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1925 -1929 Seminole Rd (vault) , Al . CITY OF ATLANTIC BEACH St11 ='} 800 SEMINOLE ROAD r ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 05-00030916 Date 8/17/05 Property Address . . . . . . 1925 SEMINOLE RD Tenant nbr, name . . . . . REPLACE WINDOWS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4200 Owner Contractor ------------------------ ------ ------ ------------ MCKENNA AlA CONSTRUCTION & REMODELING 1925 SEMINOLE ROAD 103 OAKWOOD ROAD ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 270-0696 ----------------------- -------------------------------- --------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4200 Fee summary Charged Paid Credited Due t ----------------- ---------- ---------- ------- --- ---------- i Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEAM ORDINANCES AND THE FLORIDA BUILDING CODES. w BUILD IA rs ''''%� CITY OF ATLANTIC BEACH Cc: s BUILDING / ZONING DEPARTMENT D.iS.Soerr r , 'KV ni s:; r r� 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # � `7 Property Address: Applicant: 0,119,-, Project: e=Lplj �-e This pe mit application has been: Approved Re and the following items need attention: • (, �, i u� t 0►.� Z 2 Please re-submit your a lication when these items have been completed. Reviewed By: Date: Date Contractor Notified: CITY OF ATLANTIC BEACH r WINDOWS, SKYLIGHTS, GARAGE DOORS,HURRICANE SHUTTERS RE0iE — is>? C1Ty to g!IIL.D KIC, . Job Address: I -`� 6cIm 1�O1 C= PoAd i Owner: C/41{1-r-RWE Me �FEW19 6 — Address: lgAJr � lNO1� D►'}cr P o Z3 8 02 Legal Description: Block Number: Lot Number: Contractor: 1T A �o�57R� r�a� P&?!� odF State License Number: G R L 0 S f7 29 Address: /v 3 0/4�GJd bC� �O l��) Phone: O�70- 06�6 Ci �t�r156 rrr r c= e�bedon�e-: State: FL zip: 3 a a So Fax: v�?d -66913 city: / Describe proposed use and work torih'10 V C 02 Nc�o�S AN�� y &,)1tjd6WS j/,) 7AF $/+�►''� E�►5i�''' ©/JFK"y` - Present use of land or building(s): S!►'�� r �/+�r► L�/ Valuation of proposed construction: y4goo .- Is approval of Homeowner's Association or other private entity required? /J0 If yes,please submit with this application. Required Building Data: Mean Roof Height O� (ft) Building Width 60 (ft) Building Length 3 U (ft) Roof Slope 6 /',2 Window Height S (ft) Window Width 3 S! (ft} Window Elevation from Grade �d (ft) Measurement from corner of building to window S (ft) Number of windows being installed Mean Roof Height 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl-us Revised 1/27103 Page 1 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 with Uniform Structural Load(psf) 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Hurricane Shutter Description/Type 7. Elevation View of Window Locations I hereby certify that all information provided with this application is correct. Signature of Owner C�LDate: 7 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 beingtrue an correct and that a plans and supporting data have been or shall be provided as required. Signature of Contractor. Date: /�/d Address and contact information of person to receive all correspondence regarding this application(please print). Name:6P L 57Edf N S o vJ Mailing Address: /0z 0/41� W OOd Pad. Telephone: pL 7U —t)6 q 6 Fax: 01?D `6)6 c 3 E-Mail: AS TO OWNER: n L G Sworn to and subscribed before me this day of IN 20_P J State of Florida,County of Duval �.µr°41�, JUNE P.JONES Notary's Signature: MY COMMISSION# DD 053334 10FrI%l� EXPIRES:September 27,2005 Cyt Personally known 1-80o-3 NOTARY FLNotary Service&e«wing.Inc. I❑J\Produced identification Type of identification produced AS TO CONTRACTOR: S T1(sem ,20 O) Swom to and subscribed before me this a'� day of U State of Florida,County of Duval JEAN KOERNER Notary's Signature: MY COMMISSION#DD 163219 EXPIRES:November 5,2006 Personally kno Wiled Ttn Not'POk Undtrr AN ?LTJ Produced identify a ' n 7 Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Page 2 Phone: (904) 247-5800 Fax: (904)247-5845 http://www.ci.atlantic-beach.fl.us Revised 1/27/03 NOTICE To: All General Contractors Subject: EXTERIOR WINDOWS AND DOORS As of March 1, 2002, the Florida Building Code requires exterior windows and doors to meet the design wind load pressures of Chapter 16, FBC 1707.4.1 & 1707.4.3. The following minimum requirements will be necessary for inspections: - WDMA Label identifying the manufacturer, performance characteristics and approved product testing entity—FBC 1707.4.2.1 - Installation plans to achieve product testing performance FBC 1707.4.4.1 - Plan details for anchors system to wood buck. FBC 1707.4.4.2 - Plan details for mullion testing, installation and safety factor(1.5). FBC 1707.4.5 - Door and window schedule - Manufacturer and model number - Garage Door installation details and data sheet showing compliance wind load requirement, Chapter 16 FBC. LARRY HIGGINS Deputy Building Official NOTICE OF COMMENCEMENT `� Tax Folio No. State of / )o �� County of 0 U A L To Whom It May Concern: and in accordance with Section 713 of The undersigned hereby informs you that improvements will be made to certain real property, f �K the Florida Statutes,the following information is stated i TIC OF CO E `�h;5 id,5 lo l j7 — Legal Description of property being improved: Jya f 4 Ct g roved: q �J being improved: f s Address of property P General description of improvements: �C'pi.J t= <C=47'I f I-j 5r.�rn►plt AtJTIL r� Owner: �Alhrl�ltiJt L ( h�N/)_ Address /_�/� �_ Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name- J-- Contractor: �DN51 Q I o�" ic r-✓�L�, L 3 i� S .j Address: 10 3 K L�I�4L� d j4J Telephone No.: �� Fax No:U Surety(if any) Amount of Bond Address: Fax No: —_-- - - Telephone No: e 2497, a loan for the construct Doc#2005285128,OR BK 12657 page Name and address of any person making Number Pages:1 Filed&Recorded 08/03/2005 at 02:07 PM, Name: JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Address: F; Phone No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Fax No: Telephone No: In addition to himself, owner designates the following person to receive a copy of the Lienor 's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) _ Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER 7 1 7.2� �5-- Date: Signed: po in the County of val,S to �� Before me this.day joduced Florida,has personally appeared JUNE P.JONEStary Public at Large,State of Florida,County of uv MY COMMISSION# DD05333y commission expires: ' r "lZrp-0 EXPIRES:September 27,2005rsonally Known: t.aoo.3-NonwY FL Notary Semce&Bortdrg,InIdentification: 08/12/05 12:19 FAX 9043530689 KINCO,LTD. w009 �11� LoN`J 1?t) rio•� r e--A� 6 r RuILDING &ZONiNG AUG 12 2005 ' By: MPFX ALUMINUM IMPACT #12 SMS WINDOW (TYP, 22) 105%'x BUCK DIM. #12 sMs MULLIONS (TYP. 14x2) DETAIL 'A' DETAIL 'B' MPSH MPSH ALUMINUM IMPACT ALUMINUM IMPACT E HUNG LE HUNG 52}.'x77' UCK DIM. 52Y'x77' BUCK DIM. #10 SMS (TYP. 6x2) a i 'WILDING OFFICE AUG 16 2005 a ARCHITECTURAL DIVISION DETAIL 'G' 7252 NARCOOSSEE ROAD Qy. ORLANDO,MRIDA 32922 C')<x,AN& A 1 t � = TAS-201 IMPACT LOCATIONS Date Verified• 9 WrWed$y; 5245 OLD ICINGS ROAD FLORIDA 322S4 I O LTD. TE�o4-35L5-1i4 6 FAX::904-353-0689 KI NC i www.kincowindows_mm MULLION TEST UNIT SETUP i I S ADDED WINDOW DIMENSIONS 06-23-04 A COMPLIM) DRAWING 06-04-04 SCAU gy DA7E DRAWING NUMBER REV. SHEET REV DESCRIPTION DATE 1 : ElJPP 04-30-04 1 K000100 B 01 of 02 08/12/05 12:19 FAX 9043530689 HINCO,LTD. 01010 DETAIL 'A ./ DETAIL 'B'✓ A-7060 �4 SIDE VIED FRONT VIEW A-1418 II A-70607 KCD-254 #10 sM TWp (2) PER WING KCD-284 #14 SMS FOUR (4) TWO (2) R CL '--�R CLIP I DETAIL 'C'✓ KC❑-285 SIDE VIEW #10 SMS rw0 «) PER CLIP KC —2043 i K ❑-285 K 0-284 DETAIL 'C' / 0 0 TOP VMW ARCHITECTURAL DIVISION 7252 NARCOOSSEE ROAD ORLANDO,FLORIDA 32622 CTLA No. —cll a-1.0 Date Verified• Verified Oy: 'm Ki NCO 5245 OLD KINGS ROAD LTD- rs9aar-3ss�ia FLORIDA 32254 -3 oB84 i EU www.kircoWnd*wa.com MULLION TEST UNIT SETUP B REW)v" KCD--287; LABELED SCRFWS 05-23-04 A COMPLETED DRAWING 06-04-04 SCAT E BY DATE DRAWING NUMBER REV- SHEET RFV DESCMFMON DATE 1 4 JPP 04-30-04 K000100 B 02 of 02 08/12/05 12:18 FAX 9045550689 KINCO,LTD. L0002 CKRTff1ED STING AB0RATORIES SOC Architectural Division • 7252 Narcoossee Rd_ • Orlando,FL 32822 - (407)384-7744 - Fax(407)384-7751 Web Site: www-ctlarch.coni E-mail: ctlarch.com Rem CIA-127OW DC Not.No-04019 Date:November 10,2004 CTL Cer ifacation#02-0429-03 Test Dates: June 16, 2004 Te9 RMuested By- MCO LTD. 5245 OLD KINGS ROAD NORTH JACKSONVELLE,FL 32254 Product True& Series • Impact Mullions Tests Conducted: TAS-201(Large Wisae),TAS-202(Structural only)and TAS-203 (1)DESCREMON OF SERIES 11'Iodd Dgs. .on one(1)bMX impact Fbved Window(NOA#04-0315.01)as transom mulled horaoutally with 2"x 6"x 118"tube IWIs"in lengdL Two(2)MPSH Impact Single Hung Windows(NOA#02-0128,06)mulled vertically with T KCO-284 tube 77"in length. Overall Sim; 105.375"wide x 103.000"high(buck dkoensiams)x 2.69"deep Configuration: Q 0/0 XIX No.&_Sire of Sash: (1)Fixed W'mdow 105.375"wide x 24.000"high buck dimmsian_ (2)Single Hung-52.125"wide x 77.000"high each buck dIInension. (2)Active Sashes-50.000"wide x 40.000"high each. (2)MATEItiAL CHARACTERISTICS Fixed Window Construction: Top lite fi=me was constructed from extruded 6063-T52 aluminum.Caped and butted corner construction secoreil with two(2)#8 x 1"PH SMS fasteners in each corner. 08/12/05 12:18 FAX 9043530689 KINCO,LTD. Q003 Pie 2 of 7 15DW ua. RXPM* CTUA a w (2)MATERIAL CHARACTFMSTTCS,Continued Singk Hang Construction: The extruded 606346 aluminum flange frames were caped and butted corner construction secured with two (2)#8 x 1"Phillips PH SMS fasbeuers in each corner.The fixed meeting rad was stccued to the frame jambs with two(2)#8 x 1"Phillips PH SMS mss,The ah=inum,main frame oonsisted of the following,one (1)frame sill measuring 2.691"wide x,3.198"high,me(1)frame head measuring 2.691"wide x 1,688"high, one(1)treating rail measuring 1.321"wide x 2250"high,and two(2)jambs measuring 2.813"wide x 2.691"high. Sash Constrn 'om: Sash conrsumeted from extruded 6063-T6 ahm>mum_Coped and butted corner construction secured with two (2)#8 x 1"PH SMS fasanens in each corner_ Mullion Construction= Horizontal Mulliov.Transom mullion consisted of one(1)2.00"wide x 6.00"high x_125"wa1I thickow extruded 6063-T5 altmoummt tube. Mullion was secured on each end with extruded.6063-T6 alu mmum clip (drawing#KCO-254). Mullion clip soeured with fou(4)#10 x 1,00"PPH S.M.S fasteners,two(2)an each side, 1.00"firm inrsxior end and at centerline(drawing 9KO00100 sheet 2 of 2 detail B). Yaticai Mullion;Mullion between single bungs consisted of one(1) 1.125"wide x 2.875"high e n xkd 6063-T6 ahrminum tuft(drawing#KCO-284). Mullion was attached to the transom mullion by one(1) 6063-T6 alumimm inverted"C"channel mcesuring,841"long x 1.750"wide with 1,00"flanges scoured to the transom mullion with two(2)#14 x 1.00"PPH S_M.S_the mullion was placed over the"C"channel clip and attached to the boa=of the test buck with art aMuded 6063-T6 ahrmmum,clip inserted in the bottom of the nuMion and attached with two(2)#10 x 1.00"PPH S.M.S (drawing#K000100 sheet 2 of 2 detat7 A and Q. Oozing: Flied Window:7116"overall consisting of one(1)3/16"piece of Cray Heat Strength exterior and one (l)3/16"Clear Heat SU=ga th W ', with.090 Sentry Glass Phos laminate by Dupont. S/H lamed Lite:5/16"overaU twisting of we(1)1/8"piece of Crory Heat Strength exterior and one(1) 1/8"Clear Heat Strength interior with.090 PW laminate by Dupont. SO Active Sash:5/16"overall consisting of one(1) 118"piece of Gray Heat Stre9dr exterior and one (1) 1/8"Ckar Heat Strength inteTior with.090 PVB laminate by Dupont. tAndap-Method : Fuzed Window: Exterior glazed with adhesive bac*4xdcting car_paund vvitb an extruded 6063-T52 aluminum glazing bead. Secured with X12 x 3.OW'PPH S.M.S.fastcaers. For locations re&tence installation diagram. S/H Fixed Lite:Extenor glazed with adhesive back-beddiog compound with vinyl swp-m giazing bead. S/H Active Sash: Exterior glazed with adhesive ba&4mddmg oompoumd with viayl=q)- in glazing bead. D&ylinht Opening: (1)Fixed Window- 141.125"wide x 33.125"high (2)S/H Fixed Lite-47.375"wide x 35.125"high each (2)SIH Active Sash-47.500"wide x 35.250"high each Glazins Bite: Fixed Window-.750" S/H Fixed dt Active Lit=-.6875" 08/12/05 12:19 FAX 9043530689 KINCO,LTD. [j004 PaV 3 o[7 MWO Ltd. Rq!gq# CTUA270 w Weather-striggft Per each Single Hung: Quaft Descri tion do One(1)strip .300"x.190-bulb vinyl wead=sU*ing Frame shill water cutammg leg one(1)strip _170"x.i g7"w ripping with fin Sash bomm rail facing exterior one(1)strip 170"x,tgr wtipping with fin Sash top rail/interlock pocket Four(4)sa* l50"x.isr weatt mtripping with fin Two(2)each sash sale,Interior/=Wbr Hardware: Per each Single:Hung O miw Degdatiort Location Two(2) Spiral Balaum 5/8"by Caldwell/Spiam One(1)each single hang frame jamb Two(2) Alumimim nxx brackets for balances one(1)per each sash stile,secured to botwm rail with one(1)98 x 1.00"#2 SQ PH S.M.S. Two(2) Plastic Snap latch,3.00"with spring Two(2)per each sash tap bottom rail,9.00" fim each sash vomer_ Two(2) Extruded alumimmt sash stops One(2)each single hung frame jamb w sash rebdift let top c - Four(4) Vinyl sash guides Two(2)an sash top rail comers,&two(2) on sash bottarn rail cmers,secured w#h two(2)#8 x ,750"P PH S.M.S. WgMholes: Sash rctainmg leg in wi&bung fame sill,wWmxa&the screw retaining kg.There arc two (2)per single hung 1.00"wide x.125"high weep holes located at 6.00"ham each jamb,with plastic dust covers.On the fired lite sill 5.00"from each jamb two(2) .750"wide x.500" high weep holes. Muntins: Now Reinforcement: None Sealant•: C=&=S as needed to seal unit into rough openum, (3)INSTALLA11ON: Screws and Metho p Attai+tkmeat Top Lite- Head:Nine(9)#12 x 3.00"Phillips PH S.M.S.fasters were used to secure&wd lite bead to test buck located at 3.500", 15-00"7 27.00",39..250"7 51.00",63.00",74.00", 86.500"and 97.00 uxasuriug fivm left jamb to right jamb. Sits:Nine(9)#12 x 3.00"Phtvips P.$S-MS_fastrners were used to secare-fiaed lite sill to to t mmsom mnMon located at 3-500'7 15-00",27.00'°,39-250",51,00",63.00-,74.00-, 86.500"and 97.00 measuring from left jamb to right jamb- . Jambs:Three(3)#12 x 3,00"Phillips PT3 S.M.S.fasters were Used to secure each fixed lite jamb to test buck loved at 1.00", 10.00"and 19.750'measuring horn sill to head 08/1205 12:19 FAX 9043530689 RINCO,LTD. lib 00.5 IW4or VOW U& R pd# CTL-1270 w - (3)INSTALLATION cont: Sin*EW*- Head:Eight(8)#12 x 3.00"PPH S.M.S. Fasteners total,RW(4)per single hung frame head were used to secure to transom mullion located at 4.00", 18.500",33.250",48.00",57.500"1 77.250", 87.00"and 101..250"measuring from.left jamb to right jamb- Silt:Eight(8)912 x 3.00"PPH S.M.S.fasteners total,£uur(4)per single hung sill were used ro secure to test back located at 4.00", 18.500",33.250",48.00"3 57.500", 77250",87.00"and 101-250" measuring from left jamb to right jamb. Outboard Jambs:Sic(6)#12 x 3-00"PPH S.M.S.fasteners were used to secure eaehiamb to test buck located at 4.00", 18.500",33 0",42.750",56.500"and 71.00"measuring fr=sill to head. fid mWard Jambs: Sic(6)#10 x 3.00"PPH S.M.S-fiummers were used to secure cam h jamb to mullion locaW at 4.00", 18.500"7 33-00"y 42.750",56-500"and 71.00"measuring from sal to he All Specimens installed in a 2"x 12"wooden test bti& (4)SEQUENCE OF TESTS PERFORMED: Test Results; Test Sequenoc:TAS 202-4 1. Air Iia. 2. '/r Test Pressure Positive 3- ilz Test Pressure Negative 4. Design Pr sure Positive 5- Design Pyre Negative 6. Full Test pressure Positive 7. Full Test Pressure Negative T1 2 3 4 Demotion Gauges Set At Boz 1--N1casux=xWs were taker with four(4)Dynavision Lasers#SAT-S 1002141; SN- S 1002145,SN-S 1002142 and SN-S 1002152. s 08/12/05 12:19 FAX 9043530689 KINCO,LTD. 0 006 Pa3c 5 of 7 Kmco I I& Rym# C LA-1270 w AIR INFILTRATION- Air Iwai Tests were conducted in amordance with TAS 202-94 Air at 1.57 psf Acral 0.128 CFM/SQ FT 0.30 CFM/SQ FT STATIC AIR PRESSURE TETS Static Tests were conducted in accordance with TAS 202-94 PaSWM Time Adual Load 1053/8"Horiz.Mullion 77"Vert.Mullion sec. deflection set deo 'on W Test 30 41.25 Desiga 30 55.00 0.383" 0.009" 0.430" 0.000" 30 60.00 0.321" 4.000" 0.464" 0.004" Test 30 90.00 0.558" 0.023" 0.680" 0.005" Negertive Time Actual Load 1053/8"Horiz. MuIlion 77"Vert-Mullion Loads (sec) (Fsfl deflection perm set de0ec ion perm.set 1R Fest 30 41.75 Design 30 55.00 0291" 0.003" 0.423" 0.003- 30 60.00 0.226" • 0.000" 0.455" 0.002" Test 30 90.00 0.389" 0.007" 0.678" 0.008" 1053/=Hoem Mullion-Max diawabie detlemon ander design load=105.377/175 =0.6027 IWIs"Horiz.Mullion-Max allowable permanent set ager test load'0.4%x 105.375"=0.422" 77"Vertical Mullion- Max allowable deflection under design road--?r 1175 =0.440" 77"Vertical Mullion- Max allowable permanent set atter test load=0.4%x 7T' =030g" DW&CT-- T--LARGE.MLSSILE Impact test were eo mkided m accordance with TAS 201-94. Note: X measurma t from left edge of specimen. Y mmsaremvt frm top edge of test specimen. Type and weight of missile: #2 Southern Yellow Pine 2x4,Length approx 89-5/16"dt 9 lb. 2 Impact No Speed FUSec X Men,% Y Meas_ I. 49.9 53.0" 64-0" 1 2. 50.1 510" 25=5" I � , t � None of the impacts penetrated the sgednneu. 