Permit 1882 Hickory Lane I_ C.: ti 1 , 11 '. ! • ^ I
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•
1
OF BUILDING PERMIT NO. "
1
DEPARTME
� �, CITY co ATLANTIC BEACH, FLORIDA
PERMI TO BUILD
04
.�;c
I THiS PERMIT MUST BE POSTED ON JOB 19 �--
� 7/1 5 / %' J 1 a / „
If D a I CAL Fee $ 51+. J992 1 4 7/1b/'‘
i
MEGA �U *WC AC
■ Valuation $ a id to City Treasurer, and is
C ty Tr, s
WILLIAMS & SONS urer,
This permit not valid until above fee has �D lcable provisions
subject to revocation for violation of app
I
This is to certify that
T &AIR
has permission t
o� INSTALL BEA
FAMILY Zone Pt3i)
SINGLE FAML g�rina
Bloc
i
Classification RENT PAM STEVENS TEVESelr _
Owned by h�
Lot N,. � r ' :1`
House No• part of this permit FORMS
approved plans which are p ALL CONCRETE BE IN
NOTICE MUST
■ According to app A ND FOOTINGS POURING.
SPECTED BEFORE MONTHS
I PERMIT VOID SIX M
AFTER DATE OF ISSUE 0 -n
g m aterial, rubbish and debris
o Buildin ust not be placed
� fr om this work. m mu be cleared
4 in public space, and m
I up a e ,. aolwneaway by either con -
ac r
Building
Official.
CONTRACT
PERMIT DATE
FOR OFFICE NUMBER
� USE ONLY
PLUMBIN
I ELECTRICAL IIIIIIIIII
SEWER
WATER APilok
:� �G AND �C E�Ei�C I��� ' (�'I (C IS f f�'E4E�I� O,i
L.UELE tE
CITY OF ATLANTIC BEACH, FLORIDA J .
APPLICATION FOR MECHANICAL PERMIT .
)mNDRTA.HT- Appoint to cornptafs► all items in sections I, I1, III, and IV.
}�,C kG t' c.0 L,K1 twt.r..n St..,� St.
I. OR __ _ - - --5 t. . ) (� ) J (Int.?wc M Streets)
LOCATION (+torts,, South, Eatt, wait) (Addr.yt
OF
f tl ►LC {110 Lot Flock No Svb- division St t t)'E mC)-C l I\0.-. f l if (Stale portion of ter s than fuS lot - Attach F►q.I d per fired in duplicate if nwrwry) - -- .
11. TYPE OF l' O'0SED ).!ECt-V.NICAL WON( - All s pplicents ctxnplat• Parts A - 0 .
A. US. OF tUILOING PWNELSHIP L
15. ❑ Privates 0/4;7idwl. u+rj.oret:c.e,
RESIDENTIAL nonprofit irrsnitvtio . etc.)
t. �OM family 11. ❑ Utility 16. ❑ P (Federsl, State o+ local pave+..wwf)
2. ❑ Tyro or more Lmiy - 12. ❑ o Ftrar
Enter number of roornl o}+al C. NATURE OF WORK
3. ❑ Transient, Lot.t. motel. 17. 0" fru"dng
morning {.outs -- 13. ❑ S. ma+Cantil.
Enter n umOar of unlit Ott.ee 11. ❑ E.141;nq W4;1'41. 1. '
4. ❑ O1Aer residenfiol 14. ❑ OTrsER SPECIFY - It. ❑ t;eF' stoat - of of eurfinq system
• 20, �M inst.l'Kfion (P 'rsfertt `r -»°'* 1.4ts1W)
NONRESIDENTIAL 21. ❑ E:ts+rs'ron or sdd -0r f . e�ittinq rl,twn.
S. ❑ Amusement, recreational 22. ❑ °Are -- Specify
6. ❑ Churcti, e$.r religious
7. ❑ Industrial .
1. ❑ G•r /y'e, sarvic• sta+,on -
I. ❑ Fiorpit.l, institutional L OF
OF `VILDING
36. ❑ Number of ctoriet / 10. ❑ OFFice, bent. professional
A 37. fieWcod frame
D. MECHANICAL EQUIPMENT TO tE INSTALLED 38, ❑ tlesenoy and wood
(Prov ccomp'.ts list of components OR k:eck of this fret) 31, ❑ Reinforced concrete
23. � a Furnace: ❑ Specs ❑ Re.cedd s. O ❑ Roar 40. 0 Struchool Stew)
i / 9
24.
Air Conditioning: ❑ Room ' Central 41. ❑ Otfier
_/
25. a Ouct System: Moteria11)t 4 rA Tni imrst ' +I
Ida aimum Capacity c.f_m.
TONAGE: -1 /).,. ' '
26. ❑ R
THIS SPACE FOlt OFFiCE USE ONLY 27. ❑ CaoCng tower: Capacity
11•p-m• O
21. ❑ Fire sprinllers: Number of Aeads
21. ❑ Elevator ❑ 1!anlift ❑ Ex.e.f* (number)
30. ❑ Gcsotne p'Jmpt..- - (number)
31. ❑ Tents (num:.r) 'smarts _
32. ❑ LPG containers (nr -shat)
33. ❑ Unfired ptttsun .rue{ Fannies A;,pro..d try Oats
34. ❑ WTers
Permit F•s.._._
35. ❑ Oti+:v - $pacify
1
III. G NER L INFORM-4.110N -. A. T of t.eatir r .I: B.
Type q IS OTMER CONSTRUCTION EEING DONE ON
42 ❑ Vs:.tric THIS BUILDISG OR SITE? __
I
_ --- / - \ / A - '
7. ,11,,_,,,■—________.„_...-1 4 \ i ' 4 \
re / Ttrt firatt of MrrU1ttnr1
CITY OF
Departmrrit of Buithino 3Jriopertt fl
This Certificate ` +.
rti irate issued pursuant to the requirements of Section 109 of t he Southern Standard
,,
Buildin .Code. certifying that at the time of issuance this structure was in co with the
8
various ordinances regulating building construction or use. For the following: .
vA r
f `� - / 1 l Bldg. Permit No.
Use Classi5cati•I`
l Fire Di strict..
1 - - - - --
Group
.! t 1 `t' t '.' Address s
�+y r
Owner of Building , , � , � J �� , / L "�.
' ft 745or 1i '_ __ , ter
Building Address
� By: � r _ � -- -,
s
' / _ ' .1M si .t'"
e i
444Ms„ N., :' A' A i,,� s r (C C 1r L. .�+ Date: _ "`"'
� � - ` B uild inOfficial
Ppg7 IN A CONSPICUOUS GLA 'y
CITY OF ATLANTIC BEACH, FLORIDA
b„ APPLICATION FOR ELECTRICAL PERMIT
E .CHIE F E
LECTRICAL INSPECTOR: DATE: 14_
IORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK DESCRIBED N AND NWE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY Of
ATLANTIC BEACH ORDINANCES.
----:)-
_ _ , i
JPD .r G 9�,,e... _.:.,..3
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE
JOURNEYNU►►i�
ei c 5- '} PADDRESS: JAS t� + /1#e 1 ! ? � RF BOX_ __.
NAME
BLDG. SIZE
. / J BETWEEN:
RES.1 v( APT. ( ) COMM,1 1 PUBLIC 1 I INDUS. 1 ) NEW 1 ) OLD 1 1 REW.1 1
A ADDITION 1 ) - TRAILER ( ) TEMP. 1 SIGNS ( ) SO. FT.
SERV$CE: NEW O INCREASE 1 ) REPAIR ( 1 FEE
�+ pUCTOR
.SIxE AMPS .. n a COPPER ALUM...
ITCH 0 . - R ® 6 c) . AMPS PH Itli - . VOLT RA -
EXIST. SERV. SIZE AMPS PH VOLT RACEWAY
"HERS NO. -- SIZE - - NO SIZE NO
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN I= TOTAL
0.30 AMPS. 81.100 AMPS
SWITCHES 1111.111.1111 Mill11111
INCANDESCENT
FLUORESCENT & M. V.
FIXED 0.100 AMPS, OVER
APPL1ANCES IIIIIIIIIIIII BELL TRANSF.
AIR H RATING H.P. RATING
CONDITIONING COMP. MOTOR OTHER MOTORS MI EIL HEAT: KW.HEAT
IIIIIIII
III
0.1 OVER
MOTORS _., ..: H.P - _
VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
IMI
: - ELLANEOUS
TR &NSFflRMERS: I UNDER 600 V. OVER 600 V.
11 (
II C I
DEPARTMENT OF BUILDING #,, PERMIT NO. �+ —* -�=
CITY OF ATLANTIC BEACH, FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Iiilk Date
1 9 $3
Valuation $J 2 08'x-69 Fee$ 2$$.75 ,
.75 T
This permit not valid until above fee has been paid to City Treasurer, and is 20.75 F a f
subject to revocation for violation of applicable provisions of law. s
to ld
This is to certify that GILES CONSTRUCTION CO. 3 3 i •J 0;
1112 THIRD STREET, NB .c
-
has permission to build
FAMILY HOME AS PER PLANS SUBMITTED II it
PUD
��� cT►dCi F g[.yMTLY Zone
Classification
KENT & PAM STEVENS a u_ na
Lot Block
Owned by _ --
. 1
___------ -
House No. -
According to approved plans which are part of this permit
NOTICE —ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
�� �► CT D BEFORE POURING.
