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Permit 1039 Beach Avenue (3 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 `-will Application Number . . . . . 09-00000164 Date 2/02/09 Property Address . . . . . . 1039 BEACH AVE Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5750 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HARWARD, JERRY E. SKYLINE ROOFING, INC. 1039 BEACH AVE. ALAPAKI KAULIA ATLANTIC BEACH FL 32233 9799 MINING DR STE 3 JACKSONVILLE FL 32217 (904) 338-6833 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5750 Expiration Date . . 8/01/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Doc#2009024:354,OR BK 14767 Page 1166, Number Pages:1 Recorded 02/0212009 at 01:06 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 NOTICE OF COMMEENCEN ENT State o Tax Folio No. -7?0q(oS= XX7 County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and-in accordance with Section 713 of the Florida Statutes,the following information is stated i.�n•�this NOTICE OF COMI IENCEMENT. Legal Description of property being improved:jL p-'Q41S T— Address of property being improved: L/-1` lf� Tl A9-,v7 �h`- fL. General description of improvements: G_ 2,e Owner.J<=/�11e /4eP N Address: J� / ,gC r9C/f d� 17l/�`.yTl!Owner's interest in site of the improvement: Q u'N 61 Fte�e Sim Titleholder(if other than owner}; �=l / jr//I� f.n Name: r. P Address: �=- Telephone No.: a--Fax No: ©�_ (n 131 2 Surety(if any) Address: Amount of Bond$ Telephone No: w L Fax No:-h Name and address of any person malting a loan for the construction of the improvements Name: A/10 10 Ae�— Address: Phone No: F;;No• ' Name of personwi the State an of Florida, other thhimself designated by owner upon whom notices or other documents may served: Name: d.1 Address: tJ Telephone one FaxNo: — In addition to himselZ owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: e 114 Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER signed: - >� Before me this day of in the Cove of i OfFlorida,has personally appeared Notary Public at Large,State of Florida,County of Duval wCoMMO N#DDtl251t0 My commission expires: e)&—i. 7- a017- E0HELQWW7,2D12 Personally Known: eonu�elhuNowyQptetM+dw+xlrnr Produced Identification• CITY OF ATLANTIC BEACH oe 800 SEMINOLE ROAD,ATLANTIC BEACH,FL � 32233 7 k OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILD ING-D EPTGCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1;JOB ADDRESS: 2.VALUATION OF WORK 3.SQ.FT.UNDER ROOF o-' 4.LEGAL DESCRIPTION: 5.CLASS OF WORK:r 6.USE OF STRUCTURE: a [3NEW BUILDING 11DEMOLITION RESIDENTUIL LOT_BLOCK_SUB DIVISION4.1A& ❑ADDITION ❑CONVERTING USE 13 COMMERCIAL 7 ESCRIPTION-0F WORK ❑ALTERATION 13 ACCESSORY BLDG. 8:FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES _-1�N/A ❑MOVE THER ❑NO PROPERTY OWNER:. CONTRACTOR: ARCHITECT/ENGINEER:r 9.NAME: ` 153 NAME: 23.COMPAN NAME: \l/ 1 f 16.NAME: 1 24.LICENSEE NAME: /J l C,��,��•Jl 10.ADDRES 17.STATE OF FLO IDA LICENSE NO.: 25.STATE O LORIDA LICENSE NO.: fl� OW 18.ADDRESS: 26.ADDRES 11.OFFICE P ONE: 7 12.FAX 19 OFFI EPHONE33 21F NO.:: 27.OFjFICCE P ONE: 28.FAX NO.: 13. ELL PHONE: (G, 21.CELL PHONE: /`J^tIL 0O 29.CEL PHONE: 14.EMAIL ADDRESS: 22.qMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDIN PANY: MORTGAGE LENDER: OF OTHER THAN ONMER) 31.NAME: 33.NAME: 35.NAME: N 32.ADDRESS: 34.ADDRES : 36.ADDRE S: Application & hereby made to obtain a permit to do fhe work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or ENT CONTRACTOR /{ Pf k'3 A, t,Power of Attorney or Ag ncy`LetterRequired) '(Qualifier Only) (►'Vq igned: Date: �`D Signed: Date: f 3 i ,--/ (h1-1 Before me this 11 9v day of 2009 in the county of Before me th' _.]L-day of �h�Fi li 2009 in the county of Duval,State off Florida,has personally appeared Duval,State of Flori�he rsonally appeared f1 alt )l r'A herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of County of_D(4 Notary Public at Large,State County-4-1 - ❑Personally Known /,-�/ _ ` ersona11 Kno 11 Produced Identification ! /,�j/- ❑Produced I ntifica on- Notary Signature: Notary Sign r K5t6w!_MYCOMMISSI NiDD825140 '^ Jennifer Wilson P NES.octoeer 7,2012 - :C,nnmission#DD652176 N0�'P°b �"'�^" ` =Expira. MAR. 18,2011 BLDG01 Permit Application Bldg:REVISED:12/182008 B ONrY.D THRU ArLVMC BONDM CO.,INC. 