Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permits Folder 631 Sherry Drive
,~ .7©B ADDRE.~S ~ ~ .~1 ?'APE Wfl~' ~~ ~ CF P.~I~PER3'Y Oi~NER ~L~ ~.-L~~.. T~.~'~ONE o2~ 9 - ~'S' yG~ Cf~1VTRACTOR CS c~..rh-z1, TELEPHt~NE~-,.~,~,. ~ .~'E14M1~'r~E.R ~©©~ ~ DAB ,.5'/,.~ /o-~ IN~P.EL'~ONS.• ~~~ ,i~'DOTING SZAB ~J~/7~~ -' ,2 0 0o z... u~/~/o-c T~'REA~i ` NAI~~ING~SSEAG ERA~IIN'G/Cf3~R Vii' iNSD~A3~ON F~VAL BUIZD.~IG ~_. '7-O C~'RTZF~CATE OF t)CCi7PANCY F~..~'CT~RICAL ~ERMd"1'# ~`+~SPEC370NS R~DiIG~' SAL MEC'~AN~TCAL P.F.,l~MQ3"~ .Il`+T3PECTION~ ROUG~3 ~'I1VAL d'i.I711S8~YG ~'i~~ iNSPEC~T©NS' ROiTG~7/OTI.DER SI.AE TI3POU~' 3YA3~s'R/S`E3~~ OVAL Nl)~S.• JOB ADDRE ,~s ~~ ~ ~ 1 ~.~-P ~ PROPERTYOWNER y /t ,., F .. _-_____ PERMIT NUMBER / 7~ .3 INSPECTIONS: FOOTING ~ _ / `~ /c DATE /-~ .~ ~\ SLAB l -/ U-jt' y TIE BEAM LINTEL ' NAILING/SHEATHING FRAMING/CO [jER UP INSULATION FINAL BUILDING !~ ~/ ' CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT# INSPECTIONS ROUGH FINAL MECHANICAL PERMIT# INSPECTIONS ROUGH FINftL PL U1tiiBING PERMIT# INSPECTIONS ROUGH/UNDER SLAB TOPOUT WATER/SEWER FINAL NOTES: ADDRESS (f/~~ ~'~~%" `-`~'J~ ""/ BUILDING PERMIT NUMEEP. /(0,32 INSPECTIONS: FnOTING ~^~~~~~ UNDER SLAE PLUMBING SLAE FRAMING COVER-UP INSULATICI'T // i (~ (~ FINAL BUILDING ICJ" f I "1 6 CERTIFICATE OF OCCUPANC`% ELECTRICAL PEF.MIT ~ INSPECT=ONS ROUGH FINAL MECHANICAL PERMIT FLUMEIN~:- PERMIT NOTLS: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 09-00000818 Date 6/11/09 Property Address SHERRY DR Application type description RIGHT-OF-WAY PERMIT Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc repair improve tele cable ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BELL SOUTH TELECOMMUNICATIONS PER M GRIFFIN 5/15/08 NO LIC INSURANCE REQUIRED ATLANTIC BEACH FL 32233 (904) 256-3182 ---------------------------------------------------------------------------- Permit DRIVEWAY PERMIT Additional desc . Permit Fee .00 Plan Check Fee .00 Issue Date 6/11/09 Valuation 0 Expiration Date 12/08/09 ---------------------------------------------------------------------------- Special Notes and Comments No work disturbing paved surface of road is authorized. Complete restoration of right-of-way, including sod, is required. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. . ~i~'~'~,,~, .City of Atlantic Beach ~E~ ° IV ~s .~ Building Department JUN fl '~ 2~Q9 r " ~° ,z ~ 800 Seminole Road ,~ ., , .~ Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) '~~rls3l~f' E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) Date routed: APPLICATION REVIEW AND TRACKING FORM Property Applican~ Project: ~~~ ~rj ~ ~~ ~~ ~~~'~~ I r Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept. of Ernironmental Protection Florida Dept of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [Approved. ^Denied. (Circle one.) Comments: ~~`~ C ~' ~ ~~ ~l y BUILDING PLANNING & ZONING R i d b : T7` Date: ~ ~~/ ev ewe y TREE ADMIN. Second Review: QApproved as revised. ^Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ^Denied. Comments: Reviewed by: Date: De artment review re uired Yes No Building Planning & Zoning Tree ministrator -ublic Wo Public Utilities Public Safety Fire Services Revised 05/14/09 ;.5~~~ ~''%'~ CITY OF ATLANTIC BEACH J ~' CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS s-~~~ 800 Seminole Road 904-247-5800 ` r%~;r Atlanti/c~B~yeagch, Florida 32233-5445 Fax 904-247-5845 Date ~Y~C-~-~' ~ ya ~C..~V l PERMIT # \ ISSUED BY THE CITY Job Address VCIr I (;U5 ~UC41.~ZC~i~S Sr G'. t~ -'C2L~.`,t'l ~sS l Permitee: AT&T (fka BELLSOUTH TELECOMMUNICATIONS) Telephone # 904-7779052 ext 320 Permittee Address: 7666 BLANDING BLVD JACKSONVILLE FL. 32244 ATTN: Nicole Padron Requesting Permission to Construct: TELEPHONE CABLE Location: (Reference to Cross-Street) Between .and Ma ort Rd ~t° ~CO.~ T f'~ 1. Applicant declares that prior to filing app I e has ascertained the location of all existing utilities, both aerial and underground and t accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes (X) No ( ) Date: ~ ' ~ `/ -~> ~ Bell South Telephone Company Yes ( ) No ( ) Date: Ferrell Gas Yes (X) No ( ) Date: ~- .~`%' G"~ Comcast Yes (X) No ( ) Date: a -.:~`1 ... ~~c~ 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of CLINT STRICKLAND (Contractor's Project Superintendent) located at Telephone #: 904-393-4958. 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit 7. This Permittee shall commence actual construction in good faith with 60 days. If the beginning date is more than 60 days from date of permit approval, then Permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed`r~-~~ GLc~.'~~'Y-, Date: Before me this day of in the County of Duval, State Of Florida, has personally appeared ~1: ~~ i s ,~ ~~Q r~.-~r-~ Notary Public at Large, State of Florida, County of Duval. My commission expires: ~b,a•iy ~eLL~'Z~~~~ rsona y Known• ~ or Pro entification: ~ ~'~•. BARRY G. WOODS •~fs ..; ;.- MY COMMISSION # DD 612233 ~;$;'"' ~0. BondedlThru Notary PtubNc Underwriters !:f ~"' t ~ j '~ ~~ f` ' ~ _ '~l: r1` ~'~ ~~ ~ ~ ,~. ., _, ,„ ,"x: .; CITY OF ATLANTIC BEACH $0(! SE~IRINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00034029 Date 10/05/06 Property Address 631 SHERRY DR Application type description WELL PERMIT Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc WELL ---------------------------------------------------------------------------- Owner ------------------------ GIBBON ATLANTIC BEACH Contractor ------------------------ WILLIAMS WELL DRILLING INC P. O. BOX 330567 FL 32233 ATLANTIC BEACH FL 32233 (904) 241-8489 ----------------------- Permit --------------- WELL PERMIT ----------------- --------------------- Additional desc . Permit Fee 35.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 4/03/07 - --------------------- ----------------------- Fee summary --------------- Charged ----- -- ---------------- Paid Credited Due -------- ---------- ---------- ----------------- Permit Fee Total ----- 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rS ,r,3 J~ ~' ~ s f CITY OF ATLANTIC BEACH sl `' ~ ~~~ "~ WELL PERMIT APPLICATION Date: /~~ -- ~- 0,.~ Job Address: __ ~ ~ ~ ~ ~L' ~ h ~ /~~ Owner of Property:,~~lCl,~ ~l ~b ~ /~ ~ ~~~' y ~~ U~ Owner's Telephone:~o ,~ ,~-- ~ Sb~ Contractor: `1 ~,~ ~ ~~~/r~~s Contractor's Address: _ ~ ~~ ~C ,~~® ~~j~n ~1~w7`rc,~~ Telephone: ~ !~'/ - ~"l~'~i" ~ Fax: Is well to be used for drinking purposes? ,~~1~ - Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. - A reduced pressure zone backflow preventer must be installed on the City water service on the customer side of the meter. A certified tester must test the. backflow preventer and a copy of the results sent to Public Utilities. Department Notes: I agree to comply with regulations stated herein: ®- 5 ~ ~~ ignature Date 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Revised 6/25/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 09-00000533 Date 4/20/09 Property Address 631 SHERRY DR Application type description RIGHT-OF-WAY PERMIT Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc telephone cable ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JUSTICE, MICHELLE BELL SOUTH TELECOMMUNICATIONS PER M GRIFFIN 5/15/08 NO ATLANTIC BEACH FL 32233 LIC INSURANCE REQUIRED ATLANTIC BEACH FL 32233 (904) 256-3182 ---------------------------------------------------------------------------- Permit DRIVEWAY PERMIT Additional desc . Permit Fee .00 Plan Check Fee .00 Issue Date 4/20/09 Valuation 0 Expiration Date 10/17/09 ---------------------------------------------------------------------------- Special Notes and Comments Complete restoration of right-of-way including sod is required. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ~ ~f~.~~~;y;, City of Atlantic Beach ;, S~ Building Department ,~~, =- ~ 800 Seminole Road ~~r' j „ ", ~~ Atlantic Beach, Florida 32233-5445 ~ t2 ~(Ir Phone (904) 247-5826 Fax (904) 247-58~4~ ~,~ ''~o;iw%~ E-mail: building-dept@coab.us , City web-site: http://www.coab.us ;; APPLICATION NUMBER (To be assigned by the Building Department.) d 9- .4~~~ Date routed: ~ ~~ APPLICATION REVIEW AND TRACKING FORM Property Address: ~ 1 ~t I" ~ ~ ~ Applicant: ~ t ~ ~t Project: ~~il~~/ rG d De artment review re wired Yes No Building Planning & Zoning T ator is afety Fire Services Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATiJS Reviewing Department First Review: ~pproved. ^Denied. (Circle one.) BUILDING Comments: L ~- " . 