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388 Seminole Rd (vault) (---S�%>>`J j CITY OF ATLANTIC BEACH \`-',"\\1SZ1 800 SEMINOLE ROAD �� I ATLANTIC BEACH,FL 32233 \, � INSPECTION PHONE LINE 247-5826 1 r ,-)A!..)11- �Jy Application Number 06-00034413 Date 12/11/06 Property Address 405 SEMINOLE RD Application type description ROOF Property Zoning TO BE UPDATED Application valuation . . . 9500 Application desc re-roof/metal roof Owner Contractor THEIS, ROBERT HARRISON CONSTRUCTION & 405 SEMINOLE ROAD REMODELING, INC. ATLANTIC BEACH FL 32233 917 1ST AVE. NEW SMYRNA BEACH FL 32169 (386) 689-0689 Permit ROOF PERMIT Additional desc . Permit Fee . . . 80 . 00 Plan Check Fee . . 40 .00 Issue Date . . . Valuation . . . . 9500 Expiration Date . 6/09/07 _ Fee summary Charged Paid Credited Due Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check Total 40 . 00 40 . 00 . 00 . 00 Grand Total 120 . 00 120 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ■ ' RECEIVED j CITY OF ATLANTIC BEACH �' �Ai`If ttevc BUILDING & ZONING CITY OF ATLANTIC BEACH 1 -A . DEC 0 8 2 KV"' , ItOFING PERMIT APPLICATION ---tor,i9 . Date: /f'ac a PLEASE SUBMIT(2)COMPLETE SE1'S OF PRODUCT APPROVALS AND INSTALLATION INSTRUCTIONS WITH APPLICATION. Job Address: q 26 te/riI,41?/, , �ee Owner of Property: /...R42.1.--1 773.41._/ Address: /25 (.5*-e, ;✓07,1.? ?e,` - Telephone: tv29,-.5''J Contractor: pvi fp J A)0-- State License Number:(PC 132$-9 r$ Contractor's Address: c(,2 ,EA a I gt pPze 1,Ar y r dege.,t r Ri 3,2141 Telephone: f 6=` '- r, a 55' - /�;: Fax: / Scope of Work: he,$(Dye' 04 ze�i`it t,'I-7;4/.56 d z i Aii1 ( he (�' Deck Slope: 6;/2 Greater than 2:12 ✓ Less than 2:12 Valuation of work: 9 6-poi ' Product Name(Example: Timberline): 5" Z- CSc/U. .4-14 6 Manufacturer(Example: GAF): ill 1 11.,JN i V M V ASTM Designation(s): f 1 7;4 7 O . r Required Inspections: Sheathing d Final Signature of Owner: f t<�"1 Y' Date: ,-,071- ,e` AS TO OWNER: Sworn to and subscribed before me this [ ' day of NI ,20 b ' . State of Florida,County of Duval i Notary's Signature: 4 s/ exat ANN MARGADONNA A // '�iY MY COMMISSION#DD536835 Personally known '�jEXPIRES:April 11,2010 . y Discamt 0'co '' Produced identification a NOT"R Fl Notary ^^^^^^"` Type of identification produced Signature of Contractor:` /tbwr' i . , - Date: bf� / 6V; AS TO CONTRACTOR: Sworn to and subscribed before me this 0� day of O o ,20 c . State of Florida,County of Duval t,° ANN MARGADONNA Notary's Signature �{. km COMMiSSIO ID 2O 35 Personally known 'iPa�J .�p t A.�co. �r044= tn,Nowt ❑ Produced identification jj017Y Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 1 Revised 10/06 Page l of 1 t v 11111111111111111111111111111111IIIIIIII +„�M CUippF.S fi. : .. - �> 'I Print Date: •.. .. 12/6/2006 9:43:37 AM Transaction#: 924831 TM Receipt#: 881883 Cashier Date: 12/6/2006 Jim Fuller 9:43:26 AM Clerk Circuit Court (KPEARSON) Duval County 330 E. Bay Street Rm 103 Jacksonville, FL 32202 (904) 630-2044 Customer Information Transaction Information Payment Summary DateReceived: 12/06/2006 Source Code: BEACH 0 HARRISON CONSTRUCTION Q Code: BEACH 917 EAST 1ST STREET Return Code: Over the Total Fees $10.00 NEW SMYRNA BEACH, FL 32169 Counter Total Payments $10.00 Trans Type: Recording Agent Ref Num: 1 Payments [R1= CASH $10.00 • 1 Recorded Items BKPG: 13679/2195 CFN:2006418589 Date:12/6/2006 IR (N/C)NOTICE 9:43:24 AM COMMENCEMENT From: THEIS ROBERT To: COMMENCEMENT TRUST FUND 1 $1.00 INDEXING 2 $0.00 RECORDING 1 $10.00 10 Search Items 10 Miscellaneous Items file://C:\Program Files\RecordingModule\default.htm 12/6/2006 0 `"s 1� NOTICE OF COMMENCEMENT State of /�a�� �,, Tax Folio No. County of u!/y,/ To Whom It May Concern: e undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of tt\Th N. the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. 1 , Legal Description of property being improved: '‘ Address of property being improved: 07p4.5.— (52,M�,,4/e,41■i , kGeneral description of improvements: he..47‘7yi, e'/I(01 4 0 e,(64//41 k`l`r,'lv Aft ribe ss rr Address: 026" i7JQ /i' 2 Owner:�"�J er� ��/� �//✓t�< Owner's interest in site of the improvement: A fy Fee Simple Titleholder(if other than owner): Name: / Contractor: t I I tai. it ex Y r i�4a A) " 41 r I SD ti eo`v St. Address: Ch 1 '7 ,A<4- 1ST -t.--, p 0.0 ‘r►rt 1. r N 0. 13e, , 1 32.144 Telephone NoL3 eo 641*-. Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one(1)year from the date of recording unless a different date is v specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER :/' _ Signed: 6 " ' Date: Zg, 4 Before nie this day of A.---' in the County of Duval,State )cc#2066413585.OR BK 13679 Page 2195, Of Florida,has personally appeared 0 .44. Filed& Pages: 1 Notary Public at Large,State of Cou "o Duval. Filed&Recorded 1106/2006 at 09.43 AM, - JIM FULLER CLERK CIRCUIT COURT DUVAL CCUN-'r My commission expires: , , . RECORDING$10 00 Personally Known: �� °- f _ or Produced Identification: /, . .. 111.4. SIRES:April 11,2010 140044dotARr Fl.Notary Discount Awes.Co. r( JJ fib. \ CITY OF ATLANTIC BEACH r. A s 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 08-00001710 Date 12/12/08 Property Address 388 SEMINOLE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 1179 Application desc REPLACE GARAGE DOOR Owner Contractor C.BELL, LESLIE AMERICA' S CHOICE DOOR COMPANY 388 SEMINOLE ROAD 1110 SHETTER AVE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 998-0200 Structure Information 000 000 Construction Type TYPE 5-A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit BUILDING PERMIT Additional desc . Permit Fee . . . 40 . 00 Plan Check Fee . . 20 . 00 Issue Date . . . Valuation . . . . 1179 Expiration Date . 6/10/09 Fee summary Charged Paid Credited Due Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,b..A.s ,..;) _\.s il\i„ 7 , ___ ., CITY OF ATLANTIC BEACH 08_ I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 v ?.! 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 ` \OC.\ 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: 0 REPAIR 0 POOL/SPA ❑YES ❑N/A L Vu `` ‘ 1�fL.,,S .."\N-1 ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: l�-,t..,- ..,' V5 Ctk44cv icy r - ` A[ ,,, 11/45(-t-- 16.NAME `-/, 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: 3 S S1/4.1 �‘..,,s \v iu S -r�, 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 19PIC6-UAw v 1-3 ►\b 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: -)C.)-4 -S CSC)3 to -530 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: / (' 32.ADDRESS: 34.F�DRESS: 3-735446.ADDRESS: (Y)t..) yjl yr: SCiCk:N 71+46634'1 E'l•-• 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: *** I 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 1 CONTRACTOR (If Agent,Power of Attorney or Agency Letter Required) (Qualifier Only) Signed: k6et%t_c' /,T1ck-(' Date: /2//2-(2CCR Signed: �+�- vki Date: `) Before me this (Z day of C ,2007 in the county of Before me this IZ day of -- ::)f. ,2007 in the county of Dual,State of Florid ersonally appeared Duval,State of Florida,has personally dared herin by himself I 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 F� County of G 1 Notary Public at Large,State of / L ,County of him L ❑Personally Known 2 2 Personall Known 1 'Produced Identifi<io'-. t�£�J �O 2 -6 L7 Producedyldentificati. - 5�� f S-r 76 a8 7 -G Notary Sig .ture: k ��� Notary .' . � � I `,,PaY p,e,,, SHIRL L. GRAN'M ro'". �e�; SHIRL L Y _°„ ,'<;: Notary Public-State of Florida ,.,�+°= NO�ry Public_S� HAM • =�• 77i y Commission of Florida fil My Commission Expires Feb 14,2010 :j�-��. o�, Expires Feb 14 ;,.. j Commission #DD 518533 ••,;.1-oos Commission DD 5185 2010 1 dJoRlrl :;1/1pro�q c«n y Bonded By National Notary 33 .ewr•,.