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469 Skate Rd (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000680 Date 5/27/08 Property Address . . . . . . 469 SKATE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 800 ---------------------------------------------------------------------------- Application desc REMOVE DOOR REPLACE WINDOWS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WALKER, VIRGINIA TRI-STAR CUSTOM BUILDERS 469 SKATE ROAD 5800 BEACH BLVD ATLANTIC BEACH FL 32233 #203-415 JACKSONVILLE FL 32207 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 800 Expiration Date . . 11/23/08 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE . WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach UP PERMIT APPLICATION NUMBER (To be assigned by the Building Department.) Building Department 800 Seminole Road Atlantic Beach, Florida 32233-,9445 Phone(904)247-5826 - Fax(904) 247-5845 E-mail: building-dept@coab.us L Date routed: City web-site: http://www.coab.us BUILDING PERMIT REVIEW AND TRACKING FORM Property Address: SeAt 7-f XCI DepArtment review required Yes No ildin_g_) 4u L PTa—nning &Zoning Public Works Applicant: 1,0-1 &S2 Project: lAtay'E ba'al 41A Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: E]Approved. �<Denied. e op-Q. (Circl Comments., W f In AiV 7Pr4 -11 ")q.3 a *Iac' Spec 3 4::;Vrn n8/�i ee r 46,0f,td&c4- Am-o va w iykd o 4., To e tt, ir-x d 603 1P147jfeV%a'k0ft- PLANNING &ZONING PUBLIC WORKS Reviewed by: 177. jcr�- Date: 5119-0cp PUBLIC UTILITIES Second Review: FlApproved as revised. F]Denied. Comments: PUBLIC SAFETY 0 U 0 FIRE SERVICES Reviewed by: Date: Third Review: EApproved as revised. ElDenied. Comments: Reviewed by: Date: BuILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Sominole'Road,Atlantic Beach FL 32233 2008 Office: (904)247-5826 o Fax: (904)247-5845 Job Address: 4kT---, 724 Permit Number: Legal Description Valuation of Work(Replacement Cost) $ 606"00 • Class of Work(Circle one): New Addition (A--Iterat-i-o-� Repair M M • Use of existing/proposed structure U�s) Circleone): 'CUM—mercial A- 1A."fl5d n in installed? (Circle one)- Yes 0 N/A If an existing structure, is a fire sp er syste CT • Is approval of homeowner's association or other private entity required? ( ircle o*ne : Yes Describe in detail the type of work to be performed: jn5 'D ooe-s Ald J' a.,4,n� VA ve le- 0 Proverty Owner Information Name: U/,*lk"z- Address: ele 5.,k#- 7-e City 7jVj.-.,s Re- -F,," State&Zip_L;4�3�Phone Contractor Information: t;4Ae.5 Qualifying Agent.-e-20-74 C.-O Name of Company: -711 s I-AA- �5 44.-It .. Address: 571do -Bl,,b 403-4jr City tv- State f�� Zip .3 2--Zx,,-7 Office Phone 7 2-4- 3 5-5"2 Job Site/Contact Number 62e--3 7 9 kt State Certification/Registration# e-RC 05-0 A 9 1' Office Fax 2 2,457-13- Architect Name&Phone# Engineer's Name&Phone# 71 C744 !f 1-4 CA 5 Application is hereby made to obtain a permit to do the work and installations as indicated Icerti thatnoworkor fy_ installation has commencedprior to the issuance ofapermit and that all work will beperf9rmed to meet Me standards ofall ------- fwork is not commencedwithin six(6) e ecomes null and void i r gul ix (6) months at any.time after work is '�w months or Work, Plumbing, Signs, Wells,Pools, comme�ce Furnaces, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CONDAENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IWROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. i hereby cert��that I have read and examined this a Ucation and know the same to be true and correct. Allprovisions9f laws and ordinances governing this type ofworkwi be complied with whether specified herein or not. Thegrantingofa permit tdivoes not presume to give authority to violate or cancel the provisions �)f a y other federal, state, or local law regulating construction or the performance of construction. Sig nature of Property Owner: Signature of Contractor: F Sworn to and subscribed before s�rorpto and subscribped before aZ 60 this 1.,e' Day of this I-'- Day of A/T. . E)RVVEDAFOR CODE COMPL C - to F I C BMaub M5WPE*MITS FOR DITIONAL 0 ffRorW Marsha P Hao ONDMONS. My Commission DD588284 Ex0res i Oil 8/2010 03 Cu 15 Y: -I M E)Ores 10/18/2010 DATE: -.;13 Cd CL, CY) 4-4 cd ;-.4 m ?TD 0 0 ml a) -0 c V3 C3 Ed C) z = - 0 C�- >, 151- ;T.1 73 CL 69 a) o Lr) ;-4 cd Cl CD -CJ Cd P-4 —Cd C) +C4 C) L. T-4 Cd 7� c3 Cd cn cn C/� ui u C) '44 0 0 0 Gn 9 P-0 A� Z -� r-4- Cd CAO Do �Ln C+cd CZ cd CZ Cd CIO U Cd -73 cn a3 3 bo D cd Cc ;-T-4 C3 > as 0 LO 4- C.4.; U -0 ci to Cd C. Cd aj > 0 cd N cn .