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2003 Seminole Rd (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025557 Date 2/19/03 Property Address . . . . . . 2003 SEMINOLE RD Tenant nbr, name . . . . . . INSTALL 11 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------ ------------------ ----------------------- KREWZ STEEG PLUMBING 2003 SEMINOLE ROAD P.O. BOX 330536 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ------------------------------- ------ ---- --- ------ ----- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee . . . 112 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------------ ----- ---------- ----- ----- --------- - --- Permit Fee Total 112 . 00 112 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 112 . 00 112 . 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 LIC__TION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: Ajeew z, TEL. PLUMBING CONTRACTOR: 5¢r CONTRACTOR'S ADDRESS: /hot mon- S�- AW STATE LICENSE NUMBER: C moi? �✓7►9 TEL. -5l 5 HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER 8 RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: X$7.00 +$35.00= MINIMUM PERMIT FEE: $35.00 1 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. I r r C,� � �s, CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept(ikoab.us Application Number . . . . . 07-00000956 Date 7/03/07 Property Address . . . . . . 2003 SEMINOLE RD Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------- Application desc 2 CU 2 AHU ---------------------------------------------------------------------------- Owner Contractor ---------------------- ------------------------ -- KREUZ OCEAN STATE HEAT & AIR, INC. 2003 SEMINOLE ROAD 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ------------------------------------------------ Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee 115 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 0 Expiration Date . . 12/30/07 ------------------------------------------------ Fee summary Charged Paid Credited ----Due--- ----- ---------- ---------- Permit Fee Total 115 . 00 115 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 115 . 00 115 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r r�rA, %. CITY OF ATL_��TTIC BEACH - . MEC -ICAL PEER-MIT APPLICATION vM•.w Date: 3 Property Address: oQ Q 3 Owner: ava-Ae, Telephone 9:. o?, Contractor: 1 5 --c C Telephone 9: Q- D Contractor.Address:-14_(,Dt.4-l{� �� I`1�� — Fax 4: In consideration of permit given for doing the wort:as described in the above starernenr,we hereby agree to perform said work in accoraance with the attached plans and specifications which are a part hereof and in accordance with the City of;Atlantic Beach ordinances and standards of eood prartice listed therein- Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number _ _ II 'EIectdc _ ❑ Gas: LP N=ral _ em al Utility ❑ Oil ❑ Other-Specify MECHANICAL EQUIPMENT TO BE-INSTALLED NATURE OF WORK _Space _Recessed . 'central _Floor dential ❑•-,Air Conditioninn —Room _Ce ❑ Duct S"Istem: Material Thickness ❑ Commercial Maxum capacity cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity °Pm 5' E-dsan-Building ` ❑ Fire Sprinklers:Number of Heads ❑ Elevator: I'Vimlift Escalator (Number) &--"Replai=mem,ofF-dstinQ System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Install�on :I LPG Containers (Nber) (No system Previously installed ❑ Unfired Pressure Vessel p E-aension or Add-on to Edsting System ❑ Boilers —_--El Gas Gas Piping - ---- H _ Pe — ❑ Other=Specify LIST ALL E Q UiP1YIENT AIR CONDITIONING,RE,MG7;RATION FQUIPN &:CONDENSOR'S Approving Number Units Description Model M Manufacturer Ton's Agency le 30 3o 4 ar-,L- <- Hr1.TING-FURNACr.,S,Bo1T-Q RS,FIREPLACES&AIB HANDLER'S APPi O'er€ Number Units Description Modelo Manufacturer BTUs Agency T�ta - 7`�'�3 t - -- - o 7'At`!KS- Nominal Capacity T_ypel.iqurd .Serial Approving How lvlanv &Dimensions Contained Manufacturer No. Aeencv 300 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone. (904)247-5300 • Fas: (904)247-5345- http://www.ei.adantic-beacb-ILus 07/02/2007 15:30 FAX 9042498949 OCEAN-STATE-A/C ATLANTIC-BEACH 001/001 JL CITY OF ATS,ANTIC BEACH MFCH-A-N-1C_A-L PERMIT APPLICATION Date: 3 0 Property Address: ?Q 03 Owner: � -�1�. Telephone*: d237 -1f/' 7 Contractor , l �. Teleph►o4e#:E�Q ,Contractor Address- lqao Q .1 1:.�1U ry 11.i" L— Fax#:flq— -9-t� i eouidwwari of permit 5iveo Wr domg the wort as daucdbed in the aonve smtetanat,we Wrcby ugrec to pedorm gad wade m aoeordiuee wih the anached plans and!m=&esuoms which arca pan hereof and in accardane with the City of Atl uc Beads ordinances and nindards of ions)pructice IUSed thcraa Typv of Heating Fuel: If other c as ru=m is being done an this bdIding or site.list tlu bw1ding petilyit numb=-: C! FICL�IC • �J• .. C1 Gas- LP Nattaral _ UtMry ❑ Ori O Other- ebify //OTIC, L EQUIPMENT TO BE INSTALLED NATURE OF WORK +9� T Space _Recessed "Cmtral _Floor W Rftjdantial o✓AirConditioaung- _Room ..�eutraal ❑' Duct System: Matenal Thickness ❑ Commucial Maximum capacity cfm ❑ Reai�eration ❑ 1VewBlrildin,- o Coolin;Tower. Capacity t3�Exisuusk3atil 0 l=ire Sprinklers:Number of Heads ❑ Elevator. �viatilift ESCslaior (Number) w`Rcvla=aent oa dsdng gym= ❑ Gasoline Pumps (Numbed ❑ Tanks (Number) ❑ New Imtellanan 0 Lk'G Containers (Number) (No ustem.reyiumi),iustallel� ❑ Uu&ed Pressure V=2 ❑ E=wsion or Add-an to E isti=9 Syst= ❑ Boilers ❑ Gay Piping - - er P - ❑ Other-Specify 1157 ALL EQUIPMENT .jM CONDITIONING,RBIMIGMAnON LQUII'Ir1f11M&COMYINSOIL'S Aapto�s Tlntntxr Units Dcacziptmn Model R mEmubabne Ton's Agrm7 A 3 30 A-O-<– �— EMATnrG-YURNACrs,sot-MM FULLPLACLS&AM> U:R'S mmberun= DwGriprioo Model T Maaa;be r r BTLrs AgroCy '13 46 TAKK9' Nomiuil Capwcity . T.ypcLiquid serial Appavviag FImv tvinnv &D7memoau Coaaiaed Nlanufactoter Nv. Acme, Soo Seminota Road • ktluutie Beneh., Florida 32133-5445 Phone: (904)247-5800 • Faz: (904)247-3845 Gttp://www.ci.atiantic-beach.fl.ns PSR-3844 I 7029 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ----- term-it Number: 7029 Fubdivision:LOCATION INFORMATION --------_Permit T e : : 2003 SEMINOLE ROAD YP- RE-RO�?F ATLANTIS'lass of Work : NEW BEACH , FLORIDA 32^3- LEGAL DESCRIPTION - �2onstr . Tylae: WOOD FRAME __ ----- °roposed Use : SINi.ILE FAMILY Block : Section: Dwellings : 1 soda: 0 Township : RNG:Estimated Value: $0 . 0�? Improv. cost : $0 . 00 Total Fees : 522 . 50 -,- + r -,4A 822 . 50 OWNER INFORMATION LU ILLE LANE' ---- -- FRA - APPLICATION FEES - - s, s 200 -E'MINOLE ROAD RMIT $22 . 50 hTLAi€T BE CH , FLORIDATER IMPACT FEE $n dip WER ::IMPACT, FEE n, 104 "7 •z TER METER t 'ONTRACTOR INFORMATION DON GAS-H .R . S . $0 . 00 : . `.F.L r �i'rT ,,Pd LEACHES �;r':"�r _ N GAS - r WATER TAP $0 . 00 3 yr s 1 .442 CESERY TERRACE $0 ,0�J fg 7h ' >C)N11I t.,Lf: �' -r SEWER TAP S0 . 00 L 32`11 HYDRAULIC SHARE 50 .04 Type' _ CAPITAL IMPROVE . $A .00 SE." H !MFAI T F'EE :.,7 nn Se , �t4 r NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ENGAUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC Sr MUST BE ED AWAY BY EITHER CONTRACTOR OR OWNER OMPLY WITH THE MECHANICS' LIEN I OWNERPAYING TWICE FOR BUILDI►' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS P' VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) = UC I LE v� E UL�icIE's � /�17�5 Address: ,,2DZ�3 SEMI/�1dLE Z249 Phone: 7a-7"0-52V Lot # Block or Unit # Subdivision Contractor:AeUIJ6%On Address:/O// Phone: State License No. _/?L6239(, Describe work to be done: Materials to be used: 779 SQ 13Z///-1&(4!5-S Signature OWNER: Date: Signature CONTRACTOR: S •� CITY OF ATLANTIC BEACH s j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 V INSPECTION PHONE LINE 247-5826 r.�Jiil>f' Application Number . . . . 09-00000051 Date 1/14/09 Property Address . . . . . . 2003 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2340 --------------------------------------------------------------- Application desc REROOF -------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- LANE, LUCILLE OWNER 2003 SEMINOLE ROAD ATLANTIC BEACH FL 32233 -------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee 41 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2340 Expiration Date . . 7/13/09 ------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- Permit Fee Total 41 . 00 41 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 41 . 00 41 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 08- 300 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I wr OFFICE:(904)247-5826 0 FAX NO.:(904)247-5645 BUILDING-DEPT@COAB.US Y �~ BUILDING PERMIT APPLICATION DUVAL COUNTY TOT_UNDERROOF J, 6.USE;OF STRUCIt1RE a 4..LEGALDESCRIPTION 5`CLASS.OEWORK. ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTIONOFYJO_K _bF � k T ... r•+ ❑ALTERATION ❑ACCESSORYBLDG. 6:_FIRESPRINKLER �_ti ❑REPAIR ❑POOL/SPA I Cl YES ❑NIA ❑MOVE ❑OTHER I ❑NO PROPERTY OWNER .f&; .Tt ,: s, f-CONTRACTOR._" s 3_,.,Stc:,ARCHITECT I ENGINEER: 99.NAME: 15,COMPANY NAME: 23.COMPANY NAME: rl 41 �,��,,�'�' 16.NAME: 24.LICENSEE NAME: YY�� J 10.ADDRESS: -y 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: j cc '51E`�y O L F_ 18.ADDRESS: 26.ADDRESS: 01-A fl)TZC 6C N� —G 0`200 cf- TZ 9 3 Ar�vt tc c - A- 3 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 0.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13. LL PHONE: 21.CELL PHONE: 29.CELL PHONE: a Lt, a I 14 MAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: R LX_ m @ ksT 41 ,'L FEE SIMPL'EsT1TLE HOLDEiBOIJDING COMPANY x r �' t jet MORTGAGE LENDER ?,, - x •i. PF OlFEJ2THf1N OWNEWY., t .:'±ssw. fir✓ —_ .y •,.xi Y m iM,_�.: AV- 31. 31.NAME: 33.NAME: 35.NAME:Y 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 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 CONTRACTORf (h Agent,Power of Attmey or A ency Letter Required) h =.. (Qualifie[Only)_ ^ A -/J - C Si — Signed: Date: gned: Date: — Before me this •� day of 200$n the county of Before me this 1st day of 20l{�n the county of Duval,State of Florida,has personally a geared Duval,State of Florida,has personally appeared l�►'C herin by himself/herself and affirms that all statements and declarations are herin by himself f herself and affirms that all statements and declarations are true and accurate. /It true and accurate. { I Notary Public at Large,State of County of Notary Public at Large,State of L Y1�1�,County of ❑Personally Known /� �y _ �i ,(� ❑Personally Known I—; �-Produced Identifca6on- / 6�o —� T `S -'O�V D f Pfaduced Identification- I �' Nota Notary Signature: peon P io` p `� f's Notary Public-State of FWWa �Y ublic-State of N WEAVER ]2012 E MY Cwv*ision Expires Jan MY Canmission Expires Jsn 27,2012Commission X OD 75 ';± CommissionM DD 752202'I%••°,`��,��`', Banded Through National Ndary Assn.National Not cc CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD �\ ATLANTIC BEACH,FL 32233 J' INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030746 Date 8/19/05 Property Address . . . . . . 2003 SEMINOLE RD Tenant nbr, name . . . . . HURRICANE SHUTTERS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3000 Owner Contractor ------------------------ ------------------------ KREUZ, MARSHA ROLL-A-WAY, INC. 2003 SEMINOLE ROAD 10601 OAK ST, NE ATLANTIC BEACH FL 32233 ST PETERSBURG FL 33716 (727) 576-1143 --------------------------------------------------- ------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -------_-- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 95. 00 95 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BIJILDIN CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH Cc. BUILDING / ZONING DEPARTMENT D. Ford 800 Seminole Road .H'oerr s Atlantic Beach,Florida 32233 Jf31�` (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # DLJ _ �60-4(o Property Address: (ID 22cati a b Ii�) 9.0 QLJIJ Applicant: �_b� Project: F This permit application has been: �A proved Re ' and the howa items need a ntion: �Z �N Cc r t v w1w w�e� �_d c al -� Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: 3 f PSC 2000 Series 2410 Log for Personal Printer/Fax/Copier/Scanner City of Atlantic Beach Bui 904-247-5845 Jul 13 2005 8:39AM Last Transaction Date Time Te Identification Duration Pages Result Jul 13 8:38AM Fax Sent 819046423331 0:30 2 OK NOTICE OF COMMENCEMENT RAMCO FORM 409 FS 711-11 Return to: (enclose self-addressed stamped envelope Name: D&R Shutt.,�-Ts dha Roll-a-way J st.k'.Zns 13 Box 15 Address: S z n-s-,; 1.o 17 'I� .1 .�.�:•.jda:n...,,,.L 322,v Doc#2005252643,OR BK 12606 Page 173, This instrument Prepared by: Number Pages: 1 SI'+� �TS � � T� Filed&Recorded 07/12/2005 at 01:25 PM, Vay Name: '`'-a-` JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY ;'. J � T.- ._3 �trr :i7-.;=.•? R: h _ RECORDING$10.00 Address: t.:,. ?.GAl � 1'.. Property Appraisers Parcel Identification SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida County of 2) Q 1/41 The undersigned hereby gives notice that Improvements will be made to certain real property,and in accordance with chapter 713 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. Legal description of property(include Street Address,if available) e12'7 3 Li�7��LP K .2 S /-- S j-r�/AO U-7 Z�f-eNe S General description of improvements /}'i &t_l Me AS Owner's Name 6 e S a A Address p-= © , ���-1'1i.z /yDG �� fir' !�, Owner's Interest in site of the improvement Fee Simple Title holder(if other than owner) Address Phone: Fax: Contractor ,--137S 07-JD- PA) t,S Ae&$�X,6 -59/ qe Address JA-I�k so 10t'ille- FG 3.zz'�14 Phone: -6 V -. Surety 11 Phone: Fax: Address j Amount of bond$ Lender's Name Address: Phone: Fax: Persons within the State of Florida designated by owner upon whom notices or other documents may be served as pro- vided by Section 713.13(1)(a)7, Florida Statutes. a Name Address Phone: Fax: In addition to himself, owner designates Of Phone: Fax: to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration date of Nobe of Commencement(the expiration date is 1 year from the date of recording unless a different date is specified) .. Printed Nw of Owner a ;=24`•"' NOT FAt I bare relic pon the following identification of t1x Affiant ;.: .- MY t;OMMISSION#DD 374461 (� C► ��r _ �y l _y�_ p Ia : a EXPIRES:November 23,2008 Sworn to and bscri fore me this day of��19!Z1 01 �of F;°P' Bonded Thru Notary Public Underwriters 96 Hoary Y76oatdr j 1 1 .lorry E.Hicks, C_futra for ih p � Customer Name:�1! -5 4,4 Property Ownw.IaIN Address-5,003 -5C •r+`v tt CA Unit City,Conray G4 bw-w 1; &.acE- 1")i:O t�-I Phone# Single Family Residence Yi) 1. STRUCTURE: Masonry 1x Wood Cobh_ Aluminum_ Other {WindoW Frame: If op00ing varies&orn above matz"indiaa/e trVe: 2. ROOF SLOPE: Less Than or Greater than 4 10 degrees 3. FIE SPRINKLERS: Yes_ No 4. BUILDING HEIGHT S. COASTAL,ZONE Yes No 4 6. CONDOMINIUM/ASSOCIATION APPIROVAL: Required Not Required.?( 7. ARE SPECS AVAILABLE: Yes No 8. PSF ALL DRA WINGS MUST INDICATE TIS FOLLOWING: 1. CORRECT SHAPE OF BUILDING 2. ROOM TYPE(Kitchen,Bedroom,etc) 3. OPENINGS WHERE WNDOWS OR SHUTTERS ARE TO BE RUNISTALLED. 4. WHETHER SHUTTERS ARE MANUAL OR ELECTRIC. S. MAIN STREET. D&R.NOFL.60502 Roll_-a-way.Storm chi Security Shutters Customer A 'sAddress ` ' 3 C-t-�-� t L !` City Opening # Track Width Track Height Product type Plans ID Lf z 00 1 ! t 1 i E ! 1 { I I 1 i I i i t The Dream; Inc. s A D &R Shutters,k1a. in 6nir:swrrie,Savannah, v _� ,, � &-uschas cx.rvvrrrrrfd Qiry arc wrar Sivir !ice �i �+as l7` /i-FtF s ,r W,I An7ciia i-'-;—, b S,,iFuqu-s-Atte Home Office&Showroom Rt. 1, Box 75T(Hwy 462)•Ridgeland,SC 29936 1-888-765-2929•Fax 1-843-717-1749 s. PHONE TO: ,MACsk k � Ue� f-- � - T3/1-7 G -15 ,cos. r t oca�� �` A<. s - - 3 s +I A-.) #rice. l3 f Ai-, FL 3 aD 253 JOB NUMBER JOB PHONE •j— i F 4 1 j 1 1 3 n� AulhoiiaA Date of AecepWrvc&. Q tvtluaFlo vttil111t1 t.w�.vucsuv - NJ) l If a ' i 1 S r Z r l r 1 Ovwv+ew Produti Search OelJinSiClllrt PtadtxY View Search Appf=&bm Asradvnenrs-- —_ -- I I I 1 User- Public User -Not AssociaW with Organization- Need Help? Application#: FL370 Date Submitted: 09/30/2003 Product Manufacturer. Eastern Metal Supply Address/Phonelemail: 4268 Westroads Drive West Palm Beach-FL 33407 Category: Shutters Subcategory: Storni Panels Evaluation Method: Evaluation Report from a Product Evaluation Entity Referenced Standards from the Florida Building Code: Sectwit Surd Y-CM 1506.1.4 SSTD 12-99 1999 0000 0000 0004 0000 0000 0000 Evaluation Entity: SBCCI PST and ESI Quality Assurance Entity: National Accreditation and Management Institute Validation Entity: Vladimir John Knezevich Date Validated: 10/17/2003 Authorized Signature: Vladimir Knevevich -lkknezevidtcotn EvaluationfTest Reports Upload - PTID 370 T 03-235.pdf PT1D 370 T 2313_vdf Installation Documents L1ploaded_ httpJ/www_flwidabuil&ng-GTWPrfpr tied-asp?IP T=37U&fM=R0Srr-h 4/221004 Product Approval Mctbod: I Option C Application Status: Approved Pap:� Page i i 1 NProduct Model#or Fane Model Dwcsipfion 74.1 .04ir Ahun Storm Panel r W x r Corrugated Panel 2 .OW Alma Storm Panel W z 2' Corrugated Panel 3 _064r Alum Storm Panel 2'W x r Dp Corrugated Panel 2 Copyriyht and Disdaimw;COM The Stebe of F arida Am reserved. httpJ/www_flondabwldmg-arglPrlpr ck-d-WIPT=370&f n=ROSrCh 412212004 J s`' 011-1' OF ATLANTIC BEACH �'!;,• JUL 12 2005 CITY OF ATLANTIC BEACI4 PERMIT APPLICATION FOR REPLACEMENT OF WINDOWS�zz�KYLIGHTS AND PL'-EXj-efJNST'R GARAGE DOORS OF SINGLE-FAMILY OR TWO-FAMILY (D UCTIOl ` Date: (,7u .,, KJob Address: p? O O 3 I/Owner's Name: , % A 7:;?— X Address: Phone: •2 z( 7, / 4 Legal Description: Block Number: Lot Number: Zoning District: Contractor: V�_rrt/ S • 1764_S State License Number: Ce_U (/q,S3 Address: /'O 6,ey O IS2/-f S 7- "OV66_ Phone: 72 7- �T(- /l y 3 City: 6 a r!j' State: 46�L Zip: 7 Fax: 90 q- to V 2 - 3 3` Describe proposed use and work to be done: t1n s 'W D Present use of land or building(s): &9 6 `rQ�=� d 'n clE Valuation of proposed construction: 03 Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Building Data: Mean Roof Height (ft) Building Width (ft) Building Length (ft) Roof Slope *Window Elevation from Grade (ft) Window Height (ft) Window Width (ft) Measurement from corner of building to window (ft) 5 I v q S h 4 a Y a 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • littp://www.ei.atlantic-beach.fl.us Page 1 Revised 1/27/03 Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data,the following information is required: 1. Manufacturer's Test Report 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Elevation View of Window Locations I hereby certify that all information provided with this application is correct. X Signature of Owner: Date: 3— `/�j —0,5' 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 t and co ect and that the plans and supporting data have been or shall be provided as required. jF Signature of Contractor , Date: b 0 Address and contact ' ormationn�offerson to receive all correspondence regarding this application (please print). Name: O6 r� � I Mailing Address: ��/ ` �����S�/ZgCLC ier= /e Telephone: qvy-�J�j 7-0_4%o Fax: 4?O E-Mail: AS TO OWNER: Sworn to and subscribed before me this 17 day of Y'YIAoeG 1,.- ,20 0 S. State of Florida,County of Duval JEFFREY D.CARR Notary's Signature: L 1_ MY COMMISSION#DD 374461 n= EXPIRES:November 23,2006 ❑ Personally known gFh ' BaMedThruNotaryPub6cUrdwwriters Produced identification // _ Type of identification produced f)�. ��wo -� AS TO CONTRACTOR: Sworn to and subscribed before me this day of _,2 State of Florida, County of Duval Notary's Signature: +"CY f CAMILLA P.CRAWSHAW � := MY COMMISSION#DD 137724 Kroduced ersonally known = a EXPIRES:Juty30,2006 identification Banded Thru Notary Pitfle Underwr ters Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ei.atlantic-beach.fl.us Page 2 Revised 1/27/03 ITI Z��T:L Eco �NC. nUff TEffnN6 S ENGINEERING COMPANY WAi 7ER a IUIdr„1R.P.E. PRODUCT EVALUATION REPORT REPORT NO.: 03-0926.01 DATE: September 26,2003 PRODUCT CATEGORY: Hurricane Shutters PRODUCT SUB-CATEGORY: Accordions PRODUCT NAME: Bertha High Velocity Accordion Shutter System SUBMITTED BY: A.S.S.AJAmerican Shutter Systems Association,Inc. 4268 Westroads Drive west Palm Beach,Florida 33407 1. PURPOSE OF EVALUATION: This is a Product Evaluation Report issued by Tilteco,Inc.and Walter A.Tillit,Jr., P.E.