Fax: (904)247-5845 4 \Job Address: S S/T0/1-'S clb✓Z— Permit Number: Legal Description Valuation of Work(ReplacementCost) $ 7)�Zl b ■ Class of Work(Circle one): New ddition Alteration Repair Moves ■ Use of existing/proposed structures) Circ "one : Comme ial kesidential ■ If an existing structure, is a fire sprier system installed?(Circe one): Yes--- � N/A ■ Is approval of homeowner's association or other private entity required?(Circle one}: Yes No Describe in detail the type of work to by performed: Pronerty Owner Information �ame: 57v/�&-75/ i (- D 12 I_ Address: JS�4 a1t7-S c2 City /-, Be- State aZip,324 33 PhonaS— Contractor Information: ` �� Name of Company: L� . �,� l J; �,i,J<"�r ''' Qualif 6ng Agent ' Address: N City ASC. ��-�'� State - Zip 3Z�Z Office Phone t 7 - ZZZ Job Site/Contact Nu ber Z 7 —Z2z? , State Certification/Registration# Cly Ccn 56,L 4 0 Offic Fax#�7-��l� Architect Name&Phone# Z`i"7-7a Z Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work an installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be erformed to meet the standards of all laws regulating construction.in this jurisdiction. This permit beco s null and void if work is not commenced within six(6) months, or f construction or work is suspended or abandoned fo a period of six_(6) months at any time ter work is commenced. I understand that separate permits must be secured or Electrical Work, Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECO A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPRO MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WI YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CONIlV� CEMENT. thereby certify that Ihave read and examined this application and ow the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting o f a permit does not presume to give authority to violate or cancel th provisions of any otheY federal, state, or local ruaw regulating construction or the performance of construction. �ignature of Property Owner: Sip tature of Contractor: Ilk 2 Sw4�subscri d befp a me — Sw d subscri d bef e thi Day of , t1u Day of Not 'Public LL L (6��L Not iry Public. �- SIR! GRAHAM . Nota lic-State of Florida R�FM _ Notary Public-State brtda REVISED 03.05. '€MY Commission Expires Feb 14,2010 '=MY Commission "" Expires Feb 14 2010 :N «„?�' Commission#DD 518533 %Fo. „? Commission ° #DD 518533 Bonded By National Notary Asch Bonded By National KIM— .__ - CITY OF ATLANTIC BEACH ELECT CAL PERMIT APPLICATION Date: /- , 0�Property Address: Owner: Telephone#- Contractor: Mce-IM Telephone#: Box 33054 Contractor Address: Atlantic Beach,FL 32233 Fax #: 2727 aS O Contractor Signature: In consideration of permit given for doing the work as deqcr&d ina e abo statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a pal hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New ❑ Residence ❑ Temp. ❑ New being done on this building Or site,list the building )EL Old Ll Commercial Ll Signs ❑ Increase p " number. ❑ Re-wire ,,%ir_Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER UMJNUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service Z i RACE, )f Size AMPS � PH W VOLT �� WAY 0i Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AWS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTOR AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Trans£ Ea._Sign of Miscellaneous < 800 Seminole Road-Atlantic Bech,Florida 32233-5445 Phone: (904)247-5800- Fag: (904)247-584 . httn://www.ei.atiantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH s� 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Wl ° 3 (d b.us Application Number . . . . . 07-00000694 Date 5/21/07 Property Address . . . . . . 1659 SEA OATS DR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------------------------------------- Application desc INSTALL 4 FIXTURES -------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FORE TDG PLUMBING 1659 SEA OATS DR 4426 LOYS DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 246-9855 (904) 545-7341 -------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMI Additional desc . . Permit Fee . . . . 28 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/17/07 ------------------------------------ ----------------------------------- Fee summary Charged P3.id Credited Due ----------------- ---------- ---- ----- ---------- ---------- Permit Fee Total 28 . 00 28 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 28 . 00 28 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. JS rjt �JfJr,� C1 TY OF ATLANTIC BEACH PLUMBI G PERMIT APPLICATION Date: /.-?/ /O'7 Property Address: cr9 A Ort s ' Owner: S LVA Telephone#• Contractor: _ �-+M�p C Telephone Contractor Address: L.O �3 0— Fax Contractor Signature: In consideration of permit given for doing the work as described in the abo ve statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part he of and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the m st recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the bt' ding permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see Fc r Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road ®Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 a Fax: (904)247-5845 a h,:tp://www.cl.atiantic-beach.fl.us Revised 9/06 TY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: (,v6 rq Owner: ,+ S Telephone#• Contractor: IP Lu en 6 Telephone#: S714 Sy Contractor Address:y a L Fax#: Contractor Signature: In consideration of permit given for doing the work as described in the at ove statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the n ost recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other onstruction is being done on this building or site, ❑ New list the tuilding permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see r Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road .Atlantic Beach Florida 32233-5445 Phone: (904) 247-5800 . Fax: (904)247-5845. I lftp://Www.cl.atiantic-beach.fl.us Revised 9/06 CIT V OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deDVicoab us Application Number . . . . . 07-00000561 Date 5/01/07 Property Address . . . . . . 165 SEA OATS DR Application type description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO RE UPDATED Application valuation . . . . 22000 ---------------- ------------------------------------ Application desc ---------------------------------------- ---------- -----addition to home SMAII 4-� �rn 7'v -------------------------------- -'-u- �rgArb -- Owner Contractor FORE D.L. DAVIS CONSTRUCTION CO. 1659 SEA OATS DR 1903 N. 3RD STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-9855 (904) 237-2222 --------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . 140 . 00 Plan Check Fee 70 . 00 Issue Date Valuation 22000 Expiration Date . . 10/28/07 -------------------------------- ------------------ Fee summary Charged Paid Credited Due ------ ---- ----- Permit Fee Total 140 . 00 140 . 00 . 00 . 00 Plan Check Total 70 . 00 70 . 00 . 00 . 00 Grand Total 210 . 00 210 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CIT OF ATLANTIC BEACH w 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �V 19 INSPECTION EMAIL REQUEST: Building-deptna coab.us Application Number . . . 07-( 0000736 Date 5/30/07 Property Address . . . . . . 165S SEA OATS DR Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO 1E UPDATED Application valuation . . . . 0 ------------- ------------------------------------ Application desc room addition 200 amps 240/120 iolt -------- ------------------------------------ Owner Contractor ------- ------------------------ FORE BILL THOMPSON ELECTRIC CO, INC 1659 SEA OATS DR 49 WEST 7TH ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-9855 (904) 249-5601 ---------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date Valuation . . 0 Expiration Date . . 11/26/07 -------------------------------------------- Fee summary Charged Paid Credited Due --- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF AT ANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. f CITY OF ATLANTIC BEACH 800 SEMIN LE ROAD n ATLANTIC BEACI , FLORIDA 32233 INSPECTION PHO LINE 247-5826 JIlly) Application Number . . .. . . 