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377 5th St (vault) 74 #?ERARTMiILN f°0F BUILDING, ! 01TY'Of AMANTIC BEACH"' Y �.�...a�» � L OCA'T ION I IAP'ORMA`T L ON, -� .._��_�.. � 12 S"ET LIL��LNC ' AT LANTI AC FLib ITA 32233 '. Ward, RILL! _ _ ::+,L oT. 3 ' I31 _.. __. , :. 'L y WCC PRA L �O L : E L A k r U :Lz orLk' ISA LL I`ac�n b ivj,s o A' A t " C B> AW . a4L $105100',00 0 72, SO ��Kur o �... . I - - A,. .. AIS P L SCAT CN 3IA,. EIRi T 11 - . 5o dre WREST WA'TA T` . FLOR IDA � 'Pit, R AD A �, •, ..^1, .3`�3�:,4e� 6671,. r. $0 0,0: AL` A .. . A LLAUL� � � a . ve Ot 4t E �TE$� t z t Y �s ' N#EIC AL: ,D � rtE AM, l4ND FOQTtNGS MUST z PERMIT�tfJIt)51X MONTHS AFTER DATE Cif` ISSUE pi t�FBR'IS,fiA0M TH 1$WORKMIST�tfJT BE-f��A��C1:iM.R.U1�L1G 'A y (+i0-�+lUu 17 t�P AhEC �H #IJ. C A X E#TMER I tONTRACTC R OR OWNER Y,,,WlTH THE MECHANI II'►' . � 1 � UI.T � Th £l T l l :'.;P�4` t14 TWI Fo"AR x I Rt 'APV0l#1: 0 t APPROVE p�Alus WHICH AI E PART Q .TIiIS'ARM:IT AN, Su 1�IIr?!,A N CSF APL�CAII'LE PR � iS QF LAW ' A 'AN SACH SUi�.D#P� AI�T�t1�kT 1'*P.,3��.�fs+'"+ S�ix�'�•�� o��ir ,. ._ .,, . ,, _. �°�� .,.�;: w .z :a ,�u.{ b.. m 4' .��>��»t �, '�,,.'��'� m: ` .'�., 4�, v,� -v,z� %s.,+', "� FLA.-1947 LAwsRANCO FOR"40e F: 713.13 Of Commelt-crt"nt 1MCPARS IN OUPLICATKI to tah m it =V toxoc= The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property......... ...... ........ .. ,. .x.1. �...4.. ....... ........................................ n l � ' ................................................................•M•w.W........------ .....•.M.W ..•......N.N• ...... .....Y...• • ..............................W....•. ..•........ ..................T......... ...........................................................N..................•.....N•..M.N..N............................................................................................................................................. «................................N...............N.........«.....................•...............................................................••..........•..•...........N...W.....W..W..N..........I......................... General description of improvements.........`:L:.�. .C.F—.P..Q.,........>F.Clzwn�..... ............................................... ............................................................................................................................................................................................W...........................»N.................. .........................................................................................................................................(......................................................................................................... Owner........ . .w` .......ft.........RrQc .......IU...L....�.......C.1.........�,.!.� �....................................................:............... Address........�,..k:�. .....6..�:-.... .��. ................� tX`�..�...l.N ...... R. 4.».W.......................»............. Owners interest in site of the improvement.......... ..4�.. ...��s? Fee Simple Title holder (if other than owner) Name............. .. :........................................... ..... .. ............................................................................................................................................. Address.....................:...........................................................................................................................................NN.................................W.......W.......... r .......................................•W................«...W............................ 7-1 Address......•......•...•... ...•..•.•........................ ... . h..•u•w.............. .................................................................•..W....W.W.....W.•Wrww...••.........w.......... Surety (if any)...................................................................................................................................................W..W.W.»».»........................W.. . . /►ddreu..................................... '............................................................................................................A1110" of bond =..................._......... Name of person within the State of Florida designated by owner upon whom notices or other d==ams My be served Name........... '`!....'... ........................................W................................................ .......................................................WWM..WF....M....•....»..................r. Address............................................................................................................................................................................».......»...................................... In addition to himself, owner designates the following person'to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option). Name , . ........... ` . ..,t ......... ' �......... i........ ........ . .. .......................... ..............W....W.............................. .., Y ......... Address C`:.................. ......................................................... . ... ........, SPA � ...................:...... .. .W ....... ICOR "COROtR'e ues ONLY I CITY OF ATLANTIC BEACH BUILDING PERMIT CALCULATION SHEET Address Date Heated Square Footage '3 @ $ per sq ft = 1 Garage/ShedT@ $ per sq ft = $ v Carport/Porch �� j @ $ per sq ft = $ l Deck '15� fIN @ $ per sq ft = $ Patio ,per sq ft = $ TOTAL VALUATION : $_'/0 '500-00 Total Valuation 1st Soa �,ri _- Remaining Value $5: per thousand or portion thereof TOTAL BUILDING FEE $ o _ + 1/2 Filing Fee $ 32 _so ( 0) Fireplaces @ $15 .00 $ a - BUILDING PERMIT FEE $_ 7 BUILDING PERMIT $ WATER CONNECTION $ SEWER CONNECTION $____ WATER METER/TAP CAPITAL IMPROVEMENT ( ) RADON (HRS) . 0095 ( ) RADON (CAP,) . 0005 SECTION H PAVING HYDRAULIC SHARES OTHER GRAND TOTAL DIE $ 5;7 ADDITIONAL PERMITS OR T'E'ES: Mechanical—; E l e c t r i c/N e w_______.E l e c t r i c/T emp___. _______;S w.i.trtrni n g P o o l_._._ Septic Tank__ —; Well___,; Sign....,-Finish Floor Elevation u c v e Y__ __; CALCULATIONS and/or NOTES: T 121993 CITY OF ATLANTIC BEACH Building and Zoning PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owners) A101 To 6"g Address : 4 ,Phone: Lot #1—E9. Block or Unit #�� Subdivision: Contractor 2-4 cc a u r IC16 RS Address :_ � �5 Po S r�� C.T Phone No: Describe work to be done : SE 1 fjj F Present use of building: S ► d � ; Valuation of Proposed Construction:_ '<-0 d Proposed use: R Ind E 1✓ til� I Is thisan addition? 0 If yes , what are the dimensions of the added space : ft . X ft . Will the added area be heated and cooled? _ New electrical. ( or increase) ? New plumbing fixtures? New fireplace? _New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS , NOTICE OF COMMENCEMENT , AND OWNER/CONTRACTOR AFFIDAVIT , IF OWNER IS CONTRACTOR. Signature OWNER:w _ Y,1'41 Date :Date :_�O Z193 Signature CONTRACTOR: Date : p P P R 0B�-Nv.1 c,�y OFNAj L 1�U')Vq E 3 ev is 3 = DePARTUENT QR 13UILDINQ CITY OF ATIANTiC B!*ACH } k OCAT OV-4K AM AdrValu '.. 74 de 1 4 � X t x MF W' w Y IN#iS �y�" 1$ aN l 4! fLOR,"J ID Viv$ WEER � A JACX rpe lVe "4W N�SAO to tt ,x1Pad$ m+:IW rvw. d "T 4Cl AND,FOOTINGS MUST Bl 1lrF� ko3u f � �._ 71, t RMttT Vt?tD SIX 'MONTHS AFTER DATi O tS$III* MATO 141.t SH: Q E8RJ$FROM THIS Wale IVIttsT fittlT t 1�c� r►�Em,C�}I�Tf�ACTC?#� tJ1At�f�R ' r f., ,► T0, COMPL 'WI TM TH E mitc-HAAr��-Rk�I L � F7 PAYIN I�$ C+QFIbINt RC1.� X- "PIPFIOVED I I.kNS WHICH AR I*AtziT i F TMIS PEAMIT AI 3.I VIC,11 A�I �F APl*LIC kI' V# IQN €ll~LAW, b } AT-A'N B AGH.$ttlLi?Ct t D£4 AFi NT 8 , .� CITY OF A,rLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) : Address: /'/ ione•_ L- (a-. �o� -�__ _ Lot # Block or Unit # Subdivision Contractor:_`] ) CZA_& ,c qui Win, }(fit_ - Address: Phone: 7,25- 34 7 State License No.- ,;_,c Describe work to be done:��e .dI L1Y �NJ �2 4 Materials to be used: Signature OWNER: Date: Signature CONTRACTOR: ��-t�`,t� L✓1 �. I it �r'p11'Vv}'4 CITY OF ATLANTIC BEACH M �w+ ,t` 4 . LOCO 1 � or 'A id ATLAIM'Ic�ios 4T ZRMIT 'Alt t T 1:7V WILY ok iA $4 `lQb00 k 3 447.00 �F*y� �L yy y+� j$ v ,.. ilf kik i l�A.+i ilir 4 $y o t r r r K►+VIII iqM qIF fY�ikl,lY1M �� w� qn''{�i� � � ( q�y `��y"YiF �.� �( �Fr nr 5 WATER M DON ,GAO t", u: 1 ' nw ary-wNk 7 +.w►r.M++..+.r. �y.�� yr 3 � � 3 . PIN 4. s " -TLl .OR I DA $22,33 ; . '' e: 3 , �`�•� *� � �' � � ' BSC �� y TIB P YJiW 3 t {LS 3 K �/D�( $iX.1�1t M",AMER 6J tt 13U11�� MATI*�$1A1�, .► AN ?1 8818 FROM THIS WOk"40 ST NOT Eapt.,kCB[311 �� A f .� 3 CLrA C!P AN ?HAUL'1� AVi�AY S `1wit1�R`CtM�RAGtQR # C3WNE1�i s- [3 WING TW!"POR-8, 4 F 1MIE ACCOFMING TLS.AI�RRC VED.PLANS WH1,CH ARE'PART OF THIS PERWf1T AHC �>:A�IU t'A LAWy ATLA,. HBk11p0E'CKf HINT Y Mim ' CAI/ BUILDING AND ZONING INSPECTION DIVISION* Ne^lti CITY OF ATI..ANTIC BEACH 1/0 �;?�j ATLANTIC BEACH, FLORIDA 32233 ' APPLICATION FOR MECHANICAL- PERMIT r �A<i•IN NUMSEft IMPORTANT -- Applicant to complete all items in sections I, II• III• and IV. LOCATION Street Address: y S OF . Intersecting s1r•ots: solwoon And BUILDING Sub•e(i.ision II. IDENTIFICATION -- To be completed by all applicants In considorstion of, permit g•,.on for doing the work as described in the abc.a statomant we hereby ogres to pe•fo•n said -o-s w.th the a►tochpd plans and specifications which aro a part hereof and in accordance with the City of Jacksonvil'o ordinaeces a-a rw-sa•al of good practice listed therein. Name gf Mochankol .