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165 Sherry Dr (vault) CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20541 Address: 165 SHERRY DRIVE Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Boob: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est.Value: Parcel Number: —__--- -- -- --- ---- ----—-- Improv. Cost: OWNER INFORMATION--- Date Issued: 8/25/2000 Name: EASTER KELLER Total Fees: 25.00 Address: 165 SHERRY DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 8/25/2000 _ —__ _Phone: (904 744-8888 -- Work Desc: WIRE FOR HVAC_ — -- APPLICATION FEES CONTRACTORjB�_ _ PERMIT 25.00 - EARLY ELECTRIC COMPANY INC. _J -- -- Inspections R uired FINAL ELECTRIC 1 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 OWN _ "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS --- - ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. -- :25.83 145 " Date: 8i25/66 61 Receipt: 86833588 BEACH UILDIN PT• CHECKS P656 AT NTIC _N�6 88168©83�2iA�r. CITY OF ATLANTIC BEACH, FLORIDA Aovrowd or APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: '1 19°/ IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM::: /,�� MASTER ELECTRICIAN NATO RE URNEYMAN NAME n^' /'' AYZ: � 6 ADDRESS: FD BOX BLDG.SIZE BETWEEN: RES.(- "1 APT.( I COMM.( ) PUBLIC( I INDUS.( I NEW( I OLD UT/ REW.( 1 ADDITION ( ) TRAILER ( ) TEMP.( I SIGNS ( ) SO.FT. SERVICE: NEW( 1 INCREASE( I REPAIR ( ► FEE CONDUCTOR SIZE AMPS COPPER ( ALUM. ( I SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 'L o AMPS PH [j W: VOLT ��Z- -! RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 91-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES :]:BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS I NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 77T<7 7777 TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S TOTAL FEES CITY OF ATLANTIC BEACH j A„:MEr�owl ANdCAL PERMIT 804 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-SEL: 247-5828-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION I_Permit Number: 20785 Address: 165 SHERRY DRIVE � Permit Type: MECHANICAL y ATLANTIC BEACH, FLORIDA 32233 I Class of w.,.a<• DI TCOATIr1A1 T-- Ranne: 0 v. ■.^.. A, T. [I=RA� �V19 101Nf1S�lIQ: 11 a-. Proposed Vse: Lot(s): Block: Sectio •n I jT1h1Tly BEACH,cvea. \` YMi:Iv ^^'ESIL 9 I 1 II IIverwoY�I+Ob�i. Parcel Nu OWNER INFORMATION -- ' 1�---- Cost: r I Ld_aC f s,Jc-a_ ;;/.„ ; a c EASTER K€LLER T oiai Feec: 47.00 + Address: 165 SHERRY DRIVE 4 Amount Paid: 47.00 I ATLANTIC BEACH, FLORIDA 32233 Date Paid: 10/11/2000 _ Phone: (904)744-88881 Work Oesc:(INSTALL HVAC CONTRACTORS) -- APPLICATION FEES 1 MCCORMICK HEATING AND AIR PERMIT 47A0jj ki l0 �I I I 1 —inspections Required FINAL I g i B If r _ NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION I n���� NO BE PLACED IN SPACE,AND � BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS V%i... i�ni iti i NOT PUBLIC it c MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO PLY ..",m H THE C O1•STRUCTION LIEN LAW CAN RESULT IN THE PROPER—1y � OWNER PAYING 1�viCE FOR BUILDING IMPROVEMENTS" i ISSUED ACC ORDIitiv T O APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOGQT!OW, FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. r I 4 II � $47.00 141 Date: 10/12/00 01 Receipt: 8002+348 rel 111 CHECKS 15}6 A. TIC BERG 1-1. tpull- G DEPT. eel�eee3221eee I i BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32Y33 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. i. / LOCATION Sind Address: OF Infornafing Slr..W get.... And WILDING Sub-dlvlsion II. IDENTIFICATION —To be completed by all applicants. In consid...Pion 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 plant and specifications which ere a pert hereof and in accordance with the City of Jacksonville ordinances and de ndards of good.prectice listed therein. Nem.of Mechanical u""7 Conhwfon /I Centraoter (Print) ft� tit, hei4f /{l l� Masf.r Nam.of Property Owner C � s Silp fur.of Owner signature of WNW CAC�o er Authorized Aq.at Architect or Engi...r 111. GENEML INFORMATION A. Type of hosting fuel: 8• IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITET /❑ Gax—❑ V ❑ Netunl ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 13 Oil PERMIT ❑ Other—Specify IV. MBCHi NICAL EQUIPMONT TO EE INSTALLED NATURE OF WORK (Provide complete list of components on back of this farm) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed U Central 0 Flo. -❑ New Building p Air Cendrtioningt [3 Room M Control �) L Existing Building fl Dect System: Materiel_..4�I: -7' �Thickness �\. ;! O Replacement of existing system Maximum capacity c•f,m- V Now Installation(No system previously Installed) . Q Refrigeration ❑ Extension or add-on to existing system ❑ Other—Specify _ C] Cooling bear. Capacityq.pJn. ❑ Fire sprinklers: Number of heed. ❑ Efwafer ❑ Monliff ❑ Escelebr (number) THIS SPACE hOR OFFICE USE ONLY ❑,64&011110 pampa_ (number) (ROO-i-ed1 Q Tsakr (numb•rI Remarks ❑ LPG conhiaer+ (numbod ❑ Unfired pressure vessal Q Milers Pemsii Approved by Doh ❑ pµ.—'Sly Permit Fee LISP ALL EQUIPMENT AUL CONDITIONING AND REFRIGERATION EQUIPMENT pea)r wp�ai gp:ovtrW Nuafber U11111:111 Deee arlpUon Hodel Number Manubsebli r (lb .