Permit 1018 Camelia Street OF ATLANTIC BEACH
CITY
MS
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
'5, INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000507 Date 4/26/10
Property Address . . . . . . 1018 CAMELIA ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5000
----------------------------------------------------------------------------
Application desc
REROOF
--------------------------------------------
Owner Contractor
------------------------
------------------------
STEGALL ROMANO ROOFING SERVICES
1018 CAMELIA STREET P.O. BOX 33037 0,11
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-5649
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc - -
Permit Fee . . . . 7S . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 5000
Expiration Date . - 10/23/10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
09-
CITY OF ATLANTIC BEACH
Date: ROOFING PERMIT APPLICATION
Job Address S+rrjf+ AtiddiL Ee--h 322 `5
Owner of Propertycy
MW Abler Sfwaj i
Address.0 qby_ at�A �C6Z[ Cj" Telephone(2
Roof Contractor: —P-4bv-X ft 10 8 r-oj[P �N'4state License Number:
Contractor's Address: 9qjc c�jprss r- A" &JI/c bee,c, J.V 7_3
Telephone: i?Dq 61,o-ovu —Fax:-qOq 01'44 Y SP/0 Email:
Scope of Work: P_c roo-r- Roofing Material '30Vr- cv-C
FL Product Approval# 9,(.3 —Valuation of Work:
Required Inspections: Sheathing/in Progress-Dry In /Final
if re-roof. Assessed Value of Structure:_<$300,000/___�>$300,000;Roof-to-wall improvements required?
(Applies to single family structures only)
"WARNING TO OWNER: YOUR FAILURE TO RECORD 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 ORANATTOWEY BEFORE RECORDING YOUR NOTICE OF commmammr RoV-0-ZeA PL-44-
SIGNATURE OF OW ER: ft III)-, 3t@A Date: 6-32_4-1�;Cl
U U (,C�L�o-0
AS TO OWNER:
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's Signature:
0 P!ej,�a-nall
DANIEL S.ROMANO - . y known
@-*Oroduced identification
Nowy pwft.am
*cmm.bon Type of identification produced
conow"0 00 IX
E4 - ate: Cl-1
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20_LS_.
State of Florida,County of Duval
Notary's Signature:
0 'Pe Ily known
DANIEL S. �roducecl identification
Type of identification produced _Ml
SM of 11110ft
Oft ft.
Urvill 0 Seminole Road-Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800-Fax:(904)247-5845 F:\roof permit applicaton.docx 7/28/09
Permit Number Tax Folio Number
NOTICE OF COMMENCEMEN rr
STATE OF FLORIDA
COUNTY OF DUVAL
THE UNDERSIGNED hereby gives no Lice that 11,11Provenient will be madeto certain real
property,�.and in accordance wid-i Chapter 713, Florida Statutes,-the following information Is
provide'd.in ihis Notice of Coiniliencement.
1. Description of property (Addiess):_
2. Greneral description o- 1��
3. Owner irjforjja�alion:
1. Name and Address- log AH
2. Interest-in prop erty;,,
3. Name and add_rfss of'fee simple titleholder (other thari owiler):
4. Contactor's naille and address: ' OaOA).,,� L2-0,/)�CA-CD Bci
a. Phone liurnber: 90cl _0(1_7 4 F/ 3X 3 1
b. Fax iiw-iab(-,r: .
5. Surety Information:
a. Nanie and. address:
b. PhoneNilia-iber:
c. Fax Number:
d. Amount of Bond:
6. :Lender's lianae and address:
a. Mwie and address:
b. Phone Number:
7. Pers011 will-Jill t1le State of Fforida designaLedby Owl-ler upoll whoill notices or other
doctillients maybe served as providedby 713.12(l)(a), Florida Statutes.
a. Name and acldres�:
b. Phone number,
c. Fax, luirnber:
8. In addition'to billiself/herself, owner designates of
receive a copy of the Lienor's No-Lice as provided in
Section 713.12(l)(b), Florida SLatutes.
9. Expiration clate of Notice of Conli-nenceinent (tile expiration date is one (1) year froill the
date of Recordilip-1111less a different date is specif-jed)
Signature of Ownef.
Tertifirate Jaf (orrit)VUnru
Tity of
-Athintir Ifloriba
k4irtment of :401tijbing trtion
This Certificate issuedPursuant to the requirements
OfSection 103,8 Of the Sou he n Standa
Building Code certifying that at the time of issuance this structure t r rd
was in compliance with the
various ordinances regulating building construction
or use For the following.
Use Classification
Group Bldg. Permit No. 6677
Type construction
Fire District
Owner Of Building 1, f:,a tj I
Address in] S t re�-,
B
Locality 1-37-2 5 11)
By: PONT FORD
Date:
POST IN A CONSPICUOUS PLACE
................
—WAS
MAP SHOWING SOAVEY OF
t-07 co - &-Oc Ac 16 z
A r-(-44rrjc �5a!ACA4
AS NEURDED IN Ft AT BOOK A—PAOFS.-2-1 —OF THI:(VOILN't PUBLIC ItfCORD'S 0E-1!--WL4 L--COUNTV,sLURIDA.
CCATIf ILD 10 POA Xf ejpAl
APR 9 199
Building and Zoning
CA Me 1. 1A �577R(5e7-
flog
13"oAr
4c
PAD OA, jK 6,,,,
46
7
A91.ve-r
DA It OAK
17 OAK
X
VA SA\/r.0
-r- n c
&VAN or eCP4t-J)
-------------
00
t..o r
L17 L C3 L.
10 w I h 61
&OT (:o - J:� 1(5 Z
"/V '� A r"ki-r/a 'e�AC04
;-S PEGG;�DED IN! PLAT BOOK PACES _44- -OF THE CURRENT PUBLIC RECORDS OF-_2�L-v-A COUNTY, FLORIDA.
CERTIFIED jO_,0CAA1 0�dS5.041_
-/,f:5r ,r1A14,vc14i_ 5WIAzr7o �rrl Za4AI Ao_,,oc1.4-r1oV
CO3V1,'vM,VkV,644771 1.,4M9 �rI7_1_9 1A15zJf-4NC,6 CO.
C
3UL 11993
Building and Zoning
CA L 1A
3co' ro we:;7, .5 t4 3,rRee-r-
F�
75
e__ 0 7-
F, I Oe
tz
60,00
Z' 0 7-
4Y (_0 c;-- c's
68,82,
10MOMENT OF,10=0
LOCATIOM INFORMATION ---------
Null
*,-* -%i -
P4 1 61rmi t T11#6,1 Address: iols cAmELIA STREET
MECHAN I
CAL
ATLANTIC
"NEW BRACH, VLO.R IDA 32233
f
Cons t t LZOAL DZSCRIPTION
D' FRAKE
0: woo i
Lotp. Block: Section:
ropo -e 1INGLE FAMILY
a ed
Ja!;Sj: Cod Township: 0
RN01.
Subdiviision:, $Z�TTON H
$0.W
-t* 1�$0.00
ov
To al :
$43.00
D t
1/93
ifbrk De AND, A IR IN N
,HEAT
ZW SIMOLErFAMILY RESIDENCE
APPLICATION rgg6
$43.00
RAM
IT
��TREET KPACT PRE $Ojoo
WATER_I
FLORIDA
SE v,FEE
ViMPA
D 00 W-H
flop -------
$0,00
WATER TAP
....... SEWER TAP $0.00
L
$0.00
A
0F.":11LORIDA, 32216 HYDRAULIC SHARE $0 .00
con
CA TY ,e: 3 CAPITAL IMPROVE.
$0,00
SECIPH IMPACT
FEE 14 0
$
4
il"Ill I A N -i
NOTICE� WT FORMS,AND:FOOTINGS MUST BE twqpLcCT�
90 SIEFORE POURING
Ka
Pj�,RMJT VOID SIX MONTHS AFTER DATE OF ISSUE
AN
00('41'WOK O:DeSR�IS FROM THIS WORK MUST.NOTSf PLAtED,IN P�usuo spACE,AN,D MUST BE
-4 UILDING.MATERIA ft,
�4";)U, 'H ' NTRA
P AND, SYEITHERW CTOR-0
R OWNER
6*FAI LUR p TH THE MECHANIOSI, UE WRESULT IN
E wl
N�,I.AW CA,
A: WING -NTS*
p
f TWICETOWSU
IWINGI'm E
WROVEM ,
"p
A. ROVED'F NS WHICH ARE'PART OF THIS PERMITAND-SUSJEC REVOJAP
EWACCO DIN
OF-APPQ S Of;:LAW.'
