Beach Ave 1637 CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Owner �Ui/lo✓�J2zip72_'3�phone
Addressr phone-----f------------ --------------------zip .......
Contractor r, ` + Address-- -`'�^__-�-1 --t----f--
_z_ip__` r---phone___ `
Contractor----------------- C3z- -------xpirations License number
_ 3 v`_ 3_
Lot--3 ---Block or Section_- :5' 1 ___Subdivision 545-0 /7 Zonin K S r
Street l. �Go A eweenEsf -� S and L v�' e
---..........bt ----- --'�------side-----------
Type Construction ��� 7a, -�� No. Units ____No. Fireplaces / 1
Purpose of Buildingi15�ir� .y_TL__ Est. Valuation
Utility Method - WaterSewer
L�
/•
Dimensions - Building S,5X 64Lot_S�'�102- _ Size Footings__�__x
Sz. Piers____________Sz. Sills______________Greatest Span Sills________
Sz. Ceiling Joists---------
Distance on Centers---------Greatest Span_
Sz. Floor Joists ---------Distance on Centers Greatest Span____ _
Sz. RaftersDistance on Centers 24= '' Greatest Span_ _'-
---
Method of Heating sq_r ,�Ilnv-l--Solid or Filled Ground-� --Roof
-------- ----------
Flood Zone__C__If located within a FLOOD HAZARD ZONE complete page 3
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 part hereof, and in accordance with the building regulations of
Atlantic Beach. The contractor agrees at its expense to provide
the necessary access to the properties being developed over
dedicated City rights-of-way and to clear, clean, grade, and
drain said right-of-way to City
specifications.
Signature Owner_______ _ _ _ _ ____ __-___Date
-----------------
Signature Contractor _ _ ___Date 7 l 9_ 8 7
----------------
page 2
City of Atlantic Beach
Fixture Unit Worksheet. for Water .Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND
FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY
WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN
DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
__,J__BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH : .(8)
TUB OR SHOWER STALL (6) ,n1
__C)-WATER
_�_ WATER CLOSET VALVE
WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
_D_BATHTUB/SHOWER ' (2) --Q--URINAL WALL LIP (4)
___SHOWER GROUP PER HEAD t3) --Q--FLOOR DRAIN (1)
--Q--SHOWER STALL DOMESTIC (2) --Q--LAUNDRY TRAY (2)
_LAVATORY (1 ) _0__COMBINATION SINK AND TRAY til
__' - ___WASHING MACHINE (3) _ __POT, SCULLERY SINK (4)
--0- DISHWASHER
-
v DISHWASHER (2) _vWASH SINK EACH SET OF
-- __ FAUCETS (2)
-- (--KITCHEN SINK (2) �,\
--0--KITCHEN
_f, __DENTAL LAVATORY (1)
(0 _KITCHEN SINK WITH WASTE _
GRINDER (3) _Q_DENTAL UNIT OR CUSPIDOR (1)
_U_BIDGET (3) C_URINAL STALL, WASHOUT (4)
--DL-FLUSHING RIM SINK (8) _f2__COMBINATION SINK AND TRAY WI7
FOOD DISPOS. (4) .
_,Q__URINAL, PEDESTAL, SYPHON JET
BLOWOUT (8) _DRINKING FOUNTAIN (1/2)
_D_LAVATORY, BARBER/BEAUTY
SHOP (2) _ _LAVATORY, SURGEONS (2)
_ _SURGEONS SINK (3) __,_ICE MAKER (1/2)
TOTAL FIXTURE UNITS___ _ __ @ $10. 00 EACH ',$ -------
JOB INFORMATION______ _ _ ____ 'r �o � _______
age r o o O @ $ per sq ft = $ r� '�. 'A 06
@ $ • per sq ft = $ / LtCfG"�, }
/ @•$ per sq ft = $ 1, (9 7().
@ $ per sq ft = $
@ $ per. sgft = $
TOTAL VALUATION: $91 O/U 6s
1st $
` per Hiousand or
portion thereof
------------------------ Total
FTotal Building Fee
and/or E ,S REQUIBP
� -f- Ai Filing Fee $ .31c;..3r
0-Fireplaces @ 15.00 $
BUILDING'PERMIT , ' $
Pluibing /
Electric/No,7y
--------------------- ---------------------------
Electric/Tenp ✓ ,.
Septic Tank BUILDING PERMIT $ / `/. 7
Well �,/ •' WATER METER CHARGE $
Scru►ming Pool SEWER IMPACT FEE $
Sign WATER IMPACr FEE $
Water Connection MISCELLANEOUS $
Sewer Connection $
Water Meter $
Elevation Certificate '
GRAND TOTAL DUE $ /r
----------------------------------------------------------------------------------------------.
