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357 - 359 Sherry Dr (vault) ADDRESS BUILDING PERMIT NUMBER a/ INSPECTIONS: FOOTING UNDER SLAB PLUMBING SLAB. FRAMING � d COVER-UP `/b 7 `, INSULATION //-J -3 �� 3 FINAL BUILDING //- ' a. ��� /� �✓ CERTIFICATE OF OCCUPANC L�-3 ELECTRICAL PERMIT # / 7a y:Z INSPECTIONS ROUGH g'/ l°'-g-3 FINAL MECHANICAL PERMIT # / �� 019 PLUMBING PERMIT # NOTES: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 06-00034045 Date 10/10/06 Application Number 357 SHERRY DR Property Address . . . . . . Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . 0 --------- ------------------------------------- Application desc MISCL REPAIR -------------- --------- ---- Contractor Owner -- ---------- ACTION ELECTRICAL OCCUPANT 357 SHERRY DRIVE 3225 WAVIER FL 32233 JACKSONVILLE FL 32204 ATLANTIC BEACH (904) 384-3466 ----- ---- Permit • ELECTRICAL PERMIT Additional desc - Plan Check Fee . 00 Permit Fee . . . . 70 . 00 0 Valuation Issue Date • • • . 4/08/07 ---- ------- Expiration Date -------------- --- ------- ----- -summary g- -Charged Paid------------ Credited Fee -- Due -- _ ---------- ------- . 00 . 00 Permit Fee Total 70 . 00 70 . 00 . 00 Plan Check Total 00 . 00 . 00 70 . 00 . 00 . 00 Grand Total 70 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. f l` CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Property Address: Owner: 'Telephone#: Contractor: � ..� Telephone#: Contractor Address: Fax#: Contractor Si ature In consideration of permit given for doing the work as Jescribed in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: 1f other construction is ❑ N40W ❑ Residence ❑ Temp. ❑ New being done on this building Cl-'Old ❑ Commercial ❑ Signs ❑ Increase Or site,list the building Permit number: ❑ Re-wire ❑ Addition Sq.Ft. u--'Repair Conductor Size: AMPS: COPPER ❑ ALUMINUM Switch or D RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED Ali- OPEN i Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances i TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fag: (904)247-5845• http://www.ci.atlantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD t ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033953 Date 10/03/06 Property Address . . . . . . 357 SHERRY DR Application type description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 28000 ---------------------------------------------------------------------------- Application desc remodel drywall,paint insulation ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OCCUPANT HOWARD CONSTRUCTION LLC 357 SHERRY DRIVE 1201 KINGSLEY AVE ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073 (904) 541-1112 ----------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee 170 . 00 Plan Check Fee 85 . 00 Issue Date . . . . Valuation . . . . 28000 Expiration Date . . 4/01/07 ---------------------------------------------------------------------------- Special Notes and Comments INTERIOR DRYWALL ONLY;NO ELEC;NO PLUMB;NO MECH WORK PERMITTED ---------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -------- Permit Fee Total 170 . 00 170 . 00 .00 .00 Plan Check Total 85 . 00 85 . 00 . 00 .00 Grand Total 255 . 00 255 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Doc#2006331916,OR BK 13537 Page 101 Number Pages: 1 Filed&Recorded at 11:31 AM, ri3TICE of CD 1gCB=NT JIM FUER CER�RCUIT COURT DUVAL COUNTY ?WMdY10t]PLICAW RECORDING$10-00 Tax Fo110 No.. Pem-A No. County of-- state of — } To whom It may concern: property,and In ! The undsrslgned hereby lntorms you that tmpr"smOnta will be made to certain nal accordance WithSection 713 of the glorlds at.stutes,Sts toitowing lnforrnatlon la agtsd to this NOTICE OF COMMENCEMENT. _ _ (' > a1 desalption of pwpehy being Improved: 5 — N 2b'u l Address at property bsbV Unproved: Np3 Go eral dendption or Improvements- Owner ■�` „�„i - Address Owner' a interest In elle of the imisroveme►1t , Fee Simple Titleholder(if other than owner) Name Address Contractor Dl Address 2d2 � Fax No. nLi 5yf Phone No. Surety of any Amount of bond$ Address Phone No. Fax No. Name and address of any person making a loan for the Construction of the improvements. t Name Address Phone No. Fax No Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address 4 Phone No. Fax No. , ollowing person to receive a Copy of the Lienor's Notice as provided in In addition to himself,owner designates the f Section 713.06(2)(b),Florida Statutes.(Fill In at owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the 8XIMrstion date is one(1)year from the date of recording unless a different date B specified): THIS SPACE FOTt RECORDEWS USE ONLY OWNER - ��, ilore dee o �.�1� in ,r� J s OountY �q of ptxsr��ye t tori petsaiatfy appeared EONIA 1 `T'ORREW 11 ��r�� ray. s rl • z� PIMZJC ROTARY MY COMMISSION EXPIRES JULY 34,2f)f39 t4otsry pubgo at targe,State of FWkIs.County of Doom I&commission expires: '-W-Mc•� Personaltv Kncwn CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Rou \, y Makowski i' Building Department Public Works&Public Utilities Departments Ins 800 Seminole Road 1200 Sandpiper Lane S.Doerr 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 # y -3 385-3 Property Address: ��7 fir/ ✓�. Applicant; Project: - l-�Tf442. 2fMe06 L This permit application has been: ` NO a K_e J-+b Approved as noted by the gol"h Department. /1/0 rtom Final application approval must come from the Building Department Reviewed and the following items need attention: J r � i r s I�" Please re-submit your application when these items have been completed. Reviewed By: &L Date: 216 12 45 _ Date Contractor Notified: �-d 5t89-ZtZ-b06 SuaeiSAS uoileuaao)ul dge:ZO g0 ZZ de;m CITY OF ATLANTIC BEACH BlUILDING PERMIT APPLICATION S7 +,,ITY OF ATLANTIC E3EACh (Interior Remodel) �EP 2006 BUILDING OFFICE OCT O 2006 Date: y; �� �vrtl1✓L Job Address: ll Owner of Property: _ PO pQ�i�l - Address:. Z_�� S���y fl��f A%-��l —_ _�� 3 Telephone: �ge�)2��¢L' � Legal Description: Block Number: Lot Number: 3 2 3 Zoning District: C Contractor: 1.c LO m LL-C State License Number: C6L v 05 0 5 29 Contractor's Address: 0--01 Telephone: 00(4 1 —1112— Fax: (Cina) C q 10 3 Describe proposed use and work to be done: --W j f 1) q Bl 119M-2— LL L T1 LL- Present Present use of land or building(s): Valuation of proposed construction: N l New electrical or increase in service? Add plumbing fixtures? A Add fireplace? A'G Add heatingtair conditioning? "T,L Is approval of Homeowner's Association or other private entity required? 6.)o If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as aauronriate. Incomplete applications may result in delay in issuance of permit. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two(2)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 ti 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. 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atiantic-beach.fi.us Revised 1/04 Page 2 I hereby certify that all information provided with this application is correct Signature of Property Owner:_ �(Y Date: T I 1 A I hereby certify that I have read and examined this application and know the same to be true and correct- All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the pians and supporting data have been or shall be provided as required. Signature of Contractor. Date: y e'z Address and contact information of person to receive all correspondence regarding this application(please print). Name: ' 4 Mailing Address: 1 LrOAW / Telephone: `�` I —I I I Z ax: t'J `�` _l � UMaih 1'1C'U;C_l t'c4 �t(t'(, j,�' .Wd V I VIYZ_1 rl e f " AS TO OWNER: Sworn to and subscribed before me this `� day of S� be� ,20 0 ayut v4-,t� 4- rp, 4 State ofF�7i a,County of-Dual Notary's Signature: SONdA u. TORRES Personally known NOTARY PUBLIC Produced identification MY CUMMESSIM EXPIRES JULY 31,2009 Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this ( � day of� �r'1. - >20 �. State of Florida,County of Duval NAtey Public State of Florida Notary's's Si ature: _'lot 4nnll9f Koski Mi}U®fntriiuron DD486124 Personally known €di lfa 10121/2009 [] Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Page 3 Revised 1/04 r J r� CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: �J 0 Job Address: m-1 sm ve 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 IlvTROVE 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 MUSI 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 J�NLICENSED PFRSON 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 LH<EWISE 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 HM UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DMECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE-" THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKEWS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES- UNLICENSED RADES.UN ICENSED 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-BUILDER PERMIT. PROPERTY OWNERIBUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS `I DAY OF 5 zd CL NOTARY PUBLIC MY COMMISSION EXPIRES: SONIA 1. TORRES NOTARY PUBLIC MYCOMMISSION EXPIRES,JULY31,W CITY OF ATLANTIC BEACH s PLAN REVIEW SHEET Rou Makowski Building Department Public Works&Public Utilities Departments ins S. Doerr 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R. Carper (904)247-5800 (904)247-5834 D. Safety (904)247-5845 Fax (904)247-5843 Fax Publlicic S Safetty PLAN REVIEW COMMENTS Permit Application# Q -3 39.5- Property Address: Applicant: Project: )1--?iT£ieAe 'o L This permit application has been: ❑ Approved as noted by the Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: I � t r r Please re-submit your application when these items have been completed. Reviewed By:—4� Date: Date Contractor Notified: HP Officejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 Sep 22 2006 2:36PM Last Transaction Date Time Type Identification Duration Pages Result Sep 22 2:36PM Fax Sent 819045411103 0:29 1 OK ; vQ r6 - 03IA3V p N n , O K O CD _O �j Z O� o mm72. t nn ,, ; ( c' <i --- - - r — IC - y � 1 1 1 S i Y i e` i S R i L�2K 2-/u•` .i Ic- ., t _. _ .__ 6 PSC •— � ;� TE.� _ 73 14 i �1 i �h,> �7•G o f �`\ � �i l u t t ;v, t 1 1 J • � u 1 z.. f ` o w c_ •obi=. , m r IreL. 4 o UI I_ ' . _- - -�-.-----_ -------_-tet _ i 4 1 ` 1 f � woo VfVi 1 E ' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000628 Date 5/06/09 Property Address . . . . . . 357 SHERRY DR Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------- Application desc 1 cu 1 ahu --------------------------------------------- Owner Contractor ------------------------ POPPELL OCEAN STATE HEAT & AIR, INC. 357 SHERRY DRIVE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------- Permit MECHANICAL HVAC PERMIT Additional desc . Permit Fee . . . . 79 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/02/09 ------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- --------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 07ww�3�7 CITY OF ATLANTIC BEACH _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 0 OFFICE:(904)247-5626•FAX NO.:(904)247-5845 i BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: ;-2-IS THIS,A SUB PERMIT:' 3.DATE_. ONO I ❑YES PERMIT#: � �O A'ian_-c Beach, FL J4_ PROPER fWGWNER: t c-NAME 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: WECHANICAL:CONTRACTOR: T ' 7.NAME OF COMPANY: E.ADDRESS.. ,r N76 A4�azX.';0i C, d1 v4. 14,c a fz v� d«1, F t 3z 5.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: ZYS-.9F-F 12.EMAIL ADDRESS 13.OFFICE PHONE: 14. ZY4-8zrl Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIG .15.CLASS OF-WORK 16 BUILRING. ❑NEW INSTALLATION ❑ NEW IXR 6 FLORIDA BUILDING CODE- ItREPLACEMENT OF EXISTING SYSTEM CXEXIS NG E] COMMER IAL MECHANICAL El ALTERATION/ADDITION TO EXIST SYSTEM ElREPAR ❑OTHER MECHANICAL EQE-INSTALLED: 19. HEAT: ❑ SPACE ❑ RECESSED AT CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM CENTRAL 21. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22. REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: 9Pm 24, FIRE SPRINKLER: NUMBER OF HEADS: 25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING 29. GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: = �1 atmCOOIsiNo-GtEQUiPMENT a tits -: AIR"COI�DTIfl�NNINGjREFRIGERATCtEQ7JIF.MENf'CGNDENBORS,ETC.':- f-•- NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY z. :32.HEATING F�IUIRMENT4 # , FURNACES.BOIL'ERS FIREP.lACE5_'AIR HANDLERS�ESC. — APPROVING UUNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY OF UN 77777ROW h. 3-3.1 ANKS, .., _. TYPE LIQUID APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY COAB FORM BLDG04:REVISED:911312007 05/06/2009 07: 19 FAX 9042498949 OCEAN_STATE-A/C + ATLANTIC-BEACH Igoovooz CITY OF ATLANTIC BEACH 07- !/ `0 AW 6EMINOLE ROAD.ATLANTIC BEACH,FL 92259 (� nJ OFFICE,!P(+A17A7•ti0z�A rAx NO:.IiDn1247-51w:, ` � BUILOING-DEPTOCOA&LIS ', v MECHANICAL PERMIT APPLICATION DUvAL COUNTY 1..JOB-ADDRESS: "i• Nd 13:A$f1�P -3:=D 7,5't.,. ,3T-7OYEES PERMITS '/`�'' NS"( (O 0 ! s�� hl`l�ir BE C11 Fi 3;t30 7. 4.NAME; b.ADDRESS IF DIFFERENT PROW.Me ADDRESS: 5,PHONE; 7.NAME OF COMPANY: 5 S ' Ar / e_ BtvD. yzZ 5.STATE OF FLORIDA LICENSE NO: 10.CELL PHDKEE 11 FAX NO 19.[MAIL ADDRE9_: 12,O"ICE PHONE 1,• aY4—Aarl Applica6an is hereby made to obtain a parmit to do the work and installations es indicated. I certify that all work will be performed to meet the stsndardS of an Jaws regUISVng constrUrdon in thls)urtadictlon. This permit becomes null and void It work Is not Commenced within six (6) months,or if construction or work is suspanded or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIG ��9fb:.CLskS6 K;•`�" �...-,�:.k 161•- '1"'� ' WI •:,:i:.. ; ❑NEW INSTALLATION ©NEW R 6 FLORIDA BUILDING CODE- IIfREPLACEMENT OF EXISTING SYSTEM AXIS NO D COMMER IAL MECHANICAL L7 ALTERATION I ADDITION TO EXIST SYSTEM P, ❑OTHER O REPAI ^AA CH L.E0AAPMEW-,Twj1E•tNSTALI ED r g:-+,c'.;.°"', 19.HEAT: L7 SPACE 0 RECESSED CENTRAL 0 FLOOR BURNERS: 20.AIR CONDITIONING: 0 ROOM 1p CENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: cfm 22.REFRIGERATION: MAX CAPACITY: Orn 23.COOLING TOWER: CAPACITY: gnm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR MANLIFT: ESCALATOR: AUTOLIFT: 26,COMMERCIAL HOOD NUMBER: 27,FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑PUMP Q WELL [3 PIPING V 20.GAS PIPING: LIOR TLETS; ❑GAS AHU: 0 GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEMINO.fIOM.ER7,UNFIRED PRESSURE VEWEL,HEAT EXCHANOER OTHER R6AAfi: OR COIL IN OUCTS Etc. 15r�5�b f APPROVING IN [101F rzR OFSCRIPTION MODEL I MANUFACTURER TONS AGENCY �; ',CT' hl:q,�• '1 ..I. •'S-�. ..� t yT.�AYy•� '�R�;:d� j.ry APFKUVINU F0 % OE6CRIFTIONMODELS MANUFACTURER BTUAGENCY GALLONS CONTAINED MANUFACTURER SERIALS AGENCY COAe FORM eWOWW FIEVIs2o:an2=0 CITY OF ATLANTIC BEACH ' 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ' V INSPECTION PHONE LINE 247-5826 Application Number . . . 09-00000639 Date 5/07/09 Property Address . . . . . . 1817 N SHERRY DR Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------- Application desc 1 cu lahu ------------------------------------------------ Owner Contractor - ------------------------ ----------------------- MCDERMOTT, WALTER OCEAN STATE HEAT & AIR, INC. 1817 N. SHERRY DRIVE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ------------------------------------------------ Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/03/09 -------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 05/07/2009 08A2 FAX 9042498949 OCEAN_STATE-A/C i ATLANTIC-BEACH it001/001 CM OF ATLANTIC BEACH 09- wo"MINOLF ROAD.ATLANTIC MACH.FL 32733 OFFICE.(vo4)247-9026 a FAX No..(904 l2A?%" RUILDING-MPTOCOAS US ell 1`1'� MECHANICAL PERMIT APPLICATION DUVAL COUNTY 0*1111dapilikill ..". L'': -, � . ;DAIWA 0--,:K°Wt= i S"ITY Gil "ll 0 YES PERMIT kill WK, 740awliffloa "77 n.% A,NAME 0 ADDRESS IF DIFFERENT FROM JOB ADDREN WAOI -1 ZVI -31l &'ll co &."W 7 U, ADDRESS 7 NAME OF COMPAl 7 ILI Af(till 'giad...— +U� 11 FAX NO. 9 STATE OF FLOl LICENSE NO 10 CELL PHONE' 12 EMAIL ADDRESS. 13 OFFICE PHONE. arF-)w ri Application Is hereby 1111111108 to obtain 9 WiTill to do the work and Irlitellsoons as k4ceted. I certify that all work will be performed to most the oil -nd -Y010 0 If w ril ill not commenced within six(6) stanil Of 311 lavA regulating construction to this jurisdiction This permit be-ODMSl morift,or if cwstructlon or vol Is suWarroad of abandoned for a parlod of six y mea r 5 CONTRACTORS SIGNA L]NEW INSTALLATION 0 NEW ID R EN L rLORTOA BUILDING COl REPLACEMENT OF EXISTING SYSTEM OrEXISTING Q COMMER -­iw=MECHANICAL 0 ALTERATION I ADDITION TO EXIST SYSTEM [3 OTHER 0 REPAIR 19.HEAT: 0-SPACE 0 RECESSED CENTRAL C]FLOOR BURNERS:. CENTRAL 20.Alk CONDITIONING: 0 ROOM THICKNESS: MAX CAPACITY: dim 21..DUCT SYSTEM: EM: MATERIAL: —22.REFRIGERATION: MAX CAPACITY: CIM 23,COOLING TOWER: CAPACITY:—9P- 24.FIRE SPRINKLER, NUMBER OF HEADS: 26.UFT SYSTEM; p— — ELEVATOR: MANLIFT; ESCALATOR: AUTOLIF7: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: L3 PUMP 0 WELL —C PIPING 29.GAS PIPING: #OF OUTLETS:_ 10 GAS AHU: o GAS WATER HEATER: So.OTHER-SPECIFY. SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL.HEAT EXCHANGER OR COIL IN Ol ET! VALVE FOR OTHER ITEMS .A NG NUMBER DESCRI MODELS MANUFACTURER TONS AGENCr OF UNITS 2-rd`94 J,3.AZZJ`7 ALUM& ld till HEATER: OF UNITS DESCRIPTION Moil MANUFACTURER BTU AGENCY UNIT I x4­1 I /3 ........ ----- At' INLI ,'Aft PIE LX2U]U E &NCY MANUFACTURER S RIAL* &C ENUMBER C-- NED al POWU APIIl MOM REVISED 120 al . <eRnHIDED y* F;,,: ��f^• CITY OF ATLANTIC BEACH 09_ I I ,';, :; �:•.,, 800 SEMINOLE ROAD.ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 ?i BUILDING-DEPT@COAB.US : °-`F MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: s 2.'IS THIS A SUB PERMIT: I DATE: ONES PERMIT#: 'PROPERTY OWNER: 5,ADDRESS IF DIFFERENT FROM JOB ADDRESS-, 6.PHONE. 4.NAME: 2," —,3YIrl MECHANICAL CONTRACTOR: . 7 NAME OF COMPANY BADDRESS., r✓ 1�,�]� N '�-�ytp� ��p. ,�226L C�c�.rl i¢-r✓- N7(0 /4+(� 7 �t 10.CELL PHONE: 11.FAX NO.: !(+ 9.STATE OF FLORIDA LICENSE NO: D 2 C7 I—SS V 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. Zf`i -$LTI Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null nd void if work is not commenced within six (6) months,or if construction or work is suspended or abandoned for a period of six ny ime a er r is c d. CONTRACTORS SIGNAT E: 15.CLASS OF WORK: 16.BUILDING: 1 ERVICE: 18.CURRENT CODE: ❑NEW INSTALLATION ❑ NEW R EN L ❑ 'O6 FLORIDA BUILDING CODE— ;q REPLACEMENT OF EXISTING SYSTEM EXISTING [I COMMER MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑ OTHER ❑REPAIR MECHANIGAL`EQUIpME1JTTO BE INSTALLED: 19. HEAT: ❑ SPACE ❑ RECESSED CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM J;CENTRAL THICKNESS: MAX CAPACITY: cfm 21. DUCT SYSTEM: MATERIAL: 22. REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: .9PM 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26,COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRI!VESSEL, ION: ❑ PUMP ❑WELL ❑ PIPING 29.GASING: #OF OUTLETS: ❑GAS AHU: El GAS WATER HEATER: 30.OTHSPECIFY: SOLAR HEBOILERS,UNFIRED PRESSURE HEAT EXCHANGER VALUE FOR OTHER ITEMS:OR COIL INS ETC ' COOLING EQUIPMENT: AIR CONDITIONING REFRIGERATION EQUIPMENT'CONDENSORS ETC. APPROVING NUMBER MODEL# MANUFACTURER TONS AGENCY OF UNITS DESCRIPTION Y �� z 2-IO&4 . B2zf7 32.HEATING EG7UIPMENT: + FURNACES BOILERS FIREPLACES AIR HANDLERS ETC. DESCRIPTION MODEL# MANUFACTURER BTU AGENCY OF UNITS r�� 3 L2,[ 33:TANKS: APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERI AL# AGENCY BLDGD4 Permit Applicaton Mech:REVISED:1 211 812 0 0B - - - NOV-22`93 NON 12:49 I D:ASSOC LAND TITLE TEL [,10:904 731 1425 �j#83'+ F' c' NOTICE OF COMMENCEMENT �(n ( �" Building Permit No. Y017 7 0 8 P60 3 7 2 Tax Folio No. 16�� `� U J I STATE OF FLORIDA COUNTY OF DUVAL (Do not write in this blansWEaICIAL RECORDS Reserved for recording purposes only). THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property•and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of Property:(Legal description of the property and street address, if available). A PART OF LOTS 33 AND 35, BLOCK 5, PLAT NO. 1 SUBDIVISION "A" ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5,PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, TOGETHER WITH A PART OF AN UNNUMBERED TRACT LYING WESTERLY OF SAID LOT 35 TO THE EASTERLY LINE OF SHERRY DRIVE, ALL OF WHICH IS MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF REFERENCE COMMENCE AT THE INTERSECTION OF THE NORTHERLY RIGHT OF WAY LINE OF THIRD STREET (A 40 FOOT RIGHT OF WAY AS NOW ESTABLISHED) WITH THE EASTERLY RIGHT OF WAY LINE OF SHERRY DRIVE, FORMERLY OLD SHERRY DRIVE (A 60 FOOT RIGHT OF WAY AS NOW ESTABLISHED); THENCE NORTH 12 DEGREES 23 MINUTES 10 SECONDS WEST,ALONG SAID EASTERLY RIGHT OF WAY LINE OF SHERRY DRIVE, A DISTANCE OF 177.68 FEET TO THE POINT OF BEGINNING; THENCE CONTINUE NORTH 12 DEGREES 23 MINUTES 10 SECONDS WEST, ALONG SAID EASTERLY RIGHT OF WAY LINE, a DISTANCE OF93,.63 FEET;THENCE NORTH 83 DEGREES 42 MINUTES 00 SECONDS EAST,ALONG THE SOUTH LINE OF THE LANDS DESCRIBED IN OFFICIAL RECORDS VOLUME 6093 PAGE 1553 OF SAID PUBLIC RECORDS, A DISTANCE OF 97.28 FEET TO THE EASTERLY LINE OF SAID LOT 33;THENCE SOUTH 06 DEGREES 18 MINUTES 00 SECONDS EAST, ALONG SAID EASTERLY LINE OF LOT 33, A DISTANCE OF 53.33 FEET; THENCE SOUTH 83 DEGREES 42 MINUTES 00 SECONDS WEST, A DISTANCE OF 91.59 FEET;TO THE POINT OF BEGINNING 2. General Description of Improvements: Single Family Construction y 3. Owner Information: ^ a. Name and address: Mark J. Kredell 1930 San Marco Blvd. Jacksonville, Florida 32207 t b. Interest in property: Fee Simple Lr' c. Name and address of fee simple titleholder(if other than owner): m 4. Contractor: (name and address) Mark J. Kredell 1930 San Marco Blvd, Jacksonville, Florid a 32207 o tW5; Surety: sir w a. Name and address: b. Amount of bond S brn C) 6. Lender Information: -`- a. Name and address: Q�� 47" Sun Bank/North Florida, National Association i'5' Cn 200 West Forsyth Street <�xr• X Jacksonville, Florida 32202 r-in %-0b. Designated Contact: Darlene RiQ¢s r " '- 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7„Florida Statutes: (Name and address) David L. Brinkmeyer Sun Bank/North Florida,National Association 200 West Forsyth Street Jacksonville, Florida 32202 B. In addition to himself, Owner designates David L. Brinknteyer of Sun Bank/North Florida, Natgnal W Association to receive a copy of the Lienor's Notice as provided in Section 713.13(a)(b),F14Ii m 4 9. Expiration date of Notice of Commencement(the expiration date is One (1)Year from the date of mling c unless a different daft is specified). Other expiration date: Ctn rBY: Signature fflof Owner Mark J. Kredell o SPATE OF FLORIDA COUNTY OF DUVAL This foregoing instrument was acknowledged before me this 20th day of October. 1993,by Mark J. Kredell, on his behalf. He is personally known to me. Prepared By and Return To: F. Darlene Riggs otary Publi T A STRICKLAND Sun$ank/North Florida State of Florida at urge 200 West Forsyth Street My Commlts�^�{,`ir'k 10-23-94 Jacksonville, FL 32202 My Commissfon-Nymbor io. 'GC 0"512 a io�L.*�•���� Notary Pubtle.SfNe of norlds ^ fAHNYA StRICKUND •I . ;!< Mr,Comm,lisp.Oct.2S.1994 i'•., ,,.�,' Comm. UIQ.CC 059512 off• o NOTICE OF COMMENCEMENT VOL7 613 PGO 910 Building Permit No. Tax Folio No. 169825-0000 3 s 7 STATE OF FLORIDA S ,� Q OFFICIAL RECORDS COUNTY OF DUVAL (Do not write in this blank area Reserved for recording purposes only). THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement. L Description of Property: (Legal description of the property and street address, if available). SEE ATTACHED EXHIBIT "A" 2. General Description of Improvements: Single Family Construction 3. Owner Information: a. Name and address: Mark J. Kredell 1930 San Marco Blvd. Jacksonville, Florida 32207 tID b. Interest in property: i j r- Fee Simple M � C. Name and address of fee simple titleholder(if other than owner): [C EC W N V\2F - Nk4. Contractor: (name and address) ea y¢ , Mark 1. Kredell 1930 San Marco Blvd. \�w m Y Jacksonville, Florid a 32207 Q til A CD 5. Surety: N Vr Q a. Name and address: b. Amount of bond S 6. Lender Information: a. Name and address: Sun Bank/North Florida, National Association 200 West Forsyth Street Jacksonville, Florida 32202 b. Designated Contact: Darlene Rigs 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: (Name and address) Robert W. Alexander Sun Bank/North Florida,National Association 200 West Forsyth Street Jacksonville, Florida 32202 8. In addition to himself, Owner designates Robert W. Alexander of Sun Bank/North Florida, National Association to receive a copy of the Lienor's Notice as provided in Section 713.13(a)(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). Other expiration date: MARK J.KREDELL BY: Signature of Owne Mark J.Kredell STATE OF FLORIDA COUNTY OF DUVAL This foregoing instrument was acknowledged before me this 25"day of lune, 199 by Mark J. Kredell,on his behalf. Ile is personally known to me and did not take an oath. Prepared By aYmI X7 \����� J\\,t`R.081 F. Darlene Riggs `� .•'t�• S7 2 tSSIONF Not y P i a �P'oaf ko'" �' State of a at Large SunBank/North Florida ��:Av ,BER 2� �;�; 200 West Forsyth Street _ ; o' Co {1.i My Com sion Expires: Jacksonville, FL 32202 = N " My Comm fission Number is: ��`�•' #CC 229742 13 P00 9 1 1 OFFICIAL RECORDS EXHIBIT"A" A PART OF LOTS 32,33,34 AND 35, BLOCK 5,PLAT NO. 1 SUBDIVISION"A"ATLANTIC BEACH,AS RECORDED IN PLAT BOOK 5,PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA TOGETHER WITH A PART OF AN UNNUMBERED TRACT LYING WESTERLY OF SAID LOTS 34 AND 35 TO THE EASTERLY RIGHT OF WAY LINE OF SHERRY DRIVE,ALL OF WHICH IS MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF REFERENCE, COMMENCE AT THE INTERSECTION OF THE NORTHERLY RIGHT OF WAY LINE OF 1111RD STREET(A 40 FOOT RIGHT OF WAY AS NOW ESTABLISHED)WITH THE EASTERLY RIGHT OF WAY LINE OF SHERRY DRIVE, FORMERLY OLD SHERRY DRIVE (A 60 FOOT RIGHT OF WAY AS NOW ESTABLISHED); THENCE NORTH 12 23'10" WEST, ALONG SAID EASTERLY RIGHT OF WAY LINE OF SHERRY DRIVE, A DISTANCE OF 124.04 FEET 71'0 THE POINT OF BEGINNING; THENCE CONTINUE NORTH 12 23'10" WEST ALONG SAID EASTERLY RIGHT OF WAY LINE,A DISTANCE OF 53.64 FEET;THENCE NORTH 83 42'00" EAST, A DISTANCE OF 91.59 FEET TO THE EASTERLY LINE OF SAID LOT 33, THENCE SOUTH 6 18'00 EAST,ALONG SAID EASTERLY LINE OF LOT 33,A DISTANCE OF 26.67 FEET TO THE SOUTHEAST CORNER OF SAID LOT 33, THENCE NORTH 83 42'00"EAST,ALONG THE NORTHERLY LINE OF SAH)LOT 32,A DISTANCE OF 15.25 FEET;THENCE SOUTH 06 18'00"EAST,A DISTANCE OF 26.67 FEET; THENCE SOUTH 83 42'00" WEST, A DISTANCE OF 101.15 FEET TO THE POINT OF BEGINNING. zr O—Jr„ I <c1' O rmz- -�z O F)t--' CO Coni �c rT—C'r.,r O � n w rn �11 ID r CJ CIt ,IAfE OF FLORIDA DUVAL COUNTY I.UNDERSIGNED Clerk of the Circuit&County Courts, Duval County,Florida.DO HEREBY CERTIFY the within and foregoim;is i true and correct copy of the original as it appears on record and 1 ile in the office of the Clerk of Circuit&County Courts of Duval 'county,Florida. WITNESS my hand and seal of Clerk of Cir uit&County Courts Tt Jacksonville,Florida,this the�day of A.D.,19f. HENR C00K Clerk, Circuit and County Courts Duval County. Florid< —`J Deputy Clerk CITY OF 14 Office of Building Official REOU EST FOR INSPECTION" ^/S Permit No. Date Time p,M, Received 67 lity i Ad es Owner's CONCRETE ECTRICAL- MING HANICAr Cond. & Footing ❑ ough Wiring ❑ R P Out �Heating Framing ❑ Slab ❑ Temp Pole �❑'dire Place ❑ Re Roofing ❑ Final ❑ Sewer pre Fab Insulation ❑ Lintel READY FOR INSPECTION A.M. �./E� 61% �FD Friday P.M. t r ed. Mon. T i A. KERBER P.M. Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy ❑ /y � Date DATE:LIZ--19- PRE-SERVICE t`19-PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE: SATISFACTORY: ------------------- ------ ------------ --- ------ --------------- - ---------------------------------- ------ ------------------------------------------------ - ------ -------------------------------------------- ----- Enclosed are the blue copies of the permits. RELY, ILDING INSPECTION DIVISION cc:FILE DATE:-/-/ d �3 PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: - -g- - ---- -O&Z'to----------------- - I ------ ------------------------------------------------- I ------ ------------------------------------------------- I ------ ------------------------------------------------- I ------ ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, IN INSPECTION DIVISION cc:FILE TRANSMITTAL DOCUMENT FOR JEA DATE: % - /G• �j `j The following permits have passed "rough" inspection: Permit No. Address 1 l! f ErYase�iti�areYxuzrx�{�bckt� xx�cx18�[tpacx Please update your records accordingly. Thank youCERK BUILDING CITY OF ATLANTIC BEACH /vcb SC P of A rcup ncu Titg of Atlantic jiettc4 — 3loriba �e �trtn�cut of jutldtug Juopectiou This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Th fi liance with the Building Code certifying that at the time of issuance this structure was in comp carious ordinances regulating building construction or use For the following907 Bldg. Permit No. du lex unit Use Classification �upl� District Atlantic Beach w.frame Type construction San Marco nu evaru Group ---- i I a � — p, nnertieAddress Owner of Buildings Atlantic Beach FL 322.33 it 'ng Addres 35 herr Drive Locality DON 0. FORD Date: Building ffia I POST IN A CONSPICUOUS PLACE { 211 9 i Cl-ry OFF Office of Building Official REQUEST FOR INSPECTION Permit No. Date / j JJ A.M. Time ! v - P.M. Received Locality 2 Job Addres Owner's Contractor MECHANICAL ❑ pLUM ING ELECTRICAL Air Cond. & ❑ CONCRETE Rough Wiring 0 Rough ❑ Heating ❑ BUILDING ❑ Footing ❑ Pole ❑ Top Out E] Fire Place C] Temp ❑ Sewer Pre Fab ❑ Re Roofing Slab FinalLintel A.M. Insulation READY FOR INSPECTION P.M. Thurs. Friday----I Wed. Tues. _ A.M. Mon. r� `J' P.M. J Final Inspection ❑ Inspection MadeZ Certificate of Occupancy ❑ Inspector Date CITY OF OffOfficial ice of Building ✓ REQUEST FOR INSPECTIO r�a09 73 P l Perm No. 6 Date A.M. Time P.M. Received cality reb dress Contract L Owner' � � ❑ & Name NCRETE �� Rough eating ❑ p UI Rough Wiring o Out ❑ Fire Place Footing ❑ Temp pole ❑ Sewer pre Fab Framing ❑ ab ❑ Final Re Roofing ❑ Lintel Friday A.M. Insulation READY FOR INSPECTIOn-Thur P.M• Wed. Tues. A.M. Mon. w P.M. ` t ❑ Final Inspection Inspection Made` Certificate of Occupancy❑ Inspector �, _ � � Date Q( CITY OF- �S Office of Building Official REQUEST FOR INSPECTION C Permit No. n � -oci>7 Date A.M. Q 7 3 Time M. Received Lo lily Job Address Contractor M HANICA Owner's GING � u CONCRETE h Wiring ❑ Rough ❑ Heating Temp ❑ ❑ C] Top Out C Fire Place Footing ❑ Temp Pole ❑ sewer Pre Fab Framing ❑ Slab C Final Re Roofing ❑ Lintel A.M. Insulation READY FOR INSPECTION f Thurs. Friday Wed. Tues. A.M. Mon. � P.M. Final Inspection C Inspection Made Certificate of Occupancy ❑ Inspector Date TY OF DoomsIOU Q� T Official Office of Building CTION L v M vL)-9 REQUEST FOR 1NSPE � �1 i 0 t/ Permit No' Date 11v Time �C Received Localit EC - j b fires Contractor HA NG � ELECTRIC C Air Co Owner's ELECT ❑ Rough Heating 0 Name CONCRETE Rough Wiring Top out ❑ Fire Place BUILDIN Temp Pole ❑ Sewer Pre Fab ❑ Footing 0 mmg G Slab � Final Re Roofing C Lintel INSPECTION P. Insulation READY FOR Wed. Tues. A.M. °n• y � Finallnspectio Certificate of occupane Inspection Made Date Inspector CITY OF f^� Goffice of Building Official REQUEST FOR INSPECTION / ge permit No. Date Time `[ P.M. Received Locality Job ddre s Contractor MECHANICAL OwnerPLUM ING Name ELECTRICAL ❑ Air Cond. & ❑ CONCRETE Rough Wiring ❑ Rough ❑ Heating ❑ BUILDING ❑ pole ❑ Top out ❑ Fire Place Cl Footing ❑ Temp ❑ Sewer pre Fab raming 0_ Slab ❑ Final Re Roofing /�`('\ Lintel M Insulation READY FOR INSPECTION P.M. Thurs. Friday Wed. Tues. A.M. Mon. P.M. Final Inspection ❑ inspection Made / Certificate of occupancy❑ Inspector Date CITY OF ATLANTIC BEACH, FLORIDA F7ADOro,,.a DY APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19D 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 SPECIFICAI"IONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. pf BILL THOMPSON ELECTRIC CO., INC. ` -e"47�6 P. 0. BOX 3120150 o- EECTRCSIGNUELECTRICAL FIRM: MASTER A NAME 1�0 &Sa= .&/-I�RESS: - RFD BO>t-_._ BLDG.SIZE BETWEEN: RES. APT.( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEWOLD ( ) REW. { 1 ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW INCREASE ( 1 REPAIR ( ? FEE _ CONDUCTOR SIZE 7i AMPS COPPER ALUM. _ SWITCH OR BREAKER XJ 4r-2 AMPS PH W Z�LT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE I 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 CEIL HEAT: KW-HEAT I 0-1 OVER --- -- MOTORS H.P. I VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA NO. IKVA NO. NEON TRANSF. HO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S --TOTALFEES CITY OF ATLANTIC BEACH, FLORIDA r-7D Y7 ADDrovsd DY APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. SILL THOMPSON ELECTRIC CO.,INCA P. 0. BOX 330,50 ELECTRICAL FIRM: ��MASTER LECTRICI SI N U ee7 NAME /"<. y ��-���e&�G// 413DRESS:_3S 4 RFD-BOX--- BLDG. FDBOX_,-_-____BLDG.SIZE BETWEEN: RES. (�4 - APT.( D COMM. ( ) PUBLIC ( ) INDUS. ( D NEW(fid_'` OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( D TEMP.( ) SIGNS ( D SO. FT. SERVICE: NEW INCREASE ( ► REPAIR ( ► FEE CONDUCTOR SIZE AMPS ( COPPER f ALUM. _ ��y� SY,IITCH OR BREAKER [s AMPS PH W Z Z OLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE 4 LIGHTING OUTLETS CONCEALED OPEN TOTAL _ RECEPTACLES CONCEALED OPEN TOTAL 0.90 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 CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. IKVA - NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH LFLASHEA EACH SIGN - -- FORWARDED TOTAL FEES 6006 PSR-3844 F j DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------ ------ LOCATION INFORMATION --------- Permit Number : 6906 'address : 357 SHERRY DRIVE Permit Type: BUILDING ATLANTIC BEACH , FLORIDA 32233 Class of Work: NEW ---------- LEGAL DESCRIPTION ---------- Constr . Type: WOOD FRAME Lot : 34 Block : 5 Section: A Proposed Use : DUPLEX Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value: $89097 .00 Improv . Cost : $0 .00 Total Fees : 5832 . 70 o6D �6rV _ Amount Paid: $832 . 70 / , 1 / Date Paid: 6/ 4/93 /'T C Work Desc . : CONSTRUCT NEW DUPLEX UNIT PER PLANS - HSF - 1547 ---------- OWNER INFORMATION ------- ---- APPLICATION FEES ----- Name : MARK J . KREDELL PERMIT $645 .00 Address : 1930 SAN MARCO BOULEVERD WATER IMPACT FEE $180 . 00 ,JACKSONVILLE . FLORIDA 32207 SEWER IMPACT FEE $0 .04 Phone ' 19041, 396-11.07 WATER METER $0 .00 RADON GAS-H .R. S . 57 . 32 ------- CONTRACTOR INFORMATION ---- RADON GAS. - 5% $0 . 38 Name : MARK: J . KREDELL WATER TAP $0 .00 Address : 1930 SAN MARCO BOULEVARD SEWER TAP 50 . 00 JACKSONVILLE HYDRAULIC SHARE $0 . 00 I CAPITAL IMPROVE. $0 .00 4 License: CRC043756 Type: 1 SEC ,H IMPACT FEE $0 . 00 j OTHER S0 n0 NOTES: PAID JUN 4 1993 I City of Atlantic Bch. +k 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 I "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJEGT,TO REVOCATION FOR J iff' VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENkRED r'0 � CEIPT NI R: 030337 ATLANTIC BEACH BUILDING DEPARTMENT 0907 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ -------- LOCATION INFORMATION --------- Permit Number : 6907 Address : 359 SHERRY DRIVE Permit Type: BUILDING ATLANTIC BEACH , FLORIDA 32233 Class of Work : NEW ---------- LEGAL DESCRIPTION ---------- Constr . Type: WOOD FRAME T.,ot : 34 Block : 5 Section: A Proposed Use: DUPLEX Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision : ATLANTIC BEACH Estimated Value : $89097 . 00 Improv . Cost : $0 . 00 Total Fees : $832 . 70 I Amount Paid: $832 . 70 Cc6b /IJT /j__uD0 1 Date Pil ' t 4/93 Work Des,- NEW DUPLEX UNIT PER PLANS - HSF -- 1547 OWNER INFORMATION -------- ---- APPLICATION FEES ----- Name : MARK J . KREDELL PERMIT S645 . 00 Address : 1930 SAN MARCO BOULEVARD WATER IMPACT FEE $180 .00 JACKSONVILLE . FLORIDA 32207 SEWER IMPACT FEE $0 .00 Phone : ( 904 )396-1107 WATER METER $0 .00 RADON GAS-H.R. S . $7 . 32 - - - ---- CONTRACTOR INFORMATION ---- RADON GAS - 5% $0 . 38 Name : MARK J . KREDELL WATER TAP $0 .00 Address : 1930 SAN MARCO BOULEVARD SEWER TAP $0 .00 JACKSONVILLE HYDRAULIC SHARE $0 .00 j License: CRC043756 Type ' ' CAPITAL IMPROVE . $0 .00 SEC .H IMPACT FEE S0 . 00 1 OTHER $0 .00 I. NOTES: _ AID -111N 41995 City of Atlantic Bch.- NOTICE ch: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 M ! THE PROPER`tY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT,AND SUBJECT TQ:REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. fENDEREE, $832.7AA 0 ' RECEIPT NLQKR: 0%338 ATLANTIC BEACH BUILDING DEPARTMENT i By: CITY OF 4&4a& BeacA-0;&U*J4 office of Building Official REQUEST FOR INSPECTION 1;70 7 Date -7 Permit No. Time A.M Received M. 59 Loc ity Job Add ss owner's Name ;UzoQ;a Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing El Footing 17- Rough Wiring E-1, 04U g k Air Cond. & Re Roofing E Slab D Temp Pole El Top Out 11 Heating Insulation El Lintel 17 Final El Sewer [I Fire Place Pre Fab READY FOR INSPECTION M. Mon. Tues. Wed. T urs. Friday—P CT urs) , a� .5 - 5� A!;�: inspection Made —RM.Final Inspection El Inspector Certificate of Occupancy L: Date Iv- �rl v 0,6\6Ovo,", V 1' Qt o `Ce folk �Ea \-c gay PN\GP\' O GN PM G PNeatm ace �/� . C(� \O� O F\te Fab `P�. Goxwv, OU9r \ O re Oa�e r NVGPL O °QNB �\mce\Iea �j �L \i�o9 C Sem F�\aay Pa 3 /Pad<e P,Oa P°\e N ,ob ONGNN(E `� �Fina\ \NSPN�\O Q O O\S'e<s FOONpl; C O�FON PM sPe°\�Oo coaipcy Name G O Sad C's NNP .plea PM F\aa\\a a\e o\O \`°oe Ge��t�c koFiaR` OC��9 G Daae Pe \a�`O� ,��es• \CSU Macre \�sP Of °{tic�a� r7 6 gu�ja%n9 N �, o{ a,NgpE� P.M `oca\1ty pM. MECNAwCA` O 'Date ttCond•& 1C Fe�iw /j Conk P�UMB�NG O Heafm ace O n 3 Zpdd(ess �R1cA�- C F\ou Out p�(e Fab b 3 J Jo ELE h W\nn9 O jSe e( P.M' o,Nne('s ONcRE f E Ret 9P Po\e O` tAame Ina\ G R\NSP��`O N B\jx%—. O FO a(n\n9 O \ REAp eRoot\ 9 Wed' ppMu •(sC ne(11f1cape&0FflF \atlonr c\dcauyP a \nsf0onoy O i pate Mon• \nsPect\on Made \nsPecto( 7073 PSR-3M4 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION --------- Permit Number : 7073 Address : 359 SHERRY DRIVE Permit Type: BUILDING ATLANTIC BEACH , FLORIDA 322133 -lass of Work: ---------- LEGAL DESCRIPTION ---------- Constr . Type: ALUMINUM T,nt , Block: Section: Proposed Use: DUPLEX Township7 RNG: 0 Dwellings : 1 Code : 0 u i v i s i on Estimated Value: $0 :00 !Improv . Cost : $0 . 00 Total Fees : $64 .00 Amoiint Paid: $64 .00 N T:7�,If _! M'ATNCI TN NEW pr T OWNER INFORMATION --------- ---- APPLICATION FEES ----- -Name* SAN PROPERTIES PERMIT $64 .00 Addre--r : 35? `HERBY DRIVE ' WATER !MPA{-_'T FEE $0100 ATLANTT, * EEACH , FLORIDT, SEWER !MPACT FEE 80 , orl Ph ,ri 4 2 t 2-4?�4 WATER METER $0 -00 RADON :.IAS-H .R . S . $0 . 00 CONTRACTOR INFORMATION RADON GAS - 5% SO . 00 Name : NELSON PLUMBING CC . 1141' WATER TAP $0 .00 �,813 PHILL1FIS PARKW;AY SEWER TAP SO .00 JACKSONVILLE , FLORIDA 3225, HYDRAULIC SHARE $0 .00 CFCO2037Q Type: 2 CAPITAL IMPROVE. $0 .00 SEC .H IMPACT FEE THER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-95 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJERIJO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Twwo ifA ATLANTIC BEACH BUILDING DEPARTMENT By: 7072 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ---- - LOCATION INFORMATION -- erm?t Number : 71,)'72 <�ddres� : 351 SHERRY DRIVE Permit Type PLUMBING ---------ATLANTIC BEACH , FLORIDA- - 'iass of Work NEW ------_�M- LEGAL DESCRIPTION - Lot : Block : Section' Constr . Type: WOOD FRAME RNG: 0 Proposed Use : DUPLEX Township: Subdivision: -'wellings : 11 Code: 0 v'stimated Value : $0 .00 Improv. Cost : $0 ..00 Total Fees ' $64 .00 Amount Paid: $64 :00 Pt 1: Ppb r : ' [S ` ING IN NEW pi " -X RESIDENCE PER PLANS ; OWNER INFORMATION - APPLICATION FEES ----- „rx AN MAFC-- FR(}PERTIES PERMIT $64 .00 S 357 SHERRY DRIVE WATER TMPA'T FEE $0 .00 PEACH , FLORID,'- SEWER IMPACT FEE $0 .00 WATER METER SO RADONAS--H ,R . � . �0 •00 - ---- CONTRACTOR INFORMATION - - - RADON GAS -- P,% SO .00 ..� WATER TAP $0 .00 N E L S :?fit P LTJ MI;INC I�t ' . $0 .0 0 81 PH?LLI FS PARKWAY SEWER TAP c r 4. { 31_5 HYDRAULIC SHARE 0 . 