=, ... Assn. Dec 12 2008 5: 51PM HP LASERJET FAX p. 1 r b i• \� Sixty, w '� 1i; op n 31P : . 9 1.1. . AP ' I. i i mil..'. 14 *: I Ill CO vilithil9 Al } I. ! ! !1! Fl - 1111111 � mel � jijell ��i ciiiiii l it ►101111■� Lek . N -eirgr qh.11 II : I 11 ,J . 4 AA• sag 'Ir 9i il,' IF-- • Rim iI I'IIi av 1n gssi 317, D X1141 iii - fit : 2 1 fal la ql I i A 1 !1r1 ! 'i !, .i ;g � rft t. __. Pk E- : y N 1 "AP • . . 1 I i I Ill 1 g • . O.. — .. ir 2 1 ...!is x 0 1 ri .,, IT -• • * ; II 3 1 . !lilts ........ . .- ... 0 , - =,1., • " .... ii tioitig it itilk i ill 1 • . . • . . i � R ' ° � mass ggs - - •i' i1fti1j1hi'h 'i i : g . I iøjliuIIihIIi Id I . - } • § _ _ t�cg!�i - i♦ c P _ If r 1 °'55 iii E:1 :A 11 ; V a4 - - .. c.i) • iR g tilt r ' 4auax.,, G a pi . 1ti< �� C i sy l _ - ;: - . VI N y rig--�wf,t City of Atlantic Beach APPLICATION NUMBER �s �� Building Department (To be assigned by the Building Department.) " h; `.-, 800 Seminole Road ;e Atlantic Beach, Florida 32233-5445 Of /7/0 Phone (904)247-5826 • Fax(904)247-5845 oxi19r v E-mail: building-dept @coab.us Date routed: ,�� /o? Q U City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3a s6/ZL//VD 1 - 72d Department review required Yes No / • 1/Iv .i uildin Applicant: j��/1 ig/CAS ( 7oôr N . Planning &Zoning Public Works �- .. Public Utilities Project: a� �d0� 1',C '', 1 , Public Safety Fire Services Review or Receipt Other Agency Review or Permit Required 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: APPL CATION STATUS Reviewing Department First Review: Approved. Denied. (Circle on- Comments: I :UILDING PLANNING &ZONING PUBLIC WORKS Reviewed by: Date: /02-a-ce PUBLIC UTILITIES Second Review: Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: I 'Approved as revised. Denied. Comments: Reviewed by: Date: MAP SHOWING SUKV t1 yr LOT 259 , SALTAIR SECTION NO. 2 , AS RECORDED IN PLAT BOOK 10 PAGE 15 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY , FLORIDA ; TOGETHER WITH THE SOUTHERLY 25 FEET OF PALM AVENUE, CLOSED BY CITY OF ATLANTIC BEACH CITY ORDINANCE N0: 65-75-6 . \ , .4 o c sQ . P40. s.,*--' . - s. � \\-\A : L oTl/ T .G/L1 n/ilE/Q6 4,..0'1;041r l Q p ET J!< '/ y Off �.,�.� /.ZD, S'6il/c c v 1I .O Q 90` I 1 � W 40' _ "' -n ' 6 CI Q1 /me...■.:. 0 0 ,J 0 •y..� a RV O Es+rtiC._ \ * ■� - . O. o ..\\,,,e. 1,i0.1 04 !AP farata0 l; ill 4 .' • N Z V Aar rot 0. 007 (. •• �• o�� _ ,yr%Sr .-0..evero .-4.0_,Iz) t) (1,ber.,.."..444.00- �h��+'•"'rjigQM¢.QL�/ '��L7.4/.Q'•`SOG/.Gaf✓�QQ�,:: j,'...•;r • ,rp•/f /-, 4 .00v../,.04.4Y - e./.411/41"Y. • A/a /04..14.0•2/^/G .0.?4,110-7-d/4.7;e4D.✓ LMidr /5Y •••c'477 •yN/'4 ....,,,(00/%1647-Y _..i!-4 /.+. odrL.Oa o z- �G yvNeCN M -swar .4.QG�iI cl/ M.Hd/MSG f4GC1GW"44,, /J I/ M-I•a "'dr✓■'• Ea A/..2/i /A,, />•4'H., C.�INAc'4'✓/Y7 ,ter,./,K .✓c�. F10.9 jai c. - . E,yE r firAe4 ' 4YA / i7 7. r4✓ ' V . .i 0 a , I HERESY CERTIFY TO; Cvrd44P .vtF C.ICTrY ' MAY 28 1 I , THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL. • ` STANDARDS Al SET FORTH BY THE. FLORIDA BOARD Uiram d Zornn• OF LAND SURVEYORS. PURSUANT TO SECTION 47x.017 f' FLORIDA STATUTES AND CHAVES* a riN-41 FLORIDA H. A. DURD s, , + AMAIN! ,RATION COD[. Th3 INC. n.vwlw�drl�aw .' "q.vlsvow;.w. /,7 LAND \. .t.�. SuRV,rYORf SIGNED 7E'�7 / - " ,I1,r •�., p�TO n 1100 Soon Third en* *CAUL -' .. . 4.Qi..•r /Mw S\AIM �,.- • 'i • t. �• THIS SURVEY NOT VALID �cril.,[fi THIS PRINT if EMBOSSED WITH TH[ SEAL OF THE ABOVE SIGNED. -. : 0000 .. • 4�� 43 • _. 0,0.00.---•,- x V.17 f. CITY OF ATLANTIC BEACH BUILDING AND PLANNING S 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 ; " S� TELEPHONE: (904)247-5800 024 FAX: (904)247-5845 http://ci.atlantic-beach.fl.us • Tuesday, August 17, 2004 Floyd M. Bell 388 Seminole Rd. Atlantic Beach, Fl. 32233 Subject: Trees removed on City ROW Dear Sir, The city staff has reviewed the information from the Building Department and determined the two pine trees cut down in front of your residence at 388 Seminole Rd. are on the City of Atlantic Beach right of way. There are no extenuating circumstances that would preclude mitigation for the removed trees. By this notice the required replacement of the trees will be at 100% of the removed inches in diameter at 54 inches from the ground. The trees measured 15 inches and 14.75 inches. The total replacement will be 29.75 inches or payment into the tree fund of $3480.75 ($117 per inch) or any combination of trees replaced and the balance paid into the tree fund. This notice requires payment within 30 days. After 30 days this case will be turned over to the Code Enforcement Board. Under Fla. Statutes 162.09 the Code Enforcement Board may impose fines of up to $5,000.00 per tree. Please contact this office at 247-5826 if you have any questions. S erely, Don C. FordC 0 Building Official Cc: City Manager Code Enforcement File 4. 1 i 1 - -7-- .��m `-i +1177.. --" � ... 1� , _ ■ , �- '.•.,ems , - 441. °iit, .• tr ' ,,t r -. *.. .. ..-v- . es I `i r }` T - ,mot 11 - r 7 . ,� ��� d �� ;k� bra �3 ,;_.,t ' ± Li. C � i a yak', _ ,, b °, p sr. A I X f.._ !s 3 • S ric . i I E.- ". .... - 3 1 t It- J. t 3 rpsw; , . I . ., '4 .a. ,,,._ -• \ _ ,A • `�' � It t Y ;if '1:11 ifitt IC .-r Y 1 r i AA '1.1 '''. ..4; s. ' Ll 1 i ' : ...] y � � S J iir ... �� �x ��,.p CITY OF ATLANTIC BEACH i �' 800 SEMINOLE ROAD j•t ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00027029 Date 10/07/03 Property Address 388 SEMINOLE RD Tenant nbr, name INSTALL 12 FIXTURES Application description . . PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor C.BELL, LESLIE CHRISTY FIRST COAST PLUMBING 388 SEMINOLE ROAD P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 119 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 119 . 00 119 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 119 . 00 119 . 00 . 00 . 00 w 1 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. BUILDING OFFICIAL CITY OF ATLANTIC BEACH rS - APPLICATION FOR PLUMBING PERMIT A, '? 800 Seminole Road Atlantic Beach,Florida 32233 013 , (904)247-5800 Job Location: 3 c? e L /ud- Owner of Property: ON i ke fi pin -Rd( Telephone: Plumbing Contractor: Ch,,, i r54- .,a Contractor Address: tg,k ct `f(o <ay, ,j3cL _ 3 449 State License Number: or Co 5'(0 e( S' 7 Telephone: aJ/7 - V((j How many of the following fixtures: ❑ New or ❑ Re-Piped SINKS ( SHOWERS 2 LAVATORY / WATER HEATERS I BATH TUBS DISHWASHERS URINALS DISPOSALS 2 CLOSETS ( WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER Z WATER 11ose-6;" S RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER Minimum Permit Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = Signature of Owner: Signature of Contractor: ,L --, Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904) 247-5826 OA CITY OF ATLANTIC BEACH ` ' ' 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 02-00024885 Date 9/24/02 Property Address 388 SEMINOLE RD Application description . . MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor C.BELL, LESLIE SNYDER HEATING & AIR 388 SEMINOLE ROAD P.O. BOX 16826 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245 (904) 641-0600 Permit MECHANICAL PERMIT Additional desc . REPLACE CONDENSER & A.HANDLER Permit Fee . . . 41.00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 41 . 00 41 . 00 .00 . 00 Plan Check Total . 00 . 00 .00 . 00 Grand Total 41 . 00 41 . 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. JA, BUILDING OFFICIAL t 4 • BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 • APPLICATION FOR MECHANICAL PERMIT IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. I. Street Address: 38 ic 54w.A..0L( tb LOCATION OF Intersecting Streets:Between ,grc.A"--r. . 