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Permit 817 Amberjack laneCITY ©F r¢to tie ~'eac~ - jl~vru.~ci 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE (904) 247-5800 FAX (904) 247-5805 SUNCOM 852-5800 DATE ~~, ~ ~ ~ ~ ~ `~ JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Final Electrical Inspecticuis Dear Connie: Final Inspections on the following locations have been completed and approved: PERMIT NO. DDRESS ~~a~~ ~~a~~ ~~~ ~~ Please cal! me at 904-247-5826 if you have any questions. 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Tvpe:W~OD FRAME Black: Lot: Twp: ~ Presposed Use; Sectian: 0 Subd:O Rng: C1 Dwelling: 1 Subdivision:ROYAL PALMS Est. Value: ~.4Q Irnprov. Cost: 1,F8Q,04 Total ~'~~s : 34 . X30 Am~aunt bP ~ ~ ;~_ 3O . Q~ ` t e ~> ~ 'I ~ 9 6 ,~~. ~ -~ ~~~ ~ ``- ,.~ ~~ ~ ~~' i'~ork ~ ' ENLARC3E EXISTING STRUCTURE IN REAR ©F HOME/VARiANCE 51 t _ ~. __.__ ~~ ~' ___ ,.~:,~ ~~ TION .~ .~~-:-_~._ APFLICATION FEES ----- Named ~ ~ ,~~'~~ Add r ~~'~`~ ~ EMIT 3d 40 ; : CK LANE >.~~ $ FLORIL3A 3~ ~. .` ~. , .. ~ k __ _ _ .. _ °~ ~,, F~"~~; FORMAT I ~ - -- _ _ _ _ . e R~ Name : P T~ WN ,~~ „. _ 4~... _.~ Y. ~u ~r ~ _. Addr_ ~ - ~ ~.~,~-_ ~ , _ . r, . ~-_ ~ _ . _ ... _ ~ , _. ~ _ . ., K.~ ._ ~ _. ~. ~: -: I. i c ~.~~ ~~ ~: ~ E x P . / / ~.,~ T ~ i ~ d .. !F{ .: Y ~~##'' :. ~ ! ~ 1 ~ L _..__ NOTES: NOTICE - Al.l.. CQNCRETE FORMS AND FOOTINCi5 MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ~ ~ BUILDING MATERIAL, .RUBBISH AND DEBRIS FROM THIS WORK MUST NOT SE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND MAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CA~i RESULT IN THE PROPERTY OWNER PAYING TWICE FOR THE BUILDING IMPRC3Y~MENTS" i ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMlT,~4ND ~l~G~iT0 R~ p~i ~~~OR VIOLATIO O C N F ARPLICA$LE PROVISIONS OF LAW. ~CKS 138 ATLANT~BEACH B ILD DEPARTMENT By: CITY OF ATLANTI Address PERMIT CALCULAT N SHEET ~ cz c~. ~o Date Heated Square Footage Garage/Shed Carport/Porch Deck Patio r ~ @ $ ~ per sq f t =, $ ® _ ~@ S /y4~ per sq tt e~ B G = S / ~0 ~ `~_ _ ~ @ $ ~ per sq f t = $ ~ @ $ ~ per sq ft. _ $ ~ nn`` TOTAL VALUATION: ~~~ ~D. o a Total Valuation Remaining Value ~J .t, a 1 s t S /©©c~ $~. per thousand or portion thereof ~n s /~~4 ' ! S ~J , o 0 s_- _' I ~'t/' ~ ~~ ~-~ BUILDING PERMIT FEE WATER IMPACT FEE SEWER IMPACT FEE WATER METER/TAP CAPITAL IMPROVEMENT SEWER TAP ( ) RADON (HRS) .0050 SECTION H PAVING ( ) HYDRAULIC SHARES ~~ I ~ ~, ! ~, ~ ~r~f/~~~' CROSS CONNECTION ( ) SURCHARGE .0050 t~ f= ~~Q M-S 1, OC~d'TI~ OTHER ' ~ PAL DUE RLy~~?F_Fs~~c FEES: Mechanical Plumbing __ uric/Temp ;SwimmingPool ~°Y°-_ __ 1 Sign Finish Floor Elevation __ Survey ~~,.~_ TOTAL BUILDING FEE $_ ~..~ + 1/2 Filing ,Fee $~ ~ ~ (a) Fireplaces @ $15.00 $ CALCULATIONS and/or NOTES: ~~~ 'CITY OF ATLANTIC BEACH I PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s): S Address : $I ~ ~ ~113~~js-C-~. ~ ~ Phone : ~ , ~/ ~ ~ ~ ~ r Lot # ~O Block or Unit #_._~. Subdivision:~A_I ~n.~Nn j~~,~- / Contractor: ~ LV ~'~ State License # Address: Phone No: Describe work to be done: ~ou~~ie,~--`~ ~3- ~a~.a-v~Se ~'Ki ~~L•.~. ~~~-f.r~ur~ O ~ jo~C~ 1e c9'~` ~d ~i, 5 ~ ~ t~` n y„~ ty e p (~ 9 rz5 C~- y~•~"~ p o4. 6 x' Present use of building: ~~'o-ra-~~ Valuation of Proposed Construction: ~/.~~Q , °~'` ~~ Proposed use: A 115€~~~' ~~'~ ~~- a' ~~~,~ ~ Is this an addition? `~I~ If yes, what are the dimensions of the added space: i© ft. X ~-~-- ft. Will the added area be heated and cooled? °Yjrp,,,_,__ New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER:.,-~'S.~'~- ~N ~ -_ Date: ~l - ~'b Signature CONTRACTOR: Date: License Supplied: ~~ e~G~ . I~ ~F P~&P~ONNGpFF Liabi 1 ity Insurance • ~~ ..c tia~ Worker's Compensation Insurance: ^~ ~ ~/, ~j`~"'"~~i ~,l ~ ~~i ,~' 4 ~ ' ~`'~ ~ ' , ~ i~ ~ ~~ ~~ . ~~ ~ ~, # ~99~ CITY OF ~~ ~ea~ - ~fC~tida 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5435 TELEPHONE (904) 2475800 FAX (904) 24'7:5805 Chapter 489, Florida Statutes, Part I 'CONSTRUCTION CONTRACTING" requires OwnerBuilder to acknowledge the law: DISCLOSURE STATF.~T for Section 489.103(7), Florida Statutes: State law requires construction to be done by licensed contractors. You have applied for a permit under the 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 ~,-,~ervise t!~ ..on~+~ ;on vo ~ 1 . You may build or improve cone-family or two-faily residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000 or less. The building mint be for your ooa_n y~ and occupance. It may not be built for sale or lease. If you sell or lease more then one building you have built yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violstioin of this exemption You ~ not ;r - an ~r-li ensed,person as you corms*actor, Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people moved by you a tic ^ s q~+;rnd by stars law and by s~Un><y or mwucipal licaensing ordinances. Ordinances also allow an Owner to improve theft orvn property when it is for persona! or family use, and likewise require all work (excaept maintenance under 52,000) be wider a building permit and pass all normal inspections. The oraGnance states owners may phystarlly do work themselves; or may hire unlicensed workers provided suca~i workers be under "dared supervision of the owner, who must be on the job site at all times while worlr is in progress by unlioerued trades people." ?his does not allow use ojunlioensed contractors. Since owners may be liable for i~n!-aes to workers they hire, the Building Department suggests Worker's Compensation insurance be purchased unless the homeowners insurance policy clearly protects the Owner. Owners hiring workers become employers and should also observe IRS withholding tax and/or Form 1099 requiremer-ts on the workers they employ on their improvement work LJni_icerLed cont_+-acta*~! cannot be emnl~ed ~md_~* arnr c;rcim,~rA++~p^, Owners being subject ko $5,000 penalty under Florida 3taiute No. 455.228(1). An'Occtgtationai_ LicerLe" is not adeq~. The owner should physically seethe county'Certificate of Competency" or the Florida'Contractors Certificate" to ascertain if a person is a licensed contractor. Telephone the Building Department (247-5826) if in doubt. C~'.2`r G~ Witness, Building Dept Employee NOTE: Phrases underlined above are emphasized by the Building Department I hereby acknowledge that I have read and understand all the above on this~~day of Y-~1___ __ l~'~-( ,199j~ W C OvmerBuilder Address a44 5 ~ ~ a Phone 11dAP SHv W.TNG BO UNUARY ,S URYL Y DF LOT ~ -BLACK ¢ AS SHOWN ON 11~AP OF ~o Ya ~ P~C.MS C/~/~ T D./~ AS RECORDED IN PLAT BOOK,~_ PACES (aQ-h~A OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CER 77F/ED FOR: ,E~o ~ E,P ~. __ OL Sv.,I f~ ~I,~cE',</E ~"1 • nLS~/ ; S'T _ ~o.y.