(System ID# 1754)to the American Shatter Systems Association,Inc. (A.S.SJL),based on Rule Chapter No. 9B-72.070,Method 1 d of the State of Florida Product Approval,Department of Community Affairs-Florida Building Commission. This product is being issued an Evaluation Report as described herein,and has been verified for compliance in accordance with the 2001 edition of the Florida Building Code, and to verify that the product is for the purpose intended at least equivalent to that required by the Code. 2. EVIDENCE SUBMITTED: 21 PRODUCT EVALUATION DOt 13MCNT(P.E.D.): Drawing No. 03-034,titled"BERTHA HIGH VELOCITY ACCORDION SHUTTER SYSTEM", sheets 1 thru 12 of 12,prepared by Tilteco,Inc.; signed and sealed by Walter A.Tillit,Jr., P.E.;dated 06/18/03.This drawing is an integral part of this Evaluation Report. 2.2.TEST REPORTS: Large missile impact and cyclic loadings under ASTM E I WAN& E 1996, as well as Miami-Dade County PA 201 and 203,as per se*r=K6tZG•1 _ 'fie Florida 6595 N.W. 36th Street. Suite 217.Miami_Florida 33166-Phone:f36 87I-,1530=Tax:(305)871-1531 . 2 PRODUCT EVALUATION REPORT No.03-0926.01 Building Code. Uniform Static loads in accordance with ASTM E 330 and Miami-Dade County PA 202,as per section 1706 of the Florida Building Code. Test reports prepared by American Testing Lab of South Florida,Report No. 0214.01-03,dated July 18,2003; signed and sealed by William R.Mehner,P.E.,and Henry Hatten,P.E. Tensile test as per QC Metallurgical Report No.3DM-388,dated May 20,2003; signed and sealed by Frank E.Grate Jr.,P.E.,as per ASTM E 8. 23.STRUCTURAL ENGINEERING CALCULATIONS: On Bertha High Velocity Accordion Shutter System for maximum shutter span vs.design wind load,as well as maximum anchor spacing vs. design wind load and shutter span based on rational and comparative analysis,and in accordance with section 1611 of the Florida Building Code. Calculations prepared by Tilteco,Inc.,dated June 1,2003, signed and sealed by Walter A. Tillit,Jr.,P.E. 3. NIISSILE IWACT RESISTANCE: Large missile impact under section 1606.1.4 of the Florida Building Code,as per ASTM E 1886 and ASTM E 1996,as well as Miami-Dade PA 201 and 203. 4. WIND LOADS RESISTANCE-- Accordion ESISTANCE:Accordion Shutter System has been verified to sustain wind pressures. Maximum Shunter Span shall be as indicated on sheet 8 of 12 of Product Evaluation Document (P.E.D.),drawing No. 03-034. Maximum Anchor Spacing shall be as indicated on sheets 9 and 10 of 12 of Product Evaluation Document(P.E.D.),drawing No.03-034. Accordion Shutter System has been verified for code compliance to work as a non-porous storm shutter assembly,as per section 3.3.2.7 of ASTM E 1996 Standard. 5. INSTALLATION: Shall be performed strictly in accordance with the details indicated on sheets 4, 5,6,7, 11 and 12 of 12 of product Evaluation Document(P.E.D.),drawing No. 03-034. Minimum separation to glass shall be as indicated on sheets 4, 5,6, 7, 11 and 12 of 12 of Product Evaluation Document(P.E.D.),drawing No.03-034. Requirements for use of locks and/or locking rods shall be as indicated on Notes 1 through 3 on sheet 3 of 12 of Product Evaluation Document(P.E.D.),drawing No. 03-034. (,'TERISTIL-S AND SPE f b. MATERIAL C:HARA Shall be strictly in accordance with General Notes and Co Aeets`'� through 3 of 12 of Product Evaluation Document(P.E.D.),dravY+ta3=0ncic = 7 . 3 PRODUCT EVALUATION REPORT NO.03-0926-01 specifications shall be as indicated on sheets 9 and 10 of 12 of Product Evaluation Document(P-E.D.),drawing No. 03-034. 7. LIMITATIONS AND CONDITIONS OF USE: 7.1. Shall be strictly in compliance with General Notes No. 8,9, 10 and 11, indicated on sheet 1 of 12,of Product Evaluation Document(P.E.D.),drawing No. 03-034 prepared by Tilteco, Inc. and signed and sealed by Walter A.Tillit,Jr.,P.E. 7.2. Product to be installed only within NON HIGH VELOCITY HURRICANE ZONES as defined on section 1619.2 of the Florida Building Code. 7.3.Product shall only be installed into poured concrete,concrete block,and wood frame structures. Product Evaluation Report prepared by Walter A. Tillit,Jr.,P.E. (Florida License No. 44167),Presidmt of Tilteco, Inc. (Florida EB-0006719). f .� �,, PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PERMIT INFORMATION - LOCATION INFORMATION ---- Permit Number : 15711 7,.A_ rers : 2003 SEMINOLE ROAD Permit Type :UTILITIES ATLANTIC BEACH , FLORIDA 32233 -lass of Work:NEW -------- LEGAL DESCRIPTION -3333-- Constr . Type:WDOD FRAME block ! Lot : Twp : r Proposed Use : SINGLE FAMILY Section° 0 Subd: Rna, Dwellings : 0 Fl_ibdivision: SEMINOLE DUNES Est . Value : 0 ,. 00 Improv . Cost : 0 . 00 Total Fees : 585 00 Amount Paid: 585 .00 TALL rRRInATION ME-"- Y REVENTER INSTALLATION OWNER INFORMATION - -- ____ _ _._ .._ APPLICATION FEES --------- 4ame : SEMIN!''? .,E DUNES CONDO ASSN PERMIT 25 .00 =ddr : 20-03, SEMINOLE ROAD WATER IMPACT FEE 0 •00 ATLANTI'-, BEA,-H , FLORIDA 32233 SEWER IMPACT FEE 0 . 00 tione: 1, 904 , 315'-n 505 WATER. METER/TAP 525.00 RADON GAS-H .R . S . 0 .00 `_ONTF:A°'T_'F. INF'ORMATIO'N - RADON CAB 5% 0 . 