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Permits Folder 1163 Beach Ave (vault)~~53 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR E4ECTRICAL PERMIT TO 7HE CHIEF ELECTRICAL INSPECTOR: DATE: ''" 19L;.1~ IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK (N ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND (N ACCORDANCE WITH-7HE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ,/,/~ _ ~~"~ BILL THOMPSON ELECTRIC CO., INC, / /~l ~j ATLANTIC BEACH. FLQ32o33--015f~ j~/~~ ' ~~~^"'° ~~ `' ~~~~~~ ~~,~, /~ NAMES ~~~' `-~~G:~~ ~~~"I~ r ADDRESS: ~(~r ~ ;-_j~~~~~~~~" RFD SOX BLDG. SIZE RES. APT. ( ) COMM. ( ) ADDITION ( ) TRAILER ( ! BETWEEN: PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ( ) REW,,.(~}- TEMP. ( ) SIGNS ( ) SO. FT SERVICE: NEW ( ) INCREASE ( ) .~~•-~e~. n.•s~ AIU{DC REPAIR ( ) Cf1PPFR ( 1 ALllM_ f FEE SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE pAMPS PH OLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS ~ CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O•JO AMPB. ,1.100 AMPB. sw~TCH>_s INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMP8. OVER APP~tANCes BELL TRANSF. AlR H.P. RATING CONDITIONING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEIL HEAT: KWHEAT MOTORS 0.1 H.P. VOLTAGE PHS NO. OVER ~ H•P• VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 680 V. OVER 600 V. NO NEON TRANSF. EACH 31QN NV. ~ vta. mr~. _ . n..........-• INCANDESCENT LAMPS TIME SWITCH FLUORESCENT LAMPS DISCONNECT NUMBER SIGNS RECONNECT NUMBER SIGNS MISCELLANEOUS WELDERS:; ' " TRANSFORMER TYPE NO. PRI. AMPS PHS NO. PR1. AMPS PHS iV1G MOTOR NO. H.P. VOLT PHS AMP GENERATOR NO. K.W. VOLT AMPS TRANSFORMERS: UNDER 600 V. OVER 600 V •' NO. KVA NO. KVA _.~ F ORWARD UTILITIES: .CITY ( 1 FLA. LIGHT & POWER ( ) .CLAY COOP. ( 1 ~''~ ~s-'~'•{' ' •' REA ( 1 OKEFENOKEE ( 1 OTHER ( 1 WORK~BEING DONE FOR '' - ~ ~ ADDRESS OWNER =AGENT'- GENERAL CONTRACTOR r~}•Y.i1/si Y4: ~~: S_ ~ !~ .:a.+ ~ L:a• S ~ S S :c'• . ' i .,i ild'i... 4f.~;. . {~ :-. .. ... :~ ~ ! ~ , ~ ,. r•! ~~:.-- Avg NUE - ~ ~ Pu B AtCt ~~v~AVS M/S ~T B ~ ~a~' wsvrl _ li - ~„y~ ~" 11~# w ` i ~` i p {R~ ~ ~ 4" OO J •o ~ x 1 1 1 ~6 ~~ dz~l~,, w. o a O' 1 ~, 1 11 y+~ 4 t~ ~ ~` +' 65 Q ~~~ t 1 ~ ~, TW SM E ~~ 11 ~ 1 v tiA • 1 ~ ~~,,~ ?D ~. , A 1 a „~* t ~.wr 11. 'A ~ '` r ~ .y ~~ ~ Z 1 w ~p.t r: „ti ~ ~'. ~ _~ ~ ~~ Rt 1 ~~ ~ 1 _ ~' T ~ t < ~ ; ~ W ~ • } t` 0 ~ _ •~ A- ~ S3- N pN70p~wo~~° ~ ''Oip - m ~ (~ p R 40 nt vouA'+axDn '~i cc `' i £ o v ~ ~. N Y2 ~~rZ ~rq 91 i~~ W T ': ~iA ~ < '~{ O Mo or v,~-' d. v a ~A c ~v i "` `1~,j` ti ' acjFA O°; ~ ip ,Ip s t i .: `m~~A AO OO YO a f~~ •~A •i. r 1' f1 xAh<?~a~,aA s "' N o o w3 M 1t.w ~ ~ A Or~iZrUvm~ a' ~ o,oV m+ e w - DOA~nD yt ~ N Y~ 'oi ~O U~ V AADACP` y4" • _ r ~ lT ' ~ 2 9 ~y ~ •~ aO ~ t ~ -1 ORCh` o Z p V • ~ A 4 GtOVERE~ P ,~ w 1, a ~ o. s 3 a A - . a + wsars . ` m ~ '`N Ofd ay 111 N• ~ N p b ~ -J ~ !~ N "t D ~y O i fi ~" ZiD ~ ~' ~~: ~24~ tw' .. . '~ ''... Z y ,~,,.i O 10. S ! m o ~ ao o, , .......... 1 ~ ...... .~ a- ~ _ N ~. No 11 6 .................. .~ :... _ .........._.., _ tea ; gT ORS i • { N~ ,x ~ F$'pENC~ 1'. 1, ~.. 4 __r~-QOO ioi ~ '~ -~ v 0 w ' o W _ O_ l i. w' o ... r a a'1 ~ '_ . _.... o .. i0W- ,Y FR pM6 O O V~• ~`! ~ t O~ E ~Uc / n~ i ~ td .~~ • , • CITY OF ATLANTIS BEACH, Fl*4RtaA ~ . ~ ~.«~•r••w APPLICATION MOR ~L'lCTRICAL P~RNtIT TO THE CHIEF E4ECTRICAI. INfrPECTOR: OATE:' ~ 1~,,;Q~ II~APOMTANT NOTICE: ~ ~ _ ... . IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE.,~1dRK AS ~ C,ESC IB 0, . N Tilt: TOI.LOWING; • E HEREBY AGREE TO PERFORM SAID WORK fN ACCORDANCE WITH THE,ATTACHE~ P~S;AND SPE~161C11TlO~S: WHICH ARE A PART, HEREOF, ANQ IN'ACCORWINCE WITM'TME E1J;CTRIGAL REGULATIONS; COOES ANO cITY of ATLANTIC BEACH t~RptNANCES. - • • ~ v .r r , ~ 1 M: NAME ~ BLS a •.11~ ,(~j~,~ . B40ii• piE ~ .. - fifTWEEN: _.. ... _ .. - _ ... ... _ ~ . ,. ::... ~ . AfA. t ~i/ir. t l Cc~L ! 1 -LIfI41C 1 1 INIiLIf.1 ~ NEW 1 1 OLD ~ yr; t . 1 _. , . A~OWTWN t 1 TRAILER t 1 TEM-.1 1 W4 1 ~ Ep; ~: ' .. .... _ tiERVICE: NEW~IMCREAfiE REPAIR ! 1 -FEE-~ .. . C~IdOIJL'TOR 112E ~Yt7J ~V~ c11~-pFw 1 1 .~ i~u % _ .._ l ~, ^~,a,-~ V . ~f - c - v ~,~/ R V. Z .AMPS - . PEEDERi NO. 812E NO: - 812E NO. SIZE- . ' _ _ LIGNTINO OiJTLETB CONCEALED OPEN ~ ~ ~ TOTAL • RECEPTACLES _. CONCEALED OPEN ~ _ . . TOTAL O•s0 AMq. ~ X1.100 AM1ti. .. •WITCMR• .. ~ • -lUOAESCENT i M. V.• •• IIXt~ oo Awry. ovs~ ""~~ wPta.lANGrs ~ .. - BELL' TRA,NSF. ' AIR l1.P. RATING N.P.,RATINO ODNOITIONINO COMP. MOTOR OTHER MOTOAt" AMPS EIL HEAT: KW-HEAT " . 1 ~'~ OVER • MOTOAS - H.P. VOLTAGE - PHS- ~NO. 1 M.P. ~ VOLTAGE PI{s• .. ~ - MtSCEtLANEO . TRANtFOR RS: UNDER 800 V. - • - --OVER 600 V. r NO. NEON TR/1NSF. Np. VA. AIA. MATOA i'i1tE ~11TCM F4ASHE i ~ t BUILDING AND ZONIN~- INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC F3EACH, FLORIDA 32233 t APPLICATION FOR MEC~IANICAL PERMIT CALL-IN NUMBER IMPORTANT -Applicant to complete all items in sections I, II, III, and IV. ' I. Street Address: Ll h~ R e_ a r h Air e ntt e i LOCATION OF In+ersec+ing Streets: Between 1 1 t h And 1 2 t h } BUILDING Sub-division 1 II. IDENTIFICATION - To be completed by all applicants . s fn tonsideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance j with the attacft„ed plans and specifications which area part hereof and in accordance with the City of Jacksonville ordinances and standards ~ of good.. practice listed therein. Name of Mechanical Contractors I Conhaetor (Print) Master i Name of i hopor+y Owner r j Siynatun of Owner Signature of ' or Authorised Agsn+ ~ Architect or Engineer 111. GENERAL INFORMATION ~` A' TYPe of heating fuel: B. 4; IS OTHER CONSTRUCTION BEING DONE ON ^ Electric THIS BUILDING OR SITE? NO }' I ^ Gat - ^ LP ^ Neturel ^ Central Utility i' IF YES, GIVE NUMBER OF CONSTRUCTION 1; ^ Oil PERMIT I h ^ Other -- Specify ( t IV. I+IIG'fl/li'lICAL EQUI~M6Nt TO IIE INSTALLED NATURE OF WORK P (-rovid• complete list of components on beck of this Toren) (~ Residential or ^ Commercial ~ ^ Heat ^ Spau ^ Recessed [~ Centel O floor ^ New Building ® Air Conditioning: ^ Room ®' Centel ~ Existing Building ~ Duct S stem: Material Thickn~ Y ^ Replacement of exlsting system ( 3 0 0 0 Maximum capacity c.f.m. ~ New Installation (No system previously Installed) (! (` ^ Extension or add-on to exlsting system I ^ Refrigeration I ^ Other -Specify 1 ^ Cooling tower. Capacity g•P•m• I, rinkler: Number of head+< ^ Fin s ~ p ^ Hevator ^ Msnlift ^ Escalator (number) THtS SPACE FOR OFFICE USE ONLY ^ .Gasoline pump+ (number) (Reeeiwd) ^ Tank (number) Remarks ^ LPG wnteineK (number) ^ Unfired pressure wssee , Permit Approved by Da+~ ^ ibilen ^ Other -Specify Permit Few I i l LIST ALL E@UIPMENT ' I AIR CONDITIONING AND REFRIGERATION EQUIPMENT I c,~y ~ i N»mber Unites Dercrlption 3[odel Number ][a>zufactuser 1 C/U TWX748 TRANE 1 C/U TWX742 TRANE 3 1 2 UL I { I tuca~rsNC _ t?i14NS(`FC R(IIiFRC_ FiRFPi.ACF.C notice of commencement i-wt-~wt iM ev~ue.+t, :he undersigned hereby informs you that Improvements sill be made to certain real propery, and :n accordance with section ; 13.13 of the Ffonda Statutes, the following Inlormatton Is stated in this NOTICE OF COMMlr*)CEMENT. Description ~t property _RV_~__~ _~b_~__ _~!eY~l~ _ General description of improvementa~EMO~~L-_~~~~4 __~ePl~l~_~~!