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Permit 808 Amberjack LaneCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number Property Address Application type description Property Zoning . Application valuation . ---------------------------- Application desc SHEETROCK/INSULATION ---------------------------- Owner 08-00001162 Date 8/27/08 808 AMBERJACK LN RESIDENTIAL ADDITION/ALTERATION TO BE UPDATED 0 -------------------------------------- -------------------------------------- Contractor ------------------------ ------------------------ HAWORTH, CHARLES F. FUTURISTIC HOMES, INC. 808 AMBERJACK LANE 13694 BETT DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 221-0612 --------------------- Structure Information 000 000 ---------------------- Construction Type TYPE 5-A Occupancy Type RESIDENTIAL Flood Zone ZONE X ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . Permit Fee 40.00 Plan Check Fee 20.00 Issue Date Valuation 2000 Expiration Date 2/23/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/'05-'06 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. * Please call for an insulation inspection prior to dry-wall installation. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 40.00 40.00 .00 .00 20.00 20.00 .00 .00 60.00 60.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC $EACH ORDINANCES AND THE FLORIDA BUILDING CODES. / :e _ ,.'`°-''~''~~iK., CITY OF Ae'I_ANT1C BEACH _ ~i~ 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 ,I ~ OFFICE: (904)247-5626 ~ FAX NO.:(904)247-5845 BUILDING-OEPT(c~COAB.US '~ ~r~ BUILDING PERMIT APPLICATION DUVAL COUNTY °-1 JOB`ADC`2ESS VJORK:: 2 VALUATION OF 3; SQ: FT: UNDER ROOF ~I Q ~ v I Atlantic Beach, FL 32233 `:4 LEGAL DESCR(PTION:'s b: ClA OF WORK; 6: USE OF STRUCTURE' ^ NEW BUILDING ^ DEMOLITION RESIDENTIAL LOT _ BLOCK _ SUB DIVISION ^.ADDITION ^ CONVERTING USE ^ COMMERCIAL 7. DESCRIPTION OF WORK ^ ALTERATION ^ ACCESSORY BLDG. Bl FIRE SPRINKLER' 'y ~) ~} ~. i ~ ~ ~ ~ ' ~ REPAIR ^ POOL /SPA ^ YES ^ N!A d r / n J P A C ^ MOVE _ ^ OTHER NO PROPERTY O _. ER: CON R ACTOR:.` ARCHITECT f ENGINEER: 9. NAME: ('0>lRk leS ~ td a r~ ~ t 15. COMPANY NAMF~: " ' 23. COMPANY NAME: J J ~ $ r ~~5 ~C • i 1 NAME: , ~~, ~e ~ c ~ ~~.~y~ 24. LICENSEE NAME: -- 10. ADDR S: g o ~ I9r~ 6~~-~~G1= 17. ST T F FLORIDA LICENSE N0.' ~~C 1~ 25. STATE OF FLORIDA LICENSE NO.: ~_..--- ~1, / + 18. ADDRESS: /~f~ ~ r 26. ADDRESS: ~~~., 1..~ aa~- 11.OFFICE PH NE• 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: 13. LL PHONE: 21. CELL ONE: ~ 29. CELL PHONE: ~~ 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: /~ j 30. EMAIL ADDRESS: FEE SIMPLE TIT HOLDER: (IF OTi-IER THAN OWNER)' BONDING' COMPANY: MORTGAGE LENDER:"' 31. NAME: f~ ~ ~ 33. NAME: 35. NAME: 32. ADDRESS: 5 ~ rv+, e AS (,,~~ ~~~ 34. ADDRE S: 38. ADDRESS: .4pplicatien. is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all taws 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, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with ail applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. ~ WARNING TO OWNER: ~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU NOTICE OF COMM