00 ?dame: LANDS,'_'APES TiNLIMITED CAPITAL IMPROVE . Addr : 101;; F: . ADAMS STREET SEWER TAI' 0 . 00 .j. PK r''?` MLLE . FLORIDA 32202 .'ROSS CONNECTION 3 nn Li 1 S"4 Exp: Ji NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILS9,113 MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLE&2ftUP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER w ru "FAIWRE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE 15ROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." x ISSUED.gCCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOC[j1I��1PR VIOLATIOF APPLICABLE PROVISIONS OF LAW. 7 81 Receipt; 8021159 M® CHECKS _ _ 0818$ 3221008 ATLANTV,,WCH BUILDING DEPARTMENT Sam �... By: Z. 4 . CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 21003 ��,��/YiI/��"/�,� 12r> OWNER OF PROPERTY: J-e144tA 09C r/b•✓f/S Cy _ 4SS^✓f PLUMBING CONTRACTOR: e�wllmflr-" z,4L,() e ttA�NS A�-T/�P. .LMC CONTRACTOR'S ADDRESS: le S' % -7-74--jr._f�c , STATE LICENSE NUMBER: ,� Cf TELEPHONE: HOW M"Y OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE _ $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. ���{�{�,������` yC�ITY OF T''I LGi:F�Z�YrT4: /3 e,=.-1-49k4r Office of Building Official REQUEST FOR INSPECTION Date__ _ __ Permit il:o. Time A.M Received _P. Job Address , Locality Owner's —— Name ---�:gracior — — — BUILDING CONCRETE ELECTRICALMBING MECHANICAL Framing Footing Rough Wiring _ Air Cond. & Re Roofing Slab Temp Pole Top Out _ Heating Insulation - Lintel Final Sewer Fire Place G Pre Fab READY FOR INSPECTION 1 Mon Tues. Wed. -- a Inspection Mads ---- t Final lnspectio ertificate of ccuoa ii--- - CITY OF ATLANTIC BEACH CCNSTRUCTICN PERMIT INFrI.-+.IN CITY RIGHTS OF WAY ANC EASEMENT' CA-IE. 11-18 17 Y PERMIT NC. SUBOIvISICN CITY STREET 20cI; PERMfTfE=.�^ J s �L i t M iQ i N L �ID.J?A-C'�S -- ��11'Y > c 1+�t trT� TELEPHCNE NO. i �/ PERt�'+EE ADORES.- ���- � " " ` RECU.E tuc' PERMISSION FROM -HE CITY OF ATLANTIC SE.aC:ti TO CONSTRUC- � %T--?-72,/ LCCATIONS: (REFERENCE TO (::RCSS-STRE="T) 11Gf'h t I ' Z: ,r�AZY e I APPUCANT DECLARES THAT -"OR TO FtL,*,VC THIS AP-LrCATICM MC --*5 ASCERTAINED THE or-A71ON OF ALL EXISTING UTILITIES. BOTH AERIAL AL•LO UMDERGRCUNO A.40 4-1E ACCUPATE LCCATICMS ARE SHCWN ON THE SxzTCHES. (A-TiLiTy )JZ TIFIf<-nO# �t}jr O10 1Z j 17/17 A LETTER OF NOTIFICATION WAS MAILED TO THE FOLLOWING UTILITIES/MUNIC:PAUTIES: JACKSONVII-- ELECT RIC AUTHORITY YEs c ) No ( 7 CATs: eE:_, SOUTH I Er=PHONE COMPANY YES ( ) NO ( ) LATE: SRftEL-- GAS YES ( ) NC E ) DATE: ?' FOIA ONE CARL=TV Ycs ( ) ?Lo ( ) CAT=: 2. WHENEVER NECESSARY FOR THE CONSTRUCTION. RF_-AIR. IMPRCVE.MEtJT, MAINTENANCE. SAFE ANC EFFICIENT OPERATICN. AL=RATICN OR RELOCATION OF ALL. OR ANY POFMCN OF SAIC STRE. CR EASEMENT AS DE cRAL:..BY THE DIRECTOR CF R'J13t=Y0ORKS. AT CR ALCF SAID PAL=S. WIRD- OR OTHER FAC:UTIS AND APPURTENANCE At,T!-rCRIZED M£4EUrr0£4, 9f ALL BE IMMEDIATE= R<!-�CVED FROM SALp STRE= rR =ASEMENT OR RESer 044 RELOCATED -1Er?EC+}AS 7ECrUIRED BY THE DiRECT^.R CF R�a3LC WCXULS, ANC AT THE E:CPENSZ-- C-F ='-1E PSRb"=E UN, aEjbd8LLRS.EMFNT IS AUTHCRL'SD. ALL WORK SHALL •ME= C:'Y CF ATLANTIC BEACH C��jR, r2L:RI CA CE:PARTMENT OF TRANS?IRATiCN STANDARDS ANC BE ?ERFCRMED UNCER THE SW�jjCN OF 4rlV� l� T� ' +�E>'�� CC.^•NTZ¢C CI4 5 PCJE'R ECT SUPINTENCENT) LOcATaD AT VCl S S /TL IcL_=--cl„£ 14C. Diel 8>&--4z--F _ 4. ALL MATERIALS AND =CUIPMENI Sl:L 3E �"R 'cCT T. LCLSFS----^.-u -• TIME LIREC`•CR CF F11-1 IC 'MCSK. OR H15 DESIGNEE. �. ALL CTY PRCPERTY SHALL BE'RlE'TCRErJ TC rT5 ORTG-,",AL r'^NCTT7ON .S =AR .� ='QAC-:CAZ. "K KE=?frvG 'NITH .-,T" SPECIF!CATICNS AND TH£ rtx»x£R'9ATt-FACTORY TC THE CrTY. �. SKET^.H OR PLANS ..OVcyC. ^e--��� a �^,F ,US Ir.�a-ei �:.[,pl SHALE 3E .`�IP.CE A ?An. ^.F ='-u.S P�Rb11T. 7, THIS PERMIT"== SHAU COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN DAYS FROM THE MAY 'F SAIC PERMIT APwROVAL AMC SHALL SE' f4P'-=-;-; 77E " 7—__Z_'LAYS. IF Tt'E SEGINWMa =A7" IS MpR£ Tt+Att'SCI DAYS FRCM DRTE Qf PERMIT APPROVRL. Ti�EM P�fmtTT£= MUST RE`/I"EW TH£ !MfT YWTH THE OF PUBLIC WCRKS TO• MAKE SkkRE NO CHANGE_, H^v=- OCCURRED IN THE AREA THAs WOULD AFF - THE PERMITTED CCNSR.L=`ICN. 8. IT IS UNCERSTCOC AND AGREED THAT THE RIGHTS AND PRIVil9*0ES HEREIN SET CUT ARE GRANTED ONLY TC THE EXTENT OF THE C:-r,'5 RrG-,fr. TTTLE AN'C INTEREST rw THE LAND TO BE ENTERED UPON ARII US•EO BT THE -OLDE?, Aw0 -HE HOLDER WELL. AT ALL TrMES. ASSL'M'E ALL R-SK ^•F A:4C ,NCE4NIF` . DCCCyC AND 5AV£ HAR MLSS THE CITY OF ATLAMTLC B-sAcF+ .-ROM AND AC-444S: AI,LY A.40 ALL LOSS. DAt+ACE. AND COST OF EXP�*LSES ARLSING IN ANY MANaLEA CF THE EXERCISE CR A±'.E�ePTED EXERESES BY THE HOLDER OF THE AFORESAID RIGHTS AND PRIVILEGES. 9. THE DIRECTOR OF PUBLIC WORKS' SHALL BE NOTIFIEII TP/EwTY-FOUFR (24) HOURS PMCrR TO STA) TTNG `NARK AND AGAIN IMMEDIATELY UPON COMPLET10N. SUBMITTED BY' f (P-_?,CE CORPORATE SEAL IF APPI '.