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390 12th St (vault) CITY OF ATLANTIC BEACH J 800 SENIINOLE ROAD r� ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r d S9)i Application Number . . . . . 03-00025833 Date 4/08/03 Property Address . . . . . . 390 12TH ST Tenant nbr, name . . . . . . REPLACE SHINGLES Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4575 Owner Contractor - ------------------------ ----------------------- BIRCHFIELD, HAROLD L. AL DAVIS ROOFING CO 390 12TH STREET 1456 BRAASCHVILLE DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32259 (904) 287-0525 -------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc - . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4575 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------ Permit Fee Total 83 .00 83 .00 . 00 . 00 Plan Check Total . 00 . 00 .00 . 00 Grand Total 83 . 00 83 . 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. a BUILDING OFFICIAL i . CITY OF ATLANTTICC BEACH PERMIT - CALCULATION SHEET Address 2r4 �1 Date_ Heated Square Footage @ ` er sq ft ..= $ Garage/Shed @ $ per .sq ft = $ Carport/parch@ $` per sq ft .= $ Deck @ $ per sq ft = $ .Patio @ $ per sq ft = $ �( TOTAL VALUATION: $ `l S� Total Valuation 1st $ !w�D Remaining Value $ per thousand or .portion thereof TOTAL BUILDING FEE $ 5 1/2 Filing Fee $ (. ) Firep laces . @ , $15 . 00 $. BUILDING PERMIT FEE $ g 3 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL .IMPROVEMENT. $ SEWER TAP $ ( ) RADON (HRS) .005x. $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION_ $ ( ) SURCHARGE .0050 $ OTHER $ .GRAND .TOTAL DUE $ 92.. 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 ROAD ATLANTIC BEACH,FLORIDA 32233-5445 1 TELEPHONE: (904)247-5800 Y` FAX:(904)247-5805 SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us C =� PLAN RREVIEW COMMENTS Permit Application # C 3 - � ,593 Applicant: DaoS n n L-(n 01 Address:__ Project:/ -) e F or Your application is approved o 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 je // C Contractor Notified Date RECEIVED y CITY OF ATLANTIC BEACH s, CITY OF ATLANTIC BEAC BUI'_DING & 7,0-N NG ` ROOFING PERMIT APPLICAT' ON APR 7 2003 j i Date: Q BY. I Job Address: 9d Owner of Property: ya r-O•-aC &11/' Address: © Zr "�Ci A��r G PC,I, Telephone: .►�T�p -�� 7! A 11-C,ontractor: 2 r ; �� 'T ���0 S �r, State License Number: C CC"-0 Contractor's Address: /�Jr� ��a'aSG/� y�.�l� �, d✓i��Z er �- R yd �, 3 LZ �f Telephone: S7 —D r ZSf '3 Fax: 670,V 299 -J�V 7/ Scope of Work: IF ' Deck Slope: �, / 2. Greater than 2:12 Less than 2:12 Valuation of work: 7.f�, O® Product Name and Material to use: r C r z 40 ASTM Designation(s): 0j/& / Required Inspections: Sheathing and Final APPRCVEDCITY OF ATLANTIC BEACH Signature of Owner: 61 , � /6 L,D DateptI 91* if APR 0 2003 Signature of Contractor: , r Date: By: AS TO OWNER: Sworn to and subscribed before me this ! day of 20 State of Florida,County of Duval Notary's Signature: CATHY WILSON [Notary Public State b.FloridaPersonall known rm.oxpires Feb.15,2005 ❑ . Y No.CC7t8824 rroduced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20V State of Florida,County of Duval - Notary's Signature: Personally known •1a�Y %,s Brenda K Davis Produced identification :"__ My COMMISSION� DD064453 EXPIRES ❑ a: 4 February 13,2006 Type of identification produced ':k �, .`• BONDED THRU TROY FAIN WSURANCE,INC na 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 5 MIN. RETURN s�5 PFIONE#a U Book 11016 Page 1166 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No._ State of County of To whom it may concern: The undersigned hereby informs you that Improvements will be made to certain real property,and In accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Address of property being improved: General description of improvements: JJ Owner d i P e, Address Z Z&X JG2 All Owner's interest in site of the improvement /40 D Fee Simple Titleholder(if other than owner) Name Address Contractor /"r )94., �- Address �) /!O 4 r/ Phone No. i� r©J 2f Fax No. Surety(if any) Address Amount of bond$ Phone No. Fax No._ Name and address of any person making a loan for the construction of the improvements. Name pl.k Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: A/� - Name /y V Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. v g N _O� Expiration date of Notice of Commencement the ex nation date is one 1 Z P ( p"' ( )year from the date of recording unless a O o a v different date is specified): J m � THIS SPACE FOR RECORDER'S USE ONLY OWNER _.