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365 2nd St (vault) . ^ti. -. ;.K* v, �• r i S .""rt •:ar "Fria ^:��.,^7rt�; +.riaP�. +os.' �. -.` l'"'73EtT�u. •ca'sa + r x_ "$'' �:r_af! .. z+4.'ir G ]�,,..�.'�Yp �'�.ra`S'f Y �.P"^v - CS �.•rw7i7r q.-�w Fo 2 I � 'g E� T � r lfO�YiV S • • .. .� F1;�t �' 15edc,�, ! �ru, , cep l�n e w " r h° a�yhe 6� rya "� `+�' / '•• a bf Atlantic Beach- f , f �.'•� H.Y '•+�' Y i anj. Zoning Department 4 l •�� ' ' Iicable oompltance with' app nm •i" zoitFttp, stl#i�taian and other local land. xglppmghr, 61ationss but does not constitute va fsr Issuance of permits. Compliance t , . pP� rs r nd a ^d all other applicable er app ou�s�1Z / a� s .; ,. t w�t?J, #Ih da . -.is rnents sad F' af_the Cdty of Atlantic f ;I prior a issuance of a .+� .O -� +MC "+r � s:•ry.'.r."' a' ?+' w .. t .r.- ;; t. ,i�,,7+�r„ . ,.ye �.•^'�c� 7w,�+,� :�x'� .'•�' - - f:,' <-+3• �'. ;rxd"'Zyt � ¢#�..< ,• ,f- all '. �?;;'�!'" �.�`� . '" • ".�, z� U evelo men y rector ��.: +::j, r. •'0- •. .. rIY.. f ' ^�. •� ti. '1' .. �''1�1. ,1 t' • r " k n 1 /T i `�w..r 'i`.1y 1" • a+ w "dN, •sR`Ss h v '14 ` Ii wr ;�� :^ t }.a _ e ?mss S . t -. 1 . , u� * i �• V �1 �� a 1 s ,�t71^C 1 ti , i f ' .i' Y t► ` . VZ ` � a' � �l / r•• i . : '. �r �? � �, +s .. ' 1 1 w •,. - y L I � �,,ll ?�Sp Sjrr►s �' rsa.. ''w ,�. 'fir + . k° ?',.�'.,.,,_f!.K,,..1 °wi.`.v .;,,a•�,l.". _',. .•. 11 rlt:•4J i�J i.J'w.., �,. +ate a r • "£r �:.2:. Ft.. Cx.`�:i " •..: T ._e v; t,a..,� Q ki_�^ Z S , "'+�+ 'r As ?� — Frsrl't.7 t'f/b/7ti�`i,'�r�`�.; i•�„w;� ••� .I 1. :,/ ' Q' ''z' yi3rts ..ter ;_.rr►a�' a y' lcSR.�r� 1. ' iJ T— '.', .. ..• .:i .. _. ' w. . GTi7 rg /' zoc . ".7 S r` �' , .� , ij".'C' ' • •,� - _ - C • .'r v'b, / ° $ ,S , .E'2:. S ✓." e. t! • 4 Y-' �• fe CITY OF ATLANTIC BEACH c J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 08- 00000467 Date 4/08/08 Property Address . . . . . . 365 2ND ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------------- Application desc replace sewer line ------------------------------------------- Owner Contractor -------------------- ------------------------ SINCLAIR, B.H. DAVID GRAY PLUMBING INC. 1913 STRICKLAND ROAD 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 744 -7255 ------------------------------------------ Permit . . . . . . PLUMBING PERMIT Additional desc . . .00 Permit Fee . . . . 42.00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/05/08 -------------------------------------------- -------- Fee summary Charged Paid Credited - -- - Due - - - - -- ---- - - - - -- -- - - - - -- Permit Fee Total 42.00 42.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.00 42.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Apr 08 08 10:35a DAVID GRAY PLUMBING 904 723 5668 p.1 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: L • - U - 3 z Property Address: 3 ( a-s - Owner: LAY Telephone #: BOLA i Contractor: DwAd Gray Plumbing, Inc. Telephone 9: Corpor a Square C ourl Contractor Address: 3a 3V0!a, Fl orida 32216 _ Fax #: Z2-3 -5 �6'? Contractor Signature: CF 022586 In corsioermt cn of permit oven for doing the work as descrted in the above smiernent, we hereby a? pe:farm smd work in accordance with the attached plans and specifications -hick are a pat hereof anc in accorda_-ice with tte City of Atlantic Beach ardinance and standards of good pr=ice iisted therein. Installation of plumbing and Evxres taus: be in accordance wish the most ecen ecition of the Southern Standard Plumbing : t I Plumbing Type: If other constr:tction is being done on this bcil::ing or site, i O New list the building permit number: 1 � Re -Pipe i Ni umber of Fi- :times: Bath Tubs &30 ers Closets Shower Pans Dish ,xaszers Sinks Disposals Urinals Floor Drains Washina Machine Lavatory Water Sewer �Water Heaters Sprinkler System Other f Fees Permit Issuing Fee: $3.00 Total Futures: _ ^ L_ X $7.00 + S35.00= 800 Seminole Road - Atlantic Beach, Florida 32- Phone: (9041 247 -5804 - Fax: (904) 247 - 5£-45 • ::t r :((u�nnv.ci.atlartic- beat ~�.�_s3s Revised 1/04 CITE' OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION J,'111� Date: LA • U c `3 Property Address: 2-V\ C) s� Owner: � I h c � 6f k4 T7- Telephone #: - -VJy ^ Contractor: David Gay Plumbing, In c. Telephone #: 7't sS 88 50 Corporate ,square Court Contractor Address: ja ksonzy ►.:!e_Fl 32216 Fax #: ' 70—.5(6d Contractor Signature: A i a FC 022586 In consideration of permit given for doing the work as described in the above statement, we hereby A. 41 § 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 musi 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: ❑ Re -Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer / Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: _ X $7.00 + $35.00 = � 800 Seminole Road • Atlantic Beach, Florida 32233.5445 Phone: (904) 247 -5300 . Fax: (904) 247 -5845 9 http:lt wrmray.ci.at,antic- beac:t.ft.us Revised 1/04 � ... .. �.. .. y: - - -, . ;, a+>4 • -- ....s t s� , �:i.�?�'�`.� *`� � � � �� .�rs. + � ^: � . � 'k3rw:., , A r i iPD A, LfOflNS + > -4r.,LA1V r1C 5 ACN fLA. �E-5 C IF/,"T,' C N X01 A f / � � �' ano' rh e .Ed s r on E /Jr.; ,�� D} � JP ?y, /.��,'J� � • . �cor E �t 1�04� .�✓ aG .. d � y, ,� ; •o� - iU'� ; exce,o�'�ny , fl�r�e�: i the SaUrh�r /y , ; o w - �o,rnd Y, '�a�, ti t R �. t� • � �4 t �•�, 7 f 'mac i gE, / ;I � • Y ~- T' _. i �� r d�..�^" .m �+"M��'7 � } ` "al �h�µv a i �s� � y �� 7 r � � '" F x. *• .. �' �� £,�� s�6 �. ..�; 1• �1 t�l� cl�+..':Yt ' s ..,�' °;s�d�'• �� ♦� �� 59 . nN ,o 4.7 rOrcc b� 1 117 h • t � ' � �v � �1J.` � � � �'sfi�0 '.tt �� - .. �- . _• . ,..... , .. - _. . 1, ' E r+ �j +' � -� °' ;,aY" «. M1 J S 11 l ): ----------- 1 - - - = - -� 1 -- - - - -- �i�- = - - - -- - O'rrl�.� ro rth / /;7, �' f:::� . ✓G ��i. ( `Ji c7G f.' .,,O.:,T iii `� /�� :;C = �'✓' — hl. Cc j ._ ( _ ..� - .' — - — • r– - - - -. _ - - -- - - -- -- - -- - 1 _. ° :��r.� .%7 `' c X2 � t_- 7 � r , k � ,:'JT� .= :- �., , ::_ ••c ..:,;' o; )c'' ,3rJi�� 'mac , a� �.- °�-� .1'<•, _r. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247 -5826 - FAX: 247 -5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24597 Address: 365 SECOND STREET Permit Type: STORAGE SHED ATLANTIC BEACH, FLORIDA 32233 Class of Work: SHED Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 . Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 8/07/2002 Name: IRIS SINCLAIR Total Fees: 25.00 Address: 365 SECONDSTREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 - Date Paid: 8106/2002: Phone: (W4)241-0231 Work Desc: INSTALL UTILITY SHED CONTRACTOR r_ _ PPLICATION FEES DAVID .USINA ENTERPRISES 25.00 RN ' ,,tx; rt .y 1. r . 3 �-,-�' ,,�� 4� ,�€ ,� � [,�. ,ss NM1•Y�,p}.+'� +u• s'��:?:.wt�{, •.."`' . - .. ~ w . NOTICE F I N BUILDING MATERIA .. ,. , ACE, AN MUST BE CLEARED "FAILURE TO -COM v 3 ^s,a HE PROPERTY OWNER ISSUED ACCORDING TO.APPR BJECT TO REVOCATION FOR VIOLATION OF APPLICABLE caa.: ua /a $1 non . AT TIC BEACH 13 LDING 14 PMTS- IIJIIM6 .1 LA t1s23.N Q Tl t 'i ON 'tint 16141016 R ew i W _ t City of Atlantic Beach Building and ,Zoning City of Atlantic Beach 800 Seminole Road - Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 FAX (904) 247 -5805 - http : / /www /ci.atlantic- beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE - FAMILY OR TWO - FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) �d ,DATE JOB ADDRESS 'n & - c� �' Z y APPLICANT ADDRESS r PHONE: MV Vl - P 7- 3 1 "t( 7o7 4 LEGAL DESCRIPTION: B OCK NUMBE J 4 W LOT NUMBER .Z 2- ZONING DISTRICT CONTRACTOR 0 D Q, STATE LICENSE NUMBER ADDRESS (9 17/ - d." I /& PHONE N ZIP 3, D f� FAX J CITY � � � STATE 9 � - �� '� S �•f 10 DESCRIBE PROPOSED USE AND WOIR�K—T_O BE DONE PRESENT USE OF LAND OR BUILDING(S) / Iy 6 el f r A e L#A VALUATION OF PROPOSED CONSTRUCTION !7 L IS O a Is this an addition? d If yes, what are the dimensions of the added space: feet by feet xj Will the added area be heated and cooled? � 1� D New electrical or increase in service ?' New plumbing fixtures? f UI New fireplace? New heating / air conditioning? Is approval or Homeowner's Association or other private entity required? r' If yes, please subp't with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? 21 0. Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904 - 247 -5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 6/18/02 %31 /20'_42 15:65 9042. 112294 MBL1469 PAGE 02 S'I%? 3. Plsass Submit,eoarlly Code Forms, Notice of CoMtvxnoernmt, 0""yCoommior Afildavit if owner is aomoutor, mad ibur (4) complete eels of ocustraction plane to the Building Deparbu mt, which is located at the Athnntie Bemb City hall, 600 Snndnole Road, Atkm* ouch, PI. 32233 Tclephonc, (904) 247.5826 W O tton to construction and engineorinR detail, plum im at contain tho fblloering information as appropriate fbr the typo of work boing peribmted. Scale of drawings should be mfiiclent to depict all roquirad i dbrnfotlon in a clear and legible umw. 1. Current survey ahowing the property boundary with bearings and distsncos and the legal description. 2. Location of all etructww, temporary and parmanmt, including eotbaoks, building height, number of stoviea and square footnee. Identify say existing struatnww and usca. 3. Existing and/or prgmaod driveways. 4. If rsqum by the Department of Public Works, a pirs- oonsbvotion topograpbioet survey. 5. Any significant environmental Ratwos, including anyiurisdictional wottm4 CCC3., natwW water bodies. 6. Impervious Surface area calculatigeie. (Swtmmtng pools ONLY be mduded rkoap toted Impervious Surface 7. Other ioibmatiao as nay be appropriate far individual applications. I H EREIIY CERTUY THAT ALL I NFORMATXON PROVIDED WITH THIS APPLICATION IS CORMC'T. SIGNATURE OF OWNRR �� -� . / .G?/ -- DATE• If- I HEREBY CERTIFY THAT I RAVZ READ AND 1f.XAMA430 THUS APPLICATION AND KNOW THE SAME TO HE TRUE AND. CORRECT. ALL pROVLSIOIgs or TVZ LAWS AND ORD04ARCM GOVERNING THIS TYPE OF WORK WILL- BE COMPLMD WITH, WHETHER SPECOIED lU1.M OR NOT, T GRANTING OF A PERMIT' I30E8 NOT rMIJ1146 TO GIVE AUT'NORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR I.00AI. RULES, I XCWL.ATIONS ORAANAINCES, OR YAWS IN ANY MANNER. INCLUAT.NQ THE GOV)I RNma OF CONSTRUCTION OR THE PErit!'OKMAINCE OF COINSTRUL"13ON Or THE PROPERTY. I UINDZ=TA1N0 T>SAT THE ISSTJANCZ OF T= PERMIT LS CONTINGENT UlON TlE 9 ANOVLr INFORMATION ISUNG TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE SEEN OR SHALL BE PROVIDED AS RRQUIRED. iIGNAT[JItJLOFCONTR>1CTOR 0 0 "t DATZ � ADDRREgS AND CONTACT IIYI:ORMATXON OF rE]t ON TO RFCZM ALL CORHSS rONDSNCZ 21GARDING THIS AFMICAI'RON(PLZA.BX PMT) _ / - MAnI NG AD DRB 66 , a /7/ STi?��c ,�� /� s'r �i ko uS; p ptrONB 3 ,� F AX,.,,&� SWORN AND SUMCMED B%FORX ME THIS DAY OF a STATE Off' FLORIDA. COUNTY OF DU VAL NOTARY'S SIGNATUXT AS TO OWNER: crpemully loaown hodnccd ideA ificatiou Type of Wcutifiatltna produced AS TO CONTRACTORS �°�°�y known lEj �lUCW idcntiSrstim Type of fdrutiQcation Produced raw, PATRICiA A. CAR ROLL 1 MY COMMISSION a CC 787287 EXPIRES: March 18.2003 r 9oededMruPicheMkaureeeeAperKr OT06 7Z8 706 'ON 3NOHd 53S I Ndd3iN3 dN I Sfl Q I ode WO2id Z d Wd0£ : T Z00Z 'S 'ontj CITY ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date Heated Square Footage @ $ per sq ft = $ Garage /Shed @ $ per q ft = $ Carport /Porch @ $ per sq ft = $ Deck @ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VA ATION: $ S Total Valuation 1st $ S Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ r ( ) Fireplaces @ $15.00 $ BUILDING PERMIT FEE $ 0 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER /TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ ? 37 : 0 ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric /New Electric /Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and /or NOTES: --� S + •c.._, ^h' .,� "' � 'fee', 5�r``ree..+"-- Z. a d"�' '•�S t. '�„�F^' � y�� . ...' � G... ... •._ .�:..:..__.. -. y � 3 or- �x � � �. �at ,dam.. �'� _ ' � S G;Q ►�'S Y T r +Q f Z10 ,411V S ,.5z A C N S Ce /C IV onE � ,-�, /.��7,�r�;: �E9c,�T, .�'S / eco �c%a .//7 /? /� t /�oo,� s' c e • G 9, Cci�'ic n 1,� � eXCe lun ,-/1e�er�i 1. r -- — — — � f�x•� - ';t �, ^;�r.,.? . - �� C • Junes � ` // t • �h. y�'�y "` Nr $ i t, �+ ��` *. . S ir 'x-, St '�; -vf+ . ' � . rT• a e� . rti � s `.F. , � v "�' �1* 6 � �; Mo� v ,�r�"" �' t .. :; } . � �r±y� 0 �'.+3M."e��,+ �t.�„••q� r"` j'" � �' �, 2�r y? �`�",r.'�uEa� �sY ti 1� �+•� �2'a+,��. #y. ,,rxil ,¢..�� - j. i + /: - x' e '� k (r� '-�" „�, -�'?�° '�_`M.��"+�!- '�.t�3G},•,.�}.�� a} a43e ,: T. �� n��set?+�. ea�� f .e• �, ! � ` 4 ; �, ^ 'qC "" `'` � �. r ve 1"T^ 1 \'�.'T '�i .r•` �9y �. �lsa ,�t�' ` '.fr il'n' ' •3_ '.. x.' •+ .)j�;.Y tv I � Q o � � is ' ► CD �' S �° : • � I Q I i. XIA. w N Jas'Y. rM• . ti •ref». .. •� ` k'F y. �..s ;.,, - 'r-.�/ •y � � �vt� 3 j f +• _a� . . A ' ��a� �•c- s y 1 r ; •; ' ... } _G J � �J . '� � .� A SD' �.� � � •� �' a7 T�'�f/77I7f, ,+.`�•"� : ��t '�_'¢ sy �. o f •'o' ,�� = - - -o:.:. rc G' •• � :S'J�th /ir3e �, ��_ nJ� t�G' a�.'= .:.�.,^,J.:.S i/u � �� .?C ' fc7 —' �� •hG'.'• / .a'i �:�'� =oJ S ��TC: b.2 • • ', /�T .— �� l ,'.�i�� ._..� �. i/ fJf7C.' �IU / /:• % + /'7v . f7 T. °��i• "�.i, //` --'C+ . ++�_ - -. -` � ` ' . •E2:.7�<.2:: ; L > ✓. 7 /'9G 2 , � .:�•,�7a Sir. ^vr, u - - STATE OF PLOMIp DEFA RTA4 ENT OF COMMUNITY AFFAIRS * 04wdicated to making Florida a bietter place to Ca ll h TO: Du11d;rkX Officials, Manufacturers and Armcies FROM: Ila Yoncs, ►e P # nM 6 ftt OfCOMMunity Aftitirs RIS: V-* fPr Raised Seals for mainufkctumd BuOrUngo/Sheds DATE; Matv.'h 15, 2002 The Florida Building Code d0va not otiginal signed and seated plans be subinittod to the local building dupartment to Obtain h Permit for installation or OrOction of a closed struc Manufactured in a manutketurins facility. 