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404 Whiting Ln (vault) rj' r f J3`SI, CITY OF ATLANTIC BEACH it j J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 ��Jifl>r Application Number . . . . . 05-00030828 Date 8/02/05 Property Address . . . . . . 404 WHITING LN Tenant nbr, name . . . . . . REMOVE/REPLACE DRIVEWAY Application description . . . RIGHT OF WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- YOUNG, CHARLES H. BELL' S CONCRETE 404 WHITING LANE 50 DUDLEY STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-7758 -----Permit . DRIVEWAY PERMIT Additional desc . . 00 Permit Fee . . . . 35 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 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 WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t1wk BUILDING OFFICIAL CITY OF ATLANTIC BEACH Cc. BUILDING / ZONING DEPARTMENT Hi tans 800 Seminole Road 6oer� OVD r Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: - 4 Applicant: I IC Project: This permit application has been: eJ Approved —7� Reviewed and the following items need attention: Please re-submit yo appl' tion when these items have been completed. Reviewed By: Date: '7 z `� Date Contractor Notified: Q CITY�F AT!,ANTtC' BEACH �s r CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF VVQY AW EASEMENTS 800 Seminole Road 904-247-5800 Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 Date— "' T# �j(J�/ � -- ISSUED BY THE CITY Job Address ,Z,3a -e Permitee'!"l ��`5 GY\CA �C>Z I ��fS. t—I�wt W Telephone # q(, �L�'`l or 2-416 Permittee Address 12 Ln Requesting Permission to Construct: Inc �rE e��C�1vP a,.w pr\ll' \ / (. y3 � Li A �!I JL�> LI UVI I� C� o� Ui / I�aJ ,'Yluc 1 i iw,��S J6 '4 3 Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. LoC4,c^_G eek A Letter of Notification was mailed to the following Utilities/Municipalities: :763,46 Z CCAt-V Jacksonville Electric Authority Yes (�) No ( ) Date: 1 26 ©5 Bell South Telephone Company Yes No ( ) Date: U Ferrell Gas Yes ( ) No (x) Date: Comcast Yes (✓f No ( ) Date: d 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or reiocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida De a ment of Tra sportation Standards and be performed under the supervise En ofC ' e <<nCF� (Contractor's Project Superintendent) located at - x,-etTelephone#: "�L 1s,� 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. \`�\\\Nllil l l f 11 r:lr/�Ji \\��g81E DD�yN OWNER r `�` •........ 23 90 Signed"- Date: _ _ Before me this_ `�, day of �Z \f1 in the Cmy of uval _*; o•- *a State Of Florida,has personally appeared I'\I J k-Z.` P _� �� Notary Public at Large,State of Florida,County of Duval. —� •�#DD 293292�h Q` My commission expires: ��99� •d'y �der°:'��e�' Personally Known: or �1416lSl Produced Identification: BellSouth - Web E-mail Page 1 of 1 Print Message Close this window From: <irth host@callsunshine.com>Add to Address Book Date: 2005/07/22 Fri PM 12:20:23 EDT To: <bellsconcrete@bellsouth.net> Subject: SSOCOF CONFRM 2005/07/22#00001 20353362-000 NORM NEW CONFIRM 00001 CALL SUNSHINE 07/22/05 12:20:22ET 20353362-000 STREET Ticket: 20353362 Rev:000 Taken: 07/22/05 12:15ET State: FL Cnty: DUVAL Place:ATLANTIC BEACH Subdivision: ROYAL PALM Address : 404 Street:WHITING LN Cross 1 :TRITON RD Within 1/4 mile:Y Locat: ENTIRE FRONT PROPERTY INCLUDING DRIVEWAY FROM HOUSE TO ROAD. Remarks : ***GEOCODED PLACE IS ATLANTIC BEACH*** ***LOOKUP BY ADDRESS*** Grids:3019138124C 3019B8124B 3019A8124B Work date: 07/27/05 Time: 08:OOET Hrs notc: 067 Category:3 Duration: 04 DAYS Due Date : 07/26/05 Time: 23:59ET Work type: DRIVEWAY REPLACEMENT Ug/Oh/Both: U Machinery: Y Depth:6" Permits:Y N/A Done for:YOUNG Company: BELLS CONCRETE Type: CONT Co addr: 50 DUDLEY ST City:ATLANTIC BEACH State: FL Zip: 32233 Caller: BETTY BELL Phone: 904-246-7758 Contact : BETTY BELL Phone: 904-229-1255 BestTime:ANYTIME Mobile : 904-229-1255 Fax : 904-247-9357 Email : BELLSCONCRETE@BELLSOUTH.NET Submitted: 07/22/05 12:15ET Oper:VEN Chan: 36 Mbrs: CAB457 CCTV03 CJB771 FLP539 JEA LS1104 SBF17 http://webmail.bel lsouth.net/agent/mobmain?msgvw=AEMAMwAtACkACgAeABgAFgB... 7/22/2005 c rbSS ICrK� # VO t ' f c9 • 9 3 112 4bn 1 - 14•C'�TJA 5 r " �+ 0 rA In IV r r u - r S• S�i •<-1� W " � do�� • Sty of Beach Pianning and Z This approval verifies Compliance wkh�icab d zoning, subdivision and other focal to eve1 pment regulations, but does not cos l issuance of permits. Com�i� Neth�1on ti all other app /ham 0 menta local, State and Feseray nature�Of the Q must be verified by 9 Beach Building Official poor to th issuance o :; l Building Permit. a a approved BY Commu dy Develop ent Director S o � - ff' -- Date: 'D THERE ECERTIF , E ARE i tNCROAC MEt AS,AVE SURVEYED L S-yn�yN LANDS AS SHOWN IN slGt�/tD H A TME ABOVE CAPr7ON JUL-27-2005 WED 1147 AM ATL. BCH, PUBLIC WORKS FAX 0. 904 247 5843 ?, 02 • s` ' ' !� CITY OF ATLANTIC BEACH y f PUBLIC WORKS AEPARTMENT e , 200 Sandpiper Lane Atlantic Beach,Florida 32233 " (904)247-5834 (904)247-3843 Fax www.eoab.us PLAN RENEW COMMENTS Permit Application # �' r Property Address: { Applicant: �. �I� Project: D ��/�U-� Q�(/ Four application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. your permit application has been reviewed by the Public Works Department and the following items need attetation! -------------- w , f Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call(904)247-5834. Revie d by R} er,P.E.,Public Works Director Date " 7 Si e Contractor Notified pate — s�LyrJ J� CITY OF ATLANTIC BEACH r � PUBLIC WORKS DEPARTMENT 1200 Sandpiper Lane 3 Atlantic Beach,Florida 32233 sVJ13 (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # (15— �� Property Address: 4 4 K L&K fJ Applicant: 1.11 �-C Project: ❑ Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. Your permit application has been reviewed by the Public Works Department and the following items need attention: w � W w r Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call(904)247-5834. Revie d by Ri er,P.E.,Public Works Director Date 7,4 7/d Si e Contractor Notified Date t V 6 CIYy rJ� ttT!YF��l`° B��CH � s rt gar, CITY OF ATLANTIC BEACH I CONSTRUCTION PERMIT WITHIN CITY RIGHT 9F VX0 AI EASEME'NTS 800 Seminole Road j 904-247-5800 Atlantic Beach, Florida 32233-5445 Fax 904-247-5845 Date hu L7 MIT# �/ (J/ ,7 --- ISSUED BY THE CITY Job Address �( ��,�i�ui PermtteeTc?