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Permits 380 11th Streetr. -y CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD -ATLANTIC BEACH, FL 32233 -TEL: 247-5826 -FAX: 247-5877 r---- ___ --PERMIT_tNFORMATION_ _- _ - - -- - - -_ -1_ - ------~._._~OCATION lIVFORMATION,_-- _ _ Permit Number: 23214 --- Address: 380 ELEVENTH STREET ~ _.._ Permit Type: SIDING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 5 Proposed Use: SINGLE FAMILY Lot(sy:37 Block: 13 Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: _ Improv. Cost: 14,479.50 ~ -- -- - -- - Date Issued: 12/27/2001 OWNER INFt~RIVIATION __ Name: WOODS, THOMAS C. Total Fees: 135.00 ,address: 380 11TH STREET Amount Paid: 135 00 -ATLANTIC BEACH FL 32233 Date Paid: 12/27/2001 yr~ S I . ~~ Pni~n~ (.000-0000 -- ------ i- Work Desc VINYL SID_IN_G .. ,~. ~ - -- CONTRALTO m ~~ _-~~'~~ - -- - --- -- ---- ~- ,. y L TION FEES ~ FLORIDA GEORGIA CONT ACTOf~~rJ~~~C .,: -~' p~ --- -- ~,~ ,~ ~ ~ ~: 135.Q0 "x ,. r~~ .~~ :~... ., t .~~f 9 ~t _ ~ a~~ '~~ . v. ~ .. S j _ ~ ~ a i ~_ - _ ,' ~` ~a ~ f~ ti ~' - .. .-. _ - ~._. ~ y ~~ ~ ~; `~. .. .L ,~.,. .:.: r _ ~ S. ~ -- «_ _.~ _ _ ,. - ,. _ -- -.-.. -. - ... _ tItI f ~ I x .~ ~,~ ~. -!' -0~ ~s '.,; .. -. -` __ _~ _.. .. _y -. _ - _-. _.~ NOTICE - INSPECTIONS MUST BE REQUESTED AT LEA5T 24 HOUR,S'`PR10R TO INSPECTION ____ .~ _ _ _ ~: _ BUILDING MATERIAL, RUBBISH AND DJ IS FROM ;THIS WORK MUST MUST BE CLEARED UP ANt~ HAULED ~ SE PLACEC.N PUBLIC SPACE, AND ~~ EITHER CONTR ~'< -•=--- ~ ~ _T - O m:WNE R ,' "F~-ILURE TO COMPLY WlT~ PROPERTY OWNER PAYING 4' LT IN THE ISSUED ACCORDING TO APPROVED PLANS WH CH ARE FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ,. r ~• . ~ ATLANTIC BEACH BUILDING DEPT. OF THIS PERMIT AND SUBJECT TO REVOCATION lC/2~/81 81 Receipts lR~zr>bb } CITY OF' ATLANTIC BEACH PERMIT APFLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DE~1i OLITIONS Owner(s): Address : ,~(~~ U 6 ~ ' "~/ ~~' (.~ii'.f'~~C Pt one : °Z `flp ;~3T 7 -~~~~~~~~, ~3 as 3 3 Lot #~ Block or Unit #~ 3 Subdivision: f Contractor: State License # Address: ~~ C i t y___~1f~f~ S t a t e Describe wl5rk to be done: Phone No: ~~~'7UlZ~ Zip Code ~ ~ ~ ~J Present use of building: ~~r Valuation of Proposed Construction: I ~'~~'7~' S~ •• Proposed. use: Is this an addition?~_ 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 fixtures? ^ New fireplace? New Fieat/AC? SUBMIT THREE (CObII~RCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PZAN, SURVEY, ENERGY COL1E FORMS, NOTICE OF CO~ENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. C ~ ~' S' 7 ~~ eJ ~ - .l Signature OWNER: -" lJ~ Date: ~ 2 iG/ Signature CONTRACTOR: Date: ~~ ZG ~ Sworn to and subscribed before me this 16 ~ day o `~~ .fig-" "_ ~ ~S V' ~~~"~, VICKEYSTURGEON NOTARY PUB IC ' AI' OE' FLORIDA AT LARGE ,a c MY COMMISSION ~ CC 855094 ~~Oi ~~!\ EXPIRES: )ul 15, 2003 i.S063NOTAtiY Fla. Notary Service S Bonding Co. a AAA BUILDING CONSTRUCTION, INC. (904) 781-6261 P. O. Box 40142 • Jacksonville, Florida 32203 MARCH 31, 1992 TO WHOM IT MAY CONCERN: THIS LETTER CONVEYS AUTHORIZATION FOR JOHN MADDOX TO OBTAIN A REROOFING PERMIT FOR THE FOLLOWING: MR. LAUWAERT 380 11TH STREET ATLANTIC BEACH, FL 904 246 0315 THANK YOU FOR YOUR TIME AND EFFORT. SINCE Y, ROBER~ K. IRION CCC 044919 • ELIZABETH M. LIPTON ~- Notary Fubfic, State oT florlda `~1 ~„y Gom~ri. Exp. 6.6.95 ~~ ~,~'y~ ~\.i ~..a....r.«... .,..., ~~ • Located - 622 Cassat Avenue, Suite 11, Jacksonville, Florida 32205-4115 • _. _ . ~~ ,~ ~ 'O ~ DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH _____ PERT4iT INFORI'iATIUN --____ . Permit Humber: 51y0 Permit Type. RE-Rt10F Clans' of Works NEW Cori~atr. Type: WQOD FRAME Prt~pased Use: SINGLE FAMILY Dxellin{~~-: 1 Codes p Estimated Value : 9p, 00 Ix-prav, Cast : ,,cp, np Tote':' Fees : 9:22. 50 AmouxrilE Pffiid : 922. 50 Date l~~i~ ~ 9~ '~/+4~ `-~' ti1gHER I'NF,a~MATZbN - -~ N~ r: LAI~>~tAET Address ;_ 3~ EL.$V,E>r,ITH STREET ~{ ~~ *`~`l:~HTI;E B~Ii,CH, F'L.QRTDA 322 ph~es t~~~} y24i-¢3T~ - _ _ GITRAGTC?R ;~HFORP'lATxL1t~ - - - - Neme: AAA 81JTLDI~[G CbN3Tl~tt-CTION I Addrr~e:~s : P. C!. 1~~ ~O'T42 JACK~k~NVILLE, FL 32203 [.ic~nae z ,CCG04~'~~~ Typ,~ : 7 ~. NOTES: ~~70 "------ LCICATIbN INFORMATTUN -------~---~ Addreass 380 ELEVENTH STREET ATLANTIC. REACH, FLf]RIDA, :32233 -_________ LEGAL DESCRIPTION ---a-----_----_ Lot : Block : Seota.ar~ : Town$hiP= RNG: p Su)~division: ---- APPLICATIQN FEES ----- PERMI T 912. 5U tlAT~R IMPACT FEE SU, t.IQ ~SE£R. .;~~P~~'~' FEE - ~ ?gip. Qty >A1A`F~~{ "'~lE~'~l~ ~f~, ~" RADON GAS-H. R. S. 9U. G4 - RADON GAS - S3: gyp, t7£? C• MATER TAP 9©. t~0 SEWER TAP 9C7. Utz HYDRAULIC SHARE 90, t7L~ RE--INSPECT fi"EE 9.00 SEC. H IIiPACT FEE 90.''00 NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST 8E 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 AV1/AY 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 S~~T TO REVOCiQZIGTV FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. IlE. 49. i9 ~ ~ f~2.50 ATLANTIC BEACH BUILDING DEPARTMENT ~~ ~.