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Permits 510 Aquatic Drive CITY OF ATLANTIC BEACH �- 800 SEMINOLE ROAD " = ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001545 Date 11/17/08 Property Address . . . . . . 510 AQUATIC DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4600 -------------------------------------------- Application desc install 4x8 hardie panels FL889 . 1 ------------------------------------------------- Owner Contractor ------------------------ ------------------------ WASSON, WENDY WCI GROUP, INC. 510 AQUATIC DRIVE 1100 SHETTER AVE ATLANTIC BEACH FL 32233 STE 203 JAX BEACH FL 32250 (904) 242-4444 --------------------- Structure Information 000 000 ----------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X --------------------------------------------------------- Permit . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date Valuation 4600 Expiration Date . . 5/16/09 ------------------------------------------------------------ Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. * To be fastened @ 6 inch on centers . -------------------------------------------------- Fee summary Charged Paid Credited Due ------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Grand Total 82 . 50 82 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. -- — - --- -- PLUMBING PERMIT � BUILDING PERMIT WORKSHEET ELECTRIC PERMIT �.� TEriPORARY ELECT. � Bated Square Footaged @ $ per sq ft = arage/Shed D O @ p e r sq ft - $ arport @ $ per sq ft = $ orches @ $ per sq ft - $ eck A�� @ $ gopersq ft = $ �, 6p _3. 6. atio @ $ per sq ft = $ TOTAL VALUATION $ ® eg3 6 O )tal Valuation Data 1st $ QUO, DO p ao ,mainder Valuation @ $ / .as per thousand or portion thereof TOTAL BUILDING FEE $ .3,6 + k FILING FEE 1g;F6 FIREPLACE @15. 00 $ �' TOTAL BUILDING PERMIT ------------------------------------------------------------------------------- 7MBING PERMIT FEE$ MECHANICAL PERMIT FEE$ CT. TET-1PORARY $ ELECTRICAL PERMIT $ CER METER SIZE 3 - $ 3 yp va ACCOUNT NUMBER IER IMPACT FEE 'ER CONNECTION $ (@10. 00 per fixture unit) 'ROVED BY ' -, o V,E p TOTAL BUILDING/PLAN FILING FEE $ S-(/ �J '1(3 BEACH - " G Ci ic- TOTAL WATER METER CHARGE ¢ - $ - r; �2PS TOTAL SEWER IMPACT FEES ^ � TOTAL WATER CONNECTION CHARGE $ a p �} d-- MISCELLANEOUS CHARGES GRAND TOTAL DUE: $ i PLUMBING WO.RKSHEET SINKS SHOWERS DISHWASHERS CLOSETS � BATH TUBS FLOOR DRAINS WASHING MACHINE � WATER HEATERS LCL' LAVATORY URINALS DISPOSALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. a BATHROOM GROUP CONSISTING OF WATER CLOSET, LAVATORY, AND LAVATORY (1 UNIT) BATH TUB OR SHOWER STALL (6 UNITS) SERVICE SINK TRAP STAND (3 UNITS) DRINKING FOUNTAIN (2 UNIT) URINAL, WALL LIP FLOOR DRAIN (1 UNIT) (4 UNITS) URINAL, PEDESTAL.* SYPHON WASHING MACHINE RES. JET BLOWOUT (8 UNITS) (3 UNITS) WATER CLOSETS, TANK-OPERATED WATER CLOSETS, VALVE OPERATED (4UNITS) (8 UNITS) BATHTUB (W/OR W/0 OVERHEAD SHOWER STALL, DOMESTIC SHOWER) (2UNITS) (2 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY (2 UNITS) DISHWASHER (2 UNITS) } _ KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10.,00 EACH U ):)RESS ,., . . .... .,, PLU1,-1BING PERMIT � BUILDING PERMIT WORKSHEET ELECTRIC PERMIT TEMPORARY ELECT. sated Square Footage 5-eyp @ $ _mer sq ft = $� arage/Shed @ $ ��a per sq ft - $ f� S % • o ° arport @ $ per sq ft = $ orches @ $ per sq ft = $ eck � . ilpq atio @ $ per sq ft = $ TOTAL VALUATION $ :)tal Valuation Data 1st $ 1010 d 0 .°a Za�� 0"21 mainder Valuation @ $ / .a.s per thousand or portion thereof TOTAL BUILDING FEE $ + k FILING FEE $ FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT $ --------------------------------------------------------------------------- ,UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ .ECT. TEMPORARY $ ELECTRICAL PERMIT $ TER METER SIZE 74- f- $ 3�Vd ACCOUNT NUMBER WER IMPACT FEE $ TER CONNECTION $ (@10. 00 per fixture unit) PROVED BY 1' � C �,r c o , TOTAL BUILDING/PLAN FILING FEE $ .V EACH TOTAL WATER METER CHARGE 19� - $ 3,�lp • Oy TOTAL SEWER IMPACT FEES $ , /!16) -.0c) TOTAL WATER CONNECTION CHARGE $ Q U dy d MISCELLANEOUS CHARGES $� GRAND TOTAL DUE: $ L o-7- CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMITwn e r—-1;� Address_qq f0l�T. . 13 Phone Architect I y 2/&—---------------Address -3;z cr, Contractor 7 3 - A d d r e s s --Phone -ise Number C a-y-uL-7 4�"�14- Phone Licei V Expiration Date I-OL #---?--A --Blocl,� # Sub-div-i o n S t ree t_A_qlt�­-Drl i-t-A),,vtJt-A�_Zoning Valuation Purpose of Building Building Dimensions : _1__Type Const. W�p d1 FOAM Sz- Piers____Sz. SillsLot -XI torliq 0 S z . F o o t in g s Sz- Ceiling Joists-& _Greatest Span Sills rt�rj Distance on Centers :Zye'o.( Sz - Floor Joists S _'--Greatest Span2y" 0. IL"-----Distance on Centers------ —Greatest Span Sz . Rafters-!��i�--���lp,,I,--Distance On Centers ;t /t.oc, Greatest Span He a tingA,, -2 1_'o r -r--Solid-Filled Ground 3DIiA Flood Zone------ located wi - --------- ------R o o f - Ehin a FLOOD HAZARD ZONE fill out reverse of this application. Inspections Required: I - When steel is in place and iready to Pour. footing . W 2 . When steel is n place and read y to 3 • When steel is in place and ready to pour columns/lintel . Pour beam. 4 - �,R-ien framing , mechanical , rough Plumbing and -fire Place Is completed and -ready to cover up . S . Rough electrical,. 6 . Final inspection. In case of rejection, reinspection MUST be called for after corrections are made . SETBACKS In consideration Of permit given for doing - Rear Lot Line the work as describes d in the above statement , we hereby agree to perform said work in accordance with the attached Plans an specifications , which are a part hereod f, and H. APpR ()VC:r), CiiTOF C11 Y F in accordance with the building regulations (D B_4Cl Of the City of Atlantic Beach. t--1 GP'-1C:, M 0 t--1 3 1985 0 (D Signature OWNER-- Signature BUIL Front Lot Line CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT 0,aner �o Address f01T., V,9,A :a7c�--- Qp-�s�_1Jrf npA�,F,A. Phone Architect Address - - '7YadZ Address--- --------_Phone -- �— --._f3_ _3 Y_421_.- 722yr-Phone License Number- � p �'�oiration Date - -------- .. �o___; Lot __-Block �� Subdivi,,ion -- Street - _�� Valuation $ A4o+�Ti C r_i_�'Z BetweenjT14, Tic DL_v_ ander side �` 1�--�'A)c'L Purpose of Building P.-, Dimensions : Bui ldin ?I �JTYPe Const. to SAM g-- �C y-- - Lot _ X1Qq ' Sz . Foot Sz . Piers Sz. Si1Is _ _ --- --- - __ Greatest Span Sills Sz. Ceiling JoistsFTerL Distance on Centers " --- 2Y_o_.c., Greatest Span-2y" O.C. Sz . Floor JoistsS1LDistance on Centers---- -_ --9-�----- __Greatest Span__-___ Sz . Rafters �e , o, Distance on Centers "' ' a_Y_Qc, Greatest Span_ Heating,q;, r ?