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Permit 1290 - 1292 Rose Street
CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 09-00000127 Date 1j26j09 Property Address 1290 ROSE ST Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation ---------------------------------- 0 -------------------------------- --------- - Application desc 13 fixtures ------------------------ ----------- -------------------------------- --------- Owner Contractor ------------------------ ------------------ ------ MASTER PLUMBING OF JAX, INC. 5514 BURDETTE AVE JACKSONVILLE FL 32211 {904) 744-9138 ------------------ --------- ----------------------- Permit ------------ PLUMBING -------------- PERMIT Additional desc . Permit Fee 126.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 7j25/09 ------------------ --------- ----------------------- Fee summary ----------- Charged -------- --------------- Paid Credited Due ---------- ---------- ------- --- ----------------- Permit Fee Total -- 126.00 126.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 126.00 126.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ~t=''''~ri:, CITY OF ATLANTIC BEACH `:i[1' 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 r OFFICE: (904)247-5826 ~ FAX NO.:(904)247.5845 .r ,J~ BUILDING-DEPT@COAB.US °~~~_~.~r~ L PLUMBING PERMIT APPLICATION 09- ~ ( ~ ~ ~ DUVALCOUNTY z 1: JOB ADDRESS: ` 2. IS THIS A SUB PERMIT: " 3. DATE: ~Z~rD ~~~ ~~~~>d t ^ YES PERMIT #: ~~ / -~ 6 ~.Gct PROPERTY OWNER: 4. NAME: 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6. PHONE: P LUMBING CONTRACTOR: 7. NAME OF COMPANY: 8. ADDRESS.: 9. STATE OF FLORIgQ I,yCEN~$E~ O~ : 10. CELL PHONE: 11. FAX NO.:- 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 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: 16. NATURE OF WORK: 18: CURRENT CODE: ; ~ ~rEW ^ 'O6 FLORIDA BUILDING CODE- RE-PIPE PLUMBING ^ OTHER: 19. NUMBER OF FIXTURES: BATH TUB SEWER CONNECTION BIDET _~ SHOWERS ~_ DISH WASHER SHOWERS PANS DISPOSAL /r SINK DRINKING FOUNTAIN _~ WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB _~ WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR ~ WATER HEATER ~_ LAVATORY URINALS ~_ SUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN 20. PLUMBING PERMIT FEES: - PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: J3 x $7.00 (PER FIXTURE) + $35.00 = BLDG03 Permit Applicetiion Plumb: 12!18/2008 yy y BUILDING, PLANNING AND ZONING IN5PECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: Building Contractor : ~'~, ~ (~ ~_,,~ ' Duildii,q Permit Numt~er: I ~-(.p Address : j~~,,~ ~'~~ ,~i ~J`~-''! Legal Description: ~ ~~~" Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as -' Lowest Floor Elevation: ~r required as built n/a Sales Tax Certificate: -------------- -------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTI~'IEU: DATE APPROVED: BY: Fire Chief Public Works r -~~ Planning Director -_~.-~_~ -__---- Building Inspector ~ -y-~® i:_ 4^^,~ C~~e~~tf trtt#~ u~ C~rr~t~~~t~r~ CITY OF l~~N~ B~A~s • ~~ ~Y~ttx#mpttt ~rf 3~ix~ID~ttg Jtt~~-priintt This Certificate itsreed pursuant to the requirements of Section 109 of the Southern Sta~adard 8uilding.Code certifying that at the time of issuance this structure was in compliance with she various ordinances regulating building construction or use. Far the following. Use Clusi6tttian ~ ~` ~y5,"r ' ~ i i,-, I ":~. ~+ a ,~ Bldg. Permit No. ' Group Typel=onstruc4ion Pirc District. __ OMner of Suildin g ` F`'I'~V~ r ~ "') e~ ~ : ; Address . ;-, f r ,,~. f ° , `.' , t. BuildingAddreu ~, ~ , #`~ I)<):~'E',`'~~~.~' ~- Locali ~ ty _ , ` ~ tytl _ '~ r- Building gthcitl Unte: ___ ;. N~7 IN A CON~PICUOUt -MGrt t nUILDING, PLANNING ~?ND ZuNING INSPECTION DEPARTMENT CITY OF ATLANTl-C BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET Date Requested: Building Contractor: ~. ~ ~ ~~~ ~ - Building Permit Number: ' Address : ~ ~ q ~ ~ ~~,~~ ~~~~~~~'~ Legal Description: ~~ / ~- Q ~ Improvements to the above described property have been completed in accordance with the term of the permit and is certified to be ready for occupancy as Lowest Floor Elevation: i/ ---------- ---------- ---------- required as built n/a Sales Tax Certificate: __~~ ------ -------------- date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTI~'TED: DATE APPROVED: BY: Fire Chief --------------- --------------- --------- . .~.. Public Works Planning llirector ~ ~~'~ Building Inspector _S~G~C~~~~ ~ '~`~ ~~ RELOCATE FIRE HYDRANT ON ROSE STREET USE TiiIS FORM FOR ESTIMt1TES ONLY TERRY McCUE OESCAIPTION OTY. MATERIALS LADOR TOTAL 6" X6"X [[('AST TRnN TRF. l ._ . OQ_ 6" PO ___ _ 1 • ~- 6" P~IC PIPE , ~ _ 24. 8Q. _____. 6" MECH .JOINT _...$- b" UNI N -~ = 6" DUCTII E IRON C 23 • ~ . EYE B ._.~.. - 2 SUB TOTAL 30 _$~. 1 ~ 30 . ~ 2 TOTAL $340 84 ..-..- ,.. _ 4 MEN 27.45 HR F~ $109 80 30% O.H. i 532. 94 TOTAL S 142 . Z4_. _. wrta rAlS - ~ Ano n . TOf Al TOTAL g4 142.. M15C. JO13 EXPENSES AMOVNt ourta ion [xP[r+s[S b6 2 TRU KS 10. TOTAL COST - 240 0 IorAl stlur.a Pnict 1 ItSS t01A1 COSt 420 cnoss Pnonr 1[SS OvC~mCAO COS1 •. Or SRUNG PaiC[ TOTAL $660 00 NET PROFIT $1143 .58 ~l ~~1 ~q ADDRESS____ ~ ~ __------------._1_~LY~~-- ~-~r! LL~ _.----------------------------- CONTRACTOR____ ~-_~ -_~r_-- OWNER _~~_._ __--- ---' ~~ `-~'~~ ----------------------------- i BUILDING_J'~ ___ ~' ELECTRICAL_~ ~ __ MECHANICAL________ TEMP POLE_~~ ~ __ ELECTRICIAN--------------------------- TEMP PULE JEA__________ FOOTING ROUGH PLUMBING SLAB FRAMING MECHANICAL/FIREPLACE TOP OUT PLUMBING ROUGH ELECTRIC FINAL ELECTRIC FINAL BUILDING ELEVATION SUBMITTED CERTIFICATE OF"OCCUPANCY DATE ORDERED ___________ DATE ISSUED ___________ ~~ ~G~~ PLUMBING_______ MISC___________ DATE FAILED . ~~,~/;~ DATE PASSED _ '1 ~ 1~9 --_Lg_l~ _3~b~~1 ~~ I~~ ~~'~~.t~tt~~t~l' t~~ ~~C~C~1~M1t~C~ CITY OF ~r~~~tm~ttt ~rf ~~tid~ttg Jn~~rrtixm This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building .Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building co~estructiorz or use. For the following. r, <,r , . Use CI[ssificttion ~ " ~;. Bldg. 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N G y air ~~ i~ ~ ~ Z as 4` o \ ~ , ~' J ~'~ W ~ Q a m V m . y _~ o ~ U ~ ~ g ~ W ~' E LL a `' V ~ W 3 ~~o w ~ w ~ U ~ Z - ~ m ~ l p °o ~a c U ~ ~ ~ ~ ~ N N ~ Q ~ ~ ~ m ~ 7 ''RR V Z° a r c ~ c M w ' Ol' G J c o . ~ O ,.~ ~ ~ i c ~ ~ m.`y ~ o ~ ~ Oz m ~ Q ~ _ _ O W - __- ~ p. ~ r w Z f w O a v O N ~ ~ ~ ? ~ Z w Q D CL ~, N r Q O W Q Z O Z c7 O 3 ~ Z m ~ J U ~ . O O .wrt -, +ee 1N3W`#` 533~~a38 ,,, w 'l- ,~ C s J~ D .A p p R Nj ~ BEACH CITY ~F A pN~NC, OFFICE P~ INC, ~ ~ ~~,,~. 9 19$'~ ~,~ J ~ ~ a~' 1 Q v ~ m Z.d~,R 2 o c a u- U CI ~ .'~ a O `~ w O Q a ~ m Z c m o r ~ i% v ~ g ~~, ~ y~ g ~ d Y aa- Z UI O Z x ~ ~' o ~ U (~ a ~7 a ~ o J rn Z W ~A ~ ~ m G 2 j o rLL ~~~ ~ ~ `.~~ G Y Qa ' LL v ~a ~ 7 ~~ U~ ~} ~ f ~ o a Y ui p G u ~ N ~ r ~-- d ' ~ ~ O~ ~ o '~ ° '~ ~~ ,` ~~°, ~ G d N 't ~ ~~$ o ~" m O .E ~ ~ m '~~~ 7~ ~ U ~ ~ i0 ~ ~ "",,,,, O r ~ a ^ ~ ~~. V <a Qa m r=~~a V (g~ aii 1 W ,: B m m Q S LL ~ T O C T 9 ^ lE 6 ~ ^ ^ 11. 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DEPARTMENTOF BUILDINf CITY OF !ATLANTIC BEACH - L(~GA~'I~'3N INF'C!RliATIC~2d -----.._~.... ----- PERMIT ~~IFditMATll~l~ ~.____~ i~1 Addr~asass t~9~1 RL'fSE $T>~EET ~ s~ a P~r~+it !i<u~+br G~~G;3 ATLAt~ITTC REACIir F'f..DRIDA + P~rr~ti.t Typ~ra PLfIt4H~tatG ~~`N Glsx~ rf# Miux~lc a MEw Lvt s l3lp~esk s se~ta.an : 5~a?%~ ' ~ X( Ccsa~tr~. Y'P~ 3 > Pi op~~w~d il~+~: ~}UPL.Iav~ F'~.~t 1~e~pkt Page: a' ~c'at'~n ~ Ityt cT~orr~ x ~-~~ ~ _ _ ! q t i,1I n~-~i.~~r~~~ x n cads : O ~u~~d~.~t~~.c~n: ~ -__~-~.. M t~7WNEFt TMif:'t~RMA'I°ZDH - _ ~'! I~ ~ nCw a ~ F.