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379 Skate Rd (vault) CITY OF 800 SEMINOLE ROAD - - ------ - -- ---- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 June 21, 1995 Mr . Bill Carle Department of Professional Regulation Investigative Services P. O. Box 230 Jacksonville, FL 32211-7466 Re: 379 Skate Road Permit No. 7045 Dear Bill : Enclosed is a copy of Permit Number 7045 for 379 Skate Road. Sincerely, Don C. Ford Building Official DCF/pah ieturn to: DFPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUILDING DEPARTMENT QUESTIONNAIRE 'ROPERTY OWNER: Jimmy & Linda Sims DPR CASE NO: CG 9500984 COMPLAINANT: Jimmy and Linda Sims CONTRACTOR: William F. Haft, Jr. APPROXIMATE MONTHNEAR JOB BEGAN: 8/20/93 LICENSE NO: CG CO26002 JOB PRICE: $4,500.00 COMPANY NAME: Haftco Inc. TYPE OF JOB: Addition to residence JOB ADDRESS: 379 Skate Rd. COMPLAINT GENERALLY CONCERNS: leakina roof after addition Atlantic Beach, FI 32233 PLEASE CIRCLE APPROPRIATE ANSWER 1. Do your records show a permit issued for this job? YES NO A. Who obtained the permit? Haftco Construction State License Number: CGC(J2 002 If NO PERMIT ISSUED go to Section II) B. Permit Number: 7045 Date Issued: 7/13/93 Describe work: construct addition to rear of house C. To your knowledge was the permit obtained on time? YES � NO If late: 1. Was this apparently a violation of your local code? NO (Please furnish copy of code) 2. Were any inspections missed? YES NO D. Has a successful final inspection been done yet? YES NO E. Has a certificate of occupancy been issued for this job? YES _NO ONE REQUIRED FOR THIS a. If yes, what date issued? - F. Is the final inspection or certificate of occupancy being held up for correction of code violations or other problems on job? YES NO N/ a. If yes, please identify the code violation or problem and furnish copy of code: G. To the best of your knowledge are there any code violations in the work at this time? YES NO 11. IF NO PERMIT ISSUED, PLEASE ANSWER THESE: A. If no permit issued, and assuming the above description is correct, would this apparently be a violation of your building code? YES NO a. If no permit,w hat code section was violated? (Furnish copy of cod*) B. If no permit, have you previously been made aware of this job, or had some involvement on it, prior to this letter, such as red tagging it for lack of permit? YES NO III. OPTIONAL: IT WOULD GREATLY ASSIST US IF YOU WOULD ANSWER THE FOLLOWING QUESTIONS: A. In your experience seeing jobs, the work done on this job (circle one) AboveAver_agp A little Far below average below average B. In your recollection, was there any unusual aspects to this job? 0 a. If YES, please briefly describe: IV. HAS YOUR LOCAL BOARD TAKEN ANY DISCIPLINARY ACTIOV AGAINST THE ABOVE CONTRACTOR? If so,furnish copies of code violated and Board minutes. BUILDRYG DEPARTMENT QUESTIONNAIRE V. Does your agency examine and regulate any of the following specialty contractors? OESNO Plumbing Electrical Roofing ✓ Air Condition (HARV) Masonry Steel Erection ' Framing ✓ Pool Drywall IV. In your experience seeing jobs, the work done on this job was approximately (Circle one) complete. 10%0%0 80% 60% 40% 20% 0% 90% 70% 50°% 30% 10% (Note: If the complaint alleges abandonment, it is critical that you provide the above estimate, even if an inspector has to be sent to the job site.) VII. Have you conducted a complete review of the construction in question? (Circle one) YES CNO VIII. Did your review find any code violations? YES NO If yes please provide a brief statement detailing your findings, including the section of code violated. NOTICE: The Department of Business & Professional Regulation, in conjunction with the Construction Industry Licensing Board, stands ready to assist your agency enforce adopted code[s]. However, if you have indicated in this form that a code violation exists, but you have not provided a copy of the violated code and adopting ordinance, there is little the department or the board can do to help. Name of Dept. Atlantic Beach ^ilding Department Signature: Date: 3/2/95 Title: Building Official i Print Name: Don C. Ford ____ Phone Number: 247-5826 PSIR-36" AN 7045 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ----- - LOCATION INFORMATI'44 '04 c Ad:! - V SKATE PC,A ryp-". L,1111,V I NG T L ANT f SEA--'H F 1,.-FILA wc-tk : A D r,!T - --- ---- - - - LEGAL DESCRIPTION :oft!,r t Type , MASC)NRY B R l,'K f.•:,-t b t;- .-k : 6--e* SINGLE FAMILY Towrjrhi T. In-:v: I .'ode: S u bi i v i 2 i,-)n IFF 171,3 t e 3 1 U Cr "os t Tot a I peer :reunt Paid $37 . Ss) % .'1'i91 ONNER INFORMATION APPLICATION FEELF Naine ""GINDA SIMS FERM IT prAp WATER 114F�v-`T FEE 0 ACH . FLORIDA 3 212 3 SEV4ER IMPACT . FEE 01? ri T,49. - JATEP -�.4ETER 4 Sr, - �100 0 NFORMATION RADON GAS 1�� en rah ?'is F W AT E F TA F nn -I d r r 0. 2 4 SEWER T" Y'4 'M 0 A H -p N Fn _RMA T. l L-Lr.--SEArf I -F L < 5(7o HYrFA(jL!!` SHARE 5c. or 0-1 T T ype* 1 CAPITAL !MPROVE. H fMFA,-"T FEE 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.911 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION,FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. l� ATLANTIC BEACH BUILDING DEPARTMENT By: CASHIER COPY DEPARTMENT OF PROFESSIONAL REGULATION UNIFORM COMPLAINT FORM Please return to: DPR Consumer Complaints Northwood Centre, 1940 N. Monroe Street Tallahassee, FL 32399-0782 TypeName: or Print Contact (other than yourself) r � YourName: Address: Address: �i"V11 L O ' 14 Telephone ( ) Telephone (1611) •� eoslness , YourOccupation: "i ' SUBJECT OF COMPLAINT (� Z/✓,L /�/� �©���'-/DIPS' `� �6��:Lpr�',� �1 -e Name' personand/or Company s3' iJ ✓ is e Telephone (�?