/ ' 1/ r _ ,PERMIT VOID SIX MONTHS
i AFTER DATE OF ISSUE
f
,411--:2----+ —► O Buildin g material, rubbish and debris
4�■ F from this work must not be placed
t h 1 y \ in public space, and must be cleared
up and hauled away b either .n.
I oowner..
it L e ct
Building Official
iI I
D ATE CONTRACTOR
FOR OFFICE
USE ONLY
PLUMBING 1,
I I
ELECTRICAL
SEWER
WATER
I
I
1+1 C1C0i UZA A __,
:1t111%::ICAL: 54416
LI } l I P 1 CAL: 3 (. 1
BUILDING PLI,NIT WORKSHEET
/
IlEAlED SQUARE FOOTAGE: .1 I iig @ $ 34 ,(0_ __ _____ per sq. ft.
- GARAGE (PRIVATE/SHED): _____9_7 __ _ @ $ __ _ /0 2-C __ _____ per sq • f = $ 54)22
CARPORT: — @ $ per sq. ft. = $
__ _ _ _ _ — - - -
MRCP F.S : @ $ per sq. ft. = $ OW
_
DECK: , /40 @ $ (0. o per sq. ft. = $ Iwo)
_
14gief IF2 @ $ 1- 2-2- per sq. ft. = $ tc
TOTAL VALUATION: $ 702
,
PF_MIT FEES
1,21_03309 /3 o. 5° $ _/ 36
1OTAL VALUATION DATA 1st $ 0
R E: !AI N VA - LUAT I ON @ $ c 2.07.) - per thousand
or portion thereof
TOTAL BUILDING PERMIT FEE , $
PLUS 1/2 THE BUILDING PERMIT FOR PLAN FILING FEE $
i 4olat-e—
TOTAL FEE DUE $ onic• 2-S
PI=BING PERMIT FEE: $ MECHANICAL PERMIT FEE: $
ELECTRICAL RESIDENTIAL: $ ELECTRICAL CAL TEM_RCRARY: $
WATER METER SIZE: 3 11 N 19-
FEE: $ -
_
SEWER CONNECTION CHARGE: SQUARE FOOTAGE: MOO S F FEE $ g 0 C 44-
WATER CONNECTION CHARGE: FIXTURE UNITS f @ $10.00 PER UNIT: $ A 2 76 0 - 9 --
ACCOUNT NO.:
— ---- _ _
APPROVED BY: TOTAL BUILDING/PLAN FILING FEES:
TOTAL WAIER Mr__I-:It CHRGE: $
APPROVED
CITY OF ATL;ATIC BEACH TOTAL WATER CONNECTION CHARGE: $ a700.....Q.
BUILDING OFFICE TOTAL SEWER CONNECTION CHARGE:
Wi 1 1283
GRAND TOTAL DUE: $ i
dr
WO E _
N! TYPI OF
- - - - - - - - - - - - - - - -- - - . _
! - _ - _
I.i_P 3 PE I:ES ) 1)!,N ;3 AL
- - --- --- - -- - - - - - - - -- -- - -- - ---- i'-.1)))) 3 ON CO::'Ii:iC3 AL
_
;DESS
-- - - - - -- - -- --- -- - , _______ _ _
El, Y1.1..ER
p3 ease print APPROVED
CITY OF All.;.NTIC CEACH
/C01. II OCCUPAI 3 ONAL L3 CENSE NO. - - - - - -E3 4,1-1-1_-91-iN C 0 7'F - - - - - - - • -
I E ( ,- l:1 I F 3 CAI E NO. _ _ _ ___ _ _ ___ ___ - - --- otAY--75-1983- ____
'_ OR C20'.-:T1-'_;CTOR df
_ _____ 3 ,...,../4".. 7.% ..-...-_. ------ - -- . - - - - -
- - -- - - /
/ SF..P.S ; _ LAVA ORY ..2., BATH ILBS UR] NA/. FLOOR 1)7-1A1NS
3 c,E.,_:.-rs _ 1 1•:.L.1 ER I- '.;-__:-,--.! v RS 1 D1 sy.1:AcHERs 1 Di SP:'SALS
- --- — -
•
, .
