55 10th St (vault) IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000153 Date 1/30/09
Property Address . . . . . . 55 10TH ST
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
----------------------------------------------------------------------------
Application desc
replc 3 wndws; remove dr; siding complet frnt hse
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
Cairns, Scott OWNER
55 10TH STREET
ATLANTIC BEACH FL 32233
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00
Issue Date . . . . Valuation . . . . 2000
Expiration Date . . 7/29/09
----------------------------------------------------------------------------
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40 . 00 40 . 00 . 00 . 00
Plan Check Total 20 . 00 20 . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
P7 800 SEMINOLE ROAD,ATLANTIC BEACH,FIL 32233 09-F1
OFFICE:(904)247-5826 e FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1�JOB ADDRESS: 2.VALUATION OF WORK 3,SQ�FF.UNDER ROOF
1080 /e 0 e
4.LEGAL DESCRIPTICN.,�-,, 5.C�ASS OF WORK: 6�USE OF STRUCTURE:
G-f J 4-'I$-�:Zl 1:1 NEW BUILDING El DEMOLJTION RES�DENTIAL
LOT_BLOCK_SUB DIVISION 63 Idr,- AM 0 ADDITION 11 CONVERTING USE COMMERCIAL
7.DESCRIPTIONCIPWORK: S.171111�SPRINKLER�
11 ALTERATION 0 ACCESSORY BLDG,
-Ri�p"Cf tewodw's jetcAfovrveelf- S 1,0/,v �KREPAIR C3 POOL/SPA 11 YES ON/A
0 MOVE 11 OTHER ONO
PROPERTY OWNER: 'CVNTRACTOR: ARCHITECT/ENGINEER:
9 NAME. 15.ccmPA1Z7MMr-4 23.COMPANY NAME.
S::; 'r
45 'r*De-boroi-�
16.NAME 24.LICENSEE NAME:
10.ADDRESS 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.
!�T
26.ADDRESS:
18 ADDRESS:
11.OFFICE PHONE 112 FAX NO., 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO:
13.CELL PHONE: 21 CELL PHONE: 29.CELL PHONE
e?,i�/ S—7 J ror,93
14 EMAIL ADDRE5Z' 22.EMAIL ADDRESS: 30 EMAIL ADDRESS:
IR.-,S exe'Y;�.Ale
FEE SIMPLE TITLE HOLDER: BONDING COMPANY. MORTGAGE LENDER:
,VIF OTHER THAN OMER)
31.NAME: 33.NAME 3� NAYE.
r-"(;S-r'4t
32.ADDRESS: 34.ADDRESS: 3 A 3-7 111 f?/ PA IS'XM
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
Agent,Power ofAttomey orAgency Letter Required) ..... (QualifierOnly)
Signed: Date: Signed. Date:
Before me this day of , lie--Myc-r-y _,2009 in the county of Before me this_day of 2009 in the county of
Duval,State of Florida,has personally appeare4 Duval,State of Florida,has personally appeared
Sc-,:H= —, � Ce,-i-,r-,-s
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of F--1 fgj�- Countkmk Notary Public at Large,State of County of
[�kPersonally Known El Personally Known
C1 Produced Identri 11 11 Produced Identification-
C"b Notary Signature.
Notary Signature
Cn
745440 '41T'N�IEWED FOR CODE COMPLIANCE
%d Ov
BLDG01 Permt Application Bldg-.REVI ED:12/1812008 CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAI.
REQUIREMENTS AND CONDITIONS.
FILE C
REVIEWE
D BY: DATE:—/—,? —)Q
CITY OF ATLANTIC BEACH
OWNER / BUILDER AFFIDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE
OWNER.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES,OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(l). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
/,a z4 5--t- r"_3
ADDRESS PHONE NUMBER
_5�42,7r_
P T AME
S NATURE DATE
7'
Beforemethisg� 9 dayof 4 PJ 200PIn the county of
Duval,State of Florida,has personally appeared I self and affirms that
all statements and declarations are true and accurate.
SUSAN SPEAKS GORMAN
Notary Public at Large,State of DJL�County of My COMMISSION#DD643668
EXpIREs:Febnory 25,2011
Oyersonally Known
I Wo-�NWAAY Fl.Notary Dis—t Ass-CO-
'roduced ldentifiGafion 4
Notary Signature: Z !n!�JL-J--.—
COAB FORM BLDG07;REVISED 8/14/2007
Doc # 2009011994, OR BK 14753 Page 1126, Number Pages: 2, Recorded
01/16/2009 at 11:07 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING
$18.50 DEED DOC ST $2030.00
2-pared by and Mtum jo�
Pat Logan
P011te Vedra Title,LLC
115 Professional Drive
Suite 101
Pottle Vedra Beach,FL 32092
File Number: PVTO9314
(Vace Abme This Une F-Rewrdiag this)
Warranty Deed
This Warranty Deed made this 9th day of January,2009,between Robert Scott Patton and Kimberly J.Pairion,
husband and wife whose post office address is 325 9th Street,Atlantic Reach�FL 32233,grantor,and Scott S.Cairns
and Deborah R-Cairns,husband and wife whose post office address is 10131 W.Bishop Lake Road,Jacksonville,FL
32256,grantee:
(Whenever used herein the terms"grantor*and'grantoe'include all the parties to this inwument and the heirs,lcgal representatives,and
assigns ofindividuals,and the successors and assigns ofcorporatims,trusts"trustees)
Witnesseth,that said grantor,for and in consideration of the sum of TEN AND NO1100 DOLLARS($10.00)and other
good and valuable considerations to said grantor in hand paid by said grantee,the receipt whereof is hereby acknowledged,
has granted,bargainedi,and sold to the said grantee,and grantees heirs and assigns forever,the following described larid,
situate,lying and being in Duval County,Florida,to-wit:
THAT CERTAIN PIECE,PARCEL OR TRACT OF LAND SITUATE,LYING AND BEING A PART OF
THE SOUTH 47.0 FEET OF LOT 2 AND THE NORTH 10.0 FEET OF LOT 1,BLOCK 41,AS SHOWN ON
THE PLAT OF ATLANTIC REACH,AS RECORDED IN PLAT BOOK 6,PAGE 1,OF THE CURRENT
PUBLIC RECORDS OF DUVAL COUNTY,FLORIDA,AND BEING MORE PARTICULARLY
DESCRIBED AS FOLLOWS:COMMENCING AT THE INTERSECTION OF THE EASTERLY RIGHT
OF WAY LINE OF BEACH AVENUE,WITH THE NORTHERLY RIGHT OF WAY LINE OF I OTH,
(BOTH BEING 40 FOOT RIGHTS OF WAY AS NOW ESTABLISHED);THENCE NORTH 83*03'36"
EAST,ALONG SAID NORTHERLY RIGHT OF WAY LINE OF 10TH,STREET,97.60 FEET FOR A
POINT OF BEGINNING;THENCE CONTINUE ALONG SAID NORTHERLY RIGHT OF WAY LINE OF
10TH.STREET,16.46 FEET,THENCE NORTH 06033'24"WEST,56.95 FEET TO THE NORTHERLY
LINE OF SAID SOUTH 47.00 FEET OF LOT 2;SOUTH 83*03'36"WEST,ALONG SAID LAST
MENTIONED LINE,16.46 FEET,THENCE SOUTH 06-33-24"EAST,56.95 FEET TO THE POINT OF
BEGINNING.
Parcel Identification Number: 1702630050
Together%vith a]I the tenements,hereditaments and appurtertances thereto belonging or in anywise appertaining.
To Have and to Hold,the same,In fee simple forever.
Amd the gramor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple:that the
grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully wan-ants the title to said
land and will defend the same against the lawfW claims of all persons whomsoever; and that said land is free of all
encumbrances,except taxes accruing subsequent to December 3 1.2008-
W—?YD�d-PAv I
OR BK 14753 PAGE 1127
Witn—Wh—C grantor has hereunto set grantor's band and sea]the day and year first above written.
SiPUI,sealed and delivered in our p,,e
,nce:
Wftne=ss N e: M yn
tit?t. h rt ott Patton
Nm,.— �Kib, J�Paan
State of
County
The fOmgoing instrument was acknowledged before me this �Ldayof
Roberl Scott Patton and Kimber 2 0 g-6
av�
VSfatton,husband and w person 1�know.n tome or ave
I
produocd KISIA entification. ife,who
VIW
-VVI
NOTARY PUBUC-ME OF FLORIDA No P c
Heather M.Reynolds
Commission#DDS61756 PrintedName: HeatilpfM.Reynolds
Dtpim:JUNE 12,2010
B0NDMTRRIJAILA.,MCI0MXI:G COL.MC My Commission Expires:
MAP SHOWING BOUNDARY SURVEY OF
LEGAL PROVIDED BY CLIENT:
THAT CERTAIN PIECE, PARCEL OR TRACT OF LAND SITUATE, LYING AND BEING A PART OF THE SOUTH 47.0 FEET OF LOT 2 AND
THE NORTH 10.0 FEET OF LOT 1, BLOCK 41, AS SHOWN ON THE PLAT OF ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 6,
PAGE 1, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, AND BEING MORE PARTICULARLY DESCRIBED AS
FOLLOWS:
COMMENCING AT THE INTERSECTION OF THE EASTERLY RIGHT OF WAY LINE OF BEACH AVENUE, WITH THE NORTHERLY RIGHT OF
WAY LINE OF IOTH (BOTH BEING 40 FOOT RIGHTS OF WAY AS NOW ESTABLISHED); THENCE NORTH 83 DEGREES 03 MINUTES 36
SECONDS EAST, ALONG SAID NORTHERLY RIGHT OF WAY LINE OF 10TH STREET, 97.60 FEET FOR A POINT OF BEGINNING; THENCE
CONTINUE ALONG SAID NORTHERLY RIGHT OF WAY LINE OF 10TH STREET, 16.46 FEET, THENCE NORTH 06 DEGREES 33 MINUTES
24 SECONDS WEST, 56.95 FEET TO THE NORTHERLY LINE OF SAID SOUTH 47.00 FEET OF LOT 2; THENCE SOUTH 83 DEGREES 03
MINUTES 36 SECONDS WEST, ALONG SAID LAST MENTIONED LINE, 16.46 FEET; THENCE SOUTH 06 DEGREES 33 MINUTES 24
SECONDS EAST, 56.95 FEET TO THE POINT OF BEGINNING.