_ , n l I IfS. �I��w1�1i Telephone# -)'q 6 62- 141 ?N� 775.� Permittee Address ,110 9 Af e•el tyt l vti a0 )c� c��. 132 Z 3 3�b� Requesting Permission to Construct: LA_,-V'E e P'G�Q ,� V �f�llr �C=�-� x '�3 41 � tgc04(J'r z1 1 (,)rl1/LL -6 I cn PZ 14Li ( t t- CP \telA�11 tk� i�IdCCLL lti1 w�5 t Y� Aq 3 I Location: (Reference to Cross-Street) /2r-"/0-1 Aoj 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. LcXu+mn 'T�AA- A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes (� No ( ) Dater US Bell South Telephone Company Yes (- j No ( ) Date: Ferrell Gas Yes ( ) No ( ) Date: Comcast Yes (✓'No ( ) Date: 0 5 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida DepartmQnt of Tra sportation Standards and be performed under the supervision of 1Lp_ , w (Contractor's Project Superintendent) located at _6X-t, Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. DtIAI OWNER . C ong 23'2po�5' Signed. /r Date: — „ , Before me this day of _l u°A, in the Cpunty of Quyal\ State Of Florida,has personally appeared / Imo( J lT ADD 293292 o Notary Public at Large,State of Florida,County of Duval. ,. My commission expires: 9y;ter ec��•�� Personally or >>�A�B�ISi ,�Poducedldentifcaton �� lilt. p��\ BellSouth- Web E-mail Page 1 of 1 Print Message Close this window From: <irth host@callsunshine.com>Add to Address Book Date: 2005/07/22 Fri PM 12:20:23 EDT To: <bellsconcrete@bellsouth.net> Subject: SSOCOF CONFRM 2005/07/22#00001 20353362-000 NORM NEW CONFIRM 00001 CALL SUNSHINE 07/22/05 12:20:22ET 20353362-000 STREET Ticket: 20353362 Rev:000 Taken: 07/22/05 12:15ET State: FL Cnty: DUVAL Place:ATLANTIC BEACH Subdivision: ROYAL PALM Address :404 Street:WHITING LN Cross 1 :TRITON RD Within 1/4 mile:Y Locat: ENTIRE FRONT PROPERTY INCLUDING DRIVEWAY FROM HOUSE TO ROAD. Remarks : ***GEOCODED PLACE IS ATLANTIC BEACH *** *** LOOKUP BY ADDRESS*** Grids : 301968124C 3019B8124B 3019A8124B Work date: 07/27/05 Time: 08:OOET Hrs notc:067 Category: 3 Duration: 04 DAYS Due Date : 07/26/05 Time: 23:59ET Work type: DRIVEWAY REPLACEMENT Ug/Oh/Both: U Machinery: Y Depth:6" Permits:Y N/A Done for: YOUNG Company : BELLS CONCRETE Type: CONT Co addr: 50 DUDLEY ST City :ATLANTIC BEACH State: FL Zip: 32233 Caller: BETTY BELL Phone: 904-246-7758 Contact: BETTY BELL Phone: 904-229-1255 BestTime:ANYTIME Mobile : 904-229-1255 Fax : 904-247-9357 Email : BELLSCONCRETE aaBELLSOUTH.NET Submitted: 07/22/05 12:15ET Oper:VEN Chan: 36 Mbrs: CAB457 CCTV03 CJB771 FLP539 JEA LS1104 SBF17 i http://webmail.bell south.net/agent/mobmain?msgvw=AEMAMwAtACkACgAeABgAFgB... 7/22/2005 i - Sns. a I f � � o tj IV o rHHeREBY CLWRT1Fy lt Rt go t'NCROACHMZ rHAr f HAVIC ►Y q... S,y.LszN i0 -twit tANDs AS =MOWN �~ THE AeOVt SIGNED UG H A. DLIRDEN c+i'T1oN pwol • MAp SHOWING SURVEY OF MXI,AT CP' PA.R C- ROTAL PRI � "v DUVAIa 73tJN7, � 16� 26 ' C TSN.- ? tiBT I Iia '16B, ,.�" Is�U'✓ Ufa 4 j, i S ; i.: `w i 1 e idt Ao dfE, i i i CITY OF ATLANTIC BEACH PUBLIC UTILITIES DEPARTMENT 1200 Sandpiper Lane J �~ Atlantic Beach,Florida 32233 (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: -4b4 Applicant: Project: — t Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: 51 Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904) 247-5834. Rev' ed y Donna lLniak, Public Utilities Director /-,/ Date 7ld� � Sign Lure Contractor Notified Date 7 ZC`�' sYt1"I�t1f'�, CITY OF ATLANTIC BEACH 1 . ' CONSTRUCTION PERMIT WITHIN CITY RIGHTS19F V�/��(A EASEMENTS 904-247-5800 800 Seminole Road Fax 904-247-5845 Atlantic Beach, Florida 32233-5445 i Date MLT.#.. _ -- -" ISSUED BY THE CITY Job Address ��o/V /�i� ,��ua rar�f Permitee: t``S �cY�C� �+� f5 �I 'viG— Telephone # Jq6 '62d cX -A L225_� Permittee Address ,�� o I A Cert ��Ic�� ) `32 .Z3, 3 Requesting Permission to Construct: C-ew-��-1b ��QIC-CQ '_I t T I VL Z c5V1 �L c £Ell l—&-112f2a.. P CW,4r 11yLaJl 4 J t I k4 ! e U �Vl 49 Location: (Reference to Cross-Street) IR r 70'n A,06J 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and'the accurate locations are shown on the sketches. LOw4',-, A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes (6 No ( ) Dater US Bell South Telephone Company Yes (✓j No ( ) Date: ' U Ferrell Gas Yes ( ) No ( ) Date: Comcast Yes (✓�No ( ) Date: 0.5 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida De a mernt of Tra sportation Standards and be performed under the supervisi n of e � f� (Contractor's Project Superintendent) located at Telephone #: 4. All materials and equipment shall be subjec to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. lation, as well as, a copy of a recent survey shall be made a 6. A sketch of plans covering details of this instal part of this permit 7. This permittee shall commence actual construction in good faith with �Z days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. \\\\0!!loului,;ji/i IE DAN 'yam OWNERPOO N �� ;�,\SSION Signed - — k Before me this_=_l. _day of_�V� in the County of puff State Of Florida,has personally appeared I'\1° J LZ.` L 1 LT) "u) :2v'. #DD 293292 ;Q4 Notary Public at Large,State of Florida,County of Duval. y';4 gandea�N c��:0�4 My commission expires: '��i�9ip:; c�d;;•FF�� Personally Known: orBt/C S-f tJ_ Produced Identification: �1lyfi1ia0itN!!�� BellSouth - Web E-mail Page 1 of 1 Print Message Close this window From: <irth_host@callsunshine.com>Add to Address Book Date: 2005/07/22 Fri PM 12:20:23 EDT To: <bellsconcrete@bellsouth.net> Subject: SSOCOF CONFRM 2005/07/22#00001 20353362-000 NORM NEW CONFIRM 00001 CALL SUNSHINE 07/22/05 12:20:22ET 20353362-000 STREET Ticket: 20353362 Rev:000 Taken: 07/22/05 12:15ET State: FL Cnty: DUVAL Place:ATLANTIC BEACH Subdivision: ROYAL PALM Address : 404 Street: WHITING LN Cross 1 :TRITON RD Within 1/4 mile:Y Locat: ENTIRE FRONT PROPERTY INCLUDING DRIVEWAY FROM HOUSE TO ROAD. Remarks : ***GEOCODED PLACE IS ATLANTIC BEACH *** ***LOOKUP BY ADDRESS*** Grids : 3019138124C 3019B8124B 3019A8124B Work date: 07/27/05 Time: 08:00ET Hrs notc: 067 Category: 3 Duration: 04 DAYS Due Date : 07/26/05 Time: 23:59ET Work type: DRIVEWAY REPLACEMENT Ug/Oh/Both: U Machinery:Y Depth:6" Permits:Y N/A Done for: YOUNG Company : BELLS CONCRETE Type: CONT Co addr: 50 DUDLEY ST City :ATLANTIC BEACH State: FL Zip: 32233 Caller: BETTY BELL Phone: 904-246-7758 Contact: BETTY BELL Phone: 904-229-1255 BestTime:ANYTIME Mobile : 904-229-1255 Fax : 904-247-9357 Email : BELLSCONCRETE aaBELLSOUTH.NET Submitted: 07/22/05 12:15ET Oper:VEN Chan: 36 Mbrs: CAB457 CCTV03 CJB771 FLP539 JEA LS1104 SBF17 http://webmail.bell south.net/agent/mobmain?msgvw=AEMAMwAtACkACgAeABgAFgB... 