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326 Skate Rd (vault) DATE• J - ` 9 PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: -- ------------------- tP_ �zo---42-------------------- -------------------------------------------------- ------------------------------------------------- ------ ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, 7,,/ BUILDING INSPECTION DIVISION cc:FILE i CI I Y OF- p�`:� C ADn Office of Building Official REQUEST FOR INSPECTION Date--5--9-9) _ Permit No. Time r M. Received _ 2M � d _ Job Address cality Owner's Name Contractor BUILDING CONCRETE EL CTRICAIl PLUMBING MECHANICAL Framing _ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing F: Slab Temp Pole Top Out ❑ Heating Insulation ❑ Lintel Final ❑ Sewer Fire Place ❑' Pre Fab READY FOR INSPECTION A.M Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made P.M. ins ector Final Inspectio Certificate of 6ccupanc C /J� Date PSR-3844 17538 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- PERMIT INFORMATION -- - ------ LOCATION INFORMATION ------ ::rmit Number: 1?538 A dress : 325 SKATE ROAD Permit Type:PLUMBING ATLANTIC BEACH , FLORIDA 32233 '. asp of Work:ALTERATIONLEGAL DESCRIPTION ---------- - "onstr . Type :WOOD FRAME Block: 2 Lot : 15 Twp: 0 Proposed Use: Section: 0 Subd:O Rna: 0 Dwellings : 1 Subdivision:ROYAL PALMS Est . Value : 0 .00 Improv . Cost : 0 ,00 Total Fees : 25 .00 Amount Paid: 25 .00 Date Paid,l-2-/1411999 or': Desc -REPLA 3 LAVA,FE RY AND BATHTUF 69 ____._ OWNER I TI°ON APPLICATION FEES Name: EDDIE B. THOMAS i 25 . 1)t ddr: x416 SKATE ROAD hone: -tw - rONT !: IN FORMATION ame: ATLANT ! ST PLUMB I NG TILE Cdr : 323 9' H Axl° UE NORTH mMCKSONVIL jjt:_ EACH , FL 3225" sic: CFCA21529 Exp :aR i yPe; NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 12/14/98 81 Receipt: 8818371 CHECKS 22559 ATLANTIC BEACH BUILDING DEPARTMENT 88188883221888 By: Mood CITY OF ATLANTIC BEACH . APPLICATION FO PLUMBINGMI �3 JOB LOCATION : 2 � � OWNER OF PROPERTY : PLUMB I NG CONTRACTOR CONTRACTOR' S ADDRESS: �r p1. STATE LICENSE NUMBER: L= 15/�05-05 ` TELEPHONE: 7'r HOW MANY OF THE FOLLOWING FIX.'URES INSTALLED SINKS SHOWERS vLAVATORY �" WATER HEATERS BATH TUBS l-Z- DISHWASHERS " URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER zy ;.g TOTAL FIXTURES: x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER : SIGNATURE OF CONTRACTOR : R ------------------------------------------- -------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 _ ' • SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 ` PSR-3844 2,632 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------- -------- LOCATION INFORMATION --- Permit Number : 9532 Address : 325 SKATE ROAD Permit Type: MECHANICAL ATLANTIC BEACH . FLORIDA ,. Class of Work: ALTERATION --------- LEGAL DESCRIPTION ----- -N, Constr . Type: WOOD FRAME Icvt : Block: Section, Proposed Use: SINGLE FAMILY Township: RNG. Dwellings : .I rode : 0 Subdivision: ROYAL PALMS g Estimated value : Improv . Cost : SO . On Total Fe- ' $37 .00 Cn Amc,unt ,P' 937 .00 _ Arg APPLICATION FEES ----- risme THOM.-� PERMIT 937 .00 w1 rKATF. ROADWATER IMPACT FEE 50 .�►�' ATLT,14 T EEACH , FLORTF SEWER IMPACT FEE , q 2 fi I WATER METER.'TAP 80 . 00 RADON GAS-H . R. S . 90 .00 _. ._ ._ CONTRACTOR INFORMATIOrl - RADON CAB 5% $0 . 00 "! STATE HEAT & C,, CAPITAL I-MPROVE . S0 .00 ?ATLANTIC BLVD , SEWER TAP 1810 .00 BEACH , FLORIDA CROSS CONNECTION Type: 3 SEC H IMPACT FEE 50 .00 CONST , SURCHARGE S0 . 00 S(714AR17 'T,TL . F ri 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." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 000000000 (12.00 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 1/30/ Rcpt: 002932 i 03221000 BY: A- BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: ca— 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 MechanicalContractors Contractor (Print) • G ^� Master Name of ---Property Owner /Y1 S Signature of Owner Signature of or Authorised Agent ' , i Architect or Engineer 11111. GENERAL INFORMATION A' Type of hosting fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION O Oil PERMIT Q Other — Specify IV MICHANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) X Residential or ❑ Commercial Heat ❑ Space ❑ Recessed ET Central ❑ Floor ❑ New Building Air Conditioning: ❑ Room Control ❑ Existing Building ❑ Duct System: Metairie)FX'0730%V-.-' Thickness— Replacement of existing system Maximum capacity s�'zoo c.f.m. O New installation(No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Capacity 9.p-m. El Other — Specify Cl Fire sprinklers: Number of head. Q Elevator 11Manlift 13 Escalator (number) THIS SPACE FOR OFFICE USE ONLY Q . Gasoline pumps (number) ( ) ❑ Tanks (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessel ❑ toilers Permit Approved by Date - b Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Apvrvlar Number Unit Description Model Number Manufacturer ( ns) cY _3q Vx I HEATING FURNACES, BOILERS, FIREPLACES Capacity Approving Number Unita Description MW Number I+[aautadXr1W (BTU) AgMey it ✓. C �'f�► (111�''�� TANKS How Many Nominal Capacity Type Liquid Name of Serial Ap roving and Dimensions Contained Manufacturer No. cy L_, CITY OF ATLANTIC EACH, FLORIDA APProwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:,_ _Z 19_-- IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOIN E WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE ITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH T LECTR L REGULATIONS, CODES AND CITY OF ATLANTIC B ACH ORDINANCES. 17 40 Ll ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME_ �rr U`r'�r ADDRESS: 3�" `j��`r f7lf RFD-80 X BLDG.SIZE BETWEEN: RES. k APT. ( 1 COMM.( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD i-) REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( 1 SO. FT. SERVICE: NEW( 1 INCREASE( I REPAIR ( ► FEE CONDUCTOR SIZE AMPS d COPPER ( ALUM. .- SWITCH OR BREAKER AMPS PH 3 W .JL-YIJVOLT / RACEWAY EXIST.SERV.SIZE AMPS PH W ;?