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1853 Selva Grande Dr (vault) � CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD "N ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033533 Date 7/21/06 Property Address . . . . . . 1853 SELVA GRANDE DR Tenant nbr, name . . . . . . REPLACE PATIO DOOR Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2636 Owner Contractor ------------------------ ------------------------ HARRIS, LESLIE LOWE ' S HOME CENTERS INC 1853 SELVA GRANDE DR. 12945 ATLANTIC BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 486-4701 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 .50 Issue Date . . . . Valuation . . . . 2636 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 PERMIT LS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,S�LIrlJ� r _ CITY OF ATLAT'IC-BEACH J PLAN REVIEW SHEET Routed to: � S.MakGwski Building Department Public Works&Public Utilities Departments . Higgins 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R. Carper (904)247-5800 (904)247-5834 D. Kaluzniak (904)247-5845 Fax (904)247-5843 Fax Public Safety PLAN REVIEW COMMENTS a Permit Application#. / ✓� Property Address: l Applicant: Project: ef j21JA6 POJi011be, This permit application has been: ❑ Approved as noted by the Department. Final application approval must come from the Building Department. ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: CITY of A CITY OF ATLANTIC BEACH WINDOWS, SKYLIGHTS, GARAGE DOORS,HURRICANE SHUTTERS Vr � Date: Job Address: / --�-� Owner: „ e's fig° S d 5 �l i Address: /�53 Sf'�Ua �# �, ✓P.. �¢ i +C `"GtC'h Phone: Legal Description: Block Number- Lot Number: Zoning Di//st�ri��ct Contractor: w1� -&4WL&ate License Number: Address: % � 3ZZ2SPPhone: 9y /�J7�'/��/ �7� / City: �� Sl/l7!`'/��� State: ft— Zip: Fax: ��7' ?•�GP �7Il, Describe proposed use and work to be done: Present use of land or building(s): Valuation of proposed construction: 3(-,P' 025 Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. Required Building Data: Mean Roof Height (ft) Building Width (ft) Building Length (ft) Roof Slope Window Height (ft) Window Width (ft) Window Elevation from Grade (ft) Measurement from corner of building to window (ft) Number of windows being installed Mean Roof Height ACV 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://wwW.cLatiantic-beach-fl-us Revised 1/27/03 Page 1 So, 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 with Uniform Structural Load(psf) 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type S. Skylights Description/Type 6. Hurricane Shutter Description/Type 7. Elevation View of Window Locations 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 application and know the same fo 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 per, 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 plans and supporting data have been or shall be provided as required. Signature of Contractor.11d G(:�(,� Date: / /4 Address and contact information of person to receive all correspondence regarding this application(please print). Name: /�� Pld4 c---�,� Mailing Address: �/� Telephone: qd V V�(Q '�7d I Fax: XdI-1 0 (17/y E-Mail: AS TO OWNER: Sworn to and subscribed before me this / -7 day of 20 0 (- . Stat KAM CODY ' MY COMMISSION t DD 498856 Notary's Signature: �= EXPIRES:JMUNY 8,2010 ' Bonded nn Nary Pubk unmrrNtw. Personally known Produced identification Type of identification produced AS TO CONTRACTOR: Swom to and subscribed before me this day of J�.� ,200c State of Florida,County of Duval Notary's Signature: "K—� 4„Y►"4 KstwH of Florida � o z AM �ry ,Ubk. 'emonally known _ missio�EXPO Fab 2d.2010 .44y Com ❑ Produced identification CoMff ff DD 523638 4SS " Aasn. Type of identification produced •.,,;�OFted;•• Sw�0 NoWnal Notary 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 http://www.ci.atlantic-beach.fl.us Revised N27/03- Page 2 Improving Hayne Improvement 8529 South Park Cr. Suite 430 Orlando, Florida 32819 Bus. 407/370-2872 Fax. 407/352-6309 Limited Power of Attorney Date: To: Building Department From: Peter Anthony Cafaro III I hereby name and appoint Maria O'Reilly, of Lowe's Home Centers, Inc. to be my lawful attorney in fact to act for me to register my license and apply to for a G� 4permit for work to be performed at a location&scribed as: (Address of Job) (Owner of Property) And to sign my name and do all things necessary to this appointment. Thank you for your assistance. Sincerely, Peter Anthony Cafar III Area Installed Sales Madager Primary State Qualifier CGC 1508417 6Swn to and subscribed be e this day o 005. LQ. , RebeccaVelez No.public ;°r MYCAMMISSION# DD176963 "XN`:' M commission expires `� 7wuaY 1Z 2007 Y P %F 1�� BOpD@JMTROY FAININ3UR INC 1119/1'10 9 : 06 : 41 AM 3731 2 02/02 • DOORS Product Selection Guide Size and Performance Data x::i:, ::-•C:i!? 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CN O O O S N ll.. o a4 0 � a r NN N LL r ............... . ' 1 CITY OF ATLANTIC BEACH SJl 800 SEMINOLE ROAD �2 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00033533 Date 7/21/06 Property Address . . . . . . 1853 SELVA GRANDE DR Tenant nbr, name . . . . . . REPLACE PATIO DOOR Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2636 Owner Contractor --------- -------- ----- -- --------------- --------- HARRIS, LESLIE LOWE' S HOME CENTERS INC 1853 SELVA GRANDE DR. 12945 ATLANTIC BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 486-4701 ----------------------- ------------------------ - ---------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 .50 Issue Date . . . . Valuation . . . . 2636 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 adf 70 REVISED PERMIT IS APPROVED ONLY IN ACCORDANCE WITA ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES riot a building Code Online Page 1 of 2 PRODUCTAPPROVAL od r Ir Ir 'ir Ir I Overview Product Search Organization Product View Search lication Attachments User: Public User -Not Associated with Organization- Application#: FL20 Date Submitted: 08/04/2003 Product Manufacturer: Masonite International Address/Phone/email: One North Dale Mabry Suite 950 Tampa,FL 33609 Technical Representative: Steve Schreiber Technical Representative Address/Phone/email: 1 Premdor Drive Dickson,TN 37055 (615)441-4258 sschreiber@masonite.com Category: Exterior Doors Subcategory: Swinging Evaluation Method: Certification Mark or Listing Referenced Standards from the Florida Building Code: Section Standard Year ASTM E 1886 1997 TAS202 1994 ASTM E1996 2002 Certification Agency: Intertek Testing Services- ETL/Warnock Hersey ■ Quality Assurance Entity: Validation Entity: Date Validated: 08/08/2003 Authorized Signature: Steve Schreiber sschreiber@masonite.com Performance level of the product and conditions or None Known limitations of use: h4://www.floridabuilding.org/pr/pr_detl.asp?IPT=20&fm=ROSrch 3/29/2004 4 d r,u If, a nuiiuing Looe vnnne Page 2 of 2 Evaluation/Test Reports Uploaded: Installation Documents Uploaded: Product Approval Method: Method l Option A Application Status: Approved ..........