08/12/05 12:19 FAX 9043530689 KINCO,LTD. RD007 Page 6 d 7 TUM IA CTIA-1270 w FATIGUE LOADING TESD' Cycle tests were conducted in accordance with TAS 203-94 Desip Load psf = +70.0 psf, -95.0 psf &inM of test agbW and nsf #of cycles c5rcles/ +positive loads + .2-.5 14.0 35.0 3500 54 +.0-.6 00-0 42.0 300 54 + ,5-.8 35.0 56.0 600 54 +-3- 1.0 21.0 70-0 100 54 Defleedon Set 1.250" 0.0" lta t actual k 4d nsf #gf Ogy—glesimm -Negaiivc Loads - .3- 1.0 25.5 85.0 50 54 - .5-.8 42.5 68.0 1050 54 - .0--6 00.0 51.0 50 54 .2-,5 17.0 42.5 3350 54 Deflection set 1.250" 0-0" 9000 cycles completed Spedmen showed no resuhant fail me or duress after cycle test. No failure of fasteners. There were no crschs longer than 5"x Me through which air could pass observed. SubmaW drawings supplied by Kmco Ltd-signed and scaled by tins labentory,and videotapes of the testing,are Part orf this report.List of drawings supplied by Kinoo Ltd.to be shed are as fi>1lasys: 1. K000100 2. A-1418 3. A-7060 4. KCO-254 5. KCO-284 6_ KCO-285 7_ KCO-2043 Rev.A 8_ K000100 Rev-B 9. WOl-81 Sheet 1 of 6 dvu 6 of 6. 10_ W03-112 Sheet 1 of 6 thra 6 of 6. Comment: Nominal 2-roR polyethylew Mm was used to seal against air leakage during structural loads- The film was used in a maser that did not mfluence the test results_ r �_i? t� �t 4- ___.08/12/05 12:19 FAX 9043530689 KINCOATD. [ 008 Pap 7 d7 MOM Ltd Rcpal# CMA-1270 W Remarks. The results obtamed and reported apply only to the speciun w tested- Detailed esteiDetailed dr www were available for laboratory records and comparison to the test specimen at the Um ofthis repam A copy of this report along with represo ative sections of the test specimen wM be retained by CTL for a period of to u(10)years-The results obtained apply only to the specimrn tested_ This test report docs not constihrte certification of this prodact,but only that the above test results were obtained using the designated test methods and they it 4wate conVbance with the perfnnance requirements(paragraphs as listed)of the above referenced specfcations_ C.ertified Testing Laboratories assrnnes that all information provided by the client is accurate and that the physical and chemical properties of the components are as stated by the maau&cum. tJ�'s- James Puckett: Kinco Ltd. Dade,Coyft Witness: Not present AR Tests witnessed by: Ramesh Patel,P.B. Stephen Gibbs, CTL Trace Blakely, CTL Wxhael Miller/Lab Technician Rarrresh Pa*PE. Architectural Division Florida Reg. #20224 Certified Testing Laboratories Cc_ Kisco Ltd (2) Al-Fa ooq Corp. (2) Ramesh Patel (1) File PatF �a 7!1igl Amp 15 11! N. 1-1 w : � NI, - -F"ooQ co OF-MON a, ALUMINUM TUBE MULUONS �Ny PRQQWf DESIGN C wo-m 1225 5Y e7 AYE T IL •w LpTK NGS RW W �CKSONVtII$. rL 32254 um�.I, uoa7� F yu en7e C ws-o+�L SALES ORDER *** REPRINTED 05/19/05 *** O.D. * Xtd Kinco Windows and Doors • ORDER NUMBER: JX41971 Jacksonville BranchC�9 • ORDER DATE: 05/18/05 Jacksonville, FL 32209 SALESMAN: BUTLER, JAMES E . 904-355-1476 SHIP VIA: DELIVERED JX41971 TERMS: COD Ticket# : CUST. P.O.: Printed: 05/19/05 PAGE: 1 OF 1 Sold To: JX00001 Ship To: 3311 County:DUVAL CATHRYN MCKENNA MCKENNA CATHRYN 1925 SEMINOLE ROAD SAME ATLANTIC BEACH, FL 32233 FL 246-8984 ORDER BARCODE EST DUE DATE : 05/26/05 IINII 'LIIIIIIINIIIIjlllll; LINE IQUANTITY SHIP BIO DESCRIPTION 1 v__-2 MPSH51 29 . 13X59 . 25 1/1 FN WH CL CL PVB bal rod UL29 32 . 05 LBS 2 2 M51 S3052 SCN WH 3 MPSH51 41 . 13X59 . 25 1/1 FN WH CL CL PVB BAL ROD UL29 45 . 79 LBS 4 M51 54052 SCN WH 5 MULL-TUBE-TUB SPEC F WH 1 BY 3 CUST SPECIAL MULL TO 59 . 25 INCHES 6 3 SPECIAL CUT CHARGE 7 1 DELIVERY CHARGE I I I Special Instructions : I VE SEND MULL SCREWS & INSTALLATION SCREWS . DELIVER TO JOB NAME ADDRESS . PAID DEPOSIT MC . CONTRACT AMOUNT 1, 586 . 50 0 . 00/ 0 . 00 INSTALLER COPY CUSTOMER SIGNATURE ACCEPTED DATE MIAMFOADE MIAMI-DARE COUNTY,FLORIDA _ METRO-DADS FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE.(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIANII.FLORIDA 33130-1563 A P P R 0 J 4(0)375-2901 FAX(305)375-2905 NOTICE OF ACCEPTANCE (NOA) iAl i Jr Ail_A,461L ,E,0— RI III DIN(' OFFICE Kinco Limited AUG 1 b 2005 P.O. Box 6429 Jacksonville, FL 32254 ✓,� 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 the BCCO and accepted by the Building Code and Product Review Committee(BCPRC) to be used in Miami Dade County and other areas where allowed by the Authority Having,Jurisdiction (AHI). This NOA shall not be valid after the expiration date stated below. The ACCO (In Miami Dade County)and/or the AH1 (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 AH1 may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BCPRC reserves the right to revoke this acceptance, if it is determined by BCCO 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 South Florida Building Code, 1994 Edition for Miami-Dade County or Florida Building Code. DESCRIPTION: Series"MPSH41"Aluminum Sin;le Hunb Window— Impact Resistant APPROVAL DOCUMENT: Drawing No. W01-81, titled: Series "NIPSH41" Aluminum Single Hung Window, sheets I through 6, prepared by AI-Farooq Corporation, dated 12/26/01, with revision A dated 02/12/02, signed and sealed by Humayoun Farooq, P.E. bearing the Miami-Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant 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. TERINIINATION 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 consists of this page 1 as well as approval document mentioned above. The submitted documentation was reviewed by Manuel Perez, P.E. _ - NOA No 02-0128.06 Expiration Date: March 14,2007 Approval Date:March 14,2002 Page 1 5!!!s,� i..s�*`_,�'_�`�"����:. . .' ';st�.>ia".�C�*�2�:t'�4��r'' :,:._`�,.�o�. ,�'`,x;�'^_]��,'�.:.:=r. `�s'4 ..i; i.•r+:. Z EXTERIOR' EXTERIOR 11/ta'►iai.T>p. tt/16• MOL Tv. ti/16' TYP. ;-mi; E a GLASS BITE \ IA/SS BITE y _ z < mom _ s CT)C �i r mr� O 'fl Op �2x�x RI Ox = oj SQO 0 n N Zxm= p rxi r•1 c'f Z. ^Ip�� 2 00f�m > doom 9 > �vpov z '� 0,01 z m N(pN � NNNN N !.1 N-Ur n n N NOmo N ZSZ mAm 1 Am 71/16 MIN. TYP. 11/16•MMI.PIP. 11/16" YIN. TYP. GaAs BITE cuss errE Is \C) GLASS BITE i U >m �a O yrt � Z p N ♦: � m�,"� i Ne \ >> N p y ct rn F'e7 '0 g �A m In m y � Om 9 z p 0'A1 O 049 z mA bbb OOT$A z o N p � �D ['f �yr � UNu u�u o N uCUC C, N C pop p A (� A zO 0. p0 z z N = Z N m m 11/16•MBI.TTP. 78• > GLASS BITE o WINDOW HEIGHT = � VENT HEIGHT v oT z F- OA � orA yy L o v 35 1/4" JS 1/8" p r'-I -C s t 0.1-0. (VENT) D.L.O. (Fix. 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(305) 262-6978 1-81K1 TEL(305) 783-0111 COMP-AWo NS M�{. ._ ,� Qr�11M'!��::i - -'+.�•4 �I �.=�•`N'�'�S7R'�''•. ah�-..iK+TW�!f r�tYt+ANT�.F{.,lai✓.i':-�.i.+ .v ::'Cat+-.:1: w EXTERIOR IA.. O + ITI N O - o N• 1 M4 1�,9 f) > hTT pp^ O N yN � A - _ VQR HEIGHT 1/4'WX. i 1/4•IMX. W W n O O I O 14 pp \ <� 0 - v O; n Z Z A n_ r 1 FCA f•1(1 D Sr5 0 l7r N z O Z IJP O rg� N u m O �y p 0= rC- 0 n r 2 -•O z v A N VI N (� moN C� n }N M Umy o n z••, o I., x r r x oaf p 00 sf_ y O P 3 O mmv S p m o�+ n a vo Smc m aya u x v 0 CD v ai n z s A w zz c: 2S x m;x z r m v m C N > Z c o < ti v O- ;mg + N a g o f d A z 5 re = m i s 0 m m _ v aar ,z_z�-0, F SERIES MPSH-41 SINGLE HUNG WINDOW AL—FAROOQ CORPORATION a n as, ,o ENGINEERS, PLANNERS & PRODUCT DESIGN f O f. .mk o• KINCO LTD. 1235 SW e7 AVE J 280 S.W. 14 th AYE M4W1, FLORIDA 33174 C °r °r "^�'D POMPANO BEACH. FL 33069 TEL (305) 264-6100 FAX. 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PLANNERS h PRODUCT DESIGN O . 1/2•- + KINCO LTD. 1235 SW 87 AVE QI 280 S.W. 14 th AVE MIAMI, FLORIDA 33174 C I a.er HUMD POMPANO BEACH, FL 33069 TF1. (305) 264-8100 1-. (305) 282-69)8 C- I� Ln a 7,A•• 13051 783-0111 COMP-ANL\WOt-81KL -r�- .:1_ _ -t•i- .' %tt'. �m`.tr:< :;?=.i-'..�.yi<< •i:.." - •d 4�Y_y;�,ws^.�M F+*F.- ..�. N} 1 N N _ ' O �o - ov �o t 0 2 F -n CID �' ZI� A to 0 c r.2 0 m ^ N Fr \ 0 _ , +oo iop � zg � , N� v sm ooC) O m i x m _ n e.a< +z-2s-o1 UNG WINDOW AL-FAR00Q CORPORATION a a ^p no D a � OSCn ionENGINEERS. PLANNERS h PRODUCT DES+GN r O .m+. cox•- +• Mn'.2+2.02 acv Rex e«c...Ears KINCO LTD. 7235 SW 87 AVE J7' i 280 S.W- 14 th AVE MIAMI, FLORIDA 33174 C POMPANO BEACH, FL 33069 TEL (.305) 264-8100 FAX. (SOS) 262-6978 o+ o dt g- TES..(305) 783-0111 COMP-ANL POl-81 KL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD s� ATLANTIC BEACH,FL 32233 gra INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029346 Date 12/09/04 Property Address . . . . . . 1929 SEMINOLE RD Tenant nbr, name . . . . . . REPL GARAGE DOOR Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 925 Owner Contractor ------------------------ --- --------------------- LAMBERT, MARK OVERHEAD DOOR CO. OF JAX 1929 SEMINOLE ROAD 6884 PHILIPS PARKWAY DR. N. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 268-1627 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 925 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17. 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 a r PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA WELDING CODES. Ak al, ., C IN �Lx BUILDING OFFICIAL ly R E (:71 E I V E 0 Q7-\, CITY OF ATLANTIC BEACH DEC 0 �VjNpOWS, SKYLIGHTS, GARAGE DOORS, HURRICANE SHUTTERS Dill, Date: Job Address: ReCtehT L 322-33 Owner: qOL4 -33L4-5�50 Address: isicimE A-% Phone: Legal Description: Block Number: Lot Number: Zoning District: Contractor: CV62heAd VOOA. CoState)License Number:,.-,�-q Address: /a ge C& A�' q Phone: 4, Fax: C,(,wCF- City: State: Zip: Wot/ 01A,A.r,,jQ1W,e V— Describe proposed use and work to be done: Dho P-Place MP-f1+ Present use of land or building(s): Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Required Building Data: Mean Roof Height (ft) Building Width (ft) Building Length (ft) 6piect9p- r4enx Doo 1z Roof Slope t (ft) W4a46w-WM Window Elevation from Grade (ft) Measurement from corner of building to window (ft) Gra- 6F,- f)cc>?- Number of*Ande4vs being installed Mean Roof Height 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 - http://www.ci-atiantic-beach.fl.us Page 1 Revised 1/27/03 i'.�� _ olNvwl".�zw f Overhead Door Company DEC 0 2 2004 Engineering Services 1900 Crown Drive Farmers Branch,Texas 75234 BY. Telephone: (972) 869-1636 Fax:(972) 869-1671 A P PTLAt��C BEACH CITY Or A �pFFICE ODC Jacksonville guILDIN 6884 Phillips Parkway C rive North r l �1 Jacksonville, Florida 32256 pCC o LOu (904)268-1627 1 July 1", 2003 To Whom It May Conce-n: The following Overhead Door Corporation residential windload doors have been designed and tested in accordance with the Florda Building Code and their respective windload pressures comply with the Florida Building Code for Exposure C, 120 mph. 408950 W indload, 180/280/381,37/55.5 psf,9'-0"max 409886 W indload, 180/281/381,31/46.5 psf,16'-0"max-Max Roof Height 15 feet 409341 W indload,1801280/381,37/55.5 psf,Post, 16'-0"max 409888 W indload, 18012811381, 31/46.5 psf, 18'-0"max-Max Roof Height 15 feet 409337 W indload, 180/2801381,37/55.5 psf,Post, 18'-0"max 408951 W indload,390,37155.5 psf,9'-0"max 409892 W indload,390,31146.5 psf, 16'-0"max-Max Roof Height 15 feet 410026 W indload,390,37/55.5 psf,Post,16'-0"max '09893 Windload,390,31146.5 psf,18'-0"max-Max neof Height 15 feet 09432 W indload, 390,35.1/52.7 psf,Post, 18'-0"max 409977 W indload, 1901490,37/55.5 psf,Post,10'-0"max 409960 W indload, 1901490,37/55.5 psf,Post, 16-0"max 409978 W indload, 190/490, 37155.5 psf,Post, 18'-0"max Sincerely, Concur, Mickey Womack LeRoy Krupke, P.E. ` Project Engineer Registered—State of Florida, Overhead Door Corporaf Dn as o C, a 01< LL aae Q ZT �_0 0 0 n"'' a1n¢3 E� X OI/1 o VI oUoOU oLLmd m� � Z. a 4 00 6 LU LO u "a' ----- toil, Oz Seo rc & m ry o f --o --- 4 { _W aou w+ om eaa , s .bs ; yagbd loin- \ ; ihi t K Ea a�€�� z .a w 'gW ��<� IL — `za � Sa' s� - � awoi c> m �a r N i m i 4 u o4 w mz1�d o a o a_ Q a 77, �a�a 6 6 uv w � zo m E o �2ZZ'i�_. iwi x '"o uaaa{� w m aff gy- f $� wm .yo e w J w0 w WW w Q ? G SIS x� �Z z77 Q W l yQ hi . � 4 O Q U 114i it Q� � p — gp : M4 Cc: ��yLyrwy CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENTS. Doerr r j 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 �! (904)247-5845 Fax DEC 0 2 2004 PLAN REVIEW COMMENTS l Permit Application # -Z9 3 4 L, Property Address: Applicant: Project: L This permit application has been: E/ Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: k/k Date: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026311 Date 6/16/03 Property Address . . . . . . 1925 SEMINOLE RD Tenant nbr, name . . . . . . RE-PIPE 15 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ MCKENNA, ROBERT STYLES SMITH PLUMBING 1925 SEMINOLE ROAD 1537 PENMAN . ROAD ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-4131 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 140 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 140 . 00 140 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 140 . 00 140 . 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 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: � OWNER OF PROPERTY: <Y44ye ('l� � WATEL• PLUMBING CONTRACTOR: 1Y�L CONTRACTOR'S ADDRESS: VS J -2 f STATE LICENSE NUMBER: C C C o`A k TEL. HOW MANY OLLOWING FIXTURES RE-PIPED R NEW f SINKS _SHOWERS LAVATORY _WATER HEATERS _BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER _WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: / X$7.00+$35.00-- MINIMUM 35.00=MINIMUM 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. CITY OF ATLANTIC BEACH 1 J 800 SEMINOLE ROAD 1 r� ATLANTIC BEACH,FLORIDA 32233 V INSPECTION PHONE LINE 247-5826 03-00026020 Date 5/08/03 Application Number - 1925 SEMINOLE RD Property Address . . • • ' ' REPO FURNACE Tenant nbr, name - - . . MECHANICAL ONLY Application description • • ' TO BE UPDATED Property Zoning . . • . . • • 0 Application valuation . . . Contractor Owner -------------------- MCKENNA, ROBERT OCEAN STATE HEAT & AIR 1925 SEMINOLE ROAD 1476 ATLANTIC BLVD. FL 32233 NEPTUNE BEACH FL 32266 ATLANTIC BEACH (904) 249-8251 ----- ---- . - Permit . MECHANICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 80 . 00 0 Issue Date . . . Valuation Fee summary Charged Paid Credited Due _ ------ -- ---------- ---------- - ---- 80 . 00 . 00 Permit Fee Total 80 . 00 00 . 00 Plan Check Total • 00 00 . 00 Grand Total 80 . 00 80 . 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. 4 3 � BUILDING OFFICIAL '7 0 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC a1ACN.MORIDA 11133 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. (. b LOCATION S)net Addhu: CF lahnettfng Stre•is: Between And BU(LC(NG � Set-dhi:ion II. IDENTIFICATION —To be completed by ail applicants. ^� In s cc iderstioof permit given for doing the work as hncribad in the above datement we hereby agres to periorm uid work in accordant• ,ifh the •tfacitrd plana and Ioecifica tion which •re a parr h.reoi and in accordance .rich the City of"cbaon-1. oroinancaa and dandarar of good.orectics hated therein. Name of Ma<haniteiI G I Contract., Oen tractor IPrintl Master Name h ew Owner Slgeefvn a1 Ormo ignafure of I er Avfherrisd n/ Archils<t o cngmwr I i I11. E3tAl lNFCA A. Type sting{veil ,^ IS OTHER CONST RUCTIOM BEING DOME v^M I lO XBeetrie THIS 3UILOING OR SITE7 ,'[ Su—Q U Q Netvret Q alnl Utility IF VES, GIVE NUMBER OF CONSTRUQ;oM ❑ ^til PERMIT vfher — Specify V. VICMANN:AL iQUIPM94T 70 IS !NST/LLLW NATURE OF WORK (Pte.ide t.moieh i{al of tantaonenN on beck of this hrnl Residential or — Commarc:al Heal ❑ Spa" -_ S Spa" etsse.ci X Cantmi ❑ Fker ��J. New Building ' C: Alt Coosidlesing: ❑ Itoem Q Central YR Existing Building ❑ Dect System: Mehriei Tkidssaa ' Replacement of existing system Meaim.m<etaecity a_ft a New Inetaflatlon(No system previously Installed) Extension or add-on to existing system ❑ lteiriger.fiw L— Other—Specify Q Cooing tower: cap.clty 7.p3n. C Rre apAnklen: Number of heeds ❑ Hester ❑ Menilff ❑ Eataletor (nvrnber1 THIS SFACI POR OPPICS US&ONLY ❑.Geedlme pEnaF• (nvmberj (Raeeke/( Q Tries (nember( Remarks ❑ UG eenh!-� (number) ❑ UaiHed pfwwn veoet Permit Approved by �Gfw ❑ Sergere ❑ otlww—Specify Permit:'-s . LIST ALL EQUIPMENT AIR CONDITIONING AND AURIGERATION EQU"ENf 7 GDacit), N»mberUlL .?e asoriptlan Xodel'X=Iser Xaaufsctttnr ('Ibas) IMA^.HG • 7URNAC23. BOIL.-RS, FlJLEM.A= Ca>persty uLFPt NtIzaber Units Descriptfm Xodal-umbar Xanutactnnr (3=) AR'my TANXS Now Xany :—b-1 Capacity Ty9e I.Iglad Yams of Serial APFToYini sad Dl=uw doaa ContabDW WAnufactum No. A;ascy O w w 1: O 0 P2 LO in N \ 00 N Q w w W V � W O J � IL L) CD N 11 p m UJ 0 Z a) Co cn Z (n U C CN co J W U aQ M � � a Coo N �VILDI/y�, x TICE, NO OF FpgR � ADDITIONS or CORRECTIONS DO NOT REMOVE JOB ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted. b '$35.00 REINSPECT FEE [] NO CHARGE it is unlawful for any Carpenter, Contractor, Builder or other persons, to cover to cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have BLDG been made contact the Building Dept. ELEC at 247-5826 for an inspection. Office P CH hours are Monday through Friday 8:00 a.m.to 5:00 p.m. HP Officejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information SystemsCITY O 904-247-5845 Mar 13 2009 2:03PM Last Transaction Date Time Type Identification Duration Pages Result Mar 13 2:02PM Fax Sent 92962528 0:26 1 OK --+ HP Officejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information SystemsCITY O 904-247-5845 Mar 13 2009 2:02PM Last Transaction Date Time Type Identification Duration Pages Result Mar 13 2:01 PM Fax Sent 92962528 0:23 1 OK �s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r� ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00025480 Date 1/31/03 � � 1925 SEMINOLE RD Property Address . . . . . . Tenant nbr, name . . . . . . REPLACE 4 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -------------- ------ ---------- ____ ---------- MCKENNA, ROBERT ATLANTIC COAST PLUMBING & TILE 1925 SEMINOLE ROAD 323 9TH AVENUE NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-5381 ---------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . plan Check Fee . 00 Permit Fee . . . . 63 . 00 0 Issue Date . . . Valuation Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ----- ---------- Permit Fee Total 63 . 