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Permit 120 Mayport Road #70~,; ,~,, f ~' 1 l +~ l~;i ~' v,', ~'t`-'~ ~ ,~ ;__~'- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00032186 Date 2/16/06 Property Address 120 MAYPORT RD LOT 70 Tenant nbr, name BLK,LVL, ANCHOR MOB.HOME Application description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning TO BE UPDATED Application valuation 2800 Owner Contractor ------------------------ ------------------------ GEORGE'S MOBILE HOME SET UP 14019 BEACH BLVD. #1009 JAX BEACH FL 32250 (904) 223-0129 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . Permit Fee 45.00 Plan Check Fee 22.50 Issue Date Valuation 2800 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45.00 45.00 .00 .00 Plan Check Total 22.50 22.50 .00 .00 Grand Total 67.50 67.50 .00 .00 .. PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CFTY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CQpES. { .. :~ u. ~.. BUILDING OFFICIAL CITY OF ATLANTIC BEACH =C _ BUILDING PERMIT APPLICATION (Alterations & Additions) • - Date: ~ ~ lob Address: S / `/ G' ti ~ 1` ~ /ti' ~S ~~ ~ ~ ~ f ~. o ~o /~ ~ /~B~' ~' / ~ '~ ~ x~e~3 -~' ~ ~®?tea Owner of Pro e dz ~ Pe ~ 7 ~/ ,~ ~ ~- w w ; ,v Cy -•~ .~"~ ~ .tom '~ T ~ H ~- z :4 sg i ~+ c ~ ~ z$ Pity= ~ Gtz1Q ~g ^~d~~ti~ a•x-C~-s Address: / a'~,~ ~ A ~7` ~ ®_ ~ ®7 ~ ~' ~itrxhW7,-~ Telephone9 --, 2 ~ / ~ tC ~-~ ~ Legal Description: Block Number: Lot Number: ~ ~ ~ Zoning District: Contractor: „ ~ '~- ~' ~ G ~- n'1 ~' ~ ~ ~ State L' se Number: ~ ~ C G !3 ~ ~ j Contractor Agddres~ ~~~JT ~~ ~ ~ +~ ~. y' ~ ~ 1 0 0'~*~ `J /~ ~C'• /~~ ~• 3 ~ ~~ Telephone: _ l ~ I ~ ~ ~ - ~ .,fij ~ ~.~'ax: ~L~ ."'" oS ~ ~ ~~~ Describe proposed use and work to be done: I fit/ .~ j ~ Z, 1,._. /1'J ~ ,~ I L, ~ ~ G~ fvt ~. e° Present use of land or building(s): ~ ~ ~ y ~ ~, ~ ~~ ~ %yt ~. ~_~~ Valuation of proposed construction: (., S o ~ - ~ ~ Dimensions of the added space: ~ feet x ~ ~i' feet Will this project involve: ~' Heating & Air- QI Plumbing r~ Electrical ^ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? ~~ If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, ^~,~° ti:.~ . a~+ita-~a ~;ir' ts''~i~ s~~~• ~~, ,. ^=ser. ~= aan: E ~ ~.;taa z =~.~ OC the removal Of any trees? ^ NO. Applicant certifies that no change in site grade im~aco•vi€~a.~ eta°ec~ or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. (Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. `STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you aze unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if apre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247-5826 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 Revised 8/04 i'~ In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the properly boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, apre-construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. Address and contact information of person to receive all correspondence regarding this application (please print). Name: ~ C Q ~ G ~- ~ ~ ~ ~i Mailing Address: /' ~/ ~i ~ ~ ~ C ><} t` ~ ~ ~ ~ '~ '~ Telephone:' ~ ~,/ - ~D~ ~ t~ .-, ~` ~ ?Fax: ~ 171 -;~ ~ .~ '©i7u ~`E- Mail: ~~~~ ~~ I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. i ne granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: ~~ '~~ '~ AS TO OWNER: Sworn to and subscribed before me this day of , 20~. State of Florida, County of Duval ~--~ , ; ti I Notary's Signa e: `f1l ' ~-, ~~PY Fy ^=a ~~SABRINA D: GREER ;1 : r: Personally known ' `°'' ~ ~`- Iv1Y COMMISSION # DD 341008 Produced identification a ,,.: ^ ,. ;;~,, ~ ` EXPIRES: September 19, 2008 Type of identification produced ; "~~ `~ ~~1' ~~ ~~~d Thm Notary Pudic Underwrders m ..»n ne+~rd.-..an.. wss" ~'~' s,~ra Signature of Contractor: ~~% ' ~ Date: ~ ~ (~ ~ ~ ~ ~° • AS TO CONTRACTOR: Sworn to and subscribed before me this ~, day of ~ , 20~. State of Florida, County of Duval Notary's Signa re. ~ '..;~ MY COMMISSION # DD 341008 Personally known 7 ,. .; ~; EXPIRES: September 19, 2008 / ^-\^ '~' ~ tyd~` Bonded Thru Noary Public Undervrtitens Produced identification ~;,,'y~~~,, Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http:!/www.ci.atlantic-beach.fl.us f3 4 Page 3 Revised 8/04 ... r.r~S:k fi~Ql i y; } ~f ~ ~~. ~_ 7lxasGay. s~Nt1 iS.2R00 7~59~4a PM 7~_ Gi~cr,~8 ~~ ~~ ~ ~j ~ .y r. '' ^ ,~ cs rn.- ~s~~~.r."~~~ J~~ 5 I~~-+' t ,gay ~ i^ ~ / ;- } ,p ~/^~ ~^..J l ~ j~ 0' S j~T C'0 ,~ 1" ~7~ 1 [~ ~.:'.' ~ / / ' ~ 1 1 }~ ,~ ~~ +t ~ ! ~ '~'i r f ~ ~ tom' PP P,~ PN~~ QL~CN ~,1t~`~ ~~ p1N~' ~FE F V ~~~ .a..+zS:k Fhs~ i 3; $ R ~, ~ ,~~ rlxtr'Ce3r, A{trot 73.'laQO i1.~55'id PM YD: GC6r1p ~'K°~ /)4}yt , L ~" ~+ j,,Jt ~ ~ / ,~~. ~~ ~s~~~T .~ ~~~~ .ti~ f 1L fl V / ~+^ i' { j~~~0 "" ~~iT t r~' " i„"~ y~/ ! r,~ ` ~ J~ a IYJ ~^-. ,~ h ~ / ~ ~ F l /~ `~" V_ APPROVED G1rY OF A~fLAN11C BEACH BtJlLDlNG OFFICE ,, FEB l3 2aa6 ~y: ..~. .-; ` CITY OF ATLANTIC BEACH ~` ! 800 SENIINOLE ROAD ~ ATLANTIC BEACH, FL 32233 e f, INSPECTION PHONE LINE 247-5826 -~ Application Number 06-00032501 Date 3/15/06 Property Address 120 MAYPORT RD LOT 70 Tenant nbr, name INSTALL 9 FIXTURES Application description PLUMBING ONLY Property Zoning . TO BE UPDATED Application valuation 0 Owner Contractor ST JOHN'S PLUMBING 2260 MARLEE RD S. JACKSONVILLE FL 32259 (904) 2$7-2041 Permit PLUMBING PERMIT Additional desc . Permit Fee 98.00 Plan Check Fee . .00 Issue Date Valuation 0 Fee summary Permit Fee Total Plan Check Total Grand Total Charged Paid 98.00 98.00 .00 .00 98.00 98.00 Credited Due ---------- ---------- .00 .00 .00 .00 .00 .00 PERMIT I5 APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLOR<pA BUILDING CODES. BUILlliN~ OFFICIAi. "r`~''"1~: ~ CITY OF ATLANTIC BEACH ~, ~~~ ~f~ PLUMBING PERMIT APPLICATION ~~~ ~~ ~``~~ U;ii~f' Date: ~ ~ ~, C ~ ~' ~ ~~~~~~~~~~' ~ ~ ~'~~~ ~ ~ Property Address: Owner: S > ~'~~ ~~C ~~~d-'1 ~ ~ ~) ~ t ~ L'~ f'A~")C Telephone #: Contractor l~ ~ ~ -5 Telephone #: Contractor Address: 1 ~- `~~ l~` ~~'~ ~~~ ~ `~ N ~ Fax #: J~` ' 1~ ~~ `''- ~r ` Contractor Signature: 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 ordinance and standards of good practice listed therein. Installation of plumbing and factures must be in accordance with the most recent edition of the Southern Standazd Plumbing Code. Plumbing Type• • If other construction is being done on this building or site, ~ New list the building permit number: Re-Pipe Number of Fixtures: ~ Bath Tubs Showers ~~ Closets Shower Pans Dishwashers j Sinks Disposals Urinals Floor Drains Washing Machine f~ Lavatory Water Sewer ' Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 800 Seminole Road • Atlantic Beach, Florida 32233-,5445 Phone: (904j 247-5800 • Fax: (904j 247-5845 • http://www.ci.atlantic-beach.fl,us Revised 1/04