OTriER TOTAL F 1 Y.TUI COUNT
:.L.Li_..L.-J 3 ON Or :■-'1 i_ AND FI .'-1UST
1.:11n Jht. - _'10ST EECENT DillON
. 1 :- 7 cf".1;_. -.: -:- F 7 c•-•''L-!-_'_ P 1 17,.../ B 1 NC; CODE. S1 G.! Ur.E at SIR P1.1
..:-. * -.:-... 5 -.-..-. .,-.-. * -.1.- * * i•-'. i.... 111
I- I .:>: I UN 1 T
•._ ..7.... . .._ - ..1 i c L 1 -. 7- v ST:- - ' , 1_,' S AS THE Yi; -t.SUF:- OF -1 .:AI i- I c:. FOR EACH st:,-!-. ER I:1 . .i..k. F.E 't_
- LL: :-';D CO'. .'.= CI ED TO THE Cl TY 1 .:1--.".T ER SIS THE, 1.:.,:,TET: Sl_.??1_,I CHARGE.. IS ;-:.E1 i : - ..).t-iD Al
ER 1= I >IT - L;RE. I_TN 1 T CO T .- TO THE C I fl 1-r.'A I EP-, SI S li 7 =-2 . /... SEC. 27 (c)
1 EAF C CONSI STING OF c2 E.-- 1 n I LrE (W/ OR 1::/ 0 OVER c': SI.!,11.,
1:ATER CLC.'SET , LAVATORY •S E_-TB F- E: LW S.. C; _- ( 2 ti - 1 TS ) . (2 1
TUB OR S: STALL (6 UNITS)
1 (3 UN:ITS) 1_ 71 - 71f-',Y
COi`-'.3INAT 3 ON SIN} S TRAY (2 LT.' I TS)
- ii=7;TAL LAVATORY
( 3 Uhl TS ) (1 151T) K1TC: 51NT,
CG;:BINI-t] I ON SINK b TRAY W/ ( 2 - C: - :;.11 - S)
_ DENTAL UNIT OR CUSPI
FOOD D1 S . (4 UNI TS) _
DOR (1 15N1T) j K1 I CHEN Sla:
DRINKING T TAIN (1/2 UNIT) STE CR
_ _ .2_ D1S1 (2 UNI TS)
F1_00F. DRA I NS (1 1141T)
/ L- TOR (1 UNIT) 1__Ar.:-,TORY , 2.
i__I,'ATORY SC-;_-:ONS (2 UNI TS) Tt.T-'-d_ifl P:- ";
_
- S 1 0 .• 1-, R S C - 7.: OUP P ER 1 ti--_,t,D (2 I TS)
SURGr7ONS SINK (3 L1 TS) (3 UNITS)
POT, SCIn 1 :IR
FL1.'SH I NG R1.1 SINK (8 UNITS) c V l Cr' SI NI: I RAP -- --- -
SI NY. (4 1. T
ST;-...2AD (3 1..T11 TS)
URINAL, 3- SIPI JET
-- Iii-U NAl. S
BLC01JT (8 12:N] TS) ITI- AL, 1:'..t.LL LIP _ _
LOUT (4
(4 UNI TS)
- CRINA_L l013G11 EACH 2 '
,3 T . : A S 11 I G '_-%.C RES_ 1.:ASH s 1 1.a: EA
SECTION (2 UNITS) -
(3 131:1 TS) OF FATICETS
'.7.!-,71■ CLOSETS, "i"-21:- :-7. CLOS;ITS, VALVE (2 I TS)
C.,.=- i E.D (4 I'Ni TS) ( . C.1 i__'
...=. D (E 11N ri'S)
- --
, t./.. ;-! i.. ; : i_. TS e27 a Ao, .0
_ .......
FOR OFFICE USE ONLY
Date 19
Permit # Fee $
CITY OF ATLANTIC BEACH Valuation $
FLORIDA House #
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner- Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can
be verified. Y
Date M a 27 ,1983
Owner.- Kent- . &-- _Pam...S te.v..en.s Address Telephone No. 641'857 3
Architect
Larry Willis Address. 9951 Atl. Blvd. Telephone NO. 724-3944
Contractor Builder Rick Giles Construction Address 300 N. 2nd St Telephone No. 249-525 5
Lot No. __. -1 -, Unit ....12 -B Block No. Sub Division_. - ELVA Inkg/htA, Zone
Hickor Vq'rN and PkL>= 1.. � Sts.
