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281 15th St (vault) v S,, CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 N 1DA Application Number . . . . . 03-00026938 Date 9/23/03 Property Address . . . . . . 281 15TH ST Tenant nbr, name . . . . . . INSTALL 13 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ BROWN, CLIFFORD CHRISTY FIRST COAST PLUMBING 281 15TH STREET P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 126 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 126 . 00 126 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 126 . 00 126 . 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 irL`1r✓ CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r� ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 247-5826 9 Application Number . . . . . 03-00025960 Date 5/07/03 Property Address . . . . . . 281 15TH ST Tenant nbr, name . . . . . . REMODEL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12000 Owner Contractor ------------------------ ------------------------ BROWN, CLIFFORD OWNER 281 15TH STREET ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00 Issue Date . . . . Valuation . . . . 12000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total 45 . 00 45 . 00 . 00 . 00 Grand Total 135 . 00 135 . 00 . 00 . 00 F 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 ripr 2'9 03 01 : 41p Information Systems 247-5845 P• 1 R-EGEI 'V CITY OF ATLANTA;, BEACH BUILDING & ZONING CITY OF ATLANTIC BEACH yLtj f. M,1NY 0 SEMIN LE ROAD PIOAILW BEACH,FLORIDA32233-5445 J� TELEPHONE: )?�7-5800 FAX:(904)247-5805 t ar: S SUNCOM:952-5800 t Xkaslant -beach_Mus j31}_a PILAN REVIEW COMMENTS Permit Application Applicant: Address: Project: Your application is approved q�Your permit application has been reviewed and the following itenns need attention: t t� tt)'Itu' �t c � City of Atlantic Beach - `fd� REPRINT G/ "* CU�S;IRER RECEIPT per: t e 5%ITH el Type,iptCnoDrarter Descriat ion em Qty Amount MW BP 4UI I PPMITS 1 :DAVID D .80 1736 KIRSTEN, C. :59.17 Up UTILITY PAYWff 5.88 Remaining balance: DAVID C. 14W KIRSTEN, 564.21 Up UTILITY PAWff S.� Remaining balms' g D. ion when these items have been completed. YA31882 KIRSTEN, 537.77 Up UTILITY PAYMENT $.0. RemYA3 balance: KIRSTEN, STEPIEN42 :37.77 i' Up UTILITY MMff S.0 Remaining balance: I 6 Date Tender detail 13333 -92 Totalltte DEW $333-92Total Payment Trams date: 5/87/83 Time: 12:36:36 Apr-Za-Z003 n::4°air From-HEARTLAND Li3STOo1=R SERt+1Lf 6627Z62184 T-6(17 P 001100! F-3TT -rodwct SDecification Sheet I All SOpet P01Y110r and S"Ixt vinyl S;rang Satt3t trs..I Ace;;inr.r• aifacture,t by Mc4r4sand art moat tlMM z..iu>ve rornwta- {� ......., rtuna -n+cn novo Inc tolloa.in r 4013 ,yccification. tL_te�+a�:...�- i 6 P°PC�'ca c__._._____ Til1CKNESS: SOFFITS .042* :v.n r0.,.,rn•,an.seri: 044 046 `�ir.Iirlst ai•�./ tui s' .(}G6* .W-itjawoors 042- WOOD trig�,-��,ee9+•��^ Fn.Maat>flt!Ot 52 RMccsmn) , so.•..o...eF .051 8" .046- es "` .04611��,�i�-..r.:..Lo SPIR, m mss* o�ax- >+ �� T y u44* rrer.er { -i1�) �Ctll ►RF i tom• Sp�ltf{Aft 501W A01 TEST RESUL-M 040 Impact Resistance(ASTM 4226). . . , . >60 in.I Ib NA"VE Negative Winn Load(ASTM 5206) 55.5 PSI SpeC1lIC Gravity,. . . . . .. . . . .. . . . ..-..72;t ..�i..fi rr.iW.'�/ ♦♦ ais4lc S(D Strength (psi) I- - - . 7260 — HEARTLAND 040 Modal Strength(Fit) _ - - -- 376.713 >..t •"!°u"� ;�",.�`1`x r $ I�QCT ( w) Modulus of Elasttcuy m Tcmiun(psi) - Izod Impact(ft-!bilin notch) . . . . . 32.5 0 23-C 3 5 @ U°C Heat Defkcaon Temperature i 64'F CY' 264 psi('F) -vsi spw. o?+�ynm •• 'x+1 Vinyl Coctficient of Expansion(in tin'F). 3 12 x 10" Ut c.rLrni t.ro.rww. s+ c PrtNw...a.a S,aE...0 t4omsct Warp IA" �pytu,poa,t)01y Vented Solfit Standard . Acrntcd D6--13 29 Sq. tn./Sq.kt {Net Free Open Area)Hidden Vcnt=7.401h.ISy it. t triter-Vcnt T4--5.2d Sq.!n/Sq-Ft.(16.98 Full vent)D5"Al l sq-InJsq-f. art at 10Q and The following fire hmz3rd classi it�ntron is cstablished by Wiaer�wriiers l.aboraloncs for the product in companion with red asbestos-dement boani at 0, Flame Spread. . . 25 Filel Contributed . . - 6 Smoke D risity Dcvclupai . . . . . . . . >500 All sidu)S,soffit a.^d&_'eesst res tnanufaiturcd by Hc-4nland have a Class A fire r4atb based un ASTM F84 test results A1!siding,Soffit and accessories nialiufaeturcd by Hcan)und cocci srxcificxtia:;in accordaritc with ASTM I3 635 and ASTM gn 19-85 ccrtificeuon of a fire endurance rating of i nott. litipatant.Fire Safety Information-When rigid vinyl siding is d" sccS to iigaifieatit :Ica!or fl4atte, the vinyl will soften, sag, niers, ni burrs, tins may thereby cxpose material undemearn Care utusi be rxen-ised when slit or underlaying matcnmis because many tir►tier{syment malenais art awdc trurn.orient matctlals qui Ore eomoftstible.You should a«ertnin i. fir:properties Of usidoziaymrnt matcnab prior to installation .til building miacnals shotald b:insudkd in accordance with 1oeal,,Iatc and fcdcrai building code and fire regu(suons All Heartland siding, soffit and accessaries are conii4ered by the maker it, be supertor pruducts in both performance and weather rrij!jj4ncL All product`-are extrsded fent stid formed immediately after a;tfuiiOn to If1wrc a untfurr"prx"I"_: tleorilarid Buil4ing P-10ducls. Inc prtitluets fcatum a Jow glus,natural pinna finish and ase not painicd,So there is no paint to wear tet chip Off. All pmdugte manatacturea by I4e3T'isrt4 Btuldiag Products.lnc.meet or cx.ccd stunddus set by 19 t)0,B O.C.w.S$-C C!,i C 8-0. +' alta ail stp&rds set by MUM=Society torTesting snd Matenak(ASM as specified in D-36+9 HEARTLAND BUILDING PRODUCTS,INC. wwmi-hewAaridsiliing com 300 Park Place - P0,Boit 880 - Booneville.Mississippi 38829 662-728-6261 FAX-662-728-2194 Cote 0 19-0-90500 lievtscd 3x)3 CITY OF ATLANTIC BEACH j rL`JfG�J� 800 SEMINOLE ROAD ATLANTIC' C BEACH,FLORIDA 32233-5445`�� TELEPHONE:(904)247-5800 r J FAX:(904)247-5805 S) SUNCOM:852-5800 / J http://ci.atlantic-beach.fl.us 55S 19? PLAN REVIEW COMMENTS Permit Application # 0---3 - S 7 (aG Applicant: L: C �'; Address: IS Project: =iE� o Your application is approved r�Your permit application has been reviewed and the following items need attention: 1Iola 5\A V-VG Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date rJa33��' City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.fl-us BUILDING PERMIT APPLICATION (FOR NE ALTERATIONS,MOVING ORDDEMOLT ON)ADDITIONS AND AL DATE z1 - 123 JOB ADDRESS OWNERS NAME/�/� ADDRESS Z�1 /� PHONE: LEGAL DESCRIPTION: BLOCK NUMBER _ LOT NUMBER ZONING DISTRICT _ STATE LICENSE NUMBER CONTRACTOR ADDRESS �% � PHONE CITY STATE ZIP FAX 1 DESCRIBE PROPOSED USE AND WORK TO DONE ✓ C obi � PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION feet b feet Is this an addition? A/0 If yes,what are the dimensions of the added space: y Will the added area be heated and cooled? — New electrical or increase in service? — -� New fire lace? `� New heating/air conditioning? New plumbing fixtures. p Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? NO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of theP b is Works removed Depart pr tis required prior to issuance of a Building Permit. NO. Applicant certifies that no trees ❑YES. Removal of Protected Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRE PROCEDURE: (In order to expedite issuance of permits, please follow all steps and pro__ information as appropriate.) Appraiser's acks for the proposed construction. If you are unsure of this information,please contact e STEP I. Verify zoning designation and proper setb Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation,please have Property Apps Real Estate Number available. 1/27/02 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this applicatin is correct. / ,7 Signature of owner: 4,�/ 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: /� /� /� �i✓ _ to , ( — ►P��4 r Mailing Address: Telephone: L Z 2- ' Fax: 0�)-V3 SSS ` 4�;,317Z AS TO OWNER: Sworn to and subscribed before me this 22 day of 10, 20 State of Florida,County of Duval Notary's Signature; .11"%.141' TRACT 130"OROVE MY COMMISSION#DD 161134 EXPIRES:Ocbber27,2006 ❑ Personally known it, BmMThruNorWPlftUndermmm [Produced identification / Type of identification produced R [ '. ( Ce4- I _ AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 . http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/14/03 CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: 2 d� Job Address: CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMFF UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT rr FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TCLEARLY OBSEHIRING RVE IRS WITHHO ING TAX AND/OR FORMI 99 REQUIREMENTS TS IREMEN E EMPLOYERS AND SHOULDALSODON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. VE SCLOSURE STATEMENT YTH EBY ACKNOWLEDGE THAT I HAVE READ THE WTALL THE REQUIREMENTS O THEISSUANCE F AN OIAND THAT I OWNER-BUILDER PERMIT. COMPLY PROPERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS CAU DAY OF I 20(%j JTRACI BLANCA WVE NOTARY PUB C MY COMMISSION#DD 161134 4' •., P EXPIRES:October 27,2006 MY COMMIS ON EXPII2ES: N r• Ponuwer/Client B "2 :�',iffcr,'_P.8 Pz --- Proparty Address 281 "5th Street _ __ _ --- _--- -�__._ --• - Sr�t2 Florida ZiD Code 3223 _ _ - !C'.IV 4tlGntic Beach ___ __. County ! uval f �• Wachovia Mortgage Corporation_ .��...�..�� MAT" HO W I UR YEN F i. 1 7. An MOWAY tI T T 2 RS f 'r7F 7 t Iil I IX" 1 83 l P TW CURRMT IC RF=RDS OF D WAL CCUWI"f, @q LLli4, pp L�`t S � � 9 FRO 1/2't_P � f fNu t/2-€.P No, vD46 _ ! pA4+diE 104,} milo - Lot 2 AME ESIt # CEd a No. 201 s Lit d4L t t31 a1 STREET Holt a- I I. ANGLE AS PER PLAT .`t idly B_3t.L- AS FUER PL tj� L IN P'L JW t T� `C" R`.i ;" U4 TM WARD €fit ATLNMC W—NOf, no iUD�k, I 9C ,ZgRTlF'Y wCL1�F'{:k P. 6 PATUICIA .e't. f]Catv:. ili: �. A D ��: .AawAW THAT 14tXNT, SANKM 1w LA3ai7B As S4::Iow 'IN TM A"We rjf)'t AW ' 11�Z?+ t 7 «tL.1C�. Y�y f1TlAT1`Zf"d71"+'S "A'ie!7{J^lAT'1SfR' T �[y'TW DgSWIa�4Y T y 3 ' ,* S AP 19 ? TRUE Afi3 COMM ' 53NEVM CHAVM TW F[Uy /A opyllp-@ AS FCrm MAP.('LAT—'lll(AL (Y':�'a(O.Ji"aG.)rZ7Jdl i�i'.ca:e b`a,D iro1 ,inc.—1-3CU-ALXv=F. - REQUEST FOR CHECK Date `` August-5 19 87 Payable To Patti Brown Address 281 15th Street �I id State Flora Zip Code 32233 City Atlantic Beach, i1�lY . -Charge To Account No. 01-329-1000 5000 Ch V� Amount $ N Or Charge To 1 fl For refund variance application fee � l Commission to review ordinance REQUESTED BY APPROVED BY: APPROVED BY: Rene' Angers FINANCE DIRECTOR CITY YANAGE'�Tll Nus" TOPSA FORM 1218 Please Type or Print in Ink Application Fee $50. 00 APPLICATION FOR VARIANCE Date Filed :------------------ TO REQUEST A VARIANCE FROM THE REGULATIONS INDICATED HEREIN, BECAUSE THERE ARE PRACTICAL DIFFICULTIES OR UNNECESSARY HARDSHIPS IN CARRYING OUT THE STRICT LETTER OF THE CODE OR ORDINANCE. THE UNDERSIGNED HEREBY APPLIES FOR A VARIANCE AS FOLLOWS: Name and address of applicant requesting variance: Note: If the applicant is other than all the owners of the property, written consent signed by all the owners of the property shall be attached: C1// ,<< �_-- �'L�GLln�- Work:-3'-e,Phone 95/3 _��__��-5�------------- -- Home:_ Home:_r T _qT ------ ---------------------- Variance is sought from the provisions of the: ( ` ) Zoning Code ( ) Building Code ( ) Plumbing Code ( ) Electrical Code ( > Mechanical Code ( ) Other Location of building or structure: On the ----f 1i)�-_3 11----side of------ ---------------------------- no, so, east, west street name Street address and legal description of property : Note: Attach copy of deed, and survey or plot diagram indicating proposed construction. --------------------------------------------------- Zoning Classification: _� ________ Section of Code from which variance is sought:_o�----- -- _-___ Describe variance requested:_-- ---- ---- �------------An ---- ✓'� �c r .�__ a U�_�------------------------------- The reason variance is being sought: / G��l� CD� s�` 'u c e of -�/_e------ `Ja � 2e�__ � 'Wa`? C/arcs ---- ---------------------------------- Supporting data which should be considered y the Board: s- Same_ ---- -- //, 2r� y /e -------- _ --------------------------------- 140a ! d Are construction plans submitted with this application? 14-1 ______________ What is the applicant' s interest in this variance? 2�d e � 1 ----- IN FILING THIS APPLICATION FOR VARIANCE, THE UNDERSIGNED UNDERSTANDS IT BECOMES A PART OF THE OFFICIAL RECORDS THE CONTAINEDCOMMUNITY HEREIN OISETRUEOARDO AND DOES HEREBY CERTIFY THAT ALL INFORMATION THE BEST OF HIS/HER KNOWLEDGE. / '3—---------- ---------------------------roperty _ `=- ---- Signature of owner of the property Signature of applicant/applicant s g rocessed authorized agent or attorney. If Application cannot be p agent or attorney, include letter without owners signature. from applicant to thateffectNNNNNNNNNNNNNryHNNNNN--------------------- NNNNNNNNNNNNN not NNNN Applicant : Do fill-in beyond this point. However, be prepared to items: respond to the following NO YES 1. Special conditions and circumstances exist which ichare e, or building peculiar to the land, structure, and which are not applicable to other lands, structures --- --- or buildings in the same zoning district. 2. The special conditions and circumstances do not --- --- result from the actions of the applicant. 3. Granting the variance requested will not confer on applicant any special privilege that is denied by the PP buildings or structures in the the code to other lands, ___ --- same zoning district. 4, Literal interpretation of the provisions of the code would deprive the applicant of rights commonly enjoyed b other properties in the same zoning district and y and undue hardship on the would work unnecessary ___ --- applicant. ance at will ke 5. The variance is the musemu thelland, thbuildingmaOr --- possible the reasonable _ structure. n harmony with the general intent --- --- 6, The variance is i and purpose of the code. 7. The variance will not constitute any change in the --- --- districts shown on the zoning map. g. The variance will not impair an adequate supply of -- --- light and air to adjacent property. 9, The variance will not materially increase the ublic streets or ipublic in the congestion in P --- danger of fire and safety. 10. The variance will not materially diminish or impair nding area. --- --- established property values within the surrou 11. The variance will not impair the health, safety, --- --_ morals and general welfare. COMMUNITY DEVELOPMENT BOARD REPORT AND ACTIONS: MANDSHOWING SURVE40F 15 PACE 83 OF THE IC BEACH PARKWAY UNIT 2 AS RECORDED IN PLAT BODK LOT 1 BLOCK 7, ATIA' FLORIDA. CJ�Wr PUBLIC RECORDS OF DUVAL COUNTY, I LOT 3 1 FND 1/2��1•R FND 1/2~I.P. F 60.0 NO. 1048 N N n 19.8 20.2' I STORY CONI. 14 FRAME ci DRIVE N GARAGE " 6' 20.2 W i9.s :;..r ..I3.s _� -0Y CONC. N N PATIO - 19.9, 30.2' 9.9 0 3 LOT 2 O O ~ 0 1 2 STORY O Q0 FRAME N 0 m RESIDENCE M V a on No. 281 W a d N 19.9 30.2' 9.4 Q W3• CONC. STOOP Ca Q1 r(j N CONC. N WALK FND. FND 1/21.P 60.0 15th STREET 40' R/ W PAVED NOTES I. ANGLE AS PER PLAT 2. NO B.R.L. AS PER PLAT SHOWN F��RF•ON LITS IN FLOOD 2.ONE "C" ASSI�JN ON THE FLOOD I ti;�tEBY CER`TI� THAT THE PROPERTYFS,ORIDA. ,ARD piARY MAP FOR ATLANTIC BEACH, TITLE• CAMERON ;BR(3#N# AND SAFEC`O` IN .THE 'ABOVE CAPTION AND THAI I HEREBY CERTIFY TO CLIFFORD AVF VEYED I "I AS ��N SURVEY REQS INSURE 'COMPANY THAT I 'AND THAT , ()F� PRO- IS A TRUE AND CORRECT REPRFSEt�PrA'I'ICkt OF"THAWS , ;VLORIDA STATE BQAR� ,THIS MAP MINIMUM STANDARD REQUIREMENTS A� TITLE ASSOCIATION- :M�01V MEFM THE FLORIDA HAND -FE•SSIONAI. LAND SURVEYORS CHAPTER 21—HH AND THE THIS SURVEY NOT VALID UNLESS � h 4 SEALED WITH AN EMBOSSED SEAL RECHECK SEPTEMBER 29,1986 DONN W. BOATWRIGHT, L.S. OF SURVEYOR SIGNED HEREON FINAL SURVEY FLORIDA REG. LAND SURVEYOR No. 329 JUNE�241986 DAT SIGN D:4C PI /�SCALE: ' _ BOATWRIGHG SURVEYORS, INC. gHEET_L OF 1 DRAWN BY: /� - 1301 PENMAN ROAD SUITE D DRAWN '� - JACKSONVILLE BEACH, FLORIDA 241-8550 [Space Above This Line For Recording Data] MORTGAGE cBc Loan No. 808988 ("Security Instrument")is given on............Q•9t4 � �' ••••••'•'• i' ................................ THIS MORTGAGE (., y azzd..P,atra.aia..A.....137r'a�•►...l�,s..7d.7. e............................... 19..86...The mortgagor is.......Clifford-.P..•••BQ This Security Instrument is given to................................... ("Borrower"). exists ... ••••••••••••••• .,.•..., which is organized and g C.AM�1tOl�-�R,R�IN.GQI� ............................................ and whose address is ..................................................... ("L er under the laws of...N.o�th.Catn •••••• :........ ...' end • SIG.2.7.6.1�...................................................................y...... 4300,Six.Fnrks•Road,P' Q DQx•1$1Q9'' i ht Thousand and NO 100 -------------------- Borrower owes Lender the principal sum oDollars(U.S.$...$.O,.00.R..O.R..........).This debt is evidenced b Borrower's note --------------------- with the full debt,if not .............................................. . )) This Security dated the same date as this Security Instrument ("Note"),("lot•2b'16 which provides for monthly payments, ....... paid earlier,due and payable on .................. by the Note, with interest, and all renewals, Instrument secures to Lender: (a) the repan of all other ent of the sums, witebt h intedrest,advanced under paragraph 7 to protect the reements under this Security extensions and modifications;(b) the pay g rant and convey to Lender the following security of this Security In and(c)the performance of ebyrro ortg covenants and ag County,Florida: Instrument and the Note. For this purpose, Borrower does Duval mortgage, g described property located in ................................................... .......................... Block 7, Atlantic Beach Parkway, Unit 2, according to the plat Lot 1, 83 of the current public thereof as recorded in Plat Book o 15, page records of Duval County, s . a. { • • J acksonirille.......................... 281 15th Street ........................ (C i..bl which has the address of ............---......................•••['street) •�•�1 ("Propert Address"), t!� kir� ��r ..�l.feP.33 .i. yY ai1M�a2�.to�` Florida . ... ... ............. (Zip Code) , ro rt and all easements, rights, TOGETHER WITH all the improvements now or hereafter,erecc ted on the p pe appurtenances, rents, royalties, mineral, oil and gas rights and profitwater rights and stock and all fixtures now or this Security Instrument.All of the hereafter a part of the property.All replacements and additions shall also be covered by foregoing is referred to in this Security Instrument as the"Property." ht to BORROWER COVENANTS that Borrower is lawfully seised s f the unencumbered, except for conveyed for e umbranc sand has hofTreco record. mortgage, grant and convey the Property and that the Property Borrower warrants and will defend generally the title to the Property against all claims and demands, sub)ect to a y encumbrances of record. nal and THIS SECURITY INSTRUMENT combines uniform covenants instrument do ringsreal propertyniform covenants with limited variations by jurisdiction to constitute a uniform security Form 3010 12/83 FLORIDA—singe Family—FNMA/FHLMC UNIFORM INSTRUMENT CBC 1443(Rev.8/85) CITY OF f4mw- Office of Building Official REQUEST FOR INSPECTION Permit No. Date / District No. Time P. Received C S t- orality Job Address Owner's Contract MECHANICAL Name ELECTRICAL PLUMBING BUILDING Rough ❑ Air.Gond.& ❑ Footing ❑ ugh wiring ❑ ❑ Heating Framing ❑ Slab �mp Pole ❑ Top Out Fire Place ❑ He Roofing ❑ ❑ Pre Fab Lintel FOR INSPECTION A.M. - Friday --P.M. Mon. Tues. wed' '`-�.—� -P:M. Inspection Made F -- [1Jj Final inspection❑ Inspector rr K ��+ Certificate of Occupancy Date CITY OF 4&4121W c Office of Building Official REQUEST FOR INSPECTION — 9 Permit No. Date r TimeD0 P.M. District No. Receivedn Q 1,5 oG V / r,", Locality Job Address Owner's Contractor' Bame� MECHANICAL U) CONCRETE ELECTRICAL PLUMBI nd.& ❑ ramirl ,� Footing Rough Wiring E Top Out ❑ Heating Re Roofing ❑ Slab _ Temp Pole E Fire Place ❑ Lintel Pre Fab READY FOR INSPECTION A.M. Mon. ,.Tues. Wed. Thurs. Friday � _P.M. A.M. Inspection Made fKERBER Final Inspection❑ Inspector Certificate of Occupancy Date 3586 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------- LOCATION INFORMATION ---- Permit Number: 3586 Address: 281 FIFTEENTH STREET Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 322,_ Class of Work: ADDITION ------ LEGAL DESCRIPTION ------- Constr. Type: WOOD FRAME Lot : 1 Block : 7 Section: Proposed Use; SINGLE FAMILY Township: RNG: 0 Dwellings: I Code: 0, Subdivision: ATL BCJ PKWY #2 Estimated Value: $4000- 00 Improv. Cost : $0. 00 Total Fees : $45. 00 Amount Paid; $45. 00 Date Paid: 4/ 1/91 PENSION OWNER INFORMATION APPLICATION FEES Name; POLLY & CLIFF BROWN PERMIT $45. 0L) Address : 281 FIFTEENTH STREEI WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA 33 SEWER IMPACT FEE $0. 00 Phone: (904)241--1639 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 -------- CONTRACTOR INFORMATION RADON GAS - 5% $0. 00 Name: LUCKIN CONSTRUCTION WATER TAP $0. 00 Address: 241 ATLANTIC BLVD. SEWER TAP $0. 00 ATLANTIC BRACH, FLORIDA 32133 HYDRAULIC SHARE '$0. 00 License: CRC044823 Type: 7 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE S0. 00 OTHER $0.00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." 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: , TL Address Heated Square Footage "to P @ $ per sq ft = $ Garage/Shed — @ $ per sq ft = $ Carport/Porch ( � @ $ per sq ft = $ Deck S� �� @ $ per sq ft = $ Patio V @ $ per sq ft = $ U, TOTAL VALUATION: To a uation lst $ 0. 0 0 3 $ / Oa RemiAder- Valuation s Pa per thousand or portion thereof ------------------------------- -----------� Total Building Fee $ ,3 �• �'� ADDITIONAL PERMITS and/or FEES REQUIRED + k Filing Fee $ Mechanical ; Fireplaces @ 15.00 $ _ Plumbing ✓ i BUILDING PERMIT FEE $ YcS- Electric/New ------------------------------------------------- Electric/Tamp Septic Tank BUILDING PERMIT $ Well WATER METER CHARGE $ Swung Pool SEWER Il"IPACT FEE $ WATER IMPACT FEE $ Sigh Water Connection MISCII�ANFOUS $ Sewer Connection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ �/ J� �0 ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES CITY OF -- ROPERTY DESCRIPTION e� 716 OCEAN BOULEVARD ---__-_- Block # Section # P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 Subdivision•---r L.L- ��-ie_$�_IL _PJwq- J- z ri Street Name �, DESCRIPTION OF WO Dr Address:-- ---- - --^-_ S� ---- ----- If in a FLOOD HAZARD MAR 2 5 1991 Mood Zone:-------C- ----area complete page 3. Brief Description:-YQ=� -{ � Y Class of Works (New/Remodel/ dditicn ______________ TONING INFORMATION Type of Construction:___W-Lcca' _. CZ✓Y)e honing Proposed ,, LL� )istriet:---------Use: Estimated Value $ 9+ U 00 xceptions or Materials: lariances Granted:------------------------- Solid or Filled ------------------------------------------- Grounds-------------Roof'----------- OWNER INFORMATION Method of Heating:______,,,___________ Property Owner:_� _ � -----,�1!QI_l�!7____ ________ Phone:__ `�� rr Li--------- -------------- Mailing 4-h Address-- ---I ------5}--------------------------- --47;;L-L- _j e---- `-'�L- -+----' i---------------- Zip'-- -�-'�- 3 3----- CONTRACTOR INFORMATION � Contractor:- V O�� S}' --C ( ------------------------- Phone:-----------^-- Mailing Address:__2--!±-----A 0--n--C --�L-vd--A- B L v-, BL_v-, :�)-2 Z - ---- Zip: ---------- ---------- Expiration License Number:-- �< <J L"t tl5'Z 3 __-_--___- Date:----- I ate:____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 WORN 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 PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLA14S AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature Date Contractor Signature__ _ ------ _____Date_ _ - - l./ MAF SHOWING SURVEti OF 7, ATLANTIC BEACH PARKWAY UNIT 2 AS RECORDED IN PLAT BOOK 15 PAGE 83 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. APPRoNED CITY OF ATLANTI ', BEACH PLANNING 70NO G OFFICE APR 1 '991 LOT 3 By FN D 1/2"1.R No. 1048 60.09.8 ' FND 1/2"I.P. Z0.2, I STORY wN COvf.C. N FRAME i 0 GARAGE W 20.2' PATIO 3 19.9 30.2, 9.9 o LOT 2 cnO 0 0 a 2 STORY 0 0 FRAME RESIDENCE No. 281 > CL 2' -514 olk/L cf) t,--Y-7-C—A,7S 10 < 19.9, 3012, 9.9 W ti CON C. STOOP a) CD r1i 90 cli CONC. WALK F ND 1/2"1.P 60.0 FND, 1/2"I.P. 15th STREET 40' R/W PAVED NOTES I. ANGLE AS PER PLAT 2. NO B.R.L. AS PER PLAT I HEREBY CERTIFY THAT THE PROPERTY SHOWN HEREON LIES IN FLOOD ZONE "C" AS SHOWN ON THE FLOOD HAZARD BOIJNDARY MAP FOR ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO CLIFFORD P. & PATRICIA -A. BONN, CAW" BROWN, AND SAFEOO'TITL9! DiSURANCE COMPANY THAT I HAVE SURVEYED THE LANDS AS SHICIWN IN THE ABOVE CAPTION AND THAT W THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY,AND THAT'THE' SURVEY' REPRESENTED TIER]EON MEETS THE MINI" STANDARD REWIRDTffIS ADOPTED sy'THE FLORIDA STATE BOARD OF PRO, mFZSSIONAL LAND SURVEYORS CHAPTER 21-HH AND THE FLORIDA LAND TITLE ASSOCIATION. c:) bw' 1121) rz 5" ca 9 , THIS SURVEY NOT VALID UNLESS -r=3 SEALED WITH AN EMBOSSED SEAL RECHECK OF SURVEYOR SIGNED HEREON SEPTEMBER 29,1986 DONN W. BOATWRIGHT, L.S. FINAL SURVEY m JUNE 24, 1986 FLORIDA REG. LAND SURVEYOR No. 3296 ,&�!GNPED: SCALE* DAT BOATWRIGHT LAND SURVEYORS, INC. 17 DRAWN BY: 1301 PENMAN ROAD SUITE D FB_ *' JAr.Kqr)NVII I F: REACHm (-)PinA 9A1-AAAA SHEET OF MAF SHOWING SURVE) OF BLOCK 7, ATLANTIC BEACH PARKWAY UNIT 2 AS RECORDED IN PLAT BOOK 15 PACE 83 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. APPROVED CITY OF ATLANIC BEACH PLANNING & Zn NG OFFICE APR 1 1991 LOT 3 JJJII By s.��rrr FND I/2"I.P. FND I/2"I.P. No. 1048 60.0 tV -N ui IA 19.8' I STORY "VEc FRAME o " GARAGE " W ::.19.8 s':. zo.z' / GONG. H �.3.., PATIO — N f� 3 19.9 30.2, 9.9, F- o LOT 2 Q I N O 1 a 2 STORY p _o FRAME m RESIDENCE n " W No. 281 F— i 7i�to S IOGc/6k Q 19.9, 30.21 9.9 W ti CONC. 3 STOOP co Kj M CONC.- � N � WALK F ND 1/2"1.P 60.0 FND. 1/2"I.P. 15th STREET 417 40' R/W PAVED NOTES• I. ANGLE AS PER PLAT 2. NO B.R.L. AS PER PLAT I HEREBY CERTIFY THAT THE PROPERTY SHCWN HEREON LIES IN FLOOD ZONE "C" AS SHCWN ON THE FLOOD HAZARD B=4DARY MAP FOR ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO CLIFFORD P. & PATRICIA .A:' BUM, CAMERON BRCl^, AND SAF'ECO'TZTLE 'F— IIISURANC E COMPANY THAT I HAVE SURVEYED THE LANDS AS SHCWN IN THE ABOVE CAPTION AND TMT p THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVET•AND THAT'THE SURVEY REPRESENTED �a c)r) N HEREON MEETS THE MINIMUM STANDARD REQUIREMENTS ADOPTED 13Y THE FLORIDA STATE BOARD OF PRO- a., •FESSIONAL LAND SURVEYORS CHAPTER 21-HH AND THE FLORIDA LAND TITLE ASSOCIATION. CQ 4 Cr.. =3 THIS SURVEY NOT VALID UNLESS 1\1 CrM SEALED WITH AN EMBOSSED SEAL RECHECK + .�t+ J (x OF SURVEYOR SIGNED HEREON SEPTEMBER 29,1986 DONN W. BOATWRIGHT, L.S. ! FINAL SURVEY FLORIDA REG. LAND SURVEYOR No. 3295 JUNE 24, 1986 SCALE: '"_ BOATWRIGHT LAND SURVEYORS, INC. DATE 4 e7 /-Is, DRAWN BY: /Vrc-- 1301 PENMAN ROAD SUITE D SHEET/OF 4 F.B. f: JACKSONVILLE BEACH, FLORIDA 241-8560 6yISt1 .16 , SiJ2 fps OATH tDOU i:. Sf!U1tiE.J2 c�yvz cCccr€-� SHowee croon FLoo2 'PL.AN b10cY SCA L.{ 74 _ ! - / . ` ADS,. ;;.,_,:,� ..,::_ ,.,_.. • . APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE AR 2 9 1991 �._ ?+t e Poor Q-A Fre iz F Is 4; r- et,-i 26ye Ftsc.aGulSt 41, _ r' � Y r ��y :15 volt'• A t L_ r Oxy. SP2t,CE. ZIc 4 f.1, :bol-rom Pc,t>TE MdUa ��rC �`h3 [ox u>wm 5 44 S 2r~: 2jA1< lNTF2r0/1. F I.N1St! ..{�a`' .G2ec f,)12GCrPTI(Z SF{ObvCIZ LfYN 1;lLt 0A- 00o2 wAtt S, C :tIfu6 +. -MAR 2 5 '1191 Building and Zoning BATµIWO t V-1 y r[trcrr*� r St�JeE pool¢ 5: F LO O Q PLAN A$S ou�LrL` ✓CA L �4 1 i j i APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE AR 2 91991 ?,te poor- vilprFILf. Is 4:- r- ej,T, 20 YA? �rBi!!<tjt:5 S#?f1G t S iti. rr`;! 7rtir clrN(9 TS 1 1 CAL C- 14 5 P2 C Z)c 4 f'.T° $oT-rom Pc.nTE . —; M nUo41 FiG C-I-A 3 w Wen S .� s 2 LhiY AFC I NTF2tOf1- t C-F 1Sf .GRE{:N0,6CC SIJ IIt Sg0PUtIt - L1YN T"IL.N. 0� �cGoe � wrltc � la MAR 2 5 1991 Building and Zoning CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FI 32233 - Tel. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21482 Address: 281 FIFTEENTH STREET Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: ROOF Township: 0 Range: 0 Book: Proposed Use: Lot(s): 1 Block: Section: 0 Square Feet: Subdivision: ATL BCJ PKWY#2 Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 2/20/2001 Name: POLLY & CLIFF BROWN Total Fees: 25.00 Address: 281 FIFTEENTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/16/2001 Phone: (904)241-1639 Work Desc: Re-Roof House _ CONTRACTORS APPLICATION FEES ROMANO ROOFING SERVICES PERMIT 25.00 J jnip_ecfio_nsReq uired 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. $25.88 14 Date: 2/21/81 81 Receipt: 8835819 CITY OF ATCH CASH LA TIC B 88186883221888 68106803221888 _ 7Ic�6- 56gf S7� — 61V2 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: ` , S'r A OWNER OF PROPERTY' " lir d�o TELEPHONE:: L �b r`� L`� CONTRACTOR: C�l/'�� a O4- 4^� CONTRACTOR'S ADDRESS: �x 3 / ? ,arc'_ 2 (1-7 -ZIP: ZZ 3 STATE LICENSE NUMBER: CC`• 4f C7 S o ! 6 TELEPHONE: DESCRIBE WORK TO BE PERFORMED' �C> VALUATION OF PROPOSED CONSTRUCTION v U V MATERIALS TO BE USED: �f►� ,GtARIAJ.CASTERLINE-M L,AUGHLIN SIGNATURE OF OWNER: Uacx{n6739 EXPIRF&December 8.2004 /.000,,�WTAW Fl NOMY SOWioe&80nding,Mc. SIGNATURE OF CONTRACTOR: �4t"*& GWRIALCASMUNE-McIAUGHLIN MY COMMISSION#CC 976739 1 � @ EXPIRES:Dec 8r SWORN TO AND SUBSCRIBED BEFORE ME THIS / (; DAY OF J AS TO OWNER: r ^� NOTARY UBLIC SWORN TO AND SUBSCRIBED BEFORE ME THIS G_ DAY OF <� j AS TO CONTRACTOR OTARY P C Liability Insurance Supplied Workers Compensation Insurance Supplied Contractor License Information Supplied Occupational License Information Supplied NOTICE OF COMMENCEMENT TO WHOM IT MAY 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 General Description of Improvements P�� c� OL- Owner C , I / ��L✓�i/ Address:—:- 3 3 Owner's interest in site of improvements: Fee Simple Title Holder (if other than owner) Name Address Contractor o o o Z- ,37 Z 33 Address Surety (if any) Address Amount of Bond Name of person within the State of Fiorida 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- Xan a-ed •McLAUGHLIN CC,976739 Owner er 8,2004Bor4%Inc.Swoe this day of a Li-8,00 MYfr)'.:rat5cf= N CC976739 Notary P lic ber8,?004 TAM rc YOU-y &Bondin9,inC CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ►� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000904 Date 7/11/08 Property Address . . . . . . 281 15TH ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc lcu lahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BROWN, CLIFFORD OCEAN STATE HEAT & AIR, INC. 281 15TH STREET 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/07/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 07/07/2008 16:34 FAX 9042498949 OCEAN_STATE_A/C ATLANTIC-BEACH 001/001 CITY OF ATL ANTIC BEACH .�, MECHANICAL PERMIT APPLICATION Date_ Property kdd cess: Owner_ �'�/ sC� °� �� 2elepho>ae 1 Contractor DCjean _"1� �-t~iCG iC Telephoae#:!�Q—��dfil_ _Contractor AdciTess:lqT(�'��.I�.l�• _ �� in eoaardamdan of permu myen for dohus the woo:ac dcacribed in the above amcemoOL we hereby a6rec m perfam said wroth im aeeoroance with mt anached plans and"Ce fi=mx which are a psc hereof and m accordance with the Cin'of Atlantic Benrh ordroances and maduds of and prgclicc listed therein. Type of T•laffing Fuci. if other t>m==tion is bring dtu onthLo bui]dmg or site,list the buU&ng pmmh number. ' �Blectn.c � i ❑ Cm. LP Iq=ral �Ceritzal T WAY 0 O1 ❑ Otber-Svecii'v bUKCH6t UCAJ EQUIPMENT TO BE INSTALLED NATURE OF wQfia G�Ieat Space _Recessed . �Cr�ntrfll _Floor V"' Rmd, eAvConditicning-. _Room 1/Coatr'al 0' Duct System: Matedal Tlucimess 0 COMMM-691 Ma-Mum capacity t� ❑ Reiii�erarion ❑ New B,ril drnu ❑ Cooling Tower. Capacity m �F.-�;tor,vBuiltiiu ❑ Firt sprinklers:Number of Heads / ❑ Elevator. 1111a1ifr Escslgtor (?Number) . Se' Rcpler�ment ofE.:iedns 5yJr= ❑ Gasoline Plmmps -(Number► ❑ TanJs9 (Number) New Tnrto]lauon ❑ Uri Contsinner9 (Number} (No 3yst®previtnuly instnlJed) ❑ Unfired Pressure Vessel ❑ B=wsion a'Add-on toEmsting System 0 Boilers 0 Gas Piping - -- U Umer. pe -- Q Other-Specify ' LIST ALL EQVPlV LMNT AIACOMDMO"G,RLr MG)Z LAV014 LQ=lvltd2"TY &CDrTDIIY30It'S AppmVm6 Manufianrrer Tva's AMOY lei i,[lois Descn� biodelJ . . ,. H tI�1G—RtWAC,S,SOUZR5,M12FLACES,k AM SANDL='9 APPReY Number Units Da zpooa Model t MoLv acturer ETLTs Agency 30 TANYCS Naminui Capacity T.ypoliquul Ldial p+RPta`/�B Floe Many dt Dimensions Coalained h�faaufraurer ' No. P.rrtnev 300 5etnu�oic Rand • Atluntle Bruch, Florida 3=33-5445 ' 9L _.. rnn.,•,• ,- Tenn CITY OF ATLANTIC BEACH YCH_ JCAL PEP-MIT APPLICATION Date: Property Address: Owner. L1- 16CA"N Telephone#✓'7(t�"�o��S� Contractor: C) n `-1( 7-61 �~ � �� C Telephomne i�: (L�p- p _C.ontracto.r Address:.C4��D U 1��C� Fax;T:.��Q'�`'1�-1 In consideration of permir given for doing the wort:as descrfoed in the above sraremenT.we hereby agree to perform said work in accordance with the attached plans and spec6cations which are a part hereof and in accordance with the City of Atianric Beach ordinances and standards of goodpractice:listed therein. Type of Heating Fuel: if other cons action is being done on this building or site,list the building permit number. vl lectnc _. . _- ❑ Gas: LP Neral t�_mral Utility ❑ Oil ❑ Other-Specify 1VIECEA^iICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space Recessed . L-15zntral _Floor p-I' Residential OoeAir Conditioning= _Room Vlfeatral ❑, Duct S=istem: Material Thicimess ❑ Commercial Ma-i m capacity c ❑ Reaioerarion ❑ New Building ❑ Cooling Taver: Capacity °Pm =' E,isiingBuilding ❑ Fire Sprinklers:dumber of Heads ❑ Elevator: _ rylanlift Escalator (-Number-') . W-0'Repiac=eirraf-E.,dsdiga-Siumm. ❑ Gasoline Pumps (i�lumbar) ElTanks (Number) ❑ New Installation :1 LPG Containers (Number) (No syst=pry rionsly installed ❑ Unfired Pressure Vessel ❑ T amsion or Add-an to Eadsting System ❑ Boilers ❑ Gas Piping - --a er- pe --- --— ❑ Other=Spa LIST ALL E Q UP-TY= AIR CONDrn0NING,REFRIGERATION EQUIPIY=&CONDFINSOR'S Approvmg Number Units Description Model t Manufacturer Ton's Agency k, 4�4 .HEATJNG-YLWACES,BOLLERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model f Manufacturer BTUs Agency 3.0 - TAi`GKS" nlominil-Capacity T_ypel.iquid Serial _ �gprRvumg • ?vlanuiacturer � How ivLmv w Dimensions Contained No. aaencv 300 Seminole Road • Atlantic Beach, Florida 32333-5445 Phnnr- nax)?.:1"-59(1(1 . Fns: (904)347-5845 a htt_n-//www ri_atlantic-bench_fLus UTILITY AGR1MENT (Water and Sewer) THIS AGRE ,M, made and entered into this 28th day of February 1986 , by and between the City of Atlantic Beach, Florida, a municipal corporation, hereinafter referred to as "City", and Winters Enterprises, P.O. Box 51372, Jax, FL and its successors and assigns herein referred to as "User". WHEREAS, User owns land in Duval County, Florida, described as follows: 281-13th Street; Lot 1, Block 7, Section:Atlantic Beach Parkway II and WHEREAS, User plans to develop said land by constructing 1 buildings, 1 residences and/or other improvements thereon consisting of a single family home and WHEMAS, The City is the owner of a water plant, water distribution system, sewage treatment system and sewage collection plant in the vicinity of the above described property; and 1,1HEREAS, User will need water and sewer service, and User desires City to furnish same; and WHEREAS, City is willing to operate such water and sewage treatment system so that all buildings constructed on User's property by User may have furnished to them water and sewer service, subject to all terms and conditions of this Agreement, NOW, THEREFORE, in consideration of the premises and other good and valuable considerations and in consideration of the mutual covenants and conditions hereinafter contained, the parties hereto agree as follows ; (2) 1. Upon the terms and conditions herein contained, the City agrees to provide potable water and domestic sewer services to the User's Property. The term "domestic sewage" used in this paragraph and referred to throughout this Agreement is defined as follows: Human waste including liquids and solid matter carried from plumbing fixtures normally carried off by drains and sewers, and except where specifically excluded bath and toilet wastes, laundry wastes, kitchen wastes and other similar wastes. It does not include commercial or industrial waste. 2. City agrees that after User has connected to the system, thereafter City will provide, at its costs and expense, but in accordance with other provisions of this Agreement, including rules and regulations and rate schedules , sewer service and water service to User's Property in a manner conforming to reasonable requirements of public governmental agencies having jurisdiction over City's water and sewer operations. 3. User shall, at its costs and expense, install all of the potable water distribution and domestic sewage collection lines which may be required on User's property, including engineering cosh to connect City's plant to the User's property, and all other facilities necessary to make it possible for the City to provide adequate potable water and domestic sewage service. If buildings more than two stories in height are constructed on the User's property, the User, at its own expense, agrees to furnish to the City any equipment which may be necessary for pumping potable water to the additional height with associated back-flow preventers, (3) At all times during the construction of the potable water and domestic sewer lines and related equipment, the City shall have access to the construction and the right to inspect the construction to insure that the lines and related equipment are being installed in accordance with the plans and specifications approved by the City. User shall construct the domestic sewage disposal lines in such a manner as to insure that no water from air conditioning systems, ice machines, swimming pools or any other form of condensate water shall flow into the domestic sewage disposal lines of the City and nothing other than sewage in its strictest sense shall be discharged into the domestic sewage disposal system of the City. City shall inspect all connections made by contractors, plumbers, builders, etc. to any portion of the sewer system that discharges into the sewage collection system owned or operated by City or contemplated to be owned and operated by City under the terms and conditions of this Agreement prior to being covered up. City shall only be obligated and will only provide water and sewer service to User's property upon 100% completion of all terms and conditions of this Agreement. 