04-()0029095 Date 10/01/04 Property Address . . . . . . 165 SEA OATS DR Tenant nbr, name . . . . . . SPRINKLER SYSTEM Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ HOVE, TIFFANY HULIHAN TERRITORY 1659 SEA OATS DR P.O. BOX 331268 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 285-8505 Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee 00 ---- Date Valuation ----------- ------ Special Notes and Comments OWNER MUST HIRE A PLUMBER TO INSTALL A BACKFLOW PREVENTER AND MAKE THE CONNECTION FROM THE PRIVATE PROPERTY. Fee summary Charged Paid Credited Due ---------- --- ------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANT C BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. -6SC • BUIL ING OFFICIAL CITY OF ATLANTIC BEACH r PLUM13ING PERMIT APPLICATION a xc�. •� Date: Property Address: jS Owner: Telephone#: Z, S- Contractor: f"�� vr/ �' Telephone#: Contractor Address: 7 1 Fax#: 24?0.?e In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If othei construction is being done on this building or site, ❑ New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters ry'i SAS 7 Other Fees 1 Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road .Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 . Fax: (904) 247-5845. http://Www.ci.atlantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH =� s 800 SEMINO E ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE_ LINE 247-5826 Application Number . . . . . 04-0()028705 Date 7/21/04 Property Address . . . . . . 1659 SEA OATS DR Tenant nbr, name . . . . . . RE-ROOF TIMBERLINE 30 YR Application description . . . ROOF Property Zoning . . . . . . . TO B UPDATED Application valuation . . . . 3500 Owner Contractor ---------------------- ------------------------ HOEY, JASON HARRISON CONSTRUCTION & 1659 SEA OATS DR REMODELING, INC. ATLANTIC BEACH FL 32233 917 1ST AVE. (904) 246-9855 NEW SMYRNA BEACH FL 32169 (386) 689-0689 ----------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . . 00 Permit Fee . . . . 75 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 3500 Fee summary Charged Eaid Credited --- Due--- ---------- --- ------ - Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 r PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 4 �r. BUILDING OFFICIAL it CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date aCh oma- 1 Address (civ J iFa Permit fee based on dollar evaluation as indicated on permit application. Lfs Heated Square Footage @ $ per sq ft= $ Garage/Shed @ $ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ $ e3500. o C� $35.00 11t $1000.00 $ $35.00 Total Valuation $ 2504.a v $ 4;;.eco $ (� Q Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: T OTAL BUILDING FEE $ t7 p0 ZONING: + % Filing Fee $ —AG- FLOOD GFLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ ATER IMPACT FEE $ SE WER IMPACT FEE $ ATER METER/TAP $ C ITAL IMPROVEMENT $ S WER TAP $ C ( )RADON HRS.0050 $ S CTION H PAVING $ C OSS CONNECTION $ S ( ) SURCHARGE $ HER $ RAND TOTAL DUE $ _ _ l i' ' k' Cc: rjE.:UUrfJ CITY OF ATLAN71 IC BEACH d` -� BUILDING / ZONING EPARTMENT � Higgins , S�"Doerr'' s f 800 Seminole R ad Atlantic Beach,Floria 32233 (904)247-58 (904)247-5845 Fax PLAN REVIEW C13MMENTS Permit Application # Property Address: 1 CP.S5 6 Co-4-5 r Applicant: vi c5 4 Project: f - This ermit 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: Date: - •,,xp'cl � v/d CITY OF ATLAN IC BEACH ROOFING PERMIT PPLICATION ro Date: Job Address: �t(' QSeo zl2eLs Owner of Property: r, ii' A/19 Z_ Address: /& 5l Telephone: .2 —'43 3 Contractor: G' State License Number:[.'C'•C Z12 S:jS,� Contractor's Address: art vac f Telephoner 6ql SLIQ Fax: Scope of Work: /' Deck Slope: (el7__ Greater than 2:12 Less than 2:12 Valuation of work: ✓�,3p Product Name(Example: Timberline): . Manufacturer(Example: GAF): (r• ASTM Designation(s): Required Inspections: Sheathingaffff inal IM Signature of Ownertj�; Date:�� -_ til 3• `-I1 Signature of Contractor: Date: '< - r' e• ' AS TO OWNER: / Sworn to and subscribed before me this day of ��(� 20�. State of Florida,County of Duval " 7oseph Rude Romano Notary's Signatur : MY COMMIS"# DD240635 EXPIRES r August 12,2007 ❑ Personally known BONDEDTHRUTROY FAA MSURANCF.MC produced identification Type of i entification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 716 day of L4 i , 20 . State of Florida,County of Duval Notary's Sign tore: •' "" Roseph Rude Romcno El Personally known _.: -*- MY COMMISSION# DD240635 EXPIRES (Produced identification August 12,2007 Type of identification produced Rl JQf "DED THRU TROY FAM MISURANCE,MIC 800 Seminole Road •Atlantic Be ch,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904) 47-5845 •http://www.ci.atlantic-beach.fl.us Page 1 Revised 2/21/03 5 MIN. RETURN ii Book 11941 page 1954 PHONE 4P NOTICE OF COMM NCEMENT State of Tax Folio No. County of wI +y' To Whom It May Concern: nThe undersigned hereby informs you that improvements will be made tc certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is s ated in this NOTICE OF CO NCEMENT. Legal Description of property being improved: vf Address of property being improved: . ( General description of improvements: p ' etc Owner: 6 1�4 r c, A/4, e Address: �• Owner's interest in site of the improvement: 6 w p ar Fee Simple Titlehcoollder(if other than owner): 3 Name: 1^ i Contractor: Address: Telephone No.0 gig) 6, L,l,Sq Fax No: Surety(if any) Address: Amount of Bond$ Doc# 200 36026 Telephone No: Fax No: Book: 11941 'a e: Name and address of any person making a loan for the construction of tl a improvements Filed & Recorded 07/20/2004 12:41:51 PM Name: JIM FULLER CLERK CIRCUIT COURT Address: Phone No: Fax No: TRUST--EUFUG $ 5.00 ND.— & 1.00 Name of person within the State of Florida, other than himself, designated by owner upon w�aWMTceS&other docWents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is on (1)year,from,*,&iate of rer�o essss aodifferent date is specified): ' August 1,2,2007 THIS SPACE FOR RECORDER'S USE ONLY OWNER ;no r�ef�TNRUT RJSURANCF INC Ai tz –T Signed: --f ate: Before a this day of i th oun of Duval,State Of Florida,has pers nally appeared Notary Public at L ge,State of Florida,Co >tiy of D a My commission ex ires �. ' �!2- Personally Personally Known: or Produced Identifica ion: ... i i �I 3a.. CITY OF ATL NTIC BEACH Ss1 800 SEMIN LE ROAD ATLANTIC BEACII, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028487 Date 6/18/04 Property Address . . . . . . 1659 SEA OATS DR Tenant nbr, name . . . . . . COVERING/EXISTING PATIO Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . TO BE UPDATED Application valuation . . . . 5000 Owner Contractor ------------- ----------- ------------------------ HOEY, JASON OWNER 1659 SEA OATS DR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-9855 -------------- ----------------------------------------- --------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 5000 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 .7. 2O. 07 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLA 4TIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL . Cc: CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING EPARTMENT Mg�ins� 800 Seminole R ad Atlantic Beach,Flori&32233 rt (904)247-5 80 (904)247-5845 ax PLAN REVIEW C MMENTS Permit Application # Com' Property Address: 1 . Applicant: LLo Project: C CSV 024 ta This permit application has been: 9?1�- Approved E:1 Reviewed and the following items need attention: Please re-submit your application when these iter s have been completed. Reviewed By: - W Date: A,1P a ° CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations & Additions) 71 Date: c Job Address: S155 �- © V Owner of Property: ��l s 4^� �'' TJ 2�/q C)-7¢ Address: 16 s1 $ �A'rs 1 JL Telephone: Legal Description: Block Number: Jc-- Lot Numbe :_1S Zoning District: Contractor: State License Number: Contractor Address: Telephone: Fax 171) Describe proposed use and work to be done: 1-0 Present use of land or building(s): GcVt=_ p � Valuation of proposed construction: 15,W(D:r- What are the dimensions of the added space: feet x feet Will the added area be heated and cooled? No New electrical or increase in service? NO Add plumbing fixtures? No I Add fireplace? O Add heating/air conditioning? NO Is approval of 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 ny use of fill material or the removal of any trees? ENO. 