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 INFQRMATION Permit Number: 19269 Address: 1039 BEACH AVENUE Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: 6 Proposed Use: SINGLE FAMILY Lot(s):4 Block: 41 Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: ATLANTIC BEACH Improv. Cost: OWNER INFO NIAtION:::: Date Issued: 12/01/1999 Name: HARWARD, JERRY E. Total Fees: 25.00 Address: 1039 BEACH AVENUE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 12/01/1999 Phone: (904)241-8762 Work Desc: WIRE FOR REMODEL CONTRA( P . FEES : . . MCCLURE ELECTRIC SERVICE PERMIT 25.00 ROUGH ELECTRIC FINAL ELECTRIC NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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 CONSTRUCTION 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. $25.0014 ILK Date: 12/81/99 01 Receipt: 8015343 A TICBEACH UILDING 08188883221888 1019 JOB ADDRF.SSD ' TYPE .0 J611?vzz�� PROPERTY O _ B'ELEPll®NE / �7 6 CONTRACTORPHONE PERMIT NUMBER % l S DATE 41- 3 U -lam JNSPECTIONS: FOOTTBVVG SLAB TL BEAM LINTEL NAILLVNG/SfEATHING FRAMUVVG/COVER UP ' 2- 3 J�9 INSULATION /q-3 0 FINAL BUILDING W . --19 -Q v CERTIFICATE OF OCCUPANCY ELECTRICAL PERM77 f L C JNSPECTIONS ROUGH /2 "3 - FINAL MECHANICAL PERMIT# / 8/5 3 IMSPECTIONS ROUGH /2- - 3-? 'i FINAL 9 PLUMBING PERMIT# INSPECTIONS ROUGHAVADER SLAB TOPOUT WATERMWER FINAL NOTES: cmac_ &��t Jul -15-99 09:06A Hai ry McNally 904-247-5872 P.01 0 F"RICE Q Uv I t: APPLICATION FOR WATER AND/OR SEWER TAP AFPLiCANT NAME MAILING ADDRESS PHONE NUMIIEF'_.zL"�_- Zf7 -2 z2-6,� DATE SERVICE REGUESTED Ll - ,Y1114 :ley' SERVICE LCC 70N A, D,"jE ,5ETT0F'UELICWORKS.,_ �.A , 77, , 1 11 DATE RETURNED TO E,?UILDfNG DEPARTMENT PUBLIC WORKS DEPARTMENT PRICE QUOTE RESPONSE ± C, � -- WATER:D_uuLLL hty. t n C�,v ho*- Yro--�K re SEVVER' A� OTHER- PRICE QUOTE PREPARED 8Y:_u Signature - T DATE PAGE: I JUL-15-1999 THU 10:23AM ID:247-5e45 CITY OF 4&4A+trc Bead- 6 i k I k Office of Buildipg Off al !�! REQUES FOR NS 'I , ION iY7:3 & Permit Date No. Time A.M. Received P M• /o3 9 Job Address Locality Owner's Nam UILDING ) X CONCRETE ELECTRICAA ING MECHA Framing Footing ❑ Rough Wiring Rough ltit C61� Re Roofing Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ �, � Pre Fab REA(!;; INSPECTION t Mon. Tues. Thurs. Friday A.M. Inspection Made PM. Inspector Final Inspection ❑ Certificate of Occupancy ❑ .ate LAN f- c� F10R10�' OF ADDITIONS or CORRECTIONS • • REMOVE JOB ADDRESS DATE X6,3 e3� f►�� ff_L y S THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted - -moo �iy2rr� r Oft)S7-.r 9 3 " 104-otL4,, j4 lo Y LfAYC S r?S� r,3r rv-S01-wrF—y U"Joj '2 M0#04 — CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING WO SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX 247.5877 P<rRMlT IltIFORMATlOIV LOCATIONJNFORXA`I`'O Permit Number: 18157 Address: 1039 BEACH AVENUE Permit Type: REMODELING ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: 6 Proposed Use: SINGLE FAMILY Lot(s):4 Block: 41 Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: ATLANTIC BEACH Improv. Cost: 30,000.00 OVIiRlE3lNFORNlAT101V Date Issued: 4/30/1999 Name: HARWARD, JERRY E. Total Fees: 360.00 Address: 1039 BEACH AVENUE Amount Paid: 360.00 ATLANTIC BEACH, FL 32233 Date Paid: 4/30/1999 Phone: (904)241-8762 Work Desc: REMODEL PER PLANS . CONTRACT O;. S ... APPIICATON FEES PROPERTY OWNER PERMIT 240.00 WATER IMPACT FEE 120.00 ........ rtEs R :.uir+ett..: COVER UP FRAMING INSULATION FINAL BUILDING NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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 CONSTRUCTION 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. $248.88 14 Date. 5/84/39 91 Receipt: 8853714 ATLANTIC BEACH B ILDING DEPT. CHECKS 1936 88188883221888 AAiid�_ CITY OF f�'Y�L�IR dw* l.Seac,4- Office of Building Official ^� REQUEST FOR INSPECTIO Date `f 2 ' e�9 �R� Permit No. Time A.M. Received P Job Add es ocality Owner's f Nam Contracto , —G&��. BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL rammg ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Friday P.M. �� �� — A.M. Inspection M e PM Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF rq&4A4,c /3eac i- �o►isd� �v fir'=3 Office of Buil 'n Official REQUEST FOR SPECTION 4,!F Date Permit No. Time / �'0 0 A.M. Received P.M. 1039 aer,4, n .