7-h insigni ture a issued by the States ve6irleg the pj h ave been reviewed and the buildings jKispacted for compliance by the State and detanninett to comply WWI APP110able codes. The St OfFlftids rnainlainit a act Of sealed plans reviewed and approved by a Florida lice"aw N40dt P lans Reviewer and ipapection rePOrts Conducted at the rnmrufacturi S facility by Florida licensed Modular Jlnsp4wtora. The Manufacturer should supp 0 ft copy of the uPproved plane with tile permit applic . 'You wa y also review the approve d'plans by Accessing the Florida Uuijdfi g C c SYStern website at 7n od Information ( Www-florldabuilding.org), Manufactured DuiidhW prograun. e 8it- 11 . ---" ' Cthe lZ installatio r (f0undation. etc.) mv spoci authority. fically and 0 "firblY reserved to J. If You need additional infO rmatiOn. Please do not hesitate 10 cont M e-mail: Wman c at 850-922-6091 or 2209 $HUMAftD OAK Phano 0q0. TALIAHASSVE, PAORIDA 3 .5 UnCOM270.04sfi Internet Ora I " OL David Usina Enterprises 2171 State Rd. 1 St. Augustine, FL 32084 (904) 823-9092 CITE' OF ATLAleTTIC BEACH J s f 800 SE UNOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 06- 00034389 Date 12/07/06 Property Address . . . . . . 336 2ND ST Application type description PLUMBING ONLY i Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------------------------------- .----------- Application desc new plumb - 22 fixtures --------------------------------------------------------------------------- Owner Contractor ------------------------ RUSSEL,.DEAN DON HARRIS PLUMBING CO.,INC. 336 2ND ST Q /A:HARRIS,NELSON D. ATLANTIC BEACH FL 32233 PO BOX 14668 JACKSONVILLE FL 32210 (904) 772 -0900 ---------------------------------------------------------------------------- Permit . . . PLUMBING PERMIT Additional desc . Permit Fee . . . . 189.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/05/07 ----------------------=----------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 189.00 189.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 189.00 189.00 .00 .00 PERAW IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANnC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. SrL`Jf CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Prope Ad ress: `J ` Owner: Tele hone # Contractor: � to hone J Contractor Address: 1 Fa #: In consideration of permit doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the 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. ❑ Re -Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans < Dishwashers Sinks 1 Disposals Urinals Floor Drains / Washing Machine Lavatory Water Sewer Water Heaters Other Fees PLUMBING CONTRTACTOR: DON HARRIS PLUMBING CO., INC. Permit Issuing Fee: $35.00 NELSON D. HARRIS Total Fixtures: X $7.00 + $35.00 = 800 Seminole Road • Atlantic Beach, Florida 3223345445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • hdp : / /www.ci.atlantic- beach.fl.us Revised 1/04 I Z s <� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1 r� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 . t dT 19 Application Number . . . . . 08- 00000094 Date 5/29/08 Property Address . . . . . . 365 2ND ST Application type description RIGHT -OF -WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------- Application desc INSTALL CATV UNDERGROUND ----------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- SINCLAIR, B.H. COMCAST COMMUNICATIONS 1913 STRICKLAND ROAD 5934 RICHARD ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 380 -6423 ---------------------------------------------------------------------------- Permit . . . . . . UTILITIES PERMIT Additional desc . . Permit Fee . . . . .00 Plan Check Fee .00 Issue Date . . . . 5/29/08 Valuation . . . . 0 Expiration Date . . 5/29/08 ---------------------------------------------------------------------------- Special Notes and Comments Avoid damage to underground water /sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247 -5834. Proposed location map incorrect. 2nd Street does not intersect Seminole Road. Provide supervisor /project superintendent contact information (paragraph 3 Right -of -Way Permit). --------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .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 800 Seminole Rd Atlantic Beach, FL 32233 To Whom It May Concern: I am writing to inform you that Comcast Communications is proposing to install 154' underground CATV as shown on the attached plans. Please review the attached drawings and information to provide an approved permit. If any additional information is needed, please advise. I may be contacted as shown below. Thank you. l Billie Lentes Authorized Agent of Comcast Cable Lentes Design, Inc. Special Projects Manager 4209 Baymeadows Rd, Ste 2 Jacksonville, FL 32217 (904)- 730 - 0068 -W (904)- 651- 7642 -C lentesdesign@comcast.net CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904 - 247 -5800 Atlantic Beach, Florida 32233 -5445 Fax 904-247-5845 Date 1/14/08 _ Permit# uuu r+uurus5 1 , S ^ i5sueu rs r M1 i nt Ul i r - Permitee:COMCAST Telephone #904 - 280 -6420 -------------------------- Nermittee Address: 5934 Richard St, Jacksonville, t-L 32216--------------------- - - - - -- Requesting Permission to Construct: 154' Underground CATV facalities ------- - - - - -- ------------------------------------------------------------------------------------------------- Location: (Reference to Cross - Street) 365 2" St near Seminole Rd ------ - - - --- I . Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities /Municipalities: Jacksonville Electric Authority Yes (X No ( ) Date: - - -1 114 /f1Q- - - - - -- Bell South Telephone Company Yes (X No ( ) Date: -- 1/14/08-- - - - - -- Ferrell Gas Yes( No ( ) Date: ----------------- Com cast Yes( No ( ) Date: ----------------- 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transp ation Stand ards a nd be performed under the supervision of — (ContiRc Project Superintendent) located at Telephone #: _ 4. All materials and equipment shall be su jectTo Inspec ion y e nls designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with 30 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty -four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Before me this day of _ in the County of Duval, State Of Florida, has personally appeared _ Notary Public at Large, State of Florida, County of Duval. My commission expires: Personally Known: or Produced Identification: .. wa; csa .._. i i �, vram%.n 3/ IL/ U b Application Tracking Action Log Inquiry 12:45:21 Application . . . . . . . . 08 00000094 Address . . . . . . . . . . . 365 2ND ST Application type . . : RIGHT -OF -WAY PERMIT Revision /Path /Step /Seq /Agency: A 01 00 PW PUBLIC WORKS Action date . . . . . . . . . 1/24/08 Action type . . . . . . . . : FR DISSAPPROVED - 1ST REVIEW Action by . . . . . . . . . : LS LISA SHOWMAN Time spent . . . . . . . . . . .00 Date /Time /User added . . . . . 1/24/08 13:30:19 LSHOWMAN Comments Print Proposed location map incorrect. 2nd Street does not Y intersect Seminole Road. Y Provide supervisor /project superintendent contact Y information (paragraph 3 Right -of -Way Permit). Y Bottom Press Enter to continue. F3 =Exit F8 =In /Out Status F12--Cancel r S S CITY OF ATLANTIC BEACH ;�+ 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 08- 00000094 Date 5/29/08 Property Address . . . . . . 365 2ND ST Application type description RIGHT -OF -WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------------------------ Application desc INSTALL CATV UNDERGROUND ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- SINCLAIR, B.H. COMCAST COMMUNICATIONS 1913 STRICKLAND ROAD 5934 RICHARD ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 380 -6423 ---------------------------------------------------------------------------- Permit . . . . . . UTILITIES PERMIT Additional desc . . Permit Fee . . . . .00 Plan Check Fee .00 Issue Date . . . . 5/29/08 Valuation . . . . 0 Expiration Date . . 5/29/08 ------------------------------------------------------------------------ Special Notes and Comments Avoid damage to underground water /sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247 -5834. Proposed location map incorrect. 2nd Street does not intersect Seminole Road. Provide supervisor /project superintendent contact information (paragraph 3 Right -of -Way Permit). ------------------------------------------------------------------------ Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 332 350 360 372 380 335 343 353 365 377 1.5" PVC Water Services 8" PVC Water Main (blue) 6" VC Sewer Services (magenta) d 24" RCP Drainage 10" VC Sewer Main 336 338 340 348 346 352 364 374 386 331 345 351 365 385 379 377 375 t a� e "r9� i 4 s i � � � ..__._ -- -- , � I � ) � -� �'� ` j §S '�r�V- 1' �' r" � �� r �*a � . ��;•�,'� � t - — _ Y 4 } 1 ,u�� 1 i � ' `�- � dry "' �a''�lr`� �' ✓S. "�:;u.do ��`` � llrr � � fir" h 't . � - ' �,. �. � � � r a�; � P x p� •. � X55 r �4. .� � c#` � j —°'" z . '�"r �t�,lb � � Y �' 1Tk1 t 1+ �`� .r � v +, e 4 k a v i, SL v 2ND — ro e r J i — IST I LI G ' i ATLANTIC 4V a 0 3RD N 1ST` V� BP251I03 CITY OF ATLANTIC BEACH 3/12/08 Application Tracking Action Log Inquiry 12:45:21 Application . . . . . . . . :'08 00000094 Address . . . . . . . . 365 2ND ST Application type . . . . . . : RIGHT -OF -WAY PERMIT Revision /Path /Step /Seq /Agency: A 01 00 PW PUBLIC WORKS Action date . . . . . . . . . 1/24/08 Action type . . . . . . . . : FR DISSAPPROVED - 1ST REVIEW Action by . . . . . . . . . : LS LISA SHOWMAN Time spent . . . . . . . . . . .00 Date /Time /User added . . . . . 1/24/08 13:30:19 LSHOWMAN Comm nts Print Proposed location map incorrect. 2nd Street does not Y intersect Seminole Road. Y Provide supervisor /project superintendent contact Y information (paragraph 3 Right -of -Way Permit). Y Bottom Press Enter to continue. F3 =Exit F8 =In /Out Status F12=Cancel CITY OF ATLANTIC BEACH PERMIT ti, BIDING / ZONING DEFA]L�7 loT`I' APPLICATION # �r 800 Seminole Road O ),q4- T •. :'•. Atlantic Beach, Florida 32233 (J (904) 247 -5800 (904) 247 -5845 Fax www.wab.us APPLICATION! TRACKING FORM WRE6UIDE T: NI NG Property Address: � DING WORKS ApplicRant: �- TILITIES �� DEPT. Project: d ,�Il/•t� SAFETY -APPROVAL w v o REQUIRED AGENCY: RECEIVED BY: INITIAL DA Z w Y N HUFSTETLER D.E.P a d Y N S.J.R.W.M. CARPER _ Y N ARMY CORPS of ENG CARPER O Y N HOTELS & RESAURANTS HUFSTEf1ER APPLICATION STATUS _ DA AP REVI D BY: L: DATE CIRCLE ON SITE BUILDING 6 ® 1ST REV ® PLA NING ® ® 2ND REV BUILDI PU WO S C TIES FIRE DEPT. PUBLIC SAFETY 3RD REV h5avp. P.u#P.rPd vinur c®HfllmeDtg into the AS44)0• Public Utilities — Distribution & Collection I Initi s: Date: a nd S� Application/Permit #: Project Name /Address: Clxeck.�ax � „� t } i to vertical and horizontal n r Avoid damage to underground water /sewer utilitild coordination is needed, call 247- {' location of utilities. Hand dig if necessary• If fie 5834. ❑ Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. brie. Cleanout must be covered with ❑ A sewer cleanout must be installed at the property to b e set to grade and visible. an RT1 concrete box with metal preventer must be installed if irrigation will be ❑ A reduced pressure zone backflow p Backflow preventer must be tested provided or if there is a private o the result property. sent to Public Utilities. by a certified tester and a copy will be unsprinkled• If Plans change, any fie line installed must Plans note the building ro erl sized vault and an appropriate ❑ be metered with a Sensus touch -read meter rater must e tested by a certified tester and backflow preventer installed. Backflow p e a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247 -5839 for backflow ❑ requirements. At a minimum, will require double check backflow preventer. Fire lines must be metered with a Sensus touch -read meter. Meters larger than 2” must ❑ be installed in a vault as noted in JEA specifications. ❑ , s r ❑ F:\PIanReviewCon-nnents-PU.doc January 14, 2008 City of Atlantic Beach 800 Seminole Rd Atlantic Beach, FL 32233 To Whom It May Concern: I am writing to inform you that Comcast Communications is proposing to install 154' underground CATV as shown on the attached plans. Please review the attached drawings and information to provide an approved permit. If any additional information is needed, please advise. I may be contacted as shown below. Thank you. Billie Lentes Authorized Agent of Comcast Cable Lentes Design, Inc. Special Projects Manager 4209 Baymeadows Rd, Ste 2 Jacksonville, FL 32217 (904) -730- 0068 -W (904) -651- 7642 -C lentesdesign @comcast.net ti- CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS i� 800 Seminole Road 904 - 247 -5800 Atlantic Beach, Florida 32233 -5445 Fax 904 - 247 -5845 Date 1/14/08 Permit JUU NUUIC55 C I55UCU [S T M I PAC L.1 1 T Permitee C0MCAST Telephone #904 - 280 -6420 _ termittee Address: 5934 Richard 5t, Jacksonville, FL ' 3111 6--------------------- - - - - -- Requesting Permission to Construct: 154' Underground CATV facalities ------- - - - - -- ------------------------------------------------------------------------------------------------- Location: (Reference to Cross - Street) 365 2" St near Seminole Rd ------ - - - - -- 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities /Municipalities: Jacksonville Electric Authority Yes (X No ( ) Date: - - -1 /1 