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322 6th St (vault) -,, CITY OF ATLANTIC BEACH •r 800 SEMINOLE ROAD ? ATLANTIC BEACH,FL 32233 J, ! `� INSPECTION PHONE LINE 247-5826 Application Number 06-00032054 Date 1/19/06 Property Address . . . . . 322 6TH ST Tenant nbr, name . . . • . • INSTALL PROPANE TANK Application description . . MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor LITSKI, PETER SAWYER GAS COMPANY 322 6TH STREET 98 PENMAN ROAD ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-6471 Permit MECHANICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 55 . 00 0 Issue Date . . . . Valuation . . . • Fee summary Charged Paid Credited Due Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 4. t PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: / /Cj l o V Property Address: Owner: - � L, ;�--t I/ Telephone#: Contractor: • wC. Cis Telephone#: Contractor Address: C)is ot ,I/i- 4',�� m A GO Fax#: �Contractor Signature: 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 ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed Central _Floor X Residential ❑ Air Conditioning: Room Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm ❑ Fire Sprinklers:Number of Heads Existing Building ❑ Elevator: _ Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks . (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Boilers ❑ Extension or Add-on to Existing System Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 7S3 .5zop pu( NS Me 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us Revised 1/04 ,e ;AA `I CITY OF ATLANTIC BEACH . A j • 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 2.J131I? Application Number 05-00030735 Date 8/08/05 Property Address 322 6TH ST Tenant nbr, name INT.REMODEL/RM ADDITION Application description . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning TO BE UPDATED Application valuation . . . 150000 Owner Contractor LITSKY, PETER FERGUSON BUILDERS 322 6TH STREET 317 THIRD STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 993-1315 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 610 . 00 Plan Check Fee . . 305 . 00 Issue Date . . . 8/03/05 Valuation . . . . 150000 Expiration Date . 1/31/06 Other Fees WATER IMPACT FEE 280 . 00 Fee summary Charged Paid Credited Due Permit Fee Total 610 . 00 610 . 00 . 00 . 00 Plan Check Total 305 . 00 305 . 00 . 00 . 00 Other Fee Total 280 . 00 280 . 00 . 00 . 00 Grand Total 1195 . 00 1195 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. C w BULL NGICIAL RECEIVED CITY BuILDING OF ATLANTIC BEACH r CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION JUL 1 1 2005 (Alterations & Additions) Date: Job Address: 3 22. Owner of Property: (Pit--1-ti- 17--S Address: - 7V'/4r Telephone: Legal Description: Block Number: Lot Number: Zoning District: Contractor: 1? -t1$ddJ ; State License Number: C-73 GO _-i It 3 Contractor Address: _/ 7 -3 /�7G-�i►fy"/ pJ c it) L U 2-2 3 3 Telephone: cam( 3 /_3 / Fax: Describe proposed use and work to be done: R , /,U T Re 3 K- g ha APL ,�A/LD flts a 111 )D ,•ri a,J Present use of land or building(s): 6/ Sr Valuation of proposed construction: /...) O} d c Dimensions of the added space: /Y / feet x C l s feet Will this project involve?: t',C Heating& Air- >I Plumbing Electrical ❑ Fireplace Conditioning ff Is approval of Homeowner's Association or other private entity required? /(1 D If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? 