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1844 SEa Oats Dr (vault) `R CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 I --------- -- - -- -- tT10N LUCION INFORMATION--- RMlT IN1i _-- --- - Address: 1844 SEA OATS DR. Permit Number: 23781 FLORIDA 32233 Permit Type: MECHANICAL ATLANTIC BEACH, Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Selva Marina Est. Value: Parcel Number: Improv. Cost: -_OAR INFORMATI _ Date Issued: 4/03/2002 Name: BILL HERROLD Total Fees: 37.00 Address: 1844 SEA OATS ATLANTIC BEACHD,F FLORIDA 32233 Amount Paid: 37.00 Date Paid: 4/02/2002 Phone: (904)24G-5381 Work Desc INSTALL HVAC SYSTEM -- - - tr , n. ION FEES AIR ENGINEERS INC. J # A 37.00 +�' ` ; 1P W T 'Rr t Vt a� MH rR } �.. _ 9�V, --.• :_ ,� �-i`r9 -'� Hca "�F`fi"`�Z r, �`�' } � �,- H,,y t �r' as . - •%� a .rY+- ?' Mi�,d� �.�,..rrS�.N,��.�''rv3-"'4+�s,.ss ��,��''���� r '�s�•� r 'INSP TION NOTICE.° T r �0 p LIC-SPACE, AND BUILDING MATERIAL :�^ .�'� IY %may?+y�,..,•.' '-a a MUST BE CLEARED _=-- "FAILURE TO COMP IN THE PROPERTY OWNER P v # 1G 1 ISSUED ACCORDING TO APPRO�P _ ND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PR Oper: DSMITH Type: OC Drawer: i 1466 01 4. PERMITS-BUILDINGCeipt 1 no: $3788 Trans number: 981488 ATLANTIC BEACH B ILDI PT. CK, CHECKS 33498 $37.88 Trans date: 4/84/82 ime: 0 RECEIYEP. ...... -- APR ILDING AND ZONING INSPECTION D V City of Atlantic ��achBUDIV15 Building, and Zing CITY OF ATLANTIC BEACH ATLANTIC axACN, ,,.Cgja^Das a] APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBEA IMPORTANT—Applicant to Complete all items in sections I, II, III, and IV. LOCATION �f(Z shed Add..••: C (� OF lelv•Ilnq S6•.ht 1.tw..n C �w IUILDING Awd S.hJf.id.w 1E. IDENTIFICATION To be completed by all applicants. .I con•id.r./i ( permit gi..n for doing Ih• .wk •• d.•cnh.d f Ih..ho.. d.hra.nl�.h.r.h llh the •Il.chid pl.n• end ,p.edl<.Ifan• .h:eh .r. • peri hu.of end in Y.gree Ir perform uld.wk In a<rrd•ne. of gaed.pncdt• lid.d Ihv.ie. •<co.d.nc• .:Ih Ih.Cily of J.ck•ow.:R. wdl.•ncu end �hnd.rdr ?1 .l M.ch.wlc.l C•wM..ler (l'fell C.wtr.elen Mul.r N.n••.l16 h.p•rfy O.w.r R / �7 w Arth..lud Aq.d Ar.hil.el •r Englw.v III. GENERAL INFORMATION A. .. Type dleq Iasi: 8. Efect•ic IS OTHER CONSTRUCTION 2E1N0 OQfI�N • THIS BUILOIN6 ON SITET /♦V/ • ❑ c..—C3. Ir C3N.ar.l ❑ C.ntr.l utmly ❑ 09 IF YES. OIVE NUMSFA OF CONSTRUCTION PERMIT ❑ 011ier— specify IV. MKT(AN)CAL mQUIFMw r TO RA INsTALLEO NwT OF WORK 1 ( C Pkf•Ifni e(<empueeeh.w b•t}of thf ( Resldsntlsl or ❑ Commercial t Q sp." Q R.eeu.d C.wftel 0 Rsor ❑ New Building Air Ceeddf«Iwq: ❑ Ran• C.elnl Cl ng Building ❑ Ord sTfr^•: Materiel Thk}..,. Replacement of existing system M..(mre,up.dly ❑ New Installation(No system previously Installed) ❑ Re(rlt.,.N« ❑ EX.Nnslon or add-on to existing system - ❑ CosUwq is a. C.p•city ❑ Omer--specify ❑ Rn sp lwkle—s N—h•r e( h.•da— ❑ fie.eler Q M.ellh ❑ E—I.n. IerwL•rl ❑-ti.sepe.p..Iss far 6-1 THIS R►ACS Y'OA CIMCA URA ONLY ❑ LOG oeskl (ermberl ❑ Uplitrw pn•srn.rw.I ❑ i.11.•s _ _ P-4 Approved LISP ALL EQUIPMENT Ant CONXIMOMING 41 aFrxlGERATION eQUwmExr MasallerUnita AseaAptloA MadelNumser Y.a+rtsaesnr (•Sse.e)Y •1- t HALTING -FURNACES, BOILER-% FIAPYLAC S C�p.� XvoD.r Unita Dewdptlas X0 4-1 Nkseltl.r Ysautaaturer C=111:7 A I VV TANXS Now XaAT Xaahral CaPsI �I 6 add Xasde of Serial Ap in do, ,`' and �aOdO6s ]tamm2aatm— No. AA11�' //CITY OF rile �3�-T/{iu-& ` Office of Building Official p' f-z /vim, REQUEST FOR INSPECTION 1 ,Date �`1 /l.�� ,�3'"'� Permit No. Time A.M. Received PM. Job Addres Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framin ❑ Footing ❑ Rough Wiring G Rough E Air e Roofin El Slab ❑ Temp Pole 1-1TopOut ❑ Heatingd. & El ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ S� READY FOR INSPECTION Pre Fab Mon. Tues. Wed. A.M. Thurs. Friday PM, Inspection Made 7il I A.M. P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date PSR-3844 8403 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION -------- LOCATION INFORMATION Permit Number: 8403 Address : 1844 SEA OATS DR. Permit Type' PLUMFIN;3 ATLIANTI C BEACH , FLORIDA `2 2 3� °`laxs of Work : REPAIR ---------- LEGAL DESCRIPTION ------- - Constr . Type: WOOD FRAME Block : Sect ior) , Proposed Use * SINGLE FAMILY Township : RNC: 0 Dwellings : 1 Code : 0 -uzdivision.- Selva Marina Estimated Value , $0 . 00 Improv , Cost : $0 . 00 Total Fees : $25 .0(, Amount Reid: $25 ,00 Da 5/27/94 r"k ,0 qr r 04c. ina. fam. ho-mc H ER INff-.RMATION --- APPLICATION FEES ----- N-,a-me ---- N-,a-me F T L 1, HER R L D PERMIT $215100) ads -i �` 'EA DR . WATER IMPACT FEE 80 .00 , 5, 1, S '.TLANT147 aEACH , FLI-F!DA SEWER IMPACT FEE $Q . 