7/22/2005 �ra SSS t�Cu� 3 oo v Q� ttr p t a�Q� NO n ` Q f k N tU Co Moft r . i 1 � HtFR>cI 3YCERTIF D TM[Ri ARi ,CERTIFY THAT I HAVi sU N BS SiS!oyYSD T'Mt LANps AS =MOWN IN T'N[ A9oV[ c. - SIGN H • - tD A Ur- CITY OF ATLANTIC BEACH h. � js1 E 800 SEMINOLE ROAD -r ATLANTIC BEACH, FLORIDA 32233 v INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027742 Date 2/19/04 Property Address . . . . . . 404 WHITING LN Tenant nbr, name . . . . . . RE-ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3500 Owner Contractor - - - -- - - - - - - - - - - - - - ---- --- --------- - - - - - - - --- - -- - YOUNG, CHARLES H. COPPEN ENTERPRISES 404 WHITING LANE 562 KING STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 338-9757 -------------- -- - --- --------- - ------- ---- - -- - - - -- ------- ------------- -- - --- --------- - ------- ---- - -- - - - -- ----- fr'r`.v t k------- ---- ----- Permit ----- ---- ----- Permit ROOF PERMIT { 1 ' Additional desc Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation I. . . . 3500 Fee summary Charged Paid Credited Due ------------ --- -- - --------- ---------- ---------- --------- - Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand. Total 90 . 00 90 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILD G OFFICIAL �` CITY OF ATLANTIC BEACH PERMIT .CALCULATION SHEET Address A G y tO�-k LT c e..::c - Date_ X(t4 ((:,q Heated Sauare Footage @ $ per sq _ft = $ Garage/Shed .� @$� } L per sq ft = $ Carport/Porch A$� V per sq ft = $ Deck (/ @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ i 3'S-,c)c $ Total Valuation 1st $ W 'C_ , Remaining Value $ S per thousand or portion thereof TOTAL BUILDING FEE $ U + 1/2 Filing Fee $ ( } Fireplaces @ $15 :00. $ BUILDING PERMIT FEE $ O 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 ADDITIONAL PERMITS OR FEES : nechanical ; . Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : Cc: CITY OF ATLANTIC BEACH S BUILDING / ZONING DEPARTMENT L. Higgins oerr s S. Ss1 800 Seminole Road J y Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # nIq Property Address: �/©�/ �►c-+t n c �r1 Applicant: 1 E Project: Ce non This permit application has been: Approved ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: �-- Date: -2,1 k Ct l b f-i RECEIVED CITY OF AT LANTIC BEACH ac BUILDING &ZONING CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION FEB 18 2004 z1=l` v DBI u / Date: r 0 (-1 c� I Job Address: N CA Owner of Property: r(P " SOC. Address: O L. Telephone: Contractor: �°c,iCI,©st (�n� �� t�s S State License Number: < < G VS$ Contractor's Address: . 5G f� Telephone: 3 2 $ 3 ( Fax: Scope of Work: f2oc, Deck Slope: S / Z, Greater than 2:12 Less than 2:12 Valuation of work: O cJ Product Name(Example:'Timberline): b sl ( t ,' Manufacturer(Example:GAF): pa 'F ASTM Designation(s): (c, ( 3 Required Inspections: heathin d tFina� Signature of Owner: 4�/� L �'� Date: Signature of Contractor: ��= • Citi. Date T� AS TO OWNER: Sworn to and subscribed before me this day of Feb . 20CC State of Florida,County of Duval ' ` Notary's Signature: ;�NXft Personally kn �►Gan �ss ?!sS3+1i1 Produced identification EXPM t lti'2 Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of Fe 6 _ ,20Qj• State of Florida,County of Duval 1 Notary's Signature: ^� ® Personally known CMisr Commfulon DD280341 ❑ Produced identification Ex0w ocUZW 21,2007 Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Page 1 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ci.2tiontic-beach.fl.us Revised 2121/03 Book 11641 Fuge 610 Tax Folio number Permit number NOTICE OF COMMENCEMENT 2000JJ146 ao:: Me Rage: 610 STATE OF FLORIDA Filed & Recorded COUNTY OF DUVAL 02/19/2004 08:29:19 AM -n-IE UNDERSIGNED hereby gives notice that improvement will made to certain property, Chapter 713,Florida Statutes,thea JIM FULLER following information CLERK CIRCUIT COURT and in accordance with n is DUVAL COUNTY provided in this Notice of commencement. RECORDING $ 5.00 TRUST FUND E 1.04 1. Description of property: c,O c' �^ � i T ------------- 2. General description of impr ements: ._, c• 3. Owner information: a. Nam@ and Address:4 C i�z,^Ie-j 1Ov�S b. Interest in property. c. Name and address of fee simple titleholder(other than owner): { Contractor's name and address. b.Fax number: a. Phone number: 5. Surety information: a. Name and address: c.Fax number: d. Amount of bond. b. Phone number. 6. Lender's name and address: number: a. Phone number: b Fax 7. Person within the State of Florida designed by owner upon whom notices or other documents maybe served as provided by 713.12()a),Florida�Stctues. � Name and Address: <Cn �/ a.Phone number: Fax number: S. In addition to himself/herself,owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.12(l)(b),Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of Recording unless a different Pte is specified) Signature of Owner: a of 20 �? Sworn to ands scr'bed b ore me this Y _ NOTar'y: own personally 111)shown: My commission expires- Julie WIINams • My Commission DD260341 4r Expees Octobe.21.2007 i nn11�'- ///3CITY OF t """° ` �33 f ri+LIca& wcA--T Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time Received ` P.M. Locality Job AddressOwneNamer s ContractorC�D� BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ pre Fab ire lace ❑ iSACA- �-h � READY FOR INSPECTION A Mon. Tues. Wed. Thur Friday G`,0� A.M. Inspection Mae P.M. Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date FOR OFFICE USE ONLY 'i Date----.