� Address: Occupation: _X City: License # (if known): ZIP:-i [ ] No Date: Have you contacted subject concerning complaint? Yes [ ] Private Attorney (if applicable) Address Name ( ZIP Cny Telephone State Witnesses (Please give full name and addresss) -------------- Please see other side DPR/REG 001 (Rev. 09/90 DEPARTMENT OF PROFESSIONAL REGULATION (CONTRACTOR CASES) PAGE 2 COMPLAINT .FORM If you are the property owner and your complaint falls generally into one of the categories in question 2, we suggest that you do not send us a lengthy written statement at this time. write a brief statement on the preceding page. Based upon this and your answers below, our staff will send you specific questionnaires applicable to your situation. Please answer all pertinent questions below. Do not attach papers which say "See Attachments" . Return this to DPR Complaint Section. Sign all pages of complaint forms. Use pencil so you can change your answers. Sign and date at the end. If you have already filled out some other agency' s complaint form. we apologize for the inconvenience but ask you to please bear with us and comply with thepe instructions When returning this complaint form, please send us readable copies of the documents below that you have not already sent us: 1. Contract between you and the contractor (we must have this) 2. Guarantee paperwork (mandatory if guarantee involved) 3 . Correspondence to/from contractor about your problem (helpful to us) 4 . Liens filed on your property (helpful in financial problem cases) 5. Other papers you feel. would be helpful to us 1. I � complaining in my capacity as: _Homeowner Subcontractor Supplier _Building Dept. Owner of commercial structure worked on by contractor 2. Check the category that best summarizes the work the contractor did for you or that you were involved in: Built a house ,/ Built addition to house _Remodel house Built commercial structure Remodel or build addition to commercial structure _'Re-roof entire house __Roof work, commercial bldg. Built a pool at house __Air-conditioning or heating work at residence OTHER as follows: 3 . Please circle the letter (s) for the category that best describes your basic complaint: A. Poor workmanship by contractor . 6Job finished, but contractor will not correct problems. Roof leaks, contractor will not repair. D. Contractor failed to pay subcontractors/suppliers. E. Contractor taking unreasonably long to do job. F. Contractor abandoned job. G. Financial dishonesty/misconduct by contractor . (Continued on the back) 4. Was contract in writing: (if yes, send us a Yes No 5. Contract price: $ copy) Date on contract: 6. Approx. date wor)cbe 3 Approx. date work ended contract: 1 > 7. Name of contractor as shown on toprof 4 �- , ,_ __ 8• Is the worksitelFoca ted / 9• If yes, name of City; inside city limi -_ts? �� No 10. What County is worksite in? � 11. Street address of worksite:,- _ You can usuall r� local BuildingyDepartmentnswers requested below b compliance b The questions relate y phone from your y the contractor, to building code 12. Was a permit obtained from the Building 13' �: Name of Building g Department? Yes No Department: 14. Permit numb—e .. issued: ----- D 15. Final inspection passed? Yes ✓No ate 16. Who pulled permit? 17• Certificate of Occupancy r, p y issued? Yes No COMPLAINANT SIGN HERE: DATE: DPR/REG/117 REVISED 6/89 Original complaint form Page 2 Note: A Copy of this form will be sent to the SUBJECT of your complaint, pursuant to 455.225(1) Florida Statutes. Please give full details of your complaint. Include facts, details, dates. Please attach copies of bills, docu- ments, records, correspondence, and contracts. g cwt , a olL�r Yl<,ov ata- --i-Li) -rust j.,. fj ldlaw— o►Yk 4 (sem jgj, j Y�7 9 a4'c jk'& /J 'ke Ch") to i�w►t..,c, � #t t tm vnucG,�� Florida Statutes 837.06,False Official Statements: Whoever knowingly makes a false statement in writing with the intent to mislead a public servant in the performance of his official duty shall be guilty of a misdemeanor of the second degree. Sgeeture(required to Ile aompWnt) Date CONTRACT AGREEMENT / This AGREEMENT, made this day _ of J �� 19'� by and between M -g . s.i-mms— --_ — herein after called the "OWNER" , and/or" AGENT FOR OWNER" and HAFTCO, INC. 370 4th Avenue South Jacksonville Beach, Florida hereinafter_ called the "CONTRACTOR" . GOODS AND SERVICES: I agree to purchase from you, and you agree to sell to me, the followirxg goods and/or services as stated in this agreement . Any specifications required by Building, Electric and Plumbing codes and Fire codes that are not in the original agreement are additional : RESIDENCE: I acknowledge that the goods and services are to be furnished or used in the course of remodeling or altering the residence located at : 3 d Atlantic_Beach, Florida 32233 I affirm that I own and/or act as agent for the owner . SPECIFICATIONS 1 . Design and building plans 2 . Building Permit 3 . Raise slab to floor level using 3000 PSI concrete and 10x10 wire mesh 4. Frame walls with 2x4x8 studs , 16" on center , with T-111 siding painted to match existing home . Insulation to be R-11 . Drywall on walls to be 1/2" sanded and painted 5 . Roof framing to be 24" on center . Insulation to be R-30 in ceiling area . Drywall to be 5/8" with a textured popcorn finish 6 . Extend the air conditioning vent 7 . Install ceiling fan with light fixture 8 . Install vinyl flooring 9 . Scrape ceiling in front hall above bar leave wood exposed 10 . Install one ( 1 ) 30/40 aluminum window with insulated glass 11 . Flash second story wall at roof tie in with 5x5 flashing 12 . Remove construction debris from job site Changes in the work specifications are subject to the contractors written acceptance, and