731 PARADISE LN - NEW HOME PERMIT 'rS =-\J\l 7
'\S CITY OF ATLANTIC BEACH c .yam'"- -2 800 SEMINOLE ROAD
'.; rw;�� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SINGLE FAMILY DWELLING NEW
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-SFR-1715
Job Type: SINGLE FAMILY RESIDENCE
Description: new home
Estimated Value: $250,000.00
Issue Date: 8/17/2015
Expiration Date: 2/13/2016
PROPERTY ADDRESS:
Address: 731 PARADISE LN
RE Number: 172376-0200
PROPERTY OWNER:
Name: SPRINGFIELD BUILDERS LLC
Address: 1881 BEACH AVE RALPH BUCK DAVIS
GENERAL CONTRACTOR INFORMATION:
Name: SPRINGFIELD BUILDERS LLC
Address: 1881 BEACH AVE RALPH BUCK DAVIS
Phone: - -
PERMIT INFORMATION:
FEES:
ENG REV RESIDENTIAL BLD $100.00
PLAN CHECK FEES $465.00
UTIL REV RESIDENTIAL BLDG $50.00
BUILDING PERMIT FEE $930.00
STATE DCA SURCHARGE $13.95
SEWER SDC-SYSTEM DEV CHG $4,050.00
STATE DBPR SURCHARGE $13.95
aM-t IA1Fy`8,;VVIt N(.1.,91f851 00.1. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
-S1=L�Jr�
0
CITY OF ATLANTIC BEACH
A J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
JS,l>r'
WATER CROSS CONNECTION $50.00
WATER SDC-SYSTEM DEV CHG $1.140.00
Total Payments: $6,997.90
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
F I L E copy
800 Seminole Road,Atlantic Beach, FL 32233 ' ; U t
Office (904) 247-5826 Fax (904) 247-5845
�3 r?ant. L � Ah.,>�.��� ZZ � .(i/
Job Address: a:s` 4�{ 33 Permit Nu ber:
Legal Description (--A-31 ' Pa-ra.l.s..?r.4.ru,_ 5,6 d;,,c s;,.- Parcel# 17 =i--
Z Co. Floor Area of Sq.Ft. Sq.N't
Valuation of Work$ Proposed Work heated/cooled 27 S 3 non-heated/cooled 4 0gj
Class of Work(circle one): ew Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial (Residentia
If an existing structure ,is a fire sprinkler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product appro aTform
Describe in detail the type of work to be performed: 0...0 CzNA-r.,._1„% . 5•,,,r`l.• n..,•1.` -„4.4, 'w*
Property Owner Information:
Name: 5 :.,��;L1.�3...\fit Luc._ Address: 13 B'1 t- /EkIP•• 13 W I'zoli aLc�s•..•1;1L.-ft. 3zl'.r
City c,.c.k s..,.,•ll-, Stated ZipTz.Vi$ Phone y 04 -4,t(.-oZyt
E-Mail or Fax#(Optional) rake1n,6_0,.. Ao vis 01 airra.l _&a”. 1
Contractor Information: CONTRACTOR EMAIL ADDRESS: r'o` L. Lek. Ap.v:s q r,....I .cc:Ai
Company Name: 5 erim-P 4.\,1.--&,1 St Lt.. Qualifying Agent: 1�.A s
Address: 1' 4t(. „h,z a1!a +k ' -tt City adAu.,.;,1‘,, 1 State�_Zip 3utS
Office Phone'-IDy6LL oV-1S Job Site/Contact Number b46U• 01-‘15 Fax# --
State Certification/Registration# CRC. l2.5-86,21
Architect Name&Phone#
Engineer's Name&Phone# ..t•ba.,n( E� ;,,«n`,y�T,.,_ 4104- 813(,—vi o1
Fee Simple Title Holder Name and Address $ •ct•�'..la v:lb.•", •IL�
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 certifr that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical{York,Plumbing,Signs, Wells,Pools, Furnaces,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 hereby certify that I hay= ea• and examined this••• • ion and know the same to be true and f correct. Al All pr.'isions laws - 1' • dinances g. erning this
type of work will be co,plies with whether •• led he in or not. The granting of a permit does not pre' me to :rve a o o violate or cancel the
provisions of any other eder• ,state or • a • regulati : construction or the performance of construction.