-t=� ;, to C, 1-1 0 Cd Ln 'Do rct u -4.. bb CJ uc, —r, .M El u 0 C3 45 Z :-4 Z ci 75 2 0 L. cd z -t4 'r 0 -zzl 0 0 Z CA Cl C�s u u ......—------------ .............. u laaam Xm d 9ZCLL Vd '9an 0 3 0 INP08d OOOZ Yd DVI nsmoo C-4 NOt.LYdOdWM YT[3d SN1833MON3 H3J3043S AC jj MOGNA 5NnH TIONIS -VM OL S3rd3S Mva :2t g 05 In uj cr Rhr 94� Z wt, liflM - !2.p-. El XUR cwz ml I V. m W,E2 gh 12 47- 8� -.I ps �LA- W.- g- ?-.!2 v cc:, ;o W� E! 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CD am 0 V, rl 10 Mi In 0- n!a= Ln s", > tn L S Ir C 'd TV 0: L z 0. wM Nd u 1< z M M 'j.� I O � �-L M?Z' .(n I cl: F6 t Ld (H-A) IHDGH IKYHA V) < lul a_ R 0 z r O-W :z E a- - 0= M Lr) F_. tcT L :q :4on' U-1 M z 0 E5 C) U) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000680 Date 6/02/08 Property Address . . . . . . 469 SKATE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 800 ---------------------------------------------------------------------------- Application desc REMOVE DOOR REPLACE WINDOWS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WALKER, VIRGINIA TRI-STAR CUSTOM BUILDERS 469 SKATE ROAD 5800 BEACH BLVD ATLANTIC BEACH FL 32233 #203-415 JACKSONVILLE FL 32207 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 800 Expiration Date . . 11/23/08 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. w < 'EK 5Hf ET ificjuration IGN 5PECIffICATION5 C)PJDA BUILDING CODE(FBC)-RE51DENTIAL,A5CE 7-02, 2001 ND5,ACI,ATIC,AWPA, FD 10-99 ,NCY: KE51DENTIAL GROUP K-3(ONE-AND TWO-FAMILY DWfLLING5) 4LOAD5: TPIU55: IORD 20 P5F LL,BOTTOM CHORD 10 P51'LL lOR.D 7 P5F DL,50TTOM CHORD 5 P5f DL 'CONVENTIONAL FRAME: 0 LOAD 2 P5F ILL, 1 0 P5f DL LOAD 20 F5f LL, 10 P5F DL 3 WITH 5TOPAGE 30 P5F 5 WITHOUT 5TOKAGE 10 P5F 5 HORD 40 P5F LL,BOTTOM CHORD 0 P51'ILL HORD 10 P5F DL,BOTTOM CHORD 5 P5f DL ZONE:X g DDITIONAL INfORMATION PER 2004 f5C - K I T ,PRO ECTION FOP,ENCL-05ED E)E5fGN5: IING PROTECTION 15 REQUIRED FOP DE51GN WIND 5PEED5 120 MPH EATEK. kCT PE515TANT COVERING MEE-TING THE PEQUIREMENT5 D 12,A5TM E 188G,A5TM If 199G.,OR MIAMI-DADE 1.202, 203. PKODUCT5 MU5T MEET THE REQUIKEMENT5 LARGE M1551LE Tff5T,OR OF WOOD 5TRUCTUPAL PANEL5 MIN. 7/1 G'AND A MAX. 5PAN OF 8'. APPLICABLE FOR MEAN ROOF HEIGHT5 LE55 THAN 45AND WIND 5PEEDS 140 MPH AND LE55. EL5 5HALL BE PRECUT TO ATTACH TO THE FRAMING 5URROUNDING THE E G AND PREDR.ILLED A5 REQUIRED W1 ALL HARDWARE PROVIDED. (3 HARDWARE MU5T BE PERMANENTLY ATTACHED. Lu �n 5TPUCTUKAL PANELS 7/1 G" FA5TENEP 5PACING(INCHE5) PANEL LENGTH PANEL LENGTH PANEL LENGTH PANEL LENGTH ER,(EMBED 2") L < 21 21<L <4' 4'<L < 0 <L <8' > 0 -L DD 5CRfW5 IG, 10, 5. )OD 5CREW5 I G" 12' 5CRfW`5 I G, IG, G" 0 D ZONE INfORMATION 0 76 ONENTS*CLADDING PRE55URE5 (P5f) 0 (Y u INTERIOR ZONES END ZONES W 0 5f 25.9 28. 1 25.9 34,G 0 5f 24.4 27.0 24.4 32.5 )05f 22.9 25.7 22.9 20.4 WIL ----Mr- �O 5f 24. 1 22.0 27.0 05-12-08 SCALE DYL NSION Of END ZONE IN fT. 4.0 080512 ZONE 15 LOCATED AT 5UILDI COKNEK5 1 2.23 WOOD A. Wood framin6j shall be in accordance with f DC - Residential Section III except as noted in these. plans. 8 B. All wood members exposed to weather or in contact with masonry, concrete, or 5011 shall be pre55ure-treated. C. All framinq anchors and connectors shall be Simpson or equal. D. All prefabricated structural trusses shall be certified by the truss manufacturer's recy5tered en6jineer. 2.2324 fA5TENING5 The fastener Schedule for Structural Members in Table RG02.3(1)shall be Used UX0. in these plans. All framincj anchors and connectors shall be manufactured by Simpson or e6jual unle55 otherwise noted. All metal connections and fabrications shall comply with A15C specifications. 2.2307. 