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Permit 571 Seaspray Ave. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000659 Date 5/13/08 Property Address . . . . . . 571 SEASPRAY AVE Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu lahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TUSCANA, DAMIJAN K. FLORIDA HOME AIR CONDT & APPL 571 SEASPRAY AVENUE 8252 103RD STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (904) 777-4300 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/09/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH �7� 1 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 i OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY ;+row`,1 .ADORE x �d.',A�.. !t� .!,dint 9, F'.°!4t2'".i!r.a'Y' a I'' ' ':r' a lii�i(t� .' I ` It .r9U ii.;' e, i't h't,,s p • Gua 7t FK_!,a�i,,r�, "`t S EG Svca LA X10 Atlantic Beach FL 32233 DYES PERMIT 'l 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: uw�i ii"d ,', c, �I t".Us rr, ;*, .!. ! L 'I iI C,�'I I a!� ,.�;i t^AHP d,N!kar.iia�"ur h i i� a"i„`:.^,,4 i?) t a r -F,'r':?.'V 7.NAME OF COM B.A��� 9.STAT OF Og),DA VI4T 10.CELL PHONE: 11. NO.: �� ^ 12.EMAIL ADDRESS: �—Jv� \1 13.OFFICE PHONE: 14. (� —t- Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at an ' e after wor Is c menced. CONTRACTORS SIGNATURE: .15 .... ' .;d!a "r �1 ,'.il!! ^ili f i (!e' v �"".� 't i i l �i II!6 V j(I!a 'Sr'•`' 117.SKI, :Q!ak"a,'" . .. U .._ '� aG..•. ❑NEW INSTALLATION ❑NEW XRESIDENTIAL 13'06 FLORIDA BUILDING CODE- ;KREPLACEMENT OF EXISTING SYSTEM AEXISTING ❑COMMERCIAL MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR ❑OTHER ! „r '}!',777?a P!'777,"T, , e ,. .,A 1 19.HEAT: ❑SPACE ❑ RECESSED MCENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM ACENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22.REFRIGERATION: MAX CAPACITY: cfm 23.COOLING TOWER: CAPACITY: gpm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: V, A NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY 1 n 106 A 5u. A 3 ; P-,r LAv lr. ;{Pq �!„ a1 awi) ar i,'i;",�`5 nth kaa hit !� ; i� l�. ��dk!� �:!zrz! qi ix ,. Y i!i. Ihlp n 7 Io-�N) �I NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY A 'ii---g�A 'c-oLAcps .�q•q ! ,Ii �,."�@: {*al� !,'� ;i .•,i ;IUii !!l � !1iiliiijI� WIN 93f+ � %fdI •) ,"iJu�6��:�;Y.i..,:.': NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY COAB FORM BLDG04:REVISED:111612007 • 5.67'• 28= 00E. -f-15.0d I *Ammont f !' llrquli, IV ' .y , .h t�:a• 19.5 i w 7.6 its• �i i- STORY FRAME sa1CK •• 0 511 N .�• 490 ' �' :• X00 OAST :.:...• o• 7.� Ott• . ! .d . 3• colocatts N • N.67 . 2 40 W. --75.00' •;! • ' CITYAPPR0VED OF ATI, TIC BEACH j! ! ! ►; BUILDIN OFF IC E • '�' E B 10 199 01 1 O �y o� W 9� r _ rte, o� 0� 0 06 w �A a 10 r ► x U � h �d t T�6 ` � s 110 o� is a/-744 em i ax 8' 0 0 fm ir•4 C carr . -"-`_'-.-•-.-_....� 1 CITY OF ATLANTIC BEACH AFFLICATION FOR PLUMBING PERMIT PERMIT NO. Date : LOCATION Street �.�■iu ro■.■.d ■�■.r. LOT NO. / BLOCK NO._ �S�D OWNER ' k MASTER FLU"RBER BUILDER OR CONTRACTOBldg. R -� ermit_,NA.. TYPE OF BUILDING SI1KS L LAVATORYz- BATH TUBS URINALS -2-- OLOSETS FLOOR DRAINL; SHOWERS_.Z WATER HEATERS..,_DISH4ASHERS _DISPOSALS OTHER v-� TOTAL FIXTURES 4 f0 .00 NO WORN: 'MUST BE DONE UNTII A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size«.acid location of all the soil and vent pipes, and the nuabor and location of all fixtures, (in acpordanse with Ord;nanoe no. 188 of the City of Atlantic Beach, Flurida) must be shown on bask of appli- cation and be approved by the Plumbing Inspector. DRAT PLAN AND SIECIFICATION •F ABOVE PLUMBING ON BACK. Approved by Plumbing Inspector Date (FOR OFFICE USE ONLY) - - ROUGH-IN INSPECTED REMARKS FINAL INSPECTION: CERTIFICATE ISSUED: ' -npjjcatjon, -is hereby M-adG f02: water clat ill el is the following address for _e unit,(S) . t.