d /np- - - - - -- Bell South Telephone Company Yes (X No ( ) Date: -- 1/14/08-- - - - - -- Ferrell Gas Yes( No ( ) Date: ----------------- Com cast Yes( No ( ) Date: ----------------- 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone #: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with 30 days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty -four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Uate: Before me this day of _ in the County of Duval, State Of Florida, has personally appeared _ Notary Public at Large, State of Florida, County of Duval. iAAt n/i❑ My commission expires: _ JAN 1 t., 2008 Personally Known: or Produced Identification: BY; J CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 369 SECOND STREET PERMIT # 1554 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION OWNER NAME MR- SIr]CLAIR PHONE ( 904 ) ''" 49 °9061 ELECTRICAL LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE NEW w CLASS OF WORK DUPLEX ¢ CONTRACTOR MCCLURE ELECTRIC COMPANY PROPOSED USE w rn 2 CS �t2 lOOA MPS ALUM SB 100 AMPS 1PH3W SEV RCWY CONVT TO DUPLEX a WORK DESCRIPTION z .. INSPECTION REQUIRED 12 FINAL ELECTRIC INSPECTOR AM z 0 a � ^ / �/ Z DATE INSPECTED o� (� : BY �!J APPROVED ❑ REJECTED El COMMENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT 143 JOB LOCATION SECOND STREET PERMIT # ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION (904)241 , OWNER NAME IRIS SINCLAIR PHONE BUILDING LEGAL DESC: LOT BLOCK SECTION PERMITTYPE ALTERATION w CLASS OF WORK REMODEL /ALTERATH '¢ CONTRACTOR PROPERTY OWNER PROPOSED USE w N WORK DESCRIPTION CONVERT TO TWO - FAMILY PER PLANS AND PROVIDE ADEQUATE FARMING 2 CCUPANCY INSPECTOR AM Z INSPECTION REQUIRED O Ir r- a f APPROVED REJECTED z 4"' DATE INSPECTED 4,4::(a BY 2i�l COMMENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION �W6 SECOND STREET PERMIT # 1432 ATLANTIC BEACH FLORIDA 32233 SUBDIVISION ATLANTIC BEACH PHONE (904)241 OWNER NAME IRIS SINCLAIR LEGALDESC: LOT BLOCK SECTION PERMITTYPE BUILDING z CLASS OF WORK ALTERATION Q CONTRACTOR PROPERTY OWNER PROPOSED USE REMODEL,!ALTERATH z a f z " WORK DESCRIPTION CONVERT TO TWO- FAMILY PER PLANS AND PROVIDE ADEQUATE PARK INSPECTION REQUIRED 13 FINAL BUILDING INSPECTOR AM DATE INSPECTED By APPROVED © REJECTED ❑ COMMENTS e , i CITY OF 716 OCEAN BOULEVARD P. O. BOX 25 \ ATLANTIC BEACH, FLORIDA 32233 TELEPHONE (904) 249 -2395 DA'[ E: PRE - SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 2:33 WEST DUVAL STREET _ JACKSONVILLE, f'LORIDA 32202 THE FOLLOWING FINAL. INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: ► 1 SINCERELY, BUILDING INSPECTION DIVIS ON cc:FILE / CITY OF ATLANTIC BEACH / BUILDING DEPARTMENT INSPECTION REPORT PERMIT # JOB LOCATION SUBDIVISION 1554 367 SECOND STREET ATLANTIC BEACH, FLORIDA 32233 PHONE OWNER NAME (904)249 MR. SINCLAIR PERMIT TYPE LEGAL DESC: LOT BLOCK SECTION ELECTRICAL CLASS OF WORK v PROPOSED USE NEW ¢ CONTRACTOR DUPLEX n MCCLURE ELECTRIC COMPANY z • a WORK DESCRIPTION a CS #2 IOOA MPS ALUM SB 100 AMPS 1PH3W SEV RCWY CONVT TO DUPLEX f INSPECTOR z INSPECTION REQUIRED AM 0 12 FINAL ELECTRIC a REJECTED ❑ �, � APPROVED o DATE INSPECTED 7" BY S z COMMENTS � I CITY OF 1*&atez Fe 4d - 716 OCEAN BOULEVARD - _ P. O. BOX 26 ATLANTIC BEACH, FLORIDA 32233 TELEPHONE (904) 249 -2395 DATE &_� ©1 7"-/��9 PRE - SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: �_ - - - - -- _!� z -- - - -- - f bt-- ----------------- - - - - -- ------------------------------------------------- - - - - -- ------------------------------------------------- SINCERELY, BUILDING INSPECTION DIVISION cc:FILE 'i i r i CITY OF ATLANTIC BEACH J BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 367 SECOND STREET PERMIT # 1554 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION OWNER NAME MR, SINCLAIR PHONE (904)249 LEGALDESC: LOT BLOCK SECTION PERMIT TYPE ELECTRICAL N" CLASS OF WORK NEW w U x CONTRACTOR MCCLURE ELECTRIC COMPANY PROPOSED USE DUPLEX ¢ w z .s► WORK DESCRIPTION CS #2 100A MPS ALUM SB 100 AMPS 1PH3W SEV RCWY CONVT TO DUPLEX, z a o INSPECTION REQUIRED 12 F� ELECTRIC INSPECTOR A ~ J° t O cr DATE INSPECTED /� '/1 �� BY APPROVED REJECTED z COMMENTS ,r,, CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 365 SECOND STREET 1553 ATLANTIC BEACH, FLORIDA 32233 PERMIT# SUBDIVISION U OWNER NAME MR. SINCLAIR ('304)249-9061 PHONE ¢ 'w w LEGAL DESC: LOT BLOCK SECTION ELECTRICAL i PERMIT TYPE jNCREASE a w MCCLURE ELECTRIC COMPANY CLASS OF WORK ` CONTRACTOR PROPOSED USE DUPLEX z a f z WORK DESCRIPTION #2 100 AMPS ALUM SB IOOAMPS 1PH 3W 230V SEV RCWY EXIS 60 AMPS cc Z INSPECTION REQUIRED 12 FINAL ELECTRIC INSPECTOR AM - w DATE INSPECTED C - 4� BY � APPROVED REJECTED M COMMENTS 1 001432 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - LOCATTON INFORHAI'lUN Permit Humbert 1432 Address: 365 SECOND STREET Pea mit Types .PUILDING ATLANTIC BEACH, FLORIDA 32233 Ciao* of Works ALTERATION LEGAL DESCRIPTION Con tr. Type: WOOD FRAME Lot-. Bloc* Section-, Pr000sed Uses REMf.)DEL/ALTERATI` Plat. sooki Paget 0 Dwel4ir,9132 0 Codei 0 Subdivisluti: ATLANTIC BEACH Esti �ated Valuei OWNER INFORMATION T�prov. Cost-. $1800.00 Hemet IRIS SINCLAIR Total Feeal $50.00 Addreset 365 SECOND STREET Amount Pa frf 1 $50.010 ATLANTIC BEACH, FLORIDA 32:L_i Phone: fW)4) 0231 1.ANS AND Pf� APPLICATTnN FEES PERMIT $50.00 WATER I"PACT FEE SEWER IHPA�6T FEE VATICR f(ET-Off RADON GAS - H. R. S. $0.00 RADON GAS -- 5% $0.00 WATER TAP $0.00 SEWER TAP $0.00 HYDRAULIC SHARE "DO.00 RE-TUSPECT FEE *0.00 ENGINEERING $0.00 OTHER 140. 00 NOTES: P AID S E P 0 5 1989 NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: I'I1111'I:i� I Y t71•:(iCli l I'T 11111 5 i ' �p�• � �,.- > I�LC�cicc�iC L�Cc1c� - i �Ott:i�ci 710 OCEAN IIUUl,r%'Allb I.oL #' -------- Block ry -------- Section N 1 0. flux 25 ATLANTIC IJEACII, FLORIDA 32233 ;ulydivin ion t TUEPHOUF 100412.19.2395 ------------------------- t - rrnt 11nme � - /� {l� DESCRIPTION OF WORK ' or Add reoo t --------- - - - - -- -- ----- ---- - --- If in a FLOOD HAZARD / Flood Zones ---- i - area complete page O. Brief � t Deeoriptiont Class of Works (� (Hew /Remodel /Addition ;l 70)1111U 111FURIIATIU11 Type of Construction s 7.on)ny / / -- t'rohos p Uintriots ___ Una -0 ------------ Eatimated Value 0 rxrr or Materialst__+:, R ✓ � % / V1116 ____ Vnrinncen Oronted Solid or - ------------- ...._...•...__.. Filled •---•- •-- ._._...._....___..__ Uround s - _________ t U{911EII I11F UI2ItA'1'lUI1 Y t Method of Ilrntil f LtrC _ � _ t =�7.[ ^� l�[f t Phones - ----------- +- frolrerly Uwrtert _ / ) Iinilinl) _ AcJrlrrr.r: - - - - - - - - - -� - - - - - -- ---- •-------------- - - - - -- Zips - -- - -- -- - - - - -- COII I'll ACTUh IIIFOhiIATIOII Contractor t Phones Q� flailing t Address, _�L - - --------- Zips y - _ - -- Expiration Licerrne Numbers ---------------- --- - -- Dntes In consideration of permit given for doing the work no der..cribed 1 11., the above statement, we hereby agree to perform onid work in nccordance with the attached plane and opecificntions which nre ,,�� '�f /•,'1 n part hereof, and in accordance with all ruler and regulntione ��•�r� `''�' of the City of Atlantic Beach. �r -fL- t, Owner Signature Contractor Signature----------------------------- Date------ - - - - -- i FLOODPLAIN DEVELOPMENT INI'ORMAXION Type .UevelopmenL:' ►ri. I;+11) . N ew•i' :Bu i1ding!'1 ' 1 I ' 1 ""'AlteraUous,•;Lv. Lxivtill B uilding ,. . U ' ,flood Zone Requi d 1• j q Floor ' legation ..... .. :.:.. :�:�:: , rl • , I • .. I Actual (as bui,l L) Lowes t lvox I; eval:�,gtt ' , :It , •I ft', •:1•i�r�, ' , f, ';,.� .� {�. ,' , . j.' 1 ' tJ .tJ .�.. •yF1. ., �: .� ,:., If located. wiLhin a .flood hazard zone.. zone A _ r I loo after the r, lab h b een p'our'ed,' eeztifying' tliat `'s'lotoes t be floor �.l��visl:l:i�ii " — i,i eyii;lI l:o or iiUz 'thg base. �Clood' elevaLloii esialilislied - tor. LltaL- zone ' . ' ..►.:':aid "'� ••r{ 1... Ila Final Inspectiol) will be made •and . No Cekti,fi.caL-e'vf Occupancy will be issued until Llle Survey. i s'oil'' tlld.;'Bu�ldiksg Department • �Irl�.f•a':r,�.t 1,' �J►.t:! t11. 4 plicanL- acknowle •'• -. Ir'. r:,.._ 1: �...,; : � .:..,..,,,s,�.�:,•.I�_r�:.,. dgement: uude::stand ths.t' the 'iSSuattce 'of this permi,L is conLil)gellt upoll Lhe ' above" - and Lhat Hie pl.at)s and supporLing data have or shall be 'provided as required. :I agree to comply with *all applicable 'provisions of Ut:cllnance Ho, 7.5 -7 -11 attd all other laws or ordinances effecting Hie prol,osed developeuutt. I I •! ,•j .;'fli 0' - x Dale Applicantiq Signature III if y.)II,, '! 01 '.t' ' •-- - - - - -- •rl II1:�:.1 I --- --.- Department Use ',� t :! ;I;t;a -► ;1'!i; rI .r :':Irl' rl J .''Ir • r.r'f OU rvey .filed wjAh t r , :f. ?.il•, ,! ,:, i ,, s I , he BUIlding Department oti Certified Lowes F loor Elevation Required Lowes Floor Llevatioli Building Department IZ epresetttati,ye •f •' i' '� _ ('. ' � `�• ► ill:► ! 1)I ' C--VL ST i Jq r. s ✓t � N � 6 c� , I p Ta 3� G►vclOS�lp � n`E' pno2 -way i 'V 71'9'' Z L. _-___j �hower� In n j j ®,2e&Scu2,5 ZR�it'T�D ZS as ' ev -cxcr- G&trd)K Zv 4.r, - Oo Rxv APPROVED f CI BUILDING OFFICE CH OFF CE � l ' AUG 2 91989 z Loj Size 7S xlb5� PLANS REVIEW CHECK LIST ------- Address -------- Owner__ - -------------- - - -- Legal Description --------------------- Contractor -------------------------------------- License Number License on File YES NO Section Zoning District__ ------ Proposed Use_ Required Lot Size--tsoed y , 7W 2 . AAPJ~ Actual Lot Size Setbacks Required Provided Section 24-17 front -------- -------- CORNER LOT INTERIOR LOT rear side-I Floo Zone -------- * side-2 Required Elevation ........ Max. Height Alloved___,L- Proposed Height4 ---- Section 24z92 * Minimum Lot Coverage _� v Required Heated Area Proposed Section 24-161 Number Spaces Required_ -e Spaces Provided Section 24L82 Duplicate pM1j4i Is there a similar building within 500 of proposed building?YES NO Utilities Water and sewer service is to be provided by: --- Buccaneer Utilities City of Atlantic Beach Utilities Private Source SEPTIC TANK WELL Plans Reviewed by:__- _____ - -- Date ----------- - - - - -- Building Permit #_________- ISSUED DENIED Address �! • Heated Square Footage @ $ p er sq ft = $ Garage /Shed @ $ • p er sq ft = $ Carport /Porch @ $ p er sq ft = $ Deck @ $ p er sq ft = $ Patio @ $ p er sq ft = $ TOTAL VALUATION: $ lbtal Val cation 1st $ $ Renainder Valuation per tho — us and or portion thereof ---------------------- - - - --- Total Building Fee $ ADDITIONAL PERMITS and /or FEES REQUIRED + k Filing Fee $ Mechanical ; 'Fireplaces @ 15.00 $ Plumbing BUILDING iPERMIT FEE $ Electric /New Electric /Temp ------------------.------------------------------ Septic Tank BUILDING PERMIT' $ Well WATER METER CHARGE $ Sishuning Pool SEWER IMPACT FEE $ Sign WATER IMPACT FEE. $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter $ E'levaLi.on Ccrtifica GRAND TO'T'AL DUE ---------------------------- CALCULATIONS and /or NUIES 1 t 1 14 t t l ' i t � ' 1 1 I S • , CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 0 R 19 A� 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. Z q ct — c t " ELECTRI FIRM: C MASTE LE TRICIAN SIGNAi,14AE JOURNEYMAN 1 n l -Uw- J ` r 17 NAME .N � ��^ `'`� ADDRESS: � (, � RFD BOX BLDG. SIZE BETWEEN: RES.0 APT.( 1 COMM.( 1 PUBLIC 1 1 INDUS. ( 1 NEW( 1 OLD Yf' REW. ( 1 ADDITION( ) TRAILER( 1 TEMP. 1 ) SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE REPAIR ( 1 FEE CONDUCTOR SIZE * 2 AMPS t 0C) COPPER 1 1 ALUM. 0 SWITCH OR BREAKER ' 00 AMPS , PH W 23 vVOLT S C RACEWAY EXIST. SERV. SIZE Q AMPS PH 3 W 230 VOLT S �� RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CON CEALED OPEN TOTAL 0.30 AMPS. 31 • 100 AMPS. SWIT INCAN DESCENT _ FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPL 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 I 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: 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. �4 c t ELECTRICAL FIRM: MAST E CTRICIAN SIGN T E JOURNEYMAN NAME Wi �'` ''� � �� ADDRESS: 2 nl' � T ' RFD BOX BLDG. SIZE BETWEEN: RES.`S if APT. ( ) comm.( 1 PUBLIC ( 1 INDUS. ( 1 NEW( 1 OLD REW. ( 1 ADDITION( ) TRAILER( 1 TEMP. ( 1 SIGNS 1 ) SQ. FT. SERVICE: NEW X) INCREASE( 1 REPAIR( 1 FEE CONDUCTOR SIZE Z AMPS 80 COPPER 1 1 ALUM. ( 1 SWITCH OR BREAKER 00 AMPS ( PH W > VOLT �� RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT _ _ FLUORESCENT & M. V. FIXED 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 NO. K NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED . 0 0 TOTAL FEES J _- 1 ' y be l� 2- lam. ©,e, 3 'J �J lv � In c APPS oven n I C ITY OF FaTI.GNOFF CECti � �ui�.ti 9 'A . • o a 0 i 611- � r l� ► n � r � �q • C7 T 4 I� . u d AP ROVED CITY Cr ATLANTIC BEACH BUI iNG OFFICE 5 198 B • r DEPARTMENT OF BUILDING 4284 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. E PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB t Date ' I '' 19 , Valuation $ - 1 Fee $ ? . ° �'' k t This permit not valid until above fee has been paid to City Treasurer, and is s bject to revocation for violation of applicable provisions of law. This is certify tha Iriq JQhmton has permission to l id8 annlnon oviSjtU9 car - 'a.."d --dd off - S;VrnCt 1:,arking according to 1?Ainns submitted Classificatio resi d n i al go Owned by Tri s .inlinGtnn 'r Lot Bloc S/D House No. 365 2nd. Street According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE ♦ - - -► ► O Building material, rubbish and debris z this work must not be placed in p public space, and must be cleared up r ( and hauled away by either contractor or owner. Bill M. Davi.:i; � Building O ffigi•1. _, � FOR E ONLY U NUMBER DATE CON7�UiC40R a UUCAC' v PLUMBING i JCe, I ELECTRICAL L SEWER WATER i CITY OF 2L� ^'� 4&arc Be "A - &V&uda Taal Office of Building Official REQUEST FOR INSPECTION Date / /C�' `� Permit No. -;> 344 Time A. M. Received P. M. Job Address Locality Owner's Name !,L "� a Contractor BUILDING CONCRETE ELECTRICAL LUMBING MECHANICAL Framing El Footing 11 Rough Wiring 1:1 oug ❑ Air Cond. & El Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ �/l Pre Fab READY FOR INSPECTION '( ` —`(, 5 ko A. Mon. Tues. ^� Wed. Thurs. Friday {/� V A.M. Inspection Made " -�\ P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date p�LANr F OR% OF ADDITIONS or CORRECTIO D• NOT REMO JOB ADDRESS � DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted LL,r$15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247 -5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday. Date ... :0-V Permit &_ Q...._ CITY OF ATLANTIC BEACH Valuation ;__..�.1..� • .s� Q ....................... FLORIDA House o Iv ..� :._ 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 aub- contractors be submitted to this office so that licenses can be verified. Dsta... �.....` ./ .. ............... _.._, 1l..... c� � / ................. Owner... - 'fir'........ - - -- •Address _3_- &.,�.- '�L...% !A_ .._Telephone No. l - 317 1 Architect....... ........................... . ... ....................... ............................... Address. .............................................. _ .......... Telephone No ........ _................... Contractolder - S.._...._ ..� ................................................ Address ............................................................ Telephone No..._..- •- .............• -•.... i �;,n :... ¢ ��:.Z.�..Bloc Lot N o.k No..........!� --------------- Sub Division ................................... _. ._.._...._..............- -• - -.. ........_.Zone........--- -• - - -- • ..................... ........................... .••• .._Street .. _.........._.......Side Between ..................................................... and ... .. ............. __ _ _ ,,G _••••___- K _- _ .. *ft. . Valuation = .... l / ......... For what purpose will building be used ............. ...........................Type of construction ..._.�.c.. ............. Dimensions of Building._. �,_ ��__._ !�__!_7 .......... Dimensions of Lot ---- .. .. ....... : ........................................ Size of Footings ......... ............................. Size of Piers ......... _ .......................... Size of Sills -------------------------------- Greatest Sill Span in ft . .......................... Type Roof ............................... _..... How will Building be Heated? ..................................... -.......................... Will Building be on Solid or Filled Ground? ....................... _..— ---- - --- Size of Ceiling Joists ............ ............................... Distance on Centers ........... ................................. Greatest Span ............. .. ... .. ......... _.._--______ » Size of Floor Joists. .............................................. Distance on Centers.. ........ .. ............................... Greatest Span ................... ......................... » Size of Rafters ....... ............................................... , Distance on Centers..._.. ..... ............................. Greatest Span ............................................ » This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from ✓�� ' /` F all lot -lines and existing buildings. REAR LOT LIN Two copies of plans and specifications shall be submitted with application. ° Inspections required. �! 1. When steel Is in place and ready to poor footing, 2. When steel is in place and ready to pour cola otm*1s 1 1980 APPROVED ?. When steel is in place and ready to pour beam. 1 Y Qf !,71,MJ i II^ BEACH b. When framing is completed. „11!-') ; N, I. •- �, 5. When rough plumbing is completed and ready t=r QJ ATLANTIC BEACH 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. b r S. Final inspection. Note: In came of any refection, re- inspection 3WRT be called for latter ^-� -- corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agres to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the Cit of AyLnti A ...... Signature of Builder . Address. - ova >rS i �. . .... ................ . ....._ , Signature of Owner.. ........_ Addrew.�� ` 1 i `.T Z �e ID 4 I not tv i � 1 J IPPRR Bnc II V A r��_r�,��ic��c�= 1 1 01 c OF� p � ,b dmwo .� -T ECUs o @ bo(Tel a �. boCGt .i . � 1 ,.0 r � r 1 � ► n R r�� t ,o ��© Q �- N � �- _� � C� 2 �- . � U - �L "D u CIZW OF E,`��.GhIU�Frtc�. a utt -a `. " � �� 1 �w, I �i i 5wtj $Jeri rRl�s /f /3 s t R ( r J Ai CITY OF ATLANTIC BEACH Wd�yv tSG j, SPECIAL INVESTIGATION G TO BE FILLED OUT BY COMPLAINTANT �G9 7 Q y - D dOD DATE ADDRESS r LOCATION COMPLAINT OWNER OF PROPERTY STVMATMb OF COMPLAINTAN PHONE 0 �� --------------------------------------- FOR OFFICE USE ONLY DATE OF INVESTIGATION Z? 7/ INVESTIGATOR _(Q CONDITIONS FOUND a _ wl, o ACTION TAKEN COMPLIANCE Vr, w z• r , 3 13c. - % -Lqp " — NOTES: \ �T Al 6 CitY Of Atlantic Beach Building and Zoning City of Atlantic Beach 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • FAX (904) 247 -5805 • http : / /www /ci.atlantic- beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE - FAMILY OR TWO - FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) ATE / ©02 JOB ADDRESS ' &� - c;2 i rt Z v APPLICANT ADDRESS r PHONE: Z 3 I cv c 70 7 Q f ? LEGAL DESCRIPTION: , BOCK NUMBE LOT NUMBER Z 2 ZONING DISTRICT CONTRACTOR �) rte- n Q, f STATE LICENSE NUMBER i ADDRESS 0 /7 - G /6o PHONE Qo�1._ 89 -9y92 CITY 0 1 _ STATE ZIP FAX L — FO 3 -9 5 - t l 6 DESCRIBE PROPOSED USE AND WORK TO BE DONE r� /AAiCi GkJ -sty{- c_Q/1e PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION Is this an addition? © If yes, what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? � 1� o New electrical or increase in service? New plumbing fixtures? 1y New fireplace? New heating / air conditioning? Is approval or Homeowner's Association or other private entity required? If yes, please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? (D' Applicant certifies that no change in site grade or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904 - 247 -5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 6/18/02 31/20V2 15: b5 9042.112294 MBC1460 PAGE 02 `J'I9 P 3. Please submit Baargy Code Forms, Native of CoRtmsnoaaeot, OWMYCJ Orrtro Ior Affidavit if owner is oonvaetor, and four (4) cornplote sets of vunstruc ion plans to the Building Dcpsrhomt, which is located at the Arbindo Beach City Hal), 800 Seminal* Road, Adaralo awch. PT. 32233 Telephone (904) 247.5826 Gt s4dition to construction and engineering detail, plum roust contain the lbllowiog information as approprieW fbr the type of work being pct'Ebtitled. Seale of drawings should be eufl•Icient to depict all rwuircd k0ormadon in a clear and legible nunrw. 1. CurTcm survey showing thg property boundary with bearings and distsncos and the legal description, 2. Location of ail mucturgs, temporary and psrnwient, including sotbaoks, building height, number of stories end equate footage. Identify any existing armatures and uses. 3. Existing and/or proposed driveways. 4. If rsquit*d by the Department of Public Works, a pre- oonatrvotion o"x4 epbioal survey. s. Any significant anvtronmsntal features, including any Jurisdictional w dan4 CCCL, no" water bodies. 6. Tmpervisus Surttuc area calculetigas. (Swimming pools mqy be excluded *00 t9w Impervious surface.) 7. Other kpibrrrsuion as tray be appropriate for individual applionuons. I UZIt dnY CERTIFY TRAT ALL 114FORMAUON PROVIDED WITH TRIS APPLICATION IS CORRACT. SIGNATURE OF OW1 JR L : UATE I D•:2- tIEREBY CERTIFY TRAT I HAVx READ AND I AbII W TRIS APPLICATIONI AND KNOW TDE SAMIC TO HE TRUE AND. CORRECT. ALL I'ROVISIOlvs OF TfM LAWS AND ORDINANC1tJ9 GOVERNING 'I'IiIS TYPE OF WORK WIE.I. ZZ COMPLIED WITH, WHETMEIt Sr ECIF= HERzW OR NOT. THE GRANTING OF A PECRMrT AGES NOT rMUMS TO GIVE AVT'NORTTY TO VIOLATE OR CANCEL THE PROVISIONS OD' ANY FEDERAL, STATE OR LOCA1, RULRB, RLt:3ULATYONS, ORAIN"CIES, OR LAWS IN ANY MA NNER. INCLUnLNG THE GOVXRMNGI of CONSTRUCTION OR THE PERFOXNANCE OF CONSTRUCTION OF THE PROPERTY, I UNDRRSTl "a TtifAT THE ISSUANCE OF TIM PERMIT 13 CONTINGENT UPON THE ABOVE INFORMATION =MG TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HA,VZ BEEN OR SHALL BE PROVIDED AS REQUIRED. 1IGNATUIt)Z OF CONTIE✓31.CI'OR (�� L/' HA'I'L► IP ADVPX85 AND CONTACT INFORMATION OF PERSON TO &BCICWZ ALL CORS>EG4P4MZNCE RZGARDING "115 APPLICATION (PLIEA59 PRINT) - NAME v -/'C l._ S /'t A ,v MAnMG ADDRE STieTc° 1YA'19.1 S7 �/uo usri.c^P 2 //M p>aONE v 0 9 A SWORN AND SUBSCRWED BEFORE ME THIS DAY OF r STATE OF FLORIDA, COUNTY OF DUVAL NOTARIPS SIGNATURE AS TO OWNIi+R: ff'Pcm=I2Y known Ikoduccd idautii3catiou Typo of Ideatifleati,tnn produced A5 TO CONTRACTORi 0 Pawwny known LJ Produaed idcoffmdon � Type of identification produced " rid, PATRICIA A. CARROLL 12 . a MY COMMISSION 1 CC 797287 EXPIRES. Match 19, 2003 11 Sanded Thro Plehad huu,au Agency 0106 VZ6 h06 'ON SNOHcl SEIS I 8cid31NS dN I Sfl G I (YdC W021J DEPARTMENT STATE OF p jL0jj , oA OF COMMUNITY AFFAIRS *00dicatecr to making Florida a bi p to Cal/ hom e' STEVO4 A4. NAINWF TO- Building 0fr Manufacture" and Agmclea FROM: 114t tones, Depart nent Of Community Afntir* MR: Roquirement far Raised Se als fOr blanUlketured BUildings/Shed DATE: 2002 Th e Florida Building Code (100 not'require original signed and local building departme to cl h PWWjt r or Imt sea led plans be submittal to ilia mll Manufactured in a au facility. 7 ation or erection or u 40, "in issued by the St veHfIcs structure been rOviewe e d and then buildings inspected for compliance the Wax= have with applicable codes. b th State and detar to comply The State of Florida Anuinlainis a sat Of scaled plans mvi ed and aPProvcd Moddlar Plans Raview an d ipmpection "Ports conducted at the rnwrU by a Flori da, lice Florida licaused Modular insp4Xtors. aw P' with U10 PCmit application. The Manufacturer should supply facility by ft OOPY Of the approved. You way also roViow the app by SyBteux wabsite at( WWW.norldabuildinng accessing the Florida 13 "ilding Code Information g. O., ) , Manufactured Building Program. e- Sit Jatod in requir ( 1 , k dunrAtion, etc.) am the 1:81 autboxity. C RPOcificully and entire4yr011arved XFYOU need addit' e-mail, lonaj ' 1110ase do not hesitate to caninct m at 850-92 . 2-6o9l 2 5 9 9 S H U M A A D OAK , H OUEVAfto * TALLAHASSVII, F'LORIOA Inter P h a nest t 270 6466 IFAXt eso.q 0 0 addross hlt., 291.are, l C*ftW^L W,%,To I IJOW w oft. d W a *,sto.%wo Calk klwftl� 00 " *% xhwliom HOVOWM T 40 David Usina Enterprises 2171 State Rd. 16 St. Augustine, FL 32084 (904) 823-9092 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD — ATLANTIC BEACH, FL 32233 — TEL: 247 -5826 — FAX: 247 -5877 PERMIT INFORMATION LOCATION INFORMATION _ Permit Number: 23402 Address: 365 SECOND STREET Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 1,500.00 OWNER INFORMATION Date Issued: 1/31/2002 - A MR. SINCLAIR Total Fees: 120.00 65 SECOND STREET Amount Paid: 120.0. TIC BEACH, FLORIDA 32233 Date Paid: 2/04/20, ' r 1±�'. 9© 061 Work Desc: REMODE ! D LACED PRIOR TO PERMIT CONTRA R S Y " PILC N FEES SCHROEER, BART PERMIT 120.00 ," b, ,r a a Y s �y�sf�;` - a rt s ✓� c � r ., z r s M .�y p } M� t r2 R ed A - Y - .r+u4'3yyys�y i L S U Mspections F�eq�r^�d �` NOTICE IN ECTI, mug —" REQUE ,rED AT LEkT r, IRS Pfk Tfb BUILDING MATERIAL, RUB f# B IicK3`C iE PL6CED IN PUBLIC SPACE, AND MUST B E CLEARED UP AND A Y B C R OR-- .C3WI* _-, � "FAILURE TO COMPLY WITH T SUN L CAN RESULT IN THE PROPERTY OWNER P AYING TWICE F OVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ti2@.0@ 14 Cl— t 2/05!02 01 Receipt: 0031868 Date ATLANTIC BEACH BUILDING DE 9146 CHECKS CITY OF ATLANNTIC BEACH PERMIT CALCULATION SHEET Address 3 vE � _ ( 4 E M O O E T tf n�> Date Heated Square Footage @ $ - per sq ft = $ SY80 Garage/ Shed @ $ per sq f t = $ Carport /Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ Total / Valuation 1st Remaining Value $r per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15.00 $ d- ._,BUILDING PERMIT FEE $ (Ad fZ= / Za " SrA 2 rti� w�o �Ot R/r� i WATER IMPACT FEE $ __ SEWER IMPACT FEE $ WATER METER /TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ d - 0 ADDITIONAL PERMITS OR FEES:Mechanical Plumbing Electric /New Electric /Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and /or NOTES: s W 5 rte RED E J AN 3 1 V Clty of Atlantic Beach City of Atlantic Beach - 800 Seminole Road • Atlantic Beach, Flori(guA4;gF5,Agd Zoning Phone: (904)247-5800- FAX (904)247-5805- http : / /www /ci.atlantic- beach.fl.us PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR D ,EMOLITION OF SINGLE - FAMILY OR TWO- FAMILY (DUPLEX) CONSTRUCTION DATE PPLICANT:Z�?