•
Signature of o L L L _ _ Signature of C
(( �J
Print Name t\ 1 i Print Name 1 et C •Ai S
Befor: e 4 Before
this A_'f) • tr . •"�.-11.: '�0 _ this fl' p10 ', 20
1 211r.' 714M+kt.ti .. ..•• Public SV:7t1,..._i i 1C ��• cam,.. _ •
0 211 412 0 1 8 Nota`'. CommiSt<I tee990
•ros 02114
. 01.26.10
•
DO NOT WRITE BELOW- OFFICE USE ONLY
Applicable Codes: 2010 FLORIDA BUILDING CODE
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials/Date: R-715-
Development Size
Habitable Space 97i xr, Non-Habitable l S-
Impervious area
Miscellaneous Information
Occupancy Group k--3
Type of Construction 13
Number of Stories 2
Zoning District pu 0
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions/Comments:
I f- -C
c:.� �
JS I `SS\ 800 Seminole Road
.' Atlantic Beach,Florida 32233
1 ,•t\\ .) Telephone(904)247-5800
7.3 v FAX(904)247-5805
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6-18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan—parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2.
3. Location of construction trailers, loading/unloading area and material storage
area.
4. Location of chemical toilet area.(chemical toilets must be kept out of City
right-of-way and not further than 15 feet from structure under construction)
5. Location of dumpster. Dumpster must be from an approved waste company
(in accordance with Chapter 16 City Code) as of 2009 the permitted
dumpsters are Advanced Disposal,Realco Recycling, and
Shappells. Dumpsters will have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy.
6. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
7. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal,plastic and paper.
8. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion& Sediment Control Plan(silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
9. Other activities,where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6-17 (3)
Revised 5/2009
MAP OF BOUNDARY SURVEY
SITE PLAN
-7 3 i A:,-�a:s. L
DESCRIPTION:
LOT 31, PARADISE PRESERVE ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT
BOOK 57, PAGES 31, 31A THROUGH 31C, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
S77 B.3j:E 55 M6 . A F.L.P. 1/2' be➢ E 55.DO. (P7 1 C<B 1701 opy
7j05 ...ti
MB "N 55.07•
lip 12'
170/4
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LB
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AM PAD IN 10'210' /
Q • 1 7.5.---NEA_ l'--.EA EASELDR /
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......................
............... A� .
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TWO IElE3
1)
1)ELIYATIOE ME NALD-BB BASED ON STATIC OPS.
2)SPOT EIEYATIMS 10 90/OIRECTION CF ROOF.
3)ELEVA0IOE(BRAVED 06/13/2010.
4)ELEVATIONS SNOW IN IMAM RECTANGLE (TYPICAL).
SCALE: 1" - 30'
SURVEY NOTES
01 BEARINGS ARE BASED ON FLAT WITH THE EAST LINE OF LOT 3L
BEING NJ2'51'29•E.
/2 UNIERGROLM UTILITIES FOL RATIONS OR OTHER
IMPROVEMENTS MERE NOT LOCATED BY THIS SURVEY.
13 ACCORDING TO THE F'E'DERAL EMERGENCY MANAGEMENT AGENCY
FIRM MAP PANEL NO. 12031C 0408 N EFFECTIVE 06/03/2013. CERTIFIED TO ANO FOR THE
° THE PROPERTY DESCRIBED HEREON APPEARS TO LIE IN ZONE 'X'. EXCLUSIVE BENEFIT OF:
° 04 THIS SURVEY PERFORMED WITHOUT BENEFIT OF AN ABSTRACT, BUCKY DAVIS
I RCH,TITLE SEA TITLE OPINION OR TITLE INSLRAHCE.
n 05 DIMENSIONS ARE SHOWN IN FEET AND DECIMALS THEREOF
,SM, AND ARE PLAT AND MEASURED UNLESS SHOW OTHERWISE. STREET ADDRESS
AR 06 ALL EASEMENTS ARE PER PLAT.LESS SHOWN OTHERWISE. 741 PARADISE LANE - -
rn ATLANTIC BEACH. FLOROA
/7 THERE NAY BE ADDITIONAL RESTRICTIONS THAT APPLY MNICH ARE NOT SHOWN
N ON THIS SURVEY MMICH CAN BE F(LW IN PUBLIC RECORDS OF SAID COUNTY. +
08 THIS SURVEY DOES NOT GUARANTEE OMHERSHIP. �'
I9 TEMPORARY, NON-PEFIMANENI IIPAOVEIE'NTS MD/OR MAN-MADE ITEMS
SUCH A$ BUT NOT LIMITED TO THE FOLLOMIWG: BUILDING MATERIAL, }1 CLAN
o STORAGE POOS, PAVER BLOCKS, RUBBERMAID OR PLASTIC UTILITY I.. Y ,/(„
$ BUILDINGS NOT ON FOUDATIONS, VEHICLES ON BLOCKS MAY BE ON
L�l THIS PROPERTY BUT NOT LOCATED OR SHOWN.
m 010 LEGAL DESCRIPTION PROVIDED BY CLIENT. (I/
• NOTICE OF LIABILITY: THIS SURVEY IS CERTIFIED TO THOSE INDIVIDUALS SHOWN ON 4
o THE FACE THEREOF. ANY OTHER USE BENEFIT OR RELIANCE BY ANY OTHER PARTY IS O
n STRICTLY PROHIBITED AMC RESTRICTED. SLRVEYOR IS RESPONSIBLE ONLY TO THOSE CLYDE O. VAN KLEECK
-°L CERTIFIED AND HEREBY DISCLAIMS ANY OTHER LIABILITY AND HEREBY RESTRICTS THE FLORIDA REGISTERED SURVEYOR AND MAPPER An
RIGHTS OF ANY OTHER INCIVIOVAL OR FIRM TO USE THIS SCARVEY, WITHOUT EXPRESS NOT VALID WITHOUT THE SIGNATURE G THE ORIGINAL RAISED
'` WRITTEN CONSENT OF RE SURVEYOR. SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
F.C.M. FOOD CONCRETE MCFAIENT C.M. CONCRETE NPNIENT SEC-SECTION FIN -FILE HYDRANT ONE -OVERLEAF)ELECTRIC \
F.I.R.C. FOLIC IRON MOO ARO CAP P.T. POINT OF TANGENCY TARP- IP try -WATER VALVE C.L.F.-CHAIN LIIK FENCE
H F.I.R. FOOD IALN ROD P.C. POINT OF CURVATURE ROE- pD -fdAVD M.F. -WOOD FENCE
i F.I.P. FOOD IRON PIPE U.E. UTI TLITY EASEMENT P.O.- S (1.` TION (P) -PLAT C.B. -CHORD BEARING
5.1.5(0. SET IRON ROD AHD CAP D.E. DRAINAGE EASEMENT A/C-A •,L NL L. I T EB -ELECTRIC BOX MI -WATER DER
S F.NW FpIEI NAIL AND DISK C 6 G CURB 6 GUTTER NTS- I CONE.-coNDRETE M -MOOD POLE
000O FIELD MEASUREMENT R/M RIGHT OF MAY 1'C.L. (p -CABLE BOX LP -LIGHT POLE /
[C1 CALCULATED MEASUREMENT C/L CENTERLINE 0'M.F. -/—/—/—/- PB -`ROE BOX M/H -HANDLE `/
`1 FIELD SURVEY DATE \ / FIRST COAST LAND ` f PROJECT INFORMATION \
▪ PLOT PLALA N ORDER NO: 25579 SITEPLAN
BOUNDARY 03/06/2015 SURVEYING INC. DRAWN BY: TNP
Z FOAMOOAAD 840-222 EDGEWOOD AVE SOUTH, JACKSONVILLE, FL.32205 REVIEWED BY: TNP
w PHONE (904 ) 779-2062 FAX (904) 779-7784
R,. FOUNDATION CERTIFICATE NO. LB 7261 CHECKED BY: VAN
FINAL NNW.FIRSTCOASTLANDSURVEYING.COM J J
,
lf•sJ i-', _ " s CITY OF ATLANTIC BEACH
t-7i ,,,/,'
'' PUBLIC UTILITIES
1200 Sandpiper Lane
Jf;i �' ATLANTIC BEACH,FL 32233
(904)270-2535 or(904) 247-5874
NEW WATER/SEWER TAP REQUEST
Date: 7—2/- /S" Project Address: 7J/ /�� 1p/S6- 4/E—
No. of Units: Commercial Residential 1 Multi-Family
New Water Tap(s)&Meter(s) Meter Size(s) 3/y
New Irrigation Meter Upgrade Existing Meter from to (size)
New Reclaimed Water Meter Size New Connection to City Sewer V
Name:
Applicant Address:
City: State: Zip
Phone Number: Cell Number:
Email Address Fax:
Signature:
(Applicant)
CITY STAFF USE ONLY
Application# IS—j F7&/7/5
Water System Development Charge $ /9_ c �
Sewer System Development Charge $ , D��U(�
Water Meter Only $ /85:00
Reclaimed Meter Only $
Water Meter Tap $
Sewer Tap $ (notes)
Cross Connection $ SO.00
Other $
TOTAL $s
APPROVED: Kavle Moore,PE C- -
(Deputy PW Director or Authorized Signature) ALL TAP REQUEST MUST BE
APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED
,•rj i r,, City of Atlantic Beach RECFTVF . 'I.
r,} ~ ` :., Building Department APPLICATION NUMBER
"" 800 Seminole Road JUG 7 2015 � (To be assigned by the Building Department.)
) Atlantic Beach, Florida 32233-5445 R SF i
•, i" Phone(904)247-5826 • Fax(904)24 =58 '6.
/7/S
( ) �5=
.;;;,:' E-mail. building-dept @coab.us --__
—'' Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
/
Property Address: 73"/ ■97 ''' ';c5 E 72 D- rtment review required Yes No
47B: .....
Applicant: `i4 fg_ jrafiert, f 0 i Planning&Zonin.
/ Tree Administrator
Project: /Y r M 6 °ublic •
Public Safety
Fire Services
Review fee $ co Dept Signature_ SC
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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:
— APPIKTION STATUS
Reviewing Department First Review: Pipproved.
❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING '747./(Ar:Reviewed by: Date: 72z
TREE ADMIN. __
Second Review: ❑Approved as revised. ❑Denied.
AIC WO' S Comments:
UBL C UTILITIES
2/-/S
HUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: ❑Approved as revised.
❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
,..:-.ii',or City of Atlantic Beach - `8CFjNi
Building Department • I APPLICATION NUMBER
/,','I °1 800 Seminole Road JUL (To be assigned by the Building Department.)
"'., Atlantic Beach, Florida 32233-5445 7 2015 /51 SF t
� � /I Phone(904)247-5826 - Fax(904)2684 /7is�'
( ) 5
,;. %r' E-mail: building-dept @coab.us -~` ---- Date routed: Agr
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /3-"/ /h' / �t 72 De..rtment review required Yes No
B..cline
_
Applicant: 40,4 / � 11 a .i i t 1 a Planning&Zoning
_ / / 6 Tree A•ministrator
Project: �Y ry, -ublic
w —z—
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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:
APPL CATION STATUS
Reviewing Department First Review: Approved.
['Denied.
(Circle one.) Comments:
'sk 4.4.444
BUILDING
lee a
PLANNING&ZONING / L
Reviewed by: A,,,, t- Date: Z
TREE ADMIN. ,%
Second Review: ❑Approved as revised. r Denied.
BLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
�r City of Atlantic Beach APPLICATION NUMBER
/ � Building Department (To be assigned by thee Building Department.)
/- r, 800 Seminole Road / �/_ w / 7/`�-'
•v Atlantic Beach, Florida 32233-5445 / J
Phone(904)247-5826 Fax(904)247-5845
r ,�y E-mail: building-dept @coab.us Date routed: 7 /.5
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 743-1 /�"r '�� (`72 D rtment review required Yes 1(o
V
Applicant: C)� I. j) I • ' ,Planning &Zoni
n� G Tree Administrator
Project: / r 714-0 M G ublic
lic till
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:
11 APPLICATION STATUS
Reviewing Department First Review: oved. ❑Denied.
(Circle one.) Comments:
BU LB G 0C-
PLANN 1 : ZONING Reviewed by: Date:�� 1 "
TREE ADMIN. Second Review:
❑Approved as revised. ❑D d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
;,.rS .:;1,7M City of Atlantic Beach APPLICATION NUMBER
; - Building Department
' ' 800 Seminole Road (To be assigned by the Building Department.)
R''s Atlantic Beach, Florida 32233-5445 `�- Sy/-//7i t"
J Phone(904)247-5826 • Fax(904)247-5845
J
-i—;,)„ E-mail: building-dept @coab.us ) Date routed:
City web-site: http://www.coab.us �
APPLICATION REVIEW AND TRACKING FORM
Property Address: 73---1 f?' '- )c5 E. 72 Department review required Yes No
CB "din�g ,-
Applicant: C1,1 A ;M I •i1. I • - Planning &Zonin: --
` Tree A.ministrator
Project: _/Y E! M ubl�iC Q'UVorki1
',Ii tilities.
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified By Date
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: ❑Approved.J � 7enied.
∎
(Circle one.) Comments: ,4 vine'
BUILDING
PLANNING&ZONING
Reviewed by: X-------- Date: f
TREE ADMIN.
Second Review:,Approved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.:;.,Z14 "��� Date: ly s
FIRE SERVICES Third Review: nApproved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
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F1LF COPY
PRODUCT APPROVAL INFORMATION SHEET (PAIS) FOR THE CITY OF JACKSONVILLE
(Revised:July 8,2008)
SJ
Project Name: Carpenter-Kenney Permit#: f - - 17 1
Project Address: 731 Paradise Lane, Atlantic Beach, Fl. 32233
As required by Florida Statute 553.842 and Florida Administrative Code 9B-72, please provide the information and product
approval number(s) for the building components listed below as applicable to the building construction project for the permit
number listed above. You should contact your product supplier if you do not know the product approval number for any of the
applicable listed products. Information regarding statewide product approval may be obtained at: http://www.floridabuilding.org.
See Bulletins G-25-04 and G-03-05 for more information.
Product Description or - Product
Category/Subcategory _ Manufacturer Model No. - Limits of Use Approval# Local#
A. EXTERIOR DOORS
1. Swinging MaSnnitP
FI-43.34
2. Sliding
3. Sectional
4. Roll up CHI Overhead FL-15074
5. Automatic
6. Other:
B.WINDOWS
1. Single hung Silverline FL-14911R6
2. Horizontal slider
3. Casement
4. Double hung
5. Fixed Silverline FL-14918RS
6. Awning
7. Pass-through
8. Projected
9. Mullion
10. Wind breaker
11. Dual action
12. Other: -
C. PANEL WALL
1. Siding James Hardie FL-13209
2. Soffits .lames Han-lie FL-13265
3. EIFS
4. Storefronts
5. Curtain walls
6. Wall louvers
7. Glass block
8. Membrane
9. Greenhouse
10. Synthetic stucco
11. Other:
Printed Date: 7/10/2008 Page 1 of 3
Category/Subcategory I Manufacturer I Product Description 1 Limitation of Use J State# j Local#
D. ROOFING
PRODUCTS
1. Asphalt shingles Owens Corning FL-10674R3
2. Underlayments
3. Roofing fasteners
4. Nonstructural metal roof
5. Built-up roofing
6. Modified bitumen
7. Single ply roofing
8. Roofing tiles
9. Roofing insulation
10. Waterproofing
11. Wood shingles/shakes
12. Roofing slate
13. Liquid applied roofing
14. Cement-adhesive coats
15. Roof tile adhesive
16. Spray applied
polyurethane roof
17. Other:
E. SHUTTERS
1. Accordion
2. Bahama
3. Storm panels
4. Colonial
5. Roll-up
6. Equipment
7. Other:
F. STRUCTURAL
COMPONENTS
1. Wood connector/anchor Simpson FL-2355
2. Truss plates
3. Engineered lumber Ga Pacific F12023.1
4. Railing
5. Coolers-freezers
6. Concrete admixtures
7. Material
8. Insulation forms
9. Plastics
10. Deck-roof
11. Wall
12. Sheds
13. Other:
Printed Date: 7/10/2008 Page 2 of 3
Category/Subcategory I Manufacturer I Product Description J Limitation of Use I State# ( Local#
G. SKYLIGHTS
1. Skylight
2. Other: -
H. NEW EXTERIOR
ENVELOPE
PRODUCTS
1
2
In addition to completing the above list of manufacturers, product descriptions and State approval numbers for the products used
on this project, it is the Contractor's or Authorized Agent's responsibility to have a legible copy of each manufacturer's printed
instructions, along with the list above, on the job site available to the inspector.
The products listed below did not demonstrate product approval at time of plan review. I understand that before these products
can be inspected, they must be submitted for review for code compliance and approved by a Plans Examiner. This form will be
revised to include each new product in the categories listed above and will be highlighted to indicate the new products and
required information.
Contractor/Authorized Agent: Ralph Buck Davis
(Print) (Signature)
Company Name: Springfield Builders, LLC
Mailing Address: 13846 Atlantic Blvd. #204
City: Jacksonville State: Fl. Zip Code?2225
Telephone Number: ( ) Fax Number: (
Cell Phone Number: (404 ) 626-0245 E-mail Address: ralph.buck.davis @gmail.com
Printed Date: 7/10/2008 Page 3 of 3
4t+it—'
Sys.�, CITY OF ATLANTIC BEACH
0 ). - , Building Department
"." -! 800 Seminole Road
- "~ ;' wr Atlantic Beach,Florida 32233
(904)247-5800
"P-1.01111.1''
Fit“,a - f".\, rr"-.•
PLAN REVIEW COMMENTS
Permit Application # /5- - 5 FA."` / 7/ 5
Property Address: 7 3/ Pa.r'acf i $.e Lei n e.1 A, j
Applicant: S pr,n0_ P;e/0/ eU i )cip V S .
Project: /t/,e c - i o/rte-
This p t`tnit application has been: ".1, j t SS'''` eAr%•"ii-
a..k. al ,r- x. 1 0*
Approved '5`413 g n*fa.- -
Reviewed and the following items need attention: °'^.S
e.m_Li
0 S' • rI., * )€541 S o✓ ve�yk-ed et SE'a ). cf , )0W���
P )9 oSee1 F.n; 7 k' 1='l0osz ele va io►A a 4A.e. & 1e vct -1;vn -
v .._ k-e : corn -e,rs v ./- -/-A- /o i--
cj) S� boll '1 FL 4 -cor 4-}. cv,nc1ow) S ur, 4A o (.-t -4- h.�
p �t ) l.e 5h a..IcJ low a 01 Pcims. / /I vmb-ev a4 44\4e
ert -// 3 t
(3) r`ibog_ Plan dvej. Aoi- show Iecu.IL;0,-, 0 .P / ,r Inmate r u/s14- 51��
Pi.e a s pray'i cA.e I k e OA a n y
#10( I v►re.t r .�X Waco �eCi
p.,z r .�'oy rr a n c-e ��a--_ et 11 3)\ I i '.e. -t h o S--e /l a L 1�e. s' •4-o ��
3) _ ■ cA 01P Sry n c c d is.4iu r., have Sc1Pc. , c
an • -/h-e comple{. manval calevla -I oi■ s.. -CC»%
4-J -1"1ooe s L Sy 5ii-'�m
s/ rn,n r 4 1 4'7 t7
•
---- - 4 `� -- F A7:4----4i-grt-i
Please re-submit your application when these items have been completed.
Reviewed By: /71 .. Date: S' 6./ S
m '1-.7.-IC