-'-- Xn cha c am of Street Nwmber ordered by, Mailing Address Date .�.___ .... Account No. Meter No.� Date Installed CITY OF ATLANTIC I'F,.gCH APPLICATION FOR SEWER CONNECTION PERMIT NO. �-, q`DATES'-_IS-- )i. LOCATIONS-77/ _ STREET LOT NO.r� BLOCK NO-2 SUS: DIVISION OWNERL� TYPE OF IUILDING_ , } ,AST R PLUMY ER INSPECTED FILLED ACCOUNT NO. CITE' OF ATLANTIC BEACH, FLAORIDA APPLY CiNT FOR VqZT311? CUT-IN p y cat?.or is hereby mde for �;---- water cut-i?t at the following address for � -�� —Unit(s) . I, t-In chay-ga of reek LL'.tiisG°r / 2,R Block Mailing Address,-�� Date Account No. Meter No. Date Installed FOR OFFICE USE ONLY Date- ---------- -----_--19 710 e-'00 CITY OF ATLANTIC BEACH Permit #........................Fee$•-- 1 Valuation $_30— ;e ...............--------------- FLORIDA House # ... ... .... .......... ....44L& ... ........ ............. APPLICATION FOR BUILDING PERMIT --------------------------------*----------------------------------- Application is 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 Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a 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. Date...............•-------•-._4_- - 1............................ 19... Owner../A/-/-m/m�/����/�J�-.-�---.)—,,,tZ.-��i_�-----J3_V_JXJ1.1 __I��ZZ�61KAddress---I.Iff�_1!7�4441r�....te.t—Telephone Architect-_...---.................----1.1 7 it i( -----------..................... --------------------Addres&..--------------------------------------------------------Telephone No............................. It it I I Contractor Builder---------------------------_--------------------- ------------------Address----- ---------------------------------------..........Telephone No..._-----...... ............ Lot No.._A......./_,�--------------------------Block -------------------Sub ---------------------------------------------Zone3...2_2_.:.5'_5' 7 -5 -----------------Stree AV.4--- --------Side Between -------.-.-.and---- .............sts. Valuation $._kP 0-------------For what purpose will building be used... ....Type of construction_._../_AIZ�1_1............. _-_.Dimension ............ ........... Dimensions of s of Lot___7� . ---------Size of Footings.j"),P.iv-,P-ij7iJe-,.-S'J.4J Size of Piers.....SkAk�---------------Size of ..........Greatest Sill Span in ---+�h-------Type Roof/glv_ How will Building be Heated?..__--_- ._.._---------------------Will ...............----------Will Building be on Solid or Filled Ground?--------Slo4__L ......... 7 Size of Ceiling Joists..... Distance on Centers__._..-. ---------------- Greatest Span---------- ... ................. Size of Floor Joists------------&-ok-A-L----------------- 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 in feet from ,all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall —'j- be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. E-1 E-4 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT '4 ' In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. . Signature of Builder__7..��_'J'�. ..N��= --- ----------------------------------------------- -------------- Signature of OwnerAlh--- .....&J_dlh� � --- tAr Address............................................................................................. y Psi-aaea 12 1419 DEPARTMENT 4F OU"M ` CITY OF ATLANTIC BEACH li 7 PERMIT I NFOI1MAT'I ON �_�- - - - - LOCATION I NPORMAT I ON - `- pelt Number- 12149Add r.