--i '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 BELL TRANSF. APPLIANCES 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 i 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 ��- r i CITY OF Office of Building Official REQUEST FOR INSPECTION Date _ ` J ` Permit No. -7 17:5a Time .-. A.M. Received �SL(1 U M. Job Addres ocality Owner's Na ��'`'� Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. ( ed:) Thurs. Friday P.M. Inspection Made —/ 9 _9 Inspector anal Inspection El f Certificate of Occupancy ❑ Date CITY OF Office of Building Official V ��Z REQUEST FOR INSPECTION .777 / Date Permit No. Time O gC) AM- Received O P.M. 3Job Address Locality ` ��/� Owner's �� Contractor -lame BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing El Footing ❑ inng ❑ Rough ❑ Air Cond. & ❑ Re Roofing 1:1 Slab 17 Temp Pole El Top Out E7, Heating Insulation El Lintel El Final [-iSewer E] Pre Fab lace El READY FOR INSPECTION A M Mon. Tues. Wed. S. Friday PM. Inspection Made nal Inspection El Inspect ` Certificate of Occupancy ❑ Date d U->° I nn11�� /S/ACITY OF tq&a& e=4-99&'� Office of Building Official REQUEST FOR INSPECTION `� y Date --- Permit No. / / Time '"® P.M. Received Job Address Locality Owner's Name Contractor Z,d4eE i�- UIL N CONCRETE PLUMBING MECHANICAL Framing ❑ Footing ❑ Roug firing ❑ Rough ❑ Air Con . & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Sewer ❑ Fire Place ❑ Insulation El Lintel El Final Pre Fab READY FOR INSPECTION A.M. Mon. Tue Wed. Thurs. Friday P•M• i iA.M. de Final Inspection Certificate of Occupancy ❑ Date CITY OF 1q&4a1 & nne=A-/nNi••4& Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time �/�o A.M. Received V J Addres Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Rough Wiring ❑ Rough I El Air Cond. & 1:1 Re Roofing El Slab Temp Pole ❑ Top Out El Heating ❑ Final ❑ Sewer El Fire Place El insulation ❑ Lintel Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. Inspection Made �l — P.M. Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - -- - PERMIT INFORMATION -- - ------- LOCATION I.NFORMATION --------- ?r' rmi t Num er : 7771 7kddress : 32E SKATE ROAr Fermi;t Type: ELECTRICAL ATLANTIC.; BEACH , FL'�RIDA 32233 "lass .of Work : ADDITION ---------- LEGAL DESCRIPTION --------- c��} &1 _,ot : Blo;k: Section: posedT e: SNCL ER&E Township: RNG: t; )Wei I ?n:Is i Code . 0 �ubdi vi cion: Estimated Value : 50 .. 00 improv . Cost : $0 . 00 T : 1 17 55 . 00 tis no dP`,AMATION --s _ :- APPLICATION FEES ----- PERMIT S25 . 00 SK TE, ROAD WATER: IMPACT FEE #3E H . FLOR I DP '_#PAf'T FEE «` : 24 :,-4 3r tz WATER METE /TAP RADON GAS-H .R . S . SO .00 'ONTRACTOR T_NFORMATION _ _ RADON GAS 5% $0 .00 .- E'._. .t"r, f CAPITAL IMPROVE . 50 .00 `OUTH SECOND STREET SEWER TAP 80 .00 ULE, FL . _32250 HYDRAULIC SHARE 5Q .00 CROSS CONNECTION $0 .00 CON. SC--OTHER '` NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING7PARTMENT 000000000 C ?DKK Wj,()(I I j Date: 1/171% (fi) Rept: CITY OF ATLANTIC BEACH, FLORIDA .ON" — APPLICATION 'FOR LUCTRICAL PIRMIT RICAL IWLCTOII: GATE:- if TOT"CruEf ELECT . ,F"TANT NOTICE: IN CONSIDERATION,OF PERMIT GIVEN FOR DOING THE_, WOK AS GESCRID D N THE FOLLOWING: ' E HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE.ATTAC`U1 ALARS-0 S AND F CITY OF WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE F.LEArTRI CAL ATLANTIC BEACH ORDINANCES• 4,7/ NATURIP FIRM: ADORES&& OX....-.-s NAME _ .. _ . BL04.&IZL �. / Govic 1 1 rupLlc 1 1 INDV&•1 1 NiW t i OLD 1 1 Rgw. 1 I�iA►1 J/ �•1 .. ... t Ti4uLEA L 1 TUr.i 1 SIGN& 1 1 :"IFT: *"V" MEW 1 1 INGREASIA 1 REI•AIR CONDUCTOR 4; AMPS I 66um, RV.61Z9 AMPS W 0 fEEGERi AZI2E NO. - SIZE NO. NO• SIZE - CONCEALED OPEN TOTAL LIGHTING OUTLETS �,�.. CONCEALED OPEN TOTAL' RECL"ACLEt s�•�oo Aw I Q.&O Awry 1 IWITC - tac ENT FLUORESCENT M•V• ww►�. ovi■ 1•uc[� _ BELL'TRANSF. APPLtJk CIS H r•,RATINO /uR H.P. RATING CONDITIONII�IG comr.MOTOR O IHER MOTORS AMPS EIL HEAT: KW-HEAT " Afl OVER— MOTORS_ H1. VOLTAGE PHS- NO. 1 M.►. VOLTAGE PHS M:S,CE LLANEOUS Th- FORMERS: UNDER --OVER 600 V. NO. KVA• NO. KVA - NO.NEON TR,ANSf• NA• VA• liA& MOTOR>i12E &WITCH fLAGiE w LAC14 SIGN _ FOKW480ED - �. s •° . TOTAL FEES -- i PSR-3844 7732 801$ }ualll(ed Ie401 DEPARTMENT OF BUILDING 09LM :4dta3ay 00 %1L0/I •ajeQ t1SA83 :aojeAade CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION -------- LOCATION INFORMAT.TON - ~ ermit. Number : 7732 Iddress : 326 SKATE ROAD Permit Type : BUILDING ATLANTIC BEACH , FLORIDA 32;,%3 'lass of Work : ADDITION ---------- LEGAL DESCRIPTION ------�+�-- Constr . Type*: WOOD FRAME !.,ot : 15 Block : 23 Section: Proposed Use : SINGLE FAMILY Township: RNG: a :mel ? ings : 1 :'ode: 0 'libdivision: ROYAL PALMS estimated Value: $6552 .00 improv . Cost ' SO :00 �g Tata' .- S619 . 18 869 . 19 sa .o O d T T P mA� ,OWNER INFORMATION -- APPLICATION FEES ---- IV. x:ry EDIE ', $, DORTHY A. THOMAS PERMIT $67 . 50 : {ddr esr _ < . "KATE ROAD WATER IMPACT FEE $0 .00 t T A m BEUH , FLORIDA SEWER IMPAACT FEE $0 .00 Ph o4e . 90 4 �r 4 fi•-$''2 WATER METERI'TAP Moe RADON GAS-H .R . S . $0 . 76 ------- C60t-RAOTOR INFORMATION --- RADON GAS - 5$ $0 .08 Name ' ANNt CHEN' CONSTFfjCT? CAPITAL IMPROVE. $0 . 00 address.„ 284 �,�. JOHNS BLUFF t-; SEWER TAP $0 .00 JACKS" tILLE , FLORIDA HYDRAULIC SHARE 50 . 00 :.; c nse, CGC+14If`34CROSS CONNECTION SO . 00 SEC .H IMPACT FEE $0 .o' NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE %9IRDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE ,�LaRED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER oCn `�►ILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN 3HE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." IUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR .w LATION OF APPLICABLE PROVISIONS OF LAW. -4Ln CnLD ATLANTIC BEACH BUILDING DEPARTMENT Operator: CRYSTAL Date: 1/07/94 00 Receipt: 002275a Total Payment $67.50 By: Tri•�`f,!�y'! i `` C1777 OF ATLANTIC TIC DEAC%l F ERU-IX s' CAra�:UL� ��(OI1 SHEET Address_ c3 �. S �,f� ► F � � <{r �� l7 � oly > Date Heated Square Footage �C $z __per sq ft = $ (P SS 2 Garage/Shed @ $ per sq ft = $ Carport/Porch @ $� Per sq ft = Deck @ $ per sq ft = $ Patio @ $ _per sq ft = $ TOTAL VALUATION: $ Total Valuation 1st $ %60 " 5 ;L_2 '3 Remaining Value per thousand or portion thereof TOTAL BUILDING FEE $ 5--,z + 1/2 Filing Fee $ D- tea (� ) Fireplaces @ $15 .00 $ BUILDING PERMIT FEE WATER IMPACT FEE $ SENTER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ RADON (HRS) .0045 $ b RADON (CAB) . 0005 $ 5 SECTION H PAV I I1G ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ SURCHARGE .0050 $ OTHER $ p�'_f GRAND TOTAL DUE $ 1 ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New�Electric/Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: DEC 3 0 1993 ""ling and Zonin CITY OF ATLANTIC BEACH g PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : F,ddie B . &. Dortry A . Triomas Address : 326 Ckate Rd . Phone : 249-340,7 1 Lot # 15 Block or Unit # 23 Subdivision: tioyal Palms Contractor : Danny Cohen Construction Address : 2848 :3t . Johns Bluff Rd . Phone No: 645-8722 Describe work to be done: Demolish existing 10xlo addition and add new 12x14 addition as per plans . Present' use of building: single family residence Valuation of Proposed Construction: 410' ODO Proposed use: gamily Room Is this an addition? yes If yes , what are the dimensions of the added space: ft . X 14 ft . Will the added area be heated and cooled? yes New electrical ( or increase)? nc New plumbing fixtures? no 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: Dao ��-- Date : 12/30/93 Signature CONTRACTOR : Date : 12/30/93 t+ r1►LHIeII�; �-�� V�I I Vf pLANNINtl � ZONING OFFICE Dy FLA 1167 LAWS f1ANCO FORM 401 rf 7�7.1f tine of (9jammencemnit 4"1►AA4 ON OYKK.A/91 %a h1hant it UUN =LC= The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. D"crVion of property...»... 326 Skate .«r.a....Atlanti»�....bch..».....:......... . 33.. I................................ Lot 1 J _31 oc k 23 Royal r'alms _...........»....»..._..._..«. _..«_» . ._.» .....«............._............».««««.......«.»..«....«.««««.......«.........»........«......._...«........,»«...-................ Cenerr dear down existing addition redace with description of impr .«..._«..........«.....«.._........«......«.........«.....««..«»......«««.«_.«..._......._.«........_.».........»..._.... ov«neMs..« New 12x14 addition . Eddie B. & dorothy A. Thomas «.........»...............................«..............._......._............. .... Owner...........................r._..«.« 326 Skate Rd . Atlantic Bch. Fl . 32233 /Addeos . .........._»......_.........».....»....«......_.... .......«..-.................................... ...._...._...... «..._...._�. ._..« . « »......_............ Owners intereet in file of the inWovW"*...««.»«................................ ...«.»............. ..................«........«....«.. ....._».._............... fee Sim* Mlle holder (if other than owner) wme .......................................»........................,...........................................................................................................«............................................ /lddreit... «......_.........«...................«........«............».......«.................«........»............... ................. ................ _....«...»..»........... «....... .«........ _......... Danny Cohen Gerwaew...._.«.........._««_.« ..-._._.._...... ..«_.......»...........................«.............. .«..»........»......««. .._»«.«»...................._....... 2848 3t . cans 31u f .Rd. A�dreet—...__.._..«___......._ ___...._..,........««..............«..«.._.......«....._...........................AmourM of bond .................._.......... Name of Oersen within the SWe Of Meeh dedrnwted by Owner upon whm notice or other docwwds ffm Is. serves4 Nerve ......—......._._........«.«.....».«....« ......«..«.««..... .. ...�....» ._.«.» ....................... .,�....__ _.«.. «....,,...«.«._.. .««...«...««.....«..«...»....«............. «.«»..................................................................... _............ In addition to hin-dWf, owner detignaW the foltowfng person to receive•Copy of the Lienors Notice u provided in Section 713.13(i) M, Florida Statutes. (Fill In at Owner's option). . .....«...««...».._.«...«.«..................................._. .. _._ ..................... "we NA"rem 4"00094.0 Use eWLr ..«.«»..........»«........_.. _ ......... ........._. ............. «..._.«....«...._...................... ........... Sworn to and subscribed *6* me dtis..3 .�............... . ........!'... C.. _.. ......... OTAR - P I' S A «._..._....... Wy t;c,n.rrp;...( �.o �A COMM NBR M20011 FOR OFFICE USE ONLY f �r Date-------F----------------------------26 970 ---------19 ------ Permit #-------9------------Fee $30-00........................ CITY OF ATLANTIC BEACHValuatio tim$10,000. 00 ----- ................... FLORIDAHouse #..326 Skate- Road ............ •---------------------- -------•--•. •--•--•-•------------•..................................................... APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date--------- -------------------------------- 19------------ 7 Fkla Title Telephone No�S�_-7709__. Owner R1-Q -Va_s_t a C Q 'R' Address ---••--- ---- Architect---------------_---_------------------------------------------------------------------------Address,----------------------------------------------------------Telephone No----_------------- Contractor Howard 1558 San Marco Telephone No ---------Contractor Builder1---R---------------__--------------------------------------------------Address_. ---- ------------------•------------ ------------ Lot No------1 c5----------•------------••----•---------Block No..