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Permit 1789 Beach Ave ! CITY OF ATLANTIC BEACH t 800 SENIINOLE ROAD M.." ATLANTIC BEACH,'FL 32233 INSPECTION PHONE LINE 247-5826 9 I ! Application Number 06-00033856 Date 9/21/06 Property Address . . . 1789 BEACH AVE Application type de cription RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning :" TO BE UPDATED Applicati n - a ' at ri'. ! 1295 ' - �-_ -------------------------------------------- -------------- Applicati n deo,c � I GARAGE DTOR RF PLAC MENT ----------------------- --------------------------------------------------- Owner Contractor ------------------- ---- ------------------------ BOWERS OVERHEAD DOOR CO. OF JAX 1789 BEACH AVE 6884 PHILIPS PARKWAY DR. N. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 268-1627 ----------------------------------------------------------------------- Permit . . . . . . i BUILDING PERMIT Additional desc . Permit Fee . . . . i 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 1295 Expiration Date 3/20/07 ------------------------- ------- --------------------------------------------- Fee ----------------------- ------ --------------------------------------------- Fee summaryCharged' Paid Credited Due Permit Fee Total' f 40100 40 . 00 . 00 . 00 Plan Cheek Total f I20100 20 . 00 . 00 . 00 Grand Toal ;60 ;b0 60. 00 00 00 {! PERMTT IS APPROVED ONLY ACCORD f1 CE H FALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. S CITY OF ATLANTIC BEACH s} PLAN REVIEW SHEET Ro o: r.. - Makowski Building Department Public Works&Public Utilities Departments s 800 Seminole Road 1200 Sandpiper Lane S. Doerr Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R.Carper (904)247-5800 (904)247-5834 D. Kaluzniak (904)247-5845 Fax (904)247-5843 Fax Public Safety PLAN REVIEW COMMENTS Permit Application# e6 -9 -1 Property Address: / 7f / Z�7,4c# Applicant: � V �411fxj Project: kt2)mL Rf -)n EnT This permit application has been: Approved as noted by the Department. Final application approval niiist come from the Building Department. Reviewed and the following items need attention: I,,/'nib- 4v;o 9. 13,01" Please re-submit your api4Zation when these items have been completed. Reviewed By: Date: A_/ Date Contractor Notified: �.:i�yLyr CITY OF ATLANTIC BEACH f WINDOWS, SKYLIGHTS, GARAGE DOORS, HURRICANE SHUTTERS V Date: Job Address:/� 79 �C��. OG • 38�(o Owner: S Address: /7 O_9 2 - ? / 2,� / Legal Description: Block Number: Phoneow Lot Number: Zoning District: Contractor: f� �/ �oo� Cy State License Number: Address: o�/ a ' /✓ Phone�oS/ Z-48 City �11 ` State: �— G ZiP30Z f e Fax:.PUi/ Z�cS • ALL y Describe proposed use and work to be done: Present use of land or building(s): (� Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required? application. If yes, please submit with this Required Building Data: Mean Roof Height (ft) Building Width (ft) By ilding Len th ft Roof Sloe GXzi d 000' l� —( ) P Window Height (ft) Wi s Width (ft) Window Elevation from Grade (ft) Measurement from corner of building to window (ft) Number of windows being installed J Mean Roof Height 800 Seminole Road Atlantic Beach,Florida 32233-5445 Page ] Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ei.atiantic-beach.n.us Revised 1/27/03 Procedure: In order to expedite issuance of permits provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data, the following information is required: 1. Manufacturer's Test Report with Uniform Structural Load (psf) 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type S. Skylights Description/Type 6. Hurricane Shutter Description/Type 7. Elevation View of Window Locations I hereby certify that all information provided with this application is correct. Signature of Owner g Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Co actor: 6'�, Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: D ' Mailing Address: - Telephonc>7y 7 Z Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of State of Florida, County of Duval �';`��..•••:.wyq Nota s • ry' ature: Personally known z p:• #DD 373011 F0 ❑ Produced identification >,,99`; y� n,�•.'��Q`�a Type of identification produced s�'�AU9°••'°•°• - �� STAB,•s'. AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20& a b i State of Florida, County of Duval Notary's Sign ture: ersonally known o #DD 373011 • o . ❑ Produced identification °•�o °ie 60,7dedW 'P•'oQ�' 9� .pbia •• `\ Type of identification produc ewog�, 800 Seminole Road Atlantic Beach,Florida 32233-5445 Page 2 w Phone: (904) 247-5800 Fax: (904) 247-5845 http://ww -ei.atlantic-beach.fl.us Revised 1/27/03 FILE COPY t1w,o X021 Overhead Door Company Engineering Services 1900 Crown Drive Farmers Branch,Texas 75234 Telephone: (972) 869-1666 Fax: (972) 869-1671 of S ;�tts ODC Jacksonville 6884 Phillips Parkway Drive North Jacksonville, Florida 32256 (904) 268-1627 September 24th, 2003 To Whom It May Concern: The following Overhead Door Corporation residential windload door configurations have been designed and tested in accordance with the Florida Building Code and their respective windload pressures comply with the Florida Building Code for Exposure C, 120 mph. In addition, they are all listed as compliant with the Florida Building Code in ICC-ES Legacy Report#2318. 408950 Windload, 180/280/381, 37/55.5 psf,9'-0"max 409886 Windload, 180/281/381, 31/46.5 psf, 16'-0"max-Max Roof Height 15 feet 409341 Windload, 180/280/381, 37/55.5 psf, Post, 16'-0"max 409888 Windload, 180/281/381, 31/46.5 psf, 18'-0"max-Max Roof Height 15 feet 409337 Windload, 180/280/381, 37/55.5 psf, Post, 18'-0"max 408951 Windload,390,37/55.5 psf,9'-0"max 409892 Windload,390, 31/46.5 psf, 16'-0"max-Max Roof Height 15 feet 410026 Windload,390, 37/55.5 psf, Post, 16'-0"max 409893 Windload,390,31/46.5 psf, 18'-0"max-Max Roof Height 15 feet 409432 Windload,390, 35.1/52.7 psf, Post, 18'-0"max 409977 Windload, 190/490, 37/55.5 psf, Post, 10'-0"max 409960 Windload, 190/490, 37/55.5 psf, Post, 16'-0"max 409978 Windload, 190/490,37/55.5 psf, Post, 18'-0"max` Sincerely, Concur, , Mickey Womack LeRoy Krupke, P.E. 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V O N V J V x m m; Z,G �m i myaz nmV o ra m m�"mo m� o Ny N.pmmm Nx �A/10 n � A x o z� o�O ~ mm n ;m mti zCzPc r m o z �,oLA^xz � E n oom� '6"� o0 0 mom y r��r�mmK NNaa o8o y@$a 99y$$ yry■E VI y fn Yl y VI y m A oco !�_�•�i! �� D mnN Jin h mac a m Z oi� G7 • � O TJ 69 O o CO O adz s.�! yo D mZ= o on T x A yz yg g. yy z 3 0p D ° N S Lf'OO yl va l ?z EQ o. z� 0 O z 0 A • = 0 rm v D m o s o m D r m JC z y log o v z D F oom� m n� _vv{ zi y2> mo 0z '2'A2'2A m '`7o c3`2' � mR Zyi za 'o � o w 8E 30� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD X ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030611 Date 6/28/05 Property Address . . . . . . 1789 BEACH AVE Tenant nbr, name . . . . . . INSTALL STORM SHUTTERS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 Owner Contractor ------------------- ----- ------------------------ BOWERS ROLL-A-WAY, INC . t 10601 OAK ST, NE ATLANTIC BEACH FL 32233 ST PETERSBURG FL 33716 (727) 576-1143 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 5000 Fee summary Charged Paid Credited Due ----------------- ----------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 , 50 . 00 . 00 Grand Total 82 . 50 82 . 50 . 00 . 00 4 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. oft .. BUILD G OFFICIAL CITY OF ATLANTIC BEACH Cc: BUILDING / ZONING DEPARTMENT D. Higgins s� 800 Seminole Road rr Atlantic Beach,Florida 32233 vV (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # o 5-�fw l r Property Address: 17,55 6ekh 0 O 6 Applicant: o- Project: F This permit application has been: Approved r7 Reviewed and the following items need attention: Please re-submit your application when these items have been completed./ Reviewed By: L Date: k"\'Ll 0 Date Contractor Notified: ti City of Atlantic Beach 800 Seminole Road - Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 - htth://www(ci.attantic-beach.fl.us PERMIT APPLICATION FOR REMODEL,ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUC.rION DATE Z �.1-air APPLICANT AA, ---- ADDRESS PHONE: ADDRESS WHERE WORK IS TO BE PERFORMED - c /4 � LEGAL DESCRIPTION: BLOCK N BER LOT NUMBER - ZONING DISTRICT CONTRACTOR '&PI-V , jJ -tU/f� _____ STATE LICENSE NUMBER SOLI U y ADDRESS ��c � - PHONE CITY � � STATE - ZIP �� FAX 3 'E;eD DESCRIBE PROPOSED USE AND WORK TO BE DONE JW ST.4t-4- .STOP► /k- Sh1J1"��RS ---- PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION --- Is this an addition? AA0 If yes,what are the dimension.;of the added space: A-4 feet by feet Will the added area be heated and cooled? 4 :dew electrical or increase in service? �,. New plumbing fixtures? J✓,1A New fireplace? _ New heating/air conditioning? A)A IF Is approval or Homeowner's Association or other private entity required? XIC> _ If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. IfL order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,lktlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4) complete sets of construction plans to the Builciing Depzxtment, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826 01/02/02 In ac:dition t'u construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works, a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands, CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT AL FORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. i SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFO TION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME c' - t _ MAILING ADDRESS y�� --�� ✓�`/rf S C GG �' C G'3 �c /S PHONE "�gI'�5�� FAX /v�`�cy�- � E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS 3 DAY OF Je,'AM 4+12Z Z are 3 STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: Personally known Produced identification WHARTON REID CRA WSHAW Type of identification produced =•- �= MY COMMISSION#DD 090043 �= EXPIRES:March 18,2006 Bonded Thru Notary Ruby UW,,dtere AS TO CONTRACTOR: Personally known ❑ Produced identification Type of identification produced =E �C RAWSHAW : #DD 090043 h 18,200601/02/02 ''�' d lic Underwr mm NOTICE OF CUa1MicNCEMENT RAMCO FORM 409 FS 717.17 Return to: (enclose self-addressed stamped envelope T� gg Doc#2005226056,OR BK 12561 Page 1437, Hama: D Q:R Shiutters rfba Roll-a-gray Number Pages:1 2375 S Fifed&Recorded 06/21/2005 at 08:41 AM, Aaarei:: ?r t.fL'li7S. lki::r. rz��? t07t JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Jack sorz'viFL 32246 RECORDING$10,.00., This Instrument Prepared by: t - Namefi JL•x aJS:'[ eJM1 r .Address 46 i JUN ? 200" L ,.3.viii?_f €. � i Pruperty Appraisers Parcel Identification J {4+e^ SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida l f County of— The f The undersigned hereby gives notice that Improvements will be made to certain real property,and in accordance with chapter 713 of the Florida Statutes,the following information Is provided In this NOTICE OF COMMENCEMENT. Legal description of property(include Street Add ss,if available)19i f►Q SA A4V AIA e. ��n / i0 cOq ds �� T ak !r No _ r o9 General description of improvements h&)STI Aj S'T, »�..�4 1L7 2A& Owner's Name MA. 5$&&)&LA- S 13of406,4S Address. 17r? OWK4 /AUA- 14?L.ARJT�` Owner's Interest in site of the improvement Fee Simple Title holder(if other than owner) Address Phone: Fax: Contractor �'`/� -5hu �e eS Ta D l-a -LAL s. �3 7S 0T JO P Aj 1S dticf�,�D �I- Address ✓�� So.0 d ,� FL. 4Phone: 9 95073/-M s3 Fax: 90 V-7311-C O S_3 �1 Surety Phone: Fax: Address Amount of bond$ Lender's Name Address: Phone: Fax: Persons within the State of Florida designated by owner upon whom notices or other documents may be served as pro- vided by Section 713.13(1)(a)7, Florida Statutes. Name Address Pio Fax: In addition to himself, owner designates Of Phone: Fax: to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 1 Expira 6 ate of Notice of Commen ent(the expiration date is 1 year from the date of recording unless a different date is specified) N L Q g Si...... of Owner Printed Name of Owner `a O NOTARY RUBBER STAMP SEAL I have tied upon the following identification of the Afftaw ,-V V. WNARTON REIO CRAWSHAW � � � �N 0�✓r Q` to * r MY COMMISSION#DD 090043 Sworn to and b ribe fo ..,day o�IO� % 'o• EXPIRES:March 18,2006 Bonded Thru Notary public Underwriters Printed N4am !7� �••y7 /o Jerry E. Hicks , p Customer Name: 1 z�,S.+cvw- Ao!gw Property Owner. Address: /9ta✓+�'. Unit# City,County,/¢n,,�-.c.1��cfL Phone Single Family Y/N Phone# l>Strw tore: Masonry Wood .-Concrete Aluminum Other .� Specify (Window Frame: if opening varies from above materials, indicate 2>R00F SLOPE: Less Than or Great than �a degrees 3>Fire Sprinklers: Yes No 4>Building Height .36 _ 5>Coastal Zone Yes w`�No 6>Condommium/Associatwn Approval: Required Not Required 7>Are Specs Available: Yes No S>PSF " Roll-a way Plans required to complete this job: Roll-a-way.Storm&Security Shutters Customer Gx ,ty5 Address City 46 Opening# Track Width Track Height Product type Plans ID kv It � 3 {tt 1 ; t - 1 1 s s i � ADDRESS / / u / Q G� BUILDIN 3 Ani,DRESSBUILDING PERMIT NUMBER INSPECTIONS : FOOTING UNDER SLAB PLUMBING L,A 7pp - R:-1 all I Cn-VE-r--T7 g2 T N S Tj L A T I '- 9 F T NAL ET-7 I L Tl 7- JCJ- CERTIFICATE OF C C -i -- ELECTRICAL PERMIT # TNSPECT-`-'TlTc R C-)U G H FTNAr C.A T M EC�—A N I PERMIT FLUMVTN- PER�41T NOTES : -7 00 R .1 a s ADDRESS_ BUILDING PERMIT NUMBER INSPECTIONS FOOTING____ 7/�f3- E AI SLAB....... _ ' 9-2 3 ti3 l � FRAMING__- C%_= _- ) ---- COVER INSULATION___° /� a 79. 3 FINAL HUILTIING h / 1 CERTIFICATE OCC__�l_� _ ELECTRICAL PERMIT #t -------- INSPECTIONS -_-___-__- FINAL__ _ ��,,, ___-__-___ MECHANICAL PERMIT ___---__- PLUMBING PERMIT � __ ----------------- NO T ES -----_-------w_-_NOTE:i I CITY OF ATLANTIC BEACH . iSl -r) 800 SEAMOLE ROAD J = ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 � I >>f' INSPECTION EMAIL REQUEST: Buildindej2tncoab.us Application Number . . . . . 07-00001486 Date 10/26/07 Property Address . . . . . . 1789 BEACH AVE Application type description WELL PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL WELL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BRONNER OWNER ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . WELL PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . 0 Expiration Date . . 4/23/08 ---------------------------------------------------------------------------- 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. 4 � rt ��y fly: CITY OF ATL - PERMIT BUILDING f ZONING DEPARTMENT APPLICATION # _..;� 800 Seminole Road Atlantic Beach,Florida 32233 i D I r (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: n1 J� IPropertyPropertyAddr��e �C.��v 1 z4f-y Y PLANNING BUILDING "`� ' 1 ! ! IPUBLIC WORKS Appucant: O PUBLICUTILITIES �� I (I I NPr® FIRE DEPT. �� - - fjlf( l Y N PUBLIC SAFETY w APPROVAL U p REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: Y N D.E.P HUFSTETLER Y N S.J.R.W.M. L CARPER _ Y N ARMY CORPS of ENG CARPER F- O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEW D BY: IAL: DATE: ® 1 ST REV ® PLANNING ® ® 2ND REV BUILDING PUBA WOR S C I ES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV Return this form to the Building Department®nee you have entered your comments into the AS400. Public Utilities —Distribution & Collection Date: b '( b 1 Initial (�)) Project Name/Address: S l AIF Application/Permit Cheek Bax pPl�ieio�' > aekangECQmmen�tsToRAd Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247- ❑ 5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be P provided or if there is a private well on the property. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. ,�a�r/� Prcd�nf Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fixe sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow ❑ requirements. At a minimum, will require double check backflow preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2"must be installed in a vault as noted in JEA specifications. r ❑ ri r ❑ F AP1anReviewComments-PU.doc CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building deptgcoab.us Application Number . . . . . 07-00001008 Date 7/16/07 Property Address . . . . . . 1789 BEACH AVE Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------------------------------------- Application desc 1 C/U 2 TONS --------- ------------------------------------------------------ Owner Contractor ------------------------ ------------------------ ROSWELL OCEAN STATE HEAT & AIR, INC. 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ----------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 51 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/12/08 ------------------------------------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 51 . 00 51 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 51 . 00 51 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 07/13/2007 12:23 FAX 9042499949 OCEAN-STATE-A/C ► ATLANTIC-BEACH Q001/002 CITY OF ATLANTIC BEACH r MECHANICAL PERMIT APPLICATION r, Date: 7h 110 7 Property Ad res8: r[C-A Owner: Telephone 0: 4 Contractor: 0=1 'rR'C�t'�t,' H`tr_ ^r �C. Telephone .Coatmctor Address:.14 �'l{ ri(3�.1.C. �l1 M P)_ Fu#:ft -F4Q(4Q jtJ oostideranoa of permit aavee tof dome the word:ee daa:dbed in the above?C�06L,.�'hereby agree ro peffoTm attic)works m aaoardatioe with the atm plant end spec blues which arc a part heeof and is aeeordaaee with the City of Admce Besah otdmances and smndurdt of . d pacdct 4sted tmvin. Type df Hcntitag Fuel: If other mmuction is beiag do=on.this building or site,list the bmlffing petmrt number. V 'Elecmc „- ❑ Gag: LP +-�Vtsaa21 _Cc al LHiahy ❑ on 0 other-S ec& MICBATICAL EQMMENT TO BE INSTALLED NATMU, OF WdRK O�J�Ieat Space _7t=tsaed �'G4�srttl —Floor per ' Air Coatiiticnkg- Room entre) ❑' Duct 3yn=: Material Thickness 0 comer" ❑ IZeb�zeration M=ILum capacity cfm ❑ New Building ❑ Cooling Tower Cttpaciry �z c r E:d a guildin� ❑ Fire Spziabars:Number of Heads� 0 Elevamr. Manlift Esoalattn (Number) 31 Replaceein ofEisting.Sy:nam 0 Gasoline Pumps (Number.) 0 Tanks • (Ninber) O New.lnstollad= 0 LPG Containers (Nttmberr) (Na vu=7evi01alY ❑ T3nfired Prenwe. Jmel ❑ E,xtcasion or Add-on to Badsting 3ystcm 0 Boilers 0 Ges Piping - --- M Omer- - --— Q Other-Specify LIST ALL E U VtkENT AIA CONDWOM r.,TtLrXlt MMA'I ON ZQtM1M>LNT&CONDWSOR S Arpmvmg Numba Unbs Ductipticn Model f mumaccaer Ton's Aeeacy C tl. Ei D•�� i(lLr'GG(.�.•. Z[A7zqds—70MACES,R011 J=9 FBEPLi#C]r3 d&AM ArANIDL=19 Apprevb* NumberWtt Deaeripdon MOW! by4aatactnrer B7VI Agency WKS,• 1t0aei14c"Mcay Typel.iquid )mist Apptnrias Raw lvlanv Qt Dwtaasiow Cootnined Ivianutaraurer No. nev 300 Seminole Rond•Atlantic Batch, Florida 3233-5445 Phone:(904)247-5300 - Fu_ (904)34^-5845• http://www.ci.atimasitc-beach-ALus ,rosy—Jr��rn f' ,sJ CITY OF ATLANTIC BEACH MECHANICAL PER—MIT PLICATION Date. 7b -1/0 Property Address: G( eAW4t,� Owner: �2-- �CT��.J�`�t-- Telephone#: Contractor: oCean �5tC.E t—ic FTelephone 9: ,� I f , Contractor Address: CZ 1.� f ( Ct-1- j �� Fax r:_--`"�' �L�-} In coasideradon of permit given for doing the work as described in the above s rement.we hereby agree to perform said work in accordance 1 with the attached plans and specifications which are a part hereof and in accordance with the Cit,of Atlantic Beach ordinances and standards of eood 2ractice listed therein. Type of Hentina_Fuel: If other construction is being done on this building �/ or site,list the building permit number: -tf Electric ❑ Gas: LP _Natural _Central Utility ❑ Oil ❑ Other-Specifv MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK eat _Space _Recessed ��tral _Floor p' Residential ❑' Air Conditioning Room _✓Central ❑' Duct S�istem: Material Thickness ❑ Commercial Maximum capacity cin ❑ Refrigeration ❑ New Bitildi= i Cooling Tawe,-: Capacity Qpm 9/ E=si siin R Building i ❑ Fire Sprmiders:Number of Heads ❑ Eievawr: _- ltilanli$ Escalator —(Number) � i��e ,:)fE;;iszm2Q SyULem ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New lustahauon ❑ LPG Containers (Number) (No system pre'riously installed) ❑ Unfired Pressure Vessel C2 Boilers ED Extension or_add-on to Emsting Sysi,-m ❑ Gas Piping - ----- Other-Specit, ------ - —------- ❑ Other=Specify LIST ALL EQUIPMENT :tIIt CONDITIONING,I I,FRIGI';RATION EQUII'fy=&CONDENSOR'S Approving Plumber Units Description Model t Manufacturer Ton7 s Agency G0;�Yi3 HEATING—FURNACE,S,BOILERS,FME?LACES&AIR HANDLE-RIS Approving Number Units Descriprion Model R Ivlanafcturer BTU's Agency THINKS' Nommal Capacity Type Liquid Serial _ - pprov-mg How lylanv w Dimensions Contained 7vlanufacturer No. Aeenev 300 Seminole Road • Atlantic Beach„ Floridn 32233-5445 Phoae: (904)247-5800 . Fay: (904)247-5345 . httpJiwww.ci-ati2ntic-beach.fl.as TREE REMOVAL SECTION A APPLICATION MUST BE RECEIVED BY NOON OF THE WEDNESDAY BEFORE THE MEETING! 5k/ - 47%ir, -�" 6 Utz- Pmpy Owrmrt No. Aftess Tttephont z 31 ti. /?� v,�dT t j Locmtlon a Trot Removal/SW Akorftn SECTION B (To be ooaapletedby eppftft hoes propertlr bgonad rtsiderwK tndudes aneldilnod'veft andwNch b notpnesntyoWjW60 ply t.What ohmos arop opo rd b the above WodlbNte4 Cow Iry o f- , z what EIs the purpose a these danpa? . &Sp mVy trees proposed for romowi ns bbwt: TREE COUNT SPECIES. 812E(08H x HEMM CONDITION Alp ©e Lin ap • � c ,+ '' '�0 5 � �� SSS� b1�', . 4.Wtf gww bvn be rdocIted on the mw prop"? 5.q not,will w ares be ptwl+led? +' 6•Spo*pmPftw mpwemwt tn>e:ns foNows: TREE COUNT SPECIES SIZE x ' r ' DEC 3g91. Lam'uc:."'tan C.y 7.Attach sCa pL-^, (Slop smyn-ml 4;AND cCTmmk€ r a R4,4,T10,',l V1 SECTION B - (All other Applicants) r 1 . Property Zoning: 2. Submit the following: SITE PLAN/TREE SURVEY indicating: a) Site topography, existing and proposed grades b) Existing and proposed structures c) Location of all tress w/ DBH of six inches or more d) Tree. species and sizes e) Trees to be removed should be clearly marked f) Trees to be allocated should be clearly marked g) Location of any proposed replacement trees , h) Identify trees of special or unique characteristic i ) Identify trees within 10 feet of construction areas j ) Show location and type of tree protective barriers k) Location of utilities, accesses and easements. 1 ) Location of vehicle travel corridors m) Location of commercial sprinkler/irrigation systems n) Landscape maintenance plan (commercial only) o) Staging areas for equipment and material storage SECTION C I agree to comply with the rules and practices established in Chapter 23, Article II of the Code of Ordinances of Atlantic Beach. 1 ' OLwner.s Signature Date �a14,11wxmVIall' CITY USE ONLY Applicant has complied with all provisions phCter.n m 23 and requirements of the Tree Conservation Board6 min tre nipremain o J ". � � ±si ba barr:,2ded h Tree Removal approved as NOtede. Pa'rric-�cE� ir.:: ` �,siG.led f3EF0A?f 1 site cfcarin.g and ri.;nain in place during Y Date_llo, ��ses of construction, Tree Conservation Board Designee Date i NOTE: "Tree Protection for Builders and Developers" is available at City Hall or from the Division of Forestry, 8719 West Beaver Street, Jacksonville, FL. 32220. ( 781-1434 ) I ENGINEERING OFFICES OF H .W. KEISTER ASSOCIATES , INC . CONSULTING STRUCTURAL ENGINEERS 2119 UNIVERSITY BOULEVARD NORTH REGISTERED HALEY W. KEISTER, P.E. JACKSONVILLE, FLORIDA 32211 PROFESSIONAL ENGINEERS MARK J. KEISTER, P.E. (904) 743-4633 EMPLOYER IDENTIFICATION NUMBER DAVID L. WEB&, P.E. January 13, 1992 S9-143S681 Mr . David Boyer, AIA Boyer & Boyer, Architect 1614 Mayfair Rd . Jacksonville, Florida 32207 Re : House in Atlantic Beach for Virginia Owen Dear David : This certifies that the structure including foundation, frame, roof decking, exterior walls and floors has been designed for wind loads of 110 MPH, with all design complying with the 1986 revisions to Chapter 12, SBC and Chapter 12 of the 1991 SBC. If additional information is required, please feel free to contact me . Very truly yours, Haley W. Keister, P . E . HWK/drg i PlacF. QUO APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME_ ,[� � )1_[ __ �_ ��<<��t_-_------------------------ MAILING ------------- --- ----- MAILING ADDRESS &:j,7 � PHONE NUMBERiC/�4 =/ `-`- -�==� `�- -f-�/ DATE /_ J. ----------- SERVICE REQUESTED_`��1_Z�Z� ('� �__ r_�Lt(�C ,C C�f��-------------- ----------------------------------------------- SERVICE LOCATION �c,-t ) �J �y �� Lt � LE(- ----------------- DATE ---------------- DATE SENT TO ,- DATE RETURNED PUBLIC WORKS j ' -' TO BUILD. DPT. ----------------- ---------------- DATE OWNER NOTIFIED_______________ C f ':i DEPAOMENT OF BVILDING ' CITY OF ATLANTIC BEACH. PERMIT INFORMATION LOCATION INFORMATION P > t Number r: 1 55. Address. 1789 BMW AVE I Permit Tape:BUILDING ATLANTIC BEACH, FLORIDA 322- ;'1a:as f rk;N� _--- --- LEGAL DESCRIPTION _ ---_ constr . ,Typ e*.WO D FRAME Bl ock� Lot'. Twp: i Proposed �"5e: INOLE FAMILY' s ctiow 0Su d: 1�r Q ! DWellin : a subdivision. Est . Value: 0 , Improv. 00 Total' 45.00 h�mount 5 00 a � ZA 17,77 E 6 �Y • ;, O N A 6 L CA 3. FEES , Mal � � ANT PERMIT r a a 01 . C FLOR Plti ! C� RA P14ATI0t�, Mame Of 'NER Aird � NOTES: 1 y� pp * t NOTICE—ALL CONC'iiETE FORMS AND FOOTINGS MUST BE INSPECTED BEPflI POUii1NG ' PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBiRJ FROM-THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND CLEARED UP AND HAU,L,ED,AWAY BY EITH ERL CONTRACTOR OR OWNER_ "FAILURE,, ' CoMIf�L`Y WITH THE M�CM�A1�1� �r�.LIJ l'AW CAN RESULT IN THE PR t PERTY C3WwEA PAYING TWICE FOW E3UJ . JUP t "w' tsSUED ACCORDING To APPROVED,PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO,REVOPA � + LATtON OF APPLICABLE POO 1tISIONS OF LAW. ATLANrI B JAChf I3 LDrN C/ pAtTN1ENTE �18 7 ' 7 x Y CITY OF ATLANTIC .BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) Address: ! 79 / C �"�!� �j'1J � Phone: / _ 3�j Lot # Block or Unit # Subdivision: Contractor: &,zf- State License # Address: ,3g�� .�i/4 �C / f,, Phone No: Describe work to be done: 19-t K6�'L�2� Present use of building: /rt Valuation of Proposed Construction: Proposed use: Is this an addition? If yes, what are the dimensions of the added space: /U�f T ft. X ft. Will the added ar a be heated and cooled? New electrical (or increase) ? New plumbing fixtures? 6//�ew fireplace? New Heat/AC?� SUBMIT THREE INCLUDING T PLAN, VE ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND O /CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Q NL' ✓' Date: ( - q 7 Signature CONTRACTOj: r Date: O/1 License Supplied: Liability Insurance: Worker's Compensation Insurance: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address L '� gc( tJ F-Ac.(+ A61 . ( � uNF_ CA6Ssov�✓L Date Heated Square Footage @ $ per sa ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ S per sq ft = $ Deck `T@ $ 4( 00 per sq ft = $ Patio @ $ per sq ft = S TOTAL VALUATION : $ 3 3 6 O Total Valuation 1st $ 1060 h- 3G d Zr. co Remaining Value $4-.; e.- Der thousand o portion thereof TOTAL BUILDING FEE + 1/d Filing Fee $ X-.40 o (0) Fireplaces @ $15 . 00 S BUILDING PERMIT FEE $ �.S�. 40 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP S ) RADON (HRS) . 0050 S SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ y S- 0 Q 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 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(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, 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 OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 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. 455-228(l). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY'S OR THE FLORIDA "CONTRACTORS CERTIFICATE" 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 1 COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 6-TATE o r- Fc.ogAt.A UUWTy O 1= -DJ✓AL PROPERTY OWN /BUILDER 1999 8mch Avc 2-A —T 1 ADDRESS TELEPHONE I SWORN TO AND SUBSCRIBED BEFORE ME THIS Y OF Aar C-V-) 19 ' fi Law"� NOTAR PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EM D BY THE BUILDING DEP N :` MAUREEN KING F-0L V SSS 55(p_r1 to,k '-S�^O PREF ►�D, •F Notary Public, State of Florida My Comm. Exp. Mar. 31, 1998 e os rte° Comm. No. CC 359683 i (21 9NIcninu a3� � 314NV14V 40 AVO 3 A O�,1 d�d'd H�� DRi.iE N O� iV 00 c AJC. TMe�tEQ t '�-� av x r3.8 tv N r7.G� '•G o.8 4 C�FAGQW i"F,fI_�' !/ ♦.+rte ON i �oJ�yQ z- sro�er (¢'� srclGcoY 1 F.P�ME N V � tai � � o f co�rsrvG �oc./sr,�vc�Tic��.f j✓l. 