� Job Addre s Locality Owner's '� Name W Contractor BUILNNG CONCRETELECTRICAr L MBING MECHANICAL g ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs., Friday P.M. A.M. inspection PM. Inspect Final Inspection upancy❑ Date . FLA. 1967 LAWS tit0i" AAMCO IFC)RM A01f FS 713.11 Ajati'rre o IPACPARK IN DUPLICA761 QIu f illont i# ittq raiment: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Descriptionof property...... .T.........�Y............13....\............../....... .........................................................I..................... ............................................ ...�-i4N...T:.�.`�...............!..�...4� ...........!:................................................................................................ Ja B ,/ ........................................�i ->r s.r.w'!.c..�r............................................. .................................�i./- v .......... `�c-��....1.. �....I........�" -�.......................................,.....,.................... General description of improvements...........,i .( .. ?...1 .�t...4r..................l............... . .! .................................. ................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................. Owner..... './Z ....(.... ..........4'...............�7,q."..l e�..� .. ..U.......................................................................................................... Address......1 ..31.........136ACI�.......................................................... I.7..t.G:......../JC�}G/� ... ..�"...`j �?2 �. Owner's interest in site of the improvement...............49.!4. 4....................................................................................................... fee Simple Tills holder (if other than ower) i Name..................................................................................................................................................................................................................... ............... Address.................... ' ......................... .........,............. .............................................................. ............ ............._....................,.................... ........... ....... Contractor...............J�C ...F.................................................................................................................................................................................... Address................................................................................................................................................................................................._........................... Surety (if any)....... N ...............................................................................................................................................................................» Address.................................................................................................................................................... .Amlot" of bond .................1.............. Name of person within the State of Florida designated by owner upon whom notices or other docxxnerts may be served.. Name .......... ........................................................................................................................................................................ .... .................................. Address............................................................................................................................................................................................................................... In addition to himself, owner designates the following person to receive a copy of the Lienor'.s Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name ............... ...................,...................................................................................................................................._