Teem
-,E:
WME11 Mwt
J
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATIO-N FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV.
LOCATION Street Address: IV
OF Intersecting Street$: Between And
BUILDING
Sub-division
II. IDENTIFICATION — To be completed by all applicants .
In consideration of permit given for 'doing the work as described in the above statement we hereby agree to perform said work in accordance
with the 4ttachpd plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and stan ar,4—
of good practice listed therein. A 7)
Name of Mechanical Contractors
Contractor (Print) Master
Name of
Property Owner
of Owner Signature of
Architect or Engineer
W he Ind Agent
Ill. GENERAL INFORMATION
A, T po of hosting fuel:
IS OTHER CONSTRUCTION BEING DONE ON
sectlic THIS BUILDING OR SITE7
(3 Gas—[3 LP [3 Natural E3 Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION,
13 03 PERMIT
C3 Other — Spocifv
IV. MICH�NICAL MUIPMENT TO 11 INSTALLED NATURE OF WORK
(Provide complete list of components an back of this form) Residential or 0 Commercial
AHost 0 space 0 Rocessod Control a 1:10" New Building
Air Conditioning: t3 Room Central 0 Existing Building
0 Replacement ol"existing system
Duct System: Material 0 a" Thickness—
Molufflum cf.m. Now Installatlok(kO system previously Installed)
E3 Refrigeration 0 Extension or add-on to existing system
Cooling f0wer: Capacity 9-pin. 0 Other— Specify
13 Fire sprinklers: Number of heads
13 Elimfor 0 Manlift 13 Escal4fo (number)
THIS SPACE IPOR OFFICE USE ONLY
E3 Gasoline pumpt (number) (Received)
G Tanks —(number)
Remarks
13 LPG containis (number)
OW pressure vessel
C] Unt
Pormii Approved by
Do
C3 Citheir specify Permit Fee--
-LIST ALL EQUIPMENT
AM CONDITIONING AND REFRIGERATION EQUIPMENT
Ca acIty
Number UnItA Dwription Model Number Manufacturer (Wns) AppmIng
AMCy
L) ..........
r
bx ?
CITY OF ATLANTIC BEACH, FLORIDA
Appro-d by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-
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. U-4008471
Sum and Bryan Electric C&
14237,ME257
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGN JOURNEYMAN
I
NAME QSRO P%0SrDP-6L- ADDRESS: 12(2 C-AmEL-iA S;r, -RFD-BOX-
BLDG.SIZE S I 8�&Llc- EhMi L, / - - ke-e�' . BETWEEN: 27--// VMA,,.-jJ
RE&( .,r' APT.1 I COMM.I ) PUBLIC( ) INDUS. NEW(--K OLD REW. I
ADDITION ( ) TRAILER ( TEMP.( SIGNS ( ) -SO.FT.
SERVICE: NEW INCREASE( REPAIR FEE
-
CONDUCTOR SIZE AMPS I SO COPPER I ALUM.
SWITCH OR BREAKER I SO AMPS I PH '-�)W 7-'IDVOLT $S-IJ RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY .
FEEDERS NO� SIZE IND. SIZE NO. SIZE
LIGHT-ING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
1 0.30 AMPS. 31*100 A11PSd
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 1 0.100 AMPS, OVER
APPUANCES BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
0.1 OVER
MOTORS H.P. VOLTAGE PHS No. 1 H.P. VOLTAGE PHS
tam LtZRI'low.
6808,
'M T
PEPA T E F
C IT
Y�
F.Al��A ON T1 a U I Lai a
PIRMI T",'vj*J?0RHAT ION -------- LOCATION.. INFORMATION
Nttub Address ., 10181� CAKELIA STREET
Pormi t, T Yp*'! NO , ATLANTIC, BEACH, FLORIDA 32233
"S of LEGAL DESCRIPTION ----
Block;
nstr ,Tyj�t���WOOD :FRAM14 Liot: Section:
Prov ed SIXOtZ ,AMILt Township: RNG: 0
03
Su
0
Dwellinos �:ode: bdivisi,on* SECTION N,
al-got $0-.00
,-Estimated V,
improAr
Totai 50
$ . 50
Dat /13/93
Mai LE FAMILY� RZSJD�l
NG
NG IN
ION
Yri-- APPLICATION FEES
PERMIT $53.50
N
Ok STREET WA FEE Ooov, $0 .00
FEE
'o
Ph
Ph
RADON, GAS R.S.' $0 .00
------ RADON o" $0 .oo�
TI( --------
WATER TAP $0 .06
Name,
'0 .00
rjoaa SEWER
BCH M 52240-15 8 HYDAAUL I C, SHARE
$0.00
Tyoe 0, RE-I N SPECT PEE
"40'. o
'11RL
H: 114PACT FEE
$0 .olp,
SEC.
