2213 Alicia Ln 2014 Door and remodel CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�Jr3 �•
Application Number . . . . . 14-00000271 Date 2/26/14
Property Address . . . . . . 2213 ALICIA LN
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 38000
--------------------------------------------------------------------
Application desc
KITCHEN BATH DECK REMODEL/REPAIRS
-------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
FARR, JAY A & MARY H HOME SWEET ACCESSIBLE HOME
2213 ALICIA LANE 2121 FOREST HOLLOW WAY
ATLANTIC BEACH FL 322335975 JACKSONVILLE FL 32259
(904) 545-4649
--- Structure Information 000 000 INTERIOR REMODEL (DECK REPAIRS)
Occupancy Type . . . . . . RESIDENTIAL
---------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc .
Permit Fee 240 . 00 Plan Check Fee 120 . 00
Issue Date . . . . Valuation . . . . 38000
Expiration Date . . 8/25/14
---------------------------------------------------------
Special Notes and Comments
NEED NOC
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
-------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 3 . 60
STATE DBPR SURCHARGE 3 . 60
--------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---
Permit Fee Total 240 . 00 240 . 00 . 00 . 00
Plan Check Total 120 . 00 120 . 00 . 00 . 00
Other Fee Total 7 . 20 7 . 20 . 00 . 00
Grand Total 367 . 20 367 . 20 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: b29113 4ii-e4,0 , 116 32A333 Permit Number: H— Z 7/
Legal Description Parcel# 6 7.5
Floor Area of Sq.Ft. Sq.F't
Valuation of Work$ Proposed Work heated/cooled none l"cvale
Class of Work(circle one): New Addition <296atiD Repair Move DemolitionY
cHUP
d
Use of existing/proposed structure(s) (circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/ 3 - r
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: for;d.' &T v
)/i' .Lt r'' L/�ir! �1 f AI V*--cK N
N
Property Owner Inform tion:
Name: ✓
'�,i' ' Address:
°/
City A171G State LZip, a? 3 Phone D •
E-Mail or Fax# (Optional)
Contractor Information:
Company Name: c / AA,- .J•Yk Qualifying Agent: alt �Q9,�CS
Address: a JDu 41A0 City j%jr State i it
Office Phone y Job Site/Contact Number 9pk-��F fir,-yb`J 9 Fax# b44
State Certification/Registration# - b
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Add ss
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six J6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells,Pools, urnaces,Boilers, Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I here b certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws an rdinances governing this
type of work will be complied with whether speci ted herein or not. The granting of a permit does not presume to gi autho i to violate or cancel the
provisions of any other federal,state, or local law re lating construction or the performance of construction.
Signature of Owne Signature of Contractor
PrintName G. :/�6 Il��s..............................................................................
.............................................. Print Name
Before me Before me
this 24 Day of this 7-4 Day of � Iplvt�q 20 i l
Notary Public ; .•tic. ANDRMNIOCKU
17492 Notary PubliY: ANDREW MOCKO
Commission#EE 2 '°�'
;... F:
Expires July 17,2016 :: Commission#EE 217492
a: Expires Julil� Q> i 10.2 .12
Ttn Troy Fain Insurance 800-355-7019 o�'•`� �, TNu Troy No Inwrence 800-385.7019
NOTICE OF COPY ')`
F COMMENCEMEIITT
(PREPARE IN DUPLICATE)
Permit No. I C� 7 1 Tax Folio No.
State of (-'Z– 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. f
Legal description of property being improved:
F FA Ii
Address of property being improved:
General descriptionof improvements: !►�'/1/,��=t^ t�iCA!; ���.r,5 c,, � sr�dG,� Cr�c^^�
Alr-r rpt it
Owner
Address
Owner's interest in site of the improvement Eta E
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor �t�Y�f:�� .��,�`?.st�ur_ 1�/e��+n�
Addressf .
Phone
No. Z l IV-Ile Fax No.