121 NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 http://w-ww.ci.atlantic-beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above informati• be f true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: Date: AS TO OWNER: Sworn to and subscribed before me this ( I day of V1 ,20 . State of Florida,County of Duval Notary's Signature: Alb ❑ P�rs6'nally known Produced identification Type of identification produced ‘1)( v( 1-12-6/1 S� Signature of Contractor: ��.� Date: AS TO CONTRACTOR: 4 05 Sworn to and subscribed before me this 11 day of , L,I ,20 de . State of Florida,County of Duval - T) Notary's Signature:\1 R08ERT KERNS MY COMMISSION#DD 401975 r`%cam a EXPIRES:March 1,2009 ❑ Pe-senally known 'Ry„'W 9onded Thru notary Public undenMrers [ oduced identification \ Type of identification produced Vu' f 1-i i-foc 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 http://www.ci.atlantic-beach.fl.us Page 3 Revised 8/04 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 3 2 2 CD-TIk 57- Date E (-Z fob Heated Square Footage @$ L per sq ft= $ Garage/Shed $ per sq ft= $ Carport/Porch b $ per sq ft= $ Deck @$ per sq ft= $ Patio @$ per sq ft= $ TOTAL VALUATION: $ ( � 00o $ 460. Total Valuation 1 $ C63 0 oo $ isc� Remaining Value $3. per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 6 (O ZONING: + '/2 Filing Fee $ 30 c FLOOD ZONE: ( )Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ Q ( S WATER IMPACT FEE $ } 8 0 SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( )RADON .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ 35' ST( ) SURCHARGE $ OTHER $ °U • GRAND TOTAL DUE: $ I Z 34. 's \1''% CITY OF ATLANTIC BEACH Cc: %,� . ; BUILDING / ZONING DEPARTMENT D, Higgins ; ' r) 800 Seminole Road x$ v Atlantic Beach,Florida 32233 r/J1319,_ (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # b5_-_-_5(31-7 - Property Address: ( \c9, k Applicant: Ffq U fU I ) cL- r - Project: T Vl « O r D + -Qb YVI.. aJoi.i'-h o IA.• r // This permit application has been: / Approved L ,i,A /(Z`!�l 6/ 7 _IE R• -iewed a e o ' 1 ems need attention: 1'6 q e_ e., :c - ---kr-(n., i = ?vac.?e 'z,� CA)--1' / P a" l l-L w111 - L -m i r - i ' C... ifOf I. • I. moo. ri _ r P - -. Lk ctics R to- t c i — .' 9 cA .S 5 , l OJ C 6 L�z - , )P1/4 2'• _ i�v � . c- c 7Z �V �o w �1 :w cu w�6�w�j c i �s ruzr �s 2 L- Please e-submit your app,cation wn: ese i ems ve been ••1 mpleted. '5S� Reviewe• 1 y: � • 9` , . Date: I 04- Date Contracto • . -1 ed: _ X14p-T L5 Mr ( Tel (4 &' avire.,0) 1 . '41� W(kip (z,25Su(L e5 7-2 c2 47 O c- Cita-L Zi ,--t9 , WATER IMPACT FEE WORKSHEET ADDRESS: 32.? 4T k 57 . DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 Bathtub(with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domestic 2 Drinking fountain/lcemaker %2 Floor drains 2 Hose bib 1 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory • 1 1 9- Shower compartment,domestic 2 1 ( Sink ( 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple)each set of faucets 2 Water closet,flushometer tank, public or private 4 Water closet,private installation 4 ( I Water closet, public installation 6 _ TOTAL NUMBER OF UNITS= /L4 MULTIPLIED X 2 TOTAL$ Z () . Jul 29 05 l0: Ola Coastal Sash & Door (Jax) (904) 641 -0346 p. 1 COASTAL SASH & DOOR , INC . Y O U R F 1 R S T C O A S T D I S T R I B U T O R O F MARVIN 1: . W i n d o w s . d Doors Made for you.' FACSIMILE TRANSMITTAL SHEET FROM: 1O Fred Pacacha Larry Higgins Darr•.: COMPANY, 7/29/2005 City of Atlantic Beach rOTAl..NO.OF PAGES INCLUDING COVER: FAX NUMBER: 247-5845 6 SRN')ER'S REFERENCE.NUMBER: PHUNIi NC M111?R: 247-5826 YOUR REFERENCE NUMBER: Addendum to Permit Application #05-30735 for 322 6th Street ❑URGENT Q FOR REVIEW ❑ PI.EASE COMMENT ❑ PLEASE REPLY ❑PLEASE RECYCLE NOTES/COMMENTS: Mr.Higgins, Attached please find the Uniform Structural Load information for the doors and windows that would be provided by my company for the Litsky Residence on 322 6th Street All of our units exceed the +1-35 psf Uniform Structural Load for the ground floor and the +/- 50 psf Uniform Structural Load for the second floor your said you were looking for in our phone conversations. I am faxing the summary sheet for each product's test report,and will be glad to provide the entire reports,but I wanted to keep your fax pages to a minimum. Also following is a page from Marvin's Performance Education Handbook explaining their testing procedures. Since Marvin has 11,000 standard-size products, the company will test the largest size product in a line,and that all units smaller in size will perform the as well as or better than the unit tested Please contact me if you have any questions and thank you for your help in this process. Fred Pacacha Coastal Sash&Door 3653 REGENT BOU1.I!.VARI) SUITE 205 JACKSONVILLE, Fl. 32224 OFFICE: 904.641.0346 FAX: 904.641.0347 Jul 29 05 l0: Ola Coastal Sash & Door (Jax) (904) 641 -0346 P. 2 • Introduction MARVtN Windows . d Doors About this Handbook Understanding the wide variety of standards,codes and regulations governing the use of windows and doors is complex enough. Explaining these specifications to clients and consumers is even more challenging.In this handbook,you'll find consumer-friendly information on a variety of fenestration standards,including glazing, clad finishes and overall product performance.As a whole,these standards can be used to help your clients understand what products best fit their project needs,as well as show the wide variety of highly-rated products and options offered by Marvin Windows and Doors. Information for using Marvin Product Specifications The following pages include the DP(design pressure)ratings for standard Marvin windows and doors,Design pressure ratings are based on testing for structural performance under static air pressure.Applicable water and air leakage,d force t DP ratings ac co rding to th e AN S I/AAMA/NWWDA 101/I.S.2-97 and ANSI/101/I.S.2 97/NAFS-02 standard (see page 10).Required DP performance ratings are for components and cladding based on code requirements for the project location,map wind speed,elevation,budding category,design factor,and proximity to coastal areas. Products are required to be tested to 150%of these design pressures as a safety factor. In many cases,the largest size product within the allowable range was tested.As a result,any smaller standard product(in either width,height or both)within the product grid would perform at least to the same product rating.Product ratings are based on tests performed by an independent testing laboratory.Smaller unit sizes of many product lines also use industry-accepted comparative analysis to determine specific design pressures. All values represent positive and negative design pressure unless otherwise noted. Performance Education Handbook Notes 1. When only one DP number is shown,both positive and negative values are Identical. min negative values. 