.................................... CITY OF ATLANTIC BEACH PERMIT CALLC'ULATION SHEET Address 4 O .3 2 I G ✓fig r Date Heated Sauare Footage @ $ per sa ft = $ Garage/Shed — ,� 0 @ $ per sq Carport/Porch la S ,per sq ft - S Deck @ $ per sq ft = S Patio per sq ft = 5 TOTAL VALUATION : S ,3( Q Total Valuation 1st $ fV 51 Kin D s ys w Remaining Value $, per thousand or portion thereof TOTAL BUILDING FEE $ `" + 1/ 2 Filing Fee $ 2D ( 0) Fireplaces @ $15 . 00 BUILDING PERMIT FEE S__ y WATER IMPACT FEE $��12Q 100 SEWER IMPACT FEE S WATER METER/TAP S CAPITAL IMPROVEMENT S SEWER TAP S RADON ( HRS) 0050 U SECTION H PAVING l j $ HYDRAULIC SHARES CROSS CONNECTION S ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE S -S v ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well ; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : RECEIV -D r.. CITY OF ATLANTIC BEACH AAPR 2 3 1999 PERMIT APPLICATION REMODEL, ADDI 'IONS, � yL tfRATIntic BONS MOVING,LEX0LITIONS Building and Zoning each Owners) : J���� � � �����j��� Job Address: 12 3 17 L364e f/ )4 v Phone: 7, 1/ Lot # Block or Unit # + ? t Subdivision: TL,,+N r«- _1?&q e H Contractor: .SGL ,/� State License Address: Phone No: Citv State p Zip Code Describe work to be done: /PC00,41 t ><- �G f'G��GL �Llx1� /J{f�o V- F/-60"O . ,!ors r,5 0�s NG6,D&v R G o .� xa r��. f o0 NovTN, C �G14 X�7- t'oRAIEr2 ISTD/ BGG- /�'�AG c- T� c�Eo 'odtir� F G� rig r�r Present use of building: /J CS I (��/t..'r IAl- Valuation of Proposed Constriction:, (�r GProposed use: ecs, /' is this an addition? /40/0 If ves, what are the dimensions of the added space: ft. X ft.' Will the added area be heated and cooled? New electrical (or increase) ? New plumbing- fixtures?L/ New fireplace? New Heat/AC? SUMMr TER= (CCMCCPCZAL) TM (RSSZD=TZAL) CadPXS= =9 S OF PLANS, n0=ZDZIP0 SZTS PzW, BVRVNZ, AGI CODS 3Cloo, NC?TZCS Or AND O1r10 W1CONT2tAC=2 Arr=*4YZS, Z7' OAT4SR Z5 CmTILiCSOR. Signature OWNEk y'Zl.-z jDate :. Signature CONTRACTOR: Date: AS TO OWNER; Sworn to ar�i�,'7,,oaa�EdLdt�'l�i 'd'�'�� >'h+ s y of _ lg Ruth E.Marwitz < , = n Nota;y Public,State of Florida K CorrunissionNo.CC 463581 �. o�qty Commission Expires 07/25/99%NOTARY PUBLIC AS TO CONTC'Pt C 1-900.3-N"A y -f iz. Iotary Service&BbndtnB GD i , lg Sworn to and subscribed before me this day of NOTARY PUBLIC CITY OF ATLANTIC &FUCH PERMIT APPLICATION REMODEL, ADDITION'S, OR ALTERATIONS MOVING,L&HOLITIONS Owner(s) : v +�1C �� /�l�7 ✓GI re L) Job Address: la 3 �f L�CA� �� ` Phone: �-- Lot # Block or Unit #tl( Subdivision: Contractor: ��L ./' State License 4 Address: Phone No: City Stated Zip Code Describe work to be done: /QcoO,41A �- RGP1-A46 PZZ;V1� 1ti4 fGCO,'Ot Jath r5 s NC-6,0&D, -/-J,1,j,g - MoD T �71O�tJI)Ak7- T'oRi►l�2 �STpi��GG- �/��c c- Tv zfEol�odM� fOY& G� Tic/rf Present use of building:�5/ JDC—lto' �A- c... Valuation of Proposed Construction: Proposed use: eclsl Is this an addition? 14--'10 If yes, what are the dimensions of the added space: ft. X ft.' Will the added area be heated and cooled? New electrical (or increase) ? New plumbing, fixttures7t,/000" New fireplace? New Heat/AC? 8U8Klr rmtrx (CCSQ,'RC7AL) rwo (=3ZDSr T=1z) c=wZ.rzx =TS or Pz"S, nqCLUDII= SSS. prjN, SgK7XZ, M=V�Gr CC= yrMd3, N=Z= or ccsddZXCMdZNT, AND or2nm/ccx77,aCTOR Arrxnavm zr cw mR Zs coxmICrrm c Signature OWNA: �2v�z.�Date: �r Signature CONTRACTOR: Date: AS TO OWNER�r 'T !r ^� Sworn to an`fi��:9aacal ' of'� �h 's f y of 19� c Ruth E.Star ywz NotaPublic,State offF � < COrramission No.CC 463381 'rr o� My C,, Expires 07/23/99 NOTARY PUBLIC AS TO CONTC'FE Ca." < 1•500.3•NOT.IAY• NoixrvSmk��Bbndio6 �i`S�yYh�S i�)rsYs»i>l , 19 Sworn to and subscribed before me this day of _ H•, NOTARY PUBLIC CITY OF ,till�!?JII\'O LE ISI l,\;) til \COV CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF, YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING; YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY QQUNTY OR MUNICIPAL LICENSING ORDINANCES ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT 15 FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALS WORK (EXCEPT MAINTENANCE UNDER 2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRI�NG WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CqNTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228( 1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON 15 A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT, I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. � Y /ROPERT,f OWNER/BUILDER ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY F� 19ff NOTARY PUBLICN r Ilm&e- p jllll.''1111Jlilrlili"l.11l+' NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION Ek(� GP ARE EMPHASIZED BY THE BUILDING '� CEPH '� n b;�a, Public,Stale of Florida >� DEPARTMENT. 