2135,2137,2139 Seminole Rd (vault) r�TTY OF 7'YTlAfiTTC BEACH
APPLICATTON FOR WATER CUT-TN
-ICATION IS, HEREBY lt'�MDE
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DATE 114STALLED
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CITY OF
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Office of Buildino;!i ial,
REQUEST FOR INSPE z
Date Permit No.
Time
Received
Job-Address tLo ality
Owner's
Name M�� - Contractor
BUILDING CONC E ELECTRICAL PLUMBING MECHANICAL
Framing El Footi El Rough Wiring E Rough 0 Air Cond. &
Re Roofing El Slab E I Temp Pole D Top Out C Heating
Insulation 1:1 Lintel I-K Final El Sewer E Fire Place, D
Mon. READY FOR INSPECTION Pre Fab
es.
Tu Wed. Thurs. Friday_pM.
A.M.
Inspection ade PM.
Inspector Final Inspection Li
C? Certificate of Occupancy 0
5k Date
CITY OF
(5 - -(,o�33
131113=4 &;&U-4:& Z)8
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No. :�7L,5 6
Time A.M.
Received
RM.
I'ty
c-, .2 J dl�
oc
b Ad ess
Owner's JoLZ;. Locality
)w
Name Contractor
BUILDING CONCRETE ELECTRICAL LLUMBING MECHANICAL
Framing 0
Footing 1-1 Rough Wiring Ej Rough 7- Air Cond. & E,
Re Roofing 11 Slab El Temp Pole 0 Top Out El Heating
Insulation E, Lintel 17 Final 11 Sewer 11 Fire Place
READY FOR INSPECTION Pre Fab
Tues. Wed. Thurs. Friday A.M.
A.M.
Inspection Made -RM.
Inspector— Final Inspection El
Certificate of Occupancy E-j
-P Date
—/nr (���&,6
3669
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
-------- LOCATION INFORMATION
PLRM ! 1 I
.k NFORMATION ---- Address: 2137 SEMINOLE ROAD
permit Number: 3669 ATLANTIC BEACH, FLORIDA 3223-�
permit Type; MECHANICAL ---------- LEGAL DESCRIPTION
Class of Work: REPAIR Lot : Block: Section;
Constr. Type: WOOD FRAME Township: RNG: 0
proposed Use: SINGLE FAMILY Subdivision:
Dwellings : I Code: 0
Estimated Value; $0. 00
Improv. Cost : $0. 00
Total Fees: $23. 00
Amount Paid : $23. 00,
Date Paid; 4/19/91
ACE CONDENSEI-
OWNER INFORMATION APPLICATION FEES
I
PERMIT $23. 00
F �TTY M AR TN
Name: BETTY MARINI
Address: 2137 SEMINOLE ROAD WATER IMPACT FEE $0. 00
ATLAN'ric BEACH, FLORIDA 3�_- 3 SEWER IMPACT FEE $0. 00
Phone: (904)'721-1142 WATER METER $0. 00
RADON GAS-H. R. S. $0. Oo
--- CONTRACTOR INFORMATION -- --- -- RADON GAS - 5% $0. 00
Name: ROGERS AIR CONDITIONING WATER TAP $0. 00
Address : 20 HAWORTH AVENUE SEWER TAP $0. 00
JACKSONVILLE, FLORIDA 32216 HYDRAULIC SHARE $0. 00
License: RA0014925 Type: 3 RE-INSPECT FEE 90. 00
SEC. H IMPACT FEE $0. 00
OTHER $0. 00
N OTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
[BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-95
B D N G:M:AE:R I A RLL
UIL I T
C L:EA R:ED U P A N D:HL U T I
9
S_
[VIOLISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATICI,� FOR
ISSU CCO TC
TIO PPL
ATION OF APPL11,CABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
SW SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION: :
�P—ermit Number: 18099 Address: 2137 SEMINOLE ROAD
Pen-nit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 4/19/1999 Name: WILLIAMS, SUSAN
Total Fees: 51.00 Address: 2137 SEMINOLE ROAD
Amount Paid: 51.00 ATLANTIC BEACH, FL 32233
Date Paid: 4/19/1999 Phone: (904)264-9411
Work Desc: REPLACE CONDENS�EIRS—AND AIR HANDLERS N
M-CT
AP FEES
AIR C,ONDITIONING BY ROBERT DEVRI PERMIT 00
FINAL
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$51.00 14
Date: 4/22/99 K Receipt: 0051633
CHECKS 1276
'ATLANTIC BEACH BUILDIW3`�EPT. 08100903221000
S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 09-00000764 Date 6/02/09
Property Address . . . . . . 2137 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
repace meter can ------------------------------
---------------------------------------------
Owner Contractor
------------------------
------------------------ ALL SERVICE ELECTRIC GROUP INC
MARINI, BETTY 1556 WHITLOCK AVENUE
2137 SEMINOLE ROAD FL 32211
ATLANTIC BEACH FL 32233 JACKSONVILLE
(904) 744-5050
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . - 70 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 11/29/09 ----------------------
-----------------------------------------------------
Fee summary Charged Paid Credited Due---
----------------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jun 02 2009 10: 47AM ALL SERVICE ELECTRIC GROU 9047450400 p. 4
jlk jk %_1 A^A A-J A A-k I A A C3k
ELECTRICAL PERMIT APPLICATION
-W011,
D ate: Co
Property Address: 2137 j rc,n 410
TeMphone-ft;
Owner;
L� Telephone#.
Contractor.
Fax#:
.A
Contractor ,AX-ress'.
In consideration permit gwaa doing.�the work as described in the above stacmerit, we hereby agree to perform said work in
e=ordance with the a=hcd plais and spc4ficatiom which am a part hereof and in accordance with the City of Arlantic Beach
ordinance and standards of good practice listed therein. If atbcr I conswiction is
BlAilding: DuildiugType: C3 Trailer Service: being done oa thij building
a New - Residence, 0 Tcmp� Q New or site,Ust the buUding
old Cornmerci:al C3 Signs 0 Increase Formit aumbcr-.
C3 Re-wire ca Addition Sq.Ft Repair
–�Wctor Size: AWS: COPP ALLRAMqUM
RACE
Switch or W
VOLT WAY
Breaker AMPS PH W
RACE
Existing Service W W
VOLT WAY
W
Size AMPS PH
Feeders: NO. SIZE NO SIZE NO sin
Lighting Outlets
CONCEALED OPEN
Receptacles CONCEALED OPEN
n 3n AMPS 17 1 Oft AMPS
Switches
ln=ndescent
FIUDreSCWt &
Fixed 0.100 AMPS OVER B LL
TRANSFER.
CEILING —fW--BEAT
Air ILP.RATING H.P.RATING HE AT
Conditioning COW.MOTOR OTHER MOTORS AWS
Motors VOLTAGE pH NO. OVE 1 HoP.o PHS
QYFMoov
KVA
Transformers NO. KVA- IN 0.
No.Neort Transf.
Ea. Sign
Miscellaneous
800 Seminole�ozd Aflantic Beach,FlorJda 32233-5445
Phoce: (904)247-5800 F:ax: (904)247-5845 http.,I/www,ei,ottlantic-be&CILII.us
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CITY OF �0
4&4494.0 BewA-&V&u'da
Office of Building Official
REOUEST FOR INSPECTION -2 0
Date Permit N,�3
Time A.M.
Received RM.
Job Address Locality
Owner's
Name Contractor
CONCRETE 4:E�LIECT�Rl LMEQ�HANICA
Framing El Footing El Rough Wiring 1:1 El Air Cond. & 0
Re Roofing E Slab 1:1 Temp Pole P Top Out E Heating
Insulation 1-1 Lintel El Final El Sewer C1 Fire Place C3
Pre Fab
READY FOR INSPECTION
Adik
Mon. (�TEues). Wed. Thurs. Friday --4:P:MD
A.M.
Inspection Made RM.
Inspector- Final Inspecti
Certificate of 7?(upancy El
Date
CITY OF
4&4"& Be4c,4 q;&U-ag,
Office of Building Official
REQUEST FOR INSPECTION
Date _0 0
Time Permit No.
Rleceived A.M.
PM.
Job Address
Owner's ocality
Name Contractor
xz I "I —
CONCRETE ELECTRICAL PWMBING MECHANICAL
Fa in Footing F-- Rough Wiring 1--i Rough
r m�
Re R fing Ro Slab El Air Cond. &
Insulation Lintel Temp Pole El Top Out El Heating
r.7., Final 0 Sewer 11 Fire Place
R ADY FOR INSPECTION Pre Fab
0 40 Al)
g
Wed. A.M.
Friday.— .
Inspection Ma
Inspector_I 17 —RM.
Final Inspection Ej
Certificate Of Occupancy F—,
Date
CITY OF
4&4od4c Beal:A-
fflici I
Office of Building !
Date f REQUEST FOR INSPECTION IF ;Z60er/
Time A Permit No.
Received
-213
Job Address
c
Name Contractor
BUILDING
X C N RETE ECTRICA PLUMBING MECHANICAL
R.Ring. Footi 9 1:1 Rou h ,,
oofing Rough El Air Cond. &
Slab Temp Pole Top Out
Insulation E Lintel El Heating
Final Sewer 1-1 Fire Place
RE Pre Fab
,P*-F"PECTION
Mon. Tues. �d Thurs. Friday----(nPm..
nspectioW.—d-.-\ A.M.
nspector Final Inspection E
Certificate Of Occupancy 0
Date
RECEIVED
FEB 17 2000
FWVkTv3') 00 , � City of Atlantic Beach
CITY OF ATLANTIC BEACH Building and Zoning
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS
govTNG, DEMOLITIONS
Owner(s) : eo-l-CAtel 1�' I/V)U/7z--
Job Address: f2/3�' '�� fi C9- Phone: 2 �/ 2,6 d-
Lot # Block or Unit # Subdivision:
Contractor: Urw�eo 6Z2,c�_Q State c e n s e #
'Address: (0q Fb�.-�-bA —Phone No: (IF0 249- 975'��-
city�JSYT----Q- K� —State �7_� Zip Code_31:1(0(-,'
Describe work to be done: fjn�,Te-,z.5 do<_LlnA,�s Fa7� -5U(U 'b&CC_
Present use of building: (2_�S ( bE'?UT7A-L_
Valuation of Proposed Construction: 5`7 1-1
Proposed use: _V>E-C�c— A � C4 C'U--Lrjy
Is this an addition? If yes, what are the dimensions of the added
space: 72 :7 ft. X ft. Will the added area be heated and
cooled? A1_0 New electrical (or increase) ? A/b
New plumbing fixtures? AA��, New fireplace? AoIDNew Heat/AC?—A/V
SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND
OWNERICONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: Date: 2 — / &� o6
Date:
Signature CONTRACTOR:
AS TO �%NNA LISA HUGHES
Notary Public.State of Florida
Sworn to an SUJ� 18 200
F_St0%9V)8%flV his day, of 2000.
1.0.#214494
Bonded thrut Service uraic.Company, no.
02 ins
4TAARt PUBLIC
AS TO CONTRACTOR:
Sworn to and subscribed before me this to,-,-\day o f 2000.
INNA USA HUGHES
Notary Public,State of Florida
My comm.expires May 18.2003 N'Ot2�AY PUBLIC
Comm.No.CC838187
I.D.9214494
Bonded thru Service lnziurjnc��Company,Inc.