� Contractors Contractor (hint) 4 M•d•r Nam# of Property Owner Sigaolurawaft 5; tots of rchite w Autlrorned g• Act or Engineer 111, MOLArINFO ON A• Typavf heating I: El. IS OTHER CONSTRUCTION SEINO DONE ON Ehsdric THIS tUILDINO OR SITE 1_ i��J O Ga—O V O Nofvni O Central Utility 1I YES. OtVt NUMSER 0/CONSTRUCTION Q Oi PERMIT Q Other -- Specify IV. t11SCHM C/LL EOUIPMWT TO SE INSTALLED NATURE OF WORK (prt►.ido complete nee W of compeh on back of this torr") IM Residential or f 1 Commercial treat Q Speed Q R kc.11notell O Row 17 Now Building Air Condrtioaing: Q Roan GMrol / Existing Building !!� Replacement of existing system Dad System: Met*" Thicknasa� mosimum capacity. ZMIQO— 91^ O New Installation(No system previously Installed) a RdrigeroMw 1 ❑ Extension or add-on to existing system O Coolie g terve: Capacity Y-pj O Other — Specify._ Q Are sprinklers: Number of heads O Efowtw O Manlift O Escalate- THIS SFACi FOR OFFICi USE ONLY ,Q Creso6ae pump`- loomborl . �Reeelvodi Q Tasks•. (aumbwl Rentatit O Vii come nor`._. (number) Q Unfired psawro Vesal Permit Approved by Dos- O Q 00w — SW* remit t:.. 1i8'P ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT 7�1ues>ter Udto Deecstptim Model Number Nmuftewrer (�boaltr wA#= 7 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING BUILDING PERMIT PERMIT INFORMATION' LOCATION..INFORMATION Permit Number: 17720 Address: 377 FIFTH STREET Permit Type: STORAGE SHED ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Proposed Use: Lot(s): Block: Section: 0 Contractor: PROPERTY OWNER Book: Page: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 849.00 OWNER INFORMATION Date Issued: 1/29/1999 Name: JOHN VENN Total Fees: 25.00 Address: 377 FIFTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 1/28/1999 Phone: 904)725-3673 Work Desc: STORAGE SHED APPLICATION FEES PERMIT 25.001 i Ins actions ft aired_ i FINAL BUILDING FOOTING i 1 NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE 1 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. 1 1 $25.6814 Date: 1/29/99 81 Receipt: 8838371 ATLANTIC BEACH 13,6—ILDIN6,1DEPT. CHECKS 5594 1 88188883221888 -7 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MVING,.DMOZITIONS Owner(s) ,I h, \/ el✓) Job Address: 3 -7? - - S Phone: oZ L/6 ? �" 1 Lot # Block or unit #, Subdivision: .SIA6 U l U15/,�,,j /r Contractor: 1-f(�Gr� l/J�C [� ct cs 4Y ,,c C' State License # Address: &26 J 6 S5 e✓c 1 �-44kvd Phone No: 7 7 2-2-FJ City oc KS bre✓'► )e State f2--- Zip Code 322 Describe work to be done: Present use of building: a� e Valuation of Proposed Construction: �( Proposed use: e be4 ►G h Is this an addition? �� If yes, what are the dimensions of the added space: ft. X ft.' Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? Bg;jKZ3 ? !.'Z (COld"RCZiL) "M ( ) ccs rz= ma or sar"B, SNLmi7Dma SX= A-MN, SUAVA2, ZNM& .` CODA MnW, M7TX= Or CGMkMNCZNMT, SND ONMWcolQmac2m Arrz i vxT, T!' O112P1CR Y9 cox1rita m. Signature OWN& ��- Date: Signature CONTRA OR: Date: AS TO OWNER: Cc Sworn to and subscribed before me this of 297 NOTARY PUBLIC AS TO CONTRACTOR: Sworn to and subscribed before me this day of - MY (x559881 OM ,� '�of�q;:' BONDED 1ifiU TROY FAW INSURAtY�,USG. NOTARY PUBLIC CITY OF mastic geacd - 9&ud4 S00 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 'PELF.PHONE 19041 347-5800 FAX 1904)347-5805 SUTNCOM S52-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. 111E EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST Be FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES, ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE.„ THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEOUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. T I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 0, U,�---, P75ptRTY OWNER/BUILDER 377 5trY4 • 7-yc -?SZI ADDRESS TELEPHONE C�4 SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY F 1 9/ NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: �nWi�y ARE EMPHASIZED BY THE BUILDING 4y% whMq p � DEPARTMENT. �� ~�Qfi,�� EOlIDED TINIU 1116Y fAtl(11k1NIA1M+� MAP SHOWING SURVEY OF P1.1%-T LOT. 34------__-BLOCK --1--------__ S�L�jDw s 9 01,E --- AS RECORDED IN PLAT BOOK S , PAGE -1.R-9--- OF THE CURRENT PUBLIC RECORDS OF ouvAL. COUNTY, FLORIDA LoT 35 (I 1-0T 3 3 I 1, O'T 31 ,x pCj SO OS ,IAGtUAI ) Woo[) FlucE 0.4 so.00 (PIAT To 1-IuE Cwblu Lt F o�uO 'IZ FluCE O.Z � Fouuo Ali Mow PIPE 01 IRou PIPE. 199 . I o x cuAl u cow. x Li mV. W000 WOOD CluGG STOOP STt PS 3.7 1.9 11, (t1G� 8.1 H 1.4 24.5 4.S. 4 f x J r � cualu r 1!' 0. 'i 4 v Tov1U4 FR AMI@ Q ees. o a G S 4 o Jtb c0 ,n N z.l o R GC F� L 0-T 3C. �. J CWIHUIf CcoucC O fi.? x 0 O J NG QT( A, n N? Cr 40 tSRIcC 4 STlPS ' r FIUCL a �Tla 24. � 6y 5 ' 12.3' 0.0 50 . , V 0 Couc. 0 W Q DRIv� j 0 d h 0 d Q N 90.. . Fou�p `le PLAT T� V�� imam PIPE pIPE STQEET NOTES: S0.aZ l ncT 1. This is a boundary � survey. ( 4 d TLI L.u-r or w o.'! 2. Flood Zone 4 as best ascertained from Flood Insurance Rate Map, community panel no.ltoo-r8 oeos dated 4. 7.89 3. This survey is not a determination of ownership NOTE: THERE MAY BE ADDITIONAL RESTRICTIONS THAT APPLY 4. Business license #6470 THAT ARE NOT SHOWN ON THIS SURVEY BUT MAY 13E FOUND 90 : s t 66 . 2-3 Nhr •"�n1,:els.` .d ae%ar adK tv now arcs r .]] law r"mw to �»041". me Ia fta@% 0Y. 14 y w i.4 +..wlw►1.Au •iss gmeosy.}r era ' Amom aa.ae vii W qt mw"Seem asw �. /mat tdtratee. tar mama aw's sob �i sl 4 eae'. sve w is• a / Or s ti s o1= neso 4 y as t . .w (goo ~tOet b.~ 0:w 6. sa•e"�e•3+riiire awr t) s.0 late�swrr.et 14 u+a r /ta ea6ig%..6 taL qo e44o9 idlodw a1,"ape l As Y M moll",m w 9 Ma 1' wrap ems %Assat{lno. %v9 MEL oa/aN aowl� ave In MeM. -}��''• ///'''111 19M�.aaa• t*i �•�'0'O•1• t11��tRa 1<. et1y 4 s qMl atap 1%1.Wt A r 'eb re to urs et4a*s1aY ei11m6 Iha tats ahava,�.4 tirSY Dai atwi aMtsw _ Yaw al S adr.ta4wte66 �-- f tMe.91}o .1• ♦11 .1 `T4 �• pate. 771�A .rA/M aeda% 1!r.I &LOOR Pth_N 17"ail j2.we�mtr. 1,l w M.al.wLlg�that "Ile IaRwMr} M 0 e� 7p1� N• el.lgi0 fella) sla.laota MT a .et.tq fal"d to♦s 6 rtigm.alp.ygy uAd Will y.ila a.aMr) We for o"•.r u1, am 1M IwO. III•%IIf 1Ibw1..a.tt >#1,'' Qivalvat of shoe wharf rend. 4"11 �I$rbr,r/ . f/•%/ + M;911 amid" s 40409 1 Mist meet•or lata" lire ersssMwptr,nae.4f Mothers yrs n 40mil 1•mme amAer4 is eestd d.&1-jp1a. diatMota 1, �.� Than 1,p. ._! a1LL1:s ends bore'then e). • Y na tOl.t ., V LEFT 1 e 3 +•,ta11t e1(!,lat� �•/v.�Iw /4c•40.6014$' df w grAr 1,,a. E E �iTpIU rMNT ELEVATION • errs a as 9 I $.rill Sf& SrAbAvdr !M/btL'L�5 I ?'b 00'r OrcK int t 1`Ar rA'M s eA e E p0%rm AdrCtwON R,w.rb, .m:0 1,.L Sar �.acr.ort q .��.w.�+ ohf3"-- .�ie'rrt"i't.,aw h wt.0 +�• %oma rasp onno e ■ 6 e~ e 7 79- Ej >Lb.a. • • SCCTfgM wtCV •AL• 111+.4 ... •A,/aryarAl,J.J Pav1,/rdm►q 1,r r.$idq f Ti, PLAN5 HAVE BEEN ' rhe felloaiag Ne to used )ma.tdad the mama IS t.%Iwoei'ra R Vl V4 E D APPROVED Is Wiwi M 491,1.% awofdnno slim a9nrtaol%brer'I t~wt'ratImme. AY!THE BUI DING DEPT. ... rr..,a� OEYJIIL AA � �waw0 iTi10r suaalstdd alsorlMelw In w0 naw "tai p0aaa 31ree" Models JAN {i�] 7/11- et`lor so" pwwl t1-11 oidW JAN 2 b 19-JI {a llutiaei alae W soyly 444P.-r o i to go 0 096 h ) Drop 7/11• OAS 00 )/6• or i/a• fila rest deaY 7/16. on— 3/1' = u setfit ns7 1 1.40 4 wrm^", .• " - 7/11 Oar" 1/2• t treated .thee'look -�-� e►.Y„Wds •ala, V t)C OI ave li . .tut /3044,/10 a ata' tar M141a'p1ia44t1e11 quw.NrV OM a private/ Strobel Marg AS std. by Ia4l/Salta-ta/Sfle sa.. ror%lwd. Grogan 517'tRA6.6f T TA TACK RdO�►'d WWW - _— .5'RA ER -*XnaSul P.C. ata All.40091A u'1,p 10' Mad .In. : uta. trubrlorr). SYST! M 19MA, "Doren foe 12' a l4 .Ile vol ale. )a i said■ banners) rdy. s //1/OL/S Rat/ECJ / DETAIL 'hsl•nt9• •Ines rule from 6 a 6 to 1/ s s�, -Tach Ram- els4a ran" from 6 % 6 to u a se, led T �A FL R/OA Au u144n l�h 4.,nble9a..em1 Sears AMlehdr' aNee robe from S 2 1g %a 10 a 20 . o ° o m a ix x, s �w M i d c a O ii ]t it'. U' G fr' p ?0 • • � r A 0 s S 0 77" z ril ' Z 4-4=— >D fit" V M O P � .g' A r 10.0" A r• s mr o.N. Nx . 0 wP Lnff�^1 e ( m xUl rn rn r s `v 0 a Z m r n � r D o 0 < 3 r D w s Z V � o � P C.7 1 60- ti rm �0'-Q• ex . H Cbx 4A IAV w 2%6 iMo M Rl $ � o D -nLn +� � o G7 - w 2 � � y 7• N. L Y $ w N ~ O w 2 ti r �C N JAH 2? 99 1 5 : U PAGE . 002, ' ,','3844 } , t �. . ! F ATLANTIC r @ K Address i 1 " Pari 'na4 of Noirk ��' cr. gi : Leat« Pl~,6posi4d Ute: ,iii+ L� iA�iu C Towhihi a. R��3�- a �NieI an 0'.0 10 dv. 'Cost 3-1 "ot 425' 00 cau><x $25 00 i ' Ott � ATI Add 01 '0 Ph �Te �, I kDON .00 RADON GAS �00 ite: tubx iiTl `` wt►U Af - - ��{/ ]y to ij, 3 n T 5 j( r i'Tic - .. Q� c� awc�F«�rira i�uS,r fir:.if4 CT ► f PER N11T v€ tD SIX MC)NTFI i4FfER DATE c? I St1E ;M QUIUMN ER MATI F $1 I*DbEoiS.FROM THIS WORK MUST:NOT `.`b UO AWn CLEARHAUfi ?A'IAY BY EITHER C©NTR,ACTC7RbR f?WNER b I U. ' THE- OPkEN PAYINGT1NICL �OR00��.�� 7-7 rm ACCORDINd'TD Ar'�PRC3Yr:E 1`'4ANS WHICH ARE PART OF THIS PERMFT ANt :Std D 1{C OFA U.CAaL 00" 'OF LAW. 77, g[{ }�; pUi 3i[ATLAaN < r CITY OF __ �� 4&AM& B -�&U-J4 Office of Building Official REQUEST FOR INSPECTION Date /y Permit No. � op Time A.M. ReceivedP.M. y,-y / / Job Address cality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing E Rough Wiring CI Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab REA�� G�LFINSPECTION � A.M. Mon. Tues. Wed. T�hurs.? Friday P.M. Inspection Made r P.M. Inspector _ Final Inspection ❑ Certificate of Occupancy ❑ Date Iz CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ". INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000994 Date 8/03/09 Property Address . . . . . . 