NOTI '0 0 TE FORMS AND FOOTINGS MUST BE INSPECTE0 89POIRE POURING
R
ER DATE OF ISSUE
PERMIT VOID SIX MONTHS AFT
�44
USSISH AND 060
IN6�,MATE.4 1"", RiS FAOM,THtS WORk MUST NOT OEPLACED IN PUBLIC$PACE,.AND MUST BE
p* "s
P AND! LE EITHER CONTRACTOR OR OWNER
777
U,
MICS1 'AW
L Olt[ L h CAN RESUL N
RFt� �TH T
"EVECHA
Lo 4 p
PtPAY NO TW
PROP, iCIETOR BUI I x ROVEMENTS.
77,7 7
Eg;10 REVCaTM
il'll',:�:�18$ufl)ACC P"Oved PLANS�WHICH ARE PART Of THI$'PERMIT AND SUBJ
A
"'�OP LAW.
.1 F_
ATION
F7
--�i ;E�
A �,J_Vt
lu
I OF!i
Z'M Ai 40
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUKBING PERMIT
JOB LOt 1ION
PLU',,IBING CONTRACTOR F, Ili. FAIR PLUMBING CCV�IPANY
LICENSE NUMBERS IrIP1 4 5 State RF0037 ,
BUILDING CONTRACTOR 6,,)
TYPE OF BUIL )ING
S I"'N'S SHOWERS
LAv ATORY WATER HEATERS
9'-'T�ATH TU S DISHWASHERS
-UR.!-iqALS _DISPOSALS
CLOSETS WASHING MACHINE. ,
FLOOR 1)1�' OTHER
d TOTAL FIXTURE COUNT X$3. 50 + A. oo
DATE TOTAL AM0UT,!T--
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE .
6677
J�jv-
DEPARTMENT OF'OUILDING
CITY OF ATLANTIC BEACH.
PZRMI,T`,.,!`1Jt#0ftATrON LOCATION INFORMATION
tob � 6677 Ad�ies 1, 018' CAMELIA STREET
rzIii t- Nu . 4tt �
ATLAINTICBEACH, FLORIDA132233
0111,at's 0
f '01* ------ - LEGAL DESCRIPTION --------
t ' 'BIRck: 182 list ion H
La 6
I LY
Towns Jp
Cod$ 0 Subdivision: SECTION H
Istimatied Vil,44,: $4640-00
0�$ 00,
.
al
$3213 . 90
t �$3213. 90 '
�23/53 OOAIT�1-
R;rk D LE FAMILY RESIUNCE 'PER ' 0
�PLANS US F 114
UVATION Otto
ION,
Ni PERMIT
A $302.:50
:' Add
IRD STREET WATER IMPACT FEE $410.00
pq
A011, FL
B rt , ` 0, 1
RADON ,4AS�!H�.R.'S.
RmAi RADON. GAS
51
tziC TAP
WA
--1 ,71 ON cc ;
ao.
EWER 0
Tx
KYDRAUL1C .4AARE
tiklt, FL 32250
$0�.:00
K4, -0 �"Type: 10 RE�INSPZCT 'FZE 00
SEC.H 114PACT
ZE 75,0 .
&
,N ES
OT IJI
OT�": 0971,FORMS AND FOOTINOS MUST BE INSPOICTEDAEFOA9 POURING
N
E IT VOID SIX MONTHS AFTERDATE OF ISSUE
RM
It P ACED,IN PUBLIC SPACE,AND MUST BE,
6 4GMAT-#A THIS WORKLMUST NOT Be L
RED UP A-NO It, 4WAv6y
EITHER CbNTRACTOROR OWNER
EA
'MECHANICS 1AWICAN' RESULT IN
WITH THE,
��,-*FAIILUR LIEN
fOVAYING TWICE..'�FOR,�BUILIO,I,Nd�:i'M�PAOVEMENTSO
0,
DATE: 05/IF/93
WLTO RjJACA"WOR '
OVIEDPLANS WHICH ARE PART OF THIS PE T AND SU
BLEPROVISIONtOF'LAW.