T:39UJ :oj WUBV:TT nHi 666T-�-T-Nllf
0
1257 CLAY ST.
GREEN COVE SPRINGSF FL 32043
OFFICE 904-264-9411 FAX 904-278-5028
DATE6/17/99
TO: DONN FORD
FROM: FORMALLY AIR CONDITIONING BY ROBI�RTS
DEVRI
WE HAVE MADE SEVERAL ATTIEMPTS TO HELP
MRS, SUSAN WILLIAM MAKE AN FINAL INSPECTION
APPOINTMENT. SHE SAYS HER WORK SCHEDULE IS 8-5
AND THAT PREVENTS FROM BEING ABLE TO MAKE A
APPOINTMENT. HER PERMIT NUMBER IS 18099 ADDRESS
IS 2137 SEMINOLE RD. PHONE NUMBER 2702190.
PLEASE LET US KNOW IF ANY SPECIAL ARRAIGNMENTS
CAN BE MADE.
THANKS,
VAMILY AIR
(christina)
TO 3DVd ONT aIV AINVA L9T8GZ9VOG gv:cz GGGT/9T/90
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
8W SEMINOLE ROAD-ATLANTIC BEACH,FL 3=-TEL: 247-5826-FAX: 247-5877
PERMIT4NFORMATION LOCATtON INFO
Permit Number: 18099 Address: 2137 SE.MINOLE ROAD
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost:
OWNER INFORMATION
Date Issued: 4/19/1999
UaM4� ILLIAMS, SUSAN
Total Fees: 51.00 Address: 2137 SEMINOLE ROAD
Amount Paid: 51.00 ATLANTIC BEACH, FL 32233
Date Paid: 4/19/1999 Phone: (904)264-9411
Work Desc: REPLACE CONDENStERS—AND A114 HANDLERS
CONTRACTORS ......
APM':
-kl-R—CO ND ITIOWNING BY—ROBERT DEVRI PERMIT 51.00
FINAL
NOTICE- INSPECTIONS MUST-BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR
"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.
ATLANTIC BEACH B�UILDIN�FRT.
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT --CALL-IN NUMBER
IMPORTANT — Applicant to COTPlete all ifems in sedions 1. 11, 111, and IV,
LOCATION Street 3? �mt&j,
OF Intersecting Streefi: Between 15 n
—j— ML e&JI AA And
BUILDING f
11. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doinq the work as described in the above statement we hereby aqree to perlorm said work in accordance
with the affachpd plans and specifications which ace a part hereof and in accordance w;fk the City of Jacksonville ordinances and standards
Of good practice listed therein.
Nom* of Mechanical Contractors
Contractor (Fri nt Or, Master
Name of
Property Owner
SigmeNre of Owner Signature of
or Aufhor;ved Agent Architect or Engineer
111. GENERAL INFORS6TION
A. Type of hoofing fuel: E3. IS OTHER CONSTRUCTION BEING DONE ON
THIS BUILDING OR SITE?
11 G a I LP Natural Control Utility
IF YES, GIVE NUMBER OF CONSTRUCTfON
Oil PERMIT
Other specify
IV. MICMAM?CAL EQUIPMENT TO If INSTALLFO NATURE OF WORK
(Provide complefe,list of romponomh om bock of this forml 141----Resldentlal
JR'- Heat [I Space [:) Recessed W—Control 11 Flo4w U New Building
ff—Air Conditioning! 0 Room 9-Central L4C<-Fxlstlng Bull -n'j&
0 Duct, System: Mstor;ol Thickness— W—ReplacerneW ' I
IJ New Installs
Maximum capacity Co��k te-vr ie% balcK
Refrigeration [I Extension ci Lt)AAfA A
U Other — Sp d'WW-
C] Cooling tower: Capacity 9-p-m- Kc-
• Fire sprinklers: Number of head
• Elevator [I Monlilf - 0 bcalato (Mut"60ri THIS SPACE FOR OFFICE US* ONLY
C] Gasoline pumps —Inumborl I
Tanks (numberl Remarks
MINUTES
PACE TWO
JANUARY 22, 1979 Y
FNc 10 n,
City Manager's Report
After verbally giving the City Manager's Report, Mr. Davis added thati
the Ocean Village One case was now settled. The following checks
were issued on 1122179 in accordance with a court order signed by
Judge Susan Black: Milam & Wilbur, $1,112.60; Frederick Berents, Inc. ,
S640.33, and Hertz Rotenstein, $1,188.54.
dew Business
A. Request for Watet Service - 2135, 2137 and 2139 Seminole Road
Mayor Howell stated that Browart Builders, Inc. , had submitted a
request for water service for a three-unit townhouse located at 2.135, ;
2137, and 2139 Seminole Road. The Mayor reminded the Commission the
location if outside the City limits and requires Commission action,
but the request was for water only and not sewer.
Ir-ns(-n X.
otion: Approve cut-ins for 2135, ,2137, and 2 39 Mhoon
-ich Min I on
otion., A n, 2 2 7 and 2 __5 9
_00 each
'3 -�20
-1 ional
d t
ppro vp c t fo an bL
Seminole Road. An additional $20.00 a
fee 4j-) 1) rg Van Iless X X ;
0
j e
_ap- n P cha d
tap-in t, charged and to be
d epo s i e 14 the Poo I cash flowe I I
epos-i ted Ji n the pool cash fund.
Al Al A,
Acti n on Ordinances 79-140-1
AN ORDINANCI AW-11DINC Ali 'IP/ f x[r OF THE ATI-AN111' [IrACH PITY
'CIJAPTEP 57-1126, 1AWS 0/ F111RIDA) 11FTH13 [AIII/J11,
PPOIIr)[1113 AN [ frICI-1111 1-1/11/ .
Said Ordinance was prrspn Led in rij.11, in writing, and r(�ad on 1,hird
and final reading by Mayor Howell. Said Ordinance was posted in lint,
with Charter requirpments. Mayor Howell opened the merLing I-or a
Public Hearing. As no one spoke for or against, the Mayor closod _Jrnsen x
the Public Hearing. Mhoon X1
Minton X1
Motion: Said Ordinance No. 79-40-1 be passed on Van Ness x x
third and final reading. Howell
Miscellaneous Business
The chair recognized the Chief of Police. Chief Stucki advised the
January 19, 1979, a citation was I
Commission that on' Friday night,
issued to a business located at 1233 Maypart Road that was operating
After observation of the
pool tables without the proper City license.
business called Holloway's Record Bar, Stereo, and Boutique, the
, Chief requested a clarification to determine if Mr. Holloway was
license. At this time,
operating two different businesses with one
the City P-1torney asked Mr. Holloway to list items sold in his
establishment and the latter replied that he sold merchandise and
CT
fTy OF ATLiANTIC BEA -!
TIATER CONNECTION CHARGE
DATE-L7 2 1
LOCATION
OFPNER__F
PLUMBING FIW!i
MIASTER PLUMBER 4,.
B LTIIDER OR CONTRACTOR
TYPE OF BUILD11IG /f
��-4THROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC
WATER CLOSET, LAVATORY & BATHTUB
+-'�l
OR SHOWER STALL (6 units, —SHOWERS GROUP PER HEAD 3uni-
BATHTUB (wITH OR WITHOUT OVER SURGEONS SINK (3 units)
HEAD SHOWER) (2 units) FLUSHING RIM Sr$ _ units)
Q*
BIDET (3 units) SERVICE SINKTRAP STAND 3un4!4
COMBINATION SINK AND TRAY (3 units)
POT, SCALLERY SINK (4 units,'
COMBINATION SINK & TRAY W/FOOD DIS- UN314AL, PEDESTAL, SYPHON jEl
(4 units)
DENTAL UNIT OR CUSPIDOR (3. unit) BLOWOUT (8 units)
DENTAL LAVATORy (I unit) URINAL, WALL LIP (4 units)
DRINKING FOUNTAIN (]� unit) WASHOUT 4 unii
aDISHWASHER (2 units) URINAL TROUGH EACH ?-Ft.SEr'-1
2 units
FLOOR DRAINS (I unit)
10ASHTNG MACHINE RES. (3unit-.
-3—KITCHEN SINK. �(2 units) vAASH SINK, EACH SET OF PAU;Cl
X.!ITCHEN S=K W/FOOD 1%7ASTC- GRIEDER
(2units)
(3 units) 3VATER CLOSETS, TANK OP. 4unj
LAVATORY (1 unit)
WATER CLOSETS,, vAL-'ijE OP.Suni
j,V,7ArroRy, &74RBER, BEAUTY PARLOR
(2 units) LAU%DRZ TRAY (2 V-Pit9l,
.I--% r
1.1,%VATORV, ST oyoNS (2 un i%--�jr
�n f7A6,
PSR 3844 13
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION
Permit Number : 13828 Address : 213g SEMINOLE ROAD
Permit Type: RE-ROOF ATLANTIC BEACH . FLORIDA 3221_�_
-*lass of Work:ROOF - ------_- LEGAL DESCRIPTION
Block: Lot : Twp- :
Constr . Type:WOOD FRAME
Provosed Use: Section: 0 Subd:O Rna :
Dwellings : 1 Subdivision:
Est . Value: 0 .00
Improv . Cost : 3 , 600 - 00
Total F,;�: ' 25 .00
11- -i- P-
_:,TIRE .-JILDINC. -2139 SEMINOLE .
OWNEF iNFORMATION --------- ------- - APPLICAT10N FEES
Name � )F�&9LT PERMIT
jk*_kt)bkk PETER CORBIN
Addr � -If,13S SEM110LE ,ROAD
'.TLANTIC BEACH . FLORIDA 322 �1
Phone: ( 9,914 ��721-1142
�".,ATRACTCDF !NFORMATION
Name: MONAHAN ROOFING
Addr 470 SALTBUSH COURT
I T
JACK5ONV �LE FL 32225
j ,7 0 4 73 4 9 Exv):
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
T T 0 BUILDING IMPROVEMENTS.
HE PROPERTY OWNER PAYING TWICE FOR
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
� -L1 14
VIOLATION OF APPLICABLE PROVISIONS OF LAW. S�7 RAppiptv 225pho
CASH
ATLA:NTIC BE:ACH B:UILDI:NG DEPARTM I ENT
By:
E
CITY OF ALANTIC BEACH
ROOFING PERMIT APPLICATION
Owner(s) : f'e cc-,i- b I '--'
Address: *, 21-2S 2- Phone: acl -)- 0 5-2-
Lot # Block or Unit # Subdivision:
Contractor: tzcc-' rf" �'
Address : 201(l /C 0"/n �4 C (' r _SC) cA -IF k--�
City, State and Zip 09 e'02 gfc- c Phone 2 2- 12
State License # C Lq -? '3 Ll C,
Describe work to be performed: h,'r,
Valuation of Proposed Construction: C'C)C)
Materials to be used:
Signature of Owner;
Signature of Contractor:
Liability Insurance Supplied
Workers Compensation Insurance Supplied
License Information
SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030558 Date 6/14/05
Property Address . . . . . . 2137 SEMINOLE RD
Tenant nbr, name . . . . . . INSTALL CU
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
ROBERTS, CATHERINE COMFORT AIR TECH INC
7 SEMINOLE ROAD It PO BOX 65665
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065
(904) 699-7139
----------------------------------------------------------------------------
Permit MECHANICAL PERMIT
Additional desc . -
Permit Fee . . . . 51 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 51 . 00 51 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 51 . 00 51 . 00 . 00 . 00
PERNUT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
C DE
0 1A
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
V
MECHANICAL PERMIT APPLICATION
Date:
Property Address: 6;? 3 �el
Owner: (1,4 7'�rpllk— Telephone
Contractor: Telephone#:
Contractor Address: �-/-? 1-154,4,j Fax#:
Contractor Signature:
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 tW City of Atlantic Beach ordinances and standards of
good practice listed therein.