NCEMENT. OWNER oir AGENT C TRA R (if Ager t Power of Attomeyo~ Agency Lefler Require I Quali n Si ned: ~ ~ Date: "' Si d g Before me this '~i day of {11iFrV~ c'`- , 200' in the county of gne Date: U Before me this _~day of 7 in the c unty of Duval, State of Florida, has personally appeared Duval, Stat Florida, has personally a geared C~~S J~IiJO~ /~ herin by himself /herself and affirms that all statements and declarations are herin by himself /herself and affirms that II statements and declarations are true and accurate. Notary Public at Large, State of ~.. ,County of ~L~ true and accurate. (/ ' Notary Public at Large, State of ~, County of kJ4 `-'' ^ PP ~sonally Known ^ Personally Known C7 Produced Identification- ~L ^ Produced Identifc Notary Signatur . l SIR EY Notafy Signa ,~..~.-, ~ ~ ,~. ~cr.v I~I~~~F$~€~Ci~P TT ,,~~ ~~TT(('`v~r .rwati .-ever c^.~wR ,~,..:..+,~`. `~ rr • :" " ~o u''•1~Il..E ~ p r~ 1 COAB FORM BLDG01: REVISED: 11/ 0 7~, ~~ ~ r~~ ~ ~ IZEQUIREMEhv~~'~ ,y1N~ ~(;~~~j'j'j(~~. ~~ REVIEWED BY: Y~ 2 6 t~~.~~f~ -- _. DATE: a.wc..s, yF.., ,: .S~~,y;ly. Gity of Atlantic Beach r \ ~~ Building Department • ~ 800 Seminole Road •:. ~ - ~~ Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 Fax (904) 247-5845 ' "=~s31vr E-mail: building-dept@coab.us City web-site: http://www.coab.us ,~ APPLICATION NUMBER (To be assigned by the Building Department.) Date routed: APPLICATION REVIEW AND TRACKING FORM Property Applicant: ,, Project: ~£~OC~" ''~L~~dY~ Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ^Denied. (Circle one.) Comments: ~-~ S~1Q,~,~,,~ ~,~,~ 4 v~ -7~'rOr~ leek v: Y e BUILDIN / PLANNING & ZONING PUBLIC WORKS Reviewed by: Date: ~ ~6 d PUBLIC UTILITIES Second Review: QApproved as revised. ^Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: t CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 08- 00001198 Date 9/03/08 Property Address 808 AMBERJACK LN Application type de scription PLUMBING ONLY Property Zoning TO BE UPDATED Application valuati ------------------------ on --------------- 0 ------------------------- ------------ Application desc 6 fixtures ------------------------ --------------- ------------------------- ------------ Owner Contractor -------------- - - - --- ------------------- HAWORTH, CHARLES F. ----- - - - - ADVANTAGE PLUMBING 808 AMBERJACK LANE GREG CAUSE INC. (DBA) ATLANTIC BEACH FL 32233 941 11TH AVE S JAX BEACH FL 32250 (904) 247-9848 ------------------------ Permit ---------------------------------------- PLUMBING PERMIT ------------ Additional desc . Permit Fee 77.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 3/02/09 ------------------------ Fee summary ----------------- --------------- Charged ---------- --- ------------------------- Paid Credited ------- ---------- - - ------------ Due Permit Fee Total 77.00 -- 77.00 .00 ------ .00 Plan Check Total .00 .00 .00 .00 Grand Total 77.00 77.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ••~--}~'f .,~ CITY OF ATLANTIC BEACH h "r , ~fi 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 'rJ s~ OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845 U ` BUILDING-DEPT(t1~COAB.US r"J:~}~ PLUMBING PERMIT APPLICATION 07- ,., L.. ~. __~ I DUVALCOUNTY ~• Ai°aOB ADDRESS: n, .. , c .: r - :.re'" 2.StS THIS A SUB'PERMIT: ~ '~~ 3.OATE:: , ^ NO ~Q ~ r .~.~ ~ ~ ^YES PERMIT#: (J~ t~JG.. Atlantic Beach, FL 32233 ~ 4. NAME: 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6. PHONE: ~~ ~~'~''irar .x. ,~. P4UMBING ACTOR: r F ., ~.,:;-, ~, ~ . 7. NAME OF COMPANY: 8. ADDRESS.: '' tar 9. STATE OF FLO ID LICENSE N0: 10. CELL P NE: ~ 11. FAX NO.: ~ 7- ~ ~ ~ 12. EMAIL ADDRESS: 13. OFFICE PHONE: ~ 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be pertormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. CONTRACTORS SIGNATURE: „; . ! b. NATURE OF, WQRI{; r 16. ,..., 7: ,..; ~s 18„ GU ~: , , ^ NEW ^'06 FLORIDA BUILDING CODE- ~RE-PIPE PLUMBING ^ OTHER: „~ ~' 19. NUMBER OF FUCTIiRES: ,,„, ' BATH TUB BIDET DISH WASHER DISPOSAL DRINKING FOUNTAIN FLOOR DRAIN HOSE BIB ICE MAKER INTERCEPTOR ~, LAVATORY LAUNDRY TRAY ROOF DRAIN SEWER CONNECTION SHOWERS SHOWERS PANS SINK __~__ WATER CLOSET TANK WATER CLOSET VALVE ~_ WASHING MACHINES WATER CONNECTION WATER HEATER URINALS OTHER (SPECIFY): PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: ~_ x $7.00 (PER FIXTURE) + $35.00 = ~ ~, 06 x b' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 05-00030633 Date 6/23/05 Property Address 808 AMBERJACK LN Tenant nbr, name REPLACE HVAC Application description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ HAWORTH, CHARLES F. OCEAN STATE HEAT & AIR 808 AMBERJACK LANE ~ 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . Permit Fee 79.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged ----------------- ---------- Permit Fee Total 79.00 Plan Check Total .00 Grand Total 79.00 Paid Credited Due ---------- ---------- ---------- 79.00 .00 .00 .00 .00 .00' 79.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IlvIPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS CH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BLTII.,DING OFFICIAL Jun 23 OS 12:59p Ocean State H/C 904-249-8949 p.i f ~*. " ' i., ~' >. h ?,~ h .,. Y.~: ` ..i3 >N Pro a Ad ess: _„ _ _... Owt>trr; CL~-' T~lerhone #: ~i'' " Contractor: (]~t'1~Q ~_ Contractor Address: ~~~LD 1~.,(~~'~,({~ Telephone ~:, gQM ~__~ ~~~7, F:~x #:~`"~.`'L~.._ Fit cnn~tderenon a(petttltt given tut dv~+~g the wo+k ss de;oribuJ in the at+a~e.tntsmrr+r, wa. he~xby uCre¢ t0 pertbrm ~ui~ work in uCCOrdance with the nttauhed pluus xnel xnrcil3<ntiona which ere s pars Iw-reat'ns~ is eccnrdnnce with the City of Atl'untic t3eaClt otdinusixs nn<I svtudalyds of ood netis:¢ fisted dserein, Type +~f litatinx !fuel: _ lftKher WtxStt•uctiUn is hein~ done en this Uuilding ./ a L'Izctric: ti. D cas: `T,r ,N3rurnl !'