/S C/ Ci ADDRES / �J PHONE: / l ADDRESS WHERE WORK IS TO BE PERFORMED S S'" LEGAL DESCRIPTION: ii BLOOCK / LOT NUMBER ZONING DISTRICT CONTRACTOR I T Se,Pn ro e �5 `P ! c^ G STATE LICENSEE NUMBER (,GC ADDRESS �3I q Watjt w PHONE ( 90q - ) J9 q - C605 CITY TOI n U l l t e— _ STATE ZIP 32 s 4 FAX N) 398 D C L� USE AND WORK TO BE DONE Ai PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION T / �"�G ►� Is this an addition? If yes, what a the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? f New plumbing fixtures? / 6 New replace? O heating / air conditioning? Is approval or Homeowner's Association or other private entity required? If yes, please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904 - 247 -5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City- of. Atlgntic Beach Department of Public Works to determine if a pre - construction or post - construction topographical survey ist required. (If not required, written verification must be provided with this application.) The Department of Public W�rks is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 01/02/02 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work peing pe;formed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works, a pre - construction topographical survey. 5. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER tJ \Z�Q % ��% DATE OC Z DUZ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING A NT) NSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND TUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTO DATE L L v ADDRESS AND CONTACT INFO TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE NAME �r�5 S t11C)G�1� MAILI ADDRESS I q ( �r i GQa, Vxc� Kd PHONE Z q I - 0Z 3 FAX E -MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF L TG, n Ll Q rc4 STATE OF FLORIDA, COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: ❑ Personally known FV Produced identification Type of identification produced rL bL 4 MGM IA►Ot,MMl�, t�1�1 ` n wRa�ry� tlarui► AS TO CONTRACTOR: Personally known ❑ Produced identification maw MO[Nlr10 Type of identification produc d w0 1* IM M 01/02/T tdt+..M[t~tt.M. Sara 01-29-02 16:58 HOME DEPOT 275 KITCHEN DEPT ID=904 278 6427 P02/02 v RECE! 1 'E jAN 3 1 , 2002 City of Atlantic Beach Building and Zoning ... .. .. �_• III � I�. � 1, S G; 1 �: 14 L ;7 I of i A ;1� _ �� i j' i � � � Vii i , 1 _ - _______.-.��.�, Ili APP R 0 VE. Cjj'y. OF ATLANTIC BUILDING OFFICE FEB 0 2 2002 0y Note This drawing an artmtkc 12808F82 Owg no. interpretation of the general -n< appearance of the floor plan It is HOME DEPOT 13ILLY SINCLAIR not Meant to be an Wad rendition. �'- ni P.c� ,QOf3 .�T r4, 11o.A11V S 4rl-AtvT /C ,.5EA f"LA- �ESc.2 /, °T;'oN she 9 , 'here's - ownh ria` ; �`^r ^•'' ;. 7 IRPRO ( � '�• k c •+. ,n, y +, i � '� � .c +� }s °d � �''�}�+�c�i - 5 t,#bi ��tt "�"'�' ~� � . 2 • �•.. .• \ T i .; .• Z Q ^ . ( - c � � �� }„ G .S. � ' ?`. `, R �` , - , � ( ; i ♦;: � �'•' `-t,YJC3� _ L � -vim / C _ ,�� a Jv , 14 -7 . Adur f Q �Cj J' ^ `► r ' \� r Iyi..•. �, � , �t , ,-� �. :� �' Wi.Ua�• ,�. �' "� '`"""fit , , r�Y 3``�'` %.- � S `�\ - " ,'.;,� rF•. _ rA � # -' ., • I ... _ � i � r,, ;�' � �_ .v , .fs .t to 1h ., tii 1�U vCi.�,;,J.:,� i %so' �� :C � ? • —. h)i J G'.� / �'i • „Q :7I f A7 fir G.I. 4 1,4 71F ' 'r• • /t� ; 9 ' N ' ..�2..7�:K.a:�iL' > ✓. 7, /9G Z �o ,;r,�a Sir. ^vim v . Ln H 0 o a cn W N �{ O r r� Cy W`" f LIJ �a z a c H H o a � c� w aA H H as H 0 1% � a w Q w 4 w > p W m H m O Z a o O wH � w IL a i 0 rx W a Vn H w W Wm w 3 q Q F-- F- H 2 p v H a N � z N W W 0 U) PUN N 4-)MaH W W p Wz v o (d CD w N 00 z O AN 0 (14 U u 0A %E-40 z "' a 0 �w oMWIM O W P4 O VIOU pa 4 �� cn H i o4r, U P4 cn ',7 •rl H U1 H w m Dam ••00 y A o a •rl a) PU a o 0 >4. WH r-1 V) H S4 rd E+ A w C3) r-c z rO a) O z El H O H EQ z o CV o CnA 4J .0 H 94 �a CD � N 0 (d � � O W cn 0) a)•riHP4 H0) W W0 O - .0 0 X EA 0 W cn 4 h L9 03 Hz0W U a cn h Ilk U p Q i 3��d�aa 4 _�l��e neesf nA� OL A �r6 e er 2001 -2002 OCCUPATIONAL LICENSE TAX LYNWOOD ROBERTS OFFICE OF THE TAX COLLECTOR CITY OF JACKSONVILLE and /or COUNTY OF DUVAL, FLORIDA 231 EAST FORSYTH STREET ROOM 130, JACKSONVILLE, FL 32202 PHONE: (904)630 -2080 FAX: (904)630 -1432 Note - A penalty is imposed for failure to keep this license exhibited conspicuously at your establishment or place of business. This license is furnished in pursuance of chapter 770 -772 City ordinance codes. SCHROEER, BART JAMES 10 x RESTORATION SERVICES OF NE FLORIDA INC 4226 MAGNOLIA RD ORANGE PARK, FL 32065 `- ACCOUNT NUMBER: 149050- 0000 -1 t 1OCATION AnnRFSS: ' DESCRIPTION: QUALIFYING AGENT, CONTRACTORS County License Code: 770.000 -005 County Tax: N/A Municipal License Code: 77 Municipal Tax: $100.00 Total Tax Paid: $100.00 VALID FROM OCTOBER 1, 2001 TO SEPTEMBER 30, 2002 RCPT# : 001/02/9164/0953 /09252001 DATE: 9/25/2001 AMT: $100.00 ATTENTION ** *The Following Construction Contractors Require Additional Licensure * ** ALARM POOL ALUMINUM /VINYL RESIDENTIAL BUILDING ROOFING ELEL 1 HICAL SHEET METAL SOLAR MECHANICAL PLUMBING IRRIGATION GENERAL CARPENTRY WATER TREATMENT UNDERGROUND UTILITY HEATING AIR CONDITIONING REFRIGERATION This is an occupational license tax only. It does not permit the licensee to violate any existing regulatory or zoning laws of the County or City. Nor does it exempt the licensee from any other license or permit required by law. This is not a certification of the licensee's qualification. 4 TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION 45 P.O. BOX 5387 Invoice Jacksonville, FL 32247 -5387 Agency: CECIL W. POWELL & COMPANY Account Name: RESTORATION SERVICE OF NE FL ZURICH Account Number: M008403927 -001 -00002 Invoice Date: 12 -10 -01 Due Date: 12 -30 -01 PAYOR NAME AND ADDRESS Current Balance: $742.86 Minimum Due: $0.00 RESTORATION SERVICE OF NE FL 3319 WALLER STREET Please see reverse side for other messages JACKSONVILLE FL 32254 -4215 and important billing information. SUMMARY OF ACTIVITY SINCE YOUR LAST INVOICE POLICY EFFECTIVE ACTIVITY TRANSACTION MINIMUM NUMBER DATE AMOUNT DUE PREVIOUS STATEMENT BALANCE 986.82 12 -10 -01 PAYMENT - THANK YOU 243.96C SCP 0037048924 10 -30 -01 SPECIALTY CONTRACTOR 0.00 FUTURE MONTHLY INSTALLMENTS Please note that changes to your policy coverage may change your installment schedule. Due Date Premium Fee Amount Due Due Date Premium Fee Amount Due 01 -30 -02 88.98 6.00 94.98 07 -30 -02 108.98 1.63 110.61 03 -02 -02 108.98 6.00 114.98 03 -30 -02 108.98 6.00 114.98 04 -30 -02 108.98 6.00 114.98 05 -30 -02 108.98 4.90 113.88 06- 30- 02 ......................... 108 .:.98...................... 3...27.......................1 12.25 ........... ............................... .................................................................................. ............................... PLEASE DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT ACCOUNT NUMBER INVOICE DATE DUE DATE CURRENT BALANCE p, MINIMUM DUE M008403927- 001 -00002 12 -10 -01 12 -30 -01 1 $742.86 $0.00 If you have an address change, you must place AMOUNT EN L SED a check mark in the box below and enter the new Please DO NOT mail payments to information in the space provided on the reverse side. M Box 5387. Make Checks payable to Zurich and mail payment to: El ZURICH NORTH AMERICA 135 S. LASALLE ST., DEPT 8712 0 CHICAGO, IL 60674 -8712 a Q Maryland Casualty Company Assurance Company of America Maryland Lloyds Northern Insurance Company of New York National standard Insurance Company Maryland Insurance Company Maine Bonding and Casualty Company Valiant Insurance Company b L 7 * 130000000000000002000074286000840392700100002030017 16 THANK YOU FOR CHOOSING ZURICH. LISTED BELOW IS A GUIDE TO ASSIST YOU IN REVIEWING YOUR INVOICE. Additional Provisions - FOR BILLING INQUIRIES PLEASE CALL OUR CUSTOMER SERVICE DEPARTMENT AT 1 - 800 - 332 - 6641. PLEASE MAIL WRITTEN CORRESPONDENCE WITH YOUR PAYMENT. - An installment fee is added to all installment invoices. However, if you decide to pay the entire annual premium in full on the first invoice, you do not need to pay the fee. If your policies are issued after the date that coverage began, your first invoice for those policies may include more than one installment. We reserve the right to withdraw payment by installments in the event your premium payments are received after the due date. Except for Virginia insureds, if a check is returned by your bank for any reason, your next invoice will include a check processing fee. For auditable policies, once we perform the audit and record the resulting premium, the audit premium will be billed to you in the next scheduled invoice. Payment for the audit is due within twenty (20) days after the invoice date. - If you pay less than the Minimum Due, we will apply your payment first to amounts owed with the earliest due date. - If you pay more than the Minimum Due, we will apply the extra funds to your next installment(s). - Refunds, other than audits, on individual policies will be returned only after all balances on the account have been paid in full. LATE PAYMENTS /CANCELLATION NOTICES - If you fail to pay the Minimum Due by the Due Date, you will be assessed a late fee, except for Virginia insureds. In addition, the due date of your next installment will be accelerated if so stated on the front of your invoice, and a cancellation notice will be issued if the specified amount is not paid in full by the accelerated due date. - If we receive a payment after the cancellation effective date, we will apply that payment towards any unpaid balance on your account before we refund any remainder, but your coverage may not be reinstated. - After coverage is cancelled, we will bill you for any unpaid earned premium. If you do not pay, the matter may be forwarded to a collection agency. Messages =PAYMENTOPTIONS AND PAY ON -LINE. IT'S EASY, EFFICIENT, AND FREE. B SITE "ZURICHNA.INETBILLER.COM ". NS ARE NOW AVAILABLE. CALL 800 - 253 -8092 TO MAKE A P AYMENT BY PHONE USING A CREDIT . A CONVENIENCE FEE OF $4.95 OR 3% (WHICHEVER IS GREATER) OF THE AMOUNT CHARGED IS APPLIED FOR CREDIT CARD PAYMENTS AND $1.95 FOR EACH CHECK PAYMENT. ALL OTHER PAYMENT OPTIONS REMAIN AVAILABLE AT NO COST. FOR ALL OTHER BILLING INQUIRIES CONTINUE TO CALL 800 - 332 -6641. — — — — — — — — — — — — — — — — - - — — — — — — — — — — — — — — — — — — — — Please check the appropriate box(s) — ACCOUNT #: M008403927- 001 -00002 Billing Address Change Policy Address Change Please print the address change below: This policy change will result in ADDRESS an address endorsement to all the policies on this account STATE ZIP CODE - - - - - - - - - - - - - - - Do Not Write Below This Line - - - - - - - - - - - - - - - - - - BOWOITCH INSURANCE CORPORATION August 20, 2001 Mr. Bart Schoeer Restoration Services of NE Florida, Inc. 3319 Waller Street Jacksonville, FL 32254 Dear Mr. Schoeer: Thank you for allowing Bowditch Insurance Corporation the opportunity to serve you. The following policy effective 04/30/01 until 04/30/02 is enclosed: Type of Policy: Workers Compensation Insurance Carrier: Zenith Insurance Company Policy Number: 65521 Policy Premium: $9,586.00 The policy premium will be billed directly by the insurance carrier. This policy is subject to audit and premium adjustment at the end of the policy period. Please examine the policy carefully to make sure the limits of coverage meet your needs and that no items have been omitted. If there are any portions of the policy that you do not understand, please feel free to call us for an explanation. Also enclosed is information on the following subjects: The Florida Contracting Classification Premium Adjustment Program; Safety Programs; Subcontractor vs. Independent Contractor; Grievance Procedures; and, Wage Statements. After your review please give us a call if you wish to discuss or if you have any questions. We hope that you will keep in mind that we handle a full line of property and casualty, life and health insurance for both individuals and businesses. If we can be of assistance, please do not hesitate to call us. Sincerely, BO ITCH INSURANCE CORPORATION ara Zenni C9 mercial Account Assistant Extension 224 101 Century 21 Drive, Suite 200 • P.O. Box 16409- Jacksonville, Florida •32245 • (904)855 -0744 • FAX: (904) B55 -0828 HN -A1 -002 12:30 THE ZENITH 941 906 6029 P.03 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC op pg tg (Ed_ 3/99) FLORIDA STIPULATION TO VENUE/SARASOTA COUNTY In the event litigation becomes necessary In regard to Collection or In regard to any other dispute that may arise under this policy, the parties stipulate that Sarasota County, Florida will be the proper venue for the legal action. The parties stipulate that if supplemental proceedings are required subsequent to Judgment, the president and secretary of a Corporate insured, or all partners of a partnership Insured, or the Individual In the event of an individual insured shall submit to the supplemental proceedings in Sarasota County, Florida. This endorsement changes the policy to which it is attached and is etfective on the date issued unless otherwise stated. This endorsement, effective on at 12:01 A.M. standard time, forms a part of Policy No. of the Policy Period Issued to Premium $ Endorsement No, Countersigned at on By: WC 99 09 15 Authorized Representative (Ed. 3 -99) JHV ,)1 - Gbb2 12'.30 THE ZENITH 941 906 6029 P.01 WORKERS COMPENSATION M EMPLOYERS LIABILITY INsEM POLICY WC 00 00 01A RISK ID INFORMATION PAGE Insurer: Zenith Insurance Company FEIN 59- 3553220 1 - 800- 226 -2324 NCCI Carrier Code No. 13145 p O L Z C y p O ]• The Insured: RESTORATION SERVICES Of NE FLORIDA 3319 WALLER STREET 65521 JACZCAONVILLR, FL 32254 Individual , Partnership X Corporation Mailing Address: 3319 WALLER STREET JACRBONVILLE, FL 32254 Other workplaces not shown above: 2 . The policy period is from A pril 30 2001 12:01 AM Standard Time to April 30 2002 A ril 30 2001. , , 12:00 AM Standard Tim® at the insuv6d's mailing address. The Anniversary Rating Date is 3 A. workers' Compensation 2nsurance. Part One of