'A-60CIK C pGGES- 72-72 u? � O 0 -336 3, WIWI 009630 Permit Number: / FLOR A No. of Pages Attached: 1 1 ' FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION FIELD PERMIT PURSUANT TO SECTION 161.053 or 161.052, FLORIDA STATUTES, ISSUED BY: ❑Northwest District Office, 160 Governmental Center, Pensacola,FL 32501 phone(904)444-8300 ❑Southwest District Office,3804 Coconut Palm Drive,Tampa, FL 33619 phone(813)744-6100 ❑South District Office,2295 Victoria Avenue,Suite 364 West,Fort Myers,FL 33901 phone(941)332-6975 A Northeast District Office, 7825 Baymeadows Way,Suite B200,Jacksonville, FL 32256-7590 phone (904)448-4300 ❑Central District Office,3319 Maguire Boulevard,Suite 232,Orlando,FL 32803 phone(407)894-7555 ❑Southeast District Office, Post Office Box 15425,West Palm Beach,FL 33416 phone(561)681-6600 ❑Bureau of Beaches and Coastal Systems,3900 Commonwealth Blvd. -MS 300,Tallahassee,FL 32399-3000 phone(904)488-3180 FINDINGS OF FACT AND CONCLUSIONS OF LAW: The request for a permit was considered by the staff designee of the Secretary of the Department of Environmental Protection and found to be in compliance with requirements of Chapter 62B-33,Florida Administrative Code(F.A.C.). Approval is specifically limited to the activity in the stated location and by the project description, approved plans (if any), attached standard conditions,and any special conditions stated below pursuant to Paragraph 161.053(5),Florida Statutes. This permit may be suspended or revoked in accordance with Section 62-4.100, F.A.C. PROJECT LOCATION: - r PROJECT DESCRIPTION: . -� SPECIAL PERMIT CONDITIONS: This permit is valid only after all applicable federal, state,and local permits are obtained and does not authorize contravention of local setback requirements or zoning or building codes. This permit and public notice shall be posted on the site immediately upon issuance and shall remain posted along with local approval until the completion of any activity authorized by this permit. Other special conditions of this permit include: r � !I ,/ / l G--% ��i1-=i�.._..,•�:. ice_:. /` `�� .. STANDARD PERMIT CONDITIONS: The permittee shall comply with the attached standard field permit conditions. APPLICANT INFORMATION: I hereby certify that I am either:❑(1a)the owner of the subject property 21 ❑(lb)I have the owner's consent to secure this permit on the owner's behalf; and that(2) I shall obtain any applicable licenses or permits which may be required by federal,state, county, or municipal law prior to.commencement of the authorized work; (3)I acknowledge that the authorized work is what I requested; and (4)I accept responsibility for o6mpliance with all permit conditions. Applicant's Signature>r'- - - Date Telephone No. ( ') Applicant's Printed Name ' ,i- Address If applicant is an agent: u_ / - L� printed name of property owner property owner's address property owner's telephone no. DEPARTMENT FINAL ACTION: This field permit is approved on behalf of the Department of Environmental Protection by: /V staff designee signature printed name of designee date approved PUBLIC NOTICE IS ON THE BACK OF THIS PERMIT. EXPIRATION DATE: �- �i 7 (Emergency permits issued pursuant to Section 62B-33.014,F.A.C.,are valid for no more than ninety days and other field permits are valid for no more than 12 months. The staff designee may specify a shorter time limit.) #NoEMERGENCY PERMIT: ❑YES Approved plans are attached: ©/YES ❑ NO POST PERMIT AND PUB LIC NOTICE CONSPICUOUSLY ON THE SITE DEP Form 73-122(Rev. 10/96) [White Original-DEP Bureau of Beaches& Coastal Systems] [Yellow Copy Applicant] [Photocopy-DEP District] i CITY OF i 4& BeacA I Office of Building Official REQUEST FOR INSPECTION f Date / Permit No. a e Time T A. Received 2' District No. f / 7e 9' 4 Job Address Locality Owner's ,y Name for =L �/T iCG(y-,e G BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Rooting ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. ed. Thurs. Friday < A.M. Inspection Made 1 P.M. F "^ Inspector _w- Finallnspectiond' a Certificate of Occupancy j d S Date i F PWT IN A CONGPICUOUS PLACS I r 1 i ELEVATION CERTIFICATE OMB 306 j EXPIRES::JUN JUNE 30 1990 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM This form is to be used for: 1) Post-FIRM construction only when the base flood information is available for the building site;and 2) Pre-FIRM buildings rated using Post-FIRM rules. Instructions for completing this form can be found on the reverse side. RICK 8II,L BUILDING OWNER'S NAME POLICY NUMBER 1952 Beach Side Court STREET ADDRESS Apt.-A/Unit-U Suite-S/Bldg.-B NO. ROUTE BOX NUMBER Lot 39, North Atlantic Beach Unit 1 OTHER DESCRIPTION(Block and lot numbers.,etc.) Atlantic Beach, FL CITY STATE ZIP CODE This form is to be completed by a land surveyor, engineer, or architect who is authorized by state law to certify elevation information when the elevation j information for zones A 1-A30,AE,AH,A(with BFE), V1-V30, VE, and V(with BFE)is required. In the case of zone AO, the building official, the property owner, or the owner's representative should complete the information in Section I and may also complete the certification. Community officials who are authorized by local law or ordinance to provide floodplain management information may also complete this form. SECTION I BUILDING ELEVATION INFORMATION i 1. Using the Flood Insurance Manual or the NFIP Flood Insurance Application—Part 2 Worksheet, indicate the proper diagram number_ 2. FIRM Zones Al-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of feet NGVD. (or other datum-see #5) 3. FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level floor from I, the selected diagram is at an elevation of feet NGVD (or other datum-see #5). j 4. FIRM Zone AO. The floor used as the reference level from the selected diagram is W feet above highest natural grade next to the building (also enter in line 8). This value must be equal to or greater than the AO Zone flood depth number listed below. If no l flood depth number is available, is the building's lowest floor(or reference level) elevated in accordance with the community's i floodplain management ordinances? ❑Yes ❑No ❑Unknown 5. Indicate the elevation datum system used in determining the above reference level elevations:®NGVD ❑Other (describe on back) 6. Indicate the elevation datum system used on the FIRM for base flood elevations:91 NGVD ❑Other(describe on back) (ATTENTION:If the elevation datum used in measuring the elevations is different than that used on the FIRM, then the elevations provided 'J must be converted to the datum system used on the FIRM.) 7. Is the reference level based on actual construction? ®Yes ❑No" A "No" answer is only valid if the building does not have the reference level floor in place. Fill in the elevation based on construc- tion drawings and do not complete question #8. If "No" is checked, this certification will be valid only for buildings in the course of construction. After construction of the reference level floor is completed, a post-construction elevation certificate will be required for continued flood insurance coverage. 8. Provide the following measurements using the natural grade next to the building (round to the nearest foot). a.The reference level is: b.The garage floor (if applicable) is: 110 feet above ❑below(check one) the highest grade. feet ❑above ©below(check one) the highest grade. I� PAteet [lFabove ❑below(check one) the lowest grade. LOL-Aeet ®above ❑below(check one)the lowest grade. SECTION 11 FLOOD INSURANCE RATE MAP INFORMATION i I j Provide the following from the proper FIRM (see Instructions on back-Date of FIRM) and accompanying insurance application: COMMUNITY NO. PANEL NO. UFFIX DATE OF FIRM FIRM Z NE BASE FLOOD ELEV. M UNI IMA BASE FLOOD (In AO Zone,use depth) ELEVATION ESTABLISHED FOR ZONE A 120075 0001 D 4/17/89 rrX11 OR ZONE V,IF AVAILABLE Elevation reference mark used appears on FIRM ❑Yes [2 No (See reverse side for details) SECTION 111 CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect--w-h-o-i"s-a-u-tTo-rized by state law to certify elevation information w an the elevation information for zones Al-A30,AE,AH,A(with BFE), Vl-V30, VE, and V(with BFE)is required. In the case of zone AO, the building official, the property owner, or the owner's representative can sign the certification. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also si th i' ormation on this certificate represents my best efforts to interpret the data available. I understand that any false s imprisonment under 18 U.S. Code, Section 1001, { I I Charles R. Bassett 1576 CERTIFIER'S NAMEDEC 111992 LICENSE NUMBER(or Affix Seal) Registered land Surveyor Charles Bassett & Assoc,, "tric. TITL OYANY.NA E 9 Acme tr t to 2 1n ani on�n Jacksonville, FL j2211 A D CITY STATE - ZIP Revised 12/7/92 904/7,24-9433 I � l SIGNATURE DATE PHONE- . i The insurance agent should attach the original copy of the completed form to the flood Insurance policy application.The second copy sffgytd be-kuppbed to the policyholder and the third copy retained by the agent.The fourth copy Is for the local community permit office,II rigYkQ THIS FORM MAY BE REPRODUCED. y� . FOR OPTIONAL COMMUNITY USE: Is the reference level also the lowest floor under the community's floodplain management Ordinahces?- I ❑YES ONO If NO the elevation of the lowest floor is feet NGVD. i 593-117 6/87 FEMA FORM 81-31(10/87) ( ) CITY OF ,�.ea,�ztic �eac� - ��anida 800 SIUUMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5345 TELEPHONE(904)2415800 FAX("4)241-5805 NOTICE To: Water Department City of Atlantic Beach Date: Please be advised that the final building inspection has been completed on each of the following addresses and construction water is no longer required: Permit Number Address -------------- ------------------------------------------- -------------- ------------------------------------------- -------------- ------------------------------------------- -------------- ------------------------------------------- -------------- ------------------------------------------- Sinnerely, � Don C. Ford Building Official DCF/pah cc: City Manager _r _ cLEvN I Ivty LhH t IFICATE " :t�,_eo, t•EDERAL ctYts'ivENC.r WSANAGEMENT AGLINk . NATIONAL Ft 00111 INSURANCE PHC)Uo;400 :�„r _. • -. me•.•.-ser:', __ 80x NUM r`A_ "�,L,tu... *.r1 `; lj�.�.fd[i`,�,kS1�.C`'�,��:. .,.u.►1_� ♦ .._ _ .� ._ _,�__ " -.,�Nza"ji;:-.kfr'�•`... :8'":x= wed+G'. �Tar�'b r`. , 4% Ai "wg '} tl 6dp . 9 ht 'TH7 n H)8w tl r ET 8 23 ur m!o Ti3i. h8 Pr$Y'9(ign tntir,ma' . a, >-: A?r w til... a-^ F y •, r� r} S -N.f o it rP -oar ` d , 1tie ral, +ht3 r'OpR''fy aisc -v;a"a ti� 3' ,:" .o^^ , rr,r;-4 j,5 n a a t rf4t%"n? :y �, -..:� j,c•^ ,'n.e 'h S 'L),r+ h SECTION i 9UILdfNG ELEVATION INFORMATION y ,-, wS X s_? 4A� � ! ;hg taFit r ,; t; >• a '��;;:,rgt.1 t? *'a 1 .4 thSt 9ti'. 7d Gate Ina ;r-?Oor d.agrfim ntlrnbar_ t''i~y M+' -,r, R?.A:til AF -,H fild ,. ,..:r _'Mr, 'A `Mt;j'c1,t f. 'R_H' tit-fr Ir at.''e4+qI M,Ag'9Ir 'S at an $,h>„ � 'F r,, h,t:.,. tom" '�6'' „A,v" i�Ei=: p• 'r k6E: 4, FiPt',= + 3 . S _ f9(- `.ca;i e'S. 'a:'1!tl' q(gGte next to a,sr 1. r`0 4 q' d,• 1Fia _ :,_^w ', 1t3 tr. %''nb@r ',IStPA beIV`OV, II ^V '"L+^bAr .,;3 ?b'Q ? " F 5 hF ' '4. ..'ererr:`Q teVe , 0 ev9rec 3- vV+h 'h$ comm'vnity g 5 'nsli_v>. + 'B+a, : Q; ,.: ,.�;� . ; pN a v , H '. a.i r'r+ $-. p ,g„r. .p4 '.•_'S j N ^7ihef rdescrtDo or DacKI E .f ?, ,• x.8'`4 `++ . + - r+l,e �; r'-.tf� t3v$ "5 V J .r'tr•3 ^B$Cra6 on flack) ''-'•rt r- r�4 y h.y.+.'.,.5 J&�, fi tf� 'e,r!SS ” � if'M A:=s,S ,.;-� 'C ,1,!iP:u^" r..�- ('^g! 4G(i:_' �_ •-.ry ,:'..•r�A� -�:. {..» 4•P•,8t.•t5 'r-'i'?xQ<' rYA,4 YE>:y ' AN, ^ it 8(8 1-.. y }...a a ,. rJaSQo ^ CJ S;tur• E�r(,J tt;y -c. + t :H ';? vn;' D8 ',9? s .. j:ipirigs ir the course of ^r J' Af'gt ti. Lt'•>= �`' c _ " i s:_rr ; �,•e N ? , .:c'-L r5�,5:{�C'.'G!' C 0 '{ .', • ' t_W a aleW::`i ue ra,�utr8di r >>e ",A' _.f,', y i"lE 'J_j tc t d �:ela y .0 8 7 d' t3 P�'ti1 'S D Tn8at� ' (10,)r ;'fipplr�,ablP'+ .g e "_F. ?`Ai-itiP Dei+-tW i-w.e,f y. !-:F+ 'r yi.F-'�' H.;,jf; .��+tebt ;W111.+EI be., ice highest grade. Colo !Ile E0W9SI grace SEC IIUN tl Ft C1t)D !NSURANCC RATE MAP INFORMATION ba,-k_()al0 -an 4117, T, Tr , o FiRr,+ P:RM �-f i+r. A' + e :_�4 + r:"A8 1crKE7 i7q 7r)NE A NIL V, c A A'4AM ElBY$t. , 'QiFss,t! 113'h ' 5NC 3 =jsba'. C}Yh"• r"tS F`t >'oe +:.r ':11.718':7 _ SECTION lit GEHTIFILATION _ ��h c i@ -;. 5 i.4-S�;`R? h E y'f'7 +8-0'. oeo�je r a','^ rl;• w++ 5 HG,3'' PIP,a; rt..)r r_" -S yt A ' At �.,., arH ,1.:Fr t +'I0 rr '3'J (wi•h q t. : .ti '0:"� <.. IMF -: [+ _ p '^t7 tt;;,li77rr()Ct1. .9 rhzy y of an; rr f,�t,y F s Nt'ae$ :Br 9 =!+ P a B•Y r• �',` �+� rR' n 5c x ti; r b^C9 tC D o,o@ .+t+PQt+;,a ty;g� N-� .� �+,�• `fir a.t 5 y:� '�d 9'1 r q7 ,.t F y tR3, tN,717 n 3r.�r t 9.5-o w� r+�e a r 85 t:rl�r.c r9,�igrG'r6r B(da.'c 9'at,'g u'r�8 S 87 rhe(8�) r�38 4PA1FrtlB�.(+nyi t'a�t',`tirStrBb'P Li rfrtB,^,r r r>trgphfl^6 u,:'N, ,r. r~44 t:+ '' r + ..�.._.J 'R _.r._ TiTtE t . " µ".-nv Su : � _ T i' :. iii fi f s.. .` _ _ 5i{3NA 'Af DA?b '. The Insurance spent should attach the ong.nai Mpy of the completed form to the flood Inscusnes policy application.The wde ) `pOpf Mp�f*b4 ldi};ta_the poticyhoider and the third copy retolned by the went.The foutth c Is for the focal community permit ottlto; ufi�0 t; THIS FORM MAY BE REPRODUCED, FOR OPTIONAL COMMUNITY USE:Is the reference level also the lowest floor under the community's floodplain managerh1ent'ardln ah - 07 92 16:79 1 904 7Z4 DG76 007 INSTRUi<: "S FOR CCIPLEPNU THE ELEVAVQN CERMEA1 t Thu F 40 .;zamye W, Yx zAoa 2 jN01"jel inwz ors, Plownre i'm ''WOW mce, 0 7 2' 21 j, 0 AW 7, iscabons n row Moss VV Wh &FE). 0% L, A; t & Q Q, law 1:7 Tile finished flocs elevation is 23.08 Benchmark: cut on northwest Corner Of drain inlet in right of wly in front of subject property. Y Elevation: r,".. ,7 -114 z4t,"iz: i 0 CIL 5UPWE'YORS • ENGIN'N-RS LAND PLANNERS FAX TRANSMITTAL DA'1E Number of Pages (including transmit 'Y— Page of RF- —-------- ----—-- MOS.IWCE (IF AN CITY OF > ctic Ve d — 94uu (4 800 SEMINOLE ROAD - ----------- -------------------- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 April 9, 1992 TO WHOM IT MAY CONCERN: Due to an error in the JEA maps we previously assigned 1787 Beach Avenue to Lot 39, North Atlantic Beach. The correct address should be 1789 Beach Avenue. If you have any questions concerning this matter- please call the undersigned at 247-5826. Sincerely, Don C. Ford Building Official DCF/pah cc: Atlantic Beach Water Department Public Works Department Richard Bell CITY OF- 4&4d F 4&utt�c Bear Office of Building Official REQUEST FOR INSPECTION Date Permit No. fTz?--? ,2 Time A.M. Received P,M. District No. Job Address Locality Owner's U G Name Contractor U4J:BtN� CONCRETE ELECTRICAL PLUMBING MECHANICAL rammg ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond:& ❑ As Rooting ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Firs Place ❑ 1"{�,L Pre Fab READY FOR INSPECTION A. Mon. Tu Wed. Thurs. ) Friday A.M. Inspection Made —� P.M. Inspector ""'`--^ f FanalInspection❑ Certificate of Occupancy Date CITY OF 4&6a4-c Be=A-0;&u-da Office of Building Official REQUEST FOR INSPECTION Date Permit No. 560) , 3 Time Received P.M. District No. 17ef AIfll AVC"NgE-- J/obb Address � Locality Owner's Name V rl\t: /J�I �L"VN —Contractor— BUILDING ontractor '� BUILDING CONCRETE ELECTRICAL f LUMBMECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Roug Air.Cond.& ❑ Re Roofing ❑ Slab /— Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ READY FOR INS7Thurs.,, A.M.T/�L Pre Fab Mon. Tues. Wed. �ridl� P.M. Inspection Made Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA Approwdby APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:---.4-- x'/19 12 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE 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: tel /tC. ASTER ELECTRICkh SIGNAWJRE n JOUEINEYMM NAME. _ f ADDRESS:_; (2f'? 3edc-h RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN: RES.( N APT.( 1 COMM.( ) PUBLIC ( 1 INDUS.( 1 NEW( ! OLD( 1 REW.( 1 ADDITION ( ) TRAILER ( 1 TEMP.( ) SIGNS ( 1 SO. FT. SERVICE: NEW( ) INCREASE ( 1 REPAIR ( 1 FEE _ CONDUCTOR SIZE 410 AMPS aOD COPPER ALUM. SWITCH OR BREAKER o96a AMPS PH 3 W a�3) VOLT ° RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL ; RECEPTACLES CONCEALED OPEN Tnrw 0•30 AMPS. ' SWITCHES Address Heated Square Footage ay @ $ er sq ft = $ /2 '7, Garage/Shed @ $ 0v per sq ft = $ Carport/Porch @ $ - per sq ft = $ Deck o2 @ $ ?