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239 SEminole Rd (vault) ,.4 I, CITY OF ATLANTIC BEACH Li s 800 SEMINOLE ROAD J . . ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 -.OE % Application Number 08-00001123 Date 8/15/08 Property Address 239 SEMINOLE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 3800 Application desc kitchen remodel Owner Contractor JEVIC CANTRELL CONSTRUCTION, INC 239 SEMINOLE ROAD 2030 3RD ST SOUTH ATLANTIC BEACH FL 32233 SUITE 116 JAX BEACH FL 32250 (904) 545-1428 Structure Information 000 000 Construction Type TYPE 5-A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit BUILDING PERMIT Additional desc . Permit Fee . . . 50 . 00 Plan Check Fee . . 25 . 00 Issue Date . . . Valuation . . . . 3800 Expiration Date . 2/11/09 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ ' 05- ' 06 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE 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 50 . 00 50 . 00 . 00 . 00 Plan Check Total 25 . 00 25 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 11 605-' &20 '' Afk A t( akirketL -P CITY OF ATLANTIC BEACH 0%-71--1-T-1.1 a 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 f,I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 V 1j' BUILDING-DEPT @COAB.US -»/ BUILDING PERMIT APPLICATION AUG 1 4 g1; DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: S ► .ER ROOF 2-3`x' �.tm+ l e 2 �z , 4, Z4 s .. 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE ❑NEW BUILDING ❑DEMOLITION "PRESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE '❑COMMERCIAL 7.DESCRIPTION OF WORK: .ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: _ �( _ �"j XITC.h ❑REPAIR ❑POOL/SPA 0YES ,�fy/A - 4If/4"7�C t-4 ❑MOVE ❑OTHER PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: 9.NAME: 15.COMPANY NAME. 23.COMPANY NAME: Ze4JA1V .(rd;(_ C:X1,11'd'6 w 6:44/5 2 k . JMFG 64416g EfOt;/Aide/2/114r 16.NAME: 24.LICENSEE NAME: iM42k CNNt2ELi., Jar F &4 .47A-1iZ 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: CMG 0(0 Z5114 5(13 z- 18. ]ns A ADDRESS: 26.ADDRESS: Q(CL. ride' to t6 A-tia )t RLJ >-4d7 -0 2 l7cE 239 , ,-..,..",-�'de /c;), 4#1 1J-+c. 0(. vaot E( )4clk�pAw'f l(e gri,, V) 3 Z250 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: All* 5L(5 -(4 2. -247 -'?77 2-1E4 • c'tO L41, PIT 13.CEL PHONE: 21.CELL PHONE: 29.CELL PHONE: Alto 6Y.5- - iti 2.S to& . a.3 401• 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.E I ADDRESS: i(fi4- /r/cA-AD-ReLL�c+Ato-77-7701 -teAr ., A//r FEE SIMPLE TITLE HOLDER: BONDING COMPANY: } MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME;/ 33.NAME/ 35.NAME ,•v/ 36.ADDD�r/RESSS 32.ADDRESS: 34.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 gent, war of Attorney or Agency Letter Required) I'' (Qualifier Only) . Signed: Date: g --/Si- L - s Signed: ' , ,rf ' Date: >-. .1-"" Before me this / d of atA-.4 S 1" ,2007 in the county of Before me this /14 day of I_. . _ ,2007 in t e county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personallyipeared 1�.4-11nLi 3 Q\11L !14a rIC Cu.-.3f-.'9 k 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. r /� true and accurate. _ Notary Public at Large,State of 1_L A ,County of {J L4_V 4-L Notary Public at Large,State of rL 4 ,County of 0�t4 L D Personally Known ❑Personally Known �� y �� ❑Produced Identification- Produced Identifica'. J - .. ■ • r r. Y�`�- Notary Signat ∎ .s • _______- Notary Signature: �_ _ • �,ti...ti� - ; - I J l v ' P►��CE �° SUSAN SPEAKS GORMAN MY COMMISSION#DD643668 CITY OF ATLANTIC BEACH t1�1RES;February 25,2011 SEE PERMITS FOR ADDITIONAL �y: RY F1,Notary Discount Aux.Co, REQUIREMENTS AND CONDITIONS. +Ot �L�1:R . r� �. 4 �� REVIEWED BY: DATE: •.tom ,a T-..,: Aug 14 08 03:02p Geoff Gartner 904-241-8015 p.1 \ ` I f I ;- I v O-ter I m a ' r`;tie 71 ZzP(10 � -n z M r0 v z Fig z \ a o i -< - 2 .- D � � _ °� 3 m a • - � gQCO c 4 ZrnZfj) 3 - - - M • t Z v = • IIm V� z [ ! I 73 vDKm 410 . --u € -z..-' n mmni > O Q D zNCngm MITI % c = I Z z v O + cnDz m0 Z el , I - z g ; 1_- i 1 1 1 1 I / / /� `- ap m X ! / z m 5 m I i r C) 7J z X { 1`—'� �. C I I v m -ni \ a z 1 \ a \ J \ A = j 3> X g � ' 7p Qt� 8 � T g 7D 6 0 -IZZ FZO Om ). D - z Z 0 m 0 v) -IGI -n 3> CrADO 6 8 2 DOF --I r- ZZN, rn0 4 F Z Z N A D -i O m 0 A - r-O 51 ZD Dm2 o � b ow - m jmv rm nmv' DO ^ �� n 2 73 m = Or n =r � 1m CL 1 Cantrell,Construction, Inc. Tel 904-545-1428 1015 Atlantic Blvd,suite 409,Atlantic Beach, FL 32233 Fax 904-247-9778 Commercial—Multi-Family—Residential Renovation Specialists Certified General Contractor Lic.#CG C-062514 PROJECT DESCRIPTION August 13, 2008 Project: Lenny Jevic (Home Owner) 239 Seminole Road Atlantic Beach, FL 32233 Type: Residential Description of work to be completed: • Remove a 6' load bearing wall separating the kitchen from the living room and Install new load bearing LDL beam per engineers instructions, attached. • Repair drywall after beam installation and inspection. • Remove 2 existing 36" windows and install a 6' sliding glass door. The Fi t'pP�°w'�'�7DF opening currently has a header that will not need to be altered. Sliding glass door engineering and specifications are attached. Please contact Mark Cantrell at 904-545-1428 with any questions. (�0,11:vw cf= iN tr.dhc“., .'' GfitJ&E) i r, 4,`St1,0. ��.;30` -.3. ' I444- > 6C-_ La1.. �, Cr 2 /y,01„� — — _-- C(,c: r ,u- I LIVE tei Kro thdt tit,,'cis --- .1 4.t-____)i 31 3E' ,v.,i �.r..t:. R, . Jevic-Project Description 08/13/2008 9:17 PM Florida Building Code Online Page 1 of 3 FI,.Gq!iJA CIEP A.CITMENT OF IN ,} /+F Lam'/ rys yw,.tt=•� ity Affair - '; Ir Amax DCA BCIS Home Log In Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search igt •�: Product A royal d 10I Approval USER: Public User Community Affairs Product Approval_Re Ij >Product or Application Search>Application List>Application Detail FL# FL2646-R4 ■COMMUNITY PLANNING Application Type Revision MOUSING&COMMUNITY Code Version 2007 DEVELOPMENT ■ESEEcI r�cY Application Status Approved MANAGEMENT Comments t,OFFICE OF THE Archived SECRETARY Product Manufacturer Pella Corporation Address/Phone/Email 102 Main St. Pella, IA 50219 (641) 621-3494 robinsonsj @pella.com Authorized Signature Sandi Robinson robinsonsj @pella.com Technical Representative Todd Umbel Address/Phone/Email 2000 Proline Place Gettysburg, PA 17325 umbeltp @pella.com Quality Assurance Representative Todd Umbel Address/Phone/Email 2000 Proline Place Gettysburg, PA 17325 umbeltp @pella.com Category Exterior Doors Subcategory Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Association Validated By James L. Buckner, P.E. at CBUCK, Inc. Validation Checklist- Hardcopy Received Referenced Standard and Year(of Standard) Standard Year AAMA 101/I.S.2-97 1997 AAMA/WDMA/CSA 101/I.S.2/A440-05 2005 ASTM E1300 04E1 2004 Equivalence of Product Standards Certified By http://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquOAT9TZV WgsW9q... 8/14/2008 0- - . ` , CITY OF ATLANTIC BEACH ,{1 \' 800 SEMINOLE ROAD j-- ix ATLANTIC BEACH,FL 32233 � �� INSPECTION PHONE LINE 247-5826 Application Number 08-00001165 Date 8/26/08 Property Address 239 SEMINOLE RD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc REWIRE KITCHEN & CHANGE OUT PANEL Owner Contractor JEVIC SEASIDE ELECTRICAL CONTRACTORS 239 SEMINOLE ROAD 12381 APPLE LEAF DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 525-0205 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 70 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . 2/22/09 . Fee summary Charged Paid Credited Due Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. p .0,-5!..-7-07.i.,...„ CITY OF ATLANTIC BEACH OQ- F I -, 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ��++ t OFFICE:(904)247-5826•FAX NO.:(904)247-5845 , � BUILDING-DEPT @COAB.US _:dj".. ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: / 2.IS THIS A SUB PERMIT: 3.DATE / Z39 ( L E3* /ES PERMIT#: ( � ( ( 2--3 a/7 b 4 8 PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: L _ 54- r/1.tC- �/^ [/ ,{`, �.1�ELECTRICAL CONTRACTOR: / ., -S F CQ MANY: ,!IC UA,c,-1 6 l I' r�v� 8.ADDRESS.:2 6 Z o - 3 /3e ,_ 1 J . 23 s- 9.STATF QF FLORIDA LICENSE NO: 10.CELL PHONE: ( y - 11.FAX NO.: y/- 1 2 ear 6� o/ 35'I 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. C/64" e<S5%HrtiN f-- `/n-Noc . GO,'ti 7 S' - &DOD 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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 w• 's not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)month ime . rk is commenced. A, CONTRACTORS SIGNATURE: 16.CLASS OF WORK: 17. TcRVICE: 18.METER NUMBER: ❑MULTI FAMILY-#OF UNITS: ESIDENTIAL � �Q (�f, Z ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE: p'ALTERATION ❑SIGN ❑OLD ❑NEW pros NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA _❑ REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: u OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: O POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: /-"5--c--) PH: / W: -? VOLT: 7W 0 RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: / 31-100 AMPS: / OVER 100 AMPS: 28. FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: -7 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 600V: NUMBER: KVA: OVER 600V: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: g ---;A.-4:- ijec l' ,-' -t CG ^te./ c,? f ic) / , "NA 26 aoOS COAB FORM BLDG02:REVISED:1/10/2008 r i \ ? ` 1f1 �� , ° CITY OF ATLANTIC BEACH t ,4! -f 800 SEMINOLE ROAD c ,, ;r ATLANTIC BEACH, FLORIDA 32233 ,,. INSPECTION PHONE LINE 247-5826 Application Number 02-00025093 Date 10/29/02 Property Address 239 SEMINOLE RD Tenant nbr, name INSTALL HARDIBOARD SIDING Application description . . SIDING Property Zoning TO BE UPDATED Application valuation . . . 