+ sa : 571EASPRAY AVENUE ' Permit TyIs :AiECSANICAL ATLANTIC BEACH, PLORIDA 322,33 Crass of Work:ALTERA' ION _� _� LEGAL DESCRIPTIO -- Constr. T�pe:tg0OD F'RAM9, `81aak: Lat : 1Es �Twia. _� ._'0 Propos6d Use Srectian: t? Subd:1:► I rael l l nc 1 SubdiV1 si on,.SEASPRAY ,+ ` Est Value: 0.00 1 Improv. Ccst: .{IQ Total_ e a 41 00 Aauht 41.00 4 ATE aNnl.vg ' TION ,.,, APPLICATION FRES Nara ANS IT 41 a 00 AVENUE Pb + , { FLORIDAveal I R R POR4,AT I Name DO VA Tl NO .AND AX SEA LORI DA 32,250 Ix 7 Exp as a i TES I NOTICE- -:ALL 00NMTE'FORMS AND.FOO WGS MUsT BE 1MSPEI~ygo SEFORE ROURlNG 1 PERMIT UGI©SIX MONTHS AFTER[SATE 4F ISSUE BUILDING A+IATERIA1,RUSSISH ANC?DE$A(S FRAM THIS WORK MUST{ t3T,BE PLACED INPUBLIC SPACE,AND MUST E3E CLEAtED UP ANIS HAULEb AWAY 8Y rEltFR Ct1NTRACTOR DR OWNER ` A RE " " ! + C�3 Y �' T� THE rE HANIS LIEN LAW,CAN RESULT-1N "Tli�k C O , N TWICE FORTt�� 8���.Q��1�'i 1 �I�f��E�IIE�I� lSSUEb ACGINTO APPRt5YE17 I'LANS'wHICH ARE PART OF THIS PERMIT AND SUBjEGT To FtE VIOLAIf TION OF , PLICAFII,E PISlt!NS OF LAW. C► � G A. !€ BEACH BUI:tJiNCi C7EPAR` 'EN ; 1 pt�a�►tic gch; 3 ciTY;4 A'I AN1"t B A M Ox"T I ON , .,_..�. ~ Perinit Number:, 6637 LOCATION INFO fi1T ItN VPezrnlv ` LZECT Fy ► ry7GA7SZ: ENUR AT .1Nx'IC $ (.` T; at. s of Q ik.- ADDITION aFLORIDA 2233. ��.,. ., ,: LZOAL DESM I G� .,--.- �._- INCL AXILY R�c���.� �e�ti-cin: $• , Subdtti . � t viia ,V lueW # { 'Ics X19a so 19., o ION 4 J 33 �y p y u O ip 'APq. x� A�t�NUE 519,8Q +�{ }}++��,�j r ± IMPAC` IFIL $0 00 , e p ph .60 —�wyti..y+ .,3—Rs, i }+LRill, . 7�{ry'r ',ic' {r� AP � 4i' to-''e$F S! ` 14 �. r ' " 1xJfi ". S3RZ 00 SRR xl0 .1 �. { l !+lE�TtCE -AL1.,CQNCRp�AIitt�TtNB$MUST 1 # PII'1BtER POUR Nt3 i • nn P�RMI 1t O, MONTHS AFTER -()F fSS�I� P �1�181MiG MA1ERr�4L RUE3E�ISM>ANG t Rt FROM THIS 1NQR MUST 1t SE Rlr A,IN WU .tG SPACE,ANb MUST E { 'L AR"#�ISP Al�t� 'AUl t�'.A1 A Y ifM t l felt to T4R C3 i Wht $ IE OfitCH �aX`I .A R 3tNf.�r TQ APO ROVE P4AN5.1NHIChi ARS.PART CSF T M1T;AN© lJBJE C9e!1 . � AF�t;IfA81.E PRpItiS��C}W ,': W. RE1/tlAi9� � ; tLA4fi SEA #i t11 iTN a fl Pi'+, t'C1N. N7 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: _19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN TIDE FOLLOWING, 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 ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MA4TE LE TR CI N NAME-� � d� ADDRESS: S 5 / RF D BOX BLDG.SIZE BETWEEN: RES. ( ( ) COMM.( ► PUBLIC ( ) INDUS.( ) NEW( ! OLD ( REW. t ! ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SQ. FT. SERVICE: NEW( ► INCREASE( 1 REPAIR ( ) FEE Q . ✓ i S33d 1V101 $ 030uvmuod H3HSVld HO11MS 321S lIOlOW 'VW -VA _ 'ON NJIS HOV3 'dSNVlIl NO3N'ON VAX 'ON VAX ON 'A 009 Ii3AO 'A 009 a30Nn :SU3WUOdSNVUI SI103NV1133SIW . SHd 39VilOA TH L 'ON SHd 3JV110A -d'H 83AO SaOlOW t'0 1V3H-M)I :1V3H 1130 SdWV SHOJOW U3H10 UOlOW'MOD DNINOIlION00 JNI1Va WH ONI1VU 'd'H UIV 'dSNVlil 1138 C37NVIIddV aano sawv ool o (33WIaf 'A*W 91N3383UOni 1N30S3aNV5NI 93H:)11MS sawv ool le sawv os•o 1V101 N3d0 031V30N00 p S31OV1d333a 1V101 N3d0 031V30NOO 51311110 ONI1H011 321S 'ON 3ZIS 'ON 3ZIS 'ON SU30334 �1VM30Vli S lIOA 4 M Hd SdWV (2 Q 3ZIS'AU3S'1SIX3 M30VlI 1lOA M Hd SdWV83HV3H d0 HO11MS 'WI11V H3dSdWV 321S UOIDnGN00 33d ( ) UIVd3d ( )3SV3li0Nl ( )M3N :33IAU39 'ld 'OS ( ) SNOTS ( )AW31 ( 1 U311V1i1 ( i NOI1100V ( ) 'M31i )(310 i )M3N 1 )'Sf1(INI ( )onand ( )'WWOO 1 )•1dV )'S3a :N33M138 3ZIS'Dale X08 OdNS :SS3a00Vp ]"r7' 7T-3WVN N IOINl 31 31bVW :Wmld 1VDIUJL3313 �' 77 f -9 77 09 7 tr $ 43, CITY OF A,LANTIC �e t ,Zyu��y! �:, ° ' Addreil�;' y5�'��p�. SEA� �F ��� �{ty �l DA +..y '. 