1 PLANNING & ZONING ''' / ~Wr, ~"~ ~`- "-" • Reviewed by ~ v ~9 Date ~g 7REE ADMIN. . . PUBLIC WORKS Second Review: QApproved as revised. ^Denied. PUBLIC UTILITIES Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: []Approved as revised. ^Denied. Comments: Reviewed by: Date: Public Works Plan Review Comments Date: I Initials: i Froject Name/Address: (03 ( 5~~~ ~ ~' Application Permit #: ~~ ~~5 3 3 Check Boz Application Tracking Comments to Add Comment Provide impervious surface calculations. ^ Provide erosion and sediment control plans with installation details and maintenance ^ schedule. Provide drainage plans showing site topography (flow arrows, etc.) ^ Provide construction site management plan, including Right-of--Way Permit if using ^ ri ht-of-wa for construction arkin . Provide apre-construction topographic survey prepared by a Florida Licensed ^ Professional Land Surve or, showin 1' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ^ er Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting ro r construction will be r aired. ^ A Right-of--Way Permit must be obtained for use ^ A Revocable Encroachment Permit must be obtained. ^ Pool - Wellpoint (if used) must discharge into vegetated area 10' minimum from ^ street or draina a feature (swale, structure or la oon). A11 driveway aprons must be concrete, 5 inches thick, 4000 psi, with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ^ allowed in the ROW (Commercial drivewa s - 6" thick}. Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ^ shown on the lans. P -Roll off container company must be on City approved list and cannot be placed on City right-of--way. ^ CITY OF ATLANTIC BEACH MECHANICAL PERMIT 8(30 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 -TEL: 2475826 -FAX: 247-5877 PERMIT INFORMATION _ _ __ ____ LOCATION INFORMATION _______ __ _ ___ ___ '~ Permit Number: 23249 _-__ __. __ ._ Address: 631 SHERRY DRIVE Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: 20 Proposed Use: SINGLE FAMILY Lot{s): PT1 ALL 2 Block: Section: 0 Square Feet: Subdivision: Est Value Parcel Number: Improv. Cost: i __ ~_:- ~~OWNER INFORMATION_ ________ _ _. Date Issued: 1/02/2001 Name: MICHELE JUSTICE Totat Fees: 41.00 Address: 631 SHERRY DRIVE Amount Paid: 41.00 ,,,~- ~~.:~;,: _ ATLANTIC BEACH, FLORIDA 32233 _Date Paid: 1/02!2002 *~`"~~~~ - _ 4 PI~o 0.4)249-8546 ----Work Desc: REPLACEMENT ~ ~ _`~ ~` ~ _ ~ - ---_ -- -- --CQNTR,R CTOR ~' ~ _ .. 'ATIQN FEES__-- ___-__ ~- = ~. 41.00 OCEAN STATE HEAT & AIR ~ ~ ~_ .~ ~ ~- ~ ~- ~_ ~ tii. . ~~ t ~: 4~ 3.~k ~h i4 fi a ~ ~ ~ ~. .~ r ~ ~~'~ kk~'~ s. y ~' f ~` ` s~~ C x ~ 4 x. ir.!'~TC ~ ~ ~ 1 ~ ' 3 ~ gi ~~ 'fyyt V.' v + ~:. - ~ "~ ~. ~ .~ ~ ~'~ "~ ~ MI5 ~h ~3 ~+ ~s~ ~: 1~ r.» ~ ~ ~ "". i, ~~ ~'~ ~'f . F ~ _ _._. _ '- - , .. ,~'~, NOTICE - `i SPECTJ~ MIST BE I~E~~ESTt~3 A; LEAST ?4 HOURS. IOR l'O # PECTION BUILDING MATERIAL, ISM AND RIS ~~`~-`~1lIIUST N I= PLACED PUBLIC SPACE, AND ~~ ~ MUST BE CLEARED UP A !-1AU~D A ~ ~Y O~I~G~O O~VNEE2 " AIL RE TO COMPLY H' -A NS' ~- ~ SULT IN THE F„ U ~_.: z ._ .. ~ , :. _.. _. . PROPERTY OWNER PAYING ~ _ ; :B '~ ;F, ~ - -- ..,:; ~ S" . ~. _ _ ISSUED ACCORDING TO APPROVED PLANS ~ I-IiS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVIS{ONS OF LAltlr;. ~-`' Tom. AT~A TI!~ BEACH BUIL ING DEPT. 1l92lA2 01 Receiptt;1i182~3ii63 BUILDING AND ZONING INSPECTION DIYISlON CITY OF ATLANTIC BEACH ATUIMTIC assert. (nARIDA 3113E APPLICATION FOR MECHANICAL PERMIT cau•tN NUMBEA IMPORT ANT -Applicant to complet al) items in sections I, II, III, and IV. e . LOCATION / \ r Stnat Addtua: b v`~ , Ot• ~ lUtLDtN6 lateaae}Inq sheets: Cdwean qTL A AiT~ L ~LV ~ . And Sri,.dwiJen II. IDENTIFICATION -To be completed by all applicants. In contidenfiea of parmif gwen for doing the wak a docribad la the above Jatamant w hereby agree fo perform uid work in aeeordanea with the .tfadvd plena and rpeeiiiutione rhieh w e parr howl and in accordance w8h Iha City of Jsck:onvil4 ordinwen end etandarda of goed.pnctka lidad therein. Nun. eF Meehanieaf Cenhaeiera CenMdsr (/rlntl ~ ~ - - .R Mach CA Marna e( - -reperfy Oemet si~nafrn roar a Arther ignafvra e( Arehifec} or Englnear 111. ERAL 1NFOR ^' Type of Ma fink ~• Eladde IS OTNER t:ONSTAVCTiON BEING OONE ON TNIS BUILDING Oq SITE T- ~J(~ O 6u-^ V ^ Natenl D Gnfnl Utinq ^ ~u ~ IF YES. GIYE NUMBER OF CONSTRUCTSON PERMIT ^ otter - sp.rh IY. kABCMAH16A1. ~tlttlAtiliT 10 11{ INSTAt1I0 NATURE OF WORK S lhie iennt (/rorida ewp{ala IGf of eempenenk on bas! e ~ Realdentlel or ^ Cammerelal , ,f Nnl ^ sped ^ Raeeaaad p: Gnhel C7 Aoa ^ New Bulldtny ~j' Atr Gnddleab,y: ^ Resm ~, Gntnl ~d Ezlstlnp Bulldlnp ^ Deaf Syttws Mafa+d jb)<j,,,e I~ Replacement o} sxlstlnD system Maaimem apac{ty ~~ ^ New Inataliatlon (No system prerloualy Installed) ^ R~/rigenlioa ^ Extenelon or add-on to sxlsUny system ^ Other - SDee11y klwn Member ^ p rt f haada ..r ee g n o ^ Tdawter Q ManRN ^ 6eyle+.. tnrn,ba.) Tests StAC! !'OE OFFICR YfB ONLT ^ . GaeYae pra,p~ (nernNr) (Rae.1.e1) . ^.~ Tad` (nernbar) Remarke ^ k~ aallfai•••• (nYmt7Nt ^ UaFired pteaaee raw, ^ Marrs ' }arrnif Approrad by o.t- . p o1ba. -•spdry t«ma i:. LIST ALL $QUIPb[ENT ABR CONW7IOCOlVC AND REARlCBRATTON EQiNNFM 2famlaC7lalh I)eaetlCtlon YodelNambee Haautaotunr (1~aaa)Y w ~~ lD3ATING • FURNACE4, BOILERS, FIRA.l'I.ACES d~dt7 Nuaabesl7alta I)aaodPtlaa ][oddNttmbe Xaautaatursr (k1T'LT) T rANIIs itI01I ]Eari~ IfeafSeal tyyagkt) lyya LalQaid Rama Ol Ser1a1 Ap~rorknB . aa:d Dlaaeodana oontalaed )s;amlaotttrae No. ^{~7 1 ;J ti\ s CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING j 800 SEMINO~jL, E ROAD -ATLANTIC BEACH, FL 32233 -TEL: 247-5826 -FAX: 247-5877 Permit Number: 20001 ~ Address: 631 SHERRY DRIVE Permit Type: CARPORT ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):1 exc E ~0' Block: Section: 0 Square Feet: Subdivi~i~r>t:°t sowery's Replat Est. Value: Parcel Number: Improv. Cost: 3,900.00 ' ~~~~`; ' Tkw Date Issued: 5/03/2000 Name: MICHELE JUSTICE Total Fees: 45.00 Address: 631 SHERRY DRIVE Amount Paid: 45.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/03/2000 Phone: 904 X49-8546 Work Desc: CONSTRUCT ATTACHED CARPORT ~,-~~ PROPERTY OWNER PERMIT 45.00 ~~ s, a.a13~,~,i~.- ,' ~9-"`r.~=. a..v,n.~r+~t~:~"~-~-.3 e:54~' .i?1" ~.. ~..~"' _ _ 'Y ^t FOOTING SLAB FINAL BUILDING NOTICE.- INSPECTIONS-MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL; RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED-AWAY BY<EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY Wi.TH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR. BUI~.QING 1MP'Rf~-VEMEt~ITS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. (''\ ~" / ~ 645.8014 IC BEACH ILDIN EPT. ee~eeeaa2~ieee --- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD -ATLANTIC BEACH, FL 32233 -TEL: 247-5826 -FAX: 247-5877 _~ - e mq~F ' y 4 L~:~ T Permit Number: 20002 Address: 631 SHERRY DRIVE Permit Type: DRIVEWAY ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: 20 Proposed Use: SINGLE FAMILY Lot(s):PT1 ALL 2 Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: ~~~ Date Issued: 5/01/2000 4~ Name: MICHELE JUSTICE Total Fees: 25.00 I Address: 631 SHERRY DRIVE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/03/2000 ~ Phone: 904)749-8546 Work Desc: RIGHT OF WAY PERMIT FOR DRIVEWAY PROPERTY-OWNER PERMIT 25.00 PUBLIC WORKS n, NOTICE -INSPECTIONS-.MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NC~T BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY INtTH THE GONS'fRUCTIt~!N UEN LAIN:CAN. RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILQING`IMPRt~VEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 525.85 14 ~~ -ate: 5/84f88 81 keceipt: p0;~kEo ATLANTIC BEACH BUILDI PT. CHECKS 88188883221888 CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WfT}-(IN CITY RIGHTS OF WAY AND EASEMENTS •3 oA~T~E !~t~~C ~ G ~ ~ ~~ .2G~~Z7 PERMIT NO. ISSUED BY THE CITY JOB ADDRESS ~~~ f ~~~~~ y[~~(•~~ VALUATION ~ ~~Jt~ r K~~ PERMTTTEE //!jC'~fE.: ~,N ~. ; ~U `J ~l C't~ _ PERMTTTEE ADDRESS ~'3` 7N~~~'e 7 ,~~ ~jVC TELEPHONE NO. ~fi~/- ZyCa ~ c<~i ~I REQUESTING PERMISSION FROM THE CITY OF ATLANTIC BEACH TO CONSTRUGl ~- [~.