>4aoay e v HEATING• FURNACES, BOILERS, FIREPLACES VCapacity r NumberWb eaO DsipUm 1[a¢dNumber 7[aatslaaturer (�Tt7) TANKS How X-7 N—bW Capodt7 Type Liquid Nems of Serial APFrOvi"6 OW Dlmeodotea Contained Hauufactur'er No. T CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH., FL 32233-TEL: 247-5826-FAX: 247-5877 — — _ — LQGA fQN CNfORMATION PERMIT INFORMAT104 -- ---— L -- — Permit Number: 20245 Address: 165 SHERRY DRIVE Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 650.00QVIftER 1fiIFR_N[ATtt)fi�I Date Issued: 6/20/2000 Name: EASTER KELLER Total Fees: 25.00 Address: 165 SHERRY DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/20/2000 Phone: 904)744-8888 Work Desc: REPLACE WINDOWS ON FRONT PORCH 15ROPERTY OWNER PERMIT 25.0 FINAL BUILDING NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I 9267 14 Date: 6/28188 81 Receipt: U88b7388 CASH 88188883221888 ATLA 'TIC BEA H UILDING DEPT. , CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS Owner(s) Job Address: X105 Shy-rry Phone: x149 - 01em 0 �� Lot # Block or Unit # Subdivision: Contractor: jlbtnY- pt nU qzf State License # Address• I lOS S herri Ve-r Phone No: CitState A r Zip Code Describe work to be done: !R-tplaot W t r-%cl QwS 0A -Cr<)rl+ POrCk ) Present use of building: �jQSldeh��11a� �dYr�E Valuation of Proposed Construction: l� 5 0 v z7 Proposed use: «S In k►��( Is this an addition? N O If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT TRREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: /��./�®� �C� l Date: � 00 Signature CONTRACTOR: � � � �- Date: 4d AS TO OWNER: Sworn to and subscribed before me this d of ,2000. cfa Amonette NOTARY PUBLIC '., do;' `S'SbNXCC �9f lh ' DOMED AaGuat 27,��EXPII AS TO CONTRACTOR: 'ft YFAIN,W� Sworn to and subscribed before me this day of ,2000. wwce,iNc; NOTARY PUBLIC CfTY OF ATLANTIC BEACH OWNER BUILDER PERMIT AFFIDAVIT STATE OF FLORIDA COUNT`(OF DUVAL �EFORE ME I E UNDERSIGNED AUTHORITY, PERSONALLY APPEARED BEFORE ME '`/4 t 1 L� ` � WHO BEING BY ME FIRST DULY SWORN, DEPOSES AND SAYS: IAM THE LEGAL OWNER OF THE FOLLOWING PROPERTY: I(v� c�2 Y7�2cv CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489- 103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW, THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY, IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENCED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE,AND LIKEWISE REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENCED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVIS/ON OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENCED TRADES PEOPLE. " THIS DOES NOT ALLOW USE OF UNLICENCED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENCED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228( 1 ). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247-5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-9U, IL DER PERMIT. PROPERTY OWNER/BUILDER ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY F ' 00. 1 , <_ a NOTE: PHRASES UNDERLINED ABOVE Vt tr: my COMMISSION M CC T �� ARE EMPHASIZED BY THE BUILDING NOTARY PUBLIC i� '4 August 27,2000 DEPARTMENT. MY CriiNMiSSION EkPIRti: BO�D��FAIN INSURpNC�,INC. e NATIONAL CERTIFIED TESTING LABORATORIES 1464 GEMINI BOULEVARD •ORLANDO, FLORIDA 32837 • w PHONE (407)240-1356 • FAX (407) 240-8882 STRUCTURAL PERFORMANCE TEST REPORT ;l REPORT NO.: NCTL-210-21 16 1 TEST DATE: 11-11-98 REPORT DATE: 12-15-98 EXPIRATION DATE: 12-31-02 CLIENT: Seasonshield Incorporated 355 Center Court Venice, FL 34292 TES T SPECIMEN Seasonshield Incorporated's Series"7400"Double Hung Vinyl Prime Window. (H-R50)(with sill riser) TEST SPECIFICATI ON: AAMAMWWDA 101/I.S.2-97,"Voluntary Specifications for Aluminum,Vinyl (PVC)and Wood Windows end Glass Doors." TEST SPECIMEN DESCRIPTION tilt double hung vinyl prime window measuring 46" wide by 62" hi,,h o,,erall. Tl- GEr L: The specimen tested was a one-over-one •' o shoe located in each jamb track. One metal cam-t,�pe s��'e, top sash measured 41 wide by 30" high. The bottom sash measured 41-3/4"1wide by 30" high. Frame and sash members v•e•a ic`ktherm broken. Both sash Nvere removable via a double spiral balance with locking housed at each end of the top rail and interior meeting r iil. O�`e 1chcast main'f arc lock \Nas located at 8" from each end of the interior meeting rail. The metal keepers were located on the exteriormeetm�r positions. One (1) nylon tilt latch with thumb actuator was pVC jamb clip\vas located atmid-span was snap-fitted at each end of the exterior meeting rail and bottom rail. One (1) J jamb. ' 2" alvanized coated roofing_nails. INSTALLATION FASTENERS: The frame was fin mounted to the test buck using eighteen (18) S fastener diagram) g in rigid vim GL�G: Both sash were exterior glazed using 3/16 thick clear annealed lass with a silicone back-bedding and a snap- glazing bead. REINFORCEMENT: One (1) of aluminum T-shaped reinforcing channel was located i h sashp and bottom rail hollows of each sash. each (1)aluminum E-shaped reinforcing channel was located in each jamb stile hollows located at each sash stile,top rail and bottom rail. ��'EATHERSTRiP: Single strips of centerfin weatherstrip(0.300" high)were to One (1) dual-durometer comp cession bulb weatherstrip was located at the exterior meeting rail and at the bottom rail of the bottom sash, NvEEPS: N/A PROFESSIONALS IN THE SCIENCE OF TESTING e NC NATIONAL CERTIFIED TESTING LABORATORIES C1464 GEMINI BOULEVARD •ORLANDO, FLORIDA 32837 • • PHONE (407) 240-1356 • FAX (407) 240-8882 STRUCTURAL PERFORMANCE TEST REPORT '' REPORT NO.: NCTL-210-21 16-1 TEST DATE: 11-11-98 REPORT DATE: 12-15-93 EXPIRATION DATE: 12-31-02 CLIENT: Seasonshield Incorporated 355 Center Court Venice, FL 34292 TEST SPECIMEN: Seasonshield Incorporated's Series"7400"Double Hung Vinyl Prime Window. (H-R50)(with sill riser) /NWWDA 101/I.S. 2-97,"Voluntary Specifications for Aluminum,Vinyl (PVC)and %Food Windows TEST SPECIFIC