-k.. ------------19 Permit # ---W-1.Fee$-• ---------- CITY OF ATLANTIC HACK-' , - 0-0------------------------- Valuation $----- ...... FLORIDAHouse #------- .............. --------------------------------------------------------------------------- APPLICATION FOR BUILDING PERMIT ------------------------------------------------------------------------ ............................................................................ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date...... ---------------------------------------------- 19-4-2— Owner-----A-11-P------ ---------Address----/_9._0.-7-.XA14;NJf-1614elephone No.LK-*-f LPJ 44 Architect-A-11-e-m------- ---------------------------------------------Address__. ---Telephone NoSX.3��3171 )!A ------- ----A Contractor -------------Address----- !Lid Telephone No.AV--4.03.$ Division---11-6 ------ _4---------------- ------Zone---------- Lot -----Zone---------- LotNo..,/--------------------------------------------Block No-1-a------------------Sub -----Street-------------- -----...Side Between__________________________________________ -----------and.-----_------------------------....................Sts. Valuation $--- .....For what purpose will building be used..9 ...........------------.-Type of construction- Dimensions of BuildinA_*_,7A,_%------Dimensions of Lot-_9 _3 -----------Size of Footings-It" 1-4--------_---- _4..K....9 ------------------- Size of Piers._,-*JW.V01P_-_0_1A-------I---Size of ---------GTeatest Sill Span in ft._�-----TT!rt-----------Type RoofA_�aS,4&6A11U How will Building be Heated?----&.-A-A--------------------------------------------Will Building be on Solid or Filled Ground?_S---all."01--------------- Size of Ceiling Joists-Tir -.%-------------------.-.-, Distance on Centers-------J.. -------------------- Greatest Span---2- - ----------------------------- Size of Floor Joists5_LA_A%-----------------------Distance on Centers..._ -------:7n-------_—-------- Greatest Span_._..„__.___-___-_-----____.._____--. 2w q-11 Greatest Span-,Z-%--*-----I------------------------ Size of Rafters...-__---T on Centers-------- --------------------------------- ----------_------Distance This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. Z Z 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. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 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 and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. M e. �----•--------- T.3-A-A_----/Ai---J_A!4$---;r -----------------Address---- ------------ Signature of Builder__6oLJ' -."L/- Signature of Owner....A.40 _4_&XVA------- Address--- ..�P_.&A,ww ZOO Yf0 -off 0 nn - ��,- /nCITY OF nn 4&oat c /S�-"t Office of Building Offici REQUEST FOR INS ION /-,(� 7 � 1 9-oZ Pe No. jf3 Date Time A.M. Received Rk h' 6 Job ss Locality Owner's Contractor Nam �ILDI CON ETE ELECTRICAL PL BING MECHANICAL Rou h Wirin C. Rough E Air Cond. & ❑ Frarrrirt ❑ Footing ❑ g g To Out El, Heating Re Roofing ❑ Slab C Temp Pole = Sewer C Fire Place ❑ Insulation El Lintel n Final Pre Fab READY FOR INSPECTION A.M. Tues. Wed. Thurs. Friday on. 7 o Z A.M. Inspection Made P.M. � Final Inspection C, Inspector Certificate of Occupancy ❑ CJ� Date 07/16/2002 02:40 9044196915 DECRESCENZI--rO PAGE 01 This Ift9ni eM Prepared by: a- ��- ,ni�'lj'URS �c Na": SEARS HOME NPROVEMENT PRODUCTS,INC. P !' P.o.eox 322M 8110536 Page 1116 LONGWOOD,FL 32752-2290 PHONE - 1-407.787-8011 11 NOTICE OF COMMENCEMENT [j�rt tT State: =?O"1386 County: Pi�eett 1116 F=A 4.1lil T t�litvp¢ttstaNro ltercb U/19/M 1212 0 PM y gives notice that improvement will !)1111'FWD be made to certain real property,and in accordance with am EMM cm Chapter 713,Florida Statutes.the following information is 1[NT FIN f 1.00 provided in this notice of Commencement. 5.00 1. Description of property:(legal description of prop".and street address if available) 53 2. General description of improvements: \ Xi rj1 -,j 3. Owner information ^`Y -� { Y a. Name and address: �,It� b. interest in property: C�,e C. Name and address of fec simple titleholder(if other than owner): 4. Contractor:(name and address) SEARS HOM13 IMPROVEMENT PRODUCTS.INC. P.O.BOX.522290,LONGWOOD,FL 32752-2290 1-407-767-8011 5_ Surety a. Name and address: NA b. Amount of bond $ 6. Lendcr:(name&address) NA 7. Persons within the State of Florida designatcd by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7,Florida Statutes: (name and address) a. In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes:(name and address) ABOVE NAMED CONTRACTOR 9. Expiration date of Notice of Commencement(the expiration dare is 1 year from the date of recording unless a different date is specified) (Signature of Owner) Drivers Liccnsen• F Owner's Name: Owner's Address: P)14l�j N4t,;1 e I�P-"tR- -3-)q3-3 All information mus[be typed or panted legibly to comply with recording requirements. STATE OF FLORIDA COUNTY OF _ f t The foregoing instrument was acknowledged befoTmre this Com-/3--u by C K-{-/e S �=�� who is personally own to me or has produced _/'i as identification and who did i not)1a4c an (Signature of person laking acknowledgement) —,est � (Name of officer taking acknowledgement-typed,printed or stamped) Z wzpt wan Oct 3 DD06047 11aa ° d.-3:,.2tr1r, (Title or rank) Hat Thru sy%ra„,.1`'nds�tbc tiarslr*C.,1- (Serial number.if any) M9-Rev.04/02 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INF ORMA7lON - ' Number: 24431 Address: ATLANTIC BIEACH,F Nh erm�t . LORIDA 32233. .".- . Permit Type: REMODELING Township:.0 Range: 0 Book: Class-of Work: ALTERATION Logs): Block: Section:0 Proposed.Use: Subdivision: . _ Square Feet: per cel Number: Est. Value:. OWNER INFORMATION Improv. Cost: ' 8,190.00 Name: CHARLIE YOUNG Qate Issued: 7/1?11 .J2002. Address: _'404 WHITING LANE Total Fees: 83.00 ATLANTIC'BEACH;FLORIDA 32233 Amount Paid:- .-83.00 Phone: (9Q4)768-6166 Date'.Paid: 7/11/2002 Work Desc: VLNYL REPLACEMENT.WINDQWS APPLICATION'FEES CONTRACTORS 83.00 SEARS HOME IMPR VEMENT-PRODUCTS A, MCA OWW vF«t.N•.. A•: Tf�''� .. +1�-�'t .,r'aC`'-�(�}` _ �1 -r_hu i - _ .. � 4^rf.9 ''4--4. ` �. _. ,�y. �r •Ry)yyf.4 uA tom. T. --!'_a _ 'C "��}• f • -'�* {°:� .�.