1000 Owner' Contractor JEVIC, LENNY OWNER 239 SEMINOLE ROAD ATLANTIC BEACH FL 32233 Permit W/W/O BUILDING PERMIT Additional desc . Permit Fee . . 70 . 00 Plan Check Fee . 35 . 00 Issue Date . . . Valuation . . . . 1000 Fee summary Charged Paid Credited Due Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total 35 . 00 35 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 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.qa......k.. 41■Q) (.3..... c .BUILDING OFFICIAL o2_ 2oq 3 • f(x , �„. . RECEIVED t � 4 OCT 2 8 2002 B ,I,► City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 4744 Phone: (904)247-5800 • FAX (904)247-5805 http://www/cLatlaillit4eiiheigii BEACH BUILDING OFFICE BUILDING PERMIT APPLICATIOtT 2 8 2002 FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTI N (INCLUDING NEW CONSTRUCTION, REMODEL, ADD IONS . -- AND ALTERATIONS, MOVING OR DEMOLITl q Sir/ DATE <O Ze'( � JOB ADDRESS p73 / QA/`) APPLICANT J.EA1A)j J lz�i Cn _ / ADDRESS 23 ' Sc�--��'�� /� PHONE: 296 �s�(D LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER ZONING DISTRICT CONTRACTOR S� � STATE LICENSE NUMBER ADDRESS 2;57 kC- t,.'J PHONE . y& 476/ CITY 411 ct n�' C m STATE `Z- ZIP 3 2 2 73 FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE L ��Sf�� ' //�' , acrd PRESENT USIVOF LAND OR BUILDING(S) 41e5 de i� //// VALUATION OF PROPOSED CONSTRUCTION 1/, CO C) y 2 C beAzD W/e RQu r t i B''UT Is this an addition? NU If yes,what are the dimensions of the added space: !'/4 feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? ti/e. If yes,please sutlmit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATRIAL?NO.,Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 6/18/02 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL IN• • • • TI PROVED WITH THIS APPLICATION IS CORRECT. , SIGNATURE OF OWNER A (/>vz DATE / I HEREBY CERTIFY THAT I HAVE READ AND EXAIV1INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION. BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) • NAME MAILING ADDRESS PHONE FAX E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 6/18/02 NEW IMPERVIOUS SURFACE REGULATIONS On January 01, 2002, the City of Atlantic Beach enacted new regulations limiting the amount of Impervious Surface that can be developed on property. Within all residential Zoning Districts, the maximum amount of Impervious Surface area allowed is fifty percent (50%). Within all commercial and industrial Zoning Districts, the maximum amount of Impervious Surface area allowed is seventy percent (70%). The Zoning regulations define Impervious Surface as follows: • Impervious Surface shall mean those surfaces that prevent the entry of water into the soil. Common Impervious Surfaces include, but are not limited to, rooftops, sidewalks, patio areas, driveways, parking Lots, and other surfaces made of concrete, asphalt, brick, plastic, or any surfacing material with a base or lining of an impervious material. Wood decking elevated two or more inches above grade shall not be considered impervious provided that the ground surface beneath the decking is not impervious. Pervious areas beneath roof or balcony overhangs that are subject to inundation by stormwater and which allow the percolation of that stormwater shall not be considered impervious areas. Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rain water, however, decking around a pool may be considered impervious depending upon materials used. Information verifying Impervious Surface must be provided prior to issuance of Building Permits whenever new construction, including building renovations or additions, new driveways, decks or porches involves any increase in Impervious Surface area. S • FLOODPLAIN DEVELOPMENT INFORMATION Location:: Type of Development: Flood Zone: Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgment: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date Applicant's Signature Department Use: Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Representative • � 0 ,e 1 .°e>, CITY OF ATLANTIC BEACH /� 800 SEMINOLE ROAD ''* ATLANTIC BEACH, FLORIDA 32233 `'$°; ., INSPECTION PHONE LINE 247-5826 '1,ost Application Number 02-00025047 Date 10/22/02 Property Address 239 SEMINOLE RD Application description . . ROOF Property Zoning TO BE UPDATED Application valuation . . . 2200 Owner Contractor JEVIC, LENNY AlA ROOFING INC. 239 SEMINOLE ROAD 1700 SOUTH SAN PABLO #1011 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 249-6999 Permit ROOF PERMIT Additional desc . Permit Fee . . . 45 . 00 Plan Check Fee . . 22 . 50 Issue Date . . . Valuation . . . . 2200 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 0. II*rE 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. '4% 6.‘,... C ' /1:71". ■ BUILDING OFFICIAL RECEIVED OCT 2 t 2002 B fl )' City of Atlantic Beach• 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 •FAX(904)247-5805 •http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR ROOFING JOB LOCATION 3 \ Sem"nor Ail i L yiC12 FL . '3Q33 OWNER OF PROPERTY 1--R-fl(At V 1 C PHONE# CONTRACTOR A Ro y no) C o C - CONTRACTOR ADDRESS 1700 S ' n O IRO. -iO l 1 ZIP CONTRACTORS LICENSE NO. CeC 9 LA PHONE# )Pt— SCOPE OF WORK KCOOP4, DECK SLOPE G' c HAN 2 : 12 LESS THAN 2 : 12 (I , I ACTUAL VALUATION OF WO $ 12W'� ``L L PRODUCT NAME&MAMMAf 0114 ,` I 'irwri P10�;(1°l t r,, TO BE USED �( RAASc P r��A01 CitfIU�e WO) ASTM DESIGNATION(S)D S I W 1 REQUIRED INSPECTIONS SHEATHING FINAL LIBILITY INSURANCE POLICY SUPPLIED YES NO APPROVED WORKERS COMP.POLICY SUPPLIED YES NO CITY ATLANTIC BEACH BUUI LDING OFFICE CONTRACTOR LICENSE SUPPLIED YES NO OCT 2 1 2002 OCCUPATIONAL LICENSE SUPPLIED, YES NO By. L`4-7-r--,(4'. SIGNATURE OF OWNER I SIGNATURE OF CONTRACTOR SWORN TO& SUBSCRIBED BEFORE ME THIS DAY OF Di-C)1 t 200 AS � ,_ JENNIFERSCHLUETER 1 / /� *- COMMISSION . .. a • PUBLI >tfr,n°�, EXPIRS:M;, Apm,001/4 r TTE aadf 03 Coi an ,cp.3/2105 n cc 98 ; U AS TO CONTRACTOR WI niti PUBLIC U • - CITY OF /Man tis Beach-41(o'g i da Office of Building Official REQUEST FOR INSPECTION Date ( © ) - Permit No, '1 Time A.M. Received PM. a4 sr-r 1 lc)� LA_ le_A Job Address Locality Owner's l 7—� / t / //'�� A goor-)9 Name `J JV `` `� Contractor • " ' BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ . Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ '^ 'LfY /t.( READY FOR INSPECTION Pre Fab A.M. Mon. .01/ Wed. Thurs. Friday • P.M. V �� Inspection Made ``y� ,v A.M. PM. Inspector .)"1". ix Final Inspection ❑ Certificate of Occupancy ❑ Date r ‘1f J I E •.;4 CITY OF ATLANTIC BEACH ii, S) 800 SEMINOLE ROAD 131 47 ATLANTIC BEACH, FLORIDA 32233 peemoa- INSPECTION PHONE LINE 247-5826 Application Number 02-00024822 Date 9/19/02 Property Address 239 SEMINOLE RD Application description . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning TO BE UPDATED Application valuation . . . 1000 Owner Contractor JEVIC, LEONARD OWNER 239 SEMINOLE ROAD ATLANTIC BEACH FL 32233 (904) 246-5161 Structure Information ENCLOSE EXISTING SCREEN PORCH Permit BUILDING PERMIT Additional desc . ENCLOSE S .PORCH ADD 4 WINDOWS Permit Fee . . . 15 . 00 Plan Check Fee . . 10 . 00 Issue Date . . . Valuation . . . . 1000 Fee summary Charged Paid Credited Due Permit Fee Total 15 . 00 15 .00 . 00 . 00 Plan Check Total 10 .00 10 . 00 .00 .00 Grand Total 25 . 00 25 . 00 . 00 . 00 i BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE 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. d■.� C - BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET^n Address d'3 �1 �l ' �c� L� ca0 Date 5. 1 ��-- Heated Square Footage i per sq ft = $ Garage/Shed @ $ per sq ft = $ • Carport/Porch $ per sq ft = $ Deck @ $ per sq ft = $ V Patio @ $ per sq ft = $ TOTAL VALUATION : $ 1000 . Total Valuation 1st $ Remaining Value $ . per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15. 00 $ . BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT. $ SEWER TAP $ ( )RADON (HRS) . 0050. $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ F- Oct GRAND TOTAL DUE $ 2(5. 0A.10 _ ADDITIONAL PERMITS OR FEES : Mechanical ; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : -3Vf�3 (.1-6r r,,,„ APPROVED iirEEIVEtb CITY OF ATLAN i tC tHi;N BUILDING OFFICE. • 2822 SEP 18 20. r Lr SEP 1 7 2O 2 City of Atlantic Beach ' - Building and Zoning City of Atlantic Beach • 800 Seminole Road • Atlantic Beach,Florida 32233-5445 Phone:.(904)247-5800 • FAX (904) 247-5845 •http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS,SKYLIGHTS AND GARAGE DOORS OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION Date i'11- Z Address where work is to be performed 31 5 M INU CC Z) A-TLA J I IC 13FAC Hi FC 3? ?33 Applicant L G-• J J I L Address 35 e RJ) Prric,K+,c 1,, FL Phone: 904) Z t(o 'S( (o I Legal Description: Block Number Lot Number Zoning District Contractor S i l-1` State License Number Address Phone City State Zip Fax Describe Proposed Use and Work to be Done I n E AC_I SdAP P. >C r Sfrn) Sciea-1 Pt. �! tr `'1 , 1 w: �C11C1�JJ Present Use of Land or Building(s) es. e Valuation of Proposed Construction 4 1000 •.CO ;AO .y4 44e' I . Building Date: 9''-ISS'e� J Mean Roof Height 13, (ft) Building width 7 (ft) . Building Length $ / (ft) Roof Slope Ix I *Window Elev. ro (ft) Window Height 4 (ft) Window Width 4' (ft) Measurement from corner of building to window . S (ft) { 5r✓e w 4 l,c� a v.) 45S �r fir* S cQ e/ Re"� W S Zz3 e. 3 if 2 �(0'/2/i ' a *Window Elev.From Grade -:v Itiletrif4r. :47, • 3 f P 6 , ter,' ( o of Atlantic Beach l ililding and Zoning City of Atlantic Beach • 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • FAX (904)247-5805 . http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) _ DATE JOB ADDRESS :).1 Vie✓', ;40I Q 04, ,�� lc_,�+, t�E�.