Aiser) AAMA end Glass Doors." TEST SPECIMEN DESCRIPTION II. Ti- ioh 41-3/4'•aide by 30" high. Frame and sash members wcrz not therm. The specimen tested was cone-over-one tilt double hung vinyl prime window measuring 46" aide by 62 hi cam`t�j'e swec GENERAL P top sash measured 41" �vidz by 30" high. The bottom sash measured n� rail. The metal keepers stere located on the exteriorsmeeting e t'Oneadie c``ck t pivot i broken. Both sash were removable via a double spiral balance with locking tilt shoe located in each jamb track. One mea . r lock was located at 3" from each end of the interior mee _ VC jamb clip��as located at mid span of each main frac positions. One (1) nylon tilt latch with thumb actuator etas housed at each end of the top rail and interior meet was snap-fitted at each end of the exterior meeting rail and bottom rail. One (l) J jamb. ' 18) alvanized coated roofing nails. I,N TALLATION FASTENERS: The frame was fin mounted to the test buck using eighteen(18) g fastener diagram) o in rigid vim GLAZING: Both sash were exterior glazed using 3/16" thick clear annealed glass with a silicone back-bedding and a snap- glazing bead. One 1 aluminum T-shaped reinforcing channel was located in each each sash and bottom rail hollows of each sash. REINFORCEMENT: On ( ) (1)aluminum E-shaped reinforcing channel was located in each jamb stile werehollows located at each sash stile,top rail and bottom rail. NVEATHERSTRIP: Single strips of centerfin weatherstrip(0.300" high)were to cession bulb weatherstrip etas located at the exterior meeting rail and at the bottom rail of the bottom sas . One (1)dual-duromtometer P NN'EEPS: N/A PROFESSIONALS IN THE SCIENCE OF TESTING _�_ Seasonshielrl incorporated NCTL-210-21 l(-1 INTERIOR& EXTERIOR SURFACE FINISH: VVhitevinyl(PVC). INSECT SCREEN: An insect screen measuring 41"wide by 58"high was of extruded aluminum with nylon comer keys. The screen employed fiberglass mesh cloth with a hollow spline. The screen employed nylon pull tabs with aluminum retainers. TEST RESULTS PARAGRAPH NO. TITLE OF TEST MEASURED ALLOWED **2.2.1.6.1 Operating Force ,: To Sash 89 Max. 304 Top 13#Max. 30r Bottom Sash **2.1.2 Air Infiltration 2 0.30 CFM/FT'' 1.57 psf(25 mph) 0 27 CFM/FT- **2.1.3 * Water Resistance-(5.0 GPIM2) No Entry WTP=2.86 psf No Entry 2.1.4.2 Uniform Load Structural 0.02 0.164" 7" 22.5 psf exterior 0.164" 22.5 psf interior 0.035" **2 2.1.6.2 Deglazing Test Top Sash < 100% Meeting Rail (7M) 6.6% (0.033") 5.8% (0.029") < 100% Bottom Rail (70n) < 100% Left Stile (50#) 2.2% 50#) 2.6% (0.013") 0 Right Stile (501) 2.2% (0.011") < 100 ° Bottom Sasho Meeting Rail (70#) 5.8% (0.039") < 100% 6.4% (0.032") < 100%< Bottom Rail (709) o Left Stile (50#) 2.0% (0.010") 100% Right Stile (509) 2.4% (0.012") < 100% "2.1.7 Welded Corner Test Meets as stated Main frame members Meets as stated Panel members OPTIONAL PERFORMANCE **4.3 * Water Resistance-5.0 GPH/FT'' No Entry No Entry WTP=7.50 psf 4.4.2 Uniform Load Structural 0.038" 0.164" 75.0 psf exterior 0.049" 0.164" 75.0 psf interior TEST COMPLETED: 11-11-98 H IGH EST QUALITY AT T H E RIGHT PRICE The best has just gotten better! AM CO BUILDING PRODUCTS, INC., is proud to POSITIVE ACTION CAM LATCH: introduce the most popular feature in the window Heavy duty security type cam latch mounted to top industry today.THE TILT-SECURITY FEA- sash rail with integrally extruded meeting rail Ti.TRE,which permits cleaning from the inside and keeper...provides a posi- tive weather seai and out from the inside.The new C-5000 and C-6000 greater security. series(single hung window with tilt)are outstand- ing examples of MILCOS'design,engineering,and high standards of quality manufacturing. THE TILT FEATURE added to the other features and options show this window to be a .Y, real money saver when compared to other win- dows on the market today.With 1/2" insulating glass that affords a savings of approximately 35% in heat transfer... reduces sound transmission... nLT SASH: and provides economical temperature control all Sash tilts in v rds to inle- rior for easy cleaning of s• year. The Series C-5000 and C-6000 have glass exteriors. =% smooth clean sight lines... take out moving vents... accommodates all types of residential construction...and is designed to meet or exceed rt AAMA requirements and conform to HUD min- imum property standards. gw FULLY-CLOSED NAIL FIN CORNER: Simplifies flashing appli- F E A T U R E THAT BENEFIT cation and provides a more weather-resistant : EVERYDAY LIVING instauafion. Superior design and construction of the jambs, meeting rails,top rails and bottom rails(Hollows) assure maximum resistance to twist and deflection. Interior glazing with glass up to 3/16" with or without mutins or 1/2"Colonial lite type grid sys- FI tem available for single glazed or insulated glazed WEATHERSTRIPPING: AL windows.Heavy duty cam latches for additional utilized to nee the s high gent AN51/AAMA high - security. Heavy Duty Tilt Latch incorporates a performance Ic col speuncohons for water ✓��y- i resistance and air infiltm x security latch for additional security.Tubular frame eon.Quality to fed by halfscreen which can be installed from either inte- laboratory testing and in plant inspection. rior or exterior of window.Meets equal positive and negative structural load test requirements... TILT AND r SECURITY LATCH: double the requirements of AAMA for greater safe- Spring loaded heavy duty s filt latch incorporates a ty.Spiral-type balances adjust at factory for longer stainless steal security . operational life and ease of operation ofwindow. locking rem The heavyo P P buy latch is mounted on each comer of the top rail for extra security when closed and locked.Sash can be raised 2 1/2"6r night ventilation and still provide security for the homeowner. s � i Sts' a� <S f Y F ^5 , E... W I N DO W which are removable for easy replacement. 