3 � LS4AL �WRIPTION 1 Wer if i ng - C ►de�'R 4' subd on T Lo Ad el "v ,s ,i.c�ri s BSAS R� t3ti tr Ualue; $0.00 Improv. "Cast $.o.'oo Amount D ; ��r� D.� .: � RAF WITH FIBLRoLA$S SHrVOLES 6FEL .."..,..Y..,. T a2 _50 i 0 I 17iYM Appii k Pb1iAXL iiEIMPACT q0* FLORT Ir �yy♦}� 'In Jai.' 2.n hk. °' � j �ON ADO OAS, s COQ w � ,00 FLORIDA %slon to 32tJs3FiY"f3RA, LlC SOME $c3 .00 B4ara°- ':id" ea«nn,'a°s+Pa'NCn nsraW „ar7:, akre«x., „uar, ' '^,:r;a. BE 4.1 NOTICE,.At,(, pNC tt TE Fa►RM$aMo tJOTINGIB�itUSt.BE N$PRCT 6.660649 pousnoo PERMIiT VtUDSI,X MONTHS'AFT t)ATE OF ISSUE 11LC!lNfa MATERIAL.RUBBISH AND DEBRIS FROM THIS WOR1 MUSt NOT.8E PLACED 1N PUSLlC SPACE,AN©`MUST Be LEAREp:QP AN0 HAULED AWA' BY EITHEFI�©NTR�ICT©f�OR GONER tWfkfeT1 OMPLY,,WITH TOE MECHANICS, LIEN LA1�1►-;�iA►N RESULT IN THE p 0pl RVbW*I `0AY NG,. TWICE"E F R,sI,11"PING IIVIIaI All IVTS.” I "A=APING TO APPROVED,PLANS WHICH ARE PART QF THIS PERMIT ANt� !�l�p�tt�fN FOR T1 UFRP t.I i�S1E Pitt.1�ISJON60ft LAW. I tl 1. i 4 Q I ISE ti Al :ANTIC BEACH t1tLDING EPAA MENT ..a _� 1 + 1 CITY OF ATLANTIC BEACH PERMXT APPLICATION RO( Owner(s) Q Address: J`l 1 Se�.� �t�v� . Phone: Lot # Block or Unit # :i aodavision Contractor: Address: 'AOL ��� r - Phos - State License No. C) Describe work to be done:- 1�eTc�o _ T � --C� R Materials to be used: I� e1 _ ter . S ria i Signature OWNER: ' Dat z: Signature CONTRACTOR: _ a stay F F B 51993 Building and Zoning CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITION owner(s) : L Address: Lot # Block or Unit # Subdivision F ASr�FZ h� Contractor: :- LC'r4 f Describe work to be done: c,camdam ' s X Present use of building: C' 0 Proposed use• LZ(,1 0/a Is this an addition? If yes, what are the dimensions of the added space:3S, -> ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? U New fireplace? '�\O New Heat/AC?_' SUBMIT COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY IF THERE WILL BE AN ADDITION TO THE EXISTING STRUCTURE. Signature OWNER: eve_ 9 �� � c� Date: �r F2dvp, Signature CONTRACTOR: DAV& NNN� g`V�cf cx1vy pIPN _. CITY OF ATLANTIC BEACH BUILDING PERMIT CALCULA/T'ION SHEET Address S S F,gs,���+y r ( t�FoaK lino(T/vN Date Heated Square Footage .�iQ�@ $_-•0D per sq ft = $__3a .�� � Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL -VALUATION: $ $ Total Valuation 1st $ 3/1DI2- '60. Remaining Value $S: per thousand or portion thereof TOTAL BUILDING FEE $ 7S + 1/2 Filing Fee $ - Sr ( ) Fireplaces @ $15 .00 $ BUILDING PERMIT FEE $ BUILDING PERMIT $ :2 WATER CONNECTION $ -'O SEWER CONNECTION $ -0 -- WATER METER/TAP $ - O CAPITAL IMPROVEMENT ( ) RADON (HRS) .0095 $ ( ) RADON (CAB) .0005 $ - SECTION H PAVING ( ) $ -o -- HYDRAULIC SHARES $ - a - OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES: Mechanical ; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank; Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: Lwws FS 7 RAMCO FORM 400 rs I3.a.13 of �r I/g4/A44 IN ONILICA79I �o fnl�am it t : The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property............... ...............L................... ..1.. ...\ ....... -.......... .. z. ��ti.... » ........... �.. .. � Gat..5.,?,........ ..................................................................... ..................................................................................................._................................................ . ........................w.......w.....w«.....w........w...............»... .............................................................................».........