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190 Seminole Rd (vault) . ,. J: i ,,„ }�_,..,,,,,\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD \� ` ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �lil> INSPECTION EMAIL REQUEST: Building-dept@coab.us Application Number 07-00001615 Date 11/29/07 Property Address 190 SEMINOLE RD Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 7800 Application desc REROOF FL7809 . 2 Owner Contractor LAWHUN SUNLIGHT SOLUTIONS, INC 190 SEMINOLE ROAD 4 SEATROUT ST ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 543-1300 Permit ROOF PERMIT Additional desc . Permit Fee . . . 70 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 7800 Expiration Date . 5/27/08 Fee summary Charged Paid Credited Due Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 4 I PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. / L'fri CITY OF ATLANTIC BEACH _ 3' #�d, 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07 I i i I I I:,V a#te ' it OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT @COAB.US -�� BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3_SQ.FT.UNDER ROOF t . I 4- 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION d RESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A ❑MOVE 1 ,OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: 9.NAME. 15.COM ANY NAME: - 23.COMPANY NAME.15 5t 6{fri 16.NAME:. 24.LICENSEE NAME: JjaHil� ni� 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: / `�! ',frheirle /7" (7 /3L 57 7.2- 18.ADDRESS: 26.ADDRESS: /Z 7 '/64# " 11.OFFICE PHONE: 12.FAX NO.: 1�JFFICE PHONE: 12�Z3%��71� 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHO�// 9g# j 29.CELL PHONE: J 14 EMAIL ADDRESS: 22,4nnAIL ADDRESS' �rt7 Caor 30 MAIL ADDRESS: - ; j"�! ->'- =�r CA ( tit/ FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OW u:71 it SAME. 33.NAME: 35.NAME. r w , ADDRESS: 34.ADDRESS: 36.ADDRESS: '}� �w;r,plication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this �� jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attorney or Agency Letter Required) (Qualifier Only) U Date: /�/Z"/� Signed: SU.1� Xi N. �L Date: - O Signed:` �/YI �-� Before me this day of 0 VJQ/'yl 'e(,2007 in the county of Before me this day of ,2007 in the county of Duval,State of Florida,has personally,appeared Duval,State of Florida,has personally appeared a � 1 r t I-. IV--O red boil r�/ L -pef,U ,e 1 r,// herin by imself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. C (1` / true and accurate. .� f Notary Public at Large,State of I 1 County of 0 V V Q Notary Public at Large,State of Flo(1Qkounty of J t4V& ` ,0 ,Personally Known ❑P ducally Known I 1 0(I ,/n •I ' #_..l 3 3' FL vL-. G`f' /b 'F 64 ‘1 6-4 0 roduced Identification/ V C i �� roduced Identification- Notary Signature: • .fl t .I J ,IN�L�..I A 4.417) I Notary Signature: .1 7,D ,��Y P„ SHER'Y 0. KNEYNSBERG �z'O AIRKPA ' ;• i iek,;i��� .0., Notary Public-State of Florida !�`'t: /' iMy Commission Expires Jan 10,2010 i � �� � ' .'';,�� =? �I� a" Commission#DD 505964 3T41AO VN 'i'-` COAB FORM BLDG01:REVISED:8/2/2007 �i o��o?o.� "uui,,,aa Bonded By National Notary Assn. 1 - r-. - _----- NOTICE OF COMMENCEMENT State of LORiD4 Tax Folio No. County of DU 1(4 L To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: /96 ( 6totiNo al. RD , 3447;/Ie SS-G Lor 6/l Address of property being improved: /9 D SeAl/Nd L( /Qty. General description of improvements: 11El/4L , '0 f ,,r14 s-1-4 11.47/0A1 Owner: 7)t Ai v, S .1T. 66 6 F/heti Address: [qv Stroi k mote /e a Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: . Contractor. �j,�rI /ii A r , 4 ., S / Address: /2-l ) 4 I/n�-'""— [.�'r'`-'e- b Telephone No.:S 3 /?t�C' Fax No: Ei-Z.S"-- 94`7 5- Surety(if any) Address: Doc#2007369325,OR BK 14287 Page 1866, Fax No: Number Pages: 1 Tel No: Filed&Recorded 11/29/2007 at 10:05 AM. Name and address of any person making a loan for the construction of the it JIM FULLER CLERK CIRCUIT COURT DUVAL Name: RECORDING$10.00 Address: -- Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: i Address: Telephone No: Fax No: I In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: . Date: iff-X9-49 7 ti p SUSAN SPEAKS GORMAN Before me this ,' ::. of o in the County of Duval,State elf MY COMMISSION#DD64366$ Of Florida,has mall'a'w'e t>4 N%s' CTOQ c.c`.L, ‘0,,,,d, EXPIRES:February 25,2011 Notary Public at Large,State of Florida,County of Duval. 1-1300.3-NOTARY F1.Notary Discount Assoc.Co. My commission expires: F¢tii L„,,..r ,,t a S. .3,o \\ or Personally Known: Produced Identification: '( Fuht, s)2.,o ta..5 �v., * G-- ■L. \l0 5s'a.i 3-O 3 a JTS I ,� CITY OF ATLANTIC BEACH . J 800 SEMINOLE ROAD r x ATLANTIC BEACH,FL 32233 7 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001885 Date 11/18/09 Property Address 190 SEMINOLE RD Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation . . . 9709 Application desc 12 RPLACEMENT WINDOWS Owner C ntractor LAWHUN TH AT HO E A ES IN 190 SEMINOLE ROAD C/ BA THE H DIM POT A E ATLANTIC BEACH FL 322 3 V SERVICE$ TA lG MP t�` L 33610 V- Permit BUILDIN PERMI C,t .)-) Additional desc . Permit Fee . . . 100 . 00 Pla e Fee 50 . 00 Issue Date . . . Va Con . . . 9709 Expiration Date . 5/17/10 0 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ ' 05- ' 0 PPL MENT,S . 2007 FLORIDA BUILDING CODE - RESIDE IAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO T BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Fee summary Charged Paid Credited Due Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 . 00 Grand Total 150 . 00 150 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. .7, 4-7 t II-9 Lp • 7 // CITY OF ATLANTIC BEACH 09- I I I 1 800 SEMINOLE ROAD.ATLANTIC BEACH.FL 32233 ,„, l.. i OFFICE:(904)247-5826 G-D•FAX NO.(904)247-5845 -� BUILDING-DEPT ff COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF . ` Ic Q S i\nO,P ( q 1c 9. -' ryo0 4.LEGAL DESCRIPTION: " 5.CLASS OF WORK: ' . • - 3' 6.USE OF STRUCTURE'. ❑NEW BUILDING ❑DEMOLITION PIT RESIDENTIAL LOT QII BLOCK_SUB DIVISION (9431,.... "\--0-:(( ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCR(PTION OF WORK: " ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ff.