~crtlxAt utiiiry or site. list +lu: LnsildinK pCnnit number: ~ Uif O Other - S ci _,.,,,, NTEC~ANiCAL EQUIPMENT TO ~~, CNSTA,i.I.IrD NATURE O.F W O1~tK c~Heat ~ Space _ Recessed `'Central _ door „• Room ;"Cezttrai t~ Air Canditi4oing: , O'" Residential _ 0 13uct System: Material. Thickness t7 CtMntnercial Maximum capacity cfm ^ Refrigeration 17 :New Huildiaig a Cooling Tawt•r; Capacity gptn ^ Fire Sprinklers: Numbt•r of Heads t~ E~istinst 13uit~iing Q Elevator; _ lvlauiift Escalator (Number) p'r Rcplacatzterrt o! F,xist;ng System u Gasoline Pumps (Number) _ ^ Tauks _ ~~Numb~:T) ~ New instulltUioat q 1.PG Containers (Number) (Nu system previously inst.'tflad) ' t] l"JnSred Pressure Vessel o Boilers o ExtcnSio(t or Adti~n to Existing System ^ Gas Piping ^ Vtht;r -Specify t7 Other • Spy-viiv 1..tST' ALL E U(PMENT AIk C.s]t+tDr''i'1C1N1Nt':,1ZF,F1ttrF.RATi()tV k.QUII'M1uNT Xc C:QNI7GNSO;R'5 Apptpv(pg Numlxr UniU Da~rri taon M'~~~+•+ s~f Mnnuiiu;turEr Tuu' s Agency ttL;.t1'INC- FUtttVACES. BUIC.£1tS. FIR.C)Pt,AC:CS ~4 All1 LI~11+tDt.ktt'S Nuutbcr ltnits 1.yexcriptiuu Mudcl N 1 o a~- Approving Manulactur~ 01'II't r~cnuy ~.ts~u~ ~, o~ ~ T----___ ~ 'r,WKS Numinnl C:lpaciry Type Liquid Flow M:ayv Jc Dimeusic+++s C:nntained 5c+~ia1 ,yppruving MSnutifuturpT No. Aeenev CZT~Y CAF AT~A.NT1C B~A.C~-.~ M:~~'HA.NICA.L Y~R1V(tT APPLICATION 400 Serninute Ruud • Atlatttfc Beach, Flaritia 32233-5445 ~~ Phone: (9()d) 247-SSUU • Paz: (9Ud) ?47-5845. http;llwww.cLattantit:-btacb.A.us ~ .._ .. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 04-00028468 Date 6/16/04 Praperty Address 808 AMBERJACK LN Tenant nbr, name RE-ROOF,TAMKO ELITE Application description ROOF Property Zoning TO BE UPDATED Application valuation 4050 Owner Contractor ------------------------ ------------------------ HAWORTH, CHARLES F. DAVID MERRITT CONSTRUCTION 808 AMBERJACK LANE 1930 RIVER OAKS RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 398-8537 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . Permit Fee 83.00 Plan Check Fee .00 Issue Date Valuation 4050 Expiration Date 12/16/04 Fee summary Charged ----------------- ---------- Permit Fee Total 83.00 Plan Check Total .00 Grand Total 83.00 Paid Credited Due ---------- ---------- ---------- 83.00 .00 .00 .00 .00 .00 83.00 .00 .00 P IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING S. ~. BUILDING OFFICIAL FROM E• . . •~ x. ,..:.r i~~or C Job Address: I AWtler Of pTOpertY: sate: -U 1 ~..~.. Address: ~ t:'/ u~. t' _ Telephone: _ ~ ~/'" 3 ~o Contractor: ~ v~ ~~' ~v~ State License T~lumber: ~~ C - , Contractor's Addpre~ss: ~`/.~L?r~~ ` ~,~1 ~~ .~~ ZtfL~•-(SG',~c~ ._ „_•_ Telephone: L~~~ - I `7~~ b Pax: Z yl'D' ~ ~D 7J' ~O Scope of Work: FAX N0. Jun. 14 2004 02:41PM P1 • C:CTY OF ATLANTIC BEACH ItOOFY.NG PERMIT APPLXCATION Deck Slope: ~ "Greater than 2:12 ~, J`' r ~ Less than 2:12 ,: ,_ vo Valuation of work: _~~ ---- / Product Name (Example: Timberline): ~i / (7F'~ _ .,_ Manufacturer (Example: GAF): ASTM Designation(s): Required Cnspections: Signature of pwner: (,~ Date: t0-~~-~~ -----,-- Signature of Contractor: ~~ Date: ~ ~~~ ..._ AS TO OWNER: Sworn to and subsa-ibed before me this ~~ ~" day of __ Li +.~- , 20 G 7 . . State of Florida, County of Duval 7 Notary's Signature: fvlefiao Metrkt ~~~ MYCOMMiSS~OM+t ~~ t7~ES ^ Personally known Jonuay t~, 2006 ~'p~uced identification ~., ecwuannrurnorr,uN~NSUwKC«c r~ r/1 ""' Type of identificati~ produced /r ~.- ~C/~-. • .. , AS TO CONTRACTOR: Swotxl to and subscribed before me this ~ ~ ~ day of - , 20~ State of Florida, County of Duvs! ~ ( ~ . Notary's 5ignatwe:~lC __ _..._._ j .