2. Where water inl�tration resistance is not a requirement,all positive load values may be increased to equal ere corresponding g 3. Requires modification to product to exceed DP45 water pressure equivalent.Modified product lowers available egress height by'/,(22). New egress values will need to be verilied. 4. Must specify StormPlus' HP when quoting or ordering. 5. Must spec StormPlus'IZ2 when quoting or ordering. 6 Must specify StormPlus'IZ3 when quoting or orcering. 7 Must specify StormPlus'"IZ4 when quoting or ordering. 8 Floor to sill height is based on 610 (2089)Irom finished floor to rough opening header. 9. CN72 height operators will have tempered glass. 10. Will not meet egress requirements and pass hardware load test at the same time.(CN32 and 36 CM's w/') 11. 'These windows meet national egress codes for tire evacuation.Local codes may Per. 12 "These units meet egress requirements for grade floor use. 13 ***These units will meet egress requirements ii installed lower in the wall. Document printed 10/20/03 and supercedes all previous versions.Product testing is ongoing,with ratings changing without notice.For ques- tions regarding product ratings or other information included in this handbook,coetact your local Marvin representative. 1 Jul 29 05 10:02a Coastal Sash & Door (Jax) (9041 6411-0346 p.3 . I'I/.S Covtr • a(r o�orrii6 Architectural Testing o✓°�J` �(oor ANSI/AAMA/NWWDA 101/LS.2-97 TEST REPORT Rendered to: MARVIN WINDOWS AND DOORS SERIES/MODEL: Wood Ultimate Double Hung 4036 PRODUCT TYPE: Wood Double Hung Window Title Summary of Results Rating H-LC40 1143 x 2057(45 x 81) Operating Force 125 N(28 Ibs)max. Air Infiltration 0.90 L/s/m (0.18 cfm/ft) Water Resistance Test Pressure 290 Pa(6.0 psf) Uniform Load Deflection Test Pressure ±1920 Pa(±40.0 psf) Uniform Load Structural Test Pressure ±2880 Pa (±60.0 psf) Deglazing Test Pass Forced Entry Resistance Grade 10 Reference should be made to ATI Report No. 54745.01-201-44R2 for complete test specimen description and data. 849 Western Avenue North CITY F ATLANTIC E D St.Paul,MN 55117 BUILDIN TTC BEACH phone: 651.636-3835 G OFFICE fax: 651-636-3843 www.archtest.com AUG 0 2 2005 Br; a:s • C4 u K..�., h5 ✓ourt of Y(oo✓ AA,o/ Architectural Testing /1 _ Zhu (oor AAMA/WDMA TEST REPORT Pondered to Jul 29 05 10: 02a Coastal Sash 8. Door (Jax) (904) 641 -0346 P. 4 Alk ,`5 C, 5 Architectural Testing GVtc' let of P(ocrr ANSUAAMA/WDMA TEST REPORT Rendered to: MARVIN WINDOWS AND DOORS SERIES/MODEL: Wood Outswing French Door 12080 (OXXO) TYPE: Wood Hinged Glass Door Title of Test I Results AAMA/WDMA Rating HGD-LC40 3632 x 2438(143 x 96) Uniform Load Deflection Test Pressure I ± 1 920 Pa(±40.0 psf)0.10 L/s/m2 (0.02 cfm/ft 2) Air Infiltration Water Resistance Test Pressure 220 Pa(6.00 psf) Uniform Load Structural Test Pressure +2880 Pa(±60.0 psf) Deglazing Test Pass Forced Entry Resistance , Pass Reference should be made to full report for test specimen description and data. Report No: 02-47120.04 Report Date: 10/27/03 Revised Report Date: 12/28/04 Expiration Date: 10/08/03 849 Western Avenue North St. Paul,MN 55117 phone: 651-636-3835 fax: 651-636-3843 www.archtest.com Jul 29 05 10: 02a Coastal Sash 6 Door (Jax) (904) 641-0346 p. 5 A10 (( /Zu (("I i'L1 arc !