-7� �/�(�,� n, - REPAIR ❑POOL/SPA ❑YES ❑N/A 0200C.re l0 1..�3t -11.JS & 1. l la SI L ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: .. . . ARCHITECT/ENGINEER: 9 NAME: 15 COMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: rrof;aI 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 1 aO Se r ode (2-d- O,t2Cn 18.ADDRESS: 26.ADDRESS: +\QI'12- d a \tad 3619W 0 0.7 4 11 l'1- �J'.t,i -K 1 c f x2, R< 33'i9 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: l 28.FAX NO.: C r4-tQ-(PaTO _ 1614400-3-?a1, (813)(1,3v -1+11 a 21.CELL PHONE: 29.CELL PHONE: 13.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: ' BONDING COMPANY -,z MORTGAGE LENDER (1f,oTIIERTHANONMER) 31.NAME: f 33.NAME: A 35.NAME: Ni Nii 34.ADDRESS: 36.ADDRESS: a344eX-=''mom- :o} 32.ADDRESS: , Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has 5 commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this;; am jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended orrjr` abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured ford' Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. k rrrl OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable , Lila regulating construction and zoning.I will not occupy or use the referenced building or any part therof, until all inspections are finaled an�' prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. if *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TOAND POSTED ON THE JOB SITE OF SITEBEFORE THE '""`""`"` COMMENCEMENT MUST BE RECORDED FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR -__ . , LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEM+N1 OWNER or AGENT CONTRACTOR �„? Q -(If Agent Power of Attorney or Agency Letter Required) . '" . , ", (Qualifer Only) = ;!; _.a '.. `� Date: t \ --I - Qic1 Signed: rein. +�G."t7 t..1 Date:1/(6D1 x Z Signed:. _�1_ _,j.� \ �7 (�oV l9es' ,2009 in the count of Before me this Vj day of l VN T i 2009 in the :o of'�• Before me this 1�- day of county r Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared 2 O t^ al In `'aL.- Sreml „ O 04 F z Q herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarat one►W 0 0 is true and:accurate. ( true and accurate. W E" 0 0 vet-I Notary Public at Large,State of ,County of I'll ,' Z. Notary�°ublic at Large,State of � ,County of ry g O ,,❑�/Pemonally Known rsonally Known r 1 fy pdProd:;ced Identificati.r- _ ❑Produced Idenlificatio �/ E � Notary rySi nature: Notary ry Signature: , W W S SAMANTHA KAAA 4 SAMANTHA KAAA A a. a • ff < '� " NOTARY PUBLIC '' NOTARY PUBLIC {r �r-,'„,, STATE OF FLORIDA ,,' ., STATE OF FLORIDA rn BLDG01 Permit Application-•t.!{?-e',,°.�v .=:2008 -- Comm#DD0608785 Comm#DD0608785 V \.t..••» •• '4 Expires 10/25/2010 A4^� Expires 10/25/2010 • Doc # 2009273996, OR BK 15066 Page 2296, Number Pages: 1, Recorded 11/13/2009 at 10:17 AM, JIM F;LLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 , r `SA rN-�"f`" 3-0b1=6 L(`71142‘' This Instrument Prepared By: THD At-Home Services 207 Kelsey Lane,Suite K Tampa,FL 33619 NOTICE OF COMMENCEMENT Permit No. Tax Folio No. 17CSg3 - ODOtD State of Florida County of_ULQLq k THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement: 1.Description of property:(legal description of property,and street address if available) ' - , '., - 4 /A i 1PG, 10-$ f7-,2S- ?E S-i -bie cc l 1 3.�o.33 2.General description of improvement: Lc//Ali)0 Lt/ S 2 pla e.F'-n t94/ 3.Owner information (a)Name and address: she' LAwh�t-,t) /`'ld Sep, ,-/`-'09 /LD 44/r1".4-'( /eo AI (, (b)Interest in property: OW AFL'-f 2-Z 23 V�;„) (e)Name and address of fee simple titleholder(if other than owner): r)I ti 4.contractor (a)Name and address: THD At-Home Services,Inc 207 Kelsey Lane,Suite K,Tampa,FL 33619 (b)Phone number: 813-402-3700 5.Surety (a)Name and address: i-f) A (b)Amount of bond (e)Phone number: 6.Lender J (a)Name and address: /11- (b)Phone number: 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(lXa)7.,Florida Statutes: (a)Name and address: J.111k (b)Phone number: 8.In addition to himself Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: (a)Name and address: (b)Phone number: 9.Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. .................10.11.........: t� ,.un...u..o. `-`- RONALD ALLEN REEDY ` 10 �� �p�ut,4 Comm#D001347844 X Signature of Owner or Owner's Authorized Officer/Director . dh Expires 12)2912012 Partner/Manage ,3 d+5 Florida Notary Assn..Inc• Signatory's Title/Office �./1 l'/ The foregoing instnaro�t ttrw MS3NwYedg'ed before me this,'day of j y. by )'\e/. Cris)/-o n (name of person)as /)/u r\4.. (type of authority,e.g.officer,trustee,attorney in fact)for e a (name of party on behalf of whom instrument was executed). RONALD ALLEN REEDY Sagnaanu /e of Notary Public-State of rda �i,sitP�•,, Comm#DD0847844 known or Produced I deut�tion ✓ ' a.dd_ Expires 12129/2012 —AND-- )✓L L, 'en _ _ T,cti Florida Notary ANFir?rirdl4Dt'Pursuant to Section 92.525.Florida Statutes Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are mar to the best of my wiedge and bell gnahae of Natural Person Signing(in line#10)Above Revised 7/1/07 SATE OF F''-ORlC? CG-,t'.T'd L;11.n.1 (.r 4;•f tti=rirrwt court Duval COUnty1 I. \ • �` ti-..- .' h, Olt?:;IS d 10)4 ac5{i -iS :°c0r.i 8n.t f,0 i .d Corr CJrjr U be Lrl;if t+ eNtG v.l , l:: t`t? office of the Clerk of Circuit cf Duval County, Har.^111';1 f.,1 ..L 3 rnr hand zad s° i Cti Cser f Circult Court at =icr des,tai;t e a of I �...,20 Ja.`s�nvi:e. Y J;M FU ER Clerk of the Ci: ,oriRCoun;` f C c� L:e.puty �fe K r # ■ i .4 \ r.' .------.--,- 1.... . 1 ' H N.) H ,... k r . %.,...C ,..... ',i.t. ..--'.. 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O 0, co NO, DATE BY PRESSURES & GENERAL NOTES 2 REVISIONS Lyndon F. Schmidt, P.E. No. 43409 !�2008 R.W.8u1L0!N0 CONSULTANTS INC. • R:\A-Projects\Project Folders\proj 1401-1500\PF 1434\D.RWBC Drawings\PL-11620\F1-11620.dwg,Model • 1"MIN.FROM I"MIN.FROM ©D -�--MASONRY EDGE —'- MASONRY EDGE ■1�� (TYP.) (TIP.) 4 (1/1? 