2 ` HARDWARE:MILCO Series C-5000 and C 6000 windows shall incorporate a cam type swivel lock mounted on top sash rail which CALL OUT SIZE=ROUGH OPENING y�STY engages an integrally extruded keeper in the 24 36" 44' 48" gag ICY � NET FRAME SIZE* 23' 35" 43" 47" meeting rail. 11 SCREENS:AIII.CO Series C-5000 and 36 7/16" 35'7/16" ® ® C-6000 screen frames shall be fabricated from 2030 3030 3830 4030 roll-formed tubular aluminum. Screening 52 7/16" 51 7/16" ® B material shall be No.18 x 16 mesh fiberglass. 2044 3044 3844 4044 INSPECTION:MII.CO Series C-5000 and 60 7/16" 59 7/16" � � � F1inspected window members and assemblies shall be inspected by the window manufacturer at the fac- 2050 3050 3850 4050 tory to ensure dimensional and quality control. ERECTION: Installation of MILCO 72 1/16" 71 7/16" H R R R Series C-5000 and C-6000 windows by other 2060 3060 3860 4060 than factory trained representatives shall be in accordance with the manufacturer's instruc- COLONIAL STYLE tions and recommendations. All window CALL OUT SIZE=ROUGH OPENING 24 36" 44"1 1 48" NET FRAME SIZE* 23 35" 43" 47" frames shall be installed plumb, level and square without bending,twisting or otherwise 36 7/16" 35 7/16" M ® ® ® distorting window members. 2030 3030 3830 4030 LIMITED ONE YEAR WARRANTY- 52 7/16" 51 7/16" ® ® ® ® All MILCO products are wan-anted against 2044 3044 3844 4044 defects in workmanship and materials for a peri- ® ® ® ® od of one year from date of factory shipment. 60 7/16" 59 7/16" Any defective material returned to the factory 2050 3050 3850 4050 after 10 days prior written notice will be repaired 72 7/16" 71 7/16" ® ® ® ® or replaced,at MILCO's option,free of charge, I2060 3060 3860 4060 non-inclusive of freight,installation and other costs.This warranty does not include parts that *Net frame sizes are largest overall dimension exclusive of nailing fin or flange. have been abused,misused or not used for the Window sizes and styles shown above are for descriptive purposes only,for full range purpose intended,nor parts that have been dam- of sizes and styles contact the factory or consult our price list. aged in shipments that are not the responsibili- ty of MILCO. In no event shall MILCO be t°I liable for incidental or consequential damages. SPECIFICA T I O N S There are no other express wan-antics on the 3 _ product.Any implied warranty of merchantabil General:Alumintmi single hung windows SASH CONSTRUCTION: MILCO ity or fitness for the purpose intended is limited shown on plans shall be MILCO Series C- Series C-5000 and C-6000 sash members shall to the duration of this written warranty. 5000 and C-6000 as manufactured by be fabricated to form tight butt-joints where FINISH:MILCO has no knowledge or MII.CO BUILDING PRODUCTS,INC., joined and be fastened securely with hardened- control over the location in which its products and shall conform to ANSI/AAMA Standards steel self-tapping screws.Inclosed position,sash are installed,and specifically disclaims respon- 101-88 windows and AAMA Specification shall be sealed around its entire perimeter with sibility for durability of finishes when used in 1302.5 for Forced Entry Resistance. a resilient non-metallic weatherstripping and top locations unsuitable because of salt or chemi- MATERIAL: MILCO Series C-5000 rail shall mechanically interlock fiill-length with cal air pollution.Product will be finished in fin- and C-6000 windows shall be fabricated from the meeting rail.All sash comers shall incorpo- ishes as specified by the customer, and 6063-T5 tempered aluminum alloy extrusions. rate low-friction glides which guide sash travel MILCO warrants that finishes meet specifica- FINISHED:MILCO Series C-5000 and and to permit sash take-out. tions described in product literature,but makes C-6000 extruded aluminum window members GLAZING:MILCO Series C-5000 and no claims of suitability of finish in any location. shall be finished as specified:mill finish or paint- C-6000 sash and frame members shall accom- ed in accordance with AAMA Specification modate glass thickness up to 3/16" single 603.7.Steel parts shall be cadmium or zinc plat- glazed and 1/2" insulating glass and shall be ed with a clear indite finish. glazed from interior side of window.Factory MANUFACTURED BY: FRAME CONSTRUCTION:A11LCO glazing shall be back-bedded with compound Series C-5000 and C-6000 frame members or tape meeting AAMA Specification 802.3, including meeting rails shall be fabricated to 805.2,806.1 or 807.1.Glass shall be retained _ form tight butt-joints where joined and be fas- by snap-in,non-metallic glazing beads. tened securely with hardened-steel self tapping BALANCES: MILCO Series C-5000 BUILDING PRODUCTS,INC. screws. Integral nailing fins and flanges shall and C-6000 sash balances shall be adjustable P.O.BOX P/SWAINSBORO,GA 30471 extend to form firlly closed comets where joined. 