6z.- And Scw..ti4LE 4, BUILDING Sub-division II. INDENTIFICATION—To be completed by all applicants. . In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Name of Mechanical Contractors • Contractor(Print) SN` i)(-2 co f Master f C,ACISCl 330-1 • Name of Property Owner • • Signature ofOwner Signature of Or Authorized Agent ,� i� Architect or Engineer III. GENERAL INFORNIATIOL A. T of heating fuel: B . Q( Electric IS OTHER CONSTRUCTION BEING DONE ON THIS • ❑ Gas: _LP _Natural Central Utility BUILDING OR SITE? ❑ Oil • .0 Other-Specify IF YES,GIVE NUMBER OF CONSTRUCTION • IV. PERMIT MECHANICAL EQUIPMENT TO BE ce,NATURE OF WORK INSTALLED ❑ New Building Residendal or Commercial (Provide complete list of components on back of this form) 0 Heat Space Recessed /Central Floor lr Replacement entofe Air Conditioning: Room ...Central �Replacement of existing system ❑ Duct System: Material ❑ New Installation(No system previously installed) Thickness ❑ Extension or add-on to existing system Maximum capacity cfrn ❑ Other- Specify • ❑ Refrigeration ❑ Cooling tower. Capacity gPm ❑ _Fire sprinklers: Number of heads ❑ Elevator: Manlift Escalator (Number) THIS SPACE FOR OFFICE USE ONLY • • ❑ Gasoline pumps (Number) (Received) ❑ Tanks (Number) 0 LPG containers (Number) Remarks • • • ❑ Unfired pressure vessel • ❑ Boilers Permit Approved by Date • • ❑ Other-Specify Permit Fee • LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Pa tY Approving (Tons) Agency • HEATING-FURNACES,BOILERS,FIREPLACES • Number Units Description Model Number Manufacturer Capacity Pa ry Approving • (BTU) Agency j Al N 7t-.-(o9( .C/1-,•-f L(twtst %..- 1 .14 lS 64kii-Xliku ..'�4-t- IOh.— v4- • TANKS How Many Nominal Capacity Type Liquid Name of And Dimensions Contained Serial Approving Manufacturer No. Agency CITY OF 1 411aatic Bach-4lo�tida (� Office of Building Official 33�"f�REQUEST FOR INSPECTION Date -2_ v �Q JO tO Permit No. Time A.M. Received Q C RM. .s& O Job Addressse��� {C :?0_,(40 Locality Owner's ie6— Name Contractor -41 BUILDING CONC E 1 ELECTRICAL C..PLUMBING /MP' MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough D Air Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heatingd. & ❑ Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. A.M. Friday Inspection Made �,— 3- V A.M. � P.M. �+ Inspector -,/�,_ _ ,�, ►% Final Inspectiop�` �'•� Certificate of Occupancy❑ Date . ,, CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PER nT i oR Y = � $ , 77:::;:'";77. 1:-;4 x : -L!I~?:O�T141�INi�01l �_ Permit Number: 20306 Address: -398 SEMINOLE ROAD Permit Type: PLUMBING 3 ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: Proposed Use: SINGLE FAMILY Lots): Block: Section: Square Feet: Subdivision: SALTAIR Est. Value: Parcel Number: Improv. Cost: kv Date Issued: 6/29/2000 Name: BELL, PENNY Total Fees: 25.00 Address: 338 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 6/29/2000 Phone: (000)000-0000 Work Desc: INSTALL PLUMBING CONTRACTORS : � > CHRISTY FIRST COAST PLUMBING PER IT 25.00 •'sr' aaaLF'. .. FINAL 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. 125.80 14 ,///% bate: 6/38/00 81 Receipt: 885945898 ids% ,/0 CHECKS A LA ' BEACH BUI ING DEPT. 88i80083221800 \r-r, CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: ✓fI°g 1� �n-C> / OWNER OF PROPERTY: P-e n ? I I TELEPHONE NO. ACF'" ! /0' PLUMBING CONTRACTOR h Or ( x/51- 1 ' joi � r?C l CONTRACTOR' S ADDRESS: 42 STATE LICENSE NUMBER: C r5lpL{K7 TELEPHONE: 7-`-t-46 HOW ANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE Actioni OTHER \ TOTAL FIXTURES: x $3. 50 + $15 . 00 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: / SIGNATURE OF CONTRACTOR: / I /� / �i`"3 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION CITY OF 4I1c, Beach-1101"A Office of Building Official REQUEST FOR INSPECTION Date 7 '-CJ i Time Permit No. C)3 O C Received A.M. Job Address //,,L Owner's =cality Name _ ..4.' O �`� Contractor �% BUILDING CONCRETE ..— 41' BUILDING ❑ ELECTRICAL PLUMB IN MECHANICAL Re Roofing ❑ Footing ❑ Rough Wiring _ '.ugh Roi fi Slab ❑ Temp Pole g Air Cond. & ❑ Lintel ❑ Final Sop Out 0 Heating Sewer ❑ Fire Place El R fOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. Friday 'M � --- Inspection Made , A.M. Inspector P.M. Final Inspection Fl. Certificate of Occupancy C' Date Ame CITY OF iirecutac g'e4e - ?1Pytidet 716 OCEAN BOULEVARD --- P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 \ � `/i 4 TELEPHONE(904)249-2395 April 7, 1988 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspection has been made and is satisfactory: Permit #5517---.-388 Seminole Road Permit issued to Bivins Electric Company. Sin-der- y, — , Rene' Ang:rs Community D- ,elopment Director RA/tb cc: file y y� p fat , y yI _ �: ._.,.,..,::, ...04- .v_ .:.: . , T / \ Y / '7. .,.,,z ......d" ....3" .. �` "# ... T ,/" .._ \ v_ ... / �N.f '"..°".�IF'f.'; - fie C1Irrtifira#r of (!rrnpanry N, CITY OF iit 7a tic Dead - Rosida lit i Eirpartmrnt of +&itt hittg Jnsprrtinn This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard , Building Code certifying that at the time of issuance this structure was in compliance with the 0 44 various ordinances regulating building construction or use. For the following. SinglefFamily 8732 '` - 's Use Classification Bldg.Permit No. r' Group Type Construction Frame Fire District.. Atlantic Beach ,,�. ' `;y, ownerofBuilding Billy Arxie Aadres5__Tacksonville Beach Building Address 3RR SEMTMOT,E ROAD Locality__. Lair Section II, Lot1259 ( °en e' An+�er5 By ._ /ti-62 {. _/ `^` ' , Building Date: ar1l (_, 1988 ) a . PMT IN a GONsPicuou• PLACE y ' t `t, / * \ o '4,t \ Ai t f f / t.. _'y,� A N. . t. 1 'i \ I \ J \ I \ I \ . .J \ I BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested : 6'2/ / 3 4 ' Building Contractor: ,Se___6,5 ze27,42,f_e__ , Building Permit Number: 8/cjR Address: �3&ey Legal Description: '-74112e1E__ - �„z 9 e-� .- � 2 L� ( Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as - L.g., / 1 , Lowest Floor Elevation: G/ required as built n/a Sales Tax Certificate: /� dat submitted * * * * * BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED:. ` BY,11 ' I-27 - 7 - 0 Fire Chief � v C - �� Public Works AZ — --O d _1_�/_ c_ ___����2 T Planning Director 2' ~d k /I— —Cf7c.iY 40Pi, Building Inspector I ADDRESS 3 6V _ _ CONTRACTOR _.6 OWNER BUILDING 732_ MECHANICAL PLUMBING ELECTRICAL_5 )9 TEMP POLE MISC ELECTRICIAN DATE FAILED DATE PASSED TEMP POLE JEA FOOTING ROUGH PLUMBING SLAB FRAMING MECHANICAL/FIREPLACE TOP OUT PLUMBING ROUGH ELECTRIC FINAL ELECTRIC Ueb6ixd FINAL BUILDING 14-2-6g ELEVATION SUBMITTED CERTIFICATE OF OCCUPANCY/ 1 vt�LJ 0 DATE ORDERED Q DATE ISSUED 000046 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH _•-- PERMIT INFORMATION •.)CATION INFORMATION Permit Number; 46 Address: 388 SEMINOLE ROAD Permit Type: TREE REMOVAL ATLANTIC BEACH, FLORIDA 322 3;1aas of Work: ALTERATION -— _ __ _..___. LEGAL DESCRIPTION __ - __ __._ . Constr. Type: Lot: Blocks Section: Proposed Use: SINGLE FAMILY Plat Book: Page: 0 Dwellings: 0 Code: 0 Subdivision: Estimated Value; $0. 00 .--_.-_ -- - OWNER INFORMATION __ _ __ ._ Improv. Cost : $0. 00 Name: JOHN LIVINGS Total Fees; $0. 00 Address: 388 SEMINOLE ROAD Amount I :; r± -; (In ATLANTIC BEACH, FLORIDA 322' f:' , Phone: (004)751-7851 L f trees I ;;EI' t .EES BY SIDEWALK DO NOT REMOVE. rUNTRACTOR!S} _- . _ - - APPLICATION FEES _ .� I4:' s"f:4M;~>t Ttxi''F, SI;V,. $0. 00 W1 '( Est IMPACT FEE $0. 