� cU Dock 2003107471 Signed: Date: t - -b a E z Book: 11016 Before me this r E Page: 1166 —may of the o Filed k Recorded County of Duval,State of Florida,has personally appeared Z JIM 4FULLEt�3 44:16:35 PM ke-ft 6w��z-�-t��j �7 - CLERK CIRCUIT COURT RW COUNTY Notary Public at Large,State of FI I �ty flf Duval +y C�� f ` RECORDING $ 5.04 My commission expires: 1 TRUST FUND $ 1•00 Personally Known or Produced Identification U .(.A&-l-, CITY OF ri&^& /3 e44CA-0;&?r4 a Office of Building Official REQUEST FOR INSPECTION S 9 s' �1 _ Date lA /�`� / Permit No. Time J 3 ! U A.M. District No. ��>Z ✓Yl Received P.M. o Job cess S �7 �,Locality Owner' , Contractor_ dam✓ �414:z, Name CRETE �^RICAL PLUMBING MECH L L Rough ❑ Cond.& ❑ ❑ ting ❑ Rough Wiring ❑ Temp Pole ❑ Top Out ❑ Heating Re Roofing ❑ Slab ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. � Wed. Thurs. Friday-P.M. on. Tues. Y �M A.M Inspection Made / FinallnspectioK Inspector Certificate of Occupancy Date #3Zo3 CITY OF r�a�rtic �eacl - ��Cvcida 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(%4)247-5805 August 21, 1995 Harold L . Burchfield 390 Twelfth Street Atlantic Beach, FL 32233 Dear Mr . Burchfield: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida : Vacant Lots N.E. Corner of 12th & East Coast Dr. a/k/a Lots 1 & 2 , Block 49, Atlantic Beach Pkwy 2 RE#170366-0100 and 170367-0000 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of City of Atlantic Beach Ordinance Section 12-1-3 (high weeds and grass) . You are hereby notified that unless the condition above described is remedied within fifteen ( 15) days from the date hereof , the City will remedy this condition at a cost of the work plus a charge equal to 100% of the cost of the work to cover City administrative expenses , which will be assessed the property owner or occupant . If not paid within thirty ( 30 ) days after receipt of billing , the invoice amount plus advertising costs , will be posted as a lien on the property . Within fifteen ( 15 ) days from the date hereof , you may make written request to the City Commission of the City of Atlantic Beach for a hearing before that body , for the purpose of showing that the above listed condition does not constitute a public nuisance . Sincerely , + _'e�' ��ar;l W . Grunewald Code Enforcement Officer r KWG/pah cc : City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED CITY OF ATLANTIC BEACH COMPLAINT MANAGEMENT SYSTEM TAKEN (date/time) : -/s r / �CJ mfr, No• 3.?o3 COMPLAINANT: qlu b r'/ ouS ADDRESS• Last Name First Name M CITY/STATE/ZIP: TELEPHONE: ( ) _- COMPLAINT: lzaC.41U7- /Z/ O1/eQ2co�,,,� 4 o T a 2 � REf.�-/703(-,G G oo �Ex j7o3�"7-d o cj LOCAT ION: IV-LE G� 7-4'0a r-1- --�4 /ta?/-) REAL ESTATE #: PROPERTY OWNERS NAME: A� OWNERS ADDRESS: 390 / 7A PROPERTY OWNERS PHONE: (_) 2(16 -7l 7 9 OCCUPANT: DEPARTMENT FORWARDED TO: ,"GO& E�I2cErriEe ,e, COMPLAINT TAKEN BY: 1)eRl f DATE/TIME•ks�/'''' OFFICE USE ONLY INVESTIGATED: (date/time) ASSIGNED DEPT./DIVISION: PRIORITY: INVESTIGATOR: CONDITIONS FOUND: ACTION TAKEN: COMPLIANCE: NOTES: t DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: -------------------- Q ---- - ------ _ �---- Thi --------------------- ------ -------------------------------------------------- ------ -------------------------------------------------- -------------------------------------------------- LY, �.n BUILDING INSPECTION DIVISION cc:FILE nn11'' CITY OF I.l4 fY / & l2�- Office of Building Official REQUEST FOR INSPECTION 9 Date Permit No. Time Received P. 390 /ate ,, Job Address /Locality Owner's Nam Contractor BUILDIN ONCRETE ELE RICA PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. Inspection Made �= P.M. Inspector '. Inspection Certificate of Occupancy ❑ �[��� Date TRANSMITTAL DOCUMENT FOR JEA DATE: /U - `4/ 9D The following permits have passed "rough" inspection: Permit No. Address Enclosed are our ( blue) copies of the permits. Please update your records accordingly. _Tt a ko , � -� �- ; UILDIN CLERK CITY OF ATLANTIC BEACH /vcb ` DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ---- --- LOCATION INFOR �'ermit Number : 6020 Address: 390 TWELFTH STR Permit Type: MECHANICAL ATLANTIC BEACH, F ...lass of Work: ALTERATION ---------- LEGAL DESCRIPTIO Constr. Type: WOOD FRAME Lot: Block : Sect Proposed Uset SINGLE FAMILY Township: RNG: Dwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value: $0. 00 Improv. Cost: $0. 00 Total Fees: $25. 00 Amount Paid: $25. 00 Date Pold. f0/20r92 ' UP UUTLETS r'OR CENTRAL HEAT AND AIR - - OWNER INFORMATION ------_-- ___._ APPLICATION FEES ----- Name; EIRCHFIELD PERMIT $25. 00 Addr°e ,s : 390 TWELFTH STREET WATER IMPACT FEE $0. 00 AI'LA111FIC BEACH, FLORIDA 322:Zi3 SEWER IMPACT FEE Sn. no Phone: ('v0.4 )2,16-f X21 WATER METER RAI>CN 5AS-H. R. S. $0. 00 ----- Cf,NTRACTIUR INFORMATION ---- --- RADON GAS - 5% $0. 00 Name: HLIXHAM HEATING & AIR WATER TAP $0. 00 Address: 2006 BEACH BOULEVARD SEWER TAP $0. 00 JACKSONVILLE BEACH, FL 327` HYDRAULIC SHARE $0. 00 rnse: RA00:24:�52 Type: 3 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $O. f_r OTHER $0. 0- NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC t3 EACH, FLORIDA 72237 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II. III, and IV. LOCATION street Address: _ OF Intersecting Streets: Let.een And BUILDING — --- — - - --- Sub-46ision 11. IDENTIFICATION — To be completed by all applicants In eons;doretion of parm;t given for doing the wort as described in the abrve state•"ant .e hereby agree to re•rc•T sa.d —c•. a: ,�a-:e .,tis the attacl ed plans end specifications - ere a part hereof end in accordance .,tn rse Gr of Jaclson.J' of good precfrce Inted therein, y e ord^aces a--- Name of M►chanicel I Contractor$ CoOAKlor (Prinf) � 4 Matter �v f Nasse of hoporty O,.ner Sigeatura of 0.80? c� Signature of w Authorized Agent V Architect or Engineer Ill. GENS AL IN TI A. Type•af boating ftal: g IS OTHER CONSTRUCTION BEING DONE ON C'1, B ctrc THIS BUILDING OR SITE ❑ Gest—❑ V ❑ Natural Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Od PERMIT r ❑ 00— — Specify LU�(L,',.� Co't"Skr IV, MOCi14hii EQUWMSNT TO It INSTALLED NATURE OF WORK IF v 41.complete Cat of eornpowoah on back of this form) Residential or 1 ) Commercial Q Haat ❑ Spoce ❑ Recessed O Control O now U New Building ❑ Air Condf;wsing: ❑ Room ❑ Control i�4 Existing Building ❑ Ord System: Molest Tltfckoo" U Replacement of existing system Maximum capacity c f ns ❑ New Installation(No system previously installed) ❑ Refrigeret;ee ❑ Extension or add on to existing system ❑ CCapacityq to.er: Capacity v�� U Other — Specify ❑ Fife epriniloes: Number d head --_—_--- ❑ EfewNw ❑ Ussalilt ❑ Escalator (number) THIS SPACE FOR OFFICE USA ONLY ❑ GowiN pumps (number) (Itareei+d) 0 Talc (number) Remoris ❑ LPG pwN;wers„ (swmbor) 0 Uef;wd pwwe.era ❑ 9069" c ll /[. Permit Approved by pats• ❑ O w — �dU ilsJlJ YAP I� �1KTS Permit Fe. LIST ALL EQUIPMENT AA CONDITIONING AND REFRIGERATION FQUIPMENT lPtsmDtr Uaft DesI:rlDt3a1 Model Number Manufacturer (Tons)Y ApPravtnz HFATLNG 1 FURNACES, BOILERS, FIREPLACES -- lfusDer UnIL Iesacrlptlan ![oriel Number YaaufacturerBTU)r Approving TANKS plow Many Nowbw Wild7 7yDa L4uld Name of Serial Approving Dbnwaims Contalnod Manufacturer No. Agency i :j --C CITY OF 4&aa is /3ec�,�s-Mala 47all 0/ t Office of Building Official REQUEST FOR INSPE CTION Date /D �O _ Permit No. l ri 9 9 Time A.M. Received P.M. District No. Jo ddress Locality Owner's e 2C14 / tractor /� BUIL G CONCRETE A�CT P MB MECHANICA Fr Footing ❑ �_ Rou ❑ i . n . Re Roofing ❑ Slab ❑ Temp Pole ❑ Top ut ` _ W Heating Lintel ❑ W WW Preen ace ❑ READY FOR INSPECTION A.M. Mon. Tues. ^ ` SWed. 1�H Thurs. Friday P.M. Inspection Made d d f P.M. Inspector Final inspection❑ Certificate of Occupancy Date CITY OF 4&4A4'C' Beard-Qou'c& Office of Building Official REQUEST FOR INSPECTION Date /D - �-- q9 Permit No. Time A.M. Received M, District No, Job dress Locality Owner's N Contract BUILDING CO C ETE ELECTRICA PLUMBING MECHANICAL ❑ Fo ti L3Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Sla ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPEC Mon. Tues. Wed. Thu Friday P.M. Cd Inspection Made � K $ I A.M Inspector r. A. f ERBER Final Inspection❑ Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA Approvwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-- _ _ 19-- 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: MASTER ECTRICIAN SIGNATURE JOURNEYMAN NAME. (J�G�� FSC AD ESS:. ' - q0 1 S7 _RFD BOX BLDG.SIZE l gad BETWEEN: 04T RES.CA APT. ( ) COMM.( 1 PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ( ) REW. ( 1 ADDITION ( -i TRAILER ( ) TEMP. ( ) SIGNS I i SQ. FT. SERVICE: NEW( 1 INCREASE,(") REPAIR ( ) FEE CONDUCTOR SIZE (J AMPS COPPER ( ) ALUM. ( �! r SWITCH OR BREAKER ��� AMPS PH - W 2 yUVOLT -_ RACEWAY EXIST.SERV.SIZE d U AMPS PH W ayU VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE –—r — LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES _ CONCEALED _ ' OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES j 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. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS _ TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. tKVA NO. KVA NO.NEON TRANSF. NMA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES __ CITY OF h& C Be 4CA-&7&U-C& i Office of Building Official REQUEST FOR INSPECTION Date �� — 2/ Permit No. 8 ?9 Time �' O Received O P.M. District No. Job Address Locality, Owner's t�l A (J /�L� r C—(-0 _Contractor � c I� A" Name r 1 1� t' BUILDING ELECTRICAL PLUMBING MECHANICAL Framing ❑ CFootIngRoughWiring 11Rough ❑ Air.Cond.S ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out Cl Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTI A.M Mon. Tues. Wed. Friday A.M. I—S I S Pew r I a Inspection Made P.M. P I fFSf ,�Ep,PE Inspector Final Inspection❑ aly) Certificate of Occupancy Date CITY OF 4&aa c /3e k-99,G0U*4& Office of Building Official REQUEST FOR INSPECTION Date f — Z Permit No. v S Time /0: 3 V A.M. District No. Received P.M. Job Address Locality Owner's 64e C/l LLr Name Contractor BUI DING CONCRETE ELECTRICAL PLUMBING MECHANICAL ❑ Footing 1:3Rough Wiring ❑ Rough ❑ Air.Cord.& ❑ Heating Re Roofing ❑ Slab ❑ Temp Pole 01Top Out ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Thurs. Friday P.M. A.M./ inspection Made Inspector Qom— Final Inspection❑ \ Certificate of Occupancy Date FLA. ILAWS ( RAMCO FORM 407 FS 717.1.13 7 IIIII&� �rx�t�t�ext�r�e U'RCPAII3 IN OUTLICATZ/ �u ful�tntt` i� m� taxu$r� 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.............31-Q......1 �'h...... +'......_...�A............................ ' ............ i .........................................L-1......9.....».... (o c ... :..............c V ...�►?� � r ..» .t.1�.� :...1»....�.»..............:.... General description of improvements................................................................................... ...............................................,............................. i .........................................................aU 0.......5. ..............Y .Q..,trn.......... c o...... ......................................................... Owner............ .1�??......... .......I neL......... a?.1? .��!......................... ...»..................................»............................. 2n �,� .......I........................ Address............. .I .............�� ........... .:}..............J......,�..............................»..._.»......»....»..»..........»...............»».....................I...... Owners interest in site of the improvement.....................�»C C......f....° .....»»......»»..»»...............»..........»..»..,.»._..».....»............ ,........ Fee Simple Title holder (if other than owner) Name........................................................................................................................»................................. ; .....»......»........ ..............».................. Address.....................................................»..........................................................................».........................«....»» .. »....................... Contractor.............L ....... .....................».................. Address........ �`..t.l.........»..tT�.� .:...Al........... ..I:� Surety (if any)........................................»...................................................................................».....«..... Address........».................................»».....»....» ....Amount ot �.. «»...»..»... . Name of person within the State of Florida designated by'owner upon whom riotiou be served: Y Name........... ...................... 1777 Address................................'«....................»..«......»................................................»..»...............»«.............................................».........».......»............ In addition to himself, owner designates the following persori to receive a copy of the Lienoes Notice as provided in Section 713.13(1) (F), Florida Statutes. (Fill In at Owner's option). Name.................................................................................... .................._.....................»....«..«........».»......»...»...»...«......»»...».».......».«.»..». Address...................................................... ................................. ....»...... ;.... ...« ». ......«..... THIS SPACC FOR R[CORO[R'e USK ONLY �t.�Di, ata I-4r 3 ower «...1 Swom to and subscribed before me this.:. . :: ...... ..........................dayof.. ....19� ........ .. .... Notary Publk' NOTARY PUBLIC. STATE OF FLORtDA MY COMMISSION EXPIRES: AUGai,,.1,44,, •ONOIID TRRU NOTARY PUiLIG UNDBR�;RITERB. 5899 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH k;EAAIT INFORMATION ------- LOCATION INFORMATION ---- Permit Number: 5899 Arfri-ess: 390 TWELFTH STREET Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work; ALTERATION ------ LEGAL DESCRIPTION Constr. Type: WOOD FRAME L.01L . 9 Block : 2 Section : Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: I Code: 0 Subdivision: ATLANTIC BEACH Estimated Value: $16218. 00 Improv. Cost: $0. 00 Total Fees : 0==W 142.50 Amou, $Qa2xW 142.50 36 IOM ADDITION OWNER INFORMATION ---- APPLICATION FEES ----- me: HAROLD & INEZ BURCHFIELL PERMIT 5142. 50 390 TWELFTH STREET WATER IMPACT FEE wmu= ATLANTIC: BEACH, FLORIDA SEWER IMPACT FEE $0. 00 (904 )246-7179 WATER METER $0.00 RADON GAS-H. R. S. $0. 00 CONTPACTUR INFORMATION ----- -- RADON GAS $0. 00 Name: LUCKIN CONSTRUCTION WATER TAP $0. 00 Address; 241. ATLANTIC BLVD. SEWER TAP $0. 00 ATLANTIC BRACH, FLORIDA 3271`3 HYDRAULIC SHARE $0. 00 RE-INSPECT FEE $0. 00 GRC04482�_l Type. 7 SEC. H IMPACT FEE $0. 00 OTHER 90. 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 5 0 THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPRq)tgMND-FT5.05,23,"9� TIME: 01:'26 PM TOTAL Ih:.liv , 50 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TANGE(TEUMCATION FW' 'CH VIOLATION OF APPLICABLE PROVISIONS OF LAW. RECEIPT NUMBER: 06052 ATLANTIC BEACH BUILDING DEPARTMENT By: Address cj 0 Z �L 90(T►OfJ Heated Square Footage �� Q ro @ $ �-3 00 per sq ft = $ /(,,12 / (5 Garage/Shed @ $ per sq ft = $ Carport/Porch Q $ per sq ft = $--- Deck _Deck @ $ per sq ft = $ Patio @ $ 72 per sq ft = $_ TOTAL VALUATION: $ /��Z / $ (S U � Total Valuation 1st $ r )ooC-� 15, 1e, (5D . ° $ Remainder Valuation .T. per thousand or portion thereof --------------------------------------------, Total Building Fee $ ADDTTIOb1AL PE&T'ILTS and/or FEES REQUIRED ; + 2 Filing Fee $ -7-�S Mechanical Fireplaces @ 15.00 $ �- - — Plumbing BUILDING PEPIffT FEE $ '`12 . 5a Electric/New 1 ------------------------------------------------ Electric/Tang Septic Tank BUILDING PERMIT $ ( 4 Z S d Well WATER METER CHARGE $ --d SwImningPool SEMER ITACT FEE $ Sign 14ATER 11-TACT FEE $ _ Water Connection MISCELLANEOUS $ Sewer Connection $ � Water Meter r 2T$ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES WP1<,,- 4F-_ 1--u--S-F I -1 APPRONIED My 13UILDINGNQFF'CE SEP 211��� CITY OF ATLANTIC REACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) Address: C�-1 `' =--- •�• ------- - Phone: a40 - Lot __ Bloc/k o,r/�'� -�Unit # _ SubdiviLL:ion;,,,. Contractor: LL�C�C'�/l1 --- �/ 7?U �/� Describe work to be done: -------------------------- ----------------------------- t' Z'CL t--------y4--J-� ----------------------------------------------------- ---- Present use of Valuation of Proposed Construction: ---- ��,,?? -- --- -- _ _ -- ---- -- ------- Proposed use:.... //C/ Is this an addition?--__4 If yes, what are the dimensions of the added space:__� ft. X _ �� ft. Will the added area be heated and cooled?-_fl['cS__ New electrical (or increase) ? .S New plumbing fixtures?2M_ Nev fireplace?/?0 New Heat/AC?_-Ae SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER:---------- ----------------------- Date: Signature CONTRACTOR: ` / 101- - --- -- -- - Date:- - -- - - -- �C BY. FLA. 1967 LAWS (�;1 FL 717.17 1iY RAMCO f:ORM Apo 6464 A 1164 AP XW � ' brit GPARS W OVPLICATZI Zia fvhmtt it tttau rV=r t- The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 71.3.13 of the Florida Statutes, the following information j is stated in this NOTICE OF COMMENCEMENT. iDescription of property............. .C�......) .4::h.....:S4............ i ............,:.��rt >...1....1.............»............... I General description of iaiproveman!s............................... : c :...................5.... , �} . 1 I, Y........c.�rz.......... ►4...».......»........»....»........»....._................. Owner............Jlaxdd.........�...........�F.t........ ....................................................................»......».................».»..............._ Address.............. ...........)..C. h............ ...............(T..r »...............................»».»..»....».....»....».....................»»»...» .»_»»»». Owner's interest in site of the improvement..................... 7.0 I Fee Simple Title holdar (if other than ow,itar) Name.........................................................................................................................»..........»...............................»......»...»...»...........»»..»»»».».»»... I Address........................................... f FLORIDA ENERGY EFFICIENCY CODE FORM 1000-C-91 FOR BUILDING CONSTRUCTION SMALL ADDITIONS Section 10—Residential Prescriptive Compliance Method Climate Zone AND RENOVATIONS Department of Community Affairs NORTH 1 2 4� Compliance with Section 10 of the Florida Energy Efficiency Code maybe demonstrated by use of Form 1000C-91 for additions of 600 square feet or less, and renovations to single and multifamily residences.Alternative methods are provided for additions by use of Form 1000A-91 or 900A-91. PROJECT NAME: '�I BUILDER: _.777 '//1,' L'NS� .7 l AND ADDRESS: 0 PERMITTING CLIMATE OFFICE: ZONE: 1 ❑2 ❑3 OWNER: PERMIT JURISDICTION ft J-e-)h e�C NO.: r> NO.: �C]l / O NEW CONSTRUCTION ❑ If Multifamily,number of CONDITIONED�SQ NEW GLASS AREA AND TYPE ADDITION units covered by FLOOR AREA FT. Clear Tint Film Solar Screen this submittal: PREDOMINANT pane SQ.SinglEAVEe- LENGTH OVERHANG ane FT. pane FT MULTIFAMILY ATTACHED ❑ LENGTH .©FT. SINGLE-FAMILY DETACHED PORCH OVERHANG Double n SO.Double- SQ LENGTH OVERHANG[]].[] pane `7 � FT. pane FT FOR ADDITIONS ONLY WALL TYPE AND INSULATION CEILING TYPE AND FLOOR TYPE AND INSULATION WOOD FRAME MASONRY INSULATION WOOD MASONRY EXTERIOR: EXTERIOR: UNDER ATTIC: RAISED: RAISED: PERCENTAGE R= M/ 1 O R= DIT] R= I• R= R= ❑ 11 OF GLASS ADJACENT:❑❑ ADJACENT:❑❑ SINGLE ® ❑ COMMON: ❑COMMON: M11TO FLOOR °i R= R= ASSEMBLY: R= R= R= CRMMON: ❑❑ CRMMON: ❑ ❑ COMMON: SLAB-ON-GRAD �❑ R= R= DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM In Unconditioned F]Central E] Electric Strip Heat Pum E]Electric ❑Solar ❑ S ace ❑Room p ❑ Natural Gas ❑Heat Recovery ❑ ❑ Natural Gas Other R= ❑PTAC ❑Room UniUPTHP Fuels E]Other Fuels ❑Dedicated Heat Pump ❑ ❑•❑ In Conditioned Mone o New System None No New System EF=•❑ SF/EF= ❑❑S��ace o New System R=Wa SEER/EER=❑. COP/HSPF/AFUE=[I].[] NUMBER OF BEDROOMS= [11 Pd 1 hereby certify that the plana d specifications covered by the calculation are in compliance with Review of plans and specifications covered by this calculation Indicates the Florida Energy Code. — Cn� compliance with the Florida y Code. e W fs complow tlris PREPARED By: DATE: building will be Inspected fo co pliana in orda sectlon 553.808,FS, BUILDING OFFICIAL: I hereby certify th IdIn n comp) nce with th Flor a Energy Code. OWNER AGENT: C. ��• t DATE: DATE: TABLE 10A MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHEQrr Windows 904.1 Maximum of 0.34 CFM er linear foot of o arable sash crack includes sliding lass doors. Exterior&Adjacent Doors 904.1 Maximum of 0.5 CFM per sq.ft.of door area:solid core,wood panel,insulated or glass doors only. Exterior Joints&Cracks 904.1 To be caulked,gasketed,weatherstripped or otherwise sealed. Sole&Top Plates 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed. Infiltration Barrier 903.2 Infiltration barrier must be installed in exterior walls&raised wood floors. -� Interior Joints&Cracks 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed. Fireplaces 903.2 Fireplaces must have flue dampers,glass doors and outside combustion air intakes. Exhaust Fans 903.2 Exhaust fans vented to unconditioned space shall have dampers,except for combustion devices with integral exhaust ductwork. Combustion 903.2 Combustion space and water heating systems must be provided with outside combustion air, Heating except for direct vent appliances. Water Heaters 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric) or cutoff(gas)must be provided. External or built-in heat trap required. Swimming 904.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a Pools&Spas pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%. Hot Water Pipes 904.4 Insulation is required only for recirculating systems,including heat recovery units. In such cases, piping heat loss shall be limited to a maximum of 17.5 BTUH per linear foot of pipe. Shower Heads 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. HVAC Duct 904.6 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed,insulated and installed in accordance with the criteria of Section 904.6. Ducts in uncondition / Insulation&Installation space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92). HVAC Controls 904.7 Separate readily accessible manual or automatic thermostat for each system. Renovations Only Glass 1003.0 Meets the requirements of sec. 1003.0. See step 3 of page 2 of this form. I TABLE 106. Prescriptive Requirements for Small Additions (600 Sq.Ft. and Less) and for Renovations to Existing Buildings. MINIMUM INSULATION EQUIPMENT MINIMUM INSTALLED COMPONENT INSULATION INSTALLED EFFICIENCY EFFICIENCY Concrete R-7 1991 1992 '' Wood frame.2 x 4 R-11 J � - � --- O Central A/C SEER=9.0 10.0 SEER = Wood frame.2' x 6' R-19 3 Common.Wood frame' R-11 _ Room unit or PTAC EER =8.5 8.5 EER = Common Masonry' R-3 Z Electric Resistance ANY Under attic R-30 a Heat Pump HSPF= 6.4 6.8 HSPF = Single assembly R 19 -Is`��---- = Room unit or PTHP COP = 2.6 2.7 HSPF/ = Common Wood frame' R-tt -- v HSPF=6.1 6.1 COP Q a Gas,natural or propane AFUE =.70 .78 AFUE = aStab-on-grade No Minimum _ U) c Raised wood R-19 ___ Fuel Oil AFUE =.76 .78 AFUE = c Raised concrete R-7 _ Common Wood frame R-11 _. H Electric Resistance EF = .88 EF Q In unconditioned space 1991 1992 Gas,natural or propane EF = .54 EF = R-4.2 R-6 In conditioned space No Minimum = Fuel Oil EF = .54 EF *Common components are those which separate two conditioned living units in a multifamily building TABLE 10C. Prescriptive Requirements for Glass Areas in ADDITIONS ONLY (Renovations see 3 below) Maximum Installed� Maximum percentage glass to floor area allowed is selected by type,overhang length,and shading coefficient.See below. % = % _ GLASS TYPE,OVERHANG,AND SHADING COEFFICIENT(TINTING) REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 30% UP TO 40% UP TO 50% Double Single Double Single Double Single Double OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC 1'- 1.0 0' - .90 2' - 10 1' - .90 NOT 2' - .90 NOT 3' - .90 0' -.86 1' - .86 0' - .70 ALLOWED 1' - .70 ALLOWED 2' - .70 0' - .65 0' - 50 1' - .50 0' - .40 Shading coefficients(SC)may be obtained from the manufacturer of the glass.Typical shading coefficients are:single-paned clear SC = 1.0,double-paned clear SC= .90,and single-paned tint SC = 86. Form 10000 may be used to comply the following types of construction: SMALL ADDITIONS TO EXISTING RESIDENCES.Additions which have 600 square feet or less of conditioned area may comply with the Energy Code using this form.The prescriptive requirements in Tables 10A,108 and 10C apply only to the components of the addition,not to the existing building.Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction.Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS.Residential buildings undergoing renovations costing more than 30%of the assessed value of the building must comply with the Energy Code using this form.The prescriptive requirements in Tables 10A and 10B apply only to the components and equipment being renovated or replaced. GENERAL DIRECTIONS: 1. On the left side of Table t OB in the column titled"INSULATION INSTALLED",indicate the Fl-value of the insulation being added to each component.On the right side of Table 10B indicate the efficiency levels of the equipment being installed in the column titled"EFFICIENCY INSTALLED".All Fl-values and efficiencies installed must meet or exceed the minimum values prescribed in the preceding column for that component.Components and equipment neither being added nor renovated may be left blank. 2.ADDITIONS ONLY.Determine the percentage of new glass to conditioned floor area in the addition as follows.Total the areas of all glass windows,sliding glass doors and glass panels in doors which are more than 1/3 of the area of the door.Double the area of all non-vertical roof glass and add it to the previous total.When glass in existing exterior walls is being removed or enclosed by the addition,an amount equal to the total area of this glass may be subtracted from the total glass area.Divide the adjusted glass area total by the conditioned floor area of the addition.Multiply by 100 to get the percent.Find the largest glass percentage under which your calculated percentage falls on Table 1 OC.For example,29%glass would qualify for the"Up to 3D%"column.Prescriptives are given by the type of glass(Single or Double pane)and the overhang(OH)paired with a shading coefficient(SC).Any pair within the selected"Up To " category is acceptable.For a given glass type and overhang,the maximum shading coefficient allowed is specified.Indicate the category into which the percentage falls in the box at the top titled"Maximum%= ".In the next column titled"Installed",indicate the calculated percentage of glass in the addition.Actual glass windows and doors previously in the exterior walls of the house and being reinstalled in the addition,do not have to comply with the overhang and shading coefficient requirements on Table 10C.All new glass in the addition must meet the lequimmertts for one of the options in the glass percentage category you indicated.The overhang(OH)distance is measured perpendicularly from the face of the glass to a point directly under the outermost edge of the overhang. 3. RENOVATIONS ONLY.Only glass areas which are being replaced as part of the renovations need to meet the following requirements.Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest edge does not extend further than 8 feet from the overhang.Glass areas being renovated that do not meet this critena must be either single-pane tinted,double-pane clear,or double-pane tinted. 4.Complete the information requested on the top half of page 1. 5. Head"Minimum Requirements for Small Additions and Renovations',Table 1 OA on page 1,and check to indicate your intention to comply with all applicable items. 6. Read,sign and date the"Owner/Agent"certification statement on page 1. 