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1901-1905 Seminole Rd (vault) t ,oBADDREss 9b S !,� TYPE WORC6�� PROPERTY OIIER,&:�� TELEPHONE CONTRACTOR �- TELE WOKE PERMIT N �l 7 DATE INSPECTIONS: FOOTING SLAB TIE BEAM L,�1VT�L NAII.IlVG/SgEATHBVG F.RAWVGICOM UP INSULATION _ FINAL BUILDING /--2 CERTIFICATE OF OCCUPANCY ELECTRICAL P1:RT 07 0 INSPECTIONS ROUGE FINAL MECHANICAL P� INSPECTIONS ROUGE FINAL PLUMBING P� INSPECTIONS ROUG.bV D?MER SLAB TOPOi1T WA FINAL NOTES: CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028470 Date 6/15/04 Property Address . . . . . . 1901 SEMINOLE RD Tenant nbr, name INSTALL 1" IRRIG METER Application description . . . IRRIGATION/SPRINKLER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- KREEGER, R.WAYNE&BETSY CITY OF ATLANTIC BEACH 1901 SEMINOLE ROAD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee . 00 Plan Check Fee . 00 Issue Date . . . . 6/15/04 Valuation 0 Expiration Date . . 12/12/04 --------------------------------------------------------- Special Notes and Comments MUST INSTALL BACKFLOW PREVENTER AND HIRE PLUMBER TO CONNECT TO PRIVATE PROPERTY. ------------------------------------------------------------- -------- Other Fees . . . . . . . . . CAPITAL IMPROVEMENT 550 . 00 WATER CONNECT/TAP & METER 560 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- - Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 1145 . 00 1145 . 00 . 00 . 00 Grand Total 1145 . 00 1145 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING S. BUILDING OFFICIAL 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J� ATLANTIC BEACH,FLORIDA 32233-5445 ..r .. yi1 TELEPHONE:(904)247-5800 J FAX:(904)247-5805 SUNCOM:852-5800 J .., http://ci.atlantic-beach.fl.us Date: P 2-004L b-fi reey Y- -W"—VA Ai In2�' L 3 a� 3 Dear Property Owner: The costs to connect your building to the City sewer and/or water system are as follows: 3/„ 1» 4 Sewer Tap—Labor and materials to tap into sewer main $ Water Tap—Labor and materials to tap into water main $ 525.00 560.00 Water Meter—Cost of Meter $ Cross Connection Inspection—Inspection by Public Works $ 35.00 35.00 to ensure backflow prevention Sewer Impact Fees—Funds future expansion of the $ sewer plant Water Impact Fee—Funds future expansion of the water plants $ Capital Improvement—Funds for improvements, 325.00 550.00 Expansion or replacement to water system $ TOTAL COSTS $ 885.00 1145.00 If you have any questions concerning these charges,please call the building department at 247-5826. Sincerely, D � Don C. For�d Building Official You must supply your own backflow preventer. , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027513 Date 1/20/04 Property Address . . . . . . 1901 SEMINOLE RD Tenant nbr, name . . . . . . 4 ' PRESSURE TR PINE Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1084 Owner Contractor - -- - -- -- --- - - ----- ----- - ------ --- - -- - -- --------- KREEGER, R.WAYNE&BETSY DUVAL FENCE 1901 SEMINOLE ROAD 11556-2 PHILLIPS HWY. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 --------------- --- ------------------- ------------ ---------- ------ - Permit . . . . . FENCE PERMIT Additional desc . Permit Fee . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------------- - --- - -- -- - --- - --- - - --- - - -- - - - ----- ------ - -- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 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 1- 13.0 Cc: CITY OF ATLANTIC BEACH D. Ford ' L. Hi ins BUILDING / ZONING DEPARTMENT JS Doerr SS� 800 Seminole Road $ s) Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C,'-1 -d'7,5 l3 Property Address: ] 9 O I c-5 e m n o l -e Applicant: - to\(Q-I Fen rx � :21)(1 Project: Lt r r ci4,--c! r) P FP DC Thisper it application has been: Approved El Reviewed and the following items need attention: Please re-submit y r app ' n when these items have been completed. licat � Reviewed By: Date: 1-12 RECEIVED TY OF ATLANTIC BEACH CI il'�r, BI;ILD!NG 7QN JC r S CITY OF ATLANTIC BEACH AN 13 2004 FENCE PERMIT APPLICATION BY: Date: Job Address: 10 Sem ;V05e, ROACA Owner's Name: Y,e,OM4 beh,,//�� y Address: 1901 SM�hOeRflail lVTlq .�2 23 .3 Phone: z41 - 423_ Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: flugal 'Fe vtce In C Address: � , 55(D - L P�ti ��P-r��hM)4a! Phone: 26c) ' 7 City: j-gck myX-e_ State: Zip:32 Fax:_ 26 - 42916 Type of fence and materials to be used: Fodk 9reS1 ute'')YC 4e A yl gaOW �OtG �E Valuation of fence: I os J Yl S Y`P1 oval �' 'reds'(olds ohd Yppl�Q(_�r�.vp Is approval of Homeowner's Association or other private entity required?NO If yes,please submit with this application. ❑Interior Lot Corner Lot ❑ Dumpster or storage tank enclosure Tree Protection: _�(NO. Applicant certifies that no trees will be removed for the installation of this fence. ET YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION: 1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) 2. Provide completed Owner's Authorization Form if applicant is other than property owner. I hereby certify that all information provid d with this ap lication is correct. Signature of Owner: Date: Jqn 13, 26014 Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print): Name: Mailing Address: o�).56,mrn Phone: 7y�— z' —� T23 Fax: E-Mail: �W� Jd QO�. �d�►'� 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Revised 1/14/03 Page 1 , ��••o �m=4 �e't� � -o - w i 011 r� U t i A4 / PAVAN This approval verifies compliance with applicable zoning, subdivision and other local land development regulations, but does not constitute approval for the issuance of permits. Compliance K is with Florida Building Code and all other applicable CITY OF ATLANTIC BEACH .f 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 N' f` 03-00025984 Date 5/02/03 Application Number 1905 SEMINOLE RD Property Address SHADOWBOX WOOD 6 ' Tenant nbr, name . . . . . . NCE PERMIT Application description - • . FENCE UPDATED Property Zoning . . • . . . . 800 Application valuation - Contractor Owner _____ ------------------------ ------------------- FASANELLI DEVELOPMENT C TIBBS, PAMELA 712 SHIPWATCH DR E 1905 SEMINOLE ROAD JACKSONVILLE FL 32225 ATLANTIC BEACH FL 32233 (904) 534-8277 --------------- (904) 614-1999 --------- -----Permit---- ---- FENCE PERMIT Additional desc plan Check Fee 00 Permit Fee 35 . 00 p Valuation Issue Date Charged Paid -- Credited Due--- ----------------- e Fee summary . 00 ---------- --------- 35 . 00 . 00 - "- 35 . 00 . 00 Permit Fee Total 00 00 • 00 Plan Check Total 35 . 00 . 00 . 00 Grand Total 35 . 00 LIC SPACE,AND MUST BE BUILDING MATERIAL,RUBBISH AND DEBRIS �R OR OWNER.THIS WORK-FAILURE TO COMPLY WITUST NOT BE PLACED IN H THE CONSTRUCTION LIEN LAW CAN UP AND HAULED AWAY BY EITHERIMPROVE RESULT IN THE PROPERTY OWNS PAYING ETWICE CT TO OR BUILDING REVOCATION FOR VIOLA ON OFIAPP LIED OP OOOVED PLAN VIS ON OFRDING TO RLAW. ND WHICH ARE PART OF THIS PERMIT BUILDING OFFICIAL r rt� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD !' �► ATLANTIC BEACH,FLORIDA 32233-5445 J TELEPHONE:(904)247-5800 15! J FAX:(904)247-5805 Sl SUNCOM:852-5800 http://ci.atlantic-beach.fl.us asp�•. PLAN EvI,w COMMENTS Permit Application Applicant: I r,��,Pn4 C o Address: 19 05 Project:/Yo// ► mur application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date RECEIVED CITY OF ATLANTIC BEACH BUILDING g ZONING CITY OF ATLANTIC BEACH APR 3 0 2003 J r> s FENCE PERMIT APPLICATION Date. Job Address: /90 -S S ,� s as Owner's Name: Phone: s ��+is L Address: Lot Number: Zoning District: Legal Description: Block Number: Fence Contractor: / HS�� L Phone: v 712 .g Address: 32ZZ S g State: Zip' ---Fax: City: �-9- T- Type of fence and materials to be used: Valuation of fence: ' ciation or other private entity required?No If yes,please submit with this application. Is approval of Homeowners Association Corner Lot ❑Dumpster or storage tank enclosure QX Interior Lot Tree Protection: be REQUIRED. ®NO. Applicant certifies that res will be required for this tfence. TEE REMOVAL PERMIT IS REQ YES. Removal of Protected T Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. REQUIRED INFORM PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING RQ lines of the proposed fence. (Fences l. Attach copy of property survey showing location,height and all distances from property in an utility or drainage easements without written permission from the Utility and/or Public Works shall not be placed with Y private easement.) Departments. Fences shall not restrict any p 2. Provide completed Owner's Authorization Form if applicant is other than property owner. ati provided Ali this application i correct. I hereby certify that all info Date: Signature of Owner:A Date: ©3 Signature of Contractor: Address and contact information of person to receive all correspondence regarding this application(please print): �. Lir✓ - Name: 2 S Mailing Address: 2•� �_�� E-Mail: r //J_ Fax:Z F� Phone: [os i 800 Seminole Road - Atla ti Beac ,-Florid 322 ci atlantic-beach.fl.us 3-5445 Phone: (904)247-5800 • Fax: (904) Revised 1/14/03 Page 1 OWNER'S AUTHORIZATION FOR AGENT 1j'rF'j""'e45,44164j*is hereby authorized to act on behalf of the owner(s) of those lands described within the attached application, and as described in the attached deed or other such proof of ownership as may be required, in applying to the City of Atlantic Beach, Florida, for an application related to a Development Permit or other action pursuant to a: ❑ Zoning Variance ❑ Appeal ❑ Use-by-Exception Fence or Pool Permit ❑ Rezoning ❑ Sign Permit ❑ Plat or Replat ❑ Other BY: x xv., A, Signature of Owner PLtMEC A 7 18,85 Print Name Signature of Owner Print Name Telephone Number State of Florida County of Duval A Signed and and sworn before me on this _day ofY2A82-. x003 ByQ.�Iela. ,6f Identification verified: Oath swom: Yes No \\� 111 \ e S. 014 Notary Signature •�ooe�ber 6,2oy9N • _ * My Commission expires: / #CC954631 may. �a` �A 8000\0 ////,41 l c i T \\\\\\\\ SF15192 ` MAP SHOWING SURVEY OF LOT IDA BLOCK I [3ea�t AS RECORDED IN PLAT BOOK 42 PAGE14-14..r- OF TIIE CURRENT PUBLIC RECORDS OF DuJAL COUNTY, FLORIDA L OT IS PRIVATE N EASS"EW-r 5, Oo' 31 00" E. 40.00 r '• O.$' Woof D'4' �ODUt7 BIZ FFt!(E f •N VIE 13AZ F o.j—o 1 r. 16 1919 QE 13Ae 1419 WOOD STEPS W.-c- v IW.-c- WALL 3.5 H I �HGC O C;I,ASS ENCLOSE, ~ _ PnitCl1 •0 O oo l.t. 0 loo IT e• 0 0 T xt' � .• � Alt • L Lotwl•1ew.t PARTY WAIL r 7.3 u A PPROYI n A7 F'! L.INC M p o ' z.ST OQ'I h � FRAHE u1 RCS• a 19 o S e. 7.7 s LoT 9 13 slow LO� to � V o 1h = 3 w I. 3: 0 0 0 "e N 4ARA4E Zo.e' N •Q. N L' '• Ic..S' � l.e x�.o" G •� L old.YI U S ar Cel,, i v1 0 p¢IvE U 5 EASS"SUT For- 0 - N t3tAtUA(..E , SEWERS, N WATER ' UTILi-riES I.0 K1.4 S-rveeo -' LOLvHu Z. $.C. B•C♦ (tYP1LAL>... —`I x—{}" x--� ' IS.o' ! ... 2J_S•OO, 07 I.i 0.3' v W cDl,uo 'l� ►.I. 00' 3t' oo W• t 4o.0 .o•oo' IRou PIPE GEAtI►Ic, Fouup'Iz'' \ PoIUT of VEEFEQEU(61ItoLi PIPE 4URVAITURE 5E1' 11 QOLE 20A () 5EM1W0L.E. 13EAC14 IZoAD 13Y PLAT) - ( ►oo' V-IL,NT of WAY) NOTE: NOTES: THERE MAY BE ADITIONAL RESTRICTIONS THAT APPLY 1. This is a boundary survey. THAT ARE NOT SHOWN ON THIS SURVEY BUT"kAY BE POUND IN THE PUBLIC RECORDS OR FACILITIES OF'THIS COUNTY. 2. Flood zone x as best ascertained from Flood Insurance Rate Map, community panel noxioois•000l o dated 4.1i•89 3. Bearing datum based on EAST IzIW LIUE of .5e"%w0LE RE-CHECKED& RE-CERTIFIED: 3114/03 SR5192 c MAP SHOWING SURVEY OF LOT IQ A BLOCK 1 13EAc�1 AS RECORDED IN PLAT BOOK 42— , PAGE 14_1-45 OFTfIE CURRENT PUBLIC RECORDS OF DUvAC COUNTY, FLORIDA LpT Lo 15 Pa1VATE EASS MEIJ-T 5, 00 31 0o" E. 40.00 woo" FEucE •N r 2.E 13Ae F 00�-+v 46 19111, Er one Ik 19 19 WOOD STEPS [Ouc T.o V, 0.4 1.�D LL f.S M DECC O c;l,nss ENCLOSE rnucn 0 /V 0 AL lo.o t'i•e' o0 0 G GoM1Ieu PATTY HALL r Z.3 0 A PPt[o-c1 M ATPS LINE M 7 ST oa/ o r FRAME In eas- 1905 LO'T A Q v LOT (O O (�'71r1Y a 1y 3 LU . 3 0 0 0 e "a v? 4ARA4E 0 a m tT � J or O / G00 oLtc . O •.- Daiut: 5 EASEHp�LIT FoC o - 0 01tAtI.IAL,E� 5E WE its, N WATER uTI-i-ries 1.4 c1.9 5 STueco -'• < GOLVMN �' 1tY PIC AL� -Y k�- x-Q •� 1$.0' ... ZY ' o0* 31 Oo" 1nl• 4 O.00' Itcou PIPE liEAl[IU4 Fouual�e PotuT OF REPEREUC1ztRou pioE GVRVATVRH .5E-M I tJOI_E (ZOA C) SeMl1.lOLE 13EAcN ROAD 13Y PLAT) ( loo' RII,NT OF WAY) NOTE: NOTES: THERE MAY BE ADITIONAL RESTRICTIONS THAT APPLY 1. This is a boundary survey. THAT ARE NOT SHOWN ON THIS SURVEY BUT-MAYS,BE tOUND IN THE PUBLIC RECORDS OR FACILITIES OF'THIS COUNTY. 2. Flood zone x as best ascertained from Flood Insurance Rate Map, community panel no.lzooig•000lo dated 4•li•84 3. Bearing datum based on EAST tzlw Uue of .SEMIWOLE RF-CIIECKED& RE-CERTIFIED: 3114!03 Vj�- \ CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 -T INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028042 Date 4/06/04 Property Address . . . . . . 1901 SEMINOLE RD Tenant nbr, name . . . . . . 3 REPLACEMENT WINDOWS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4200 Owner Contractor ----------------- ------- ------------------------ KREEGER, R.WAYNE&BETSY K.E. SCOTT SYSTEMS INC 1901 SEMINOLE ROAD 225 BRAUSCOMB RD ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 282-4445 ---------------------------------------------- ------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . Valuation . . . . 4200 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Grand Total 82 . 50 82 . 50 . 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. a ' BUILDING OFFICIAL Cc: CITY OF ATLANTIC BEACH DSC BUILDING / ZONING DEPARTMENT Higgins s f S. Doerr 800 Seminole Road j rt Atlantic Beach,Florida 32233 (904)247-5800 Jill (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 01 Property Address: 19 C)1 •SFrY, ,-, _ zC) Applicant: K f f s 4 r ran --1 n o Project: C M f'n U.- I rl This ermit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: 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 information provided with this application is correct. Signature of Owner: .- /JDate: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. 41- Signature of Contractor: Date: _3:4 Address and contact information of person to receive all correspondence regarding this application (please print). Name: 0`1 - e�� v ir /0 Mailing Address: d a� ✓� &,4 4!r, `w Telephone: Fax: 2 E-Mail:, SLOMT Y f/d7A*04 . COM AS TO OWNER: Sworn to and subscribed before me this day of () IF -I ,20� State of Florida,County of Duval �i JENNIFER SCHLUETER Notary's Signature: S*.' MY COMMISSION#DD 121301 r EXPIRES:May 27,2006 ❑ Personally known BmAed Thru Notary Put*Underwrkets [0/produced identification � � /-�� Type of identification produced ��11 V�10`�-�y' AS TO CONTRACTOR: }-1^ Sworn to and subscribed before me this 5` r 1 day of i�� ( 120-09 State of Florida,County of Duval t- Notary's Signature. r - JENNIFER SCHLUETER MY COMMISSION#DD 121301 ❑ rsonally known • = EXPIRES:May 27,2006 Produced identification / O !?� A_�• .t.I*NQ B=WThruNotayPubicUnder rMero Type of identification produce �" 5 r ✓ t 1 l� 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Revised 1/27/03 Page 2 Andersen` Casement, Awning, and Picture Windows Installation Guide installation Guide . W for Andersen° Casement, Awning, and Picture Windowsrs Congratulations! You have just purchased one of the many fine Andersen) products. For ease of installation and continued enjoyment of your Andersen product, please read and follow this Instruction Guide completely. If your abilities do not match this procedure's requirements contact an experienced contractor. You may direct any questions about this or other products to your local Andersen dealer, found in the Yellow Pages under Windows. If you have any questions about your ability to complete the procedure, call Andersen at 1-888-888-7020 for further direction. Andersen WindowCareO service center hours are Monday through Friday, 7 a.m. to 7 p.m. Central Time and Saturday, 8 a.m. to 4 p.m. Central Time. Thank you for choosing Andersen. Important - Proper assembly, installation and maintenance of Andersen products is essential if the benefits of experienced product design and engineering, quality materials, and skilled workmanship are to be fully attained. Every assembly and installation is different (windloads, structural support, etc.) and, Andersen strongly recommends consultation with an Andersen supplier or an experienced contractor, architect, or structural engineer prior to the assembly and installation of any Andersen product. Assembly and installation of Andersen products is the sole responsibility of the architect, building owner, contractor and/or consumer and Andersen has no responsibility in this regard. AWARNING • Use of ladders and/or scaffolding and working at elevated levels may be hazardous. Follow equipment manufacturer's instructions for safe operation. Use extreme caution when working around window and door openings. Personal injury and/or falls could occur. • Improper use of hand or power tools could result in personal injury and/or product damage. Follow equipment manufacturer's instructions for safe operation. Always wear safety glasses. • Weight of window/door unit(s) and accessories will vary. Use a reasonable number of people with sufficient strength to lift, carry, and install window/door unit(s) and accessories. Always use appropriate lifting techniques. • Unless specifically ordered, Andersen windows are not equipped with safety glass, and if broken, could fragment causing injury. Many laws and building codes require safety glass in locations adjacent to or near doors. Andersen windows are available with safety glass that may reduce the likelihood of injury when broken. Information on safety glass is available from your local Andersen dealer. CAUT10 • Andersen' Head Flashing and Installation Flanges DO NOT take the place of standard window and door flashing. Unit must be properly flashed and silicone sealed for protection against water and air infiltration. • Do not apply any type of film to glass. Thermal stress conditions resulting in glass damage could occur. • The use of movable insulating materials such as window coverings, shutters, and other shading devices may damage glass and/or vinyl. In addition, excessive condensation may result causing deterioration of window unit. "Andersen;'the AW logo,and"Andersen WindowCare"are registered trademarks of Andersen Corporation. All other marks where denoted are marks of Andersen Corporation. ©1998 Andersen Corporation. All rights reserved. 1 Instruction Guide 0005094 Revised 03/22/00 Andersen Casement, Awning, and Picture Windows Installation Guide Finishing, Cleaning, and Maintenance Instructions ® „ a • Do not expose unfinished wood to high moisture conditions, excessive heat or humidity. Finish interior wood surfaces immediately after installation. Discoloration, bowing and/or splitting may result. • Do not stain or paint any weatherstrips, silicone beads, sash, or hardware. INTERIOR FINISHING Interior should be finished as soon as possible. • Apply two coats of quality trim paint according to the Andersen has determined that two coats of polyurethane manufacturer's instructions. Be sure to lap the finish varnish or two coats of paint plus a primer are needed coat 1/16" onto the glass to form a water seal between to protect natural wood surfaces. Without these glass and wood. Let dry for 24 hours. finishes, wood surfaces will discolor and deteriorate from moisture and fungal attack. Please follow these instructions carefully to make sure of satisfactory Awning units are not equipped with results. Andersen assumes no liability for incorrectly a built in wash mode. To clean, open finished windows or window damage caused by not unit 4" and lift operator shoe off following these instructions. Before you begin, operator rod. Swing sash up fully y thoroughly read and follow the instructions and and block open with Support Piece. support Piece warnings on each container of finish material. Before Finishing CLEANING • Set all nails with a punch to 1/16" below the wood • To clean Casement Windows from interior, open unit surface. Fill all nail holes with a quality wood filler and fully, allowing optimum access to outside glass surface. let dry. Lightly sand the wood surfaces with 220-grit • To clean Awning Windows from interior, open unit sandpaper. Wipe away dust or dirt with a clean cloth approximately 4 inches. Lift Operator Shoe up to remove before proceeding or fill nail holes after finishing with from Operator Rod. Swing Sash up fully and block open matching nail putty. with support piece. Staining • Clean exterior frame, sash members, and screens using • Apply a pre-stain to make sure of a uniform a mild detergent and water solution and a soft cloth or appearance. Apply the are-stain in the direction of brush. Abrasive cleaners or solutions containing the wood grain. corrosive solvents should not be used. For persistent dirt • Apply stain according to the manufacturer's or grime, Mr. CleanO or Soft ScrubO brand cleansers or a instructions. Two coats are recommended for best mixture of water and alcohol or ammonia can be used. results. Apply stain in the direction of the wood grain. • Apply a coat of quality polyurethane varnish. Wait at least 5 hours (preferably 24 hours), and lightly sand Acid solutions commonly used to wash masonry will the surface. damage glass, fasteners, hardware, and metal flash- • Apply a second coat of polyurethane. Be sure to lap the ing. Follow the cleaning solution manufacturer's finish coat 1/16" onto the glass to form a water seal recommendations carefully. Protect and/or cover between the glass and wood. Let dry for 24 hours. Andersen products during cleaning process to prevent acid contact. If solution does come in contact with CAUTIIOIMunit immediately wash all surfaces with clean water. The Side Inside Stop on the Lock side of tandem lock MAINTENANCE Casement units has an underlying Lock mechanism. Use caution when removing Side Inside Stop on the • Immediately sand and refinish any interior wood that becomes stained or mildewed to prevent discoloration lock side to avoid damage to Lock mechanism and/or Side Inside Stop. and/or damage. • For further information, contact your local Andersen"' Painting supplier. Suppliers can be found in the Yellow Pages • Apply one coat of quality primer/sealer. under Windows. 6 AndersenCasement, Awning, and Picture Windows Installation Guide Install Window Unit - Masonry Construction NOTICE If using optional Jamb Clips by Andersen®they must be installed before placing unit into rough opening, spaced 12" apart on center starting 6" from corners. • Lift unit into rough opening from exterior. From interior, shim at corners of Sill under Side Jambs to level and center unit. (On double and triple units, a Shim must be placed under mull post(s) at the Sill.) C • Measure diagonally across window, upper left to lower right and upper right to lower left corners. If measurements are equal, unit is square. If unit is not square adjust with Shims as required. • Measure across head, center, and sill of the window unit. Center dimensions should match head and sill dimensions. Shim or block to straighten Side Jamb if necessary. Insert Shims at midpoint behind the Side Jamb between unit frame and rough opening. Insert Shims and fasten Shims every 18" on lock side. • Secure unit to masonry rough opening using masonry screws through Side Jamb or Jamb Clips, spaced 12" r apart on center starting 6" from corners. L 5. Insulate and Seal Unit X;7 IT • --When insulating between the unit's frame and rough opening DO NOT overpack batt insulation or overfill with expandable foam. Bowed jambs may result causing product performance problems and/ or incorrect operation of unit. A minimum space of 1/4" is required around the Wood Frame/Buck o� exterior perimeter of the unit between the frame Construction o� and siding. Masonry installations require a o� minimum 1/2" space along the sill and 1/4" space o� around the remaining perimeter. • Insulate between frame, extension jambs and rough opening on all sides. Do not overpack or overfill with ❑�❑❑�❑❑�❑❑0❑0� insulation, bowed jambs may result. �00000� • Apply a quality silicone sealant around exterior Masonry perimeter of window after siding (or other finish) is Construction applied. 5 rte• v� awl ` t.4 t- ow, " ow, 41, [ oo a a � ca 2 d to A O ris go go CA A 1 C a �ntz Sit SA x � 6 W a I N N b ;--- A d � s x� a � � d N t8z C � r w 8� RQ1 a N � N 6 q f i Pgra ZOOZ`I I Clnr:a7nQ ICAasddY L04`i ounp :a;cQ uolgra±d:g o COT090-10 oN VON -zsn5ilpog 1nrS Xq p3motAw scA%uogrluatUnaop paDwwgns QU 'anogr pauolluaul luoulnoop 113Ao-idde sr ljam sc I aced styl jo s;slsuo3'pue Zo- o9o-66 9 VON SAeaoaa yolq snl j •1plogio Sivpvo:)Ili j0]927b.1a aq1 1c.1119 qof Ni lt=uol;o.1dsut aoj DjgUj!eAe aq jlmis put; sw;nq!Asip s1t ao lainl0lejnumu znji Xq lasn a;{:of Papi%oad;)q 1Eegs vom oaliu3 stij3 jo Idaa d =l�taXl J�dSj�I XlwIjua sl;u1 auop act `pD4gdstp st VON aql jo uollaod Xi1 t jl 'amiwal�j Sutsluatpc u1 pa�Crjdstp aq nrtU oat:p uoi;raidaa ayl Aq paMo11oI put! 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I I 30 x>apoand$"pXU Mja er ' 'e1�s(�iaeO,)aP aytI u[? "TCi 104000 x�aPard �°'J ,�W�•asaesq Pam a�P nop aM PWn Qq Pu UWP'b M MqL �tTltl)�i tumxH A#Dxpuv QV seas�°Pw A�.7 OM w pasu oq o;(V VM�JD aM k[ apaQ..P��q paraarAaT�aaaq scat[[�au�ct`es� sTt��tT. 961RT-£OBf�a f-3q`tiod[eg ��eedeo� V 8!)6z,a(SO7iV3 [06Z'SLE(5a£1 tdpT�AIQ'IO � ,,w-U£i££VQIxv-m VNM (Owm lauum zwvruva)a*000voffuog ml,$Lit 4jxffa 5lwlovwm IISAM on W�iIM E)11►dIlClB�'3��'a��"� veto to`1 �cvQ�vl� r WW ML TAW=Now all till Psi31tF_ A IL r • s y 1• ^ a 7Y G° Y wwwt 7 lIr hwL 1fS Ao � wo nor ML Wr� n _e = v V N ti �� l \ NV M al y &z u ! J Q � 1 • Y1 40 Gln-wti � H EA,,.K, I 1 ja u R �m the w vms�rrns wo wa rw - �i' [o q— ..a_ ae�� f710I 7swl t t PNOOPG[aE51C�� moo rI R Ifs � goo Pa►ttYlM eaves No�trH qer�nn+mn�s,7+mac i sF wo.o ov"' lO', MK $00' 7496 �G�II"RtiO a 0 Sol iiflfl� g P .. :•am s3 a `� Y 0 1;YF }yols V it in �i ba��PJ�P L'-�w�L=a�=1 o. •� ,�a F s y Q (2 n EXTERIOR 41 � aim q d o$ rh QwS Km 31 s via 2 g3 led, cam aaa ling w �,�a►n.�r�r wYr caxe�oa� o ,n - ooRno�u+a+ ,za rcio Foum MOL Holm ZM74 C a,bo wm nKnmw. 1N.'JG003-1096 1C1. 