Permit 297 Pine StCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 09-00000018 Date 1/13/09
Property Address 297 PINE ST
Application type description SHED PERMIT
Property Zoning TO BE UPDATED
Application valuation 1200
Application desc
shed replacement
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LATIMER OWNER
297 PINE STREET
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit BUILDING PERMIT '
Additional desc .
Permit Fee 35.00 Plan Check Fee .00
Issue Date Valuation 1200
Expiration Date 7/12/09
----------------------------------------------------------------------------
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/'05-'06 SUPPLEMENTS.
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED
TO MEET 120MPH WIND LOAD.
*EMAIL INPPECTION REQUESTS TO BUILDING-DEPTC~?COAB.US
Shed must be minimum of five-feet from property lines.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total
Plan Check Total
Grand Total
35.00 35.00 .00 .00
.00 .00 .00 .00
35.00 35.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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'V.
Y r'"' ~ r`te`' CITY OF ATLANTIC BEACH
C7~ ~'~ ,fi 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
'~ `'' `'~ OFFICE: (904)247-5826 ~ FAXNO.:j904)247-5845
"~ BUILDING-0EPT~COAB.US
`~ ~-~~t~r BUILDING PERMIT APPLICATION
09- ~ ~ . ~ ~__ ~
DUVALCOUNTY
1`. 606'ADDRESS: 2:.VACUATTON OF WORK: - 3. SD. FT. UNDER ROOF
9 ~ ~'~~ ~T2~C T Zoa .
4. LEGAL DESCRIPTION: 5. GLASS OF WORK: 6. USE OF STRUCTURE.'
^ NEW BUILDING ^ DEMOLITION ESIDENTIAL
LOT_ BLOCK_ SUB DIVISION Q~DITION ^ CONVERTING USE ^ COMMERCIAL
7. DESCRIPTION OF WORK: ^ ALTERATION ^ ACCESSORY BLDG. e. FIRE SPRINKLER:
Y , Q ~~~ ~(
/~ ^ REPAIR ^ POOL 1 SPA ^ YES A
^ MOVE ^ OTHER ^ NO
PROP..ERTY OWNER: CONTR A..:. OR: ARCHITECT ? ENGINEER:
9. NAME: 15. COMPANY NAME: 23. COMPANY NAME:
L~.-~ rn ~~.
- ,1 16. NAME: 24. LICENSEE NAME:
10. ADDRESS: 77. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.:
ag ~ ~~-~~. ~~E T 18. ADDRESS: 26. ADDRESS:
+y. F IcE PjiON ' 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.:
13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE:
14. EMAIL ADDRESS: 22, EMAIL ADDRESS: 30. EMAIL ADDRESS:
FEE SIMPLE T1TtE HOLDER:. BONDING COMPANY: MORTGAGE LENDER:
(IF OTkIER THAN OWNER)-
31. NAME: 33. NAME: 35. NAME:
32. ADDRESS: 34. ADDRESS: 36. ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a pennil and that all work wilt be performed to meet the standards of all laws regulating construction in this
jurisdidion. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work, Plumbing, Si®r>,a, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc.
OWNER'S AFFfDAVIT - I certify that alt the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspedions are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building offiaal, as required by law.
~ WARNING TO OWNER: ~**
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRACTOR
(If AgentlPower of Attorney or AgBncy„Letter Required) (Qu~ifier ONy)
~
O Signed: Date:
Signed: ate: ~ ~
Befo m this day , 2009 in the county of Before me this day of , 2009 in the county of
Duval, to of a, has personally appeared Dwai, State of Florida, has personally appeared
herin by himself /herself and affirms that all statemenffi and declarations are herin by himself /herself and affirms that all statements and declarations are
true and accurate.
true and accurate.
r
~
~
~
~''" Notary Public at Large, Slate of ,County of
Note lic at Large, S of ~~, County of
^ Personally Known
ersonally Known
^ Prod enl~gtion - ^ Produced Identification -
Notary najµFe;~, Nota Si nature:
o_~,.J_ , ,~ e
`~`~``" "°° „~~ t>t ~~o:~~a REVIEWED FOR CODE COMPLIANCE
i ~ c
hty Corn n ssion t~„ res Feb 14, 2O1Q
F ; ; }o. ~~~
...o~sia~„~, ~~ CITY OF ATLAI'vTIC BEACH
~
;~,; , SEE PERMITS FOR ADDITIONAL
'
BLDG01 PertnKApplicatio I E ~
i~le9Ni!!a~ REQUIREMENTS AND CONDITIONS.