-_Solid-Filled Ground S DliA Roof Flood Zone -_ ----If located within a FLOOD HAZARD ZONE fill out reverse of this application. Inspections Required: I . When steel is in place and ready to pour footing . 2 . I,1hen steel is in place and ready to pour columns/lintel . 3 . 1-,Then steel is in place and ready to pour beam. 4 . When framing, mechanical , rough plumbing and fire place is completed and ready to cover up . 5 . Rough electrical. 6 . Final inspection. In case of rejection, reinspection MUST be called for after corrections are made . SETBACKS In consideration of permit given for doing Rear Lot Line the work as described in the above statement , —Rear we hereby agree to perform said work in accordance with the attached plans and :..3 7 R O V E D specifications , which are a part hei:eof, and c' `��'F BEAE in accordance with the building regulations �'r r�G c ~�c~ ~ a. of the City of Atlantic Beach. 'loss m rt O rt M Signature Signature BUI *R ' 2 7 Front Lot Line CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Own e r --�aM -% -�-- s s o Address f 01T. V.&I-A Architect Address - "°dx ----------- Phone - Contractor- Address p. , . - - - - �-3�2-Y421Phone License 2b�fib/ Z License Number C�Lgo�rJ _ -_Expiration Date Lot � Block # Subdivi >ion - ---- Zonin Street-A40m— t--Df i_v* Between Valuation 4_ —Purpose of Building T e Const . W Dimensions : Building_ '��� Tot x1 oa' --5z . Footings S z. Piers --�'�-x��-- ---- Sz . Sills_ __—Greatest Span Sills Sz. Ceiling _ Sz . Floor Joists a Ler_- Distance on Centers zY"o.c. Greatest SpanZy�" o.r-, Sz . Raf ters_�es - W4"__Distance on Centers - —_____Greatest Span___ e ('iAn Distance on Centers "� aY"c, _Greatest Span__-2_r 1,C7. Heating,q�-,r,, r .r- _Solid-Filled Ground S DliA Roof Flood Zone -, If located within -AW,-,a a FLOOD HAZARD ZONE fill out reverse of this application. Inspections Required : I . When steel is in place and ready to pour footing . 2 . When steel is in place and ready to pour columns/lintel . 3 . ZJhen steel is in place and ready to pour beam. 4 . When framing , mechanical , rough plumbing, and fire place is completed and ready to cover up . 5 . Rough electrical,. 6 . Final inspection. In case of rejection, reinspection MUST be called for after corrections arc=. made . SETBACKS In consideration of permit given for doing Rear Lot Line the work as describ`d in the above statement , ------we hereby agree to perform said work in accordance with the attached plans and cn specifications , which are a part hereof, and , in accordance with the building regulations (D -4 6 Vii a of the City of Atlantic Beach. T, o r, o Signature OWNER Sdgnature Front Lot Line CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT A(J1dress COIT.. ve9fA Q _ dxP,a. Phone zyr.-.7j,, z, Architect�j�v� Address a� d ° ;, ------- - --------------Phone Contractor _ Address c -ywr FM. _3-14�------�7-y,t_-_Phone License Number__ Expiration Date T 4 �F?___ P 'Tw. 3 0 ,g Q__ _ r-- fir ) Block # _Subdivi-sion_kq � _-Zoning Street�4V-kT ; _ , ,��---Between 1�T 9m[,a t3t_v_D-an d T�I A-Zcn� Valuation S side,���,{, ,.� &H7 _Purpose of Buildin -- r g Ty p e Const. Dimensions : Buildin SAM g_- ._a�_�Y._ Lot---YJSz . Footings Sz . Piers _ Sz. Sills - Greatest Span Sills Sz. Ceiling Joists � �f Distance on Centers -- 2Y�"o.c., Greatest Span2?" o.c, Sz . Floor Joists �RaFr - e on Centers______ Span --gam____Distance - _ Greatest - Sz . Rafters et Ign__-___Distance oil Centers _ay"' Greatest Span_ ,2 y _ _ _ -- - oeHeatingAi-c- 1- , - So1id-Filled Ground Roof Flood Zone r;jP � IL � — — If located within a FLOOD HAZARD ZONE fill out reverse of this application.icati_on. Inspections Required : I . When steel is in place and ready to pour footing . 2 . When steel is in place and ready to pour_ columns/lintel . 3 . When steel is in place and ready to pour beam. 4 . When framing , mechanical , rough plumbing and fire place is completed and ready to cover up . S . Rough electrical,. 6 . Final inspection. In case of rejection, reinspection MUST be called for after corrections ar6 made . SETBACKS In consideration of permit given for doing Rear Lot Line the work as described in the above statement , - -- we hereby agree to perform said work in accordance with the attached plans and cn specifications , which are a part hereof, and Q "' in accordance with the building regulations 6 0 ~ a of the City of Atlantic Beach. _ r� r P^P R �e�C �tiA�a C 1 C Ji'�U 1G r�cl pr' r f7 Signature OWNER . Signature B LDER —2 �� f Front Lot Line y V m 7j/"-' 7K) DATF,flUCAT 106 e P PLUMBING F T IM cz�xr)ejmTE 14c), LbL"R UK cod p-IR e4- a 44 O 'LOS $, P x r-' z� r �' tM144 JIM MANGRUM PLUMBING CO., INC. 5543 V STA VERDE AVENUE • JACKSONVlLE, FLORIDA 322'f/y PHONE: 772-0433 RESIDENTIAL CALCULATION FORM 900-M84 CLIMATE ZONES 1 2 3 COMPONENT WINTER GROSS _ SUMMER GROSS WINTER SUMMER AREA x WPM = POINTS AREA x SPM = POINTS R 0-2.6 31.4 16.2 R 2.7-3.9 1.3 11.5 CONCRETE R 4.0-5.9 15.6 9.9 N R6.0&UP 13.1 9.2 J 'I FRAME R 0-10.9 26.1 20.0 Q 3 OR 8 11.0-18.9 142,L 3 7.8 /0 2 9.2 . (. BRICK R 19-25.9 4.9 5.6 VENEER R 26&UP 3.6 4.2 COMMON 2 7.8 2.5 n WOOD OR METAL _ /, G 247.7 5b. 36.4 7 BG• z INSULATED _ 235.5 14.5 O STORM DOOR 124.4 29.0 p COMMON 61.9 4.5 R 18-21.9 2 5.0 O Z 5.5 `� 2 UNDER R 22-29.9 4.1 5.0 ATTIC R 30&UP 3.3 3.7 z R 6-7.9 14.2 14.9 J R 8-9.9 10.9 11.3 W SINGLE R 10-11.9 9.2 9.5 V ASSEMBLY R 12-18.9 6.7 7.0 NO ATTIC R 19-21.9 5.0 5.5 COMMON 4.8 1.5 V R 0-6.9 15.5 4.8 a _R 7-10.9 6.5 2.1 y WOOD R 11-18.9 5.6 1.8 O w R19&UP 4.0 1.3 z �O Z R 0-2.9 19.4 6.0 O R 3-5.9 12.4 3.7 LL z R 6-10.9 9.3 2.6 CONCRETE R 11-18.9 6.2 2.2 W R19&UP 4.4 1.6 O COMMON 4.8 1.5 W EDGE INSULATION PERIMETER WPM ca R 0-2.992.7 Q, L g° R 3-5.9 69.5 z PERIMETER R 6&UP 46.4 O 2 FORM W&484 CLIMATE ZONES 1 2 3 WINTER SUMMER OR AREA SGL DBL WOF GROSS OR AREA SINGLE DOUBLE SOF GROSS (9F) WINTER CLR TINT CLR TINT (9F) SUMMER POINTS POINTS N 157.4 120.8 N 146 123 120 101 NE 157.4 120.8 NE 221 186 190 159 3 E Q 157.4 0.8 E fp 289 242 209 F y SE 157.4 120.8 SE 261 219 226 189 x S 157.4 120.8 S 190 160 160 134 ai SW 157.4 120.8SW 261 219 226 189 0 W 7? 157.4 0.8 s ?�/ W 1 289 242 5 209 .Q Q �. N NW 157.4 120.8 NW 221 186 1;90 159 N_ H 46.4 79.3 H 489 408 432 360 J U _2 H O 2 S H=HORIZONTAL GLASS(SKYLIGHTS). FOR SC OTHER THAN 0.83 SEE SEC.902.2(a)5.TINT MOLT.MAYBE USED FOR GLASS WITH SOLAR SCREENS FILM OR TINT. TOTAL GROSS WINTER POINTS >'DTOTALGROSS SUMMER POINTS p, 3 R=4.2-4.9 J"t)3 9 V, 1.14 ' Y`�� R=4.2-4.9 9 GO. 1.14 163 f f! 7 >F J R=5.0-6.6 1.12 R=5.0-6.6 > R=6.76UP 1.12 1.09 R=6.76 UP 1.09 DUCTS IN CONDI- DUCTS IN CONDI- TIONED SPACE 1.00 TIONED SPACE 1.00 HSM FROM 9G ?