___._.. Page:'__ Pagel/1 App/S e Product Model#or Name Model Description 0.1 Door Units Copyright and Disclaimer;®2000 The State of Florida.All rights reserved. 4 � I c J f 3 http://www.horidabuilding.org/pr/pr�_detl.asp?IPT=20&fin=ROSrch 3/29/2004 r Castile-qate 1Validation Entry Systems i FIBERGLASS DOORS N N N N N N N N N N N N N N of 4 �? �? 4 44 �? 4 4fl 444 4 1 s g1 o o 4 4 4 4 X 4 4 4F?q ^ a gs gs � ggg o g g g g g g i 3 X 3 3 3 3 3 3 3 3 8 3 3 3 3 3 3 3 3 1' B 2 9 o 9 8 o 8 � 5 p O N 3 N N 3N 33 3 r� 3 O N 3 N 3N N 3 ;z 3 M � rN� ^N rN� rN� rN^� rN^� rN� N rN� d r�� rN� N � � ^N^ rN� ^N rf�V H N rz tz � r n A r n � N A rz rz A a an rrrzrzrzrrrzrzrzrrrzrzrzrrrzrzrz E� NN (� z 9,B Ln N N h Ln 1N 1N 1� 1 6 Vi d:5. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 v 000coocooc0000c� oc� oc0000coocooc0000coocnow n � q> _ $WF O OO pp O O O O m m t0 tD tD tD (G O O O O O O O O O m 1D t0 t0 tD tD fD fC Q m m m x m m m Of Of T Or O! Ol O> m m m m 00 m aD m OD Of T O/ Of T Ql 01 Of x x x X x X x x x x x x x x x x x x x x x X x x x x x x x x x x AM G E m M t�'i epi c e�i 'Mo tai chi epi `* epi M epi chi emn epi m 0'e� m J WW F s v� N JJ N J N J J N J N J J N J N J J N cnJ J O a �ca � � W m 1; 691; 1; � � m m m Awa 1; 1; o = x x x x x x x x x x x x x x x x x x x x 0 e_ r/ o o o o o o o o f1m xX o o xX o o x o o XIX o o e�o awea,e.mm CDP/"/MID sheets referenced N N N N N N N N N qNq N N N N N N N N N qNq tO M thh matrix provides additional ♦^ Q N eon a 4 m �i b Q N a �Qr. lb Q m d o Mtomiatlan-avallabb from the N N N N en n y MffioNte Website W, 0 0 cD 0 0 0 0 0 0 0 o rq a a a � � � a a a h a � a 02 (www.masonite.com)or the 24 1 2 2 f 2 2 2 2 2 2 2 - MasoMe tecMlcal corder. ® Intertek Testing Services Cast d /Test Repoi-t Validation kdali-lx P Entry Systems FIBERGLASS DOORS N N N N N N N N N N N N N N N N N 4 4 4 4 V 4 4 4 4 9 4 4 4 N N N N N N N N N N N ? 4 4 4 4 4 4 4 4 4 4 4 a 0 0 0 0 0 3 N O O O N !C5, 1n to 1A Y] s tICI-) g � t u t; t3 t � � 5 F, + zzzzzzzzzzzzzzzzzzzz p 6 14 . . . . CV cV cV O oO C C C C OO oO 10 � O 10 'O r0 `O `p O O � O O O O 1n to u0 N O u'f rn rn Q e Q Q < < P- t 6p� O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O +.n.. N 1N N YN9 �NfJ I/� 1N R V V Q Q < O Yq]lllV g N g g g O O C7 69 C7 0 C7 O C:1 C7 C:J C1 U O C7 C0 U (:) C7 C7 O (:J U' C7 C7 O O C7 C7 C7 C7 O [:J p �p 9 {{pp m COD COG GOO O00 COO m W Qf C7, OOi Of COO m COO CO m OD m e) of OI of Gn of ¢ A� X X X X X X X X X X X X X X X X X X X X X X CODX X X X X Xto X X X E chi chi chi o°i cin m �i m �'i �i m �i `asi chi �i chi m chi e• =s W N r- y N •- � y N NV! rn e J N NO Q C COG COD CD m m Qf OOi � � Of m m m O m e! Ql � of p� X X X X X X X X X X X X X X X X X X X X 2 d O b O VERIFlm BY. Wwnook Hwry O x O X O Bi € Xao o x a o r x a o 0 Xaa o � �a 0 Ci X O X O x O x O } emur 10,2063 v CO MAD/MID sheets referenced N N N N N N N N N N N N N N L99 N N W in this malrbc provides additional 444 X44 g X44 4 4 qq qq CL N c� a n m N O < Ln dr d �v information-available from the CL v v v e e e v o c r_n �o ro �o m ro <o n n d Masonite website ¢ gg ¢ o d Iwww.masorftte.com)orthe 2 2 2 2 a a 2 9 - Masonite techwal center. ® ® Intertek Testing Services X 1 ' 41 I Opaque Outswing Unit FIBERGLASS DOORS APPROVED ARRANGEMENT: tir.nooae HIwMy it~.m ® Test 00 Review Certificate/3026447& /30264478:I3026447C rW COP/Test Va6trb ,13026.447A- W'O' lxlrt2,003,datlan!3026M4447&001,002, 003;/3026447C-001,002,003 provides additional k4orrnatlon- p avaAable from the ITS/WH webshe (www.etlsemko.com),the Masonite webshe(www.masor b.com)or the Masonne technical termer. Note: Units of other sizes are covered by this report as long as the panel used does not exceed 3'0"x 6'8". Single Door Maudmum uM st e•3'0-x 6'6' Design Pressure +76.0/-76.0 limited w1W unign VKhd threshold design is used. Large Missile Impact Resistance Hurricane protective system (shutters) is NOT REQUIRED. Actual design pressure"Impact resistant requirements for a specific bu"design and geograpMc location Is determined by ASCE 7-national, state or local building codes specify the afton required. MINIMUM ASSEMBLY DETAIL: Compliance requires that minimum assembly details have been followed—see MAD-WL-MA0011-02. MINIMUM INSTALLATION DETAIL: Compliance requires that minimum installation details have been followed—see MID-WL-MA0001-02. APPROVED DOOR STYLES: 0o Ila an an as o0 Rush &panel New Erglald 4-WW Eyebrow 4-panel Eyebrow 5-Wel v th scroll Mach 10.2003 our conuran0 Powarn of V060 inWoee"neM makes srdfexeom,design and Vodo dew MW to dwge W00A notice_ X 1 ' AI I Opaque Outswing Unit FIBERGLASS DOORS CERTIFIED TEST REPORTS: NCTL 210-1973-1,2,3 Certifying Engineer and License Number.Barry Portney,P.E.16258 CTLA-1051 W Certifying Engineer and License Number.Ramesh Patel,REJ20224 Unit Tested in Accordance with IONami-Dade BCCO PA202,ASTM E1886 and ASTM E1996 Door panels constructed from 0.075"minimum thick fiberglass skins.Both stiles constructed of 1-5/8" laminated lumber.Top end rails constructed of 31/32"wood. Bottom end rails constructed of 31/32" wood composite.Interior cavity of slab filled with rigid polyurethane foam core. Frame constructed of wood with an extruded aluminum threshold. PRODUCT COMPLIANCE LABELING: TESTED IN ACCORDANCE WITH MIAMI-DADE 8CCO PA201,PA202 6 PA203 OR ASTM E19%,MIAMI-DADE PA202, AND ASTM E1886 COMPANY NAME coTv,STATE Ornock t4eew To the best of my knowledge and ability the above side-hinged imism exterior door unit conforms to the requirements of the 2001 Florida Building Code,Chapter 17(Structural Tests and Inspections). Test Data Review Certftzte 13026447k 13026447B;1302647C vW COPITest Rent Vandatlon Matrix f3026447A- 001,002,003•/d0264472.001.002. 003;f302ddrdor001, rm ion provWes 003 adtlftlxxW hdtxmatian- avaAabb tram ttb ITSIWH website (www.etisemko.com),the Muonite websfte(www.masonte.com)or the Masorite ted"Cal Cerner. State of Florida,Professional Engineer ■ Kurt Bafthazor,P.E.—License Number 56533 March 10,xooa ,,,ye,apeac"S.deign aed vmeuc+ our mntaarh+7 pvpnm of moduq YrvrorMnerd dell wdM to&urge wbW riodrs X 1 1111 I Unit SINGLE DOOR TYP. l l 1 1 91 MU 31' TYR • 6 per vertical framing member for •- ---� 7'0"height and smaller ` • 8 per vertical framing member for heights greater than 7'0" • 4 per horizontal framing member Hinge and strike plates require two 2-1/2"long screws per location. Rough 1 • 1 • Width of door unit plus 12" • Height of door unit plus 1/4" Waeasek 4�wY Test Dab W&W Cerefkmte/3026447ti/30264476;f3026447C and COP/rest Report Vasdabon Matrix v/ /3026447h jO 002,003.004:/3028/476-001 002,003.004:030QW47C-001, 003.004 provides � addPoonal kwomWion-availaw from the fTSlwii website(wwwAsemko.com),the website ® (www.mesorae.com)or the kmwite te&ikal mer. Latching Hardware: • Compliance requires that GRADE 3 or better(ANSI/BHMA A1562)cylindrical and deadlock hardware be installed. • UNITS COVERED BY COP DOCUMENT 0246•,0266%9241•,5246,3261•or 5266 Compliance requires that 8"GRADE 1 (ANSIBHMA A156.16)surface bolts be installed on latch side of active door panel—(1)at top and(1)at bottom. 'Based on required Design Pressure—see COP sheet for details. Notes: 1. Anchor calculations have been carried out with the fastener rating from the different fasteners being considered for use.Jamb and head fasteners analyzed for this unit include 10d common nails.Threshold fasteners analyzed for this unit include Liquid Nails Builders Choice 490(or equal structural adhesive). 2. The common nail single shear design values come from ANSI/AF&PA NDS for southern pine lumber with a side member thickness of 1-1/4"and achievement of minimum embedment of 1-1/4". 3. Wood bucks by others,must be anchored properly to transfer loads to the structure. March 10,2003 Oxr 000%*V program of ro6id nwwwrWo Makes seeckaws, deep rW prodod 00 rrbpa b&jnpr wbmA noon. X 1 1111 1 Unit SINGLE DOOR s' TYP. 1 � I TYR e'!"UNIT 8'0"UNIT 13-15/16" 17-1/6' MAXIMUM ON CENTER TYR LlininlLlifl Fastener HOLInt • 6 per vertical framing member • 2 per horizontal framing member • Hinge and strike plates require two 2-1/2"long screws per location. Opening ' 1 1 • Width of door unit plus 1/2" SEE NOTE 11 • Height of door unit plus 1/4" r 1 t f Y1MarneeY tMwy Test Date Review Cedit*e l3026117A!,/30264478;/30264470 and WNW Report ValkiOon Matrbc $3026447A-001.002,003,001:/3026447B-001 002.003 004;03026447MI 002 003,004 prWes addBiorul kkom low-avabble from the RSIWii weluMe(www.etleerdro.com),the 6iasaNte webske twww.masor te.com)or the Mesor&tedtnlcW cwter. Latching Hardware: • Compliance requires that GRADE 3 or better(ANSVBHMA A1562)cylindrical and deadlock hardware be installed. • UNITS COVERED BY COP DOCUMENT 0246•,0266•,3241*,3246,3261•or 3266 Compliance requires that 8"GRADE 1(ANSI/BHMA A156.16)surface bolts be installed on latch side of active door panel—(1)at top and(1)at bottom. 'Based on required Design Pressure—see COP sheet for details. Notes: 1. Anchor calculations have been carried out with the lowest(least)fastener rating from the different fasteners being considered for use.Jamb and head fasteners analyzed for this unit include 18 and 110 wood screws or 3/16"Tapcons.Threshold fasteners analyzed for this unit include 18 and 110 wood screws,3/16"Tapcons,or Uquid Nails Builders Choice 490(or equal structural adhesive). 2. The wood screw single shear design values come from Table 11.3A of ANSI/AF&PA NDS for southern pine lumber with a side member thickness of 1-1/4"and achievement of minimum embedment The 3/16"Tapcon single shear design values come from the ITW and ELCO Dade Country approvals respectively,each with minimum 1-1/4"embedment. 3. Wood bucks by others,must be anchored property to transfer loads to the structure. Wroh 10,2003 ow m"w.+m wov+ or PmAo koro wm"m mmma apedfxw a . oaivi ane V dW do W Flours b CtWV WOW eotim 850 Series(Architect) Hinged Patio Door-96108 STORM ' Twin City Testing Corporation WDMA HALLMARK PRODUCT PERFORMANCE TEST RESULTS SUMMARY Prepared For: Pella Corporation Test Date: 2/6/2004 Product Tested: 96108 Clad Architect Series/Classic Outswing Hinged Door(DSCOF) Aluminum Clad Wood Frame Glazing Code: 5153 5/8"IG glazed with two of 3mm tempered glass sheets. Nail Fin Installation Test Methods: ANSI/AAMA/NWWDA 101/.S.2-97 HGD-LC25 96 X 108 inch Air Infiltration/Exfiltration per ASTM E 283 Water Penetration per ASTM E 331 and E 547 Structural Performance per ASTM E 330 Forced Entry Resistance per ASTM F 588 Summary: TEST RESULTS ALLOWED Air infiltration 1.57 psf 0.1 cfm/ft : PASS 0.3 cfm/ft Water penetration @ 3.76 psf No Leakage: PASS No Leakage @ 3.76 psf Deflection Test Performance @+25.1 psf 0.795" Reporting Only Deflection Test Performance @ -25.1 psf 0.828" Reporting Only Structural Performance +37.6 psf 0.020"-PASS 0.412" Structural Performance -37.6 2sf 0.021" -PASS 0.412" For complete details concerning these tests a copy of the full test report#384-0055.1 is available upon request from Pella Corporation. The test results contained in this summary pertain only to the samples submitted for testing and not necessarily to all similar products. This summary does not constitute certification of this product,which may only be granted by the Validator. F:\WPDATA\AUT02004\384XXX\384-0055.1 SUM bsc 3922 DELAWARE AVENUE- DES MOINES, IOWA 50313- (515)266-5101 • FAX (515) 262-1910 An Affirmative Action =_ Equal Opportunity Employer Page-32 TEXAS DEPARTMENT OF INSURANCE > 0 Engineering Services/MC 103-3A 333 Guadalupe Street P.O. Box 149104 Austin,Texas 78714-9104 a Phone No. (512)322-2212 Fax No. (512)463-6693 Q t PRODUCT EVALUATION Effective June 1, 2006 c DR-203 `a 0 The following product has been evaluated for compliance with the wind loads specified in the International Residential Code (IRC)and the International Building Code(IBC). This product shall be subject to reevaluation 3 years after the effective date. This product evaluation is not an endorsement of this product or a recommendation that this product be used. The Texas Department of Insurance has not authorized the use of any information contained in the product evaluation for advertising, or other commercial or promotional purpose. This product evaluation is intended for use by those individuals who are following the design wind load criteria in Chapter 3 of the IRC and Section 1609 of the IBC. The design loads determined for the building or structure shall not exceed the design load rating specified for the products shown in the limitations section of this product evaluation. This product evaluation does not relieve a Texas licensed engineer of his responsibilities as outlined in the Texas Insurance Code, the Texas Administrative Code, and the Texas Engineering Practice Act. Architect Series Advanced Performance Classic Clad Wood French Outswing Hinged Door, Non- impact Resistant, manufactured by Pella Corporation 102 Main Street Pella, Iowa 50219 Telephone: (641) 621-1000 will be acceptable in designated catastrophe areas along the Texas Gulf Coast when installed in accordance with the manufacturers installation instructions and this product evaluation. PRODUCT DESCRIPTION The aluminum clad wood French outswing hinged doors evaluated in this report are non-impact resistant. This product evaluation report is for aluminum clad wood French outswing hinged doors based on the following tested constructions: General Descri tion: System Description Label Rating 1 Architect Series Advanced Performance HGD-R70 75 x 96 Aluminum Clad Wood French Outswing Hinged Door 2 Architect Series Advanced Performance HGD-R70 75 x 82 Aluminum Clad Wood French Outswing Hinged Door Com onent Dimensions: System Overall Size Panel Sizes Daylight Opening Sizes 1 75Yg " x95Y" Active: 353g " x93Y" 2518 " x78131," Inactive: 37 '/2" x 93/" 2 75/" x81 /" Active: 35%" x79%" 25%" x641316" Inactive: 37/" x 79%" 1 of 4 3-85 June 1, 2006 DR-203 (cont.) PRODUCT DESCRIPTION (Continued) Glazing Descri tion: System Glass Construction' Glazing Method Z 1 IG-1 GM-1 2 IG-1 GM-1 Note: 'See the"Glass Description Key"for the glass construction. Z See the"Glazing Method Key"for the glazing method description. Glass Description Key: IG-1: Sealed insulating glass units. The sealed insulating glass units are comprised of two double strength (/") fully tempered glass lites separated by a desiccant-filled aluminum spacer system. Glazing Method Key: GM-1: The insulating glass units are set from the interior against a bed of silicone sealant backbedding. Along the interior, the insulating glass units are secured in place with wood glazing stops. Frame Construction: The frame members consist of wood members. At the head, the frame corners are rabbet-cut and secured with two(2) screws. At the sill, the frame corners are square-cut and secured with three (3) screws. The sill is manufactured from extruded aluminum. The inner sill is manufactured from finger-jointed pine. Cladding: Extruded aluminum cladding corners are miter cut, screwed, and caulked. The aluminum cladding is snap-fit onto the wood frame members. Operable / Fixed Panel Construction: The panel member consists of wood sections. The panel corners are square cut with a tenon design and are secured with three (3) screws per corner at the bottom stile/rail joint and with two (2) screws at the top stile/rail joint. Cladding: Roll formed aluminum cladding is snap-fit over the wood panel members. Hardware: Hinges: • Each door panel for doors of 6-10" height or less has three hinges. Each door panel for doors taller than 6-10" has four hinges. The hinges are secured to the door frame jambs with three (3) No. 12 x 1 /" screws and one (1) No. 12 x 3" screw through the jamb and into the wall framing. The hinges are secured to the door panels with four (4) No. 12 x 2/" screws. 3-point lock assembly with handle: • Located on the active panel. The assembly is secured to the door panel with No. 6 x 1 Y, " screws. Eleven (11) are required on the 6'-8" and 6-10" doors and fourteen (14) are required on the 8'-0" doors. Flush bolt assembly: • Located at the top and bottom of the inactive panel. The assembly is attached with two (2) screws. One screw, a No. 6 x 34 ", goes through the long edge of the panel. The second screw, a No. 6 x 1 % ", goes through either the top or bottom of the panel (depending on which flush bolt). Texas Department of Insurance 2 of 4 3-86 June 1, 2006 DR-203 (cont.) PRODUCT DESCRIPTION (Continued) Decorative non-operable handle: Located on the inactive panel. Hardware(continued): Strike plate: Located on the inactive panel. The strike plate is secured with two(2) No. 8 x 34 " screws. 3-point lock and flush bolt strikes: • One located on the head and one located on the sill. The head strike plate is secured with four (4) No. 10 x 2 '/," screws. The sill strike plate is secured with two (2) No. 10 x 2/ " screws. Reinforcing straps: 1 'g " wide 18 gauge stainless steel straps. Located at the top and bottom of each door panel. The straps are attached to the door with 10 to 14 No. 6 x 1" stainless steel screws. Product Identification: A certification program label (WDMA) will be affixed to the assembly. The certification program label includes the manufacturer's name; Product Description: Architect Series Hinged Door,Vent; performance characteristics; and approved inspection agency to indicate compliance with AAMA/NWWDA 101/I.S.2. LIMITATIONS Desi n pressures (DP): System_ Overall Width in. Overall Height in. Design Pressure s 1 75 '/ 95/ ± 70 Y8 2 75 81 / ±70 Y8 Impact Resistance: These door assemblies do not satisfy the Texas Department of Insurance's criteria for protection from windborne debris. These door assemblies will need to be protected with an impact protective system when installed in areas where windborne debris protection is required. Acceptance of Smaller Assemblies: Door assemblies with dimensions equal to or smaller than those specified above are acceptable within the limitations specified in this report. INSTALLATION INSTRUCTIONS General: The door assembly shall be prepared and installed in accordance with the manufacturer's recommended installation instructions. Detailed installation instructions and drawings are available from the manufacturer. Installation: The wall framing shall be minimum Southern Yellow Pine lumber. The door is secured to the wall framing using the roll-formed aluminum nailing flange with roofing nails (minimum / " smooth shank diameter). The nailing flange is located along the head and side jambs. The fasteners shall be installed through pre-punched holes spaced 5 to 7 inches on center along the head and side jambs of the door frame. The sill is secured to the floor framing with minimum No. 8 x 3" screws. One (1) screw is located at each sill corner. The sill shall be secured to the floor with sealant. Texas Department of Insurance 3 of 4 3-87 June 1, 2006 DR-203 (cont.) INSTALLATION INSTRUCTIONS (Continued) All fasteners shall be long enough to penetrate a minimum of 1 y" into the framing members. If the sill is set on concrete, then the sill shall be anchored to the concrete with minimum 316" diameter concrete anchors. The spacing of the fasteners shall be the same as for wood floor framing. The concrete anchors shall be long enough to penetrate a minimum of 1 l4" into the concrete. Note: The manufacturer's installation instructions shall be available on the job site during installation. All fasteners shall be corrosion resistant as specified in the International Residential Code (IRC) the International Building Code (IBC), and the Texas Revisions. 4of4 Texas Department of Insurance 3-88 cuua q t tl]] t OOOL-tZ9_1*9 roes-scc-�K'%'U coe.-sct-lK�3Howd 7NOL11*-J1_41R13D LOKT V'S 3WVD HNJY"i 61ZOS VI Y1_13d Ko , ~nuio " O 1332115 NIVM ZOl Yd 'ONLLl11SNOO V NOU"OdUO.O Yll3d ONW33NMN3 8333YHOS M 'MS31 iGS M311HOMVH IJWMO Hpssvu off 21000 ONIMSOO lOVdril-NON OOOM OY10 CIf1N1mny N C iD V� 3 \M m O aWO R cc ) 2-N W a N_ a QZ�W a �7K � JA S)? 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Q In N O $O No Q O O v 0 m Q I N a oV O O O m aI�_'I =m ~ �_ 0 0 0 0 0 o o o a 8— m T v $ N O o �� CV O O O Z V] ^Z O Q Z O N cr O T O 1 o > rn ui 0 v a m =_ N-tj g Q 0 vni Q O _ a N Z F- N H 1 Q O 3-82 O N O O O ca 0 a BCIS Home Log In Hot Tapia Submit Surcharge Stats P Facts Publications FBC Staff SCIS Site Map Links Search p 0- CL Product Approval N O boo USER,Pubhc Use Q a Pr Approval Many>Prgdv;t gr Applsot,pn S{ar4h>Ayyl,gapgn 611t>AppYcatwn DetaY FL # FL2644-R1 Application Type Revision Code Version 2004 Application Status Approved Comments Archived Product Manufacturer Pella Corporation Address/Phone/Email 102 Main St. Pella, IA 50219 (641) 621-1000 jahayden@pella.com Authorized Signature Joseph Hayden jahayden@pella.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Referenced Standard and Year Standard Year (of Standard) 101/I.S.2-97 1997 101/I.S.2/NAFS-02 2002 ASTM E1300-02 2002 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 08/05/2005 Date Validated 08/05/2005 Date Pending FBC Approval 08/12/2005 Date Approved 08/24/2005 3-83 2644.1Architect Series/ClassicwboW ; :41ti#^H-664.0 Hinged floor Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: PTID_2644_R1_I_CCL for Pella 8-3-05.pdf Impact Resistant: Verified By: Design Pressure: +/- Other: (41 1-H-664.0) HGD-R15 (96 x 108in). Configurations of glass conform to ASTM E 1300-02. 2644.2 Architect Series/Classic Wood 411-H-664.01 Hinged Door Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: (411-H-664.01) HGD-R15 (2438mm x 2743mm. Configurations of glass conform to ASTM E 1300-02. 2644.3 Clad Architect Series/Classic 411-H-665.0 Hinged Glass Door Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: (411-H-665.0) HGD-C40 (96 x 108in). Configurations of glass conform to ASTM E1300-02. 2644.4 Clad Architect Series/Classic 411-H-665.01 Hinged Glass Door Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By.- Impact y:Impact Resistant: Design Pressure: +/- Other: (411-H-665.01)HGD-C40 (2438mm x 2743mm). Configurations of glass conform to ASTM E1300-02. 2644.5 1 Clad Architect Series/Classic 411-H-666.0 Hinged Glass Door Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: (41 1-H-666.0) HGD-LC25 (96 x 108in). Configurations of glass conform to ASTM E1300-02. 2644.6 Clad Architect Series/Classic 411-H-666.01 Hinged Glass Door Limits of Use(See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: (411-H-666.01) HGD-LC25 (2438mm x 2742mm). Configurations of glass conform to ASTM E1300-02. 3-84 y v..;,.rrtifiratr of (orrupttury CITY OF OMMI C &Qds- Oa& DpVartmpnt of Suilding lutivrainn This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the carious ordinances regulating building construction or use. For the following. S Us,Classification Single Fam*l� Bldg.Permit No._ 6325 < i Group Type Construction Frame Fire Di5triet..Atlantic Beach _ Owner of Building Reyhani, Inc. —Address'112 3rd Street Nept Building Address 1853 Selva Grand _ Selva Tierra John It?. Widdows �:_` _ BuildingOffieial Date: y 3, 1984 > POST IN A CONSPICUOUS PLACE CITY OF ATLANTIC HACH, FLORIDA TO THE CHIEF ELECTRICAL INSPECTOR: DATE: I ia-0'RTANT NOTICE: - IN CO":S!DEPAT ION OF PERMIT GIVE!4 FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HERESY ,AGREE TO PERFORM SAID V.'ORK IN r.CCLRDANNCE WITH THE ATTACHED PLANS A!:D SPECIFICATIONS, '��:i;CH ",,RE P% F=.RT Nc EOF. AND IN ACCORDANCE IYITH THE ELECTRICAL REGULATIONS. CODES AND CITY OF ATLANTIC BEACH O?DWANCES. E - 133 ;-LEC1 R! L F'.=,!: !.`..'.S T ER ELECTRIMAN SIGNATURE .YJIiRh'E („A 6iy A-=S.aE:,S: D °OX El_D G SITE_ -- EET%%'EEN: -- FL)=-LIC ( 1 ItrDUS. OLD { ) REM{ ) TEMP.{ ) SIC-%'S { ) - --SO. FT. — --- R r-AIR { ) FEE C� JCTC i SiZ= 20 0--- "'.PS I _V` CO:PEr� ( ) ;11 L►.',. Y�) --- - --- -_`ER �� V -:.:.5 ( _PH ':II/OVRO T S'EU aACEI'.'AY .36 . 00 :�r ^•• i PH W! VOLT RAC'c��AY `' I EXISTSERV_S - ' -- - -- --- G - =n� SIZE No. -- SIZE � :•v0. —_ SIZE FES --------- - ..__.R -- --- - �-O•':`CE=.LED 1 OPEN j TOT AL I I _ 1 ;ECEPlTACLES CO`:C=_.ALED i OPEN TOTAL '-- S i.i3 CH_ES ,. tet: ^�. .�.►1 _ - __ _ F=u-7, ASR - - -.?. RATING �- I-.?. RATI%G i + j C�•IC 'd' __-'.?. "CTOP. OT;;ER '.1OTOr^.S .^!..=S ;CEIL YEAT:) ';, r;=_AT 1 - �� RS - -- .CLT t cr_S j !�O_ ' i ti.°. ;rOLTAG E 7t�i --- ---- vTG - _ ) �a-°0 Alt CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT INS _ WATER CUT—IN AT APPLICATION IS HEREBY MADE FOR — i THE FOLLOWING ADDRESS FOR_____ UNITS CUT—IN CHARGE OF' � (1 STREET NO. /. ,_•_'_ SUBDIVISI LOT-,--- _ _BLOCK -- ON �_ — ACCOUNT NUMBER_c — B ILDING DEPARTMENT DATE T-ZETER NO ._ --------DATE INSTALLED a CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS ACCOUNT NO. DATE LOCATION BLOCK NO. LOT N0. � 4 -SUBDIVISION---T Otti�ER TYPE OF BUILDING BUILDING DEPART2.IENT DATE INSPECTED BY Date-----------_----------------------19 .._.. Permit #........................Fee$-•----------- CITY OF ATLANTIC BEACH _ Valuation;. ......,j.--•........................_...._. FLORIDA l ' -� House #._.._..._._........._.._. ._...._..... ...................... APPLICATION FOR BUILDING PERM T Application Is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested thak a list of sub-contractors be submitted to this office so that licenses can be verified. Data.......................�- ------------•-------.�..7.......-, 19..:8. Owner. u G Address F E l2......1 ..... ., Telephone �..2 Architect_t..A. ?.n..y...._..{ /;.,. 1•-•:5••.........................................Address.-.,,9y.5s..1..... `-•--....Telephone No.. -,?�_•��3�5� 1fl✓A� Contractor Builder... �........ .....4,. ....-Address...... ................Telephone -ie.;-1-c-- Lot No... ..............................Block No...��r.�..�1y.........Sub Division--; `fT .................c.t.G. ...... --..--------_-.- .f..t...19 .Y1.{..£.�`----•-•----.-.-Street.....►? �S,G-fc..SideBetween..........-r.�._�.�°...�.1� -•---and......-•--•--•-••---•---•......................... .Stn. Valuation ;...6.�..a-o.a..........For what purpose will building be used........................................Type of construction...................................... Dimensions of Building----------------------------------------Dimensions of Lot.........:......-.......................................Size of Footings-------------------------------------- Size of Piers------------------------------------Size of Sills----_------•-------..---......Greatest Sill Span in ft...........................Type Roof...................................... How will Building be Heated?................................................................Will Building be on Solid or Filled Ground?......................._----------_.-. Size of Ceiling Joists........................................... Distance on Centers............................................. Greatest Spam--------------------------------------__. M Size of Floor Joists.............................................. Distance on Centers........... ................................. Greatest Span............................................ w Size of Rafters............................... ..................... Distance on Centers.......................................... Greatest Span............................................ w This rectangle is to represent the lot. APPROVED Locate the building or buildings in the CpjY G1 All.".;+IK ht BEACH lot-lines oandn. Gexisting buildings.ive distance in feet from PUILDING Grp CE REAR LOT LINE Two copies of plans and specifications shall T E 2 n 19893 be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. S. When steel is in place and ready to pour columns and/or 8. When steel is in place and ready to pour beam. 4. When framing is completed. 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. 7. Electrical inspection by City of Jacksonville. 0° S. Final inspection. Note: In case of any refection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby acres to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builder_... .....A,F-� ;-_,s...�A..A L',X,fL,�.-�.,... Address..++f� .. ,f���1«-..----- . t/a��,n�•,�• �c,�i Signature of Own ..... ..... Y_ .... �y. t%. ...Iy-_-•..•- 'LN i � Address �} ./;yY d R1!]L1l1\G PER1•I1T L� hUILU1;:C: PLIC-11Tl'UF.?;SIiF:ET F1.ECIR]CAL PFRMIT �r ' �4 HE.PTED SQUARE FOOTAGE — I93�. @ $ per s. f. = $ - O___. GARAGE (PRIVATE/SHED), �1�/ @ $ /a 6R,5"" per s. f. $� Cr.kl'ORT °20 $ @ $ p �� per s. f. $ ._ POTtCHES @ $ per s. f. DECK --_ @ $ per s.TOTAL-VALUATION DATA. . . . . . . . . . . . . PERMIT FEES TAL VA ATI01: DATE 1st $,,,3o 00 a� R£' INDER VALUATION @ $ OLi) per thousand 03 5� TOTAL BUILDING PER?•IIT $ ! - PLUS 1/2 T'HE BUILDING PERMIT FOR PLAN. FILIN FEE $ - TOTAL FEED $��w PLt,:lBING PERMIT FEE $ WATER METER SIZE & FEE $ SEI•:ER CONNECTION: SQUARE FOOTAGE FEE $ :TATER CONNECTION: FIXTURE UNITS @ $10.00 PER LMIT $ TOTAL BP & PC FEES DUE . . . ... . . . . .$ '76 TOTAL NATER METER CHARGE . . . . . . . .$ _ d0 APPROVE-0 TOTAL WATER CONNECTION CHARGE. . . . CITY 01c' �,_. .';0C BEACH PUILDING GFF;Ca TOTAL SEWER CONMECTION C1iARGE. . . .�C� 2 log GFUlUiD TOTAL DUE. . . . . . . . - . . . . . . . . DEPARTMENT OF BUILDING r� [ CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. c J PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date December 2919 83 276#75 T P7697401) 73,642. 21 642. 21 276. 75 4069 I A I/U3/t� Valuation$ Fee$ uJic5 9UOCAC This permit not valid until above fee has been paid to City Treasurer,and is 4069 I A 1/03/6 subject to revocation for violation of applicable provisions of law. IOU This is to certify that REY&ANI CONSTRUCTION do, INC SINGLE FAMILY HONE AS PER PLAN6 has permission to build Classification RESIDENTIAL Zone PUD Owned by REYHANI CONTRUCTION Lot 14 Block s/Deva Tierra House No. 1853 SELVA GIANDE DRIVE According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE �. O Building material, rubbish and debris -zi from this work must not be placed in public space, and must be cleared = up and hauled away by either con- trac owner. .� j Building OfKcial. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER APPROVED ):t L'AT(C BEACH ?+_01 4G OFFICE Lilt- PLUMBING WORY.SHEET '"ouz� J SINKS SHOWERS _� _ DISHWASHERS `2- CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE / WATER HEATERS 1 _ DISPOSALS LAVATORY URINALS _ OTHER TOTAL FIXTURE COUNT / Oq @ 3 FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF � LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOLINTAIN (11 UNITI URINAL, ?•.'ALL LIP (4 UNITS) FLOOR DRAIN Cl UNIT) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) (4U:vITS) SHOWER STALL, DOI-IESTIC _ BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) _ LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) 2 DISHWASHER C2 UNITS) _ KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10..,00 EACH � C: \ CD±/ \ 2 \ g o \ @f § 3 \ E § . /o C k \ \ k k 6 \ \f \ 6 (D UA LOA \ f = c7o ° 3 � 00 2 Lu2 \ \ \ nf £ » \£ U \ E � -cj .cc 9) �_\ @ / �� ?-1 *5 2 x 0 ) \ � p ff / \ LIJ s IS f / § �7 OL Lu LIJ £ 79 £ c- \ / tom �. ofCD a) J ƒ$ t 5 \ . 0 ± � 6 X222 ) m g m g E g 0 / £ £ / \ // \ 2 'a \ f § o % @ � / § j % & E § f § D o » > om F — z x . ; o c \ J LU / U \ CL 5 Q / ƒ / E _ C [j ca CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 3 OWNER'S NAME LOCATION MASTER PLUMBER STATE/COUNTY OCCUPATIONAL LICENSE NO. CERTIFICATE NO. CONTRACTOR TYPE OF BUILDING SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS _ WASHING MACHINE FLOOR DRAINS _OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. V DEPARTMENT OF BUILDING 7 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 6 3 L r PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Dec. 29 19 S^5 Valuation$ PLU14BING Fee$ 52 _On 52.00 T This permit not valid until above fee has been paid to City Treasurer,and is 52*UOCK T subject to revocation for violation of applicable provisions of law. 6247 1A 1/30/8 This is to certify that FAIR PLUMBING 6327 *00CA 6247 in 1 /30/ has permission to INSTALL PLYMBING AS PER PLANS Classification RESIDENTIAL Zone PUD Owned by REYHANI CONSTRUCTION CO Lot 14 Block S/D Selva Tierra House No. 1951 SELVA GRANDE DRIVE According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE �10 4 1101 O Building material, rubbish and debris i from this work must not be placed in public space, and must be cleared up and hauled away by either con- t owner. j Building Official. i FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER BUILDING AND ZONING INSFE"CTION DIVISION CITY OF Es.'1LANTIC BEACH, kLORIDA APPLICATION FOR MECHANICAL PIER SIT r- 1HnRTANT-l pplioant to cornplafa all items in soctiorts I, II, III, and IV. ( op c;do of -_13S3. SC L-v A GkAA.,,b _6et.reen St. St. LO'ATI0N (Nort-Is, Soutk, Ear}, Wait) (Addreu) (Intersacfiwq Streah) w RUILD{H5 Lot No-161oc4 No_ S�6 div�s:on (Stat• portion of lot if !.is than fuR bt-fitted b;al description per drod in dvpllcdoo if ne;,ru�.ary) If. TYPE OF FPOPOSED 1.E-C.'W-MC AL WOPLK - All epplicanh cornF4fe Park A - D A. USE OF JUILDING B. OWNE3fHIP RESIDENTIAL Is. Private (individual, ,cep rtt;om, nor profit imt;h tion, e?C.) I. Ona family I1. ❑ Ufility Ib, (] Publ-K (Fedarel, State or kcal povars�) 2. ❑ T.-o cr more {amity- 12. ❑ School, rDrery, Enter number of rooms other "cot;onal C. KATUKE OF WORK 3. ❑ Trans;enf, Wel, motsl, 17. Nrw rsdild;ng rominq koust - 13. C3 Stcn, ntarcartf to Enfor number of un:h Otf.er It. ❑ Existing 6v;ld;sq. 4. ❑ Oikar res;dant al_ 14. ❑ OTHER-SPECIFY - It. Q Replacerncnt of aust;nq sysfs+rw 20. Na,. installation (No.>ysferss r4rvorsfy iws%ud) NOF;-) ESID�hTII,L 21. ❑ Exf";;or, or add-on to eiistinq rr:tam. 5. ❑ A.musement, ncreaf;onal `_ 22. ❑ O:fscr-Spec;fy b. ❑ CSsurcn, otf er ral;q;ous 7, Q Indus!ritl �G t. ❑ Garage, u,rr;co stet or, �l r� �L V /T�s E TYIr O t a U I lDf tNr 4. ❑ Hosp;tal, institut;onal 11 �•� 3S- (INumb,tr of storiez_� 10. CD Office. 62nk, profossio.,al -_ 37. ❑ Wcvd fneme D. Rl_:.HAMCA1 EQUIPMENT TO iF INSTALLED 38- ❑ taasonry and ..rod I I (Provide complete 1:0 of conpoa:r.ts o!s twcF of this form) 39. ❑ P-einforcvd ccncrete 23)9� %rnace: ❑ Space ❑ Rrc►ssed Central ❑ Ht+w 40- Q $t vctural steel 24.�`Aircondi!ioning: ❑ rooem %.-I tl �( 41, ❑ (>fk er 2S. Duct System: ).;aieral kNL"i1 �T}iic} ss ►.tasimk,m ut»city.. ��y e c-f,m- -- 26. ❑ Refrigerat;on -- THIS SPACE FOR O PFICE USE ONLY 21. [:1 Cooling toter: Ceptcity _ __- g,p�- 28. ❑ F;re sprinF!ars: Nvm6er of heads 29. ❑ Elevator ❑ ManGft ❑ Escalstor- _-(num6er) I 30. ❑ Gtsotmc pumps (nunE»r) 31. ❑ Tars_ _(nurnrtrj Rom-arks 32- ❑ lfv confainart_ (nu-ober) 33. ❑ Unfired ;r"Uro vautl Panni} Approved by Dah 34. ❑ Bodom Perm;t F-ea _ 35. ❑ Ctf+er - Spr.cify _ I 1111, GENERAL ',N'FORM,CAMON I A. Type of i,aatinq fool: B. 15 OTHER CONSTRUCTION BEING DONE ON _ 42,�d-Eaa{tric THIS BUILDING OR SITF7- j v 43. Q Gas - ❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 4-4. ❑ Oil r'ERMIT f _ 4S. ❑ Othsr - Spo:ify - fY. IDENTIHCATION -- To be ccrnplai-Ed by aN tsppficant; In cons;de,at;on of rperm;t yivel fof do 111 rr g 4o cA as dt;cr;6ed in t6:e obrne stefamant `vt l+areby agr" to perform said . oord rf in accance wit!t Ike ttt,sc"d plsns and spocifi.etions wNic5 era a part kart-:A and in accordance w;tk the City of JacFsonv;lle ord;nances and standards of ;:,od przcf;u listtd tkarvirs. ;t-6 cf tIs ten;ul Signature of (.,c^traci.:r (Print) ` f -- Contractor Agent ---- _,� NA-3 of - O..Tar (Friel) A.ddrtss - - I ----- - $• netv-a Cf Grner -`t-- - q Signature of or Aimor;:ad Agent Arch;tact or Erq;nasr DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT No._ 6326 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Dec. 29 83 Date 19 Valuation$ MECHANICALFee$ 42,00 42900 T r This permit not valid until above fee has been paid to City Treasurer,and is 90OCKT �G�fl�/� subject to revocation for violation of applicable provisions of law. 7225 ' A 42 OCEAN STATE HEATING This is to certify that 1010 has permission toW INSTALL HEATING & AIRCONDITIONING AS PER PLANS Classification RESIDENTIAL Zone PUD Owned by REYMI CONSTRUCTION 14 e v Lot Block S/D House No. 1853 SELVA GRA14DE DRIVE; According to approved plans which are part of this permit = NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4 11110 . i O Building material, rubbish and debris i from this work must not be placed in public space, and must be cleared up and hauled away by either con- owner. / Building Official. FOR OFFICE PERMIT DATE fJ CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF 4w " � Fead - 9&ud4 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 INSPECTION LOG BUILDING PERMIT# ELECTRICAL PERMIT# PLUMBING PERMIT# MECHANICAL PERMIT# JOB ADDRESS CONTRACTOR OWNER Called In Inspected JEA Approved Temp-Pole Slab _ Footing Foundation Framing r Plumbing(R) / Electrical(R) Mechanical Fire Place ✓ / Top Out Electrical Final FINAL INSPECTION Comments : CITY OF Office of Building Official //yam REQUEST FOR INSPECTION Date v ' Permit No. Time ( ��� M — District No. 13 Received ob Address Locality Owner's Contractor Name BUILDING CONCRETE J ELECTRICAL PLUMBING MECHANICAL �f Rough wiring ❑ Rough ❑ Air.Cond.& ❑ Framing 11 Footing Top Out ❑ Heating Re Roofing ❑ Slab O Temp Pole E, Top Place ❑ Lintel ❑ Pre Fab FOR INSPECTION Mon. Tues. yye, Thurs. Friday D P.M. r�i A.M. P.M. Inspection Made jf Final inspection❑ Inspector �U U . C1`C C v�C r L� a—� A�Certificate of Occupancy Date CITY OF /� n � AA� 4&4 BeacA-"t&Z�� Office of Building Official REQUEST FOR INSPECTION Permit No. Date Time A.M. District No.Received P.M. /y�3 ` Locality Job Address owner's Contractor Name MECHANICAL BUILDING CONCRETE ELECTRICA P WING Air.Cond.& ❑ Rough Wiring ❑ Rough Framing G Footing Heating Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Fire Place ❑ Lintel J Pre Fab READY FOR INSPECTION A.M. Mon. /� Wed. Thurs. Friday�--P.M. `--� � A.M. P.M. Inspection Made Final Inspection E]Inspector Certificate of occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date Permit No. 5h ZA/ Time A.M. I District No. Received P.M. , Job dress Locality Owner's Contractor Name BUILDING CONCRETE ELECTRICAL U BING MECHANICAL El Air.Cond.& ❑ Framing El Footing ❑ Rough Wiring El °Ug ❑ Heating Re Roofing El Slab ❑ Temp Pole Top Out Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTLON A.M. Mon. Tues. Wed.C� urs. Friday P.M. y A.M. Inspection Made )� P.M. Y• Final Inspection Inspector Certificate of Occupancy' Date � 1 i CITY OF lt�°custic �eac� - ��vuda 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 May 7 , 1984 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville, Florida 32202 Dear Sirs ; The following final inspections have been made and are satisfactory ; Permit #3670 - 1913 Selva Marina Drive Permit issued to Donaldson Electric Company Permit #4900 - 1853 Selva Grande Drive Permit issued to Brooks & Limbaugh Electric Company Sincerely , r go M Widdows ilding Inspe tion Supervisor JMW:ra PSR-3844 1(� ?7 -! DEPARTMENT OF BUILDING -T CITY OF ATLANTIC BEACH - PERMIT INFORMATION ------ -- -- LOCATION INFORMATION --- -ermit Number : 14273 'address : 1853 SELVA GRANDE DRIVE Permit Type:MECHANICAL ATLANTIC BEACH , FLORIDA 32233 "lass of Work:ALTERATION ~------ - LEGAL DESCRIPTION -------- Constr . Type :WOOD FRAME Block: Lot : Twp: Proposed Use: SINGLE FAMILY Section: 0 Subd: Rna*. Dwellings : " 0 Subdivision : Est . Value: 0 . 00 Improv . Cast : 0 . 00 Total Fees : 41 .00 Amount Paid: 41 . 00 ,WNER INFORMATION ----- -- APPLICATION FEES --- � ame: HARRIS PERMIT 41 . 00 Addr- 1853 SELVA GRANDE DRIVE ATLANTIC BEACH , FLORIDA 322: Phone : ' 9041725-4402 ._- CONTRACTOR INFORMATI Mame: AFLINGTON AIF. CONDITIONING Addr 1930 UNIVERSITY BOULEVARD N . JACKSONVILLE . FL 32211 i:lc: RM0015699 Exp: 1 ,rj,ro 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 REVOC,80014 FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. gpceint: 0069898 CHECKS ATLANTIC BEACH BUILDING DEPARTMENT 00]00083221000 By: t�\ "�--^ L 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:IC� OF Intersecting Streets: Between yL6� l 7" And CG e•t fa 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 Gty of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contraefor (Prinf) Master -3 Name of .S C�OS/ 91 ,-7 Property Owner �2 Signature of Owner / , Signature of or Authorized Agent �/�/ Architect or Engineer III. GENERAL INFORM66N A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEINfr DONE ON uric THIS BUILDING OR SITE? / Q ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MICHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) P-URResidential or 11Commercial Heat ❑ Space ❑ Recessed l7/Central ❑ Floor ❑� New Building [[ Air Conditioning: ❑ Room Q"'Cenfrel lam' Exlsting Building ❑ Duct System: Material Th;ckn*s L;--fteplacement of existing system Maximum capacity c.f.m. ❑ New installation(No system previously Installed) C1 Refrigeration ElExtension or add-on to existing system 13 Other — Specify ❑ Cooling fewer: Capacity g.p.ns. ❑ Fin sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Ree.iwd) ❑ Tank- (number) Remarks ❑ LPG confeinen (number) ❑ unfired pressure vessel ❑ toilers Permit Approved by Date .