~!__--_ Owner _J__(~.~Q---•=J~~.-~`.,.~-ra1f+~.7--~--~,~-',-~i----------------------------- Address j~l/_~---~~ _~/~%!WO .-- ~~~="~~~/ _!!CTr:_'3Y~'IT~_T_-!rl~~©~__~~ ~.~.73 Owner's interest in site of the improvement ______-___.________________________ ---------------------------- Fee Simple Title holder (it other than owner) __-____-___________________________ Name ------------------------------ -------------------- -- --------------------- Address -'-`--~---'j'~-~..~_j..,-A-.-~-y----__~_y-`--`-------- -_.-_-•-/-~---__.Q-~---~------------ Contractor 7N-~^v!C~!~!'!__ ~V!Y~V~~N. 4~-C!?"_~-~NC,..----.. ------. Address ,~.~!L_~__,<1_~4a~ __ ~~1! -- ~~~!h~f~'-•~~i~~Q~ _ ~~~0 Surety (it any? ----------------------------------- --------------____-----------___----------------------- Addre~~ ___---°--------------------------------..Amount of bond 1-------------- Name and addrtss of my person making s loan for the construction c -he improvements. Name -----------------___--------------•---------------- ----------------------------------------------- Address ------------------------------------------•-- --------------------------------------------------- Name of person within the Sute of Florida. other than himself, designated by owner upon whom notices or ocher docvmenn may be served: Name ----------------------------------------------------------------------------------------------------• Addreis ------------------------------------------------------------------------------------------------• In addition to himself, owner d+sirnates the tollowinK person to receive a copy of tha Lisnor's Notices u provided in Section 71J.Od [2] [b], Florida Statutes. (Fill in at Owner's option. Name -------------------------------------_--------------------------------------------------------------- Address ---------------------------------------------------------------------------------_--------------• TM1e ~-ACa /Oll 11aC011Dt11•• tJea ONLY ._..._-_.'-__---_---__..-..ChYtllT --_--' -_---___---- w r" y CITY OF ATL~-NTIC BEACH, FLORIDA ~•o~~,- AlPLIGTION !OR ELECTRICAL PERMIT ~~ v TO THE CHIEF ELECTRICAL INSPECTOR: ' DATE:. /L- a ~ - ~ 9~ IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE A?'I'ACNED PLANS AND SPEC;I•iCATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. NAME ~./t~~~~ ~ ~~ADDRESS:-~~~ -~ ~~ RFp BOX eLD0.81ZE BETWEEN: (V~~P.Gt~/ ~cr~ ~ .~-~ ~. RES.1 "r APT. t ) COMM.1 1 PUBLIC I ) INDUS. ( 1 NEW ( 1 OLD I ~--' REW. t 1 ADDITION t ! TRAILER ( TEMP.1 INCREASE ( 1 atuwa SIGNS ( 1 SD. FT. SERVICE: NEW ( 1 mweuc~rep s~zF REPAIR t~ ~ FEE r_nap~a i ~ e~ f1M ~ TCH O EXIST. SERV. SIZE sD AMPS / PH VOLT RA EWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O•>!O AMPi. ~ 1 • f 00 AMPS. sw+TCKEs INCANDESCENT FLUORESCENT & M. V. FIXED O•f00 AMP B. OVER APPLIANCES BELL TRANS F. AIR CONDITIONING H.P. RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEiL HEAT: KW-HEAT MOTORS H ai ... .P. ,, VQLTA~3E PHS ~ . NO. oval 1 N.P. VOLTAGE PHS ELLANEOUS TRANSFORMERS: UNDER 600 V. r- OVER 600 V. _ C Flz,,,~t S L I s r s ~ ~n~ t~ E 2 S ~" ~3 ~ A- ~ S ~ ,~"lrp2 ~F PP i/U ~ ~~ t L' ~O C{TY OF ~~,'l~ Office of Building Official REQUEST FOR INSPECTION ~ Date ~~ ~ ~ ~ ~ Permit No. ~~~~ ' Time ~ •, ~ ~ .M. Received Job Addre o ality Owner's ~,~j~ ~„~ ~i '~a~A ~~~%" Name _ ~f 5~/' `" ~ Contractor ~.~~/ BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL /~`°,(` Footing ^ Rough Wiring Cl Rough ^ Air Cond. & Re Roofing ^ Slab ^ Temp Pole. ^ Top Out ^ Heating Insulation ^ lintel ^ Final ^ Sewer p Fire Place C Pre Fab READY FOR INSPECTION , Tues. Wed. Thurs. Friday A.M. Inspection Made PM Inspector Final Inspection e~ fj ~ J Certificate of Occupancy C _- ~~l/n~CL ~~ Date -------- ` //C~~I~~TY~~O//F ~~~__ ~~~~~~ ri12~'~fi~T~L~ l3P.~Ciz- ~~liKfLLCs .Office of Building Official REQUEST FOR INSPECTION Date ~ ~LJ -~ Permit No Time A.M. Received P.M. ~ n /~ ~~~ `~D oC C Locality Owner's ~ ~ ~ ~ Contractor t~ ~ ~ ~, ~ ~ BUILDING ~ .i CONCRETE ELECTRICAL PLUMBING MECHANICAL ` g ~ g ;, Footin ~. R h Wirin oug g Rough Air on . & ^ C d ^ Re Roofing ^ SIa6 Li Temp Pole - Top Out ^ Heating Insulation iJ Untel ^ Flnal ~_ Sewer ^ Fire Place ~~ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P.M. _ A.M. inspectic^ Made _ _~ _.RM. =e,_,cr__ _ ~~ Final Inspection ^ Certificate of Occupancy =_ Date CITY OF .~-'' Office of Building Official /REQUEST FOR tNSpE~'tON Date ` ~, ~ / Time ~ Y~ ~~ ~~ Received _,__ _~__- ~' Permit No, .lob Addres v ~ Owner's Name ,, aGfy BU~LDlNG F CON BETE Contractor ~ ~~ i i~t~/ raming Re Rooting ~' ~ ° Q ELECT RICgL PU1MBiNG Insulation ~' 51ab lime( Rough Wiring P Pole Q MECFfgN-CgL ~ Fina Q Top Out ~ Sewer ~ Air Cond. & Q ~ Heating Mon. Tues. REA DY Fp}Z tNSPE CTtON ^ Fire Ptace G Pre Fab Wed. Inspection Made -- 3 ,., ~ ~ Thurs. A M Friday tnspector A.M. ' ~ P.M. Finai Inspection i=.; ` Certificate of Occupancy O Date -__ _._ _ ` CITY OF ~It~w>~'c 13er.~c~s - ~~as Office of Suilding Official REQUEST FOR INSPECTION a..s Qate __- Time ~ Recei~.~ed _ /l 0 ~ i Permit No. Job A r~ ss ~J T 1~ ~ /~ O''^'nar's J `~"7 r~~ f~~ ~_~~" Contracto . Na~'e E MECHANICAL ELECTRICAL PLUMBING Bk)ILDING CONCRET - Rough G Air Cond. & - Framing _ Rough Wiring r; Heating _ Tc Out Temp Pofe n Re Roofing _ Slab - Sewer _. Fire Place - Finaf tn;ulation ~ Lintel ~ Pre Fab _ READY FOR INSPECTION '~ Friday PIJ' \ Thur ~fon Tues. . Wed, . ~j P "l -spsctio^ Ntade - -- -- . pactlon F:n.31 1nS --~~~or -- Certificate of Occupancy C Da`s -----___---~__------ Date - Time Received .~ ~ll f ~ ~ - f ~~~`7 O Job Address ~~i-~~ U/ ~_G Namer s ~~~ ~~`~/ " - ~ -Contractor t BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing i~. Rough Wiring Rough (-1 Air Cond. & Re Rooting Slab - Temp Pflls_ _ Top Out ~' Heating Insulation Lintel _ Frnal Sewer Fire Place Pre Fab READY R INSPECTION ~~',1~ Mon. Tues. Wedgy Thurs. Friday _---_ - _-_ .`~,=.~.--~ A.M. Inspection Made c,7 // ~~ _ ~ ~ P.M. r~ f, ~ ~~i~~'~~~ Frnal fnspectio~ Inspector ~ G ~,J ~~""~~(( C~=ruficate of Occupancy nn ~~~~~~~~~~~~ /CITY OF /~,I ~_ ,,~~ Office of Building Official REQUEST FOR- INSPECTION ~~ ~ ~~ ~ ~.. Permit No. A.M, [into L/ ~ t~iUILDING AND ZONING INSPECTION DtV1SION _ ~. Z CITY OF ATLANTIC BEACH, FLORIDA. '_ ~i . o EIECTRIC~C.; PERMIT Q ~` ,... Date ~•~+~'~~'~" Fee E • ~~ Permit No. ~~. . ,,~; Location ~.~.~ ~ ~~~ °° _ G Between and a - - This9~gis to~}cer~t«i+f~y that -qg-f~r ~}y~r~{ ~tagt ~+y a ~~~~ ~ 1iv a~A.4.R~C~.c `~3i #J~~+d~Y7 W_ i (Electrical Contracror) (Muster Electrician) LL' has permission to install Electrical Construction as described herein in W _~ accordance with the provisions of the Electrical Code and regulations u - $ of the City of Jacksonville, and subject to the information shown on the = ~ application, drawings and specifications which are made a part of this 3 Y permit. t- for~.`I~C~i' '~. ~'f~t~~c _. Type of work: -f~~~* ~~ ~ ~° _ ~ _ .SERVICE:.. >~_;~ ~~~ ~~E3 s, ~•~~ J t ~ a ~ __ _ H ~" Feeders: _ W Outlets: O _ W Receptacles: U m Switches• ~ Incandescent: ~. ..Fluorescent:.. _ ~ _ _ Appliances: _ :, Air Conditioning: _ Motors: ~ . ` _ _ _. - Transformers: __ ,... Signs: -Miscellaneous: F IF NO WORK 1 U _ • ~ ,_ •,, p• THIS PERMIT, DURING ANY SIX ISSUED ¢Yi,- H ~~ Intp~eion superv~wr~` MONTHS PERIOD. PERMIT _ _ _ ~ , , ., ,; BECOMES VOID. _.. _ _ . __ . FIELD ELECTRICAL INSPECTOR'S REPORT APPROVED INSPECTION DATE BV ~~ .. LL INSPECTED IN SP EG TED TYPE DATE BV INSPECTED TYPE DATE BV INSPEC T~D TV PE DATE BY INSPECTED TYPE "DATE - BV INSPECTED TV PE DATE BV INSPECTED TYPE DATE BV - OEFECTS: COMMEN TS: ... UTILITIES - CITY FLA. POWER 8 LIGHT CO. REA CLAY COOP OTHERS RESET RESEAL MTR. NO. V. AMP. PHASE MTR. SET NO• V. AMP. PHASE MTR. SET NO. V. AMP ~ PHASE MTR. SET NO. V. AMP. PHASE SET WIRE V. AMP. PH METER TAKE OUT METER NO. V. AMP. PH. METER TAKE OUT METER NO. V. AMP. PH. METER TAKE OUT ME YER NO. V. ~ AMP. PH. METER TAKE OUT METER NO. V. - AMP.. PN. METER LIN£ FT. REFER. COM. GROP CURRENT ON TAKE GOWN OLD LINE WIRES ~- '~: :~ ~~- DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD TH15 PERMIT MUST BE POSTEp ON JOB Date ~~' & 19 $7 Valuation $ Fee $ A!3 ~~~ This permit not valid until above fee has been paid to City Treasurer, and is subject to revoation for violation of applicable provisions of law. PERMIT NO„ ~~~~ ~ ~ 5It3I I fl[~Q This is to certify that MY`S At1116 1tQCige~.'S I has permission to build f@IlCC nn ceLStk ci cI~! of ~1,Ti0*r~i^t.~ , Classification -.-l~S1S~BAt~B~ Zone Owned by Arl`~e R~dg~rg . ~~ Lot 3 Block A 2 S/D At I ant is BBaC '~ House No. 7t3XX 7763 Rr_&~ Ave~ntie According to approved plans which are part of this permit 2 D G---C 2 Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER ,~w. .~+sAe.,. NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ,~ AFTER DATE OF ISSUE 0 Building material, rubbish and debris ~ from this work must not be placed in public space, and must be cleared up and hauled away bx either con• tract r or ownetr. ~ 1 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THfS PERMfT MUST BE POSTED ON JOB Date/27/87 19 Valuation $ F~ g 15.04 This permit not valid until above fee has been paid to City Treasurer, and is subject to revoation for violation of applicable provisions of law. PERMiT NO. 3~ta6 b325 ~~~~ i~.~~ 1 ~rt~[1C,:' 1 A 3127' .f~~C r ~ ~r~~ ~a This is to certify that ~~~ ROL~ftElY'S has permission to h~~ rc-xoc-f _fea doubled for 2124187f~grl~t for re-raef Classification rSSidential Zone Owned by Anna ltod~ers Lot_ ~ ~+ 4 Block 42 S/b House No. 116 Se~~h_ AVe~,t~ According to approved plans which are part of this permit 2 ~----~- 4--~ NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE O 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 con- trac! ,or owner. /~ ~~~ ASS-'(~~B`uttdtng Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER pssMa. ~ r ADDRESS //~ 3 ll~d7 BUILDING PERMIT NUMBER -- INSPECTIONS: FOOTING ~-2~- rG UNDER SLAB PLUMBING SLAB FRAMING ~ l~7-~l(~ ~r(,_~~' COVER-UP INSULATION FINAL BUILDING CERTIFICATE OF OCCUPANCY ~- ELECTRICAL PERMIT # ~~ +~ 5 ~ ~ ~~ ~~ '~ INSPECTIONS ROUGH FINAL MECHANICAL PERMIT # PLUMBING PERMIT # ~/may ~~``~ ~~~~ ~~ NOTES : L~//uTc L. _ 5 ~ 3~~L ~~ .. Department of Env~ronmenta! Protection Twin Towers Office Building Lawton Chiles 2600 Blair Stone Road Virginia B. Wetherell Governor Tallahassee, Florida 32399-2400 Secretary October 28, 1996 ,CERTIFIED MAIL Charles P. Adams, Jr., and Susan Coarse-Adams c/o Ronald 1:. Worsham. President Worsham Construction Company, Inc 2329 Urban Road Jacksonville, Florida 32210 Dear Mr. Worsham: After-the-Fact Permit Approval and Assessment of Administrative Fine PERMIT NUMBER: DU-204 ATF CF ~j PEKMITTEE NAME: Charles P. Adams, Sr., and Susan Coarse-Adams~~~ ~ ~~~~ ~+' ~,B/r,° Your request for anafter-the-fact permit pursuant to Section 161.053, Florida Statutes, for construction or other activities seaward of the coastal construction control line, has been administratively approved by the Chief of the Bureau of Beaches and Coastal Systems on behalf of the Department of Environmental Protection. You .are hereby advised that the enclosed Final Order does not authorize any additional construction or activities seaward of the coastal construction control line. You must apply for a new permit for any work not accomplished under the original permit as may be required by Chapter 161, Florida Statutes. Disposition of the violation (File Number DU-244 ATF CF) shall be addressed.,.. by the Department under a separate agency action. This permit represents an agency determination. A party to this proceeding has the right to request review of this order by the Governor and Cabinet, sitting as the Land and Water Adjudicatory Commission, in accordance with Chapter 42-2, Florida Administrative Code, and specifically Rule 42-2.0131, Florida Administrative Code. To initiate such a review, your request must be filed within twenty (20) days of the date of this order with the Secretary of the Commission at Florida Land and Water Adjudicatory Commission, The Capitol, Room 2105, Tallahassee, Florida 32399-0001. A copy of the request must also be served on both the Department. of Emrironmental Protection, Agency Clerk, 2600 Blair Stone Road, Mail Station 35, Tallahassee, Florida 32399, and on any person named in this order, within 20 days from the date of this order if the request for review is to be effective. Protect. Conserve and /~lonoge Flonda's Cnvrronment and ivaturc~ Resources Printed on recycled paper. ,' ; Charles P. Adams, Jr., and Susan Coarse-Adams October 28, 1996 Page 2 Additionally, any person substantially affected by this determination has the right to request an administrative hearing to be conducted in accordance with the provisions of Section 120.57, Florida .Statutes. Should you desire an administrative hearing, your request must comply with the provisions of Rule 62-103.155, Florida Administrative Code, and by Rule 60Q-2.004, Florida Administrative Code. Requests for such hearings must be sent to the Department of Environmental Protection, Office of General Counsel, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000, and must be received by the Department within fourteen (14) days after your receipt of this notice. Failure to respond within this allotted time frame shall be deemed a waiver of all rights to an administrative hearing. In the event that alegally-sufficient petition for hearing is not timely received, you have the right to seek judicial review of this final order, pursuant to Section 120.68, Florida Statutes, and Rule 9.030(b)(1)(c) and 9.110, Florida Rules of Appellate Procedure. To initiate an appeal, a Notice of Appeal must be filed with the Department of Environmental Protection, Office of General Counsel, and with the appropriate District Court of Appeal within thirty (30) days of the date this final order is filed with the Agency Clerk. The Notice filed with the District Court must be accompanied by the filing fee specified in Subsection 35.22(3), Florida Statutes. You are advised that notice of this agency's final action on this permit has been given to other interested parties. They have fourteen days from receipt of the notice to exercise any rights they may have under Chapter 120, Florida Statutes. The authorized work is strictly limited to that described on the enclosed Final Order. Please direct any questions pertaining to this permit to me by letter at the above address, or by telephone at (904) 487-4475. Sincerely, /~~~~ ~v Dana