«....w...............I........................... General description of pnprovtneMa.....»1��..ca.. x�r:...........�r� .c ..s... . ....? 4 .»......»�. �. .1...»x:...7 .5...., s.?......................................................»........................»...........»....................................... .....».............._».......................................................................................................................„.................... Owner......... .. ... �..�...�...Sc�I�c�..�.:.......� �,.?� ... .............................................................................................................. Address.....5. ...1........... i S �... ..... ... .............................................»...._................................._............. Ownersinterop in site of the Wwovan•tM..................................................................................................».......... .................................. Fee Simple Tido holder (if other than owner) Name ................ :.... .............................................................................................«............................................. Address............,...:. ........... ...... ............................................. ...................................................._»............................................ ............ cont'.dor.... ...........»....»............................................................................................................»......................................................... Add►..s .........._..._..............._...............................................................................................................................................»......». ......................... &Wets C�«�r�•....__..x ..l...j :..................... ......._...........................................................................................»»»...».»............................. Addr•it......... ...w...»............................................».............................................................................Amourd of bond =............................... Name of Person within the $tat• Of Florid'+ designated by owner upon whom notices or other doarnems may be served, Nave•... . ?.�.�:.T...........».».......»...........................................................................................»...................................................................... Addr•s�....... .»......... ....................»..»»....... ..................................................................................................................................................... In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided In Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option). Nan'•.....,,ry 1„ ......»....». .. ......»..»»...........»...»..................................................................................._............................ .....I....... Add' ........».............................. .._.._.................. . ........-.._................ ......»....................................... T"00 awes FOR nReonosw••ues ONLY I ~ r x OWNER BUILDER PERMIT AFFIDAVIT-�' State of Florida ) City of Atlantic Beach ) BEFORE ME, the undersigned authority, personally ippoarvd __Qa.In.Iia K._h.-Wansi------------- who upon fix"t b*ir.V duly sworn, deposes and says I► __. MWANJL,JUSM-------------------- and the legal owner of the followin* propertyt Subdivision „ Jsy� _- Block __ 2 _-__--__-- Lots _<la •-- _ _ AKA I am applying for a building permit pursuant .o the Owner Builder exemption set forth in Florida Statute, Section 489. 