2e►-Ewo Fsx. ER's�tTB �� • 1BL/�a�raal av(� 7dc CITY OF 4&4r,a& Bel=4-&7,laU-4& Office of Building Official REQUEST FOR INSPECTION Date Permit No. A.M. District No. Time P.M. Received 11:5) i d — Locality Job Address /} e Owner's Contractor (� Name BUILDING CONCRETE ELECTRICAL PLUMBING ❑ MECHANICAL& ❑ Footing Rough wiring ❑ Rough Framing Heating Re Roofing ❑ Slab ❑ Temp Pole O Top Out ❑ Fire Place ❑ Lintel ❑ Final ❑ Pre Fab READY FOR INSPECTION A.M. Wed. Thurs. Friday _P.M. Mon. es. A Inspection Made Final inspection❑ inspector Certificate of Occupancy Date CITY OF ATLANTIC BEACH FLORIDA INSPECTIONS BUILDING PERMIT NO.# ELECTRICAL PERMIT NO.# 3250 T.P. PLUMBING PERMIT NO.# JOB ADDRESS 1904 SEMINOLE ROAD. ATLANTIC BEACH FLORIDA 32233 CONTRACTOR EBERLING BUILDERS INSTALL TRAILER FOR OFFICE PURPOSES. OWNER EBERLING BUILDERS DATE REMARKS INSPECTOR FOUNDATION FOOTING SLAB PLUMBING (R) TOP-OUT SEWER TEMP-POLE a 8 ELECTRICAL (R) ELECTRICAL (F) FRAMING PLUMBING (F) LINTEL/BEAM COLUMN STEEL SHOOT GRADES LOT CLEARING OTHER FINAL INSPECTIONS CITY OF 4&at4c Office of Building Official REQUEST FOR INSPECTION #3250 Date SEPT. 2, 1981 Permit No. Time A.M. III DUVAL Received P.M. District No. MING ROAD. ATLANTIC BEACH 1904 Job Address Locality ownersEBERLING BUILDERS contractor BIVINS ELECTRIC CO. Name BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation ....❑ Wire ..........❑ Rough Wiring ..❑ Rough ........❑ Rough ........El Chimney ......El Lath ..........❑ Finish Wiring ..❑ Final .........❑ Final . ........❑ Framing .......❑ Scratch .......❑ Fixtures .. ... ❑ Se rs ........❑ Water Heater ..❑ Final ........❑ Brown ❑ Motors ........❑ s ❑ Footing .......❑ Finish ......❑ Temp-Pole Cesspool ......❑ Slab ..........❑ Wallboard .... .❑ Final Inspection.❑ Top-out .. .....0 ....❑ Lintel Beam ...❑ Water .... . READY FOR INSP A.M. Mon. Tues. Wed. (Thugs. Fri. P.M. _ A. Inspection Made Inspector CITY OF J � Office of Building Official REQUEST FOR INSPECTION 7 —/-6— _6_ Permit No. Date Time A.M. District District No. Received Locality Job Address �V� Owner's Contractor / Name PLUMBING CONMECHANICAL El CRETE ELECTRICAL BUILDING Ro Rough ❑ Air.Cond.& Framing ❑ Footing ❑ Heating Temp Pole ❑ Top Out Re Roofing ❑ Slab ©� Sewer ❑ Fire Place ❑ Lintel Final Pre Fab READY FOR INSPECTION A.M. Tues Wed. Thurs. i Friday P.M. Mon. A. .M. Inspection Made � Final Inspection❑ Inspector Certificate of Occupancy Date PREPARED 4/22/03, 16:10:48 INSPECTION TICKET PAGE 6 CITY OF ATLANTIC BEACH INSPECTOR: DON C FORD DATE 4/23/03 -------------------------------------------------------------- --------------------------------- ADDRESS , : 1905 SEMINOLE RD SUBDIV: TENANT, NBR: INSTALL WATER HEATER PHONE (904) 354 7321 CONTRACTOR ROTO-ROOTER SERVICES CO OWNER LEE, ROBERT PHONE PARCEL 169542-0538- - APPL NUMBER: 03-00025694 PLUMBING ONLY ------------------------------------------------------- PERMIT: PLBG 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP,lSQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------ 45 01 4/23/03 DCF ' FINAL TIME: 08:00 q/c„ -'4 _'(�C_ _ 350-9111 ROTO ROOTER ` 246-9151 R J PARDEE (NEXT DOOR) -------------------------------------- COMMENTS AND NOTES -------------------------------------- • f CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD -t' r ATLANTIC BEACH, FLORIDA 32233 - INSPECTION PHONE LINE 247-5826 Application Number . . . 03-00025985 Date 5/28/03 Property Address . . . . . . 1905 SEMINOLE RD Tenant nbr, name . . . . . KITCHEN/BATH REMODEL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 50000 Owner Contractor - ------------------------ ----------------------- TIBBS, PAMELA FASANELLI DEVELOPMENT CO 1905 SEMINOLE ROAD 712 SHIPWATCH DR E ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 614-1999 (904) 614-1999 ----------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Sub Contractor . . SHAWN ORRS PLUMBING INC. 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 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. ♦N BUILDING OFFICIAL r _ CITY OF ATLANTIC BEACH �~ PLUMBING PERMIT APPLICATION 'r Oil'fir Date: Job Address: 1 )Z c Owner of Property: � Telephone: 4/y—/H9 Plumbing Contractor: Contractor's Address: 1 S /J Telephone: (q � Z �� Fax:�cl0y� 6� � State License Number: How many of the following fixtures (re-piped or new): Sinks Showers Water Lavatory Water Heaters Hose Bib Bathtubs Dishwashers Sewer Urinals Disposals Other Closets Washing Machine Shower Pans Floor Drains __Z ZL_Re-Pipe (List fixtures being re-piped) _ Total Fixtures: x $7.00 + $35.00 (Minimum Permit Fee:S3 MO) Signature of Contractor. 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 CITY OF ATLANTIC BEACH sS ` SS 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r `rte Application Number . . . . . 03-00026190 Date 5/30/03 Property Address . . . . . . 1905 SEMINOLE RD Tenant nbr, name . . . . . . REMODEL Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ---------------- ------- TIBBS, PAMELA BROOKS & LIMBAUGH ELECTRIC 1905 SEMINOLE ROAD 41 2ND STREET WEST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-9051 ------------------- ---------------------------------- 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 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 1 CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: v 20 d5 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. ELECTRICAL FIRM: MAS ECT IAN SIGNATURE: �f(901 a#%4 L4r-w bU4ale �.c �� • OWNERS NAME:P 4 (Ub5 ADDRESS: lgos D� BOX_ BLDG. SIZE BETWEEN: RES�r,V APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDIITI``ON( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT. SERVICE: NEW INCREASE REPAIR CONDUCTOR SIZE AMPS: COPPER( ALUM.( FEES SWITCH OR BREAKER AMPS PH W I VOLT RACEWAY EXIST. SERV. SIZE 0 AMPS PH J W I'2V OLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMPS I 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS I HEAT 0-10 VER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS Pe - Z 8� UNDER 600V OVER 600V TRANSFORMERS: NO. KVA NO. KVA NO.NEON TRANSF. NO VA MA MOTOR SIZE SWITCH FLASHERS EACH SIGN Updated 5/20/2002 CITY OF ATLANTIC BEACH >� 800 SEMINOLE ROAD -, ATLANTIC BEACH, FLORIDA 32233 J' INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024965 Date 10/07/02 Property Address . . . . . . 1905 SEMINOLE RD Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- LEE, ROBERT AIR NOW 1905 SEMINOLE ROAD 5875 MINING TERRACE #106 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 278-0335 ---------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . REPLACE EXISTING HVAC Permit Fee . . . . 67 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited ----Due--- ----- ---------- ---------- Permit Fee Total 67 .00 67 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 67 . 00 67 . 00 . 00 . 00 f l 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 OWNERRESULT IN THE PROPERTY WHICH ARE PART OF THIS P RMITAND SUBJECT ISSUED PAYING TO REVOCATION FOR VIOLATION ON OFAPORO CCABLEPROVIS PROVISIONS W. PLANS BUILDING OFFICIAL BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IIMPORTANT—Applicant to complete all items in sections I, II, III, and IV. I. Street Address: LOCATION OF Intersecting Streets:Between And BUILDING Sub-division H. 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 ofgood practice listed therein. Name of Mechanical Contractors J Contractor(Print) Master Name of Property O� Owner Signature of Owner Signature of Or Authorized Agent Architect or Engineer III. GENERAL IN Riti1. IO A. Type h fuel: B. Elec i — IS OTHER CONSTRUCTIO B,I v G DONE ON THIS ❑ Gas: LP _Natural _Central Utility BUILDING OR SITE? �Jl ❑ Oil ' .Cl Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE >ATURE OF WORK Residential or Commercial INSTALLED ❑ New Building �,/�(�Provide complete list of components on back of this form) li�Existing Building �O Heat _Space _Recessed s/tentral _Floor Replacement of existing system ` ❑ Air Conditioning: Room Central Cl New Installation(No system previously installed) ❑ Duct System: Material Thickness ❑ Extension or add-on to emsdng system Maximum capacity cfm ❑ Other- Specify ❑ Refrigeration ❑ Cooling cower. Capacity Qpm ❑ Fire sprinklers' Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift Escalator (Number) (Received) ❑ Gasoline pumps (N ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers ❑ Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description ModelNumber Manufacturer Capacity Approving (Tons) Agency HEATING—FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving enc TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency Existing 2 X 10 floor joist. 4� ® 2 - 1/2" dia. thru bolts. 10 wood Notch 6 X 6 post 3" deep X 10 Existing 2-2 X two sides to accept beams to remain intact. wood beams. 1 - 1/2" dia. thru bolt. New 6 X 6 pressure treated wood post. FIL SOP New ABU66 post ost base" with 5/8 dia. threaded anchor &"ET" epoxy by Simpson" doweled min. 14" into the existing grouted emu pier. Existing grouted emu pier to remain intact. Existing concrete walkway to remain intact. Existing concrete footing found, III=III=III=III=III=III=I I exact size is unknown. I=III=III=III=III=III=I I I=III-I�I-III-I�I -I I-III-I I I-I I Kreeger Residence Project: Post Replacement SHEET AIA Construction & Remodeling Inc. 1901 Seminole Road Associated permit# CRCO57792 Atlantic Beach, FL 07-1022 TEL: (904) 318-0792 SCALE: 3/4" = 110" FAX: (904) 270-0693 OF 1 DATE: 4/16/08 585192 MAP SHOWING SURVEY OF LOT 10A BLOCK 1 gEAr.1-AsIDE AS RECORDED IN PLAT BOOK 42— , PAGE 14.14 c. OF TFIE CURRENT PUBLIC RECORDS OF Dvv AC P COUNTY, FLORIDA L o.1. 115 PRIVATE; EASH NE►•.IT // Tol 00 31 00" E. 40.00 o.4 Ff UCE •(1 ¢E 13AeGou.av r, 44191E 0Ae 46Ic119 WOOD STEPSLGLASS ENCLOSE 1 1i.o oo �.� 0 0 Zl.o 3.8 ASE G LoHllou PARTY WAIL r Z.3 0 A PPROYI H ATC'J LINE D S M 0 �.5T >m,.( � FRAHE In RiS• a mos zz s LCT 9 Ci LOT to O 3 w I. 1. 0 0 U e "� v? 4AICAL.E 0 : m p' 20.0' N •Q. N Z' '• (111-7 C •� 7 •� Lo1.iC •FO V1 • 4 O21 VE 5 EASEHL*IIT FoC 0 - N DkA11.lA4E� SEWERS, N WATEQ.. UTIl.lT1ES 5•}vcco -' LoL�M1.� '-�� 8•V B.C. IfYP1C AL�• • --Y x—p— x—fl -' t5.o' ! ... Z�O°i p•j• FoVIJo Ils'• W. oo31• oo•• W 4 1ROU PIPE 13EArwe- 1toti FPIPE 1 �t•' POlwatT OF E PE REur-r, Rou ICE GuCdATURE 1 tit O 1...E 20 A 0 Se"I MOL•E E3EAt N {ZOA0 E3Y PLAT) l00' IZI(,1IT OF WAY) NOTE: NOTES: THERE MAY BE ADITIONAL RESTRICTIONS THAT APPLY 1. This is a boundary survey. THAT ARE NOT SHOWN ON THIS SURVEY BUT~MAt BE POWD IN THE PUBLIC RECORDS OR FACILITIES OF-THIS COUNTY. 2. Flood zone x as best ascertained from Flood Insurance Rate Map, community panel no.txoo-is•000l o dated 4.1T•89 3. Bearing datum based on EA-37 121W LI U P OF s6 rl wOLE RE-CHECKED& RE-CERTIFIED: 3/14/03 CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD s� J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept2coab.us Application Number . . . . . 07-00001013 Date 7/16/07 Property Address . . . . . . 1905 SEMINOLE RD Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9985 ---------------------------------------------------------------------------- Application desc re roof f1728 ---------------------------------------------------------------------- ------ Owner Contractor ------------------------ ------------------------ TIBBS SCHULTZ ROOFING, INC. 1905 SEMINOLE ROAD 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2315 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 80 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 9985 Expiration Date . . 1/12/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 80 . 00 80 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 4,- CITY OF ATLANTIC BEACH ROOFING PERMIT AP LICATION JUL :i 2Mi e: Job Address: �S Owner of Property: O Address: Telephone: Contractor: Douglas A Schultz State License Number: CCCO36989 Contractor's Address: Schultz Roofing Co . , inc . 216 N 20th St Jacksonville Bch , F1 Telephone: 246-2315 Fax: 247-3808 Scope of Work: P'n-i-00-E 4&A% Deck Slope: 1,/12- Greater than 2:12 ✓ Less than 2:12 Valuation of work: of Product Name(Example: Timberline): W l AS(o"1 t.,t2;V1�-;nj sd YP— Manufacturer(Example: GAF): ASTM Designation(s): 11'1 Z 2 0 3( 6 Required Inspections: Sheathin a Final Sheat; ' �/ Q Signature of Owner: Date: AS TO OWNER: Sworn to and subscribed before me this day of 4" 120 State of Florida,County of Duval - Notary's Signature:- .••" SHIRLEY L. GRAHAM ."'`�.'' s +votary P"I is-Slate of Florida 1 °My Commission Expires Feb 14,2010 F-1 Personally known 9^^!CfPormmtssron #DD 518ry �Produced identification µv "+3honal Nota Assn. Type of identification produced Signature of Contractor: Date: AS TO CONTRACTOR: Sworn to and subscribed before me this day of _ 20 b� State of Florida,County of Duval Notary's Signature:r,422X y4e?,�� , ROSALIND CLARK Mg. MY COMMISSION#DD 544427 ersonally known ?'s EXPIRES:August25,2010 ❑ Produced identification dt` Bonded Th,Notary Public Underwriters Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 1 Revised 2/21/03 R: turn ta: tcnelose self-addressed stamped envelope Schnitz Roofing Co. , Inc. Ari;tress:216 N 20th Street Jacksonville Bch l'h.+rnstrumcn, Prepared by: F1 32250 - Name: Rosalind Clark Doc#2007227467,OR BK 14084 Page 457, Schultz Roofing Co- , Inc. Number Pages:1 :�:i.trCss: 216 N 20th St . Filed&Recorded 07/13/2007 at 02:16 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Fl . 322_':--0 RECORDING$10.00 Plr u1v A t�i r 9540-off SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA i NOTICE OF COMMENCEMENT 16q-'5;W Permit No. Tax Folio No. State of Florida County of The undersigned hereby gives notice that Improvements will be made to certain real property, and in accordance with chapter 1 713 of the Florida Statutes,the following information is provided In this NOTICE OF COMMENCEMENT. i I Legal description of property (include Street Andress, if available General description of improvements Owners Name Address Owner's Interest in site of the provement Fee Simple Title holder(if other than owner) t Address Phone: Fax: Contractor Douglas A. Schultz Schultz Roofing Co. , Inc. C C Address 216 N 20th St Jsnvllle Bea,c 904-246-2315 904-247-3808 t { F� bone: Fax: `surely Phone: Fax: Add:-ess Amount of bond $ Lntdor's Name Addy;ss:_ Phone: Fax: Persons within the State of Florida designated by owner upon whom notices or other documents may be served as pro- vidsd by Section 713.13(1)(a)7, Florida Statutes. Name Address Phone: Fax: In addition to himself, owner designates i Of Phone: Fax: to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) - s2 E- f-e-eC g(- --- Signature A Owner ��4 PrinteJ Numc of Or— s r101AK1 RUBBER STADIP SEAL l have relied upon the following identification of the Affiant it) I Ui 1 ••i�Y % ESSIEN�RRftTSworn and subscribed before me this o day oft _Y7V 95 f Notary Pubic-State of Florida f - ttilY Commission Expires Feb 9,2009 Notary Signature e ^,v Cwwission M DD 394893 CF m-----� s—J/'SCIS" Printed Nne orf voq�llpueDl Peanpa u1ee�w.ssmaw*Wu eeio•rc�ewAl m Alleuo8lad B3ia"� elliiiiii pVb 81w Um 00'O149N102100321 t6M6isan a NolsslwwOO Aw AINnoo IVAno 1an00 11/102110112130 aaii !i V{If leen PWRAUStommomms o!Ignd WN wd 15Za w LOOV6utO P 6 s Pae L:SA§d�SgwnN '916 abed 5601.1 H9 NO'IBL96ZLOOZ 8 300 S qq�}_ LYq.l pausadde A!leuoslad set' . 1 Lo elBiS-le ❑l o'J eyi'L! L 0.. f to Asp 1.yc1 / ew a� i-o4J-"— vie01[:Peu6!S n23mmo /� Air(O 3sn S.m30210g3M 2104 30VdS SIHl :(pay!oeds sl elep iuelay!p e sselun Bwplooer to slap etA woo ieeA(L)Duo si aiep uogeudxe sol)luewsouewwOO 40 8011ON;o eieP uonsl!dx3 oN auo4d sSe1PP d aweN •(-!ido saeuM0 ie u!1pd)•selmelS eP1,01A'(q)(Z)9o'f LL uo!loeS u!pepinald se eo!;oN saoue11 aul;o Fdoo a an!eow W uos od SuLmIto;ata selsuBlsep jeuMo••;lasw!y of voli!PPe ul .ON xej ON 0004d ssajpp`7 aweN :penlas aq Sew quawnaop tetao m seollou wo4M uodn lauMo Rq peieu*ep'gesw!4 ue4l is='epuola io aJ%4S an u!tl!M uosiad;o aweN 'ON Xed ON euo4d ssejPPV aweN 'sivaweAoldw!e4l;a uo!K1luisuOO DWI 94 uaol a Bu!>lew uosled Aue to ssaippe pus aweN 'CN XBJ oN euOgd =puoq/0 lunou/y ssajPPv (Rue y)Rlsmg U 'ON XEA fr oN euo4d �gpl,by� -7 N/V -C?r!T- ssa,ppy aweN (JeuMO ueti J04101!)JOPIOLMU eldwiS aad y Z(YM u IU9tu6AoldWl 94g)o al!s ut lsajaiui s,laumo ce-ei I-j 5 *o ` d SsejPPV S qq :1- •}l bj-aLUJLJOJaumo 44t-i°5' /VIA 1l-.s -r a,".;fo 5vm �v,u•>�X� t ;,1P,'S Fv-� ayj" /i kP3N— SO b IM ��i(S a2S i+ /�^l�}��'S p(d a��a:14uawannJdw!;o uo!ld!josep Ie,aua0 50 :Pa—dul!Bwaq AVedad;o SSaippV t _119 -Y a WT l _moo :panoudw!Bu!eq di,iadald to uo!iduosap le8a-1 '1N3W3�N3WW0� d0 3000N$14;ul pole"sl uOPvuUo;ul GUIMOM 041'8e1maLS OPNold ma 10 ELL uaawas Qm eOuepJoaoe ul pus ypjedoid lees ulspoo oa epees eq IIIM s3uewseoJduil Leta nog(swjOlul Rgaua4 peuB!siepun•41 :ujaouo0 stew i!wo4M of to;4uno7 !o alelS 'ON o!lad xal ON I!tWad (=UV3ndna NI 3MVd32idl LK tojoamoo 40 23I10M I I � Z8/Z0 39dd 9NIQIS 1I330S WWS 8L9ihE9t86 OZ:ci ZOOZ/17Z/LO r. CITY OF ATLANTIC BEACH JJ ss1 800 SENIINOLE ROAD r ATLANTIC BEACH,FL 32233 ' INSPECTION PHONE LINE 247-5826 JF31�r INSPECTION EMAIL REQUEST: Building-deptOcoab.us Application Number . . . 07-00001027 Date 7/19/07 Property Address . . . . . . 1905 SEMINOLE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO. BE UPDATED Application valuation . . . . 1500 ---------------------------------------------------------- Application desc replace garage door ---------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- TIBBS OWNER 1905 SEMINOLE ROAD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 -------------------------- Structure Information 000 000 ----------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL 2 Flood Zone . . . . . . . . ZONE X --------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . Valuation 1500 Expiration Date . . 1/15/08 --------------------------------------------------------- Special Notes and Comments *2004 FLORIDA BUILDING CODE W/05 & 06 SUPPLEMENTS. --------------------------------------------------------- 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 ISA PPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PERMIT BUILDING / ZONING DEP NT APPLICATION # r /D� 7 800 Seminole Road C� � (�' � Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us I JUL I It 200.7 APPLICATION TRACKING 1704l1 REQUIRED DEPT: Y N PLANNING Property Address: / 9a� ��'�rl��a z Y N BUILDING p I- N PUBLIC WORKS 0A)116rl - �B Applicant: .s O Y N PUBLIC UTILITIES Q Y N FIRE DEPT. Project: Y N PUBLIC SAFETY w APPROVAL REQUD AGENCY: RECEIVED BY: INITIAL: DATE: Z LU Y' D.E.P HUFSTETLER Y N S.J.R.W.M. CARPER w YN ARMY CORPS of ENG CARPER O Y! HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIF"/ED BY: INITI L: ?AT : " 1 ST REV Aw S PLANNING —T 1 l ® ® 2ND RE BUILDING PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Return this form to the Building Department once you have entered your comments into the AS400. $-� BUILDING PERMIT APPLICATION r f� � CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 Fax: (904)247-5845 1 Job Address: !V� Permit Number: Legal Description o� Valuation of Work(Replacement Cost) ■ Class of Work(Circle one): ew Addition Alteration Repair oveRiP ■ Use of existing/proposed structures) (Circle one): Commercial es e No N/ ■ If an existing structure,is a fire sprinkler system installed. (Circle • Is approval of homeowner's association or other private entity required)?(Circle one): Yes No Desc ' e in detail the type of work to be performed: Property Owner Information 1<71 Name: t6GS Address: City t`C — N- State Ft-Zip a33 Phon 5 3 Contractor Information: ` (`' Qualifying Agent: Name of Company- Al ,� � QCr� State 1=1-- Zip .3aa33 Address: \t) , S a-:► 3 City Office Phone ) �oL,�=��to Job Site/Contact Number State Certification/Registration# Office Fax# Architect Name &Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to o ao the work and ermit and that all workwill be s as indicated erfoamed to meet he standards of all that no work or installation has commenced prior to the i P laws regulating construction in this jurisdicorThition, sabandotned for a pebecomes lriod of six(6) months at anytime a within work(s months, or i construction or work is suspended commenced f I understand that separate pie mics must be toners, etc.securedfor Electrical Work, Plumbing, Signs, ells,Pools, Furnaces,Boilers,Heaters, Tanks and A NT MAY WARNING TO OWNER: YOUR FAILURE TO REC�MEN SD A TO YOUR PROPERTY.ICE OF � Y. IF YOU RESULT IN YOUR PAYING TWICE FOR INIPRO INTEND TO OBTAIN FINANCING, CONSULT WITH E YYONURT, LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMIE thereby certify that have read and examined this l i aomnand know the l ed with whether specito fied herein ond r not. The grantin no a laws and ordinances governing tye of work llll p g federal; state; or local law permit dyes not�/I esKlsiie t^v .ve autho, i y' to violate or cancel the prQvic_1gn.c of any other,_ regulating construction or t e erforma e of constru tion. Signature of Property Owner: Signature of contractor: Swo �d subscribe be re me Sworn to and subscribed before me this IV Day of this Day of HIR GRAHAM .tate Notary Public: Notary Public: A, s xpires Feb 1q,2010 Co Ion#,P „;;.` DD 518533 REVISED 03.05.0 onded y ational Notary Assn. J �� Customc�s A Initials ` 111,1111111111,111111111111111001110 A Day: Date: Time - In L--J ATLANTIC Control i f) Out Technician y1/t ti #of OVERHEAD DOOR COMPANY,INC. Last Service Op.Type Yrs.rs. Old 1089 ATLANTIC BLVD. SUITES 2 & 3 / / ATLANTIC BEACH, FL 32233 Good Fair Bad" Good Fair Bad* 877-225-DOOR (3667) Springs f ❑ ❑ ❑ Operator ❑ ❑ ❑ Customer t 10,05 Rollers of ❑ ❑ ❑ Gears ❑ ❑ ❑ 5e�i�c��L 94) Cables of ❑ 11 11C. Board. El 11Address Sections ❑ El �� Drums of El ❑ ❑ City h� State Lzip ❑Not Level Ce\` ` Q Z � Track of ❑ ❑ ❑ Concrete: ❑Level -1� 53 C U WARNING: Operator bracket required on all steel doors: ❑Yes ❑No Work# Customer Initials BAD-NO WARRANTY ON DOOR AND/OR SERVICE.MUST BE REPLACED. WARRANTY Quantity DESCRIPTION @ AMOUNT (CIRCLED) , X q Q S[f t C t �G ' f 30 �• 90(M> Y% W CC�J ,C CO ` 0 L 12-)-00 �etlOd4 , �O LK C 2gr �-�� -' C :h :jdC- V W 1. c Z 5 • 10Years LO wi fQc. t h "la`C�K •�t / I .fX3� N c� Z.� L' L�'wtt 1,1a.Cc �. � eac, 7-% o Lifetime O�^ 30 1 r W\, �Z L-i' S F7�O=th , Z9.00 No Warranty 2.9% Credit Card Surcharge Haul Off/Dispos Technician's Notes $20 Operator $30 Section $70 Doors t + l a �S C C V '�'�+\ y W `� 1�•'1 `�S t Initials 4- C Oek{ y�iAM 64 Customer will remove. ho. dandling.Recycling .Disposal Fce $50.00 Charge On All Returned Checks WARRANTY WORK Check# Cash TOTAL Previous Tech Previous Invoice Present ❑Yes ❑No ,11nkc Chrcks Pa}'nblc to: Attach Ir!(Tech nnr51 n•rite nr'+v one.) Arinnlic O+a•rbcad Doar Co.fnc. Previous Work / / Service Warranty Service Sticker Placed On All Three Covered? ❑Yes ❑No ❑Top Section ❑Customer Refused Lifetime warranty offered only on certain pans,ngt onOpener No Warranty labor lservice. ❑Wall Button Warranty Void of: 1)No receipt is presented. 2)Customer/Other Company has performed work. Tech's Initials Customer's Initials 3)Service sticker is removed. I have read and understand the terms and conditions of this invoice.I understantd that all service and parts are non-non-refundable and returnable.A$50 charge&bank fees will be assesed on ,�T all returned checks.Under state law,nonpayment of any amount will result in a lien against your A( property,theft of services warrant issued and you Paying twice the original amount. Acceptance of Invoice or Credit Card Authorizations ALL INVOICES DUE UPON COMPLETION OF WORK. (I waive my right to dispute this credit card transaction) NO BILLING OR PAYMENT PLANS! Speclal Information for Owner/BuRders DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes: LICENSED STATE LAWR�Q�T APPLIED OR A PERMITS CONSTRUTION TO BE DONE BY YOU&A� T UNDER AN EXEM 'TION TO TBE LAW.CONTRACTORS. The exemption allows you as the owner of your property,to act as your own contractor even through you do not have a license.- You must supervise the construction vourself. You.may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. Ifyou sell or lease more than one building you have built yourselfwithin one(1)year after the construction is complete,the law�rzi1 presume that yon built it for sale or lease,which is a violation of this exemption. You may not hire an un-licensed person as y ur contractor. Your construction must be done according to building codes and zoning regulations. it is your responsibility to make sure that the people emploved by you have licenses required by state law and by county or municipal licensing ordinances. becomes liable and responsible for the employees he/she hires. This addition,the owner must supervise P In ad cruise eonstructzon and b P responsibility includes,but may not be limited to: 1. Workers Compensation,for workers injured on the job. 2. Social Security Tax must be deducted from employee's wages and matched with owner's funds. 3. Federal Withholding- Since owners Aust be liable for injuries to workers they hire,the Building Division suggests Workers Compensation Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers become employers and should also observe IRDS withholding tax Form 1099 requirements on the workers they employ on their improvement work. Un licensed contractors cannot be ernploygd under any circumstances. Owners are subject to a$5,000 penalty under Florida Statute 4455.288(1)instigated via Building Division cions. An Occupational License is not adequate. The owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a person is • ensed contractor. Telephone the building Division(247-5826 y in doubt. I her cknow- e that I r d d understand all the above on this Day of, er uilder Signature Address Print Name Telephone Number STATE OF FLORIDA: COUNTY OF DUVAL Befbremepersonaiiy appeared Lo illG We" KIlvwu to e .tar:unuiv"'`"'`"`�" owner builder described in and who executed this instrument and severally acknowledged the execution thereofto be his own free act and deed as such owner builder hereunto authorized. i to aforesaid. WTTNESS my hand and official seal this,�day of, At tic �e ch_ ® tY NOTAi� ST TE F L Print Name- SHIRLEY L. GRAHAM Lvti a1ssloN EXPIRES: Notary.PubNc state of Florida :.;... _My Commission Expires.Feb 14"2010 ersonally Known Commission#t?D 518533 p Identification: Bonded By National Notary Assn. �� E CITY OF ATLANTIC BEACH s f 800 SEMINOLE ROAD �} ATLANTIC BEACH,FL 32233 J77 v INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept(a,coab_us Application Number . . . 