Loading...
381-383 3rd St. (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 ���:r'f c)r• Application Number . . . . . 08-00001043 Date 8/04/08 Property Address . . . . . . 383 3RD ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc kitchen remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HOOTEN, JOANNE BROOKS & LIMBAUGH ELECTRIC CO 383 3RD STREET Q/A BROOKS, CHRISTY ATLANTIC BEACH FL 32233 42 WEST 8TH ST. ATLANTIC BEACH FL 32233 (904) 241-9051 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/31/09 --------------------------------------------------------------------------- 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. CITY OF ATLANTIC BEACH 07- f LA ` I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTQCOAa.US _ f ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1 JOB AD©REBS: ' -T:IS THIS A" B: IT: 1—DATE, ' `3�, ❑YES PERMIT# 1 I l LJ 11 Atlantic Beach FL 32233 PROPERTY OWNER: -!-NAME: 5.AfCRfISS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: ELECTRICAL CONTRACTOR: :" T E OF O ANY: p ( 8.AQDRE 9.STATE OF FLORIDA LICENSE NO: 10.CELL j _ i �( I C( 11.FAX NO.: 1 FICE PHONE; C 'r J 14_ � ILAD I rnL�C 1hc'l �S�>LLrl.. 15.Application is hereby ma to obtain a permit to do the work and installations as Indic I ce ify at II work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes uli d v id if is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)mon s a y , e work is commenced. CONTRACTORS SIGNATURE 16 CLASS OF WORK 17 SERVICE: 18. ETER UMBER Q MULTI FAMILY-#OF UNITS: 4,.RESIDENTIAL SINGLE FAMILY Q TEMP SERVICE Q COMMERCIAL [3ADDITION ❑TRAILOR 19.BUILDING: ",CURRENT GORE: ❑ALTERATION ❑SIGN Q OLD Q NEW '05 NATIONAL ELECTRICAL CODE ❑REPAIR Q POOL I SPA 113 REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: O OVERHEAD it UNDERGROUND ❑UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER'PHASE: ❑ POWER IS ON ❑POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: OCOPPER 0 ALUMINUM 23,SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS:_ PH: W:_ VOLT: 4 RACEWAY SIZE: /1 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: _ 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: - < 32.AIR CONDITK}NING: ' #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: _ #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33 MOTORS: NUMBER: VOLTAGE: HP: KVA' NUMBER: VOLTAGE: HP: KVA: R.TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.MIS EUWEOUS REPAIRS" DESCRIBE IN DETAIL: / O COAB FORM BLOG02:REVISED:1116/2007( CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024906 Date 9/26/02 Property Address . . . . . . 381 3RD ST Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ BEW, DAVID S & S REFRIGERATION 381 3RD STREET 8105 ALTIMA ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 724-2854 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . REPLACE CONDENSER & A.HANDLER Permit Fee . . . . 41 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 41 . 00 41. 00 . 00 . 00 Plan Check Total . 00 .00 . 00 . 00 Grand Total 41. 00 41 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE,PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUIL ii'NOCIA� '�_ BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IMPORTANT—Applicant to complete all items m sections I, II, III, and IV. I Address �� �;�re�-T LOCATIONEESu:b-division cting Streets.Between y Sl. And BUILDING II. INDENTIFICATION—To be completed by all aoplicants. 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 Atlantic Beach ordinances and standards of rood practice listed therein. Name of Mechanical Contractors /� Contracror Print) Y /�.� G, Master C A L Q ��.6/ RGENERAL V IereatL I RMATION of heating fuel: B.. Electric IS OTHER CONSTRUCTION BEING DONE ON THIS Gas: _LP _Natural Central Utility BUILDING OR SITE? AoQ ❑ Oil Cl Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION - PERMIT IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK INSTALLED X Residential or Commercial (Provide complete list of components on back of this form) ❑ New Building Heat Space _Recessed XCenaul _Floor Existing Building Air Conditioning: Room Central Replacement of existing system Cl Duct System: Material Thickness ❑ New Installation(No system previously installed) ❑ Extension or add-on to existing system Maximum capacity cfm ❑ Other- Specify CI Refrigeration ❑ Cooling tower. Capacity m ❑ Fire sprinklers' Number of heads r Cl, Elevator: _ Mlanlift_Escalator (Number) THIS SPACE FOR OFFICE.USEONLY ClGasoliae pumPs (Number) (Received) . ❑ Tanks (Number) 0 LPG containers (Number) Remarks ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Date ❑ Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number .Manufacturer Capacity Approving ons Agency C g?i{ HEATING—FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Pa ry Approving (BTU) Agency 00 p TANKS How Many Nominal Capacity Type Liquid Name of Serial And Dimensions Contained Manufacturer No. AAPencvg ,e r� °$ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } m ATLANTIC BEACH, FLORIDA 32233 ` INSPECTION PHONE LINE 247-5826 tJ�3l Application Number . . . 02-00024912 Date 9/26/02 Property Address . . . . . . 381 3RD ST Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED_ Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ BEW, DAVID ELLIS ELECTRIC CO 381 3RD STREET 1279 PLYMOUTH PL ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . REPLACE BRKR FOR HVAC & REWIRE Permit Fee . . . . 25 . 00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 25 . 00 25 . 00 . 00 .00 Plan Check Total . 00 . 00 .00 .00 Grand Total 25 . 00 25 . 00 . 00 . 00 f BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. �.. C BUIL G OFFICIAL CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-a/2` 20 d.2- IMPORTANT NOTICE: T- IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE: OWNERS NAME: ''` F /9f-- ADDRESS: 30 3d 51kee RFD BOX_ BLDG. SIZE +- BETWEEN: 5h RES.(,K) APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW INCREASE REPAIR CONDUCTOR SIZE AMPS: COPPER( ALUM. FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMPS 1 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING I CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. I KVA NO. I KVA NO.NEON TRANSF. NO I VA I MA MOTOR SIZE I SWITCH FLASHERS EACH SIGN Updated 5/20/2002 Q ❑ ❑ � V <a Z a6 = c \ V $s � W `a m � axLL� a N ❑ ❑ LL o O z° Z a F LL o Z Qa y ~ ~ Z oc cc 3 �G O O J 4 0 m W >- o W D O Q Qal Q 3 uJ El ❑ GC W Z a m O $ m c a ❑ ❑ CD oc py z 11.5 0 d dm cE E � O E_¢ OZ m ii.aq' 5 f U <a z w - aLL mm LL� El ��. � � ❑ 0 f Tliz n m � c _ O c Z Z 0.o LL Z Z Q O q 0 c ❑ W F CL C Z m N 8 S cc i M m O E LL o � F IL N o ' O �+ FW Qn ❑ ❑ ❑ F (` ..+ W Ucr w U � Z n m 0 V LL w , m 4) I 1 O a El n � J C y o d'd c E — E Q c S o. O i-¢ OZ Qa Z� � ti � Q • � ❑ 7 "� w, ❑ LL LL c cm 0 .m = � g 0 0 a b`� w w L o CL ❑ v F- CA W c Z V y 3g W a O o-j 0 E LL F- O W a 03I:t Z •- n O $ m cm V U. to J ami t f'- QQa o � f Z_ rn c m E m c ? Em C? C° H O j-8 O mCc Q ❑ ❑ � r Z a a /1 _ c. a C1C4� S J W L � Q2 11� v ❑ LL m O c CSS O Z Z Jai ►° a Z O w d o ❑ ❑ V F C W V IL Z Va Z O t8 E J o cm IL w04 N W Lu WccQa ❑ ❑ ❑ (� n� v � � M d Z U $ ) c � M � 10 M v � `5 d.4) Ecc o q m O F-¢ OZ ' f i V Qa z 06 a � is: LL. w : I g m Q= LL w � v p ❑xn. LL c t7 0 m 1 � co s o Z z a W p ❑ ❑c z ~ ° a a Z c V ¢ 3 X38 Q O < V is p LL w E 0 LL v t~/� W ~ O t p w w a (� w 000 u °` w W O 7 LL Z O) C > q co C O O E� 3E c O F a[ OZ m LL.� 5 V Qa 1 Z06 = a �a LL.00 � !� L ❑ � INm v c $ Z c o a iI c7 � O Z � � a � � Z .a H E (41 p c J D w 4 v c z Rorcz +-j U. ° a O 0 Q na f^ ❑ J W Q v °` LU w � El 0 Q l i ° ° c J RC1 S � E 311 o o J ° i=ce OZ m LL Cr 1735 DEPARTMENT OF,BUILDING CITY OF ATLANTIC BEACH PIII T ICtI T I t3N LOCATION IFCtAT C31 ermituxt�kaer: 1 ' 5S ET A dress: 383 TH21t3 ETRE Rate; 19MM VI cET ermrani '` �MLCkAI�tCA AT $SACHLC►RDA: 2 F ' -- L3 £ AI, DESCRIPTION n Work ALTUAT ION M + T�aP: B eas e TyPe..W4 +D � Section-, 0 Subd: po d U + IINGLE,''PAXI � Subdivision" Est" va Va�,uo 01,100 ' I119I37C pv Cost; 0,C�!b Tota; Fees : , P .C Pa � D �y Vy JCA.TION `EEE _3t 3 drr A yi.l ORIDA 3122334 y�y /� .u.w.r.w•vwr yCON ONO* Axa dli txpl pe i hi�h'F 6.'y4 fi.x :i "4e .:i rvyy.a ux.[x '.Lk tixruvyax,5"ar wq° aa.wru9"ai .av�i4`ss' .w.- k 'r N0TE5 t f k Nt " ICE* INSI'E4"'I'I�NS i r' E REaUESTED AT LEAST 24 HOURS PRIOR 7fJ INSPECTION f BUII DING MATERIAL,.'R,,BBISH ANp DEBRIS PROM THIS WORD . T Mo BE PLACED IN PUBLIC SPACE ANQ MUS t�E CLEAFEd t1P AND'I IAUIEE7 AVAY"B^+ EITHIf Ct}N7RACTt3Ft �PAl1.Ut3E. T AMPLY, WITH INE MECHANICS!, LIEN L.l�► + A�1= �#ESULT IN P -OP R t" E}�IIN R PAYING TWICE FOR BU ::a�� �P�t�'� ��1`I'S. 1SU' D ACCORDING TO, APPROVED. PLANS WHICH ARE PART OF THIS PERMIT AND SUB3ECT CQ REVOCATION EVCICATIC FQR YiQ�TICSN OF APPLICABLE-PROVISION C3 LAW. A IC BEACH:BUILDING DEPARTMENT i .. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANrIC nEACH, FLOnIUA 32233 APPLICATION FOIA MECHANICAL PERMIT CALL IN NUMBER IMPORTANT -- Appll,7ant fi) complefe all Iferris In Sections I, ll, 111, and IV, I. Street ndd3grSt+ree� LOCATION re%: - - --------- -- --- - -- - - OF Intersecting Street%: Anl,n ShA2XrY ftl (ve _ And �Q-S� (eDa!5 D7/ ir1/` BUILDING Sub division II. IDENTIFICATION — To be complefed by 311 applicants to consideration of pnunll q—n for doing the wort As dnacr;berJ in Ike ahc— stAlrrnenl - hernl.y iq,ee In perforn, ;Mid work ;n 3,ro,dAnrn with the altached plans And sper;f;rAl;ons v 64h are a rArl hereof and in AccordAnre —Ii, Ike C;ty of Jarksonv;lle ord;nances And slAndards of good practice hsled 0--n Name of Mechanical 3 �Q /� l Contractors G GContractor IPrint) MAster Name o1 Signature of Omer Signature of or Aulhorired Agent Architect or Engineer III. GFNER.AL INFORMATION A. Type of heating fuel: B IS OTHER CONSTRUCTION BEING DON,€ ON Beciric THIS BUILDING OR SITE 1 D- ❑ Gu — ❑ LP ❑ Natural ❑ Central Utility IF VES, GIVE NUTA13ER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO IF INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form( flesidential or I-I Commercial ❑ Heel ❑ Space ❑ Rece14ad ❑ Central ❑ How f J New Building Air Conditioning: ❑ Room Central Existing Bulldlnq ❑ Duct System: Material Thickness Replacement of existing system Maximum opacity e.f.m. (_I flew Installation (No syslern previously Installed) I-) ❑ Refrigeration Extension or add-on to existing syslern Ll Other - Specify C) Cooling ►older. Cepecify g,p•m, ❑ Fin sprinklers: Number of heeds - ------ - --- - ---- ❑ Elo.a for ❑ Monliff Cl Escalefor (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Reeelwd) ❑ Tank. (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessel ❑ lioilen Permit Approved by Date ❑ Other - Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND RIiFRIGERATION FQUIPMEN7 Capacity Number Unit-ar Description 3tlodel Number 3 aLnufacturer (TonY Approvint s) sency PIC CITY OF AZ c - Ve4d - 74wu(4 716 OCEAN BOULEVARD -- P.O.BOX 25 ATLANTIC BEACH,FLORIDA 92293 TELEPHONE IWO 249-2386 TO: JEA U.S. POST OFFICE - ATLANTIC BEACH CITY OF ATLANTIC BEACH, UTILITY DEPARTMENT PROPERTY APPRAISERS OFFICE DATE: July 26, 1991 PLEASE BE ADVISED THAT THE FOLLOWING ADDRESS(ES) HAS (HAVE) BEEN CHANGED (ADDED) : Old Address New Address 381-A Third Street 383 Third Street PLEASE CHANGE YOUR RECORDS ACCORDINGLY. SINCERELY, r C DON C. FORD BUILDING OFFICIAL CITY OF ATLANTIC BEACH, FL -r- tL� vcb 9/�5f G1TY O utl�trig ���If'tnn Q Standard 109 of the Southern ents of Section liance with the to the requirem in co'nQ ursuant ncc this structure was Certificate issued p the time of issua the f oUou�ing• ''his Certif� , that at For u construction or usc• .Code.Certifying$uilding ulating buildin, B�dg pe(MI various ordinances reg —� ,.:. Fire District Use ClassiEKation T Construeion t? Type —y—Address GroupLocality owner of Building Building Address Date. yf�$oilding fficii IC GON.I CITY OF �ntlaing �n��rr�tDn �pr� m�n f Section log of the Southern Standard re uirements o pursuant to the q a5 UL COrtt}7ltatLLe with the This Certificate issued t' time of issuance this structure u' that at the For the foUowittg• Code certif yinb ct. or use. , But o constru ordinances reg ulatutg building LlaflOUs Bldg.Permit No. g di'.YiC k. .;..� t Le l L �:C. 6 �c i / �Firc District Use Classification Construction Type 4'+ — ` Address Group Localityt-- owner of Building Address_ Bui�Aing -' -- Date'.=- Bui B official .MT COHfli1cuou" 40,67 pIP11 1 1i i NT" UiLm CITY°i�F ATLAN t B'EACH., P ►' Addr�►1-P. . DA tiow Section I Work 'Lot I ps avd UA Prop* jfj vo td NIM 00,40 04 Tot.l '00 o� 00 mina dup x build ,g d 77 $50 .00WATER I000 Ad l p �y } w VPAC ¢. Sx aM' t +�iv'i +t.i e'er �rF y, r1.�+ ,. y� y i AAD 0A ` ti+1 ", �a iM; �Efi .. �RR "�'�+1Allt. M1�► tip,40: U £ . .Nf,3TE5�1� � R R' .Y k � NCaT� AUL C 11AlCR T�„�+*3Rt1A AN FOOTINGS must B�INS�'1`Ct�i�t3�1�QR�i�URiN.G i PERMIT VOID,;51Xr MONTHS AFTER DATE UE s O �UCLtING AAATEitAL. tsi r ANt3 rEtSfRr mals WORKM,uscr at:Ac'Et t " tc; Ar ► _; Eti!JP ANO HAC)l Et'�AWAY$Y'EiTHER CC}NTFIACTt3R DR C751VNER. 13 IR-13 Ni,liM�id1"S#!s [ 5l! Q A CORCtIN t AF r3U i 'PLANS WHICH ARE PART QF THIS P�RMlT AtdC3 �U REV-Q0 P. 771 ViE>L�Tt©N.OFAPPLlA�ptQUStfJN .C7f,`l,A1N . ATLAN tC BEACH #llt "t1C ?IPA# 'iItNT CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS gEM 6L / T/ a .J Owner(s) : ,lfl __�_ � -- L-L. ------------------------- ,Address: : _7�//� _ /f -Phone:----------------- Lot # G� ___ Block or Unit #�� Subdivision: S�L'_- — - --- Contractor:_ JL =----------------------------- . Describe work to be done: ------------------------------------------ ----------------------------------------------------------------- Present use of building: y lC �"�' -- -------------------------------------- Valuation:_ ----------------------------------------------- Proposed use:_-N�=--------------------------------------------- Is this an addition?_________ If yes, what are the dimensions of the added space:---------It. X ---------It. Will the added area be heated and cooled?________ New electrical (or increase) ?_____ New plumbing fixtures?____ New fireplace?----New Heat/AC?________ SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. � ),Signature OWNER: � �------- _____ Dater Signature CONTRACTOR: Date:_ _ SAN MARCO REALTY of Jax. RESIDENTIAL SALES INVESTMENT PROPERTIES MARK J. KREDELL COMMERCIAL PROPERTIES President PROPERTY MANAGEMENT January 21, 1992 City of Atlantic Beach To Whom it may concern ; The finished Floor elevation of the building at 383 Third Street is five inches above the crown in the road . Most Sincerely , ;41a jO aLp"�-- Mark J . Kredell Builder p,p p F?91 v E DACW C� OF �t��o JF�tc� ISP 111 7 t'A Nrl";Iab2 t JAN 21 1992 Building and Zoning 1930 SAN MARCO BLVD. JACKSONVILLE, FLORIDA 32207 904,'396-1107 w • , -�/ �T r is i 4 , - y 7 i yt 1' Icy � y. K z Lel h, t t l - MAP SHOWING SURVEY OF THE WEST 25.00 FEET OF LOT 28, TOWINER WITH THE EAST 2.50 FEET OF LOT 30, BLOCK 5, PLAT NO. 1 SUBDIVISION "A" ATLANTIC BRACH, AS RECORDED IN PLAT BOOK 5, PAGE 69 OF `n*, CU MM PUBLIC MMFES OF DUVAL CaWV, FLORIDA. LOT 31 I LOT 29 (Nj3°39'5S"E. 27.71-FIELD) t 8'.*42'00"E. LOT 2T LOT 25 �L kt;fm Pipe 1(� POUND NO AP+� 27.50 20.00 27.50 as' 0.9' 25.00 -- Q3' 47 WTIV THIS IS A BOUNDARY SURVEY. 09 NO UI�AtG RESTRICTION LINE _ 0 PER BEARINGS BASED ON THE NOR'T'H O w O RIGHT-OF-BRAY LINE OF THIRD �. �� tL O STREET AS PER MtL9ERT 1 O HOMES AS RECORDED IN PLAT ' G w � N to BOOK 21, PAGE 38. W — .i I-- ALL ALL FENCES SHOWN ARE 6'W000 Q U.,. 3 x ' N W Q Q4' ' W W tl U. M q Sed IEVEI,a! N LOT 32 I` w - DAL S 0 ( 9.3 --�6_7 C LOT 26 0 W !- O W > ( 0 w ~ O W N no O IL L. 0 u 3.1 , 0 N 3 W Os g �i. 'r W v W v p J2v) O W W N Q� >X w I N N '� W W :01 O OCD p ilY "OOOIM�Tl.� x AND bll I WALK OS 122.75 20.00 27.50 `'; % 25.00 :ET.9 St'K�1'"�E w 27.50' `POUND VZ'WON PIPE --- — 's S,83042 I 00"W. AP (27.47'FIELD) THIRD ' STREET THE PROPERTY SKMN HEREON APPEARS TO LIE IN FIMD ZONE "X" (AREA WPSIDE 500 YEAR FLOOD PLAIN) AS WELL AS CAN BE DETERMINED FRCM THE "FLOOD INSURANCE RATE MAP- FOR ATLANTIC RP.ArR_ FTnRTnA_ It TRANSMITTAL DOCUMENT FOR JEA DATE: The following permits have passed "rough" inspection: Permit No. Address 9 Z/36 7 �7 2 8/ S�,7� 36 3c53Z,,e Enclosed are our (blue) copies of the permits. Please update your records accordingly. Thank ou, , ICLERK CITY OF ATLANTIC BEACH 4 /vcb a CITY OF rstic �eac( - �w�ida 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 October 31, 1991 TO WHOM IT MAY CONCERN: Re: 381 Third Street This will confirm that the City of Atlantic Beach owns and maintains all of Third Street, Atlantic Beach, including the water and sewer lines, and drainage system. Please feel- free to direct any further questions in this regard to the undersigned. Mauro n King, Ci y Clet pgp TikMT OF BUILDING, ,# C1T�CC3F ATLANTIC BEAD° ' __-- - � LOCATION INF"ClRMATT01i _— . PERMI N R iTION a > � Rix ' Addr sTHIRD,STREET R.�> aait Ty"a ) RCII 1 t GAL. OL:A� TI<J BEACH, F`LL"J 2 ©A 'L 322:33 ', LEIL. 011» 4CRZPTCtN .._...»,. ... ..+.am,w««.+ a, f Work 1, 9EW soot ion I �caiCt t� , t BC , > RXME T+ rrah p a RUGed jj(W9 All 3 € , yyg iC+ :ybd +rii : ot 1, �T k coot, , r . , cut i d z ,w 4!'.C}q ia /26/91 ♦, qy .n f FlY wCtX'>i "` L NKAT' AND ATR tri N,A't'ION k w :A A ', " r ER T,I 5 ,Ad � STT` RATR-R flr'ACT EE �s0. R ' EAC ;L00 DA B� � sf0 r aiA 00 3RMA'C I N ,� �.»_. RADON CIA, 0VXR . TAP A � is .ic W A 7T M�" a', 7Ti3' .;i #�` .,tt Y.IR „ ..a. 'FLORIDA 322HYDRAULIC RRA Lcx r a NUA i ti4 V� s NT R �' 80 ' EC .R TRihT* BE � � nI } 31 i NOTIC --AI:L i+ONClktSTg,FOIRIA$AND FOOTINGS IMIUS-r BE 1NBPECTE0B9F,0R*P URiNG, PERMIT VOID S(X MONTHS AFTER DATE"QF ISSUE BU►II iNli.MATERIAL,RUBBISH AND DEBRIS FRC)M THIS WORK MUST NOT BE PLACE[?Ild PUBLIC SPACE,i4ND.MUST BE. LEA IED�t1F�AN HAU.LI`D�AINAY,BY:EITHER-CQNTRAGTC>R OR OWNER " HO I To Ts OMPLYWITH THE MEC IICS*,, Lire J:0R 8101, iSSt D AGGORDING TO APPRo.vED:PLANS WHICH ARE PART OF mS PERMIT AND SUBJECT,TO RE1/QGATlC)N FOR r 1�#C 1. TIO fi C AI I'k,C E Pf iF?tC II NS 4 1= AW. gars av � . t d �3 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. I. St3XI� 3 S17 LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division 11. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcye statement we hereby agree to perform said war, e_c_•oa-ce with the attached plans and specifications which are a part hereof and in accordance witi, the City of Jacksonv;l'e ord;namces a,c s•a^nerds of good practice listed therein. Name of Mechanical Contractors Contractor (Print) Master > Name of s Property Owner uDiO Signature of Owno Signature of or Authorized gent 71 Architect or Engineer III. CFMML ( FO A. Type of heating fu:,,.,--jB. IS OTHER CONSTRUCTION BEING PONE ON Electric THIS BUILDING OR SITE? Gas—❑ LP ❑ Natural ❑ Central Utility IF VES, GIVE yUMSER F CONSTRUCTION ❑ Oil PERMIT GyC r __s Q Other — Specify IV. MICHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on beck of this form) IV Residential or ❑ Commercial Host ❑ Space ❑ Recessed X Control O Floor YNew Building Li Q Air Conditioning: E3Room Centra) ❑ Existing Building t�` Duct System: Materia � er Thick �� ❑ Replacement of existing system Maximum capacity /!Zb� e.f.m. New installation(No system previously installed) ❑ RaFrigeration ❑ Extension or add-on to existing system ❑ Other — Specify C3Cooling tower: Capacity g.p.m. ❑ Fire sprinklers: Number of heads ❑ Elovister ❑ Monlift ❑ Escalator (number) i THIS SPACE FOR OFFICE USE ONLY Q Gasoline pumps (number) (Reoaiwd) ❑ Tanks_ (number) Remarks Q LPG container (number) .❑ Unfired pressure vessel Q Boilers Permit Approved by Date ❑ Other — Specify Permit Fe- LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT CVW NumberUnits Dercrtptloa Yodel Number Manufacturercr w rowan ,W 437 F pp10.R#HENT 4F BttL©tN( CITY-OF ATLANTIC BEACH " LOCATION ,INFORMATION . ,PERNITNFORtATCIN. _ �. . Pait Nu*be r sl' , Addreai : 383 Tit STREET T r 4 Pjr*;it t NECHAX CA A'I'L 1N`IC BEACH, FLORIDA 3223 O > x �N N ----------- LEGAL DESCRIPTION ---- bx �tx-. Typo-s WQIrIT3 FRA TT•: Lots Blook s B�Ctie�n P"Ir+��oid Wont. Sj#OLE AILS Ta rriAr pz tNC3s O at8 � Ca des CBsxbrixrBi ►» $"prov. cow*; Total l b *47.C?CJ A za r ' 47. 04 0 TRAL AIR . ,n ' 3f: - f APPA1lA4AV# FMEr , P RrT *47,i,00,.. PrR �orAQ ..,. Add iitY" T'LI1lI V '"i" r -- .T �� i.R.��N � y.R" � ,.a RAPOR OAS-Ft. R. Si '" $0. 00 *FORMATION --- t+�ADO� SAS5% �t0. CICT� Th E HEAT ... IwlAet'T h' fi C .E A� s � C" r HEN TAP NES' s, f A , R* ' FLORIDA 322' 3 H'!I"O t, is SHARE s{?.00 Lica Types 3 RE�IXSP MCT FEE St3.00 T � �{ BBC. IN "ACT FE� � �C3. NOTES k t h 3 N©TICE--4L CONCR9T#F0iTl1 $AWG IFOOTINGS MUST 13E INSPECTEDBEFORE POURING ' PERMIT VOID SIX MONTHS AFTER DATE DF ISSUE BUILT ING MATERIAL,RUBBIS L AN"D DEBRIS FROM THIS WORK MUST NOT`SE PLACED IN PUBLIC SPACE,AND MUST BE CLIE40ED UP AND HAUL AWAY DY,EITHER CONTRACTOR OR OWNER ILUR 'Q Com"IFI Y !WITH THE MECHANICST,11EN :LAW CAN RESULT IN "H' "R I "f ` 11 1 .PAYMQ ""t WIDE F00 BU��a 1"2 IMPROVEI�IEIWT .'' IESU ACCOR�IN�a TCS APPROVED f?#,AN3 WHICH ARE PART OF THIS PERMt7'AND SUE3:1 � TU REV�ATI(WIWR, VIOLAT16N,OPAPP'"'LA`S' F LAW. fit» R!�`�`°`^ � Sy F i 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. I. LOCATION Street Address: , 3 3� OF Intersecting Streets: Between And BUILDING sub-division 11. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perfe.m said wartac:.-ae ce with the attached plans and specifications which are a pert hereof and in accordance with the city of JacksonvXe ordimamces a^a s a^de•os of good ,practice listed therein. Name of Moctenical Contractors Contractor (Pgint) I C, X7''"(1 Master l; Name of Property Owner Signature of Own e Signature of or Authorized Ag A, Architect or Engineer III. GENERAL IN RM ON A. Type of Mating fool: B. IS OTHER CONSTRUCTION BEING D NE ON 0t, ElectricIS BUILDING OR SITE? o ❑ Gas—❑ LP ❑ Natural ❑ Control Utility ❑ Oil OF VES, GIVE NUt!B�_R OF CO STRUCTION PERMIT Lf� (3 Other — Specify IV. WCHANICAL EQUIPMWT TO BE INSTALLED NATURE OF WORK (Provide complete lid of compo"Ish on back of this form) Residential or EI Commercial Hut ❑ Space ❑ Recessed yCentral O Row New Building Air Conditioning: ❑ R m Control ❑ Existing Building f 1:{ Duct System: MetorisThiekn•+a ^^^���rrr❑,,,��, Replacement of existing system Maximum capacity � � e.f.m. New installation(No system previously installed) Cl Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Capacity 9.101-1110 ❑ Other — Specify ❑ Fine sprinklers: Number of hoods ❑ Elevator ❑ Monlift ❑ Escalator v (number) Q Gasoline pumps THIS SPACE FOR OFFICE USE ONLY (number) (Raedved) Q Took (number) Remarks ❑ LPG contains K (number) 0 Unfired pressure vessel 13 Boilers Permit Approved by Dot• ❑ Other — Specify Permit No LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Deecrlptlas Model Number Manufacturer tY A rovlas �'� f.✓ D CITY OF ATLANTIC BEACH, FLORIDA Approweby APPLICATION FOR iLKTRICAL Jf=MIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 2 1l � IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS. WHICH ARE A PART HEREOF,AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS.CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL TN'bMPSON ELECTRIC CO., INC. P. 0. BOX 50398 EACH, FL 32240.0398 ELECTRICAL FIRM: 7 JOURNEYMAN NAME,. ADDRESB ��� RFO.___._BOX_.,_,_ BLDG.SIZE y BETWEEN: RES.1 1 `APT.(�(!/ PUBLIC,( 1 INDUS.1 1 NEW 1 1 OLD( I RAW.( ADDITION( ) TRAILER( ! TOP. ! SIGNS ( ! SO.FT. SERVICE: NEWAf INCREASE( f REPAIRII 1 FEE CONDUCTOR SIZE AMPS - COPPER I AL l.S . o-e) OR BREA ER AMPS PHzaLTI RACEWAY S- , EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALEDOPEN TOTAL O.aO AMM. il•t00 AMM. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXCD 0.400 Amm. OVEN APPLIANCKS [BELLTRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT �'� ova MOTORS H.P. VOLTAGE PHS NO. I N.P. VOLTAGE PHS MISCELLANEOUS .CITY OF ATLANTIC BEACH, FLORIDA App ew► APPLICATION FOR ILKTRICAL IFUMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_.,,, IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS. WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS.CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOMPSON ELECTRIC CO., INC. P. 0. BOX 50398 ' ONVILLE BEACH FL 322400398 ELECTRICAL FIRM: NAME.. -+ RFD__BOX BLDG.SIZE BETWEEN: RE&11 APT.�1� 1 PUBLICS I INDU8.1 1 NEW 1 ) OLD( 1 AEW.( 1 ADDITION( 1 TRAILER t l TEP.t 1 SIGNS t l SO.FT. SERVICE: NEWP INCREASE l 1 REPAIR l 1 FEE CONDUCTOR SIZE AWS 1.$7r ALUM. S MTCH OR BREASER / AMPS PH 13 W /1-0/z o� , EXIST.SERV.SIZE AMPS PH • W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED f OPEN TOTAL O•a0 AMM. 81.100 AMPS. !WITCHES INCANDESCENT FLUORESCENT i M.V. FIXUD 0.100 AMPS. OVER APPLIANCRO BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP:MOTOR OTHER MOTORS AVMS �CEIL HEAT: KW-HEAT a� own MOTORS H.P. VOLTAGE PHS NO. i N.P. VOLTAGE MIS MISCELLANEOUS „ 4272 Df RAftTMENT OF QUI LIX CITY OF ATLANTIC E3EACM 0or3Ic ” " y - Addre es 38L THIRD STREET & 383" + "'YF +" . !LUI! S iG ;ATLANTIC BEACH, FLORIDA, 3 �13; C3c work R . . . .„a.. .LOA . DELT ON Tyo s WOOD FRAME_ Lott. Rlc��k� Sct�r�n: Prejpc � d. I,I I>QLAILY T ► r� ip: RUG: O t �r ll Qm s gnc t m tod values SOf oo J r rov. Coes SO; +EIU t�'i~al Fees s *116. rO r�utId +. 5C} It II. rff BING I N HVI 3U 'LEX� _,,.. t' ION ---------- TATI511 FEES *I ISO 50 ` Adc�ar WATER, "PACTIT FEE 1O.00 s;, � ` . .. ACR, " .C? t3 UAEklk IMPACTFEE ,3Or OO' ph -'RA. 'ur3c +a+r�i/ Y ti� Wry a1"+ 4J Y! (� NF`OR ATlOH "_ - RADON OAB V i 00 WATER TAP SO. 00 �,, ` Ot;# ... SEWER `SAP SOf OSI AlCr4s s . HYDRAULIC SHAREO.00�y. L � i:FC" ? °T''.�+'pe# O `�*'"'` FEE >. Oi OiV EAG, PAC ,, FEE R� OTHER $0. �^v 4,, NOTES f F NOTICE—ALL CONCRETZ FORMS AND FOOTINGS MUST eE'IMSPECTEII)$ FORE POURING " PERMIT volt SIX MONTHS AFTER DATE OP ISSUE Bt3tL "NG MATERIAL,RUBBISH ANO DEBRIS FROM THIS WORK MUST NOT BE PLACED iN PUBL#G OACE,AND,MkJST;SE �. Cl EA ED t1P"AND HAULED'AWAY RY EITHER CONTRACTOR OR©YNNER. IRE TQOl1ApLY WITH TH'E �IIEC�tAN1CS' LIEN LISW CAN :RESUI:TN AOPERTYPAYING TWICE FOR '[I lkAs &ja ftz f ISp;p� A(,GORt?1N1a,T4 APPROVED PLANS WHICH ARE PART OF THIS PERMIT"Akli SUBJE irV{)GATI ���VIION OF-APPLICABLE PROVI$1ONS OF LAW. #ice g: ATLAN i BE BUILDING DPA RTM'NT 3Y s'.»fix v ,: ,,,Fs ,' ,x '.a,Y•r.. * k, " °x, zv,�) `2 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION:- PLUMBING OCATION: ;PLUMBING CONTRACTOR: f 1 4C, �� l '� J✓ LICENSE NUMBER: 0 c-� OWNER: - Y( BUILDING CONTRACTOR: �'�'�t } 0- L' TYPE OF BUILDING: ./� d SINKS / SHOWERS LAVATORY WATER HEATERS BATH TUBS �_ DISHWASHERS URINALS '? DISPOSALS CLOSETS = WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT: + $15.00 ------------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. C-� CITY OF ATLANTIC BEACH, FLORIDA . T App.ov"a► APPLIGTION FOR IMTRICAL JiMMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_,l 31! IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS. WHICH ARE A PART HEREOF,AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MAUER ELECTRICIAN SIG JOURNEYMAN NAME.. 1�/,��� ��U�r.ADDRI=:-� 2 Z"' - - RFD-SOX BLDG.SIZE BETWEEN. RES.1 i APT.1 1 COMM.t 1 PUBLIC,( 1 INDUIL 11 NEW( OLD( 1 REW.I ) L9& ADDITION 1 ) TRAILER t 1 TOW. SIONII 1 ) S0.FT. SERVICE: NEW 1 1 INCREASE 11 REPAIR 1 i FEES CONDIICTO SIZEA&AW9S CO"ERI ALUM.64 JIM OR 801flfilill AWS �ZpRACEWAVv ISTSERV.SIZE AMPS PH . W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.80 AMM. !1.100 AMM. 9WITCHcs INCMMESCENT . FLUORESCENT Si M.V. FIXUD 0-too AMPS. I ovall APPLIANCtf BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS �CEIL HEAT: KWHEAT 0.1 MOTORS H.P. VOLTAGE PHS NO. NP. VOLTAGE PHS MACIMI I suenr le � P • l u� � �' 1, ° CITY OF _ -- JU�. 1 `1 91 &4d '9&Ui a gu,1161r.1- and Zoning P.0.Box 26 A7LAN71C DUCH,1LOWA 32233 + E3UI�pIN,�i P�k['j,SIT A�'YL1�:,,�►1'„�Q_M_ TU"HONS W21►s396 kEQ!J MF,D ,SUBMITZAL.— Each application for building petmit must be accompanied by three complete sets of plans, including a detailed site plan, indicating location of utilities, parking, size of yardo, setbacks and other data as required by code and/or the building, zoning or community developmet departments of the City 03 Atlantic Beach; one set of Florida Energy Efficiency Code sheets (on new construction or additions of 500 eq. ft. or more) ; a recent survey of the land for new construction and additions; and ' a tree survey or letter certifying no trees ors property. APPLICATION CHELIST Building Application form ___r"�2. Three complete sets of plans including detailed site plan 3. Recent survey, includir tree survey or letter cerci y31111 no trees on property 1:&tmg n Jac 4. Owner/Builder Affidavitregtfireg when owner 'acts a contractor Energy Sheets 6. Notice of Commencement ')/'s`c TIME REQUIRED FOR PERMITTING; APPLICATIONS ARE CONSIDERED IN THE ORDER RECEIVED , SCHEDULED INSPECTION Requests for inspection are taken from X100 a. m. unt31 Inspections are made the following working day; please specify am or pm inspection. When calling in an inspection please have the permit r3pmber. iob, location and wive of irllaiectiat needed. Inspections are scheduled as follows: 1. Footing 2. Under slab plumbing/sewer/electric 3. Slab 4. Framing, rough electrical, mechanical, plumbing call for cover-up on building, • use building permit number arid reference other applicable permit numbers (electrical, plumbing, mechanical and building, etc. ) b. Insulation Final inspection 7. Finish Floor elevation survey/Certificate of Occupancy a BUILDING CARD MUST BE POSTE OR "O I SP XTICINS WILI,BI�T1ADt Concrete cannot be poured and work cannot be covered up until the building card is SIGNED by the inspector. You may be required tt, uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to post the buildinq card. A fee of 015.00 is charged for all reirlspectiuriv. CITY OF ?ROPERTY DESCRZPTIOH / /{����/ 6 r r-rt- r e VWW/c - Qta4 1_0: cS' oT h.. °"° fiy 16 OCEAN BOULEVARD Lot # BlockN � Section N ~� P.O.BOX 26 JU L 1 9 991 NTIC BEACH.FLORIDA 32233 fi -+ TELEPHONE 1904►249-2395 aubdivisaion• ______,� Qz!�gGi and Zoning attest Name � '`� DESCRIPTION OF WORK or Addresss____k_______ --__ ---- ------------- If in a FLOOD HAZARD Flood Zone:--------------area complete page 3. Brief Description: lJ�•���xlL_rULc�ti'ELc�R-tc Class of Work: (( (Nor/Remodel/Addition) p E 'ZONING INFORMATION Type of p �, Construction:_�?.� Ti (---------- �ning Proposed Estimated Value s_� C) 0 ------------ :xceptions or ariances Granted: ------------------------- Solid or Filled ------------------------------------------ Grounds �----Roof:1'Ib��fc'(r-/;,�5.� OWNER INFORMATION Method of Heating s c_./&glz Ctom_" c C.. Property Owners_�LL1J� -,--ic lt E ---------------- Phone:- 0_ Mailing 22 cc <"=---------------- CONTRACTOR INFORMATION Contractors_ftL � ------------- Phone: j //�_7 Mailing AddressC`=-------------------- ,3 67, F L -3. z Z u 7 ----------- Zip=--------------- r7 Expirati n 1 License Number: � ()_ / t _ Date: , I HEREBY CERTIFY TUAT I MATE READ AMD EXAMIRED THIS APPLICATION AND KNOW THE SAME TO DE 'TRUE r AND CORRECT. ALL PROVISIOMB OF THE LAMS AND ORDINANCES GOVERNING THIS TYPE OF WORN WILL BE ITO .r COMPLIED WITH. WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO l !' GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, rr7p( p♦- REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING ►} � DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature V - - -- Z=`�� _. --_Date_ Contractor Signature__ _ _ . ------Date— ' FLOODPLAIN DEVELOPMENT INFORMATION Type of Development s__Tow k_ _-------------- Flood Zones Required Lowest Floor Elevations.......... If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB NAB BEEN POURED, certifying that the LOWEST FLOOR ELEVATION, is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on 'file with the Building Department. • COMMENTS= • Applicant Acknowledgments I understand that the issuance of this permit to ooptisrgent upon the above information being correct and that the plans sad supporting data have been or shall be provided as required. I spree to comply with all applicable provisions of Ordinance No. 23-7-11 and all other laws or x: ordinances affecting the proposed development. 1� IDate_ z ___ pplicant ge_ ,���_'_'Li -�oz-A- ------------ -----------------r--------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation _________________ Survey Filed with Building Department ___________ Building-Department-Representative t page 3 • "TREE REMOVAL SECTION A APPLICATION MUST BE RECEIVED BY NOON OF THE WEDNESDAY BEFORE THE MEETING! 1.—)%N � Y--q-,C' -(--) L Ct�>C'> 1� (-V i-,j m fi-a C 6 a 6, Property Owners None Address Telephone 2. b ,-tVz.?-� w %LL Into Location of Tree Removal/SNe Alteration SECTION B (To be completed by gppNtalnts whose property to MW mklw laf,Incudes an exlellrp dwel ft and which N not pmsw*owrwr ocoupted) 1.What ahopes are proposed to the above speckled elle? 2.What Is aw purpose of awes proposed c acpee? 3.Specf(yy trees proposed for nwmal as follows: TREE COUNT SPECES. SIZE(DBH x HEIQHT) CONDITION s 4.WIN awes I Tees be relocated on ave sone property? 5.M rat.will replacement trees be plapled? i 6.Specht►proposed replaoemeM trees as follows: TREE COUNT SPECIES SIZE WH x HEWI 7.Attach sNe plan. (SKIP SECTION C AND COMPLETE SECTION O) . s SECTION B - (All other Applicants) 1 . Property Zoning: 2. Submit the following: SITE PLAN/TREE SURVEY indicating: a) Site topography b) Existing and proposed structures c) Location of all trees w/ DSH of six inches or more d) Tree species and sizes e) Trees to be removed should be clearly marked f) Trees to be relocated should be clearly marked g) Location of any proposed replacement trees h) Identify trees of special or unique characteristic i ) Identify trees within 10 feet of construction areas j ) Show location and type of tree protective barriers k) Location of utilities, accesses and easements. 1 ) Location of vehicle travel corridors m) Location of commercial sprinkler/irrigation systems n) Landscape maintenance plan (commercial only) o) Staging areas for equipment and material storage SECTION C ' I agree to comply with the rules and practices established in Chapter 23, - Artiole II 'of the Code of Ordinances of Atlantic Beach. � fA I f Owneri 9 nature Date . CITY USE ONLY Applicant has complied with all provisions of Chapter 23 and requirements of the Tree Conservation Board. Tree Conservation Board Designee Date NOTE: "Tree Protection for, Builders and Developers" is available at City Hall or from the Division of Forestry, 8719 West Beaver Street, Jacksonville, FL. 32220. (781-1434) v ROPERTY DESCR2PTIOH CITY OF r`y 16 OCEAN BOULEVARD Lot •-------- I_`-?_____Section I-------- $ P.O.BOX 26 J U L 191E 91hi&NnC BEACH,FLORIDA 32233 aubdivlsion: -_-- __» TELEPHONE(904)249-2;+95 QuilGinn and Zoning 3 8 ;treat NaR+e _ •3 DESCRIPTION OF WORK or Address: ��____ __ If in a FLOOD HAZARD Flood Zone:--------------area complete page 3. Brief / Description: � � / iJ+uN 4F��iOF S Class of Works r (Now/Remodel/Addition)_►` cui ZpHING INFORMATION Type of Construction sTi�(c ��''�ing Proposed pistricts_C��Z_A__Use:__r -------- Estimated Value :xceptione or Materials: � � ��'} ___-_ ariances Granted: Solid or ------ Filled r. S2_ Roof s 1`Ibfll(f Ground: �.i + _____ OWNER INFORMATION . Method of Meetings -� __- L _'?n c C_ Property Owner: (��L � �R� ECC ---------- Phones„ Mailing 2 c ��i, Grp ------------ -+'�-----s-- Address�l =---------------- c._- ( c_------. --------------- Zip s CONTRACTOR INFORMATION INFORMATION Contractors-m- -�. Phone: 11� 7 Mailing --- ---------------- - ------ Address s�, Expira License Numbers �1�. Date:, ii ,�/,�,�,__ I "CREST CCRTIFY TWAT I NATE *CAD AND EXAMINED THIS APPLICATION AND KNOW TME SAME TO BE 'TRUE AND CORStCT. ALL PROVISIONS OF THE LAN! AND ORDINANCES GOVERNING THIS TYPE OP WORK WILL 11E k COMPLIED WITH. WHETHER SPECIFICD HERRIN OR E NOT. THC GRANTING OF A PCR:+IT DOES NOT ►RESUMTO xr OIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OR ANY FEDERAL. STATE OR LOCAL RULES, � � r♦- REGULATIONS. ORDINANCES. OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OR CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCTION OP THE PRO.ICCT. I UNDERSTAND THAT THE ISSUANCE OF TNIS PERMIT I3 CONTINGENT UPON TNR ABOVC INFORMATION BEING TRUE AND CORRCCT AND THAT THE PLANS AND SUPPORTING -late DATA HAV C BEEN OR !HALL !E PROVIDED AN REOUIRCO. '?.41 Owner Signature ...Date_ Contractor Signature_-1� .