Street Side Between
Lane
Valuation $-. 76 ., Poo For what purpose will building be used Sin . Fam Type of construction.JOOP... ---A1'►'�e,
Dimensions of Building. 0 ' 5� Dimensions of Lot $w ( 1 2
g - 0 Size of Footings 1 -- -1.6 -X 1 o
--
Size of Piers Size of Sills Greatest Sill Span in ft Type Roof. ...E1! e.K.APC 4
`, POMP Will Building be on Solid or Filled Ground? 3o L. /D
How will Building be Heated?. 0 d
� �� g ti � ,�
Size of Ceiling Joists 2- a , Distance on Centers 24" , Greatest Span lZ "
ri
Size of Floor Joists Vi I , Distance on Centers i w , Greatest Span 40 " 0
Size of Rafters �4� ' 2 - 1 ' Z , Distance on Cente al , Greatest Span 8
This rectangle is to represent the lot.
Locate the building OT buildings in the
right position. Give distance in feet from
all lot -lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required. � �� PL-DT �La�
1. When steel is in place and ready to pour footing. W W
2. When steel is in place and ready to pour columns and/or lintel. a a
3. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed, and ready to cover up. W W
6. When septic tank drain field or sewer is laid but before it is covered. a A
7. Electrical inspection by City of Jacksonville. m r
8. Final inspection.
Note: In case of any rejection, re- inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of pe n or d• ng the work as described in the above statement, we hereby agree to perform said
work in accordance with : to ed • ands ; d specifications, which are a part hereof, and in accordance with the building
regulations of the City an ' • • .
Signature of Builder....- ... ....
C----'—' Address -- Ni 2140 67-- T[ /2 VI i.'1/ ._ - may
Signature of Owne _- Address
CITY OF ATL%,t:T I C '. -- I {CH
716 OCEAN BOULEVARD
ATLANTIC BEACH, FLORIDA
ADDENDUM 10 BUILDING PLAN
Building Location: Let' j 1i 1% / - 5 f'/ & A- ' �
� t 2 �..___.____-------- ._____. - --
The attached plan for the above building is approved subject to meeting the following
applicable construction requirements:
a. Footings shall be continuous monolithic concrete under exterior walls, reinforced
with two 5/8" deformed reinforcing rods for one -story buildings and three 5/8"
deformed reinforcing rods for two -story buildings. Reinforcing rods shall be
placed in the lower one -third of the footings, properly placed and fastened on
metal cables with wire. Footings shall be six inches wider on each side than the
wall above, shall be at least eight inches thick and shall rest on firm soil at
least twelve inches below undisturbed soil.
•
b. In hollow masonry unit construction, each unit cell shall be reinforced with at
least on No. 4 bar at all conrners, poured and tamped with concrete; such rein-
forcing shall be properly tied into the footing and spandral beam.
c. All wood truss rafters (roof construction), shall be securely fastened to the
exterior walls with approved hurricane anchors or clips.
d. Construction of nearby one- family dwellings, which are duplicates or intensely
similar, shall be avoided. Such similarity considers the external configuration
and appearance (i.e., roof, outer tall materials, window size and design, and
other like characteristics) of structures. In accord with the foregoing, similar
and shall be at least 500 feet apart if any one similar dwelling is visible from
any other similar dwelling.
e. The final connection between the house plumbing drain and the s:::er= service
connection (at the property line) must be inspected by the City before being
covered.
City Manager
• undersigned hereby certifies that he has read the above and understands that this
lendum takes precedence over any contrary details to the plans and _pecifications and
ees to comply with the intent of this addendum.
ont r ctbr/ wner --
Dat
CITY OF ATLANTIC BEACH
APPLICATION FOR WATER CUT - INS....
APPLICATION IS HEREBY MADE FOR 6)3/ `{ / WATER CUT -IN AT
THE FOLLOWING ADDRESS FOR -- UNITS.
U
CUT-IN CHARGE OF
•
STREET NO. /S 2 - - ` - (cc <2
LOT l BLOCK - ___SUBDIVISION - (//4.,C,f (L1
ACCOUNT NUMBER 2/U _` - -------------- - - -___
C
MAILING ADDRESS
DATE
METER NO. DATE INSTALLED -- -- . -___-
CITY OF ATI/011IC BEACH
APPLICATION FOR SEWER CONI\TECrIONS
AOODUNT NO. ...2) U I �D
DAZE 5 - 3 I
I_fJCATION I b Z /44 c1(.0 r to m
LOT NO. 1 B Q -matt �t
LOC IJO. SUBDIVISION ni /a.
aziER , / v / S / / (
TYPE OF BUILDING \S/Aj-e-C_ ?
`
1
i KS ------- X1 C- 4
_,,,,r„.„,____
,________
DATE
INSPE= BY
,