377 5TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 ---------------------------------------------------------------------------- Application desc entry porch exten/and interior ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ VENN, JOHN E & R ENTERPRISES OF NORTH FL 377 5TH STREET 2628 WEST END ST. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 270-2185 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X --------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/30/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 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 Roll off container company must be on City approved list and cannot be placed on City right-of-way. No new impervious area is permitted. ---------------------------------------------------------------------------- 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. E CITY OF ATLANTIC BEACH �9� 600 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I ) OFFICE:(904)247-5626•FAX NO.:(904)247-5845 BUILDING-DE PTGCOAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 'ES PERMIT* �q 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: PHONE: i-Tr)h n Ve n n L ME OF • 84�$3PH. + t• 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: 12.EMAIL y1QFy F�iOW ' r 1 14. .. Il 15.Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of sic(6)months at any time after work. Comm 0. CONTRACTORS SIGNATURE: 1$,CLASS OF WORK: 17. : 1$.METER NLNABER 17 MULTI FAMILY-$OF UNITS: RESIDENTIAL SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 1$.LEiILDING: ti.CLURRI NT CODE: ❑ALTERATION ❑SIGN OLD ❑NEW 0'05 NATIONAL ELECTRICAL CODE O REPAIR O POOL/SPA ❑REWIRE O OTHER: UST ALL ELECTt44CAL WORK: 20.TYPE OF SERVICE: OVERHEAD 0 UNDERGROUND 0 UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑POWER IS ON O 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: aLQV PH:_[_ W. VOLT: RACEWAY SIZE: 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 O NO 29-31 DO NOT AMPLY TO NEW sludLe FAMILY,FUETFAWLY AND ROOM ADUTIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: S 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32 AM CON017004- #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: 33.OU1511-7 NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.7031105M.- UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: DESCRIBE IN DETAIL: IhO(�i tW d1 C;V 2!7 is *— /GL' /�ic/�7 (�✓l2L DO i'1'I o/ T?O"L/ BLDG02 Permit Application Elec:REVISED:1211 WOOS CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD j 4 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000994 Date 7/27/09 Property Address . . . . . . 377 5TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 40000 ---------------------------------------------------------------------------- Application desc entry porch exten/and interior ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ VENN, JOHN E & R ENTERPRISES OF NORTH FL 377 STH STREET 2628 WEST END ST. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 270-2185 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 230 . 00 Plan Check Fee 115 . 00 Issue Date . . . . Valuation . . . . 40000 Expiration Date . . 1/23/10 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 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 Roll off container company must be on City approved list and cannot be placed on City right-of-way. No new impervious area is permitted. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 37 ST CONSTRUCTION SURCHARGE 6 . 75 AB CONSTRUCTION SURCHARGE . 75 DEV REVIEW-SINGLE & 2-FAM 50 . 00 STATE RADON SURCHARGE 7 . 12 ---------------------------------------------------------------------------- PERMIT F4_=0PAWWaMYY IN ACCORD)0ka3gIdALL CITY OFRMWiTIC BEACICf)9QjjATeM AND THE HIDA BUILDING CODES. CITY OF ATLANTIC BEACH 09- I _.,I_ I I I :aS 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 r s OFFICE:(904)247-5826•FAX NO.:(904)247-5845 + BUILDING-DEPTQCOAB.US BUILDING PERMITAPPLICATION DUVAL COUNTY ,1',JOBADDRESS, ..'v "' 2 VALUATION'OF WORK r, , �J 3.SQ.FT.'UNDER SST. RE. STA A-turl'C�L �N fl-• o K �foo 4.LEGALDESCRIPTIONt< 5 CLASS OF WORK i . , 8:USE OF STRUCTURE LOT_BLOCK_SUB DIVISION- � LJ NEW BUILDING ❑DEMOLITION COMMERCIAL L N ADDITION ❑CONVERTING USE ❑COMMERCIAL_. ❑ALTERATION DESCRIPTION F.WQRK El ACCESSORY BLDG. 8.FIRE;SPRINKLER �1 'A,/� ��/� ❑REPAIR ❑POOL/SPA [I YES ❑WA 1� 1 QA02' P-L4 k ✓kZ ❑MOVE ❑OTHER ❑NO r 4;, '""PROPERTY OWNER CONTRAC OR: - ',, 'ARCHITECT(ENGINEER. 9.NAMEJolt 4 IE�,.� 15.COMP NY NAM 23.COMPANY NAME: E �. NTL'�P>R13�S LFII 16.NAME: W t 04 n .w.�,LJ 24.LIC NSEE NAME: lG�1fy1 r�{,�R"fiPl • •�• 90.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 1,15-1 TO s 18.ADDRESS: 15 lO AT�T`G IV • JF` ZG Z8 26.ADDRESS: O 3X7-33 we5� �' F LACAJ rix PL.- 3�5� 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE 20.FAX NO.� 27.OFFICE PHONI:134 28.FAX NO.: 2) 13.CELL PHONE 33 - 314(#O 21.CELL PHONE: + 29.CELL PHONE: S 14.EMAIL ADDRESS: 22.EM I ADDRE 30.EMAIL ADDRESS: aIEV Cow►u4s�:n ef" FEE SIMPLE TITLE HOLDER BONDING COMPANY: MORTGAGE LENDER: C ;( OF OTJiER THHN OWNER] '. 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. **k WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Po of Attorney or Agency Getter Required) ual' r nly) Signed: Date: Signed: e: _74-07 Before is �personallya 2009 in the county of Before me this day of 2009 in the county of Duval, to of Florida, Duval,State of Florida,has personally appea redi hehn by himself/h elf, rM th tall tat ents and declaratlo are herin by hims /hers 1 a d a a s�ltt ions are No�ary�ubl�e ate of Florida r Notary Public State of Florida fir. true and accu ey4 true and accurate. ?° Barbara K Kennelly ; Barbara K Kennelly _ Notary Public at La e,%' �f My Commista@ty @♦38781 Notary Public L CM �mmfealnn, tv"m ❑Personally Known O�- rtes 11/2013 ❑Personally OF tt ExplreS 03/11/2013 ❑Produced Identifi 11 Produced Id - Notary Signature: Q. Notary Signa KhV11bWED FOR CODE OMPL' CE CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL. BLDG01 PennitApplicabon Bldg:REVISED: /2 REQUIREMENTS AND CONDITIONS. I L E COPY . REVIEWED BY. DATE:��" NOTICE OF COMMENCEMENT State of FI-00-IDA Tax Folio No. County of AUVA L_- To tTo Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: LOT 514 , B/"OW'G ! SVBD VISOW A C Address of prope��ing improved: TL^Arne— L General description of improvements: F 1a'�1>t"C2 VIA Owner: OK A Address: 7-7 A.S. F' 22 Owner's interest in site of the improvement: Nk"y MAdmtl wswiGE Fee Simple Titleholder(if other than owner): Name: Address: Contractor:- i OF Address: ?.l0 2$ WEST' E)" /4 �� ' 3zt33 Phone No: Fax No: Surety(if any): Address: Amount of Bond $ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: 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: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER - Signed: Date: Before m is U7t day of i I in'ttie CWnty of Duva , State of Fl ri a,has personally app ared Notary Public at Large, o ii My commission expire , plibk State of dim- Personallv Known: IL Bamafa K Kennehy or Produced Identification y °"'n' n a_ MAP SHOWING SURVEY OF Lot 34, Block 7, as shown on the Plat of Subdivision "A" , Atlantic nBeach,- recorded in Plat Book 5, Page 69 of the Current Public Records i For: Dennis M. Dawes ' C_ O T 35 L O 7- 33 L O T 3/ • sw• ' A' *3i*77 SIV A. We p.2� 0.14 0•'Z N ST S � N 74' Q " N S LZ T FEN CC /4` x 0.3 xOL ,, z.2. N ,� W •.��: S � x � l x s3 N N o� ?o4T=A.i-E.( Q 24.2' • . ' . •• x �� _(� : • M ' 0' 00 LEGEND RAY, DURDEN, SNYDER & ASSOCIATES p )METAL STAKE SET PROFESSIONAL LAND SURVEYORS HL STAKE FOUND /� 38 EAST 17TH STREET FTA _ _____._•__._ _^^T^�`^� �� / '� .1 A C K S(1 N V I T.T.R. FLORIDA MSP SHOWING SURVEY 4F Lot 34, Block 7 , as shown on the Plat of Subdivision "A" , Atlantic Beach, as recorded in Plat Kook 5, Page 69 of the Current Public Records of Duval County, Florida. For: Dennis M. Dawes L O 7T 35 L O 7- 33 L O T 51 50 0.2 x s � N 7.4' t9 /3.4' SCREEN 4'�' N \ PotzcN al \ 0.3 5.i' 74' L X I\ � N Lb � Q W N m . Q x � n ONUf` � � • • � Qu� _`.24.2' J x- N W W•.: J 0. o N 0' O oGO oo -50' APPENDIX 13-D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION NORTH 1 FORM 60OC-04 Residential Limited Applications Prescriptive Method C Small Additions,Renovations&Building Systems Compliance with Method C of Sub-Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600C-04 for additions of 600 square feet or less,site installed components of manufactured homes,and renovations to single-and multiple-family residences.Alternative methods are provided four additions �byyuuse of Form 6008-04 or 600A-04. KI EAND CT NAME: BUILDER: 1` f~��+ •c^P�ISL m F /1Jo@TN pl p4l0) DDRESS: SM. PERMITTING CLIMATE �•� r�T(G OFFICE: ZONE: 1 2 ❑ 3 ❑ OWNER:,)O E{r� f J UNA L 'HETI PERMIT NO.: JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDENCES(600 square feet or less of conditioned area).Prescriptive requirements in Tables 6C-1,6C-2,and 6C-3 apply only to the components of the addition,not to the existing building.Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or Is being installed in conjunction with the addition construction.Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum Insulation levels.RENOVATIONS(Residential buildings ord erplaced.MANUFACTUREDrenovations gmore than 30%of the HOMES AND BUILDINGS.assessed site-installed components srantlr featurve es are arsrements in e overed by this form,and 6C-2 BUILDING SYSTEly MS�Comply when complete now systethe components and equipment m being installed. Please Print CK 1. Renovation,Addition,New System or Manufactured Home 1• A P t t° 2. s F 2. Single-family detached or Multiple-family attached 3 3. If Multiple-family-No.of units covered by this submission 4. •�(�*7(o 4. Conditioned floor area(sq.ft.) 5. Predominant save overhang(R.) Single Pane Double Pane 6. Glass type and area: 6a. sq. sq.ft. a.Clear glass b.Tint,film or solar screen 6b. ` sq.ft. sq.ft. 7. _ -- 7. Percentage of glass to floor area 8. Floor type and insulation: a.Slab-on-grade(R-value) 8a R= b.Wood,raised(R-value) 8b. R= '` sq.ft. c.Wood,common(R-value) Sc. R= ` sq.ft. d.Concrete,raised(R-value) 8d. R= sq.ft. e.Concrete,common(R-value) 8e. R= ' sq.ft. 9. Wall type and insulation: a. Exterior: 1. Masonry(Insulation R-value) 9a 1 R= sq.ft. 2. Wood frame(Insulation R-value) 9a-2 R= sq.ft. b. Adjacent: 1. Masonry(Insulation R-value) 9b-1 R= ! sq.ft. 2. Wood frame(Insulation R-value) 9b-2 R= sq.ft. C. Marriage Walls of Multiple Units*(Yes/No) 9c 10. Ceiling type and insulation: A a.Under attic(Insulation R-value) 10a. R= S�l .ft. ft. b.Single assembly(Insulation R-value) 10b. R= sq. 11. Cooling system* 11. Type: l"�CSIS l l (Types:central,room unit,package terminal A.C.,gas,existing,none) SEER/EER: 3 12. Heating system* 12. Type: 114T (Types:heat pump,elec.strip,natural gas,LP-gas,gas h.p.,room or PTAC HSPF/COP/AFUE- existing,none) 13. Air distribution system* a.Backflow damper or single package systems*(Yes/No) 13a• r- b.Ducts on marriage walls adequately sealed`(Yes/No) 13b. _ 14. Hot water system: 14. Type:,.�+�Csl (Types:elect,natural gas,other,existing,none) EF: Pertains to manufactured homes with site-installed components. I hereby certify that the plans and specifications covered by the calculation are in compliance with Review of plans and specifications covered by Energy Code.Before construction is completed,this building will compliances calculation inicates complianceebe inspected for th the inFlorida the Florida Energy Code. T �� / g�-)t7] accordance with Section 553/.906,F.S. PREPARED BY: L 1J ' 1 ` DATE: (^` " r BUILDING OFFICIAL: I hereby certify that this uild' Igo i with th lorida Energy Code: �'9"~ -� OWNER AGENT. DATE: DATE: FLORIDA BUILDING CODE-BUILDING 13-D.33 b It to n o o y o 0 LA 1� W N ,r D �Or (D m rt opo CD y o � oda °CD 0. cr 0 CD `� O ° CD 9 _ CD b CL am0 o ' o. Y1 J � y 0 CD Z. UQ 0 14 o � � C O °c CL 3 < c 4 C � cr C C (OD 0 1 "'O o � F 94 CD '9 O fi CCD b r- M � a CD a, 6 A� M 4 CD k O+ Q.. 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W N 14 c G:•PWN-• mt wmN OHO c�0� � OA� "y V7-0m 701 •< 01 ..na 0 �m �oX az•o� n-r 0 a w v _ mnmmxv m �'° m ° n..m moon Q to Z �r■ rOCCO aG a co, 1 ]' ° °.G.n D r m n'al a. °?c o 7 °• r' 0�RX`0D ° 7O ?mo ao , _ .07mr 0 0 �_ '1Zl�l�zZr Amy oa o 'c0 °� y x°n°o Z Q: m cn Z �rm- �� - w3 3 �o way a9NP CD � cn O t,0 O n.` 0 ? , \ ` ,�J O � v s yyyy zO�o �.< s� ge° 8m O0 0 ..� x. O W O CC cJ Sal Aa c�c�zm 00 00 3 [T'' Z tT7 tL1 to cZiZO�Z Z 3 '' oma gc c0 Da6 � O -%3 � x0_m v� ma o 'n O � �® o ° ^ � � \ t*1 z VI r d �- Ol .o 0. G) v' 0 0.0 E'' '� CO a C�,_ym o') c'0 �, m 0 0 O zofnvl 0 0 0• wo 3o N O =t z H°, 7 a o ti o.— 3 icy c0 0o S \ 0 a �Ta m a cb� c owT °'0 �f0 O cb L N o� m ° � 05 0� H 7 tD W m m -v r • N d � O to W N ZO P m x O i m o v r"S � m o m o Ln cn o m m p N d to y / / N X O Q ¢ PRODUCT: D—.m M' P-par e 3¢S }r EXTRUDED VINYL SINGLE HUNG Lwnc coNsu�rN+ts. nac. Box 230 V.1rteo FL 33595 P3 N WINDOW WITH FLANGE Phon.No.411,Bts.aae t97 I+ l z 3 07 25 07 MODEL No. Fanea Boats or Pror En91n..n y v -7-05 08 07 UPDATED TAPCON ANCHORING AEM PART OR ASSEMBLY: Fl rffd.ft W No.9et3 Iv b to 0 1 02 UPDATED DWG. FORMAT UT TYPIC ELEVATION 7 25 , N a+TE do GENERAL NOTES W.ne..W .E No. 5at ds R:V+-Pro)ects\Pro)W Folders\Pro)1201-1300\pf 1201\D.RWBC DraMrps\FL4%-REV3\FL-M0.2,dwg,Madel V c _ z_ z zP41 -41 mm Moo V (Ao Ci X X X X X X N RA AA OVi CST W Ul �oo a m O O O O O D OJi PD Do 9 ? Obi ,OPD O a G1 0 f." 0 0 $ o m gV x x x x x x z �rn W� W N A N A O z y r�i OO o a o g o o �, O rn L4 OCD S'J z O :0� W W NN+ pNp N o++a .Op N++ O O + oo w + m A A + z F r VI— X x (x yX x x( X X NXN X O=r hi L4 z---1 3 W w rn a m vVi i0 w + w 0% 0 y 0 0 Do co yya a a Z z 2 O z z n IT7 X c� ci m vFn m 0 rn N v ocWir o Lin o o 0 c—i o O o 0 0 0 :q z v � -n� m m N In CT W W A to UI z m O O O O O O O O g PRODUCT* Dmnt.Pr pond BY. R r7 EXTRUDED VINYL SINGLE HUNG BNLDINO CONSULTANTS.INC. G� P.O. Boz 230 VolAao FL 39395 g N WINDOW WITH FLANGE ✓�� IN Z O 3 0 23 07 DED MODEL No. AP n.ddPlron•No.: 8t3.539At97 2 08 08 07 UPTJ DU 7APCON ANCHORING MM PART OR ASSEMBLY: C-M Boaro or ProtesNorwt '.'1 '1-3 yV 1 02 0 UPDATED DWG. FORMAT AEM C•r5rl�atlon BSt3 c DESIGN PRESSURES 7-ZS�7 �`1 a 0 DAT BY & GLAZING DETAIL W r d.D W. N 34135 I NS R:\A-Projects\Project Folders\PM 1201-1300\pf 1201%RWBC Drawings\FL-850-REV3\FL-850.3.dwg,Model 1-1/4" MIN. EMB. (TYP.) o • D Z d O IMMNMMM� 21 4 d� N a. 1/4* MAX. z CA (o SHIM SPACE {� v m 00 (TYP.) N N w z Z A � mm rn I" MIN. 1" MIN. w N FROM EDGE E _ (TYP-) ♦ .. ..♦ d. '4 i w V m� N !� N 46 A _ y � � N C70 p v� j 01 m Z N V C +O 1-1/4" MIN. EMB. (TYP.) tDynN� u, cox m N �OT12 ® _ t70C� WO ZZ�� ♦.. N A 0...xa • '' O p n7�Ay vNi f drOnz N ch qA� 2 ♦.yd .♦ • �N y OOO Z y O rnQAC ♦' rn r N �rpn O A�–�–{{ m Z Z QVC 1/4" MAX. SHIM SPACE (TYP.) pI PRODUCT: D.um.nt. Pnpomd By: r7 EXTRUDED VINYL SINGLE HUNG GD BUILDING CONSULTANTS, INC. gl NWINDOW WITH FLANGE Ru(P.o. Bp. .3.0 v.. ., '3505 w 3 OEM 07197 DED MODEL NO, IAP YY B—d No.: ftm"Monga/En y 2 OS OB 07 UPDATED TAPCON ANCHORING AEM PART OR ASSEMBLY: G d° °�ProiwN +InSn O DATE 07 UPDATED DWG. FORMAT AEM HORIZONTAL & VERTICAL G SCacate Of� 7'2So7 SIO S CROSS SECTIONS W.."If W. POKyf,.qNo.5x+55 , yr,�)<..uv,„ae...,u,ueieYiv)acua-uuV\yi acVa W.nvrpa.Vftlwln9S\rLroJV-ncVJ\rL-dSV•Y.OW9�MOOeI - N 71 c mC� 92 m vZ:1 n E4rZqDZ pa�AZ� AAr�* Lo 0o zom� W � 2 z0 m za n ccs c aol�i•In�n m��N �vzivtQA cc,,, rnrn m A zo oom Zrc-imv w y � ; mnrm Za�am ,m vyl arca omr^o � m0Z2n ZGain �E MCOM''Igm C. i; � m Arm zz8c m 3o.,°z 6" 4"--i f-- ��m�rm a z-iz� g; c m m O x V ?0 CD Z a c j zA x m v a n " Fm U) w w w �x V) m x pX Nv Z x ix --- � g� m50 o0 MSC oc f �imx� NZ� z 7 ^'z" z" zlo� " 01J33 6L "-� 6" �m i Seo z r G7 s PRODUCT: Documents Pnpomd BY: EXTRUDED VINYL SINGLE HUNG ��pp U9.DiNG CONSULTANM. MM N WINDOW WITH FLANGE JL •o.Bo"z30 vatrko PL 33909 z 0 3 W07 DED M000. No. AP Pena No.: 917.900.91 7 2 UPDATED TAPCON ANCHORING ALM PART OR ASSEMBLY: norido 9aord ofProf«d v Cartwkato Or herizatb 9013 Vto NO UPDATED DWG. FORMAT BEY BUCK & FRAME ANCHORING 7 2S_07 SINGLE UNIT wendax w. n P.. No. 54190 R:O-proj"\Project Folders\Proj 1201.1300\pf 1201\D.RW8C Dra"s\pL-850-REY3\FL-8503.dw9,Mode fJ , -Z, 0 1 5 t czq>, • Dm�IT1MA cm- O m-z-nC fr-) 20 c Z ozmfla z r-n -imp am 0 �X "� r-1 P7 47 D US C) DOc,2202 r z 0m -,cn Azomc -i ANO N b mmZ 0 M O Zbra n O w Om5{�, (Ac y (A-G z A OI..Di<�AD ymD.C)-IM;Dc �Ez Jm M�z cmx D�am.pX �_jlnb mO cC,mN sb �Zy m Z (A r n O 0 C _ O til In n IT1 a m� X ozzmyo or-43 i m - i P.I KW opoD ITI �abAmc I21Lq mZG7 f0�o z z m'�C). Zo�i-I m Z i D rl0 yyyaco ZNnb ; 6• p A6. "'Dz o;cj mOwr rn,. 2mc I J �i -1CyyZ r ; c:-m-I-I X: It 1 r-2AC-c00 Z� 1A+�r*l a cbi ��• ~�Vi03. mrd tZ7 mZDO C Z m0 ZZ m o�M 0 M r.zA m XX 4- 1 m M m (0 D Fmyuooi mbZ'� Z� N�mZ\ NIN -0 DCS � Zf X 0ZAX �X m�cyic !>°m�m �� w OZO .� NZx Z7f IVZA �7C y Q 030 i mo� m co rn I --� t6" 3" 3" - 6"�-- I 3' w PRODUCT: Docurrona Pr"wrod W. EXTRUDED VINYL SINGLE HUNG LDq/�DILDINC CONSULTANTS. 33598 VClNC. o WINDOW WITH FLANGE YY " o Yeo rtoo FL. I� o"N 3 07 23 07 DED MODEL No. AP Ph No.: 573.689.9197 00' y 2 03 OB 07 UPDATED TAPCON ANCHORING ALM PART OR ASSEMBLY: FloridaFlO n° of or o mp'tt„I',�'I. 961 o ^� in o 1 O5 02 07 UP1Y►rED DWG. FORMAT AEM BUCK do FRAME ANCHORING I� = a N DAT RE\nSI BY TWIN UNIT Wnd•II W. H. .E No.31136 R:\A-Pro)ects\Projed Folders\ftj 1201.1300\pf 1201\D.RwBC DraWrgs\FL-850-M3\FL-$50•6.dwg,Model ` 3.086"— � w � ON = rn -�cZi m sa lN .848" Fes- II_1 318" � O ' J t UD ca X N 1.274" N + F _ N O V -:)o 2.451"� � I a -�I .793" — x o 71 � x � N O .688" t' 1.611" o CD z �? 0 ZR --{ .332" l i- 2.945" w w444" rr 00 2.036" a N TAR,2 Z PRODUCT: um is Pr w—d %r EXTRUDED VINYL SINGLE HUNG n`/ter O CONSULTANM' INC. WINDOW WITH FLANGE �/�/P.o.60. 230 Wrl—FL. 33505 3 07/25/07! DED MODEL AP 00-d No.:513.55YAt B7 Z OB OB 0UPDATED 7APCON ANCHORING ALM PART OR ASSEMBLY: 2 7 Florldo oara of P r EnGirrrn ^i v CetWlcato Of Ytthorizo No. 951 05/02/07 I� o in 0 1 UPDATED DWG. FORMAT AEM COMPONENTS `%��" 7-25'-c.;9 m NO—Q&TEI BY 51 S w.oaar w. P No. 54155 LvL R W R W Building Consultants, Inc. BConsulting and Engineering Services for the Building Industry C P.O.Box 230 Valrico,FL 33595 Phone 813.659.9197 Facsimile 813.754.9989 Florida Board of Professional Engineers Certificate of Authorization No.9813 Product Evaluation Report Report No.: FL-4065.2 R4 Date: May 10,2007 Product Category: Window Product sub-category: Single Hung Product Name: Series 2900/4900 Model 2902/4902 Extruded Vinyl Twin Single Hung Window Continuous Head and Sill With Nailing Fin Non-Impact Manufacturer: Silverline Building Products Corporation One Silverline Dr North Brunswick,NJ 08902 Phone 732.435.1000 Facsimile 732.247.6820 Scope: This is a Product Evaluation report issued by R W Building Consultants,Inc. and Wendell W. Haney,P.E. (System ID# 1993)for Silverline Building Products Corporation based on Rule Chapter No. 9B-72.070,Method 1 d of the State of Florida Product Approval,Department of Community Affairs-Florida Building Commission. RW Building Consultants and Wendell W.Haney,P.E.do not have nor will acquire financial interest in the company manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein. This product has been evaluated for use in locations adhering to the Florida Building Code (2004Edition) See Drawing No.FL-1130 prepared by R W Building Consultants,Inc. and signed and sealed by Wendell W. Haney,P.E. (FL#54158)for specific use parameters. Wendell W. FL No. 54158 May 10,2007 PFI 198 Sheet 1 of Limitations 1. This product has been evaluated and is in compliance with the 2004 Florida Building Code structural requirements excluding the "High Velocity Hurricane Zone". 