additional charges are payable in full at the time of acceptance . Any changes which increases the cost of labor or materials shall only be made upon the owners advance written request. . Upon payment of additional charges the Contractor shall accept the changes in writing . The owner will submit. all material and color selections within _ days of signing the contract , including an alternate choice for each item. Except by prior agreement , all selections will be standard materials available from local sources Contractor is not responsible for bearing the walls when applying any covering to the walls such as sheetrock, tile, paneling etc . . Contractor is not responsible for violations of br-rilding, electric, plumbing, or other governmental codes , which may exist in the building . Corrections of violations are excluded from this agreement and shall, be the responsibility of Owner unless specifically provided for the contract . Wood is one of nature ' s valuable gifts and Contractor shall not be responsible for varied and different grains , designs , characteristics , color tones and patterns . Where concrete or cement is required at any place on the job, Contractor agrees to perform said work in accordance with accepted standards of the building trades and shall not be responsible for settlement or cracks which may later occur . Contractor shall not be responsible for any blockage , change of pressure or any condition or damage which may result to any of the pipes or drains or their :Functions in the building or to any damage which may be caused to any of the property . Contractor shall. have the right to all surplus and unused materials and to enter the premises to remove it within a reasonable period after the completion. Owner shall be liable to Contractor for any breech of this agreement by Owner for all profits Contractor would have earned together with reasonable value of the work and all materials furnished or procured, any expenses incurred and reasonable attorney' s fees incurred to enforce and collect the amount due. NOTICE TO OWNERS You are entitled to a copy of the contract at the time you sign it . Keep it to protect your legal rights . OWNER: BY SIGNING BELOW I AGREE TO BE BOUND BY THE TERMS OF CONTRACT AND I ACKNOWLEDGE RECEIVING A. COMPLETED COPY OF THIS CONTRACT AND THAT I HAVE BEEN ORALLY INFORMED OF MY RIGHT TO CANCEL . OWNE , /t) OWNER ...-�- AUTHORIZED SALES REPRESENTATIVE ; _ This contract---is naf.valid until accepted by company. ATE C E Ep 4- Y HAFTCO, INC. LINDA M. SIMS PH 249-7686 - �' 19 - -- 6 4 379 SKATE ROAD s3-a ATLANTIC BEACH, FL 32233 630 /-NY TO 1 HE ORDER OF 600 THIRD STREET • NEPTUNE BEACH, FLORIDA 32233 MEMO .i�Lidcysa--._ 1:0630000471:0643 2 193 L05 14111' 11'00000500001' LINDA M. SIMS 0-3 627 PH 249-7686 —'- 379 SKATE ROAD 63-4 ATLANTIC BEACH, FL 32233 630 PAY TO THE tKA OADER OF --"_"•"- 3 DOLLARS 500 THIRD STREET • NEPTUNE BEACH, FLORIDA 32233 ". MEMO, 1:0630000471:06 27 2 L93 L05 L4 LII' ,1'0000 L50000,1e LINDA M. SIMS Q� PH 249-7686 -- ��= 19 607 379 SKATE ROAD 0a ATLANTIC BEACH, FL 32233 630 PAY TO THE �±�/i� �..t� �• ORDER OF _ L.}_.S.eti+G-� ✓1" ' --- -- s J- 500 DOLLARSra • THIRD STREET • EPTUNE BEACH, FLORIDA 32233 y 1:0630000471:0607 2 193 LOS L4 Lil' 11,00000500001' 1'000002 0000,1' .ut `I t 5 OZ E b t 2 5 1 9 0:Q h-0000 9 0:i rpm -,� d OW3W '46VEI9 3Nnld3N • • 133111S dHIHl 009 ' • IJ `:i—O 0---. -_-__-_ Q _ • rS- �� // 3141 Ol AVd 0139 b-139 ££ZZ£ I3 'HOV39 0I1NV-IiV n --- QVOH ]iV)4S 6L£ 5 T 9 -� 6`� j O 9 999L-6VE Hd SWIS 'W VCINI-I . — -____ —4 rrs :^E 3 S.>'.i t1-t,.--;`r { _•/ai �. AN UJ cI V O ' (.t t� 1 t..� F •� ��� � 1 L- .� �. .. i ��`^�.a�•�� yam,t\ CJ a .� 4 o. C3 Lo o - 0 0 _. w 2 � .tUi .. �Z' HAFTCO, INC . 370 4TH Avenue South P . O. Box 50824 Jacksonville Beach, Florida 32240 STATEMENT OF CONTRACT TO: Mrs . Linda Simms Partial Complete xx 179 Skate Road Period from? 93 tom/20/93 Atlantic Beach, Florida Project Name Renovations STATEMENT OF CONTRACT Original Contract Amount . . . . $ 4500 . 00 Change Orders to Date. . . . . . . $ 00 . 00 Adjusted Contract Amount . . . . . . . . . . . . . . . . . . . . $ 00 .00 CHANGE ORbER` RECORD No. of Change Orders to Date 00 . 00 Change' Order Increase. . . . . . . Change Order Decrease. . . . . . . Net Change. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 00 . 00 SUMMARY OF PAYMENTS Total Billed to Date . . . . . . . $ 4500 .00 Total Retainage to Date. . . . $ nn - nn Total Payments Received . . . . $ 4000 .00 Change Orders . . . . . . . . . . . . . . $ 00 .00 Amount this Payment . . . . . . . . S 500 . 00 FINAL UPON SUBSTANTIAL Less %Retainage. . . . . $ COMPLETION PAY THIS AMOUNT $ 500 . 00 CERTIFIED BY ; The undersigned certifies that to the best of their knowledge, information , and belief , the work covered by this statement has been completed in accordance with the contract documents . That all amounts have been paid for which previous statements were issued and payments received , and that the currecnt payment shown is now due. DATE DATE WE APPRECIATE THE OPPORTUNITY TO SERVE YOU HAFTCO, INC. 370 4TH Avenue South P. O. Box 50824 Jacksonville Beach, Florida 32240 STATEMENT OF `CON_ TRACT TO: Mrs . Linda Simms ..Partial xx Complete 379 Skate Road Period from to Atlantic Beach, Fl . 32233 , Prpject Name REpairs renovations STATEMENT OF CONTRACT Original Contract Amount . . . -. $ 4500 . 00 Change Orders to Date. . . . . . . $ 00 . 00 Adjusted Contract Amount . . . . . . . . . . . . . . . . . . . . $ no -no CHANGE OR'DER' RECORD No. of ,Change Orders to Date 0 Change' Order Increase. . . . . . . Change Order Decrease. . . . . . . Net Change. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 00 .00 SUMMARY OF PAYMENTS Total Billed to Date. . . . . . . $ 4500 .00 Total Retainage to Date. . . . $ Total Payments Received . . . . $ 250o . 00 Li Change Orders . . . . . . . . . . . . . . $ ar1_ cL Amount this Payment . . . . . . . . $ ison _n0 Delivery of Drywall Less %Retainage. . . . . $ PAY THIS AMOUNT $ 1500 .00 CERTIFIED BY ; The undersigned certifies that to the best of their - knowledge, information , and belief , the work covered by this statement has been completed in accordance with the contract documents . That all amounts have been 'paid for which previous statements were issued and payments received , and that the currecnt payment shown is now due. DATE 1 � DATE WE APPRECIATE THE OPPORTUNITY TO SERVE YOU DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5828-FAX: 247-5877 _-- LOCATIOI F+ORMATION ----___-- .PERFIT INFORMATION --__-.- -__--- - Per►ni$Number: 23572 Address: . 379 SKATE ROA D Permit Type: REMODELING ATLANTIC BOULEVARD Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s):2 Block: 24 Section: Square feet: Subdivision: ROYAL PALMS Est. Value: _ Parcel Number:_ Improv. Cost: 1,700.00 OWNER. iEQAl�T1QN --_--- - --- Date Issued: 3/09/2002 Name: GILL, DONNA Total Fees: 30.00 Address: 379 SKATE ROAD Amount Paid:. 30.00 ATLANTIC BEACH, 32233 Date Paid: 3/09/2002 Phone: (904)365-1476 Work Desc• WINDOW REPLACEMENT k RACTORtS1 v A---_ APPLICATION FEES KINCO LTD. -- MIT 30.00 y . '7� waw q •sr . _ + q,"�' 'i Cdr i9 �l -�ii'3w, `"s 4 v,s t 7 �4• 1 '' . '. - ii.<ar,. _ �.�v� �'ic.`•.k.1 e"�7' �.tY'r"`k�~ � 'E� �� ` • - � -�;� �a.., �--..�•, --� ,� �,.�.'� t� s�-`� `�` as�:�. �� TION NOT[C F... �,.. �r�:,� �4,...�� azs�r�i�e�ai�?.Y•., _�. .a�.�;b.�vey,6��. _..-,�F, �� ... .,� BUILDING MATER TC SPACE, AND MUST BE CLEARS "FAILURE'TO COcc . THE PROPERTY OWNEid ._..` ISSUED ACCORDING TOA A PART BJECT TO REVOCATION FOR VIOLATION OF APPLIC Oper: DSMITH Type: OC Drawer: 1 Date: 3/28/82 81 Receipt no: 43818 14 PERMITS-BUILDING 1 $38.88 Trans number: 798189 ATLANTIC BIEACH UILDING T. CK CHECKS 184918 $38.88 Trans date: 3/28/82 Time: 13:52:22 CITY OF cATLANTIC BEACH PERMIT CALCULATION SHEET Address ��q Jy <<-�- Date �� Heated Sauare Footage ` @ $ per sq ft = $ Garage/Shed ` @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck 0 @ $ per sq ft = $ Patio `\J1� � @ $ per sq ft = S TOTAL VALUATION : (� °� I � . Total Valuation 1st $ i000- ;4 OO 5 00 $ 02� Remaining Value per thousand or portion thereof TOTAL BUILDING FEE $ 2G�• + 1/2 Filing Fee ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ 90 • � ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES : "'" Tn 4ddition'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. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE 2-- 2-J—0 2i I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTO DATE o ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS PHONE FAX E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS 67Z DAY OF STATE OF FLORIDA,COUNTY OF DUVAL tiK"•' PATRICIA APt1LMER NOTARY'S SIGNAT i� - ,.: .. MY COMMISSION#CC 782893 EXPIRES:December 22,2002 AS T P-d0d Thru Notary Pubkunderwriters Personally known ❑ Produced identification �. Type of identification produ d el GEORGIA A.HORN Ply COMMISSION#DD 030526 ' EXPIRES:June 3,2005 Bonded Toru No%W Public Ur&rWr#era AS TO CONTRACTOR: Personally known Produced identification Type of identification produced 01/02/02 03/04/2002 11:15 9043500061 KINCO:LTD PAGE 05 KINCO. CITY OF ATLANTIC BEACH BUILDING OFFICE MAR 0 o 2002 5-03-01 op it—Ir-c-5 cr E-1300 STATEMENT THE GLASS IN THIS PRODUCT MEETS THE REQUIREMENTS OF ASTM E-1300 AT DESIGN PRESSURE INDICATED ON AAMA LABEL ti 5245 OLD KINGS ROAD P.O.BOX 6429 JACKSONVILLE.FLORIDA 32236.6429 PHONE(904)355-1476 CBCN058958 03/04/2002 11:15 9043500061 KINCO:LTD PAGE 04 06/06/2001 12:06 FAX 3066107996 rt;ML5'1'XA'1IUN vuui Lab.Number 3092 April 30,2001 Report Number 9 File Number 01-102 Page 3 of 3 A-4261 cnntinwed_ Note: At ooadusion of above t-tS.tberau teas no sppnmt dmge Lo unit.glans or fWteaaz. Refetvace seccan s:1Bteaalts eakam t1 vm FPL 30611 Report No-S;A-&2";Apr!3012001 Teerperrmov? 73_O F BaromeA're:30.12 Teat Began-April 25►2001 Tat Csmpb"d-Apr$27.M01 Report E:pirw-App 2S,2005 Rale riQ: Tbw teat repel does not annatibAr.oat&DWiM of flus Produot, but ooiy that do above teat rants"=r obtamod using the desiynatod teat—AbOds and the perfacm�requir a (iF� as "o-ea) of the above: rdenaoed vwzcatiatis.As per m®ufaaxurce,unit cowl;es w'dh aortico 3,3.msteed and roar xwa rcquu®rata. Dctaiw assembly drawings 4vawsng wan&kki eau of all Mwtham.cocoa constYoetian and hwdwam application enc an filc and havc bra►eomparod in Wa sample wbmiolted•A tarot sampic will be raainod at the test lalwcabucY.A GOPY of ddia repot and detailed da-atamtga will be knnr"to Ow Validaoor. Noce:When food tab am perfawd as tasr NPOUMens,they an rovgsd with a 1.5 nrl plastic sheeting to pad from air leakage,hovmver.oris has no a fled on tba telt res obtai be`& Whnesmed by: VENFSMA"ON TES MG LABORATORY,INC. Mr.Luca FitKeredp.P.E. Mr.Jay W rick Mr.Jim puldke t )Ra Luvaia Mr.Mike Trent T MSM Author of Repoor u A. MwjcrW Ayala y,. Laborstory Technicians: - ••`!k. RAlph Rodrigues 4-Kinco Limier i� Y. I1c'C M+C Sh 19 f r 06/06/01 11BD 13:07 (TX/R1 NO 51 03/04/2002 11:15 9043500061 KINCO:LTD PAGE 03 Lab.Number 3082 April 30.2001 Report Numbs 9 File Number 01-102 Page 2 of 3 A-4261 11tA-MRUL ct1A3iAC1<'ER1ST1CS [;ar•dware: (continued) wand Descri tion Locaalon Four plastic trot guide,vnth ao LD-marks at cash jamb nil of vent.3 %"end 36'from boumn Tyro balwice ukc out stod eiin,with no LD,masks ane et each frames amb,73 1/4'farm bottom 'I we.pboka: rmd Desert doge