~f Mo,e~ce,~~,`, ~ 4J'1~0~''JE _ - , ~t¢: f!// ancQS ar ~ sue` * ~ ~ ~~,,,~,~~ • ~ •~ ° ~ .-., , ,~ ~ ~ ~r ~ ~g9~ ;~ Z9 3 ~•, a•t~ o;~. ~1 ~ M 0 2 ~i~din o•s• s-~~~~o~- a,~,~k ,, 3s~¢' ~Z¢•s~ ~ ~ D~/E' S'To~ Y N p N S~'uu-o ~~ ~. 8,e / cK /o•~• ~~ • ` ~ '~ ~ N ~ M n'1 ~ ~''~ o.L' ~ ~' vet (60~Y/w/) ,l1/~1E3~~,QC~C' L.,~~~ and Za~~n~ ~. • o•`. b m 0 .~/ 0,3• 90.00' _ ~~ ~ ~~\GOoPG P~~ 1~~\ c~a o~`~~~ oti~g~' ~ J~~ ?, ~; v ~{ ~{ ~ I~t' ~~ ~~ r, NOT VAUD UNLESS EMBOSSED WlTN SEAL OF THE UNDERSIGNED BEARMCS BASED ON ...~'~_~ `1/NE AS SHOWN THE PROPERT)' SHOWN HEREON APPEARS TO L/E WITHIN FLOOD HAZARD ZONE_~___ AS SC,44LED FROM FLOOD INSURANCE RATE MAp~FOR QTC.o,JTi~ 8E"~1GfV FLORIDA, DATED ¢ /~ ~5'~------- '~ x o~w ~ U ~~O ~ Oz m ° a p o.~; ~- ~ ~ ~~m ~ v ct. ~'l «i ,~ ~ ~ ,; ~:; ~. ~ ` ~ ~, r ~. i ~ ~i t ~ ~ I j ~ (1 ~ ~ ~ ~ ~ ~ ~ ~ ~ I { ~ i `, ~ ~ ~ ti f i ~ I j ` l ~ t~ ~ ~ i i 3 ~ i i y J .-- G :':~ w ~,+ ~..~ rn ~.~ v-,~`~ <-- ~, r ~ ~ ~f•,~ ~ p _. . a R do a ~ t,? , " v= o~+~ ~ ~ ,~ o ,9 ~M :r - C ~ ;, ~ 0 0 ~ 'J) ~T ~.__._~.___._.~.- --~---..._,..... ~ T 1 ~ ~ ~ ` ~.~ Cyc7 '~ '~ ~6o ~ O c1 ~ ~ ~ ,~ ~ ~ ~ ,9 ~ rQ ' ,~ ~ ~ ~ ~, y ~ ~ l ~ 1 i '' '~ I 3 i \ -- ._ __ Vi ~r .`) _ > ~ A s a +~..~ a a~ M ~ ~g a~ ss_~ ~r,~ ~ ~ ~ S~ ~ ~oo_/ ~ p/ Y C~o~.h-'~hG' i, - I I _ T -rr~ I I _ _ _ T I '(' i ~_ 4Y, ~_ I I I 1 - , 1 I ~ - _ ~ - _ - _ - _ _ _ I i- - I "I 1 f 1 .-, --1 --I 1 1 - _ ... _. _ _ ._ - _ __ .- -_ .- . - _. _ - _. _ - - - - .. 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"~ f I ~ 1S : p x~d ~~~~ ~~ = r3~~ «P`?~~~`` ~~~~o~ub O~'GIa ;s~~,~ t~~~l ~r3' 0~ : ~~o;: ~ n~xd,ul ~,~,"~~ :~n~~;~ ~~~~~zt?s;~ ru~~~-~~xp~r~S ~ :~~~.:~ ~ :~°uz~~aea~ Q ;w=~~r ,=~-~t~~ursoy 5 :~sfl pas~c~~o~d ~~It~x~ ~'T~tui WZiOt~Jr9_~ ;~~p"[~ :'~O''j 1 ~I~j :~'+"~~,~, .:~~.aLIC~-~i ______ ,~ NOIxdI~OS~Q 'IbTfl3'I ---_____r__. ~~N :~~apa ~a ss~T.; ~~z~~ ~ct~~0~~ '~~~~~ ~~~~~~s~ ~ ~x~.0 :~a~y ~t~x~~ ~-~~~ x~~t9~~~~ ~za : 5~~~~~~~ ~~z~-r :.~~~~~~ ~z~z~~~ _ _ _ .~ ,. _ _ ~O I,L~7s~~t~ 1`~OI,~~dOtJ'I _ _ _ _ _ ~ _ _ _ _ - Nth ~ ~'@'W~O~N ~ S T W2i~Id - _ _ _ ~. HOb38 OllNbllb d01~1.10 JNIal1f18 dO 1N3W1Hdd3a Y ~ ~ ~ !~ ~ ~`~~ ~ rvse-asd ,~ ,;~--- 6UILDING AND ZONING INSPECTION DIYISiON CITY OF ATiANTtC BEACH wrt,~taTtc •swcH, su-n~ow oasts APPLICATION FOR Mt-CI-IANI~-1. PERMIT ~tLdM 1ruMdER IMPORTANT -- Applicant. to complete ell items in sections I, Il, III, end IV. 1. ~ U.,~ Y `d~''` t.~~ /{ ~ Add S - ~ j ~~ 1 LOCATION „ ~~i trNt ress: _ ..... ~ ~.. 1. Inhraelinq St-eett: BetwNn ,~~~ ~ Aed~ ~'~ Wtt.DiNG Sub•dirition il. IDENTIFICATION - To be completed by ell applicants , In consideration of permit given for doing the work es described in the above statement we hereby ogres to perform ssid work in eccordancs with the sttechpd plans end speciFications which ore s port hereof end in eccordancs with the City of Jacksonville ordinantet end sfenderds of good practice listed therein. Neese d Meebenioel GetreCiM (hinf~ s --~•., ~,.,..-. Conheefa~ MNh~ Neese e/ h~eellt Owner ~ ~ ~ `~ Sigeetere of Owner Signetu-e of er AeMeraed AyNf Arehihe! or EeginNr ql. FERAL INFORMATION A. tppe of beehnq fwl: B. IS OTN[I! CONSTIIUCTION tNi1N0 OOIItE ON O E~ettefe TNlti tINIl.01NG OA sIT[t fsee -~ U O Nefisnl O Gnfnl WRiltr O ~ IM YRf. 011K NUMflttR OF t70NiT11YCT10N ' t [t1MiT 0 olls.r -Specify . w. wa+iw~cu ~ou~aNT ,o ~ ~AU~ ftAi't1AE ofi woftfc • tfhwide aosssplet~ IiM of eeenpoeente ees besit Mia fens) D ffesidentlal or ~ Commerofat Ned ^ Spec. O Reoew.d C«Neel O ffee- O t3ulldlnp • Air t;essdrtiessieq: O Reoer ' kd Exlatlnq 8ui1din0 O.ct SyNens: Mesta+e p, ?Miefanrs ~ L ~ ~lat~mant et axtdfnp system /' /! I~ ~/4~j Medeswss upecitp ! _.~. s,fse. ~ } ~ tiO Naw IostaNatbn (No oysters Orwlowy h+statla~ O Refriye~tie~ D Extrusion or add•on to axlstMp systNe O Ceelieq tower. Gpecify tl~ ^ Ottlar - Specify O f+a sprinNers: Nsses~er of -~~ ,~...~ _ O Elrw+e. O trteeifift O 6wf~.tr~lwws~a r) 1}Nf !-A~CE I~DR t~//ICi Yi ~Y O Gaelie. w ~"- tom) (MeeMtt~ O GatL teYntber) Reaarl~ . O l!K ooeteieeR teee-~er) O ver~.d pw~wre w«N O M~Ne -er~s- ~+~ed ~ _....~. ONM .~ ~_~.._ p otA.r -. Specify t ~ LIAT ALL EQUIPMENT AtE COND[7[ONING AND R'.EFiltlfiERA?ION EQUItMENT lrta<sl~ar Vath Dass~lotloa ~otiM Iytm ~barc ~ ~~ ~~~~ ~' L-, DEPARTMENT OF BUILDINt3- GIl'Y OF ATLANTIC BEACH - - ~ .w T _ -. ~,- _._. ,. ___. QA77 . ~ .» . DEPARTMENT OF BUILDINQ CITY OF ATLANTIC BEACH - PERMI3' TN~4RMATION --_..___ _ _-____ LO~'ATIQN INFORMATION _________ £!~>:t'ti~t I'fuTTt~3L~°~: 94~~ A~dC~S~= B17 Ad~lHERJA~CK LANE ~~rmzt T~~a'e; MECHANICAL, ATLANTIC BEACH, FLCRIbA 323? '1~~~ ~f W~rk;~ AL,TERATIOIY -_______.. LE4AL T}L3CRIPTIOPI -___.._ __ <"~r~a k r . T ~Se , WrJC3L~ ~`R E ~t~~:~~~~e~ ~sQ: SINGLE ~AMILi' I~c,t : ~ 81 ~c1c : Sect i ~n : 'I'Own~h~ : RIVCs L~we~ ~ inq~ ' 1: t~ad~; ~! ~ : 0 Subdivis? sin: RC~~AL .PALMS E~t:irt~ated Value: 50.04 Total F'ee~ :a~l3.00 k Ams~unt :~`~~ d 543 . ~?~? .~; W~iXj~ p~~'~, '1R.",~A'~~ ,,FC~ItPiA~'E Affil? II~~TALL Cf?MISEI~SER ,,^ °""`~~`0~3ATION -~. ~ ~~ ,. N ~ ` ~ ~ ~ ~ t ~. p ~~ ~ - RF~~I~ATIQ~t E`EE~ ~ ~~ ~~'~ ~ ~ ,. , ~ ~ ' A~c~~~ ` ~~.'~ ~~~R~7ACK L ~NE " ~,~~„ PERMIT 5,43 , , A3'IfRIiTI~" ~~,ACII, F'L©R7i7A X22' WATER IMPACT P'EE $0 . ©0 ~ ffi'WR IMPAC,~' FEE $O QQ~ , . , m ~,, ~ Wf7~7A itiiL:~ ,~'~~s~~j ~~ '~~'~~ r .. _ - ~Q~~'R.I~,~TCI~F4RMAT SON - - - - - . . RA~or~ aAS--»,~.~. s0.oo »~ RADON CAB 5 $ ,. Name ~ ..;~~EA~'' ETA HEAT b "~,IR iJD~;- ;t,., A~~~e~~,: 1~?~ ~' A2+t'~~ C ~T . 5 4.0 4 ~AP~T~iL xM~'t~OUE. Sfl . ~?0 ,W. . ~ . ... N>~'F'fi'~- BEACH, P`LOC~IDA322:3 ' BE~t~~t TAP ~ 5©.00 CROSS, CONNECTIO~F $0 t~C Liaer~,~~ : M~I?~~ ~ ~~~,^ Type ; 3 ~ . SEC ~ IHPl1CT FEE ~D . 