351 4th St (vault) Ify-or
Be
,4CA-
office of Building Offici al
TIO
REQUEST FOR INSPECTI
Permit No.
Time P.M.
Received 1 49) Lo ality
Job s
Owner's Contractor
Name
CONCRETE ELECTRICAL PLUMBING MECHANICAL
D Rough EI Air Cond.& F1
Framing 11 Footing j Rough Wiring
11 Temp Pole F— Top Out Heating
Re Roofing [I Slab 11 Final E Sewer E Fire Place Ej
insulation 11 Lintel re,Fab
rs—
r r a14,
READY FOR INSPECTION A.M
Wed. rs. Friday
Mon—f
PM.
Inspection Made Final Inspection FE
_j
Inspector— Certificate of occupancy Fj
—777, C-P-----)—'--/3 Date
OF
ADDITIONS or CORRECTIONS-
DO NOT REMOVE
JOB ADORESS DATE
'51JI Aner
THIS JOB HAS NOT BEEN COMPLETED
The following additions or corrections shall be made befor�
the job will be accepted
0-34
9 emu
V
A9W
001.
REINSPECT FEE
or other
it is unlawful for any Carpenter,Contractor, Builder,
persons,to cover or cause to be covered, any part of the wor
with flooring, lath, earth Or other matedall until the proper
inspector has had ample time to approve the installation.
After additions or corrections have been PL"..�..
made, calljgooft Building Depart- "'A111116
ment for an inspection. Field Inspectors ELEC
are in the office from 9:00 a.m.to 5-.00 SLDG
p.m. Monday through Friday.
ell
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORM', N FORM
-Pi—rm k N u m be r: 22845 Address: 351 FOURTH STREET
Permit Type: STORAGE SHED ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book: 5
Proposed Use: SHED Lot(s):18 & 20 Block: 6 Section:
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost: 5,699.00 ORMATION,
Date Issued: 10/15/2001 Name: PICKETT, DAVID
Total Fees: 60.00 Address: 351 FOURTH STREET
Amount Paid: 60.00 ATLANTIC BEACH, FL 32233
Date Paid: 10/15/2001 —Phww-_ -0000
(000)000
Work Desc: STORAGE SHED
ik�
COL
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Pe
, - 1 1, 60.00
HEARTLAND INDUSTRIES
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INS. eCTIO L�W�24 H UR,8--P TQINVECTION
NOTICE: URS R
UBLIC SPACE,AND
BUILDING MATERIAL AVBBISKANdtt�BRIS FROM THI$WORK M.UST NOT LACED IN,
6P AXp DAWAY -�AC-TTOR 0 ER�
MUST BE CLEARED HAOLE WAITHE
TWE
K LT IN
"FAILURE TO COMPLY*TL" WV.W. THE
11C "I
PROPERTY OWNER PAYIN
S�
ISSUED ACCORDING TO APPROVED I-M111191111111111":1 R RMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVI,&ONS 0
$68.11 14
Date: 18117181 11 Receipt: @M"
ATLANTIC BEACH B ILDING DEPT. CASH
88188MR21@86
CITY OF ATLANTIC BEACH
1"kic [�each
11—PPL=ITION =fCfELI A-DDITIONSI
-MOVING, =40LITIONS
Job Address : 35) 44) S+ P h o cl e : 709(c
LoT- * INZO E-1cck or unit 71 Subd-Lvl-sion:
Con7racLor:j 1-learilanA State License
�&05496'4
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c e
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7 S 7hi a�j aaC i on') Ez ves, w�iat are t-1qe a1mer-is1cns c-1- --ie ad�Qeu-
space : ft: . X W-411 the adaed area ce 'r.�ea:ed and
c c o-1. R-,-- New e1ecc---, ca-' �or -� .-crealse) '
LN e"v 0 1 umiD-,-:-I c- 1 S N e w ff —c!a c e') N e w H e a
71'�= (C0bfl4=C=) TWO (-RZS==TT-AT) CCMPLZ= SZTS OF PLANSI I-q=UD----LVG
SZTE PLAN, SURVEY, E=GY CC-DE FORMS1 NOT=, OF CGM-J=�=NT, AND
OW2,7ERICONTRACTOR AFFIDAVITI IF CW= IS CONTP-ACTOR-
S" qnature Date :
S iqna ture CONT9,ACTOR: Date : 7:4?1
TO OW'N�"�:
Sworn Fo a scrLbeE)6AAfg6j&Ume ti-lis d a y 0 ff.