07-00001031 Date 7/19/07 Property Address . . . . . . 1905 SEMINOLE RD Application type description SIDING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13325 ---------------------------------------------------------------------------- Application desc remove old lap siding ------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- TIBBS SMM SOFFIT AND SIDING 1905 SEMINOLE ROAD 228 MYRTLE AVE N ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 634-1533 -------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . 100 . 00 Plan Check Fee 50 . 00 Issue Date . . . . Valuation . . . . 13325 Expiration Date . . 1/15/08 --------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ------ Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 . 00 Grand Total 150 . 00 150 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH r SIDING PERMIT APPLICATION S) Vf3it, p _ 1 ,� 2007 Date: 7-19-0 7 ------ 190 S'em,N ohe !2 d • fi--� Iq N-�., f�--3z2 33 Job Address: -- �I a m�-I a- bb s Owner of Property: -�- 8a 77 1e Rd �.�-�GiG� � Teleprone: -- Address: 905 se in No Lot Number: �� Zoning District: Legal Description: Block Number:�- L• �1�_ L _ _ .1s�� Siding Contractor. 5 anrd S,R`1'Ng _t`.n1 1�A�JAI --!'-�`--- G Contractor's Address: 22 3 �S� O 3c /S3 3 Fax: Telephone: �v ll � OS13. -- Describe Describe proposed use and work to be done: i ,� a N s ,,,, • :/> » ; �nl 5•fryq�l J�A Y�/� �R K� $'�O�'d� TCI S ;T. , Present use of land or building(s): 13 3aso Valuation of proposed construction: es lease submit with this application. Is approval of Homeowner's Association or other private entity required?-A) If y ,p Procedure. In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of pea it.nd it is to be attached,i.e.,fasteners,etc. 1. Provide detailed information of product being used 2. Provide completed Owner's Authorization Form if applicant is other than property owner. Address and contact information of person to receive all correspondence regarding this application(please print). Name: NN 9 3 -a rtlt /�� "1't • J� • f�'tan�e Mailing Address: Z2 E-Mail:dr) Fax: Telephone: 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach-fl.usRevised 3/04/04 Page 1 F 3 i' i i i jj �+..�.�.��...- �; Z L � 1 { n 1 f Ni } a a a « 'set +F i 4 E � a • 1111 {i 3 I d s r fy d i f 3 yy �� s � i. t 1 CITY OF ATLANTIC BEACH ,,. 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ., INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Bull ding-deptncoab.us Application Number . . . . . 07-00001159 Date 8/23/07 Property Address 1905 SEMINOLE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 28000 ------------------------------- ------ - -- Application desc INSTALL WINDOWS ----------------------- ------------ ---- - Owner Contractor --------------- -------------------- ---- TIBBS, PAMELA ACE DOOR & WINDOW SERVICE 1905 SEMINOLE ROAD 9123 HARE AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 727-6811 -------------------------- Structure Information 000 000 ----------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL FloodZone X ----- - -------------------------------- ---- Permit . . . . . . BUILDING PERMIT Additional desc . 85 . 00 Permit Fee 170 . 00 Plan Check Fee . Issue Date . . . Valuation 28000 Expiration Date . . 2/19/08 -- ------------------------- ----------- Special Notes and Comments 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 170 . 00 170 . 00 . 00 . 00 Plan Check Total 85 . 00 85 . 00 . 00 . 00 Grand Total 255 . 00 255 . 00 . 00 . 00 PERMIT IS APPROVED-ONLY IN`ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT Permit No. Doc#2007272868,OR BK 14151 Page 2161, Tax Folio No. Number Pages:1 Filed&Recorded 08/23/2007 at 09:13 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY State of Florida RECORDING$10.00 County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. 1. Description of prope (legal description of property and address if available): j%c,S 2. General Description pf imp ovements: 3. Owner Information: a) Name and Address: b) Interest in property: c) Name and address of simple titleholder(if other than owner) 4. �ontract Qr(Name and Address): �� S. Surety Information: a) Name and Address: b) Phone Number: c) Fax Number d) Amount of ond: 6. Lender Information: a) Name and Address: b) Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.12 (1)(a),Flo ' Statutes. a) Name and Address: b) Phone Number: c) Fax Number : 8. In addition to himself/ erself, 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 unless a dirm ate is s ified: Signature of Owner: j2W Swornand subscribed before me this tJ� day of 1046�own Personally ❑ ID Shown: of Fw= NAM ,411 PW'•.o Notary PuW-stall Fremb 28. C�rssion Expt� Signature of Nota =• 3639 k.1-W04 Napoal Notary Assn. My commission expires: _ � �— CITY OF ATLANTIC BEACH FAPPLICATION MIT r s BUILDING / ZONING DEPARTMENT # r� 800 Seminole Road Atlantic Beach,Florida 32233 Ui }c)r (904)247-5800 (904)247-5845 Fax wx"v.coab.us APPLICATION TRACKING FORM REQUI DEPT: 906-�)CwLnp DQ�� Y PLANNING Property Address: hlq& z Y N BUILDING Y PUBLIC WORKS �� f'1 d Applicant: O Y PUBLIC UTILITIES t Y FIRE DEPT. Project: L j W Y N PUBLIC SAFETY APPROVAL U) REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w U Y N D.E.P HUFSTETLER w Y N S.J.R.W.M.D. CARPER Q Y �HOTE�LS&ORFE�:SSAURA�NTS CARPER Y N HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP INI L: TE: ❑ ❑ 1ST REV ❑ PLANNING BUILDIfI�/ ❑ ❑ 2ND REVTOEOT I PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. ❑ ❑ 3RD REV ❑ ❑ PUBLIC SAFETY Return this form to the Building Department once you have entered your comments into the AS400. ' '''�� BUILDING•PERMIT APPLICATION (�TD o CITY O 1 CF ATLANTIC BEACH JN - I �� 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax:(904)247-5845 QF_ r Permit Numb r: Job Address: � L ©� Sep, 1 no I —Q, Al Legal Description Valuation of Work(Replacement Cost)'$ ■ Class of Work(Circle one): New Addition <` Repair ■ Use of existing/proposed structures) (Circle one): Commercial Zesid7en?tal ■ If an existing structure, is a fire sprmkler system installed?(Circle one): o N/A ■ Is approval of homeowner's association or other private entity require ? (Circle one): Yes No Describe in detail the type of work to be performed. Property Owner Information '� Name: X10 S V A ` Address: City Ic C State L Zip as 3.3 Phone Contractor Information: Name of C( npai(�uqL_1)oss�,E _ QuaU&ing Agent: Address: 1 Ci State Zip 01 \\ Job Si e/Contact Number Office Phone —11-71 --lo 9\\ ._ State Cei tification/Registration# C—t3 C 4)3(S l V0 Office Fax 1 Architect Name & Phone# Engineer's Name&Phone# ,Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has conznzenced 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 "urisdiction. This permit becomes null and void if tivork is not commenced within six(6)rzzonths, or if construction or work is suspended or abandoned for a eriod 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 and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereb cert that I have read and examir d this application and know the same to be true and correct. All provisions of laws and ordinances governing this pe of wor will e complied with whether s ci ed herein or not. The granting of a ernzit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regul tin constructi or the perf rnza e ojconstr•uction. Signature of Property Owner: Signature of Contractor:^, Sworn 0,and subsc 'bed before e Sw thud subscbed before-we � �1 thiq ay of _ this Da of �1�� .J-'t-- Notary Pub ' Notary Public. M of Florida � P`�pOti Notary Public State of Florida • ,Corms Exom Feb 28,2010 Deanna M.Wilmore • •'- My Commission DD398666 � � #DD 523638 +h3 ... 8onded nel Notary Assn. a w Expires 02121/2009 DO NOT WRITE BELOW TN_IS LOT- OFFICE USI'', ONLY Zeview Result(Circle one): Application# CITY OF ATLANTIC BEACH MINIMUM SUBMITTAL REQUIREMENTS FOR ONE & TWO FAMILY STRUCTURES& ACCESSORIES All documents and plans shall have no str en1 encil markings, white-out, taped on details or any other alterations. Required Documents 1. Notarized building permit application and proof of ownership Boundary/Legal-Topographical Survey of property with surveyors signature and flood zone(4 copies)—clean copy with no pen 2' marks or otherwise altered or reduced. Survey doesn't have to have a raised seal and doesn't have to be recent. Tree survey with location of trees;size&species,location of proposed&existing improvements or if no trees being removed 3. include a tree removal affidavit. 4. Energy Calculations are required for all new homes and additions(2 sets) Lab testing and installation instructions for windows&doors. Florida Product Approval Codes for all windows, skylights, 5' exterior doors,shutters,roofing panel walls, structural components, and new building envelope products. 6. Material Specs for metal&the roofing 7. Recorded Notice of Commencement (Required if construction value is greater than$2,500)(2 certified copies) 8. Owner builder exemption form (If no contractor only) 9. DEP Notice to Proceed (Coastal Control Zone Only) Board of Adjustment approval letter (If variance has been approved) Minimum Plan Requirements Four(4)bound copies of drawings to scale('/4'= 1'-0' minimum scale)with sufficient clarity and detail to indicate the nature and scope of work.Plan set includes: ■ Site Management Plan,showing location of dumpster,portolet,construction parking etc. ■ Demolition Plan ■ Erosion Control Plan ■ Site Plan ■ Foundation Plan ■ Floor Plan 11. ■ Shear Wall Plan ■ Roof Plan ■ Electrical Plan ■ All Elevations ■ Sections and Details as applicable ■ Title Page,includes index of drawing pages and attachments,the Type of Construction,Occupancy Class,all applicable codes and area tabulations(conditioned,covered,unconditioned and impervious) Note: The printed name,address,telephone number,signature,date,(and registration or license number, if applicable)of the person who drew the plan is included on every page and every attached drawing. Site Plan Site plan is re uired or all exterior improvements Indicate all zoning set back lines.If a variance was obtained indicate set back lines as approved. Show where all proposed work, 12. driveways,existing structures, a/c equipment,etc.are located,labeled and dimensioned.Drainage flow must be indicated. Indicate any underground/overhead utilities or state none in vicinity of proposed work. Foundation Inspection Includes a plan note,which states: A foundation survey shall be performed and a copy of the survey shall be on the site for 13. the building inspectors use prior to framing inspection. Or, all property markers shall be exposed and a string stretched from marker to marker to verify required setbacks. Structural Design Criteria The following information related to structural loads shall be shown on all construction plans including sheds greater than I00s.f and screen rooms. Plan indicates design method used to meet minimum loading requirements per'04 FBC and supporting calculations are included ■ Basic Wind speed,h,(km/hr) ■ Wind Importance Factor(1) ■ Building Category Enclosure Classification v—^c,, -1 annlienhla wind direction Electrical Plans Indicating the following: Riser diagram including size and type of service entrance conductors. (New electrical service only) 17 Electrical layout plan showing location of all receptacles, switches, and distribution panel. Includes a plan note that states: "All electrical wiring to be in accordance with '02 NEC.Provide arc-fault circuit interrupters in all bedrooms per article 210-12". Repairs,Alterations and Additions to Existing Structures Existing structures must comply with the requirements of the 2004 Florida Building Code-Existing Building(Plan must 18 indicate"Alteration Level")and the Atlantic Beach Land Development Regulation. ■ Provide Real Estate Appraisal for structure(not property) indicating"replacement cost." ■ Provide a General Ledger of construction cost by licensed contractor. Frequently Asked Questions and Notes: Building: ✓ Inspection Line: (904)247-5826 fax: (904)247-5845 email: dhufstetler(c�coab.us ✓ A$35.00 reinspect fee is assessed for disapproved inspections, to be paid prior to final inspection. ✓ Plywood can only be used for windborne debris protection on 1& 2 story buildings. ✓ A/C compressors, pool equip etc minimum of 5' from property line. ✓ Applicable Codes: ■ 2004 Florida Building Code, Residential ■ 2004 Florida Building Code, Existing Building ■ 2002 National Electric Code ■ 2004 Florida Fire Prevention Code ■ ASCE7-02 Structural Design Loads ■ Zoning, Subdivision and Land Development Regulations for Atlantic Beach. ✓ Type of Construction for 1& 2 Family buildings: Type 5-B. ✓ Occupancy Class for 1 & 2 Family buildings: Group R-3. ✓ Pull down attic stairs must have '/2" dry-wall laminated to plywood panel. ✓ 5/8"Type X Gypsum Board ceiling required to separate garage from room located above. ✓ Permits shall expire on the 6t1i month anniversary of the date such permit was issued unless an approved building inspection has been recorded. ✓ "Residential Contractor" is limited to building 2 habitable stories (3 stories if garage below) ✓ If demolishing entire structure provide "Demolition-Property Owner Release"with application. ✓ Separate permits are required for Electrical, Plumbing, Mechanical (Heating & Cooling), Re- Roofing, Swimming Pools, Demolition of a Structure,Tree Removal Etc. ✓ Building Plans are not required for sheds under 100 square feet. ✓ Notice of Commencements can not be faxed to the building department. Certified copies are required. Public Works: ✓ office: (904)247-5876 fax: (904)247-5843 email: rcarper(a�coab.us ✓ address: 1200 Sandpiper Lane, Atlantic Beach, FL. 32233 ✓ All new construction must be located on a paved road and have water and sewer service prior to any City of Atlantic Beach, Florida General Lot and Site Requirements for Zoning Districts (For additional information, please refer to Chapter 24 of the City of Atlantic Beach Municipal Code or the City of Atlantic Beach web-site at www.coab.us) Zoning District Minimum Lot Minimum Minimum Minimum Maximum Maximum Size Front Rear Side Yard Height Impervious Yard Yard Setbacks Surface Area Setback Setback 7Conser ON Use-by-Exception 20 feet 20 feet 10 feet 35 feet 25 percent required. vationZ RS-1 7500 square 20 feet 20 feet 7.5 feet 35 feet 50 percent Residential,Single-family feet of Lot Area District Combined 15 RS-2 Minimum 5000 feet,but not square feet of Lot20 feet 20 feet less than 5 35 feet 50 percent Residential,Single-family Area 1 feet on either Districts (existing lots only) side.3 RG-1 and RG-IA For Single-family Combined 15 5000 square feet of 20 feet 20 feet feet,but not 35 feet 50 percent Residential,Two-family Lot Area 1 less than 5 Districts (existing lots only) feet on either side.3 (Single-family and two- For two-family 7500 family uses are permitted. square feet of Lot Two-family uses are also Area 1 subject to the Comprehensive Plan density limits.) RG-2 and RG-3 For two-family,see For single endnote 4. 20 feet 20 feet family, 35 feet 50 percent Residential,Multi-family combined 15 Districts For Multi-family, feet,but not 5000 square feet less than 5 (Single,two-family and with additional feet on either multi-family uses are units determined by side; all other permitted,subject to the Comprehensive Requires 7.5 Comprehensive Plan Plan. feet on each density limits.4) side. CPO 7500 square feet 20 feet 20 feet 10 feet 35 feet 70 percent Commercial,Professional of Lot Area and Office CL and CG 5000 square feet of Lot Area 20 feet 20 feet 10 feet 35 feet 70 percent Commercial Limited& Commercial General ILW 5000 square feet of Lot Area 20 feet 20 feet 10 feet 35 feet 70 percent Industrial,Light and Warehousing 1 This minimum 5000 square foot lot size applies only to previously existing legal Lots of Record. A Lot of Record is defined as: (a) a Lot that is part of a documented subdivision,the map of which has been recorded in the Office of the Clerk of the Circuit Court,or (b) a Lot or parcel of Land described by metes and bounds, the description of which has been recorded in the Office of the Clerk of the Circuit Court, consistent with and in compliance with Land Development Regulations in effect at the time of said recording. All new residential lots in any residential Zoning District must be a minimum of 75 feet wide and 7500 square feet in size, unless approved as part of a PUD. 2 All uses in the Conservation District must be approved as a Use-by-Exception. Required lot size is established through that process,and Required Yards may be modified, as appropriate. 3 In the case of an existing Nonconforming Structure that does not comply with Required Side Yards, any new Development must provide for a combined total Side Yard of fifteen (15)total feet. For example, where an existing Structure is located three (3) feet from the side Lot Line, new Development on the opposite side Yard shall provide a minimum Required Side Yard of twelve(12)feet,thereby providing for a combined total side Yard of fifteen(15)feet. 4 For a two-family(duplex)dwelling or a townhouse: Lands designated as Low Density require 14,500 square feet of Lot Area for two units. Lands designated as Medium Density require 6,200 square feet of Lot Area for two units. Lands designated as High Density require 4,350 square feet of Lot Area for two units. For multi-family dwellings: Lands designated as Low Density require 7,250 square feet of Lot Area for each unit. Lands designated as Medium Density require 3,100 square feet of Lot Area for each unit. Lands designated as High Density require 2,175 square feet of Lot Area for each unit. Additional useful information related to Residential Zoning Districts Setbacks. Any structure, or part of a structure,that is more than 30 inches in height must meet the applicable setback. Number of Buildings allowed on a lot. Not more than 3 buildings are permitted on any single or two-family lot. (This includes the main house, and detached garages, any storage buildings or sheds or any other enclosed building.) Accessory Structures As a rule, any building or structure over 30 inches in height must meet setbacks, except that a storage shed less than 80 square feet in size can be placed 5-feet from rear and side property lines. Screen enclosures with a screen roof may also be placed 5-feet from property lines. Dog houses, children's play equipment and landscape elements are not considered to be Accessory Structures. (Section 24-151.) Detached Garages Garages and carports that are not attached to the main house may not occupy more than 600 square feet of Lot Area and must be located at least 10-feet from the main house. A single-story garage (maximum 15-feet in height) may be 10-feet . . 1 .1 1_ A 4_.... .-.4-«.r Swimming Pools Swimming pools must be located at least 5 feet from rear and side property line and must be enclosed by a 4-foot high fence that complies with the Florida Building Code. Swimming pools cannot be located in front of the main house. Tree Removal A tree removal permit is required to remove any protected tree within the City of Atlantic Beach when construction will occur on that lot. Boats and RVs only one boat, boat trailer or RV is allowed on a single lot. These must be parked at least 15-feet from the front property line. Parkiny, on residential lots must be within paved or stabilized driveways or inside of garages or carports or areas that are intended for the day-to-day parking of vehicles. Vehicles cannot be routinely parked within grassed or landscaped areas of a residential Lot. Automotive Repair on Residential lots Mechanical or other automotive repair work on any type of vehicle cannot be performed out-of-doors, except for minor maintenance or emergency repair lasting less than eight (8) hours and performed on a vehicle owned by the occupant of the property. For additional information related to zoning, subdivision and other Land Development Regulations, contact the City of Atlantic Beach Building and Zoning Department at 904 247-5826. You may also e-mail your request to the Community Development Director at: sdoerr@coab.us or the Building Official at dhufstetlerkcoab.us Application forms and Community Development Board meeting information may be found on the City's web-site at http://www.coab.us under the Planning and Zoning page. M I A M I-DADS MIAMI-DADE COUNTY,FLORIDA _ FILE CW METRO-DADE FLAGLER BU] DING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLILR STREET,SUITE 16M PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE OA \I/ Simonton Windows �c One Cochrane Drive, Pennsboro,WV 26415 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fads to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane ZAne. DESCRIPTION: Series"5500"PVC Fixed Window APPROVAL DOCUMENT:Drawing No. S-2366,titled"Extruded Vinyl PVC Picture Window",sheets 1 through 5of 5,prepared by R.W.Building Consultant Inc.,dated 07-14-03 and last revised on 12-09-03,signed and sealed by Wendell W.Haney,P.E.,bearing the Miami-Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami-Dade County Product Control Division, MISSILE IMPACT RATING:None(Approved Shutter/External Protection device required) LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of this page 1 and evidence page E-1,as well as,approval document mentioned above. The submitted documentation was reviewed by Ishaq I.Chanda,P.E. NOA No 03-0811.03 Expiration Date: February 26,2009 Approval Date: February 26,2004 Page 1 FILE UPI Simonton Windows NOTICE OF ACCEPTANCE: EVIDENCE SU13NUMD A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No. S-2366,titled"Extruded Vinyl PVC Picture Window", sheets 1 through 5of 5, prepared by R.W.Building Consultant Inc., dated 07-14-03 and last revised on 12-09-03, signed and sealed by Wendell W. Haney, P.E. B. TESTS 1. Test reports on 1)Air Infiltration Test per FBC, TAS 202-94 2)Uniform Static Air Pressure Test Loading per FBC,TAS 202-94 3)Water Resistance Test per FBC, TAS 202-94 Along with marked-up drawings and installation diagram of PVC fixed windows, prepared and issued by Certified Testing Laboratories, test report No. CT11A- 1127W dated July 112003, signed and sealed by Ramesh Patel, P.E. Note: This test report has been revised by an addendum letter dtd Sept. 18, 2003, issued by Certified Testing Laboratories, signed& sealed by Ramesh Patel,P.E. C. CALCULATIONS 1. Anchor Calculations and structural analysis, prepared by R W Building Consultants, Inc., dated 01/16/04, signed and sealed by Wendell W. Haney,P.E. 2. Anchor Calculations and structural analysis, prepared by prepared by R W Building Consultants, Inc., dated 07/29/03 and revised on 09-22-03, signed and sealed by Lyndon F. Schmidt, P.E. D. QUALITY ASSURANCE BY 1. Miami Dade County Building Code Compliance Office(BCCO) E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 02-0927.02,issued to Veka,Inc., for"White Rigid PVC Exterior Extrusions for Windows and Doors", expiring on March 04, 2007. 2. Notice of Acceptance No. 03-0507.07,issued to SimEx, Inc., for"White Rigid PVC Exterior Extrusions for Windows and Doors", expiring on October 12, 2008. F. STATEMENTS 1. Statement letter of conformance and"No financial interest", dated 02-10-2004, signed and sealed by Wendell W. Haney,P.E. 2. Statement letter of conformance and"No financial interest", dated 07-30-03, signed and sealed by Lyndon F. Schmidt, P.E. 3. Laboratory compliance letter, as part of the above referenced test reports, issued by Certified Testing laboratories. 4. Statement letter dated Jan 14,2004 and Dec 13, 2003 from American Architectural Manufacturers Association(HAMA),verifying participation in AAMA's"PVC" profile certification program for the Veka Inc& SimEx Inc, respectively. G. OTHER 1. AAMA association File#98-0036. �SL.r•5 �, 4 ��- Ishaq L Chanda,P.E. Product Control Examiner NOA No 03-0811.03 Expiration Date: February 26,2009 Approval Date: February 26,2004 E-1 BSIIL . 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IVNIYVON .l 'NHl SSVIO M ,SL£'£ IVNIWON t 0 N M � Q�o N Ln (u_7 W VV]] m 0 N C� W ^ uN'1 N m SZ90'0 ,9L0 Z „SZ90 Z .99zs z O H N W mflAOE MIAMI-DARE COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-29M NOTICE OF ACCEPTANCE (NOA) Simonton Windows One Cochrane Drive Pennsboro,WV 26415 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AM (in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AH] may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION:Series 5500 Storm Breaker Plus-PVC Double Hung Window APPROVAL DOCUMENT:Drawing No.S-2361,titled"Storm Breaker Plus Impact 5500 Series PVC Double Hung Window",sheets 1 to 6 of 6,prepared by R.W.Building Consultants,Inc.,dated 04/05/04,with revision#1 dated 06/24/04singed and sealed by Wendell W.Haney,P.E.,bearing the Miami-Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING:Large and Small Missile Impact LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of this page 1 and evidence pages E-1 and E-2,as well as approval document mentioned above. The submitted documentation was reviewed by Herminio F.Gonzalez,P.E. NOA No 04-0421.03 a Expiration Date:August 05,2009 f LIM Approval Date: August 05,2004 �\ Page 1 Simonton Windows NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No.S-2361,titled"Storm Breaker Plus Impact 5500 Series PVC Double Hung Window", sheets 1 to 6 of 6,prepared by R.W. Building Consultants,Inc., dated 04/05/04,with revision"#1"dated 06/24/04, singed and sealed by Wendell W.Haney,P.E. B. TESTS 1. Test reports on 1)Air Infiltration Test, per FBC,TAS 202-94 2)Uniform Static Air Pressure Test,Loading per FBC TAS 202-94 3)Water Resistance Test,per FBC,TAS 202-94 4) Large Missile Impact Test,per FBC,TAS 201-94 5) Cyclic Wind Pressure Loading per FBC,TAS 203-94 6)Forced Entry Test,per FBC 2411.3.2.1 (b)and TAS 202-94 along with marked-up drawings and installation diagram of PVC double hung window,prepared by Architectural Testing Inc.,Test Report No.ATI-01- 48833.02 dated 04/14/04,signed and sealed by Joseph A. Reed,P.E. C. CALCULATIONS aced b R.W. 1. Anchor Calculations,ASTM-E1300 and structural analysis,prep y Building Consultants,Inc.,dated 04/18/04 signed and sealed by Wendell W. Haney,P.E. D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office(BCCO) E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No.03-0421.02 issued to Solutia,Inc.for"Saflex HIG" dated 01/08104,expiring on 05/21/06. 