0 7I1,"F--:4ONVILLE , FLOR ILIA ;�' CAPITAL IMPROVE. $0 .00 Type: p,Er� .H IMPACT FEE $0 .00 � . OTHER r NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AWAY D DEBRIS FROM THIS WORK EITHER CONTRACTOR OR MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAUL ="FAILUREOMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TOREVOCATIONFOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. RELLPPT tkk-t -R. FATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION :-35"7_ --- 5B-k-9-rz_Y_:�gV ------------------------- OWNER OF PROPERTY:_J/ _ tft-- _A /��TIE� -------------------- �� A BUILDING CONTRACTOR:_1 � ��L------------------------ PLUMBING CONTRACTOR _j Vj�_ - j _164--, 31 __ - ------------- AND ADDRESS: Ogcts - TELEPHONE NUMBER: ,�------------------------------------- STATE LICENSE NO: _0�0 _1__! ------ TYPE OF BUILDING: _ 31pNr.¢� ------------- SINKS --_--SHOWERS lq-____ LAVATORY -------------WATER HEATERS BATH TUBS -----�_-__--_DISHWASHERS ------------ - URINALS -______DISPOSALS -----3-----CLOSETS -_-__WASHING MACHINE FLOOR DRAINS -------------SHOWER PANS ------------ ------- OTHER--------------- TOTAL FIXTURE ' ]UNT: x 53. 50 + $15. 00 ----------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904 ) 247-5826 CITY OF ATLANTIC BEACH APPLICCATION FOR PLUMBING PERMIT JOB LOCATION : __ ___ ______ --- - - OWNER OF PROPERTY:-- N_1' _-------------- BUILDING CONTRACTOR: G 4 ------------------------ PLUMBING CONTRACTOR -------- - --------- AND ADDRESS: --7=-- -��-�N - z�� 3 - c7_5 TELEPHONE NUMBER: �_ 04-) -Z-(Z_ g_ ` ________________ STATE LICENSE NO: _ P C-' v_ 2-(, ,3 ____ _________ ---- - TYPE OF BUILDING: 3/p� 7-- _ lf )D --------- ISINKS ------- q-----LAVATORY -----I-------WATER HEATERS BATH TUBS DISHWASHERS ------------ URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS ------------ ------------- OTHER__ TOTAL FIXTURE ' -)UNT: x $3. 50 + $15. 00 ---------------------------------------------------------------- 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) 247-5825 DATE:` � Y ,f 3 PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 2:$3 WEST, DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY : V�r� - ----- ----------------------------- ----------- ---__ -- ------ --------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, _nILDING I SPECTION DIVISION cc:FILE 1 CITY OF ATLANTIC BEACH FLORIDA U� Approves by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �✓ Z 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 PL-ANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CIfY OF ATLANTIC BEACH ORDINANCES. BILL THOi�9PSON ELECTRIC CO., II . _ V, '7517P. 0. BOX 3`>Q150 ATLANTIC BEACH FL 32233 0150 `�-- ---- ELECTRICAL FIRM: MASTER ELECTRIC SIGNATURE NAME �DDRESS: "�aRFD BOX BLDG.SIZE BETWEEN: RES. ( ) APT. ( ) COMM.( 1 PUBLIC( ) INDUS. ( 1 NEW( ! OLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. IGNS ( 1 SQ. FT. -_---- SERVICE: NEW�Q_ INCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS S-O COPPER f ALUM. _ SWITCH OR BREAKER AMPS PH _ W OLT RACEWAY - EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE 0 LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0•30 AMPS. X1.100 AMPi. SWITCHES ------ INCANDESCENT -- FLUORESCENT&M.V. - FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING T CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-NEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS - ------ ------- MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA IND. IKVA NO.NEON TRANSF. NO. VA. MA. f7IZE I SWITCH I FLASHER EACH SIGN `- FORWARDED S - IL --- TOTAL FEES �S/_� 7210 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - LOCATION INFORMATION ------ Permit Number : 7210Address - 357 SHERRY DRIVE Permit Type: MECHANICAL ATLANTIC BEACH , FLORIDA 32233 Block : Section:'lass of Work: NEW -------- LEGAL DESCRIPTION - Constr . Type: WOOD FRAME Township: RNG: 0 Proposed Use: DUPLEX 1 Code: 0 ubdivisian: re 1 l rigs : stirrated Value: $0 .00 tmgtov_ Cost : $0 .00 Total Fees : 547 .00 Amount Paid: S47 . `' r i ; rte ANP A - - - OWNER INFORMATION ----- --- ---- APPLICATION FEES ----- PERMIT $47 .00 Name : MARK KR.EDELL WATER IMPA""T EEE $0 .00 -:ddres� F=7 4HERR"i DRIVE n nn ATLAN'C ?`' &EArH , FLORIDA 32233 SEWER IMPACT, FEE Phcr�e . � 3,.4) '"4.� - 82 51 � WATER MSR. "� _ RADON GAS-H .R. S . $0 .00 CONTRACTOR INFORMATION ------- RADON GAS - 5% 50 .00 . 50 .00 .. Name: OCEAN SPATE HEAT & ASR WATER TAPSEWER TAP 50 .00 ?dress 147` ATLANTIC BLVD. HYDRAULIC SHARE 50 .00 NEPTUNE BEACH , FLORIDA 32233 CAPITAL IMPROVE_ :,cense: 5e .00 MHAR ?St Type ' 3 n n0 SEC .H H TMPACT FEE OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING �g PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE I c q BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE e CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN r THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENT -99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND JECT TC31 ll FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENDERED $47:00 RECEIPT NUMBER: 103151 ATLANTIC BEACH BUILDING DEPARTMENT By: '� 14 PSR-3844 09 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PERMIT INFORMATION --- -- ------ LATION INFORMATION ------ rmit Number : 7209 ..idress : 3?9 SHERRY DRIVE Fermit Type: MECHANICAL ATLANTIC BEACH , FLORIDA 3223: lass of Work: NEW ------ LEGAL DESCRIPTION ----- :'onstr . Type: WOOD FRAME ot : Block: Section: Proposed Use: DUPLEXTownship: RNG: 0 -aellings : 1 Code: 0 ubdivision: rtimated Value : $0 . 00 1 NOTICE OFC MMENC':EMENr VEL / fD I J rbU 9 10 n„ilrtino Permit NO. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH 17, / ATLANTIC BEACH, FLORIDA 3233 C APPLICATIO2 N FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT —^App�plicant to complete all items in sections I, II, III, and IV. I. y LOCATION Street Address: _J OF Intersecting Streets: Between BUILDING And Sub-division �711 —IDENTIFICATION — To be completed by all applicants in consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordanceds with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and Of good practice listed therein. standar Name of Mechanical Contractor (Print) OC e d� Contractors r, �•�/� C Master Name of –/ Property Owner Signature of Owner Signature of or Authorized Agen — Architect or Engineer III. GEN INFO TION A. - Type of heating fuel: B. _. IS OTHER CONSTRUCTION BEING DONE ON q� Electric THIS BUILDING OR SITE? VIP ❑ Gas—❑ LP ❑ Natural ❑ Central Utility ❑ Oil IF YES, GIVE NUtIBER OF CONSTRUCTION PERMIT ' �-),� [3Other — Specify IV. MICHANICAL EQUIPMENT TO BE INSTALLED ATURE OF WORK Provide complete list of components on back o this form) Residential or ❑ Commercial Heat ❑ Space ❑[3 Room p,�/ Control ❑ poor New Building Air Condlfioning: Room Central Existing Building Duct System: Materia Thickneu ❑ Replacement of existing system Maximum capacity /C7:;IQ 7 c f m New installation(No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Capacity g p-m ❑ Other — Specify ❑ Fin sprinklers: Number of heads ❑ Elevator ❑ Monlift ❑ Escalator (number) ❑ Gasoline pumper (number) THIS SPACE POR OFFICE USE ONLY (Roceived) ❑ Tonkr (number) Remarks ❑ LPG contain* (number) ❑ Unfired pressure vessel ❑ Ioilen Permit Approved by pato ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Idanufacbmr Capacity ApprviAi (Tons) cY r -- BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH /1 ATLANTIC BEACH, FLORIDA 32233 ((JJ APPLICATION FOR MECHANICAL PERMIT 'CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: s OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors l0 Mester 6�A Contractor (Print) C� Name of / Property Owner �B Signature of Owner Signature of or Authorized Agonw#frx Architect or Engineer III. GENERAL R ON A' Type of has' fuel: B' IS OTHER CONSTRUCTION BEING DONE ON x-s metric THIS BUILDING OR SITE? fes' ❑ Gas—❑ LP ❑ Natural Cl Central Utility IF YES, GIVE NU R 0 ONSTRUCTION \/ [3 Oil PERMIT © ! ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLEDN TUBE OF WORK )Provide complete list of components on back of this form) Residential or ❑ Commercial 'k Heat ❑ Space [I Recessed Control Cl Flow New Building Air Conditioning: ❑ Room C ntrol Existing Building Duct System: Materia t Thickna,, / El Replacement of existing system �,)OO c.f.m. � New installation(No system previously installed) Maximum capacity , Extension or add-on to existing system [3 Refrigeration El Other — Specify ❑ Cooling tower: Capacity 9-P.M. ❑ Fin sprinklers: Number of head- [3 Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Raeaiwd) ❑ Tanks (number) Remarks ❑ LPG contain*K (number) Q Unfired pressure vessel ❑ BoilersPermit Approved by Date - b Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT CapedY w r7 Number Unita Descripti Model Number Manufacturer (�'ons) y ., /(/ L. DATING - FURNACES, BOILERS, FIREPLACES Capacity App.ovi Number Units ription Yodel Number Manufacturer (BTU) Agency S TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving and Dimensions Contained Manufacturer No. Agency 6909 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ----- - -------- LOCATION INFORMATION Permit Number : 5909 Address : 357 - 359 SHERRY DRIVE Permit Type: BUILDING ATLANTIC BEACH , FLORIDA-32233, Class of Work : REMOVE '- LEGAL DESCRIPTION Constr . Type: WOOD FRAME Lot : 34Block : 5 Section: A Proposed Use: DUPLEX Township: RNG: 0 Dwellings : 2 Code: 0 Subdivision: ATLANTIC BEACH Fstimated Value: $0 .00 Improv . Cost : $0 . 00 Total Fees : $50 .00 Amount Paid: $50 . 00 Date Paid: 6/ 4/93 Work Desc . : DEMOLITION OF DUPLEX UNITS PER PLANS OWNER INFORMATION -------- -" APPLICATION FEES $50 . 0 --Name: MARK. J . KREDELL PERMIT 550 . 00 Address ' 1930 SAN MARCO BOULEVARD WATER IMPACT FEE 50 .00 JACKSONVILLE . FLORIDA 32207 SEWER IMPACT FEE $0 . 00 { r bane : ( 9041 -396-11!) , WATER METER 50 .00 RADON GAS-H . R . S . $0 . 00 - ------ CONTRACTOR INFORMATION RADON GAS - 5� $0 . 00 Name; MARK J . KREDELL WATER TAP $0 .00 Address : 1930 SAN MARCO BOULEVARD SEWER TAP $0 . 00HYDRAULIC SHARE 50 .00 JACKSONVILLE CAPITAL IMPROVE. $0 . 00 License : CPC043756 Type : 1 SEC .H IMPACT FEE $0 .00 OTHER S0 00 NOTES: E:: 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 "F=PROPER,ry PLY WITH THE MECHANICS' LIEN �jIN ROVEMENTS CAN RESULT IN TH95 NER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1E.I ff-V. j RECEIPT "MW9: 0331_ ! ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : V v�- \ K kCX Address : � kyu ----Phone Lot # _ Block or Unit # Subdivision: Pe TG -A-171C Contractor: rl �� Address : V4-`/k-2c' L Phone No:_ .�Zj� Desc ibe work to be done:--- "Q-(4n one:"Q-r4n Present use of building: Valuation of Proposed Construction: Proposed use: z Is this an addition? If yes , what are the dimensions of t the added space: _ft . X _ _ _ft . Wi11 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 : i CITY OF ATLANTIC BEACH BUILDING FERMI CALCULATION SHEET Address rt i Date 4/- 9� U Heated Square Footage /��2@ $ ' a per sq ft = $ o% g, / Garage/Shed @ $ l� o " Per sq ft Ca-r-�/Porch 2 @ $Z7 per sq ft = $ 7Z Deck @ $ per sq ft = $ Patio _@ $ per sq ft = $ TOTAL VALUATION: $ d r Z Total Valuation 1st $ .: , 00d -?q /; �7 Rema n ng Value per thousand or portion thereof TOTAL BUILDING FEE S 2� + 1/2 Filing Fee $ ( ) Fireplaces @ $15.00 $ BUILDING PERMIT FEE $ BUILDING PERMIT $ � WATER CONNECTION $ /P,0 .v SEWER CONNECTION $ WATER METER/TAP $ _ CAPITAL IMPROVEMENT $ (-7 -70) RADON (HRS) .0095 $ 73Z („7d ) RADON (CAB) .0005 $ 3B SECTION H PAVING ( ) $ HYDRAULIC SHARES $ OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMI S OR FEES: Mechanical �; Plumbing Electric/New Electric/Temp ✓ ;SwimmingPooI Septic Tan} ; Well Sign Finish Floor Elevation Survey c�/ Other CALCULATIONS and/or NOTES: r CITY OF ATLANTIC BEACH BUILDINGPBRMI CALCULATION SHEET f Address ? t� -� - 1 Date Heated Square Footage /5 V2@ $ 63' `� per sq ft = $ p l) q9 Garage/Shed -�' @ $ lf�. per sq ft = $ 32 Capt/Porch @ $17 per sq ft = $ 37`1 Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL -VALUATION: $ d 7 9. 26a $ 260 Tota-Valuation 1st $ .22,106.6 _ Remaining Value $q.. per thousand or portion thereof TOTAL BUILDING FEE $ 1d ° + 1/2 Fi1ing Fee $ ( ) Fireplaces @ $15 .00 $ /5- BUILDING sBUILDING PERMIT FEE $ BUILDING PERMIT $ WATER CONNECTION $ /?)o ° SEWER CONNECTION $ WATER METER/TAP $ _ CAPITAL IMPROVEMENT $ ('7 ?0) RADON (HRS) .0095 $ 73Z (��o ) RADON (CAB) .0005 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ OTHER $ GRAND TOTAL DUE $ 6 3Z �7� ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New— Electric/Temp ;SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: :°ROPERTY DESCRIPTION C % Y OF MAY 2 5 1993 j.ot I_ --Block 0_ __��Section s1►_- _ 7160CEAN BOULEVARD P.O.BOX 25 BWJdI g and ZOning►TL„N„c BEACH.FLORIDA 32233 iubdivioion s_A /&-z aL� �-G`� TELEPHONE 004)249-2.J95 Street Name �� - ! _ CJ _ �k'3==I I� DESCRIPTION OF MONK or Addresas 2 1 1 _,__ IS 3n a FLOOD HAZARD f'lood Zones____--__---area complete page 3, Brief p Descriptions b L/IL� X -- ----------------- Claes of Works (New/Remodel/Addition)_Lj E CO ZONING INFORMATION nn Typo of " Constructions_—F,J�-!?_ __-__----- � ningProposed ioatrlct%Uz_ i__Uses TS?ls��- ltd� G� -- ..