04 ~, . ~ ~ CUNST > St3RCHAR~E $0 .Ofl ;.u x_....,;r ., " .. ,... ~~~ ~ 2 „~ .:~ , ~ .,r.. ...,, :. HFSR}'ATI, . BzJik . " y~yn WV ~ ~ NOTES... NOTICE -ALL CpNOltETE FOAMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOIR SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACI=D IN PL1Bl,tC SPACE, AND MUST BE CLEARED UP AND HAULED AWRY BY EITHER CONTRACTOR OR OWNER K "FAILU:RE TO COMPLY WITH THE MECHANICS' LIEN LAIN CAN RESULT 1N THE PROPERTY OWNER PAYING TWICE FOR BUILDING INIPROYEMENTS." ISSUED. ACCORDING Td APPRQVED WLANS WHICH ARE PART OF THIS PERMIT AND SU$JE T TO C REVOCATION FOR VIOI:A'ttON OF APPLICAI3LE PROViSiONS OF LAW. ry V CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: CJ j ~ ~~~$ ~~~F~ e ~ ~-lJ- PLUMBING CONTRACTOR: ~bTv _ ~D ~ TER .5~~'h'U (,~ E S C'o LICENSE NUMBER: C~~~ G~ ~ 7 ~.~ OWNER: ~~~ /tJ'~' 0~.5•D/C.J BUILDING CONTRACTOR: p v ' ~ , TYPE OF BUILDING: ~.~5 i /~x'~ ~ f3 ~- ` SINKS LAVATORY BATH TUBS URINALS CLOSETS FLOOR DRAINS SHOWERS WATER HEATERS DISHWASHERS DISPOSALS y~ WASHING MACHIVE J" ~'I ~ , j~fi~1 F /~, OTHER ,~ --~ -- ~ TOTAL FIXTURE COUNT: ,~ + 515.00 a ~~-j ~_~~ ., INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MO5T RECENT EDITION OF THE 50UTHERN STANDARD PLUMBING CODE. J ~~ ,_~~ ~„ PSR-1B~W ~~ ~` 77!3 . DEPARTMENT OF BUILDING ~ " " CITY OF ATLANTIC BEACH ,- PERMIT INFORMATION ------ -, -------- LOCATION INFORMATION --------- ~ >3~r>~i~ t N~.i~bpr ; ?753 Ac3~r~ss ; 817 AMBEkJACK LANE ~~rr~it Type: ELEGT>itTwAL A'T'LANTIC` BEACH, FLORIDA 32233 t'l~~s ~F i~«rk; ALTEF.ATIO~I ----------- LEGAL DE5CRIPTipN --------__ ~~~n~Cr. Type, Wt~~A ~'RA.ME Lc~t; Hlnck; Secticar~; Pra c~~ed rlsp: SHED T~=,an~hip: RING; !~ l~~aelznc~~' 1 ~''o~e; ~ Sub~ivisi+an. I?OYAL PALMS E~t~,~~ted Val~.ae: s~.~+~ Amount P~,i~3 ~ S2!~ . ~~ Dat@ 'Paid ~ : 3.;~ 12/ ~~ Work Dp~~ ,` ~~'~ I~R~ ,~:SHOPISHED ~_..,:,..__"..~ CWT' '~~~`OATICN _.. .~.,~m~.. :`o__ APPLICATI63N FEES ----- N a~e~~~ ~ >~a:=~ ~r~~~ ~~R~ T T sea < O e ~~~r~~ s~:~ .~~x. ~~~~>~-7A~~x LA~~ ~rAT~~,; zMPACT ,~~E~ .. _ so . ~o ~<F TNT?+~` BLF~H. FLOR?DA ~22~~ FE IM,.k?P,,C'P~ '~` ~ ~.~J ~ , . , ~,"' RAI~ON GAS-H<R.S. SC~.~C+ ~. _ ~ _ _ ~ ~~'R~k~`#`OR -~'~P'ORMAT I t31!I -- _ _ _ _ _ RADON GAS - 5 ~ $!~ . C~ ~ Name; I~~tOPR~"~ ~?WNER !".APITAL IMPRC~VEo s~.O~J A~d~„~~_.___ - SEWER TAP s4.00 ~ HYDRAULIC SHARE S4.~C1 'T'~~pe: T Li~en.,~~?~ - CROSS CONNE~'TION „'S~~J~:flt7 ~~x SEA" , H ii~4PACT `~"~EE ~`~ $n ~~_,~~- _~ ~. -r~- NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF I5SUE ~BUJLDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT $E PLACED IN PUBLIC SPACE, AND MUST BE ~„ "` CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER LAW CAN RESULT IN "FAILURE TO COMPLY WITH THE MECHANICS' LIEN . }THE PRQPERTY OWNER PAYING TWICE FOR BUILDLNG 111~IPOVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN~ SUBJECT. TO REVOCATION FOR .VIOLATION OF APPLICABLE PROVISJONS OF LAW. f 400000000'00004QQOU 120.00 lA ~gTLANTI $EACH BUILDING DEPARTMENT Ditty 1112/94 O] = 0023075 - CtBH gy: :t ;~ --- i CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ~ a .~' ~'~'~ 19 ~ ` t IMPOF3TANT 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 SPEC{F{CAT{ONS, WHICH ARE A PART HEREOF, AND INACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. RES. 0~1 APT. ( 1 COMM, ( 1 PUBLIC ( ) INDUS. ( 1 NEW ( ! OLD IXl ADDITION ( ) TRAILER 1 1 TEMP. ( 1 SIGNS ( 1 SQ. FT. SERVICE: NEW P4 INCREASE l 1 REPAIR l 1 ..w.~ww w.~C A\ADl` (_APPFR 1 ~ ol_I1M_ I 1 REW. ( 1 FEE vv.~rvv. v.. v SWITCH OR BREAKER AMPS - --- - PH W VOLT -- RACEWAY - -- - EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMP S. OVER APPLIANCES BELL TRANS F. AIR H.P. RATING CONDIT{ONING COMP, MOTOR H.P. RATING OTHER MOTORS AMPS CELL HEAT: KWHEAT MOTORS 0.1 H.P. VOLTAGE PHS NO. OVER 1 N.P. VOLTAGE PHS NAME ~d~i~~- Lam. ©1_Sc~ ADORESS:~~7 F~mS~.~2a'~cl~ ~C./l, RFD BOX BLDG. SIZE is ~ x moo' BETWEEN: Qsri•3eaa ~ L..7 - _ DEPARTMENT OF BUILDINfi CITY OF ATLANTIC $EACH ' i ---- INFORMATION ---°-` __`-`!- LOCATION INFORMATION ---------_ PERMIT ~~~mit Number: 7235 t~r~ress: ~?17 AMEERJACI~C LANE l~erm~.d:: Type' I'Ltii~iElNv ATLANTIC EE.~CH, FLQi~IDA~32233_ I~ss of Work: ALTERATI+~1~ ~ ____-__-- LEC3AL DESCRTI?TION - Cc~nstr. Tygea W©UD H'RAME ot: Flock: Section: Qro~os€~~ Use; SINGLE FAMILY Tcwnah~.p: kNG. ~' wr~2lzra~xs: i CodN: 0 da~}div.sion: ROYAL F'ALM5 „,~i~i~tef.I Value: Cp . U~ Improv. Cent: ~~,UEJ T+~tal ~~Q~,: 522 . ~~~ - ~ 01ri~ ~~~~{1~~TION -__~~-- APPLICATION FEES - -I~a~vs°~`~R`l:,-~ ~O~~C1N i:'ERMIT $22.5tJ 'dress . ., '~~~7 I~MS~R3A~K LAI'iE WATER Z~lPPtCT ~' ~ ,~~ .OD ~~_' ,~-~''~p~fl'I~' $EA'~I FLCtRIDA, 3233. .. .5$."~TE~a`:I~~',S~?'E~.,~ r` ~'~bC' °' ~: F'~'e~r~: ~''3'~~~~'~~~k~ - ~'~7n ~ 6ti1A3'ER i~IETEIi S~J . ;~C? R.AP~?N FaAS-H.R.S. ~~.~~ s ,.~,_..__ C~J:'~~`RAC~(3Ti. IN'~'ORMATIOt~` ____-_.~ Rl~D~~Fi {~Aa -- 5~ $0.°~C? N~~'~e,...R.":.~TO-R4'~'.~RS1:RV~~ES ...-: ~JATEK TAP _ ~t~.Q~ ddir ess : SEWER TA F' ~~ . n~ HYDRAI.JLI+~ SHARE' ~~',..R~! * eera~~ ` r~~`'~Pj'2,~ ;'~~~ TyF~ : ;~ CA1;I'hAL II~pRt.~VI? . ~? . (~~ ~''~ ~ S E u . ~ ~I l~~.A C.T...F.EE ~ ~ ~ . t~ L7 t ~.>> tM THER a~~'`: ~{~~~ NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING -~" PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUB$ISH 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT SUBJEGT'~1~'~ATION FOR VIOLATION OF APPLJCABLE PROWSIONS OF LAW. ~pEp ~,g(y tl~CEIP'~ t~3ERa 1© ATLANTIC BEACH BUILDING DEPARTMENT C,~ By: , ~~~ ~~~ ~ ~ n: ~' ~- GITY QF June 9, 1993 Mr. and Mrs. Roger Olson 817 Amberjack Lane AtlanticrBeach, FL 34233 Dear Mr. and Mrs. Olson: rrs`"p y~~ ~~ ~ ~ ~ ~~~~ ~,G~~,~ 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-~.iSS TELEPHONE (904) 247-5800 FAX (904) 247-5805 Our records indicate that you are the owner of the following described property in the City of Atlantic Beach: i e a/kja Lat 30, Block 4, Royal Palms Unit 1 RE#171184-0000-6 Investigation of this property discloses and I have found and determined that this property is in violation of the following City of Atlantic Beach Ordinances and/or Southern Building Code Sections: Section 24-65(c) - No Building Permit for Recently Inskalied Shed in Yard " A building permit may be obtained at Atlantic Beach City Hall , 800 Seminole Road. The fee will be doubled for failure to apply prior toinstallation. You ire hereby notified that unless the conditions described above are remedied within fifteen (15) days from the date hereof, this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Berard may impose fines of up to $250,OQ per day for a first violation and $500,00 per day for a repeat .violation. Please contact this office at 247-5826 regarding your intent to bring the subject property into compliance. 