- ( �r - �� f 2---- Date-- --- --- - -7z1� Gt l�sT zs' L(::5Fr 43 ,�c:> 7� e,Q 57- Zi5 Z07- AS oTAS RECORDED IN PLAT BOOK PAGE `" OF PUBLIC RECORDS OF DUVAL CO., FLA. FOR 7` 7- Z,:;� I 1 vp i ADDITIONAL ERMIT REQUI I OR ANY TREES REMOVED, 'All frees fo remarn must tie 6arricadeif a minimum of 5 ftl from the trunk of each tree. Barricades m; st be installed BEFORE site clearing and r-main in place dur nr g ALL phases of cons truction'1 -14 7. .ss,"Eeay pfz �' t � Tf. �� a. ._, i � � �. qq ����t E _ . _ _. __ San Marco Investment Real Estate Properties Brokerage and Management Inc. 1930 San Marco Blvd. Jacksonville, FL 32207 (904) 396-1324— City of Atlantic Beach To who it may concern: In regard to the building site at lots 28 and 30 block 5 subdivision A I will not be removing any trees. Sincerely, `A ii 4! Mark J. Kredell CITY OF' - 3 7 Official Office of Building REQUEST FOR LI J permit No. A.M• District No. (/(-1 7 Date P.M• Time Received lity Job A MEC ss ANICAL PL MEIN ❑ fir.Condoms Owner's El CTRL I Heat ng NamaETE Wirfn9 CONCR _aoogh " �, TOP O ❑ ut Fire Place /BUILDING / Footing Temp PI Pre Fab �,Framin9.,-- Slab ❑ A.M. ❑ fie Roofing Lintel ❑ Y FOR INSPECTION Friday-- P.M. Thurs. Wed. Tues. M. Mon. Inspection Made r' ancy r--- Certificate of OccuP Inspector Date P 1} ENT/ OF, SU110114 C� ATLA:NTI BEACH } r », .. ��rt xiamaara a. � Addr , Petwit as t�bj 'It}p a' �JTI,A Sta`-..to till T 7 AT` Allt�'I °; EAC .. ;�'t�I�R 322 Work ite Tye s ICAO F'IAI� Lot: BCleo a + sicanr s Pro teed Ure a= *OLS P'AMIL �`+�rir � a Na.' ,7 �?wlinga s 1 Ita a Sud vi Eta.* t+�d V .lu6 a $94 C�� rain , OOO w *mount P a►id t, ��a99 00, n is /26/19 �.. d g � RPa* ' h Idp 1A 4LM i177777 - - it w..s�.r we r+'rw �. r rc wx s. Addr �� BOUL YA ° ; WATER ' .; C?7 NEWER; 'CS,FAC' ,�E SO. PV1 N!"' iraryAT } " ELS.; WATER TAS' Via. C�3 Addr#**a X30 # B 0U ',,RD SEWER fo ` CRC � '� a 1 FEE ;_ . OC7 z � C. lfi(PACT FEE r; ,.t0 OTHER X �C* � tt , � LL C � ] k � NOTICE-- ALL CONCRETFORMS AND FOOTINGS MUST SE INSPECTED BEFOi POURING PERMIT VOID.SIX MONTHS AFTER DATE OF ISSUE BUILD'NG MATBRIAL,RUBBISH ANb,,E$R1Sf OM THIS WORK MU NOT BE,RLACED IN PUBLIC SPACE,AND MUST BE t CUBA QED t1R AN, Ai LED AWAY BY'EITHER-CONTRACTOR OR OWNER I F ` LURE TO COM LYr�N'1'r'H THE MECHANICS! LIEN LAW CAN ESULT 14 T i RdoERTi " VNE PAY1f�t I �'1II GE FOR BUILDING,I1111"PROVEMEi�"��.�� 14sv ACCORDINGi TO,APPROVED PLANS WHICH ARE BART OF THIS PERMIT AND SUBJ T� REVOCAT R VI ION.OF APPLIC LE.PRQVISIUNS OF LAW. I t ATLANTIC BEACH BUILDING DEPARTMENT y Y .. 4 r t sM N PRM '" iK 'I3 'I'tATI©N I:. A"�'It3IFN DOME Permit Numbor. 4150 ' Addl�row s it3i1 TM�f��J Permit Types, 'BUILDING Claw of Werk:. 149W .., �. .; :L�3A PTION ------- Constr. - -__� �,. Constr. Types W001 FRAME Lott Bl l ��ati�ant h Pr+�oosed U�aet SINGLE FAMILY Tovb Duel. i�ngs t 0 Code: d Subdivi i Zmtf.+q�ated Valu+�i C?.# 98,254 . l ,,pr v. Co *4.00 ' Total Feast x g. >r9 LIQ Dot 6f91 ' Work DIM*a, w h t ILY, RESIDENCE AA y+t(��( ��°y�` 3 �!.(�.y,f� pay �+4�'wC� I Z{sl�7 saY..w.M .r. s r ww.+... APPL 1.9. A`�`I� i.fiN�F✓R"+rw�. -—..—— MIT $699.00 L PER t Addy`.. m r . .st . f, O HLiT WATER, IMPACT F Y,r $0.00 , ' 32207 Jj'C ,BI $C2 0 yywry , z i ♦' S Ott RA UOM GA -�.H. ., . . «C3C FORMATION - RADON GAS ��-. S% *0.00 { Names I LL'' WATER TAP $0.00 'Add r* >k t w 1�rARGQ,.. TUJL6 RD' ' $�3. dC} JAC LLE HYDRAULI ":SHARE $0.00 Type: 1 RE°�1"$PVCT �` r � HEC. H IMPACT FEE r w , x i n A k ! { h NOTICE'--ALLIt 3NCRETE FORMS AND FOOTINGS MUST BE�NSPIE CTEO SEFORE POURING t PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE q, 6UILDiNG MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT SE PLAC.EOIM PUBLIC SPACE,AND MUST BE CLEA ED UP AND HAULED AWAY BY EITHER`CONTRACTOR OR OWNER l "FAILURE T4 COMPLY WITH THE MECHANICS' „LIEN L:AW CAN RESULT IAV TH PROPERTY �1 1'[�IER PAYING''TWICE FOR SUILDINGi4MORdVEMENTS." " ISSUER ACCORDING TQ'APPROVED,PLANS WHICH ARE PART Of THIS PERMIT AND SUET TO Tgf IWOLA ION OF APPLICABLE PROVISIONS:OF tAW. ► , x IpT t SW7 ATLANTIC BEACH BUILDING DEPARTMENT By. 77, Qtlt � T' ulldln9 p111c1a1 �r e o18 INSpECT1ON 3� ) REQUEST FDa �rmitNo• Z- �lZ i f1; piatriot No. t IIty l MECNANICA R.. ` r Contractor ?LUM TNG Heatln9 p r a ` muo prldaY Fire foToPbut ?for -ob ou9h\Nlrin9 a P. M' NCONCQ mpole F'oting O gPCt1ON 1pStab D INE poofin9 C3 Lintel FOR Thum' M Wed. P.M. p to Pinel ins Tues. uPar cY Mon. / InsPeallon Made (a $ per sq ft = $ Heated Square Footage @ $ 11 __per sq ft = 0 $ Gara,ye/Shed Carport/Porch @ $_Aper sq ft = I �a $ per sq ft = Deck (-a Patio ------- @ $ j:::::�- er sq ft = TOTAL VALUATION: C) iota l Valuation 1st $ go, C16 $ Reminder Valuation t', . per thousand or portion thereof --------------------------------------------- Total Building Fee ADDITIONAL PERMITS and/or FEES RF IRED + Filing Fee $ r2 a,?0-0 Fireplaces @ 15.00 $ 1,5 076 :Mechanical .0 BUILDING PERMIT FEE $ Plurrbing Electric/New L------------------------------------------------- Electric/Tenp BUILDING PERMIT $ /ell YI/ 0 Septic Tank WATER METER CHARGE $ Well SEWER IMPACT FEE $ St.Armd.ng Pool WATER IMPACT FEE $ Sign MISCELLANEOUS $ Water Connection Sewer Connection Water Meter Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCLIATIONS and/or NOTES Heated Square Footage / @ $ q6 per sq ft = $ S v Gara;e/Shed y� -- @ $ O.QQ per sq ft = $_�� ?? Z) Carport/Porch @ $ per sq ft = $ Deck 7 @ $ Id.tb per sq ft - $ / `ILC1 0 Patio @ $ "" per sq ft = $ 70TAL VALUATION: $ L> o $ E a TotaTValuation 1st $ s: ey)d Reminder Valuation y per thousand or portion thereof -------------------------------------------I Total Building Fee $ y5& c o ADDITIONAL, PERMITS and/or FEES REQUIRED I + Filing Fee $ aS 0 v :Mechanical ✓ ; Fireplaces @ 15.00 $ 45-- C'6 BUILDING PERMIT FEE $ tc yq Plumbing Electric/iVew c/ ------------------------------------------------- Electric/Temp Septic Tank BUILDING PERMIT $ y vu Well WATER MELS CHARGE $ f}' Swim Ang Pool SEWER IMPACT FEE Sign WATER IMPACT FEE $ Water Connection NIISCEIIANEDUS $ Sewer Connection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ 00 ---------------------------------------------------------------------------------------------- CALCLIATIONS and/or NOTES y r� 4150 EPARTM9NT OF BU1,h,DING CITY OF LANTId BEACH.. PERMIT INFORMATION ---- -- ----- ----_-_._ ___:_ LOCATION INFORMATION -_____. Permit. Number : 4150 Address: 381 THIRD STREET Permit Type: BUILDING ATLANTIC; BEACH, FLORIDA 32233 Class of Work: NEW ----------- LEGAL DESCRIPTION Constr. Type: W001 FRAME Lai. : Block: 5 Section: A Proposed Use: SINGLE FAMILY 'Township: RNG: 0 Dwellings: 0 Code: 0 -subdivision: Estimated Value: $0. 00 98,254 00 Improv. Cost : $0. 00 Total Fees: $699. 00 { Amount Paid: $699. 00 Date Paid": 7/26/91 Work Desc. : CONSTRUCT NEW FAMILY RESIDENCE. PERK aANB +OWNER INFORMATION ---- APPLICATION :SEES Name: '"SARK J. KREDELL PERMIT S-699. 0 Address: 1930 SAN MARGO BLVD. WATER IMPACT FEF. $0. 00 JACKSONVILLE, FL 32207 SEWER IMPACT FEE: $0. 00 Phone; (904)396-1107 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 - _ CONTRACTOR INFORMATION -------- RADON GAS -- 5% $0. 00 Name: MARK J. KREDELL WATER TAP $0. 00 Address: 1930 SAID MARCO BOULEVARD SEWER TAP $0. 00 JACKSONVILLE HYDRAULIC: SHARE $0. 00 License: CRC043756 Type: 1 RE:-INSPECT FEE �C3. 13G y SEC. H IMPACT FEE: $0. 00 OTHER $0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE t BUILDING MATE6L, 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.91 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBaE`GT TO REVOC OR VIOLATION OF APPLICABLE PROVISIONS OF LAW. *E 'I f REQ U? �1 jrv�77 ATLANTIC BEACH BUILDING DEPARTMENT By: t ` CONTRACTOR COPY 3 ; 4151 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ____ ___--- t, Permit Number : 4151 Address* THIRD .ITREET, Permit, Type: BUILDING' . ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW __--__-__._ LEGAL DESCRIPTION ----- - ---- Constr. ---__ -_Constr. Type: WOOD FRAME Lot: Black: S Section: A Proposed Use: SINGLE FAMILY Township: RNC)_ 0 Dwellings: 1 Code: 0 Subdivision: Estimated Value: $98264. 00 Improv. Cost : $0. 00 Total Fees: $699. 00 Amount Paid: $699. 00 Date Paid: 7/26/91 worx Desc. 1 Eofils-Trudt new single family residence per plans ____. _ ----- APPLICATION FEES Name : MARK J. KREDELL PERMIT 699*00" Address,: 1930 SAN MARCO BOULEVARD WATER IMPACT FEE $0. 00 JACKSONVILLE, FL 32207 SEWER IMPACT FEE ,,, $0. 00 Phone: (904)398-1107 WATER METER #A $0. 00 RADON GAS-H. R. S. $0. 00 CONTRACTOR INFORMATION _____ RADON GAS 5% $0. 00 Name: MARK J. KREDELL WATER TAP 1 0. 00 Address: 1930 SAN MARCO BOULEVARD SEWER TAP $0. 00 JACKSONVILLE HYDRAULIC SHARE,,., ;. $0. 00 License:: CRC043756 Type: 1 RE-INSPECT FEE T $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $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." R ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJIXITLTO REV8&Tj6' VIOLATION OF APPLICABLE PROVISIONS OF LAW. RECEIPT ATLANTIC BEACH BUILDING DEPARTMENT By: ;' ..,,. , ? / -, CONTRACTOR COPY DATE-.-// PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET y JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: ------------------------------------------------ ------------------------------------------------I ------------------------------------------------- ------------------------------------------------- SINC ELY, / i Z L) BUILDING INSPECTION DIVISION cc:FILE CITY OF /fta.4 ae Ve d - 77eaUW4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247--5800 FAX(904)247-5805 NOTICE I To: Water Department City of Atlantic Beach Date: ----------------------- Please be advised that the final building inspection has been completed on each of the , following addresses and construction water is no longer required: Permit Humber Address ------------ ----------- -------- -------------- ------------------------------------------- -------------- ------------------------------------------- ------------•---- ---------------------------------------------- -------------- ------------------------------------------- ------ ------------------------------------------- -------------- -------------------------------------------- Sincerely, Don C. Ford Cv� Building Official DCF/pah cc: City Manager CITY OF > otic Seal - 57&uW4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 March 27, 1992 TO WHOM IT MAY CONCERN: The approved set of plans for 383 Third Street indicate two load bearing walls built as the fire wail between 381 and 383 Third Street. All of the inspections were made and approved according to the plans. Sincerely, v- C Don C. Ford Building Official DCF/pah MAP SHOWING SURVEY OF THE WEST 27.50 FEET OF THE EAST 30.00 FEET OF LOT 30, BLOCK 5, PLAT NO. 1. SUBDIVISION "A" ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAIGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. (N.83°3V 55"E. 2770'FIELD LOT 31 LOT 29N.83°421 06"E. ! LOT 27 FOUNDV8"KIONPIPE' 1 ` KT 1/2"IRON PIPE L.&3672 7.30 L.& 3672 -- Y K 2Q00 0.4! ad r 6'WOOD FENCE ---- n H OD _ N O Q ~ J O NOTES o U. THIS IS A BOUNDARY SURVEY. T _� �- NPEBRUIL TG RESTRICTION LINE, 1 �w , I BEARINGS BASED ON THE NORTH v c I N I RIGHT-OF-WAY LINE OF THIRD v STREET AS PER MILBERT m N HOMES AS RECORED IN PLAT >, •4' W BOOK 21, PAGE 38. __ __ $ co 1r 3rd LEVEL CC W N J$ l BALCONY = M 7.5 0-- 9.3 � F 9 IW `*J g U. I> 1 0 0 Fm W W "o 4 W U. J h N 0 S.1 W N M N OJ W I WO $ 3, {{. , IN, i J 6 i 3 � t-1� OOD S ".""yl x 8 A > _ 4i EA J 4 N p ZD .'� p,N_, a 0 - F- b z� N T1 20.3 L , 4 L `0,'' 1 `;-CONCRETE�'. DRIVE AND :,..••WALK 122.75 20.00J FOUND V2-IRONPIPE 27.50' SET I/2-IRON PIPE --- L.8.3672 L.B.3672 S.83042'OO"W. ( 27.46 FIELD) THIRD PAVED STREET THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE 500 YEAR F"LxOD CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 t x111>'f' INSPECTION EMAIL REQUEST: Building-dej2tl]coab.us Application Number . . . . . 07-00001033 Date 7/23/07 Property Address . . . . . . 381 3RD ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4634 ---------------------------------------------------------------------------- Application desc REPLACE 4 WINDOWS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BEW, DAVID THD AT HOME SERVICES INC 381 3RD STREET DBA THE HOME DEPOT AT HOME , ATLANTIC BEACH FL 32233 SERVICES TAMPA FL 33610 -------------------------- Structure Information 000 000 ----------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL 2 Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27.50 Issue Date . . . . Valuation . . . . 4634 Expiration Date . . 1/19/08 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *EMAIL INSPECTION REQUESTS TO: BUILDING-DEPT@COAB.US ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Grand Total 82 . 50 82 .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 PERMIT APPLICATION BUILDING /ZONING DEPARTMENT APPLIC 7 1033 v 800 Senvnole Road v~ Atlantic Beach,Florida 32233 (904)247-5500 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM _ REQUIRED DEPT: �p Y PLANNING Property Address: c 2' �C G z Y BUILDING . jy ,/s = v PUBLIC WORKS Applicant: / /U � lr V 1•�CPUBLIC UTILITIES lam /) ,A /� ',lc Y FIRE DEPT. Project: �-[_�/ 1 (, m 4 wi xd a �4= Y N PUBLIC SAFETY w APPROVAL RE 1 AGENCY: RECEIVED BY: INITIAL: DATE: Z UJ 1Y N D.E.P HUFSTETLER Y0OY N S.J.R.W.M. CARPER Y N ARMY CORPS of ENG CARPER Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATU CIRCLE ONE: SITE BUILDING DA AP XVIEWED BY: INIT14L DATJE: ® ® IST REV I ® u PLANNING ® ® 2ND REV ILDI PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Return this foram to the Building Department once you have entered your comments into the AS400. BUILDING PERMIT APPLICATION 31 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach FL 32233 Office: (904)247-5826 • Fax: (904)247-5845 Job Address: 3$ 1 3 r� S t. AS, 3 z z 3 3 Permit Number: Legal Description 5-1o9 i ite-03-69E fWonkp- Zeacl, W '12 luI- a8, C-Q.Spr c via, tgl>t 5 Valuation of Work(Replacement Cost) $ 4'1034,`'x' ■ Class of Work(Circle one): New Addition Alteration Repair Move ■ Use of existing/proposed structure(s) Circle one): Commercial Residential ■ If an existing structure, is a fire sprink er system installed? (Circle one): Yes No N /A ■ Is approval of homeowner's association or other private entity required? (Circle one): Yes No Describe in detail the type of work to be performed: -nfDPaQE -L Chinn" �S1?,e- A�( &i-ze Property Owner Information Name: V r A.(' Be W • Address: ';'51 3 r'd S f Atlkw, ,', B4, 3 22-33. City A a.,rvt:c B Pa.c State ELZip Phone ft64) (0 OS- 1 ,;2& . Contractor Information: Name of Company:7-411-, � }}Dme SejlyI exe, Qualifying Agent: 2"; .2_ vzamcl jo-I Address: 0+= 140 , Vol, City ncl "State. 1!5L _Zip 8;� Office Phone (�1))3i93- "?off 5 Job Site/Contact Number(81� c38� --7OaS State Certification/Registration# CJ�Co4kt¢&6g Office Fax (aQo-9049 Architect Name&Phone# Engineer's Name & Phone # 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 T a permit and that all work will be erformed to meet the standards ofal 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 r secured for Electrical Work, Plumbing, Signs, Wells, Pools Furnaces, Boilers,Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOt INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. thereby certify that I have read and examined this application and know the same to be true and correct. All provisions o laws and ordinances governing this ty e of work will be complied with whether specified herein or not. The granting o t permit does not presume to give ority to violate or cancel the provisions of any other federal, state, or local lah regulating construction or the p ante of construction. Signature of Property Owner: �— " '" r Signature of Contractor:&,tA-C- C, e,--j hworn to and subscribed bscribed before me Sworn to and subscribed befa " W PNT •� y this Day of SAM Notary Public: 4254: No ry Public:NaMlrNNWV AnnLm a Flo...rida Notary Assn. i^- .. _.... .............. REVISED 03.05.07 ITEM # (D W W N m m d 3 a d p n n 3 g '� n y a ° O O K w )a a a CO 3m 0 Ill O b r n CD 03 f � O `� ^ m = k 3 n Cn Z i N n 71 2` p 0 cp m W v to 0 0 > 0 S o F CD 0 CD 0 O O �S n O c 3 ip--C Z m ac 3 m 0 Z < Z a Z a n CO CL 0 �c CC o CA a O Nm . Cl) N /� v a 8. ; M 1�+ ,� N 0 w � n' a $ F C Color o -n N Q O M Q 0En +C _ O .Zi O 0 3 O N O ..� M m p QO m S O CD -- ca D ? o m ° CD CD m m. =r c I•�f(n 3 Z �, � � � a �. om o CD o to 5 c ` C cn y 8 F 3 CDH m `° CD C s N 3 0 Type LA m d' 0 m H — mCD 'p; ^ (n f F o' a Color to 'O L ` ° Location n O ? O N Gl y 3 y• x v Vertical �r x o o Horizontal Z CD O a Location aA ;W.91 Zo Vertical CL — O d ° p Horizontal N CD A0v m c Z I.^ N Location 3 m' cp O a v d F CD 7. n c o c ^� (+ Vertical p m _A o n ' D m Horizontal o 3 a C f d c cn, m O g s ° O O O G1 d tD m rn 7 0, N 7 h O 0 3 @ 0 N O V M N N m m o .3 rn m tD F � (^) N ( �^ fu0 O 0 3 O mm O vO a a a O n 0 m O S m O '^ m CD S 0 -' LLLLI— M 0 F N .. w Rzturn to`. 0 VA Name:THD At-Home Services,Inc. '5\1 d/b/a The Home Depot At-Home Services Address:3200 Cobb Galleria Pky.Ste. Doc#2007215477,OR BK 14065 Page 1097, 200,Atlanta,GA 30339 Number Pages: 1 Filed&Recorded 07/03/2007 at 10:15 AM, This Instrument Prepared By: JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Name: RECORDING$10.00 Address: North Florida Permit Services 3725 Cathedral Oaks PI.S. Jacksonville,FL 32217 Property Appraisers Parcel Identification: NOTICE OF COMMENCEMENT Permit No. Folio No. STATE OF FLORIDA COUNTY OF The undersigned gives notice that improvement 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. y� Le scrip on of p perty(.include street address,if available: C �/ �� A L Cv�, l C Clch L-C'1 U General description of improvement: Q 3 U , )) Vt Owner Information—name and address: S B L Ir (� r c nc� -I- nterest in Property: �(I`e.� Name and address of fee simple titleholder(if other than Owner): Contractor—name and address: The Home Depot At-Home Services '��� 6422 Harney Road Suite A Tampa,Fl 33610 Phone Number: 813-383-7000 Fax Number: 813-630-4112 Surety—name and address: Lender—name and address: Phone Fax Number: Amount of ,. Number: Bond: $ Persons within the State of Florida designated by Owner whom notices of other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statues: Name and address: Phone Number: Fax Number: In addition to himself,Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statures.(Fill in at Owner's option) Phone Number: Fax Number: Expiration d' f Notice of mence nt(the expiration date is 1 year from the date of recording unless a different date is specified). ` 9"0040"s soots,Signature er = SUyy PARSignature of Owner r& ConrtWM3oa>"saa Printed Name of Owner 6ondsd svu 000492-4254 Printed Name of Owner S.. ..arm tt .. ..Florida Notary A � _� Sworn to and subscribed before me by " n-FrRsn"1'¢K who is personally known to me or produced as identification,and w o id takean oath,this ( day of;-U-. ,20 (7 Signature of Notary KIIN�--��-State of Florida Printed Name of Notary: Commission No./Expiration: AFF` A Wednieadgty,June S 2107 H O M E JOB DETAILS 30,0AY'PRICE GUARANTEE A SERVICES 4 8000 Series Storm Breaker Plus ROOFING a SIDING . WINDOWS Impact windows. GUTTERS ■ ATTIC INSULATION wwo w ; "A z s� a,. 