-()C-1 per sq ft = $ Patio @ per sq ft = $ TOTAL VALUATION: Total Vaalua.tion 1st $ e-�, c" Remain-der Valuation per thousand or p`Zsrtion thereof 9 , --------------------------------------------� Total Building Fee $ ADDITIONAL PERMITS and/or FEES RE IRED + t Filing Fee $ f I Fireplaces @ 15.00 $ Mechanical i BUILDINGPERMIT FEE $ Plumbing � GY Electric/New Electric/Temp Septic Tank BUILDING PERMIT $ /� Well WATER METER CHARGE $ C C} t SEWER IMPACT FEE $ J035--06 Swimming Pool WATER IMPACT FEE $ �-/o , r C, Sign Water Connection �S $ /_S'-SUS 8f� Sewer Connection Water Meter Elevation Certificate GRAND TOTAL DUE ------------------------------------------------�-�'! �- CALC[JLATIONS and/or NOTES •`�`� 'ROPBRTY DESCRIPTION �' , PITY OF rgtla�tc'c f�cac! - 7EOTa4 .ot i► 81oak * ° 7160CEANBOULEVARD - -(--- --------Section N ""--- P.O.BOX 25 f i 1 ATLAfMC BEACH.FLORIDA 92223 iubdivialon:_ � TELEPHONE j"249.2j% itreet Name p 1 DESCRIPTION OF WORK )r Addreaes_-- ------- If in a FLOOD HAZARD 'lood Zone i -------area Complete page 3. Brief Descriptions_L! 'c - _ - Class of Works (Now/Remodel/Addition)_-__�t __ TONING INFORMATION Type of �,.� • Construction s -P/:`'i�__---__--_- :oning cProposed _ t listricts_!...... Z. Uses_____?�_?� �� Estimated Value ! ----- • __-----'_-�_ �- ----------- :xceptions or ;� Materialss_v _' arlances Granted s---'-=-=-= --------------- ----------------- ! Solid or ------------------------------------------ Filled Oround s_9— ------Roof 3 �.;-- owmER IHFORMATIOH • Method of Meetings----------------- Property Owners_`Lr4j��'. �..S,.1 = -------- Phone Y� (00,�2 __ Mailing //�� //__ ,� Address___LlliG_--LSY .✓..V .L.��_ .: �.1-- ------- --------------- --�--�- 3 2. 2. 3 3 Zips---------------- r CONTRACTOR INFORMATION l Contractor s-L a.)z . r -- :��si7 � Phones_ Mailing �', '7 _-- •r•.•--10r�tiAddress s --------------- L -------------L ----- 1 ---- i- � L - ---------------- ------ Zips -------- Expiration License Numbers-jc.�� -------------------- Dates--- E� I NCREOY CERTIFY THAT I NYE READ AND C%ANINED THIS APPLICATION AND KNOW THE SAME TO St TRUE AND CORRECT. ALL PROPIO ONS OF TNR LAMS AND ORDINANCCS OOVERNINO THIS TYPE OF WORK vILL RE COMPLICD WIT". WHETHER OPOCIFIED HUNKIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PR95UME TO r GIVE AUTHORITY TO VIOLA E ON CANCCL THE PROViSIOMS OF ANY FEDERAL. STATE OR LOCAL RULES. ��. rt• RCOULATIONS. OROINANCp. LAW! IN ANY MANNER. INCLUDING THE OOVERNIMO OF CONSTRUCTION OR TNC PCRFORHANCE OF CONSTRUCT! OP TME PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS A. J��F�.�'..r; CONTINOCHT UPON 7NE AROYi NPORHATION SEIKO THUS AND CORRECT AND THAT THE PLANS AND SUPPOR7I06 DATA HAVE SEEN OR RNALL• OE PIN)MED As REOUINED. Owner Signatures �t _�-_--- --Date_�•�z--_z_.-- Out* 11 Cnntrtesr ailplscsten*er.. ._ - - -- - - -_t-�-- r'o CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND 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. Z BATHROOM GROUP CONSISTWING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6), /2 WATER CLOSET WATER CLOSET, TANK OPERATED (4)&/ VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) C� SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) I COMBINATION SINK AND TRAY (3) l WASHING MACHINE (3) 3 POT, SCULLERY SINK (4) DISHWASHER (2) Z WASH SINK EACH SET OF FAUCETS (2) U KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) '. G� BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ' ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) IJACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS @ $20.00 EACH $ JOB INFORMATION (� � C CITY OF PROPERTY DESCRIPTION 7160CEAN Br)ULEVARIs .ot r_ 81nok r_-----_Section r-------- P.O.BOX 26 1 ATLAN77C BEACH.FLQRiDA 32233 Subdivisions— � �` 1.� 4 441 Ut tv V TELEPHONE 10041249.2J95 93 . v street Name 6 .? AVE DESCRIPTION OF WORK sr Address%________ % -It in arFLOOD HAZA" 'lood Zone%________-,,,,__area complete pago 3. Brief f Descriptions_ `, , of S . Class of Works (Now/Remodel/Addition) ___- I :ONING INFORMATION Type of Constructions________________ :oning Proposed Estimated Vilue gY_ --- :xceptions or Materials-------------------------- ariances Granted%__- -_rrr- Solid or ....----------------------------------------- Filled Grounds-------------Roots-___�_:__-_ OWNER INFORMATION Method of Meetings__r rwrrwwrw www-w..r� Property Owners__ �` '' �� `' ,• �.. ` t Phones__ -rrrrrrrrrrrwrrrrrrwrwrrrwrrrwrrrr rrw_wwrr..--w Mailing b--•7 L, l b ' 4;vv-'+ -------------------' Address ' -------------------------------------------------- Zips---------------- v r CONTRACTOR INFORMATION All, _a s r -------------r----------------- Phone:- ---=-- Mailing Address*---- ---_?x-w✓-= --.t. w-r�-_r w.w w w rw w.r.r r_w Zips --------1w_r------------^ ----- Expiration License Numbers--- Date:-------------;. I MEREST CERTIFY THAT I NATE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME'TO RE TRUE AND CORRECT. ALL PROVISIONS OF M LAWN AND ORDINANCES GOVERNINO THIS TYPE Or WORK WILL tE COMPLIED WITH, WKETNEN SPECIFIED HEREIN OR NOT. THE GRANTING OFA PERMIT DOES NOT !RESUME TO OIVE AUTNORITT TO VIOLATE OR CANCEL THE ►ROVIHIOMs OF ANY FEDERAL. STATE OR LOCAL RULES. 7 REOULATIQN�,. 011DiNANCRH� OR LAWIt IN ANY MANNER. INCLUDING THE OOVERMIND OF CONSTRUCTION OR TUC /ERFORNAMCE OP CONSTRUCTION DF TNM PROJECT. I UNDtRSTAND THAT THE ISSUANCE Or THIS PERMIT IS CONTINGENT UPON TNS ASOVE INFORMATION SEINO TRUE AND CONVECT AND THAT TMC PLANS AND SU►►ORTIRO DATA NAPE BEEN OR SMALL SE PROVIDED A! REOUIREO. ,''� Owner Signature __ Date------------ r"` ;�•(.1 4! Contract or 6,4LVnr!:teare-.. a FLOODPLAIN DEVELOPMENT INFORMATION Type of Developments... �r.�� r,� �j rrr�....r�. r�r�Nrrrr---r-r�--r---- 4 Flood Zone s__ __rrrrrrrrr..rrrrr 1• . Required Lowest Floor Blwatioa t /� 00 If building is located within a flood hazard zone, a surveyi must be made AFTER TUB BLAB NAB LLM FWRED, certifying that the LOWEST FLOOR ELBVATZOU is equel to or above the beam flood elevation established for that zone. No final inspection will be made and no oertsSieate of occupancy will be issued until the nu rvey is on fiiv with the Building Department. • COUNEUTS t Applicant Aeknowledg6" att I understand that the issuance of this permit is c mtinbent upon the . above information being correct and that the plena and suppoartdng data have been or shall = be provided as required. Z agree to comply with all applicable i provisions of Ordi3111110e LLoo 25-7-11 and all other love or iw ordinances affecting the proposed development. 77 rrr.Applioant'■ Bignature N �N f Department Use Required Lowest Floor Blevation ---—_..______.._r As Built Lowest Floor Elevation rrr.._rrr_rrrr__rr-. Survey Filed with Building Department ----------- r .� r..�..�r....rrrrr� rrrrrrwrri �. rw�.r- -- Building Department Representative i r ° page 3 SCHULTZ FAX 9043542445 PACE 02 I Hereby certify that theplansand Review of the plans and specifications specifications covered by this calcu- covered by this calculation indicates lation are in comp l ' nce with the compliance with the Florida Energy Florida Energy ode. Code. Before construction is completed this building will be inspected for PREP D BY: compliance in accordance with Section DATE: 553. 906 F. S. I hereby certify that this building is in compliance with the Florida Energy Code. � � r OWNER/AGENT: { BUILDING OFFICIAL: DATE: `✓ -t, �j .'' . DATE; SCHULTZ FAX 9043542445 PAGE 01 38, 149 . 34 43, 854 . 37 86. 99 GLASS TO FLOOR AREA RATIO = . 2432 SCHULTZ FAX 9043542445 PAGE 02 SN: 1234 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 Compliance Program -- Residential Point System Method Version 1. 0 January, 1992 Department Of Community Affairs Printout generated by EPI92 and submitted in lieu of Form 900-A-91 THIS COMPLIANCE FORM IS VALID IF SUBMITTED AFTER JANUARY 11 1992 ------------------------------------------------------------------------------- PROJECT NAME: 0WEvi (��S tg��r '� � PERMITTING OFFICE: AND ADDRESS: f-1 Y -7 ( `' ---------------------------------- Atlantic Beach, FL CLIMATE ZONE: 1 2 3 BUILDER: Rt��tf �_C) X1,1- -- PERMIT NO. : ---------- -- ---------- -- --------------- OWNER: --,/ l¢k ,�r-�------------ JURISDICTION NO. . ------..._------ -------------------------------------------------------------------------------- COMPONENT: DIMENSION: VALUE: RATING: VALUE: OFFICIAL CHECKLIST STRUCTURE TYPE: Single-Family PREDOMINANT EVE OVERHANG Length: 1 .50 PORCH OVERHANG Length: 4 . 00 WINDOWS Double Clear Tota. Area 586. 20 All Vertical Glass Total Area 523 .20 All Skylight Glass Total Area 63 . 00 WALLS Ext Wood Frame Area: 2157 . 80 R-Val : 19 . 00 DOORS Ext Wood Area: 10 . 10 _ Adj Wood Area: 16 . 10 CEILINGS PITCHED Under Attic Area: 2057 . 00 R-Val: 30 .00 FLOORS Red Wood Adjacent Area: 759 . 00 R-Val : 19 . 00 Rod Wood-Pier/Post Area: 312.00 R-Val : 19 . 00 DUCTS Unconditioned Space Length ALL R-Val: 6. 00 COOLING Central A/C SEER: 10 .50 Multizone: Credit Ceiling Fan: Credit HEATING Heat Pump HSPF: 6.90 Multizone: Credit HOT WATER Electric EF: .92 Heat Rec. w/Neat Pump Bedrooms : 4 .00 INFILTRATION Conditioned Floor Area: 2410 . 70 Pract: 2 AS BUILT POINTS / BASE POINTS * 100 = EPI • SCHULTZ FAX 9043542445 PAGE 03 SUMMER CALCULATIONS tw,t***w****w,rw******www,tw*,rw***ww*www*w*,r*wwww*w*w**wwwwww*******www*w****t►*ww* BASE ___ __= AS-BUILT GLASS--------- ORIEN AREA x BSPM = POINTS TYPE SC ORIEN AREA x SPM x SOF = POINTS --------------------------------------------------------------------------------- N 36. 00 38. 3 1378 . 8 DBL CLR N 36. 0 38 . 3 . 86 1181 .2 E 381.90 79 . 7 30437 . 4 DBL CLR E 281 . 4 79 . 7 . 73 16372 .1 DBL CLR E 100 . 5 79 . 7 .98 7809.6 S 45 .00 66 . 2 2979 . 0 DBL CLR S 45 . 0 66 . 2 . 94 2800 .3 W 60. 30 79 .7 4805 . 9 DBL CLR W 60 . 3 79 . 7 . 73 3508. 3 HZ 63. 00 66 . 2 4170 . 6 DHL CLR HZ 63 . 0 267 . 0 1 . 00 16821 .0 -------------------------------------------------------------------------------- .15 x COND. FLOOR / TOTAL GLASS = ADJ. x GLASS = ADJ GLASS GLASS AREA AREA FACTOR POINTS POINTS POINTS --------------------------------------------------------- ------ . 15 2,410 .70 586 . 20 . 617 43, 771 . 73 27,001 . 16 48, 492 .48 NON GLASS------------ AREA x BSPM - POINTS TYPE R-VALUE AREA x SPM - POINTS ------------------------------------------------------------------------------- WALLS---------------- Ext 2157 . 8 .9 1942 . 0 Ext Wood Frame 19 .0 2157 . 8 . 90 1942 .0 DOORS---------------- - Ext 10. 1 6 . 1 61 . 6 Ext Woad 10 . 1 6 . 10 61 . 6 Adj 18. 1 2 .4 43 . 4 Adj Wood 18 . 1 2 .40 43.4 CEILINGS------------- UA 1701. 7 . 6 1021 . 0 Under Attic 30 .0 2057 . 0 . 60 1234.2 FLOORS--------------- Rod 1071. 0 -4 . 0 -4273 . 3 Rod Wood Adjacent 19 . 0 759 . 0 . 40 303.6 Rsd Wood-Pier/Post 19 .0 312 . 0 -1 . 10 -343.2 INFILTRATION--------- 2410. 7 8 . 0 19285 . 6 Practice #2 2410 . 7 8 .00 19285. 6 TOTAL SUMMER POINTS 45, 081 . 55 71,019.76 TOTAL x SYSTEM = COOLING TOTAL x CAP x DUCT x SYSTEM x CREDIT = COOLING SUM PTS MULT POINTS COMPON RATIO MULT MULT MULT POINTS --------------------------------------------------------- 45, 081 .55 . 37 16, 680. 18 I 71, 019 . 76 1 . 00 1 . 100 .320 . 774 19 , 349 . 19 ______- _--_=--^___=_=a=s=s=____ SCHLILTZ FAX 9043542445 PAGE 04 WINTER CALCULATIONS ******** l�* ttk,tttt,tFrttIrwtw�rk k,ktY�k�k1�t*h*1k 1t�Ftk*iFikit*ww�ww*�rk*wk* k*ylrkwle*qtr*ar9rw��thieie*�e�t*** BASE --= I =_- AS-BUILT GLASS---------------- ORIEN AREA x BWPM - POINTS TYPE SC ORIEN AREA x WPM x WOF = POINTS ------------------------------------------------------------------------------- N 36 .00 7 . 3 262 . 8 DBL CLR N 36 .0 7 . 3 1 .21 318.0 E 381.90 -9 . 2 -3513 .5 DBL CLR E 281 .4 -9 . 2 .28 -724.9 DBL CLR E 100.5 -9 . 2 . 93 -855.3 S 45 . 00 -28 . 4 -1278 . 0 DBL CLR S 45 . 0 -28 . 4 .97 -1243.9 W 60. 30 -9 . 2 -554 . 8 DBL CLR W 60 . 3 -9 .2 .28 -155.3 HZ 63 .00 -28 . 4 -1789 . 2 DBL CLR HZ 63 . 0 -57 . 7 1 . 00 -3635 . 1 -------------------------------------------------------------------------------- .15 x COND. FLOOR / TOTAL GLASS = ADJ. x GLASS = ADJ GLASSJ GLASS AREA AREA FACTOR POINTS POINTS i POINTS ------------------------------------------------------------------------------- .15 21410. 70 586 . 20 . 617 -61872 . 64 -4, 239 . 48 -61296.51 NON GLASS------------ AREA x BWPM - POINTS TYPE R-VALUE AREA x WPM = POINTS ------------------------------------------------------------------------------- WA.LLS---------------- Ext 2157 . 8 2 .2 4747 .2 Ext Wood Frame 19 . 0 2157 . 8 2 . 20 4747 .2 DOORS---------------- Ext 10. 1 12 . 3 124 .2 Ext Wood 10 . 1 12 .30 124 .2 Adj 18 . 1 11. 5 208 .2 Adj Wood 18 . 1 11 .50 208.2 CEILINGS------------- UA 1701 . 7 1 .2 2042 .0 Under Attic 30 . 0 2057 . 0 1 .20 2468 .4 FLOORS--------------- Rod 1071. 0 1 .0 1028 . 2 Read Wood Adjacent 19 . 0 759 . 0 2 .20 1669 . 8 Red wood-Pier/Post 19 . 0 312 . 0 1 .90 592 .8 INFILTRATION--------- 2410 .7 7 . 4 17839 .2 Practice #2 2410 . 7 7 .40 17839 .2 TOTAL WINTER POINTS 21, 749 .44 21, 353 .21 TOTAL x SYSTEM = HEATING I TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING WIN PTS MULT POINTS COMPON RATIO MULT MULT MULT POINTS --------------------------------------------------------------- --------------- 21,749 .44 . 55 11, 962 . 19 1 21, 353 . 21 1 . 00 1 . 100 .490 . 900 10, 358.44 66'98 Ida i►£' 6tT '8£ L ' Ttt8 V' 85£OT Z' 6V£61 L£ ' V58 'Et O ' ZTZgl Z ' Z96TT 2.09991 -------------------------------------------------------------------------------- SZNIOd = SZNIOd + SZNIOd + SSNIOd ( SZNIOd - SILNIOd + SILNIQd + SSNIOd 'IFIZOZ 'UHIVM SOH JNILLv2H ONI'I000 J 'IVZOI 2 Z,1'VM ZOH 5NIlvaN oNig00:) asaammmmffiammmmmmmma:aaammmm:mmmma:aa:mma=amma:mm�spaa� rse=a=ae=eeatasaar�s«sat�W.:'==�astmxaaxaaaasaammasx Z7If]S-sv =_- __= 3sve �2i�dL+IYdC15 TL' TWq BS ' L '8£9£ 000 ' T Z6 ' 99 ( 00 ' ZTZ 'ST 0 '£08£ v ----------------------�-�-----------------_--�---�--------------------------------- Zrinw olsvx sman rlVLLOZ = 11GEND X ,LrInr� X MMVL 33 Zwnzon xrt�rZ i rlVIOZ = s►InH X A0 KM UNILLVaH 2d3ZKM 90 Siad xuj zi-inHSS . N o n ti 4 C� �'�6 armors 3S, "dG£s 59-593) .I JCL VRfMRE IN DUPLNIATO To fU40M Mang i� The undersigned hereby informs all concerned that improvements will be made to ce area! property, and in accords ce with section 713.13 of the Florida Statutes, the following 1n�'o�rrridtio't is stated in this NOTICE OF COMMENCEMENTS� (f r1 Description of property........ .�.f«2.-r......... `.�»»...«...L,w.f...l..GG( ,»1 T..... : ........................ ....«««..............�«»«.».«._»«.......««.......»«..«_»...........».........««»«....» »...«».»»«».««».....».»..».....». ~� General description of Improvements ...................................................................»......».»..«...»..............«.............................»..... _....««».»»««.»