~ti+u~ted V~luea !t<O. C?Q 40 Nam s TARRY t~C~U~ ~~ C~ f 141 I (! t ~O /"''` . I ~prc7v. Ccx~t t t~-1 Feee: ~~X~P 5Z.t1' Addre~>>a: 1~'~tT FiC><-0SE STREET 1 , Tr ~r;l , Amea~tirt~ '~'~td~ ~~~X9~ 5Z. A'CLAIKT~C REACNr FLCIRII~A 3~2~~ ` ~ _ -''i'1'~3. t9~~ Paiti~ .k ~ / 1~A~~ P~it~~r~ s t 9Ca~4) ~~1 W~x-k D~esr:. y ~HSTALL ~i,UM~iIMG -.~-- --.~ CCiNTRAC'!"C?R(5} _~__-,. .. -~-„~ I-PF'LI~ATIQN 1~'EEr;3 _~,__ 52.04 1:. M..t~~-xR F'L.iJifglNl~ erCl1;lFAMY PEl4~T' WATER YMP'ACT E Oli'3, 00 SEWER Z~-,AST FEE #l~.:Qi] WA1"EFi ti~'~14 ~.Ofl RADf~!?~ GA~3 - 3K ~Cr.44 wAT~R TnP ~.Oo SEWER TAP ~G).OO HY1:7RAUL.~C 31`iAR&' 9~t3.Os~ RE-~HSPEarT FEE #f3.00 I9THa~R ~©. C#C9 AItQ.1[3fl NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSI~ECTED 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 CON'IPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATL~,eEACH BUI~ ING DEPART ENT ,~ s ;< Jt ~t Z,b ~ „ v ' ~ Fa ~ . _, t .. CITY OF ATLANTIC BEACH 'APPLICATION FOR-PLUMBING PERMIT 249-2395 JOB LOCATION ' PLUMBING CONTRACTOR F. W. FAIR PLUPyiBING COPdPANY LICENSE NUMBERS P~P145 State RF0037503 .,r r >: ~~ . i r , .~~ ~ ~f \ R. `+ ? r~ ;~ti. ((t ~, V v~ ~~~ ~~ ~ ~~ ~~ OWNER C. BUILDING CONTRACTOR ~(LCZ ~I (`(l L ~ 1 ~ ~ TYPE OF BUILDING ~~ ~_S INKS ~_I,AVATORY ~_BATH TUBS URINALS ~_CLOSETS ' ~_FLOOR DRAINS ~_SHOWERS ~_WATER HEATERS ~_DISHWASHERS ~_DISPOSALS ~_WASHING MACHINE OTHER TOTAL FIXTURE COUNT..X~3.50 + X10.00 ~~ !DATE j ( /~(9 / d~ TOTAL ADZOUNT 1 ~7-' ~ j ~ ~ -' INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST .RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE: F -..~. ' ~ ~ ~ - ~ .. _ -~~~y - .~ . ~y,~.~-^- . _ _ ~. .. _ ~ k .}"",e4°.A~`r'~Y' ~"'i 'rr .iY.~'~'~3'4.r~.'a. - r K. ~...:c~ .o7f".~+7{~'p~~J" '4'"'~~'Yt,..~-~«;r-.~-~4`T ~~3 - ,r r ir' - - .. .. . ,k; - r,h, , ... _ .. .°.'~,~Ic-rri,+yrr~.`r- r ,~.: ~ c ~ ~~ `• r r~ is .j•'_ ti,,y y~'"i i n~v 'i'~''-fyv'.~" r.i~,...•r.•-. '04. ''~~~~5'~•'~'Mr•~ G ;...!* T'^' ..r..L F ai,'~L ~f~ `P•-*;-~"ad~..~ _ t -.. 4 <... ~ r ,t 3 - ~•' ~. ?a?--d+ii. 1 ~..;.: °Z t~F7{i~u~~aw ~ tA~4~ I 'C' .. 1~'--~.,w .'"""`''t+~' C , ~ + r~L~a~~i, ::.',~'Vt li;1~ ~ is ., ... ... _.. _ .r ,M1.ai.. ~.s.~~,.'-"t......_.~.._.- s ~r - -- - -- V~~.,.~3r - -•k lU1aP SHOWING SURVEY C)F: ~bT t ANa Tips t~iUTZT~ERIY 30t o+~ 4©T 2,>3WCk 192,5EG7iDi~i"N" ATLAtJTIC gEACN. oocordlnq to plot r•aorded in Pict Book ~, Pape 3_.__ ~ ___. of the. aurrl~nt pu~iC ncorda of n~~°'I-- County, Florida Examination of Flood Hazard Boundory mop, Cotnawnity ~.- t2vv"1 ~ , Pane! oco l c ,dated 't • +$~.83 „___._, iodicotst that the property shown and described hereon lies within a Zons_._.C.__.____ areo. A APDT2,oXIMA'[B 'f"7 F3LVCK 93 ( L DT '2, r3LVCl~ I°~3 L w r~- 0.4 .. YZ"tapnl L.q.4435 ~~ L L UT I , F3LUCK 193 SU. UOI (F.M.~ 4' CNAIN uNK o. O• So ,, pp r fo•6' It` v (TIl3 ,9.4' W 1i ~ ('(~ v rt , L~ ~ m f... Vn .. N o +.. ~ d :~ ~ (V 0 a..z' ~ fv ~' Q ~ 6.$` q'4' (TIE) W ~r ~. ~ 1~ 0 0 ~ ~av 3 ` ~~ L ~- 39.4' N r pj y; /" CuNCCZE?& r ~ w~ I ll ,,~ i4.3: N X5.9' - O p, couc2ETE "; ®.;. +?~.vc 14 F'UUUpATt(.3ty I a 9' r 20' --~ ..-- ~o -.,1 ~- cp' ~~`IRDN~" 240.00 (CM.) "~~"IRI~AI ~ ~.>g.4a3c, ~.w.4a3c, SO. UU (F.M.) Fun Y't"iQl.)Al u. a.2z' , e . o.3t' y2u1RAA( I~ C~ ~ L t!5U~ 2~w, ~TI~l.:.L 1 (o12T Roan C~ ~ GL.~.RK & S N 0 INC. !. UT Co, gL ci ~ i< ~ 33 y2 I QO~.I t..Fl. 44'3ai LL N w Y +.. U , ~ ,,I ~ ~ v N O ~~ V 9 Q F~ V 0 J 0 •.~' N h•3' $•4' (TIL' ) 9 Nw gov ;Q p ~ -Vy ~A <,~~~ ~~ f f ,`+ f ooo~~~ DEPARTMENT OF BUILDING ~ ~ CITY OF ATLANTIC BEACH _ ,. _ _ _ FERIYIT 7C Pt~'CIRMATICIPI' - -. - _~ _ _. _ _ .. , .. _ .~ L,O!~ATxC?tJ ZIHRGf~HATiClN -. _ _ ._._ ... ._ Pea°uYa.k Ptusnbc~r s 3301 A~~c:lr•e~rs: 1290 RC? SE STRI~ET Perrs-it Type: MlEC•kiAlvilCA~. ATLANTIC BEACH F'I.,(3~tIi~A 3~~D~ ~ a;,la~~a cad 4Vc,rl~ca I~I~W __ .. -.___..w__-. 1..EI;"aAl. »'ISSCRI;PTIC]N ---~,__ Cean~tr. Type: IN/R nts B.L~~k: 9ec~l:~an: Rr~rape~s~d Uwe s TWD FAPi II,.Y E ACTT Y f' l ex k Bank s P~g~ : O L~xellinge~: O Cade s C! SuhdS.~r~.~ic:,r°~ s ~ectit.~ri h I:~•t~.au~ted "d~lue: s~Q,00 ---__.~~__.-- CiWh[BR IMFCII~MAT~U~t -_.-__,_-_. Smpra~, C~irst a ~Q. t~0 t1~-me: TERRY I~ICGUE Tcate33 Reece: +.~38.OCJ Asldrs~cs~: ~~9C} !{©a'i~: :3TF?'E.ET t~a~aunfi, Ps~~d ~ ~~8, 00 ATl,.Af!~'I'IC IBIBACH, I` LORII?A 3223 I~~t~ #'sid s 1 f 9 /~19 P3Yasze: (904) ~~9 _~32~>~ Ric~~'Ic C}+~yp~. a ~.ns~tal,~ 31~>~~'tlrxg ~ a~l.r ~- ~- ~- ~ -- _ - ~'rJNTRACT©Fi t 51 _ _ _ _... _ _ - - - ,iPF'LTCATI(aH F'I~Ba .. - f,)CEAf+~:: TATk. BEAT ~ A~t~ -CE71hiD, C[7 P>~IZtlXT X568. Ufa WATER IMPACT F'EE ~tD.00 SEWER IMPateLT Fi%I?' ~Cl,>l?O ~ al~'~.1;~3 1~AI)A1V G~-~^~N. R. 5. ~tJ C10. ~•~'~''~~" j,~~~ f ~ i r~:;~~ RADU~! faA9 - ~i",~ ~O. (3iJ ~ , ,., WATri.t~? TAI' !AO. O 4c~ti~ I {~ { /h~ij ~E~tE~R T~lP ~t?.OL7 1;}~'. }iYDRAULIC ~aHARI" slsO. t3C? I~~-zNSpE,CT >"EI; ~o~ n0 O'i'HI~R ~O, UiJ! ~Q,. U4 NOTES: NOTICE - ALt 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 PLACEDiN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT. "t 3~` BUILDING AND ZONING 1'NSPECTION DIVISION CITY QF ATLANTIC BEACH 4t,. ATLANTIC 9EACH, FLORIDA 92233 APPLICATLO~N EC~R MECHANICAL PERMIT BALL-iN NUMBER IMPORTANT -- Applicant to complete all. items in sections t, ll, III,. and IV. LOCATION Street Address: Z ~~ ~+ QF rnhrseeting Streets: 8etwesn And EUtt.DING Sub-division Ii. IDENTIFICATION -- To be completed by all applicants . In consideration of permit given for doing the work as described in the abcve statement wehereby agree to perform said work in eccordence with the ettec~d plans end specifications which are a ,pert. hereof end in eccordence with the City of Jacksonville ordinances and standards of good practice listed therein: . Nern~ of Meehanioel CoAksehr (Print) +~-- ~` ~ ,r,. Co~trsctors Matter ~ ~~(~ `'~'~(o Nerve of hep~rty Owne- ~ ~ .~" ~Aehlre Qf Owner $igMture of or AuNlorited :Agent Arehit~at or .Engineer Itt. ii~NERAIIN A' T y pe of Aeatinq awl: B• t V, ~ Yt ElatMic. IS OTNER CONSTRUCTION BEfNG t~NE ON ~l~--sue THIS BUILDING OR SITE4 `~-~"F p s..:- D u O Na~YA,r ^ _Canttat ut:i+ty Q O~ IF YE8, :61VE NUMBER OF CONSTRUCTION ~ [~~ " PERMIT ~ Q OHnr, --~ Spasi~y W, #~CNMl1CiAL EQUNIt1EWT TO tE 1NSTALL~ NATURE OF WORK (lhvide exnnplah List of eonripoeaAfs oA bad: of fhi. oesrs) ~ Residential or ^ Commercial Nut. ^ Spaa ^ Reeaaad ~ ConMat O poor ~ New Building Air Ceedlfia-iwy: (] Room ~, GAtral r f ^ Exiaring .Building. gip(" OYet Syafiam: Mataria~Y"Y?~y-°•sA ~~„~,~ ~ ^ Repfacemerrt of exlsling system MuimYln eapieil~r ~~~ o,fm New Installation (No system previously fnstslledj ; ~ RafrFgsretien Extension or add~on to existing system (~ ° Cooling losvsr Capecffy 9.p,m. ^ Other -Specify Q Frn sprinkt~c Num6Fr of kM~ .. ~ . Q Hwater (~ MaAlih ^ Etealafer~.~.._(AYmbar) THIS SPACE FQR` OFFICE tISE ON6Y Q 6~awlina pump` _.,.,__ (AYmbar) , . tltaaiwsO 0 Tam (AYmbrr) Rork: 0 ~ OOAtahal'e_,'., (AYmbar) o l~aPard praruer wsra+ {~ feilon P~tmit /lpprovad by e.a. Q OihK - Spaciflr PanAit LIST.. ALL EQUIPMENT AIR CANWTIQIyING A1W REFRIGERATION EQUIPMENT 1~11tMber Valt~ Dwicrlytllm ]d[odN Nt»-bas toad E[sttufaclurer (TOOS)r N t Z 1...... PLANS REYIEW CHECK LIST Address1p3~~ 7~,~~~~ ~'~~ ~!,~'_. Owner_--~ ~ ~ Legal Description_,~__1 -~---Contractor__~`~,,,~__ 1--~//l~' •_----- _-_ ~__~~ ~. L~ License Number-----------------------_ License on File YES NO Section 24!101 +- Zoning R~gu.lations Zoning District___~_ _ ~ ~ _ Required Lot Size_____ _%~(1 Proposed Use_~ __ ,--t - - Actual Lot Size_ ~ _~~ _ Setbacks Required Provided front __~ ~ _ ~ ~~ ____ ~ F _ rear ---~~- ~~ ~_ ~~ _ side-1 ___~~ __ ---, -- side-2 Max. }Teight Allowed__~~ ____ Section 24_82 * Minimum Lot Coverage Required }leafed Area _~,~ ._ Section 24_161 * Ofdstreet Parking Number Spaces Required_~ ___ Section 24-17 CORNER LOT INTERIOR LOT ~~ Flood Zone ~-~ _____ Required Elevation________ Proposed Height__ ~ ~~~ f Proposed , Area__ ~~ _E . / ____ Spaces Provided Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YE NO Utilities Water and sewer service is to be provided byt _____ Buccaneer Utilities _____ City of Atlantic Beach Utilities Private Source SEP'T'IC TANK WELL Plane Reviewed by• __Date Building Permit #__________ ISSUED DENIED City of Atlantic Beach ' Fixture Unit Worksheet for Water Impact Fee FIXTURE UNIT'S ARE ESTABLISHED AS Tf{E MEASUREMENT OF WATER DEPIAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CI'T'Y WATER SYSTEM, THE WATER SUPPLY CHARGE IS HEREBY FIXED~,AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. 