4,a Cpl issionlvo.CC 463581 7 -'-of flog J my Co. ion Facpires 0 /25/99 i4 < 1-800.3•'.��'�"'.T's a"U`ry c�,ix LIi Bbndiag Ca•>� CITY V F ,1 TF'],':11if N!; `il)-(i_I, ,Illi CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS, THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228( 1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILOER PERMIT. /ROPERlY OWNER/BUILDER !D 3 �? �c-� �H y= 0 --z-+-1 I S' � , , ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS 4YF� 1 9 NOTARY PUBLIC tlilt:'l.'i:ii/ii%�'ldT+'1Ir+' 7JlJllNl�iy{ NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION Eitz ;{ ARE EMPHASIZED BY THE BUILDING < O�PH P Bin Ai ypublic,StateOfFlorida 63 DEPARTMENT. { K Cvnunissi0ni`u.CCs 07/25 OF fl°AY Counission Expires 07/25/99 !` tial^. tt.�r,wy ger.[oe xc 9bndin6 Co.�. t 4-800-3-•' -------- --------- Recorded in Plat Book _ 6 Page /_ _ _ ._ _._ of _ cvc�e�f--- Public Record8 of Duval Co., Fla. for: 1.31)CK - I.F.GEND o Denotes Iron R. L• CROASDELL & COMPANY NOT INC. P Rx—x Def otes Fence CIVIL ENGINEERING & SURVEYING Date.._�P9_14...Z7,_Jg71_ tea Permanent Reference Monument 429 East Adams Street Jacksonville, Fla. Scale 1 = _ �Q ------------ 14 7Z A N TIC OCTAN v Df(k 0 .2 0 set-_mons �. 30 r ORIGINAL ,vORTHE4STEKLY LOT j L wE ,3 r AB 6 PG I O o a o Q) _r___ __- ?.0' 2 5TY. o W000 SNG. `- QO I,- All, N° 1039 . o h I r overhe�9 i 1 i 'ted I ti I, 2 i j 1. . ROVD CITY .0 1 ATLANTIC BEACH BUILDING OFFICE APR 3 A 1999 u V 5,1 A" 1 w V4 Z� j j t r x CT Asti t J r :•, .. vY, 4 t �r.rgr µ. kr q ,t `t.,. r�. +hk+ *i i��*y .-' '� �i � � 5. .ir pail � 3j�•+s�'F n ti � ; C 'R., •' AFI ) tt a t":t v, w. S r: a W 9. 77 F T_� 4 r + - •w r "4 s.,v I : C 7 a♦ w v..yFr est + + �n2hC;' Y w t f t � 4 S s r! l7 kS. �► -#�• s!.' 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I {� i r ,n h t 4 v � r ;x f k-U n AlKk k NAIL, AT IOMtG•c.•. ��A1Nr /Mr.4W a e _ ,�- RdU'r,TO 1U1, 6K �'-�a 1, V t, f t $ ,� �� •�"'r � � / `.. .}IG1G�-j'1�'"� �I�+�'�. 1�,1�.1..Glt',� �?/c(�E' i f Tui'-� • t lit y M ` 1 r. 6 a � f ` Af! r R, 7 -t oz, rr i i i I f i r e i, 0 I y 1xFj 1.;' •y; ♦ '� _ �..+' rX`rte ) i _ ;-. f 't r rx ' "��X r"�{"y:� ?� .,- -t � t� x r ��{�'''� � Yr'� i (•,� n3�c�y".,-,fya r, ,ff �� .'s4 ,S:tti?� _ y � ��.y.,✓' ✓a.r sr �wi��4 ;-� �S .y, c+'a'�",�'�E`�' c �If,� uK.. �.�"�'. ;! -� •�' i --S � g.;i ",SY��:�.� ,4"`,frx����lrs� -�i�'' .,.{��yisa3. f.,;�±•,;'T yi�v" .2 "iAv t ��s e j' �t• '! ,�,' 'j4TC{�,,.,,�� T����.r t'a �'Cj�l�_�1�-.,� r:,� ,�r`I�c.� t�-. �1���7��'+TfY �', �y�i S.',;��','y L������t�,�2 ''•,x iti`' � .rt. t �,.y 7+7 f.�� it s r�.}t - "` ;a, tr' _���,.py,4�.�.� �``,, �3.��{4 y 'L t. •�. - , !�' .. � .i.!'C\ -.tv i.. �� � :.3 * .��. i"8 L..{p������• t..:T:x��-�y _�32 A t +s"�4 ;r �s �'' _ x i�.#� �;f'.A- "�., t�+t���.x1 �� _f: � .t•; .Y t�- �.f��5� r; 7. .1?•`a-r�l'a�^TX.h w�.; �:3�r1 tx3�+g a��t.�. - a >'t r5 _ ,� �.��✓�� .`}t " , -�7 t�'_ tia:-::T we r 'T t S'���x...-.�" » 5_ Z2 t ' y ,��-:'��{:ef�,''��'';`�L��Y�`� '� x '.�<� � '�~ kyj � {;•c � �v, rl' f���.��4a Yr ��.... �� �Y. t^ � r ..� yz.�a� _},� �s, y�� y� #•rd�r � i C('�_A r -? �;,; �� "wl�'� ; ,.. 7 } S.�r'�.. i �p.� •. �.` -. � l 1 $ �t c'i5lr" .. .�.4 R� <",y�4 Y' 4 r-• i. uli IF r � lip, w.-ft _._. 9 Its . t , �7 N 4 PROPOSED WORK TO 1ST FLOOR OF 1039 BEACH AV., ATLANTIC BEACH REPAIR AND LEVEL FLOOR AS SHOWN ON ATTACHED PLAN AND COVER WITH TILE REMODEL EXISTING BATH ( SHOWER 3 FEET X 6 FEET) CONVERT FORMER STORAGE SPACE (GARAGE) INTO: 1. FOYER WITH STAIRWELL TO SECOND FLOOR ( STAIRS 36 INCHES WIDE, 15 RISERS@7" = 8' 9" , 14 TREADS @ 11", LANDING 36 INCHES SQUARE, RAILING 34 INCHES HIGH) 2. BEDROOM (12 FEET X 15 FEET) 3. UTILITY ROOM (6 FEET X 8 FEET) CONVERT FORMER DINING ROOM INTO WALK-IN CLOSET AND BATH A. BATH 6 FEET X 8 FEET. TUB, NO SEPARATE SHOWER. B. CLOSET 7 FEET X 8 FEET. REPAIR WALLS AND ADD INSULATION AS REQUIRED REPLACE OUTSIDE STAIR ON EAST SIDE OF HOUSE WITH NEW STAIR FROM DECK REPLUMB ADD NEW ELECTRICAL OUTLETS AS REQUIRED HALL 3 FEET WIDE WEST EXTERIOR ENTRANCE DOOR 3' X 6'8" INTERIOR DOORS 2'6"X6'8" THERE IS CURRENTLY OFF-STREET PARKING FOR 3 CARS OR 6 CARS PARKED 2 DEEP. ALL WORK IS TO 1ST FLOOR OF HOUSE EXCEPT INTERIOR STAIRWELL IN FOYER WHICH WILL CONNECT THE TWO FLOORS AND THE STAIR FROM SECOND FLOOR DECK. CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-877 PERMIT INF€?f MAT1C1!N LOCATION>1I11FORMATION Permit Number: 18153 Address: 1039 BEACH AVENUE Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 0111111 NER INFORMAT ?N Date Issued: 4/29/1999 Name: HARWARD, JERRY E. Total Fees: 47.00 Address: 1039 BEACH AVENUE Amount Paid: 47.00 ATLANTIC BEACH, FL 32233 Date Paid: 4/29/1999 Phone: 904)241-8762 Work Desc: REPLACE CONDENSER AND AIR HANDLER OIwTRA�TO S APP LIFEES HUXHAM HEATING &AIR PERMIT 47.00 s : ctla .> .uireci FINAL NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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 CONSTRUCTION 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. A TIC BEACH B ILDING PT. 1 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-fNNUMBER - IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I, LOCATION StreetOF Infertecting Slreels Between _ _ And _ BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a pert hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors ^ Contractor (Print) Master CHC(0S 7 g)S Name of Property Owner Signature of Owner � Signature of or Authorized Agent Architect or Engineer 111. 6ENE"L IN RMATION A. Type of hosting fuel: B• �/ IS OTHER CONSTRUCTION BEING DONE ON IBJ Ele,etric THIS BUILDING OR SITE i ❑ Gas—❑ LP ❑ Natural [central Utility IF VES, GIVE NUMBER OF CONSTRUCTPON ❑ Orl PERMIT ❑ Other — Specify — IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of cornponenh on beet of this form) �<_Residentlal or L_1 Commercial Hest ❑ Space ❑ Recessed &_—Control O Floor 1_1 New Building ❑ Air Conditioning: Q Room ❑ Central L�_Exlsling Building Duet System: McNrkaL—. � 52Tl+icknes — CI Replacement of existing system Maximum capacity c f m U New Installation(No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system U ❑ Cooling tower: Capacity q,p,m, Other — Specify ❑ Rn sprinklers: Number of header _ ❑ Elevafor Q Msnliff : Q Escalstor (^umber) THIS SPACE 0011 OFFICE USE ONLY ❑ Gasoline pump. Inumber) (Ro"th»d1 ❑ Tent t (number) Remarks ❑ LPG Containers (number) ❑ Unfired pressure vessel ❑ biters Pormil Approved by Oat. ❑ Other — Specify Permit F-ee LI13T ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity A ni Number Units Deacriptlon Model Number Manufacturer (Tons) Agency 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. 18064 Address: 1039 BEACH AVENUE Permit Type: DEMOLITION ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: . .... . ....... ... . .. . ... Improv. Cost: 1,800.00 OWNER INFORKA N Date Issued: 4/09/1999 Name: HARWARD, JERRY E. Total Fees: 50.00 Address: 1039 BEACH AVENUE Amount Paid: 50.00 ATLANTIC BEACH, FL 32233 Date Paid: 4/09/1999 Phone: (904)241-8762 Work Desc: REMOVE EXISTING WOOD FLLOR AND NON LOADBEARING WALLS CONTR#CTO 'S APP>GtCATION FEES PROPERTY OWNER PERMIT 50.00 ,Ins.... ctlorts R _aired:...._ ;> _. NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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 CONSTRUCTION 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. $58.0814 4 Date: 4/89/99 81 Receipt% 8847465 A IC BEACH WILDING DEPT. CHECKS 1675 88188883221888 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MO=G,DEMOLITIONS Job Address:f03q 136146/f 4j Phone: Lot # Block o*-Ursf-t # Subdivision: ► �y " ) 1�� 1?q�i' Contractor: .5E r State License Address: Phone No: City State Zip Code Describe work to be done: RC-410 UL- EX IS TIN 6 LJgjeb FLOCK Present use a,. building: Valuation of Proposed Constrsction: �dJ Proposed use: is this an addition? /—VJ If ves, what are the dimensions of the added space: ft. X ft." Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? sLmcr T = TWO (Ra'5=J=IAL) CCWLZ= SETS OF PLANS, ===z= SXTZ PLAN, SVRVNZ, M=Gr CODE mW, NOTICE or . AND ONNZ'!2/Ccwz.RII=cn A8r?IIa7=, zr 0"11. CM RACTOR. Signature OwNFt. Date: ^ Signature CONTRACTOR: Date: AS TO OWNER: Sworn to and subscribed before me this day of 18� �MTARY PUBLIC AS TO CONTRACTOR: .r'k, Palo Amonette Sworn to and subscribed before me this day of MYInLINSSIONJGGIAN16XPIRES August 27,2000 BONDED THRU TROY FAIN INSURANCE,INC. NOTARY PUBLIC i z.�JL ''s;� ' ,V` - v4 zr a5 3 ." 3 a rn z d a `= ts t` 2 a 4 �+' G L i ' ✓ �", � .fr,,a r ,'�. s a tttG b t3xr> , i a4j�yy� s„ k "0 TM^{.i nv yF M,L..r+ "��s ���� r . =xta W, S ✓ � ?� .g� Fs`�.:'',f+",� ,�' ff, .'fr � . 11°1 2 �x& s tk4 t ) err a Fp u fay s� # x S x P ''hx zr yd r W, x 3 1 AI,� W-f � it�'�" ' m AM � � ��# rn ka�2ir� �� t k Af 4 a � i d d s s� r ,atiy 4 .ti41, 13 CITY OF 4&K4C &404-0;+laU*4& Office of Building Official REQUEST FOR INSPECTION�� Date Permit No. Time A.M. Received P. District No. Job Address Locality / Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PL BING ECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION q M Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made - 3 P.M. Inspector .[-/ Final Inspection❑ Certificate of Occupancy Date 3 } ¢� rt 000249 DEPARTMENT OF SUILDING CITY OF ATLANTIC BEACH r.P�N NF'E►RI A►'I` # M ..�� �_ LO,CA'IIONIHP`t1RMATIOl --------- 1 In IsiII#wtb, # '. CII$3rQ i I Ia�AIwH Avow ` I •>E BC I~I II1 A .ANTIC EICAGlr1; FLORIDA 32233 work ADO T�"� � .�» � m�,. f.eEuE. DVSCRIPTION,, S rC,p Iwr:' T s V046 OR ki gat z 4 i446k t 1 Swction t U I ,90 `�`AI�.T��t Plat 1010� Pago 1 Cod(4 i., C ubd v i I t t '; V�► t�+ t 40. Oo43itkElk INFORMATION --- Ir*"prow* C6,ot s *640001,00 Name: 119RIaly, 't�AN�,�1Fit iU, 'I'c� i `. ddl r *ass 039 8tACN AVV: " A nt : � x ATLAU'�It� ACAS, FLORIDA 32233 , � ICAT o cess, ,!Pr . . ar . *� `� ►"" so t WATER 1NP'ACT" 009 '..'' Ot t. C4 NI' A �' 00 Att arl4 AS' ai r RADON` CAA ,$ *0.04694 I s$ ,w WATER TAIL � t�. 00 ;fie �t�"DNh'I.IL.�•C;,IB�IAI�t� RC1. ► ..E I 4,0 m OTHER 4th". Im QTES ti ISP' ''RtItN CONTROL .INE NOTICE—ALL CdNCR1~TE'PGRMg AND FOOTINGS MUST BE 1NSPECT90 BEFORE POURING PERMIT 00 SIX MONTHS AFTER DATE Off'ISSUE, 'BUILDING MATERIAL,'RUBI3fSHAND OE<�R.IS FROM THIS WORK MUST•NOT BE PLACED IN PUBIC SPACE,AND MUST BE CLEANED UPAND HAULED BY,,EITHE4, NTRACTOR OR OWIUER. j A LURE."To3 MP rAivii THE MCCHANIGS' Ll N LAW CAI�;R SULT IN AYIh�G TWICE FOR SUILL�I +G I�1:0F�OVEM �I7S." 1113E ACCL?RE?INC3„TtQ APRQ ,p PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVQCATION FQR --410tATiON O APPLIC P.Rt)1l S1C)#�I GF LAW.. ATkA TI ACH BUILD( NG” PARTME"NT Address91 �� � j Q � }� Heated Square' Footage -- @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ („ qa' per sq ft = $ q (0(0 Patio @ $ per sq ft = $ TOTAL VALUATION: $ (0 10 ` 0-b 5 - 00 TottaI Valuation 1st $ \ (gyp $ $ Remainder Valuation per thousand or portion thereof v --------------------------------------------� Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED ; -} 2 Filing Fee $ j i Mechanical ; Fireplaces @ 15.00 $ _ Plunbing BUILDING'PEPMT FEE S 7. Electric/New ------------------------------------------------- Electric/Temp _ Septic Tank BUILDING PERMIT $ �• S `� Well WATER METER CHARGE $ StAm-ring Pool SEWER IMPACT FEE $ Sign WATER IlKPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ � ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES r - rz^�pc2r�' Dzscnzprux� /-7' � ^ 7s0c1"'AxanUavxxn Lo � _ 4o�"c�, o_ 41sco��ou � 1'.0.xux25 xzL\woCoxx(u1.rT0xmA zcxo rEoYu0:x(on4)um-2u\n s�uui" ou� -____---_____-_-_ oosCnzPTzoa OF xono or �uu�csa._ 1039_Beac -Ave-. zf in a FLuoo uAzAoo Flood oomp�e�e Page �. Brief -------------- oeoorintioo Replace-Windows- east end of building ; install 10X14 wood deck on east end of building. class of work: �New/aemouel/»uuitioo)_Remo deI ____ zoozus zxr000��zon Type of Construction- Wood frame ---------- o-, n oi C t�_ f��`/_ _oo". 8� ____ �a��ma�eu id Ivazue--_--_-----__________ ua�er�a�a` m ^ --� czoep��ouo or �������� __--_---_-- rar�auocs sranteu.