oe allo,e Two 'A'weep SeAlmh one or each end of 4 -e F retain"lag in frame am Four 1 14' Dolce d serer mfti w JX*uw sit 3 W 21' 28'and 45.4�oot 1et1 Mlrntim Nage Mglliewa:None Rajaferaemenl:Nano SeJtlasttr.Ftsa w camas steams waav ae*ied wi h a deer edornd aealam Pads:One 20 long adSesive back d—d"U foam Eadoet at eaab kwa'Sterne oorner,'no'of two. S.ntw water rc=stanoe t:su were cardtxw w,ri&and ,gu,,a t[barm mesh to *=installed Sue of aacM 49'by 3$'hW Uok 1wtallatleal Tent writ i-called las a 2 x 12 wood tort btrdk with s 2 x 4 prmatse traeaed book strip.Franc installed with a single row of Na 8 by 1 w Sat hs+d died Kidd awe is R41211t bead ad*asset jambs.Location of installation wm ws am as IbUows:*xw bead bon stye�4'atoll 49':tiwue jam4ta RM tbo 6oH�2 3/4`,13 7/8',36'.42'.65' and 74 3/4'.These were no isdatladcn &ACQ Q treed in Berme sem. Prod Yci 11Sarwar-Nave OFFICJIALTBST RTSULTB Patracrspr Member Tlde rCTest mcaluxd ABewad U,Va ON 4.OFnO1VAL IiSAFtt)1RMANCE 0L,ASSr 4.3 Water Resistance TetiL-(,ASTM BS47.968931.96) Passed with and W&KP t some r.no kakap 4.50 pof(215 pa) 4.50(215)Minimum 4.4.2 Unif rm Swszwal Local Tan: (ASTM 8334-96 Psmad positive Labd 525 pzr(,SWV#"" 45.0(2155)mini— Dedeeded patracataeut Set Randiag et 4vrne jib 0.045'(1.14=a) 0.0070(0.1a U-A) Reading at frame ori 0.065•(1.65 meta 0.0090(0.23 ma) gig at owieting tw1 1.165'(29.63 mm) 0.043'(1.=mta) 0.200(5.09)n mdmmn ` Umtorm Shuctuil Load Tact: (&S"IU F330-96) Parsed ►. Negative Load 52.5 pd(2514 pa) 45.0(2155)miaimtua •• " w'h Reading u same jamb OA75•(1.91 mea) 0.010'(0 25 tern) Readin60.100'(7.54 mm) 0.012•(0.31 rem) Rradiag A meeting nits 1.160'(29.50 mm) 0.051 (1.30 mm) 0200(5.09)IIraximurn 'r 4 -•••• o6io0i01 WED ,rase? ['rz/[u No 67731 boos x03/04/2002 11:15 9043500061 KINCO:LTD PAGE 02 06%09/2001 12:06 VAL 4068197998 rWr-l1. uraUN btu c Quadtty Accuracy Assurance Fenestration Testing Laboratory, Inc. 1677 West 31st Place utakak FL 33012 Phone:305/819-7877 Fa 305/819-7998 e-matt:ftldadet9aol.00m www,JU-iru.com Lab.Nuts her 3092 Apail 30.2001 Report Number 9 Filo Nutaba 0 1-102 Page 1 cf 3 A-4261 OFFICIAL TZS T'RF"ILT MANUFACTuRxR• Kinco Limk d DESIGNATION: H-LC30-53 X 78 ADDRESS: P.O.Sax 6398 gpECMCATWM-. AN51/AA1AA/NWWDA Jmccaoaville.FIwids 32236 101/1.&1-97 DILSCRTION OF UNIT Mosel Designadm!Selina:M-40/50 SM;Absmipt0z19ingle H=9 WaodOw OversA Sint 4'5*(53')by 6'6*(187 big*by 2.000'deep Grmftwad aw O/X 4' 3 3 3/8'(39 W)hila No.&Sbe o[Vantst one eactt.aded alumistmv'�. 2 (50')by MATMIALCUMUCTEUMICS Fratac Coatractieaa Text omit has a%LOP VPC O'=8 with butt john and a vd'te coded Snub.Aiuraitumo allay is 6063-TS,=mpg where iadicatad- Fromm 000m v=hatemmd wA t"NO. t1 b9 SR'pain taead ataoet natal 31,439. Fixed meatin8 cad wasfreoatad at cs3 clad W'*ane NTo Y by 5W Pan hand dwd molal=vw, Fnaa>ys sill ho a l.d38' .06 overall intaicr AN flwW- Stam of lama manabars asv ala 31>���had 1.000'b7 2.050";lame sill -T6) a938'by 2.062-by 1,3426 by 2.161';tuwjamba 1.185•bF 2.000"by 1.9'38';tlSxad xnccdng mill.?25'by 1 1.064'by 1.237'.Frame tnemben my adW OMUims.wilts tYaicd w&U of A 062'•Wy 26063-T5,cape*be=Vesat Cvastnicdon:Vemthw butt joinu sad a whim amded finish.AWMhUM Sino 6063t rails acro sa e=i reit Vent oaaaers wore fmaa+ad Frith sea Ido.B b7 5l8 pea bad abod metal saw►• t+op 0.812- by 1.062'by 0.984'by 1.550':b0U0nnd(alloy-Tb)0.812'by JAM"bylA24'by 1.562";vast jamb rails 0.9371 by 0.912-by 0.322'.Vent.tds we slid cm wicaa,vA&typWdwan ddc1monve°(0.062'. Glatt Mauch-3n s-z=ed+d shm usiag a dew tOWW M iomo sed an-iti minwn rolled a Modb* Unit is ecttdoe &W with 0.3 SO"Oime8 Petaeizmon D sbond. t opeubW Clow apa=ag a(vm and fixed lite,481/4'by 36 W 1agk Wetdbenv*Phg1 Lowdon ar+rt Deat� don single row Pilo with bategral Plastic kin at VOM)Mb t�1L m the gripe and vent tap[aQ Sin crow ri veal bodom Ma Hard-am ' ..� aro! pefc.+l 1(1x2 joeaalon Two ,act jusuble spring loaded alum —book 10*wbb 00ttt•amt baaam sail 9" 42'A=telt K` I.D.marks .'• TWO sprinS Md 1uUcy bale was wi*LD.N0. apo a 379 ASI)AK aasiob 8m jaab la ie bmlance idea,with po I-D.=zrks tape A ooh mod of vola nil roe Mw-�i�0�1,"'1CK�r p0u'C7�n�ENCLUVA�srA 00 7M K""COkI'Ae�a rarw wwmo. is o aROOM�(000►w am or A wu . •�„nrr au4�ov'Me M� � Ob/09/01 WED 13:07 ITI/Tt2 NO 5773'* CUSTOMER VERIFICATION FORM PHONE NEW CONSTRUCTION P.O. 60X 6429 �> �\i. 1-904-355-1476 5245 OLD KINGS RD. REPLACEMENT JACKSONVILLE, FL 32236 1-904-355-1503 SALESMAN JOB NAME SUB. SOLD TO: C'_ ADDRESS: �.G i��1 Sle c— I TY CITY: d'_-1 STATE: i � L PHONE: PRODUCT QUANTITY SERIES FRAME COLOR SPECIAL GLASS LITE SPECIAL SIZES GLASS COLOR ARRANGEMENT WINDOWS GLASS SLIDING ( /� DOORS 7. �L4-" GARDEN WINDOW STORM DOOR My salesman has explained to me in terms that I understand exactly what I am buying. I am aware that any product which has special glass or is a special size is non-returnable, non-refundable and can not be changed atter deposit has been made and the product has been put into production. CUSTOMER DATE ORDER FORM PHONE P.O.BOX 6429 NEW CONSTRUCTION 5245 OLD KINGS RD. 1-904-355-1476 JACKSONVILLE, FLA.32236 Xinco, Xtd- REPLACEMENT - 1-904-355-1503 Customer Salesman LA p f Date Terms Order No. \ ` Job Name Sub. Sold To: Street Address City City: State: Lot. Phone: zip: QUANTITY DESCRIPTION ` /I UNIT COST/, TOTAL � � -SC; �.3 'tel �c-•,-..� �1��.� ice: c����� I.� � c � S U . a: r i (- q�`PECIAL INSTRUCTIONS TOTAL -A INSTALLATION L{fj CCS Q�_g 1� rJ>�� ,cu�••� I�J = 3rtiv�- TOTAL CONTRACT 'S CIJSTOYFR nrrcoTcn nAT. r.��r•. 7045 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ----- - __. ____. LOCATION INFORMATION --_ -_--_. "- Po!rmi t Number' "7445 Address- 379 SKATE ROAD Permit. Type: BU11,01NC. `TLANT:J�' BEA,"H . FLORIDA .