3/8" diameter spiral, torsion spring type (912)237-2282 C - 5000 AND C - 6000 DETAILS PW 1/I ORIEL PICNRE WINDOW WITH RANKERS WITH MUWIN STANDARD W 0 CONFIGURATIONS NKERS HEAD PU NG WINDOW WITH RIE FULUON USING THE ADIUSTABLE MULLION - t t N MEETING VA RAIL SIP ��ti�'r O ��� � � SILL s� p° TO 60°� HORIZONTAL SECTIONS "H"CHANNEL MULLION VERTICAL SECTIONS r- Q 0 JAMB t IF �]L "'r CHANNEL,,MULLION NET FRAME SIZE MUNTINS MODEL NUMBER DESIGNATIONS Integral horizontal true muntins STANDARD FRAME Colonial lite grids with singleglazed windows; between the glass grids WITH NAILING FIN C-6012 C-6022 with 1/2" insulated glass windows. Seasonshielrl Incorporated -2- NCTL-210-2116-1 INTERIOR R EXTERIOR SLiRFACE FINISH: White vinyl(PVC). INSECT SCREEN: An insect screen measuring 41"wide by 58"high was of extruded aluminum with nylon comer keys. The screen employed fiberglass mesh cloth with a hollow spline. The screen employed nylon pull tabs with aluminum retainers. TEST RESULTS PARAGRAPH NO. TITLE OF TEST MEASURED ALLOWED **2.2.1.6.1 Operating Force u Top Sash 84 Max. 3 0 urr Bottom Sash 13#Max. 30 **2.1,2 Air Infiltration 2 0.30 CFM/FT'- 1.57 psf(25 mph) 0._7 CFM/FT- **2,1.3 * Water Resistance-(5.0 GPH/FT') WTP=2.86 psf No Entry No Entry 2.1.4.2 Uniform Load Structural 22.5 psf exterior 0.027" 0.164" 22.5 psf interior 0.035" 0.164" **2.2.1.6 2 Deglazing Test Top Sash < 100% Meeting Rail (70T) 6.6% (0.033�.) Bottom Rail (70h) 5.8% (0.029") < 100% Left Stile (50-M) 2.6% (0.013") < 100% Right Stile (50R) 2.2% (0.011 ) < 100% Bottom Sash < 100% Meeting Rail (70 ) 5.8% (0.029') Bottom Rail (709) 6.4% (0.032") < 100% 2.0% (0.010") < 100% Left Stile (50#) o Right Stile (50g) 2.4% (0.012") < 100% i*2 1 7 Welded Corner Test Main frame members Meets as staled Meets as stated Panel members OPTIONAL PERFORMANCE **4.3 * Water Resistance- 5.0 GPH/FT' No Entry WTP =7.50 psf No Entry q q.2 Uniform Load Structural 0.164" 75.0 psf exterior 0.038" 0.049" 0.164" 75.0 psf interior TEST COMPLETED: 11-11-98 ,easonshield Incorporated -3- NCTL-2j, ** Reference parent test report no.NCTL-210-2119-1 for test results and qualifications. *Test performed with and without insect screen. This test specimen meets the performance criteria lev,.,l of H-R50 of the AAMA/NWWDA 101/I.S.2-97 specification. Detailed drawings were available for laboratory records and compared to the test specimen at the time of this report. A copy of this report along with representative sections of the test specimen will be retained by NCTL for a period of four(4)years. The results obtained apply only to the specimen tested. NATIONAL CERTIFIED TESTING LABORATORIES,INC. MICHAEL E. LANE MEL/ld �/ �l9 f Division Manager CITY OF ATLANTIC BEACH APPLICATION FOR PLUMING PERMIT JOB LOCATION: k-4' r( OWNER OF PROPERTY: TELEPHONE NO. 7 7 PLUMBING CONTRACTOR f� wS4 5jn CONTRACTOR' S ADDRESS&I?oX S-0 111-1(d 6ck, 3a---)5'0 STATE LICENSE NUMBER: W5wYl7 TELEPHONE: a4 9 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DR HOWER PANS v� -�i'� SEWER �� ATER REPIPE Q � THER TOTAL FIXTURES: .? MINIMUM PERMIT FEE - SIGNATURE OF OWNER: SIGNATURE OF CONTRAC INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 v INSPECTION PHONE LINE 247-5826 '��Jitl>r Application Number . . . . . 09-00000976 Date 7/13/09 Property Address . . . . . . 165 SHERRY DR Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------- Application desc driveway and pavers ------------------------------------------ Owner Contractor - ------------------------ ----------------------- KELLER, EASTER H. OWNER 165 SHERRY DRIVE ATLANTIC BEACH FL 32233 --------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . .00 Permit Fee . . . . 35 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/09/10 ----------------------------------------- Special Notes and Comments Roll off container company must be on City approved list and cannot be placed on City right-of-way. Sidewalk to remain plain concrete . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. , 1 CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS Ir 800 Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date 7 U PERMIT# ISSUED BY THE CITY Job Address C �� Permitee: Telephone Permittee Address: dhrm Requesting Permission to Construct: V� If y e- Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Ye/( No ( ) Date: Bell South Telephone Company Ye ( ) Date: Ferrell Gas Ye ( ) Date: Comcast Ye ( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone : 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing anv increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction In good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. it is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date:�--D 9, , nk Before me this day of In theZEE' va, SHIRLEY L. GRAHAM p y app otary Public-State of Florida State Of Flor' a, has persona appeared Nota c t L rge, tat Florida, o my of Duval. ,My ommiss n F Feb 14,2010 M, ommi io a pire '" " � ommiss�o V 518533 Pro 1W ,��conded By National Notary Assn. R.O.W. Permit Attachment of for R.O.W. Permit# issued , 200_ Atlantic Beach, FL 32233 Owner's Name: Ze'llife- Property Address: to f-r 2 Subdivision: Lot#/Block#: R.E. #: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of , 200_, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida, hereinafter referred to as "CITY" and of Atlantic Beach, Florida,hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above (copies attached). This work is generally described as: 1 /Y J r i V //Q Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30) days notice by CITY to the USER, said notice to USER shall be given by certified snail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing, or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code, and all other land use and code requirements of the CITY, including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." Page 1 of 2 The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY, be requested to submit as-built drawings showing the change within thirty(30) days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby sumed by the USER. DATED and SIGNED this day of , 2001 X By: Property Owner Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this )I'tday of 2009 pers all appeared before me, a Notary Public in "and for said County a d State, f // the of Atlantic Beach, Florida, known e to be the person ) described in and who executed the foregoing instrument; who ac edge to me r she exec same freel d v luntarily and for the uses and purposes therein mentioned. A�°oa., SHIRLEY L.GRAHAM -`c= Notary Public. Nota lic i fo aid unty and - Srate of Florida .