00 SEWER IMPACT FEE So.; {"trl WATER METER RADOU GAS-H. R. S. RADON GAS _. 5 « Sirs. {}t. WATER TAP $0. 00 SEWER TAP $0. 00 HYDRAULIC SHARE $0. 00 RE-INSPECT FEE 80. 00 OTHER $0. 00 80.Of NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By. • (c:"XE,. t /6' 611' r • ~4i:. • CITY OF . ,4tea4ttic &'d - 9wcida 716 OCEAN BOULEVARD , P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 ■.;; TELEPHONE(904)249-2395 APPLICATION FOR TREE REMOVAL PERMIT DATE P. /I V'e Applicant 12,2-/,?717 6 P �aN� NAME e/ /7/[L/. ,,,4h %/Pi- � y/C6. - ADDRESS � ,,4I ; �� eft L= p _ op2��(sE- Cc,-RKi FK, 3z843s Owner NAME ///1, L g t) /Y A S ��ov r, .2 y/- y8,4s ADDRESS 7,4g' C /19iN z ( iel, ee/A7',C /96,4 f/ Location of tree if different from owner' s address : Reason for Removal : Q 1 5Ccyf' , /9/5 2, 71/Z.5 c,ice— C . - k ;`�, />?,SS i ,„ /�,'AN ,v.1.0 7 , r,-, ,N , F,,QO,v,i-- 2q'u//✓i ‹ l pl; `t� Rear Lot Line indicate a a 4- (Iry 9 -p ossition of tree on a-' +i _ _ 8° C lot a _ a° 4 ./ d'i'Le-Y 301 4c)-7D cn I �• ' t Lot Line _i- ti ovoi - , r P�`0x Building Official "� is )2 1( 1 �,N CVs Vfr . tj'1‘.' rt I i b (' fi f/ il/\4400#0))16 AZ‘ n 0 r I.V' 0.51- 4 ....,-,1)•u * 1.11-AN-.i. :`' , CITY OF ATLANTIC BEACH st 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 "' INSPECTION PHONE LINE 247-5826 Application Number 03-00027240 Date 11/12/03 Property Address 388 SEMINOLE RD Tenant nbr, name REGROUND Application description . . ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor C.BELL, LESLIE JACKS ELECTRIC 388 SEMINOLE ROAD 1128 SOUTH FIRST STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-0643 Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . Valuation . . . . 0 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 II 14*c 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. • BUILDING OFFICIAL CITY OF ATLANTIC BEACH y ELECTRICAL PERMIT APPLICATION Date: /(7(Fig Property Address: 35 -- _s _ltil, t/ld I'. Vcd , Owner: 9 f( Telephone#:—� -66' Contractor: ,.Ia sF` --cd trr'ci Telephone #:go-,sG6 oaf* Address: Fax#: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New Residence ❑ `Temp. ❑ New being done on this building Or site,list the building v Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair h--Q Conductor Size: AMPS: COPPER ❑ ALUMINUM ❑ Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED - OPEN 0 30 AMPS 3 1 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH I NO. OVER 1 H.P. PHS UNDER600V OVER600V • Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign ,{� Miscellaneous � - TN)Vta d /z-c 1 ' / 4-t - 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us 1 DEPARTMENT OF BUILDING 8733 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO._.. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 43.00 TL Date JUfle 1 19 87 43.81 KTC IM IN 43.00 3026 I n 8/04/07 Valuation$ Fee$ 9733 •00CACS 3028 IA 8/04/B7 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. 1000I This is to certify that Williams and Sons RA0018227 has permission toX XXX install heat/air Classification New Residential Zone RS-2 Owned by Billy Artie Lot 259 Block S/D Saltair Sec 2 House No. 388 Seminole Road According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE ' 1 O Building material, rubbish and debris Hz from this work must not be placed in public space, and must be cleared t up and hauled away by either con) c Or I f owflpr. ./tyling Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ,733 ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL- NUMBER IMPORTANT — Applicant to complete all items in sections I, II, IN and IV. i i. 1 LOCATION ff Street Address: I I ,�.� �! �► _' ‘Z.1(iQ - , OF 1 Intersecting Streets: Between And j BUILDING — – - _ Sub-division_ II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance 1 . with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical C ear# Cort..ee:ors I j� Contractor (Print) �I ,,, Master ' v r. i Name of , Property Owner 1 _ 1 Signature of Owner i y/^� I Signature of �s l or Authorized Agent ILIK _ l / / Architect or Engineer III. GENERAL INFORMATION 1 A' Type of heating fuel: 1 B• IS OTHER CONSTRUCTION BEING DO E ON /V^s' Sothic 1 THIS BUILDING OR SITE? O Gat—❑ LP 0 Natural ❑ Central Utility ( IF YES, GIVE NillA _ F,. ONSTRUCTIOM ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO 1E INSTALLED I NATURE OF WORK (Previde complet.list of components on back of this form) I Residential or ❑ Commercial . Heat ❑ Space ❑ Recossted ,CentnII ❑ Hoot New Building (— 'r Conditioning: ❑ Room/15—.Control ❑ Existing Building tt Duct System: Materiel T1+;ckmeta._ 0 Replacement of existing system I New installation(No system previously Installed) • Masi/num capacity ant. .O Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify O Cooling tower: Capacity . 9•p•s'n- I ❑ First sprinklers: Number of hoods. O Elevator ❑ Manfift 0 Escalator (nrrmbar) THIS SPACE POR OFFICE USE ONLY ❑ Gasoline pumps (number) j ( wed) ( ❑ Tenks (number) Remarks ❑ LPG containers (number) _ ❑ Unfired pressure venal �3 Permit Approved by Data ❑ ❑ Other Specify Purnit Feo LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT t� = N bar Unite • .. ` ption �• Pt • • umbes Manufacture ( )y a [ -c--_,C,D' - HEATING - FURNACES, BOILERS, FIREPLACES Capacity Number Units Model Number Manufacturer (ETU) LEDs 1.-_______A tos 0, _, ..... , _____ TANKS Row Many Nominal Capacity Type LJquui.d Name at Serial Ap�`°`'m$ and Dimensions Contained Manufacturer No. ^6u'C7 CITY OF 411arst is Beac ii-Glio ic/ Office of Building Official REQUEST FOR INSPECTION 0 Date 4/// J� Permit No. Time A.M. Received P.M. pro trict No. i -/L1 L ALA_—r. el . Job Address Locality �'` Owner's #4L ��"�/ �-"`� Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring ❑ Rough Air.Cond.& 0 Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel Final ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION �A Mon. Wed. Thurs. Friday P.M. / A.M. Inspection Made 6 ( 7 Inspector Final Inspection Certificate of Occupancy Date CITY OF 411c 1eac4-61aftida 6loict 27? Office of Building Official 5?ol REQUEST FOR INSPECTION _ Date 6-16 Permit No. (0 Time A.M. Received ,2elric_4P.M. zs ale District No. J Address Locality Owner's I Name 12 9 Contractor _.,e__-1 BUILDING CONCRETE PL MBING MECHANICAL Framing ❑ Footing 11111r' r.•••• Rough C Air.Cond.& ❑ Re Roofing C Slab C Temp Pole Top Out C Heating Lintel Final Fire Place ❑ Pre Fab • 'Y FOR INSPECTION A.M. Mon. Tues. r Wed. Thurs. Friday P.M. Inspection Made CR—I •`• Us ` ?• jot I Inspector rc C. Final Inspection C Certificate of Occupancy Date CITY OF n 4IIan L Iic eac/ -It /tic& Office of Building Official r } REQUEST FOR INSPECTION cDate — `� —8-7 Permit No. ' 3 D ` A.M. Time Received 1 Q &I V■ '"-, P.M. District No. Sen\; pct.Q ,% . Job Address Locality Namer s ---6: I 1, ,�� e Contractor - 'e D99-43- 6 BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Foo-in ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab X Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final Fire Place ❑ Pre Fab READY FOR INSPE •N A.M. Mon. Tues. Wed. �� Friday P.M. _ !/ P.M.Inspection Made < -'-- Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF 4t cattic leech-'1tlatida Office of Building Official (//� �'(7 �p/�/ REQUEST FOR INSPECTION Date "� —(R, v 7 Permit No. 3 Time A.M. Received U X JIC,<Actst-LU /ISLE District No. 3 ■b Addrep . .lily Owner's f 1 Name ,_ ' i Contractor BUILDING ( ONCRETE ELECTRICAL PLU LING MECHANICAL Framing ❑ o. _ a- Rough Wiring ❑ Rough ❑ Air.Cond.