1 51LL5 ON CONCRETE Where 51115 on concrete are Used, typical anchor b0It5 shall have a minimum diameter of 112" wl 2x2x3/1 G minimum washer and a minimum embedment of 7" in concrete. Anchor b0It5 are required at the followincj locations: A minimum of(I) anchor bolt shall be provided within G to 12 mchC5 of each end of each plate and a minimum of(2) anchor bolts per plate. Anchor bolts shall be located within 12" of corners and at maximum 5pacm6J5 of 2' o.c. t 0 E LLJ 0 1-- 4-1 ILJ U-j U- C =1 0 0 C Qf 0 -Y (n .2 0 05-12-08 z DYL ----1MMW- 080512 2 L .........J! EX15TING CMU BLOCK EXTERIOR WALL5 TO REMAIN TYPICAL ow z 1� EX15TING RE51DENCE TO REMAIN 4 EX15TING CMU 13LOCK EXTERIOR WALL5 TO REMAI—N -7 TYPICAL Ir— (s) EX15TING CONCRETE —i LINTEL T EMAIN 2:1 (2)3030 0 NEW CMU BLOCK KNEE WALL REMOVE EX15TING 0 -e 5LIDING GLA55 DOOR5 U) IN5TALL NEW 1(2) 3030 VINYL WINDOWE .2 5TRUCTURALFLAN DVL 05-12-08 ---9mr- SCALE �Wv v DYL DUVAL COUNTY RE51DENTIAL CO� 5TRUCTURAL - Garacje, Door Reca Dff 5QUARE fOOTAGE INfORMATION : DE51G�: CONDITIONED 5FACE FIR5T FLOOP N/A 5.F. 9 r)Yn)A APA,54, CONDITIONED 5PACE 5ECOND FLOOR N/A 5.f. OCCUF CONDITIONED 5FACE(ADDITIONAL) N/A 5.f. DESH GARAGE(UNCONDITIONED 5PACE) N/A 5.F. ROO N/A 5-f- TOP UNENCL05ED 5PACf TOP I LOT AREA(EXCLUDING WETLAND5 AND N/A 5.F. KOOJ BODIE5 OF WATM RAFTIl 5TRUCTURE HEIGHT AND # Of 5TORIE5 CEIUJ A Tj mAxIMUM HEIGHT OF THE 5TRUCTURE IN FT. 20 ATT NUMBER Of 5TORIf5 FLO TOP TYPE Of CON5TRUCTION TOP 1 TYPE V-13 FLOO UNPROTECTED UN5PRINKI-ED OPENII MATERIAL INfORMATION 1. orl AND G 2. imi ROOFING(MATERIAL 5HALL MEET THE THE REQUIREMENT5 OF CHAPTEP 9, OF n,� TA5 2 FLORIDA BUILDING CODE-RE51DENTIAL). Of TH 2. UE PANEL DE51G 3. PA OrENI 4. AL wool fA5TE #8 W( #ICY 1/4'U WIND ZONE INIFORMATION NOTE:TH15 5TRUCTURE HA5 BEEN DE51GNED IN ACCORDANCE WITH, M AND MEET5 THE REQUIREMENT5 OF 5ECTION I GOG OF THE 2004 EDITION Of THE FLORJDA 13UILDING CODE. CON TH15 BUILDING 15 LOCATED IN THE WIND BORNE DEBRI5 REGION 51ZE BUILDING: ENCL05ED 5TRUCTUPE 0- 5A51C WIND 5PEED(M.P.H.-3-SECOND GU5T) 120 21- 1 51- WIND IMPORTANCE FACTOR > BUILDING CATEGORY 11 WIND E)(PO5URE CATEGORY 13 DIN INTERNAL PRE55URE COEFFICIENT&CF" +/-0. 18 ENE CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000690 Date 5/27/08 Property Address . . . . . . 469 SKATE RD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3677 ---------------------------------------------------------------------------- Application desc REPLACE WINDOWS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WALKER LOWE ' S HOME CENTERS INC 469 SKATE ROAD PETER CAFARO/CONTRACTOR ATLANTIC BEACH FL 32233 4948 TELSON PL ORLANDO FL 32812 (904) 486-4701 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 50 . 00 Plan Check Fee 25 . 00 Issue Date . . . . Valuation . . . . 3677 Expiration Date . . 11/23/08 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE . *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total 25 . 00 25 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 13 1 \ - City of Atlantic Beach PERMIT APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Llt5 City web-site: hftp://www.coab.us BUILDING PERMIT REVIEW AND TRACKING FORM Property Address: 40qnW_e Department review required Yes/ No a& Building M6 —Public Works Applicant: Louk5--, /& Planning &Zoning Project: &OLIvi t0ind&05- Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLPATION STATUS Reviewing Department First Review: &Approved. F�Denied. (Circle one.) Comments: PLANNING &ZONING PUBLIC WORKS Reviewed by: /71 ko�� Date: S­ CL PUBLIC UTILITIES Second Review: []Approved as revised. FIDenied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: [:]Approved as revised. FIDenied. Comments: Reviewed by: Date: R E C F : CITY 'i -.11I.- I-T-n CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.�(904)247-5845 BUILDING-DEPT@COAB.US M i �4A 0 0 8� BUILDING PERMIT APPLICATION DUVAL COUNTY 51% `00, OB ADDRESS A ORK� 3.§Q,,�P�NDER ROOF,: W AL QV LATION OF W JV A 7. TXLA--Iantic Beach, FL 32233 ,1�4.'LEGAL bESCRIPTION" ",""7 5:�CLASS OF WORX0:z�'" 6.VSE OF STRUGTtJiREi,',.A717 0 NEW BUILDING )CRESIDENTIAL LOT--� BLOCK SUBDIVISION 11 ADDITION EI CONVERTING USE 11 COMMERCIAL C3 ALTERATION 11 ACCESSORY BLDG. .#g,,,bESCRIPTI0N,*..6F WOFOCIW,�.� 8"FIRE SPRINKLER 0 REPAIR 11 POOL 11 YES 0 N/A KE-?L.A-e-C-- 11 MOVE OTHERk ela,1,;,,"4iD NO PROPIERTYOWNIERW,:� :-�'ARCHITECTI ENGINEER:. 9.NAME: 15�COMPANY NAME 23 COMPANY NAME I ie-�A40nc pefopi,b wru-leg-yz leg= 16.MME: 24,LICENSEE NAME. AWA 10.ADDRES& 17.STA�OF LOBIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO. -7 qC-9 -F _ 4 18.AQJ 26 ADDRESS: 1.,2 &--flcH 01-4. 3aZ,33 11.OFFICE PHONE- 12.FAX NO.: 19 OFFICE PHONE: 120.FAX NO;: 27.OFFICE PHONE� 28.FAX NO: 5- 13.CELL PHONE: 2,1-,CELL P&54. <�ae 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30,EMAIL ADDRESS: -05,,PM M11,2! 