TWfa 13 213
$3
�MOLAtl
14
RMN-7 0W7W
:,,,�4TLMM BEACHW-A IN, D P TMENT
y
CITY OF ATLANTIC BEACH
BUILDING PERMIT CALCULATION SHEET
Address— /0/09 CffHtz- ( �/f S7-1
Date-1 5.3
llqo
Heated Square Footage $ p e r s q f t = $
<��-,ara /Shed @ $ per sq ft =
SC)
Carport�Po h @ $ per sq ft = $
Deck @ $ per sq ft = $
t.i $ per sq ft = $ 4LI�L
TOTAL VALUATION: $ �jz
Total Valuation Ist
5, Z/ --5c) $
Remaining Value
per, thousand
or portion thereof
TOTAL BUILDING FEE
+ 1/2 Filing Fee
(/ ) Fireplaces @ $15 .
BUILDING PERMIT FEF
BUILDING PERMIT
WATER CONNECTION
SEWER CONNECTION
WATER METER/TAP
CAPITAL IMPROVEMfEN7T ----
RADON (HRS) .0095
RADON (CAB) .01005 $
SECTION H PAVING $ 'T
HYDRAU�IC .SHARES $
OTHER
GRAND TOTAL DUE
0
ADDITIONAL PERMITS OR FEES, Mechanic41
----; Plumbing
Electric/New__" Electric/Temp_,_; SwimmingPool
Septic Tank w P 1, 1 Si gn Finish Floor Elevation
Si,irvev 0 t h e r
CALCULATIONS and/or NOTES:
FLOODPLAXU DEVELOPMENT XMFORMATION
Type of D&v&lopm,&nts__5jk&kjL_E&rLi6X r-4
..............
Flood Zones---L..
Required Lowest Floor Clevations-_
Xf building In located within a flood hazard man*# a survoi must
be made AFTER THE SLAB NAB MEN POIJRED# certifying that the
LOWEST FLOOR KLEVATXOU In equal to or above the base flood
elevation establisked for that son*.
No final Inspection will be mads, and no oart"ricate of occupancy
will be Issued until the ~v*y In on "Iiie, with the Building
Departmento
4.;OMMENTSt
I understand that the issuance of
Applicant Acknowledgement I
this permit in cpontlwgent upon the . above information being
correct and that the plans a" ou ting date have bee or shall
be provided as roquiredo X agree to comply with all applicable
provisions of Ordinance No* 26-7-11 and all other laws or
ordinances aggecting the propose# developmente
Date__7----—- Appliount4a 2Ignmt,ur*__-.L--
------------- --------------------- --------
Department Use
Required Lowest Floor Elevation ---------------
As Built Lowest Floor Elevation -----------------
Survey Filed with Building Department -----------
page 3
CITY OF ATLANTIC BEACH, FLORIDA
App"r**d bV APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: D
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. ER40084711
*"Son and &yan Sectric (b.
1423IME257
XLECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE
NAMEI)EAL0 PI 0:t�� SLJ, ADDRESS: 1019 C-ft6`-6Lfalq RFD-BOX
BLDG-SIZE 7-iSM0,- PbL..� - e%L.IL-v BETWEEN-.Q-&6w%! Qe-
RES.I APT. COMM.( I PUBLIC INDUS. NEW I -Y' OLD REW.
ADDITION ( I TRAILER ( TEMP.(-r' SIGNS ( ) SQ.FT.
SERVICE: NEW INCREASE ( I REPAIR FEE
CONDUCTORSIZE AMPS f�e) COPPER f ALUM.
SWITCH OR BREA ER AMPS I PH 3W VOLT -_j RACEWAY
EXIST.SERV.SIZE AMPS I PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPEJ -oVrfR--
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
OVER I VOLT AGEI PH S
MO-TORS H.P VOLTAGE PHS NO. I H.P.
---=8E=t2US
[Space Above This Line for Recording Data)
H"MIT NO, TAX FOLIO NO. 170994-0000
NOTICE OF COMMENCEMENT
ate of Fior'da
Unty of 1�&AL
' UtiDr tain real property, and in accordance with
,P HISIGNED hereby gives notice that improvement will be made to ced
ptler 713, Florida Statutes,the following information is provided in this,Notice of Commencernent.
DE-_5CJRlP1*i0N OF pnopc"R'Fy (Street address, if available)
Stre;n�t, Atlzu-itic Beach, viorida 32233
LEGAL DESCHIPTION OF PROPERTY
131ock 182, sKTION "li", MLANTIC MACH, according to plat thereof as recorded
L-, Plat Bcck 18, page 34 of the �izr,,_-nt public records of Duval Cxx�nty, Florida.
,%3EV,':_RAL DESQHIPTION OF IMPROVEMENT
to oorztruc-L a single facLily ch��_lling
INIEREST IN PROPERTY
NER
D&AN RjSS= UXISTRUqION INC. f ee simple.
1415 South 3rd St.
L7ac_k,.,3nvi1.le Beach, Florida 322.50
n oymei)
L T, 5wil
RUSS ff Z a.'NS'1XK_-FIGN, TNC_�
1415 South Rd St.
Pbach, Florida 32250
DEOH 11-Al
H[�Y j:Z:
IN&NCILG SAVDIGS & WWI AS-SCC.
N/A 14333-104 Beadh
Jac%smville DeCch, F-1 � 322-50
Pei,5Qn(s) within the State of Florida designated by Owner upon whom notices or other documents may be served as
11�id; ,A SIWWO W�*10
RON bOw.
T
1415 S:�)-utli 3rd St.
Tackzornrille Beac:h, Florida .32250
-F�TK
In aJdit'ro to himself, Owner designates the pemon whoqe pErpLES )TfRgr 1�-jjqAIIC L VU At AF
]:A, rA IGS & T
ne and adwd�e5s appear in the box at the right 'to receive a 143.,3-104 D--aQh Blvd.
uy cJ Lienors Notice as pio-vided in Section 713,13(l)(b), Jacj,-sonville, W�2acli, Florida 32250
�io a S t"A"U t e G.
of date of Notice of Commono,-4ment (the
,pi ation date is I year frorTI the date of recording unless a
"El I
ren t -late is specified) is shown in box at
DEM WSSIUL Q)N!�TRUCTTW, INC.
Signature
of Owner A—--4---
Name D-a-an Russell, Presidei-it
D'i'AA13ATION of Owner_
The foregoing notice was acknowledged before me this 12t-h
at,3 01 day of May, 1993 by
'A
,,R� I
7- ,
I ss� Dean F4�Lssell, President of Dean Russe:Ll
,�,unlv of HDIARY ?2e2;S4AM-R9910&VLAR1,.
'TVA-1 My C:0f"jj5S*H EXPIRES AUGUS;01,1994
Notary Public's Dgo THOU ffYCKWHIMY A AMCIATZ3
Signature L&" Aii r\J
R6 L q
Notary Public's-NaMe,
For the County of: C)UvA i- State of: FLOP-CDA
My Commission EXpires:
Pec,plez k-irst Finanr-ial Savincjs Loan Assoc�
1.4333--104 Beach Blvd.
Jar.�Y-P,unville Beach, Fl. 32250
at.tcmtion. Brenda Hinl-,ofer
[ K£-SE8vlCl-,: UIYIBIOQ
JACKS�0VILLE' CLE'CTBIC AUTHORITY
WE51' DUVAL ST8EF ? -
JACK'Z-�UNYILLE, FLORIDA 32202
_
'
THE FOLLOWING PI08L l0SPECTION<S> HAVE BEEN MADE, AQU x8G
`:1TI�FA C'TOKY;
--- ---- !
/ ^
. .
[uc]osed are the 6Ioe copies of the permits. .
�
� .
,
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/
iliI|,bING DIVISION
TLE
_
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.
D
BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6) / �
WATER CLOSET
WATER CLOSET, TANK OPERATED- (4) VALVE OPERATED (8)
TBATHTUB/SHOWER (2) URINAL WALL LIP (4)
—SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
4 SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
—LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3) POT, SCULLERY SINK (4)
DISHWASHER (2) WASH SINK EACH SET OF
FAUCETS (2)
KITCHEN SINK (2)
j I DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
URINAL STALL, WASHOUT (4)
BIDET (3)
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 LICE MAKgR (1/2)
SHOP (2)
SURGEONS SINK (3) C)—LAVATORY, SURGEONS (2)
JACUZZI (2) 0 URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS 0 @ $20.00 EACH $ od
JOB INFORMATION_ C f
S7
3
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JA�MINE STlqiEET i
I/Wl vwf
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2
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3
(164)
CAmE"Ll
- - - --- - --- - - - - --- - -- - ----
,hROPERTY DESCRIPTION CITY OF
4o4� Ve"i - �7eojaa
.ot *--�e----Block 19_j_j�g�:__Svction 716 OCEAN BOULEVARD
P.0.BOX 26
A PR' ATLAPMC BEACH.rLoRrDA 32233
;ubdivisions TELEPHONE 11iO4)2491-2J95
/0/,p All 0 1,
Itreet H foe 019,a17dL,,Zft*... .., WORK
3r Addre:ss 6,WeL) A—�]
It in a FLOOD HAZARD
'lood Zones....1�----- ---area complete page 3. Brief
Description s
rAMILy
Claws of Works
I Now/Remodwl/Addition) t'j
:GHIHG INFORMATION
Type of
Constructions_Wz>d
.oning Proposed
listrict 3 PC,L6--,-- - At;
Uses---til -Carll I�1-146?10— Estimated Vailue
:xceptione or Materials&
ariancow Granted$
Solid or
------------------------------------------- Filled
Ground I_EI�LLjtn.....Roofs A L
OWNER INFORMATION
Method of Meetings_j4Cjj_fJtAP.....
Property Owners P h o n a s
"ailing
Address.
4 4 i�,b 4YJ.Lim F. L t, --------------------- zips_ ZZ2 So
&HTRACTOR INFORHATION
Contractors-11--t4-f L J��Pz4lr-A(.li 1(z------------------- Phones-ZA 1 1111
hailing
Addrews3
-----------—-----
Expiration
License Numbers---- ----------------- Dates- 31 Au(,11
2 NC*C11V CCRTIrY TWAT I MATZ READ AND CXAMIXCD THIS APPLICATION AND KNOW TUC SAMC To Be TRUE
AND CORUCT. ALL Poovissons or THE LAWS AND ORDINANCES DOVESNXNO TNIS TYPE OF WORK WILL &E
C MPL1CD WITH, WHCTNCR spacirtao MENCIN On NOT. THE OXANIXUO or A PERMIT DOES NOT PRESUME TO
AUTHORITY TO VIOLATC ON CANCEL THC ritoviezous or ANY FEDERAL, STATE OR LOCAL RULES.
REGULATIONS. onorwAmccs, ON LAWS IN ANY MANNER, INCLUDING THE GOVIONINC) OF CONSTRUCTION OR T14E
PERFORMANCE Of CONSTRUCTION OF THE PROJCCT. I UNDEW81"D THAT THC ISSUAMCC Or THIS PERMIT IS
CONTJ::CHT UPON TUC ASQVC INFORMATION BEING TRUE AND CORRECT AND THAT TUC PLA
US AND SUPPORTIN
DA A VX NCEN OR SMALL ME PMOY1DCD AS REQUIRED.
..k�'N
-.j
Owner Signature Date-Y
---------- ------
ContractorSignature............................Date
------------
MAP SHOWING SURVEY OF
AS RECORDED IN P1 AT 8O0K___'f__PAOFS. —OF THE CUF11101 PUPLIC WORMS OF, V(1`241�g —COUNTY.FLURIDA.
CEATI(ICO 10
APR"9199
hilding and Zoning
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m
ADDRESS
BUILDING PERMIT NUMBER---
INSPECTIONS: UNDER SLAB
FOOT ING_
FRAMING - 3 - 93
INSULATION-----.6,
FINAL BUILDING--..&
CERTIFICATE OF OCCUPANCY6 ---3 (L-9-3.
ELECTRICAL PERMIT #--------
INSPECTIONS ROUGH 7- 73
-------------
9
,3
FINAL
MECHANICAL PERMI T -2-
PLUMBING PERMIT #--------
NOTES: