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1917-1921 Semimole Rd (vault) �S r rf�'• , CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000613 Date 5/01/09 Property Address . . . . . . 1917 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6325 ------------------------------------ Application desc REROOF ------------------------------------- Owner Contractor ----------------- _ ------------------------ WHITEHEAD, TERRY R.L. HAINES CONSTRUCTION, INC. 1917 SEMINOLE ROAD 130 UNIVERSITY PARK DR. ATLANTIC BEACH FL 32233 SUITE I 25 WINTER PARK FL 32792 (407) 384-1908 Permit . ROOF PERMIT Additional desc . Plan Check Fee . 00 Permit Fee 65 . 00 . Issue Date . . . Valuation 6325 Expiration Date . . 10/28/09 ----------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- - Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Y -T; CITY OF ATLANTIC BEACH 09— I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ro OFFICE:(904)247-5826•FAX NO.:(904)247-5845 It<' BUILDING-DEPT@COAB.US `- J BUILDING PERMIT APPLICATION DUVAL COUNTY - Q Ie/ ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOTV 6 BLOCK " SUB DIVISION 6x(162 Ac,--eA �- ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL -. - -_ -'- �, �:,:.:" ti,... ; -' tly��= �ALTERATION ❑ACCESSORY BLDG. •&(Ft, ...: <...e,{ .: /1 ❑REPAIR POOL/SPA ❑YES ❑NIA j4 41tJ1 A11 . s(,/f_ ❑MOVE ❑OTHER ONO 9.NAME: 15.COMPANY NAME 23.COMPANY NAME: /2.C. 4-4—c t rJ /LooPr15 t, J / 16.NAME: 24.LICENSEE NAME 7 . I ,c�•� l �'t•,t�LST (v-� a I G4 r.4 L� (4wt 4 CJ 10.ADDRESS: 17.STATE OF FLORID LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: (k 11 Sen�.ln•(� n�• CCL vS &SY 18.ADDRESS: 26.ADDRESS: 2235 necn.�•rn 11.OFFICE PHONE: 12.FAX NO.: 19,FFFICE PHONEa'o� 20.L NO f��f�1 27.OFFICE PHONE: 28.FAX NO 13.CELL PHONE: 211.CELL PHONE: 29.CELL PHONE. 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 31 NAME /x W 33.NAME: •14. 35.NAME: / 32.ADDRESS. 34.ADDRESS: 36.ADDRESS. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. * WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. O NER or AGENT CONTRACTOR Signed: –O/Date: [7 Signed. Date: 2009 in the county of Before a this day of ✓ ,2009 in the c unty of Before me this day of �' Duval,State of Florida,has persona ly appeared Duval,State of Florida,has personally appeared I . herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Not Public at Large,State of n, . County of N tary Public at Large,State of —,County of 6L Personally Known Personally Known — ❑Produced Identification- ❑Produced Identification- Notary Signature: r Notary Signature: ry KATHLEEN ANN CASEY s ANGELA VESCOM-BRITO 0. ra�aasuaacauaauaaacs+'nmcuaeouaaaaaaaaaua� 1....p MY COMMISSION#DD834501 Cortsm#DD0676201 EXPIRES:OCT 27,2012 ?� h � Expires 911312011 BLDG01 Permit Appi�catiori's g:R&P_4�thfpu(�120d6tate Insurance �'!; '- :.,,e� .�oe:' Florida Notary Assn.,Inc aaauaa iaaataing er.as uaa R-o"B" ue� NOTICE OF COMMENCEMENT State of �2C jC`- Tax Folio No. County of ✓(-,Vu.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: yZ—I y 01 - 2,1 �- Address of property being improved: el I-? �G/k t�1�� tij General description of improvements: 1 k i^ q(<- /?,-- A U o/Z Owner: Address: 3 2 Z'7 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: f Contractor: I I l- /Z W�n 5 G L - Address: '123I /k��,G ti `0^- 04'"- ep Tel hone No.: 1r�7— I P (— I 1 Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: 5 Before mhis day of Y7 in the County of uval,State Doc#2009103443,OR BK 14860 Page 2232, Of Flo i a,has personally appeared Number Pages: I Notary Public at Large,State of Florida,County of Duval. Recorded 05/01/2009 at 02:35 PM, 2U z- JIM FULLER CLERK CIRCUIT COURT DUVAL My commission expires: D or COUNTY Personally Known: RECORDING$10.00 Produced Identification: e�.�, IFHSCOIA _RIT_ O 0 C MY COMMISSION#'OD834501 EXPIRES:OCT 27,2012 '�� Bonded through 1st State Insurance .F., DEPARTMENT OF PUBLIC WORKS My- 1` 1200 SANDPIPER LANE s ATLANTIC BEACH,FLORIDA 32233-4318 `41 TELEPHONE:(904)247-5834 FAX: (904)247-5843 SUNCOM:852-5834 ; - =---• http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # 03 - ,--2 z� Applicant: :G r-,o , Iry �-, :s5Ort Q e Address: 1 1 ,7 Project: _tLP C1C) re e r ��r,<, o Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. )4-Your permit application has been reviewed by the Public Works Department and the following items need attention: _ 0 , 10epin4 4e j�Qj'nCP&xdde td L*rnrl,1W �ssrlance v� o�`� Please submit these requirements to the Public Works Department,. 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Robert S. Kosoy, P.E., Director of Public Works �s Date f T .tune Notified Datec-0- d 3 CITY OF ATLANTIC BEACHR E C E I '� E l C BEACH � CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WPY Af` T�6�8fEqEg 904-247-5800 v 800 Seminole Road } Atlantic Beach, Florida 32233-5445 1 DEC o 2V03 904-247-5845 I n f Date 1-G,�-y,G 2 PERMIT'# ISSUED BY THS CITY n, ✓r ' Job Address Permitee: "Ly`�h ' Telephone# Permittee Address I c) �� �� ' Requesting Permission to Construct: rnlJd G C©�^ G'� Ve(��ace /C.�►'�C �'G � ev s . �n c.��,4��-f; o ti � �-C da►,-� o�., �©vV � � I r..��.�l av�v Location: (Refe ence to Cross-Street) 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: No Date: ?te a Jacksonville Electric Authority Yes ( ( ) �� Bell South Telephone Company Yes No ( ) Date: < Date: Ferrell Gas Yes o 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 BeC�r FlQrids Department of Transportation Standards and be performed under the supervision of A . S(�," (Contractor's Project Superintendent) located at -3IIQ '-rt , t ) Telephone#: 3 '96 • Q& 11 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 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 upon completion. OW CJt��_ ate: Sign7em Dn�CtLV " Befois ayof in the Count of Duval, State Of Florida.,has personally appeared T�II I-Y /- ��QR�� l� Notary Public at Large,State of Florida,County of Duval. My commission expires: 3 -3/` 0�' ya, MIA EEN KING Personally Known: — or ,_ My COMMISSION#DD 095080 Produced Identification: pro L � - l 0-5 - O7_ p: d EXPIRES:March 31,2006 -�•P,f'tia'` Bonded Thru Ndary Pudic UnderwMsfs -�.-p�•o ��• IIII III i .:. W StA.:rS • www u�k 1-0 v �xdS h1e,� Pads vet �vevS. w _ he esigner's— — LANDSCAPE Qi With Gary Alan M � SHOWING SURVE OF LOT e a BLOCK ! ' 1-6E4 u 1'�,IDE : ., ACCORDING TO MAP RECORDED IN`PLAT BOOK: 4Z PAGE 14,1aA,14e 14 c OF THE PUBLIC RECORDS OF DUVA L COUNTY, FLA. SCALE: I"= 20 FOR PEC-KEY 13UILc)(E7 GZS DATE 9/zl/0 i o T 3 i o T 4 c Lir o T 5 Sj�rYS�. --, -�- ------ �'�a`ii ry Fuo )fie• 1 a. Ill Fuo �p,9R. d N I.1 40.0 PIAT) 40.0"LCF.H� Gu6.� 400. PLAT ut 01117 - +� ST .. 12" -)C?41104rt E , m" J 7, 5EWE2S, WATGQ 1 UTI(_Izr1 pr 4 L -t. A ow• . - �O T ;j f3 F � 7� ).�. ..•r' •� 1.S C �' ^ � .wood. ,,��t7 Y`d/.. i. . p Z- �sTo� , I r k.� LJ) I r o L O T 94 (, T K)4. 19Z-1 (� u 1J 1 9 17 sTi1 s a s 7. -P l 1 Q 9.9 i' '' i .r �.i.a Z I � I�Z � u N CD CvaV.1 ;cu z Lam �fi m.� 4� - 4 i2R�5 s 1 } I r1 L .'P..� 111.'7' ;.T.-S 1(i�7 2 L r:,i•� 7 S �``� 1713 ry., r( E='``NT -tOr STOr1M DRAINAGE, a►OI�`Aft 'tt, .• Si,lcc0� a �iE WEf15 . WA 7E•1? Ur,l Lt l"1ES ... r r 2 UC) "r�• V I} 4 O D (PL A'r i F.M -__ _.--tip-- se,^;s•'1 � 1`1 . OCA��3 iq E O L E P EAC l-� C7,4 D I�1 � 7 S EM PAGE 12 PREPARED 9/18/03, 8:07:21 INSPECTION TICKET DATE 9/18/03 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS ----------- ------------------- SUBDIV: ADDRESS . : 1917 SEMINOLE RD TENANT, NBR: REPLACE EXTERIOR POST, PHONE (904) 270-0696 CONTRACTOR AlA CONSTRUCTION & REMODELING PHONE OWNER WARREN, DORY PARCEL 169542-0532- - APPL NUMBER: 03-00026581 RESIDENTIAL ADD/RENOVATE/ALTER ------ ----- ------- ---------------------------- PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------- 10 01 8/13/03 LJH BD FOOTING TIME: 08 :00 8/13/03 w 0792 13 01 8/28/03 RAMING TIME: 08:00 8/29/03 0792 16 01 9/18/03 INAL TIME: 08:00 0792 -- COMMENTS AND NOTES ---------------------------- PAGE 12 8:20:40 INSPECTION TICKET DATE 9/19/03 PREPARED 9/19/03, INSPECTOR: LARRY J HIGGINS ----------------- CITY OF ATLANTIC BEACH -- --------------------------------- SUBDIV: ADDRESS : 1921 SEMINOLE RD TENANT, NBR: RE-PIPE 16 FIXTURES PHONE (904) 241-4131 CONTRACTOR STYLES SMITH PLUMBING PHONE OWNER JONES, RAYMOND E. PARCEL 169542-0530- - APPL NUMBER: 03-00026658 PLUMBING ONLY ----------------------- PERMIT: pLBG 00 PLUMBING PERMIT DESCRIPTION REQUESTED INSP RESULTS/COMMENTS _________________ TYP/SQ COMPLETED RESULT -------------------------- --- 45 01 9/19/03 LJ L FINAL TIME: 08:00 RING DOORBELL SEVERAL TIMES 249-8048 ----------------------- -- COMMENTS AND NOTES ---- PAGE li INSPECTION TICKET DATE 8/28/03 PREPARED 8/28/03, 8:57:43 INSPECTOR: LARRY J HIGGINS -- - _____ CITY OF ATLANTIC BEACH -------------------- ------------------ ADDRESS : 1917 SEMINOLE RD TENANT, NBR: REPLACE EXTERIOR POST, PHONE (904) 270-0696 CONTRACTOR AlA CONSTRUCTION & REMODELING PHONE OWNER WARREN, DORY PARCEL 169542-0532- - -------------- APPL NUMBER: 03-00026581 RESIDENTIAL ADD/RENOVATE ALTE -------------- PERMIT: BLDG 00 BUILDING PERMIT DESCRIPTION REQUESTED INSP TYP/SQ COMPLETED RESULT RESULTS/COMMENT _________________ -------------------------- 10 01 8/13/03 LJH BD FOOTING TIME: 08:00 8/13/03 AP 318-0792 8�2 3 JH B FRAMING TIME: 08:00 13 01 � 8-0792 COMMENTS AND NOTES -- ------ ------------ PREPARED 8/13/03, 8:18:54 INSPECTION TICKET PAGE 11 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 8/13/03 ---------------------------------------------------------- ADDRESS . : 1917 SEMINOLE RD SUBDIV: TENANT, NBR: REPLACE EXTERIOR POST, CONTRACTOR AlA CONSTRUCTION & REMODELING PHONE (904) 270-0696 OWNER WARREN, DORY PHONE PARCEL 169542-0532- - APPL NUMBER: 03-00026581 RESIDENTIAL ADD/RENOVATE/ALTER ------------------------------------------------------------------------------------------------ PERMIT: BLDG 00 BUILDING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RES LTS/COMMENTS ---------------------------------- ---------------------- 10 01 8/13/03 LJH FOOTING TIME: 08:00 18-0792 --b`�- ---------- COMMENTS AND NOTES -------------------------------------- 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: 18976 Address: 1929 SEMINOLE ROAD Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION _ Date Issued: 10/14/1999 Name: FEIGEL, DEBBIE GRAVES Total Fees: 83.00 Address: 1929 SEMINOLE ROAD Amount Paid: ATLANTIC BEACH, FLORIDA 32233 Date Paid: 10/14/1999 Phone: (904)247-3731 J Work Desc: DUCTWORK, CEILING RPR, NEW LIGHTING,DRYWALL RPR, TILE RPR, ETC. CONTRACTOR(S) _ _ __ _ _ APPLICATION FEES _ ROBERT D. CLARK, INC. PERMIT 83.00 i i I I � Ii Inspections Required — ---- - — —1 COVER UP FRAMING INSULATION FINAL BUILDING NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. _ $83.00 14 c r Date: 10/18/93 01 Receipt: 004210 CHECKS 2 000 — — 010 003221000 AT NTIC BEAC BUIL T. CITY OF ATLANTIC BEACH ?ERMiT CALCULATIQN SHEET Address �y� N!/ic90L F �l.��i1Y6a Date �(� l`l ' 22 Heated Square Footage �T- @ $ per sq ft S— Garage/Shed 0@ $ per sq =t 5 Carport/Porc= is S _per sq ec.' l� S per .7q i' T0TA.i. VALUE:_`_ N . �� �©� •- CIO Tcta Va ouLati on 1st $ � cIQ, QO OoO _ a Remaining Val '?e �aa Der thousar_ or portion the_eo_ TOTAL BUILDING FEE S + 1/ 1- Filing Fee Fireplaces @ BUILDING PERMIT FEE S _ . OTS WATER IMPACT FEE SEWER IMPACT FEE WATER __=TER/TAP _-- --- CAPITI%L IMPROVEMENT a _ SEWER TAP S 1 RADCN (HRS) . 0050 S SECTION H PAVING HYDRAULIC SHARES S CROSS CONNECTION S ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES: Mechanical Plumbing - Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR aER IONS MOVING, DEMOLITIONS City of Atlantic Beach Building and Zoning Owner(s) Job Address: Phone: Lot #�_ Block or Unit 1 Subdivision: Contractor:�0 ��� I State Licen's7e��C�y t Address .a� U! 64 , Phone No:Z4-7- O K ) 1 CitJV—ECA—State f C.- Zip Code.�o Descrioe work to be done:�ul� 11VOrk� (,'-21��q( �e1a1.1�, In ' t .n r '•r . Ch Present use of building: ��I 't� -- Valuatio: of Proposed Construction - Proposed use: � L4 Is this an addditioon?_Id� If ,res, what are the dimensions of the added space: ft. X ft. Will the added area be A heated and electrical (o increas ) ? �i ,-1-res - r 'L�S� cooled? New er .,1ec New plumbing fixtures?� New fireplace?M_New Heat/AC?� SUBMIT THREE (CCMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FO NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF WNER I ONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: Date: �D// 2Z AS TO OWNER: Y e e me this da of � la Sworn to and - jcry�liopklbb *my Commission CCe11107 Expires February21,2003 NOTARY P BL AS TO CONTRACTOR: �g , 1999. Sworn to and subscribed before me thisa day of llC�( — 0 B L I C V*MyCWW4WW CCe5 M '?N,.,Expires July 27 2003 CITY OF ATLANTIC BEACH St J 800 SEMINOLE ROAD r� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026581 Date 7/29/03 Property Address . . . . . . 1917 SEMINOLE RD Tenant nbr, name . . . . . . REPLACE EXTERIOR POST, Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2500 Owner Contractor - ------------------------ ----------------------- WARREN, DORY AlA CONSTRUCTION & REMODELING 1917 SEMINOLE ROAD 103 OAKWOOD ROAD ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 270-0696 ------------------------------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee 45 . 00 Plan Check Fee 22 . 50 Issue Date . . . . Valuation . . . . 2500 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 i BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. a4 BUILDING OFFICIAL CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT 800 Seminole Road J �r Atlantic Beach,Florida 32233 (904)247-5800 u,i (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # OA- ZCpStd 1 Property Address: . /9 ) 7 'S m i n o/e tZL Applicant: 1,jt9 6 ti n c Project: Jre,�tc� r F P ��ri�� ��c� ; Lod hrj This permit application has been: Approved El Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: MJ SHOWING SURVE C� LOT 8a BLOCK c 1-�EAG u -3 DE q� 14,14A,14e,14 c OF THE PUBLIC RECORDS OF OUVA L COUNTY, FLA. ACCORDING TO MAP RECORDED IN PLAT BOOK PAGE 87 SCALE: I"= 2-0 FOR �El_KEY hjUl(__pC RS DATE i 77 o T 3 t_ o r 4 rlb ' �y 5. 00 3I ' O E-• 1y 17 -- .... � — 404001(F-)" N Q�� 'Pt_ar f F.hti�l % auo y9 - - ESn1 .1 Fcr, 5T 2M (-)RAIn1AGE �.• �:nn,11AC�`r' SEWERS, W476�' t 1.!T11-I'r1E`•� 4 Plalva-re) •r li u.,Woo fi ► "• _. N/0O v 6 7' woo0 J n �T '4.1 4.1 4j,�' •O 0 99 Zns to.g • e r Q •� o d O IN O T 9 A / IN)° 192-1 W 17 It � v • , " 99• 7.i s V y� 1 _� 9 Q 0 0 Q C'� l -- - ,^ -tor -roR D"JOAGEI .aNllAf1`Y; 1"S.Ib" WA7E.r1 UT il-1ES gr•,cco� a,/' >EWE1•ZS � 1� / 1 _..\- -• �?�� � '��� PLA"► S A4 C). lrLA•r s Fw1 40.0 - - ---u-._..-.o —, SET ,L'.1 ►�J O� 3 I OD' LR. lSE7 y2-'re. l,o ,919 �j E IVO BEQcu ROa O 5 MIN. RETURN _ PHONE 4A page 459 NOTICE OF COMME eE!�gE�142 State of FZ- Tax Folio No. (rj County of 0 a vA L-- d` To Whom It May Concern: C� 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. Q0 Legal description of property being improved:_/6 i 4o Address of property being improved: / r1 1'7 General description of improvements: < < c r 4--A rcA?►CrZ c5 Owner UJ'V LJJ Address: 1 q 1 r7 ,,j 4 //,%rn)e�F3,Z 3 3 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Address: Contractor: 6,1;17,euc iow E�''vtic(rN� Sw� Address: /D .- 0 A►�c.0cue cl Itcl fr},�. A e r-, FL 3112 s .� O Phone No: 7Q - OG r6 Fax No. 4-70 06 2 3 Surety(if any): Amount of Bond$ Address: Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax Na 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(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone 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): Docil Book: 141 if244 1 03 THIS SPAgfjj4�ER'S USE ONLY O NER 07/26/2003 02:40:16 PM Signed: - 0. --Date: 11 JIM Ft11 M Before me this o2 day of 70� 3 in the County COLERKW IRCUIT CART of Duval, State of Florida,has personally appeared : 1.00 j-). � w A 4 AI RECORD TRUST �D S 1.00 Notary Public at Large, State of Florida,County of Duval. COPY FEE ; My commission expires: Personally Known: L/ or Produced Identification: DONALD W.BERGMAN,JR. MY COMMISSION#DD 222626 EXPIRES:June 20.2007 '•5 " BoudedThruNotary poiicundervOters STRUCTURAL INVESTIGATION REPORT THE WARREN RESIDENCE 1917 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA JULY 9, 2003 ht. 5 FOR: CARL STEVENSON APPRO Al A CONSTRUCTION CITY OF A,L„ BUILDING +CH OfFICE BY: 'AUL 2o �uu3 NADEEM G. ZEBOUNI, P.E. 200 EXECUTIVE WAY, SUITE 216 PONTE VEDRA BEACH, FLORIDA 32082 ZZ NADEEM G. ZEBOUNI, P.A. TZ n1 904 285-9890 O Fax: (904) 273-4254 STRUCTURAL INVESTIGATION REPORT REPORT NO: 01 REPORT DATE: July 9, 2003 PROJECT : Warren Residence YOUR REFERENCE: New Column 1917 Seminole Road Atlantic Beach, Florida OUR REFERENCE: 3046 CONTRACTOR: Al Construction OBSERVED BY: Nadeem G. Zebouni, P.E. ITEMS EXCHANGED: Photographs and copies of original construction documents from Stevenson to Zebouni ( see attached Exhibit"N' ). OBSERVATIONS AND DISCUSSIONS: The base of the existing built-up 8"x8"wood post has settled where the roof is cantilevering over the entry. This was due mainly to the presence of unsuitable or improperly compacted soil and/or lack of a footing under the post. The owner was given the choice of hiring an independent soil test laboratory to perform a penetration boring in order to determine the subsurface solid conditions under the existing walkway slab. The owner declined with the understanding that potential settlements might occur again in the future after rebuilding the existing built-up column and the new footing, especially since walkway pavers will be added after the settled post is repaired. CONCLUSIONS AND RECOMMENDATIONS: Based on my past experience, site photographs, and the contents of this report, it my opinion that the built-up 8"x8"wood post must be rebuilt and secured to the existing grout-filled CMU pier at its base, but the top of the post must allow for potential future settlements as shown in the section in attached Exhibit"B". In conclusion, if a new footing is cast and the built-up wood post is rebuilt as shown in attached Exhibit"B", the repair will meet the current applicable Florida Building Code criteria. If y ha any questions or if I can be of any further assistance, please let me know. 1ii ere r - . Z un1, . P NG :tjv\ Atta hmeNMI.( 200 EXFr JTI`" WAY. SUITF 216 PONTF VEDRA BEACH. FILORIDA 32082 1 MAII.:NZebouni@aol.com - ti- - OF NEW FOOTING l B/U U'—OD POST - TEMPCRAR` :,PORE EXISTING 2X' n 16' c/c. TO REMAIN f, 1T4CT _1i '� T I l;_,-1 3 ? HR,.CBOLTS. 2 IN SLOTTEC "^LES i I IN - it EXISTING 2 --- 2 -,,F WOOD HOLE oll BEAM n T REBUILT BALI 0"'," WCOD i — - -- — — — — i POST 4 FURRED '7EILING - NEW THIG<, 6' WIDEXII NEW 4Y.4 WCr- COST --�� I '%?' DP ND G Lv. PL. EA. SIDE OF NEI:' 4X4 WOOD NEW 'ABU44' PCS:T BASE POST e EXI �'',NG WITH 58'� T�iPaDED I I I HEADER. ANCHOR 4 'ET' `PO 'Y — 2-SLOTTED HOLES BY 'SIMPSCN' DOWELED �- - �� 3 FOR '/z' BO TS MIN. 4' INTO NEW CONG. r-OOTING EXISTING GROUTED CMU CV `IER TO REMAIN INTACT. LEAVE EXISTING: CONC. WALKWAY SLAB, INTACT, T/ EXISTING ':MU PIER MATCHES SLAB ELEV.'-TION 1@ FOYER _ -- NEW 12' DEEB' X 20' WIDE NEW 1 i I-_III.III-111- CCNC. FOC""'S WITH 2- "5 EACH -i I II i I II I II I II I I WAY BOTTC' _I I I__I I I 10- 10 Amm&],� WARREN RE5IDENC–F SHEET wN "• '- - ZEBOUNI, P.E. 1911 SEMINOLE ROAD, < '; , FL TI7i rnT4)?85-gel-Po a n,. ,N-A 1 233-4754 SCALE- 1/4' - "-0' e I JCB No 3046 D,,TE 72003 OF 1 I i "i rL�1 rJr� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 03-00026658 Date 8/12/03 Application Number - LE RD Property Address • . • • . - 1921 SEMIMINOIPE 16 FIXTURES Tenant nbr, name - PLUMBING ONLY Application description - • - TO BE UPDATED Property Zoning . • • • • • • 0 Application valuation . . . Contractor Owner ------ --------- JONES, RAYMOND E. STYLES SMITH PLUMBIN 1537 PENMAN ROAD FL 32250 1921 SEMINOLE ROAD FL 32233 JAX BEACH ATLANTIC BEACH (904) 241-4131 ----------- -----Permit - - PLUMBING PERMIT Additional desc . plan Check Fee . 00 Permit Fee . . . . 147 . 00 0 Valuation Issue Date Credited Charged Paid Fee summary g _----ue--- ---------- ---------- - ------------ 147 . 00 147 . 00 . 00 . 00 Permit Fee Total 00 00 00 . 00 Plan Check Total 00 . 00 Grand Total 147 . 00 147 . 00 r T NOT BE PLACED IN LIC SPACE,AND BE CLEARED BUILDING QED AWAY BY EITHER CONTRACTOR OR OWNER. "FATHIS WORK ILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN Up AND HAUL NS RESULT IN HE PROPERTY THIS P OWNER WNERRMIT PA INNG TWIECT TO REVOCATIION FOE FOR BUILDING RPVIOLA ON OFIAPPLICABLEOPROVISIONSOFRDING TO R AW.OVED PLA WHICH ARE BUILDING OFFICIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 'JOB LOCATION: 2 , OWNER OF PROPERTY: �y `n _TQ(\-e Q TEL. Z - g PLUMBING CONTRACTOR: S� CONTRACTOR'S ADDRESS: , S �� pp V'\ V-)rx C� j ��y STATE LICENSE NUMBER: C C g O TEL. 2 l HOW MANY OF OLLOWING FIXTURES RE-PIPE OR NEW SINKS -SHOWERS LAVATORY f WATER HEATERS _BATH TUBS __I___DISHWASHERS URINALS DISPOSALS 3 —CLOSETS _WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER _WATER �_RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: J_ C, _____X$7.00 +$35.00= MQNIMUM PERMIT FEE: $35.00 SIGNATURE OF OWNER: 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. INSPECTION TICKET PAGE 8/08/ PREPARED 8/08/03, 8:07:01 - DATE--- 0 -- INSPECTOR: LARRY J HIGGINS CITY OF ATLANTIC BEACH ------------ -------------------- --------------------------------- SUBDIV: ADDRESS : 2377 SEMINOLE RD TENANT, NBR: TH, 2194RADON,2711SCH PHONE (904) 241-1012 CONTRACTOR CLADDAGH CONSTRUCTORS, INC. PHONE (904) 241-5922 OWNER VAN CLEVE, ROBERT PARCEL 168908-8510- - APPL NUMBER: 03-00025680 TWO FAMILY RE SIDENCE ------------------- ------ ------------------- PERMIT: BLDG 00 BUILDING PERMIT DESCRIPTION REQUESTED INSP TYP/SQ COMPLETED RESULTRESULTS/COMMENTS ---- ----------------------- --_---- ------------------------ 10 O1 6/10/03 LJH BD FOOTING TIME: 13 :00 2375 and 2377 813-1728 11 O1 7/ LJ BD SL TIME: 08:00 7/11/03 AP VD 728 12 O1 8/08/03 LJH NTEL TIME: 13 :00 t - 813 1728 COMMENTS AND NOTES ----------- ---------------- ----------------------------------- } CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 oil 03-00027328 Date 1/08/04 Application Number 1917 SEMINOLE RD Property Address REPLACE CONCRETE W/PAVERS Tenant nbr, name RIGHT OF WAY PERMIT Application description TO BE UPDATED Property Zoning . • • • • . ' 0 Application valuation Contractor Owner ------------------------ ----- - ___ DESIGNER' S LANDSCAPE WHITEHEAD, TERRY 1917 SEMINOLE ROAD FL 32233 ATLANTIC BEACH Permit DRIVEWAY PERMIT Additional desc 70 . 00 Plan Check Fee 0 00 Permit Fee Valuation Issue Date Paid Credited- Due-- - Fee summary Charged Pai _ - - . 00 ----------------- -----70 . 00 70 .- -00 . 00 Permit Fee Total 00 00 . 00 Plan Check Total 00 70 . 00 70 . 00 00 . 00 Grand Total UST NOT BE IN MUST BE BUILDING MATERIAL,RUBBISH AN DEBRIS FROM OR OTHIS WORK R OWNER. I FAILURE O COMPLY WITPUBLIC TLHE CONSTRU T ON LIEN LAW CAN Up RE AND HAULED AWAY BY RESULT IN THE T OF THIS PERMITMIRANAD SUBJECT TO REVOCATION FOR VIOLATIONTOFISSUED ACCORDING TO APPLICABLE PROVISIONS FROW. PLAN WHICH ARE PART OF T BUILDING OFFICIAL i Cc: s1:Ly�l�� CITY OF ATLANTIC BEACH D. Ford ns `JSP BUILDING / ZONING DEPARTMENT s. toe s� 800 Seminole Road J V Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Q:j - 6ZV32-2?, 3zi?. Property Address: l 9 1 S e.m ,rnn i e- Applicant: J-_->P` A r) FL, p Project: oc''" n re Je tyI ;:�a izerrs T=Approved plication has been: Reviewed and the following items need attention: Please re-submit y,'ur application en these items have been completed. Reviewed By- d�.G/I1e , Date: CITY OF ATLANTIC BEACH _ R E r' &� I �`� E ,t CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AN0A$4EMENTS BEACH 800 Seminole Road 904-247-5800 Atlantic Beach, Florida 32233-5445 0 � �� 904-247-5845 Date +-GG 2 n?5 PERMIT DECv ISSUED Y THE CITY ( n� ✓r w! Job Address 17 15e Irri ----- Permitee: �L �/`��' T Telephone#_�LiF 3 5 7 Z Permittee Address I -7 Requesting Permission to Construct: lZe rnod G G'©r G'e "� v eplaCe �GrJ�'lLy �G �(CI(S . Ind CX)M i fV_t,_c.-E-i d ti 4D l P c Ara rle, 6D)- �C�vV � � l Yt�dzi �t w cv ' Ind 1B�r`' Sf Location: (Reference to Cross-Street) 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: 4�:'` -2-0 Bell South Telephone Company Yes ( No ( ) Date: Ferrell Gas Yes (,,)�ji'o ( ) 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 Beer Fl9rids Department of Transportation Standards and be performed under the supervision of /-� S (Contractor's Project Superintendent) located at cL& 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 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 r immediately upon completion. OWN Signed: �," ,— Date: (Z 0- (� Before m is day of 1)ec, P-02 in the Coiunty of Duval, aff7 ­ B=W State Of Florida,has personally appeared Z�Q..oT 1 t j a ieReN Notary Public at Large,State of Florida,County of Duval. My commission expires: 3 -31- O� MA EENFUNG Personally Known: — or MY COMMISSION#DD 095080 Produced Identification: F L- SQ - I 0-.5 - D 2 EXPIRES:March 31,2006 Thru Notary Public Underwriters i � A "RAO _ TYCLS •�cr}�'o.�• VIII III it . .'•. w S1a Yr WW,4 NJ �Yck. _TJ V � ot �eu1 �e� PxrJs �xds pAvevS he Designer's— - - —� T� LANDSCAPE With Gary Alan Mi ' SHOWING SURVE ' OF LOT 613 BLOCK 1 I-))EA C I UE ACCORDING TO MAP RECORDED IN PLAT BOOK 4Z PAGE 14,04.14e•14c OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLA. SCALE: I"= 2-0 FOR PIELKE'`r' e✓ DATE 9/z1 157 i 1 o T 3 ! L 0 T 4- 4 0.0 40.04001(cN) P' t 0.0 l ---- PUO;r� r \ ._...__- I.Q•A/L 1717 1 ST 2" (W410AGE �,n�irrAfelt' 5EWE25, WQTE 2 I ()TI(_Irjt—! 4 2 ��P14�Vt1'Y f. ) L O -t'- A w��� (� f3 T (3 _woo 0 34 1' o a e-, -- a p 7• STSP5 J 4.i 4.1 - ` O o 91) Zo5• toy. 3 � Q , 2- ST02- - O FQA ►--1� O T 9A 7 i � c r (, u tJ� 1917 O f Om � �, � 9y• �i' a O L O � l N O INN � N CD C'� z jLA� Ivy—L � I a I a Cp Lec uc ua tu: aea Paver5ustems Jax 904. 367. 1444 P. 1 PA V E R S Y S T E M S " $481 PhillipsHighway,Suite 7 Jfrcksonvil1e,Fivrida 32256 build oa as Phone*904.367.1555 pax•904.367.1444 Visit our website: www.paversystems.com Company: — _- - - From: , t� Attention: Date: 0 ce location: Office lom ion_ Pax number: Phone number. ❑ Urgent 7 Reply ASAP Please comment Please review For you,information Total pages,Including cover, Comments: Sponsored By Pa ver Sysirerns Dec 02 03 10; 52a Paver-Smstems .lax 904. 367. 1444 P-2 Paver Systems Master Specification for INTERLOCKING CONCRETE PAVEMENTS Section 02730 This guide specification should be edited to fit project conditions and requirements pavements subjece to vehicular traffic should be t'eslgned in consultation with a quolifwd civil engineer, in accordance with estabitshed flexible pavement iesign procedures Lockpave Pm 2002ei and Uni—Info-C4A design software as well as the Interlocking Corterve Pavement institute(ICPI)"Tech Spec"series are recommended for technical guidance.Notes are green on the use of a compacted aggregate base w4ar the bedding sand and pavers.Other base materia4 may be used.Permeable pavements involve acrolysis of rhe hydraulic design requirements and utilize aggregates for the base setting bed and joints different from the materials recommended herein Please contact our officefor mon inf+rmoeion on the design considerationsfor permeable pavements PART 1-GENERAL 1.01 SECTION INCLUDE A. Concrete paver units. B. Bedding and joint sand 1.02 RELATED SECTIONS A. Section:( J-Carbs and Drains. B Section.( )-Aggregate Base C. Section:( J-Cement Ttoated Base_ 0- Section:( ]-Asphalt Tccated Base. E, Section:( J-Pavtnwnls,Asphalt and Concrete. F. Section:[ j-Roofing N.aterials (i. Section:( ]-Bituxticu aid Ntoprcoc Setting Bod,Acrylic Fottiftod Mortar Setting Bed 1.03 REFERENCES A. American Society of Testi ig and Materials(ASTM): 1 C 33-Specification for Concrete AMegatcs. 2. C 136-Method for Sieve Analysia for Eine and Coarse Aggregate. 3 C 140-Sampling and Testing Concrete Masonry Units. 4. C 144-Standard Spec ificatton for Aggregate for Ma3onxy Mortar 5. C 936-Specification For Solid Interlocking Concrete Paving Unita. 6. C 979-Specification for Pigments for integrally Colored Concrete_ 7. D 698 and D 1557-Tt st Mothods for Moistrue Density Relations of Soil and Soil Aggregate Mixtures 8. D 2940-Graded Agg vgate Material for Bases or Sub bases for Highways or Airports. 1.04 QUALITY ASSURANCE A installation shall be by a:oritrsctor and crew with at least five year,;experience in placing interlocking concrete p-evers on projec is of similar size and scope. A. Contractor shall conform to all local,staWprovincial licensing and bonding requirements and shall hold a, or have received training according to,the ICPI Contmctor Certification program. 1.05 SUBMITTALS A. Concrete paver manufact urr's literature,product data and color chart. B. Five full size samples to mite 4olor and torture. C. Test results from an ind"adent testing laboratory for compliance of paving unit requirements to ASTM C 936 or other applicable requirements D. Steve analysts for gradini;of bedding and joint sand. 1.06 MOCK-UPS A. Prior to starting the wort_,a 10 lt.x 10 t area sbaU be installed as described in Article 3 02, B. This area will be used to determine surcharge of the bedding sand layer,joint sites,lines,laying pattcrn(s),and the color(s),and texture of the pavers to be used on the project C. This tare,shall be the standard from which the work will be judged and shall be kR un4isturbod until the work is conrptcted.Whe3ever possiblo.it shall be incorporated as part of the work. L Dec 02 03 10:52a PaverSystems Jax 904, 367. 1444 P. 3 Master Specification for late docking Concrete Pavements 1.07 STORAGE AND HANIJUNG A. Protect concrete pavers rnd accessory"arterials dunng shipment,%orage,and construction against staining and damage. S. Covet sands with watoq roof covering to prevent exposure to rainfall or removal by wind See:=the covorittg in place. C. Coordinate delivery and paving schedule to minimize interference with nomtol use of buildings 4accat to paving. 108 ENVIRONMENTAL CONDITIONS A. Do not install sand or pt vets dtmng heavy rani er snowfall B. Do not inatall sand or pt von over frozen base materials. C. Do not place pavers over f o?zn sated. PART 2 PRODUCTS 2,01 CONCRETE PAVERS A. Concrete pavers shall be r•rpplied by a Certified Producer member of the Interlocking Concrete Yavetnent Institute(ICPI)- The 1CP1 Suppher shall be: Paver Systems,LLC Went Palm Beach,FL(800)226-"004 Orisodo,FL(800)226-9117 Tampa,FL(800)356.7283 B. Product aamc(sy%hape(s),color(s),overall dizswnsions and thickness 3ba11 be: NAME SIZE THICKNESS Traditional Shapes/Finis res Holland Stono Pavor'"' 4"x 8" 718 2 3/8",3 118" Uni-Decors 5.5"x 9" 7/8",2 3/9",3 IX' Uni-Stones 4.5"x 9" 2 3/8",3 1/8" UW-Anchorlock® 8.9"x 8.87" 3 118" City SeriesTM 4x4 City Series 4"x 4" 7/8",2 3/8" *X6 City Series 6"x 6" 23/8- 8X8 3/8"8x8 City Series 8"x 8" 2 3/8" 12x12 City Scrica I2"x 12" 23181, C3ity)Xamond 11"x 9.25" 2 3/8" Symetry SquareTm 6 3"x 6.3" 2 319" Syntetry Stone m 4.4"x 10.8" 2 318" Clussico Uric Rectangle 4.5"x 6.75" 2 3/8" Squ:Te 4.5"x 4.5" 2 318" Circle&Faris N/A 2 31" MulriLNVk _ 5.5"x 637" 2 318" App►an-Sto—ne —Sgnsre — ` 6.3".63- — 7/8",2 318" Larle Rcctangic 6.3"x 9.4" 718",2 3/8" 3crichoT"r Small Rectangle 5.75"x 5" 2 3/8" Squire 5.75"x 5.75" 2 M" Large Rectangle 5.75"x 7.25" 23/8- Medium 3/8"Medium Rectangle 5.75"x6.625" 2 318" HtxagonT'a 12"x 12" 2 318" Cobble-LockT'r 7.37"x 9.5" 7/8",2 318" Key Largd` 6.5"x 8.875" 2 3/8" Enviuroaseental Pavers Turfstorrc 24"x 16" 3 1/S" 4" Ecostone 4.s"K 9" 3 118" Bullnoss Coping Paver 4"x 12" 23/8', 40 Dec Ue UJ 1U:52a Paver-Systems Jax 904.367. 1444 p.4 Master Speeifwabou for tate doeldog Concrete Pavements C Pavers shall be iCPI Ce lifcd to meet the following requirements set forth in ASTM C 936,Standard Specification for interlocking Concrete Paving Units. I. Minimum eompres:,ive strength of 8,500 psi with no individual writ tender 7,200 psi, 2. Maximum water sk sorption of 5%with no unit granter than 7%when Wsted in accordance with ASTM C140. 3. Freeze-thaw resistatce according to CSA A23).2-95. 1.02 BEDDING AND JOINT SANT? Note: The type of sand used for bedding a often called concrete sand.Slone sand that passes the following gradation requirements ore also acceptable.Limeslone screenings and stone dust generally are not acceptable and should not be used beeaus,r they can he unevenly graded and have an excess amount of material passing the No.200(0.075 mm)slew. Jni-Ecastone pavirmen t ragWre EcoGrsde FilO de m Samd rettforwimg to No.8 w Na4(2m m to Ann)wean graded stone for the bedding and jointing material, A. The bedding sand shall be clean,washed natural or manufactured concrete sand conforming to Table 1.it shall be iron-plastic and fi-e from deleterious or foreign matter. Do not use limestone screenings or stone dust that do not conform o the grading requirements in Table 1. More: When concrete pavers ar a subject to vehicular traffic,the sands shall be as hard as practically available. if the hardness is questionable.Por the application(usually heavily trafficked thoroughfare).contact the ICPI for information and specifications on assessing bedding sand durability under heavy rraf is loads. Table I Grading Requirements for tteddJug Sand ASTM C 33 leve.hlis percent,)'assir.sa, 3/8 in.(9.5 tum) 100 No.4(1.75 rutin) 95 to 100 No.8(:..36 mm) 85 to 100 No. 16'1.Is mss) 50 to 85 No.30(0,600 mm) 25 tow No.50(0.300 mm) 10 to 30 No. 100(0.150 tam) 2 to 10 .Wote: Bedding sand may be m d far joint sand. However,extra effort in sweeping and compacting the pavers may be required in order(v cv zpletely fill rhe jotnts. ff jo:nr sand other than bedding sand is tired,the grodotions shown in Table 1 ar c recommended Joint sand should weer be used for bedding sand, 13. The joint sand shall conf ion to the grading requirements as 6hown in Table 2 below: Table 2 Grading Requirements for Joint Saod ASTM C 144 Natural Sand Manufectuted Sand iev ?erecta passing Fount Fassina Ko.4(4.75nnn) 1 W 100 No.8(2.36 Aim) 95 to J00 95 to 100 No. ib(1.18,nun) 70 to 100 70(o 100 No.30(0.6%mm) 40 to 75 40 to 100 No.50(0.300 tam) 10 to 35 20 to 40 No. 100(0.150 nun) 2 to 15 10 to 25 No.200(0.073 mm) 0 Oto 10 2 03 EMH5E RESTRAINTS Note: See ICPI Tech Spec 3. "ridge Restraints for Interlocking Concrete Pavements,"for guidance with selecting edge restraints for vat rous applications. A. Edge restraints shall be Pa.eEdgcO,granite,pmcast concrete or existing structures. Dec 02 03 10:52a PaverSystems Jax 904. 367. 1444 P.5 Master Specification for Interlocking Concrete Pavroents PART 3 EXECUMIN 3.01 EXAMINATION Note For insiallarlon on a coyVactod aggregate base and soil subgrade,the specifier should be aware that the top.surface of the pavers may f e 1/8 in.tv 1/4 in.(3 to 6 mm)above the final elevarlons aj?rr compaction. This diArsnce in initial and final eievatlon U to compensale for minor settling during the initial look-sip period A.Sub Grade Note: Compaction of the soil subgrade is recommsrided M nt least 95%Sraitdard Proctor Density per ASTM D 698. Higher density,or compaction to,ISTMD 1557,may be necessury for areas subject to continual vehicular traffic. Stabilization of the subgrade and/or have material may be necessary with weak or saturated subgrade saiGy. the Archetscr/t:nglneer should inspect subgrade preparation,elevations,and conchict density tests for conformance to specifications. 1.Verify that subgradii preparation,compacted density and elevations conform to the specifications 2 Verfy that gcotcxtites,if applicable,have been placed according to specifications and drawingb. B. Base Note: Local aggregare base m,drriaty typical to those used,for highway flexible pavements are recommended, or these conforming to ASTM 1?29aQ (The hose may also be asphalt.concrete or ftowablefilt.) Compaction to not Less than 95%,Proctor Den i iry in accordance with ASTM D 698 is recommended fur pedestrian areas. Compaction to not less than 94%Modified Arocror Demiry according ro ASTM D 1557 is recommended for vehicular areas. 711e aggrCgor,'base should be spread and compacted in uniform layer not exceeding 4 in. (150 mm)lhkksess The Architect/Enginecr should inspect geol"lils materials and placement(ifopplicable), base preparation.surface tatersncer,elevations,and conduct density tests for conformance to specifrcattons. See IM Tech Spec 2. "Cortstr ietion of Interlocking Concrete Pavements'for,further guklance on comirucrmn practices_Note:L iii-Ecasrone pavements require sire sperlflc base materials as determixed by the svaeeural and hydraulic&.sign requiremenis of the pavement. i.Vcnfv that aggri;Wc base materials,thickness,coaipacnon,surface tolerances,and elevaucxis cc,afortl to spectficati'ms. 2.Recommeaded bast surface tolerance sbould be+1.3/8 in.(10 min)over it 10 R,(3 m)straight edge. 3.Verify that base is dry,uniform,even,and ready to support sand pavers,and unposed loads. Note: Afecharrical tampers are recommended for compaction of sol!mbgrade and aggregate base around lamp standards,utility structures,building edgts,curbs,tree wd4y and other protrusions In areas trot accessible to miler compaction equipment,compact to specified density with hand operated equipment C. Edge Restraints t.Verify location,,typt,installation and cicvmions of edge restraints around the perimeter area to be paved. 2.ne bast shall cxtcn3 6"beyond the area to be paved when using Pave Edge or directly W curbing or suitable establisticd stiuctures. 3.02 INSTALLATION A. Setting Eked I.Spvead the sand evetdy over the base course and screed to a nominal l in.(25 tun)thickness,not exceeding 1'/2 in.(40 rat)thickness The actual thickness shall be determined at the job site based on Field trials in order to.chieve a uniform depth not less than s/,"and not greater than I"aficr compaction. 2.Thc screeded sand should not be disru6ed or pro-cori4wted. 3.Do not use the bedding sand to 511 depressions in the base surface. B. Pavers I.6nsure that pavers are frm of foreign material beforc installation. 2.Set concrete paver in accordance with pattenis shown on the drawings Units stall be itntalled straight add true to the required lines.Maintain straight pattern lines. 3 Typical joints bctwcm the pavrts 4hall be between 1/16 tn.and 3116 in.(2 nun to 5 mm)wide on average. Note: Some paver shapes requ.re a Iorgerloint. Consult munufaGlurer for recommended joint widths. Dec 02 03 10:52a Paver•Smstems .)ex 904. 367. 1444 P. 6 Master Speelfkadon for Interle cidag Concrete Pavements 4.Cut as necessary to accommodate field conditions and to achieve an accurate and consistent fit to pattern as indicated on plans and details.Concrete pavers shall be free from stain,dirt,or dust after cutting. S.Install"soldierlsailc?'course as shown oa the Plaos or ill gaps at the edges of the paved arca with cut pavers or edge u+nit5. Note: Unica cut no smaller than one-third of a whole paver arc recornmanded along edges.sabfect to vehicular rrelc 6.Work shall proceed by moving forward on top of the previously installed units On sloped areas, work shall proceed uphill. 7 Pavers sball be taken ft=3 or more pallets at the surae time by working vertically through the cubes to blend color evenly. 8.Cart shall be takem when transporting material over cmcompacted pavement in order to prevent darnagc or pre-compaction C. Compaction 1-Aft a substantial area of pavers has been placed,use low amplitude,high frequency plate vibrator to vibrate the paver.into the sand. Use Table 3 below to select size of compaction equipment: T.ible 3--Misimum Ceritrifugsl Compaction Furee Paver Thickness Compaction Forcc 60 tram 3000 Ilia.(13 kW) 80 Min 50011 Ibs.