�,_ s,._��' -:yam• '-T '• _ k, irr��+s4,. _c•-� u: • ;s NOTI PACE,.AND. ., BUILDING.MATE 3 "' MUST 13E�i:EAR � . �• ,-:�� x=- �� 3=� - . • - - -� atm - - - _ �--.��-..'.:�'' .,�;` :"` . E "FAI�.URE TO.C PROPERTY OWNS t JE - - ,.,r•_w_ °. :-�- .' CT TO REVOCATIO.Nt ISSUED ACCORDING TOA _ y FOR-VIOLATION OF APPLICA 3 => ' 4 y, a _ Type, OC •. � 03-0111 Date' 7116/e2 81 Receipt no. . �• 14. PERMITS-BUILDING 1 ATLAN IC BEACH BUIL IMG DE = eeieeee32210ee_ .404 WHITING 583.00 CK CHECKS 26250. -IF40 oil Q; 7116102 1i>e: 15:23:05 FLORIDA BUILDING CODE, 2001 DESIGN PRESSURES FOR OPENINGS s. , JOB INFORMATION ILD Wind Velocity(mph) 120 Prepared By L.Higgins Importance Factor 1.00 Client Name Frank Wisniski Exposure Category CSTRUCTURES Job Description 404 Whiting Ln Internal Pressure Coefficient +/4).18 INTERNATIONAL,LLC Mean Roof Height(ft) 10.5 %� A Building Width(ft) 29 Building Length(ft) 48 Roof Slope (x:12) 2.5 Job Number 446 WALL OPENINGS OPENING OPENING LOCATION OPENING OPENING EFFECTIVE MAXIMUM POSITIVE MAXIMUM NEGATIVE MARK DESCRIPTION ZONE ELEV.(ft) HEIGHT(ft) WIDTH(ft) AREA(sf) PRESSURE(psf) PRESSURE(psf) 1 Dbl.Hunq 4 4.75 4.2 4.3 18.1 28.0 -30.5 2 DbI.Hunq 4 4.75 4.2 4.3 18.1 28.0 -30.5 3 Dbl.Hunq 4 4.25 3 4.25 12.8 28.7 31.1 4 DbI.Hung 4 5.2 3 5.7 17.1 28.1 -30.6 5 Dbl.Hun 4 5.2 3 5.7 17.1 28.1 -30.6 6 Dbl.Hunq 4 5.2 3 5.7 17.1 28.1 -30.6 7 Dbl.Hun 4 5.2 3 5.7 17.1 28.1 -30.6 8 DbI.Hung 4 5.2 3 5.7 17.1 28.1 -30.6 9 Dbl.Hunq 4 5.2 3 5.7 17.1 28.1 -30.6 Width of Edge Strip(a)in feet= 3 I 5 h a I s s FBC_Openings.xls Copyright 2002,Structures International,LLC 7/12/2002 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date2- \� j I Heated Square Footage @ per sq ft = $ r Garage/Shed Ij per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ lid ° () 40 $ t (Z� Total Va�&tion 1st $ 1 GOc) P� Remaining Value $5. per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ SOU 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 $ O � GRAND TOTAL DUE $ 3 ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : 06/19/2002 04:12 9044196915 DECRESCENZIO PAGE 02 40 4 p. 1 .................... ,;ll�, 1 0 20Q2 3At City of Atlantic Beach >� Building and Zoning City of Atlantic Beach•800 Seminole Road-Atlantic Beach, Florida 32233-5445 Phone:(904)247.5800-FAX(904)247-5845 •http:/IwwwJci.adantie-beach.fl.►� PERMIT APPLICATXON FOR REPLACENIENT OF WINDOWS,SKYLIGRTS AND GARAGE DOORS OF SINGLE-FAN LY OR TWO-FAXILX(DUPLEX) CONSTRUCTION Date '-7 I O •CQ Address where work is to be performed 4iILA 11 1Y-N . Applicant Address `�l�r: C'L Phone: i�- Legal Description: Block Number-- ' -- Lot Number Zoning District YCllr`(,5 �a Contractor �'c► r.Y �i��i'S1rl l l� ► State License Number Address 't7b15 � "nff` V_ . Phone city C7.'G State L4 ' `' `C' I Describe Proposed Use and Work to be Done Prescrit Use of Land or 9uilding(s) 1 o Valuation of Proposed Construction $ 12 Building Ddtc: Mean Roof Height (ft) Building width %� �� (ft) Building Length (ft) Roof Slope 'Window Elev. (ft) Window Height (ft) Window Width (ft) Measurement from corner of building to window (ft) a ' P 1' I S s 'Window Eley.From Grade �P Y a `06/19/2002 04:12 9044196915 DECRESCENZIO PAGE 03 P. 1 In addition to the Building Dnra the following information is required: Manufactures Test Report Installation Procedures Window DescriprionIType Garage Door Description/Type Skylights Description/Type Elevation View of Window Locations I HZUBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. Irk Signature of Owner �t/ �1l Date �� I HEREBY CERTIFY THAT t HAVE RE AND EXAMINED TTUS APPLICATION AND KNOW TKE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCE GOVERNfNG THIS TYPE OF WORK WILL BE COMPLETED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT?RESUME 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 GOVERNTNG OF CONSTRUCTION OR TNF.PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTTNGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE, BEEN OR SHALL BE PROVIDED AS REQUIRED. Signature of Contractor. .- �,� ' _. Date ' Dr�' 0Q, Address and contact information of Person to receive all correspondence regarding this application (Please Print) ` Name �1r r, �� rP'S� Yl7 t 17*) Mailing Address D� �1 C. S ��-,•. � '� Phone Fax - -1 . Com M E-mail Sworn and Subscribed Before me this a��r l Day of At A_ o State of Florida,County of Duval r� �( Notary's Signature O$hgon R. DeCrescenz;o W-01. eCommission #DD 006247 ❑ Personally known + Expires March 4, 2005 ` Produced identification. Type of identification produced t— �; Bonded Thru Atlantic Bonding Co., Inc As to Contractor 'V,Personally known ❑ Produced identification Type of identificarion produced Sharon R. DeCrescenz;o ITBonded Commission #DD 006247 Expires March 4, 2005 Thru 1' Atlantic Bonding Co., tir' Jul 11 02 12: 57p SERRS JAX 904 470 0114 pet SEARS HOME IMPROVEMENT PRODUCTS 7018 A.C.SKINNER PARKWAY#240 JACKSONVILLE,FL.32256 PHONE:904470.01 15 FAX: 904-470-0114 HAVE A QUALITY DAY EVERYDAY City of Atlantic Beach Building and Zoning Fm To: �A&C"--/ " �/�� From: -5 67 VZ Fam (�',7 7- Pages: s-y Phone: 'Z 617 5�c.� Date: Re: ;2;�C111m 7- /--,)e, l�/J'�Gl(��4� CC: 0 Urgent 0 For Review 0 Please Comment Please Reply �,� 9"r,,:mss; . Conrnents: 41 LET US PUT QUAUTY IN YOUR NOME TODAY! Jul 11 02 12:57p SEARS JAX 904 470 0114 p•2 •I. Y 1 T e au o .. , le IZ U, I� ' c v- �jb W `c n o O LL � 'd a nCrwat2G �T:C6i 7.GIA7./0T/L0 999££ 14 'zin MOQNIM lNIA _I =anu,?AIVquj)jLjo Nd anu0 ago t youau� 961 =Z ? I ad sob£b 'oN '3 'd oA!�o ONON 318(100 NO 3T)NIS 0 ��' 3P!w4oS 'J uopuFl .ItINOSbW Ol N0n8 Xl ?103 SNOI103S SS0aJ DN180HDNV z a x& ° Sx°44W11 m EllO too z_ Ua N ry Y V v02 o ;E 2 •y CCO d' ° 'Nin „9Z't�, zzv t yy�? Z s '.•:r o C m o � CU z c 3 o c u'p 5 � -•`I �� X y � G C CI O O W O N � U O W ry °X 3 b d N m o t S n 200 2 $ :s O W y c a E 3 iii ° a v o c c E Oix 0 6 t 0 t o s a E c oc m E u a iA dr $ xlx cn o w v v v e sd kn Z Z 2 lHOGH 3AW4j IW83/t0 'XVPV ,I Z _ HL III III J r t o 0 o N 2 .o w o 0 0 o a c p cu c_ H Z a � LL d p co • w rn LU U 0 W Q = O Y U 0 if�� 4� W m ch O c6 D � o � � wu- aCU /! 