-----2-73------------•--- Sub Division_...Royal Palms Zone__... -------------------•------------------------------- ..S_eat.e-___Rdd-------------------------------Street.._-_Wee St...... Between------L.'aV-all-.a_....Ra --------------and.....CUt le S S Dr. Sts Valuation $.._l03-00O........For what purpose will building be used...._._r-e.s---------------------Type of construction__ Dimensions of Building93..........................Size of Footin 8 X 20 -----26 X 4 0 Dimensions of Lot 80--X--- Ss. - ------ Size of Piers--------____----------------------Size of Sills--------------------------------Greatest Sill Span in ft.-_-.......-------- -----Type Roof..ASbp Shg Ventral Gas Solid How will Building be Heated?-------------------------------------------------------_------Will Building be on Solid or Filled Ground?-------------------------------•--••---- Size of Ceiling Joist,..TrUSSeS , Distance on Centers.........._ ............................... Greatest Span-----------------.--------I................. ft Size of Floor Joists_-..-.--.-.$1,9:b---------.-_---_---, Distance on Centers_____ ._._ ...._ --------------- Greatest Span...._-.---__-__-_.._-.---_-_----._--___-.._ " Size of Rafters ---Trus ;_e.$-------- Distance on Centers __ .-..24------------------------- Greatest Span-_.------._-•---..-_-_---._-_---_. " n `1 This rectangle o buildings the lot. Locate the buildingor buildin s in the U right position. Give distance in feet from all lot-lines and existing buildings. FEB 20 REAR LOT LINE Two copies of plans and specifications shall 19 V be submitted with application. Inspections required. THE CITY OF ATLANTIC BEACH 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. z Z 3. When steel is in place and ready to pour beam. ] ►4 4. When framing is completed. p o 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. q W A 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT 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 a attac d plans and specifications, which are a part hereof, and in accordance with the building regulations of the City tDlan$ic each. Signature of Builder_ ___. _-:___---�- �"l ddress Signature of Owner. , �� ------... PSR-3844 6023 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- PERMIT INFORMATION - LOCATION INFORMATION ---- Permit Number: 6023 Address: 326 SKATE ROAD Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32234 Class of Work : NEW -- -------- LEGAL DESCRIPTION ------ -- Constr. Type: WOOD FRAME Lot: Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: I Code: 0 Subdivision: Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $22. 50 Amount Paid : $22. 50 Date Paid : 10/20/92 Work Tie sc. REROUF !8S9 SHINGLES F11 OWNER INFORMATION APPLICAT10N FEES Name. THOMAS PERMIT $22. 50 AddreF--s : J26 SKATE ROAD WATER IMPACT FEE $0. 06 ATLANTIC BEACH, FLORID" SEWER IMPAC T' F E.E 50. 00 Pt)on,:_?: ( 904)641-- 0:330 WATER METER $0. 00 RADON (--IAS- H. Ft. ti. $0. 00 -- - -- CONTRACTOR INFORMATION RADON GAS -- 5% $0. 00 Name: DUVAL POOFING COMPANY WATER TAP $0. 00 Address: 2759 ST. JOHNS BLUFF RUA)_: SEWER TAP 50. 00 JACKSONVILLE, FL 32216 HYDRAULIC SHARE $0. 00 License: CCC044053 Type: RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 ,OTHER $0. ! 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." ISSUED 4 - I Ef9p.- ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. RECET 1p- _:167ER. 068C c ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BPACH PERMIT APPLICATION ROOFING Owner(s) : ` � fy_ Address:_ 3 o� Phone: �' �y�� Lot #- Block or Unit Subdivision Contractor: Address: _! Phone: C�LA I C)�� State License No. CCC— C44953-Describe work to be done: Materials to be used: F/c Signature OWNER: Date: Signature CONTRACTOR: — (6 aQ"C CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028535 Date 6/23/04 Property Address . . . . . . 326 SKATE RD Tenant nbr, name . . . . . . REPL HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor THOMAS, EDDIE B. OCEAN STATE HEAT & AIR 326 SKATE ROAD 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 COD . )� BUILDING OFFICIAL .r�L i CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Property Address: MC-0 Gl/C�� "Ae Owner: 1 1r,( T[ luras Telephone Contractor: 008Ln STMLE k t-IC C�jC Telephone #:EqQ-$l�5 Contractor Address: 141�p 01W u c,(Ny n,�)- Fax Fax In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a pan hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: Electric Gas: _LP _Natural _Central Utility a Cl Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space _Recessed )qCentral _Floor Residential Air Conditioning: _Room Central Duct System: Material Thickness Cl Commercial Maximum capacity cfin El Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpm El Fire Sprinklers:Number of Heads Existing Building ❑ Elevator: __ Manlift Escalator (Number) Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify, ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model#i Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&Ant HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road- Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.us DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------ --- -- LUUATIUN ..NrUrxt;ATION ------- Permit Number: 5200 Address: 326 SKATE ROAD Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 322'l' lass of Work: REPAIR ---------- LEGAL DESCRIPTION --- - Constr. Type: WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township: RNG: C> Dwellings: 1 Code: O _,Ubdivision : Estimated Value: $0. 00 Improv. Cost: $0. 00 Total ,Fee!-7 : $18. 50 Amount -P. $18. 50 OWNER INFORMATION ---- APPLICATION FEES Name: E. B, Tt10MAIS, PERMIT $18. 50 Address. 326 SKATE ROAD WATER IMPAC' FEE $0. 00.1 EACH, FLORIDA SEWER IMPACT FEE SG. Fh tnf:: : t 5t.► ,$) :'. _2 31 8 WATER METER 3�1. 00 RADON GAS-H. R. S. $0. 00 - _ CONTRACTOR INFORMATION RADON GAS - 5% $010C _ARRY TEAGUE FLUMB114G WATER TAP $O. OG LONE PINE ROAD SEWER TAP $0. 00 JNVILLE, FL 3221f HYDRAULIC SHARE $0. 