__ 7-~ By:. ; ~ / ~+ , .~ . ., . ,, .. ~ s _ , _. ., _ w ...n ~ .,. ~ . _. .~', t - ~. gg. i . 3 - 3 €.. ' f g r... r.. .. .~ ~.. ~ z . .~ - _ r_. ~ "' _, _. - _ ,~; _ , :~ 3 ~,x ~ ~ ~~~ ~,~rl ~- ~ X ay .. ,..Y,r s . .. t. xF_Y _ _i. ., _ -, - ,_ ~, ,~ CITY OF ATLANTIC REACH PERMIT APPLICATION ROOFING f ~~;~,~' c!~i~G~~f~lc me owner(s). ' -`if`- ~ ~ .~- ~ ~~ ~ ~ ~/~ Address:~~ ~ ~ Phones: r'' Lot # Hlock or Unit # Subdivision ~ f ~~ / ,. s ~~ Contractor : ~ ~% ~C ~° ~ ~ ~~ ~ `~ ~_~7 ~l-~Sr,?T i~~ `J~ Phone : ~ / ~°*~` ~'~• Address ~: ~G'' State License No. (.: `~ ~~ ~`f ,~J~ work to be done: ~ ~ , Cam" ~escriL~ Materials to be used: ~ -~~?~G'~'~ Signature OWNER: Signature CONTRA w Vii ~ v~ r~^.... ...... ._.. _,. DEPARTMENT OF BUILDING 8a0 Seminole Road -Atlantic Beach, FL 32233 - Tei: 247-5825 -Fax: 247-5877 ELECTRICAL PERMIT I --PERiVfi°r t~~'®Ftll~Alf'i4]At__ -- .___---- - 7 - - --- - _L~?CA?°t®N 1~4#F~AT#Clf~ __ __ _ - ~_ _ _ Permit Number: 22654 Address: 380 ELEVENTH STREET Permit Type: ELECTR#CAL ATLANT#C BEACH, FL 32233 ' Class of Work: ALTERAT#ON Township: Range: Book: 5 Proposed Use; S#NGLE FAM#LY Lot{s}: 37 Black: 13 Section: i Square t=eat: Subdivision: ATLANT#C BEACH k Est. Value: Parcel Number: #mprov. Cost: -__ _ - -- .OV!~IwER t~#~t~t~~#A;Ttt7#Pt __ _ _ _ __ Date issued: 9/11/2001 Name: WOODS, THOMAS C. yj Total Fees: ~ 25.00 Address: 380 11TH STREET ~ Amount Paid: 25.00 ATLANT#C BEACH, FL 32233 Date Paid: 9!12/2001. _ T Phone: {0QD 000-0000 __ ~ Work_D_ _esc: W3RE FOR REMODELIHVAC ' -- - -C~,~#~~tC i ~~~----- ------ -v- j ' ----~ _~ _: ;APPL.tCf~l'i~~f F'~ES ' ~R c~ R E(~ECTRIC Ct)N#PANY ~~ ~ERN'iIT _ _ ~ _ 2~.00~ _ I j r i I - -- ~ - - - , ---~-~-~-- _ __- _ _ - --- _ __ -- -- -----I __-- - --- -c--- -- _ -_ ~_~_ __ ,_aL E.LECTRiC i __~__.___ ---- - ` ~cJ~CH Et~~CTRiC '~~3I~1~s~~~o.Re~ttir~si ___,___ -__ ~_ _ i~ } ,. t ~ p, =- -- -- -- ( NOT#GE -1NSPECT#ONS 1~t~USTBE REQUESTED AT LEAST 24 H4lJRS P~;#~?R TQ Ffi~SPECT#ON _ ~ ~~, -- BUILDING MATERIAL, `RUBS#SH AND DEBRIS FROM THtS WORK MUST NOT B~ PLACED tN ~°UBLIC SPACE, AND MUST BE CLEARED UP''_AND HAULED_AWAY BY EITHER CONTRACTOR OR 41NNER _ t~ ~ "FAlLl1RE TO CflMPl.Y i~i1~1T1i TAE C(~i~~~1~CTlQN t~f# 1...~~ ~:AN RELT BN THE ~ PROPERTY OWNER pAlftl+t~`T~9tCE~?~ORs,~UlLDt#~!G !t~lPi~~Et~~1~t'~ _ -ISSUED ACCORD#NG T© APPROVED'~''t_ANS WFItCk~94Rf ~f'~4RT bF T`i-1IS ~2MIT AND SUBJECT TO REVOCATION ~ FOR VIOLATION OF APPLICABLE PROVISIONS-Ot=~ W. __ i ~._ I ...___~ /~ L.. .. ~~ r1 1~ ~ ~ : ` L,. ,~ ~' y~ 1 ~ATLANT# BEA'C'CH BUILD#NG DEPT. Dices 9/11/91 it Receipfi~1~74E8 i- - --- ---- ------- -•-vncvnT - ----- ~;-_~ . ~~~~ ` ~ ~~1 ,~~~.,~` Notice of Commencement 5 w ~~ ~~~~"~' State of Florida County of The undersigned hereby informs all concerned that improvements will be made to certain real property. and in accordance with Section 713-13 of the i~lorida Statutes (Revised 10-1-96), the following information is provided: •~ , ~ll ; Legal Description of Property: ~ T ~ 7 ~/J General Description of~lmprovements: .l~,~y ~ ~~~ >L -~ ~ Owner's Name: _ ~~~~%l ~~~/_ Address: ~~~ ~~ ~c~ T ]E#ook 14276 Rage 126 Doclf 2001323424 Book: 10276 Page: 1 26 ,Filed S Recorded 12/19/2001 11:07:06 AM JIM FULLER CLERK CIRCUIT COt1RT DUVAL COUNTY TRUST FUND f 1.04 RECORDING ti 5.00 City: I~LG~~~ft-~ ~,~ ~-7 Zipcode• 3 ~ ~ ,~.~ Owner'a Interest in Property: __~~ / a Fee Simple Title holder (if other than Owner): Name: n/a Address: Contractor: Florida-Georgia Contractors, Inc. t I d33 Saints Road Jacksonville, Florida 32246 Telephone: t~ 611-7010 Surety: Not Applicable Lender's Name and Address: Not Applicable Fax: 9L04 ) 642-9156 Persons within the State of Florida designated by the Owner upon whom notices or other documents may be scrvcd as provided by Section 713.13(1 xa)7., Florida Statutes: Name: n/a Address: Telephone: (___.> F~ (_~ In addition to himself, owner designates the following person(a) to receive a copy of the Lienor's Notice as providcd in Section 713.13(Ixb), Florida Statutes: Name: n/a Address: Telephone: (_~ Fax (_, Unless otherwise noted in this paragraph the expiration date of this Notice of Commencement shall be one (1) calendar year from the date of recording: ~'" .F~~rOG~ VICKEY STURGEON Owner's Name (Printed): (- D MY COMMISSION +Y CC 855094 n ~p`~p!'P EXPIRfS:Ju1t5,2003 Signature: ,V~'Uh-C~ /~------ t-B06&NOTARY Fla. Notary Servloa a 9ondlrp Cb. Sworn to and subscribed before me th' 1 ~ ~ day of -_ _L____-ter-- vs ~" Notary Public: This documonl txeparoJ by: Flarids•(leorgia Contndas, 1133 3a~i~e Raed, JsekspF'ivj~le, Florida 3124G Date_..__ ~ :~1.....~ ~.~ • ~ - CITY QF ATLANTIC BEACH FLORIDA pPPLICATiON FOR BUILDING PERMg~' Permit #--~- t~ _.1'.e i. ~..:L?4~ Valuation i--~~..s~.U• .0~._..........__....... House ~•-~.~.~ l~f~...~.~ Application b hereby made for the spproval of the detailed statement of the plans and specifications herewith submitted for the building or othez structure described. This application is made in compliance and conformity with the Bnffding Ordinance of the City of Atlantic Beach, Florida, and all provLio~ of the Laws of the State o! Florida, all ordinances of the City of Atlantic Beach and all rules and reguLtions 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 8nildinpc Permit is antoma'tically responsible to ascertain that all snb- contractors engaged by him are duly licensed in the City of Atlanfie Beach, Florida, To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that s 1Lt of sub-contractors be submitted to thL office so that lkenies can be verified. d owner..___~7.'_'e!'_A14~!--..~, _..~A1~41~1'~'~Pl~'r~:~ .....................Address_~$.Q....~~_..----.~'~k'yR:- --- -- - ~- ,~ t n~ ~ .._.__...Telephone No..?~.~'Q Architect-..__.1-Y-~------•-• .................•--........_...---.......--•--....-._...-----...__..Addreu------~V.A......._......-------.....___.._..Tekphona No~..~17~...-------.._ ContraetorBnilder_.:_Q.1n1'.Alm.f"----....----•---•-•------------•-------------_....Address.__$~~L~'~---A-~-----~~°-~X`-i~--•----.Telephone No._~~.~~D~.~--5 Lot No.-----•-•-----• .....................•----•-----•--Block No.--•----•---•--•--...-•---------Sub Divisioa_..-._..------...-•--••-•----.._...---••-----•-•---•-------..._......-------.Zone.---------------- • ....................•-----•--------.......---....---•------Street_..-----...-------------.Aide Between----•-•--....._.._..._......__.......--------•----...and.._....._...-----._....-.......__..............._.Sta. Yalnstion ;...~~~.~ a___.•-----_._For what purpose will building be used ...................................••---Type of coast=nctlon.......--•-----.....-..........._.__ Dimensions of Building.-------------------------------------Dimensions of Lot...---.-•:-•--••---....... ._........_...$ise of Footlngs.----...._......_........_._........ $ize of Piers---------------------•--....-_-.--..Size o! $ills._.......-.._-....------•--._...Greatest $ill $psn in tk.__...._...---....-----..Type Root•--_..._.____._..........__~.. Hosr will Building be Heatedi ................................................................Will Building be on Solid or Filled Ground!__.--•---...._._.-•---_.._..___ 3ise of Ceiling Joista---_•----------.•-------------------------- Distance oa Centers...._........-_._._.._•---._....••._...__.., Greatest Span.......__...._...____._.-..-__._.. " 3ise of Floor Joiste .................................•-•--...---.., Distance on Centers..-...-.-......----•---•-----•-----------., Greatest Span..._._.._.-......_____..._.-.--_-..__ " Size of Itaiters ..........................••----------.....-_._...:_.., DLtance on Centers .-.....- ...-- ----.........•---•-----•--.., Greatest $psn.._.__..•_•--------_._-.._..._.._.._. " ~~ r''- o ~ ~ ~ i N ~ ~.,. ~ 5 T i N q j w i hn W1 i ~.t Ci 4 { This rectanurie is to represent flu lot: q . J ~ P Locate the bnildinR or buildings in tlw J right position. Give dbtana in feet from all lot lines sad e:fstinA buildings. B,EAB LOT LINE Two copies of places sad specitiestions shall be submitted with application. Inspections required. 1. When steel is in place and ready bo pour looting. 8 When steel L in place sad ready to poor columns and/or lintel. 8. Whoa steel L is place and ready to poor beam. 4. When framing b completed. S. Whoa rough plumbing is completed, and ready to cover ap. W 6. When septic tank drain field or sewer is laid but before it is covered. A 7. Electrical inspection by city of Jackaosville. t$ 8. Fin,a inspection. Note: In case o! say rejection, r.-iarpeetioa IdIIBT be called for.fbsr corrections are made. FEONT OF LOT In consideration of permit liven for doing the work as described in the show statement, ws haraby agree to perform said work in accordance with the attached plans sad specifications, which are s part hereof, sad in aocordaaes-with the building regulations of the City of Attaatic Beach. ) _ Signature of Builder. ~. '~~- .,~ • Addres.._ ,e?a-~!!!~'~-e.~'. o -_n v Il I l 3ignatur+s o! Owner...r~~CI~M _.~-_'....' _.----• ----.._.._ Addrew...__._...___.__._.._. ~ ._..........-.._.......- ............. J......................-- f , CITY OF ATLANTIC BEACH FLORIDA APPLICATION FOR BUILDING PERMIT FOR OFFICE /US f ONLY Date.---........~~~(~ .J..?.19 ..---- Dd Permit # ....Fee $.. ... ~"' Valuation $...~-.ZOO.........~.......~. ...,3..~d.........~ ~.. ~......... ~..... House #k C (/ I ~ ........................................................................... Application ds hereby made for the approval f e detailed statement of the plans and apecifications herewith submitted for the building or other structure described. Thi application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Buildinj~ Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licensee can be verified. ~/ / ,, D/ate,--- ---•----•-•,--~7~.~~-~-------------~-•• ---•-•---., 18..~ Owner---~~,~.,d°/rl..~~...~...f'X`?!`_U~/~~-t.°~_.. --------------Address_.~$d.l~`~`c...S~ ' `__=....._~Teleph~ne` Nd...~~~.:`.~~/~ Architect----•----•------••-•----.....