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389 12th St (vault) CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r1 .tit 05-00029686 Date 2/14/05 Application Number 389 12TH ST Property Address • • • . ' ' REMOVEABLE WINDOWS Tenant nbr, name . • • • • . Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4085 Contractor Owner SOUTHERN HOME PRODUCTS LIGGERO, RENEE P O BOX 6444 389 12TH STREET FL 32233 JACKSONVILLE FL 32216 ATLANTIC BEACH (904) 786-9241 -------- Permit . BUILDING PERMIT Additional desc • Plan Check Fee 27 . 50 Permit Fee . . . . 55 . 00 Valuation 4085 Issue Date . . . . Fee summary Charged Paid Credited - ------ . 00 Permit Fee Total 55 . 00 55 . 00 00 . 00 Plan Check Total 27 . 50 27 ' 50 . 00 . 00 Grand Total 82 . 50 82 . 50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL Please re-submit your application when these items have been completed. Reviewed By: Date: CITY OF 131"A Office of Building Official REQUEST FOR INSPECTION 2 Permit No. Date `� -o5 A�7fi1'� Time Received Locality Job Address t Contractor Owner's - PLUMBING MECHANICAL N CTRICAL �� CONCRETE Rough Air Cond. & ELE BUILDINRough Wiring =- Top Out Heating Footing Pole Fire Place Temp Framing _ Slab 0 Sewer pre Fab Re Roofing _ Lintel ❑ Final Insulation ►r(iU iC� Vk(- READY FOR INSPECTIONA.M. Fri Wed. Thurs. Mon. Tues. A.M. 4L P.M. Inspection Made Final Inspection Certificate of occupancy inspector Date Cs f�� CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025785 Date 4/02/03 Property Address . . . . . . 389 12TH ST Tenant nbr, name . . . . . . NEW ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5900 Owner Contractor - ------------------------ ----------------------- CIGGERRO, BOB ROMANO ROOFING SERVICES 389 12TH STREET P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 (904) 246-5649 -------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5900 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. BUILDING OFFICIAL . CITY OF ATLANTIC BEACH PERMIT . CALCULATION SHEET Address ( 12�` Date—A ` Heated Square Footage @ $ per sq ft .._ $ Garage/Shed 1� @ $ per .sq ft = $ Carport/Porch @ $ per sq ft _ $ Deck @ $ per sq ft = $ .z .Patio @ $ per sq ft = $ TOTAL VALUATION: $ .Total Valuation 1st $ toCC) --4 f $ oc� Remaining Value $S: per thousand or portion thereof TOTAL BUILDING FEE 1/2 Filing Fee $ 3� (. ) Fireplaces . @ , $15.00. $. BUILDING PERMIT FEE $ � . �G 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 $ ! .AL1 ADDITIONAL PERMITS OR FEES : ,Mechanical _,Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH 800 SEMINOLE ATLANTIC BEACH,FLORIDA32233-5445 J� TELEPHONE:(904)247-5800 FAX:(904)247-5805 ;� s) SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us �Js31�� PLAN REVIEW COMMENTS Permit Application # C 3 a�5 7 S Applicant: f Address: t!�i Project: F Your application is approved a Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date 0257 RECEIVED CITY OF ATLANTIC BEACH BUILDING & ZONING S� 1 0 0 r f, CITY OF ATLANTIC BEACHMAR 3 23 J ROOFING PERMIT APPLICAT ON J;31D' BY' 8- ,9 ate: Job Address: 0 9 5�/-,-c Owner of Property: 0-0C Address: 3 Q 12- '(' S '���'C�'�" Telephone: —J u/ Contractor: 0 C) ' State License Number:. O S 'k 66 Contractor's Address: Telephone: 2 L/6 s S "(, Fax: 2 7. G // Scope of Work: C l,✓ ��-� G Deck Slope: Greater than 2:12 Less than 2:12 .41 Valuation of work: '> v Product Name(Example: Timberline): Manufacturer(Example: GAF): ASTM Designation(s): Required Inspections: Sheathing d F 1 Signature of Owner: Date: Signature of Contractor: Date: AS TO OWNER: Sworn to and subscribed before me this day of 20 • State of Florida,County of Duval Notary's Signature: LEO C.HARMON '� Notary Public,State of Florida ❑ Personally known My comm.expires Jan.27,2006 Produced identification No.DD86603 Produced of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of e– L W ,20 � State of Florida,County of Duval Notary's Signature: ❑ Personally known LEO C.HARMON oduced identification Notary Public,State of Florida Type of identification produced �. 1 My comm.expires Jan.27,2006 No.DD8660q R d •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 1 Revised 221/03 Book 11004 gage 149 FLA.1977 LAWS R"CO FORM 409 FS 713.13 N a-t'w,,,el of C (Prepare in Duplicate), To whom if mai concern: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Description of property . . . .. . V. P� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /- .r..�.. . . . . . . . . . .z.�. .3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . General description of improvements . . . V. 1�. . . . h�.J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Owner . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . Owner's interest 1n site of the improvement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee Simple Title holder(if other than owner) Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 r r . . . . Q . . . . O�.4. . . . . . ��c// ci Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . !/"`� Address . . . . . ...-?. . . .9 —.—(?S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Surety(if any) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amount of Bond S. . . . . . . . . . . . . . . . . . . Any person making a loan for the construction improvements: , Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(h), Florida Statues. (Fill in at Owner's option). Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tlus space for recorder's use only I . . . . . . . . . . . �f . . . . Owner Sworn to and subscribed before me this.�day of Doocc##:2003 00 0499950 . . . . . . . . !�.&..".``'... . . . . . . . . . . . . . 20 �. . . Pale: 149 ( .� �• '`�. . Filed & Recorded 04/01/2003 01:30:58 PM Notary Public JIM FULLER CLERK CIRCUIT COURT �T�� $ 1.00 CATHERINE A. MEYER Notary Public, State of Florida COPY $ 1. 0000 My comm. exp. Mar. 30, 2004 Comm. Nu. CC923737 V i!�%L1l r CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD r ATLANTIC BEACH, FL 32233 V INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept2coaKus Application Number . . . . . 07-00000203 Date 2/28/07 Property Address . . . . . . 389 12TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc kitchen remodel 200 amps 240 volt ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- LIGGERO BROOKS & LIMBAUGH ELECTRIC CO 389 12TH STREET Q/A BROOKS, CHRISTY ATLANTIC BEACH FL 32233 42 WEST 8TH ST. ATLANTIC BEACH FL 32233 (904) 241-9051 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/27/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. C V e n Beech Permit n �a To: JEA Electric Order Fulfillment, (Fax No.: 665-7372) Attention: Carol Schweizer/Lorie Craven, 21 West Church St T-4 (665-6521) Subject: City of Atlantic Beach Permit# � � - D D Z d 3 Date: Service Address: S X 9 /Z 7N Jr Owner: Owner Phone: Electrician: WT-T',6 11 4S Z Z/'222,/2,9&1 h Electrician Phone: Type of Work: New Service [_] M-Home Subfeed [_] Increase Service [ ] Heat & AC [_] Repair Service [_] Other [_] Rewire [_] Other Description: Temp Pole [_] K1.4thm- 'Tf Aa A,' l Service 'Type: ( v/ Overhead (Repair/Replace) (_,Underground(New Services) Building Use: L✓ Residential L—]Church "Environmental [_JM-Home [_]Commercial [_]Other Other Use Description: Service Size: New Service: Amps: 'Volts: Phase: Existing Service:Amps: oQ 00 Volts: c2YQ Phase: / E-mail:cravIi adjea.com or schwcin(o_�ieaxom or resom(aNca.co.n CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: 0 Property Address: �L`'1 Zf rlveet Owner: e Li `' Telephone#•• 'c2' Contractor: I Telephone#�� Contractor Address: �Z _ h �`{ t'� Fax#: Q-j 03 Contractor Signature: In consideration of permit given for '4V w as described in the shove statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: 1f other construction is ❑ New [ Residence ❑ Temp. ❑ New being done on this budding Old m. Commercial ElSigns ❑ Increase Or site,list the building ❑ Re-wire C1 Addition Permit number: Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER El ALUMINUM Switch or BreakerRACE AMPS PH W VOLT WAY Existing Service �0 RACE.; Size AMPS PH W VOL—vt' WAY- Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OvER BELL Appliances TRANSFER. Air H.P.RATING H.P. RATING CEILING KW-HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS v OVER v Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous t 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (9q4)247-5800- Fax: (904)247-5845- http://www.ei.atlantic-beach fl us Revised 1/04 �• <S\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Buildin -de t(a-)coab.us Application Number 07-00000149 Date 3/06/07 Property Address . . . . . . 