~e`' IL~C'~ L-~-~~`/l b/lC T/~~ S~[~'Tfl ~i,~ t~ Ord ,~~=5 ~ ,t~~~/~~~~-_ LOCATIONS: (REFERENCE TO CROSS-STREET) ~ ~~X-/n J/~CL APPLICANT DECLARES THAT PRIOR TO FILING THIS APPLICATION HE HAS ASCERTAINED THE LOCATION OF ALL EXISTING UTILITIES, BOTH AERIAL AND UNDERGROUND AND THE ACCURATE LOCATIONS ARE SHOWN ON THE , SKETCHES. A LETTER OF NOTIFICATION WAS MAILED TO THE FOLLOWING UTILITIES/MUNICIPALITIES/^~np~r~~~~~ ~`~ff~ ~1tXl~/IN~ JACKSONVILLE ELECTRIC AUTHORITY YES ( ) NO (~) DATE' ' j~ ~e~~T.'~~ "~ l ~~~~'~7 BELL SOUTH TELEPHONE COMPANY YES ( ) NO (~) DATE: // % % FERRELL GAS YES ( ) NO (Y) DATE: / L ~ MEDIA ONE CABLE N YES ( ) NO (~,) DATE; I / ) Z, WHENEVER NECESSARY FOR THE CONSTRUCTION, REPAIR, IMPROVEMENT, MAINTENANCE, SAFE AND EFFICIENT OPERATION, ALTERATION OR RELOCATION OF ALL„ OR ANY PORTION OF SAID STREET OR EASEMENT AS DETERMINED BY THE DIRECTOR OF PUBLIC WORKS, ANY OR ALL OF SAID POLES, WIRES, PIPES, CABLES OR OTHER FACILITIES AND APPURTENANCES AUTHORIZED HEREUNDER, SHALL BE IMMEDIATELY REMOVED FROM SAID STREET OR EASEMENT OR RESET OR RELOCATED HEREON AS REQUIRED BY THE DIRECTOR OF PUBLIC WORKS, AND AT THE EXPENSE OF THE PERMITTEE UNLESS REIMBURSEMENT IS AUTHORIZED. 3. ALL WORK SHALL MEET CITY OF ATLANTIC BEACH OR FLORIDA DEPARTMENT OF TRANS~P,I"R'ATIqO/N STANDARDS AND BE PERFORMED UNDER THE SUPERVISION OF~OL~JSl~LZ~ :1L~ % lC'c„~CCHr9,GlF~ (/{#'E"•~'~CONTRACTOR~S PROJECT SUPERINTENDENT) LOCATED AT ~ 7~ ~/`fG~Q~y ,fa~(Pf~ TELEPHONE NO. ~ylt' ZC/"Y'y 4. ALL MATERIALS AND EQUIPMENT SHALL BE SUBJECT TO INSPECTION BY THE DIRECTOR OF PUBLIC WORKS OR HIS DESIGNEE. S. ALL CITY PROPERTY SHALL BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL, IN KEEPING WITH CITY SPECIFICATIONS AND THE MANNER SATISFACTORY TO THE CITY. F. A SKETCH OR PLANS COVERING DETAILS OF THIS INSTALLATION SHALL BE MADE A PART OF THIS PERMIT, 7. THIS PERMITTEE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN~DAYS FROM THE DAY OF SAID PERMIT APPROVAL AND SMALL BE COMPLETED WITHIN ~ ~i DAYS. IF THE BEGINNING DATE IS MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST REVIEW THE PERMIT WITH THE DIRECTOR OF PUBLIC WORKS TO MAKE SURE NO CHANGES HAVE OCCURRED IN THE AREA THAT WOULD AFFECT THE PERMITTED CONSTRUCTION. 8. IT IS UNDERSTOOD AND AGREED THAT THE RIGHTS ANO PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO THE EXTENT OF THE CITY~S RIGHT, TITLE AND INTEREST IN THE LAND TO 8E ENTERED UPON AND USED BY THE HOLDER, AND THE HOLDER WILL, AT ALL TIMES, ASSUME ALL RISK OF ANO INDEMNIFY, DEFEND, AND SAVE HARMLESS THE CITY OF ATLANTIC BEACH FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, AND COST OF EXPENSES ARISING IN ANY MANNER OF THE EXERCISE OR ATTEMPTED EXERCISES BY THE HOLDER OF THE AFORESAID RIGHTS AND PRIVILEGES. S. THE DIRECTOR OF PUBLIC WORKS SHALL BE NOTIFIED TWENTY-FOUR (Z4) HOURS PR10R TO STARTING WORK AND AGAIN IMMEDIATELY PON COMP ION, ''~~~~ SUBMITTED BY:~~ 1 ~~ ~JL/ ~ / ~ IL~~V1/~l_~i (PLACE CORPORATE SEAL IF APPLICABLE) `" ~ ~r~ ~~ SWORN TO AND SUBSCRI ED BEFORE ME THI DAY OF I~°~~UD MY COMMISSION # CGDf2880 EXPIRES May 21, 002 ~JGNDED THRU TROY FAIN INSURANCE, INC /C IT~Y' QF ATLANTIC BEACH PERMIT CALCULATION SFIEET Dace .~- 3 -OO Heated Sauare Footage GarageJShed Carpor %Pcrch Deco Patio @ $ per sg ft = $ @ $ per sa Lt = k ~O __@ S ~ 3.oD~per scI ft = 5~~0 ~ __ @ ~ per sq ft = 5 S_ per sq ft = $ TOTAL VALUATION: S ~~ © ~ Total Valuation lst ~ j O © o ~- c7 d O _ ~ S _ c7 0 ".~ ____1 ~. O p _.__. Remaining Value 5 ~oaper thousand o~ portion thereof TOTAL BUILDING FEE S •O'o + i%` Filing Fee ~__...~ ~' ~~ ~~ ( ~ Fireplaces @ 515.00 S '~2~- BUILDING PERMIT FEE WATER IMPACT FEE SEWER IMPACT FEE WATER METERJTAP CAPITFiL IMPROVEMENfi SEWER TAP ( ~ RADON (HRS) .G050 - SECTION Fi PAVING _ t HYDRAULI+~ SHARES CROSS CONNECTION i SURCHARGE .0i~5G OTHER GRAND TOTAL DUE $_ $- S S 5 5 5 5 Y ~~4~ ADDITIONAL PERMITS OR FEES: Mechanical Plum~ina ___ Electric,~New Electric%Temp ;SwimmingPool _ . Septic Tank Well. __,__; Sign_ Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES: ~~O CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS ,,,,~~ MOVING, DEMOLITIONS owner (s) : ///~C1,1~Z ~ ~:. ,~f~ ~ T'1 C'~ Job Address: ~D.~~ Sj.~t',Q,,~'y/ ,~,~`~%(~~ Phone: Zy~ -~ ~g~/.C/ Lot #~ Block or Unit # Subdivision: Contractor: I ~/,~ ~~,~ State License # Address/: ~p3/ ,rj'f~~j,~~~/ ~,~~'~f ? Phone No: ~~j!(;~'~~~~~ CitYr~C,{~J~(~/C' ~~~r'~ State ~`~-()~ I.C~1~ Zip Code .,~c'~~ j Describe work to be done: ~1~f~dL_L~ ~~tl /-~-~~ l ~-C'ff~~1 ('./'~~'~CJ,~~ Present use of building: /~ Valuation of Proposed Construction:_~~~; ~~_~, o~ r Proposed use: ~/~~~~~~ Is this an addition?_ S f 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 Heat/AC? SUBMIT THREE (COI~.KERCZAL) TWO (RESIDENTIAL) COb~LETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTIG~ OF COZ~NG~'MENT, AND OWNII2/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: ate: Signature CONTRACTOR: Date: AS TO OWNER: ,1;;iJ;P ~~~,,, Patricia H. Kelie -~'' f Sworn to and subscri~ _f{~Q¢"C~NI~SI~AI~~C722 RES day of 2000. :.. ~a•. o: ?~ May 21 _'' '~ h / ~, . i "•1~'~_~d`.:~ 80NDEDTHRUTROYFAI INSUR `~ RACTOR: Sworn to and subscribeZl re me th l~ ++~~ r Q h ~, M `yI ~ t~,~'~ 2 A zu~~ ~;~-;~ c F~'~lantic Beach ~UliGln~ and ZOning Y PUBLIC ~ i/" Q ~ day of ,2000. r ~ ~ lll~ e D ARY P ` ,J IY i~ ~/ 'ti~•~% Patricia H. Ke ey ~: MY COMMISSION # CC712880 EXPIRES _; : o May 21,1002 ,'•'~„pF `~`~ BONDED THRU TROY FAIN INSURANCE, INC CITY OF ~rtic t~eac! - ~~CVUda 800 SEMINOLE ROAD ATLADITIC BEACH. FLORIDA 32233-5445 TELEPHONE (904) 247-5800 FA.Y (904) 247-5805 SUNCONI 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FGR SECTION 489. 103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. 711E EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE AONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A CDST OF 25,000.00 OR LESS. THEBUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE GUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION I5 COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU NAY NOT MIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE. AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL fNSPECTiONS. T)iE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS HE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. " TfilS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO 5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-2Z8(I ). AN "OCCUPATIONAL LICENSE IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFlCATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROP RTY OWNER/BUILDER ADDRESS ~ TELEPHONE /~ ~vv SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF i1R/l.C~t" 9_ OTARY PUBLIC .s- NOTE: PHRASES UNDERLINED ABOVE~,.~YiP,, MY 0Q f~I~SS10N EXPIRES: of -~~~ D.~-~ <.IS . , . Patrkia ~e Y ARE EMPHASIZED BY THE BUILDING:' ~= ,.: ' .: MY COMMISSION # CC721880 EXPIRES DEPARTMENT, yq;, o<a Mph/ 1~, 202 '%~~ ~~~`~ BONDED THRU TROY FAIN INSURANCE, INC 17fi3S DEPARTMENT OF BUILDtNG CITY OF ATLANTIC BEACH .___. E~FFcM~T I1~3F'ORMATTCs~i _~__,.._- --____~ LOCAT~~3N INFORMATION --__.____,._ Pr~mit T~umber: 1?SAS A c~>"es~: 5~~ SHERRY DRIVE iv~rn~it Type: FIREPLACE ATLRNTTG 13EArH, FLt?RIL~A 32:~3~ la~~ cif t~nt~~.:NE4d _,~.-____.. )aEr.AL I~ESC'F.IPTION ___.___...._d_ ~~csns t x- . TyI?e : WOQL FRAME A 1 oak ' I,ot : Twp : 0 F~cspc~5ed Us~:SaPi~'L1a FAMILY Section: Q Sea.bd: Rn~: ~ l~w~l1 ix~~~ : a Subc~~.ui~acan: Est. v~~u~; ~,~a Impr~r~u . ~'t+~t . 3, ~0~ , t~0 Tflta1 ~~~~: ~~.~~ Amount Fa~~-. ~ =- ,,6f~ T D~ ~r r, r ______._ ,,W~LR It~'~+.~T~'i~JN ~-___--_..-,_~ ~ .-...,.~:_ AP~'L1~"ATION FEES ~___~_.._._._ ~m~ : M&GI;kE~.~ ~i#~"i':iC~ y,: EST , 60 .OCR ~+~~' ; X31. SHE~R~° 13RI~E AT~.~'.~~~ BEACH', F~~aRTDA 322~3~ - _ .. _ ... C4I~'I'R,~4~'TC~R Z Pt}7'RMAT ~ Q~I -: _. - - ._ . Mme : L[JCKIDT'~~ CO~`TRUC°~``~GDi . dci~-... ~a3? _ ~:9T- AV:~1`I[7E NOI2T'R JACKS~'~+i'SIIL,~,S.BI~ACF1, gL 3225D _ _. XPp 7 , ~ , ; ~ti, ~ ,.