--•------•-••--- - .......... .............Addreas................----/-~-••----•-••---•----•--...----•.........Telephone No...-•-----••---,............. -nom - •--• ---•-•-••--••--- Contractor Build r..G/~5-- --• .- --~-5 - - -~/.•---......Address.. j~'/4~./!~'1~.. ~ y_--Telephone No.-f7~1 ~ ~~~~ // ~~Jj- -•- - ---- ... ...- --- -- Lot No...~ ~... 1~..~!?Blo6k No.. ~ ~---N~•- ~--•--.Sub Diviaion..........:~------ ------------------------------------•-••--r---~ --•-•---- one..----------•---- ~3~© ~1s 1 ____ ............................••---•----...~.,---------..Street----~~=5 ~-. Side Between... ---•-•------•-•-~~• --- S-~-and---•--•--......._~C,~ __---`._.....------•---.Sts. Valuation $-Q.~.°" .SC.(Jf~l~fl.G~ ~~L - ..--....For what purpose will building be used---------------------•--.---- ---.------Type of construction.-.-•--••---....------...........----• Dimensions of Building-..-----•-----------------•------_----.Dimensions of Lot---..-.----•-.--------•---...............-------..-•.---Size of Footin ga -----......-•----•--------•-•-------• 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---•------------•--......................... „ FE.ORlQA SSAjE REGtSTRA~'lON # ~d ~'~'~ This rectangle is to represent the lot. Locate the building or buildings in the y~~ ~s~/a J~ right position. Give distance in feet from ~! ~'""~ / all lot-lines and existing buildings. Two copies of plane and. apecifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour column and/or lintel. 8. When steel is in place and ready to pour beam. 4. When framing fa completed. 5. When rough plumbing is completed, and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection, re-inspection MUST be called for after corrections are made. REAR LOT LINE O n ~~f (~ ,~~~ !bx 3~ ~ . ;, ,~. ~ ~nvS~ ~ FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plena and apecifications, 'ch are a part hereof, and in accordance with the building regulations of the City , pf tlan ' B ch. , ,, ~~~ , ~ ,~ / Signature of Builder - - --,.'. Z~=~k,[C~=s~,,.'.~=J drese....f..o©~~ ~:~ ~ ~ Signature of Owner... - - • ~,(~ - •- - . --.. ....__ Addrese....~~ .,0 `.........~IS~~~..~~2.5~_~l{'.~...~,/T ~L,r¢ , CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD -ATLANTIC BEACH, FL 32233 -TEL: 247-5826 -FAX: 247-5$77 _- ____ __-_PERM~T INF4RMATfON - Permit Number: 22832 Permit Type: REMODELING Class of Wank: NEW Proposed Use: SINGLE FAMILY Square Feet: Est. Value: Improv. Cost: 40,000.00 Date Issued: 10/11!2001 Total Fees: 455.00 Amount Paid: 455.00 Date Paid: 10/11/2001 Work Desc: INTERIOR RENOVAT _ _ LOC~ttiC1t11 tNFUF2MATtO[1t -- _ _ ___ Address: 380 ELEVENTH STREET ATLANTIC BEACH, FL 32233 Township: Range: Book:5 Lot(s): 37 Block: l3 Section: Subdivision: ATLANTIC BEACH Parcel Number: ______~___01NidER INFO~MATIQN_ ___ ____ ---- Name: WOODS, THOMAS C. Address: 380 11TH STREET ATLANTIC BEACH, FL 32233 Phon~:_ (Q00)000-0000 _ _ -- - T CONTRACTOR~S~ ` ~ . ~ _ ~"~_~~-~~'`~~I~~ATtON t=~ES_ --- --_ RTY OWNER PERMIT 315.004; WATER IMPACT I~~EE 140.00 ... ,~ ., COVER UP INSULATION f.. , It _ - __ . _ :.,,FINAL. BUILDING ~ "~-_ _ _ -- ~_ I ._ ~. . .~ _ , ~ _ _ ---~-~ _ _ -- - _-- - - - - - -- _ _ I__ --- - -- -- - - _ ~< NOTICE - INSF'}=CTIONS~IIUST 13E REQUESTED AT LEAST 24 HOURS F?RIOR TO INSPECTION BUILDING MATERIAL, RUI381SH AND DEBRIS FROM THIS YVtJRK MUST NOT BE PLACED III PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OWNER ' -' ` .~ .. , FAILURE TO COMPLY WITH T~1E CQNST.~tUCTIC~N LIEN LA~t1! CAN RgSULT IN THE PROPERTY OWNER PAYING'Tft~ICE~ FOR $UILDI,NC' IIU(PROVEM~t~'~S"' - .x - - ISSUED ACCORDING TO APPROVED PLANS Wt~1~M-ARE.P-AR.T~4F~IiS~PERMIT AND SUBJECT TO REVOCATION FOR~~'ATION OF APPLICABLE PROVISIONS OF LAW.. --.. r • r j ATLA BEAC BUILDI G DEPT. f31S.N 14 li/i?J91 ~l tttc~i~t: NIF7~p 7i _- _ N111N3ZZ19M N~~ ., ~. fi ` ~~' ~; '. ~; a~ ': ,.~ ~, T Addres CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET ~ ~Q / C ~ ..~~. </~TF~io2 ~~E~ov~Tln~ Date /~ "~ ~ ` ~_/ Heated Square Footage ~@ $ per sq ft = $ Garage/Shed ~@ S per sq ft = $ Carport/Porch ~ ~` @ $ per sq ft = S Deck V @ $ per sq = ft $ ~ ~ O Patio @ '~ $ per sq ft = $ TOTAL VALUATION: ~0 ~7© _ Tota Valuation ~ ©~$C) Remai ing Value ist s_. ao ~ $~ ;® per thousand or portion thereof S O $ %, S 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 $ d- ~ ~ $ / C9 ~ $ U $ 3 ~ .~~ S /'~/~ ADDITIONAL PERMITS OR FEES: Mechanical .Plumbing Electric/New Electric/Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: $ y~5 t CITY C(F AZZANI'~C HEACH 716 OCEAN HOL'ZEV~ ATIAN~IC BEACH, FLC7RIOA ADDIIIE~]M ~ BULL.DING PIAN 1. Building la..,~ationc 3g© ~ ~~' ~ee~C, ;r , ~~..Q.e.... 2. The attached plan for the above building is approved subject to meeting the following applicable construciton roquirements: a. Footings shall be continuous monolithic concrete under exterior walls, reinforced with two S/8" deformed reinforcing rods for one-story buildings and three 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods shall be pl-aced ~. the lam' ar~e--third of the footings, properly placed and fastened an metal cables with wire. Footings .shall be six inches wider on each side than the wall above, shall be at least eight inches thick and shall rest on fi.nm soil at least twelve inches below undisturbed soil. b. In hollow masonry unit oonstructicn, each unit cell shall be reinforced with at least on No. 4 bar at all corners, poured and tamped with concrete; such rein- forcing shall be properly tied into -the foot; ng and spandral been. c. All wood truss rafters (roof construciton) , sha11 be securely fastened3 to the exterior walls with approved hurricane anchors or clips. d. Constriction pf nearby one-family dv,~llings, which are dug~Licates or intensely similar, shall be avoided. Such. similarity considers the external configuration and appearance (i.e., roof, outer wall materials, window size and design, and other like characteristics) of structures. IYi- accord with the foregoing, similar or duplicate banes sha11 not be constructed within close proximity of each other, and sha11 be at least 500 feet apart~if any one similar dwelling is visible fran any other similar dwelling. e. The final connection bettiaeen the house plumbing drain and the sewer service connection (at the property line) imist be inspected Fly the City before being covered. . City Manager The undersigned hereby certifies that he has read the above and understands that this addendum takes precedence over any contiaxy details to the plans and specifications and agrees to Damply with the intent of this addendum. Contractor/ er Z, 2 / ~1 D ~ - -,, , 1 ~is~1 CITY OF ATLANTIC BEACH "`"" PERMIT APPLICATION REMODEL, ADDITIONS, tit`iyLo~~T~i~~~, ~eaca MOVING, DEMOLITIONS ~ ,.,r,;r r~ ~~ ink ~:.: a.',.:ri.J U~l /' r ~ ~ 9~._1~ Owner(s) ~~" Job Address.~u~ ~~ Phone 03- 3 533 Lot # 3?d~ YZ l3 Block or Unit # / 3 Subdivision Contractor se-/ - State License # N ~ Address 3~ I~ St~xx~+ Phone 703' 3S'33 City t (a. n fit ~e~-c.~ State ~~- Zip 313 3 Describe work to be done m~~ 3 ~'~ oZ Q Valuation of Proposed Con Is this an addition? ~ If yes, what are dimensions of the added space: ft. x Will the added area be heated and cooled? eS New electrical (or increase) New plumbing fixtures? New fireplace? /l/O New Heat/AC? SUBMIT THREE (COMME CIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature of OWNER Date: ~ ~ ~J it ~' ~,l - W~ Date ~ o~b0 Signature of CONTRACTOR STATE OF FL IDA COUNTY O _ , Sworn to (or affirmed) and subscribed before me this ~_ day , 2 AS TO OWNER: Notary's Sign ^ ~-Personally known ^ Produced Identification Type of identification produced _._.__. *: ~~ S' MY CC~MMISS~jpN # ~ 947012 EXPIRES ~`' August 17, 1004 __~ ~~~-"- Swom to (or affirm S d subsR~lrumaeeip~US ~_ d , 20 _x __~.._. ~, AS TO CONTRACTOR: Notary's Si Personally known '~~ ^ Produced Identification " MYCOtNM~ON #~ ~~~ ~ ~ CC9470t1 EXpl~~pe of identification produced ,~ b ~gwst 27, ?Op4 raso TMw tROyfan~~~~ WATER IMPACT FEE WORK SHEET r< ADDRESS: ~~d /~~ ~~`- ~~NT~2ia/t ~/`No~Ff-T/~~ FIXTURE TYPE DRAINAGE FIXTURE UNIT VALUE AS LOAD FIXTURES - UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, bidet, and pathtub or shower 6 ~ ,o (D Bathtub (With or without overhead shower or whirlpool attachments) ~ 2 Bidet 2 Combination sink and tra 2 Dental lavato 1 Dishwashin machine, domestic 2 Drinking fountain 1/2 Floor drains 2 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laund tra 1 or 2 com artments 2 Lavatory 1 Shower compartment, domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink circular or multi le each set of faucets 2 Water closet, flushometer tank, ublic or rivate 4 Water closet, rivate installation 4 Water closet,. public installation 6 TOTAL NUMBER OF UNITS = MULTIPLIED x 20 TOTAL $ ~ 7 0 Hook 1016? Rage 1443- 5 AA1N. RETURN ~ o0 46~2~ PHONE # '03'" '~~ :~t.oii Pa e: 1443 Filed d Recorded NOTICE OF COMMENCEME~~14~l~0~041 11:28:47 f~l CLERK CIRCUIT G~2T DUwIL Cr~ITY TRUST FUND ~ 1.00 t~~~ TO WHOM lT N(AY CONCERN: RECORDING s 5.00 The undersigned hereby informs all canc~med that improvements will be made to certain real property, and in accordant:. with Section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF CONI~IENCEivIEi`1T. Description a Pro erty S~ `°"^"'~'~ f~1dYU-~'~ ` escription of Improvements Owner Address: Owners interest in site of improvements: ~E~ Srn~ 1`~ Fee Simple Title Holder (if other than owner) IVama Address Contractor Address Surety (if any) ~~lA' ' Address Amount of Hand $ Name of person within the State of Fiarida designated by owner upon whom-notices or other documents may be served: Name ~~- Address In addition to himself, owner designates the following person to receive a copy of the ~eino~s Natica as provided in Section 713.13(1)(F), Florida Statutes. (Fi11 iri at Owner's option). Name /U ~' Address: n Owner Swam to and subscribed before me this ~ _..-_~av of Notary Public 1O ©W ~.! ~- W~ ,~i ~~~: cc4~ro~z acv~s ~--~ ,K- z~, zoo I .A-- -~ __ ' _~ ..~,..~..o,rF~wrw+awce~we V CITY OF ~t~cttc beam - ~~CVU,'da 844 B.E.'~1'u iOI.~u ROAD ATLAN'IZC BEACH, FLORIDA 32233-5445 TELEPI30NE (304) 247-5844 FAX (904) 247805 SUNCOM 852-5,844 CIiAPT'ER 489, FLORIDA STATUTES. PART I °CONSTRUCTION CONTRACTING' REpUlRES OWNER/BUILDER TD ACKNOWLEDGE THE LJ-W: DISCLOSURE STATEMENT FOR SEC'nON 469. 103(71, FLORttDA STATUTES: SPATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRAC:PORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OP YOUR PROPERTY, TO ACT AS TOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE_40NSTRUCTON 70URSELf°. 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.CO OR LPSS. THe BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. K MAY NOT BE BUILT POR SALE OR LEASE. IF 70U SELL OR L • SE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLLrS'E. THE LAW W{LL PRESUME THAT YOU BUILT R FOR SALE OR LEASE, WHICH IS IN VIOLATION OF Tri13 l',~MPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS TOUR CONTRACTOR. YOUR CONSTRUCTION MUST HE DONE ACCORDING TO THE BUILDING CODES AND TONING REGULATIONS. tT tS YOUR RESPONSIOIUTY TO MAKE SURE THI1T PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE lAW AND BY COUNTY OR MUNICIPAL L~„CENSING ORDINANCES. QRDINANCL~S ALSO ALLOW ~M! QWNER TO 1MPROYE THEIR 4WfV PROPERTY WHEN !T IS lrOR PERSONAL OR FAMILY USE, AND UKENhSE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER /1 BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. 73iE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY MERE UNUCEIVSED WORKERS PROVIDED SUCH WORKERS BE UNDER °DIRECT SUPERVfS10N OP THE OWNER, WHO MUST BE ON THE JOD AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. ° T)~/s DOES NOT ALLOW USE OF UNLICENSED CONTRAG'TORS. SINCE OWNERS MAY BE LIA8L3• FOR INJURIES TO WORKERS THEY MIRE, THE BUILDING DEPARTMENT' SUGGESTS WORKERS COMPENSATION INSURMICE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE' POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WEORi~RS BECOME EMPLOYERS AND 3H6ULD A ~~ OBSERVE IRS WTTHMOLDINO TAX APIDIOR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT HE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO 5,000 Pl:NAL.TY UNDER FLORIDA STATt1TIE N4, 455-228(1). AN °OCCUPATONAI~LIGENSE° IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY °CERTIFICATE OR COMPisTENCY° OR THE FLORIDA °CONTRACTORS CER/IPiGATE° TO ASCERTAIN IF A PERSON 1S A LICENSED CONTRACTOR. T7:'LEPHONE THE BUILDING DEPARTMENT 1Z47~ 5826) IP IN DOUttST. I HERCHY ACKNOWLEDGE THAT 1 HAVE READ THE At90VE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER'BWLDER PERMIT. ~,/ ~.. ~ PROP OWNER/BUILDER ~~ •3533 ADDRESS ~---....- TELEPHONE / -~ ~, d SWORN TO AND SUBSCRIBED BEFORE 'ME THIS ( AY O ~ t 9 __ Pa ' on _...._ NOTARY PUBLIC ' NO'iE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: * MVCOMMISSION# CC947012 EXPIRES August 27, 2004 ARE EMPHA5IZED 97 THE BUILDING BONOEOIHRUTROYFAINNSIIRANCE.INI: DEPARTMENT. CITY OF ATLANTIC BEACH DEPARTMENT QF BUILDING 80Q SEMINOLE ROAD -ATLANTIC BEACH, FL 32233 -TEL: 247-5826 -FAX: 247877 _ PERl~AIT aNi=OftMAT10N ---_ - - - Permit Number: 22478 Pennit Type: DEMOLITION Class of Work; ALTERATION Proposed Use: SINGLE FAMILY. Square Feet: Est. Value: Improv. Cost: 2,500.00 Date Issued: 8/10/2001 Total Fees: 100.00 Amount Paid: 100.00 Date Paid: 8/10!2001 _ _ _ _ _ LOCAT10111 IN_F_ORMATION ____ _ _ _ - - Address: 380 ELEVENTH STREET ATLANTIC BEACH, FL 32233 Township: Range: Book:5 Lot{s}:37 Block: 13 Section: Subdivision: ATLANTIC BEACH Parcel Number: ___ _ ~ _ OWNER INFORMATION _ ___ Name:-- WC)ODS, THQMAS G __- __ __ _~ Address: 380 11TH STREET ATLANTIC BEACH, FL 32233 Phone: (000)000-0000 ~, - - - CONTRACTOR~Sj -_t_~~~ -~- ~~ -- APPt_tCATtON FEES_._,_~_~ _. DEAN RUSSELL G4NSTRUCTIQN CQ~- - ~ ~ ; PERMIT ~-~-._ - ~~: +` .. ~, t ,' ~ ~ -0 ' -- ._ _ ... ,~ r w~, ~~. _ . _ _ ~ w _ _ _ - ,. .,.. _.. _.-' -~---.. ., - - ~ _ NOTICE- Ifi+!'S~EG~S~ST~B>`_ REQUESTED Art` LEAST 24~ HOURS FRIOl~~TQ INSPf$CTION _ _ , .. ~ T._._. .~. ~___ -- --- BUILDING MATERI~.; RUBBISI~ ,_,~DEBRIS FI~~11`t-1iSK~OR!<;AA4~ST~~iOT..BE,P'L.~'CED 1N Ptr~LIG SPACE, AND MUST BE CLEARED ? ANQ H~~~~;A~FfAY BY-Et`f#~iER.GONTRACTOR OR O_ - - '~ "FAILURE TQ COMR ,~t`11Vl1'H .d . C~~V$T~~'t~~ BEN LA N I~~SLiL1N THE PROPERTY OWNER ' ~j!!NG- ~ R ;plNG IMl~ .: NTS`' ~~ ISSUED ACCORDING TO APPR ~~ D P~ W R T'3FtiI P SID SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE S ~~ ` .: _:.. A BUILDING DEPT. ~~~ie~ 81 Reeeip~l~ 9936 FROM :UEAN RUSSELL CONSTRUCTION FAX N0. :1 904 2412028 Aug. 08 2001 02:47PM P2 ~„ AUs 07 Q1 D1:~3p Dui.ldin~ Dep~~t~en! 904-217-6806 p,l ~~" ~~ ~ w i+as W ~~ c,;.,.. CITY vF AT~ANTic ar~ACM ~;~.,~ 1 ~ ~OOI PERMIT' APPI.iCAT1ON REMOO ORALTERATIQNS, MOVI O41T1ONS City of A~lan:iC ~~~~iT _ ~:~9~int? art~~ 7~anin Owner(sl ~U'~'t~S ~- L err JobAddreas 3`~~ /~ ~ S-t- p~ lot # ~~ 6toCk or Unit # ~ 3 ^ Subdivision ' Contractor Cat h ~uJ1 c!/ Can,r~r4~,5~ State License ~ C BC Addresa~_ /S3' /Fv~ ~'. -Phone oZ ~1/ 333y City ~x t~~ R~ s__~__ State ~L Zp •Z~. 