�;WY Commission Expires Feb 14,2010 F , Commission#DD 518533 CITY OF ATLANTIC CH,FL ; a Bonded BY National Notary Assn, municipal corporation: Appro Ricky L. arper, Publi Works irector For Permits where city sidewalk is impacted, City Manager approval required: Jiro Hanson, City Manager Page 2 of 2 MAP SHOWING BOUNDARY SURVEY OF L 0 T I BLOCK -- AS SHOWN ON MAP OF p--I p �Z—e AS RECORDED IN PLAT BOOK Zf- PAGES ao OF THE c.,��N r P.+at tc ferc..ow-D.% of ����` L" Ft o• CERTIFIED TO: kKto er- , Nr-- At...ur-tca. k.jc- j' «E �afRv�c Crs l.,+L OL-T? f��cP.,�.t..� 1.1p Ttot+�>� T «E 1,-►gages.-�t� GoMPsar+�! PL."T> CD(-p laoo q_—• �� • o0 F. 6 el X STooT u �t S r �r ee..AfX a*A&C> 1 � � 0 0 fl r r e v e'oLo J A p - /./lf!� 4 o N r 5 �' oL N 9 vt FP ,.4 Lor,c. vc, t7j' p Q� C7> (✓o ��r,l PTR.RET AIVO ASSOCIATES, INC. 1710 SHADOWOOD LANE, SUITE 240, JACKSONkILLE, FLORIDA J2207 PHONE: (904) 398-4777 FAX: (904) 346-3831 GENERAL NOTES : P C. POINT OF CURVATURE LEGEND R RAMS ADk P.T. POINT OF TANGENCY A DELTA (INTERIOR ANGLE) (1) BEARINGS SHOWN HEREON ARE BASED ON P.R.C_ POINT OF REVERSE CURVE A ARC LENGTH V.j.tZ•go'oo -J Iris THt E'`-'t p.C.C. PONT OF COMPOUND CURVE C CHORD R 1 , t E oC Foo to. P.O.C. POINT ON CURVE Ca U;H6RD BEARING (2) 1HM PROPERTY HAS NOT BEEN ABSTRACTED B.R.L. BUILDING RESTRICTION UNE A�ja* CO CONDITIONER CENTER UNE CiNIC. CONCAETC FOR EASEMENTS, COWNANTS, RESTRICTIONS �p. FOUND R/W RtG4T-OF-Wkl (3) UNDEROROUNO UTILITIES SERVING THIS I.P IRON PIPE PiIOPERTV NAVE NOT BEEN LOCATED OR SSE Zo - SHOWN (4) �OPROpERTy O SHOWN HEREON UES WITHIN T X'" AS PER F.E.M.A- 4- a 12% NATHAN E. PERRET, FLA. CERT. NO. 5732 FLOOD INSURANCE RATE MAP, PANEL �� OF FOLD SURVEY CARL S. COURSON. FLA.- CERT. NO. 3129 tLov^��i , Door DATEDA 1'7-tjq to f71li i.R l2.o �, -c NOT MYO IMflJOfA Rt Sr1MM11Ali ! A�&VWM AMID X& Of A A WAW lIiY1 L iiR1lM61t t WMtM OYlgER A►Q Q' g+yA�+l sJ. City of Atlantic Beach APPLICATION NUMBER To be assigned b the Building Department.) Building Department �U� ( g y 9 800 Seminole Road �� �� Atlantic Beach, Florida 32233-5445T3 t Phone (904)247-5826 • Fax(904)247- :�D,31�r E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: S� �l'Y Department review required Yes No Building Applicant: Lo Planning &Zoning Tree Administrator �f7 �/} g i V E.to ublic Works Project: �C u is i ities 14-1\1L) 14—bb 5_)T rC,_- Iw Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. �enied. (Circle one.) Comments: BUILDING 11CIA PLANNING & ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 Public Works Plan Review Comments -7 61 Joq Initials:r' Date: �- Project Name/Address: 10 �1 U2 Application Permit#:bq-b9°7 :Check Box App7icntion Tracking�"Comments to Add ,Comment,, Provide impervious surface calculations. 6& F-f7 P�`�`'l P Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan, including Right-of-Way Permit if using ❑ right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ er Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting ❑ roper construction will be required. A Right-of-Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). All concrete driveway aprons must be 5 inches thick, 4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW(Commercial driveways—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. IT-Roll off container company must be on City approved list and cannot be placed on City right-of-way. CITY OF Office of Building Official C REQUEST FOR INSPECTION / Permit No. Date_ Time r P Received / Locality Job Addr Owner'st Contractor Name — MECHANICAL CONCRETEPLUMBING BUILDING L A Rough - Air Cond. & Framing Footing _ ou h Winn g To _ Heating Slab _ p Re Roofing _ em ole p Out _ Fire Place Final Sewer Insulation -. Lintel - Pre Fab READY FOR INSPECTION A M. Tues.ues. Wed. Thurs. Friday A.M. Inspection Made Final Inspection Certificate of cupancy Date _— - -- �A/11��� //CITY OF /� ri&4i& /3�-"tlmd4 Office of Building Official REQUEST FOR INSPECTION Date 41 Permit No. Time A.M. Received s M. V Jo dress tocality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBIN MECHANICAL Framing ❑ Footing E Rough Wiring ❑ ❑ Air Cond. & ❑ Re Roofing ❑ Slab C Temp Pole ❑ Top Out C Heating Insulation ❑ Lintel O Final ❑ Sewer ` ❑ Fire Place C Pre Fab READY FOR INSPECTIO � Pre $� Mon. Tues. Wed. Thurs. .Fri" day A.M. Inspection Made ( P.M. `X/ Inspector Final inspectiOW Certificate of Occupancy ❑ Date -7 DATE : "y PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC: AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN :LADE AND ARE SATISFACTORY: T i_�_I -i/1:2 - -L=PL---iJ�✓ ------------------- ------------------------------------------------I I ------ -------------------------------------------------- I ------ ------------------------------------------------- I ------ ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION DIVISION cc : FILE CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL, PERMIT b O 1 TO THE CHIEF ELECTRICAL INSPECTOR: DATE:. 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME IAC-1 I C {� ADDRESS: �,S C�Q�( 2t- vC{ - - RFD BOX BLDG.SIZE BETWEEN: RES.h ) APT. ( 1 comm. ( 1 PUBLIC ( ► INDUS. 1 1 NEW ( ! OLD REW. ( ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS 1 1 SO. FT. SERVICE: NEW ( 1 INCREASE ( `) REPAIR ( 1 FEE CONDUCTOR SIZE c AMPS ZOO COPPER ( 1 ALUM. ( ) SWITCH OR BREAKER 2- AMPS PH 3 W 250 VOLT %' RACEWAY EXIST.SERV.SIZE AMPS PH 3 W 30 VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 1 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0 1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PNS MISCELLANEOUS 'L_'r�en fro- Ppc ICY, TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA NO. lKVA NO.NEON TRANSF. IND. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED TOTAL FEES PSR-3844 10414 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION ------ ------ - LOCATION INFORMATION -------- Permit Number : 10414 Address : 155 SHERRY DRIVE Permit Type: BUILDING ATLANTIC BEACH . FLORIDA 32233 ^lass of Work : SHED ---- LEGAL DESCRIPTION --------- Constr . Type: WOOD FRAME Lot : 31 Block : Section: Proposed Use: SHED Township : RNG: 0 Dwellings : 0 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value: $700 .00 Improv . Cost : $0 . 00 Total Fees : $22 . 50 AmouLt Pai d : S22 . 50 -- OWNER INFORMATION ------ --- ---- APPLICATION FEES ----- Name : EASTER FELLER; PERMIT $22 . 50 Address : 155 SHERRY DRIVE WATER. IMPACT FEE $0 . 00 ATLANTIC BEACH., FLORIDA 322?' SEWER IMPACT FEE $0.04 Phone: ( 904`249-n177 WATER METER/TAP 50 .00 RADON GAS-H . R . S . $0 .00 ------ CONTRACTOR INFORMATION - RADON CAB 5% $0 . 00 Name* PRIPFRTv "WNEF CAPITAL IMPROVE. $0 .00 Address - SEWER TAP $0 .00 CROSS CONNECTION $0 .00 Type : SEC H IMPACT FEE $0 .00 CONST . SURCHARGE 50 .00 SCHARGE/ATL . BCH . S0 .0-n NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT C id€0000 0000000 >22.50 }4 Date: 71071% O1 Rcpt: 006W9 By: 1Q01000003221000 f(e�q Ap- A"(l� CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS Sc a' Owner(s) : ec&S'4t f 1\2 I Qr Address : 6� �herry :�` Phone :_ �-t-�'�� » Lot # _ Block or Unit # Subdivision : Contractor : - wN e r State License # Address : Phone No: Describe work to be done: I ' on 3����','�V Present use of building : Valuation of Proposed Construction: �?Co bo Proposed use : —1 Or Is this an addition? If yes , what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: ',--- - Date: Signature CONTRACTOR: Date: License Supplied: h� Liability Insurance: Worker ' s Compensation Insurance : X1995 Building and Zoning CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date -q l Heated Sauare Footage @ $ per sq ft = $ Garage/Shed �� @ $ per sq ft = $ V Carport/Porch k @ $ __per sq ft $ Deck V�� �@ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ ",)00-06 /j-'o <) $ J;.�0 Total Valuation 1st $ 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 S OTHER $ GRAND TOTAL DUE $�� ADDITIONAL PERMITS OR FEES: Mechanical Plumbing _ Electric/New Electric/Temp : SwimmingPool Septic Tank Well Sign___—Finish Floor Elevation Survey Other s CALCULATIONS and/or NOTES : Y !NONE MENOMINEE MENEEMMEM NONE�� 1■■■■■■■■■ ■■■■■M■■MMM■M■■■MM■WOi�t 1■�■■■■■■■ ■■■■■■ MROMMEMM■M■■■E� r ` ■■■ „ ■■ ■■r■■=1■ ■ a ON `■■ ■■■■ I■ 1 - momim ■■ ■■■ ■■a■! M■■■EN 41 ■■■ ■- ■ ME■■ EI ■ ■m■■■ ■�■ ■ ■ fMEN■■■■■1 1■■■■■i■■mmom - ■ I■■■■0■■■1 No - No M EMEN0.111 SIN 11-01 ME NMI 1■0■■■MM WE.a■i■ri■00 .Im�.� ■■ ■MI ■■■■� ■■■■■■ 1R■1 1■ �■�■��■■■■■■■■■■■■■■■■■■■►�■ 1/1■m IE ■■■■ ■I■■■Ii■1! 1 ■�,■■■■■1■ , /111 1■■� �..MI■■■ii■11 - 1 ■■■■WOMEN\1!1■�■!.►■1 I■■■■E■■■I■■Eli■11 w ME■E■■ 11l�EEE■1 IE■■M■■■■I■ ■ii■low■1i■■■i■■■■■■kri N■■1 1311111 —M MEREEM Em a” ME ol 1■■a■■ I■WO■IBM1 IE m11!'M■M■WO■■■■■\■■■■I IN IEE■EEMM■I■ME��MIIEMIIWOMMEWOME■E■••�1,WOEMI loom -MM --e RON■ ■■■ /�►q\�NMI IME!M■ Eli■ Mill■f� �N�wM . -ll■■I///�!\■1 IEE!■E■ Eli■■■■■ �- . ■E ■■ NEr/►.� \EI !ESOME���INN■Mrd- MEso • ■111 1 `i :dui■Il/I■MI 1■■IrEE�E■i■ EWO■■_ on mom - 7� 1■■__ MO NONE M _._.._ MEMO OEM MMq- I■E ■ no M � /.■/II MEN w NO 0 0111.40 1■WOE■ MEMMMMMOM EEr i'!._E■err,:i� WOWOEI A O l_ f G 10 1 ' r 7 a i N S w fs� 19 CITY OF �I�IG�s�ic /3ecc,�s 1",119 Office of BuildiOfficial _ REQUEST FOR INSPECTION Date a • L '' // oo Permit No. Al Time /� L �(" A.M. Received P.M. (.-Q 5 Job Address Locality Owner's Name 1n c �� ,/� tT �/" Contractor y PJ0_1n4rt BUILDING CONCRETE ECECTRICAt, PLUMBING MECHANICAL` Framing ❑ Footing Rough Wiring E Rough ,/�_- Air Cond. & C Re Roofing El Slab Temp Pole E Top Out a� Heating Insulation ❑ Lintel 'Final 1 Sewer =_ Fire Place � Pre Fab,- HEADY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. Inspection M e — PM. Inspector Final Inspectio Occu nC 7�' 0/77 Date 09887 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ----- - LOCATION INFORMATION Permit Number : Address ' 165 SHERRY DRIVE Permit Type: R E-Rc-)i:,F ATLANTT(I BEACH . FLORIDA 3223 � ---------- LEGAL DESCRIPTION --------- class of work ; NEW fg), � tion qype", WOC-11) FRAME Lot , B! , k *' Se Cor Tovns yip : RN Pro osed Use! SINGLE FAMILY subdivi--ion : ATLANTIC BEACH DweMngs : I code : 0 Estimated Value : $800 .4)u Improv- Cost : $o . o�., Total Fees : $22 . 5', Amount 3/ 27/ 95 PERMIT $22 . 