A. Latino, Engineer Bureau of Beaches and Coastal Systems DAL/dw Enclosures Certified Mail r Z 751 779 495 cc: Permit File Permit Information Center Bobbie Nelson, Field Engineer Ch les P. Adams, Jr., and Susan Coarse-Adams, Property Owner ity of Atlantic Beach Building Official Administrative ]/nforcement Section ,,~ '' STATE DF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION R.CKU6 Dlvlsion of Environmental Resource Permtttin9 A Bureau of Beaches -and Coastal Sys3ems 3900 Commonwealth Blvd. - Matl Station 300 Tsllahasses, Florida 32398-3000 (904) 488-3180 PERMIT NUMBER: DU-204 ATF CF PERMI'I'TEE Charles P. Adams, Jr., and Susan Coarse-Adams c/o Ronald E. Worsham, President Worsham Construction Company, Inc 2329 Urban Road Jacksonville, Florida 32210 AFTER-THE-FACT PERMIT FOR CONSTRUCTION OR OTHER ACTIVITIES PURSUANT TO SECTION 161.053, FLORIDA STATUTES FINAL ORDER FINDINGS OF FACT: An after-the-fact application for authorization of activities seaward of the coastal construction control line which are indicated in the project description, was filed by the applicant/permittee named herein on July 29, 1996, and was determined to be complete pursuant to rule on July 29, 1996. The application was considered b}~ the Chief of the Bureau of Beaches and Coastal Systems on behalf of the Department of Environmental Protection. CONCLUSIONS OF LAW: After considering the merits of the proposal and any written objections from affected persons, the Department finds that upon compliance with the permit conditions, the activities indicated in the project description are of such a nature that they will result in no significant adverse impacts to the beach/dune areas or to adjacent properties; that the work is expendable in nature and/or is appropriately designed in accordance with Section 62B-33.007, Florida Administrative Code; and that it is an activity or type of construction which the Bureau Chief has authority to approve or deny pursuant to Administrative Directive DEP 140, effective July 1, 1993. Reconstruction of the existing covered porch seaward of the coastal construction control line without benefit of a permit from the Department constituted a violation of Chapter 161, Florida Statutes. This violation will be addressed by the Department through a separate agency action. Based on the foregoing considerations, the Bureau Chief approves the application; authorizes after-the-fact activities at the location indicated below in strict accordance with the project description, the approved plans (if any) and the Standard Permit Conditions which are attached and are by this reference incorporated herein, and any additional conditions shown below, pursuant to Subsection 161.053(5), Florida Statutes. EkPIRATION DATE: All activities authorized by this permit have been completed. No additional activities are authorized. LOCATION: Between approximately 25 feet north and 60 feet south of the Department of Environmental Protection's reference monument R-48, in Duval County. Project address: 1163 Beach Avenue, Atlantic Beach. P1riRMITI'F.E: Charles P. Adams, Jr. and Susan Coarse-Adams PERMIT NUMBER: DU-204 ATF CF PAGE 2 PROJECT DESCRIPTION: The applicant/permittee is authorized after-the-fact to reconstruct an existing nonhabitable covered porch. The reconstruction consisted of replacing portions of the roof system, and the decking and floor framing above a new foundation consisting of ten (10) pilasters, and a masonry stem wall above concrete footers. SPECIAL PERMIT CONDITIONS: 1. The permittee shall submit the following information within thirty (30) days of the date of this final ordered. 1.1. The permittee shall submit two copies detailed as-built construction drawings for the authorized work. These drawings shall be signed and sealed by the design engineer or architect (as appropriate), who must be registered in the State of Florida, and shall bear the certification specified in Rule. 62B-33.007(3)(b), Florida Administrative Code. These drawings shall be subject to approval from the staff of the Bureau of Beaches and Coastal Systems. 1.2. A local building permit from the City of Atlantic Beach. 2. This after-the-fact permit is conditional upon compliance with Special Permit Condition 1, and the resolution of any related violations to the satisfaction of the Department no later than sixty (60) days from the date of this Final Order. Failure to comply will result in automatic revocation of this permit and will require removal of all the structures authorized by this permit within thirty (30) days. CAVEAT: By approving this permit request, the Department does not endorse or certify the design adequacy of the authorized work. Approved plans are incorporated into this permit by reference. Done and ordered this ~=~J~' day of ,~ir.T!"r ~- 1996, in Tallahassee, Florida. State of Florida Department of )/nvironmental Protection Alfred B. Devereaux, Jr., Chief Bureau of Beaches and Coastal Systems Attachment: Standard Permit Conditions ~~~~~~.45`t1i(f~ y, 4~ ~ ~ ~ ~~ ; Department of ~ ~k~~~~ ~~ Environmental Protection o Marjory Stoneman Douglas Building Jeb Bush 3900 Commonwealth Boulevard Governor Tallahassee, Florida 32399-3000 July 6, 2004 Charles and Susan Adams c/o Rebecca H. Mentz, Architect 4655 Apache Avenue Jacksonville, FL 32210 Dear Ms. Mentz, NOTICE OF EXEMPTION: CNS DU-204 APPLICANT NAME: Charles and Susan Adams Colleen M. Castille Secretary The Bureau of Beaches and Coastal Systems of the Department of Environmental Protection has reviewed a proposal for site improvements. The project site is located between approximately 4 feet north to 96 feet south of the Department's range monument R-48, in Duval County. The street address is 1163 Beach Avenue, Atlantic Beach. According to a survey prepared by Professional Land Surveyors and the attached site plan both submitted to this Bureau on May 21, 2004, the proposed work consists of constructing an additional living space and enclosing porch areas within an existing concrete slab/foundation. The plans depict the proposed alterations will be constructed on existing foundations and/or within existing structure footprints. Provided all demolition debris are removed, and no invasive nuisance plant species are installed, such construction will not cause a measurable interference with the natural functioning of the coastal system. Based on this information, staff has determined that the proposed work is exempt from the permitting requirements of this Department pursuant to Subsection 161.053(12)(b), Florida Statutes. This determination does not relieve you from your responsibility to comply with the permitting requirements of any other local, state or federal regulatory agency with jurisdiction over the proposed activity. No temporary lighting of the construction area is authorized at any time during the marine turtle nesting season -and no additional permanent exterior lighting is authorized. All windows and glass doors visible from any point on the beach must be tinted to a transmittance value (light transmission from inside to outside) of 45 % or less through the use of tinted glass or window film. Any person whose substantial interests are affected by any decision of the Department on the application has the right to request an administrative hearing in accordance with the provisions of Sections 120.569 and 120.57 of the Florida Statutes. Should you desire an administrative hearing, your request must comply with the provisions of Rule 28-106.201 of "More Protection, Less Process" Printed on rccyded paper. ~* Rebecca H. Mentz July 6, 2004 Page 2 the Florida Administrative Code, as indicated below. Send requests for hearings to the Department of Environmental Protection, Office of General Counsel, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399. The Department must receive the request within twenty-one days after your receipt of this notice. When the Department receives an adequate and timely filed request. for hearing, the Department will request the assignment of an administrative law judge. Once an administrative law .judge is requested, .the referring agency will take no further action with respect to the proceeding except as a party litigant, as long as the Division of Administrative Hearings has jurisdiction over the formal proceeding: Section 120.54(5)(b)4, Florida St<ltutes vid Rule 28-106.201(2), Florida Administrative Code, explain what must be included in a petition for a formal administrative proceeding. (a) The name and address of each agency affected and each agency's file or identification number, if known; (b) The n~une, address, and telephone number of the Petitioner, the none address, and telephone number of the Petitioner's representative, if any, which shall be the address for service purposes during the course of the proceeding, and an explanation of how the Petitioner's.substtlntial interests are or will be affected by the agency determination; (c) A statement of when and how the Petitioner received notice of the agency decision; (d} A statement of all issues of material fact disputed by the Petitioner or a statement that there are no disputed facts; (e) A concise statement. of the ultimate facts alleged, including a st<1te~nent of the specific facts that the Petitioner contends warrant reversal or modification of the Department's action; (f) A statement of the specific niles or statues the Petitioner contends require reversal or modification of the Department's action, including an explanation of how the alleged facts relate to the specific rules or statues; and (g) A statement of the relief sought by the Petitioner, st<lting precisely the action that the Petitioner wants the Department to take with respect to its action. A person may request an extension of time to petition for an administrative hearing. The person filing the request for extension must do so within the tithe limits for filing a petition described above and serve all parties with the request. The request must state why an extension is needed. The Department will grant an extension only when good cause is shown. If a petition or request for extension of tithe is filed, further order of the Department becomes necessary to effectuate this notice. Accordingly, the Department's final action may be different from the position taken by it in this notice. Actions undertaken by you under this permit, .pending the lapse of tithe allowed for the filing of such a request for hearing, may be subject to modification, removal, or restoration. Failure to petition within the allowed tithe frame constitutes waiver of any right that such a person has to request a hearing under Section 120.57 of the Florida Statutes and to Rebecca H. Mentz July 6, 2004 Page 3 participate as a party to the proceeding. If a legally sufficient petition for hearing is not timely received this notice constitutes final agency action. When this order becomes final, any party to the order has the right to seek judicial review under Section 120.57 of the Florida Statutes and Rule 9.030(b)(1) and 9.110 of the Florida Rules of Appellate Procedure by filing a notice of appeal with the Department of Environmental Protection, Office of General Counsel, Department Clerk, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399, and with the appropriate district court of appeal within thirty days after this final order is filed with the Department Clerk. The notice filed with the district court must be accompanied by the filing fee specified in Subsection 35.22(3) of .the Florida Statutes. Any subsequent intervention will only be at the approval of the presiding officer upon motion filed under Rule 28-106.205, Florida Administrative. Code. A person whose substantial interests are affected by the Department's proposed agency action may choose to pursue mediation as an alternative remedy under Section 120.573 before the deadline for filing a petition. Choosing mediation will not adversely affect the right to a hearing if mediation does not result in a settlement. The procedures for pursuing mediation are set forth below. A person may pursue mediation by reaching a mediation agreement with all parties to the proceeding (which include the applicant, the Department, and any person who has filed a timely and sufficient petition for a hearing) and by showing how the substantial interests of each mediating party, are affected by the Department's action. or proposed action. The agreement must be filed in (received by) the Office of General Counsel of the Department at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000, by the same deadline as set forth above for the filing of a petition. The agreement to mediate must include the following: (a) The names, addresses, and telephone numbers of any persons who may attend the mediation; (b) The name, address, and telephone number of the mediator selected by the parties, or a provision for selecting a mediator within a specified time; (c) The agreed allocation of the costs and fees associated with the mediation; (d) The agreement of the parties on the confidentiality of discussions and documents introduced during mediation; (e) The. date, time, and place of the first mediation session, or a deadline for holding the first session, if no mediator has yet been chosen; (fJ The name of each party's representative who shall have the authority to settle or recommend settlement, and (g) Either an explanation of how the substantial interests of each mediating party will be affected by the action or proposed action addressed in this notice of intent or a statement Rebecca H. Mentz July 6, 2004 Page 4 clearly identifying the petition for hearing that each party has already filed, and incorporating it by reference. (h) The signatures of all parties or their authorized representatives. As provided in Section 120.573 of the Florida Statutes, the timely agreement of all parties to mediate will toll the time limitations imposed by Sections 120.569 and 120.57 for requesting and holding an administrative hearing. Unless otherwise agreed by the parties, the mediation must be concluded within sixty days of the execution of the agreement. If mediation results in settlement of the administrative dispute, the Department must enter a final order incorporating the agreement of the parties. Persons whose substantial interest will be affected by such a modified. final decision of the Department have a right to petition for a hearing only in accordance with the requirements for. such set forth above, and must therefore file their petitions within twenty-one days of receipt of this notice. If mediation terminates without settlement of the dispute, the Department shall notify all parties in writing that the administrative hearing processes under Sections- 120.569 and 120.57 remain available for disposition of the dispute, and the notice will specify the deadlines that then will apply for challenging the agency action and electing remedies under those two statutes. The exempted work is strictly limited to that described above. If you have any questions, please call the area engineer, at telephone number 850/487-4475, extension 113, or you may write to Mail Station 300 at the letterhead address. S Wettstein, Environmental Manager .u of Beaches and Coastal Systems FW/jg Enclosure cc: Bobbie Nelson, Field Inspector ~Cixy of Atlantic Beach Building Official Charles and Susan Adams, Property Owners CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FI 32233 -Tel. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION - LOCATION INFORMATION Permit Number: 21341 Address: 1163 BEACH AVENUE Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 2,500.00 OWNER INFORMATION Date Issued: 1/25/2001 Name: CHARLES AND SUSAN ADAMS Total Fees: 30.00 Address: 1163 BEACH AVENUE Amount Paid: 30.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 1/25/2001 Phone: 904)387-5156 Work Desc: REROOF __ CONTRA S f - PAN FEE& ti PERMIT 30.00 MONAHAN ROOFING _-- - - -- - - -- --- ~... _ .. .~~ ; : _ _ s vns.-Re 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 t.AW 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. f31.N 14 N3iMEb t i R t ec~ ' I~t~: 1/i'b/il 01 CITY OF ATLANTIC BEACH t~ NiNN3~111N ~• k~4: CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: ' l ~ 3 t~C ~ c ~ OWNER OF PROPERTY: ~S vz sc.; r CONTRACTOR: /7'1 Q n o. ~ ~ „ CONTRACTOR'S ADDRESS: ~ C; ! U ~Pn~Un-~ Qc~ch I ~loric~~ STATE LICENSE NUMBER: ~„ C, ~ ~ DESCRIBE WORK TO BE PERFORMED: G V -P dam ~ TELEPHONE::- 3~~ ._ X 3 0 3 ~ov ~~~n ~ C V ICrr~c C(. Soc,.fh zIP: 2 ~~ C> ~ 1 ~ ~ `~ ~ TELEPHONE: ~ Z f - CJC1 S VALUATIGN OF PROPOSED CONSTRUCTION Z, SU U r c, ~ MATERIALS TO BE USED: 5 h r',,~ ~ ~ ~I ~ ~ SIGNATURE OF OWNER: SIGNATURE OF CONTRA SWORN TO AND SUBSCRIBED BEFORE ME THIS ~-2-- DAY OF c~ , ~-~ _ aµ~~w~,~ Heber Paulin ' .- *My Commission CC839003 AS TO OWNER: ~ '~,,,,,~.~ Expires May 20, 2003 NO T-AnRY~vPUBLIC SWORN TO AND SUBSCRIBED BEFORE ME T,H~tS TyCJ DAY AS TO CONTRACTOR Liability Insurance Supplied Workers Compensation Insurance Supplied Contractor License Information Supplied NOTARY PUBLIC ~/ CC839003 `~'~1 Patrkia Amooette _t. MY COMMISSION # CC947012 EXPIRES `~ August 27, 2004 BONDEDiHRUTROYFAININSURANayING ~i Occupational License Information Supplied Cl~ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 05-00029861 Date 3/11/05 Property Address 1163 BEACH AVE Tenant nbr, name REPL METER CAN Application description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ ADAMS, JR., CHARLES P. BILL THOMPSON ELECTRIC CO, INC 2714 MCGIRTS COVE P.O. BOX 330150 JACKSONVILLE FL 32210 ATLANTIC BEACH FL 32233 (904) 249-5601 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 70.00 Plan Check Fee,. .00 Issue Date Valuation 0 Fee summary Charged ----------------- ---------- Permit Fee Total 70.00 Plan Check Total .00 Grand Total 70.00 Paid Credited Due ---------- ---------- ---------- 70.00 .00 .00 .00 .00 .00 70.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CTfY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ~~ ~~ ~~~ _~ BUILDING OFFICIAL CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: ~ f~ ©~ Property Address: _ ~ ~ ~ ~ ~~UC:.~'1 ~'~,~~, ~-~. IJG~1 • (~L, _ ~ Z.23~ I Owner: ~~~ r ~ f`S ~' ~li,yriS Telephone #: "°7~;;3 15;L ~ Contractor: ~+ ~ ( ~1~1~t1 E~C~-'i~i'°t`G_~y1C - Telephone #: 'z~1 ~~©~ Contractor Address: ~ ~1 '~ ~ ~~"h .~?• f ~'~, ~ ~~ Fax #: o~~ ~ ~ C~~~ ~ 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 City of Atlantic Beach ordinance and standards of ood ractice listed therein. Building: ^ New ~ Old ^ Re-wire Building Type: O Trailer ~ Residence ^ Temp. ^ Commercial ^ Signs ^ Addition Sq. Ft. Service• ^ New ^ Increase q(~ Re air P If other .construction is being done on this building Or site, list thebuitding Permr<number: Conductor Size: AMPS: COPPER [ ALUNIINUM Switch or Breaker AMPS PH __ W VOLT RACE WAY i Existing Service Size ~ AMPS ~ v r3 __ _ PH I 0 W ~ ~~~~ o VOLT /ZV WAY Feeders: NO. SIZE NG :>It; I NO SIZE i Lighting Outlets ~ CONCEALED _ j i OPEN ----- Rece tacles CONCEALED --- - - -~ ___ __ ; OPEN I -, j Switches I Incandescent Fluorescent & M.V. Fixed o.IOO AMrs ovER BELL A fiances TRANSFER. Air. Coaditionin H.P.RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEILING HEAT KW-HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS UNDER600V OVER6UOV i -~ I Transformers NO- KVA NO. KVA ~ No.Neon_Transf. Ea. Si -- ~ ~ Miscellaneous - --- ~ ~ ~Gl L E: Q v'C P h eel '~'~C~ IM 2r`}^~ ~" ~-~ccl+l .~ I~ --- ~1 800 Seminole Road • Atlantic Bcuch, Florida 32233-5445 Phone: (904) 247-5800. Fax: (9U4) 247-5845. http://www.ci.atlantic- a ch.fl.us .; - u '' Lawton Chiles Governor Marjory Stoneman Douglas Building 3900 Commonwealth Boulevard Tallahassee, Florida 32399-3000 October 11, 1996 TO WHOM IT MAY CONCERN Request for Public Comment File lvumber: li~-L A'1'1"' Applicant: Charles P. Adams, Jr., and Susan Course-Adams Virginia B. Wetherell Secretary You are hereby notified that the Department of Environmental Protection is considering the referenced application for a coastal construction control line permit, pursuant to Section 161.053, Florida Statutes, for the remodeling of covered deck with a new foundation. A copy of the plans is enclosed. The proposed project is located approximately 25 feet north to 60 feet 60 south of the Department of Environmental Protection's reference monument R-48, in City of Atlantic Beach, and is within the local jurisdiction of City of Atlantic Beach. Project address: 1163 Beach Avenue, Atlantic Beach. This public. comment notice is being distributed in order to assist the Department of Environmental Protection in developing facts on which to base a decision on the permit application. For accuracy and completeness all comments should be submitted in writing with supporting data, evidence, or rationale to furnish a clear understanding of the basis for the comments. The decision as to whether a permit will be issued will be based on an evaluation of: (1) The design adequacy of the proposed construction. (2) The expected impact of the proposed construction to the beach/dune system. (3) The expected impact of the proposed construction to adjacent properties. (4) The expected impact of the proposed construction on lateral public beach access. (5} Appropriate siting of the proposed construction with respect to ioc;ai setback, zoning rest,-ictions, and maximum usage of upland portions of the property. (6) The expected impact of the proposed construction on nesting sea turtles and hatchlings and their habitat. Comments should be submitted within ten (10) calendar days after tiie date of this notice to Dana A. Latino, Engineer, the Florida Department of Environmental Protection, Bureau of Beaches and Coastal Systems, 3900 Commonwealth Boulevard, Mail Station 310, Tallahassee, Florida 32399. Plans for the proposed work may be seen at the office o~ the Bureau of Beaches and Coastal Systems at 5050 West Tennessee Street, Building B, Tallahassee, Florida. DAL/dw Enclosure "Protect, Conserve and Manage Florida's Environment and Naturol Resources" Printed on recycled Doper. Department of Environmental Protection `~ `~ ~~ '~ 0 > ~ ~~ i O ~ ~'` ~~ t ` O V ~ V1 ~ ' U is .p ~ c o ~, -1 v~ Q c r ~. --. ~ U --~ ~, Z ~j1 I ~~• y ~ ~~~ - _ -1 Q X Q ~ ~ .