0 4 x a) ''''''''':11 411D 8 it rw-I © -� - — 0 n G W AN \\ -(:). 'CP • di O O o a V A 1- 1O = . . O O 0 gi �sl� c:i o ir- P:i 4 IN Isom 34 O m 0 2 o N e •• m n No T 0 2 I"MIN.FROM I 1"MIN.FROM -�--MASONRY EDGE--{ MASONRY-EDGE— fTYP.) (TYP.) I $ PRODUCT: o«ummte Prepared By 8 EXTRUDED VINYL IMPACT BUILDING CONSULTANTS.INC. IT 3 HORIZONTAL SLIDER WINDOW e.o. Boo 230 volnco n. 33595 Phone No.: 813.959.9197 0, Florido Boord of Professional Engineers 9 N r CO y rn PART OR ASSE►IBLY: Certireote Of Auehoriz Gen No. 9813 0 1n 1 12/19/08 ADD INTERLAYER TYPE JK HORIZONTAL 1 /2.2-1.-01 IO o, coo NO DATE BY CROSS SECTIONS REVISIONS a Lyndon F. Sch n L P.E. 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I 12/19/08 ADO INTERLAYER TYPE JK Certificate or/urthor1oo n No. 9813 0 0 N0, DATE BY VERTICAL G /a•tz•og REVISIONS CROSS SECTIONS Lyndon F. Schmidt, P.E. No. 43409 02000 Ft W.BUlLOING CON6ULTANTS INC. • R:\A-Projects\Project Folders\proj 1401-1500\PF 1434\D.RWBC Drawings\R-11620\FL-11620.dwg,Model aD 0. 1 R Q� © e a$1; n e Po ...,F 8 L'ITI .[ii 1111, , , . _j_ 0. tinvin. ., Q _<? gt en K I-I/4'MIN. EMB.(TYP.) 0 O 8 s z V T n e a A try ' r�i z - -----0 to 3-• I-1/4"MIN.ail$i EMB.(TYP.) I g-- - PRODUCT: Documents Prepared By: 2f EXTRUDED VINYL IMPACT BUILDING CONSULTANTS, INC. g HORIZONTAL SLIDER WINDOW P.o. Do. 230 val loo FL 33595 _ Phone No.: 813.859.9197 -+ Z o Florid, Board of Professional Engineer. I_* N • r- y o PART OR ASSEMBLY: Cerllflaot}Of Aut tlon No. 9813 r' o rn 1 12/19/08 ADD INTERLAYER TYPE JK / ,.� rn coo NO, DATE BY VERTICAL IX BUCK &ZPRE-CAST SILLS Lyndon Schmidt, P.E. No. 43409 REVISIONS C1 200B R.W. B,j,Lo,N,CON.U..TaNr9 INC. 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Box 230 Valnco FL. 33595 U Phone No.: 613.650.0197 0, $ -I PART OR ASSEMBLY: Florida Board of Pro+e0NOn0I En9lneen il `a N r- 0 Certificate O AuNorizotlon No. 9613 I� o CO t 72/19/08 ADD INTERLAYER TYPE JK BUCK le FRAME ANCHORING s CO CO NO. DATE BY �'-L�-L-- /2.47---di REVISIONS Lyndon F. Schmidt. P.E. 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PrePOred By. 7-1 �` F EXTRUDED VINYL IMPACT Cl) BUILDING CONSULTANTS, INC. t 1 HORIZONTAL SLIDER WINDOW JI.WP-0. Box 230 Vol,eo FL- 33595 (Of -5 . Phone No.: 813.659.9191 N r y 0 Florida Boord of Prof...fond Engin... o to 1 12/19/08 ADD IMERUYER TYPE JK PART OR ASSEMBLY: cecncOte Of Auenonmton No. 9313 la, ° N0, DATE BY BILL OF MATERIALS, C7-CZ__ /2.Z Z-di' REVISIONS GLAZING DETAIL AND COMPONENTS Lyndon F. Schmidt, P.E. No. 43409 0 2006 Ii.W. BUILDING CON.ULT0NTO INC. elf City of Atlantic Beach APPLICATION NUMBER ri Building Department (To be assigned by the Building De artment:) n,T 800 Seminole Road r3 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 tDaTII E-mail: building-dept @coab.us Date routed: I/ /49 Q 9 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /96 S Depart gt review required Yes No �F ildin - Applicant: /6/ 0 r 7 d nmg &Zoning Tree Administrator Project: '02 bJ i- A d to y A4 E4 Cpl / Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLI ATION STATUS Reviewing Department First Review: Approved. (Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date:(/ /6 TREE ADMIN. Second Review: Approved as revised. D led. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. Denied. Comments: Reviewed by: Date: Revised 05114/09 ■.. s.)'. N , ,.) _ \--) -------_, ---__, 1 .-._. ---. i i 1 ----- ! 1 i i („Thy ..-.) ' 4._ 2 --i,-, sQ. \ a- 0 I C. . ,Ln ..........„ I c- a ° c)_ a) --. c) c) p Cr (1) U E O a) a) C. (...-.7-- (/) U U EfJ EH .y,' p _ p ., CD :-0 a) a) a) a) co■ ' as (O (II (3 U a) , i p p p 0 0 C .5 r Q a) 3 Z co ") o E 0 p c o .- < . Q Q a) _c (a CD ceLlj - ❑ aa)) ° ' c 4 '11 b''- CC It o a) to c c ▪Ct- Z W T a) L C p a cC N !_ fa —▪ ' a� W ! to N c Z _o _ a) .' y c c c O Lii m c0 O _c L to i.) °' v, �\ m ge z o ns c d m cn z = z� D n: a. _ U ILI DC o F3 m U a tJ o o :14:k c a W (5 a N ti a)o-�® a)_ .- Q A f, to 0__ LU b ca 73 ®p o L c LS. - ) 0) O -':, 0 ® cB C m. C 1 -.-. (0 U' LU U '--a p p� . 4J C 3 a) it ` -o ' Z 0 0 _c' 7 o ° D C O co , 7 1 a) i s as I c) c) I i t 0 N t < 0 E 7 to; r •, O 0) N_ CO z_ Q) (0 4) U i _ to j c0 i I `� Cr; `- _ __ Q i c S? a) a >; E - ° rn a) a ; E -p I r `)' f fi H m o ■ to z a) q t ` Q v m ❑ a O v € w O 0 ® i (� m Es U c N -F a) o En U % w 7- { N „ (I.- ( 'E' C cn ` . 0 0 O C'- U y to ° E n ca c d �I J ° ® U -p c wa Q o 1� n6 ° ! o � � - t° m E a o 0' i 0 � o t ` f 1 C ® O O 6 tnt 'cli p O _. i (s ppM�� to (n to I (�l ., 1 as E a) °tr, j °p � I i- I” c c w { 0 CC I �_U. _ S _ `I, CITY OF ATLANTIC BEACH - ; 800 SEMINOLE ROAD 5 - z ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 r orti9 INSPECTION EMAIL REQUEST: Building-dept@coab.us Application Number 07-00001689 Date 12/28/07 Property Address 190 SEMINOLE RD Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc INSTALL 4 ' FENCE Owner Contractor LAWHUN OWNER 190 SEMINOLE ROAD ATLANTIC BEACH FL 32233 Permit FENCE PERMIT Additional desc . Permit Fee . . . 35 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . 6/25/08 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ ' 05- ' 06 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE . Avoid damage to underground utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed call 247-5834 . Sewer service and water service lines are in the area. Fee summary Charged Paid Credited Due Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i • r / ';:. u • r� p x r 800 Seminole Road `�'... :---•-•:,,-- Atlantic Beach,Florida 32233 _67— / ee q \`,..M- c , (904)247-5800 J"!a (904)247-5845 Fax www.coab.us k''P UCAT ON TRACING FOB'INH • R_0UIRED DEPT: < J `� PLANNING Property Address: / q6e/Pii.)0/0 ]^D aCO 1 I I BUILDING F- Nan PUBLIC WORKS Applca 1tt: h r' La w h un 0 [� PUBLIC UTILITIES I l�1 'w� NEW FIRE DEPT. Project: --117144,J / 4' -T-rnC' i Y v PUBLIC SAFETY N APPROVAL w REQUIRED AGENCY: RECEIVED BY: I INITIAL: I DATE: w o Y N D.E.P HUFSTETLER 2 N S.J.R.W.M. CARPER : =✓ Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER • APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: IN AL: TE: 0 0 1ST REV 0 0 78 3 g • PLANNING ® 0 1 2ND REV ® Ii I BUILDING PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY O 0 3RD REV * 11 Return this form to the l:t iildins J eioartotent once you hove entered your comments into the AS400. 