389 12TH ST Application type description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2406 ------------------------------- Application desc WINDOW REPLACEMENT ------ -- ----------------------------------------- Owner Contractor -------------- ------------------------ ---------- LIGGERO WINDOW WORLD OF JACKSONVILLE 389 12TH STREET 8535 BAYMEADOWS ROAD UNIT 12 ATLANTIC BEACH FL 32233 DBA NATIONAL HOMECRAFT JACKSONVILLE FL 32256 (904) 443-7001 --------- - ----------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc • plan Check Fee 22 . 50 Permit Fee . . . . 45 . 00 2406 Issue Date Valuation Expiration Date 9/02/07 -- ------------------ ----------------- - --- --- Due Fee summary Charged Paid Credited ----------------- ---------- ---------- . 00 45 . 00 . 00 Permit Fee Total 45 . 00 22 50 00 . 00 Plan Check Total 22 . 50 00 . 00 Grand Total 67 . 50 67 . 50 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PLAN REVIEW SHEET Rouufstetier Building Department Public Works&Public Utilities Departments R. Carper 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 D. Kaluzniak (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS ' Permit Application# 7- 4 d 0 17`9 Property Address / 127W- Applicant: 27Applicant: Project: / �O Gl� ��Y l�esv+4 9 -h This pe mit application has been: Approved as noted by the Department. Final application approval must come from the Building Department. ❑ Reviewed and the following items need attention: ir t Please re-submit 2-copies of all revisions. Please re-submit your revisions to the Department re uestin them. Building Dept, Public Works and Utility information at top of page, failure to notify the correct department may delay your permit from being issued. Reviewed By: Date: Date Contractor Notified: ri1_U"j- CITY OF ATLANTIC BEACH WINDOWS, SKYLIGHTS, GARAGE DOORS, HURRICANE SHUTTERS Date: Q - 1 Ll-O -1 Please submit(2)complete sets of plans with application. Job Address: 369 19 bc� ds = Ak\wbc- 9\QiCnF-L 3 2 a 3 3 Owner: 1�1e.n e 1 caAe-r C Address: 3`�q [a}�1n 5�- Mc MoLl 1 C.. lac.h.F(,. 2; hone: q0y- ,q I-qL— Legal Description: Block Number: Lot Number: Zoning District: Contractor: (1 f fid,o«A F*%k c State License Number: CPjr_J!F00�a Address: S X p C( nC S5 f S�e_ t•{.d1_7-,) - Phone: 909-y 4 3- 7 OC)l City: A& hGQfNV1\ke State: FL Zip: S;t P5 FaLLx.gOy-yq5-_7_7_7 Describe proposed use and work to be done: I���ndQvJ ce�GGe.�QJaT - (��c12c o��.de., �C•�O e �n Present use of land or building(s): S t Valuation of proposed construction: $ Is approval of Homeowner's Association or other private entity required? Q _If yes,please submit with this application. Required Building Data: Mean Roof Height ft) Building Width u (ft) Building Length g LL (ft) Roof Slope q// 9, Window Height 5 (ft) Window Width GQ '3/14 (ft) Window Elevation from Grade 9 (ft) Measurement from corner of building to window (ft) Number of windows being installed Mean Roof Height 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/27/03 Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data,the following information is required: 1. Product approval for all (FBC 2004) 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Hurricane Shutter Description/Type 7. Elevation View of Window Locations I hereby certify that all information provided with this application is correct. 6-7 Signature of Owner:_V�� Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: r F4 P__ Mailing Address: 5 —L Telephone: y4 3 • 7 b C 1 Fax: 4#4 9—?7 7 E-Mail: �tvlc�lo .� �c,�RC1 IQx C�3 .C6 m • AS TO OWNER: Sworn to and subscribed before me this -3 day of ` L ,20_0 7 State of Florida,County of Duval TERRY POULIN Notary's Signature: �pov� W COMMISSION#DO487185 EXPIRES:OCT 31,2009 Personally known 86Aded through 1 st State Insurance Produced identification 1 - Type of identification produced Dp&er 7 /e Pws AS TO CONTRACTOR: ) Sworn to and subscribed before me this day ofZj� U r f//�r�/ ,200 State of Florida,County of Duval �— Notary's Signature: r TERRY POuUN D5.,Personally known MyOOMMISSION#DD487185 ❑ Produced identification 181t�Iots:OCT 31,$O09 Type of identification produced '*M IhMu8h I it 3tAt IAturdnce 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Page 2 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Revised 1/27/03 �\Q-v`1 e P- L i ( 0 38(A Qa1`�11 1�i)v 8110 Cypress Plaza Drive,Ste 405 •Jacksonville,FL 32256 � a 3 tjq FILE COPY L___j L---i 5th '3/y 3(� '�a cgo i iDP3,5 yo QP SC) Florida Building Code Online Page 1 of 2 �L.;Ommunity Affairs: BCIS Home I Log In 1 Hot Topics I Submit Surcharge i Stats&Facts Publications FBC Staff SCIS Site Map i Links € Search � JL Product Approval USER: Public User Community Affairs Product Approval Menu>Product or Application Search>Application List>Application Detail FL# FL1233-R1 Application Type Revision Code Version 2004 Application Status Approved Comments Archived Product Manufacturer Alside, Inc., Division of AMI Address/Phone/Email 3773 State Road Cuyahoga Falls, OH 44223 (330) 922-2108 mfernbaugh@a[side.com Authorized Signature Marsh Fernbaugh mfernbaugh@alside.com Technical Representative Marsh Fernbaugh Address/Phone/Email 3773 State Road Cuyahoga Falls, OH 44281 mfernbaugh@alside.com Quality Assurance Representative Address/Phone/Email Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Referenced Standard and Year(of Standard Year Standard) ANSI/AAMA/NWDA 101 IS-2 1997 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 06/15/2005 Date Validated 09/21/2005 Date Pending FBC Approval 08/20/2005 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtF2Aezuarj gEz... 2/14/2007 Florida Building Code Online Page 2 of 2 Date Approved 09/22/2005 ;Summary of Products FL# Model, Number or Name Description 1233.1 0601 Replacement: 52x61 DP35 (+36/-50); "C" package (3 cam locks/keepers, "DP" tilt latch w/"H Key" Limits of Use (See Other) LInstallation on Agency Certificate Approved for use in HVHZ: Instructions Approved for use outside HVHZ: 3 R1 I Certification Program.pdImpact Resistant: y: Design Pressure: +/- Other: 0601 w/"C" package:52x61 DP35 (+36/- 50) 1233.2 0601 Replacement: 52x84 DP25, 44x77 DP35, 44x60 DP55 (+/-60), 36x72 DP55(+/-65) Limits of Use (See Other) Certification Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other: 0601:52x84 DP25,44x77 DP35,44x60 DP55(+/-60),36x72 DP55 (+/-65) Back Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee,Florida 31399-1100 (850)487-1824,Suncom 277-1824,Fax(850)414-8436 ©2000-2005 The State of Florida.All rights reserved.copyright and Disclaimer Product Approval Accepts: vRrly iqn , ��� SRc rad •E RiFV http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtF2Aezuarj gEz... 2/14/2007 Ak ----O� Architectural Testing AAMA/WDMA/CSA TEST REPORT Rendered to: ALSIDE WINDOW COMPANY 3773 State Road Cuyahoga Falls,Ohio 44223 Report No.: 62609.02-501-47 Test Dates: 01/25/06 Through: 01/27/06 Report Date: 02/14/06 Expiration Date: 01/27/10 Project Summary: Architectural Testing, Inc. (ATI) was contracted by Associated Materials, Inc. to perform tests on three Series/Model 0201, PVC double hung windows at their facility located in Cuyahoga Falls, Ohio. The samples tested successfully met the performance requirements for the following ratings: Test Specimen #1: H-LC25 1 118 x 1956 (44 x 77); Test Specimen #2: H-LC45 1118 x 1524* (44 x 60*); Test Specimen #3: H-LC55 914 x 1524* (36 x 60*). Test specimen description and results are reported herein. General Note: An asterisk (*) next to the performance grade indicates that the size tested for optional performance was smaller than the Gateway test size for the product type and class. Test Specifications: The test specimens were evaluated in accordance with the following: ANSI/AAMA/NWWDA 101A.S.2-97, Voluntary Specifications for Aluminum, Vinyl (PVC) and Wood Windows and Glass Doors. AAMA/WDMA/CSA 101/i.S.2/A440-05, Standard/.Specification for Windows, Doors, and Unit Skylights. Test Specimen Description: Series/Model: 0201 Product Type: Poly Vinyl Chloride (PVC) Double Hung Window Test Specimen #1: H-LC25 1118 x 1956 (44 x 77) Overall Size: 1 118 mm (44")wide by 1956 mm (77")high Top Sash Size: 1035 mm(40-3/4") wide by 940 mm (37") high Bottom Sash Size: 1060 mm (41-3/4") wide by 965 mm (38") high Screen Size: 1019 mm(40-1/8")wide by 965 mm(38") high Overall Area: 2.19 m2 (23.5 fe) 130 Derry Court York, PA 17402-9405 phone: 717-764-7700 fax: 717.764-4129 www.archtest.com / 62609.02-501-47 Architectural Testing Page 2of10 Test Specimen Description: (Continued) Test Specimen #2: H-LC45 1 1 18 x 1524* (44 x 60*) Overall Size: 1 1 18 mm (44")wide by 1524 mm(60") high Top Sash Size: 1035 mm (40-3/4")wide by 721 mm (28-3/8") high Bottom Sash Size: 1060 mm(41-3/4") wide by 748 mm (29-7/16") high Overall Area: 1.70 m (18.3 fe) Test Specimen 43: H-LC55 914 x 1524* (36 x 60*) Overall Size: 914 mm (36")wide by 1524 mm (60") high Top Sash Size: 832 mm (32-3/4") wide by 721 mm (28-3/8") high Bottom Sash Size: 857 mm (33-3/4")wide by 748 mm (29-7/16") high Overall Area: 1.39 M2 (15.0 fe) The following descriptions apply to all specimens. Finish: All PVC was white. Glazing Details: The sash were exterior glazed with nominal 21 mm (13/16") thick, sealed insulating glass fabricated from two sheets of 3.0 mm (1/8")clear annealed glass a U-shaped steel spacer system embedded in sealant, single sealed. The insulating glass was set against a double-sided adhesive tape and secured with rigid vinyl glazing beads. Frame Construction: The PVC frame was constructed using mitered and welded corner construction. A snap-in PVC adapter was applied to the head. Sash Construction: The PVC sash were assembled utilizing mitered and welded corner construction. Screen Construction: The screen was constructed with extruded aluminum. The corners were miter cut and secured using plastic corner keys. The fiberglass mesh screen cloth was held-in-place with a flexible vinyl spline. AL 62609.02-501-47 Architectural Testing Page 3 of 10 Test Specimen Description: (Continued) Weatherstripping: Description Quantity Location 4.7 mm (0.187") backed by I Row Head insert, sill, lock rail 6.6 mm (0.260") high pile with center fin 4.7 mm(0.187") backed by I Row Exterior meeting rail (exterior), 8.9 mm (0.350") high pile top rail with center fin 4.7 mm(0.187") backed by 2 Rows Sash stiles 8.9 mm (0.350") high pile with center fin 4.7 mm(0.187') backed by I Row Exterior meeting rail (interior) 14.0 mm (0.550")high vinyl jacket/foam filled bulb 4.7 mm(0.187') backed by I Row Bottom rail 10.2 mm(0.400")diameter, offset vinyl jacket/foam filled bulb 25.4 mm(1.0") by 12.7 mm(1/2") 4 Meeting rails, one at each end by 6.4 mm(0.250") high adhesive backed pile pad Hardware: Description Quantiky Location Metal button cam lock 1 Lock rail at mid-span, with mating and keeper keeper at exterior meeting rail (Test Specimen#1) Metal button cam lock 2 Lock rail,216 mm(8-1/2") in from and keeper each end, mating keepers at exterior meeting rail (Test Specimen#2 &#3) Plastic tilt latch 4 Top corner of sash Metal pivot bar 4 Bottom corner of sash Constant force balance 4 One per jamb system with locking tilt shoes AL 62609.02-501-47 Architectural Testing Page 4of10 Test Specimen Description: (Continued) Drainage: Description Quantity Location 22 mm (7/8") wide by 2 Exterior face of sill,one at 4.7 mm (3/16") high weepslot each end (with flap) 32 mm (I-1/4") wide by 2 Sill/jamb intersection,one at each 12.7 mm (1/2") deep weepslot end 25 mm (I") wide by 2 Intermediate sill wall,one at 4.7 mm (3/16") high weepslot each end 19.0 mm(3/4") wide by 2 Sill screen track,one at 4.7 mm(3/16")deep weepslot each end 9.5 mm (3/8")wide by 4 Bottom sash rail and exterior 3.2 mm (1/8") deep weepslot meeting rail,one at each end Reinforcement: The lock rail contained a custom shaped, formed steel reinforcement measuring 22.2 mm by 11.7 mm by 1.2 mm (0.875" by 0.461" by 0.047"), reference Drawing No. UY0095. The keeper rail and bottom rail contained a custom shaped, formed steel reinforcement measuring 11.7 mm by 12.0 mm by 1.5 mm (0.875" by 0.473" by 0.059"), reference Drawing No. UY0094. Installation: The unit was installed in a wood buck constructed of Spruce-Pine-Fir construction lumber and secured through the jambs to the buck using four #8 x 64 mm (2-1/2") long screws, one at the top and bottom of each jamb. The exterior and interior perimeter was scaled with a silicone sealant, with the exception of an approximate 102 mm (4") long void at each interior sill corner. A nominal 5 mm (3/16") gap was maintained at the perimeter between the buck and window frame. Ak 62609.02-501-47 Architectural Testing Page 5 of 10 Test Results: The results are tabulated as follows: Paragraph Title of Test-Test Method Results Allowed Test Specimen #1: H-LC25 1118 x 1956 (44 x 77) 2.2.1.6.1 Operating Force 5.3.1.1 Bottom Sash Open Breakaway 67 N (15 lbs) 230 N (50 lbs) Maintain motion 89 N (20 lbs) 155 N (35 lbs) Close Breakaway 36 N (8 lbs) 230 N (50 lbs) Maintain motion 45 N (10 lbs) 155 N (35 lbs) Top Sash Open Breakaway 27 N (6 lbs) 230 N (50 lbs) Maintain motion 89 N (20 lbs) 155 N (35 lbs) Close Breakaway 53 N (12 lbs) 230 N (50 lbs) Maintain motion 80 N (18 lbs) 155 N (35 lbs) Lock Open 5 N (1 Ib) 100 N (22.5 lbs) Close 5 N (I Ib) 100 N (22.5 lbs) Latches Open 5 N (I Ib) 100 N (22.5 lbs) 2.1.2 Air Leakage Resistance per ASTM E 283 (See Note#1) 5.3.2 75 Pa(1.57 psf,25 mph) 1.1 L/s/m2 1.5 L/s/m2 (0.21 cfm/ft) (0.30 cfm/ft) max. Note #1: The tested specimen meets (or exceeds) the performance levels specified in ANSI/AAMA/NWWDA 1011I.S.2-97, 101/I.S.2/NAFS-02, AAMA/WDMA/CSA 101/LS. 2/A440-05 for air infiltration. Ak 62609.02-501-47 Architectural Testing Page 6of10 Test Results: (Continued) Paragraph Title of Test- Test Method Results Allowed Test Specimen #1: H-LC25 1118 x 1956(44 x 77)(Continued) 2.1.3 Water Resistance per ASTM E 547 5.3.3 (with and without screen) 180 Pa(3.75 psf) No leakage No leakage 2.1.4.1 Uniform Load Deflection per ASTM E 330 5.3.4.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 1200 Pa(25.0 pso(positive) 6.9 mm (0.27') See Note#2 1200 Pa(25.0 psf)(negative) 9.1 mm (0.36") See Note#2 Note#2: The deflections reported are not limited by AAMA/WDMA/CSA 101/LS.2/A440-05 for this product designation. The deflection data is recorded in this report for special code compliance and information only. 2.1.4.2 Uniform load Structural per ASTM E 330 5.3.4.3 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 1800 Pa(37.5 psf)(positive) 0.5 mm (0.02") 4.1 mm (0.16") max. 1800 Pa(37.5 psf)(negative) 0.3 mm (0.01") 4.1 mm (0.16") max. 2.1.8 Forced Entry Resistance per ASTM F 588 5.3.5 Type: A Grade: 10 Hand Tool Manipulation No entry No entry Tests A 1 through A7 No entry No entry Hand Tool Manipulation No entry No entry 5.3.6.2 Thermoplastic Corner Weld Test Meets as stated Meets as stated Ak 62609.02-501-47 Architectural Testing Page 7of10 Test Results: (Continued) Paragraph Title of Test-Test Method Results Allowed 'Test Specimen#1: H-LC25 1 l 18 x 1956(44 x 77) (Continued) 2.2.1.6.2 Deglazing Test per ASTM E 987 5.3.6.3 Top Sash In operating direction - 320 N (70 lbs) Meeting rail 1.5 mm(0.06") 11.43 mm (0.45") Top rail 1.5 mm(0.06") 11.43 mm (0.45") In remaining direction -230 N (50 lbs) Left stile 0.8 mm(0.03") 11.43 mm (0.45") Right stile 0.8 mm(0.03") 11.43 mm (0.45") Bottom Sash In operating direction - 320 N (70 lbs) Meeting rail 1.5 mm(0.06") 11.43 mm (0.45") Bottom rail 1.5 mm (0.06") 11.43 mm (0.45") In remaining direction - 230 N (50 lbs) Left stile 0.8 mm(0.03") 11.43 mm (0.45") Right stile 0.8 mm(0.03") 11.43 mm (0.45") Optional Performance 4.3 Water Resistance per ASTM E 547 4.4.3.4 (with and without screen) 440 Pa(9.0 pst) No leakage No leakage Ak 62609.02-501-47 Architectural Testing Page Sof 10 Test Results: (Continued) Paragraph Title of Test-Test Method Results Allowed Test Specimen#2: H-LC45 1118 x 1524* (44 x 60*) Optional Performance 4.4.1 Uniform Load Deflection per ASTM E 330 4.4.3.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 2160 Pa(45.0 psf)(positive) 10.7 mm (0.42") See Note#2 2160 Pa(45.0 psf)(negative) 14.7 mm(0.58") See Note#2 4.4.2 Uniform Load Structural per ASTM E 330 4.4.3.2 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 3240 Pa(67.5 psf)(positive) 0.3 mm (0.01") 4.1 mm (0.16") max. 3240 Pa(67.5 psf) (negative) 1.5 mm(0.06") 4.1 mm (0.16") max. Test Specimen #3: H-LC55 914 x 1524* (36 x 60*) Optional Performance 4.4.1 Uniform Load Deflection per ASTM E 330 4.4.3.2 (Deflections reported were taken on the exterior meeting rail) (Loads were held for 52 seconds) 2640 Pa(55.0 psf)(positive) 9.1 mm (0.36") See Note#2 2640 Pa(55.0 psf)(negative) 7.6 mm (0.30") See Note#2 4.4.2 Uniform Load Structural per ASTM E 330 4.4.3.2 (Permanent sets reported were taken on the exterior meeting rail) (Loads were held for 10 seconds) 3960 Pa(82.5 psf)(positive) 1.5 mm (0.06") 3.3 mm (0.13") max. 3960 Pa(82.5 psf)(negative) 0.3 mm (0.01") 3.3 mm (0.13") max. Ak 62609.02-501-47 Architectural Testing Page 9of 10 Drawing Reference: The test specimen drawings have been reviewed by ATI and match the test specimen reported herein. Detailed drawings, representative samples of the test specimen, and a copy of this report will be retained by ATI for a period of four years from the original test date. The above results were secured by using the designated test methods and they indicate compliance with the performance requirements of the above referenced specification. This report does not constitute certification of this product, which may only be granted by the certification program administrator. This report may not be reproduced, except in full,without the approval of Architectural Testing, Inc. For ARCHITECTURAL TESTING, INC. I Ugftly Sipyd for Lynn C,saga by,hmYarL Davbs Digimlly Signed by:Wwbael L Mackere4h Lynn George Michael L. Mackereth T Project Manager Director-Operations LGJ1d Attachments(pages): Appendix-A: Alteration Addendum(1) Appendix-B: Drawings(13) Ak Architectural Testing AAMA/WDMA/CSA TEST REPORT Rendered to: ALSIDE WINDOW COMPANY SERIES/MODEL: 0201 PRODUCT TYPE: PVC Double Hung Window Summaa of Results Title Test Specimen#1 Test Specimen#2 Test Specimen#3 H-LC25 1 118 x 1956 H-LC45 1 1 18 x 1524* H-LC 36 x14 x 1524* Primary Product Designator 44 x 77 44 x 60* Design Pressure* 1200 Pa 25.0 s 2160 Pa 45.0 s 2640 Pa 55.0 psO Negative Design Pressure* 1200 Pa 25.0 st 2160 Pa 45.0 st st 2640 Pa 55.0 Operating Force in motion 89 N 20 Ib N/A N/A 1.1 L/s/m N/A N/A Air Infiltration 0.21 cfm/ft' N/A N/A E!Eetration Resistance Test Pressure 440 Pa 9.0 s (3240 Pa 167.5 s (3960 Pa ±82.5 s Load Structural Test Pressure 11800 Pa(f37.5 sf) Forced Entry Resistance Grade 10 N/A N/A *-Optional Secondary Designators Test Completion Date: 01/27/06 Reference must be made to Report No. 62609.02-501-47, dated 02/14/06 for complete test specimen description and data. 130 Derry Court York, PA 17402-9405 phone: 717-764-7700 fax: 717-764-4129 www.archtest.com z CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001421 Date 10/15/09 Property Address . . . . . . 389 12TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc KVA Solar ---------------------------------------------------------------------------- Owner Contractor ERICKSON ELECTRICAL CONTRACTOR Q/A:ERICKSON, FRANK 12025 BEACH BLVD. JACKSONVILLE FL 32246 (904) 641-9090 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/13/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH Op 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 7_ 32233 OFFICE (904)247-5826•FAX NO.:(904)247-5645 BUILDING-DEPT@COAG.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE No MYE ❑YES PERMIT#: PROPERTY OWNER: 4 NAME 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS 6.PHONE_ ELECTRICAL CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.: , L kscr, ,c1'�+cel C t. f , ,U >-i�JL k�n, ► f VA x 9.STATE OF FLORIDA LICENSE NO: 10-CELL PHONE: 11.FAX NO tL ., ail- kj� `ia =A6 'd A ci93� 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. k_Scx�P++�1 L 0w IY^7: t & L j � L�y U 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nulld oid 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�y lime after work is commenced. i CONTRACTORS SIGNATURE:X •.� 16.CLASS OF WORK: 17.SERVICE: 18.METER NUMBER: ❑MULTI FAMILY-#OF UNITS: RESIDENTIAL 1"' INGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE: ❑ALTERATION ❑SIGN 'WLD ❑NEW PM8 NATIONAL ELECTRICAL CODE ❑REPAIR ❑ POOL/SPA ❑REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: VERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: L U RACEWAY SIZE: 25.FEEDERS: #OF__L_ AMPS: iC #OF AMPS #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER:�_ KVA OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: L DESCRIBE IN DETAIL: Arr�� _ ^l� f � e G{ BLDG02 Permit Application Elec REVISED:07202009 t � DEPARTMENT OR BUILDING : FOR OE USE ONLY Date---- -u'= 19d. TOWN OF ATLANTIC BEACH, FLORIDA Permit No------ d f _----- Fee Valuation $ Application for Permit for House No. . _ t Miscellaneous Alterations, -------- --- -- --- --- - - ----- - ------------------------------ --------------------- and Repairs - -- --- --- --- -----To the Supervisor of Building: ------------— --— -_—_— -----— ---- 195----- The undersigned hereby applies for permit_ 17 __Szl __ .- -- --------------------------------------------- ----------- --Block -- -- ---- (state if to repair, alter,add to or move building; erect awning, sign, etc.; Install boiler, elevator, etc.) -- Building on-___________________-Lot _-Block No._--j-----------------Sub. Div.__�-�__E_a_�uA i i (State fractional part) '_ '.±_ !_ ,J!v''" ___-- _ At_- '------Side o. ------— —L F�. —c`'—T- ---------------------and-------------------------Sts. Valuation $-__-- —OM"—t c v. ------------------------- (State cost of improvement) ------"---'—"—"'-------------- BUILDINGS AND OCCUPANCY i What is present use of building—Residential or Business?--------- +� — ----------- - ------—--------—-- If residential what t ---- —=—--- 4. ype—Dwelling, Garage Apartment, Apartments� Rooming House?_-____ _—_— How many families accommodated now?_ __________How many when altered?----._J___-_____-------_.________ If business, what type?----__.___.____�_�_________________ a, _—___Will food be prepared for sale on premises?__------------_-— What plumbing work to be done? '****"'*.. one?....*"'*. ..................................... ------------------------------------------------------ Size of present buildin � ` � g �------'�-�--------------Size of extension----Z'C�_�Z�-------------------------Size of 4F Number Number of stories now...............................................after altered.... { ______-_Material of roof___ .��__ ------------------- Material of present building--61 _`_ �� _�4____—___-_____________Material of -------------- NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEREWITH OEL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump..................._. _ ..........................- -------------------------TYpe or ModeL-------------------------- Name and Address of In connection herewith, application is also made to install:__--------------_------- _ _.__—___gallon capacity tank (s) (How many) — made by----- ------------------------------------of------------- guage metal— -- ----.ground - ----------------------- ------------------------------ (Name of Manufacturer) (Under or above) ---- — ----------- -—-- -- - 01 building. For-----*------- ------- --------- ------------------------------------------------------------ (Inside or outside) Y� (Name of Purchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS Size_------------------------------------ Classification-------------------------- -- - __— tate whether ground, root, wall, projecting, banner, special, etc.) Weight—----------------------__-------Material of construction__---_______..__—__________ ----------------------------------------------------------------------- Illuminated?---------------------------------- Type - --------------------------------------------------------- (State whether Lamps or Neon) Will sign be over public property?-____-____ SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reverse side) --------------------------------------------------------------------------- ----------- - ----------------------------------------------- `... IMPORTANT NOTICE: I 11 In consideration of permit given for doing the work �s described in the above statement, we hereby agree to perform said work in accordance with the attached.plans ari($p specifications, which are a part hereof, and in accordance with the building regulations of the ;Town V Atla ' Beach. Signature of Builder = --•+ �....� Address._____ _____ �" -• -r------------------------ �' �----�----- - Phone No.------------- t r , - Signature of Ownerl�=-=._�-�-'�.== �=-=------ Address---_---------_--- _---�_ Phone No.------------ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tei: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT L�_ PERMIT INFORMATION 1.00ATiON INFORMATION � Permit Number: 22522 Address: 389 TWELFTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s):39 &40 Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: _ Improv. Cost: OWNER INFORMATION Date Issued: 8/20/2001 Name: LIGGERO, ROBERT AND RENEE Total Fees: 25.00 Address: 389 12TH STREET Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 8/20/2001 Phone: _(000)000-0000 Work Desc: WIRE FOR SCREEN ROOM CONTRACTOR(S) 1 ,APPLICATION FEES I FIRST CHOICE ELECTRIC #PER '- 25.00 ;x � q ROUGH ELECT1 t NOTICE - IWECTI R Z4:#i R T64 PECTION BUILDING MATERIAI UBBiS AHI$W(711111tIST NO I" CED IN P) LIC SPACE,AND MUST BE CLEARED SAND HAAYBY�t`[HFfJNTRACTOR OR O R "FAILURE TO COM f€?N LEEN L N I IN THE PROPERTY OWNER P ' IlN ISSUED ACCORDING TO APPR P 4 W ', AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE P ATLANTIC BEACH BUILDING DEPT. Date: 8/28/81 81 Receipt: 8882726 -- —CHM- 1766 88188883221888 j Cvsmoft N N (p 0 O 'No O f7 Z C m F 77O ° Z p `° m m m m C. \�7 `o y). a Q. C- 0 v 0 a (� y W' c r y y � mao O cm 1�J 7 VV 33 r" Cb Q a m O x ❑❑ a m CD o 0 N y y m n i Q W n Vco 10 ' y tp CD N ° CDZ ^ ° o Z o o O v 90 ❑ � C.D M IB J Q N(p 7 V n D r CITY OF ATLANTIC MACH, FLORIDA I "'Y APPLICATION FOR EIECTRICAI. PERMIf tU 111L c:ilit_r I:1 ECIIIICnI- IrISPf(;I(,11: DA IF:-, 13 to ) 19 G Irw' )ll I AN l NU 1 ICU: o IrJ COIISIDI lln 11011 U1 I'EItMI I t;IVl-I'l I Ull DOING I lir. WORK Ali D1`;CItlI11 11 111 1111 1 UI I(, VIN(;, wl IN ACCOItDANCI wIIN 1111. 111 III BY nt,ltll 1l1 I'1(tfUI1M Sn1U WORK IA ;1111, PIAIIS Atli) SI11CII1(; wl IICI I AUL A PAR 1111.11101, AND Rd l4l;CORDArIC1: WI I I I I I II. 1 1 1 (;I Itll:Al 111 G111 A I IONS, CUD15 nNU CI I Y AlION S, n 1 l nrl 1 Ic 11I:nCI I c,ltulrinNCls. 01* ELECIITICAL -111hL• - ---- -- MASTER Elf C1(11CIAN SIGN/11UjlE -- NAME _ ) c�1j i� - >�c -- LI nDUIIESS:�3g�_` BLDG.SIZE _ _------ ---- 11EIYlEEN: RES. 15cI API. ( ) COMM. ( I POUILIC 1 1 INDUS. ( I NEW ( I oLI) AUDITION) I IiAILE11 ( 1 TEMP, 1 1 SHINS ( I _ SEIiVICE: Naw ( I INCIIEASE ( I IIFI'Atll ( ► I EE -- CONUUCTUII SIZE HMI's COI'I'E(1 SWIICII Uli UIIE11KE11 HMI's VO t Ilnc wnv EXIST. SEI1V.SIZE - AMPS IIACEWAY-- FEEUEIIS NO. SIZE — ------- No . SIZE -------- -------- -- ----- ---- ..- NO. SIZE LIGIII ING OU1 LETS CONCEALED --- - t►I'EIJ IUTAI_ RECEPTACLES 2' CONCEALED - - -- OPEN 0.30 Anms. - ----- 31 100 AtapsI U l Al- SWI ICIIES _ ._.----- •• INCANDESCENT ELUURESCENT &M. V. rlxeoEll - _ -- - - - - - o-too AHPB• ov 1. APt'1_IAM-E q -A111 - IIAIIN(i HELL 1IIANS - II.P. IIATING -- .- ._. I1.1'. -- -- CUNU1110NING COMP.MOIOil UIIIEII MOTUIIS AMPS CEIL HEAT: KW IIEnI - - 0.1 -- -------- MUTUIIS II.P. VOLTAGE PIIS UUii( -- ---__ ----- N0. I Il fi. VOL IAVE MISCELLArJEOUS r PPn1 A - --- ----- ----- 1IIANSfO11MEI1S_--- UNDEII GUU V - - _ _ (1 V 1 11600 V. -------- - -- NO. KVA _ N_U._ _ KVA - --_- _ _ NO. NEON T1IANSF. NU. VA. �MA. 1 MOI Oil SIZE - SWIICII TlnSlllll EACH SIGN I I rO11wAHM 1) MIAL VUES CITY OF ATLANTIC BEACH PERT APPL=71TICN Fc CDEL, ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS Owner(s) :`Pob&4 E kroe-e, Job Address: 3(zY (a AL ST 17 F Phone: a �� ' 493Y Lor- # 31+q Block or Unit T* Subdivision: &IVa m gi%KC Contractor: Cci✓ �i�il 3 e � �_ddress : 1�d 1(�l�bl'H hC Phone No:��y[-►1 �"1 -(J a �TA- 2 C___/i7 ��- �'4-GI St/a`e Z__ _ode3�233 De_ .__ce :rcrk to _-Cna � c> V%Nal L SoAc Presen_ use Valuaz_c ..f __ccosed Cons-ruc___Dn -_ gcsed ase•�t��;d�.✓/ .L1�.L Is this an adci_ion? L _ if ves, what are the dimensions of the added space: X Will the added area be heated and cooled? New e'_ec-__ca'_ (or increase; ) New plumbi^c `_r_'-_es? New f'reclace? New Heati=C? SUBMIT THFm (CC CZAL) TWO (RESIDENTIALL) CCZ�T ETE SITS OF PLANS, INCLUDING SITE' PLAN, SURVEY, EyERGY CODE FORMS, NOTI� OF COMVCrMENT, AND OWNER/CONTRACTOR AE7112AVIT, IF OWNER IS CONTRACTOR. Signature OWNER: T Date: Signature CONTRACTOR- Date: AS TO OWNER: Sworn to andubscribed before me this--day cf--�` —� �•9'�/��^� ,�"" FRED BUTLER e►: r. My COMMISSION#CC 804817 OTARY PUBLIC a ? EXPIRES:April 8,2003 AS TO CONT BaWed ThN Notary Public underwriters Sworn to and subscribed before me this day of 'a— NOTARY PUBLIC i vi f i-P'Uy 1 ili OGM4i7 I 1 Or �:�Y4 onen a= .3`:T,1L. -_ T`L- 0A7 ris. 512 C°AV- �A7�W,— j i D�.QU�. ...1•ll S.�.. era• .. .'_ �l x.i _s.-.ss i i�'$!C/ j , • .�.�.�i • iii V71iY.� r.V V%l�.V.� ii�• VI�.�.�a •�.� _ _. --. _J T;w[r; i I iii STREET I J rGt:i.ii ii Yltliiri. i.7Uvi r�iai7i t.J3. -- i YYLi-i i. i STREET i w i••�r r�r; a i� w Tivw uTi� r. . nn 1 -MO Lik Ai___ t\!s__l_ A. TTM ETII't!!— r T—il-dI I ViC15S 02 F t'v:'YItl1i1Y. RA�tYE. vvvr�. j vsivScu iizic. v i`ivLE r!l Y7iL.`( 9-ot(s):39 u civ &Lock: 3c�iiviF. J[)Uy1C rCCI. OUDGIVIsion. OCLVA IVIAMIIVFI est.