00 Type: RE-INSPECT FEE $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." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECITAITO REVOCATI VIOLATION OF APPLICABLE PROVISIONS OF LAW. T94DERED $18.50 RECEIP€ NUMBER: 058764 ATLANTIC BEACH BUILDING DEPARTMENT By: 4 • CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: �kl+-T& PLUMBING CONTRACTOR: fI��,tL_ ill(r LICENSE NUMBER: OWNER: 1� IU • ��(C��I�S r u BUILDING CONTRACTOR: TYPE OF BUILDING: SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE l FLOOR DRAINS OTHER TOTAL FIXTURE COUNT: `E Q + $15.00 -------------.------------------------------------------------------------------ INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. + CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000838 Date 6/11/09 Property Address . . . . . . 326 SKATE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7998 ---------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ THOMAS, EDDIE B. THD AT HOME SERVICES INC 326 SKATE ROAD DBA THE HOME DEPOT AT HOME ATLANTIC BEACH FL 32233 SERVICES TAMPA FL 33610 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 7998 Expiration Date . . 12/08/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 4 SCob CITY OF ATLANTIC BEACH 09- _ 800 SEMINOLE ROAD.ATLANTIC BEACH,FL 32233 OFFICE.(904)247-5826•FAX NO.(904)247-5845 ' BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ,FT UNDER ROOF 91G SCIA, 01q4�) t 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE ^QQ ❑NEW BUILDING C3 DEMOLITION ES IDENTIAL LOT Is BLOCKY` SUB DIVISION �L'- P S ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK. ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑NIA ❑MOVE 2-OTHER ❑NO PROPERTYOWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: i V. j 16. AME: 24.LICENSEE NAME: End 10.ADDRESS: 17,STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO. 18.ADDRESS: 26.ADDRESS: Wctn-;e �/ rt 3aa 33 �e Karr y ed. tv 1 J 11.OFFiCE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO 13.�E.L PHONE: 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME. 33.NAME. 35.NAME: 32.ADDRESS: 34,ADDRESS: 36.ADDRESS. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attomey or Agency Letter Required) (Qualifier Only) Signed Date: Signed: __. Date: Before;ne this day of 2009 in the county of Before me this day of 2009 in the county of Duval,State of Floridp,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and'accurate. true and accurate. Notary"ublic at Large,State of ,County of Notary Public at Large,State of County of ❑Pers9nally Known ❑Personally Known ❑Prodcced Identification- ❑Produced Identification- Notary Signature: Notary Signature: BLDG01 Permit Application Bldg:REVISED:12/18/2008 Doc # 2009138332, OR BK 14904 Page 438, Number Pages: 1, Recorded 06/11/2009 at 10:51 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 This Instrument Prepared By THD At-Home Services 6422 Hamey Rd.Suite A Tampa.FL 33610 NOTICE OF COMMENCEMENT ((]] Permit No. l ax Folio No.��'1 t>s9-0000 State of FI rids County of� V 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: yes cription of pro a legal description of pro c and street address if available)15 C -o►lv �q let (2 LI l Ralms uni+ a A 2.General description of improvement:r�L� 3.Owner information (a)Name and address: Q T '3p(,o S}�I.le R�-IQnhC Ch, (b)Interest in property: P sirn�lk I-i�-t,ll'1.71Cf('% 3�aa3 (c)Name and address of fee simple titleholder(if other than owner): 4.Contractor(a)Name and address: THD At-Home Services Inc iL{J 5.Surety(b)Phone number: 04LZ hamey Roarl Shite 1 D & "4ll (a)Name and address: Tdlnpa+FL h610 (b)Amount of bond — (c)Phone number: 6 Lender (a)Name and address: (b)Phone number: (✓��___ 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: (a)Name and address: (b)Phone number: 8.In addition to himself,Owner designates the following pe n(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1x6),Florida Statutes: (a)Name and address: (b)Phone number: Alln 9.Expiration date of notice of commencement(the expiration date is I year from the date of recording unless a different date is specified) _ WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1, SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFO COMMENCING WORK O RECORDING YOUR NOTICE OF COMMENCEMENT. 10. I Signature of Owner or Owner's Authorimd Officer/Director ParnerlManager Signatory's Title/Office oregoing in ment was acknowledged before me thisa3 day o1aNQ el by -I 1 t YYLGI.� f W(n a of person)ss Owl-44 ' (type of art F. . 71mc�e,an-tomcqy mfact)'or t Y (nameofpartyon behalfofwhomtru ss .I.M.... ..I.IN.M � RAMON E.TFZANOS 11 W` C immll DD0775244 Signahuc o otary Public-State of Florida — E71QifM 41:12012 S Personallyknown O w Produced Identification Fbdda hoary Aum.,Inc_ltA N D-- w.......1........... ....A....%6l%U;AtYo Section 92 s2s Florida Slatutcs Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief, Signature of Natural Person Signing(in Linel110)Above Revised 7!1!07 ;I 0� FLORIDA IJVAL COUNTY :.THE UNDERSIGNED Clerk of the Circuit Aart.Duval County. f!arida, CO hEREBY CERTIFY the within and fore0109 is a true C correct copy cf the cril;inal as it appears on record and file i~ the offic., of the Clerk of Circuit cf Duval County, Florida. WITNESS my hand and seal of Clerk of Circuit Court at Jacksonvi'ie, Florida,this thef I day of A.D.,20�'r1 JI FULLER Clerk of the Circuit Court /Duval County FI rida AA 11 K Q� B Deputy (6W HOME SERVICES To Whom It May Concern: This letter will authorize the following person(s)to act as agent(s)on behalf of THD At-Home Services,INC,D/B/A The Home Depot At-Home Services, 3200 Cobb Galleria Parkway, Suite 200, Atlanta, GA 30339 to pull for permits and inspections with respect to the installation,maintenance and repair of roofing under Florida State Roofing Contractor license number CCC058327. Authorized person(s): Brian Kirby Timothy O'Malley Jim Kirby Eric De Dios ,S "Ta Q Jason Kirby 6 Tyler DeLaria Don Kirby John Christianson Johanna De Dios Tom Kisor Qualifi —Quinn Roberts THD t-Home Services,INC The Home Depot At-Home Services STATE OF FLORIDA COUNTY OF HILLSBOROUGH The foregoing instrument was acknowledged before me this 11`h day of April,2008 by Quinn Roberts. Notary Public—State of Florida ...........I......ca..