2. Notice of Acceptance No.00-1212.04 issued to E.I.DuPont DeNemours for "Dupont Butacite®PVB"dated 02/15/01,expiring on 12/11/05. F. STATEMENTS 1. Statement letter of conformance and no financial interest,dated April 16,2004, signed and sealed by Wendell W.Haney,P.E. 2. Statement letter of no financial interest dated June 17,2003,signed by Allan Crum. 3. Letter from Simonton Window,dated June 17,2 3,designatin ick Wright of R.W. Building Consultant Inc., as the contact rs for this fil . e o F.Go alez,P.E. Director,Pr uct Control Division NOA No 04-0421.03 Expiration Date:August 05,2009 Approval Date:August 05,2004 E-1 Simonton Windows NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED G. OTHER 1. Letter from consultant stating that the product is in compliance with the Florida Building Code(FBQ- He o F.Gonzalez, E. 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The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify,or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION:Series"5500"PVC Double Hung Window APPROVAL DOCUMENT: Drawing No. S-2365,titled"Extruded PVC Double Hung Window",sheets 1 to 6 of 6,prepared by R.W.Building Consultants,Inc.,dated 07/10/03 and last revised on 08-30-04,singed and sealed by Wendell W.Haney,P.E.,bearing the Miami-Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING:None:Approved Shutters complying w/HVHZ(FBC)required LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered ager a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of this page 1 and evidence pages E-1 as well as approval document mentioned above. The submitted documentation was reviewed by Ishaq 1. Chanda, P.E. NOA No 03-0813.05 Expiration Date:October 07,2009 Approval Date: October 07,2004 Page 1 r Simonton Windows NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No. S-2365,titled"Extruded PVC Double Hung Window", sheets 1 to 6 of 6, prepared by R. W. Building Consultants, Inc., dated 07/10/03 and last revised on 08-30-04, singed and sealed by Wendell W. Haney,P.E. B. TESTS 1. Test reports on 1)Air Infiltration Test, per FBC, TAS 202-94 2)Uniform Static Air Pressure Test,Loading per FBC TAS 202-94 3)Water Resistance Test, per FBC, TAS 202-94 4) Forced Entry Test, per FBC 2411.3.2.1 (b)and TAS 202-94 along with marked-up drawings and installation diagram of PVC double hung window, prepared by Architectural Testing Inc., Test Report No. CTLA 1129W dated 07/10/03 and revised by an addendum letter dated November 25, 2003 signed and sealed by Ramesh Patel,P.E. C. CALCULATIONS 1. Anchor verification calculation and structural analysis, prepared by R.W. Building Consultants, Inc., dated 06/10/04 and revised on 08-07-04 signed and sealed by Wendell W. Haney, P.E. D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office(BCCO) E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 02-0927.02,issued to Veka, Inc., for"White Rigid PVC Exterior Extrusions for Windows and Doors", expiring on March 04, 2007. 2. Notice of Acceptance No. 03-0507.07,issued to SimEx, Inc., for"White Rigid PVC Exterior Extrusions for Windows and Doors", expiring on October 12,2008. F. STATEMENTS 1. Statement letter of conformance and"No financial interest", dated 09-15-2004, signed and sealed by Wendell W. Haney, P.E. 2. Laboratory compliance letter, as part of the above referenced test reports, issued by Certified Testing laboratories. 3. Statement letter dated Jan 14,2004 and Dec 13, 2003 from American Architectural Manufacturers Association(AAMA), verifying participation in AAMA's"PVC" profile certification program for the Veka Inc& SimEx Inc, respectively. G. OTHER l. AAMA association File#98-0036. 0,ti \ haq L Chanda,P.E. 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TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL PAVERS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TIBBS, PAMELA OWNER 1905 SEMINOLE ROAD ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/18/08 ---------------------------------------------------------------------------- Special Notes and Comments Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834 . Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. No pavers in right-of-way. Sidewalk must remain concrete. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 .00 ROVED ONLY IN ACCORDANCE WrM ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA 5F.51a2 � i MAP SHOWING SURVEY OF LOT �A —BLOCK 1 � r41 S►nF AS RECORDED IN PLAT BOOK 42— , PAGE(4.14 c OF TI4E CURRENT PUBLIC RECORDS OF Duv A.L COUNTY, FLORIDA L oT L"o 15 P71\/ATE EA5F"EuT lN Oo' 31. Oo•• E. 40.00 r x x TT 0.-5- T=C> "T=C>U O FEUCE •yf QE6At; Er one r 46 lq{`I �6 IA 19 WOOD STEPS co>ac. N / tJ&LL 3.5 n DEC1� •p GLASS ENCLOSED PnRcll 0 {o.o Iz e' 0 Zl.o' 3.8 0 El A,L Co"r-le.tj PARTY MALL r Z.3 0 APPR ox HAT ES Liwz Z•5T o2Y 0 FRAME U1 I 2E5• 7.2 � 6 190S �" S 7 LcxT 9 C3 LOT to O '0 1S = 3 w , 3; I.e' 0 O 0 v "o to (,ARAL,E O e Q• o.o• PV CrZ t.o Cr 00 O • Co6iC V1 � •; DRtvE ,..FO S• EASEHEI,JT For 0 - - ti 0ItA%IIJAc.E, SE WEiCS, 1.4 xt.9 �' h1ATEK- UTILtTIHS STVGGO (11 PtC AL) —k x--Q-- x—� 1S.0, 0.1" I•� f o.3 Couuo V: {,�. oo' 31• oo•• W t 4 0•oo• IR.Ou PIPE 13EA4.1►,Ic, Fouup ��t•' \ Po1/.1T of REFEQEUCEIRou PIPE CUCVATVRE SE-M I MOLE TZOA C) 5EMIMOLE 13EACW 20AD 13Y PLAT loo' 21L,14T OF W AY NOTE: NOTES: THERE MAY BE ADITIONAL RESTRICTIONS THAT APPLY 1. This is a boundary survey. THAT ARE NOT SHOWN ON THIS SURVEY BUT MAY BE FOUND 2. Flood zone X as best ascertained from Flood Insurance IN THE PUBLIC RECORDS OR FACILITIES OF THIS COUNTY. Rate Map, community panel no.{zoo-is•000lo dated 4•1i•89 00. L IP Is r Y full 0-8 • r � T 1 X �4 co 4 X 1!� o.. C1 C142 w LAM MAY �ti�vvAly� �vl�evlc >< u> LOT __ 1:)A—BLOCK I �1 AS RECORDED IN PLAT BOOK 42 . , PAGE 14.14c OFTIIE CURRENT PUBLIC RECORDS OF DOgAL COUNTY, FLORIDA L OT fro 15• PRIVATE � N EASS MEu-T 5 OC> 3%' oo•' E. 40.00 r .. 0A 0.5 yJ ooP FyLLCE 'N 2E6Ae FDLL-o ,: +419 t9 VE DAe a4 19 19 WOOD STEPS tout• • , WDt.I 3.5 n oecr o cl,nss ENCLOSE r�tucn 0 _ 00 - 7.c: 0 0 1o.a tT.o 0 ? zt.o 3.9 0 1 . 0 0 �AIL • t LoHnow7 PARTY 4J ALL r 2.3 o APPRoxlt-t ATES LINE D J rn o FRAME to fCES ib 1q 05 10 O• 7.2 `�s Y LoT 10 d LCT 9 13 0 it w 3: I.e- 0 O v? (.AILA"e O N - - Zo.o- i.o• cr t' t c..5 - 00 7 Lol MVS •CrO (10 CO1.,C is 5 EASE weu FoC ti p OtAl1J A"S , SE WE RS , N - N WATEQ UT1l-171E5 1.4 xlA STucc o ItYPMAL •'• / ••• covuo 'Ix } U. 00' 3t oo W � 4 0• oo' t2ou of PIPE GEAV-1wic, Ftzovi t• \ Po11.1T REFfREUGERou ptvE GutC�/ATV2E S e lel 1 kJ O L.E tZO A CD 5L MI IJ OLE 13EAC1.1 V_OAID 13'r PLAT 100 V-% ,NT of WA`f� NOTE: NOTES: THERE MAY BE ADITIONAL RESTRICTIONS THAT APPLY THAT ARE NOT SHOWN ON THIS SURVEY BUT MAY BE FOUND 1. This is a boundary survey. IN THE PUBLIC RECORDS OR FACILITIES OF•THIS COUNTY. 2. Flood zone Y, as best ascertained from Flood Insurance Rate Map, community panel no.tzoo-75•000l p dated 4.1-7-89 3. Bearing datum based on EAST 921W LtwE of .5FM%1JoLE RE-CHECKED& RE-CERTIFIED: 3/14103 ROAD aEIMC, w. oW 31' w- I HEREBY CERTIFY TO: PAMELA A.TIBBS, SUNTRUST BANK,RICHARD T.MOREHEAD, CITY OF ATLANTIC BEACH EO MIT BUILDING /ZONING DEPARTMENT TION # 800 Seminole Road vN Atlantic Beach,Florida 32233(904)247-5800 t (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUI D DEPT: Y PLANNING 1fb` !6 vU /& pd Y N BUILDINGProperty Address: Y N PUBLIC WORKS Applicant: ke� �1 r/ �-�' 0 N PUBLIC UTILITIES FIRE DEPT. Project: �! ' "1 W r Y N PUBLIC SAFETY APPROVAL REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w Y N D.E.P HUFSTETLER wv oW Y N S.J.R.W.M.D. CARPER Y N ARMY CORPS of ENG CARPER Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP INITIAL: DATE: IST REV70 PLANNING BUILDING 2ND REV PUBLIC W RKS :PUB51CTIES FIRE DEPT. 3RD REV PUBLIC SAFETY Return this form to the Building Department once you have entered your comments into the AS400. Public Utilities Distribution & Collection Date: 8/7/07 Initials Project Name/Address: Install pavers/1905 Seminole Road Application/Permit#: 07-1112 Check Box Application Tracking Comments To Add Comment Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247- 5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow ❑ requirements. At a minimum,will require double check backflow preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" must ❑ be installed in a vault as noted in JEA specifications. El 13 El 11 11 F Tublic WorksTlanReviewComments-PU.doc CITY OF ATLANTIC BEACH ' CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS Vr 800 Seminole Road 904247-5800 -Vill, Atlantic Beach,Florida 32233-5445 Fax 904247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date CA chaSA- PERMIT# �M i �1 ISSUED BY THE CITY Job Address - O , 1n� 1 t C n b&b Permitee: �1i e la , ► � S Telephone# Permittee Address: \5b J -k r,�O\F i'vD Fe,questing PermissiQn,to Construct: (;6 JE "` Location: (Reference to Cross-Street), ``� ( (J� A(5GE- Ya,"44- -fro (A45) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( ) No IZ�D,ate:Bell South Telephone Company Yes( ) NoDate: Ferrell Gas Yes( ) No ( �/ Date: Comcast Yes ( ) No (✓) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone* 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. in good faith with s. If the beginning date is da 7. This ermittee shall commence actual construction g Y P more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upo mpletion. OWNER '/� ,,,, K. CUNNINGHAM Signed: Date: ;o�'aY P`�` Notary Public State of Florida Before me this day of in the Coun ,of Duval, =r: 3tAy�ommission Expires Feb 28,2010 State Of Florida,has personally appeared ;�, `arc Commission#DD 523638 Notary Public at Large,State of Florida CountyDuval. P on f` ,, nded By National Notary Assn. My commission expires: Produced Identifica' CITY OF ATLANTIC BEACH PERMIT y BUILDING / ZONING DEPARTMENT APPLICATION # 800 Seminole Road yr Atlantic Beach,Florida 32233 V I' I (904)247-5800 V (904)247-5845 Fax w",xv.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: G� x Q ,,Q Y PLANNING Property Address: D �/� l,U �� 1�-fJLJ Z Y UN BUILDING n /j Y N PUBLIC WORKS Applicant: (,( L(� 1 ✓ N PUBLIC UTILITIES MA Project: �i n (il ` I a I 1 Y FIRE DEPT. Y N PUBLIC SAFETY APPROVAL U) REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: LU U Y D.E.P HUFSTETLER � WSA.R.W.M.D. CARPER Q Y Y HOTE ARMY CORPS of ENG CARPER Y LS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP INITIAL: �AyTE: El L 1 ST REV 0 PLANNING WVA.9F CQWCW--4 . BUILDING 2ND REV 0 LIC WORE PUBLIC UTILITIES FIRE DEPT. 3RD REV PUBLIC SAFETY Return this form to the Building Department once you have entered your comments into the AS400. CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT W'IT'HIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 / Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date- 0 001 PERMIT# J [i 0ISSUED BY THE CITY Job Address �,l j lE�A 1 � � Telephone# "S ` O �n Permitee: Permittee Address: e,questing PPeermissi n,to Construct: �7—x LPt s k� Lt Location: (Reference to Cross-Street) , �� ) 1 f ' A9 SCS ►�1�k �Ctt (aNS, 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No (Date: Bell South Telephone Company Yes ( ) No (�Date: Ferrell Gas Yes ( ) No ( 1/ Date: Comcast Yes ( ) No (,/) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction In good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upo mpletion. -A OWNER n// K. CUNNINGHAM Stale AM Signed: L�{{ «. Date: :o,� °<:; Notary Public-State of Fonda Before me this day of n the Count .of Duval, =r: n" ommission Expires Feb 28,2010 State Of Florida, has personally appeared "ss 'o;= mmission#DD 523638 Notary Public at Large,State of Florida County of Duval. n By National Notary Assn. My commission expires: r P son Produced Identifica R.O.W.Permit Attachment pf for R.O.W.Permit# issued 52005 Atlantic Beach, FL 32233 T Owner's Name: Property Address: Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT I THIS VOC E ENCROACHMENT PERMIT, issued on this WLk__1day of O01, by Atlantic Beach, Florida, a municipal corporate d ganiz d and ex Asti bundephelaws of a State of Florida, hereinafter referred to as "CITY" andrel �Q of Atlanti c , Florida,hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: 'IyvtqAjI Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes,Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. ' This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED thisw day of ,20 CITY OF ATLANTIC BEACH,FLORIDA, By: a municipal corporation: Property Owner By: Jim Hanson, City Manager Attest: Rick Carper, Public Works Director STATE OF FLORIDA COUNTY OF DUVAL On this 11^ day of , 20 , personally appeared before me, a Notary P bli min d for said Coin and State, , the property owner of , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes ein mentioned. By: otary lic ' said County and State roe Owner (to be signed in presence of the Notary) K. CUNNINGHAM "P, . ? Notary Public- State of Florida smy Commission Expires Feb 28,2010 Commission 0 DD 523634 1, OF PBonded By National Notary Assn. Page 2 of 2 CITY OF ATLANTIC BEACH Sl 800 SEMINOLE ROAD s) J ,�, •;� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Buildin6-dept?, coab.us Application Number . . . . . 07-00001022 Date 7/30/07 Property Address . . . . . . 1901 SEMINOLE RD Application type description SIDING PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8000 ---------------------------------------------------------------------------- Application desc REPLCE LAP SIDING W/ FIBER CEMENT SIDING ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KREEGER, R.WAYNE&BETSY AlA CONSTRUCTION & REMODELING 1901 SEMINOLE ROAD 103 OAKWOOD ROAD ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee 149 . 99 Issue Date . . . . 7/30/07 Valuation . . . . 8000 Expiration Date . . 1/26/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total 149 . 99 149 . 99 . 00 . 00 Grand Total 149 . 99 149 . 99 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PERMIT BUILDING / ZONING DEPARTMENT APPLICATION # Ib22 �r 800 Seminole Road J' Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUI DEPT: I I U Y N PLANNING Property Address: ! �� Q z Y BUILDING n ]� i I N PUBLIC WORKS Applicant: 1 l 1 A l � by L a I 1 �li�t 1 Y N PUBLIC UTILITIES �1•�� Y FIRE DEPT_ Project; 10,0 1 Oel inY N PUBLIC SAFETY w APPROVAL 00 REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: Z M Y D.E.P HUFSTETLER 05 N S.J.R.W.M. CARPER o: Li _ Y N ARMY CORPS of ENG CARPER O Y HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP EVIEWED BY: I IAL: TE: �} ® ® 1ST REV ® ' PLANNING — ® ® 1 2ND REV I N G WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Return this form to the Building Department once you have entered your comments into the AS400e BUILDING PERMIT APPLICATION 5 CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 a Fax: (904)247-5845 Job Address: ' 11113 d l 4 V-A 1( Permit Number: Legal Description �'l a l Y Oq' 025 -AR's B eAd Sr�� /or lD b 64K CITY APPROVED Try EgCH BUILDING OFFICE pb Valuation of Work(Replacement Cost) ,�o G i�UL 1 100Ti ■ Class of Work(Circle one): New Addition Alteration epair Mo e ■ Use of existing/proposed structures) Circle one): Commercia esidenti g� ■ If an existing structure, is a fire spr er system installed? (Circle one es o N • Is approval of homeowner's association or other private entity require (Circle one : Yes o Describe in detail the type of work to be performed: 9 pI ne fiPRoic Soo s9 ZAP 5 I wir4, T //+(J 6ali z; pul,-Z A) 460 Property Owner Information l I a p 1 5c=�INo!a QoActl Name: R WE 9C.T S y K IE C-&-,-I /t Address: City /4;I A o s 14 /3 V-0 c ti State LZ Zip 3 a;t 3 Phone a N Contractor Information: Name of Company: A 1 /7 LASS;dot flow ' RC-�ot�El r��_ QualifyP g AgA J, State FZ Zip 3 as 5-0 City 4* Address: /0 3 D it �� Office Phone A 76 6 Job Site/Contact Number State Certification/Registration# e' R U S`� 9 a Office Fax# 2O -069 3 Architect Name&Phone# ✓� Engineer's Name&Phone#�) /I that no work or Application is hereby made to obtai he P issuance o armit to o permit and that all work will be the work and installations as indicated erfomed to meet he standards of all installation has commenced prior tot f P laws regulating construction m this jis i lorsaband permit for a penull riod of six (6) months at any after ttwork(�� months, or t construction or work is suspended commenced. I understand that separate pr mita Conditioners,be etcured for Electrical Work, Plumbing, Signs, ells,Pools, Furnaces,Boilers,Heaters, Tanks andAir ENT MAY WARNING TO OWNER: YOUR FAIL- TO RECORD S TO YOUR POTICE OF RO ERTNY. IF YOU RESULT IN YOUR PAYING TWICE FOR IWRO INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Thereby certify that have read and examined oth wtPl be 11caomtionl ed with whetheandknow the mspecifted hee to be true rein o not. The grantin n -f laws and ordinances governing this ty e of w 111 P 7 ll a •�. d f presume to `sn,� aw,i.wrtt�f tv i�tv ZntO �N �art!•OZ tyle 1Jrnvt.ctori.c of any other federal, .state, or loca law permit does not pr GJI.me to b• f r regulating construction or the performance of construction. &LI?2—� Signature of Property Owner: b � lie CPQ' Signature of Contractor: Sworn to and subscribed before me sworn to and subsc ed before e�� this 44—Day of rI-8 this "P^Day of I HIRL Y GRAHAM CUNNINGHAM Notary Public: N0121 P IC Nom c. _ ;• y omm' n Expires Feb 14,2010 Expires Feb 2S,2010 co mis r #DD 518533 f pp 5gs Bonded y National Notary Assn. By Natioml Notary Assn. REVISED 03.05. Z - - �� 9 NOTICE OF CONIWNCEMENT r z Tax Folio No. State of County of 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 COMM ENCCEINTI• s' /r /0r- 1613 Legal Description of property being improved: 5 a �j vf� U roved �q�� 5C�^�A101� CACI Airl--)flL gc-t,_ Address of property being imp General description of improvements: I Ct i A2C 11 L Gam"r-^)7- Owner: Owner: l� fi c--T [-C-'c am=� Address: /G((�l �c=q✓��NQPofcl A 4,->Tie Ai� F L Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: L D�STa/)j C-- IDA} a a sb Address: /U 3 0✓+11 &,)ood ion c► '�+� ��. �L �o - 6GC3 Telephone No.: a �— �� Fax No: l D N a Suety(if any) Amount of Bond$ Address: Telephone No: Fax No:— Doe#2007230884,OR BK 14089 Page 1975, Number Pages:1 Name and address of any person malting a loan for the construction of the Filed 8 Recorded 07/17/2007 at 02:07 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Name: RECORDING$10.00 Address: Phone No: Fax No:___ ----- Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: 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 Owners option) Name: Address: Telephone No: Fax No: ' tion date is one(1)year from the date of recording unless a different date iso Expiration date of Notice of Commencement(the expiration specified): THIS SPACE FOR RECORDER'S USE ONLY A0 Dat 1 e: SHIRLEY L.GRAHAM Si" f ne in the County of Duval,State ,µY aV8•. ��; Notary Public- State of Florida Before me s �' ` v1y Commission Expires Feb 14,2010 Of Florida,has pe nally ap ed :s • Commission#DD 518533 Notary Public at Large,State of Florida,Coi ty of Duval. •'ff iri ii , Bonded By Na!iona' Notary Assn. My commission expires: or Personally Known: Produced Identification: L us �� N��►,��n �G� P 4z60 FrOczosF e) i `evQ�g0L 5ICc) AouT TtL eaK rp),3 fCC-d Z- Ap N Ri LrN S 6cA'r-dv 1 -to ✓z you AR,)r- /IV / 60e5?,o� S aR do�r�v►rwrS 0,14 ter- 0-7 q �h✓�Nfc yd o 1 �a L r (e-mss a • MIAMI DADS N IANH-DADS COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COND'LYANCE OFFICE(BCCO) 140 WEST FIAGLER STREET,SUITE 1603 PRODUCT CONTROL DrirMON MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2408 NOTICE OF ACCEPTANCE(NOA) CertainTeed Corporation. 803 Belden Road Jackson,Michigan 49203 SCOPE:This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ)- This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division t'natmis product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the High Velocity Hurricane Zone of the Florida Build;»g Code. DESCRIPTION:Fiber Cement Siding. APPROVAL DOCUMENT: Drawing No. 10SBC00164B0000-C through l OSBC00164B0007-C,titled: Fiber Cement Panel,Fiber Cement Plank,Fiber Cement Random Square Shapes and Fiber Cement Soffit Installation Details",sheets 1 through 8,prepared, CertainTeed Corporation,dated 01/24/02,signed and sealed by J. D. Mitran,PE,bearing the Miami-Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami-Dade County Product Control Division. 'vftssmE IMPACT SATING: Large and Small Missile Impact. LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively af'fectmg the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION:A copy of this entire NOA sha11 be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of this page 1 as well as approval document mentioned above. The submitted documentation was reviewed by Candido F. Font PE. NOA No 0241503.01 ,I Expiration Date:April 24,2008 Approval Daft:April 24,2003 Page i CertainTeed CoMoration. NOTICE OF ACCE—PTANCE' EVIDENCE SUBPvi=1 1) (For File ONLY. Not part of NOA) A. DRAWINGS 1. Dm-wing No. 10SBC00164BM-C through I0SBC00164B0007-C,titled:Fiber Cement Panel Fiber Cement Plank,Fiber Cement Random Square Shapes and Fiber Cement Soffit Installation Details",sheets 1 through 8,prepared,CertainTeed Corporation,dated 01/24/02, signed and sealed by, J.D. Mitran, PE, B. TESTS Report Test Date Signature 01.AT-0142883.01 ASTM 01185 03/11/03 A. N. Reeves PE. 02. RT-11168-98 ASTM 01185 02/27/02 B.I. Ogawa PE. 03. HETI 01-1058 TAS 202 08/28/01 H. M. Medina PE. 04.HETI 01-1021 TAS 202 06/06/01 H. M. Medina PE. 05. HETI 01-1000 TAS 202 06/01/01 H. M. Medina PE 06. HETI 01-1036 TAS 203 06!22/01 H. M. Medina PE. 07. HETI 01-1072 TAS 202 09/06/01 H. M. Medina PE. 08. HETI 01-1035 TAS 202 06/22/01 H. M. Medina PE. 09. HETI 01-1023 TAS 202 06/01/01 H. M. Medina PE. 10. HETI 01-1060 TAS 202 08/28/01 K M. Medina PE. 11. HETI 01-1000 TAS 202 06/01/01 IT M. Medina PE. C. CALCULATIONS 1. Fasteners calculations prepared by Jose D. Mitran, sheets 1 through 19, signed and sealed by J. D. Mitran PE on 04/21/02 D. MATERIAL CERTIFICATIONS NONE E. STATEMENTS 1. Code compliance and No-Financial interest letter issued by Jose D. Mitran,PE, dated 04/21/02, signed and sealed by J. D. Mitran, PE. Candido F.Font PE Senior Product Control Examiner NOA No 02-0503.01 Expiration Date: April 24,20013 twproval Date:April 24,2003 E- �W c m • L X �JS IE oL o 1 1 E mC m vl m U 3 co m E c ZE zQ�QJ¢U SQ U oooo z3n2 Q Em� o � Oo E m o 0X- m 83mimoFG Est omRol o 6r o m CD UC m X T ¢�mtom � r tda � cNcL U � zawm � aoU� � 08 r Oip � F-C-) m mcg qlxmti� on N n�- o�rom _oe amt �m_»o3_r'icacam i � ¢U4A � �91 ' a�UmCm c m CL C3 wE o mo ° mcU cm mqco LU af>Ua $ pg 0 6 '07 o.= Ec z ai o c cma m E a c c c FL o Z o. m �>p 1� s� C,�m 5 IN �� ZE�pm � -. Y Ygo�z` w8 S E m'-mO a m O 4 °r C g m O m~O_ ��.. m m m m O 'I 0. '.4Q Du 35w o. o CL a QoU 'o c� U U c5 51 vl 3 E of ci v ui id r4 cn '0 C11 Hp I -vae 1 1 Q a (!3.r(!3.rcyU QR m I- m f Q x�cv �Nm x E Z s� E'- V p m LL. N O _.� p W � sw (1) U O % / 1 i _mom O l 3f10 _� r- 0 v� r o - -- --� 3o c°ia` o= CD:3 N m y.; (�- d 1 II I ro?_ a Orn mo Oc I 1 E o I 1 ° xa i4 E U d 'C NfA Na TC j 00 LL I = cN Fv m m•- o-D ir x'RC r I 1 i 1 1 , l t l I m a -- -- -- ° -- --�q ( Q °t2 m s W > coo, @'CO ao m I 3n ° I E vm E - - - 1 � 8 or o�+Yp m E m a� c >tC4U5 FL'F- o .8 LI: (� JO m CIOI W O r V ° 6:E I-" p N ? O I ccc - Xm 'r co c LN N _ mao O _ m m em r z metro a > c U L- - -- -- -- --� zrcmc_ m x �Nm i -m-a cm �— x m p c6 r et fO CO m —U- Y 3 3 N co tfi(n LL Sk U. ?j IL f N 1 m..i Extortor Products Croup Techno"Center Co in'reed Corporation .> ,at.aszo3 CertainTeedE 517-780-3185 FAX 517-787-1740 nellA.sexton@seint-gobain.com January 2,2004 Product Compliarice field Memo Re: WeatherBoards'Fiber Cement Siding North Carolina Product Applications In an effort to address specific WeatherBoardsTm Fiber Cement Siding application recommendations for building projects in the State of Nath Carolina,a summary table has been prepared oudkdrul allowable grind toads and iristallation heights for various lap siding sizes and fastener combinations. The attached table titled:"CertainTeed WeatherBoards Fiber Cement Lap Siding Summary', dated December 26,2003, has been prepared, signed and sealed by North Carolina registered engineer Progressive Engineering, Inc. This table may be utilized in determining the fastening recommendations of Weathed3oardsTm Fiber Cement Lap Siding for building projects of heights and in locations with wind speed requirements as listen. In conjunction with this table,applicable requirements outlined in the Weather$oardsT" Fiber Cement Siding Installation Guide must be followed.As with any building project,always the consult the local building codes and ordinances for product applicability. if you have any questions regarding this information or the use of the summary table, please contact us. Sincerely, Neil J.Sexton,A.I.A. Product Compliance Engineer CertainTeed Corporation Attachment 1f1t cn a7 =t C'2 to v Fes++ to 1.0 lu 0 Ell a N g g R b Pk IN ilkYYY w y N 1 3 9C N N ~ ZI w C_ O W LL a y oI In ZiL Ira 0 ! _ C m 'a L) 0-0- 0.O Q d �Oc.Em _ r 4) (mm p,�� Z 2 •,� tAw tom.=in a C.�. ti 2 X=mow N >Cy ~ Vl .tl _ �a�mm OO(D o t �m��= aE@ o T ==u)-f0 aE 3 ao m co-a— On -ayTg� Q N m Ver c z 2 =fg�a)r CV _ >XX TLO 00-0 dd 3m° _ Sao m m>o�N-� m£tm z0n , 3 z m O co --� I DO CV - I T - II III I I II III r t I I o I II III I I I I it it III I � I I II III I I I I II III I I I I - --1 = - �I IIV= - II III I I m CC c0 LL IC — � �- - - -� — — - - — Imo' 00 Cc I li C (D I E in ch co I i � (D0w I I r C J W (D C) _ Y 0)aNO — I I I U I I I U c i _C f0 y O co 0 X c N 0) Q C%4 in c in W � N N p� :p m ,O N c0 C O 0 Q W CV Y N O � 0 U O BUJ N w I X X C LL f ui X a LLI O U �m Q a� Q I CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD J r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dep L&pab.us Application Number . . . . . 