�!Y . x •c�o S7 r CSM FROM 9H > S9 . xI ye-Arz. Y DIVIDE BY DIVIDE BY CONDITIONED 7r(, wINT yy, CONDITIONED Y , z sy _ 3 ? OFLOOR AREA 7ER POINTS FLOOR AREA 2 SUMMER POINTS CAMULATE EN R Y P RF RMANCEIND X WINTER SUMMER HOT WATER E.P.I. ADJUSTMENT ADJUSTED CREDIT PTS. PENALTY CALCULATED POINTS POINTS PTS. 91 SUBTOTAL MULTI. 9B E.P.I. 9C+ 9D PTS. 9E E.P.I. yy3 + 3�. 0 _ = 77. 2 x / 31 = /o/1> _ (/ + 3 THE CALCULATED E.P.I.MUST BE EQUAL TO OR LESS THAN 100 POINTS. 9B AQJTENT MIMIPLIER CONDITIONED 901- - 1301- 1501- 1701- 1901- 2101- 2301- FLOOR AREA(SO.FT) x900 1100 1300 1500 1700 1900 2100 2300 ABOVE ADJUSTMENT 1.21 1.25 1.3 1.36 1.42 1.49 1.57 1.65 1.74 MULTIPLIER 3 CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 l\ 08- OFFICE:(904)247-5826•FAX NO.:(904)247-5845 \ _ BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION __.__12LLkfA�COUNTY 10 AQu TC Ab�AI tvCCS 00 t32 n' 1�"t"f/1 /�-� t7t1 rr p(� ❑ LOT BLOCK SUBDIVISION NEW BUILDING 171 DEMOLITION ESIDENTIAL K�I 1 11... (,I ��,)[._l�j ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL i ALTERATION ❑ACCESSORY BLDG. S /1 J L�x /yl/L> I C 1t}, ❑REPAIR ❑POOL/SPA ❑YES A l�Y 1 IIIJJJ v6� (�(�� 1 L _I ❑MOVE ❑OTHER ❑NO 9.NAME: 15.COMPANY NA 23.COMPANY NAME: I.Inde Mc vvoy rl t 16.N ME: 2 SRD1n fv i So V-\ 4.LIC EE NAME: 10.ADDRESS: 17.STATE OFFLORIDA LICENSE 25.STATE OF F RIDA LICENSE NO.: 510 Aqucal -C-C-Al-, 18.ADDRESS: 26.ADDRESS: A -R i 1=L-32233 tk00 sneAAeY IkVe s�ie 3 JCk x 'i�c:h I k L -, ao a �< 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.F NO.: �L11- 1 i4 a4-3 -\4\-ALiy -1C`"11 13.CELL PHONE: 21.CELL PHONE: _ 29.CELL PH E: A �� 3�j 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30. IL ADDRESS: Sara vv e1.c.c 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)months, or 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 all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building 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 YOUR NOTICE OF COMMENCEMENT. Signed:-74.aDate: ,gyp� =day Date:�� TJ Before me this��day of �!y 2007 in the county of 7oreQ 2007 in the county of Duval Statteefof�Flloorriida,ha personally appeared Duva State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. } true and accurate. Notary Public at Large,State ofJ-L County of VI V Notary Public at Large,State of y,County of Personally Known lWersonally Known ❑Produced Identificatio ❑Produced Identificatior3 Notary Signature: Notary Signature: ,J!" 11 o . �o�Par aye c RONALD D.WILSON r.w,, ,., ,.G * MY COMMISSION It DD 542682 a r� �PLIANCE Ff'7713 - EXPIRES:April 20,2010 CITI�®FAT CBE FORM BLDG01:REVISED:1110200 F Fl.��\OF bonded Thtu Budget NoUry Services BEACH ! ' FILE COPY REQUIREMENTS AND CONDITIONS. `' �� -•., REVIEWED BY: DATE: +• ... ..•.:•rwmYr.scirwwr.w.;rw rrt:w+.ra.•.rv. i-1%•-LJCity of Atlantic Beach /� s� Building,�epartment ,( �� V APPLICATION NUMBER /�/ (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-544 �r v~atK Phone(904)247-5826 • Fax(904 247-5845 �+' / 7 E-mail: building-dept@coab.us Date routed: /jLl3To City web-site: http://www.coab.us IL APPLICATION REVIEW AND TRACKING FORM Property Address: D DeDadment review required Yes No uilding Applicant: �i(J r4 it Planfring &Zoning Public Works Public.Utilities Pro)ect: /1 Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: BUILDIN PLANNING &ZONING PUBLIC WORKS Reviewed by: All Date: PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied. PUBLIC SAFETY Comments: FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: MAP SHOWING LOT9,a,9e,,�90 BLOCK - AS SHOWN ON MAP ,4 tav a 77e aA XW.Ns O I` AS AECORDED IN PLAT BOOK—M—,PAGE 7/. 7/A OF PUBLIC RECORDS OF DUVAL CO.,FLA. + F0R70-M (/BS7-l,Qssoc. 2 A7'4AN77G $EACH LCCA L/N,,T P8. 3o Pa,, Se. Ste• 38 T. Zs. Al ole 45.00' 30.00 30.00' - 45.oo o -2 b � N DO N 44 . ve A 26 P o � - 'P Q •%`rv•. a to /tt-J 4/•z�' �" / vcss• c� ti s.070/Go' Z 'E, i V,s o33• 5?•2S o. .r •���o •�bo�J�owryso s 4�. � 3� --•ra w.r•sr•w �.�• 2" 11-A c w APPROVEO I ,. ''"""` • CITY OF ;, LF'.W IC BEACH CU11-DING OFFICE - i? 31985 { it. a;.pyy��i � t w. • e+ `rte • tt•A k a +/l! f CHARLES BASSETT & ASSOCIATES, INC. 215 CENTURY 21 DRIVF - (904 )-724x9433 -^ ^^ „32216 cnvr vent• r ui ►ir r nc� ir• .� _ CITY OF AI'LANTIC REACH, EI_ AIDA for 5's Avp•^v*d by APPLIC-ATION FOR UrCYRICAL PERMIT � � _ �` �S 70 THE CHI.:F ELECTRICAL INSPECTOR: UA'fE:__._.-.__9 _ � _19_cam, IMPORTANT NOTICE: ( IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLO?VIIN-G, WE HCREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATh)NS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. t MA ELECTRICAL FIRM: j Q STER ELECTRICIAN SIGNATURE F.e,QQn0 jJ --- - fl . N. M,E ADDRESS: 6-10 ,��_�n• RFD__�_BOX___-__ BLDG.SIZE BETWEEN: _ RES.,C APT. ( ) COMM.( ) PUBLIC ( ) INDUS. ( ) NEW�X OLD ( ) REW. ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) ---SQ. FT. SERVICE: NEW( INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE /Q AMPS � - COPPER ( ) ALUM.)_-, _ — --- 1c�. SWITCH OR BhEAKER aL` AMPS jPH W OVOLT SF-0, RACEWAY_ ..__3Qz�C� EXIST.SERV.SIZE _ AMPS A PH W VOLT _RACEWAY FEEDERS NO. SIZE ..J`"O._--- - _-- -SIZE NO. _ `SIZE_ ---- LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED------ OPEN TOT_AL ,' _ '- - -, 0.90 AMPS.__. fJO AMPS. -- ---..------- SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0-100 AMPS. — OVER APPLIANCES - � BELL TR NSF. AIR H.P. RATING H.P. RATING CGNDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT:{ KW-HEAT - ---- — tt 4'1 OVER - --- MOTORS H.P. VOLTAGE PHS NO. ] H.P. VOLTAGE PHS - _ t�.fcCELL.^�`SEOUS � i-- --- 1X+ -- 1 T'�AIVS>`ORMERS_^ UNDER 600 V. - - 0 V E R 6o0 V. NO. I�VA T;q -- - - - - .. _ ANO _ _ J� _ .p. .E� 3 TRANSF. NO. VA. Ir A. r.SUTOSIZE �,'!i;C4 - F- NE _. R; FORt".':Fii' .D 'a r'...:yc++iiNe7g11!!'.►i....... f ..'1t.?5�'� .;{-:. 4 Jki . _ ,H _ >e CITY OF ATLANTIC LANTIC REACH, FLORIDA 3 } App—v.aby r,,_ APPLICATION FOR EVCYRICAL PERMIT _ CO- TO THE CHIcF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: ( IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ) t ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE r—Cp00p /l Nk-,'!E Jct; /tDa� 0 ADDRESS: �l D_ .C� RFD _BOX_---.-- BLDG.SIZE `' BETWEEN: RFS. ( I� APT. ( )"A 4 COMM.( ) PUBLIC t ) INDUS. ( ) NEW OLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( i TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW(X INCREASE ( ) REPAIR { ) FEE CONDUCTOR SIZE 1�Qi Aty.1PS COPPER ( ► ALUM.