CALCULATIONS and/or NOfLES
PLANS REVIEW CHECK LIST
Address_=L _L_J :ft t3=`"----Owner_
Legal Description _ 8 lCe X cap 1 Contractor
t 4 7
License Number `
License on File ES ) NO
Section 24-101 * Zoning Regulations
Zoning District_ } Proposed Use ,;�
Required Lot Size__5d / __ Actual Lot Size L2 X t()d
Setbacks Required Provided Section 24_17
front rib( __cOr_ / CORNER LOT INTERIOR LOT
rear --- =�-- --- -'-
Flood Zone
side-1 /,�� � '
' Required Elevation y lY11
side-2
' / 1
Max. Height Allowed__�.,____ Proposed Height----r�
Section 24_82 * Minimum Lot Coverage
Required Heated Area _� Zoposed Area__
Section 24_161 * Offstreet Parking
Number Spaces Required__ Spaces Provided__ _
Section 24_82 * Duplicate Buildings
Is there a similar building within 500' of pr posed building ES NO I
t �
Utilities /
Water and sewer service is to be provided by:
Buccaneer Utilities
City of Atlantic Beach rUti�.-it�es
Private SourceTI TANKL
Plans Reviewed by:_ � _=� .,?_-/_�.�, , Date ,_ _
Building Permit #__ _ __ ISSUED DENIED
G
�T NDS �, H �4r=F 14n4Us FrZ,�
ro t4F-,o
s
r
CITY OF ATLANTIC BEACH) ilr` :�ys -fj�j Zoo iing
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
Owner(s) :A—(Z-- K
Address:- Phones `OZ
----- -------------- -----------
Lot #_j Block or Unit #_ Subdivision: ---------
Contractor s--�`� _� � �' ---------------------------
r / t /
Describe work to be donee_1 � _t .._�L _ _ s1 �___
--
n
-----------------------------------------------------------------
Present use of building:__ - ____________________________
Valuation:_4aQ _____________
Proposed useaU
Is this an addition?-LQ ____ If yes, what are the dimensions of
the added space:.........ft. X ---------It. Will the added area
be heated and cooled?__, L __ New electrical (or increase)?_Jy�-
New plumbing fixtures?_,�b New fireplace?_S�_New Heat/AC?__A___
SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
_ AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER
Signature CONTRACTOR:___________________________ Date:
b
\ ; CITY OF
716 OCEAN BOULEVARD
_ P.O.BOX 25
--- — ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
August 12, 1587
Mr. Robert Frohwein
Frohwein Construction Company
1820 Ocean Grove Drive
Atlantic Beach, Florida 32233
RE: Section H, Block 251, Lots 2 through 7
Dear Mr. Frohwein,
This is to advise that the above referenced properties are not
restricted by the current septic tank moratorium due to the fact
that septic tank permits were issued prior to the adoption of the
moratorium and that there currently are active building permits
on the properties. You are required, however, to connect to a
public system when such lines and systems become available in the
vicinity of your property.
You may use this letter with your application to the Department
of Health to renew your existing septic tank permits.
Sincerely,
Rene' Ange s
Community De elopment Director
cc:file
State of Florida
Department of Health and Rehabilitative Services e
Office of Laboratory Services (. C j I rll u�
P.O. Boz 210 �tN�
Jacksonville, Florida 32231
DRINKING WATER BACTERIOLOGICAL ANALYSIS
SYSTEM NAME: STEM I.D. NO.: DER DISTRICT:
ADDRESS: !r /7pr�Q`Z COUNTY: v COLLECTOR:
SAMPLE SITE(Locality or 5 ivision): /7 /L
fRAW OR TREATED: DATE AND TIME COLLECTED:
TYPE OF SUPPLY(Circle one): Community public water system Non-community public water system Other public water system
Private well Swimming pool Bottled water
{ TYPE OF SAMPLE(Circle o Compliance Recheck Main Clearance Well Survey Other(specify)
REMARKS:
TO BE COMPLETED BY COLLECTOR OF SAMPLE TO BE COMPLETED BY LAB
COLIFORM
Cl NON
COLL. SAMPLE POINT RES'D PH SAMPLE NUMBER COLIFORM MF/100 ML(303) MPN
(303) 100 ML
TOT L FECAL (305)
i
000, A
14-3
zL_
�
`� x.24-04 s - y
/ 87
INTERPRETATIONS-RECOMMENDATIONS BY DER OR NRS REVIEWER
t ( ) SATISFACTORY
( ) UNSATISFACTORY
NAME AND MAILING ADDRESS OF PERSON/FIRM TO RECEIVE REPORT
....,alp'T7�-:!
RE-SUBMIT
M..
VIq
REVIEWING OFFICIAL:
LTITLE:
HRS Form 655,Apr 83(Replaces Feb 79 edition)
I 1P SHOWING SURVE OF
LOTS 1 , 2 , 3 , 4 , 5 , 6 AND 7 ,, BLOCK 251 , SECTION "Ii" , ATLANTIC BEACH, AS
RECORDED IN PLAT BOOK 18 , PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL
COUNTY, FLORIDA.
,2s • RiGN r o,� , w,�► y
Foe�,vo!ter'i.PoN
<�c.s. ia�•9TJ
0 2. F3U.vc
54 M/_ o 7 / qy�ipy
Fou/v�� Fouvp VZ"ACoA1
� N �
/Qo.v ra tib yZ " .z�/
l CR�s �f� m 6o4.s.-v/(;7¢�
It^, L.0 7- 3
� 0
Fo d.vv F6 p�Y7-
/c rf) P
N
/-oT 4 L
. oAl
s. O%e 7 ft�
`r1
Gn T S
0 v
�RK/�
s .
GUT G_+
H
IC
0
J
n
1711'
7
li�G.S.�".�•
W EST Fr' '"EEN Tf� (/�T''� STREET
7-/-//57 /S ,4 BOUNOAsZ y S41RVz5Y
i 7b .c/o B[//Lc�/NG .QESi.4/CTio,✓L/�/E dY Pt,4T.
f
MARCUS
PiR40N
I 0 N
September 1, 1.987
Mr. Don Ford
Btii lding Inspector
City of Atlantic Beach
Regarding building permit transfer to Robert F'.rohwein,
Building contractor, for b.Lock :251 Atlantic Beach Sec. H:
We hereby request that the City transfer the above mentioned
Permits to the F'.rohwein company along with all
bights and responsibilities.
Si.ncerel.y,
Marcus4. prom
2455 South Third Street Jacksonville Beach,Florida 32250.904.241.5530 General Contractors.
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES