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310-312 2nd St (vault) 1 C4 CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ?� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 INSPECTION EMAIL REQUEST: Building- dept(a Application Number . . . . . 08- 00000185 Date 2/08/08 Property Address . . . . . . 312 2ND ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5262 ---------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------ - - - - -- ------------------------ VAZQUEZ, ANGELE E. THE HAGERTY CO. 312 2ND STREET 3749 QUINBY ISLAND CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 58.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 5262 Expiration Date . . 8/06/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 58.00 58.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 58.00 58.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. wr*, y'u7 r CITY OF ATLANTIC BEACH O p v p I I I I I 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 r r l OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 BUILDING - DEPT @COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRESS: 2. VALUATION OF WORK: 3. SQ. FT. UNDER ROOF .3 ��. Atlantic Beach, FL 32233 Z Leo l b() 4. LEGAL DESCRIPTION: 5. CLASS OF WORK: 6. UU OF STRUCTURE: _ ❑ NEW BUILDING 11 DEMOLITION RESIDENTIAL LOTS BLOCK ? SUB DIVISION A --rLfr G L ❑ DITION 11 CONVERTING USE El C OMMERCIAL 7. DESCRIPTION OF WORK: ALTERATION ❑ ACCESSORY BLDG. 8. FIRE SPRINKLER: ❑ REPAIR ❑ POOL / SPA ❑ YES ❑ N/A "^�'� 1 `- •� • �� Y �� ❑ MOVE ❑ OTHER NO PROPERTY OWNER: CONTRACTOR: ARCHITECT f ENGINEER: 9. NAME: 15. COMPANY NAME: � � 23. COMPANY NAME: 77t 16. NAME: 24. LICENSEE NAME: l+ 'J t-k A 17 S � � � FLORIDA D J LICENSEIVO.: 25 STATE OF FLORIDA LICENSE NO. � � - r ( L 18. ADDRESS: / T � r ( l jo? 26. ADDRESS: L pN v �J1JlV .( t 1 � `L' U v � w n'' Zv 1 [' , 11. OFFICE PHONE: 12. FAX NO.: 19 OFFICE PHONE: 20. F NO.: 27. OFFICE PHONE: 28. FAX NO.: YS _ jl � 13.�LL PHONE: _ _ � 21. CEI,L�PH sli t �� 29. CELL PHONE: 151(11/t - 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: f J FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. 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 (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. ** WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent, Power o riorne , y or Agency Letter Required) (Qualifier Only) Signed: ti.c(I �: Da te: Z' l /C Sign A Date: L Before me this 7 s� day of 2 1 the county of Be me tl Is tlay of 2009 in the county of _=Baval -State of Florida, has personally appeared , State Fl rida, had J onally appeared 'Z�iw sR�3e,� herin by himself / herself and affirms that all statements and declarations are herin by himself/ herself and affirms that all statements and declarations are true and accurate. true and accurate. N Public at Large, State of F�� , County of Notary Public at Large, State of ;. i A , County of M-rersonally Known [J P40sonally Known ❑ Produced cation - ❑ Produce ication - Notary Signature: \ �- - �Zc- - ��- Notary Sig nature: \ _- •Y-� A BRIAN A. R BERSON BRIAN A. DNotaryAssn. Notary Public - State of Florida ' My Commission Expires Nov 6, 2009 �" -, Notary Public -S COAB FORM BLDG01: R : My Commission Exp �omnllssion # DD 448010 of r o?•` ?"}, 's;= Commission # Bonded By National Notary Assn. Bonded By Nation r, r j CITY OF ATLANTIC BEACH ' 47) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 �,31 INSPECTION EMAIL REQUEST: Building- deptgcoab.us Application Number . . . . . 08- 00000184 Date 2/08/08 Property Address . . . . . . 310 2ND ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5260 ----------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OLINZOCK THE HAGERTY CO. 310 2ND STREET 3749 QUINBY ISLAND CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 58.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 5260 Expiration Date . . 8/06/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 58.00 58.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 58.00 58.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ='.. CITY OF ATLANTIC BEACH Q 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 08 P7 is is OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 BUILDING- DEPT @COAB.US ' BUILDING PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRESS& C 2. VALUATION OF WORK: 3. SQ. FT. UNDER ROOF 3 2 /l��• S �' Atlantic Beach, FL 32233 S f Z UD 4. LEGAL DESCRIPTION: 5. CLASS OF WORK: 6. USE OF STRUCTURE: ❑ NEW BUILDING ❑ DEMOLITION RESI DENT IAL LOT BLOCK a SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL C- 7. DESCRIPTION OF WORK: LTERATION ❑ ACCESSORY BLDG. 8. FIRE SPRINKLER: 0 _'.l�,_.(`.p i. ' f, r[O] EPAIR ❑POOL /SPA ❑YES El N/A MAW (�V I �'l� I""' OVE ❑ OTHER NO �• PROPERTY OWNER: CONTRACTOR: ARCHITECT /'ENGINEER: 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME: 0 Lt &L 16 )u i 24. LICENSEE NAME: J 10. ADDRESS: , 17. STATE OF FLORIDA LICENSE NQ.: 25. STATE OF FLORIDA LICENSE NO.: ZtSS 201 ck- sr, _ _(' o 18. ADDRESS: 26. ADDRESS: �• k . - p cst r-L- a Q ti LLD � '0 ' L 11 OFFICE PHONE: 12. FAX NO.: 9. OFF CE HONE . AX : 20 0.: 27. OFFICE PHONE: 28. FAX NO.: 13. CELL PHONE: 21. CELL PM : 29. CELL PHONE: C1 14, EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31. NAME: 33. NAME: 35. NAME: 32, ADDRESS: 34. ADDRESS: 36. ADDRESS: n � n l 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 (6) months at any time after work is commenced. I understand that separate permits must be secured for v Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable ,4 laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. ,J * ** WARNING TO OWNER: * ** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWN or AGENT CONTRACTOR (If ent, PowerA ney q/fgenj Letter Required) (Qualifier Only) Signed: Date: Si Date: t. Before me this day of 20 unty of BJSta / a� of 200 , An the county of Duval, State of Florida, has personally appeared Dorid , ha personal ly appeared herin by himself / herself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are true and accurate. r true and accurate. Notary Public at Large, State of I `1 Of ��c2 County of . v ' Not Public at Large, State �_ , County of El Personally Known Personally Known ❑ Produced Identificationicationi, ti Produced ldentificaf Produced Identificaf - Notary Signature: Notary Signature: ELAINE S. BEALE BRANDON DOWLING Notary Public, State of Florida ` Commission DD 745406 2009 M comm. exp. May 22, COAB FORM BLDG01: REVISED: 1/8/2008 ', �: Expires January 2, 2012 y Comm. Na QO 432675 „M,t Bonded Rn Troy Fain Nuurence 800-385-7019 • .S !.,= x,,`11.. r ✓�i CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J s) J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 INSPECTION EMAIL REQUEST: Building- dept(iDegab.us Application Number . . . . . 07- 00001583 Date 11/19/07 Property Address . . . . . . 312 2ND ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 CU 1 AHU ---------------------------------------------------------------------------- Owner Contractor ------------------ - - - - -- ------------------------ VAZQUEZ, ANGELE E. A- AFFORDABLE AIR CONDITIONING 312 2ND STREET 7900 -20 103RD STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (904) 771 -0550 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 103.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/17/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 103.00 103.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 103.00 103.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ❑ 15W INSTALLATION E� N�EEW UMESIDENTIAL ❑ '06 FLORIDA BUILDING L9 CODE- EPLACEMENT OF EXISTING SYSTEM 'EXISTING ❑ COMMERCIAL MECHANICAL ❑ ALTERATION / ADDITION TO EXIST SYSTEM ❑ REPAIR ❑ OTHER MECHANICAL EQUIPMENT TO BE TALLED: 19. HEAT: ❑ SPACE ❑ R ESSED CENTRAL ❑ FLOOR BURNERS: 20. AIR CONDITIONING: ❑ ROOM ErCENTRAL 21. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22. REFRIGERATION: MAX CAPACITY: Cfm 23. COOLING TOWER: CAPACITY: gpm 24. FIRE SPRINKLER: NUMBER OF HEADS: 25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26. COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28. IRRIGATION: ❑ PUMP ❑ WELL ❑ PIPING 29. GAS PIPING: # OF OUTLETS: ❑ GAS AHU: ❑ GAS WATER HEATER: 30. OTHER - SPECIFY: 5S CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J r } ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 08- 00000934 Date 7/14/08 Property Address . . . . . . 310 2ND ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 11 FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------ - - - - -- ------------------------ OLINZOCK DAVID GRAY PLUMBING INC. 310 2ND STREET 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 744 -7255 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 112.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/10/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 112.00 112.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 112.00 112.