-,2131 :'less of Work : ADDITION --------- - LEGAL DESCRIPTION o,nr t t Type: MASONRY 'BRICK E,ut , B I!- :k Sect i -,ri Propiz- ed Use: SINGLE FAMILY Township : RNG rYr Dwe 1 1[ s ubd i V if i,-ln Er,tirr,atel Value: $0 . �?�► ' Total Feer S 37 . 50 AIT%nUnt p, ; i; $37 . 53 Lat _ _71:7 t 1.L•".'? s,1-:0 _1 -n T ,� t: ?-ar Ctt hojiS OWNER INFe-�,FH= tTIQN . -- _-- __ ____, APPLICATION FEES ii a?NI`A O�,II✓!t4ti s:ERM IT P.ddrevs: {'?'4 SKATE,PC.-AD WATER. z MF-At::T FEE 1TLAci 1 f E3EA+"H FLOk?D i ?22 3 "EWER T MFACT FEE SOnn Phone ' 4 4 Ct�TRAC'ICR IIiFCa iATI01d - - -- - - RADOA r ^mow �,�e c;;; �; Name, HAFT '0 , i TV— , WATE.F TAP So rlr� _ - r > - _ . _.. `;EWEh: TAF' ` f HYDRAULIC SHARE 1,1,r_ei)we' ,'CyC0 E,r,C, I CAPITAL IMPROVE. $3 .33 E"','. H IMFA?'T FEE a�r TH EF NOTES: P P10 1 013 NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." TIME: ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATOOMTOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. E��L' 37,, ' - a ATLANTIC BEACH BUILDING DEPARTMENT By: CASHIER COPY DEPARTMENT OF BUILDING I CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 9461 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date_ January 28 lq 88 Valuation$---S—,000.00 Fee$ 28.50 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. r 2.9•r3 n This is to certify that Linda Sims 9461 11 e50CAC I has permission to build bedroom over existing den as Per plans Classification Residential Zone RS-1 Owned by Lot_ Block S/D House No. S79 Skate Road According to approved plans which are part of this permit jFj: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- F, SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE —♦ —� O Building material, rubbish and debris -q from this work must not be placed in public space, and must be cleared = up and hauled away by either con- ctor br owner. Bui g official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER I CITY OF AZANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS Owner Address Phon ? % 6 Architect a/��(/� Address Phone Cotitractor 5c—L l= Address Phone Contractors License/Certification Nu hers Expiration Date Property Address_ _ '1�j S(A i� c•l ,q ,f-nr-IC g,c,1r't! �L Zvnix�gP�S, Lot # Block or Unit # Subdivision Valuation of Construction Type of Construction GL�D�OI�M /¢DD/T/0/I) Describe Work to be Performed Co Ns TQ��i -1�/lODM o rX �Y is IhJ DFnl Materials to be Used��yt� Present Use of Building ®FvUC 15— Proposed Proposed Use of Building Flood Zone Dimensions of New Area: JAN 2 6 1988 J EAIED GARAGE- OR SIORAGE �X a Building and Zoning CARPORT OR PORC11 DECK PATIO YES NO NUMBER Will there be an increase in number •of units? �+ Will there be a decrease in nunber of traits? Any additional p1mbing fixtures? Any new fireplaces? SURILT 1W 01.1PLECIE SETS OF PLANS INCLUDING SITE PIAN Signature W1ER J Date ,,Z�D Q Signature GONMAC11)R / c 69,ek1pDate 7G s- q r � t H � n5 J bJ i s � b � pal �i 1� I � .x006 Cyall v 0 h I�vn-7* 0 A W \ m � a a � � 4> a, 9 r � \ / ROW rt lD � � w � i T 0 � C r r o � c A �\ n N o r � o P Z a � T 1 \ N fq ' �� nC �C b r � c � o u e. L b � m e s `J+ c l+ � fit C ` N c„ -� 7 G% a a 11�I .hyo$ c N � L 'P s -a� a b m - tj rm m L o r T C ` m 0 vi o �c w V � I � r � 3 v1 E C G T � O 14 -`74 T Address 3 7 7"E G��• �� Dt Tl ocJ _ Heated Square Footage 210 @ $ `j�/ YO per sq ft = $ K6�) Garage/Shed @ $ per sq ft = $ Carport/Porch / @ $ g'. per sq ft = $ / yy 96 Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ dD Oct Total Valuation lst $ DDD. 00 OCD CD C9 C Remainder Valuation 3 40 per thousand or portion thereof -------------------------------- --------� Total Building Fee $ f O d ADDITIONAL PERMITS and/or FEES REQUIRED -} 2 Filing Fee Mechanical ✓ ; Fireplaces @ 15.00 $ Pluming BUILDING'PERMIT FEE Sc ! Electric/New ------------------------------------------------- Electric/Temp ''ll Septic Tank BUILDING PERMIT $ (� Sy Well WATER METER CHARGE $ bdnming Pool SEWER IMPACT FEE $ Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Cormection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES CI'T'Y OF ATLAN'T'IC BEACH AI'PLICA'TION I'OIt 1ZOOFING PERMIT BUILDING OWNER PHONE JOB LOT'1! BLOCK Olt UNIT N SUBDIVISION �A� CUNI'ItnC'I'UIt —a Zg 3 ADDRESS LICENSE- NUhIBL'It ,� j� Oo o a EXPIRATION JOB VALUATION $ Q Ga MA'TE'RIALS: SIGNAI•URL' OIVNE'It UA'1'E SIGNAI•URL CON'1'ItAC'Olt .DA'1'l . / 2 -q - 27 ., DEPARTMENT OF BUILDING 9323 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD 7,50 THIS PERMIT MUST BE POSTED ON JOB 69E I j 2!04/0 Date December 4. 19 87 9323 *00CAC 1396 IA 12184/0 Valuation$ 4,500.00 Fee$ 7.50 1 Dar) This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that DIXIE McCORKEL RB004019 1021 Oldsmobile Drive Jacksonville has permission to build Re-foof and make minor reppirs and paint Classification Residential Zone Ae1 Owned by Sims Lot_ Block S/D House No. 379 SKATE ROAD According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4— O Building material, rubbish and debris I from this work must not be placed in public space, and must be cleared d hauled away by either con- tr or or owner. i IrA ding Official. I FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER I PLUMBING ELECTRICAL SEWER I WATER CITY OF r�.a�atiC bead-�Qatcda Office of Building Official G� Q^�j REQUEST FOR INSPECTION Date_ �' ` p 6 �A �( _ Permit No. Time A.M. Received P.M. District No. ob Address Owner's Locality Name Contractor BUILDING CONCRETE ELECTRICAL PL MBI 9 Footing Rough Wiring R Framing �/ L-1H AL Re Roofing Slab - Temp Pole Tooup ut sting Lintel Final =_ Sewer L, Fire Place READY FOR INSPECTI N Pre Fab T Mon. Tues Wed. hurs. 10 Friday PM, Inspection