00 63 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 63 . 00 63 . 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 TWICERESULT IN THE PROPERTY OWNER PAYING WHICH ARE PART OF THIS PERMIT AND SUBJE TTO REVOCATION FORPVVIOLATION TISSUED ACCORDING OF APPLICCAB EO P VISION OF LAW. PLANS l BUILDING OFFICIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: !�f�S Se m ✓�°�E OWNER OF PROPERTY: /C�►6t'i' %��f�.C1si7A TEL. ,� � �1 CT PLUMBING CONTRALTO ,Fi�R�vr CONTRACTOR'S ADDRESS: � � � STATE LICENSE NUMBER: e, re-, 6,0J HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS _SHOWERS e� _LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: X $7.00 + $35.00= MINIMUM 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. nn CITY nOFF Q Office of Building Official REQUEST FOR INSPECTION � /9o2'T i/ 19 Permit No. DateA.M. /Time P.M.Received � ��� O? Locality 7 Job Address . —;10--i �<d C Owner's ct ���� uoru w.un1L NameEln,r u■c,.rr_ CONCRETE ELECTRICAL) //�� BUILDIN oug inng 7�'/lj ❑ raining ❑ Footing ❑ Temp Pole �� p ❑ Slab ❑ Final in Roofing ❑ 0.� Lintel insulation A.M. READY FOR INSPEC _PM Mon. Tues. Wed. Inspection Made Inspector Date AA1� //CITY OF 4& /3 e=A- Vral Office of Building �� 77 REQUEST FOR INSDate l /3 Time M. Received M. Job Addr ality Owner's Contractor ILDING C NCRETE ELECTRICAL PLUMBING .. MECHANICAL ❑ Footing 4 Y1Fi' ❑ Rough ❑ Air Cond. & El Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ /YJ ASI , Pre Fab v—�„�, READY FOR INSPECTION (ZD- Mon. /:2- ` Wed. Thurs. Friday P.M. l A. Inspection Ma 1 M. Ins r O �� FinaI In {l ccupancy ❑ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATIOIiI """ FtmNumber: 19277LOCATION INFORM ATION _ it Type: ELECTRICALAddress: 1929 SEMINOLE ROAD of Work: REMODEL ATLANTIC BEACH, FLORIDA 32233 Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OIAINER INFORMATION Date Issued: 12/02/1999 Name: FEIGEL, DEBBIE GRAVES Total Fees: 25.00 Address: 1929 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 12/02/1999 Phone: (904)247-3731 Work Desc: WIRE FOR REMODEL CONTRA R S Y k p. €E8 BIVINS ELECTRIC CO. P RMIT 25.00 Ins ections-fl,6 `j' : k�.- ROUGH ELECTRIC FINAL ELECTRIC NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.0014 Date: 12/62/99 61 Receipt: 6615447 CHECKS 6467 ATLANTIC BEACH BUILDING D T. 66166663221666 i Dec-29-98 11 : 23A _ P. 01 CITY OF ATLANTIC BEACH, FLORIDA ApProvW by APPLICATION FOR ELECTRICAL PERMIT I 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 VVOO ORDANCE WITH THE ATTACHED PLANS AND SPEC IFIC,ATIOtf" WHICH ARE A PART HEREOF, AND IN CORDAN E WITH THE E TRICAL REGULATIONS, CODES AND CITY t)6_ A NTIC BEACH ORDINANCES. ZLI t ►U � 0'�I ELECTRICAL FIRM: M ST ELECTRICI IGNATUR NAME , ¢2 AD RESS:; �qa� .��,,r� RFD BOX BLDG.SIZE BETWEEN: RES. ( APT. ) COMM.( 1 PUBLIC( } INDUS. ( ) NEW( 1 OLD REW.i ) ADDITION TRAILER { ) TEMP. ( 1 SIGNS ( 1 SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER I ALUM. TCH OR BREAKER AMPS I PH W` VOLT RACEWAY 'i EXIST.SERV.SIZE 8'0 AMPS I PH W I VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE I 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. I 'ov" M---�I APPLIANCES I BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEA-; KW-HEAT _ 0.1 OVER MOTORS H.P. VOLTAGE PHS i NO. 1 H.P. VOLTAGE PHS I MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 6DO V. tin I KVA NC}_ KVA //CITY OF �/— S Office of Building`Official (v 3 f5 ,2y REQUEST FOR INSPECTION // / -7� 112-0 / Permit No. 2 / ate — ime \ A. eceived J Job Address lity )wner's 1" +ame n BUILDING CONCRETE ELECTRICAL PLUMBING ECit ICAL ❑ Footing ❑ ❑ Rough ❑ Air e Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating sulation % Lintel Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION on. Tues. Wed. Thurs. Friday A.M. I t spection Made PM. spector Final Inspection Certificate of Occupancy f f Date January 27 , 1996 Mr. James Pelkey Pelkey Builders Inc. Atlantic Beach, Florida 32233 CERTIFIED MAIL Dear Mr. Pelkey, My husband and I have noticed the side of our house seems to be sloping some on the walkway side where a bedroom is located. We learned from conversation with Ms. Deborah Graves, our next door neighbor, that she also had the same problem which was corrected sometime this past year by you, the builder of our house and hers. The problem seems to be caused by the load-bearing post not being installed properly with a cement footer. We have spoken to Mr. Don Ford and he advised us to get in touch with you as he felt you would correct this problem as soon as possible. We would appreciate it if you would contact us at your earliest convenience to rectify this situation. Sincerely, Catherine J. McKenna 1945 Seminole Road Atlantic Beach, F1. 32233 Tel: 246-8984 ✓cc: Mr. Don Ford F 21996 Building and Zoning PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION - --- --- - ~ LOCATION INFORMATION -- Permit Number : 11201 Address : 1925 SEMINOLE ROAD Permit Type : MECHANICAL ATLANTIC BEACH . FLORIDA 3"'"!` Class of Work : ALTERATION ---------- LEGAL DESCRIPTION ----- Constr. Type: WOOD FRAME Lot : Block.: Section: Proposed Use: SINGLE FAMILY Township: RN,,,",: 0 Dwellings : 1 Code : 0 Subdivision: ATLANTIC BEACH Estimated Value : 50 .00 Improv . Cost : $0 . 00 Total Fees 550 .00 Amo &—r! $50 . 00 TZ X R' OWNER INFORMATION --- APPLICATION FEES ,ViV -Nt qA PERMIT 550 .00 ` S1.r>`NOLE ROAD WATER IMPACT FEE $0 . 00 I�IKACH , FLORIDA,; SE l F . P n 2 -S L 51 11A F tAP RADON GAS-H. R . S . $0 . 00 --- TRCT(':: NFORMA' ON ---- - RADON CAB 5% $0 . 00 Name: ?CE 6`STATt HEAT IR CAPITAL IMPROVE SO .00 Ad+dmS �14a - LiT .:,Be:eu m.. SEWR 'fA` m,:_Mo , NEP _ BEACH . FLORIDA 32233 CROSS CONNECTION 50 .00 Lice e MH AM, Type: 3 SEC H IMPACT FEE 00 lk CONST. SURCHARGE S 00 $ NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE 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. 000000000 00000" $50 00 14 Date. 12/20)95 01 Rcnt: 0021087 CHECKS 10167 ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA S2132 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: { OF Intersecting Street►: Eolween And WILDING Subdivision 11. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said woii in accordapce with the attactpd plans and specification♦ which are a part hereof and in accordance with the City of Jacksonville ordinances and standards o4 good prect;ce listed therein. Na.we e4 M0C1% niul e'" Centeafon ^M-tl ac t0l Master Nave e4 hererty Ownar it)to PC S4"*'re of Owner Signefu►e of or A.f wrzed Age0 �'"'� ''� Architect or Engineer 111. C�1 ' INFORMATI A. Type o4 teo•ting (vol 8. IS OTHER CONSTRUCTION DIEING DONE ON ❑ Electric THIS BUILDING OR SITE t CJ ❑ G"—❑ tel ❑ Notural ❑ Control Utility IF YES, LIVE NUMBER OF CONSTRUCTION ❑ 00 PERMIT ❑ Oth- — Specify IV, baCKJ41C L BOUW INT TO RE INSTALLOD NATURE OF WORK (P,,„;le corepieto list of campeeonh on Ined of Mh tone) Residential or ❑ Commercial 1 ❑ Hut ❑ Spoce ❑ Recessed O Coistno) O Roe. ❑ New Building ❑ A:r Coftel600ial: ❑ Room ❑ Coo" ❑ Existing Building Dwct Syt►.wt: Met•ri.L T1e14:11 D Replacement of exlsll"system Maximum capacity 1e C1lle New Installation(No system previously Instad) rr O Extension or add-on to existing system ( (� ❑ tt.e4Tigoa tier _ � r,-,v ❑ Other— Specify ❑ Cool;ng to+.+r. Capacity �.p�•s. ❑ F+n epeinkiors: Nvm6t of h" ❑ Ei-et« ❑ bloelitt ❑ Essselote►r (eY" ) THIS SPACE FOR OFFICi USA Oily Q G4eoliao pesreps IOU WAW) (R�e.ired) ❑ Tewkt (number) Ronsorts ❑ LPG b•wfoi"n -(nsitn1ty) Cl U.fW4W pawauro voeeM tenni► Approved 6y Defer ❑ loeier+ ❑ C,*w — Specify hrteif S.. LIST ALL EQUIPMENT Ant coNDMONiNG AND REFRIGERATION EQUUWENC OaWdty A Number Unit. D"Crtatfon Yo"Number Yanutacturer (TO") �►� CITY OF /n�I' • A fY �GdILC & -rtiLfYZl�� Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. /�2� -7 Job Address Locality Owner's Name Contractor y CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & etia Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation Lintel 7 Final ❑ Sewer El Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made II }o PM. Inspector Final Inspection El Certificate of Occupancy ❑ Date — n ���,� //CITY OF � /n� Office of Building Official fic 3 g REQUEST FOR INSPECTION // z. Date / —/ ��! Permit No. TimeA.M. Received P.M. / 9a Job Address Lo it Owner's Name Contractor BUILD CONCRETE E PLUMBING ECHANICAL rammg Footing ❑ oug Rough ❑ Air Con . Re Roofing ❑ Slab ❑ Temp Pole Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place Pre Fab READY FOR INSPECTION Mon. Wed. Thurs. Friday A.M. Inspection Made �o P.M. Inspector O Final Inspection ❑ Certificate of Occupancy ❑ Date PSR-3844 11176 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -- ------- LOCATION INFORMATION ---- Permit Number : 11176 Address : 1925 SEMINOLE ROAD Permit Type: ELECTRICAL ATLANTIC BEACH . FLORIDA 3223. glass of Work: ALTERATION ---------- LEGAL DESCRIPTION ------ Constr . Type: WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code: 0 :subdivision: Estimated Value : 90 . 00 Improv . Cost : 50 .00 Total Fees : 525 . 00 AmountP44 ,d 25 . 00 Data an *; 2/14/95 Wc_ . ------ - - -- OWNER INFORMATION --- ---- APPLICATION FEES ----- Name: M-KFNN7� PERMIT $25 . 00 Addr* vrs , 1925 SEMINOLE ROAD WATER IMPACT FEE 50 .00 ATLANTIC¢ EACH . FLOPTrT SEWER IMPACT FEE 50 .00 Ph�e.� + � 548,!1 S A'TER I TER,/TAF RAL?tN GAS=H.R. S . ------ � T( : INFORMATION --- RADON CAB 5% $0 .00 Mame 3 L � 0".SON ELE�'TRIC CO , CAPITAL IMPROVE . SO .00 Address : F .'? ?X 330150 SEWER. .........a.,, ATL -PL CROSS CONNECTION $0 .00 License : ER00009676 Type : 2 SEC H IMPACT FEE50 .00 CONST. SURCHARGE S® .00 QPIT'r.P1r f T TT P,-F Cin 'Or) 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. QW000000 C"00=1 Date: 12114/95 01 Rcpt: 0018840 CHECKS 1660 ATLANTIC BEACH BUILDING DEPARTMENT 00100003MOW By: 'I"4, A j� f CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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 ORDINANCES. BILL T1i0MPSON ELECTRIC CO., INC, P. 0. BOX 330150 ATLANTIC BEACH, FL 32233 0150 91 ELECTRICAL FIRM: i1 MASTER ELECTRICIANSIGNATUREJOURNEYMAN NAME Y`� ICI�I�N ADDRESS: 11�_"JCmt RFD BOX BLDG.SIZE BETWEEN: RES. AFT. ( ) comm. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ( ) REW. ( ) DDITION� TRAILER ( ) TEMP. ( 1 SIGNS ( ) SQ. FT. SERVICE: NEW ( 1 INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH ')�W Z z0VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLESW 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 N.P. VOLTAGE PHS' MISCELLANEOUS CITY OF 1 n1'4a&a Office of Building Official /? REQUEST FOR INSPECTION Date _ G � Permit No. Time ` / O A.M. Received ! P.M. Job Address Locality Owner's Name _Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing C Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ { Re Roofing ❑ Slab ❑ Temp Pole ElTop Out ❑ Heating Insulation 11Lintel Final ❑ Sewer El Fire Place El Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. FridayP 10 A.M. Inspection Made / ( P.M. Inspector � Final Inspection El SCertificate of Occupancy ❑ /0O/-C l74 �WC Date CITY OF //uGi& /3eacA-rnn&uk Office of Building Official REQUEST FOR INSPECTION Date / Permit No. Time A.M. Received PM. Job Address Locality Owner'sp�j� Name Contractor BUILDING CRET ELECTRICAL PLUMBING MECHANICAL Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Framing ❑ Footin 9 9 Re Roofing ❑ ab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Pre Fab lace El READY FOR INSPECTION Tues. Wed. Thurs. Friday 7 Mon. t A.M. O /C Inspection Made 1 7/,UC P.M. Final Inspection ❑ Inspector Certificate of Occupancy ❑ v Date ji low r PSR-3844 1 11033 DEPARTMENT OF BUILDING 1 CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ----- -------- LOCATION INFORMATION ---- Fermit Number : 11033 Address : 1925 SEMINOLE ROAD Permit Type: BUILDING ATLANTIC BEACH . FLORIDA 3221 Class of Work : ALTERATION ---------- LEGAL DESCRIPTION ---- - -- Constr . Type : WOOD FRAME T:^t : Black : Section , Proposed Use: SCREEN ENCLOSURE Township: RNG: 0 Dwellinas : 1 Code : 0 6uodivision: BEACHSIDE Estimated Value : $5800 . 00 Improv . Cost : 50 .00 Total Fees : $60 .00 ' Amount Paid.. 560 .00 Datw .i " d ` ,3 1/15/95 'PEEN PORCH ---- ---- "'ORMATION - - - - --- APPLICATION FEES ----- Na:- �iSS MCKENN?', PERMIT $60 . 00 Addrei _ _ O ,E ROAD WATER IMPACT FEE $0 .00 BEACH . FLORIDA_ 3 SEWER IMPACT. FEE � �� � $0 . 00 Pl� � zj 2 4 ? `TATER METER/TAS RADONG1 S-I :R. S . ppm cro ------ T `,„ INFORMATION - RADON CAB 5% SO .00 Name.-­V`I CAARD T., CARTER CAPITAL IMPROVE, SO .00 AddreT- ' 18' ,BEACi4SIDE COURT E TAP 3223 CROSS CONNECTION $0 .0C' License : CBCd*07, 9 Type : 1 SEC H IMPACT FEE S0 .0` CONST. SURCHARGE "�9a Q .00 aru ?nmL. _ P-T-T fin ,On 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. 000000W OWA*ow $60. Date: 11/15/95 01 Rcpt: 0012264 ATLANTIC BEACH BUILDING DEPARTMENT CHECKS 1315 00100003221000 By: • w 1. a r LAWS m averse room A" Nume of C m W em ent to fuhm it an cmulsw The undersigned haretyy infotrrn NI concerned that Improvements will be made to certain real property, and In accordance with section 713.13 of the Florida Statute; the following information is stated in this NOTICE OF COMMENCEMENT. De�cripion of �opertr...ww. McKenna Residence .............._.........»..»....._..................._...»............». ._..........._.......... 1925 Seminole Rd . Atlantic Beach, Florida 32233 _.. .....» . .. ......_. .._....r »».»._. ......__ ..._...�.... ..._»............ . ._ ... . .»».. _...__._................. i _............. ......_ .. ..�.........,_,,._ _ .. _ ......................,......_....._ ,..._.... ..... __» _..�... ..�� » »...,... Gwwaf hoak*w ejWW*yuNWa. Enclose. Screen Porch . .._.».... . ». _..». . ... ._ . .. ,. ............ _..._..._ _..» Or„nw....Mr. . and wMrs . Robert McKenna _............. ._... .._.. _. ..._.....w......_.. .�w ......__...» _.».._..._..,,.» /►si>ir 1925 Seminole Rd. Atlantic Beach Florida 32233 » r _ M..» -.... ........... Ownw'a ide►est JR elle of I4e kW0VWnW Fee S imple ..... .... ........._... ...,._....._,,,,,,,... »..............._....... Fee Um* TWS WWW pf e�+er Ii�oe, d lle�ne...... ._. _.._......» _ .. _.. ._......»......._............................................ ..._». .... » .._ .._..... ......... . . . _ __. Richard Carter �..» 1 872 Beachsi_de Ct . Atlantic Beach Beach Florida 32233 ....---.. ................. _. . »._....._._ ...._ _.... ...... ..... . of .».. .».,»... . ... Name 01 IWsen W" #4 awe of Me" dee"red by *wool "we **19m ragme or 4" &Saw* my 6 "Co" w�. .»._.. ...._.....»..,................ .. In addition to himself, owt1K M as provided in Section 713.13(1) )�Floric4 S q4s. (O Foto reosiw a COPY of the Lienors Notice Name at Ownses option). .............. ..�... ----------��___ ....... ».. ........... t CITY OF ANTIC BEACH PERKIT CALCULATION SHEET Address Date Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ 5,800 1/5--00 $ i s Total Valuation 1st $ v Remaining Value $S: per thousand or portion thereof TOTAL BUILDING FEE $ .S/a + 1/2 Filing Fee $ Z0 ( ) Fireplaces @ $15 . 00 $ . BUILDING PERMIT FEE $` WATER IMPACT FEE $_ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ _ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $ 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 : FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FONM 60OC-93 Residential Limited Applications Prescriptive Method C NORTH 1 �'�_-' Small Additions and Renovations Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6000.93 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovations to single and multifamity residences. Alternative methods are provided for additions by use of Form 6008-93 or 600A-93. PROJECT NAME: 51 M M t ` BUILDER: kc_t< t L AND ADDRESS: ctZ_ - PERMITTING CLIMATE t OFFICE: VN k ZONE: 1 ❑2 ❑3 OWNER: ,f PERMIT N0. JURtSDICTION NO.: D SMALL 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 components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction 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 building) Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only sne- installed components and features are covered by this form. Please Print CK 1. Renovatiop" dditio Manufactured Home I. A CiP�-t' !0_t3 2. Single family detached or Multifamily attached 2. `t r.No t_ir 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. 5. Predominant eave overhang (ft.) 5. 6. Porch overhang length (ft.) 6. 7. Glass area and type: Single Pane Double Pane a. Clear glass 7a. sq. ft. _ sq. ft. b. Tint, film or solar screen 7b. sq. ft. sq. ft. 8. Percentage of glass to floor area 8. 9. Floor type and insulation: a. Slab on grade (R-value) 9a. R= sq. ft. _ b. Wood, raised (R-value) 9b. R= Z t sq. ft. 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= 0C..) Zoo 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: 13. Heating system*: 13. Type: /-) L (Types:heat pump,elec.strip,natural gas,L.P.gas, room or PTAC,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 components. I hereby certify that the Plans and specific ions covered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compliance with the Florida Energy Code. �,. with the Florida Energy Code. Before construct) s pletedjWs building will be PREPARED BY: �herida inspected for compliance I rdainDe with on X63. .S. I hereby certify th t t di,'�(yIs i:Cy CodeBUILDING OFFr IALOWNER AGENT: i "- . :_J _:6.SL.