(� _ I - - swiTCH OR BnEAKER o _ _ AMPS ( PH YJ OLT EQ RACEI'JAY �Q . 0O • EXIST.SERV.SIZE AMPS _ PH W VOLT _RACEWAY FEEDERS NO. SIZE NO. !_ SIZE _ NO SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL —^ RECEPTACLES CONCEALED OPEN _ _ TOTAL 0.30 AMPS. - 31•100 AMPS. SWITCHES INCANDESCENT _FLUORESCENT_&M.V. FIXED 0.100 AMPS. OYER_� --T --------- _._ .�PPt.tArlCEs BELL TRANSF. T `) AIR H.P. RATING H.P. RATING -- CONDITIONING " COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT B-1 OVER ---- ----- MOTORS" H.P. � . VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MI.CELL.'l.,IEOUS — ANSFORMERS_ UNDER SOB V. _ OVER 6, V. -- NO. K VA �tJO FKIA - -_ h0. •E( JTP.ANSF, J_w NO. VA. SIZE F!6`HERj E �;H SIGN ' L t FOFiti"JARC,-:D } CU`TAL ''' 1 4 tlq CITY OF ATLANTIC REACH, FLORIDA � App,nvodby ,°. APPLICATION FOR ELKYRICAL PERMIT u � TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �-___q_— 19 8S ` IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE 'tt HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, i WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ) ELECTRICAL FIRM: �1.GMAST R�ELECTRICIAN SIGNATURE ,EC__oo001/.3 U�►.�EYh!. ' Nk*4E ADDRESS: --RFD—BOX-.---_ BLDG.SIZE "' BETWEEN: RFS. ) APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ! NEW 1 OLD ( ► REW. ( ) ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( 1 SO. FT. • I SERVICE: NEW((N INCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE � /� _ AMPS ' S COPPER ( ) ALUM. _ SWITCH OR BkEAKER I a�_. AMPS _ IJ PH 3 W `A40VOLT &1_RACEWAY .��QQ EXIST.SERV.SIZE AMPS ` PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE _tNO. SIZE LIGHTING OUTLETS CONGEALED I OPEN F_______FTOTAL Y ^ RECEPTACLES CONCEALED OPEN TOTAL .. 0.90 AMPS. 31.100 AMPS. -- SWITCHES INCANDESCENT FLUORESCENT&M.V. I` } FIXED 0.100 AMPS. OVER - :.'• ESF.�j APPLIANCES BELLTRAN - AIR H.P.RATING`- H.P. RATING -- - - - CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT _ _- A OVER MOTORS'._ .H.P ., VOLTAGE PHS NO. 1 H-P, VOLTAGE PH --- _ -- X S Ml� CELLA'JFOUS - -- --__._— 7;AhSFORMERS. UNDER SOd V. _' OVER 600 V. -7 -- --- NO. '' KVA Cd0IKVA — --- - ---- . .. _ �I No. '+zj!4TPANSF. NO. VA. MA.' I MOTC�, ,SIZE F+^SHE E ::H SIGNFO Ry tGTal i eS 40- OCA ' a''.., t. • .r• , ; , �$ :r„ CITY OF ATLANTIC REACH, FLORIDA Apvovodby ,.'� . APPLICATION FOR EUKTRICAL PERMIT TO THE CHI&:F ELECTRICAL INSPECTOR: DATE:— 9 14 gs 3 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. i r t ELECTRICAL FIRM: fAASTfR ELECTRICIAN SIGNATURE r-0-0000113 .1pUgt,F�tyRr ( y � Nti,;'E - en- ADDRESS:- -4499 _ RFD—BOX BLDG.SIZE BETWEEN: RFS. l APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW' ) OLD ( ► REW. ( ) ADDITION ( ) TRAILER ( ) TEMP,( ) SIGNS ( ► SQ. FT. SERVICE: NEW INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS /" COPPER ( ) ALUM. (X) SWITCH OR BKEAKER __Lam— AMPS I _PH 3 W /�0V0LT RACEWAY 0 . 00 � 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.- �1-f00 AMPS. SWITCHES - INCANDESCENT . FLUORESCENT&_M.V. y ••,., FIXED 0-100 AMPS. _ OYER --- APPLIANCES SELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT OVER MOTORS, - H.P. VOLTAGE PHS NO. ] H.P. VOLTAGE PHS MIZCELL.R'JEOUS s. I _. --- --- T iANSFORMERS. w;" UNDER 600 V. _ OVER 600 V. NO ' ' f�VA NO. KVA 4 ' �_... —717 _ NO. '-EON TP.ANSF. JN0. VA. 1'D, hIC;fj? S1 CY"A i CH i F! P�HEPy E VH SIUN ( I C.FAL s t S , r• f BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT Applicant to complete all items in sections I, 11, III, and IV. b LOCATION Street Adder::,: C -5 OF Intorsacting Streets: Between BUILDING /+, Sub-division � L �Okd���� And 11. IDENTIFICATION To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attachpd plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards Of good,practice listed therein. Name of Mechanical Contractors Contractor (hint) S Master MKQ� Name of Nporty Owner F ' Signature of Owner A Signature of or Authorized Agent Architect or Engineer 1IL QE16ltAl A, Type of Meting fuel: H. IS OTHER CONSTRUCTION BEING DONE ON Heetnc THIS BUILDING OR SITE? O 6u—❑ LP ❑ Natural ❑ Central Utility C3 on IF YES. ;GIVE NUMBER OF CONSTRUCTION 7C�?'1 PERMIT' t C] Other Specify IV. #AICNAN" l@QUMrt MT TO 4 INSTALM NATURE OF WORK (hegide ebmpleta fist of components on back of this form) Residential or ❑ Commercial Neat ❑ Space ❑ Reeeaad Control O Flow New Building Air Cooddivaing: ❑ Room M Control I( ❑ Existing Building poet System Metari. Thick ❑ Replacement of existing System Maximum capacity cISAL New Installation(No system previously Installed) , (3 lllo"wo ion 0 Extension or add-on to existing system C) Cooling tower: Capacity CD Other- Specify g.Pa*. fl fire sprinkler: Number of head p B ovoter ❑ MonRf1 0 bwalator_.__,__(nu"W) THIS SPACE kW OPFCE Un ON{Y C] Gasoline pump (number) (Reeairasi) (#lumbar) Remarks ❑ UIG comet (number) C"J upfit"procure vasal 13. Milan Fermin Approved 3 '000 Specify Permit EaT ALL EQUIPMENT AA COIKDt ONING AND REFRIGERATION EQUIPMENT Ntuatlba+Vntta D000ripttoa Hodbl Number EtanulaaW>~r CDN A) . sw 53 o T V MATING; FURNACES, BOILERS, FIREPLACES 1lttmber VdtA DMcripum Kedat NUMber S ova TANKS am many Nomow gDadw Type Liquid Name of Serial Appy ' Contained No. A BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NumeER IMPORTANT Applicant to complete all items in sections I, ll, III, and IV. I' 'S� 8' %oy S/o eco LOCATION` Street Addles:: OF Intersecting Streets: Between�'f(./yJl.3T/�',� C C.� And (7 BUILDING ,' Sub-division 10 II. IDENTIFICATION - To be completed by all applicants. In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attacked plans and specificdtions which are a part hereof and in accordance with the City of Jacksonville ordinances and standards Of'good,.practice listed therein. Now of Mechanical ContraetorsContractor (Print) A)F. 516AA5 ec w Mester Nome of /O/� E0'T"�^ Property Owner 6J Signature of OwnerSignature of or Autirorized Agent op, Architect or Engineer GIERAL INFORMATION A' Type of heating fuel: B. IS OTNER CONSTRUCTION BEING 00 O Eleefeie THIS BUILDING OR SITE 0 rm O LI Q Natural Q Centre(Utility C of IF YES, GIVE NUMBER OF CONSTRUCTION f PERMIT �]� B` ,t�111er— Specify ��'a 7? 77 IV. ANCH01111CAL EQUIVWNT TO EE INSTALLED NATURE OF WORK (Provide eomPleM list of components on beck of this fors) 2''-Residential or ❑ Commercial Q-' stat ❑ Space Q Recessed O Cental O Floor B—New Building O Air Conditioning: Q ,Room Q Cental ❑ Existing Building 13 Dud System: MaterialThiele ❑ Replacement of existing system ---�_ Maximum capacity cd m. E?'Naw Installation(No system previously Installed) 13 *04igoation O Extension or add-on to existing system Q Coaling.tower: Capacity ❑ Other— Specify 13 Fire sprinMers: Number of haat Q Ekswfor Q Manlift 0 Escalate (number) �,.6asofine puml+� (number) THIS SPACE POR OFFICE US ONLY (Roeawd� 13. (number) Remelts LPG contei (number) Unfired Pr"W*vessel 13 Permit Approved by ICT OMar — Specify / I�i P4.,9CE� Permit Br- Uffr ALL EQUIPMENT AIIR CONDITIONING AND REFRIGERATION EQUIPMENT NMINir Units Dw iptlon W011101 Number manufactlsr"r ('hoatjr A MATING PURNACES, BOILERS, FIREPLACES NUMber Units D e 1ption mom Numbs TANKS Now XWY NOHOW Cgmmty T"q Ugaid Nam"at Serial A ppmving and DlR411rioo" Contained >t[a>n�aturee No. INSPECTION LOG JOB ADDRESS CONTRACTOR (- OWNER BUILDING PERMIT ELECTRICAL PERMIT ,'-`� PLUMBING PERMIT TEMPORARY POLE PERMIT MECHANICAL PERMIT MISCELLANEOUS PERMIT FLOOD ZONE DATE SURVEY FILED Called-In Approved J .F .A. Temp Pole Footing G� Slab fx Framing s Plumbing (R) Electrical (R) /C_ Mechanical Fireplace f �� Top out 16 Electrical (F) FINAL INSPECTION Certificate of Occupancy Issued COMIIENTS : s CITY OF 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(9041249-2395 October 25, 1985 Pre-Service JEA 233 West Duval Street Jacksonville, Florida 32202 The following final inspection has been rade and is satisfactory: Permit IX589-498 Aquatic Drive Permit IX590-504 Aquatic Drive Permit #4591-510 Aquatic Drive Permit #4592-516 Aquatic Drive Permits issued to Allstate Electrical Contractors Sincerely, Rene' Angers Inspection Division cc:file CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025512 Date 2/10/03 Property Address . . . . . . 510 AQUATIC DR Tenant nbr, name . . . . . . INSTALL 10 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ _ WASSON, WENDY DAVID GRAYPLUMBINGINC. 510 AQUATIC DRIVE 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 744-7255 ------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- --------- ---------- Permit Fee Total 105. 00 105.00 . 00 00 Plan Check Total .00 . 00 .00 Grand Total 105 . 00 105.00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS RESUP WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED AND HAULED AWAY BY EITHER CON'TRACT'OR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN iN THE PROPERTY P YING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS H .PART OS O T SUBJECT TO REVOCATION FOR VIOLA-TION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL J r CITY OF ATLANTIC BEACH J PLUMBING PERMIT APPLICATION Date:_ ® 0.7 -�, v Job Address: — sip A6 ua ,-�i c [,r Owner of Property: „IC i,, Yy-\S-L )QL,._j ,r,\P Telephone: Plumbing Contractor: Day L, Cray Plumbing ,jc Contractor's Address: Telephone: -�� Fax: State License Number: CF 436 How many of the following fixture re-piped r new): ' Sinks Showers Water Lavatory Water Heaters Hose Bib Bathtubs Dishwashers Sewer Urinals Disposals Other Closets Washing Machine Shower Pans Floor Drains Re-P�ist fixtures being re-piped) Total Fixtures: x $7.00 + $35.00 (Minimum Permit Fee: $35.00) Signature of Contractor: �G Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904) 247-5826 800 Seminole Road .Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845. http://www.ci.atiantic-beach.n.us Revised 1/14/03 4 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j � ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028479 Date 6/16/04 Property Address . . . . . . 498 AQUATIC DR Tenant nbr, name . . . . . . AIR HANDLER ONLY Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ KOZIKOWSKI HUXHAM HEATING & AIR 498 AQUATIC DRIVE 1078 NINTH STREET SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-6721 -------- ------------------------------------------------------- Permit . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------------ ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. . \Q, ( • BUILDING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION �S�J3 (o Lo Date: Property Address: 9 q Owner: 1pZ,� rj t,J.`3i Telephone #• Contractor: /41-1 X / o Telephone Contractor Address: /Q 2E � �' �` ,Fax #: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building / or site,list the building permit number: [9" Electric ❑ Gas: _LP _Natural -(!entral Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BEINSTALLEDNATURE OF WORK t�Heat _Space _Recessed _central _Floor E(' Residential El Air Conditioning: _Room _Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalator (Number) Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency t tYL Tri g TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD F3 ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029396 Date 12/16/04 Property Address . . . . . . 498 504 AQUATIC DR Tenant nbr, name . . . . . . REPLACE EXISTING ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6730 Owner Contractor ------------------------ ------------------------ KOZIKOWSKI , RAYMOND & GAIL SCHULTZ ROOFING 8310 MERGANZER DRIVE 216 N. 20TH STREET PONTE VEDRA BCH FL 32082 JAX BEACH FL 32250 (904) 285-6125 (904) 246-2315 -------------- ---------------------------------------- ---------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 98 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6730 Fee summary Charged Paid Credited Due -------- --------- ---------- ---------- ---------- ---------- Permit Fee Total 98 . 00 98 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 98 . 00 98 . 00 . 00 . 00 F PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANnC BEACH ORDINANCES AND THE FLORIDA BUHDIN6 ES. ` BUILDING OFFICIAL r���j_.. CITY OF ATLANTIC BEACH jai I_ ROOFING PERMIT APPLICATION Date: Job Address: 498 & 504 Aquatic Drive Owner of Property: Raymond & Gail Kozikowski Address: 8310 Merganzer Dr PVB 32082 Telephone: 285-6125 Contractor: Douglas A Schultz State License Number: CCCO36989 Contractor's Address: 216 N 20th Street Jacksonville Beach, Fl. 32250 Telephone: 246-2315 Fp 247-3808 Scope of Work: Deck Slope: � %L Greater than 2:12 ✓ Less than 2:12 Valuation of work: 6'730 Product Name(Example: Timberline): ROW So�err✓�r� Manufacturer(Example: GAF): CA F ASTM Designation(s): DISI b 1 Required Inspections: Sbeathing a Final Signature of Owner: ;_� Date: Signature of Contractor: ALF Date: .� AS TO OWNER: Sworn to and subscribed before me this day of State of Florida County of Duval ROSAtI R Notary's Signature: .... : =. {_ MY COMMISSION#DD 137721 a EXPIRES:August 25,2006 ❑ Personally known B-WThruNotaryPublicUnderwdters �I roduced identification r Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this�1� day of ��`/ � 20 . State of Florida,County of Duval Notary's Signature- -CiJ2 ROSALINP,GIAgK MYCOMMISS!.. , ;791 •CJ Personally known EXPIRES:Augusi 25,2006 ❑ Produced identification ''gyp F 8ondedThu NotaNPub0cUnderwriters Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ei.atiantic-beach.fl.us Page 1 Revised 2/21/03 FS+713.13 J Return to: (enclose self-addressed stamped envelope NamSchultz Roofing Co. , Inc. Address:216 N 20th Street Jacksonville Bch Doc#2004386005.,OR BK 12183 Page 1367, F1 32250 Number Pages. 1 This instrument Prepared by: Filed&Recorded 12/14/2004 at 01:54 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Name: Rosalind Clark RECORDING$10.00 Schultz Roofing Co. , Inc. Address: 216 N 20th St. Property AAglg1K§pAyAjkeiopeach, Fl . 32250 17818 5166 SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA — `� NOTICE OF COMMENCEMENT 171818 5166 Permit No. Tax Folio No. _ State of Florida County of Duval } The undersigned hereby gives notice that Improvements will be made to certain real property, and in accordance with chapter 713 of the Florida Statutes,the following Information is provided in this NOTICE OF COMMENCEMENT. Legal description of property (include Street Address, if available) 498 & 504 Aquatic Drive � 38-71 38 2S 29E Auuatic Gardens Lot 9A OR 6048/2106 General description of improvements Shingle Reroof Owner's Name Raymont T Kozikowski Jr Address 8310 Merganzer Drive POnte Vedra Beach , F1 . .32082 Owner's Interest in site of the improvement Fee simple Fee Simple Title holder (if other than owner) Address Phone: Fax: Contractor Douglas A. Schultz Schultz Roofing Co. , Inc. C Address 216 N 20th St Jsnvllle Beach, Fkne:904-246-2315 Fax: 904-2.47-3808 -;Urety Phone: Fax: Address Amount of bond $ L nder's Name Address:_ Phone: Fax: Persons within the State of Florida designated by owner upon whom notices or other documents may be served as pro- vided by Section 713.13(1)(a)7, Florida Statutes. Name Address Phone: Fax: In addition to himself, owner designates Of Phone: Fax: _ a to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. E Expir date o N is Commen ernent(theexpirationdate is 1 year from the date of recording unless a different date is specified) E Signature of Own Printed Nome of Owner NOTARY RUBBER STAMP SEAL I have relied upon the following identification of tithe Affiant _ Iti - - ot tY�p ROSALINDCLARK wo o and subscribed before me this /l5 day of ve MY COMMISSION#DD 137721 l7/^ j 4• s EXPIRES:AUgUSt 25,2006 Notary Signature —­ItBonded Thru Notary Public Underwriters Printed Name CITY OF ATLANTIC BEACH PERMIT CALCULATION SKEET r ,,oma Date ay• o Address q� ��-� ce✓d7 tL /�. FxPermit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ per sq ft= 5 Garage / Shed @ S per sq ft= 5 Carport/ Porch @ $ per sq ft= S Deck @ S per sq ft= 5 Patio @ S per sq ft= S TOTAL VALUATION: S 535.00 is, 51000.00 S 535.00 Total Valuation S S � . `°� S 3© Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: TOTAL BUILDING FEE S GS ZONING: + '/Z Filing Fee 5 FLOOD ZONE: ( ) Fireplaces @ S35.00 S . LNJ[PERVIOUS SURFACE: 0 d BUILDING PERMIT FEE $ 7 8 WATER INIPACT FEE S SEWER 11"PACT FEE S WATER lYtETER/TAP S CAPITAL IMTROVETNIENT S SEWER TAP S C ( )RADON HRS .0050 S SECTION H PAVING S CROSS CONNECTION S ST ( ) SURCHARGE S r CC: J� CITY OF ATLANTIC BEACH D.Ford S BUILDING/ZONING DEPARTMENT Higgins ;- 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5845 )jil�'� http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application# 04 - 2 0 3 9 6 Property Address: 1-90 504 A( U AT I e P R 1 V E Applicant: S G) U J Z Q 011 N G Project: RMACE Wco l i N G 81001 This permit application has been: ❑ 7r Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by: U( Date: `2 ( (q OLi CITY OF ATLANTIC BEACH i� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 I SDI` Application Number . . . . . 03-00025569 Date 2/21/03 Property Address . . . . . . 510 AQUATIC DR Tenant nbr, name . . . . . . REGROUND AT METER CAN Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- MCWAYNE ADVANCED WIRING SERVICES INC. 510 AQUATIC DRIVE P.O. BOX 350177 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32235 (904) 744-4446 -------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 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 IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH, FLORIDA CApprorwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: INCONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN-ACCORDANCE WITH-THE ELECTRICAL REGULATIONS; CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ced ELECTRICAL FIR'M:• 1 n MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME c w"'`'� �- ADDRESS: -,? IC) P a V o-_+ C"br RFD BOX BLDG.SIZE BETWEEN- h i mS bt``E' fnQADO r 4 ec( RES.(04 AFT.( ) COMM.( 1 PUBLIC( ) INDUS.{ I NEW{ 1 OLD( 4Y REW.( 1 ADDITION( ) TRAILER( 1 TEMP.( ) SIGNS ( ) SO.FT. SERVICE: NEw I i INCREASE( } REPAIR(r}' FEE CONDUCTOR SIZE AMPS COPPERf ALUM. SNITCH OR BREAKER AMPS PH w I�VOLT AY EXIST.SERV_SIZE AWS PH 3 w a"1"VOLT �-�RACEWAY FEEDERS ND. SIZE tax SL2E NO_ SIZE LIGHTKNG OUTLETS CONCEALED I OPEN I TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMP4L swrrc r_s INCANIDESCElff FLUORESCENT R M.V. FIXUD a 0.100 AMPS OVEJe wPnaAHcvA BELL TRANSF. AIR H.P.RATIMS H.P.RATING ' CONDITIONWG COBIP MOTOR OTHER MOTORS AMPS CEIL HEAT KIIRHEAT 0.1 01fE! MOTORS H.P. VOLTAGE PHS NO. 11LP. VOLTAGE PHS M15CELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE I SWffCH I FLASHES EACH SIGN. FORWARDED s TOTAL!I- i 'DEPARTMENT OF BUILDING 7 0 7 7 CITY OF ATLANTIC.BEACH,FLORIDA PERMIT No. PERMIT T4 BUILD THIS PERMIT MUST BE POSTED ON JOB Date sept' 4, 19 85 199 083.60 542.25 54P 92 5 T Valuation$ Fee$ SI+r•cP.6CKT U31 1A 9/16/P This permit not valid until above fee has been paid to City Treasurer,and is 7077 ��QC A subject to revocation for violation of applicable provisions of law. � B.B. pJAF�'A 02�1 . 1 9 /fl This is to certify that 1 nno PO Box 24627 Jacksonville has permission to build_Itygd33*1ex � Classification residential. Zone PM Owned by Aquatic Gardens Joint Venture Lot 9 ABO Block S/1)Aquatic House No. 498-504-510-616 tic Drive According to approved plans which are part of this permit NOTICE—ALL ONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFQRE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE /--� —� O Building material, rubbish and debris - from this work must not be placed in public space, and must be cleared u auled away by either con- ac wner.. Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER 400W 831tlM H3M3s 1VOlal0313 'JNIBWnId. a38Wf1N AINO 3sn 2i0lOtltl1NO3 31v0 11WM3d 301dd0 804 I 'lel"330 eulpling �y sau,ai4 -uoa sayp 1,q SeA&e paprq pue do paxeal� aq Isnu>< pue °aaeds ailgnd uT paaeld aq ;ou asnux 31ion+ srgl IuOJJ z srigap pue cls><ggnj lleiaaleux Suipling ----{► i 3f1SSl do ' JVG 'daJAV LL SHINOW XIS QIOA JAW'dUd ONI2IfjOd a dotld9 GaID dS NI dg jsfIW S9NI1OOd QNB' SMOd g,L'd2IONOD TIV—EID11ON jlullad sty jo jiEd aiE Ilan A suEld panosddE 03 SulpsODDV •oN li flim oii 9I9-pIS-''7Q5-8&7 asnoOH Q/S ijOol9 30-1 '�9 PaumO MMJMA 1,raQr �� auoZ uOIX)IJISSEI3 of uoiss>uuad suq DNI Ivy xjpjaa o; sl Sttly II _:.. I oD-mill 3J°�suolslAoid alge3lldde 3 J03 uolae�ona�01 laafgns ss pue'Iajnstaj,.Cllr of pled uaoq seq a03 anoge lPun plleA IOU umiad slgy $aad $uopEnlEA I AMM fl R l --�7 'g m —aaEQ p/91/6 it ! LLZ;ib V3006 L`�L 90f NO 431SOd 391Sf1W 11W213d SIHI 9/9 1/6 LLEfj' aims Ol 11Wa3d y IN300 1 t101aOld'HOtl38 011Ntllltl d0 ul0 'ON lIW2d3d ONIC31ine =10 1N3W.LMVd3a I DEPARTMENT OF BUILDING ] � CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 1 PERMIT TO BUILD i �,_ �snICTAI THIS PERMIT MUST BE POSTED ON JOB 9141 1 1 0/07/0 Date 10-07-85 19 Valuation$ > ANTfAT.• Fee$ 52-00 – This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that 0CM'gS= IiIaATM & AIR (OLVDI:TICJNM has permission to bWItl L19=1BEAT x_ AIR Classification Zone Owned by Lot Block SAD House No. 4988504510-516 AQUATIC DRIVE i According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4--00 4--i O Building material,rubbish and debris - from this work must not be placed in public space, and must be cleared up uled away by either con- act owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER 40044 i 0 n oa o w m M ° � •O F i DEPARTMENT OF BUILDING 8807 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 19.50 T 1 9.finCKT Date June 19 19 87 ;732 1 A 9/02/0 8807 901nCA_ Valuation$ 2,220.00 Fee$ 19.SO Fi73? 1 A '3/n2/0 ton This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that Gary Garver (Sears) CRCO29278 3333 N. Canal Street Jacksonville has permission to build Lawn Barn (Utility ) Classification Residential Zone Owned by Petty Lot_ 25D Block S/1)AGAU i c Garden House No. S01 Aquatic Drive According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ,I AFTER DATE OF ISSUE --1: O Building material, rubbish and debris 34 from this work must not be placed in public ace, and must be cleared ----u and h' uled away by either con• r owners, �� s fficial. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER Ad(kess -50 J f )!�Pv AT c_ Heated Square Footage @ $ per sq ft = $ C Garag e ��� @ $ ` per sq ft = $ �, Carport/Porch _ @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio — @ $ per sq ft = $ TOTAL VALUATION: $ r U.C`%CU /U, 0 TotalValuation 1st $__ y d)6 C-) Remainder Valuation thousand or portion thereof --------------------------------------------I Total Building Fee $ % U ADDITIONAL PERMITS and/or FEES REQUIRED ► -- + k Filing Fee Mechanical ; Fireplaces @ 15.00 $ Plumbing ; BUILDING'PERMIT FEE $ Electric/New ------------------------------------------------- Electric/Tem Septic Tank BUILDING PERMIT Well WATER METER CHARGE $ Swimming Pool SEWER IMPACT' FEE $ Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE -------------------------------------------------------------------------------- CALCULATIONS and/or NOTES 4' CITY OF ATLANTIC BEACH APPLICATION TO MAIC ADDITIONS OR ALTERATIONS Owner7� Address �� �5?y �T- _ . Phone,)! S, r Architect Address phone �. � E'�ze�5 �G Contractor �y G��„ ,.� Address /"� � �U��/ r 1 � � Phone,�Ps­s >�iz) Contractors License/Certification Numbers Expiration Date / 1,j j Property Address 670 - Zoning Lot L�2_Blcok or Unit # Subdivision j? ��, ,•�� Valuation of Construction $ r� S� `� a of Construction Describe Work to be Performed Materials to be Used 4 Present Use of Building ---- Proposed Use of Building Flood Zone Dimensions of New Area: /,2 0; HEATED GARAGE CARPORT OR PORCH /1111� DECK PATIO /L"/ ' YES NO NUMBER Will there be an increase in number .of units? Will there be a decrease in number of units? Any additional plumbing fixtures? Any new fireplaces? SUBMIT TWO CONFLETE SETS OF PIANS INCLUDING SITE PLAN Signature OWNER Date Signature CONTRACTOR r Date / Permit No. Tax Folio No. NOTICE OF COMMENCEMENT State of F1— County of [)Uva The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: 2 --�-� C.� nff WS 2. General description of improvement: ` Q r 3. Owner information: t a. Name and address: L--1 Y101CL M(2 �� a Y 4 T I F,V� , 3a)pa C b. Interest in property OWr A.r c. Name and address of fee simple titleholder (if other than Owner): ntractor Contractor: WCI_Group, Inc. 1100 Shetter Ave. Suite 203 Jacksonville Beach, FL 32250 By Contractor's phone number.(904) 242-4444 (Fax)242-7077 5. Surety a. Name and address: Doc#2008285426,OR FSK 14695 Page 2231, b. Phone number: t� 14_ Number Pages:1 — Recorded 11!17;2008 at 01:41 PM, _ c. Amount of bond: $ JIM FULLER CLERK CIRCUIT COURT DUVAL 6. Lender COUNTY a. Lender Name Et Address: RECORDING$10.00 b. Lender's phone number: _ --— 7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: b. Phone numbers of designated persons: h 1 8.a. In addition to himself or herself, Owner designates ov to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner Date The foregoing instrument was acknowledged before me this day of&O—V; ( , in the County of Duval, State of Florida, has personally appeared V h 0- ft! VV&y1de herein by himself/herself and affirms that all statements and declarations herein are true and atcbr'ate. Personally Known 0 OR Produced Identification Type of Identification Produced kava\d %, W i kscyl Si nature of Ndtary Public-State of Florida Print,Type,or Stamp Commissioned Name of Notary Pubtic Verification pursuant to Section 92.525, Florida Statutes. :` RONALD D.WILSON * ISSION* MY COMM #DD 542682 Under penalties of perjury, I declare that I have read the fore oin t ES:Apt�2o,2oto. g a� s4tA�it are true to the best of my knowledge and belief. J ? nature Of NaturaL Person Signing Above CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J �(, ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 19 Application Number . . . . . 08-00001589 Date 11/20/08 Property Address . . . . . . 510 AQUATIC DR Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4300 ---------------------------------------------------------------------------- Application desc replace siding ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WASSON, WENDY OWNER 510 AQUATIC DRIVE ATLANTIC BEACH FL 32233 --- Structure Information 000 000 REPLACE SIDING Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . REPLACE SIDING Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4300 Expiration Date . . 5/19/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rs y; CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 �.. ....c.= OFFICE:(904)247-5826 a FAX NO.:(904)247-5845 a BUILDING DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY J 308'ADD,RRSS,, T- r 7.VALUATION OF,wQR}G' ., + 4 3 sx,FT.UNDER ROOF "9. 41"� t✓ 4U m O 5',CLASS.OF WORK. 6:USEOF STRUCTURE, to 4:.LEGAL DESCRIPTIO,N., s:.:r .• ❑RESIDENTIAL ❑NEW BUILDING ❑DEMOLITION LOT_BLOCK_SUB DIVISION 11 ADDITION ❑CONVERTING USE El COMMERCIAL i7t_7'DESCRIPTION OF'1 0.1 13 ALTERATION ❑ACCESSORY BLDG. Bi FIRE,$PRINKLER s ❑REPAIR ❑POOL/SPA ❑YES ❑N/A r }� 1,11 C-,r y • ` ' ❑MOVE 13 OTHER ❑NO 15.COMPANY NAME: ,r=, ° ARCHITECT/ENGINEER.,; K',-, , •,PROPERTY OWNER .. "''' -r 9.NAME: // E: 23.COMPANY NAME: �`�� n 'e16.NAME: 24.LICENSEE NAME: h 10 25.STATE OF FLORIDA LICENSE NO.: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHrE: 12.FAYyNO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 29.CELL PHONE: `-1113.CELL PHO0 21.CELL PHONE:-4921 14.EMAIL ADDRESS: / 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: a FEE'SIMPCE TITLE HOLDER" s' BONDING COMPANY MORTGAGE LENDER �ti„: ;:Pr oTlRrr4woiniNF�,., •:`,.,. 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or 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 ail the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building 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 YOUR NOTICE OF COMMENCEMENT. L OWNER or AGE_N , CONTRACTOR ?, ., (If Agent,Power of Attorney or Agency Letter Required} (Qual Only} Winer Signed: !✓4(f kt)C`'" '1 C_.Date: /l ZO Signed: Date: Before me this_2V__day of i 200S in the county of Before me this day of 2007 in the county of Duval,State off��Florida, �has personally appeared Duval,State of Florida,has personally appeared PNC- herin by himself/herself and affirms that all s ments and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of ,County of G Notary Public at Large,State of ,County of ❑Personally KnoWa`-L G / n J `, ❑Personally Known ( Produced H-1,61 - J210 .S / V ❑Produced Identification - Notary Signature: Notary Signature: Notary Putlir.State of Florida Nancy E Bailey My Commission OD745822 �, Expires 07.IOES/2012 COAB FORM BLDG01:R ISEDftlb 2008 �1 City of Atlantic Beach Complete Plans Checklist Provide (5) copies of plans —(2) copies signed and sealed ❑ Cover Page: o Address of project o Occupancy Class: For One&Two family"Group R-3". o Applicable codes (2006 Florida Building Code, 2005 National Electrical Code, 2004 Florida Fire Prevention Code and COAB Code of Ordinances. o Index of all drawings&attachments and all pages numbered. o Printed name, contact info, date and signature of person responsible for the design of the structure. ❑ Site Plan: o Distance of proposed house to property lines o A/C compressors, generators, LP gas tanks, pool equipment etc. o Driveways,walkways, patios... o Impervious Surface Area(lot coverage)calculations o Drainage plan with supporting on-site water storage calculations, and location of easements. ❑ Erosion&Sediment Control Plans: o Silt fence location, construction detail and maintenance plan. o Inlet protection (if existing storm water inlets are adjacent to property. ❑ Construction Site Management Plan: o Location of any proposed demolition o Grading&drainage surface water management plan o Onsite&offsite parking for construction workers o Location of temporary fencing with height and screening indicated o Location of dumpster, construction trailer&chemical toilet. COAB Code of Ordinances—Sec.6-18 ❑ Foundation Plan: o Required plan note i.e.: "A foundation survey shall be performed and a copy of the survey shall be on the site for the building inspector's use prior to framing inspection." Or, "all property markers shall be exposed and a string stretched from marker to marker to verify required setbacks." ❑ Floor Plan: o Size and arrangement of all rooms and intended use. o Locate air handlers,fireplaces,water heaters, attic access, etc. o Label accessible 1st floor bathroom, egress,windows etc. ❑ Elevations ❑ Structural Engineering: o Structural design criteria, loading requirements indicated. o Shear Wall plan. o Size all beams, headers and support requirements. o Detail uplift&load path connections. o Engineers embossed seal required. o Supporting structural calculations included. '04 FBC-Sec.1603 ❑ Roof Plan: o Indicate how attic is to be ventilated. 1 ❑ Sections and Details: o Typical wall sections for each dissimilar wall type. o Stair sections with guard and handrail details. o Balcony guardrail details. ❑ Electrical Plan: o Riser diagram including size and type of service entrance conductors o Location of all receptacles, switches and the distribution panel. o Required plan note: "All electrical wiring to be in accordance with '05 NEC. Provide arc-fault circuit interrupters in all bedrooms per article 210-12." ❑ Plumbing (please note if the following applies): o New or existing private well on property o Irrigation to be installed o Irrigation meter desired 2 CITY OF ATLANTIC BEACH j OWNER / BUILDER AFFIDAVIT 4 � 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN 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 MUST SUPERVISE THE CONSTRUCTION YOURSELF YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE"IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE 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. V.ACKNOWLEDGEMENT; 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. ADDRESS PHONE NUMBER � tNy10 GLk)CA�y n PRINT NAME �> SIGNATURE DATE Before me this_z_day of N2uICMbef' ,20CSin the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of F-_,County of 11Q ...❑-Personally Known �I 32L 266 5;Z6 � I „/4 0 wroduced Identification- (� 6 52 yNEE State of Florida yNotary Signature: on DD745822 /2012 COAB FORM BIDG07;REVISED:8/14/2007 Dear Sirs; This is to inform you that at this date November 19, 2008, we Linda and Duffy McWayne are cancelling the Proposal Agreement written October 31, 2008 and entered into November 7, 2008. At this time your companey WCI license number CGC 1509162 needs to remove material obstructing my property immediately. Enclosed you will find a check for the amount of 168.85 to cover the cost of the material and work done to date, which is explained below. Sincerely, Linda McWayne, Duffy McWayne Construction Permit-82.50 House Wrap Used- 26.00 OSB 3 Sheets 5.97 per sheet 17.91 Labor 6.25 hours @ 6.79 per hour 42.44 r . Total 168.85