- Architectural Testing (� . Ucii �5 Z.via( P-(ocv -- AAMAIWDMA TEST REPORT Rendered to: MARVIN WINDOWS& DOORS SERIES/MODEL: Wood Direct Glaze TYPE: Fixed Wood Window Results — —— — — S� • imen S� imen#2 � � imen#3 Title of Test _ ##1 1 F-HC60 2134 x F-HC40 2134 x F-HC45 2134 x AAMA/WDMA Rating 2438(84 x 96) 2438(84 x 96) 2438(84 x 96) +2880 Pa +2060 Pa +2300,-2730 Pa Uniform Load Deflection Test Pressure (±60.0 .s (±43.0) •sf (+48.0, 57.0 . t) <0.05 L/s/m2 NA NA Air Infiltration <0.01 cfm/ft2 Water Resistance Test Pressure 15.0 psf +4320 Pa +3090 Pa +3450,-4090 Pa Uniform Load Structural Test Pressure (-90.0 • f) (±64.5 • f (+72.0, 85.5 • f) Grade Gr 40 Grade 40 Grade 40 Forced Ens Resistance _ _— — -- -- — — — — — — — Reference should be made to full report for test specimen description and data. Report No: 02-47166.01 Report Date: 10/22/03 Expiration Date: 09/24/07 849 Western Avenue North Saint Paul,Minnesota 55117 phone:651.636.3835 tax: 651.636.3843 www.arehtest.com .f_') i'414P-a ,. IS1 CITY OF ATLANTIC BEACH ss 800 SEMINOLE ROAD 7' z I ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029759 Date 2/28/05 Property Address 322 6TH ST Tenant nbr, name RELEVEL FLRS, PIERS Application description . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning TO BE UPDATED Application valuation . . . 10450 Owner Contractor TOLBERT, LINDLEY HYGEMA HOUSE MOVERS, INC 322 6TH STREET PO BOX 2655 ATLANTIC BEACH FL 32233 JACKSONVILLE, FL (904) 234-7140 JACKSONVILLE FL 32203 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 85 . 00 Plan Check Fee . . 42 . 50 Issue Date . . . Valuation . . . . 10450 Fee summary Charged Paid Credited Due Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total 42 . 50 42 . 50 . 00 . 00 j Grand Total 127 . 50 127 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING COD (4. ir Ntsjeku, %. ' ' ,— BUILDING OFFICIAL • NOTICE OF COMMENCEMENT 5 _,9 ,ii,, a S -.. 9E, U S a 3 State of F1_cr i AN Tax Folio No. 1 to l li S"9 —00 CO -5 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:L v% / Zikl 7 At LA t41'6- "Sg{l CP_ Shp_ Address of property being improved: `3c`)a L ± (-�} A St- l-, 4 c, E,a(14 ((( General description of improvements: ia,p p P,cry a;�, Pc,,,,,h,,,-\ Cty.I , A no 'P Lc`v L P/04)rt„� Owner: LintJLe,,, To N-%-zirCr Address: j L4105- a CALH AVE.- ' A ft-A-4t)'(- 804- F. 3 as ?3 Owner's interest in site of the improvement: (Ls ry o...R on S A I I Fee Simple Titleholder(if other than owner): FEE S/ (s Name: Address: Contractor: I---1t( &E.rilA IAA-ki-5' NN\ov &5 ZJ'vL Address: r?G )6 bx c,)(oSS Ti - ,A'C FL 3QQ63 Q" Phone No: 1 b9---)Loci -9C09 Fax No: q0-/- .Q,- -a. 0 5'-1S ,q �J Surety(if any): Address: Amount of Bond $ Phone No: Fax No: /41) 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): 0 THIS SPACE FOR RECORDER'S USE ONLY OWNER r Signed: Date: 2,-( "iv l oC-) Before me this --GZY-Th day of_ftin the County of!.v. tate ofilorida,hailer .na,ly appeared Doc#2005065415,OR BK 12316 Page 1695, l�w�LV k`A A.411rLACA Number Pages: 1 Not a ublic at Llge, State of Florida, County of Duval. Filed&Recorded 02/28/2005 at 09:14 AM, My co mission expires:ires: JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Personally Known: Or RECORDING$10.00 Produced Identification: : I MY COMMISSION#DD 121301 EXPIRES:May 27 2006 of Bonded Thru Notary Public Underwriters .;fL�r�4, CITY OF ATLANTIC BEACH Cc: D.Ford ;, BUILDING / ZONING DEPARTMENT 5 '" . 800 Seminole Road S. Doerr 'gins `;4 Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 06--2-en S� Property Address: (-!'+ S+ Applicant: -)- /\- 11 0c) )Ck M O� ►� Project: P 1 e►/S This permit application has been: 111 -Approved Er • e iewed an• • 'Bowing items need • • • LCl l -1 k S z-- _ c VE' STfLe —t,( - ,:,►.� ' •IF sal c S� • pz_ c- 2,) • t a t iZ - 2 AS !A MI/ V WIPP- Please re-submit your application when these items have been completed. Reviewed By: Date: VI24/C4i PSC 2000 Series 2410 Log for Personal Printer/Fax/Copier/Scanner City of Atlantic Beach Bui 904-247-5845 Feb 23 2005 1:23PM Last Transaction Date Time Type Identification Duration Pages Result Feb 23 1:20PM Fax Sent 819042820595 2:33 2 OK RECEIVED g�=L,1 CITY OF ATLANTIC BEACH , r Jr BUILDING &ZONING CITY OF ATLANTIC BEACH ,'J� 1"' std A FEB 2 2 2005 BUILDING PERMIT APPLICATION "~ (Alterations& Additions) BY: S Date: INIV —____ 5-10c Ito S -�9E U SD3 Job Address: 3aa (-lb s+. Ak A 1 t,g S s — o b —5- Owner of Property: Li N 0)Z 5 TO I B sir Address: b S Rep,c1 A v - A-i-L,4 ry 4 B J./ �L 3=3 3 Telephone: fr -j311-2/4/0 Legal Description: Block Number: -2 Lot Number: ( Zoning District: Contractor: \-k4 &E-mn 'ow'-c- move-42.3 Ipi C.. State License Number: ( 3 C O 5 (o ei Q9 Contractor Address: f b• ao- Z(0S5' J A'(- V1..._, 3.a03 Telephone: c}by-? b9-95 09 Fax: 904 -a$a -•O J cj 5- Describe proposed use and work to be done: "Pick A 0 o RP- ,v+`L F I o corS itsmnotiE AN p 11110ACE pi 6AS. Apt &Do,`.\l b has (?\Ect_S Present use of land or building(s): a ^ Valuation of proposed cons , do : ' 100%-o-00 What are the dimensions of the ad.-. s•. -• NIA feet x N'8 feet Will the added area be heated and cooled? (V 1 A New electrical or increase in service? !1/ 1q Add plumbing fixtures?_ ill A Add fireplace? NI SI Add heating/air conditioning? rV A Is approval of Homeowner's Association or other private entity required? ry/A If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? 14 NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NI NO. Applicant certifies that no trees will be removed for this project. ❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from tot: mpervious Surface. 6. Other information as may b. .,Iropriate for individu. applications. I hereby certify that al info : provided with is appli :tioi is correct. �7 'J Signature of owner: Date: 7 /0 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans,and supporting data have been or shall be provided as required. Signature of Contractor: t . 1 1 a r _....Awe: Date:, a ,/as Address and contact information of person to receive all c` espondence regarding this application(please print). Name: 1\vile Ynr9 NOt,ISE i\N°IR'tS Irv(, } i ■Pt1 '1/4 .Dq0 Mailing Address: P p•i csx IzQ to SS Z Ax . ph -3 a s o3 Telephone: R 04 -7 &,Li-9 5 01 Fax: 9 0y'aI 3 -O5o)'j E-Mail: IA- clog - 509 -I 1 S1{ AS TO OWNER: >r I Sworn to and subscribed before me this �� day of -e ,20 05 State of Florida,County of Duval Q n , Notary's Signature:,"�I �CJ1�-�/�'`' iM.: JENNIFER SCHLUETER MY COMMISSION#DD 121301 "' Q Personally known '',3',.,W$17...jig, EXPIRES:May 27,2006 Bonded Thru Notary Public Underwriters 13-Produced identification �-� (� 5Z � " 1 � Type of identification produced-F _l0 'Z 4j 11 e-0 AS TO CONTRACTOR: �,, ' I