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501 Vikings Ln (vault) \j CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 r Application Number . . . . . 06-00034269 Date 11/27/06 Property Address . . . . . . 501 VIKINGS LN Application type description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 362 -- ------------------------------------ ------------------------------------- Application desc REPLACE ENTRY DOOR -------------------------------------------- Owner Contractor ---------- LOWE ' S HOME CENTERS INC LANPHEAR, ROBERT PETER CAFARO/CONTRACTOR Sol VIKINGS LANE ATLANTIC BEACH FL 32233 4948 TELSON PL ORLANDO FL 32812 (904) 486-4701 ----------------------------------------------------------------- ---------- Permit . . . . . . BUILDING PERMIT Additional desc - - 35 . 00 Plan Check Fee 17 . 50 Permit Fee . . . . Valuation . . . . 362 Issue Date . . . . Expiration Date . - 5/26/07 ------------------------ - ----------------------------------------- -------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 - 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 PERMIT IS AppROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES- ACH CITY OF ATLANTIC.BE Routed to: �4 PLAN REVIEW SHEET G5.11 tet�ler Public Works&Public Utilities Departments s.D—oeiff Building Department R.Carper 800 Seminole Road 1200 Sandpiper Lane D. Kaluzniak Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 Public Safety .(904)247-5800 (904)247-5834 (904)247-5845 Fax (904)247-5843 Fax PLAN REVILEW COMMENTS Permit Application# Property Address Applicant: Project: This permit application has been: Department. CJ----�Approved as noted by the J2�� rtment. Final application approval must come from the Building Depa El Reviewed and the following items need attention: Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department requesting them. ease re-submit qyour Building Dept, Public Works and Utility information at top of pageq failure to notify the correct department may delay your permit from being issued. Reviewed By: - V Date: Date Contractor Notified: .......... L C JC bal;�OH CITY OF ATLANTIC BEACH NING E L 8�H 7C $7 ON NG 'WINDOWS, SKYLIGHTS�GARA ORSt HURRICANE SHUTTERS GE DO 2006 Date: Nov 6, 2006 BY- ddr:1�U—V-1K1-N,GS IN. , ATLANTIC BEACH, FL 32233 L ss: Owner: ROBERT G. LANPHEAR Address: 501 VIKINGS LN. , ATLANTIC BEACH, FL 32233 Phone: (904) 716-5255 Legal Description: Block Number: Lot Number: Zoning District: Contractor: LDL0625 PfT,2bo A-CAW-0 State License Number: C07C 150b 7 Address: Af la4-t Phone: qo city: (k�,oyk o State: Fl- zip: Fax: 70q qb& (I V 0 Describe proposed use and work to be done: 4�2 Present use of land or building(s): V,614 Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. Required Building Data: Mean Roof Height_(ft) Building Width (ft) Building Length (ft) Roof Slope, Window Height (ft) Window Width —00 Window Elevation from Grade —(ft) Measurement from corner of building to window Number of windows being installed ....................... Mean Roof Height AV 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)241-5800 , Fai: (904)247-5845 - http-://www.cLatiantic-beach.fLas R"i"d 107103 Page I Procedure: In order to expedite issuance of permits provide all information as appropria Incomplete applications may result in delay in issuance of permit. In addition to the building d2ta,the following information is required: 1. Manufacturer's Test Report with Uniform Structural Load (psf) 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Hurricane Shutter Description/Type 7. Elevation View of Window Locations I hereby certify that all�info ation o /,,,,,,'th dii lication is ect. Signature of Owner: Date: I hereby certify that I nod ha e r d exam s application and know the same fo 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 pl and supporting data have been or shall be provided as required. Signature of Contracto'. ate: F 113 A)1�� Address and contact information of person to receive all correspondence regarding this application(please print). ILL7 — .0LV' 5 Name: il!`1101A Plpli- I , e MailingAddress: iliac'(W Telephone: q0 4 Fax: L/-71 L) E-Mail: AS TO OWNER: Swom to and subscribed before me this day of 2 0 6& State of Florida,County of Duval Notary's Signature: ,,V N', Notary Public State of Florida Y Helen R Wilson My Commission DD579225 Personally known Expires 08/15/2010 Produced identification Type of identification produced D 116 36 -�b 32— AS TO CONTRACTOR: Sworn to and subscribed before me this + day of 20 0 State of Florida,County of Duval Notary's Signature: DONNAL M ytMISSION#DD 4126 4 Pmonally known Y cot EXPIRES:Match 30,2009 ication Bodd Thru NOWY PAC Undo" Produced identif L wic U 8 "rs F riV e-r L I C e 4 Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 http://www.ei.atianfic-beach-fl-us Revised 1/27/03 Page 2 imprcrAng Hon Imprmment 8529 South Park Cr. Suite 430 Orlando, Florida 32819 Bus. 407/370-2872 Fax.407/352-6309 Limited Power of Attorney Date: To: Building Department From: Peter Anthony Cafaro III I hereby name and appoint Maria O'Reilly,of Lowe's Home Centers,Inc.to be my lawful attorney in fact to act for me to register my license and apply to N&4U- 1 —for a permit for work to be performed at a location described as: (Address of Job) (Owner of Property) And to sign my name and do all things necessary to this appointment. Thank you for your assistance. Sincerely, 're'y' Peter Anthony Ca o 11 Area Installed Sa Ma. ager Primary State Q lifier CGC1508417 CCC1326824 State of Florida County of Orange The forgoing instrument was acknowledged before me as Peter Anthony Cafaro 111,who is personally known to me and who did not take an oath. Sworn to and subscribed before me this__;�D day of_:d7�4,2006. ----------------------------- No.public "Ote My commission expires 'G "ie'6 811 '0"r'Pu 80*8ry L m My C ExpX0 Florida Buifdirq,Code Online Page I of 2 's teil'i CoWelfiffirima--tion Y 4kXA.A_L..r m j Halm r '4 r n r 'i r View Overview Product Search Organization Pmduct Search Amlication Attactunents User: PublicUser -Not Associated with Organization- Application 4: FLIS Date Submitted: 08/0412003 Product Manufacturer: Masonite International Address/Phone/email: One North Dale Mabry Suite 950 Tampa,FL 33609 Technical Representative: Steve Schreiber Technical Representative Address/Phone/email: I Premdor Drive Dickson,TN 37055 (615)441-4258 sschreiber@,masonite.com Category: Exterior Doors Subcategory: Swinging Evaluation Method: Certification Mark or Listing Referenced Standards from the Florida Building Code: Section Standard Yor TAS201 1994 TAS202 1994 TAS203 1994 Certification Agency: Intertek Testing Services- ETL/Warnock Hersey Quality Assurance Entity: Validation Entity: Date Validated: 08/11/2003 Steve Schreiber Authorized Signature: sschreiber@masonite.com Performance level of the product and conditions or None Known limitations of use: win-flunww flnrid;ihiiiiding.org/nr/nr detl.as1)?IPT=18&fjn=ROSrch 3/29/2004 Florida Building Code Online Page 2 of 2 Evaluation/Test Reports Uploaded: Installation Documents Uploaded: Product Approval Method: Method I Option A Application Status: Approved Page- N Page I I App/Se Product Model#or Name Model Description 18.1 Steel Door Units Copyright and Disclaimer 02000 The State of Florida.All rights reseried. http-//www.floridabuilding.org/pr/pr—deti.asp?IPT=l 8&ftn=ROSrch 3/29/2004 Casde-gAe- GOP/Test Repoll Validatioll 1A111,IX Entry Systerns%-O' #3026447B-001 WOOD-EDGE STEEL DOORS �1� I Jill I 1� 11 q q A13 CI; CY; All I A C� all I a 6; Cr i C11 Cp C� g ;� P! P! dc I�Iall � I 1� I HZ1 - >. :.- z >. 1+. + z >- ;V >. z C! q 1,R "I q q Ct C! q q q q C! ,w 3 m Rive 0; 41 R-_I a a a '9 :9 ; q I C� 20, &.1 R1 q jc� C! q q M" m :9 S a n S t'9 q-� C'V6, "pri I w V :9 a ;e S tR tR tR a M 0 0 COD 0 coo 1 0 0 0 C 0 0 0 0 0 0 0 0 x x x x x x xx Ax it I; xx I; I; A- 1; 9 IR IR IR x IR :8 x 18 x m -1. VY C4 CY Z-A -7 1 a It �R a a Ras a Z_ x x x 8 x A r. a x r, g x- s; A- r-- sx a- X x x Am it um ODPNADMO Mwft olowwW in V*"wix prwmu ,I,, ill.1d.-14ibiI ft, maoft . . (WWWAUwbxom)or V* Mnmb wo"Comr. Inteftek Testing Services COP/Vest Plepoll V�dldllloll IA'l I I I x Casde.qAe- Entry System�� #3026447B-001 WOOD-EDGE STEEL DOORS 666 166 6 6 6 6 cu �,- .�- ;� ;� ;�, & C�, >-I>.I>. lz >. I>. a z z z z IMIZ z z z m z ac IZ 11E C� p -: I"lq Iq p qp �p I. LI T MW m T 0; Im 41 a 2 "' - I 5? a !g :9 3 S 5? g g :9 ilw,l,qlu, I -1p a Iq ilw 'RI; R U.) 000 In R w W� 0� S 9 2 :9 S 9 Z9 S 9 9 IM 0; a; 0, 0, 0 CD 0 0 0 0 0 0 fm Cm 0 0 ca 010 .0 1-1-1- 0 Cm 0 0 0 8 W, 88 is Cc, 2 sma all a as 2 C� cl� Co w a 11 19 a 'Cal so 19 x x x x x x x x x x RIP ? i A rx! 8 -1 CIO - I 1 0 1- 0 0 x X 0 0 COPMAWM ftft nWwcW in ft ffaft mvft moftw w("www"jnmuwftwm)or tm Mumb Wd. cwbr ILL I I Intertek Testing Services X Opaque Inswing Unit WOOD-EDGE STEEL DOORS APPROVED ARRANGEMENT. VIWWA*HOMW E3 Ud Do Ps*w r. 0, rA2WTk Mown aw Cap/Ud M0*fX0W"M, tmm ft nsw 0 ZZ Z M-W,ot. 0 MAL a I Note: Units of other sizes are covered by this report as long as the panel used does not exceed 3'0*x 61". Single Door MV*WM W*ob-sr X rr Design Pro= +76.0/-76.0 ""MWWdM1PXW"-W,, Large MhWle Impact Resistance Hurricane protective system (shutters) is NOT REQUIRED. k"do*I yW*W ,M*wmft 1w a*aft Wift daW v4,applic WC25M is dft." bVA=7-rw§wuL WaNk" d- CWU1PKt1yft$ftWN**W. MINIMUM ASSEMBLY DETAIL: Compiloce requires that minimum assembly details have been followed—see MAD-WL-MAODOI-02. MINIMUM INSTALLATION DETAIL: Compliance requires that minimum installation details have been followed—see MID-WL-MADDOI-02. APPROVED DOOR STYLES: 093 00 on 00 130 go 1313 go go- POAh ka TO HOW *W BVWW 4-WW 4-WW &WW go go 1313 1311 ro is"16,2DM QWCWdWAft,__,0(~ 0 1 10"08dMOK mod to damp we"WWL X Mullett I Opaque Inswing Unit WOOD-EDGE STEEL DOORS CERTIFIED TEST REPORTS: NCTL 210-2929-1 Cert"ng Engineer and Ucense Number Garry Ferrara,RE./11985. Unit Tested in Accordance with Miami-Dade BGCO PA201,PA202 and PA203. Door panels constructed from 26-gauge 0.017'thick steel sidns,Both soles constructed from wood. Top and rails constructed either wood or steel.Bottom end rails constructed from either wood or steel. Interior cavity of stab filled with rigid polyurethane foam core. Frame constructed of wood with an extruded aluminum threshold. PRODUCT COMPLIJUCE LABEILING: TESTED IN ACCORDANCE WTM MIAMI-DADE SCDD PA201,PA202&PA20:3 COMPANY NAME I In.STM: "woo*"BMW To the best of my knowledge and ability the ebm sid"Inged exterior door unit contorms to the requirements of the 2001 Florlds Building Code,Cbspter 17(Structural Tests and Inspections). Ted 00 Ry*w Cid WAWA, 1303"78 MUM wo COP/To 9�ftLtd*43025"M-Wi, rMMA70M hm I*R&WH bwkuw)ra = mm)or V* State of Florida,Professional Engineer Kurt Balthazor,RE.