& C Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final C Fire Place ❑ Pre Fab R -,•'-" OR INSPECTION / A.M. Mon. C Tues. --- ► Thurs. Friday P.M. Inspection Made /�/^ (^ / Inspector C_U . \ - t Final Inspection //' n` ` 4-I C 0 Certificate of Occupancy 4YIj// `l T 4 i 0A Date 0 .r. ......,,,m. ,. n. ._. CITY CAF ATL k.' "; ; i, FLORIDA .I.. �w Ar►►UCAt 1ORN POR ELECTRICAL r'ERMIT 6P4-8.1327—i. . a; 's X 1� �'p HIC THE C I LECTRICAL INSPIECTOR: DATE:, LCD /''' . . ., tIN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AF, DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WOFtK I ORDANCE WITH THE AI!ACHED PLANS AND SPECIFICATIONS, . WHICH ARE A PART HEREOF, AND IN,,AeC )A1 CE WITH THE ELECTFII ►L REGULATIONS, CODES AND CITY OF - TLANTIC BEAC) ORDINANCES. r _ ° + )....i.Nt... ...9 satila:oico•rjEka. ,.. .• , ' ire : ✓U" (J/'f , cTRICAk FIRM: �- -. ji ELECTRICIAN SIGMSTUR; in c -' -�--3 JOURNEYMAN M, E .ADO R ESS: ,. gh�_�°.� 11f Qom.X. ....... SLOG.UIZE...._ BE'1VEEN. ' ,,.� • Vi( ) APT.( i COMM.( ) PUBLIC( 1 INDUS. I 1 NEW( 1 OLD( 1 REW.( 1 ADDITION l ) TRAILER( ) TEMP. SIGNS REP( :tIRIT URVICE: $EW( 1 INCREASEO REP 1 FEE 9ONDUCTOR SIZE .. - ~ 40 AMPS COI,ill i ALAN:J..( ' I It;WITCH OR BREAKER• tI ....t PH V RACEWAY t €XIS!.SERV.SIZE AMPS PH 1 VOLT RACEWAY __ _.P." FEEDERS NO. SIZE • NO. SIZE_ 7 NO. _ SIZE �,T-. LIGHTING OUTLETS CONCEALED -- OPEN 1 •)Tp RECEPTACLES CONCEALED OPEN 17 kL 1 +T 0.30 AMPS. _31.100 AMPS. 4 , SWITCHES _ 1 _ - INCANDESCENT i - FLUORESCENT&M.V. 0. rump f 100 AMPi. - Ovnt ' . APPLIANCES I . H.P. BELL Teri ' AIR 1 H.P.RATING H.P. RATIN G CONDITIONING COMP.MOTOR OTHER MO-ORS AMPS CEIL HE AT: K1V±IEAT T - _- . .r., i1 , .. .. • 0-1 - OVER MOTORS H.P. VOLTAGE •PHS NO. 1 M.P. VOLTI.GI PI'S MISCELLANEOUS � � ------ IC?— IMOMMEMINNIIIMININk .� . f I TRANSFORMERS: UNDER 600 V. OVER 600 V. .- • - NO. KVA NO. TVA .. . _.... NO.NEON TRANSF. NO. O VA. MA. w MOTOR SIZE i%VITCH I FLASHE' EACH SIGN r - - T 11 I . . . ' 4 , I l".""" �- FOR NARDED 0 ,G U . s S .`'.1, `g 4 ifn .,'.ri a:, .. TOTAL FEES o.,.t///\....\J`J. • 4. CITY OF ATLANTIC BEACH, FLORIDA C)104-43 /5?—17 Ammo*.Iw APPLICATION FOR ELECTRICAL PERMIT , 1 )k //\c--)%11 TO THE CHIEF ELECTRICAL INSPECTOR: DATE:. U .- J 1 (i 1! el 7 i 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. I WHICH ARE A PART HEREOF, AND IN ACCOR ITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. _ • n 'I . IR . '' - ER ' ECTiI I - ■ i - r. - NAME, 9 . ,LQak i A.- ADDRESS:. 32E -11;i,', ; ° . : a'_ RFD.--BOX BLDG.SIZE BETWEEN:, RES,tyt APT•( ) COMM.( 1 PUBLIC( ) INDUS. ( ) NEW( •) OLD( ) REW.( 1 ADDITION I ) TRAILER I ) TEMP.( 1 SIGNS 1 ) SO. FT. SERVICE: NEW( ) INCREASE I ) REPAIR ( ) FEE LL CLONDUCTOR SIZE ,,`t/2 �l6 AMPS COPPER ( ) ALUM. ( ) 'WITCH OR BREAKER r •Q MAPS PH 3 VI ,?- WOLT L lk.U.2 _RACEWAY ,.,.,,, EXIST.SERV.SIZE AMPS _ PH W_ VOLT_ RACEWAY FEEDERS NO. SIZE 1N0. SIZE j NO. SIZE CONCEALED OPEN TOTAL i LIGHTING OUTLETS�1 1 _ 1 RECEPTACLES CONCEALED OPEN TOTAL F, 0.30 AMPS. 31•100 AMPS. 1 '• SWITCHES - INCANDESCENT ti FLUORESCENT&M.V. FIXED 0.100 AMPS. ' OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 4 -h . S - 1 . .. 0.1 1 OVER MOTORS H.P. VOLTAGE •P115 NO. 1 H.P. VOLTAGE PHS 1 _ • MISCELLANEOUS 1 TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN —...._.► •... - - FORWARDED 1 U C S • TOTAL FEES I I DEPARTMENT OF BUILDING $732 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date June 1 19 87 ?52.75 Ti 65,691.80 Fee$ 252.75 15 .75CKTt Valuation$ 9330 IA 6/02/07 8732 .00CACC This permit not valid until above fee has been paid to City Treasurer,and is ���� � � 6/02/67 subject to revocation for violation of applicable provisions of law. 2�' This is to certify that Billy Arzie RB 33718 122 N. 15th Ave. Jacksonville Beach 32250 has permission to build Single Family Classification New Residential Zone RS-2 Owned by Billy Arzie Lot_ 259 Block S/D Saltair Sec 2' House No. 388 Seminole Road According to approved plans which are part of this permit NOTICE—AL CONCRETE FORMS t AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE III._— ■ ♦----■ o Building material, rubbish and debris _ from this work must not be placed in public space, and must be cleared up an hauled away by either con- t or o wer. ng Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER ' PLUMBING ELECTRICAL SEWER WATER Address. /-U1' 01-5 � C a 2 Sif e-7-4! Heated Square Footage •1' L( ( (P @ $ ��, 5C per sq ft = $ 55 J93oa, nv Garage/Shed 6 900 @ $ /� 5-t. per sq ft = $ '/,.9d D. CO Carport/Porch @ $ per sq ft = $ Deck 3L1 '1- . @ $ • cdi per sgft = $ � 3 • (17G Patio @ $ per sq ft = $ TOTAL VALUATION: $ (.5, /c (i 'D- 6, 9) YL) Q(0, 5`6 ' '$ /a60,.STO Total Valuation 1st $ 50,on c. , to 9l. g() 3:� 0 $ & •.0 d Remainder Valuation '$ ,LY4er thousand or portion thereof Total Building Fee $ /6-g,56 ADDITIONAL PERtILTS and/or i ±S REQUIRED + 2 Filing Fee $ 97. c5 Mechanical • Fireplaces @ 15.00 $ L5 D6 ✓ BUILDING IPERMIT FEE $ Plumbing Electric/New ,f " • Electric/Taop Septic Tank BUILDING PERMIT $ ( 5;), 7J Well WATER METER CHARGE $ 26' DO st ru:ming Pool SEWER IMPACT FEE $ IC 3S D D WATER IMPACT FEE $ 65. DO Sign Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter _,Z $ Elevation Certificate ' 76- CALCULATIONS GRAND TOTAL DUE $ / 6-7/7 7`) CALCULATIONS and/or NOTES • City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. ,- BATHROOM GROUP CONSISTING OF ;__SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) �� WATER CLOSET VALVE WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) 0 BATHTUB/SHOWER (2) l_ URINAL WALL LIP (4) G SHOWER GROUP PER HEAD (3) l_. FLOOR DRAIN ( 1 ) O SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) _a__LAVATORY ( 1 ) �_ COMBINATION SINK AND TRAY (3) l WASHING MACHINE (3)- L POT, SCULLERY SINK (4) 1 DISHWASHER (2) %—' WASH SINK EACH SET OF DFAUCETS (2) KITCHEN SINK (2) C DENTAL LAVATORY ( 1 ) KITCHEN SINK WITH WASTE GRINDER (3) C) DENTAL UNIT OR CUSPIDOR ( 1 ) BIDGET (3) C URINAL STALL, WASHOUT (4) O FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WIT1 FOOD DISPOS. (4) _L_URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) t- DRINKING FOUNTAIN ( 1/2) ____LAVATORY, BARBER/BEAUTY SHOP (2) L-- LAVATORY, SURGEONS (2) SURGEONS SINK (3) __1__ICE MAKER ( 1/2) CC 6° TOTAL FIXTURE UNITS 8 O• J @ $10. 00 EACH $ v '� JOB INFORMATION k-6) 1 2 5_ f` C S `T ui ( 1 CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner_ /LL j //i. 42/67 Address /ZZ /v: /,��_��,r. , zi 32Z Sv Q '/ P phone Z 545=S4SZ 6 Architect /E/LLi ✓n' &Zia Address /LZ /l9, /S�"� zip 322So phone___ ___ Contractor ,3/l.Z Y lrl. /i, Z/E Address /22 /0, ASV zip.52250 phone . Contractor's License number__L/_3.1 V J expiration 6-36 -...p/ Lot_J 5Y _Block or Section .2 Subdivision S/9Lrnie Zoning EES/DEAtT•4 4. i \ Street -5Efil/AJoc-E Ke/ between 72LAz,4 and P411/ side �E$1 . • Type Construction A4Am e No. Units / No. Fireplaces Purpose of Building /6ES 1> tic"E Est. Valuation $ gS.D-1-19 Utility Method - Water 404L-G Sewer /LL c Dimensions - Building SEE 3'4°45 Lot 7Sx Size Footings f Sz. Piers A//4 Sz. Sills W4 Greatest Span Sills k)Al Sz. Ceiling Joists sew awls Distance on Centers Greatest Span Sz. Floor Joists SEE�u45 Distance on Centers Greatest Span Sz. Rafters srE2)604s Distance on Centers Greatest Span Method of Heating CE"✓TeAL Solid or Filled Ground Sot./ Z) Roof F/BEe4t"8 Flood Zone C If located within a FLOOD HAZARD ZONE complete page 3 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in. accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. The contractor agrees at its expense to provide the necessary access to the properties being developed over dedicated City rights-of-way and to clear, clean, grade, and • drain said right-of-way to City specifications. I / / 5 2 • Signature Owner 4 Date Signature Contractor___ # ' l ?• _ !_Date c "Z1-87 ., page 2 e ( PLANS REVIEW CHECK LIST Address 39 Ste^\ k ' Owner el��4 Q2-\e.• Legal Descriptioncj5g Contractor . )A�,Z'Ne._ Spa - clu_ _�., ,LQ_a License Numbergej ?j.32)_S License on File (Y r--- ' NO Section 24-101 * Zoning Regulations Zoning District )S a Proposed Use L`C1C�L�. - � \I T Required Lot Size_S�j jDO' Actual Lot Size JD )( IUD Setbacks Required Provided Section 24-17 front nn 1 �Ld-__ �6___ (CORNER LOT INTERIOR LOT rear aos a p I Flood Zone side-1 _Ji'7a U —__L5__ ---- O I Required Elevation �}•_- side-2 _ Max. Height Allowed S Proposed Height O0 Section 24-82 * Minimum Lot Coverage Required Heated Area ' LO Proposed Area 1 Section 24-161 * Offstreet Parking Number Spaces Required Spaces Provided of • Section 24-82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES NO Utilities Water and sewer service is to be provided by: Buccaneer Utilities __I City of Atlantic Beach Utilities Private Sourc SEPTIC TANK WELL / Plans Reviewed by: ,/i " a2 : Date__ Nl L r Building Permit #_O/,5cq___ ISSUED DENIED 26903 REORDER ROM QUALITY bUSINESDrbomsvic 190413963555 , , CITY OF ATLANTIC BEACH No. 4624 FLORIDA June 1 1987 NAME Billy Arzie ADDRESS 122 N. 15th Ave CITY Jacksonville Beach 32250 i 1'1 1 `.341._t. fjCicit _ i r , .rr'r,-Act 2/tri $205.00 - 47 Water Impact Fee #40-34-3700 PAID, 11111111 5CSewer Impact Fee #41-343-5200 $1,035.00 JUN 2 1987 $1240.00 Lot 259 Saltair Section 2 388 Seminole Road 1 , ' When Signed, Dated and Numbered, This Becomes an Official Receipt ' MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER ' • ,...Tvry ;,- • ,..,t, ;N.....-- .......s.u., :,-ea..... 1 t.....—s- 1_.',.,m_ ^•..5.P'!... ,7 '-.4.1",r7C-r.-' •' '.74-;:'' ... , „ , teilv ' ' -T '.■ " 'r,Vt f :••••. - - } IR;i, CITY OF ATLANTIC BEACT„ AID • , ATLANTIC BEACH, FLORIDA 32293 TELEPHONE: 249.2995 -i,kft • , ■ ' • '..,;44t,:,,"...1;ti ' JUN 2 1987 ,•:.'7 ..4,'.=,.','' UTILITY BILL 'i;Z --7'"" ■ - . --i3 , WATER ' DATE METERS WATER SEWER GARBAGE OTHER TOTAL ,......-e. ". :,','if,: * . ' • • ' '. `*' .Ir'"?-•';.- ' * •. (e ' 1) )g7 -*" . ..„,Ats,:.•,... ,• ORDER. T tKE REC -IPT TO PUBLIC '1,'40 ., , WORKS DI PT. TO SCHEDULE WORK. 1200 SAN PIPER JANE,, • ':',.:: t',;., - , „, . ........ , , .., . •=•.,,, ,,- , . ‘,..2'- '?.t.tr , ..,-,... .., ' '+':!`'■- ... RETAIN THIS STUB •4. !tt I A :■ 1' PAYABLE IN ADVANCE SERVICE DISCONTINUED •,. ,., .,.. .' ; • NO REFUNDS IF NOT PAID WITHIN 30 DAYS OF DATE SHOWN • . .. -...*,...- :- ' ' • • •• • ' i t.1�, t, r t• faill!� • • • • • t; • 1 !. ,t;• CITY OF ATLANTIC BEACH },ff, • ' �'!'';��: ., APPLICATION. FOR P ' Ii►... r , . ;.1•i I• PLUMBING kEIZT1IT :iii s•• JOB LOCATION o 11 ,'y : •- '':.i ' • ,' '''t'';!11'1: ;. ON •0 / V , ! i• -•L'I , ist,,'1', : PLUMB / • r 14(... rf.1t.', ING CONTRACTOR � •r“,, ;j 1 e i l' RAC' '� /l'' L � ` • ,� r+.•,1, i 1a:• � ,. . �r#.LICENSE NUMBCRS • ..• , , �. �i7/ U r1.•,-^ / ;,,:I x ,� ' i ; r'rti :'1' f'',, .r' . .,, 1i.e., !i:: OWNER A �W7 .. . �•;,� . ,.,: :; .j:• , I,1 I y i ,,; .• .,f, ,:BUILDING CONTRACTOR / ' -.......1''''''...• .,,,-..r ' , •: :i::,11 i, TYPE OF BUILDING �j��j t .�• .,�`'';• •i▪ ll !::,,v t ::1;•;'. ..• €:1°:i; f.i r SINKS • :,` �:R ;: ,',•ri,•j;'i.;t • .• I ,.... ,.;; SHOWERS !.r t, r' i ! �••1, :ir i. 1ft! t . .! . ±t': _LAVATORY ' • ' -3.• • 1 WA TER HEATERS :.14.1gi ,a• •' ' 1.11;'• :; '1:1.1.: 1. 1.... L. •:1 ;u __L__DISIIWAS1iERS t ; '"r(.. „ •,!• •,, h ; Rj ; NALS ' . ;: DISPOSALS ;; , .: •! • ,:� � ;i 1 1�'., T.:�,(;�1, ; : _ Ili:,!°I i • ' •• •,: f WASIIING MAC - ' ,i � I�L00IZ DRAINS INE, ; : �•_';�';';�?; ;' /( 'TOTAL FIXTURE •• • .h• %•111.,j.. ,.• .::,;• COUNT. 1.1,..,::. ... I •.1.?!: (/t„ '• i 1r, • • • I %••• �, .... ,= . • • ,:�•j•jti is•• • 1...i• �l�.� j1, ' •.�`;•ti . :�'' • . ;r 111?; i:. • ,:,; 'INSTALLATION OF PLUMBING ANll ti11 ;i ' ; w.1.. �;�,;�e,iti.,.;.,, ON Ot PLUMB FIXTURES. M ••!∎11 !;1, 1., V'' • ?'i• ,: UST',BE IN ACCORDANCE WITIi 1.11..T..; 1: :.r:'• ;:i.;•.. ;;...1...i..;:ii,..,.,.:.,: MOST RECENT•EDITION OF C S •••t 1,t'1:,,;. •• . 1, j' !I'` ,: THE SOUTHERN .STANDARD PLUMING •1'1!r'.i 0,..• �•i' :': ': is t ., , IN CODE, I:::'i,'/,:�,c I a,I. •!'' ,L itl. ',.•'' '' Z•L1�..r:; t '•i,�, '1.�1•wj' �jt• • • • , ^ , •,. ��,'.I',10.....-.!::I. :•i!� •t .1r.•,. •1 •1••, 1/ ••• •': t•.j'`1y til 717 h ,. r• ,., • •+i• !: ''1. 1:•. WINTER POINT MULTIPLIERS (WPM) 9B WINTER OVERHANG FACTORS(WOF) CLIMATE ZONES 1 2 3 ..-377-7-R777 .0-.11 1 .12-.17 1 .18-.26 1 .27-.35 1 .36-.46 1 .47-.57 1.58-.70 1 .71-.83 1 .84-1.18 1 1.19-1.72 I 1.73-2.73 1 2.74+ , SINGLE PANE GLASS N 1.0 1.05 1.08 1.12 1.16 1.20 1.24 1.27 1.31 1.38 1.45 1.51 NE/NW 1.0 1.09 1.13 1.20 1.26 1.33 _ 1.39 1.45 1.50 1.63 _ 1.74 _ 1.84 1 E/W 1.0 .67 .50 .16 -.20 -.60 -.95 -1.32 -1.73 -2.51 -3.31 -4.05 m I SE/SW 1.0 .92 .88 .77 .66 .52 .39 .25 .10 -.21 -.48 -.74 o= S 1.0 .95 .92 .84 .74 .60 , .46 _ .29 .13 _ -.24 _ -.54 -.67 tip DOUBLE PANE GLASS `�'1 N 1.0 1.09 1.13 1.19 1.25 1.31 1.37 1.42 1.48 1.58 1.69 1.79 1 NE/NW 1.0 1.15 1.23 1.35 1.46 1.58 1.68 1.78 1.87 2.09 2.28 2.46 I E/W 1.0 .85 .77 .62 .46 .28 .12 -.05 -.24 -.59 -.96 -1.29 1 SE/SW 1.0 .93 .90 .82 .72 .61 .51 .40 .28 .03 -.19 -.40 S 1.0 .96 .94 ' .87 .78 .67 .55 .41 .27 -.04 -.29 -.40 SOH LENGTH* 0 ft. 1 ft. _ 11/2 ft. 2 ft. I _ 3 ft. 31/2 ft. _ 41 ft _ 5'h ft. 6' ft. 9' ft. 14 ft. 20 ft.+ *To select by"Overhang Length,no part of glass shall be more than 8l ft.below the overhang. OVERHANG RATIO= OH LENGTH OH HEIGHT l _ H TIT H 1 9C WALL WINTER POINT MULTIPLIERS(WPM) FRAME CONCRETE BLOCK FACE BRICK LOG INTERIOR INSULATION EXT.INSULATION R-VALUE WOOD FR WOOD NORMAL WT. LT. WT. NOR. WT. LT. WT. 0- 6.9 12.6 6 INCH R-VALUE EXT ADJ R-VALUE EXT ADJ EXT EXT EXT 7- 10.9 , 4.2 R-VALUE , EXT 0- 6.9 11.1 10.4 0- 2.9 11.2 6.8 8.8 11.2 8.8 11 - 18.9 3.5 0-2.9 4.5 7- 10.9 4.4 4.4 3- 4.9 7.3 5.1 6.1 5.6 4.9 19-25.9 2.2 3-6.9 2.8 11 - 12.9 ,-3.7 ) 3.6 5- 6.9 5.7 4.2 4.8 4.3 3.9 26& Up . 1.4 7&Up 2.1 13- 18.9 X3.4 3.3 7- 10.9 4.6 3.5 4.0 3.3 3.1 R-VALUE - BLOCK 8 INCH 19-25.9 2.2 2.2 11 - 18.9 3.0 2.6 2.8 • 2.2 2.2 0-2.9 7.9 R-VALUE EXT 26&Up 1.5 1.5 19-25.9 1.9 1.7 1.8 3-6.9 5.7 0-2.9 3.0 STEEL 26&Up , 1.3 1.2 ( 1.3 7-9.9 3.8 3-6.9 2.2 R-VALUE EXT ADJ . [ _ 10&Up 3.0 7& Up 1.7 0- 6.9 15.1 13.1 7- 10.9 7.3 6.6 9E CEILING WINTER POINT MULTIPLIERS(WPM) 11 - 12.9 5.7 5.2 UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF 13- 18.9 5.2 4.9 R-VALUE WPM R-VALUE WPM CEILING TYPE 19-25.9 4.6 4.4 19-21.9 , 2.0 10-10.9 3.2 R-VALUE DROPPED EXPOSED 26&Up 2.7 2.6 22-25.9 1.7 11 - 12.9 2.9 10- 13.9 2.9 3.3 26-29.9 1.4 13-18.9 2.6 14-20.9 2.0 2.1 9D DOOR WINTER POINT MULTIPLIERS(WPM) 30 37.9 CO 19-25.9 2.0 21 &Up 1.3 1.3 38& Up .9 26&Up 1.3 DOOR TYPE EXTERIOR ADJACENT 4-4 9F FLOOR WINTER POINT MULTIPLIERS(WPM) WOOD 13.3 SLAB-ON-GRADE RAISED RAISED WOOD EDGE INSULATION CONCRETE (See 903.2(e)) INSULATED 16.8 14.5 R-VALUE WPM R-VALUE WPM R-VALUE WPM 0-2.9 18.8 0-2.9 9.9 0- 6.9 8.3 4.9 9.3 3-4.9 5.1 7- 10.9 3.0 5-6.9 - 7.6 5-6.9 3.6 11 - 18.9 2.2 . 7& Up 7.0 7&Up 2.9 19&Up 1.4 9G INFILTRATION WINTER POINT MULTIPLIERS(WPM) 9H DUCT MULTIPLIERS(DM) INFILTRATION PRACTICE R-VALUE With Return W/O Return (See Table 9P) WPM Air Duct Air Duct 4.2-4.9 1.14 1.10 PRACTICE " 1 10.9 5.0-6.6 1.12 K1.08 PRACTICE #2 7.4 6.7&Up 1.09 1.06 PRACTICE #3 • 4.1 DUCTS IN CONDITIONED SPACE 1.00 1.00 -5- - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 900-A-86 SECTION 9 — RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES REVISED: 1/87 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9.An alternative to this method for single-family detached dwellings,and multifamily attached dwellings of three stories or less,is provided in Section 10.Multifamily attached dwellings greater than three stories must comply under Section 9 or 5.Additions to existing residential buildings must comply under Section 9 or 10.Additional information may be obtained from your local building department or the Department of Community Affairs,Energy Code Program,2571 Executive Center Circle East,Tallahassee,Florida 32399. / BUILDER: /�,, f' 4.' % .. PROJECT NAME � `�liP �`, f �` / `r AND ADDRESS: 9 4/ /V ', e. PERMITTING CLIMATE TlG H /G c4 OFFICE: '` `,r/–.,; -- ,. / .. ' ZONE: 1 �0 2 31 I OWNER: 6//'7 1`4't zip PERMIT JURISDICTION NO.: NEW CONSTRUCTION / 17 IF MULTIFAMILY,NUMBER OF CONDITIONED / SQ. GLASS AREA AND TYPE UNITS COVERED BY FLOOR AREA r FT CLEAR TINT,FILM,SOLAR SCREEN ADDITION ❑ THIS SUBMITTAL: — - -- EAVE OVERHANG SINGLE- SQ. SINGLE- SQ. MULTIFAMILY ATTACHED ❑ CHECK IF THIS SUBMITTAL LENGTH Z , 0 FT PANE FT. PANE FT. REPRESENTS A WORST CASE PORCH OVERHANG •DOUBLE � SQ. DOUBLE- SQ. SINGLE-FAMILY DETACHED❑V CONDITION: ❑ LENGTH I FT. PANE -1 .5 FT. PANE FT NET WALL AREA AN_D INSULATION MASONRY R = FRAME R = STEEL STUD R = LOG R = SQ. t . -3 ` SQ. I I SQ. SQ. _FT. . ( _ FT FT FT CEILING AREA AND INSULATION FLOOR TYPE AN D INSULATION UNDER ATTIC R = SGL ASSEMBLY R = SLAB PERIMETER R = RAISED:WD❑CON❑ R = I /1. 1 /_ FT. ,Q SQ. I C J FT �` SCI. DUCTS (O COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM IN UNCONDITIONED IA CENTRAL NONE ELECTRIC STRIP LJ HEAT PUMP ELECTRIC I ❑ SOLAR SPACE R = ROOM I NATURAL GAS ❑ OTHER FUELS ❑ NATURAL GAS 1-7 HEAT RECOVERY I gl� O Li PACKAGE TERMINAL _ ROOM UNIT OR _ NONE U OTHER FUELS ❑ DEDICATED HEAT PUMP IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL SPACE R = HEAT PUMP EF = I SF/EF = . SEER/EER = COP/AFUE = NUMBER OF BEDROOMS = •INFILTRATION I _ PRACTICE USED 3 © -713 3 3 D _ 1 j, X 100 = 9 / . 9 #1 fl I #2 — #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I. I CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. In accordance wit ection 553.907 F.S., I hereby certify that the plans Review of the plans and specifications covered by this calculation indicates and specifications co ered by this calculation are in iance with the compliance with the Florida Energy Code.Before construction is completed,this Florida Energy building will be inspected for :fiance in accor Q ,>ipnce , . S- 553.908 F.S. OWNER/AGENT: \ BUILDING OFFICIAL: _ n.r-- (\/ ' DATE: v DATE: (9 / –P T7 9A I PRESCRIPTIVE MEASURES(Must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECK WINDOWS 904.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK. EXTERIOR& 904.1 MAXIMUM OF 0.5 CFM PER SQ. FT.OF DOOR AREA. INCLUDES SLIDING GLASS DOORS,SOLID CORE, ADJACENT DOORS WOOD PANEL, INSULATED, OR GLASS DOORS ONLY. EXT.JOINTS& 904.1 TO BE CAULKED,GASKETED,WEATHERSTRIPPED OR OTHERWISE SEALED. V CRACKS MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND WATER HEATERS 904.2 STANDBY LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC),OR CUT-OFF N/ (GAS)MUST BE PROVIDED. AN EXTERNAL OR BUILT-IN HEAT TRAP MUST BE PROVIDED. SWIMMING POOLS 904.3 SPAS&HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST Y//it &SPAS HAVE A PUMP TIMER. GAS SPA&POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%. f HOT WATER 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS.IN SUCH CASES,PIPING HEAT LOSS �t/ C� PIPES SHALL BE LIMITED TO 17.5 BTU/H/LINEAR FOOT OF PIPE. Pi* SHOWER HEADS 904.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 20 TO 80 PSIG. V HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS& LOCAL MECHANICAL CODES. DUCTS IN CONSTRUCTION 904.6 UNCONDITIONED SPACE MUST BE INSULATED TO MINIMUM R- 4.2&JOINTS MUST BE SEALED. HVAC CONTROLS 904.7 SEPARATE READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM. INSULATION 904.9 CEILINGS–MIN.R-19. COMMON WALLS–FRAME R-11 OR CBS R-3. FRAME COMMON CEILINGS&FLOORS R-11. -1- is • 91 HEATING SYSTEM MULTIPLIERS(HSM) L CLIMATE ZONES 1 2 3 SYSTEM TYPE HEATING SYSTEM MULTIPLIERS Heat Pump COP 2.5-2.69 . 2.7-2.89 X2.9-3.09-. 3.1 -3.29 3.3-3.49 3.5-3.69 3.7-Up HSM .56 .52 .48 f - .45 .42 .40 _ .38 Electric Strip HSM 1.0 Gas&Other Fuels HSM 1.0 (See Table 9J for Credit Multipliers) PTHP&Room Units HSM HSM for COP 2.2-2.49 = .63. See above for COP>2.49. Minimums: Central Units 2.7 COP. PTHP&Room Units 2.2 COP. COP means Coefficient of Performance. 9J HEATING CREDIT MULTIPLIERS(HCM) SYSTEM TYPE HEATING SYSTEM MULTIPLIERS Attic Radiant Barrier HCM .98 Multizone HCM .90 Natural Gas AFUE .60- .64 .65-.69 .70- .74 .75-.79 .80-.84 , .85-.89 .90-Up HCM .54 .50 .46 .43 .40 .38 .36 Other Fuels HCM .84 .77 .72 .67 .63 .59 .56 Where more than one credit is claimed, multiply HCM's together. Enter product on page 4. AFUE means Annual Fuel Utilization Efficiency. 9K COOLING SYSTEM MULTIPLIERS(CSM) - SYSTEM TYPE COOLING SYSTEM MULTIPLIERS SEER 7.8 8.0- 8.5- 9.0- / 9.5- 10.0- 10.5- 11.0- 11.5- 12.0- Central Units 7.9 8.4 _ 8.9 9.4 ' 9.9 )10.4 10.9 11.4 11.9 &Up CSM .44 .43 .40 .38 .36 / .34 '.32 .31 .30 .28 PTAC&Room Unit CSM CSM for EER 7:15-r-7.7 = .46.- For EER's>7.7 use multipliers above. Minimums:Central Units 7.8 SEER. Room Units 7.5 EER. PTAC under 13,000 BTU/H 7.5 EER, and over 13,000 BTU/H 7.0 EER. SEER means Seasonal Energy Efficiency Ratio. EER means Energy Efficiency Ratio. 9L COOLING CREDIT MULTIPLIERS(CCM) SYSTEM TYPE COOLING CREDIT MULTIPLIERS(CCM) Ceiling Fans .86 Multizone .90 Cross Ventilation or Whole House Fan(Credit for only one) .95 Attic Radiant Barrier - ,95 Where more than one credit is claimed, multiply CCM's together. Enter product on page 2. 9M HOT WATER MULTIPLIERS(HWM) SYSTEM TYPE HOT WATER MULTIPLIERS Electric EF .80-.81 .82- .83 .84- .85 .86-.87 . 188- .90 ) .91 -.93 .94- .96 .97&UP Resistance HWM 4183 4081 , 3984 3891 803- 3678 3560 , 3450 Natural Gas EF .48-.49 .50-.51 .52- .53 .54- .55 , 56"=.57 .58-.59 .60- .61 , .62&Up HWM 2259 2169 2085 2008 1936 1870 1807 1749 Other Fuels HWM 3494 3354 3225 3105 2995 2891 2795 2705 Water heaters must comply with prescriptive measures of Table 9A. EF means Energy Factor. 9N HOT WATER CREDIT MULTIPLIERS(HWCM) SYSTEM TYPE HOT WATER CREDIT MULTIPLIERS Solar Water Heater SF .1 .2 .3 .4 .5 .6 .7 .8 .9 1.0 HWCM .9 .8 .7 .6 .5 .4 .3 .2 .1 .0 With Air-conditioner Heat Pump Heat Recovery Unit* HWCM .62 .58 Dedicated Heat Pump EF 2.0-2.49 2.5-2.99 3.0-3.49 3.5&Up HWCM .44 .35 .29 .25 .A HWM must be used in conjunction with all HWCM. See Table 9M. SF means Solar Fraction. EF means Energy Factor. *Form 900D-86 must be submitted to obtain credit for Heat Recovery Unit. 9P INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST(See Section 903.2(f)) COMPONENTS REQUIREMENTS FOR EACH PRACTICE CHECK PRACTICE #1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES ON TABLE 9A. ✓ PRACTICE #2 COMPLY WITH PRACTICE #1 AND THE FOLLOWING: Exterior Walls and Floors Top plate penetrations sealed. Infiltration barrier installed. Sole plate/floor joint caulked or sealed. Exterior Walls&Ceilings Penetrations, joints and cracks on interior surface caulked,sealed or gasketed. Ductwork Ductwork in unconditioned space must be sealed. Fireplaces Equipped with outside combustion air,doors, and flue dampers. Exhaust Fans Equipped with dampers.Combustion devices see 903.2(f). Combustion Heating Combustion space&water heating systems provided with outside combustion air,except direct vent appliances. PRACTICE #3 COMPLY WITH PRACTICES #1 AND #2 AND THE FOLLOWING: Ceilings