W
-MWCOMMM"# CC930160 ones
April 24 2004
BOWED THRU"FAIN wumq iNc T R P(j, (,J
LIC
AS TO CONTRACTOP,:
Sworn to and subscribed before me this d a.y o t
Diem I Ran&#
Wc0MMWM# CC930160 WW NOTARY PUB,-Ic
April 24 2004
G0M)fDDWMWFAW#WAAM"W
I
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2 0-3 acosQ�.C&e Wck
J-W R- 3 2,-Lq4
Book 10184 Page ,330
-7 -7 - aA4-3 ROUM Of Commencement
(PRO-ARZ IN OUPLICATZ)
To whom it mav concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in
accor dance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE
OF COMMENCEM[ENT.
Description of prop"
------------------------351
--------------------------------------------------------------------------------------------------------------
General description of improvements -j(Qy2,
._qyj��__.SLe
d............... .........................
----------------------------------------------------------------------------------------------------------
Owner 19�a-h&f;H I
Address a-M-figt-&-b-
..............................
Owner's interest in site of the improvement
Fee Simple Title holder (if other than owner)
Name
Address
Contractor
Address
--------------------------------
Surety (if any)
Address -----------------------------------------------------------------Amount of bond $--------------
Name and address of any person making a loan for the construction of the improvements.
Name
Address ---
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents
may be served:
Name ------------------—------------------------------------------------
Address
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as
�rovidod in Section 713.06 (21 [b], Florida Statutes. (Fill in at Owner's option).
Name
Address --------------
I MITI
R tz !z
I r,
Q0. 03
10/09/2001 08:21 FAX 9042460881 SLIDERS
904 246
ire
Steve mc!�cu
0 C)
MAP SHOWING SURVEY OF
-)F 1,): 18 AND Alf,l-CV.' DDT 20,-EK"
-0� 6, A',11ANTIC LALACB, AS R)'-�CrLAIDP.0 TN
U
�'7!% CUI 11"KIC OC DUVAT� COUNTY, L"WRIDA.
r1s 0 21 S.oo�)
�7
APP,00VED
CITI OFAT; NTIC BrAf
2 1:2001
u T
A
N
�v E
'2001
u 04
7 77�7
-,;j
T
7
RlaWr-40 A-'Wld/
NO OUlk.I)IKG Rt:3TRICTION LINF,6� IlUkT,BUT THERE
MAY BE RES*rRICTION UNC7,OR ll'ASI.MENTS TH AIIECT�!
Pf(r.,I`ER ry ij,, _..j.qlwo al; - 'AT ..L'C
RL.'CORoEO IN T.6
1'�03 Or I HIS COUNTY T��Al ANE 'JOT ZHOWN ON THIS SURVLy
f`I`IQPtRTY LIES IN FLOOD ZQN17 By FLOOD MAP$
r4c).120075 0001:0
I HERE'BY CERTIFY TO:CHARI�ES 0.?"16:&T S VALERIE
PICKETT;sTEWJ%R*r TITLE CAR.CO.-ROWE'hDRA rJATIQNAL
BANK;0ARTUTT,MILLE6'a MORLHEAD
THAT THIS SURVCY MEETS VIE MINIMUM TECHNICAL
STANDARDS AS SET FORTH BY.THE FLORIDA BOARD OF
PROFESSIONAL LAND SURVEYORS, PUR�-UANT 70 SECTION.
472,027 FLORIDA STATUTES AND CHAP7'ER 61G77-6
FLORIDA ADMINISTRATIVEAO
06.
-9 U S'l V"1EYC) ----—--�(�IROFESS76��L ;t AUUR 6YQR
707 FLORIDA
AL LB: 104.6 /K SNUC caw,19
DATE:_1,1LIA4F 5 190.5
j UU111 ik.116; Sd,7'f7'
03!:ACII. I 5CALE.
(pul) 20
�AV-(QU-1)
VEY NoT VAI
THIF, PRINT
,NFf)
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 09-00001234 Date 8/31/09
Property Address . . . . . . 351 4TH ST
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3200 ------
----------------------------------------------------------------------
Application desc
REPLACEMENT WINDOWS
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
PICKETT OWNER
351 4TH STREET
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . -
Permit Fee . . . . SO . 00 Plan Check Fee 25 . 00
Issue Date . . . . Valuation . . . . 3200
Expiration Date . - 2/27/10
----------------------------------------------------------------------------
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- - 06 SUPPLEMENTS .
2007 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 7S . 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
09
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826*FAX NO.:(904)247-5845
BUILDING-DEPTCCOAB.US DUVAL COUNTY
BUILDING PERMIT APPLICATION
1.jOBADDRESS: 2,VALUATION OF WORK SQ.FT.UNDER ROOF
5.cLAssbF WORK 6.USE OF STROCTURE.
4.LEGAL DESCRIPTION:- 1-1 NEW BUILDING 0 DEMOLITION E3 RESIDENTIAL
LOT_BLOCK- SUB DIVISION 0 ADDITION [3 CONVERTING USE 0 COMMERCIAL
7,FQESCRIPTION OF WORK: U ALTER) ION 0 ACCESSORY BLDG. 8.FIRE SPRINKLER:
OPOOL/SPA [3 YES 0 N/A
OMO
Q MOV'E 0 OTHER Lk
ARCffjTECT gIENOGINEER:
F PROPI -CONTRArTOR- '
Vj"Tit) 23.COMPANY NAME:
9.NAME: 15.COMPANY NAME:
V16.NAME: 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
-�) 1 18.ADDRESS: 26.ADDRESS:
11.OFFICE PHONE: -1`2.FAX NO.: 19.OFFICE PHONE: T7 NO.: 27.OFFICE PHONE: AX NO�:
13.CELL PH NE: 21.CELL PHONE: 29.CELL PHONE:
9ci -3 30.EMAIL ADDRESS:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS:
FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER:
(IF OTHER THAN OWNER)
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work vA I 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 firne 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.
OWNEWS 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. im"
T-1- CONTRACTOR
OWNER or AC%EN
(if 4. 1 (Qualifier Only)
nt,Powe
.61_±�r Agency Letter Required)
'n� 7 Signed: Date:
-f C=
ty Of day of nty of
B:. 009 in th. ;oun' Before me this ,2009 in the oou i C1*
u .1, Duval,State of Florida,has personally appeared
'JA ts and declarations are
herin by himself herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statemen
true and accurate. true and accurate.
Notary Public at Large,State oll`E�t�Z &ountyof DUVAL Notary Public at Large,State of
County of
[3 ersonally Known C
_;6 5 C) 11 Personally Known
Vroducedidentfficabon-19'aso -Wol (or) 0 Produced Identificabon-
Notary Signature: 9-a.L. bwnona.. Notary Signature:
RtVIEMD FOR CODE COMPLIANCE
*ep -%=SUSANSPEAKS GORMAN
"MAN
M�cp
y COMMISSION 4 DD6437668 CITY OF ATLANTIC B H
5 oil
5.2011
WIRES:February 25,2011
orar� is. t k�_C SEE PERMITS FOR ADDMC)MAL
Fl.Nom D un
BLDGOI Permit Application Bldg:REVISED Ry ry Discount ksoc.Co.
REOUIREMENTs A-ND CONDITIONS.
1=11FE-WED)BY. /7?
08/26/2008 11:39 FAX. 904 443 7001 WINDOW WORLD JACKSONVILE Q002
Flon'da Building Code Online Page 1 of 3
AWW&VCV�,'�fZ--C. cr
[:Ccimmunity Affairsi
MW
I III, Jill
SaS Home ; Log In Unr Regwmtlon Hot Topks SubmR Soncharge $to%&Facm Publications F9C Staff i BaS Sim map Unks seenh
Aim Approval
9%MW
.-USFR;Pub'611cLuxer
ProdUq Approval&U-,REodyet oL$2&&t1o,%Scwch Aopkmtloq L 3-AppikationMdoN
FL# F0134-112
Application Type Revision
Code Version 2007
Application Status Approved
Comments
Archived
Product Manufacturer Alside Window Company
Address/Phone/Emall 3773 State Road
Cuyahoga Polls,ON 44223
(330)922-2108
rickwOrwbldgconsultents.cofn
Authorized Signature Marsh Fernbaugh
ilckw@rwbidgconsuitants.com
Technical Representative Marsh Fernbaugh
Address/Phone/Emall 3773 State Road
Cuyahoga Falls,ON 44281
mfembaugh@alslde.com
Quality Assurance Representative
Address/Phone/Emall
category Windows
Subcategory Double Hung
Compliance Method Evaluation Report from a Florida ftlstered Architect or a Licensed
Florida Professional Engineer
Evaluation Report-Hardcopy Received
Florida Engineer or Architect Narne who Lyndon F.Schmidt, P.E.
developed the Evaluation Report
Florkla License PE-43409
Quality Assurance Entity Architectural Testing,Inc.
Quality Assurance Contract Expiration Date 12/31/2011
Validated By Ryon]. King, P.E.
Validation Checklist- Mardeopy Received
Certificate of Independence FL8134 R2 =—CERT Of IMMPENDENCE.Ddf
Referenced Standard and Year(of Standard) Mandard Yn_r
101/1.S.2 1997
AAMA/WDMAjCSA101/I.S.2/A440 2005
htV://www.floridabuilding.orWpT/pUpp_jM.Upx?pmm--wOF,VXQwtDquljdteSXaTw�/*��2f Ynf KYs6yrA... U26/2009