4 z 0 E V) U5 0 Z LU vU L E li Z -- INFINITE DATA PRODUCTS(813)901-9188 Offer Code: SC€Anf?s SEARS SIDING&WINDOWS License No.CB C039161 Siding&Windows P.O.Box 522290♦Longwood,FL 32752-2290 / WINDOW PROPOSAL WORKSHEET Date: Phone: afJ Customer: Cha yI5 Sales Rep: . Pa rLc-il City: R- 3)�- 53 Lead No.: WD HT WD HT WD HT ENTER WIDTH&HEIGHT # "6 X S # 36' X37 # FOR EACH UNIT TO BE # iE X�� # # REPLACED AND ENTER CORRESPONDING NUMBER BACK LEFT -- RIGHT �} WD HT la WD HT 34 x 37 # 3 X 3 Gi i� u��+K�vevS #-T- -- ' # —,X--- u re at lit # # -- # X — C,ca r h erg'. # # 3 6�a� t Dorf I I MODEL SeriesC PD Patio Door FRONT DH Double Hun WD HT WD HT WD HT SH Single Hun # I I S,', XS-0 # 136 X E.3 1 # I 2LR Two-Lite Roller # S. X 50 # # EV Three-Lite Roller For second story- use additional worksheet PW Picture CR Casement Ri ht ITEM MODEL COLOR U.I. GLASS SCREEN GRID MISC. $AMOUNT CL Casement Left Dp Fct 1 . 11 1 V Pe I 2 A (� \ S COLOR: 3 Cf White 4 Tan 5 73 S L LWG Light Wood rain 6 75DWG Dark Wood rain _ GLASS: 7 75 9, CLE Clear 8 7 / L LOW/W Low E/Ar on Q h U S2�... 7Z T w.Ull.r " l,/ o ( G0 I —, sic— — This instrument Prepared by: li4• M Name: SEARS HOME IMPROVEMENT PRODUCTS,INC. P.O.BOX 522290 510536 Page 1116 LONGWOOD, FL 32752-2290 PHONE 1-407-767-8011 NOTI�C--E-OF COMMENCEMENT State: lr- 1 r Doe# 200 171386 <. 600k: 10536 County: ��.vo.� Pae: 1116 :Filed & Recotded 06/19/2002 122:25:55 PM THE UNDERSIGNED hereby gives notice that improvement will JIM FLUB be made to certain real property, and in accordance with CLERK CIRCUIT COURT Chapter 713, Florida Statutes, the following information is �� $ 1.00 provided in this notice of Commencement, 7lECORDI4IG t 5.00 1. Description of property: (legal description of property,and street address if available) L a 2. General description of improvements: y t Y'1w .��UC' rnP1` 3. Owner information ` a. Name and address: +�'�`p S��1C1YY1 40'4 ��►►'�Q'`�; b. Interest in property: C. Name and address of fee simple titleholder(if other than owner): 4. Contractor: (name and address) SEARS HOME IMPROVEMENT PRODUCTS,INC. P.O.BOX 522290,LONGWOOD,FL 32752-2290 1-407-767-8011 5. Surety a. Name and address: NA b. Amount of bond $ 6. Lender: (name&address) NA dears bIaing ts< wlnciows (�,1�/�nR (e1License No.CB C039161 6 6 P.O.Box 522290#Longwood,FL 32752-2290 Siding&Windows Job No.: Replacement Windows ❑ORLANDO ❑MIAMI ❑PENSACOLA ❑CHARLOTTE ❑MEMPHIS 407 - 990 (561)588-0671 (850)478-1535 (704)391-9411 (901)547-1351 1{ KCKSONVILLE �VD An ATLANTA ❑LOUISVILLE []HOUSTON ElNEW ORLEANS (904)399-5540 �� (770)921-1412 (502)491-1810 (713)697-7771 (504)734-8011 ❑TAMPA 1 / ❑GREENSBORO ❑KNOXVILLE ❑DALLAS ❑JACKSON (813)621-9774 (336)272-5267 (423)675-6373 (972)261-2020 (601)932-1134 ❑COLUMBIA ❑NASHVILLE ❑BIRMINGHAM ❑SAN ANTONIO ❑TULSA (803)330-9948 (615)254-5959 (205)733-9088 (210)946-6555 (918)610-8131 Name: P 1._C, ©v Phone- s. l US. 01 !v Address: a City: !A't( St.: Ft Zip: 3 rs I/We, the own of the r i scri s deed below, hereinafter referred to as "Purchaser" offer to contract with Sears Siding & Windows" hereinafter referred to as "C Yfurnish, deliver, and arrange for installation of all materials necessary to improve the premises located at: r � �1?� (Street) (City) (State) (zip) ./ According to the following specifications: 1. Remove existing units to be replaced.(NOTE: Removed units are likely to be damaged.) 2. Prepare openings as necessary to receive replacement units. (No finish work other than rmal'installation is to be done unless otherwise noted below.) 3. Install Sears U V Windows in openings described below to the following specifications: Color: ❑White Beige ❑Bronze ❑Mill Fin ❑White/Woodgrain Type: ❑SH ❑2-LR ❑3-LR ❑ PW ❑Other ❑Other Qty R ty _ Qty _ Qty _ Qty Qty Qty j o I ► �— — ► O f— O ❑Other ElOther Qty _ Qty Glass: ❑ Clear ❑ Bronze ❑ OBS 1/2 Screens:CHECK IF OTHER THAN FIBERGLASS: ❑ Low E/Argon ❑ Gray ❑ OBS Full (On Sashes Only) ❑ Alum �w E2/Argon ❑ Asurlite ❑ Keepsafe ❑ Solar NOTE:Tempered glass will be installed to meet building codes. Grids: Bevel Col scut Col Flat Diamond Flat p Top Clear ❑ White Full Tan ❑ Wd Grn Bottom Brass ❑ Warranty: Lifetime ❑ 20 Year El 10 Year El Glass Breakage Warranty NOTE:Manufacturer's Warrant after co pleti9 . (SH) (CA,ALUM) 4. Existing units NOT to be replaced: I X 5. Special Instructions T 2wt —� (� �� 6. Clean up job relaC3-6weeks -prpvide n cessa perm) and insurance. 7. Allow approximatfor installati NOTE: THE WARRANTY PROVISIONS AS STATED ON THE REVERSE HAVE BEEN EXPLAINED AND IIWE UND TAND THEM- 0 HEM _ ADDITIONAL PROVISIONS AND WARRANTIES ARE STATED ON REVERSE SIDE AND ARE PART OF THIS CONTRAT. X Please read the following bold type and initial corresponding line. Verbal understandings and agreements with representative shall not be binding. All understand' s and agreemen be set forth in writing in this Contract.Due to climatic conditions,interior condensation may occur. Purchaser nitials: X p The TOTAL PRICE for all Labor&Materials(including any applicable discounts)is Ct Down Payment $ Balance Payable $ I Terms: Credit ❑ (Subject to the approval of the Credit Department) �{-� Cash '(Final Payment payable to installer upon completion)Funded by: Bank —S oo r?--�1 CityeciA St. �C- Acct# G)7+L 4 If this is a credit transaction, the agreement for credit is contained in a separate document which is incorporated herein by reference and made a part hereof. I/We the undersigned are hereby authorizing Sears Siding & Windows to verify and review my/our credit record witht�aydependent credit reporting agency and release them from all liability incurred from inadvertent omissions errors. 