Surety Of 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
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 se
Name_
` Address
Phone No. 3 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.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date Is specified):
THIS SPACE FOR RECORDER'S USE ONLY e,7�e OWN
Signed' DATE
749
Before me this day o til �- ti in the
Counts Duval,Stale of Florida,hes personally appeared
V l elf H I,('-:r herein by
himself/hersel and affirms that all statements and declarations hereii
are true and accurate AND MOCKO
J
Commission# E 21
Expires July 17,
16
Bonded Thru Troy Fain Insurance 800-385 7019
Notary Public at Large,Slate of L- County of
My commission expires: c7 LZ yo y(r
Personally Known or
Produced identscation G.t7�
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by t Building Department.)
r 800 Seminole Road /
Atlantic Beach, Florida 32233-5445 -71
Phone (904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 7
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: dc2/3 Z-71 Department review required Yes No
C Building
Applicant: `�yL Planning &Zoning
Tree Administrator
Project: Me IM I0- 4' u6 de , Public Works
fJ
Public Utilities
C IL rj �J /�• Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Q'proved. ❑Denied.
(Circle one.) Comments:
2�e c o FZc� �� G L ?
BUILDING
PLANNING &ZONING
Reviewed by: Date:41
TREE ADMIN. Second Review: []Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
j Y ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�JJ3 ,e
Application Number . . . . . 14-00000273 Date 2/26/14
Property Address . . . . . . 2213 ALICIA LN
Application type description WINDOW AND/OR DOOR
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 8500
------------------------------------------------------------------------
Application desc
DOOR REPLACEMENT
-------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
FARR, JAY A & MARY H HOME SWEET ACCESSIBLE HOME
2213 ALICIA LANE 2121 FOREST HOLLOW WAY
ATLANTIC BEACH FL 322335975 JACKSONVILLE FL 32259
(904) 545-4649
-------------------------------------------------------------------
Permit . . . . . . WINDOW AND/OR DOOR PERMIT
Additional desc . .
Permit Fee 95 . 00 Plan Check Fee 47 . 50
Issue Date . . . . Valuation . . . . 8500
Expiration Date . . 8/25/14
----------------------------------------------------------------
Special Notes and Comments
NEED NOC
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
-------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
-----------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---
Permit Fee Total 95 . 00 95 . 00 . 00 . 00
Plan Check Total 47 . 50 47 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 146 . 50 146 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION -
CITY OF ATLANTIC BEACHFILE COPY
1
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: G7' �,3 .��-��� �j°' r'_1 X33 Permit Number: Od 7 3
p,.
Legal Description y�`�`/ G ` �`a Parcel# l 75j @iv z?
Floorf.f
rea o q. t. q.F't
Valuation of Work$ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Repair Move Demolition pool/spaindow/doo
Use of existing/proposed structure(s)(circle one): Commercial 4C"--u-E517+h1
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes Z:=> N/A
Florida Product Approval# 44* M4!i t&
For multiple products use product approval rm
Describe in detail the type of work to be performed: / ' ►%�G G f � �c-QRS" ts, /UO'u1 J7 -�-45
Property Owner Information:
Name: 7&A,-yq&A,-yF^AR Address:
City 6.z -j\_ Stat _Zip .� .7 Phone2o1/" 6
E-Mail or Fax#(Optional)
Contractor Information: �+ // _ /r
Company Name: lyr' r SjJ[.¢1-tr`K�-F�� gem-e Qualifying Agent:
Address: 91AI 46fWr 1.0 AV City —State fl- Zip.%'���
Office Phon 3`l�- 9 Job Site/Contact Number��1�_j ri5�' `1`� Fax# gyp-
State Certifica�on/Registration#
Architect Name&Phone#
Engineer's Name&Phone# a4 - b D
Fee Simple Title Holder Name and Addres
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work wcll be performed to meet the standards of all laws regulating construction in this ja�risdiction. This permit becomes null
and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a_period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, a/Is, Pools, urnaces,Boilers, Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of la and or ances governing this
type o1 certify
will be complied with whether speci ied herein or not. The granting of a permit does not presume to give thority t violate or cancel the
provisions of any other federal,state, or local law ulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name P- r---, Print Name ...�G �fl
Before me Before me /
this�_Day of i-r ���� 20 "� this �Day of 20
Notary PublicComrrrission#EE 217492 Notary Public ;�' r': Commission#EE 217492
Expires,July 17,2016 F .-Wes Q f 2016
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['FILE COPY
•
AAMA
(Validator/Operations Administrator) CERTIFICATION PROGRAM
AUTHORIZATION FOR PRODUCT CERTIFICATION
Windsor Window Company
900S.19 th Street
West Des Moines,IA 50265
Attn:Mike Billingsley
The product described below is hereby approved for listing in the next issue of the AAMA Certified Products Directory. The approval
is based on successful completion of tests, and the reporting to the Administrator of the results of tests,accompanied by related drawings,
by an AAMA Accredited Laboratory.