'Sincerel , arl W. G unewald Code Enforcement Officer KWG/pah cc: City.. Manager CERTIFIED MAIL RETi?RN RECEIPT REQUESTED 1 CITY OF ~~artic ~'eac& - 7G~'~ June 3, 1993 Mr. William Borris 817 Amberjack Lane Atlantic Beach. FL 32233 Dear Mr. Borris: t v 800 SEb1INOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5415 TELEPHONE (904) 247--5800 FAX (904) 245805 Our records indicate that you are the owner of the following described property in the City of Atlantic Beach: 817 Amberjack Lane ' a/k/a Lot 30, Block 4, Rayal Palms Unit 1 RE#171.184-0000-6 Inv~stigatian of this property discloses and I have found and determined that this property is in violation of the following City af_ Atlantic Beach Ordinances and/or Southern Building Code Sections '~ Sec ion 24-65(c) - Na Building Permit for Recently Ins alled Shed in Yard F A building permit may be obtained at Atlantic Beach City Hall, 800 Seminole Road. The fee will be doubled for failure to apply prior to installation. You are hereby notified that unless the conditions described above are remedied within fifteen (15) days from the date hereof, this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day far a first violation and $500.00 per day for a repeat violation. Please contact this office at 7.47-5825 regarding your intent. ±o bring ;the subject property into compliance. Sincerely ,~, ~M~ ~- K rl W. Cyr newaid Code Enforcement C3ffi.cer KWGjpah CC: Clty Manager CERTIFIED MAII~ TtETURN RF.~CEIF'I' xE~CTEST~:I) ~7~~ . ~ 'T'AKEN (date/time} : CI`T'Y OTC' :~,L`T`A3dTIC 1~I:.AC:~-~ CC)MPL,AlN'I' NIANACEML:NT SY~>"T'f,M C©Ni.PT.AINANT: ~GV~L~r,~ _. .,~'-~ ~..-.~' -------_. Last Name F~.rst Name MI ADDR L'S S : ____ ._.~__ CITY/STATE/ZIP: ~ , _ ~y(/~ ~ _.__...~__._..___._ TELEPHONE: ( ) <~_'_T__.°-~-~'--~•-.~- COMP L.A 127T if/D~~'~?Ni T ) tlii ~~`! ~~ ~ R /S __ 8"/ /~' ~a`~ roc' h° y' ~f c: ~ L~cATION : ~~},~c r1 rT.~ c. /~ ~ A~ PROPERTY OWNERS PHONE: ( ) --______~_.__ PROPERTY OWNERS NAME:` d)EPtRTMENT FORWARDED TO: /tLrl'a' y CUiutPLAINT TAKEN AY: DATE/TIM.E: OFFICE USE ONLY INVESTIGATED: (date/time) ~-la~- 3 ASSIGNED DEPT. /DIVISION: '~J~ _~~r- PRIORITY: INVESTIGATOR: ~~~~,~ ~ ~fi.~ ,S n '~"~ __ °- :~ CONDITIONS FOUND: ~ ~` __~~c ,,~ ~ ~,,,c7 ACr.CTON TAKEN: -___ ~~~T-- .(,s_- r_,~-~ /~____ „~2______________~ .~ QLIi ti---~--~~ _______-------_-.._ ___..___ •.._ CO:+:PLIANCE: ~ . NO'T'ES ____ .~ ___,_ __._ - ~ - .---. -m--. ';~ ~~ ~~~s DEPARTMENT OF BUILDINti CITY OF ATLANTIC BEACH -_-~~- PERMIT IYdFORMATTON ----~- ---~---- LOCATION INFORMATION -________ P~t`mit ~turr+ber: 695E Address: SI? AMBERJACK LANE I/e~rmt. Type: BL1IL1?7i~iO ATLANTIC' BEACH, FLORIDA 32233. rw'1~.ss of 4Bor~: SHE13 _____..____ LE4AL DESCRTPTION __________ Carastr. Tyge:- WOO£~ FRAME Lc+t: 3Q Block: 4 S~ctic~n: ~ • F't: aPosed ttse : SHED Tr~wnship : RI3G : Q Towel l ings : 0 Code: Q Subdivision.: ROYF~L PALMS UNIT ail Estimated V~Iue: S?50t1.~?Q ~fi~'l: ~V . Coat : ~~ . !]Q Toi<ai ~"'~e~ : 5.5.00 Amottn~ Paid ; S45 . ~?Q -- ~lNEiR I1~FO~ATIQN --°~•__ -- ~ -~ ____ .APPLICATION FEES -_..__ J~?O{3ER tri_ OI,~SC~N .~~~ PERMIT X45.00 Add~`e~ ~ :, ~ _8~"~ At~g~ACK LANE WAT~R~_~ IMPACT'.~~ P'EE ~~ ~- SQ . ~'0 ,. ~..<-~~,TI~AffiTI~~ BEAd~H,, F'LOR`Ti3A`°32~~ ~E'~~ft I_M~',~~'~'~~ FEE `~.~~~ ~ Pb+E~~e ~§~~)2~a~A~?7~ ": `~tR'~`t DETER ${x:00 RAPiON GAS-H . R . S . ~aCl . 40 ___.~.___ C(~I+ITRA~, R ';~~'iFORMATION -_____ ~ RADOI3I OAS ~- ~~ Sn,ijt~. '?WNER ~r'~iT'ie : F'RC3PE 6d~"T'ER TAP S43 , QQ Add Asa ; SES~TE~t TAP $4 . t?Q iiYDRAi~t,I~" SHARE $0 . r,Q Li ~'ei~~e ` Type: 1 CAPITAL IMFROtIE. S0. ~0 e~THER ~. . b~? <„, NOTES: j ,f ~ f ~1 / y~-~-~ {Z J t/~ „" ~ ~- /~ t C c° ,'~ .5~~3~~ t~t•t l ~~t i7 ~Y°~< ~c ~ 0 ".`fit-+ / 6~ .~ ,..._. ' ~ ~~ ~ 1 NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST 8E INSPECTED BEfORE POURING PERMIT VOID SIX MONTHS AFTER DATE C+F ISSUE BUILDING MATERIAL, RUB815H ANO DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY Bl' EITHER CONTRACTOR OR OWNER ~~;FAILURE TO COMPLY WITH THE ME~HANIG$ LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE. FOR BUILDLNG INlPROVEMENT~." T Ttr~: a~;aa ~ ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUg,ITO REVOCATIC~,~R VIOLA N OF APPLICABLE PROVI510 S OF LAW. TENDEI~if ~45.(r~ REC'EiPF ~R: ~9228~ ATLANTIC BE BUILDING DEPARTMENT x f /~ .__,_ _ / ~ By: s CITY OF ATLANTIC BEACH -- PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERA'T'IONS DEMOLITIONS owner t; s) !70 ~ P r` (•(_') ['~~~Qw -r- Address: '~1') !9-~»'i1~l~~~c~ .CaV Phone: '~4~Q-,S'77y Lot #.~.C2_ Block or Unit #~ Subdivision:,~~i~~m uw~f a/ Contractor : ~w we 1~' Address: Phone No: Describe work to be done:_ (.fie vlC Sh r.~_,~~t~°-~• Present use of building: ~~~ ~~'~-v~~ Lc~ Valuation of Proposed Construction: ~a5G0.°= Proposed use: S~o~a eF :'shy. ____- Is this an addition? IUp If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace?„New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN,~SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER CONTRACTOR, Signature OWNER: - Date:/ ~~~ Signature CONTRACTOR: Date:_ C\P+ ~F PT~P~j`~~c o4e~~~ * ~ ~ PROVO D GN ~ , ~ ~~~~ ~~pN~~1C1G ~' 1993 ~ ~ U N 141993 -,. ~,,u,~ r`~ Building and Zoning OwtlEti ©UIL.PER PERttIT' AFFIDAVIT ~-''~' .t»tr ut Florida ) City ut Atlantio Proct~ ) ~J 8E~' RE ME, tt~e ulndrrwigned •uthorlty, purrwrrrnally ap~,aarrd `n~ ~~_ ~ ~.~,~~a,°J , whb upar~ t is Est t.rl,r~ dul y 6var n, deposext and Says t ,~~" ~ I, y~~G-~~ _(~1„ ~_L_'.~ d ~.,_.. r ,.....r_rr..r~ and ills lroal owner vt the tollovin~1propwrty~ i SubdiviQion ~pf'.~~_~~1.C2?-S".~~ N~~..