Infiltration barrier installed. Interior Walls Top plate penetrations sealed or joints&cracks on interior walls caulked,sealed or gasketed. Recessed Lights Sealed from conditioned space&insulated from ventilated attic spaces. Ductwork All ductwork located in conditioned space. Combustion Appliances Be in unconditioned space(except direct vent), draw air from unconditioned space, exhaust by-products to outside. Stoves see 903.2(f). -6- CITY OF - ATLANTIC BEACH No. 4635 FLORIDA June 9 19 87 NAME Billy Arzie ADDRESS 122 15th AvPnve North 341 .58 Ti CITY JacksoMille.,Beach 32250 341 .50CKT1 2'97 f A 4/06/8% 4135 .00LALf 2 )7 I A 4/06/81 001)I Water Tap Fee $0-343-3700 $341.58 388 Seminole Road • When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE.TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER Q \\N\ t USE THIS FORM FOR ESTIMATES ONLY r`' ` f- • 388 Seminole Road ACCT. # 110170 REFER TO RECEIPT FOR METER PAID 6/2/87 ADDRESS HAD NO WATER SERVICE STUBBED TO RESIDENCE. THIS ESTIMATE REFLECTS CHARGES FOR MAKING PROPER CONNECTION. DESCRIPTION QTY. MATERIALS LABOR TOTAL 8' X 3/4" SADDLE CI 1 14 61 "1/4" PVC PIPE 21FT 25 20 3/4" BRASS POLY ADAPTERS 3 9 60 — 3/4" POLY INSERTS 2 7 96 3/4" CORP STOP 1 8 00 3/4" CURB STOP 1 8 00 v .'PEP 5/8 X -1/4" 1 85^00 M E T E R BOX 1 12 0 R Sub Total - $170 "17 10% O.H. 17 04 Total Material $187 41 Men Hand dig $21.41/HR FOR 5 HRS $107 05 • 0% O. H. (Labor) 32 12 Total T,ahnr Cost $139 17 _ - MATERIALS 1 AIIOR TOTAL TOTAL $18■ 41 $1391 17 $326 58 MISC. JOB EXPENSES AMOUNT OTHER JOB EXPENSES 100 00 • 2 Trucks ($10.00/Truck) FOR TOTAL COST ,_ 426 58 5 HOURS $100 01 TOTAL SELLING PRICE LESS TOTAL COST 80 METER PRE-PAID GROSS PROFIT LESS OVERHEAD COST OF SELLING PRICE TOTAL NET ;;i,a 341.58 DUE PRIOR TO INSTALLATION READY FOR BILLING. 6/8/87 k I I I a31VM a3M3S IVOIN1O313 ON16Wflld 2 Li a39W(1N AlNO 3Sfl _ 101OVlNOO 31VO llWil3d 30Idd0 LIOA IeuRio 8u Tug 74./..- P /--/-1;' 1 •4aue+o s s 1177 -uoa sag;><a Aq AeMe pain• 1 pue •it pa-leap aq 3sncu pue `aaeds aggnd ui paaeid aq 3ou ;snuff Imam s>< 1 u;o$ I- �----� sugap pue gstgqns •ieua4eW 2u1pjIng pp 4--P 3f1SSI dO '3.I.VQ Zi3.LdV LL SH.LNONI XIS QIOA 1IWDI3d '`JNRIf1Od d dOd3s3 as dS -NI 3S ISIIW SONI.LOOd QNV SNI1dO3 3.L32I)NO3 TId-3JI.LON ltuuad situ Jo uEd aSE go?gK' surid paAO1ddE of 2uipl000y veal' aloupta5 88£ ON asnoH --�ooig 6SZ l03 Z 39S aVelteS Q1S C aumO azZIV ITN qP auoZ Iv Z'.-S11 T4uapzsat MaN uopEou!ssEo i I s 01 uo>ss>uuad sEg 1utgwnl IIE4sui xxittq t J mil Apiaa oa Si stgy t •-;' .E .0 t.1.;4;1DENIffl 1YId 2I3.LSSRM NCI .net jo suoisinoid algeogdde jo uopeloin RI uoueoonai of pa1gns s, put'iamseuy.tIID of pied uaaq set'aaj anoge Tun Alen lou i miad s,qi aad $uoUEnIEA OS•8i L8 6I I aunt ova 4301 NO 1331SOd 38 ISflW 1IW213d SIHi aline of liwa3d VOl OId•HOV39 011NVIlV dO A110 V L8 ON 1111483d JNIcnine dO-0N31ALINVd34 4. sow ') CITY OF & -9(eetet l n Office of Building Official AI R REQUEST FOR INSPECTION - /� -E� 5C 17 Permit No. Date Time. —D ‘—. E > District No. Received g mow. note 64/ , • Locality Job Address _ (� Owner's Contractor v Name E ELECTRICAL PLUMBING MECHANICAL CONCRETE Rough h ❑ Air.Cond.& Framing E Footing C. Rough Wiring ._ g Heating Slab Temp Pole / Re Roofing Top Out— Final Y Sewer r D Fire Place — Lintel Pre Fab READY FOR INSPECTION Tues Wed. Thurs. Friday Mon. Inspection Made � � /ril i Final Inspection N.,/ / Inspector �,— W/ Certificate of Occupancy Date CITY OF G2'-a` ,4teeiat& bead- is ri,c--) Office of Building Official " 4-6 REQUEST FOR INSPECTION /Q//� Date - � Permit No. " ( 3, Time A.M. .trio No. Received P.M. 1 Job Address Locality Owner's Cont ctor�C�' �� Name BUILDING CONCRETE ELE CAL P BING MECHANICAL Framing - Footing r,! R�gh firing ❑ Rough ❑ Air.Cond.& ❑ Re Roofing Slab Temp Pole ❑ Top Out ❑ Heating Lintel _ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPE • Pre Fab Mon. Tues. Wed. Friday P.M. / / A.M. Inspection Made pd); �-�/d P.M. Inspector _, �� Final Inspection Certificate of Occupancy Date I - 1,-,44:f./ • u rt W ';' CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD _ yr ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 '.'4:1•01.),19''' INSPECTION EMAIL REQUEST: Building-dept coab.us Application Number 07-00000350 Date 3/26/07 Property Address 388 SEMINOLE RD Application type description ROOF Property Zoning TO BE UPDATED Application valuation . . . 9950 Application desc reroof Owner Contractor C.BELL, LESLIE ROMANO ROOFING SERVICES 388 SEMINOLE ROAD P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 Permit ROOF PERMIT Additional desc . Permit Fee . . . 79 . 75 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 9950 Expiration Date . 9/22/07 Fee summary Charged Paid Credited Due Permit Fee Total 79 . 75 79 . 75 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 75 79 . 75 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 0- t • It i-. ` ,, a - CITY OF ATLANTIC BEACH 0.-:______.., ..4, Oom`` :?, ROOFING PERMI T API rir 03� 0n Date_ Job Address: 56:3 5ern%sir)\C_.... - Owner of Pro arty: 1!' "r,∎ Sd^ ,� Address: C1 -a . � 'C n Y\O\Ci •ck. _Telephune: z;✓ /+ State License Number:XS, -C DS8 16.3 Contractor: PG "/n T I i✓q ..ri Gf V IG.S" • Contractor's Address: i A i.41, S e er % A =wT c .- . • 3 Telephone: ' i+ - 0 y h, - 6 Fax: 9,94/-.2 SJL ./z 9 Scope of Work: -- r io I 0 6 Deck Slope: Greater than 2:12 Less than 2:12 . Valuation of work: gyp`-'�i`_l� . ProductoNarne(Example:Timberline): OND-( kNe, Manufacturer(Example:GAY):_ el tCC • ASTM Designation(s): 3(-1(4Q__2-, Required Inspectio,t- S• thing,and Final �� A , - Date • Signature of Owner: A • 4_, Signature of Contractor:. . �^ Date: 3- 07 ' AS TO OWNER • 7 . • r .h 200-7. Sworn to and subscribed before Ire this .day of • State of Florida,County of Duval I, I, el. Notary's Signa,. : . 2 �" N uwu M f hY I SIPm4,0-23 ❑ Personally known . 5' a, 6XPau3s,s eryeu,/T2320G2»9,'3 ❑ Produced.identification •+N,-/ � NnrAftV Fl.Not"IT.ci. '1,�, Type o3'identi5cation produced AS TO CONTRACTOR `� / , 2015-. . Sworn to and subscribed before me this_ �`-"" _day of rC State of Florida.County of Duval E Java Notary's Signature: Q,-/t'l. ❑ Personally known'1 ', (.,iod;c{1OCi li Uln57393 0 Produced identification ■.4,t 40 ���,._„�,,, . ca Type of identification produced , .„4,-iCfARV r�r` r4�r 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci-atlantic-beaeh.D.osa��1/21/03 Paga� r/ Doc#2007103151,OR BK 13891 Page 935, Number Pages: 1 r)--• JFIlM ed F&U RLEoR r dCeLd E 0R2 CRCT C0O129 UR PT M D UVAL COUNTY RECORDING moo Permit number Tax Folio number NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIDED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of property: , .vl m 11,, le r- , 2. General description of improvements:< Q-)00'f-- 1 (°- later 3. Owner information: a. I�l ,. arne and Address: `Z 0)\ ad c bectrsi b. Interest in ro c. Name and address of fee simple titleholder(other than owner): Y° 40 Contractor's, �a and address: if om A/y d et,fiAii e r3eacil . • a. Phone number:7D4 -a y� :rG S/ ? b. Fax number: p 9 S/- a UL -!L 5 2 33 5. Surety information: a. Name and address: b. Phone number. c. Fax number: d. Amount of bond: 6. Lender's name and address: a. Phone number: b. Fax number: 7. Person within the State of Florida designed by owner upon whom notices or other documents maybe served as provided by 713.12(1)(a), Florida Statues. Name and Address: a. Phone number: b. Fax number. /7—\ , 8. In addition to himself/herself, owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of Recording wiles un, 177 a different date is specified). El ' /j • 0 lJ 17 ,1