-1- _ Estimated Value e__ Q,L. C�V'----- CPcaptions or Material s_ Q,� 1Jariances Oranteds------------------------- ---------------- Solid or ------------------------------------------- Filled Grounds L t --- Roof s�LK C(1i� 4J OWNER INFORMATION ,• <; Lt Method of Heating -------- Property OrneryPAones Mailing /` ------------------ Address.``.-L.j�/©c- C--�--� -----�---------------C-------- Zips c)-7 -- CONTRACTOR INFORMATION Contractors- -_-- Phones„ c%���- -_c ` �2Mailing 1 _ -----f--�==--- Zips_? /� Q _/r _Q q 2_1'76 / Expiration J L�cenae Humbert'.G!.k Ls �[ s1 f (}� _ Dates - - ---------------- I MEREST CERTIFY TRA! I RAYS RCAD ARD CXAMIRCD THIS APPLICATION AND KNOW THE SAME TO RE TRU C AND CORRECT. ALL PROVISIONS OF THt LAW8 AND ORDINANCES GOVERNING THIS TYPO Of WORK VILL BE COMPLIED WITH, WHETHER RPECIFIED NCRCIN OR MOT. THC GRANTING of A PERMIT DOCS Nor PRC5umc TO GIVE AUTHORITY TO VIOLATE ON CANCEL THC PROVISIONS OF ANY FEDERAL. STATE OR LOCAL RULE5, r � li♦- RCOULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR TN[ PERFORMANCE OF CONSTRUCTION OF THC PROJECT. I UNDERSTAND THAT THE ISSUANCC OF THIS PERMIT 15 CONTINGENT U/ON THC ASOVC INFORMATION RCIRG TRUC AND CORRECT AND THAT THC PLANS AND SUPPORTING �_�a�• DATA HAVC BEEN OR SMALL RC PROVIDED AS REQUIRED. Owner Signature Date r Contractor Signature__ Date-- --------- • FLOMP YN JmVSL.OPNptT INFORHATION j Type of D•vftlopm nit IL .wi�i �--rM.rrrr M--rwrrM- - Flood ton•a., ----r-- ! '�. Required Lowest Fl000r Blevationa_rM� Yf buildingis di located wlthln j be Muds, /tFTER TH$ SLA® a flood hazard con•, a survoi must certifying iWr 1dA�i Rq QEp LOWEST FLOOR CL"ATION HAS c► oying that the elevation establlsbed for that son•. ate• !h• base flood No final Inspection will be Node and no o•rtitioate of ocou Department,will be cued uaatil the aa�utver &*'on Yile with the Building CONMSICTS a ll I I . ; Applicant AoknowladOeNr•at• Y understand that the issuance of this permit is 000tlnbent upon the . above information being Ii correct and thot the plans and aauppoartlno data have bean or shall be provided as required.' E aOrM to comply with all applicable provision. of Ordisanoe Xo. 28-7-11 and all other lava or ordinances att•otiegr the 1psoposed development. Dat ; ppl t�a1 8ipnatNwe•,. rr rr rrrrrr-rr'�ir��• ��rr--rrr rr rr rrrr..r r-r r�.rrr rr rr• Department Use Required Lowest Floor 191 ation As Built LAmest Flooar JUevotion Survey Filed with Bund rtment�'rr �- � � Yrrrrrrrr-r L+L.rrrrrrr- 8-ild� ng Department Repr totive i pago 3• . i ) l i j TREE REMOVAL SECPOtd A APPLICATION MUST BE RECEIVED BY NOON OF THE WEDNESDAY BEFORE THE MEETING.' y owrnlw Nall l �c6 �d�,ess ) I 1 'C"-,) t tz f--_._ —Tc (i U -rr Teieph tocaiton d Troe Removal/g�/�� SECTION B o oorr~b who,pWqb=nod mWdwft tidudss an egift dwo ft wd whkh le not proow*owlw 000 p" "What deanpes are paapoerd b MM above WsoNedaits? 2.What Is the pnxm Of Me ae popoeed"Wo op 3.4"bm proposed dor removal as foloows: r t TREE COMff SPECIES. SQE(08N x HEION� COI MCW i 4.WM these iroes be teetooated on des aensppropsrq� S.n MKS wN ropi®ooreis tree:be pbpW? 1 i 6.SPWNY ®ed reWaoeal"troes as foMows: TREE SPECIES SIZE x 7.Attie ske pian. i ( (I F,�F;; J � I SECTION B - (All other Applicants) I . Property Zoning: 2. Submit the following: SITE PLAN/TREE SURVEY indicating: a) Site topography, existing and proposed grades b) Existing and proposed structures c) Location of all trees w/ DBH of six inches or more d) Tree species and sizes e) Trees to be removed should be clearly marked f) Trees to be relocated shoulo be clearly marked 9) Location of any proposed replacement trees h) Identify trees of special or unique characteristic i ) Identify trees within 10 feet of construction areas j ) Show location and type of tree protective barriers k) Location of utilities, accesses and easement4. 1 ) Location of vehicle travel corridors M) Location of commercial sprinkler/irrigation systems n) Landscape maintenance plan (commercial only) o) Staging areas for equipment and material storage SECTION C I agree to comply with the rules and practices established in Chapter 23, Article II of the Code of Ordinances of Atlantic Beach. Own rsSignature Dat ! CITY_USE ONLY Applicant has complied with all provisions of Chapter 23 and requirements of the Tree Conservation Board. Tree Conservation Board Designee Date i j NOTE: "Tree Protection for Builders and Developers" is available at City Hall or from the Division of Forestry, 8719 West Beaver Street, Jacksonville, FL . 32220. ( 781 -1434 ) X O M x N �� a om z rul, � � s— ip Z m -M m to _ z �N v N 0 W m o oxo � KD � m m o m m <� y o .. O O D HT1 C� m z z� -rlSen Z Z H 0 D-i 0 m f+l ; F--• UJ o m m 2 x Z ? Dr S r rm rn m m 3r a m co I H f K w 2 m Z Z Z � n m r ° o�Z0NNi�39NI 0-0 01.9 l'N1 NI2O1.d9£ 3dld NOWI„Z/1 4N n'9o'jN000 l rn ror m -� D x o g F- O Fz-I Z H < C7Cbz p om [� I w O 2 Z �r $ 0 W l O r 00 p o C- ado (D N D m _ - C7 cin D `° O O Z 'D a < W �7 0 Cn Q m — rn C ~ H � 0 0 CD < dZH ~3 b � , z o (ll D m ~ y :� � = ~ c � C H my U I So.00' THE NORTH 26.67 FEET OF ((Q�� ` � CT=S] C7 `', J ' ^' THE WEST 15.25 FEET OF Q Z Z Fy-1 �rjFCj�IK y ►�; LOT 32 0 D D n O C7 F -- r 12133' --- � e J • Z19E 8l N 3dld NOW,,2/1 CIN'Dj_ U r- `3 1 I (01313,£2 Jy Q > M -� / � � �1 ~3 W 0E � '� lot � tyy” yy r1 `� 110 H rrIco 150.00' �_Z • 4v'jI M.J VI H ` C .J Z � (Da N LI a LTJ+ H H O H Illillm i K j) XVM j0 1H918 09 3 I�Z oZ I I� 3dld NOMI.Z/1 L3S ---� • :: EADT Mgp 071 � z .mm 0m 9` ? r W .•. . J O y `..7 .9'61 1 cn ; O Q 13 rL OD o cl M-4 d N Jrn i 123.33' � T h, -_- = O HH z i N o O z z o �7 L UV0o� mCX) �3 J r--KVI (n m � x r1imD — roy I o b H cn x Z O 8 m of D `ln �i wh 0 I 10 Vi ^j ,^ 0 (,� J 1 7� ~ V 'V V ♦� > V C p g m < N b b m ) Ln T 0 0 ,� LVd' O- v t0 fn `a7 z] >N00, >� 1, m u 123.33' C)� �H ` dVJ 0 _ 3dld NOMI„b/E ON00A � vU, ° H ` ►y O cn �Z p 3dld N06I„Z19rL al Z/1 ON/103 > I o90'SA 0 Cro ,£b090 S) 01 aN �I C S _a VK •1 _- 150.00, ca C:) w 0 � j OCI N ” l0 (Eertiftcatc of orcuvaucu (situ of Atlantic TS=4 — 5loriba Departmcnt of +.wilding JnspEction This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification duplex unit Bldg. Permit No. 6906 Group W/trame Type Construction duPleXFire District Atlantic Beach t San Marco Boule ar Owner of Building Sari :Marco Propertie ddress AIA, 5pI177�11eI FL -)90 Buil ' Address 357 Shprry Drive Locality Atlantic Beach, FL 32233 l By: DON C. FORD Building Offici4l Date: POST IN A CONSPICUOUS PLACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CITY OF BeacA 4 Office of Building Official REQUEST FOR INSPECTIO Q ? _ b/ Permit No. �2 Date ! A.M. Time P.M. Received cJ ,5 Locality ��(�.7 9�G} Job Address _, / Owner's C�J/W� Contrac Na PLUMBING ECHANIC L BUILDING CONCRETE ELECTRICAL g Rough ❑ Air Cond. & Footing ❑ Rough ole ❑ g ❑ Heating in9 ❑ Temp Pole ❑ Top Out ❑ Re Roofing ❑ Slab ❑ Sewer [I Fire Place I lation ❑ Lintel ❑ Final Pre Fab READY FOR INSPECTION------- M Friday P.M. Wed. Thurs. Mon. Tues. � r A.M. PM. ine IC.p1c Inspection Made Final Inspectio Inspector Certificate of Occupancy ❑ Date n�/11''� ��,� /CITY OF ri&4l26a IC /311011124C-4 Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time Received P Jo Address Lo lity —2 Owner's 7 Contractor ILDING ONCRETE ELECTRICAL PLUMBING HANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough 1:1Air Cond. & ❑ Re Roofing F1 Slab ❑ Temp Pole ❑ Top Out n Heating Insulation 11 Lintel ❑ Final ❑ Sewer El Place ❑ Pre Fab READ��QR INSPECTIO Mon. Wed. Friday A.M. Inspection Made PM. Inspector Final Inspection ❑ Certificate of Occupancy ❑ 1 Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 - -- LOCATION INFQRMATt _ PEt� fIIFQRIUTATION __ _ —- Permit Number: 22697 Address: 357 SHERRY DRIVE Permit Type: REMODELING ATLANTIC BEACH, FL 32233 Class of Work: REPAIR Township: Range: Book: Lot(s): Block: Section: Proposed Use: SINGLE FAMILY Square Feet: Subdivision: SALTAIR Est. Value: _Parcel Number: _ OWNER Il\[FORMATION Improv. Cost: 1,500.00 �--__ --- __ Date Issued: 9/19/2001 I Name: MANN, WILLIAM C. III Total Fees: 30.00 Address: 357 SHERRY DRIVE Amount Paid: 30.00 ATLANTIC BEACH, FL 322.33 Date Paid: 9/19/2001 4'_ Phone (000)000-0000 Work Desc: WINDOW REPAIRS; $IDIN IM ERIC3 „ ,OR/PAINT CONTRACTORS r ' LIGATION FEES Y 30.00 ARMSTRONG CONSTRUCTION x; ,q IT 4'k s a�` �� �� -�'�r,�"�r ' �. ,. �'" � may. �• a M y ', V <r l z A. d s ra , -- � 4 }: r NOTICE _SPE UST BE RTO INSPECTION BUILDING MATERIAL, E UBBISHAND.DEBRIS FROM THIS,W6RK Mult NOT ED IN PUBLIC SPACE, AND MUST BE CLEARED UP„ , D HAULED AWAY BY EITHER CONTRACTOR OR ER - - .–— RE LT IN THE "FAILURE TO COMPLY WITH PROPERTY OWNER PAY I '1"WiCEO LGIRAP ISSUED ACCORDING TO APPROVED I P T F i PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIO _�� -- --- 1 ULU 14 Date9/2891 81 Receipt! ATLANTIC BEACH BUILDING DEPT. s 1312 —. ___- 9919899321999 CITY OF ATLANTIC BEACH: PERMIT APPLICATION REMODEL, ADDITIONS, .OR ALTERATIONS , � h MOVING, DEMOLITIONS /V 1 I f/1 �FQ 1 7 %>>„� Owner(s) Job Address 3h7l7�^ot �1�'� Phony Subdivis'rd#��1�fi�? `Ic Beac,j Lot# Block or Unit# ;n 7 State License# e&aygA5� Contractor /r�7 � sf / Phone �'���.2y/ 7S Address e �=� - -,—� City State % Zip t'v Describe work to be done ill €� OtJrn� .. r�Tl OF AjL� o�F�G gLt�. Present use of building Valuation of Proposed Construction Proposed use ; , Is this an addition? „ If yes, what are the dimensions of the added spacd�' ft.x ft. Will the added area be heated and cooled? New electrical (or increase) � - New fireplace? New Heat/AC?'-- New plumbing fixtures. p SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING CC SITE PLAN, SURVEY, ENERGY C Lk FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, I ER IS CONTRACTOR. Signature of OWNER Date: � Date Signature of CONTRACTOR 2 v STATE OF FL COUNTY OF RIDA Sworn to (or affirmed) and subscribed before me this day of S � , 200! , d V-REDRICK SWEET ' C of Florida Notary's Signature AS TO ,9Wubllc, State Bonded thru Old Republic Ins. Personally known N,Ay commission expires 5-25-02 L Produced Identification ^r`mm# 745128 Type of identification produced da of 1 -12001 Sworn to (or affirmed) and subscribed before me this Y AS TO CONTRACTOR: Notary's Signature obit FREDRICK SWEET Notary Public, State of Florida personally known Bonded thru O = Id Republio Ins. Produced Identification 5-25-02 INA, commission expices Type of identification produced corn,-n# 745128 09/17/01 14:37 FAX 9042476107 Jax Bch P and D I laO1 MAP SHOWING SURVEY OF THP NORM 26.67 FEZT OF THE WEST 15.25 FST OF [Ot 32, WITH THF NORTH 26.67 FF2:T OF LOT 34, TOGETHER WITH TFM NORTH 26.671 FEET OF THE SOUTH 150 FLMT OF AN LINNU FRED TRACT LYING WEST O EOSS 34 AND 35, ALL IN BLOCK S. PLAT ND_ 1 SUBDIVISION •A- ATLANTIC BEACH. AS RHODRDM IN PLAT HOOK S. PACE 69 OF THF CURRENT PUBLIC PJWOROS OF DUVAL. CXXW Y. FLORIDA. (SEF: ATTACHED LMAL, DESCRIPTION) F O U R T H S T R E E T 40' RIGHT OF WAY(PAVED) II LOT 33 L O T 33 V� 1 1 _ 1 T w1 LOT 31 LOT 20 1 rTl Z— r z v-sDIrT a s.rT izsT —C.1 LOT soon,l..ar zrer u �` T r OT LOT Sa ,i l i 4 p ! � O Iq ■ - W N.6314 ' 000E. 1044d AY •l' e 1 .: 1 --. o = mV, :,�.:._ N.S3.47�S3"E. YB.99• CALCULATED Iln•n OVA 7 .T!• w p s arowT Q owOilvi p 4! mwcrr NO TRr NORTH RANT In dQ P FIRST W LDT Z. m , a3-42' OONW. Y ( .a3•4a49'1A�'i 01.04 FIELD) ter` +K �-. -4 s }t ,� cl LOT 34 L T 32 i LOT 30 NOTES: a( I ' •ws u.DouN Dlwr s •ver. LO rYILDIMi wrfnuG Tlel Lw!Aa wEw•LIT. 9l1111wO5 SAMO ON TME Ell Tww MMT-W-MT Of aMrwOT DRIVE,la I FLAT. 4L RNlE2 mr w'MOOD/r K. 19-10, POINT OF REFERLr"= T H I R D S T R E E 40'RIGHT OF WAY(PAVED) THE PROPERLY 04 CNN HEREM APPEARS TO LIE IN FLOOD I HERESY CERTIFY TO WILLIA*AAND ER CHAPMAN MANN, III, ZGM -x' (AREA OLTLSIDE 500 YEAR PLOCO PLAIN) AS SUSAN P. F91Nd, AFRICAN FIRSTTITLE IKWRANLE (]?WANY ViEL. AS CAN EW DE SF4011)4;D FRCM THE 'FLOM IPSUURAMM e�4014WRALTH LAND TITLF. ANOMDRTGAC(C, CORPORATION RATE MAP' CCr-14U TITY-PANEL. r*J BER 120075 0001 D THAT I HAVE SURVEMD THE IS SHOWN IN THE ABOVE REVISED APRIL 17, 1989 FOR ATLANTIC BF,AM, FLORIDA. CAPTION AND THAT THIS MAP IS CORRECT REPPFSETTA- TION OF THAT SURVEY AND THATVEY REPRESEwrw HF7�(IEE.ZS THE NINIK.24 TFL'FWIC�ADARO6 OF '17� FS[7RIDA ADFIIffRSTRATIVE ODD9 CHAPTER17-6 AND THE FLORIDA LAND TITT.B ASSOCIATION. THIS SURVEY NOT VALID UNLESS \� %, SEALED VATH AN EYSIOSSED SEAL w ww a_NT;L.s: or SURVEYaR SIGNED HEREON FLORIDA RE'$ MJRVEYON No 3293 sr.ALECFJ&VN I • : BOATWRIGHT LAND SURVEYORS INC. ORANN 9Y=D.FREEMAN DATE SIGNED: SURVEYORS, NOV EMBER Ir 993 I F R :9.3_ 1 r711 51h STREET C;0tITH .11mrwgnNv11 I C, ocne-w I. n­— CITY OF _sal Office Of Building Official REQUEST FOR INSPECTION Date Time Permit No. Received A.M. P.M. s District No. S� IJAddresss � ' �NmeerLocality �L L BUILDING Contractor Framing ❑ CONCRETE ELECTRICAL PLUMBING Re Roofing Footing _ Rough Wiring ❑ MECHANICAL Slab Temp Pole _ Rough _. Air.Cond.& _— Lintel "- Final Top Out Heating Sewer ► Fire Place READY FOR INSPECTION Pre Fab Mon. Tues. e rs.• A.M. Inspection Made Friday__PM A.M. Inspector P.M. Final Inspection ❑ Certificate of Occupancy c • Date _ Ov�2 3 Office of Building Official ���� J V REQUEST FOR SPECTl L' e� Date s� Permit No. Time A.M. / Received PM , J, /y 6 District No. Job Address Vy Owner's �J�' Y/^� Locality Name Contractor. BUILDING CONCRETE ELECTRICAL Framing �� PLUMBING MECHANICAL Footing ❑ Rough Wiring Re Roofing ❑ ElRough ❑ Slab 11Temp Pole 11 Top ting Lintel & VTop Out ❑ Heating ❑ Final Sewer 7. Fire Place _ FOR INSPECTION Pre Fab Mon. Tues. 'y�) A.M. Thurs. Friday — P.M. Inspection Made A.M. P.M. nspector Final Inspection Certificate of Occupancy Date S. CITY OF C� .ft jgeael 7&4ida Office of Building Official REQUEST FOR INSPECTION 'O Permit No. Date A.M. District No. Time P.M. Received Job Address Owner's Contractor Name PLUMBING MECHANICAL ELECTRICAL ❑ Air.Cond.& CONCRETE BUILDING Rough Wiring .— Rough Heating Footing Pole Top Out Framing _ Slab Temp Sewer L Fire Place Re Roofing Lintel _, Final Pre Fab A.M. READY FOR INS �- Friday P.M. s. Tues. Wed. ka Mon. P.M. Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date j CITY OF ATLANTIC BEACH, FLORIDA 1 Approvod by APPLICATION FOR ELECTRICAL PERMIT �r 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 ELECTRI SIGNATURE JOURNEYMAN NAME y/ ADDRESS:���% '4" A/tft a RFD BOX BLDG.SIZE BETWEEN: 3 rat 4 4,1k, sv RES. (4 APT. ( 1 comm. ( 1 PUBLIC l ) INDUS. ( 1 NEW ( 1 OLD (''f REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE Ci AMPS ` PH � W Ci VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES o2D.a� CITY OF > rtic Ve d - 9&cida 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 NOTICE TO: (dater Department FROM: Building Department DATE: 11-50 - 93 Please be advised that the final building inspection has been completed on each of the following addresses and construction water is no longer needed: Permit Number Address L�z cerell, Building Department V7S! CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 f jilt Application Number . . . . . 05-00030480 Date 6/15/05 Property Address . . . . . . 357 SHERRY DR Tenant nbr, name . . . . . . REPLACE DOORS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2210 Owner Contractor ----------------- ------- ------------------------ POPPELL, RICHARD LOWE ' S HOME CENTERS INC 357 SHERRY DRIVE 12945 ATLANTIC BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 486-4701 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50 Issue Date . . . . Valuation . . . 2210 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 PERMI,TgS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CO iD66'. t - 4 'A BUILDING OFFICIAL CITY OF ATLANTIC BEACH Cc: SS BUILDING / ZONING DEPARTMENT Ford-- r) 800 Seminole Road S. Doerr " v Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 5`( �4� Property Address: r Applicant: L— 0 W4ff5' Project: Lv l Q ` -T)bo This permit application has been: C-U( Approved El Reviewed and the following items need attention: Please re-submit yourrf application when these items have been completed. Reviewed By: (.{ Date: Date Contractor Notified: RE0EI 'V 3 CITY OF ATLANTIC bE +CH 81m nING JUN 0 2 2005 CITY OF ATLANTIC BEACH PERMIT A P ATFON--FOIA-REPLACEMENT OF WINDOWS, SKYLIGHTS AND GARAGE DOO LE=FAMILYVA TWO-FAMILY (DUPLEX) CONSTRUCTION Date: Job Address: 3S 7 %e_rr-j On'­t, -4. 14nA'c_ 8"A FL 31 -33 Owner's Name: Q.,Ck%Ong Q Spee- I Address: 3S7 SheCC4 n,,:,e. , A+1.,4c. &..al-.,FL 12j-&I Phone: q o-I 1 s y l- inn Legal Descript' n: Block Nu r: Lot Number: Zoning District: Contractor: - State License Number: CA 50 Address: Phone: ��� � r-,11722I x,�3j0 lOC State-,.V Zip-3-22Fax: 9� ��D� 7/( City: Descri proposed use and work to be done: RLpj,,co_ C.x-cn pa-ka o(dors t.,A ex-he-1 Wee.,.. doer Present use of land or building(s): Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required? Wo If yes, please submit with this application. Building Data: Mean Roof Height - (ft) Building Width (ft) Building Length (ft) Roof Slope *Window Elevation from Grade (ft) Window Height (ft) Window Width (ft) Measurement from corner of building to window (ft) s 0 o � S k 4 a �Q s s Y- 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Page l Revised 1/27/03 Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data,the following information is required: 1. Manufacturer's Test Report 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Elevation View of Window Locations 1 hereby certify that all informj�atioon provided with this application is correct. ) Signature of Owner: Date: 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,stale 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 pl s and supporting data have been or shall be provided as required.. Signature of Contractor: Date: 1 Address and contact information of person to receive all correspondence regarding this application (please print). Name: RAj" of (z, PoPpcI Mailing Address: 3S -7 Sht-� dn'.` , .4+1.,4•c bearl.� 3123 Telephone: 'Io•{I.1yl- $ To7 r-Fax: E-Mail: r. 00o PCN 0 vC—('2aA.AC:" _ r ---- - AS TO OWNER: Sworn to and subscribed before me this Z iS— day of Ape--/ C_ Sta JENNIFER L.DNotaryAssn. pt p0.v PLBI�'i z. Notary Public-SNotary's Signature: `•; ; My Comm.Expir Commission# ❑ Personally know ........... Bonded By Nation ©"Produced identification Type of identification produced J'L_O L- P)46 -1 AS TO CONTRACTOR: Sworn to and subscribed before me this day of ��U �� 20 State of Florida,County of Duval e AAANotary's Signatur Aii, S JENNIFER SCHLUETER :.: My COMMISSION a DD 121301 rsonall P known EXPIRES:May 27,2006 ❑ Y Bonded ThruNotary Public Underwriters Produced identification // __ Type of identification produced ©lo W 800 Seminole Road •Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ei.atlantic-beach.fl.us Page 2 Revised 1/27/03 LOWEnS Rome Improvement Warehouse i Improving Home Unprovemei 8529 South Park Circle, Suite 430 Orlando,Florida 32819 Bus.407/370-2872 Fax: 407/352-6309 Limited Power of Attorney Date: d To: Building Department From: Peter Anthony Cafaro III I hereby name and appoint Maria O'Reilly, of Lowe's Home Centers, Inc. to be my lawful attorney in fact to act for me to register my license and apply to for apermit for work to be —7 JA411 performed at a locat' n described as: (Address of Job) (Owner of Property) J l And to sign my name and do all things necessary to this appointment. Thank you for your assistance. Sincerely, Peter Anthony Cafaro III Area Installed Sales Manager Primary State Qualifier CGC 1508417 r to Rebe=V�ek ; K '..A p6y�QMM►$$ION# DD176963 EXPIREfi hrv5z Sworn to and subscribed before me this (/ day of /L� ,2005. " of 4` BONDEDIFM2 MYFAMMURARMSNC No.public My commission expires V,611Vicr)V4 un.14 rAA 10004106104 itL,u rhfr V'eaoRklee Al 4001 M I A M I IM AMI-DADS COUNT Y,FLORIDA mFTR0-)aADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) I40 WEST FT AGVER STREET,SUITE 1603 PROOIXT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)375-2908 NOTICE OF ACCEPTANCE (NOA _ Jeld-Wen,Inc. 31725 Highway 97 North Chiloquin. OR 97624 ,SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NQA. shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Division (Ix► Miami Dade Co=ty) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke,modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurzicane Zone of the Florida Duilding Code. DESCRIPTION: Series "weld-Wen(@ Steel"\'VIE Outswing Glazed Insulated Steel Door w&w/o Sidelites APPROrV.AJL DOCUMENT: Drawing No. S-2105, titled`Wood Edge Glazed Door w/&Wout Sidelites up to 8�4 x 6'8 Outswing", sheets 1 through 8 of 8, dated 12/13/01 with revision#2 dated 10/22/02,prepared by R-W. Building Consultants Inc, ,bearing the Miami-Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami-Dade County Product Control Division. MISSII E LNWACT RATING:None LABELING., Each unit shall bear a permanent label with the manufacturer's name or logo,city, state and following statement: Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAY,of this NOA shall be consideri:d after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this praduet ,ftRNIXNATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,for sales, advertising or any other purposes shall automatically terminate this 1NTOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NQA. AJ)VERTISEM.ENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the Expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided t �dtser by the manufacturer or its distributoTs and shall be available for inspection at the idE site atttt eU; N,p'fCtlt "Iding Official. This NOA revises NOA#01-1224.03 and, pnsist5 �tipLpl AJ�4ell as approval document mentioned above. The submitted documentation. was reviewed y Manuel Perez,P.1 0m SUN 15 NOA No 02-7236-09 i _ By? Expiration Date: august 14, 2007 Approval Date: January 30. 2003 `� p:3ge I Ux/IU/ZUU4 09:14 FAX 18884782254 JELD WEN Wedowee Al 002 a I I SNO15 1d6 'ON y 5310N Md3N39 Nz0 Si £0 t o. 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C ~ C='� C e•.^� w; �{.�, x t� qy ca o o m V�� m vs, u,... x' � cc+ r �•-rvi,:Ylin!oi ^a m 14C] W�wj 5-CJ ap v �:n b�°,N °� m .�Z u o'= ar r E ti N g t .� In�•l. U a. Vlti p e Ehi L C e b G G u o ❑ 6 0 0q¢ e oQ I�v�2 ��o �'- ?'• H . a•o o.� c N{° m C u E m $�4Q� ci ^iv�ati o � yam, yco� oc5='Icsa@v,�S� SEws � c= cS .02/.10/2004 09:15 FAX 18884782254 JELD WEN Wedowee Al 14 003 • S�N39 z3 VD ON n ' do „ray A N 9! a! 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WY N , 2 pN2� gntWn04�^�c a�7LL oSn-u� ' a a 1-t O S a LL W Ar-' m �i•r WbU�U, u. gn�a ��_�i~"�I3 uH O YG��C.• W FZ-z W wLL 2�3 VCS n p Z� Ci U:-ri OVA V RW WSUa t`wgWV� KYQ zV I Vwi Ln "� c Wn 50� ^_�N� �� Sa �Y F,xvimg'..v�� -cin llll fV "1 VW -54'I SW-SU0.1 5,7fWO g - 9NLgro 335 02/10/2004 09:16 FAX. 18884782254 JELD WEN Wedowee Al IA 006 N ISI 3 'ON Hdsln�a rd39 ZC/C � P n � SN011Y�D�� IOHONY �� aC az nl z I �rvaai irna� C �$r+ \� pl LSO E V,3jr5'Hd :� a lgvd >1aa tiz9t6'?f0 -0001040 019 x e ox an U000 (I;z 30d3 _ 531/93015 y 1110 H.LIdON L6 AyMHEJIH 9a'1Hf l�DCM JW L_"a7Y O�m gin] r ME I` `5'L£B£ vwi C7 sa" Lq n Y m i u to d ❑a T _ n 0 W) ts W k MLu ta W Wm �'�, Y'� _ 1/1 jn w a N 4 U d wa- n o � a � (� u WIT3� w L5 T wm d tiw i� vw1O�¢ V i 1 U� a _ Uj SB F c se's i a ddw N JW J JLA Y X67 w N „5L£'L m¢V LL Ln t I I I z � 6 a a x I a W W 41 Y=1 m��ywj d _ h ❑z n_ vl% Z �oog Ln Q Y W g ti �V 1 N U ¢mom n off' M5 Li 1 f�❑. �a �5"' I Vi _ 0 w I mid ka K I � as 59'f I 9B'f l I- 5B F1 a Q i o 0L./j 2004 09:16 FAX 18884782254 JELD 'PEN Wedowee Al W007 SNOIytn3e RVO ON - m IN SNOU UHatN Np151n3�1 n413N3 an az of Z 1 �, d i ' trJDl 9W?1 NPlV!!� LLINIfl1 OOY - LSOZ'6BL'!ti5'Wdd H yy3 5V a 1 n gZ9Ls 86 unooliko ONIMSLnO 8,9 AvmpE)IH L� SZLL SV13a15 N1baN InOM R M �J000 (nZb'1.0 3303 0� 'SNI'N�M-Ol�f L� . ..sart �-.�a�• 9 = Zemin Adm „SL5'L a ■ 0 1 �t I I " a Q t ' -T r az .s.5 �sccss� LD N Ln v N v �5 SQ r R£ se pt F—S9 f �•-5RT r � w v u:� • i I = SCF'8t- �tn -Sir L A U ir,z a � N � W 1 } 1 � u a a o aw — n � CL a ionsN C3 W�, w e, w. U) �-� �a , _ i ss ,gcr'or a M n v M J Z= Q ILE i ,D ..7 V° � T M g s i _VZ/IU/LUU4 U8:113 FAA 18884782254 JELD OPEN Wedowee Al 10008 KN ! In331TM6 ON $Z' e v z 2I v I xl � M d l6 Sv 61 C� m"o n r 1111 N M1I SIN130 gNIW'9 Nr ,a�uaa� n ao col _ '" :�rerw3s yz915'VO fNl7n011HO df ONI„51n91OM,eM S31n30Isn 1y.LHON 1-6 AYM ,r11FZLRE Z� aI 4000 03zv,9 3903 O OBS .ianaoad 3 �"� H. �sio-t r � t5 ' ;;�:� •raj , � a� •� P ua 1.75 -� 2.521- L ZS'Z } N W ~ 4 c 4 n C Na z =3 c wtA U r \ }Ikt 551!19 . t� 'NII .Z/R m U') J Q L 1 � ^ N En n a _ ��' - 1. '��• ^: 05 NLJ _ a) ¢ N V7 N {f^ W W ' W I N N r _ 2,4375" 2.4375" U 4l G 4 4 r m h W N W LI W O H W v?Ln O N m LnW O LO dIN311'NrW Sti m a ~°` LA - a �f = 0.a- 0, D w 4 0 JIHl SSd19 R N Q - m �2 � = n 'MW -O'L .x~.. I n N N _ urfix 4N w t Li I+i u4/luizou4 u8:16 FAX 18884782254 JELD WEN Wedowee Al 4009 UU SNOISAN dQ aN z 3 P z� S1N3NddHcn 11Nn dH TO 5 £0 a q z s m Hf Nol Z L�O�'6�L'4g6'Hd � bu I �g a s.Uruals onolm l/M H1aON,16,ttiMHE)!H OQL3P W132ris .360 dooms y �Nr'NHM :J.�Jnnoaa , t i Q iL z m w � Y a O 0-1 41 W_ o � Q P CC m x W � IM1 O •t 3 0 4 '�v } m p C �N O d Ln IL J N N ,C3 .S�.Z� { Q a m n 1- I d 4 rl� p J090� �SJ++ Ld X x xOa xa 'In �R'Z J--j r m _ N m Lm C a t-• a1�1 iy 23 WF O W IL n ac M C4 En w go`� SC6 'S ' � n ca Vl �O J � JQ;ry J n 0 2 d U a U Ll .►Z-iLn N J--� I —d ,5L'Ln �— L CC h � L� Ln $ t '� n N d N L v Ln t3 "O'l til O --���009' n� _ I L = , ti N n 00 18 u CIO,I 1 .oec a� ►--„�a�i�-1 r �� L r CITY'OA If k BLCHDEPARTMENT OF HUMAN RESOURCES 800 SEMINOLE ROAD Jam, w ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5820 FAX:(904)242-3498 1 http://www.ci.atiantic-beach.fl.us June 4, 2004 Michael J. Fissel 5545 Great Pine Lane N. Jacksonville, FL 32244 SPECIAL TAX NOTICE REGARDING REFUND OF EMPLOYEE PENSION CONTRIBUTIONS Our records indicate that you have separated from employment with the City of Atlantic Beach and are no longer an active participant in the Employees' Retirement System. This notice contains important information you will need before you decide how to receive your contribution refund. A refund of these monies CANNOT BE RELEASED until you READ, COMPLETE, SIGN, AND RETURN THE NECESSARY INFORMATION requested at the end of this letter. We strongly advise that you consult with a tax professional prior to RETURNING THIS INFORMATION, WITHIN 30 DAYS, TO THE FOLLOWING ADDRESS: City of Atlantic Beach Attn: Human Resource Office 800 Seminole Road Atlantic Beach, FL 32233-5445 The City Human Resource Office has calculated the amount of the contribution refund to be as follows: Eligible rollover distribution - The employee has $ 2,308.05 not previously paid tax on this amount of contribution which was paid to the Plan after January 1, 1997. This amount may be rolled over. Interest Credited 130.62 Amount of distribution allocable to employee'. .0.00 contributions made prior to January 1, 1997 oil which the Employee has already paid income tax. This amount may not be rolled over. No income tax is due on this amount. This amount will be paid directly to you without any income tax being withheld. TOTAL REFUND DISTRIBUTION $ 2,438.67 SUMMARY A refund from the Plan that is eligible for"rollover" can be taken in two ways. You can have all or any portion of your payment either: (1) PAID IN A "DIRECT ROLLOVER"; or, (2) PAID TO YOU. A rollover is a payment of your Plan refund to your individual retirement arrangement (IRA) or to another employer plan. This choice will affect the tax you owe. IF YOU CHOOSE A DIRECT ROLLOVER: Your payment will not be taxed in the curreiat year and no income tax will be withheld. ➢ Your payment will be made directly to your IRA or, if you choose, to another employer plan that accepts your rollover. ➢ Your payment will be taxed later when distributed from the IRA or the employer plan. IF YOU CHOOSE TO HAVE YOUR PENSION BENEFITS PAID TO YOU: ➢ You will receive no more than 80% of the payment,because the Plan administrator is required to withhold at least 20% of the payment and send it to the IRS as income tax withholding to be credited against your taxes. ➢ Your payment will be taxed in the current year unless you roll it over. You may be able to use special tax rules that could reduce the tax you owe. However, if you receive the payment before age 59-1/2, you also may have to pay an additional 10% tax. ➢ You can roll over the payment by paying it to your IRA or to another employer plan that accepts your rollover within 60 days of receiving the payment. The amount rolled over will not be taxed until you take it out of the IRA or employer plan. ➢ If you want to roll over 100% of the payment to an IRA or an employer plan, you must find other money to replace the 20% that was withheld. If you roll over only the 80%that you received, you,will be taxed on the 20% that was withheld and that is not rolled over. 2 ADDITIONAL DETAILED INFORMATION PAGE 1. PAYMENTS THAT CAN AND CANNOT BE ROLLED OVER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2. DIRECT ROLLOVER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3. PAYMENT PAID TO YOU. . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1. PAYMENTS THAT CAN AND CANNOT BE ROLLED OVER Refund of contributions from the Plan which the employee made after January 1, 1997 are "eligible rollover distributions". This means that they can be rolled over to an IRA or to another employer plan that accepts rollovers. Refund of contributions which were made prior to January 1, 1997 are not eligible for rollover; neither are such amounts subject to income tax. II. DIRECT ROLLOVER You can choose a direct rollover of all or any portion of your payment that is an "eligible rollover distribution", as described above. In a direct rollover, the eligible rollover distribution is paid directly from the Plan to an MA or another employer plan that accepts rollovers. If you choose a direct rollover, you are not taxed on a payment until you later take it out of the IRA or the employer plan. Direct Rollover to an IRA. You can open an IRA to receive the direct rollover. (The term "IRA", as used in this notice, includes individual retirement accounts and individual retirement annuities .) If you choose to have your payment made directly to an IRA, contact an IRA sponsor (usually a financial institution) to find out how to have your payment made in a direct rollover to an IRA at that institution. If you are unsure of how to invest your money, you can temporarily establish an IRA to receive the payment. However, in choosing an IRA, you may wish to consider whether the IRA you choose will allow you to move without penalties or other limitations. See IRS Publication 590, Individual Retirement Arrangements, for more information on IRAs (including limits on how often you can roll over between IRAs). Direct Rollover to a Plan. If you are employed by a new employer that has a plan, and you want a direct rollover to that plan, ask the administrator of that pian whether it will accept your rollover. If you new employer's plan does not accept a rollover, you can choose a direct rollover to an IRA. 3 Rollover Check Delivered to You. Rather than a direct rollover, the Finance Department may direct that the rollover check be made payable to the rollover institution and place the check in your hands for delivery to the institution. III. PAYMENT PAID TO YOU If you have the eligible rollover distribution paid to you, it is subject to a minimum of 20% income tax withholding. The payment is taxed in the year you receive it unless, within 60 days, you roll it over to an IRA or another plan that accepts rollovers. If you do not roll it over, special tax rules may apply. INCOME TAX WITHHOLDING { Mandatory Withholding. If any portion of the payment to you is an eligible rollover distribution, and the total amount of your eligible rollover distributions for the year is equal to or greater than $200.00, the Plan is required by law to withhold a minimum of 20% of that amount. You may elect to withhold more than 20% on the enclosed Form W-4P. This amount is sent to the IRS as income tax withholding. For example, if your eligible rollover distribution is $10,000, only$8,000 will be paid to you because the Plan must withhold $2,000 as income tax. However, when you prepare your income tax return for the year, you will report the full $10,000 as a payment from the Plan. You will report the $2,000 as tax withheld, and it will be credited against any income tax you owe for the year. Sixty-Day Rollover Option. If you have an eligible rollover distribution paid to you, you can still decide to roll over all or part of it to an IRA or another employer plan that accepts rollovers. If you decide to rollover, you must rollover within 60 days after you receive the payment. The portion of you payment that is rolled over will not be taxed until you take it out of the IRA or the employer plan. You can roll over up to 100% of the eligible distribution, including an amount equal to the 20% that was withheld. If you choose to rollover 100%, you must find other money within the 60- day period to contribute to the IRA or the employer plan to replace the 20% that was withheld. On the other hand, if you roll over only the 80% that you received, you will be taxed on the 20% that was withheld. Additional 10% Tax if You are Under Age 59-1/2. If you receive an eligible rollover distribution before you reach age 59-1/2 and you do not roll it over, then, in addition to the regular income tax, you may have to pay an extra tax equal t6 10% of the taxable portion of the payment. The additional 10% tax does not apply to your payment if it is: (1)paid to you because you separate from service with your employer during or afterthe year you reach age 55; (2)paid because you retire due to disability; or, used to pay certain medical expenses. See IRS Form 5329 for more information on the additional 10%tax. 4 The tax treatment of payments from the pension plan are sometimes quite complex, and since the income tax return of each recipient is unique, the purpose of this letter is to encourage you to obtain independent tax advice concerning the income tax implications of this distribution to you, so that you can make the most advantageous use of this refund. The City cannot give individual income tax advice to you, therefore, you are advised to promptly confer with your independent income tax preparer. There may be special provisions concerning averaging or other tax implications in connection with reporting the refund. This notice summarizes only the federal tax rules that might apply to your payment. The rules described above are complex and contain many conditions and exceptions that are not included in this notice. Please consult with a professional tax advisor before you take a payment of your benefits from the Plan. Also,you can find more specific information on the tax treatment of payments from qualified retirement plans in IRS Publication 575, Pension and Annuity Income, and IRS Publication 590, Individual Retirement Arrangements. These publications are available from your local IRS office or by calling 1-800-TAX FORMS. Please do not hesitate to call the Human Resource Office at (904) 247-5820 should you have questions regarding the pension refund process. However, do no ask the City to provide tax advice or to "recommend" what you should do. To enable the Human Resource Office to process any eligible Rollover Distribution properly, please complete and return the attached page. Sincerely, Donna L. Bussey Human Resource Assistant 5 \s \\ CITY OF ATLANTIC BEACH z S 800 SEMINOLE ROAD .3 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 � f r Application Number . . . . . 06-00033302 Date 6/29/06 Property Address . . . . . . 357 SHERRY DR Tenant nbr, name . . . . . . REPLACE HURRICANE WINDOWS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ POPPELL - FLORIDA GEORGIA CONTRACTORS 357 SHERRY DRIVE 11433 SAINTS ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 641-7010 ------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . 17 .50 Permit Fee . . . . 35 . 00 Plan Check Fee . Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due--- ----------------- ---------- -- ---- Permit Fee Total 35 . 00 35 . 00 . 00 .00 Plan Check Total 17 . 50 17 . 50 . 00 .00 Grand Total 52 . 50 52 . 50 . 00 . 00 pERMTf IS AppROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. f S ybll- �s CITY OF ATLANTIC BEACH Routed to: PLAN REVIEW SHEET �Higgin Building Department Public Works&Public Utilities Departments 800 Seminole Road 1200 Sandpiper Lane oerr 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# 3 Z Property Address: Applicant: A 4,1 7*0C es Project: �f /a.d This permit application has been: Approved as noted by the 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: Date Contractor Notified: ECEIVE0 CITY OF ATLANTIC BEACH OF ATLANTIC HACH . - ILDINC &ZONING BUILDING PERMIT APPLICATION (ALTERATIONS/ADDITIONS) �U� y ��Ofi Date: q l 0 Flo 69 Job Address:3S l ,� k,,E L3_29\73- Owner 29\73Owner of Property: t Address (� t`i Telephone: Legal Description: Block Number: 5 Lot Number: Zoning District: Q Contractor: ,� ,a 6rev,Le 1L/r7 State License Number: OW04.1640 1d a Contractor's Address: 11I.,Ll 3_� d in+L e� —S C kSdr, V,'( �-e- 2'2 y gb Telephone: !Jct t-(- Q91—�?016 Fax: !10L - �� ) Describe oronosed use and work to be done: ._ Yl �y v_J cA iie, _U%t/ ,9U)-S Present use of land or building(s):Q�5(`��� ) - Valuation of proposed construction: lo/ git. D� What are the dimensions of the added space: ,vr�r feet x feet Will the added area be heated and cooled? t/A' New electrical or increase in service? �I New plumbing fixtures? _ New fireplace?_ _ New heating/air conditioning? Is approval of Homeowner's Association or other private entity required?�_If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? I4NO. Applicant certifies that no change in site grade or fill material will be used on this project. 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. 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 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Pagel Revised 1/14/03 ASTM E 1886-97 AND ASTM E 1996-01 TEST REPORT Rendered to: SIMONTON WINDOWS SERIES/MODEL: 07-09 TYPE: PVC Twin Mulled Double Hung Window APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE JUN 2 0 2006 B Y• Report No.: 01-42202.03 Report Date: 08/22/02 Expiration Date: 07/26/06 Ak Architectural Testing ASTM E 1886-97 AND ASTM E 1996-01 TEST REPORT Rendered to: SIMONTON WINDOWS One Cochrane Avenue Pennsboro, West Virginia 26415 Report No: 01-42202.03 Test Dates: 07/16/02 Through: 07/26/02 Report Date: 08/22/02 Expiration Date: 07/26/06 Project Summary: Architectural Testing, Inc. (ATI was contracted to perform tests on three Series/Model 07-09, PVC twin mulled double hung windows. The samples tested successfully met the performance requirements set forth in the referenced specification listed below for a design pressure rating of 50.0 psf. Specimens utilized replacement construction. Test Specification: The test specimens were evaluated in accordance with the following: ASTM E 1886-97, Standard Test Method for Pei formance of Exterior Windows, Curtain Walls, Doors and Storm Shutters Impacted by Missile(s) and Exposed to Cyclic Pressure Differentials. ASTM E 1996-01, Standard Specification for Performance of Exterior Windows, Glazed Curtain Walls, Doors and Storm Shutters Impacted by Wind Borne Debris in Hurricanes. Test Specimen Description: Series/Model: 07-09 Type: PVC Twin Mulled Double Hung Window Overall Size: 62-7/8" wide by 6' 4-3/8" high Interior Sash Size (2): 2' 10" wide by 3' 1-1/2" high Exterior Sash Size (2): 2' 9" wide by 3' 0-1/2" high Finish: All PVC was white. 