00 yr WI 249—K 1 wAim "TEFL/TAP $0 * RADON GA R- S to-.00 C,'`NTRACTQR INFORMATION RADON CAB 5% $0 . 010 NauAI' 1—'.'04TIC COAST PLUMFTrT-! P, ;E CAPITAL !MPROVE. $0 . 00 Address : 315 4Til AVENUE qC1 'j'1 7 SEWER TAP $0 .0-0) jACKSONVILLE BEACH . FL 321't.- HYDRAULIC SHARE $0 .00 e n E e =_F('A 2 15 2 c-I Type: 0 CROSS CONNECTION $0 .00 SEC .H IMPACT FEE CONST. SURCHARq- F NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT Wfwatcwt: iAbfHL Date: 5127194 00 Receipt: 0(56459 Total Paywit 00 By: CITY OF ATLANTIC BEACH APPLICATION OR PLUMBING PERMIT JOB LOCATION: �7 OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMB I NG CONTRACTOR it/r1� S 21"JI, AND ADDRESS: �� TELEPHONE NUMBER: STATE LICENSE NO: f U TYPE OF BUILDING: TYPE OF WORK: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $3 . 50 + $15 . 00 = $ 0c> ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 5393 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ___-- PERMIT INFORMATION - L_OCATawj;x INFORMATION -------._ _ Permit Number : 5393 f4,irfress: 1844 SEA OATS DRIVE Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work : ADDITION ------ LEGAL DESCRIPTION --- - ------ Constr. Type: WOOD FRAME Lot . Block: Section : Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 Suhriivision : Estimated Value: $0. 00 Improv. Cost: $0. 00 Total Fees: $37. 00 Amount P id : $37. 00 Date P6 c#: 5/70/9? i`kAL HEAT AND AIR OWNER INFORMATION - ---- APPLICATION FEES ----- Name: WILLIAM HERROID PERMIT $37. 00 ? th <' : 1844 SEA OATS DRIVE WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA SEWER T MPACT FEE 50. 00 1 )(--,41 2'x'33 WATER METER $0.00 RADON GAS-H. R. S. 1;0. 00 ----- -- CONTRACTOR !MFORMATTnm RADON GAS - 5% $0. 00 Name: AIR ENGINEERS INC.. WATER TAP 5O. 00 Address: 10941 BEACH BLVE SEWER TAP $0. 00 JAX. FL. 32216 HYDRAULIC SHARE $0, 00 I_icenep- : MINAE'.-634 Type; r RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: i ` BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. LOCATION Street Address:_ OF Intersecting Streets: Between And fle BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of MechanicalContractors Contractor (Print) �f/2 A.) /Al.) Mastery Name of "' Property Owner W"//y Qn-j Mf//72- (p 0 / Signature of Owner Signature of or Authorised Agent Architect or Engineer III. GENERAL INFORMATION A' Type of heating fuel: B' IS OTHER CONSTRUCTION BEING DONE ON � 6�_Ailectric THIS BUILDING OR SITE? N �' ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) KL_ Residential or ❑ Commercial 121—Heat ❑ Space ❑ Recessed E3"ntral O Floor ❑ New Building Air Conditioning: ❑ Room f--Centrel EV-Existing Building ❑ Duct System: Material Thickness iJL Replacement of existing system Maximum capacity c.f.m. ❑ New installation(No system previously installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ ,Cooling tower: Capacity - 9•P•ns• ❑ `Fire sprinklers: Number of head= ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) IR««,»d) ❑ Tanks (number) Remarks ❑ LPG container (number) (3 Unfired pressure vessel Permit Approved by Defe ❑ Boilers Q Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT capacity Appreviat Number Units Description Model Number Manufacturer (Tons) A CY w.v0 �� �, •z;. 12 HEATING - FURNACES, BOILERS, FIREPLACES Capacity A1Pprovilli lrumber Unita Description Model Number Manufacturer (BTU) ASMW TANKS Now Many Nominal Capacity Type Liquid Name of Serial Approving and Dimensions Contained Manufacturer No. Agency 37�9� PSR-3844 13061 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION - - LOCATION INFORMATION ------ Permit Number : 13061 Address : 1844 SEA OATS DRIVE Permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 3223' 'lass of Work :ALTERATION --------- LEGAL DESCRIPTION --------- Constr. Type :WOOD FRAME Block : Lot : Twp : Proposed Use : Section: 0 Subd:O Rng : Dwellings : 1 Subdivision: Est . Value: 0 . 00 Improv . Cost : 0 . 00 Total Fees : 25. 00 00 i / y RT4 PR ---- - OWNER INFORMATION -- -------- APPLICATION FEES ---------- Name : W.ILLIt3M HERROir PERMIT 25 .0r, Addr: 1844 SEA OATS DRIVE ATLANTIC BEACH, FLORIDA 32233 Phone : Q04 ) 641-2?33 ------ CONTRACTOR INFORMATION - --- Name: DARLEY ' S PLUMBING INC Addr: 3552 ST . AUGUSTINE ROAD JACKSONVILLE . FL 32207 Lic : CFLO56702 Exp: / Type: 4 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.88 14 r CASH ATLANTIC BEACH BUILDING DEPARTMENT 98188883221888 By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: �/ y J c" 0r OWNER OF PROPERTY: '//,�o "i PLUMBING CONTRACTOR: /q CONTRACTOR'S ADDRESS: 31.1`2 S STATE LICENSE NUMBER: C C—S G7! 