... »» ««» »«.............»..... Owner........�1...�.►� .i I:1..L . ...1, ». k'.(.............»...... ...:..._.»..._»............»« ._: :... ........».:«...».: r ....»............. Address. ......Ll. ............( 1.'.. :......11�..c:��.1.L.1G�» r;:. 1: .1.....L, `' Owners interest in site of thf improvement...... .. ................................ » «» «.»». .«..»..».«.».....»...................... I Fee Simple Title holder(if ell or than owner) Name.-......................................................................................................................................................................».......».......»..»»»»»»....__........_.. Address................................».»... ..............................................................................»..........»..».........»».....»»....»............» ..»»._................_. Contractor.... 1� ia.l» , i7G( 7v1 7AiL.......(E?l t`{ TC?�a.. .»...»»»......«...».«» ' Address....... . ..».. )�:.t.�»�.�ra..Y11!� r�»»A.2)............� "ki"ltiW)k7 Surety(if any)........................................................................................................».......................«.......»»» Address...................................................................................................«»».» » » »»»....._....»..AmouN of bond$.....»«....................... Name of person within the ate of Florida desipnaied by owner opal whom notices or other documents may be served: ` ( Cl0p l+ WIAS, r? p Name....... ?dr11.>d.l.�.»C..1. .... .tlrsCai 1Ll..e..........». » «../..1,�13T»?.. tu2°...........t uC Address.........Z. _7...... .:LLt.al,.S`....pu ...............«.................«........... In addition to himself,own r 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). t ' Name.................................................. ........................................»......»...».» Address......................................................................................................................».................................« »»»» «..»..».......«......».... TIMID ePACK FOR MCCOR KR'e Yaa ONLY CF_ J^� 7 Sworn 10 and subscribed before me t4r......... oE.....»»...«...............»............. ....._..._ t : Notary Public FLORIDA SHORT-FORM INDIVIDUAL ACKNOWLEDGMENT(F.S.695.25) No.5181 STATE OF FLORI The fore oing instrument was acknowledged before me this COUNTY OF STATE OF Fi,ORIDA DEPARTMENTOF NAI'LIRAL RESOURCV.S �./ Marjory Stoneman Douglas Building . 3900 Commonwealth Boulevard *Tallahassee, Florida 32399 'Ibm Gardner, Executive Director NOTICE / 'County. '-�'-�`------ /' X/z -1 'c . ;- J, , ,- Date Control Line f Reestablished : Notice Number: The Coastal Construction Control Line for this county has been reestablished. The Florida Department of Natural Resources i now exercising permitting jurisdiction seaward of the new line. Construction, excavation, alteration of topography or vegetation, and certain other activities on the property upon which this notice is posted, are now under Department of Natural Resources jurisdiction. You are cautioned that unpermitted construction on this property after this date may be in violation of Chapter 161 , Florida Statutes . This property was inspected on the date shown below. A formal determination of whether or not work authorized on this property by local building permit , is exempt from Department of Natural Resources permit requirements , will be forthcoming by mail to the person and at the address shown on the local building permit . If you have any questions regarding this notice , contact the Area. Engineer of the Department of Natural Resources , Division of Beaches and Shores , Bureau of Coastal :engineering and Regulation by telephone at (904)487-4475 , or by letter at the address shown above. Please refer to the notice number shown above when contacting the Department . Date Site Inspected : Department of Natural Resources d Representative ' COPIES - White (office) Yellow (posted on site) Pink (inspector) DNR Form 73-130 (5/89) 5708 DEPARTMENT OF BUILOING CITY OF ATLANTIC BEACH - PERMITINFORMATION - -------- LOCATION INFORN,AT'IOk1 Permit Number« 5708 Address: 1789 BEACH AVENUE Permit Type a PLUMBING ATLANTIC BEACH, 'FLORIDA 32233 ;.b'lass of Work: NEW - LEGAL DESCRIPTION - Conetr.' Type: WOOD FRAME Lot: Block: Sections Proposed Use: SINGLE FAMILY Township: RNG fl Dwellirigm: 1 Code: ' 'o Subdivision a NORTH ATLANTIC BEACH Estimated Value: ` $0.00 Improv., Cost: $0.00 Total Fees a $53. 50 Amount + « $53. 50 / 4/92 Work UMBTNG IN NEW SINGLE FAMILY RESIDENCE t1"1ATICIN ...._ T .. 77 .�..__ APPLICATION FEE'S _....__ Nam PERMIT *53. 50 s Add AVENUE WATER IMPACT FEE $0.00' y� T 'CH, FLOR-IDA 22 3 : SF d N�CII II 3CMPAC FEB ' '�' tet?.©t .F""h ,jr` c pr`" t v a s`""^d a r�pR Ap �m» ,e4�:+r: '��. b R. .-. -.... I�FORMATIC?N _. ___ RADON GAS -i 5% $0. 00 Name: , ..W O ' WATER TAI' *I7. 00 'Addreee a' 13;` NEY STRE .. ' ,°A. ... , . SEWER -TAP _ 00.00 .7A.K IL.LE,sry `FL. 32211 HYDRAULIC SHARE *0. 00 Licen : CFCO 3 Typo: O' RE-INSPECT FEE. $0. 00 SEG. H IMPACT FEE ux 0 4,00 � r BO. y NOTES- NOTICE--ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 1 BUILDING MATERIAL,RUBBISH AND:DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE `BLEARED UP AND HAULER AWAY;B, Y EITHER CONTRACTOR OR OWNER, ` ALLURE TO COiUIPLi WITH THE MECHANICS' LIEN LpW,CAN RESULT IN THE PROPERTY OWNER PALING TWICE FOR BUILDING IMP r _Q ' ISSUED ACCORDING TO APPROVED.PLANS WHICH ARE PART OF THIS PERMIT AND SUBJE VOCATIO 4oLATIOW OF APP ICABLE PRt}V S1�JNS OF LAW. r ATLANTIC BEACH,BUILD04 2'DEPARTMENT ,v 1 '' {ik1J f9�-• J i �, 1 6i•, 1• ; � 44 i 1 '' '•� 'it' ,v J 'i � rJ�4fflkkrr"J• t. i,t CITY OF ATLANTIC 'BEACIi ,' j• ;: APPLICATION. FOR PLUMBING PERMIT • � Ili t � , :. =J,yf ,SSI .;tayJOB LOCATION / 7 1154 +f' CJS` j � •"� �'! '! UMBING�l!'•PL CONTRACTOR Com' ' W •,f =,)*, LICENSE NUMBERS .'.i t'i�t�j,r•OWNER � // f�i La //!� %��' li��t/�/�.� .. �;�t�=��'p�• N' BUILDING CONTRACTOR ;I�/' '/ L �. ,',�.'+ i't A�r {f} tl'Il' t ! i !!T; TYPE OF BUILDING; . s Q,,; SINKS SHOWERS •'T , , , 1 � :Ji i'' w LAVATORY WA'rER 11EAx'ERS.a' ,I l '•. so BATH BATH TUBS DISIIWASllERS '; «.•"Yiri ! Y,J to �x URINALS 4 llISPOSALS CLOSETSl rt . I;.i , ,�l�•;,l,• • `WASHING r1ACliINE1�1,t OFLOOR DRAINS OTHER �!' ,',1,1,1 ,; , J 1 ,.� � ' „�• . cJ� TOTAL FIXTUlt. COUNT ,l;t '`s ► ;,1f I ! 1,t.�� •� L.IO !1 �'"��,{ r rIt 4i't i li i f,J E t, 11 r,l*l lt/1''•h•! ,,. •1, ' 1•.•• �'' tib i =' jj/.. �, !INSTALLATION OF PLUMBING AND. I' IXrURES MUST', BE. IN ACCORDANCE WITH ►i,/�l' l \ EDITION O uiT1iE, MOST RECENT F THE SOU2'ILCRN •STANDARD PCODE. •, ttt PLUMBING •,� ,'t • r in r Vs •1. 1 ',1J4�ttr.,. r �1, •1 C�i�1ti=�' rt.' 5693 DEPARTMENT OF BUILDING CIN OF ATLANTIC BEACH -- PERMIT INFORMATION - - LOCATION INFORMATION Pormi t� Number z X893 Addaressls a 1789 BRACH AVENUE Permit Typoz MECHANICAL ATLANTIC BRACH, FLORIDA:32233 ' Clears of Work.- NEW ------- LEGAL DESCRIPTION -..----_-- - Cbnetr Types WOOD, FRAME Lots Blocks 5e+cticzn Proposed Use: SINGLE FAMILY Townships RNGz O Dwvllingms I ' Codes 0 Subdivision: NORTH ATLANTIC BEACH Estimated Values $0.00 Improv. Costs $0.00 Total Fess $69. 00 Amour.: ' , $69.00 i Do 7123!92 Wont TRAL HEAT AND AIR IN NEW RESIDENCE RMATION � �. .. a: w , ---- APPLICATION FEES PERMIT 8635.00 Add" AVENUE MATER IMPACT FEE *0.00 T CH, FL S ` IMPA FEE SrO.Ot # pary 41r`��2� arp 0 ��W �d. S. c j ter RA 3 G -.__-_-- NFORN.AT ON RADON "GAS 5% $0.00 Netaes , CET NEAT IR WATER TAP $0.003 Address a1� AN " L.YIw. " .. . : . _ SEWER :. `�iF' 0. 3t3' KEPT BEACH, FLORIDA 32233 HYDRAULIC SHARE 00. 60 Lice s LI AR Types 3 ISE-INSPECT .,FEE SEC. H IMPACT FEE $&,00` "t"o NOTES:' NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST 13E INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOTE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UPAND HAULED AWAYBY EITHER CONTRACTOR OR OWNER. "FAILURE TOS COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUiI,DING IMTOTAL ; E: 15 ARM ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ REVOCATION. R ' V14LATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT BUILDING AND ZONING INSPECTION DIVISION' CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA ,2290 5 6 �.,3 APPLICATION FOR MECHANICAL- PERMIT _ CALL-INNUMBER IMPORTANT — Applicant to complete all items in sections I, 11, III, and IV. LOCATION street Address: OF • Intersecting Streets: Between And BUILDING Subdivision II. IDENTIFICATION -- To be completed by all applicants In consideration of permitgiven (or doing the work as described in the abcve statement ws hereby agree to porfo,m said wo-i a:::-aa-:e with the attacked plans and specificsCons which ere a pert hereof and in accordance with the City of Jaclsonvive ord%montes a-a oa-ae•as of good practice listed therein. Nassse of MechenicelQ Contractors Confroctor (hint) Mester xo Nem*of hoperty Owner Siiltlsature of Owner Signature of or Authorized Agent Architect or Engineer 111. OW11 RALTION A. Ttrpe•»f Aeatissg B, � �.h—� IS OTHER CONSTRUCTION BEING /0 NE ON J"U such C THIS BUILDING OR SITE f vep-13 Gves--❑ LF D Nahoral Q Central U dity OF YES, GIVE NUMBER ORCONUCTION 13 04 a PERMIT _ i�j Q ❑ Ofher — SpeKNy IV. hNCMAI'I" EQUI►~TO IE INSTALLED �I`URE OF WORK Iprv.:de ciomplete so of coasPess k ea bock of this Ione) Residential or (.I Commercial Heat D Space Q Res:eaed Centick O now �New Building 1 Air Coaddiening: ❑ RoomC 100011 / C� Existing Building Sylle : Me >�c1.... �0. � Replacement of existing system (D _f)7," t ma,h"M capacity �f. New Installation(No System previously installed) Rahiyeeafioa ❑ Extension or add-on to existing system D Caafip 1v.er: Capacity g,p,a, ❑ Other— Specify D Fire sprinUms: Number of h..a. O E(evetw ❑ Ms"ft ❑ bealo/a...._..�_lanatbe►) THIS 9MCE FOR OFFICE USE ONLY C3 Gent"pesap` is timber) IMe.l eel) 5033 DEPARTMENT OF BUtLDI ud CITY OF ATLANTIC BEACH PERMIT INFORMATIONS ------- - LOCATION INFORMATION - Pormit Nuabears Wi3 Addreves las? BF. CH 'AVENUE Permit Types BUILDING ATLANTIC BEACH, FLORIDA 32233 Clean sofWanks NEW - LEGAL DESCRIPTION -- Cc p-str., Types WOOD FRAME Lots 35 Blacks Section Pr'opbsed' Use s SINGLE FAMILY Townshipi RNG t a I llings. 1 Conde a a Subdivision s' NORTH ATLANTIC BEACH' E t3 �t d Value: *145063000 , Tot a.1 `. : P s *3515.7 A ►ur $3516. 72 44912 XCE Ft P_LAUS NSF 11 ------- `� MATI4IH -�y-- Y AFFLICATION FE S "^ E WEN �- � PERMIT $912. 00 Adct Ss TREET W'A ` jPAC FE� SL€t 00 4 RADON CASH. R.S. $15.88 [Ff�}R2LAT; L#i - RADON, GAS 5S« $0. 83' IG g WATER TAP > .„.��1, 25` CSXt-CC' SZWER TAP 06.76 76 ATL A BEACH. FL 32233 HYDRAULIC SNARE $0,00 O Types 0 RE-INSPECT FEES CSU SEC. H IMPACT FE NOTES: NOTME--ALL CONCRSTE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POUR1140 ” f 3 PERMIT VOID S1 MONTHS AFTER DATE OF ISSUE C, K TERtAL ! U$EISti AND bE 815 FROM THIS WORK MUST NOT BE P+ED IN PUBLIC SPACE,AND MU T BE ` UoAND f AUjX0AWAV6y' `ETHER CONTRACTOR OR OWNER � Y irl ► .TIi THE MEGHAIIC `' W CAN RESULT IN. PAYING TWICE FOR WILDINIIVIRR�YeMENTS " . DROVED PLAN$ WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION, FOR E, ROu> JO `OF LAW. s � Rl M'ENT i 481 OP/ #VII iy C}FT A BE ' A+C#� d . _...:_ PERMIT` INFORMATION -� .._ �----- LOCATION INFORMATION Permit Numbers 4821 Addreas�s 1781? BEACH AVENUE - Permit Typr a BUI,LiSING ATLANTIC, BEACH, FLORIDA 32233 ' C :as�i8 of Works XE`W ---------- LEGAL DESCRIPTION Co ns�tr. Types WOOD FRAME Lot:__ Blocks Section; Proposed Use SINGLE FAMILY Townships RNGs 0 1w�llis s 1 Cods"s 0 Subdiv'is ions Estimated Values *0.00 *Prov. cost. T's l r *25.00 Aaou $25.00 Ia . We ark- T:OL NDATION ONLY PER ;PLANS FOR SINGLE FAINTLY RESIDENCE APPLICATION a . MEM PR4I7' FEES ----- WEN 2a. l id s'..m T'R'EETNUE WAIT R IMPACT FSE E0. 0CI ` CH, PLO RZ P F' p 2PA ., �MIA � ; 0 w .. � , �* y`� RADON EGAS,:, ►A(S� (t�� " k �F`ORNAT�0 ----- -- RADON V 1�9 W h ! ViJ- Na**s* TCB �` �,. AER TAP lsO. Ot� _. ,aF p1e �y �y t y. 1y _C _0 r" t� ,�'. . .. ..... : `ii 1` ATLA BEACH, L'VFL 32233 HYDRAULIC SHARjR $it?. t�0 C0 Types 0 � RE-INSPECT FEE � ��a9 . 00 S'EC. H IMPACT FEE © £ 0 r �ityTES: 41 NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT'VOIDSIX MONTHS AFTER DATE OF ISSUE 'BUiLDING MATERIAL,RUBBISH ANIS DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FA�.LURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN `THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." . p Lot f $UEB;f,R�CCORD►NC TQ APPROVE[3 PLANS WHICH ARE PART OF THIS PERMIT AND SU9Jq � RBVOCATi ?R V► A7`ION P APPLICASLE PROVISIONS OF LAW. � �y ATLANTIC BEACH BUILDING DEPARTMENT \ p DEPq,Pl �� ' C wton Chiles Governor FLORIDA DEPARTMENT OF NAT SecretarySmith o' ( �W URAL RESOURCES of State 2 Bob Butterworth `9j� SpJ Marjory Stoneman Douglas Building Attorney General RAL RE 3900 Commonwealth Boulevard vttp.ta B.DetectorTallahassee, Florida 323% State rald Lewis B:ecan.e Director te Comptroller September 28 1992 Tom Gallagher p � State Treasurer CERTIFIED MAIL Bob Crawford Commissioner of Agriculture Richard Bell, Building Contractor Betty Castor 1952 Beachside Court Commissioner of Education Atlantic Beach, Florida 32233 p .? U Dear Mr. Bell: �0. I 11992 NOTICE TO PROCEED, PERMIT NUMBER: DU-140 PERMITTEE NAME: George T. and Virginia B. Owen Building and Zoning Your request for a permit pursuant to Section 161.053, Florida Statutes, for construction or other activities seaward of the coastal construction control line, has been administratively approved by the designee of the Chief of the Bureau of Coastal Engineering and Regulation. However construction may not commence until the permittee complies with preconstruction requirements described in Special Permit Condition 1. Please read the permit and permit conditions closely before starting construction. Particularly note that General Permit Condition 3(g) pertains to the enclosed final certification of completeness form which must be provided to the Department. Failure to comply with the permit, including the various reporting requirements contained in the permit conditions, will result in issuance of a violation notice or order to cease and desist all activities authorized by the permit. The Department may order illegal construction removed and legal remedies pursuant to Chapter 161 and 775, Florida Statutes, including but not limited to fines of up to $10,000 for each day of violation. Any notice of violation, including notice of delinquent periodic reports,will be mailed directly to the property owner. The permit will expire one year after the date of issuance of the final order. Upon receipt of a written request signed by the permittee or authorized agent, the Department will consider extending the permit for up to but no more than one additional year. Pursuant to Section 1613-33.017, Florida Administrative Code, the Department may grant no extension of time past a total of three years after the date of the approval of the permit. In order to be considered, the time extension request must meet all requirements of Section 1613-33.017, Florida Administrative Code. You must apply for a new permit for completion of any work not accomplished under the original permit. Although you may apply for a new permit, there is no assurance that such new permit for the same construction or activities would be approved. This permit represents an agency determination. Any person substantially affected by this determination has the right to request an administrative hearing to be conducted in accordance with the provisions of Section 120.57, Florida Statutes. Should you desire an administrative hearing, your request must comply with the provisions of Rule 28-5.201, Florida Administrative Code, for a formal administrative hearing, or Rule 28-5.501, Florida Administrative Code, if requesting an informal hearing. Requests for such hearings must Administration Beaches and Shores Law Enforcement Marine Resources Recreation and Parks Resource Management State Lands f Richard Bell September 28, 1992 Page 2 be sent to the Department of Natural Resources, Bureau of Coastal Engineering and Regulation, Mail Station 310, 3900 Commonwealth Boulevard, Tallahassee, Florida, 32399- 3000, and must be received by the Department within twenty-one (21) days after your receipt of this notice. Failure to respond within this allotted time frame shall be deemed a waiver of all rights to an administrative hearing. In the event that a legally-sufficient petition for hearing is not timely received, you have the right to seek judicial review of this permit, pursuant to Section 120.68, Florida Statutes (1987) and Rules 9.030(b)(1)(c) and 9.110, Florida Rules of Appellate Procedure. To initiate an appeal, a Notice of Appeal must be filed with the Department of Natural Resources, Office of General Counsel, and with the appropriate District Court of Appeal within thirty (30) days of the date the permit was rendered. The Notice filed with the District Court must be accompanied by the filing fee specified in Subsection 35.22(3), Florida Statutes (1987). You are advised that notice of this agency's final action on this permit has been given to other interested parties. They have twenty-one days from receipt of the notice to exercise any rights they may have under Chapter 120, Florida Statutes. Actions undertaken by you under this permit, during this period may be subject to modification, removal or restoration. The authorized work is strictly limited to that described on the enclosed final order. Please direct any questions pertaining to this permit to me by letter at the above address, or by telephone at 904/487-4475. Sincerely, DIVISION OF BEACHES AND SHORES Robert M. Brantly, Jr., Egineer Bureau of Coastal Engineering and Regulation RMB/ts Enclosures Certified Mail # P 250 154 146 cc: Permit File Permit Information Center Area Inspector Property Owner Building Official FLORIDA DEPARTMENT OF NATURAL RESOURCES Division of Beaches and Shores Bureau of Coastal Enppesrinp and Regulation Marjory Stoatimart�ionwaa�ltthh Blvd. Tallahassee, Florida 32399 ' (904)"8-3180 PERMIT NUMBER: DU-140 PERMITTEE George T. and Virginia B. Owen c/o Richard Bell, Building Contractor 1952 Beachside Court Atlantic Beach, Florida 32233 ADMINISTRATIVELY APPROVED PERMIT FOR CONSTRUCTION OR OTHER AC 1VMES PURSUANT TO SECTION 161.053, FLORIDA STATUTES FINAL ORDER FINDINGS OF FACT: An application for authorization to conduct the activities seaward of the coastal construction control line which are indicated in the project description, was filed by the applicant/permittee named herein on September 16, 1992, and was determined to be complete pursuant to rule on September 16, 1992. CONCLUSIONS OF LAW: After considering the merits of the proposal and any written objections from affected persons, the Department finds that on compliance with the permit conditions, the activities indicated in the project description are of such a nature that they will result in no significant adverse impacts to the beach/dune areas or to adjacent properties; that the work is not expected to adversely impact nesting sea turtles, their hatchlings, or their habitat; that the work is expendable in nature and/or is appropriately designed in accordance with Section 16B-33.007, Florida Administrative Code; and that it is an activity or type of construction which the designee of the Chief of the Bureau of Coastal Engineering and Regulation has authority to approve or deny pursuant to subdelegated authority BS-5(h), Administrative Directive DNR 140, effective August 30, 1991. Based on the foregoing considerations, the designee approves the application; authorizes construction and/or activities at the location indicated below in strict accordance with the project description, the approved plans (if any) which are attached and are by this reference incorporated herein, and the conditions provided in Section 1613-33.015, Florida Administrative Code; and also imposes any additional conditions shown below,pursuant to Paragraph 16B- 33.015(3)(u), Florida Administrative Code. EXPIRATION DATE: September 25, 1993 F LOCATION: Between approximately 370 feet and 420 feet south of the Department of Natural Resources' reference monument R-44, in Duval County. Project address: 1789 Beach Avenue, Atlantic Beach. PROJECT DESCRIPTION: Minor Structures 1. An open, wooden deck of dimensions 12 feet in the shore-normal direction by 25 feet.in the shore- parallel direction is to be attached to the seaward side of the dwelling structure. 2. An open, wooden deck of dimensions 28 feet in the shore-normal direction by 10 feet in the shore- parallel direction and a 6-foot high, wooden privacy fence are to be attached to the south side of Permittee: George T. and Virginia B. Owen Permit Number: DU-140 Page 2 SPECIAL PERMIT CONDITIONS: 1. Prior to commencement of construction activity authorized by this permit, a preconstruction conference shall be held at the site among the contractor, the owner or authorized agent, and a staff representative of the Bureau of Coastal .Engineering and Regulation to establish an understanding among the parties as to the items specified in the special and general conditions of the permit. The proposed locations of the structures shall be staked out for the conference. 2. Construction of the beach/dune walkway structure shall not occur during the marine turtle nesting season (May 1 through October 31). The entire length of the walkover shall be constructed perpendicular to the shoreline. The deck of the walkover structure shall maintain an elevation above the existing dune vegetation canopy and a minimum of 30 inches above grade. The optimum location and elevation of the walkway structure shall be determined by the staff representative of the Bureau of Coastal Engineering and Regulation, prior to commencement of construction. 3. No temporary lighting of the construction area is authorized at any time during the marine turtle nesting season (May 1 through October 31). No additional permanent exterior lighting is authorized. 4. The permittee shall obtain any applicable licenses or permits which may be required by federal, state, county or municipal law. Approved plans are incorporated into this permit by reference. Done and ordered this 2S;" day of S-jpA-,,, (, 1992, in Tallahassee, Florida. STATE OF FLORIDA DEPARTMENT OF NATURAL RESOURCES cl (�--� GENE CHALECKI, P.E. ENGINEERING SUPERVISOR BUREAU OF COASTAL ENGINEERING AND REGULATION Section 16B-33.015, Florida Administrative Code Permit Conditions (1) Upon final agency action, whether by the Governor and Cabinet, the Executive Director, or the Division Director or staff designee, the staff shall prepare and mail to the applicant, loca� governments, and all persons requestingit, the final agency order. (2 If a permit application .is approved, he final agency order shall include or incorporate a permit placard and one set of plans bearing the stamp of approval by the staff and the sign ture of the appropriate staff member, (a) The placard must remain conspicuously displayed on the construction site and the approved plans must be available at the site for inspection by representatives of the Department during ordinary working hours and at any other time that construction work proceeds on the site for the duration of construction, and for up to 90 days after the final certification is received by the Department. (b) Failure to display the placard or to make the approved plans available for inspection during construction may result in the staff suspending or halting work until the placard is displayed, and/or the approved plans are made available for inspection at the construction site, and may result in assessment of civil fines pursuant to Section 161.054, Florida Statutes. (S accepting the permit, the applicant agrees to the following conditions: `9) Tyne permittee shall carry out the work or activity for which the permit was granted in accordance with the plans and specifications which were approved by the Department. Any deviation therefrom shall be grounds for suspension of the work and revocation of the permit. (b) The permittee shall conduct the work or activity authorized under the permit in such a wai as to minimize the adverse impact upon the beach and dune system or adjacent property and structures; (c) The permittee shall use extreme care to prevent any adverse or undesirable effects from authorized work or activity on the property of others. A permit authorizes no invasion of the property rights of others- (d) The permittee shall allow any duly authorized member of the staff or duly empowered law enforcement officer to enter upon the premises associated with the project authorized by the permit for the purpose of ascertaining compliance with the terms of the permit and with rules of the Department; (e) The permittee shall hold and save the State of Florida, the Department, its officers and employees, harmless from any damage, no matter how occasioned and no matter what the amount, to persons or property which might result from the work, activity, or structures authorized under the permit and from any and all claims and judgement resulting from such damage; (f) The permittee shall allow all records, notes, monitoring data and other information relating to construction or any operation under the permit, which are submitted to the Department, to be used by the Department in any case arising under the Florida Statutes or Dep rtment rules except where such use is otherwise specifically prescribed by law; The permittee shall provide the Department with a final certification of actual work ger7ormed no later than 30 days following completion of the construction authorized or required y the permit. This certification shall state that all locations and elevations specified by the permit have been verified, that the construction and any other activities authorized or required y the permit have been performed in compliance with both the plans and project description approvers as a part of the permit, and that construction and other activities have complied with all conditions of the permit. Any deviations from the approved plans, project description, or permit conditions shall be specifically described as a part of the final ce t ification. If any ¢ortion of the authorized work is not performed, this shall be reported in the final certification. If none of the permitted work is performed, the permittee shall inform the Department to that effect in writingno later than 30 days following expiration of the permit. The final certification shall be on the forms entitled "Final Certification" - DNR Form 73-115A (Revised 1-85) or DNR Form 73-1156 (Revised 1-85), or on the form entitled "Final Certification for Emergency Work" - DNR Form 73-116 (Revised 1-85). DNR Form 73-115A shall be used only to certify work performed under authorization of permits approved by the Division Director. DNR Form 73-115B shall be used to certify work authorized by the Governor and Cabinet, the Executive Director, or the Division Director. The staff shall determine which form is appropriate for each permit. DNR Forms 73-116 or 73-115B shall be used to certify work authorized by emer ency permits issued pursuant to Section 16B-33.014, Florida Administrative Code, and the stafV shall determine which form is required for each permit according to the nature and extent of the work authorized by the emergency permit. These forms, which are incorporated by reference, are available free of charge. Copies of these forms may be obtained by writing to the Department of Natural Resources, Division of Beaches and Shores, Bureau of Coastal Engineering and Requlation, 3900 Commonwealth Boulevard, Tallahassee, Florida 32399; or by telephone at (904) 487--4470. (h) No construction and no excavation except that specifically approved shall be conducted seaward of the coastal construction control line. (i) Construction traffic shall not operate and building materials shall not be stored on vegetated areas seaward of the coastal construction control line, unless specifically authorized by the permit. If, in the opinion of the Bureau staff, this requirement is not being met, positive control measures shall be provided by the permittee at the direction of the Bureau staff. Such measures may include temporary fencing, designated access roads, adjustment of construction sequence, and/or other requirements. (j) Existing beach/dune topography and vegetation shall be disturbed only to the minimum extent necessary for construction, construction access, and other authorized activities. Before the project is considered complete, any topography disturbed as a consequence of construction or excavation shall be restored to preconstruction elevations with fill material. This fill material shall be compatible with the existing beach/dune sediments in both grain size and coloration and shall be obtained from a source landward of the coastal construction control line or from a source authorized pursuant to Section 161.041, Florida Statutes. The areas so filled shall be stabilized with native salt resistant beach/dune vegetation as specified in Subsection 16B-33.015(3)(m) Florida Administrative Code. (k) Unless oto erwise specifically authorized in the permit, any fill material placed seaward of the coastal construction control line in undertaking work authorized_ by the permit shall be sand Florida Department ,,. of. Natural Resources ,. NOTICE TO -PROCEED Permit Number. DU-140 Permittee: Permit Expires: September 25, 1993 George T. and Virginia B. Owen c/o Richard Bell, Building Contractor 1952 Beachside Court Atlantic Beach, Florida 32233 You are hereby granted final authorization to proceed with the construction or activities authorized by the permit number referenced above. Authorized work must conform with the detailed project description, approved plans,and all conditions including preconstruction requirements included in the final order. A brief description of the authorized work follows. Project Description: The construction of two wooden decks, a concrete driveway, two wooden retaining walls and an elevated beach/dune walkway structure. Project Location: Between approximately 370 feet and 420 feet south of the Department of Natural Resources' reference monument R-44, in Duval County. Project address: 1789 Beach Avenue, Atlantic Beach. Questions regarding the permit or this notice should be directed to the undersigned at: - Division of Beaches and Shores 3900 Commonwealth Blvd. - M.S.310 Tallahassee, Florida 32399-3000 Date of Notice Robert M. Brantly, Jr., n eer Telephone (904) 488-3180 RMB/ts cc: Permit File Permit Information Center Area Inspector ` Property Owner Building Official ANT F�73.191(06191) - Post Conspicuously on the site I ' 1,6407 , DEPARTMENT Qty'BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATIOIV -_--- � LOCATION ------INFORMATIt)N -- ` 'eit^ Iw Number:, !16407 Address. .1789', BEACH AVENUE,.. !+ mi T pe:F I C3I9EL7NG ATLANTIC BEACH, F'LORI>)A 32233 Chis of . t4ork:REMODEL --------- LEGAL DESCRIPTION .. .. ...___. . C�'6str. Typs:WOOD FRAME Block: Lot': 39 Twp. 0 f ijr6potd Use:SINCLE FAMILY Section: 0 Subd�. Rng. 0 Dwellings: A. Subdivisfon:NORTH ATLANTIC 'BEACH . Est . value: f3 Det cost : 50 ?000 .00 Total ` Fees : 390.0,0 Amount ' P*i 390.100 1998 x t i dark I~+es � �' CHEN AND MASTER BATH - REMODEL, PER. PLANS ION _ APPLICATIQ�I PEES - - _ - ,W r;�..�rYh' , ' ane: 0 x � BOWERS PEIt I�I'� 39�,�4 # x Eby � FLORIDA ;3L''233 iVz 16 C3 'lu Adair: . M" vLPN U 3AR;30H � ,FL0,RIDA 32211 TP� 1 r amp.. . r {. tJTES; bf'47 { NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION s � SUILDING 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 s {LURE TOC MPLY WITH THE MECHANICS' LIEN LAIN CAN f1.ESWLT IN 1 14EPROPER' Y OWNER PAYING TWICE FOR BUII.I ING`IIIAPROYE,MENTS. ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION,000 1tff3LATION OF APPLICABLE PROVISIONS OF LAW. , " �TLANTICJIgACH BUI DIN EPA' TMENT By, CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date 5 _ Heated Sauare Footage ��@ der Sq Garage/Shed per s, _ _ _ Carpo r _jPnrr_r, Patio SP?r =Q O TOTAL VAL J AT_ :r., �J Total Va_uatlon Ise i Remaining Value $ per thousand or -oortion tl�ereot TOTAL BUILDING FEE + / � Filing Fee (, ) Fireplaces @ $i5 . 00 S -- BUILDING PERMIT FEF, S � ` WATER IMPACT FEE SEWER IMPACT FEF: S WATER METER/TAP S CAPITAL IMPROVEMENT SEWER TAF S 1 RADON (HRS ) . 0050 S SECTION H PAVING i $ HYDRAULIC SHARES S CROSS CONNECTION $ ( i SURCHARGE. . 00 5 0 S OTHER S GRAND TOTAL DUE S _' ADDITIONAL PERMITS OR FEES : Mechanical Plumbina_ Electric/New Eiecr-ric/Temp ; Sw;mminaPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : Apr-23-98 03:37P P.01 REC,91*A . �- .ED APR 9 n tcm CITY OF ATLANTIC BEACH City of A,i. Beach PERMIT APPLICATION REMODEL, ADDITIONS, OR A 4 Z"J C3I;j�ning MOVING,DEMOLITIONS Owner(s) Ross and Barbara Bowers Address: 1789 Beach Avenue Phone: 242-7123 Lot # 39 Block or unit # Subdivision: N. Atlantic Beach Unit 1 Contractor: Earle Whitehurst State License # CBC 000322 Address: 5850 Macy Avenue 32211 Phone No: 744-2100 City Jax State rL- Zip Code 32211 Describe work to be done: Renovate Kitchen, and master bathroom. Add cabinets and fireplace in existing family room. New flooring throughout Present use of building: Single family dwelling Valuation of Proposed Construction: 50,000 Proposed use: Single family dwelling - - J 0 FFG Is this an addition? NO If yes, what are the dimensions of th add4d�ti�l a"6 eC, � space: N/A ft. X N/A ft. Will the added area be heated an&," ` .q cooled? N/A New electrical (or increase) ? Yes New plumbing fixtures? Yes New fireplace?Yes New Heat/AC? NO SUBMIT TM= (CO41ERCIAL) TWO (RESIDENTIAL) CCWLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF Ca44WCE3HIWT, AND OW111R/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: ' Date: / tO Signature CONTRACTOR: --tom Date: Z 1 Sworn to and subscribed before me this d day of 19C a, NOTARY PUBL-ra STATE OF-FLORIDA AT LARGE 6evurEy 8.Whitehurst �1 My COMMISSION#CC553312 EXPIRES August 21,2000 BONOE07i1RU TROY FAIN IldwUISNOE,@JC. CiT A-p'P R D 'v E D BUILDING pjF-1rIC�CH MAY 0 7 1998 C) WHITEHURST BUILDERS, INC. 1 EXISTING LAUNDRY BOWERS KITCHEN C> EXISTING FLOOR PLAN - := SCALE 3/8" = T-0" REC' APR 2 9 1998 City of Atla Building and Beach d Zoning R !i I I � i Pantry I + i WHITEHURST BUILDERS, INC. 1 BOWERS KITCHEN i RENOVATED FLOOR PLAN SCALE 3/8" = 1'-0" i I 311 --- --- --- --- WHITEHURST BUILDERS, INC i BOWERS LIVING ROOM N EXISTING FLOOR PLAN IV 1 11 SCALE 1/4"=1'-0" CD ED r I I I �- .-_.. - --- ---- 16'3 23'2 - -..---...---.. ---._ ..------ 1 NEW BUILT IN CABINETS jWHITEHURST BUILDERS, INC BOWERS LIVING ROOM N RENOVATED FLOOR PLAN NEW DRY BAR , SCALE 114"=1'-0" sp -,--------NEW PRE-FAB FIREPLACE LLL= --NEW BUILT IN CABINETS 16-3- --- --- _-- - e R SL. �..�. t:tt:: 1 bs I SHOWER I ----- 8'4 4'1 f ---------------- 12'5 ---- - --� WHITEHURST BUILDERS, INC. BOWERS MASTER BATH EXISTING FLOOR PLAN SCALE 1/4"=1'-0" I I i 1 1 I I I I ' I <—NEW LAUNDRY t I I 1 � 1 I I O q._ l"J SHOWER Cr; - MASTER BATH Cb,:l \� O Linens 12'5 -- - WHITEHURST BUILDERS, INC. BOWERS MASTER BATH RENOVATED FLOOR PLAN SCALE 1/4"=1'-0" CITY OF 1q&a4C Beccli • / - , Office of Buildi (ficial T ` �___ REQUEST FOR INSPECTION f�0 /- Date__—,;/ _ Permit No," Time A.M. Received _ )�?Q� P.M. 1 [ y 1 — Job Address Locality Owner's _�^GL1 ractor 4B�;�MONCRETE ELECTRI PLUMBING'`' MECHANICAL Framing Footing F) Rough Wiring F Air Cond. & C' Re Roofing C Slab Temp Pole I Top Out F) Heating Insulation Lintel Final r,! Sewer FJ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday Inspection Made ----P.M, ertific Occupancy Inspector Cl Date i �;J�SR•3844 `� x6734 , ' DEPARTMENT QF BUILDING CITY OF ATLANTIC BEACH .«k PLRi4I T I MFORMAT I ON - �-_ . - ._ _ LOCATION I f .P'O1 MAT X ON _ - + IT�z'it iiamlar: 1673 ' Address : 17,89, BEACH AVENUE '6imi t Type :MECHA;NICAL ATLANTIC BEACH FLORIDA; 32233 Ats of Work:ALT9RATION ---_ _- --tEOAL DESCRIPTION °- on$tr. Type'WOOD PRAMS Block:: Leat: 39 wTwp: �� I±'rza?a ed. Use.: Section: 0 Subdagip0 fIal1i; gSi 1 Subdivision-NORTH ATLANTIC LEACH V lue a 0 .40 Imp, cry. (lost 0 .00 Total 'P ss 25.00 Dates 3 #V.rk Det s �xMt d Y d 'r ICON APFLIGATIOAI 'ELS ie � � Vl� �s ER '25 iQ T �ppeeyy AT. � � EAH f+',LO"R IDA 32 2 3 3 jR ,ti¢�e w �W r$�k� ahs„� - cOrlT y ATI ON _ l s AEI I*ER ON "t "CORP ..A .. 1ACKSONVIS��z�'` FL 2211 ,; t3TES: ' 4' �3. , i NOTICE--INSPECTIONS: MUST BE REQUESTED AT LEAST 24.HOURS PRIOR TO,INSPECTION t f � I I,JILn[NG MATERIAL,,RUBBISH AND bEBRIS PROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE '> ARED UP AND,f4' E# AWAY B*EITHER CONTRACTOR OR OWNER " AtLUI E TO COMPLY, WITH THE MECHANICS' LIEAf LAW CATV .RESULT IN r; ERR PER'I'Y'4Wt .ER �PAYINC TWICE FOR BUILDINC�i II�MPROVEME VTS." ' t)ED) ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR. ,ELATION OF APPLICABLE PROVISIONS SOF LAW, r77 $a-*1# p w IKCKS 1f 15 ALANT BUILDING C} 'PARTMENT tB1f31fI88 ti' BUILDING AND ZONING INSPECTION DIVISION � CH Y OF ATLANTIC BEACH ATI-ANTIC nF-AC11, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CAU IN NUMBER IMPORTANT - - Applicant to complete all ifonls in sections 1, 11, 111, and IV. LOCATION stre•I Add-si. BUILDING soh-division II. IDENTIFICATION — T(, Ise completed !)y oll applicanls In rnnlidoralion of pnrr—f nn I., ,o wort ns dnt<ril,nd r 11- Ir �y , pC o soil wptl in accntdencn �i� r do�n.T II i a.cvn 510 lmm�nl wn IiCrnl_ r req la rf rm ';fl 11,9 attached plans -"A ne n Karl horrof end n, accoufence wilt, Il,o Cily of JaclsO,ille ordinances end slanderds of good practice lisle•{ Il,eroin. Name of Mechanical Conlracfors ' Contractor (Print) Name of �— Property Owner Signature of Owner V J' Signature of or Authorized Agent Architecf or Engineer III. GENERAL INFORMATION A, Typ-9 of heating fuel: �• IS 0111ER CONSTRUCTION BEING DONE ON �❑ Electric�y/ THIS PUILDING OR SITE 1 Gar — V1. LP ❑ Na lural ❑ Central UW;iy IF VES, GIVE NUS ER `OF CONSTRUCTION ❑ Oil PERMIT � \ ❑ Other — Specify -- IV. MFCHANICAL EQUIPMENT TO IE INSTALLED NATURE Or WORK (Provide complete list of components on back of this form) x lleRitlenlIal of I-I Conuuef0al ❑ Neal ❑ Space ❑ Recotsed ❑ Central O floor --)N& 140w Rullding ❑ Air Condrf;on;nq: [] Room [] Central ( Exisfing Uullding ❑ NO System: Material__ Thickness f.) Replacement of exlsling syslenl Mezimvm upncily ___ _ c.Lm, New Inslallatlon(No system previously Installed) I_ Refrigeration Extenslon or add oil to exlstlng System ❑ I_)❑ — -- --- --- Cooling }oOther specllywer: Capacity _____ -- _—_-- q.p.m. l ❑ Fire sprinkled: Number of 4 iaopoolkkovoe F(3Q* P G C �eae�P�a°e 19- / r;jmop 00, (� 6" dre �e�a� Q� or a°c9 Pe40�VVV� P M• Qe of SCC e�5 Cp°gag � Ppy wed P�c'e`�\�\Gaze oe C� Pe¢aro° �r5a 1.. i3'O° ade eckor vot e° W�54 2 P' 10 e a r> &o� �oQeAN roc GJ P Ce Q J Q,e e P° ° rte. Q.e �a \c5 aae c' _off PSP,3844 DEPARTMENT OFBUILDING ' CITY OF ATLANTIC BEACH BERM I T INFORMATION LOCAT I,CFI I NFORMA2I ON t, Number: 16595 Address : 1789 BEACH AVENUE " t .Type: nF UM+�ByI�I C� �t ATLANTIC BEAC�HOI, FLORI1A. 32233 `" 1�l Q +L7 F.r�' 3 O.,4f .` �C.aTDESCRIPTION: , -- �natr. T Fe:WOOD DRAKE E1ock: Lot : 39 Twpro � M0 .caectet Eetarrp # Subd:LJ R.ng: 4 'llin S ' i SubdivisionaNORTH ATLANTIC BEACH Esit . Value- 0 .40 Improv. C has fi ° 0 .00 i 1 uht Pati cI 3 39 So i Da A�� °I 99€, I 'w 0t'Xlfflxl,110 ,.:.REMODELINO APPLICATION PERS e. VIROIN �t ., - 9SIJ dr ; ATj�� A {" 'L6RIbA 52233 'ne CONRMAT I ON : LOO i�LUI~8�3, I IVC Cdr s 185.5.eH:�,I � Adiks0NVILa FLORIDA 52210 a Lira CF'C046011 E�►p � 1 1 'CES: 1 Pf"►ID { g {40fiG SCIN NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 FLOURS PRIOR TO INSPECTION x is 9 t a Bt11lDING MATERIAL,RU BBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPAGE,,AND.MUST BE iCLEARED UP AND HAULED'.AWAY'SY"EITHER CONTRACTOR OR OWNER , j 14. A[LURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN SHE PROPERTY OWNER PAYING TWICE FOR BUILDING `IMPROVEMtNT' i ". 168UED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO.RfVOCATI0N F01 j V'IOLAfION-0F APPLICABLE PROVISIONS OF LAW. I Ufa- A 'LAN71 AC+'M $U4�f(�7'NG; PA'RTMENT 1 $I .IFci8�6 yy## T' aq7 -fk''7 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JCB LOCATION : __J Iz __ _ ------------------- OWNER OF PROPERTY : BUILDING CONTRACTOR:_ _/_ PLUMBING CONTRACTOR �� A,/1�Yj,T---` r AND ADDRESSs ------------- ----------- TELEPHONE ____-___-___----------- TELEPHONE NUMBER. STATE LICENSE NO: TYPE OF BUILDING: SINKS —_ _--_.LAVATORY -------------WATER HEATERS --J ----HATH TUBS DISHWASHERS ----------URINALS ------------—DISPOSALS --------L---CLOSETS -------L-----WASHING MACHINE ------if----FLOOR DRAINS ------- _SHOWER PANS TOTAL FIXTURE ' IUNT:____— x $3. 50 $15. 00 ----------------------------------------- -----------------__—_-- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — t904 > 247-5626 PSR-3844 116578 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PE +IITINFORMATION - LOCATION I NFORHAT.I ON - - ermi.t Number: 16578 A dressy 1789 LEACH AVENUE _ - --- r zt Tyr :ELECTRICAL, ATLANTIC BEACH . ?LORII?A 32233 l s` of Work ALTERATION --------- LEGAL DESCRIPTION - 506ns t r. , Type:WOOD.` FRAME Block: Leat 39 -Twg Proposed Use., " section: 0 Subd.q Rnq> 0 T c I l ine Q 1 Subdi.vi sign:NORTRATLANTIC BEACH Est . Value: 0 .00 Improv . Cost , 0 . 00 Total Fees'* 25.00 Amount PBd5. 4Ct Date Pa � � 998 94, ow, irk Des c.' R w_VR` ELING APPLICATION ,1*'LES -- -- PERRI 17719 7,7, dr 1A DA 321,33 ® fA'T`I, 0t 5 C78�9 T F CON",."4C` �.r ,I1"Rt. HATION ame* M �ktd5wlYf4Jgts r :INC. v .f d r : 8 5 ,,MACY r tv 3ACRSON'V'IFL, 32211 Li c. ECD4006 EMTs: ! l 'Pe 2 ' &J 'NOTES. �{ I i NOTICE-INSPECTIONS, MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION s' ( §, .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 C ��FAILURE TO COMPLYWITH THE MECHANICS,`LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING; IMRROYEM NT ." E S *SUED ACCORDING TO APPROVED PLANS WHICH ARE. PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 14 { ( 7990 ATLANTIC BEACH BUILDING DEPARTMENT t By. ' c-,..- 1 ¢ j77 cv 4-0 sI CITY OF ATLANTIC BEACH, FLORIDA Approved Dv APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: j 19 '7d IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. r er a s 1 ELECTRICAL FIRM: MAS R ELECT IAN IG TU NAME)it a-►^s+,(d f _ ADDRESS:--) 8�, ern c Avenue._ RFD BOX BLDG.SIZE BETWEEN: RES. M" APT. ( ) comm. ( ) PUBLIC ( ► INDUS.( ) NEW ( ! OLD(%A' REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) JP_MAP j SCL FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) e xis+:"7 FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY • EXIST.SERV.SIZE 4LOO AMPSPH W VOLT S'� vc— RACEWAY o� FEEDERS NO. SIZE NO. SIZE NO. SIZE 0 LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OYER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0'l OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS -F MISCELLANEOUS TRAAICEl1RMFRC• �inmrn cnn v ....�_ ___ _ _ CITY OF ATLANTIC BEACH C DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT PER1fIT INFORMATIONI.4CATION INFORMATION F�ATION Permit Number: 21716 Address: 1789 BEACH AVENUE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):39 Block: Section:0 Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: O'Ir'I ER I ORMA-ION Date Issued: 4/04/2001 Name: ROSS AND BARBARA BOWERS Total Fees: 25.50 Address: 1789 BEACH AVENUE Amount Paid: 25.50 ATLANTIC BEACH, FLORIDA 32233 _Date Paid: 4/04/2001 Phone: 904 242-7123 Work Desc: New Fixtures CONTRACT S .; - PtCATf+7N FENS { FLOOD PLUMBING, INC. PERMIT 25.50 > I AN FINAL NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS`PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND,DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. i $25.58 14 ATLANTIC BEACH BUILDING DEPT. Date: 4/84/81 81 Receipt: 8847288 r1fr s JT 88188883221888 FROM Flood FAX NO. : 695 1016 Apr. 03 2001 02:41PM P2 CITY QF ATLANTIC BEACH APPLICATION FOR PLUMBZN6 PERMIT JOB LOCATION: V--e— OWNER OF PROPERTY: �Jnt,u-e TELEPHONE NO,c�C/C7— PLUMBING CONTRACTOR CONTRACTOR'S ADDRESS: STATE LICENSE NUMBER: "t� �r�/ TELEPHONE: BOW lM OS THE FO'LLOW3NG P XTURE8 I rTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: 3 x $3.50 + $15. 00 h---1 MINIMUM PERMIT FEE — $25. 