4. User shall pay a planning and inspection fee in order to defray all actual costs to City of preparing and executing this Agreement, including any attorney's fees; and conducting the inspection and testing of the installation of the User's Extension; and all other administrative costs incident to accepting the User's extension, Said fee shall be equal to one half of building permit fee. 5. User shall pay City a "Sewer Impact Fee" of $1,035.00 per residential unit and a water impact fee of $10.00 per fixture unit/or as otherwise (4) provided in the City's Code of Ordinances , 6. The City shall provide water and sewer service to User's property upon payment to City of the standard meter charges as provided in the City's Code of Ordinances ($85.00/ 5/8 x 3/4 inch meter) , 7. Payment of the Sewer Inpact Fee, Water Impact Fee, Planning/ Inspection Fee and Water deter Charges, shall be made in full at the time City approves the plans. 8. In the event, at a future date, City's charges, rate schedules or fees are revised, subject to the operating rules and regulations and approval of governmental authorities having jurisdiction, then in that event, User and/or assigns shall pay the charges, rates or fees then in effect on date of payment. 9. Hydraulic share of main extensions-payment or refund; User recognizes that water or sewer utility service to th User's property is provided by the use of a main extension and other improvements constructed by a prior developer and that User is obligated to refund to said prior developer User's share of the cost of said main extension or other improvements, Accordingly, User shall pay its pro rata share of the cost of said main extension or other improvements to City. Said pro rata share shall be based on Developer's percentage of the hydraulic capacity of said extension or other improvements. For the purpose of this Agreement, the cost of Developer's said hydraulic share shall be $ NSA With respect to utility facilities installed by User to which future developers connect directly, and in consideration for monies expended by User toward said facilites, City shall refund to User, or User's successors or assigns, solely from monies collected from said future developers, said (7) 17. Unless sooner terminated as provided herein, the initial term of this Agreement shall be 15 years. After the initial term of 15 years from the date of the execution of this Agreement, the terns of this Agreement shall automatically be renewed for successive terms of five (5) years each, unless written notice of termination of this Agreement is provided by either party hereto, not less than ninety (90) days prior to the commencement of any such renewal period. 18. It is expressly agreed and understood between User and City that there are no other written or verbal agreements applicable herein between User and City. 19. This Agreement may be amended and modified from time to time as necessary by mutual written agreement of the parties hereto. IN WITNESS WHEREOF, the User and the City have caused these presents to be executed the day and year first above written. Signed, sealed and delivered in the presence of: i U er Witness ity o At antic Bba Witness CITY OF ATLANTIC BEACH, FLORIDA Approvod 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 ELECTRICIAN SIGNATUREr JOURNEYMAN NAME �+•��E' � ADDRESS: .'/ f, ' `,+r RFD BOX I--•- /p�, BLDG.SIZE BETWEEN: A/�l& /-0 - RES. APT. ( 1 comm. ( 1 PUBLIC ( ) INDUS. ( 1 NEW / OLD ( 1 REW. ( 1 ADDITION ( 1 TRAILER ( ) TEMP. ( 1 SIGNS 1 1 SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS 2( 'COPPER 1 1 ALUM. ) SWITCH OR BREAKER � � AMPS 1 PH f)" W VOLT SIC RACEWAY ` EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED =�J� 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 Irks V TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA I NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED $ c TOTAL FEES DEPARTMENT OF BUILDING 7 513 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 4/15 OXXX 19 S6 4E eM T Valuation$ Fee$ 48.50 49411CKr 1389 19 4/15/8 This permit not valid until above fee has been paid to City Treasurer,and is 7513 o n-OLA subject to revocation for violation of applicable provisions of law. 130,14 1 A 4/1 WEI This is to certify that F.W. Fair Plumbing RF0037503 has permission to Mfg Install p1mbing Classification Residential Zone Owned by John Boo/John Tasi Lot Block S/D House No. 281 - 15th 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 „ AFTER DATE OF ISSUE --D �� O Building material, rubbish and debris i from this work must not be placed in public space, and must be cleared up and hauled away by either con- trator or owner.. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER v _ _ CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING= PERMIT p249/-.2395 JOB LOCATION o7Q �S� �1 PLUMBING CONTRACTOR F. W. FAIR PLUMBING COMPANY :j LICENSE NUMBERS MP145 State RF0037503 OWNER 1Lfees ?f/" �//..SSS BUILDING CONTRACTOR fer,CYi�Se S TYPE OF BUILDING SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS _DISHWASHERS URINALS DISPOSALS o� CLOSETS WASHING MACHINE FLOOR DRAINS OTHER 4/ TOTAL FIXTURE COUNT X3 . 5G + $10. 00 DATE /0?112 TOTAL AMOUNT INSTALLATION OF PLUMBING AND FIXTURES TMST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 1 CITY OF 716 OCEAN BOULEVARD -- P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 June 23, 1986 Pre-Service JEA 233 West Duval Street Jacksonville, FL 32202 The following final inspections have been made and are satisfactory: Permit #4802 - 292 16th Street Permit issued to Brooks $ Limbaugh Electric Permit #4809 281 15th Street Permit issued to Brooks & Limbaugh Electric Sincerely, d`1 Hilarylompson Building Department Grti f. CIr��ttr u f Y 0jr lliPtt f �� uilarn� �n$�p�. Thzs Cert: zc fate issued Ilnj Buildin Pursuant to the r Code cert: equirements fYzn�,that at the time °f Section 109 UarTOus ordizzances re °f the Souther me of issuance thin str n Standard �ulat:iz�Gui! ucture dtn�.construction ZVQs ztt co'np1ia'lc"with the Ux Classification Sill,'� or use. I'°r the croup_ F f°llotOttt, Owner of Building type COI 1, F2'a e d ding ahn So -A, Bldg,Permit No. 7 BuildinBAdd Z Jojln uc District At rcss 81 15th Stet Address__ -wry +flUfry —��LocalityAt1azjtl Buildi sowthci;i _ - i c Ch--�� By: _ --Aarkw_-�Y-� Date: Jame 3 �0�7 IN A CONSO'CUOU' rIAC[ 9 H INSPECTION LOG JOB ADDRESS 01, . CONTRACTOR ' � �, 9,j� OWNER BUILDING PERMIT ELECTRICAL PERMIT PLUMBING PERMIT TEMPORARY POLE PERMIT MECHANICAL PERMIT MISCELLANEOUS PERMIT FLOOD ZONE DATE SURVEY FILED Called-In Approved J .F .A. Temp Pole Footing Slab 13 � � 1-7 ' Framing Plumbing (R) Electrical (R) _ Mechanical Fireplace Top out Ha Other Electrical (F) FINAL INSPECTION Cs CSI a Certificate of Occupancy Issued �a��S� COMMENTS : CITY OF 4&aa is Beni-99&U& Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time o(p 11-1p District No. Received 5-6't Locality Job Address C Owner's Contractor Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing 1-1 RoughWiring ElRough Re Roofing ❑ Slab 11Temp Pole ❑ Top Out ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. ad. Thurs. Friday P.M. (;• A.M. P.M. Inspection Made tion❑ Inspector Certificate of Occupancy Date CITY OF 4&aa& Becc4-&7&U*& Office of Building Official REQUEST FOR INSPECTION ✓ /� J�� Date Permit No. Time A.M. District No. Received P.M. Job Address Loeallt rQ�� r/ Namer s Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P.M. A.M: Inspection Made i Final Inspection❑ Inspector Certificate of Occupancy Date CITY jqjj,d� fi11414-� Otffce of Building Official REQUEST FOR INSPECTION u 9 O� Q permit No. o n District No. Date Time {Locality Received A lJ� n lob Address Contractor GING MECHA�IIGP`0 PLUM ❑ Air.Cond•& Owner's ELECTRICAL / Rough Heating Name CONCRETE �/ ❑ ❑ ❑ Rough Wirm9 Top Out Fire Place BUILDING ❑ Footing ❑ Temp Pole ❑ pre Fab Slab A.M. Framing 0 ❑ P.M. Re Roofing Lintel INSpECTION Friday- READY FOR Thurs.rVVed . A. Tues. Mon. e '� ection❑ Final lnsP Inspection Made Certificate of Occupant Inspector Date CITY OF /V 7� k1r-,4,0y Office of Building Official REQUEST FOR INSPECTION Permit No. Date i 1 , J — Time �C� '"� 7 & District No. Received pp lity Job Address Owner's Contractor Name MECHANICAL/BUILDING / CONCRETE ELECTRICAL PLUMBING ❑ Air.Cond.& �/ Footing El RoughWiring ❑ Rough Heating Framing Temp Pole ❑ Top Out Re Roofing ❑ Slab ❑ Fire Plane ❑ Lintel ❑ Pre Fab READY FOR INSPECTION P.M. Wed Thurs. Friday Mon. Tues. _ � A.M. Inspection Made Final Inspection El Inspector Certificate of Occupancy Date CITY OF n �� 14& /.5nn�-0;&Uc a Office of Building Official /-, p/ REQUEST FOR INSPECTION �} Date � 40 l 9(b Permit No. Time (1 ; tf-7 Received `7 1P.M. District No. a8� Job Address Lo ality Owner's /1 , '` Name Contractor �O (/—(,�� BUILDING CONCRETE ELECTRICAL PLUMBING MECHAN AL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ READY FOR INSPECTION Poe Fab I'gon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made P M Inspector .� Final Inspection 91 Certificate of Occupancy Date I -r DEPARTMENT OF BUILDING 7514 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 4/11 W= 19 86 40.0D T Valuation$ Fee$ 40.00 40*0ONT' I A 4/11/8 This permit not valid .nQC4Cid until above fee has been paid to City Treasurer,and is 4/1 �/� subject to revocation for violation of applicable provisions of law. 132 0 1 K This is to certify that Dennis Heat & Air RA001518i I has permission to XW Install Heat f Air Classification Resddential Zone Owned by John Soo/John Tasi Lot_ Block S/D House No. 281-15th 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 O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared = up and hauled away by either con- traEtor or owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER I BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: 2 ✓Q/ ( J 1-7/-, OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordi and standards of good practice listed therein. Name of Mechanical - Contractors Contractor (Print) �/r!/�/l %� ( =C/ Master Name of Property Owner Signature of Owner Signature of or Authorized Agent Architect or Engineer 1111. GENERAL INFORMATION A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON electric THIS BUILDING OR SITE? /7j G ❑ Got—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) >�esidential or 11 Commercial )21�_: Heat ❑ Space 13 Recessed \� w *New O flow Building r Conditioning: ❑ Room Central ❑ Existing Building Duct System: Mato6at ❑ Replacement of existing system Maximum capacity �� c.f.m. >Iqlew installation(No system previously installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling (ower. Capacity q.p.m. El Other — Specify ❑ Fin sprinklers: Number of head= ❑ Elevator ❑ Menlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (R«ed) ❑ Tanks (number) Remarks ❑ LPG contains,r+ (number) ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Date ❑ Other — Specify Permit Fe. LIST ALL EQUIPMENT AIA CONDITIONING AND REFRIGERATION EQUIPMENT �)Y AC[ Number Unites Description Modal Number Manufacturer Cyr HEATING FURNACES, BOILERS, FIREPLACES Capacity Appr" E' Number Units riptioaez Model Number Etanufacturff (BTU) AsaocY TANKS How Many Naming Capacity Type Lquid Name of Serial Approving and Dimensions Contained Manufacturer No. Agency DEPARTMENT OF BUILDING 7512 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD '164.75 T THIS PERMIT MUST BE POSTED ON JOB 264.75CKT 9366 1A 3/03/8 Date_ 2/27 19 86 7512 .COCA ! Valuation$ 74,9793.60 Fee$ 264.75 536r I ;" 3/03/8 13/8 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 Winters Enterprises CBr 0 061 P.O. Box 51372, Jax, FL lI has permission to build Single Family Home I I I Classification Residential Zone RS1 Owned by John Soo/John Tac i I � Lot 1 Block_ 7 S/D ARF TT House No. 281 - 15th 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 AFTER DATE OF ISSUE —♦ �----� O Building material, rubbish and debris -q from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor of owners Buil'6 g Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL i SEWER WATER I CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT N -f Owner -, ti��/ "� A,C I Address zip �� ?_� Phone ? 4L/- ,y1 2,o Architect Address zip Phone Contractor N Address zip Phone Contractor's License Number L-� , L L; f--; / Expiration Date _- -�p_,r ,Copy on File Lot # Block or Section Subdivision A 71 AV T/C RFA C d Zoning Street_ Between ` andi�,,, 1-? y side Valuation $ e of Construction Purpose of Building .)VVr i /n/ _ Number of Units C),y,,t Fireplaces N Utility Service: Water I—y, C j T If the City if providing water or sewer service, do we need to make taps? V 4F--s Dimensions : Building x ,� �r` Lot �--v �X /va Size Footings moAl0 _S4 iA.Z:? Sz. Piers Sz. Sills Greatest Span Sills Sz. Ceiling Joists .2 X lo Distance on Centers IZ, '' Greatest Span /L Sz. Floor Joists Distance on Centers Greatest Span /G Sz. Rafters �'�i U SS < Distance on Centers_ ?_ y Greatest Span Z G Method of Heating ,J L/ ','" Solid-Filled Ground V 1t Roof l /34 A i Flood Zone NP If located within a FLOOD HAZARD corrmlete page 2 SUBMIT: Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1. When steel is in place and ready to pour footings. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, plumbing, electrical, fireplace, is completed and ready to cover up. 5. Final inspection. SETBACKS NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB. Rear In case of rejection, respection MUST be called for after Lot Line Ln corrections are made. o In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance (D with the attached plans and specifications, 61 61 which are a part hereof, and in accordance with the building regulations of Atlantic Beach, t' .I t� WOVSE -- . n Signature Owner C 7ia Signature Contactor L� �._ o Front Me FLOODPLAIN DEVELOPMENT INFORMATION Type of Development ;' New Building Alterations to Existing Building Flood Zone Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) a survey must be made after the slab has been poured, certifying that the "lowest floor elevation" is equal to or above the base flood elevation established for that zone. No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department: COMMENTS Applicant acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No, 25-7-11 and all other laws or ordinances effecting the proposed developemnt. Date ApplicantIs Signature --------------------------------------------------------------------- Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative Address �~ S' ( f=/4 Heated Square Footage ^��- �} � @ $ O C per sq ft = $ a a a - 00 Garage/Shed L/P C @ $ ) , 00 per sq ft = $ a; a Carport/Porch @ $ a, O':�- per sq ft = $ Deck L @ $ per sq ft = $ Patio ( � @ $ Lu ,C10 per sq ft = $ TOTAL VALUATION: $ � q , 8 & 0 ToEl Valuation lst $ gid, 000. o0 $ C . Cl)0 Remainder Valuation per thousand or ------------------------------- portion thereof -----� Total Building Fee $ . So ADDITIONAL PERMITS and/or FEES REQUIRED i -} z Filing Fee $ Medical / Fireplaces @ 15.00 $ PlumbingPltubing BUILDING PERMIT FEE $ Electric/New ------------------------------------------------- Electric/Temp Septic Tank BUILDING PERMIT $ �`� J Well WATER METER CHARGE $ Do Swimming Pool SES IM1PACT FEE $ 035. 00 `Sign WATER IMPACT FEE $ )9 O, 00 Water Connection MISCELLANEOUS $ Sewer Connection / $ Water Metery $ Elevation Certificate GRAND TUEAL DUE $ --------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES PLUMBING WORKSHEET 1 SINKS Q SHOWERS I DISHWASHERS 1- CLOSETS BATH TUBS O FLOOR DRAINS _ WASHING 1•tACHINE WATER HEATERS DISPOSALS LAVATORY URINALS V OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. I BATHROOM GROUP CONSISTING OF LAVATORY (I UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) �j (3 UNITS) V DRINKING FOUNTAIN ( UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON O (3 UNITS) O JET BLO14OUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANTK-OPERATED (8 UNITS) (4UNITS) /^ SHOWER STALL, DOMESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) Q LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (.2 UNITS) � KITCHEN SINK (2 UNITS) KITCHEN SINK/i•;ASTE GRINDER (3 UNITS) 1C) X TOTAL FIXTURE UNITS @ $10._00 EACH S'tcs� S+ FLORIDA ENERGY EFFICIENCY CODE �r^ > ers FOR BUILDING CONSTRUCTION I�� C SECTION 9—RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES FORM 900-A-84 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9 of the Energy Code. An alternative to this method for single-family detached dwellings, and multifamily attached dwellings of three stories or less, is provided in Section 10 of this Code.Only dwellings which are above ground frame(wood siding,brick veneer,etc.)or concrete wall type construction may be calculated using Sections 9 and 10.Other types of construction must comply under Section 4 or Section 5 of this Code.Additions to existing residential buildings shall comply with the requirements of Section 10 of this Code.Detailed information on how to complete this form may be obtained from your local building department or the Department of Community Affairs, Energy Code Program,2571 Executive Center Circle East,Tallahassee, Florida 32301. PROJECT NAME i L> PERMITTING OFFICE: AND ADDRESS: 4 T� A i,-_,- C CIRCLE CLIMATE ZONE: 1 2 3 BUILDER: \.(//^, a /js j` V 17EH P E PERMIT NO.: OWNER: _rO HIV JURISDICTION NO.: ❑ IF MULTIFAMILY, NO. OF UNITS GLASS AREA AND TYPE DETACHED COVERED BY THIS CALCULATION: CLEAR TINT,FILM,SOLAR SCREEN SFOR EACH WORST CASE UNIT TYPE.CHECK IF EPARATE CALCULATIONS ARE REQUIRED SGL SGL ❑❑ ATTACHED THIS CALCULATION REPRESENTS A WORST © 3 DBL DBL CASE CONDITION. NET WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME RI= FLOOR AREA UNDER ATTIC SGL.ASSEMBLY m.❑ 3 �/ Kil. 11 b R ( ( .❑ R= ❑.❑ COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM CENTRAL ❑NONE ❑ ELECTRIC STRIP GAS ❑ NONE ELECTRIC RESISTANCE ❑ SOLAR ❑ ROOM ❑ OIL ❑ SOLAR ❑ HEAT RECOVERY ❑ GAS ❑ PACKAGE TERMINAL AC 13� HEAT PUMP:COP = a ❑ DED. HEAT PUMP:COP = ❑ m EER/SEER = � : l F-1 OTHER: L�—I ❑OTHER: CALCULATED E.P.I.: ®.� CALCULATED E.P.I.MUST NOT EXCEED 100 POINTS In accordance with Section 553.907 FS., I hereby certify that the plans Review of the plans and specifications covered by this calculation indi- and specifications covered by this calculation are in compliance with the cates compliance with the Florida Energy Code. Before construction is Florida Energy Code. * completed, this building will be inspected for compliance in accordance with Section 553.908, F.S. OWNER/AGENT F' ' ' BUILDING OFFICIAL: DATE: .� l-- 3 ' DATE: 9A I PRESCRIPTIVE MEASURES(Must be met or exceeded by all residences.) MINIMUM REQUIREMENTS CHECK TO INDICATE COMPONENTS REQUIREMENTS COMPLIANCE WINDOWS 903.1 MAXIMUM OF 0.5 CFM per LINEAR FOOT OF OPERABLE SASH CRACK. L__ DOORS 903.1 MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA.INCLUDES SLIDING GLASS DOORS. EXT.JOINTS&CRACKS 903.1 TO BE CAULKED,GASKETED,WEATHER-STRIPPED OR OTHERWISE SEALED. CEILING INSULATION(903.9) MINIMUM OF R-19. WATER HEATERS(903.2) MUST BEAR ASHRAE STANDARD 90-80 LABEL OR A MAX.4 WATT/SQ.FT.STAND-BY LOSS.SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF VALVE(GAS)MUST BE PROVIDED. SWIMMING POOLS(903.3) IF HEATED BY OTHER THAN SOLAR,MUST HAVE POOL COVER DESIGNED TO MINIMIZE HEAT LOSS. ALL NON-COMMERCIAL POOLS MUST BE EQUIPPED WITH A POOL PUMP TIMER. J HOT WATER PIPES(903.4) INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES,PIPING HEAT �r LOSS SHALL BE LIMITED TO A MAX.OF 17.5 BTU /H PER LINEAR FOOT OF PIPE(SEE 504.4). V SHOWER HEADS 903.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE. HVAC DUCT CONSTRUCTION CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHANICAL CODE. (903.6) DUCTS IN UNCONDITIONED SPACE MUST BE INSULATED TO A MINIMUM R-4.2. HVAC CONTROLS 903.7 A SEPARATE,READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM. 1 FORM 900-A44 CLIMATE ZONES '1 2 3. 9C DESIGN CREDIT POINTS(CP) 9D HEATING SYSTEM CREDIT POINTS CEILING FAN IN COND.SPACE(max 5 CP) 1 NATURAL GAS/PROPANE HEATING 16.0 Q MULTIZONE A/C SEPARATED BY DOOR 5 OIL HEATING 12.8 CROSS VENTILATION(1 CP per room) 1 WHOLE HOUSE FAN(min.1.5 cfm/s.f.) 5 WOOD STOVE 7 d 9E DESIGN PENALTY POINTS FIREPLACE WITH OUTSIDE COMBUSTION AIR 2 WASHER AND DRYER IN COND SPACE 3 3 TOTAL GLASS OPENS LESS THAN 40% 5 -p 9C TOTAL(not to exceed 12 points) FIREPLACE WITH INSIDE COMBUSTION AIR 5 (� 3 9F WINTER OVERHANG FACTOR(WOF) 9F SUMMER OVERHANG FACTOR SO FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW 0-0.9 1.00 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00 2-2.9 1.00 0.98 0.99 0.77 0.76 0.84 0.94 1.00 2-2.9 1.00 0.98 0.94 0.92 0.91 0.92 0.94 0.98 3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.89 0.95 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91 5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0.79 0.88 6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0.75 0.85 7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83 8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0.77 0.68 0.70 0.81 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0.76 0.67 0.68 0.79 10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77 11-11.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0.76 0.64 0.64 0.76 0.64 0.64 0.76 12 UP 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75 9G I HEATING SYSTEM MULTIPLIER(HSM COP 2.5-2.6 -2.8 2.9-3.0 3.1-3.2 3.3-3:41=3.5 UP HEAT PUMP HSM 40 .37 .34 .32 .30 .29 SOLAR HEATING SYSTEM (BACKUP-"'*--'--"--ACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT 1.0 NATURAL GAS/PROPANE/OIL 1.0(SEE TABLE 9D FOR CREDITS) PTAC&ROOM HEAT PUMPS MINIMUM COP 2.2.HSM FOR COP 2.2- 2.4= .45. SEE TABLE ABOVE FOR COP>2.4 9H COOL YSTEM MULTIPLIER(CSM) ELECTRIC EER/SEER 7.8-7.9 8.0-8.4 8.5-8.9 y 9.0-9.4 9.5-9.9 10.0-10.4 10.5-10.9 11.0-11.9 12.0-UP CSM .83 .81 0. 0.72 0.68 0.65 0.62 0.59 0.54 GAS COP 0.40-0.44 0.45-0.49 0.50-0.54 0.55-0.59 0.60-0.64 0.65-0.69 0.70&UP CSM 1.50 1.25 1.20 1.09 1.00 0.92 0.89 MINIMUM SEER/EER LEVEL 7.8 FOR STRAIGHT COOL OR HEAT PUMPS;MINIMUM OF 7.5 EER FOR ROOM UNITS AND PTAC. FOR ROOM UNITS AND PTAC CSM FOR EER 7.5 - 7.7= .87.SEE TABLE ABOVE FOR EER>7.7. 91 1 HOT WATER CREDIT POINTS (HWCP) ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 10 INSTANTANEOUS WATER ELECTRIC 4.5 HEATER GAS 12.6 ELECTRIC BACKUP 6.7 HRU(A/C)WATER HEATER GAS BACKUP 13.9 ELECTRIC BACKUP 9.7 HRU(HP)WATER HEATER GAS BACKUP 14.5 HEAT PUMP WATER HEATER COP 1.60-1.89 1.90-2.19 2.20-2.49 2.50-2.79 2.80-3.00 (DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4 OVERALL SOLAR FRACTION* 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 SOLAR in ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0 HOT WATER 5R I GAS BACKUP 11.4 12.8 14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0 *PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM_100=OVERALL SOLAR FRACTION 4 f. Ir • , r FHA Form 2005 U.S.Of PAR TYENT Of HOUSING AND URBAN DEVELOPMENT FEOERAL HOUSING ADMINISTRATION VA Fora 26-1952 For accurate register of carbon copies, form Form Approcrd Form FmHA 424-2 may be separated •long above fold. Staple OMB No. 63—R005; Rev. 4,'77 completed shecu together in original order. (� Proposed Construction DESCRIPTION OF MATERIALS No. I Tu At Insrrlr,l A. (//:i, l i • ! nri ;] Under Construction Property address L Z,,' i �_/�4-0CCity A ?LANJ/L ig E-/4 C N State �L A Mortgagor or Sponsor �Vamc� tAtklrePsl Contractor or Builder ldi ntt=.r` Fntoi-j)ri Qpg Inc. P.O. Box 51372 -32240-1372 Vernon Preva t t '`art'e' I"`Idfe"' INSTRUCTIONS 1. For additional information on how this form ,s to be s..bm,tted, number required, then the minimum acceptable will be assumed. vtork exceed,n of copies, etc., see the Instructions applicable to the FHA Application for minimum requirements cannot be considered unless specifically describer Mortgage Insurance, VA Request for Determination of Reasonable Value, or A. Include no alternates,"or equal" ahraPes, or contradictory Items. FmHA Property Information and Appraisal Report, as the case may be. (Consideration of a request for acceptance of substitute materials or equ, 2. Describe oil materials and equipment to be used, whether or not shown ment is not thereby precluded,) on the drawings, by marking an X In each apropnate check-boa and entering $, Include aignowrea required of the and of this form the -formation tolled for �n each space. If Prop• is inadequate, enter "See misc. and describe under ,tem 27 or on an attached sheet. THE USE 6. The cons tructwn +hall be completed in compliance —ti. the re lo,..a OF PAINT and MORE THAN THE PERCENTAGE OF LEAD drawings and specifications, as amended during orocess,ng. The speed . BY WEIGHT PERMITTED BY LAW 15 PROHIBITED. cations include this Description of Materials and the applicable Minim- 3. Work not specifically described or shown will not be considered unless Property Standards. 1. EXCAVATION: Bearing soil, type Sandy loam 2. FOUNDATIONS: Foutings: concrete mix 2 500 PSI strength psi Reinforcing 214 rods Contin. Foundation wall: material Concrete block Reinforcing Interior foundation wall: material C o n c r e t e Party foundation wall Columns: material and sires Piers: material and reinforcing Girders. material and sizes Sills: material Basement entrance areaway Window areaways Walcrproofing 006 mill , 1201y . footing drains -rcrmue pruimuon Soil treated by bonded applicator B.asrnundrss space: ground cover insulation foundation vents Sleet tel foundations Add 1 t ions I information: 3. CHIMNEYS: Material pre–fab Prefabricated(make and Jit#1 Flue lining: material metal Heater flue size Fireplace flue size Vents (material and Jr2r): gas or oil heater water heater Additional information: 4. FIREPLACES: -, NO/✓r Z - Type:,W solid fuel; gas-burning; circulator(make and rite) Ash dump and cleanout Fireplace: facing Stone lining ; hearth ; mantel Additional information: S. EXTERIOR WALLS: Wood frame: wood grade, and species 2X4 Hemlock–fir–sprllf:rCorner bracing. Building paper or felt Therma lv 1 Zea" " Sheathing ��_; thiekrress 11sZ_; width�_;�] solid; � spaced " a e; ❑ diagonal; Siding R B & B c e d a}r grade A l type : size 4�urexposure "; fastening Shingles grade type size ; exposure- ". fastening Stucco ; thickness lath ; weight lb. Masorsy veneer Sills Lintels Base flashing Masonry: ❑ solid ❑ faced ❑ stuccoed; total-wall thickness "; facing thickness "; facing material Backup material thickness "; bonding Door silo Aluminum Window silts R•S - C d a r Lintels W n nd Base flashing Interior surfaces: dampproofing, coats of furring Additional information: - Exterior painting: material ; number of coals Cable wall construction: ❑ same as main walls; ❑ other construction 6. FLOOR FRAMING: Joists: wool, grade, and species S a Y- P- # .other 1 St El e f:ntftidging Snl.J ri ; anchors Concrete slab: basement floor; ❑ first floor; ff ground supported; ❑ self-supporting; mix ; thickness '1�_"; reinforcing 14 re-bar iaatriation membrane— 006 pnl�i - Fill under slab: material Clean s and ; thickness 16 ". Additional information: Compact t S o i 1 7. SUBFLOORING: (Describe underflooring for speciol floors under item 21.) Atatcrial: grade and species 3/411 T&G plywood ; size ; type Laid: ❑ first floor; ❑ second floor;)ffattic sq. ft.; ❑ diagonal; ❑ right angles. Additional information: 8. FINISH FLOORING: (Wood only. Describe other finish flooring under item 21.) LOCAT10f% Roous Gai,oc Sraciu THtcru+ass WIDTH BLDG. PArta FimisH First flow Second flour Am, Itour ujt ft. Additional information: DESCRIPTION OF MATERIALS 9. PARTITION FRAMING: Studs: NoW, gradr, and species Hem 1 oe k– f i r –R prU"find spacing ?x4 1 W1 n-C_ Other Additional information: 10. CEILING FRAMING: Joists: wtxH], grade, and species S .Y. P. 1 Other See drawings Bridging c n l i ri Additional information: 11. ROOF FRAMING: Raftrrs: N.oud, grade, and species See drawings Roof trusses (see detail): grade and species Additional information: hand frame 12. ROOFING: Sheathing: wood, grade, and species 211 C D X Ply, CK solid; ❑spaced "oe. Roofing Fiberglass shingles grade 235 lb. size ; type class A Underlay Felt weight or thickness 15#, size ; fastening Built-up roofing number of plies surfacing material Flashing: material Aluminum gage or weight ❑ gravel stops; ❑ snow guards Additional information: 13. GUTTERS AND DOWNSPOUTS: Cutters: material gage or weight ; size shape Downspouts: Material gage or weight size shape number Downspouts connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑ dry-well. ❑ Splash blocks: material and size Additional information: 14. LATH AND PLASTER Lath ❑walls, ❑ ceilings: material weight or thickness Piaster: coats ; finish Dry-wall (N walls,(4 ceilings: material GYPRUM thickness1 9 1; finish spray , Joint treatment Taped 15. DECORATING: (Point, wallpaper, ek.) Rooms WALL FINtm NIATLaUL AND ARtJCAT'ION CEDING FINILLH MATMLAL AND ArrUCATION Kitchen 2 coats latpx spray Bath 9 nnntg It it Other I it 11 n Additional information: 16. INTERIOR DOORS AND TRIM: Doors: type-- F11tsh ; material Lunn ; thickness Door trim: t tl m 1 r1 _ ; material fir n Ylx—�2 Base: type m l r1 _ material fir size� 1 f!1 Finish: doors qt'ain k cpalpr ; trim stain R cpnlpr Other trim (ttua,/ape and lora(ron) Additional information: T nitvarara hi _fO1d dAArs nt ClocptS 17. WINDOWS: 1 Windows: type S.H. Bronze ; make KincO ; material aluminum ; sash thickne4 3A, Glass: grade _�Ll$j 1te ❑ sash weights; ❑ balances, type spring head flashing aluminum Trim: type material Paint ; number coats Weatherstripping:tpe felt material Storm sash, number - Screens: C1 full; half: type aluninum number 1 each; screen cloth material fiberglass Basement windows: type material screens, number ;Storm sash, number Special windows Additional information: 18. ENTRANCES AND EXTERIOR DETAIL: //..__ Main entrance door: material S .C• Flush width�_; thickness�'t'+�rame: material fir thickness 5/4 Other entrance doors: material S .C. f lush width 211—p 11; thickness–L 3[4Frame: material f l r thickness 5/4 - Head flashing alum. Weatherstripping: typevinyl ; saddles alum Screen doors: thickness "; number ; screen cloth material Storm doors: thickness "; number Combination storm and screen doors: thickness "; number ; screen cloth material Shutters: ❑ hinged; ❑ fixed. Railings ,Attic louver Exterior millwork: grade and species Paint number coats Additional information: 19. CABINETS AND INTERIOR DETAIL Kitchen cabinets, wall units: material WOOd ; lineal feet of she�'e�'dwg!shelf width 12" Base units: material wood counter top Lam. `plastic ; edging lam. plastic Back and endl Oak plastic Futish of cabinets stain & s'e a 1 number coats 2 e o a t= Medicine cabineu: make Miami Cary ,model louvered wood Other cabinets and built-in furniture Vanity with lam, plastic tops Additional information: 20. STAIRS: STAIR Tacos Ruaas STUNof HA`tD"L BALusTSKs Material Thickness Material Thiclawn Material -" Sze Material Size Material Size Basement Main 1- 1 1- 5/8 #1 y.p . - 2x12 @I-y, 2X6 il y.12. 2 x2 Attic Disappearing: make and model number Additional information: 2 21. SrCECIAL FLOORS AND WAINSCOT:t�ie•,i ,,e t.,,rt,ra,slt.�trd Lre Certified Pro"-cis Uirecluro TMas.snoLo W.LL BA3( LnULMILJ�( AL TLRLAL, COWK. BU6Ata, Sizas. GAL(, ETC. MArtALAL MArcatAL MArtri.L b, Kitchen �7 BAM C eramic ti e marble ar . tile �1.,. 11„• MArLFLAL, C:,LUM, BUaULA, Gr SILti, GALL, ETC. Heicacr Hucmr FtucKt ih Jn.n.0 Bail, Ceramic tile _ s BathrUUm aucswrics. [ flrcesacd; mmctlal"CP 7L-n -i r- ; numbcr___lj___; [)Attached; material number Addoivai.tl inlurnaatcon. 22. PLUMBING: FtxrurL Nuus(a Loc.room MAxa Mrr's Fixrva( In(NT1rIGr10N No. Siz( CAsa..is Sank Lavatory 11 11 Water closet 7 nIdo nri C'0 t C2 t1 11 n n Bathtub_ / steel Shower over tubes 11 Stall showcrA"1 if 'Vely Laundry trays Jni© Curtain rod op DoorShower pan: material Vi n5/I Water supply: a public; ❑ community system, ❑ individual (private) system.* Sewage do* &AL IN public; ❑ community system; ❑ individual (private) system.* *Show and dntribe individual ryrtrm in complete detail in uparatr drawingr and tpecicatioru according to requirements. House drain (inside): ❑ cast iron; ❑ tale; ❑ other PVC House sewer (outside): ❑ cast iron; ❑ tale; ❑ other Water piping: ❑ galvanized steel; ❑ copper tubing;7] other Sill cocks, number Dorr16UC water heater: type e 1 ec t r 1 c make and model heating capacity high rec. gph. 100' rise. Storage tusk: material g l a s S lined capacity 42 gallon Gas service: ❑ utility company; ❑ liq. pet. gas, ❑ other Gas piping: ❑ cooking, ❑ house heating Footing drams wnnected tu. ❑ storm sewer, ❑ sanitary sewer; ❑ dry well. Sump hump; make and model , eapacuy discharges into 23. HEATING: air [ eair hSat apor. ❑ ne pum . [:1 Twu-pipe system.Ila water. C] Steam. -pap ❑ Radaturs. ❑ Convectors. ❑ Baseboard radiation. Make and model Radiant panel. ❑ fluor; ❑ wall; ❑ ceiling. Panel coil: material ❑ CUTUlAtor. ,X] Return pump. Make and model capacity gpn Boiler: make Arid model Output Btuh.; net rating Btut Additional information designed by heating engineer Warm air: ❑ Gravuy. 0 Forced. l'ype of system air to air heat numn _ it Duct material: supply ?,a 1V• return galV. Insulation f ibe thickness 1 ❑ Outside air intake FurnALe: make and model Inn ASS Btuh.; output Btut Additional isdurniatiun: ❑ Spacr heater; ❑ ttoor furnace; ❑ wall heater. Input Btuh.; output Btuh.; number units Make, model air handler er Additional information: Controls. make and types wall thermostat Additional inforniatcou: Fuel. ❑ Caul, ❑ oil; ❑ gas; ❑ 6q. pct. gas; ❑ electric; ❑other storage capacity Additional information Firing equipment furnished separately: ❑ Gas burner, conversion type. ❑ Stoker: hopper feed ❑; bin feed ❑ Oil burner: p pressure atomizing; ❑ vaporizing Make and model Control Additional information: Electric heating system: type Input watts; Q? volts; output Btut Additional information: Venulaitng equipment: attic fan, make and model capacity cfrr kitchen exhaust fan. make and model Other heating, ventilating. or couling equipment — 24. ELECTRIC WIRING: ��SS Service: E]LN overhead; underground. Panel. C] fuer bux, (N circuit-bieaker, make AMP's-225 No. circuits Wiring ❑ conduit: ❑ armored cable; ❑ nunmctallit. tabic, ❑ knob and tube; C] other Slei if uutich. [I range; ® water heater; ❑ other washer , dryer & A.C. L] Ikx,rtiell (3 C:hamcs. Pusn-button IuLatauns_ front door Additional information: 2 smoke alarms 25. LIGHTING FIXTURES: Tuial nuutLer of hatures_ Taal allowance for hxtures, typical insullAtion, 1 250.0 Nontypical uistallatcon_ Additaunal uUormatiun Z smnke al arms DESCRIPTION OF MATERIALS 26. INSULATION: LOCArIC THICKNrsa MATxam, Tyrt, ANO NtlrMUn <ir 1N1TALLATION VAtOI t3w••Ita Roof 11 criGng 6 fiber lass batts R-19 kraft ail 4 F Icor I 1 27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere;or use to provide additional information where the space provided was inadequate. Always reference by item number to correspond to numbering used on this form.) — Allowance for floor coverinc, exceot ceramic the in bath h 1 t includinz stair HARDWARE: (make, material, and finish.) Wiser Antique Brass SPECIAL EQUIPMENT: (State material or make, model and quantity. Include only equipment and appliances which are accept- able by local law, custom and applicable FHA standards. Do not include items which, by established custom, are supplied by occupant and removed when he vacates premises or chafties prohibited by law from becoming realty.) Allowance for purchase or dropin range, range hood and dishwasher $900.00 PORCHES: SPA rirnwi ngs TERRACES: Concrete GARAGES: 7 r-nr- rnnrrefe fInnr ;yp 'hcj r-1 3/-IL"prGssb9ard LAFaI1S 16 ' x7 ' (1_N_ 4 -,Pr - rinnr WALKS AND DRIVEWAYS: see plot plan Driveway: width ; base material Cone- thickness— "; wrfac g material cone. ; thickness " Front walk: width ; material cone. ; thickness 3 ". Service walk: width ; material ; thickness_," Steps: material treads--; risers . Check walls OTHER ONSITE IMPROVEMENTS: none (Spec 7 ad rxterror onsite improvements trot dell-1twd elsewhere, including items such as unusual grading, drainage structures, retaining luaus,fence, rarlrn,_ and accessory structures.) LANDSCAPING, PLANTING, AND FINISH GRADING: Topsoil " thick: C3 front front yard: side yards; ❑ rear yard to feet owner feet behind main building. Lawns (seeded,sodded, ar sprigged): ❑ front yard ❑ side yards ❑ rear yard Planting: ❑ as specified and shown on drawings; ❑ as follows: Shade trees, deciduous, " caliper. Evc.1smess trees. to ', B & . Low flowering trees, deciduous, to Evergreen shrubs, to , B & g. High-growing shrubs, deciduous, to Vines, 2-year - %lodium-growing shrubs, deciduous, to Low-growing shrubs, deciduous, to IDaN-MICATION.—This exhibit shall be identified by the signature of the builder, of ,ponew, and/or the proposed mortgagor if the latter known at the time of Application. 7 t Date — �'�� -1 c1 Cl �'' Sigrtaturc /1/ll.L�l 1cYLc. _✓i f Signature HUD-92005 VA Form 26-1852 Form FmHA 4242 • U.S.GOVERNMENT PRINTING OFFICE: 1919--311-645/1011 (6-79) I 7�R I__V C CA AA 6C Ci I � I i JYO US E' .y r� V1 ct' PoActli l ca_T I � L0C1 I AT 4AAI `r1 L 2FAC /S rAj s T.