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Permit Folder 700 Beach AveCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000119 Date 2/04/10 Property Address . . . . . . 700 BEACH AVE Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc sewer connection ---------------------------------------------------------------------------- Owner Contractor SLEEPER ROTO ROOTER SERVICES 700 BEACH AVENUE 2028 W 21ST ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 354-7321 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee . . . . 62.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/03/10 ---------------------------------------------------------------------------- Fee summary ----------------- Charged Paid Credited Due Permit Fee Total -------------------- 62.00 -------------------- 62.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 62.00 62.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Feb 01 10,01:39p Information SystemsCITY 0 904-247-5845 p.1 CITY OF ATLANTIC BEACH ' 800 SEMINOLE ROAD. ATLANTIC BEACH, FL 32233 09—. Q— I l f si OFFICE: (904)24 7-5826 • FAX NO.:(904,2475845 SUILD:NG-DEPTOC OASAS PLUMBING PFRMtT APPI ICerink1 MI I 1A ^f,\ I. I. JOB ADDRESS: 2: IS THIS A SUB PERMIT: ' . 3. DATE: . 15NO 13YES PERMIT#. PROPERTYo"EIL- 4. NANO: S. ADDRESS IF DIFFERENT FROM JOBADDRESS. S. PHONE: r.•1 01 PLUMBING CONTRACTOR". 7. 11E OF COMP B. ADDRESS-, -ttcwl%'tG t„ Ur 9. STATE OF FLORIDA LICENSE NO: 10. CELL PHONE FAX NO. 11. : ' ` C 4"A , CI u as*- 12. E.W AIL ADDRES 13. OFFICE PHONE: 14.1 )e4T7 17 W� r m t r - 'A. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that aft work will be performed to meet the standards of all taws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction orwork is suspended or abandoned for a period of six (6) man any time after work is commenced. CONTRACTORS SIGNATURE: 15. NATURE OF WORK: Ise IT., Is. CURRENT CODE ❑ NEW C3'07 FLORIDA BUILDING CODE - 0 RE -PIPE PLUMBING 0 OTHER: !9. NUMBER OF FOCTURES: BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN 20. PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $55.00 TOTAL FIXTURES: I� x $7.00 (PER FIXTURE) + $55.00 = A GQ.O Ivy BLDG03 Permit Apprcati'an Plumb: 12118!20?8 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000149 Date 2/18/10 Property Address . . . . . . 700 BEACH AVE Application type description WELL PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------------------- Application desc NEW WELL ---------------------------------------------------------------------- Owner Contractor ------------------------ SLEEPER ------------------------ WILLIAMS WELL DRILLING INC 700 BEACH AVENUE P. O. BOX 330567 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ------------------------------------------------------------------------- (904) 241-8489 Permit . . . . . . WELL PERMIT Additional desc . . Permit Fee . . . . 55.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . ---------------------------------------------------------------------------- . 8/17/10 Fee summary ----------------- Charged Paid Credited Due Permit Fee Total -------------------- 55.00 -------------------- 55.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 55.00 55.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. f,i :r1M, j CITY OF ATLANTIC BEACH WELL PERMIT APPLICATION Date 0 // - let 9 � 0 -TT FEB 112010 Owner's Name: e Address: Q 0 45 Well Address (if different than above): 7o 0 Ano, 'o� ` Z f/ � Well Location on Property (i.e. northeast corner, etc.) Well Installation Contractor: S k4, Contractor License No.: 17 Phone:V 7- FAX: Contractor Address: /g 4? 67,- L9 > �5 9 0 Check Use of Well: Domestic Irrigation /---- Other Estimated- Well Depth:/e�� Casing Depth: ,�5 C�> Screen Interval froxntto,6�1'-" Well Diameter: 3 Casing Material J Is address currently connected to the City water system?t2l-,"o Is address currently connected to the City sewer system? Has a Well Permit been obtained from the City of Jacksonville? /0p Permit # Does the well require a permit from the St. Johns River Water Management District? (Not required for wells under 2 -inches diameter installed by resident or wells under 6 - inches diameter if installed by licensed well contractor). 6 If permit is required, note Permit Number and attach a copy. NOTE: WHENA WELL IS INSTALLED ON YOUR PROPERTY, YOUMUST INSTALL A REDUCED PRESSURE ZONE TYPE BAC%FLOW PREVENTER ON THE CITY WATER SERVICE, ON THE CUSTOMER'S SIDE OF THE METER. THE BAC%FLOW PRE VENTER MUST BE TESTED BYA CERTIFIED TESTER AND A COPY OF THE RESULTS SENT TO THE PUBLIC UTILITIES DEPARTMENT. APPLICATION REVIEW Property Address: 7G� i"t &// 1, Applicant: Project: APPLICATION NUMBER (To be assigned by the Building Department.) L4 Date routed: CKING FORM Department review required- Yes No Building Planning & Zoning Tree Administrator Publ ublic Utilities 71VUbli—C-Safety Fire Services Review fe-$ Oept Signature° Other Agency Review or Permit Required City of Atlantic Beach Date Building Department - 800 Seminole Road Florida Dept. of Transportation Atlantic Beach, Florida 32233-544$ BUILDING Phone (904) 247-5826 • Fax (9nk1 ?47-5845 E-mail: building-dept@coab.us 1 Army Corps of Engineers City web -site: http://www.coab.us APPLICATION REVIEW Property Address: 7G� i"t &// 1, Applicant: Project: APPLICATION NUMBER (To be assigned by the Building Department.) L4 Date routed: CKING FORM Department review required- Yes No Building Planning & Zoning Tree Administrator Publ ublic Utilities 71VUbli—C-Safety Fire Services Review fe-$ Oept Signature° Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept. of Environmental Protection (Circle one.) Comments: Florida Dept. of Transportation BUILDING St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Date: TREE ADMIN. Other: QApproved as revised. ❑Denied. APPLICATION STATUS Reviewing Department First Review: XApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: TREE ADMIN. Second Review: QApproved as revised. ❑Denied. PUBL WORKS Comments: IES PUB FAY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . 10-00000230 Date 3/02/10 Property Address . . . . . . 700 BEACH AVE Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------- Application desc HOOK UP WELL PUMP ---------------------------------------- Owner ------------------------ SLEEPER JULITTE ADAMS 700 BEACH AVENUE ATLANTIC BEACH FL 32233 Contractor ------------------------ OWNER ------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date . . 8/29/10 ----------------------------- -------------------- Fee summary Charged Paid Credited Due -------------------------- ---------- Permit Fee Total 90.00 90.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 90.00 90.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 10- 1 -T -FT -1-1 DUVAI c011NTY 1. JOS ADDRESS: 2. IS THIS A SUR PERMIT- r 1., CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 OFFICE: (904)247S828 • FAX NO.:(904)247-5845 PROPERTY O1Mr * WWW.COAB.US 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: B. PHONE: ELECTRICAL PERMIT APPLICATION 10- 1 -T -FT -1-1 DUVAI c011NTY 1. JOS ADDRESS: 2. IS THIS A SUR PERMIT- 3. DATE ❑ NO D p �2- �L1 ❑YES PERMIT#: PROPERTY O1Mr * 4. NAME: 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: B. PHONE: ELECTRICAL CONTRACTOR: 7. NAME OF COMPANY: 8. ADDRESS.: 9. STATE OF FLORIDA LICENSE NO: 10. CELL PHONE: 11. FAX NO.: 12. EMAIL ADDRESS: 13. OFFICE PHONE: 14. 15. 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 any time after work is commenced. CONTRACTORS SIGNATURE: 16. CLASS OF WORK: 17. SERVICE: 18. METER NUMBER: ❑ MULTI FAMILY - # OF UNITS: A RESIDENTIAL /IQ SINGLE FAMILY ❑ TEMP SERVICE ❑ COMMERCIAL ❑ ADDITION ❑ TRAILOR 19. BUILDING: ❑ ALTERATION ❑ SIGN KOLD ❑ NEW ❑ REPAIR ❑ POOL / SPA 113 REWIRE 19. CURRENT CODE: ❑ '08 NATIONAL ELECTRICAL CODE ❑ OTHER: LIST ALL ELECTRICAL WORK: 20. TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22. SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ ALUMINUM 23. SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24. EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: # OF AMPS: # OF AMPS: # OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT & M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑ YES ❑ NO 29-3100 NOT APPLY TO NEW SINGLE FAMILY, MULTI -FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32. AIR CONDITIONING: # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33. TORS. NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: W. TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 38. MISCELANEOUS REPAIRS. DESCRIBE IN AIL: �o Eled'aermit Appkatfm 2010 v U U / }} CITY OF ATLANTIC BEACH �~ (OWNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "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 A ONE — OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 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 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 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. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; 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. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 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 CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247-5826) IF IN DOUBT. V. ACKNOWLEDGEMENT; 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. inn �7,/ 9Z - ADDRESS PHONE NUMBER e ---e, PRINT IME SIGNATURE D ATE �•/ice Before me this —.I_ day of 20 / On the county of Duval, State of Florida, has personally appeared herin by himself / herself and affirms that all statements and declarations are nd accurate. jj�., �-�� p Notary Public at Large, State of _W_, County of 74"—P-" , r,. +++++cc❑ccc-----,,,,,,,,,,P��ersonally Known////��-^� / /(�//y+ C� duced Identification - f �� S T/ 4 �42 3 ( / / / "' 3* p'Hn �., r- MY COMMISSION # DD 634126 --��—f` EXPIRES: May 21,2011 ry g 64 Bonded ThN Notary public Underm ters Nota Si n F:BLDG/Owner-Builder Affadavit; REVISED: 4/16/2009