—. ..........mu.... SAMANTHA KAAA r o Comm#DD0608785 Printed Name `r Expires 10/25/2010 % 'F�¢h0 Florida Notary Assn,Inc �� 'ai+am" L/`/(^^� .a......a. My Co ission Expires Personally known x or Produced Identification THD At-Home Services, Inc. 6422 Harney Road, Suite A•Tampa, FL 33610 813-383-7000•Fax 813-630-4112•Toll Free 866-653-8438 T e cJ� oQ 93 9 � O Ln Ln f" - C 9> N u r M o FT' Section S i ' A a C PV y _ O GTI LTI 1 w m � d T -fit r t O m 0 o N m CA O m n a pA m o r ° 3 o m N $ m U r cv2 -1 oma.. G--� v m B a 'm 3 m ss a A � s C N o o CY N N g a 6 o d (O l L n tf m hhh r D o a m m N nn H 0 o B g m o. ; in a n m n Section I m _ 0 Rl O N m m 0 A 0 4� o j N a g a p m 1 O C 7 u 0 0T O T m N N 2 N r m a D o 4t c m � m m ra m A m M m -r � m `l o, w m 6 rD m F� 77 ` a S 2 Ot A W F G Ridge Vent rr 1 O) N T m N l.'l � � r m m Low Profile Vent N i m UJ mn ° N 3� x Turbine �n < N ryt O Soffit Size: m N _ o p S ° m _ m J m A Vented Drip Edge N � Crickets �n r' o O ma �.. O m - Mlsc.Labor A T � m� 0 Branch: ROOFING SPEC SHEET Spec Sheet �� #: 3 9. Branch#: 4 Ck DESCRIPTION OF WORK Job#: CUSTOMER INFORMATION---------------' I Home Phone#: Q, q Customer Name: 51 onc�, Cell Phone#: SCL 1 ) ca —d Job Address: Work Phone#: ( ) Street Address A, Email Address: City State Zip Code Drop Location: Dumpster Location: (A)SHINGLE APPLICATION AND REMOVAL — — SHINGLE i (3)DECI`aeNGt SPECIALTY ROOFING REMOVAL REPLACE Product Color Product Color Royal Sovereign Low Slope* (=-- Asphalt V// � OSB Timberline 30 High Definition Iia et F��+y'a Flat* Wood Shingle 1/2"CDX Timberline 30 Natural Shadow Tile* Timberline Prestique Lifetime Tile 3/4"CDX Metal* Modified Recovery Ed Grand Slate r Class IV* Tar&Gravel I ISO Board Grand Sequoia Other* Plank Grand Canyon G Slateline I `Rotted or damaged wood Name: #of Layers discovered BEFORE removing existing roof STD Premium POM "See atld'I char I Roofing System: *Style: charges below (C)VENTILATION (D)FLASHING (E)CUTTERS,S€t t'L3GHTS7,V1ISC. - Intake Step Gutters 8Leaf Protection Soffit Vent Color: Counter Downspouts Color. Vented Drip Edge Base Tile Pan Flashing Skylights Exhaust Tile Head Flashing Vented: Size Rigid Ridge Vent Rolled Ridge Vent MiscellaneousChimney I[ q]�" Cricket Turbine Vent Color:L SkylightFixed: Size Low Profile # Addl.Stories Drip Edge Poor Access Donner Vent ther Steep Charge Color. Replace Fascia SPECIAL CONSIDERATIONS List locations of metal Flashing/gutters/soffit&fascia to be installed and any other special considerations. II it PRE-EXISTING CONDITIOP Describe any pre-existing conditions(stainson ceilings,bent or damaged gutters,etc.)and list locations below: Walls it Ceilings II Windows h Sidin Gutters 9 Drivewayl Landscaping ADDITIONAL CHARGES If rotted or damaged wood is discovered AFTER removing the existing roofing,or could not be identified at the time of sale, there will be an additional charge of$S_1 per sheet of 4x8 sheathing and/or$ per linear foot of dimensional lumber. **If additional layers of roofing are discovered AFTER removing the first layer,or could not be identified at time of sale, there will be an additional charge per square to remove each additional layer based on product to be removed: $ for composition shingles,$ for wood shingles and$ for low slope roofing. I have reviewed and agree with the job specifications described above, and have reviewed and agree with the Special Terms and Conditions listed on the reverse side of the yellow(Customer)copy of this Spec heel. 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Certificate of Authorization #9503 A� ^� 353 CHRISTIAN STREET, UNIT #13 Ti V l t ERD OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 EVALUATION REPORT GAF Materials Corporation Evaluation Report 01506.01.08-112 1361 Alps Road, Building 7-3 FL10124-R1 Wayne, N7 07470 Date of Issuance: 01/03/2008 Revision 2: 12/11/2008 SCOPE: This Evaluation Report is issued under Rule 9B-72 and the applicable rules and regulations governing the use of construction materials in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Volume. The products described herein have been designed to comply with the 2007 FBC and 2007 FBC Residential Volume. DESCRIPTION: GAF-ELK Asphalt Roof Shingles LABELING: Each unit shall bear labeling in accordance with the requirements the Accredited Quality Assurance Agency noted herein. CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes, the referenced Quality Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product changes or the referenced Quality Assurance documentation changes. TrinityJERD requires a complete review of this Evaluation Report relative to updated Code requirements with each Code Cycle. ADVERTISEMENT: The Evaluation Report number preceded by the words "TrinitylERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety. INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This Evaluation Report consists of pages 1 through 4. Prepared by: A. :4 - The facsimile seal appearing was authorized by Robert Nieminen,P.E.on 12/11/2008 This does not serve as an electronically signed ''.;rt�sy:^w;.y?=` document. Signed,sealed hardcopies have been Robert ].M. Nieminen, P.E. �,`4 -,r transmitted to the Product Approval Administrator and Florida Registration No. 59166, Florida DCA ANE1983 '""'^'"" to the named client CERTIFICATION OF INDEPENDENCE: 1. TrinityJERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products it evaluates. 2. Trinity IERD is not owned,operated or controlled by any company manufacturing or distributing products it evaluates. 3. Robert Nieminen, P.E.does not have nor will acquire,a financial interest in any company manufacturing or distributing products for which the evaluation reports are being issued. 4. Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the product. \\J TRINITY ERa ROOFING SYSTEMS EVALUATION: 1. SCOPE: Product Category: Roofing Sub-Category: Asphalt Shingles Compliance Statement: GAF-ELK Asphalt Roof Shingles, as produced by GAF Materials Corporation, have demonstrated compliance with the following sections of the Florida Building Code and Florida Building Code, Residential Volume through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein. 2. STANDARDS: Section Property Standard Year 1507.2.5 Physical Properties ASTM D3462 2004 1507.2.5, 1507.2.10 Wind Resistance ASTM D3161, Class F 2003 1504.1.2, 1609.5.2 Mechanical Uplift Resistance ASTM D6381, Class H 2003 1507.2.10 Wind Resistance ASTM D7158, Class H 2005 1504.1.2, 1609.5.2 Wind Resistance UL2390, Class H 2004 R905.2.4 Physical Properties ASTM D3462 2004 R905.2.4.1, R905.2.6.1 Wind Resistance ASTM D3161, Class F 2003 R905.2.6.1 Wind Resistance ASTM D7158, Class H 2005 3. REFERENCES: Entity Examination Reference Date Underwriters Laboratories ASTM D3462 93NK6295 11/29/1993 Underwriters Laboratories ASTM D3462 99NK43835 01/12/2000 Underwriters Laboratories ASTM D3462 01NK06632 02/02/2001 Underwriters Laboratories ASTM D3161 01NK9226 05/21/2001 Underwriters Laboratories ASTM D3161 01NK37122 12/18/2001 Underwriters Laboratories ASTM D3462 01NK37122 12/19/2001 Underwriters Laboratories ASTM D3161 02NK12980 04/10/2002 Underwriters Laboratories ASTM D3161 02NK30871 09/09/2002 Underwriters Laboratories ASTM D3161 03CA5367 03/11/2003 Underwriters Laboratories ASTM D3462 03NK26444 10/17/2003 Underwriters Laboratories ASTM D3462 04NK13850 06/07/2004 Underwriters Laboratories ASTM D3161 04NK13850 06/23/2004 PRI Asphalt Technologies ASTM D3462 GAF-059-02-01 09/02/2004 Underwriters Laboratories ASTM D3161 04NK30546 03/10/2005 Underwriters Laboratories ASTM D3462 04NK22009 05/06/2005 Underwriters Laboratories ASTM D3161 04NK22009 05/09/2005 PRI Asphalt Technologies ASTM D3462 GAF-080-02-01 05/25/2005 Underwriters Laboratories ASTM D3462 05NK27924 02/10/2006 Underwriters Laboratories ASTM D3161 05NK27924 02/11/2006 Underwriters Laboratories ASTM D3161,ASTM D3462 06CA18077 06/05/2006 Underwriters Laboratories ASTM D3161,ASTM D3462 06CA18074 06/16/2006 Underwriters Laboratories ASTM D3161,ASTM D3462 06CA35251 10/18/2006 Underwriters Laboratories ASTM D3462 06CA31603 12/01/2006 Underwriters Laboratories ASTM D3161,ASTM D3462 06CA41095 12/27/2006 Underwriters Laboratories ASTM D3161 07NK05228 03/13/2007 Exterior Research and Design, LLC. Evaluation Report 01506.01.08-1112 Certificate of Authorization#9503 FL10124-R1 Revision 2: 12/11/2008 Page 2 of 4 x TRINITY;ERa Underwriters Laboratories ASTM D3161 06CA31611 04/04/2007 Underwriters Laboratories ASTM D3161 06CA61148 04/09/2007 Underwriters Laboratories ASTM D3161, ASTM D3462 07CA31742 11/08/2007 Underwriters Laboratories ASTM D3161,ASTM D3462 08CA06100 03/13/2008 Underwriters Laboratories Quality Control R21 Current ASTM D6381, D7158, UL2390 Underwriters Laboratories Quality Control R3915 Current 4. PRODUCT DESCRIPTION: 4.1 Royal Sovereign is a fiberglass reinforced, 3-tab asphalt roof shingles. 4.2 Camelot, Capstone, Country Mansion, Grand Canyon, Grand Sequoia, Grand Slate, Grand Timberline, Timberline ArmorShield II, Timberline Natural Shadow, Timberline Prestique Grande, Timberline Prestique 30 / Timberline 30, Timberline Prestique 40 /Timberline 40 and Timberline Prestique Lifetime/Timberline Ultra are fiberglass reinforced, laminated asphalt roof shingles. 4.2 Slateline is a fiberglass reinforced, 5-tab asphalt roof shingle. 4.3 Seal-A-Ridge, Seal-A-Ridge Armorshield, Ridglass Hip & Ridge, Timbertex and Universal Ridge Cap are fiberglass reinforced, hip and ridge asphalt roof shingles. 4.4 ProStart Starter is a starter strip for asphalt roof shingles. S. LIMITATIONS: 5.1 This Evaluation Report is not for use in the HVHZ 5.2 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory for fire ratings of this product. 5.3 Wind Classification: 5.3.1 All GAF shingles noted herein are Classified in accordance with FBC Table 1504.1.2 to ASTM D6381, Class H and FBC Tables 1507.2.10 and R905.2.6.1 to ASTM D3161, Class F or ASTM D7158, Class H, indicating the shingles are acceptable for us in all wind zones up to 150 mph. Refer to Section 6 for installation requirements to meet this wind rating. 5.3.2 Classification by this method applies to buildings less than 60 feet high and with Wind Exposure B and C only in an Occupancy Category of I or II. 5.3.3 For buildings falling outside the constraints in 5.3.1 or 5.3.2, calculations by a qualified design professional in accordance with UL2390 / ASTM D7158 / ASCE 7 may be conducted for the specific project with data for the specific shingle. Reference: FBC 1609.5.2. Contact the shingle manufacturer for data specific to each shingle. 5.3.4 All GAF hip & ridge shingles noted herein have been evaluated in accordance with ASTM D3161, Class F. Refer to Section 6 for installation requirements to meet this wind rating. 5.5 All products in the roof assembly shall have quality assurance audit in accordance with the Florida Building Code and F.A.C. Rule 9B-72. 6. INSTALLATION: 6.1 Underlayment: 6.1.1 Underlayment shall be acceptable to GAF/ELK and shall hold current FBC Approval, or be Locally Approved per Rule 9B-72, per FBC Sections 1507.2.3 and/or 1507.2.4. Exterior Research and Design, LLC. Evaluation Report 01506.01.08-112 Certificate of Authorization#9503 FL10124-R1 Revision 2: 12/11/2008 Page 3 of 4 Y ,,. ■ RI IW I ERV 6.2 Asphalt Shingles: 6.2.1 Installation of asphalt shingles shall comply with the manufacturer's current published instructions, but not less than four (4) fasteners per shingle in accordance with the requirements of FBC Section 1507.2 or FBC Residential Volume Section R905.2, with the following exceptions: > Grand Canyon, Grand Sequoia and Camelot require min. five (5) fasteners per shingle > Timberline Prestique Grande requires min. six (6) fasteners per shingle. 