Type of Heating Fuel: If other,construction is being done on this building
b/Electric or site,list the building permit number:
L3 Gas: —LP —Natural —Central Utility
0 Oil
LJ Other—Specify
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
0 Heat Space _Recessed Central —Floor 61'Residential
El Air Conditioning: _Room Central
U Duct System: Material Thickness El Commercial
Ll Refrigeration Maximum capacity________�cfin ew Building
Ll Cooling Tower: Capacity C: Existing Building
L3 Fire Sprinklers:Number of Heads
Q Elevator: Manlift Escalator�__(Number) er"',Replacement of Existing System
Ll Gasoline ;�M�s _(Number) El New Installation
L3 Tanks _(Number) (No system previously installed)
0 LPG Containers _(Number)
E3 Unfired Pressure Vessel 13 Extension or Add-on to Existing System
u Boilers
Ll Gas Piping U Other-Specify—
El Other-Specify
LIST ALL EQUIPMENT
AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving
Number Units Description Model# Manufacturer Ton's Agency
4,t", 1112
HEATING-FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving
Number Units Description Model# Manufacturer BTU's Agency
TANKS Nominal Capacity Type Liquid Serial Approving
I low Many &Dimensions —Contained Manufacturer NO. Agency
800 Seminole Road 0 Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800* Fax: (904)247-5845 e htti)://www.ci.atiantic-beach.fl.us Revised 1/04
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address 9 / 3
t7 /AJ 0 L-
Date 0 CD
Heated Sauare Footage -,K) @ $
_per scT It =
Garage/Shed @ $_per sq ft = S
Carport/Porch @- S_per sq ft = $
Deck 1@ $— - per sa ft = $
Patio —@ $_per sa ft = 8 6
TOTAL VALUATION: 5 ?2 A ��D-6
00 /S-,o CD $
T o.'�.a
-Netion 1st
$�/
/&0
Remaining Value $57. per thousand
or portion thereof
TOTAL BUILDING FEE $ 7S--
+ 1/2- Filing Fee $
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT 8
SEWER TAP S
) 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 '
CITY OF ATLANTIC' BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19$2
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: MAlffERqLE(rf RICIAN SIGNATURE JOURNEYMAN
NAME— ADDRESS:_Z_a_;a—IE�-��- - RFD—BOX
BLDG.SIZE BETWEEN:
RES APT. ( comm. ( PUBLIC INDUS. NEW ( OLD ( REW.
ADDITION TRAILER ( TEMP. ( SIGNS SQ. FT.
SERVICE: NEW ( INCREASE ( REPAIR FEE
CONDUCTOR SIZE - AMPS COPPER ALUMJ )
SWITCH OR BREAKER AMPS PH w VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY-
NO
FEEDERS NO. SIZE E. SIZE NO. SIZE
co
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES :E!
INCANDESCENT
FLUORESCENT&M.V.
F IXED 0-t00 AMPS. OVER
APPLIANCES LL TRANSF.
AIR H.P. RATIN�!G H.P. RATING
0 0
CONDITIONING COMP.MOTOTROfHER MOTORS AMPS CEILHEAT: KW-HEAT
0-1 OVER
MOTORS VOLTAGE PHS No. I H.P. VOLTAGE PHS
MISCELLANEOUS
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATIOWINFORMATION
Permit Number: 19669 Address: 2135 SEMINOLE ROAD
Permit Type: ROOM ADDITION ATLANTIC BEACH, FL 32233
Class of Work: ADDITION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 32,500.00 OWNER INFORMATION-
Date Issued: 3/06/2000 Name: MIUNZ, MICHAEL R.
Total Fees: 262.50 Address: 2135 SEMINOLE ROAD
Amount Paid: 262.50 ATLANTIC BEACH, FL 32233
Date Paid: 3/06/2000
Phone: (000)000-0000
Work_besc�iSEIN 3 DECKS, STAIRCASE NEW FRONT ENTRANCE AND NEW DECK
- C -F
5�7 -
CONTRA �WPP III ATTQN� EES-
MAHON, HAROLD PERMIT 262.50
J. 1hsP66flons
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 PROVISIGNS OF LAW.
1262.50 14
Date: 3/20/00 01 Receipt: 0043249
CHECKS 1031
ATLANTIC BEACH OUILDING DEPT. @8108803221000
1W CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
CATION INFORMATION
Z7. -PERMtT. INFORMATION
Address: 2135 S MINOLE ROAD
Permit Number: 19668
Permit Type: FOUNDATION ONLY ATLANTIC BEACH, FL 32233
Class of Work: ADDITION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
OWNE -777
Improv. Cost: 5,570,00 R INFORMATION-
Date Issued: 3/06/2000 Name: UNZ, MICHAEL R.
Total Fees: 60.00 Address: 2135 SEMINOLE ROAD
Amount Paid: 60.00 ATLANTIC BEACH, FL 32233
Date Paid: 3/06/2000 Phone: (000)000-0000
Work Desc: FOOTER-S&—COLUMNS F'OR SUN D K, FOOTINGS FOR STAIRWELLU
APPLIICATION�FEES
CON 211;L��,C;10 .
60.00
-b—omENICOCONTRACTORS PERMI I
keiqtfirecl�
SLAB
FOOTING
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 I CONTRACT-OR 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.
C— Date: 3/@6/9@ @1 Rece,pt!fil-N 14
CHECKS . 0839436
ATLANTIC BEACH 3UILDING DEPT. 577
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877
ELECTRICAL PERMIT
-!EPA'
Permit Number: 20081 Address: 2135 SEMINOLE ROAD
Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost:
ffllz�
Date Issued: 5/1612000 Name: MUNZ, MICHAEL R.
Total Fees: 25.00 0
Address: -2135 SEMINOLE ROAD
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 5/16/2000 *00",
.�L Phone: (000)000-0000
Work De-sc—: WIRE FOR REMODEL____!'__�_
BARKOS IE ELECTRIC�SE -ICE "77' PERMtT
25.00
'L ,
A
4 '
�j
Z
ROUGH ELECTRIGr kN 71FINAL ELECTRIC
�,o
4'.
1.4
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.
Date: 5/17/08 01 Receipt: 0858134
CHECKS 9247
ATLANTIC BEACH UILDING T. 08IN8032218M
NTIC BEACH
CITY OF ATLA
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
r jilt
Application Number . . . . . 08-oo000912 Date 7/17/08
Property Address . . . . . . 2135 SEMINOLE RD
Application type description RESIDENTIAL OTHER
Property Zoning . r . . . . . TO BE UPDATED
Application valuation . . . . 15671 ----------------------
------------------------------------------------------
Application desc
replce windows/2 storm panels --------------
--------------------------------------------------------------
Owner Contractor
------------------------
AMERICAN WINDOW PRODUCTS
COURTNEY 2633 POWERS AVENUE
2135 SEMINOLE ROAD FL 32207
ATLANTIC BEACH FL 32233 JACKSONVILLE
(904) 731-2247
-- -------------------------------------------------------------------------
Permit ' * . . . . BUILDING PERMIT
Additional desc . - Plan Check Fee 55 . 00
Permit Fee . . . . 110 . 00 Valuation . . . . 15671
Issue Date . . . .
Expiration Date . . 1/13/09 ------------------------
-- -------------------------------------------------
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---
----- ----------- ---------- ---------- ---------- ---
Permit Fee Total 110 . 00 110 . 00 . 00 . 00
Plan Check Total 55 . 00 55 . 00 . 00 . 00
Grand Total 165 . 00 165 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
C"OF ATLANTIC BEACH'-32233 07-
900 SEWNOLE ROAD.,ATt_ANtC BEACH,F
OFFIC :(904)247-5a26 0 FAX NC.:(9D4)247-5846
BUiLDING-DEPT@C:OAB.US DUVAL COUNTY
BUILDING PERMIT APPLICATION
7- F WOR<,��� - .SQ.FT.UNDER ROOF
1.JOB ADORE&S, 7-V
USE OF STRUCTURE:
4.-EGAL DESCRIPTION: S.CLASS OF WORK:
El NPIV BUILDING M DEMOL
IN-ASIO N 0,
LOT j—BLOC K_SUB CS 2��PITION 0 CONVERTING USE 0 CoMmER-CIAL
Q_,
7.DESCRIP7104 OF WORK; QIAL71ERATION 0 ACCESSORY BLDG. 8.FIRE SPRINKLER:
C] 0 POOL J SPA 0 YES 3 N:A
D REPAIR
T�17 M ).,�
117 /Mp. 44, tul/Rjou)5. '2 ��P,)P-M L 0 MOVE D 07HER 0 No
I CON7RACTOR. ARICHI R:
9 NAME: 15,COIIPA14Y NAME: 23,COMPANY NAME:
-16,NAIIE: M"'ILZRW*1�"14DOW 24.LICENSEE NAME:
PRODUCTS,INC.
25.STATE OF F-ORICA LICENSE'40
17.STATE OF FM31POV&PRIS AVE.
10.AJDDRESS�
-,2 1?>i- 5 cm o
18.ADDRESS 25,ADDRESS:
C
IFHONE�__j�_j 2�.FA�X
112-FAX NO OFFICE 27.OFFICE PHONEi 28.FAX NO.:
11.OF F2 PHCNE:
7,9—CELL PTOt'r,
'3.CELL PHONE: 21,CELL PHONE:
14.EMAIL ADDRESS: 22-EMAIL ADORE S: 30.EMAIL ADDRESS:
FEE SIMPLE TrrLE HOLDERi BONDING COMPANY:. M�QRTGAGE LEND ER.
31.N-VAE: (IF:OTHFIR THAN OWNER) 33.NAME: 35.NAME'
32,ADDRESS 3-.ADDRESS: 36,ADD S:
Application is hereby made to obtain a pen-nit to do the work and Installations as Indicated. I certify that no vocTk 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) montfts at any time, after work Is commenced. I understand that separate permits must be secured far
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
aws 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.
CQNTKACTOR
OWN ER or AGENTIii.,
If AgenL rofAmorneyor)fk��Lettw.Re4�uired)
A-
�t —. 1-1 Date:
Signed- Date: Signed: — 11�111 . - —
his I
- t �-1�
I " \1� 20(6 Ln(h Before rne this 125 day of 20rbin the oounty of
Be re me his day of 0 county of
'sZ ;r;r.