103. Florida law requires that I .have been provided with the following DISCLOSSURE STATEMENTt DISCLOSURE STATEMENT -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, an the owner of your property, to ,act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence or a farm outbuilding. You may also build or imprc.ve a commercial building at a cost of 023,000.00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell or leak& more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, . which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state lar and by county or municipal licensing ordinances. 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. Further, affiant sayeth not. Property 0 +ner DAMIJAN K. TUSC NA Svorn• to and subscribed TFE FOREGOING INSTRIMNT WAS ACI4VOWJ� BEFORE NE THIS before the this _ 5th day 5th FEBRUARY 1993 BY DAMIJAN K. T1&ANA, WO IS POWAl1Y os Februa�� 19 _. KNDWN TO ME AND PRMJCED A FLORIDA DRIVERS LICENSE AS ` IDENTIFICATION AND WO DID (DID NOT) TAKE AN QATH. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BRACH. FLORIDA aiaaa APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION street Address: OF Intersecting streets: fetweea /ham p And IWII.DING su►-div;ries II. IDENTIFICATION — To be completed by all applicants. 10 cons;deration of permit given for doing the work as described in the above statement we hereby agree to plrform said work in accordance with the artachpd plans and spec;f;cet;ons which are a part hereof and in accordance with the Citof Jacksonville ordinances end standards of good practice listed therein. y Memo of Mecheaical GeetiContractors ecNr (hint) Mohr 7 Name of FrepAT Owner sigaetNre of Owaar or A+rlherised Apat signature of Architect at Eagineer I11. 604 AL INFORMAIIM A. Tyke of keetiag fuel: 8, soc IS OTNER CONSTRUCTION •EINO DON[ON THIS SUILDINO OR WC T D G«—D V D Nstvnl D Casual Utiliy =— -- ❑ Oil IF res. OIVE HUMSER Of CONSTRUCTION PCI%MIT C3 0*- - SMtilp IV. WICfMNICAL BWftWff TO N MOTAUAD VAeoldential BE 01 WORK (prev�e ~Cat of uMpeoesb eeReJ 061*"1 or ❑ Commercial beet ❑ apace O Reowed C"%W O Flees O New Building D A;►Ceadd;eoing: O Rom 13 Existing Building O Drc+ S"410: W'— ..__.. TAk1@Bft Riplacement of existing system M.wtw.copecily e,f ❑ New Installation(NO system previously Installed). D R 444 esm Extension or add-on to existing Oyster D Coaling tower- CepecUy � ❑ Other— Speciy D Fwo sprinUm: Now*w of h..J. D Ewvatw p weal* p bsials O Ge laoss ••a Iaetw`w! TM>PACE Non OMM UU ONLY O T6ah — ("-AWJ tMe�tlte/1 O LK oeobio ( Reefs w�«I D U.Rted pra.We O Il a ►erred Ann"d by LUT ALL ZQUIPMZNT AM CONDITMONING AND REFRIGERATION EQtAR1 M litae�Valu >KoOaI Nwpber I WATNO • FLJRNAcm SOILERsr FIRE11'"Ca Nurabetr TJaltB b1BtrlBtissl >>toW>Ktmlbe� �.>�a...� a' '�Ir• �Ilus � £ « ■ zo 7 ( K = c » � � � g - tj . § \ m n . m e s e -0> m ; / a \\\ C o m CFm \ \ i 7 f M \ . md/ Z $ ) § o o ® > z ° 2 k 7 } E @Cr 7 z 2 o( c _ c 2 \ w E \ \ \ z - / } ° ° � &�Jgo ! / $ . «� o o . � /ƒ/\ zo =a2 CD CDR!), [= i 7 « § 2 « Z « R { _ :o; . 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'ION FOR SEWER CONNECTION PERMIT NO.- LOCATION Oa-LOCATION �2STREET LOT NO. BLOCK NO.-_2 SLTf;DIVISION C OWNERIA32i4 ��„ � TYPE OF I UILDING ASTER LUMP ER INSPECTED F y FILLED ACCOUNT NO. E: DEPARTMENT OF BUILDING 3117 p CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD t THIS PERMIT MUST BE POSTED ON JOB Valuation$ 30,000. 00 Fee$ 75. 00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that Mills & Lewis Bldg. Service has permission to build_ tis fi n a l s family dw e T l i n g Classification residence Owned L.11113Q- Lot i F, Block House No- 571 Seaisi ray avenno According to approved plans which are part of this permit 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 ,ZI from this work m not be placed in public space, andd most be cleared up and haliled away by either contractor or owner. R. C. Vogel C Building Official. [,.. FOR OFFICE PERMIT k USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL F F' SEWER n WATER DEPARTMENT OF BUILDING 3158 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date_-13.�2g,� ism Valuation P l u mb i n g Fee$ 9.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that Stanley S. Schwartz has permission to build install 1 sink .2- lavatories 2 bath tabs 2 closets 1 water heater 1 washing machine Classification residence zo Owned by Milts & Lewis Bldg— Service Lot 16 Block 2 SSD Seaspray House No 571 Seaspray Avenue According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE —► ► O Building material, rubbish and debris from this work must not be placed in Public apace, andd must be cleared up and hauled away by either contractor or owner. Building official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Omit Application Number . . . . . 10-00000442 Date 4/21/10 Property Address . . . . . . 571 SEASPRAY AVE Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------------------------- Application desc CODE ENFORCEMENT COMPLAINT FENCE TOO TALL ------------------------------------------------------------------------ Owner Contractor - ------------------------ ----------------------- TUSCANA, DAMIJAN K. OWNER 571 SEASPRAY AVENUE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/18/10 ---------------------------------------------------------------------------- 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. t+�.. arr2� `£r v I Y'"b jkt `ppSk,"��' 4 Ij`�t.�,�ali��'.;y F r„F.' ` � �•�,. mrw. p n,x r pp ;r W MA �'�Nxs =•'� �yena.r• c ,� �"<�tik• �, rY,s hr.; F rw'*m W- ti iu ,w�uwrw�fi4” ' r vi F V • • SoVt2BO- 00E. 7 5.00 1 �VX < P I- . V1 lb 44 N Is N. r • ' 1- STORY FRAME $ BRICK t O N r 511 N r � ca 11.t• „� : .•d�rA1�: '• h'��•. r�•�I�I•,ii•�+,'i�'• 1•,i�1•,'••'•r�•w�+• '� {� .i�� ('z�_ colecauff cu • a s' n arc • N•67 . 28 OO W. —75-00' • r •�: oil • ' A-R,P R • •, i �` ' CITY OF ATL�VT C BD CIi r • ' '.�.��R::{jti1� :!•���r, ,,:.��'� '��. BUI'LDIN OFFICE , EB 10199 CRY Of Affartfic Beacfr, l E iGRTiC3tti f44L ll1 ER Blt d€n n Ef;toad Eta (E a be assigned by the Bu7fing Department.) 800 Sentino€e F�oad _ = Affacific Beach,Florida 32238-94.4. / l = ' Phone(904)247-582a - Fac(904) - = E-ma : bcffdl,g degtQc oab.um city web-srm tiff,f :coab-us m1V1b4&- APPLICATION REVIEW AND T KING FORM 'roPedY Adds: !GQ.� V. De M-m •�--Wil No %pplkant fl t? Minning&Ming 4/7 Public Safety mer Agency Rsvip-w or Perms Requfmd of P erink r� Data Florida � � of erPrct �► Florida Dep.of Tion SL Johns R"hwWaft€L&nQeMent l3 ftft Army Cmps a Enginem Mason of Hateb and Restaurants mon of Akmho6c Beverages arm,.Gb&= Mer_ A',PP CA-110N STATUS Z%n g Deparfmnetft P'nal£Reo►ee Approved. QDenied. (Circle one:) BU!-DING SLA MNG&ZONING Reviewed t�jt:� Date-_k— TREE ate; — 7� TREE Eki�iVill Seco€d Rev'iewr �--� ElAPPraved as revised ODenied_ a e Pu iC s -E Reviewed bY: tie. FIFE SERMCES Third Rte : ElApproved as revised. ElDenied. Gorrr�et�i�: Reviewed Ery Date: fised 0511¢IER9 City of Atlantic Beach APPLIGA-i tuft! KUli ER u1 BuffdIng Q parE[ e€tfi =r (To be as--igned by the Building Department) B00 Serninole Road mantic Bead,Florida 3223a,5445 - Phor<e(9(14}247--58212 - Fay(904)2 i9d5 r a.. E-mak buffdingdept9coalmus C4 Web-sAw. f�g:f ww.coab.us �d/� Dade rQi ed: d APPLICATION A EKING FORM -'roperty Address: � rG. Vaparftnent rime r 'fid Yes No kppfkantC� W i� -bur CCA � rt(- �- / "'des- _.. vi /l G ` / s til,� �1 secces - -- - - IN A Other Aged Review or Parte Requhred Rtvfew or Daft of Perms t/ar€€reet B Florida Dept of Envmmerrtal Protectpan Florida Dept of Tr roman St:dofins Muer i -dW Management 66ft t A r yCarps ofEnglIneem 01FAsim of Hatefs and Resbuzarfs Mwfsbn of AkohoCtc BBV8MgeS and T43baMD 011ier: APPLICA n N STATUS 0dMvWg DeeparFarient First Review. O(APpruved- QDenied. (Chyle one.) Comments: BUILDING "WNG&ZONFING Reviewed Y' Date: 7 TREE RDil+til�l. Second Ivies: ElA.pproved as revised_ E]Denled PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Revbwed by. Bate: FIRE SERVICES Thkd Review: ElAppraved as revised. ElDenied. Comments: Reviemred by: Date: Cry al Aff antic Beads I'P L[GATION `UMBER Buffding Department (To be assigned by the Building Department.) _ 800 Seminole Road /� 1 . _ Ailanitc Beach,Florida 32233-5445 Phone(004)24:7--5828 - t=ax(g04)247-5845 sir9 E-rnall: biding-dsptQcoab.us Date rciut4d: 0 DFLY Web-stfe: tiff p.-1Aw,w coab.us APPLICATIONTRACKING FOR ' ei' F € d� s: ' De went review required �_.e ng c r fir�ies Review or ReceiptQ es e s Rer iced of Penn verer�ed By Date HOEMB Dapt.of Environmenfaf Protection Florida Dept.of Trarrsporfaflon St;Johns Riverilifatar lvanagerrrent District AmTy Corps of Engineers DhFfslamn of l#otels and.Restaurants f3hrWon,of Alcoholic Beverages and Tdba= Other APPLICATION STATUS evie hig Departiment First Review- aed. QDenied. (Circle one.) CcraeFsfs: BUILDIRG—� n �ING:�&Wt-�IINGReviewed ley r/.�fi� Dace: 'I '/D TREE ADMIN. Second Reyiaw�- A roved as revised_ Q PP Di7ertied_ PUBLIC W-ORKS Co ents: PUBLIC UTILIT'lES PUBLIC SAFETY Reviewed by: Dace: FIRE SERVICES Third Review: DAPProved as revised. QDenied. Gommenit: Reviewed by: Data: sed E3ufIAM BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904) 247-5845 Job Address: Permit Number: Legal Description Parcel# Floor Area of Sq.Ft. Sq. t Valuation of Work$ 0 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structures)(circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: d Property Owner Information: Name• NN Address: ED- city City State;5�) Zip 32-- Phone ,L`k \ U y E-Mail or Fax#(Optional) Contractor Information: c Company Name: S .t2� Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that ald work will be performed to meet the standards of old laws regulating construction in this jurisdiction. This permit becomes null and void tf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a peraod of six 6)months at any time after work is commenced. I understand that separate permits must be secured for Electrics[ Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters, Tanks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined this a lication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether speci ed herein or not. The granting of a permit does not presume to gave authority to violate or cancel the provisions of any oth state, or local law regulating construction or the performance of construction. Signature of Own CtNY� t l� Q Signature of Contractor Print Name ..„ P..r�."i...�..: .. .. Print Name Swo t and subscrib befora i e Sworn to and subscribed before me this ' 20110 this Day of 20 HAM No 1c ':, My ,oMMlSSlON#DD 957760 Notary Public �• o= E IRES:Febr!aary 14,2014 , „ ° 6o a rnn,Notary Fublio uoaerwrliers Revised 01.26.10