~...._.._.. .. .. « .. I am applyin® tar' s building pwrin3t pursuant to ~h• OMner E3uilder exemption ref forth in Flcarida` Statute, erection 499. i0a, Florida low requirew thwt xhave brown pY'ov~dred witty tt~a tollc+viny czSCLO3URE STATENEtITi R DISCLOSURE STATEMENT Mate lew requires conutruction trr ~'i* dcn+r Vy lican•ed cantrectors. You have applied xor a permit under an exemption to t?~wt law. Thrr wxen~ptian allowx you, as ~ha ovnQr of your pr+~perty~ to ,Act alit your awn contractor even though you do nat have a license. You must supervise the conatruotion' youruelt. You may build or improve a ane - or twq t:~+ily rwwidenc• ar fi farm outbuilding. Yau M•y alsrajbuild or improve ~- comeaercial buildin0 at • coat' a! X4'23,000.00 ar Iess: The Duildinq must b• for your u•w •nd occupancy. 1t r+ay not b• Duilt for •wl• or lwa~rw. Xt you sell or lease a~or• than onr building you haves built yourraeli vitAin one year otter tha cor-struction is cgmplQte, the law will prewurn• that you -built it for •wlrr or leases, . which is w violation at thin; euwwption. Your construction n~u•t b• dan~a aocardinp to building codes end zoning rogulwtions. xt is your rwspansibility to e~ake sure ti~at pwopla ee+ployed by you have licenses requirwd by states law and by 'county oi• munictpat licensing ordinancew. I hereby acknovledyn that I haws read th• wbave DISC'' 3TATEttENT and thst Y eowply with all the rwquirvmont» laruancv of an Orna~r-Buildwr perMit. Further, attiant twyeth nnt. ti ~: t,'. • ,,. ,~' ,,^,sorn to and •ub~gs-~ ,o~~ L•tor• sne the ~ ~~ v o t ~ ~ r.6, ~~ ~~ sap ,~~ ~,,: ~yy f' ' ~ ~kfAP 51~3"v~WIN~ BOUNDARY ,~-~JRVEY OF LO?" ~o BLOCK ¢ .AS SHOWN ON MAP OF ~a yoL PALMS C/~/T Dot AS RECORDED IN PLAT BDOK~PAGES~Q:~,~A OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA :? `, . ~ ~:;~ ~ OR: ~o E~(' OG Sc~.~/ f ~ C E S'T C~ y~1~M~~~~~~ L~Y~~' ~ 7 0 ,. z ~. ~=. 3 ~'9 o z~ ~ti tai 0 ~tQ : A'/~ ~C d S ar¢ ¢ ' (~jo~in ~/n K o.s= ~~io ~d~.~a y ~ o~~• 6.~'X Ss• 5TUC~o -''• .. iti2S ~ %=~,n9e.e,~ O ____._ , STu~~d `•~ 3s•~~ ~ ~ DBE STOIC y N p STUC~o ~ V. B~~ck - /a •G• ,.. • ,.~ • . a , .,. , ,. - ti ~' L¢ 8" ~ ~~ ~ CZ¢ "~ ~~3 ~; 4 ~O ' ` _ ~ 'd. • •~. O JuN 141993 ~uildin~ and Zoning ~' .~/ • • - CZ4~5) o~ °~ ._._ .3s'B'~ ~ • ~~ • .~ M M . ~' ~ `- .. ,~ c.L' o•(' ~--. X o~ E~ PC ~~BS° 24'l~ Z''l~/~ ~O • <05~ P R N~~G cF\cE G\,~`t ~cC\~ea~ 1 Aga /~ ~ 6 D'!~'liwf~ y a C ~-f~ / Y GL ~'yP~j e~ t ,~~ ~~ ,~al~` f ,air ~;1~~~ ~K{~ ~~r~ytti~ ~ (il~K G ~~~h~'y~~ f w~ a,~- 9000' ~T 'y'nUU UNLESS EMBOSSED 4NTH SEAL OF THE UNDERSIGNED. HEAR/NCS 9ASED ON L/NE AS SHOWN ~E PROPERTY SHOWN HEREON APPEARS TO LlE WITHIN FLOOD HAZARD ZONE.~.._AS SCA1~"D FROM FLOOD h'SURANCE RATE MAPQL2Q1__FOR 4TC4.JTi~ fJE,4CN ~pR/DA. D.4TF'n 4 i7 lR9 ' M ~t __ -__ ~a , ,__ ~,~ ~: ~' ~ .. ' ~ ., --!! ~~ ~< <. n ~. _ •' , n ~~~~~~D .IUN 141993 Building and Zoning ~~~L ~'`~ 4 ~ ~~~ y Y ~ DEPARTMENTO~ BUILDING CITY OF ATLANTIC BEACH -_-~ ~ PERMIT THFQRMA'TIt3N ______ _w___ :- LCICATICIN INFORMAT2©N --__ __ Pers~it Numbers 3631 Addre~i~: 817 AMBER.7ACIS LANE Per~rmit Type. BUILpING ATLANTxC r~EACH, FLORIDA X2233 C].a~» o~ Wc+ri~: ADDITIOJi _.___.~..___.~ LEGAi. DESCRIPTT©2d _____~._.~._ Contr. Type: WOCID F13AME Lots 30 B14ak; ~ Sections Prcrpos~ed U~s~s 5INGLE FAMILX Towr,shi~- RNG: O D~rellinge s 1 Ccsde s O Subdi vi~irsn ; ROYAL FALP15 E~ti.>!r:~ted V~1ue t ~a1872. 00 I mpx~ov. Coc3t : ~Cl. 00 Tate1 Feee s i. X30. 00 ~ ~ A~QUn~ ~a~.d : ~~a. QO -_-~~ t~wrti~» ~N~!'>?ATION - _ --~ __--_ A~`PLI~ATI~QN..FEES ~- ~,~~': W~~..~.~A1? . RI~RT£~ PERMZ'T `~30, 00 Addre~+t~: 8.~~ AMB~RJACK LANE , . MIAT IMF!-C~'' F'EE s~fl. Cl~'? ATLANTIC NE,~CH, FLCiRI}~A 3:~2. ~ SE1~`ER: I~4P~~T FtSE gip, ~'3ne~,~ t ~t74 }~2~ ~ -~8~'3 WA's` MET>rR~ >~O. LtQ --'- - C#~~tTR~CTOR ~~~[FORMAT~C?N ~----~- kAD(?H C3AS-H. R. S. >~O. OCl RAaC1M C3A~- ~~ X0.00 N~~e s SEAR~a MARX A GARV~t: WATER TAP ~O. t70 ~tdcfr~~a i 3333 ~* CANAL ~T SEWER TAP ~fJ. QO JACK~i~1i''~'ILLE FL 32209 HYDRAULIC aHARE 910.OQ Lice~r~+~ s CCCt73~~34 . Type : R~ RE- I N~PECT F'EE ~O.00 ,~ .. ._ ,<. _ SEC. H u IMPACT :FEE ~Q. E:10 QTHER ~~~~. CIO NQTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 MECHA,~VICS' LIEN ~.C:i~W CAN RESULT IN THE RROPERTY OWNER PAYING TWICE FOR BUILaING I~PR~QYEMENTS." ~ : ~:~ s~ ISSUED ACCORDING. TO APPROVED PLANS WHICH"°ARE PART OF THIS PERMIT' AN1313R~i$,IECT TO`RE~jT10N FOr'i VIOLATION OFAPPLICABLE PROVISIONS OF LAW. TQ~R~} '1;~30:1~9 IP I~: 18'2699 ATLANTIC BEACH BUILDING DEPARTMENT j~ F, ~- :.~,,. __ _ ~...~___e__..___.:__ - - _ - _ ._ ~~~/ ' ~ ~ `tiM. __. ~ ~~~~ ~ ;:~. ~~ {.~ , , CITY OF ATLANTIC BEACH ~ ~ ~' }{' . ~ _ ~taft ~i.~l~ C. i`~ ~"~JkF~~9 PERMIT APPLICATION REMODBL, ADDITIONS OR ALT®iATIONS Owner(s) : ``,,~J \ ~ ~ ~\ 0.'tY1 ~ ~ : ~ ~ S Address • ~ ~ r} ~ m ~ ~ ~ "~ c' r ~~ hone • ~~. ~ 1 °' ~ ~ ~~ ~ ~, Lot fl ~~ Block or Unit !/ ~ Subdivision ` `~,. ~,1, c~ ~ ~.. ~ ~r\ Contractor: ~ - i"' _ ? Z ~~ ~.~ ~ c~ 1 ~~ Describe work to be done : l ~~ ~( ) ~ ~ ~ ~. 1~ ~ ~ -`J ' ~ v c`.a `ti"1 Present use of building: ~~ Proposed use: ~ cy ~ ~ r v`~ ~~ ~ U ~~ Is this an addition? ~~ If yes, what are the dimensions of the arided space : ~f t . X ~ ~~ f t . Will the added area be heated and cooled?_~~~-- New electrical (or increase)? 1~ New plumbing fixtures? ~ ~~ New fireplace?~_New Heat/AC? 1~ ~`~ SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY IF THERE WILL BE AN ADDITION TO THE EXISTING STRUCTURE. Signature OWNER: Date: Signature CONTRACTOR: cz ~ ~-----~ Date: '~ ~ FF ~7 Address ~ l ( ~~11'~j ~ ~ ~C rq c ~ ~ /~ ~ ~ /~, ~ c +~ F'o dZC ~ 'DS ~t ~ Heated Square Footage @ $ per sq ft = $ ' Garage/Shed @ $ per sc~ ft = $ ~ _ Carpor or~ / L/~/. @ $ /' ~ per sq ft = $ ~~, @$ persg ft= $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ ~~ O ~ Iota-l~la~uation lst $ r , ~ p o . ~7 ~~ d ~~- ~~ 5~~~~ $ ~ ~ Remainder Valuation .~~er thousand or -----.~---------------- p~tion thereof Total Building ---------------------- Fee $ O ~ .. d ADDITIONAL PERMITS and/or FEES REQUIl2ED I Fee + 2 Filin $ O O ~ ~ ~ g , Mechanical - ~ ~ Fireplaces @ 15.00 $ ~ BUILDING PERMIT FEE S ~j ~ . C~ Plumbing Electric/New ~ Electric/Temp Septic Tank Well S~:,riinning Pool Sign Water Connection Sewer Cormection Water Meter Elevation Certificate BUILDING PERMIT WATER METER CHARGE SEWER Il"1PACT FEE WATER IMPACT FEE MISCEtiLf~l~AUS GRAND TOTAL DUE $ 30.4 ~ CAI.C(JLATIONS and/or NOTES ,• r, ~ '• ,'r s _; notice of commencement ~~~~_~~_~~~~ ~ ~~ ~~a~~i~~ (PR~PAR6 IN DU-LICAT6) To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property _ ~! ~' ~ __3 l1 G ~'~'~ ~'~ 6~~L /i°t! S U~ T ~~~ General description of improvements J~-~~ d ly _ ~~ ~ ~ // ----• Owner. ~ 1~~ ~©~~-S ----~j-------------------------------------------------------------------------------------• Address _-~1-7 --C'_121~3F'~--~/'I~G.~-----~-f(~ ~ ~S,,d~,cr~ ~ Owner's interest in site of the improvement __ ~____. ____________________________________ Fee Simple Title holder (if other than owner) _______.______.._________ Name ---------------~~~---------------- Address ----------------------------------------. _ _-• -_ ---~---------__.._-------------------------------- Contractor ___ ~~~s~~ /S Q~~v c"/~___~ ~n - Address --?~-~ ~-~ -Jy_~---G-f-ilil~~L-- .S / t/~~ , _~L~ _ 3 ~ ~ ~`~~------------------------- Surety (if any) --------------------------------------------------------------------- ' Address -----------------------------------------------------------------Amount of bond ~------------__ Name and address of any person making a loan for tl)e construction of the improvements. Name --------_~(.~- ----------------------------------- ------------------------------------------------- Address ----~-~-/ -- ~ -------------------------•_--• ----------------•-------------------------------- Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name -------- ~~-- -----------------------------------------------------------------•---------- ,~f - ------- Address ----------'~-J-------------------------------------------------------------------------------------- In addition to himself, owner designates the following person to receive a copy o! the Lienor's Notice as provided in Section 713.06 [2] [b], Florida Statutes. (Fill in at Owner's option). Name ------____-- i ~~ l,~ ~~ 3.~I f 'I ~l :,~ ' ' II i BUILDING fi ZONING INSPECTION DIVISION,.. ~..~ n , M PUBLIC WORKS DEPARTMENT - ----. CITY OF JACKSONVILLE,~FLORIDA ,~~~~~ ~' "~ ~~ I ~ ~~, DATE ISSUED~~~: ! PERMIT NUMBER ~~ ! , ~ ; ~ 'i~ ~~ '~- OWNER'S AFFIDAVIT: I certify that all the foregoing information '',`~ ~~ Iis accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. ;~ WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF ~k COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO ' YOUR PROPERTY. IF YOU INTEND TO~; ,,,,OBTAIN FINANCING, CONSULT WITH~1 ~~'~ ' ~!, ,YOUR ~: LENDER OR ANY ATTORNEY q ° ~'' ~ BEFORE RECORDING YOUR NOTICE OF COMMEI~C~MENT . ~ , ~ ~,( ~r~Fee Simple'~'i~leholder's Name (if other than the owner) ,; ~ ;,~ '~ ~i~ ~~~~~ ~ E1~e Simply ~y~'itleholder's Address (if other than the owner ). ~i' 1GI~ ~ i~+ ~.1 f ~~~ ~I ~ ,' ~ ~ ~~' ~' !' " Bonding Compan~- ~, ~ ~"' onding Company A teas, ~{ ~, ~ { i City State ly ` ,, '~ ~ ~ ~~ ortgage .Lsnder's Name ~ 1 ,~ ~~ } ~i~ ~ ~ ~~ ~ ~ ~ ortgage L~nd+er' s Address x, ~ ~~~~ State ~ ~ f ~ City ' ~~ j I g~ ~i , ~ ~ ~ ~ i ~I ~S~ignature ~~~,G~~-~y'r~.'"~'~~_ _'~ Signature .~ ~„ ,{ ; II ~ ~ Owner or Agent retractor ~~~ i ~; ~`~ ~ ~ ~ , ~ `~a!~ ~~ ~r Date ~ ,~ ~~~ , , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 09-00000897 Date 6/19/09 Property Address 817 AMBERJACK LN Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation 8000 ---------------------------------------------------------------------------- Application desc re roof w/ metal roof fl 5211.2 ---------------------------------------------------------------------------- Owner Contractor OLSON, ROGER DAVID MERRITT CONSTRUCTION 817 AMBERJACK LANE 1930 RIVER OAKS ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904} 858-9400 ------------- - ------------- ------------------------ Permit -------------- ROOF PERMIT - ---------- Additional desc . Permit Fee 70.00 Plan Check Fee .00 Issue Date Valuation 8000 Expiration Date 12/16/09 ------------------- ------- - ----------------------- Fee summary --------------- Charged ---- -- ------ Paid Credited -------- ---------- --- Due ------- ----------------- Permit Fee Total ------ 70.00 70.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 70.00 70.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATIANTIC BEACH, FL 32233 OFFICE: (904)247-5828 ~ FAX NO.:(904)247-5845 BUILDING-DEPT~COAB. U5 ~'' BUILDING PERMIT APPUCATtON pUVAL COUNTY 1, JOB ADfXiESB ~ 2 U ~ IIrC5f4tC 3. Sl]. FT. :ROOF s L1nCiAl ~ s c,,~BS ~ woRK ot= rrtu i.- 7 ~ ~ ~ ^ NEW BUILDING ^ DEMOLITION RESIDENTIAL 10T RLOCH Sl1HDwIaIUN - ~ ~ ~ cl~ ^A001T40N ^CONVERTINGUSE ^COMMERCIAL 7. Dtc,BCRIF~rtDft OF 41+fyr+IC' ^ ALTERATION ^ ACCESSORY BLDG. e. ~: ~~ I \ r ~ ~, ~ - - ^ REPAIR ^ POOL/SPA ^ YES ^ N/. ru (J ( C ^ MOVE ^ OTHER ^ NO _ - ., 9. NAME: y, ~ ~~n 1~ti/0~2,Y 15. OMPANY NAM 1' ~C,!',~I'f`f Cy(~S-j- 23. COMPANY NAME: 16. NAME: Wt~ i ssc. ~err%!f 24. LICENSEE NAME: 10. ADDRESS: ~~~ /) ~ /~ r " ~.~ ~. 1< /'r •,.J~- J if 17. ST~ ~OCF FLORIDA LICENSE NO.: l3 25. STATE OF FLORIDA LI NSE NO.: ~L-i/y ~/~/~2,KCj 18.ADDRE~:~~ ~ 57J,~ f,'\ 28. ADDRESS: 11.OFFICE PHONE: 12. FAX NO.: 19. FF1CE PHONE' 5~~~0~ 20. FAX NO.: ola?b-- ~flvy 27. OFFICE PH E: 28. FAX NO.: 13. CELL PHONE: /~ ~~~~ `"`~ v 21. CELL PHONE: _/ ~ 3 29. CELL P E: 14. EMAIL ADDRESS: ESS: 22. EMAIL ADO 30. EMAIL ADDRESS: pp 41wi# 1YKnr 41t'Maa1V CbIMPAr1Y: MI71FiT6tALrtS t.191~671: 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is h reby 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 permit and that aU 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. i understand that separate permits must be secured for Electrical Work, Plumbin , S ns, 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. 