6 x � � r ; 1 -$0 1 0 1-HOMEDEPOT CUSTOMER JOB NUMBER David Bew 3180704 www.MyHomeDepotProwect.com (Log-In using 123-456-7890) HOME DEPOT CONSULTANT INVESTMENT $4,634.00 Rich Pait - (904) 200-5815 PROMO? Hurricane Protection, Attic Insulation, 6" Gutters 12 Months No Int&No Payments Windows, Impact Windows, Siding (Hardie &Vinyl) ........j.........j.........i........n........�.........j.........j.........j.........j.........i........q........p........j.........j.........j.........j.........j........q........C........j.........j.........j.........j.........i........p........q........j.........j.........j.........j........ ..................1........y........q........q........q........1.........1.........1.........1........p........q........q........1.........1.........1.........1.....,..q........q........t.........1.........1.........1........q........q........q......../.........I.........I........q........ ........1.........1........q........q........4........<.........1.........1........q.........1........-0.......•4........4........1.........1.........1.........>........-0........4........5.........1.........1.........1........•>........q........q........y........1.........1.........1........ ........1.........1.........1........-0........4........<.........t.........1.........1.........)........-0........4........i.........1.........1.........1.........>........4........4........5.........1.........1.........1........./.......•8........4........4........1.........1.........1........ ........i.........i.........i.........i........s........j.........i.........i.........i.........i........ ..a........i..... ... ... ... ... ... ... ... .......... ... ... ........i.........i.........i........i........:.........i.........i...................i................ ... ......i.........i.........i.........:.... ... ................... ......i........i........i.........i...... ... ......i.........i.........i........ .. ... ... .................. ... ... ... .,.. .. ... ... ... ... .. ... ......... ... ... ... ... ... ... ... ... .. .....i.. .. .. ... ... ................... ... .................. ... ... ... ... ... YY�j/..�.........i.........j....... .. ... ... ... ... ... ... _ ... .................. ... ... ... �1;Y ... ... ... ... ... ................... ... ... .................. ................... ... .....i............. ... ................... ... ... ... ... ... ... ... ... ... ... ........j.........j.........j........q........:.........j.........j.........j.........j..... ..j................j.........: ......j... ..............j.........j.........j.........j........:..... ... ... ... ... .....j........ ........j.........j.........i........w........p........j.........j.........j.........j........y... ..q ...j... .. jj:,.. ......i.... q........p........j.........j..................j.........i........q........p........!.........•.........•.........'........ ........j.........j.........j........g........p........j.........j.........j.........j.........�.. ...j.........1.........j.........j.............. q........p........j.........j.........j.........j.........i..........................j.........j..... ... ... ...j... ...j... ....:........:........'........ .... ... ... ... ... .. ... ... ... ... .. ... ... ... ... ... ... ... ... ... ... ... ... .......1.... 1 1 O b. ...4.. ...j... ...j... ...j... ...I.�..p ...0........<... ...1... ...j... ...1... ....j..... .....4.. ...<... ...1... ...1... ...1... ...j... ..y... ..p.. ...j... ...1... ........i.........i.........i........o........a........i.........i.........i........i.........i........5........v........i.........i.........i.........i..... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ........1.........1.........1........-0........4........4........1.........1.........1.........1........8........4........<.........1.........1.........1.........1........4........8........4........1.........1.........1........-0.......•8........4........1.........f.........1.........1........ ........I.........i.........i........8........8........i.........:.........:.........f.........1........8........8........:.........i.........f.........1........b........8........8........1.........1.........1.........1.........>........8........8........i.........1............................ Duval County Property Appraiser- Parcel Information Page 1 of 1 Owner's Name: BEW DAVID FITZSIMONS JR Real Estate Number: 169824 0020 Property Address: 381 3RD ST Mailing Address:381 3RD ST City: ATLANTIC BEACH ATLANTIC BEACH , FL Zip: 32233 Unit Number: Zip. 32233-5231 2006 Exempt Value: $25,000.00 PARCEL DESCRIPTION Property Use: 0100 SINGLE FAMILY Transaction Date: 8/31/2000 Transaction price displayed is based on Legal Description: 5-69 1 16-2S-29E the actual amount of ATLANTIC BEACH W1/2 LOT 28,E 2.5FT LOT 30 Transaction Price: $100.00 documentary stamps paid at the time of BLK 5 - recording.The current rate is 70 cents per $100. Neighborhood: 3101 ATLANTIC BEACH Section/Township/Range: No. Buildings: 1 Official Record Book and Page: Heated Area: 1949 097792483 Map Tile: 9416 Exterior Wall: Cedar or Redwood VALUES FROM 2006 CERTIFIED TAX ROLL Agriculture Land Value: $0.00 Taxing Authority: USD3 Land Value: $159,638.00 Building Value: $202,320.00 Extra Features Value $1,887.00 Total Improvement Value $204,207.00 Market Value: $363,845.00 Assessed Value $269,101.00 Exemptions Total $25,000.00 Taxable Value $244,101.00 Senior Exemption $0.00 Senior Taxable $0.00 http://apps.coj.net/pao/printver.asp?ReNum=l 69824+0020 6/14/2007 Daily Appointment Form Page 1 of 1 6/5/2007 Pait, Richard 10:18:44 PM Lead/Branch: 3180704-Tampa Wednesday Building Code Requirements: Price Book: Jacksonville 6/6/2007 5:30:00 PM All Areas Impact Protection Base Store: 6365 JACKSONVILLE BEACH NORTH Required Referral Store: 6365 JACKSONVILLE BEACH NORTH Interest: Store Associate' Storm Protection Homeowner Name&Address: Home Phone: (904)608-4263 DAVID BEW Work Phone: URAI BEW Cell Phone: (904)246-2944 381 3RD ST Pager: Atlantic Beach, FL 32233 Work Phone 2: Cell Phone 2: County: Duval Homeowner's email: Nearest Cross Street: SHERRY ST Comments: Installations Scheduled for 6/6/2007: lo b# Homeowner/Address Home Phone Work Phone Cell Phone Sales Consultant 1: Project Coordinator: Robert C Clemons- (866)653-8438 Ext. 7051 Sales Consultant 2: Project Manager: Mark Lunningham - (850)210-3458 (List second consultant only if commission is split) Results(Complete the applicable sections) If appointment is a SALE: #1. Result your Sale on the Web _Siding _Windows _ Roofing _Home Insulation #2. FAX the Documents IN THE ORDER SPECIFIED below to: — Entry Doors_Storm Prot. _Gutters/Leaf Prot. _Fencing L800)967-8632 >Spec Sheet(w/signature/all —Sale _Credit Reject Contract Amount$ pages) > Pricing Worksheet(all pages) _Appt. Reset Reason: >Measure Sheet(s)>Diagram(if applicable) No Good >Contract Amend. (if any) >Customer Shortage Letter >Sales Contract(top page T Sit No Sale _ Price Quote Follow Up Call Date: only/must be last in order) Objections or Issues: ONLY FAX ONE JOB AT A TIME https://www.thdathomeservices.com/salesweb/afAt)DtPrint.n.qn9Ax=')9')1 nz 1 R,A,,+-D-:-+—%7 _ HOME IMPROVEMENT CONTRACT Sold,Furnished and Installed by: Branch Name: 1&y►.1, OL Date: gyp_ -b THD At-Home Services,Inc. d/b/a The Home Depot At-Home Services t' 6422 Harney Road, Suite A,Tampa,FL 33610 Branch Number: Job#: 7. Toll Free(866)653-8438;(813)630-4111;Fax:(813)630-4112 FL Lie#CRC11328437,CGC1507093,CCC1325818,CCC058327 Installation Address: 3$ 1 _, P 5 T A_ff6_r I C' 2 . City State Zip Last 4 Digits of Driver's Purchaser(s): Lie.#&Exp.Mo/Yr: `York Phone: Home Phone: Home Address: -- (If different from Installation Address) City State Zip E-mail Address(to receive updates and promotions from The Home Depot): Project Information: I/We/You("Purchaser"),the owners of the property located at the above installation address,offer to contract with THD At-Home Services,In .(L".Home e of")to furnish,deliver and arrange for the installation of all materials as described on the attached IWO Spec Sheet#: 1A1 2205 �-J ,incorporated herein by reference and made a part hereof. Home Depot reserves the right to cancel this contract if, upon re-inspection of the job, Home Depot determines that it cannot perform its obligations due to a structural problem with the home,pricing errors or because work required to complete the job was not included in the Spec Sheet or Contract. DEPOSIT PAYMENT OPTIONS (Subject to fund verification and/or credit approval.) CONTRACT AMOUNT$ G.3 1. Check*,Cashiers Check or US Postal Service Money Order j'LESS 10%DEPOSIT $ 3 .��"� (Made payable to The Home Depot). (,� 2. Credit Card**and/or other payment options-Circle One Below BALANCE DUE lOO Visa aster rd Discover American Express ON COMPLETION $ The Home Improvement Loan The Home Depot Credit Card t10%of Contract Amount due upon execution of this ❑New Account ❑Existing Account (HIL&HDCC ONLY) contract. Available Credit:$ (HIL&HDCC NLY) Indicate Payment Method For Acott. - - .