—License Number 56533 me Is,2DM 0~4 PWW 01 Poo Nuftawm woo od x Unft SINGLE DOOR TYR Minimum Fastener Count 6 per vertical haming member for To"Word and smaller 8 per vertical framing member for heights greater than TO" 4 per horizontal framing member Hlop mW drim pMU rWIM We 2-1/2"IM Wn"Per 1=006. R011011 Opening (RO) i Width of door unit plus 1/2* Height of door unit plus 1/4" 10-9*H-w To Do AMm C*WcWA M25447 03026"M MM"7C&W COP/hd VWkWM Mdft IN~ 0025447A-M.002,%WOM�=*W 0A 004;03025"nW. 003.004 MW *E-1111110 ==or ft MIMIA awa Latching Hardware: • Compliance requires that GRADE 3 or better(ANSVBHMA A1562)cylindrical and deadlock hardware be Installed. • UNffS COVERED By COP DOCIJMW U45*,1265*,32411%3246,3261*of 3266 Compliance requires that 8"GRADE 1(ANSI/BHMA At 56.16)surface bolts be Installed on latch side of active door panel–(1)at top and(1)at bottom. *Based on required Design Pressure–see COP sheet for details. Notes: 1. Anchor calculations have been curled out with the fastener rating from the different fasteners being considered for use.Jamb and head fasteners analyzed for this unit Include 10d common nails.Threshold fasteners analyzed for this unit include Uquid Nails Builders Choice 490(or equal structural adhesive). 2. The common nail single shear design valm come from ANSI/AF&PA NDS for southern one lumber with a side member thickness of 1-1/4"and achievement of minimum embedment of 1-1/4". 3. Wood bucks by others,must be anchored property to transfer loads to the structure. k%mh 10,2003 x Unit SINGLE DOOR VrMT IT UNIT 13-15116* 17-IN MAXIMLM ON CENTER TYP. Minimum Fastener Count i * 6 per vertical hvgng member * 2 W horizontal framing member Kbp ad dft plate$Mq1h M 2-1/2*1OF4 scwos per IMtNM. . Width of door unit plus 112' SEE NOTE#1 . Height of door unit plus 1/4' 41 Vdd" 03026447A.M,002,003,004;030254470-0 004;#302 003 004 AwAdh ftm to&MO=(WWWAN"MAOM),=iFsoos 0 twww.;;��or VM Latching Hardware: • Compliance requires that GRADE 3or befter(ANSUBHMAA1562)cylindrical and deadlock hardware be installed. • UNrrS COVEREo By Cap DOCUMB(T 0246%0266%3241%3246,SM*or3265 Compliance requires that B"GRADE I(ANSVBHMA Al 56.16)surface bofts be Installed on latch side of active door Panel—(1)at top and(1)at bottom. *Based on required Design Pressure—see COP sheet for detalls. Notes: 1. Anchor calculations have been c4Oed out with the lowest Peast)fastener rating from the different fasteners being considered for use.Jamb and head fasteners analyzed for M unit Include 18 and#10 wood screws or 3/16"Talocons.Threshold fasteners analyzed for this unit Include 18 and 110 wood screws,3116"Tepcons,or Liquid Nails Builders Choice 490(or equal structural adhesive). 2. The wood screw single shear design values come from Table 1 13A of ANSVAF&PA NOS for southern Mne lumber with a side member thickness of 1-1/4"and achievement of minimum embedmenL The 3116'Town single shear design values come from the ITW and ELCO Dade Country approvais respectively,each with minimum 1-1/4"embedment. 3. Wood bucks by others,must be anchored property to transfer loads to the"ure. Momh 10,2003 PSR-3844 16990 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ LOCATION INFORMATION ------- --rmit Number: 16990 zdress '. 501 VIKING LANE Permit Type: FLUMBING ATLANTIC BEACH . FLORIDA 32233 ass of Work:ALTERATION --------- LEGAL DESCRIPTION ----- ------ -'onstr . Type:WOOD FRAME Block: Lot : Twp: 0 :roposed Use' Section: 0 Subd:O Rng: 0 Dwellings ! 1 Subdivision: Est . Value: 0 . 00 jmprov. Cost : 0 . 00 Total Fees : 53 . 50 Amount Paid ' 53 . 50 Date Paid: 8/18/1998 �ork Desc : INSTALL PLUMBING OWNER INFORMATION AFPL1(_"ATI0N FEES --- -------- 4arrie : BOB LAMPHEAR PERMIT 53 . 50 kdd.r , 501 VIKING LANE ATLANTIC BEACH , FLORIDA 3'221', ?hone . ( 4_n4) 249-q�,5j ------ CONTRACTOR TNFORMATION 4ame : EAGERTON PLUMBING CO. kddr : ln':�3 N . MCDUFF JACKSONVILLE-, FL 32205 r,� , 7F032624 Exp , NOTES: 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION F $5�.% 14 VIOLATION OF APPLICABLE PROVISIONS OF LAW. At Re pict: 80791461 CHECKS 00100003221000 ATLANTIC,BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BLAGH APPLICATION FOR PLUnblNU IlElaliT JOB LOCATION : OWNER OF BUILDING PLUMBING CONTRACTOR AND ADDRESS: Z- p-i TELEPHONE NUMBER: STATE LICENSE NO: C- 3 2,4, -------------- TYPE OF BUILDING: ------1__--_SINKS SHOWERS , ------2— ---LAVATORY WAT17 3( IIEATFJ(�l BATH TUBS URINALS ------ L----CLUSETS ..WAS11114b PIAL:111NE ------------FLOOR DRAINS -SHOWER PANS TOTAL FIXTURE COUNT:_____ $:1. 50 $1 t:t. CPU S"'o -------------------------------------- --------------------- ---- INSTALLATION OF PLUMBING AND PIXTUUES MUST BE 1N ACCORDANCE WiTfl THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLA)tlblfic) uol)K. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - 3 I—D2 CITY OF Be=4- office of Building official REOUEST FOR INSPECT Perm Date A.M. Time P.M. Received 501 .4 ocality owner's Job'Ad ss Contractor Name CONC ETE ELECTRICAL PWMBING MECHANICAL UILDLNG- 0 Rough 0 Air Cond. & 13 Fooling El Rough Wiring TOP Out 0 Heating E) Fr Stab 11 Temp Pole Sewer 0 Fire Place Re Rooting E, Final Pre Fab Insulation Lintel READY—EO_R INSPECTION Mon. Tues, �.d Thurs. Friday A.M. �6 a,�: ction Inspection Made I.sp.�t,�.n pancy Inspector Date CITY OF* 4&,ilc q U-4 office of Building Official REOUEST FOR INSPECTION �2-?=� permit No. Date A.M. District No. Time 0 P.M. Received Locality Job Address owner's Contractor MECHANICAL tBUILDING CON�CRETE ELECTRICAL PLUMBING 7 h Rough Air.Cond.& 0 lFooting 0 Roughwiring 0 Heating 0 Temp Pole 0 Top Out Fire Place 0 Re Roofing 0 siab Pre Fab Lintel READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. M. Friday----P.M. inspection made Final Inspection inspector certificate of Occupancy Date------------- PSR-3844 6641 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION -------- LOCATION INFORMATION --------- Permit Number : 6641 Address : 501 VIKING LANE Permit Type: FENCE ATLANTIC BEACH , FLORIDA 32'2'�' 'lass of Work : ALTERATION ----------- LEGAL DESCRIPTION ----- - Constr . Type: WOOD FRAME !,Cyt * Block - Section: Proposed Use : SINGLE FAMIL�� Township , RNG: 0 Dwellings ! 1 Cod e 0 ",I-lbdivision : Estimated Value: $1565 .00 Improv . Cost : to . 00 Total Fees : S10 . 00 Amount $10 � 00 (-)T -------- OWNER INF�',RMATION APPLICATION FEES ;�ERMIT Nairte; F-�BERT LANPHEAR r $10 . 00 Addre'sr -, 501 VIKING LANE WATER- IMPACT FEE �O 0 0 ATLANTIC FERCH , FLORID� SEWM- IMPArTl, FEE - Phone ; 9-6!4218 A T zlk Itk` RADION qAS-H.R . 5 $0 .00 11 S - 5% ��0 - 00 ------- -20NTRAC-T,'-',R INFORMATION RADON GA Name , 'PPOPERTY '.-)WNER WATER TAP SO . 0 SEWER TAP ,dd r e�-z to , 0-u-, HYDRAULIC SHARE $0 .()Q RE- INSPECT FEE SEC .H IMPACT FEE 0 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.95 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ@&40 E TQft 9 N� wogt'k, R VIOLATION OF APPLICABLE PROVISIONS OF LAW. TIME. TOTAL P14.' IENDERED $fe.m CHANGE 110.00 ATLANTIC BEACH BUILDING DEPARTMENT RECEIPT NLWfR. 085540 00 By: APPLICATION FOR FENCE PERM1T Owners name-,Y2&�--- Phone- Job Address-6-6 Lot-------Block and/or Unit # Contractor if different from owner rz ----------------------------------------------- Valuation of fence Corner or interior lot---Z/V�- Type construction Show location and height of fence as well as location oi street(s) . Cl �Ce,v t A, eAJV,1S C-7�. APR 16 1993 Building and Zo-ning Owner signature Date Contractor "t 4 % P ;1.qi SMITH FENCE COMPANY 1418 Romney Street Jacksonville, Florida 32211 (904) 743-7175 Serving Jacksonville for over 19 years Customer e 4 r— Date Address Phone cA —k. '2_5 Length: Height: _1740 C_ e_ re-5 S ,W/Gates: DD/Gates: T-Posts: L-Posts: T-Rail: K-Up: Barb-Up: Special Instructions: /,q,k-, )001) V /C"Ce Total Price: Method of Payment: n e.t� 13 Egan? Customer's Signature:, APR161993 Building and Zoning 1110 (jo want and appreciate your bfisiness. 6EPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO_7555 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 3/5 19 86 Valuation$ 2..616,25 19-50 This permit not valid until above fm has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Andrew Davis i-9-5n T 501 Viking Lane, Atlantic Beach, FL 32233p, 0*517INT -Me� 1 A St has permission to build Screened Porch Addition 7555 eMrAr >527 1A WWI Classification Residential Zone RS2 i U Owned by Andrew Davis Lot 30 Block 1 s/DSeaspray House No. 501 Viking Lane According to approved plans which are part of this permit NOTICAL =NCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE M 0 Building material, rubbish and debris z -A from this work must not be placed in public space, and must be cleared .UpAi�li�uled away by either con- tractor owner. Buil FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER Address, 0 Heated Sqi1a e Footage @ $ D5___ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ 10 - cc Total Valuation Ist $ 3 . ODO' ocl, 6 ) �0 - 31�� 3. 0c) $ Reminder Valuation ,3.oc-,Per thousand or ------------------------------ portion thereof Total Building Fee $ -------------- ADDITIONAL PERIITS and/or FEES REQUIRED + -, Filing Fee $ Mechanical Fireplaces @ 15.00 $ BUILDING,PEP\taT FEE $ 9 �5 Plunbing Electric/New ------------------------------------------------- Electric/TaT BUILDING PERMIT $ 0 �50 Septic Tank WATER METER CHARGE $ Well Swinming Pool SEWER IMPACT' FEE $ Sign WATER IMPACT' FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water 1-1--ter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOI`ES CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PER= Owner �Address A< ', zip :3,.A,2 3;�Phonej#ll -�197CJ Architect Address zip Phone Contractor Address —zip__________,Phone Contractor's License Number Expiration Date- _�opy on File Lo t Block or Section # Subdivision Zoning_ Street Between side Valuation $ �L- C, eo Type ofConstruction 6;�) Purpose of Building__,S(�-' 4�-��AJ �(f �Number of Units ireplaces Utility Service: Water 1/cl,-C) Sewer If the City if providing wate ,X or sewer service, do we need to make taps? Dimnsions: Building- Size Footings Sz. Piers Sz.,- Sills Greatest Span Sills Sz. Ceiling Joists Distance an Centers Greatest Span— Z3 Sz. Floor Joists 1eJ&N-- Distance on Centers Greatest Span Sz. Rafters 4L,,/ Distance an Centers Greatest Span Method of Heating---,,�/�,/'��Solid-Filled Ground Roof Flood Zone If located within a FLOOD HAZARD complete page 2 SLUMT, Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey V� pections Required: ,�,When steel is in place and ready to pour footings.- 2. When steel is in place and ready to pour columns/lintel. -1 When steel is in place and ready to pour bearn. completed and ready "A-,, - When framing, mechanical, plumbing, electrical, fireplace, is to cover up. 5. Final inspection. SETBACKS No INSPECTION WILL BE MADE IF BUILDEIIG CARD IS NOT POSTED ON JOB. In case of rejection, reLrispection M�ST be called for after Rear Lot Line corrections are made. 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, 64 61 which are a part hereof, and in accordance with the building regulations of Atlantic Beach. Signature Owner Signature Contractor �ront Lot Line FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : New Building Alterations to Existing Building Flood Zone Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) a survey must be made after the slab has been poured, certifying that the "lowest floor elevation" is equal to or above the base flood elevation established f-o—r that zone. No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS Applicant acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No . 