2 1 7, c- CL v w a 10 o 43 Z , o Q � d N � Q ( nF Egg J g � S J � a o Z 0 o � o8a w °a O' QL z - A ; OL J Q d c 2 I v 2��UF Vb' P�Yw�GC D � �- 4 t4 6 W �r�JQS ( i- E LT I �CoS�I A 2,c4- 0L/r2-iC, Gc23 t�•�19. INSVI,A��c�u �� 3�� " s0Y�'(7 w'f Ccn.�T SCfZ�Tf L -2 4 y r pl-r 5/8"S R CGrlt.�ra G /y�;�►�v Dow �Xl . IZ`' Cc 'T-i(( SiDiNCT Lx4 13P C T — — - T- ¢y — iz" Me+-)O ✓iTHic SLA,,B v � Cflxb %"d to t o I AN b 2 - ,,*4 P-C-S^2 i S"DAF F3uor �A LEV ATI p N' MAP SHOWING SURVEY OF AS RECORDED IN PLAT BOOK1�PAGE_ OF PUBLIC RECORDS OF DUVAL CO., FLA. 0,7 hl h � N � � co. ,,�c,ced��rr;;y,�aSvn.•-� ,ou/�c���ior�' G�Q�oN�N� �,l ,g� --� 1-2 CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT BUILDING OWNER C-R ur2.r) PHONE 2 JOB ADDRESS—2 Cl LOT# C"� BLOCK OR UNIT H_ SUBDIVISION $t L O Y1 ►�rye :up ty��j CONTRACTOR , �, (2}, ^, ,�, �,�� c PHONE ? .2 ADDRESS-- CS LICENSE NUMBER C; a'a L-1 •7 q05 EXPIRATION) ►�, 3d, 1 9 �� JOB VALUATION $ 1 6:?, o f MATERIALS: SIGNATURE OWNER DATE SIGNATURE CONTRACTOR --�-� DATE 7.511fCKTO I i O/2e^-/9E I DEPARTMENT OF BUILDING PERMIT NO._ 8094 � CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD`' •00CACI THIS PERMIT MUST BE POSTED ON JOB 4383 ► A ►Q/��/� jI noo Date_ 10-22-8619 Valuation$ Fee$ 7- 50 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 DON JOHNSON ROOFING I RC0047008 � has permission to build RE—ROOF 1 Classification RESIDENTIAL Zone jOwned by ERIC BL'RCEIFIELD Lot 9 Block 2 S/D SIS I House No. 390 TWTELFTH STREET 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 I AFTER DATE OF ISSUE { � r----i 0 Building material, rubbish and debris j --� z from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or jalvner. Building Official. PERMIT CONTRACTOR FOR OFFICE DATE USE ONLY NUMBER I PLUMBING ELECTRICAL I SEWER WATER -Now FOR OFFICE USE ONLY Date..------ Permit #A/'/eA------Fee $ 0 TOWN OF ATLANTIC BEACHValuation $--/''`f 7!Tr FLORIDA House #--------- - ------ ------------ --------- - --------- y - 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 Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town 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 Town 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. p Date------0.5-�----- -)--U-----------------------------1 19----•-7 P21 `i �+S Address 4 ` `5 1T Telephone No._�.�LOwner------- ------12�--------••--------------- Architect------------��--�---------------------------------------------------------------Address----------------- 4.---------------------------------------Telephone No.---.------------� -- �o'--------•---•---------Address---1---4------r5.J------�"u---------------Telephone No.--G--- ----------------- Contractor Builder--- �-���--- � IIAAI, # - --------------Zone Lot No. ---------Block No----------- --------------- Sub Division -S SAI-_+" (' -- _ ----------------------------------and-----------------------------------------------------;Sts. 6Qf� _.._:For what purpose will building ide Between__________________ --Street-- - - -- _ --------------------------------------- --- _-- _ Type of construction.--.F �-'7------- Valuation $----- 'p I'P be used_ �� A� Dimensions of Building-.-.I-I,.-4--*__4*�'--dimensions of Lot._J_2G?_.... - ---------------.-----Size of Footings.l_s_:.8--_-'< -- --__- __.Greatest Sill Span in ft._.--_-_-___-.__-_____Type Roof_-.1-�---------------- Size of Piers--------- ---------------------Size of Sills--------------------- p How will Building be Heated? F_V_(2 �" ----------Will Building be on Solid or Filled Ground?-.. , --------- �y Size of Ceiling Joists------- ---------------- Distance on Centers J_'&----- , Greatest Span--.._�_._ -------------- Size of Floor Joists---- �-�-�-j�--------------- ----.Distance on Centers---------- ------------------- , Greatest Span--------------------------....... -------- » Size of Rafters-----------------2- - -------- , Distance on Centers__._. .. ----------------------, Greatest Span---------1_21-- +-d...----------- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. Z W Z 2. When steel is in place and ready to pour columns and/or lintel. a a 3. When steel is in place and ready to pour beam. E, 4. When framing is completed. a 5. When rough plumbing is completed,'and ready to cover up. W W 6. When septic tank drain field is laid but before it is covered. A A 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after Z� 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 Town of t ntic each. ------------ Address--�-Y------ --------------- Signature of Builder__ ._ _ -------_ .. _ ......... _. Signature of Owner.-----_-- -- - •--..... --------- Address--- -------------------------