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR.., -- ---------------------------- ---------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A-VA-Y AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5926 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SOANOLE ROAD-ATLANTIC BEACH,FL 32233-TEL 247 5826-FAX 2475877 PERMIT"INFORIOIATION LOO INFO t MAt'KON Permit Number: 21568 Address: 1789 BEACH AVENUE Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):39 Block: Section:0 Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 10,000.00 OE INFFORMATIUN Date Issued: 3/06/2001 Name: ROSS AND BARBARA BOWERS Total Fees: 240.00 Address: 1789 BEACH AVENUE Amount Paid: 240.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/07/2001 Phone: (9041242-7123 Work Desc: Enclose Balcon Add 1/2 Bath WHITEHURST BUILDERS, INC. PERMIT m 240.00 .,.ire Mons R ''i�lr�d COVER UP TOPOUT FINAL NOTICE-INSPECTIONS MUST BE REQUESTED ArLEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPUCABLE PROVISIONS OF LAW. fJ Kl $M.N 14 AT NTIC EACH BUILDING DEPT. Data 3/Ml 01 Receipt: 6!39627 OEM$ 2123 _r 5 MINI. RETUWt PH R E Book 9903 Page 1019 (904) 744-2100 WBI NOTICE OF COMMENCEMENT DocN 00 OsoEr00 Book: 9ol3 Page: 1019 Filed & Recorded Property to be improved: 1789 Beach Avenue, Atlantic Beach, Fl 32233 03/05/2001 04:08:07 PM JIM FULLER CLERK CIRCUIT COURT RE Number: 169678 0000 DUVAL COIRITY TRUST FUND S 1.00 Legal Description: 15-10 09-2S-29E N Atlantic Beach Unit No 1 Pt Lot 39 RECORDING t 5.00 General Description of the improvement: Enclose balcony, add shower to existing bath Name and address of Owner: Ross and Barbara Bowers, 1789 Beach Avenue, Atlantic Beach,FL 32233 Extent of Owner's interest in Property: Fee Simple Name and address of fee simple title holder if other than Owner: N/A Name and address of Contractor:Earle E.Whitehurst 5850 Macy Avenue,Jacksonville,FL 32211 Name and address of surety on payment bond, if any, and amount of the bond: N/A Name and address,within the State of Florida,of a person other than the Owner signing this notice, designated by the undersigned to receive service of notices or other documents: N/A Name and address of person to receive copy of Lienor's Notice as provided in Sec.84.061(2)(b) Florida Statutes (Optional) Dated this 20th day of February, 2001 Signature of Owner (or Authorized Agent) Subscribed and sworn to before me this 20th day of February,2001 (Nota6 Public) NOTARY PUBLIC•STATE OF FLORIDA CYNTHIA J CROOM-MARSEE COMMISSION#CC768772 EXPIRES 8/18/2002 "DEDTHRU ASA 1,8e&N©TARY1 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 0c a4 C o E . �c caS� ��C u,S / �ii3�►TN� Date 3 Heated Square Footage @ $ per sq ft = $ Garage/Shed _@ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck �`_@ $ p e r sq f t = $ Patio V" '�� @ $ per sq ft = $ �y Q TOTAL VALUATION: $ Total Valuation 1st $ Ice) c 2, C) 6 d 4V 1- $ 4 Remaining Value �r- ctper thousand portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ 3t ( ) Fireplaces @ $15 . 00 $ �uc�t3G.f ��"2ht"t' f-c"F X) uE 7-0 __-P BUILDING PERMIT FEE $ s�rF2��' (3rrv2( JERK/7T�t1� WATER IMPACT FEE $ ., -BES' 11mc9 d SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES S CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ Lj V 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: FROM Bowers Family PHONE NO. 9042420278 Feb. 05 2001 12:21PM P1 02/05/2001 12:03 9040000000 WHITEHLRST BUIL.XRS PAGE 02 •1V4J @ice' ►r ypS.i/� P'•�Z•.ww. clrx Oy' AXLAMXC EST ' �VZ�i,l�7.LITICd�f� Owt►er fsy ; Gtr-e��'�.�.-. Ds�`��0�55 �GCi��c-S 77 'Z&4e Phone: V ,2—x/02 3 ..... ... ry Los N Block or unit /5wbR1iv3siars� Conpraccar: ,L� ' /� �Gf�2/, 1 GC/LS��r�,��2/s�iG!/5� � C/�Gl'•�Sjlt� state Liconse / _ Addzea$: l�& /S dGc 1GGL. Phone N0, l4Jv� �yyv71D6 7i1 City �C1C'rt�` ?CJs /��' Stats.>< fyiC% Zip . ..�. Deacriba warx to b! do>ye: _!'�z7, Present use Of building: Valustion of Proposed Co;struction: ��',dD�•-� Proposed Is Shia an addl,cian7_.'— If yes, what are the aimansions of the added space: Ir, X _ft. Will tho added area be heated and cooled? Drew electrical for increaa )2� Now Ptun;inV !ixtures? Naw £ielpLeca7 New Heat/Ac? SVM"T 7700CGCBl�.1' CZi.L1 "M (MI=.r U) CMVZZM 1129 CW PX.4 j ZR=VMM m'r PIAN, sGa"W, nmRay cm 1=01 s=CX 0r XA II M T db�T. .Ib hVAWC'OVIAtAGM AJTZMVTT, Ir ONfRR XS carAme". signature OtP�t>rtt: Date;�� SigribCura CONTPACTCR: �-'� �� Dates �7•v�a'"i S�__.��c-. Sworn to and sub"Cribmd before me this G!j KL aey of .( ' N X PUBLIC OF E; -ij NOTARY PUB!,.!(:-STATE OF FLORIDA FEB '7 2w CYNTHIi [ `,"l`O I-MARSEE COMM ;: !,, ,2002 2 City of Atli teach �,SA 19,8WNOTAIM Building 0 )dill CITY OF ATLANTIC BEACH Fixture Unit Worksheet For Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE HEASURE:!ENT OF GSA 7a ME ANO =0R EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE NATER SUPPLY CHARGE ZS HEREBY FIXED AT 7, ENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CI—L, WATER SYSTE.'a. BATHROOM! GROUP CONSISTING OF SERVICE SINK TRAP STAND SLATER CLOSET, LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET WATER CLOSET, TANX OPERATED (4) VALVE OPERATED (3) aArarualsHOi+ER (?) URINAL WALT. L:? (4) a SHOWE_R GROUP PER HEAD (3) 3 FLOOR �SHOWE2 STALL DOMESTIC (2) LAUNDRY TAY (Z) Q WASHING hACHINE (3) POT, SCJLLERY S::+F( (-) DLSiIS7ASFiE.R (2) 3 WASH SINK EACH SET Os FAUCETS (2) _OE.�AL LAVATORY (1) r d XITC3SINX '.LITH WASTZ DENTAL UNIT OR CUSPIDOR ( i) ^CRINDEY (3) a 11)E7 (21) i URINAL STALL, WASHOUT' (�) � — 4 FLIISxZ�iG IL�i S INX (8) ____ ___C0MB- :IATT_ON S:M< AND TRAY WI T FOOD DISPOS. (4) URINAL, PEDESTAL. SYPHQN .TET ORINKiNG FOUNTAIN (1/2) awuouY (') _LAVATORY, EARBER/BEAUTY ICE MAKER (1/2) SHOP (2) s SURGEONS SINK (3) __LAVATORY, SURGEONS ( ) JACUZ:.I (2) �*�' URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS $20.00 EAC:i S 66 , 00 ' JOB INFORMATION 1 t` Pic u 2- 1: PROJECT: Bowers Remodeling 1789 Beach Avenue Atlantic Beach, FI 32233 -- These specifications, made this same day and date as the above referenced contract, is hereby a part of and wholly included into said contract, both parties agreeing as follows: The work to be performed by the Contractor for remodeling the Guest Bedroom Balcony Is as follows: 1. Decorative 2x4 wall and rail will be removed and new wall will be framed on deck to underside of roof overhang 2 Existing beveled siding $light box will be removed and walls prepared for drywall. 3 New Exterior walls will have R-11 insulation installed and be drywalled on the inside and bevel siding on outsid 4 Ceiling of the new closets will remain sloped like the existing and will be drywalled. 5 The area will be framed to accommodate two closets similar to those depicted on the sketch. 6 Install a light in each closet 7 There will be a window installed as depicted on the sketch in the book area. 8 The larger of the two closets will be for clothes storage 9 The clothes closet will have birch plywood shelving and metal clothes rods for hanging. 10 The book closet will have drywall walls and 12"deep wood shelving. 11 There will be a door on the clothes closet and a cased opening on the storage closet 12 The floor will be covered with 3/4" plywood glued and screwed to the existing deck and be carpeted. 13 There will be R-19 insulation installed in the floor joists and the underside of the deck will be covered with 14 finish grade plywood. 15 Carpeting to be supplied by Owner from remnants and from the area cut out for the third floor shower. 16 All painting is by Owner. 17 All debris to be stored in jobsite dumpster provided by contractor and removed upon completion. 18 Because of the restricted access these closets will not have any airconditioning ducts installed in them. 19 There may have to be some holes cut in the existing bedroom walls to access electrical for the closet lights. If holes have to be cut we will patch them but all fainting is by Owner. :R I V L tor NTIC BEACH BUILDING Beach Zoning Accepted by Contractor: Accepted by Customer(s): Existing 5alcony to be Enclosed S'-O" SLIDING Bowers Residence Balcony Enclosure Existing Floor Flan 3/8" a 1�-O" Existing 5adroom 2._8„ Existing balcoN at first floor bedroom converted into walk-in closet Existing Balcony Raill 5H 4038 removed and new 2 x4 exterior walls installed with R-il insulation, Books 1/2" sheetrock interior and beveled cedar siding over vapor NY-0- barrier and 1/16 QSB 3,-0„ Existing Exterior W Sowers Residence to remain. Siding Exists 8' lass slldi door removed and drywall installeand ani 9 framed for now interior door balcony Enclosure �' � Remodeled Planand cased opening Now 3/4" 74Crt plywood underlayment to be Scale 1/4" = C-O" installed over exiating 2x6 deck boards. RAS Insulation installed in balcony floor and 3/8" finish plywood installed on ureter side of balcony. jjjg�- ME y S PROJECT: Bowers Remodeling 1789 Beach Avenue Atlantic Beach, FI 32233 The work to be performed by the Contractor for building the Thins Floor Shower is as follows: _ 1 Roll back carpeting in area of construction. 2 Remove tile floor,toilet, vanity, sink and mirror in existing half bathroom 3 Remove existing plywood floor as needed for installation of plumbing for new shower and new toilet 4 Install plywood in area where it was removed for plumbing. _ 5 Build walls for new shower to approximately 8"above floor for installation of shower Pan. 6 Install cement board on all wails that will receive tile. 7 One wall of shower will be the existing South exterior wall of home. This wall will be completely tiled to 7'-8"+/- 8 Tile new shower walls approx. 8"above floor and the rest will be glass block to 7'-8"+/- 9 Glass block allowance $10/block material only. 10 Shower valve to be moen monticello or equal. 11 Install a light for the new shower. 12 Cut an opening in the existing wall between the half bathroom and the bedroom and install a glass block windo of approximately 8"wide and 24"tall. 13 Tile the floor of the shower and the floor of the existing half bath to match. 14 Install a shower door on the new shower. 15 Re-install the existing carpeting and cut to fit around the new shower. Save cut out for closet downstairs. 16 Build a seat between the shower and the half bathroom with linen storage. 17 Extend a 24"wide section of the half walls in guest bedroom up to the ceiling. 18 Install a new wall hung toilet and wall hung sink and faucet in the half bath area. 19 Allowance for the wall hung toilet is$500 20 Allowance for the wall hung sink with faucet is$750 21 Painting is by Owner 22 All debris to be stored in jobsite dumpster provided by contractor and removed upon completion Accepted by Contractor: Accepted by Customer(s): Exfstfng 9' glass sliding door Existing wfndows to remain to remain Existing window to remain GUEST BEDROOM ^1 ^11 Exfetfng Closet 01 Bowers Residence Guest Bedroom Existfng Man Scale 114" = V-O" g Existing S' glass sliding door Existing windows to remain to remain _ Existing window to remain GUEST BEDROOM New Shower with glass block walls 4`-9"= to approx. I'-8" high Raise 24 " of three New seat with towel calf walla to ceiling storage underneath t opening in wall 2-�� and install glass, block Existfng Closet C1 approx. 8"w x 24"h Bowers Residence Now free standing sink Guest Bedroom and toilet and trio Remodeled Plan floor In existing half Stele 1/4" = 1`-O" bathroom 03/05/2001 16:47 9040000000 WHITEHURST BUILDERS PAGE 01 MNK urukk h"o gook 9903 Page 1019 (904) 744-2100 WBi NOTICE OF COMMENCEMENT >racw 2o$i�sodsoo Backe 9 0 Paz 1019 Filedi Recorded Property to be improved: 1789 Beach Avenue, Atlantic Beach, F1 32233 03!052001 040807 PR JIN FULLER CLEM RE Number: 169678 0000 B1 c1:0UM YY T =7 �IlF 16 1 5,00 Legal Description: IS-10 09-2S-29E N Atlantic Beach Unit No 1 Pt Lot 39 General Description of the improvement: Enclose balcony, add shower to existing bath Name and address of Owner: Ross and Barbara Bowers, 1789 Beach Avenue,Atlantic Beach,FL 32233 Extent of Owner's interest in Property: Fee Simple Name and address of fee simple title bolder if other than Owner: N/A Name and address of Contractor:Earle E.Whitehurst 5850 Macy Avenue,Jacksonville,FL 32211 Name and address of surety on payment bond,if any,and amount of the bond:N/A Name and address,within the State of Florida,of a person other than the Owner signing this notice,designated by the undersigned to receive service of notices or other documents: N/A Name and address of person to receive copy of Lienor's Notice as provided in Sec.84.061(2)(b) Florida Statutes(Optional) Dated this 20th day of February,2001 Signature of Owner (or Authorized Agent) Subscribed and sworn to before me this 20th day of February,2001 (Not&6 Public) "OTARY PUBLIC•STATE OF FI ORIDA CYNTHIA J CR00M.#AARleE COAtM8310N•cc7aa?72 EXPIRE &WWO A0*M0'r"RW AMI 14MMOTANY, 02/20/2001 16:58 9040000000 WHITEHURST BUILDERS PAGE 02 �Ro Q OsEO �H�►1 (�X I S-V -4 1-- --- r- --- --- --- --- ---- -- -- --- -- -- -- -- ---- ---- --- M -- --- ---M�,L►�.4 �oWiCe s 2E L. C?C S T I I(T r R-o1 M 1 kk OVED. M CITY �� RT.LANoF1=1� BUpLpiNG �EB 2 8 2001 CITY OF ATLANTIC BEACH + DEPARTMENT OF BUILDING I 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877 ELECTRICAL PERMIT P RMIT INFORIVIATiON LOCATIO ,INFORMATION . Permit Number: 21735 Address: 1789 BEACH AVENUE Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work::ALTERATION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):39 Block: Section:0 Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: O R- N>` NATION Date Issued: 4/09/2001 Name: ROSS AND BARBARA BOWERS Total Fees: 25.00 Address: 1789 BEACH AVENUE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 _ Date Paid: 4/09/2001 Phone: (904)242-7123 Work Desc: 200am /1 h/3w/240v/1" Raceway CONTRACTORRa h PERMIT t�CAT3t N FEES 25.00 MOORE ELECTRICAL CONT., INC. I i FINAL i i I NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS-PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOTQE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICtf01 BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PARTOFTHIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.8014 ATLANTIC BEACH BUILDING DEPT. Date: 4/89/01 M Receipt: 8847899 2192 CHECKS 881888832 'CITY OF ATLANTIC BEACH, FLORIDA ,, Approved by APPLICATION FOR ELECTRICAL PERMIT. ( r; TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ~ �J IMPORTANT NOTICE: IN CONSIDERATION_OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERIFORM 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: MASTER ELECTRICIAN SIGNATURE NAMES SYr�- � 7CD13RESS: ` � ' �-RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN: RES. ( i APT. ( ) ';:.:;.COMM. ( ) PUBLIC ( ! INDUS.( 1 NEW( ! OLD ( ) REW. ( ! ADDITION ( ) TRAILER ( ? TEMP. ( ! SIGNS ( ! SO. FT. SERVICE: NINCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS / PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS ` PH W VOLT I r/ RACEWAY FEEDERS NO. 'SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 030 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100'AMPS. OVER APPLIANCES " BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. TOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P., VOLTAGE PHS MISCELLANEOUS ' �+»'. TQ AI1ICCADIIICOQ. 19R11'1cQ CAA V wr.. ......••