`vaIUe: Parcel Num-ber: improv. Cost: i,a4u.uu L OWNER INFORMATION I naf� fc�tipfl' Lai Al 7/:000 Name: LIGGERO, ROBER`fi AND RENEE j Total Fees: 30.00 Address: 389 12TH STREET I Amount Paid; 30.00 ATLANTIC REACH, FL 37-7-3.3 j j Date Paid: 4/17/2000 I Phone: (000)000-0000 Work'D*s INSTALLATIONc _OF VINYL SOFFIT -� 1 CONTRACTOR-1.031MPPUGATION FEES SCANAI SIDING & SERVICES INC PERMIT 30.00 r r I , I I r j ins K wired f NU I ILA:-INSPEGl IONS MUS 1 BE KhQUES I tU A I LtAS 1 24 HOUK$PRIOK 10 INSPU;1 ION LSU1LUINU MA I tKIAL, KUbbibM ANL) Ut:bKlj t=KUM 1 Nib VVUKIK MUb I NU I bt t LAI:EU IN VUbLIU jF'Al:t, %'ANU AWA- u'v �iTi..iCu0 Ar-1 t.0 7-.0 iiniKiCE) -- MUST BE CLEARED UP AND HAULED AWA i L i i i %ayo\i i i W IVi. %/Y Y74Lf% I I "��IhU11� i v vtvMLi`Y WI W 1 N` vvlVv i I?Uty I IviV i-i�N �s�-a:f 1: CAN-. I'�s~.vivl l fl. 141` DPE bw 14 It OWNER P-AYING TWICE FOR BUILDING IMPROVEMENTS" I 4 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF t A' I I � I f1 n 53@.@@ 14 Receipt. 0050343 AT�AtIOC! t ll �poDate: 41171@@ 01 CHECKS i 1@ _ //// //CITY OF 411�� /3 A4-C e44014-0;&U-44 Office of Building Official REQUEST FOR INSPECTION Date / Permit No. Time Received P.M� ,38 l - �r�- '- Job o lity Owner's Addre Name / � Contractor eco r BUILDING �ootin ELECTRICAL PLUMBING MECHANICAL Framing ❑ ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑Re Roofing ❑ ❑ Temp Pole Top Out ❑ Heating Insulation Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thur.. A.M. �v' Friday P C� A.M. l Inspection Made dA P.M. S r Inspector Final Inspection ❑ Certificate of Occupancy ❑ �� J Date //CITY OF fYILGiI IC B4,C Office of Building Official REQUEST FOR INSPECTION Date � Permit No. � Time7-, Received P.M 38 � Local Job Addres :7 Owner's Contractor 1 Name BUILDING RETE ELECTRICAL PLUMBING ME HANICAL Framing ❑ Footing El Rough Wiring ❑ Rough ElAir ond. & ❑ Re Roofing ❑ Slab El Temp Pole ❑ Top Out ❑ H ting ❑ Final ❑ Sewer El Place Insulation ❑_ Lintel Pre Fab READ OR INSPECTION A.M. 11 Mon. Tues. Wed. Thurs. Friday P.M. Q A.M. ^� Inspection Made 2 J PM. Final Inspection ❑ Inspector Certificate of Occupancy ❑ 76— Date t( CLO, CITY OF ' t y4 � tic e.,CA_0;&q 4 Office of Building Official REQUEST FOR INSPECTION ` Date Permit No. '�� Timeh A. Received bo PM. ocality Job Addre Owner's 2a i i� Contractor Name MECHANICAL BUILDING ON RET ELECTRICAL PLUMBING Air Cond. & ❑ Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Heating ❑ Temp Pole ❑ Top Out ❑ Re Roofing ❑ _� Ll Final ❑ Sewer ❑ Fire Place Insulation ❑ intel Pre Fab READY FOR INSPECTION A.M. Wed. Thurs. 1 Friday Mon. Tues. Il A.M. --T-1 Inspection Made Final Inspection ❑ Inspector— Certificate of Occupancy ❑ 37:1' � Date U� 1 4&4a eeCITY OF &;&U 'k Office of Building Official REQUEST FOR INSPECTION g0 Permit No. Date �` Time 8 W A.M. Received P.M. 389 Lo Job Addre Owner's Contractor _.--� Name C RET ELECTRICAL PLUMBING ECHANICAL BUILDING ❑ it Cond. & ❑ Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Heating Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Fire ace ❑ Cf_� ❑ Final ❑ Sewer Insulation ❑ Pre Fab READY FOR INSPECTIO A.M. Mon. �Tu/es. Wed. Thurs. Friday A.M. Inspection Made i5 OZ � `7 Final Inspection EJInspector 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 _ PERMITINFORMATION LOCATION INFORMATION Permit Number: 18404 Address: 389 TWELFTH STREET 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: ATLANTIC BEACH Est. Value: Parcel Number: _ Improv. Cost: - OWNER INFORMATION e: Date Issued: 6/21/1999 NamVAINE, KATHERYN Total Fees: 25.00 Address: 389 12TH STREET Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 6/21/199_9 'Phone: (904)351-0800 Work Desc: REPIPE CONTRACTOR x APPLtO T4ON FEES . LARRY TEAGUE AND SONS PERMIT 25.00 Inspections.Required FINAL NOTICE-'INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED,AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.0014 A NTIC LCkBUI DEPT. Date: 6/21/39 01 Receipt: 086610610 CHECKS CITY OF A.T-TAUTIC PZZIC2j ATPLiCATION FOR PLMNSING P.._.r"P,Hj^ 70.\� �r OYNER 0'F No I=TPr'7: F ACTOR LARRY TEAGUE & SONS 2Cii?R;!.CIOR' S FDDR_SS:2617 �ac�� 5.� �� �/'�1✓� :"_='c LICENSE �;Lr.IBER CFC056776 T^- '? — - C:. :�JI•i G HON MAtti'`_' OF THE FOLLOWING FIXTU-R-rS INSTALLED SHOWERS LAVA T ORS' 'A--zR HATERS , 5A-I -UBS DiS ;iASzERS RIVALS DISPOSP. ,S CLOSETS LOCR DRAINS _ S 0'w_R PiLNS EWER WATEP _F,EP_PE OTHER TOTA-L FIX^URES: x 53. 5C 515. C'0 MINMJ:1 ?EIRM FEE - 525. 00 S IG`ir_TU tE OF OWNER:— SIGNATURE WNER:SIGNATURE 0- CGNT T INSTALIA ION OF PLTAIMING AND FIXTURES DUST BE IN ACCCRDANCE WITH IHE MOST RECENT EDITION OF THE SOUTHERN STPVD.ARD PLL1I131DrG CODE. CkLL A DAY AHEAD, TO SCFEDULE INSPECTIONS - (904) 257-5826 SEWER CGNNECTIONS I-r-,;ST ST BE CALLED INTO P''BLIC rh'ORtCS FOR INSPiCTIOCF PRIOR TO COVERING U_ - (904) 247-5834 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: 18442 Address: 389 TWELFTH STREET 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: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: � OWNER.INFORMATION - Date Issued: 7/01/1999 Name: VAINE, KATHERYN Total Fees: 25.00 Address: 389 12TH STREET Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/01/1999 Phone: (904)351-0800 Work Desc: SHOWER PAN CONTRACA m-: APPLICATION FEES LARRY TEAGUE AND SONS PERMIT 25.00 -10s ctior#s R uired FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. C1/81/99 81 Reeeipt: �b8�®654 Date: ATLANTIC BEACH BUILDI DEPT. 68 0883221888 C �4 �Z CI27 Or A1L�TT C ZH l APPLiCATiON rOP PLG'),Sltii'G P-!Mxt?n =i.tet=T`rc CON-. LCTC) LARRY TEAGUE & SONS Cir7R.�.c7o_RT S Pc,DR_Ss L ICE.\SE NU-IRE:. CFC056776 Tnc- -"HONE: _ -- te HOW MkN-Y OF THE FOLLOWING FIXTURES INSTALLED J�idK� ` SHOf'.r-RS LAVA_OItY _ WA---ER HEA^_=RS SAT :U2 S Di; ;ASnERS _ -RI.\ALS CLOSETS F=,OCR DRAINS Y E H CV ER PAN s SEWER WATER —REP_P� OT�:F,1 TOTA-L FIX':URES: x 53. SC 1 Sla, C0 MINIKOM PERMT- FEE - S25. 00 SIGNATURE 0- OWNER:— SIGNATURE WNER:SIGNATURE 0= CGNT. '� INSTALL-TMON OF PLL'P23ING AND FIXTURES MUST BE =N ACCCRDANCE WITH THE MOST RECENT EDITION OF THE SOUT'r_ERN STFNrD.:=tD PLUM31`rG CODE, CALL A DAY AHEAD TO SCHEDULE. INSPECT10:1S - (9041 247-582' SEWER CONNECTIONS t-JST BE CALLED INTO PUBLIC WQRKS FOR INSPECTIOPi PRIOR TO CORING U: - (904) 247-5834 t 3 � c� DATE• _Cls ------------- PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AU'T'HORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE: SATISFACTORY: U 7� ' ---- - ' -----�-�-�----a---------------------------------- i ------ ------------------------------------------------- i ------ ------------------------------------------------- ------ � ------------------------------------------------ Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION DIVISION cc: FILE i 1 CITY OF_. eel Office of Building Official REOUEST FOR INSPECTION eo 70/ �0-1-7 [L^C� -- Permit No. Date A.M. Time Received c ity r Jo ddress Owner's ✓ Contr ctor MECHANICAL Name ELECT ICAL PLUMBING C RETE Rough ❑ Air & BUILDING - Rough Wiring Top Out ❑ Heating 0 Framing Footing � Temp Pole ❑ Fire Place r, Slab Sewer pre Fab Re Roofing L Lintel E Final Insulation READY FOR INSPECTION Friday - A.P.M.A.A. Wed. Thurs. Mon. Tues. A.M. P.M. Inspection Made _ Final Inspection Certificate of Occupancy inspector -- -- - Date _ CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19H— IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, 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 ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: w ' „� JOURNEYMAN NAME Al,4� TER ELECTRICIAN SIGNA U/IRE `-� �/Y SC!�i ADDRESS: 43 /a2A SlNe4 RFD BOX BLDG.SIZE BETWEEN: RES. ( APT. ( ) comm. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ( ) REW. ( ) ADDITION ( 1 TRAILER ( ) TEMP.1 1 SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER 1 ) ALUM. ( ► SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE U AMPS t PH W 2'0 VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 11 a M4 TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA I I NO. lKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES PSR-3844 109844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION LOCATION INFORMATION Permit Number: 9944 Address : 389 TWELFTH STRET Permit Type : MECHANICAL ATLANTIC BEACH , FLORIDA 32123` Class of Work: ALTERATION -- --------- LEGAL DESCRIPTION --------- Constr . Type: WQ0D FRAME T,rt - Block : Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellinas : 1 Code : 0 Subdivision: ATLANTIC BEACH Estimated Value: $0 . 