� Y• w ) A L0.LG. BALANCE DUE ON COMPLETION: I d F BrA,;� (May be subject to Credit Approval,Fund Verification Name as it appears on card: DW and/or Credit Card Authorization) Q �M �_ • **By my/our signature below,I/We agree to allow Home Depot to charge the U5 4A / "a5l u ui-P4 • above ref ced di rd for the deposit indicated. *When you provide a check as payment,you authorize us either to �p ' 0�'• use information from your check to make a one-time electronic funddho er's Signature Date transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your HIL or HDCC Authorization Codes account as soon as the payment is received,and you will not receive Deposit Final Payment your check back. # # Purchaser agrees that,immediately upon completion of the work,Purchaser will execute a Completion Certificate and pay any balance due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. Entire Agreement: This agreement and its attachments,including any financing agreement, contain the complete agreement between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it. Do not sign this Agreement if blank. You are entitled to a copy of this Agreement at the time You sign it. You should keep it to protect your rights. This agreement may contain a mortgage or otherwise create a lien on your property that could be foreclosed on if You do not pay. Be sure You understand all provisions of this Agreement before You sign it. Do not sign a Completion Certificate before this entire project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. You may cancel this transaction any time prior to midnight of the third business day after the date of this contract. See Notice of Cancellation for an explanation of this right. There will be a service charge equal to 10% of the contract amount if job is cancelled by Purchaser AFTER the third business day, but•BEFORE materials are ordered. There Page 1 of 1 ..........4? 1111111 VIII VIII VIII VIII 111111111 IIIIIIII Print Date: t 7/3/2007 10:16:07 AM Transaction#: 1007803 ` Receipt#: 963338 Jim Fuller Cashier Date: 7/3/2007 Clerk Circuit Court 10:16:00 AM Duval County (KPEARSON) 330 E. Bay Street Rm 103 Jacksonville, FL 32202 (904) 630-2044 Customer_Information Transaction Information Payment Summary DateReceived: 07/03/2007 Q THE HOME DEPOT AT HOME Source Code: BEACHQ Code: BEACH SERVICES Over the Total Fees $10.00 6422 HARNEY ROAD Return Code:Counter Total Payments $10.00 SUITE A Trans Type: Recording TAMPA, FL 33610 Agent Ref Num: 1 Payments $10.00 p = CHECK 1197 1 Recorded Items BKPG: 14065/1097 CFN:2007215477 Date:7/3/2007 R WQ NOTICE 10:15:58 AM COMMENCEMENT From: BEW DAVID To: COMMENCEMENT INDEXING 2 $0.00 RECORDING E1 $10.00 [0—search Items 0 Miscellaneous Items file://C:\Program Files\RecordingModule\default.htm 7/3/2007 t 7; w � OR XD a c a D o o v r n G n -+ n a ? 3 '0 r~o cin _ o (D n 3 ^ n D 3 CD l< n' ,, ro ro n, < a O \ ((D 7 c C v rn rt rn n c c � n C v W (D Ol N isLn 0 N do ,a w � n < cn , ni y Q rr _ (D T cn M LP =r rD a : to v n n C) C7^ v U7 D ry � -n rt , Int D � CO ((p `� zr '3• S CO (D { 'O O rD r D Ln a C7 n o = o n n n n o � o o A �<-,' - x .Jao o, D IDS' IDo v ° (D o Fb CL , D CL O a a ° a s O � r v, (m Q, D rD (D (D (n rn T y I C) * < -I " -1 -1rn � D 3 v .� O m � (o o to O 0 � G < a v c , O 7 v O =0 0 =O V N O D Q r, (D a a O O o CO N o _... �y rt > > O 7 T.. z O a V G W O 00 O O O 3 3 3Lo �Mt N Ult son N < COD ; i ■.v � o D � v, �r $ F)7 a G � � n Q' O � a c� a O p' V1 D D D 0 v n m U) � n C� co n D 70 T C o w n, p rD .o �, ° ° c , a rr r+ IT rr a * c = o rt 3 � (D a ((D 'a (D IW C rr d (�—D n nni Ql (D r-r Lo a a 3 W n a o n ° c ° °J r; (D ° o L7a � a < v un (D (D a (D S m CL _afl. 3 °a °i ^� a zi (�C c a = W A p rt N b o 3 (n o °a a v O < p (� d N -� a t�D O Z O O O O z D 3 (D o °' n c c N S cn 3 r* o a o v 3 -- rj ° D a n' n (� ° n3i v c Ln ' N NN N N O D Ln GI LV w cn �' Ln rn oOi rnD a 1 � LD) UILD (caD n c c (D V rt Ln O W c o z 3 3 c co ck h pi 0) n N rt � C i (D o wood* Ul) 7 D Ln < o N r-r _ C= 7 C i r N � A D O w V O P N � O T o � a o � �. as a n � o °+ a CLUn — -- Q a_ ODDrOD ''' DDr � off, OG ''' DDr 3 r* 3 •a 3 r* r� 3 3 � u+ � � � =rJA .0 �a � � ,� � � a `njq � ,oaoo � in fDU °' ooN iv t° �aoo r " p r+ < < p 3 iA-r < < O �— rt < < O XM XM toxeD - rj (A (A 0r� � � m rD M 0 � � � � V + O rD + C1 P cn (D rt ' (D VO —i � N C = NON _ , 3 Ln f = {A d �r U•1 < •D < o �' < row" VO N rtcn N � oLn Qi Ln N rn = Cz < z v < z u, = o rr = o v, = o Ln N N v N (D rn 3 vOi nr) Ln 3 Ln LOLn C) @ (. 3 b o Ln Ln V o o n o > o n 0 �'+ c) < N T N T T ` T p T T T � V � < T T p T T V V) < T T T T 3 T T T r r r r = r- = r r r �, rD r r- = r- r- �, r r r r r- r r- Cr cn r art Ln Ln to to In � �n to � cn to 't � v� cn to cn � to cn to � �n rr , . fD rr o .r p r•r o O r r _.; A P0- •AV � y � A � A p n _+ � � y 4, 't, n _r l� •A •A -Py fD � r ' CntF. � �+ � � ':* M ter-+ — � � � (D CL V ,o � 'Dy C. tOs lOa tDA rt _� atDtOy t tDIDM rtp tDtDtDtDy �OtD �D � K a � o �co 10 a) x o� 0 � 70x -1 -+ r✓ -01 ?� r�+ ` < v � �" � !' � � n n n3 n D � � �-4 nno, � � � � � � nnn3 k Z z Z ` Z n n ntC pOi N U) U) 0 nn� a) O U1UlUl (nN nnnLG 0) O O O OC n n nn pnj NNC nnA InCn � OC ( nnA O N N N D D �.n•< 'v � O D to,< �o V D to cn < D N � O iD0 n n Opp DNS = � m � - DNN � �U) 0 ' n � � m ? rr O r`�t = = fr -r -n r, V �• O V O O O f�D � A n OA < n OOA rr , in to O y •-* cn �D C 4, r-• art C r r 0 C p rr rt nr O O O O r_r �, M C w 0 = a rr ci o O Q 0 O O (D _ c O = C ii " O = -� * L '^ L i p) NN N N O LL N r•r O _n flJ fl1 -r rt rr rr ET -1 N o O O 0 CT O O Or 0 O (D Ul (D (!� (n N u Ul CSD pJ d7 rr co W 1\ � c• '� o- a � cro � n � a eo r• (D o 0, ova > � O ° 3'vo pt 0aLn > 3 7Q10 :rto �p 'p 'a tD 7 IA 'a 'o O �,� t0 N = ,o 1 tD 0 3 < < O O 3 rt < < O O 3 rt < < O t1i '9 C O -„ -� p o ( y' O O ut N of H -s 1 a, -� C 1 143C n c c (D (D U*) MM Nln � c j O (n rt = v Ln U-) rt = v 3 � N (A = V p xU, O = o rn O = o QJ O = o p 0 N Ln N r,. cn N rn 3 < z < z <Ln Z 0 0 o 7 LA. N N C � X 3 cn U Ln Ln _ n IH I L b � -•� NTrrp -n0 -n -(in 0 D w rip n o D w w F+ p A o D rir— � = r r- - rr (D v cn < �Ir7 = r- ,-rr- M cn < �l � v � o 2 � � rt � fD T ut (D to i (A * 't ' cn i i u1 r r cn lf1 < In (A U'i W Lri (p Cn = ± q . � : ® m . . � < % G \ q \ — CD \ . § \ 0 \ § . § ƒ 3 ) \ \ \ n \ // j of R 22 . \ � C, : \ &/ \ % $2 \ � . . \ \ \ Ql Ln / Di , \ \ �\ J / /\ k � \\ n , o a o = w - . . \ , lE2 % t ® r .7 � » K » NJ 03 & 3 : : n J / / $ { \ \ ( /� x a \ \ \ � . 6 CO § 0 a ` > , =r 7 . � m R } \ / ! / � \ COO> . . � \ 2 . ; E . � 2 ) ƒ . � 2 a From:KARENF 8473035774 04/10/2006 14: 12 0211 P. 004/UU4 AAMA CERTIFICATION PROGRAM (Validator/Operatlons Administrator) M AUTHORIZATION FOR PRODUCT CERTIFICATION Simonton Windows 1 Cochrane Ave. Pennsboro, WV 26415 Attn: Chuck Anderson The product described below is hereby approved for listing in the next issue of the AAMA Certif led Products Directory. The approval is based on successful completion of tests, and the reporting to the Administrator of the results of tests, accompanied by related drawings, by an AAMA Accredited Laboratory. 1. The listing below will be added to the next published AAMA Certified Products Directory. SPECIFICATIONS AMMjWWWDA 101/I.S. 2-97 RECORD OF PRODUCT TESTED H4360-37X84 �MA � Missile Level: DSERIES MODEL& CODE MAXIMUM SIZE COMPANY AND PLANT LOCATIONPRODUCT Rating: NO. TESTED f60/-60 37,4,4 DESCRIPTION Wind Zone: 4 Rating above conforms 07-09/07-10/07-20 Simonton Wlndow3 -Pennsboro, WV to requirements of, SIM-1 (pv q KOA(0G) FRAME VENT Simonton wrxJovvs-Paris, IL ASTM E18W SIM-2 (INS TEMP/LAM GL) SJmonton Windows-AAcAk1 ster, OK and E19W SIM-4 (MODIF)(REINF7 3'1'x 7'0' 2'10'x 3'4' (11LT)(AA" 2. This Certification will expire January 19, 2010 and requires validation until then by continued listing In the current AAMA Certified Products Directory, 3. Structural Test & Report by: Missile Impact Test & Report by; Architectural Testing, Inc. Architectural Testing, Inc. Report No.: 62165.01-501-47 Report No.: 62165.02-501-47 Date of Report: March 24, 2006 Date of Report: March 8, 2006 NOTE:TEMPERED GLASS MUST 8E USED IN ALL CERTIFIED WINDOWS. Validated for Certification: NOTE: PLEASE REVIEW, AND ADVISE ALI IMMEDIATELY IF DATA,AS SHOWN, NEEDS Alto _ CORRECTION. Associated Laboratories, Inc. Date: April 10, 2006 Authorized Certification: ' cc: AAMA JOS/df American Architectural Manufacturers Association ACP-14 (5/05) � c ° E. u W O O M C « O B yy v c o L� E o E 5 ° E� E ° 0: • 3 � c c c Lei it a .oZ ZI • GL 'o q o G .� "_ aa _ _ ry2 J Zu = • • OO w V ° p � p y )C 31 5 " e n= _. u. EcLe o uOk °"o ° �g « ° a ' o E �i W �S.cD c°O�" n�'o • ^ � Lo�uE� obE ^ $ o E ; °z x=r •,. ° -o:?E °. c`cD ` CcoEo t °_ ° c r o E o E E e o p s •. d w° O I,�C C " 2L E°vo o.5_ co o _ ncopp`o a5° rop°aoc °o_S i" ' i �SIFE 111[[[ w �Suwu "o o«72 3-"o, v- utoaQ\r y7r #�y y'� ( � m E C O C 2 p w c 7 =� Eocc wao° apocoone� Ei j $v \ x P om c*8 c me E F c �� o dEB yWG w o cs � JET `� EcL yjt SIL t L" Y\ O u aO C 1p o ° I o ° cL u� n.c o e oro�— ° GpC a te" t.se C d b O {ZpZ� Ln_ O C p O y O O O $ ^ g e o 3 c c p, 1 _ �ncv ri'v uiwu ul�u'd _ _ E 9 r .9w-i {—{ lo LD a o p ox E � a E (\ G h J a w c « � o ° O Lj o O c t t Q'• v ry N�2 E c u c o o e %Zti n r'f p D .£ .9 9 ,£ 1HO13H 3YMd llVL1310