D u ,Sat a t o f TF 110 6 d a,tas personally ape-red Ouval,State of Florida,has personailyapp red
herin by himself I Inerself and affirms that an statements declarations are hefin by himself i herself and affirms that an statements and dectaratk"s are
true and accurate. true and accurate.
e,
Pub�c at Large,State ounty N t public at Larg State of County of
Not v4" r-Al
0'.",wy Krc,&n
Personally Knowi 0 ProduGed IdentIfIcation- /1
0 Pro&jzed dentificadon-
Notary Sigriature: Notary Signature:
BETTY FELDER
""y P" 'JLIN
My COMMISSION#DD 702756 RMV CE
EXPIRES:December 7,Mtl
Bonded Thru BUV qo*giri�'
COARFORNiBLDG41: EVISED:anr"T
S
REQUIREMENTS AND CONDITIONS.
FILE co P y
REVIEWED BY-al
Z-d %5LUttjSA1-, ULUUWJOIUI
Floilda Puilding Code Online Page I of'
BCIS Home Log In Hot Topics Submit Surcharge Stats;&Facts Publications FBC Staff BCIS Site Map Links Searc
Product Approval
USER: Public User
Product Approval Menu > Product or Application Search >Application List > Application Detail
FL # FL7286
Application Type New
Code Version 2004
Application Status Approved
C mments
Archived
.immm Product Manufacturer Gorell Enterprises Inc.
Address/Phone/Email 1380 Wayne Ave.
Indiana, PA 15701
(724) 465-1839
rgibson@gorell.com
Authorized Signature Richard Gibson
rgibson@gorell.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Double Hung
Compliance Method Certification Mark or Listing
Certification Agency Keystone Certifications, Inc.
Referenced Standard and Year (of Standard Yea
Standard) 1609.1 2004
1714.5 2004
AAMA/WDMA/CSA 101/IS2/A440 2005
ASTM 1886/1996 2004
Equivalence of Product Standards
http://www.floridabuilding.org/pr/pr�_app_dtl.aspx?param=wGEVXQwtDqtvbXzQ3NrFw3wSeqQtbzzQ4lc2i... 2/2/2007
Florida B,,iilding Code Online Page 2 of 2
Certified By
Product Approval Method Method 1 Option A
Date Submitted 08/03/2006
Date Validated 08/03/2006
Date Pending FBC Approval 08/03/2006
Date Approved 08/22/2006
Sum iary of Products
JFL # JF4o77del, Number or Name __J[Description
LE7E7286.1 IFG-9305 IMPACT ���G5305 IMPACT DOUBLE HUNG
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL7286—RO—C_CAC_G5305 AAMA 52 x 72
i m it Of U e
A roved fo
G
5 31
u se i in H,
S e 0 uts
s : t S
r
Approved for use outside HVHZ: Yes CAR.pdf
p p
Impact Resistant: Yes FL7286—RO—C—CAC—G5305 impact C 52 x 72
Design Pressure: +50 /-50 CAR.pdf
Other: DP 50 NO SHUTTERS REQUIRED MISSILE ristallation Instructions
LEVEL C WIND ZONE 2 @ 52X72 FL7286—RO—II—5305 Fastening wood stops.PDF
Verified By: Keystone Certifications, Inc.
Back Next
DCA Administration
Department of Community Affairs
Florida Building Code Online
Codes and Standards
2555 Shumard Oak Boulevard
Tallahassee, Florlda 32399-2100
(850)487-1824, Suncom 277-1824, Fax(850) 414-8436
Q 2000-2005 The State of Florida. All rights reserved. Copyright and Disclaimer
Product Approval Accepts:
,ttp://www.floridabuilding.org/pr/pr—app_dtl.aspx?param=wGEVXQwtDqtvbXzQ3NrFw3wSeqQtbzzQ4lc2i... 2/2/2007
n,"r and Te-st.m.-Onc. --A-W-1 k' 'O.
Project No. T133-06
Report Date: 4/13/06
No..Pages: S�iucluslve)+Appendix
V N A E
RI WM -NO -T ST REP T
tr
-LARC
A9TM;F'199-6 E I U& 3R�gM
Gm, L`L MODR. W 05�
V
Irv.
BS
-�d�VN M. RKWI
MCA,- &Rk 1-1101,
Ftepare&b�y-
-�ftW'Q. Thm uw-- Fambaugh, Pk'
WWI-
aln
j4l
g
401,W d" .0 ty IC6
iasport, PA 15135
(4t2):7k4bM ,-; A. 4412) 751-4003
Project No. T 13 3-06 Page 2
PERFORMANCE TEST REPORT
Manufacturer: . Gorell-Enterprises,Inc,
1380 Wayne Ave.
lndiiana� PA 15701
Product Type: -Double Hung Window
Serio",odei#- G5305
—10
est.
. -.. .. . I,,
T riged of
On-aver --Maaor� la �.5
whidow"with -T. :vn
bi*
ad"
popes
4SOU 'VOW
-s"'. d 49- --N- w'
bip4d;u 'Palwom., �4- wwx
-sweep-looks were
Bia -had t0d.'*� nsUkilf bice.bal&w
t ffiia tiV s4s eeti
.0. A -IM -
h m, ng
a*ator.WV iqw,�dk kih- -0
t.,--t-UtChNift"th f.die.top rail and
NO AIWOOO one st=*,*��.-T sftVed).pivot bar was
4!-6� Cittoka-hooft
-V top and bottom sash.
fastenad---�d* .kt6i' wi d* -b
ift'r&valb I AWbottann sh1ift rail
Each sa�;haA h
.0y, ihe 6p 4��41 M th
�a
Qn-the botti��rail'.
-of'Q�SQ:Q -JtIgtWaM.j���:A-
Uld
hibr),,- AROr.
ter. V .was
'dug,
d..W. *S dr.sPap.11.
+ ad
V OkTcv�$Pdddk O-ip;Wnal)lanihiattd:glas.�'(IminOed glass
41�$�w/*6;"�O6iD*"P�VR'-Wna�liy�er). The"
used-two.2.7mm ..
P`V- 13;�fiinier- 'wa's
y
wanufactdird.'b�] en
iliv
Prqjoct No. n- 17;..05
page 5:.
Silicone sealant was applied to all the following:
1. Entire bottom.6tt6-silko buck intersection.
2:' Ftame to wood buck intersection on exterior perimeter.
3, Exterior and interior wood stops to*buckfiTame intersection.
The perknetk..6f the wood:buck fraraing niembers oonsisted:OP2. 2 S.
lumber. T4e framer was aftched to tbe.wood buck with A
X 24 M- 11' h.se -s,2 per jamb
pp ,,r .
4w
Ceadh4ocated.-at4-1/2-from.top and-botwni. woo.a-stq�gpj,�_'
X.3/4"):were located oin the
interior-and-exteriqr.p��netpt-9f th-eft-ame and affacbed to I
M'w'-bi'd'bu wiffi.1-1/41,1*
o ek ong x
I-S...,ga. B=. d.nai-Is Iodated at.6"oc(nominal).
T�opry waslmazcordanc,6�with,"AS V996-04 8 "On f
-qed= �TM .
143�ft -.00i0b2ft Or
we of
rala 'ExIefi.6rVind Curtain:
DVVBI
4"MO velbriSIA-1 Tru�,
*Pe..
A.
W
IV pro$"
Missile Level
'0- iWbiequal'toJOR. in
fiqn-df hwa, 0161y,
def
or i�d wie 2. -Uled,
16 -SPeed greater tim or
t6 1...30.
-at g
1.20, MPh reatav--tIifk:'
th coastline.)
Project No. T 13 3�-06 Page 4
ASTM El-"6.-04 E1886-04
LARGE MSSULE V"ACT TEST
(NUSSILE-LEVEL i6c")
TESTRATE., 3-8-06 7wWspVCfAfjvv# -A
SPEAMWAr.-GORELL G- 5305 DOUBLE HUNG WrNDOW
MAAWFACTURER.- GORELL
LEN- -G7W- &F)W-'9SIM- 44"
A S
FPT--'0FJffS=E A-BOT.- 4.4*LB
A4S-M-k L'.&VB4 C. PVVaA'CT SPEED 40 FTISEC
A "OF MA-§-S'...6,�pRow
90 T- m-m
T.
SUPPORTS
spav
!Wiz '21'
V000MM,
T 1.0,
w
Page 5
Project No. TI-33-06
ASTM E1996-04 -E-1-886-04
LARGE MISSIOLE IMPACT TEST
(NUSSELE LEVEL "-C-)
TESTDATE. 3-28-06 TEST SPECINMN# B
SpBCIMp
,tV.--GOREL- L G.5305 DOUBLE HUNG WW1YOW
JVANUFACTt-WP-,-GOR�-
LFNGW0FM$WM-- E., 4-41)
HT 0F.AftW-LE,-A-$AWT:
,WSSVL,E LE M. - C.IMPACT SPEED—40.,FTISEC
'C=�IER
s
QWN; WPLEFT
A$
IT,
w
4�
aw
7e�
t�.j.
ProjectNo..'T135-06. P�ge 6
AST. M.El996-04'/E1886-04
LARGE NUSSELE IMPACT TEST
(NUSSIL9 LEVEL "C")
TESTDATW� 4-4-06 TEST SPFCIABFN#: C
SPECLUEN, GORELL G5305 DOUBLE HUNG WNDOW
MANUFACTURER:CTORELL
4.4!'
jW&S LEVEL C, L-WACT SMD".4.1;11;0�00
'F
.-GL
Project No. T 13 3-06 Page 7
ASTM E1996-04 AST.M E1886-04
CYCLIC VVM PRESSURE LOADING
Test Dates: 3-8-0-6 thru 4-4-06
Design Pressure(.Pnaax) = 50 psf
-Cycle Pe riod= 1 to 5 sec.
Inward A-efing Pressure
Range Test Pressure(p§f) -um-ber of Cycles,
-0.2pMax.to-0.5ft". 10 to 25 3 00
0.2pl��-to,0.0max.
0 to 30
25 to 40.
15 to 3.0
Or
-Z-vit
A WI.
Q.2
-Result3
C
P
'Me above results*ere,- d .6664nated test
me*O&..�adlhey indicate
Jth the Peffi*06*MUIrOMent§-(Afis.%ile Love IC)-Of i6-Teftftnced
Compliance.-W.1
specifizatiorL This.report dobs*not-consUtute certificafion c+if this'pr*.odu" ' liCi*May only be
granted byflWcertificadon proWana-adminis
Project No. T 13 3-06 Page-8
A TPENDIX
04/17/2002 14: 46 7244651894 GORELL ENTERPRISE
PAGE 01
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LIGH ENG
TESTING, INC. ....A.
255 Saunders StaUon Rd.
T13e Trafford, PA 15085
Elorida Building Code Online Page I of 3
CW%F't_OR1OA CEPARTMENT OV 0
ommunity Affi3irs:
BCIS Home Log In Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff B
Product Approval
0 USER: Public User
Product Approval Menu > Product or Application Search > Application List > Application Detail
FL # FL9081
Application Type New
Code Version 2004
Application Status Approved
Comments
0 OFFICE OF THE Archived
Product Manufacturer Gorell Enterprises Inc.
Address/Phone/Email 1380 Wayne Ave.
Indiana, PA 15701
(724) 465-1839
rgibson@gorell.com
Authorized Signature Richard Gibson
rgibson@gorell.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Horizontal Slider
Compliance Method Certification Mark or Listing
Certification Agency Keystone Certifications, Inc.