4 _;,.,~~,_BATHROOM GROUP CONSISTING OF ~ ____I_SERVICE 5INK TRAP STAND WATER CLDSET, LAVATORY & BATH ,(8) TUB OR SHOWER STALL (6) i I _____WATER CLOSET, TANI{ OPERATED t4) _____BATHTUB/Sf{OWER t2) SHOWER GROUP PER HEAD t3) _____SHOWER STALL DOMESTIC t2) _____LAVATORY (1) _i,~__WASHING MACHINE (3) __~~_DISHWASHER t2) __ii___KITGHEN SINK t2) ,~_1~__KITCHEN SINK WITH WASTE GRINDER t3) _____BIDGET t 3 ) __FLUSHIHG RIM SINK (8) fo -l ' WATER CLUSE:7' VALVE ' VALVE. OYfRATED t 8 ) ' ~URINALIWALL LIP t4) ----- FLOOR DRAIN tl) ----- 'LAUNDRY TRAY t2) ----- ____~COMBINI~TION SINK AND TRAY t3) _____POT, S IULLERY SINK l 4 ) _____WASH SINK EACH SET OF FAUCE'T~ t 2 ) DENTAL LAVATORY t1) 'DENTAL UNIT OR CUSPIDOR tl) ____,~URINAL STALL, WASHOUT (4) _ _COMBINATION SINK AND TRAY WITH _ ^^ FOOD DISPUS. (4) _____URINAL, PEDESTAL, SYPHON JET ~ BLOWOUT t8) DRINKING FOUNTAIN (1/2) _____LAVATORY, BARBER/BEAUTY SHOP (2) _____SURGEON5 SINK t3) ---- i ____ LAVATORi , SURGEONS t 2 ) ICE MAKER (1/2) WET' ---- ,<-. ` TOTAL FIXTURE UNITS ``J L/ @ 520.00 EACH $ JOB INFORMATION ~'-' ~~' ~ ~ ~ ~,: ., ~ . ~:~~ r . _ CITY OF ~ ti ~.: AT~~~~lC BEACH FLORIDA 1229 f S 19 NAME Parl,~~~ct _e ~n~m~n,X ?ns_ ADDRESS X24 Sixth ~~.~ t~~,r~t~, CITY `IRfrk:~tznv t~,,~ .~+.~rh p.] . ;~a~Sn Overcharge credit to 129a ~ 1:292 Rose Street 30.UU ~ . ~ ~~ ~~ ~ ~ ~- When Sign®d, Dated and Numbered, This Becomes an Official ReceipF MAKE CHECKS PAYABLE T4 R+~c~ived Psymeni CITY OF ATLANTIC BEACH, FLORIDA rR~su~ ----_ _.. . . _ . _. ... ,, _ ,, .. _. ,..,.: .. ,,, ._ _. - -- ,_. , ,_ _ . ,, ,, ,~ ,,.. ,. ,~ _~ ~- CtTY OF ATLANTIC BEACH, FLORIDA .,, A -or«, b FOR ELECTRICAL RERMIT b pa Y APPLItATiON TO THE CHIEF 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 ACCOR©ANCE WITH THE ATTACHED PLANS AND SPECIF1CAfilONS, WHICH ARE A PART HEREOF, AND 1N `ACCORDANCE WfTH THE ELECTRICAL REGUIJ1710NS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. NAME 'j~/t /~'Y /`9 C G(/ ~ ADDRESS: l.2 %"~D /Qd 5fe ~1~ RFD. BOX BLDG. SIZE " BETWEEN: RES. 1 ~ APT. ( } COMM. ( 1 PUBLIC 1 1 INDUS.1 1 NEW l~ OLD 1 1 REW. ( 1 ADDITION ( 1 TRAILER. ( 1 TEMP.1_~ SIGNS ( 1 SO. FT. SERVICE: NEW ( 1 INCREASE ( 1 REPAIR ( 1 FEE. CONDUCTOR S12E ~ h erur~c min r_npa~a i ~ er ~ itu r _ ~ i 'S ~/ $NIITCH OR BREAKER ~ AMPS PH W ~ VOLT yG RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS. NO. .SIZE. NO. SIZE NO. SIZE .LIGHTING OUTLETS CONCEALED OPEN TOTAL. RECEPTACLES CONCEALED OPEN TOTAL O.OC AMPB: 31.100 AMPS 3WITCHE3 INCANDESCENT FLUORESCENT & M. V. FIXED O.f00 J1MP 8. OVER: . APPitAnrCrs BELL TRANS F AIR CONDITIONING H.P. RATING COMP. MOTOR H.P. RATING OTHER MOTORS _AMPS EIL HEAT: KW-HEAT MQTORS 0 H -i .P. VOLTAGE PHS NO. OVER ` i H.P. VOLTAGE PHS MISCELLANEO US ,f ~' CITY OF ATLANTIC BEACH, FLORIDA App.o~-.dbY APPLICATION FOR E~EtTRICAL .`PERMIT. TOTHE CHIEF ELECTRICAL INSPECTOR: DATE: // y / 19 ~~ IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE- WORK AS DESCRIBED_ tN .THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID' WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIQNS, WHICH ARE A PART HEREOF, AND ItY ACCORDANCE WITH 7HE ELECTRICAL REGULATIONS, CODES AND CITY-0F ATLANTICBEACH ORDINANCES. NAME ~~IP~~ /~9 ~ G (i'!~ ADDRESS: 1 v~c'1- ~ ~('D S~ 5 % RFD t30X ' Blot?. S~IZ/E BETWEEN:.. RES.1 `l APT'. ( 1 COMM. ( ) PUBLIC ( 1 INDUS.1 ) NEW (~ OLD ( 1 REW. ( 1 ADDITION f I TRAILEfl 1. 1 TEMP. ( I -SIGNS ( ) SQ. FT. SERVICE: NEW(~1 INCREASE( ) REPAIRI l FEE. CONDUCTOR SIZE U AMPS ~d COPPER ALUM. ~ b ` Ott TCH OR BREAKER ~ ~ AMPS PH W v VOLT ~ RACEWAY CXIST. SERV. 51ZE AMPS PH W VOLT RACEWAY FEEDERS" NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECtnPTACLES CONCEALED OPEN TOTAL O•SO AMPS:. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIJCSD O.10d AMP S. OVER APPLIANCES BELL TRANS F. :AIR CONDITIONING H.P. RATING COMP. MOTOR H.P, RATING OTHEfl MOTORS AMPS CEIL HEAT: KWHEAT MOTORS 0 H .1 .P. VOLTAGE PHS N4. OVER`.... 1 H•P• VOLTAGE PHS MISCELLANEO US ..,z .. ..... i p .. ~ ~ ,..~ _ _._, ,., ~ ,. J ;i _..____.._._ ...... .--....__.._. __ .._.___ _._._ _.__._.._ _..._... ...___ ~.~ _. _._....._.. ......__ r .. , .. ~ ,. ~ ~~ '. -. ~, ~- ; . _.._._._. _..-------_ --- _. , , . - ~ ,, . ~- -_ _....___ ,, . __.__. ..__.______. i ,,.,._ i CITY OF ATL,~NT1C :BEACH,: FLORIDA ~~.o~«, by APPLICATION FOR. ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTORS DATE: // ~ 19 P~ 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 -N ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES.. NAME ~~~~~ ~ ~G~/G-c ADDRESS: ~~ 9•e~ /f'l~Sc~" ST RFD BOX BLDG. S,I/ZE BETWEEN: RES. ('i APT. l 1 COMM.1 i PUBLIC ( ) INDUS. i - NEW (~ OLD ( i REW. ( - ADDITION i 1 TRAILER ( - TEMP:.'(. - SiGNS 1 °) SO. FT. SERVICE: NEW 4~ INCREASE i 1 REPAIR i 1 F,E/E//,~~ n~~~n~~nTnn el~~e f!~/i~ wuec I ~n nneorn r t w~ rur ~ .~ ~~ V ~ ~~ SWITCH OR BREAKER t) AMPS PH W D VOLT ~~ RACEWAY E?XIS7. SEAV. SIZE AMPS. PH W VOLT RACEWAY .FEEDERS. NO. S12E NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED -0PEN TOTAL 0-90 ANIPB, 91.100 AMPS. SVNI7CH E8 INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMP S. OVPR APPLIANCES BELL TRANS F. AIR CONDITIONING - H.P. RATING COMP. MOTOR H.P. RATING OTHER MOTORS. AMPS CEIL HEAT: KW-HEAT M070RS H aI .P. VOLTAGE PHS NO. ovl:~ T N.P. VOLTAGE PHS MISCELLANEO US •~.,...~tnnueoe. nNnFR 600V. OVER 600 V. i U'C1I~I'I'Y SIiItVi~.CI nGRG1iP1GN'1' ({Vater and Sewer) 'I711S nGIZL'GP1GN'T entered into this ~ day of __~~~ '~~ 198 ~ between the City of atlantic Beach a Dlunicipal corporation, hereinafter called "City", and .-` ~~ ~-~ ~ ~ a C ' corporation, its successors and assigns, hereinafter called "Developer". WITNpSSC1'li {VIILIZL'l~S, Developer owns land irr Duval , County, I~lorida, more particularly described as _~~'F.!~Ql%~`~~--~- eLer to acreage, plat engineering n -_ 1 ~ ._ .~ X11 .t-.__- rat~iLu~s, or lebal description a~Lxlii.bit and {V(1CRL'•nS, Developer plans to develop said land by coristructzng ' buildings," ~ xesidences and/or other improvements tl-ereon consisting of and WIIGItE/1S, City is the owner o;f water and sewage treatment plants grid water distribution and sewage collection systems in the vicinity o£ the property described above; acrd 1V{1LRL~S, Developer desires drat City provide water and sewage collection service to said property and City desires to furnish same; and to them and to their occupants water and sewer service subject to all terms and conditions of this Agreement; and w11L•RL~S, in order to provide water and sewer services to Developer it has been or will be necessary for Ci.ty~to enlarge and expand its offsite water and sewer plants and facilities and it is the desire and intent of Developer to contribute financially to the costs of building such additional offsite water and sewer plants and facilities and to reserve capacity in City's water and sewage treatment plants ,so that City can provide service to•the Development without imposing a burden on its existing customers; NUIV, TI[EREFURE, in consideration of the premises and other good and, valuable considerations acrd in consideration of the mutual covenants and conditions hereinafter contained, subject to any necessary approval by other governmental agencies having jurisdiction, it is .agreed by the parties hereto as follows: 1. Developer agrees that City shall }lave the exclusive right to furnish water and sewer service to the real property described above and hereby grants to City this exclusive riglrt..to provide water and sewer service for all uses within all structures now or }rereafter constructed on the real property described above. 