1 will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certficate of occupancy or completion issued by the building official, as required by law. **~r 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. .r„~ ~ c~d~ tApyrer p Atlarr~j ar :a€br t~tl) Or'h) - -a ~ 9 or : 9~. e: Date: Signed q, Before me this / day of ~"~ ,2009 in the county of Before me this day of ,2009 in the county of Duval, State of Florida, has personally appeared Duval, State of Florida, has pe ally appeared i I herin by himself /herself and affirms that all statements and declarations aro herin by himself /herself and affirms that all statements and dedaratiavls are t d true and accurate. jj~7~~r' /~[ ~ ~u ~~ ~ ~ aaxua true an e. L r ~Or ~" OUt1 of Notary Pudic at Large, State of l ' • Cou Notary Pudic at Large, State of ^ Personaly Known ~ ~ ~onelly Known ~ ~, ~ProduCed Identification - Produced Identifica8on - Notary Signature: Notary Signature: - _ r ~y PIA11C _ gyp q t•torros . ~. Y " '•ys PubNC _ State Of Fbrida E~ Aop 11' 2009 Nobsry ' ~q~lpioft tl 00 418529 ~• z~ won Expee3 Atg 11,2049 Catrrrtission ~ DD 418529 N~~ ~ry Assn' ,. ~~` Bonded By National Notary Assn. BLDG01 Penult Applicatio dg: OCT-31-2000 03:22 FROM: CLERK OF COLTS 904 270 1512 T0:924758a5 P:1~1 xox~cE a~ coxc~~rrr sane of ~ ~Ori c~-- rt~ Fo~~4 No. Cow+ty of To Wlitotn It May Concmn: TAe andersigmd hereby infam: you shat ~ wi13 be made so otxtdin rest property, and is aocosdaoce vdlh 3ectiaot y13 of dte t:loetda Stattn0es, the Sollowing tbat'ottnatbott is K N077Ck OF C tregp~l Desaipttan of peoperty beitng itrnproaad; ~-lu 3 ~ z 33 _ A,ddresa of prapaty be~mg improved: , pencral desixiption of impreventeaas: 2 - -- owa<r: D s~-~'1 Adam ~17 , . t~ k~ ~ lu ~ ~ --~ t>Mner's 3atarat m site of the inl~pt+ovatttmt: ~ Fee Simpk Tdlehoider (if outer theo owner): • Naate Cgtfhflc~Or, Z tl " a 32 ~~ ~' ~ adar~: ~Q G [fin ( ''~ t'` ~ Telephone No.: 7`7 3 /ri /~~ „_, Fsx No: Z Z O ~- 3 yb t~ -- saxcy t~~) Adt~teac: AmouW of Bond tt ~ Telephone Na Fax No: Name and adders of any parson aoakio~g tt teat for the ooa3tcuctiott of the ~ Name: Addl~ars• pbvaeNo: Fax No• Naax of pasoft vtjtbUi the Sttde of Florida, athcr lhan irimselt; designated h7 owner ~ w)w>n notices ~ other doczaneats may be saved: Ntnmc: Address: Telephone No: Fax No: to a4di0ioe to 1. career dacidnataa the foUawsaa p~ to noeive a copy of die Liarwr'a Notice as provided h+ Seatioa 713.OtS(2Xb), Freida Stettxles. {Fill in at 4wt+Q's option) Naeno: ~ Adams' Tckphaae Nor: Poe No: $upitation date of Notice of Co~uenoernemt (tt~e e>cp~titotl dace h a+e (1) yea from rho dame of rseadittig tmdess a di$etatt dtsoe is ~)~ Tt11S 9tAC1r EQA 11ECOBDIER'8 U8'~ UMl.Y t)WItiEA (~;~ ~ ! Aivas, Slade BaSorto mic dory o[ -~ m 9~e Colarrh of .. ~ fk 200f'11va 13, dR BK 1 a91 z Pam 2245. ~y ~e at i~+ 11Y1e e[ . Ca.eily [ . , ~~ ~ I ~ r ~ Re~wrded ~911t709 a1 10:50 AM, 3 JiM FULLER CLERK GiRCUtT COURT DUVAL p~~ ~~. j' CC)UNT~ RECrRU?*~~ S--t~.40 i /tt04t~ i~a~Arll~l~rR ~..~_..:,~ ....r.r.~.......~...,.......... ti $ 5 AP~RR~;SVED ' CITY OF ATLANTIC BEACH PFANNING & TONING OFFICE ASR 1 ~ 1991 ' ~. ~ . ~ '~ ~~ T- t ~ ~s ~ ~. ~ . s,.•*~ ~ ;, , ~ F~ ~ . ~ A ~ ~ '~. ~ v ,~ ~ r fz~,' '" ~~R ~. I~ - - a, 12~ • J 4_ ~ .~ y ~~ y ~ ~ MAP SI-!OWING SURVEY ~ '~` ' ` ,~ OFF ~, r ` .'K , 't LOT_~._ BLOCK ___._'~ AS ~HC>WN ~ , 01~-MAP OF ,~ IAi 1l~001lO~p NV lIAT ~ ~' '~ Alit k ~ ~O!"' l~tJ~L.{C RtGORD! O!r WJYAL CO., FL.A. I FOR `~.~/ . M . 13 Q R.-~.,~._._ P - . wtl , i ,~ . ~ ~ ~. ~~ ~ ~. ;f, k ~ ~ . I; F t - 1~. J~ F. ' ~~ ~ j _ ~~ `rid` ' i ~ 1;4 t y~~ F i f ' r t ~ y 9N~ r h: ~, k. r ~ . ~,. .. .., r i Y.., ly. ''~~U 'I ,}y~. n 1 ..~ ~ ~k ~. 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"•:t ._ ..~. ~ .~. ....... i. _.L .F.!~. i~!yl.• I.x'~V" .~.`'^. . . CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 1~~~ F'~TAc ~' ~' ~v . 32233 PLUMBING CONTRACTOR: ~0 TL> ^~ ~OOT~f~ -~~"iP!/ /~.~5 GNU - LICENSE NUMBER: OWNER:~~~N t ~~ ~Sa /1,l ~/y c2 `'7~ ( '.~ 77 D BUILDING CONTRACTOR: ~'"~ TYPE OF BUILDING: }~FS'/T,fti'~~A L- ' SINKS LAVATORY $ATN TUNS URINALS CLOSETS FLOOR DRAINS SHOWERS WATER HEATERS DISHWASHERS DISPOSALS WASHING MACNIVE /~~'P~', ,~/q. .S~rf~tJ~/P OTHER TOTAL FIXTURE COUNT: + 515.00 INSTALLATION OF PLUMBING AND FIXTURES MUST $E IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. a ~_.'+ S 0 0 s a ~~ 6 y ~A.. C O C ~ '~ ~ d .a ~.- a~ ~.~• dm ~~ Q~ V S ~ ~~ ~ o ~ tea. ~,o ~ .,~ 0 o- ~M~ N ~ L /~ ,• 0~ ~ O ~ ` ~ d ~ 7 m d ~ G ~~ ~ m ~ m ZpN zi m P r~ ~' °~ pQ£ 1y,1S0~ $t1 ~ ~ 6. Qv ~l}~}` 'O ~66~ .,-----.c.~ ~~,~. ldl3~3a Naf113l~ ~11vS3WOa waeze-~zaee :oar •s•n~ t: g6 ~ JagwaoaQ ~ ~ ~, 8~ woo j Sd o c ? 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Received P.M. ~~ ~- ~-Mo~~~ ~-~~ cN , ~ Job Address Locality Owner's Name _ Contractor ~ ~i~ T ~ ~_ ©T 0 " BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ^ Footing ^ Rough Wiring ^ ^ Air Cond. & ^ Re Roofing ^ Slab ^ Temp Pole i ] Top Out ^ Heating Insulation ^ Lintel C Final f7 Sewer `~y Fire Place ^ ~ Pre Fab REA DY FOR INSPECTION Mon. Tues. A.M. Wed. Thur ~/~ Friday P.M. Inspection Made ~/~ ~ -f" ~ A.M. P.M. Inspector Final Inspection ^ Certificate of Occupancy ^ Date __._ ~' //// ~~~~ ~~~~~,,~~ /CITY OF fY1~~Ki /.S~- ®ffice of Building Official REQUEST FOR INSPECTION ~ Date Permit No. Time A.M. Received ~~ ~M, , r `i~' Job A s ( f -, . ~ /~ uo ar y r ~ ~ 1.i ~ _ Owner's ~ ~ i! N ~~~ ~ Contractor ame , ~~ BUILDING CONCRETE ELECTRICAL ~ PLUMBINP" ~IMECHANICAL Framing ^ Footing ^ Rough Wiring ~, Rough it Cond. & ^ Re Rooting ^ Slab ^ Temp Pole ^ Top Out ^ Heating Insulation ^ Lintel ^ Final ^ Sewer ^ Fire Place ^ Pre Fab Mon. Tues. READY FOR INSPECTION Wed. Thurs. Friday ~) t .---~ y / Q 7 ~ A.M. ~--_-./ Inspection Made P.M. Final Inspection ^ Inspector Certificate of Occupancy ^ Date e CITY OF ,, Office of Building Official REQUEST FOR INSPECTION 1 I~ Date / -'~ Permit No. f Time A.M. Received P.M. f Job Address ~/ Locality Owner's } ~ ~ ~ ~ ' ~ '' ~ _ _ Name ° r ~.,,.~ „ Lt ~ ~ ~ ~ L-- I..PG fl ~ G -- BUILDING CONCRETE ~r ELECTRICAL _ a PLUMBING MECHANICAL Framing ^ Footing Rough Wiring ~ Rough C= Air Cond. & _. Re Roofing ^ Slab ^: __Tema fble- -- --w-~ ,, Top Out ^ Heating Insulation ^ Lintel ^ `~._Final ~> Sewer ^ Fire Place ^ ~ Pre Fab READY FOR INSPECTION ~-- ^ -- -, ( t ~ ~ ~ Mon. ? Tues. -/ Wed. Thurs. Friday r ~ A.M. Inspection Made P.M. Ins ector ~_ p - Final Inspection ^ - ~~ g-'1_. ~ ~ ~'..1 ~ .ti- Certificate of Occupancy ^ Date ~ ~ ~ ` /C~tl'Y OF /' rr` Office of Building Official V REQUEST FOR INSPECTION Date_ ~L! ` ~~ __ Permit No. ~ ~_ Time ,,., A.M. Received _. ,~ ~ f P.M.,~ Job Addr s Lo li y f Owner's / Naiff~"°--..