Validated By
http://www.floridabuilding.org/pr/pr—app_dtl.aspx?param=wGEVXQwtDqsOfPMuINEKw... 7/7/2008
Florida Building Code Online Page 2 of 3
Referenced Standard and Year (of Standard) Standard
AAMA/WDMA/CSA 101/IS2/A44
ASTM E 1886/1996
Equivalence of Product Standards
Certified By Florida Licensed Professional En
FL9081—RO—Equiv—ASTM E1996
Product Approval Method Method 1 Option A
Date Submitted 06/19/2007
Date Validated 08/07/2007
Date Pending FBC Approval 08/07/2007
Date Approved 08/21/2007
-...........- --.............. ..........-................... .................. .................. .......... ......................
�Summary of Products
FL # [Model, Number or Name IlDescription
19081.1 :=FG 5352 Horizontal slider 5352 lift out vinyl slider.
Limits of Use Certification Agency Ce
1 Approved for use in HVHZ: No FL9081—RO_C_CAC_G53!
Approved for use outside HVHZ: Yes FL9081—RO_C—CAC—G53.1
Impact Resistant: Yes Quality Assurance Cont
Design Pressure: +50/-50
Other: DP 50 large Missile impact level C wind Installation Instructior
zone 2 @ 60 x 52 1/4 FL9081—RO—II-5352 Fasl
Verified By: Keystone Ce
Created by Independent
lEvaluation Reports
reated by Independent
............
Back Next
DCA Administration
Department of community Affairs
Florida Building Code Online
Codes and Standards
2555 Shumard Oak Boulevard
Tallahassee, Florida 32399-2100
(850)487-1824, Fax(850)414-8436
http://www.floridabuilding.org/pr/pr—app_dtl.aspx?param=wGEVXQwtDqsOfPMuINEKw... 7/7/2008
Florida Building Code Online Page 3 of 3
2000-2005 The State of Florida. All rights reserved. Copyright and Discl,
Product Approval Accepts:
r-_=�� m
AMW
http://www.floridabuilding.org/pr/pr—app_dtl.aspx?param=wGEVXQwtDqsOfPMuINEKw... 7/7/2008
Engineering anO Testi�g Inc.
Xnn S'.
Project No. T233..05 Acer itatlo'
Report Date: 12/14/05
7. No.�Pages: 8 (inc siYe) +Appendix
PERFORMANCE TEST REPORT
ASTME1996/E18-86 LARGE AaS,=-.,
R%*.,.A-.CT TEST
(ARSSILE lAtt
QORELL MODEL G5352
HORfti4TAL SLIDING WINDOW
60"W'X 5,2-1/4"H
FOR
GOPML EN-MRPR-J
SIB
13-80 WAYNE AN%
71- INDIANA, P*-A 15701
FT.
K. Prepared
4()veo
APK
Paul G. Farabaugh.
D"
77
DMIFI-G-i FARABAUGH,RE.
255 Sao Ztaflon' kd,
TraffbAOA 1606's
(412)3M238
401 Wide Drive MCK-eespQrt, PA 151-35
(412.) 751-4061 -, FA-x (4-12) 751-4003
Project No. T233-05
Page 2
PERFORMANCE TEST REPORT
Manufacturer:
Gorell Enterprises, Inc.
13 80 Wayne Av .
e
Indiana, P-A 15701
Product.1dentification
ftoduct Type: Horizontal Sliding Window
Sefies/Model G5352
Prodiict Description
Test.sample was comprised of Gorell Model#G5352 Horizontal Sliding V y dow,
in 1, win
with an overall master frame size measuring 60"wide X 52-1/4"high X 3-1/4" deep. The
fi7ar-ne comers were of welded mitered construction. The sash comers were of welded mitered
construction. Each sash measured 29-1/4"wide X 48" high
The three outer side perimeter
frame member hollows were filled with stirofoam pieces. The header used a 2" long sash stop
(sill insert member)for each sash track located ab
ove each sash. Each sash stop located 10"
in from-center of the window for both tracks.
Weather-�strip i
ping:
E -W BMTIPPING QUANTITY WIDTHXBEIGHT LOCATION
AT
Frame Header Insert
none 0 none
Frame Sill none 0
none
Frame iambs none 0
Int.left keeper sash Center Fin Pile Seal - none
1 0.l8r w x.230"ht Exterior face
top r4il.. Center Fin Pile Seal 1 0.187"w x.230"ht Interior face
Int left keep&sash Center FinTile Seal 1 0.Igr w x.230"ht Exterior face
bottom:rail. Center-Fin Pilc Seal I 018r w x.230"ht Interior face
Int.I&keeper sash Center Fin Pile Seat I x.230"ht Interior face
0.18-7 vv
keeper stile
Int left keeper sash Center Fift Pile Seal -8T'w X.230"ht Exterior face
0.1
jamb stile Center Fin PiltSeal
.- q-!8r.w. x.230"ht Interiqr.fhce
Int.rightlocking gash Center Fin Pile 6.l8r. W X.23' 0"ht
Exterior face
L02 raff Center Fin Pile.Seal
.0.19-r.wx.230"bi Interior face
Int.righnocking sash— MteeM Pile Seal 0.1Sr- w x.230 ht Ext4ior face
bottom rail Centerftrile.Seai 0.187"w x.2307 ht latelior face
Int.right locking sash Pile'Se'al o.tgr w x.230"ht Ex+or&c—e
loddog stile
Int. right locking*sash Center Fin Pile Seal 0.18r w x.230"ht Extoor face
jamb stile Center Fin Pile Seal 0.18r w x.230"ht Inteiior face
Project No. T233-05
Page 3
Operators and Other Hardware:
Two metal rollers with plastic housing was located at each end of each operable sash bottom
rail. Two cam-type sweep l0ck were attached to the-locking sash:meeting rail, one 10-1/2"
from each end and corresponding keepers on the adjacent meeting rail.
Glazing System-
The sash was exterior drop glazed with 7/8" (nominal)thick insulated glass that was set on a
bead of Q'SO Q17 Instalani Laminating Adhesive around the perimeter of the glazing
(exterior). An exterior snap-in single leafdual durometer rigid vin
yl glazing bead was used.
The-ICT units were as follows:
1/8"-DSD (exterior.)/ 15/32"intercept spacer/ 5/16" laminated glass 0aminated glass used
two 23mm annealedlites w/O.:060r--PVB *inner layer). The PVB-inner layer was
anu by th - stomer).
In factured by Dupont (as i
given ..ecu
Weep Holes:
Two (1-9/16"w x 5/16" h reduced to 1-3/8"w x 3/16"h)weeps with�flaps were located on the
exterior face of the sill, one 2-1/2"from each end. Two (1-9/16"w x 5/16" h reduced to I-
3/8"w x 3/16"h) weeps with'flaps were located on the exterior.face of the sill, one 3" from
each end. Two(1/2" w.x 1/4"h)weeps were located�at the exterior track of-the sill, each
located 24/4"from each end. Two (1[2"w x 1/4"h) weeps with baffles were located at.the
interior track of the sifl, each located 2-1/4" from each end. Two (3/8"w x I/I 6"h)weeps
were located on the exterior face of the sill at screen track location, each located 3-3/8"from
each end.. Two(1/2" w x 114"h) weep slot
s cut from ends of each sill insert. Two(I-1/2" w
x 5/16" h)weep slots Were located at the ends of each bottom interior chamber walls, one
located at each end of both bottom interior sill member hoflow walls.
Sealant:
Silicone Sealant was applied to afl the fol.lowmig:
1. Intenior and exterior wood stops to frame intersection.
2. Interior and exterior wood stops to buck intersection.
- Exterior perimeter-of frame to wood buck inter-section.
3.
Project No. T233-05 Page 4
Anchorage:
The perimeter of the wood buck framing members consisted of 2 X 12 Grade 2 S.P.F. lumber.
The frame was attached to the wood-buck with#8 X 2-1/2" pph screws, 2 per jambeach
located at 4-1/2"from top and bottom. Wood stops(3/4"X 3/4")were located on the interior
and exterior perimeter of the frame and attached to the wood buck with 1-1/4"long x 18 ga.
Brad nails located at 6" oc(nominal).
Procedure:
Test procedure was in accordance with"ASTM E 1996-04, Standard Specification for
Pelformance of Exterior Windows, Curtain Walls,Doors and Impact Protective Systems
Impacted by W`indborne Debris in Hurricanes" and "ASTM E 1886-04, Standard Test Method
-Performance of Exterior Win ows, Curtain Walls, Doors, and Impact Protective Systems
for
d
Lnpacted by Missile(s) and Exposed to Cyclic Pressure Dfferefitials" and as provided here-in.
Plastic film and tape'were used in the cyclic pressure test. In our opinion the tape and plastic
had no influence on the results of the test.
The impact test was performed at Missile Level "C". Per ASTM E 1996-04, Missile Level"C"
qualifies-for Basic Protection of an assembly elevation less than or equal to 30 ft. in height for
Wind Zone 2. (Wind Zone 2 is defined as the Basic Wimd Speed greater than
or equal to 120
mph and less than 130 mph at greater than I mile from the coastline.)
Project No. T233-05
Page 5
ASTM E1996-04 E1886-04
LARGE MISSILE E"ACT TEST
MSSILE LEVEL 64c")
TESTDATE. 11-30-05
TEST SPECIMEN#:A
SPECIMEN.7 GORELL G5352 HORIZONTAL SLIDING WINDOW
MANUFACTURER: GORELL
L-E
NGTH OFMISSH-E.- 44"
JfT OFMISSLEE& SABOT: 4.7 LB
MSSILE LEVEL C, flilPA CT SPEED 40 FTISEC
IMPACTLOCmom. BOTTOM CORNER OF GLASS, 6"FROM SUPPORTS
(R'4NER) SASH
MAX.DEFLECTION.- 1.375"
PERMANENTDEFORM4TION: 1.0625"
RESULTS: DEFORMATION OF GLASS;NO PENETRATIONS
Project No. T233-05 Page 6
ASTM E1996-04 E1886-04
LARGE MISSILE MPACT TEST
(MISSILE LEVEL C
TESTDATE.- 11-30-05 TESTSPECIMEN#:B
SPECIAMN.- GORELL G5352 HORIZONTAL SLIDING WINDOW
MANUFACTURER. GORELL
LENGTH OFMISSME.- 44"
WTOFMISSH-E&SABOT. 4.7LB
AASSIL E L E VF—L C, LVPA C T SPEE D 4 0 F TISEC
UIPACTLOCATION: TOP CORNER OF GLASS, 6"FROM SUPPORTS
(11-4NER) SASH
MAXDEFLECTION.- 1.375
MR. PERMANEdVT DEFORMATION: 1.125"
RESULTS: DEFORMATION OF GLASS;NO PENETRATIONS
Project No. T233-05
Page 7
ASTM E1996-04 E1886-04
LARGE MISSILE IMPACT TEST
(MISSILE LEVEL C")
TESTDATE. 11-30-605
TEST SPECLWEN C
SPECIMEN: GORELL G53-52 HORIZONTAL SLIDING WINDOW
MANUFACTURER: GORELL
LENGTH OFAHSSiLE. 44"
WT OF MISSH-E&SABOT: 4.7 LB
LEV
M- SMLE EL C, WA CT SPEED = 40 FTISEC
DIRACTLOC4TION.- CENTER OF GLASS, (INNER) SASH
MAXDEFLECTioN.- 1.5"
PERAIANENTDEFORM4TION. 1.185"
RESULTS. DEFORMATION OF GLASS;NO PENETRATIONS
Project No, TIII-01 Page 8
ASTM E1996-04 ASTM E1886-04
CYCLIC WIND PRESSURE LOADING
Test Dates: 12-5-05 & 12,6-05
Design Pressure (Pmax) = 50 psf
Cycle Period I to 5 sec.
Inward Actingfr ssure
Range F—Test Pressure(psf) Number of Cycles
0.2Pmax to 0.5Pmax 10 to 25 3�500
O.OPmax to 0.6Pmax 0 to 30 300
0.5Pmax to 0.8P-max 25 to 40 600
0-3Pmax to immax 15 to 50 100
Outward Acting Pressure
Range Test Pressum(psf)
Number of Cycles
0.3Pmax-to. LoPmxx 15 to.5.6 50
0-5Pmaxto 0.8PMax 25 to 40 1,05.0
O.OPmax to 0.0rnax 0 to 3.0 50
0.2Pmax to 0.5Pmax 10 to 25
Specimen Results
A Pass
7
B Pass
Pass
Conclusion
The above results were secured using the designated test methods and they indicate
compliance with the performance.requirements(Missile Level C-) of the referenced
specification. Tlus report does not constitute certification ofthis product, which may onl be
granted by the certification program administrator.
Florida Building Code Online
Page I of 3
S�
Affair
BCIS Home Log In Hot Topics I Submit Surcharge Stats & Facts Publications FBC Staff B,
L Product Approval
P I USER: Public User
_411111111lib.
Cr)!")rrounity
Af fol r"S Product Approval Menu > Product or Application Search > Application List > Application Detail
FL # FL2250-Rl
Application Type Revision
Code Version 2004
Ella Application Status Approved
Comments
Archived
Product Manufacturer Town and Country Industries,
Address/Phone/Email 400 West McNab Road
Ft. Lauderdale, FL 33309
(954) 493-8551
tomj@tc-alum.com
Authorized Signature Vladimir Knezevich
KAEng@aol.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Shutters
Subcategory Storm Panels
Compliance Method Evaluation Report from a Floridz
a Licensed Florida Professional E
Evaluation Report - Hardcop
Florida Engineer or Architect Name who -Vladimir John Knezevich
developed the Evaluation Report
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Florida Building Code Online Page 2 of 3
Florida License PE- 10983
Quality Assurance Entity National Accreditation and ManE
Quality Assurance Contract Expiration Date
Validated By ORLANDO L. BLANCO, P.E.
Validation Checklist - Hardc(
Certificate of Independence
Referenced Standard and Year (of Standard) Standard
SSTD 12
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 2 Option B
Date Submitted 06/10/2005
Date Validated 06/10/2005
Date Pending FBC Approval 06/15/2005
Date Approved 06/30/2005
Date Revised 05/16/2008
Summary of Products
IFIL # del, Number or Nam IDescription
2250.1 0232" and .0285" GaIv St!112" Deep x 12" Wide Corru
rm Panels
Limits of Use (See Other) Installation Instructior
Approved for use in HVHZ: Verified By:
Approved for use outside HVHZ: Created by Independent
Impact Resistant: Evaluation Reports
Design Pressure: PTID—2250—R1—T—05-32,
Other: Use of these product shall be in strict PTID—2250—R1—T—05-32,
conformance with the requirements of the PTID—2250—R1—T—05-35,
reference drawing prepared by TTG, Inc. and Created by Independent
comply with chapter 61G15-23 of the Florida
Administrative Code. These products are NOT
suitable for installation in the High Velocity
Hurricane Zone (HVHZ). This product may only
be installed on concrete, hollow concrete block or
wood substrates. For all other conditions site
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Florida Building Code Online
Page 3 of 3
specific design shall be by this office or our
delegated engineer. Panel spans less than those
noted in the Minimum Panel Length Schedule of
the reference drawings are not acceptable per
,the provisions of SSTD 12-99.
2250.2 -----].040", .050" and .060" r75e-ep x 12" Wide Corru
AIL
Fminum Storm Panels
Limits of Use (See Other) Installation Instructior
Approved for use in HVHZ: Verified By:
Approved for use outside HVHZ: Created by Independent
Impact Resistant: Evaluation Reports
Design Pressure: Created by Independent
Other: Use of these product shall be in strict
conformance with the requirements of the
reference drawing prepared by TTG, Inc. and
comply with chapter 61G15-23 of the Florida
Administrative Code. These products are NOT
suitable for installation in the High Velocity
Hurricane Zone (HVHZ). This product may only
be installed on concrete, hollow concrete block or
wood substrates. For all other conditions site
specific design shall be by this office or our
delegated engineer. Panel spans less than those
noted in the Minimum Panel Length Schedule of
the reference drawings are not acceptable per
11the provisions of SSTD 12-99.
Back Next
DCA Administration
Department of Community Affairs
Florida Building Code Online
Codes and Standards
2555 Shumard Oak Boulevard
Tallahassee, Florida 32399-2100
(850)487-1824, Fax(850)414-8436
2000-2005 The State of Florida. All rights reserved. Copyright and Discl
Product Approval Accepts:
r1&-e'7] W Kid E
qft� I A- Am*
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Doc # 2008185971 , OR BK 14577 Page 1289, Number Pages: 1 , Recorded
07/17/2008 at 01 :13 PM, JIM FULLER CLERK CIRCUIT COURT DUVAJ, COUNTY RECORDING
$10.00
NOTICE OF COMMENCEMENT
Permit No.
�vw State of Florida
Gountyof �33
The.'undersigned hereby gives notice that improvements will-be made to.certain real property,and In
-accordance wIth,section 713,13 of the Forlda Statutes,the followlng-InfotmatIon Is provided In Ihis
NOTICE OF COMMENCEMENT,
t AddreA If avallable)
!on of propept(Include$1ree
A46 1-0 T
General descri
ption of-improvements
Qwner
AdOress 2-1�"5' ?�U 2
Owner's Interest In site of the Improvemen�
Fee Slrhpla 7109 holder(if 6ther than own
Name
Addre 3 AMEN"WINDOW
contracto'r PRODUCTSI INC.
2633 POWERS AVE.
Address
U
Sure
�ddress _—Amount of b9nd $
Any person m�klng g'loan for th.0 con�_wcqon of the Improvements:
�4w Name
Address
Person within the State of Floddadesigne. yowner upon whom ncitices or other docufnents'may be
served a3 provided by Section 713.13(1)(a)7,Florida ttatutes,
Name
Address
In addition to himself, oviner designates.
Of . W-----------
to recelve-a 6opy of the Uenor's Notice as PrWded In Se�tlo�713,13 (1)(b), Florida Statutes,
Expirstoridate of Notice of Commencetbant(the-explratlon date Is one(1)yearfrorn th6date.of
eo rdl 9
77,nim,,�dIff, t'd te I ecined)
QtOwiwr FriatedName of oWner.
Ndtmy Rubber.Stam' a2l
P sad I 1�vi rtj'1'ed`t4=-th#JbII6wbjtja,,dfLudon'cf the AM-
3womto'ands b fb
NQLLry signu*1
MY
EXPIRES:May 13,2012
Sondod Iru Bud*N*jy&,tw
RECEIVED
FEB 2 4 2000
CITY OF ATLANTIC BEACH CitY of Atlantic Beach
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALIW�JM Zoning
MOVING, DEMOLITIONS
Owner(s) 1/7 1 c,YEA L .M u"7—
Job Address: c2/35 56071AJOI-E KA Phone: 3 6.2
Lot # Block or Unit # Subdivision:
Contractor: fiAgr>i-D tAptkor-) State License # C-
Address: Z(.-7 -2
j &i I on o At- 51- Phone No: 3 8`( 22
C i t y 77t-19)c State F-14 Zip Code 3 Z-z
Describe work to be done: G1_0SE /A/ &;S7-IA'oIC 3 6C)e&-5-A1,Y-6 /X/ 6CC,,el
I cne wAAJA00-4 ljoqei;- fiAA 57-AIR CArrP,,e AICI� &U-MMAICE
1� :�4'0
44
Present use of building:
Valuation of Proposed Construction:
Proposed use: 5 Rly)
Is this an addition? \/O If yes, what are the dimensions of the added
space:—ft. X ft. Will the added area be heated and
cooled?-/\Jo New electrical (or increase) ?J/z—'s
New plumbing fixtures? P& New fireplace?A.)Q New Heat/AC?. AJO
SUBMIT TBREE (COMdERCIAL) TWO (RESIDENTIAL) C014PLETE SETS OF PLANS' INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COM�XNCENENT, AND
OWNERICONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: Date: 2,7-
Signature CONTRACTOR: Date: 0
'T1
AS TO OWNER:
Sworn to and subscribed before me this day of rc 2000.
$y OBL I C
AS TO CONTRACT400" k"*'
�T
C me this day of 2000.
Sworn to andp-�.,;,O�w bAkj;;�
is ay of
MY COMM.EXPMES-> 4
Pj
JUNE23,20M. IC
No.CC E96378 4NOTAP Ic
0..........
OF
vl;w;�101100
LE LEE J.ENGINEERING,INC. Phone 904-519-1934
10381 Cypress Lakes Drive, Fax 904-519-1004
Jacksonville,FL 32256 Cell 904-234-3518
Balcony Repair
Location
2139 Seminole Road, Atlantic Beach, Florida 32233
Repair Procedures
1. Provide temporary support with 2-2x4 and V2" OSB sheathing at ground and second
floor on same vertical line. Fastening shall be installed top and bottom plates to
existing joist and concrete at ground.
2. Replace rotted girder beams and studs with pressure treated member.
Balcony joists shall be supported with Simpson hanger LUS2 10 to new girder beam.
3. Replace rotted wall sheathing with 1/2" OSB as shown on nailing schedule on sketch.
4. Install Simpson MSTA36 along upper and low posts.
#Y. LeejP.E. (#31276)
Pesident f�f-ie'K9'
APPROVED
CITY OF ATLANTIC BEACH
BUILDING OFFICE
AUG 19 2005
By: I "I� —
aleG
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LIFT—f or- 07w-wtv
:10 AID
SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000763 Date 6/02/09
Property Address . . . . . . 2135 SEMINOLE RD
Application type description ELECTRIC ONLY
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
replace meter can ------- ---------------
------------------------------------------------------
Owner Contractor
------------------------
ALL SERVICE ELECTRIC GROUP INC
COURTNEY 1556 WHITLOCK AVENUE
2135 SEMINOLE ROAD FL 32211
ATLANTIC BEACH FL 32233 JACKSONVILLE
(904) 744-5050
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc - - .00
Permit Fee . . . . 70 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/29/09 --------------
--------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jun 02 2009 10: 47AM ALL SERVICE ELECTRIC GROU 9047450400 p. 2
BEACH
CITy OF. ATLANTIC
M r) L PERMIT APPLICATION
ECTRICA
EL__
Date:
Property Address: _�I 3 q
Telephone #-. t
ONvner:
Telephone
COintractor.
