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Permits 780 Aquatic Drive 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: 24191 Address:- 780 AQUATIC DRIVE Permit Type: SIDING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 38 Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: AQUATIC GARDENS Est. Value: Parcel Number: Improv. Cost: 450.00 OWNER INFORMATION Date Issued: 6/04/2.002 Name: HAGIST, DAVID Total Fees: 25.00 Address: 780 AQUATIC DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 6/04/2002 Mal' 67,-"-�Pt1d#-W,(904)247-0517 Work Desc: SIDING CONTRACTOR( Lo0,101F,-,'6,,, P Ai-FUCATION FEES PROPERTY OWNER 25.00 M OF W, gw, a al WP I 7,7,rT F, A g, 'A 27 NOTIC VCTION ................ BUILDING MATERIA LIC SPACE, AND MUST BE CLEARED BY" I'me, "FAILURE TO CO P R-1 T IN THE PROPERTY OWNER ISSUED ACCORDING TO APPROVE AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVIS Oper: CHERYLE Type: OC Drawer: I Date: 6/96/02 01 Receipt no: 63081 14 PERNITS-BUILDING 1 $25.00 061OW3221000 AT BEA61 BqILDIN PT. 780 AQUATIC CK CHECKS 1006 $25.00 Trans date: 6/06/02 111e; 1 .1726 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date Oo Heated ScTuare. Footage [a r� _per sq ft = $ Garage/Shed @ $ per sq ft = $ CarDort/Porch @ $ per sq ft = $ Deck per sq ft = $ Patio @ $-per sq ft = $ TOTAL VALUATION : 4,fZ ` $ Total Valuation 1st $ . Remaining Value $ per thousand Or Portion thereof TOTAL BUILDING FEE $ . + 1/2 Filing Fee $ Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ 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 ADDITIONAL PERMITS OR FEES : Kechan-ical Electric/New Electric/Temp .Plumbinc; -; Swimmingpool Septic Tank Well Sign Finish Floor Elevation Survey other CALCULATIONS and/or NOTES : RECEIVED APPROVED CITY OF A]LAi�i IC 8 EAC: BUILDING OFFICE A .. city of Atiantic Beach IJUN O'k 2002 14 (4—k­r, ­. Buildingand Zoning City of Atbkntic Beach - 800Aeminole Road- Atlantic Beach,Florida 32233-5445 Phone: ^�91M Z47-58OU - FAX (90 )247-5805- http://www/ei.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) DATE Z 4.j JOB ADDRESs 790 APPLICANT PHO.NE: ADDRESS 17"74 1 -7 -71 ft -7 1/- 90—:3ZONING DISTRICT LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER_41L�L� CONTRACTOR STATE LICENSE NUMBER ADDRESS PHONE CITY —STATE ZIP FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE ;tAg PRESIEUSE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION Is this an addition? -`�nlj--' _ If yes,what are the dimensions of the added space: —feet by feet Will the added area be heated and cooled? /V Aq New electrical or increase in service? /Y Zd New plumbing fixtures? 1Y New fireplace? Now heating/air conditioning? IY6 If yes,please submit with this application. Is approval or Homeowner's AsYciation or other private entity required? PROCEDURE: (In order to expedite issuance of permits, please follow all steps and nmig� 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 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 02 02/28/02 CITY OF ATLANTIC BEACH St 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028670 Date 7/26/04 Property Address . . . . . . 780 AQUATIC DR Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3500 Owner Contractor ------------ - ----------- ------------------------ HAGIST, DAVID (TRUST) SCHULTZ ROOFING 780 AQUATIC DRIVE 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-2315 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3500 Fee summary Charged Paid Credited Due -------- --------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 7S . 00 75 . 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 Date Address gv 4W&I(c, og- FV Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage $ persqft= $ Garage/Shed $ per sq ft= $ Carport I Porch $ per sq ft= $ Deck $ per sq ft= $ Patio $ per sq ft= $ TOTAL VALUATION: $ $ 3 S&D $35.00 is, $1000.00 $ $35.00 Total Valuation $ '76--bb $ $ Remaining Value Per thousand or portion thereof: a . M M M CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 5 ZONING: + % Filing Fee $ FLOOD ZONE: ( ) Fireplaces g $35.00 $ IMTERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C ( )RADON HRS .0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE $ CITY OF ATLANTIC BEACH Cc: D. Ford S\ BUILDING / ZONING DEPARTMENT 800 Seminole Road S.-Do—err Atlantic Beach,Florida 32233 (904)247-5800 9 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Z S' -7 Q Property Address: 440( 18n C- -Dta , Applicant: Project: This permit application has been: Approved El Reviewed and the following items need attention: Please re-submit your applic-ation when these items have been completed. Reviewed By: Date: (5"o CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: Job Address: 780 Aquatic C24;�; RE: 171818 5260 Owner of Property: David TTagist Trust Address: 1749 Seminole Rd Atlantic Bch 32233 Telephone: 874-8843 Contractor: Schultz Roofing Co. , Inc. State License Number: CCC036989 Contractor's Address: 216 N 20th Street Jacksonville Beach, Fl . 32250 Telephone: 246-2315 Fax: 247-3808 ScopeofWork: 'Re-,e-oo� Deck Slope: -3/1-Z —Greater than 2:12 V-1, Less than 2:12 Valuation of work: 3500 .00 Product Name(Example: Timberline): -,o V fwe-'I!�k, Manufacturer(Example: GAF): GAP, ASTM Designation(s): .. "D�)� L I Required Inspections: Sheathing and Final Signature of Owner: Date: July 13 , 2004 Signature of Contractor: Date: July 13 , 2004 AS TO OWNER: Sworn to and subscribed before me this 13 day of July 20 04 State of Florida,County of Duval Notary's Signature. ROSALIND CLARK W*--V, XYT Personally known My COMMISSION 4 DO 137721 Produced identification EXPIRES-August 25,2006 Bonded Thru No*tary Public Underwriters Type of identification produced I -- 0 - .1 AS TO CONTRACTOR: Sworn to and subscribed before me this—13 day of July 2004 State of Florida,County of Duval Z- Notary's Signature: ROSALIND CLARK MY COMMISSION#DO 137721 Personally known EXPIRES:August 25,20W Produced identification Bonded Thru Notary Public Underwriltlfs 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 — -__............. FS 713.13 (enclose self-addressed'tamped envelope Name: Schultz Roofing Co. , Inc. Address:216 N 20th Street Jacksonville Bch Book 119;3o pag, e484 This Instrument Prepared by: F1 32250 Name: Rosalind Clark 1W,1010,94H8593 Address: Schultz Roofing Co. , Inc. Par: 2484 216 N 20th St. Fi ed A Reorded Property A4A.4%0PAYAAkgj.Peaqh,,,, 07/13/2M 09:06:11 AN .r 3?? URN MW CIRCUIT COURT 171818 5260 RW MWy P H 0 N E RECORDING $ 5.00 TRUST FWD S 1.00 SPAa ABOVE THIS LINE FOR PROCESSING DATA CWY FEE $ 1.00 RET&W is I NE FOR ilt DING DATA NOTiCE OF COMMENCEMENT Permit No,— 171818 5260 State of Florida Tax Folio No. County of Duval The undersigned hereby gives notice that Improvements will be made to certain real property,and in accordance with chapter t [713 of the Florida Statutes,the following Information is provided In this NOTICE OF COMMENCEMENT. Legal description of property (include Street Address, if available)7 8 0 Aqua t i c Cr At 1 ant i C Beach Fl 38-71 38 2S-29E Aquatic Gardens Lot 20—B General description of improvements Sningle Re—roo Owner's Name David. Hagist Trust Address _._ 1749 Seminole Road Atlantic Beach, Fl . 32233 Owner's Interest in site of the improvement Fee Simple Fee Simple Title holder(if other than owner) Address Phone: Fax: Contractor Douglas A. Schultz Schultz Roofixig­eo. , Inc. CCLU3U9Tl­W— Address 216 N 20th St isnville Beabh, F 16one:904-246-2315 Fax: 904-247-3808 Surety Address Phone: Fax: Lender's Name Amount of bond$ Address: Persons with! Phone: Fax: n the State of Florida designated by owner upon whom notices or other documents may be served as pro- vided by Section 713.13(l)(a)7, Florida Statutes. Name Address Phone: Fax: In addition to himself, owner designates 7�1 Of Phone: Fax: �2 to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes. E Expiration date of Notice of Commencement(the expiration date is 1 year from the date of recording unless a different date is specified) Sign. re of David Hagist wner 0 r NOTARY UB R STAMP SEAL Frinted Name of Owner I have relied upon the following identification of the Affiant Personally known 96 ROSAUND CLARK d sub MY COMMISSION#DD 137721 :5p_ August 25,2006 ..... EXPIRES BMW Thru Wary Publio Underwrdars -Frim.d-N... -08/17/2004 12:34 9042473808 SCHULTZ ROOFING CO I PAGE 01 SCHULTZ ROOFING COMPANY, INC. 216 North 20th Street Jacksonville Beach,Florida 32250 Offtce; W4-246-2315 FAX: 90&247-3808 CC-C 036911119 EMTRANSUITTAL Date: August 17, 2004 To: Att: Larry Higgin City of Atlantic Reach, Florida 247-5845 From: Douglas A.Schultz, President Number Pages: I Cover only Request sheeting and flashing inspection at 780 Aquatic Drive between 10:00 AM&1:00 PM, Wednesday August 18,2004. Thanking you in advance for your assistance. Doug CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030693 Date 7/08/05 Property Address . . . . . . 780 AQUATIC DR Tenant nbr, name . . . . . . 12 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ TRIBOU, SUSAN CHRISTY FIRST COAST PLUMBING 780 AQUATIC DRIVE P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 119 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 119 . 00 119 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 119 . 00 119 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING C BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION foist Date: Property Address: Owner: CAn Telephone#: j 2-�q Contractor: CHRISNY FiRSi i4C%,INC. 'A Telephone#: a Contractor Address: Jacksonville Seacli, FL 32250 Fax#: ") L224� Contractor Signature: In c of vermit given for doing the work as described in ie abo ent,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, Q, New list the building permit number �(,Re-Pipe Nu iber of Fi­xt—ure—s ------ Bath Tubs Showers Closets Shower Pawns Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other [Fees P r emit Issuing Fee: $35.00 mit Iss] T Tot otal Fixtures: X$7.00 + $35.00 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800- Fax: (904)247-W45* httP*IIWWW.cl.atiandc4boach.fi.tts Revised 1104