� �-- OATS: Climate Zones 1 2 3 TABLE 6C-1: PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS(600 Sq.Ft and Less),RENOVATIONS TO EXISTING BUILDINGS AND SITE-INSTALLED COMPONENTS OF MANUFACTURED HOMES. MINIMUM INSULATION MINIMUM INSTALLED COMPONENT INSULATION INSTALLED EQUIPMENT EFFICIENCY EFFICIENCY Concrete R-7 _ Central A/C-Split SEER = 10.0 SEER = rn Frame,2'x 4" R-11 I g -Single Pkg. SEER = 9.7 SEER = Frame,2"x 6' R-19 Room unit or PTAC EER = 8.5` EER = Common,Frame R-11 U Common,Masonry R-3 Electric Resistance ANY O Under Attic R-30 '�C>> z Heat pump-Split HSPF = 6.8 HSPF = Z Single Assembly;enclosed R-19 ¢ Single Pkg. HSPF = 6.6 HSPF = LU Single Assembly;Opened R-10 z Room unit or PTHP COP = 2.7' HSPF/ = U Common,Frame R-11 a COP Co Slab-on-grade No Minimum cal, Gas,natural or propane AFUE = .78 AFUE = O Raised Wood R-19 O Raised Concrete R-7 Fuel Oil AFUE = .78 AFUE = Common,Frame R-11 o F Electric Resistance EF = .88 EF = U In unconditioned space R-6 C' = 3 Gas; Natural or L.P. EF = .54 EF = c) I In conditioned space No minimum Fuel Oil EF = .54 EF = See Table 6-3,6-7 TABLE 6C-2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY Maximum percentage glass to floor area allowed is selected by type,overhang length,and shading coefficient. Maximum%= Installed%_ GLASS TYPE,OVERHANG,AND SHADING COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 20% UP TO 30% UP TO 40% UP TO 50% Single Double Single Double Single Double Single Double OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC 1'-1.0 O'_.90 2 1.0 1'-.90 3'-1.0 2 .90 4 1.0 3'-.90 0'-.86 1'-.86 0 .70 2'-.86 1'- .70 3 .86 2'-.70 0 .65 1'-65 0'-.50 2 .65 l'-.50 0'-.45 1'-.45 0'-40 0'-.35 Shading coefficients(SC)may be obtained from the manufacturer. Single clear SC=1.0,double clear SC=.90,and single tint SC= .86. TABLE 6C-3 I MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints NM Cracks 606.1 To be caulked,Basketed,weather-stripped or otherwise sealed. Interior Joints&Cracks 606.1 All openings in interior surfaces of ceilings and exterior walls must be sealed. Sole&Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. Infiltration Barrier 606.1 Infiltration barrier must be installed in exterior walls b raised wood floors. Fireplaces 606.1 Fireplaces must have flue dampers,glass doors and outside combustion air intakes. Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers,except for combustion devices with integral exhaust ductwork. Combustion 606.1 Combustion space and water heating systems must be provided with outside combustion air, Heating except for direct vent appliances. Water Heaters 612.1 Comply with efficiency requirements in Table 6-11. Switch or clearly marked circuit breaker(electric) or cutoff(gas)must be provided. External or built-in heat trap required. Swimming 612.1 Spas 8 heated pools must have covers(except solar heated). Non-commercial pools must have a Pools dr Spas pump timer.Gas spa 8 pool heaters must have minimum thermal efficiency of 78%. Hot Water Pipes 612.1 Insulation is required for hot water circulating systems,(including heat recovery units)and the first 8'of piping from the water heater(or until piping enters an insulated wall or slab). Shower Heads 612.1 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. HVAC Duct 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed,insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be Insulation&Installation insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closets. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. GENERAL DIRECTIONS: 1 On Table 6C-1 indicate the R-value of the insulation being added to each component and the efficiency levels of the equipment being installed.All R-values and efficiencies installed must meet or exceed the minimum values isted. Components and equipment neither being added nor renovated may be left blank. 2 ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows,sliding glass doors and glass door panels. Double the area of all non- verTicai roof glass and add 0 to the previous total. When glass in existing exterior walls is being removed or enclosed by the addition,an amount equal to the total area of this glass may be subtracted from the total glass area. Dmoe rie adjusted glass area total by the candrooned floor area of the addition. Multiply by 100 to get the percent. Find the largest glass percentage under which your calculated percentage falls on Table 6C-2. Prescnptives am given by the type of glass(Single or Double pane)and the overhang(OH)paired with a shading coefficient(SC). For a given glass type and overhang,the minimum shading coefficient allowed is specified. Actual glass windows and doors previously in the exterior walls of the house and being reinstalled in the addition,do not have to comply with the overhang and shading coefficient requirements on Table 6C-2. All new glass in the addition must meet the requirement for one of the options in the glass percentage category you indicated.The overhang(OH)distance is measured perpendicularly from the face of the glass to a point directly under the outermost edge of the overhang. 3. RENOVATIONS ONLY. Replacement glass needs to meet the following requirements. Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this cnIenamust be either single-pane tinted,double-pane dear or double-pane tinted. t. Complete the information requested on the top hag of page 1. 5 Read Unimum Requirements for Small Additions and Renovations",Table 6C-3,and check all applicable items. 6 Read,sign and gate the'Owner/AgeW certification statement on page 1. -2- 1_ 1995 Building and Zoning CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : Nir Robert McKenna _ Mrs Cass McKenna Address : 1925 Seminole Rd. Phone : 246-8984 Lot # Block or Unit # Subdivision: Beachside Contractor : Richard Carter State License # CBC 046779 Address : 1872 Beachside Ct. Atl. Bch. Phone No: 241 -4787 Describe work to be done: _ Enclose screen porch Present use of building: Single family residence Valuation of Proposed Construction: j05-80 (-) Proposed use: Sun por(:,i, 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? YES New electrical (or increase)? New plumbing fixtures? "'O New fireplace? New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Y `� _:r<_-�c, Date: Oct 19,1995 Signature CONTRACTOR: Date: Ocr, 19, 1995 CIL a X175 License Supplied: P��P��poN�Nc oG � Liability Insurance: G�oy1��,�N I Worker ' s Compensation Insurance: l�A...� SHOWING SURVL l OF LOT .?& 0 LO C K _ �•r.�em2IRS - .cca�ow� to wrr �tco�orco �+ •�.r goo. �,_.+� 's%or T�� ru�uc �`oo�a or v___,_:_co�+��x ru. &C&69; i••.�a..„ ron ✓ - 8.,��4o49APS W►tt 8 s-e� l Ct�-5 Smarr,►•sol-� � . Amp JV4 /r.I, .r, s 0 • • It / 0 b G Ar G D GIf / or-" fro•.• t e aa' s/ oo t 'l� ) I �i•.�.) i ►%• r •�.r� N •.c�..� !• err) Ir�1 �••M) w fir' S ♦�/. r,..• s►o•... 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Be advised that these codes preclude that all exterior window and door - openings-are secured and protected for the duration of a wind storm condition. -- Note:;The Engineer does not certify, nor assume responsibility, for the structural credibility of any pre-engineered and manufactured structural building components or rooftfloor truss systems _. including required connectors (factory or field installed)which are intrinsically associated parts of the components or-truss systems. _ .......... ..- - ii _ _ ............. _ . _.. i .. _ , :.. ��► L j r. i !. - - ... E i ! I i i - - �--;-- r— u � jaingi i ! .... .. :.. __. , I { Ir1/s _._ ... ! i I _ i CHRISTOPHER C. KATHE, INC. Consulting Structural Engineers JOB TITLE CFIn��—r� • �a�STNJGTla►.� CALCULATED BY .K-, DATE 1� J013NO.195 -171- CHECKED BY DATE cijFs.IECT� GL OSy��' SH Z OF� SKETCH NO. 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EDC�CY�.._Adz> � O,Gk . a r ............ ----{--..... 11 / — P' `A Z 'v S p. �.Z:. �I P / t _ dP _ _ / Z _. _. { , p.-_. . 1Y INTL-- 8 GaGIG _ �, Ari D ANS .�`5 rAJ { $'_C►�l V Src-�l V\1 A L ...... �. t_--- i ... y........_ _.......;.. ..... ....... __._.;.. ..:_ .. . . r ..- ....... ..__ +.._. .. _.. ._. _-.�---- t-- s----G _. ! 2 i i ! . ... .... _ ......... - o (LDS 7.... ., 4- _ - - - _ _w.... ....;. j SEC IA � : ; , D Z�" _ �-- i i ` .... ..i._.......1 .. / Mao PAn _ - . =U �� _.. ._ _....� _._ - -- _ , E I '51 U-4 4 Apo - _.... T. o i..... . — _....._ _ ...._ _............. !Aoj l.. I : �A,_1A.r'.f/ �—{�!Vit-•---i--- ,'_ � .. 10 �_...�.._....�.._-+._---,-._--,._ F16'LD• I CHRISTOPHER C. KATHE, INC. Consulting Structural Engineers JOB TITLE �rrrU�, �.oNg rn0 6,loJ CALCULATED BY �G DATE JOB NO. ' IN CHECKED BY DATE SUBJECT 4'VGLVSED SKETCH NO. SCALE SH OF& .... ........... ....... .`_... _.. . ._ _ ... — .. +._ ...+ - i ,�, -- -- - -' f 2 M� I i u o0 1_......._...._......._. .._.......__. ...... _ t- .. .. _. - - -...�. i _ _..... .... _ , S' G_. Xpit.yy gat 1"-- M ...... ..L -- I _.._. µ t'�JR _ srfianrJA LV _ ...-- ;. � i ........ -- I i .... ... .......... .... ... ...__ -_ _....._ _.._ : i i ! i , _.......... .. ............. ........... C- C i ; : I I I. ..y.. I I I i 1 _._ .I _....__..�...._.._.� 1. 1 i i ._._.. _ .....,.mo_ �i...... •. .......:..i:... . - f : i .....�.-� _ . ....... I ..._ _ww ....._- _ ........ .. _...... _ _ -- ..... I .-. r, -�--- ..... ..._...._r � i 1 I 1_.._._...1. ....._...._., j..__._...�........ ...... ...... _._... ............E.......... _._.........._. _............_, .., : I i i.... 4 ® TM FOR TECHNICAL INFORMATION: 1 800 SE SPECS Souteastem Metals Manufacturing Company, Inc. 1-800-737-7327 HURRICANE ANCHOR Design Features: • These ties add increased resistance to wind uplift. • Eliminates toe nailing utilizing correctly located nail holes for fast, easy l and strong attachment of rafters and trusses to plates and studs. Materials: 20-18 gau a galvanized steel DIMENSIONSS FASTENER SCHEDULE ALLOWABLE LOADS WIND/ PRODUCT LATERAL EARTHQUAKE PER DESCRIPTION CODE GAUGE W H RAFTER PLATE STUD (See InstltTlation) UPLIFT UPLIFT CTN 1 160% Al A2 6d J,8d 6d 8d Regular H 20 1112 5 4 4 4• 145 95 400 510 480 520 500 +•mac Long Tie CPLR&HCPLL 20 1 112 6 4 4 4• 145 95 400 510 480 520 100 ff�G Dbl.Long Tie 20 11/2 10112 5 xt 112' 8 5 x 1 112' 115 95 500 555 555 555 100 Reversible RT12 18 11/2 4 518 4 4 4• 100 130 380 380 380 380 100 Truss Tie EkPTA 18 2112 20 8 — 8 — — 800 990 960 990 50 FOOTNOTE: May be installed on each side of rafter for twice the loads when the rafter thickness is a minimum of 2 1/2'or diagonally when rafter is 1 1/2'. Regular and Longtie hurricane anchors also available in 18 gauge. 'Aftemate stud plate application. w INSTALLATION: Use all specified fasteners in schedule to achieve values indicated. 2-16d toe nails from truss to top plate equals 300 lbs.additive to listed lateral loads parallel and perpendicular. SEE GENERAL NOTES: 1,2,3,5,6, 10 W i ' ADE COUNTY REPORT#92 0830.6, CODE COMPLIANCE: S.B.C.C.1.#9166,#9320 METRO Dfel Submitted 1/93 for a National Evaluation Report(NER#Pending). W DOUBLE W LONGTIE H TRUSS RT10 • ---REVERSIBLE TIE H HCPTA • REGULAR CHC TIE ° R/L H RT12 HCPR/L ° Al WAll All i Ai ' May be installed on each nide of rafter for twice the loads when the rafter thickness is �� • a miminum of 2 1/2"or diagonally when A2 A2�. rafter is 1 1/2". A2� �— t 1/2• Rafter application Rafter application Rafter application r TOP 1 V/�' PLATE ('1' ties installed diagonally at�ose > from each other � 21/2• . (MIN) i _• stud application — --- --� 5uxLapaI1a1IQn HCPR/L HCPLR/LL RT12 �' IFr y--TOP (Available In left or right) (Available in left or right) JL PLATE ries;nstalled back-to-back 37 TM FOR TECHNICAL INFORMATION: 77 r-1— 1 800 SE SPECS , Southeastern Metals Manufacturing Company, Inc, 1-800-737-7327 UNIVERSAL FRAMING ANCHOR - Design Features: Multi-purpose easy to use anchor for almost any wood connection task. 1 � 3• • Anchors rafters and wood roof trusses to plates. • Anchors floor and ceiling joists to headers, and solid 4 rA' Y FAP18S blocking to plates. • Use as 90°framing angles to join posts to beams and l make other right-angle connections. t tn' o ALLOWABLE LOADS FAP18 WIND/EARTHQUAKE PRODUCT FASTENER DIRECTION PER \ SIZE CODE GAUGE SCHEDULE OF LOAD UPLIFT 1600% CT Q In-� ad 10d Nq A 3 5 395 4 518 FF18 6 B 170 170 100 kIC AP18 C 745 745 5V O A 'D 765 915 100 0 0 45/8 FAP18F 6 E 765 915 A 395 395 3 FAP18S 18 4 B 170 170 100 FAP18F B C 510 610 FOOTNOTE: Recommended nails,8d INSTALLATION: Use all specified fasteners in schedule to achieve values indicated. SEE GENERAL NOTES: 1,2,3,4,5,6 CODE COMPLIANCE: S.B.C.C.I.#9166,Submitted 1/93 for a National Evaluation Report (NER#Pending). lt DECK BRACKET Design Features: • Eliminates toe nailing. • Secures wood posts or column to wood decking using nails or lag bolts. °°�° " '�� • Attaches to concrete using anchor bolt. ° DB 1 \\ Materials: 18 gauge galvanized steel �+/ n PRODUCT DIMENSIONS PER ; I SIZE CODE GAUGE W H L CTN DOF 4x4 DB44 18 39/16 21/4 31/4 20 .0 4x4 DBC44 18 39/16 37/8 .5.112 25 \ 4x4 DBF44 18 39/16 1 718 7 314 25 W • • \,k 4X6 DB46 18 39116 3 5112 10 Y' f°cam 6x6 DB66 18 51/2 3318 5112 10 w New �< rr 4- , 8x8 DB88 18 7112 4 7 112 10 '°• y FOOTNOTES: To order product in rough/full size lumber,add R to stock number,as in D13-44R. L DBC \\\� 39 F F ® T%' FOR TECHNICAL1 TION: 00 SE SPECS Southeastern Metals Manufacturing Company, Inc. 1-800-737-7327 RAFTER TIE Design Features: • Tie straps meet a variety of application and design EIXMI FASTE"ER9 EOILLL FAgTE"Eg9 load conditions and specifications. " Use when tying rafters to plate, anchoring studs to sill,framing over girders and bearing partitions. Materials: 14- 10 gauge galvanized steel Example for 1" wide x 12" long rafter tie. Use specified fasteners each side in schedule 1 WIDE 14 GAUGE STRAP listed to achieve values indicated. RTP ALLOWABLE FASTENER LOADS SIZE PRODUCT GAUGE DIMENSIONS SCHEDULE WIND/ PER w_r- . . / CODE EARTHQUAKE CTN UPLIFT UPLIFT FLAT W t NAILS 133% 160% 8 RTPGA88 14 1 8 4-16d 605 725 100 TWISTED 10 RTPGA810 14 1 10 5-16d 755 905 100 12 RTPGA812 14 1 12 6-16d 905 1090 100 0 14 RTPGA814 14 1 14 7-16d 1060 1270 100 16 RTPGAB16 14 1 16. '8-16d 1210 1450 100 0 818 14 1 18 9-16d 1360 1635 100 20 RTPGA820 14 1 20 1 10-16d 1510 1815 1 50 0 24 RTPGA824 14 1 24 12-16d 1815 1950 50 28 RTPGA828 14 1 28 13-16d 1950 1950 50 30 RTPGA830 14 1 30 13-16d 1950 1950 50 36 1 RTPGA836 11 14 i 1 36 13-16d 1950 1950 50 When ordering please specify "F" for flat or "T" for twisted. 1" WIDE 10 GAUGE STRAP Only available flat FASTENER ALLOWABLE LOADS SCHEDULE SIZE PRODUCT GAUGE DIMENSIONS WIND/EARTHQUAKE PER CODE UPLIFT UPLIFT CTN L NAILS 133% 160% o W L 10d 16d 10d 16d 12 RTP10812F 10 1 12 6 925 990 1110 1185 20 16 RTP10816F 10 1 16 8 1235 1315 1480 1580 20 20 RTP10820F 10 1 20 10 1545 1645 1850 1975 10 24 RTP10824F 10 1 24 12 1850 1975 2220 2370 10 28 RTP10828F 10 1 28 14 2160 2305 2590 2770 10 32 RTP10832F 10 1 32 16 2470 2635 2960 3160 10 36 1 RTP10836F 10 1 36 18 2775 2965 3330 3485 10 FOOTNOTE: Reference to the alternate fastening schedule page 6. Other lengths and gauge sizes available. See truss anchor page for lateral loads. INSTALLATION: Use all specified fasteners each side in schedule to achieve values indicated. SEE GENERAL NOTES: 1,2,3,6 CODE COMPLIANCE: S.B.C.C.I. #9166,METRO DADE COUNTYREPORT #91-0702.9 Submitted 1/93 for a National Evaluation Report(NER#Pending). '} II 41 r' TM FOR TECHNICAL INFORMATION: 1 800 SE SPECS Southeastern Metals Manufacturing Company, Inc, 1-800-737-7327 D j� WALL CORNER BRACING Design Features: Flat wall bracing is for use on internal or external walls. • Easier and faster method to prevent cracking in walls. Designed for use with 16" on center studs. 1 \ • Demonstrated an ultimate tension capacity of 3,800 pounds. Materials: 18- 16 gauge galvanized steel PRODUCT DIMENSIONS PER SIZE CODE GAUGE W L CTN + 1114X10' WBP18510 18 1114 10' 10 1114x12' WBP18512 18 1114 12' 10 ` \ 2X10' WBP810 16 2 10' 10 • ' ��� 2X12' WBP812 16 2 12' 10 • �,` � INSTALLATION: Engineered to provide more strength than conventional let in wood bracing with less cost. Easy to nail to outside. Use 1-8d nail at each stud and 2-8d nails into the side of the top WBP w and bottom plates. Pretapered ends hammer over top and bottom plates eliminating the need to cut notch or fit. SEE GENERAL NOTES: 1,2,3,4,5 CODE COMPLIANCE: S.B.C.C.I. #9166,METRO DADE COUNTY REPORT#92-0830.5,Submitted 1/93 for a National Evalautlon Report(NER#Pending). T-WALL BRACING Design Features: • Using T-Wall Bracing is the most efficient way to maintain the 1 \�� squareness of wood frame walls during and after construction. • Eliminates racking after completion. 4 Use 1-4d nail at each stud &2-8d nails at the top and bottom plates. 4, FoorA Materials: 20 au a galvanized steel INSTAL DIMENSIONS :PIER SEE GE PRODUCTCODEC SIZE CODE GAUGE W H TN )/ - i 9'3' TBP93 22 F17/8 9'3' 20 STR 11'3 516' TBP113 22 1 718 11'3 518' 20 Desigl INSTALLATION: Use a length of T-Wall to mark studs,the 9'-3"ata 60°angle or the 11'-3 5/8"brace at a 45°angle.Cut a single 1/2"deep saw kerf into the stud&plates on the marked line. TBP \ If installed at 45 degrees tension, 1602 lbs.,compression 1025 lbs. Materli If installed at 60 degrees tension,980 lbs.,compression 500 lbs. SEE GENERAL NOTES: 1,2,3,4,5 CODE COMPLIANCE: S.B.C.C.I. #9166,METRO DADE COUNTY REPORT#92 0830.5,Submitted 1/93 for a National Evaluation Report(NER#Pending). ROLLED STRAPPING sfzE pC Design Features: • Use for cut to length strapping at site. • Product code stamped every 6" along strap for easy identification. Materials: 22- 16 gauge galvanized steel 2X SH ALLOWABLE LOADS 2X MSh NAIL2X MSH; END SCHEDULE FLOOR WIND/ PER PRODUCT PRODUCT EARTHQUAKE N 2X MSHS GAUGE CUT LENGTHPER ENDDESIGN CT CODE DESCRIPTION LENGTH LENGTH LOAD UPLIFT UPLIFT 2X 100% 133% 160% MSHS; X(2) MSHS21 Clear Span+28' 14 1230 1645 1645 1 (2) MSHS21 +� RSi 16 1 114'X 150' Clear Span+22' 11 11-10d (2) MSHS22; � TM Clear Span+22' 11 11-8d 950 1270 1270 1 X RS200 18 1 114'X200' MSHS41 �„„,,,,,, Clear Span+18' 9 9-10d \\ Ill Clear Span+18' 9 9-8d X MSHS41! RS250 20 1114'X250' 755 1010 1010 1 X MSHS422 Clear Span+14' 7 7-10d TNOTE: RS RS300 22 1 114'X300' Clear Span+14' 7 7-8d 625 835 835 1 TALI-ATION: Clear Span+12' 1 6 1 6-10d INSTALLATION: When using everyother nail hole to achieve code required minimum on center GENERAL NO spacing of nails,double the end length required each end. E COMPLIANC SEE GENERAL NOTES: 8 cnnp cnMPLIANCE: S.B.C.C.I.