2 TELEPHONE: HOW M"Y OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: �, � ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. CITY OF /3w ^L Office of Building Official REQUEST FOR INSPECTION Permit No. Date � � M Time M. Received Z/ / o ality Job/Adress Owner's Contractor Name pLUMBIN CHANICAL CONCRETE ELECTRICAL ;t BUILDING Air Cond. & � Rough Wiring ❑ g r Footing - g ❑ Top Out ❑ Heating J Framing Slab Temp Pole ❑ Fire Place Re Roofing Final Sewer Pre Fab Insulation C' Lintel READY FOR INSPECTION ©f 611. P . Tues. Wed. Thurs. Friday— Mon. A.M. P.M. Inspection Made Final Inspectiort�il r' Inspector Certificate of Occupancy A Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING „ 800 Seminole Road -Atlantic Beach, FI 32233-Tel. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION__ _ _ LOCATION INFORMATION Permit Number: 23497 Address: 1844 SEA OATS DRIVE Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW ! Township: 0 Range: 0 Book: Proposed Use: j Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 6,400.00 _ OWNER Date Issued: 2/19/2002 Name: WILLIAM HERROID Total Fees: 67.50 Address: 1844 SEA OATS DRIVE Amount Paid: 67.50 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/19/2002 j Phone: (904)641-2333 Work Desc: REROOF EXISTING; INST ERGLASS CONTRACTOR(S)--- 1. _��: `a .., . PLICATION FEES,, . SCHULTZ ROOFING -:_hit._ 67.50 .` .max.r�•x:3.wa.� :.— _,. X t- NOTICE - IN 1 SPECTION BUILDING MATERIAL �;_ ' FROM Iki1 11�U T T7 3T� ~CEI#Ifi UBLIC SPACE, AND MUST BE CLEARED UP HA LMJ 8�1 TORO NI=R "FAILURE TO COMPLY .. LT IN THE PROPERTY OWNER PAYIN _ ISSUED ACCORDING TO APPROVED PLAA ,A F ERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS U i I . . Z Oper: DSMITH Type: OC Drawer: 1 ate: EERMITS-BUILDINGceipt nQ: x67. 69 14 50 CITY OF ATLANTIC BEACH Trans number: 789738 CK CHECKS 2672 $97.50 Trans date: 2/20/02 Time: 11:22:45 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: 18gt4 LSeA dA-JS bf OWNER OF PROPERTY: w'/IiAM LIC r-rolot TELEPHONE:: 2y9- 8864 CONTRACTOR: Sc. tJ 14z I2o01�q /,�c CONTRACTOR'S ADDRESS: 21 b Iv Sfr j:�j Re" Fla ZIP: 322 1y STATE LICENSE NUMBER: U -C-o369S43 TELEPHONE. 8516 DESCRIBE WORK TO BE PERFORMED: re QO-� ^�y��n�G �c.S 4z1��na �S�e 3izb 6ef VALUATION OF PRCPOSED CONSTRUCTION �f1OO.ad MATERIALS TO BE USED: SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: 6--,/v �J SWCRN TO AND SUBSCRIBED BEFORE ME THIS DAY OF Z& Rosalind R Clark *My commission CC758417 AS TO OWNSax OTARY PUBLIC SWORN TO AND SUBSCRIBED BEFORE ME THIS_IDAY OF a,,Rosalind R Clark AS TO CON�r���r�o,"ffwssion CC75sa17 VN.OorExpires August 25,2002 NOTARY PUBLIC Liability Insurance Supplied //-- ' q Workers Compensation Insurance Supplied Contractor License Information Supplied Occupational License Information Supplied NOTICE OF COMMENCEMENT RA ACO FORM 409 FS 713.13 inclose self-addressed stamped envelope —� Book 10360 Page 1261 Name: Schultz Roofing �.� Inc. Address: 216 N 20th Street 1.2i000•gr6,700 Jacksonville Beach, Florida 32251) This Instrument Prepared by: Pap: 1261 Filed 3 Recorded Name: Same 02/19/2002 1006:29 AM JI1t FILLER Address: M CHIT COURT RETURN TRUST FUND i 1.00N 5 MI . Property Appraisers Parcel Identification GING $ 5.00 SPACE ABOVE THIS LINE FOR PROCESSING DATA, SPACE ABOVE THIS LINE FOR RECORDING DATA NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florid County of �,Za_ } The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with chapter 713 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. Legal description of property (include Street Address, if available) .� � Aa tw;Tt� 13ew�}. General description of improvements Owner's Name Address Owner's Interest in si a of the improvement Fee Simple Title holder(if other than own Address Phone: Fax: Contractor Douglas A. Schultz Schultz Roofing Co. , Inc. (`CCO36989 Address 216 N 20 St. , Jacksonville Bch, Fl8.246-2315 –247-3808 Surety Phone: Fax: Address Amount of bond $ Lender's Name Address: Phone: Fax: Persons within the State of Florida designated by owner upon whom notices or other documents may be served as pro- vided by Section 713.13(1)(a)7, Florida Statutes. s Name to Address Phone: Fax: In addition to himself, owner designates a Of Phone: Fax: to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. EExpir ion date of ce f Commen nt(the expiration date is 1 year from the date of recording unless a different date is specified) o _ E Signature of Ow Printed Name of Owner 0 ® NOTARY RUBBER STAMP SEAL I have relied upon the following identification of the Affiant 10 01 3"1 Rosalind R Clark S r to�ducrib d bef m this day of 96 My Commission CC758417Notary Sig Expires August 25,2002 Primed Name Ul I PSR-3844 I j 15752 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION -- - - LOCATION INFORMATION ;'mit Number : 15752 dress : 1544 SEA OATS DRIVE Permit Type:REMODELING ATLANTIC BEACH , FLORIDA 32233 ass of Work :REMODEL _- - --- LEGAL DESCRIPTION - --- -- --- _onstr . Type :WOOD FRAME Stock: Lot- : Twp ; n Proposed Use: Section: 0 Subd:O Rng O Dwellings : I �,.?bdivision : Est . Value : 0 . 00 rnprov. Cost : 4 . 557 .00 Total Fees : 50 . 00 'mount Paid: 60 . 04 Fate Paid ! 7!07/1998 I� Desc : FAINT , NEW VANITY . PATCH ;_' E.-_ L, Wk-1 PER r�WNEF.. INFORMATION -•-- - ----- _.__._.-... - APPLICATION FEES ---- -- - Iame , WILLIAM HERROID DERMTT ddr: 1844 SEA OATS DRIVE ATLANTIC BEACH . FLORIDA. 32233 ,ne : ( 904 ) 541--2333 --- CONTRACTOR INFORMATION •------ nte : CLAUDE E. MERRITT 5 SONS +r : 3644 PHILLIPS HIGHWAY JACKSONVILLE . FL 32207 c ' CFC0 9749 Exr: fv NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATjWVO�C� i VIOLATION OF APPLICABLE PROVISIONS OF LAW. Receipt: 0868`29 CASH ATLANTlin,RFACH BUILDING EP RTMENT 00100003221000 By: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner(s) : W ( CT _'Q_�CJ 4 Address: 1'9 '4L-( S-Q� (30 D," Phone: Lot # Block or Unit # Subdivision: c Contractor: LQQ-t�� �. rn �-V State License # Address: 3(.4c( �A� Ur = Phone No: City � vIL State f —�a� Z;c .,- OCe 3 2 2 6 llll� Describe work to be done: Pali u-z 14 Present use of building: Valuation of Proposed Construction: Lj Pr000sed use: Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE (COMVERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDAPG SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF comgENCMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: n(� - n Signature CONTRACTOR:�l0.� oL Date: 7` -7—r Sworn to and subscribed before me this day of 1 � NOTARY PUBLIC STATE OF FLORIDA AT LARGE Pah ftDrA b ;�,• W COI NAM f CC56B61 E7�E5 •. Amw Y7.m taM�Dnilu lxor r��arr�,irc. 07/14/1998 12:53 9043994140 CLAULE E MEP,RITT PAGE 01 Hook 900Ytn•uagytv�1'41.-, r^..a—v 1.0tiv of �Com�tiencemeitt Ern f Al To whom it rrav concern: 'She undetsip,ed hereby infor:na you that improver..ents "r+111 be made to certain real property, and in accordance wit:; rection 713.13 of the Florida Statuses, the following information is stated L•, (:..r tiOTICE fl`' CUbIMY.N^EMYNT. - \�(/-�rI ///''' 7 D"-scripuon of ;aroyertY --� � `alak o" -6-P6 � `- ____ _______________ ____-_.._________._-__--_-.._--_.-_-._._.___-, ,-- ---------------------- r I General descr-puri, of improvernents .(/X/ VQ„i f _ n(.CTC� t.V YL .1-_-••------'------------------_ Ownct _ (er, / - - - - --------------- Ad,lress v`•`7 Owner's interest in site of rise improvem,o,t _._ -,_,,, •- ___• Pee Simple Title holder (if other Q,an Owner) Nime Address ................................_.-..... - ., - ....-_._..__..------------n �p� ---- / --------------------- SW'01)•(if any)----------------------- ------------------------------------------- -----'----- --•....-- ----tt��Bffkt- 900 i- -"---•- 141 Adlrea---......_..-_------------ ..._..An,ounpeF��i l�J—,6438O _ 1 ! ocordld Nan•c+nt:addret-,c:any pers-in making;a loin forrise:ennr,:xi;n of the unprevrnant>. 07/08/98 03[57e38 P.M. Name --- ---- HENRY Y. COOK ._..._..._ ttMK-'CIRCLtTT- DUVAL COUNTY, FL Address----------------...........• --... -......._....._.. - ,..... - REC. •_§_00 Nm:e of person within the Stitt of Ftcida. other thrn hints•:4, t;cs,j•natrJ by a�vnor uto:, whom notice: or ca'r.:: uocvrneas :ay be uived. Mame ---- Ai4resS_-__..---------------------------- Ir, addition to himself, o"cer designates Te followin, p•'rson to :aceiv,; a cvpY of the Lienor': :Notice as ,;ov:dec i_ti Berrien 713.61; (2) Sb1. s'sorida Stam es. (Fa ir. at Owner: option). Ai1r•esa__...._.._-.-- -- •-••---....._.... ----- - YNI■aehCL/OM <)Nlv n1fn ko*mb MOM ,.--------------... W 0014�0 MOM 1 jM7.M rpl9 till IYIF tK end c>ubscribo dors ItisItis __-.• day '. -- 19 Notiry Public f DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 3491 y 1 I f PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date—__2Z l2/ ?7 � 19 Valuation$ PLUMBING 16100 I Fee $ Tbia permit not valid until above fee has e�bj ect to revocation for violation of been paid to City Treasurer, and is applicable provisions of law. This is to certify that Fair P lumbin has permission to buil to install tubs, 2 Clarets, sink 2 lavatories l atha heater, 1 dishwasher 2 Classificatio ' and 2 Owned by A l Torene Inc. Lot 7 Block ��D-_SA" I House No. 1544 Sea oats According t0 approved plans which are part of this permit i F * NOTICE—ALL CONCRETE FORMS K ` AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. 6 i PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ♦---� 0 Building material, rubbish and debris Z from this work must not be placed in z Public space, and must be cleared up and hatiled away by either contractor or owner. I tBuilding Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER �7 I WATER I �' r ' IQTP WSMA OCCAPAVOML wi STATE o' ."wok va , - 71 wwrn i ---Lot �` OCXX + ., MY OF ATLANTIC BEACH WATER enO" o"M DATE9 /Z 77 LWATICH owe.... .._,_._. MILDER OR _ TYPE OF 81JI1B6 NG . Z'._13A64i V CONS8 STD IG OF ..__—90M STALL 1C (2 UNITS) WAM CLOSET, LAVATORY A BAT44M i 7i Oft ,*MM STALL (6 UNITS) (SP) PER NEAR S3 UNOT (WITH OR Itl y"M OVA ._....-XIMEMIL SINS t3 UNITS) WAb SUMO) (2 UliM) __r____RI aer C3 UNITS) .-_..._. 1I MB MON SINK SA UNITS) I NATI OM SIDS i TRAY (3 UNITS) ---SEIWI CE SIN-YMP STAND (3 t TS8 _... QXR!MTION SINK a TRAY W/FOOD OIC UIC SIITIS-p T B3 RAA+F91�5) il"t (4 UNITS) _ --POT, SCULLERY'S)NK (4 UNITS) .:..3 N'1AL INT at CIWIDOR f(i UNR T) -M c+ll4L, PEDESTAL, 51r>aHo4i .tE'r, Mft L UATOR1f t 14 T)- 9LON+ ff SD UNITS) U3tD I ALL LOP (4 UNITS) iiI NO !�7li1TAI N c tl1ty.)' "�- "" .:� --Df� c2 ...,.__ J STALL, WAS40UT Ski UNITS) .._.._,..�I � (EACH 2-FT. S TION I31tAI NS I UN6 T�= (2 UNI TS) –#—Kf� i'SINS (2 MTS)` �lI�IIS#II IIB IMMI PfE (is.) $3 UNITS) t1CMIE11 SOW II 'O(D ESTE., um __„.lItATI{ SOW. EAC" SU IF FA TS toys) (2 UNITS) .�.._.,-jAVAT(l6Y Sl UNIT) —*%TEIt CLOSET, TANK-OPERATED VATORY, ahRBER, BEMM PARLOR (# UNI 73) (2 UNITS) —MATER CLOSET, VALVE-03EP'ATED LAVATORY, SURMONS (2 UNITS) (a UNITS) ....,__LNJMY TRAY C,2 MOTS) CIT' ' OF ATs�AN'1 XC BRACH 716 OCRAM BOULEVARD ADDENDUM TO BUILDING PLAY 1844'Sea .Oats I The at taachod plans for the above bar idL ig is napps:ov ed subject to nest-,sig tree following tppl.>i,tabl,2s Sequa, ments+s Poofiugss ahail be continausoi s 1TIG"OL i.thic contzete under _ exterior walls, nrGinafore-od With two 5/'81° +defo rm ad reinforcing nods for-ave-story buildings &;-, rhr*e 5,i8" deform-&d xeinforcing rodo for two-otory bulAdiLngs , Poinfora- 1pig rods uhall be • pla4 d N,a chz 1cowssr ono-third .he foot ngssa, properly placed and fasten "d on m6tral saddl e m yah�..h wire, ru�:otj aga ekall ba six inches widQr on .each swdis�. than tll se tali rabovei , sahall be At. lwe'�st eight thic�h and bhall rest on farm s011 a r .eea t_ t e i ve ln-;Theo beiow undl� .e taTbarl sail - b. In hol-iow as3rs�a.rp pan t c�attyvctitQa, each unAt cell w hall be ka1.ufor�cd with at le awt one No , 5-bar at all. c-max %r*► poured and tamped with suzrh vuinforcinq vhall. be pi-opeariy 4_La;d Zl neo the footing rine:; opand r:Ril. bea.z.. Al3 « oad truss rafter (roof true t4on), a+bd 1 bS�) securely, faai;sv_t�ree d to the ext.orior waui l d w--,t a appro-ed ancha'ra or clips. 3, Construction c�f neArby mane-fasnsa".l.y dwell-I.Agas, ahLich are duplicates or lsntenaely wimslar, shall be avoLdod. Such seia laxity ccasidera th -rnteerelat . conaflavration and .appearance G a> , roof, outor wall mater�:nals, Window Sizes and design, and other like of st.ructu.xes. In sada ord with the foregoing, s im,''1lar or duplicate homes s.,ha 1.1 not be constru-cted within close prosrimity of eaac>h other, asn.d shall be at least 500 feet apt>art, if any one z.4ims:_ &Y dwelling is is bolo fzow any cthur aimil&r dw*11ing. e. Svw�r .torvices connections must be premed with ciean--uut coda. in the presence of a City I nrsspecto.ro f. Th® Banal con nectton beltwetNn t.hc hourses plumbing drain and the S6War sesviae .004ftecti.on rf&t the g.toperty li.saey muot be lAspected by `ha City befoz� bo ng GovoreRd. City Knnagesr The undersigned horeby that he has road the &bove and understand* that this+ taddond Az . �;nkei; precode nce over any convary details to the plants and aapac ifx�&ti*as and agrees to cont , w1th the intent of this addendums 1 / By Av, V c r> sa r/'owner Dat 2 DEPARTMENT OF BUILDING 3494 I PERMIT NO. CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB - I Date 19 Valuation$---DD-Q—�3 Fee $ a 0n II This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. Al Tore i Inc This is to certify that_---- has permission to buil a residential a Classificatio SAF Dwelling —Zone I Owned by A T cR,ci+q Block_ 7 S/D Lot i 1844 Sea Oats House No. According to approved plans which are part Of this permitNOTICE—ALLCONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE O Building material, rubbish anide�bnn —� z from this work must not be pa public hauled away byace, and must be cleared up and either contractor or owner. i Buildin`official. CONTRACTOR FOR OFFICE PERMIT DATE NUMBER USE ONLY e PLUMBING - - I ELECTRICAL `r r SEWER t t WATER I e f r FOR OFFICE USE ONLY Date_�� '.. z---.--19 77 qq_/// G Permit #------------------------Fee$ .<_Z'----------- CITY OF ATLANTIC BEACH66 A,JC--A Valuation ----....................................... .... FLORIDA House #_1........../._../ APPLICATION FOR BUILDING PERMIT -Aum 1 CITY OF ATLANT' �. 't ----------------sti+��a tum. =' Application is hereby made for the approval of the detailed statement of the plans and specificationlPPM11, st*i�ted for the building or other structure described. This application is made in compliance and conformity wit ' e ui ding Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach�Yshal e� ie_dether herein specified or not. �� c: The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. '�''�) {� �DAatee-- ------,--�^--------------------------- U..c 19,E Owner-AL _---_........ --1-•---•--•----•---------••---------------Address-y.t1- Q ' ._C_-L_ �J--------------Telephone Nort�l�-1+--._S .�0 V Architect_. e.l ..-_.-y.�(-!k. �}► �...............................Address_I '. '►.Y_. c ______.Telephone Contractor Builder._____ -�_T_��____ K- -,________________________Address__-"1 __V V. ..•..._.Tele hone No.- y1_�-_I V b aQ --- - Lot No..-- ------------------------Block No..-.Zr Sub Division-4 �.� --�P__.!--------•----Zone--------•------- -------.Side Between-.- -- Q� -------------------- -----and-------��}'�- •-----------•---•--------Sts. 1 ..._..-...-•-•-----------Street - - �,a - --- Valuation $-3 ooQ - . _For what purpose will building be used-_-.. -----Type of construction-F.40 t,-.--.._-_---- �N t Dimensions of Building- __*Tot-_-_.__._...._Dimensions of Lot--41'f _______________________________Size of Footings sct O.-_--__--___-- �'�� - s - Size of Piers--..---. _-_-_-_.---._-_-.-_--Size of Sills--------------- _ . .-__-Greatest Sill Span in ft..-__-____-.._-.-.___._-Type Roof SV �-�.._._.__- How will Building be Heated?_19Ivtt+q_(L_-ACM-__---.------------Will Building be on Solid or Filled Ground?....460D�,-------------------- Size of Ceiling Joists.-------------------- -------------------- Distance on Centers--_----... .-----------..................... Greatest Span---......................................... " Size of Floor Joists-----------------------------................. Distance on Centers---------- ............................... Greatest Span-------------------------------------------- " ize of Rafters----- ---- ----------- -------------------------- Distance on Centers ..... ---- ........................... Greatest Span--------------------•--•------------------- v, This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. p 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. q q 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection, re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit give or doing the work as described in the above statement, we hereby agree to perform said work in accordance wit the atta plans and specifications, which are a part hereof, and in accordance with the building regulations of the City i h Signature of Builder_ .................. AddressO . CSC Signature of Owner.- ....... Address...........--. + s 15 n1�� ��,� BeTY OF fY+uGil& /3 - Office of 3ui ' g Official REQUEST FOR INSPECTION ��// �Z} ✓/J Date Z Permit No. Time A.M. Received��� P.M. 1 � Job Add re Locality Owner's Name Contractor CONCRETE ELECTRICAL PLUMBING MECHANICAL -Lr 11Footing ElRough Wiring ❑ Rough ❑ Air Cond. & 11Re Roofing Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place 7— Pre Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P.M. G A.M. Inspection Made Q V P.M. Inspector Final Inspectio6upancy Certificate of ❑ Date �/- ����� CITY OF fQK6il&' BeacA- Office of Building Iff icil l� lr �J REQUEST FOR INSPECTION Date "'1 !/ l© y J Permit No. Time A.M. Received PM J b Address Locality Owner's Name Contractor i BUILDING CONCRETE ELECTRICAL PLUMBING Lq{� Framing ❑ Footing ❑ Rough Wiring ❑ Rou h ❑ Air Re Roofing Slab F-1TempPole El Top Out ting & El ❑ Lintel Ll Final El Sewer ❑ Heating ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. A.M. Thurs. Friday pM, Inspection Made — /7 A.M. P.M. Inspector Final Inspection ❑ (� o, Certificate of Occupancy❑ 'r} `^ Date CITY OF 4. 4&4a&. /3eac�s-��atic Office of Building Official REQUEST FOR INSPECTION Date ! U 2-- 3 / Permit No. Time A Received P Job Ad r s ality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECH NICA Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Con . Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. (\ Thurs. ridgy Inspectiorr Made `b� A.M. P.M. Inspector Final Inspection Certificate of Occ pancy❑ • j�j , g Date it I CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028696 Date 7/20/04 Property Address . . . . . . 1844 SEA OATS DR Tenant nbr, name . . . . . . REPLACE ENTRY DOOR Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 486 Owner Contractor ------------------------ ------------------------ HERROLD, WILLIAM LOWE ' S HOME CENTERS INC 1844 SEA OATS DRIVE 12945 ATLANTIC BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 486-4701 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 486 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 f PERMIT IS APPROVED ONLY IN ACCO ANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING C ES. BUILDING OFFICIAL i ` "7-<<� CITY OF ATLANTIC BEACH rr�I DEPARTMENT OF PUBLIC SAFETY zs� r J 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 PLAN REVIEW COMMENTS Permit Application # C-,v4 - 2,3�' P9 Lt Property Address: /�4 0 � , �,_ s �7)f Applicant: (--'-7Z C .S Project: Icy c r rxyn C4 C`z f This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By:J 4L Date: q - Imo! 12 Ll RECEIVED Js Ss� CIT`(OF ATLANTIC BEACH r s) BUILDING & ZON,NG L192004 CITY OF ATLANTIC BEA PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS, "Id�TS AND GARAGE DOORS OF SINGLE—FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION Date: 7 y d Job Address: Owner's Name: ,(/�l/ll��� Address: 9`r7' yl% Q�� Z) !5 TL' /� Phone: Legal Description: Block Number: Lot Number: Zoning District: /� S cled � Contractor: /'/—��� State License Number: Address• to Ty7z, ��� Phone: City:V�����Ll� State: C74_ Zip: 32-42rFax: Describe proposed use and work to be done: ee Present use of land or building(s): y Valuation of proposed construction: O Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Building Data: Mean Roof Height (ft) Building Width (ft) Building Length (ft) Roof Slope *Window Elevation from Grade (ft) Window Height (ft) Window Width (ft) Measurement from corner of building to window (ft) s Y s h 4 a s s 800 Seminole Road -Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Page 1 .� Revised 1/27/03 f .r Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data,the following information is required: 1. Manufacturer's Test Report 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type b. Elevation View of Window Locations 1 hereby certify that all informati provided with this application is correct. Signature of Owner: Date: rJ h� 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether 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 property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the pl supporting data have been or shall be provided as required. fl—AdSignature of Cont ctor: Date: 7--fl— Address dress and co t information of person to receive all correspondence regarding this application (please print). Name: CJ(i(J2S lq7r `j 14N Uy h i l G Mailing Addres��s: /cP9`/� /`�7 u4&t`��- ill VVIA 14)C /—[, � ttZz ZS— Telephone: J45-6f y7o 1 K fM Fax: JISs — 1 76I'1l E-Mail: AS TO OWNER: Sworn to and subscribed before me this 5 day of T 1/ ,20 . State of Florida,County of Duval 'f AWIYTHROWER Notary's Signature: 46aV MY COMMISSION#DD 258372 EXPIRES:October 14,2007 Personally known BenWTftNdery Pubic UrWerw*e. Produced identification J 77��+ / Type of identification produced F(prlda_ JJyd-s bcet)SP AS TO CONTRACTOR: / I Sworn to and subscribed before me this /5 1 day of �U/G� 20 ,)14/. State of Florida,County of Duval Notary g's Signature: '° KAREN E.HEATON .� MY COMMISSION#DD 232109 Personally known EXPIRES:October 20,2007 ❑ Produced identification '*"WThNNMrYPublic Ur ,, Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/27/03 MIAMIDADE MIAMI-DADS COUNTY, FLORIDA METRO-DADS FLAGLER (3UILDINtG BUILDING CODE COMPLIANCE OFFICE: i`IETRO-RADE PLAGLER BUILDING 140 WL'ST FI.AGLER STREET.SUHT 1603 N11ANII.FLORIDA 33130.1563 PRODUCT CONTROL NOTICE OF ACCEPTANCE (305) 375-2901 FAX(305)375-22903 Prenidor Entry Systems Ct):NTI ACrt)R LICENSING SEUVIUN One Prenldor Drive (3050 75-2527 FAX(305)3750-iii Dickson ,TN 37055 Ct)NTRACroR ENFORCEMENT DIVISION (303)373-2966 FAX(303)375•2908 I'RUDUCI'CU\TROL DIVISION OU>)373•�9U2 FAX(303)372-6339 You application for Notice of Acceptance (NOA) of: Fiberglass Door- Inswing - Opaque Ina Wood Frame der Chapter 8 of the Code of Miami-Dade County �� 1C use of Alternate MLterials and Types of COl1struc , nip ete y described herein, has been reco111111eilded fol' acceptance by the ✓Miami-Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid atter the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testin". It' this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the Sot>th Florida 131.111dinily Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 01-1031.01 EXPIRES: 11/16/2006 Raul Rodri�,Uez Chict•Product Control Division THIS IS THE COVERSI-IEET, SEE ADDITIONAL PAGES FOIL SPECIFIC AND