Permits 552 Aquatic Drive CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00031060 Date 8/24/05
Property Address . . . . . . 552 AQUATIC DR
Tenant nbr, name . . . . 1 HEAT PUMP & 1 A/H
Application description . * '
. . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
WATSON RENTAL PROPERY DONOVAN HEATING & AIR
315 SIXTH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-3785
-------- ------
Permit . . . . . . ME-CHANICAL-PERMIT---------------------------------
Additional desc . .
Permit Fee 79 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . . 00
0
Fee-summary------ Charged Paid Credited Due
--- ------- ------- ---------- ---------- ----------
Permit Fee Total 79 . 00 79 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
. 00
PERM1140 APF�ROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUI , )OD16TS.
I& , C
BUILDING OFFICIAL
.08/24/2005 10:58 9042413745 DONOVAN
PAGE 02
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dbl'24/2005 11:19 9042413745 DONOVAN
PAGE 02
ATLANTI"''
CITY OF.
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CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEAMNOLE ROAD-ATLANTIC BEACH,FL 32233-TEL 247-SM-FAX: 247-5877
PERM 6RUAVIO
IN 4INFOO"ON ......
Permit Number. 21571 Address: 552 AQUATIC DRIVE
Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: TOWNHOUSE Lo#s): Block: Section:0
Square Feet: Subdivision: AQUATIC GARDENS
Est. Value: Parcel Number. -
1 .1 r '' OVOMAIN
Improv. Cost: 1,399.00 FORIVII
Date Issued: 3/07/2001 Name: Susan Madia
Total Fees: 30.00 Address: 552 Aquatic Drive
Amount Paid: 30.00 Atlantic Beach, FI 32233
Date Paid: 3/07/2001 Phone: (904)Z46-7916
Work Desc: New Storage Building
7,
FEES
HEARTLAND INDUSTRIES PERMIT 30.00
FINAL
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
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 IMPROVEMENTW
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$38.68 14
TIC BO *G-PEPT- latei 3/99/11 81 Receipt. M39815
CM
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address. 6-5- 2- 14 (P T 0 A 1k& e 43 0, 1
Date 3 - &-- Of
Heated Square Footage @ $_per sq f t = $
Garage/Shed @ $_per sq f t = $
Carport/Porch @ $_per sq f t = $
Deck @ $_per sq f t =
Patio ate $_per sq f t
TOTAL VALUATION: s
lq6 6 - 11- $
Total Valuation 1st $
4-16 () — -5 $
Remaining Value per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $ 36
WATER IMPACT FEE $
SEWER IMPACT FEE $—
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
) RADON (HRS) . 0050 $
SECTION -H PAVING $
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $
OTHER $4
GRAND TOTAL DUE $ 30. OC)
ADDITIONAL PERMITS OR FEES: Mechanical Plumbin
Electric/New Electric/Temp_; -SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
RECEIVED
CITY OF ATLANTIC 13.EAC.H MAR 0 2 2001 '
PER23-11T APPZZC.ATX0N PDTODEL/ ADDITIONS1 OR C't of Atlantic Beach
MOVING, DEM
-CLITIONS
Cwner(s) :
job Addresz: �515_-A Phone: 30410
Loc Biock or Unit I
Subdivision:
Contractor: kffi,4 - +
State L icense
Ac.tress : .\ic: ?--��'
C-, S t a t e PC
-C be �Cne :
Prese—z use o�
CZ Prccosec
is this an acc-ir---ion? Yes, what are the dimenscns of the added
soace: f r � jj
�.t . X q--- the added area -' e heazed and
coo� e,-4? New elecccrca' !or increase) ?
New 0jumb4:1C New f-� r��clace? New Heat 12r-'�)
SVEM-TT TER= (C0MjE:ZRCZAL) TWC (_R:.:SZZ)MTTZAL) CCbf,-=T-1- SZTS OF PLANSI J2,7CZCM_jNG
SZTZ PLAN, SURVzy, ZyZRGy COL)E FCRMS, NOTZCE OF COb2dENCMJZNT1 ANL)
OWNERICONTPACTOR AFFIDAVZT, ry owNzR rs CONTRAcTOR.
Signature OWNER: Date
TO R.*- ;n
Signature CONTRACTOR:, Date:
AS TO OWNER:
Swo_*"y" and suiNmellg@qCge me this da of
y
MyCOMMtS"# CC930160
April 2Q 2004
BONDED THRU TROY FAIN INSURANCE,WC
N -----------------
AS TO CONTRACTOR: ap)UU 43 LL I CC
Sworn to and subscribed before me this d a y o f
1's bday of I
DkM N 0)A Y PUBLIC
My COMW."# CC?30160 WO
April 20,-2W4
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THE PROPERTY WOWN HEREON APPEARS TO UE W7HIN FLOOD HAZARD ZONE AS SCALED fROM FLOOD
""ANCE RA If MAP- qhcn 1 MR WE CITY OF FLORIDA, DATED 4— t-7 -A:j
TRI-STATE L"D S.MVEYORS, INC.
.8411 BA MEADOWS WAY SUM 12, JACKSoNWLLr, FLORIDA F2-d56 (904) 731-72J5
Leam
cm bw HEREBY CER77FY THAT THE ABOVE LANDS WRE SURVEYED UNDrff 4y
no ML RESPON.WBILE SUPERVISION AND DIREC770N, THAT MERE ARE NO
WN UP 0 4�4140 ENCROACtimews Excrpr AS $HOW AND MAT THE SURVEY SHow
-*-?V" HERCOM MEM ME Mlm4um IrCHNICAL SrANDARDS SET FORM BY THr
0 mm om rm") FLORIDA SrAZE BOARD Of PROFESSIONAL SURVEYORS AND MAPPERS
a Mien cur PURSUANT TO SEC7701M 472,027, FLORIDA STAWTES.
Alu- Mamv mlowwm ac
tucwmr LARMY G. EDDY, P.L.S. No. 4144
COMM AWA SCALE.-
oVV Aff C*WMWW PW A PRV�YO�AAD MAPP&R,
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DEPARTMENT Of:13010114G�
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po�rmi t, Number.'
Addr*108: 55, 2 AQUAT I C 6�IV
t lype:
MCI-,
ATLANTIC S 11:M v
Clikss of: �0 �LORIDA 3223�
ZSCRIPTION
Ell,
ast r. Typ* WOOD ''FRAN's
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�4 _0
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'd, one
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$12bo.00
C
mprov �So:.00
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$1,0.00
A
OT
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ATER I
PLORI �Ija 33, C, �Ftl
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NOTIck- ALL-cpr��El AND FMINGS MUSTa
QUf"
ji MSPSCTM EFO
FbF_
PERMfTVL0 Six MONTHS AFTER ISSUE
BUILDING MATERlA4,',RWBlSH AND IjEOR18,F13 OT
OM THIS WORK MUSTN' BE' PLACEp-IN
byLElTR F C SPACE,.AN6M' UST-BE
ZDAWAY
ep UP,ANDHAUL ERL CONTRACTORiOR OWN�R�
REI,
_wff" T W
'URF,
HE::MrzCHA JUAN,
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OPEWYW'R PAY` 17WICE Erl
"OW
77�
"PRO
V#D PLANS WH16H ARE PART OF THIS PER TIA00 EC
OFAPPLIC LAW. Ml
!PA6VlSlON OP
S:
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Tlc8EACH,BU
.4 No D#_l of=
APPLICATION FOR FENCE PERMIT
Owners name_ - -�7$ YC-
Job Address ----------Phone ----------
Lot-------Block and/or Unit ------------Subdivision
Contractor if different :Eros
--------------------------------------------------
----------------
Valuation of fence 0 (Dr-,--- Corner or interior lot
Type construction__
Show location and height of fence a
stroet(s). a well as location of
Owner signature__
--,--Date
Contractor signature---------------------- ----Date--------
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
lit
Application Number . . . . . 09-00000960 Date 7/02/09
Property Address . . . . . . 552 AQUATIC DR
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3995
----------------------------------------------------------------------------
Application desc
reroof
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HANNON, DOROTHY PRO GROUP CONSTRUCTION
552 AQUATIC DRIVE 1232 WILD TURKEY CT
ATLANTIC BEACH FL 32233 ST. JOHNS FL 32259
(904) 338-1722
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 50 . 00 Plan Check Fee . 00
Issue Date . . . . valuation . . . . 3995
Expiration Date . . 12/29/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50 . 00 50 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 50 . 00 50 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08-LA I I' I
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
PLUMBING PERMIT APPLICATION DUVAL COUNTY
zz 7—;e- ERM IT 3o- c,
7", 77"M - 7
'M _737.7 M" 7 TFIFF7.7".=
4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
8
7.NAME OF COMPANY: M-9-
ADDREM.--.-
14
9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.:
- (C ":�� C"5-�(�- 3'��--c. 7,7a
12.EMAIL ADDRESS: 13.OFFICE PHONE: 14.
fp 9"' - 1�1//7-'-�
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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.
CONTRACTORS SIGNATURE:
7,777
JANIE
0 Nf.W 13'06 FLORIDA BUILDING CODE-
1114E-PIPE PLUMBING
0 OTHER:
L7_7g-77"777"-T'""
BATH TUB SEWER CONNECTION
BIDET SHOWERS
DISH WASHER SHOWERS PANS
DISPOSAL SINK
DRINKING FOUNTAIN WATER CLOSET TANK
FLOOR DRAIN WATER CLOSET VALVE
HOSE BIB WASHING MACHINES
ICE MAKER WATER CONNECTION
INTERCEPTOR WATER HEATER
LAVATORY URINALS
LAUNDRY TRAY OTHER(SPECIFY):
ROOF DRAIN
=�==11-5111 =71162=711117
PERMIT ISSUING FEE: $35.00
TOTAL FIXTURES: q x $7.00 (PER FIXTURE) + $35.00
COAB FORM BLDG03:REVISED:1110/2008
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
Alex & Elizabeth Belonsoff
552 Aquatic Drive
Atlantic Beach, FL 32233
Dear Mr. & Mrs. Belonsoff,
our records indicate that you are the owner of the following property in the City Of
Atlantic Beach, Florida:
Re: 662 Aquatic Drive
a/k/a Lot 10F Aquatic Gardens
RE: 171818 6184
Investigation of this property discloses that I have found and determined that you are
in violation of City of Atlantic Beach Ordinance Chapter 17, Section 17.31 - Structure in rear
yard - No record of permit issued by City.
Apply for permit at Building Department, City of Atlantic Beach, 800 Seminole Road,
Atlantic Beach, Fl.
You are hereby notified that unless the conditions above described are remedied within
five (5) days from the date of your receipt hereof this case will be turned over to the Code
Enforcement Board.
Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up
to $250.00 per day for a first violation and $500.00 per day for a repeat violation.
Sincerely,
Karl W. G
Code Enforcement officer
KWG/pah
cc: Public Safety Director
Don C. Ford
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL*32233-Tel: 247-5826- Fax: 247-5877
PLUMBING PERMIT
PERMIT IN -CO)R ATION LOCATION INFORMATION
Permit Number: 21986 Address: 552 AQUATIC DRIVE
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ADDITION Township: 0 Range: 0 Book:
Proposed Use: TOWNHOUSE Lot(s): Block: Section:0
Square Feet: Subdivision: AQUATIC GARDENS
Est. Value: Parcel Number.
Improv. Cost: OWNER INFORMATION
Date Issued: 5/17/2001 Name: Susan Madia
Total Fees: 10.00 Address: 552 Aquatic Drive
Amount Paid: 10.00 Atlantic Beach, FI 32233
Date Paid: 5/17/2001 77P
(904)246-7916
Work Desc: WELL
CONTRAC Rf
CATION FFF
L.N. WILLIAMS
10.00
y-40'.0
41
FINAL
N
NOTICE- INSPfCTIONS 'D tl�" HOUR IOR TO SPECTION
E$Tt AT L , ST 24
BUILDING MATERIAL, R' "BISH AN ..,FROM THIS WORK ' NOTBE CED IN PUBLIC
SPACE, AND MUST BE CL%4REb AWAY OR OR OWNER
NTR
"FAILURE TO COMPLY WIT T �Ll N SULT IN THE
PROPERTY OWNER PAYING
ISSUED ACCORDING TO APPROVED PLANS IC F THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATL�(NTIC B�ACH BUILDING DEPT. Date: 5/17/01 01 $10.0014
Receipt; 0058499
?0100@032210-00
$lo.no
AP-aicATIcN FOR ML PERMT
C�IY OF AnAWIC BEACH
PROPERrY MER
Name:
Address
AFFLICAUr IF onm THAN
OWNER
N-�ane:
Day Phono/ Y
Address: ------
............................
z
ipz F�?
JOB
Address Or Lccation: 15f
4gal Description:
Is well to be used for drinking purposes
C)
Any person, individual, Corr
,�oration or other entity receiving a permit as
provided in Section 22-40 of the At:l-tt:ic Beach Code, and who plans to use
water from the permitted well for drinking purposes,
bacteriological test report must first Obtain a
frOM the State Of Florida Health Department,
51rnishing a certified copy thereof to the building department of the City Of
Atlantic Beach. A certificate of occupancy will not be issued until said
report is on file with the building depart�nt.