__.... .~.+''~,.,,...,r _ Contractor ~ BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL ~. Footing ^ Rough Wiring C Rough ^ Air Cond. & ^ Re Rooting ^ Slab ^ Temp Pole C Top Out ^ Heating Insulation n Lintel ^ Final ^ Sewer ^ Fire Ptace ^ ~~~` Pre Fab } READY FOR INSPECTION Mon. Tues. ~ Wed. Thurs. Friday Inspection Made ( ___ P. M. !n~pector ____ Final Inspection 'i-'. ~~ ~ Certificate of Occupancy ^ ~~ / Gate CITY OF i n /~~~~~~~~,,~~ /n ~~ ~ ~ ~ fY~~~KZLLC /3~ ~ ~~GZKUi J Office of Building Official '. REQUEST FOR INSPECTION ,~' ~ ~' ~ ~ d O Date J / Permit No. ~ ~ _ Time r Received ~d. / ~ ~~ _ P.M. ~~ ~ ~.Il.nw..e~-VL ~ ~k.vt.~_ Job Address _ Locality ~,+-f ~ -~? 70 Owner's N 1 ~~1~ ame _ Contractor _ ~ - _______ BUILDING ONCR E~~ % ELECTRICAL PLUMBING .MECHANICAL Framing ^ Footing ^ Rough Wiring i Rough .: ' Air Cond. & C Re Roofing ^ Slab IW" Temp Pole ^ Top Out ; ; Heating Insulation ^ Lintel C' Final fl Sewer Cl Fire Place Pre Fab a.cc, READY FOR INSPECTION Mon. Tues. ~ ~/~ Wed. Thurs. Friday __ P.M. ` ~r I i M / A.M. 6 nspect on ade / _ pM, Inspector Final Inspection i~ I Certificate of Occupancy Date ------------ --- -- ---- ,,~~,,.~ ~ ~ ,~ ~ CITY OF Cgs" '' ~~' ~l~r~ic ~eac~i - ~~evtu~ Office of Building Official i~iEQUEST FOR INSPECTION Date Permit No. Time /&~M~. ~ / ; Received _ ~ ~/ dOb~ Owner's ~,`/ Name ~ s ~ ~ ~ Contrac ality\/~- y C- ~ ~ BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ^ Footing ^ firing ^ Rough ^ Air Cond. & ^ Re Roofing ^ Slab ^ Temp Pole ^ Top Out ^ Heating Insulation ^ Lintel ^ Final ^ Sewer ^ Fire Place ^ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. A.M. Friday P.M. I 2 A.M. nspection Made ~R~ Inspector Final Ins ec i Certificate of Occupancy ^ JAI Q ~r ~ Date ~,~---e~RTAAIT Iy1~SggGE .~ _ AMP®QTAr11T ~t1E FOR ~~ M DAT~ _ ~ ..-~ OF i_ ~( PHONE ~ _~ _ ~~ ARE ODE NUM ER M'ESSAG ~ ~ ~--- ExTE~ i 9^ ~~ . SIG ~ }" A~) TIME A•M. PHONED RETU NERETU NER p ~ YOUR_ ~qL~ PLEASE CALL WILL CALL AGAIN CAME Tp 5EE YDU WANTS TO 8EE YpU TOPS FORM 4006 /n~11~~__ //CITY O//F ri~f~ /3BGtG'l Office of Building Official REQUEST FOR INSPECTION Date ` Permit No, ~ ~~~ Time Q ~ ~j A.M. Received " ' P.M. ~r 7 ~~ Job Address Locality Owner's ~ ~ ~/~~~ Name ~~C.~*~'~' Contractor BUILDING GONCRETE ('r~ ELECTRiCA °~ PWMBING MECHANICAL Framing ^ Footing ^\„fiorn7lrtldtrhTg"' ~ Rough ^ Air Cond. & ^ Re Roofing ^ Slab ^ Temp Pole ^ Top Out ^ Heating Insulation ^ Lintel ^ Final ^ Sewer ^ Fire Place ^ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. /I Wed. Thurs. Friday P.M. Inspection Made ~~ i ~ ~ P.M. Inspector mal Inspectio Certificate of Occupa cy ^ Date .a F OF JOB ADDRESS DATE Q ~ R 7 ~I-c ~ ~ ° ~ 16 THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time of approve the installation. After additions or corrections have been PLUMBING made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 p.m. Monday through Friday. eL $lo.n0 ApPLICATI(~T FnR b1QI. PF.failT CITY OF ATiANTIC EACH PROPEF~I~t O~d~Et rte: ~l n4e~- l~~ ~,~s~~~ nay ~on~ y9s~'7v Address c g/'~ /~~,~°~rh~C~' .C-~ /~ ~ ~~-~~ zip 3 a~ 3-~ APPLICANT, IF Ort?~Et THAN OWNQt Name: ~' ~~ Address: JOB Address or Location:~ ~'Si4n~- e. /¢-S ~rb-~e~_ ~u~,~,u Legal Description: ' Is well to be used for dri~d~g purposes? ~ - Any Person, individual, corporation or other entity receivfr~g a permit as provided in Section 22-40 of tfie Atlmltic Beach Code, and wbo p3.ans to use water from the penaitted well for driY:lcing proposes. oust first obtain a bacteriological test report from.the State of Florida Nea].th Department, furnishing a certified copy thereof bo the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. . Departmait Notes: I agr a to corwly with regulations stated herein: igz~a a Sate Zip .. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building dept(a~coab.us Application Number 08-00000331 Date 3/13/08 Property Address 817 AMBERJACK LN Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation 0 ----------------------------------------------------------------------- Application desc 5 fixtures i Owner Contractor OLSON, ROGER CHRISTY FIRST COAST PLUMBING'., 817 AMBERJACK LANE P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . Permit Fee 70.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 9/09j08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70.00 70.00 .00 .OD Plan Check Total .00 .00 .00 .00 Grand Total 70.00 70.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. HP OfficeJet 7410 Personal Printer/Fax/CopierlScanner Log for Information Systems 904-247-5845 Jan 24 2008 8:45AM Last Tnansactlon Date Time Type Identification Duration Paaes Result Jan 24 8:45AM Fax Sent 92494660 0:25 1 OK Mar 13 08 01:06p Brian D. Christy 90'4'249-4660 p'1 crTY of ATiANTIe BEACH PLUMBING PERMIT APPLiCA~TION n~~. ~ ~1(~ ~ t~~ Progeny Address: _ ~ 1 ~ -'vt.~er'..1..QC.~ ' ~:~.r'} e~ Owner 11`~ ('~/ ~ TeleQhoae #- 07~~ :J 77d Ctmtrador. LS ~i'' T !`'I u~ r '~'etephoee dM: ~ ~7-~/~{/ 9 Contractor Address: I Coil Ma.~,~och~`- l~-c.~. ~.-(,,,~ 1 Fait #: o~ ~~- ~ ~o(o LU to consideration o[pettatdt yvm for dohs rise rock as dest7ihtd is the abate at:kmtast, we bete to aoeozdsstee w{tlt the attsahed aed Ciflatiotes whidf rte s hY +~a 1~~ said work it- ]~ :~ part htxeaf asd Fa aeoosdatca wills toe City of Atlanrtic Btweh otdiastce aed ~andasds ot6ood pr~iae W~ad~thtreio. i fasearation tit ~lsicobiag tell 5xmres awu be in aeaptdaacs with the twat recent editiois of the Southeta Standard P4nmbus~ li Code. Plw~tbiag Type: - tf other contaveHon is being done as tiui btitttitts a site, ~ lilt dte building Permit autnbar; . Re~Pe _ ~ ~ ~ Number ofFnctura: ~ ~ ~~~~ ~- ~. Barth Tubs~~~i o:~r Slrowtxs 1 ~~~ ih~P~ ~~ ~ _.,^__,__ v>ri~ _ ~~ nt~;ns wasbiag ~t,;~ 1 Levactny water sewer water xtatus Othar Fels ~ Permit Issuing Fen 535.00 Total Fistnrres: X S7 00 +535.00 = . SQOSanainote Road .111tisMle B~stch, Florida 92233.6445 Pttotte: (904) 2s7-6600 • Fau: (904) 2t7--6845 • Ittlg:Nwww.d~ahll.us Rerised 1/94 HP Fax Series 900 Plain Paper Fax/Copier Last Fax Date Time ~ Mar 13 1:49pm Sent Identification 92494660 Fax History Report for Mar 13 2008 1:50pm Duration Paees Result 0:25 1 OK Result: OK -black and white fax