Contractor regs:/ 3X;-11 Fix 4: _D
:: cm said work in
in the:above 3taterrient, we creby a9rC1 p,110
peraut given for doi69 the work as escribed f and in accordance with the City of A'lanfic 13each
accordarice with the attached plans and�,pecihicatic" which ae a part hereo
ordinance and standards of )d )ractice 113ted therein. If other co "Ction i3
Service:. ing done on i buoding
Building: RuildingType: ca Tmiter being done on
El New X Reside cc 0 Temp. a New or 3ite,list the building
Li Comm 'rcial cl Signs a Increase ?am it numberl
Old Repair ---------
Re-wire C] Additiow� Sq.Ft
nductor Size: ANVS: RACE
Switch or WAY
Breaker A I MPS PH W VOLT RACE
Existing Service VOLT WAY
PH W
Size AMP:
NO. SIZE NO -S NO SIZE
Feeders:
Ligbting Outlets
OPEN
CONCEALED i
Reccptacle� CONCEALED OPEN
1 Switches
t
Incand6scent
Fluorescent &
M.v, BELL
0.10D
Fixed TRANSFE&
A liaACts H.P.RAT G CEILING KW-I.EAT.
Air H.P.RATINCT FMAT
OTHER MOTORS AMPS
Coinditionin CONU.MOTOR
No, OVER 1 H.P. PHS
Motors 0-1 H.P. VOLTAGE
V
NO. KVA
Transforniers NO. KVA
No,Neon Transt.
Ea.
M iscallaneous
800 Seralitoile Road Atlantic each,Florida 32233-5445
; Fax: (904)247-5845 http,.I/wwv.cLatlaotic-be2ch-11-us
Phone: (904)247-5800
JAE Y. LEE P.E. Date 9rp,,IL,,�Page of
JACKSONVILLE,FL �heclqed'jv Date
904-519-1934 Subject
7, 67
r
ll?l C
'VIP
�—FTTT
L
x ev 5-1-
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P-1-,ZIA
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f 0 In ell,
4;
ME Y. LEE P.E. W-O. L461V�,Ir2 of
)ACKSONVILLE,FL By �H Ched�ed Date
904-519-1934 Subject
4�'
41
lg±j,07
r-O
�elo 02&V4."
02/17/2000 13:16 9042465736 AUSPEX CONSTRVCTION PAGE 01
M- .-L
W *AMC*r
I FIV unlugnOd hereby Informs all Concerned that Improvement,will h. Me&
-crJic"--with MMIon 713.13 of the Florida Statute% GOI.S.41 I ag
IS stated in this NnTiry ne^^MMENCEMEN—r. the following InfrM.,
In D-C*;On of L
...........
AW-37
Filed A RpevW----.......
OPM/00 1PAA,M 1W
-------------
..........
T".
....................
.. . ......... ....... ...........................
YAr// � j %--.1-1 1
..........
..........
..........
............. .......
Cl*--el iolwesl it,so,of the jgpre
Um"Uis Waar v WW the'.O.W)
2--
.................................................
KeA 64 2-
If ............*....... -----------
.......................
A"w—tc
AJ
..............
......................................... .............
AffmW of bm,4
of 00"" Nv" 16 194as ol m"&dgnm#j
66 DWrvWA or G&W&Oneno my
..............
.......................................................................
In additi.-
Owner ftWrwtm ft following Permit.to r0ml"8 COPV Of the Llanor`#rioike
I I as provi d*ed In Section 71113.4 3 11 1)
F;),Florida Stotules.(F III In at OWner's option).
Addrete
An
112
I f 1A A.
..........
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address OAJ
Date 3 00
Heated Square Footage @ per sq
Garage/Shed @ $_per sq f S
t
Carport/Porch @ $_per sq f t =
Deck @ $ per sq ft = $
Patio @ $_per sq ft = 8
TOTAL VALUATION:
Tot uation ist
Remaining Value per thousand
or portion thereof
TOTAL BUILDING FEE
+ 1/ 2 Filing Fee $
( ) Fireplaces @ $15 - 00 $
BUILDING PERMIT FEE $
WATER IMPACT FEE $
SEWER IMPACT FEE
WATER METER/TAP
CAPITAL IMPROVEMENT
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
Elevation
Septic Tank Well Sign Finish Floor
Survey Other
CALCULATIONS and/or NOTES :
RE ME Y. LEE P.E. W.0.6L6,�ocp�laj Date 4Page of
JACKSONVILLE,FL By C- heclqed Date
904-519-1934 S u bj e ct A i�) evt4-
v
A 67
k7
ol Ole
ell
t4 ya AA
'o
Piro nz:" Q1
'�5>e ea!;07e
JAE Y. LEE P.E. of
)ACKSONVILLE,FL By Chedzed Date
904-519-1934 Subject e7-
64
IMF
Oe
10
LE LEE J.ENGINEERING,INC. Phone 904-519-1934
Fax 904-519-1004
10381 Cypress Lakes Drive, Cell 904-234-3518
Jacksonville,FL 32256
Balcony Repair
Location
2139 Seminole Road, Atlantic Beach, Florida 32233
Repair Procedures
I. Provide temporary support with 2-2x4 and 1/2" OSB sheathing at ground and second
floor on same vertical line. Fastening shall be installed top and bottom plates to
existing joist and concrete at ground.
2. Replace rotted girder beams and studs with pressure treated member.
Balcony joists shall be supported with Simpson hanger LUS21 0 to new girder beam.
3. Replace rotted wall sheathing with '/2" 0S13 as shown on nailing schedule on sketch.
4. Install Simpson MSTA36 along upper and low posts.
ae Y. Lee P.E. (#3 12 6)
resident
APP RO V E L)
CITY OF ATLANnc BEACH
BUILDING OFFICE
AUG 19 2005
By:
Procedure: in order to expedite issuance of permits provide all iformation as_apffaP—riate. 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 info ation v ed ith this application is correct.
h
Date.
��gnature of Owner: ]D
is Plic 0 w the same to be true an� correct. All provisions of the laws and
I hereby certify that I have reaudi and exami ed this application and know the sam
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
Ir ce of this permit is contingent upon the
governing of construction or the performance of construction of the property. I understand that the issuan
above information being true and correct and that the plans and supporting data have been or shall be provided as required.
Signature of Contractor: CA" i ate:
3At:-
Address and contact information of person to receive all correspondence regarding this application(please print).
v
Name: OF#
MailingAddress: ,Ylr-,KAtqtj
Telephone: 1705,1-) r .-Fax: E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this day of cc C6
State of Florida,County of Duval
Notary's Signature:
RA melVin E. PriCe
.��Y Pli W.,
A Commission*I)D211570
%n"- n4-e�rsonally known
.:A upim may 14 2w?
., on
Banded Ibm EL-Pr6duced identificatic
Atlantir Bam5aZCQJ= Type of identification produced
AS TO CONTRACTOR: -7*
206
Sworn to and subscribed before me this 4�day of
State of Florida,County of Duval
Notary's Signilature:
4" Melvin n--Personally known
Produced identification
Type of identification produced
Eqim may 1z
"QwAtWA Banded Tbm
tit ftaftwokbA 800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atlantic-beach-ft-us Revised 1/27/03
Page 2
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County
To Whom it May Concern:
The undersiened hereby informs you that improvements will be made to certain real property, and in accordance
with Section 713 of&Florida�tatutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal description of property being improved: rny
Address of property being improved: /4
General description of improvements:— /�q , 0 4.
Owner: 14e Cl
Address:
Owner's interest in site of the improvement: e
Fee Simple Titleholder(if other than owner): P
Name:
Address:
Contractor:
Address:
Phone No:—
Surety(if any): Amount of Bond S
Address: Fax No:
Phone No:
Name and address of any pe2on a I g a loan for the construction of the improvements.
Name: /0
Address: Fax No:
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:
Phone 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: Fax No:
Phone No:
Expiration date of Notice.of Commencement(the expiration date is one(1)year from the date of recording unless a
?nce
different date is specified): %J11111, I—M—e
g4;�Ipof" , . #DD211570
Commission
may 12,2007
Bonded Thm
ER'S USE ONLY OWN F
TMS SPACE FOR RECORD Xigne a r:
Before me s day of t unty
ofD 1, ta lorida,has ers y e'd
Notary Pu lie at arge, State f r' of uvall,
My commission expires: ------ or
Personally Known:
Produced Identification:_(i
_ F " Eovi
RE - 1 \
C11.y OV ATLAN-TIC BEAC CITY OF ATLANTIC BEACH
E30LDNG &ZON�NG
BUILDING PERMIT APPLICATION
19 205 (Alterations & Additions)
r
Job Address: v /rl J-.7 0- A_1111'�be7 tic
Owner of Property: S am P Z) X
Address:
Legal Description: Block Number: Lot Number:
Contractor: (rYtALF-51 46, *VVOVA:�5 State Li 1'*6 014 63 r
Contractor Address: /�� 9141CAO Al jrb
Telephone: '9P3_4f2 3jr Fax:
Describe propose d work to be do e: <.
,P use an -n
_1017d sfurl-I As '0"
Present use of land or building(s): RIS <,L,/e/1 t111,
Valuation of proposed construction:5 1K < 9
What are the dimensions of the added space: / IfI0111,,C feet x feet
Will the added area be heated and cooled? AM New electrical or increase in service? NO
Add plumbing fixtures? b Q . Add fireplace? IV r-, ..._ Add heating/air conditioning?
Is approval of Homeowner's Association or other private entity required? A/0— If yes, please submit with this
application.
Will this project involve changes in elevation, site grade or any use of rill material, or the addition of 5% or more to
the original impervious area or the removal of any trees?
NO. Applicant certifies that no change in site grade, impervious area or rill material will be used on this
project.
E]YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
NO. Applicant certifies that no trees will be removed for this project.
F�YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. if you are unsure of this information, please
contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey or grading plan is required. (if not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if
owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic
Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Page 2 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Revised 8/04
In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building height number of stories and square footage. Identify
any existing structures and uses.
3. If required by the Department of Public Works,a pre-construction topographical survey.
4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
I hereby certify tha 11 info n pr ided with this application is correct.
fo
)�naturc of owner: Date:
is ppl tiol
I hereby certify that I have read and ined 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.
—Z Signature of Contractor: Date:
Address and contact information of person to receive all correspondence regarding this application(please print).
Name: #AW
Mailing Address: /4 4 520///'c
Telephone:�,o $ -1731 Fax: E-Mail:
AS TO OWNER: 1-6 T� day of
Sworn to and subscribed before me this C-Melvin E Pnce
KOMMission#D5215M
Expires May 12, 2W7
State of Florida,County of Duval
Banded TUm
Notary's Signature:—7
E) Personally known
duced identifica ion
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 32065
MeMn F. Ptce
State of Florida,County of Duval "Commissi.,in#DD211570
Lres May 12,M
Bonded Thru
Notary's Signature: �31 gl2ndr rbQ4Q*CNLW.
/Personally known
E] Produced identification
Type of identification produced
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Page 3 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atlantic-beach.fl.us Revised 8/04
CITY OF ATLANTIC BEACH Cc:
BUILDING / ZONING DEPARTMENT 'L H'
,,,.L-__qqgins
--s-IToerr
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # 3 /0 2- 2-
'2 07 6
Property Address: C>
Applicant: /4r/f.