#9494 I'M FOR TECHNICAL INFORMATION: 1 800 SE SPECS Southeastern Metals Manufacturing Company, Inc, 1-800-737-7327 FOUNDATION TI Design Features: Prepunched hole in foot to increase concrete grip , and allow alternate rebar rod support. ` • Prepunched holes in bend to nail into form board. Materials: 12 gauge galvanized steel L DIMENSION ALTERNATE FASTENING SCHEDULE 157 To PRODUCT OUT OF PER ALLOWABLE LOADS SEND UK GAUGE FASTENERS ew CODE CONCRETE CTN WIND UPLIFT 133% WIND UPLIFT 160% L NAILS BOLTS NAILS BOLTS NAILS BOLTS to• FTP28 12 1610 10d 16d 112' 10d 16d 10d 16d 2- FTP32 12 20 10 9 8 2 1550 1620 1700 1860 1945 1700 —4111. FTP42 12 30 10 14 12 3 2410 2430 2550 2890 2920 2550 18 16 4 3095 3245 3400 3715 3890 3400 DFTP 22 22 5 3785 4050 4250 4050 4050 4250 FOOTNOTES: Minimum thickness. All references to bolts or MB's are structural quality through bolts equal to or better 1 than ASTM Standard A 307. 1 SEE GENERAL NOTES: 1,2,3,4,6,7,10,12 CODE COMPLIANCE: Engineers sealed approval available upon request. Submitted 1/93 for a National Eva luationReport /--o. (NERAL Pending). PURLIN SILL ANCHOR 2• �• Design Features: Accommodates diverse design requirements for concrete to wood. o • Purlin anchors allow a 6"embedment into concrete. Materials: 12 gauge galvanized steel DIMENSIONS SIZE PRODUCT GAUGE OUT OF PER h �lr CODE CONCRETE CTN L To order prebent anchor add B L L � to product code, as in PUPB29. 2x18 PUP18 12 18 10 2x23 PUP23 12 23 10 FOOTNOTES: All references to bolts or MB's are structural quality through bolts equal to or better than EX2 PUP25 12 25 10 ASTM Standard A 307. SEE GENERAL NOTES: 1,2,3,6,10,12 PUP29 12 29 10 CODE COMPLIANCE: S.B.C.C.I.#9166,Submitted 1/93 for a National Evaluation Report PUP35 12 35 10 (NER#Pending). 2• ALTERNATE FASTENING SCHEDULE �. ALLOWABLE LOADS PUP PUPS WIND/EARTHQUAKE � FASTENERS 1 1/2" HEADER 2 1/2" HEADERII�`� UPLIFT 133% UPLIFT 160% UPLIFT 133°k UPLIFT 160% \+�, BOLTS NAILS NAILS NAILS NAILS BOLTS BOLTS BOLTS BOLTS 111 NAILS 1/2" 10d 16d ONLY 10d 16d ONLY 10d i6d ONLY 10d i6d ONLY (DIA) \ r \� 8 2 1165 1250 825 1400 1500 990 1375 1620 1255 1650 1945 15051 ;`\`! 10 3 1455 1565 1240 1745 1875 1490 1720 2025 1880 2065 2430 2255 12 4 1745 1875 1610 2095 2250 1985 2065 2430 2505 2465 2465 2665 14 5 2040 2190 2065 2445 2465 2480 2410 2465 2665 2465 2465 2665 =\�- �•� 16 6 2330 2465 2480 2465 2465 2665 2465 2465 2665 2465 2465 2665 \ /> 18 ---- 2465 2465 ---- 2465 2465 ---- 2465 2465 ---- 2465 2465 ---- 17 i � �,c�s-r►�►� c� t-tb,�5 tr p N0 v 1 1995 N (ABuilding and Zoning Z — �X ►sTi�G. ��SC' Z 7 �i 1 � N I. V N QN �- W Tj Nr V I t-inic2Ll.� sN�+-�VL� _' ua �--� �NS�Ln+�io•a _ coo L � � F f �+ tV �� n') � •i7Cgv� G l{.`f rf�A�hnt.i O .1 Il�, OSlli U 'n 1� g�#£E7rNv f � w — SftA►Grx-�w� 7p f 'Sl Drr�is tr- � ISD cr JTWP DL�wwO z�8 So,yT CmnI-N Wqu p4 Iroc to . � � f Ire I1 � 1 «v w, n, onr ■ •ufd Y,puno j �■Jf puss.0all ■ 'O"i 4-,02/ OJ$ ■ C ory:t�y'Y� 'svKrfa A� j iti nroO&n�w -- w/f//z ■ H�va `w ��gal y 1u,a. � �a.o•� �r _ � i n A 9861 Z 833 P r .i1H1 d3311 I I T TL�N bw W^2 04 r �jMG'a7v I ,r,'�9 � •S�'"� wr��� I ia'ro�a Q L«�s yw► - fvi ' ' 1 I 20 (w y_ ..--- Q} P~V vow o;019 r j►�.�L`.1 f1 J� s <� CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD r� ATLANTIC BEACH,FL 32233 v INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000087 Date 1/26/09 Property Address . . . . . . 1929 SEMINOLE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7339 ----------------------------------- Application desc window replacement ----------------------------------- Owner Contractor _____________ ------------------------ HOMERITE WINDOWS AND DOORS LAMBERT 1929 SEMINOLE ROAD P O BOX 518 ATLANTIC BEACH FL 32233 MELINRLE GREEN DCOVE ESPRINGS FL 32043 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL -----Flood ---- - FloodZone-------------------ZONE-X------------------------------------ Permit . . . . . . BUILDING PERMIT Additional desc . 35 . 00 Permit Fee 70 . 00 Plan Check Fee . Valuation . . . . 7339 Issue Date . . . . Expiration Date . . 7/25/09 --------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS _ ________ --- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- 70 . 00 . 00---------- . 00 Permit Fee Total 70 . 00 00 . 00 Plan Check Total 35 . 00 35 . 00 00 . 00 Grand Total 105 . 00 105 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. yss�fri CITY OF ATLANTIC BEACH 09- 4 - 9 _ ;p 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 y OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BU ILDING-DEPT@COAG.U S BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: - - 2.VALUATION OF WORK - 3.SQ.FT.UNDER ROOF 1 3:3 8 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: - ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER; B-9EPAIR ❑POOL/SPA ❑YES ❑N!A F 1� c Y�'+4�.-(- W 1 n�,;,L:, -y�✓l. �' i' ❑MOVE ❑OTHER ❑fJ0 PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: -T-NAME 15.COMPANY NAME: 23.C MPAN NAM iAd� -,_mak, t . 16.NAME: - 24. ESISEE AM,E: 7,,` 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 10.ADDRESS:C 4 C L C y s-b /I/&( 18.ADj�RESS: 26.ADDRESS: 141 L 67C,--L, 3-2-?-33 o ho d 5-1 k 11.OFFICE PHONE. 12.FAX NO.: 19.O FICE PHONE` 20.FAX O.: 27.OFFICE PHONE: 28.FAX NO.: dai(' a �s j -U7s? : S>. ).5-1 s 1 d I,('- Ls L �_ 13.CELL PHONE: 21.CELL PHONE: - 29.CELL PHONE: a 3 - 1?'6 .3��- °�� 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLEHOLDER. BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36,ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. t WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attorney or Agency Letter Required) e (Qu�ifi ly) j � X r, try- ! " C'471 Signed: � 41 -:ate:� � �) Signed: L G(r ,2009 in the county of Before a Phis�_day of 1/1 M ,2009 in the county of Before me this day of J Duval,State of F Duval,State of Florida,has personally appea ROYAL GATES DEAREN �p�,that tabtfn nit decl ations are herin by himself/ rsJf���ff Tv �+��1 eclar ions are herin by himself Ffjs n�,alff ^t'ttBa �r",�Ot¢� ;gCommission DD true and accurst . � ,R„, Banded Yhfil l'r6y Fele In5�,jrancC 600.3857019 true and accurate. 3*� �R ��V 20 LU i I ' Y�?uol Nota Public at Large,State of >-r A ,County of �'' / Notary P lic at L � Rf,4 ersonally Known ersonally Known ❑Produced IKnow n- ❑Produced Ident' tion Notary Sig Notary Signature: (2� nature. REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC PEACH r SEE PERMITS FOR ADDITIONAL BLDG01 Permit Application Bldg:REVISED:.1 211008 I L E copy i REQUIREMENTS AND CONDITIONS. REVIEWED BY. DATE: -Z Z / NOTICE OF COi. _MENCEMENTjA jj .3 0 2009 (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of r/e-,'jxz County of 154-4►o,� 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: I g,?`i 33 Ptf I-Al , Address of property being improved: �l 3��33 General description of improvements: 12nln c F n-, � �0- Owner M L "AA lz LA w, b G, k- Address L� 4 5 ...-� ,��I /9 'L,�„�fi� � �G� 3��33 �! Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address I Contractor L,-% a:., Lm' I f 6v11 41.a.. 5. 5 — D n7 h l Address U a.—C Phone No. Yd`s-Lague. a5/� _ Fax No. CS` Surety (if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person mIaking a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of lorida, 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 design tes the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statu es. (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 soecified): . G CITY OF ATLANTIC BEACH WINDOWS, SKYLIGHTS, GARAGE DOORS, HURRICANE SHUTTERS l - V� Date: Please submit(2))complete sets of plans with application. Job Address: I,.2 X71 �_ y'h i!fib� (� (l}Lo..{ !3 1. rl 3.1�33 Owner: a A-r E v �l 3 Address: Q1 S �m �c5(� fz� AA C.�� ; (S am• one: Legal Description: ``Block Number: Lot Number: Zoning District: Contractor: Li 11 C D ���- �- 5 State License Number: (>(;(� 50 Address: (3c>i. SPhone: City: State: 151 Zip: 3-2043 Fax: Describe proposed use and work to be done: %IV,e%' t�Zk Present use of land or building(s): Pe., 4>-,%£ Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required?#tom If yes,please submit with this application. Required Building Data: Mean Roof Height (ft) Building Width (ft) Building Length (t-t) Roof Slope - Window Height (ft) Window Width (ft) Window Elevation from Grade (ft) Measurement from corner of building to window (ft) Number of windows being installed Mean Roof Height I I AcT I mss/ _\ 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ei.atlantic-beach.fl.us Revised 1/27/03 Page 1 >E Outside Dimension (TTT) LD. PLUS 1' m m m o m 7CaD: 1} MIN*CD 0 CL I a m a m 4 u J ° b i m y � m z 0 CL o i a 8 SHIM BUCK 4 a. ma' m Inside Dimension Y m ° Ft u 4 J W N ? W N 3a'x' �`�' �� r�o m a I o m�� �0 73 \rn �o m D) N 3 c° rt o Nps �° s. ry 0 Z O. a O " O O 0 N .p 7 z LL] T_ N O O_ C nl 'F O N D1 v) A 0 N_ O �r u O {➢ C F [1 N O '_O 7'C o•3 '0 O O O O N 7 0 0 r Q o 0 m p a0 r Qs� oF m v� rig io —�--- u � � �? 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AD a Dp v =3 L+Z p Ya DY D DY Y U O1 m m� t1 Wm W D DDDYbD Wm npY pApp npYap aaanpa CO-U�m J c' C,n' or) 0 O(7 [7' 71 o c,CI, 0 0" 000000 or)' 000 0000 00000 000000 _ O' oo 00 O 00 O O n0 In_q M oo v R• R•RR°R•R•R• 0p R•R•R' R•R'lr fr R'Rit frR RR•R R•RiP v oar -•��_ � 2D R,R,sr R,��m�`�mmmmmm l�p R. mmm ��mmrnm mmmmmm mmmmmm rn o0, :: O = Dm rn rn mmmm mm mmm mm m n o C W m 0 O m � A City of Atlantic Beach APPLICATION NUMBER jS r ' Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: a/ 10 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM DepaLrtment review required Yes,/'No /Q� (� uilding Property Address' / / of�1210 Panning &Zoning Tree Administrator Applicant: Public/'Yi� /"/ r� Public Works / Public Utilities Project: �L�117Q(i ��/�/� Al t n� Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING TREE ADMIN. Reviewed by: Date: PUBLIC WORKS Second Review: ❑Approved as revised. [—]Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 v INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-de pj& oab.uS Application Number 07-00000259 Date 3/15/07 Property Address . . . . . . 1925 SEMINOLE RD Application type description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4300 --------------------------------- Application desc replaced deck ---------------------------------- Owner Contractor -------------- --------- ______ ---------- MCKENNA, ROBERT COASTAL CUSTOMS CONSTRUCTION 1925 SEMINOLE ROAD SERVICES, INC. TREET ATLANTIC BEACH FL 32233 ATLANTIC306 4TH BEACHFL 32233 (904) 333-2735 -- ------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc Plan Check Fee 27 . 50 Permit Fee . . . . 55 . 00 4300 Issue Date Valuation Expiration Date . . 9/11/07 _ --------------------------------- _______ --- Fee summary Charged Paid Credited . 00 _ _ ---------- ----- ---------- - . 00 Permit Fee Total 55 . 00 55 . 00 00 . 00 Plan Check Total 27 . 50 27 . 50 00 . 00 Grand Total 82 . 50 82 . 50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. S CITY OF ATLANTIC BEACH PLAN REVIEW SHEET D etier Building Department Public Works&Public Utilities Departments R. Caen JFt!>r 800 Seminole Road 1200 Sandpiper Lane D. Kaluzniak Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 public Safety (904)247-5800 (904)247-5834 247-5843 Fax Jax Fire dept. (904)247-5845 Fax (904) PLAN REVIEW COMMENTS Permit Application# 7 ' 19 6-9 Property Address 9c2 5' Sg iMb //tt �k,5T11ms L�NS� kC� G�'� Applicant: AS r a,/ Project: C Ea 77T This permit application has been: Approved as noted by the D Department. Final application approval must come rom the Building Department. ❑ Reviewed and the following items need attention: Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your pe rm being issued. Reviewed By: � Date: 3 Date Contractor Notified: BUILDING PERMIT APPLICATION � s) CITY OF ATLANTIC BEACH 1 800 Seminole Road,Atlantic Beach FL 3223 Office: (904)247-5826 • Fax: (904)247-5845 Job Address: I / ��I rja-C Permit Number: a Legal Description Valuation of Work(Replacement Cost) $ DCS ■ Class of Work(Circle one): New Addition Alteratio Repair _..___ ve ■ Use of existing/proposed structures) (Circle one): ommercial si ■ If an existing structure, is a fire sprinkler system installed? (Circle one): Ye N/A ■ Is approval of homeowner's association or other private entity required? (Circle one): Yes Describe in d ftail.�he type of��rk to be performed: Property Owner Information p Name: . oz,►�t�� l�`�nl Address: I��� '7Yl f my Oc leo City C State_Zip 23 Phone Contractor Informa 'on: Name of Compan : toK,STMS oNSi Qualifying Agent: Address: M City �� State Zip Office Phone �► X34 Job Site/Contact Number �"� State Ceitification/Registration# 'a Office Fax Architect Name &Phone# of e Engineer's Name &Phone# N 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 o fall laws regulating constrziction in tluis 'urisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or wor/is suspended or abandoned fora period of six(6)months at any time after wor/cis commenced. I understand that separate permits must be secured forElectrical Work,Plumbing,signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks andAir Conditioners,eta 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 CCONSULT CONIlVWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTE OF I hereby certify that I have read and examined this application and know the same to be true and correct. Allpro 'ons f l nances governing this pe ofwork will be complied with whether specified herein or not. The granting of a ermit does notpresume to give au o to iolat' or cancel the provisions o ny other federal,state, or local law regulating construction or the perfor nance of construction. Signature of Property Owner:, Signature of Contractor: Sworn to and subscribed before me Swor �,��d subse fore me this�Day of �O4`7 flus Day of A C Notary Public: Notary Public: .�..w- _ 1"ey CITY OF ATLANTIC BEACH PLAN REVIEW SHEET r tie �r Building Department Public Works&Public Utilities Departments R err '401119 800 Seminole Road 1200 Sandpiper Lane R. Ca Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax Jax Fire dept. PLAN REVIEW COMMENTS Permit Application # Q 7 ' 19 A-9 Property Address ` !02 5/ 7�MAle I ;FO Applicant: (,D/dSTi4-L e4671107S eew.5 fieA14V 071 Project: RfAe �/ AUG ' This permit application has been: Approved as noted by the Department. Final application approval must come from the Building Department. El Reviewed and the following items need attention: Please re-submit 2-copies of all revisions. Please re-subMofpage, revisions to the Department requesting them. Building Dept, Public Works and Utility information a failure to notify the cor ct department may delay your permit from being issued. Reviewed By: Date: Date Contractor Notified: �S r Al BUILDING PERMIT APPLICATION •r� J SS1 r CITY OF ATLANTIC BEACH J`:r 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax:(904)247-5845 Job Address: I / (�(�'C F-� Permit Number: a 7 / Legal Description 7 Valuation of Work(Replacement Cost) $ J 60 ■ Class of Work(Circle one): New Addition A teratio Repair M4.yp, ■ Use of existing/proposed structure(s) Circle one): ommercial L si ■ If an existing structure, is a fire sprMler system installed? (Circle one): Yes N/A ■ Is approval of homeowner's association or other private entity required? (Circle one): Yes Describe in deil�?e type of work to be performed: Property Owner Information r Name: CQ1 AL1 L�` Address:Aq CityGState_Zip 23 one Contractor Information: Name of C : '"Lb16TMsC Qualifying Agent: ompan Address: 114 `T City �1 State Zip Office Phone X33 Job Site/Contact Number 2-43-4 State Certification/Registration# +491- Office Fax 4t7 Architect Name & Phone# Engineer's Name&Phone# 0 N 6 ' Application is hereby made to obtain a ppermit 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 workwlll be performed to meet the standards o/all laws regulating construction in this 'urisdiction. This permit becomes null and void ifwork 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 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. 