� t, Sze S3 APPLICANT ' �+►L`J j F n�C /� ADDRESS Z t Sc +� �L �c1, r 1"( Ic, .ti 1:, 6( l PHONE: (c(00 ? 1.(0 ` S /(c I IKt o� Sc J f ��I to�r Z ; ie.�,:w le (CM S`x,t h /i L-04 'I 6g f4 JS- La+ y$C LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER ZONING DISTRICT D_AtI I CONTRACTOR OL ``n.L r STATE LICENSE NUMBER ADDRESS PHONE CITY STATE ZIP FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE ut I u C)C i.5 % ( _S c♦ ^e 1I c'C �c?�t� �•us cX;$4)' C Ake VIact( &se Roc, PRESENT USE OF LAND OR BUILDING(S) 9C S•t8.,A-14,1 VALUATION OF PROPOSED CONSTRUCTION I I COO•O C ( • c( es Mc44-F,r►�.,� ) Is this an addition? C If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? `sy:: New electrical or increase in service? New plumbing fixtures? tiv New fireplace? N.)U New heating/air conditioning? &J Is approval or Homeowner's Association or other private entity required? IV U If yes,please sullmit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? SNO.Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 6/18/02 .-. STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFO TION RO , WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER ` ./' G c} DATE 6 16 -c I HEREBY CERTIFY THAT I HAVE READ AND EXAM ED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND_ CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION. BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) • NAME L e- 'N 41) G. SC. iQ MAILING ADDRESS 2)'k sQ.",)„u:(C ' t) j ptt(�,,i,4-<< % R�- PHONE at/(D '6-((c( FAX E-MAIL G'S Lw, () 40 (L:C u 4” Apt . SWORN AND SUBSCRIBED BEFORE ME THIS I LP 41`- DAY OF STATE OF FLORIDA,COUNTY OF DUVAL �q �1 -- rr , NOTARY'S SIGNA ' ' It It ►li '\5 1""q ,,.••'7':•-•,, JENNIFER SCHLUE7ER AS TO • ' j '.,'-'-,' MY COMMISSION#DD 121301 ❑ Personally known *• EXPIRES:May 27,2006 sa Produced identification (�/,y/ -,-;„1.7'...--„,...v. , •• N,Y gonded Thru Notary Public Underwriters P;; Type of identification produced FL/1)1,-5-1 2 Q AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 6/18/02 • FLOODPLAIN DEVELOPMENT INFORMATION N 1 Location:: Type of Development: Flood Zone: Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: • Applicant Acknowledgment: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date Applicant's Signature Department Use: Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Representative NEW IMPERVIOUS SURFACE REGULATIONS On January 01, 2002, the City of Atlantic Beach enacted new regulations limiting the amount of Impervious Surface that can be developed on property. Within all residential Zoning Districts, the maximum amount of Impervious Surface area allowed is fifty percent (50%). Within all commercial and industrial Zoning Districts, the maximum amount of Impervious Surface area allowed is seventy percent (70%). The Zoning regulations define Impervious Surface as follows: • Impervious Surface shall mean those surfaces that prevent the entry of water into the soil. Common Impervious Surfaces include, but are not limited to, rooftops, sidewalks, patio areas, driveways, parking Lots, and other surfaces made of concrete, asphalt, brick, plastic, or any surfacing material with a base or lining of an impervious material. Wood decking elevated two or more inches above grade shall not be considered impervious provided that the ground surface beneath the decking is not impervious. Pervious areas beneath roof or balcony overhangs that are subject to inundation by stormwater and which allow the percolation of that stormwater shall not be considered impervious areas. Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rain water, however, decking around a pool may be considered impervious depending upon materials used. Information verifying Impervious Surface must be provided prior to issuance of Building Permits whenever new construction, including building renovations or additions, new driveways, decks or porches involves any increase in Impervious Surface area. �f rL►`Jr�,l CITY 00 SEMI NOLE BEACH H ROAD • J`S ATLANTIC BEACH,FLORIDA 32233-5445 SA TELEPHONE:(904)247-5800 ) FAX:(904)247-5805 J� .. � SUNCOM:852-5800 http://ci.atlantic-beach.fl.us -*/ CHAPTER 489,FLORIDA STATUTES,PART 1"CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA"CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. r PR TY OWNER/BUILD pp '7 _ a35 S Mt1J0( � '1&b Pt�-••o 'C ((e4C�,r`- ADDRESS 3 Z33 SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 20 . NOTARY PUBLIC MY COMMISSION EXPIRES: N(lTF• PHRACFC I NTIFRI TNFT) AR(lVF I,u LOS v;f, .d.",D;GU tt1_>s bt)'4 iii. ORii_`.7 18 t;; t./!'S.t r'J' loll`? i �uw/vvr. y ■ z.at SOOT 44 qt. OV MOP SHOWING SURVEY t.CR 4114 ■ ALL oe LOT®----___B LOCK-—-®- ,_jiAa t sc c71 QSi. ua AS RECORDED IN pLAT BOO i1?_.PACE I OF THE CURRENT PUBLIC RBCORDS OF cam,/..A... COUNTY.fWRiIlA 1 a r.ar4_ !;SM1 uoL BEAC1�- rOAa tfs_..T Fw..p rl[ u.tE .1%,.. - _ . -se7Gp� 1[w.IBS ! _ • °=r• tS.e 7M e Q : .o e.i twit. >w a 0 11 t P ,� -`"'' ,M1 se i x401.4 i3G .tg 1 • v 1•eT a RV sv 1 1. IN ~ FC�Me _ 111...1. I?1 'a bl ,0 see7gtrLe g . 0 17,0• 7A_ tt.4• Mows- A7 �.�' l'.; . S1a4S Loa° t a 0 7. 66rT 490. D . t•r.\" 7-4' I 4 .I 8 r •0 6oT 403 I.WS T- t i ij Fwt! Srt47ta r i Y Tquc 4 . .eb a•s1ltII F \.• 1 MT&Tut sloe a 4e tI1LIL _,1.Lt. _ \ten., Il_-- yl .. s _ - .......-.1.-; [.l 7SS-- 1r.w PIP.. ....�C 7S-d1?' 13.5. oe....0'i2- c11144.0 / qwMO Stow 15111c Fla WS I.WI 49* 6 z°I' 4.11 Lot 49 t. i Leer i96 HOYE: THEM MT BB ADUIIT26NA( RCSTRICTIO$S ? 7 AFP.tOTES TNAT ARE NOT SHOWN ON 29118 SURVEY BUT MAY if ram i. This Is a boundary survey. IN TNC PUBLIC SacOROE OA PACILI?IL5 Qt'?HIE coUHTY, 2. Flood Bone x as best escertsh red fr m flood insurance Rote Msp,community pones ne o o=ne-omaadsted 4.1-7.,8s 3. This survey is not I determinate:1.af ownership 4. Business license 08470 I HERESY CERTIFY TO Led►.A4D Leaeare, Ma. AC es T°•1.4°,4.4.I4. 6OPre•,a 4LEaa7 v,.04a I►..5e..fyj F,aea-rc� 711,-, 3OLMC�3 .✓4 • ...p LI PVO1.%t o9a..LVU- T.9Li '' I 14%.1.44.6Q eer9°Akre THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS AS P SET FORTH BY THE FLORIDA HOARD OF LAND SURVEYORS.PURSUANT Marv' .Banks TO SECTION 471027 PT.ORIDA STATUTES AND CHAPTER 61G17-6 Jrl]RVt' OTSiC. PLOAIDA ADMINISTRATION CODE X66 MANGROVE AvE. a.oary►ac-cr92arlso tasavEvaa tip.4470 JACKSONVILLE.FLORIDA 32246 Marvin R Hanks (904)642-2520 SIQNSD err.',.IS a% lg 19 Ai_ 4 5'117 _ SeALEi 1-'2o' • THIS SURVEY NOT V A11D UNLESS THIS PQINf IS EMICiSSED WITH THE SEAL OF THE ABOVE SIGNED -L w N 1 % 7- -CI � , a � s .. ? w w 6' ot oc> a \W d S N./ p t C`o j t -c_ ) //4,NN f f 1 7 , - - - { E--4 -I— , 0 C' i ) tji 1 ii \ ( , ______7, , .7 ' ('1 0 L,.) d tf, -,_\ -6L - c 61, A' c. 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Po'` 0 . ` Il ill ' • 1 1 mile of coast(Fxc ,) A ° \ ilell,gni 1 i, ' Mato Basic Wind Speed � �► Section 1606.1.6 `$, 'I:,�;r, `�adr f ® 1)Values are nominal design,3-second gust wind speeds ∎8' ®® ::try in miles per hour(mph)at 33 feet(10 m)above ground ," �Ay tip ' for Exposure C Category. Z)This map is accurate to the county.Local governments MI; estabish specific wind speed/wind-home debris is using physical lar ch-narks such as major roads,canals, ■Y� 'r rivers,and shorelines. -_ • , F. .1 Ise i 3)Islands and coastal areas outside the last contour shah .�. use the fast wed speed contour cf the coastal area. A. `,1" 4)Mountainous terrain,gorges,ocean promontories,and special wird regions shalt be examined for unusual r •,p°� wind conditions. 5)Wind speeds are American society of Civi Engineers Standard(ASCE 7-98)50-100-year peak gusts. ,� °M + 2 o- %; STATE OF FLORIDA r..? 's_Y'e r ...-> a '' l k WIND BORNE DEBe RIS REGIO....N & BAS IC WIN D SPEED ...* x: � _ r .N G Yx x ...,....,,,,.;,..•,- '# m S r §1606.1.4 Protection of openings. In windborne debris regions, exterior glazing that receives positive pressure in the lower 60 feet (18.3 m) in buildings shall be assumed to be openings unless such glazing is impact resistant or protected with an impact resistant covering meeting the requirements of SSTD 12, ASTM E 1886 and ASTM E 1996, or Miami-Dade PA 201, 202 and 203 referenced therein as follows: 1. Glazed openings located within 30 feet (9.1 m) of grade shall meet the requirements of the Large Missile Test. 2. Glazed openings located more than 30 feet (9.1 m) above grade shall meet the provisions of the Small Missile Test. EXCEPTION: Wood structural panels with a minimum thickness of 7/16 inch (11.1 mm) and maximum panel span of 8 feet (2438 mm) shall be permitted for opening protection in one= and two-story buildings. Panels shall be precut to cover the glazed openings with attachment hardware provided. Attachments shall be designed to resist the components and cladding loads determined in accordance with Table 1606.2B. Attachment in accordance with Table 1606.1.4 is permitted for buildings with mean roof height of 33 feet (10 m) or less where wind speeds do not exceed 130 mph (58 m/s) . AA A 101/LS.2-97 TEST REPORT SUMMARY Rendered to: MI HOME PRODUCTS,INC. SERIES/MODEL: 740/744 TYPE: Aluminum Single Hung Window with Flange Title of Test Results , Rating H-R45 53 x 73 Overall Design Pressure 45 psf Operating Force 23 lbs max. Air Infiltration 0.10 cfrn/fl Water Resistance 6.75 psf +67.5 psf Structural Test Pressure -70.8 psf Deglazing Passed Forced Entry Resistance Grade 10 Reference should be made to Report No. 01-40351-04 for complete test specimen description and data. For ARCHITECTURAL TESTING,INC. , 47,0.