2. City agrees that after Developer has connected to the systems of City, City will provide at its own cost and expense, water and sewer service to Developer's property in a manner coirformirrg to the reasonable requirements of public ox goverrmrental agencies or parties having jurisdiction over City's water and sewer operations; provided, however, that suc)r service shall be in accordance with other provisions of this Agreement, including City's rules and regulations and rate schedules. 3. In the event that Developer or assigns fails to complete construction of all improvements required to be. built by Developer and agreement under this provision, City reserves the right to nc~;otiatc lrltll Ucveloper a iierr agreement for any additio-ial sums to be paid by Ucveloper to City as plant capacity arld service availability charges, fees or other charges based Up011 increases ill the cost o£ living and/or suc11 other factors as relate to the cost of supplying water and sewer service. 4. llll taxes or charges imposed upon the property described above by any goverrunental entity or agency shall be paid ~ by lleveloper except such part tllereo£ that has been deeded to the City iil accordance with tlw tcr-ns of tills agreement. 5, '1'he•rates charged by Gity for water and sewer service shall be In uccv.l~dance will! its rate schedule which shall be subJect to change £rom time to time. City shall !lave the right to determine reasonable meter size and location. G. Ucveloper will grant to the City,. at Developer's expense, adequate easements for water and sewer lines, £vr access to lift stations and water stations and related appurtenances, Said easements ' shall be transferable. Ucveloper will also furnish title evidence satisfactory to the City that said easements are superior to mortgages Or Other irltereSt I.II tale land, aild Developer shall CaUSe any SUCiI mortgages t0 be released OI' SUbordi-lated tU Sai.d easements. L•asemertts • will also be furnished to provide fvr onsite water distribution lines, ' including meters and sewage collection lines. Sites for lift stations and water stations and related appurtenances shall be conveyed by warranty deed in fee simple by Ucveloper• to City. Developer will furnisl- Gity a warranty deed, title evidence satisfactory to City and any releases £rom lien holders for any sewage pumping station and watFl- i tv sllld saute road z•igl-t•-o.f-way. Developer sllail further grant to the City, its successors and assig115, the exclusive, perpetual right, privilege and easement to coltstruct, recoltstruct, operate, nlailltaill, re4lair, replace, i111prOVe, alter, renwve, relocate alld 1n5pect water transmissions and distribution mains, sewer collection ma111S, sewer lift stations, pipe lines, lateral lines, valves, connections and appurtenant eyuiprneltt over, across and under the Uevel~pex's property, including t11e right to ingress and egress to eaclz of the building sites via Developer's property wllicll are served by City. All such easemeltts shall leave a .width wllicll is acceptable to the City. 7. City does not guarantee an uninterrupted supply of water, or water at any ~larticular pressure, altd reserves the right to shut off the water in its main at any time for t11e purpose o£ making repairs or extensions of for providing temporary or emergency water supply. City well nvt be responsible for any dau+age caused by low pressure or ittterruptiolt op service. Neither Developer nor ally of its successors or purchasers sllail discharge into the sanitary sewer system water from "ttolt-domestic" drains including without limitation swinuning pools, air COllditiOlliltg COildel]Sat1011 lilies, COOliltg lilteS or other diSCllarge from any type o£ equipment, City shall.not be obligated to £urytish any water yr sewer service to any building which is built on Developer's property to which the City does not Jlave access. 'l'he Developer hereby agrees and warrants that the City will not be held responsible for flooding problems wllicll may result frOlll the failure of sewer line back flow preventor valves oat Developer's property. 7'lte ,Developer Jtereby agrees to hold haz•-nless and illdemltify City fox all costs and damages resulting £rom flvoding due to .back flow Ilreventor valve .failure. 8. 7'lle constxuctiolt and design v£ all facilities to be .~ Uevelopex ox its contractor. Uevelopex will pay tl-e cost of all sucl- constxuctiort. 1'1-e Uevelopex's engineer shall incorporate ir-to tl-e Uevelopex's engineering design, plans arrd specifications the applicable ' standards arrd specifications of the City. 9. n. if the Uevelopex modifies 1-is development plans for Uevelopez''s propexty wlticlt would xequixe gxeatex water usage, greater £ire flows, additional water facilities, greater sewage flows, or additional sewage facilities than tl-e water and sewer demands previously approved by the City, then the Uevelopex must obtain approval by tl-e City for the construction of such additional water ox sewer facilities w1-iclt sl-all meet all City ar-d governmental design requirements. The Uevelopex shall pay all additional contributions acid fees as may be authorized by the City's' service availability policy which is in effect on the date said new agreement is executed. 11, lrt addition to paxagraplt 911 above, arty other change order between Uevelopex and its utility contractor issued after City approval v£ original plans must be approved by the City before the change order •is put into effect.. • C. City shall have the rigs-t to review ttte systems design drawing arrd specifications to ensure that they meet the requirements of the City. '1'lte syste+ns design drawing and specifications are to be in accordance whit the City of lltlantic Beach xeclui.rernents unless vtlterwise •specified by City or its engineer. U. 1'lte City also reserves the right to approve the utility contractors to tvltich construction bids axe sent by Uevelopex as well as the contractor to wlticlt the award is made. L•. /1 representative of City vx its engineers will be the ,inspector of the project along with the Uevelol~ex's enoineer r,~~t ra*~• c absoll.lte alld exclusive owner o£ the faciliCies of sand water and sewer systems wlletl{er located on, under, above or outside o£ the property described and regardless o£ who may have installed ox constructed same to the extent described below: A. 1111 water mains, pipes, valves and fittings and appUrtellallCeS U p t0 alld illCludiiip all InCtCXS Shall b0 dediCilted i:0 alld will be owned, operated and maintained by City,. /111 water pipes on t11e CUStofner'S Sxde Of the nleter Sllall be OWlled, Operated alld maintained by the customer or its assigns. , U, 1111 sever mains, manholes, pumping .stations, Force maids • and appurtenances, including service pipes ill public right of ways and dedicated easements, shall be owned, operated and maintained by the City. L'xcept as provided in paragraph 9C, all sewer lines on the customer's side o£ t)le property line shall be owned, operated and maintained by the customer or its aSSlj;J15. C. with reference tv any blanket easements for multi-family projects such as apartulerrts, movile Home developments, condominiums and F'UU's or for couunercial developments, all water mains to and including _ the WL1tCI' IIICter, all sewer lnaiilS, Force mains and n1arlltoleS in such blanket easements ever private property allowing utility operations shall be dedicated to and shall be o{vned, operated and maintained by the City except that the full length of sewer services from the sewer main or manhole shall be owned and maintained by the customer. 