1.The listing below will be added to the next published AAMA Certified Products Directory.
SPECIFICATION
AAMAIWDMA/CSA 101/I.S.2/A440-05 RECORD OF PRODUCT TESTED
SD-R35-4766x2092(188x82)
SERIES MODEL&PRODUCT MAXIMUM SIZE TESTED
COMPANY CPD NO. DESCRIPTION
PINNACLE CLAD FRENCH SD FRAME PANEL
Windsor Window Company 8342 (WD)(AC)(OXXO)(IG) 4766 mm x 2092 mm 1210 mm x 2022 mm
Code:WND (INS GL)(ASTM) (15'8"x 6'10") (4'0"x 6'8")
2. This Certification will expire February 13, 2016 and requires validation until then by continued listing in the current AAMA Certified
Products Directory.
3.Product Tested and Reported by: Element Materials Technology
Report No.: 009161P
Date of Report: February 15,2012
***NOTE: ALL CERTIFIED PRODUCTS MUST BE PRODUCED WITH 3/16" GLASS.***
Validated for Certification
Awej9#
Associated Laboratories,Inc.
Authorized for Certification ,
Date: March 22,2012
Cc: AAMA / �•lb��
SBS AmericariArohitedural Manufacturers Association
nrp_ne iQo. +inn
FILE COPY
AAMA
(Validator/Operations Administrator) CERTIFICATION PROGRAM
AUTHORIZATION FOR PRODUCT CERTIFICATION
Windsor Window Company
900 S.19th Street
West Des Moines,IA 50265
Attn: Mike Billingsley
The product described below is hereby approved for listing in the next issue of the AAMA Certified Products Directory. The approval
is based on successful completion of tests,and the reporting to the Administrator of the results of tests,accompanied by related drawings,
by an AAMA Accredited Laboratory.
1.The listing below will be added to the next published AAMA Certified Products Directory.
SPECIFICATIONS
RECORD OF PRODUCT TESTED
AAMAIWDMA/CSA 101/I.S.2/A440-05 HAMA 506-06
SHD-R50-1905x2410(75x95)
Missile Level: D CPD SERIES MODEL&PRODUCT
COMPANY Rating: MAXIMUM SIZE TESTED
+50/-50,75x95 NO. DESCRIPTION
Wind Zone: 3
Rating above PINNACLE CLAD OUTSWING
conforms to ASTRAGAL-ZINGED FRAME(mm) LEAF mm
Windsor Window Company of: 6103 1905 x 2410 914 x 2362
requirements
Code:WND (WD)(AC)(OX)(IG) (6'3"x 7'11") (3'0"x 7'9")
ASTM menta E18 (INS LAM GL)(ASTM)
and
2. This Certification will expire September 21, 2014 and requires validation until then by continued listing in the current AAMA Certified
Products Directory.
3.Structural Test&Report By: Missile Impact Test&Report by:
Stork Twin City Testing Stork Twin City Testing
Report No: 00-3983P Report No: 004561P
Date of Report: October 29,2010 Date of Report: October 29,2010
Validated for Certification
w -&aa
Associated Laboratories, Inc.
Authorized for Certification
Date:March 5,2011
Cc: AAMA
SBS America it ral Man actin rersion
d(`P_1d(P." 1/111
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
r 800 Seminole Road
Atlantic Beach, Florida 32233-5445 /z/ — 7
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: l� / ./� �� Department review required Ye No
uilding
Applicant: A7 75—n-ning &Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [ZApproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Dater
TREE ADMIN. Second Review: DApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES +l
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. [-]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
s) ATLANTIC BEACH, FL 32233
J
ova
INSPECTION PHONE LINE 247-5814
Jr31�p
Application Number . . . . . 14-00000271 Date 2/27/14
Property Address . . . . . . 2213 ALICIA LN
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 38000
----------------------------------------------------------------------------
Application desc
KITCHEN BATH DECK REMODEL/REPAIRS
---------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
FARR, JAY A & MARY H HOME SWEET ACCESSIBLE HOME
2213 ALICIA LANE 2121 FOREST HOLLOW WAY
ATLANTIC BEACH FL 322335975 JACKSONVILLE FL 32259
(904) 545-4649
--- Structure Information 000 000 INTERIOR REMODEL (DECK REPAIRS)
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Sub Contractor . . LIN' S ELECTRIC INC
Permit Fee 67 . 80 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/26/14
-------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
--------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----- ---------- -------
Permit Fee Total 67 . 80 67 . 80 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 71 . 80 71 . 80 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
/ Ph(904) 247-//5826 Fax(904) 247-5845
JOB ADDRESS: ! � �1 h 4, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ?C 'x AMPS 7—W VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
[]Residential(Main) Service
❑0-100 amps 1110 1-15 Oamps ❑151-200amps Ll amps #of Meters
❑Commercial(Main) Service
00-100 amps L 101-150amps ❑151-200amps F amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps 1110 1-1 50amps ❑151-200amps []_amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE LI—amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _j 0 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign []Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name Phone Number
Electrical Company L,n�S El e .6ri` P . Office Phone t3${C Fax 0 3
Co.Address: o ' t Am. City_ � State d Zip zz2d
License Holder(Print): rz- State Certification/Registration# >� 13or3z�
Notarized Signature of License Holder ,
Before me this day of 20
Signature of Notary Public
CITY OF ATLANTIC BEACH
S 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000271 Date 2/26/14
Property Address . . . . . . 2213 ALICIA LN
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 38000
--------------------------------------------------
Application desc
KITCHEN BATH DECK REMODEL/REPAIRS
-------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
FARR, JAY A & MARY H HOME SWEET ACCESSIBLE HOME
2213 ALICIA LANE 2121 FOREST HOLLOW WAY
ATLANTIC BEACH FL 322335975 JACKSONVILLE FL 32259
(904) 545-4649
--- Structure Information 000 000 INTERIOR REMODEL (DECK REPAIRS)
Occupancy Type . . . . . . RESIDENTIAL
-----Permit .
. PLUMBING PERMIT
Additional desc . .
Sub Contractor . . ADVANTAGE PLUMBING . 00
Permit Fee 104 . 00 Plan Check Fee .
Issue Date . . . Valuation 0
Expiration Date . . 8/25/14
-------------------------------------------
Special Notes and Comments
NEED NOC
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
---------------------
----------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
_ _ ---------- --
----- ----------
Permit Fee Total 104 . 00 104 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 108 . 00 108 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JoB ADDRESS: " � //`� �/� PERMIT# C,
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE of FIXTURE QTY TYPE of FIXTURE QTY
Bathtub _ Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan /
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE of FIXTURE QTY TYPE of FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of p )
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
** SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspectio
❑ Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I hayed
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether speci
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of constructi
r
Property Owners Name Phone Number
Plumbing Company d�709 I)t ✓►l/31 N�� Office Phone,2'1 7' �/e�y� Fax
Co. Address: � r��'� /dC City /r�. ��� State Zip 2
License Holder(Print): State Certi tion/Registration#
Notarized SiE10Z/i? 09 �►
066990 j3 uo!ss2 0 �W 20
weye�� I(a�nUs SW subscribed be or e this d y of
eD!JW3 Io slats 3!Klnd�UeloN "�►.
e of Notary Publi
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Doc # 2014042950, OR BK 16700 Page 969, Number Pages: 1 , Recorded 02/26/2014
at 08:34 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
No. / -71 Tax Folio No.