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r 1,' CITE' Off' ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: 7 Property Address: 3ly � Z�rel 5 � � Owner: aVLd 211-il o6� Telephone Contractor: David Grav Plumbing, In Telephone #• 5'S Corporate Square Court Contractor Address: jaCkSo rlville, Florida 32216 Fax #: �6a Contractor Signature: _ � F C 022 5$' In consideration of permit given for doing the work as described in the above statement, we hereby a perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type If other construction is being done on this building or site, ❑ New list the building permit number: x Re -Pipe Number of Fixtures: Bath Tubs Z— Showers 3 Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains l Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: I I X $7.00 + $35.00 = �✓ 800 Seminole Road . Atlantic Beach, Florida 32233-5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 . http://wrww.ci.atlantic-beach.ft.us Revised 1/04 Jul 11 08 11:04a DAVID GRAY PLUMBING 904 723 5668 P. CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATIO D ate: 7 -// o,�P Property Address: Z Its 5 : Owner: G�V _ 1 ��lh Telephone #: Zy /XjAy Contractor. Da'Ad Gray Plumbing Inc. Telephone #: _Z "i - 2'2- 63 tar- parate quare ourt Contractor Address: .lAksonvi!6e. Florida 32216 Fax Contractor Signature: In consideration of permit given for doing the wo,ic as described in the above starlemeut, we herby a - perfo said wor accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of.gooz nraetice listed therein. Installation of plumbing and fractures must be in accordance with the most recent edition of the SOutnc n Standard Plumbing God. Plumbing Type: If other construction is being done on this building or sate, ❑ New list the building permit number: X Re -Pipe Number of Fixtures: Bath Tubs Z Showers 3 Closets Shower Pans Dishwashers Sim Disposals Urinals Floor Drains l Washing Machine 3 Lavatory Water Sewer f Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 std Total Fixtures: 1 l X $7.00 + $35.00 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (944) 247 -5800 . Fax: (904) 247 -5845 . http : /MMrvv.ci.atlantic- beach_fl_us Revised 1/04 �s Vii, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 rlfi! > Application Number . . . . . 08- 00001263 Date 11/14/08 Property Address . . . . . . 310 2ND ST Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 600 ---------------------------------------------------------------------------- Application desc install 20 ft fence and gate ---------------------------------------------------------------------------- Owner Contractor ------------------ - - - - -- ------------------------ OLINZOCK OWNER 310 2ND STREET ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/13/09 ---------------------------------------------------------------------------- Special Notes and Comments 1) Survey showing location of fence, setbacks gates and their sizes. 2) Material type of fence. *2004 FLROIDA BUILDING CODE W/ - SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING- DEPTQCOAB.US Fence height 6 feet maximum. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. � v� �wr� _ xl 05 53 �Wo A yo? 4 _ ___ CITY OF ATLANTIC BEACH 08� C� �� I ( I 600 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 �} OFFICE: (904)247 -5826 • FAX NO.:(904)247 -58 BUILDING DEPT @COAB US BUILDING PERMIT APPLICATION DUVAL COUNTY 2 l7ALUA{ION OF,1A!ORlty, f 3 ;Sr1 FT, UNDER ROOT <. J Atlantic Beach FL 32233 ... ,. F.STRUCTURE` sr4 LEGAt;';DE$ RIPTION,. ❑ NEW BUILDING ❑ DEMOLITION ESIDENTIAL LOT _ BLOCK _ SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL t ,,., d .:' ❑A 8 FIRE':5PRINKLEI � 12`58?` DESCk21PTfOt�.OFaNOf ..... LTERATION ❑ACCESSORY BLDG. . ❑ REPAIR ❑ PO /SPA ❑ YES NIA s ❑ MOVE HER 10 NO > Y P;ROPE{tTYOWNE z CONTRAGT:.OR x_ ' .'.r" .s ..:'rt. t 5 _. cx .n4 ,:.:, ... 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME: i f 1 a � �� !` 16. NAME: 24. LICENSEE NAME: ` 0. ADDYf RE S S: ( /. /lL 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 1 0. ADDS ` f � ) � 1 B. ADDRESS: 26. ADDRESS: A 3,-�a33 1 11. OFFICE PHONE 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: C Zb v l 29. CELL PHONE: 13. CELL PHON } " 21. CELL PHONE: 1 , 22. EMAIL ADDRESS 30 EMAIL ADDRESS 14 IL ADDRESS 1 D G Z a FEE $IMPLETITL H IN OLDER t BONDING COMPANY a ai t 'pa f l rt f MORTGi4CaE LENDER j iw. . .. 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. 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 (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSP CTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT .. TRAUOffir Y y • y AGENT i o 4gen' LetterRequjred) �. �a Signed: Date:. �, Signed: Date: Before me this day of in the county of Before me this day of 2007 in the county of TIZ te of Florida, has persona peared Duval, State of Florida, has personally appeared --� M n -2 k herin by himself / herself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large, State of G1'i ICI, County of �v Q Notary Public at Large, State of , County of ❑ Personally Known t , 4 Y�,, 11 Personally Kno I�oduced Identifi a'on - ml �s N `(.X b ❑ Produced Identi a ti ti io on -- `(� Notary Signature: Notary Signature R j CIE F ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL Penny Ramsey P��s REQUIREMENTS AND CONDITIONS � , /2 7 :' + j Commission # DD3 015 Expires April 28, r 006 REVIEWED BY: HATE: " 6 0 8' Sand@ dtroyRaIn•Ineurona,�e,100.91Ff01/ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road f v Atlantic Beach, Florida 32233 -5445 b 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 3 1 ID d`Lr 5� . De artment review required Yes No Property Address: uildin anning_& Zornn Applicant: Dzuyc, D i xl Public Utilities Project: r, z Public Safety Fire Services R Other Agency Review or Permit Required Review or eceipt 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: ❑Approved. Denied. (Circle one.) Comments: Iko -p_5 , n BUILDI A d A r PLANNING & ZONING '� PUBLIC WORKS Reviewed by: ly"I'j ate: PUBLIC UTILITIES Second Review: Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: m Date: 16 _d IV Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Public Forks Plan Review Comments �1 �b Initials Date: Project Name /Address: 3 02 ✓J '� S � Application Permit #: 0 Zheck.oz : t t. Ap�plic ail on Traeku�g`- Comments odd :comment Provide impervious surface calculations. ❑ Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. ❑ Provide drainage plans showing site topography (flow arrows, etc.) Provide construction site management plan, including Right- of -VJay Permit if using ❑ ri ht -of -w for construction parking. b a Florida Licensed Provide apre- construction topographic survey prepared y ❑ Professional Land Surveyor, showing 1' contours. Section 24 -66(b) of the Land Development Regulations requires on -site storage for increased runoff. Provide Delta volume calculations and on -site retention required ❑ er Section 24- 66(b). (See attached info. ) if on-site storage is required, a post construction topographic survey documenting ❑ ro er construction will be required A Right -of -Way Permit must be obtained for use A Revocable Encroachment Permit must be obtained. Pool — Wellpoint (if used) must discharge into vegetated area 10' minimum from street or drainage feature (swale, structure or 1 oon). All driveway aprons must be concrete, 5 inches thick, 4000 psi, with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW (Commercial drivewa s — 6" thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each directi on from the center of the cut. Repair must be ❑ shown on the laps. Roll off container company must be on City approved list and cannot be placed on ❑ City right -of -way. Lfl • �0l`4 vtti `. J�� t Alo ?_ 0 CITY OF ATLANTIC BEACH O 4 '3 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 s I� - I�• � � I OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 BUILDING- DEPT @COAB.US IV� BUILDING PERMIT APPLICATION DUVAL COUNTY 2;VALUATION OF. WORK ., 3 SQ FT_UNDER ROOF ii l Atlantic Beach FL 32233 3,4' MEGA[ DES RIPTION, ;..'. �,,, 5; CLAS OF; ORK 6. SE F STRUCTURE. .. ❑ NEW BUILDING ❑ DEMOLITION 3tESIDENTIAL LOT _ BLOCK SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL UESCRI0TIOTY "05WORK', h cy . ..::.. :..:... > ,.'::�,c „: ❑ ALTERATION ❑ ACCESSORY BLDG. 8. FIRE SPRINIZ[ER ❑ REPAIR ❑ PO / SPA ❑ YES N/A S ❑ MOVE M OTHER ❑ NO a .:3?ROPE.RTY,OWNE',. CONT.RAGTOR :� ARCHITECT I ENGINEER;; . . .5 ..... t :R - ....1 .... 9. NAME. 15. COMPANY NAME: 23. COMPANY NAME: a 1 ` 16. NAME: 24. LICENSEE NAME: 10. ADDRESS: (� 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: L r� 18. ADDRESS: 26. ADDRESS: 11 OFFICE PHONE* 12. FAX NO,: `D , 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: 13. CELL PHONE* ,1 I3 UA 21. CELL PHONE: 29. CELL PHONE: 14. IL ADDRESS: V 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: DL za ' -7 6`t'*)t c - sFEE,SIMPLE'TITL HOLDER BONDINGCOMPANY a `�, LE MORTGAGE R � (IFOTHERSHAN 31. NAME. 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. 