1 hereby certify that I have read and examined this application and know the sante to be true and correct. All prov' 'ontt7olat nances governing this pe ofworkwill be complied with whether specified herein or not. The granting of a ernzit does notpreszune to give u oancel the provisions ojany other federal,state, or local law regulating construction or the perfor lance ojconstruction. ,i Signature of Property Owner: Signature of Contracto`: Sworn to and subscribed before me Swor t nd subs o�dne this�Day of M& t A©D`7 this V Day of Notary Public: Notary Public: a4 NMI ftft-No d C=W*d1M Exj*w Fa 14 Bonded By Nahma Nob Aaen. DO NOT WRITE BELOW THIS LINE: OFFICE USE ONLY Review Result(Cizcle one): plI 1riJ,. CITY OF ATLANTIC BEACH PLAN REVIEW SHEET W(; Building Department Public Works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax Jax Fire dept. PLAN REVIEW COMMENTS Permit Application# Q 7 - oZ 6-9 Property Address / 9,2 5' S�ffi lfv✓e Applicant: �0.15T�G �u5771ms CpyjS,*KKD�iG�'� Project: This permit application has been: Department. Approved as noted by the De P Final application approval must come from the Building Department. ❑ Reviewed and the following items need attention: Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. Building Dept, Public Works and Utility information at top of page, failure to notify the rect department may delay your permit from beingissued. Reviewed By: Date: Date Contractor Notified: TSS BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH �r 800 Seminole Road,Atlantic Beach FL 32233 105PM Office: (904)247-5826 • Fax: (904)247-5845 Job Address: i I "C Permit Number: a 7 65 Z_/J� Legal Description Valuation of Work(Replacement Cost) $ J 60 ■ Class of Work(Circle one): New Addition/-Al_tera�tio Repair Morve ■ Use of existing/proposed structures) Circle one)`— binmercial si ■ If an existing structure, is a fire sprier system installed? (Circle one): Ye N/A ■ Is approval of homeowner's association or other private entity required? (Circle one): Yes Describe in del it he type of work to be erformed: a-Alz OF Property Owner Information r Name: C,(Zi N�� G L� 00 Address: &6_ q'M ito 0/.6 City -,- G State_Zip .2-2233 Phone 9-q(p-g1q Contractor Information: Name of CompareN `% `�'o� Qualifying Agent: Address: .M. City I G - State � Zip Office Phone Job Site/Contact Number 4' 243 -7- State 43 -7" State Certification/Registration# -a Office Fax Architect Name &Phone# 9" Engineer's Name &Phone# N f Application is hereby made to obtain a pernzit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the isszrance of a permit and that all worlcwill be performed to meet the standards o fall laws regzrlating construction in this'urisdiction. This permit becomes null and void ifworlc rs not commenced within six(6)months,or if construction or wor/c is suspended or abandoned for a perioof six(6)nzontlss at any time afterwor/cis commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Fur�znces,Boilers,Heaters,Tanks andAir 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 hereby certify that have read and examined this application and know the sante to be true and correct. Allpro 'orzs f 1 nances governing this pe ofwor twill e complied with whether specified herein or not. The granting of a ermit does notpresume to give azr zo to iolat or cancel theprovisions o rry other federal,state, or local law regzrlating construction or the penance of�onstrzrction. :f Signature of Property Owner: Signature of Contractor: Sworn to and subscribed before me Swor Yynd subs me e k1bre this JZ Day of MAei,,f +ZOD-7flus Day of /)) Notary Public: :y „ Notary 1Public: rpLBwW $ Y L GaRMIAWNotary pcmn�eaion OD 277740 Pubk-SM a Flaft 14 ,M Commission Expo Feb 14.201 ''►or�•° ,_ F 8,20 r�of F� Commission N DD 518533 � Bonded By National Notary Aeon. DO NOT WRITE BELOW THIS LINE: OFFICE USE ONLY Zeview Result(Circle one): r , A -------A __-r n a:+; Ravia�ar Tnitials/1�atP' SHOWING SURVL t OF LOT ?0 BLOCK / .rMADWO TO wt =OR= w PLAT 60W Ma[Lt 1444-e- OF T149 PUKX 4900nof 0/ 4"/.w''VA L COIHIT% I LA. �p � UTC S- 67-87 U r—! oae.1 q K 311JEo C� I�2,i Strn►u.�ol`2 fit, Z(-1 G •• •r - /ic.... L • �' t [ or ! [ •r LIi1 / t.. .• e- Ar / iLOcAc �..�. ►-�•... a co•j/'oo"� - �o.a'!� ) / l�•�) c.s • .�.vo 4�j"/./. w — fir• • 1 S<w�t3 .�ip'v A.vo vi.c.�.tJ C/K.vw W�•O hlia •! ��� O � `t ivrllf•� h a 4 ,9 s 9 7 Ido 3 • 1 6 w OC L • / '0 lk `r Ic.�cr d I 0 we.. s,o N4 Q At i ¢as.osNc a w� �, 10 � } yy Q j + 4 b _ •/O.OZ 3 i h y ' 4 d D.t, A !'Ir AwAr srss.w Arlo.a l,w. wws�, .•/w� .+ice. N a i � [ice l � � � s., • c`„Tv�c� c. � /ArIV.•t s.w db �i', . N oa•J�'�o•W • So,'a'(�c.)�Oo.o7(s.no,) /rN• 3,•,.,r. oil s•ry, siMi�/�t t Bs'.4,CN •p�0 i o o ,P/..i) .9L f.� K-•�v..: Al AiAD\� CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: J;31 r Buildindg- �ab.us 08-00000058 Date 1/15/08 Application Number - - 1929 SEMINOLE RD Property Address . • • . . Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . 8600 --------------------------------------------- Application desc REROOF FL183 . 3 ------- ------------------------------------- Contractor Owner ______ ------------------------ ----------------- TOWNSEND ROOFING & LAMBERT CONSTRUCTION SERVICES 1929 SEMINOLE ROAD 2771-29 MONUMENT RD #338 ATLANTIC BEACH FL 32233 FL 322225 JACKSONVILLE (904) 645-0796 -------- -----Permit-- . ROOF PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 75 . 00 8600 Valuation Issue Date 7/13/08 Expiration Date ------- ----------------- ------------- Paid--- Credited Due Fee summary _- - Charged 00 75 . 00 _ ------- _ -----75 . 00 . 00 Permit Fee Total 00 O0 . 00 Plan Check Total . 00 00 . 00 Grand Total 75 . 00 75 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 i BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1,JOB ADDRESS. 2.VALUATION OF WORK: OUNDER ROOF 7 rpt i,t l` Atlantic Beach, FL 32233 23 3 0 4.LEGAL DESCRIPTION: 5 CLASS OF WORK 6.USE OF STRUCTURE: J ElNEW BUILDING 11DEMOLITION ;4RESIDENTIAL LOV BLOCK J SUBDIVISION C, 11,5 r NCS ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8,FIRE SPRINKLER: In ElREPAIR ❑POOL/SPA ❑YES 11N/A /n� r t k1J 4 S 1t'.1ci L I\2-( °(-� ❑MOVE ❑OTHER EINO(ENGINEER: PROPERTY OWNER: CONTRACTOR: 9.NAME: 15.C MPANY NAME: 23.COMPANY NAME: Nlar �c l.r,� 6a r4uw,r P.cc��r 16.NAME24.LICENSEE NAME. 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO. 112-q �,,,;nol� 12� (cc (37-6z531 18.ADDRESS: 26.ADDRESS: I �r �� 3zz33 .27-71-�`t �oKNw��a Pel 3�$ ,S^�--I f 3ZZZ5 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.-. y -sr'�S7 6 5`1`f2 13.CELL PHONE: i Jr O 21.CELL PHONE: 29.CELL PHONE: Lf-7 Z -Lf q 7-1 14.EMAIL ADDRESS: 22.EMAIL ADDRES 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME. 33,NAME: 35.NAME. 32.ADDRESS. 34.ADDRESS: 36.ADDRESS. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Wells, 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. 222 WARNING TO OWNER: 222 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 YOURN=E OF COMMENCEMENT. OWNER or AGENT CONTRACTO (If Agent,Power of Attorney or Agency Letter Required) alifier Only) Signed z - Date: Signe Date: Before me this -7 day of J CA n r 2006 in the county of Before me this 3 _Cayof QA-1 2007 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared Murk L -rM herin by himself/herself and affirms that all statements and declarations are herin by himself/herself an affirms that all statements and declarations are true and accurate. true and accurate. J Notary Public at Large,State of 1- L County of VI�!R I Notary Public at Large,State of ,County of .41 . Personally Known ❑�(Personally Known - ,r- ❑Produced Identification- "C Pr roduced Identification- (' � J Notary Signature:, �� Notary Signature: DAVID BOONE Cola To"SEND ;g. `;� Notary Public- State of Florida yM,Mrr!Pvbk-81rM of F ; :My Commission Expires Mar 20,2010 COAB FORM .MCI�d!lAsEl�/YMMIt1i' =?, �`� Commission#DD 530564 can�f.aon r W M?52 ,;� Bonded By National Notary Assn. MIAMI•DADE MIAMI-DADE 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)375-2908 NOTICE OF ACCEPTANCE (NOA) GAF Materials Corporation 1361 Alps Road. Wayne,NJ 07470 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 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 High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Grand Sequoia Shingle 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 pages I through 4. The submitted documentation was reviewed by Frank Zuloaga,RRC 0014 NOA No.:02-0814.06 Expiration Date:09/18/07 Approval Date:09/18/02 Page 1 of 4 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub-Category: 07310 Asphalt Shingles Materials Laminate Deck Tyne: Wood 1. SCOPE This approves GAF Grand Sequoia Shingle as manufactured by GAF Materials Corp described in Section 2 of this Notice of Acceptance. 2. PRODUCT DESCRIPTION Product Dimensions Test Product Description Specifications Grand Sequoia 17 x 40" PA 110 Fiberglass reinforced heavy weight asphalt roof shingle,with a laminate profile 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 3.2 Shall not be installed on roof mean heights in excess of 33 ft. 3.3 System shall not be installed at slopes less than 3-'/2":12". 4. INSTALLATION 4.1 Shingles shall be installed in compliance with Roofing Application Standard RAS 115. 4.2 Flashing shall be in accordance with Roofing Application Standard RAS 115 4.3 The manufacturer shall provide clearly written application instructions. 4.4 Exposure and course layout shall be in compliance with Detail'A',attached. 4.5 Nailing shall be in compliance with Detail'B', attached. 5. LABELING 5.1 Shingles shall be labeled with the Miami-Dade Logo or the wording "Miami-Dade County Product Control Approved". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the applicable code in order to properly evaluate the installation of this system. NOA No.:02-0814.06 Expiration Date:09/18/07 Approval Date:09/18/02 Page 2 of 4 DETAIL "A" 8th COURSE 35"OFF 7th COURSE 30"OFF 6th COURSE 25"OFF 5th COURSE 20"OFF 4th COURSE 15"OFF DECK 3rd COURSE 10"OFF 2nd COURSE 5"OFF 1st COURSE SEQUOIA STARTER STRIP (2nd STARTER STRIP) 1st STARTER COURSE CUT 13-1/4" FROM 3-TAB SHINGLE o NOA No.:02-0814.06 Expiration Date:09/18/07 Approval Date:09/18/02 Page 3 of 4 DETAIL B 40" -- ALIGNMENT SLITS — ALIGNMENT NOTCH NAIL LINE 17" t ------------- TOP OF SHINGLE RELEASE TAPE -- SELF SEALING DOTS & STRIPES ----------------- BACK OF SHINGLE END OF THIS ACCEPTANCE NOA No.:02-0814.06 Expiration Date:09/18/07 Approval Date:09/18/02 Page 4 of 4 NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA.) EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date PRI Asphalt Technologies,Inc. TAS 100 GAF-010-02-01 09/07/02 Underwriters Laboratories,Inc. ASTM D3462 01NK45798 07/29/02 Underwriters Laboratories,Inc. TAS 107 OINK43792 10/14/01 A. OTHER 1. Notice of Acceptance number 02-0814.06 E-1 CITY OF ATLANTIC BEACH .� 800 SENHNOLE ROAD "r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: r�JFil�f- Building-dept cr,coab.us Application Number . . . . . 08-00000056 Date 1/15/08 Property Address . . . . . . 1925 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8600 ---------------------------------------- Application desc REROOF 183 .3 ------------------------------------- Owner Contractor ------------------ MCKENNA, ROBERT TOWNSEND ROOFING & 1925 SEMINOLE ROAD CONSTRUCTION SERVICES RD ATLANTIC BEACH FL 32233 2771-29 MONUMENT #338 JACKSONVILLE (904) 645-0796 -- ------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . 00 Permit Fee 75. 00 Plan Check Fee . Valuation . . . . 8600 Issue Date . . . . Expiration Date 7/13/08 Fee summa ' gChar ed Paid Credited Due _ _ _ ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 .00 . 00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB US BUILDING PERMIT APPLICATION DUVAL COUNTY 1,JOB ADDRESS: l 2.VALUATION OF WORK: 3.SQ.FT.U�N� OF J�i,5 �Pt ^A'-I� r;" Atlantic Beach, FL 32233 < / ��i 4 LEGAL DESCRIPTION: 5,CLASS OF WORK: 6.USE OF STRUCTURE: kk ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT Y' BLOCK 1 SUB DIVISION e ac�$� e ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK: ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑NIA >�� �L1 (� St,l 11 I1- � rd "1 ❑MOVE ❑OTHER Q NO PROPER OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME15 .OMPANY NAME. 23.COMPANY NAME: o Mc- K�h��, nd 7i) 16.N"E: / / 24 LICENSEE NAME. Kavlct �i.JrSe�d 10.ADDRESS. 17.STATE OF FLORIDA LICENSE NO.: 25,STATE OF FLORIDA LICENSE N0.-. ��I25 �H+�TOIQ C� I3LV�'J I 26 ADDRESS: 18.ADDRESS: .{- #3S'$ A-��. �,euc��� rt— 3ZZ-33 X771-z� /lito,,kv+,e� 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20. 45Q Sy 27 OFFICE PHONE: 28.FAX NO CELL PHONE 13.CELL PHONE: L q s q Q('q 21.CELL PHON�_72 , Lf 4 79 29. . 14.EMAIL ADDRESS: / l 22.EMAIL ADDRESS' / 30.EMAIL ADDRESS: L�In!1 G` ��7��f:':.T'� •C G'�'`l FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: QF OTHER THAN OWNER) 31.NAME- 33,NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Wells, 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. 222 WARNING TO OWNER: 222 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 INTFINANCING, CONSULT WITHYO UR LENDER OR AN ATTORNEY BEFORE RECORDING YOURIE OF COMMENCEMENT. RACTOR ' OWNER or AGENT NTT TACT (If Agent,Power of Attorney or Agency Letter Required) Si ned: Date:/.,i�i � � Sign Date: g _ —� Before me this �gday of �1At1LA&-r y 2000in the county of Before me thi day of errs 2007 in e county of Duval,State of Florida,has perso�nnally appeared Duval,State of Florida,has personally appear d herin by himself/herself and affirms that all statements and declarations are herin by himself/he elf and affirms that all statements and declarations are true and accurate. true and accurate. I (� C)V, UJ"� Nota Public at Large,State of�,County of ( u u.: Notary Public at Large,State of�_,County of Notary g I Personally Known ❑Personally Known r-7 Produced Identification- I ❑Produced Identification 6 Notary Signature: Notary Signature: __... r�,,,,,,, DAVID BOONE NRISTOWNSSWOENO Notary Pubk- State of Florida C MOttxy HRISPL*k•TOWNS of Fblidt Commission Expires Mar 20,2010 coA6 � Commission#DD 530564 1Nj11(Ii1lEapintWrld,i010 -'• Fd``e Cowwiaion# DO 529752 Bonded By National Notary Assn. MIAMIDAI)E MIAMI-DADE 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)375-2908 NOTICE OF ACCEPTANCE (NOA) GAF Materials Corporation 1361 Alps Road. Wayne,NJ 07470 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 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 High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Grand Sequoia Shingle 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 pages 1 through 4. The submitted documentation was reviewed by Frank Zuloaga,RRC o NOA No.:02-0814.06 f Expiration Date:09/18/07 Approval Date:09/18/02 Page 1 of 4 ROOFING ASSEMBLY APPROVAL Category: Roofing Sub-Catep-ory: 07310 Asphalt Shingles Materials Laminate Deck Type: Wood 1. SCOPE This approves GAF Grand Sequoia Shingle as manufactured by GAF Materials Corp described in Section 2 of this Notice of Acceptance. 2. PRODUCT DESCRIPTION Product Dimensions Test Product Description Specifications Grand Sequoia 17"x 40" PA 110 Fiberglass reinforced heavy weight asphalt roof shingle,with a laminate profile 3. LIMITATIONS 3.1 Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. 3.2 Shall not be installed on roof mean heights in excess of 33 ft. 3.3 System shall not be installed at slopes less than 3-'/2":12". 4. INSTALLATION 4.1 Shingles shall be installed in compliance with Roofing Application Standard RAS 115. 4.2 Flashing shall be in accordance with Roofing Application Standard RAS 115 4.3 The manufacturer shall provide clearly written application instructions. 4.4 Exposure and course layout shall be in compliance with Detail'A',attached. 4.5 Nailing shall be in compliance with Detail'B',attached. 5. LABELING 5.1 Shingles shall be labeled with the Miami-Dade Logo or the wording "Miami-Dade County Product Control Approved". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by the Building Official or the applicable code in order to properly evaluate the installation of this system. NOA No.:02-0814.06 Expiration Date:09/18/07 Approval Date:09/18/02 Page 2 of 4 DETAIL "A" 8th COURSE 35"OFF 7th COURSE 30"OFF 6th COURSE 25"OFF 5th COURSE 20"OFF 4th COURSE 15"OFF DECK 3rd COURSE 10"OFF 2nd COURSE 5"OFF 1st COURSE SEQUOIA STARTER STRIP (2nd STARTER STRIP) 1st STARTER COURSE CUT 13-114" FROM 3-TAB SHINGLE 5" NOA No.:02-0814.06 Expiration Date:09/18/07 Approval Date:09/18/02 Page 3 of 4 DETAIL B 40" ALIGNMENT SLITS 5" ALIGNMENT NOTCH NAIL LINE TOP OF SHINGLE RELEASE TAPE SELF SEALING DOTS &STRIPES BACK OF SHINGLE END OF THIS ACCEPTANCE a, NOA No.:02-0814.06 Expiration Date:09/18/07 Approval Date:09/18/02 Page 4 of 4 NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA) EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date PRI Asphalt Technologies,Inc. TAS 100 GAF-010-02-01 09/07/02 Underwriters Laboratories,Inc. ASTM D3462 OINK45798 07/29/02 Underwriters Laboratories,Inc. TAS 107 OINK43792 10/14/01 A. OTHER 1. Notice of Acceptance number 02-0814.06 E-1 CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 r/ DIM 09-00000085 Date 1/26/09 Application Number � 1925 SEMINOLE RD Property Address . . • Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . 7420 --------------------------- Application desc window replacement --------------------------- Contractor Owner ------ MCKENNA, ROBERT HOMERITE WINDOWS AND DOOR P O BOX 518 1925 SEMINOLE ROAD MELINDA OBERLE ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 --------------------- Structure Information 000 000 ----------- ----------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL -----Flood-Zone-------------------ZONE-X ----------------------- ------------- Permit . . . . . . BUILDING PERMIT Additional desc . Plan Check Fee 35 . 00 Permit Fee . . . . 70 . 00 7420 Valuation Issue Date . • • ' 7/25/09 Expiration Date . ------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT-FASTENERS------------------- _ ________Charged --- -------- Fee summary Paid--- Credited Due Permit Fee Total 70 . 00 70 . 00 . 00 Plan Check Total . 00 35 . 00 35 . 00 . 00 00 . 00 Grand Total 105 . 00 105 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 09 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO:(904)247-5845 BUILDING-DEPT@COAB.US PERMIT APPLICATION DUVAL COUNTY BUILDING 2.VALUATION OF WORK: UNDER ROOF 1.JOB ADDRESS: .. i 11 LL �} 41 �� Z__ ��. G !�rL IJLIG.h 22 3 f - 6.USE OF STRUCTURE: 5.CLASS OF WORK: 4.LEGAL DESCRIPTION: ❑NEW BUILDING ❑DEMOLITION U<ESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: 7:DESCRIPTION OF WORK: L3}'R7=PAIR ❑POOL/SPA ❑''',,__Y11ES ❑N/A 11 ❑MOVE ❑ I1ER M-No 13 h t f` n 4 n t w lv��sw a CONTRACTOR: ARCHITECT/ENGINEER: PROPERTY OWNER: 23.COMPANY NAME: • 99,NAME: q �[ 15.COMPANY NAME: Y 1 i- . �,1 6`&,r, -j l i�L.