----------------------------- Solid or Filled ------------------------------------------- Ground; Roof:___________ ON/�cn z?rOonxrIOQ ' uetuou of Heating-__________________ Jerry_Rarw�z _ d_-_ ____________________ puoue' 7gl-��57 ____ o��z�co _ Atlantic_ Beach,_ Fl . in;32233 __________ 117 couru�croo zxronm�Tzon uc, � - \�b� ~=� and J.I}. _�cho��eId�-�IlC��`0!�u��---------------- -�uo»c`-I1���ll��'--- x�u�"os� %U05-%_ Dnz�n_Ao e .__�________________�_____ JeckaonvilIe ,_ Fl .________________________ zip' ]22I8_______ cxpirmt J.CDT) e nu rz:__CDC O33475Date:-61-3-Q189----- � In o=osiucroUoo of pej:.TTjit oiveu for doing Lue Jeocribeu �xc a�ove �t��e�eo�, �e uere�y aoree �o per�orm oa�u work in n��\� ��e a��aoxeu p�ano and specifications °x�uu aze ' - : a part uezco�' aod �u a000z�aooe with "11� �u1�� ��uu�reguzotiouo o± the cit' o� u��ao�lo oeaou. Date ovnar s�gua�ure __ c:"LzaoLor Sigoato PLANS REVIEW CHECK LIST Address Owner Legal Description-_ _____ Contractor_ __' __License Number _ la License on File YES HO Section 24-101 * Zoning Regulations Zoning District_-- i ____ Proposed Use ►._ �. ___ _ _-- Required Lot Size Actual. Lot Size__ 1 .5_ Setbacks Required Provided Seo_L•iuri 24_17 front (�� CORNER LOT INTERIOR LOT '~ rear -------- ________ Flood Zone ---------------- side-1 Required Elevation side-2 Max. height Allowed _ Proposed Height___ Section 24-82 * Minimum Lot Coverage Required Heated Area ''� Proposed• Area______ i Section 24_161 * Offstreet Parking Number Spaces Required_--;L-__ Spaces Provided__- ;�,L----- Section 24_82 * Duplicate Huildinga Is there a similar building within 500' of proposed building?YES 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 !I__________ ISSUED DENIED E � • fMAP SHOWING SURVEY ON LOT 4 BLOCK 4/ ATLANT/C f3L',46 Recorded in Plat Page-------- Public Records of Duval Co., Fla. f or:__!UlKJ-B11LK____ LEGEND R. L. CROASDELL & COMPANY NOT INC. o Denotes Irqn CIVIL ENGINEERING dr SURVEYING Date__-.rQP_-R/-L---zT-,l_S7q z—z—x— D��++otes Fence P.R.M.Reference Monument �Denotes Permanent Rcterence 429 East Adams Street • Jacksonville Fla. Scale I" ------------- i, ATLANTIC OCIWN - -- - 1 w000 _ :► oEtK 0 t1' Q N N _SCf /rafts-_� 30' OR/6INAL NORTHEASTERLY Lor LINE BY P.B. 6 PG. i 1 M _ t a 0 00 2.01 .7.6 24.4 k4e,—�- 2 STY, o HOOD 5N6. 17- V ti No./039 I o I overheny I GAR. ; W'o tV 98 i CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 _-_-- — PLUMBING PERMIT -PERMfT_INFORMATIOPermit N - - i_ INFORMATION_ -___--- Address: 1039 BEACH AVENUE - Permit Type: PLUMBING Class of Work: REMODEL Townshi ATLANTIC BEACH, FL 32233 Proposed Use: SINGLE FAMILY p: Range: Book: 6 Square Feet: Lot(s):4 Block: 41 Section: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: ATLANTIC BEACH _ Improv. Cost: OWNER INFORMATION - Date Issued: 9/13/1999 Name: HARWARD, JERRY Total Fees: 39.50 Address: 1039 BEACH AVENUE Amount Paid: 39.50 - ATLANTIC BEACH, FL 32233 _Date Paid: 9/13/1999 Phone: (904)241-8762 Work Desc: INSTALL PLUMBING -- - ----- - --- CONTRACTOR(S) - APPLICATION FEES STYLES SMITH PLUMBING PERMIT 39.5 -__ 0 i Ins ections Required, _-_ UNDER SLAB PLUMBING TOPOUT g - -- FINAL i i NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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 CONSTRUCTION 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. 1 — -` CHECKS 014 9/13/99 81 Receipt:06865s41 ATLA IC BEACH BU LDI DEPT. 88188883221888 CITY OF ATLANTIC BEACH APPLICATION FOR PLUIMMG PERMIT JOB LOCATION: 3 �� , OWNER OF PROPERTY: C tj � ELEPHONE NO. PLUMBING CONTRACTOR S e v�( CONTRACTOR' S ADDRESS : 1�j PCS M rn STATE LICENSE NUMBER: C `(\() k- TELEPHONE: v _ 3 j HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS / DISPOSALS CLOSETS L 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: 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 z q, O ` ,• ..� r� - .� ..�' 'bZ r-r � r o� A14f-t!»s�11w h� MFir:T r•e�-,.. ,.►-.r s rr yr n +sae 711r.s .fl r!sr�.,®li (av�w�.Zvwss sl ,y* +w -*rst Fln 4tJtHDQ Jd+l+t .r�L.,-•J.d �K L�� Qsasytvw%iNO"q%w a�sa�tiL •P...!'� •ty!•a-a Utz CIO .S.N � <L7'S 19�►9 'Qh•S 8�p9 •?'N vso7 APPROVED CITY OF {' ' -sC f3ERCri BUILDING OFFICE t Data 1988 Drawn TZ:xS � �catt Building and Zoning ," SheM1 P f I, y s k k AVE7.