CERTIFIED TO:
SCOTT CAIRNS & DEBORAH CAIRNS
EQUITY MORTGAGE GROUP, INC
PONTE VEDRA TITLE, LLC/HATHAWAY & REYNOLDS, PA
FIRST AMERICAN TITLE INSURANCE COMAPNY
OFFICIAL RECORDS VOLUME 10087, PAGE 1555
S 83'03'36" W
16.46' (DEED)
N 82*57'42" E
16.19' (MEASURED)
0.9
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1000
0 LONE OF BEACH AVENUE. WITH THE NORTHERLY _WA L CS_
RIGHT OF WAY LINE OF 10th STREET
< L6T 1 DECK STU-0
LLJ POINT OF BEGINNING (TYPICAL)
M 97.50- (MEASURED) ...5, CONCRETE-.
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BLOCK ISK'
NORTHERLY RIGHT OF WAY LINE NAIL&D 0.2' 101, NAIL & DISK"
CORNER #6696 S 82*57'3,3" W #66g6
16.46' (MEASURED)
N 83*03'36" E
16.46' (DEED)
10th STREET
(40- RIGHT OF WAY)
LEGEND:
0 SET 1/2-REBAR PC POINT OF CURVATURE
STAMPED PSMf6I46 PT. POINT OF TANGENCY
0 FOUND 1/2' IRON PIPE PRC POINT OF REVERSE
NO IDENTIFICATION
OTHt CURVATURE
(UNLESS RWISE NOTED) PCC POINT OF COMPOUND
0- 4"x4" CONCRETE MONUMENT CURVATURE
A11C = AIR CONDITIONER CONCRETE
_X_ = FENCE
I I Ll I Ray Thompson REVISIONS
SURVEYING, Inc. DATE DESCRIPTION
FG-oing the DISTANCE
4613 Philips Highway,Suite 210 PONTEER)TITLE, L.L.C.
Jacksonville,Florida 32207
(Phone)904448-5125
(Fax) 904-448-5178
JOB # 15665 DATE OF FIELD SURVEY: 12-23-2008 SCALE: I" = 20'
NOTES: CERTIFICATE
1: BEARINGS ARE BASED ON THE __QffL_ BEARING OF I HEREBY CERTIFY THAT THI wpa, NDER MY RESPONSIBLE CHARGE
ALONG THE WESTERLY BOUNDARY LINE OF SUBJECT PARCEL. AND MEETS,THE MINIMUM AL STAND SET FORTH BY THE FLORIDA
2: BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WTHIN FLOOD ZONE BOARD OF PROFESSION R VE YOM.6tM M APP I CHAPTER 611317-6, FLORIDA
Y
VE C
AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP, ADMINISTRATIVE C UANT TO SECTIOk 47 LORIDA STATUTES,
DATED: )i��RIL 17. 1989. COMMUNTIY PANEL NUMBER: 120075 0001 n .
3: THIS SURVEY REFLECTS ALL EASEMENTS & RIGHT OF WAY AS PER RECORDED
PLAT &/OR TITLE COMMITMENT IF SUPPIED. UNLESS OTHERWISE STATED, NO
OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED. AYM4fJE-MOMP
4: THIS SURVEY IS NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE REUSTERED SUR D MAP 6146 STATE OF FLORIDA
AND AUTHENTICATED ELECTRONIC SEAL. LIC . 7469
LAND SURVEYS 0 CONSTRUCTION SURVEYS SUREWASIONS
R W R W Building Consultants, Inc.
BConsulting and Engineering Services for the Building Industry
C P.O.Box 230 Valrico,FL 33595 Phone 813.659.9197 Facsimile 813.754.9989
Florida Board of Professional Engineers Certificate of Authorization No.9813
Product Evaluation Report
Report No.: FL 6692.1
Date: April 12, 2006
Product Category: Windows
Product sub-category: Single Hung
Product Name: "Weather StopperTm"
Series 8700, Model 8800
Extruded Vinyl Horizontal Slider Window
Impact
Manufacturer: Silverline Building Products Corporation
One Silverline Drive
North Brunswick,NJ 09902
Phone—732.435.1000
Scope: This is a Product Evaluation report issued by R W Building Consultants,Inc. and Wendell W.