1`-'L'r\ CITY OF ATLANTIC BEACH _ I� ''' f 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 0 I Mf h Yt �Yf r OFFICE:(904)247-5826•FAX NO.:(904)2Y 5845 \' J B!"CUING-DEPT @COAB.US ■ ''`= rLVr PERMIT r°-...,:t.,�,, . CITY OF A�'��1�'�I� BEACH APPLICATION # � r S,\ BUILDING 1 ®ITG DEPARTMENT 11.'" '4a V,,' 000 Seminole Road `� J J n� Aff" Atlantic Beach,Florida 32233 ( r ( ((� (904)247-5800 (904)247-5845 Fax / ''`0 www.coab.us e - . APPLICATION TRACKING FORM °°' �� R••"UIRED DEPT: LIAM PLANNING Property Address: /g '/J)ifl1)1e ebad z BUILDING • _ trim PUBUC WORKS - Applicant: cr ri �.a W h tin 0 or " PUBLIC UTILITIES 4' � N �.,;� FIRE DEPT. Project: :1_,71 -1-a, - n � Y v PUBLIC SAFETY APPROVAL u RECEIVED BY: INITIAL DATE wW REQUIRED AGENCY: Y N D.E.P HUFSItILER .2 a V N S.J.R.W.M. CARPER Lu e Y N ARMY CORPS of ENG CARPER O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS _ I. DA AP REVIEW D BY: AL: DATE: Eljt\1 I CIRCLE ONE: SITE BUILDING I ''-' I GAJ 4 )7r. I i2 IS� I 1ST REV I PLANNING BUILDING 0 I 0 1 2ND REV 10 1 ® I • I I PUBL.!WOR S l 4 DEPT. - • PUBLIC SAFETY ® ® 1 3RD REV ® I 0 I I • Pp-turn talk Trim to ifilo:Building Thanartment once VrnR have entered yonr Comments into the AS400. CITY OF ATLANTIC BEACH Bt H), "„n;,- ,. f-„ CITY OF ATLANTIC BEACH 07- j ^oo7 ^� s',ia 800 SEMINOLE R ND,ATLANTIC BEACH,FL 32233' I ( I I DEC1 L �y`�+ n OFFICE(904)247-5826•FAX NO.:(904)247-5845 V BUILDING-DEPT @COAB.US 1 ::I1..) ' BUILDING PERMIT APPLICATION DUVAL COUNTY 1,JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION `'RESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR POOL/SPA ❑YES ❑N/A ,-A C :, .I"'V, , �. \_;'> . - I=1 MOVE HER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME S`1\.E.rw\1\- Z 16.NAME 24.LICENSEE NAME: 10.ADDRESS: _` 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: \ ' 9......m.-01\•A j�"6` ` 18.ADDRESS: 26.ADDRESS: 14 rx.f`■R.._. 11.eFPCFPHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35 NAME. 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells, Pools,Furnaces, Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attorney or Agency Letter Required) (Qualifier Only) Signed: y�, Date: ` _ -, .-0� Signed: Date: Before me this f h day of tr ,2007 in the county of Before me this day of ,2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared heri LQU 11 U1 herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. 7y r true and accurate. � Notary Public at Large,State of Ft_ ,County of DU V f//�a J Notary Public at Large,State of ,County of 0 Personally Known ❑Personally Known r Produced Identification- .. 1 `., l,/✓ ❑Produced Identification- Notary Signature:' -► Notary Signature: ---+ww�w�_r 1;i y° ofF. ' �' �'��:: Notary Public-S� '` • 1 a, • Y Commission #DD 523638 ' , coed . $Gri pima Notary Art. ilo -- - - - « _ r .%,, CITY OF ATLANTIC BEACH PERMIT �; `. r�,\ DEPARTMENT APPLICATION# .. � `� BUILDING / ZONING DEPARTMEN \ -, 4 ',2 000 Seminole Road y� J ���j ,__ .z`^- Atlantic Beach,Florida 32233 17 - 1 l ♦, � ('304)247-5800 R+ C r �J J'1): (904)247-5845 Fax �� L+ www.coab.us DEC 1 7 2007 BY: APPLICATION TRACKING FORM • R.4aUIRED DEPT: V5(f/)1flL)k") ��1l `e PLANNING Property Address: /q teD1L1) z_ MEI BUILDING _ ) t-- [ a PUBLIC WORKS Applicant: ()her' Law")w")a n O� E�� PUBLIC UTILITIES �J -��,�ttt��i{� ( �-- t / NllR�� FIRE DEPT. Project: �l 1 �1 I / ��( 1 e- iYlV PUBLIC SAFETY u •APPROVAL v O REQUIRED AGENCY: RECEIVED BY: INITIAL DATE w cc Y N D.E.P HUFS I k I LER 0 Y N S.J.R.W.M. CARPER cc w _ Y N ARMY CORPS of ENG CARPER O V N HOTELS&RESAURANTS HUFS I k I LER APPLICATION STATUS _ CIRCLE ONE SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: it I 0 1 1ST REV i 01 'f? I 1 /1—(-- 1 )ZIL j, Q 2 II PLANNING BUILDING 0 0 2ND REV 0 BLIC WORK PUBLIC UTILITIES FIRE DEPT. - PUBLIC SAFETY I I ® I I 0 ® 3RD REV ® I Retwrin Mill%fna2°n1 tre the R111iJ diu'11) nnrtn ent once von have entered yco3r comments s Onto the AS44M. s{�L'ar, CITY OF ATLANTIC BEACH I �l���I (.%6 , 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ' O� � `f Y i $ iry`r #'t OFFICE:(904)247-5826•FAX NO.:(904)247-5845 �4 BUILDING-DEPT @COAB.US �,-== ` BUILDING PERMIT APPLICATION DUVAL COUNTY 1.J03 ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF'. \C\Q 5 .�c\� & 157)D _.4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6:USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION `RESIDENTIAL LOT_BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7:DESCRIPTION OF WORK: ' , ' -. ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER. ❑REPAIR 0 POOL/SPA ❑YES El N/A LAc\. ' kt ■i,-)\.- ._A Czc.`R- ❑MOVE *.HER NO s ARCHITECT.0ENGINEER: _ *-,1, :-PROPERTYOWNER:_ CONTRACTOR z. : - 9.NAME 15.COMPANY NAME: 23.COMPANY NAME: S`I`Vr �\4\-../\ l 16.NAME: 24.LICENSEE NAME: r 1G 10..ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: ` \ •e-`rn,s,N°A j�"6,- ` 18.ADDRESS: 26.ADDRESS: 1-4 r4.rn qr 11.GWrICF PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: a�' ,-�-)..:z6a 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 41 a--1 \ 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER11i n '' BONDING COMPANY: MORTGAGE LENDER: ,», .. (IF OTHER THAN OWNER) .:`"s H,.,,:. c _, ,., 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces, Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND BEFORE RECORDING YOUR NOTICE WITH YOUR LENDER OR AN ATTORNEY E OF COMMENCEMENT. OWNER or AGENTrti o CONTRACTOR (If Agent,Power of Attorney or A enc Letter,Re ulred (Qualifier Y 9 Y 4 )..s,..,x ., �� Date: �'� -l�•X11 Signed: Date: Signed: �3�'"' ,2007 in the county Before me this iry(��,,� �day of �.r tY of Before me this day of ,2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared , herg L 2 uhlLcI1 herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. / Nota Public at Large,State of ,County of Notary Public at Large,State of F L., ,County of TO V ln� ry ❑Personally Known ❑Personally Known 10 Produced Identification- 4-7. _ 1111q---- ❑Produced Identification- Notary Signature: ---"..."