-^ci =) SWORN TO AND SU/SCRIBED BEFORE ME THIS/ DA "C-, �gf r'auN'a AMOI1 eM MY COMMISSION N CC553881 D(PIRF'. :•; 4qust 27,2000 H ag; a. nqU TROY FAIN R INSUE. + BONDED . �; 0Iltt 01 PSR-3844 15696 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION ------ - Permit Number : 15696 Addressi 2003 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH . FLORIDA 32231, �_Iass of Work : NEW LEGAL DESCRIPTION Twp * Constr , Type :WOOD FRAME Block: Lot Proposed Use: SINGLE FAMILY Section * 0 Subd: Rng : Dwellina!7, ! Subdivision : SEMINOLE DUNES Est . Value : 0 . 00 Improv . Cost : 0 . 00 Total F-?Ps : 25 . 00 Amount 25 - 00 a'--p- i'a o. ii i ao­ - 1z; TWI: �;;6 IL7 )WNER INFORMATION APPLICATION FEES 2 5 SEMINOLE DUNES' CONDO ASSN , PERMIT Addr* _`�,,03 SEMINOLE ROAD RTLANTI�- FEACH � FLORIDA Phone' ?04` 387- �1541 ,_'(_')NTRACTOF. INFORMATION Name,, RAY' S PLUMBIW3 CONTRACTORS �1-4 1033 EDGEWOOD AVENUE SOUTH JACKSONVILLE . FLORIDA 32205 Lic: CF--020374 Exr : NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-55 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT VD jUBJh$j TO REVOCATION FOR Per or: y VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 12/19/97 01 Receipt: 0020163 Iotar�aayvent ATLANTIC BEACH BUILDING DEPARTMENT By: PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PEP-MIT INFORMATION LOCATION INFORMATION Permit Number : 1560r, '�ddress : 2003 SEMINOLE ROAD 32233 Permit Type:UTILITIES ATLANTIC BEACH , FLORIDA --lass of Work:NEW - -------- LEGAL DESCRIPTION ----------- Block- Lot , Twp : Constr . Type:WOOD FRAME Subd : Rng , Proposed Use: SINGLE FAMILY Section: 0 vcz Dwellings : 0 Subdivision : SEMINOLE DUNES Est . Value: 0 . 00 improv . `_`ost ' 0 . �)n Total 25 . 00 25 .00 1 " PPLICATION FEES - -------- �.,WNER 1 NFORMAT I ON PERMIT Name �,VMTNOLE DUNES CONDO ASSN Addr ' -103, SEMINOLE FORD P.TLANTIC BEACH , FLORIDA 2,22' 113 r?4) 3 8-7 4 1 -'�NTRr7v_-'T(.)R INFORMATION c- Tty S CONTRACTORS a7 FLUMBIN-1 DD AVENUE SOUTH p EW 0,/_ ,TACK_`:,��NVILLE . FLORIDA 32205 CF�_O 2 1�3?4 Exp : NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO FpVACf0N FOR J.00 14 VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 12/19/97 01 Rpepipts 002210 CHECKS DEC 19 199713954 00100003221000 ATLANTIC-BEACH BUILDING DEPARTMENT f Atl;!rfic Bch-' /11 city 0 By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT\\ JOB LOCATION: (9002 56411 /N0Lj �u OWNER OF PROPERTY: 5eM lOOL DU06� �1O1-�+� �S.cC�C,• PLUMBING CONTRACTOR: 1�-(�y PWMBAX, CONTRACTOR'S ADDRESS: CD3 S �Y�U�II�Y i� miles J - � a� STATE LICENSE NUMBER: O-f=ec, O3`?4� TELEPHONE: HOW M"Y OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER 150 " MA9-y Fes(= JyII-,I TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE _ $25.00 SIGNATURE OF OWNER: v' SIGNATURE OF CONTRACTOR: Lt ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. CrY OF ATILAtMC BEACH CONSTRUCTION PERMIT WrrHIN CITY RIGHTS OF WAY ANC EASEMEN DA I E 12-„IA- • PERMIT NO. Cl q-IEZ 9Y THE CI^' SUBDIVISION CITY STREET ;?CD,:-73 / ALL � PERMfTTEE VYr7 S PLL l M 103 ` t`rl eJ�tii _ PER,mrTIEE ADDRESS n' TELEPHONE NO. REC, L -IMG PERMISSION FROM THE CITY OF ATLANTIC BEACH TO CONSTRUCT LOCATIONS: CREFERENCE TO CRCSS-STREET1 — � Z: s� AubCt I APPLICANT DECLARES THAT P"OR TO Ftt."tG THIS APPLtCA71104 H' '"AS ASCERTAINED THE LOCATION OF ALL EXISTING UTIUTIES, BOTH AERIAL ANO UNOE+Rr-RCUNO ANO 744E ACCUPATE LOCATIONS ARE SHOWN ON THE SKETCHES. aTILTITV WT-iFICH`n0�-) g4& 0)c> jzl 17h7 A L--=ER OF NOTIFICATION WAS MAILED TO THE FOLLOWING UTILITTES/MU NIC:PALITIES: JACKSONVILLE EL=CTRIC AUTHORITY YES ( ) NO ( ) CATE: SELL SOUTH TEL-PHONE COMPANY YES ( ) NO ( ) CATE: F:ERREL GAS YES ( ) NO E ) DATE: ?4EDIA ONE CARL-TV YES ( NO ( ) CATE: Z. WHENEVER NECESSARY FOR THE CONSTRUCTION. RF-=AIR. IMPROVEMENT, MAINTENANCE, SAFE AND EFFICIENT OPERATION. ALTERATION OR RELOCATION OF ALL. OR ANY PORTION OF SAID 57RE= OR EASEMENT AS =RMINED BY THE DIRECTOR OF PUBLIC WORKS. ANT OR ALL OF SAID -a[-S. WIRES. P!PES. CABL-"S OP CTu+ER FACIUTIES AND APPURTENANCE-s RfJTt-IORIZED St+AL.L BE IMMEDIATEL'.' REMOVED P''�CM SANS SIRE= OR EASEMENT OR RESET OEs -4ELCCATED HEr?EON AS R£OUIRED BY THE D+RECTOR OF r�1s3LIC WXiRK_7. ANII AT THE EXPENSE.OF TME.PE�ZML=E UNLESS aEjz&eL;Ftg£MENT IS AUTHGR—=. C, ALL WORK SHALL ME= :TTY OF ATLANTIC BEACH gR FLC ICA DEPARTMENT OF TRANSPIRATION STANCARCS AND BE PERFORMED UNDER THE 1 '1`7 OF 'r TIL) I��N iCONTRAuR S P+7CJECT SUPERINTENCENT) LOCATE^ AT VCS - ITL TEL_--'CANE `4C. 4 ALL. mATERIALS ANC ECUIPMEDLT SA:O 9.£ SUS-'ECT L^, 1x5PE.C1Cct BAY THE DIRECTC.R OF PUB11C \HC81LS OR 1-415 DESIGNEE. c. Al , CITY PROPERT+! SHALL BE RESTCRs=TO TTS ORTGTNAL C^NOITTCN AS FAR AS PRACTICAL, IN KE=-Pr?q'G WITH CET`,' SPECIFICATIONS AND THE MA-0 4 P-5ATt'.?FACTORY TC THE CtTY. A SKETCH OR PLANS CCVERLbtt: n=AI c CLF ':'-'IS IN.S A—�: SHAD 3E MADE APART OF =1-SLS PE.Rb11T. j THIS PERMI TI EE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN DAYS FROM THE DAY CF SAID PERMIT APPROVAL AFC SHALL BEgip'•--'Tr-'Wrr"W DAYS. IF THE BEGINNTRG DATE IS MARE Tt+frM 50 DAYS FROM QAT� OF PE RMtT APPROv*L. Ti-r£M PE'!TMtTT« MUST R£`/*£W HE '�'�! ' WITH THE Cu cTOR GF PUBLIC WORKS T6 MAAE SkA4E NO CHANE,E4 HA"E OCCURRED IN THE AREA Ti p N64JLD AFFS= THE PSRMITTED CONSTRUCTION. 