Haney,P.E. (System ID# 1993)for Silverline Building Products Corp.based on Rule Chapter
No. 9B-72.070,Method I d of the State of Florida Product Approval,Department of Community
Affairs-Florida Building Commission.
RW Building Consultants and Wendell W. Haney,P.E. do not have nor will acquire financial
interest in the company manufacturing or distributing the product or in any other entity involved
in the approval process of the product named herein.
This product has been evaluated for use in locations adhering to the Florida Building Code(2004
Edition) and where pressure requirements, as determined by Chapter 16 of The Florida Building
Code, do not exceed the following design pressures:
Design Pressure Rating:
Maximum Design Pressure Rating Positive 50.0 PSF Negative 50.0 PSF
(See Limitations for size restrictions)
See Drawing No.: FL 986 prepared by R W Building Consultants,Inc. and signed and sealed by
Wendell W. Haney, P.E. (FL# 54158) for specific use parameters.
endell W. ane
FL No. 5415
April 12,2006
Fl,6692.1 PF 986 Sheet I of 3
Limitations
1. The"Weather StopperTMII Series 8700, Model 8800 Extruded Vinyl Horizontal Slider Window
"Impacf'has been evaluated and meets the requirements for use within the State of Florida
excluding the"High Velocity Hurricane Zone".
2. When used in wind-borne debris regions this product complies with Section 1609.1.4 of the Florida
Building Code as an impact resistant product and does not require the use of an external impact
resistant covering. This product meets Missile Level"D"and includes Wind Zone 3 as defined in
ASTM E1996.
3. Size Limitations:
Configurations MAX. Width MAX. Height
Single 0 73.0" 63.0"
X
4. See Drawing#FL-986 for Design Pressure Ratings.
AWe ri�d te�ll W. a n e y,
FL No. 5415 8
April 12, 2006
FL 6692.1 PF 986 Sheet 2 of 3
Supporting Documents
A Drawing
1. Drawing No. FL 986 titled"Weather Stoppefrm" Series 8700,Model 8800 Extruded Vinyl
Horizontal Slider Window"Impact"prepared by R W Building Consultants,Inc. (Florida
Board of Professional Engineers Certificate of Authorization No. 9813) signed and sealed
by Wendell W. Haney, P.E.
B Tests Performed
I. Testing per ASTM El 886-02 and ASTM E1996-02 as performed by Architectural Testing
Inc. and reported in test report number ATI 63139.01-109-44,dated April 4,2006,signed
and sealed by Steven M. Urich, P.E.
2. Testing per 10 1/1.S.2/A440-05 as performed by Architectural Testing Inc. and reported in
test report number ATI 63798.01-109-47, dated April 6,2006, signed and sealed by Steven
M. Urich, P.E.
3. Plastics testing(DuPont Interlayer) in accordance with the"High Velocity Hurricane Zone"
substantiated by Issuance of Miami-Dade Notice of Acceptance 05-1208.02,expiring
December 11, 2010.
4. Extruder must be a certified PVC Extrusion Licensee Listed on the current AAMA PVC
Extrusion Certification Program Listing.
C Calculations
1. Product anchoring is in accordance with manufacturer's published recommendations as
substantiated in test report numbers ATI 63798.01-109-47,ATI 63139.01-109-44.
2. Buck anchor analysis for loading conditions,prepared,signed and sealed by Wendell W.
Haney,P.E.
3. Glass Load Resistance Report ASTM E1300-02 prepared by Wendell W. Haney, P.E.
D Other
1. Certificate of Participation issued by National Accreditation Management Institute
certifying that Silverline Building Products Corporation is manufacturing products within a
quality assurance program.
Wendell W. ey,P
an V
FL No.95415 8
April 12,2006
FL 6692.1 PF 986 Sheet 3 of 3
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Back to Quote
LOWE'S HOME CENTERS, INC. #1842
8054 PHILIPS HIGHWAY
JACKSONVILLE, FL 32256
USA
(904)828-5170
Date: 01/26[2009
Project#: 253387752 Description: Octagon Window
Customer Name: SCOTT CAIRNS
Customer Phone: (904) 464-0986
Customer Address: 10131 BISHOP LAKE
ROAD WEST
JACKSONVILLE,
FL 32256
USA
Line Item Product Code Unit Price Quantity Total Price
Frame Size Description
W01 Manufacturer: Century Specialty Windows
Division : Millwork
.......... Product : Windows
T e Fixed Frames Special Shapes
yp
-roduct Type : Decorative Window
r e Shape : Octagon
am
Window Operation : Stationary
Exterior Frame Finish: Clad Exterior
Frame Color: White
Frame Size Width: 23 9/16"
trame Size Height: 23 9/16"
ough Opening Width : 24"
'Rough Opening Height : 24"
lass Collection : LuxuryLites
6—ecorative Pattern Park Avenue Diamond Pattern
i�Caming : Zinc
IG
lass Type :Triple Pane Insulated
lGlass Option : Low E(Recommended)
.Jamb Size : 4 9/16"
jamb Type : Stain Grade
$449.08 1 $449.
!LeadTime :-4 0
Project Total: $449.08
Salesperson: STEPHEN SEITZ (SI842SSI)
Accepted by: Date: 01/26/2009
This Millwork Quote is valid until 2/1[2009 on all regularly priced items. For promotional pricing please see the
SMOSS-WO NOUM04:0180 16tZ:SINMOJIHDIN:8AS lawlIPRPUMURISP31M VU:4 60ORN MAN34 3OVd
ly-(SL4S�
AL)
S68-ft SO/TOd LDS-1 -WOU3 PT:ST 60,-6Z-10
Rldss-WO NOIIWO�:0180 41ffZ:31NG4CMiH01TNA8�IaWIIPRPUMMISP31 WV�Z:I Z:I 60OZ16ZI I IV GAON�WKVd
4&
Architectural Testing
TAS-702 PERF RMANCE TEST REPORT
tender-ell to,
CENTURY SPECIALTY PRODUCTS
.236) E, 145'h Street
Little Reek, Arkansas 72206
Report No.: 57034,01-801-44
Test Date: 04/26/05
Report Date: 06102105
Expiration Date: 04/216/15
Project Summary: Architectural Testirg, Inc, (ATI) was contracted by Century Specialty
Products to perform testing per Florida Building Code Protocols for High Velocity Hurricane
Zone, Protocoi TAS 202-94, on a Series/Niodel 21111 picture window. The sarriples tested nict
the perl'onnance requirements set forth ir tile protocol for a +50.0/-54.2 psf Design Pres-wre
rating. Test speciincii description and resu ts are reported herein.
Test Procedure: I'lle test specimen was evaluated in accordance with the following Florida
Buildiog Code Protocol: '
TAS 202-94, Crileria for Testing Impact and Mon lnzl)act Resislani Building Envelope
Conyl)onents Uyi)7g Un�form Staiie Air Pressure Loading.
Drawing Reference: The following drawirigs have been checked by ATI, and are rtprtsentative
of iljes�ampies tested: 2300-21111-1. 2300-21111-2
'fcst Specimen Dr-5cription:
Series/Model- 21111
Product Type: Clad Fixed Octagon
Overall Size. 23-3/4" across
Finish- Pine with polyurethanc cladding
Glazing Details: Scaled insulating gl�ss, 1/2" overall thi(;kness, using two sheets of double
strength glass and a 1/4" aluminum-reiTifotced butyl spacer. Interior glazed with
backbcdding compound at the exterior and a pint stop at the interior.
2865 Market Loop, Suite 0
Southlake, Texas 76092
phone: 81-t-410-7202
fax: 917-424-8463
...hr—t —
S68-0 so/zod LT7S-1 -WOUE K:El 60,-6Z-TO
RIOSS-W[U)N01IM04:0180 4�6tl:$INO,�MilHOIN:NAS,[aWIJPRPUe�SUJaISP3]M JZ:�Z:J[60OZ16ZIl IV CAON�91NOVd
57034.01-801-44
Architectural Testing Page 2 of 5
Test Specimen Description: (Continue 1')
Frame Construetion- Mitered, glu d, and secured with six (6) 1/2" corrugated fasteners at
each joint. The exterior facing was secured to the jamb. with two (2) 2 1" x.18 gauge brad
nails per side, The exterior facing was clad with polyurethane. A snap-in vinyl flailing fin
was installed in the exterior groove in the framejamb,
Installation: The unit was installad into a pine buck. The buck was fabricated with
d agonal braces on four sides and ho,-izontal and vertical braces. The unit wa secured to the
buck and plywood with eight (8) 2' roofing nails nails (I at each brace). The braccs and
nailing fins were covered with a'shmt of 1/2" thick plywood. The unit was scaled to the
plywood with a silicone buttjoint at tho polyurethano clad exterior facing.