25-7-11 and all other laws or ordinances effecting the proposed developemnt . Date ApplicantIs Signature ----------------------------------------------------------------------- Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative CITY OF ATLANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS Owner Address cT I I j k%, Phone Architect aj (2, Address Phone Contractor �j E7 Address Phone Contractors Licensekertification Numbers Expiration Date Property Address Zoning Lot Blcok or Unit Subdivision— Se—eA—'3 6j,j 4 ValuadL.-cyn. of Construction $ "L�rpe of Construction e e I Describe Work to be Performed Materials to be Used kA 1 0 (D -F C- vvx Present Use of Buil Proposed Use of Building Z�c-,q- e 4�a 4-i o Flood Zone. Dimensions of New Area: hEATED GARAGE OR STORAGE CAB,PORT Of LECK YES NO NU1BER PATIO Will there be an increase in number .of units? Will there be a decrease in nu-nber of units? Any additional pluabing fixtures? Any new fireplaces? SLMT TWO COMPLETE SETS OF PLANS INCLUDING SITE PLAN Signature OWNER Date 73/5- Signature CONTRACTOR Date ul F n 0 7-- z 7::! a�- =0 0 rri m U) MCI MAP SHOWING SURVEY IN PLAT BOOK 35, PAGES 64 AND OT 30, BLOCK 1, SEASPRAY AS RECORDED i)4A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. A 4 r-A Q X3. A do/,34 �j NJI A !5 �j I HEREBY CERTIFY THAT THE PROPERTY SHOWN HEREON IS IN FLOOD ZONE wCu AS SHOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR THE CITY OF ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO ANDREW AND KATHI DAVIS THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND T77AT THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM STANDARD REQUIREMENTS ADOPTED BY THE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS CHAPTER 21-RH AND THE FLORIDA LAND TITLE ASSOCIATION. DONN W. BOATWRIGHT, L.T. FLORIDA REG. LAND SURVEYOR No. 3205 SCALE: BOATWRIGHT LAND SURVEYORS. INC. DAZE E DRAWN BY' 1301 PraNMAN ROAD SUITE D bHftf--L-011- 1 F.B. JACKSONVILLE BEACH, FLORIDA 24 1-8550 C4 i 4 c- CC) LLI CZ! > vi e V.) IL, V�E-5 LLI lb L-J -D CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 8W SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 &)()sEmINOLE F TIO; --Lt -ON ON 4ATI E M I 7f—IN-0�-0�RA Wlk-ING LANE Address: 501 ATLANTIC BE "r 2354 ACH, FLORIDA 32233 rp( REMODELING Range: 0 Book: Permit Type: Township' 0 Class of Work: ALTERATION Lot(s): Block: Section:0 Proposed Use: Subdivision: Square Feet: Parcel Number: Est. Value: 6 W WR_—Al Improv. Cost: 2,092-00 LAMPHEAR Name: Date Issued: 3/02/2002- Address: 501 VIKING LANE Total Fees: 38-00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: 38-00 Phone: 904-249-8251 Date Paid: 3/0212002 EMENTWINLJO- S W REP—LAC APP I G ON I KINk-o T_Vf7k($Y ffA-:NWfN�DbW9 PRODUCTS A .2 M k 0 TION NOTIC IC SPACE, AND BUILDING MATE MUST BE CLEAR THE N-LAW "FAILURE TO Com ROPERTY (Y 3UBJECT To REVOCATION SSUED ACCORDING TO APP OF APPLICA L FOR VIOLATION ............... Oper: DSMITH Type: DC Drawer: I Date: 3/12/82 81 Receipt no: 41023 14 PERMITS-BUILDING 1 $38.00 Trans nueber: 795118 AT 1C EACH UiLDING DEPT. CK CHECKS , 16966 $182.90 Trans date: 3/1Pj82 Tiie: 16:32:It CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET A d d r e s s. -'S Q� \'e—% " c, --> Date 31 , 14� A) Heated Sauare Footage @ per sq ft = $ Garage/Shed @ $_per sq f t = $ Carport/Porch @ $_per sq ft = $ Deck @ $— er sq ft = $ Patio @ $ per sa ft = 8 TOTAL VALUATION : s E)C$ zs;.clo Total Valua�-,ion 1st q Z Remaining Value $S.Ijyper" thousand or portion thereof TOTAL BUILDING FEE ;z + 1/2 Filing Fee ( ) Fireplaces @ $15 . 00 BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ) RADON (HRS) . 0050 $ SECTION H PAVING ( $ HYDRAULIC SHARES $ CROSS CONNECTION $ ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE s ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp_; SwimmingPool Septic Tank 'Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : IL ; tCa buiiding Department 304-247-5805 P. 1 REI"E"VED M4 8 pang C1tY Of Atlantic 13,2gch 1"J.11z and Zoning Citv of Atlantic Beach - 300 Seminole Road - Atlantic Beach,Florida 3223.3-5445 Pho'ne: (904) 247-5800- FAX (904)247-5805- http:i/-A,%Y,,v/�ci.atlantic-beach.fl-us PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS, NIOVING OR DEMOLITION OF SUNGLE-FANULY OR TNN'O-FA*-NT1LY 11DUPLEX) CONSTRUCTION D.-XT E 6� -AT PLI C ANT 4ANMISAR -- SO) V1A1r11V6- C,4,, A4. 3-Z-?V PHONE- JY ADDRESS .5 Z-/V,O A-TL, ,6 Y2 1 744CIt 44 ADDRESS WHERE WORK IS TO BE PERf'ORIVIED LEGAL DESCRIPTION: BLOCK NUMBER LO-C NU-MBER ZONING DISTRICT CONTRACTORA m ext.can windOLO R�j��tTE LICENSE NL7NTBER PuosE 1q04--7--31 - -2-zqa 'SS kkl' ADDRE S CIT Y STATE Zip 322C17 FAX -7-3t—3 F2 Lk DESCRIBE PROPOSED USE AND WORK TO BE DONE PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION 2�2 Is this Ln addition? Ifyes, %&-�at are the dimensions of the added space: feet by_--.feet 'W;ll tae added area be heated and cooled'? New electrical or increase in service? New plumbing fixtures? - New fireplace? —New heating.'air conditioning? 13 approval or Homeowner's Association or odier private entit-i requzed? ___ If yes,please submit wid'i this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide ali information as_AppE9priate.) STEP 1. Verify zoning designation and proper setbacks for theproposed constr.LCEion. If you are ursure of this imforniation,please contact the Planning,and Zoring Department at 904-2�7-3817. In order to correctly verify zoning designation,ple.-se have PropertyAppraiser's Real Estate Number available. STEP 2. Contact the Civi of A:lantic Beach Dtpartment of PLbliC Works to dctt!nr±ie if a prt-coristnictzori or post-construction topographical stxvey is required. (If not required, ,witter. verification must be providzd with this application.). The Department of Public Works is located at: 1200 Sandpiper Lare,Atlandc Beach,YL 32233 Telephone:M4')247-5834 STFP 3. Please submit Energy Code Forms, Notice of Conurencement, Owmer,Contrac:or Aff davi: if owner Is contractor. and four(4) zemplete sets of construction plans to the Building Departmeat, which is located at the Atlantic Beach City Ha�iI 800 Seminole Road,Atlantic Beach,n 32233 Telephone:(904.)247-5326 AP P R 0 VS"" CITY. OF ATLANT,.0 1%fl BUILDING OFFIC�a MAR 0 1 NUI r L-L) C Z) nuiiuinC uepar-LmenL tjug�-d-47-5aUb P I n additiin;.'i construction and engineering detaii, plans must contain the foLlowing informauon as approplate for the oqlc of v�ork baing P.-7forrned. Scale of drawings ihotild be sLrfficient to depict all required irformatior..r.2 clear and legi�ie manner. I Cur-rent survev showing the property boundary with bearings znddistance� and the llk�gal description, 2 Location of all structures, temporary and permarent, including ;etbacks, building h:ighL number of stories and sqi-,are footage. Identify any ewting s-nictures and uses. 3� Existing andior proposed driveways. 4 If required by the Department of Public Works,L pre-C,)nStrurtion tcpiogapilical Sur,-cy- 5. Any sign-'ficant environmental features,inclu&ng any jurisdictio-aal wetlands,CCCL,natural water bodies. Impervious Surtic ' �be exclude'd from total Impervious Surfac-) 6 e area calculatioas. (Swiriarung;pools r3a 0 ther information azi may tie appropriate for individuat appilicatic, s. I HEREBY CERTIFYTHAT ALL IN IN ION PR DED WITH THIS APPLICATION IS CORRECT. SIGN.A'TURE OF OWNER I)ITE I HEREBY (-FRTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRy,c,l,. kLL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE CONIPLIED WITH, WHETHER SPECUTED HEREIN OR NO7. THE GRANTING OF A. PERMITDOES NOT pRESUNIE To GIVE AUTHOR-ITY TO VIOLATE OR CANICELTHE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES.OR LAWS IN,kNY MANNER, INCLUDINGTFIF GO*YrR-NI.NG OF CONSTRUC710N OR ME PERFORMANCE Ob'CONSTRUCI'ION OF IrHE pROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS COINTINGENT UPONTHE ABOVE INFORMATION BEING TRUE AND CORRECT AND TILAT THE P NIS AND SUPPORTING ATA HAVE BEEN OR SHALL BE PROVIDED AS Ti T T E P NS AN SLP PORT N I' G REQUIRED. DATF- SIGNATURE OF CONTR--'kCTOR N TO RECEIVT ADDRESS -AND CONTACT INFORIMATION OF ERSON TO RECEIVE ALL CORRESPON-MENCE REGARDENG THIS APPLICATION (PLEASE PRENT) NAAIE-AmuLaa- 1N1.JL1L1' G ADDRESS PHONE -..--FAX -7 3 1- E-MAIL SWORNAND SLIBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COI��T4�'WQ6L4L K*MyCommission'C-)"�JIRY'S SIGN,117URE Expires October 20. AS TO ONVNER. 0 Persenal1v known FL JR Producc�idenrificatioa Type of identification produced AS TO CONTR-4LCTOR: ar<ersonal'y kno-Arn ?rce.uced identification Type of identificatiou.produced ZL)U/- L,4; 'Jl4db4/�4J,�: 6LLL ViLW IIA'-- NOTICE OF PRODUCT CERTIFICATION CERTIFICATION NO: NI 004252 DATE: CERTIFICATION PROGRAM: AAW_miffil_m COMPANY; Bell View I CODE: B-153-1 The'Notice of Product ctrtification" is valid only when Administrator's Seal is appli.-d to che upper left hand portion of this form and a certification label is applied*o the product. This cenification sca� represents product cciriformity to die applicable specification and that all certification criteria has beeta satisfied. The product described below is approved for listing in the neKt published issue ofthe DirectorY of Certified Producls Please review, wid advise NAMI immediately if data, as shown, requires corrections. COMPANY NAME AND ADD ESS T_ PRODUCT DESCRIPTION Bell -View, Incoporaced Series "BlLe-Chip" Talt P0 Box 208 Single Hung Alumin=l Prilne Wlnd��w I GA 32096 CXITLTI'IGI'E-r1,-,/DSB/FER STP PSF Fra_zr8:W-4 '6 Sagh: 4 1 3 lA7T-105- 0 1 14-6`3 IT-3 , 111 EXT-105 . 0i pRODUCT RATINGIGRADE SpECIFICATZON AAKA/�reAr)A 2-971 ITC4 0 I�' - H - HC70 AAMA 1302. 5-76 Modified Sill Product Tested By: Certified Testing Laboratories Repon No: CTLA-28OW'-3 Expiration Date: Uril 30, 2002 F 4r) A/N/D a P P m Administrator's Signature: NATIONAL ACCREDITATI APPROVF MANAGEMENT INSTITUTE, INC. CITY OF ATLANTIG' PO Box 3366 - 207 S. Washington Street BUILDING OFFIC—E Berkeley Spriijgs, WV 25411. MAR 0 1 iUUZ 'rEL (304) 258-5100 FAX (304) 258-5111 vy� c, 6ELL ViEW IM-� HAUE U-� CERTIFIED�T�ESTING ABORATORIES Architectural Oivision a 7252 Narcoo3see Rd. a Orl&ndc, FL 32822 (407)-384-7744 o Fax(407)-364-7751 Report Number: CTLA-28OW-3 Report Date! May 26,1998 STRUCTURAL PERFORMANCE TEST REPORT Client: BELL-VIEW, INC. P,O, BOX #208 WRIGHTSVILLE, GA 31096 Product Type and Series: BLUE CHIP ALUMINUM TILT SASH SINGLE RUNG DH-HC40 *54-1 X 75- Test Specifications: AAMA/N'NVWDA l0l/I.S 2-97"Voluntir),Specifications fbt Aluminuin,Vinyl.(PVC)and Wood Windows and Glass Doors" Frame: The extruded aluminum fraine inensured 54" Y.75" cN-crall. Coped and butted corner construction. Each comer secured with two(2)#8 X .75" S.S., P.P.H., fasteners. Configuration. Fixed lite:Top with clear lite opening measuring 503" x 36.5". Operable sash in bottom. Ventilator: Operable sash measured 50.5' x 36.5"high. Coped and butted corner construction, Fach comer secured %vitl,tivo(2) 98 ;% .75" S.S., P.RR., fastcriers, Weather Stripping: Quantity Descrir)tjot Locatic Two(2)strips Wool pile with integra,I fill ,230"high Each sasb stile One(1) strip Wool pile with integral fin .250"high Faint sill One(1) strip Rubber bulb.350 o.d. Framc sill inttrinediate leg One(1)strip Rubber T-spline .170" fm Fixed inecLing rail One (1) strip Rubber V-spline .200"fin Glazing bead Hardware & Location: Quantily DLIK� Location Two(2) Spiral balances One(1)per fraine-jamb Two(2) Nylon tilt latches Each end of interlock rail Two(2) Nylon security&'Isli locks Mounted on each end of interlock rail face Two(2) Nylon balance shoe s�ts One (1) per franie jamb Two(2) Cast aluminum sweep latch 13.5' frolu each jairib on interlock rail Glazing: Iniulzted glass, two(2)lites of 1/8" annealed gla4s%vith 3,18" air spice. interior glazed witli adliesive back bedding compound and ahaninum extruded channel bead. Secured to fratne with ten(10)*8 x I" S,S,, P.H. fasteners, I"from cacti corner and 6" o.c. horizonuil, Six (6) #8 x V S.S.,P.H.fasteners, I from cacti comer and 6' o.c.venical. Sealant: Small joint scalant was used on all frame Comers. Weep System: Screen retaining leg of fraine sill was notched.50" x leg height, located 1 5* froin iich jamb. BELL VIEW IM, �IAUL 014 Foge 2 of 3 Bell View,Inc. Rcpprt No CTLA-28OW-3 Reinforcement,. None Additional DeSCriptiOU. None Screen: Rolled formed alumintim witli fibergl=inesh,Ninyl spline, plastic carrier keys,two(2)pull tabs arid two(2)spring clips, Instatintion; Sixteen(16)410 x I�/." S,S,, flatliead screws were used to=ure the specimen to die wooden test buck. Three(3) in headand sill 5'from each end and mid-span. Five (5)ineachjamb6", 21",35", 52", and 67' firoin top to bottom. Surface Finish: Bronze Comment: Nominal 2 mil polyethylene film was used to seal against air leakage during smutural lo-ads. The film was used in a manner that did not influence the test results. Performance Test Results Pgragraph N Title of Tes Method �_U'UM_Ixd AllowCd *2.1.2 Air Infiltration ASTM E283-91 .06 cf1r0t, .3 cfirdft- �41.57 psf The tested specimen exceeds the performance levels specified in AAMA/NWNVDA 10 1/1,S. 2-97, Wacer Resis=ce ASTM E547-91 5.0 gplvftl Four(4)five minute cycles No Entry No Entry W-rP-6 psf ASTM E331-91 Fificen(15) minute duration No Entry No Entry Test conducted with and without screen, 2.1.41A 4.2 Unifcrm LD-ad Structural ASTM E330-90 Permanent Deformation Ca 105 psf Positive ExtNior .045' .146" (a io5 psf Negntive interior .057' .146" *2.1.8 Forced Entry Resistance AAMA 1302-5 076 0.1 1/2" Test A 0" 1/2 Test 8 Test C 011 1/2" Test D,E, F 1/2" Test G 1/2" Operiting Force AAMAINWWDA 1011LS. 2-97 42 lbs. 45 lbs. Deglazing ASTM E981-88 Top Rail 70 lbs. '0 1 V= 2.2%<100% Bottom Rail 70 lbs, .015"= 3% -<100% Loft Stile 50 lbs. .008"- 1.6%<100% Pight Stile 30 lbs, .007"- 1.41*16<100% Reference CTLA-28OW dated May 21. 1998 �L)U/- L4; �J ———— --— �age 3 of 3 Bell View,bu, Report No CTLA-29OW-3 Test Date: April 23, 1998 Test Completion Date, . April 23, 1998 Rernarl<3: Detailed drowings were'available for laboratory records and comparison to .hc tcst specimexi at the time of this report. A copy of this report M ongvith represemative sections of the test spocimcn vvill be retained hy(",L for a period of four(4)ycam The nesults obtained apply only to the specimen tested. This test report does not const3tulle cerljfiCatiwi of(Wis product,but on]),that the above test results were obWned using the desig=ted test methods and they indicate compliance with the performani�e requirements (paragraphs t)-,,listed)of the above referenced specificatjoits. Certified Testing Laboratories assumes that all information provided by the client is accurate and that the physical and c1leinical properlies of t1le coinponerm are as stated by the ri=ufacturer C,trtified Testing Laboratories, Inc. � P f C— t*14 Ja c Blakely D '�-, Vi President Architectural Division cc: BC11-ViL%v (2) NAMI (2) Ramesh Pntel F.F,, File CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owner(s) : Address . - Phone: Lot #_, Block or Unit # Subdivision: Contractor: AgLINGTON BEACHES ROOFING, INC.j_ Address : 1441 CESERY TERRACE City, State and Zip JACKSONVILLE, FL. 32211 Phone 744-8888 State License # RC0023962 Describe work to be performed: RE-ROOF: 0 Valuation of Proposed Construction: Materials to be used: Signature of owner; Signature of Contractor Liability Insurance Supplied Workers Compensation insurance Supplied License Information of jPNW.rAMU IH bUrLICATIEW Book 86a3 Pg 1032 To whom it may concern: ned hereby Informs YOU that Improvements will be made to certain reni Property, avid In The undersig of the Florida Statutes, the following information is stated in this NOTICE accordance with section 713.13 OF COMMENCEMENT. Description of Property ---------------50 1--VI_KINGS__LANE------------------------------------------ ATLANTIC BEACH, FL. --------- ------------- -- ---------------------------------------- -- -------------------------------------------- General description of improvements --------- -RE_,ROQF_ ---------------- TO A : 3 SQ,--------------------- - -------------------------------------------------------------------- R.G. LANPHEAR_______________________ owner -- ---------- Pg: 1032 FI, - 71676a6 .................. -1-6d & Recorded ANT I_C_-REACH-,-- ---.Dgc# 9 Address -LANE __AT-L I Fi 07/29/97 owner's interest in site of the improvement --------------------------------------------------------1_0-r,3&t45 A.M. HENRY W. COOK CLERK CIRCUIT COURT Fee Simple Title holder (if other then owner) FL REC. $ 6.00 Name ---------------------------------------------------- -- ---- -- ---- --------------------------------------- Address Contractor ----ARLINGTON--BEACHES--ROOF-ING-, I-NC.____ 1441 CESERY TERRACE JACKSONVILLE, FLORIDA 32211 Address ------------------------------- --- ----- ------------------------------------------------ Surely (if any) Address ----------------------------------------------- ---------------------------Amount of bond $ ------------- - Nanic and address of anY refsoll ivakiiig a lom for the rnmtr.ilrtion of file il"Proveluent . Name ---------------------------------- -------------- --- --------------------------------------------------- Address ------------------------------ ------------------------------------------------------------------------- 11 led j,y owner 111,411, wilon, notices or othrr doculnents Nallic of rcf!�oll within tile State of 1,10fida, other tl.If 11,111self, jesig1l. Illay be Served: Name Address In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided In Section 713.06 J21 [b], Florida Statutes. (Fill in at owner's option). Name Addre-ts T"is erACK FOR nECOROER,S USE ONLY _R� . - ------------------------ ASC her Sworn to and subscribed before me this -------------- 19 SK day ----- --- N 6 Public ALY 8 HARSCH fal P C ,nvnWgjon CC3s5262 FxpWes Mar.13,1996 Bonded by 14AI _1555 04� 800-422 Jo's VOR Ic NVYI, Cl,Tj OV 1-5 Day Y'h olle zip PIN D.-Y ol M A P S H 0 W I N G Lo, T_ BLOCK - AS SHOWN ON MAP OF AS R I ECORDED IN PLAT E3()(-)K -?57 PURLIC RECORDS OF DUVAL CO.. FLA. F 0 F� 14�.e.4�v It-le r c, Itj ?nk- It --%, \j V-4 �j 0 fl(7 ?V V, S/ tru A!, 11 1 1�i- 00 77,, lo� 17- CERTIFIC T—TH &P— IS SURWY COMPLIES WITH Tilt: MINIMUM TECIINICAL. STANDARDS SET FORTII BY THE FLORIDA BOARD OF LAND SURVEYORS, PURSUANr TO SECTION 472.027, FLORIDA STATUTES, 'I HEREBY CERTIFY rkiAl 114L AE30VE 7- LEGEND: v; WA�, SURVEyED t3v ME:AND THAT (0 14 C 04 L I E MONUMEN7 os; OC E UPON SA-L AS SHOWN AND THAI T� -�T AERE ARE No r?`4'�ff(.)ACfjMF_NTs UPON SA'I�D.� CLARSON Am) ASSOCI I C"'Of NST AKE ATES, INC. IM3 NALDO AVE. JACKSONVILLE.FLA.32207 SIGNED 11 r i - 19 SCALE: x I I I'LL "a rLA. X X —N DEPARTMENT OF BUILDING 7685 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.- PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Kdy 5 86 Date 19 Valuation$ Fee$ 10-00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. P1.00 Tt This is to certify that ArLdrew Drivix -6;,-ij A :17 t 5 till 76as 0 8nr_Ae( 3480 1 1 5 4 has permission to build f ence i nod Classification Zone Owned by Lot 30 Block 1 S/D House No. 501 Vikings Lane According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 10 4 10 0 Building material, rubbish and debris z i from this work must not be placed in public space, and must be cleared Up I ha led aw�a by, *ther con- It.rt", uw,er.i �or FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Will Application Number . . . . . 08-00000470 Date 4/10/08 Property Address . . . . . . 501 VIKINGS LN Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----- ---------------------------------------------------------------------- Application desc replace 6ft fence -------------- -------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LANPHEAR, ROBERT OWNER 501 VIKINGS LANE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . - . 00 Permit Fee . . . . 35 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/07/08 ----------------------- ----------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US ---------------------- - ---------------------I-------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 .00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE wrM ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. / 0 L ITY OF ATLANTIC BF-ACH 08-1 C BEACH,FL 3ZZ33 Wo MMIOLE ROAD,ATLANTIC 0 FAX NO.:(904)247 OFME:(9D4)247 BULDW-DEpTOCOAB-Us LICAT DUVAL COUNTY ON BUILDING PERMIT APPLICAT. 3.SO.FT.UNDER ROOF 7-V OF i.JO SS. 6.USE DENTIAL 4.LEGAL DESGFUPT"t 0 NEw BUILD' 0 DEMOLITION 0 CoNvERTiNG USE [I COMMERCIAL 13 ADDITION 8.FIRE SPRINKLM OT BLOCK SUB DMSION 133 [3 ACCESSORY BLDG. [3 YES 0 MA [3 POOL I SPA DESCRIPTION OF V40RK: [3 REPAIR 0 UTHER 61i: ffi: I ENGINEER: [I MOVE rdicifff C OR: P 15.COMPANY NAME: '71 COMPANY NAMe 9.NAME: 24.LI MUSEE NAME: 16.NAME: Fri 25 STATE or-FLORIDA LICENSE NO-: 17.ST OF FLORIDA LICENSE NO-* - 10.ADDRESS: 26.ADDRESS- I B.ADDRESS: 12-FAX NO- 19.0 PHONE: 2D.FAX NO-: 27_OFFICE PHONE- 28.F_NO_ 11.OFFICE PHONE 29.CELL PHONE: 21.CELL PHOW i , , 2- 30.EMAIL Ao ESS: 4 22_EMAIL SS: 14.EMAL ADDRESS' MORTGAGE LENDER-* FEE SIM IjOLDER: 35.NAMe 'W_OTHM TRAN OWNER) 33.NAME: M.NAME: DRESS. 