Sworn to and subscribed before me this o�/ S� day of 1- ,20 O 5. State of Florida,County of Duval Notary's Signature: 42, 3✓ J.. ( 0...z4(....it ,ru",,,y LINDA H PADGETT °. Notary Public-State of Fbrlda 1 [Personally known My Commission Exlras Play 2008 ' i' 11 ❑ Produced identification 11,,,-,1-__A: Commission it DD 108883 1 "44°PCW Bonded By National Notary Assn. ( Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 3 Revised 8/04 OMB NO. 250-1-utoa B. TYPE OF LOAN: CONY.INS. 1.0FHA 2.E1FmHA 3.D CONY.UNINS. NUMBER: 5.❑ lig OF HOUSING&URBAN DEVELOPMENT 7. 6. FILE NUMBER: �� SETTLEMENT STATEMENT 8. MORTGAGE INS CASE NUMBER:to and by the settlement agent are shown. o se are settlement agenPFD/0409022ND/12) e shown als.in IS form is furnished to were you a statement o actual settlement e wn heref or informational purposes marked"[ROC)"were paid outside the closing;they .e PRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: SunTrust Mortgage,Inc. a si A Virginia Corporation Idt,a single woman 76 South Laura Street 18th Floor xue Jacksonville,Fl.32202 j,Florida 32233 ,t I. SETTLEMENT DATE: •, H. SETTLEMENT AGENT: 59-2131798 7L 32233 N: December 30,2004 Ansbacher&Schneider,P.A. �to ida 32233 PLACE OF SETTLEMENT Florida 5150 Belfort Rd.South Bldg. 100 ;Atlantic Beach Jacksonville,FL 32256 K.SUMMARY OF SELLER'S TRANSACTION . 69 ;• .u• IUU Price OF BORROWER'S TRANSACTION 1 I :ei 1i :II::O i : 401. Contract Sales Price Sales Price 402. Personal Pro•ert iChar 1,512.89 403. 404. INIIIIIIIII it�Chanes to Borrower Line 1400 405. `TaRal� `' `��• �. . u•� to MIIIIIIIIIII e n�c�■. 406. Cit !Town Taxes to -- r s •' to 407. Count Taxes to eTaxes to fetes 408. Assessments to 409. ,ants 410. -Wilifill 1,512.89 420. GROSS AMOUNT DUE TO SELLER - • PAID DUE FROM HALF OF BR 500.REDUCTIONS IN AMOUNT DUE TO SELLER: - 501. Excess De•osit See Instructions - P•un BY OR L BEHALF OF BORROWER: - ',eamest mone 108,500.00 502. Settlement Chars es to Seller Line 1400 punt of New Loans 503. Existin• loans taken sub act to - s taken sub act to 504. Payoff First Mortgage ',, 505. Pa off Second Mort•a•e 506. IIIIIIIIIIIIII , -8 .-.4.' IIMI 507. 508. 509. Ad�ustments or Items Un•aid a Sel er alter 510. Cit (Town Taxes to ?gents or Items Unsaid Bo 511. Count Taxes to Taxes to _- 512. Assessments to , :::g11.IININNNIIIIIIIIIIIIIII-, Millill MAI 516. '. IIINNIIMIII 111111.1111111 iMilrill 518. 519. allimilli 108,500.00 520. TOTAL REDUCTION AMOUNT DUE SELLER ��BY/FOR BORROWER 600. CASH AT SETTLEMENT TOIFROM SELLER: SETTLEMENT Borrower O BORROWER: 1,512.89 601. Gross Amount Due To Seller Line 420 0.00 ' n1 Due From Borrower Line 120 ( 108,500.00) 602. Less Reductions Due Seller(Line LLE5 520) MIIIIIIIIIIII 106,987.11 603. CASH( TO)( FROM) tPaid By/For Borrower RROWER 220) attachments referred to herein. ROM)( x TO) completed copy of pages 1&2 of this statement&any "'�ereby acknowledge receipt of a comp Seller Lindley A.Tolbert HUD-1(3-86)RESPA.HB4305 2 . 106119 MAP SHOWING BOUNDARY SURVEY OF LOT q BLOCK 7 AS SHOWN ON MAP OF Q n 4n/TtG /3&1 c/-r 5/0 .4 .. AS RECORDED IN PLAT BOOK 5 PAGES (/? OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR: LIV17LEy 4. Tou3E--2_T • 47-74 2✓c--yS 77 /IJS• ,cPAJ0, /A/c-; A,✓5'r',,4-cl../c- J ri-/ /6i0E-2, P.A, o40¢oZ vA/T2vSr tY)o L.:re 4CCE , /„lc. Qj f 0 1 0 .1 So. 00 r o /z I um7C12<0•C. za L 1r N Z ¢ 1/000 • b . ' . ' . , h/o o.r, - o6-e. N 7. 