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 (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. WARNING TO OWNER: ** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSP CTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT ' AGENT , � ' s C NTRACTO (If A n , F n Signed: Date:. Signed: Date: 2007 in the county of Before me thls da y of in the county of Before me this day of uval, State of Florida, has persona eared Duval, State of Florida, has personally appeared herin by himself / trerxff and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are t true and accurate. rue and accurate. Notary Public at Large, State of GY t �t�, County of 1.kU �t _ Notary Public at Large, State of , County of ❑ Personally Known vs y » � ^ El Personally Known t oduced Identifi a'on -' ' `� 1 N `fJC� e L El Produced Identification - : � Notary Signature: Notary Signature E A %014'"e�s Penny Ramsey Commission # DD395015 COAB FORM BLDG01: REVISED: 11/6/2007 � Expire A 26, 3009 ►�i l e �*�� BondQd iroY I�+in � Ineunnee, Ina. 1005/Fi/11 City of Atlantic Beach APPLICATION NUMBER J� r Building Department (To be assigned by the Building Department.) t,{ ` 800 Seminole Road \ Atlantic Beach, Florida 32233 -5445 S1P t' r' 1p .4.. Phone (904) 247 -5826 • Fax (90 -5845 j _ 0AIT E -mail: building- dept @coab.us 620 6' Date routed: 5 6 b City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address: 3 I O � _r �} Buildin anning_& Zonin Applicant: 1)-cLy c1 ID Public,Utilities Project. it Public Safety Fire Services Rl gency Review or Permit Required Review or Receipt Date of Permit Verified By ept. of Environmental Protection ept. of Transportation s River Water Management District rps of Engineer s of Hotels and Restaurants of Alcoholic Beverages and Tobacco APPLICATION STATUS Reviewing Department First Review: ❑Approved. Denied. (Circle one.) Comments: BUILDING �— �7 �--� Ce-e-A2 PLANNING & ZONING PUBLIC WORKS Reviewed by: Date: S PUBLIC UTILITIES Second Review: Approved as revised. ❑Denied. Comments: PUBLIC SAFETY t FIRE SERVICES Reviewed by: / - Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: cj a'�f�;L k I :Y >i Ito Sw.' 05� FrCITY OF ATLANTIC BEACH Q M 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 O V }� OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 x' f BUILDING- DEPT @COAB.US Fil BUILDING PERMIT APPLICATION DUVAL COUNTY 2 VALUATION OF WORK, ., 3 S4 FT'llNOER ROOF l I h Atlantic Beach FL 32233 E F. STRUC 6, S TORE .;; ;:: ❑ NEW BUILDING ❑ DEMOLITION UMESIDENTIAL LOT _ BLOCK _ SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL ,,. �.: ❑ALTERATION ❑ACCESSORY BLDG. 8. FIRE SPRINKLER f i? 7:' DE8CRIPTIOT 'OF W ORK; /y � �� , � ,:y` ❑ REPAIR ❑ PO / SPA ❑ YES G rN/A I II MOVE ❑ NO PROPERTY OWNE',.. CONTFi4GTOR : , ARCHITECT 1;ENGINEER H 9. NAME: 15, COMPANY NAME: 23. COMPANY NAME: 16. NAME: 24. LICENSEE NAME: Aj 10. ADD /tRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: ` r 4 � 18. ADDRESS: 26. ADDRESS: 11 OFFICE FI P O E 12• FAX NO.: `D 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 26. FAX NO.: 13. CELL PHO �' 6 riV, V 21. CELL PHONE: 29. CELL PHONE: 21 14. IL ADDRESS: 2 2. EMAIL ADDRESS: 30. EMAIL ADDRESS: 1 D G Z P Ze �`7r91 L FEESIMPLETITL HOLDER BONDINGCOMPANY a'a d TM x7 ! MORTGAGE LENDER 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. 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 (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. r WARNING TO OWNER:** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INS CTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT ONTRACTOR ' F ° • '' A e/I Letter Required � ;; 'a ' � C .c Signed: .— Date:. n Signed: Date: Before me this day of C in the county of Before me this day of 2007 in the county of uva1, State of Florida, has persona eared Duval, State of Florida, has personally appeared herin by himself/ herself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large, State of GYM C1 C�, County of ikti Cw Notary Public at Large, State of , County of ❑ Personally Known M ' I 13 Personally Known XKro • duced Identifi on - I' \r 1 e, N `v, L ❑ Produced Identification - Notary Signature: Notary Signature: b .�raP'ue�, Penny Ramsey Commission # DD395015 COAB FORM BLDGOt: REVISED: 11/6/2007 �. f i;i(ii i�rii �,�I iZOO� #W1 40*4TRYFain•Inauram.Ina: gove-fail City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) SS 800 Seminole Road 0 Atlantic Beach, Florida 32233 -5445 / Phone (904) 247 -5826 • Fax (904) 247 -5845 ) j �J;319'' E -mail: building- dept @coab.us Date routed: / 1 J City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM 3 1 ID oLr ,� 5�- . Department review required Yes No Property Address Buildin anning_& Zonin Applicant: 1� av c.. t� i x� �.� t K ,,:.:... ... Pu ic, ti sties ,.... ,.. ,- Project: Public Safety ?, -', Services 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: ❑Approved. Ye nied. (Circle one.) Comments: BUILDING Llyy A�ze'4� CPLANNING ZONIN - � t PUBLIC WORKS ' S iewed by: �i�/vl— Date: i2ZUW PUBLIC UTILITIES Second Review: pproved as revised. ❑Denied. Comments: PUBLIC SAFETY 4z01A FIRE SERVICES Reviewed by: azk-e Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: VETERANS AD STRATTON, U.S.D.A. FARMERS HOME ADMINI; kTION, AND U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT HOUSING - FEDERAL HOUSING COMMISSIONER For accurate register of carbon copies, form may be separated along above fold. Staple completed sheets together in original order. Proposed Construction DESCRIPTION OF MATERIALS No. (To be inserted by HUD, VA or FmHA) ❑ Under Construction n Property address 313 m� S - Z:, e e� city XClA t C_ State 4 Mortgagor or Sponsor - l �r,rb C J �[.��t f ut .0 -� `�/ 3 _• J Rx L (Name) (Address) Contractor or Builder ece (Name) ( Address) 0 INSTRUCTIONS 1. For additional information on how this form is to be submitted, number required, then the minimum acceptable will be assumed. Work exceeding Of copies, etc., see the instructions applicable to the HUD Application for minimum requirements cannot be considered unless specifically described. Mortgage Insurance, VA Request for Determination of Reasonable Value, or 4. Include no alternates, "or equal" phrases, or contradictory items. FmHA Property Information and Appraisal Report, as the case may be. (Consideration of a request for acceptance of substitute materials or equip - 2. Describe all materials and equipment to be used, whether or not shown ment is not thereby precluded.) on the drawings, by marking an X in each appropriate check -box and entering 5. Include signatures required at the end of this form. the Information called for each space. If space is inadequate, enter "See mist." 6. The construction shall be completed in compliance with the related and describe under item 27 or on an attached sheet. THE USE OF PAINT drawings and specifications, as amended during processing. The specifications CONTAINING MORE THAN THE PERCENTAGE OF LEAD BY WEIGHT include this Description of Materials and the applicable Minimum Property PERMITTED BY LAW IS PROHIBITED. Standards. 3. Work not speci described or shown w ill n be considered unl 1. EXCAVATION: Bearing soil, type .. V ✓ / `\' �� 2. FOUNDATIONS: Footings: concrete mix Ir strength psi Z s Reinforcing - I' Foundation wall: mater Cj � Reinforcing Interior foundation wall: material Party foundation wall Columns: material and sizes Piers: material and reinforcing Girders: material and sizes Sills: material Basement entrance areaway Window areaways Waterproofing Footing drains Termite protection So N f) E p N « /C,4 Basementless space: ground cover insulation foundation vents Special foundations Additional information: 3. CHIMNEYS: tf '' I [ Material I ' �+ Prefabricated (make and site) ��t1A /1 !) t � r , t 'F v .� Flue lining: material _ / r r Heater flue size Fireplace flue size Vents (material and site): gas or oil heater water heater Additional information: 4. FIREPLAC ,y� Type: [h solid fuel; gas- ouurning; ❑ circulator (make and size) Ash dump and clean-out Fireplace: facing �— • li _ ; hearth ;mantel Additional inform i C� A f�'Zff7 /Z S. EXTERIOR WALLS: _ Wood frame: wood grade, and species �` "" Corner bracing. Building paper or felt �S -- Sheathing r4lCk447 n or k t 7 thicknes ; width ❑ solid; ❑ spaced " o. c.; ❑ diagonal; Siding /" a -E0A/2 efZ Cf//'AtS: • grade type size �'r' � � exposure "; fastening `f Shingles grade type size exposure "; fastening Stucco thickness "; Lath - L 4 f+ ; weight lb. Masonry veneer Sills Lintels Base flashing Masonry: ❑ solid ❑ faced ❑ stuccoed; total wall thickness _ "; facing thickness "; facing material Backup material thickness "; bonding _ Door sills Window sills r�jf!f3LG Lintels Base flashing Interior surfaces: dampproofing, coats of furring Additional information: Exterior painting: material l N 1. igJc' + i i to ' number of coats �'- Gable wall construction: ❑ same as main walls; ❑ other construction 6. FLOOR FRAMING: Joists: wood, grade, and species _. = l ' �" r_ ; other ____ _ ; bridging —2 anchors Concrete slab: C] b semen[ 'oor, first floor; ❑ ground supported; ❑ self-supporting; mix .L S iJJ f' + / — // 3 PPo B: ;thickness reinforcing (>�X (�'�( 10 / 0 0 W LlJ I� ;insulation membrane / J t, Fill under slab: material C OM /AeTC.V ff#KTW thickness es ". Additional information: -� «a't'e C�O'�t �'� Lr£y 7. SUSFLOORING: (Describe 1'W { u ? derflooring for special floors under item 21.) 