the policy applies to the Workers' Compensation Law of the states listed here: FLORIDA H• Employers Liability insurance; part Two of the policy applies k in each to wor state listed in Itam 3,A, Th limits of our liability under Part or are; Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insurance; Part Three of the policy listed here: A11 applies to the states, if any, states except States listed in item 3A and North Dakota, Ohio, Washington, West Virginia, Wyoming D. This policy includes these endorsements and schedules: WC 09 06 06 WC 00 04 14 WC 00 03 08 We 09 04 01 WC 99 09 15 4 . The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information roqutred below is subject to verification and change by audit. Classifications Code Premium Basis No. Rate Per Estimated Total Estimated $100 of Annual Remuneration Annual Remuneration Premium SEE ATTACHED Total Estimated Annual Premium $ Minimum Pr"ium $750.0 Countersigned by: iOWDITCH IN C J7ICRSQ7VTLLC, FL ° 1987 National c 7P June 8, 2001 co uncil on Cortl`7Cnsa[len in surance In c info.mrg JHN -2002 12:30 THE ZENITH 941 906 6029 P.02 Nvianarcz tvnrtNSA'1'ION AND EMPI `-RS LIABILITY INSURANCE POLICY � ". WC 09 06 06 Original Printing Effective October 1, 1999 FLORIDA ENpL0yKXNT AND WAGE INFORMATION R EL3ASS ENDORSEMZNT This policy requires you to release certain the state of Florida pursuant to federal and state une to d Wage information maintained by the extent prohibited or limited under federal law. y ent compensation sous except to S consent to the release of the information. Y entering into this policy, you We will safeguard the information and maintain its confidentiality. We will limit use of the information to verifying compliance with the terms of the policy. (Tba info=atiaa be]Ow is required only when this -K bzsH=nt is issued subsequent to preparation of the policy.) ErAorsement Effective: Policy No. Endor seme.zt No. insured: Premium $ durance Company: ZMIZH INSLIMXE CCWANY Wuntersigned by June 8, 2001 NOCI Carrier ODde. Policy Effective Date: WC 09 06 06 0 1999 National Council on Compensation Insurance Inc. RIETO t "1 co t11 R,C1 Wi7� a cL w;o En efu � cn�00 0 3c;orn c.cn.in a ch WOM r-ma WW m - ►m--I. w � � a oa _ : J`t r - x ZLo i v P" CAW;o < < :. m acorn � "r 3 ,•r,.! 'C C. r" N ~ fit V3 . O �G C� _ 'w!. �3: �:•,.� 4J1 vi cu mr- r"" C ^° t 0 : to ' N ' •.i is 'I " m :^ r,' .. . tA {. :! t'd 098886e *06 83308HOS 1bUff dea :e0 a 0 Ie Uer CITY OF 044414 &ads - RW& 716 OCEAN BOULEVARD — DRAWER 28 ATLANTIC BEACH. FLORIDA 32233 February 22, 1980 Mrs. Iris Johnston 365 2nd. Street Atlantic Beach, Fla. 32233 Dear Mrs.Johnston, We have been unable to reach by phone to notify you that the plans that you have submitted are not detailed enough for our approval. Please contact this office at your earliest convience in order that we may finalize this matter. Sincerely yours, Victoria E. Legg Building Departmant WILLIAM S. HOWELL JAMES E. MHOON ALAN C. JENSEN L. W. MINTON, JR. CATHERINE G. VAN NESS Mayor- Commissioner Commissioner Commissioner Commissioner Commissioner BILL M. DAVIS OLIVER C. BALL MRS. ADELAIDE R. TUCKER CARL STUCKI RICHARD HILLIARD City Manager City Attorney City Clerk- Treasurer - Comptroller Chief of Police Director of Public Works and Fire Department CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 23449 Address: 365 SECOND STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 2/08/2002 Name: MR. SINCLAIR Total Fees: 25.00 Address: 365 SECOND STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/08/2002 Phone: (904)249-9061 Work Desc: KITCHEN INK AND DISHW CONTRACTORS APPLICATION FEES DAVID GRAY PLUMBING, INC 25.00 3 x �. .�. 7 '} +a 7 �"u ' i � � fir 4 -. ; '`�cS'`-�, � f a. " 3 y .,, �� ;•.�:. �'..��€ 5 Ar ff . NOTICE - INT} „ _T BE ; REQLwESTE,D AT. LEAST 24 HQ#P E3 1 SPECTION BUILDING MATERIA�,� 1 }� E7EBRIS FROM'TH V1/ORK MUS '' E ED IN PUBLIC SPACE, AND MUST B F -:AW '$YiT (TIC R OR OWNER FAILURE TO COMPLY NS ULT IN THE PROPERTY OWNER PAYIN $ t R we ISSUED ACCORDING TO APPROVED PLAN a PERMIT AND SUBJECT TO REVOCATION FOR VIOLAT OF A PPLICABLE PROVISIONS OF Ll Oper: DSMITH Type: OC Drawer: 1 Date: 2/11/82 81 Receipt no: 33118 14 PERMITS- HUILDIHG 1 725.88 -� Tr CKCHECKS 3828 7257 ATLANTIC BEACH BUILDING DEPT. Trans date: 2!11/82 Time: 16:89:18 CITY OF ATLANTIC REACH APPLICATION FOR PLUMING PERMIT JOB LOCAT ION : :S (cl�;_ (S., OWNER OF PROPERTY 1L / TELEPHONE NO. PLUMBING CONTRACTOR DAVID GRAY PLUMBING, INC. CONTRACTOR' ADDRESS: 8850 CORPORATE SQUARE CT. JACKSONVILLE, FL. 32216 STATE LICENSE NUMBER 022586/436 TELEPHONE: 724 -7211 HOW MANY OF THE FOLLOWING FIXTURES SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS ' DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: v1f,,A2L, vid Gra ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247 -5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR. TO COVERING UP - (904) 247 -5834 Q►� OR10P OF ADDITIONS or CORRECTIO D• NOT REMO F ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 001?(X ifiG �ffT rL 4 To CX I 'fg U f 0 L - 0 .'a 7 - S a N T p r3 IJ0 T4 �Lf- C 7-2 ( C NJ c�1 s-42 _�E/1 ur cF Li tL ( A3e J)/S coN i1A► s TF a - -off $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247 -5826, Building Depart- fELEC UMBING ment for an inspection. Field Inspectors are in the office from 8:00 a.m. to 5:00 p.m. Monday through Friday. oA� / oil .0n � CITY OF 35, -bS fps' �0 4 & 4 ft is Beaus - 0 ;&U - 4\1r - - 2 4 L( Office of Building Official Y E 3 L REQUEST FOR INSPECTION Dat �.� — Q Z V Z_ I Time Permit o. Received A.M. PM Ur Job Ad es , — — ocality _ Owner's Name © n \ ) ILD CONCRETE ELECTRI AL Framing PLUMBING MECHAI ICAL Re Roofing ❑ Slab F ooting 11 inng L ou El Temp Pole ❑ To Out ❑ it ❑ Insulation 1 :1 Lintel ❑ Final p ❑ Heating ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. A �1 Wed. T ours. Friday Inspection Made I/ o V A.M. Inspector Fi Certificate of ccupancy ❑ Date /A� / CITY OF fY�>� /3 eacA Office of Building Official REQUEST FOR INSPECTION Date Time Permit No, OL Received A.M. Job Address Locality Owner's J Name (n L � Contractor BUILDING CONCRETE E CA Framing ❑ Footin MEC AL Re Roofing El Slab g 0 mp irin ❑ ❑ Air Cond. & ❑ mp Pole 101 To ut I n s ulation ❑ Lintel ❑ inal IMA 11 Heating AAftj Sewer El Fire Place ❑ REA FOR INSPEC g Pre Fab Mon. Tues. P / C ed A.M. l br Friday pM Inspection Made ( Inspector / ' / ',{/- --� Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION tNFORMA77QN FPe Number: 23469 mit Type: ELECTRICAL Address: 365 SECOND STREET of Work: R EMODEL ATLANTIC BEACH, FLORIDA 32233 Proposed Use: Township: ® Range: 9 Book: Square Feet: Lot(s): Block: Section: d Est. Value: Subdivision: Improv. Cost: Parcel Number: Date Issued: 2/13/2002 OWNER INFORMATION Total Fees: 25.00 Name: MR. SINCLAIR Amount Paid: 25.00 Address: 365 SECOND STREET Date Paid: 2/13/2002 ATLANTIC BEACH, FLORIDA 32233 Work Desc: WIRE FOR REMODEL Phone: (904)249-9061 CONTRACTOR(. JEM ELECTRICAL INC PLCATION FEES 25.00 xi [rt . � � 'Y a m VT ,.,.•�'� _ _ +.c 3 ' 'S SIR x t ' Y X SF y u c. � � 3 o NOTICE IN PECTION BUILDING MATERIAL MUST BE CLEARED :U - IRA BLIC SPACE, AND Y BY EITHE 3 �CTbFi "FAILURE TO COMPL T PROPERTY OWNER PA . L 1 T IN THE ISSUED ACCORDING TO APPROVE ' FOR VIOLATION OF APPLICABLE PRO' - T AND SUBJECT TO REVOCATION /!� y Doer: DSMITH Type: OC Drawer: 1 Date: 2/15/82 81 Receipt no: 34582 ATLANTIC BEACH BUILDING DEPT. 14 PERMITS - BUILDING 1 $25.88 Trans number: 788381 CK CHECKS 2448 $25.88 Trans date: - 2/15/82 Time: 11:85:17 CITY OF ATLANTIC BEACH, FLORIDA APV.ar.d eV 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 CfTY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JO IRNEYMAN NAME - C DRESS: l`� /7C,�lr/s' �� RFD BOX BLDG. SIZE BETWEEN: !E�-1 Gl C"� L� RES. P,/1 APT. ( ) COMM.( ) PUBLIC( ) INDUS. ( ► NEW ( 1 OLD( ) REW. ( ) ADDITION( ) TRAILER ( ) TEMP.( 1 SIGNS ( ► SO, FT, SERVICE: NEW ( ) INCREASE ( 1 REPAIR( 1 FEE CONDUCTOR SIZE AMPS /C- ; COPPER ( 1 ALUM. ' ) SWITCH OR BREAKER AMPS PH W fe V OLT RACEWAY EXIST. SERV. SIZE ? AMPS PH W /2 " VOLT RACEWAY FEEDERS NO. r? SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS r CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0 -30 A PS. ]t -100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. 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 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS tU u'r 6— L — J TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHE EACH SIGN — FORWARDED S TOTAL FEES �Jx /oa 3c.s a2� S r� T RECEI�r% FEB 2 U p002 _ p Y of tgantic omen OT— .s CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 PLUMBING PERMIT PERMIT `INFORMATION LOCATION INFORMATION Permit Number: 23644 Address: 365 SECOND STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est: Value: Parcel Number: lmprbv. Cost:. OWNER INFORMATION Date Issued: 3/14/2002. - Name: MR. SINCLAIR Total Fees: 50.00 ..Address: 365 SECOND STREET Amount Paid: 50.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/14/2002 :Phone: 904)249 -9061 Work Desc: INSTALL PLUMBING CONTRACTOR ___ _ APPLICATION FEES' DAVID GRAY PLUMBING, INC. PERMIT 50.00 } s S ,�i yyr M i . y h } y t!� a �•.��Fd Fv Yom' C `�`� '.r �' i ?��•y- ",. " ta�yl. b � {.�.i' 1' 1.<•• Y� r=te "fY.t,.� �.'yNrK -. `�''�v \lr. Aj., �'Ynne.r'"�'' ay x l y �",4in Max . a M 7 ' ° � . �� 4,1 T . 4 -' '�" .5 ,,• u 'E"i fi� '�n 13 •• •"' Mr 'iK' ' -� k. yr' R •=y -r.� ��. o �n tc tit } yw., r'" ^ A4 1 AS " • .:•'%.^y; ,Fi..'�� ,,,� urn c `�•x��jr�.;a.� }r..'eK -�• 'f "�'�^�«a°'•: '�.•.xn' �i. ` -X �°'t a'�r'?c�"c�'�^� -. �.«';;y' z;* - S4 Y„ ��,.n k a� "''+� . r w `-�H �'r�Cw .1. "iA`N J.� �4 � �'",. YN3Y� S°' a•.. +.r+,.. NOTICE* r AN{ SECTION .4�"Y kd• r Ta fi�r�l +r S`� ^ syi ^ " a ri ] a ] •,+a ,,,° .iul, d_ '�a,.r.1 �� "?te `� • 4.�,�.r.� r � ��'y'�''7a't.' �� -. �� now . BUILDING MATS. P fa4 �=P PUBLIC SPACE, AND MU �, OWNER - ,� b., `..� a�'� b+i�kKio�•re- ,�"`2� i� aµ >A '�'R. ,f >� ""�.w' 1il�f .3 �. s+ uAri-i i•4$.N� i. '« � 'iw '�� i �- i "FAILURE TO COQ tHE. PROPERTY OWN (� ISSUED ACCORDING TO.A JECT TO REVOCATION FOR VIOLATION OF APPLIC r« Oper: DSMITH Ty.pe:. Ili Drawer 1 Date:. 3/14102 81. Receipt.no; 41659 14 HERMITS- BtIILDIN6 1.. -$56.66 :f Trans number: 7958+'3 CK CHECKS 3545 (58:88 -ATLANTIC BEACH BUILDING DEPT. Trans date:'. 3114 /R Tile: 15:18:56 . mw t s CITY OF ATLANTIC REACH APPLICATION FOR PLUMBING PST JOB LOCATION: 5-7L OWNER OF PROPERTY: �j /� i �� TELEPHONE NO ,, I / PLUMBING CONTRACTOR DAVID GRAY PLUMBING, INC. CONTRACTOR'S ADDRESS 8850 CORPORATE SQUARE CT. JACKSONVILLE, FL. 32116 STATE LICENSE NUMBER 022586 /436 TELEPHONE: 724 -72II HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHIN FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3.50 + $15.00 y o� MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: David Gr y ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247 -5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR. TO COVERING UP - (904) 247 -5834 C-d t Jai comic b� ",q 6f 0 !mss, c -� 40 a V a U Saa m ca © 0 o y Z c LL U 0 L 000 Z a a �- o o w N a � O Z =� z 7 0 a— O V m LL -j E c LL Q W � LL V N Q 41 ¢a ✓ ❑❑❑ W w cc o Z c � fs Q W O m I ry .. O O ) C 7 \ " ❑❑❑ m 0 11 c c 0 N G mot o o U N C U 3 (tl Z �3 CITY OF ATLANTIC BEACH t- s S00 SEMINOLE ROAD =' ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 ss' Application Number . . . . . 06- 00032652 Date 4/05/06 Property Address . . . . . . 365 2ND ST Tenant nbr, name . . . . . . RE ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6200 Owner Contractor ------------------------ ------------------------ SINCLAIR, B.H. SCHULTZ ROOFING 1913 STRICKLAND ROAD 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246 -2315 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 98.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 6200 Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 98.00 98.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 98.00 98.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address. µ9 j^ Heated Square Footage' @ $ per sq ft = $ . r Garage / Shed $ per sq ft = $ Carport / Porch@ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ � ion • 3 s $ 3s� Total Valuation 1 $ / 00 0 Re mainin g Value per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ S ZONING: + %Z Filing Fee $ �_ FLOOD ZONE: ( ) Fireplaces @ $35.00 $ EYTERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER NIETER/TAP $ CAPITAL IMPROVEMENT. $ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ O GRAND TOTAL DUE: $ ��, t rT!,..- Lyffy� CITY OF ATLANTIC BEACH Cc; r' BUILDING / ZONING DEPARTMENT s L. Higgins J 800 Seminole Road o Atlantic Beach, Florida 32233 (904) 247 -5800 (904) 247 -5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # - Z Z Property Address: ��p .� c Z ) d Applicant: J L � 1 6 ' 0 - 7-� Project: This permit application has been: Ell Approved CN' eviewed and t e following items need attention: �-� s� �-�"� r-- ` A6 -3310 3 3. ► o Please re- submit your application when these items have been completed. Reviewed Date: 3 - > - "� ✓l Date Contractor Notified: 03/31/2006 03:42 9047374155 SUNNILAND PAGE 02/04 03/31/Z ©06 11:27 9042473808 SCHULTZ ROOFING GO I PAGE qz CITY OF ATLANTIC ]BEACH ROOF,JNG PERMIT APPLIC � Dote: 30b A44ress: -- - - --- ' �q -- Owner of Propetty; Address Conuisetor. DQU91am A Srhulta ^� iL Telephone State License Number; CCC 3 6 98 9 Comractor's Address: 216 R 20th Otra9t JeCIVIONJty> 114 Seieb, $1. 32250 Telephone: 246 -231.5 247..380 Fax: 0 Scope of Work: Dec- -- � pe, t IL Greater than 2:12 ~_�� —.._• Va [Usti on of work ^^o -• — °---- L"% lhan 2.12 _ _ k. ' — Product NBetie (Example: Timberline): Manufacturer ( Examp)e: GA's: " AS i M Designation(s). L J '- ---� -- Required lr*peetions: Sh"thing and Pinal --- --"� Signature of of Owner _-� Date Sigeature of Contractor: - I>ttte- 3 AS TO O WNER : 5worr, to and s;tbteribet$ barb -e site this ,,��// State of Florida, County of t)wa l !$AM NOtary's Signature: „ NrGOMM1891DNA0017'/i1 ❑ Pere�n oily kn"Ir EXPtgES :MI�istZS YOLM Fmcluced irenCfi zation A1bMflN1+NNq . P,prnA.n Type of iden.ifren.titm produoed AS TO CONTRACTOR: Swprn to and subbcribel bo,(ot'e rn a this _ day of Stare of FlOrtdn County of Duval Notary't Signature: ��y� �ce� gg611U10GV�K .,.�,/� MvCOMMM04 w3l"! aS PRrsonatly kauwn F EYPW5:Av{ua42* CJ .Prod:roed ident.'fteation a.�ebrr Ne.q a MC ud...b+ Type of idetntification produced nro a•.w:w•ro IRo•a wUarnit. laetlCH, Pt0'laa 32133 -V e5 'tt lept►orre: (Mt) 2e7,S$Oq Page •Fitt: (904) 247 -5sc! AttP: /M �'N'• •atioMtk- beaclr.11.us j ..,. _ ,. �....� swets.is uopew,oJuI BbCK � L 90 Lc iAA 03/31/2006 03:42 9047374155 SUNNILAND PAGE 04/04 Jul 11 05 12: eZjF BITEG INC 15UlJb4JUly P -3 Florida Building Code Online Page 2 of 3 .arch nppbcd; A.RP For Commercial and 17.51, r,A-noclified hit,rmen Rcsidcntial hoofing and branc at roofw 20 mm; hasc sheet, P modified_ For Commercial and 12i1.5 bilumcn, torch csidcntin) Rooting and applied or aterprooftng echanicolly attached 2.0 mm; baac sheet; S13S itiodi.fied For Commercial and 1251.0 •S -21 nitumcn_. tot- erslra.tM esideinft`at - R and IOC" or Waterproofing, tieehanical attached SBR modified tttmca self - adhered; For Commercial and 1251.7 UtCPer 1�f5A csidcntial .Roofing and beet granule surface cap W atcsproofing $SR mndifcd For Commercial and 1251 mperflex USA itumen Kcal( adhered esidetitial Roofing and embnane base shed at roofin SBS modified For Commercial and 251.9 MAT . 40 biturneft Metal and tcsidcntial Roofing and T ile undcrla meni waterproofin 4.0 mm; granule attcm wrfncc. APP For Commercial and .51.10 Mineral Design MDA nodificxi hitumart Rcsikntud Rooting and ranc; torch Waterpronfing )PP i=i 4.0 mm; granule stern Surface; S13S For Cnmmcrcia.l and 1251.11 Miticral DuuSn W..Dg Ti odificit bitumen Residential hoofing and nctribiaue; hot waterproof halt applied 3.5 mm; granule rrfaec; SBS For Commercial and 1251,12 S M- 3.51 -I nodificd bitumen Residential Roofing and cmbr bot woterpcoofing s halt a lied 3.5 mm; Firud tesisonl; S13S For Commercial and 1251.13 SFM- 3.51 -FR odificd bitumen Residential Roofing and cmlyranc; hot atcrpnwfing as halt applied 3.5 mm; granule urfacc; �)HS For Cnmmercin.l and A P P R 0 V ED 1751,14 SPM - 3.574 Tiodificd bitumen kesidcrilial Roofing Arid Llr. j . , i t.,., I ii ...e Cmbrrrnc; hot Wntcrproofing ° DING OFFICE a sphalt a lied 4,5 mm; granule AP 0 1UUb •urfacc; 5135 For Nr Commcrcial and 1751.15 SPM -4.5T nodified bitumen ResidentiAl Rooting and cmbronr, torch watelpnmrilig ipp lied By 4.0 mm; granule For Commercial and 1251.10 PM 4I] surface; 5135 nu cwlified bitumen; hot e s sidential Roofing and a halt a lied atarpmofing 3.0 min; smooth nrtacc; SBS Fow Commercial find http: / /www.floridabui Idling. org /pr/pr_detl.asp ?IPT =1251 &fM =ROSrch 08/02/2004 03/31/2006 03:42 9047374155 SUNNILAND PAGE 03/04 Jul 11, 05 l2i'2010 01TEC INC 1,:iU13393019 P -� Florida Building Code Online Page 1 of 3 Application!/: _ - FL1251 Date Submitted: 1210312003 Product Man,&wturcr: Firm C. INC. Address/Phonc %mail: 02. Tnth,strisl Park !hive PA. Bvx 497 Marritton, AR 72110 Category,. Roofing Subcatrgory: Modiricd Bitumen Roo( Systcm P,valuation Method: Cettitication Mark or Listing Rcfcrenaed Standard; from the Florida Building Code. Scctipn Strndard \[epr Roofing SFBC 1997 Curtafication Agcncy; Underwriters Laboratories Inc, Quality AwurunceEntity: Validation Entity: Authorized Signanmc: David Allan dag @bi-tcc,com EvaluatiunfTesl Reports Uploaded: Installation Docprrtcnts Uploaded: ( �D�J 2 1_� Mctro.UadCpdf 1 ? "I'1:I�,b 251 1_�A�Klt gkr`.pdf PTID 1251 1 UI_p4f Product Approval Method: Method 1 Option A Application Status: Appmved Date Validai.ed- 12/03/2003 Pagc: I Go l Page t. / 1 pr/g Product Model # or Name Model Description Uinita or Use 4.5 mm; gram,ilc surface; APP For Commercial end 17.51.2 1'M -4, 5T ca4 edified bitomrn dcnrial Roef ng and membrane aterprooftng 4.5 mm', pranulc Fort orttmar ial and 1251.1 APM -4.5T tufaoc; A tKnbra csidcntial Roofing a nd od bra ne bi aterpronfing 4.0 mm; granule For Commercial and 1251.3 APM -4T urfacc; AI'P csidcttlial Roofing and od.ified bitumen 4nnbrmtc aterproofing A.0 mm; amnorh http: / /www.floridabuilding. org /pr /pr _ deti.asp ?IPT= 1251 &fm= ROSrch 08/02/2004 1 tAi'J l� CITY OF ATLANTIC BEACH 1011 ROOFING PERMIT APPLICATION 1AR 3� .. Date: Job Address: 5' Owner of Property: _ — / 1 1q, :3 LM4/j n l n Address: / 1/Lo�Q 08 S:5;9�15U 1 7'1 r Telephone: Contractor: Douglas A Schultz CCCO36989 State License Number: Contractor's Address: 216 N 20th Street Jacksonville Beach, Fl. 32250 Telephone: 246 -2315 Fax: 247 -3808 Scope of Work: 01 fe FICA Deck Slope: 1 L Valuation of work: e�CSQ Product Name (Example: Timberline): tY��Je� Manufacturer (Example: GAF): ASTM Designation(s): Required Inspections: Sheathing and Final Signature of Owner: Date 2 do 6 Signature of Contractor: Date: AS TO OWNER: Sworn to and subscribed before me this day of 20 . State of Florida, County of Duval Notary's Signature: ROSALIND CLARK MY COMMISSION # DD 137721 ❑ Personally known EXPIRES: August 25, 2006 Produced identification 41 yd Bonded Thru Notary Public Underwriters Type of identification produced �c � " ' �10 AS TO CONTRACTOR: Sworn to and subscribed before me this day of C/ a 0 Ys'P 20<Z/_. State of Florida, County of Duval Notary's Signature: ROSALIND CLARK .4 My COMMISSION # DD 13771 Personally known EXPIRES: August 25,2006 E] Produced identification Bonded Thru Notary Public Under *6%910 Type of identification produced 800 Seminole Road Atlantic Beach, Florida 32233 -5445 Page 1 Telephone: (904) 247 -5800 Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Revised 2/21/03 03/31/2006 00:14 9047374155 SUNNILAND PAGE 01/09 63/31/2006 11:27 9842473888 SCHULTZ RDDFING CC 1 PAGE 01 CITY O,F ,A.TLANTIC BEACH Ca BUILDING / ZONING DEPARTMENT 4 HI Ins ROO S00m c Rood Adwtk Meech, Rod& 32232 u1� CM) 247.5100 ('904) 247 -3141 Fmt PLAN REVIEW COMMENTS Permit Application 0 Qrrp - Z g Lt j 2- � Prvperty Addc"S. � Q:& sd jr Applicant; _ -- Pmj"*. lNiq permit application bas betas M .Approved U' Reviewed aad the rotirwing items aced atteetiou: r ______ T p%nse re•Mbaeitye+ac nppiiaatfoa when those isems have been comapmted. Reviewed By: Li4 Date: Date Centraetor Notified: La 9M-LVZ -006 IWOWtg U01WWJgM @W:L 90 l£ JBIN 03/31/2006 00:14 9047374155 SUNNILAND PAGE 02/09 03/31/2096 11:27 94942473808 SCHULTZ ROOFING CO I PAGE 02 CITY OF ATLANTIC BEACH ,ROOFING PERMIT APPLICATION 3 Job Address: , Owner of P,r e , aP nY Address: �✓,�;�_ �G TelephonC Contractor bong] aa Schultz _ __ State Lieensm Nurmber: C C CO3 699 9� �T�`� Controator'aAddress: 216 it 20R'ti Stroot JacimROnvilla 19eaCb, Pl. 3225 Telephone: 246 - 231.5 y Fax: 247 - 3800 - Scope of Work: I r Deck SIop, 1_ _Greater than 2:12 Less then Z:12 Valuation of work; et;�C►[7 �� —�_ .� + PrpdUCt NAMC (Eixarnple: Timberline): pr� MAnu!'ueturer (Example' GAJr), , Decignatlon(s): Required Itrapectiaaua_ 3hetthing and Final • - ,- , -_.___ Sigriature of Own= Signature of Contractor -- _D : AS TO OWWI R: Swim to And wbtartbad before we this �� daya( _11= _.�_. zoo - State of Florida, Counly of Duval Notar Signature; Imo, R�8N.M0CLAftIC �• r'! �'� vy GGAIMd5310Naf00t71F1 persanallyknowt Produced it%tW:fieation ne�u.�san,wwi tw�.,na _ Typo of identification produced AS TO CONTRACTOR: Sworm to and subscribed bt.iore in 01i_ J day of A.• Srarc of Florlde, Corunty of DuvAl Notary :t Signature: '• RD6ACIIOt9J�Nlt Peraonall MY t:dMMIS9lON�Op y k;1uHh EXPW5:AU W25,M G .ProduuA i dent; fieation to,aarMae.yraau. +� Type OflAsnNf!caticm predueea e�ro I3+.r.�..•le Rear AUmmW Dench, Ftetitta 52233 - 5345 Telephone: (�01j 241 -5840 F *.a: (904) 247-584:� bttp: /!M ww.t:i.atltlt►flo-beaeh.11.ut ...,..,. ...c sw.ne.(g uope—;ul azo:;t 90 le JOA i ii. LL •�• ♦ 0 1 MAX i j1xc i' . B } ... . r J, I' k ' D� ay ~ a n (Z 1 0 7. • 0 ` � �[ .')..1 1K t '' �:I. ••� - �j� •�� . -M1 t�R MEMBRANES PW I1,;4 - USA S8S 11N.DLFiLAYMEN` , MSA L5 SBS Mineral Surfaced r - I �E. ?y� '•, ilS'1��'ir �. toa f�i iq Ice and Water P r ot e ction For MOWN U r �.r �� , n �•• , P T� It >� �'�d .+iiVY�� R f �i I �': •'' , �'♦ '�.^ � � I �r'"r1 { �9 f.Y.E.rFrr C'u�v � �,.x+.. � ,�„ �� 1 .a. ,,� _ i �� Y� A rya -4 �P 4 .P r• �, _ 4 1C � .a� "P 0 r S` 4 < 7 n_ A A �q•Ae A :7 T � r " e �' :^ '. .� Vii. ,r f _ � _ .. •- � 1 0 1 , !!:�,: *pC�.+n�' �Ci C� P�+� tr Y ''t 03131/2006 00:14 9047374155 SUNNILAND PAGE 04/09 lice and water protection for flesilo INI use THE INSTALLER applied at a rate of 1 gal. per 250 -350 ft (23 -32 m This product is manufactured for use only by TEMPERATURE trained, professional roofing contractors and water - proofers. Apply IMPERFLEX USA in fair weather when the APPLICATION INSTRUCTIONS air, deck and membrane temperature is 40 °F (5 °C) Instructions can also be found on the con'la.iner or above. (box) where each roll is stored. However, this publi- UNDERLAYMENT APPLICATION cation has complete installation instructions. APPLY IMPERFLEX USA in shingle fashion a SURFACE PREPARATION minimum of 24" above the exterior wall of the build - All surfaces to be waterproofed with this product ing, or as required by code. Peel back half sheet of must be smooth, dry, and free of projections, bulges release film. Align membrane at lower edge of roof and old roofing materials. Dust and moisture on any and adhere the exposed membrane area to the pre - surface to be waterproofed and /or the membrane pared surface. Continue to peel both halves of itself will prevent proper adhesion and could result in release film in a manner that will allow smooth and leaks. Never install this product over any old or exist- even application of the membrane. ing roofing material or existing metal roofs. Roll in membrane using a heavy roller to remove This product is designed for installation as an any trapped air. FOR ICE DAM PROTECTION, underlayment with shingles, tile, metal roofs or as APPLY IMPERFLEX USA TO EXTEND ABOVE THE below grade waterproofing_ This product comes with UPPERMOST EXPECTED LEVEL. OF ICE DAMS, a factory installed adhesive and does not require End laps should be 6" minimum. Side laps should be other adhesives, hot asphalt or heat welding to be 3" minimum. installed. Th,js_ product c be used as a_ como Went in any BIT INC., commercia roof ings ecifi- VALLEY AND RIDGE cations. e xcept as n oted. Remove release film. Center roll over area to be Prime all metal, masonry and concrete Sur- waterproofed. Start at low point and work upward. faces using primer conforming to ASTM D41 Press and work membrane outward from center of standards. Primer is not required on wood sur- application area. Side laps should be 3" minimum, faces, but is recommended. Primer should be End laps should be 6" minimum. r \..- endlap 4' to 6' STRIP OF IMPERFLEX USA valley �. Cenlerllne; t ^4" � .3 tells ande. - / U r membranr.!. s w'^ Imoellex 9pptinrf over oneol Rlhp - .'=.• •�•- . 2 03/31/2006 00:14 9047374155 SUNNILAND PAGE 65/09 MINERAL SURFACED CAP SHEET .J N Torching, _ ---._ , _..._.._.,. :. :.' ..;;.. �,, o Mopping . :Y': :; Required! 7. >... THE INSTALLIER TEMPERATURE Imperflex MSA is manufactured for use by trained pro- Apply IMPERFLEX MSA in fair weather when the air, fessiona.l roofing contractors and waterproofers. deck and membrane temperature is between 50 °F (5 °C) APPLICATION INSTRUCTIONS and 1 10 "F (43 ° C). Instructions can also be found on the container (box) CAP SHEET APPLICATION where each roll is stored. However, this publication has f Starter strip additional installation instructions. Peel back half sheet of release film. Align membrane at SURFACE PREPARATION lower edge of roof and adhere the exposed membrane All surfaces to be waterproofed with this product must area to the prepared surface in shingle fashion. Always be smooth, dry, and free of projections, bulges and old ensure proper alignment. Continue to peel both halves of roofing materials. Bust and moisture on any surface to be release film in a manner that will allow smooth and even waterproofed and /or the membrane itself will prevent application of the membrane. Roll in by using a heavy proper adhesion and could result in leaks_ Never install roller to remove any trapped air. Remove selvedge this product over any old or existing roofing material release film. or existing metal roofs. 2. Subsequent courses of membrane Imperflex MSA is to be used as a cap sheet only, on Install subsequent courses in a similar fashion stagger - slopes equal to or greater than ' /2" in 12 ". MSA comes ing finished end laps by at least 3 ft. Finished end laps with a factory installed adhesive. )VISA cannot b e used as should be 6" min., while finished side laps should be 3.5" a_.c.,.T in any BITEC INC., c ommerc ial ro ofjpg min. All end laps should be sealed using modified bitumen ,_ as,Voted. adhesive and rolled in at the time of application. Prime all metal, masonry and concrete surfaces using 3. Construction details primer conforming to ASTM 041 standards. Primer Construction details are the same as for commercial should be applied at a rate of 1 gallon per 250 -350 ftz grade SBS modified bitumen cap sheets. Refer to BITEC, (23 -32 ml ). INC., published specifications for proper execution of Install one ply of ASTM D2178 Type IV ply sheet with flashing and construction details, the non - sanded surface up by mechanical attachment_ Install this base ply before the MSA. Imperflex USA may 4 • Residential roof valley and ridge also be used as a base sheet if inverted, the film removed Remove release film. Center roll over area to be water- and the membrane mechanically attached. proofed. Start at low point and work upward. Press and work membrane outward from center. • .r +'a' .rBI Seat edc!` --• "� - >. ' "' with ureth,vn,� 0111h, use 2 ' t4;T Y•;.' . dppliCAtions . POce membrane ! +rlAID SIDE DOWN ;Gat endran 4' to 6' STRIP OF s Malr,l �'�,- ',l,..fi• .i ' IMPERFLEX .•;,:.: or ip rake ov er ,r` 'id.; ;�;;, .,r' K�ir - MSA membrano r ? i N07F: Remove A!i p 6` A. ' ... VAIleyy �'`;'.; tyfiAPed air and e ,• . ,.y , !f. ' r '".. ,,. � Impt•rpox APNllel! t , • .: � J: , •';'� ..; C.:i: �,�:.: -..` ti.¢2. r �.• , f over metal drir f ;:��• P'" 2. rL.°.TnrF;,.4�;ny 03/31/2006 00:14 9047374155 SUNNILAND : ; n; �;w::.:a;-v;:v ,,. . , . , ,... � • . - PA - 06/09 APed1`i.cati on MSA - 1201 -� 12 -Yr Material Only Warranty tt�P�f11OX DECK: PI :. wood with surf Plywood ace call Slim. ' primed. If barrier board is Plywood 'Deck, rime the barrier boar - •- - - - - - - - - used, - P d primedk'; instead of the Plywood '� , : . c` 1 y CAP SHEET: Im erflex MSA '"�'$� P � >��'• •,..�f • : - :3.5" sidelap seam's NOTE: . , _ , . —. End laps must �;1'a - };r -.�!a et us be off �, ,.:,. +� set 3' and - _:rt...., - - sealed with .. �' 'S modified bitumen adhesive, ,9r� , m ..— -. 6`ntlfap .seal vvitFl ° - SE $VMo.difled bitumen adhesive ate\ •�� . �' "'- .- �+.�...,.. -,-..: ' Specification o �----- -�--- --- MSA -12 -02 .. Insulation and /or .- �. ; Warranty :: E: r� :. �.= •8.andlap.te'al'with Y tv Barrier Board, primed ; :1p . . . . ...:; ...1.. :SBS 12 -Yr Material Only g ever Steel Deck '` '.. bitumen acth4slve . I „ DECK: Steel with insulation" 1 lexAU mpeirt i and /or barrier board, primed ' "� ` ' °` ca sn CAP SHEET: Imperflex MSA offset NOTE: End laps must be off- � ' `' ? +' ex i 1 or endieps set 3' and sealed with SBS modified bitumen adhesive "''} '' 15 ".'sidefap'seams- X• ' r � �x i "v,; „ , • . „ ��1�� ?F•_ — — = — ”' — — — — —— — — 1 "5° r "'� wed &p`•�: ?:s:::'. ',i, —, . �''' —6'• endlap with 815t - m6dlfted -bit m u en adhesive ti Specification - �., MSA -12 -03 12 -Yr Material Only Warranty Duct Tape all � k0le r USA Plywood Joiner ' i�6. P,'Seff adhering side DOWN DECK: Plywood with all joints i - „7.:f:S�� J y.i9;, w q_:Y: .- •�c`J,;.'1 ".. " •'}`�ti s'r •,r,:,• '��. ' taped Using duct tape. ° �Mttin;perflex MSA Plywood surface must be Primed ;:� =.' �' s..M1: ° ';:' Cap'sheet primed using asphalt primer. Plywood BASE SHEET: I a «.,: •' ;:`t: -:— 3`oitset -- mperflex USA Deck of endlaps CAP S HEET. Imperfl�ex MSA '` n'' °:r�lT p riEI*L7C 1 3.5" sidelap seams .NOTE: End laps must Set 3' and seal ,.� . De. off. - '...; a ed 'wfth SHB:. ____._.... '4ixr: SBS modl8ed :< nriodified bitumen ad-hesive: bFtumen adh®slve .ir�0t.7ri — — — — — ' � •.: A ..,mac} 03/31/2006 00:14 9047374155 SUNNILAND PAGE 07/09 A'• Specification Insulation on A ice :;. •�- ----- MSA -12 - Plywood Deck '' e'''US �`t1�.1fERTEQ 12 -Yr Material O R as recover � a .t ; a ial Only Warranty 't "'mitl� >f]IFJWN; Sr$If'dhering side.ilP insulation over R , •�i�, -.•: ;.. � < prrpared 1 q r oot DECK: Plywood with in exist�n r t � t�";!-�1� � r '�'• •� SUIa- tion or re -cover insulation t �yc �kf(�,•,' A.� '1 *' .�;: 5' � �id.J` �'.Y '. ,�; � �{y�, <y�� yk ; i;�6; >r ,.. �. BASE SHEET: lmperflex USA Ith porflex-USA ,, ) inverted mechanicall Az"611 E!lap. INVERTED y a` - - ge ms .E attached Zz CAP SHEET: lmperflex MSA s "�'• 5 � NOTE: End la must y { .,.. .` s us. be off - #11, li:x USA, set 3' and sealed with SRS rs.� : INVEI<iT.ED ..�• ,. � `�5 5 <:ia1$dlkieel' `' �'• .. 'by R•� '<'•7�� • �� , � q p' �¢ „` >,; �; t;�arrdiasbp:' .ti r modified bitumen adhesive. ; w� Z�C'l'� iv��•tir•• ,f:`'��,: +:r. acs — r`i— .��,. Plywood Specification == with insulation 7 MSA- 12 -05.LM 1 ; (as shown) a#'. „ ; .-USriR ' .. s •:., or without insulation �; 3 °�”' a 12 -Yr Labor /Material Warranty �if x S'ad6err» fii�VOWN or Steel Deck _ -with insulation or DECK: Plywood with or with- ;;' rimod barrier hoard ;;:'�. ? `• : F " " , > out insulation, or Steel Deck eeE;`;:::. 1 . with insulation or barrier r:? ' . :•::. rfl��c e1S lk" :., • . ,, board, primed G" A':. `"sulaFrp: ^�j.,;' ssJ(f8t'4 ~•; r :t >~ :'rn ::• U . ' BASE SHEET: lmperflex USA, +s '�,,� ` mechanically attached ..I .ri , ' >.�,'.' ;•��. . i � .•- '•,:? W . / ,� .d.;.x5�'r ',3 °:s�deap CAP SHEET: Im erfl - :.: -,, .. p ex MSA gyp. ' :r �r> , r "•�ir NOTE: End laps must be off - set 3 and sealed with 5BS .' �' ,w,• , '� e4: �r .�' ' ? a:•..,:, .bl tlrt�e�acr!�s ive modified bitumen adhesive. Specification Plywood MSA-12-061M with insulation ;�� * ;.::, ;. w =.,L (as shown) 1 `"' or without insulation _ s x USAF- INVe -kT51Y 12 -Yr Labor /Material Warranty or Steel Deck ` $.)bOWNI Sett * ring srtleiJP' — with insulation or ~ � '� p j I..'. •' :�;' "` :. ' - t —•- DECK: Plywood with or with - primed barrier hoard i ?, " ^•`�' :4 out insulation, or Steel Deck �i�Llrl1�A with insulation or barrier • a:. > F` � :� • '..., • + s' � c� ;e`lm's :Imtrfa sA ^� °'.. yr.'.,Y�+:' '.. board, primed ` fr+v>:rrr BASE SHEET lmperflex USA �► ,.. -. +: �..;: �. :t; - - - - (film) in y °;,'.:; :;;•r= r- : inverted, mechanical) + ,ly f - .sF ;•' r'•: .�. 3.5`'sldelAp attached wa v y ..,,t: , ., .- a ".�=s: ',.•'' Y ; ' r seams - .<' } lmper r :: ;,�1j:s ST aps. ET flex MSA tex USA. C SHE ` °' �a itWF o �' � _ ';SB.S, iobified :N ©TE: End must be off- ,, �::�^;;��:,> ; :.r:� a 3✓:. ` ' �:: :: �;:: Euiribn adhesive P z.- - ;} ';:� - - - - - - - - - - - set.3 and sealed with S.BS li 4odified'•bitumen adhesive • ► a: • • :. "'Ic1e1911�tona =tor L- Afior.d:Mritpra!i� Ck/ drrarrtla„ �; crii ;S4'bc��3lagl�'A�$'ybfTEC,;11V� eCltl; iiifreR'Jidpr+��rii�g'only;:. is 3' `�•a•'•; �' :ni , '"i:., ;i.N.�• nsrsli�b0b 00:14 9047374155 SUNNILAND PAGE 08/09 USE, INSTALLATION and LIMITATIONS CAUTION: :,.•. ' -. for residential and light commercial roofs, IMPERFLEX prod- .j BITEC, INC. assumes no responsibility for any loss aris acts used in light commercial roof applications shall be Jim - ing from rflisuse and /or misapplication of these products, ited to certain flashing details as w ell as residentiaf -like appli- • IMPFRFI_FX MSA shall never be applied directly to an cations. All metal and wood surfaces receiving IMPERFLEX existing roof system. must be primed wrth asphalt. primer. - IMPERFLEX USA shall never be left permanently BITEC, INC. strongly recommends that the roof system exposed to the sun and for never longer than 60 days, installation provide positive drainage. - IMPERFLEX USA is a vapor barrier. Proper ventilation BITEC. INC. strongly recommends that all surfaces to must be maintained In moist climates 'to prevent interior receive IMPERFLEX products be dry, cleaned and prepared condensation arid to minimize ire dams, properly in order to provide a surface that will allow the IMPERFLEX MSA and /or USA are not designed to be membrane to bond completely and to effectively create installed on mobile home roofs. waterproof seams. • Improper use of and /or improper installation of IMPER- IMPERFLEX membranes must be rolled In using a heavy FLEX products will void your warranty. Steel roller to remove air and imp►nve contact with sur- faces. Flashing sheets can be rolled In using a seam roller or • Other conditions may apply to the use and installation of suitable tool. IMPERFLEX products. Please refer to our publication IMPERFLEX end laps should be sealed using S65 modified "Roofing Material Specifications and Details" for infor- mation not covered In this document. Please call 800- bitumen adhesive to improve seal, 535 -8597 to receive your free ropy. PRODUCT USES SLOPE LIMITATIONS BITEC, INC. recommends this product to be used only for Good rooting practice requires all modified bitumen roof waterproofing and roofing residential and light commercial roofs. IMPERFLEX products in light commercial roof applica- I result in posltiye drain age. In many cases a mini- lions shall be limited to certain flashing details as well as res mum roof slope of 1/2" in 12" will provide sufficient drainage. idential like applications. Sufficient drainage, for this purpose, is defined as complete ' and immediate removal of water from t:he roof surface result- All mtlal -.must b�ri dwi d_senched w.en..laVers ing in no areas of standing water or ponds. BITEC strongly Of VIF_ERF USA and IM recommends this minimum slope guideline be adhered to, IMPERFLEX products are not designed to fully replace or especially as it pertains to the installation of IMPERFLEX act as a substitute for polymer modified bitumen heat weld- s products. The determination of slope and the design of any ed hot asphalt; or adhesive applied roof membranes and roof system, as well as the selertion of the roof system com systems. IMPERFLEX products are an adjunct to these prod- ponents, which includes the derk and can include existing acts. jM.PFRFLEX rod 5 may o may not Ike „suitable�r l: ? roof components, is the sole responsibility of the contrac- certain c onstructions. 'tor(s), owner(s) and /or owners' representative(s), and build- PRODUCT INFORMATION AND ASSISTANCE ing code official(s). BITEC, IAIC. will not determine the suit- More information about this product can be obtained by r ability of IMPERFLEX for use on any construction or that the calling your local BITEC technical sales representative, or by construction possesses an effective slope prior to product calling 800-535 -8597, or at, www.bi- tec.com. installation. This brochure contains the most lip information IMPERFLEX products are manufacturer) to effectively pro- on IMPERFLEX membranes: however, changes and modifica- vide a watertight: roof membrane system if installed properly tions to this publication and , to IMPERFLEX products may be i and in accordance to published BITEC, INC., standards and made without notice. industry good rooting practice and on any construction that LIMITATION OF LIABILITY Will accommodate its use. BITEC. INC., at its option and sole discretion will fully, or ' LIMITED TEN -YEAR WARRANTY (MSA MEMBRANE ONLY) partially replace, or fully or. partially refund to the customer ;. IMPERFLEX MSA membrane is covered by a limited ten- the purchase price of this product if found defective in mate- 4 year material only warranty, except as noted otherwise, rials or our workmanship which result in 2 roof leak. All other Warranty must he registered to he in effect. Please call 800- remedies and liabilities, including, and without limitation, lia- 535 -8597 to request a copy Of the warranty, bility for consequential damage, personal injury loss of prof- MINIMUM RECOMMENDATIONS its, loss of rise, loss of income, and all other warranties r BITEC, INC., strongly recommends that a tralned- profes- including and without limitation, the implied warranty are ,;'.`..:.. sional roofing contractor install IPAPFRFI_EX products. Your excluded. Customer will pay all freight charges if product or seler..liorl of a roofing contractor for the project is very impor- a portion thereof Is replaced. Physical damage to membrane tant. Ask the contractor for references and check each refer- from any cause is excluded, ''• i ence before entering into any contract. Also, request from the The purchaser and installer are solely responsible for contrar..tor a list of materials for the project as well as infor- proper storage, use and installation of these products. motion about those materials. Please refer to the IMPERFLEX MSA "Limited Ten -Year BITEC, IAIf ., recommends these products to be used only Material Warranty” for coverage and exclusions. 03/31/2006 00:14 9047374155 SUNNILAND PAGE 09/09 ALIM 3ffPad3 O.Me ..... . . . . . . . . . . . . . � i • SELF - ADHERING SELF- ADHERING UNDERLAYMENT MINERAL SURFACE CAP SHEEN' Modifier Styrene Butadiene Styrene Modifier ' Styrene Butadiene Styrene Approx. Roll Size 45.75' x 3.28' Approx. Roll Size 32.8' x 3.28' Seam Width 3' Seam Width 3.5' Approx. Coverage 150 ff.9 Approx, Coverage 100 tt Top Surface Fine mineral or PE film Top Surface Colored granules* Bottom Surf2i.'� Release film Bottom Surface Release film } N O m irk 'tl Thickness 1,5 mm (60 mil) Nominal Thickness 3,5 mm (140 mils) Nominal Weight 85 lb Nominal Weight 100 lb Reinforcement Fiberglass Reinforcement Fiberglass j AGTM 0.38 i ASTM 0 i Softening Point 240" F (116 °' C) Softening Point 250° F (120 C) i I1NI - R�02 i Cold Flex, T UNI.8202 emp 14° F ( °C) Cold Flex. Temp - 13° F ( -25 °C) I ASTM D•112 ASTM 0 -411 'rensile Strength (lbnn) Long, 75 Trans. 60 Tensile Strength (Ibrn) Long, 80 Trans. 75 ASTM 0 -412 % Elongation to Break Long. 3 Trans. 3 i %SLlongation to Break Long, 30 Trans. 30 i This product meet-, or exceeds ASTM D 1970 This•prOduet meets or exceed@ ASTM D 1970 _ a All values Ore approximate * Standard colors ara White, Green, Jet Black and Stiff, 'Blendedcolbra are Tan Blend; Black Blencl. Gray Blend. All values are Op"Ximate VA ON ' h.: ;, ,, as cS4i.V.G:.K `�'.,`:,;• " °: :i;• i } "` �r..•a�� ^a��j y�,°