Project: /,q 9 aMrh oazz- bkdW
This permit application has been:
M/Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed BY: Date:
Date Contractor Notified:
If ss\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00031022 Date 8/22/05
Property Address . . . . . . 2139 SEMINOLE RD
Tenant nbr, name . . . . . . REMV&REPLC ROTTED BEAMS
Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 18500
Owner Contractor
------------------------ ------------------------
SAMASKI , TED CHARLES E. JONES
2139 SEMINOLE ROAD 1450 HICKMAN ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 724-1218
--------------------------------------- ---- ---------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 175 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation 18500
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 175 . 00 175 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 175 . 00 175 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING OFFICIAL
I � . ,
'\JV
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000765 Date 6/02/09
Property Address . . . . . . 2139 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 -----
-----------------------------------------------------------------------
Application desc
replace meter can ----------------------
------------------------------------------------------
Owner Contractor
------------------------
ALL SERVICE ELECTRIC GROUP INC
TRIVETTE, MICHELLE D. 1556 WHITLOCK AVENUE
2139 SEMINOLE ROAD FL 32211
ATLANTIC BEACH FL 32233 JACKSONVILLE
(904) 744-5050
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . - . 00
Permit Fee . . . . 70 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/29/09 --------------
--------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jun 02 2009 10: 47AM ALL SERVICE ELECTRIC GROU 9047450400 P. 3
A A A, A A ik
ELECTRICAL PERMIT APPLICATION
OLE
Date:
Property Address:
Owner; h�7-HKY'q C-A I'S7 Terephone N;
Contractor: I�UW4 eC5 4545� Telephone#:
Contractor-A ress:/S N( Alh4�4zeX_ 3A,�11 F2x#-.
In considuation Otpermit given for doiQ the work&3 described in Cbe above staterneM we hereby agree to perform said work in
accordance with te armched plaas and 3pccifications which are a part hereof and in accordance witn the City of Aflantic Beach
ordinance and standards of good Euiicc 14ted therch I other construction, is
Building: BitUdingType. D Trailer Service: being done an thi.3 building
0 New Residence 0 Terrtp� C1 New or site,list the budding
'�o Old Commercial 13 Signs Q Increase Parnift amber:
C3 Re-wire Cl Addi6an Sq-Ft. Repair
Cuductor Size: ANIPS: COPPER El
Switch or RACE
Breaker AMPS PH W VOLT WAY
a RACE
Existing So-vice
WAY
Size AWS W VOLT
Feeders: NO. SIZE NO SIZE NO SIZE
Lighting Outlets
CONCEALED �4 OPEN
Rcoeptaclei CONCEALED-' OPEN
n 16 AWS q I I rin A)Lfpq
Switches
lacandeiscent
Fluorescent &
MNI
13ELL
Fixed AMPS OVER
: T R.
Appliances RANSFE
Air H.P.RATING H.P.RATING CEILING KW-IMAT
Conditioning COW. MOTOR OIBERMOTORS ANQ� HEAT
Motors 0-1 H.P. VOLTAGE PH OVER I I-LP. PHS
UNDEMOOV
Trandormcrs NO. KVA- NO. KVA
No.Neon Transf
Ea. Siga
Miscellaneous
&DO Serninole'Road - Atlantic Beach,Florida 32233-5445
Phone:(904)247-5800 tax: (904)247-5845 http:llwww.ei.stiantic-beach.fLtu
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Property Address: S5�"-'L Date:
Owner. Telephone
C o n t r a c to�,r. Telephone#:
rq�s-
Contractor Add I Fax#:
In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in
accordance with the attached plans and specifications vOrich are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fudures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If odw constructicin is being done on this building or site,
list the building permit number
0 Re-Pipe
Number of Fixtures:
Bath Tubs Showers
closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Other
Fees
Permit Lssuing Fee: $35.00
Total Fixtures: X$7.00 + $35.00
800 Seminole Road-Atlantic Beach,Florida 32233-5445
Phone: (904)247-SM- Fax: (904)247-5M- http:ilwww.ci.atiantic4w-ach.fl.us
Revised 1/04
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 05-00030823 Date 7/25/05
Property Address . . . . . . 2139 SEMINOLE RD
Tenant nbr, name . . . . . . REPLACE WATER HEATER
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
--------------- --------- ------------------------
SZYMANSKI , TED WATER HEATERS PLUS INC
2139 SEMINOLE ROAD P.O. BOX 16505
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245
(904) 733-1549
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
-- --------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING C DES.
BUILDING OFFICIAL
CITY OF
Be4r.44
Office of Building Ofti
REOUEST FOR IN CTIO14-
Iq Permit No..
Date
E
M
Time M
,R M.
eceived 3 C
0 lity
J 7
ob d ss
Owner's Contractor
, rn
Name CONCRETE ELECTRICAL pWMBING MECHANICAL
Rough Wiring E Rough El Air Cond. &
Footing 0 D Top Out ri Heating Ej
Re Rooting Slab C Temp Pole 7 sewer El Fire Place
Insulation Lintel 0 Final Pre Fab
clef READY FOR INSPECTION
Tues Wed 4/0 z-Z
I A.M
Rm
inspection 1,11 S� 51
f/e im Pection
Inspector
Date
CiT Y OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FLI 32-433-TEL: 247-5W6-FAX: 247-5877
R" "MY MF
Permit Number: 21010 2139 SEMINOLL ROAD
Permit Type: SIDING ATLANTIC BEACH, FL. 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGCE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est Value: Parcel Number:
improv. cost: 2,400.00
Date Issued: 11/17/2000 Name: HULIHAN. SCOTT AND CARMEN
Total Fees: 37.50 Address: 2139 SEMINOLE ROAD
Amount Paid: 37.50 ATLANTIC BEACH, FL. 32233
Date Paid: 11/1712000 Phone: (000)000-0000
Work Desc: REPUZE SIDING
Wl�
[ARMSTRONG CONSTRUCTION PERMIT 37-50
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 O%NNER
PROPERZTY
"FAILl onin COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
OWNER PAYING TWICE FOR BUILDINGr IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT To REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$37.5614
Date: 11/28/80 11 Receipt:
CHECKS
r
AT IC B CI IB31UILD EPT.
CITY OF ATLAYTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS
MOVING,DEMOLITIONS
Owner(s)
Job Address:,,� e_ _Phone:
Lot # Block or Unit # Subdivision:
Contractor: state License #
Address: �t) C) 7!5tyeef—Phone No: 1-4(cl 3
city C(-a" State FL— Zip Code ,S 2-
Describe work to be done: z-
Present use of building:
Valuation of Proposed Construction: q C)o
Proposed use:
Is this an addition?— -/L-'� 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?
SErBMIT TMR= (CCbM7Cj Lr LAN IN
AL) TWO (RCSIDENTZjLL) CC&wLLrTE` S TS OF P S, CLUDING
SITE PLAN, SVEVLry, ENERGY CODE B1000 NOTICE OF CC501ENCEMENT, AND
0yNzR1cONTRAcToR AzyrnAVZT, j&3r is R.
/V
Date:
Signature OWNER: L
Date:
Signature CONTRACTOR:
AS TO OWNER: FREDRICK SWE
day of A;
Sworn to and
u Old Republic In!��
S.
s
Bondedthr - r
5-2 5---C;�X"7-�/
My cornmission expires NOTARY PUBLIC
AS TO CONTRACTOR: Comrn-# 745128 . A't
Sworn to and subscribed before me this day of
'�hL.L.)i � or,
PUbliC, State of Florl
U i4
Notar�(i thru Old ReQUbV Y PUBLI
aonde , , pj ' , 5-25-02
Sion Py rO
My COP C 1 0,n-lni# 745128
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-deptocoab-gs
Application Number . . . . . 07-00001336 Date 9/27/07
Property Address . . . . . . 2135 SEMINOLE RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4000
----------------------------------------------------------------------------
Application desc
REROOF FL1956 . 1
-----------------------------------------------------
Owner Contractor
------------------------
------------------------
COURTNEY CB ROOFING
2135 SEMINOLE ROAD P 0 BOX 50935 FL 32240
ATLANTIC BEACH FL 32233 JAX BEACH
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . . . 00
Permit Fee . . . . 50 .00 Plan Check Fee
Issue Date . . . . Valuation . . . . 4000
Expiration Date . - 3/25/08 ---------------
-------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50. 00 50 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 50. 00 50 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
07-
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US DUVAL COUNTY
BUILDING PERMIT APPLICATION
1.JOB ADDRESS: 2.VALUATION OF WORK: �SQFT UNDER ROOF
5.CLASS OF WORK: 6,USE OF STRUCTURE:
4.LEGAL DESCRIPTION:
0 NEW BUILDING El DEMOLITION C%RESIDENTIAL
LOT BLOCK SUB DIVISION 0 ADDITION 0 CONVERTING USE [I COMMERCIAL
7.DESCRIPTION OF WORK� 0 ALTERATION 0 ACCESSORY BLDG. 8.FIRE SPRINKLER:
REPAIR 0 POOL I SPA 0 YES N/A
0 OTHER El N
Ike- �Cl' . -
PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER:
15.COC�NVWAME:k V, i�� 23,Cq NY NAME:
9.NAME:Jbhn CK)
16. 24.LICENSEE NAME:
QlFrRIDA LrCENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
10.ADDRESS 17.S��
18.ADDRESS: 26.ADDRESS:
FUCE Pn 9 OFFICE PHONE: NO.: 27.OFFICE PHONE: 28.FAX NO.:
LK '95777NO.:
13.CELL PHONE: 21.CELL Pr ONE:
29.CELL PH
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER:
31.NAME: (IF OTHER THAN OWNER) 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
1-N(If Agent,pow���enicy Letter Required) A I (Qualifier Only)
Signe Date: Signed: 421� Date:
B f re me is day of K2007 in the county of Before me this '7 day of 564-� 2007 in the county of
Duv St of Florida,has personally appeared Duval,State of F da,has personally appeared
herin by himself I herself and affirms that all statementg and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate. 'Ll ,County of
Notary Public at Large,State of County ofDiaL Notary Public at Large,State of
Personally Known 0 Personally Known
Pro f, - TQ_Prod�ced Identification-
ent
duced IdL�ification -------
Notary Signature:
Notary Signature: J I
K
...... K CUNNINGHAM CUNNINGHAM
State of Florida
Notary ublic
Notary Public- State of Florida
n Expires Feb 28,2010
My OMMISSIO
OMMIISSion Expires Feb 28 2]010
COMMs-Sion#DD 523638
Commission#DD 523638
National Notary Assn.
COAB FORM BLDG01:REVISED:8/2/2 OF F', Bonded By
"'WO, Bonded By National Nota:ryAssn — W�— — — —
CITY OF
B.,CA-
Office ot Building official
REQUEST FOR INSPECTION
Date —00 Permit No.
A M
Time
Received
cality
Job Ad
Owner's Wyl contractor
4 ame
N,�jjf 2'�ELECTRICAL PLUMBING MECHANICAL
BUILDING �CONCR�ETI [j Rough E Air Cond.&
Fra Ing 13 Footing El Rough Wiring El Heating
Temp Pole 0 Top Out
Re oofing [] Sewer
Slab El Final [I Fire Place
Ins lation Lintel 0 Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. F,7,da�y ��
A.M.
PM.
Inspection a e 6el�f Final inspection El
Inspector Certificate of occupancy El
Date
TUE 'F:56"X BRICK & DOOR FAX NO. 9043509646 P. 2
Nx Prick & Poor
P.O.Mv 12287
jaGkmwMIW FL 39M
L"J C. C eAfn
0 s C
JAL- (;0LdA--J-(-,e4
--41