+,i 16.NAME. 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: n~ ^7 C 6�-- i:i o �ti�l 1 1 `� ��ml�L� £ � 18.ADDRESS: 26.ADDRESS: 3 � r 28.FAX NO.: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20. AX NO.: 27.OFFICE PHONE: ,�ok(., 15 `i�.. a s �3 ,2 5 15 ami Sa $ 13.CELL PHONE: 21.CELL PHONE 29.CELL PHONE: a3-1 ' 8,-oma 34 g16oa 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 14.EMAIL ADDRESS: - V 1�ve_�;4r 4 Z.'1 .•,L i�� " � �'MORTGAGE LENDER: FE IMPLE TITLE HOLDER: BONDING COMPANY: 31.NAME: (IF OTHER THAN OWNER) 35,NAME: 33.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. >�r WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTSTO YOUR ED AND POSTOPERTY. A ED ON THEN OB SITOTICE EBEFORETHE COMMENCEMENT MUST BE RECORD FIRST INSPECTION. IF YOU INTENDR�RECORDING YOUR NOTIBTAIN FINANCING, CE 0 COMNSULT MTH ENCEMENT. CONTRACTOR LENDER OR UR AN AT BEFORECONTRACTOR OWNER or AGENT ,((]ualifierOnly) (If Agent,Power of Attorney or Agency Letter Required) Signed: ate: Signed: Date: ! U Before me this� day of r [�►l 2009 in the county of Before me this da of-1 In the county of Duval,State f FI has m I R l Duval,State of Florida,has personally appeared s 'prI ' herin by him kf� 11" e d�"A (� and farations are herin by him AL G0 n �9@4lfl clarations are true and Expires(Ay 20,W!i true and acc _ _ '] blic at Large,State of t'IDr!o►` ,County of Notary Publi p.I k1MA I ✓`"( Notary r9 ersonally Known 0-rersonally Known } - ❑Produced Idem ea69n- 13 Produced Identifi Notary Si Notary Signature: -REVIEWED FOR CODE COAUNW CE 1 CITY OF ATLANTIC BEAW SEE PERMITS FOR ADDITIONAL t REQUIREMENTS AND CONDITIONS. • BLDG01 PennitApplication Bldg:REVISED: 6 e C L E COP 0�BY: r DATE: t NOTICE OF CO" MENCEMEN7tJAN 3 �+ z��9 (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of of-; County of I")L40AI 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: ni 't (Q 1,4hA-'L 6y.oc, Address of property being improved: 2 b 23 r— N611 £ General description of improvements: i2-q-oip c L-1 Owner me (;o h KA G Address `l Sim i a 33 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor L;,-,l Lt Ku Address po 6 o 51 G,� ✓� S®� e S �l 3�20�3 Phone No. q 0L� d Q16, J 1 S _ Fax No. qQ`I .2v& Surety (if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person jaking a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of lorida, 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 design tes the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statu es. (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 rliffPrPnt date is specified): CITY OF ATLANTIC BEACH Y WINDOWS, SKYLIGHTS, GARAGE DOORS,HURRICANE SHUTTERS �// \ Date: Please submit(2) complete sets of plans with application. Job Address: i CU SrY, \ � (� �,�. 2?33 Owner: H Q Q c b �" K Phone: Address: jq,a5 Ss_r►,;.�z �� AkL�-.E.'� (br~���.• wt �?3.3 �j Zoning District: Legal Description: Block Number: Lot +1 ��i �,r, {.� 11 State License Number: t G t 150046 1 . Contractor: — Phone: 76 L/' Address:��� �c� � 5 ( � �arct?r cod t S r' State: t Zip: may 3 Fax: City: �^ 5 - Describe proposed use and work to be done: ►•�. �" 2 (,aG �'' Present use of land or building(s): Pte-• � �''�- Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. Required Building Data: Mean Roof Height ( ) ft Building Width (ft) Building Length (ft) Roof Slope Window Height (ft) Window Width (ft) Window Elevation from Grade (ft) Measurement from corner of building to window (ft) Number of windows being installed Mean Roof Height 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Revised 1/27/03 Page 1 ' I ' 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 with Uniform Structural Load(psf) 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Hurricane Shutter Description/Type 7. Elevation View of Window Locations I hereby certify that all information provided with this application is correct. ar" Signature ofOwner: ' 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. Qj -Date: / J"- / Signature of Contractor: Address and contact information of person to receive all correspondence regarding this application(please print). Name: ry� �n-�'F- ,> f 'EXcct�4'� .0 � Pl��Iz �i�- 1J 61� o?a�: Sc-.. k::�4>> 3ao�iL .lac Mailing Address: 80 Telephone: �1� • n2o1 L; ' o?S" f15 Fax:Raa il Qi 6��$�?�_ E-Mail:G 6C.�r 8 kja r •I W D G �, AS TO OWNER: _ of A" �20 d `i day ' Sworn to and subscribed before me this � State of Florida,County of Duval Notary's Signature ,Ckcl ROYAL GATES (I I�V e�V'_. Comm ssion DD 6 5916N ,--,� Expires May 20,2011 11 Personally known Bondee ThrO Tf�j Fain Insurance 800-38E-7019 F-1 Produced identification Type of identification produced AS TO CONTRACTOR: 11r ,20 Sworn to and subscribed before me this '1 day of A h v1.n' State of Florida,County of Duval R L AT DEAR Notary's Signatur i 91 r 8&1&d ITW PloyFol ft, Soo-W7019 Personally knTV ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Revised 1/27/03 Page 2 ga N 1 _ m 3 )<V[11EVATIM I \ I SR \ mt = m o /� 5 m n o 7 tl N / C) Y o A \ e A A 3/16'tl/16'SHIM- B3/4 UCK g = S I InY4e eYnmalm 4 �_ So � 9 V m U A W N Z O O O ©t0 m m o at Cr m o j 0 N "� 0 0 J ] S I I I I I I I I I I f I I I C !7 1 O_c O_O O o o m o 0 3 D D x X x x X X x X x X X % X % xa n r- m F _ O a to N d O ^ m O. O N p (P N ? 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Reed, PE o 130 Derry Court York, Po 17402 PnDaD nnDD nDDD v z FL PE 58920 m m m" D D D D y # _ CO m" m m m m a m m m m n ' n o x ,luiu�iulprnr r7 n n C) m m m n D` Hp nn nnnnv nnnnv o v z n v n x v o v v v v v -,c m m m v - o cr.=- n a D n D n D D Nv o aD ZSTATE Or 1, n D o P3 4oRa mm mm mm D D -I °4S;SyONAI�?c°� rY� c� cy cy cy v o "" v vvvvv op" o op' v v Q' m m rn I*I rn rl m m m aA Dale:2000.02 24 07:32:24-05'00' Electronic Seal for Electronic Submittal only PROJECT N0. I PROJECT NAME: ORAMNG ONG.BY: SHEET 62758.01 3188/188 Flange Slider Installation Instructions MDs 1 OF 122-34 "'E"T' Ml windows and Doors and Fastener Schedule IM,3/ofi 1 • � -i Outside Dimension (TTT) I.D. 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Of z- �.� u H ,g'�i'.9a ITI na �F g. fir On Car tJ+ a t.� its 3 2.4 40 a 0-3 +s XL 3 SIR a 0 zr ., V �. cr I ur rn °w �bd t3 n 0 ra rb A�a Ln BIM -4 } ..,.. t0s x-00 3 c r- L-1 mcr s ' 3 �€ n qw C n ,•- r> � is i 14 -eta is Rto '0 tA �i dCL�..�`. 3 , C- 0 C" 3 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Building Property Address: ��2i�1D1 E Planning &Zoning Tree Administrator Applicant: Public Public Works Public Utilities Project: 1A 16161LL) Public Safety Fire Services Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLI,GATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. PUBLIC WORKS Second Review: ❑Approved as revised. []Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . 09-00000274 Date 2/26/09 Property Address . . . . . . 1929 SEMINOLE RD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------- Application desc 10 fixtures --------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- LAMBERT TOUCHTON PLUMBING 1929 SEMINOLE ROAD 416 RYAN AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254 (904) 389-9299 ----------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee 105 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 0 Expiration Date . . 8/25/09 ----------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 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 I I I I I �� '•` 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07- OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US it PLUMBING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: / NO f 2.IS THIS A SUB PERMIT: 3.DATE I 1 I�" ", �� ❑YEES PERMIT#: Atlantic Beach, FL 32233 PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: MA�k 33t-.57�� PLUMBING CONTRACTOR: 7.NAME OF COI%gANY: ' r 8.ADDRESS.: ` lb 0 qAJ ^VI J 9�1 ft 3 9.STATE OF FLORIDA LICENSE N0:/ FW �^b,(_ 10.CELL PHONE: (� :3 V W�� 11.FAX NO.:2' -q 12.� A�� � V�C t 0L4L"�l.�ilJ��U� I�i� 13�O��FFICEPHONE: ��/,- tegI 14. Application is hereby made to obtain a permit to do the work and installations as indicated,. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if 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. CONTRACTORS SIGNATURE: �/ 15.NUMBER OF FIXTURES: El NEW IMM RE-PIPE BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN I WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): SEE BACKFLOW AND IRRIGATION PROCEDURE SHEET ROOF DRAIN 16.PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 = COAB FORM BLDG03:REVISED:8/13/2007 0568 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PERMIT INFORMATION ------ -------- LOCATION INFORMATION -------- Permit Number : 10568 Address : 1929 SEMINOLE ROAD Permit Type: UTILITIES ATLANTIC BEACH . FLORIDA32233 .lass ,of Work: ADDITION ---------- LEGAL DESCRIPTION - Constr . Type: WOOD FRAME Lot : Block: Section: Township: FiNG: 0 Proposed Use: UTILITY Subdivision: Dwellings : 1 Code: O Estimated Value: SO .00 Improv . Cost : 50 . 00 Total FePs. ' $560 .00 Amor 5560 .00 t[ T T'; ----------- OWNER INFORMATION - T PERMIT---- APPLICATION FEES Name: MRS . GRAL'ES WATEF. IMPACT FEE -*10 . 00$0 .00 AddrEss ;. : 929 SEMIPIOLE ROAD , SEWER IMPACT FEE $0 -00ATLANTIC BEACH . FLORIDA. 3 ) Phone: WATER METER/TAP 5525 . 00 RADON GAS-H .R . S . MOO --- - CONTRACTOR INFORMATION - - RADON CAB 5% 50 . 00 mame : AMERICAN WELL & IRP.TGATTON CAPITAL IMPROVE. SO .00 EWER TAP 50 .00,Addrecc : 2151 THE GOODS DR CROSS CONNECTION $35 .00 JACKSONVILLE , FL 32246 SEC H IMPACT FEE $O . 00 I.?=~er,se : ?5J Type ` 0 C CONST . SURCHARGE SO .O ` SCHARGE/ATL . BCH - SO Of' NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING s � PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE +1LE%84 Cn MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE IE4@D UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER �- cn "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT LTIN THUPROPERTY OWNER PAY INGTWICE FORTHE BUILDING I ISSIXEOACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIN OF APPLICABLE PROVISIONS OF LAW. V525.00 80 Date: 8/03/95 01 Rcpt: 0071773 CHECKS 1840 ATLANTIC BEACH BUILDING DEPARTMENT 44000003433300 By: " 10509 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION --- - LOCATION INFORMATION -------- Permit Number: 10569 Address : 1929 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACHr FLORIDA 3223' Class of Work: ADDITION - ------- LEGAL DESCRIPTION - Constr , Type: WOOD FRAME Lot : Block: Section: Township: RNG: 0 Proposed Use: UTILITY Subdivision: Dwellings : 1 Code : 0 Estimated Value: $0 . 00 Improv . COS t : $0 .00 Total Fees : $50 . 00 T , .t $50 .00 --- OWNER INFORMATION -- APPLICATION FEES ----- PERMIT 550 .00 'RAVES WATER IMPACT FEE $0 .00 192`_-' SEMINOLE ROAD ATLANTIC BEACH , FLORIDA 32 SEWER IMPACT FEE $0.p0 z hone - f 904 t 2 40- 1-,400 WATER METER/TAP 50 .00 RADON GAS-H .R. S . $0 .00 _ ---- CONTRACTOR INFORMATION RADON CAB 5% $0 . 00 Name : AMERICAN WELL & IRRIGATION INC CAPITAL IMPROVE . $0 .00 T Address : 2SEWER TAP $0 .00 157 THE woODS DRIVE CROSS TON^IECTION $0 . 00 3Ar'K.SONV I LLE , FL 322 46 r �, � Type: 0 SEC H IMPACT FEE $0.00 CONST,SURCHARGE 50 . 00 CZI,^HApgF/ATL . BCH NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBISHAYAND DEBRIS FROM CONTHIS C OR OR OWNER NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CPNRESULT IN OVEMENTS" THE PROPERTY OWNER PAYINGTWICE FORT HE BUILDING IMR ISSUED ACCORDINGARAE PROVIDIOPLANS A OF WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE 000000000 000000000 $50.00 14 Date: 8/03/95 01 Rcpt: 0071772 ATLANTIC BEACH BUILDING DEPARTMENT CHECKS 1840 0010000M000 BY: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : Address : �� Phone : Lot # Block; or Unit # Subdivision: s Contractor : C. 1 State License i Address : -Phone No:� .5 Y- Un Describe work to be done: 5 Present use of building: 9q_,0 Valuation of Proposed Construction: 17 9S Proposed use: -' i�-�x 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 fixtures? New fireplace? New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: / Date: Signature CONTRACTOR: Date: •� License Supplied: Liability Insurance: Worker ' s Compensation Insurance: qn PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION ---- ----- LOCATION INFORMATION ------- Permit Number: 9990 Address : 1929 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACH . FLORIDA32233 ^lass of Work; NEW ---------- LEGAL DESCRIPTION - Canstr _ Type; WOOD FRAME Lot : Block: Section: Township: RNG: 0 Proposed Use : SINGLE FAMILY Dwellings : 1 Code: 0 Subdivision: Nc� .AB . Estimated Value : 50 .00 Improv. Cost : 50 .00 Total Fees : $39.00 Amoul 539 .00- Work 39 .00Work Desc , HVAC unit - ---------- OWNER INFORMATION - - APPLICATION FEES ----- Mame: UESBIE GRAVES PERMIT 539 .00WATER IMPACT FEE 50 . 00 »dd �cF � 192-0 SEMINOLE ROAD ATLANTI,' BEACH . FLORIDI. SEWER IMPACT FEE $0 .00 Phone: WATER METER/TAP 50 . 00 RADON GAS-H .R . S . 50 . 00 CONTRACTOR INFORMATION - RADON CAB 5 fia .aa Name : OCEAN STATE HEAT & AIF: CAPITAL IMPROVE . SO .00 , Address : 14 r " ATLANTIC BL=1 P'. SEWER TAPS0 .00 CONNECTION 50 .00 NEPTUNE BEACH . FLORIDA 32` CROSS SEC H IMPACT FEE $0 .00 License : MHAR`154 F; Type* 3 CONST . SURCHARGE 50 .00 SCHARGE/ATL BI-H 80 .00 NOTES: ` NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE 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. $39.UO 14 UUOUOC�UOU 00000000 ATLANTIC EACH BUI ING PA TMENT 5 01 Rcpt; 0445820 Date: 9475 WK0321000 By: 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, LOCATION Street Address: Cl2-ct S C iM o OF Intersecting Streets: Between And BUILDING Subdivision II. IDENTIFICATION — To be completed by all applicants , In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) S--0 T Master Name of Property Owner :::,ate (�s Signature of Own• Signature of or Authorized Agent Architect or Engineer Ill. GENERAL NFORM ON c_ A, Type of hest' e: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITET ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHLAICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed Iq Central O Floor ❑ New Building Air Conditioning: ❑ Room ❑ Central Existing Building ❑ Duct System: Material 1Sclill4� Thickness Replacement of existing system Maximum capacity c f m ❑ New Installation(No system previously installed) 1:3 Extension or add-on to existing system Q. Refri9er�tion ❑ Other — Specify Q Cooling tower: Capacity 9-P.M. Q fire sprinklers: Number of head- [3 Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps_ (number) (R.coiwd) ❑..,Tanks (number) Remarks Q LPG container= (number) Q Unfired pressure vessel ❑ b=iers Permit Approved by Date ❑ Other — Specify Permit Fe- LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity A rtnrissr NumberUaiL Description Model Number Manufacturer (Vona) cy _� C' — L; o PSR-3844 8562 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION --- --- -- LOCATION INFORMATION -------- Permit Number : 5552 Address : 1925 SEMINOLE ROAD Permit Type : MECHANICAL ATLANTIC BEACH . FLORIDA 32232 Class of Work: ALTERATION ---------- LEGAL DESCRIPTION ---------- Constr . Tyne: WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellinas : 1 Code : 0 Subdivision: Estimated Value: $0 .00 Improv . Cost : $0 .00 Total Fees : S27 .00 Amount Paid : S27 . 00 r'a'e Fa <i , 6/ 30/94 t1-,rl> RFPT_A'-F (7,:�NDENSER - -- - ---- OWNER INFORMATION ----- ---- APPLICATION FEES ----- _ _ PERMIT 527 . 00 ATLANTI^ BEACH , FLORIDA SEWER IMPACT FEE + _,r. ' 90 4 `41- 3755 WATER METER/TAP y RADON GAS-H.R. S . SO . Oe ------ - CONTRACTOR INFORMATION -- - RADON CAB 5% SO .00 -Name ° D,'_,N()VAN HEATING AND AIA CAPITAL IMPROVE . 50 .00 Address : 315 SIXTH AVENUE SOU' . SEWER TAP $0 . 00 JAX BEACH , FLORIDA 32250 CROSS CONNECTION SO .00 License : CACO39"'Ei Type: 3 SEC H IMPACT FEE 50 .00 CONST . SURCHARGE $0 .00 SCHARGE/ATL .BCH . 810 . 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT Date: 007 007070707 $27.70 14 Date: 5!37!94 41 Rcpt: 0763775 CHECKS 5225 By: iP.r­ X/rCl i/l 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. I, n LOCATION Street Address: \ (� OF Intersecting Streets: Between BUILDING And Sub-division II. IDENTIFICATION — To be completed by all applicants in consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attaclLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors m Contractor (Print) Master �O Nam* of Property Owner Signature of Owner Signature of or Authorised Agent L Architect or Engineer 111• GENERAL INFORMATION A, Type of heating fuel: B. Electric IS OTHER CONSTRUCTION BEING DONE QN THIS BUILDING OR SITE? ❑ Gas— LP f' ❑ ❑ Natural�Central Utility \ IF YES, GIVE NUMBER OF CONSTRUCTION 13 Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) X Residential or ❑ Commercial ❑ Heat ❑ Spec* ❑ Recessed O Centel O Floor ❑ New Building Air Conditioning: ❑ Room Central ❑ Existing Building ❑ Duct System: Material Thickness.- R eplacement of existing system Maximum capacity c{m ❑ New installation(No system previously installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Capacity g,p•m_ ❑ Other — Specify ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Menlift ❑ Escalator (number) ❑ Gasoline pumpls (number) THIS SPACE FOR OFFICE USE ONLY (Received) ❑ Tanks (number) Remarks ❑ LPG contain*K (number) ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Da+� ❑ Other — Specify Permit Fe• LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Unit. Description Model Number Manufacturer �j� "� (Urtifiratr of orrupaurp CITY OF Drpartmrm of +Nuilbing Jnapprtimt 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. [EF..LECTRIC I' NONL' New Re s i min t i al Bldg.Permit No. TACKSONVILLE use Clauifintion Frar,e Fire. Dist rict. Atlantic Beach Gmup-- � �on>tnu{ion�-- Owner of Building Pelkey Builders Address__ 1929 Seminole_ Road Locality--..__ — Building Address - ,- Bre------�r�-- � rg . gers August- 51,� , p�iciat Date: Building �.� POST IN A CONS"ICVOYa PLACE BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: August S, 1987 Building Contractor: Pelkey Builders Building Permit Number: Jacksonville Address: 1929 Seminole Road Legal Description: Lot 7A 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: ------ ___ required as built Sales Tax Certifi.catQ: ------------------ date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY, Fire Chief -- 8 5 87 LJ---------- ------ I�L7_ -- ----- Public Works �� ---------- -----s" 2Z--- Planning Director 8 5/87 ;5�-Z----------- Building Inspector --------------- CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �5✓ � �q 1' 1� IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELI CTRICIANfIGNATUREELI J ,, NAME ADDRESS:_ %L> _` � 6 � RFD BOX BLDG.SIZE BETWEEN: RES.1 APT. ( ) comm. ( ► PUBLIC ( ► INDUS. ( ► NEW( ) OLD ( ► REW. ( ) ADDITION ( ) TRAILER ( ► TEMP. ( ► SIGNS ( ) SO. FT. SERVICE: NEW INCREASE ( ► REPAIR ( ► FEE CONDUCTOR SIZE AMPS COPPER ( ► ALUM. ( k) SWITCH OR BREAKER Z AMPS PH W V6LT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. 4EN SIZE LIGHTING OUTLETS CONCEALED TOTAL RECEPTACLES CONCEALED TOTAL 0.80 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 TRANSFORMERS: UNDER 600 V. OVER 600 V { 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. � JA01E 01 00 d LOCATION Street Ad rase:L S14f OF Intersecting Streets: Between r, e_m l itolF /<CT And Se t4a t- / BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve 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 Jacksonville ordinances and standards of good practice listed therein. Name of Mechanicalr Contractor: -X-Ale Contractor (Print) l/0 I I �� q Master C 4 "7 Name of --. —�r� Property owner e r c� 'err- Signature of Owner - Signature of or Authorized Agent1E:L!jA Architect or Engineer 1 1 4- 6_'Ll eZ III. GENERAL INFORMATION A, Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON FElectric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION (3 oil PERMIT 5-q ('C j ❑ Other — Specify IV. AIICMANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) �47 Residential or ❑ Commercial Heat ❑ Space ❑ Recessed I` Centel O Floor YP New Building 444Air Conditioning: 13Room Central ElExisting Building Duct, System: Materiel tS urfi baa r.il .1Thicknes• 1 El Replacement of existing system r 1 i New installation(No system previously installed) Maximum capacity c.f.m. ❑ Extension or add-on to existing system ❑ Rsfrigeation ❑ Other — Specify ❑ Cooling tower: Capacity g.p.m. ❑ Fin sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Received) ❑ Tanks (number) Remarks ❑ LAG containis (number) ❑ Unfired pressure vessel ❑ bibrs Permit Approved by Deis ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Aroving Number Unita Description Yodel Number 11Sanufacturer (Tons) cY CoAd ';L e tv— CITY OF ATLANTIC BEACH, FLORIDA App=byAPPLICATION FOR ELECTRICAL PERMIT J TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 S 7 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: MASTER ELECTRI N SIGNATURE JOURNEYMAN NAME l--C"6 (,G� ADDRESS: / � .. /1 RFD BOX BLDG.SIZE BETWEEN: RES.VC) APT. ( comm.11 1 PUBLIC ( ) INDUS. ( ) NEW ( 1 OLD ( 1 REW. ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER 1 1 ALUM. ( ,f SWITCH OR BREAKER Z AMPS PH W 12-d gL f 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 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. 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. ' LOCATION Street Ad/ress: ii Q OF Intersecting Streets: Between � dc �'Y►'1 1 n C71 C 1\C Y And �X'_I(.yCL 1' ►tet I`I n 1 - BUILDING Sub-division - ch S t d 11 II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attaclLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. 12 Name of Mechanical Contractors Contractor (Print) (l m SO t,S Master Name of Property Owner .1'1'1 eAi Signature of Owner Signature of or Authorized Agent Architect or Engineer �--� III. GENERAL INFORMATION A' Type of heating fuel: B. } IS OTHER CONSTRUCTION BEING DONE ON - trlc THIS BUILDING OR SITE? \/es ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ~ j pep I ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) 1 Residential or ❑ Commercial Heat ❑ Space ❑ Recessed "ritrel O Floor L�New Building R`Air Conditioning: ❑ RoomiiCentrel ❑ Existing Building Q�Duct System: Material 61 C-1 b/c'a'J Thickness.—.1i,s ❑ Replacement of existing system // Maximum capacity c.f.m. W New installation(No system previously installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Capacity q.p.m. ❑ Other — Specify ❑ Fin sprinklers: Numb* .of head ❑ Elevator ❑ enlih ❑ Esuletor (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Received) ❑ Tanks (number) Remarks ❑ LPG contains K (number) ❑ Unfired pressure vessel 13 Boilers Permit Approved by Date Q Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT roving Number Unit, Description Model Number Manufacturer (To�ns)y � cY y ILI .l tI r f, Iftw L131VM 83 1VJ181J313 •JNIBWfIId i NO1JVa1NO3 31VO 83ap4nN A1NO 3sn 11W63d 3013d0 liod 'JEugjp 8utp n •AOUMo J dot'J 13 -uoJ iaTl;Ta Aq X A&Vpal q Pu. paieala aq 3snuT pup 'aJEds JTlgnd IIT paaeld aq 3ou 3snuT 31io.a SM UM9 s[dgap pup gsTggnr 'IETia�puT�IITplTng Q a: �♦ dfISSI 30 9J-VC[ ZId,LdV U. SHINOW XIS QIOA JIW2Idd 'DNI2lfIOd 9'dOd9S Q3.LDddS -NI E19 ISfIW SDNI LOOd (INV SW'dOd alEI dDNOD 'I'IV—gDIION I aiuliad Saila 30 iIEd aSE LIJ.9m suEld paAOSddE of 2uip3oJJV PU Z I ON asnoH Q/S�—�aolg - ao7 I I xq paumo - auOZ IUOTaEJUisSEjD I 1 1XI3( of uoisstui.Tad sEq I pu sucex T T?ht ley �3t�iaJ of si snl•l, -mEl jo suotsinoid algE3gdde}o u0ge10tA Joj uo!)Me j o>130fgns luau l st pue'iainseaa.,fji3 of pled uaaq seq aaj anogE 1pan pyEA lou 7tutaad sty. d/61/9 41 961e vjuo 0 169A $ $aa3 $uopenlEA G/61/G vi 96ZG IM360886 =61 6I gy4 a�EQ 1 u'0462 I BOF NO 431SOd 391SfIW 11WN3d SIHl mine Oi 11Wa3d r� "ON llWM3d VOINOId'HJV3B JI1NVllV d0 A11J JNIaline 101N3W.LUVd3a J CITY OF Office of Building Official �y UES FOR INSPECTION Date PJ O Time A.M. Permit No. Received Dis0. J ress Owne ' orality Na Contractor BUILDING CO EL CAL PLUMBING Framing FootinOug MECHANICAL Re Roofing _ Slab g ❑ Tem le g — Rough ID Air.Cond.& ❑ — Top Out ❑ Heating Lintel ❑ Final 7 Fire Place ❑ READY FOR INSP TION Pre Fab Mon. Tues. Wed A.M. hurs. Friday p_M Inspection Made A.M. P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF 4&.ft,4c BeccLt-Jl U-d, Office of Building Official 7 REQUEST FOR INSPECTION Lam[/ ry Date ` (� Permit No. �! / Time A M Received P,M. District No. h Job Address _ Locality Owner's /��j Name Contractor��n y�.so BUILDING CONCRETE ELECTRICAPLUMBING MECHANICAL Framing = Footing Rough WiringL, _ Rou h Re Roofing Slab g Air.Cond.& C Temp Pole G Top Out Heating Lintel Final ❑ 0 Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed r ThurA.M. Friday p M Inspection Maae J c� _ AP. M. Inspector Fin al Inspection Certificate of Occupancy Date CITY OF 4&4,ft is BeacA Office of Building Official REQUEST FOR INSPECTION Date— 7-- /i / Time Permit No. Received A.M. / 225 P.M. District No. Job Address Owner's �— Locality Name Contractor�f 3re BUILDING CONCRETE ELECTRICAL FramingPLUMBING MECHANICAL — Footing Rough Wiring X Rough Re Roofing _ Slab g Air.Heating 8 ❑ Temp Pole Top Out Heating Lintel Final Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. WedA.M. Thurs. Friday P.M. Inspection Made Inspector Final Inspection C Certificate of Occupancy Date CITY OF ✓� �()Vit(3Q,ef o nI 4&4fttic /SeacA- Office of Building Official REQUEST FOR INSPECTION Date- LS '7 Time Permit No. A.M. Received P.M. District No. Job Address Owner's Locality Name Con BUILDING CONCRETE ECTRICAL PLUM ING Framing ❑ Footing ❑ MECHANICAL h Wir' ❑ Rough - Air.Cond.& ❑ Re Roofing ❑ Slab O Temp Pole ❑ Top Out - Heating Lintel ❑ Final R Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. 7, A.Thurs. A.M. �—� Friday _P.M. Inspection Made Inspector Final Inspection C Certificate of Occupancy Date CITY 1��-�-�_�O��F /n� � � // /n� _ . A f &4a4C /3�l-vt OU 4 Office of Building Official REQUEST FOR INSPECTION figDate � ��' � Permit No. Time A.M. Received p, District No. _ Mf �-e- Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL ., UMBINGMECHANICAL Framing ❑ Footing �:j Rough Wiring El161— Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel Final O Fire Place ❑ Pre Fab READY FOR INSPEC A.M. Mon. Tues. Wed. urs: �� Friday P.M. Inspection Made Inspector Final Inspection❑ Certiticate of Occupancy Date DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO..... 8796 a PERMIT TO BUILD I THIS PERMIT MUST BE POSTED ON JOB r Date—June 17 19 87 ng59 1 A F/17/I' 9796 *00CAC Valuation$ Fee$ 30.00 9859 1A 6/17/6 This permit not valid until above fee has been paid to City Treasurer,and is loan subject to revocation for violation of applicable provisions of law. This is to certify that Nanning Building Supplies 2322 10900 Phillips Highway 1IRR7 32223 has permission toU;U install firepi.ace Classification New Residential Zone RG-2 Owned by Pelkey Builders Lot 7A F 7B Block S/D C i House No. 1925-1929 Seminole Road According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. I PERMIT VOID SIX MONTHS ,_♦ _ _ AFTER DATE OF ISSUE —� O Building material, rubbish and debris -1 from this work must not be placed in public space, and must be cleared = up and hauled away by e`"on- tractor or owner, Building Official. 1!�! FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL I ISEWER WATER CITY OF eead - 57& 716 OCEAN BOULEVARD P.O.BOX 25 -'-''- ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 August 5, 1987 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 #4727-----1285 Stocks Street Permit issued to Barkoskie Electric Company. Permit #5493--z=1929 Seminole Road Permit issued to Bill Thompson Electric Company. S' erely, Rene' An rs Community Development cc; building file RA/te 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) _____FLOOR DRAIN ( 1 ) '' SHOWER STALL DOMESTIC (2) _____LAUNDRY TRAY (2) ot_ LAVATORY ( 1 ) _____COMBINATION SINK AND TRAY (3) __/ WASHING MACHINE ( 3) _____POT, SCULLERY SINK (4) __L__DISHWASHER (2) _____WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) LKITCHEN DENTAL LAVATORY ( 1 ) SINK WITH WASTE GRINDER ( 3) _____DENTAL UNIT OR CUSPIDOR ( 1 ) BIDGET (3) _____URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) _____COMBINATION SINK AND TRAY WIT}- - FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) _____DRINKING FOUNTAIN ( 1/2) _____LAVATORY, BARBER/BEAUTY LAVATORY, SURGEONS (2) SHOP (2) SURGEONS SINK (3) _ ---ICE MAKER ( 1/2) v " S TOTAL FIXTURE UNITS__= $10. 00 EACH S______ ' JOB INFORMATION_yg0� _L_ - ------------------------------ CITY OF 716 OCEAN BOULEVARD P.O.BOX 25 —�— ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 November 23, 1987 Third Floor Pro-Service Section Jacksonville Electric Authority Building 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #5492--t-1925 Seminole Road Permit #5481----120 Camelia Street Permits issued to Bill Thompson Electric Company. Permit #5340----863 Ocean Boulevard Permit issued to Bivins Electric Company. Permit 5672----119 Jasmine Street Permit issudd to Action Electric Company. Sincerely, jltA� Rene' Angers Community Development Director cc: file RA/tb BUILDING AND ZONING INSPECTION DIVISION CITY OF JACKSONVILLE, FLORIDA APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. Street Address: ��� S �emi A,)ole— / - LOCATION I Intersecting Streets: Between �CAC/d lq U _ And OF BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Mechanical State Certification or Contractor Name 09egistration Number �p?� Qualifying Agents Masters Card Signature ��j,` Number lyL Property Owners / Signature of Name l /�-� Architect or Engineer III. GENERAL INFORMATION A.Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON ❑ Electric THIS BUILDING OR SITE? _ J ❑ LP Gas C Natural Gas El Oil ❑ Solar `-' od IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT ❑ Other-Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) A--_- esidential B. ❑ Commercial ,ytTeat: A. E3 Space B. Recessed C. Central C. tT"Ffew Building D. ❑ Floor ire Place ❑ Wood Stove D. ❑ Existing Building ❑ Air Conditioning: A. ❑ Air-to-Air Heat Pump E. ❑ Replacement of existing system B. ❑ Water-to-Air Heat Pump C. ❑ Straight Water Cool F +B- ww installation (No system previously installed) D. ❑ Straight Air Cool G. 11 Extension or add-on to existing system ❑ Duct System: Total Capacity cfm H. El Mobile Home ❑ Refrigeration I. ❑ Other ❑ Cooling tower: Capacity g•p.m. ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) ❑ Gasoline pumps — (number) THIS SPACE FOR OFFICE USE ONLY ❑ Tanks (number) (Received) ❑ LPG containers (number) Remarks — -- — C Unfired pressure vessel ❑ Boilers ❑ Rangehood Permit Approved by _ _ Date — ❑ Cooking Equipment Permit Fee ❑ Water Heater Gas Piping LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approving Number Units Description Model Number Manufacturer (Tons) Agency UEATrur_ . cnaNnrvS RCNI FRS_ FIREPLACES DEPARTMENT OF BUILDING 8510 PERMIT NO. CITY OF ATLANTIC BEACH,FLORIDA � PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date March 24, 19 87 Valuation$ Fee$ 108.00 1 01*00 T This permit not valid until above fee has been paid to City Treasurer,and is 3769 1 A 31/P4/8 subject to revocation for violation of applicable provisions of law. This is to certify that STEEG PLLMING 3765 1A has permission to be INSTALL PLUt�tBING Classification RESIDENTIAL Zone Owned by PELKEV BUILDERS Lot_ Block S/D j i X925 1929 S mi_ ina1P Rand House No. � According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4--i O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared = up and hau away by either con- tractor o' o 2,,e , fuding Official. J FOR OFFICE PERMIT DATE CONTRACYOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION. FOR PLUMBING,. NG •PERMIT �f f J B LOCATION PLUMBING I N G r 1„r•' P CONTRACTOR l � ! t�•' %LICENSE NUMBERS I. �t ,4��i•OWNER ,��' � ��;, ! rt, !�... + BUILDING CON CTOR ' TYPE OF BUILDING jI 1 Irl' .t:f•°= c� SINKS ,;41','1?�,•,- SHOWERS ,1 VATORY :,•,�.r,•�;.:: WATER HEATERS �'�� :!:► r;.:•.fl. BATH TUBS al, DISHWASHERS URINALS 1 li..�;;'• DISPOSAL 1 � _CLOS S WASHING MACHINE? FLOOR DRAINS — .P,+.: 7..%`'��• OTHER TOTAL FIXTURE COUNT i�. i,��� ;r:.�,, _ 1. _ , 1 y �q '' ` •./ .111;;�•; '-'.�S ' 1, idly ,.li,f � '••• •!•', �'lr7 , �� ;h-'INSTALLATION i,� 1 ;. a�� , OF PLUMBING AND FIXTURES MUST'•'BE IN ACCORDANCE 'j":I'�1• , WITH '1 r ;,:':•1 ! MOST RECENT-EDITION OF THE SOUTIiC i ''' •t '° ' . RN .STANDARD ,,1+'•;, ' 1 ;;• !:?2 :`•�;' ;;' z;, !. PLUMBING CODE. �it,ilflt CITY OF ATLANTIC BEACH No. 5272 FLORIDA A--St'7, 19_&7- PELKEY BUILDERS NAME PO Box 72 ADDRESS Atlantic Beach, FL 32233 CITY WATER IMPACT FEE #40-3433700 P A i D 530.00 SEWER IMPACT FEE #41-343-S2000 2,070.00 AUG � �y�' 2,600.00 19251929 SEMINOLE ROAD When Signed, Dated and Numbered, This Becomes an Official Receipt Received Payment MAKE CHECKS PAYABLE TO CITY OF ATLANTIC BEACH, FLORIDA TREASURER OFFICE COPY UTILITY BILL WATER WATER SEWER GARBAGE O TOTAL DATE METERS WATER WATER SEWER GARBAGE OTHER DUE DATE METERS « THIS REC IPT S �S — 3 ORDER. T KE REC IPT TO PUBLIC 7 WORKS D PT. TO SCHEDU E WORK. 1200 SAt DPIPER HL RETAIN THIS STUB SERVICE DISCONTINUED IF NOT PAID WITHIN PAYABLE IN ADVANCE So DAYS OF DATE SHOWN NO REFUNDS UTILITY BILLOFFICE COPY TOTAL DATE WATER WATER SEWER GARBAGE DATE WATER WATER SEWER GARBAGE OTHER DUE METERS METERS HIS RECIPT SER ES AS W �/�� 3 i, RDER. T KE REC IPT, T011 UBlnp� 8S� ��-7 =/ i „r BUILDING AND ZONING INSPECTION DIVISION O CITY OF ATLANTIC BEACH, FLORIDA r ,� f- LO Z ELECTRICAL- PERMIT a „'}? Permit No. ' — 35 130 Date S/2T bT Fee E m I29 `" +irn�ls Road o Location and Q a Between 0 This is to certify that Y">At*8� s r1�T i 1327 '+, E �'O• t T 'F��{*CSl'! (Mover Electrician) � a (Electrical Contractor) W has permission to install Electrical Construction as described herein in u c ode and regulations accordance with the provisions of the Electrical CW o{ Jacksonville, and subject to the information shown on the = oPP a City art of this a application, drawings and specifications which ore made a p permit. Uj for a D o Type of work: uew ke-siaattial SERVICE: cc�c><c act+ar a� 4/0 1Uu�Ps alis` > � breaKer 20j&=Ps l h 3w 23 1t u W` C Feeders: 0 W Outlets: m Receptacles: H S Switches: F- incandescent: Fluorescent: Appliances: Air Conditioning: Motors: Transformers: Signs: Miscellaneous: IF NO WORK IS DONE UNDER ISSUED BY: THIS PERMIT DURING ANY SIX Electrical Inspection Supervisor MONTHS PERIOD, PERMIT BECOMES VOID. 'fir.. CITY OF ATLANTIC BEACH, FLORIDA a � S Approved by APPLICATION FOR ELECTRICAL PERMIT 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. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE NAME J�/� ADDRESS: FD--O------ BLDG. D BOXBLDG.SIZE BETWEEN: RES.(11 APT• ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. l 1 ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SO. FT. FEE SERVICE: NEW( INCREASE ( 1 REPAIR ( 1 _ CONDUCTOR SIZE �� AMPS COPPER ( 1 ALUM. (1�1 331 SWITCH OR BREAK R AMPS PH W 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 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 __ _ 1 m1nFR nnn v OVER 600 V