~ .,. ,_ ; NOTES: a;. NOTICE -INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRtS FROM THIS WORK MUST' NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP ANb HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN .RESULT IN THE PROPERTY OWNER PAYING TWICE FOB BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATK)N FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 4 Date: 1/13/49 81 Receipt: 733 piECK5 ATLANTI CH BU ING PARTMENT f~l$9~3~218~ ~:;, ., i CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET P.ddress / ~tR Dates ~~-/3-r'~ Heated Square Footage @ ~ per ;~.; f = _ ;; ~ Garage/Shed CG S per _-,~t~_~ w q ~_ = S f' CarportjPorch ~~ :a p~~ ~ -- ;q vt = :> Dec~ ~ ~ ~ .a *aer ..~:a ft. = S N V ~ ~1 ~ i ~ ~ a ~ _ ~ ~ ~ ~ J ®~ I - I ~ I jam) TJ ; TOTA.. VAL`JA S 3 ~ dQ ~~Ga~~ /J ~' ° ~ %J cam- v Tcta Valuation lst S /gyp o y ~ F.emaining Value S~ per thousar~~a or portion hereof TOTAL BtJ I LD I NG FEE ~ ~ a3[~_ + l;'i Filing rFee $ /~ (() Fireplaces fa $i5 . ~~u S /tS" da BUILDING PERMIT FEE WATER IMPACT FEE SERER IMPACT FEr: WATER METER%TAP CAPITAL IMPRCVEMEI•i' SEWEr: T-_~ . RADOi3 t' I-IRS i . CG ~'~ SECTIOiv H PA~,iING iiYDRAULIC SHARE CROSS CONNECTION SURCHARGE . ~~~,~ ~.0 O'T'HER GRAND TOTAL DUE S ADDITIONAL PERMITS OR FEES: Mechanical Plumbina_ Eiectr~c/New Eiectrici'Temp :S~immingPool Sept?r. Tank Weli Sign_ Finish Floor Elevation Survey Other CALCULATIONS and%or !VOTES: ~~ j ~~< ~~, CITY OF ATLANTIC BEACH HERMIT APPLICATION REMODEL, ADDITIONS, OR A•L~R,A~'.S MOVING, DEMOLITIONS City of gtiantic Bca ,f / / Building and ch owner (s) : N!. ~ ~~~(~' '~G~.S ~C`E'- Zoning Job Address, ~~ l ~She~ras ~/, Phone: ~ 7 C6' ~~7'~~,~ Lot # ~ 'Block or Unit # Subdivision: ~IfJCGZ~~S ~~' //l~~ Contractor: 1„ j f L'~/~ ~~/?~ 7}~'~~~~ State License # ~,~1~~7 ~~~~~ Address : ((~ ~~ C Phone No: ~ ~~C ~~~,~~ ~, City ~e G ~ State ~- Zip Code ~~~- Describe work to be done: Present use of building: ,~.. Valuation of Proposed Construction: ~,~~ ~U Proposed use: Is this an addition? r. 5 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 Heat/AC? SUBMIT T1IItEE (CC~,'RCIA7.) TWO (RESIDENTIAL) CC~LETE 3ET3 OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORbLS, NOTICE OF CO~NC~NT, AND OWNER/CONTRACTOR AB1-'I'DAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: ~ (J ~~ Dater AS TO OWNER: ~~~, pat•icia H. Kelley Swo~[''Y'~'Z~;a~~,6,~~.8~~~c~~ me this `"~ May 11, 2002 %~R'• • • , b~;~ BONDED THRU TROY FAIN INSURANCE iNG $.,. `•• AS TO CONTRACTOR: Sworn to and subscribed before me thi Y PUBLIC 19~-~ ,, ~ Patrlda Ama-elte ~ ;;is MY tX1NA~MSSKIN N CC553881 EXF'~?F"", ~ Aupust 27, 2000 1fi~R~~y• gQNpEp7HI~JTROYFAININSURANCE,INC. PaTb~Z Wt~tJ~STK. ~, n ~" PCa~~t~tG4 ~~ wl6~~ss_~~~s __ ,> __ 0 _~ JI~r~P iP,. ~R O V E D CIffiY QF ,ATLANTIC BEECH HUI'4IDIN~ JAN 13 1999 .~ ~. _. JE~C~ P4 P P~~ o~~`~G ~~Q~ oN~`'G ~ ~ "~°~o~~ ~P~ti RECEIVED "~ ,!n~! 1 'I 1999 City of Atlantic Bcach Building and Zoning ~r~~u~~r ~K(~17tit13j __ ~'~ 4 0 ~' ~/' Cf~iMR~t SAP ~IST7 h.i[~ 3I8" ?- III S-c~ rr1G~ OVi~!a. NTcw 2- Z,~ +ZY'~ ~~~~ 2 X~ SP~~ 2 ~ L~ ",: ~ c. / _ ~.. __ IZ ~~ ~.~ o,e L~,._! ~^ `` ~, #f y ~-~ 3A5(~- --- r t .- B '! der-Tech: affordable clean-face desi s with exceptional hearth area. "Unique" is the first word that comes to mind with Majestic's® Builder-TechT'"' (BT) woodburning fireplaces. Through apatent-pending design, the BT Series provides benefits no other fireplace in its class can match-an entry level fireplace with a larger-than-average hearth area. This unique con- struction simultaneously designs cost out without sacrificing size or appearance. The compact outer-. wall construction reduces installation space while providing a generous hearth area that is larger than most other builder models-the 36-inch model pro- vides nearly 450 square inches of hearth area, while our 42-inch model offers almost 552 square inches.: ~t The beautiful, traditional look doesn't just end with the hearth size. The BT fireplace features a clean, uncluttered appearance with little exposed black metal. Its fully refractory-lined firebox with a realistic firebrick imprint on the sides and back pro- vides added authenticity and durability. All combine to give you the great looks of a masonry unit in a low-cost entry level fireplace. The BT Series is available in 36-inch and 42-inch clean-face models. And because of its factory-built design, the BT Series fireplace installs quickly and simply almost anywhere and can be finished to suit any room decor. With its compact, uninsulated outer- wall design, the BT fireplace is proof that builders and homeowners don't have to sacrifice hearth size and great looks for affordability. Standard Features • Large, Radiant-Heat Firebox available in 36-inch and 42-inch models. • Fully Refractory-Lined Firebox with Realistic Firebox Imprint (sides and back) for durability and authenticity. ~ Tapered Firebox Sides for greater reflection of radiant heat. • Clean-Face Design permits true flush-finished hearth extension and firebox opening. • Self-Finishing Surround permits simple finishing technique. •Patent-Pending Design saves space for simple installation almost anywhere. • Nailing Tabs for easy securing of unit during construction. • Built-in Flue Damper reduces home heat loss when fireplace is not in use. • Black Wire Mesh Firescreens to protect floor from sparks. • Basket Grate allows for adequate combustion air to flow under fuel. ~ Gas Access with. knockout on both sides for optional gas applications. • Underwriters Laboratories®-Listed and Tested for safety. • Limited Warranty and 30-Year Protection Plan. Optional Accessories • Tempered Bi-Fold Glass Doors enhance traditional fireplace appearance and improve home efficiency by reducing heat loss up the open flue. These easy-to- install doors are available in five finishes to comple- ment any room decor: Polished Brass, Brushed Brass, Antique Brass, Polished Chrome and Black. • Outside Air Kit provides a constant flow of outside combustion air to the firebox in tightly sealed homes. • Majestic Fireplace Surround Facings and Mantel- pieces come in a variety of materials, colors and sizes for an added individual touch. Most items come pre- sized for fast, simple 'installation. The Majestic Space-Saving, Cost-Saving Chimney System The Builder-Tech Series fireplaces are designed to use our least expensive "SK" chimney system. The 8" double-wall system requires 11/z" clearance to combustibles and is suitable for 16" O.C. framing. Installation is simple with snap-together pipe set:tionc and elbows. The system offers a choice of tradition contemporary or chase .termination tops. - BT836/BT842 Specifications: ~~J ~ 8" DIA. E y ,11"DIA. i sF 8K" h'~ G t a 1 e ~ ~ ROUGH 33K" ~ .~ ~ ~ ;: 33Ww" 21'h" t ~GI~ 27K" ~, ~ 34Ki evr ~ . ~ 11 K" . ~ , 4"OUTSIDE 4~'i• I~ O AIR ACCE88 (BOTH SIDES) ~~" B HOLE (BOTH SIDES) Model No. A B C D E F G H BT836 42Y4" 40" 36" 39'/s" 23Y4" 4'i0 sq. in. 32" 21" BT842 48'k" 46" 42" 451/e" 291k" 5'i2 sq. in. 38" 27" W MAJESTIC ~~ A Division of Majco Building Specialties, L.P. 1000 East Market Street • Huntington, Indiana 46750-2579 • 219-356-8000 Room set shown on front features Model BT842 with Glastonburym mantelpiece and black slate surround facing. Form No. BTSS/893 Printed in U.S.A. ~~ q- ~~ PSR•38A4 b i~ i ~_®7~~ I DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH '~ _____ ~ERMtT TNFORMATICN --___._ -__;w_r LOCPITI4N INFORMATTON --_---___ P~rm~~.t Nu~k~~r; 15232 Address. 531. SHERRY L~RTtJE Permit Tvt~e;R~?OM AT?DITTCrN ATLAI!dfil~' BEArH~ F'L~'RZDA '223? Class of Work~NE6~ _•________ LEGAL DESCRIPTION --________ CLnstr.. TvFe:W~OD ~'RAt4E Rlc~ck: Lnt.: Tw'p' ~? Pro~as~d Use:STt~GLE FAMILY S~+~tio:n: Q Subd: Rna: n Dwellin~a4: 0 Subdivision: y Est. Vslt~e: O.10 ?,mprov. Cast : '? . 1QC? . nQ Total Fees; 37.50 Amar.~nt. Paid : 37 . 5Q I?~te Prod: -~.1~??/1~9~ wa<k IvC ~e~~:: ~CIN R~?~f~t _...__ .___ GFIr~ER ?NF~?RMATI~?N ________.~ ____ ~ AP1?LIGATION FEES - ~ Nsme MICHELE JUSTICE' ~~ ~~ '~~ ~~'~'-~+`EE Adc4~' : ~~'~. SHERRY .DRIVE ~xTI,AIVT T C BEACH , FLOR T L'A 3 ~ ~ ? ~ P~-~on~' 9~J4 )249-8540 _ _ _ _ _ _ r4PiTRAC.TOR ;I~1FC`F,rfAT I O~ _ _ _ _ _ _ ?`lame: PREF~RRET3 ALrJMINUM OF rENTRAL Rddz; 55-14 a~, 3CHNS BLUFF' ROAT> _ JA~'KSONUTLGE. FLORTDA 32¢25 Lic: E3tp' / ~ NOTES: 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 .