1111 such City lines shall terminate with a manhole. U. Uy these presents, Developer hereby transfers to the City, tl{e title to the water distribution and sewer collection systems to be installed pursuant to this llgreement, sucl>. , corlveyar-ce to take effect without further action upon the completion and acceptance by City 11. Developer shall pay the City upon.executian.of this Agreement the sum of • 10¢ per water connections per equivalent residential connection (ERC) as an advanced deposit to cover engineering, plan review, inspection, test, legal and administrative expenses of City in connection with this Agreement. Developer shall alsu i~ay to City upon cxecuGion of tltis Agreement the sum of •lt)~ leer sewer connection per ERC as an advanced deposit to cover engineering, plan review, inspection, tests, legal and administrative expenses of City in connection with this Agreement. 'The charges for engineering and legal expenses and for engineer's inspection and plan review fee for non-residential units shall be based upon estimated cost to City: Actual cost will be determined and a refw~d or additional charge will be made for the difference between the advanced deposit as calculated above and actual costs.. City agrees to .provide water acrd sewer service to the Developer's property inconsideration for plant capacity charges, fees and other charges to be paid by Developer as follows: . A. A water plant capacity charge at the rate of $20,00 per fixture unit. Such c}rarges shall be due and payable as provided in paragraph 12. B. A sewer plant capacity charge at the rate of onethousand thirty five dollars (~ 1, 035.OOx'~) per single family unit. Suclr clraxges stall be due and payable as provided in paragraph 12. C. ~ sewer plant capacity charge for any conunercial customers on the land as described above at. the rate of r ! :4 - ~~ 1 U. A meter i-tstallatio-t fee to. cover meter cost and meter installation (but not including curb step or meter box) according to the City's service availability policy at the time of installation wl-icli currently is $85.00 per 3/4" x 5/8" meter C. if available, construction .water will be charged to building based on metered usage in accordance with cuzrent rates. F, lydraulic share of main extensions -payment or zefu--d. 1. Developer recognizes that water or sewer utility service to the Developer's property.. is prgvided by the use of a main a extension and other improvements constructed by a prior developer and • that Developer is obligated to refund a said prior developer Developer's share of the cost of said main extension or other improvements. Accordingly, Developer s}-all pay its pro rata sltare of tl-e cost of said` main exte-tsiott or other improvements to City. Said pro,xata share shall be based on Developer's percentage of the Hydraulic capacity of said extension or other improvements. Fox the purpose of .this Agreement, the cost of Developer's said Hydraulic sltare shall be $ payable upon execution of L-1-is Agreement. 2. lyitlt respect to utility facilities installed by Developer to which future developers connect directly, and .in consideration fox monies expended by Developer toward said facilities, City sl-all refund to llevelopex, or Developer's successors or assigns, solely from monies collected from said future developers, said future developer's pro rata sltare of t)te cyst of said facilities. Said refunds shall be calculated on the basis of t)te ]tydraulic capacity and demand of said future developer whenever .feasible. 'I'lte refund obligation of Gity 1-ereunder and the benefits to Developer related thereto 5}tall expire at a cost of $ 12. All charges to Developer shall be paid by Developer to tfre City in accordance with the following formula and procedures: A. '1'hc aciv:~nr.o do(~o^;i,t frri- r.nglnaaring, n~lu+3.tir.i.:;i.r~rt.lvu ~ur~l legal fees and L-he inspection and plan review fee upon the execution of this A~;reemerrt, a total of ar~d I3. {Vater plant capacity charge upon the execution of this ~~ ~ Agreement, a total of ~ ~~ ~ Q"~ and C. Sewer plant capacity charge upvrti the execution of this Agreement, a total of '- ' ' ' ' ' ' ` ~~~~ ~ ~~ and D. Meter ir>;stallation.fee according to the City's service availability policy at time of installation wlriCll curxelltly is L~~ ~-.- f `7th . a ~ . ~ _ Upon application for (rook-up of iriaividual lots, apartments, multi-family lots or units; and L. Corrstxuction water based on meter readings in accordance with City's rate schedule; and r. llydxaulic share payment, in accordance with paragraph 111:-1 of this Agreement upon execution of this ,Agreement, in a total arnounC of ~ .. ... .' .. ; and G. Service availability charges and otirer additional aids in construction in accordance with pax•agxaph 11G of t}ris Agreement ir>, a total amount of $ " ' " ' " " ' 13. City agxees to corulect individual buildings and structures on the developed property upon application by the builders, plumbers or individual owners subject to the operating rules and xegulations of the City and payment of , all fees and charges . irl effect on date of application and compliance by Developer ,with. all-provisions of this /Igreement. ' 14. T'lle charges; costs and fees fvr any separate emergency fire protection hater systems, for subject project will be subject to negotiations between City and .Developer, if buildings of more than two stories are a dart of. the project, Developer s}lall furnish at its expense water pumps and other appurtenances as necessary for pumping water above. 1 ~. 1111 pJ.,ulrt crr~ruciCy rind sez•vice availability charges, fees and other charges as outlined above are based oil normal domestic sewage __ defillcd ]lereiil as containing IlOt »IOre than .three 11Ulldred (30U) parts per million biochemical oxygen demand or three hundred (3UU) parts per million suspended solids. Whenever water wllicll contains morethan these arnounts is to be admitted to t11e sewexs, both the City aild t11e pollution control agencies must .'specifically `agree to Lhe cOillieCt10J1. ~n additional charge will be calculated indirect proportion to strengt}l at seventy-five cents ($U.75) for -each part per million of either biochemical Oxygen demand or suspended.' soli.cls over three hundred (3UU) parts per million. 1111 such connections shall provide for a suitable point Cor the waste to be sampled by the City or the xegulatary agencies. nil additional cltargc equal to the-pro rata share of any ' additional sewage treatment pla~lt costs above ninety pexcellt (9Uoj treatment, and of file cost of any addit:iollal required outfall pipes to " ' may be required by Cjrv_ subordinated to the terms o£ the l~greeme~tt anct easements required Itezein prior to any acceptance of the facilities by the City. l7. Upott application by owners, Uuilders or their authwrized representatives, the City. agxees to cotutect .the xequested dwellings or structures on the said propexty ~t tto ~nddiL.l:ottal cvtutectiott fee (i.e,, ' ~ itt addltiUJ1 to those pxovided for above itt tlii:s /lgreement), but subject to the continuing operating rules and xegulat~iotts v£ the City including, without limitation, tl~e pexiodic payment o£ the water usage and sewer • i usage charges in effect on the date of such~'applicatiott or thereafter reflected itt the City's xate schedule. • l8. 