GENERAL CONDITIONS (WILDING CODE & PRODUCT REVIEW COMMITTEE This application for Produ Approval has been reviewed by the BCCO and approved by the Building, Code and Product Revie llmittee to be used in \•llanli-Dade County, Florida under the conditions set forth above. tO Francisco J. Quintana, R.A. Director Miami-Dade County APPROVED: 12/11/2001 Building Code Compliance Oflice \\s04S000I\pc2000\\templates\notice acceptance cover page.dot interact mail address: poshnustereu huildinscodcnnline.cum Humep:r_c: It('( huildin1"t:odcoil liue.cum Premdor Entry Systems ACCEPTANCE No.: 01-1031.01 APPROVED: December 11, 2001 EXPIRES: November 16, 2006 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This renews Notice of Acceptance (NOA) No. 98-0223.07, which was issued on November 16, 2000. It renews the approval of a residential insulated fiberglass door, as described in Section 2 of this NOA, designed to comply with the South Florida Building Code (SFBC), 1994 Edition for Miami-Dade County, for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The Inswing Opaque Single Residential Insulated Fiberglass Door and its components shall be constructed in strict compliance with the following document: Drawing No 31-1033-I, Sheets I through 4 of 4, titled "Premdor 3' 0" x 6' 8" (Fiberglass) Door w/Bumper Threshold in Wood Frame(Inswing)," prepared by manufacturer, dated I/27/98 and revised on 10/18/00, bearing the Miami-Dade County Product.Control renewal stamp with the NOA number and expiration date by the Miami-Dade County Product Control Division. This document shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS 3.1 T4is approval applies to single unit applications of single, as shown in approved drawings. 3.2 Unit shall be installed only at locations protected by a canopy or overhang such that the angle between the edge of canopy or overhand to sill is less than 45 degrees. Unless unit is installed in non-habitable areas where the unit and the area are designed to accept water infiltration. 4. INSTALLATION 4.1 Tile residential insulated fiberglass door and its components shall be installed in strict compliance with tite approved drawings. 4.2 Hurricane protection system (shutters): The installation of these units will require a hurricane protective system. 5. LABELING 5.1 Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance 6.1.2 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance. clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or the South Florida Building Code (SERC) in order to properly evaluate the installation of this system. Raul Rodriguez, Chief Product Control Division 2 Premdor Entry Systems ACCEPTANCE No.: 01-1031.01 APPROVED: December 11, 2001 EXPIRES: November 16, 2006 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami-Dade County Product Control Approved", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; e) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sewed the required documentation initially submitted is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process. b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purpose. 6. The Notice of Acceptance number preceded by the words Miami-Dade County, Florida. and followed by the expiration date may be displayed in advertising, literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal (lie copies. S. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. END OF THIS ACCEPTANCE Raul Rodrig ez, Chief Product Control Division 3 i PREMDOR 3'-0 x 6'-8 (FIBERGLASS) DDDR WITH BUMPER THRESHOLD IN A WOOD FRAME (INSWING) 37 1/2' 7/16' x 1 3/4' Ig. STAPLES 4• (3) PER SIDE 4' B 4' IOP OF DOOR 10. 8 7/16' �BF MINGE 17 1/2' 1110 x 2' SCREWS (TYP-) (2) PER HINGE 43 11/16' TOP OF DOOR 31 3 16' C! TO CL OF LOCK KWIKSET 660 DEADLOCK OR S I/2' _ HARLOC 820 _ 80 Il/16" X10 x 11/2" MINIMUM EMBEDMENTA � A (5) PER SIDES "ERNATE 3/16' PFH TAPCONS KWIKSE.T 1/2' MINIMUM EMBEDMENT 200 LUCKSET _ _ OR - p8 x 2' F.H.W.S. 31 3/16' HARLOC 100 118 x 1 1/2' SCREWS JAMBS TO THRESHOLD _ (2) PER SIDE —' ' B qI0 x 1 1/2" MINIMUM EMBEDM' 4' _1___I 4' (2) 2 THRESHOLD (2) 2 HEADLR w% IALTERNATE 1 /2 MINIMUM EMBEDMENT NOTES 1.) WOOD BUCKS BY OTHERS. MUST BE ANCHORED 2.) THELY TO PRECCEDIINGSFER DRAWINOGSSAREOTHE RE INTENDED TOPRODUCT RENEWED DUALIFY THE FOLLOWING INSTALLATIONS. ACCEPTANCE Nu�W 01 A. WOOD FRAME CONSTRUCTION WHERE DOOR SYSTEM IS ANCHORED TO A MINIMUM TWO DY WOOD �� Nu 1�y�1EAr1 OPENING. B. MASONRY OR CONCRETE CONSTRUCTION WHERE P...UCT CONIRUL OIVISIUN DOOR SYSTEM IS ANCHORED tQ A MINIMUM TWO BY �u+o cooscouleuANCEWICK STRUCTURAL WOOD BUCK. •PFROVEGAseuMPtneGVA'H7HE C. 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