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 SUBJECT TO REVOCATION FOR. VIQLATION OFAPPLICABLE PROVISIONS OF LAW. . f~37.58 14 CfIECKS ~ X166 ATLANTI BEACH BUILDI G DEPA TMENT I~188883"c~1888 By: + rti- ~. ,~ ;. ,~ CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address ~~ ~ , /L ~ ~ SCrt F EN /~b 2c N Date L~ `~ CQ `~7 R Heated Square Footage ~@ $ per sQ ft = Garage/Shed Carport/Porch Deco; Patio __.~~~@ S p e r s q f t = `' ~~ t = \` @ $ per sq ft ~ uuu -{- S ~'i ~ T«~ ~ ,. _ _ _ to ~: p C ~ •~'`1 S S .i @ S per sq ft = S TOTAL VALUATION: ~/a4°. Total Va~~tion ~~ ~O ~ Remaining Value ©~ 1st $ ~J4 /~ .4 S~!~ per thousand or portion thereof s ~! DO°~ S l~S~ 4 ~ s ~~. 0 0 TOTAL BUILDING FEE $ + 1/2 Filing rr^ee S f 2 . ~`d ( 1 Fireplaces @ 515.00 S BUILDING PERMIT FEE WATER IMPACT FEE SEWER IMPACT FEE WATER METER%TAP CAPITAL IMPROVEMENT SEWER TAP RADON (HRSl. .C050 SECTION H PAVING ti HYDRAULIC SHARES CROSS CONNECTION ( ) SURCHARGE .0050 OTHER GRAND TOTAL DUE s 3 ~ ~Q ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ;SctimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: s 3 `~ . SD CITY OF ATLANTIC BEACH PERMIT APPLICATION R~yYODEL, ADDITIONS, OR MOVING, D~IOLSTIONS R~~~, V ~~ AFB j ~q ALTERATION598 ~~ty of Atlantic Beach ,~~J Building and Zoning Owner (s) : ~///~G,~/~?L~ ~I~t ~-,f~E Address : ~°~~ S~lZfLt' ~ Phone : 2 7Yp 'G 9y~~ Tt~rr~'' .56 ~' Lot ~~ Block or Unit # _ Subdivision: atcJ ~rj `.S ~~~/~ C. T- C o n t r a c t o r: .~2J1.-~ GQ %~Lt,u~. ~ T ~•~ '~ay y~ ~~ju« State License `# Ste o5/'r7~_// Address:~j~~y ~~.j~/~~ ,C~~~l~ Phone No: g1J ~'~ /~7~ Z~/ City ~~-~ State ~ fip Code ~zZZ~ Describe work to be done: ~/(_Q.,GV~~ ~Yl~ • Present use of building: `Jaluation cf Proposed Ccnstruction: ~~~ Proposed use: S'G/2..~~>(.J ~~7yJ Is this an addition?~~ If yes, what are the dimensions of the added space:~~ft. Y ~ ft. Wii1 the added area be heated and cooled?_l~ New electrical (or increase)? New plumbi:lg fi:ctures? (t/~ New fireplace?New HeatiAC? Ia SUBMIT TI~tEE (CO1~+~RCIAL) TWO (RESIDEfi1T2AL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTI~ OF COMN~TC~~lT, .AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. ~p Signature OWNER: p*~ ~(" j~./ Date : ~ Z~j ~ ~~ _ __ Signature CONTRACTOR:~~~,~~s~~ Date: ~'~zU ,~ 0 Sworn to and subscribed before me this ~~ day of ~1~~«~p.~ 19~ NOTAR PUB C RI DA AT LARGE ~'4~'~,. Micheal O Brokaw .* * My Commission CC83ESl4 `et Expires Apri108, 2001 ~? sr r~a~ ~PSR~ 15731 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH __.._e_ PERMIT INF~?RMATICN ____ ..____,~ LC~'ATI02V INP"ORMATICrN -__._____ Fermi t N~rrab~>M ~ 15? 3i :A~dr~$s : ~3i SHERRY DP.IVE P~rx~nit TY>'~:RE-ROQF 1TLANTIC BEACH. FL~?RIEA 322 ~,~ ~"~~ss cif Work:ALTERATICN _____-___ LEGAL IaESCRIPTI~~N ________~__ ~"~n~ t r , TyI.~? : i"1C>~JL FRAME B l eck : Lit : TwP : r~ Pr.cz~o~e~ tJs~: Section: n S~>.~a~:4 R~,~: ~ Dt~r~l 1 i rsa~ ` Subdivision : BC~WSR.Y Est_ Value: OeOC` Zt~~rov . ~°ost : 1 , i0~ . I?~ 't'otal Fees : 25 , G~1 Arnot.~r.~ Raid : 2 5 . C~!J ., _ , ~ _.____.___ ~~,WNEP i~1F'~R~iATI~N --.___~, _..~___ APPLIC~T'I'~N F"F,ES -.__._.._....._.. r~dam~: •~?4MES ~:. L~"HRET.TR PERMIT 2`',.~~ ~ri~~ir ° X31 SHERRY ~RI'JE ~iTLA~tTIr BEAC`Hf F'LaRIi~A 3x233 1'r~one: ~ ~nq~24,5°9?52 , ._ _ _ _ _ _ r,~~N''-_'RAC~I'QP' I~FO!?pq?~.T I ~N _. _._ _ ._ _ t~d arn~= ' M~~'NAHAN ROflF I NFs Addr ; ~?~ aAI,TBU`SH s"~?URT 7ArkS~_~i'IiI,I,E FL 32225 T ~. .~ ,~ - a ~; .. .~T _ , ,f ~ ~ ~ : s~,.. NOTES: NOTICE -INSPECTIONS .MUST BE RE4UESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH ANO DEBRIS FROM THIS WORK MUST NOT BE PLACED'JN PUBLIC SPACE, AND MUSTBE CLEARED UP ANO 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 f~MPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT~TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ~~~ 1~ 3135 8 B81 8~@32~1~ A CH BUILDING EPARTMENT ATLANTIC B E ( ~ '~ ~ , By: ., CITY OF A?LAittTtC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: ~ ~ l ~ h E' `~ ~ `1 ~ t ' OWNER OF PROPERTY: ~ L~ r ~- ~ T CONTRACTOR: MG~ +1C..--~c.. ~ ~C; C; ~ 1 ^ `~ CONTRACTOR'S ADDRESS: Z C~ ti O IC ; ;~ ~ C'_, ; o ~-~ t ~~~ Z1P: 3 Z Z L) r STATE LICENSE NUMBER: ~Z C: +~ C~ ~ ~ 3 ~'l ~ TELEPHONE: ~2 i -C.:1 CGS C DESCRIBE WOR14 TO BE PERFORMED: Q~ ;'v r `' ~ ,~'~, ~ ~. c ~~ ~ c.- r ~ ~--~ VALUATION OF PROPOSED CONSTRUCTfON ` 1 CV C> ~ MATERIALS TO BE USED: rr c:- c~ ~ ~ ` ~ ~ ~ ~ ~-~ ~ ~ '~ ^t~^ ~' ~-~ ~ t c;, ~n -~ SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: i SWORN TO AND SUBSCRIBED BEFORE ME ~~. i DAY OF ~ ~~` , 19 ~? =~ v/ ._. ~~~~it-L.~E~Q~ NOTARY PUBLIC Liability Insurance Supplied """"~~., ,~i~" ~ P~ . Pefiida Amonette °•. ..- n~v corun~issioN ~ cc~asy t:xPir~E: ~rVcr~cers Compensatcn Insurance Supplied ~P'= Aupust27,2o00 ~P,; ,;~~~` ~N~ 1'HRU TROY FAIN INSURANCE. INC Contractor License Information Supplied Occupational License Information Supplied CITY OF ATLANTIC BEACH FLORIDA APPLICATION FOR BUILDING PERMIT FOR, OFFI ~ % ONL~ Date..-•----•--••- -- ••----•---......19 ...... Permit #-~5..~~---.Fee $......~~.~~. Valuation $f--,•,----------) ....................................... House #~....~Y•..~!-......<..3d~::'5=........ ---~ . Application ~s hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Lawa 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 Building 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 licenses can be verified. ~pp ,r Date--•-----------Q...:'......i.~":...._.....-•--•--•----•-•---•--., 19~~- /'~ r // !~ •~ `a. ~~~ :.................Address_...~..~~------S~~C~fr~ ..._.L~/~__Telephone No..a~../1~9.:.7l7~ Owner----••----- ----~-U-l---•------------- ----- -----•--- Architect--------•--...----•• ................•-•-•-•• ---•-------...........-•-•-----...-•-----•-----....Address...._..........................._..f.........-•-•-•-•-•---- el hone No............----.........---- ~ ~-^~ Contractor Builder.__._ .......I.LC~...._..~-~~~ ~ c p Addresa._..._......° ~/ ,,/ r 1-.~ _.. ..................•---- ~.~' --~---~T-•-J~'7..Y1....Telephone No.........._...------•-------- Lot No..------•-----------------------•---•-----.._....._Block No....-•-------------------•------Sub Division--------------...___....----...._...-------•-----•-•---•---•----•---------------Zone----•---•--•---•- ..-•---......-•----•------•-----------•--------------•------Street---------------- ------- Side Between.---•-----------------------•------••-----•-•--------and-•-----•----._._...--------•--••-----....----.........Sts. Valuation $_____SSsr___ ~~._:For what purpose will building be used ........................................Type of construction.._./.~-~G~.r_.. Dimensions of Building--.-----•-------------------------------Dimensions of Lot.-------•----------•--•----•-----_..._.......--•--•._--=Size of Footings.........._...-_-•-.-_----------.-..-- Size of Piers------------------------------------Size of Sills---•.---.--------.---------._---Greatest Sill Span in ft._._.........._....---...._Type Roof.....-------.•.--.--...........--__--. How will Building be Heated? ................................................................Will Building be on Solid or Filled Ground?_____.___.__.__...__.._..__...._......_ Size of Ceiling Joists----------------------------•-..._......_., Distance on Centers...._....--.-.--•--••---------•--..........., Greatest Span.....----•-.---....--•--........--•---...... " Size of Floor Joists-------• ........................•--•---.-•...-, Distance on Centers.---.._....---.-•-..---.......-•-.----..._, Greatest Span....._..-------.----.....-----------•-•.-.-• " Size of Rafters --------------•-- -- --------------------- ----------, Distance on Centers .........---- --------------•-•---•---..._, Greatest Span------••------•----•--••--•---•-•---••---•-- » This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance i~ feet lrom all lot-lines and existing buildin$e. REAR LOT LINE Two copies of plans and specifications shall / ~da~ ~.L~ZG 2. be submitted with application. l~ 3 `1 Inspections required. 1. When steel is in place and ready to pour footing. W ~Q W 2. When steel is in place and ready to pour columns and/or lintel. x 6 ~ x 3. When steel is in place and ready to pour beam. "~ '"a 4. When framing is completed. ~ P P R O V 5. When rough plumbing is completed, and ready to cover up. CITY O.F ATLANTIC CH C / ~, 6. When septic tank drain field or sewer is laid but before it is covere~UULDIIVG OFFA 3S ~ q .