2 ay IN WITNESS WHEREOF Purchaser(s)have hereunto signed their name(s)this_� day of _�� __ , _____-and acknowledge receipt of a true copy of this Contract and unless otherwise specified,it is understood that the owner is ready for this work to begin. THIS MESSAGE APPLIES TO DOOR-TO-DOOR SALES ONLY. You the Purchaser(s) may cancel this transaction any time prior to midnight of the third day afte date of this transaction. See accompanying notice of cancellation form for an ex anaY of this right. Signature affixed below acts as re eipt that Purc aser(s received separate cancellation forms. SUBMITTED BY:Representative Dat Purchaser i Date SSN 3 �6 ACCEPTED BY:Authorized Signature for Sears Siding&Windows Date Purchaser Date SSN F1-Rev.2199 n1� CITY OF r-� Rtla , I 4&'mac Qeac4- Office of Building Official REQUEST FOR INSPECTION Date �T �L/�Q� Time Permit No. CJ V Received A.M. P.M. �0u E,�h rT��c Lie Job Address Owner's Locality Name Contractor BUILDING CONCRETE ELECTRICAL Framing LUMBIN MECHANICAL Re Roofing ❑ Slab ng ❑ Rough Wiring ❑ ❑ Air Cond. & ❑ Insulation C❑l Temp Pole ❑ Top Out ❑ Heating ❑ Lintel ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION �T�Q�• Pre Fab Mon. Tues. Wed. Thurs. A.M. 1 `�`� Friday P.M. Inspection Made \` A.M. �/ P.M. Inspector JX Final Inspection ❑ Certificate of Occupancy❑ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 23810 Address: 404 WHITING LANE Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION ! Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 4/09/2002 Name: PATTERSON Total Fees: 25.00 Address: 404 WHITING LANE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 4/09/2002 Phone: (000)000-0000 Work Desc: INSTALL ONE FIXTURE CONTRACTORS s� � -_ 5 _ APPLICATION FEES TRIPLE S PLUMBING COMPANY, IN 25.00 " �i,�•L"j. +f.�'^�i '�a-'*��-'p`� 'x.13 '�'"� l4 .S •�y�ry�y..,Rax'+'a'2�'"-c�x ,y��-� �.•. • �ti �fi;. k`-fib�...� *+'rq�,,,� _ ' "�` . �;JK"N.` •+,�' � _a - '1 'r..b-'�'" �. 'rx;syr. -� - � �+5y�r+c.^�/4 fi.t_{i �'��tC•�+�'7rE� r e,y-..�``'',�^ S y 5' mom. • ti -s ,,}`�, I k" y'- ' "„�n 1T _ _ _ � g. ♦�" � �H �,«rt �x. •S'S--ins a•.r t'.�'�S .9`• yv*y�ri.�•d'T '^Ftt! . •�,-� 'g7"n?yF�^'"a �''` '�+..v� ��f��"��x � ^n. }'atI Sad�"t�tM� r�L..7iak�`.�'�w. .,., �'��,�., . NOTICE - I` & }l I PECTI O N ._-z-_.:a#, =..aa•..Ya; .7'^ rrt-. t•n 5 +- ijC3+r ""°'y fiy 1".� _ BUILDING MATE I IN PUBLIC SPACE, AND MUST 8 _ STD . .,_ Y EITHE OR OWNER "FAILURE TO COMPLY # LT IN THE w _ PROPERTY OWNER PAY. 0iP., ISSUED ACCORDING TO APPROVED P ( F MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIO Dper: CHERYLE Type: OC Drager: 1 47973 Date: 4/09/02 01 Receipt no: S25.N 14 PERMITS-BUILDING 1 882565 Trans nurber: $25.86 ATLA 1C BEACH ILDING DEPT. CA CASH Time: 11:58:58 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: lVQi-I hZ h 41 .0 OWNER OF PRO? PLUMBING TELEPHONE N0. PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS:- STATE - LICENSE DDRESS:STATE . LICENSE NUMBER: GGG- aglj2dN TELEPHONE: 3,57 HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST ,FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: ( x $3 . 50 + $15 . 00 1. MINIMUM PERMIT FEE - $25 .00 SIGNATURE OF OWNER: r SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 ' 800 Seminole Road - Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877 J CITY OF ATLANTIC BEACH .P?LICATION FOR PL'v';':3ING PERMIT JOB,LCCATION: y(—)q _ —LI Oi+';S'ER CF PROPERTY: C (•��c FLUMIDING CONTRACTOR: CONTF—A'CTOR`S kDDRES S:_ TELEPHONE: C� STATE LICENSE NER: 'ajLA - L� zOW fir; Y OF T'RE FOLLOWING FIXTURES !NSTA-LLED SIN"ICS S EOWERS L.,VATORIES _�wATER HEATERS BATS .?'3S DISFv;ASFERS t RI\ LS DISPOSAS.S CLOSETS WASHING ICAC?I BES FLOOR DRAINS SHOVER ?A—NS CT ER TOTAL FIXTURES: :jINjMu'i PERMIT FE SIGNrT R E OF CA-N7R: SIGNATURE OF CCN%�CTOR: ------------------------------------ iNSTATLATION OF PL":—RING A-'DFIXTURES MMjST BE IN ACCCRi?'SCE WITH EE 1994 ? , r STANDA—RD ?LL?!BT-NG CODE. CALL A DAY A.:EAD TO SC EDULE INSPECTIONS — (404) 247-582:6 SEWER CONNECTIONS :' .ST BE CALLED I11 :0 PUBLIC WORKS FOR ?NSPECT.ON PRIG R TO COVERING UP — (904) 247-5834• PSR-3844 11846 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ----- ------- LOCATION INFORMATION ----- - -- Permit Number : 11846 Address : 404 WHITING LANE Permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 32233 Class of Wark :ALTERATION --------- LEGAL DESCRIPTION --------- Constr . Type :WOOD FRAME Block: Lot : Twp: Proposed Use : Section: 0 Subd:O Rna , Dwellings : 1 Subdivision: Est . Value : 0 . 00 Improv : Cost : 0 . 00 Total F� s : 25 .00 Amour 0 . 00 _ `,WNER iNFO RATION - _ ----- APPLICATION FEES ---------- Nam� -F7��FIa3E Yl-;171"' PERMIT 25 . 0(' Addt '4.: 4 Ali T- '.7 LANE T SP._- Ii . FLORIDA Prion n: r --- CONTRA,I'T-.R INFORMAT,I D4�y Name LAX,. ' UE AND SONS Adz - 3934 S IDE BOULEVAi _. jACKS0 E , FL 32216 Li C T'Y< +1 .= 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCA I�j W VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 4/30/'6 01 Rcut: 0052252 00100003221000 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT ' � r JOB LOCATION:__ OWNER OF. PROPERTY _________-----_--___- BUILDING CONTRACTOR: , PLUMBING CONTRACTOR _LqMY_��()E$,,� ____________________ AHD ADDRESS: -��--- ---- --------------------- TELEPHONE NUMBER: _ g STATE LICENSE N0: _ 5 ------------------------------- TYPE OF BUILDING: _______ ______________ _____ SINKS SHOWERS __________-_LAVA7�ORY _____________WATER HEATERS ____________BATH TUBS _____________DISHWASHERS URINALS DISPOSALS CLOSETS __ WASHING MACHINE FLOOR DRAINS SHOWEX PANS OTHER ---------------- TOTAL FIXTURE ' 7UNT:__________ x $3. 50 + $15. 00 = S________-_- ----------------------------------------- ----------------------- INSTALLATION OF PLUMBINr AND FIXTURES MUST BE IN ACCORDANCE WITti THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 DEPARTMENT OF BUILDING FOR OFFICE U ONLY ITY OF ATLANTIC BEACH, FLORIDA Date 19 ©? � -----____-- Permit # ee $ Application for Permit Valuation t for Misc. Alterations House # 6 L and Repairs DESCRIBE: (state if to repair, alter, add to or move building, erect awnings or signs, etc. ) R V Building on: Lot No. 2(,�_ Blk No. /Z Sub.Div. Address Valuation $ 3870 .,06 ---. Owner' s Name BUILDINGS & OCCUPANCY Building Use - Residential or Business What Plumbing work to be done? Size of Present Bldg. Size of Extension Lot size Material of Roof No. of stories now after altered Material of Present Building Material of Extension PLANS MUST BE SUBMITTED HEREWITH SIGNS Size Classification (state whether grobud annerjof, wall, projecting Material of Construction Illuminated? Type of illumination — (State whether lamps o. neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HARGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reserve side) IMPORTANT NOTICE: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. $outherntand4r2:� ld' Signature of Builder orwOwrwr � �//s��// Address y�a - Phone �/- So?� DEPARTMENT OF BUILDINGPERMIT NO. 67 21 CITY OF ATLANTIC BEACH,FLORIDA 28.50 QU•co j PERMIT TO BUILD 2C8.5J0CKT THIS PERMIT MUST BE POSTED ON JOB 8124 1 A 4/10/6 19 6721 100CAC Date 24 1 A 4/10/8 4' 750-00 Fee$ 28.50 181 Valuation$ 0 „ reasurer,and is This permit not valid until above fee has been paid to City T subject to revocation for violation of applicable provisions of law. j BMW AWMU' This is to certify that Third Street rSo,� 21-7-2 r �St• 1 has ermission to build �- Enclosure Ofe P Zone Classification � Charles 701 Owned by Block�S�D Lot I House No. According to approved plans which are part of this per NOTICE—ALL CONCRETE BFOR IN AND FOOTINGS MUST Z SPECTED BEFOREXMONTHS POURING. � PERMIT VOID SIX M AFTER DATE OF ISSUE rubbish and debris O Building material, laced —♦ Z this work must not be p from and must be cleared ue public s ace, b a�led away y either con- tra ,oX'owrneri Building Official. CONTRACTOR I PERMIT DATE FOR OFFICE NUMBER USE ONLY PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Address �- Phone@ Owner Architect Address shone Contractor Address License Number A4P Expiration Date s Lot # /_ Block # Z2 Subdivision /f'�t>A1��1f�fZoning Street f Between and side $ Purpose of Building �u Type Co St. YY] rn Valuation 1 1 Lot Sz.Footings Dimensions : Building R X Sz.Piers Sz. Sills Greatest Span Sills Sz. Ceiling Joists Distance on Centers Greatest Span Sz.Floor Joists Distance on Centers Greatest Span Sz. Rafters Distance on CentersGreatest Span Solid-Filled Ground Roof Heating If located within a FLOOD HAZARD ZONE fill out Flood Zone reverse of this 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/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical , cover plumbing and fire place is completeday 5 . Rough electrical. 6 . Final inspection. In case of rejection, reinspection MUST be called SETBACKS for after corrections are made. In consideration of permit given for doing Rear Lot Line the work as described in the above statement , we hereby agree to perform said work in accordance with the attached plans and specifications , which are a part hereof, and m 33 �n n L .� M in accordance with the building regulations = t..., L-4 O of the City of Atlantic Beach. o rt rt r m ,PPROVED 17!7OF ATLANTIC BEACH - UILDING OF ICS 41 Signature OWNER a Signature BUILDERe _ n `of ne MAP Slj jOW I NG SURVEY OF IAT 26, BLOCK 12, RSPLAT OF PART OF ROYAL PAIIS UNIT 2A AS FZCORDED IN PLAT POOK 31, PAGr 16, 16A, 16B, 16C ASID 16D OF TIS CT7FRENT PUBLIC RECORDS OF DUVAL COUNTY, .-URIDA• FQ R; Cti�4 iPG E 5 i�7� yG!/n/G r ti IA I _ SS �s I � I ,rif 7n o 1 v z V� I t � I HEREBY CERTIFY THAT I HAVE SURVEYED THE FINDS AS !SHOWN IN THE A13OVE CAPTION hD 7N z!? ARE XW ENCROACHMENTS, ,qS H. A. DURDEN & ASSOCIATES, INC. 928 - 7TH AVE. SOUTH JACKSONVILLE REACH, FLA �- 3 > V GNEp ..A - SCALE: JR t10. 1374 FLA. - a�,'s^ri� `v G 121 r CITY OF 1Q ,A-4t C BeacJt-v7&U*d4 Office of Building Official REQUEST FOR INSPECTION O Permit No. Date Time //. A.M. e—District No. Receie`d 'v �_-----P.M. o Lgg��aality *5obAddress r Owner's on Name BUILDING CONCRETE ELEC PLUMBING J MECHANICAL gh Wirin Rough Air.Cond.& ❑ Framing ❑ Footing Heating Temp Pole ❑ Top Out Re Roofing ❑ Slab Fire Place ❑ Lintel Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. ri ay ` _L/ �V` Inspection Made Final Inspectionrt' 3 p Inspector EF— /�/ Certificate of Occupancy N CLL-A— EJ 1 ' Date CITY OF q / "t�► ate- Office of Building Official G� REQUEST FOR INSPECTION Q GSD Permit No. J 6 Date c� Time rQ A.M. District No. Received .v P.M. O Locality Job Address Owner's Contractor -- Name MECHANICA BUILDING CONCRETE ELECTRICAL PLUMBING ❑ Rough Wiring ❑ Rough ❑ Framing ❑ Footing Top Out ❑ Heating Re Roofing ❑ Slab ❑ Temp Pole C Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Tues. Wed Thurs. _ Friday P.M. �n's2�i.n Made Final Inspection Inspector Certificate of Occupancy Date BUILDIW: AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH (�,,� ATLANTIC BEACH, FLORIDA 32233 ZU APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I, i4dy) Street Address: I LOCATION 11 /Vnf OF Intersecting Streets: Between 1 /CC Y1 C / f And BUILDING Subdivision II. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) S ` d f Mester Name of Property Owner VQ 1 Signature of Signature of Owner,nt Architect or Engineer or Authorized Age III. GENERAL INFO TION E3. �� a A' Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON o"Electric THIS BUILDING OR SITE? N f ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) ® Residential or ❑ Commercial Heat ❑ Space ❑ Recessed Ey' Central D Floor ❑ New Building Room Centra El""'Air Conditioning: [3 Room Y/Existing Building—/ Li}" Replacement of existing system C] Duct System: Material - Thickness El New installation(No system previously installed) Maximum capacity c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9.p-m. ❑ Fire sprinklers: Number of heed ❑ Hevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pump• (number) (Reeeiwd) ❑ Tanks_ (number) IRemarks ❑ LPG containo,, --(number) ❑ Unfired pressure vessel Permit Approved by Dats ❑ toilers Permit Fee ❑ Other -- Specify LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT cpacity Apptrvin� Number Units Description Model Number Manufacturer (TOM) A911111111111CY HEATINr, - FURNACES, BOILERS, FIREPLACES Capacity AVPMvft Number Units Description Yodel Number ManufaCbMW (BTU) W/4 �"fti'V Tr-a n Gr)o S /So ✓zf K w U TANKS Serial Approving Now Many NomJA&1 Capacity Type Liquid Name of No. Agency and Dimensions Contained Manufacturer FEE -------------4 37 _6t7 - t . ••r _ ._.. -...... -...7�-w«.75--•r.r,-..-..I.r •--�---�+—^»-AS=P•• � 4 +•+,i... _ _ _ "�-,-�+�+f-•rt' F4.r.^r.....-r--+.� �, Y '.''y� .77 Af 4'0044, WA ; ��+, `-�. .,.... � � �^ � -.-.-.. �'.•+..,�.. .-•--r- w..... �� ...--.�. .r.». �. ��~ _w.�.J..L....:..�,�.,�,y•M� �r '^'^��• ...�. •.�.�.....--ter w.•rn ire'^.^._ � � ... .. 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