-A. _Mark A. Hess,Technician MAH-baw •v-. - _ /S Ft41AV4 Cy 2 D DOCUMENT CONTROL ADDENDUM#01-40351.00 Current Issue Date: 02/14/02 Report No.: 01-40351.01 Requested by: William Emley, MI Home Products, Inc. Purpose: AAMA/NWWDA 101/I.S.2-97 testing of Series/Model 744 aluminum single hung window with flange. Issued Date: 12/28/01 Comments: Florida P.E. seal required on report. Certification copy to John Smith at Associated.Laboratories,Inc. Report No.: 01-40351.02 Requested by: William Emley,MI Home Products, Inc. Purpose: Change of glass type. Issued Date: 12/28/01 Comments: Florida P.E. seal required on report. Certification copy to John Smith at Associated Laboratories. Report No.: 01-40351.03 Requested by: William Emley,MI Home Products, Inc. Purpose: AAMA/NWWDA 101/I.S.2-97 testing of Series/Model 740/744 aluminum single hung window with nail fin. Issued Date: 02/14/02 Comments: Florida P.E.seal required on report. Certification copy to John Smith at Associated Laboratories,Inc. Report No.: 01-40351.04 Requested by: William Emley, MI Home Products, Inc. Purpose: Revised Report No. 01-40351.01 Issued Date: 02/14/02 Comments: Changed Series/Model from 744 to 740/744 and unit size from 52 x 71 to 53 x 73. Florida P.E. seal required on report. Certification copy to John Smith at Associated Laboratories, Inc. • Ay- ,'-E.eng /ay 2°a • 1 A01-40351.04 IV. Page 4 of 4 Test Results: (Continued) Paragraph Title of Test-Test Method Results Allowed 2.1.8 Forced Entry Resistance per ASTM F 588-97 Type: A Grade: 10 Lock Manipulation Test No entry No entry Test Al thru A5 No entry No entry Test A7 No entry No entry Lock Manipulation Test No entry No entry Optional Performance 4.3 Water Resistance per ASTM E 547-96 (with and without screen) WTP=6.75 psf No leakage No leakage 4.4.1 Uniform Load Deflection per ASTM E 330-97 (eaurements were taken on the meeting rail) Loads held for 52 seconds) @ 45.0 psf(positive) 0.95* 0.29"max. @ 45.0 psf(negative) 0.79* 0.29" max. * Exceeds 11175 for deflection,but meets all other test requirements 4.4.2 Uniform Load Structural per ASTM E 330-97 (Measurements were taken on the meeting rail) (Loads held for 10 seconds) @ 67.5 psf(positive) 0.14" 0.20" max. @ 67.5 psf(negative) 0.16" 0.20" max. 4.4.2 @ 70.8 psf(negative) 0.19" 0.20" max. Detailed drawings,representative samples of the test specimen, and a copy of this report will be retained by ATI for a period of four years. The above results were secured by using the designated test methods and they indicate compliance with the performance requirements of the above referenced specification. This report does not constitute certification of this product which may only be granted by the certification program administrator. For ARCHITECTURAL'TESTING,INC: 7///..-' d- //,— -> a-/-1-... /2c.-...--- . - _.-- Mark A.Hess Allen N. Reeves,P.E. .. : . . , Technician Director—Engineering Services _ /� FE.e.cvrny ZooZ _ -• - - �- MAH:baw _ __ 01-40351.04 = I 01-40351.04 Page 3 of 4 Test Specimen Description: Drainage: Sloped sill Reinforcement: No reinforcement was utilized. Installation: The test buck was fabricated from 2 x 8 #2 Spruce-Pine-Fir. The unit was secured utilizing three 1-5/8" drywall screws through the jamb track, 5" from sill, 1-3/4" below meeting rail and 1" from head. The head utilized drywall screws 3-1/2" from jambs and rnidspan. Exterior perimeter was sealed with silicone. Test Results: The results are tabulated as follows: Paraeraph Title of Test-Test Method Results Allowed 22.1.6.1 Operating Force 23 lbs 30 lbs max. 2.1.2 Air Infiltration per ASTM E 283 (See Note#1) @ 1.57 psf(25 mph) 0.10 cfm/ft2 0.30 cfrn/ft2 max. Note #1: The tested specimen meets (or exceeds) the performance levels specified in DA 101/LS 2-97 for air infiltration. 2.1.3 Water Resistance per ASTM E 547-96 (with and without screen) WTP=2.86 psf See Note#2 No leakage Note #2: The client opted to start at a pressure higher than the minimum required. Those results are listed under "Optional Performance". 2.1.4.2 Uniform Load Structural per ASTM E 330-97 (Measurements were taken on the meeting rail) @ 22.5 psf(positive) 0.20" max. @ 22.5 psf(negative) See Note#2 0.20" max. 2.2.1.6.2 Deglazing Test per ASTM E 987 In operating direction at 70 lbs Top rail 0.06"/12% 0.507100% Bottom rail 0.06"/12% 0.50"/l00% In remaining direction at 50 lbs Left stile 0.03"/6% 0.50"/l00% Right stile 0.03"/6% 0.50"/100% • --.. = -• _ lS fiEBtvARy Za0 • I 01-40351.04 Page 2 of 4 Test Specimen Description: (Continued) Weatherstripping: Description Quantity Location 0.330" high by 0.187" 1 Row Fixed meeting rail interlock backed polypile with center fin 0.170" high by 0.187" 1 Row Fixed lite, stiles and top rail backed polypile with center fin 3/8" diameter hollow 1 Row Bottom rail bulb gasket 0.310" high by 0.187" 1 Row Active sash stiles backed polypile with center fin 0.150" high by 0.187" 1 Row Active sash stiles wide polypile Frame Construction: All frame members were constructed of extruded aluminum with coped, butted and sealed corners fastened with two screws each. Fixed meeting rail was secured utilizing one screw in each end directly through exterior face into jamb. Silicone was utilized around exterior meeting rail/jamb joinery. Sash Construction: All sash members were constructed of extruded aluminum with coped and butted corners fastened with one screw each. Screen Construction: The screen frame was constructed from roll formed aluminum members with plastic keyed corners. The screening consisted of a fiberglass mesh and was secured with a flexible vinyl spline. Hardware: Description Quantity Location Plastic tilt latch 2 One each end of the interior meeting rail Metal sweep lock 2 13" from meeting rail ends Balance assembly 2 One per jamb Screen tension spring 2 One per end of screen stile . Tilt pin 2 One each end of bottom till- = ._ _ • �� /,5' F�t3RvAArZs�z- - A Architectural Testing AAAWNWWDA 101/LS.2-97 TEST REPORT Rendered to: MI HOME PRODUCTS,INC. P.O. Box 370 Gratz,Pennsylvania 17030-0370 Report No: 01-40351.04 Test Date: 10/22/01 And: 10/23/01 Report Date: 02/14/02 Expiration Date: 10/23/05 Project Summary: Architectural Testing,Inc. (ATI) was contracted by MI Home Products,Inc. to witness performance testing on a Series/Model 740/744, aluminum single hung window at Nil Home Products, Inc.'s test facility in Elizabethville, Pennsylvania. The sample tested successfully met the performance requirements for an H-R45 53 x 73 rating. Test Specification: The test specimen was evaluated in accordance with A 101/1.S.2-97, Voluntary Specifications for Aluminum, Vinyl(PVC) and Wood Windows and Glass Doors. Test Specimen Description: Series/Model: 740/744 Type: Aluminum Single Hung Window With Flange Overall Size: 4'4-7/8"wide by 6' 0-1/8"high Active Sash Size: 4'2-3/4"wide by 2' 11-3/4"high Fixed Daylight Opening Size: 4' 1-1/8" wide by 2' 9" high Screen Size: 4' 1-7/8" wide by2' 11-5/16" high Finish: All aluminum was polished. Glazing Details: The active sash and fixed lite were glazed with one sheet of 1/8" thick clear,tempered glass. Each sash was channel glazed using a flexible vinyl gasket. - 130 Derry Court - - • .- _- - York,PA 17402-9405 - - -. phone:717.764.770D - - fax: 717.764.4129 - vww.testati.com aee.s.e AS or AC Rif vR iB y 2 0 0 2- CITY OF ATLANTIC BEACH BUILDING AND ZONING 800 SEMINOLE ROAD ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 904-247-5826 Application Number 02-00024792 Date 9/12/02 Property Address 239 02-00024792 RD Application description -,_ - a ► ICAL ONLY Property Zoning . . Tp BElk. DATED Application valua on ,. . . 0 Owner `Contractor — : JEVIC, LEN ' DONOVAN HEATING & AIR 239 SEMLNOLE .ROAD,B�2 ,t,.�_..,...• 315 SIXTH AVENUE' SOUTH ATLANTIC BEACH FL 32233 JAX BEACH ..K FL 32250 .' (904) 241-3785 Permit MECHANICAL PERMIT Additional desc . REPLACE CONDENSER & AIRHANDLER -,; . Permit Fee . . . 33 . 00 Plan Check Fee' . . 00 Issue Date . . . Valuation 0 Fee summary Charged "`"'"" Paid Credited e I Permit Fee Total 33 .00 33. 00 . 00 .00 Plan Check Total . 00 00 . 00 . 00 Grand Total 33 . 00 33 .00 . 00 . 