~ ..~ 7. Electrical inspection by City of Jacksonville. ~ ~ 1 1 ~~~QQ v' m 8. Final inspection. ) V °O.. ~`~ ,~. Note: In case of any rejection, re-inspection MUST be called for after corrections are made. By .~/ FRONT OF LOT In consideration of permi given for doing the wor as described in the above statement, we hereby agree to perform said work in accordance with t attached pl d sp if' ations, a*hich are a part hereof, and in accordance with the building regulations of the Cit lantic Beach. Signature of Bui er------••- •------•-• ---•-•---•--• -- ---.. .... Address....._....~~..~..,~ ° ~ -f~ ~~ ~~ ~v~:.---- Signature of Owner ... ..... .......................................................:.............._ Address...--•--••-------••--••--••---•--......_.........................-----.._........................... '~""' ~ (OtV. OF F. 1. G~FtW de CO., tNC.) P. €3. Bt3X 6$91 • JACKSQNVILIE, FLOIRtDA 32205 PHO~tE 389-5578 Page No. of Pages ~rapnsal PROPOSAL SUBMITTED TO: DESCRIPTION OF JOB: Job r ~~ Address ,.~~ ~ ,~- City State Phony Date r~ ~~ r ~erPE1LJ ~uhmit specifications and estimates for _ 1 ~S ~. ~f Wit= ~ ~ ~->.~ .r /~ x.' ~ "" ~ ,~~j d~~~`F o7I ~.t f ~ ! // ,t (((fff ff ~~ P' 1 ~~ (/ !t tf'bP +er2 new ~~+~} e ~erebg ~rQ~Dt~~ to furnish labor and materials complete in accordance with the above specifications, for the 7 .-.. ,~.>~.~` ~ ~` ~' ~-' adz '~° ~ ,.~'~/ ~~,~~~ ~ mot' ~ ~'`'`~'' sum of $ With payment to be made as follows: All material is guaranteed to be as specified. All work is to be completed in a work- AUthorl manlike manner according to standard practices. Any alteration or deviation from above Slgnat~y specifications involving extra costs will be executed only upon written orders, and will ii become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other Note: TI necessary insurance. Our workers are fully covered by workmen's compensation drawn k insurance. bposal may be with- if not accepted within days. ,c~1IPF~.1tF11tIP Df ~rn~rQ~ttl-The above prices, speci- fications and condltlons are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date Accepted Form itPF-113 Signature - .,~.. Fu~t 1 ~~. r Signature °tl,~ ,.:;~,t;-,, `~ ~ E `- ^ - ,.. - ~ i ~ h a.Nf 9'~hava. (ne .~ ~bt:15~ a.@MiAi~Te*as ... ,- ,. _. _. _ ..:f 17111 Fca.~.-_ ~... ... ... ~p .~- ~.~~,. •~~ r, PSR-3844 .. _ " •~I ~U~l! DEPARTMENT OF.B~tLD#N(3 CITY OF ATLANTfC:`CH ._ . _. _ . z: L.Rp,~ r T T ~iF'~'RM?~T T ;?~`# _.._ _ _ _ _ _ _ _ _ . -- L~CAT r nN I tdF~?R2~F,T T_ C!N ._ _ _ _ ~, ._ _. n~t'iT., r ?~1?1;?'~?:~~ _ :tFl!~7 A,3dre~~ ~.~~ :~I;EP.RY Dx?ItrE n~.s:;~;~.~ mg~~,~:~rRELN E?~i~'Lv,~CTRE ~iTS.~ANTI~' IaEAf:'H. FI,sr'RIL`A 3223 ,"1~4~ =~t W~~r~oNEG~? ...__._~~ - ~,E~'l~l~ LEES^_RTRT~~'£~ K_...__-___ `°+.~~.a t'°._ ~'v~+~W~~~s T3 'F'RAM E =~: _ ~.~~~.. .. '~~~~. ~~ B1. e c ' ~ p ;» Tl` i j '~„^S Q Q ~ (~ ~ ~ ~ ti ~ N ~ ~ Ib ~ ~3`i ; i... ~ y , ~ P f" R- ~. ~1 i~i : ~ ~ t.:," ~'-.C ~ i'.Zi ~ ll ~~.r~I~.~n~~: ~ ~Ya~~a~.rri~~:~n: E~~ zr~lu~: C~.O~? Tc~t~~ F`~~~` a~,r~~Y, P.br~at~nr ~~~:~c~' ~~~ , nn ,{ .__ .. _ _._ ~. i:'WY'Ft ~NP`nl•'A'4n'T'I~Iti __ __ _-• ---- APELI{'ATI~Na ~EE~ - ~ ~ ~ ~~ , ~~ dsd~z ; 531 SHERF?Y DRIVE ` ' i:TLAIVTT~" k~EA~'f:. F ~,OR3L9A 3223?,. ~ ~~~~~t~ jt~:t?'~d~'R~~~ `1 c U~' -' ~~ _ , -_ .~ _ _ _ _ ~;~NTR~3G'I`nF I}gF~F~MAT 1: n~ - _ _ _ _ _ r `~ ?d~?Ti!:?': FR~j>:?ERTL '~~??~FR , iC.~~ l ~ ~~ i y .w , E 7~ L'' ' ~ ~ ~~ `~ Sr l~~ ~..: ~. ~ ~~~ _. 1; 1 NOTES: ~- ~ ~~k ~ ~ NOTICE -INSPECTIONS MUST t3E REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT 8E PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN ~i~SULT 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 APPLIGABLE PROVISIONS OF LAW. (45.68 14 Cl{EGK5 ATLANTIC EACH BUILDING EPAR MENT Q61~663~21688 ;. r!_ - , . .. ,. <s CITY OF ATLANTIC BEACH PE IT CALCULA ION SHEET ~' ~~+...../ e r Adaress ~Q ~ ~ ~i~°(` ~ J't ,/~ ~ / ~. -_ C3,1~~'f7~ ~ l~pp~.l- Date 3 ''" ~~ Heated Sauare Footage @ $ per sq ft = $ Garage/Shed @ S per sq ft = S Car ort/Porch L'?~ d S l~'.~C~ ~~ P ~l: per° sq ft = $ ~ ~ (~~ °~u Patio @ S per sq ft = S_ TOTAL VALUATION : S ~ ~!~ Q ~~ Total Val~}ion 1st S~c~~~a~J Remaining Value $ -:per thousand o portion thereof TOTAL BUILDING FEE $ ~, ~ CSC? + 1/ 2 Fi 1 ing Fee $ ~ :~":C9 ~ ( ) Fireplaces @ $15.00 $ - ("~~ BUILDING PERMIT FEE $ ~/ ~A C~(~ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S ~~ SEWER TAP S RADCN (HRSI .C050 S SECTION H PAVING + ) $ HYDRAULIC SHARES S CROSS CONNECTION $ ( ) SURCHARGE .0050 S OTHER $ GRAND TOTAL DUE S t~'",~ "' ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: } CITY OF ATLANTIC BEACH PERMIT APPLICATION RIIKODEL, ADDITIONS, MOVING, D~IOLITIONS Phone No: Owner (s) : C~, C~~E- ~~,~ S~l C_~ Address: Uc?~ ~ ~Qrr\~ ,V (r1~1 Q,. Phone: ~~~~~0 ~~('~~, ~~-~~',~~`~`Tl4't~ Lot # BloclIk11,,or Unit # Subdivision: Contractor: ~W State License # Address: City State Describe work to be done: ~l`:fP~i'12 KtCEIVED FEB 2 4 1998 City of atlantic Beach Building and Zoning OR ALTERATIONS Zip Code Present use of building: Valuation of Proposed Construction: ~i~o~ Proposed use: ~Cre.fLV'129~ Pow. Is this an((~~addition? ~~ If yes, what are the dimensions of the added space: ~V ft. X ~~~ ft. rrTill the added area be heated and cooled?~_ New electrical (or increase)?~ New plumbing fixtures? New fireplace?New Heat/AC?~_ SUBIKIT TFg2E~ (CO~CIA.L) TWO (RESIDENT7I~L) COI~LE SITE PLAN, SURVEY, ENERGY CODE FORDS, NOTI OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER Signature CONTRACTOR: Sworn to and subscribed before me this NOTARY PUBLIC PLANS, INCLUDING S00 SEilIINOLE ROAD ATL.~VTIC BEACH. FLORIDA 32233-5445 TELEPHONE 19041 24.-oS00 ['.fit 19041 24 i -5305 SliNCOb~I 352-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE AONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCL4L BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU NAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER ~~DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. ~~ THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS•THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO 08SERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $S,OC~O PENALTY UNDER FLORIDA STATUTE NO. 455-228(1 ). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY ~~CERTIFICATE OF COMPETENCY~~ OR THE FLORIDA.~~CONTRACTORS CERTIFlCATE~~ TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPE~ OWNER/BUI ER ii ~~, / ADDRESS TELEPHONE(]Q SWORN TO AND SUBSCRIBED BEFORE ME THIS ~ OF ~.~ 19-/(1 . . ~._. _, _. ~~ NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING DEPARTMENT. i s.!"~ f''€ ~` ~, s } • _ _ . ,._ ~.. t ~.- , . ~ ~: s ~t A . ;- ~_..r._ _-____. i , -- ~ i ~ ~ ~ ..m.~-....~...~a+,..,t-.~.~..x~...~++ ~'. e i 1, ~ ~ i ~ ~ ~ ' ~~~ ~ - _____ ~; _~v.._ 3 __.~- - - - - - - x ~~4 ~~~ ~_ ~ ~ r __ F ~ ~. ~ r~ ~- i. ~ ~-~P~PROVE.D CITY .O~F ATLANTIC BEACH BUI~.DING OE'I:'[C~ „MAR 13 1998 RECElV~E~? MAR 1 0 1998 City of Atlantic Beach Building and Zoning ~~ ~ ~~:_~ P , a SG~FEIv ~3cisTi~/4 ~b~QcN ~- Rr P~~~ Ro~~V w~n,p a x 8 ,~~s~- .. .. N H Z,~ g . ,~x~ g~ ~ •~ 4 ~. ~ l~, ~ ; " ; (Jl ~ l3 ECM m _ ~~ / ' A N CJ1 f ~ N N Q~1 ix Z ; ~ i ~ ` ~~~~ ~ ~ ~~~ ~ Z ~ ~. i J N N ~ i ~ ~ f 5 r~f ` ~ ` i f 3 ~. 4 ~ ~ g ~~a+~' ~ /' ~ ~ s o ~ # f t ) ~ 't i, ~ ~S ~ i ~ . ~ ~~ ~ ^'r- ~~ ~, FEB 2 ..... . _ .. _. 199 4 E . ~ .~ ~~:..~...~....~:~__.._.. _ ___-~- ._.~ ----^~..~.~...._ __. - _ .. ___ .. . _. . . . t City of Atlantic Beach ~ ~ Buildin g antl Zoning i ~ ~ ~ /Lf/GHL~L~ GD'oK 311STlLf~ p F~A-X Z'f` ~-/'Q m m r PSR•3844 { 'S LI _'1 7~S DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -- --- _--_-~- LOCATION INFORMATION -----_-- Permit Number: 1345E Address: 631 SHERRY DRIVE Permit 'Type:PLUMflING ]TLANTIC BEACH, FLORIDA .32233 Class of Work:ALTERATION ----- --- LEGAL DESCRIPTIQN --________ Constr. Type:WOOD FRAME Black; Lot: Twp: Q Proposed Use: Section: 0 5ubd:0 Rng: ~ Dwellings: 0 5ubdivisian:BOWERY Est. tlalue: 0.00 Improv. Cost; O.OCI Total Feed: 25.40 Amount itia.ld; 25.00 a ~ a~ ______ OWNER INFORMATION -____ ..__ - ---- APPLICATION FEES _.._-_-____ i~~ri'i~-: J"~iFr~ .Cz. 9C~~EUR PERMIT 25.04 Addr: b31 5HERRY DRIVE ;, ATLI~.NTIC BEACH;` FLORIDA 32233 Phone: f 904)246-47°~ - - - - - - COI~TRAC'l'aR I1$FORMAT I QN _ _ _ _ _ _ Name : STEEt3 PLUM~:ING Addr : 1601 MALT: ~'~TREET ATLANTIC BEACH FLORIDA 32233 Li<:~ : CFC`037196 Exp Tgr~+~ : 4 NOTES: NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST QE INSPECTED BEFORE PO1JRi'NG PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DE$RIS FROM THIS WORK MUST NQT BE PLACED IN PUBLIC SPACE, AND MUST BE 4 CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LfEN LAW CAN RESULT IN TIE RROPERTY OWNER PAYING TWICE FOR BUILDING 1MPROYEMENTS.:' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR. VIOLATION OF APPLICABLE PROVISIONS OF LAW. ~~~~ 14 3/84/97 81 Rece p t 13458 CHECKS ATLANTIC BEACH BUILDING DEPARTMENT gglgg~g3~1888 -., / ,, Bx` ~ ~ ~,, ;; r ',;°. CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: Cp J / ~ti PLUMBING CONTRACTOR: ~J ~!U .1- n ~ LICENSE NUMBER: ~ r ~--~ 3 / ~ ~J OWNER : u~/J~~ BUILDING CONTRA TOR: TYPE OF BUILDING: SINKS SHOWERS a LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS /LP ~y THER :; TOTAL FIXTURE COUNT: + X15.00 = ---------------------- - `----- ------------ ----------- --- ----- - -- ---- - -- - i - --- - - ' INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. r , s PSfl-3844 x.2431. DEPARTMENT OF BUlLDMtG CITY OF ATLANTIC BEACH --- PERMIT TNFORMATIOPI ------ ------- LOCATION INFORMATION ----_--- P~rmit Number: 12431 Address: S31 SHERRRY DRIVE Ferrnit Type:RE-ROQF ATLANTIC BEACH, FLORIDA 32233 Class of Work:REPAIR ------~--- LEC3AL DESCRIPTION --------- Coristr. Type:WO~JD FRAME B1oGk: Lot: Twp: 0 PrQpased Use:SINGLE FAMILY Section: 4 Subd: Rng: t} I3wellings: 0 Subdivision: Est. Value: 0.00 Imprav> Cost: 800.00 Total Fes 25.40 Amount .s "~ ;'.,~~~ 25.04 DatQ ~~~`- ~°~. `<'15 995 ~~~~ Wazk T .'~,,'`,~'NSULATE 12X20 FORTIOK OF ROOF' '~?rk~. ,t q i TION ----~-~~ ~~ ~~~'---- APPLICATION FEES - -- Narne~ ;~~ ~ JUSTICE 7. 25.00 ~+I~iT Addx' &`~ IVE ~ ~~ B FLORIDA 3~~ ~ Phan'~f '~ 7 ~ ~ ~ ~ ~° " ,. ~ ~~r. ~ . r~: 7 ~ ,~ ~~~~ _ - _ _ _ _ ~2AR~~~FORA9AT I - _ _ - _ _ WNL~ PR ERT~= fl ~. , tame : , .r Ad~rM... .~ ..~ ~ .~_ti ..,, ~. , ..,. ,... ~,.< ~._ ~ ~_ ~ .. , _ . ~~.. _ Lic ~'~ Exp . J / ~ ` ~ r T ~ ~ y En ~ 9 ^^SS NOTES: NOTICE--ALL CONCRETE FORMS AND FOOTlNt3S MUST BE INSPECTED BEfORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBtSH AND DEBRIS FROM THIS WORK MUST NO7 BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY 1=1THER CONTRACTOR OR OWNER "FAILURE TO COMPLY ,WITH THE MECHANIC'S LIEN ~-~AW GAN RESULT i~! THE PRORERT'Y CfWNER PAYINGTWICE FC)RTHE BULL.QING IMPRQVE~AENTS" ~+C~J. tyCS ~ E ~ t ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT Af~UL~AI~ REV7~R VIOLATION OF APPLICABLE PROVISIONS OF t1AW. ~ii431?~33~21F18® ATLANTIC BEACH BUILDI ~ EPAR MENT ~~ r +'~ ; cxrz of aL~zlc sFacs owner(s): Address: ROOF IIIC~ i; >> ~~ , ~PPrLICA?I R 1 ~ y~ .z,225-- Phone : ~~--~ ~~ ~ 7 Lot ~ Block or Unit ~ Subdivision: Contractor' ~-~ ~ ~'u~ ~' Address• City, State and Zip Phone State License # Describe work to be performed: I~fy~~F ~- ~''e,~~--"' /'~~ oZ ------~ n ~~~~ ~~ Valuation of Proposed Construction: ~- . Materials to be used: ,~~"~ b ~" ~ `z Signature of Owner; Signature of Contractor: Su i ed ~~~ e- a ~'~ ~e/ ~ ~ - " ~ LiaLility Insurance rpl Workers Compensation Insurance Supplied License Information ~ "~:` ~ ~ ~+ ~.r'" D~01. ~~ ~' r ~1 DE'PARTMENTQFBUILDING CITY OF ATLANTIC BEACH ~:,, . ,. -~ I~EwRMI~` TH~+C312'1'tA?'TOM - T°° -__~ -_. LCiCATION X~II»'OR!'fATIQH w_,._.___...__ P~rtait NumiJ+~r' s .ibG Addr~a~r~s bGl SHERRY aRIY)u l~`ex~+it TY~ea I~UILDXHG )TLANTIC S~ACH, FL©EZIDA 3~ZG3 C1.~~~ cad' WcSrkx AUDITXQH __~~.vw____ L1E~iAL 1`.~I~~CI<tXP1`Ii)N -~__.~.~___. _ Carz~kr`. TYPa~: WfJfad FR,AltE Latx E1i~cks $~rs~it~rx: P~r~rx~:pn~ed Ue~ « QTNE:Et E'.l~t 1Br~rak x P+srg~e s d Dwe'~1Xirzg~ s ~ fl Ctad~ : O SuDd:ivi~i~rs s HC~MIERY EM~rti~n~t+~d ~`axlu~s ~O.'i3Q --___~__ Cti~tiE~E? II+EFL3RttATIbN --_...ro_._.,.,_ Xmprcav. Comet: ~24I~,'~,°5t~ ~I~~+ai JA~E~3 G. ~CHE?EtJR Tcrt~J, F~cr~sxi #1'~.~3t~ Addr'c~+~as 531.. BEI`>wRRY t?RTV£ Aa-4u~~° Fio~Xde ~rl.r3.'~iC} ATLANTIC E9CACH, 1;'L43RIDA ~~23G I~a~~:As~c#i ~1a~'1?188 Phcan~a t'~~124b-~~~2 t+lcsx k i;~exea. x CARPClR L`,T ,BE »!}TL'X' `~,IM REAi~ YARD _.~..~._~_H'£~tkC~'E#T~t~~ _._~.-__ ~ ~~--~ ,A~PLIGAT~~t7ti F'E»;~ ....-~-~ ` PCE~~~~ ' sii5. ~Q WAT>~14 X>td>PACT ~E;~ ~O.OL~ 6~.:R,; ~~_ BEWCEI; T1'~T FE%E a11fl. XTQ ,^iN ~~ ,, ' ~" ° RA~E~1~ CiA~~~. Elf. ~. ~• ~- ~~°. k ' t i~ ! I !`'~1 ~~.. , ~ ~ ;. :. ~. ` WATEEZ TAE' ~(,E, 1 "'1• , } 1 ~+r yJ ~p+ 1 ~g A . ~~IlER TA11" ~O. tJQ i°IYDERAULIC ~HAE;IE +B.Q.OG1 E-~-XHSPECT iI:EE ;0.00 ©TNER *Ca, QQ ~tf~# ~a 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 MECHANICS' LIEN L.AW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDLNG MPROVEMENTS." ISSUED ACCORDING TO ARPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO .REVOCATION FOR VIOLATION OF ARPLICABLE PROVISIONS OF LAW. ATLANTte"B€ACH BUILDING DEPARTMENT ~ ~t ~, _~, ~~ ,~ :. ., T <, v 4' ~ ._ `~ t ...- ,} Address ~ ~ ~fl lieated Square Footage ~~j (~ @ $ ' er sq ft = ,~ $ ~ ~1 ~ Garage/Siicd ~ @ $ per sq ft = ort/Porch Car @ $ per sq ft = $ p Deck @$ persgfC= $ Patio ~ @ $ er sq ft = $ - ,~ . TOTAL VALUATION : ,. ~ ; $ '''`-._ ' ,'t ~' ~: ~- ~. F ~~ , ,$ ~ '`- ^ 'ota a uat~.on 1st $ ~ ~`~ • ,,.. - ~. $ Remainder Valuation per ousan or portion thereof' ~ ~~- ----------------------- 'Total Building Fee --------------------- ; • $ I „ , ADDITIONAL PERI~~'LI.TS and/or FEES REQUIRED ~ ', + ~ Filing Fee $ /~ Mechanical ~ .'Fireplaces @ 15.00 $ ~_ ~ -_~ Plumbing BUILDING iPERMIT FEE $ ' '~' Electric/New. _, , Electric/Temp -, _ ~ ~ BUILUING PERMIT $ Septic Tank Well 5<ainming Pool Sign Water Connection Sewer Carmection Water Meter Elevation Certificate --r WATER METER CkitlRf'tiJ $ SEWER. Il~IPACT FEE $ WATER IMPACT FEE $ . . MISCELLANEOUS $ ~~• --D GRANll 'Tt7TAL DUE $ ~ .._, ----,~-~.--,.,.,~,~~...-..--......T-......-rrr........r-r..rrrrrrrrrrrrrrr rrrr r..r CALCULATIONS and/or NOTES _ ... ~. _~_,.. PLANS REVIEW CHECK LIST Address__ ~~,~_s,~~¢~~-.~-~~ ________Owner ~~~_ ___~ _~;d!.~/ _- ~"~____. Legal Description _______Contractor____________________________. ______License Number________________________ License on File YES HO Section 24Y101 * Zoning Regulations Zoning District__ ~ ~ ~,,,____ ,. U/ Required Lot Size__ _~ ~ ~ v - Setbacks Required ided Prov t f ~~ ~~ ~ ron -- _ _ _ _ rear ~ ~~! __ ~_ ~ side-1 ___.,/.~__ ___ _ v ~ 1/ ~ side-2 ___ ___ _. _ __ f° 6, Max. Height Allowed _ ~~ ____ ~ ~y,~ v Prapoaed Use q~'`~'`~~'"~° __ ---- ~ -F,nf---- Actual Lot Size___ ~„1G~~ Section 24,17 ,~"'°C~ORHER LOTS„ INTERIOR LOT Flood Zone________________ Required Elevation________ Proposed Height___ Section 24~E32 * Minimum Lot Coverage Required Heated Area ________ Proposed Area____ Section 24_161 * Offstreet Parking Number Spaces Required_______ Spaces Provided Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES NO Utilitieg Water and sewer service is to be provided by: Buccaneer Utilities _____ City of Atlantic Beach Utilities Private Source SEPTIC TANK WELL Plans RevieNed by:_________ _Date Building Permit #__________ ISSUED DEFIED ~- K. _ ~ r A P P L I G A T I O H r~~uIRFD sunnzTTALs F O I3 n U I L D I N G P E R M I T CITY OF '~'~~r,~C"~ ~cacl - T`azirt~l, 716 OCEAN BOUI,I;VAIIll Each application for building P,O.BOX26 permit ~€ill be accompaniEd by ATLAPiTICBF,ACII,FI.ORIDA32233 two complete r3etEt o~[ plans, including TELEPIiONE(904)249-2395 a detailed site plan indicating location of utilities, parking, size of yards and other pertinent data; one set of Florida Energy Efficiency Code sheets; recent survey (on new construction>. SCHEDULE OF I1~tSPECTIOtiS Requests for inspections will be accepted from 8:00 AM until A:00 Pit. All inspections will be made the following working day. 1. Footing 2. Rough Plumbing 3. slab ~~. Framing, Rough Electrical, Mechanical, Top Out Plumbing, Fireplace - 5. Final Inspection 6. Isaur~nce of Certificate of Occupancy # Other inspections may be required in certain situations. Building card tSUST be posted or no inspection will be~ made. Four no concrete or cover any work until building curd is SI(3NI~D by the inspector. You will bc~ required to uncover any work that has not been inspected. In case of failed inspection, X10.00 re-inspection fee must be paid prior to calling for re-inspection. ~ ti r r sr~.,, ~ ~,.. 