41 O sZI / — '� a 1141-. — Z. ` 7 + N Z1-Sri r ;%/ 000 z { • . A/Q--37.2_ z' k ` )q . .1 t , J, : . . ... b \, - .:.-•....) I o • 1, I, 0''‘' 1°.\CY 1. \I ''•..}0.1". A. o? . _ Sc.o0 0.1.. ( 7 / Sr (Qo • 2/,,/ ) THE PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN FLOOD HAZARD ZONE X AS SCALED FROM FLOOD INSURANCE RATE MAP 000/ FOR THE CITY OF 47-LAAInC (3cN. FLORIDA, DATED S-17- 'S . AND IS SHOWN AS A COURTESY ONLY AND DOES NOT CONSTITUTE A CER7IFCA170N OF SAME. TRI—STATE LAND SURVEYORS, INC. 8411 BA YMEADOWS WAY SUITE- 12, JACKSON V1LLE, FLORIDA 32256 (904) 731-7235 LEGEND BEARINGS BASED ON LINE AS SHOWN. • CONC. MON THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP. • IRON CDR. _ (SET NTN CAP F LB 4921) NOT VALID WITHOUT 7HE SIGNATURE AND THE ORIGINAL RAISED SEAL , -X-FENCE OF A FLORIDA LICENSED SURVEYOR AND MAPPER. o IRON COR.(FOUND) THIS SURVEY BASED UPON DESCR/PITON AS FURNISHED, AND WITHOUT 0 cRoss cur BENEFIT OF A 777LE BINDER/ABSTRACT OF TITLE AND/OR DEED RESEARCH. DELL BUILDING RESTRICTION UNE E571t'T EASEMENT LARRY.a •EDDY, P.L.S. No. 414-4 COV. RICH O ER T-04--WAY SCALE: ` Z0 GLENN AI ?;*ADS7R� P.S.M. Na 5814 R/ COVERED AREA /• € CENTERLINE A/C AIR CONDITIONING PAD �‘A ' (R) RADIAL DISTANCE FIELD WORK DATE: /Z-Z-12,-D4 f.. I CONCRETE 'E�STER'� �"'�yEYDR � APPER, SIGNATURE DATE:• I Z-Z0.04- STATE •. ORIDA (LB 1) F.B. 10.15' PG. .14____ ORDER NO._12_ __541.,9..._1.. z. I I i I 1 11 I 1 I o � (0) L L ° � d o E � � (2r m .15 'h -fib pp fl- m N Q (ti / b D G- 7 c 13, 7 fi 0 ' ( c r �� 01 o U` a /r/ 0 Y x o m o--6 J,� c 9-) 7' 0 .l* 6- -4. ( - - ��' 0 t Z (/� � " co ` 00 0 x' r •c I� Sji 3- 00 ' c rrl N' ©t q = j Z _ I off` m �, T • x .�+. .. •Tom'` •j I 19 s ' ' - "..."'N 46 -0 Z OOH o < c_ 3' 3 ro Cb 0 -± r z to ir . 1 3 c,l (t)11 s f , '\ L,9►vt.,4.- 7, ‘,-,1,./i c• ,, t's' . kr..,,,,k) V V v, ew— — . — x14, 13 i is F',e► I = Neu.) pIER -f Ba; AbDF 6 :-.-:..`a 1I it ® - RE(kAci old p452. rh' I I_ I -11;P. l It ` ,� _ 1�1 .xi�f iric , .,71 fSil( E1' IS 1 I I I t I I ■ I �� j4I� .i." I i Q P; iI ►�i Cb Ei4 por' ( \ U 1 1 31 1 13' -------i I a6• CITY OF nn11'' Office of Building Offi• al /C' 'el- a--REQUEST FOR NS' CTIO�` G 2 -ice oc) //, �'0,� 34 Date PermilCNo. Time A.M. Received P.M. 7� 3z� Ssi- Job Ad ess Localit Owner's (/�C h Name Contras• BUILDING CONCRETE CZECTRICAL • MBING - • . Framing ❑ Footing ❑ yn vvnniy u Rough b ond. & Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION / A.M. Mon. / 0 Wed. T_hurs� Friday P.M. Inspection Mad 7�C . �� P��f`I'J`/' /�re' Inspector / / final Inspectio 0 Ce . • _ ...ncy ❑ /I-- ' Date U CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION ;t LOCATION''INFORMATION Permit Number: 19422 Address: 322 SIXTH STREET Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNERINFORIWATKW` Date Issued: 1/06/2000 Name: RICHARD BELL Total Fees: 74.00 Address: 76 SEVENTEENTH STREET Amount Paid: 74.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 1/06/2000 Phone: (904)241-1609 Work Desc: REPLACE HVAC / PERMIT FEE DOUBLED/WORK COMMENCED PRIOR TO PERMITTING CONTRAC; fis) . z 4174 APPLICTAMON:FEES THIGPEN HEATING & COOLING INC. PERMIT "' 74.00 FINAL A::,. 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 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. • - I $74.88 14 ATLA TIC BEACH B ILDI • . Date: 1/06/00 81 Receipt: 0824375 CHECKS 1084337 96rugu J221888