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. NO. Applicant certifies that no trees will be removi d for this project. ❑ YES. Removal of Trees will be required for this pro ect. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree onservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please llow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the p.-oposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. 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 7equired,written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandriper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Coe Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of constru tion 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 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (90 247-5845 -http://www.ci.atiantic-beach-fl.us Revised 1/04 Page 2 In addition to construction and engineering detail,plans must contain the fo lowing information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required info ation in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topogr 1phical survey. 4. Any significant environmental features,including any jurisdictional weth nds,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalld, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. b. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner: Date: I hereby certify that I have read and examined this appli tion and kno the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified 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 rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the properrY. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting ata have been or shall be provided as required. Signature of Contractor: 'V Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: �- Mailing Address: Telephone: -- Telephone: / y�D Q� Fax: 'T9' E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of State of Florida,County of Duval itttet{f11//// r. ?FFICIAI Sky's Si a S ff-a Jennifer A. t ' ,�.' .,#9773 Persona y !"tv(',mmisson Fx�reS Moduce identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 120 State of Florida,County of Duval Notary's Signature: ❑ Person ly known ❑ Produced identification Type o identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (90 247-5845 •http://www.ei.atlantic-beach.fl.us Revised 1/04 Page 3 II Brook 11$76 Page 2139 NOTICE OF COMMENCEMENT State ofTax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information s stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: L-OT C-IL S Address of property being improved: kpSqL 2 General description of improvements: T10 Owner: Address: 7.7,33 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: V �� Address: Y� 9ontractor: r5 a Address: Phone No: Fax No: '---- rety(if any): Address: Amount of Bond S Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself, owner designates the following person to re eive a copy of the Lienor's Notice as provided in - Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date i i one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY O NER Signed: '� Date: Beforemediis day of Ufle in tte Clunly ac 2010$ 96$35 of al, S of lorida,has personally appeared_ Page: 2139 Filed I Recorded NotarylubT c at Large,8tate of Florida,County of Duval. 06/17/'2004 12:53:04 PM My commission expires: JIM FULLER Personally nown: or CLERK CIRCUIT COURT Produced Id ntification: r Y�l 310�45� DUVAL COUNTY RECORDING f 5.00 �; :: MY COMMISSION#DD 258372 TRUST FUND f 1. j EXPIRES:October 14,2007 REC ADDITIONAL f 4.00 xr,.` eora ThmNoteryPublicUnclarw t m I MAP SHOA'T1VG B00,10ARY SURVEY OF LOT 5 BLOCK ' N'AS SHOWON MAP OF S EGYA MA)ZIIJA NIT AS RECORDED IN PLAT BOOK 3 4 PAGES 13 -Si OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR !-/ c pEUPLE� F/2ST LvMMurv/ 13AtiK S TEI.�J,�12 U/� `--- 77,2.4 a 7- S. O(oo 131 , x K p,4 k s�F c poo/ 6;;,f N a ALL FE,VCES � �cJDUD x $ - L F P Y N V X /S.O rn �,e I CK ti o ti 3 cn v N � .D I,I -5.0 " 1xj 90 co' i /2EC��T G<JU Com-Z`7"7! 7-/a-Go (D!, T /D2!:/� G - 115 6?7 6c, NOT VALID UNLESS EMBOSSED WTH SEAL OF THE UNDERWGNED BEAR/NGS BASED ON L.L� UNE AS 510 7HE PROPERTY SHOWN HEREON APPEARS To UE KITH/N OOD HAZARD ZONE AS SCALED FROM FLOOD INSURANCE RATE MAP__2_ FAR THE CITY OF 4'g a 'c, FLOR/DA, DATED -/-7- P�� AND IS 57400N AS A COURTESY ONLY AND DOES NOT CONSTI TE A CaERTIFCATION OF SAME. TRI--STATE LAND SURVEYORS, INC. 8411i SA MEADOWS WAY SUITE #2, A&SIONALE, FLORIDA 32256 (904) 731-7235 LEVO I HIS SURVEY DOES WT REFLECT DETERMINE ONNERSNIP. Caw_ mw NOT VAW17HOUT 7HE SIGNATU AND TNK,Q.?IGINAL RAISED SEAL o steer �►rs) OF A FLORIDA UCENSt"D SURVEYO AND_440- PER. —I O MON OW.(FMM) •cvm cur AN-L LEMIC Rnncnm Lm ' eUrr EASOMr LARRY C. -EDDY, P.L.S_. No. 4144 " MWr-Or WAr SCALE /"- 20 WV COWM AWA / AM f aaaoave _ - AN aoranalw�c � SO P.WE Vl N.7 MAPPER, I M) mom °"''MALE DA T E. !Z-//-�S S 7F OR/DA D c»Namw CONSTRUCTION SITE MANAGEMENT PLAN Ord, 6-18—Requires contractors to submi t a construction site management plan to include the following: (1) Location of demolition SPL-9- y C9-- (2) Grading and drainage surface water management plan to com Chapter 24 Article 3 and Section 24-67. (3)Parking plan showing off street 'ng. eV,-- (4)(4) Fencing plan locating fencing on at least three sides of property. GXisrn" (S)Location of construction trailer and I oadinglunloading area. NIA (6) Location of chemical toilets. N 1k (7)Location of dumpster(s). N'A (8)Traffic control plan showing access to project. ► tnE, (9)Other activities where special condi ions exist as approved by the Building Official. The wmplete ordinance may be obtained at the Building Oepartment� at the City Clerks offim or on line at Municode. cpm i rt CITY OF ATLANTIC BEACH OWNERBUILD R AFFIDAVIT Date: 1,4 Sl � 0 Job Address: b SV CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUC ON CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN C ONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUI,Dn4G. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR ESS. 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 CON TRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS INIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. Y UR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. T IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRE D BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO INDRO THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNIACENSED 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 DO S 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 URCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWN EIRS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX ANI/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY Sl E THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR- TELEPHONE ONTRACTORTELEPHONE THE BUILDING DEPARTMENT(247-5826)IF DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSU CE OF AN OWNER-BUILDER PERMIT. PROP ITY OWNERBUILDE SWORN TO AND SUBSCRIBED BEFORE ME THIS A_D 'Y OF S�^r(� 20D ' :�• OFFICIAL SEAL ' T Y PUBLIC =,ry;� •* Jennifer A. Dotes Y COMMISSION EXPIRES: y., , �o�, .#977306 I O/ -C f°p4W cxnmission Expires Oct.24,2004 NOTE. PHRASES UNDERLINED ABOVE. ITY OF ATLANTIC BEACH, C s 800 SEMIN LE ROAD ATLANTIC BEACII, FLORIDA 32233 INSPECTION PHO E LINE 247-5826 Application Number . . . . . 04-0028221 Date 5/07/04 Property Address . . . . . . 165c, SEA OATS DR Tenant nbr, name . . . . . . 