5 0 TER !MPA, T FEE *kY DRIVE WA ACH, FLCp T' S F-wLrR IMPACT FEE T-1 w,A T Ept, X$-n—R/TAP 4 - 489 RADON GAS-H .R . S . CONTMCTOR, INFORMATICSN RADON CRE 5% Na-me - --ARL'j,,NGT1DN-BEACHES RPOFIN- CAPITAL IMPROVE . -ESF SEWEP TAP CROSS -"'�NNECTION 1�4�. TLLE . FL 32211 Type., fj SEC H IMPACT FEE -,NST SURCHARGE 0 .SHA .Avb,-, P`F ,0 izQ40 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 0 COMPLY WITH THE MECHANIC'S"FAILURE T LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT 000(*000 0o0000000 s22.5014 01 Rcpt: OMM CITY OF ALANTIC BEACH r ROOF�IINNG PERMIT APPLICATION Owner(s) : aSTZ,P Address: 2-426 OSi�1 - xel/ Phone: Lot # Block or Unit �# Subdivision: Contractor : , eU/lf67Z) Address : WC C— 'f �L. 321/ City, State and Zip �IC Phone State License Describe work to be performed: �OU� �� S S ' Valuation of Proposed Construction: OL2 °= Materials to be used: Signature of Owner; Signature of Contractor: 67 Liability Insurance Supplied Workers Compensation Insurance Supplied License Information CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033447 Date 7/12/06 Property Address . . . . . . 165 SHERRY DR Tenant nbr, name . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2565 Owner Contractor ------------------ --- --- ------------ -- ---------- KELLER, EASTER H. JOHN GILMORE ROOFING, INC. 165 SHERRY DRIVE 11647 GWYNFORD LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32223 (904) 880-8044 --------------- ---------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 68 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2565 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68 . 00 68 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 68 . 00 68 . 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 PERMIT CALCULATION SHEET Address kn&J4Z---j TDM. Date -• - • O Ideated Square Footage @ S . per sq ft= $ Garage/ Shed �-�— @ $ per sq ft= $ Carport/Porch D to @ $ per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ Ou-5 Total Valuation i st $ 1000 Remaining Value $b'per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE ZONING: _ + '/z Filing Fee $ FLOOD ZONE: ( )Fireplaces @ $35.00 $ DvTERVIOUS SURFACE: BUILDING PERMIT FEE $ �O 8 WATER RVIPACT FEE $ SEWER RvTACT FEE $ WATER MBTER/TAP $ CAPITAL IMPROVEMENT.$ SEWER TAP $ C ( )RADON .0050 $ SECTION H PAVING( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ t9� GRAND TOTAL DUE: $ 6 �. �3 r CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Routed to: µ �r i Building Department Public Works&Public Utilities Departments L. 5oer;r 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R. Carper (904)247-5800 (904)247-5834 D. Kaluzniak (904)247-5845 Fax (904)247-5843 Fax Public Safety PLAN REVIEW COMMENTS Permit Application# 6I2— 147 Property Address: Applicant: 4ha &In fo ,p G Project: (.�,rU1T This permit application has been: Approved as noted by the KWO) Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: �'�'0 J Date Contractor Notified: JUL, 0 ? 2006 = CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATIONi ' 01119) vl� I Date: /0 - -� Job Address: Aal Owner of Property: Address: /� Telephone: Contractor: I �Q v /7� / State License Number: ee C D S 7,�- 7 Contractor's Address: &&-_7D _i4i�i/ J _.sif �i:�ll �, 19� Z�-sakkte - Telephone: J_9. pv Wo-'70 V4 // Fax: /-g'D 54 Scope of Work: A��/Y��� �1llDD� /�✓1 � ('J - 4c� L� Ars Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: Product Name(Example: Timberline): ti'Y U '` t `�AY Manufacturer(Example: GAF): n ASTM Designation(s): S, /(/� !✓ L 22 49 3 ZW.�? 0. Required Inspections: Sheathing and Final Signature of Owner: � ��C O� Ir Signature of Contractor: Date: AS TO'OWNER: 14% L Sworn toa�*�4 wy#t!/y%ffore me this q day of 20 . Fjsiii, StateQ - 0' � 1 2,20 '� •�y Notary's ignatwe: *= Personally known ❑ Produced identification y #DD530221 o•Q %ndW"°P•OQ� Type of identification produced 'c�'�� / {-"1111m Off \,AS TOC Sworn to and subs\`;tll�� r a me this e1 day of 20AQ(,• \\INNS\ 11 n1_1 State of Flo` �t GpMMISS101V X� Notary's Signature:11 22I Personally known *� ❑ Produced identification •t #DD53p2211� Q \ Type of identification produced STAn OF\\`�O \0 Seminole Road :Fagant90Be247�8I451a ht 32233-5445 23 www ci.atlantic-beach.fl.us 1111111> Phone: (904)247-5800 ( ) P Page 1 Revised 2011/03 Feb 10 05 02: 18p Piper Turner 904-270-2432 P•2 Permit Number Tax Folio Number NOTICE OF COMMENCEMENT STATE:OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be mad to certain real property,.iW-ih accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. L Description of property: f tl � /2 2. General description of improvement: �-/ B q 3. Owner information: 1. Name and Address: 2. Interest in property: SNE 3. Name and address of fee simple titleholder(other than owner): 4. Contactor's Warne attd addressW. y a. Phone number: b. Fax number:���b�S/ g37(.g 5. Surely Information: 3222.3 a. Name and address: b. Phone Number: c. Fax Number: d. Amount of Bond: 6. :Lender's name and address: a. Name and address: b_ Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents maybe served as provided by 713.12(l)(a),Florida Statutes. a. Name and address: b. Phone number: c. Fax number: 8. In addition to himself/herselC owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b),Florida Statutes. 9. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of Recording unless a different date is specified) Signature of Owner- � L Sworn to and subscribed before me this day of Notary: Known personaQ shown: ------ wW fy My commission expires: .tllt:�M�sS'oNF�•y� . Qct 0 '-o F�•• Doc#2006236490,OR BK 13375 Page 1992, Number Pages:1 =*• #DD530221 "e�*_Q Filed&Recorded 07/07/2006 it 11:01 AM, JIM FULLER CLERK.CIRCUIT COURT DUVAL COUNTY :.-:I- ::A•y I, %I-d.014 � • Q OftiXanca � RECORDING$10.00