Made _ P Inspector l Final Inspection❑ Certificate of Occupancy Date HAnCO, INC. II'I GENERAL CONTRACTORS & DEVELOPERS P.O. BOX 50824 3'10 4TH AVENUE, SOUTH JACKSONVILLE BEACH, FLORIDA 32240 904-241-0028 CGCO26002 October 31 , 1994 Mr . & Mrs . Jimmy Simms 379 Skate Road Atlantic Beach, Florida 32233 Dear Mr . & Mrs . Simms , Instead of replacing your roof , which we feel needs to be done at this time , the one option we have is to remove the shingles approximately five feet back from the wall of the second floor . We will remove the 1x12 on the wall of the second floor . Remove approximately one foot of siding on the wall of the second floor . We will properly flash the siding . Replace shingles , and 30Lb felt , as needed in repair area . We will remove construction debris from the job site. The total price for doing the above is $963 .00 The above is just a repair to the roof . There is no warranty with a repair job. I will not guarantee this will solve this problem, and any further leaks are not included in this repair at the price listeZJr Thanill /f i//- /�fO ell , Com' i �i7/�'L� © �>l /��—�DD� �� �/`F' �ci cS��� /?' /`-�.C`rcu l�-tel 1�•. r 42.x' CL Iez•:! E - mac l S - �f:. .S'o ���� ;vim- ,y✓��-� s��,��= � -rte �/ �'��-�� �: ���: - � r j /z?.�'��ti 1��`= 1�'��y� �y•�:�_�s i� moi% � ��S'�= 1,2 'lee V 421 f / CITY OF Office of Building Official REQUEST FOR INSPECTION 3 -7—2b Permit No. Date 3 Time fO/t A.M. 3 Received � v .M. j Job Address Loc rty r Owner's Contractor Name BUILDIN CONCRETE LE RIC PLUMB G MECHANICAL _! Air Cond. & ❑ [ r ng Footing ❑ ough Wiring Rough Heating [tk Re Roofing Slab ❑ Temp Pole ❑ Top Out 9 Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Pre FaFire b ❑ READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made P.M. Final Inspection ❑ Inspector r`^ Certificate of Occupancy❑ Date �. . for _ //NLA -A/ /� rC7� G C / Y ` fK� /�f ,� �� ��� � � �� � � �� '�' err , �.�,�.� 0002613 DEPARTMENT OF BUILDING Address: 379 SKATE PITY OF ATLANTIC BEACH ;Iermit Typel "+LANTEG 86AGIA, 6-444144114 C7.1sm-Es of W&rki ALTERATION DESCRIPTION - - C ninstr. Typei-'- N/A '."Block- sectioll-. P .-opoeed Use: SINGLE FAMILY Township: Det ?-Ilings- 0 Code% 0 Su k division Es imated Value: 00. 00 Improv. Cost : $0. 00 Total Fees: $52. 00 Amount Paid: 952. 00 Data Paid: 6/22/90 ' k Desc. : REFLA(1HG OLD AIR CONDITIONE1 WITH A NEW AIR CONDITIONER -- - - ---- - A#1t1L1LoA11UN Hamel tjR. ". 1 311110 PERMIT -x5- 2. 00 Ac dr-ess: 371SKATE kOAr) WATER t ti f"*e 1, r r.rr ATLANTIC,' BEACH, FLORIDA 32233 Phone*, ( SEWER IMPACT FEE $U. 00 CONTRACTOR WATER METER $0. 00 AN �- INFOR"ATION RADON GAS-H. R. S. $0. 00 JA E6 TR RADON GAS $0. (-)o I d Al"T �,;V& A. A, V WATER TAP Lic,,ense,; I . "HAR- 7fj6 • 11111DA SEWER So- ou TAP Type, "Y"AULIC $0.SHARE $0. RE-IN-PELT FEE ENGINEERING So. OCI . OTHER $0. 00 $0_ 00 NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.55 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC REACH BUILDINQp DEPARTMENT By: ef BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT QT — AApp�licant to complete all items in sections I, II, III, and IV. LOCATION Street Address: 4k 62A 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 abcve statement we hereby agree to perform said work in accordance with the attaci�ed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors ^ Contractor (Print) A Master W Name of Property Owner Signature of Own Signature of or Authorized Ag Architect or Engineer III. GENERAL IN N A' Type of heating fuel: - B. IS OTHER CONSTRUCTION BEING DONE� �N XElectric THIS BUILDING OR SITE? ;1 Cl Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED MATURE OF WORK (Provide complete list of components on back of this form) �I Residential or ❑ Commercial Heat ❑ Space ❑ Recessed 4' Central O Floor ❑ New Building Air Conditioning: ❑ Room �( Central Existing Building ❑ Duct System: Material Thickness Replacement of existing system Maximum capacity c{m ❑ New installation(No system previously installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9-P-M. ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pump (number) (Received) ❑ Tanks (number) Remarks ❑ LPG container (number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Unite escription Model Number Manufacturer capacity(TOM)Y A11 -ryl D (C> ., HEATING - FURNACES, BOILERS, FIREPLACES Capacity AppMV +i Number Unita Description )Model Number Manufacto rar (BTU) A41ney 40 Q 0 W, C TANKS Now Many Nominal Capacity Type Liquid Name Of Serial Approving and Dimensions Contained Manufacturer No. Agency CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ,�- li 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 ELEGfRICIAN SIGINATURE pJOURNEYMAN NAME ADDRESS: '3 7 `l S/�' T{ /,�• RFD-BOX- BLDG. FDBOXBLDG.SIZE Ae)- d -W ���� �- BETWEEN: RES. -r APT.( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ( 1 REW. ( 1 ADDITION ( */ TRAILER ( 1 TEMP. ( 1 SIGNS 1 ) SQ. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR l 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 6- AMPS PH 3 W YO VOLT L,�F. RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED - OPEN -_ TOTAL RECEPTACLES CONCEALED OPEN 5 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 I AMPS ICEIL 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. KV A NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED TOTAL FEES Q BUILDING AND ZONING INSPECTION DIVISION d L0 Z CITY OF ATLANTIC BEACH, FLORIDA Z LL 0 e�f ELECTRICAL PERMIT a �' Date 2/11/8 Permit No Fee E 2P.00 . J 79 SKATI ROME" m Location Between and a This is to certify that RA% I"PIr�; p c 91V MSIPIED ELFCTi IC W (Electrical Contractor) (Master Electrician) C has permission to install Electrical Construction as described herein in W a accordance with the provisions of the Electrical Code and regulations Z c of the City of Jacksonville, and subject to the information shown on the = application, drawings and specifications which are made a part of this 3 Y permit. for sy�rm5 of W O Type of work: RESIDM1 1AL ADDITIM; o 0 SERVICE•M " IRE R� ADDITION > EXIST SERI log nes, 1ph 3w 240 volt cable racetaY a N W Feeders: O Outlets: W Receptacles: N Switches: _ Incandescent: Fluorescent: Appliances: Air Conditioning: Motors: i Transformers: Signs: Miscellaneous: IF NO WORK IS DONE UNDER _ THIS PERMIT DURING ANY SIX ISSUED BY: Electrical Inspection Supervisor MONTHS PERIOD, PERMIT BECOMES VOID. r 0002642 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION --- LOCATION INFORMATION - --- -- - P rmit Number : 2642 Address; 373 SKATE ROAD Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 class of Work: ALTERATION -- -- ----- LEGAL DESCRIPTION ---------- Constr. Type: N/A Lot: Block: Section: roposed User: SINGLE FAMILY Township: TANG: O D ellings: O Code: 0 Su division: ROYAL PALMS E timated Value: $0. 00 Improv. Cost-. 50. 00 Total Fees: $45. 00 Amount Paid: $45. 00 Date Paid: 6/4^^7/90 Work Desc. : HVAC HOOK UP - -_ -- - OWNER INFORMATION ---- -- - --- - APPLICATION FEES ----- -Name: MR. SIMS PERMIT $45. 00 A dress: 379 STATE ROAD WATER IMPACT FEE $0. 00 A'T'LANTIC BEACH, FLORIDA 32233 SEWER IMPACT FEE * 0. 00 Phone: { } - WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 - -- - CONTRACTOR INFORMATION - - RADON GAS - 5;: $0. 00 Name: ATLANTIC LEACH HEATING &. AIR WATER TAP $0. 00 Address; 1225 4TH STREET NORTH SEWER TAP $0. 00 JACKSONVILLE BEACH, FL. 32250 HYDRAULIC SHARE $0. 00 License: CAC042-62 Type: 0 RE-INSPECT FEE $0. 00 ENGINEERING $0. 00 OTHER 50. OLS 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." ;,)N SAIL; ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND S ECT TO REVOCATIQN FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. sufiF 3,� mots 0fte ATLANTIC BEACH BUILDING DEPARTMENT 0002642 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ---- LOCATION I11FORMATI0N1 - --- ­ ­- permit Numl6er * 21'642 379 SKATE ROAD 3,ermi,t Type,. ELECTRICAL ATLANTIC BEACH, FLORIDA-32233 class of Worki ALTERATION LEGAL DESCRIPTION C:ynetr. Type- N/A Lot 1 8 1 ock- Section: Proposed Uset SINGLE FAMILY Townshipt RUG% 0 Dwellings: 0 Codet 0 Su division: ROYAL PALMS Estimated Value: $0. 00 Improv. Cost-. $0. 00 Total Fees: $45. 00 Amount Paid: $45. 00 Date Paid: 6/2,17/90 Wcrk Desc. : HVAC HOOK UP g 'f ­_ _ APPLICATION FEES wHER INFORMATION PERMIT $45. 00 Name: MR. SIM2 - IMPACT FEE $0. 00 kddreBsl 7579 SKATE ROAD WATER ATLANTIC BEACH, FLORIDA 32233 SEWER IMPACT FEE Phone: WATER METER $0. 00 RADON GAS If. R. S5. 190. 00 CONTRACTOR INFORMATION RADON GAS to. n_o Name. ATLANTIC BEACH HEATING A If, WATER TAP $0. 00 TAP $0. 00 Acdre2 se; 125 4TJ4 STREET NORTH HYDRAULIC SHARE $-0. 00 JACKSONVILLE BEACH, FL- 32250 $0. 00 I. cerase z CAC0427(�,'2' Ty pe-- 0 RE- INSPECT FEE ENGINEERING $0. 00 OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLI(�,aPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: Z//f f CITY OF ATLANTIC BEACH, FLORIDA Approvod by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: Tl c CORSi- MASTER ELECTRICIAN SIGNATURE JOURNEYMAN ec,TRlc ;uc:., n (p� NAME �'►p- Sims ADDRESS: 3 / s3k4l-' X80AD RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN: PLiyLA+ On rA Lin ROAD RES.$() APT. ( 1 COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE.{ REPAIR ( 1 FEE CONDUCTOR SIZE AMPS -2-CV COPPER ( 1 ALUM. (X) SWITCH OR BREAKER ) AMPS PH W LX C'VOLT RACEWAY EXIST.SERV.SIZE AMPS PH 3 W leo CV RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 1 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 J 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS tie R.r_ -c c- fferA v/) TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA N0. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S ce TOTAL FEES L� DEPARTMENT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA Date7-d7 19,71 Permit #/ Fee $ Application for Permit for valuation $ MHOUSE #32 Miscellaneous Alterations, and Repairs �- 9 T - DESCRIBE: (State if to repair, alter, add to or move building, erect awnings, signs, etc. ) Building on: Lot No. _Blk No. -Sub.Div. Address 7q __S7/Ca7"r_ ,4Z;� Valuation $ �Tom, 4 a _ owner 's Name �; / -rte_. 4- r BUILDINGS AND OCCUP_&IgCY Building Use - Residential or Business_-c i,/1 What Plumbing work to be done? Size of Present Bldg. Size of Extension Lot Size No. of stories now after altered Material of roof Material of Present Building Material of Extension NECESSARY PLANS TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump Type or Model Name and Address of Manufacturer In connection herewith, application is also made to install: gal. capacity tank (s) made by of gagge metal ground. (Name of Manufacturer) i6no. or above) (Under or Above) of building. For (Inside or utsi e (Name of Purc aser FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS Size Classification (State whether ground, roof, wall, projecting,banner) Material of Construction Illuminated? Type of illumination ate w et er Lamps or Neon Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRU TION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION ggBELOW yy.. (Feer canvas awnings provide dimensioned dra COn�GtPLETeyrs 'de) _ D IMPORTANT NOTICE: 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 building reSulations of the City of Atlantic Beach. (Southern Standard Building Code) . �Z .. -Ole Signature of Builder or Ownerz:zz,i`-- 5 � Adlress �r) �� ` �,^� ,� /Phone No.