Department Notes:
RECEIVED
M AY 17 2001
City of Atlantic Beach
Building and Zoning
agree to ccrTPlY with regulations stated her4in:
Sliture—
Vate
6110ARTMIENT OF WILDING
CIV OF AT N
LA tid,�
'LOCaTION
'ON
PERMIT JNFORMA
552 AQUATIC
it Number. Address-.
ATLANT I C REACH, FLORIDA, 32233
LEOAL, DESCRIPTION' �-,
of Work -NEW
wp�
T
OD FRAME Block*. Lot -
'r
Const . Type:WO
Proposed Use- Section::, 0 Subd*.O Rnq 0
IC GARDENS
ubdivisim:AQUAT
Twe llin4s:
E$t v0ilue:;
1�;qv. cost -.. le500.00
-Totai
a
''Dat '997
Work
Ap ---------- -
------ 'I ON PLICATION' rRES
T 25.00
DRIVE,
Add
woll
0
FLORIDA
7
PhO
R' ORMATT
PR
AK
a 0
Ne
rmp
............
53u"W,
Nom,
TIS 00A OOTINGS musrog 01� Tap algFORE Polm,�Nck,
14 MWAND F
,,I*fALLC0NCRF
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
ING�MATERIAL,RUBBISH AND DEBOISPROM T�fl$_WORK MUS 0 P E U BE
BUILD T�N T BE PLACED IN PUBLIC.$ AC ;AND M ST�
CLEARED,UP AND HAULED'AWAY$YrOTHER CONTRACTOR OR OWNER
4 F_AILU#jE' T0 COMPLY WITH THE MECHANICS' LIEN LAW,,CAN ASSULT
f
THE ROOERT,YlOWNE 1, 13 tLOIN G IMPROVE
RP
NG TW CE,FOR U
APPROVED PLAks WHICH ARE PART OF TH16.PERMIT AND SUB
Ax)�AWORDING TO JECT,Tlo,� _R
L
09OF APP ICABLE PROVIS10NIS OF LAW.
ATLANTIC,BEAd H BUILD: DEP, RTM
.ENT
J
4`!�7�'
CXTY OF ATLANTXC BEACH
PERMIT APPLXCATXON REMODEL, ADDXTXONS ORI?gggIVED
EEMOLXTXONS b9s
MAY 6 1997
Owner (s) City of Atlantic Beach
lelp 0 Building and Zoning
Address:
po� - Phone:
Lot # Block or unit Subdivision:
contractor:
State License
Address :
Phone No:
Describe work to be done:
Present use of building:_
valuation of Proposed Construction: -!a-a
Proposed use:
is this an addition? If yes, what are the dimensions of the added
space: ft. x ft. Will the added area be heated and
cooled? Xle New electrical (or -Jncrease) ? ,<,,�,)
New plumbing fixtures? //0 New f i replace?- f,&New Heat/AC? ,OU/-)
SUBI�aT T11FZE (C01ZXRC1AZ) TWO (RESIDENTIAZ) COMPLETE SETS or PLANS, INCZUDING
SITE PLAN, SURVEY, EVERGY CODz FORKS, NOTICE or C010XNCMX17T, AND
OWNERICONTRACTOR AFFqDAVIT, IF OwIMR IS ONZRACTOR.
Signature OWNER:—/ Date:
f oo�
Signature CONTRACTOR: 'Date:
License Supplied:
Liability Insurance:
RECEIVED
Worker's Compensation Insuraro
MAY 7 1997
City of Atlantic Beach
Building and Zoning
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FL ORIDA
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,T.Hl—E,-pRop--ER-Ty SHOW HEREON APPEARS To //P Lw7-,.,., ln�l 1 1,—-- .-- - ,, - .1
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877
PLUMBING PERMIT
PERMIT INFORMATION --T LOCAT-10-N INFORMATION
Permit NuMber: -ZIUM Address: 552 AQUATIC—DRIVE
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ADDITION Township: 0 Range: 0 Book:
Proposed Use: TOWNHOUSE Lot(s): Block: Section:0
Square Feet: Subdivision: AQUATIC GARDENS
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 5/17/2001 Name: Susan Madia
Total Fees: 10.00 Address: 552 Aquatic Drive
Amount Paid: 10.00 Atlantic Beach, FI 32233
Date Paid: 5/17/2001 904)246-7916
Work Desc: WE
CONTRACTOIR(S
1.N.—WILLIAW— TION FFF-
10.00
�4
UE, -24'HOUR
NOTICE- IN CTION
STED AT-L W IOR TO SPECTION
BUILDING MATERIAL OISH A FROM THIS WORK 0 11 131h ED IN PUBLIC
SPACE, AND MUST REb �,Er)AWA
NTR R OWNER
"FAILURE TO COMPLY W1
I N SULT IN THE
PROPERTY OWNER PAYING sff
ISSUED ACCORDING TO APPROVED PLANS WHI IS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
A�
ATL�(NTIC B"CH BUILDING DEPT.
Date: 5/1?/01 01 Receipt:
CASH
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
DATE
f Z2
Dear
Our records indicate that you are the owner of the following property in the City
of Atlantic Beach, Florida:
Re:
alkla
- .1,9
RE#
Investigation of this property discloses that I have found and determined that you
are in violation Of City of Atlantic Beach Ordinance Chapter Section-Z2.,�3
'Ile
R A?
'-T�ot
zle 7-
7-1-
within You are hereby notified that unless the conditions above described are remedied
___d- L—j days from the date of your receipt hereof this case will be turned
over to the Code Enforcement Board.
Under Florida Statutes 162.09, the Code Enforcement Board may impose fines
Of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation.
Sincerely,
Karl W. Grunewald
KWG/pah Code Enforcement Officer
cc: Public Safety Director
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09-
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION
S: 32 DUVAL COUNTY
SO FT.UNDER ROOF
VALUATION OF WORK'
UA r/C 49, AriAwTir- CcN,ik 17--z3
TION:
5.CLASS OF WORK-
OT BLOCK_SUB DIVISION 13 NEW BUILDING 0 DEMOLITION RESIDENTIAL
DESCRIPTION OF WORK: 11 ADDITION 11 CONVERTING USE COMMERCIAL
11 ALTERATION 11 ACCESSORY BLDG. &FIRE SPRINKLER
11 REPAIR 11 POOL I SPA
11 YES N
11 MOVE (OTHER
C1 NO
9.NAME: 15.COMPA NY NAME� ARCHITECT I ENGI EE
h L MA 144 PP Q-014P owr-"Wr- &W IAI 23.COMPANY NAME:
16,NAME/%WE' ?MVilE,4C-41, 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: "1,"1,"1,"1,"1,"""��..................1,"1,"1,"1,"1�"1,"..........
CCC /J 2.,7 If Of: ::1 01:21[14 1 i��:ENSE NO.
0 18.ADDRESS: 26.ADDRESS:
4Tt4H71(. gcd,,et, 37-131)` 12.9 1 01 W 14"EY C r,
ICL ?z-zrq
11.OFFICE PHONE 12,FAX NO.: 19.OFFICE PHONE 20,FAX NO. 27.OFFICE PHONE: 28.FAX NO.:
I I 3.r-/-�20 7- 7,30 - /I 11,/�
13.CELL PHONE T��n --
21.CELL PHONE 29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: - JU.EMAIL ADDRESS:
FEE SIMPLE TITLE HUMDER: ?/,a I_qevwo 0 6e llf�au 4k.4ef
(IF OTHER THAN OMER) BONDING COMPANY: MORTGAGE LENDER-
31.NAME 33.NAME: 35.NAME
32.ADDRESS: 34.ADDRESS: 36.ADDRESS: IVA
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.
OWNER or AGENT
(If Agent,Power of Attorney or Agency Letter Required) CONTRA R
(Clualifier Only)
Signed: Date: Signed: Date:
Before me this day of ,2009 in the county of Before me this_day of -
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared 2009 in the county of
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 of_,County of_ Notary Public at Large,State of_,County of
El Personally Known 11 Personally Known
0 Produced Identification 0 Produced Identification
Notary Signature: Notary Signature:
BLDG01 Permit Application Bldg:REVISED:12/18/2008
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-0000109G Date 7/30/09
Property Address . . . . . . 5S2 AQUATIC DR
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
9 fixtures
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ASAP PLUMBING CO
SD SERVICES OF JACKSONVILLE
P. 0. BOX 16631
JACKSONVILLE FL 32245
(904) 994-6440
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 98 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/26/10
----------------------------------------------------------------------------
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.