1.ADDRESS' 32-ADDRESS: installations as indicated. I ce , that no or installation has Application is hereby made to n a permit to do the work �erformeI�t to meet the standards of all laws regulating construction in this Commenced prior to the is�_ of a pemg and that am work will be I construction or work is suspended or null and oid if work is not cOmmenced within six(6)months. or if rate permits must be secured for jurisdiction. This permit beCD1TIeS months d. I understand that sepa ed for a period of six(6) ,at any time after wo*is commence Is Air Conditioners,etc- abandon 5 Wells,pools,Furnaces,Boilers,Heaters,Tard , plumbing,Sigm'- t all work will done in compliance with all applicable Electrical Work- that all the foregoing informai*'n Is until all inspections are finAled and OWNER'S AFFIDAVIT certify the referenced building or any part therOf, laws regulating construction and zoning-I WIN not Occupy Or use rcupancy or Completion issued by the building official,as required by law. prior to obtaining a eff'Cate of 0' WARNING T OWNER: NT MAY RESULT IN YOUR YOUR FAILURE TO RECORD A NOTICE OF COMMENCEME ENTS TO YOUR PROPERTY. A NOTICE OF FORETHE PAYING TWICE FOR IMPROVEM D POSTED ON THE JOB SITE BE OUR COMMENCEMENT MUST BE RECORDED AN AIN FINANCING, CONSULT WITH Y FIRST INSPECTION. IF YOU INTEND TO OBT YDUR NOTICE OF COMMENCEMENT. LENDER OR AN ATTORNEY BEFORE RECORDING NU-1 U CONTUCTO (Qualifier Or*Y) od( Agency Date: ig D e: Signed: 2007 in ty of in county Of Before me this_day of____ Be Orem this da ly appeared Duval,State of Fliorida,has Personally appeared Duval'51ate,o Florida,h pe I ations are 6 42hi henn Dy nunSetf J herself and aMrms Mat all and dsclar herin by himself I herself and affirms that all skatements and declarautHIS are true and accurate. true and accurate.- ),5_L' County of. L Notary Public at Large,State Of County Of I Notary Public at Large,State of [3 Personally Knownn tion 0 Personally Known El prod..ed Identifl- E3 produi�ed Identificabon Notary Signature: J Notary Sig 'US 0 REVIEWED FOR CODE COMPLIANCE 0 11 Wo uqssi u*o An! Crff OF ATLANTIC BEACH Z 10 0114S-0�11qnd LION SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS. REVIEWED BY: DATE:4/_9 Mk.-) SHOWING SURVEY jF LOT 30 BLOCK 1, SEASPRAY AS REr-ORURD IN PLAT BOOK 35 PACM-3 64 AND 64A OF ME CURRENTPUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SECTION I SALTAIR FOUND CONCRETE PLAT BOOK 10,�PAGES MONUMENT,NO CAP NOTES THIS IS A BOUNDARY..SURVEY. 40 BEARINGS BASED ON THE WEST LINE OF LOT 30, BLOCK 1. ?_O'BUILDING RESTRICTION LINE (1111L.) PER PLAT. LOT 31 EASEMENTS ARE FO�t DRAINAGE,UTILITIES, AND SEWERS. - I ALL FENCES ARE WOOD PRIVACY 0 1.- z w w cn \_Zz I ETE 0 STOOP ujjw .10, ;b cn< 0 Q7 tv C? 0 0 co IT z 0 %%% FOUND VZ"I RON PtPE c%j Awle_- NO CAP 0 CL (D Q7 10 co co 0 4 SET P.K.NA 0.4' DISK, No.3672 (CONCRETE FOOTER) 20' cs IL AND ASEA', 00 1 N. ,30 15�_ 1%3 c; 46- _:�� Od 10 L FOUND 1/2"IRONPIPIE NO CAP pco LOT 29 FILE COPY , �, PERMIT C-lTy OF ATLANTIC BEACH ION 0,4RqfwJ,4qT APPLICAT BUILDING/ZONFqG DEIP '00 Seminole Road ALantio Beach,FloTida 32233 ( 247-50 0 risi 1 904) 90 (93M)247-5845 Fmi www.coab.ns APPLICATION TRACKING FORM REQUIRED DEPT: y N PLANNING z BUILDING Property Address �V��4i f z N PUBLICVVORKS -nUTIES :7� 0 y N PUBLIC U Applicant- 0� y N FIRE DEFT. Project: — y N PUBLIC SAFETY -APPROVAL INITIAL DATE: RECEIVED BY: REQUIRED AGENCY: Z W. HUFSTETLER W cc y N D.E.P CD— <n S.J.R-W.M. CARPER (2� y N w y N ARMY GO PS of ENG CAPPER HUFSTETI E-P, y N HOTELS&RESAURANTS APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: I ST REV PLANNING 2ND REV BUILDING P ,(ELMGW�0�) PUBLIC UTJLMES FIRE DEPT. PUBLIC SAFETY Cl 3RD REV PERMIT TIC BEACH CITY OF ATLAN ARTWNT APPLICATION RU"ING/ ZONING DEP 000 Seminole Road Aflaafic Beach,FloTida 32233 (904)247-50900 A (9G4)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: Y N PLANNING b ti BUILDING Z_4 M* pUBUCVVORKS "_2�p N Property Address: , -b =3 0 y N PUBLIC UTILITIES Applicant'. y N FIRE DEPT. y N PUBLIC SAF Project: Cn -APPROVAL DATE: w RECEIVED BY: INITIAL 00 REQUIRED AGENCY: Z Lu HUFSTETLER uJ C� Y N D.E.P (D— ER <Z) y N S.J.R-W.M. or_0 ui uJ ARMY CORPS af ENG CARPER y N HUFSTETLER 0 y N HOTELS&RESAURANTS APPLICATION STATUS DA DA AP /F�F=M iwnAL: !TE:A SII-M BUILDING CIRCLE ONE: 0 IsT EWE B( PL,ANNNG -V 0 2N1[) 11:�!!E-V BUILDIN PUBLIGWORKS PUBLIC UTILITIES FIRE DEPT. P UBLIC SAFETY 3RD REV CfYV OF ATLANTIC BEACH PERMIT G DEPARTWNT APPLICATION # BUILDING / ZONIN goo Seminole Road 1) - �S_ Atlantia Beacb�FloTj�32233 800 (904)247-50 (904)247-5945 Far, w-ww.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: Y N PLANNING b N BUILDING z property Address* Cp N pUBUCVVORKS 0 Y N PUBLIC UTI ES Appiic=tl I ILI y N F D Project: y N PU LIC S 0 cn -APPROVAL INITIAL DATE: w REcENIED BY: q_4 AGENCY: 00 REQUIRED Z L11 HUFSTETLER W y N D.E.P 0— CARPER <D S.J.PW.NL or_0 y N ul uw, Y N ARMY CORPS of ENG CARPER HUFSTFrLER 0 Y N HOTELS&RESAURANTS APPLICATION STATUS EVVED BY: INITIAL: DATE: CIRCLE ONE: SITE BUILDING DA AP 0 T_ __= 1 ;j::r f �s 0 A NG ILDING 2ND REEV PUBLIGWORKS PUBLIC UTILITIES FIRE DEPT. P UBLIC SAFETY 3RD RE V CITY OF ATLANTIC BEACH 08- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 -5826 0 FAX NO.:(904)247-5845 OFFICE:(904)247 BUILDING-DEPT@COAB.US T APPLICATION DUVAL COUNTY 1.JOB ADDRESS: BUILDING PERMI 2.VALUATION OF WORK: R ROOF 6.USE�FSTR TURE: 5.c LASS OF WORK: 4.LEGAL DESCRIPTION El NEW BUILDING 11 DEMOLITION EI-KESI AL LOT BLOCK SUB DIVISION 11 ADDITION El CONVERTING USE [I COMMERCIAL 8,-FIRE SPRINKLER DESCRIPTION OF WORK: [I ALTERAT1/C 0 ACCESSORY BLDG. 0 N/A _NO E L Q 0 REPAIR EIPOOL/SPA 0 YES 0 MOVE 0 OTHER - PROPERTY OWNER: CONTRACTOR: ARCHITECT/ NGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: To bfe I 1qnfh rA 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: A 20.FAX NO.: 27.OFFICE:PHONE 128.FAX NO.: - 29.CELL PHONE: !171�PHON_�,2-5':�- 21.CELL PHONE: 30.EMAIL ADDRESS: 14.EMAIL ADDRESS: 22.EMAIL ADDR9sS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: 31.NAME: (IF OTHER THAN OWNER) 33.NAME: 35.NAME: 34.ADDRESS: 36.ADDRESS: 32,ADDRESS: I 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 iired) (Qualifier Only) (��eqt,pOw*of AttomZ2r Agency L tter Reqt Z�n d: Date: Signed: Date: 00yin th/e county of Before me this_day of 200 ty Of Before M this da 2 Duval,State of Florida,has personally appeared Duval,State o lorida,h perso 11 appeared R6b;' -)1;2 herin by himself/herselt a d anIrms tat all atements 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 of County of V, L Notary Public at Large,State of County Of_ El Personally Kno n Personally Known fication- �J 7 3 0 Produced Identwi Produced Identification ji� Notary Si - -) - Notary Signature: Ij I I Use a 0 I'll Wo dX3 U011 Si woo A elS .oi qn eppoli Jo d BION NVHn JIHS COAB FOR q I 10 C 'Y OF ATLANTIC BEACH LID—i—Lj rT 08 ROAD.ATLANTIC BEACH,FL 32233 SM SEMINOLE OFFICE.(W4)241,r�M a FAX NO.:(904)247-SM5 J'I BUILDING-DEPTCICOA&US DWAL COUNTY -Z' kTION So,Fr.UNDER ROOF -77D BUILDING PERMIT APPLICA 2.VAL OF wOFM 1.JOB ADDRESS- 5.USE STRUCTURE� OF L 5 LASS DEMOLITION SIDENTIAL 4.LEGAL DESCRIPTION` 0 mEw 13 CONVERTING USE Q COMMERCIAL 0 ADDITION [3 ACCESSORY BLDG- 8-FI SPRINKLER: LOT_BLOCK —SM DNL''" 0 [3 POOL I SPA 0 YES 0 MIA 7.DESCRIPTION OF WOM' 0 REPAIR E3 No [3 OTHER ARCHrMCT I ENGINEER: 15.COMPANY NAME: 23.COMPANY NAMEi 9.NAME: 24.LICE14SEE NAME: I&NAME: .4 1 STATE OF FLORIDA NSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 10.ADDRESS- 26.ADDRESS-. 118.ADDRESS- Z7-OFFICE PHONE: 2&FAX NO.- 11.OFFICE E: 12.FAX 140-: 9. PHONE: 21).MA 29.CELL pHWE: 21. PHONE: 30.E 22 EMAIL SS: 14.EMAIL ADDRESS: M GAGE LENDE FTE E I LE 14oLDER: BONDMIS COMPANY' THER-M"OWNER) 33.NAME: 31.HAW: 36.ADDRESS: 34.ADDRESS: 32.ADDRESS: do the work and installations as indicated. I certify that no or installation has Application is hereby made to obtain a permit to the standards of all laws regulating Construction in this to the issuance of a permit and that all Work will be performed to meet if construction of work is suspended or commenced prior null and Void if wo.*is not commenced within six(6)months, or IS must be secured for jurisdiction. T'Wr-permit becol after work is commenced. I understand that separate Permi a period of six(6)months at any time Heaters,Tanks, Air Conditioners,etc- abandoned for ; Fumaces,Boilers, ble ElectIrical Work,Plumbing,Signs,Wells,Pool', be done in compliance with a"8PPI'ca OWNEWS AF that all dw foregoing information i�s accu ing or any part therof,until all inspections are finaled and laws regulating constructjoin and cining.I will not occupy or use Me referenced build prior to obtaining a certificate of occupancy or completion issued by the budding official,as required by law A I G TO OWNER: LT IN YOUR CORD A NOTICE OF COMMENCEMENT MAY RESU YO R FAILURE TO RE MENTS TO YOUR PROPERTY. A NOTICE OF EFORETHE PAYING TWICE FOR IMPROVE COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE B FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR OUR NOTICE OF COMMENCEMENT. LENDER OR AN ATTORNEY BEFORE RECORDINP-�� l�NER or-AGENT (ouaWler Only) - Of Agenq(Leijer Required) Date: Date.: Signed: day Of---------------— 2007 in Of 200 in county of Before me this— Before 11 appeared Duval.State of Florida,has personally appeared Duval 6 Florida.— - A 2 -- heM by himself I herself and affwfns that 811 ernents and declarations are herin by hirnself/hersetf and aifinnS that BM jete—ffeints�and dedarat—are in*and accurate- true and aCCUrate.' county Of L Notary Public at Large,State of- County Of Notary Public at Large,State of—— [3 Perswavy Known Wn- El personaliy Known [3 Produced ldenbfica Produced Ide Notary Signature: Notary Sig .uii F so a do! woo eMOU jo ejejS-oMgqnd e)ON YWHY89 'I A31'81HS COABFOR Mk.,) SHOWING SURVEY jF 10T 30 BLOCK 1, SEASPRAY AS REICORDRD IN PLAT BOOK 35 PAGF-S 64 AND 64A OF IME CURRENT PUBLIC RECORDS OF DUVAL COUNW, FLORIDA. SECTION I SALTAIR FOUND CONCRETE PLAT BOOK 10, PAGES MONUMENT,NO CAP NOTES THIS IS A BOUNDARY,SURVEY. BEARINGS BASED ON THE WEST LINE OF LOT 30, SLOCk 1. 0. 20'BUILDING RESTRICTION LINE (&ILL.) PER PLAT. LOT 31 EASEMENTS ARE FOR DRAINAGE, UTILITIES, �Lj AND SEWERS. U. ALL FENCES ARE 6' WOOD PRIVACY 0 1.- fo Z ILI 0 7E ILI co O-S ILI - '-CONdRETE 0: 0 STOOP �11 Cr 01 A!. ki 0 c7 4V Z8 bo 0 r FOUND Ve IRON PIPE NO CAP 0 WIL A:) In (D Q7 CO Co 0 3, 0 _4Q SET P.K.MAIL AND 0.4' 47 DISK, No.3672 ---. P (CONCRM FOOTER) ZO.EASEM t 81 0 7 N. 300 C-Nf- 16�- q7 - C; Tq�� 1346- -�� ,j8 OX 101. r4 b - Cj FOUND 1/2-IRON PIPE NO CAP I C. Z��ityof Atlantic Beach LOT 29 planning end Zoning Department This approval verifies compliance with applicable zoning, subdivision 'and other local land development regulations, but does not constitute apprcval for the issuance of permits. Compliance with Florida Building Code and all other applicable loCalL State 6nd Federal permitting requirements most be verified by signature of the City of Atlantic Beach Building official prior to the issuance of a Building Permit Approved By: ornmuny De ,,!ropment Director Da!e: -�a 1.—1 — FEE $10-00 APPLICATION FOR FENCE PERMIT CITY OF ATLANTIC BEACH PROPERTY OWNER Day Phone_ -V o-n C� Name: X- V� S -- �2 4 1 Address: 0 k �K La-Q�� P,mi J,�,_Z i p C o d e '3 a APPLICANT, IF OTHER THAN OWNER Name: Day Phone Address: zip Code JOB INFORMATION Address or Location: L Subdivision 5(R CA- Block APPLICATION MUST INCLUDE SITE PLAN'SHOWING PLACEMENT OF -FENCE FENCE REGULATIONS CITY OF ATLANTIC BEACH, FLORIDA No owner , occupant or other person shall erect, keep or maintain in existance any fence , wall or structure between the front property line and the front building setback line exceeding four feet in height. In the area between the front building setback line and the rear property line, no fence or wall shall exceed six feet in height. (Front yards of corner lots are not determined by address . The exterior lot line of the narrowest side of the lot abutting the street is considered the front yard. The exterior lot line of the longest side of the lot abutting the street is considered a side yard. ) No owner, occupant or other person shall erect , keep or maintain in existance any fence, wall or structure exceeding four feet in height , nor plant keep or maintain any hedge bush or shrubbery exceeding three feet in height upon real property within a distance of 25 feet from the point where the right of' way of any road or street intersects the right of way of another road or street. G P 1'.R!-,I T j� G 1,1.KM I T I CAL PERMI.T a o BUILDING -11T `7 JjEATED SQUARE FOOIAGE @ per s- $ per s. $ C,ARAGE �PRIVAIE/SHED) @ CARPORT @ $ per s. PORCHES @ $ per S. f. DECK @ $ p,--r s. -----------TOTAL-VALUATION DATA. . . . . . . . . . . . . . PERMIT FEES TOTAIi%�ALUATION DATE lst 09 6-ss 1 . -- - REK-JINDER VALUATION @ per tbousand - IT AOTAL BUILDING PIR-11 $ PLUS 1/2 THE BUILDING PT-P-��IIT FOR PLAN FILING FEE s TOTAL FEE DUE $ ------------------------------------ - PLUMBING PER14IT FEE $ WATER METER SIZE & FEE $ SEWER COIN-NECTION: sQU-kRE FOO TAGE 6 FEE $ WATER COIN-NECTION: FIXTURE UNITS 7 @ $10.00 PER UNIT $ 17 0c) TOTAL BP & PC FEES DUE . . . . . . . . ..$ 9 7 -e?5: TOTAL 1,:ATER METER CHARGE TOTAL WATER CONNECTION CHA.RGE. . .,$ 17-10 TOTAL SE%,TR CONNECTION CHARGE. . . .$ G MND TOTAL DUE.. , - � , - - .! . . . . . . . . .$ Cl-ry OF ' 'a 13ecA Ottice of Building Oftic'al 0 INSPECTION REOUEST F R 7 'T �cl A.M P.M. Time Received oil 1,) ob Add?y Contractor MECHANICAL owner's pLUMBI Air rond. & ELECTRICAL Name COt,4CRETE wiring 0 Heating — Rough p ut Fire Pliace BUILDIN 0 Footing E Terni)Pole Sewer pre Fab Framing 0 Slab Final 116C Re Rooting 0 Lintel PE 16N( insulation READY FOR It"IS CT Thurs. \Ned. Tues. A.M. 'U0 Mon. P.M. ��Final insPection of Occupancy inspection,Made CerAificate inspector____ Date Date------------------------------------19 ...... Permit *........................Fee $........................ CITY OF ATLANTIC BEACH Valuation $--................................................... FLORIDAHouse #........................................................— ............................................................................ APPLICATION FOR BUILDING PERMIT ........................................................................... .......................................................................... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date---M_4e_c.i4,_,,,�--------------------------1 19-V�2_ Owner----- ------mltrT------_Ccwj;_�. ..M- - ------- - I i.f ..Address_Nw. __.r-i�___- �P_Aw---------Telephone No..;2_41_��241r r'>'0Q1X----------------_Add,ess,1_1_0_7FVSW=2---&ff__'S,_.Telephone No.21-0.."a---�'._�P s ....t-_-------Telephone No-----t_x_---------0-4 Architect .r---—-----------I_nA _T Contractor Builder-Now- _ mer(7Z pl?.4.0f--------Addre ---------L_%---------------%------------------ Lot No............. ----------------- -------Block No--------------I--------_-----Sub Division..........:!! 47A-------------------------------Zone-----_--------- Vlb;A" WF7---Street--------------- -------Side Between.......I---------------------------------------------and----------------------------_------ Sts. -------------— ------- L ......TROC Valuation -0...For what purpose will building be ......Type of construction-_.-c-As gA;:r------ rr of 1( 47 ---Dimensions of Lot_':�iW. --- -'Ft-.M---------Size of Footings---- ......K �0 -----------_ Dimensions of Building5 ------- Size of Piers------------ --------------------Size of Sills---- - -- -----Greatest Sill Span in ft-------- -------_------Type Roof--- IR.Cal-EF------- How will Building be HeatedGENTWAI,---G4ZCM_C...........Will Building be on Solid or Filled Ground?.... ---------- Size of Ceiling Joists... --------- ---- ----- ------ Distance on Centers----- ------------------------ Greatest Span-----!!!=----------------------------- Size of Floor Joists.-%—.--------------------- Distance on Centers.... --------------------- Greatest Span-,--------------------_----I----------- Z=w 14 ��-.0 n._3;w. Size o---c--------------------------- - - ----- -- ----- Distance on Centers. ..... ..... ..L(----------------- Greatest Spa ------------------- This rectangle is to represent the lot. A�P�PROVED Locate the building or buildings in the CITY Of ATLANTIC BEACH right position. Give distance in feet from BUILDING OFFICE -all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall APR 1982 be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. E-4 E-4 4. When framing is completed. 2 5. When rough plumbing is completed,and ready to cover up. PQ 6. When septic tank drain field or sewer is laid but before it is covered. Q 7. Electrical inspection by City of Jacksorville. U2 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans 4and specifii Itio which are a part hereof, and in accordance with the building regulations of the City o thanti, each, Address-10--- -------kinics,;-----LANF------- ..... Signature of Builder.A;4' --------------------------------------- Address-------------------------------------------------------_--------- - -_------------------------ Signature of Owner----- ..... ... CITY OF. ATLANTIC BEACH 716 OCEAN BOULEVARD ATLANTIC BEACH, FLORIDA ADDENDUM TO BUILDING PLAN 1 . Building Location: �LLA E� 2. The attached plan for the above building is approved subject to meeting the following applicable construction requirements: a. Footings shall be continuous monolithic concrete under exterior walls, reinfo I r I ced with two 5/8" deformed reinforcing rods for one-story bui'ldings and three 5/8 deformed reinforcing rods for two-story buildings. Reinforcing rods shall be placed in the lower one-third of the footings , properly placed and fastened on metal cables with wire. Footings shall be si"x inches wider on each side than the wall above, shall be at least eight inches thick and shall rest on firm soil at least twelve inches below undisturbed soil . b. In hollow masonry unit construction, each unit cell shall be reinforced with at least on No. 4 bar at all conrners, poured and tamped with concrete; such rein forcing shall be properly tied into the footing and spandral beam. C. All wood truss rafters (roof construction) , shall be securely fastened to the exterior walls with approved hurricane anchors or clips. d. Construction. of nearby one-family dwellings, which are duplicates or intensely similar, shall be avoided. Such similarity considers the external configuration and appearance (i .e. , roof, outer wall materials, window size and design, and other like characteristics) of structures. In accord with the foregoing, similar and shall be at least 500 feet apart if any one similar dwelling is visi'ble from any other similar dwelling. e. The final connection between the house plumbing drain and the sewer:zserVice connection (at the property line) must be inspected by the City before being covered. City Manager The undersigned hereby certifies that he has read the above and understands that this addendum takes precedence over any contrary details to the plans and specifications and agrees to comply with the intent of this addendum. Contractor/Owner 4-A Date FORM 900 AND 901 - 123 ENERGY EFFICIENCY CODE E$7." FLORIDA MOML F ' BUILDING CONS OR TRUCTION SECTION 9 GOVERNOFft ENERGY OFFICE B06 GRAHAM LEX HESTER, DIRECTOR GOVERNOR POINTS METHOD PREPARED BY: BRABHAM KUHNS DEGAY CONSLILTL46 ENGINEERS JURISCAICTION,7 PROJECT NAME AND ADDRESS X,4t-"L- -7�3 BUILD04G PERMIT JNO :j/2 9/ 'I - BUILDER 0 ig FILLID Of By BLDG OfflCLAL IL OWNER 2�L 1�zA 6 TO 89 FILL90 10 By 06*16"R STATISTICAL DATA- co� zom A AXT Jq 10 41k c /vrg i -- 9 - -tYSTEM TYPE W�Tow ON"it of t**T S HEATING SYSTEM TYPE TWATER COW ITIRIP GAS OIL SOLAR IELZC- $AS OIL I I PUMP 0 --0 cl 771 - m 10 6. 13 L 0 [D mkK§UDKT COMMON WALI common ceilimj MAXIWAI ALLOWIED x it X5 Cc""O* WALLS5 X room AMOMIX f) raw9m TOTAL p1mays MAW 6"Aym EPI DATE* EPI - FCERTIFIED BY: 47. F011M 900 AND 9-11 - 123 'r4, FLORIDA MODEL ENERGY EFFICIENCY CODE iv FOR BUILDING CONSTRUCTION W* GRAHAM SECTION 9 GOVERNOfft ENERGY OFFICE GOVERW)R POINTS METHOD LEX HESTER. DIRECTOR lw� PREPARED BY: BRADHAM KUHNS DEBAY CONSULTWO ENGINEERS JURISDICTION PROJECT NAME 3elh AND ADDRESS BUILDM PERMIT]NO. BULDER _Ae Fic L iF__T0 ME FILLED Wily SLOO OFFICIAL It OWNER Of FILLED IN BY 09016100 STATISTICALDATA 6 C OP Zola A HEATING SYSTEM TYPE WATER SYSTE TYPE c Km mumam R Of Wd- T, HE AT GAS OIL SOLAX ClIll FRANK ojr& STRIP PUMP $AS OIL $0 AAR IEL11C *V I _L T-0- 0 13 Cl L bmmwp�6wwm—m� El E) 1:1 SAW Kew COMMON WALLI MAXIWJM ALLOWIED X5 x1l v 8 Do®r &GPVMX r" rtWglM TOTaL PONT$ #A&" "VW*$ LCERI IFIED BY: DAT E. E P I * -9D DESIGN CREDIT POINTS( E IDESIGN PENALTY POINTS(PP) CEILING FANS tw co%o *P^Cg) I rem FAN WAAHER AIM 04YER (MCC=*r4"' MPARATID Gy MAX OPfWIN6 OF GLASS< 40% 5 MULTI ZONE A/C OPERAMILl WmDows 00 1 of wo*t) P" ROOM "Ift of Room WWOLIE MOUSI F AN Of 1 TOTAL SIG [ PERSCRIPTIVE MEASURES CHLCK FOR COMPL;k*CX SECTION CHECK HEATING SYSTIEM IFFICIEWCy 503.4 cl A4R CONDITIONING CONTROLS 603.7 A/C DUCT CON16TRUCTION 5 OV9 el*c#JLATI*") 503.10 VnMll INSULATION SYST" 9 c G T m IN K p 3 y E FoR IEl m c 6- W Ep %c I Fen IF 9 r E5 IA ' so, s, M70M K,E�LLT zm OAT X=) 5 7" P" of .1001, W_ wo OL Lt c c� OU"�FAN 5 EHEA AIR co"DI T 10"10 A/C m)C co"s MpWa 104:x_ATi( WATIER H"TER (ASWRA9 **-Ts`A&U $042 S�MMJWS OIDL 604.2 WIMMING POOL$ m FLO M v It TOTAL *40VM FLOW RIESTRICTORS 604.5- 1lu E049 INSULATION KMMETER WPM GWP ml - 4 .1 RO-- 2.9 q2- L )1;*- 7 all a R3 - 5:9 69aS R & UP 46. 4 SINGLE DOUIBL E Oft AREA SINGLE DOUIDLE WOF QWP OR AREA - SOF GSP C TIN N 15?# 4 120@8 N L46 123 1.20 301 F - - -- I- _ TE 1S7. 4 120. 8 gg NF -7/ —21 186 190 15c E JS7o4 120*8 E 2189 242 2S1 21F SE 1 21q 226 14" SE lS7v4 120,; 8 - --- 3 190 160 160 1 120 , 8 z SW 1S7* 4 l20s8 III SW 261 219 226 18r c — ." I w 1S7, 4 120 #8 w ?89 242 251 K '00 wo JS7* 4 120*8 . NW 221 1,86 19011_19; j E H 46, 4 7993 H 48q 408 43� x o 0 v- H: HORIZONTAL GLASS SKYLIGHTS ) FOR TINTED GLASS SL vi 0.83 SEE SSEC-902-24 'T 07 AL GROSS WINTER POINTS t TOTAL GROSS SUMMER POINTS ;;v -.2 I"111"LASS 1.5"FIMOLASS A` 1.00 DUCT to Como v 1.00 CSM FROM TA -ev x D OF HSM F R OM TA-11ILE 9,;T2,� 77z DIVM)7 F) 1 FLOOR AREA( �/ (FLOOR AREA(DIVIDE) uR POINTS (WP) T�SUMMER POINTS(SP) ZONES FORM 9013 AND 901- 123 POINTS H�T W A CREDIT POI--[PFNALTY POINTS WINTER POINTS MER NTS EPI TER POI ---=SUM �Sl + FEWER TOTAL PC 'F RE ENCOURAGE FOR MAxIMUM ENERGY SAVINGS 77 -r :y t; cl OD x M tn C- z L vc x1m W. rr IT, z z %n cm 0 cn IE? C7 m m 9 M V, Z �rhl =7C rn rf R 8 X ;K a ir zm mmo coo 99 . 