00 , r r) 'ti. Aft - ' 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 REVOC ON FOR VIOLATION OF PPLI BLE PROVISIONS OF LAW. s ) 1>%.,.. C ` BUILDING OFFICIAL BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BRACH,FLORIDA 31133 APPLICATION FOR MECHANICAL PERMIT CALL•IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. l'—e7Zj-_ LOCATION Street Addruu_(� • OF let flog Streets: 6•M..n And • BUILDING Sub•d is lsion II. IDENTIFICATION —To be completed by all applicants. In consideration of permit given foe doing the work as described In Ih•above statement w• hereby agree to perform said work in•ccordanc• with the •ttechtd plans and specifications which ••r• • pert hereof and in accordance with the City of Jacksonville ordinance and standards of good.pracfic• listed therein. Neme of Machanlaal ..bo A ��r wry a„ it ri- (or Contractors (�C! Cenkealer (filet) ,►I Vl/ (fl/k/I (� 1�{ M•st.r C/"[ l_) _1��^ Nome of c Property Owner rv' I Signefere d Owse Sign•toro M • Aelherlud Agent f^/'A)_Y r/ Archit.el or Engln •r III. GENERAL INFORMATION A. Type of heeling fuels B. IS OTHER CONSTRUCTION BEING DONE ON X Electric THIS BUILDING OR SITE? �. ❑ Ge—❑ U ❑ Netrrsl ❑ Central Utility IF YES. GIVE NUMBER OF CONS OII CONSTRUCTION 1:1 PERMIT ❑ Other—Specify IV. MECHANICAL EQUIPMENT TO II INSTALLED NATURE OF WORK • (Previte complete list of componenh oe bad of this form) AC-Residential or ❑ Commercial PR-...Heat ❑ Space ❑ Recessed M pnh.l ❑ poor ❑ New Building s- Nr Conditionings ❑ Room Ar'C.etrel ,❑y Exleling Building ❑ Dec? Material ThIckn.,• `�9aplacement of existing system Mulmem upecity ❑ New Installation(No system previously Installed) ❑ Re6lgereHon ❑ Extension or add-on to existing system • ❑ Other—Specify ❑ Cooling tower: Capacity g••m• ❑ Fire griellersI Member of heed. ❑ Elevator ❑ Wank ❑ Escalator (number) THIS SPACE POR OFFICE Ulf ONLY ❑.G.eoils•pomp. (camber) IReemhed) Teek. (camber) Remarks • ❑ ukcis c.efeblers (number) ❑ Unfired pressure vessel ❑ Permit Approved by Date Were • O Other—.Specify Permit Fe. LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT •••bar Uinta Description Yodel Number Manufacturer C(Kboe) wVPros'gr�[ • HEATING • FURNACES, BOILERS, FIREPLACES papas! Appro Number Mats Description Nadal Number Manufacturer (g•I4I1 A.poop TANKS Row Many Nominal Capacity TYP•1.14u14 Name of S•rIs) Ap�rovin f and Dimandato Contained Manntacttaar No. A fend 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: 18526 Address: 239 SEMINOLE ROAD Permit Type: STORAGE SHED ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SHED Lot(s):484-485 Block: Section: Square Feet: Subdivision: SALTAIR Est. Value: Parcel Number: 484/485 Improv. Cost: 1,400.00 OWNER INFORMATION Date Issued: 7/20/1999 Name: JEVIC, LEONARD G. Total Fees: 25.00 Address: 239 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/20/1999 Phone: (000)000-0000 Work Desc: REPLACE OLD SHED WITH NEW WOOD, SHINGLED STORAGE SHED PER PLANS CONTRACTOR(S) APPLICATION FEES PROPERTY OWNER PERMIT 25.00 .— ` inspections.Required FOOTING FINAL BUILDING 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. $25.08 14 Tate: 7/29/39 81 Receipt: 007382257 ,'.-- `a■._ CHECKS 0019000321008 A NTIC BEACH BUILDING DEP RECEIVED CITY OF ATLANTIC BEACH i1 j+, 1 6 1999 PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS Beach MOVING, DEMOLITIONS City Building and Zoning Owner(s): L6O,t)4L/ G . J (O/(' Job Address : 335 SbM/,t)oc e !71) Phone : (9oy� LS/6 /6/ yz 4iN Lot# 1485 Block or Unit# Subdivision: 5 f Ati. Contractor: f ►.)kIL State License# Address : Phone No: City State Zip Code Describe work to be done: g>S PLfir L Uc.v EA'IS 7'it%G- J TdiZ 4{r( S 6'I REPto Ji OLi riA-f,Z 2 Ue r A.)L ) Word , 5 HI A)GC,E,I ST0RA3-€ 5 tt£) Present use of building: S7DQfrc,-¢ Valuation of Proposed Construction: /'�oG .ou Proposed use: STp24G-E Is this an addition? go If yes, what are the dimension of the added space: ft. X ft. Will the added area be heated and cooled? New electrical(or increase)? New plumbing fixtures ? New fireplace? New Heat/AC? SUBMIT THREE(COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENMIT CI I E FS S, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTORS T, I I E' ' CONT'iACTORS. Signature OWNER: i� / Date: 7.-'�‘ -95 Signature CONTRACTOR: Date: AS TO OWNER: Sworn to and subscribed before me this ,�j day of �0 9 C9 F.�4�` (��(it-t.L°L4 i ' / %i \c„ �G, NOT• 'Y 'UBLIC -r to EXPIRES , ? G :t.; ,.t :As LION I AS TO CONTI ��'1v �0�� ''��".-` August 27,2000 C\� � O ` '�� '4,4,h`� BONDED THOU TROY FAIN N0.SURANCE,INC. Sworn to and subscr for•i, his day of , 19 NOTARY PUBLIC 1 - A A i .�a,, 11,It _ .t _jI = CITY OF `,, 14cead - wctda ?$ 800 SEMINOLE ROAD a3 __ ATLANTIC BEACH.FLORIDA 32233-5445 . TELEPHONE t904)247-5802 ' - FAX(904)247-5805 - SUNCOD"I 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ' ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER 2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228( I). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS - CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISC 'SURE STATEMENT AND THAT I COMPLY WITH ALL .- THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER P7-M . _ .. 2j1 "". "ERTY OWNER/BUILDE 23? 5eet;„.0(e_ Z 1 7Y& �7C/ ADDRESS TELEPHONE e►y SWORN TO AND SUBSCRIBED BEFORE ME THIS D OF ✓ 19 /. NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ,,u�l,,, PabiciaAmonette ARE EMPHASIZED BY THE BUILDING V‘ t EXPIRES DEPARTMENT. 4M• %4 MY COMMISSION ��' 11 August 27,2000_ • ;,�" ` _ 90NDED m u TREY FNN INSURANCE INC. r. u. 0 o ,—'''' k..Ei,,o,, of 7 0 L' , a 13.o , S.0.• - ST4P5 ?J �� r; ;;] 4 9 3 99 S«,�il� 4 su " 6 19 potrcy W t Y s" v of gticnfic oi V l ST4KY - uiiding an Beach h Wit At-NV d Zoning Ca Rea. x t�� n - 0 hh e•oat(MIL,* 3 r V hTt'AL 0 t3,c. ' 3.5 a .4' / s-rcvs S.Ht6 - ° 0 (i 'r.4' e / T.el O .J 0 -Q - Li d +r aT 4 63 J 0 4 mi.. J .q' �• 4 --� ` e LOT OS.-. r AR ' r, _ ..P 1 .."' ,,, �J(""��-1 - .• NCE 2,u . M i - ' I y s ' 8.-i-7- -\ 13 3 C1+40U iVT P ~ Z.--. t 3,,s•/ 1L x 4 O. y L1UK 4 0 FENCE �•C ‘,-.1 6.),;$ Tl yt4 W x wows�aLG 0,..-•-� k f^ riIllr,wti ad we 9 `� .� NI IS.1 3o.s i.5 e A' o- G..a ` ' In'J,s\ i.z' ceutE r� . _ B l5.o V .. _ _ ` O.S c1-‘0.S.S IS,OG ' 1-----23' Ot. KooU4 tt% '•a a.. O\hri Ke►rc4 Weep I.CB,+GAY 1_ 496 , l.ai 491 1.oT 4q'...• ,.°T 4q5 NOTE: • 'r1IRRR MAY BE Aw[TrIONAr. RESTPICTfONn THAT APPLY NOTES: THAT ARE NOT SHowN ON 'PH J.:1 SURVEY tIIYI MAY RF FOt11411 IN THE PUBI.T.0 ttECORBS OR r•AC.T t TV( Ur T11I5 COUNTY. t. TI u, is a boundary survey. .. .. _. . .__. . . . 7 Pt!nd zone x as best ascertained from Flood insurance • R.1I p Map,community panel no szoars•«,oti4ated 4-u-+•e.S 3. Till survey Is not a determination of ownership d. Fi•fi:iiness license 06470 I HEREBY CERTIFY TOs . 1-LnuiaQD L,sznRC.e • HAAc',',ft,et ¢,•-Y JE,J,t , s-.yAw-r =epe4p.ti. cemDs* uv,orJ , PO`,cvc,cr.'--i r,$C3-r ,L 4...^s- -,T`! Se¢.-"RCUS ,;►.+G , +..t:) Si.,:L'i`UUL\G ua-r,,,,„ T,T,P_ 1I.1bN re.aNIGH cor,$)0.Le?' THAT THIS SURVEY MEETS THE MINIMUM 7ECHr ICAI. STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANT 'I„irrX . Banks TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 61G17.6 Uiv o s� ttc_ FLORIDA ADMINISTRATION CODE. _�+, y �-. %rte'' " 't .� ::866 MANCROVfr. AVE. FLORIDAREGt;TRE1 SURVEYOR NO,4470 1 A C F SONVI LLE, FLORIDA.32246 Mssi R. Banks VW(711-2, z4 S4NED. o Tossz 14 19 gl SCALE: ►--. 20' T IS.SURVEY NOT VAUtI UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE APOVE SIGNED ROI i.0( 2 0,1,1 Yid )2t1 1.. x31.8 17:- tO0 NV:' Ar .60 ( r. ', l _0 - T 'd 9810-Sk9 I l agdwe0 L1 . H d04. :*0 66 *I I nr 0o 0.1 - ' 7� O 2C T� o d 0'. ...--.L...:—... x'1 I At ]tom t et 7 73 0 O . iV j 13.o S.a•.r 271•3 ohs+ .. W W J 24.2 � � 2 0; T , 1999 see{ru 0 ,I' j!.!!.. -4 J p01�cy i v11. r 40 0 4 ►•:Tonri C 13uilding t� of Atlantic Boa h d l N FitJwMY ��`. w t„ n and Zonin • teen n6Le , 0 a 0• 0 _ ysY�L 0 ►- 0 ‘'s.45 �S 21.4 1 ' STEPS SMIO r Q A ; I ..01 0- . ° �o� ae3 ^V Q 4 A I14I Y r '\... 40 L07 ':b'_' r' wv oa W Ncf =,o t i 1 gPti . *.1 ' ' 1 t. Lt.. t 5sP7 t c w 4 tk Y FE,4c.c ..wrtc 4 No►v PL� *..... 9. %' POR7.00 Its) x r,„,-r,„,-,..„. r y 9.4. l'.. P 1+..r r r ■.s � et..• in.44 4a 1.1' Iceutt F.,lu\10 1i3,. 9.9' cimams w4.oa ' i 23.5• . o.s Fo.,kh `!1�- Itou W hop %Moir P.C.% .4�.. s•tar 4 Csua! L, I 446 i LPi 441 S I l.dT 4ri v I L. T 4415 JV�PG NOTE: STRIr O4\G 0TH PI I 'ritrav NAY SE AU)T-PIONAr. RE. NOTES: THAT ARE No'r shown ON 'NIA St F k lit..#I•tAY .;` Fitts t. . 1111k is A boundary survey. IN THE PUBLIC RECORns art ><�t 'ir�}; :�F ''` ' :5� 2. Pox(zone x as best ascertained from Flood insurance G��`''``. C ' , Atli:Map,community panel nO.it'a,r.,=_.r' ;�;ales 4, 'a.3 v / • 3. TI ti n survey Is not a determination of ownership 1/1/1111 �/ 4. q'ti:mess license 064701 I HEREBY CERTIFY TO: . • _ 1.-ao►.142O LBotet.e Hnq•.e.re.a•f J2tl,c , 1...V`l R6QV IQ.P.1. VIM'D1-* 401.1.e0.I A.^.G K. .A.J r.A 3T .......t-r Y.Tv-! SC1i,tGlio& .tve. . ! r.�1:s .r.zcr-utf:.:• .../..1‘,00...04.0.... T:-i.e 1w1sNRa..aLa c orgy o.u' THAT THIS SURVEY MEETS THE MINIMUM ".ECHNICAI.STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF tAND SURVEYORS, PURSUANT Marvn . Banks TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER 61G17-6 L/ tal'vC ors >RS_ FLORIDA ADMINISTRATION CODE. ,,:866 MANC ROVE AVE. FLOoDA REG;v7EREU SURVEYOR NO,4170 1 AC 1:SONY;LLE,FLORIDA 32246 Marvin >t emits MK)b41-"aN SIGNED exiasek 14 19 c(-t 4 -Ii3_, �.� SCALE: ____.. -_ i9 THIS. URVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE APOVE SIGNED ....��1�.�.�.�//! /III ^w �`` ` '11'N ILL rt►a NV:1 ns•hn on ..io co 800•`ZO(1I�J `016 )Id 7tln 1.3:l►� TV:;;.: 1 •d 9810-S4.9 T 1 agdwe0 JayzeaH dD4 t;0 86 *I I nr c +0 troiel 4 j 2,101 Sem; A01 e rZ3) At ;c Scn,c l�, F L 32233 eX >itt 10X1Z. $t .1 A �C �1 k 'R H 1 6 1999 City of Atlantic Beach Building and Zoning r 2l To c eD 0 4re5sJle tr44 1 >( ) 2.� X F Woo& Coy Simi'bk) H a■ se CITY OF 90 4tlaatic !Beach-4l • Office of Building Official } /lit) REQUEST FOR INSPECTION 7 - --99 N /7�7/ Date Permit No. Time A.M. i Received 1 3 y'%` P.M.� )T4eir1Q1.e IC i)e)ct Job Address Loom Owner's �5 �nnA _ ��"�_"` Name v�"�( 4 f /l BUILDING CONCRETE ECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air Cond. & Re Roofing ❑ Slab - Temp Pole Ci Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place _ Pre Fab READY FOR INSPECTION M9n• - Wed. L� Thurs. Friday (\ //� 9 / a A.M. Inspection Made �` 1� _ Ins ctor / /tee _ �'�, ' Final Inspectio- ,�� Certificate of ancy ❑ �n)e%�-v�-"`-f Date ,- CITY OF /4 dew-tic Ecete% - edzicla 800 SEMINOLE ROAD ATLANTIC BEACH. FLORIDA 32'_33-5445 TELEPHONE(904)247-5800 FAX (904)247-5805 --- -- ,� SUNCOM 852-5800 DATE S-� - �9 JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL ,szzu 1 Attention: Connie Re: Final Electrical Inspections Dear Connie: • Final Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS 39 j '° C ays-/ /0ese-c/uteil4(4tA „er Please call me at 904-247-5826 if you have any questions. Sincerely, I / t4 t -r ATLANTIC BEACH BUILDING DEPARTMENT I I ___ CITY OF ATLANTIC BEACH, FLORIDA ° (1 Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ I Za 19 ` 1 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, 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 ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. c (2)%1 'Yl..,(_—Z•s--� v c� U., (' c.