1- c t ;! ~ ~ ~ L 1 o c ; : ;.` ~.J a ~ ~~'k: c: t :ion ,'f '4A I { ,1( V' C r Y 71G OCls'Ai~~ 130UL:VARU P. 0. {lUX ZS A1'LA1v'I~IC J]!;i1Ct1, }'Ll~I?1Dri 32?57 '}'UI,];I'I10NL; ((101) 249-Z;;PS S~t;divi ::ion ar Addx ess • _ ___ _ _ _ _ __ ' --------------- I in a I'LOOu~ -IlAZARD DESCRIPTION OF S~lORt: Flood c::;~e: _______.---------_are~i cornpl.sat_ page 3. zr~rizrlc, IIaFO~r.nTZOII ~~oning I'rnliosed District.: lls~e E>cception~> or Variance-.•s Granted: 01'IIiER I7?FORfIA"I"ION Method o:f Heating:___!"I/j_ f'rc;,erty Owner;_ J~i~{>ES ~ ~~~`~'EC~(2------------ Phone:_ ~'1~_~3~~0 ------- ~I~,{ 1. i rig ~. ~ ~~ QA,~ ~--ia ~- a ~ ~ ~~ ~~- .. ere:.~> -----------~-"------ --~N~__ ' _ Zip : _ ~' APPROVED C{TY CAF ATLANTIC EiEACH CC1dTP.ACTOFI It~IFORiSA'I'IGhi BUI'LD[NG Oi=FICE Cerrtr,~c for : __._.____ ' - E- _ _______ Phone : --___---_ YSr-~alin n rj ct t !.._.., _ y --------------------------------------_____.__--------- -- Zip' ------•--------- Fxpiration _. _ L i Ccn~,._ i;L:i.';bPT _-------------- ----_.__._ __.------------------- U'ilte --------------- $:;~. ~ r~'1 n ccn: tea , r~-~ C on o.F pcx"mi't given iaz' doing maize wor.: cts c(~~ccc'.tbed "~ ~,~~ ~~' he ~.} r>>~~ at;_n,c-nt, ire hereby agree to p.-~.rform caid wont ir, r ~\~~~ acc:c~rz~'ran~c. ; :i ~.ir i,,se attached p1an:~ and speczticatione which are F ~ ~ ,• F~V ~~ a p r+~ hc_x ~>n£ rind ~-n nccordancc with a1.1 rule ~ and regulation: t : ~ ~`~ o.~~c• Cit r ~~~r: i.tl ::ic Beactr. ,. F fi,~ + ~~~ ~~ - Date ~Rr z~ ~~ O~rn~.~r :~ir,I?-iat,:zre _ __. _ ~ ----- -~ ~ --- ` ` A - _. +;! ^~, ~; Cctzt'ractc~r :~ ,~::r: re ----_Dat°------------ r .. ~ ~ -----.._.-_._.... ... ~~` Brie:[ _ Deccri.ption:_~~R_ O ~,~ ---____-- Claw of Work: ~~IJtTv 1 (}Iew/Remodel/Addition) u1J N -------------- Type of Gon~truction : _~OeQ _ /1'~ry/~ ________ ~~ Estimated Value S i flaterials: Solid or Filled C Ground : _~Q~-.(~----Roo{ : _~.J~1 /1~~~~ ,* ., .. FLOODPLAIN DEVELOPMENT II`1FORMATION Type of Development: New Building Alterations Flood Zone Required Floor Elevation Actual (as built)Lowest Floor E evation If located within a flood hazard zone ..(zone A) a survey must be made after the slab has been oured, certifying that the "lowest floor e evation is equa to or move the base flood elevation esta is ed for that zone. No Final Inspection wi.l1 be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS Applicant acknowledgement: I permit- is contingent upon the that flee plalis anti supporting as required. I agree to comp Ordinance No. 25-7-11 and all the proposed developmmnt. Date Department Use understand that the issuance of this above i.nformat:i.on be~in~; correct and data leave been or shall be provided ly with all applicable provisions of other laws or ordinances effecting Applicant's Signature Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation L'o Exi.s t:i.n~; Bui.l<lin£; Building Department Representative '~, ..~ Address Heated Square Footage ~ @~$ per sq ft = $ Garage/Shed ~ @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ ~ ~~ ZnTAL VALUATION : $ l '~ 1'ota a uat on 1st $ l 7j ~ ~ 1` 2- $ ~ ~ ~ R,~:ainder Valuation per ousan or ~ portion thereof ` ~~~ ------------------------------------------- i Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED ~ + '~ Fi1inE Fee $ ~,~ ~ T ~..~ Mechanical ~ ~ Fireplaces @ 15.00 .$ Plta~ing ~ BUILDING !'PERMIT FEE $ - i Electric/Neca ~ Electric/Temp Septic Tank We11 S~~ning Pool Sign Water Connection Sewer Connection Water Meter Elevation Certificate --------------------------- -------- ------. BUILDING PERMIT $ ~~ WATER METER CHARGE $ SEWER IME'ACT FEE $ A P? R O V c D WATER INIE'ACT FEE $ CITY Gr ATLANTIC Bt;ACi ~ ' i~SCELLANEOUS 1•" $ FiCE LD1NG O BU1 ~ aJ ll ~ ~ r '{a~ ~3 s,~ GRAND TOTAL DUE $ CALCUTATIONS and/or NOTES ~. ~: City of Atlantic Heach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNIT'S ARE ESTABLISHED AS TF{E MEASUREMENT OF WATER DEPIAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED; AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. i _____BATHROOM GROUP CONSISTING OF ____ _SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) j TUB OR SHOWER STALL (6> ___ _ 'WATER CLOSET VALVE ^ WATER CLOSET, TANK OPERATED t9) VALVE OPERATED (8) _____ _____BATHTUB/SHOWER (2) ____ _URINALiWALL LIP t4) _____SHOWER GROUP PER HEAD t3) ____ ^FLOOR DRAIN (1) _____SHOWER STALL DOMESTIC t2) ____ _LAUNDRY TRAY (2) _____LAVA'i'ORY (1) ____ I _COMBINI~TION SINK AND TRAY (3) I _____WASHING MACHINE (3) ____ _POT, SCULLERY SINK (43 _____DISHWASHER (2) ____ _WASH SINK EACH SET OF FAUCE'T$ ( 2 ) KITCHEN SINK (2) DENTAL~ LAVATORY (1) KITCHEN SINK WITH WASTE GRINDER (3> 'DENTAL ' ^ UNIT OR CUSPIDOR (1) ____ BIDGET (3) ____ - URINALj - i STALL, WASHOUT t4) . FLUSHING RIM SINK (8) _ _ ^^ _COMBINATION SINK AND TRAY WITH FOOD DiSPU5. (4) _____URINAL, PEDESTAL, SYPHON JET ~ BLOWOUT (8) ---- DRINKING FOUNTAIN (1/2) - i ___ LAVATORY, BARBER/BEAUTY _ A P P R O V E D I ~ __ SHOP ( 2> CITY G~F ATL.ANTIC BEAC«~ __LAVATORY SURGEONS ( 2> ~ BUYLDING OFFICE SURGEONS SINK (3) ICE MAKER (1/2) _ _ _____ J ~ N 1 7 ,~~' 3 ____ WET BAR ~ (2 ) ~~~ - TOTAL FIXTURE UNITS @ $20.00 EACH $ _I_ _ i JOB INFORMATION ----------------------------------------1--------- I _. ~, cxzx o~ A~rrric $EACIt ' APPLICATION ~ MAKE ADDiTxONS OR ALx~R11TI0N5 Owner ~~/~,o~7~S . ~ S ~ 2X`v c. Address175~~ ~~v ~ G~i9 ~ .C ~/ , Phone C~ Architect Address ~ Phone Contractor .Address Phone ,• Contractors License/Certification Nuti~ers ' Expiration llate '~. Property Address ~~ ~ .h ~,~~ y ~ . - ~~ ~~, j Lot ~~ ~L~_I31ock or Unit ~~`~ t,,'~r~- Subdivision ' ValuaL-ioci o£ Construction $ /TQVD Type of Construction ,C,~~gva-~~ Describe tJork to be Perfozu>ed1„~T~'/'~o~ -• ,,,,,~L~X 2S i'~-pd~n~ I~laterials to be Used ,~E'~?m,~ Present Use of Building ~;~~ ~ Proposed Use of nuilding (/P~ -s' Flood Zvcle D (~Agi II \~/ tii.n>etisioi~s of New Area: J~j~~ 15 19b8 2II.A~LD Cd1I~A(~ OR 5I.'ORl1C~ CARPOI~.C OIt FORQi I~CK 'PATIO /~ 1~ ~..5 .$uilding and Zoning YES NO NLri~ER . % !/ APPROVED CiTY„_jtF ATLANTIC B,EAGIL •. BUI'LDiNG OFFICE Will there be a<i increase ix't nunber ,o£ units? Will there be a decrease in nui>tier of tuzits? nny additional pluuiving fixtures? . i Aziy new fireplaces? SUISr•Ll1' '1~,~ Wr•I1'; Signature Q~^filL"1Z Signature C70N1TL PLAN pate ~ .. ~ pate r I~ . Bf '~yJ,` - -s '~~-'~'~ r Y fry •~~'' ~,/~ rf JUN 1 ~ 1988 .-~=-°' -~. '~, s~,...-- Bui~iding and Zoning . .-r-°" ,~:._._..e.__ _ _._~._...w__.._..__.,_.___~. _._.~..__~__....~__.__....~.~... ~~;,~~,a, ~ ~ ~ -~ Y;~ ~~ ~~~~. ~~~~~~ _,.. .._..~..,, ~_..__ ._ -'" ~ , Y,',ti~ ~ ~ „„p .w 14~Y ~..F r ~ ,~. ~ ~ ~1 ~. ~n ~Y~ r.~ ` ~ ~ ~. 2 D ,~'; ~.d~ ,u W ~ ~ a ~y, ~ ~ f', i, ~ ~c~ . `/ d~ ~ ~` ~,~, ~~ ~ ~ ~' ~,, ~ ~> ~..~. G~>ti~~• 8 ~ l Y ~ ~ ~ - , ,.~+. .,. AP~PROV~D CITY G-F ATLA;~TIC BEAM{ BUILDII~SG OFFICE ,, /- -~, ~(( t ~' I ~~~ ~ f JUN 1 ~Q,J C ~" .,, , ~ . ~ ~ ., ~ ~ ;r ~. ~ ~ -~, f ~ ~ `~ ._..__ ..:_ , ~~ ~~ ,I 1 `ors lar L _, _ . __ ._....__.__ . _ __..:~___.... ___.. ___ ..._.__..... __ .__... ,~._ .._~ __, ......____..~~......... .~._._:.__._.__.__ __..... _.I._._... .._ .__.._. ~ ;~ ,, ~i . _ ~_ Il ~: ~ ... , ~_.. ,~ ,-~ ~~_ ..E. .. _L ~ .~.._ . .._.. _.. ~.~_ ; ~._._ ~ ~ri~ _ _ .. _._ . _., .. .... ~ .,_.. _ . . f~ ~~~ ~ ._ _ _ .__...~._._._ .....,..,._.w... 8 ~ ~u _.. ..~ -_ _. .. _ .~ !~L t. ~~ i .. _. ............ _. _.._._.,.. .. __._ ...._. .. _..+.. ......_..._.. .T.. ']~ C` ~M ~,. t _ j.1 '~ ry .. ~ , t. ,~,.t,~r~,~ w .. _. ,. ... . .~- ..- ~~ ' _ ~ 9 ~ ~ ., {' L g.. ,. APPROVcD FU!'LDIIVG OFFICE. ~JUN~ 1 ~?',w~. .. ;_ ,, 1 _ ___ _..._._.___.._.._ _ _ _ __ . _ _... _.~_ .... _...__ .. ' ~ F- C~'TY OF ATLANTIC BEACH APPLICATION FOR PLUMBING .PERMIT JOB LOCATION .3j PLUMBING CONTRACTOR LICENSE NUMBERS CAF b i OWNER BUILDING CONT CTOR TYPE OF BUILDING ~SF f1 ~!.~~C~%~' ~,. ~ S INKSSHOWERS Z LAVATORY _~WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS _LCLUSL'1'5 _LWAS1l1NG MA(:111NL FLOOR DRAINS OTHER TOTAL FIXTURE COUNT. ~~ INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. ._. __. ., _