- Notary Signature: '"•.-.,'NNG'd" ,°. s Notary Public- Stat- of Florin a� , as:* •_My Commission Expiras-Feb-28,2010 1 ;'4 y1�`o� Commission#DD 523638 c$AB''*,;'�t5GlioRa4lPti:Wga9 l Notary Assn. Public Works Plan Review Comments /� � Initials.�l Date: r 7-- -(__ l t APPlication/P ermit#: � 7'16�7 ProjectName/Address: fUI [ '�.. L.1 `^S 'Ti" �^L.6 ^ t C V. +�,t; t1 :> W mss-+ i a: } �',+s ,1 .4! ;; -, may,,,!. 1 i.6 , ,-�" sy01::_ {*y 'k t v t g {--- �y-hy7H'•` L",A-'"z r a"a k _ y.„w, t -.•-maw,, �i'-c�".'�.s��`:•t �#�sr'€-.r'^c -� .-�, .41 ++"`"+t• � >��"''p�lIIl t- -��-�'h�'...�fi ^r-�ix+ � ^^S:' "fit 7!'.a, Plai'iT L ' (F p`licaaon-, q ' �T -� kw' aIITna�) - u x -R- -rte tt.9.. "!-` I �.ta � s.:,- _ ....r. __ mot, 441-m-e'C' ""' x,,.44-Yi+� s'-.r sizi. 7._-.. r rsr 'am + ;.:: - _ .. at ."� _'s""''' =--- 5 _ __ .... 0 Provide impervious surface calculations. installation details and maintenance ❑ Provide erosion and sediment control plans tenth inst<,N schedule. - • ❑ • Provide drainage plans showing site topography (flow avows' etc.) Provide construction site management plan,including Right-of-Way Permit if using ❑ right-of-way for construction parking. a Florida Licensed ❑ Provide apre-construction topographic hic survey pTepared by P 1, contours. Professional Land Surveyor, showing Section 24-660)) of the Land Development Regulations requires on-site storage for ❑ increased runoff. Provide Delta volume calculations and on-site retention required per Section 24-66(b). (See attached info. Sheet) documenting proper ❑ If on-site storage is required, a post construction topographic survey construction will be required. ❑ A Right-of-Way Permit must be obtained. ❑ A Revocable Encroachment P ennit must be obtained for from street Pool—Wellpoint(if used)must discharge into vegetated area 10' minim ❑ or drainage feature (swale or structure) ewa aprons must be concrete, 5 inches thick, 4000 psi,with fibermesh from the ❑ All line.Reinforcing rods or mesh are not allowed in edge e o of f Y P the pavement to the property „trick the ROW (Commercial driveways—6” ) COS Standard Detail Case X and must Any utility cuts in the road must be repaired using Q must be shown on be overlaid 10 feet in each direction from�the center of the cut. Repair the plans. 11U 0 0 Nov 08 07 01:43p Guy & Misty Wells (904)291-8822 p.2 MAP OF BOUNDARY SURVEY DESCRIPTION: LOT 611, SALTAXR, SECTION NO. 1 CURRENT THE THEREOFLAS, RECORDED IN PLAT BOOK 10, PAGE 8, .. ,• A COUNTY, FLORIDA. Tit i., A i,4,:;, E . 2007 V �� .a'ti ` 1 NVF V Y• L----„o FFncE z' N_N. 'M1 tT. cll / F LT 670 LOT 595 `��Qom_ � /f2,- N IA-110 11- PS / g9O'F.I.LEGIBLE • ‘ e,,,,, ,,,."`'a !��.� ��m im LOT 612 1.1 D F .FE1 / �/ , o CABLE EY NOTES,(LEFT ELLA Ih'TENIIOPTALLY)I.MrR LE GR OTHER ROVEMENTSWERNOT LOCATE 5YT 11 URVEY.ACCOPOINS TO T}E: FEDERAL EMERGEENCY MANAGEMENT AGENCY FIRM NAP PANEL NO. 120470 0001 0, EFFECTIVE 10/07/09, 37REET ADDRESS: THE PFWFCRTY DESCRT6ED HEREON APPEARS TD LIE IN IONE "xTHIS SURVEY PERFORMED NITHOUT BENEFIT OF AN ABSTRACT. 790 gEMINOLE Ft4A17 TITLE SEARCH, TITLE OPINION OR TITLE INSURANCE- ATLANTIC EMACH, FL. 32233 _ ALE: 1 ° = 30 CERTIFIED TO ANO FOR THE ANV ARf PLAT AND NEASUNEDTUNLESSESHONNSOThERWISE. EXCLUSIVE BENEFIT OR SHARI LYNN LHHUN ALL EASEMENTS ARE PER PLAT UNLESS SHONN DrHERRISE. DEI5 J. GODFREY 1VATSOTJ MOFGAGE 00FREYATION THERE RAY BE ADDITIONAL CAN OECTIDNS TNAT APPLY EHICN ARE NOT SN FLORIDA FELOCAT70N CLOSING SERVICES ON THIS SURVEY hriICH CAN BE FOUND Th' PUT3LIC RECORDS OF SAID COUTY. ORIDrAR TITAT 6CLOSTN GSERA ' 7HI5 50'FT1'EY DOCS NOT GVAAANTEE DWNER9NZP.TEMPORARY, NoN--FEAHANENT IHPROYEMENTS AND/OR MAN-MADE ITEMS SOCH AS, BUT NOT LIMITED TO THE FOLLONING; B:IILOINGG MATERIAL, r BUILDINGS NOT ONVFOUNDAATIONS,.VENI ES GGM BLOCKSCNAYTBETON THIS PROPERTY 9UT NOT LOCATED OR SNOHN• CL p, yAN' F ETICE OF LIAOILITY: THIS SUYRVEY IS CERTIFIED TO THOSE INDIVIDUALS SNDNN ON CL A O P. DNEIL E FACE THZREOF, ANY OTHER USE, BENEFIT OR RELIANCE BY ANY OTHER PARTY IS FLORIDA REGISTERED SURVEYOR A ,4 MAPPER N0. 2546 FLORIDA REGISTERED SURYEYOA AND NAPfEA N0.568-0 ERTI IEDPANT) HERESYY DISCLAIMSCANY OTHERVLIABILITYEA A) NEEREDY RESTRICTS�THE T FLOIO AIREGIT ERE SSRVEYOR 6 Thrt PPERINO. 684D IGHTS DF ANY OTHER INDIVIDUAL OR FIRM TO USE THIS SOHYEI: WITHOUT FATNESS SEAL OF A FLORIDA LICENSED SURVEYOR AM) MAPPER' ITTEN CONSENT OF THE SVRVEYOA. �'.... _ Nr y� AD ELECrarc MP - CLE C• f.-EFWEA LINK IRIV PETE ,MONUIVAP C.M. - POINT OF TARGEENT rep- ToWNSHM MP -.cLEAG M,F, .--CH IN LE d r_r.P.C. _ Fob TRW pWO ph9 CAP P.T. -POINT OF cyRvArCV IMP- TONGE C.O.-*COU BEARING ti F.T.P. A.C. - POINT OF CUfivaTt j- POINT CF INTERSECTION (P} - p`A7AtI N.H__ WATER NITER V,E. - V'TITLITY EASEMENT A/C _AIR ComilTIDNTN6 UNIT El _ CELE+vGA"t� N.P.- NODD L. i F.I.P. - FOUND IRON PIPE _ cu /09E IEEREl17 (:SNT - EA5E1aENT P 6 N-PLAT ASI.wEO m r T.R.C. - FTT V ME noo HE CAP O,E, pq!�_ PRCWOSED CUR - EASENR NM- --PLAT y F.NCO - FOUND IWI IL aRD 0I6K C 6 O - cum/0 CURER NTS KIT TO SCA . (R) - F1ELP MEASVREMENT R/N - RIGHT OF NAY 4E1 - ExTSTTNG /1 - GALGUU iEa NEA6RENr C/L - E'ENYERLSNE �° c' PROJECT INFORMATION FIRST COAST LAND CRDER N0: ]5612 FIELD SURVEY QATE PLOT PLAN INC. DRAWN 6Y: VAN KLEtCK z SURVEYING 1� aBOUNDARY 10!31/2007 REVIEWED 8Y' TNP w FORMBOARO 1839-106 LANE A%'ENUE SOUTH, FAX (SON)I LE rt..32210 1 PHONE (9O4) 779-2062 FOUhoariord CERTIFICATE ND. LB 7251 �s ' CITY OF ATLANTIC BEACH P% %„r, ,� r) 800 SEMINOLE ROAD il ., ~ =� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 .Ni.0ltl>r Application Number 05-00030861 Date 7/29/05 Property Address 190 SEMINOLE RD Tenant nbr, name REPL AIR COND Application description . . MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor LAW, BARBARA ROGERS AIR CARE SERVICES 190 SEMINOLE ROAD 20 HARWORTH AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 724-2015 Permit MECHANICAL PERMIT Additional desc . Permit Fee . . . 59 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Fee summary Charged . Paid Credited Due Permit Fee Total 59 . 00 59 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 59 . 00 59 . 00 . 00 . 00 I PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 4, BUIL k . ! w ICIAL / , � ~,,, CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION `4 on Jr Date: -20o r Property Address: n 0 � tY) d L RD 61J Owner: (?)(4-4_ ,,k.r(4 -0 Telephone#: !- q (146 Jv Contractor: NCx-`-.RS ,r(4 &IA( O tJQ S Telephone#: l Zkt` 2C i s Contractor Address: 76 11 e '' TH AVC{ Fax#: I ZLf ` 5 3 0 Contractor Signature: -QP -mod • In consideration of permit given for doing - .• k as described in th .tement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: Electric O Gas: _LP _Natural Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat Space _Recessed "Central _Floor ,Residential 4ecAtr Conditioning: Room -Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm O Refrigeration 0 New Building O Cooling Tower: Capacity gpm O Fire Sprinklers:Number of Heads „.2----Existing Building ❑ Elevator: _ Manlift Escalator (Number) Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation O LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers O Gas Piping 0 Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us Revised 1/04 a1-7- 003y« • • tU o" 9 ��✓c CITY OF 2� .zog__ ek _ t‘O fital(0 ftc0.1‘ &km& Beach f 0 fi .'i'?8 b '� Office of Building Of • 'al �' �/� REQUEST FOR IN PECTIONm C-11 a /6. 106 Date .. Permit No. Time A.M. Received / 96 \ P.M. V^ o JobJ-s / Lo ty a w y a b 1,c Owner's Name ���,..1L� 1 I Contractor A BUILDING CONCRETE ELECTRICAL MECHANICAL Framing ❑ Footing ❑ Rough Wiring C; ir_ ❑ Air Cond. & ❑ Re Roofing LE Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation 0 Lintel ❑ Final ❑ ewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECT! CO Mon. Tues. / WWeed.. Thurs. Friday (p �� 6 a A.M 2 / 0 Y Inspection Made P.M.60.174.124-N �J�S.� Inspector _��MALI �f Final Inspection ❑ Gc l Certificate of Occupancy ❑ Date ■ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20226 Address: 190 SEMINOLE ROAD Work: ATLANTIC BEACH, FL 32233 Class of Work Pesmtif ork: NEW Township: Range: Book: 10 Proposed Use: SINGLE FAMILY Lot(s):611 Block: Section: Square Feet: Subdivision: SALTAIR Est.Value: Parcel Number: Improv. Cost: 600.00 OWNER INFORMATION Date Issued: 6/16/2000 Name: FLUHART, AMY AND DEAN Total Fees: 10.00 ( Address: 190 SEMINOLE ROAD Amount Paid: 10.00 ATLANTIC BEACH, FL 32233 Date Paid: 6/16/2000 Phone: (000)000-0000 _ Work Desc: ERECT FENCE PER PLANS APPLICATION FEES — CONTRACTOR(S) - - PERMIT 10.00 PROPERTY OWNER Inspections Required 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 W1TH THE CONSTRUCTION LI 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. Date: 6/16/86 61 Receipte18�6b1546 a--�— C ■ CHECKS ATLANTIC BEACH B ILDING DEPT. CHECKS CITY OF ATLANTIC BEACH APPLICATION FOR FENCE PERMIT Owners Ar72 ' )E 1,-1, 1 o Phone , LIZ-- Address /1 S ° Lot ( / 1 Blockand/orUnit# Subdivision 5,1)-1/A-I r Contractor if Different From Owner Valuation of Fence $ Corner or Interior Lot Type of Construction G r 0O001 I— s Attach Survey Showing location and height offence as well as location of street(s). V o ,G 'lO ' / 71101-1111W fir Owners Signature_ Aram— CO ntractors Signature F8b-02-99 15:17 From-COUNTRYWIDE SOLE NT8 P.08/08 F- , MAP SdOWIMG SURVEY uF I.. LOT 611, PLAT OF SECTION NO. 1 SALTAIR AS RECORDED IN PLAT 800K 10. PAGE 8 Of CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SEMINOLE ROAD 70' R1GMT OF WAY (PAYEE)) R>NELV SOMME E l AQ1 ROAD is S,U.TAiFr 003i.gVN1O _ ___ 49-85' F1CLD 0/ NO e/Y Ram ton V - atan MK i 50.00` ,�a"+°w'/x" P 100.010' ` 'bx r ' ` f - J4NJFTh of r w S, ' .-:i•-,•'..:--7; Cr i 24%4' 7.01 r r,.. '4 P .. ,..._ ,...,:, . ...,... ...,.._, :.. , ti -I.. - T 5 1 0 • ,•'• 6 t. 0 T t I L O t STORY > M. co � II STUCCO RESIDENCE K O a+ NO. 100 0 <; L � ' art - fa ,,, I O f� ' 9-p P e ' ,k) .Q ` t ' - I NOTES: 1° , • i NO OUa11�M4 11Afi 1.4IC A.1 PER PLAT. I ^ ti� 40 AS PER � NORM PRaTRACIVO RON RAI s A� a 0.4 i ;:4 "O` •f. r .4 a • •7 RAM 1/2° RON • 3, 50.00' 1., a Irx MOON PIPE NO CAP / 49. 5 FIELD L 0 T 5 9 4 L 0 T 9 5 5 L 0 T THE PIr∎P1".I■:": SiirlrlN Hi...;1tI7Ii 112PEAi Tri LIE IN F C )U z' *: "X" ;AREA ALL OUTSIDE 5U0 '1=.i P?'.Ih 1 AL W4.`t.. AS CAN 3F UF:TERMINIX rfrm THE ,7)U IN;i.:lLAAiCE RATE MAP c'lt4UNITY PIN :2E.G7�--00111-D. I` VIS;U APRIL 17, 1989 Fr-J ATLANTIC I3;=.ACII. rirxucil. r'.;�`:". 3Y C::::,Y''Ip_' :r) DMIU C. ANC: AMY L. RILL-iAil11.5r..N. ALLIANC.':: 1 Friv.lxir_ cYMPA.NY, ')LL: NA I' IL `SIT;..': °UUSURANCE CrMPANY AND F r ")N L. MITI.C.IT, P.A. THAT I I Vt'. SUi+VF.YF.1) T A S'W vN IN THE A3r.1V1? .Ps Ir,N ANL aNAT T-IIS MAP IS A TRUE ANTI) CORI?I!:':' RI:PRF:Si21I1, 7riA'' Stlr:V; i AND UAT 'PM:: S:J1:V-ZY :ZE.PI2i:SF2 'Et. :f.Ri:rVI NG:h:TS TH;= M1_NI t M '^tvCiiNICA, S OF TH.: FL')PIVA AI:MT_N-aTIY\T1Vt COUP: CIJAPTrR 61 x)17-( ANU ` HF. I'L,) IC\ LAND TI`fY.:: ASS'XI DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT IVFORMATICN - -- --- L INFTIQ DI Permit Number : 14415 Address : 190 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH . FLORIDA 32233 Class of Work :ALTERATION LEGAL DESCRIPTION Constr . Type:WOOD FRAME Block: Lot : Twp : Proposed Use : SINGLE FAMILY Section : 0 Subd: Rng: Dwellings : 0 Subdivision: Est . Value: 0 . 00 ImProv . Cost : 0 .00 Total Fees : 25 . 00 Amount Paid : 25 . 00 Date Paid : 5/11/1998 Wcrk nesc :REPIPE ER INFORMATION -- - - - - - -- - APPLICATION FEES - - - - - - • Name . A!%n' liCHARDSON - PERMIT Addr : 190 SEMINOLE ROAD ATLANTIC BEACH . FLORIDA 32233 Phone ' 904247-6034 '7ONTRACTOR INFORMATION lit&ItgliMEIERNPAN2S0 R.J. PLUMBING 400 1st St. S. Unit C JACKSONVILLE BEACH, FL 32250 Lic:CFC056898 NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTICEACH BUILDING DEPARTMENT By: • -4,AIL /6 4 CITY OF ATLANTIC BEACH APPLJCATION FOR PLUMBING PERMIT Q JOB LOCATION: 4.-;1 92-7/1'fe2/� OWNER OF PROPERTY: /7-7 _ / are./5D<'t PLUMBING CONTRACTOR: ,g(\.) 1)14.1 (11 CONTRACTOR'S ADDRESS: L/ 7O /57L 5:/: S J'i/A STATE LICENSE NUMBER-71—C O56 e TELEPHONE: 24/ /7- 603C/ HOW MAtY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER .e/goo--e 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. _JAW Aft_ PSR 344 6443 DEPARTMENT OF BUILDING „* CITY OF ATLANTIC BEACH PERMIT INFORMATION - -- --- LOCATION INFORMATION ---- - Permit Number: 6443 Address : 190 SEMINOLE ROAD Permit Type : RE-ROOF - ATLANTIC BEACH , FLORIDA 32233 Class of Work : NEW F ��MM LEGAL DESCRIPTION WEedTifEcti SI GLERFAFiILY Lot : Tow' 5R ',' fitiono Dwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value : $0 . 00 Improv . Cost : $0 .00 Total Fees : $22 . 50 Amount Paid : $22 . 50 Date Paid : 2/25/93 4ork sr REP; "E D ROi &F CPI'rH NE`W Name : PiDD5 PERMIT $22 . 50 - cxdress : 190 SEMINOLE ROAD WATER IMPACT FEE . $0 . 00 ATLANTIC BEACH , FLORIDA 32: 33 SEWER IMPACT FEE $0.0' hone : ( 904 ) 241 - 8842 WATER METER $0 . 00 RADON GAS-H .R . S . $0 , 00 CONTRACTOR INFORMATION -- - -- RADON GAS - 5% $0 . 00 Name : SH,DRE ROOFING WATER TAP $0- 00 Address : 1306 SOUTH 9TH Srr.: SEWER TAP $0 . 00 JACKSONVILLE BEACH , FL 3t HYDRAULIC SHARE $0 . 00 lcense : CC C054811 Type : 0 RE-INSPECT FEE $0, 00 SEC.H IMPACT FEE S0 '00 'OTHER NOTES: P A 1 FEB 2 5 1993 CITY OF ATLANTIC BCH. NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANR BUILDING IMPROVEMENTS.LIEN LAW CAN RESULT THE PROPERTY OWNER PAYING TWICE FOR ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: tLI / CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) : �\ Oddl Address: I ll° cc 01 o it ► ( U\ Phone: Lot # Block or Unit # Subdivision Contractor: ( /4 0 1/)"V Address: /3 6 G ,4'1, 1 1-1 I Phone: 2 Li (- Lr 2- State License No. CC-Q-0 S. u 1 1 I Describe work to be done: k t. 1200 F Materials to be used: Signature OWNER: Date: Signature CONTRACTOR: �Z 4 FOR OFFICE USE ONLY Date -,!/.L2119 Permit #..L-fftig Fee$...?,! v CITY OF ATLANTIC BEACH Valuation $ /,,,?../A,C) FLORIDA House #._l ,-eic) Rd, APPLICATION FOR BUILDING PERMIT . 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 that a list of sub-contractors be submitted to this office so that licenses can be verified. Date /n- , , 19 72- Ownerifet./.../..e,57.7%.7! r'-1-eL C.& c" -.0 "t I C`9iUAddress Telephone No. Architect Address- Telephone No Oosys1/U/c-' -iew Sf vit!f /•1.1"-Gtci 4436=-4/cebi,//34/A Contractor Builder 144.C, Pt(c rt.0 t, Address..AJAX ..e.-.44- Telephone ne Noa?) 7/40 Lot No fl - r' eM # Sub Division <abe Zone 1&' Side Between ✓/� AJ' and..-3.7 vcv/c%4b/T Al'' -Stei11i r�l�� St.�eet ry /VCE Type of construction �f�� Valuation $. &96� For what purpose will building be used-..� yP r �, „ Dimensions of Building �0/X� Dimensions of Lot---.-..--:- X.-.-1.dd / Size of Footings Arm I(Q Size of Piers AVA. Size of Sills IVA Greatest Sill Span in ft._--NV> Type Roof -7,oE'.,c!ss How will Building be Heated? 06A/ lrn- 1te ./14.1 Will Building be on Solid or Filled Ground?.120•9Z417-.0 f/44.- Size of Ceiling Joists T1,,Lw�s��C .s, .-, Distance on Centers .....4..F- CAS , Greatest Span ' " Size of Floor Joists r,//' , Distance on Centers , Greatest Span '/ " 130 j!Yo► 0,,ss�O v2-Y Size of Rafters df-.-ji[.!-`a .2./V , Distance on Centers -.r..-'�.(,4.- , Greatest Span " This rectangle is to represent the lot. Locate the building or buildings in the .�% right position. Give distance in feet from S// T !1,,//�[` I /9 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 a a 3. When steel is in place and ready to pour beam. E•, H 4. When framing is completed. 3 3 5. S S 5. When rough plumbing is completed,and ready to cover up. W W 6. When septic tank drain field or sewer is laid but before it is covered. A A 7. Electrical inspection by City of Jacksonville. rn 51 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 given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of At tic Bea 1/[A)Address Signature of Builder . -"YAddress M2 ' acM//'&irt2 Signature of Owne .- C`l'ts/ Address FHA.cvm 2005, For accurate register of carbon copies, form Form approved. . p 4- {�ssA Form 26-1852 may be separated along above fold. Staple Budget Bureau No. 63-R055.11. P.cv.3/68 completed sheets together in original order. Proposed Construction DESCRIPTION OF MATERIALS No. (To be inserted by FHA or VA) ❑ Under Construction L e T 6//, -SC i iew 4 / n Property address S T A4 4II' -S/i. _ City �-/ TLANT1C' /aj=,40/1 State FL A Mortgagor or Sponsor Empire Home Loans, Inc . 4 So. First St. Jax Beach, Fla. Construction S&face Contractors 2843 San Pa YeRoad Contractor or Builder Corporation Jacksonville Florida (Name) (Address) INSTRUCTIONS 1. For additional information on how Phis-form is to be submitted, number required, then the minimum acceptable will be assumed. Work exceeding of copies, etc., see the instructions applicable to the FHA Application for minimum requirements cannot be considered unless specifically described. Mortgage Insurance or VA Request for Determination of Reasonable Value, as 4. Include no alternates, or equal" phrases, or contradictory items. (Con- the case maybe. sideration of a request for acceptance of substitute materials or equipment is 2. Describe all materials and equipment to be used, whether or not shown on not thereby precluded.) the drawings, by marking an X in each appropriate check-box and entering the 5. Include signatures required at the end of this form. information called for in each space. If space is inadequate, enter "See misc.' 6. The construction shall be completed in compliance with the related drawings and describe under item 27 or on an attached sheet. and specifications, as amended during processing. The specifications include this 3. Work not specifically described or shown will not be considered unless Description of Materials and the applicable Minimum Construction Requirements. 