--,_,-) _ Li r.,../-( ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN S(- .1 120 1-‘1)NAME_ . _ ADDRESS: k- � - RFD BOX BLDG.SIZE BETWEEN: RES.( APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW( ) OLD ( REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW( ) INCREASE (A REPAIR ( ) FEE ( CONDUCTOR SIZE 2. O AMPS COPPER ( ) ALUM. (X SWITCH OR BREAKER 15 0 AMPS I PH - W 2.40VOLT S C.-IL-RACEWAY EXIST.SERV.SIZE `, 00 AMPS \ PH $ W Z40VoLT _ S(-t.) RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE 1 LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED ' 0.100 AMPS. l OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 l OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS l I I \Y��-K-c-r-s C— S(--o-'t << ( (t t?(mac , t 1S U "P TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. 1VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGH! I FORWARDED $ TOTAL FEES JIC& DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH 11.131i JRI;.. ; ,. JN --- -- LOCATION INFORMATION Permit Number: 5927 Address: 239 SEMINOLE ROAD Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 12Lo.. Class of Work: NEW LEGAL DESCRIPTION ------- Constr. Type: WOOD FRAME Lot: Block: \ Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value: $0. 011 Improv. Cost: $0. 00 Total Fees: $22. 50 Amount Paid: $22. 50 ROOF W11'11 NL -- OWNER INFORMATION ---- APPLICATION FEES ---- - Name: RODGER STEINEM PERMIT $22. 50 ZA9 SEMINOLE ROAD WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLOk1: i SEWER IMPACT FEE $0. 00 l:or• ‘90111Y41-5325 WATER METER. $0. 00 RADON GAS-H. R. S. $0. 00 r.,1N" PAGT,,R INFORMATION RADON GAS - 5y. $0. 00 Name: P .f±,='F.R'1'Y OWNER WATER TAP $0. 00 Address: SEWER TAP $0. 00 HYDRAULIC SHARE $0. 00 License: Typt • RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER *0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." VALIDATION DATE: 49/25/92 I IML: O.:1'I PM ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIj" .S UBJECT T( e QOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHANGE $.04 KLLLIF"I NUPItitK: Ubbylb ATLANTIC BEACH BUILDING DEPARTMENT By ' " CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFINCG Owner(s) : ©O3 l-4:2 Gr/// )41 Address: .2$ 15 m /1 a/ ( 9 Phone; Lot # Block or Unit # Subdivision Contractor: ) v C /t Address: Phone State License No. Describe work to be 4-)coo et . Materials to be used: r - c S /� J� r Signature OWNER: , C rL� -62-1 -c Date: / Signature CONTRACTOR: 4 el g1 CITY OF ATLANTIC BEACH A -•' J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . 08-00001316 Date 9/25/08 Property Address 239 SEMINOLE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 3705 Application desc window replacement Owner Contractor JEVIC WINDOW WORLD OF JACKSONVILLE 239 SEMINOLE ROAD 8535 BAYMEADOWS ROAD UNIT 12 ATLANTIC BEACH FL 32233 DBA NATIONAL HOMECRAFT JACKSONVILLE FL 32256 (904) 443-7001 Structure Information 000 000 Construction Type TYPE 5-A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit BUILDING PERMIT Additional desc . Permit Fee . . . 50 . 00 Plan Check Fee . . 25 . 00 Issue Date . . . Valuation . . . . 3705 Expiration Date . 3/24/09 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ ' 05- ' 06 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE 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 50 . 00 50 . 00 . 00 . 00 Plan Check Total 25 . 00 25 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 HT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA DING CODES. • • V . _,__ CITY OF ATLANTIC BEACH 07- I I , _ ,-„... 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 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 .3(:1 ✓emwnzle_ Rd Atlantic Beach, FL 32233 33-705. 00 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION XRESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ]ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES EN/A W■(\clo v.. ce plac e.m4 n+ ❑MOVE ❑OTHER ❑NO PROPERTY OWNE CONTRACTOR: ARCHITECT I ENGINEER: 9.NAME: • 15.COMPANY NAME: 23.COMPANY NAME Lenn.4 SeMIC, Jtrrdov3 Wof 4 o�-S44scrwilk 16.NAME: • 24.LICENSEE NAME. ClctLCru‘ Fl-'.. 10.ADDRESS: 17.STATE OF OR LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: • a 39 Semtnple ed C.nc.15o3a 1 P4 M�'tL Y3eadi ,Fc. 3aa3318 silo scyPrtc.� 47 LAto Dc.Sk`lrb 26.ADDRESS: Jo.k , F� 3 .25v 11.OFFICE PHONE: 12.FAX NO.: Jj 19.OFFICE 43:7 C) 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL HONE: / 6/1 21 ELL PHONE C) INS.7-77e 29.CELL PHONE: 14.EMAIL DR �� 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: F SIMPLE TI E HOLDER: BONDING COMPANY: MORTGAGE LENDER: IFO ER 1N�OWNER) BOND G 31.NAME: \V 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.,gent.Power of Attorney or Agency Letter Required) Y p' (Qualifier Only) n I Signed: 'Milk Date: -"y '0 d Signed: �� S `) � Date: 7 f�1 1J� •� / Before me this AV day of Sr' 7C4 I' h et,2007 in the county of Before me this day of {P007 in the county of Duval,State of Florida,has personal y appeared Duval,State of Florida,has person Ily appeared 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. Notary Public at Large,State of ,County of Notary Public at Large,State of ,County of ❑Personally Known , 0 Personally Known ❑Produced Identif -i•. ...... ' j-A: �1 .1 - - ❑Produced Identificati•.- Notary Signature: ,j i/ ' r Notary Signal+--_--=-'- - ._.- - -- I ON ' '` 5,•t OR OODE COMPLIANCE RRY POUIIN i -t -my ) �7,A,`j .wew.r,J^.•..t,«-.-.�, ■ ••n'.+.rrarrz..:wia�n"•n. , Sgt� ,�7�Tr� o` Y�Q� MY COMMISSION�sf 4 , .Fe4, • .∎ a .t,• :tr 2 1l11�l IC BEACH EXPIRES:OCT 31 2E1p9 �` : 'i'a Bonde I:�I t�t�IJUaa�ic�'DR ADDITIONAL 1 daha,agf¢bs�Ste I"u ' m• ! AND CONDITIONS. COAB FORM l'...-.' �� v copy , ` REVIEWED BY: / DATE: ?-01/-0.- SYs ie i:nu��.i�i,...,S�•.Aw 4 ,... ,•,,.t ,;,, ...... m, ' NOTICE OF COMMENCEMENT State of F I l7C t eia Tax Folio No. County of D.AVO I 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: Address of property being improved: a3 q Sem 1 n 01 a Rd , A k-keel h c. 13 eQc-L1 t FL- 3=3 3 General description of improvements: 1_,A..7.Y1ctOu.3 re 91aCi m e rri. Owner: Lenr1■j TQV■C. Address: 01 Se.m1 O 0te, 2d Owner's interest in site of the improvement: S i ,e._ alt-Y111 y Fee Simple Titleholder(if other than owner): Name: co ctor: W irdc,,►,.3 w t c\d off' ack.bonv iAVe C-,,re9or.i Fi\-e Address: g>>O p(-e'S eta 2.ork Pr Vse '-&c5 ()AA, Fe- lO Telephone No.: L{L{3-700( Fax No: 44 Li 3" 7 778 Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the imprt Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: C) Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: J 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: q4-O(J a Before me this Vary/day of /, , -/` in the County of Duval,State Of Florida,has personally appeared TERRY POULIN Notary Public at Large,State of Flo ida,Coun of Duval. Y My commission expir s: `�, MY COMMI$510N ►D04871 f;5 WPersonally Known: or EXPIRES:OCT 31,?Ob9 Produced Identification: `�" Bonded through 1st State insurance may 1Y Ud ue: .t up i nt ormat ion Systems cg /-oa-ra p• c Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data,the following information is required: 1. Manufacturer's Test Report 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Elevation View of Window Locations I hereby certify that all inform. ; provided with this application is correct. Signature of Owner: al.,_411$ Date: 9- `t ✓C-)Y 1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shalt be provided as required. Signature of Contractor, Date: Address and contact information information�ofperson to receive all correspondence regarding this application (please print). J Name: lr fkO X td D.c- JCec..ksonut 14, C c U F )—(. Mailing Address: 8[)0 Cy7r 2 s s P/a Z A De- ,51t 4105 ,.ja- L 3?A5 (0 Telephone: L/c.(3-7001 Fax: 4y3-7770 E-Mail: AS TO OWNER: Sworn to and subscribed before me this 671J'I f day of, .`' P/�7 6 et- ,205 State of Florida,County of Duval P Notary's Signature: L_'f`,, /Li L., o, 1,,,, TERRY POULIN tr .' MY COMMISSION#00487135 ❑ Personally known k. EXPIRES:OCT 31,2009 ❑ Produced identification ` .- Bonged through lit State Insurance Type of identification produced ///4/i/er 5 G'<°,[/S" AS TO CONTRACTOR: Sworn to and subscribed before me this day of _ -1 '.1A 20 State of Florida,County of Duval • ri,, TERRY POULIN Notary's Signature: A G � �".�. . ~�...0 MY COMMI8510N#004871'35 EXPIRES:OCT 31,2009 Personally known '.