614 r, ARA��141. W �TGAG §YDER 1§(IF OTHEA THAN 6� V 31.NAME. 33.NAME 35.NZE: 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. TM14 'a, 1-1 Koir,.AGENTj IE -M .N r�A� g rj�M, Signed: kn:�Q—& Date: Signed: Date: 11� I 4:L d f Before me this ayo 20(el�the county of Before me A��RVIllay of 1fiW 20JZ the county of Duval,State of Florida,has personally appLred Duval,State of Florida,has personally appeared Ahn-fVnief 15MOAjr herin by himself I 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. Tuvaj Notary Public at Large,State of-5a\—", ountyof�)�--�i4�s Notary Public at Large,State of FL County of 0 Personally Known 11 Personally Known [af<oduced clku4cation- -7 3 la -7 Ix Produced Identification- Notary Signature; --,-o Notary Signature: June Co D FOR CODE COMPLI 9. CUNNINGHAM is! n#DI Notary Public-State of Florida F A C BEAC A 0 WyCommission Expires Feb 28,2010 6 F 0 Z 1E I "I"ONA, Commission 0 DD 523638 REQUIREMENTS AND CONDITION ss S Bonded By National Notary Assn. FILE C, VH REVIEWED BY k — DATE: V Wind-borne Debris Protection Affidavit 7- (Date) City of Jacksonville Permit No. B- Building Inspection Division Address 214 North Hogan St,Room 225 Jacksonville,Fl 32202 1 understand that State law requires that windows replaced in a Wind-borne Debris Zone be installed with impact glass or be provided with another approved method of wind-borne debris protection. I recognize that the structure involved is located in a Wind-borne Debris Zone. I am in the process of having windows replaced which require this protection but have elected to not have the required protection installed by the contractor installing the windows. I am requesting to be given until the date shown below to install the required window protection that I have listed. I understand that if I do not install the required window protection I will be in violation of State law and that the City of Jacksonville Building Inspection Division may take action to include,but not be limited to,fines, withholding any further permits to this address,and/or termination of utilities,until such time as the window protection is installed. I also understand that my insurance company may not reimburse me for damages suffered due to the lack of required window protection. I agree to have the required window protection installed by: �,o - e - jQ C)R (15ate) I will be using the following material to provide the window protection: (check one) A.V Plywood per the Florida Building Code B_ Other approved method: (Description) If"B"provide Florida Product Approval Number H Insurance Company_AL L S 7,4 7'Lc =� If, 0)4A� (Signature of property owner) Before me this'l day of In the County of Duval,State of Florida,Y personally appeared Herein by himself/herself and affirms all statements and declarations herein are true and aceurate. S, of 5;�;� , Notary Public at Large,State of_!E C"X , 4 Pe—rsonally known or Produced Identification ID Type Cj June Codner-KongQuee DD541266 Commission# r$p Expires April 17, 2010 About lax-I want to...-I am...-Services-Departments �1% Bonded Troy 4#%4Cfl"jW 4k6*f.0gt93obs 630-CITY(2489)-Site Policies-Webmaster- 2002 City of 3acksonville E C E i V E 0 CITY OF ATLANTIC BEACH 19- 2008 PV 2 of 2 4/13/2008 2:41 PM ie in,---x 0 co ,4* net 0P.C4,11 Aebs-19 Jol'the 01y ol Jacksonyllis.Fbijda SUBJECT BULLETIN G-05-08 WIND—BORNE DEBRIS PROTECTION AFFIDAVIT (Go BACK) DATE 4/2/2008 7:29:00 AM FROM Thomas H.Goldsbury,P.E.,C.B.O. E20LIL ADDRESS PHONE VIA TO All Permit Applicants CONTENT April 2,2008 MEMORANDUM BULLETIN G-05-08 To: All Permit Applicants From: Thomas H.Golclsbury,P.E.,C.B.O. Chief,Building Inspection Division Subject: Wind-borne Debris Protection Affidavit This Bulletin is regarding window/door replacement on existing single family homes located in the wind-borne debris region. When a homeowner has decided to install the required wind-borne debris protection either himself/herself,or is hiring another contractor other than the one replacing the windows/doors,the attached Wind-borne Debris Protection Affidavit will be required prior to issuing the window/door replacement permit. XC: James Schock Lesley Davidson I of 2 4/1 3/700R?-41 PM Florida Building Code Online Page I of 4 FLORIDA OEPAPTIVIIEN. T OF a 0 BCIS Home Log In Hot Topics Submit Surcharge Stats& Facts Publications FBC Staff BCIS Site Map Product Approval USER: Public User Produa A roval Menu >Product or Application Search >Application-W > Application Detail FL # FL4328-R3 COMMUNITY PLANNING Application Type Revision HOUSING&COMMUNITY DEVELOPMENT Code Version 2004 Application Status Approved kEMERGENCY MANAGEMENT Comments k OFFICE OF THE Archived SECRETARY E C E i I CITY OF ATLAN71C 9. EACH Product Manufacturer Pella Corporation "INJr, " 7�N�; 'Ir' Address/Phone/Email 102 Main St. 1 L-4 2000 Pella, IA 50219 (641) 621-3494 robinsonsj@pelia.com LIP— Authorized Signature Aaron Ryan ryanaj@pella.com Technical Representative Todd Umbel Address/Phone/Email 2000 Proline Place Gettysburg, PA 17325 umbeltp@pelia.com Quality Assurance Representative Todd Umbel Address/Phone/Email 2000 Proline Place Gettysburg, PA 17325 umbeltp@pelia.com Category Windows Subcategory Single Hung Compliance Method Certification Mark or Listing Certification Agency Window and Door Manufacturers Associati( Validated By http://floridabuilding.org/pr/p�_app_Ldtl.aspx?param=wGEVXQwtDqulaWBOwvld3kJpq5zSA5QHwe... 5/15/2008 Florida Building Code Online Page 3 of 4 IlEvaluation Reports 11 Created by Independent Third Party 4328.3 1 ries 10 (411-H-720.03/.07) Vinyl Flange Sir lWindow Limits of Use Certification Agency Certificate Approved for use in HVHZ: No 1-1-4328—R3—C—CAC—Pella CC-L.p-df Approved for use outside HVHZ: Yes Quality Assurance Contract Exph Impact Resistant: No Design Pressure: +50/-50 Installation Instructions L4328 R3 II FLORIDA P.E. DRAW Other: H-R50 (3ft Oin x 7ft 6in), H-R50 (914mm x 2286mm). Configurations of glass conform to 414A.pdf ASTM E 1300-02. Verified By: Warren Schaefer 4413-r Created by Independent Third Party Evaluation Reports Created by Independent Third Party r�8.4 (411-H-721.00/.03) Vinyl Flange Sir IlWindow — Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL4328R3—C—CAC Pella CCL-.Ddf Approved for use outside HVHZ: Yes Quality Assurance Contract Exph Impact Resistant: No Design Pressure: +55/-55 Installation Instructions Other: H-R55 (4ft 4-1/8in x 5ft 2in), H-R55 FL4328_R.3 II FLORIDAP.E. DRAW (1321mm x 1575mm). Configurations of glass '-414A.pdf conform to ASTM 1300-02. Verified By: Warren Schaefer 4413E Created by Independent Third Party Evaluation Reports Created by Independent Third Party r�8.5 eries 10 (411-H-721.01/.04) Vinyl Flange Sir !Window Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL4328R3 C—CAC—Pella-CCL.r)df Approved for use outside HVHZ: Yes Quality Assurance Contract Expli Impact Resistant: No Design Pressure: +50/-50 Installation Instructions Other: H-R50 (4ft 4-1/8in x 6ft lin), H-R50 FL4328 R3 11 FLORIDA P.E. DRAW (1321mm x 1854mm). Configurations of glass 1414A.pdf conform to ASTM E 1300-02. Verified By: Warren Schaefer 4413-E Created by Independent Third Party Evaluation Reports Created by Independent Third Party �328.6 fries 10 (411-H-721.02/.05) Vinyl Flange Sir Window [FcA i m p p ts ro of ve U d Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL4328 R3 C CAC Pella CCL.Ddf v Approved for use outside HVHZ: Yes Quality Assurance Contract Exph ppro Impact Resistant: No g Pr4 Design Pressure: +35/-35 Installation Instructions si 0 ot r_ R35 (4ft 6in x 7ft 6in), H-R35 FL4328 R3—II—FLORIDA P.E. DRAW ther: H (1 2 m m x 1372mm x 2286mm). Configurations of glass 1414A.pdf 0 form to , -02. Verifled By: Warren Schaefer 4413E onform to ASTM E 1300 Created by Independent Third Party I I http://floridabuilding.org/pr/pr�_app—dti.aspx?param=wGEVXQwtDqula)WBOvvvld3kJpq5zSA5QHwe... 5/15/2008 Rig A F;.. .)o 3. A Ln Qc) 9 P! b c im iD io-,j z % �A Ail, A,-I. Ing NIX �el o -4 11 m 0 15 FlUt RON cz, OR PRO,Vid IN m 221 5 I-A -g qm 1 Ell �'o�j Z <�ml a z CZ ml) ZO o M rn,* 8:!i ;fl�i 0 F ar: o.m iq"�'_ mV -nc). m-?� orn x 2 S Riwo'.. m m too �q mv a c:-0 IS r 02 L 90' MAX. FRAME HEIGHT (F.H.) m- ip!Ks S: - —32 1/2' MAX. D.LO. 51' MAX, D.L.O.. m OWE m ZR Fn 9 cn z RAC , 2 c I A W-h _u c3: rn A m m m 1�z mx- ,So to m o S Q (A m z xo r, jr 11 m z� rl o 4, _ 0 cn F, r- Ln m A mm m 's 6, GIc 0 F, x2z� o i,---! zm rr,- 0 0 r"186, G Lu------ - - �-.R r ullot I t F_ oaA. 2 cl c' :o :E z zien �1. 0 91 7 7� RAP ?L RMI�DESCRPMN I By I ON TH6��STAR 10 SERIES SINGLE HUNG FLANGE NON-IMPACT WINDOW MANUFACFURER PELLA CORPORATION QI Wm�T-7—SCHAEFER ENGINEERING & CONSULTING, P.A. INE PLACE5 p 2000 PROL 1.f '73" 1341C 717-334-0099 9 44,THO�551-775-49= FM:581-775--OG3 t 0 U eT— Z56 z m 0. pu 7'! pp 0 M> 02. p z 0 En Ln m 5 C. a 0 I 0 Gqz—F a r=11� 0 a to cm.01 Ncall T a m 0. 11 11 0 m r sn Ln:r m�mwog r m 0 -m m xgwlx3j 77mwm� F, ic z p w m CA :0 wm 0 ZZ 7- Z 0 t c: z z m N 0 R ic E! m X A m m m m X C) m m z z CA UA ft T THERMASTAR GE NON-IMPACT WINDOW CA 10 SERIES SINGLE HUNG FLAN i "5 SULTAFM F R W. SCHAEFER ENGINEERING P ORPORATION 2(�t.A'C ROLI & CONSULTING, P.A. NE PLACE TRAILi WrrE C-M4 GEMSBURG. PA� 8895 N,WUTARY 17325 —�—S.� &U'a W �-"02 FM Ml-"5-�� 717-334-00ug 41 PA 0 fA 1.4 zz[q z cn S=j ryl rrI rrI zo C..r pp MO 0 0 > 2E F :E� F 50 a g- e z FRAME HEIGHT (F.H.) Ql a CA M M r EA w cs R,-r,�E c: En > QC6; qz M r-29-t r.C) 52 mm M C% 'o oz 0 M V) JF� < 0 0 =:1 z 0 0 o z L rrI rTl M P r :rE *;u o z 0 cl C-1 rz. ",al (D 4- or.1 (A C:I c' CD V) ON" 00 Z— T �c 0?V, M /FON 0(A (A (A 0 CA CA M am z C2 Lr)z a U)(A z co M z > ?a rl a c' A Y -cl�w * 5� w ' Dix A 0 0 ZME Ln 0 0- Z C 0 Mz r C) m a) rn c 0 CA C, MX: zx" .......... C, G ON. .4 4 THERMASTAR 10 SERIES SINGLE HUNG FLANGE NON-IMPACT WINDOW Al R MMUFS "Mu PELLA CORPORATION rW. SCHAEFER ENGINEERING & CONSULTING, PA 2000 PROUNE PLACE U95�WUTARY VJrTl C-204 GC7FYSBURG. PA 17325 1"'B�O�M�M n U410 71-1 MOW--54-775-49M FAX Ut 771 4" P 429 393 829 RECEIPT FOR CEI'ITIFIEbWAIL NO INSURANCE COVEPAGE PROVIDED NOT FOR INTERNAIIONAL MAIL CITY OF fSee Reverse) a, co --------1�� t d N st-&X 00 6 L) S I., ode ostage 1� Certified Fee December 8. 1989 'pecial Delivery e Mr. and Mrs. Ronald Walker Restricted Delive ry Fee7 I er .14 469 Skate Road 11--1 hmnn Atlantic Beach, Florida 32233 Return Receipt sho RE: Royal Palm Subdivision Watermain Replacement City of Atlantic Beach, Florida Dear Homeowner: At approximately 11:00 a.m. , December 6, 1989, the construction crew replacing your water meter felt elecirical shocks and observed electric sparks arching between metal parts. The City's resident observer immediately halted work until the Jacksonville Electric Authority (JEA) arrived and disconnected your electric meter. With the electric meter disconnected, the construction crew completed the installation of the water meter and the JEA also installed a new electrical service to your residence. However, I have been informed by the resident observer that the electrical service replacement did not solve the problem and that a dangerously excessive electrical charge still exists in your water service line. During the electrical service replacement, the JEA service crew told the City's resident observer that you would be notified by JEA of this situation. However, we feel it is our civic duty to also inform you of this and to suggest that you have your electrician investigate this matter further. Please be advised that there does appear to be a very serious electrical problem with the wiring in your house and we strongly suggest that you immediately take the necessary steps to ensure the safety of yourself and others. Should you have any questions please feel free to call. Sincerely, ?D a ac '-' City �anager KDL/dst. CERTIFIED MAIL P429 393 829 IFCID� DIT 19U IA . o>e December 7, 1989 TO: Kim Leinbach/City Manager FROM: Roger Stanley/Gee and Jensen RE: Water Main Replacement in Royal Palms At approximatley 11:00 am, December 6, 1989, the job superinten- dent, James Garrison, informed me that his crew that is making the new service connections to the existing Water Meters on Skate Road have felt 'Ishocks" while working on the Water Meter at 469 Skate Road. Work was halted at the address until the JEA arrived and disconnected the Electric Meter, thus allowing Scott Plumbing to complete the install- ation of the new Water Service. The JEA has installed a new service to this residence, but eletrical problems reportedly still ekist. I personally observed electric sparks arcing between metal parts at this meter. City personnel informed me that this problem has happened before when making a repair at a residence in an older neighborhood. Also, the work crew has reported "tingling" at other water meters, but this is unconfirmed. RS/kr cc: Don C. Ford/Director Public Services 1989 Budding and Zoning PSR-3844 7022 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION -------- LOCATION- INFORMATION ---------- �-'erm t Number : 7() -)-� 1 — Address : 469 SKATE Rf..�AD Permit Type: RE-R1-'OF ATLANTIC BEACH , FLORIDA 322133� 'lass of Work: NEW ----------- LEGAL DESCRIPTION ---------- Constr . Type: WOOD FRAME :.Ot , Block : Section* Proposed Ilse : SINGLE FAMILY Township * RNG, r, -�wellings ! 1 "odr- 0 -,ubdivi sion : Estimated Value, 90 �00 Improv . Cost : 50 .00 Total Fees ; $22 . 50 Amoul- $22 . 50 E Rf'V�F WITH 19FW FT� A OWNER INFORMATION APPLICATION FEES ----- "'22 - 50 3me- , RC)N WALJ�ER PERMIT WATET 469 SKATE ROAr t, ,IMPACT FEE 1-40 . 00 4 `T, FEE $0 .00 LTLANTIC BEhCH , FLORIDA 3223 �5EWBIR- IMPAw 27 r WATER n MtTER- -p,r 2 RADON GAS-H .R . S . ------- CONTRACTOR INFORMATION RADr)N GAS - 5% IS0 , 00 Name: WILLT I S ENTERPRISES (�fl' 7A' WATER TAP �;0 .00 d d r e ss SEWER TAP 80 . 00 - HYDRAULIC SHARE SO .00 1 :7 e ax e J�COO 4,4 Type , C� CAPITAL IMPROVE. S E C.H IMPACT FEE 0 "40 .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.95 V;EIUHIION DATE: 07/07/93 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN�RkBJECT -ffMEWIIAMON FOR $22.50 VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENDERED $22.50 EMME $.00 RECEIPT NIMR: 094619 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH PERMIT APPLICATION, ROOFING Owner(s Address: LA L (zi-T E Phone:-_Iq Lot # Block or Unit Subdivision Contractor: Address: '5C) ,)._ MZL( -j2D i Phone: 2- 1 State License Describe work to be done::20- -- -26t'%Cr-oL'- Materials to be used: �71,n4 �oL%A�C- L�)bex Signature OWNER: Date: Signature CONTRACTOR: Za � FOR OFFICE USE ONLY Date- -.�V-------------19 7e) Permit # '17,46...Fee CITY OF ATLANTIC BEACH Valuation _5 ............. --------- ---------- FLORIDA House #----- ............................ ............................................................................ 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. / �2 - 9 - �70 Date.... ..................................................................1 19------------ T, �2? ---- ---------------------------------Address-,t0" 'W1 115; ---- ---------Telephone No- ------------------------ ............................... Owne -- ----- ------------ - - - --------- Architect.............-----__----_--- Addres&-----------------------------------------------------------Telephone No---------_----_----------- _­...... ..... 2- ---------- --------------- �01-. ._ ____ ---------Address........__------------------------------------------------Telephone No------------_--------------- Contractor Builde,,,--.,,-,-,r------------ -------- ---- ---------------- Lot No.....-3--------------------------------------_Block No.----/-g----------------- Sub Division,�O�--- ------- ---­--------------------------Zone----------------- ':!�"/ ------ reet...4��-----Side Between—----------------- -- --------------------and. ............. ------- -----------------------Sts. --J------------------------C�------ St Valuation ----------------.-..For what purpose will building be used---- ----------------------- -----Type of construction- ---_----_--_- -------------- ... 41-0 ' - P , �7�_. Dimensions A T mg_75�'�4 4 f -Size of Footings...... ------------ vi E, ---... ..................Dimensions of ------------------------------ Size of Piers-----------—-------_------------Size of Sills_-----------7��-------Greatest Sill Span in ft------------—------------Type Roo""e� -------jr --------------- ----------;--- How will Building be Heated?.../U-W ---------------------------------------- G,-----------------------I------------- ----------------Will Building be on Solid or Filled Ground?::�� Size of Ceiling Joists---- ---------------------------------, Distance on Centers----------- --------------------------------I Greatest Span.------------------------------------------- Size of Floor Joists-----------—-----------------------­ Distance on Centers---------............................... Greatest Span---------............................... Size of Rafters.------------- --------------- Distance on Centers..... ........................... Greatest Span-------/.:2- ..................................... 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 N Two copies of plans and specifications shall be submitted with application. Ilk Inspections required. 1. When steel is in place and ready to pour footing. 