- b Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT &ciy pp lng Number Unita Description Model Number Manufacturer C(Tona) A rwy ti HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approving Number Unite Description Yodel Number Manufacturer (BTU) .A903.LT •�� C� 000 L TANKS How Many Noerinal Capacity Type liquid Name of Serial Approving and Dimensions Contained Manufacturer No. Agency CITY OF ATLANTIC BEACH I DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FI 32233 - Tel. (904) 247-5826 ROOFING PERMIT -P=;_RMM iFOWAnON"" '` :., 7777WCAT1ON'T F0RMATi0N` Permif'Numb�er: 2367`--,:' ` AddWress:'�'185:�'� SELVA'GRAtvDE DRt ' I Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 i Class of'JVork: NEVA` Township: 0 Ranee: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: I Improv. Cost: MT,a �= ,7MUAAZ9-7—OWNER INFORMATTOI Date Issued: 3/18/2002 Name. HARRIS" "` "` Total Fees: 45.00 Address: 10 10TH ST#J-60 Amount Paid: 45.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/1812002 Phone: (9G4)241-4131 Wdrk L3esc _RE'-ROOF ._`,C€3NTRACT0R( Iir}FING"CONTPAN' � �= r -' "" rt csris e I NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW, t Type: Dper: CHEkYLE DC Drawer: 1 Date: 3/18/02 81 Receipt no: 43082 643082 ,• 14 PERMITS-BUILDING 1 797288 5.00 Trans number: 21823 $45.80 L� CK CHECKS _ _ . _ _ iTY ATLANTIC BEACH Time: 15:44:57 Trate date: 3/18/82 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION - c , SOB LOCATION: .aQWNER OF PROPERTY:_ �C`x/� ­4 I TELEPHONE.: CONTRACTOR: ff C "� A I.r► S J�' i CONTRACTOR'S ADDRESS: SCJ? j/, S 7��I. /f ZIP: STATE LICENSE NUMBER: CCL C TELEPHONE: yCy— L L& S ) DESCRIBE WORK TO BE PERFORMED: VALUATION OF PROPOSED CONSTRUCTION 4 GJ/ Io elfg MATERIALS TO BE USED: iGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: i SWORN TO AND SUBSCRIBED BEFORE ME THIS /yDAY OF /� G�640tary Publielkoride POSEY H. ENKINS K zMSion ##CC746512 ,, AS TO OWNER: (� 6/2012002 NOTARY PUBO SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OFL'�a— AS TO CONTRACTOR C ) NOTARY PUBLIC V P��r� Liability Insurance Supplied `• ' Brenda K Davis * . MY COMWSSION#I DD064453 EXPIRES Workers Compensation Insurance Supplied ' Febru t3 P PP ;w soNueo �' 2006 TNRU TROY FAIN M1SUi[AKE INC Contractor License Information Supplied - Occupational License Information Supplied 5 MIN. RETURN PHONEBook 14404 Page 341 �oc :2 opt o75a47 Page: 13411 Filed 8 Recorded 03/18/2002 09:08:51 AM JIM FULLER CLERK CIRCUIT COURT DUVN COUNTY TRUST FIND S 1..00 NOTICE OF COMMENCEMENT RECatDING ! 5.00 TO VVHOPjI IT MAY CONCERN: The undersigned 'Hereby informs all cccncemed that improvements will be made to certain real property, and in accordance 4vith Secton 713.13 of the Florida Statutes, the fallowi information is stated in this NGTICE OF COMNIENCENIENT. ng XQescription of Property S, TIM General 0escript on of Improvements x Own er Address. ovve, �z Owners interest in site of improvements: Fee Simple Title Halder(if other than owner) -Name Address If Contractor Address ,� ,. / �� ��' �'✓ eL_ f Surety (if any)— /ll Address L\mount of Eand Name of person within the State of Florida designated by owner upon wham-notices or other documents may be served: Name �Yf - Address In addition to himself, owner designates the following person to receive a copy of the Leinors Nodcz as provided in Section 713.13(1)(F). Fierida Statutes. (Fill i6 at Owner's option). Name Address: State of Florida ICVn 12 � " commission I..o 120 Owner �0 Swam to and subsc rtbed before me this l=day of GZ �. MAP SHOWING SURVEY OF LOT 14,SELVA TIERRA, AS RECORDED IN PLAT BOOK 38, PAGES 28 AND 28A OF THE CURRENT PUBLIC RECORDS Z)F DUVAL COUNTY, FLORIDA. FOR : REYN AN I I NCOKPORATED SES V 1 GRAN SO Raw E D RIVE ?SQo�1$4j•q=a7.31Rr N2�'S�04f~ Cr I x.91• H•17.07 R=25.00 7.5' zs• .,' W - � ►tar 1, ZZ W ar 41 z2'39� I` 32.2• /QI SON/FL—e CtIY.(Qu) WOOD wact' o• G 4 zA4f o 24.3•Cabe 1p•2 _ O I /0' h h %9 Q � 1 O �O •� ' � '• ONE STO,Qy ML1SGi1/•?l� �I .4No FXAME �✓ •� I N yo. /8s3 /o,4,. p ` H /N/SIdEO AXPOR Eck y /1 (Q.02)SSmli� N fuNKFw'ursvG.�••••t'LEY. N 3 23.4' ?.o' 33.3' o sae/ lJ p W 1 E �1.. Waao 3TC/57 � O Woov frn O Y`' FOUND yIRON "A3F"7EN7,3 F \ \ \ Z A Np SF.WFgINgG �^ F O `��` i¢�y. RS E•UT r`lT/Fs� \UN\,�RoN • TH16 IS A LAND SURVEY \ • NO SUILt-ING KESTF\ICTION LINE BY PLAT • THIS PROPERTY LIES IN FLOOD ZONE "A" WHICH IS IN TNF- 100 YEAR FLOOD AREA • ELEVATIONS ARE BASED ON NATIONAL GEODETIC \\ VERTICAL OA'run ANr> ARE SHOWN THV6 : 09.321 \ Dc� • RECHECKED JANUARY 19's, 1984 TO SHOW FOUNDATION 0� • REC'�/ECKEZO 4,zI01- /9, 19e4 z- S4b�v f wqL .�v�y ,4/vD ro sf/ow .ELEY•o 7-ia•✓s I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant N. A. DURDEN to Section 472.07 Florida Statutes. & ASSOCIATESI �= ' NC LAND �coiarcwco suwvcvoe M�.3G62 rt . SURVEYORS y� a Poet Office Box 50870 S13N.TD `� t ry�I ' `\ 1 S V 830 Beech Boulevard _ � Jacksonville Beach,Florida 32250 SCALE. ---L' 30' THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITK THE STEAL OF THE ABOVE SIGNED. 12,488-/2797 J CITY OF ATLANTIC BEACH s=� } 800 SEMINOLE ROAD �J ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029961 Date 3/28/05 Property Address . . . . . . 1853 SELVA GRANDE DR Tenant nbr, name . . . . . . INSTALL SOFTNER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . 0 Owner Contractor - ------ ------------------ ----------------------- BRINKLEY, LESLIE DAVID GRAY PLUMBING INC . 1853 SELVA GRANDE DR. 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 247-6577 (904) 744-7255 --- ----------- ------- ------------------ ------------------------- -- ------- - Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------- --- --- -- ----- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL i�tier CITY OF ATLANTIC BEACH r PLUMBING PERMIT APPLICATION �r BANK:_ yvUol Check Number : i685 _ �Q Date• Property Address:o 5G Aw �l Mme. �✓ Owner: lte l!'Ie� Telephone #: Contractor: DAV TN PRAY PI IJMRTNG , Ifyi' _ Telephone#: 724-7?1 1 Contractor Address: 8850 Corporate Square Ct . Fax#: 723-5668 Jacksonville E1 32216 In consideration of permit given for doing the work as described in the above statement,we hereby agree to p_rforn 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 other construction is being done on this building or site, New list the building permit number: O Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer /�j Water Heaters *, $©Anu led And va'" Other Fees Permit Issuing Fee: .$35.00 ``" Total Fixtures: / X $7.00 + $35.00 = 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Flu � Phone: (904) 247-5800 - Fax: (904) 247-5845- http://www.ci.atiantic-beach.fl.us 1 -00