130 Derry Court York, PA 17402-9405 phone: 717.764.7700 fax: 717.764.4129 www.archtest.com 01-42202.03 ' Page 2 of 9 Test Specimen Description: (Continued) Glazing Details: The sash utilized a V thick insulating glass unit fabricated from a sheet of 1/8" thick, tempered glass on the exterior and two sheets of 1/8" thick, clear annealed glass with a 0.090" thick interlayer on the interior. The insulating glass unit utilized a foam spacer system. The sash were exterior glazed against a glazing compound and secured with dual durometer snap-fit glazing beads. Weatherstripping: Descriptio Quantit Location 0.330" high by 0.187" 1 Row Interior sash stiles backed polypile with center fin 0.250" high by 0.187" 2 Rows Exterior sash stiles backed polypile with center fin 0.250" high by 0.187" 1 Row Sill, interior and exterior meeting- backed polypile with rails, interior sash stiles center fin 7/16" foam-filled vinyl 1 Row Bottom rail bulb gasket 1/2" long "C-fold" vinyl 1 Row Bottom rail bulb gasket 1/4" foam-filled vinyl 1 Row Top rail bulb gasket Frame Construction: The frame was constructed of extruded PVC members with mitered and welded corners. The head and sill utilized snap-fit pocket covers. Sash Construction: The sash was constructed of extruded PVC members with mitered and welded corners. 01-42202.03 Page 3 of 9 Test Specimen Description: (Continued) Mullion Construction: The windows were joined together with an aluminum reinforced extruded PVC member. Each window frame was secured to the mullion with #8 x V screws 7" from each end and 14" on center. The head and sill of the units were further secured together with a 17-1/2" long, 0.060" thick galvanized steel strap. The strap was fastened to the frames with three #8 x 1/2" screws per frame, per end. Two 2-1/4" long steel angles with 0.060" thick legs were riveted together through the mullion with two 1/4" diameter rivets at each end. A base plate connected to the slots in the angle, and was anchored to the test buck with four #8 x 1-1/2" screws per plate. The window frames were bedded in sealant to the exterior leg of the mullion. Hardware: Qescriptio Quantit Location Metal lock assembly 4 One 8" from each end of the interior/exterior meeting rail fastened with two #8 x 1" screws through each lock and two #6 x 1-1/4" screws through each keeper Balance assembly 8 Two in each jamb fastened with three#6 x 1-3/8" screws each Plastic impact tilt 4 One on each end of interior meeting latch assembly rail fastened with three#8 x 7/8" screws each U-Channel 4 One midspan of each jamb in the interior jamb track, adjacent to the tilt latch fastened with one#8 x 2-1/2" screw each into the buck, and one#8 x 1-5/8" screw into the mullion Plastic tilt latch 4 One in each end of the top rail Metal pivot bar 8 One in each end of the exterior meeting and bottom rails fastened with one #8 x 1/2" screw each 01-42202.03 Page 4 of 9 Test Specimen Description: (Continued) Drainage: Descriptio Quantit Location 3/16" diameter 8 1" from ends exterior meeting and weephole bottom rails draining the glazing channel 3/16" wide by 1" 4 One at each end of the sill draining deep weepslot the sill into the interior sill hollow 1" wide by 1/8" high 4 3" from each end of the sill draining weepslot with cover the exterior sill hollow Reinforcement: Extruded aluminum reinforcement was utilized in all exterior sash stiles (Die #56111), interior sash stiles (Die #561090), top rail (Die #16107), exterior meeting rail (Die #56110), interior meeting rail (Die #60911) and bottom rail (Die #56109). The mullion utilized an extruded aluminum reinforcement (Die#16991). Installation: The replacement window was installed into a nominal 2 x 10 Spruce-Pine-Fir #2 wood test buck. The head was secured with one #10 x 2-1/2" screw 6" from each end. The jambs were fastened with one #10 x 2-1/2" screw 6" from each end of the jambs, one #10 x 2" screw 3" above and below the midspan of the jambs, and one #8 x 2-1/2" screw through the tilt latch U-channel reinforcement. The interior and exterior perimeters were sealed with silicone. 01-42202.03 Of Page 5 of 9 Test Results: The results are tabulated as follows: Lab Temperature at Time of Test: 79°F ASTM E 1886, Missile Impact, Section 11. Test Procedure Missile Weight: 9.0 lbs Muzzle Distance from Test Specimen: 14.5 ft. Test Unit#1 Impact#1: Missile Velocity: 49.87 fps Impact Area: Interior sash, center of glass, left hand window Observations: Large missile shattered exterior lite of glass and fractured interior lite of glass, no penetration. Results: Pass Impact#2: Missile Velocity: 50.25 fps Impact Area: Interior sash, upper right corner-left hand window Observations: Large missile fractured interior lite of glass, no penetration. Results: Pass Test Unit#2 Impact#1: Missile Velocity: 49.63 fps Impact Area: Interior sash, center of glass, left hand window Observations: Large missile shattered exterior lite of glass and fractured interior lite of glass, no penetration. Results: Pass Impact #2: Missile Velocity: 50.12 fps Impact Area: Interior sash, lower right corner, left hand window Observations: Large missile fractured interior lite of glass, no penetration. Results: Pass Lab Temperature at Time of Test: 80°F Test Unit#3 Impact#1: Missile Velocity: 49.87 fps Impact Area: Interior sash, center of glass-right hand window Observations: Large missile shattered exterior lite of glass and fractured interior lite of glass, no penetration. Results: Pass Impact#2: Missile Velocity: 50.25 fps Impact Area: Interior sash, lower left corner,right hand window I Observations: Large missile fractured interior lite of glass, no penetration. Results: Pass I 01-42202.03 *� Page 6 of 9 Test Results: (Continued) ASTM E 1886 Air Pressure Cycling Design Load: 50.0 psf Test Unit#1 Table 1 "Cyclic Pressure Differential Loading", Section ]]. Paragraph 11.4,2 POSITIVE ACTING Meetin Rail Pressure Average Maximum Deflection Permanent Set Range No. of Cycle Indicators (Psf) Cycles Time Left Center Right Left Center Right (seconds) #1 #2 #3 #1 #2 #3 10.0 to 25.0 3500 2.28 0.16" 0.36" 0.29" 0.0 to 30.0 300 2.60 0.19" 0.44" 0.34" 25.0 to 40.0 600 2.33 0.25" 0.55" 0.42" 15.0 to 50.0 100 2.48 0.28" 0.70" 0.51" 0.03" 0.11" 0.05" Pass NEGATIVE ACTING Meeting Rail Pressure Average Maximum Deflection Permanent Set Range No. of Cycle Indicators (Psf) Cycles Time Left Center Right Left Center Right (seconds) #1 #2 #3 #1 #2 #3 15.0 to 50.0 50 2.07 0.29" 0.74" 0.65" 25.0 to 40.0 1050 2.33 0.21" 0.57" 0.50" 0.0 to 30.0 50 2.78 0.17" 0.45" 0.41" 10.0 to 25.0 3350 2.35 0.16" 0.42" 0.39" 0.08" 0.17" 0.17" Pass 01-42202.03 Page 7 of 9 Test Results: (Continued) ASTM E 1886 Air Pressure Cycling Design Load: 50.O psf Test Unit#2 Table 1 "Cyclic Pressure Differential Loading", Section IL Paragraph 11.4.2 POSITIVE ACTING Meeting Rail Pressure Average Maximum Deflection Permanent Set Range No. of Cycle . Indicators (Psf) Cycles Time Left Center Right Left Center Right (seconds) #1 #2 #3 #1 #2 #3 10.0 to 25.0 3500 1.96 0.15" 0.35" 0.25" 0.0 to 30.0 300 2.42 0.16" 0.37" 0.27" 25.0 to 40.0 600 2.03 0.21" 0.48" 0.35" 15.0 to 50.0 100 2.58 0.25" 0.60" 0.42" 0.06" 0.09" 0.08" Pass NEGATIVE ACTING Meeting Rail Pressure Average Maximum Deflection Permanent Set Range No. of Cycle Indicators (psi) Cycles Time Left Center Right Left [__Center Right (seconds) #1 #2 #3 #1 #2 #3 15.0 to 50.0 50 2.62 0.24" 0.64" 0.57" 25.0 to 40.0 1050 2.46 0.23" 0.56" 0.44" 0.0 to 30.0 50 2.79 0.20" 0.43" 0.35" 10.0 to 25.0 3350 2.19 0.19" 0.41:' 0.34" 0.11" 0.17" 0.15" Pass 01-42202.03 Page 8 of 9 Test Results: (Continued) ASTM E 1886 Air Pressure Cycling Design Load: 50.0 psf Test Unit#3 Table 1 "Cyclic Pressure Differential Loading", Section H. Paragraph IL 4..2 POSITIVE ACTING Meeting Rail Pressure Average Maximum Deflection Permanent Set Range No. of Cycle Indicators (psi) Cycles Time Left Center Right Left Center Right (seconds) #1 #2 #3 #1 #2 #3 10.0 to 25.0 3500 2.23 0.26" 0.31" 0.13" 0.0 to 30.0 300 2.59 0.28" 0.36" 0.16" 25.0 to 40.0 600 2.20 0.41" 0.52" 0.22" 15.0 to 50.0 100 2.06 0.49" 0.66" 0.26" 0.10" 0.13" 0.10" Pass NEGATIVE ACTING Meeting Rail Pressure Average Maximum Deflection Permanent Set Range No. of Cycle Indicators (Psf) Cycles Time Left Center Right Left Center Right (seconds) #1 #2 #3 #1 #2 #3 15.0 to 50.0 50 2.24 0.53" 0.61" 0.28" 25.0 to 40.0 1050 2.29 0.46" 0.55" 0.24" 0.0 to 30.0 50 2.60 0.37" 0.43" 0.19" 10.0 to 25.0 3350 2.22 0.34" 0.39" 0.17" 0.13" 0.10" 0.08" Pass 01-42202.03 Page 9 of 9 General Note: Upon completion of testing, the specimens met the requirements of Chapter 7 of ASTM E 1996. Note #1: A 1 mil plastic film was used on the interior of specimens to seal against air leakage for the negative loading portion of testing. In our judgment the fibn used did not influence the results of the testing. Witnesses: The following representatives witnessed all or part of the testing. Ed Grey Simonton Windows Allen N. Reeves, P.E. Architectural Testing, Inc. Adam Fodor Architectural Testing, Inc. Representative samples of the test specimen, and a copy of this report will be retained by ATI for a period of four years. This report is the exclusive property of the client so named herein and is applicable to the sample tested. Results obtained are tested values and do not constitute an opinion or endorsement by this laboratory. This report may not be reproduced, except in full, without the approval of Architectural Testing. For ARCHITECTURAL TESTING, INC: Adam Fodor Allen N. Reeves, P.E. Senior Technician Director- Engineering Services AF:nlb 01-42202.03 v �f. DOCUMENT CONTROL ADDENDUM #01-42202.00 Current Issue Date: 08/22/02 Report No.: 01-42202.01 Requested by: Chuck Anderson, Simonton Windows Purpose: SBCCI SSTD 12-99 testing of three Series/Model 07-09, PVC twin mulled double hung windows. Issued Date: 08/22/02 Comments: Florida P.E. seal required on report. Report No.: 01-42202.02 Requested by: Chuck Anderson, Simonton Windows Purpose: SBCCI SSTD 12-99 testing of three Series/Model 07-09, PVC twin mulled double hung windows. Issued Date: 08/22/02 Comments: Texas P.E. seal required on report. Report No.: 01-42202.03 Requested by: Chuck Anderson, Simonton Windows Purpose: ASTM E 1886-97 and ASTM E 1996-01 testing of three Series/Model 07-09, PVC twin mulled double hung windows. Issued Date: 08/22/02 Comments: Florida P.E. seal required on report. f MODEL DESfGNAT10N MASONRY LI. Simonton Mulled Twin Double Hung Series 07-70 / 07-09 / 75-70 Vinyl Win ( MAXIMUM OVERA NOMINA SIF Twin up to 74.5" x 76" t QESIGN PR SSUR RATIN Anchors: Positive 65.0 PSF Negative 65.0 PSF Windows: Design Pressure Ratings Vary; See Corresponding HAMA Test Report or Dade STUCCO —� NOA or Florida P.E. Evaluation. USABLE CONFIGURATIONS7 X X SILICC ! X X 114" & GENERAL DESCRIPTION: The head and side jambs are extruded PVC The wall thickness through HEADEP which the anchor screw penetrates is a minimum of 0.070". 2 1/2" x 3/16" TAPCCON 1 TYPE ANCHOR MIN. TYP. SEE NOTE 4 6" o d 2.75.. 4 v e �6" a INTE *EXTEI AS 6" 1 2.75" TYPE ANCHORMIN. TYP.ON SEE NOTE 4 SASH 2 1/2" x 3/16" TAPCCON TYPE ANCHOR MIN. TYP. T p• 1 SEE NOTE 4 3" x 3/16" TAPCON TYPE ANCHOR, TYP tu J 41 Q � X a ' Q ' I� a 3 1/2" x 3/16" TAP 1 1/2" x 3/16" TAPCCON TYPE ANCHOR, TYP t TYPE ANCHOR MIN. TYP. SEE NOTE 4 2.75" 2" x 3/16" TAPCCON 1 TYPE ANCHOR MIN. TYP. to a 6" SEE NOTE 4 a •4 <" . .q 2.75" 37" MAX. 6" OVERALL UNIT WIDTH 74.5" MAX. OVERALL FRAME WIDTH 5 6. 7. 8. Z Z =L 2-1/2" x 3/16" MIN. TAPCON No PE ANCHOR, SEE NOTE 4 0 )w w 2.0" MIN. 1" x2" O1 O FURRINGLn o 00 E Ln Z J n S LZ W U l_ JE CAULK RYWALL BASE PLATE c C- ri 1" x 6" FOR ANCHORING ° IAX. SHIM SILICONE CAULK MULLIONS T v o J O Ln JAMB 3 1/2" x 3/16 TAPCON 1" x 2" D TYPE ANCHOR, SEE NOTE 4 FURRING iEAD JAMB VINYL EXTRUDED DRYWALL MULL COVER 1' x 6- 6063–T5 ALUM. s,. SILICONE CAULK MULL REINFORCEMENT RIVERACKET ED TO i 3" x 3/16" TAPCON THE MULL o Z TYPE ANCHOR O Ln Q N _RI TRACK TRACK ANCHORING e o N BASE PLATE c �o C: CsJ C MULL DETAIL OU 00 SHIM 1 4" MAX. U -00 ?IOR BASE PLATE 1.25" MIN. / cn OC) o TRACK FOR ANCHORING EMB. SILICONE Q) C MULLIONS ANCHOR SPACED CAULK vE, O C 2 314" FROM 3 1/2" x 3/16" TAPCON MULL C–LINE TYPE ANCHOR SEE NOTE 4 UTERIOR STUCCO 'ASH TRACK (Z)VERTICAL JAMB -RAIL C O Z ° 2" x 3/16" MIN. TAPCON O O Q TYPE ANCHOR, SEE NOTE 4 E= SILICONE SILICONE CAULK U Q Z W _EXTERIOR CAULK 0 INSIDE STOOL (/� :�i C7 SASH TRACK SHIM to O Z '1 STUCCO Cr) I— O a O 2 Z CON �_ 1 1" x 2" FURRING v Y W l DRYWALL U J p iCc Ld v z m O MASONRY SILL O 2 1 1/2" x 3/16" MIN. TAPCON U QfO z 1 SILL Z TYPE ANCHOR, SEE NOTE 4 Z W LO w N W ¢ I- N Nr : I. This installation has been evaluated for use in locations adhering to the Florida Building Code and where pressure requirements as determined by ASCE 7 Minimum Design Loads for Buildings and Other Structures do not exceed the design pressure ratings listed herein. U(BUILDiNG 2. For installations where the sub–buck is less than 1-1/2" (FBC section 1707.4.4 Anchorage Methods CONSULTANTS, INC and sub–sections 1707.4.4.1 and 1707.4.4.2) Tapcon type concrete anchors must be used and the 813.659.9197 length must be such that a minimum 1-1/4" engagement of the Tapcon into the masonry wall is obtained. 3. All interior and exterior perimeter surfaces of the window must be caulked. DATE: 8/6/02 t. The anchor screw at 2.75" from the mullion center is through the mullion anchoring plate. The SCALE: N.T.S. anchor screw at 6" from the mullion center is through the window frame. Single unit overall width, not to exceed 37" x 76" in a twin application. DWG. BY: WLN See Manufacture's Installation Instructions for additional hardware anchoring if required. CHK. BY: R.W. Adjust Tapcon anchor locations, if necessary, to maintain a minimum 2.0" clearance from mortar joints. DRAWISG 140._1 When the optional Head Expanders are used the Installer Must Adiust the anchor length to maintain .the SHEET 1 of 1 required minimum embedment into the substrate. —