••, Jt~Y' Y 7 ~ , M01grv Arc • S1aUa olNo~kw ^ ovally known t220o~t ,Produced identi5catio» ~0"~011 F OD275,190 Type of identificatiot- produced _~'L ~X L / C- Mcetda~ow-llabajNn~yym, - _ 1104 SemiaMe Road Telephone: (901) 247-580 Pam 1 • Atlantic Beach, Florida 3Z~33-3445 • Fax: (944) 247-SS45 - lttep:/lwnvsv.ei.atbatic-beack.A.ws Ktvua! Z/Z 1/03 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date ~• t5• °`"~ Address ~ ~ ~ YcT~~~~tL Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ $ per sq ft = $ Garage /Shed @ $ per sq ft = $ Carport /Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ ~{os n Total Valuation $35.00 13` $1000.00 $ ~~ Remaining Value . . CONSTRUCTION TYPE: ZONING: FLOOD ZONE: IMPERVIOUS SURFACE: $ ~, .,.~ Per thousand or portion thereof: $ $35.00 $ ~- . . . . . . . . . . . . . . . . . . . . . TOTAL BUILDING FEE $ `,~J~. +'/: Filing Fee $ ~, $ ( )Fireplaces @ $35.00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IlVIPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C ( )RADON HRS .0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( )SURCHARGE $ OTHER $ g~ GRAND TOTAL DUE $ d. CITY OF ATLANTIC BEACH BUILDING /ZONING DEPARTMENT 800 Seminole Road Atlantic Beach, Florida 32233 (904}247-5800 (904)247-5845 Far PLAN REVIEW COMMENTS Permit Application # d~{ - ~~s ~Lp ~ Property Address: ~G~ ~YYt,L'~T:eC ~ y"1 . Applicant: d ~ y'c ~ ~l ~ r /' ~ ~ ~ ~tGvn S Project: d'F ~ r'tJC ~ This permit application has been: ~--tJ' Approved ~ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. t~ i ~~: D. Ford iggins S. Doerr Reviewed By: ~~. Date: ~~1~~/~~. CITY OF ~t~ss~ic /.~erc.~i - ~~ivira~ Otfice of Building Official ~/7 REGlUEST FOR INSPECTION n Date ` ~ / ~~ Permlt No. ~~~ Time ' Received 7 ~ P.M, ict No. ~ - -~•C._/ Job Add Owner's Con ctor B ILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL ^ Footing ^ Rough Wiring ^ Rough ^ Air. Cond. & ^ Re Roofing ^ Slab ^ Temp Pole ^ Top Out ^ Heating Lintel ^ Fire Place ^ Pre Fab READY FOR INSPE A.M. Mon. Tues. Wed. urs. Friday P. M. Inspection Made / Inspector '~-^~-~ Finallnspectio Certificate ofOccu ncy Date ~,t _..._ _...._ _.~..,____- _. 5559 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --°_ PERMIT INFt)R1~ATION ----__ Per»~it NumbeaF z 555 Permit Type: Bl12LDIIdG Class of lic~rk s AL't'ERATIDN Constar. Type: Ii00D FRAME Prcaprrsed Use: GARAGE/CARPfJRT Dwellings: 1 Cade: O I:>~tira>gted Velue: >~3296.40 I x~presv . Cc+st : >a~Cl. 00 Total Fees : ; X45.00 Amount P~~.d • X45. DO >~oz-x t,~stta~. t `..`~r'~~r~ CARP©RT PER 'PLC _-______._~, did~ER I~lFI~RI~ATiOH - -~- Nye z CIiAR1~.l>~S {~ JAI+tE HAWORTH + Addr~e~ : r>~C19 AMI'i~,R.IAGK LANE ~; ~t~) AI~TIG. ~1CH, FLCiRTDA..32;~ ..__-___ C~{'TR~G~'OR'.°~.NFt7RMAT~ClN ------ Mames PRDP~RTY QEVMER Adcfr~ers s ;; Lioe>a~~ s TYRe: 1 ,' --______ LQCATION INF'C1R~tATIQN ---.-___._ Address : 8©~ A),'IBERJACM LANE ATLANTIC BEACH. FLDRiDA 3235 -"-~----- LEGAL DESCRiPTIQH ----------_- Lot : 1 H1pck : 3 Seetican Ta~nshipz RNG: O Subdivision: RQYAL PAL.~S NS -___ APPLICATiQN FEES -__-.. PERMIT X45.00 WATER itIFACT FEE ~a0.00 3 ~EWEi~; I,~P,AC7 FEE ~O.Op WATER ~IIM'~EI~> ~O. t3fl RADC}N GA9wH. R, S. ~O. OD - RADDN GAS - 5;C ~O, Ca0 WATER TAP X0.00 SEWER TAP ~0, o© HYDRAULIC SHARE ~o.oo RE-INSPECT FEE ~©, 00 SEC. H IIYFACT FEE SO. OQ 17THER ~Q; NOTES: r J ~D C/V'~'~ 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BULLDINC~~O~~~~S,~, ISSUED ACCORDING 70 APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND ~T TO REV~jN FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. E f. 00 ATLANTIC BEACH BUILDING D PARTMENT By: address __ ~~ o.~ Heated Square Footage Garage/Shed rpor,/Porch Deck Patio `-`" @ $ per sq > --- @ $ __.. per sq ~ ~. @ $ ~, ~ ~ per sq @ $ ~'- per sq ..--- @ $ ~ per sq 'InTAL VALUATION; Total~.uatian lst $1 ~ ~ ~; c~ $ ~ ~~u C~Z ~ ~ ~~ r j ~ Grz? $ ~ ~r Ranainder Valuation per thousand or 4 portion thereof ~ ------------------------------- --- ---------- Total Building Fee ~ $ _ ~~• . ~--~-z-' ADDITIONAL PERI~TS and/or FEES ~U ' RE IRID ._ ~ + ~ Filing Fee $ / S ~ ~-~ Mechanical , ~ Fireplaces @ 15.00 $ ~-- Q ~-- Plumb ing ; BL'TLDING ' PE~~'IIT FEE ~ _ S ~ \ .. U~-z,~ ~--- Electric/New ; Electric/Temp ~ T70 Septic Tank BUILDING PERMIT $ Well S<,running Pool Sign Water Connection Sewer Connection Water Meter Elevation Certificate WATER METER CHARCxE $ '~ U ~- SEWER IMPACT FEE. WATER IMPACT FEE MISC~LI.ANEOUS ~~ ~~-~a~ GRAND TtrrAZ. DUE $ ~ ~, $ '~ ~ '_' $ .- ~ ~-- $ .-. d ~-_ $ ~,- ~:1 CALCULATIONS and/or NOTES ft=$ ~~~~ ft - $ ft - $~ ,~ `~ ~- ft = $ ft = $ $ t -~. ~.`7 ~_ CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS _ i ,,rr / Address : ~o~' >4/r~~~~~~~~_~L ~ *__Phone: o~~~? 3 ~ ~~ _ Lot ~_~'___ Block or~Unit #f,.,,~'L ~ Subdiyisian:,~ ~ L ~~,~~~E~__ Contractor: _~~~,~ _ ___ ~ .-- ~ _ _ _ ___________I'____-- Describe work t be done t ______________,~_____ _ i 1.~ Present use of building : 6~~-~'~ .__ ~._._ y_______~_...._.___~.~_-......___.._ Valuation: Proposed use : 1/' ~d~'I' Is this an addition?_________ If yes, what are the dimensions of the added space:~~ ____ft. X ~„f _____ft. Will the added area be heated and cooled?~ ___ New electrical for increase)?%~1~- Hew plumbing fixtures?~~ New fireplace7~ New Neat/AC?r ;%~ .__ r SUBMIT THREE COMPLETE SETS,pF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE"FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRA TOR. J Signature OWNER t __~___ _______,_ ~ ___ Date s ~ ~~~,_~~ ----- Signature CONTRACTOR: pate. ~~~ C1TA Q~ ATR A4~Ty1C g~AcH ~ ' ~`' , ~~, `~`. PLAN~~iNG ~~ '~~ ', ILA. tiN LAWf ~ ', 11AMC0 -OQM eoe Is 3~a.ia ~ ~f tae aor~ ~~a~rtx~rt~~r~r~~e~tt pM{IAA{ tN DY/4MGAT{I ~i1~IIrit t# tQttCPi'2C ' The undersigned hereby informs all concerned 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. Dssuiption of property..... ~~.7.`......1........~1 ° C .................»......1......~~...............~...»......~........ ...........................................».................................................»............................................. ' .»..»........».............».................»..........».a..».... ............ Genera) desviption of improvements...... ~~;k ~4..'.~:...7 .............»..............».................»..»...».... ....».....»»................................ Address.. Owner s interest in file of the improvenwM.... F~;c :..`::.<./.f..1.~'.~~»...~ ..................».........».........»..»..».........»»..».............................. fee Simple Title hddK (if othsr than owners ', ~~ ', Name...rn~.~: ~~. ~ ...........................................................................................:....:...~............................................................»»»..............»........... Address......»» .....................................................................»........................................ .................».»...............»...».........»..............»......................... r 11ddress ........................»... ...........~.................................».................................. .. ! .........».......»....»........».................»......_.......~............».»....» ;- ' Surety (if Address.»........»_..».......»...».»........»».....».»...........».........» ................................. ....:..:.»»............ArnouM of ba-d ~..»».............»...»..... Nam. of person within the State of Florida desipnsted by ovKner upon whom notiat a other doa my l» served: '~ Nan+e .......`.`~L:. In addition to himself, own as provided in Section 713. Neme.•...~`~ it designates the following person' to receive a copy of the Lienors Notice i3 i 1) iF), Florida Statutes. (Fill in at Owner's option). II nue s-~cs -on Rscoea~sR•s ues oar ~ ~ ~/' ~/,/ ~ j^ i __-- SU~vEY ~~ r1tA-~' pF ~~~ P SMQw~+NG S ~µpyVN UN a ~~ ~^rr ~,~., Fv'. LO ~, . e ~ ._...--- ~ ~lrCt3R~1~- ,~ ~,,,~N,,'~__,... ~3 ~ ~~ tr si ~~" ~. ... ~G ~' vim, ~~ '~`Y `` fy ~1 ,~ ry °~-. ~~,,,,,,.....-, ,~ ~ -~~' rs 'Z'~~' ~,~~1 1~.~i~ +~ ~ ~ r ~ ~> >~.e,r/1 ~; ~ r L~, ~ rZ ~ ~~~ n ~~ ~~ ° ~~ ~ ~~~ n~ ~^~ ~~~ /~ '~' ° .~7t! ~, r- . ~ ~ y~ U ~. ~ ~n f ~q~~ ~~4,~~k, ~' ~ ~ ~, ~ ~~ ~'' Q ~ r r,~ y ,..,, ..,~,~ ~~y~, ~. , ' ~, .,~ ~ o`\ ~~~, -~ ,tea ~ a r ,; _ '~ ~~ ~~ 4` ~~ Z ~~ to ~2- ,~. _---~ _~ ~?.. ~:l V:'i~ P R ~ +1C p C~, 'pAP~F p,~~-P`~~tira^ t?FF~Gti ~~~ ~part~AN~ & ' w ,,~ a ~~~ ~ ~~ tttlll A / }j)~~l ~r l ~~~~~ 0 s .. ~~~` ' CITY OF >r~ic ~~~ - ~~CVCida 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE (904) 247-5800 FAX (904) 247-5805 June 22, 1992 Charles Haworth 808 Amberjack Lane Atlantic Beach, Florida 32233 re: Variance front setback Dear Mr. Haworth, This letter shall serve to gran Variance in accord with Section construct a carport addition on a setback of 18 feet minimum to other Zoning and Building Codes t to you a Minor dimensional 24-47(8), permitting you to the west side of your house with the front property line. All shall be complied with. If any questions arise please feel free to contact me at City Hall or by phone at 247-5826. Sincerely, i'" George Orley, II Community Development Director cc: File DISC IPTIDt~L ~RoR wsZO, FoR w • ~2' ~ •~ •' f r. BENT PIPE FRAt•IES E 30 IN AtJ~ 60 IN ON CENTER COVERED BY CORRUGATED' STEEL DECKING <DECKING 70 EE CONTINUOUS OVER THREE DR MORE SUPPORTS) h1ATERIAL~ STEEL WITH MlNihIUM YIELD STRENGTH, Fy, - 46 KSI • , ~ , 12" SI,DP~ 2" o R I1~ -----.