5.--~._- Describe work t0 be done _~P,rr~ar.•r ~~if ~._ b~ t0arn .c r,/i-, a vt ek //~.S-s Present use of building .I r'~s (P ~~~. /y ~ ~J~"j~(,(J valua0on of Proposed Construction ~ Od• _____ Proposed use is this an addition? r__„,__-~ !f Yea. what are the dimenslpns of the added apace: n. x R. 1MI1 tha added area be heated and coded? New electrical for increoee) _ _ 4~ New plumbing fixtures? --- New fireplace? -- - . New Heat/AC? ~ . Stl9rvtt" THREE (GOMMERCIAL> TWO (R>vStbENTtAI.) COMPLETE SETS OF PI,j1N$,S INCLUOtNG SITE PLAN, SURVt?Y, ENERGY CODE FORMS, NOTIC>= OF COMMENCEMENT, ANQ OWNER' CONTRACTOR AF=(DAVIT:.F VNER .S RACT - Signature of OWNER-~' - Date: ~/~/~-'/ Signaturo of CONTRACTOR ~~'r"~' ----r_ _.-._ Date S ®~ __,__~_._. ~~ 'Te~~S srAT~ oF~l~rcr~.--. couNTY of 1 rU.u 45 Sworn to for affirmed) and subscribed before me this ~_ day of ~ J s AS TO OWNER: NOtiwt/s Signature 2o~r~" Pie?, HEATH J. PRATT 0 Personauy known =k±~ *" Notary Pubic, State of Texas /~ Producad IdontlAcation s~ •., ~~ .g My Correnission Expires ~~°4%;~ °~~',~'~r MAY 10, 2004 Type of iderrtiitcation produced ~° ~-+ 5wom to (or atfinnod) and subscxibed before me this day of 20d l AS TO CONTRACTOR: NotB/ry's Signature , ~~ p~j Cam' Personally known .~P 01 6~VE~Ma.Y t..3 ~t~~1i~t~! p 1, G Produced ldantdication ~ nCOMMtSSiON # C.C,747884 g. EXPIRES JUN 03.20U2 Type o/ identification produced ~~~~OFF~~~ ~wv~Nrr~yo~RatcDA _w.~.- 38415th Avenue South Jacksonville Beach, FL 32250 ~~~ ~~~~ ~~..~. Construct~+~n tom n Dean Russell, President CBC 010610 Once: (904) 241-3334 Fax: 241-2028 August 10, 2001 Don Ford Atlantic Beach Building Department Re: 380 11~' Street Dear Don Ford: We are in the process of developing plans and specification to remodel the house addressed above. We would like to start with the demolition process to meet the clients time requirements to move in. We will be demolishing a bathroom, and removing and relocating some interior non-bearing walls. The building plans to be submitted will detail the existing layout and the walls to be added. Thank you for your help. Sincerely, D~;SG~-w ~~li'~~e~G Dean Russell President t ~~~ T (u~ .iL~ G ~j,C a G _riH'9 ~.--- 12'4 ~: GITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD -ATLANTIC BEACH, FL 32233 -TEL: 247-5825 -FAX: 247-5877 __ _- --PERMIT fNFORMATION LOCATION INFORMATION _~___ Permit.Number: 22612 _ ______ , _ Address: 380 ELEVENTH STREET Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: 5 Proposed Use: SINGLE FAMILY Lot(s):37 Block: 13 Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: - - ---- _ __ ~___~___ OWNER INFORMATION _ ___ __ __ _ Date Issued: 9/05/2001 Name: WOODS, THOMAS C. Total Fees: 47.00 Address: 380 11TH STREET Amount Paid: 47.00 ATLANTIC BEACH, FL 32233 Date Paid: 9/05/2001 Phone: (000)000-0000 _____ _ _ Work Desc: REPLACE SYSTEM '~ CONTRAGTOR(S? __ __ _ __.__`__ ,___ _ APPUCATION_FEES __ AIR SYSTEMS __-- PERMIT 47.00 -- r ~___ - _--_ _ - ---- - ____Ins~ctiorts Required_ _ _ __- _ -_-' -- - -- - -- i FINAL 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. ~~ (47.88 14 ATLANTIC BEACH BUILDING DEPT. D~~ 9185/81 81 Receipts X15 ~nea~ pCipYpp9•J~18W aa.vav CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic. Beach, FL 32233 -Tel: 247-5826 -Fax: 247-5877 PLUMBING PERMIT P RMIT INFORMAT{ N LOCATION INFORMATION Permit Number 22603 Address: 380 ELEVENTH STREET Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: 5 Proposed Use: SINGLE FAMILY Lot(s): 37 Block: 13 Section: Square Feet: Subdivision: ATLANTIC BEACH Est: Value: Parcel Number: Cost: rov Im OWNER INFORMATION . p Date Issued: 8/31 /2001 Name: WOODS, THOMAS C. Total Fees: 46.50 Address: 380 11TH STREET Amount Paid: 46.50 ATLANTIC BEACH, FL 32233 Date Paid: 8/31/2001 Phone: 000 000-0000 - ~~- Work Desc: INSTALL PLUMBING ~ _ APPLICATION FEES ~.~"~ CQNTRACTOR S .,, FAIR PLUMBING CO. ~P(=RM1T ~ '~ ~. 46..50 W F ° . . ^, „~~ - - _ . , ~-~ - i ,~ -~~~ 4 . ~~ ", ___ W ,;b 4' ~ •• hF f.. ~ by Fem.... ~ i ~,• ~. I}~ ter' 1 A • 'Y . Jw 1 ~, ~ ~. ~"~~,; t ~ $ mss'.` ` ~ --~~ T ~rt UNDER SLAB ~L; MBIN _;~ - FINAL ~,.~A '~'~ ;,, - ~. k , - ,~, . y, - • ~ ~ . ' ~ ~, ~ ~r~~~ ~. ~"'- es NOTICE - I PECTIO~I ^~T B~ REtAT l~AST.2~ H~JU,RS `POR TO 1, PECTION BUILDING MATERIA ; _ RUBB1SFt;~ND DEBRIS FRON4-THIS WORK MUST T BE la ED IN PUBLIC R OR OWNER T C : RA SPACE, AND MUST C~.EAREf~ ~ _AND HAt~I~1~WAY BY EITH O~I "FAILURE. TO COMPLY ' T ' f~ LT IN THE PROPERTY OWNER PAYI ~ :. lC FO L.I1.. 1 P ;O ' ... ISSUED ACCORDING TO APPROVED P AI11"~F ERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS r f 146.56 14 ATLANTIC BEACH BUILDING DEPT. pig= a/31/61 Hl Receipt= ~~'1 661YBA632Z1666 CITY OF ATLANTIC BEACH rrA~~PPLICA,TflION ,~F1OR PLUMBTNG PERMIT JOB LOCATION: ~~JC.F ~I-~1 OWNER OF PROPERTY : ~,~A~ C~t,~~: ~~~s_._. PLUMBING CONTRACTOR _~~~ ) -f.~'~~.. CONTRACTOR ` S ADDRESS : - 4'• ~- ~ ~ ~ 'J STATE LICENSE NUMBER: ~ ~ ~~ ~ ~'.J~~~~ TELEPHONE: -~` ~" HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS .~ LAVATORY ~ BATH TUBS URINALS vZ CLOSETS FLOOR DRAINS SHOWERS j WATER HEATERS DISHWASHERS DISPOSALS WASHING MACHINE 1 SHOWER PANS OTHER TOTAL FIXTURES : ~, x $3.50 + $15.00 `~)~ `"' ~ MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: S I GNATU~tE OF CONTRA INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBTNG 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 CITY OF ATLANTIC BEACH FLORIDA No. 3460 When Validated, This Becomes an Official Receipt. ~~ ~.3 NAME ~ / / C-- ADDRESS ~ ~ ~ ` ° ' ~~~ CITY .~~, ~~~"^" ~ ,~ ~ d ~D l~~' >~: >E~~i r>< ~~ 20 °~ ~u `~~ :~~.~ ~~ ttecef~t: ~~><~ tP~NBb :igtg:-~A iff 28~~S~9t :~iG ~tF5E89~9tA9 ,M DEPARTMENT OF BUILDING FOR OFFICE USE ONLY' CITY 4F ATLANTIC BEACH, FLORIDA bate "'~~ 19~7f Permit # Fee 8 3 , Application for Permit for valuation S ~ 7- Miscellaneous Alterations, HOUSE`# a and Repairs 9_ ?j .~_ DESCRIBE • ~ j ~ ~-C.-('_~ ..,5~ ~ ~-x-~~.~ ~Zc.dGX-v {State if to repel=, alter, add to or move building, erect a~.ngs, signs, etc.) Building on• Lot No. ~ X13 Blk No. ~~ Sub.Div.~~~' Address Valuation ~ r'Z ~3 ~~ ~L ~''~ Owner ~ s Name - BUILDINGS AND OCCUPANCY ....Budding Use ~' Residential or Business What Plumbing woxk to be done? Size of Fresent Bldg. Size of Ex ensign Lot Size E{a, of_atQries now after altered Material of roof Material of .Present Building Material of Extension NECESSARY PLANS TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE E4UIPMENT N::.me of Oil- Burner or Gasoline Pump Type or Model ~sar.~ ar_d Rddress of Manufacturer w n +~c.wzection herewith, application is also made t~ install': ~°`.~ c~ir~acwty tank(s) made by of ~c arse metal ,• -~~.,,;rs ; ground. (Name of Manufacturer) rUrG•~>. ox ~~.bave} ~~ ~,t'j'~Er rr Above of building. For ~;, ~, ~> s~ a ©r u s a ame o c asst. i FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS S~~e Classification (State whet er groun r oo wa , pro ec ltlg, annerj` I~~terial ©f'Canstruction IIZ~,xrar_ated? Type of illumination a e e er amps or eon Wi?_3. sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION Off' SIGN METHOD 4F HANGING WRITE ADDITI(~&j+~1TION UW (F®r canvas awn de di awin o reverse side) ~~~~o ~ ~ IMPORTANT NOTICE: °Tn consideration of permit given for doing the`work as described in he above statement, we hereby. agree to perform skid woxk in acco!-dance with the attached plans and specifications, which are a part hereof, and in 8ccordance with the building regulations of the City of Atlantic Beach. (Southern Standard Building Code). , Signature of Bui , er or Owner ~~~-k•- j-~ ~~~~•G~.~-- Addres~` ~ ~ ~~-~- ~~ Phone No. 3 ? M ++~.+4 r...~ ., ~_ ~:H CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 04-00029008 Date 9/15/04 Property Address 380 11TH ST Tenant nbr, name REPLACE DAMAGED SHINGLES Application description ROOF Property Zoning TO BE UPDATED Application valuation 5740 Owner Contractor ------------------------ ------------------------ WOOD, FAY ROMANO ROOFING SERVICES P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-3347 (904) 246-5&49 ---------------------------------------------------------------------------- Permit ROOF PERMIT . Additional desc . Permit Fee 90.00 Plan Check Fee .00 Issue Date Valuation 5740 Fee summary ----------------- Permit Fee Total Plan Check Total Grand Total Charged Paid ---------- ---------- 90.00 90.00 .00 .00 90.00 90.00 Credited Due ---------- ---------- .00 .00 .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. • B IC ~~ , ~~ ~~44 ti-sj~~.- alJ . ~J" :. ~, t,,- sib J ~~~ Job Address Owner of Property: Address: ~ ~ _~ 3 ~,~ Contractor: i/C~ o n/ 'e~PV~C-PS State License Number: ~G-CpS'd"~ (c~ Contractor's Address: ~d Le/ } .,S'']'2c° z_T /~r~.Ai/TiC _~ e~ , ~/ 3~ ~ 3~ Telephone: 9Q 1/ - °.~ 4~1o Sao ~•5~ Fax: ~p ~,/~~ ~,/~ °/ Scope of Work: Deck Slope: ,~- Z-- Greater than 2:12 Less than 2:12 Valuation of work. ~ 'y~ y Product Name (Example: Timbe Manufacturer (Example: GAF): ASTM Designation(s): _~/l~ Required Inspections: Sheathing and Final rr,A, Signature of Owner: Date: vl ~ 7 - d Signature of Contractor: Date: ~ • ~ -lJ AS TO OWNER: Sworn to and subscribed before me this ~ day of `d~~~ , 20~____~,. State of Florida, County of Duval ~ ~ Notary's Signature: ~G~ ~ V ,~~ ~~w.r-a,~GypR4A1.CASTERLINE-McLAUGHLi, (] Personally known ~ MY CONIM-SSION # CC 976739 ~roduced identification _ ;ale EXPIRES: °e~'"~r s' 2004 Type of identification produced ~ ~ ~ -' ~~3 `~~ -~c~/ ' z7 AS TO CONTRACTOR: Page 1 Sworn to and subscribed before me this ~ day of•_~ , 20~. State of Florida, County of Duval • ~=~~ ~~ ~ , Notary's Signature: ~'~ ' [~I'ersonally known ~~~'~p~¢£,GLORIAJ.CA51ERL1NE-McLAUGHLi~;: ^ Produced identification ~ ~! MY WMM-SSION # CC976739 ~ Type of identification produced ~~Oi ~0~ EXPIRES: llecember 8, 2004 .,Toffy P( ni-{, _.., .-~., .., _~. 800 Seminole Road • Atlantic Seach, Florida 32233-5445 Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us o-., . _.. CITY OF ATLANTIC BEACH'; ROOFING PERMIT APPLICATI ~ ~~ ~ . Date: ~~~~'~.~. Revised 2121!03