SG8_R Solsod LrVG_1 -WOU] DIT:ST 601-GE-10
SHOSS-LULU)Nounnavaso 4 WE:$INC�CNiiHOIN:�AS,[awliPRPue4u]a;SP3I WV IZU:I I,60OZ101 IV GAON P 35Vd
51034-01-901-44
Architectural Testing Page 3 of 5
Test Results: The following results hay.-been recorded:
Protocol TAS 202-94,Static Air Pressure- Tests
Design Pressure., +50.0/-54.2 psf
Title ofTest Results
Air Infiltration
1.57 psf(25 mph) 0.0 1 cfmlfc
6,24 psf(50 mph) 0.03 cfm/ft'
Indicator Readings (inch)
41 #2 93
Structural Loads
Positive Preload Pressure (+21.3 psO
Maximum Deflection 0.00 0.00 0.00
Pcrmanont Set 0.01 0.00 0.00
Design Pressure(+50.0 psf)
Maximum Deflection 0,00 0.01 0.01
Permanent Set 0.01 0,00 0.00
Negative Preload Pressure (-27.1 psi)
Maximum Deflection 0.03 0.01 0.01
Permanent Set 0.02 0.00 0.00
Design Pressure (-54.2 psf)
Maximum Deflection 0.05 0.02 0.02
Permanent Set 0.03 0.01 0.02
Water Infiltration
15% Positive Design Pressure(+7.5 pso No Penetration
Structural Loads
Test Pressure (+75 psf)
Maximum Deflection 0.02 0�01 0.01
Permanent Set 0.01 0.01 0.00
Test Pressure (-81.3 psf)
Maximum Deflection 0.06 O�03 0.03
Permanent Set 0.02 0.02 0.03
Forccd Entry- ASTM F 588-97 Pass
Note; Indicators ill and#3 were located�,n installation nails vith indicator 42 bet-tveen.
968-R SO/D'Od LT79-1 -WOH] K:sl 601-H-10
WOSS-WONOIIW04:01804*Z:81NO 4MCHAS lawlIPRPUPSUAS231M I Z:[Z:I MORM IV CAUSAM
4&
57034.01-801-4-4
Architectural Testing Page 4 of 5
Test Equipment:
Deflection Measuring Device: Linear transducers
Laboratory Compliance Statement. The following is provided as required by the protocol for
the testing reported herein.
Upon completion of testing, speci nens tested for TAS 202-94 met the requirements of
Section 1620 of the Florida Building Code, Building(2004).
List of Official Observers:
Name Company
Frcd Barr Century Specialty Products
Joseph A. Reed, P.E. Architectural Testing, Inc.
Andy Cost Architectural Testing, Inc.
Representative samples of the test specimen and a copy of this report will be rctained by ATI for
a period of ten years from the original test date. This report is the exclusive property of the client
so naMed herein and is applicable to thesample tested. Results obtained are tested values and do
not c�onstitute an opinion or endorsement by this laboratory. This report may not be reproduced,
except in full, without the approval of Ar..hitcctural Testing, Inc.
I-or ARCHITECTURAL TESTING, INC.
1.&F%.d
Andy Cost Joseph A. Reed,P.E.
Laboratory Manager Director-Engineering and Product Testing
AC,br/cmd
Attachments(pages):
Appendix-A: Drawings(3)
W6�
S68-0 so/sod LDIS-1 -Woul DIT:sl 6o'_GZ_T0
Royal Designer Shake, classic look of authentic cedar shakes Page 1 of 2
HOME PRODUCTS DURA GALLERY OF LOCATOR CORPORATE CONTACT US
TECHNOLOGY HOMES INFORMATION
Royal Buil#�ng Products
Gtoot M000Tolking Shop*.
IR 0 j4i, L
I MMzMLMLWX Profil� Spe(ifkdtions
i Colors
QHA�,KE
Warranty
G*llery
Now, the classic look of authentic cedar Installafion-Hand Split
shakes can be yours with Royal Installation-Rough Sat-in
Designer Shake. This innovative panel
comes in two distinctive profiles, both of
which complement a wide range of
architectural styles.
Rough Sawn provides a refined look,
with a 7 1/2" exposure, a uniform
surface, and a straight bottom edge for a
subtle shadow line.
Hand Split provides a rustic look, with a
4-
f
9" exposure, a variably grained sur ace,
and an uneven bottom ledge for a strong
shadow line.
With Royal Designer Shake, design possibilities are endless. Some of the
most creative ideas come from mixing and matching color schemes,
resulting in a unique look that beautifully expresses your personal vision.
FEATURES BENEFITS
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and low-gloss finish. real cedar shakes.
Extra thick, with built-in ribs. Increases strength and rigidity;
panels go on flat, creating a
strong shadow line.
Molded perimeter locking system. Makes for easier installation;
results in a clean and natural
appearance.
State-of-the-art material. Never needs painting; virtually
maintenance-free.
http://www.royalbuildingproducts.com/products/shake/index.html 1/28/2009
Royal Designer Shake, classic look of authentic cedar shakes Page 2 of 2
Available in a range of popular Provides design flexibility for
shades. traditional and contemporary
homes alike; can be used on all
types of homes.
Color-through technology. Renders scratches and minor
surface imperfections virtually
invisible.
Full line of accessories. Complete cladding system; ideal
for full frontal facades, gable ends,
dormers, feature walls, mansard
roofs, etc.