'I'hi5 /lgxeement shall be binding upon attd ..shall inure to the benefit of the Uevel.opex, City and their successors and assigns. however, in the event. the Uevelopex' Itas not' paid and delivered to the City the plant capacity and service. availability clta>;ges, fees and other ' changes provided to be pall to tl-a City by Uev.eloper water the tenors of this 1lgreemettt, and all- easement and 'co-tveyattces zeyuired by this Agreement, then this Agreement shall, not inure to the benefit of the successors or assigns o~ t)te Uevelopeir. ~ • 19. It shall be . t{te xesp:ousibllity of , Ueveloper to locate for builders any water and sewer taps or .lines necessary in conjunction with x.esidential yr conunerclal constructloti. 20. Unless the da-uage to any ottsite imprvvetnettts are the result of the negligence ox willful act of the City,~its officers, or employees yr authorized agents, the owner or Developer :of such pz'operty upon .which the damage occurs stall .be responsible ioir thv :payment tv the City o~ ,: such damag© to City's property itic~ttding: aii xtecessary and xeasonable '. repaixs wlticlt must be made by rite Clty ox` independent contzactors ~ ; • prior hereto, for tlte. payment o£ such necessary and reasonable costs at}d ex~?eases fvr effecting such xepaixs and xestorativn tv such vttsite facilities located upon tl-e vwtteir's ox Uevelvper's property.. Notice v£ such .lien or clai-n ott lien descxibing ~ the zeal property and the amount awed may be filed witltitt t~ittety (9U) days of the date fxom the last date upon which arty such xepaixs or restoration were made by the City or its authorized representatives. 1'Itereaftex, t1te~ City .shall be entitled to • bring art action fvx the foreclosed undex the laws o£ rlorida. Z1. Prior to £iital acceptance of the':utility and other public facilities improvements by the City the £ollo}riiig xequiremettts must be • met at Developer's expense: n. 1£ the pxoperty i,s platted, one,:copy of the zecorded plat '~ shall be furnished to the City. li, "As built" dxawings o£ utility itnpxovetrtent shall be furnlslted one week prior to £ittal inspection. ; "t1s built" drawings shall be certified by a registered engineer with tltecost being borne by the Developer. 7'wo mylar aItd three .printed Copies of said dxawittg shall be fuz'nislted L-o City. . C. 1111 lot corneas shall be properly marked so that utility __ coanpany or its engineer can, upon xeceipt;o£ "as .built" drawings, verity the marked water and/or sewer sexvices .as to location and depth. ltt .addition, £or purposes o.f locating and protect3.ng installed service litres and valves Developer or ftis cotttrhetor shall .mark each service line and all valves witit ail eight (8) foot pressure treated wooden post • in the matuter as shown. ott the design drawings and : speci£ications. Developer's contractor is xecluired tv itts,tall Curb. Stop, meter box and '. valve box on each water service and vdive as sltvirt:- on design drawings, ~ L irrcvocabl© setter of credit', rho teztns o£ t•-hlclt will ittdenuiify a-~d save ltaxmless the City fxout any loss, damages, costs, claims, suits, debts or demands by reason of defects i-i the workmanship or materials used iri the faci;<ita.c.s cl.i.scc?v<~t~cd w.1,t.1~.S,ii n pux'lud u~: ono year front a~tid a}:ter ttie date of acce~ttance by fire City o£ the facilities, , I'. A t3ill of Sale for facilities from the Ueveloper to City. G. Conveyance of easements as required udder this /lgreement. tl. A deed for .arty a-ic~ all land ori which lift stations yr water stations ox atitex improveme-tts if required by City. 1. '1'l1e title .evidence, mortgage ~ releases and mortgage . suUordinations as xecluired itt this /Igreement. J. l~or ottsito a-td Uffsite CVI1StrUCtiOn pzavide City a-i accounting o£ the actual costs (schedule of values) and releases of • liens from utility co-ttractors in such detail as the City requires. K. City shall have the right to refuse to accept title to Uevclo~ter's co-tstructio-t wttil Uevelo~ter's construction has passed cextaitt tests, inciuding, without linritatio-t, closed circuit television i-tsltection o£ the gravity sewer lines, witnessed by a City representative, tv determi-te whether tl~e Developer's construction is constructed in accordance with the approved e-tgi-teering plans and specifications. Said tests shay be performed at•least three (3) times: the first test upvtt completion of the system; the second test upon cvmpletio-t of all building, roads, ,paving, drainage, and all cottstxuctivn within the right-of-way e,aseute-tt area of adjacent areas. /1 third test shall be required i£ tlta City deems it necessary within a one (1} year period after acceptance, L. letters v£ acceptance from the appropriate regulatory nnn..n+r ('nr Fl,n f.rn hnr nnrt ~nr c~~aor c+.~~----- I r f 22. /111 notices that may or must be given under this Agreement shall •be iri writing and shall be valid if mailed by United States registered or certified mail, postage and charges prepaid from addressed as follows: • T'o Ueveloper•: To City of Atla~atic Beach • City Manager 716 Ocean Boulevaxd • Post Office Box •25 Atlantic Beach, Ploxida 32233 IN }VI'I'NCSS 1VI}1;}ZI;OF, tl~e paxties hereto have executed this Utility agreement the day and year first written above. Signed, sealed and delivered /in the presence of: llev Witness City o - Atlantic 13eacl~ ' }Vitness ~ ~ 0 00349 DEPARTMEN T OF BUILDING CITY OF ATLANTIC BEACH _.__.__ JPF;k?MIT IH1=0f~F~lATiUN -. - ~ -~ _ .. _.. _.. -- - L,rri1GA'i'IZ-td iNF'CIRMtC"T'IQH F'era~lt °Types ti)~C'HAhlICAI~ AT[,ANTiC BEACH, Ft~EIR IDA "~."~.~?3::~ Cla~~~ ref 4~~r~k : NE9t _ _ _. _. _. - _ _ _.... LECA1., C~E~ChIT'T:Ct~N - -- - - - . .. _ .. Ccan~atr, Type: N/A Lc;:ats Blcsck: Ge~,t ic,z~: ~'r c~pv~eri U~~ o TWO .F'AMTL.Y ~ F-TT > P ~ ~ I: Bc7ok s P~Gt~ : ~~ L~wel.lin~rs: f) Ct::de: tJ ~uk>d.i,vi~~.c:~n: ~~+.t ~.care }i i~td~a~t~-c3 '~~1ta~: ~-U.Ot~ _wr._,_.___.._ UkVHIwR Ild!`URPIATTOH _---.....__. .. .. .. r~~,~~~. ~:~~~: ~©.~c~ Home: T1::RftY' ~CCtI>:; Tutu ~ I: r~~~: ' ~d:3f3, t~+D A~~rfre~re t L ~~Ji' fiU~E STR>~IkT A~n~+urr;-~, P~~.~,i : _ X08. UCD RT>..RIdTIC t3E:AC;t-i, EEd©RZDA 3~~~:~ Ij~xtea Paid : 1! ~!$~ Ph~t~~ s ~ ~3CrR~ D °.3~1~--+B:~p~i Dry L. z i13&~.~.~.1, T1FP~"~.:I.Yi~ & t7$t _.~M____ CC}MTRAf:T~ll2(;~~ _____--__ .. ..,-.. AF'T'LiC`ATICIN 1~I~E:~ _„ -_ UCf~AI~ STATE NEA'}" & Alps CG}l~17. uU P~I~l4,i7' ~~. OC} MATER .T1¢i'l~C;T F>4L" _~C.I. UCI~ ~3~r~7 ;~EidER iMt~A+C"t` 1~'EE 3++t~. D0 ?~.~:lt, t WAT~:~t t7E't'E~i ~t3. tom, u ~ y" ~~~u+`.+I^~ ', RAUUH CiA~ -~ H. l~. <.,.,-". ~ t ~tl. C~t:1 j ~ f f iii,! ~' ' ~~. ~~~ ~ r ~ I~G/~^ wATl~.r~ TAB ~O. o0 ~~~~t~ ~rA~> ~~. cry I ~~~;~ ~~ I~~r~I;aU~.:~~~~ ~~~I~~ ~O. o~ ~-,T~~~ ~a.c ~ a 1 ~l ~ NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID 51X 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 BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLA TIC BEACH BUILDING DEPARTMENT BY~ ~~ M BUILDING ..AND ZONING- INSPECTION DIVISION CITY. `OF ATLANTIC .BEACH ATLANTIC BEACH, FL©RIDA 3YE89 APPLICATION POR MECHANICAL PERMIT .. 3'~ ~~ CALL~IN NUMBER IfvlrvK 1 AN T -Applicant to complete ail items in sections I, II, III, and 1V. i, LOC/1TION Sfnet Address: S S OF Intars~eting Streets: Between And dU1lpING sub-division Ii. IDENTIFICATION -- To be completed by all applicants . to consideration of permit given for doing the work. es described in 'the abcve statement we hereby agree to perform said work in accordance with thb attachgd plans end specifications which are a .pert. hereof end in d i h of'good~precfice listed thereim. accor ance w th t e City of Jacksonville ordinances end standards Nasn~ of Mechanical Cenkaeto- f Print) ~ Contractors Master ._ G NamR of heperty Owner ~`'~''" I ~~`1` '' Siysatun of Owner Signature of or Autltorirod /Kgen Architect or Engineer 111. fiq~IERAl. i A, Typrei Aeatinq fwl: 6, ~Eleefnt 15 OTNER CONSTRUCTION 9EING DONE ON THIS BUILDING OR SITE? ~~ Q her- ^ V Q NetYnl ^ Gntr•I Ufility ' ^ OS IF YES, GIVE NUMBER OF CONSTRUCTION ~~~ PERMIT (~ OtM-.. Sp~{y 1Y. 4111~'1/h1~iIC~A1. iQ4JMMMR TO RE iN:TALLEQ NATURE OF:WORK (Provide compleM list of compiments oe beak of Mie forn-) ~ Residential or ^ Commercial Ms•~t ^ Spep ^ Reeeead ~Gnttil O Floor ~" New Building . ' Air Cond~tioninq: ^ ,Room Cent~•I ~ q ~ ^` Existing Building ^ Replacement of existing system ~DYtt Sydem: Meterie Tbieknsa~... .~,., ~~,~.~ Mexonum capacity ' ~® ofn~. ~ .New installation (No system previously insi;nlled) _, ^ RsikigNation Q 'Extension or add-on to existing system ^ Goofing tower: Gpeeity 9.pnt. ^ -Other - Specify Q pre' parinltfen: Number of Medc [~ Hoveta- ^ Menhft ; Q Ewleter~_anumborJ TFIIS 9-ACE p0!R OFFICE USE ONLY ^ ;;~NWfiM pYm~ (11Ymb•r~ _ IR~1 Q Trtslklc. `Ieumb~r) Renurk: ^ LP6 aenNieeM (eYmbN) Q ' Ve~fed prostYr- wags Q P~rmii llpprowd by I~ Otber - SPeei{Y Permit' LIST ..ALL EQUIPMENT Ali! COND1110NWG AND REFRIGERATION. EQUIPMENT r Idu>atbttr VaiR+s De~crlDttYoa Tltodel Number hf[aauEatsfatsrr (Tolor) ~. 00018 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ..._ _ ._ PERM l't' I MFC3RM~ITSlr}N _ _ ,~ _. _ _ ~. _ ., ~. _ _ _ =,.C~ATI~I~t ~~ilF`C3~'ttlA'1'~QN - ._ _ _. +~r-~n~ t H~amb~r : ~$,'~ A dra~a~eea: ~~'92 RC~'~ STRlt~l~T _ ~ ._ _ _ Pc~rtwiL T~rpet P't~EIlfB~tdf.~ ATi.A2tTIC >~~1xGwt, F1Lt1RI©A 3~23D I a~~ caf' Wc3rk s N>EW .. .. - s _ .. t,.Tt3Ait. i3~~3CRIF7'~+DN ' -~ ,. _ - .. _ _ ~ ._ _ C+r~r~~tr . T~p~r t L t s 1 ~ 1~2.rrck a :3~ct inn s Px~r~p~d U~a~ r I3UF1~~X P1aa#. 1>I~rk a R~g~a r O -v~;1 Li~'aga~ ~ O Codes z © J bdivi~iotY a ~lirOTIC3~' H aa~i~~-~+~d ~~1ua~s ~CJ.00 -~,.-~~--~-.. O~)~ ~~RI'tl1T~l'~N ~--______~_ ~ mprov . Cam k x ~{~. dC! N~rl~ewe a 7'II~JRR~' II~t3~ 3 Tc~t~.L I~~~i~s ak7gb 52.00 A Qrar: i2~~ RIB f~'tRIi~ET 11a~CiUttt !:'+~#.dx ~ 52.00 ATL~1H"~`IC B,irC#+CH, 1~L.QRIIDA .3~~:33 Cf~t~ Ptt~.d~ 1~ribl$E'3 Phcrnaa 1~)~4~.~'?.ls~3 ~~~ »~~~.. ~IaeTALC. >~ILUi'~zl~c~ ~~.t~c; ~- ~__~-__ Ga~'1'1~A~'~t3R(~} - w ~.,~ ell~L,YCATIf,3lil ~~ ~.,...__ ~~YC+ I ~ ! E/!~~/.` . w. I AII~~ F>wua~~~ GLl>!~I~A>f~''Y P Rt[~'f` ~ 52..00 .~~1~':`~ W T>~,t4 IHPA07` ii'1~ srt1. Ot3 C~~#~ I Q f I ! 1 ~,~ :~ ~ ~I`~R Il!!i'AP'~' F>^wl~ #U. C~C1,. I i~~~ it R pQl1 t3AS--H. R. ~. si-O. t W T8R TAP 9~0. CEO ~ WAR TAR __B~Q. d8 H tyRAt#1~.I0 t3HA,#tF *O. ta0 R -°I~3~R)rCT ~'lE:i~ 40.00 O Huth ~O.Oq 4~0. kph; NOTES: 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 BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR. VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLA BEACH BUJLDING DEPARTMENT By. .N ~` . Imo' '~r~ ~, y. ~_. ` -. ~' ~.~~ . * ~ - ~, F CITY OF ATLANTIC BEACH ~~ 'APPLICATION FOR PLUMBING PERMIT ` \~ 249-2395 JOB LOCATION •-- ~-. PLUMBING CONTRA TOR F. W. FAIR PLUP~;BING COMPANY ~ LICENSE NUMBERS r~P145 State RFOO375o3 ~...~ ~1 -~~~~ OWNER ~,~ E ~ BUILDING CONTRACTOR ~~'~a,2.:~ (`tl c (,~,,~ 5_ TYPE OF BUILDING ~~ (,~ ~ x _~SINKS ~_LAVATORY BATH TUBS URINALS _~CLOSETS ' FLOOR .DRAINS ~_SHOWERS ~_WATER HEATERS ~_DISHWASHERS ~_DISPOSALS _ ~,- WASHING MACHINE OTHER p; TOTAL FIXTURE COUNT. X$3.50 + $10.00 ~ ~- 'DATE _ f ( /1 ~ / ~,~ TOTAL AMOUNT l D ~ °C~ INSTALLATION OF PLUMBING AND FLXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE: K ... ~:- _ .~.r. ~ ,. ~. ____.~. -- ~--- CnITlY OF ~i~ ~~~f~ nn/'~_~ .. ~A~_ 1Q~~ 13¢G~f3Lt - "tt~OZf~Cl~ Office of Building Official / ~(~ REQUEST FOR INSPECTION /J [ J" Date ~ Permit No. ~ `n~ Time _ A. M. Raraivarl ~.~. P. M. _ A District No. -- Job Address - - Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing ^ Rough Wiring Rough (3~.Air. Cond. & n>~1~i..+~ Heating "`/~ Re Roofing ^ Siab ^ Temp Pole ^ Top Out ~ ^ lintel ^ Fire Place Pre Fab READY FOR INSPECTION ,C'~'~`1rr„ !~ Mon. ! Tues Wed. urs. Friday ~'~~/ ~ -y ~ Inspection Made' r ~ '~ ~ ' A.M. P.M. "a! Inspector "~ Finallnspection ^ Certificate of Occupancy Date P y yp k ~ _ ~ ,. ., ADDRESS__~~~~___~ _ i~~___ CONTRACTOR ,~,~y~ OWHER____1 _- _1~ !~`_C--------------------------------- f BUILDING ,~ 1~/L~, MECHANICAL ____________ PLUMBING_______ ELECTRICAL ~~`~ TEMP POLE MISC ELECTRICIAN_____ DATE FAILED TEMP POLE .TEA__________ FOOTING ROUGH PLUMBING SLAB FRAMING MECHANICAL/FIREPLACE TOP OUT PLUMBING ROUGH ELECTRIC FINAL ELECTRIC FINAL BUILDING ELEVATION SUBMITTED CERTIFICATE OF"OCCUPANCY ___________ DATE ORDERED ___________ DATE ISSUED ___________ ~' c rr ~ ,-~ t~ .~ ~ { DATE PASSED ---'-~g_l~.q --~g_L~~ -~~a~~-- _~l~_~~~ --~/~1~~ . ,~ . _; ,~ _ ~. Q~4i~~ DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH _..~.-- P'ERPIIT INFgRMA'Y'IC3M _.._-.- ,~-- ~ LC?CATIC,}N I)?dFOFti~tA'T°IOtI ---____..._._. F'~x°~it lduntl~~r: 1~tF, ridre~s,:- 1.~..9c RUSE ~'1'REE7' E'aar;nik 'Cyp~t HL3ILDTMG ATL.AH~TIC BRACH, FI".©RIDA G~~~D C1~~a~ uJ: '~Ic7Y-k: NEW _______y__» LEGAL t)ESCRYPxZON _____~__.__,.. Cr~1r~~t$x'. "r`y~~: W©t~D .FRAME .oL: id~~ Bl~~kr S~utic,iz: H P~s~p~~~ed Ll~c~ a ~~l;fPL,E~C >~'I~t F~tz~lx s J<'~~r~: O L7w~llanc~r~a Q C~d~s €l ~~al'~riJ.sr:i~~.~r~: ~EC'T'Italal H '~€st.i+r-~t+c,d 'I~; lug: s~~~S-~'i~, ~U _ _. _.. ~ _ _ .. _. _._ EIWNER INFOEtI"lATIIQN _ _ ~ _ .. _ _ _. ._ ._ . Im~rr~a~r. C~~tx ~U,CtCr Name; TERRY IICGUE 'I"r~ t ~ 1 Fees n ~a.t 73~. X50 c~Clx~~~~r3~ : 1 ~;3~ k©~E E;TREET Anresurxt Pa~.r~: ~~.7~~. °~,~'1 ATLANTIC BEACI~i, F'L,C1~tiGA 32:~~3 E3~t~ ;I°~iej: 11.E ~f8$ Fhanes <9~Ci4)~'49--7,~1Y 41w;~k, >7~a~c:: "~ NEW ~lJPLE3t C-iV~C.L.:TtdO WATEE; ACCQUtiT # 120431 _M_____ C~7NTRAC'C£IR~S? .. ~._.__._._ _, APF~LICP~'E':Ct?N FEES ~_.___ u. ~. Imo. I/Rl~x~r' ~15~. ~~ ATEf~ Tt~FAC7" ~~~: ~~s~~. c~ ~ I'~~.,~,Ir~ ~>~,,~~.~z ~ r~I~ACr FE>~ ~ ~.~~~. o~ ,~ i~ c r f 9 i l l i ATER IfE'1'ER #8~. i3 ' ~ ' C~ g +. l t l ~~1 I ci ~ , s Ai?C5NCiA~-H. R. 5. X19. f3 ATER 7'AP ~A.Ot`;f EWER 'CAt~ ~fJ._pU `{DE?AULI+C ~HAFtE ~0. Ut3 E:-IH~F'~:CT 1:EE ~E-. qty T~~~I~ ~o. ao _ ~O«.ar- NOTES: 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 TH E MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ,~ '`~~, ATL9j~1.~ 6 H BUILDING D ARTMENT l '~ '~ r 1 ~; I ~. .; ; _ ,;~ ~ ~ { , , ~'~ ~ . , ~: ~.~' ~. 0~~1.45 ~ "h,~ ."' •'i t' .~, sr DEPARTMENT OF ¢UILQtNG CITY OF AITL'ANTIC BEAf/H ~ws _..~ ._ _ pEP?MT,NF'ORPiA'T'I'CiN .-~ - - _ - C.CICATIt?H INFt7R>'lATTClH P~x-~mi~; ~Iumb~r s 1~4~ Aclcix~8t~:~ x,294 ~tt]~E :STREET _ _ ~ ~- Permit Tg+p~s BUSI,..I~I)kit3 ~ ATL.AHTit; BEACH, F'LURZpA X223 Cla~~ srf -~f11+r~yrbK t E+tlw;W _ _ _ _ _ _ ~. ,_ _ .~ i.EGAL DEaCRSPTZON - Cctinekr„ Ty~~ar s WClbt~ FLAME Lut s 182 8l.~ck s S~ctir~r7 : _. ~ _ _ Prc~pc3et~ri U~r~ s bUPLEK Plat Beac~k : Paq~ : O 13welll.tt~~3 O Ccyr3~a C1 ~ubdivi~S.dns SE(:TI[7N H listimat~d Ve l u~ s !~"~i3'.3B7, :~U _ ._ _ ,_ _ _ ._ _. - CIWMEI~ INFC3f3ilATIClN T ~apxcr~r. C~~ t s ~O. t30 biac~~ s `TERRY !lCCUE _ _ _ _ _ _ . Tc~~ a 1 F~ ~~ : ~ 1 ~ ~~,. ~q A~1drQ~~ : 129p IiUE;E ST'REI~;T A+~~~ant f a1.ds ~,i7Gb, ~G ATLAHTI(; B~:~CH. I•'L.012IDA :223 t ...____.:_ Ct?1~TRACTQR~(:ra`) .-__._~._ ...~ -M-+- APPLTCATIt~H i<EES -- U. E. ~i.. ~'i~FtP41T ~iF3~. ~~ ~ ~'~.~~ f!~ ~. WA,~TdEIC~yt *IM~'AyC~'T` FEE ~400.~C?t~ ~ ! 1 / I ~'y/y .a ~~s~f~is ~I4P`11~~T, f?'E~ ~10,~ !~r'~`M t~ X85. c3o ! n~ JI I'tAD+Jt~t GA~-H, k?. S. X14. 89 idADQI+i CAE; - ~~ ~©. 74 WATER TAP ~O. AO ~,~ y ~r~wEx TAP moo. era NYU~tAI~1LiC ::SNARE ~D. DO RE--IPtS>PECT F"EE gyp'. pp ~~.~:; ~ " oTHEF{ ~a~ pro _ ~a.. NOTES: i >. 