999 -199 999 999 xx 7,K ch w CA ".4 cc 9—.11 1111 Z 7 ze I- —-T-41 CD cc co W8= I—V wa CA 0--4 a W Z: -T w 4 C� 7"-, z Ln LnM= L-3 C3 Cn W— C�—W W WM to La r LT Cn -,,-Z -4-j 4 -44-4 -Z-Z 4 -4-44 4-v-0 V) rr N -CR L�C� pa ED r%J LO �40�- -ID .M --j 779 9.t F-5§ C, I t� C) �W rnC3W W C'tD m(J� C)�W Www M al Cl> .4-4 V F;,n :P. C�l -Z4 4 0— w 0&P R;n Z (n V, Tn rl)N N N 202 1.0 .0 — , A Cn t; ZiN22 C�C�IR 999 z -V -3 1�J!C� 6 WLnw Lp Ln ;;Go LnCDO OC3- CO 0 CrJ- 0 -=Lc -Z-4 -j-4 -Z-Z-j -�4_j -4_j-V, 0 WD� N2M Wee !2 sj? 1,A 0 ==4- 0 ru 7 = rn cn CC M C, wLnCD W`4 MM— WMW CD M 0 999 s CC' 4-4 4 -4-4-4 m T P2 jR N N NNW we�g C�C!C! qc!c! m -4 M-4 -4 r- - w M rD CD --4 m cn en ca —.c CDOO CM C) C-) 0 0 n -< C�cr) 99 M cr) = -4 4-4-4 4-Z-4 -4 m Ln :v li -4 W W�WW = === —-r--0 "1 .9 999 99c! C>O Cl C3 0 C. -tnl z -,-.g 999 999 9 t 1 9 1 Ma�� z xmz C, CC) m cn ;Z cn -.4 M-VM mv-v mm-v M-vz -n M cc --c rn r- "i r) r- M N-N 0 000 CQ 000 000 *--4 -4 1�1!1� . . . . . . . . 10 m n0lm CC�a omo C3(3a ER -0 In co m Fn m m r— co m 'n U7 -4 W= =0= -r-O=p-a N rQ N C:) wo coo SOO tn Ln cn in C�oo 0 4 . . . . . . m 0 mom moo 000 W 0:: ::—m C)C3 --4= --4 4-Z-Z 2!:a�2! 2�29 3� 00 0 m PQ V 0 a) >< v on CD c: onom C:) En ;� i� :E I w Z 0 :0 moo 0 t" to w:0 m m H C) CD r" In cn 0 En U V p:p- <z E :D w oom Cj cz, >< 0 C)M C) M xxx C-3000- 3) w w w P P�rl V -1 _TJ Z> Coa, ovoom Z�- CD w nx we* 4 P4�..w or L-;o CD I Ln L-, 4-- M M,Vj zz m C-) C:) w tq M tQ tQ ol Ll 0 "%% -0-0-01010 0 D 0 0 C) xx a)En ED a) C) 0 0 Nj fj"Lx" m x x SP S M xx x .4 a.4p 12 m =3:) uu= a� m xxx rn x xxx A..0�LF4 w LAS La IQ Ul �L"L" xxx x x L'i W Lp w w w Lop f MID a 0!C� F:"A xxxx CPI-4 co CA W L4 40 L7 C) 0 14 aR z LO Q !Z ;A fA M DO En ID 0 V tc M u tj :E to uc: - - ;0o"P L— w tFs w t�0 w to Q M 0 to ta 4�1-low— (A tp 0 0 0 M 0 0 LO ta p En )p pq"a V 0 r— *a x 10 w t 10 0 lz 03 0 V) "q IV 0 z z tj z= z 0 ta X Vj m 0 V z fig t�o �l OX P4 IV C� go %G ip Cd 00 cr X 0 "d 6 1" cl;p C:;: Mi C4 = ;ca 9 MA -0 -" r" to I 0 Pid on I NK Vv cr-, r-n H 0 t74 C3 0 Le C4 too 9, 0 41.4 ta 4f* 0 tit 0 x 004.0 00*0 In cn W ""a cn 0 -4 t 40 -V X (C=:) W = 2 C:) tv tv C3 0 0 tn C) M m 0. ti 0 o D 0 0 0 0 a a 0 0 C3 G) C) En cn w 0 M m <z o :D ap000 0 DO E E tv 0 q 0 2f 0 0 t4 0 w a 0 IV W La W w W La W w K) 4.1 0 0 0 m tQ— tQ"P4 W bj W W A- X 0 . . . . . . . . . . . . a- < tid cn > hi& �O W cn 0 0 3 s 9 8 0.1 53 9 En t4l D I 0 0 La cuu-11 >01 ,A 51'A 1 0 m 0 a 0 0 .1b m W W LO LIS wwwta w w W w at 0 C:) dx� .0 ta w tQ tst tQ tp 0 0 0 0 0 0 0 0 0 P4 kR lb. 0 0 0 0 0 0 D 0 0 0 0 0 0 IV-V-4 NAN4 m > In i� .4 4 . n �-4 t." in x x Ix. 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P.-0.0. 0.a. x *tQ '0 - - - - - - - - - - 0 D 0 0 0 0 0 0 0 CD z -0-0 Id Z -1-J -4-4-4-J -1-J W LO 0 to 0 La Ln m D 0 0 0 0 0 0 0 0 0 0 0 --son—- g et So 9193 !s.'I MC63670 MAP SHOWING 40OZ/A/",Q)"' LOT-30 BLOCK / - AS SHOWN ON MAP OF 51101.?,d y AS RECORDED IN PLAT BOOK g!S- FA61-_ "'4;44 + P �RLIC pECoRDS OF DUVAL CO., FLA. FOR- r e,-) Al % k� Ilu 1 Lf fy7 l4i % 0 All ARDS SETTowill BY THE FLORIDA CERTIFICATE* THIS SURVEY COMPLIES WI-r-i THE MINIMUM TECHNICAL STAND 0 SECTION 472.027, F LORIDA STATUTES, BOARD OF L.ArdD SURVEYORS, PURSUAN IT LEGEND: HEREBY CERTIFY T14AI IJIL ABOVE A" ijRvryEr) BY t I L MONUMIE 14-1 t ME:AND Tt-1 AT 0 N f.R fS LOCATEE) UPON SAML AS SHOWN AND THAT THERE ARE NO [-,r4�-,f,0AC.HMENrs UPON I_z) CLARSON A�x ASSOCIATES, INC. SAID--- 1643 NALDO AVE. JACKSONVIL LE,FLA.32207 C,14 f SIGNED 19 x SCALE:--. X-X-- Cl T-Y OF ATLANTIC BEACH APPILQATI W FOR PLUABI NG PEF441 DATE L LOCATION--)-, PL UIAB I NG F I RM--t) MASTER PLUl,'3EFL__�)_QN__\A_ CITY/COUNT-Y OCCUPATIONAL LICENSE NO. 0- STATE CERTIFICATE NO.--- BUILDER OR CONTRACTOR a�,A TYPE OF BUILDINQ I NKS SHOWERS LAVATORY WATER HEATERS DISHWASHERS URINALS DISPOSALS _MOSETS __�_WASHI NG MACHINE FLOOR DRAINS OTHER TOTAL F I XTURE COUNT INSTALLATION OF PLLf-',BING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMING CODE. CITY OF ATI-ANTIC BEACH WATER CONNECTION CHARGE DATE_'_�J_ LOCATION CA OWNER___N_ D Ck PLUMBING FIRM MASTER PLUMBER BUILDER OR CONTRACTOR T "U'L YPE OF BUIIDING j L 2- BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC 2 UNITS) WATER CLOSET,LAVATORY AND BATH TUB OR SHOWER STALL. (,6UNITS) SHOWERS GROUP PER HEA.D 3 UNITS) BATHTUB ( WITH OR WITHOUT OVER SURGEONS SINK ( 3 UNITS) HEAD SHOWER) (2 UNITS) FLUSHING RIM SINK ( 8 UNITS BIDET (3 UNITS) SERVICE SINK TRAP STAND ( 3 UNITS CO�LBINATION SINK AND TRAY ( 3 UNITS) POT,SCULLERY SINK ( 4 UNITS COMBINATION SINY, AND TRAY W/FOOD DIS. 4 Units) URINAL, PEDESTAL,SYPHON JET BLOWOUT. ( 8 UNITS DENTAL UNIT OR CUSPIDOR ( I UNIT) URINAL, WALLL LIP ( 4 UNITS) DENTAL LAVATORY ( I UNIT) URINAL STALL, WASHOUT ( 4 UNITS) DRINKING FOUNTAIN (!5 UNIT) URINAL TROUGH EACH 2'SECTION DISHWASHER ( 2 UNITS)' ( 2 UNITS) FLOOR DRAINS 1 UNIT) WASHING MACHINE RES. ( 3 UNITS) KITCHEN SINK 2 UNITS,*" WASH SINK EACH SET OF FAUCETS 2 UNITS KITCHEN SINK W/WASTE GRINDER 3 UNITS) WATER CLOSETS, TANK- OPERATED ( 4 UNITS ) LAVATORY 1 UNIT WATER CLOSETS, VALVE OPERATED LAVATORY ,BARBFR,BEAUTY PA_RLOR UNITS 2 UNITS L-ALNDRY TRAY ( 2 UNITS LAVATORY , SURGEONS ( 2 LNITS) DEPARTMENT OF BUILDING PERMIT NO. 4992 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 19 82 $2L1U1a11X –Fee$---a_-D–Q–� ,_pLyZ1 Valuation T This permit not valid until above fee has been paid to CitY Treasurer,and is subject to revocation for violation of applicable provisions of law. DON HARRIS PLU14BING COMPANY This is to certify that� JACKSONVILLE FLORIDA 4029 BLANDING BLVD- G AS PER PT S SUBMITTED has permission to build INSTALL NEW PLUMBIN GLE FAMILY Zone RA Classification --------- owned by THE NEW MET COMPANY Block 1_S/D SEA SPRAY Lot 30 501 VIKING LANE ---- House No.— According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE M q Building material, rubbish and debris z from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. '08.uu T SoUUCKT Bitift1mg a 7- UOCAC CONTRACTOR FOR OFFICE PERMIT DATE USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING PERMIT NO. 4991 CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date APRIL 5 -19--az Valuation$ 47,553.29 Fee$ 197.25 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. THE NEW MET COMPANY This is to certify that 1140 EDGEWOOD AVENUE, JACKSONVILEE, FLORIDA SINGLE FAMILY HOME AS PER PLANS SUBMITTED has permission to build Classification SINGLE FA11ILY —Zone RA Owned by THE NEW MET CUT Lot 30 Block— S/D SEA SPRAY House No.— 501 VIKING LANE According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF f*XJ*5 A 0 Building material, rubbis�9NRUIOT i zi from this w?Tk Tust r13t beLol%� '4 awa b d in public space,I- f must be up and haul�,W'awa tractov-§i?0*111e 10 0 1) ------------- -------- ---------- CONTRACTOR FOR OFFICE PERMIT DATE USE ONLY NUMBER OR U S E 0 0 F N F'C E LY u and hauled away b enn cto 0 �tra fficia PLUMBING ELECTRICAL SEWER WATER CITY OF 4&aa4c ige=4-J&UC& Office of Building Official REQUEST FOR INSPECTION D te Permit No. Time Received District No. i Ad Loc ality Owner's )4 —Contractor Name S—S BUILDIAn PLASTERING ELECTRICAL PLUMBING HEATING Fo u ndation ....Ej Wire ..........0 Rough Wiring Rough ........0 Rough ...... Chimney ......0 Lath ..........0 Finish Wiring Final .........E3 Final .........C] Framing .......[:] Scratch .......E] Fixtures .......C] Sewers ........C] Water Heater Fina I ..........0 Brown ........L:] Motors ........0 Gas ..........E] Footing .. .....E] Finish .........E] Temp-Pole .....C3 'Cesspool ......0 Stab ..........Cj Wallboard .....0 Final lnspection.j��'Top-out .......[I Lintel Beam Water .........0 READY FOR INSPECTION A.M. on..,,J Tues. Wed. Thurs, A.M. Fri. P.M. (L_ _.2Y Inspection Made Inspector CITY OF 7X office of Building official REQUEST FOR INSPECTION Permit No. Date District No. Time M. Received 49,v e- Job ACarebs owner's Contractor PLUMBING HEATING Name PLASTERING ELECTRICAL Rough ...*,*, 0 Rough 0 13UILDING R�jugh Wiring -.0 .......�0 Final ....... 0 ......0 -.0 Final ' C] Water Heater Foundation Wire * 0 Finish Wiring C] Sewers ........ Lath .......... Chimney Scratch ......0 Fixtures .... Gas ..........0 - Motors 0 Framing .......E] Brown ..... m,-Pole .... C1 Cesspool ...... Final ..... inish ..... Te al lnspection�Fj Top-Out ...... Footing' Water .... 0 A.M. Slab ��Vzllboard ....*0 Fin P.M. te 'Beam '7] Fri. Lin READY FOR INSPECTION Tues. Wed. Thurs. A.M. ,�M.n__ P.M. Inspection Made inspector WNW -NOW -z- C:ITY OF 4jj,,� a 14114 0ificeof Building official RE UEST FOR INSPECTION QPermit No. District No. Date A Tj eme R ceived Loca I Job A�ddl C-ontractor HEATING ��IIBINU .0 owner's ELECTRICAL 0 Rough 0 Name T RING 0 Final BUILDI G P h V i .... C] water RoY9 Wl�,,:,n Fina 9 g Wire ... 0 Finis C3 Sewers ... —0 Foundation Lath ......****o Fiytures -0 Gas ....****''-c i .....0 S ....*0 Cesspool ..... Chimne: cratch .,***,*C] Motors -- 0 Framing Brown ........0 Temp�pole -j.o� 0 Top�out......—* Final ...... Finish ....... Final Inspec I Water .......0 A.M. Footing o Wallboard p.m. Stab Lintel FOR INSPECTION Fri. rs. -.0 Thu Wed. A.M. Tues. P.M. Mon. Inspection Mad inspector C:ITY bF 4&,A� A e ,,4—07 Oitice of Building Off"::Ial FOR INSPECTIO" REQUEST Permit No- District NO Date �'%6 �A�-M Ti e LiI m Received —J.b Address IN�G contractor �VHEAT PLUMBING owner's. PLASTERING ELECTR.ICAL Rough .......*C1 Rough ... .0 Name C3 .0 Final i4e'-te� ,ough wiring Final .... 0 water BUILDING \Niring 0 wire . . ..... C] Finish sewers ..... foundation ....0 Lath .... ..**0 Fixtures Gas .. . .. ... chjm�ey [3 scratch 0 motors cesspool ... pole .... rop�out .......13 ....0 0 Brown. 13 ... A.M. Framing ID Femp- F'na :3 .. ....0 inai inspection. \Nater P.M. Foot!ing- sl b �y FOR INSPECTION L ntel REAC Thurs. ia �eam Wed. A.M. Mon. Tues. P.M. Inspection Ma inspecto r- CITY OF 4g .4& office f Building official lo OR INSPECTION REQUEST F permit NO- 7;_� Date District NO- Time P.M- Received Locality dd ss ob A 14 rre Contractor UMBING �VjEATIHG owner's -iLECTRICAL Ir�Rough ... ... Final Name pLASTERING Fugh ....... �n� .... t Fi.5 .. ...... r iNG Rough Wir!ng inal BUILD . 0 �r C3 Water Heate . .........0 Finish Wiring 0 Sewers �0 Foundation 0 Fixtures ,*....*0 Gas ..... 0 Chimney ..... . crati:6� �......0 M oto rs .... I...C3 Cesspool .... 'C3 in& ...... O��n .....0 Temp-pole Top-out . ..... Fram 0 W ... 0 Final ....... Finish ......... Final inspection Water .... Footing ...... C3 Wallboard ..... G) stab Lintel'6eam, READY FOR lit4SPECTION Fri. rhurs A.M. T s Mon. P.M. InspectiOrl Made inspector (W CITY OF 13eacA-&7&uc& office of Building official REQUEST FOR INSPECTION Date, 41 Permit No. District No. Time P.M. Received Lrfb—e- Locality Job Address owner's contractor EATING Name PLASTERING ELECTRICAL PPLUMBIN��HEATING BUILDING h E] Ro 0 Rough ........0 Rough wiring ug Final .........C1 Foundation ....ci Wire . ......0 Wiring ..E] Final . .11 E] F lish .13 Water Heater - ......(3 Lath !n .0 sewe7.:: Chimney [] Scratck .......0 F,,tures ...... Framing ....... Brown. ........0 motors ........0 Gesspool ......0 Final .......... Finish .........Cl Temp-Pole .....0 C :)ut .......0 Footing Final inspection.[] Top-1 .... Wallboard .... C1 water .........0 Stab .;�....C3 Lintel'6e'a ...11 (29�> READY FOR INSPEGLION P.M. Mon. Tue We Thur A.M. Fri------ P.M. inspection Made inspector——::::� CITY OF jqj&"4'c Beac,4-q/&Uk& Office of Building Official REQUEST FOR INSPECTION Date Permit No. Tim A.M.') Rec:ived P.M. District No. -ell "_� / Y";�,-,)6, ,—Job Address Locality Owner's Name Contractor BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation .... Wire ... ....... Rough wiring ..C] Rough ........F-1 Rough ....... Chimney ......� h ........E] Finish Wiring ..[] Fina I .........E] Fina I Sct .......F1 Fixtures .. .....F-1 Sewers ........C] Water H'eaier E] Framing ...... ratck' Final .......... Brown ........ Motors ........F1 Gas ..........11 Footing ... ... 7 Finish ......... Temp-Pole .....C3 Cesspool ......[I Slab .....C] Wallboard ..... Final Inspection.F-1 Top-out ....... Lintel '6eam ...r-j Water .... ..... READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Fri. P.M. A.M. Inspection Made A 7- j- P.M. Inspector C-4-;�,. :�a CITY OF 41&,*dx BeacA-&;/&Uc& Office of Building Official REQUEST FOR INSPECTION Date 2 Permit No. Time A.M. Received 0 0 P.M. Di st-let ----- j�_ 2dAzAg Joe Address Locality 0_-e"� A)C-4J Name Contractor BUI&� L IN P� LASTER�� ING ELECTRICAL PLUMBING HEATING Foundati n ....0 Wire ...........0 Rough Wiring . C] Rough ..... Ej Rough ...... El Chimneyo ......F1 Lath ..........0 Finish Wiring ..E] Fina I ...... �E] Fina I El Framing .......F-1 Scratch .......0 Fixtures .......C1 Sewers ........0 Water H'e'aier'..E] Final ..........0 Bown D Motors ........E] Gas .........11 "nr -Pole Cesspool ...... Footing h 0 ,.[] Temp Slab .......611F'WW�llboarcl ....10 Final Inspection.0 Top-out .......El Lintel e*a'm'' El Water ....--0 READY FOR INSPECTION A.M. Mon. T es. Wed. — Thiurs. Fri. P.M. A M. Inspecti n M P.M. Inspecto Traifiratr (orrupaurg CITY OF 0AW& Brpartmrnt of TSuilbing 31napprtion This Certificate isstied pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following: Use classification ftir Bldg.Permit No. District.—ATLANTIC—MLI"al M=UA Group--Type Constructionic.—Mmi. J JAC CWMT Address—11" ZDMW= ovner of Building I_-MLocahty—APAM IMAM, —FLORM Building Address-�501 By: WM—D—M Date: Building official POST IN A CONSPICUOUS P�C"` ClTY OF ATLANTIC BEACH FLORIDA INSPECTIONS --2) L4 BUILDING PERMIT NO ELECTRICAL PERMIT NO.0 PLUMBING PERMIT NO.# JOB ADDRESS CONTRACTOR OWNER DATE RE14ARKS INSPECTOR FOUNDATION 2- cs�L. (D J�_ 4 ,A FOOTING SLAB PLUMBING (R) TOP-OUT 29 SEWER TEI-iP-POLE q-(D - ELECTRICAL (R) 5- V� ELECTRI CAL (F) FRAMING C'X PLUMBING (F) LINTEL/BEAM COLUMN STEEL SHOOT GRADES LOT CLEARING OTHER --------------- FINAL INSPECTIONS 5-69 7 ;?_ CITY OF ATLANTIC BEACH, FLORIDA JV6 � Approved bV APPLICATION FOR ELECTRICAL PERMIT 19 TO THE CHIEF ELECTRICAL INSPECTOR: DATE:- /_� IMPORTANT NOTICE: RIBED IN THE FOLLOWING, WE IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESC'D PLANS AND SPECIFICATIONS, TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHE LATIONS, CODES AND CITY OF HEREBY AGREE CTRICAL REGIJ WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELE ATLANTIC BEACH ORDINANCES. U_RE ALLSTATE ELECTRICAL C0f4TRACT' C I A N—S I_GN A—T RICIAN SIGNATU —----- MASTER ELECT RM. ELECTRICAL FI RFD_�BOX� ADDRESS: NAME_A�&�� BETWEEN* BLDG.SIZE OLD ( REW. RES.p4 APT.( COMM' PUBLIC ( INDUS. ( NEW A SQ. FT. ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( I ------- FEE SERVICE: NEW�4 INCREASE ( ) REPAIR ( ) , 4040 e AMPS 4fo COPPER I ALUM. CONDUCTOR SIZE /-"r 0 AMPS PH w VOLT RACEWAY SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST-SERV.SIZE SIZE FEEDERS NO. SIZE NO. SIZE NO. TOTAL 7"7) LIGHTING OUTLETS 3 CONCEALED OPEN TOTAL 00 Lf) CONCEALED OPEN RECEPTACLES AMPS 31.100 AMPS- SWITCHES 3 INCANDESCENT ------- FLUORESCENT &M-V- OVER 7'5- FIXED 6_100 AMPS- :LBELL TRA=N�F / APPLIANCES H.P.RATING H.P. RATING mpS CEIL HEAT: KW-HEAT AIR COMP.MOTOR OTHER MOTORS A CONDITIONING OVER 0-1 VOLTAGE pHs NO. I H.P. VOLTAGE pHs MOTORS H.P. J�_JSCELL EOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. KVA NO. KVA NO. FLASHER NO.NEON TRANSF. NO. VA. MOTOR SIZE SWITCH EACH SIGN FORWARDED FEES jj�zk CITY OF ATLANTIC IIACHI FLORIDA 111000, APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: 113ED IN THE FOLLOWING, WE PERMIT GIVEN FOR DOING THE WORK AS DESCR, PLANS AND SPECIFICATIONS, IN CONSIDERATION OF I SAID WORK IN ACCORDANCE WITH THE ATTACHEE CODES AND CITY OF HEREBY AGREE TO PERFORN ULATIONS, WHI,CH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REG ATLANTIC BEACH ORDINANCES. .............. alrRICI—ANSIGNATURE ALL I�AA�S—TEELE' 1� ELECTRICAL FIRM- tr.71444 )1�".1-1 lf�l ITJIT-es A�/ RFD�BOX— ADDRESS*�� NAMEA�� BETWEEN* BLDG.SIZE OLD REW. comm. ( PUBLIC INDUS. NEW ( ) RES. ( APT. ( &'waltr podw'.1*/ SIGNS -------�SQ. FT. ADDITION ( ) TRAILER ( TiLl'.00 FEE SERVICE: NEW INCREASE ( REPAIR ( CONDUCTOR SIZE A�'e AMPS 0 COPPER ALUM. SWITCH OR BREAKER 6 n AMPS. PH 3w VOLT RACEWAY r—a— AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE SIZE FEEDERS NO. SIZE NO. CZ17F OPEN 7 TOTAL LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES 0.30 AMPS CONCEALED 31.100 AMPS SWITCHES INCANDESCENT FLUORESCENT&M.V. OVER U-- MPS. BELL TRANSF. FIXED APPLIANCES H.P. RATING H.P. RATING ps CEIL HEAT: KW-HEAT AIR CoMp.MOTOR OTHER MOTORS AM CONDITIONING OVER 0-1 VOLTAGE pHs NO. I H.P. VOLTAGE pHs MOTORS H.P. MI NEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. KVA NO. KVA NO. — ITCH - FLASHER MOTOR SIZE S NO.NEON TRANSF. NO. VA. EACH SIGN FORWARDED $ j, TOTA FEES FOMM 900 AND 901 - 123 FLORIDA MODEL ENERGY EFFICIENCY CODE low FOR BUiLDING CONSTRUCTION GRAHAA SECTION 9 GOVERNOfft ENEROY OFFICE C-OV E RNOR POINTS METHOD LEX NESTER, DIRECTOR PREPARED BY: BRASHAM KUHNS DEBAY CONSULIM ENGINEERS �:j JURISDiCTION PROJECT NAME FA-ND ADDWESS 2, BUILDM PERMIT NO. BUILDER A F-TO 99 FILLIO Wl lY @LOS OFFICiALI OWNER To 09 FILL96 10 OY 09010N.N.J STATISTICAL DATA zoom c goof HEATING SYSTEM TYPE TWATER SYSTEM TYPE cosM�rm MAM Of Of UNI T 6 STRIP HUT GAS OIL SOLAIR ELKC. GAS OIL SOLAR Clill XAAK ou PUMP 0 El 0 El 1:1 6� 0 STO 6- COMMON WALL$ I MAXIMUM ALLOWILD FVA �u X5 x1l ?rp pow molopowinx r, rturlm TOTAL PIONTS OWA" o"ATtm SAwwas C C ERTIFIED BY: DATE EPI : 9D DESIGN CREDIT POINTS(CP) '9E RESIGN PENALTY POINTVPP� 01042 3 CEILING FANS (w C0140 whtt) I P" FAN WAAlH9P AMC DRYER (w Oft4s I 1"ATtO 9Y MAX OPENING OF *LA*l< 40% 5 MULTI ZONE A/C I ONMASLE oil 2 041 "Oft) OPERADLE WINDOWS Nwe or ago's 0 PER ROOM TOTAL WHOLE HOU" FAN (I I cflfi/Of I PERSCRIPTIVE MEASURES CHICK FOR COMPLIAOM SECTION CHECK HEATING SYSTEM I"ICIEACY 503.4 0 AIR CONDITION1110 CONTROL-$ 6017 A/C DUCT COMSTRIJKTION 503.9 El FA PIC T 0 A�C (Xj C K D CP Y T E r0 S T Ol0 L - INKILATION ( U WATER HEATVII (AOM"d LAMU-1 &-04-2- P. SWIMMIN4 POOL$ 504.t TOTAL FLOW RISTRICTORS 604,8 E04E INSULA'nON PERIMETER WPM GWP RO- 2.9 q2. 7 6qos R3 - 5.9 R6 & UP 46, 4 SINGLE DOUBLE Oft AREA SINGLE DOUBLE *OF GWP Oft A R EA CLR TIN CLR TIN SOF GSP N 1S?, 4 120s8 N 146 123 120 101 ?21 186 190 151 NE 1S7* 4 120,8 99 gos A�V E lS7s4 120,8 E :-189 242 251 209 Z SE 157, 4 120a8 SE 1 21q 226 189 LE 1 E 26 S 190 160 160 134 S 1S794 l20s8 SW 1 219 r2261 SW 157* 4 12098 19� / lot W W 1S?o 4 120s8 69 242 251 1S7, 4 12098 4c 10 NW 186 143 1 j 46s4 7q 3 9 408 432 x 0 Amil 69 19 1 HzNORIZONTAL GLASS ( SKYLIGHTS ) FOR TINTED GLASS SL 0 OA3 SEE SEC,902141 TOTAL GROSS '*INTER POINTS TOTAL r.Ross SUMMER POI TS 67,-3 1"FWW"LASS 4*_5 7,-Z, 1-15 51 5'rWROLASS 1.11 IN COMM 1.00 DUCT m Como 1.00 -700 CSM FROM TABLE 99 �-/ CM S:M�FR T�AD L E�9A 1 7176)0 X _:7L_ FLOOR AREA(DIVIDE) 1 -,#V-7z- (FLOOR AREA(DIVIDE)__ t -7/ 7, L SUMIME it POINTS(SP) WINTER POINTS (WP) 123 FORM 900 AND 901- 123 ZONES - 123 ZONES - 123 ORM 90 ik�T:55:] SUMMER IPOIN�TSTHI�T Wj NTS P NIALTY ..PO4NTS WINTER P kTER PO��l 5-1�,-57 + '311--�/J- FEWER TOTAL PC RE ENCOURAGE FOR MAXIMUM ENERGY SAVINGS 3591 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION - Permit Number: 3591 Address: 501 VIKING LANE Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 3223--,, Class of Work: NEW --- - ------ LEGAL DESCRIPTION Constr. Type: WOOD FRAME Lot : Block: Section-. Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 Subdivision: Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Feev : $37. 00 Amount Paid : $37. 00 Date Paid : 4,' )119+ wori. F)-s.. g 4NS,'FA1=6 GENTRA6 HGAT AND AIR OWNER INFOPMATION APPLICATION FEES Name: BOB LAMPHEAR PERMIT $37. 00 A(4(fress . 501 VIKING LANE WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA 3223j SEWER IMPACT FEE $0. 00 Phone*. (904)249-8251 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 CONTRACTOR INFORMATION RADON GAS -- 5% $0. 00 Name: OCEAN STATE HEAT & AIR WATER TAP 4io. 00 Address: 1476 ATLANTIC BLVD. SEWER TAP $0. 00 NEPTUNE BEACH, FLORIDA 32233 HYDRAULIC SHARE $0. 00 License: MHAR-786 Type: 3 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $0, 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.59 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT /x By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 I-L N NUMBER APPLICATION FOR MECHANICAL PERMIT -36�A L- N�NumBER IMPORTANT Applicant to complete all items in sections 1, and IV. Street Address: LOCATION And OF Intersecting Streets: Between BUILDING Sub-division 11. IDENTIF ICATION — To be completed by all applicants In consideration of permi iven for doing the work as described in the abcve statement we hereby agree to perform said work in accordance t 9 ereof and in accordance with the City of Jacksonville ordinances and standards with the attached plans and specifications which are a part In of good practice listed therein. P Contractors Name of Mechanical Master Contractor (Print) Name of Pro pe rty Owner -A Signature of _h Signatur o or i Architect or Engineer i.!dO;ner or AutCr gent III. GENERAL E3. A, Type Of heating fu IS OTHER CONSTRUCTION BEING DONE _14 THIS BUILDING OR SITE? 4X9 k Electric 0 Gas—[3 LP 0 Natural [3 Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT 0 Oil 13 Other — Specify NATURE OF WORK IV. MICHANICAL EQUIPMENT TO 5E INSTALLED Residential or 11 Commercial (provide complete list of components on back of this form) V New Building Host 0 Space [3 Rec..d 1,y Control 0 F11— Existing Building Air Conditioning: [3 Room Control i Replacement of existing system (3 Duct System: Material Thickn*sL— El New installation(No system previously installed) Maximum capacity c.f.m. El Extension or add-on to existing system 13 Refrigeration El Other — Specify 0 Cooling tower: Capacity 9-p-m. 0 Fire sprinklers: Number of (3 Elevator Manlift [3 E,,I,t,,.(nurnber) THIS SPACE FOR OFFICE USE ONLY THI ACE I 0 Gasoline pumps (number) FRomarks 0 Tonks..(numbor) (3 LPG containors.___�(numbdr) [3 Unfired pressure vassal Permit Approved by___� Date 0 loilers Permit Foai� 0 Other — Specify LIST ALL EQUIPMENT AM CONDITIONING AND REFRIGERATION EQUIPMENT capacity A NumberUnitm Description Model Number Manufacturer (Tons) cy HEATING - FURNACES, BOILERS, FIREPLACES CAPiscity APPI14111111"M TU) r4umber Units Description ModeINUrnber Id 'C TANKS Serial Approving Type Ltquid Name Of Agency Now Many Nalli C&PACRY Manufacturer No. and DIMOnSiO111111111 Contained