(22kW) D. Completion 1.Swcep dry sand cyte the pavers If more than one"of sand is to be used,the initial sweeping shatl be with the cozrse anterial used for the bedding layer.Subsequent sweeping shall use ansottry sand cenfortnuig to Table Z and shall continue until the joints are full and the pavers fully seated. This will require at cast two or three pamms with the vibrator, tem not vibrate within 3 ft,of the unrestrained edges of the paving units 2.All work to within: ft.of the laying fact must be left fully compacted with sand-filled joints at the and of each d&3. 3.Sweep off excess sand when the job is complete. +The final surface elc vations shall not deviate more than 3/8 in.under a 10 h loog straightedge. $.The surface elcvaticn of pavers shall be 1/8 in.to K in above adjacent drumage inlets,concrete collars or channels. 3.03 QUALITY CONTROL A. After reaoval of excess said,check final elevations for conformance to the drawings B. Kaniove pavers that art:latae,chipped,broken,stained or otherwise damaged,with flesh units and rc-set units that do not snatch adj3-ieiing units. Provide new units to mamb adjoining units and install w same inatttter as original units with samae joint treatment to eliminate evidence of replacement. C. Clean exposed surfaces wi h potable water and stiff fiber brushes until all dirt,stains,eftlorescence, asphalt,and other blerxiisbc s are removed. Use cleaner and procedures recomurtendod by paver manufacturer. Test sumall ssrnpic areas for acceptamc of cleaning pros edumb Do not ubc wire brushes, metal scrapers or acids Protract adjacent surfaces from damage during cleaning and operations. D. After cleaning,examine work and repair unacceptable conditions and correct as required. E. Ager installation and clearing,protect work from damage during subsequent construction activities until work is accepted. END OF SECTION $Wed a5'tit-coppiwirspec i G— —Lb3 0'45✓f.1 r"UP i W Aylvt) W "JkdAdA I tS&Cti D. 1 Y DEFARIMENP OF PUBLIC WORKS 12W SANDPIPER(ANE `,. ATLINTIC BEACH,FIOIL 32233 4'18 WHOSE.(9041,247-234 FAX:(904)247 SBa3 siuNcom a52.5a34 Imp.dcv�daM—be-b.)Q.ct PLAN :REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # Applicart� C>.P..t_�.. l rr n Z^r.mr° Address i 1 e. r— Project. r�P NEP Q i nr r r f P �(?�' ✓P r� o your aopficatioa is`ipprovcd as noted by the Public Works Department. Final application npproval must come from the Building Department. �1"our pe.nit application has beer reviewed by the Public Works Deparunent and the follow;7o items neej attention r , a. v n/ina g cr/Y,Cr t` Q2h - Zlr�"A 177r.�rz der ft��c 05-9 Please subrri>•:tiese require-rents to the Public Works Depar=ent, 1200 Sendpipet Lane, Atlantic Beach.,FL 12233 n order Chet we can appro�•your application. If you have any questions please tali(904) 217-3834. Revicwcd by Robert S.Kot oy,P E,Director of Public Wora 1 Datc t T 5ignarue �/ 04 Com"vot-Noti£cd Dstc 1110i lp 1);L /5.i •I `r r• AMERICAN HORTICULTURE PRODUCTIONS THE DESIGNERYS LANDSCAPE WITH GARY ALAN FAXCOVERPAGE FAX ADDITIONAL INFORMATION: 4111 r . r vvww.garyalan.com . • he: (904)396-0611 . 0 CITY OF /� n 4&0& /3e44C�t-"t&UC& Office of Building Official REQUEST FOR INSPECTION r+� Permit No. Date Time N P.M. .District ry Received m Locality JobA s � Owner's Contractor Name MECHANICAL PLUMBING BUILDING CONCRET ELECTRICAL Air.Cond.8. C1Footin Rough Wiring ElRough O Heating Framing G g J Temp Pole ❑ Top OutEl 11Slab �- Fire Place Re Roofing Lintel Final ❑ Pre Fab READY FOR INSPEC �M• Wed hurs. Friday _P.M. Mon. Tues. _ �, A. Inspection Made / Finalinspection{� Inspector Certificate of Occupancy Date - CITY OF if Office of Building Official REQUEST FOR INSPECTION /►7' `(?�� �� f�,� Date 7 �v Permit No. A.M. District No. Time P.M. 67 Received (/�/Qoca aV lily Iob z Owner's contractor Name PLUMBING MECHANICAL CONCRET ELECTRICAL Air.cond.& BUILDING J Rough Wiring �y/ Rough Heating Framing Footing Temp Pole ,C Top Out Fire Place 0 Re Roofing ❑ Slab Lintel ❑ Final Pre Fab READY FOR INSPECTION MAIM Friday_�P.M. Mon. Tues. Wed urs. A. .M. Inspection Made C', Final inspection❑ Inspector Certiticateof Occupancy Date A CITY OF 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 October 1, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 Nest Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #5564----1955 Brista De May Circle Permit issued to Adkins Electric Company. Permit #5666-- -1917 Seminole Road Permit #5667----1921 Seminole Road Permits issued to Bill Thompson Electric Company. Since ely, 1 Rene' Angers Community Development Di ctor cc: file RA/te CITY OF 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 -- TELEPHONE(904)249-2396 October 1, 1987 Third Floor Pre-Service Section Jacksonville Electric Authority Building 233 Nest Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #5564----1955 Brista De Mar Circle Permit issued to Adkins Electric Company. Permit #5666----1917 Seminole Road Permit #5667----1921 Seminole Road Permits issued to Bill Thompson Electric Company. Since ely, Rene' Angers Community Development Di ctor cc: file RA/te I 8511 j DEPARTMENT OF BUILDING PERMIT NO _ - -----_ CITY OF ATLANTIC FLORIDA PERMITT ToBUILD II I I THIS PERMIT MUST BE POSTED ON JOB ' March 24, 19-- iQ0•QQ TI. 4 Date j 108 00 �QA•41!1GK.? Fee$ �/24/B 17'70 � Valuation and is ,Onr4C_ I I has been paid to City Treasurer, el ` / This permit not valid until above fee applicable provisions of law. / I l tion for violation of app PLUMBING Sllb)ed CO TCVOCa STEED PL This is to certify that I I i I has permission to II gESIDF.NT IAL Zone Classification pELKEY EUILDERS S/D Owned by Block_----- — LotI Seminole Reed I 1g17�1921 I House No. art of this permit FORMS I roved plans which are p CONCRETE BE NOTICE—ALL MUST IN- According to app AND FOOTINGS I POURING.I SPECTER BEFORE IT VOID SIX MONTHS I , PERMIT AFTER DATE OF ISSUE i rubbish and debris Ii O Building material, laced Z from this work must not be P I ��'► in public space, and must be cleared p away by either con- I up and hail , Z tractor er.. official.Building I II CONTRACTOR 1 PERMIT DATE I I FOR OFFICE NUMBER USE ONLY I � 1 PLUMBING I ELECTRICAL i SEWER WATER I tj ..�r.i• - .it. 1rr. ,. . CITY OF ATLANTIC. BEACH " E � : , i•!; � -' .. APPLICATI ON. FOR PLUMBING PERMIT ff y '� `: JOB LOCATION +� "'.1 PLUMBING CONTRACTOR t NUMB r 1 � t,,• ,� ''t� .LICENSE IRS • n F� � ...�? .. • •' ' !' ,;' ' OWNER �i,{;:BUILDING CONTRACTOR P44-�ir TYPE OF BUILDING SINKS WERS LAVATORY 1 , WATER HEATERS _BATH TUBS ' r , DISIIWASHERS URINALS �^ DISPOSALS CLOSETS !}' '• :' '•t �`'' 'WASHING MACH INE DRAINS OTHER }; E trr �j r,• TOTALI FIXTUZ� E COUNT x t':!t.•:{ i•,. ,, ,Z , ;;" •ai:`;: t CATION OF PLUMBING •� INSTAL MB ING ANll , �• .., I MUST'. BEACCORDANCE ' i.