-~-._ 1 (-~ ~- ~ - ~~~ cTR co~urlN WHEN REQ'D ~ P iPE FRAt4E 2.5"OX .12"WALL ~,~~~ NnQle r-T 8a Se/ro- . cx3r.~18,~ ~ ~t Ty P. ~ . both ~ Sides Sept Mvd,S=.Slln3 1=.64~n4 I' ~ AreQ.A=.9 ins i''y~ uQ I:,Sl,, t7't. •- .•j1`uj' DECK, 29 GAGE 3 'SPAN.•C NT. 9" ~ to ~ P.ibs ~. Rtb ht .75" Rlb wid ~h 1.7 . Mnr.. Dack Spnn =. 60 .n GROUND ANCHOP, a EA CDLUhIN Zvi `YorieS 1 I . HEIGHT • • <H FT) . ~ ='19 ~~ ' WIDTH (W •FT) ' . ' LerIGTH, OVER ALL hIULTIPI.ES OF FRAt•1E SPACINu AS DESIRED. «. FT> dotes : l10 u~nh vrind per SI3C, v;elcl mat' 1. ~: ~•rorl;rnanship to i~ia'tch or exceed parent rletal° fab/erect rer latest !1IaI codes. i~.ncls ~. sides to remain open a.s shor~~rn. Use 3/lG :t 2" flat as : bracing a.t lat 5' bay, typ. ea. bldg. I.lin. 4• Places per bldg. . '•~ ,',~ of anchors = ~r of cola. for L?_' bldg, ~c mar. sp. = 60" for 20' bldg. , Anchors 'to be as rn:fc? . by 'l'ie do~rrn en~~. , Lliaai:i, ~'?.. , mo~.el A2?, 3G" t~'~in l~•" lieJ.ix or appv'Q. ecl. Any deviation from these pl~uls mus•L be ctppv'cl. by -the en~r. Plans not valid yr/o embossed seal. Ins•tallat.i~n of anchors to comply t.~/11l ~nP1i_c161e cod.e.:,. °yiald = ~ 6 Ksi ~~ ) iE~~, ~4 4~~ f~n L~ ~ ~ a~S,~ ~ ('~!''~ .~~~~ ! ~ I~~~ OWt4ER BUILDER PERMIT AF'FIDAVIT~° Stbtr ut Florida ) City at Atlantic Bsact, ) ~j 6E~,Oc~~ M th ~~jdersigned authority, personally ~,pNe~r~rd ~1_'`~~~_`!__~~'~`~~~~Z---..----• who upon fir mt tieir~y duly sworn, deposle~s ,snd' says s /~ I~ ~!l~"= ~''~``~ ~L~~~~.~~ _--------=• and the legal owner cat the Yallorin~ property: Subdivision ~ ~,,~.A~/~~ ~_, ~` Block Lots - -_1_~4--- AKA -,-G~~ -. _.__°__.. _ _ ..~ I am applying for i building permit pursuant ~o ct,~a Owner Builder exemption set forth in Florida Stsxtute, Section 483.103. Florida law requires that I have been provid~rd watt, tt,rr following DI^aCLOSURE STATEtlENTs DISCLOSURE STATEMENT .State law requires construction to be done by licensed contractors. You have applied tar a permit under an exemption to that law. The exemption allowst you, is the owner of your property, to ,act ab your own contractor even though you da not have a license. You must supervise the construction yourself. You may build or improve a on• or two family residence c,r a farm outbuilding. You may also Duild or improve a commercial Duildinp at a cost of a02'S, 000.00 or less. The building must De for your use and occupancy. It way not be built tar sale or lease. It you sell or lease mor• than one building you have built yourself within onii year otter the construction is complete, the law rill presume that you built it for sale or lease, which is • violation of this exemption. Your construction must De done aoeording to building codes and zoning regulations. It is your responsibility to wake sure that people employed by you have licenses required by Btat• law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, attiant sayeth nat. ~ -'~-- Property Owner Sworn to and subs~c ib~-d Drtor -. this __<~__ -,-day -¢~_ /' ..._. / -. - ~--5~ .~ _---'~--- NOTARY PUBLIC r. A .,<. «n. ,, . .wcwaavx;u.aa n~wu~.:,.,,:~, r .,..w.. M.e. xa;..;:e„~r„x -.~ _..;;~ez.. .. _. 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