Lifetime warranty. Provides you with a lifetime of
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TOP
Privacy Statement I Terms of Use I @ Royal Group, Inc. 2008
http://www.royalbuildingproducts.com/products/shake/index.html 1/28/2009
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road - 3
-5445
Atlantic Beach, Florida 32233
Phone(904)247-5826 - Fax(904) 247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
_D-ep rtment review required YeK1 No
V
Property Address Pra–h—ning &Zoning
Tree Administrator
Applicant: DLA� Public Works
Project: )�? Kv-rn-o V Public Utilities
0 e_LQ_c_ 'f-- Public Safety
Do.' .6"� C-L 14-s-x— Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLj6ATION STATUS
Reviewing Department First Review: ZApproved. ODenied.
(Circle one.) Comments:
(=BUILDIN�)
PLANNING &ZONING Reviewed by: Date: -0?
TREE ADMIN.
PUBLIC WORKS Second Review: FlApproved as revised. E]Denied.
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES Reviewed by: Date:
Third Review: FlApproved as revised. F-]Denied.
Comments:
Reviewed by: Date:
*JEPARTMENT OF BUILDING
3533
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 11/10 19 77
Valuation$ -S,()00 Fee $19-00
This perrnit not valid until above fee has been paid to City Treasurer, and is
bject to revocation for violation of applicable provisions of law.
This is to certify tha T-u4n & 1131 Ann Siakel
has permission to build a garage
V
-7 --7-7
Classification. resi�ential
___----zone
Owned b Dan & lul Ann Siakel
Lo Block—S/D
House No. 55 - 10th St. , #9
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
X
0 Building material, rubbish and debris
z from this work must not be placed in
public space, and must be cleared up
and hatiled away by either contractor
or owner.
R.C. Vogel
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
FOR OFFICE USE ONLY
Date-.,//,g-/----/�?--------�!' Z7
Permit # Fee$................
CITY OF ATLANTIC BEACH Valuation 0 49
................................................
FLORIDA House #...... ------
APPROVED
-----------------GITY--a...U101tc...Knit-----------
APPLICATION FOR BUILDING PERMIT BUILDING OFFICE
--------------------------------------------------------------------------
NOV 9 1977
---------------------------------------------.................. .....
1 14 1 ,
Application is hereby made for the -approval of the detailed statement of the plans and specifip�ti�o�er���'�l���l�t�t�ed�for the
'or
r in'�ahce of
building or other structure described. This application is made in compliance and conformi
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.... --------------------------------------- 19-17----
Owner-------Da-n---&_Jul---An.n---S.i-ake-1------------ -------------------------Address-55 - 10th St. #9 Telephone No_24(�-.H.Q_Q......
------- -- -------- ------- ........ ....................---------------------------------
Architect--car-1----�-Burr..................................................................Addres&.429...:�...J.6_th__Ave_.N------------Telephone No...246n24.96-----
Contractor Builder------Owwr-buil-der....................................Address-155------------------------------------------------Telephone No-----------_----------
LotNo------2----------------------------------------Block No------4.1---- - ------ ----Sub Division--------------------------------------------------------------------------------Zone....------
--_----------------Street-- -- ---------Side Between----------------------------------------------------and-------------------------------_----------_--------Sts.
Valuation $---SQQ9AQ----------For what purpose will building be used----Garage-------_----------Type of construction---W00d----------------------
Dimensions of Building---3f-W-0--X------Z7.......Dimensions of Lot-----57.'__X__251............................Size of Footings.4'-7-bzbnolithic---slab
Size of Piers---------- -----------------_---Size of Sills--------- ---- _-Greatest Sill Span in ft-------------------------Type Roof_----------_-----------------------
How will Building be Heated?--- ----------- ---- - - ----------------- ------------------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............................................
Size of Rafters---- -- - Distance on Centers .... --- ----- ----------- Greatest Span-------------------------------------------
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.
2. When steel is in place and ready to pour columns and/or lintel. Z Z
3. When steel is in place and ready to pour beam.
E-4
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 plan d pecifications, which are a part hereof, d 'in accordance with the building
regulations of the city OfAtlahtyleach.
4-
'Y4 -------------------_-------Cr.....-------------------------------------I........
Signature of Builder-------- ... ....................... ................ ............ Address.
Signatureof Owner------- ----- -----------------C................................... Address----------------------------------------------------------------------------------------------------
o-t st
w) IT(
op L p-tA I V-)E s
B E 1-4 c-�A 4 NJ E'C U t�-
3753
DEPARTMENT OF BUILDING PERMIT NO.
CITY OF ATLANTIC BEACH., FLORIDA
PERMIT TO IBUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 6/23/76 19-
5
Valuation$1 4.665 Fee $
to City Treasure', ..a is
This P-mit no, .lid until bo,1 fee has been Pal
bject to revocation for juktion of appji�.ble Provisions of Is—
Arl nalton Poofin , C(:)-
Ths is to certify tha
to install new b,ilt U roof
has permission to buil
classificatio res '.d e ne
Owned by y:rs. Sia Block---S/D
Lot 55 -1 loth StKeet
House No. Part of this permit
According to approved plans which are NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
D BEFORE POURING.