17 , 000 GALLON POOL Application description . . . POO Property Zoning . . . . . . . TO ES UPDATED Application valuation . . . . 40000 V 11 .04 Owner Contractor D ------------------------ ------------------------ HOEY, JASON OWNER 1659 SEA OATS DRIVE ATLANTIC BEACH FL 32233 (904) 246-9855 --------------------------------------- ' ------------- ------ ----------------- Permit . . . . . . BUILDING PERM.- T Additional desc . . j Permit Fee . . . . 230 . 00 Plan Check Fee 115 . 00 Issue Date . . . . Valuation . . . . 40000 Fee summary Charged aid Credited Due ----------------- ------- --- ---t------ ---------- ---------- Permit Fee Total 230 . 00 1230 . 00 . 00 . 00 Plan Check Total 115 . 00 115 . 00 . 00 . 00 Grand Total 345 . 00 345 . 00 . 00 . 00 IIS • t to 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. "FAfLUR E TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IlvT OVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMITANDSUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I BUILDING OFFICIAL 5 • Cc: CITY OF ATLANTIC BEACH o. ' 4 - BUILDING / ZONING DEPARTMENT s7 roerrs` tel 800 Seminole Ro id Atlantic Beach,Florid 32233 (904)247-580 x;31} (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # ,/,I Property Address: J c 4 Ccl+" Applicant: t C C I Project: i This permit application has been: E:� �Approved ❑ Reviewed and the following items need attention: i Please re-submit your application when these ite s have been completed. Date: Reviewed By: I V 1 t. CITY OF ATLANTIC BEACH POOL PERMIT APPLICATION it Date: r Job Address: Owner: el Phone: Contractor: Phone:. Address: Fax: �.. �Iv City : State Zip Code: Valuation of Proposed Construction: L+0 •o0 Gallons: *Impervious Surface Calculation: I • Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, decking around a pool may be considered impervious depending upon materials used. I Is approval of Homeowner's Association or other private entity required? kk:5) ._ If yes, please submit with this application. in consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance ands andards of good practice listed therein. Procedure: In order to expedite issuance of permil s,please follow all steps and provide all information as approariate. Incomple a applications may result in delay in issuance of permit. 1. Recent Survey 2. Two(2)complete,sets of plans. One(1)copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following workday; please specify a.m. or p.m. nspection. When calling in an inspection please have the permit number,job location and type of inspectioillneeded. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of$35.00 is charged for all re-inspections. 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-58 17 • http://www.ei.atlantic-beach.fl.us Revised 3/04 ? CITY OF ATLA114TIC BEACH e r � OWNER/BUILDE R AFFIDAVIT ' Date: Job Address: I(P S QTS CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCT ON CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLOR DA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO TF AT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE- OR TWO FAMILY RESIDENCE OR A FARM OUTBU DING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.A IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK EXCEPT MAINTENANCE UNDER $2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE ICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHOM ST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNRS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX ANI/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATU E NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY S E THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASC RTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ I HE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSU kNCE OF AN OWNER-BUILDER PERMIT. PRO TY OWNER/BUILRT SWORN TO AND SUBSCRIBED BEFORE ME THIS_�2__D Y OF // Q,— 20Z44— .p OFFICIAL SEAL je�� ►fer A Motes �,-MY OMMISS ON EXPIRES: Ire/"-? ��U 9— �7306 NOTE: PHRA lyra 't U)n xD! fid,24, Cr i�.1A,C jir� CITY OF ATLANTIC BEACH C �� - � BUILDING / ZONING 'DEPARTMENT s1 r 800 Seminole Road Atlantic Beach,Flori la 32233 (904)247-5800 '��✓,F3 } (904)247-5845 Fax i PLAN REVIEW C MMENTS Permit Application # Property Address: 1 r Applicant: i Project: ThisPP ermit application has been: P Approved Reviewed and the following it ems need attention: Please re-submit your application when these itetns have been completed. Reviewed By: Date: + U`V-1 -- CIiYOFATLANTIr, FEA C3J;I_F�I N!C; r^N 1ir- 3 CITY OF ATLANTIC BEACH MAY 0 6 2004 J POOL PERMIT APPLICATION EMIT Date: Job Address: Owner: Phone: 04LVC i S W Ogg Contractor: Phone: ..� '�'� _� Address: Fax: �:�yt37 LPZLoLo City : 1State Zip Code: A"7/1—SS Valuation of Proposed Construction: ' y Gallons: f'L' *Impervious Surface Calculation: � • Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, decki g around a pool may be considered impervious depending upon materials used. f Is approval of Homeowner's Association or other private entity required? Kk::' _ If yes, please submit with this application. 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 nd specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and srdards of good practice listed therein. Procedure: In order to expedite issuance of permi s,please follow all steps and provide all information as appropriate. Incompl he applications may result in delay in issuance of permit. 1. Recent Survey 2. Two(2)complete,sets of plans. One(1)jcopy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m. to 5 00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a mes age on the voice mail system. Inspections are made the following workday; please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number,job location and type of inspectior needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO INSP CTIONS WELL BE MADE. A fee of$35.00 is charged for all re-inspections. 800 Seminole Road•Atlantic Bech,Florida 32233-5445 Phone: (904)247-5800•.Fax: (904)247-584 . http://www.ci.atiantic-beach.fl.us Revised 3/04 i O L- { } E , 4211 /9-1 ,7 3 70/-k, /3S° f I t e 17 v 3 4 Cay J.YJ✓e�i .F„�' w.�.�...�.�. 3Ae Ar i? ¢ 001, I i ,9 i q t2 t 1 k rf ;i � 1 } {i{ It ill MAP SHOWNG BOUNPARY SURVEY OF LOT 5 BLOCK ;2 AS SHO WN ON MAP OF S EGYL� MA 21IJ A u NI T A-1 U. G AS RECORDED IN PLAT BOOK 3 4 PAGES S/ 51 Of THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA 7-6 A CERTIFIED FOR. �� Ti ,0N c n U/�LES F/2ST GvMM�//�/ Sg IA AA - 7-R-4 c 7- �4 i A&L FEt/C�S GUI x kp x /S.o : r 147' ti 3 3 M -seI W. 90,a,:::) u:o. cn-z /d-6)0 c x'% 71� /?2 11✓E -97 q-7 NOT VALID UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON J UNE AS SH01 THE PROPERTY SHOWN HEREON APPEARS TO UE WHIN FL HAZARD ZONE �`` AS SCALED FROM FLOOD INSURANCE RATE MAP__L FOR THE CITY OF `�'gcR�a� FLORIDA. DATED �-l7- ?� AND IS SHOWN AS A COURTESY ONLY AND DOES NOT CONSTITUE A CER77FCA77ON OF SAME. TRI--STATE LAND URVEYORS, INC. 8411 BA YMEADOWS WAY SUITE #2, JACKSO VILLE, FLORIDA 32256 (904) 731-7235 LEROvo 1F11S SURVEY DOES NOT REFLECT 01 DETERMINE ONNERSHIP. • °OWQ RM NOT VALID WTHOUT ME SIGNA7UREI AND THF,nRIG/NAL RAISED SEAL • am Q0"' OF A FLORIDA LICENSED SURVEYOR ND.AfAI`PI74. _ (SFT WN W 4 LS 4144) ` _X_FuAr e cRm cur -- SR.L MAAM6 MM MCIM t.ME E„.r F,,SMWT LA Y G. -EDDY, P.L.S. No. 4144 R/b MQVT-QF-WAY SCALE.' COY. CQWWW AREA £ CgNnA m - A/C ANc>yaRTxrn4c PAD S E` R VE?`'' D MAPPER, (R) RADW OWTANM DATE. I Z-/r-2 5' ST TF OR/DA aawaacre cion oc z ORDER NO.3 !` JOHN H. DODD ARCHITECT, INC. F K M M001616T tA LC 10166 l v iSA77 WA WCK K MON RL•(601)56}46 a toNp6om.ealsau� PLANTw6 1twN ORM N PrMA PLARTwSs' t � I i - ARBOR'D TEIURAGE -------------------- II �� talc. 11 I j �POM, xAe •• i EaPT. I I EXISTING I (� PLANTING SHED O v U OSTEP STass1 �- (,y� mmm co 0 3 K4WWr KALE � F7 RM5E0 Z ea,ac FAUN-: PLANTER ,....._.. ' VW EWGKI to r At LEVEL•h b' ` vOeMNTeI pWRIN6 v L� N It FNN PLOMF'- . ( 3 VP ER"PAVER5 Ir OVER SW eeo • �, �� GL w N f i p >_ POOL VAuaI eV 2 SUN ' DECK � Q f /Sx3Z , 02 PIANTW6 I C=> in PLANTN16 POOL ' QN 3 I W O — • ELILNOSE ORILK ta'IN6.POOL. I TOR OR"PAVERS y MATGN SITT616 I T l OVER SMD EED DECKKALL �eALNDSE PeALN05E I W In .PML7 WCIO A Pularis DwDo ....... 7�D'�? I SNI ■ ~I (Np6 aMl y ( M I � I 0 •r- — I SUN GOV D ( DECK x PATFO el RrfoPLAW0 6 I h -v�-- • I . [Em!777 Arta ;z, o'g-ft . . . w L7/1 1�/indo s ..:E Doors fm. Ge ✓e��,,,�-. � I . -r,.,aver : 3.8hrs, � protected wz h_-gaRI_...._ tea.! rrn ,F/!I Pipe sl�a// �� /g .Oia AVC wFS -Pfv S i FLOOR PLAN ( FLOOR PLAN i, .. r Ik a � c c> 14 Z 0 QCb 3� t, rb t i s I 1 3. t, � I ; s IJ ! h Ik rb ILI 14 C3 N. N� � •G 'y L Q7 �,�'q -_ - � •''sem: r -.- •. n' 1Q, , - y �.i - , : - v- I. ,- .ro. -rs. i,t .�.^.i..�w.,.,�„ .. .. ._,_ .,. ::., .,..... ,� ,.:":.+3�,..._ ,.i,��. c'4z'�•a"'�T4n P ��:I'!"'�e.. .. `�� -- 3x ' • s i e n � pC N ] O g 1 �N C7 ' a r m 2 3 q . � O _ \ = K0 1 i . C3. • N � e r. •. a N 1 -+ `i S` t cl 3 N real5 < v3 .b'. N �• .r. • V C — � 3- 3 cc 2acIT2 os i e >m ° 7 > b v J; O}� o T O 0." O n o • s v_ Z 41 os 3n5s a1° > 0 o . < n � to n =� aav T C $ "n IS o cD m o i I M rL CLZ A m C m a one @\ Q c ?, mft o a e 0 1. o A . i , /WSJ Zj fir, '.c IVIZA,1 -1iz ! - All 37233 i b� 1 Lnf A�-cZ I I iWv u _ jC o. x f' 2 f,3tIo.S z<<•5 ra < �oAJ• t4 ft` 1 Ca /orc�. /3N/2 j i sl ` --,t v /7r -,m-A PAS �r f �, � !1 iso • ZS tio-o p - - a Ar i ai. MAP SHOWING BOEMPARY SURVEY OF LOT 5 BLOCK ;S; AS SHOWN ON MAP OF SEGYA NlA211JA uNrr Ado. 6 AS RECORDED IN PLAT BOOK 3 4 PAGES Si -51 THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR. cJ� TIFEW I e P o/-LE� F110_ ` cvr+�Murv/ , A /moi S TEW O/2 Uig Ac /C 10-/-1 - 0 4' r,v� I-i3,eic.� r' Pro 0 5•e x Si/EU• Glc •=rte'. N Poll/ ALL FENCES �� x U i / x Q _ 0 , / T. fa A � odhsr bcsi � 3. �It M 1�iw11eW M � , MMu M Wer of i N m COO /3 -sell 90•C�' !?��'ce'T ::U• Z,�-7-? 7i 7-16-cam d./� ?"S I �� 2 , / CC-CF/L-!—. -17 7 q-7- 1-715i 9 NOT VALID UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. BEARINGS BASED ON UNE AS SHOW TH£ PROPERTY SHOWN HEREON APPEARS TO LIE W 7NIN FLOOD HAZARD ZONE AS SCALED FROM FLOOD INSURANCE RATE MAP_J_ FOR THE CITY OF `�'g��a'� FLORIDA, DATED 4- I-7- 95� AND IS SHOWN AS A COURTESY ONLY AND DOES NOT CONS77TUTFi A CERTTFCATTON OF SAME. TRI--STATE LAND A5URVEYORS, INC. 8411 BA YMEADOWS WA Y SUI TE- #2, JACKSON ALE, FLORIDA 32256 (904) 731-7235 LEGEND )NIS SURVEY DOES NOT REFLECT OR VETERAWINE OWNERSHIP. ■ comr- bm NOT VALID 10THOiUT PIE SIGNATURE AND THE,QRIGINAL RAISED SEAL " civ. OF A FLORIDA UCENSrD SURVEYOR AND_wtPPES'. (srr WIN CAP I LS 4144) O tea+ oos.(F XM) r. 0 mass cur EW7 EASEWO LARK G. -EDDY, P.LS No. 4144 0o COWMM AOWA SCALE.• Alt AN 0QV"naWX PADt?�iL G/S E R.VE?° D MAPPER, 3 (R) eAau WTANCEDATE. /Z-// >' STA O?IDA cavomw ;ZWR No_ !P-57--5/54 4 CITY OF ATLANTIC BEACH S 800 SEMINO E ROAD j r ATLANTIC BEACH,'FLORIDA 32233 INSPECTION PHON LINE 247-5826 /J1i1> Application Number . . . . . 03-03025759 Date 3/27/03 Property Address . . . . . . 1659 SEA OATS DR Tenant nbr, name . . . . . . REPIPE 10 FIXTURES Application description . . . PLUM ING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HOEY, JASON ; STEEL PLUMBING 1659 SEA OATS DRIVE I P.O. BOX 330536 ATLANTIC BEACH FL 32233 i ATLANTIC BEACH FL 32233 (904) 249-5191 ------------------------------------ ----------------------------------- Permit . . . . . . PLUMBING PERMI Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 1 Fee summary Charged P id Credited Due ----------------- ---------- ---- ----- ---------- ---------- Permit Fee Total 105 . 00 L05 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 05 . 00 . 00 . 00 i I i� I I I i 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 T COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPRON EMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIO1 ATION OF APPLICABLE PROVISIONS OF LAW. I II ,-Q", c,— C - BUILDING OFFICIAL I i CITY OF ATLANT C BEACH APPLICATION FOR PLMMING PERMIT JOB LOCATION: OWNER OF PROPERTY: � /j 7 TELEPHONE NO. PLUMBING CONTRACTOR Lth L CONTRACTOR' S *ADDRESS: 5 I STATE -LICENSE NUMBER: (.�'n 6!2W94' TELEPHONE:. HOW MANY OF O NG FIXTURES (IIE-PI.PrED R NEW -SINKS' SHOWERS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS -- CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST .FIXTM:ES BEING REPIPED) OTHER TOTAL FIXTURES: x $3 .50 + 515 .00 MINIMUM PERMIT FEE -• 525. 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: _ ,zrA --------------------------- -------- ---------r----------------- INSTALLATION OF PLUMBING AND FIXTUREMUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTI NS - (904) 247-5826 CITY OF ATLANTI BEACH DEPARTMENT OF' BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 3 -TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24240 Address: 1659 SEA OATS DRIVE Permit Type: REMODELING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lo (s):5 Block: 15 Section: Square Feet: Su division: SELVA MARINA Est. Value: Pavel Number:. Improv. Cost: 11,344.96 OWNER INFORMATION Date Issued: 6/11/2002 1 Jame: HOEY, JASON Total Fees: 105.00 A ress: 1659 SEA OATS DRIVE Amount Paid: 105.00 ATLANTIC BEACH, FL 32233 Date Paid: 6/11/2002 (904)246-9844 Work Desc: VINYL REPLACEMEN ERS/SLIDERS CONTRACTORS : z CATION FEES PATTERSON HOMES s q 105.00 F 'ro'£ s ^.a 'w �_�"s8 ,°`d � ..wwa � „�s'+ ','k#ate�r'#i��,5'� •,ys h. 'ik. a�. 0J, yrs P..,, i..y r x3 .3.? '� •y` $ C. ? : n r N5^�r a(i�a 8 Mhlw ' ��..'�;�'' 'a'#� �. J' p�T` ""ARK A x� 1 D''"` •"i�kr�'' wos*a• +y±, '�': �u�b3u � In,i'#",� �.�j E.. rp•',fl J?_�q� NOTICE.`°€ T " " 'F =FTs t TION _ �s .k`� TM4• wz �� x.'`� _t � � � ., a r�.r n 'X.^x'�{`Eu `ea ^z��p'E n', BUILDING MATERIAL Iwi' �Rl � ltl1 TMtW M1•II ' BE{P CIS °°` LIC SPACE,AND MUST BE CLEARED l� . .. . , "FAILURE TO COMPL '` 'IIS IN THE PROPERTY OWNER PA 0 : ISSUED ACCORDING TO APPROVE if t-f `" ;x AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVi14, PAS: 6111M x R6wpt no: &3M M11/11Q?21MMLDINC 1 >i116.16 c 1659 SEA 003 DRIVE A NTIC BEA H BU I ING DEPT. Q g 31910 $158.0 S t V Tri x,-A ILL yf RE C M A vi 2 ; ')nA� L� ��`--•- �,k�1 2002 City of Atlas, i _ 3eacn ,�� CK#_____!___ jjjjjjCjjnjj �17� .ranfi7 City of Atlantic Beach • 800 Seminole Road • tlantic Beach,Florida 32233-5445 Phone:.(904)247-5800 •FAX(904) 247-5845 •h=://www/ci.atiantic-beach.fl.us PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS,SKYLIGHTS AND GARAGE DOORS OF SINGLE-FAMILY OR TWO-F 1ILY(DUPLEX) CONSTRUCTION Date SZ2 O� i Address where work is to be performed S Q T Applicant c? Address a c),97-5 Phone: _90 z1 �-y Legal Description: Block Number J� Lot Numb.-r Zoning District Contractor_PA 7z—z la.Sa'U Flo-tr-5 >150gv';A4Pz8to License Number C,13 C o Y 70 Q Address ip--S A rwh ci Phone ,City C�r9 c/��n r.v t �" State _Zip' Fax ?o y 2 96 Ca.1 7a I Describe Proposed Use and Work to be Done (/`..11 G �c.c��vT" e c, 44 Present Use of Land or Building(s)' o Valuation of Proposed Construction l Building Date: j Mean Roof Height (ft) Building width (ft) . Building Length (ft) Roof Slope -" *Window Elev. — (ft) Window Height — (ft) Window Width (ft) Measurement from corner jf building to window (ft) i II� ' S o j h ql a S S � *Window Eley.From Grade �o \ it i APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE I , JUN 112002 By.: t i X08 , 0 TE uup Y KENSINGTON WIN OWS, INC. STRUCTURAL TEST REPORT Model "HS with Interlock" T e XX Horizontal Sliding Vinyl Prime , indow NCTL-110-716 -4 i I A fC711 NATIONAL CERTIFIEDTESTING LABORATORIES C .FIVE LEIGH DRIVE YORK, PENNSYLVANIA 17402 TELEPHONE(717)846-1200 ' FAX(717)767-4100 STRUCTURAL PERFO CE TEST REPORT Report No: NCTL-110-7161-4 (36 L O Q v�'►!R7 Test Date: 03131100 Report Date: 04114100 Expiration Date: 03/31/04 Client: Kensington Windows, Inc. Revised Date: 05/26/00 RD 1, One Kiski Valley Industrial Park Vandergrift, PA 15690 Test Specimen: Kensington Windows Inc. s " . s Model HS with Interlock Type XX Horizonta�l Sliding Vinyl Prime Window (HS-R50 69x48). Test Method: AAMA/NWWDA 101/I.S.2-97, "Voluritary Specifications for Aluminum, Vinyl(PVC), and Wood Windows and Glass Doors." i TEST SPECIMEN DESCRIPTION General: The test specimen was a type XX horizontal sliding vinyl prime window measuring 69" wide by 48"high overall. Both panels measured 33-3 4"wide by 43-7/8"high.. One (1)metal cam- type sweep lock was located at 6-1/8"from each end and at midspan of the interior meeting stile. The metal keepers were located on the exterior meeting stile at the lock positions. A plastic cap was snap-fitted at each end of both panels pull handle. A ' id vinyl combination cover / weatherstrip holder/ interlock was snap-fitted at the length of the a terior meeting stile. A rigid vinyl combination filler/ roller track was snap-fitted at the ngth of the interior and exterior sill track. A rigid vinyl anti-lift filler measuring 28-3/4"long was nap_fitted into the right end of the exterior head track and the left end of the interior head track. double metal roller/plastic housing was located at each end of both panel bottom rails. The fr a and panels were of welded mitered corner construction. Glazing: Both panels were interior glazed using seale I insulating glass with an adhesive sealant, dual leaf dual durometer back-bedding and a snap-in i ival leaf dual durometer glazing bead. The overall insulating glass thickness was 7/8"consisting of a heat mirror film and two (2)lites of double strength annealed glass and two (2)krypton-fil d/argon-filled spaces created by a desiccant-filled steel spacer system. A sputter-type low Imissivity coating was applied to glazing surfaces no. 3 and 5. Weatherseals: A single strip of center fin weatherstrip (0.220"high)was located at the exterior meeting stile. A single strip of center fin weatherstrip (0.280"high)was located at the interior and exterior meeting stile. A single strip of polypile weatherstrip (0.360"high)was located at the exterior meeting stile. A double strip of center fin weatherstrip (0.220"high) was located at all rails and both jamb stiles. A single 1-112"strip of center fin.weatherstrip (0.220"high)was located at each end of the interior meeting stile. A polypile adhesi Pe backed pad (0.400"high) measuring approximately 1"by 1"was located at each end of the exterior meeting stile. PROFESSIONALS IN THE SCIENCI OF TESTING Kensington Windows, Inc. -2- !, NCTL-110-7161-4 Weeps: Two (2)weep notches measuring 112"by 1/ "were located at each end of both track fillers/roller track. One (1)weep hole measuring 3/ "by 1/8"was located at each end of the center vertical sill leg which ran to the exterior hollot 1. One (1)weep hole measuring 112"by 1/8"was located at 1-1/2"from each end of the exter' r track horizontal surface which drained to a same size hole at the exterior horizontal sill face. One (1)weep hole measuring 3/8"by 3116"was located at 1-3/4"from each end of the screen retainer sill track horizontal surface. One (1)weep hole measuring 1"by 3/16"and employing aplastic weep cover was located at 4" from each end of the exterior sill face. One (1)weep h9le measuring 3/8"by 118"was located at 4-114"from each end of both panel bottom rail glazir g channels and exterior bottom rail surfaces. Interior&Exterior Surface Finish: White vinyl I PVC). Sealant: The glazing perimeters were sealed with an adhesive sealant. Screen: An insect screen measuring 32-112"wide by 44"high was of mitered type corner - construction with staked-in-place die cast aluminum corner keys. The screen employed fiberglass mesh cloth with a hollow vinyl spline, two )jamb retainer springs and a pull handle extruded onto the jamb stile. TEST RES U1 TS Par. No. Title of Test &Method Measured Allowed 2.2.2.5.1 Operating Force Exterior Panel Open10 lbf 20 lbf Close 10 lbf 20 lb �i f Interior Panel Open 11 lbf 20 lbf Close 10 lbf 20 lbf 2.2.2.5.2 Deglazing-ASTM E987 Exterior Panel Top Rail (50 lbf) 28.0 % (0.140') <100% Bottom Rail50 lb a o ( f) 25.0 /o (0.125) <100/o Meeting Stile (70 lbf) 36.0 % (0.180') <100% Jamb Stile (70 lbf) 32.0 % (0.160') <100% i Interior Panel Top Rail(50 lbf) 34.0 % (0.1701) <100% Bottom Rail(50 lbf) 28.0 % (0.1401) <100% Meeting Stile (70 lbf) 37.0 % (0.1851) <100% Jamb Stile (70 lbf) 38.0 % (0.1901) <100% 2.1.2 Air Infiltration -ASTM E283 j 0.57psf(15 mph) 0.1 scfm/ftp --------------- j (0.03 scfm/ftp) 1.57psf(25 mph) 0.1 scfm/ftp 0.3 scfm/ftp (0.07 scfm/ftp) ill Kensington Windows, Inc. -3- NCTL-110-7161-4 j 2.1.3 * Water Resistance -ASTM E547 5.0gph/ft' WTP=2.86 psf No Leakage No Leakage' 2.1.4 ** Uniform Load Structural ASTM E33 M%4 , 22.5 psf Exterior 0.015" 0.172" 22.5psf Interior _ 0.014" 0.172" 2.1.7 Wd&d orner Meets As Stated 2.1.8 Forced Entry Resistance -ASTM F588 Level 10 Meets As Stated (See Appendix A for test results) i OPTIONAL PERFO�RMANCE - Par. No. Title of Test&Method ! Measured Allowed I 4.3 * Water Resistance -ASTM E547 5.0 g ' ph/ft ps No Leakage No Leakage 4.4.2 ** Uniform Load Structural -ASTM E33 75.0 s Exterior 0 044" " � `„-,,v,f , 0.172 75.0 DSf Interior 0.048" 0.172" �ested�with�andithoutscreen i ** No glass breakage or permanent dam a causing the unit to be inoperable TEST COMPLETED, 3/31/00 The tested specimen meets (or exceeds) the performance levels specified in Table 2.1 of AAMA/ NWWDA 101/LS.2-97 for air infiltration. The listed results were secured by using the designated test methods and indicate compliance with the performance requirements of the referenced specification paragraphs for the HS-R50 6S lx48 product designation. i i i " Kensington Windows, Inc. -4- NCTL-110-7161-4 Detailed drawings were available for laboratory records and compared to the test specimen at the time of this report. A copy of this report along wit representative sections of the test specimen will be retained by NCTL for a period of fou (4)years. The results obtained apply only to the specimen tested. No conclusions of any kind regarding the adequacy or inadequacy of the glass in the test specimen maybe drawn from this test. This report does not constitute certification of the product which may only be granted by a certification program validator. NATIONAL CERTIFIED TESTING LABORATORIES i R• DOUGLAS R' YOUNG Technician i MARC A. CRAMER Manager of T sting Services i I i I I . i DRY/amb i t I Kensington Windows, Inc. -5- NCTL-110-7161-4 APPENDIX' Forced Entry Resistance', Test Results Test Method: ASTM F588-97, "Standard Test Method for Measuring the Forced Entry Resistance of Window Assemblies, Excluding Glazing Impact". TEST RESU TS Paragraph No. Loads Dui ation Measured Allowed 10.1-Lock Manipulation 5 Al inutes No Entry No Entry i 10.2.1.1-Test Al L1=150 lbf 1 Minute No Entry No Entry 10.2.1.2-Test A2 L1=150 lbf 1 M i inute No Entry No Entry L2= 75 lbf interior 10.2.1.3-Test A3 L1=150 lbf 1 Minute No Entry No Entry L2= 75 lbf exterior 10.2.1.4-Test A4 L1=150 lbf 1 Minute No Entry No Entry L2= 75 lbf interior 10.2.1.5-Test A5 L1= 150 lbf 1 "nute No Entry No Entry L2= 75 lbf exterior i 10.2.1.7-Test A7 L1=150 lbf 1 M nute No Entry No Entry L2= 75 lbf interior j L3=25 lbf interior 10.2.1.8 Lock Manipulation '5 M nutes No Entry No Entry 10.2.4.1 Fixed Lite 5 M nutes No Entry No Entry Lock Manipulation I i f CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS i Owner(s) :—, /J Q Job Address : / 7 E,4 De Phone # Lot# /5 Block Unit# Subdivision: 4JELV r4- A2(At A Contractor:_ Patterson Home Improvements St e License # Address: 6967 Phili s Hi hwa Phone # (904)296-0045 City: Jacksonville State: Florid i Zip Code: 32216 Describ work to be done: N �.. E ,f✓J�w �ssz' �- + of E rSzi�. ow) -AD-r 51-f 'fu Present use of building: Valuation of proposed construction: �T 7"• Proposed use: Is this an addition? Q_If yes,what are the dimensions of the added space? ft.x ft. Will the added area be heated and cooled? d A- New electrical(or increase)? NA- New plumbing? New fireplace? f4 p - New heat/ac? SUBMIT THREE/COMMERC/AIJ TWO/RES/DENTIALl COMPLETESETS OFPLA NS, INCLUD/NG S/TEPLA N SURVEY, ENERGYCODEFORMS, NOTICE OF COMMNCEMENT,AND OWNER/CONTRACTORAFFIDAVIT, IFOWNER/S CONTRACTOR. Signature Owner G DatleY, 0 Q v Signature Contractor: Date: S O _ As to owner: Sw rn to and subscribed before me this da of ,200.x-- .��1O1r4, Bonnie # Giffil t Notary Public .'o`0p-^U `;commission _ 5. As to Contractor: (j Sworn to and subscribed before me this d day of 1200�'� YP,, Bonnie L. Gui] et tr�P�ublic =o _ Commission#DD 074823 Eapires Jan. 5, 2006 Borded Thm Atlantic Bondh%Co., IM i III CITY .OF ATLANTIC BEACH PE IT .CALCULATION SHEET Address SEA- Date EA Date Heated Sauare Footage @ $ e sq ft = $ Garage/Shed �` $ per sq ft = $ Carport/Porch V per sq ft = $ DeckV@ $ per sq ft = $ Patio Der sq ft = $ TOTAL VALUATION: tl , � 4q6 Total Valuation 1st $ cc c� 01 may Remaining Value $6. per thousand or portion thereof oc� TOTAL BUILDING FEE $ C) , + 1/2 Filing Fee $ 3S ( ) Fireplaces @ $15 . 00 $ BUILDING PE MIT FEE WATER IMPACT FEE $ SEWER ImPAcr FEE $ WATER METER TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC S ARES $ CROSS CONNE .TION $ ( ) SURCH RGE . 0050 $ OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Kechan-i cal Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : MIN. RETURN ; ak $0 10494 Pa9g 1150 PHONE # �I(P C70'f5 -p�cp 200�j 4Ft34 �. NOTICE OF COMME CEMENT 800ke 1 C , 94�1 Pae: 1150 Filed 6 Recorded State of Florida-, 05/20/2002 03:19:56 pM County Of: ✓�'C� CLERK CIRCUIT COURT DUVRL COUNTY The undersigned hereby informs all concerned that improvements will b made TRUST FUND S 1.00 to certain real property,and in accordance with Section 713-13 of the F ride RECORDING $ 5.00 Statutes(Revised 10-1-96),the.following information is stated: Legal Description of Property: ..�� /,5— . 5ezwA R"1141A General Description of ImproveMnfV-1 W CE _j,7 ,ST*/_ 4 W G C 3 AA Owner Name:(Printed) L ( !/ �j(I!L� -�✓7�U' ` ' ?�C%, Address: 9 E r4 /� T S . Owner's Interest in Property: /7! P�• Fee Simple Title Holder(If other than Owner) Name:(Printed) Address: Contractor(Printed) Patterson Home Im rovements re are B Address: 6967 Philips Highway.Jacksonville Florida,32216 Telephone:(904) 296-0045 Fax:(9 4 296-6270 Surety(if any)(Printed): Amount of Bond$ Address: Telephone:( ) Fax:{ ) Person or Lender making a loan for construction of improvements: Name(Printed): Address: Telephone:( ) Fax( ) Persons within the State of Florida designated by Owner upon whom notices or ther documents may be served as provided by Statutes: Name: j Address: Telephone:( ) Fax{ ) In addition to himself,Owner designates the following person to receive a copy f the Lienor's Notice as provided in Section 713.13 (1Xb),Florida Statutes(Fill in at Owner's option). Name:(Printed) Address: Telephone:( ) Fax( ) Expiration date of NOC is one year from the recording date unless otherwise stat d. Owne Signature Date�Si ed ° 2 Owner Name(Printed) In County Named Of State State of Flori County,of The foregoing instrument was ac owledged before otary Public me this Da o ZOUZ byre SU L wh is personally (Name of Notary,typed or printed) ka-Qwn to me or whQ has produced C umber: A kit CB f as identication o�?��'`,o Bonnie � mss: e. s Commissi }ac Expires Jan. 5, �g Bonded Tlsx °nf � Atlantic Boning Co. Irr- F orm#1630. APPR:DEJ LIi i ,i. A LA ;+A1 UEAGH Uli DING OFFICE JUN ,I1 ' 1002 /. By:......,...r i I KENSINGTON WNDOWS,INC. STRUCTURAL PERF O ANCE TEST RE,PDXF Model"5310"Tilt Double Hung Vinyl Prime l Window NCfL-11018017-2 ,I i II I Z d 8110291t19 'ON/£9:1 1S/£9 L ZOOZ 81 £ (NOW) 9HZOS8 Z1t SMOONIM N019NISN3A W08J NATIONAL CERTIFIED R IED TESTING LABORATORIES FIVE LEIGH DRIVE • YORK PENNSYLVANIA 17402 • TELEPHONE(717)646-1200 FAX(717)767.4100 STRUCTURAL PERFOVANCE TEST REPORT www.nctllnc.com Report No: NCTL-1104017-2 Test Dale: 03106/02 II Report Date: 09/08/02 Expiration lhste: 03/3110 . Client: Kensington Windows,lnc;. 'i R.D. 1, Iliski Valley Industrial Park Vandergrift, PA 15690 Test Specimen: Kensington Windows,I•nc.'s M' 1 "5310"7lilt Double Hung Vinyl Prime Window (H-R.50 44x60). Test Slvecif cation:• AAMA/NWWDA 101/I.S, -97, "Voluntary Specifications for Aluminum, Vinyl(PVI:), and Wood Wir Ldows and Glass Doors." TEST SPECIWpr DESCRIPTION General• The test specimen rjxm a one-over-one ' t double hung vinyl prime window measuring 44"wide by 60"high overall. The top sash me 59.8/16"wide by 28.7/8"high.. The bottom sash measured 40-3/16"wide by 29-7/$"high. th sash were removable via a double[wiled spring balance with locking tilt shoe located in h jamb track. One(1)metal cam,-type sweep lock was located at 7-1/8"from each end of the in erior meeting rail. The metal keepers were located on the exterior meetingrail act the lock pos ions. One(1)plastic tilt latch was housed at each end of the top roil and interior meeting rail. ne(7)die-cast metal pivot bar was fasteners with two(2)screws at each end of the exterior mae 'ng rail and bottom raciL A rigid vinyl sash stop w(m scrap-fitted at the top of each interior jamb Ir k and bottom of each exterior jamb track. A spring-loaded plastic security stop was snap-fine at 5.1/$"from the exterior meeting rail on the top so-sit Niles. A rigid vinyl batavu:e cover was an fitted into the interior jamb tracks. A rigid vi>�yl combination cover/weatherstrip holder/ ' Flocl�was snap fitted at the exterior meting rail. An Pxparuled urethane foam filled the frame d sash hollows. The frame and sash were of welded mitered corner construction. Glazing. Both sash werr, interior glazed using se lied insulating glass with silicone and ItAn)(2) kat dual durom,eter back-beddings and a snap-in two(2)W dual durometer glazing bead. The overall insulating glass thickness was 7/8"consisi ing of a Heat Mirror film suspended between two(2)liter of double strength annealed glass two(2)spaces created by a twin desiccant-filled atuneinum spacer system. A low emissivity coati was applied to glazing surface nos. 2 and 5. Weatherseals: A 1-114"kng strip of center fin weatherstrip(0.270"hifh)was located at each end of the interior meeting rail. A singk strip of center fin weatherstrip(0.290"high)was located at the head, sill, top ruil and both aereting rails. D&gble strips of center fun weatherstrip (0.290" MOO ivere located at all sash stiles. A single strip!of polypile weatherstrip (0.350"high)was hxaled at the exterior meeting rail. A dual durom rier single leaf,single bulb weatherseal was snap-fitted at dw bottom rail. PROFESSIONALS NY THE A CIENCE OF TESTING i £ d 8110191119 'ON/£9:1 '109:1 Z00Z 81 £ (NOW) 919Z9 Mil SMOONIM NOIJNISN3X WOb3 Kerwirkgton Windows,Inc. -2'' NCTL-110-8011-2 1 Weeps: One(1)weep hole measuriV 5/82"in i iameter was located at E-8/4"from each end of dw bottom rail glazing channel. One(/)weep measuring 5/82"in diameter was located ut 2" AM each end of the exterior meeting rail R channel. Interior&Exterior Surface Finish: White vii yl(PVC), Sealant, No apparent sealant applied. Screen: An insect screen Measuring 99-91 Yell u ide by 59-5/8"high was of mitered type corner construction with staked-in-place die cast metal cDrner keys. 77&e scree,&employed fiberglass me8h cloth with a hollow vinyl spline and two(2)jamb retainer springs. A 1/8"high spacer button was located at 2-112"fmrn each end of the bottom raj . 1 TEST R SULTS Par, No. Title of Test�ihm Awed li Operating Force Top.Sruh Up 21 Of 30 lbf 1'aow,& 24 lbf 30 lbf Bottom Sash Up 25 lbf 30 IN Town 291bf 30 lbf 2.2.1.6.2 Deglazing-ASTM B987 Top Sash Thp Rail(70 lbn 6.8 % (0.034") <100% Meeting Rail(70 lbt) 6.2 V* (0.0311) <100% Left Stale(50 lbf) 2.6% (0.012") <100% Right Stile(50 lbf) 1.6% (0.0080) <100% Bottom&.Saxh Meeting,Rail(70 lbn 5.4 K (0.087") <100Y• A mom.Rail(70 lbf) 4.2% (0.02111) <100% Left Stile(50 lbs 1.2% (0.0061) <100% Right Stile(50 lbf) 2.0% (0.010') <100% 2.1.2 Air Infiltration -ASTM E288 1.57 psf(26 mph) 0.1 cfmlft' 0.3 Cfrn/ftr (0.06 c/mitt•) 2,1.3 * Water Resistance-ASTM E547 5.0 gph/fP W7'P=2.86paif No Leakage No Leakage 2.1..9.2 ** Uniform Load Sirucuerai-ASTM .180 32.5 psf Exterior 0.0101, p,lha" 22.5 psf Ynter or 0.0222 0.153" 2.1.7 Welded Corneri Meets As Staled 2.1.8 T'orced Entry Resistance -ASTM 88 Crude 70 (See Appendix A for ss results) Meets As Stated i i ti d B 110191119 'ON/£9:1 '109:1 ZOOZ 8l £ NOW b 91929 M11 SMOaNIM NOIJNISN3N WOU Kensington W�ndnus Inc, nB 3- NCTL- 110-80 19.2 OPTIONAL P liMRMANCE Par, No. 21(ig of 1 set & 1l e�asur�� d lJ 4.3 * Water Resistance-ASI M E547 5.0 CTPI.I/FVIV WTP= 7.50 psf No Leakq+ge No Leakage 4.4.2 ** Uniform Load Structural-ASTM 330 85.5 psf Exterior 0.081" 0.153" 82,5psf Interior 0.026" 0.15.Y" i Tented with and without screen No glass bmahgge or permartera d twr causing the unit to be inoperabkr TEST COMPL ED 08/Of/09 !'he tested specimen meets(or exceeds)the paforn wwe levels specified in,Tabks Al of AAMA./ NWWDA 101/I.S.2-97 for air infiltration. The fisted results were secured by using the designated test methods and indicate romptiance with the Pei forma nce requirements of the referenced specification parrAgraphs for the H.R50 44x60 pro luct designation, Detailed drawings were available Jbr laboratory rtcor&and comlxrr+ed to the test specimen at dun time of this report, A copy of this report along w' i rgrr+eaMadve sections of the test specimen will be retained by NCTL for a period of four(4)years The result#obtained apply only to the specimen tester!. No conclusions of any kind regarding the adequaqv or inadequacy of the glass in the test specimen may be drawn from:this test. This repo I does not constitute certification of dw.product which may only be granted by a certification prog ram vatidator. NATI NAL CERTIFIED TESTING LABORATORIES MAR A. CRAMER Uchn tan c CO A. HANLON M or of Test*Services M / AC amb i 9 d 8110191. 1 1.9 'ON/£5:Z '3/ti9:L ZOOZ 81 C (NOW) 91 HPDZi t SMOON I M NOIDN I SM W08A Kerwington Windows,Inc. .4 NCTL-110-80171 APPS .DU A ' Forced Entry 1'tes' Lance Test Results Test Method• ASTMF$88-97, "Standard Test A fCAGdf for Measurcng the Forced Entry Resistance,of Window Assemblies,!Ercluding GltaxiM Impact." TESTA MILTS Faraaranh Nn. j �' Um Allowed 10.Z-bock Manipulation 5 Minutes No Entry No Entry 10,1,1.,l-T.est Al 0=1 b01bf 1 Minute No Entry No Entry JO-2.1,2-Test A2 L1=150 lbf 1 Minute No Entry No Entry f,2=75 W interior X0.2.1.3-Test A8 I,1=150 lbf i Minute No Entry No Rn" L2=78 lbf exterior 10.2.1..9-Test A4 L 1=1.50 lbf 1 Minute No Entry No Entry L2= 751b interior X 0.2.1.S•'1'est AS T,1=150 lbf I Minute No Entry No Entry L2= 75 lbf exterior 14.8.1.?-9'eat A7 LI-150 lbf j1 Minute No Entry No Entry L2-75 lbf interior 1,8=25 Of interior 10.8.1.8 Lock Manipulation Minutes No Entry No Entry I, 9 d 8 11019 11 19 'ON/£9:1 '109:1 ZOOZ 81 £ (NOW) 919Z0DU 1 SMOON I M N019N I SN3 X WO83 FOR OFFICE USE ONLY Date_......�� '/.Z y19 ...... Permit #...lfaa ......Fee$.. .'.... CITY OF ATLANTIC BEACH j valuation $.- oov: ......................... t FLORIDA House ... ..... ....---•--•--------------------•--------------.........-•-•.............---- APPLICATION FOR BUILDING PERMIT ...........-----------------------------------------............ i 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 o the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of th ICity 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 Atlanti( Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of su -contractors be submitted to this office so that licenses can be verified. D ... -- . -- -�---------------- -------- Owner --. -- --�� . J ' -------AddressTelephone No. Architect---- ---- --------------------•- -------Address,..... •. . -----------.. .........Telephone No...................... Contractor Buiider__.h_d. .C_. 2 � ..., 4._Address- elephone No..ft_S._a#1t__ Lot No. < �� Block No. ✓ Sub Division hin .Zone............. . -_---.. --------------.l��.- 5. ----Street----- --------------Side Between.... and---•----_-•--------- . .... Sts. Valuation $.. _Q _____For what purpose will building be used..... P S�4 Type of construction J / P P g Dimensions of Building _______._,Dimensions of Lot........ __ x _-Size of Footings-----.-11....._,K-.491*_�/_ Size of Piers.-------._.1_1- Sizeof Sills ----- .______.._____--Greatest)Sill Span in ft-------.............___...Type Roof./._._:_JiJ . How will Building be Heat d?------ ._ _ .... _ . _._.--.---Will Building be on Solid or Filled Ground?............ ..AL.,............ Size of Ceiling Joists_.___.. t'Q T.._ j i g �._.__., Disbance on enters_._._.... .�!L'LSlJrl.Q�l.... -, Greatest Span............................................ " Size of Floor Joists....... " _.._._. _ Distance on Centers.._...._ __........I........., Greatest Span........^�------------------------ " Size of Rafters.42X4.......... .__ ,., Distance on Centers. _/Y_ eatest 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. j Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z V 3. When steel is in place and ready to pour beam. 4. When framing is completed. J 5 p 5. When rough plumbing is completed,and ready to cover up. W W 6. When septic tank drain field or sewer is laid but before it is covll red. q q 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after 3o corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plan tions, Mich are a part hereof and in accord a with the building regulations of the 'City tlantic acy «��//,,��, Signature of Builder.__ ------------- ... -----••........... dress.._,/-`7"`1"r--- �. ---- ... Signatureof Owne ..------•.........................................._-----•-_------ ..------ dress....................................................._.....----•-------......_.................... J_. , CITY OF ATLANTIC BEACH APPLICATION FOR FL ' BING PERMIT PERMIT 1,0. Date : 13 LOCATIOti (o S eta StrcCt LOT NO . BLOCK NO.� �� S/L' OWNER S L 'L LY /zi/I r/,, ,sMASTER PLUMBER i BUILDER OR CONTRACTOR -' ,�-�; s .) , l L Bldg.Permit...l,To.. 0 TYPE OF BUILDIFG �')P " 1 �u ,_SII:ICS av LAVATORYBATH TUBS URINALS CLOSETS FLOOR DRAINS / SHOWERS / WAT R HEATERS/ DISHJASHERS DISPOSALS OTHER �,/��Fr�, �,:4 14"'rLw 14"' C TOTAL FIXTURES � 7 1 . 00 /moi 0'9 NO WORK MUST BE DONE UNTIL PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must show a plan and. description of the size ..and location of all the soil nd vent pipes, and the number and location of all fixtures , (in accordance with Ordnance no. 188 of the City of Atlantic Beach, Florida) must be shown on back of appli- cation and be approved by the Plumbing Inspector: DRA4 PLAE AND SIECIFIC�ITION OF ABOVE PLUMBING ON BACK. tipprove I by_ Plumbing Inspector Date (FOR OFFICE USE ONLY ) ROUGH-IN INSPECTEDREYARKS G FINAL INSPECTION: CERTIFICATE ISSUED• i i DEPARTMENT OF BUILDING Cj rs i CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.. a7 9 3 PERMIT TO BUILD j THIS PERMIT MUST BE POSTED ON JOB i{ •GIS Ti, t 1*01CKT Date 1PIri2, 19 8 44::.71 1 Ci 5/09/01 9693' 'OrTACE Valuation$ Fee$ 44c3 1 n 5/fig jS �Cl(ltt 1 4 This permit not valid until above fee has been paid to City Treasurer,and is i subject to revocation for violation of applicable provisions of saw. This is to certify that L.N. WILLIAMS f i has permission to I"d j Classification RESIDENTIAL --Zone— Owned oneOwned by Lot Block —S/D House No. 1659 SEA OATS DRIVE According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED N-SPE TED BEFORE POURING. RMIT VOID SIX MONTHS AFTER DATE OF ISSUE O Building material,rubbish and debris j 1 from this work must not be placed in pt blic space, and must be cleared up wid hauled away by either con- r or owner.. !!� u Official. FOR OFFICE PERMIT DATE iUSE ONLY NUMBER CONTRACTOR PLUMBING I ELECTRICAL SEWER I fWATER I ! ` FEE $10.00 APPLICATION FOR WELL PERMIT CITY OF AUMCIC BEACH .PROPERTY OWNER Name: Day Phare. Address�� f' 3�z� 4 Zip APPLICANT, 'IF OTEM VM OWNER. . Day Phone 1'X,<-'kf Address; //lG zip�� JOB Address or Location; Legal Description.- Is escription:Is well to be used for drinking purposes Any person, individual, corporation or otier entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupan will not be issued until said report is an file with the building department. Department Notes: I agree to comply with regulations statedherein: gnature L Date