1. EXCAVATION: Bearing soil, type Sandy Loam 2. FOUNDATIONS: Footings: concrete mix 1% :5 • ssrength psi 2500 Reinforcing As Required Foundation wall: material `a"nC• Monolithic Slat Reinforcing AS Required Interior foundation wall: material_ None Party foundation wall None Columns: material and sizes None Piers: material and reinforcing N one Girders: material and sizes None Sills: material 7 Alum. Sole r1tte None Window areaways None Basement entrance areaway None Waterproofing 6 Mil. Poly V. Footing drains Termite protection Soil Poison Basementless space: ground cover_ N one ; insulation —; foundation vents Special foundations Additional information: 3. CHIMNEYS: None Material Prefabricated(make and site) Flue lining: material Heater flue size Fireplace flue size Vents (material and size): gas-or oil heater ; water heater Additional information: • 4. FIREPLACES: None Type: solid fuel; gas-burning; circulator(make and size Ash dump and clean-out YPe� ❑ ❑ g gi ❑ - ) lining Fireplace: facing B ; hearth ; mantel Additional information:_ c:Ornere & Uperiiril 5. EXTERIOR WLLS A ° Alcoa. Alumi Frame (See FHA BU;letin #717) e y r 4 Nail ‘ tx�ia raade •ndOss ecies 2"x4 A.um.Studs48n Cornier bracing. Building paper or let go} V g� y thickness _—; width ;'t] solid; ❑ spaced « o. c.; ❑ diagonal; Sheathing {ufO�-i Siding _ .; grade ; type ; size ; exposure "; fastening Shingles ; grade ; type ; size ; exposure "; fastening Stucco 3 coat work ; thickness 1"; Lath Expanded Galy. Lath ; weight 1.8 lb. Masonry veneer Sills Lintels Base flashing Mason ry: ❑ solid ❑ faced ❑ stuccoed; total wall thickness "; facing thickness "; facing material Backup material ; thickness "; bonding_ Door sills Window sills Lintels Base flashing Interior surfaces: dampproofing, coats of ; furring Additional information: Exterior painting: material Prime - oil base _ ; number of coats Gable wall construction:n same as main walls; ❑ other construction Power AC to. 6. FLOOR FRAMING: ; other Conc. Slab g g ; anchorpH Steel Stl Joists: wood, grade, and species None ; brid in 1:3:5 : thickness 4 Concrete slab:v�t basement floor; IK] first floor; Ell ground supported; ❑ self-supporting; mix 50 6 Poly ss. reinforcing x6tf #10 W.W. Mesh_; insulation ; membrane Fill under slab: material Sand ; thickness 4'. Additional information: All veg. , Top s o i l & Foreign miter removed. 7. SUBFLOORING: (Describe underflooring for special floors under item 21.) None Material: grade and species ; size ; type Laid: ❑ first floor; ❑ second floor; ❑ attic sq. ft.; ❑ diagonal; ❑ right angles. Additional information: 8. FINISH FLOORING: (Wood only. Describe other finish flooring under item 21.) BLDG. PAPER FINISH LOCATION ROOMS WIDTH GRADE SPECIES THICKNESS - First floor • • _ -_ Second floor 4' 3 - • - ' : - :: - - - ' - Attic floor sq. ft. Additional information: FHA Form 2005 I DESCRIPTION OF MATERIALS VA Form 26-1852 DESCRIPTION OF MATERIAS ,26. INSULATION: LOCATION THICKNESS MATERIAL,TYPE, AND METHOD OF INSTALLATION VAPOR BARRIER Roof IX XXXXX X fU XX /MA Ceiling 6" Batts - Fiberglass or equal Yes Wall 4" Batts - Fiberglass or equal Yes Floor HARDWARE: (make, material, and finish.) Westlock: * Brass w/chrome bath locks ; Exterior locks keyed alike * or equal SPECIAL EQUIPMENT: (State material or make, model and quantity. Include only equipment and appliances which are accept- able by local law, custom and applicable FHA standards. Do not include items which, by established custom, are supplied by occupant and removed when he vacates premises or chattles prohibited by law from becoming realty.). General Electric J-300 Electric Range or equal 27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere;or use to provide additional information where the space provided was inadequate. Always reference by item number to correspond to numbering used on this form.) Carpet: Dayton as Mfg' d. per FHA bulletin U.M.44-B Imperial Mills 20 ounces per sq. yd . . aver. pile 1/4", 57. 600 density . Pad: Fortress as Mfg' d per FHA bulletin U.M.44-B General Felt Industries See FHA Structural Bulletin Number 717 "Alumiframe System" All Plywood to be Grade Marked DFPA All Trusses to be stamped w/ Mfg. Stamp PORCHES: Per plans - Foundation and roof framing as house. deck 4" Reinf. (10 ga . ) Concrete Slab - Ceil. 3/8" Ext. Plywood - Columbus & Other Wood Surfaces Prime-Oil Base 3 Coates. TERRACES: GARAGES: 4" Concrete slab w%10 ga . wire mesh. Door as per plan (if any, carport or garage. WALKS AND DRIVEWAYS: 4 Driveway: width9 *ON . base material Und i s .Gra d,thickness "; surfacing material Concrete ; thickness —Q ' " 4 Front walk: width�� N: material Concrete; thickness 4 ". Service walk: width 3 -G • material COIIC. ; thickness Steps: material Brick or P/C Conc . ; treads 11 "; risers 7i . Cheek walls As required OTHER ONSITE IMPROVEMENTS: (Spay),all exterior onsite improvements not described elsewhere, including items such as unusual grading, drainage structures, retaining walls,fence, railings, and accessory structures.) Drawing prepared by Construction Service Contractors Corp. 306 Academy Ave. , Dublin, Georgia and 2843 San Pablo Road, Jacksonville, Florida LANDSCAPING, PLANTING, AND FINISH GRADING: Topsoil " thick: ❑ front yard; ❑ side yards; ❑ rear yard to feet behind main building. Lawns (seeded, CdC7PK ):.t front yard All ; A side yards All ;43 rear yard 251 Planting: ❑ as specified and shown o�``�.drawings; El as follows: �n�� 1 Shade trees, deciduous, " caliper. Evergreen trees. ' to ', B & B. 8 Evergreen shrubs, 1—2 ' to 2 ', B & B. Low flowering trees, deciduous, to g High-growing shrubs, deciduous, ' to _Vines, 2-year Medium-growing shrubs, deciduous, ' to Low-growing shrubs, deciduous, ' to IDENTIFICATION.—This exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the latter is known at the time of application. Construction Service Contract 9 s Corp. Date 1 April 1972 Signature - Signature FHA Form 2005 VA Form 26-1852 t GPO 1068 yes—IS—sooel-I 296-152 ,, ,. ,_ . PLOT PLAN LOT 6I 1, SECTION No. l - SALTAIR ATLANTIC BEACH, FLA . 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