07-00001012 Date 7/16/07 Property Address . . . . . . 1901 SEMINOLE RD Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------- Application desc reroof f1728 -------------------------------- ---------- Owner Contractor - ------------------------ ----------------------- KREEGER, R.WAYNE&BETSY SCHULTZ ROOFING, INC. 1901 SEMINOLE ROAD 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2315 ---------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee 80 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 9985 Expiration Date . . 1/12/08 --------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 80 . 00 80 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 80 . 00 80 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH W ROOFING PERMIT APPLICATION IIJ! 2007 Date: Job Address: Owner of Property: Address: Telephone: Contractor: Douglas A SchultzState License Number: CCC036989 Contractor's Address: Schultz Roofing Co. , Inc. 216 N 20th St Jacksonville Bch, F1 Telephone: 246-2315 Fax: 247-3808 Scope of Work: W%M:e 'Eyon— Deck Slope: 06 Z Greater than 2:12 Less than 2:12 Valuation of work: oti$� , Product Name (Example: Timberline): Manufacturer(Example: GAF): c ASTM Designation(s): it L -72- S, ID 31 b Required Inspections: Sheathing and Final Signature of Owner: 4Date: AS TO OWNER: Sworn to and subscribed before me this /✓ day of `J •20_D State of Florida,County of Duval _ Notary's Signature: o�r"�s�•,, ESSIE MERRITT Notary Public-State of Florida [Personally known _,• i My Commission Expires Feb 9,2009 [j produced identification Commission I DD 394893 Type of identification produced Signature of Contractor: Date: l d AS TO CONTRACTOR: / Sworn to and subscribed before me this day of 20_� . State of Florida,County of Duval Notary's Signature: ROSALIND CLARK Personally known My COMMISSION#DD 544427 ., EXPIRES:August 25,2010 F-1Producedidentification • R• ` BondedThruNWeryPublicUnderwriters Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Page 1 Revised 2/2t/0', , . 216 'A 20th Street Jacksonville Bch Fl 32250 Rosalind Clark Number pages:I Schultz Roofing Co. , Inc' Filed 8 Recorded 07/13/2007 at 02A 6 PM,JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY ' - 216 m 20th St ' RECORDING$10.00 Fl . 32250 ^ ~~?6wo?-..^�.~� �------m�z+oo`sn'oLwcnm,x^cc `~uu^r^ --SPACE ABOVE THIS LINE FOR ns'`"n,",,. - --'� � - -- - -- � � l�O� - \! F nnh No. - ---- ' TaxFo|inN'n� i� ' ' Sb� � F��a .� � i| The undersigned Uenebyg|vaunct|cethet |mprovemmntuwU| bomode |ucmrtainrvo| p,nperty. andinanco,denccV- 'txchur--'/ �! 713 of the Florida Giodu1ee, the following }nfonnnUpn is provided In this NOTICE OF COMMENCEMENT. description of pperty(include Street A Id e;ss it avaiia ! | General descrlptl�j of improvements / ' Owners Name /! Address . Onne/o Interest in she of the improvement ' '| 'i Fee Simple Title holder(if other than owner) |' Address Phuoo Fax: " | .,cnbaotor Douglas A. Schultz Schultz Roofing - m 20cn : r Jmnvlll* Beak�Yo F Fax: 904�--2-4-7-_380-8Address 16 - Phone. Fax:______�__ | oa 'Amount u<bend $__________________ i L=nrzr's0amo Ad'esx: Fac__________ � Par-4o0swknin1hnState cdFlorida designated byowner upon whmn ):)Ucesnrother ducomen$ ,-nsyb, *s,r� �ySechon713J3(1)(o)7. F|uddoStotu1ps. �—��-------- --��---- Q � �o�,ess Phm,^ � |n addijnutohhnseff, owno/ denigoaiex - -'-- --' - - m�PhoFx`� ` -_'- -' a 3]3(1)(b/. [kx�a Sbkdau. � daeN 1 yearr �r��!, _ � . -' ��-_-_-_-__-___ ^,,u,"m,n, u^ ,` .. . _ - - iSW of FkddeFeb M. ' ONO Js IS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J r A i LAN I'IC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 ` FfJ9 INSPECTION EMAIL REQUEST: Building,=deptna coab.us Application Number . . . . . 07-00000746 Date 6/01/07 Property Address . . . . . . 1901 SEMINOLE RD Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8270 ---------------------------------------------------------------------------- Application desc RE ROOF 50 YEAR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KREEGER, R.WAYNE&BETSY H C FOURAKER INC 1901 SEMINOLE ROAD 8957 ADAMS WALK DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 72 . 00 Plan Check Fee . 00 Issue Date . . . . 5/31/07 Valuation . . . . 8270 Expiration Date . . 11/27/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 72 . 00 72 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 72 . 00 72 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024910 Date 10/01/02 Property Address . . . . . . 1901 SEMINOLE RD Tenant nbr, name . . . . . . GARAGE DOOR REPLACEMENT Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1225 Owner Contractor ------------------------ ------------------------ KREEGER, R.WAYNE&BETSY OVERHEAD DOOR CO. OF JAX 1901 SEMINOLE ROAD 6884 PHILIPS PARKWAY DR. N. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 268-1627 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . GARAGE DOOR REPLACEMENT Permit Fee . . . . 20 .00 Plan Check Fee 10 .00 Issue Date . . . . Valuation . . . . 1225 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 20 . 00 20 . 00 .00 . 00 Plan Check Total 10 .00 10 .00 .00 .00 Grand Total 30 . 00 30 . 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. BUIL G PICIAk F 62 C2 SEP 2 O M? City of Atlantic Beach Building and Zonlna City of Atlantic Beseh - 800 Seminole Road • Atlantic Beach.Florida 32233-5445 Phone: (904)247-5800 • FAX(904)247-5345 •haD/iwww/ci.atlanuc-beach.tLt�s PERIv'llT APPLICATIOi`i FOR REPLACENMNT OF WINDOWS,SKYLIG RTS AI`rD GARAGE DOORS OF SLNGLE-FAMILY OR TWO-FAMILY(DUPLEX) C0r57RUCTION I Date F.ddress where won• i.to be performed /HCl Applicant cL Address t' Phone: T� �Z Legal.Description: Block Number Lot Number Zoning District Contractor OVERHEA —State License Number 591883676 OCCUPATIONAL TYPE 1 Address 6884 PHILLIPS PKWY DR N Phone-268-1627 City JACKSONVILLE State FL. Zip 32256 Fax Describ-:Proposed Use and Work to be Done e Use of Land or Buildin (s) -5�4//C + Pr acnt U g Valuation of Proposed Construction. Building Date: Mean Rouf Height (ft) Building width Z Z (ft) Build�in�g Length rr77 /!�f f>lw Width 1G _(ft) h1e�urement from corner of building to window—±�L( ) D CH CITYB OF W"o C iB EA ti { a *window Elev.From Gradc In addition to the Building Data the following intbrination is required: Manufacture.,,Test Report Installation Procedures Window Description/Typc Garage Door Descriptiorv*rype Skylights Description/Type Elevation View of Window Locations I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. Slgii.aturc of Owner Date 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE.TRUE AND CORRECT. ALL PROVISIONS OF TILE LAWS AND ORDINANCE GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTI-NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIO'N'S, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF co*,,,,,sTRUCTI0N OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGF.NT UPON THE ABOVE INFOR-NIATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OF, SHALL BE PROVIDED AS REQUIRED. Signature oFContractDate�� Address and contact information of Person to receive all correspondence regarding this application (Please Print) Name 01'e Mailing Addrc.,,. Phone FAX E-mail Sworn and Subscribed Before me this Day of Statc of Florida, County of Duval Notary's Signature As to Own0 Personally known `'A'ROL I.GONYEA 0 Produced identification Notary Public,State of Florida Type or 16mitification produced My comm.expires Nov.7,2005 Comm.No.OD 070797 As to Contractor Personally known 0 Produced Identification Type of idervification produced •N•� O Z O m A < r Dy1 d rA O OC =0 O m N mZ� m z C N K C CO 0 0,0+ ; y O N V N O?I m m O m 0 0 S m A O T O Z A m m p 0U IFpp Fpp mom 000 vzOi OA _� Nci �\ m00 5m 0]c NOoO Z oii% to Z m OX moo z 0. mo x i8 z i x O A N \ AW mm YFY < tZZD OP £O \ " UU y p < O z e A D fri i Z > o o x °z � oc O> z s '" C m x o z > \ 7C m u No O N m N N > n N 10 z U N =_ in v Z g > D O N O N N m r y m 0 0 to O N S^ O fTl T A p \ OO_i N < yy cl V'a n o v Oy O x o >:pp'i U \ Z x! 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NO`p�iU jQ O ION O O P O M ° � For a IA > y a N 1.1. � m r r+ G O C Z AO Z 'n , I Ao m i5"D P n C�.� Ir-.. � hi n v Z O'in \\0zz� Z In '� �I P^ x O I tv W / CITY OF ATLANTIC AC J sI 800 SEWNOLE ROAD r s) ATLANTIC BEACH, FLORIDA 32233 V INSPECTION PHONE LINE 247-5826 03-00025694 Date 3/14/03 Application Number _ 1905 SEMINOLE RD Property Address INSTALL WATER HEATER Tenant nbr, name PLUMBING ONLY Application description TO BE UPDATED Property Zoning 0 Application valuation - Contractor ---__- - Owner ____ -- ROTO-ROOTER SERVICES CO LEE, ROBERT 2028 W. 21ST ST. FL 32209 1905 SEMINOLE ROAD FL 32233 JACKSONVILLE ATLANTIC BEACH ----- ----------- --- (904) _354_7321_------------------ -------------------------- ---------------------- PLUMBING PERMIT 00 Permit Additional desc 42 . 00 Plan Check Fee 0 Permit Fee Valuation Issue Date Credited Due Charged Paid ------- ---------- Fee summary --------- ---------- --- - 00 . 00 ----------------- - 42 .00 42 . 00 . 00 . 00 permit Fee Total 00 . 00 . 00 Plan Check Total 42 -00 Grand Total . 00 42 . 00 ER. "FAILURE TO COMPLY WITH THECONSTRUCTIONOIOAPPROVED PLANS BUILDING MATERI AL RUBBISH AND DEBRIS FROM THISRK MUST NOT BE PACED IN PUBLIC SPACE,AND MUST BE CLEARS UP AND HAULED AWAY BY EITHER CONTRACTOR OR O RESULT IN THE PROPERTY OWNER PAYING TI I7 VICE ROEVOCA TON FOR VIOLATION OFAPPLICABLEPROVISIONS OF LAW. WHICH ARE PART OF THIS r RI TTr.nIN(; nFFICIAL CITY CF ATz.'-'iTIC 3Er.0 -- _. _ - --- - - ,..rTCA Oy rv� ?t �'.'3_'�G rE. ';Ts j 03,UCATIG�: ._ OWNER Cc r sO?,; P. rT'�ST�G CG':r .41D D L .:C"Ci: h ,i ;SSB '�1 �_Z: ��C.( j� 1L?EP ON Z: STATE LICENSE I+ c. FIXTUVE L' 5 KS OrERS - 'r ATER SEATERS 1-kV A T 0 R 1 E S ^S 7I5=+'A5'r.=RS IS -S rLS�T iii K.A. aINES 0=..:R s =0 $15.00 SIC"' � 3 Os O"N;R, t SMIA_URE Or CCN7,-,.c CR: .�_ ';�' `'�7 cTX C, - f;,ci ?g i;� :.CCCR�:_NC3 I?i: 1-`•---------- 1-4 7D CD-. CA-LL :825 v TC SC*";:,).'6j 3 T SP C�.G?:S — (°04) 24 n., C.=EE:J �3LTC WO C<S OR _:;c_ _Gi R COh: 7CTT .;$ .. �s fCITY OF ATLANTIC BEACH SJ 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 J v INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025985 Date 5/02/03 Property Address . . . . . . 1905 SEMINOLE RD Tenant nbr, name . . . . . . KITCHEN/BATH REMODEL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 50000 Owner Contractor - ------------------------ ----------------------- TIBBS, PAMELA FASANELLI DEVELOPMENT CO 1905 SEMINOLE ROAD 712 SHIPWATCH DR E ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 614-1999 (904) 614-1999 -------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 280 . 00 Plan Check Fee 140 . 00 Issue Date . . . . Valuation . . . . 50000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 280 . 00 280 . 00 . 00 . 00 Plan Check Total 140 . 00 140 . 00 . 00 . 00 Grand Total 420 . 00 420 . 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 OWNERRESULT IN THE PROPERTY PAYING WHICH ARE PART OF THIS P RMITAND SUBJECT TO REVOCATION IMPROVEMENTS"IO ON FOR VIOLATION ONOF APPLICABLE PROVISIONS LW. PLANS BUILDING OFFICIAL &,cr rJ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 J ss1 TELEPHONE:(904)247-5800 FAX: (904)247-5805 �1 SUNCOM:852-5800 !� http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application Applicant: rQ5 n P 1 V e l o,-->M Address: 190-1; Project: Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by L, Signed Date Contractor Notified Date RECEIvt `J CI B `DING &ZON TIIC NGOH ACg APR 3 0 2003 BE Y OF ATLANTIC N sr CIT IT APPLICATI BUIL G pERM OR REMODEL) gY B (FOR INTERI Date:` 5 �.4 111 12 Ile! 1• S Telephone: Job Address: 2 erty Zoning District: O3 owner of Prov ;,moo ber: �' Lot Num C umbel 3 Address. _ BlockNumber'. f State License N L' umber: - tion OPS" �"'� 3 Legal Descrip f i1 Contractor: Fax: r G��G mss• Address'. Contractor's A s � hone: fo — ` one-. A//* / T � Telep )Nork to Describe ro ob sed use and ��1•;.✓f�;�c, ¢ oo y Present use of land or building(s)� �© 0 New plumbin Valuation of proposed g futures? construction: � N se in service New heating/air conditioning? New electrical or increa • re aired?N� If yes,please submit with this New firep lace? �• Private cnttty � royal of Homeowner's Association or other p n as a ro riate a Is pp lease follow all steps and rovide all informatio application. expedite issuance of permits,Please Procedure: In order to a%p result in-delaY in issuance of p Incomplete applications maY Notice;of Comrnen�ment,owner/Contractor Affidavit if owner Ipso oritracto Semtrio lication,Energy Code Forms, Department, which is located at the Atlantic Beach City Hall, Please submit Building Permit App fans to the Building P and two(2) complete sets of construction p 247-5826 Telephone:(9o4) pf wo�lcbe.nU Road,Atlantic Beach,FL 32233 Tans must contain the following information as appropriate for the typo In addition to construction and engineering detail,p performed. Scale of drawings should engineering ng detail, to depict all required information in a clear and legible manner. vi d with s appllcati is rre . I hereby certify that all information p Date: 7 Signature of Property Owner: I hereby certify that I have read and examined this application and know the same to he and w1 ' All ordinances governing this type of work will be complied With, whether specified hcM OfnotIU p�y�lin,06M��01�N give authority to violate or cancel the provisions of any federal,state local of I �c��u/ ,regukons' ardJp� /1��1 W� 0)O AN �I r� . � d 1a "TJ t f Page 1 800 SeMit If y Pae Telephone: (904)247-Sli Road Atlantic Bc •Fax' /M 1,i,YA �N i i 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: / ,4 a 1,C) F '��6L L I. _ Mailing Address: ?/Z J-Z4� • Telephone: Gly. 111-7q,7 Fax: ,.Z 7 3 — 3 E-Mail: •cF•¢al d(V_ 3e�USo�7i.! AS TO OWNER: ,� Sworn to and subscribed before me this day of 14jori/ ,2063. 111111111J11/ State of Florida,County of DuvGa�9�\ne S. Ya 11,0/6,9 iii otary's Signature: �=oet� `��o,9u,• Z Personally known #CC954631 oQ Produced identification 9•'•. rdedn"� Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this Q90 ck4,, 90ck4,, day of 1410 T// ,20-0. State of Florida,County of Duval \\��111111iIJJJI/�� , S. Ya , f�°s ''/i, Notary's Signature: �` �J�SStOryF•. �0 0�ber 6�o°i9•' =o A N• dpersonally known *; .. *= ❑ Produced identification Sy'; #CC954631 ��o Type of identification produced �G�'••. �ndedmN oQ 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/15/03 13 Is (anal dIning living rm wwr Lt. kit'n 71 ,' . o/ 'go U study/balc*y bath or Up pw,dr W.Lc- bath 2k drsg. Mar. Indry bf9L j Y Ow. "dry b-r.2 b.r.3 NJ tl4i•L—sman". -0.-0 garage 2nd floor Plan q let floor plan-no scale Is sand dollar o gross sq. ftq. ROOM SIZES ARE NOMINAL AND ARE SUBJECT TO NORMAL htd. area 1879 SA. CONSTRUCTION VARIATION 6?TOLERANCES-SOME OPTIONAL ffams ARE lanai-142 s.f. INDICATED ON THE PLAN-PLEASE REFER To THE COMPLETE LIST OF STANDARD FEATURES AND OPTIONAL ITEMS AVAILABLE.THE DEVELOPER RESERVES TNF.RIGHT TO MODIFY THESE PLANS AND FEATURES WITHOUT garage-416 sA. PRIOR N(JnFlCATION- tot. sq. ttg.-2437 s-f. • �( t'�'+. l�,+��,r+t.� � �` rti � � i.+1 1� .. 't1r t,`i J ).. 't' •: .+.� r. � �'sa. r.�Sy�:_� -Y. .d ata �i„ � + w} � J tFjS4'f. 1 ��.:..��,• •�� ,r' .•"`:r'i,+•. 4-i•_ t 1 1.+.1 wlo. tenet I i m b.r. dining s J �I P. II +r-o.+s•o living FnL upper +r•a=+r•e oZl l pass IMd -- e('r �1 I. kiln j r r We V study/baley 1 I ' beth � a'•D x T-O i I n en ,�j Ilcr bp Indq w.l.a �•ig _ Opt - Le balh2� _ oP ) drag - bfst. I� Indry w. �) shut _ 7 i 1 q PPG�alvwfs I!R b.r.2 W-o.+r-o b.r.3 +r•o.+ro �+�p•l...morwe ask ji garage �I +s-•+.as-a •2nd floor Plan• , Rlow-/.asaaaa - - - - -,-..---... -- •Ist floor Plan-no scala /UEws c ��v 77Li2vveWoor sand dollar • gross sg. ftg. I ROOM SIZES ARE NOMINAL AND ARE SUf3JEC1'TO NORMAL htd. area 1879 s.f. CONSTRUCTION VARIATION N TOLERANCES-SOME OPTIONAL ITEMS ARE lanai-142 S.f. INDICATED ON THE PLAN.PLEASE REFER 70 THE COMPLETE LIST OF MS AVAILABLE THE DEVELOPER RESERVES THE RIGHT TO MOSTANDARD FEATURES AND D FtY THESENAL PLANSAND FEATURES WITHOUT garage 416 s.f. PRIOR NOnFICATICNI. tot. sq. ftg. 2437 s.f. ' .'4''*�C, 5E5192 3 MAP SHOWING SURVEY OF LOT Io A BLOCK ► --� I AS RECORDED IN PLAT BOOK 42— , PACE 14-14C.- OF TFIE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA L OT 15 PIEWATIE EASE NIEU_T 5 00 31 00" E• 40.00 r u K FF(-10E •N 2E13AiC F oU-r> r,: ik 1919 2@OAIE +k 1919 lJoop STEPS [cuc v.4 I— INGLL 3.5 n DECK o (�I,ASS ENCLOSED N _ PORCH 0 0 J oo - 3.� 0 10.0 IY.o' Q o I1- 3.6 0 Arc • G cor,nov PAr_T'f MALL 2.3 0 APPKOYIFIATEl L.INH M 17 o Z.$T F rt N 2E5 • 1905 1e•o• 7.2 ` s y . Lcr-T q a L 0 to a p 1s = 3 w . o 0 N 4ARA4E 0 < m T 1117 o ;� - 7 o VF couc . 5 EASEHp11T FoIC 0 - N D>=AtriAc,E SEWEiCS , ^' wATEK UTIL%TIES STucco S. 03 03 couND (rz'. ►..,. oo• 31 oo,. w• 4 0•oo' Mou PIPE BEAe.1Uc, FoJQD �'z'' po11JT or REF1<SZE UCIkou PAGE LUMVATURE SEM I K]OLE fZCOA (D ( 5EMl►aoL.E 13EAcu {ZoA0 a'r PLAT) loo' 211,4WT of WAY) NOTE- NOTES: THERE MAY BE ADITIONAL RESTRICTIONS THAT APPLY 1. This is a boundary survey. THAT ARE NOT SHOWN ON THIS SURVEY BUT MAY BE FOUND IN THE PUBLIC RECORDS OR FACILITIES OF-THIS COUNTY. 2. Flood zone X as best ascertained from Flood Insurance Rate Map, community panel no.i2co-7s.00010 dated 4.1i.89 • Book 11061 page 1514 5 RAIN. RETURN # 00�13566 PHONE#�� P 1511641 Filed & Recorded NOTICE OF COMMENCEMENT 04/30/203 12:39:02 Ph JIM NUR State of 6>4! Tax Folio No. CLI CIRCUIT CUT Countyof Z f/ A` 11EMIN f 5.00 MW RIND $ 1.00 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: / S Si ivo E T r ..32 7-.3 3 General description of improvements: /,0 ,v i.r PAiv� Owner: .4i"�E ! t3 Address: 0!9 Owner's interest in site of the improvement: ,�Ei;^ i%•? P�r' -- Fee Simple Titleholder(if other than owner): Name: Address: LPContractor: d Address: `z Sal/��/�Tom' �^ • T,�-x. 2 Z 2 S Phone No:%?/la/y—/moi 975� Fax No: 9'O1C,1—�2 73 ©Do 3 Surety(if any): Address: Amount of Bond $ Phone 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: Phone 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(2xb),Florida Statues. (Fill in at Owner's option). Name: �i 8/O i Address• ?/2 '�- .T.f�c, .GG Z Z S Phone No: OyV 22 D-3 IV71 Fax No: 2-C -3'?i7 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 W R Signed:X � Date: / Before me this 't'`" day of i'� �0o3 the unty of Dy�val,State of Flori has person Ily appeared .�u111UHH�rl� Notary Public at Large,State of Florida,County ofDu)3. ,� ��ssioNF�°s. My commission expires: /UG V, lv, 00 = •' o'e�b— , C>��u+,. z Personally Known: s/ Produced Identification: = t ,oma= rami cy�� i \C,� CITY OF ATLANTIC BEACH .� 800 SEMINOLE ROAD ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 247-5826 X Application Number . . . . . 03-00027358 Date 12/08/03 Property Address . . . . . . 1901 SEMINOLE RD Tenant nbr, name . . . . . . REPLACE EXISTING HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - - - - - - -- - -- - - - --- --- --- - - - ---- - - - ---- - - ----- - -- - KREEGER, R.WAYNE&BETSY OCEAN STATE HEAT & AIR 1901 SEMINOLE ROAD 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 --- ------- --- -------- ---------------- ---- ---------- - --- - -- -- -- - --- - --------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------ -- ---- ----- ---- ------ -- ------ -- - - - - ------ ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 4 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 t2�� MECHANICAL PERMIT APPLICATION Date: ` J Property Address: o Owner: k. Telephone#2,q (— Contractor: Q Telephone#Z4 i" Contractor Address: NI �, 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 ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building 'kA- or site,list the building permit number: �( Electric V- ❑ Gas: LP Natural _Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space _Recessed Central _Floor �'A Residential Air Conditioning: _Room _Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacitycfin ❑ Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpm Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— Manlift Escalator (Number) Replacement of Existing System C3Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency I 2-T z HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTUs ' Agency mil TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ei.atlantic-beach.fl.us ' CITY OF Office of Building Official REQUEST FOR INSPE O De) Permit No � Date Time A.M. Received �� P.M. 1 Locality Job C Owner's - LG< Contractor coJ)U� CONCRETE RICA PLUMBING MECHANICAL BUILDIN ❑ Air Cond. & El ing Footing ❑ Roug ring E) Rough [I] ❑ Heating ❑ Temp Pole El Top Out El❑ Fina Re Roofing El Slab l ❑ Sewer [I Fire Place Insulation ❑ Lintel Pre Fab READY FOR INSPECTION A.M: Wed. Thurs. riday Mon. Tues. _ A.M. Inspection Made Final Inspection ❑ Insppector� Certificate of Occupancy ❑ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Read-Atlantic Beach, FL 32233-Tel: 247-5826 -Fax: 247-5877 ELECTRICAL PERMIT --- r LOCATtOIit+IFORIYFATION PERMIT-INFORMATfON Address: 1905 SEMINOLE ROAD Permit Number: 21226 AL ATLANTIC BEACH, FL 32233 ELECTRIC Range: Book: Permit Type: Township: Block: Section: Class of Work: ALTERATION Lot(s): Proposed Use: SINGLE FAMILY Subdivision: Square Feet: Parcel Number: Est. Value: _OWNER INFORMATION Improv. Cost: Name: LEE, ROBERT Date Issued: 12/29/2000 Address: 1905 SEMINOLE ROAD Total Fees: 25.00 ATLANTIC BEACH, FL 32233 Amount Paid: 25.00 Phone: (904)249-$195 Date Paid: 12/29/2000 - Work Desc: INSTALL RECEPTACLES TO PORCH. P N-FEES 25.00 CONTRACT - R PERMIT BIVINS ELECTRIC CO. fns�ecttons ROUGH ELECTRIC FINAL ELECTRIC NS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION NOTICE - INSPECTIONS — MATERIAL, RUBBISH AND DEBRIS FROM THIS WNTR CONTRACTOR OR OWNER IN PUBLIC SPACE, AND BUILDING MUST BE CLEARED UP AND HAULED AWAY BY �o --- RESULT IN THE PROPERTY "FAILURE TO COMPLY WITH THE CONSTRUCTION VEMLIEN LAW CAN OWNER PAYING TWICE FOR BUILDING DING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION - ISSUED ACCORDING FOR VIOLATION OF APPLICABLE PROVISIONS OF ATLA T C BEAn�_L CH UILDING DEPT. keceiptI25- 0 4748 CITY OF ATLANTIC BEACH, FLORIDA Approved or APPLICATION FOR ELECTRICAL. PERMIT 427 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1� °� co IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIV FOR D NG THE WORK AS D IBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WO IN ACC DANCE WITH THE ATT ED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN CORDA E WITH THE ELECTRI EGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES.9f, y(ris r rEJ . ELECTRICAL FIRM: hAiTER eiJECTRICIAN SIG14A-TiRV DJJOURNEYMAN NAME DD ;_L9os" 1r'1Qle- I LL RFD BOX BLDG.SIZE BETWEEN: RES.f) APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION Wr TRAILER ( ) TEMP.( ) SIGNS ( I SCL FT. SERVICE: NEW( ) INCREASE( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W I VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES ZI CONCEALED OPEN TOTAL 0.30 AMPS. 3t-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. " FIXED 1 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT al OVER MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER _ EACH SIGN FORWARDED S TOTAL FEES < •J 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: 21167 Address: 1905 SEMINOLE ROAD Permit Type: REMODELING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 9,100.00 OWNER INFORMATION Date Issued: 12/19/2000 Name: LEE, ROBERT Total Fees: 90.00 Address: 1905 SEMINOLE ROAD Amount Paid: 90.00 ATLANTIC BEACH, FL 32233 Date Paid: 12/19/2000 Phone: (904)249-8195 Work Desc: ENCLOSE PORCH CONTRACTOR(S) - f+ :�: .AP '4ON FEES DEUCE CONSTRUCTION INC. PERMIT 90.00 Ins ction&Re ulrtd . FOOTING/SLAB FRANING/COVER-UP FINAL BUILDING i NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS _ ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. _ $90.00 14 Date: 12/21/00 01 Receipt: 002895489 AT IC BEACH BUILDING D CHECKS 00100003221000 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address— / © C 1JC.Cos� Date Heated Square Footage @ $ per sq ft = $ C Garage/Shed _ @ $ per sq ft = $ Carport/Porch ` @ $ per sq ft = $ V Deck �� @ $ per sq ft = $ Patio © @ $ per sq ft = $ p b TOTAL VALUATION : 910 ( /�y" $ � sbv TotValuation 1st $ a �l 0 v $ c 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 $ � i L SEWER TAP $ ( ) RADON (HRS) . 0050 $ K9� O SECTION H PAVING ( ) $ r HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ (� GRAND TOTAL DUE $ f" ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : RECEIVED DEC 1 i 2000 City of Mamie Geach CITY OF ATLANTIC BEACH 011411010 Ond 7-01`110A PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS L- Owner(s) . �O�e(�. �• IV— / ( � (� Job Address : o J �� Me"0 I � Phone: � -1 f Lot # Block or Unit /# Subdivision: n /� (_ �} Contractor: x�f/ C�-� l J��5�+ _State License Le -Y Address: 1%'s� Peozc �fuck__?hone No: !fi r City��/ AV CI State L Zip Code""�� 3'E;o Describe work to be done: d CQs kU I k "�. Ci ry �(`fit !Z• �l/`�L.�J OK.S Present use of building: Valuation of Proposed Constr(u�ction• Proposed use: S Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixturesA4 New fireplace-VA New Heat/AC? Wet(( U-ua SUB76t:.T. (CC"dERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SIZ PLAN, SURVEY, ENERGY COLE FORMS, NO TZ OF Coho E VGEMENT, AND OWNER1CONTP..3CTOR AFFIDAVIT, IF owNER ZS CONTRACTOR. Signature OWNER: Date: /Oy�O Signature CONTRACTOR: Date:_��AY (N AS Sworn o and sutbfore me is A day of .