8. IT IS UNDERSTOOD AND AGREED THAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TC THE EXTENT OF THE C;r.'S RIGHT. TITLE AND INTEREST rN THE LAND TC BE ENTERED UPON AIVII USED Err-HE -OLDER. Af.0 THE HOLIER WILL. AT ALL 711-1 S. ASSUME ALL RISK ^,F ANC INCEMNIF'. ^E EEpQ eN0 ?AVE HARML-SS THE CITY OF ATLANTIC BEACH- FROM AND AC-44+4S:7 ANY AND ALL LOSS, DAMAG-E. AND COST OF EXPENSES ARISING IN ANY MA"bLER, OF THE EXERCISE OR A�LEMPTEJ EXERCISES BY THE HCLGER OF THE AFORESAID RIGHTS AND PRIVILEGES. g. THE DtRECTOR OF PUBLIC VVCTMS SHAT BE NOTIFIEQ TWENTY-FOUR (24) HOURS PRIOR TO STxRTrRG WORK AND AGAIN IMMEDIATEALY UPON COMPLETION. Z�,=") (PLACE CORPORATE SEAL IF APPt Lr-+Al -)SUBMITTED BY'SWORN TO AND SU SCRIBED BEFORE ME THISL aaurnrnFa"" "r� Bow TZ �s f, CITY OF ATLANTIC BEACH IS 800 SEMINOLE ROAD .f r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000272 Date 2/26/09 Property Address . . . . . . 2003 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5400 ---------------------------------------------------------------------------- Application desc reroof -------------------------------------------------------------------------- - Owner Contractor - ------------------------ ----------------------- KREUZ REESE' S ROOFING 2003 SEMINOLE ROAD 1324 CORMORANT COURT ATLANTIC BEACH FL 32233 ST. JOHNS FL 32259 (904) 772-7663 -------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 57 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5400 Expiration Date . . 8/25/09 -------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57 . 00 57 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 57 . 00 57 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- OFFICE:(904)247-5826 9_OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US r' =� BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF n21)4)3 SCAI IW616 ep 02• 64. FL. 32233 ��oD . o 6 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: ❑REPAIR ❑POOL/SPA ❑YES ❑N/A (\ 1❑MOVE ❑01 HER I❑NO PROPERTY OWNER: CONTRACTOR�• ARCHITECT/ENGINEER: /1 K 1�.`GO�P�ANY "+ ot `� Re 23.COMPANY NAME: 16...•�'�`N((A\ME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLOg,IDA LIC, SE NO.: 25.STATE OF FLORIDA LICENSE NO.: oo 3 SCI"IWOLF RD ` 18.ADDRESS: j() 26.ADDRESS: &TZ-- Z z 3 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: ** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,PowerygAttomey or Agency Letter Required) (Qualifier Only) J G "� . Signed: Da /a s Signed. lJ Date: Before me:his CAday of TU - ~ ,2009 in the county of Before me this :a- day of !--b t^k r`i 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/ erself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of County of , Notary Public at Large,State of L County of ��aPJ Personally Known Personally Known ❑Produced Identification- ❑Produced Identification- Notary Signature: Notary Signature: 4 Mot ',-NOTARY PUBLIC-STATE OF FLORIDA g I8mmy L. CaSau$ JEFFERYW.BLE050E COIDIri1551Cr#DUSO1Z93 2a MY COMMISSION#DO 43958 BLDG01 Permit Application Bldg:REVISED:12/1 /2 EVirES,' DEC. 21, 2009 -;: :o EXPIRES:July 18,2009 nded T7su Atlantic Bonding Co.,Inc. %E od °�' Bonded Thru NcWv Public Underwriters JUL-10-2000 04:39 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1 NOTICE OF COMMENCEMENT Tax Folio No. State of detp County of D.rv�� — To Whom It May Concern: The tmdetsigrlsd hereby informs you that unprovemcnts will be made to certain real property,and in accordance with Section 713 of the Florida Stittutes,the following information is stated in this NOTICE OF COMMENCENVIENT. Legal.Description of property being bMoved: 01 3zz�3 Address of property being improved: cc P- ocneral dcecriptYon of improvements: 3zL33 R kip�Uz Address: aaD3 .SfiY4�Fi 3t_ L Ownc[ � Owncr's interest in site of the improvement: I Fee Simplc'Titleholder(if Other than owner): j Copdractor�• � C���----' J Address: _ C ---r f Telephone NO.- Fax No: I ` Surety+(if any)— Amount of Bond$ Address: Zi Telepbone No: Fax No: Name and addtes4 of any person making a loan for tate construction of the improvements Name: Addt,rss: phone No: Fax No: ----- Name of person.within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be served: Name: Address:__ - Tcicphone No: Pax No: owner designates the following person to receive a copy of the Lienor's e Notice as provided in section In addition to himself, 713.06(2xb),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: _ Fax No: ration.date is one(1)year from the date of reunless a diffcrent date is Expiration d3uc of Notice of Commencement(the expicording specified); THIS SFACE FOR RECORDER'S USE ONLY OWNER 02 �s`16 -- -- 2— day of in the�:o V of Duval,State - Siam L oc v,40UW46961,OR BK 14792 ''ape 1417. Before.. is — (' Number Pages: I Of Florida,has personally"pP�ed—nr o D al Recorded trz2a:2.W9 at 11:04 AM. Notary,public at Lxgc,Stxte of Flo da SIM FUULFR CLERK CIRCUIT COURT OUVAI, Myr g,ion cxpiras: or COUNTY l+crsvnally Known: _VF a Q RECORDING E10.00 produced ldcntiFcauou: .Sl71TnV L. ascus �Commisstm A DD501293 Expires: DEC. 21, 2Q09 13eod •!*%Adlantia Bonding Ge.,Inc.