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 BUILDfNG IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ~~4 VIOLATfON OF APPLICABLE PROVISIONS OF LAW. ATL TIC' BUIL~NG RTMENT ''Bv. N O T I C E T O C O N T R A C T O R S S C H E D U L E O F I N S P E C T I O N S Requests for inspections will be accepted from 8:00 AM until 4:00 PM. All inspections will be made the following day between 8:00 AM and 4:00 PM. SCHEDULE OF INSPECTIONS: -- _.._ 1. Footing 2. Rough Plumbing 3. Slab 4. Framing, Rough Electrical, Mechanical, Top Out Plumbing, Fireplace 5. Final Inspection 6. Certificate of Occupancy Other inspections may be required in certain situations. Building Card MUST be posted or no inspection will be made. Pour no concrete or cover-up any work until building card is SIGHED by the inspector. You will be required to uncover any work that has not been inspected. In case of failed inspection, $10.00 re-inspection fee must be paid prior to calling for re-inspection. BUILDING DEPARTMENT CITY OF ATLANTIC BEACH 249-2395 CITY OF ATLANTIC BEACH ~ APPLICATION FOR BUILDING PERMIT Owner / ( ~ Address ~ e~.~7 ~ ~ ~ zip~Z2~ honed-~ 21 ~ ~ WJ~- 1 Architect~A~~~, ,,,.,~ Address ~~,,,c,~. ~.;¢,.,a~~?ip .~'~~ Phon~~1~~~~ Contractor ~ ~'. ~ ~ ~'",~~- . Address 1i~ 3 i'!g ld/r~ ti~~} .~`<. ?iP ~'~.~3 3 Phone ~q-1 Z f'/ Contractor's Licen e Nutter ~~ ~ ppd?S3 Expiration Date ~/~'4/1-i?' Copy on File ~GJ ~~ Lot ~~ ~-~(~a ~ Block o~ ection ~~ Subdivision ~~r.,.~ l~ ~ Zoning `' Stree~ ~Q ,~' ~ Between and side_ ^, °~'<'~ Type of Construction Valuation $ 7.~ Purpose of Building~~-~-e.--~ u~,G-a,~ Jumber of Units ~- Fireplaces ° ~ Utility Service: Water _ Sewer If the City if providing w ter or sewer service do we need to make taps? ,~6 Dur-ensions : Building (~ ~ K ~ Lot~'~ ~`~ ''#, ( k---- Size Footings /a ,~ Zc~ Sz. Piers Sz. Sills Greatest Span Sills Sz . Ceiling Jois t~~.~-4 r'"" Distance on Centers Greatest Span 3 Z' ~'~..--- Sz. Floor Joists Distance on Centers Greatest Span Sz. Rafters ~~~--~-^~ _ Distance on Centers, Greatest Span Method of Heating .~.t....T ~ Solid-Filled Ground ~~ ~ , ~ Roof. ~~+~~ Flood Zone If located within a FL00D HA7.~ARD corrmlete page 2 -~-- SUBMIT: Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1. When steel is in place and ready to pour footings. 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, plumbing, electrical, fireplace, is completed and ready to cover up. 5. Final inspection. SETBACKS NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB. In case of rejection, reinspectian MfJST be called for after corrections are made. 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 building regulations of Atlantic Beach„ ~~..__ Signature Owner -.~--- Signature Contractor •P'~,1. r Rear Lot Line a m .~~~ ~jJ ~ ~ ~ C~ ron irte a 3 # FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: Alterations to Existing Building Flood Zone Required Flooz Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) a survey must be made after the slab has been oured, certifying that the "lowest floor e evation is equa to or a ove the base flood elevation esta is ed for that zone. No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS Applicant acknowledgement: I permit is contingent upon the that the plans and supporting as required. I agree to comp Ordinance No. 25-7-11 and all the proposed developemnt. Date understand that the issuance of this above information being correct and data have been or shall be provided 1y with all applicable provisions of other laws or ordinances effecting Applicant's Signature Department Use ~~ Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation New Building Building Department Representative ~ __._ ~,' -~ !leafed Square Faatage 1`' ~`-~ @ $ ~ 'per sq ft = $ ~,~~ ~/(~ . (garage/Shed ~>~~,:~-- @ $ per sq ft = $ / j ~ --Q, `_,~ . Carport/Porch ! ~ @ $ per sq ft = ~ $ I .S' ~ d Deck @$ ~ ~ ~persgft=$ Patio ~ ~ ~~,~-~ @ $ ~ ~ z ° per sq. ft ~ $~ j ~ ~ .~- . I _. TOTAL VALUATION: ~~ .$ G 1'ota a uatxon 1st $ Rai~nder Valuation ~ $~ per tl~ousan orb r , . ' ,. portion thereof // Total Building T'ee $ /~ Cv ADDITIONt1L P£I~'LLTS and/or FEES ItEQUTRED i '~ ` ' .. ~' •~ Filing Fee $ ./ ~ .~ ~ '~ fire laces 15.00 $ ~ ~ ~ ~ Pfechaliical i . , p @ Pl~nr~' ~ ~ BUILDING iPEIZMIT ~ ~ ~ $ J?. .. ,Electric/Neco i ~ ' Electric/Tc~ti~~ -, ~~, _ ~ ~ `'T f ~ ~/ '~ ~ ~ ~ ~~~ Septic TaI~1c ' '` t ` < BUILDING PERMIT $ "" Well ,,, ~~"'WA;TER MCi~R CIiARGE $ ~ ~ ~ `' C~ ~- -~ S~.J.IIIIiLttlg FOOL ~ ,~ p ~ SEWER IMI'ACr FLE $ ~ ~ ,~ ~e~ `=~ w; .,~ ~,. .~ ~, , ,? ~~ WATER IMPAC.L , , ~ $ ~ ~ Sign ~~~~, .. . MLSCELT~IEOUS ~ Water Connection • Sewer Colmection f~ ~" Water Meter ,, `~ ~ ~ {~ ~ ~~ Elevation Certificate , GRl1I`dD TOTAL DUE $ ~f ~'a ~',. ~ , s r i ` i ,; ,.,. c_......, i ( l~ r ,~7 '` .i;~l,I'k"t,1kt ~ ~~ t r t'~ pp ti ~ r i r.. .. y ~ _.. ~ t - . - ~ t '. ~ ... ~ ~ 5 .. ! ~ ) . i ( .. _. _~ , ti !. -t~- , . ~, ~ ~} , ,_ .~~'.lt,~r ',,:3~.,a,s ._. ..> :I _ ~ ~ .... _. ~.. . ~ ` x i i ~ ~ I_, .. _ A 1 ~.. i 1 i ~~_ 1 r i_. _. c _ _ 1 .. _ ... ~ ._... n . .,._ l . ~. ~~.~ :~~ e u; ,ti. ~ ._, { ) l.. .._ _a ._. ._... t,. ~ i,. A'. . a G~,. ~.i ,...} ,i_.. l.s l~ :., ._. ~i. ..-.il. _,.. _.1. a .. ,. ~' a ;_ .., - ~ .E.~i., ~. ~~ S ..... ...~ ... ~ .. ~}f .4 .. `.7~ _S, .... ~t..,:_~ ~_ ,.. a, ~., ,a ;'. JJ .a _, ~_, tS(1.a._ ~,..i z ~~ ~T.... r~ rs ~ r C r I, - z r~ ,a,f.,t -. ~~.. t .,di t... ..~ ,i 1 Si t ... ,., _._ ,..~_;.~.._,~,1. _~a.v is+a. ,i 1 a .1 h.~ ... ..,~ a ,.,` j i ~! _._...._._ ..__~ .___._.__._. --- ~~- r s~ r t__„ ~ _._ _ , ~.~~11 r (... ,.~ i ~` ~~ /~ ~ ^~~ F . t V FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 900-B-$6 SECTION 9 -RESIDENTIAL POINT SYSTEM METHOD CLIMATE 20 REVISED: 1/87 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 3 PROJECT NAME BUILDER: E,' AND ADDRESS PERMITTING ` CLIMATE ~ : OFFICE; ~ ~ ^ 2 3 ZONE: OWNER: PERMIT JURISDICTION NO.: NO.: NEW CONSTRUCTION IF MULTIFAMILY, NUMBER OF CONDITIONED 1 ~ FQ. GLASS AR EA AND TYPE UNITS COVERED BY FLOOR AREA © ~ CLEAR TINT FILM SOLAR SCREEN ADDITION ^ THIS SUBMITTAL: EAVE OVERHANG SI l - SD , , SINGLE- SD MULTIFAMILY ATTACHED ^ CHECK IF THIS SUBMITTAL LENGTH ~ ~ FT P N E ~ . FT PANE ~ . FT. SINGLE-FAMILY. DETACHED REPRESENTS A WO T CONDITION: ASE LONGTH~ERHANG ~ ,~ FT. D PANEE ~ FOT D PANEE ~ FOT NET WALL AREA ANO INSULATION MASONRY R = FRAME R = STEEL STUD R = LOG R = FOT. ~ . ^ j ` F0. ~ j \ L.~ ~ ~ FTO m ~ F~ m [ i i CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R = SGL ASSEMBLY R = SLAB PERIMETER R = RAISED: WD ^ CON ^ R = FTO.~ ~ Fa ^ ~ ` ` ~ FT ~ ^ ~ F~ ~ ^ DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS IN UNCONDITIONED CENTRAL ^ ELECTRIC STRIP HEAT ^ CEILING FANS ELECTRIC ^ SOLAR . SPACE ' R = ^ ROOM PUMP ^ NATURAL GAS ^ CROSS VENTILATION ^ NATURAL GAS ^ HEAT RECOVERY ~ ~ ^ PACKAGE TERMINAL ^ OTHER ^ ROOM UNIT OR ^ WHOLE HOUSE FAN ^ OTHER FUELS ^ DEDICATED HEAT PUMP . IN CONDITIONED AIR CONDITIONER FUELS PACKAGE TERMINAL HEAT PUMP ^ NONE ^ ATTIC RADIANT ^ NONE . a m SPACE R = ^ NONE BARRIER SF/EF = , m ~ SEER/EER = ~ ~ COPIAFUE _ ~ ~ ^ MULTIZONE EF = ~ F , , , . EDROOMS = INFILTRATION . PRACTICE USED //~f ~ ~ "t. 7 ~ ~ . Z X ~ ~ (~ LI- - ` T , ^ #~ #2 ^ #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS. CALCULATED E.P.I. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. In accordance with Section 553.907 F.S., I hereby certify that the plans Review of the plans and specifications d by this calculation indicates and specifications covered by this ce~ulation are in compliance with the compliance with the Florida Energy C e. construction is completed, this Florida Energy Code. building will be inspected for com ' nc c rdance with Section 553.908 F.S. OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: r . ., , t } r i y ..., . , 1 ;, ;.. ~ . . i, r tl is r I.. v?' 1. I... ..._ :.. .. .. ..- a 1 . , r . .. :. -I t '. i.. 1 v', l "i '!'y l... .. i v:::l i. 1..4 } ... ... .) .1 .. 1. 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