~~ . ~ -
F I L E ~ O P~
.
; REVIEWED BY: DATE: O
~ ~ ~~
~ - ~;.-,-
s ~~~~~~ ,,may City of Atlantic Beach
,~ ~;~, Building~Department
J ":~! ~ 800 Seminole Road
,. ~~ Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 Fax (904) 247-5845
<"L~;31~~%' E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.)
4 9- DD /8
Date routed: ~ ~
APPLICATION REVIEW AND TRACKING FORM
Property Address: c~ 9 ~ ~%~~ ~.,%
Applicant: ~ ~ II/~~
Project: ~
De artment review re uired Yes No
ing
nrng & Zonin
ministrator
is Work
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
5t. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ^Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
TREE ADMIN. Reviewed by: Date:" y'O p
PUBLIC WORKS Second Review: QApproved as revised. ^Denied.
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES Reviewed by: Date:
Third Review: []Approved as revised. ^Denied.
Comments:
Reviewed by: Date:
';~~~ ~ , S3'''''r~ CITY OF ATLANTIC BEACH
J' ~ :~ 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
r ~i) OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845
'~ ~ BUILDING-DEPT~COAB.US
<<_1.=~} BUILDING PERMIT APPLICATION
09- ` ~_. ~ __I_ I -..I
DUVALCOUNTY
r. J lB ~DDRESS :i', ~:= Z.VALUATION OP WORK - -'- 3: SQ: FT: UNDER ROOF - -~
9 ~ ~~,~~ ~'r2~ ~ T zoa
4: LEGAL DESCRIPTION: ', 5 CLASS OF 1NORK <' 6:USE OF STRUCTURE::
^ NEW BUILDING ^ DEMOLITION ESIDENTIAL
LOT_BLOCK_ SUB DIVISION ~DITION ^ CONVERTING USE ^ COMMERCIAL
7, DESCRIPTION OF WORk:: ^ ALTERATION ^ ACCESSORY BLDG 8>'gIRESPRINKLER:
O ~~~~ ^ REPAIR ^ POOL! SPA ^ YES /A
/ ^ MOVE ^ OTHER ^ NO
„~ PROPERTY OWNER: CONTRg C OR: ARCHITECT ~7 ENGINEER:- ` '
9. NAME: 15. COMPANY NAME: 23. COMPANY NAME
L/~t.~ ~]~ ~~
~ ~ I 18. NAME: 24. LICENSEE NAME:
10. ADDRESS: 17. STATE OF FLORIDA LfCENSE NO.: 25. STATE OF FLORIDA LICENSE NO.:
a~ ~ ~;-~~ ~~~ ~ 18. ADDRESS: 26. ADDRESS:
.tJ. F ICE~ON ~ 12. FAX NO.: 19. OFFICE PHONE: Z0. FAX NO.: 27. OFFICE PHONE 28. FAX NO.:
13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE
14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS:
FEE SIMPLE TITLEHOLDER: '; BONDING COMPANY: MORTGAGE LENDER:
5 Q POTHER THAN OVMJER; ~.... . °.
31. NAME: 33. NAME: 35. NAME
32. ADDRESS: 34. ADDRESS: 36. ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or 'rf construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must Ge secured for
Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc.
OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to Obtaining a certificate of occupancy or completion issued by the building offiaal, as required by law.
~ 'WARNING TO OWNER: ***
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT iN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRACTOR
(If Agent,~Powei of Attorney or Ag3ncy Letter Requi[ad) (Qualfier Only)
l~ ~O
Signed: ate: i Signed: Date:
Befo m this day , 2009 in the county of Before me this day of , 2009 in the wunty of
Duval, to of F 'da, has personal y appeared Duval, State of Florida, has personally appeared
herin by himself /herself end afflnns that all statements and declarations are herin by himself /herself and affirms that all statements and declarations are
true and accurate. / /;~\ ~~ ~/ [/~
~"T~'~' ~"
/ true and accurate.
County of
State of
Public at Large
Nota
L ,County of
Nota lic at Large, S e of ,
,
ry
^ Personally Known
ersonally Known
^ Prod d ent~cation - ^ Produced Identifiption -
Notary na~µre;~,
" Notary Signature:
,a
,R
-.i; ~\ tr~ _ v~ lar ~U;~n: ,~;e of r=io~ida
~r~- ~~ ; fvty Comlmssion E,;;;res Feb 14, 2010
:,;F ~F F`o.,,; Commission # D4 518533
Bonded By :'National Notary Assn.
BLDGOt PennttAppliption Idg:
~ir~,~~ , City of Atlantic Beach
~,~ ~ ~ Building Department
r -~`"~ - tf 800 Seminole Road
s> Atlantic Beach, Florida 32233-5445
~~
Phone (904) 247-5826 Fax (904) 247-5845
~! u;t~~? E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION NUMBER
(To be assigned by the Building Department.}
0 9 ~ ~o ~/8
Date routed: ~ ~
APPLICATION REVIEW AND TRACKING FORM
Property Address• v? 9 ~ ~%~ ~ c~J
Applicant: ~ ~ Il/~z
Project: ~
De artment review re uired Yes No
ding
Wing & Zonin
-A{iministrator
is Work
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: prove
d. ^Denied.
(Circle one.) CoLmm'ents: +
''Q
~~ 'd ..S ~~`'~`
- -- _ ~.
`~
BUILDING / ~1 u,a„~. 1 ~
/`~- ~
~
!!//
NNING 8~ ZONING .,~~~
~
TREE ADMIN. Reviewed by: ~ a.. Date: ~ D
PUBLIC WORKS Second Review: ^Approved as revised. ^Denied.
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES Reviewed by: Date:
Third Review: ^Approved as revised. ^Denied.
Comments:
Reviewed by: Date:
~;~+~~~,~.~,,~ City of Atlantic Beach ~ '~
~s r ~~ Building Department ,,r`~"
1 - ~ 800 Seminole Road p' ,~,,
,~ ,, ~r Atlantic Beach, Florida 32233 5 ' ;
Phone (904) 247-5826 Fax~4) 247-5845
~~ ~3a jr E-mail: building-dept@coab.us ~'
City web-site: http://www.coab.us d~
`~~,
~.
A PLICATION REVIEW A
P
R-~
.,
,} ~
APPLICATION NUMBER
(To be assigned by the Building Department.)
a 9~ - ao .8
Date routed:
TRACKING FORM
Properly Address: a? 9 ~ ~~/1~ ~ ~-J
Applicant: y ~ ~L
Project: ~
De artment review re uired Yes No
ding
ning & Zonin
-Administrator
is Work
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ^Denied.
(Circle one.) Comments:
BUILDING
PLANNING 8~ ZONING
TREE ADMIN. Reviewed by: Date: ~ ~ ~
PUBLIC WORKS Second Review: ^Approved as revised. ^Denied.
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES Reviewed by: Date:
Third Review: ^Approved as revised. ^Denied.
Comments:
Reviewed by: Date:
._
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-dept(a~,c___ oab.us
Application Number 07-00001683 Date 12/13/07
Property Address 297 PINE ST
Application type description MECHANICAL ONLY
Property Zoning TO BE UPDATED
Application valuation 0
-----------------------------------------------------------------------
Application desc
1 cu 1 ahu
----------------------------------------------------------------------------
Owner
------------------------
LATIMER
297 PINE STREET
ATLANTIC BEACH FL 32233
Contractor
------------------------
ORENDERS HEATING AND AIR
JAX BEACH
FL 32250
-----------------------
Permit --------------
MECHANICAL ------------------
PERMIT ---------------------
Additional desc .
Permit Fee 79.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 6/10/08
-----------------------
Fee summary
----------------- --------------
Charged
---------- - ---------------------------------------
Paid Credited Due
--------- ---------- ----------
Permit Fee Total 79.00 79.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 79.00 79.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
~ ~ .,:s`--~~~`fr~~~,~ CITY OF ATLANTIC BEACH
~~ 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
r~^~ -' OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
~,~r nn~r-uetuir_er; pt=KNIT oPPLICATION
07- ._~~.. r_. __I _ . I
DUVALCOUNTY
,1:aJOBAi)I~RESS:,.
= 3r.r ; _, Beach, FL 32233
J 2. IS THIS A'Sl7H PERMIT:
^ NO
^ YES PERMIT #: 3. DATE:
' PROPERTYIOWNER: -'
4. NAME: +~[ 5. ADDRES^~S/ IF DIFFERENT FROM JOB ADDRESS: 6. PHONE:
M11IECHANICAL CONTRACTOR:
AME OF COMPANY: `~ 8. ADDRESS.:
9. STATE OF FLORIDA LICENSE N0:
~ ~c. ~ 10, CELL PHONE:
- - (opS ~ 11. F NO.:
o~(-~~ 5 ^3 ^7
1 IL ADDR SS:
o 13. FFICE PHONE:
~ -~?~-~DGS 14.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)
months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced.
CONTRACTORS SIGNATURE: ~
~, 15'CLASS OF WORK: 16: BUILDING: 1T.SE VICE:;: 18:CURRENT,:CODE:
^ NEW INSTALLATION
~LACEMENT OF EXISTING SYSTEM
^ ALTERATION /ADDITION TO EXIST SYSTEM
^ REPAIR ^ NEW
iF1-E'JC~STING 8-RESIDENTIAL
^ COMMERCIAL ^'06 FLORIDA BUILDING CODE-
MECHANICAL
^ OTHER
MECHANICAL EQUIPMENT'TO BEiN STALLED:
19. HEAT: ^ SPACE ^ RECESSED ^ CENTRAL ^ FLOOR BURNERS:
20. AIR CONDITIONING: ^ ROOM ^ CENTRAL
21. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: cfm
22. REFRIGERATION: MAX CAPACITY: cfm
23. COOLING TOWER: CAPACITY: gpm
24. FIRE SPRINKLER: NUMBER OF HEADS:
25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT:
26. COMMERCIAL HOOD NUMBER:
27. FIREPLACE: PREFABRICATED: MASONRY:
28. IRRIGATION: ^ PUMP ^ WELL ^ PIPING
29. GAS PIPING: # OF OUTLETS: ^ GAS AHU: ^ GAS WATER HEATER:
30.OTHER -SPECIFY:
SOLAR HEATING, BOILERS, UNFIRED
PRESSURE VESSEL, HEAT EXCHANGER
OR COIL IN DUCTS ETC.
ALUE FOR OTHER ITEMS:
A!R CONDlTIOi~~1NG RE 31: COOLING EQUIPMENT:
FRT ERAT90N E IPMENT C NDEN RS ETC.
NUMBER
OF UNITS
DESCRIPTION
MODEL #
MANUFACTURER
TONS APPROVING
AGENCY
-~.~ ~ 3 o r. Co ~. ~ ~, .c._ 3 Y}2 i
32. HEATING EQUIPMENT:
FURNACES BOILERS FIREPLAGES'AI HANDLERS ETC.
OF UNITS
DESCRIPTION
MODEL#
MANUFACTURER
BTU AH UVI Ci
AGENCY
33 TA NKS: ,
NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY
COAB FORM BLDG04: REVISED: 11/6/2007
CITY OF ATLANTIC BEACH
$00 SEMINOLE ROAD
ATLANTIC. BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-dept(c~coab.us
Application Number
Property Address
Application type description
Property Zoning .
Application valuation .
----------------------------
Application desc
INSTALL 11 FIXTURES
----------------------------
Owner
------------------------
LATIMER
297 PINE STREET
ATLANTIC BEACH FL 32233
08-00000030 Date 1/09/08
297 PINE ST
PLUMBING ONLY
TO BE UPDATED
0
--------------------------------------
Contractor
------------------------
WHITTINGTON PLUMBING & BACKFLO
11501 COLUMBIA PARK DR W
STE 203
JACKSONVILLE FL 32258
(904) 880-3337
Permit PLUMBING PERMIT
Additional desc .
Permit Fee 112.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 7/07/08
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
112.00 112.00
.00 .00
112.00 112.00
.00 .00
.00 .00
.00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
+ r
,~ r1 ~'~1'"*. CITY OF ATLANTIC BEACH
A~ 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
~. t OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845
`~ w BUILDING-DEPT~COAB.US
-~~-~__,,,. PLUMBING PERMIT APPLICATION
~7- _.I _ I._ . L _ I__ I
DUVALCOUNTY
1. JOB"ADDRESS: 2. I
S;.THIS'A SUB' PERMIT: 3. DATE:
//
ENO
Q' ~
Atlantic Beach
FL 32233 ^ YES PERMIT #:
• Q'~
PROPERT Y OWNER:
4. NAME: 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6. PHONE:
~' ~ ~~ ~ q7 ~~~ ~ c~3.
P LUMBING CONTRACTOR;
7. AME OF COMPANY:
~--
~ 8. ADDRESS.:
'~
~
..~ u o I ~ .. . u.
ao3
9. STATE OF FLORIDA LICE ~ ~ 10. CELL PHONE: A~ `~ „` 11. FAX NO.: O .~ ^~
O(
12. EMAIL ADDRESS:
~ r' 13. OFFICE PHO :O ~~~ ~
•.• 14.
.
.
iw! ~.MN Iv
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes null and vo~d if work is not commenced within six (6)
months, or if construction or work is suspended or abandoned for a period of six (6) month any a after work is commenced.
CONTRACTORS S RE:
15r NATURE OF WORK: 16. 7. _. 18. CURRENT CODEc
^ N ^'06 FLORIDA BUILDING CODE-
IpE PLUMBING
^ OTHER:
19 NUMBER OF FIXTURES:
BATH TUB r SEWER CONNECTION
BIDET SHOWERS
DISH WASHER SHOWERS PANS
DISPOSAL SINK
DRINKING FOUNTAIN ~ WATER CLOSET TANK
FLOOR DRAIN WATER CLOSET VALVE
HOSE BIB WASHING MACHINES
I ICE MAKER WATER CONNECTION
INTERCEPTOR ~ WATER HEATER
LAVATORY URINALS
LAUNDRY TRAY OTHER (SPECIFY):
ROOF DRAIN
20, PLUMBING PERMIT FEES:.
PERMIT ISSUING FEE: $35.00
TOTAL FIXTURES: ~ x $7.00 (PER FIXTURE) + $35.00 =
COAB FORM BLDG03: REVISED: 12/12/2007
CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Buzld^ i~pt rx coati us
Application Number OS-00000165 Date 2/05/08
Property Address 302 PINE ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation 6500
Application desc
reroof f12651
Owner
MARTIN, TOM
301 PINE STREET
ATLANTIC BEACH FL 32233
Contractor
------------------------
ROMANO ROOFING SERVICES
P.O. BOX 33037
ATLANTIC BEACH FL 32233
(904) 246-5649
Permit tcvvr ~-r~.~u•+1 t
Additional desC 65,00 Plan check Fee .00
Permit Fee Valuation 6500
ISSUe Date s/o3/os ----------------------------------
Expiration-Date----------------------d Credited --Due__
Pai
--- -"----- Charged ------- ---------- -" .oo
~^ 'I~IIIIIIII~ '--"-- - -_" &5.00 .00 .00
nn nn .00 00
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-dept(u~coab.us
Application Number 08-00000165 Date 2/05/08
Property Address 341 PINE ST
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation 6500
----------------------------------------------------------------------------
Applicati:on desc
reroof (12651
----------------------------------------------------------------------------
Owner
------------------------
MARTIN, TOM
301 PINE STREET
ATLANTIC BEACH FL 32233
Contractor
------------------------
ROMANO ROOFING SERVICES
P.O. BOX 33037
ATLANTIC BEACH FL 32233
(904) 246-5649
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc .
Permit Fee 65.00 Plan Check Fee .00
Issue Date Valuation 6500
Expiration Date 8/03/08
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total
Plan Check Total
Grand Total
65.00 65.00 .00 .00
.00 .00 .00 .00
65.00 65.00 .00 .00
PERMIT ~IS APPROVED ONLY IlV ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORt1iNANCES AND THE FLORIDA
BUILDING CODES.
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Job Address:
Legal Description
BUILDING PERMIT APPLICATION
CITY OF i4TLANTIC BEACH.