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment to base material shall be beyond wall dressing or stucco. 3. When used in areas requiring wind borne debris protection this product is required to be protected with an impact resistant covering that complies with Section 1609.1.4 of the Florida Building Code. 4. Site conditions that deviate from the details of drawing FL-1130 require further engineering analysis by a licensed engineer or registered architect. 5. See drawing FL-1130 for size and design pressure limitatiokFLNo. ll W. ey, E. 54 58 May 10,2007 PF 1198 Sheet 2 of 3 Supporting Documents A Drawing 1. Drawing No.FL-1130 prepared by R W Building Consultants,Inc. (Florida Board of Professional Engineers Certificate of Authorization No.9813),signed and sealed by Wendell W.Haney,P.E. B Tests 1. Materials(Extrusion)approval number 03-1110.03 issued by Miami-Dade BCCO,dated January 1,2004. 2. Testing per ANSI/AAMA/NWWDA 101/I.S.2-97 as performed by Architectural Testing, Inc. and reported in test report 01-35010.01,dated June 18, 1999,signed by Bruce W. Croak. 3. Testing per ANSI/AAMA/NWWDA 101/1.S.2-97 as performed by Architectural Testing, Inc. and reported in test report 49625.03-122-47,dated November 1,2004,signed by Steven M.Urich,P.E. C Calculations 1. Product anchoring for tested specimens is in accordance with manufacturer's published recommendations as substantiated by tested specimens reported in test report 01-35010.01 and 49625.03-122-47. Additional product anchor analysis for loading conditions prepared, 'signed and sealed by Wendell W.Haney,P.E. 2. Buck anchor analysis for loading conditions prepared,signed and sealed by Wendell W. Haney,P.E. 3. Glass load capacity calculations prepared,signed and sealed by Wendell W.Haney,P.E. D Other 1. Certificate of Participation issued by National Accreditation&Management Institute,Inc., certifying that Silverline Building Products Corporation is manufacturing products within a quality assurance program that complies with ISO/IEC 17020 and Guide 53. WtNo. l W. , F54158 May 10, 2007 PF 1198 Sheet 3 of 3 W J Vk 0 C o >z F ® ® ® Ft m z y OrLal� a, � X 0 Z 6 1o6 g fn 4 _ G L Z gm Nu .m6RZ 'm ® ® ® ; geg m myo ,Q oz m$ v Cbz 37 ® ® S 22p G�O nl ,teag 41 f�twP$�93 0 cc: O ;� cm r � X A XXO XXZ O O O ®,;= 13 mNJ�'N W w o+ o WX.FWWE HEIGHT 97.875' in in in 6 0— 78'.675" MAX. • D.L.O. \ �� I 1 �Zz ® � 03 0 CPU in Ln o It ® ® N +CIAO UVion w OOm O� b O O C O illllZ� o ��a o' 00' gm ® ® ® 15 rn mv!oinco0�* ® ® ® ® may g +' 0000 44iwe� o ol 3 boob fit++++ $ 4 . �W o z ' 0000 CH ri 9. 1=1 03 u o ® ® ® to a ® �f03 a �----MW M&fM f 95.250' Gaon mw" MASONITE INTERNATIONAL CORP. R ro D 4 GENEM REMSIONS SWS OOAE Sr OPAOIE Z , 5 ANC o s & PLASTICS sws FNERG S DOOR 7300 REAMES RD. N B 1 05 ORIDA CHAN ES SWS PART OR ASSEMBLY: CHARLOTTE, NC 28216 N 0 Ino A 2 0 AIL SWS TYPICAL F1EMM6 �w �' `� NO. OA REMSIONS BY h COOK Holm W J Z f Z 26' 26" Ih 26" 7.375" _ 0000 w w ;ox v � N m N „ _ 0 Ln x Cn x — D �O o: of c� r S = O p (A rn rn u x x re x La w y u TIF — ro D p �)J x D T 4 MORE EQUALLY SPACED ym y 6• m 6" c o c (A--{ A = �-i4 6" 4 MORE EQUALLY SPACEDOD DA am7 — x t1DO N •CL 37.125- If 7.125"It g � �m V = ;0 OOF� �n mrry 5�Opm o O Z�--IA nZ C-,; 26' 7.375" O O C o 26" 26" S =S m O r m x PRODUCT: noon FRoa cr MASONITE INTERNATIONAL.CORP. D G ISI NS SwS ao FleoaaAss oPwp�E 7300 REAMES RD. (^' Z C 4 ANCHORS P TICS ooUXE D"that S ' y 7 8 t os FIQBIDA c s SwS PART OR ASSEMBLY: CHARLOTTE, NC 28216 p A 2 AD ;LASS DETAIL SWS ANCHOW LOCATMIS N �" NO. A REVI fONS &DETAILS �d ZOZ'rn OROMZ rO0 _ C (A C�D* -Di��NOZ-O0 � 26' 7.375" � mOJ K--n ZC800m D A 26" m r00 rnN-0 (A0E-Z Z �� KR> D mrno O�v N r L C �O Z3�Z m02rn0��m0 H_ m N'�� 0)m-n K 0 omNmr. SW<� Ni CN -•co0m Z\zc --j V) w � �rn w m OC I =2 NOr)'-mmm�0 +jIn am° ' "°� Z �</y �Z�� s prr— N � oo I'r'IW a-1Z.'0 Nyv DmlO`{Timn N> rr1 AZO >O0CD� Z ror O mm mZ�=-'c- Dz = --I c: DN= _ o tr< -4n<n _ fi �7 rn w N z%nm n=ZZZ A '0 DN =-<=;omm rfM O COn ZOZ (n � rn (rat m Dom A - - a =m l� m m T► - 7 O �g m Z z Z 6" 4 MORE EQUALLY SPACED fi' \p rnA� °(A n ZD r CL 37.125" f- ^ m 1 'm c�'; :r " a 4' W Z t4 N � � .p ZO—>ox. >0A ZrZ -< Z 1< � X vD\�0�c ODN �'w, w m S=Nn \n _ C N D °r b n'r X = ---r �--- r OmL>rn CA z rnz� — �- i ' �r N n�z�jA SOC) m Y O-C D rn 1U'T1 ��o� p� _ 10 N -0 0 U) �((n W w � O rZ Lf)M;u C) O rn 0 m O� DZ z 4 MORE EQUALLY SPACED O 6"rrr ` g• w Fn fTl O � PRODUCT: g U7MI R Hoar PRUWr" MASONITE INTERNATIONAL CORP. w N D a o s aro o>MUSEE WW WT 7300 REAMES Rd. $ y y 4 HOA P S PART OR ASSEMBLY: CHARLOTTE, NC 28216 S4 o A A D ANCHORING LOCATM ' DATE REVISIM �WAILS NAMI NOTICE OF PRODUCT LINE CERTIFICATION Certification No.: 1�T1005930-Pase 1 _ Date: 02/17/05 Revision Date: A 0/2007 _i. Certification Program: Structural Company: Masonite International Code: M-703-1 The"Notice of Product Lane Cation"as valid only when Aamiaistrator's Seal is applied to the upper left hand portion of this form and a certification label is applied to the product This cectificatim seal product confomoity to the applicable apecificacion and that all certification criteria has been satisfie(L The products and sysw= listed below are approved for listing as the Directors''of Certified Products at www.NAhMC9Wfr0999.oM Please review, and advise NAM immediately if data, as shown recp fires corrections. Company: Masonite International Corporation 1955 Powis Road West Chicago,IL 60185 Product Line: Masonite PICK211 *-SWe-Hm* nd Door Units Test Report: NCTI.-210-3102-1/210-3105-1/210-3107-1!210-3108-1 Section 1: General Description of the Products and System under this Certification 1.1 Dame: The frame jambs consist of finger jointed pine with all corners coped,butted,and sealed using three 2"long wire staples(.04375'). 1.2 Mullion Construction: Where used, each mullion constructed of laminated lumber and attached to the header and threshold with three#10 x 3"Philips Flat Head Wood Screws, 13 Glazing. Where used,the overall impact rated laminated glass was glazed into an extruded aluminum fi=e. Consisted of 0.124"Anne or 0.090"PVB-0.124"Annealed-Decorative Insert-0.124"Tempered 0.124"A=cdcd-0.090PVB-0.124"Annealed-0.124"Tempered Glass- 1A Door Leaf Construction: Each door leaf was constructed from 0.075" thick reinforced fiberglass composite material.' Top rail and stiles constructed from wood,with or without composite edge band. Natbnal Acereditstion&Management lnsdtnte,Ine. 11870 Merchants walk Suite 292-Newport News,VA 23606 TFL(757)594.8658 FAX(7r)""659 Jf City of Atlantic Beach APPLICATION NUMBER S Building Department (To be assigned by the Building Department.) 800 Seminole Road 1 r� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 0 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 17 7 a ment review required Yes No Buildin 1E�,ire 5�S ning &Zoni Applicant: - Tre minis rator T Pu ' Wor Project: d� Public Utilitiesp Public Safety Fire Services i Mid, Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUI LPLANNG &ZO Date: e-) Reviewed by: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 ik s`["v:-yam Lok20 t 1_.64-zo VACA TI Ik j I tt ki j k ! t { ! f { j k i t CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- OFFICE:(904)247-5826 a FAX NO.:(904)247-5845 BUILDING-DEPTGCOAB.U S BUILDING PERMIT APPLICATION DUVAL COUNTY 77JOB ADDRESS, " 2.VALUATIQN OF WORK, ,, „ -r: ; ', 3.S0.FTt UNDER ROOF. 377 STw sT }►'TUh1'CIG� t-N fL. o K �� 41EGAI DESCRIPTION. 5.CLASS OF WORK `" 6.USE,t)F,STRUCTURE. -a .:... •w� N N ,fir ❑NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT+_BLOCK SUB DIVISION A /1`e+ llt- ADDITION ❑CONVERTING USE ❑COMMERCIAL 71 DESCRIPTION OF:WORK ❑ALTERATION ❑ACCESSORY BLDG. S.FIRE SPRINKLER. ❑REPAIR ❑POOL/SPA 11YES ❑N/A _'oY,- ❑MOVE ❑OTHER ❑NO PROPERTY OWNER"'," ,•. CONTRAC ORr,f ARCHITECT I ENGINEER: " 9.NAMEJoh Q Af �`� 15.COMP NY NAME: 23.COMPANY NAME: Vrc h1, E A. Ic�ITL'72Q1R13 G$ "Li_ N41�1 � 16.NAME: 24.LIC NSEE NAME: moil 04 nVT ( 4eA � ?.R. 10.ADDRESS: 17.STATE OF FLORIDA ENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: ST i 5 I/ �� „�-1T`w �{J • F` 18.ADDRESS: ZR 26.ADDRESS: 1�� Ype� bow ` 3` v, We w • F 1.A'u J c 4)c SI&S( 11.OFFICE PHONE: 77. : 19.OFFICE PHONE 20.FAX NO' f 27.O ICE PHON�: 2B.FAX NO.: Z�IfrJ 01 5147- 13.CELL PHONE 33 - �O 21.CELL PHONE:�� 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EM I ADDRE S: 30.EMAIL ADDRESS: 01C"f net" FEESIMPLE.,,71TLEHOLDER BONDING COMPANY: MORTGAGE LENDER IF O-MtRtkANONINER) , :•'i - - . -� 31.NAME: 33.NAME 35.NAME 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: ** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT '" CONTRACTOR ual' r (If.Agent,Pow of Attorney or Agency Letter Required) nly)' T Signed: Date: Signed: Before is �d�y2009 in the county of Before me this day of 2009 in the county of Duval, to of Florida,hDuval,State of Florida,has personally appear herin by himself/h If firmV tall tat m nts and------atro are herin by hims /hers I a d a a s t tions are Notary psublrc SPtate of Florida " Notary Public State of Florida true and accurate. iQ �� true and accu a sQ , Bartara K Kennelly frarbara K Kennet,ty Notary Public at La e•y�,,y. f My Cortlmisgigpt�&88781 Notary Public L dF�timi�ipq, 8f1 7OFn pyres 11/2013 11 Personally wn OF Expires 03/11/2013 ❑Personally Known ❑Produced Idenff - ❑Produced Id - Notary Signature: Ct-RGt 0-' Notary Signature: f�t BLDG01 Permit Application Bldg:REVISED:12/18/2008 City of Atlantic Beach APPLICATION NUMBER JS f Building Department 4UL 1 0 2009 (To be assigned by the Building Department.) Y s 800 Seminole Road g� �� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904) -- A E-mail: building-dept@coab.us L49 Date routed: 7 L& City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ,7 7 17Ae a ment review required Yes No Buildin Applicant: ? 1�� . 5�S ning &Zoni Tre minis rator Project: C Pu Wor / Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) �mme ts: BUILDING Nv _ /�� ` lh,,i S�� n Ake-,` PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 Public Works Plan Review Comments Date: � l (n� 0 9 Initials Project ect Name/Address• �'�r] � Application ermit#: '� Ghe Say Agphcation Tracking Comments to<Ad Comment Provide impervious surface calculations. ❑ Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ❑ Provide construction site management plan, including Right-of-Way Permit if using ❑ - ri -t-of-way for-construction_ parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surve or, showin 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting ❑ proper construction will be re aired. A Right-of-Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool—Wellpoint(if used)must discharge into vegetated area 10' minimum from ❑ street or drama a feature (swale, structure or lagoon). All concrete driveway aprons must be 5 inches thick, 4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW(Commercial drivewa s—6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and, must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the laps. P-Roll off container company must be on City approved list and cannot be placed on City right-of-way. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O�_ I I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 11JOB ADDRESS; 2'.VALUATION OF WORK . 3.SQ.FTIUNDER ROOF, 3?1 STw ST. A-MrAML 4[LEGAL DESCRIPTIONS * 5.CLASS QF.WORK' +` 6.USE ,OF STRUCTURE:' ..` M N 11NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT BLOCK .7 SUB DIVISION� A � ADDITION ❑CONVERTING USE ❑COMMERCIAL 7;DESCRIPTION O,F.WORK ? ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER . LD��/� ❑REPAIR ❑POOL/SPA ❑YES ❑N/A F I ry �• •�' A`^��r6'T ❑MOVE ❑OTHER ❑NO 77,,,7 777 "PROPERTY.OWNER '''. CONTRACTOR:. ,_, _ `ARCHITECT(ENGINEER: 9.NAMEJoh Q 4 W,..L__ 15.8; NY NAM�TL� ISG 23.LeliCOMPANY NAW?Q J 16.NNAAME: '1",D�`4 `�e00`�^• 24.LIC NSEENAME' ^-�__I-I 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: r11� 10.ADDRESS: TO _ 150 I 3'1"1 S A ?`G ��• F` 18.ADDRESS: 2� 28 26.ADDRESS: 31-'2-33 we5� F i'i4 J4 X Fi. 312-S6 11.OFFICE PHONE: 12.FAX NO.: 79.OFFICE PHONE 20.FAX NO 27.OFFICE PHONE,: 28.FAX NO.: +FJ IMw� 13:CELL PHONE: ' (00 21.CELL PHONE:&.,�'+ 29.CELL PHONE 14.EMAIL ADDRESS: 22.EM I ADDRE S: y e� 30.EMAIL ADDRESS: � eco��f n _ FEE SIMPLE TITLE HOLDER.: BONDING COMPANY MORTGAGE LENDER „. OF orNFJi THAN ovMFsi) _ r. 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. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 01NNER or AGENT CONTRACTOR (If Agent Po 'of Attorney or Agency Letter Required) ual r nly)' 7 Signed n'' VAPS d Date: Signed: r �� `lI Before Is day ofaa 2009 in the county of Before me this day of 2009 in the county of Duval, to of Florida,has personally appeared Duval,State of Florida,has personally appear herin by himself/h elf aaa000ddd rms th tall tatements and decl%atro are herin by hims /hers I a d a a tions are ,N• Notary AN ie State of Florida Notary Public State of Florida true and accurate. • �r true and accu e Barbara K Kennelly Flarbara K Kennelly Notary Public at La e, fa f° My COmmiS}igpl�}�SA8781 Notary Public L (�mmissioa 6 �$rl ❑Personally Known o,p plres 11/2013 ❑Personally wn`hortti Expires 03/11/2013 ❑Produced Idents ❑Produced Id Notary Signature: /� ��- Notary Signature: BLDG01 Permit Application Bldg:REVISED:12/16/2008 City of Atlantic BeachAPPLICATION NUMBER Building Department rl_IL 1 0 2009 (To be assigned by the Building Department.) S 800 Seminole Road 9— o6 r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904) fit E-mail: building-dept@coab.us Date routed: i 9 e City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ol pepadment review required Yes No Buildin Applicant: I ning &Zoni Tgr minis rator Project: f'n1xV7)d'ee114T ,�/ Pu Wor Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: )(Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: QApproved as revised. ❑Denied. PUB WO KS Comments: CTBL I PUBLI AFETY Reviewed by: Date: FIRE SERVICES Third Review: [—]Approved as revised. [—]Denied. Comments: Reviewed by: Date: Revised 05/14/09 t?' �t'°vrir. CITY OF ATLANTIC BEACH °? 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O�_ I I ( I I & rWi - rN OFFICE:(904)247-5826*FAX NO.:(904)247-5845 BUILDING DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1;'JOB ADDRESS;_ " 2.VALUATION OF WORK 3.SO.FT UNDER ROOF 3TC STN ST AMAPA C., WA-f- fl.. Aro 4 LEGAL[)ESCRIPTIONi , "i, r. 5.CLASS OF WORK" ;•, ,. 6:USE-OF STRUCTURE: 19N ❑NEW BUILDING 13DEMOLITION ESIDENTIAL LOT BLOCK #7 SUB DIVISION� ADDITION ❑CONVERTING USE ❑COMMERCIAL 7>,DESCRIPTION OF WORK- ,u. ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER..c + ' ❑REPAIR ❑POOL/SPA ❑YES ❑N/A `� •�'�"r`� wk� ❑MOVE ❑OTHER ❑NO ;; PROPERTY OWNER. . CONTRAC OR:: " ARCHITECT/ENGINEER: ." 9.NAME joh Q 4 W LL- 15.COMP NY NAM 23.COMPANY NAME: Vrch6 to 6 R- TWRP�RISMa LrW N4►�l � r 16.NAME: r-&�RVIM`4f T 24.LNSEE NAME: Arc • • • 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: iso l A�T L`. lw-iA• ` 18.ADDRESS: +f(_ Zg 26.ADDRESS: t Q�$ Y pC� 3�X33 w�S'T R AMC- C441 FL J AX FL. 3?ZS(o 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE:_ 20.FAX NO.: 27.OFFICE PHONJ: 28.FAX NO.: 13.CELL PHONE �� + �O 21.CELL PHONE:&.2( 29.CELL PHONE 14.EMAIL ADDRESS: 22.EM I ADDRE S: e� 30.EMAIL ADDRESS: aGl�tow�cas�:h FEE SIMPLE, BONDING COMPANY MORTGAGE LENDER:" .• (IF ER THAN 0111 'A .r '- „_. .� _. _. 31.NAME 33.NAME 35.NAME 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. k 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. OWNERc AGENT:; CONTRACTOR (If Agant,Pow`of Attomey or Agency Letter Required) ual' r nly)` 7 .�f Signed: Wad '� Dater Signed: Before is _day of 2009 in the county of Before me this day of 2009 in the county of Duval, to of Florida,has personally appeamd Duval,State of Florida,has personally appearedJ herin by himself/h eff aQFlrmsth tall tat ments and declaratio are herin by hims /hersel a d a aMt�+fPi ions are r Na�ary ubl�c Stale of Florida true and accu es4° "�G Notary Public State of Florida true and accurate. Barbara K Kennelly ^ fiarbara K Kennel/ Notary Public at La e,• �a f My Commisgigp X88781 Notary Public L olfQy Ly mi ech., �!r8fl ❑Personally Known Vor M1 p.res 11/2013 ❑Personally wn�oi a Expires 03/11/2013 ❑Produced Identf - Produce Id - Notary Signature: /� e' Notary Signature: BLDG01 Permit Application Bldg:REVISED:12/18/2008 City of Atlantic Beach 'APPLICATION NUMBER Building Department (To be assigned by the Building Department.) r ' 800 Seminole Road j Atlantic Beach, Florida 32233-5445 w Phone(904)247-5826 • Fax(904)247-5845 A E-mail: building-dept@coab.us Date routed: 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 27 7 P� (�Wf 7- QepartLment review required Yes o Buildin Applicant: I` 1��j�}r� 5�5 ning &Zoni ITEreq&Admffinistrator Project: dll? T ,y� Pu ' Wor Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: (EFF1 c PLANNING &ZONING Reviewed by: Date: 7— /7C) TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029006 Date 9/14/04 Property Address . . . . . . 377 5TH ST Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - -- ------- -------------- ------------------------ VENN, JOHN OCEAN STATE HEAT & AIR 377 5TH STREET 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (9 04) 249-8251 -------------- ----- ----- --------------------------- ------------------------- Permit MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 a PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,(), ° I.A. BUILDING OFFICIAL C�ccO�- a=� CITY OF ATLANTIC BEACH r MECHANICAL PERMIT APPLICATION l Date: /fog Property Address: , - .� Owner: hfkA, �� Telephone #: Contractor: oce = (0-TQcTe C Telephone #: Contractor Address: 141�p a'('[,,� rtu C,I'>t A r Fax #: in consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: Electric ❑ Gas: LP _Natural _Central Utility f ❑ Oil f V ❑ Other—Specify__ MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space _Recessed )C Central _Floor Residential Air Conditioning: _Room Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm :D Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalator (Number) Replacement of Existing System L3 Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency © M-Law"k- 6"Td� LUC- HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# II Manufacturer BTU's Agency G*ukl TANKS Nominal Capacity Type Liquid Serial Approving How Manv &Dimensions Contained Manufacturer No. Agency 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ei.atiantic-beach.tl.us CITY OF ATLANTIC BEACH -' 800 SEMINOLE ROAD J ;r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001034 Date 7/29/09 Property Address . . . . . . 337 5TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 11245 ------------------------------------------ Application desc FL 8131 . 1 --------------------------------------------- Owner Contractor - ------------------------ ----------------------- MANN, RICHARD S . HICKMAN METAL ROOFING 337 5TH STREET Q/C:HICKMAN,DONALD LAWERENCE ATLANTIC BEACH FL 32233 PO BOX 5515 GAINESVILLE FL 32627 (904) 779-5786 --------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . Permit Fee . . . . 86 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 11245 Expiration Date . . 1/25/10 ----------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- ------- Permit Fee Total 86 . 00 86 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 86 . 00 86 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jul 16 2009 1 1 : 21 AM H I CKMANMETAL 3523774656 p. 3 CRY OF AT1A#mc BEACH OSS s 1 8M SBW*LE ROAD,ATLANTIC BEACM,FL RM . ,.,,�.r...,�......�.__._� OFFICE:(90e)2e74M•FAX NO.:(/04)2474MII 9UILONG-DEPTOCCAS.US BUILDING PERMIT APPLICATION... DNA.COUNTY 4. 15 a %1a4 NE1NaUMD1No O oEMOLITwrn ESIDEN7IAL LOT t?IC1CK aIJB dVI810N O ADDITION 0 COaVr3r,eHG UKC ❑ALTBVI?ION 0 ACCESSORY 9 DGS Q rPA1R ❑POOL f SPA ❑YES Q tip► YIT&& t—� ,a NArnE: Q. 2&COMPANYNAME 24:LKS VA&M � 1 ,STATE OF ORIDA N0.: 26L STA OF LIC N0.: 10.ADM •` 1a AODr,Eatk 20.ADORES ,,.OFFM WHONE: 12.FAX NO.: 191 OFFICE PHONE FAX NO.: 27.OFFICE PROW- 2a.FAX NO.: L pµ lE. 2t CELL PHONE 2/.CELLPHONE - p •ra3�c 11.®`AIL AJORESM EMAIL ADDRESS 90 ErNN AtX>RESe: 31.WANE ;; NAME NAME 32 ADORER'S ADORESB: ADDRESS r Appica" is hweW mads to obtain a permit:to do Rha work and inete/etiorts ore indicaled. i car*that no work or k*eHation hes connma mied prior to B,a issuance of a pw(M and that all work will be pwtrmsd b rreet tins standards of all 4ws relpUMOQ eonWuCdOn in dit juriedickdt. Ible pemdt beoorrtes null and void �O work Is not commenced YA#dn sk(6)nKm to,or•K oonst uallon or work is suspended or abandoned for a period of am(6)OXXWU at enj time artier wwk is aomntenced. i wuleveland Blot separate pennib must be secured for Bedrka W Phoubb%3WW Welk.En Furnaces,Boom Hssbss,Taalcs, Air Conditlmwre,eb OMamm AFFIDAM-1 certify Vwk all ye pAwpuwqgiMormation is Accurate arNt tud ad work vA be dans in com Wlerme with all applicable laws m96-4 inp condr ucIon and zoning.I wil nob Ocoupl►or use Rha re:famnoad tub"or Agri part awd,urd all inspersions are flnaisd turd prior to oitsW%a ow iftoft of occupancy or cortrpietion issued by the building oflic(al.as mpikled by isw. �r>wn+r WARNING TO OWNER: YOURSFAILURE TO RECOR*AOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGGTWICE FOR IMPROS TO YOUR PROPERTY.A NOTICE OF (ON (CEMENT MU1ST BDED AND POSTED ON THE JOB SITE BEFORE THE FIRSTiNSPECTION.IF YOUTO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. arm T--- ' j, w0d4. Z►° : " Dnlge 7-1'I-fief Before me_hls & _day of — _"in vw axmv of adbre eta sda day d 2009 IS the county d. Dural,S**o1-F1orft.has paem Aft appowed iDuval.Stab otHorWa,Ma Vatwrla9Y AOPwVd - t hada by INS lharaaN and arlllaw ala as Wobmerkl alhd dacMMIO al are haft by N~i bw"W and SWAIM slat AN 1110194111ft And dardarseolls are tno and aMmU r/ /r true and aonnb. NoEay Potft w Large.8teft of r ( '0.41 GL�_ NOW V PUMIC At LAMS.Bble Of �L- .C"*of o P..ervm4F worn +wr Proa,<Md wbrnsa JW- 4^ o Prodao.o 1dal kn Nery sfp:aeae Nar.ry o>ata T.P1e18h MYORMV.11SION*DDXM 9 ` $ .hum �T��i EXPIRES:mey31.me 84.0001 Pe'84Appiomkn WF �Cm=,*Wtb (eerisesot�a FrxiaeNarys.+vtosean Jul 16 2009 11:21RM HICKMRNMETRL 3523774656 P•2 I NOTICE OF COMMENCOMENT PsrmillNo.ar ,,,I Tax FoNoIP*roel ID:MIA —bdt Sia State: County: V The ugdensWwd hereby glove notlospWirnproverner1tvvill be made to CWWM real property. In aeeordence with Chapter 713,Florida tMsbrtes,tt ffaMowhM infonnedon Is provided in the Notice of Comrnsncems it: 1.Dent ription of property(Ispat descript)on,lot.block,and street address M!available): KsC00� 's i ,nDiTLeaci s Eo_ ME LAINE K0/RBK60d4-313 2.General despn of MnplovemeM 38.Ow_nsr nams/sddress: _ 3b.interval in property: Sc.Name and address of fes sample Iids holder( other ftn_owned: 4.Coetrgctor-Qwilkr New ertd Address: i��c YY��+t'1 �TTI1f iC ^A WA) r S.Sudety—Name and Addresa: r Arttbunt of bond:i 8.Lsidsr—Name and Address: 7.Petiaoo5 within Ills Stats of F"IorWa by Owner upon 4*wrn noel ss or olhar documents may be served as provwad by SscWn 713.13(1)(*)7, tdutes: S.In WdIdw to hinNMrself.OwnertolblloWng persons)to mosivs a copy of the Usnors Notice as provi4ed in Section 713.13(1)(b),Fla Statutes[Provide Name lalling Addrwl: Q.NCC expiration daft(ons full yaw h�m the date of mcon ft unleas difhrant date Is Wedfled): - i WARD.ONG TO OWNER:ANY PAYMEOS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDEREDIMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, FLOF.IDA STATUTES,AND CAN 34LT W YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOITICE OF COMMENCEMENT M'PMI T BE RECORDED AND POSTED ON THE JOS SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO WORDING FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR YOUR NOTICE OF COMMENCEMENT. Ved#caWn pursuant to Section 92.025,Florida StOwlse: Under penalties of perjury.I declare that I have readhe foregoing and that ttls. staled in i era true to the bast of my knowledge and belief. r Signature of OwrodA Natural parson Data (of Ownwe Authorized oftec DlrectoriPsrUuer/AYnagor) ST/i'E OF FLORIDA' h i cvuhty of V Th*Xorepoing Instrument tras ac knOwHedged befors me this day of J .20 9&bby I (print name of (type of aul0orky,epi.officer.tnab*. in faces for��(name ofof party on b*hW of whom inatramsnt rms ). y PubNe ; Perajlo"I Knovrr►: Pfoducad Idantiileatlort Y. JAMES N:SUWpEp_ 't! NrdrlPliio•6glidHkAda: NOC.July 2W Ila] ,� coaew.rneopnao7o . y... a,ww°i 7Nur"P �sno fre wanes Jul 16 2009 11 :21AM HICKMRMMETRL 3523774656 p. 1 2405 NW W CT R3ainmville, FL 32653 Hickman Metal 1-800-662-8897 352-377-4656 fax Roofing www.hickmahmetal.com i FWc x311 K$a h PrwM Ram Ckp kt- r...:: Intl 'OWN DOW -1T,Cn, *a �VN yj Ca: _ a D tlWt 0 For Rwiew 0 Plsa Comm 0 Plea R.py 0 PI"M R.CVW* = f 4 Cerernonts: _ t t CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 r. 4 , r r?Sill Application Number . . . . . 09-00001108 Date 8/03/09 Property Address . . . . . . 377 5TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7685 --------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- VENN, JOHN JOHN GILMORE ROOFING, INC. 377 5TH STREET 11647 GWYNFORD LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32223 (904) 880-8044 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 68 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 7685 Expiration Date . . 1/30/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68 . 00 68 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 68 . 00 68 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH t 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- I I= i r sr OFFICE:(904)247-5828 a FAX NO.:(904)247-5845 BUILDING-DEPTCCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY ;A.;;JOBADORESS.. _ ` 2.VALUATION OF,WORK d- 3.SO.FT;,UNDER ROOF,, „ 5.CLASS 77 4:LEGALDESCRIPTIONS'_ ORIC``i' ,...t,, e:U STRUCTURE. ❑NEW BUILDING ❑DEMOLITION UrRESIDENTIAL LOT_BLOCK�SUB DIVISION �ITION 11 CONVERTING USE [I COMMERCIAL "F 7:'DE$CRIFTION OF WORK. '! " ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLE _ ❑REPAIR ❑POOL/SPA ❑YES N/A ❑MOVE ❑OTHER ❑NO PROPERTY OWNE ACTM.....` ARCHITECT/ENGINEER: .;;•, 9.NAME: 11 15.COMPANY NAME: 23.COMPANY NAME: ,141ri LZi'i C/bYl v��h 18.NAMt4- y r 24.LICENSEE NAME: 10.ADDRESS: 17.STAIrOF FLORIDA LTCEINSE NO.: 25.STATE OF FLORIDA LICENSE NO.: PL7,t 3 7`7 5 L-- 5lye e-f 18.ADDRESS: ),r�i.. �7r® C �• �t� 26.ADDRESS: hf/4 YI�' & 2 2-L-3 lsl .1. e3 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: O 13.CELL PHONE: O 21.CELL PHONE:el-9S _-/ jy 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: F.EE SIMPLE TITLE HOLDER BONDING COMPANY: MORTGAGE LENDER. �' - - (IF OTHFI2 THAN OVIINF32) i_ n^^ _ 1.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. ,k*Ik 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. VN AGE AGENT CONTRACTOR (If Ageri Power`of AAtttoindy or Agency letter Required) alfier Only) Signed: �/�-� Date: Sign Date:. Before thi - day of 2009 in the county of B me thi day of 2008 in the county of '�uval,`tate of Florida,has personally appeared al.State of Florida,ha personally appear herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State otv, ,County of Nota lic at Large,State of-Qs County of ❑Personally Known ersonally Kno roducsd Id t' tion NOTARY PL`BLIC-STATE OF FLORIDA tion � rnnj erSURA Notary Signet Notary Signet E CI' r`J`s•'.i IjLjuj . j3,.r,ir s NWiR , Commission#DD652176 BONDED THRU a LAN i i L 6ONDING Ca,INC. °Expires: MAR. 18,2011 BONDED THRUATLANIIC BONDING CO.,INC. BLDG01 Permit Application Bldg:REVISED:12/18!2008 21 J� CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 J"µ ' Application Number . . . . . 