SpFCTE
MIT VOID SIX MONTHS
PER
AFTER DATE OF ISSUE
rubbish and debria
0 Building material,
must not be placed iu
z from this work
-4 �p.ce, and must be cleared uP
public s
and hwiled away by either contractor
or owner-
CONTRACT R
PERMIT DATE
FOR OF ICE NUMBER
USE 0 LY
PLUMBING 10
ELECTRICAL
SEWER
WATER
FOR OFFICE USE ONLY
-2
Date----- ...........19
Permit #... Lir...yes
CITY OF ATLANTIC BEACH Valuation ..................... ed...
................ ... ......
--4-- C�4_
............................
FLORIDA House #.... ......
...........................................................................
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----------------------------------------------------------------------y 19------------
Owner....X/�w ....... Address......5��.../ :E!V- -------.-Telephone No--------------------------
................. ........... .. ...............
............ . .................
Address,..................................;i.....1.7............Telephone No-----------------------------
Architect..................... ........ --------------1:------------- ---------------- , X n�5—
!/,...Address.y&12 ........
Contractor Builde ...... -je-Telephone Noj�_.,_.
LotNo---------------------------------------------------Block No.......... ...................Sub Division----------------------------------------------- ----------- ---------Zone--------------_
.................... .....Street------------- ---------Side Between-----------------------------------------------------and------------------------------------------------------Sts-
:1a 40 -pose will building be used----------------------------------------Type of construction_------------------------------
Valua_____ . ..X -----For what pui
Dimensions of Building---------------------------------------Dimensions of Lot- .....................................................Size of Footings--------------------------------------
Size of Piers------------------------------------Size of Sills--- --- --- - ----.-Greatest Sill Span in ft--------------------------Type Roof--------------------------------------
How will Building be Heated?--------------- -------- ----------------- --------_-------Will Building be on Solid or Filled Ground?----------------------------------------
Size of Ceiling Joists--------------------------------------- Distance on Centers............................................ Greatest Span.------------------------------------------- of
Size of Floor joists ance on Cent@ 0 V F-0 .............. Greatest Span-------------------------------------------- PP
Dist
. ....... ..... -------------------------------------------- op
Size of Rafters----------------------------------- Distance oz�pnferq,. . . ............. eatest Span
This rectangle is to represent the lot.
the building or buildings in the
ition. Give distance in feet from
and existing buildings.
REAR LOT LINE
Two copies of plans and specifications s�hal 511
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. Pq r4
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 Jacksor.ville. rn U)
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 th� attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City of I -,/"Be
anti(
JA , ,
Signature of Buildel(__121�� Address---- Zll�. ..................
Signatureof Owner---------------------------------------------------- .......................- Address---------------------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
Date............il��
Permit #........................Fee$........................
CITY OF ATLANTIC BEACH Valuation $...... ........... . ...............
FLORIDA House #...... . ......./e7.........
............................................................................
APPLICATION FOR BUILDING PERMIT .....................................................................
..........................................I................................
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--- ---?. ....�_ _J--------------------------------------------- 19----?...
Owner...... ........ ..............................................Address.... --------------------------------Telephone No.l.j�Jk-'-.1.........
Architect------------------------------------------------................................-------------Addres&..........................................................Telephone No.............................
ContractorBuilder.....S .__-------------------------------------------Address............................................................Telephone No------_--------------------
LctNo------I..........................................Block No--------11------_---------Sub Division---------------------------------------I------------------------...............Zone.................
------------------------------------------------------------Street----- ----------------..--Side Between................. -------_-------------------and--------- -------------------------------------------Sts-
Valuation $---------*0----------For what p e will building be used--------- -- ------- -------------Type of construction-..-----------------------------------
i ensions of Lot------------------------------------------------------ -Size of Footings-----------------------------------
Dimensions of Building------------
Size of Piers--------- - ----------------------Size of is--------------------- -- -----GTeatest Sill Span in ft..............----------.-Type Roof----- --------------------------------
How will Building be Heated?..........------------ ----------------------------------_--Will Building be on Solid or Filled Ground?----------------------------------------
Size of Ceiling Joists----------------_-------------------- -, Distance on Centers----------- --------------------------------- Greatest Span----------_------------------------------ 20
Size of Floor Joists- ----------------------_----------------- Distance on Centers--------- ----------.................... Greatest Span---------_--------------------------------- op
Size of Rafters --------------- ---------------------------- ...... Distance on Centers --------..................., Greatest Span---------------------------------------.... ..
This rectangle is to represent the lot.
Florida State Registration # 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 ane specifications shall
be submitted with application.
Inspections required. r—,
1. When steel is in place and ready to pour footing. /64'Z_ W
Z
2. When steel is in place and ready to pour columns and/or lintel. Z
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.
Signatureof Builder.------------ - --- ---. .......... Address----------------------------------------------------------------------------------------------------
Signatureof Owner-------- - -------- Address---_----------_----------- -------------------------------------------------------------------