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. 04 04 4. When framing is completed. '('r" E-4 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. 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. Z) 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 I s and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlanti each Signature of Builder __ __.. ------------- .. .... .......... ... Address. ------------ Signatureof Owner- ---- ------------------------- Address--------------------------------------------------------------------------------------------- ---- FOR OFFICE USE ONLY Date--------------------------------_19 ...... ermit #------------------------Fee $...............-------- CITY OF ATLANTIC Kitt, 3)0 V 97 aluation $-------------_...................................... FLORIDAHouse #----------------------------------------------------------- OF ATIARTIC BE A'H 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------------ ....................................Address-Y10-1------SX4��...J4.0_--------------------Telephone Architect----------------------------------------....... ------------ Address,-----------------------------------------------------------Telephone No............................. ContractorBuilder......... Address............................................................Telephone No----_---------------------- LotNo---------------------------------------------------Block No--------------------------------Sub Division-------------------------------------------------------------------------------Zone-VA-34 ----------­-----------------------------------------------Street---- --- ---------------Sid B t -----------------------------------P.AJ;iL�and.- ---------------- ts. Valuat ion $ .........For what purpose will building use ---------- . ...............Type of�n�s��ei-o4m.--e. --------------------- Dimensions of Building----------------------------------------Dimensions of Lot--------- .............................---Size of Footings...................................... Size of Piers- _-----------------------Size of Sills---------- -------- ----Greatest Sill Span in ft-------_------------_---Type Roof-------------------------------------- How will Building be Heated?---------------------------------- -------------_--Will Building be on Solid or Filled Ground?---------------------------------------- Size of Ceiling Joists-------- _----------------- ----------, Distance on Centers............................................. Greatest Span............................................ -4�Size of Floor Joists-_3-1*44.-1----COF404--, Distance on Centers...... .... ................................. Greatest Span_----------------------------------------_ Size of Rafters-t; - __O'L."."Jo Distance on C nters ------------------------------------- Greatest Span--------- ------ --_--_-------_---_ F, QL,%,n,L eos4- y- V F 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 APPROVED be submitted with application. CITY OF ATLA BEACH Inspections required. 'BUILDI FFIcE.: B U I LD A BE FFIcF�'H 1. When steel is in place and ready to pour footing. 9 2. When steel is in place and ready to pour columns and/or lin Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. B I co,'14 y P ,tk 5. When rough plumbing is completed,and ready to cover up. r it i 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after C1-J�6 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 perturm 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 3835 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.- PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 9/8/78 19 Valuation $ 189.00 Fee $ 5,00 This P—it not valid until above fee has been paid to City Treasurer, and is a-jbject to revocation for violation of applicable provisio,us of law. This is to certify that Johnnie W. Kizer has permission to build to construct a roof over existing parkim slab classification residential Zo Owned b Lot Block –S/D House No. 4169 Skate lZoad 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 00 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. Davin Building official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER -PLO-T 'PLAN LO-T PLAT bOOV. I I TAC-*16 16,4 OF 10) -'T MA OIL- Le it e4QF vrery V, It-.,A L W-- LPN A PeOA-) firAD t57-R,&:4E 7-)