+�t 2000 . °Yf�itlbi�_State of FfbKdo ` Oct 29' ELIC Cvmmi9sion#CC78 . AS T - j, 1A ,2000. Sw n to and subscribed befor me this da f LINDA L ADAMS Notary Public-State of Florida My Commission Expire=Oct 29,2002 Y P BL C Commission It CC/?4863 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION CFORM 60OC-93 Residential Limited Applications Prescriptive Method C NORTH.1 2 3 dditions and Renovations. Department of Community Affairs 7ij�ompllance with Method C of Chapter 6 of the Flonda Energy Efficiency Code maybe demonstrated by the use of Form 60OC-93 for aodlUons of 600 square feet or less.site-Installea components g}"A manufactures homes,and renovations to single and multifamily residences. Alternative methcds are provided for additions by use of Form 6008-93 or 600A-93. PROJECT NAME: g G BUILDER: AND ADDRESS: j90 S c-o��J^'� 1 t.Q PERMITTING CLIMATE - OFFICE: ZONE: 1 ❑ 2 [::133 E APERMOWNER' ITNO.I I J 1 1 JURISDICTION NO.: LL ADDITIONS TO EXISTING RESIDENCES(600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1.6C-2 and 6C-3 apply only to the ponents of the addition,not to the existing budding. Space heating,cooling,and water heating equipment efficiency levels must ea met only when egwpmd s Is Installed 1?,:iA pdicatly to serve the addition or is being Installed inconjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the budding). Prescnptive requirements In Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site. nstalled components and features are covered by this form. I Please Print CK ___ JJJ:�� n ..innhre�•i Wmrnn 1 1��',�C�I��it��►►/1� - ^1. r"It_rtUVOLIV111 2. Single family detached or Multifamily attached 2• If Multifamily-No. of units covered by this submission 3. T� 4. Conditioned floor area (sq. ft.) 5. Predominant eave overhang (ft.) 5. ''�. Porch overhang length (ft.) 6• 1";5,�SY -'�7. Glass at ea and type: Single Pane Douhle Pane �5 a. Clear glass 7a. sq. ft. _ , sq. ft. b. Tint, film or solar screen 7b. sq. ft. sq. ft. S. Percentage of glass to floor area 8. -a8 % 9. Floor type and insulation: a. Slab on grade (R-value) b. Wood, raised (R-value) C. Wood, common (R-value) 9c. R= sq. ft. d. Concrete, raised (R-value) 9d. R= sq. ft. e. Concrete, common (R-value) 9e. R= sq. ft. 10. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 10a-1 R= _- _sq. ft. 2. Wood frame (Insulation R-value) 10a-2 R=❑_ _sq. ft. b. Adjacent: 1. Masonry (Insulation R-value) 10b-1 R= _sq. ft. 2. Wood frame (Insulation R-value) 10b-2 R= sq. ft. c. Marriage Walls of Multiple Units' (Yes/No) 10c 11. Ceiling type and insulation: -� a. Under attic (Insulation R-value) 11a. R= b sq• ft. b. Single assembly (Insulation R-value) 11 b. R= sq. ft. 12. Cooling system' (Types: central, room unit, package terminal A.C., none) 12. Type: SEER/EER: 113- Heating system': 13. Type: (Types: heat pumo, elec. strip. natural gas. L.P. gas. room or PTHC. none) HSPF/COP/AFUE: - 14. Air Distribution System`: a. Backflow damper or single package systems' (Yes/No) 14a. b. Ducts on marriage walls adequately sealed' 'Yes/No) 14b. 15. Hot water system: 15. Type: -- - -- (Types:elec., natural gas, other, none) EF: - Pertains to manufactured homes with site-installed componer.ts. 7�,ereov ce scacuaticnnrtlfy that the plans ang specifications covered :,: ;he , ,.,.goon are ,� Feview of plans a-c° L ^ance with th ^r;aa Energy Coae. with the Flor oa Ere e,t ode.-i::r c c_^=e'•'o srnsoecieo for commince in acccidance wdF SRED BY: t• �� ',5'� _ DATE:/_ O - BUILDING OFFICIAL: ---�- ereoy'e", e nfv that is uudind sin ccmouance won tr.e Fionca Energy C- e - :WNEA AGENT ��hR �f(B� �s /^ to ��/� nATE- _,l�C.l_J•a 'er.- --- - DAT'c :-y. Christopher C. Kathe, Inc. SHEET OF 2�. Consulting Structural Engineers Jacksonville, Florida CALCULATED BY CCK DATE 12/7/00 JOB TITLE DEUCE CONSTRUCTION,INC. CHECKED BY DATE SUBJECT ROOM ENCLOSURE SKETCH NO. SCALE JOB NO. E00-172 RECEIVED DEC 1 1 2000 City Of Atlantic Beach IgII°I� 4t1q honing ROOM ENCLOSURE LEE RESIDENCE ATLANTIC BEACH, FLORIDA DEUCE CONSTRUCTION, INC. The procedures of Section 1606.2 of the 1997 Standard Building Code have been used for determining and applying wind pressures in this design. zI -7 w Christopher C. Kathe, Inc. SHEET OF 2AI Consulting Structural Engineers Jacksonville, Florida CALCULATED BY CCK DATE 12/7/00 JOB TITLE DEUCE CONSTRUCTION,INC. CHECKED BY DATE SUBJECT ROOM ENCLOSURE SKETCH NO. SCALE JOB NO. E00-172 Code Search L Code: Standard Building Code, 1997 H. Occupancy: SF= Occupancy Group= R Residential III. Type of Construction: Fire Rating: Roof= Floor= IV. Live Loads: Roof 0 to 200 sf: 16 psf 200 to 600 sf: 14 psf over 600 sf: 12 psf Floor 40 psf Stairs&Exitways 100 psf Balcony N/A Mechanical N/A Partitions N/A V. Wind Loads(per Section 1606.2): Wind speed 110 mph Importance Factor(1) 1.00 Mean Roof Ht 15.0 ft Least width(B) 30.0 ft Base Pressure(q) 24.7 psf Edge Strip(Z) 3.0 ft Roof angle 6.00/ 12 26.6 deg End Zone X(=2Z) 6.0 ft GCp coefficients and Pressures for MWFRS(enclosed building) Transverse direction GCp CoefficientslCombined Pressures IGC ) Windward Leeward Windward LeewardCombined Interior Zone: Wall 0.40 -0.709.9psf -17.3 psf 27.2 psf Roo -0.75 -0.75 -18.5 psf -18.5 psf 0.0 psf End Zone: Wall 070 -0.9517.3 psf -23.5 psf 40.8 psf Roo -1.00 -1.00 -24.7 sf -24.7 psf 0.0 sf Longitudinal direction GCp Coeff cients Pressures IGC Windward Leeward Combined Windward Leeward Combined Interior Zone: Wall 0.25 -0., 0.80 6.2 psf -13.6 psf 19.8 psf Roo -1.00 -0.65 -0.35 -24.7 psf -16.1 psf -8.7 psf End Zone: Wall 0.50 -0.70 1.20 12.4 psf -17.3 psf 29.7 psf Roo -1.40 -0.80 -0.60 -34.6 sf -19.8 psf -14.8 psf Christopher C. Kathe, Inc. SHEET of 2� Consulting Structural Engineers Jacksonville, Florida CALCULATED BY CCK DATE 12/7/00 JOB TITLE DEUCE CONSTRUCTION,INC. CHECKED BY DATE SUBJECT ROOM ENCLOSURE SKETCH NO. _SCALE JOB NO. E00-172 V. Wind Loads(cont.): GCp coefficients and Pressures for Components and Cladding(enclosed building) Walls GC Pressure(absolute value qIGC )) Area 10 sf 100 sf 500 sf 10 sf 100 sf 500 sf End zone -1.5 -1.3 -1.1 37.1 psf 32.1 psf 27.2 ps Interior zone -1.3 -1.2 -1.1 32.1 s 29.7 s 27.2 s Roof ❑Monosloped? GCp Pressure(absolute value IGC Area 10 sf 50 sf 100 sf 10 sf 50 sf 100 sf C -2.70 -2.10 -1.80 66.8 ps 51.9 ps 44.5 ps Se -2.10 -2.10 -1.80 51.9 ps 51.9 ps 44.5 ps Si -1.40 -1.25 -1.20 34.6 ps 30.9 ps 29.7 ps Re -1.20 -1.15 -1.10 29.7 ps 28.4 ps 27.2 ps Ri -1.20 -1.15 -1.1028.4 s 27.2 s Note: The minimum design pressure for all components and cladding, as well as the MWFRS, is 10 psf. CHRISTOPHER C.'KATH'E, INC. Consulting Structural Engineers JOB TITLE e"ATCOC'no a ro-c— CALCULATED BY GGK, DATEJ2'�Ih JOB NO. CHECKED BY DATE SUBJECT Roots SH_40F 2 SKETCH NO. SCALE i EgN�Et�s►ov Tc� Ar^t� k�GLosC-�D f� Ep o ti P*c-;e�- Qc'f2�C-s'"-iot / o>j x+57-7,1 f Aj s5 —C-o M o►�,t C� r n9 ►4 �v ��'t9►�, D Pnv� ,�.� D�1b�� , i J Cn �-�-( 1 d n !� i I`1 ►�. L7�='ral b CJ SOT i I �Co /dam o Al - -� r. - x 7-7 s � �7U Y 7 f "C" Av I-C-,77 AGr-, F0 A.5 Gr-70T- c IL 1 ��T'�—r�,►�'t.. �p 1�7 0 � C C7lT 7�� U�-�-'. I CHRISTOPHER C.' KATH'E, INC. Consulting Structural Engineers JOB TITLE CcQ'6TZQC-710 CALCULATED BY ce- DATE I ZI IOC) JOB NO. �' ' CHECKED BY DATE SUBJECT�GG M r, SH OF-?A SKETCH NO. SCALE -� Fb H d �.fl Vut. �C•�.L 1�'LC•- ► I �a�ta'G�co-� _' IZ�o ►has f 5� i .►�e Ten = 2 2 bib 67 �,o- 1 ks De 4 'r }:-m,.L VIA c c,m rpt,0 N �D� P�C)- 2- 5 b v A461Pw'c 5►� 315 s :5&pe.-. i 0)Co' kw "14 _ 5 3 3 o• L)s F leowy I?c�i �o r�.t ww� i 3 4L 1 15� l V �dT'1 IlY C5) I � = Lc�'PS t= ,✓�r'ax . Sok. 3500 i�� I oo t bs ' r �b, s '• fz C2d �sP l.� �'. Z'S�s Dc.� 3 i CHRISTOPHER C.•KATHE, INC. Consulting Structural Engineers JOB TITLE t>VW 4100 Cl�C- '% 1 L JOB NO. CALCULATED BY GGK, DATE_ _ _ CHECKED BY DATE SUBJECT SH(_OF Z� SKETCH NO. SCALE _. I l , 12 I � i I 1'Lt. 1�[.ao✓1 c ��© g i Pp4 Roo►- 7&0 tars r ►Q-u. �..014�� cc' Y. ZOi= -1, x'33 = ►�� 3 � S I I U + kE>ao I, S, - Z z oO 1 Ws 5A� 2.F oo zr) 23 � bs sft� foo© � c�, 3 �o o �b 5 } �o� +COs o lF ✓ I CHRISTOPHER C. KATHE, INC. Consulting Structural Engineers ^-x,67 JOB TITLE 'v.�a. Lo1�ST�U�•no a � �L' Cd- DATE_ Z JOB NO. - 7Z CALCULATED BY r� CHECKED BY DATE SUBJECT t3C)O IM SH 7 OF Z� SKETCH NO. SCALE sn �Cp /-t.00 rl tO co i i I IV- I rz>n A) F44 cD o w .Tor 51' I=o '� c� L L ✓d r1J c7 I l�Off b GYP No• 2 Toi.STs ® ©•c. 4 a��-pA Z�•�j1 r=-O rv., i LYF L-1 F- ,��►�-t, cs i S Q� � O to C,0 _ p L I F� 0 15 lam' C,D — Go N AJ-Ern7-0 vt S /-72 , iN�l�6�G I I 1 i t I Job# Title CHRISTOPHER C. KATHE, INC. Title: Date: 1:36PM, 30 OCT 00Dsg / CONSULTING STRUCTURAL ENGINEERS Description JACKSONVILLE BEACH, FLORIDA Fr Scope - ----- -- -_ Page 1 Rev 510301 - Timber Column Design User KW 0602995.Ver 5.1.3.22 Jun-1999,Winn (U 198399 ENERCALC Description PARDEE RESIDENCE -COMPOSITE WINDOW MULL UTILIZING EXISTING 4"x4 Calculations are designed to 1997 NDS and 1997 UBC Requirements General information8.00 ft Wood Section 4x4COMPOSITE Total Column Height 8.00 ft Le XX for Axial 800 ft Load Duration Factor 1.60 Le YY for Axial Rectangular Column 1,650.00 psi Lu XX for Bending 8.00 ft Column Depth 5.00 in Fc Width 3.50 in Fb 1,500.00 Psi E-Elastic Modulus 1,600 ksi Southern Pine,No.2 2-4 Thick,2 Loads Dead Load Live Load Short Term Load Axial Load 1,250.00 lbs 1,000.00 lbs 0.00 lbs Eccentricity 0.000in 0.00 in-# 0.00 int 22,557.00 in-# Applied Moment O.00irl-# 0.00 in-# 22,557.00 in-# Max.Design Moment Column OK Summary Using : 4x4COMPOSITE, Width= 3.50in, Depth= 5.00in, Total Column Ht= 8.00ft DL+ST DL+LL 71.43 psi 128.57 psi 128.57 psi fc:Compression 602.40 psi 602.40 psi Fc:Allowable 576.19 psi 0.00 psi 1,546.77 psi 1,546.77 psi fbx :Flexural 2,362.09 psi 2,362.09 psi Fbx:Allowable 1,486.58 psi Interaction Value 0.2231 0.7721 0.7069 Stress Details 50.00/d50.00Fc:X-X 576.19 psi Maxk'Lu 16.52 576.19 psi Actual k'Lu/d Fc:Y-Y Min.Allow k'Lu/d 11.00 Fc:Allowable 576.19 psi 1.000 Fc:Allaw'Load Dur Factor 602.40 psi Rb:(Led/ Rb:(Led/b12)^.5 8.491 Fbx 1,486.58 psi 1.000 Fbx'Load Duration Factor 2,362.09 psi :Axial x Axial X-X k Lu/d 19.20 Axial Y-Y k Lu/d 27.43 ' Threaded Hardened S1,2,31 Nail Design Values 118 NAILS AND SPIKES (Z) for Single ear I Table 12.3C 1,2,8 i (two member) Connections with both members of identical s ecies G=0.a9 G=0.46 G=0.55 G=0.50 Dou las Fir(S) Side Nail Wire Penny G=0.67 Mixed Maple Douglas Fir-Larch Douglas Fir-Larch (N) Hem-Fir(N) Member Length Diameter WeigRed Oak ht Southern Pine Thickness Z Z Z t L D lbs. tbs. lbs. lbs. lbs. 69 65 inches inches inches a0 71 69 65 2 0.120 6d 103 80 71 85 S0 2-112 0.120 8d 103 98 S8 85 80 98 88 90 12d 124 98 96 122 3-1/4 0.135 29 139 110 133 1 In 3-In 0.148 16d 182 147 129 122 q 0.177 20d 147 133 129 122 4-In 0.177 30d 182 147 133 122 182 0.177 129 5 40d 147 133 122 182 133 129 5-In 0.177 SOd 182 147 70 6 0.177 77 75 84 88 91 2-1n 0.120 ad 137 106 93 91 84 3 0.135 lOd 106 93 101 95 137 104 126 3-114 0.135 12d 153 118 138 134 3-1/2 0.148 16d 196 154 134 126 518 4 0.177 20d 154 138 134 126 4-112 0.177 30d 196 154 138 126 0.177 40d 196 154 138 134 126 5 196 138 5-1R 0.177 SOd 154 75 6 0.177 60d196 84 82 90 97 97 1 2-In 0.120 Bd 121 115 101 97 90 3 0.135 IOd 152 115 101 109 101 12d 152 112 131 128 3-1/4 0.135 169 145 141 3-1/2 0.148 16d 212 164 141 131 q 0.177 20d 164 145 141 131 0.177 30d 212 164 145 131 314 4-5 212 145 141 5 0.177 40d 212 164 141 131 5-In 0.177 50d 164 145 155 145 6 0.177 60d 212 178 159 155 145 0.207 70d 229 178 159 145 7 0.207 80d 229 159 ISS 8 0.207 90d 229 178 9l 86 9 102 93 114 104 2-In 0.120 8d 121 128 Ila 114 104 3 0.135 lNJ 154 128 118 116 12d 154 131 126 146 3-1/4 0.135 174 145 164 159 3-In 0.148 16d 241 188 159 146 q 0.177 20J 188 164 159 146 0.177 30d 241 188 164 146 4•In 159 1 0.177 40d 241 188 164 159 146 5 0.177 SOd 241 164 159 5•In 241 188 177 171 6 0.2 60d 268 202 171 159 7 0.207 70d 268 202 177 171 159 g 0.207 SOd 268 202 177 115 109 9 0.207 ` 128 118 115 109 3 0.135 1O 154 128 118 130 123 0.135 12d 154 145 133 165 3-114 174 180 3-112 0.146 16d 184 241 201 180 165 • 1 0.177 20d 201 184 165 q 30d i 241 184 Ia0 165 0.177 241 201 180 a. 4 Sn 0.177 201 184 180 165 I-I/4 0.177 sod 241 184 177 5-In 0.177 boa 241 201 192 6 227 199 192 177 7 0.207 70d 271 227 1999 192 177 8 0.207 80d 271115 109 9 0.207 128 118 130 123 12d 154 133 171 3-114 0.135 174184 180 171 3-ln 0.148 241 201 184 180 4 0.177 20d 241 201 180 171 4-In 0.177 30d 201 184 180 171 177 40d 241 201 184 171 D/2 5 0. 241 1S4 180 193 5-In 0,177 50d 241 201 203 6 0.177 271 227 208 203 193 7 0.207 70d 271 227 208 203 193 8 0.207 SOd 271 227 9 0207. 90d are for led con ctionsed steel nails inserted m side grain with nail axis perpendicular to wood fibers,and with the following 1.Tabulated lateral design values�)for nailed connections shall be multiplied by all applicable adjustment factors(see Table 7. . lhr 2.Tabulated lateral design valuta( ) nail bending yield strengths(Fr,): Frb= 130,000 psi for 0.120"and 0.135"diameter threaded hardened-steel nails Frb= 1 15,000 psi for 0.148"and 0.177"diameter threaded hardened-steel nails Frb= 100,000 psi for 0.207"diameter threaded hardened-steel nails 3.Tabulated lateral design values(Z)shall not apply for annularly threaded nails when threads occur at the shear plane(see 12.3.1). i� j AMERICAN WOOD COUNCIL Job# Title CHRISTOPHER C. KATHE, INC. Dsgnr: Date: 1:22PM, 30 OCT GO CONSULTING STRUCTURAL ENGINEERS Description JACKSONVILLE BEACH, FLORIDA Scope 510301 General Footing Analysis & Design User KW 0602995,Ver 5.1.3,22Jun 1999.WIn32 (c)198399 ENERCALC ESIDENCE - EXISTING PORCH FOOTING WITH MAXIMUM ALLOWABLE Description PARDEE R LOAD Calculations are designed to ACI 318-95 and 1997 UBC Requirements General Information 2,000.0 psf Dimensions... 2000 ft Allowable Sal Beading Width along X-X Axis Short Term Increase 1.330 Y-Y Alas 2.000 ft Base Pedestal Height 8.000 in Length along 0 Footing Thickness 10.00 in Seismic Zone 3.50 in Overburden Weight 0.00 psf Col Dim.Along X-X Axis 3.50 in Live&Short Term Combined 3 Col Dim.Along Y-Y Axis 000.0 psi fc Min Steel% 0.0014.60,000.0 psi 3.50 50 in Fy Rebar Center To Edge Distance Concrete Weight 145.00 pcf Loads Applied Vertical Load... ...ecc along X-X Axis 0.000 in Dead Load 3.500 k 0.000 in Live Load 3.500 k ..ecc along Y-Y Axis k Short Term Load Creates Rotation atxxrt Y-Y Axis Creates Rotation about X-X Alas (pressures @ left&right) (pressures @ top&bot) Applied Moments... (P k-ft Dead Load k-ft k-ft Live Load k ft k-ft Short Term Creates Rotation about X-X Alas Creates Rotation about Y-Y Alas (pressures @top&bot) Applied Shears... (pressures @ left right) k Dead Load k k Live Load k k Short Term Footing Design OK Summary 2.00ft x 2.00ft Footing, 10.0in Thick, W/ Column Support 3.50 x 3.50in x 8.Oin high Actual AIIorVable DL+LL DL+LL+ST 0.990 k-ft per ft 1,870.8 1,870.8 psf Max Mu Max Sal Pressure Required Steel Area 0.109 int per ft A;Ic>vvable 2,000.0 2,660.0 psf "X Ecc,of Resultant 0.000 in 0.000 in Shear Stresses.... Vu Vn'Phi "Y Ecc,of Resultant 0.000 in 0.000 in 1-Way 11.637 93.113 psi 2-Way 34.492 186.226 psi X-X Min.Stability Ratio No Overturning 1.500 :1 Y-Y Min.Stability Ratio No Overturning Footing Design ACI 9-2 ACI 9-3 Vn'Phi Shear Forces ACI 9-1 Ps 25 87 i 10.01 psi 186.23 psi Two-Way Shear 34.49 psi One Way Shears... 8.73 i 3.39 psi 93.11 psi Vu @ Left 11.64 psi P5 11.64 psi 8.73 psi 3.39 psi 93.11 psi Vu @Right 1164 psi 8,73 psi 3.39 psi 93.11 psi Vu @ Top 8.73 psi 3.39 psi 93.11 psi Vu @Bottom 11.64 psi P As Reg'd ACI 9-2 ACI 9-3 Ru/Phi Moments ACI 9-1 26.0 psi 0.11 in2 per ft 0.74 k-ft 0.29 k-ft Mu @ Left 0.99 k-ft 26.0 i 0.11 in2 per ft Mu @ Right 0.99 k-ft 0.74 k-ft 0.29 k-ft 0.11 in2 per ft 0.74 k-ft 26.0 i Mu @ Top 0.99 k-ft 0.29 k-ft 26.0 psi 0.11 in2 per ft Mu @ Bottom 0.99 k-ft 0.74 k-ft Title: Job# CHRISTOPHER C. KATHE, INCT . itleDate: 1:22PM, 30 OCT 00 CONSULTING STRUCTURAL ENGINEERS Description JACKSONVILLE BEACH, FLORIDA / 2� Scope — Page 2 -Rev 5103°1 General Footing Analysis Design User KW0602995.Ver 5.1.3.22 Jun1999,Win32 (c)1963 99 ENERCALC Description PARDEE RESIDENCE - EXISTING PORCH FOOTING WITH MAXIMUM ALLOWABLE LOAD Soil Pressure Summary Bottom Service Load Sal Pressures Left Right Top 1,870.83 psf 1,870.83 1,870.83 1,870.83 DL+LL 1,870.83 1,870.83 1,870.83 psi DL+LL+ST 1,870.83 Factored Load Sal Pressures 2,881.67 2,881.67 2,881.67 2,881.67 psf ACI Eq.9-1 2,161.25 2,161.25 2,161.25 2,161.25 psf ACI Eq.9-2 896.25 896.25 896.25 psf ACI Eq.9-3 896.25 ACI Factors (per ACI,applied internally to entered loads) 0.750 UBC 1921.2.7"1.4"Factor 1.400 ACI 9-1 &9-2 DL 1.400 ACI 9-2 Group Factor 0 qp0 ACI 9-1 &9-2 LL 1.700 ACI 9-3 Dead Load Factor 0.900 UBC 1921.2.7"0.9"Factor ACI 9-1 &9-2 ST 1.700 ACI 9-3 Short Term Factor 1.300 ....seismic=ST': 1.100 w Yk 10. in I 2.00 ft ft 7T I 2.0b n i i 2.00 R 13'L� s,.00#rn 12.00 ft mmax=17.49 in-c at 5.99 ft from left Dmax=.0.4958 in at 5.99 ft tom left "ax=485.999 bs Wanax=485.999 bs Job# CHRISTOPHER C. KATHE, INC. Title: Date: 1:46PM, 30 OCT 00 CONSULTING STRUCTURAL ENGINEERS Description: �¢ JACKSONVILLE BEACH, FLORIDA Z Scope - -- -- Page 1 5103 -- Timber Beam & Joist User KW.0602995,Ver 5.1.3.22-Jun-1999.WM32 (c)19W 99 ENERCALC EXISTING 2"x8" SYP N0.2 FLOOR JOISTS @ 16" O.C. Description PARDEE RESIDENCE- Calculations are designed to 1997 NDS and 1997 UBC Requiremen Timber Member Informationts FLOOR JOIST Timber section 2x8 Beam Width in 1.500 Beam Depth in 7.250 Le:Unbraced Length ft 0.00 Timber Grade uthern Pine,No.2 Fb-Basic Allow psi 1,200.0 Fv-Basic Alk�v Psi 90.0 Elastic Modulus ksi 1,600.0 Load Duration Factor 1 Member Type Manuf/Pine Repetftive Status Repetitive Center Span Data Span ftj 12.00 Dead Load #/ftl 27.00 Live Load #Jft 54.00 Results Ratio= 0.9648 Mnw @ Center in-k 17.50 @ X= ft 6.00 fb:Actual psi' 1,331.4 Fb:Allowable psii 1,380.0 Bending OK fv:Actual Psis 60.6 Fv:Ailowable psi, 90 Shear OK Reactions @ Left End DL lbs 162.00 LL Ibs 324.00 Max DL+LL lbs 486.00 @ Right End DL lbs 162.00 LL lbs 324.00 Max DL+LL lbs 486.00 Deflections Center DL Deft in -0.165 UDefl Ratio 871.3 Center LL Defl in -0.331 UDefl Ratio 435.6 Center Total Defl in -0.496 Location ft 6.000 L/Defl Ratio 290.4 O O 5 vi Ul 0 o� o) c 4-3 V_ x J_ W r o � m, a W � 4 � v x aoLi L(Is -x U I� O ri CI- 0 d -Z5 X 14 0 o QJ J Q G a2 Dq °D z A Iva a 0L) 0 o) c — L 75 0 +' +, g �, Ln x 3 nn, Q CLl Q� ly 41 V? 77 O - IL lY J � -- d z nj3 P >l 3 W 4- 4- a J i� a -0 — S � Oo lb J Q c � d rJ 00 CD O) x o -i �j :PN z 11 ea p _ ClJ � Q J Z ►alp �. d" o) 3 C� A CO o� L17 Un J � J -U -P �. Q 0 d a Q � L CHRISTOPHER C. KATHE, INC. Consulting Structural Engineers JOB TITLE04E LvtJSTCUGT�O t� 1 Z'iJL. 1� n Ipp JOB NO. CALCULATED BY GG.1C� DATE_ r� CHECKED BY DATE_ SUBJECT SH 1 OF SKETCH NO. SCALE 001 2 X �ir'1 N 4-T . STUB // ,I fit- /S77,lc-,, ll �� 10SEMC0, METAL CONNECTORS RAFTER TIE Technical Support (800) SE SPECS - (800) 737-7327 Design Features: • Tie straps meet a variety of application and design load conditions and specifications. • Use when tying rafters to plate, anchoring studs to sill, EQUAL 9 over FASTENERS ECAAL FASTENERS framing girders and bearing partitions. Materials: 14 - 10 gauge galvanized steel _ Footnote: Reference to the altemate fastening schedule - page 6. Other lengths and gauge sizes available. See Example for 1" wide x 12" long rafter tie. truss anchor page for lateral loads. Use specified fasteners each side In schedule Installation: Use all specified fasteners each side in listed to achieve values Indicated. schedule to achieve values indicated. See General Notes: 1,2,3,6 RTP Code Compliance: NER #510, ----�-- - --- - Metro-Dade County Report #95-0818.13 FLAT 1" WIDE 14 GAUGE STRAP -- —.y ALLOWABLE • FASTENER LOADS TWISTED DIMENSIONS SCHEDULE WIND/ PER SIZE PRCODE GAUGE EARTHQUAKE CTN j W L NAILS 133% UPLIFT 133% 160% 8RTPGA88 14 1 8 416d 605 725 100 10 RTPGA810 14 1 10 5.164 755 905 100 o 12 RTPGA812 14 1 12 6.164 905 1090 100 14 RTPGA814 14 1 14 7.164 1060 1270 100 ' - 16 RTPGA816 14 1 16 8-16d 1210 1450 100 ~ 18 RTPGA818 14 1 18 9-164 1360 1635 _ 100 20 RTPGA820 14 1 20 10-16d 1510 1815 50 24 RTPGA824 14 1 24 1216d 1815 1950 50 28 RTT 28 14 1 26 13 16d 1950 1950 50 30 RTPGA830 14 1 30 13•t6d 1950 1950 50 36 RTPGA836 14 1 36 13-16d 1950 1950 50 When ordering please specify "F" for flat or "T" for twisted. O 1" WIDE 10 GAUGE STRAP O Only available flat FASTENER SCHEDULE ALLOWABLE LOADS PRODUCT DIMENSIONS WIND/EARTHQUAKE PER c SIZE CODE GAUGE UPLIFT UPLIFT CTN NAILS 133% 160% W L 10d 16d 10d I 16d _ 12 RTP10812F 10 1 12 6 925 990 1110 1185 20 — \ — 16 RTP10816F 10 1 16 8 1235 1315 1480 1580 ZO 20 RTP10820F 10 1 20 10 W2965 0 1975 10 24 RTP10824FV10 1 24 12 0 2370 10 28 RTP10828F 1 28 14 0 2770 10 _ -- 32 RTP10832F 1 32 16 0 3160 10 36 RTP10836F 1 36 18 30 3485 10 44 _ A SEMCE HURRICANE ANCHOR METAL CONNECTORS Design Features: Technical Support (800) SE SPECS - (800) 737-7327 • These ties add increased resistance to wind uplift. • Eliminates toe nailing utilizing correctly located nail holes for Ties installed diagonally Ties Installed back-to-back fast, easy and strong attachment of rafters and trusses to across from each other plates and studs. 1` 2-1/2• 1_112' (MIN) Materials: 20-18 gauge galvanized steel Installation: 'Alternate stud plate application. use all -� I ir specified fasteners in schedule to achieve values indicated. I 2-16d toe nails from truss to top plate equals 300 lbs. r R TOP I— TOP E additive to listed lateral loads parallel and perpendicular. PLATE PLATE See General Notes: 1, 2, 3, 5, 6, 10 e Code Compliance: NER #510, May be installed on each side of ratter for twice, loads when the rafter thickness is a 1/2"m of 2 112" Metro-Dade County Report #95.1003.04 or diagonally when ratter iss 1 1 1/2". DIMENSIONS FASTENER SCHEDULE ALLOWABLE LOADS WIND/ LATERAL EARTHQUAKE PER DESCRIPTION PRODUCT GAUGE See Installation) UPLIFT UPLIFT CTN CODE W H RAFTER PLATE STUD 133% 160% Al A2 6d 8d 6d 8d Regular HCPR 20 1112 5 4 4 4• 145 95 400 510 480 520 500 Regular HCPL 20 1112 5 4 4 4• 145 95 400 510 480 520 500 I ag TO HCPLR 20 1 1/2 6 4 4 4• 145 95 400 510 480 520 100 Long Tie .20 1112 6 4 4 4• 145 95 400 510 480 520 100 DW.Lag Tie RT10 20 11/2 10112 5 x1 1/2' 8 5 x 1 1/Y 115 95 500 555 555 555 100 Revers+ble RT 18 1 112 4 5/8 4 4 4' 100 130 380 380 380 380 100 Truss Tie HCPTA 18 2112 20 8 __ 8 __ — 800 990 960 990 50 REVERSIBLE TRUSS RT12 TIE LONGTIE ��•--� " ' • REGULAR H HCPR/L CPLR/LL _ • ° ° H (Available in left or right) • (Available in left or right) W HCPTA Al ••' Al Al DOUBLE LONGTIE � A2 � A2 � RH A2 T10 Rafter application Better eppli�atiq�r rafter aoalicatlon A Al t �> •` , � to application ` stud aDC-1—n d�QB�Ic�tlsa �.. RT12 37 z(_)j24 10,SEMCO UNIVERSAL FRAMING ANCHOR METAL CONNECTORS D27esign Features: Technical Support (800) SE SPECS - (800) 737-73 ' Multi-purpose anchor for almost any wood connection task, • Anchors rafters and roof trusses to plates. • Anchors floor and ceiling joists to headers, and solid blocking to plates. / o • Use as 90° framing angles to join posts to beams and make f other right-angle connections. 3" Installation:Use all specified fasteners in schedule to 4W achieve values indicated. FAP18S See General Notes: 1, 2, 3, 4, 5, 6 /� FAP18 IC Code Compliance: NER #510, Metro-Dade County Report #95-0818.14 ° ALLOWABLE LOADS 4 4 SB' A WIND/EARTHQUAKEo 0 PER S[ZE PRODUCT GAUGE FASTENER DIRECTION UPLIFT UPLIFT. CTM CODE SCHEDULE OF LOAD 133% 160% I 8d 1Dd A 395 395 FAP18F 4 518 FAP18 18 6 B 170 170 100 C 745 745 — p 765 915 100 ° } -I 4518 FAP18F 18 6 915 IE J. f E 765 A 395 395 =- 3 FAP18S 18 4 B 170 170 100 J1 E 510 610 III ni I�I DECK BRACKET ° Design Features: . m, ° H • Eliminates toe nailing. ° • Secures wood posts or columns to wood decking using nails DB°°° or lag bolts. -L • Attaches to concrete using anchor bolt. \\ Materials: 18 gauge galvanized steel ° Footnotes: To order product in rough/full size lumber, add �< �" DBF "R"to stock number, as in D13-44R. PRODUCT DIMENSIONS PER S CODEGAUGE W M L CEN 4x4 DB44 18 39/16 2 1/4 3 1/4 20 4x4 DBC44 18 3 9118 3 1/8 40 DBF44 18 39/16 17/8 73/4 25 \� ` Us DB46 18 39116 3 51/2 10 ' L DBC 64 DB66 18 51/2 3 318 51/2 10 D88B 18 71/2 4 71/2 10 DECK CLIP � e Design Features: • These clips fasten boards together and eliminate face nailing. • This deck clip allows a wood deck to shrink and expand without cracking deck boards. Materials: 20 gauge galvanized steelstock. Use one deck clip S500 f� Footnotes: Not for use to each deck clip It4 adjacent Use with h 2x decking only. Y PRODUCT FASTENER PER Toe nail adjacent DESCRIPTION CODE GAUGE SCHEDULE CTNI deck board 2X Deck Clip S500SM 20 11)10d 250 35 iMC: OTM . METAL CONNECTORS HOLD DOWN ANCHOR Technical Support(800)SE SPECS-(800)737-7327 Design Features: 4 Ideal for shear walls and vertical posts. Materials: 12-3 gauge steel,ADS2,ADS5, MTS27B&SGP Series galvanized, all others hot-rolled steel, black enamel finish. Footnotes: Allowable loads shown are for connection to stud. To order product with hot dipped galvanized finish, add HDG to stock number, as in A07HDG. Bolts are not supplied with product. Designer must provide at least 7 bolt diameters and distance. Bolt and nail values.can not be combined. See General Notes: 8 Code Compliance: NER#505(AD&ADS), NER#510 (SGP2), Metro-Dade County Report#95-0818.11 (SGP2&3) ALLOWABLE LOADS DIMENSIONS FASTENER SCHEDULE WIND/EARTNOUAKE STUD THICKNESS(INCHES) PER ANCHOR THRU BOLTS CTM STEEL TO END -NAILS PRODGAUGE TO STUD SIU. 31/2 51(1 CODES DISTANCE 1112 � W M D CL UPLIFT UPLIFT UPLIFT UPLIFT UPLIFT UPLIFT UPS UPLIFT ;� UPLIFT MAILS BOLTS BOLTS 133% 160% 133% 1s% 133% 160% 1550 1660 2775 3330 7710 3325 2765 3315 25 ADS2 25M Site 2 314 1 112 12 — (2)Us 11)515 4112 — 1675 2250 3896 443s 4am 3900 4 pes21116 776 u A 3 93/8 3 7A 2 1/16 10 — (2)34 (1)3;4 5114 3190 3530 6390 7670 7510 9010 8090 9705 6 syr 3y6 14 NA 378 2316 3 — (3)7I0 (1)11/8 61/8 — 3H70 4646 6195 9035 6725 logob 10110 loam 4 ADS10 319 16 50 3111 2 3 — (4)7/8 (1)7/8 S 31S 4515 5185 9475 10215 11220 13465 13555 15635 1 AD S20 4)A 20314 4 1R 2114 3 — 14)1 (t)t 114 7 114 _ 3185 3820 6380 7665 7486 6990 5110 9730 S AD? 31/1 113'1 -— 2 to 3 — (3)88 (t)1 115 81IS — — — _ 3745 3745 2365 2�0 — 10 21/16 27 2515 1112 1063 24-15d (4)112 (1)314 — SWGIP2 1 S10 18114 4 t 19 1461/4 14-18d — (1)t12 1455_518 4706 5100 — — 3010 3010 3DW 30W 3010 3040 10 a 3 161H 4 1 iR 14 8 1/4 24 16d (5)1R (t) i I l H /H wo Wo CL p 1 W D o i e a o ADS7 ADS2 &ADS5 w 0 o• .o o, t ° H H 1 H o 0 3'x3'xt/4' o 0 I square _ washer-- CL L o � D �° MTS SGP2 SGP3 TYPICAL APPLICATION BETWEEN 1ST AND 2ND FLOOR 16 2 � gym- F 3C-Y,Iym To 1 T�p , Cj L.oG9ti1oh)4,-b 14 r � MMr 1� n ` s 111, , I �f •1 1� .r. `��j 1 "i� „K y .111) ��fiiil 1 r 11:►aI�66-6 to Oki VF jj qcv Zprrs SeMGo R��t48 Z� TO c'ti 1s r �1� ra-►�a �-r�-d xd�i w 4 \'..as-`MP«•iC1A».