>0 W X. of '__L_ County of R VV L,
i o om It may concern:
Cr. We undersigned hereby Informs you that improvements will be made to certain real property,and In
Mance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
.sd MENCEMEN
OT.
Ag deaaiption of property being improved: /
� ��11 C
! ` d, ss of property being Improved: �plATLA"'94-( 1,/ ) S
y re n raldefscripUonofi��mp�rovernents: /►�Q���� t RC-A^� 1 n1`�S �7! F ..l'la�, C u�"'�
Z.
` r XA .e ICS
dress +gra-
-- s Interest in site of the improvement e
Fee Simple Titleholder(If other than owner)
Name
Address
Contractor r7 '� = �•' ,�1 �= r<. -
Address s //t i✓ `�'t p/, / '1
Phare No s - ALL 'Y Fax No.
Surety of at
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
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 serrdL
Address
Phone No. 3 ' S Fax No.
In addition to himself,owner designates the following person to receives 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.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date Is specifled):
THIS SPACE FOR RECORDER'S USE ONLY owN
Signe DATE
Before me this day' `-may in the
Countyo[Duval,State of Fl�orlde,res peraonelty appeared rein b
�iVV�t Y
hlrnsetg hereat end affirms that all statements and declarations herel
are true and accurate ;q11, ANDREW titQCKO
Commission#EE 21749
J� ���___ :Q Expires July 17,2016
� 7019
/ v.,�,of\yQ:r Bored TNW.Troy Fan MJrax!E84
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Notary Public at Large,State ofCounty of v�-
My commission expires: cZ521-1 V
Personally Known or
Produced Identification L t,7v
t
Lou Pontigo & Associates, Inc. 0E
FIELD INSPECTION REPORT CONSULTING STRUCTURAL ENGINEERS
420 Osceola Avenue,Jax Bch., FL 32250 ME
(904) 242-0908 1 pontigo@Ip-a.com
Inspection Date - Time: 02/25/14 - 11:30 am
Project Name: Farr Residence, 2213 Alicia Lane
Contractor: Home Sweet Homes
Contact: Scott Ross �.
Inspector: Lou Pontigo, P.E. Q
Weather Conditions: Clear, 65 degrees L*
A
Scope of work:
a;
The purpose of my visit was to review several structural �•J
issues discovered during the interior renovation of the
captioned project. The rear elevated deck and two head
conditions on the second level were observed.
S
Observations:
As shown in the top two photos, the rear elevated deck
framing was found to have a level of wood rot (likely due
to a waterproof membrane failure) that requires structural
repair. The lower two photos show conditions where new
y headers should be installed.
Recommendations:
• Based on the condition of the deck framing members, the
edge beam (runs E/W) must be replaced with a 2-ply
11.25 LVL beam. Further, several of the elevated deck
floor trusses require repair per the attached truss repair
sketch. Once all the repairs are made, the contractor shall
install the appropriate waterproof membrane to protect the
framing members from future damage. As for the two
header conditions, the contract shall installed 2-ply 11.25"
LVL headers in both locations.
Scope and Liability Statement:
This report is presented as a limited visual condition
assessment. The opinions expressed in this report are
based on engineering judgment. Problem areas that were
not observed during the inspection may in fact exist.
Evaluation of the existing structure requires that certain
assumptions be made regarding existing conditions. Some
of these assumptions cannot be verified without destroying
otherwise adequate or serviceable portions of the building.
r Therefore, the scope of this report should be limited strictly
to its contents.
3 % A SEPARATE REPAIR SKETCH (SK-1), DATED 03/03/14
= WAS PROVIDED WITH THIS REPORT.
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03/04/14
FARR RESIDENCE - ALICIA LANE
® Lou Pontigo and
Associates , In C _ BUILDER HOME SWEETACCESSIBLE HOMES
420 Osceola Avenue JOB NO. SHT.NO.
lax.beach.Florida 32250
Ph.242-0908 fax.241-9541-95
57 S K- 1
FL:CA#8344 SC:CA#3579 DATE 0 3.0 4.1 4