04-00028582 Date 7/20/04 Property Address . . . . . . 377 5TH ST Tenant nbr, name . . . . . . REPLACE: EXISTING WINDOWS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6415 Owner Contractor ------------------------ ----"1------------------- VENN, JOHN KINCO' LTD. 377 5TH STREET 5245 OLD KINGS ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 355-1503 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 6415 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Grand Total 97 . 50 97 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. - '0, ( - q-"K BUILDING OFFICIAL Cc: CITY OF ATLANTIC BEACH D. Ford BUILDING / ZONING DEPARTMENT L. Higgins is1 S. o J 800 Seminole Road J � Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 01A ©-MS`U-2-- Property Address: Applicant: t�3 C�> LAE) ) " Project: 12-,W�-jq LIJ I tJ +J � This ermit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. IlA Reviewed By: V Date: i k I V CITY OF ATLANTIC BEACH J WINDOWS, SKYLIGHTS, GARAGE DOORS,HURRICANE SHUTTERS r, OR Date: Job Address: Owner: ,�p Address: :i 2 d��°--�� i �, n�� Phone: � � Legal Description: Block Number: Lot Number: Zoning District: Contractor: X�/, C=�2 State License Number: Address: S`� S �D i��u� ��1Z, Phone: �� S�✓%� �(v City: �(0'.��LLZIr�� State-X-? Zip: 3- .�7- Fax: 9l %3:D1-26C Describe proposed use and work to be done:�/2 / >['t'f' cp',L°�/S�'rQ2J_(' �,�� ,�/fin/��,-e 2/�'�^ c Present use of land or building(s): Valuation of proposed construction: ` Is approval of Homeowner's Association or other private entity required?� f yes,please submit with this application. Required Building Data: / Mean Roof Height Building Width P9 ft Building Length l (ft) Roof Slope J Window Height - � ly(ft) Window Width a (ft). Window Elevation from Grade ?j (ft) Measurement from corner of building to window Sa"A 4!.!I xft) '$) Number of windows being installed Mean Roof Height 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.cLatiantic-beach.fl.us Page 1 Revised 1/27/03 ,-�,D L" R-) u 57 a Q 0 �a 557 Im ve Book 11907 Page 1872 5 MIN. R I`'J e� NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Address of property being improved: �C' General description of improvements: ro�` Owner: 9111 Address: Owner's interest in site of the improvement: T�t'�5?/-Vcf R.- Fee Simple Titleholder(if other than owner): Name: Contractor: Address: , rte. Telephone No.: ��5 Fax No: 5� 1872 Surety f i ed 3ty(if any) Recorded 101:700 Address: Amount of BowDW Telephone No: Fax No: _ n 3 5.00 Name and address of any person making a loan for the construction of the improvements �REC DD I f 4.00 Name: Address: Phone No: Fax No: 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: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: L " Address: Telephone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1)year,from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNE / Signed: l✓ ��h--1—'� Date: 7- ( ' Before met ' % day of in the County of Duval,State Of Florid personally appeared Notary is at'Large,State of Florida,County of Duval. My commission expires:' Personally Known: / "•. a or s a no or Produced Identification: ? M 7a; •;k of F;dSA� BONDED THRU TROY FAIN INfURANCI,ING 0AC 3.In :x Kf•1yy ' ~< < K G~ FS -1 N K /pppyyy� A� Ap r* O1[ 'gyp A f1 ry Axl . OO �So d r � ^ w oA a1n �n N ��^,� =N v•KO �Py no � cO � = pr •Afiy G � •'J[[J � Da � as A �n 1'10 T n,p C ^x Z r•i A A mN 3:1s bd T C) W < O. T 9y110, K ^y o r > y A o- L i C7 N C n't_ MPIA tr= M m im A� A =nn m C 2 r -mn i p D C3 Z M \ \ cc n xS 1 � _ I I -114"� n M Z z=y� ns>< snip �gm C ZaaZ o�wy 1'1W> NZ�< �j,l Z Ate' K tU L y - c''•' - Co obi=mL (':,'^ � .•��, F��?� � ��•1 •rz� �F ulwa�iw_~ Y1k 4NUNM ossosa� ptnNC NpN{ln�o g7 (' _ Tmm .14 xxxxr�x u=urrV exxxtl� xxx"n�N N(� m� F m0 >f~~ HillZ 1/� D a x Su u i � OrL o D M O r L1Z u � npi �^ n n� nnn nnn nnnnnn nnnnnn nnnnnn + n $ � L �1 =Z �n9 C: ob��• �nnnn�tri nnnnnn nn�nn� {innn�n = Z i' y 7z �o�� l Y -r�i to DC7 �' g� R Zr ror0 .... .... w wwwww wwwwww o D R r �- u� 1, '•1'w kf 1fi�b bbii i� ii iinilAii i, G _ Y1a NUM N- _ ..� Q w4 ww ` K d I.1 9 ♦ _ pww nb+.l�kfw Q2`wkwf ww kf in in`•n O L sAd g u e to Fo- c NC: C � AIM Arw NATIONAL CERTIFIED TESTING LABORATORIES C1464 GEMINI BOULEVARD-ORLANDO, FLORIDA 32837 PHONE(407)240.1366-FAX(407)240-8882 STRUCTURAL PERFORMANCE TEST REPORT Report No: NCTL-210.2716-2 Test Date: 10102/01 Report Date: 10119101 Client: .Kineo, Ltd. 5246''Old.King Rd. Jacksonville, FL 32205 Test Specimen: •Kinco, Ltd.'s Series "TB-4/1" Single,Flung Aluminum Prime Window (H-LC50). Test Specification: AA.MA1NWWDA 101ILS.2-97, "Voluntary Specifications for Aluminum, Vinyl(PVC), and Wood Windows and Glass Doors." TEST SPECIMEN DESCRIPTION (( General: The test specimen was a one-over-one tilt single hung aluminum prime window measuring 53"wide by 97"high,overall. The active sash measured 49-518"wide by 49"high. The fixed lite was glazed to the frame members,providing a viewing area of 47-11116"wide by 45"high. Frame and sash members were thermally broken. The active sash was removable via a single coiled, spring balance with locking tilt shoe located in each interior jamb track. One rigid vinyl lock was located at 3"from,each end of the active interior bottom rail. One(1)plastic tilt latch with thumb actuator was located at each end of the interior meeting rail. One (1)die cast pivot bar was fastened, with one(1)screw at each end of the bottom rail. The frame and active sash was of single screw butt-type corner construction. The fixed meeting rail was fastened to the jambs at mid-span with one (1)screw. Glazing. The active sash was exxteriorglazed and the fixed lite was interior glazed with 0.220"thick clear annealed glass using a silicone bedding and rigid vinyl glazing bead Weathemeals: One (1)strip of center fin polypile weatherstrip (0.290"high)was located at the interio face of the top rail and both stiles. One (1)strip of centerfin polypile weatherstrip (0.290" high) was located at both stiles. One (1)strip of vinyl weatherstrip was located at the bottom rail. Weeps: One (1) weep notch measuring 1.112"x 318"was located at 4"and 22-114"(from each end of the sill face. One (1)weep notch measuring 1-112"x 318"was located at each end and at mid- span of the interior screen retainer sill leg. PROFESSIONALS IN THE SCIENCE OF JES17NO 4 , Kinco, Ltd. -2- NCTL-210-2716.2 Interior&.Exterior Surface Finish.- White painted aluminum.. Sealant: The frame and active sash corners were sealed with a silicone sealant.. TEST RESULTS .r. No. Title of Test &Method Measured Allowed 2.2.1.6.1 Operating Force Active Sash Up 28 lbf 35 lbf Down, 9 lbf 35 lbf 2.2.1.6.2 Deglazing-ASTM E987 Active Sash Meeting Rail (70 lbfl 3.2 % (0.016) <100% .Bottom Rail (70 lbfl 4.2% (0.021') <100% Left Hand Stile (50 lb)q 3.2 % (0.016') <100% Right Hand Stile (50 lbf) 2.8 % (0.014') <100% 2.1.2 Air Infiltration -ASTM E293 1.57psf(25 mph) 0.13cfm/ft0.3cfm./ft2 (0.10 cfm/ft") 2.1.3 Water Resistance -ASTM E547&ASTM E881 5.0 gph/fta WTP= 7.5 psf No Leakage No Leakage 2.1.4.2 ** Uniform Load Structural -ASTME880 75.0 psf Exterior 0.090" 0.196" 75.0 psf Interior 0.075" 0.196" 2.1.8 Forced Entry Resistance -ASTM P588 Grade 10 (See Appendix A for test results) Meets As Stated No glass breakage or permanent damage causing the unit to be inoperable TEST COMPLETED 10/02/01 The tested specimen meets(or exceeds)the performance levels specified in Table 2.1 of.A,AMA/ NWWDA 10111.S.2-97 for air infiltration. The listed results were secured by using the designated test methods and indicate compliance with the performance requirements of the referenced specification paragraphs for the H-LC50 product designation. Kinco, Ltd. -3- NCTL-210-2716-2 Detailed drawings were available for laboratory records and comparison to the test specimen at the time of this report. A copy of this report along with representative sections of the test specimen will be retained by NCTL for a period of four(4)years. The results obtained apply only to the specimen tested. No co"lusions of any kind regarding the adequacy or inadequacy of the glass in the test specimen may be drawn from this test. This report does not constitute certification,of the product which may only be granted, by a certification.program validator. NATIONAL CERTI.BI.ED TESTING LABORATORIES DAN CONYERS Laboratory Manager 03/05/02 TUE 10:06 [TX/RX NO 71741 Z009 Kinco, Ltd. -4- NCTL-210-2716-2 APPENDIX A Forced Entry Resistance Test Results Test Method• ASTMF588-97, "Standard Test Method for Measuring the Forced Entiv Resistance of Window Assemblies,Excluding Glazing Impact,'. TEST RESULTS Parwrabh No. Loads Duration M emure Allowed 10.1-Lock Manipulation 5Minutes No Entry No Entry .10.2.,1.1-Test Al L1=200 lbf 1 Minute No Entry No Entry 10.2.1.2-Te8t A2 L1=200 lbf X Minute No Entry No Entry L2=100lbf interior .10.2.1.3-Test A3 L1=200 lbf 1 Minute No Entry No Entry L2=100 lbf exterior .10.2.1.4-Test A4 L1=200 lbf 1 Minute No Entry No Entry L2=100 lbf interior 10.2.1.5-Test A5 L1=200 lbf ' 1 Minute No Entry No Entry (` L2=100 lbf exterior 10.2,1.7 Test A7 L1=200 lbf 1 Minute No Entry No Entry L2=100 lbf interior L3=35 lbf interior 10.2.1.8 Loch Manipulation 5 Minutes No Entry No Entry 10.2.4.2 Fixed Lite 5 Minutes No Entry No Entry Glazing/Ponel Manipulation