�• ''.' t ,•�"� .•.�;, i• • 'IXTUIZES � AC E {' '!�' ,,•; •�.� , IN CORDANC WITH t i'•�;;r . :I• • '';��, THE MOST � � � ''{��'•'�°{ `� �• .,1: • ;;, �; RECENT EDIT ION OF THE SOUTHERN PLUMBING.STANDARD CODE, i.;j.''.•; 'i• �1 r'�if `'• � , ,_ r ,�, ✓ , •'*�Z111t ' tit rh it ' r!,i,i'' .' . ` . . , t . : •;.:4 r � •'•.fir' CITY OF ATLANTIC BEACH No. 5646 FLORIDA Sept. 21 1987 NAME PELKEY BUILDERS ADDRESS P.O. BOX 72 CITY ATLANTIC BEACH I Water Impact Fee #40-343-3700 $530.00 Sewer Impact Fee #41-343-5200 A t. D $2,070.00 $2,600.00 Lot 8A F, 8B SEP 211981 1917-1921 SEMINOLE ROAD i i 4l m tiered, This MAM 0 W -< m CIT „Z 3 A �mm — O 33 mM Z VG Np C> NZ > 0 v< � A N> _ C) � � ?° m A m � 0 m 3 > r -nC= rpt m Zi0 zz 7H �! C _ r imn N m mo "I -o ;73 M% NqZ ' SC —1 � i r to to � p C-.) z W +p A —I ITS Q tor > N rn n > m > cove 0 � n �, .? _ -� p , M r- m C/) C:) 0 :'� M Pu � j > N R1 o m -� � � rn tV C � "' C/) rrl Z - m ca 0 A1C r m O m �7 C 7 A ° n co v > 0 C0 -+ > ' n co az00 o O rn> = iz 00 z 0zm m> z ° 5968 DEPA RTMENT OF BUILDING PERMIT NO. I CITY OF ATLANTIC BEACH.FLORIDA PERMIT -roBU D BUILD Boa THIS PERMIT MU ST BE Jul 31 19=— Date I Fee$ Valuation$ Y and is I emit not valid until above fee has been paid to Cit Treasurer DTT-1 ONI,dC I This pe applicable provisions o4 law. A R C subject to revocation for violation & SONS HEATING Sq�Qn T This is to certify that WILLIAMSi� J ` • SYSTEMS INSTALL NEx °3G6 has permission to41d s R: Zone Classification CPM PROPERTIES S/D I Owned by— Lot y Lot House No. art of this permit FORMS roved plans which are p NOTICE—ALL CONCRETE BE AND FOOTINGS MUST IN According to app POURING• Z SPECTED BEFORE SIX S PERMIT VOID SIX M OF ISSUE � AFTER DATE debris must not be p n Building material,rubbish and laced � from this work and must be cleared in pubu space, either con -u n auled away by or ownef. I Build' 0 �I I CONTRACTOR 1 PERMIT DATE I FOR OFFICE NUMBER USE ONLY PLUMBING ELECTRICAL I SEWER 1 I WATER is ZONING INSPECTION iVISIC BUILDING cl�r OF ATLANTIC �al�r�c�, — ATLANTIC BEACH, FLORIDA 32233 CALL-IN NUMBER APPLICATION FOR MECHANIC' � ORTANT — Applicani to complete all items in sections I, il, ill, and IV. - IMP ILOCATIONStreet Address: , t� And — OF Intersecting Streets: Between --- BUILDING Sub-division—__---------- -- --- y ail ap ,licants I!. IDENTIFICATION -- i c be completed b agree t� erform said work in accordance in accordonce with the City of Jacksonviile ordinances and standards in consideration of permit give^efor doina c ficetio s whichoakeaa part'he eof and in c statement we hereby a9 p with the ott8- ed plans and sp T of good practice listed therein. �1 Contractors alb s � l Mester Name of ani Mechcal Contractor (Print) v 1 Name of property Owner Signature of ' Architect or Engineer Signature of Own or AuthOri7.ed Agent III. 6E4ERAL IN RMATIQhf y B IS OTHER CONSTRUCTION BEING 0 E A. TYPO of hooting fuel: I THIS BUILDING OR SITE_7 RUG Q Gas—❑ �mc Control Utility IF YES, GI —M d Natual C7 l " 1 : PERMIT LJ oa Q Other — SPacifYNATURE OF WORK iK;AL EQUIPM94T T® ifr INSTAf.f'ED Residential or ❑ Commercial IV. (�ne"ido",Plot*list of components on back of this forn+I ( New 9uilding Recessed (:antral n Ffoor I Ic Heat � Specs � i ❑ Existing Building Yt-^!ur Cond�tioninq: (] Room ontrol [J Replacement of existing system /'�� Thiekewsa.,...--� l r New installation(No system previously Installed) tet SysNm: ►eloloria Ma><imum Extension capacity--"' t �1 n or add-on to Oxistfng eyelet» ❑ Other — Specify Refriggretion [J Cooling tower. Cspocity — � 0 Fine sprinklers: Number of hoad�--- -""'^�unlbsr� 4 a >�eto< 0 Manlift THIS SPACE FOR dOFFICE USE tAN4'f (number) 0 Gasoline Pum � Remarks I 0 Tenke - —(numb+rl { i (number) © LPG contain Ia Unfired Pressure"ossa I Permit Appwrod by 1 Q nolle" Permit O Other, — Specify LIST ALL EQUIPMENT -QUIPMENT �� �ty AIR CONDITIONING AND p,F.}RIGSItAT[UN E �IanvP�ttir�r (TOM)L�escd tion ),(odol Numbac r p bar Un9ta - _ -- BUILDING AND ZONING iINSPECTiON DiViSiGN CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all iterns in ser_tions !, i!, Ifl, and IV. LOCATION Street Address: OF Intersecting Streets: Retwern BUILDING _—_ Sub-division.__ --- -- 11. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as describedrtere i the above Oa cnr enwilh the City ofeby f Jacksonve to �llemordinnancsaid oes and rk in accordance-7 dards with the attached plans and specifications which are a pe of good practice listed therein. �� � Gontrac+ort � �J( wl I Name of Mechanical I Mester Contractor (Print) I Name of Property Owner Signature of Signature of Owner ` Architect or Engineer or Authoriied Agent 111. GENERAL INFORMATION �. A' Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE OM THIS BUILDING OR SITE? �f3ectnc Central Utility g Q Gas_❑ LP ❑ Natural ❑ } IF YES, GIVE K+fEER e CTIT �1 Q Oil PERMIT r� (3 Other — Specify IV. MWHC NICAL Eq UIPNAENT TO Rg INSS•Ai LW NATURE I WORK (Provide complete list of componwnts on beck of this form) ' Residential or O Commercial ❑ Speu ❑ Recessed E Centel O Roar New Building ❑ Existing Building Wr Conditioning: ❑ Roan y Control (. ❑ Replacement of existing system ct System: Materiel — New Installation(No syst6m previously Installed) f Maximum capecity c f.m. {! I C1 Extension or add-on to existing system © Refrigeration ❑ Other — Specify — -- — 9 Q Cooling tower: Capacity i _.____-----------'-----�'"+ Q Fin sprinklers: Number of head Q aurnkrer) THIS SPACE FOR OFFICE USE ONLY Elevator ❑ Menlift ❑ Eseal:tor ( (�) ❑ Gasoline pum (number) ❑ Tanks__.-----(number) Remarkti ❑ LpG container (number) ❑ Unfired pnuun versa Piano Approved by I Q Wien Permit Fee p other — Specify LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT � ty AP`rovvg' in Number Units Dorcrlp Model Number >ttanuta starer (�) "s�""� � -- CITY OF ATLANTIC BEACH, FL RIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT 00 / TO THE CHIEF ELECTRICAL INSPECTOR: DATE: / G� 19 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 ECTR�� C BILL THOMPSON EL • P. 0. BOX 50398 JACKSONVILLE BEACH, FL 32240.0398 J'6� ELECTRICAL FIRM: MASTER ELECTRICIAN GNATURE JOURNEYMAN NAMEM'LSC /." ADDRESSf -- �� RFD BOX BLDG.SIZE BETWEEN: RES1>4 APT. ( ) COMM. 1 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( 1 TRAILER ( ) TEMP. ( 1 SIGNS ( ) SQ. FT. SERVICE: NEW-P*, INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS 2PPER ( 1 ALUM. (!>-) Z SWITCH OR BREAKER AMPS PH aW / OLT RACEWAY EXIST.SERV.SIZE AMPS PH W 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 p.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS � [ c. cnn 11 nVER 600 V.