~ ~ F ~s 0 ~ ~.,~ ___--- ~ ~ . ~c f~ ~~ _---'._-.-~ .. - c.' V 1 ~ ~ -~ CJ ~' ,{ ~; ~ i \.~..- _ i ~ ---° _ C t ', t~: i ~- ~ ~ l ---.~" t f `` -~ ~~` :~ ~ ~ y t,_ t ~':~ n ~~_{ .y •~~~ ~~ ~~' ~~ ~ ~=~ i-- ~ __ --~ ~~~ ~ ~ ~, PSR-3844 ~ rs:: ~ ~- ~~.--° DEPARTMENT OF BUILQING CITY OF ATLANTIC BEACH Permit. Neam~Pr: 11~~~3 ~~dress. 11~'. BEA~'H AVEIdT~E Iv ermi. t. 'F'v~e : PLUME4'~T1G ATL,ANT2 G )3EACIL . FL!~R I Dn ~~ ^' ;; ".~~~~~ ~1: W*~rlt. ALT1iR.ATIOrI ___..______ L,EC3AI~ DESCRIPTION _____-,.__ '"~s~str, Type: ~iC~~{~D FkAME Lit: Fl~c~t' Se~ti~*~: iyr~~QSp~ LT4e ; ~~i~aL~f FAMILY To~nRhip: ~IV~: U~*el~ in~~' 1 ~"o~~: ~ SuL~c~ivisic~r~; ATLA?3TI~. HEA~'H Estimated ?IaI~sQ: ~r~.nn I lTsZ1 L" u V . ~." t} ti t : ~ ~ . (} (~ 'i"~tal Fees : ~2~ . ?~~J A:n~unt '`'a%~3: X25.+~n Px~lre ~ai~_t: ~/ ~n~ ~- _ -T- _ _.. P~am~`3 ~-`f~i4.R~;~~ D, ~~?SAI3 AGAMP~ PRRMIT S~S.C,n Add. es ~ : ~..~~'~ ~-~3~ ;A~JE~~JE ~~~ `,= ~ ~ ~ WATER IMPA~.~T FEE ~~ . ~~ , - 1~TIt19~N'I`~~' 8~A':'H FL~ORI~~i `3^a 3 S);WiER IMPACT FEE $~ ~ ~~ P~,ot~e : -! ~i3~ '~$?,,-al ~~t; WA`~~R.; NtC*TD+RI.TAP ~~ , Qn ,, ~ ,~ RAT~?~ OAS -1'3r,;R . S . ~~ : ~,?~,~ ~ , ~- --..~-,,., ~T C INFORMATIOPf _ "F~?~DOf!D',,.~,~H „~~ .:,. ?~~~t',a~ .~1~K~,~~,!~'r.~ PLt3MBI~tO; HT?~ n IN ~ . C'~1F'ITAL IMPRCtIF? . ~0 . ~~~ ~,~~e~r~ss ~~~~~ LENC~ A°vE~tLIE SEWER TAP ~~ ~rF ~3AC}~:$:~!9V I L,I,E , R'L :~~~ ~ GCNNEt"'~' z ~~( ... ..~~~'~~, ..:_ :.. ...~.~? .'~ ~?,_ . L:~~~.~,~~,. ~.~~.~,~~~,~~ 'I`y'p~, ~ . . SEC H ~MPA+~7' FEE ~~.4n-.. ~~'"Oi3ST . 3SURGFiARCE ~~~ . ~C , ~. ., .,.. __ ~_~ r _ S~'HAkCE~~ATL, : HCH . ~~.~'~~? . ?~`' _.. _,.~ , NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH. THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDfNG IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATQ~ VIOLATION OF APPLICABLE PROVISIONS OF LAW. pates 3/05/96 01 Rcpt: 0037971 00100003221000 ATLAN l T C BEACH BUIL DING DEPARTMENT ~ ~t jy J CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : `~ ~ ~ ~~/ACDd /~-(A~ OW~,'ER OF PROPERTY: ~-~h/~(~C.E$ fbi~iD St1Si3~/ /~D~-yl1 S PLUMBING CONTRACTOR: ~c(G~"'NO ~~ S /~L B~ of 1rd 0'~ . .~'"/~ C CONTRACTOR' S ADDRESS:.- f/,.~'~1c'Y LEEiwOI~c. ~(,~,~ , ~D~. FLT} ~ 3~:z.~.=.s"" STATE LICENSE NUMBER: ~~~ ~O yy ~9 ~ TELEPHONE: ~ P~-- ~/.~6 HOW M OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER ~' P/f'~ Qamcs'T,e G„~l-,f-,c P/PE 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 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. PSR•3844 ~ ~ ^ DEPARTMENT OF BU1LDtNG CITY OF ATLANTIC BEACH ~- -- -~ - - PERMIT INFORMATION - - - - - - - LOCATION INFORMATION -- - - - -- _ _ _ Permit Number 11$07 Address: I163 BEACH AVENUE Permit TYpe;BUILDING A'T'LANTIC:' BEACH, FLORIDA 32233 Class of Work ; REMODEL . --------- LEt3AL DESCRIPTIOPT --------- Con~tr. Tvpe:W4QD FRAME Lot.: Block: 5e~tion: Propagecl Use: Fiat Book: Pane:O Dwei l inc~s : 1 Subdivision,; Est.. Value: 0.00 ---------- OWNER INFORMATION -------- Improv. Cost: 135,000.00 Name:ADAM5IWORSHAM Total Fees: 847.50 Address; 1163 BEACH AVENUE Amount Paid: 347.50 ATLANTIC BEACH FLORIDA 32233 Date'~a~d; ~~~-~2/199f Ptaone;f904)249-4308 Wr~rk D~#~ : R4gELt {ISTINQ COVERED PORCHf REPLACE WINDOWS & G1ALL SHINGLES ~ -.~__ ,r"~O~f ~~ -------- APPLICATION FEES --~-_______ WflRSHAM Cb~RI#~~,CflMPANY, IIrt4~" `: ;` P~1~~T 847 .50 3 ;~ I Y~ vt r ~ .. ~ ~ sii r~ { NOx19~i?ectior~s Required Inspections Fequired Inspections Required FRAMING FINAL BUILDING NOTICE--ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE t3UILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLfC SPACE AND MUST BE , CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF TH}S PERMIT AND SUBJECT TO REVOCATION FOR VIOLAT}ON OF APPLICABLE PROVISIONS OF LAW. ~647.5D ~~ ~ Od100003221040 7334 :ATLANTIC B CH BUILDINC-~pEP TMENT By: ~' 0 3 ,. a . ,~„ ; ; CITY (7 Er' ATLAN~' I C REACH PERMIT APpLICA'~YQN REMODEL, ,E1DDIrZCNS dR AL'Y'L~RATxt7N5 n DEMOLITIC-N5 own e x { s) /IA~S ~ ~{'A~.L~3 ~ ~'~ 141_ ~ , t~ Address: if G3 3E+~t~_!~'~,/~/~d~ __,~___~han~: ?r'~e..'~3_~?- Lot ~3~' 81ack ar Uriit #,_.~,Z Subdivis~,ont,._,_. cantractor:.~ '~~JCTi9~ Co~tP•~sul~:.,~,,. State License #~..~~.O..~a $L __-- ~_... Address:j.~,~~~A~ ~QA~ .. . ~,~hgne too: 3~b7'9303 Descc~ibs work to k~a done ~ I~E1~d4~ ~tST/N~___.~~/~~ ~~ PC+4~Ct 4tJ/~ iiI_~'..a~. ''e~Q tiA'« S~iJ~.~1: present use a~P building: ltalustian of kz~oposed Constructian~_~~„}Q~_, Pra~U~ed use: 5~~~ ~r~ ~',,II~..~LOCA~~'_ _~. I:a this an e-dditivn?.~.~1~10. ~: z~ yes, what axe the dimensions of the added space; ft. X ft, will the added area be heatod and coaled?. ~1~.~ New eleatr~.a~l (dr increase)?~ New plumbing fiktuxes7~ New fireplave?~Q,New HeatjAC?~_ SUBMIx ~ 40M1'LE'1'E SE~'a OF PLANS, INCLUDING SITE PLAN, 8UFtVEY, ENERG'~ CODE ~'dRM9, NOTICE c7F COMM$NCEMEl~'I', 11t~D taWldERjCt7NTRACmdR A'~FYL?AVIT, IF OWNER zS CONTRACTdR: ~~gn~ature bWNE~tt Sl.gs~atu~~e CoNTRAC`~aN: License ~uplalie~l: _-~-- ~pQ~~ ~~ .. G\Q~P~ ~-at L1ab11xty Insuxance:,_.,_~ waXkex's Campensati.c~n Insurance. n~t~:. 4.~z~~.c~ff Aate:~?!~1~ ~g~~~ .+:~. 1~,. 1996 Building and Zoning CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address /~~ --3 ~ ~~-c ff ~U ~ • ~~~nCkf i~-~o~Tr~ Dat e ~ ~ ~ ~ _~ ~ Heated Square Footage ~@ $ per sq ft = $ y Garage/Shed 1..,~`( ~ $ per sq ft = Carport/Porch ~ 1~ @ ~ $ per sq ft = Deck ~~ p~ @ C~i ~ 1 $ per sq ft = P ti J ~ ~ a o V ~ @ S per sq ft = TOTAL VALUATION: /~~~~~' Total ryaluation ~ S ~a o ~ Remaining Value 'Z ~(~ ~ 1st $ l a~ oov l $~ per thousand or portion thereof $ $ 1~ r~to0~ ~ 5 `~ TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15.00 $ .o~ BUILDING PERMIT FEE $ ~ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP S CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ { ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ ~ 7 - ~ ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: k CITY OF A'TLAN'TIC BEACii APPLICATION FOR ROOFING PERMIT BUiLUING 0{VNER1r~~y (/~~~~..~ ~- PHONE ~ `.., `- ~ ~ f~ JOB AUUILCSS r ~i' LO'Tti~-~-----BL CK CR UNIT H 2- SUBUIVI5iUN ' CON"TRACTOR ~(~l,Lp ~?IIONi; AUURL'SS LICENSE NUDIBER EXPIRATION JOB VALUIII' I ON $~ (~~ -^~ MA'T'ERIALS: SIGNA'I'UItE OWNER t DATE oL "~ SIGNA'I'U[ZE CON'I'RAC'I'UR __ UA'I'E FEE $ .00 APPLICATION FOR -FENCE PERA7IT CITY OF ATLANTIC BEACH PROPERTY OWNER Name : Day Phone ~~ 7~~~ Address: ~ Zip Cade .Z~~ '-' APPLICANT, IF OTHER T AN OW R Name : ~. ~ Address: JOB INFORMATION Address or Location:_L~~- ~~ '~~ Lot~~, Block ~ ~- SuUdivisionY, Day Phone Zip Code APPLICATION MUST INCLUDE SITE PLAN SHOWING PLACEMENT OFFENCE ~ ~~ 3 ~,~ ~a~;~- ~Zf~oL~A['~a~un - ~~ ~~~~ DEPARTMENT OF BUILDINQi CITY OF ATLANTIC BEACH __~._w FERi'4~T INF'~JRMATI~JN ___ __ ____.._.