800 Semmale Road, Atlantic Beach FL 32233
Office: {904}247-5826 • Fax: (904) 247-5845
~r~~
Permit NumlSer:
Valuation of Work {Replacement Cost) 0 S O
= Class of Work Circle one): New Addition Alteration R ~ ' e -'--,
^ Use ofexistingsproposed strucilue(s) Cirde one}: Comnnerc~ ~~itniia.L--a~----> 7
^ If an existing structure, is a fire spn3~er system mstaIled? (Circle one - Yes No 3~7~'
^ Fs approval of homeowner's association or other private entity required)? (Circle one): Yes No
I I3escribe is detail the type of work to be performed^~~ ~ ~\ - ~` ,~ k~ ~
Property ~'WIIer IIIfoTllla#lon
Name:
City _
State _~CT.iP
Contractflr J.nfarmati
Name of C L"~a~ ~~) S~''~°1' uati A t: ~~~ ~~~ ~~
~?~Y~ ~ fJ'ug . ~ ~
Address: b City ~.- State ~LT.iP ~Z~3
Office Phone v r-- Job to/Contact Nnmber F Ft' S.5
State Certifica on/Registraitiax~ # ~ - /vS ~ ~~~ Office Fax # Q~t/ Z-S!G o -
ArchitectName & Phone #
Engineer's Name & Phone #
Application is hereby made to obtain a permit to do the work and installations as indicated I certify that. no work or
installation has commenced error to the issuanceof'a permit and that all work will be rformed to meet the standards ofall
laws regulating construction rn this jurisdiction, This permit becomes Trull and void ~ork is not commenced within six (6)
months, or i1'construction or work is suspended or abandoned far a period of six {6} months at arry time a{ter work is
commenced I understand that separate its must be securedfor Electrical World Plumbing, ,Signs, Wells, Pools,
Furnaces, Boilers, .Heaters, Tanks and Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMIV~ENCEMENT MAY
RESULT IN YOUR PAYIlVG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCIlVG, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
7 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will he complied with whether specified beret r not The granting of a
" . asii LiGES rtQt presu. ^.c tG gI'ae autli~rity tC VTOlate Qr cQP!~el the r r~VZSiO?ZF Of a?ay other deral, .FtQte, OT lOCal 1aW
regulating construction o e pe ormance of construction.
Signat~e of Property Owner. ~
Signature of Contractor:
Sworn to and subsc a before me~ ~ ~ f `~ ~ 6 _S ~ -~ f'- ~
this Day of `~ , Swo o and subscribed a me
this ,~ Day of „~~~ ~
Notary Public:
REVISED 03.05.07
Notary
swa;si(g uoRew~o;u~ eZO~ 6 L LO 0 L ~eW
~"'~ BLAINA RCIMANO
~r MY ~AMMIS5ION # DD357393
~',rt~" SIRES; Saptt~i~' 23, 2008
i 1-R~ai.~-t~?~aRY FI. Nt~4ary (?iscount Assce. Ca.
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DEPARTMENT OF BUILDING J~ O Q
"
CITY OF ATLANTIC BEACH. FLORIDA t V
PERMIT NO.
PERMIT TO BUILD
THlS PERMIT MUST BE POSTED ON JOB
Da+.~ 6J26 is-Z2
Vatuation Fee ; Ills - 37
Tbis permit sot valid until above tee has 6eea paid to City Treasurer, s ad is
subject to rovocatioa for vioLtion of applicable provision of Lw.
This is to certify that $rnxrard R;ail rleri3 , In c ~~~,; ~ .3 ~ Y~
~~a,j~'9"Y~'~t
.w ~ ;: , ,
has permission to buil-.~ ~r
TL ~wQ~~~~ ~ ' ~'~
t *~~ ~ k~~ a .R
~;i y ~ ~.ei~:~~s~`~
j;Seai~:y
Classification re~i~p*+tia1 ~1+ne
Owned by .1+S.ttlEtt~' 'Charrrcla~!
Lot S2b Btock .r,/DSalt Air Sect. 3
House No ~ 7 Pine Street:
According to approved plans which are part of this permit
NOTICE-ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
~ AFTER DATE OF ISSUE
.•.--.~ ~ - O Building material, rubbish and debris
~ from this work most not be placed is
„
,~ public apace, and must be cleared np
and hauled away by either contractor
or owner.
Bill M. Davis
Baildia~ OfaeW.
FOR OFFICE
USE ONLY PERMIT
NUMBER DATE CONTRACTOR
PLUMBINfi
`
4
ELECTR{CAL
SEWER
WATER
~~~ ~A~ ~~ .R.~~~' ~:~g ' '} ~ P,R~~~R'L~Y
FLORIDA
APPLICATION FOR BUILDING PERMIT
FOIL OFFICE USE ONLY 4
Date-,--~-~--••----~~- -•-~ ~-----19 -7/
Permit #--..,i'.~~~-.Fee $..~~ ~:~,7
Valuation $....~/.1}.../'~.~..f1..Q ...............
House #.~~~._~, .~1 .~.~r~~2:~~:.'•.-:.
Application na hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licensee can
be verified.
Date.------•---...----••--------------------•------June----1-2.,., is...7-~--
Owner_...____Laurett-e.--Ibarreche_--_•--•_••----,---_-••_------_AddresaY~~!?~.?.~..,~~o.'~',.AT.~x~~~Telephone No-------------------------•---
Architect----•--•-•-- GERARD-- VERMEY.-----•--...----••---••--•--•---._.._._..Addresa ................•-----------...---............--•----•----.Telephone No.---------------------......_
Contractor Builder_ BROWARD---BUILDERS-,.--- I1VC-,.--...-Address..P ~.0 ..---DRAWER.. AA.•-.~V~elephone No.2~k_~_-_?~8?~_6.__
Lot No._-.._-526.----••-.----• .............. ....Block No... .--- --- - -----...----Sub Division SALT...AIR SECT-.----~--------------- ----.....Zone--.--------------
~ZI~EX ......................•--•-Street---- ---------- -...---. Side Between----•------------P111-G_...Stre-e Land...... PO1115et.fem.....-•-----......Sta.
Valuation $...20 ~ 000 . OOFor what purpose will building be used_x'25.7,-C~.~l'1~-~.3a,....Type of construction.._.f'r.3m8 ...................
Dimensions of Buildin 2S • 2x8.0 0 x 100--•-----•-•------------=Size of Footin 10 "x 20-"-•-,-.•---
g------ •-•-------- --- ---•------------Dimensions of Lot-- ---~--.._..-----...._..... 8'a....-----••--•-••----• -
Size of Piers.______-,... ......................:Size of Sills.___.._._-.__.._-__-..-.__..Greatest Sill Span in ft._.___...___...___.___._...Type Roof_..Shlri~le
How will Building be Heated?_.e12CfY'1C •• •---- --- ----- ---•-•--•-. -Will Building be on Solid or Filled Ground?..___SOld••--.-••-•••--•••--
Size of Ceiling Jaista---_--------•----------------•--.-----•-_-, Distance on Centers--.---...--.-------.._....--.-.--......._.._, Greatest Span.---.•---•--•.---•-----.-••--•---•---....... »
Size of Floor Joists.---•------------•---------•------••-----•----, Distance on Centers-- - -•- --------•---•-----••----••---•--, Greatest Span_...-•-------------•-••----•---•......--•--- »
Size of Rafters---------------•-- ----- ------------------ ----------, Distance on Centers ..- - ---- ---•-•--•-----------------._, Greatest Span..-•----•---•--•--••---•-••--•--••-----•-•-• »
`.
Two copies of plane and specific aaa~~~°°°
be submitted with application. F' ~ R O V E p
Inspections required. JUN 1. ~_ 1979 BUat: I-ANTIC 6EAC}1
~vG or-F;c~
1. When steel is in place and ready to pour footing.
2. When steel is in place and re nd/or lints ~ 6
3. When steel is in place and re~~t >~~~1~1C B ~'
4. When framing is completed.
5. When rough plumbing is completed, and ready to cove
6. When septic tank drain field or sewer is laid but before it cc
7. Electrical inspection by City of Jacksor. 'lle.
8. Final inspection.
Note: In case of any rejection, re-inspection MUST be called for after
- corrections are made.
In consideration of per
work in accordance th
regulations of the City
Signature of Builder. ..
Signature of Owner ..............
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance i~ feet lrom
all lot-lines and existing buildings.
REAR, LOT LINE
7' ~
6's
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i5
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FRONT OF LOT
W
m
t given for doing the work as described in the above statement, we hereby agree to perform said
attached plans and apecificati ns, which are a part hereof, and in accordance with the building
Mantic B ach.
..--•-- • ...... .......•---...._....s..............__ Addreas....-.-........--.........-.-........_........•..............--••--•--•-.-.......--•..-••.--.•--....
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