1) Material: grade and species N AY Jvoo ofd Nl Y[�I�u a XJ8' / /`AA'ricic [:�D ;size ;type Laid: ❑ first floor; H [ second floor; ❑ attic sq. ft.; El diagonal; ❑ right angles. Additional information: " O(//V t' I3014A -'P 21V l'Uf I /A1 4- (r-..-OF 8. FINISH FLOORING: (Wood only. Describe other finish flooring under item 21.) LOCATION ROOMS GRADE SPECIES - 1 • I11CKNES5 WIDTH BLDG. PAPER FINISH First floor 2"r A .v 0 i6/et/ L Second floor 7- Attic floor Additional information: HUD -92005 (6 -79) VA Form 26 -1852 I DESCRIPTION OF MATERIALS Form FmHA 424 -2 DESCRIPTION OF MATERIALS 9. PARTITION FRAMING: Studs: wood, grade, and species -Z Z 4 1- 1 �p rl G size and spacing Q Other Additional information: Ef, yA /��' 4) N:. ` (J e 7A 10. CEILING FRAMING: ^' s /-'l N Joists: wood, grade, and species �! -7— Other Additional information: Sff A/tf /N (i" ,L�r/!p/ Bridging 11. ROOF FRAMING: Rafters: wood, grade, and species 1 "' Roof trusses (see detail): grade and species 1 Z" Additional information: _ 5IF 'r` 12. ROOFING: Sheathing: wood, grade, and species I/2 C- D K R 4W OU Q Roofing 2 3.6 F /r3k G(rgy5 S0q/q &4V ; C/solid; [_1 spaced " D . C . Underlay / S f IF L T Bra a size ; type Built -up roofing weight or thickness size ; fastening Flashing: material Gs A411 fit[-7 number of plies surfacing material Additional information: gage or weight ❑ gravel stops; ❑ snow guards 13. GUTTERS AND DOWNSPOUTS: Gutters: material gage or weight size Downspouts: material ;shape gage or weight size Downspouts connected to: C1 Storm sewer; shape ;number ❑ sanitary sewer; C] dry-well. F-1 Splash blocks: material and size Additional information: 14• LATH AND PLASTER Lath ❑ walls, ❑ ceilings: material ; weight or thickness Dry -wall 4 walls, ❑ ceilings: material Plaster: coats ;finish thicknes Joint treatment s a ;finish — S MO D7 15. DECORA TING: (Paint, wallpaper, ek.) R00\1S WALL FINISH MATERIAL AND APPLICATION CEILING FINISH MATERIAL AND APPLICATION Kitchen Z"C*4 - r r- �A ?t ?C !0!� (lUN1.. I. t't y '1•:i. Bath VV AL P o ll e 'N' /Al Other (�/U ; Additional information: 16. INTERIOR DOORS AND TRIM: Doors: type 1 U L L-d Lu 0/E`� p/AC N0 A/ li ; material L upo Door trim: type thickness material ifL& ///: 1 Finish: doors Base: type C,4 K ^ material �T N V X L t ;size 11Tr•x �. C pA 7" (rim �l •i� /1 t R Other Trim (rinu, fj'pt and loro[ronJ t Kt t' Additional information: 17. WINDOWS: Windows: type 5 H ;make �� sj. 7 material ► tJM I gJ U!t I sash thickness Glass: grade ❑ sash weights; g C1 balances, type head flashing Trim: type ;material Paint number coats Weatherstripping: type material Screens: ❑ full; U half; type Storm sash, number number ; screen cloth material _ f/f3 .e4 x,1„ Basement windows: type material screens, number ;Storm sash, number Special windows Additional inform ation: LJV r`y: -L_ L,, r IS. ENTRANCES AND EXTERIOR DETAIL: Main entrance door: material _ _l Z IoK tit ; width 3 1 7 Other entrance doors: material C /1" Qtr +�i f ;thickness Frame: material f 1 L thickness / ; width 5 thickness , ' Frame: material ; thickness Bead flashing Weatherstripping: type saddles 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 louvers Exterior millwork: grade and species CYDAI-' m /' C Paint Additional information: number coats 19. CABINETS AND INTERIOR DETAIL: Kitchen cabinets, wall units: material yj 00 p w 0!9 ;lineal fret of shelves shelf width Base units: material counter top m i`�� i � !` d in �t{.'Yrf ' < I' Back and end splash d KM 1 L 04 _e dgin g Finish of cabinets S1; - ) �J j u % fl�� pumber coats Medicine cabinets: make ; Other cabinets and built -in furniture model Additional information: 20. STAIRS: THE %DS RISERS STAIR STRINGS ItnvuR alL B %LusrERS Material Thickness Material Thickntya Material Size Material Size Material S.e Basement Main " L t u 72-IT-Wt. Attic Disappearing: make and model number Additional information: 2 21. SFECIAL FLOORS AND WAINSCOT: ])escribe Curet us listed in Certi led products Director LO TION MATERIAL, COLOR, BORDER, SIZES, GAGE, ETC. THRESHOLD WALL B AST UNDERFLOOR MATERIAL MATERIAL MAFERI%L Kitchen 0 N C g Bath e - 7 - 14 !" C01IC oR w L.00ATION MATERIAL, COLOR, BORDER, CA►. SIZLS, GAGE, ETC. HEIGHT HEIGHT IN SHOWERS Iie1 CHT ~ OVER TUB � (FROM FLOUR) Bath KkMMIC TIDE CWW / R 1 c iq I 3 Bathroom accessories: I Recessed; material CCMRI ` number ; []Attached; material number Additional information: 22. PLUMBING: FIXTURE NUMBER LOCATION MARL MFR's FIXTURE IDENTIFICATION NO. SIZE COLOR Sink Il i caiele 1< w4LEK talc t L Lavatory 3 f-5Arµ c Water closet 3 13 A 9 !-/ '' S T (_ Bathtub - 2 Bwr#. STF'EL N 1 Alt4w &Z U 3 Shower over tubes Stall shower A 4 8,47 - M / /2. U 14 T/ �J Laundry trays 6Ar TuM•W / 667 2- / '9li 7 E S1ALL 5N9&A& _W NTH Ml3d 3 /3 /L. 7 / 0 ❑ Curtain rod 0� Door Shower pan: material Fe r Water supply: t6 public; ❑ community system; ❑ individual (private) system.* Sewage dispo sal: N public; ❑ community system; ❑ individual (private) system.* *Shaw and describe individual system in complere detail In separate drawings and specifications according to requirements. House drain (inside): ❑ cast iron; ❑ tile; ❑ other PVC House sewer (outside): ❑ cast iron; ❑ tile; �] other V C- Water piping: ❑ galvanized steel; ( copper tubing; ❑ other Sill cocks, number Domestic water heater: type & / 5 ; make and model / 0 S r 'r heating capacity gph. 100' rise. Storage tank: material Gr 4 R 5`1 /NE L7 ; capacity 0 GAL- gallons., Gas service: ❑ utility company; 6liq. pet. gas; ❑ other Gas piping: t6 cooking; 'house heating. Footing drains connected to: ❑ storm sewer; ❑ sanitary sewer; ❑ dry well. Sump pump; make and model ; capacity discharges into 23. HEATING: ❑ Hot water. ❑ Steam. ❑ Vapor. ❑ One -pipe system. ❑ Two -pipe system. ❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model Radiant panel: ❑ floor; ❑ wall; ❑ ceiling. Panel coil: material ❑ Circulator. ❑ Return pump. Make and model capacity gpm. Boiler: make and model Output Btuh.; net rating Btuh. Additional information: n Warm air: Gravity. Forced. Type of system ~+�� /4lk /- :L Duct material: supply return Insulation , thickness ❑ Outside air intake. Furnace: make and model Input _ Btuh.; output Btuh.. Additional information: ❑ Space heater; ❑ floor furnace; ❑ wall heater. Input Btuh.; output Btuh.; number units Make, model Additional information: Controls: make and types Additional information: Fuel: ❑ Coal; ❑ oil; ❑ gas; P liq. pet. gas; electric; ❑ other storage capacity Additional information: Firing equipment furnished separately: ❑ Gas burner, conversion type. ❑ Stoker: hopper feed ❑; bin reed ❑ Oil burner: ❑ pressure atomizing; ❑ vaporizing Make and model Control Additional information: Electric heating system: type Input watts; a volts; output Btuh. Additional information: Ventilating equipment: attic fan, make and model capacity clip. kitchen exhaust fan, make and model 7 U - 7 OBE eple t!< lJAZ, Other heating, ventilating. or cooling equipment 3 -7 A IC 14647' �Ctf�P 24. ELECTRIC WIRING: Service: overhead; ❑ underground. Panel: ❑ fuse box; 'Ej circuit- breaker; make SgUA" AMP's 2 00 No. circuits Wiring: 9 conduit: V armored cable; Q nonmetallic cable; ❑ knob and tube; ❑ other Special outlets: range; ❑ water heater; other RTIp - 0 ttN - 2 2-o 1/0,L-7 F Cee $ Prf ❑ Doorbell. 19 Chimes. Push- button locations � (17- �(�� %� Additional information: 25. UGHTING FIXTURES: , Total number of fixtures Total allowance for fixtures, typical installation, Nontypical installation Additional information: 3 DESCRIPTION OF MATERIALS 26. INSULATION: DESCRIPTION OF MATERIALS LOCATION TH I I IM MAnuAt., TrrL, AND A1 LrHOD OF INSTALLATION VArOL BALLILL Roof /t 6E K /i -1- -r S Ceiling rt .� 4 - c , 7 °7.- Wall Floor 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.) HARDWARE: (make, material, and finish.) S c Lf►_ c� /: - '(,e1 /� f O a a FPS ; ✓c SPECIAL EQUIPMENT: (State material or make, model and quantity. Include only equipment and appliances which ore accept- able by local law, custom and applicable FHA standards. Do not include items which, by established custom, are supplied by occu ant and removed when he vacates premises or chattles prohibited by low from becoming realty.) rk S / vr- - CIkGL RCf/2l�r /tiNT Z/8 vh'v-i IZ_k ".(. / - - , VD - f T 2 C= /'n4 -1 ReA&;e_ w NI/cNa -7 6 - T 7 41p(;- /c cHet RA" I x"400 /AAGrc c#,rr P1SNwAV4,fe - ;J - 1 <ITCH4v /all, L7 /Sfrruri`1 -el 13 C > O I S P05A meo L / — s i. 1 D r <, � , _ M u /JE L It/OAG - AF (.era y! i0 0 < /a7 Po /N Lrl + /i WLW 370 PORCHES: TERRACES: GARAGES: t _ ;l WALKS AND DRIVEWAYS: Driveway: width� �e base material thickness _L_ surfacing material ; thickness r Front walk: width material O N thickness __�L ". Service walk: width ; material thickness Steps: material treads ; risen . Check walls OTHER ONSITE IMPROVEMENTS: (Spenjy all exterior onsite improvements not described elsewhere, including items such as unusual grading, drainage structures, retailing malls, fence, railings, and accessory structures. r r lilt 6_ r I .�.. 2 1�� D La - ': - 2.� 44 pal s U ni SH E/ i' 6 X (� j I - r g'% Z k a) t',/ c rig Rik LANDSCAPING, PLANTING, AND FINISH GRADING: Topsoil - / " thick: ❑ front yard; ❑ side yards; ❑ rear yard to feet behind main building. Lawns (seeded, sodded, or sprigged):'(] front yard - a . ; ❑ side yards ; ❑ rear yard Planting: ❑ as specified and shown on drawings; 0 as follows: 0ACH S I Z)f. _ r Shade trees, deciduous, " caliper. -r Evergreen trees. Z ' to °� _ B & B.' Low flowering trees, deciduous, to Evergreen shrubs, ' to ', B de B. High - growing shrubs, deciduous, ' to Vines, 2-year Medium- growing shrubs, deciduous, to / >4)F j / 2 f L 14 2 Low growing shrubs, deciduous, to I DItNTIFICATION. —Thu exhibit shall be identified by the signature of the builder, or sponsor, and /or the proposed mortgagor if the latter is known at the time of pplication. y Date / Signature , Signature ignature VA Form 26 -1852 Form FmHA 424 -2 119 GOVERNMENT PRINTING OPEICE 1983 - 421 -488 - 415/0108 16 -791 VETERANS AD STRATION, U.S.D.A. FARMERS HOME ADMINR kTION, AND U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT HOUSING - FEDERAL HOUSING COMMISSIONER For accurate register of carbon copies, form may be separated along above fold. Staple completed sheets together in original order. Proposed Construction DESCRIPTION OF MATERIALS No. ❑ Under Construction (To be inserted by HUD, VA or FmHA) Property address 313 M� a�'If e Q-r ty � �Q Ci « t c State J [ Mortgagor or Sponsor (' ¢ �. �c Cc. / „ � .3 q/ 3 ,t. JA ,e (Name) (Address) Contractor or Builder � ,/..�?r' - �1` ".� �° �L4�/( °�►N� ,� 3 �3 j (Name) _ (Address) O INSTRUCTIONS 1. For additional information on how this form is to be submitted, number required, then the minimum acceptable will be assumed. Work exceeding Of copies, etc., see the instructions applicable to the HUD Application for minimum requirements cannot be considered unless specifically described. Mortgage Insurance, VA Request for Determination of Reasonable Value, or 4. Include no alternates, "or equal" phrases, or contradictory items. FmHA Property Information and Appraisal Report, as the case may be. (Consideration of a request for acceptance of substitute materials or e 2. Describe all materials and equipment to be used, whether or not shown ment is not thereby precluded.) quip - on the drawings, by marking an X in each appropriate check -box and entering 5. Include signatures required at the and of this form. the Information called for each space. If space is inadequate, enter "See misc. 6. The construction shall be completed in compliance with the related and describe under item 27 or on an attached sheet. THE USE OF PAINT drawings and specifications, as amended during processing. The specifications CONTAINING MORE THAN THE PERCENTAGE OF LEAD BY WEIGHT include this Description of Materials and the applicable Minimum Property PERMITTED BY LAW IS PROHIBITED. 3. Work not specifically described or shown will not be considered unl Standards. 1. EXCAVATION: Bearing soil, type aC.� S �r - 2. FOUNDATIONS: Footings: concrete mix Z S ,0 !` It strength psi Reinforcing j Foundation wall: mater 02 0 Reinforcing Interior foundation wall: material Party foundation wall Columns: material and sizes Piers: material and reinforcing Girders: material and sizes Sills: material __ Basement entrance areaway Window areaways Waterproofing Footing drains Termite protection 130NDEp C /�t,t/ /�',C S� /• j: i Basementless space: ground cover insulation foundation vents Special foundations Additional information: 3. CHIMNEYS: Material Prefabricated (make and size) /`�d 1 f �7 � T �� .' �a C FF4 0 /0 1 ` I {W 3 d Flue lining: material e :. Heater flue size Fireplace flue size �`� ti i ' y . Vents (material and size): gas or oil heater water heater i Additional information: 4. FIREPLAC : Type: a solid fuel; a��u n l.i• � A g g; ❑ circulator (make and size) Ash dump and clean-out Fireplace: facing li�nif g ; hearth mantel Additional inform S. EXTERIOR WALLS: _ 1 ! �' Wood frame: wood grade, and species =� � `" (� Corner bracing. Building paper or felt 1S ZZ -- Sheathing Z.4Ek4{t7 >3oP k i ;thickness !'f y = ; width sod; s Siding / `C4 DAi2 olZ CS/I'A '.. ; ❑ li ❑ paced " o. c.; [I diagonal; grade type size X exposure "; fastening 4141 Shingles grade type size exposure "; fastening Stucco ; thickn Lath - Z_ AT Ff- ; weight — lb. Masonry veneer Sills Lintels Base flashing Masonry: ❑ solid ❑ faced ❑ stuccoed; total wall thickness "; facing thickness "; facing material Backup material thickness "; bonding _ Door sills Window sills fl t FSLG Lintels Base flashing Interior surfaces: dampproofing, coats of furring Additional information: Exterior painting: material ST��1) N - f�T -j�l t ; le a l r �[ ;number of coats += Gable wall construction: ❑ same as main walls; ❑ other construction 6. FLOOR FRAMING: ` l �i foists: wood, grade, and species / /� r _ ; other bridging 2 anchors Concrete slab: // ❑ basement oor; first floor; round supported, self-supporting; mix - ' f ;thickness 4i�X b f ❑ 8 ppo ❑ ppo g reinforcing X )J L� 1,4) insulation membrane # ed Fill under slab: material C0MFAeTCd0 0';4A '70/ thickness ". Additional information: Lela / [T ( ;' r 7. SUBFLOORING: (Describe undernooring for special floors under item 21.) Material: grade and species 'V' RYJwoa ok �Jt,r 14 Ywooll a Sjh' / "KLt" faP ; size type Laid: ❑ first floor; second floor; T ' ❑ attic sq. fl.; ❑diagonal; E] right angles. Additional information: S D(/ /J "L, 1" ! %✓ r !1 f' - A -`� I r v' ter` tj . 8. FINISH FLOORING: (Wood only. Describe other finish flooring under item 21.) LOC GRADE SPECIES THICKNESS WIDTH BLDG. PA ►Ea FINISH First floor rT A-0 6/16 - Second floor Attic floor Sq. ft. Additional information: HUD -92005 (6 -79) VA Form 26 -1852 1 DESCRIPTION OF MATERIALS Form FmHA 424 -2 DESCRIPTION OF MATERIALS 9. PARTITION FRAMING: Studs: wood, grade, and species 2 y( 11 C size and spacing Q Other Additional information: 6fif P/11< t, I, 1 H: t` U f" 7A G 10. CEILING FRAMING: °'' S ^I /12 S /vA/✓ 19,VACIAt , Joists: wood, grade, and species _ -' �f- 7- Additional information: 51" k'A M �/� V � Bridging X O 11. ROOF FRAMING: 'P ,� Rafters: wood, grade, and species `" 1 Additional information: :S �� Al- oof trusses (see detail): grade and species 15 �1/7 h+ Z _ r /L'>�i+'t ! �-- �)�^ h 12. ROOFING: //�� Sheathing: wood, grade, and species I / 2 C p x P1 n' Roofing 2 35zx ` /r3 4(+gSS Si/ING�ti ($/solid; ❑spaced "o.c. Underlay / S tt F1119! L 7 - + Bra size ; type Built -up roofing weight or thickness size ; fastening Flashing: material G A4✓ A,4£] number of plies surfacing material Additional information: ; gage or weight CI gravel stops; [I snow guards 13. GUTTERS AND DOWNSPOUTS: Gutters: material gage or weight size Downspouts: material 'shape gage or weight size Downspouts connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑ d 1}'- well. El Splash blocks: material and size number Additional information: 14. LATH AND PLASTER Lath ❑ walls, ❑ ceilings: material weight or thickness Dry -wall 7 walls, ❑ ceilings: material Plaster: coats ;finish thickness 2 ;finish S Al O OT I! Joint treatment 15. DECORA TING: (Paint, wallpaper, etc.) Rooms WALL FINISH M ATERIAL AND APPLICATION CEILING FINISH MATERIAL AND APPLICATION Kitchen Bath AL L Other ' Additional information: 16. INTERIOR DOORS AND TRIM: Doors: type I 0LLdw CQ/E'l PAT- U U N G LVAJ `/ I ,/ 1 ;material ve� /� Door trim: t 2 thickness ty material C L6 114 Base: type C.« t t / /`' YP ;material Finish: doors �Tf11 N tl K s L aT� _ Z �' O P �j� c ;ize s` ?'�fi �,,. . f! 14r i Y Other trim (ilnN, type and location) trim rN s' Additional information: 17. WINDOWS: Windows: type 5N make material CUMtAj U/1:/ Glass: grade El sash weights; ;sash thickness g ❑balances, type Trim: type ; head flashing ;material Paint Weatherstri in t ; number coats PP g' type material Storm sash, number Screens: ❑ full; U half; type number ;screen cloth material fli3kti.:;.elf i 5 Basement windows: type material screens, number ;Storm sash, number Special windows Additional inform V V ri G . 18. ENTRANCES AND EXTERIOR DETAIL: 1 Main entrance door: material F) R Ml� riJ� 3 7 width thickness Frame: material L thickness Other entrance doors: material F/q- eve /'z *j -r width — ; thickness ". ; Frame: material thickness Head flashing Weatherstripping: type saddles 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 louvers Exterior millwork: grade and species C eDA he &X C . X t a S Paint Additional information: number coats 19. CABINETS AND INTERIOR DETAIL: Kitchen cabinets, wall units: material n C! p PLAN S w Om ;lineal feet of shelves shelf Base units: material ;counter lop /0 ��' { I C y1 � edging !' ai;�i'•s ° <' f' Back and end s mRM I 5TH /nJ [s? g g Finish of cabinets h F ;number coats Medicine cabinets: make ;model Other cabinets and built -in furniture Additional information: 20. STAIRS: TREW RISERS STAIR STRINGS 11ANURAIL B aLGSTERS Material Thickness Material Thickness Material Size Material Size Basemen) Material Size Main 3 it 1 3 Z W/I WOO 0 >( Z Attic Disappearing: make and model number Additional information: 2 21. SPECIAL FLOORS AND WAINSCOT: Describe Carpet as listed in Certi ied Products Director LOCATION MATERIAL, COLOR, BORDER, SIZES, GAGE, ETC. THRESHOLD WALL BAse UNDERFLOOR V �/v MATERIAL MATERIAL MA rERI1,L Kitchen ( vFu g Bath L ' 1 i - / vt fi'6;. T/� t CO�IJ olr /� w - LOCATION MATERIAL, COLOR, BORDER, CAP. SIZES, GAGE, ETC. HEIGHT HEIGHT HEIGHT IN SHOWERS $ OVER Tus (FR04 FLOOR) Bath tCke C /L y!• 1 RAI I C Q ' 1 3 Bathroom accessories: [ Recessed; material C£gAw 1 ` number ; []Attached; material number Additional information: 22. PLUMBING: FIXTURE [NUMBER Qt LOCATION MAKE MFR's FIXTURE IDENTIFICATION No. SIZE COLOR Sink 11 ii tHEI <- 1C014L - wl f `,/A( Lavatory - _ I s /`3 ArH- 11 1 ` C Water closet _ 3 13 A r `7 " 5 T Bathtub - 2 I#rf :5 7E,-Z_ N Z - Nlli, Nz 9 Shower over tubes Stall shower A )5/4TH - M /3 Tj u it T / /i/ Laundry trays BAfNTuh_S.W / -3,97 2_ STEE[. $TALL SNo c,#& - CA) �jATN ,t/13a 3 13 v /LT , n AE] Curtain rod �� Door t4 Shower pan: material LAOfD fFL T Water supply: t6 public; ❑ community system; ❑ individual (private) system.* Sewage dispo sal: N public; ❑ community system; ❑ individual (private) system.* *Shaw and describe individual system in complete detail in separate drawings and specifications according to requirements. House drain (inside): ❑ cast iron; ❑ tile; ❑ other PVC House sewer (outside): ❑ cast iron; ❑ tile; ] other Water piping: [] galvanized steel copper tubing; [] other Sill cocks, number yC — Domestic water heater: type S make and model O. /4+ , T bi ;heating capacity gph. 100' rise. Storage tank: material F— L,4 �NEU capacity 0 C-At- gallons.. Gas service: ❑ utility company; 6 liq. pet. gas; ❑ other Gas piping: t6 cooking; house heating. Footing drains connected to: ❑ storm sewer; ❑ sanitary sewer; ❑ dry well. Sump pump; I. r,d model capacity discharges into 23. HEATING: ❑ Hot water. ❑ Steam. ❑ Vapor. ❑ One -pipe system. ❑ Two -pipe system. ❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model Radiant panel: ❑ floor; ❑ wall; ❑ ceiling. Panel coil: material ❑ Circulator. ❑ Return pump. Make and model ;capacity gpm Boiler: make and model Output Btuh.; net rating Btuh. Additional information: Warm air: ❑ Gravity. 1� Forced. Type of system je / r) / 6'1 TIE Duct material: supply return Insulation thickness ❑ Outside air intake. Furnace: make and model Input — Btuh.; output Btuh.. Additional information: ❑ Space heater; ❑ floor furnace; ❑ wall heater. Input Btuh.; output Btuh.; number units Make, model Additional information: Controls: make and types Additional information: Fuel: ❑ Coal; ❑ oil; ❑ gas; [] liq. pet. gas; electric; ❑ other storage capacity Additional information: Firing equipment furnished separately: ❑ Gas burner, conversion type. ❑ Stoker: hopper feed ❑; bin feed ❑ Oil burner: ❑ pressure atomizing; ❑ vaporizing Make and model Control Additional information: Electric heating system: type Input watts; volts; output Btuh. Additional information: Ventilating equipment: attic fan, make and model capacity cfm. kitchen exhaust fan, make and model / O A) 6 Other heating, ventilating, or cooling equipment 3 -7 A C PICAT ) M 24. ELECTRIC WIRING: Service: overhead; C] underground. Panel: E] fuse box; 10 circuit - breaker; make SQ�K� u AMP's 2 00 No. circuits Wiring: 9 conduit. rw armored cable; Q nonmetallic cable; ❑ knob and tube; ❑ other Special outlets: .range, ❑ water heater; other AT IO - 6 �� Akl - 2 2.0 VOLT f 01/: S Ps+ ❑ Doorbell. Chimes. Push- button locations f Al r !.'J✓ Additional information: 25. LIGHTING FIXTURES: Total number of fixtures Total allowance for fixtures, typical installation, S Nontypical installation Additional information: 3 DESCRIPTION OF MATERIALS 26. INSULATION: DESCRIPTION OF MATERIALS L oeA T— THICKNLU MATtauL, Tyre, AND Ai LriIOD OF INSTALLATION VAros SAKKICK Roof " bE ti G A S TT 5 f T Ceiling rt / K > '> 7 "T S r r Wall rt Floor 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.) HARDWARE: (make, material, and finish.) SC G/4 c.-� h `�Ul /K� E cx 3<n,a.�{ Qp4 J SPECIAL EQUIPMENT: (State material or make, model and quantity. Include only equipment and appliances which are accept- able by local low, custom and applicable FHA standards. Do not include items which, by established custom, are supplied by occup and removed when he vacates premises or chattles prohibited by low from becoming realty.) LOT - r S t pf pl ,7' 51 VIV nr<GL REfuIC- /UNT 21g A kA 21 ('A'I G - NDT7 Z 2 9C TP PPt4AJ R/;nk G w M/e ka - 7 46 - 3 /NAG /e cNEf RRti6e (o / 3KeW /AFG (14IFF AISfIWA%NiA' - U- J<)TChfto At D ISH�vN:h.d K01 / C3 SL r.) I S PO-5A steep L ? - j x. 15e 10 t , i'a _ Mv/pE L NoKGE era sl �u/R 710U Ho7 Poiw >— tf14s U /V" W LW j %o GA 5 L p PORCHES: TERRACES: GARAGES: WALKS AND DRIVEWAYS: r C ��C Driveway: width/ �baw material ;thickness 11 ; surlacing material ; thickness 1 Front walk: width ; material O N C_ thicknes ". Service walk: width ; material ; thickness _ " Steps: material ; treads risen . Cheek walls !, f'( Ot�'� �,v //V 4� . OTHER ONSITE IMPROVEMENTS: (Sperlfy all exterior onsite improvements not described elsewhere, including items such as unusual grading, drainage structures, retaining walls, Jena, railings, and accessory structures. r r T9 / /cW 44 C rh "C' ,Z LANDSCAPING, PLANTING, AND FINISH GRADING: Topsoil / " thick: ❑ front yard; ❑ side yards; ❑ rear yard to feet behind main building. Lawns (sreded, sodded, or sprigged): 10 front yard 4 b J ; [j side yards _; C) rear yard Planting: ❑ as specified and shown on drawings; I as follows: O CH t� t LJ t Shade trees, deciduous, " caliper. ) Evergreen trees. 2 ' to °� – B do B: Low flowering trees, deciduous, to Evergreen shrubs, ' to ', B & B. High- growing shrubs, deciduous, ' to Vines, 2 -year Medium - growing shrubs, deciduous, ' to L Low-growing shrubs, deciduous, ' to LDLNTIFIGTION. —This exhibit shaU be identified by the signature of the builder, or sponsor, and /or the Droposed mortgagor if the latter is known at the time of pplication. 9 Date / Signature - lo Signature ignature VA Form 26 -1852 Form FmHA 424 -2 C O8 GOVERNMENT PRINTNG OFFICE: 1983 - 421 - 488 - 415/0108 (6 -79) 1 i CITY OF 716 OCEAN BOULEVARD P. O. BOX 25 ATLANTIC BEACH, FLORIDA 32233 TELEPHONE (9041249-2396 November 28, 1984 Pre - Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #4881 - 312 Second Street Permit #4882 310 Second Street Permits issued to Barkoskie Electric Company., and, Permit #4117 1226 Hibiscus Street Permit issued to Brooks & Limbaugh Electric Company, and, Permit #4015 - 1845 Hickory Lane Permit issued to Allstate Electric Company, Sincerely, John M. Widdows Building Inspection Supervisor JMW:ra INSPECTION LOG JOB ADDRESS 310-31 - CONTRACTOR lie OWNER (/ BUILDING PERMIT ELECTRICAL PERMIT PLUMBING PERMIT fir` MECHANICAL PERMIT FLOOD ZONE DATE SURVEY FILED called in approved JEA Temp -pole Slab Footing Framing Plumbing (R)' ' Electrical (R) Mechanical Fire Place r Top Out Other Electrical Final FINAL INSPECTION Certificate of Occupancy Issued COMMENTS: CITY OF Bwc- G ►`- U Office of Building Official EOUEST FOR INSPECTION Permit No. Date ( A.M. j District No. Time P.M. Received • ty ' Job add less Owners Contra MECHANICAL Name ECTRI AL PLUMBING !3< CO N ETE EL Rough ❑ Air. Cond. ❑ BUILDING Rough Wiring ❑ Heating ❑ Framing ❑ Footing ❑ Temp Pole Top Out ❑ Fire Piece ❑ A Roofing ❑ Slab pre Fab Lintel ❑ A.M. READY FOR INSPECTION Fridays — P.M. Wed Thurs. Mon. ues. Q A.M. '4T P.M. Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy Date - - -- - A Permit No. District No Date A M. Time P.M. q Received f O C Locality Job Address Contractor PL UMBING MECHANICAL Owner's ❑ Air. Cond. RICAL PL ❑ Name CONCRETE /ELECT Rough Heating BUILDING �Y Rough Wiring ❑ T Out ❑ Fire Place ❑ ❑ Footing ❑ Temp Po Pre Fab Framing Slab Re Roofing ❑ Intel ❑ y iv D A.M. cYC READY FOR INSPECTION P.M. r}day Thurs. Wed • A.M. Mon. Tues. p.M. / `_ Inspection Made 4P Final Inspection ❑ Certificate of Occupancy Inspector Date CITY OF c 7q&ft4c BeW 4 - I&V4 Office of Building Official / REQUEST FOR INSPECTION Date �G Permit No. Time A.M. ry Received p.M, f District No. 'Job Address F„ ' Locali Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING , M ! ECHANI Framing Footing 11 Rough Wiring ❑ Rough V< Air. Cond. R Re Roofing O Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A. M. Mon. Tues. Wed. T/1") Friday P.M. Inspection Made � A.M. P.M. Inspector Final Inspection ❑ Certificate of Occupancy Date 4 b CITY OF Gd� y'Y &f4 -� c �. Office of Building Official REQUEST FOR INSPECTION Date w _ v Permit No. Time A. M. Received p.M District No. �o --,? /� �' ..t a o Jo Address Locality Owner's Name Contractor BUILDING / C RETE ELECTRICAL j, ,.- - PLUMBING MECHANICA Framing �/ Footing ❑ Rough Wiring [j1/ Rough ❑ Air. Cond. & Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out Heating Lintel ❑ Fire Place READY FOR INSPECTION Pre Fab A. M. Mon. Tues. Wed. Thurs. f a P.M. A.M. Inspection Made P.M Inspector Final Insp Certificate of Occupancy Date CITY OF 4&4 -Idic Office of Building Official REQUEST FOR INSPECTION Permit No. Time A.M. Received ` P. M. District No. Job Address Owner's Locality Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air. Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top out �" Heating Lintel ❑ v Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed, A.M. Thurs. Friday P. M. Inspection Made �J A. M. �� P. M. Inspector � Final Inspection p Certificate of Occupancy Date CITY OF 4 &4#dic Berck - Office of Building Official REQUEST FOR INSPECTION Date Time q M Permit No. Received p.M. District No. 3 2 ez� Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough Re Roofing ❑ Slab El Temp L Air. & El Pole ❑ Top Out 4Y Heating ing Lintel ❑ Fire Place Cl READY FOR INSPECTION Pre Fab Mon. ZE) Wed. Thurs. A.M. �j Friday _ p . m. Inspection Made 7 A. M. / P.M. Inspector Final Inspection ❑ Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date Time Permit No. Received A. M. P.M. District No. Job ddress Owner's / Locality Name Contractor BUILDING CONC TE ELECTRICAL PLUMBING Framing ❑ Footing ❑ Rough Wiring ❑ Roug MECHANICAL Re Roofing ❑ Slab g ❑ Air. Cond. 8 ❑ Lintel 0 Temp Pole ❑ Top Out ❑ Heating Fire Place ❑ READY FOR INSPECTION Poe Fab Mon. Tues. A.M. Thurs. Friday Inspection Made �/ A.M. P. M. Inspector _ / Final Inspection (lY' Certificate of Occupancy Date CITY OF G V- 4 &4sr�rc " .Lt - • �aztura 00 Office of Building Official . REQUEST FOR INSPECTION Date Time A. M. Permit No. Received p, M, District No. Job ddress Owner's � Locality � Name �— Contractor 3 BUILDING CON RETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air. Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Thurs. Friday A.M. Inspection Made � A.M. P. M. Inspector .C�9�' Final Inspection E]/` Certificate of Occupancy Date CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT INS APPLICATION IS HEREBY MADE FOR / _ WATER CUT -IN AT THE FOLLOWING ADDRESS FOR _UNITS. ; � CUT —IN CHARGE OF STREET NO. LOT BLOCK c1,5 SUBDIVISION C �J ACCOUNT NUMBER BU LDING DEPART N T DATE METER NO. DATE INSTALLED CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS ACCOUNT NO. DATE LOCATION LOT NO. BLOCK NO. SUBDIVISION a-�t OWNER TYPE OF BUILDING v � BUILDING DEP T NT DATE INSPECTED BY a CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT INS APPLICATION IS HEREBY MADE FOR _ WATER CUT-IN AT THE FOLLOWING ADDRESS FOR UNITS. CUT -IN CHARGE OF �J STREET N0. / O LOT '6� BLOCK - 3 SUBDIVISION . ACCOUNT NUMBER BUILDING DEPAR 1E DATE METER NO. DATE INSTALLED CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONVECTIONS ACCOUNT NO. 9 DATE LOCATION 316 LOT N0. BLOCK NO. SUBDIVISION OWNER TYPE OF BUILDING BUILDING DE AOMENT DATE INSPECTED BY CITY OF ATLANTIC BEACH, FLORIDA Approved 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 EL CTRICIAN SIGNATUR NAME �� ' ADDRESS: RFD BOX BLDG. SIZE BETWEEN: RES. ( ) APT.( 1 comm.( 1 PUBLIC ( 1 INDUS. 1 1 NEW( 1 OLD( 1 REW. ( 1 ADDITION( ) TRAILER ( 1 TEMP. y(1 SIGNS ( 1 SO. FT. SERVICE: NEW( 1 INCREASE( ) REPAIR( 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. 1 SWITCH OR BREAKER AMPS PH ` W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE O. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0 -30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPL IANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS I AMPS I CEIL HEAT: KW -HEAT I - - il I 0 -1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS r TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. l KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES _ CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: 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. �U40't_OJ JOURNEYMAN ELECTRICAL FIR MASTER ELECTRICIAN SIGNATUR NAME i ADDRESS: 3 10 Nd 3 7 RFO BOX , BLDG. SIZE BETWEEN: RES. ( ) APT.`( !l COMM. ( ) PUBLIC( 1 INDUS. ( 1 NEW( ) OLD( 1 REW. ( 1 ADDITION ( 1 T� ( 1 TEMP. ( 1 SIGNS ( 1 SQ. FT. SERVICE: NEW X) INCREASE( 1 REPAIR l 1 FEE CONDUCTOR SIZE /\ AMPS COPPER ( 1 ALUM. O SWITCH OR BREAKER AMPS PH 5 W z - ,' ` - VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE I ND. SIZE N0. SIZE LIGHTING OUTLETS J CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.3VAMPS 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS., OVER APPLIANCES BELL TRANSF. AIR H.P. hATING 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 TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. l KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES i CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT � TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Z� 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. JOURNEYMAN ELECT CAL FIRM: MAS ELECTRICIAN SIGN RE :;' rr'V�,t r� �� S RFD BOX NAME ADDRESS: BLDG. SIZE BETWEEN: RES. ( ) APT. (Y) comm.( 1 PUBLIC l 1 INDUS. ( 1 NEW( 1 OLD( 1 REW. ( 1 ADDITION ( ) TRAILER( 1 TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE( ) REPAIR ( 1 FEE CONDUCTOR SIZE 91 AMPS COPPER ( 1 ALUM. ()t) SWITCH OR BREAKER AMPS PH W 4 -' VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE I ND. SIZE NO. SIZE LIGHTING OUTLETS �� CONCEALED OPEN TOTAL ' RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS, 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT 0 -1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA I ND. l KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES 1 /-/ 71 /" DEPARTMENT OF BUILDING PERMIT NO. 51 98 CITY OF ATLANTIC BEACH, FLORIDA i PERMIT TO BUILD 1 15900 t THIS PERMIT MUST BE POSTED ON JOB 1 1 540CKT 12 -06 19 z 1703 1 A 5/G+2 Date 5198 *00CA Valuation $ PLUMBING Fee $ 115.00 1733 1 Ir 5/02/4 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 —� has permission toi IiVSTtiLL PLUNi8I1�1G AS P1: PgATIS Classification RE S T D AT. Zone R( Owned by J.V. RIER14EY Lot 5 Block 3 S/D . House No. '11 SECOND ST' RF'T'T 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 � _-- �---P. O Building material, rubbish and debris z i from this work must not be placed in public space, and must be cleared t up and hauled away by either con - tr - .owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT DATE -Q y V , LOCATION J//,O C;,/� PLUMBING FIR MASTER PLUMBER J CITY /COUNTY OCCUPATIONAL LICENSE NO. � STATE CERTIFICATE N0. BUILDER OR CONTRACTOR TYPE OF BUILDING ' SINKS__ SHOWERS LAVATORY WATER HEATERS BATH TUBS _ DISHWASHERS URINALS �y DISPOSALS �p CLOSETS /- WASHING MACHINE FLOOR DRAINS OTHER J,Q TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. J w.Lpruf iratr of Orrnvttnry CITY OF Drpar#mrnt of Building Jnoprrfion This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification Bldg. Permit No. Group Type Construction Fire District Owner of Building _ Address Building Address Locality By: - - - - - - -- — — Building Official Date: - - - -- POST IN A CONSPICUOUS P"CS Cgrr if iratr of Orrupaury CITY OF OW44k hQ k - Rw& DrVar#mPn# of NuAbing Jnoprrtion This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification Bldg. Permit No. — Group Type Construction Fire District. -- - -- Owner of Building _ Address Building Address By— - - - -- Building Official — Date: — POST IN A CONSPICUOUS PLACE DEPARTMENT OF BUILDING Q (� CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 519 9 PERMIT TO BUILD i THIS PERMIT MUST BE POSTED ON JOB Date 12 -06- 19 Valuation $ 128 060.25 - 439.12 Fee $ I 439912 T This permit not valid until above fee has been paid to City Treasurer, and is y 439. 1 2CK 1 subject to revocation for violation of applicable provisions of law. 31 C i� A 12/08/81 This is to certify that Joseph V. Tierney ,q 1 -92 Hopkins Street, Neptune Beach ICUC I has permission to build Duplex as per plans submitted Classification Zone RG° -1 Owned b JOSEPH V. TIR:qET, HR & IIRS Lot Block 3 _S�D ATLANTIC BEA H' House 40. 10 Second Street 12 Second Street According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS I AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE —� �— 0 Building material, rubbish and debris 1 from this work must not be placed in public space, and must be cleared = up and hauled away by either con- y wner. �% Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER I FOR OFFICE USE ONLY Date -- ---- --- --- ----- ----- --------- - - - -19 ...... Permit # ..... .... . .. ............Fee $ ........................ CITY OF ATLANTIC BEACH valuation $............................... ------------------- �--- '`1�. FLORIDA House #_. _ �. l () ...---•--------------------------------------------------------------••----- APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner - Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can be verified. Date ... - - -1 ('} ' !1 !Q�- �'�. - - - - -• 3 .................. 19 -_ $ 3 Owner. — ►�rv..e:.I-------------- ddress- 1Q.2 -Wo e..W:i.,1.1-•- --.... !- No *7 - .. -7_63.7 Architect.rn�... -? , \ .... z 1. e. ............................. Address 770....! SA St..0 V - -.. O. .Telephone No.?_� -�_ ..... 4(, Contractor Builder . Address ................. ca, 044 -------- .-- _...- ..Tele hone No. - -- .5 -... .._ .:..v_�._....�.l.�`!rtQ a.s - - -- - n (� P n Lot No ............ � ................................... . - Block No ....... "�•-�------ - - - - -- - Sub Div S_z_ LJ r►... FI 1� .! �. p C.Ii� -.- Zone- --_---- -- --- -- - ---- - --- C`e�'� -------- - - - - -- --- • - - - - - - - Street - - -- - - - - 6.j 6.. -- ...Side Between .... 1� ads '�----------------- and..5V,.i'. Sri- Lt ................................ Sta. Valuation $ V .For what purpose will building be used.........Type of construction ...... fat!x�.Z........... to Dimensions of Building.�_7._"' .. r? ._�J.....- U_Dimensions of Lot. -. Q__ ..__ . J D -:Size of Footin 1.0......X__ a.......� . ga....... // II �/ Size of Piers --- - --- - - -. __--- _...._- ..._.- -.Size of Sills ... ...`...(� . ..._ .. - - ...... 1 Greatest Sill Span in ft.- _....- _________ - -_- .._Type Roof_6- a.11e. f-.6VA How will Building be Heated ? ..E`.�cst. ..- _Qw1 -_ ?v >. -.Will Building be on Solid or Filled Ground?. .....s41.�.GlC ............... .. . p h / Size of Ceiling Joists....... X1_0 ---- - - -- -------- -- - - - -- Distance on Centers........... 1 ................._--- ..._., Greatest Span ...._...... ..... /.._7.........___.- ... -. -- " .1 ,, ,. Size of Floor Joists ...... ........ ......................... Distance on Centers..... -...�. ......._..- ....._..._.. Greatest Span....__...- ....- I- .7...................... " r w ! Size of Rafters. - - -- -- L-- - -.x.. f - -- - -... -- - - - - -, Distance on Centers . 4 . - ...... ---- •------ ....., Greatest Span.. - -• cl.... „ This rectangle is to represent the lot. c e,,,, W_ e N o, e {3 C o o 575-0 g r R R O V E D Locate the building or buildings in the ��fi F ATI -ANTIC BEACH right position. Give distance in feet from F'01� -PING OFFICE all lot -lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall � be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. T 1tJ u` W 2. When steel is in place and ready to pour columns A d /or lintel. a 74- "7 a 3. W hen steel is in place and ready to pour beam. 4. When framing is completed. E oo 5. When rough plumbing is completed, and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. m 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after �O corrections are made. `d Y FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plan ications, which are a part hereof, and in accordance with the building regulations of the City , 6 Atlantic ea Signature of Builder_ - - -- ... ...... ... ....... ............ Address_-D. -- Signature er. ....- a... ........... • ............... Address -- -- ................... ... ....................... ._.......................... APPROVED CITY OF Al UA T !C BEACH BUILDING OFFICE PLUMBING WORKSHEET NKS T SHOWERS DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS �' DISPOSALS LAVATORY URINALS 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. " BATHROOM GROUP CONSISTING OF _ LAVATORY (I UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL _ SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (2 UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) �. WASHING MACHINE RES . URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED _ WATER CLOSETS, TANK - OPERATED (8 UNITS) (4UNITS) _ SHOWER STALL, DOMESTIC BATHTUB (W /OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK /WASTE GRINDER (3 UNITS) L TOTAL FIXTURE UNITS @ $10.,00 EACH lillLIQNG PERMIT /! .- —_ - - -- i.':SS'• ll! - ];`A T fl - - - - -- - - ia -i :C f F I CAI. ) X •1I T /! hU1LUI;;C: PI:'r:'11T I•.'C�F.!'SUEET -- : - -- — HFIATED SQUARE FOOTAGE _ 5 9 @ - __,3 •�5 Per s. GAP,AGE (PRIVATE/ SHED) `� @ $ /D • per s. f. $ CARPORT - -- @ S__ -- per s. f. $ _ POPCHES @ $ _ _ per s. f. $ / w p, D per s . f . $ DECK @ $ li7 • -! - - - -- i TOTAL VALUATION DATA .............. $t PERMIT FEES TOTAL VALUATIOR ATE 1st $ /Rao. � R'- l A_INfDER VALUATION @ $ per thousand TOTAL BUILDING PERMIT $ r,? PLUS 1/2 THE BUILDING ER�IZT FOR PLAN FILING FEE $ Cg) l-R AL F OTEE DUE $ PLt:.IBING PERMIT FEE $ EATER METER SIZE 3 14 & FEE $ SEWER CONNECTION: SQUARE FOOTAGEO U FEE WATER CONNECTION: FIXTURE LNITS @ $10.00 PER UNIT $ Q. TOTAL BP & PC FEES DUE ........... 00 TOTAL EATER METER CHARGE ........ I'l (/ - TOTAL WATER CONNECTION CHARGE.... $ O V O _ ATL !'NT'G F E.... cT { i� -DIN�i ��r TOTAL SEidER COI.':�]ECTION C'dARG - -L I3 GIL'_ND TOTAL DUE........ - ....... "zdA:z_) 5/0 y / BUILDING PERMIT CHECK LIST UTILITIES approved Is City Water Available? by Water Meter Size approved Is City Sewer Available? by Connection to the sewer sys performed by the: approved Owner - by approved City by $500.00 @ 3/4" meter (in addition to $1035.00 impact fee) BUILDING & ZONING Property is Zoned Type of Buildin Lot Size 6y X 136 Setbacks: Front d y Pear lJ / / Side I J I/ & / O COMMENTS: DEPARTMENT OF BUILDING PERMIT NO. " " 7 CITY OF ATLANTIC BEACH. FLORIDA PERMIT TO BUILD 4.oa THIS PERMIT MUST BE POSTED ON JOB ;4 �QOCKT 1 2 -06 19 `, 5 1 Date - 00CAC i Ct &14'1 CAL Fee $ 34, 00 53 5/ 15 /C Valuation $ X 353 This permit not valid until above fee has been paid to rov lions a of law and is subject to revocation for violation of applicable p This is to certify that AIR ENGINEERS INSTALL HEAT AIR CONDITIOAIAG has permission to b AS PER PL RG1 RF:S IvEPdTIAL Zone Classification Owned by J. V. T IER1SEY 3 S/D A. B r, Block -� Lot House No. 31.0 SECOND STREET According to approved plans which are part of this permit OTICE —ALL CONCRETE FORMS Z AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PER AFTER DATE I OF ISSUE HS I O Building material, rubbish and debris - -� �♦ z from this work must not be p leared in public space, either con - up and hauled away by tr owner. Building Official. CONTRACTOR FOR OFFICE PERMIT DATE USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER BUILDING AND ZONING INSPECTION DIVISION CITY OF t:rLANTIC BEACH, FLORIDA APPLICATION FOR MECHANICAL PERMIT IMPORTANT - Applioant to complete ell items in suctions I, 11, III, end IV. ,y �/ , [- St. if St. (. p ( ids of �� "_„ �Q1 ` k »t+w. - (Infwnecti.g $tweet) LOCATION (N.A. South, Eatt, Wesf) ( Addrea) OF Lot No 5 116a N Sub div s on BUILDING (State po lion of lot if leas than fuR b1- J1f1.d local dauription per dHd w in duplicate if -crry) 11. TYPE OF PROPOSED ME :1-"ICAL WORK - NI applicant complete Parts A - D USE O A. F WILDING t. OWNERSHIP RESID F WI IS. [ Ir vde (ind;vidwl. Corp- -Fio., nwpreEit inat;tution, etc.) 1. One fomi{y it. ❑ Utility 16. ❑ Publk ("MI. Stale w local qo aM..e.f) 2. ❑ Two or -16 family - 12. ❑ Se". lion ry, Enter number of roan other e&-Conal C, NATURE O WORK 3. ❑ Trant;ant, hotel, m W, 17. New Su;ldin9 rooming ho.ts - t). ❑ StoM. m *me H1.0 Enter number of uni Other It. ❑ bist;n9 suitdi.q 4. ❑ Other residenf;al 14. ❑ OTHER-SPECIFY _- It ❑ Re "moor} of •aisti.9 oysters 20. Na+ insfallalion (No, syslere CMwiordyr l.tteRedl NON - RESIDENTIAL 21. ❑ bt"%;. or add-on to earstrm9 1 Ys 1 a.• s. ❑ Amuse went, racrea6 o..1 22. ❑ Othw- $pacify 6. ❑ Church, other religious 7. ❑ Industrial t. ❑ Gere9., .mice station B TYPE OF OUILDING 9. ❑ Hwpitol, institutional / L 36. Q Number of s lor'rt to. ❑ Office, book, professional )l. ❑ Wood IMms D. MECHANICAL EQUIPMENT TO LE INSTALLED 39. ❑ Mawr y and wood (Pro vide plots list of com n poanh on back of this _I' m) 39. ❑ Reinforced concrete 23. I❑ Furnacs: ❑ Sp [I Rac ace atsadd 51 Cort of ❑ Boor 40 0 Slnrctual stall 24. �' Conditioning: ❑ Room�0"� �i{ 41. ❑ Other 2S. Duct System: Materia �r "��'^� . TThick me.;mum capacity ' r c.f.m. 2e. ❑ Refrigeration _ 3 t r THIS SPACE FOR OFFICE USE ONLY 27. ❑ Cooling lower: CapacitY 9•ps+• (Re11i.11) 28. ❑ Fin sprinklers: Number of hood - -- 29. ❑ Elevator ❑ Manl;ft ❑ Eacalotor Inumbar) 30. ❑ Gasofine pum - (number) )t. ❑ Tank (numbaf) R -As 32. ❑ LPG contain (number) 33. ❑ Unf;Md press.m ""*I p A ppm -d J Da 34. ❑ toilers Pe-;t Fe 35. ❑ Other - Specify Ill. GENERAL INFORM - , kTION A. 8. Type of Aaslinq foal: IS OTHER CONSTRUCTION BEING DONE ON 4j ❑ H ectr;c THIS BUILDING OR SITE? 43. ❑ Gas - ❑ LP ❑ Natural ❑ Ce.frol Utility IF VES, GIVE NUMBER OF CONSTRUCTION 44. ❑ Oil PERMIT 4S. ❑ Other - Specify IV. IDENTIFICATION - To be cornplefod by an applicant In consideration of permit give. fw di-9 the work as d."r;b.d in the et».e statement we "-by agree to perform u;d wOA in accordonce with the eHachad plant and specifufiont which ore part haMof and in accordonce with As City of Jacksonville ordinances and standords of good practice listed t6min. 4 / Nana cf Mechanical S of Cen Corfnc Agent t,.Cs f (Print) Naga of Address Ow*er (Print) S.9 lv ra of Owne f� S�gMtuM Of or Auancr;rsd Agent ` Architect of En9ineor TtACTORS LICENSE NUMBER