+:.xM+f :.... .. �y:1.�..yry,�u.'y'Wni.''.' "l '$W11N�.'-:1�{",' ..'.'h�.'.µ'r.... ..... ._ .. ,.. a C" l 111lit Til- It l ., 1111 1 ` ��,�t+ ^t 1 .s • r • I • • k 1 I 1 s 5a 1 H ,mr O �-C:>; i Akk • is� ,_ r.R Permit number Tax Folio number e0 Doc# 2000283559 O Book: 9823 �a Frage: 308 Filed & Recorded NOTICE OF COMMENCEMENT 12/11/2000 01:41:45 RM HENRY W COOK CLERK CIRCUIT COURT STATE OF FLORIDADUVAL COUNTY 5 MIN. RETURN TRUST FUND t 1.00 COUNTY OF DUVAL RECORDING t 5.00 CU PHO NE#-2( ( — d36J THE UNDERSIDED hereby gives notice that improvement will be made to certain real property, Y and in accordance with Chapter 713, Florida Statutes, the fallowing information is provided in this Notice of Commencement. �4 1. Description of operty: 2. General description oprovements: �,� /D 6-X/.S1 nl� Sc��PG a ecke-H IQidD !� lycw �oR s . 3. Owner information: a. Nro&P7- e and Address: k6E b. Interest in property: Own►EQ c. Name and address of fee simple titleholder(other than owner). 4. Contractor's name and address: LCC T a. Phone number: ;t4t4- 03G 3 b. Fax number: - - D S. 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(l)(a),Florida Statues. Name and Address: a.-Phone nurhber: b. Fax number: 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. Expirati¢ `date of Notice of Commencement (the expiration date is one (1) year from the t __w_,_W%4M%fIwwA'w; ausswa w aua�va viae Vater io oErc.�.Licv�. ure ofb ► ;: �. v` r• �su for a �s day of de P,�C�©n� shown: My commission expires: .:• LINDA L ADMtiS Notary Public Slate of Florida My Commission Expirss Oct 29,2002 Commission# CC786863 i� CITY OF V Office of Building Official REQUEST FOR INSPECTION �� Permit No. Date ' `7T District No. ?me M. Received I , J Locality Job Address r Contractor MECHANICAL owner's PLUMBING O BUILDING Name ELECTRICAL Air.Cond.& CONCRETE Rough Heating O � Rough Wiring � Top Out � Footing Temp Pole C Fire Place Framing Slab Pre Fab Re Roofing � Lintel READY FOR INSPECTION Friday Thurs. Tues. Wed. A.M. Mon. ( P.M. InspectionMade Final Inspection Inspector Certificate of Occupancy Date CITY OF' 4tt&sittc Office of Building Official �._. REQUEST FOR INSPECTION Permit No. Date (� r A.M' District No. Time J Received O Locality Job Addre t Owner's Contractor e PLUMBING MECHANICAL -- ELECTRICAL NCRETE Air.Cond.& ❑ Barring Rough wiring ❑ Rough Footing -J ,` To Out � Heating Framing glob Temp Pole p Fire Place ❑ Re Roofing ❑ Pre Fab Lintel OR INSPECTION A.M. Thurs, Friday P.M. Mon. Tues. _ — Inspection Made G -"11` �� p Final Inspection (r(t Inspector (JIL,_�..) Certifi a of occupancy -1, L Date 1 S 3848 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------- LOCATION INFORMATION ---- -- --ermit Number: 3848 address: 1905 SEMINOLE ROAD Permit Type: BUILDING ATLANTIC BEACH, FLORIDA-32233 ,lass of Work: ADDITION --------- LEGAL DESCRIPTION Constr. Type% WOOD FRAME i_ot : IOA Block: I Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 'lubdiviBion: Estimated Value: $1296. 00 Improv. Cost : $0. 00 Total Fees: $30. 00 Amount Paid: $30. 00 D<Ite Pa i I : ,/?0!91 rk Dt *CK PER PLAho —i-� OWNER INFORMATION ---- APPLIGA,rION FEES ----- Name: MARIA E. PERKINS PERMIT $30. 00 Addl'eSs: 1905 SEMINOLE ROAD WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA 32x' SEWER IMPACT FEE $0. 00 Phone: (904)249-2728 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 ------- CONTRACTOR INFORMATION RADON GAS - 5% $0. 00 Name: PROPERTY OWNER WATER TAP $0. 00 Address: SEWER TAP $0. 00 HYDRAULIC SHARE 50. 00 License : Type: 1 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $O. r, OTHER $0. 0k_; 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-95 VALIDATION DAf @6"1(& FOR ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO T VIOLATION OF APPLICABLE PROVISIONS OF LAW. OTPL vEiANBE 3.88 REPCEIPT NUMBER! 031578 ATLANTIC NTIC BEACH BUILDING DEPARTMENT By: PSR3844 15 . DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- - - PERMIT INFORMATION -_ -_.- - LOCATICIN 1Ni:'ORMATION 4,ermit Number: 15133 Address : 1901 SEMINOLE ROAD Permit Type:WELL ATLANTIC BEACH , FLORIDA 32233 _'lass of Work:NEW ---•------ LEGAL DESCRIPTION ----- -- Constr . Type:WOOD FRAME Block' Lot : Twp: Proposed Use : SINGLE FAMILY Section: 0 Subd: Rng : Dwellings : 0 S>>rdivision: Est . Value: 0 . 40 Improv . Cost : 4 .40 Total Fees : 10 . 00 Amount Pa: l; 10 .04 Dat- paidQ ''11 'laa'J 4ork LL, 4 "?R IRRIGAT d fjRF-SES -- -- - -- OWNER INFORMATION -__. _._.__ ---- --- - APPLICATION FEES ------- ' ame° "FER KOQBA PERMIT Addr ` 1001 SEMINOLE ROAD ATLANTIC BEACH , FLORIDA 32 Phone: ' 904'1 241 ._948° ----- CONTRACTOR INFORMATION -- Name : L .N . WILLIAMS Addr : P . O. B(-)X 567 ATLANTIC BEACB Lit' i*x " Tvpe NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Ck"M t'�i3�,s2Cl�tG� ATLANTIC BEACH BUILDING DEPARTMENT By: FIT: S 10.00 APPLICATION FOR WELL PERM CITY OF ATLANTIC MACH FMPEFrTY WIER Name: x Day tee, 97ZS Address %� / (f��/� l��'l� Zip3 APPLICANT, U O= THAN OWNER Name _ Gil/i /�1OttS- Day Phone_F f` Address: a x � � i7%G �1�. /e: Zip 0-0 JOB / Address or Location: Legal Description: Is well to be used for drinking purposes? sG'fr_i Any person, individual, corporation or other entity receiving a perud t as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building deparment of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: I'agree to comply with regulations stated herein: gnature Date 11249 PSR-3844 DEPARTMENT OF BUILDING ---- PERMIT INFORMATION -- CITY OF ATLANTIC BEACH LOCATION INFORMATION -- Permit Type: PLUMBING ATLANTIC BEACH . FLORIDA 3223 Class of Work : ALTERATION -------- -- LEGAL DESCRIPTION --------- Constr . Type: WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FMLY(ATT) Township: RNG: 0 Dwellings : 1 Cede: 0 C'ubdivision: No.Atl . Bch. Estimated Value: $0 .00 Improv . Cost : $0 . 00 Total Fees : $850 .00 Amount Paid: 5850 . 00 Date Paid: 1/ 3/96 Werk Desc 11 3\4" Irrigation rieter T`kIATION ----- APPLICATION FEES ----- �_ddress: 1 '?5 SEMINOLE RD , WATER IMPACT FEE S1; , �TI:�,IfTIC BEACH , FLORIL SEWER IMPACT FEE SO .00 + � ( 904 249„Q19S WATER METER/TAP 5525 .00 RADON GAS-H .R. S SO .O 'RA"_TOR SNFORMAT I C: RADONCl �” WORKS DEPARTMENT' CAPITAL IMPROVE 5325 . 00 SEWER TAP SO .00 Addresst. CROSS CONNECTION S0 .00 FEC H ..1XP Tu License: T . , CONST . SURCHARGE 50 .00 SCHARGE/ATL .BCH . 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. DECKS ATLANTIC BEACH BUILDING DEPARTMENT 40y00003433300 By: r t CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : cJ CS_ S /:�D. OWNER OF PROPERTY :. U 6 ,J of 7— L �� PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS : _, / TELEPHONE: ?yCl— STATE LICENSE NUMBER: 2 �/ \ HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS — SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 .00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: A----------------------------------------------------------------` 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 PRIOR TO COVERING UP - ( 904) 247-5834 3:4" IRRIGATION METER BETSY KRIEGER 1901 SEMINOLE ROAD 1'241-1423 JOB COST RECORD DESCFlIPTION CITY. MATERIALS LABOR TOTAL 2" X 3/4" T.S PVC 1 3/4" CORP STOP 1 $10 — 3/4" CURB STOP 1 — 3/4" MALE ADAP —$G 3/4" SCH 40 PVC PIPE 10' $1 .40 3/4" SCH 40 PVC — o 3/4" X 5/8" METER 1 $85 m - 3/4" METER ENDS _2.—_ 3/4" RUBBER EASHERS — CONCRETE METER BOX/LI 1 $21 00 — SUB TOTAL -$143 .-4D- 10% 143 -4D-10% O.H. 14 34 TOTAL $157 .74 • 2 MEN.($27.45/HR) FOR 5 HRS. 137 25 .1 — 30% O.H. — 5/ 1 18 — TOTAL MATERIALS LABOR TOTAL , TOTAL $157 .74 $178 43 $336 . 17 MISC, JOB EXPENSES AMOUNT OTHER JOB EXPENSES $100.00 2 TRUCKS 10.00 HR OR H TOTAL COST $436. 17 TOTAL SELLING PRICE LESS TOTAL COST GROSS PROFIT LESS OVFRNEAO COST • •'. OF SELLING PRICE - TOTAL 100 00 NET PROFIT $436 17 L- �, ppR0VEU SEP 1990 CITY OF ATLANTIC BEACH T PUBLIC WORKS DFPAPT' Pizic's Quosmm I APPLICATION FOR WATER AHD/OR SEWER TAP APPLICANT NAME &=2L �-------------------------- MAILING ADDRESS-_- 06 NUMBER--- �L_1y�i 3----------- DATE----Ll.L 6--0------- SERVICE --- =--------------------------------- SERVICE LOCATION____/!_� DATE SENT TO DATE RETURNED Q _ TO BUILD. DPT. - PUBLIC WORKS ---------- DATE OWNER NOTIFIED--------------------- RECEIVED AUG 161990 ;PUB1,1C WORKS I CITY OF ATLANTIC BEACH No. 4632 FLORIDA June 5 198; NAME_ Pete Dowling ADDRESS RIO Third Street Suite A 2500.00 25E10stioU CITY _Nept11ne Reach 32233 9492 1A 61091 t'i3c 000cr 94 -12 IA 61f191 I V. Water Impact Fee #40-343-3700 $510.00 Sewer Impact Fee #41-343-5200 $2,070.00 $2,580.00 Log 10A & 10B Beachside 1901-1905 Seminole Road When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER DEPARTMENT OF BUILDING PERMIT NO. 8755 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD roe THIS PERMIT MUST BE POSTE S7 Date June 8 19 — Fee$ 59 00 — Valuation$ and is This permit not valid until above fee has been paid to City Treasurer, subject to revocation for CW WOODPLUMBviolation of applicable provisions of law IN 59 This is to certify that t all _lubin G75� .AEI�aC has permission to b Zone - i Classification Ne I Owned by S/D Beach Bside- Block Lot l0A-lOB m,n 1 Goad House No. 19 1� According to approved plans which are part of this permit ALL CONCRETE FORMS NOTICE— AND FOOTINGS MUST . IN SPECTED BEFORE POURINGG. I SIX PERMIT VOID MONTHS AFTER DATE OF ISSUE O Building material,rubbish and laced from this work Must atmosot be be cleared in public space, b either con- t hauled away Y , or � tier. I Z ` Building Official- CONTRA C OR PERMIT DATE FOR OFFICE NUMBER USE ONLY i, PLUMBING ELECTRICAL SEWER WATER 1,� '�i i • V.i 1,• �' ._ , i �,` ��111! 1 '. , CITY OF ATLANTIC-BEACH ,''•'''' ' APPLICATION. FOR PLUMBING PERMIT }�,F -00 l)0 z . -JOB LOCATION /3/ A041i PLUMBING CONTRACTOR14 r •E rt�•l .. , , ''l 1' ' � LICENSE NUMBERS '�g / -:s► ,;! '�fili• '� / �l� s7, is .•` } ,Q, OWNS BUILDING CONTRACTOR IT-f s _� 1,'TYPE OF BUILDING .. , til „-• .,• 1;,,. ,,►.1 �i ,Iii' {� 1 .. , •, ' 1, ' SINKS ; ! ;►! °j SHOWERS ! + ;, r' ►t 2 LAVATORY WATER HEATERS TUBS . . i; BATH DISHWASHERS R' i Vii, Sa, URINALS DISPOSALS ' i•�. ' ;. 1 .�•., .Y11 2 CLOSETS WASHING MACHINE • d ► „'►�'�(; FLOOR DRAINS i•j! t ;A* . r .,•:` • .(':,', OTHER !•,1 I, ,,i, ,,i:i.i 9• r+r�'1 r , ,• i�i+l�lij,'• � 1 F' �.r TOTAL FIXTURE -COUNT ,, FIXTURE , T �+,t;.,�;,• t'a�. 1s{ ;fi4.i�,; I l t ' ' ► 1 404 I� Y , ► '.•!) ' •I(!li��(tr1i`j •ir, • l 1 �•i1 �ta'�`A ` '',. 3 i1�•l,lt'f�1;iJ.l •. ' :(' i '• i�,��r• '' 1 i, ';', j, x'•1:!1•+i.,f.. , 1' . ►•'' Ilii� !•i�• •/�{!I ll' INSTALLATIONMUST ► Or PLUMI3INU AND'FIXTURES MUST' BE IN 'ACCORDANCE WITH ' '�`I'J ';,.TIIE MOST RECENT-EDITION OF THE SOUTHE -RN .STANDARD PLUMBING CODE. CITY OF Official R pttice of Built INSPECTION �3 V REOVEST FO Permit No. 4District No A.M. Date P.M Time Localit1� Received MEC AirCoHANICAL job Addres Contractor PLUMBING nd.& C3 . ELECTRICAL / Rough Heating C3 Owners ETE �1 Top out Fire Place Name CpNCR Rough yL Pre Fab BUILDING" � rooting Temp Pole 0 A M. Final P.M. Framing 0 Slab _ TION Re Rooting Lintel FOR INSPEC aY READY Thurs. WedA.M r P.M Mon. Final Tues. � r _e 1nsP�tion Inspection Made ' Certificate of Occupancy inspector Date CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT O 19� TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORKTH ATTACHED PLANS AND SPEAS DESCRIBED IN THE ING, SE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOMPSON ELECTRIC CO., INC. _ P. 0. BOX 50398 1ACKS,ONVILLE BEA,' G ` 1 MASTER ELECTRICI SIGNATURE JOURNEYMAN ELECTRICAL FIRM: NAME �� /✓ZC ADDRESS: i 'lLG�l2! RFD BOX BLDG.SIZE BETWEEN: RES.( ) APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. l 1 ADDITION ( 1 TRAILER ( 1 TEMPJ4 SIGNS ( 1 SQ. FT. FEE SERVICE: NEW INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE 7PTH C�O,PcPlE�R ( 1 ALUM-P-4 SWITCH OR BREAKERS AMSSINOLT RACEWAY EXISTSERVSIZE AMPS W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL CONCEALED OPEN TOTAL RECEPTACLES 31.100 AMPS. 0.30 AMPS. SWITCHES INCANDESCENT -- FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT 0.1 OVER MOTORS H,P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS r OVER 600 V. DEPARTMENT OF BUILDING PERMIT NO. 8753 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date�J�8_19 17- T �St� iS Fee$ 51N25CKT, Valuation$ 1& y $� 1 q VMS 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. ' lie�� n-_'•r� ;na BC006$34 i This is to certify that�r— 32233 0 ird Street Suite A Neptune Beach has permission to build DMplex Classification New Residential Zone R Owned by S/D u ^h c i a — Block_---- Lot_ R House No. 19014190 Sem n0le hich are part of this Per According to approved plans wNOTICE—ALL CONCRETE FORMS FOOTINGS MUST BE SPEDCTED BEFORE POURING. IN PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE O Building material, rubbish and debris �----� �♦ z from this work must not be placed in public space, and must be cleared up and �auled away by either con- to r owner. I Buil g official. t f: CONTRACTOR FOR OFFICE PERMIT DATE I NUMBER USE ONLY PLUMBING ELECTRICAL SEWER WATER Address Sc m l (Q �(,0�. \� $ �� • a er sq ft = $ � Heated Square Footage : i -Sersgft = $ ; Cara ed — 3 ( @ $ '' ,�� er sq ft = X991 9� Carport/Porch @ $ ': per sq ft - Deck - 4, @ $ per. sq ft $ ` Patio TOTAL VALUATION , . Tota a uation 1st $ L( 00 00 Recnainde Valuation I . )per thousan d or portion thereof $ 3�� ___________I Total Building Fee ------------ ADDITIONAL PM1ITS and/or ITCS REQU MED + 3- Filmp Fee $ ;L- Fireplaces @ 15.00 $ �� Mechanical i BUILDING IPEPMT FEE Plumbing ✓ - ; --____-- _ --------------------------- --- Electric/Neta '------------ Electric/Tenp BUILDING PERMIT $ �� Septic Tank WATER MEI'ER CHARGE Well — SEWER IMPACT FEE $ d�U & iinnf ng Pool WATER IMPACT FEE Sign ✓ MISCELLANEOUS Water Connection $ Sewer Connection $ Water Meter Elevation Certificate' —V-," GRAND TOTAL DUE $ � ------------------------------------------------------------ ------------------------------------ CALCULATIONS and/or NOJTES 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) _ _BATHTUB/SHOWER (2) ___-_URINAL WALL LIP (4) _ SHOWER GROUP PER HEAD (3) __0_FLOOR DRAIN ( 1 ) __'_SHOWER STALL DOMESTIC (,2) _C_LAUNDRY TRAY (2) ___LAVATORY ( 1 ) _�COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) _C-POT, SCULLERY SINK (4) DISHWASHER (2) -----WASH SINK EACH SET OF ----- FAUCETS (2) _c_%_KITCHEN SINK (2) _ ' _DENTAL LAVATORY ( 1 ) _2_KITCHEN SINK WITH WASTE � , ► GRINDER (3) _ _DENTAL UNIT OR CUSPIDOR ( 1) _ V_ _BIDGET (3) __URINAL STALL, WASHOUT (4) -FLUSHING RIM SINK (8) ___COMBINATION SINK AND TRAY WIT] -OFOOD DISPOS. (4) _URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) _____DRINKING FOUNTAIN ( 1/2) --t-LAVATORY, BARBER/BEAUTY SHOP (2) ___-_LAVATORY, SURGEONS (2) -0-SURGEONS SINK (3) __ ICE MAKER ( 1/2) O TOTAL FIXTURE UNITS___ @ $10. 00 EACH JOB INFORMATION ----------------------------- �OvE�tNMENT- - S 12030'50"W-- - 600.00 O! ' $ S 07°45'07.W.- 41.17' g 09.79' 8.90 ti m o g 3.01°59140"E._ 25.00' m 80 13' Z S 100.00' ,; m 0 1' r D Ir- w > J.c xE M,. • n O g 3.0005'23"E.- 0 W Ss.70' CD m CD :�.o 3 8.70, S g 8 00 00 „ _� 18 C 0 m 8 .6 a 70 J► r- 3.05045'07"E.- r 0. g g 81.2 6' co 46T m �O 104.24' " 8 3 oz°16'41"E- 14 51' 1 _ IOp pp q3 el°44'27"w.- ? p19.sp' D �g 3 2 34 So' _ T , R. r ) x CD IS t0000' � m o 1. to � ou C) hri O 100.00 co I r -- S Lvf9' -9' 00 - 412. 79' � aTN STRE 1 •4 - i ay�2�s�e•P/� - a ia ,20� 8 */! 71� a o•d• T#4�. 510. 0 .q i a�2�tR•P/W ��p �— �fid• � /3•d /Gi�4 /B,v / -O � w /O�0 ?L» I` 71 8 Tq� ?off 0 20'-0 50.0• w P• 'J Q � •• rr'o ��•rr� c • 5�J/tibLE ,�FAcN R.D. �/c►�'R/W) 1 . PLANS REVIEW CHECK LIST n� Load Owner ��1�� Y�1`Q��r�_---------- Legal Description-`I - ContractorQj4� _ Q�,lt`�_ ---- �$t({!1 ------------------------License Number��_d0�0$_,i_�___ License on File YE NO Section 24__10_1 * Zoning Regulations � /proposedZoning District__�__-�____ Required Lot Size__SD !N) /Actual Lot Size- Setbacks Required Provided Section 24_17 frontCORNER LOT INTERIOR LOT I r rearQ--- ----"--- I Flood Zone - ---------------- side-1 / Required Elevation Side-2 Max. Height Allowed_-35_----- Proposed Height........... Section 24-82 * Minimum Lot Coverage Required Heated Area 110D Proposed Area_324-(____ Section 2_4_16_1 * Offstre_e_t_ Parking Number Spaces Required_______ Spaces Provided ---Y------- Section_ 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed buildi ?1YE 4P lJ "L Utilities Water and sewer service is to be provided by: Buccaneer Utilities ----- City of Atlantic Beach Utilities Private Source SEPTIC TANK WELL Plans Reviewed by: --------------------Date_ Building PermitSSUED DENIED CITY OF AA OD 4&4akc /2�-994w4&� Office of Building Official 9REQUEST FOR INSPECTION Date 7 Permit No. " �� Time A.M. Received P.M. District No. Job Address � Locality D�O��j Owner's li'M Name Contractor BUILDING / CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing l- Footing ❑ Rough Wiring [� Rough ❑ Air.Cond.S Heating Re Roofing ❑ Slab ❑ Temp Pole Top Out �� Fire Place ❑ Lintel ❑ Final — Pre Fab R,WY /JFOR , INSPECTION A.M. Mon. Tues. )"'i" Thurs. Friday—P.M. A.M. Inspection Made P.M. Inspector Final inspection❑ Certificate of Occupancy Date CITY OF - IN S PEC T y4&,aa is Office of Building Official 7� REQUEST FOR INSPECTION y Date /© Permit No. 7 ,S— Time Time A.M. Received P.M. District No. 1,2 Job Address Locality Owner's tractor / 1 1 Nam �UILDIN CONCRETE ELECTRICAL PLUMBING ECHAN Framing Footing ❑ dough Wiring Roug ❑ Air.Cond.t£ Heating Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Fire Place Lintel ❑ Final ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. _ Wed. Thurs. Friday P.M. m - � 7 �a °a Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA S �� S Approved by APPLICATION FOR ELECTRICAL. PERMIT SS TO THE CHIEF ELECTRICAL INSPECTOR: DATE. �� 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. /yV- P-sp BILL THOMPSON ELECTRIC CO, INC. P. 0. BOX 50398Mrif.SLI'Lill Lf. BgAGH, FE ' (O JOURNEYMAN ELECTRICAL FIRM: MASTER ELE TRICIA IGNATURE NAM nii ADDRESS: [261 _/W)') -wlil FfIL)—BOX BLDG.SIZE BETWEEN: RES. APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. l 1 ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( 1 SO. FT. SERVICE: NEW 1 INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE —4&—7PH COPPER ( 1 ALUM 2- SWITCH OR BREAKER Z�© AMPS VOLT RACEWAY EXIST.SERV.SIZE AMPSW VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT __-- — 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 0_1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS _ __ _ l iwrncn ann v I I I I OVER 600 V. ! DEPARTMENT OF BUILDING 8754 ! CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO._ ILII PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 1 beOC T 1. 89,00CKT Date_June 8, 19 87 6094 1 Q 9/15/0 a U754 .Or,CA IValuation$ Fee$ 88.00 6J94 I A 9/15/0 s 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. This is to certify that Air Engineers,Inc. RA0015188 has permission to btlXX install heat/a�T Classification New Residential Zone RG-2 - Owned by Beachside Villa Inc. ! Lot IVIXAM 1OA-10B Block S/D Beachside I House No. 1901-1905 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 -n AFTER DATE OF ISSUE --� 4i O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and)hauled away by either con- t - 0 fawner. e 7 Building Official. FOR OFFICE PERMIT DATE G�ON2ACTOR USE ONLY NUMBER -- PLUMBING ELECTRICAL SEWER _ WATER 3 H BUILDING AND ZONING INSPECTIONIV D ISION �#49107 , CITY OF ATLANTIC BEACH r ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL•IN NUMBER IMPORTANT — Applicant to complete all Mems in sections I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING n / SubdivisionI /i f 11. IDENTIFICATION — To be completed by all applicants In consideralion of permit given for doing Ike work as described in Ike abcve state-emit we ke,eby agree to perform said work in accordance with the attached plant and speciGcaliont which are a pert hereof and in accordance —In Ike City of Jacksonville ordinances and standards of good.practice listed therein. Nave of Mechanical Contractors r Cowtracfor (Print) / j Master Nava of -property Owner S404fura of Owner Signature of or Arthwhad Agent Architect or Engineer 121- Ill. .GENERAL INFORMATION, A. Type of Mating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Q Elloctric THIS BUILDING OR SITE? ❑ Gas—❑ U ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ O,1 PERMIT ❑ Other — Specify IV. M9CH/.Nr.AL EQU1PM*4T TO 61 INSTALLED NATURE OF WORK (Prwi"e complete list of compoe"ts on beck of Mia form) IdsREResldentlal or ❑ Commercial O'14-14 ❑ Space ❑ Recessod ❑ Control ❑ now ❑ -New Building b�-�r/Conelt6oningt ❑ Room a-Eintrol ❑ Existing Building 8'5C? Systom: Matorial Thick.... ❑ Replacement of existing system Maximum capacity �'7�Q c-f m ❑ New Installatlon(No system previously Installed) ❑ Refrigeration Extension or add-on to exic!Ing aystem ❑ Cooling }ower Capacity9•P-m <] Other — Specify Fire sprinklers: Number of hoed. (3. Efwator ❑ Menlift ❑ Escalator (number) • THIS NAC} POR OFFICE USE ONLY Cl : Ge"IM pumP4 (number) ❑ Tanks (number) Remeris ❑ IK. contains (number) ❑ Unfired pressure vowel ❑ ioiwra Permit Approved by Doh ❑ 0ow — Specify Permit F.. LIST ALL EQUIPMENT &) AIR E!9ND11116NIND AND REFRIOP ATION P.QUIPMENT �_Pk1�Y roving Number Vn1t. Description y[od•1 Number 3[anufac[urar (Poon Jtsoaay BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. 1. /2 LOCATION Street Address: OF Intersecting Street$: betweenSGr ns��/ �� s And BUILDING Sub•divislon � �•�� II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the -oil as described in Ike abc,e statement we hereby agree to perform said wort in accordance with the attactUd plant and specificalions which are a part hereof and in accordance wiin the Gly of Jacksonville ordinances and standards of good.pracfice listed therein. Nasse of Mechanical r -1 Contractors Contractor (Print) L �� M•Ifar �Cl'�- Nesof IV ' �- •Propap.rty own.$ 16 Si7natun of Owner Sign•fure of Bir A$rtborkad Agent k��.� .{A Architect or Engineer 111. GENERAL INFORmATt6N A. Type of Iseating fuel. B. IS OTHER CONSTRUCTION BEING DONE/ ON ,n p—Eflectric THIS BUILDING OR SITE i --T ❑ Gets—❑ LP ❑ Natvrel ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT 75.-3 ❑ ONsor — Specify IV. MVCHANICAL EQUIPMiNT TO BE INSTAILM NATURE OF WORK (►rwisle eernplete IIM of cornpo#~h on beck of Mis form) Residential or ❑ Commercial 13� -Heat ❑ Space ❑ Recessed 0 Cantrel O Floor f —i;i. Building 0-�'-Air Conditioning: ❑ Roo �Contral ❑ Existing Building (a}�ct System: Materia Thick ❑ Replacement of existing system Maximum capacity c.f.m l9"'New Installatlon(No system previously Installed) ❑ Extenslon or add-on to existing system �^,ts Rofrigontion ❑ Other — Specify ❑ Cooling tower: Capacity ❑ Fire sprinklen: Number of head. ❑- Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USA ONLY Cl Gasoll" pumps (number) (R�pejreJ) ❑ Tanks (numbs) Remar✓<t ❑ LPG conteinars. (number) ❑ Unfired pressure ve," ❑ Wiliam Permit /Approved by Dam Q 0lfsor — Specify Permit FoA LIST ALL EQUIPMENT AM 1g9ND11MONINO AND REFRIOERATION P.QUIPMENT ap�t�Y Appy Number Un1L Deacrtptlon Model Number ][anutactur•r (TT`bonnaa AroCy 1 eVY BESr CAROLINA LUMBER COMPANY LUMBER - PLYWOOD - HARDWARE - PAINT - BUILDING MATERIALS POST OFFICE BOX 4669 JACKSONVILLE, FLORIDA 32201 575 PHELPS STREET TELEPHONE 355-7501 7 70 T yrs a� 1�si �rliGx`J,Q l�v�tv`' i✓•e'�sa.ers2e�Y� �0 /�r�/1C�3�®cam 9 /.�lic.r,iG1T� � ?tar ✓/��ie�� /f�fCY'�v�'/O.��v'� Notary Public, State of Florida at Large zxe� — My Commission Expires February 18, 1991 Bonded thru Agent's Notary Brokerage SERVICE CHARGE: CAR0 PAST DUE INVOICES LIN STORE NG• 1 SUBJECT TO 1'h% r PER MONTH OR uY SES), #1 CHARGE SALES PER , ANNUM INVOICE 2 24 1 1��1G LUMBER• PAINTS• BUILDING MATERIALS SALESMAN Office and Warehouse 575 Phelps Street PHONE (904) 355-7501 MAILING ADDRESS: P.O. BOA 4869 JACKSONVILLE, FLORIDA 32201-4 69 DELIVER TO SOLD 1 //"� ADDRESS TO 1 NAME OF JOB SALESMAN_ DFIVER&TRUCK ORDER NO. DATE�SO D y '-7 DATE DELIVERED ORDERED BY 77''x) I , 1 I - 1 I i 1 I I 1 1 , I , 1 1 1 t � I t I I 11 I i I � I i I I s �-- CURB LINE DELIVERY IS SPECIFIED, DAMAGES TO SIDEWALKS, DRIVEWAYS, BUILDINGS, TREES. LAWNS, TOTAL I 1 —� ETC.,OR TO OUR EQUIPMENT,ARE AT OWNERS RISK. -----------!"�'— IMPORTANT ALL CLAIMS MUST BE MADE IMMEDIATELY.NO CREDIT WILL BE ALLOWED OR REFUNDS MAD`—UNLESSTHIS TICKFT SALES I ,I MATERIAL CREDITED 10% UNDER PURCHASE PRICE TO COVER DRAYAGE. IS RETURNED WITH CLAIM RETURNED TAK I RECEIVED ABOVE IN GOOD CONDITION I i I 1 22481 X PILE OPY y SET DU CHARGE: C�TTO SJORE No. 1 PAST DUE INVOICES SUBJECT TO 114% PER MONTH OR 1 CHARGE SALES 18% lw � /r� r INVOICE - 22482 PER ANNUM � LUMBER a PAINTS• BUILDING MATERIALS --19-- =7 SALESMAN Office and Warehouse 575 Phelps Street PHONE (904) 355-7501 MAILING ADDRESS: P.O. BOX 4666 JACKSONVILLE, FLORIDA 32201.468 Vtt /4 C DELIVER j� E� C t. f G� t,J SOLD C Cj ADDRESS TO NAME OF h• JOB DASOLD DATE DELIVERED ORDERED BY SALI�."N DRIVER&TRUCK ORDER NO. � I 1 q I C/ 1 1 1 I I I I 1 I 1 I - I I { { //( WHEN BEYOND CURB LINE DELIVERY IS SilECIFiED, DAMAGES TO SIDEWALKS. DRIVEWAYS, 3UILDINGS, TREES, LAWN- SUB r� ETC.,OR TO OUR EQUIPMENT,ARE AT OWNS *RISK I I OTAL ; IMPORTANT ALL CLAIMS MUST BE MADE IMMEDIATELY.NO CREDIT WILL BE ALLOWED OR REFUNDS MADE UNLESS THIS TICKET IS RETURNED WITH CLAIM RETURNED MATERIAL CREDITED 10% UNDER PURCHASE PRICE TO COVER DRAYAGE. SALES -- TAX i RECEIVED ABOVE iN GOOD CONDITION i 22482 _ FILE COPY------------- ----- � -- -- s i N D D m D M 0 < O < O m m 0 C m n C m . m zD O D D. r �� O w ------------------------------ D c D D K < 00 I' rn n OC r m m z m y D o f I z o f dC) D ryry mF Aj O � ` I CA V 9■ j� CITY OF fQ+Gl4a4c /SP.GCLi-vt4 Office of Building Official REQUEST FOR INSPECTION Date Permit No, Time A.M. Received p,M. r No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑/ Rough Wiring l Rough ❑ Air.Cond.