~ LpCATIOI~ INFt3RMATIi7t~ --~_______ ;'p~n~a ~ t~7urnb~i~ ; ~6~ ~ A~~ir~~ti : I~~, ~~~ E~~A~I-f A~IEtd1,3~' 2~~. Sri? t T`y~~ : MF..~"HAPi .I t_'AI~ i~TT,AN?' ~ ~EAf~ R . 1~ ~~R I gA 3 ,' :'I~s~ ,:af Word;; t~FF~ _________ I,EGAI~ LiESCRIPTION -___ '°c~rl~~ r . T`y~~' F7~~'I~ F'RAM~ r,r~t. , Ut ~c,~~: :~~~t:i ~-rE~ ~I:C~:~,~t?~ ~~m>~' ~~1KvLE: FAM~~`~ 'I't's4,~7"i~~i~.~:~: REYy° ~r .).~ L~1 a' ~ ~ 3 TS C.~ S : ~. ~ ~~ r.~[? : ~l ~ i t ~7r.~ ~ V 1 S ~ +:771 ''~:~ t I TTi,~ t ~ t~ V a 11.1 P' : ~ i1 , !~ _ .~ .~ ~. ______ __., OWNER FINFgRMATI41~ -- ~ -- ___ APPLICATZ~~I~I ~'}rES M-__ A+,ir~r~ ~.;~ . ~ I~.~i~ r~'A~'H ;Aa1'1n;i~~i~ WA,'~`~R` il~I?k'~°'~°r"iF: aCa , ~;,~C' A'I'I~A~1'1" ~ 1JEr~~H , FL~~R*17A ~~ 3 ' ]~W~Fd .~SI~S~,~,`"~` F'I+:F $~' ~+:I~a PhCtrr ~ (ter, p ; ? u ? - ~a . `. F~.~;"P)w~? MR'i`F:'~ '~~ ` jl;t kr~I?f'ild r~AS_R . F:. ~~ . .:~C' . ~,,, _____,_ r~C3;i~iTRACTOR IN)•uRi~ATIt~~i ~____ RA~;,g;+N ~`AS - ~,~ 4~ . ~, ,,~ l~~tr~~._.M~~~ALL ~E~IT~.~1L ASR ~^L~~f~~?. 1N~~` ~ATRF TAB ~,~ ~,,~~ ~S~:i~x ss~ ; ~~~gF~ ~'~5.~"Ei,L)~: STI~i~~`~'' ~~~:~~~z 'T'a'~~' ~u~ . LCD ~~AC~. ~r,N'J;.11LE . 1?"i~rJR?' DA 4 ~ f~s~ RX~JRA>:.3~1~ 1 ~~' ~~'RAR~ _ w4; . ~it~ ~~. ~~~ ' liA^t~ ~ 5x"! ~, T~r~,H : .i RR- t!`iS1:~~i~"1' ~'1~1M ~Cf . ~~~~ ,: < _ ., NOTES: 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 UPAND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." .~~ rs,; ISSUED ACCORDING TO APPROVED PLANS WMICH ARE PART OF THIS PERMIT AND SUBJC~7.T0 REVtT~.hf` VIOLATION OF APPLICABLE PROVISIONS OF LAW. ra. "~~~ ~ ~'~ ilh9r;;hl-.ti Fs;'.i6.,~ ATLANTIC BEACH BUILDING DEPARTMENT By: _ 1~'~Q~2 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH __-__ FERM~'T XNP`OZ2MATIOB~ -- ~-° _______ LOCATIOI`T IATFOF.MAT'Ir~? -- P~rmirr Number: 15193 Addre,~s: 1163 BEACH AVENUE Y~rmit '~y~a~:UTILITI~S ATLANTIC BERCHr FLORII'~P. 3233' ~`i?~ss oaf Wa~k:N#~I _______.__ LEGAL DESCR.T.FTI4N __~;_..__,.~..~ ~~`anstr. Typs:WOdD FRAME Block: I.at: T~xg: C~ PrpPe~s~d U~~: Bect~.on- Q 13ubs~;Q Rnc~; r~ . L~we~llings: 1 5u~dit~a.~ic~n: Est. Val,u~: f~.~U ImDra~r . C'~st : Q . ~?~~ Total F~e~: 25.~?Q Amount Faicl : D . t?Ct L~at~ Paid [~or~ Disc;-'rRRIGA'TI+~PI SYSTEM ..__.___.~._ ~?WNER INFORE`~SATICN ----_~.__~ __,~~,,..__... PIPPLI~"AT~ON FEES -__.~____.~_ Narr:~: ADAM%WORSHAM'; FER£~+iIT ?5: QQ + Adti r : 1 ~ ~ 3 BEACH AtIENUE ATLANTIC F~ACH. FLORIDA 32233 I'hon~: r `3{14 ? 249-4348 ._ _ - _ _ _ CC~IVTI;:AC'TOR 7 NFt~1;tMAT I~?N _ _ _ _ - _ Name: E, rt, ` IRRIt~ATI01!1 Adc3Y : 1I~J4 ,S 1TX AVENUE NOF.TH ~IAGK~ONVILI,E BEACH . FL 3225Q Lic: I°96 Ex~p: f ~ T~tDe: 9 NOTES:. NOTICE- INSPECT{ONE MUST BE REQUESTED AT LEAST 24 HOURS PRIQA'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 C4MPl.Y WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERT1f OWNER PAYING TWICE FOR BUILDIN~:1MPi~OVEMENTS." 'SSUED ACCORDING TO APPRQVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ~tOLATION OF APPLICABtE PROVISIONS OF LAW. ~,~ 14 111~3~p1968 ATL~3,NTIC B ACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : ~~ ~. /~ ,~,~, c-/c ~u~- ~7 ~.~ ' • ~~:/ /"/ OWNER OF PROPERTY: ~~,a.~/cs ~ S~;Q,.J ~ a~ { PLUMBING CONTRACTOR: ~~ L,i^r. ~.~ ~.in~ ~ L ~7'~ CONTRACTOR'S ADDRESS: ! ll,~ ,~/ ~~~ ~L r .Q ~ ,~~X ~!~ ~j~ STATE LICENSE NUMBER: ~ O ~ TELEPHONE: „~f~ ~~~fC HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS TOTAL FIXTURES: MINIMUM PERMIT FEE _ $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR _~ OTHER /TQ~~~/ff ~ X 3.50 + $15.0% TO COVERING UP - (904) 247-5834. o~~~~W PROiE(110M ~,,n. ~ , : ...' ,~~~~~ ~ ,. Permit Number: ~}'-!_5.'t~ - - ., No. of Pages Attached.• FLORIDA ,,1' o FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION FIELD PERMIT PURSUANT TO SECTION 1b1.053 or 161.052, FLORIDA STATUTES, ISSUED BY: ^ Northwest District Office, 160 Governmental Center, Pensacola, FL 32501 phone (904) 444-8300 D Southwest District Office, 3804 Coconut Palm Drive, Tampa, FL 33619 phone (813) 744-6100 D South District Office, 2295 Victoria Avenue, Suite 364 West, Fort Myers, FL 33901 phone (941) 332-6975 ~1 Northeast District Office, 7825 Baymeadows Way, Suite B200, Jacksonville, FL 32256-7590 phone (904) 448-4300 D Central District Office, 3319 Maguire $oulevard, Suite 232, Orlando, FL 32803 phone (407) 894-7555 D Southeast District Office, Post Office Box 15425, West Palm Beach, FL 33416 phone (561) 681-6600 D Bureau of Beaches and Coastal Systems, 3900 Commonwealth Blvd. - MS 300, Tallahassee, FL 32399-3000 phone (904) 488-3180 FINDINGS OF FACT AND CONCLUSIONS OF LAW: The request for a permit was considered by the staff designee of the Secretary of the Department of Environmental Protection and found to be in compliance with requirements of Chapter 62B-33, Florida Administrative Code (F.A.C.). Approval is specifically limited to the activity in the stated location and by the project description, approved plans (if any), attached standard conditions, and any special conditions stated below pursuant to Paragraph 161.053(5), Florida Statutes. This permit may be suspended or revoked in accordance with Section 62-4.100, F.A.C. y, ~`' PROJECT LOCATION: .~ y %'~o - ~ ~' _~c0 ~•< - t~' c~ ~ ~ a ~ { :~ ;~ ,~' ','. ~ l <" ;...~t. PROJECT _. , _''} SPECIAL PERMIT CONDITIONS: This permit is valid only after all applicable federal, state, and local permits are obtained and does not authorize contravention of local setback requirements or zoning or building codes. This permit and public notice shall be posted on the site immediately upon issuance and shall remain posted along with local approval until the completion of any activity authorized by this permit. Other special conditions of this permit include: ~I L i ~..; STANDARD PERMIT CONDITIONS: The permittee shall comply with the attached standard field permit conditions. APPLICANT INFORMATION: I hereby certify that I am either: D (la) the owner of the subject property gt D (lb) I have the owner's consent to secure this permit on the owner's behalf; and that (2) I shall obtain any applicable licenses or permits which may be required by federal, state, county, or municipal law prior to commencement of the authorized work; (3) I acknowledge that the authorized work is what I requested; and (4) I accept responsibility for compliance with all permit conditions. ~ Applicant's Signature -~1,• ~ Date r^t- f °`1 1 Telephone No. U / ~;'~ t Y/'I f .~.`~~~ ' :/ / - Applicant's Printed Name Address If applicant is an agent: / ~, printed name of property owner property owner's address property owner's telephone no. DEPARTMENT FINA`L~-A--C-T~ION: This field permit is approved on behalf of the Department of Environmental Protection by: ;`.. sta„~"designee'signature printed name of designee date approved PUBLIC NOTICE IS ON THE BACK OF THIS PERMIT. EXPIRATION DATE: (Emergency permits issued pursuant to Section 62B-33.014, F.A.C., are valid for no more than ninety days and other field permits are valid for no more than 12 months. The staff designee may specify a shorter time limit.) ~ r EMERGENCY PERMIT: OYES L~NO Approved plans are attached: D YES C~NO POST PERMIT AND PUBLIC NOTICE CONSPICUOUSLY ON THE SITE DEP Form 73-122 (Rev. 10!96) [White Original-DEP Bureau of Beaches Qc Coastal Systems) [Yellow Copy Applicant) [Photocopy-DEP District)