°^ Bontltd through III 8l2tti Insurance ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax.: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 Revised 1127/03 'l Florida Building Code Online Page 1 of 3 ommu ity Affairs rt.H BCIS Home Log In Hot Topics Submit Surcharge Stats&Facts ? Publications FBC Staff BCIS Site Map Links Search f-Ti <. Product Approval �} USER: Public User Community Affairs Product Approval Menu>Product or Application Search>Application List>Application Detail C L U € a ri_�tart*t3 FL# FL1089-R1 Application Type Revision Code Version 2004 Application Status Approved i,EY.E `3E!ix.t M A F E I E J T Comments -,3"FarE _°r c Archived 3EET •, Product Manufacturer Alside Window Company Address/Phone/Email 3773 State Road Cuyahoga Falls, OH 44223 (330) 922-2108 mfernbaugh@alside.com Authorized Signature Marsh Fernbaugh mfernbaugh @alside.com Technical Representative Marsh Fernbaugh Address/Phone/Email 3773 State Road Cuyahoga Falls, OH 44281 mfernbaugh @alside.com Quality Assurance Representative Address/Phone/Email I Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association 0 Validated By Referenced Standard and Year(of Standard) Standard Year ANSI/AAMA/NWDA 101 IS-2 1997 Equivalence of Product Standards Certified By http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtwudLxnkwGm... 9/11/2008 Florida Building Code,Online Page 2 of 3 i it la Product Approval Method Method 1 Option A Date Submitted 06/14/2005 Date Validated 08/05/2005 Date Pending FBC Approval 08/09/2005 Date Approved 08/24/2005 ;Summary of Products ;IFL# Model, Number or Name Description 1089.1 0201 Replacement: 48x78 DP30, 44x77 DP35, 44x60 DP45, 36x72 DP55; 1/8" glass Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: 0201:48x78 (1/8" annealed) DP30, Created by Independent Third Party: 44x77 (1/8" annealed) DP35, 44x60 (1/8" Evaluation Reports annealed)DP45, 36x72 (1/8" annealed) DP55 Created by Independent Third Party: 1089.2 0301 New Construction: 48x77 DP25, 44x77 DP30, 44x60 DP35, 36x72 DP50; 3/32" glass Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: 0301:48x77 (3/32" annealed) DP25, Created by Independent Third Party: 44x77 (3/32" annealed) DP30, 44x60 (3/32" Evaluation Reports annealed)DP35, 36x72 (3/32" annealed) DP50 Created by Independent Third Party: 1089.3 0401 Replacement: 48x78 DP25, 44x77 DP30, 44x60 DP40, 36x72 DP35; 1/8" glass Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: 0401:48x78 DP25 (1/8" annealed), Created by Independent Third Party: 44x77 (1/8" annealed) DP30, 44x60 (1/8" Evaluation Reports annealed)DP40, 36x72 (1/8" annealed) DP35 Created by Independent Third Party: 1089.4 0501 Replacement: 52x84 DP25, 44x77 DP40, 44x60 DP45, 36x72 DP45, 36x60 DP60; 1/8" glass Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: 0501:52x84 (1/8" annealed) DP25, Created by Independent Third Party: 44x77 (1/8" annealed) DP40, 44x60 (1/8" Evaluation Reports annealed)DP45, 36x72 (1/8" annealed) DP45, Created by Independent Third Party: 36x60 (1/8" annealed) DP60 1089.5 0501 Replacement: 52x61 DP35; 1/8" glass,3 cam locks/keepers,"DP" tilt latch w/"H Key" Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: 0501:52x61 "C" package (1/8" annealed) Created by Independent Third Party: DP35 Evaluation Reports • Created by Independent Third Party: 1089.6 8001 Replacement: 44x77 DP30, 44x60 DP40, 36x72 DP40; 3/32" glass I II I; http://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDqtwudLxnkwGm... 9/1 1/2008 Florida Building Code Online Page 3 of 3 1 -. Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: 8001:44x77 DP30,44x60 DP40,36x72 Created by Independent Third Party: DP40 Evaluation Reports Created by Independent Third Party: 1089.7 9001 Replacement: 44x77 DP35, 44x60 DP50, 36x72 DP50, 36x60 DP65; 3/32" glass Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Quality Assurance Contract Expiration Date Approved for use outside HVHZ: Impact Resistant: Installation Instructions Design Pressure: +/- Verified By: Other: 9001:44x77 DP35,44x60 DP50,36x72 Created by Independent Third Party: DP50,36x60 DP65 Evaluation Reports Created by Independent Third Party: Back Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee,Florida 32399-2100 (850)487-1824,Fax(850)414-8436 ©2000-2005 The State of Florida.All rights reserved.Copyright and Disclaimer Product Approval Accepts: hV. litts v..+sred + Bobby Secured http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDqtwudLxnkwGm... 9/11/2008 Ilk Architectural Testing AAMA/WDMA/CSA TEST REPORT Rendered to: ALSIDE WINDOW COMPANY SERIES/MODEL: 0201/A201 PRODUCT TYPE: PVC Double Hung Window Summary of Results Title Test Specimen#1 Test Specimen#2 Test Specimen#3 Primary Product Designator H-LC25 1118 x 1956 H-LC45 1118 x 1524* H-LC55 914 x 1524* (44 x 77) (44 x 60*) (36 x 60*) Design Pressure* 1200 Pa(25.0 psf) 2160 Pa(45.0 psf) 2640 Pa(55.0 psf) Negative Design Pressure* 1200 Pa(25.0 psf) 2160 Pa(45.0 psf) 2640 Pa(55.0 psf) Operating Force(in motion) 89 N(201bf) N/A N/A Air Infiltration 1.1 L/s/m22 N/A N/A (0.21 cfm/ft) Water Penetration Resistance Test Pressure 440 Pa(9.0 psf) N/A N/A Uniform Load Structural Test Pressure ±1800 Pa(±37.5 psf) ±3240 Pa(±67.5 psf) ±3960 Pa(±82.5 psf) Forced Entry Resistance Grade 10 N/A N/A *-Optional Secondary Designators Test Completion Date: 01/27/06 Reference must be made to Report No. 62609.02-501-47, dated 02/14/06 for complete test specimen description and data. 1140 Lincoln Avenue Springdale, PA 15144 phone: 724-275-7100 fax: 724-275-7102 • Ilk Architectural Testing AAMA/WDMA/CSA TEST REPORT Rendered to: ALSIDE WINDOW COMPANY 3773 State Road Cuyahoga Falls,Ohio 44223 Report No.: 62609.02-501-47 Test Dates: 01/25/06 Through: 01/27/06 Report Date: 02/14/06 Revision 1: 05/07/08 Expiration Date: 01/27/10 Project Summary: Architectural Testing, Inc. (ATI) was contracted by Associated Materials, Inc. to perform tests on three Series/Model 0201/A201, PVC double hung windows at their facility located in Cuyahoga Falls, Ohio. The samples tested successfully met the performance requirements for the following ratings: Test Specimen #1: H-LC25 1118 x 1956 (44 x 77); Test Specimen #2: H-LC45 1118 x 1524* (44 x 60*); Test Specimen #3: H-LC55 914 x 1524* (36 x 60*). Test specimen description and results are reported herein. General Note: An asterisk (*) next to the performance grade indicates that the size tested for optional performance was smaller than the Gateway test size for the product type and class. Test Specifications: The test specimens were evaluated in accordance with the following: ANSI/AAMA/NWWDA 101/I.S.2-97, Voluntary Specifications for Aluminum, Vinyl (PVC) and Wood Windows and Glass Doors. AAMA/WDMA/CSA 101/I.S.2/A440-05, Standard/Specification for Windows, Doors, and Unit Skylights. Test Specimen Description: Series/Model: 0201/A201 Product Type: Poly Vinyl Chloride(PVC) Double Hung Window Test Specimen#1: H-LC25 1118 x 1956 (44 x 77) Overall Size: 1118 mm(44")wide by 1956 mm(77")high Top Sash Size: 1035 mm(40-3/4") wide by 940 mm(37") high Bottom Sash Size: 1060 mm(41-3/4")wide by 965 mm(38")high Screen Size: 1019 mm(40-1/8") wide by 965 mm(38") high Overall Area: 2.19 m2 (23.5 ft2) 1140 Lincoln Avenue Springdale, PA 15144 phone: 724-275-7100 fax: 724-275-7102 62609.02-501-47 Architectural Testing Page 2of10 Revision 1: Revision 1: 05/07/08 Test Specimen Description: (Continued) Test Specimen #2: H-LC45 1118 x 1524* (44 x 60*) Overall Size: 1118 mm(44")wide by 1524 mm(60")high Top Sash Size: 1035 mm(40-3/4") wide by 721 mm(28-3/8")high Bottom Sash Size: 1060 mm(41-3/4")wide by 748 mm(29-7/16")high Overall Area: 1.70 m2 (18.3 ft2) Test Specimen #3: H-LC55 914 x 1524* (36 x 60*) Overall Size: 914 mm(36") wide by 1524 mm (60")high Top Sash Size: 832 mm(32-3/4")wide by 721 mm(28-3/8")high Bottom Sash Size: 857 mm(33-3/4")wide by 748 mm(29-7/16")high Overall Area: 1.39 m2 (15.0 ft2) The following descriptions apply to all specimens. Finish: All PVC was white. Glazing Details: The sash were exterior glazed with nominal 21 mm (13/16") thick, sealed insulating glass fabricated from two sheets of 3.0 mm(1/8") clear annealed glass a U-shaped steel spacer system embedded in sealant, single sealed. The insulating glass was set against a double-sided adhesive tape and secured with rigid vinyl glazing beads. Frame Construction: The PVC frame was constructed using mitered and welded corner construction. A snap-in PVC adapter was applied to the head. Sash Construction: The PVC sash were assembled utilizing mitered and welded corner construction. Screen Construction: The screen was constructed with extruded aluminum. The corners were miter cut and secured using plastic corner keys. The fiberglass mesh screen cloth was held-in-place with a flexible vinyl spline. / 62609.02-501-47 Architectural Testing Page 3of10 Revision 1: Revision 1: 05/07/08 Test Specimen Description: (Continued) Weatherstripping: Description Quantity Location 4.7 mm(0.187")backed by 1 Row Head insert, sill, lock rail 6.6 mm(0.260")high pile with center fin 4.7 mm(0.187")backed by 1 Row Exterior meeting rail (exterior), 8.9 mm(0.350")high pile top rail with center fin 4.7 mm(0.187")backed by 2 Rows Sash stiles • 8.9 mm(0.350")high pile with center fin 4.7 mm(0.187")backed by 1 Row Exterior meeting rail (interior) 14.0 mm(0.550")high vinyl jacket/foam filled bulb 4.7 mm(0.187")backed by 1 Row Bottom rail 10.2 mm(0.400") diameter, offset vinyl jacket/foam filled bulb 25.4 mm(1.0")by 12.7 mm(1/2") 4 Meeting rails, one at each end by 6.4 mm(0.250") high adhesive backed pile pad Hardware: Description Quantity Location Metal button cam lock 1 Lock rail at mid-span,with mating and keeper keeper at exterior meeting rail (Test Specimen#1) Metal button cam lock 2 Lock rail, 216 mm (8-1/2") in from and keeper each end, mating keepers at exterior meeting rail(Test Specimen#2&#3) Plastic tilt latch 4 Top corner of sash Metal pivot bar 4 Bottom corner of sash Constant force balance 4 One per jamb system with locking tilt shoes • 62609.02-501-47 Architectural Testing Page 4of10 Revision 1: Revision 1: 05/07/08 Test Specimen Description: (Continued) Drainage: Description Quantity Location 22 mm(7/8") wide by 2 Exterior face of sill, one at 4.7 mm(3/16")high weepslot each end (with flap) 32 mm(1-1/4")wide by 2 Sill/jamb intersection, one at each 12.7 mm(1/2") deep weepslot end 25 mm(1") wide by 2 Intermediate sill wall, one at 4.7 mm(3/16") high weepslot each end 19.0 mm(3/4") wide by 2 Sill screen track, one at 4.7 mm(3/16") deep weepslot each end 9.5 mm(3/8")wide by 4 Bottom sash rail and exterior 3.2 mm(1/8") deep weepslot meeting rail, one at each end Reinforcement: The lock rail contained a custom shaped, formed steel reinforcement measuring 22.2 mm by 11.7 mm by 1.2 mm (0.875" by 0.461" by 0.047"), reference Drawing No. UY0095. The keeper rail and bottom rail contained a custom shaped, formed steel reinforcement measuring 11.7 mm by 12.0 mm by 1.5 mm (0.875" by 0.473" by 0.059"),reference Drawing No. UY0094. Installation: The unit was installed in a wood buck constructed of Spruce-Pine-Fir construction lumber and secured through the jambs to the buck using four #8 x 64 mm (2-1/2") long screws, one at the top and bottom of each jamb. The exterior and interior perimeter was sealed with a silicone sealant, with the exception of an approximate 102 mm (4") long void at each interior sill corner. A nominal 5 mm (3/16") gap was maintained at the perimeter between the buck and window frame. 62609.02-501-47 Architectural Testing Page 5of10 Revision 1: Revision 1: 05/07/08 Test Results: The results are tabulated as follows: Paragraph Title of Test- Test Method Results Allowed Test Specimen #1: H-LC25 1118 x 1956 (44 x 77) 2.2.1.6.1 Operating Force 5.3.1.1 Bottom Sash Open Breakaway 67 N(15 lbs) 230 N(50 lbs) Maintain motion 89 N(20 lbs) 155 N(35 lbs) Close Breakaway 36 N(8 lbs) 230 N(50 lbs) Maintain motion 45 N(10 lbs) 155 N(35 lbs) Top Sash Open Breakaway 27 N (6 lbs) 230 N(50 lbs) Maintain motion 89 N(20 lbs) 155 N(35 lbs) Close Breakaway 53 N(12 lbs) 230 N (50 lbs) Maintain motion 80 N(18 lbs) 155 N(35 lbs) Lock Open 5 N(1 lb) 100 N(22.5 lbs) Close 5 N(1 lb) 100 N(22.5 lbs) Latches Open 5 N(1 lb) 100 N(22.5 lbs) 2.1.2 Air Leakage Resistance per ASTM E 283 (See Note#1) 5.3.2 75 Pa(1.57 psf, 25 mph) 1.1 L/s/m2 1.5 L/s/m2 (0.21 cfm/ft2) (0.30 cfm/ft2)max. Note #1: The tested specimen meets (or exceeds) the performance levels specified in ANSI/AAMA/NWWDA 101/I.S.2-97, 101/I.S.2/NAFS-02, AAMA/WDMA/CSA 101/I.S. 2/A440-05 for air infiltration. • /� 62609.02-501-47 Architectural Testing Page 6of10 Revision 1: Revision 1: 05/07/08 Test Results: (Continued) Paragraph Title of Test-Test Method Results Allowed Test Specimen #1: H-LC25 1118 x 1956 (44 x 77) (Continued) 2.1.3 Water Resistance per ASTM E 547 5.3.3 (with and without screen) 180 Pa(3.75 psf) No leakage No leakage 2.1.4.1 Uniform Load Deflection per ASTM E 330 5.3.4.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 1200 Pa(25.0 psf) (positive) 6.9 mm(0.27") See Note#2 1200 Pa(25.0 psf) (negative) 9.1 mm(0.36") See Note#2 Note#2: The deflections reported are not limited by AAMA/WDMA/CSA 101/I.S.2/A440-05 for this product designation. The deflection data is recorded in this report for special code compliance and information only. 2.1.4.2 Uniform Load Structural per ASTM E 330 5.3.4.3 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1800 Pa(37.5 psf) (positive) 0.5 mm(0.02") 4.1 mm(0.16")max. 1800 Pa(37.5 psf) (negative) 0.3 mm(0.01") 4.1 mm(0.16")max. 2.1.8 Forced Entry Resistance per ASTM F 588 5.3.5 Type: A Grade: 10 Hand Tool Manipulation No entry No entry Tests Al through A7 No entry No entry Hand Tool Manipulation No entry No entry 5.3.6.2 Thermoplastic Corner Weld Test Meets as stated Meets as stated 62609.02-501-47 Architectural Testing Page 7of10 Revision 1: Revision 1: 05/07/08 Test Results: (Continued) Paragraph Title of Test-Test Method Results Allowed Test Specimen #1: H-LC25 1118 x 1956(44 x 77) (Continued) 2.2.1.6.2 Deglazing Test per ASTM E 987 5.3.6.3 Top Sash In operating direction- 320 N(70 lbs) Meeting rail 1.5 mm(0.06") 11.43 mm(0.45") Top rail 1.5 mm(0.06") 11.43 mm(0.45") In remaining direction- 230 N(501bs) Left stile 0.8 mm(0.03") 11.43 mm(0.45") Right stile 0.8 mm(0.03") 11.43 mm(0.45") Bottom Sash In operating direction- 320 N (701bs) Meeting rail 1.5 mm(0.06") 11.43 mm(0.45") Bottom rail 1.5 mm(0.06") 11.43 mm(0.45") In remaining direction- 230 N (501bs) Left stile 0.8 mm(0.03") 11.43 mm(0.45") Right stile 0.8 mm(0.03") 11.43 mm(0.45") Optional Performance 4.3 Water Resistance per ASTM E 547 4.4.3.4 (with and without screen) 440 Pa(9.0 psf) No leakage No leakage 62609.02-501-47 Architectural Testing Page 8 of 10 Revision 1: Revision 1: 05/07/08 Test Results: (Continued) Paragraph Title of Test-Test Method Results Allowed Test Specimen #2: H-LC45 1118 x 1524* (44 x 60*) Optional Performance 4.4.1 Uniform Load Deflection per ASTM E 330 4.4.3.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 2160 Pa(45.0 psf) (positive) 10.7 mm(0.42") See Note#2 2160 Pa(45.0 psf) (negative) 14.7 mm(0.58") See Note#2 4.4.2 Uniform Load Structural per ASTM E 330 4.4.3.2 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 3240 Pa(67.5 psf) (positive) 0.3 mm(0.01") 4.1 mm(0.16")max. 3240 Pa(67.5 psf) (negative) 1.5 mm(0.06") 4.1 mm(0.16")max. Test Specimen#3: H-LC55 914 x 1524* (36 x 60*) Optional Performance 4.4.1 Uniform Load Deflection per ASTM E 330 4.4.3.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 2640 Pa(55.0 psf) (positive) 9.1 mm(0.36") See Note#2 2640 Pa(55.0 psf) (negative) 7.6 mm(0.30") See Note#2 4.4.2 Uniform Load Structural per ASTM E 330 4.4.3.2 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 3960 Pa(82.5 psf) (positive) 1.5 mm(0.06") 3.3 mm(0.13") max. 3960 Pa(82.5 psi) (negative) 0.3 mm(0.01") 3.3 mm(0.13")max. • 62609.02-501-47 Architectural Testing Page 9of10 Revision 1: Revision 1: 05/07/08 Drawing Reference: The test specimen drawings have been reviewed by ATI and match the test specimen reported herein. Detailed drawings, representative samples of the test specimen, and a copy of this report will be retained by ATI for a period of four years from the original test date. The above results were secured by using the designated test methods and they indicate compliance with the performance requirements of the above referenced specification. This report does not constitute certification of this product, which may only be granted by the certification program administrator. This report may not be reproduced, except in full, without the approval of Architectural Testing, Inc. For ARCHITECTURAL TESTING, INC. ..'48")4*L V.X \ Wildly by:Lynn Qaorge Digitally Signed by:Michael L Mackereth Lynn George Michael L. Mackereth Project Manager Director- Operations LG:j1d/sld Attachments(pages): Appendix-A: Alteration Addendum(1) Appendix-B: Drawings(13) .- .:L‘i!• City of Atlantic Beach APPLICATION NUMBER t5 r t 'tl Building Department (To be assigned by the Building Department.) 800 Seminole Road , Atlantic Beach, Florida 32233-5445 DDS ` /34 `� Phone(904)247-5826 • Fax(904)247-5845 "4,,3195 E-mail: building-dept @coab.us 00 City web-site: http://www.coab.us Date routed: ra'�I APPLICATION REVIEW AND TRACKING FORM Property Address:0:2D Qcr Ac � �t'. .IQ -- uildin ment review required Yes No �;0R o v3 ` 1 o A ' 9 , ftcA5�v,I Planning &Zoning Applicant: 0� U�J ly e--Public Works _, ... ..,,: ,. Project: if pet ff in ote 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: APPLICATION STATUS Reviewing Department First Review: roved. EDenied. (Circle one.) Comments: c3IJILDING2 PLANNING &Z ONING PUBLIC WORKS Reviewed by: m ('? yecTx-//a- Date: 9-0)/' PUBLIC UTILITIES Second Review: ['Approved as revised. ['Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: Approved as revised. (Denied. Comments: Reviewed by: Date: 4 S, CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 08-00001003 Date 7/25/08 Property Address 239 SEMINOLE RD Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 1 fixture Owner Contractor ASAP PLUMBING CO SD SERVICES OF JACKSONVILLE P. O. BOX 16631 JACKSONVILLE FL 32245 (904) 994-6440 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 42 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . • 0 Expiration Date . 1/21/09 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. r'L t�..�r,.� CITY OF ATLANTIC BEACH r (r �;.�. GG . ; ,�: A` f,� PLUMBING PERMIT APPLICATION 4nNttll' Date: 7- . i= -f f f Property Address: /e/i Telephone #:,&y-o' -.Le= Contractor:_ Ac 9#' F/,./.” I -..-t Telephone it: o• -3 V/ /-t/ LI Contractor Address: %kew TAt,c.e'i J>z4. 'Fax#: ids-2v.1-Aoh - In consideution 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 specificaii.:ns which are a part hereof and in accordance with the City of Atlantic Beach Z ordinance ov::taadatds of good practice listed therein. Installation a:plumbing and fix';ures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. — w"'I g,'.drd' if other construction is being done on this building or site, Plumbing Type: New t] list the building permit number: .. - p Re-Pipe Number of *'sxtureti �C�,,- Bath Tubs Showers Closets Shower Pans Dishwashers _ Sinks _ Disposals Urinals Floor Drains y Washing Machine Lavatory Water a°wer Water Heaters Other Fees Permit lsst►ing•Fee: $35.00 Taial F I rtures: ______ X$7.00 + $35.00 = I -- 800 Seminole Road •Atlantic Beach, Florida 32233-5445 1`h°.ne: (904)247-5800• Fax: (904) 247-5845• httpJlwww.cLatlantic-beach.fl.us