6.2.2 Fasteners and fastener placement shall be in accordance with manufacturer's current published installation instructions. 6.2.3 Where the roof slope exceeds 20 units vertical in 12 units horizontal (166-percent slope), special methods of fastening are required. 6.3 Hip & Ridge Shingles: 6.3.1 Installation of Ridglass Hip & Ridge asphalt shingles shall comply with the manufacturer's current published instructions with a minimum two (2) fasteners per side and asphalt roofing cement. 6.3.2 Installation of Universal Ridge Cap asphalt shingles shall comply with the manufacturer's current published instructions with a minimum two (2) fasteners per shingle. 6.3.3 Installation of Seal-A-Ridge and Seal-A-Ridge Armorshield asphalt shingles shall comply with the manufacturer's current published instructions with a minimum four (4) fasteners per shingle. 6.3.4 Installation of Timbertex Ridge Cap asphalt shingles shall comply with the manufacturer's current published instructions with a minimum two (2) fasteners per shingle and beads of Sonneborn NP1 Gun Grade Polyurethane Sealant or Henkel PL Urethane Sealant. 7. LABELING: Each unit shall bear a permanent label with the manufacturer's name, logo, city, state and logo of the Accredited Quality Assurance Agency noted herein. S. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product. 9. MANUFACTURING PLANTS: Contact manufacturer or Quality Assurance Entity for specific information on which plate produces which products: Mobile-AL, Tuscaloosa-AL, Fontana-CA, Fresno-CA, Shafter-CA, Tampa-FL, Savannah- GA, Michigan City-IN, Mount Vernon-IN, Baltimore-MD, Minneapolis-MN, Myerstown-PA, Dallas-TX, Ennis-TX 10. QUALITY ASSURANCE ENTITY: Underwriters Laboratories - QUA1743 - END OF EVALUATION REPORT - Exterior Research and Design, LLC. Evaluation Report 01506.01.08-R2 Certificate of Authorization#9503 FL10124-R1 Revision 2: 12/11/2008 Page 4 of 4 FOR OFFICE USE ONLY Date------_F—eb-•--- 6------19 ----R70 Permit #.--..._892 Fee $..30.00 CITY OF ATLANTIC BEACH Valuation$ 10-RoQp..--Q-O..................... FLORIDA House #.... 326___skate...Road..__.... ----------------------------------- APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date------ 2... ....19� -------------------------------- 19------------ Owner------- i0 Vista aOrP ---------------------------- Address `�-18-.S-la "1 �.�'i�� Telephone Architect----------------_----------_-----------------------------------------------------....Address,...............................----------------------....Telephone No.---_--------------------- Contractor Builder----Ri---Wit--R 'Z'C�----------------------•----------Address----1-5 ...Ms:n..-,i_k1k:Q----------Telephone No.-399-37n-- Sub Division t'� � --p&�-- -me----------•---------•--•----------•----Zone-------- Lot No. -1';�---------------------------------------Block No........��-3------------------ � -SeSte...i_ --------------------------------Street-- -Y6$Mt.....:Side Between. C_&V a2la---Rd-------------and------Guy:-lam& D -.------------Sts- Valuation $__-10,ro()o-------.For what purpose will building be used---------lies---------- ----------Type of construction-.Btr yA=---Venter Dimensions of Building 216 7C_4Q-----------Dimensions of Lot-__.8Q-.Y....3-------------------------Size of Footings_---_------8-_.X-20----- Size of Piers__----- .--_-------------_----Size of Sills----__-._._-.__-...._-__Greatest Sill Span in ft-----------................Type Roof....- ;jip.-Sli$....---. How will Building be Heated?..-....�------ fiTQ--. Gas Will Building be on Solid or Filled Ground?--------A44 ---------•--- Size of Ceiling Joists.-,- 44 R0.................. Distance on Centers----------- --------------................... Greatest Span............................................ " Size of Floor joists-----------alab---------------------- Distance on Centers-----.---- --------•----------•------------, Greatest Span----....----••--•--------------------------- " Size of Rafters_2---X---4-_Trua� qg...----, Distance on Centers ..... ....2.4------------------------ Greatest Span................_--------i---------------- » This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. 4Z 3. When steel is in place and ready to pour beam. a a F F 4. When framing is completed. $ s 5. When rough plumbing is completed,and ready to cover up. Ga W 6. When septic tank drain field or sewer is laid but before it is covered. Q A 7. Electrical inspection by City of Jacksonville. U2 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT 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 regulations of the City of Atlantic Beach. Signatureof Builder-------------------------------------------------------------------------------- Address-----_--_-------------------... Signatureof Owner.- -----------------__------------------_--------- ------------- Address...-------------------------------------------------------....--- - --- ------.---.. DEPARTMENT OF BUILDING 892 r CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date bleb. 26 1a70 Valuation$ 10, 000.00 Fee $ 30.00 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 R. W. Howard, 1558 San Marco Blvd. , Jacksonville, Fla. has permission to build New Residence, 26 x 40, as per plans and application. Classification Single Zone Res. Owned by Rin 11ista Cnr-P LAR Lot 15 Block 23 SSD Royal Palms House No. 326 Skate Road, Atlantic Beach, Fla. 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 ry AFTER DATE OF ISSUE - _� �— ► 0 Building material, rubbish and debris ( z from this work must not be placed in public space, and must be cleared up and hauled away by either contractor ♦ or owner. I / �Q Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL FEI-27-70 7 9 7 4 -- 8 892 3000 SEWER 6 PAID _ I WATER '4VM.