& ❑ Slab Imo,( ❑ Re Roofing ❑ Temp Pole Top Out Heating Lintel C Final Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tu Wed. Thurs. Friday P.M. A.M. Inspection Made P.M. Inspector Final Inspection❑ Certiticate of Occupancy Date CITY O��F 4&4^4.0 Office of Building Official REQUEST FOR INSPECTION _ Date Permit No. V Time I A.M. Received P.M. District sr/.2R-- I Job Add res city Owner's Name /A—." Contractor L BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough Com/Air.Cond.& O Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Fire Place O Pre Fab READY FOR INSPECTION Mon. Tues. Wed._ Thurs. Friday Inspection Made Inspector Final inspection❑ Certiticate of Occupancy Date INN %Lw ifiratr of Orrupaurp CITY OF oataf & &4ds- R46i" Epparfmpu# of +Vuilding Jnopprtiou 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 various ordinances regulating building construction or use. For the following. Use ClassificationNew Residential Bldg.Permit No. 8753 Atlantic Peach Group Type Construction Frame Fire District.. -- Owner of Building Reachside Vi11as,Ing.,, __ 810-A Third St. N.B. 3223 Building Address 1905 Seminole Road,_.c,lity_ _Beachside _ Rene' Ani S Tanuary 9, T998 Building Official Date:— T�— POST IN A CONSPICUOUS •LACE i BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested : January 9, 1988 Building Contractor: Heywood Dowling Building Permit Number: 8753 Address: 1905 Seminole Road Legal Description : Lot 10B Beachside 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 Duol ex ----------------------- Lowest Floor Elevation: ---------- ------------- ---------- required as built n/a Sales Tax Certificate: --O- '--T1 ___ date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: B Fire Chief 1/9/88 __ Public Works --- 1/9/88------ --- -2 � _ -- Planning Director 1/9/88______ --------------- Building Inspector __1/7/8g________ elft ►��1�`1�� p9 �f the So'�thl anc,wtth the L Sect,oa l as inti e0,nf cytt5 of w o the fequifelyt ce this st7uctuthe fa110ty t o tate 140 issued purthat at the ttifie fistructio,t or use r a\ae4°"..tyC 08 Set B• �Z tLf, e Ptlan t� gt This der certifyin6 building P i ildin8 Cad es 7e�ulattnb X131 ID 5ttv", 4 de gu ardina,\c eslde� ame F�T� various .`4 R � FT Zn�,aa�e55' Bi 19/ isle R,p`a\,"�'rarva �xce�C�is Se�ino� GtO Q O ' �neto8 1C��1' , t�aac`55 'r S �••``��u� VO aa, + BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: .January 9, 1988 Building Contractor: Heywood Dowling Building Permit Number: 8753 Address: 1901 Seminole Road Legal Description: Lot 10A Beachside 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 -----Duplex------------- Lowest Floor Elevation: _________ _ XXXXXX required as built n/a �V Sales Tax Certificate: __________ ____________ date bmitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY. Fire Chief 1/9/88 Public Works -_-?- --- - --- --- 1/9/88 Pl i i Planning Director �� S 1/9/88 ---- ------- Building Inspector __-_17/88 i CITY OF 716 OCEAN BOULEVARD _ P.0.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 January 9,1988 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #5527-- -1901 Seminole Road Permit #5528----1905 Seminole Raod v"Permit #5530----1977 Seminole Road Permits issued to Bill Thompson Electric Company. Permit #5532 -2331 Oceanforest Drive West Permit issued to Bivins Electric Company, Sincerely, U Rene' Angers Community Development Director RA/tb CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028954 Date 9/02/04 Property Address . . . . . . 1901 SEMINOLE RD Tenant nbr, name . . . . . . SIDING Application description . . . SIDING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 14345 Owner Contractor KREEGER, R.WAYNE&BETSY OWNER 1901 SEMINOLE ROAD ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee 52 . 50 Issue Date . . . . Valuation . . . . 14345 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total 52 . 50 52 . 50 . 00 . 00 Grand Total 157 . 50 157 . 50 . 00 . 00 r PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. JUIL'hkfNG OFF L . . �si-,j a CITY OF ATLANTIC BEACH SIDING PERMIT APPLICATION Date: VO2 /d ev Job Address: Owner of Property: Cc- T S,� Address: 1'101 y e��,. al c- �c( �i� ;�c e-Ae�. FL Telephone:/ Legal Description: Block Number: Lot Number: /0 b Zoning District: 96: " Siding Contractor: 414 n R�r►'�ocicl i.�J J�e- Contractor's Address: /D 3 C�/�11 moo<< Ko fi d /--z Telephone: -) 70 - 0 6 ff 6 Fax: (-)70 GS 6 ct 3 II Describe proposed use and work to be done: Qct��c L / s ¢ 1A n el, o`> Ly;r h cep► i w ALO ni✓.r fZ " N6-`j i5-1 -3 Present use of land or building(s): Jil �Ifr✓}fi '/Y Valuation of proposed construction: l41.3 41 S— v c is approval of Homeowner's Association or other private entity required? I U L" If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Step 1. Attach detailed information on product to be used. Step 2. Attach details concerning attachment of product,i.e.,fasteners,etc. I hereby certify that all information provided with this application is correct. Signature of Owner: ��" , Date: I hereby certify that I have read and examined this application and know the same 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: / 3/A 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Page 1 Revised 1/17/03 ence regarding this aPPhcation(please print). Address and contact information of person to receive A all correspond � Name: ��11 w Uo --3 CI dA�l p 6 t 3 Mailing Address: Far �7U ?© - 06� Telephone: �20 AS TO OWNER day of s— Sworn to and subscribed before me this State of Florida,County Of Duval Notary's Signature* Personally known DAVID J.ABRAHW Produced identification produced .... Type of identification P COMMISSION#DD 138284 +: ExoIRES.July 3icunnderw s NOWY AS TO CONTRACTOR: �- -� day of , before me this Sworn to and subscribed I ' State of Florida,County of Duval Notary's Signa KELI Y I-CURRY Ones C3 Personally known ��l� JS L Pow �' V COMMISSION#DD identification ,• M Decenher 28,205 Produced EXPIRmS:Nou+v�u��unaenv tars `Type of identification prod u '�OFfl 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •6ttP:1*WW,Ci,BtI2nhf-he8Ch,fl.us Page 2 Frvi,6fi1 I jl J/Ill Cc: CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENT L HiHig�g r SSl J. U06f� 800 Seminole Road Atlantic Beach,Florida 32233 N (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 0LI Property Address: Applicant: Or_ Project: S� This permit application has been: Approved x Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: �Ik Date: v6 12 6 bl 5 M11C RETURN Book 12016 Page 1389 NOTICE OF COMMENCEMENT State of r,a Tax Folio No. County of ®r.1 i//l To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: �� `t Ur.( j,5 -j,6 . F�ichS,cr'�- jo; X08 � KI Address of property being improved: NO � JCC--'�''�,3Q j� iCe d 6,Az-�, !' General description of improvements: J r d r io'Z k t--Q/MI 4 Owner: A r T�-r K/1 L=L�i L Address: I qo j S�'�r�r nus l c r. 7Z- AJ s r � �L Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: L�d^< 0 V L '- 0 t+ Ger e C�c L/iJ �iJ Pfd Address: ewoa�l e r�cl 244 YY OJ I", I/If 4' Telephone No.: cj0y - ,) 70- UGC(( Fax No: qb`r -J-76- ! '23 Surety(if any) Address: Amount ofI)nocj 1 12016 Telephone No: Fax No: 389 Name and address of any person making a loan for the construction of the improvements Fi ed & Recorded 08/31/2004 01:44:57 PM JIM FULLER Name: GtERK LIRCUIT U-URT DUVAL COUNTY Address: f 5.00 Phone No: Fax No: TRUST FUND f 1.00 CADDITINL ss0$ Name of person within the State of Florida, other than himself, designated by owner upon whom notices or o er dbcumen ay 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: �1 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 J/ Signed: ` Date: DAVID J.ABRAHAM z Before me this day of _in the County o Duval,State MY COAIMISSIUN x D' 335284 p y aPP�e o: EXPIRES:Jury 31,200E Of Florida,has ersonall d '''.?'••NQ° PrTtruNdaryVub4c�^d � Notary Public at Large,State o�F`ot2�o�n'ty Duval. �r P'.,.• My commission expires: or Personally Known: Produced Identification: CITY OF JACKSONVILLE BEACH 2004 - 2005 OCCUPATIONAL LICENSE CITY CLERK'S OFFICE 11 NORTH THIRD STREET JACKSONVILLE BEACH, FL 32250 PH (904) 247-6250 FAX (904) 247-6256 License furnished pursuant to Jacksonville Beach Code of Ordinances, No. 95-7628, Chapter 15. Display conspicuously at place of business BUSINESS NAME: AlA CONSTRUCTION & REMODELING LICENSE NUMBER 05-10387 7E-- PENALTY TRANSFER 110 . 00 $ .o $ . o CLASSIFICATION: 1521 RESIDENTIAL CONTRACTOR LICENSE RESTRICTIONS: HOCoo-00100166 OFFICE/NO EMPL+CLIENTS/#CRC057792 VALID FROM OCTOBER 1, 2004 TO SEPTEMBER 30, 2005 CITY MANAGER CITY CLERK LICENSE PE IALI T The City of Jacksonville Beach is Committed to the Citizen. First Class Service for First Coast Customers MAILING ADDRESS BUSINESS ADDRESS 103 OAKWOOD RD JACKSONVILLE BEACH FL 32250 AIA CONSTRUCTION & REMODELING 103 OAKWOOD ROAD JACKSONVILLE BEACH FL 32250 AC#15 2 7 2 01 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L0408090078 .• - LICENSE NBR i 08 09 2004 040120299 CRC057792 The RESIDENTIAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. i Expiration date: AUG 31, 2006 STEVENSON, CARL HOWARD AlA CONSTRUCTION & REMODELING INC 103 OAKWOOD RD JACKSONVILLE BEACH FL 32250 JEB BUSH DIANE CARR GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW AC# 10 014 4 6 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION i CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L0308070186! - LICENSE NBR i 08/07/20032=0 030082369 B0016744 The BUSINESS ORGANIZATION Named below IS QUALIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2005 (THIS IS NOT A LICENSE TO PERFORM WORK. THIS ALLOWS COMPANY TO DO BUSINESS ONLY IF IT HAS A QUALIFIER. ) AlA CONSTRUCTION & REMODELING INC 103 OAKWOOD ROAD i JACKSONVILLE BEACH FL 32250 i DIANE CARR ! JEB BUSH SECRETARY GOVERNOR DISPLAY AS REQUIRED BY LAW r 08-11-2004 TOM GALLAGHER STATE OF FLORIDA CFEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION **CERTIFICATE OF EXEMPTION FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION NIS This certifies that the individual listed below has elected to bee L) EFFECTIVE ff �" Florida Workers' Compensation Law . DATE: 09/05/2004 ** EXPI A tfwl 006 J PERSON: STEVENSO M FEIN: S ti AN BUSINESS..!W; ONSTRUCTION & REMODELING INC NitSSS: 103 OAKWOOD RD JACKSONVILLE BEACH FL 32250 SCOPE OF BUSINESS 1 - CERTIFIED RESIDENTIAL CONTRACT OR TRADE: IMPORTANT: Pursuant to Chapter 440 . 0 5(14), F .S . , an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter . DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-04 QUESTIONS? 1650) 413-1609 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES F DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY O CERTIFICATE OF EXEMPTION FROM FLORIDA _�, D IMPORTANT WORKERS' COMPENSATION LAW �'+( ` EFFECTIVE: 0910512004 ** EXPIRATION DATE: 09/0512006 A, H Pursuant to Chapter 440.05(14), F.S., an officer of a PERSON: STEVENSON y E corporation who elects exemption from this chapter by filing FEW 5 541 � ' �� R a certificate of election under this section may not recover N DDELIN E benefits or compensation under this chapter. J 0 ONVUE BEACH FL 32250 SCOPE OF BUSINESS OR TRADE: 1-CERTIFIED RESIDENTIAL CONTRACT QUESTIONS? (850) 413-1609 CUT HERE * Carry bottom portion on the job , keep upper portion for your records . DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-04 W Z �• O p m LL o � . ww �- a _ o03u 1D Ic a x cmc o LU Q �c �vN'- X x St x W Zit m i zo a0 — —fV l l II III I I I 1 --A i I I II III I I i I I I I I 111 I I I I 11 III I I I I II IIi I I I r II III 1 1 I I __ _j -J I II III I I m M I I II III 1 1 I I c _j C) v L ' _ ---- --- - - - v mt �� o 0 �= o I I I m e °�° M I I EMA CO I I Jw 4D m I I I m Cl -_ I I Y ratoo I I I I I c m rn _ c io rOM as m O ac� m E c,19 O O 0)0 0 C N S N ad O ^ io W cO4c x O 0 w N C N U 2 U XX v LL w x¢ W o N�` V Q Q rOAW4)ADE COUNTY,FLORIDA MM I� MFMO-DADE FIAGIER BUIIDING BUIIAING CODK COMPLIANCY OFFICE(BCCO) 148 WEST FL mL RI FLORIDA,SUITE 1603 1563 PRODUCT COMMOL DMEON MIAMI,FLOR33130-2908 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA) CertainTeed Corporation. 803 Bilden Road Jackson,Michigan 49203 SCOPE:This NOA is being issued under the applicable roles and regulations governing the use of construebort dais.The documentation submitted has been reviewed by Mian-Dade County Pmdixt Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Iurisdiction.(AHI). This NOA shall not be valid a$ta the expiration daft stated below. The Mian-Dade County Product Control Division (In Miami Dade County) and/or the AHI (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the mqmw of such testing and the AHJ may nrmwdiatety revoke, modify,or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Mian-Dade County Product Control Division that this product or material fails W meet the requirements of the applicable building code. This produd is approved as described herein,and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION:Fiber Cement Siding. APPROVAL DOCUMENT:Drawing No. 10SBC00164B0000-C through 10SBC00164B0007-C,titled:Fiber Cement Panel,Fiber Cement Plank,Fiber Cement Random Square Shapes and Fiber Cement Soffit Installation Details",sheets I tluoaugh 8,prepared,CertainTeed Corporation,dated 01/24/02,signed and sealed by J.D. Mitran,PE,bearing the Miami-Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Mianu-Dade County Product.Control Division. MISSILE IMPACT RATING:Large and Small MiNsHe Impad LABELING:Each unit shall bear a permanent label with the mamrfactutees name or logo,city,state and following sit:"Miami-Dade County Product Cantel Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no ebange in the applicable building code negatively aug the performance of this product. TERMINATION of this NOA will occur after the expiration date or if thm has been a revision or change in the materials,use,and/or manufacture of the product or process_Misuse of this NOA as an cndorsememi of any this NOAlureto P1Y product,for sales,advertising or any other purposes shall automatically terrmnate with any section of this NOA shall be cause for termination and removal of NOA. followed by ADVERTISEMENT: The NOA number preceded by the wards Miami-Dade Courcy, Florida, and the expiration date may be displayed m advertising literature. If any portion of the NOA is displayed,hien it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the=quest of the Building Official. ,I This NOA consists of this page 1 as well as approval document mentioned above. The submitted documentation was reviewed by Candido F.Font PE. NOA No 0240503.01 Expiration Date:April 24,2008 Approval Date:April 24,2003 Page 1 [enanTcW orooration. NOTICE OF ACCEPTANCE' EVIDENCE SUBMITTED (For File ONLY.Not part ofNOA) A. DRAWINGS 1. Drawing No. lOSBC00164B0000-C through l OSBC00164B000?-C,titled Flber Cel Panel,Fiber Cement Plank,Fiber Cent Rand,oni Square Shapes and Fiber Cement Soffit Installation Details",sheets 1 through 8,prep,CertainTeed Corpomt1°°,dated 01/24/02,signed and seated by J.D.Mitran,PE, B. TESTS Signature Report Test Date 01.AT-01-42883.01 ASTM C1185 03/11/03 A N. Reeves PE. 02. RT-1 1168-98 ASTM C1185 02/27/02 B.I. Ogawa PE. 03.HETI 01-1058 TAS 202 08/28/01 H. M.Medina PE. 04.HETI 01-1021 TAS 202 06/06/01 H.M. Medina PE. 05. HETI 01-1000 TAS 202 06/01/01 H.M.Medina PE 06.HETI 01-1036 TAS 203 06/22!01 H. M.Medina PE. 07.HETI 01-1072 TAS 202 09/06/01 H.M.Medina PE. 08.HETI 01-1035 TAS 202 06/22/01 H.M.Medina PE. 09.HETI 01-1023 TAS 202 06/01/01 K M Medina PE. 10.HETI 01-1060 TAS 202 08/28/01 K M. Medina PE. 11. HETI 01-1000 TAS 202 06/01/01 H. M Medina PE. G CALCULATIONS 1. Fasteners calculations prepared by Jose D. Mit w*sheets 1 through 19, signed and sealed by J.D.Mitran PE on 04/21/02 D. MATERIAL CERTMCATIONS NONE E. STATEMENTSpEdated 1. Code compliance and NO-Financial interest leissued ed by Jose D.Mitmni, , 04/21/02, signed and sealed by J.D. 14Iitrani,PE. Candido F.Font PE Sevier Proded Control E=aminer NOA No 024)503.01 Lrpkation Date: APn124,2008 Approval Date:April 24.2003 E-1 . m . � ci m si ate • � � y` �8- w T 3 p • � � S r � aa $c pm F � o m $� a 3Lt cSam •.�� > �� qi S mp� � Qo ID-bf LL X 113 LL LL a vs U 75 E $ m�$ i a� a OD p !s— N n i 111 i. q I cc � °p 1:2 '° d�Fina4as � � � n� e�. V LL83 °z civ o '$m ¢ c A Eqs 03 $Ys -�•�aril _ d a� LLL3_w a8 &L c►- >� c5 3 E ci ci v L6 (6 11 go,Q aN m d lop LL m Q X� dy • pco Nm X C Z ■ F7� F— V 0 �o LL N O i. W �� i 3aS c�cS {p ` m C VdL p . W Wim\ W cocol 0. OD I I '°Ln E v p r in �— it zi ° ° � s F — -- -- -- -- -- c� 3 u �- -- -- -- -- -- x ;;s m I E S. � Ny -C �m CD E a �— -- -- -- -- -- � " x to mt • //0' > m mm 'v v m I �w Q I I ui I — -- -- -- -- —_� � ci — -- -- -- -- — I p8 i I E � ; a� �— -- -- -- -- — 8 8 cn co I I _i x � rm et0 N Z� UU �m I 1 _ x m 9C11 IL Nm ��— -- -- -- -- --� � L CLT 3I 3Nw Exterior Products Group Technology Cantor CwteinTeed Corporation Jk M 49M3 CertainTeedM 517-780-3185 FAX 517-787-1740 nelj.se)dm@s*d-gobein.com January 2,2004 Product Compliance Field Memo Re: WeatherBoardsT''Fiber Cement Siding North Cambia Product Applications In an effort W address specific WeaftwBoards'FibW Cement siding application recommendations for building projects in the State of North Carolina,a summary table has been prepared oudkiing allowable wind bads and installation heights for various lap siding sizes and fastener combinations. The attached table titled:'CertainTeed Weatherboards Fiber Cement Lap Siding Summary',dated December 26,2003,has been prepared, signed and sealed by North Cardin registered engineer Progressive Engineering, Inc. This table may be utilized in determining the fasteiiing recommendations of WeatherBoardsT''Fiber Cement Lap Siding for building projects of heights and in locations with wind speed requiremerrts as listed. In conjunction with this table, applicable requirements outlined in the Weatherl3oardsm Fiber Cement Siding Installation Guide must be followed.As with any building project,always the consult the local building codes and ordinances for product applicability. If you have arty questions regarding this information or the use of the summary table,please contact us. Sincerely, Neil J.Sexton,AIA Product Compliance Engineer CertainTeed Corporation Attachment %%%% It-*.# (v) 9 If ;4i atm '0nm111% 0 t ! I Cc- st It IJ Ael ;. . 5 z - xx x x r CO CIO (, LZ Al Z Zlz Z ' . T ti h � M I I FJLE Doc # 2007176671,at OR PBK M14005JIM LLEReCLERK�CIRCUITrCOURTsDUVAL COUNT RECORDINGd $10.00 — NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of FLORIDA _ County of DUVAL 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: 42-14 09-2S-29E SEACHSIDE LOT 10A BLK 1 - Subdivision 4162 BEACHSIDE, Section / Township / Range: 092S29, Official Record Book and Page:11493-0957,Map Tile:9409 _ Address of property being improved: 1905 SEMINOLE RD ATLANTIC BEACH FL 32233 General description of improvements: ROOFING Owner. TI885 PAMELA ALLISON Address: 1905 SEMINOLE RD ATLANTIC BEACH FL 32233 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Address: Contractor H.C.Fouraker,Inc t) Address: p0 Box 50828 udmo tviile Beach FL 32240-0828 Phone No: (904)813-3308 Fax No. 1904)249-8807 Surety(if any): Address: Amount of bond A Phone No: Fax No. Name and address of any person making a ban for the construction of the improvements: Name: Address: Phone No: Fax No. Name of person within the State of Florida,other than himseB,designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No. In addition to himseN,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2) (b),Florida Statutes.(Fill in at Owner's option.) Name: Address: - -- — Phone No: Fax No. _ Expiration date of Notice of Commencemerd (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 O Signed: Data: a5„2s o7 Before me th _ day of 2 7 In the County of Duval,,State.of Fllorrida,has perso ly appeared Q /GGK�3 1 M WOLFGANG pJyyyy,y r, J"x'�{YrA iMISSION*DDb7641 Na.2.2W9 R d`lW Nolary Large;State of Duval My Commission expires: /I Cbz ao07 Personally Known k or Produced Identi cation CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Buildin�deptgcoab us Application Number . . . . . 07-00000713 Property Address Date 5/23/07 1905 SEMINOLE RD Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED ----Application valuation . . 8270 - Application desc------------------------------------------------------- RE ROOF ------------------------------ Owner Contractor TIBBS ------------------------ ------------------------ H C FOURAKER INC 1905 SEMINOLE ROAD 8957 ADAMS WALK DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 ---------------------------------------------- Permit . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee Issue Date . 00 Expiration Date . 11/19/07Valuation . . . . 8270 ----- ---------- ------ -------------------------- Fee summary Charged Paid Credited Due ---------- ---------- ermit Fee Total 70 . 00 70 . 00 Plan Check Total . 00 . 00 . 00 Grand Total . 00 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. vL`J CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD _ ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 rJlil 9r INSPECTION EMAIL REQUEST: Building-deptcoah us Application Number 07-00001655 Property Address 07-00001655 Date 12/10/07 E RD Application type description Property Zoning MECHANICAL ONLY Application valuation TO BE UPDATED. ------------------------ 0 ------------------ Application desc -- ------------------------------------------- 1 cu 1 ahu ------------------ Owner --- ------------------------ Contractor TIBBS, PAMELA ---------------- 1905 SEMINOLE ROAD NORTHEAST FLORIDA HEAT & AIR ATLANTIC BEACHP-O• BOX 60533 FL 32233 JACKSONVILLE FL 32236 - (904) 389-7458 ------------ ----- Permit ---- MECHANICAL PERMIT ------------------ ______ Additional desc . Permit Fee 87 . 00 Issue Date Plan Check Fee . 00 Expiration Date Valuation 0 - --------------- -------6/07/08 ------ Fee summary Charged - --------------- __________ Due g Paid--------------------------------- ----------------- ---------- � Credited Permit Fee Total ---------- __ - 00 . Plan Check Total 87. 00 . . 00 . 00 00 . 00 Grand Total 87 . 00 . 00 . 00 87 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. � rp S' r� CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: - Property Address: I RASA no% Owner: \ .,obS Telephone #: Contractor:�pg�� 5ipr;,a r Telephone #:_:1 8 3'1 Oct 3 Contractor Address:_,S�g 1 ,,,4,,,� Z.22-z— Fax #: '7 S2. 1� 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. Type of Heating Fuel: If other construction is being done on this building Electric or site,list the building permit number: ❑ Gas: _LP Natural Central Utility ❑ Oil ❑ Other--Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE.OF WORK / Heat _Space _Recessed 1Central Floor -/ — >a Residential L'J Air Conditioning: _Room _(Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfrn C3 Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm C3Fire Sprinklers:Number of Heads 13 Existing Building ❑ Elevator: __ Manlift Escalator umber Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tank (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel_ ❑ Boilers ❑ Extension or Add-on to Existing System ❑ Gas Piping ❑ Other-Specify, ❑ Other-Specify LIST ALL E UIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Tou's Agency Z 04p `mavx HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description `1 Model# Manuf L=rrler/� G BTU's Agency r'ryw� 1 Vn� 11tA46 0V(] V LI TANKS Nominal Capacity Type Liquid How MaSerial Approving n� &Dimensions Contained Manufacturer No. Agency 800 Seminole Road . Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.cLadantic-beach.fl-us PREPARED 10/09/03, 8:09:55 INSPECTION TICKET PAGE 10 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 10/09/03 ----------------------------------------------------------------------- ADDRESS . : 1905 SEMINOLE RD SUBDIV: TENANT, NBR: KITCHEN/BATH REMODEL CONTRACTOR FASANELLI DEVELOPMENT CO PHONE (904) 614-1999 OWNER TIBBS, PAMELA PHONE (904) 614-1999 PARCEL 169542-0538- - APPL NUMBER: 03-00025985 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------ --------------- PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP SCRIPTION TYP/SQ COMPLETED RESULT ESULTS/COMMENTS ------- ---------------------------------------------------------------- 16 01 10/09/03 LJH ---------------------------------------------- PERMIT: PLBG 00 PLUMBING PERMIT SUB: SHAWN ORRS PLUMBING INC. (904) 616-3523 REQUESTED INSP DE CRIPTION TYP/SQ COMPLETED RESULT R SULTS/COMMENTS ------------------------------------------------- 45 01 10///09/03 LJH - L'k -------------------------------------- COMMENTS AND NOTES ------------------------------ PREPARED 10/09/03, 8 :09:55 INSPECTION TICKET CITY OF ATLANTIC BEACH PAGE 11 INSPECTOR: LARRY J HIGGINS DATE 10/09/03 ------------------------------------------------- ------------------- ADDRESS . : 1905 SEMINOLE RD SUBDIV: TENANT, NBR: REMODEL CONTRACTOR BROOKS & LIMBAUGH ELECTRIC PHONE (904) 241-9051 OWNER TIBBS, PAMELA PHONE PARCEL 169542-0538- - APPL NUMBER: 03-00026190 ELECTRIC ONLY --------------------------------------------------------------------- PERMIT: ELEC 00 ELECTRICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------- -------------------------------- 3 01 10/09/03 LJH - ---------------------- lb ---------------------------- --------------------------------- COMMENTS AND NOTES ------------------ PREPARED 10/09/03, 8:09:55 INSPECTION TICKET ' CITY OF ATLANTIC BEACH PAGE 1 INSPECTOR: LARRY J HIGGINS DATE 10/09/03 ------ ______ ADDRESS 1905 SEMINOLE RD ---------------- CONTRACTOR AIR NOW SUBDIV: OWNERLEE, ROBERT PHONE (904) 278-0335 • : PARCEL 169542-0538- PHONE - APPL NUMBER: 02-00024965 MECHANICAL ONLY ------------------------------------------------------------------------- PERMIT: MECH 00 MECHAVRESULT ' REQUESTEDSCRIPTION TYP/SQ COMPLETED SULTS/COMMENTS ------------------- --------------------------------------- 4 01 10/09/03 -------------------------------------- COMMENTS AND NOTES --------------------------------------