00 Improv . Cost : $0 . 00 Total Fees ! $41 .00 Amount Paid : $41 . 0(1 1)a+--e -P a i-1 , 3/16/95 WC.0. Pesc . , REPT.AC`L - 7.mr CONDENSER ----- - ---- OWNER INFORMATION --------- ---- APPLICATION FEES ----- Name , IENSEN PERMIT 841 .00 Address - 389 TWELFTH STRET WATER IMPACT FEE 50 .00 ATLANTIC BEACH , FLORIDA 32233 SEWER IMPACT FEE $0 .00 Phone - WATER METER/TAP /TAP RADON GAS-H.R. S . CONTRACTOR INFORMATION ------- RADON CAP 5% Name FTT'aJIAM HEATING & AIR CAPITAL IMPROVE. $0 .00 BEACH BOULEVARD SEWER TAP .fA:".KS0N%71LLF BEACH. FL �2250 CROSS CONNECTION 50 .00 i j r: rl, -k q0 .00 4 E Z Type : SEC H IMPACT FEE CONST. SURC'HARGE to . 00 cCHARqF.1ATL . P,-H . c in 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 REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 000000000 000000000 $41.00 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 3/16/95 01 Rept: 0039149 17AA CKM-------- BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC ■[ACM, FLORIDA 22123 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Be}ween WILDING A" Sub-division II. IDENTIFICATION — To be completed by all applicants , In consideration of permit given for doing the work as described in the above statement we hereby agree to with the Practice plans and spec'f;c&f'ons which are a part hereof and in accordance with the City of Jacksonville o diorrm nanc work and standard+ of good practice listed therein. None of Mechanical Cerkacter (hire}) ,� n Confraefen / I r . Master Meswe of hsperty Owner SiNature of 7;9..+t Signature of e►Arflsorise Architect er Engineor M. GENERAL INFOU"TION A. Type of heating /wl: ES. O Owl is OTHER CONSTRUCTION e[ING DONE ON TNts MUIlO1NG OR SITE 7 (3 6w—C3 LP ❑ Netwrel Q Cefstra)Unity ❑ 04 IF YES. GIVE HUMMER Oir CONSTRUCTION ❑ OMer — Specify PERMIT IV. M11ICKANICAL I*UWMINT TO IN INSTALLID NATURE OF WORK (hwire c"Pl.fe lief of canpoeeeft:ea beck of this fesrss) 3 Residential or ❑ Commercial Heat ❑ Space ❑ Receeee/ O Cesstnal D now ❑ New Building Air Coadrtioning° ❑ Room ® Cefstrel 0- Existing Building O Osrct sr.fwr,: M.Miet Twas_n� CO fi:plac.rnent of existing system Ma.isnww capacity tf-ft ❑ New Inatallatlon(No system prevkXmfy Mstaned) O Refri"ti" fJ Extension Of add-on to existing system ❑ Cooling tower: Capacity ❑ Other — Specify 1� ❑ Fre sprinklers: Number of heed ❑ Elevator ❑ Manlift ❑ Escaleter_�(eva&K) Teat eaAna w were.. .... �.... I PSR-3844 8 /7„ 4 DEPARTMENT OF BUILDING V L. V - PERMIT INFORMATION CITY OF ATLANTIC BEACH_ LOCATION INFORMATION ----- _ . Permit Type : FENCE ATLANTIC BEACH, FLORIDA 3223: 'lass of Werk : NEW ---------- LEGAL DESCRIPTION --------- Constr . Type : WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code: 0 Subdivision : ATLANTIC BEACH Estimated Value : 52045 . 00 Improv . Cast : $0 . 00 Total Fees 510 .00 Amour_t Psi rl ' S] 0 . 00 natF vq; A . 4 E1;'F 2T SHADOW BOX FENT_ P F. AN OWNER INFORMATION --------- ---- APPLICATION FEES -- ? F. k _i .59 'PWELFTH STREET WATER IMPACT FEE S0 .00 A T2� BEACH ; FLORT_T SEWER IMPACT FEE 50 .00 WATER METER/TAP $0 .0t RWN GAS-H.R . S . SO 00, - -- (;ONTRACTOR INFORMATIIvo' l tme=• P, 3P%RTY OWNER CAPITAL l"MPROVE . Address "- SEWER TAP S0 . 00 HYDRAULIC SHARE 50 . 00 License - Type;:- GROSS CONNECTION $0 . 0c, SEC .H IMPACT FEE $0 .00 CONST . SURCHARGE $0 .00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT (000W OW0000 Q0.00 14 --- date: t/02/94 01 kcpts 001OK", By: / s,. APPLICATION FOR FENCE PERMIT T(fr)-s nOwners n.aae - L�� Ce e) _Phone_ 2,41 Job Address__)Ll -- ='� -- ��-- - ------- --------------- Lot-------Block and/or Unit ♦____________Subdivision_____________ Contractor if different from owneryC, �`e� 1 FehCf-_ ------------------------------------------------------------------ i Valuation of fence •__964'S Corner or interior lot_________-_ Type construction hk&uw Show location and height of fence as yell as location of street(s). Owner signature__ � ��-- Date 6 lq4 ---" Contractor signature---------------------------------Date_ 1 A-1 FENCE MFG. CO. PROPOSAL E1 Residential and Commercial 10913 Beach Blvd. Jacksonville`FL 32246 STATEMENT E-1 (904) 642-4800 Fax (904) 646-9126 PROPOSAL SUBMITTED TO: DESCRIPTION OF JOB: Job Name Address s c City /7 Phone A/ cF)' — 5--e 70 Date Ulf ivr rhV i;$Ub if specifications and estimates for ✓ a`i G ryx ����- ,e S 5 LGA ctrl CLQ--g� ! ►.�� / -orf 1�., : .1' r v--e— - S4 � I v ZO /6 Tv -irr div 1-iroposIr to furnish labor and materials complete in accordance with the above specifications,for the sum of S W,-,- payment to be made as follows: NOTICE -- SERVICE or FINANCE CHARGES are Authorized applicable on all accounts 10 days past Locate# Signature due at the rate 1 112%per month,which is paual to an ANNUAL PERCENTAGE Fitting Bag it Note:This proposal may be with- RATE cf 18% drawn by us if not accepted within days. .01 A cryllancr of 1hap][780 - The above prices, Signature specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work ass specified.Payment CUSTOMER HEREBY SAID FENCEM MATERIS FULLALS S ARE TO E INSTTY ALLEDR THE ANDLOCLOCATION OF THE LINE p p y UPON WHICH SAID FENCE MATERIALS ARE TO BE INSTALLED AND LOCATE ANY AND will be made as Outlined above. ALL UNDERGROUND CABLES OR PIPES,AND AGREES TO DEFEND,HOLD HARMLESS, ANOINDEMNIFY SELLER FROM AND AGAINST ALL CLAIMS,LIABILITIES AND EXPENSES Da'e Accepted FOR TRESPASS ANDOTHER DAMAGEOR LOSS ARISING OUT OF THE LOCATION OF SAID FENCE MATERIALS ON THE LINE SPECIFIED BY THE CUSTOMER. CI'T'Y OF ATLAN'T'IC BEACH APPLICATION FOR ROOFING PERMIT BUILDING 04YNLIt jf �af—o Sy Y) PIIONL Zvi, S o d -------------- JOB ADDRESS LOI'fl LOCK Oft UNIT H SUBUIVISIUN CONI-RACrolt STA2 `(ZoQ Fl N G7 PRONE 1 AUDIT-SS � vC LICENSE Nun[BL'[t �G. d U S '3 d Z I;XPIRA'I'ION T14 JOB VALUA'l'ION $ 21 O 0 MATERIALS: SIGNA•1•URL 0{YNGItUAI . >; -2v ,!� SIGNA•1'URL CONTRAC'I'Olt DATE I I DEPARTMENT OF BUILDING 9504 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO... PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOBr 7,90 Date February 22 19 88 79 04 1 00CR G 7890 1n 2/2p/r 0 1 Valuation$ 2,500.00 Fee$ 7.50 1(10 1 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Star Roofing Co. RC0053026 615 16th Ave South J.B. has permission to WjT gy re—roof I fI Classification Residential Zone I Owned by Alan Jensen Lot Block S/D House No. 389 12th Street — According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS j AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE —� 4-- b. O Building material, rubbish and debris z from this work must not be placed in public space, and must be cleared t u nd hauled away by either con- or or owner. j B ilding Offkial. I FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER i CITY OF ATLANTIC BEACH, FLORIDA Approvod by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WH;CH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. N IV 64 A /e c i' �� A2 - - ELECTRI AL FIRM: MASTER ELECT CIANSIGNATUREw c 7' JOURNEYMAN cy NAME� � ADDRESS: 3P / /,z `��� RFD BOX BLDG.SIZE BETWEEN: RES. (') APT. ( 1 COMM. 1 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( i SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR (`') FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. 1 ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 00 AMPS I PH 3 W -730 VOLT { -2 RACEWAY FEEDERS NO. SIZE NO. SIZE N0. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN I TOTAL MRATING 31-10/0 AMPS. SWITCHESI I INCANDESCENT FLUORESCENT& FIXED APPLIANCESBELL TRANSF. AIR P. RATING CONDITIONINGHER MOTORS AMPS CEIL HEAT: KW-HEAT 21 Id, 0.1OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGEPHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA.__j [ MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES r�' DEPARTMENT OF BUILDING FOR OFFICE US E ONLY� CITY OF ATLANTIC BEACH, FLORIDA Date Permit # Fee $ Application for Permit Valuation $ csZ> for Misc. Alterations House and Repairs DESCRIBE: O 7 C'e 7�O (state if to repair, alter, add to or move building, erect awnings or signs, etc. ) Building on: Lot No. 4452 Blk No. Sub.Div. �yAG,/yn� Address 309 /2 fh �f'e---f Valuation $ °a Owner' s Name /r-I /K/ 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 ground, roof, wall, projecting banner) Material of Construction Illuminated? Type of illumination (State whether lamps or neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING 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. Southern Standard Building Code) Signature of Builder or Owner Address Phone 724_5 360 ARMSTRONG FENCE COMPANY 724-5360 � 130 Arlington Road, South — Jacksonville, Florida 32216 1498d # r ' Directions i �• Terms Availably-#""7` Ile Custom + . - .y,. t:d • �'^,a; x��� Date Address "r — -- Phone Number Install at:,. - Att: When signed by the purchaser and accepted by tbig Company the proposal becomes a contra ct--bindng both Purchaser and Company. Total Cost ' Total Feet Down Payment Total Feet -- - 9 Balance Due Upon Completion ' Approximate Starting Date Total Feet _—_High PAYMENTS NOT RECEIVED AS AGREED MATERIALS . " r ARE SUBJECT TO 1'/=% INTEREST PER MONTH 41� Gate Posts _ # ' O D_ CHECK THIS SKETCH P% Any additional material or labor used will be at the cost of the buyer. End Posts O.D. Corner Posts _ O.D. k ' —_ Line Posts _ O.D. + ' r s. O.D. Top Rail _ - FABRIC �. Mesh _ ,Gluge - - GATE SIZES Co j •. �...N• ••" ., • NOT RESPONSIBLE FOP ANY �O UNDERGROUND CABLES, PIPE, ORANY � � � '� � ,� g�""� OTHER U�JMAhE'ED OBJET.-TS. The proposal price is given with the agreement that the Purchaser will clear all lines for construction of fence, and properly mark with stakes, [or otherwise. Do Not Sion Before Resdin Contract r# i Date Accepted an&P Solesm Signed fl `' Signed , CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LQCATIt}N INFORMATION Permit Number: 22253 Address: 389 TWELFTH STREET Permit Type: REMODELING ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s):39 &40 Block: Section: Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: 10,000"00 _ _ _OWNER 1 INFORMATION-- ____ Date Issued: 6/28/200Name:- LIGGERO, ROBERT AND RENEE Total Fees: 90.00 Address: 389 12TH STREET Amount Paid: 90.00 ATLANTIC BEACH, FL 32233 Date Paid: 6/28/2001 Phone: (000)000-000.0 Work Desc: REAR PORCH ADDITION CONTRACTOWS) _ _ APPLICATION FEES PEAR ON, J.E. CONTRACTOR PERMIT _� 90.00 3 -iff•• „„�1 77 7 r S � ^ a NOTICE-SEC K i E REQUESTED AT LEAST 24 HOURS PRIORI'TO-1 ECTION d ` BUILDING MATERIAL, RUBBISH A DEBRIS FROM THIS WORK MUST NOT BE PLA&D IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HA14i66Q-AVVAY'BY EITHER CONTRACTOR OR OWNER_ "FAILURE TO COMPLY WITH CONSTRUCTION LIEN LAW CNN RESULT-IN THE PROPERTY OWNER PAYING Tilly OR BUILDING IMPROWAENTS" ISSUED ACCORDING TO APPROVED Pi-ANS WHIW ARE A_f f OF fHlf% D SUBJECT TO REVOCATION IOLATION OF APPLICABLE RROVI PbNS OF LAIN. F FOR V _ 14 vw4 598.68 14 A IC BEAC BUILDI SPT. Date: 7/85/81 81 Recei't: 8618c15 CHECKS ___ 88188883221888 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address aZ S o RCcF p� Date %Z - Heated Square Footage �@ $ per sq ft = $ Garage/Shed @ $ per sq f t = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq f t = $ r Patio JSP 0 @ $ per sq ft = $ TOTAL VALUATION: $ /0 Do a S $-1 ' Totalaluation 1st $ 0 C7 _ o o U $ yrs Remai ing Value $ per thousand Wportion thereof TOTAL BUILDING FEE $ �o + 1/2 Filing Fee $ 3 O ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ d 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 : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : 1UN 2 01 CITY OF ATLANTIC BEACH r'+'' of Atlantic PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIOMgdjng Beach and zoning MOVING, DEMOLITIONS Owner(s) 4 e, l e Job Address S (�y(r� �c Phone / �-� V Lot# � 4C Block or Unit# Subdivision OVK k!(CI1 ACI Contractor:/,f. l t'l4t'SvTZ-',ene ntf State License# AddresAye Phone City ��Oyne ''�tc ,_ State �/L' Zip Describework to be done �1�,c.� ��r c` ff4'd� i�•� Present use of building Valuation of Proposed Construction/ Proposed use rGG2 Is this an addition? \ If yes, what are the dimensions of the added space: ft. x Will the added area be heated and cooled? /1"i New electrical (or increase) yE_� New plumbing fixtures? ti ef,�) New fireplace? A,' t.; New Heat/AC? ,alp SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature of OWNER Date: Signature of CONTRACTOR Date ?� O STATE OF FLJR va J COUNTY OF 4 I r Sworn to (or affirmed) and subscribed before me this day ofd�hi 20 AS TO OWNER: Notary's Signature— FRED BUTLER ❑ Personally known MY COMMISSION#CC 804817 EXPIRES:April 8,2003 &---Produced Identification %�od „• Bonded Thru Notary Public Underwriters Type of identification produced ` Sworn to (or affirmed) and subscribed before me this 1 day of 200/ AS TO CONTRACTOR: Notary's Signature Personally known EI�ENHOLSTON Produced Identification MY COMMISSION#CC 957840 EXPIRES:March 27,2004 Type of identification produced /)),I u ufi;' Bondad Thru Notary Public Underwrileu f,.. 5 MIN. RETURN Book 10039 Paige 2339 PHONE# a �" Locg:210 j) 1793. Page: 2339 L F11W & Recorded Y yOb/22/.22001 08:54:49 AM JIM FULLER NOTICE OF COMMENCEMENT CLERK CIRCUIT COURT DUVAL COUNTY TRUST FUND $ 1.00 X G� J TO WHOM IT MAY CONCERN: RECORDING t 5.00 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. 'Dlvvtid C wt Description of Property C' 5 .3'V � G ��tk / Iac4 o Sel-V#4 AdAgiiJAyAj-1_r r pef7- ZF.P-K /Z-30 �Z ti si'^r¢ /trL4r�/� ��,cciiy Fc. General Description of Improvements Z ®R ciz' AP P/'72T)A/ Owner Ro eEPT � RjrtygF l.Iz_'Z4-,6!R o Address: .35X /Z -f-k _5��O , ,4„�� mea FL- Owner's interest in site of improvements: Fee Simple Title Holder (if other than owner) Name Address Pf Contractor ;%� . s0; Address Ue c z.A fi-4 2Z4 Surety (if any) Address V Amount of Bond $ Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name Address In addition to himself, owner designates the following person to receive a copy of the Leinor's Notice as provided in Section 713.13(1)(F), Florida Statutes. (Fill in at Owner's option). Name Address: Owner VV Sworn to and subscribed before me this ay of FRED BUTLER- .: = ' ?,: r MY COMMISSION#CC 804817 Notary Public 'a EXPIRES:April 8,2003 Bonded Thru NotaryiPublic Underwriters MAP SF10WIillG SURVEY OF Lot 40, except the South 30,00 feet thereof and.Lot 39, oxeopt that portion lying Northoabt- erly of the extension Southeasterly of the Southerly lino of Lot 4 to its intorsoction with the Westerly right of way lino of 12th Street, all in Block 1, as shown on the Plat of Selves Marina Unit 1, as recorded in Plat Book 23, Page 4 of the Current Public Records of Duval County, Florida. For: William M. Williams .cae+sAC-4e&® save is :197a -rO stiJde VelCVar vv•ro•f'4 rd. f0t'G'•vA.Ct,GS .4. Mi GOY n .SAY, Ot./�dlrv, SNYL7eJe� ASSUC- 4 Qz ��rriE gas• j o•t �� � / ,�•�� e•ts•r�: ��o ' �j Qj VN t� QQ . W '� /U.9' • ' 00 • ' � ��j�, � � `tn �y tv� ACtOW p MY>VF .5 b E X DEPT zo, •3 8'3' 42'JHl.� � L v — 4/ 0 .i .. !.�...,•�..1 .d !i.i•r�i.C... s.wPl. :.�..i.�:a•.:!nJi::L'rLr►... ".r,. ....,., ,. ., • REGNEG.tfEO RE.IR l,(,Vg LWLb'. A4/S4/57• Z$rdiLM; ,4 a. endyd y�Jf z/'7s rb . RAY,' DURD]r ; ' 'dYDEf3ot� AS CIATCS' c'LYi�C ! ion �a�•//►../y by �ih Rag. Survoyor Ccrt. leo. 167.1