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Permits 401,403,407 Atlantic Blvd tlw C �C) a M T.' V + � O N z $4 , tS t: tl o € 44 a� a cd o V • y u y H J i L O L V b OU C O q SFS w c O z v � 41 a � € w Us a 41 a �nFP tl <C v Y V V ao �O U It ffi n ° V v -� tl M � \ � 7 ) 00 CY) § u } � . , . � \. U / \ co r4 2 ~ 2 ) 2 4 � ^ ) ` r>4 t6 / � •; � � U § : . \ - / � \ CD . . ) � / 5 / cc - � FIR a # ° E : � % § ) ■ .� } \ I DEPARTMENT OF BUILDING a®5 p CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. J Q PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 8/28/87 19 Valuation$ 500.00 $ 7.50 ' This permit not valid until above fee has been paid to City Treasurer,and is 7,5n t subject to revoation for violation of applicable provisions of law. 7f 50CK 4 This is to certify that BEACH NEON & SIGN 553b in 0/211/8 5 onOCA F43 U 1-: cl t has permission to build FLAT SIGN pQtl Classification COMMERCIAL Zone CG Owned by ON THE BOULEVARD Lot Block S/D House No. 403 ATLANTIC BOU VARD ` According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 ♦ 4 --i O Building material,rubbish and debris i - from this work must not be placed in public space, and must be cleared up and hauled away by either con- tr for" r owner.. i `B-u' it Official. FOR OFFICE PERMIT DATE i USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER f X : a1�ln i DEPARTMENT OF BUILDING 7691 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 38 Qf' CKT T EZ s 00 Date May 8 1986 3976 1 A 5/08/8 7691 sOOCAC Valuation$ Fee$ 38,00 3976 1 5/00/8 This permit not valid until above fee has been paid to City Treasurer,and is 1 100 subject to revocation for violation of applicable provisions of law. This is to certify that Steeg Plumbing RF0036453 has permission to install plumbing Classification Commercial Zone Owned by Joe Lambert Lot Block S/D House No. 401. 403 407 Atlantic Blvd. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS �__♦ AFTER DATE OF ISSUE --� O Building material, rubbish and debris I from this work must not be placed in public space, and must be cleared up and hauled away by either con- tra or or owner. Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER n DEPARTMENT OF BUILDING *T S CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. ( (� ;� PERMIT TO BUILD .MICA THIS PERMIT MUST BE POSTED ON JOB A 5/p9/ Date_ May 29 19 86 1000 Valuation$ Fee$ —0— Part of remodel I This permit not valid until above fee has been paid to City Treasurer,and is from permit 7583 subject to revocation for violation of applicable provisions of law. This is to certify that JOseph C. Lambert has permission to)PM remotel Office buil ' din as r . lens Classification_ Cm merCial Zone CG Owned by Joseph C. Lambert Lot Block�_S/D House No. 40E Atlantic Blvd. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPE BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ---� 4 O Building material, rubbish and debris I from this work must not be placed in public space, and must be cleared * up and hauled away by either con- + tract r or/owner._ Building Official---------------- . �OOFFFICEPERMIT NUMBERDATECONTRACTOR PLUMELECT SEWER WATER DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH.FLORIDA PE� NO. 7A74/79/ , PERMIT TO BUILD 100-1) THIS PERMIT MUST BE POSTED ON JOB IDate May 29 19 86 Valuation$ Fee$ Part of Remodel This permit not valid until above fee has been paid to City Treasurer,and is f0OM perftt 75$3 subject to revocation for violation of applicable provisions of law. This is to certify that Joseph C. Lambert has permission to ffA remodel Office building as r Inns Classification Commercial Zone CG Owned by Jose h C. Lambert Lot Block________S/D House No. 407 Atlantic Blvd. According to approved plans which are part of this permit = NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE z Building material, rubbish and debris —1 from this work must not be placed in public space, and must be cleared = up and hauled away by either con- trac or or owner. Building Official. FOR OFFICE PERMIT I USE ONLY NUMBER DATE I CONTRACTOR (I PLUMBING 4 ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING clTv of ATLANTIC BEACH,FLORIDA ___7583 I PERMIT TO BUILD PERMIT NO. THIS PERMIT MUST BE POSTED ON JOB Date MEIrch 17 1986 9 •2 T Valuations 20 000,00 Fee$ 92.25907 +25CKT 1 3/18/ This permit not valid until above fee has been paid to City Treasurer,and is r 7583 900CA ' subject to revocation for violation of applicable provisions of law. A 3/18/8 i This is to certify that L02 C, Lwb r 13CIQ has permission t 10 I IClassification CcamerCial I Zone Owned by .TOB rC, IMbert Lot I House No. Block____�_S� According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS �— -� AFTER DATE OF ISSUE z Building material, rubbish and debris —1 from this work must not be placed in public space, and must be cleared = up and hauled away by either con. tract r or owner, BldiOffi FOR OFFICE PERMIT uing cial. USE ONLY NUMBER DATE CONTRACTOR PLUMBING I iELECTRICAL SEWER WATER JOB ADDRES4 40 3 I arrh C- � )�' TYPE WORK CHK(s Hto•� PROPERTY OWNER naF-PHONE coNTRACT'oRl e a d � 5 C3 TEI FP14'ONE PERMrrNUMER 2-Li Li 2-e DATE rl INSPECTIONS.- FOOTING SLAB c�( ai M BEAM LEVM AAff"G1SEUUTlMVG FRAMING1COVER UP b' - t LVSULATION FINAL BULLDING 101 Z- 71— CFJ=CATE OF OCCUPANCY ELECTRICAL PERMITS �� O 1ZVSPECTIONS ROUGH �- `_ 1KECErAMC4L PERMIT# a`"t om INSPECTIONS ROUGH e� ee fL- MrA.L PLUMBING PERMIT# 2-�3 EaPECITONS ROUG< AMDER SLAB _ TOPOUT z- WA FINAL - i o --t d 2 7i NOTES:• JOB ADDRESS e 7103 �° TYPE wowel6v:::i r ' PROPERTY O� nm 9WONE.2'1G-(o 9 9 CONMCTOR ML MONEa? PM M TNUM2 fR o:2,/ / 3 DATE 20355 INSPECTIONS: FOOTING SLAB TIEBEAM LINTEL A-2-2-01 1- 26-01 NAILING/SSE4TIIIIVG FRAAMVG/COYM UP INSULATION FINAL BUILDBVG CER7MC4TE OF OCCUPANCY ELECTRICAL PEJUR # INSPECTIONS ROUGH FINAL AMCEU IC4L PERS INSPECTIONS ROUGH FINAL PLUAIWNGPF.RAff" INSPECTIONS ROUGEMMER SLAB TOPOUT WATER FINAL NOTES• M�pRpF1�MF�` ADDRESS BUILDING PERMIT NUMBER INSPECTIONS : FOOTING UNDER SLAB PLUMBING SLAB FRAMING COVER-UP INSULATION FINAL BUILDING CERTIFICATE OF OCCUPANCY i 1.33 ELECTRICAL PERMIT # /D-3 90 INSPECTIONS ROUGH FINAL MECHANICAL PERMIT # PLUMBING PERMIT NOTES : 71D&/9d /Ciz- ?�,,,o y' 4LS0 /lz r PLUMBING WORKSHEET SINKS SHOWERS DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS _ WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM, BATHROOM GROUP CONSISTING OF _ LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN ( UNIT) URINAL, [BALL LIP FLOOR DRAIN (1 UNIT) (4 UNITS) URINAL, PEDESTAL, SYPHON 3 WASHING MACHINE RES. (3 UNITS) JET BLO14OUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (4UNITS) ($ UNITS) SHOWER STALL, DOMESTIC BATHTUB (t.'/OR W/0 OVERHEAD �- (2 UNITS) SHOWER) (2UNITS) BIDGET (3 UNITS) LAUNDRY TRAY(2 UNITS) DISH1,-ASHER (.2 UNITS) KITCHEN SINK (2 UNITS) _ KITCHEN SINKA.'ASTE GRINDER (3 UNITS) 6 x TOTAL FIXTURE UNITS @ $10.,00 EACH • �ti IQ PL' �G X t5 - SINKSy� CLOSETS Gp _ kASHING MACHINE LAVATORY — C c TOTA? _ 5d w FIXTURE UNITS ARE ESTA13LISHEJ UNIT INSTALLED AND CONNECTED TO 7nL _ +TER FIXTURE FIXED AT $10.00 PER FIXTURE UNIT CONNECTED �., _ ARGE IS HEREBY BATHROOM GROUP CONSISTING OF LAVATORY (1 Urv�T) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN ( UNITS URINAL, WALL LIP I FLOOR DRAIN (1 UNIT) (4 UNITS) URINAL, PEDESTAL, SYPHON WASHING MACHINE RES. JET BLOWOUT (8 UNITS) (3 UNITS) WATER CLOSETS, TANK—OPERATED WATER CLOSETS, VALVE OPERATED (4UNITS) (8 UNITS) BATHTUB (W/OR W/O OVERHEAD __,___ SHOWER STALL, DOMESTIC SHOWER) (2UNITS) (2 UNITS) BIDGET (3 UNITS) LAU'NDRY TRAY (2 UNITS) D1SHldASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/l•;ASTE GRINDER (3 UNITS) j )( TOTAL FIXTURE UNITS @ $10.00 EACH Sd , (')C� a . PLUMBING WORKSHEET SINKS SHOWERS DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS _ WASHING 2ACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF 3 LAVATORY (1 UNIT) III 14ATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN ( UNIT) URINAL, WALL LIP FLOOR DRAIN (1 UNIT) (4 UNITS) URINAL, PEDESTAL, SYPHON WASHING MACHINE RES. JET BLOWOUT (8 UNITS) (3 UNITS) 14ATER CLOSETS, TANK—OPERATED lIi WATER CLOSETS, VALVE OPERATED (4UNITS) (8 UNITS) BATHTUB (W/OR W/O OVERHEAD SHOWER STALL, DOMESTIC SHOWER) (2UNITS) (2 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY (2 UNITS) DISHI•.ASHER (.2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/IdASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10.,00 EACH CITY OF ATLANTIC BEACH No. 2072 FLORIDA May 29 1986 NAME Joseph C. Laabert ADDRESS 403 Atlantic Blvd. CITY Atlantic Beach, FL 32233 water impact fee 40-343-3700 X10.00 1l sewer impact fee 41-343-5200 50 50 r CKTI 23 72 �b8. a o i iia�ro '$i >;OCtttl When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TReAsuReR t . 7 ty � .,x r e Y �• .t-a:�irl� ♦ � I� .t 1 l rl� ('f4 fr r h � C 1, J n.�i'. 'Alt, � -.. ..L e . e i l +, -'IC. '•� _ .t•Y� t:..li�`t' v. .. .at.., _...... ... ,. .,.. CITY OF— I. ATLANTIC BEACH No. 2013 FLORIDA May 29 1986 NAME Joseph C. Lambert ADDRESS 401 Atlantic Blvd. CITY Atlantic Beach, FL 32233 water impact fee 40-343-3700 60.00 Sewer impact fee 41-343-5200 2 620.00 11111M.00 .00 2590ona TI '35�10.OITCKT( �I; 1 A: ISM& M3 .00CACf 50 ! 1A 549/t 1000' When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY, OF ATLANTIC BEACH, FLORIDA TREASURER d 5 t _ 4j t z, � � � t . � ., • F T,r Rr y � F tT Mr Jr��,i � � �'� ;� 1 •,>' �� i.,4�� y tis �� )JZ 1' �.. �S 1• i x r , r�l P i•e r - { �� : r CITY OF ATLANTIC BEACH, FLORIDA Aaarowd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 Cv IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES: AoeQQA:5 ELECTRICAL FIRM: MASTER ELECTRICIAN NAME (y`� �'�— ADDRESS: RFD SOX BLDG.SIZE BETWEEN: RES.( 1 APT.( ) COMM/(, PUBLIC( 1 INDUS.( ) NEW( ) OLD( 1 REW.{ ) +/ ADDITION ( I TRAILER ( ) TEMP.( ) SIGNS ) SQ.FT. SERVICE: NEW( ! INCREASE ( 1 REPAIR ( ,) FEE CONDUCTOR SIZE C AMPS G"TSO COPPER'X ALUM. SWITCH OR BREAKER AMPS P W P'YOLT /f/ RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS I NO. , GS13 NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O`AMIPS. 91'-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED OA00 AMPS. OVZR APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT Vi MOTORS H.P. V LT _ O AGE 'PH WO: MISCELLANEOUS TRANSFARMFRS- IINI]FR Finn V AVER R[1A V_ CITY OF ATLANTIC BEACH, FLORIDA grZ Approwdby APPLICATION FOR ELECTRICAL PERMIT 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 ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME ADDRESS: �-RFD-BOX� BLDG.SIZE BETWEEN: RES.( 1 APT. ( ► COMM PUBLIC( 1 INDUS.1 I NEW( 1 OLD ( 1 REW.( ► ADDITION( ) TRAILER ( 1 TEMP.( ► SIGNS ( ► SQ. FT. "'>SERVICE: NE INCREASE( 1 REPAIR( 1 FEE CONDUCTOR SIZE 3= 50 M AMPS 250 COPPER ALUM. / r SWITCH OR BREAKER - /'� PH W �OVOLT �` RACEWAY440d© EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE .J O I NO. SIZE Q V LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91,100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT OVER MOTORS FF'F-- VOLTAGE` PHS NO. 1`HA VOLTAGE: PHS MISCELLANEOUS TRONCFffRMFRC• 11N1']FR mn V AVFR am V CITY OF ATLANTIC BEACH, FLORIDA App.Ov"by APPLICATION FOR ELECTRICAL PERMIT 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 ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE APART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGN/A�TURE JOUR ESN NAME f=61y?P�� ADDRESS: Afo 3 /Tt61 51 RFD BOX BLDG.SIZE BETWEEN: RES.( 1 APT. ( ) COMM^ PUBLIC( ► INDUS.( 1 NEW( 1 OLD( 1 REW. ( I ADDITION ( I TRAILER( 1 TEMP.( 1 SIGNS ( ) SO. FT. SERVICE: NEW( ! INCREASE ( 1 REPAIR I ) FEE CONDUCTOR SIZE Ce*l AMPS ZSC> COPPER ( X, ALUM. SWITCH OR BREAKER AMPS Z PH W LT 0- RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO.1,56J*M_pr NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED '' 0.100 AMPS. OVER APPLIANCES I I I BELL TRANSF: AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS '' AMPS CELL HEAT: KW-MEAT MOTORS H.P. VOLTAGE~ PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS! UNDER 600 V. OVER 600 V_ CITY OF ATLANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS LA"13e7/c-r- Owner 0vStDk tette"• Address 315` FL..cz,t . 4f/• ReA Phone 2-Y1-sL73 Architect - - Address Phone Contractor Address Phone Contractors License/Certification Numbers Expiration Date Property Address 'V'01 AHA4,.A c 8ou/et-a..-d Zoning Lot # Blcok or Unit # Subdivision Valuation of Construction $20 0 U C) Type of Construction Describe Work to be Performed au..4 Materials to be Used via Ad,4 Present Use of Building re, j — of c-e- Proposed Use of Building Sa- - Flood zone 6 Dimensions of New Area: -- K-a-w HEATED / GARAGE OR STORAGE CARPORT OR PORCH DECK PATIO 'YES NO NLJMBER, Will there be an increase. in number ,of units?ts? o,x ,t 4 3 ekes Will there be a decrease in number of units? Any additional plumbing fixtures? Any new fireplaces? +� SUBMIT TWO CCK7I= SETS OF PLANS INCLUDING SITE PLAN Signature OWNERv , - Date �✓�' j� Signature Date Add.#ess W 0 Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ er sq ft = $ TOTAL VALUATION; $ o�C� C)C)C5 q q. c(�) $ �l`I'r o u Total Valuation 1st $ $ iFff nder Valuation a .aper thousand or portion thereof -------------------------------------------- Total Building Fee $ Col. y ADDITIONAL PERMITS and/or FEES RE UIRED + a Filing Fee $ i Mechanical , Fireplaces @ 15.00 $ Plumhing ; BUILDING'PERMIT FEE $ Electric/New i ------------------------------------------------- Electric/Temp Septic Tank Well SwimT ng Pool Sign E Water Connection Sewer Connection Water Meter Elevation Certificate r ------------------------------------------------ l CALCULATIONS and/or NOTES ' CITY OF 1� ?mOCEAN BOULEVARD p.O.BOX xo ' ATLANTIC BEACH,FLORIDA oouoo TELEPHONE(904)249-2395 June 30, 1986 ` Pre-Service Section Jacksonville Electric Authority 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #4892 - 401 Atlantic Boulevard Permit #4903 - 403 Atlantic Boulevard ' Permits issued to Brooks & Limbaugh Electric Company. Sincerely, � lReieA =— - .� /ity Deve��)ment Director cc:building file CITY OF Vead - 57&u,a(4 716 OCEAN BOULEVARD P.0.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 JULY 29, 1986 Pre-Service Section Jacksonville Electric 233 West Duval Street Jacksonville, Florida ip zo po 3 ;C= .9' 3 !t 0 (D M The following fi kre satisfactory: Permit #4902 - 407 F 00 Permit #4649 - 1035 Permit #4535 - 1045 Q i; C, 0 , Permit #4651 - 1055 Permit #4636 - 1065 0M M q Sincerely, 1 0 El El M (SIN x 0 M vD M C 0 M M - r- 0 0 lRiel Angers 0 M P *17 Community Der10 pD m 0 V m d M cc: building file CA 0 0 M 0 013 C z Z0 C p P z o a 00 tr% (,Aj > 31 Z 0 OR CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION 7 b` GCe ✓� PLUMBING CONTRACTOR LICENSE NUMBERS ,�FQp?GV 3 OWNER BUILDING NTRACTOR TYPE OF BUILDING ) SINKS SHOWERS p( (� LAVATORY y u� WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS _WASHING MACHINE y0� FLOOR DRAINS OTHER _TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. t 11 X 72 CITY:OFATLANTf Parma t Numbe Address: 401 ATLANTIC BLVD �fe y�,, S Zr y��y �iy � # at 4R� �.. F{ 5 ; � 2 �*!"awr...+ wr:�: r.,.� #r4�7lvAiLyt oust Bloc 0 4 it0 U /,95 .' CC `S ; mr n it ON ip ,, , J•r $35 q i1 ar+' i if e�yt 1 > a JAPA 1, FEE $0.00 Aik flirt . �APXT .00 PRO A a§W'�^�NY6tl FreuaK�6PtatRffi&'w.k9 h �+�.� '4. 01 .a fin✓ s '-,iw MCTP at, r t u b^�y! r 4» � s aw 14,1166 twlC17CE1 ""' NC 1 C ?t7GS IIU �"ED 3FE U # pow: StX MON, HS Ate" ATS 4F ISSUE BUILDING MAT..ERIAL;R ISH f M T r t LEARE' UF>ANCA HAU k C�NTRAC � ER 1*i�CT J t i4CED IN, 'USLIC SP i tU T SER €4 3 R ►1/fH CH Af E RART OP AC THIS'REAMI 3I LAW 4i am 97 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC •EACH, FLORIDA SA233 APPLICATION FOR MECHANICAL PERMIT CALL•IN NUMBER PENTIIMPORTANT — Applicant to complete all items in sections I, II, III, and IV. F St►eet Address: 1 0 {L�- � `,L•Intersecting Sfreets: Between ' 1 1 (ARC I V�CATION — To be completed by all applicants, FIn consideration of permit given for doing the wort as described in the above state ht we herebyagree to • with the •ttectVd Plans and specification► which •r• • 9 P said woik 'n accordance 04 gocd Pratt c• listed therein, pert hereof and in •cco nc• with the City of Jac nvill ordinances nd standards Karn• of Mocha ;C41 oto cal C nhaefers C•+/rector /riot �'�L'(-,'#-'-f" �r le► N•ane of heperfy owner +Tull/e of owner M Aafis•riud Agent Architefare of ct of Engineer 111. GENEPAL INFORMATION A. Type of bating W: 9. f, Bocmc IS OTHER CONSTRUCTION •SING DONE ON THIS BUILDING OR SITE? ❑ Gee—C3 LP 13N•tur•I ❑ Centrel Utility ❑ 04 IF YES. GIVE NUM/ER OF CONSTRUCTION C) other —• Specify PERMIT r IV. MECMANICAL EOUI►MENT TO M INSTALLSO NATURE OF WORK (Prow Asst of compeeenh 04"of Me 4MI ❑ Residential or � Commercial YHest ❑ space ❑ Recaee/ PPCSI#W O Flaw IJP New BUllding ` r1ie"i"q° ❑ Room CMtnl lr�l" Existing Building D'ci S►'e1e1" b4414W'6TblckD Riplaoement of ex1611ng system Meak*ssm Capacity �f.tlt. ❑ New Installation(No system prerlously Installed) O Rafrigeret;o. 0 Extension or add-on to existing system ❑ Cooling tower: Capacity ❑ Other— Specity ❑ Are sprinklon: Nureber of bay O Eior•ter Q 16441t O 8>ceiate...�....,(nstasber) O 6uoliae pe-pa (e►ttnber) THIS SPACE PM Opp#" Un OIILY O 13 lt6 oMfei.•r�__ RetMrle (nYrnbN) ❑ Unfrle+pseeeltre lree•M O sen tenni# Apperal by Dais, ❑ Otbe. — sp«ify ttx+nit LIST ALL EQUIPMENT Aa CONDITIONING AND REFRIGERATION EQUIPMENT Number Valta Deeesfat en Yodel Number >Itaa1 uhottarsr7 '77— do F It Psr�• r — 1 18 . DEPARTMENT OF 8U1Cf9ING `CITY OF ATLANTIC BEACH I;'tR I T I NP ORMAT 10#1 � LOCATION: I.I `O lAT I Permit Number: 1618,9Addy 4tl7'. ATLANTIC SfTLRVARI3�__, Prmlt TyPe: SIGN A'PLPIT HAI. L�'LtFtIIA 22 ,"'lass, cif work a NEW Constr. T ype:ROOD FRAME �B l ►swk; of P �''Twp:P t Proposed UseIQOMER+�IAL 8 ►�tleap 3 Subci EaIl a Rn a Subs a i :AT ART IM-SEA H �st . 'Valles: ` C►.iQ ? Improv- `most : .0+) < Tc tali F 35.00 , Amoul�t .,4Dw Work es' 5. �r„wS 13N8 ( 'X ' ) ANP t 2 'X4' ) � w ry� yy �pxr NameNaas 3r CAT I OSI: •I.'"83tA`r`w'7 r... ..,,r+ m.,:. 1 eCt3IPwVAiL� 0, 4 any 'FLORIDA , 322, 3 TrPon { C ORNATI ON tame. SIG #- Addr { AT>,A ITIC CR FLOAtJI)A 32233 < EXP. { T 6ru 5681, . `." eGFs". r NOTES: y 7 NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION j i BUIL1aING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IRI PUBLIC SPACE,AND MUST BE CLEARED.UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER,, a "FAILURE TG COMPLY WITH THE. ME LIEN t,AVN C/#N EXULT I'h+l SHE pR ?I ERTY VVNER PAYING TWICE #bR BUIL. ► IDG IMPt ©V�MENTS " ISSUED ACCORDING TO APPROVE a"PLAN$ WHICH ARE PART OF TH18PERMIT"ANU SUBJECTTO, REVQCA7`IQN FOR YIOI*RT)QN QF APPLICABLE P'RQ'VISIQNS'OF LAW. 14, ATLANT BEACH BUILDIN DEPART NT K13C2i� 1983 , Sy: CITY OF ATLANTIC BEACH APPLICATION FOR SIGN PERMIT NAME: S A A—R eA M a --V /� ¢ ADDRESS: 1531 41(g41� �/�✓� !1'yf'A0'Q#VPPHONE:_ TYPE OF SIGN: o[ SSIZE: r PROPOSED LOCATION: Seotsl_de S-41t)`6 LfV3 f(anTrL f✓�. WILL THE SIGN REQUIRE AN ELECTRICAL PERMIT?_ NCO ELECTRICAL CONTRACTOR: Signs over fifty (50) feet in area, and/or tiny sign which is more than seventeen (17) feet above the ground, or any sign weighing more than one thousand (1 ,000) pounds, must be submitted with drawings from a registered engineer. Signs with a solid area greater than thirty (30) square feet must be erected to withstand a wind pressure of at least thirty-five (35) pounds per square foot. Drawings must also show that weight of sign will be supported by the roof or ground support on which it will be erected. This application must be submitted along with the following: 1. A plot plan of the land, showing the position of the sign in relation to buildings or structures. 2. A blueprint or ink drawing showing the p._ans and specif- ications, and the construction and/or attachment to the building or in the ground. 3. Other information as may be required under Sec. 17-2(b) , Code of Ordinances , Ci y of Atl tic each. APPLICANT SIGNATURE: Date:ffi.rok J9q OWNER SIGNATURE: Date: �7 N pP'e � 6`Jt I ill 1 l � Vis--- . u 9 V ! y II -7-777 7 -7j X11 i FROM NADEEM ZEBOLINI PHONE N0. : 904 273 4254 Feb. 09 2001 02:24PM Pl FIELD OBSERVATION REPORT A'+PpROVED CHRIS HIONIDES BUILDING C" .Of ATIANTIC BEACH 401/407 ATLANTIC BOULEVARD BUILDING OFFICE ATLANTIC BEACH, FLORIDA FEB 2 g 2001 FEBRUARY 9,2001 FOR: MR.TED BIONDI VANTAGE CONTRACTORS 454 OSCEOLA AVENUE JACKSONVILLE BEACH, FLORIDA 32250 BY: NADEEM G.ZEBOUNI, P.E. 200 EXECUTIVE WAY, SUITE 216 PONTE VEDRA BEACH,FLORIDA 32082 FROM : NADEEM ZEBOUNI PHONE NO. 904 273 4254 Feb. 09 2001 02:25PM P2 t NAD EM ZEBOUNI, P.E. Tel: (904)285-9890 Fax:(904)273-4254 FIELD OBSERVATION REPORT PERMIT#21131 REPORT NO: 01 INSPECTION DATE: 2!08101 (9:00 AM) PROJECT: Chris Hio 'jffi&Wftj REPORT DATE: 2109101 ( 1:00 PAA) C 8eeach.Fbrlda CONTRACTOR: Vantage Contractors WEATHER: Sunny 8 Clear CLIENT: Ted Blond YOUR REFERENCE: Don Ford OBSERVED BY: Nadeem 0.Zesbarrd, P.E. OUR REFERENCE: 0104 REASON FOR OBSERVATION. Request by Building Official to inspect soufhem support of steel beam on concrete pier. PERSONS INVOLVED: Ted Biondi(arrived shorty alter the site inspection).Jerry McCoy,and Nadeem Zebouni. ITEMS EXCHANGED: CmVk pe sample of qmy used to set 2-'A-round bolts into concrete pier to support dip angles that were welded to the new steel•beam's web at Its southern end. OiBSERVATIONS AND DISCUSSIONS: Photographs were taken during the alta inspec*m and copies of these photographs am a3ldeched under ahlbit"A'. The connection under oonsideration was examined. A standard a"round steel pipe column was added and fully welded to the bothorn flange of the beam at its southram end(see Photograph S1 )and its base bearing on a steel piste bolted on an a xiOng 2'-C'wide thpckened slab(sae Photograph 02). In addition,an L3x3x%dip angle was secured to the existing concrete pier with a"R round bolt epoxied into the pier. The angles were fuly welded on both sides of the beam's web(see photograph 01 ). The beams were not antic uisted as at~on the permitted drawings. Instead.hotted and wedded connections were used over the supports. The new steel beams were set at the sane elevation as the existing elseg beam and not on 2-2x8 wood plates as shown in section"4/S3",so flat bars were Piaoed at 4'4"on centers for upm as was intended for the existing steel beams. Flat bars were root placed on the axisting beans,as called for in section'41S 3". The southem end of the existing beams are embedded into the!new concrete masonry unit"CMtY wail and are directly supported on two grout filled CMU cells with#S vertical(sate Photograph 93). 200 EXECUTIVE WAY, SUITE 216 # PONTE VEDRA BEACH, FLOA10A 32082 9 E-MAIL.KebouN*aol.com FROM NADEEM ZEBOUNI PHONE NO. : 904 273 4254 Feb. 09 2001 02:25PM P3 r GOMGI IONS AND R1QQW NQS: Saeed on my past experience, field abwvagms,and the contents of this report,it is my cpinim that the exuding cone lon supporting the now steak beam at its souttvem and is adequate to support the superimposed deso loads. It is recommended OW W bar tie downs be added on the exksting steed beam,as called for in sediM MNS-11". If you have questions or if I can be of any further eraaista w.please let me know. N 0 Ze NCZAj* Att>achmerds cc: Don Ford, Buik&g Official,via facsimile FRbM NADEEM 2EBOUNI PHONE NO. : 904 273 4254 Feb. 09 2001 02:26PM P4 R EXHIBIT "A" FOOM NADEEM :, . PHONE NO. 90 4254 Feb. i. 2001 . .. . mCSy . : FROM NADEEM ZEBOUN I PHONE NO. 904 273 4254 Feb. 09 2001 02:27PM P6 #3 SEP-26-2002 THU 04:01 PM FAX N0, P. 01 D321 .255-3920 800-488-3920 onstructi , Inc. *(Dmmeraal abntradors$ o September 26, 2002 Mr. Don Ford City of Atlantic Beach ► 800 Seminole Road Atlantic Beach, FL 32233 ")� r 6 �"a Re: RadioShack Store 001-8874 City of Atlantic Beach *403,Atlantic Boulevard Building and Zoning Dear Mr, Ford: I wanted to send you this letter as a clarification to a conversation 1 had with Pat,from your office. As you should be aware, Mead Construction's permit for the RadioShack store mentioned above does not include any work outside the interior of the building nor have we been contracted to do so. Several days ago it appeared that we were going to be released to complete the exterior work that the landlord has failed to do but I was informed this morning by RadioShack, our client,that I was not to proceed. As I understand it,RadioShack is in negotiation with the landlord to complete same. Therefore, I am not able to guarantee you, as you requested, any completion time for this work out of our control. Anything that we can do to assist you or if you have any further questions, please feel free to contact us at our office in Melbourne or the RadioShack Project Manager in Texas, Barry Page at 817-415-3544. Respectfully, n Wak off, Byron D. Mead � Post-110 Fax Note 7671 Datsq- ..pz pa9es ► President To From Co./Dept lJC a °o bYl rg Phone w O -R.( _SJWD Phone it W;-,, aL r S"tap� Fax 11 � 'S��l r 1381 West Eau Gallie Boulevard,Suite 100,Melbourne,FL 32936-5390 Fax.321-255-3921 Book 10629 Page 229 " R5 MIN. RETURN PHONE #a�.`�, �1'1�1..� :P00N6583 Pi�eer 229 NOTICE OF COMMENCEMENTiIad 3 Recorded JIM FILL�� 1037:31 AN CM CIRCUIT COURT TO WHOM IT MAY CONCERN: WA COUNTY TRUST FUND S 1.80 RECORDING S 5.00 The undersigned hereby informs all concemed that improvements will be made to certain real property, and in accordance with Sectian 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF CONINIENCEINIENT. Oescription of Property General Description of Improvements Owner Address Owner's interest in site of improvements: Fee Simple Title Halder(if other than owner) Name Address ontractor G ddress urety (if any) Address .--- Amount of Hand $ Name of person within the State of Florida designated by owner upon whom-notices or other documents may be served: Name r __ Address 1—Z G 4aL .-JI1f-VC:, P-04 tf1-- �22� In addition to himself, owner designates the following person to receive a copy of the Leinor's Nadca as provided in Section 713.13(t)(F), Florida Statutes. (Fill it at Owner's option). Name Address: wner Swam to and subscribed before me this day of 11--led , Nil CarlyA Brown Notary Publi N-1 COMMISSION#F X094917 EXPHZES i January 21,2005 " ;R�N1y,•`` BONDED THRU TROY FAIN INSURANCE,I4C. CITY OF ATLANTIC BEACH a APPLICATION FOR FENCE PERMIT Owners j ArKAU '; lW--,. ___Phone 2�1. lam( Address T Lots fr✓g Block and/or Unit# — Subdivision ' Contractor if Different From Owner ^/ I W, - Valuation of Fence $ 160000 Corner or Interior Lot Type of Construction 1V&et�;' -jr_43b ,f 4x4 S . Attach Survey Showing location and height of fence as well as location of street(s). z Owners Signature X Contractors Signature CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24528 Address: 403 ATLANTIC BOULEVARD Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: RETAIL STORE Lot(s): Block: Section: Square Feet: Subdivision: SALTAIR Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 7/24/2002 Name: RADIOSHACK CORPORATION Total Fees: 46.50 Address: 300 W. T'HIRD.ST., SUITE 800 Amount Paid: 46.50 FT. WORTH, TEXAS 76102 Date Paid: 7/24/2002 P....hone: (817)413-3544 Work Desc: INSTALL 9 FIXTURES CONTRACTOR(S) t''" . ° ICATION FEES FLOOD PLUMBING, INC: _ 46.50 fax �'•��, r-ra •-,��i't�a ,• r �" �s .� a a �7f+,.r«�., c ?v� ra,�A•.t� '9vr',�r"tx Y�� ,�9.'�� as .0-H�j�� ::i'it'.n.�rv+..ak �' ..,'.h F � .:b S .p'.'aT ?"`'! b.A^r`l"`^•�._'I , r t. . M � ��y� 't�#�> � �'� lr�'��y�a, �`�z'f, � A }•t, s, Y K =gyp' �' 1• ,� �"��' �5"� a � �S"fiY.zaT � •xn�YtS� '� ?r '� � tt"�"2 2 `- � ' }'i a' NOTICE `"�so�lts �� .,F,�wt' #T��F i�x�S!�'�,'tM``°{'-` 'N4rr.+nt r e a��r,„.Y`i�t'�S artt��A�<�M`i'"'�.fi,9�...i x��*�xxY#�fib„�•t CTION g, t01.1 r' BUILDING MATERIA .M �& INPUBLIC SPACE, AND MUST BE, R ,. OWNER "FAILURE TO COMPLY TIN THE PROPERTY OWNER PAYIN ' r IP ISSUED ACCORDING TO APPROVEDPLAMIT AND SUBJECT TO REVOCATION t: FOR VIOLATION OF APPLICABLE PROVISIONS C7�F''CG1h , Oper: DBNITI Type: DC Drawer: 1 Dote: 7/25/M2 01 Receipt no: 76353 14 . PIUMITS-BALDING 1 $*.58 MMIM8iOMM8M ATLANTIC BEACH BUILDING DEPT. 413 1TLtNTIc BLVD CL CEW 7246 546.58 fftma dotc 7/25/82 Time: 11:33:83 FROM Flood FAX NO. : 695 1017 Jul. 24 2002 04:26PM P1 rl II(,1 � 5" Li i (9/up I " A t CITY OF ATLANTIC BEACH ApPLICATZON FOR JPLEMMI NG FVMT JOB LOCATION:_ ±b2 OWNER OF PROPERTY �' TELEPHONE N0._ r ~ PLUMBING CONTRACTOR OD CONTRACTOR'S ADDRESS: 1 STATE LICENSE NUMBER: J J d � TELEPHONE: I d to SOFT m= OF TEE 770LLmitG FITC mMS INSTALIZO SINKS _ SHOWERS LAVATORY I WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER 9 L OTHER l�i;moi REPIFE J TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: __— - I/ SIGNATURE OF CONTRACTO INSTALLATION OF�PLUMBING+AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A•VA-Y AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5926 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION his foreman, Mike Hensley, in tomorrow morning to get a copy of the plan. He asked about the CO, and wanted to know if they could post a bond for the landscaping and parking lot so that Radio Shack could get in and start stocking while they were doing that work. I told him that would be at your discretion, so he will be calling you. (I don't have any problem with it if you don't.) Sonya B.Doerr,AICP City of Atlantic Beach, Florida Community Development Director 904 247-5817 3 �.� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD AT BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024937 Date 10/02/02 Property Address . . . . . . 403 ATLANTIC BLVD Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- RADIO SHACK AMERICAN WELL & IRRIGATION INC 403 ATLANTIC BOULEVARAD 2157 THE WOODS DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 ----------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . SPRINKLER SYSTEM Permit Fee 50 .00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 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 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. RI III TIR I. OFFICIA1, "' CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: Q '�' OWNER OF PROPERTY: Q�L( O SnaGK, TEL. PLUMBING CONTRACTOR: CONTRACTORS ADDRESS:_ 'iq Q, STATE LICENSE NUMBER: _ Lp TEL. 2 �- HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) I OTHER TOTAL FIXTURES: X$3.50+$15.00= MINIMUM PERMIT FEE: $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS -(904)247-5826. CITY OF ATLANTIC BEACH 1 i 800 SEMINOLE ROAD ATLANTI'IC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024900 Date 9/26/02 Property Address . . . . . . 403 ATLANTIC BLVD Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6840 Owner Contractor ------------------------ ------------------------ HIONEDES, CHRIS ABLE ROOFING 12661 CAMDEN ROAD JACKSONVILLE FL 32218 (904) 475-1830 ----------------- ----------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 .50 Issue Date . . . . Valuation . . . . 6840 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 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NO I-BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. � r x Btt,WIN OFFICIAL Book 106822 F�ag� 134 pN4e NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Stale of Florida Tax Folio No. County of-�uval To whom.it may concern: The undersigned hereby Informs you that Improvements will be made to certain real props accordance with Section 713 of the FloridaStatutes, the following Information is stated In this NOTICE OF • COMMENCEMENT. � rh'� and In Legal description of property being improved: Saltair Sec 3 Lots 855-858 Address of property being improved: 403 Atlantic. Blvd. General description of Improvements: Re lacemenf- of roof Owner 403 AtlanticBlvd; , 'Inc. Address P. 0. Box .330448, Atlantic Beach,. FL 32233' Owner's interest,in site of the improvement Fee Simple Fee Simple Titleholder (if other than owner) .. Name Address Contractor Able Roofing Co. Address 12661 .-Camden Road, Jacksonville, FL Phone No. 904/591-2917 Fax No. Surety(if any) Address Phone No. Amount of bond $ Fax No. Name and address of any person making a loan for the construction of the Imprpvemenls. Name Address Phone No. . .. Fax No. Name of person within the Stale of Florida, other than himself, designated by owner upon.whom notices documents may be served. tis or other QName Petra Mana gement. Inc. Address P. 0. Box- 3304.48, Atlantic Beach, FL 3.2233 Phone No. 904/241-1151 Fax No. 9041.24.1-0678 In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as Section 713.06 (2) (b), Florida Statutes, (Fill In at Owner's option). provided in. Name Address Phone No. Fax No. Expiration date of Notice of Commencement (the bxpiration date is one (1j year from the dale of recording different date is specified): g unless a r SEP � t1 SE, 2 5 90,02 • City of Atlantic Beach Building and Zoning City of Atlantic Beach• 800 Seminole Road•Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800•FAX(904)247-5805 •http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR ROOFING JOB LOCATION 210-7 r`✓7..fi�c ,�1 U� OWNER OF PROPERTY � ip,/,p4 s aef ( PHONE# oc Yl CONTRACTOR /2abi CONTRACTOR ADDRESS /,?6([ 12d �LLt.r ZIP Ja /O CONTRACTORS LICENSE NO. CCC 0ry'/6 D PHONE# ( 4/—s-91- 917 SCOPE OF WORK. e oc� DECK SLOPE GREATER THAN 2 : 12 LESS THAN 2 : 12 ACTUAL VALUATION OF WORK $ '��E—,y0 PRODUCT NAME&MATERIAL F(1 Lr to �S TO BE USED_ 3 ply Glass ,. X11 f-ASTM DESIGNATION(S) �/Z REQUIRED INSPECTIONS SHEATHING FINAL LIBILITY INSURANCE POLICY SUPPLIED 5 NO 'APPROVED / C)TY. OF BUILDINLGNOFFITICCEACH WORKERS COMP.POLICY SUPPLIED y YES NO CONTRACTOR LICENSE SUPPLIED YES NO > .a `"' LSI OCCUPATIONAL LICENSE SU PPL S SIGNATURE OF OWNER SIGNATURE OF CONTRACTOR SWORN TO&SUBSCRIBED BEFORE ME THIS��DAY OF 2000 LYNME PAYE FLYNN AS TO OWNE IMy comm Exp. I I12p3 OTARY PUBLI �---- _f No.cc sN"I w,.w„I I oar in. AS TO CONTRACTOR 10TARY PUBLIC �_ + �- , . �� . � -__ ,.�4 .. t. t)+'H� . v i .. Y f- L. r ,. _:,..' .:. '..,r,; :..:.tom+M'"Mkq.:,..-,. �." .�.,�.. 2 ��.:n! . .. r �' r r M.. r�. �r _� l .. � .,� .:: g... f � t4 zy m, p s r too Atk 61, h rg a do C•d ` e x '.# w,x rc%... a -3�'a `��°-� a�'� •� � tai 'jig Ass n . : N x: '' Ah4 �4 sy' 1°x3 l'Y..-.! � �'�� ; 3]��. t �`��,(.7"RA S �� M� ��` �h q ��T'.`f"}�3r q7`• i'� � ``r '�<*y� �v{4� . 10 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025007 Date 10/15/02 Property Address . . . . . . 403 ATLANTIC BLVD Application description . . . REINSPECTION FEE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ VANTAGE CONTRACTING, INC. 1825-A NORTH THIRD STREET JAX BEACH FL 32250 (904) 246-6699 ---------------------------------------------------------------------------- Permit . . . . . . REINSPECTION FEE Additional desc . . REINSPECT FEE FOR FINAL INSPT. Permit Fee . . . . 15 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 15. 00 15 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 15 . 00 15 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL BUILDING CONTRACTOR AND OWNER WE WILL NOT ALLOW THE BUILDING TO BE OCCUPIED UNTIL THE ELECTRICAL HAS BEEN FINAL INSPECTED AND FINAL HANDICAP INSPECTION ARE APPROVED WITH LETTER OF HANDICAP INSPECTION ON FILE WHERE APPLICABLE. VIOLATION OF THIS AGREEMENT WILL RESULT IN AN IMMEDICATE DISCONNECTION OF ELECTRICAL POWER. WE ARE AWARE OF BEING SUBJECT TO PROSECUTION UNDER CITY OF ATLANTIC BEACH WHICH STATES, "ANYONE OCCUPYING THIS BUILDING FOR ANY REASON OTHER THAN CONSTRUCTION PURPOSES MAY BE _ PROSECUTED. 40-3 TLANT/c vN• BUILD U IFY AGE PRINT) PROPE TY OWNER NAME(MINT) C N` SIGNATUR TURF STATE OF FLORIDA je ltit Pe99y sue crews STATE OF FLORIDA ►"r'r'� Pe99r/sue Crews COUNTY OF UVA L' y ' W Commission CC987828 TY OFD V ' • My Commission CC987828 Expires December 13 2004 ,Q Expires December 13 2004 TO ANN S CRIBED BEFORE S OR�1�'OI BED BEFORE ME "*E HISAY OF SEPT,2002. THIS DAY OF SEPT, 2002. PERSONAL Y KNOWN ✓ ID PERSONALLY KNOWN ✓ID ELECTRICAL CONTRACTOR BUILDING O ✓ OCCUPIED YES NO '' �} DATE: 1 I q: Q a, ELECTRICAL CO. O kC- �0&- 1 u Mr.Don Ford NAME OF JOB 1C Q 6h �,FL, CITY OF ATLANTIC BEACH I DEPARTMENT OF BULDING ADDRESS_ Q 800 SEMINOLE ROAD nn ATLANTIC BEACH,FL 32233 PERMIT# d LI 66 9 A'[d 3 Q Dear Sir: We respectfully request temporary power for the address listed below to be cut on for a period of thirty(30) days for testing purpose only. We acknowledge by our signature at the below that we will be responsible for anything that may occur due to the energizing of the service prior to the final electrical inspection,and the approval and completion of the job. We are also aware that is an extension of temporary power is necessary,an extension letter is due at least (5)day's prior to the 30 day deadline.It is the customer responsibility to make application for power with the Utility Company..in �l ELECTRICAL QUALIFYING AGENT NAME(PRINT) SIGNATURE Ily 7 My Commission CC987828 ornP Expires December 13 2004 CITY OF ATLANTIC ACH ,,a DEPARTMENT OF BDING 800 Seminole Road- Atlantic Beach, FL 322B l: 247_S�26 ELECTRICAL PERMIT PERMIT INFORMATION ¢ '` _ LOWiON I y ON Permit umber: 24530 �� - r Permit T e: ELECTRICAL Addi�€as: 4Q AT U r' AT TICFj I Class of Work: ALTERATION Tov� s t Rt � Proposed Use: RETAIL STORE b hip. .M 7 Square Feet: Lot( � I r,� Ski Est. Value: Subdivision: SAL+ Improv. Cast: Parcel Number; q Date issued: 7/24/2002OW ERIN AT10N dz Total Fees: Name: RA IOSH 0 FORA Amount Paid: 25:00 Addfess: 30U . THI � UITI� Date Paid: 7/_24/2002 FT.' ORT 7610 413-1 Work Desc MISC. ELECTRICAL REP N s y _ _ e: t31 CONTRACTORS) CREWS ELECTRICAL CONTRAC # F d �.. la�I u��i � :ri •Mt li,,� L. �' ��F� F k,,��.;M,a1 t > �4 � . +r�(,d• Y,,,.'a��ryy�,fx��;�� 'n`.� .H�{{ ` " '', r' � r rt ��i.tr r �• �ffi Yay�{ � � r NOTICE - IN k 3 �} °�• BUILDING MA7ERIAQ+ MUST BE CLEARED U r y �t,' �• h '„;Mar,, + ' r, "FAILURE TO COMPL PROPERTY-OWNER PA z ISSUED ACCORDING TO APPROVE FOR VIOLATION OF APPLICABLE PROV wr ” Y I(# � < y I ATLANTIC BEACH BUILDI� EPT. , .......... .. CITY OF ATLANTI ^ DEOARTMENT OF I SIG t �tir f ; j 800 Seminole Road-Atlantic Beach, FL 32233•Tel: F 247- ELECTRICAL PE IIIMITt3- p�FiMl�" 1 F01 ermit. __ _.�TIO_ _---—___ _:_ _ OC ;^ Number: 24669 � "� - - Permit Type: ELECTRICAL Address: 40 AT Class of Work: INCREASE ATL ; IC Proposed Use: RETAIL STORE ToVVrI ,�p ;r �" 3 : Square Feet: Est. Value: SubIon Improv. Cost: Pa i Number Date Issued: 8/19/2002 _tip Total Fees: 50.00 _ MAN e: RA 9FOR Amount Paid: Address: 300 . THIN T. �OlTE 50.00 , •� «.».�-, .�.,,�, FT. ViORTF Date Paid: 8/19/2002 ' _--_ Work Desc• ESS150A�/1� P • 13-3 27 ' ' � • k – �4 208 CREWS ELECTRICAL CO� AC i NIN w,: ; 'rrz u r 3 �; Mt333 .4 ;y :. v. , •�� it a i 6d A ----iNOTICE- IECTI N + _ Nt'S2UESTED AT t24 BUILDING MATERIAL, WBBISH AN6-bEBRIS' OM THIS WO` � T N " � MUST BE CLEARED UP AND HAULED i?VAY, EITHER CON P' p FAILURE TO COMPLY WTH T `� a CTt� PROPERTY OWNER PAYING 13 L IN ISSUED ACCORDING TO APPROVED PLANS ICH ARE PA . V, IS p FOR VIOLATION OF APPLICABLE PROVISION OF LAW, + _ ATLA TIC BEACH B LDIN EPT. : tkli ) f / City of Atlantic Beach - 800 Seminole Road • Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • FAX (904)247-5805• http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION DATE...,. APPLICANT ADDRESS 2�i'(G,� ML- _ PHONE: q.�4•Q41 ADDRESS WHERE WORK IS TO BE PERFORMED t� ,� ,�I/ LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBERO-' Vim(/ ZONING DISTRICT _ CONTRACTOR (' . STATE LICENSE NUMBER(25C' ADDRESS52q:eoPHONE CITY STATE ZIPS FAX 2 DESCRIBE PROPOSED USE AND WORK TO BE DONE PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION Is this an addition? If yes, what are the dimensions of the added space: --~ feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required?_S.�n If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP I. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. 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 a pre-construction or post-construction topographical survey 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. Please submit 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 01/02/02 l 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 property 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works, a pre-construction topographical survey. 5. Any significant environmental features, including any jurisdictional wetlands, CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL FORMATION PROVIDED WIT THIS APPLICATION IS CORRECT. ,r `/SIGNATURE OF OWNER DATE Ali?2 den I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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. THE 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 CONTRACTOR DATE1 -�1 ADDRESS AND CONTACT INFORMATION OF PERSON ZRECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS #Ja'Vfq � PHONE (t� .( FAX '241 E-MAILC—__� v SWORN AND SUBSCRIBED BEFORE ME THIS r ) DAY OF STATE OF FLORIDA,COUNTY OF DUVAL —, NOTARY'S SIGNATURE �,�-- AS TO OWNER: Personally known -5produced identification " Type of identification produced ; , k 1+? Carly A Brown MY COMMISSION# CC994917 EXPIRES January 21,2005 BONDEDTNRUTROY FAIN INSURANCE,INC, AS TO CONTRACTOR: Personally known CA ❑ Produced identification Type of identification produced i Carty A Brown 1/02!02 y,; __ WCOMMI XN# CC994917 EXPIRES s January 21,2005 AR, BONDED niRU TROY FAR!B&VMCE W ,. k rx'A'j 2 t��N;j 1 City Of Atlantic C ^. BUllding ardan,r; `_ � City of Atlantic Beach • 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • FAX (904)247-5805• http://www/ci.atlantic-beach.fl.us IONSI PERMIT APPLICATION FOR REMODEL, MOVING OR DEMOLITION OF SINGLEERAT A -FAMILY OR TWO-FOAMILYD(DUPLEX) CONSTRUCTION DATE APPLICANT ADDRESS 2Z'jG� ��•�y� �,� PHONE: ADDRESS WHERE WORK IS TO BE PERFORMED " / LEGAL DESCRIPTION: BLOCK NUMBER _ LOT NUMBER W65¢� B—�== ZONINGDISTRICT _ CONTRACTOR STATE LICENSE NUMBER ADDRESS �� d2' ff229 . - PHONE CITY STATE ZIP 522 2 FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE 111/ L � Ar« ------------- PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION Is this an addition? If yes, what are the dimensions of the added space: feet b Will the added area be heated and cooled? NY feet '—' New electrical or increase in service? New plumbing fixtures? New fireplace?P New heating/air conditioning? .�- Is approval or Homeowner's Association or other private entity required? Ifes�please submit with this application. Y PROCEDURE: (In order to expedite issuance of permits, please follow all steps andP r2 de all information as apbropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this informatio contact the Planning and Zoning Department at 904-247-5817. In order ty verify Zoning designation, n,please o correctl Property Appraiser's Real Estate Number available. n,please have STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey 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. Please submit 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 01/02/02 ,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 property 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works, a pre-construction topographical survey. 5. Any significant environmental features, including any jurisdictional wetlands, CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL FORMATION PROVIDED WIT THIS APPLICATION IS CORRECT. / r .y SIGNATURE OF OWNER DATE 2Z dZ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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. THE 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. rye_ SIGNATURE OF CONTRACTOR /', DATE �n -CU ADDRESS AND CONTACT INFORMATION OF PERSON RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME- M� A� �,• MAILING ADDRESS 22'(,GJ L• 1� �• � frir�.e 1 ��)�� PHONE [ _ �l FAX_ 27 E-MAIL SWORN AND SUBSCRIBED BEFORE ME � TIES DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: Personally known Produced identification ; A Type of identification produced "' Carly A Brown ?*: = MY COMMISSION# CC994917 EXPIRES January 211, R BONDED T RU TROY FAIN INSURANCE,INC . AS TO CONTRACTOR: _)N�Personally known C� ❑ Produced identification Type of identification produced ON� A Brom 1/02/02 �,' :i MY COMMISSIs CC994917 EXPIRES 7anuory 21,20U5 9,R,• BONDED iNRU TROr PAIN INMAMCE MIC 2 5 City Of Atlantic Leach Building and Zoning �F .. .. ' City of Atlantic Beach - 800 Seminole Road - Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - FAX (904)247-5805- http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION DATE W.eJGY . APPLICANT_ ADDRESS �L � I2' PHONE: q l - Ir�749I ADDRESS WHERE WORK IS TO BE PERFORMED 4022' LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER ZONING DISTRICT _ CONTRACTOR STATE LICENSE NUMBER<5CL jj`Z2,rk -7, ADDRESS PHONEt - CITY STATE _ ZIP FAX qn j . DESCRIBE PROPOSED USE AND WORK TO BE DONE�'i� [I `�� L�•� �� PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION Is this an addition? � If yes, what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? --- ,(N�ew..�heating/air conditioning? Is approval or Homeowner's Association or other private entity required?_/�Y ) If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. 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 a pre-construction or post-construction topographical survey 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. Please submit 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 01/02/02 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. I. Current survey showing the property 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features, including any jurisdictional wetlands, CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL FORMATION PROVIDED WIT THIS APPLICATION IS CORRECT. / r - `� SIGNATURE OF OWNER DATE �Z �� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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. THE 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 CONTRACTOR ; DATE ��? -C,, ADDRESS AND CONTACT INFORMATION OF PERSON RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS _AfL,. 1!2 `r • � t yt J ::7- PHONE PHONE a( .l ( FAXE-MAILS J SWORN AND SUBSCRIBED BEFORE ME THIS !'L/ DAY OF " STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: Personally known Produced identification Type of identification produced Carly A Brown t+= MY COMMISSION# CC994917 EXPIRES + d;a' January 21,2005 BONDED THRU TROY FAN INSURANCE,INC AS TO CONTRACTOR: Personally known CA61 ❑ Produced identification f�.y Type of identification produced 41 :_ Carly A Brown 1/02/02 �,: ''=W�OMMftON# CC994917 EXPIRES �t= January 21,20QS Q BONDED THRU TROY FAIN INBURANCf.W CITY OFATLVMC BEACH J t 800 SEMINOLE ROAD ss� ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE (904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.fl.us - ----------LL------Pao; ---------------- A Sig , CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS DATE k4f PERMIT NO. �, ISSUED BY THE CITY JOB ADDRESS -�(�L/ VALUATION $ PERMITTEE ��1% 11�/G PERMITTEE ADDRESS �� 1 r }�� >TELEPHONE NO. REQUESTING PERMISSION FROM THE CITY OF ATLANTIC BEACH TO CONSTRUCT S i LOCATIONS: (REFERENCE TO CROSS-STREET) I APPLICANT DECLARES THAT PRIOR TO FILING THIS APPLICATION HE HAS ASCERTAINED THE LOCATf;ION bP ALL EXISTING UTILITIES, BOTH AERIAL AND UNDERGROUND AND THE ACCURATE LOCATIONS ARE SHAgWN QN THE f SKETCHES. (, Iv C)I ' Ir w ii^ A LETTER OF NOTIFICATION WAS MAILED TO THE FOLLOW NG UTILITIES/MUNICIPALITIES: Ili( Isl ,,zMr ) Z-0 in JACKSONVILLE ELECTRIC AUTHORITY YES (�NO ( ) DATE: BELL SOUTH TELEPHONE COMPANY YES ( ) NO, ( ) DATE: FERRELL GAS YES ( ) NO ( ) DATE: MEDIA ONE CABLE TV YES ( ) NO ( ) DATE: 2, WHENEVER NECESSARY FOR THE CONSTRUCTION, REPAIR, IMPROVEMENT, MAINTENANCE, SAFE AND EFFICIENT OPERATION, ALTERATION OR RELOCATION OF ALL, OR ANY PORTION OF SAID STREET OR EASEMENT AS DETERMINED BY THE DIRECTOR OF PUBLIC WORKS, ANY OR ALL OF SAID POLES, WIRES, PIPES, CABLES OR OTHER FACILITIES AND APPURTENANCES AUTHORIZED HEREUNDER, SHALL BE IMMEDIATELY REMOVED FROM SAID STREET OR EASEMENT OR RESET OR RELOCATED HEREON AS REQUIRED BY THE DIRECTOR OF PUBLIC WORKS, AND AT THE EXPENSE OF THE PERMITTEE UNLESS REIMBURSEMENT IS AUTHORIZED. 3. ALL WORK SHALL MEET CITY OF ATLANTIC BEACHR FLORIDANT OF TRANSPIRATION DE ART N STANDARDS AND BE PERFORMED UNDER THE SUPERVISION OFQ b (CONTRACTOR'S PROJECT SUPERINTENDENT) LOCATED AT 64�_kt G TELEPHONE NO.?,m—2gzw� 4. ALL MATERIALS AND EQUIPMENT SHALL BE SUBJECT TO INSPECTION BY THE DIRECTOR OF PUBLIC WORKS OR HIS DESIGNEE. 5. ALL CITY PROPERTY SHALL BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL, IN KEEPING WITH CITY SPECIFICATIONS AND THE MANNER SATISFACTORY TO THE CITY. 6. A SKETCH OR PLANS COVERING DETAILS OF THIS INSTALLATION SHALL BE MADE A PART OF THIS " 7. THIS PERMITTEE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN_ �/ t OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN DAYS. IF TH, ` MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST REVI DIRECTOR OF PUBLIC WORKS TO MAKE SURE NO CHANGES HAVE OCCURRED IN THE A AFFECT THE PERMITTED CONSTRUCTION. 8. IT IS UNDERSTOOD AND AGREED THAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE THE EXTENT OF THE CITY'S RIGHT, TITLE AND INTEREST IN THE LAND TO BE ENTERED UPt -e SY THE HOLDER, AND THE HOLDER WILL, AT ALL TIMES, ASSUME ALL RISK OF AND INDEMNIFY, DEP-0, AND SAVE HARMLESS THE CITY OF ATLANTIC BEACH FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, AND COST OF EXPENSES ARISING IN ANY MANNER OF THE EXERCISE OR ATTEMPTED EXERCISES BY THE HOLDER OF THE AFORESAID RIGHTS AND PRIVILEGES. 9. THE DIRECTOR OF PUBLIC WORKS SHALL BE NOTIFIED TWENTY-FOUR (24) HOURS PRIOR TO STARTING WORK AND AGAIN IMM TELY UPON COMPLETION. > SUBMITTED BY: X (PLACE CORPORATE !20 U SEAL IF APPLICABLE) S 03SWORN TO AND SUBSCRIBED BEFORE ME THI � Y OF N OT _: * MY COMMISSION# DD112985 EXPIRES 7. a May 25,2006 o�,1 BONDED THRU TROY FAIN INSURANCE,INC STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION SPECIAL USE PERMIT DATE: z iry m .d(";Ooc Beach PERMTTNO.: o ,a iL.l3.- an Zoning SUBJECT: SECTION r( cam+. O O STATE ROAD 10 COUNTY__J PERMITTEE: 403 Atlantic Blvd . , Tnc ADDRESS: PHONE NUMBER: Requesting permission from the State of Florida Department of Transportation,hereinafter called the Department,to construct, operate and maintain an ADA handicap a cess ramp to nn exi sting Radii n -qhar+V h„i i ,a, r: located at 403 Atlantic Blvd . ' AtlAntin RPanh , Flnriria From MP Station IJr"• 'tT�f To MP Station. 77 1. Proposed work is within the corporate limits of a municipality. Yes( ) No( ) 2. Applicant declares that prior to submitting this application he has ascertained the location of all existing utilities, both aerial and underground. A letter of notification and plan of improvement was mailed on O-Z-a—. �2 to the following utilities/municipalities: Cly Ddv e 3. Is Interstate or Toll Road right-of-way involved? Yes ( ) No 4. It is expressly stipulated that this permit is a license for permissive use only and that the placing of facilities upon public property pursuant to this permit shall not operate to create or vest any property right-in said holder. 5. Whenever it is determined by the Department that it is necessary to th icon ruction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any7portion of such highway, or that it is necessary for the public transportation facility,any and all facilities shall be im*diatoy removed from said highway or reset or relocated thereon as required by the Department, all at the expense of-the p¢rinAU& t h1pss,xtimbursement is authorized. 6. The construction and maintenance of such facility shall not interfere with the propcgZ and righfs-of a prior,permittee. 7. The permit holder understands and agrees that the rights and privileges herein set out are granttd only to thy-extent of the State's right, title and interest in the land to be used by the permit holder. The permit holier will at all times assume all risk of and indemnify, defend and save harmless the State of Florida and the Departmen1f.Nom and against all loss,damage,cost or expense arising in any manner on account of the exercise or attempted er-9rri es by said permit holder of the aforesaid rights and privileges regardless of the apportionment o-faegligence of the_parties hive:!ved. THE PERMIT HOLDER. THEREFORE AGREES TO INDEMNIFY THE DEPARTMENT EXCEPT FOR THE AGENCY'S SOLE NEGLIGENCE. It is specifically understood that the limits of this indemnification will be equal to those limits established by the Legislature under Section 768.28,F.S.,or any successor legislation in effect at the issuance of the permit. The permit holder shall observe all Department safety regulations during construction. The permit holder shall observe all Department safety regulations during construction. The permit holder must safely conduct the public through the project area in accordance with the Manual on Traffic Controls and Safe Practices for Street and Highway Construction,Maintenance and Utility Operation by displaying necessary safety devices and taking whatever other measures are required or appropriate. 8. In case the permit holder fails to meet any of the Department requirements, the permit holder will be BARRED from performing further work under this permit and will be required to bring the permitted work into compliance or remove said work from the right-of-way at no cost to the Department, AND,THE PERMIT HOLDER WILL STILL BE BOUND BY THE INDEMNITY PROVISION OF PARAGRAPH 7. 9. All work shall meet the Department's Standards and be certified by THE ENGINEER OF RECORD,that the work has been substantially completed in accord with the Department Standard Specification for Road and Bridge Construction, and in accord with all rules, regulations, policy, plans,special provision and safety standards pertaining to this work. The Engineer of Record is P g h'Pe aof t 420 South 3rd St rPPi- ' Jax B c-h Florida. Telephone 6.(904 )24 7-02 0 located at 10. All materials and equipment may be subject to inspection by the Maintenance or Resident Engineer. 11. All D—e-artment property shall be restored to its original condition as far as practical, in keeping with Department specifications and in a manner satisfactory to the Department. 12. The attached sketch and special provision covering details of this installation shall be made a part of this permit.. 13. The permittee shall commence actual construction inood faith within g days from the day of said permit approval and shall be completed within days. If the beginning date is more than 60 days from the date of permit approved, then permittee must review the permit with D.O.T. Maintenance Engineer to make sure no changes have occurred in the highway that would affect the permitted construction. 14. The office of �r�ir�, G t� N s p«tq r, ` Maintenance beer, located at � • J o.c k s o Ny i�� Florida, Telephone Number (904) 7 3. - ZSt7 , will be notified twenty-four (24) hours in advance of the preconstruction meeting and again immediately before beginning work. 15. Special Instruction: 16. Special Condition: 17. Effective July 1, 1986 according to the State Statute (14-65 Section 336.07), the Permittee must notify the local Law Enforcement Agencies prior to the closing of one (1) or more lanes of the State Highway for a period that exceeds two (2)or more hours for repair,reconstruction or alteration of the roadway. Submitted by: Chrial Hio es President 03 Atlantic Blvd . , Inc. n Signature and Title f Ss Place Corporate al grd ..a Attested "Waiver of Co orate Seal'on file with General Counsel,State of Florida Department of Transportation,Tallahassee,Florida. Yes (' )F No ( ) P Roadway Construction is proposed underway. Yes ( ) Job No. Recommend ed for/Approval Title Date d 7i Approved By: District Pe it Engineer or Authorized Representative DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE: (904)247-5834 FAX: (904)247-5843 SUNCOM: 852-5834 http://ci.atlantic-beach.fl.us August 30, 2002 Ms. Mary Farwell 2275 Atlantic Blvd. Neptune Beach, FL 32266 RE: Building Permit Application Dear Ms. Farwell Your Building Permit Application for the above mentioned address has been reviewed by the City's Public Works Department, and the following comments/requirements apply: A Florida Department of Transportation permit is required. Impervious area needs to be shown in square feet. Traffic pattern, as shown, is not acceptable since a left turn cannot be made from northbound traffic on Sherry Drive into the facility. If you have any questions please contact me at 904-247-5834. Sincerely, Robert S. Kosoy, P.E. Director of Public Works cc: Don Ford, Building Official Phil Nodine, Streets and Maintenance Division Director RSK/Y City Of Atlantic Coach Building acid Zoni., City of Atlantic Beach• 800 Seminole Road • Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • FAX (904)247-5805- http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION APPLICANT DATE ��]�af� �� ADDRESS �iLi lam/ �. �� I PHONE: I • ITj�I ADDRESS WHERE WORK IS TO BE PERFORMED t —%655�,�,(j�� LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBERZONING DISTRICT _ CONTRACTOR G . STATE LICENSE NUMBERt25C•d Z2,n* ADDRESS PHONE CITY _ STATE ZIP ,!L2� FAX 2 DESCRIBE PROPOSED USE AND WORK TO BE DONE��,(I, `%� �� A' PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION Is this an addition? If yes, what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? _ If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. 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 a pre-construction or post-construction topographical survey 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. Please submit 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 01/02/02 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. I. Current survey showing the property 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works, a pre-construction topographical survey. 5. Any significant environmental features, including any jurisdictional wetlands, CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL 'FORMATION PROVIDED WIT THIS APPLICATION IS CORRECT. r r i SIGNATURE OF OWNER DATE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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. THE 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 CONTRACTOR DATE -� ADDRESS AND CONTACT INFORMATION OF PERSON RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS 'ZZ'(Gj 'r '��• y� � �1 PHONE a ( FAX_ �'(- 1 �, C�� E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVA.L NOTARY'S SIGNATURE AS TO OWNER: Personally known Produced identification Type of identification produced Ca ¢ rly A Brown MY COMMISSION# CC994917 EXPIRES oa; January 21 2005 BONDED THRU TROY FAIN INSURANCE,INC AS TO CONTRACTOR: personally known (� ❑ Produced identification �:� Type of identification produced MY ON �A Brown 1/02/02 , := CC994917 EXPIRES Q,� � January niftTA 2p&AANCE W CITY OFATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 FAX:(904)247-5805 J SUNCOM:852-5800 http://ci.atlantic-beach.fl.us ------------------ --------------------- fax,Alo"-- - --------------------fax,No"=-i' ---- - ------ --------------------------- - ----- ---------------------------______________ CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY This Certificate issued pursuant to the requirements of Section 106 of the Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Address: 403ATLANTIC BOULEVARD Owner: RADIOSHACK CORPORATION ATLANTIC BEACH, FLORIDA 32233 300 W. THIRD ST., SUITE 800 FT. WORTH, TEXAS 76102 Construction Type: Use Classificatign: RETAIL STORE Permit Number: 24428 Date: 10/11/2002 C- DON C. FO D, C.B.O. Post in a conspicuous space CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY This Certificate issued pursuant to the requirements of Section 106 of the Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Address: 403ATLANTIC BOULEVARD Owner: RADIOSHACK CORPORATION ATLANTIC BEACH, FLORIDA 32233 300 W. THIRD ST., SUITE 800 FT. WORTH, TEXAS 76102 Construction Type: Use Classification: RETAIL STORE Permit Number: 24428 Date: 10/11/2002 DON C*FOD., C.B.O. Post in a conspicuous space 10/03/2002 08:45 3216321108 M AND R AIR COND PAGE 01 CITY OR ATLANTIC BEACH f MECHANICAL PERMIT $MOLE ROAD-ATLAN-nC BEACH,Fl 32233-TEL 247 •FAX: 247-w77 Xd{�hsss: 403� T -wUL�:VA�[�-` Permit Type: MECHA AL — --41- ATLANTIC BEACH, FL 32233 Claae of Wak: E L TOwnsl1lp: Range: Book: 10 � PrOpoMd Use: COMMERCIAL L*O):a3T-838 Block- Bev%en:3 f Bpuare Feet: SuMvislon: SALTAIR SECTION NO 3 Est.Value: Parcel Nwnber. Improv.Cost: - . Dabs Issued: 8/19/2002 �AIiNEq 11VFORM 7J ,, �i7iTt�CA'TiO'�L" .. 1 TONI FNB; 105.00 403 ATLANTIC BOULEVARD Amount Pal: 105.00 LIANTIC BEACH, FL 32233 Dais Paid., 8/13/2002 .4977 _ 65 1_.qW _.._-_.-._-•.._.._.. '1��'i�Qll.t' . i��a�,�l ^'j'�li'''�jjl:ry„f,.'! I _ —77 • 4 . y . NOTICE- Be REQUESTED AT LEAST 24TB'HO � tOR 4 ECTION BUILDING MATERIAL, AND 1 IBI MLl�9TKAM. UC APACE MUST BE CLEARED UP t1AUlA C "FAILURE TO COMPLY Tin N ULT IN THE PROPERTY OWNER PAYING S" _J ISSUED ACCORDING TO APPROVED PLAN8 18 PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I p OIN AT BEC BUIL - _ AUG IS l CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r 0S t ATLANTIC BEACH,FLORIDA 32233-5445 yx1 TELEPHONE: (904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 http://ci.atiantic-beach.fl.us October 4, 2002 To: Mead Construction M From: Don C. ford EVOildirl, ial Re: 403 Atlantic Boulevard Please be advised that this letter serves as a Partial Certificate of Occupancy for the interior of the building located at that above address. If you have any questions, please do not hesitate to contact me at (904) 247-5826. DCF/ph cc: City Manager CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r'3 < ATLANTIC BEACH,FLORIDA 32233-5445 14 TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.fl.us October 4, 2002 To: Mead Construction From: Don C. "ford, Q0ildiPjOffkial Re: 403 Atlantic Boulevard Please be advised that this letter serves as a Partial Certificate of Occupancy for the interior of the building located at that above address. If you have any questions, please do not hesitate to contact me at (904) 247-5826. DCF/ph cc: City Manager Harris, Patricia --7 From: Ford, Don Sent: Thursday, September 26, 2002 9:14 AM To: Doerr, Sonya Cc: Harris, Patricia Subject: RE: Radio Shack Sonya, Pat will call Don Meade and tell him we are requiring a letter from his company, with a co-signature from the owner, stating the p / parking and landscaping will be completed within 30 days of issuance! of the partial CO. The letter should include wording that the _ �`1 owner understands the utilities electric and water) will be disconnected if this deadline is not met. Don -----Original Message----- From: Doerr,Sonya Sent: Thursday,September 26, 2002 8:10 AM -----Original Message----- To: Ford,Don From: Ford,Don Subject: RE: Radio Shack Sent: Wednesday,September 25,2002 8:28 PM Agree. To: Doerr,Sonya Subject: RE: Radio Shack Sonya, I think a bond would cause too much paper. I think a letter stating they understand the utilities will be disconnected if not completed by a ' date certain, would be more effective. What do you think. ` Do n ` �.' ---Original MessageDoe r From: Doerr,Sonya Sent: Wednesday, September 25,2002 5:12 PM To: Ford,Don Subject: Radio Shack Don Meade with Meade Constr. called me this afternoon. He said Radio Shack has authorized him to take over completion of the job from "Hionides/Greg Mills/Petra Mgmt. group". He said they could not even get a copy of the approved site plan landscape plan from them. (Guess not, since Greg Mills never came and picked it up.) He is sending 2 CITY OF ATLANTIC BEACH BUILDING AND ZONING 800 SEMINOLE ROAD ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 904-247-5826 Application Number . . . . . 02-00024834 Date 9/18/02 Property Address . . . . . . 403 ATLANTIC BLVD Application description ING ONLY Property Zoning �� B 'QED Application valua Owner mon Frac r ----------- ---- - --- - - --------- HIONIDES, �IS �' a + - �T �- 7961 RIDY BL #29 ATLANTI BES, �32233 J"ACKSO :� LE FL 32221 (904) 37807 -------- =- -- ----- ------------- - - Perm' UMB � . - ------------ IT AdditionalBING Y Perqit`% ee :so Plan Check F Iss4e p Valuation 00 0 Fee, silmma� nid Credited NDe -" ------ ---- Pe4rmt 0000 Pl n w �, . 00 o 0OP Gr T 39 .5() 0 t '� :.. 00 01 �t y BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER, "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW, s •, i I CITY OF ATLANTIC BEACH PLICATION FOR PLumiNG PSIT -705 LOCATION: d 3 �77L r3-N % ZL t,16 OWNER OF PROPER.Y: �-� 1 O � TELEPHONE NO, PLUMBING CONTRACTOR CONTRACTOR'S ADDRES$: �o AJO/e L &/6 4/ -� STATE LICENSE Nl�aER: CFC 04832Vnom* TELEPHONE: ,37 O �O 7 I RC1 IIM*NY OF TBE FOLLOWING FIXZ' =S INSTILLED ___._j - S rNK &-K74, j SFiOWEP.S LAVA. ORY / WATER HEATERS BATH TUBS _ DISHWASHERS URIN S DISPOSALS CLOS TS WASHING ;+MACHINE FLOOF DRA NS SHOWER PANS SE'AEF� WATER _ REPINE OTHEP. TOTAL FIXTURES: _ I x $3 . 50 + $15 .0C MIYIMUM PERMIT F E _ `$25 . 00 SIGNATURE OF OWNEER: / SIGNATURE OF CON CTOR. - T_NSTALL,ATION OF LUMBINGAND FTXTURES MUST BEINACCORDANCE WITH THE MOST RECENT E :TION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD 0 SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS, MUST BE; CALLED INTO PUBL:C WORKS FOR INSPECT:^N PRIOR TO COVERING UP - (909) G47-55834 LO'd vtc-; =60 66-BZ -oxer SEP-10-2002 TUE 02:19 PM MEAD CONSTRUCTION INC FAX NO, 3212553921 P. 01 321-255-3920 E A D 800-488-3920 on) , �nC. 4.1mmerdal (tractors* September 10, 2002 ; • City of Atlantic Beach Building Department r `ty o n 900 Serninole]toad iv±Y;; Atlantic Beach, FL 32233 -`r kis: RadioShack plumbing contractor change 403 Atlantic Blvd. Jacksonville, PL Permit#24428 'ro whom it may concern: Please be advised that Mead Construction no longer will require the services of blood Plumbing; for the. above-mentioned project and has hired Leak Masters Plumbing Services to complete the work. If YOU need anything further from us, please contact us. Thank you, Rcspcc Byron )7m-cad President a of I r�; Past-It'Fax Note 7671 Date (-��) p��,,,► To From �,, Ll.r1f�l�_ qL On./00p� 1 Phono W L _ l ) f'hono U a��; .1 17C> Fix 1) f t ��tLp» ..v F�xn .� ;ak:'t .) 13011 West Eau Gallie Boulevard,Suite 100,Melbourne,FL 32935-5990 Fax: 321-25"921 CITY OF ATLANTIC BEACH r) 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 App— ica ion u er Property Address . . . 403 ATLANTIC BLVD a e 20/02 Application description . . . RIGHT OF WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ _ ---------- HIONEDES, CHRIS VANTAGE CONTRACTING, INC. 1825-A NORTH THIRD STREET JAX BEACH FL 32250 ------------------------------------ (904) - -------------------------- 246-6699 Permit DRIVEWAY PERMIT Additional desc . . ADA ACCESS WALKWAY Permit Fee . . . . 25 . 00 Plan Check Fee Issue Date . 00 ' Valuation 0 Fee summary Charged Paid Credited Due------------ -------. Permit Fee Total 25 . 00 25 . 00 00 ------- Plan Check Total . 00 . 00 . 00 . 00 Grand Total 25 . 00 25 . 00 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL BUILDING, PLA NNINGAND ZONING INSPECTIONDEPART,NE.NT CITY OFATL41VTIC BEACH, FLORIDA CERTIFICATE OF OCCUP.4NCy WORKSHEET Cate Requested: Building Contractor: Building Permit Number:{ Address: C .yfi ''_uZ . Legal Description: Improvements to the above described property have been completed in accordance with the terms of the pe�nnit and is certified to be ready for occupancy as d Lowest Floor Elevation: _ required as built BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED DATE APPROVED By Fire 10 -3 — oZ— Ca Public Works Ip_ p2 �� _0ev F l a n n i:'i Cj Building c CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 FAX:(904)247-5805 } SUNCOM:852-5800 t) ;; http://ci.atlantic-beach.fl.us October 4, 2002 To: Mead Construction From: Don C. fiord, Wildlr�,"Offl ial Re: 403 Atlantic Boulevard Please be advised that this letter serves as a Partial Certificate of Occupancy for the interior of the building located at that above address. If you have any questions, please do not hesitate to contact me at (904) 247-5826. DCF/ph cc: City Manager �AP}�R►01�t:_ t7 CITY OF ATLANTIC BEACH o '"nft Beach BUILDING ©RRIOR lMaa" and 2oninp Department �ry tont Nwifte aompflanoe with appilcable ap, subdivision and other local land devdopmeM regulations, but does not constitute al for the Issuance of;Wrmits, a local, State and Federal ands other uir mlicab►e CR permuting requir Cb must be verified by sf ature of the City of tlantic Beach Building Offi 1 prior to t issuance of a .� Building Permit. - �^ Approved By: e D comm n evelopment i ect r Date: p - D -n r O Z CA --I 61 C n C m rn � O O Z _ � N A s a C CD , 9 f m IIv �m O -�L HI s ? o y asa SO S ei� O '. :x-=per = WAS O m 3 29 IV b S::.a ry. OC 3R W A m y� �O = � m �m wamow C42 ; �_ x -�X CO awe o y e' m AL2' m20 CL C36 rn_ m s m g�^' C �z z r ca T, i m w T T IC 7f 0 Or i_NJ z m= 1 36 m 319w s d m s3 in =3 s.. roae+�� m o ^+ =y r C T s s O o v+ai z _ c -4 m W g a sF�'i�� c m n' z �. y 97 iG 5 m O Z�ttt T v0@ b(GJ N`aO i PC --I1 O T T CASC .� S>W y vm3�r„ cds T�y I f1UI:�.Udy, r%UyUZL VW,LVVL-I."& 1 � o � O b � x a of , = K C4 P S O ts 52. = m �7 oo 0� � �f � o perz m CA 3. 9! Ur" r E x a C-P-1 T s.�aT. �yOy ycs n >q n ya q prn � : a oii.._... rY„pe�e'j T e3 o o g n m_Am 2 D r N a A S \i ra �i s�EmBig m n o m T3cu q v =T a M coZ 3 6Rii`+' RtE - Sn g R a -• is a •� �++ ( [t• V3 E �s 2 = 3 aO pp o o 0 cl �� Yee `e��? u( y � Y � 2 > C n� @� �Q � � 4-� �✓`.: g t y IF cl 8 a ags c{,t Ii r COMPANY: N. Florida Neon Architectural Services & Engineering, Inc Robert W. Wall, PE 'PROJECT: Radio Shack 2047 Osprey Lane EBO 7882 Fla 46021 Suite Lutz, FI 33549 Sample Calculations Wind Load=WL WL=Cf*WIND ksf WL= 1.2 * 1.95 Force= 2.34G4* 100 10'-0" Area 1 Force= 2.3404 kips 0 5 "x .375" ASTM A53-S/B Pipe Zreq=Moment*12 � Zact= 7.43 in3>Zreq= 4.38 in3 fb*NC fb=21.0 ksi for Steel pipe c fb=27.6 ksi for Steel pipe_ 0fb= 19.0 ksi for Aluminum Area 2 LDF= 1.33 0 Zreq= 11.70* 12 ,A 14"x .375" ASTM A53-S/B Pipe 24 * 1.33* 1 Zact= 53.3 in3>Zreq= 18.1 in3 Zreq= 4.389 in3 Concrete approx. 2.66 cu.yds Concrete is 3000 psi at 28 days Wind loads-FBC 2001,ASCE 7-98 Steel-AISC-ASD Ninth Edition ii Soil bearing capacity 2000 psf(2 ksf) m 3' 0 " x 3'-0 " WIND - ASCE - Exposure B - 130 mph Cf Wind AREA y FORCE MOMENT Z REQ s ft2 ft kis (k-ft) in3 1.00 1.20 19.50 100.00 20.00 2.34 11.70 4.39 2.00 0.70 17.96 17.50 7.50 0.22 48.46 18.18 TOTALS 117.50 2.56 MEAN SIGN HEIGHT (HB) = MOMENT AT GROUND = 48.45 k-ft = 18.9 ft CHECK FOOTING TOTAL FORCE 2.560 kips Pallow = S * b * d " 2 b = width of footer (ft) 2.37 * d + 2.64 * HB d = height of footer (ft) P allow = 2.5 * 3 *8 "2 = 6.96 (kips) > 2.56 (kips) is O.K. 2.37 * 8 + 2.64 * 18.9 I w ® m ff Oi T V cn C-34 V � r m o � a Z A o � � S � � � �� 1'1'1 70 it A r —` m m • m C � V O1 - ° Tr t7�Ti7 O V s�sv x�>x -CIO, Z • ea 0 C,zmomno z'^"z oz� co e�a-,'A zzemi'z TTm a m a m z�mz ��m� n Z_ kz rr Zc� co S x �mm� 7a0a�fr r-v o mm9s o' rn mm '0�3 �o c some mk �T rm-rr- v z m Q x r v a� wd�v < � v x 3C 1E m .,i a CD COD cgC,cwv°mo 3M.-?ccu Tlc < v —3 p A m y vz 3•,. 00c a'- � v mN O �OcOL an-.� n n Amo m o v a •r�y s S. .� o v v o� c m �� pa I� o n .z m z C ax •c�p r 3 m 1Ev PC < � oAmg�a crti' c v � � x m x w cn C2 30 3 mmozeis z a 'e �z m m r a O oa n b �"o co 0 o mD3 m'=U3 -&= m Q n MAP SHOWING BOUNDARY SURVEY OF L 0 T _ 0 K —' AS SHOWN 0�� AP OF 0 AS RECORDED IN PLAT BOOK PAGESOF THE AtaXIS Cf aV Q' / CERTIFIED TO: 1 G, CRY of mmft"-I= pbom a"zonN tldit a�provM raAl�s asn�piiaaes dT d Rini. subdwlown d i lane Bumof tom. isnoo L 71— roost, stab cods and Me Of SET OPP 3 ' yvoav N •�3 P �aT �6 W d�7 N � 3 a o o • � _ �C o N ONE- 5MRY Q W/elrve4o. Z 4oT M sk " 47-o" a 40.2 /vo ` N 9 u`Z N S " N BIC!L/�'!r.9 7/O �/v0•oo /T�'�v 1 ATL.A NT16 P5,�T)Lg VA t n � i CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 > LQCATIQN: NFQRMATIQIIC PERNCIT:.INFC1RMl7lQN . Permit Number: 24686 Address: 403 ATLANTIC BOULEVARD Permit Type: SIGN ATLANTIC BEACH, FLORIDA 32233 Class of Work: SIGN Township: Range: Book: Proposed Use: RETAIL STORE Lot(s): Block: Section: Square Feet: Subdivision: SALTAIR Est. Value: Parcel Number: Improv. Cost: Date Issued: 8/21/2002 Name: RADIOSHACK CORPORATION Total Fees: 45.00 300 W. THIRD ST., SUITE 800 Amount Paid: 45.00 WORTH, TEXAS 76102 Date Paid: 8/21/2002 P 17 -,,,3544 Work Desc: INSTALL PY , 1;Q FT. IGjN ICON. ..•Td a R �{ 111•- ,EES., `��4 rY� �.-: NORTH FLORIDA NEON, C. s Ml 45.00 ; F 4,6 a w °x�tv M" NOTICE- I'. PECTiONS MUST BE REQUESTED AT LEAST 24 HOURS IOR To IN ECTION BUILDING MATERIAL, R,1 BISH AND.DA UP IS FROMTHIS WORK�MUST N E PLACED I UBLIC SPACE,AND MUST BE CLEARED RULED EITHER CONTRAC R01/,VNER; "FAILURE TO COMPLY WI THE NS T LIN SULT IN THE PROPERTY OWNER PAYING 13 I TS" ISSUED ACCORDING TO APPROVED PLANS WHIC OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. MptCW: no 1MiN11022fiM 6DIMG 1 $6.00 ATLANTIC BEACH UILDING DE 483171. BLVD M cow 3we so-so 1'cars da.a: &M/02 Tim: 10:13:56 2002-2003 OCCUPATIONAL LICENSE TAX LYNWOOD ROBERTS OFFICE OF THE TAX COLLECTOR CITY OF JACKSONVILLE and/or COUNTY OF DUVAL, FLORIDA III EAST POPISYTN geR![T POOM 130, JACKSONVILLE, PL 19?02 r'NONg (1041470-?010 PAX i1047sj0•t477 Neri A ilnalt I P dIW1 f0 keepthis f-Canse ••hibi110 COnsPIcuOusly 41 your ettablilrtlnenl Or place of businlls. This li01nei IS "Alshed In ItulillsnCl 01 chapter 770.771 C!1y or Ol,enCe Ccae%. ROGERS AIR CARE SlRVICR INC 04 RICHARD 0 ROOERS, PRE: 20 HAWORTH AV JACKSONVILLI, FL 39710.9291 ACCOUNX Q�96070000-6 LOCATION ADDRESS: 20 HAWORTH AV 32216-9231 DESCRIPTION, CONTRACTOR, ALL TYPES County License Code: 770.307-001 County Tax: 2 Munlclpal License Code, 772.309 Municipal Tax: 36$36. 5 �5 Total Tax Paid: $47.50 VALID FROM OCTOBER 1, 2002 TO SEPTEMBER 30, 2003 RCPT# 001/63/9148/0026/08162002 DATE: 8/15/2002 AMT: $47.50 ATTENTION "'The Following Construction Contractors Require Additional Licensure'" ALARM POOL ALUMINUM/VINYL RESIDENTIAL BUILDING ROOFING ELECTRICAL SHEET METAL SOLAR MECHANICAL PLUMBING IRRIGATION GENERAL CARPENTRY WATER TREATMENT UNDERGROUND UTILITY HEATING AIR CONDITIONING REFRIGERATION Th's Is am Occupational license tote Mr. It data not permit this license* to v;olol4 any 69:61."o regulatory O/ lonin0 !awl of he County Or city, Nor does it 1Mernpt the 1101na1e from *my other Iiclnal or permit required by low, This It nog a Certification of the IINnaN's qu*Illic*t10e. dgy-Ad� TAX COLLECTOR TNIC RCPAMce A DeNe1DT %$At /rk..1^„ b0 'd 0£SZVZLV06 3N"O IIIb saafl a Wd Z£: b0 ZO—ZZ-91111 2002-2003 OCCUPATIONAL LICENSE TAX LYNWOOD ROBERTS OFFICE OF THE TAX COLLECTOR CITY OF JACKSONVILLE and/or COUNTY F 771 EAST ►QRSyjn $jR$Icj ROOM 130, JACK$ONVII.Le, ►L 3!702 PMO E; a904)430-2040OAFLORIDA e1030 te3I Noa A penalty Ie impoeed for /s1Nre 10 keep this l7Plnp lxhlenl0 eonspleuoualy you► let FAX (00 1 or piece of Dt uneu. Tgla ncenee la furnlehed In pwluanoe of Chapter 770.772 City Or01eM0/ Code. ROOIRS AIR CAME $IRVICj INC 04 RICHARD D ROOER$, png$ 20 HAWORTH AV JACKSONVILLK, 'L 22219-9221 ACCFUNT, N � 'eC1rf+a000-Z } LOCATION ADDRESS: 20 HAWORTH AV 32216-9231 DESCRIPTION: PUBLIC SERVICE OR REPAIR, NOT SPEC County Llcenss Code: 770.323-079 County Tax: MuniCipal License Code: 772.326 MunlCiPal Tax: SI3-75 $36,25 Total Tax Paid: $50.00 VALID FROM OCTOBER 1 , I002 TO SEPTEMBER 30, 2003 RCPT# : 001/63/9148/0027/08162002 DATE: 8/15/2002 AMT: $50.00 ATTENTION "'The Following Construction Contractors Require Additional Licensuree'" ALARM POOL ALUMINUM/VINYL RESIDENTIAL BUILDING ROOFING ELECTRICAL SHEET METAL SOLAR MECHANICAL PLUMBING IRRIGATION GENERAL CARPENTRY WATER TREATMENT UNDERGROUND UTILITY HEATING AIR CONDITIONING REFRIGERATION Thll Il In occupational license tax only. It cool not permit the licensee le Vieille My exiNlne regulatoryor Janine 18w0 0f the County er C.ty. hot eon It exempt the lleenlee from any olner liCenea Of permil rlOulrld by law, This Is not a cerlificellen of the tleeneel's auelifoellon. TAXA COLLECTOR £0 'd 0£SZbZLv06• 3dti� dIV Sd300d wd Z2: v6 ze—zz—anti .•i..... I�,... _ _ A•COM CERTIFICATE OF LIABILITY INSURAi4—d-k Ri, L '°po J2`, 1 THIS CERTIFICATE IS ISSUED AS A A INPOR11.TION� Librate IAS, 4 sanding, Inc. ONLY AND CONFERS NORIGMTBUPONTHECERT�gCAfE ` NXTRNO OR 1301 Riverplace Blvd S#2255 ALTEA TN!OVERAOE AFFO DLDER.THIS C ERTIFICArz ! AYTTMC POUOI! 8lLOW. Jacksonville EZ 32207 lboDe:904-396-6440 lax;904-399-1914 INSURERS AFFORDING COVERAGR ASSUralel inaurane0 C ea - as�PEP Hartford IDs.Co Of southeast .---._., ...___.. QQez Air Car s zviaes Inc. ---- _—____— L On LOW Ric at Ropers .Su;ERC —.._.•.. __._... D aT102t '6V v41 .VIIALR r —- -- -- ..--- - -- .--- -- Jac aoavi.ls BL 62216 n COVERAGES THE POLCIE&Or INSURANCE U6TEC 9ELOW HAVE BEEN ISSUE01'O THE INSUREO NAMED ABOVE FOR TAE POLICY VERIOD WGCATEO NOTVVITNSTMfOWG ANY RErJulNWENT.TERIJ OR COMO-ION OF My CONTRACT DR CTNER DOCUMENT WI*7H RESPECT TO WFR;w TrILr CEgTiiICATE MAY BE I TWIT OR POOVAY CIES AC-THE I IJ R046LIMITS WORP49WN ABY THE POl:C1E5 DES'RIBED AERMN IS SUBJECT TOALL THE TERMS.EXCLJS•ONS'M!D CONO'T,ONSOF SuC•1 POLICIES AGGREGATE LIMITS SHOyyN MA'WLVE SEEN REDUCED By PAID GLAINIG. 1. TYPE Of II'NURANL•EI ►OL1t5 LIMITS NUMBER Mvl70E/V •i OA �D6Nv •-'III—= - - GBNBNALLAYYTY µ+ +r A XJ f?REM'z 6890000 02/15/021 02/15/03 F ec 'r.ctl ,.�.r•. 130_0_000 �.. r., X' a n rr mi!10000 X 8:60 Prope600000 . -- Caaa�! Deductibles EF•IE6 .a}, l:o_E _ 1000000 IS F[ •,E, .-ArtLIE,FEF _.� 1-1000000,. (MILE 1.1,4151tir' Aivi 4-Tej i 'IA,ae•kP 9ria2i.l•. r E I E::SEC ' i � • cr'.MI ' J E:ALT 1p — P C t irl„BJP. I f�.� .-.._._.__._........,.____ _.,..._... G,WAO!LAYy Tr ,�� I�Ar a,:,,Jrrti 1 AtJTd:SNL`•E3 A., j 9 W169LIAMLm AN, s �.�N L,r.=uFFtro:E I F- I +C-)Ff•}ATE [ ., ...,. ... -f t•.T LN WGRKERB COMPENSATION A40 W"ALk �_219PiC011►1024 02/14/02 02/14/01t_':.:rEE !100000 OTHIR •ir.t' VS00000 i G(iW:'fVrpNCrCPBRRPOhIAOCAi'NNs•YlIMc.Y/rD+GLAI=NIAOCiuBriNGOR*S*IsPBCIAL+RGVNIGNs I CERTIFICATE HOLOIR �p�AWrIC.A,NUAW,INYUROP LBT*iq'. CANCELLATION -1 ATzmo2 IINOLA.O ANY OF THE AB;Yi DEM;AelO PCLICIEI W f,WegLLI0/SPORE t i EIrPyT ON DAlr-T1 EREOf.Tart IIs JINa tNBLRE4 WLL INDEAVORTC VAILDM7 City Of AC1lat1C B080A __ ATU'TENNWICIrO�IiI;rvR ICATiHOLOERNANiOTOTNELIFT,BUFFALLVWcTq,0Y0IHAL fax L I f1� - 2424 i Lon7-5105 ZI9041,119IVPOK hO OBLIGATI:%0R-ABILITY OI AW KIN3 ON TNI NEAL ITO AOEtlTI OR 600 Bepiihois Roa4t REPAZIENTATIYE6. Atlantic Beach M 32233 AWIN R;gEYENT T yB �i ACORD 26.8(719f) 97 • PORAT 1laE ZO •d O£SZbZLb06 3;HV3 21It1 S213f)od Wd T£: bO ZO-ZZ-nnv "G 0 4 9 3 4 2 2 STATE OF FLORIDA DISPARTMENT OF BUSINESS AND PROFESSIONAL REpULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEOSL02071600310! . j The CLASS B AIR CONDITIONING CONTRACTOR Named below 19 CERTIFISO Under the provisions of Chater 489 FS. Expiration dater AUG 31, 20$4 R00 R8, RICFJM DOUGLAS 836 RBASCOM ROADS=RVIC89 INC JACKSONVILLE FL 32216 00V BUBBRN0 DISPLAY AS RIX BINXLBY-$EYRR 04YRE�ytRED BY LAW SECRETARY T9 -d 0£SZ1yZLb06 32100 21I0 S2139021 Wd 1£= b0 Z9-ZZ-onv 08/23/2002 08:14 9042826352 HOFFMANN PLUMBING PAGE 02 I' 00 N a Fi' woo ccaj1h,,. 02, coz A14 y FiARID 5 o L a� tri OX , in } to Ft. f�yyfl uv (h fa N or CA bull i ' O 4 :U7% A „ odt' 4.0 Uri r Q r 08/23/2002 08:14 9042826352 HOFFMANN PLUMBING PAGE 01 Ph. (904)282-94 HOFFMANN PLUMBING, INC. Fax(904)28263 P.O. Box 65070 Orange Park,FL 32065 State Certified CFCO 43065 I FAX TRANSMITTAL COVER SHEET DATE: ll TO: Irl�l�wt� . FROM: SUBJE 99- NUMBE OF PAGES INCLUDING COVER SHEET: 91 s "Where Quality Never Goes Out of Style" AD AMERICA 73 8679 W BEAVERSTPH..9904-781-Mo ° , ( 4'O 4591 JACKSONVILLE,FL 32220 x PAY RREB BY THE ORDER OF- OR DOLLARS Fl UNION NA710NAL BANK t ORANGE PARK,FL FOR • �� j��J / 1+' A► 000000ti000�4, JAL � &O'L �y/U2 (AQP" , ro CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach,FL 32233-Tel: 247-3826-Fax:247-5877 ELECTRICAL PERMIT P #ilI'1 IF MA LQ 1I1FO . '. Permit Number. 24669 Address: 403 ATLANTIC BOULEVARD Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: INCREASE Township: Range: Book: Proposed Use: RETAIL STORE Lot(s): Block: Section: Square Feet: Subdivision: SALTAIR Est Value: Parcel Number. Improv. Cost: Date Issued: 8119/2002 Name: RADIOSHACK CORPORATION Total Fees: 50.00 Address: 300 W. THIRD ST., SUITE 800 Amount Paid: 50.00 - - FT. WORTH, TEXAS 76102 Date Paid: 8119/2002 P 13-3544 Work Desc: ESS 1 50AMPS 4W2 8 S I ESI E z :f CREWS ELECTRICAL CO C G INA 50.00 lox �§ s -Il .y' r. .s NOTICE- IN ECTIONS . USf BE REQUESTED AT LEAST 24 HOU RIOR T SPECTION BUILDING MATERIAL, BBISH AN&IDEBRIS FROM THIS WORK MUST N E PLACED I , UBL1C SPACE,AND MUST BE CLEARED UP ANR HAULED I.VAY BY EITHER CONTRACTO QWNER "FAILURE TO COMPLY " . HE IAN S L ULT IN THE PROPERTY OWNER PAYING G' t B L ! " ISSUED ACCORDING TO APPROVED PLANS 1S PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. s 9nnrr a M oc nom: i t LDI Pt .o: M.04 ATLANTIC BEACH B LDIN EPT. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 44 PERMtT::INFORMATIQN . `. . s .: LO / TtON:fCUFOftMATtON " Permit Number: 24686 Address: 403 ATLANTIC BOULEVARD Permit Type: SIGN ATLANTIC BEACH, FLORIDA 32233 Class of Work: SIGN Township: Range: Book: Proposed Use: RETAIL STORE Lot(s): Block: Section: Square Feet: Subdivision: SALTAIR Est. Value: Parcel Number: Improv. Cost: 1NFORMAT[0I Date Issued: 8/21/2002 Name: RADIOSHACK CORPORATION Total Fees: 45.00 300 W. THIRD ST., SUITE 800 Amount Paid: 45.00 WORTH, TEXAS 76102 Date Paid: 8/21/2002 ` P 817 .3544 Work Desc. INSTALL PY , 1:0 FT SI . NORTH FLORIDA NEONNFEES 45.00 . n PERMIT z m � F A P NOTICE- I PECTIONS`MUST BE REQUESTED AT LEAST 24 HOURS IOR TO IN ECTION BUILDING MATERIAL, R ,BISH ANDD IS FROM THIS WORK MUST N E PLACED I , UBLIC SPACE,AND MUST BE CLEARED UP ANIS AULED, EITHER GONTRAC NER , FAILURE TO COMPLY WIC" THE NSISULT IN THE PROPERTY OWNER PAYING D I R TS.. ISSUED ACCORDING TO APPROVED PLANS WHIC C)F THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. OPa: IIBNIfl Type: OC kawr: I trete: arnra b bixipt w: ss 0 i� PMM111MILDING 1 $6.0 ATLANTIC BEACH UILDING DE 483 AU Ke CK CEM 3104 $0.01 Tryee dk&. SM/02 Tiee: if:13.. 506 City Of Aflantij, Beacb wilding and ZOrling City of Atlantic Reach• 800 Seminole Road - Atlantic Beach,Floridn 32733-5445 Phone: (904)247-5800- FAX (904)247-5805- http://www/ei.atiantic-beachx.us APPLICATION FOR SIGN PERMIT Cf)vl -5 14 1'oru A(. 5 A — / a-- - - 30 APPLICANT /'Ndb-1 1 t9 - L— NDTE CO,-)I -:j�c- , , I STREET ADDRESS 9f Ia-0 q,7 pi r SUITE NUMBER PROPEWJ,'Y APX1RAISRR'S REAL ESTATE NUMBER ("1 703 0000- BLOCK# LOT# ZONING DISTRICTELECTRICAL PERMIT�OUIRED: [�Jws- (DNO *ELECTRICAL CONTRACTOR 3e-CL,� 6. CJ55OLL 3Z TYPE OF SIGN AND METHOD OF CONSTRi71�N -,., 'ex h�L aud f4a V DIMENSIONS AND TOTAL SQUARE FOOTAGE OF SIGN - /00 Signs over rafty(50) square 1;&d in am and/or seventeen (17)feet in height,or any size weighing more than one thousand(1000)pounds sbaU be subsuitted with drawings from a registered engineer. Signs with an area greater than thirty(30)square tea shell be constructed to withstand mWmum wind loads of thirty-five(35)pounds per square foot. Drawings shall also demonstrate that the support structure of the sign is adequate to support the weight of the sign. PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION. 1. Site plan showing location of proposed sign(s),and all dimensions including height and setbacks from property line Or right-of-way for freestanding signs. 2. Linear frontage of office business or storefront,or entire building,as appropriate. 3. Owner's Authorization form if applicant is other than property owner. 4. Other information as may be required by Cbapter 17 of the City of Atlantic Beach Municipal Code. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. Signature of ow er or authorized 2gCOt- SIGNA111RE J AcfllolAs, Nle PRINT NAMZ zim/;��A- ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICA-PON (P ASE PRINT) NAME Hffla DiL /15en / �JDL6� FZ912L4 4481-1)11-9 MAILINGADDRESS as PHONE -7-729 619 JFAX_J0 Q a E-MAIL PETRA MANAGEMENT, INC. T'� �so� Licensed Real Estate Broker Property Management o Leasing o Sales P. O. Box 330448 Phone: (904) 241-1151 �� AtlanticBeach, FL 32233-0448 FAX: (904) 241-0678 A CORNEttSTONE O LETTER OF AUTHORIZATION To Whom It May Concern: This letter authorizes North Florida Neon, Inc. (or their Agents or Sub-Contractors)to act as Agent to secure permits or variances as may be required by the local governing body, and to perform sign installation, removal, and/or maintenance at the property located at 403 Atlantic Blvd.,Atlantic Beach,FL 32233. Mary F. F 1 Agent for 403 NTIC BLVD.,INC. State of Florida County of Duval Sworn to and subscribed before me thisAW-k day of July, 2002. Notary Seal: 4 = MY roMMISSIO�Nh meson yDecember t$1oo5 OMS Somm THRU TROY FAIN WS E RNC CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATIOIY -Permit Number: 24633 Address: 403 ATLANTIC BOULEVARD Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: 10 Proposed Use: COMMERCIAL Lot(s):857-858 Block: Section:3 Square Feet: Subdivision: SALTAIR SECTION NO 3 Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION _J Date Issued: 8113/2002 Name: 403 ATLANTIC BLVD., INC. Total Fees: 105.00 s: 403 ATLANTIC BOULEVARD Amount Paid: 105.00 NTIC BEACH, FL 32233 Date Paid: 8/13/2002 Work Desc: INSTALL HV CONTRACT Alrll-IRT.�N FEES M & R A/C INC. 106.00 N t JAM NOTICE- SPECTIOft OUST , BE REQUESTED AT LEAST 24 HOURS IOR TO IN ECTION BUILDING MATERIAL, BISH AND RIS FROM THIS WORK MUST N E PLACED I UBLIC SPACE, AND MUST BE CLEARED UP A .HAULED Y EITHER CONTRACT OWNER "FAILURE TO COMPLY W HE NS "tic Sir L 4 SULT IN THE '13 PROPERTY OWNER PAYING 'S TISSUED ACCORDING TO APPROVED PLANS WHI THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. is 1101ksvw: I $115illAI2 of M-p0t C no: $1259 AT0Nr1C�—BE—ACqBUILDIN!�<— 14 MEMMMM $105.40 46 ATL BLO C1 MW 13869 $145.46 Tftw. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. I. Street Address: �/O.? t—�L,�ia,•T1— / - - yp LOCATION OF Intersecting Streets.Between And BUILDING Sub-division H. INDENTIFICATION—To be completed by all applicants. In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accorda ordinances and standards of good practice listed therein. nce with the City peAtlantic Beach Name of Mechanical Contractors Contractor Print) G Master j 3 Name of Property Owner Q S' Signature of Owner Signature of Or Authorized A ent Architect or En ineer III. GENERAL INF RMATION A TY of heating fuel: B Electric IS OTHER CONSTRUCTION BEING DONE ON THIS O Gas: _LP _Natural _Central Utility BUILDING OR SITE? 0 Oil D Other–Specify IF YES,GIVE NUMBER OF CONSTRUCTION IV. PERMIT MECHANICAL EQUIPMENT TO BE NATURE OZ:WORK INSTALLED 0 Residential or Commercial (Provide complete list of components on back of this form) New Building Heat Space _Recessed �entrat _Floor –/ Existing Building ®` Air Conditioning: Room— ® Replacement of existing system enhal C Duct System: Material > New Installation(No system previously installed) Thickness 0 Extension or add-on to existing system O Refrigeration Maximum ppacity cfm Cl Other- Specify 0 Cooling tower. Capacity rm 0 kl Fire sprinklers: Number of heads 0 Elevator: _ Manlift_Escalator (Number) THIS SPACE FOR OFFICE.USE ONLY O Gasoline pumps (Number) (Received) 0" Tanks (Number) Cl LPG containers (Number) Remarks O Unfired pressure vessel D Boilers Permit Approved by Date O Other–Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving PP g 3 Tansl A enc fJ HEATING–FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Pa tY Approving TU) Agency ...r) o TANKS How Many Nominal Capacity Type Liquid Name of w'. And Dimensions Sepal Approving Contained Manufacturer No. A,encu V l Co t/L- CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Yl - 20&L IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER E CTRICIAN SIGNATURE: �Alo(';�'0-19 l5Lec1' � OWNERS NAME: ��C� 5��tL l� ADDRE SS/�/G A-fLAN �� 'Q BOX �CP 0�'JIG BLDG. SIZE BETWEEN: J RES.( ) APT.( ) COMM.(�UBLIC( ) INDUS.( ) NEW( OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ,FT, SERVICE: NEW INCREASE(. IALUM.( PA CONDUCTOR SIZE b MPS: COPPER( FEES SWITCH OR BREAKER G`� AMPS PH VOLT RACEWAY �S EXIST. SERV. SIZE IAC) AMPS PH 3 W ivZ RACEWAY 'Z�s FEEDERS NO. SIZE NO. SIZE NO. SIZE L LIGHTING OUTLETS CONCEALED OPEN EALTOTALRECEPTACLES CONCEALED OPEN SWITCHES 0.30AMPS 31.100 AMPS INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600V OVER 600V NO. KVA NO. KVA NO-NEON TRANSF. NO VA MA MOTOR SIZE SWITCH FLASHERS EACH SIGN _--' Updated 5/20/2002 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233- Tel: 247-5826 - Fax:247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24530 Address: 403 ATLANTIC BOULEVARD - Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: RETAIL STORE Lot(s): Block: Section: Square Feet: Subdivision: SALTAIR Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 7/24/2002 Name: RADIOSHACK CORPORATION Total Fees: 25.00 Address: 300 W. THIRD.ST., SUITE 800 Amount Paid: 25;00 FT. WORTH, TEXAS 76102 Date Paid: 7/24/2002 Ph a 817 413-3544 Work Desc: MISC. ELECTRICAL REP M^ m CONTRACTORS � � R''� ��'.� 'CATION FEES CREWS ELECTRICAL CONTRAC 25.00 3� Ilk f a : '* iu err �,. wair ' ,'• m � �¢� ��+' ,. ��,r �. flr•y:"'�� ,as e�.ak.*� �� Y �,e s>��ir �"� 21 Oag �, v7'�, A� - z NOTICE IIVA SI �EA 4 N a ' BUILDINGMATERIAL;� �.�� k��" ^' .� �� `�'��`~ � ,,� � SPACE,AND* MUST BE CLEARED UP t!T ' y�F3'`t��'��t ° � 'r„"3 .q%ay��5 f�• +�'�n�"�"'9mr',a�k � t`� !t r»"� '% .��" "FAILURE TO COMPL THE PROPERTY OWNER ISSUED ACCORDING TO APPROVE � � FOR VIOLATION OF APPLICABLE PRO V . ; " SUBJECT TO REVOCATION Open: D511TI Type: OC Drawer: 1 late: 7/25/i2 01 Receipt no: 76329 1 W 600 Ci22Ui0 iLDIIG 1 $25.68 ATLANTIC BEAC BUILD' PT. 403 ATLAITIC BLVD CK CEMS 1399 $25.08 ffsi d6gi. 1/25/02 Time: 9:06:11 V CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR 19LE=W1CAIL 01& Mff TO THE CHIEF ELft"MWAL IftlPftMot; QATL- WOOSTAW MOTICI. IN RATION OF HERESY AGREE To P RMRM SAID WORIKEIN�ACCOR MCF WITH THE ArrACH DESCRIBED RF'LANS AND SpEmFW 1y1C1 M WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH"THE 9LECT'RICAL REGULATIONS,CODES AND Cr'IY OF ATLANTIC,BEACH OR INAMCE*•r. 4v 3 dila CA Ngplb R MAN/ C"R�Gt,'s t e.e cies: RE&I I P Art.( COMIW(t- PUBLIC( imms.11 'Allow l I *LA I ) REW.11 AOLNTION I I TRAIL *I ) Tow.( ) MGM ( ) s(L FT. XERVIM, NEW I ) I001eE4a I ) REPAIR( ? itIEE CMDQcnw xi g `G' AMM CWftR( r mmmf�s-m AWS 1 P►i Y mmy. AIY�3 / m w 2� p 7 W RACE'YIEA4' I:Etp�11R5 MIX 5129 NO. 312E AIO. Siem UGMTilwlti OUTUM COlIIC1eA#.Sp CPllil TOTAL, RECI6!'!ACLESt CONpCEALED OP" TY?TAL fLL10RiNT#M.V. a 0.100 Afrwr, awwAs Arft4ANC" SGA.TRANi1�. AIR M.F.1U1TI1�IC,f N.P.RATING CQNOITIypFI1NC COMP.MOTOR OTHUR MOTORS AA" L"IIIAT: KwMHEAT a� MOTORS M.R. I VOLTAGE Pile; NeT. w; VOLTAfTL PMS YR/NM$FORIYEii�' UNDER 41=V. QYCR sm V. NO. KVA NO. KVA NO.NEON TAANSF. NO. VA. MA, MOTOR 311E 11WITCH PLASHER EJ1iSf 0ON FORWARDID s - 'mTAi.PRIM JUN-26-2002 WED 03, 19 PM MEAD CONSTRUCTION INC FAX NO. 3212553921 P, 02 1 ,nk�? City Of Atlantic Beach 3. Building and Zoning CRY of Atlantic Reach • $00 Seminole Roud Atlantic Beach,klorida 32233.5445 Phone: (904)147-5800 YAX (904)247-5805 - http./�*ww/ci.atlantic.beaeb.n.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY(DUPl,RX)CONSTRUCTION (INCLUDING NEW CONSTRUCTION,REMODEL, ADOrrIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE 06µ26-02 JOH ADDRESS RadioShack Stare #01-8874, 403 Atlantic Blvd.. Atlantic Bch., X223 APPLICA:► T RadioShack Co ration AnDItLBS 300 Wl.Worth, rd Sty, Ste 800 - PHONE: 817-4 L3544 F't. Worth,, 2 TX 76101� 21 29 g SAT LEGAL DESCRIPTION: BLOCK Num'axa 101'Tgal L1�TNVi�73k�855�$5�LZZlF�1S�ltIC't� 855 TO 858 CONTRACTOR MraaA [�nnci-ra r�i nn __ r STAI'k LICENSE NUMBER ADDRESS 1301 W. Eau Gallie Blvd., Ste. 1� 00 PHONE 32L-155-3920 CITY t+ lbourne 5ztj.rE FL 32935 .X _ _ 321-255-3921 DESCRIBE PROPOSED USE AND WORK TO BE DONE Interna, Fit—up PRESENT USE OF LAND OR BUILDINC(S) Retail Y VALUATION OF PROPOSED CONSTRUCTION 4 $58,494 Is this an addition? 25ta if yes, what arc the 1IM-Mioos of the added space Will the added area be heated and caolcd? n/a —,fort foot _. '__. .., .. •— y �, ice? _ _ Now electrical or increase to s��ry New piurnbing fixtures? eB ' .� .... __._._._ New Gireplueo'. Cl/cl New hdatinv/air,,utulitiouitag? Is approval or Homeowner's Association or other private entity requued? —...Ilp Ifyes, picric submit with this application. WILL TUIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE CRADE OR ANY USE OF FILL MATERIAL? p1("NO. Applicant certifles that no change in Ate grade or fill,ttsaterial will be used on otic project. YES. Ste Step 2 below. Approval Ortho Public Works Department is required prior to issuance of a building Permit, PROCEDURE., (In order .to expedite :issuance of perauts, please follow all steps Ad prttv_ideAl infortx>aLioa as stiprc►priAte.) STEP 1. Verity zoning designation and proper sctbocks for the proposed construction. it you are unsure of this Information,pls�uu conuct the Plunning aeld 'Zoning Department at 904.247.5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number uvajlable. S f EP 2, CuntaCt the City of Atlantic Beach Depettrttcnt or Pubiic Works to detctmine if a pre-constriction or survey or grading plsn is required. (if not tcquircci, writtan verification must be provided µ11h this applicatoinn 'lhen topographical Public Waics iy Ivcated ant 12+00 Sandpiper 4one.Atluntic Brach,FL 322,3;3 Tcicphonc:(904)247-5834 DcparGttent of wt writ STEP 3. Please submit 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 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 property 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. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT AL FORMA ION PROVID D WITH THIS APPLICATION IS CORRECT. f SIGNATURE OF OWNER DATE S ( O 2 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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. THE 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 CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS PHONE FAX E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF t STATE OF FLORIDA,COUNTY OF DUVAL j 7 NOTARY'S SIGNA C.{�1 AS TO OWNER: �ersonally known p• r'r Patricia Amonett@ ❑ Produced identification MV COMMISSION# CC947012 EXPIRES Type of identification produced ' .. August 27,2004 AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 6/18/02 ,JUN-26-2002 WED 03:21 PM hIE,)0 CONSTRUCTION INC FR. NO� 3212553921 P, 03 S"YE1';t. Please submit R,ncrgy"t FOnns,heck.cc Cho ng which ch is Joeced a theoAdnntdavit ic 8clfowrier is ac City lfcl contractor,Rt}l1 5cm sole Road.Atlantic COMPICtc acts of construction plans to the B'sildiag ep Beach.Fl. 32233 `t'otophonat(904)247.5826 In oddilicm to eonsrruetion and uaginocring dctail, plans mwU contain the following infomution as ;,ppt'opriate ibr the typo of work being parformcd, time of drawings should be sutTCcicnt to depict all toquired information in a cion and legible rnanner, I. Cutrvat:uryey allowing the»mperty boundary with bearings and distances and the IcKul dcscriptlicM 2, ?.,,cation of all st uc:tures,tomportt y and pernxmnnt, including setbacks,building height,number of stories and square footage. Identify any existing stntctures and uses, 3. Existing=&or proposed driveways 4. if roquired by the DepaOf Public Worira,a pre-coasmiction topographical survey. ra�tcttt S. Any tignificati 0hvirontncntal features,including any jutisdict cool wetlands,CCCL,rtaturn!water Dodlcs 6, lmpervious sur(Ace area Calculations. (Swimming pools may ba excluded from total(oopervious Surface,) 7. Other infum 2iun U trtay be opptvpriao ror individual applicu:ions. (S .Ryr�Y CXIkTll•'y'3HAT A 1NN¢ s�TION PROVIDED WITH T141S APPLICATION IS COR CrL+ ;;IGNA TURF Of 01�NE1R `+� S«,� e"- T- 0:�• toti ► #Ack COOP- 1 HgRFBV CigWrIFY TjLVT 1 IiAVX K AD AND FXAMIN9D THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF TRE L,&WS AIND ORDINANCES GOVERNING THIS TWE OF WORK WILL BE COMI'LMD WITH.WHETHER SPECIFIED HlJJUN OR NOT. TI1E GRANTING OF A PE1011T DOES NOT PRESUME TO GIVE AUTHORPC'Y TO VIOLATE OR CANCISI.TIIK PROVISIONS OF ANY FEDF Al..,STATE OR LOCAL RULES, REGULATIONS,ORIANA.NCE5,OR LAWN IN ANY MANINFR,INCLUDING TIER GOVERNING Of CONSTRUCTION OR THE PLc RFOIZ.v1ANC'F.OF CONSTRUCTION OF TIIE PROPRWrY. I tfNDMTA1vt1J THAT TIIE ISSUANCIE OFTUIS PLrlk l*'IS CONTING9NT'UP'0N TIIIt ABOVE f,Nk'ORMATION gd'ING *CRUX M1A CORRECT' AND THAT Tilt, PLANS AND SUPPORTING DATA HAVE BEEN OR SUALL BE PROVIDED AS RKQLIVIZD SIGNA'T'URE OF CON TRAr;.Uta ADlnOY S AND CONTACT INFORMA711ON OF PEIL5UN TO RECEIVE AILX, rORRESPONOCNCE REGARDING THIS APPLICA'nON (PLEASE PPIN'I) NAME---.w. _.__._.. Mead Constrctiotx„j Irac. ByronD. Mead -- MAEUNG ADDRESS— 1301 W. Eau Gallie Blvd.,_Ste._.._1� Melbot� A7 5 I'I14NE___ 21— 55-392(L FAX-. 31— S--3921- E-1► ML, a --r lcct.�iorl.CCM S'W'ORN AND SUBSCRI$ED BEFORE ME THIS X69„1-ei -- DAY OF S-1-ATF,OF FLORMA,CO(JNTY OF DUVAL ,0TARY'S SIGNATURE AS 70 O WNRR, 6 rsunally ktaown UU y] Produced identification Type of identification produced AS'T O CONTRACTOR: �Personally known r 7 Produced idcrtdfacation Typc cf ideatittcadon. oduced _.... NtARY J.GONZALl:S � snwo2 Lvw'�7 q T mrrmr.h.r1y 25.2003 CINDY MALLOY Notary Public,Stade of Florida My comm.exp. Oct.27,,2004 Comm. No. CC 976798 CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24619 Address: 403 ATLANTIC BOULEVARD Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: RETAIL STORE Lot(s): Block: Section: Square Feet: Subdivision: SALTAIR Est.Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 8/08/2002 Name: RADIOSHACK CORPORATION Total Fees: 25.00 300 W. THIRD ST., SUITE 800 Amount Paid: 25.00 ""F WORTH, TEXAS 76102 Date Paid: 8/08/2002 _ 1 3544 ---- Work Desc: INSTALL DU CONTRACT " A - LiC_ N FEES 257RAY WILLIAMS SHEET AL 1N Y 25.00 " 40 r ` , 4 _ k s NOTICE-`1 ' PECTIO ST BE REQUESTED AT LEAST 24 HOURS AOR TO 1 ECTION BUILDING MATERIAL, ^ BISH AND RIS.FROM THIS WORK MUSTE PLACED UBLIC SPACE,AND MUST BE CLEARED UP A HAULS EITHER CONTRAC NER "FAILURE TO COMPLY ,,HENS = T ."L N A SULT IN THE PROPERTY OWNER PAYING I S" ISSUED ACCORDING TO APPROVED PLANS WHI F THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. .-Offf91l11 1'ge: ®C fes: 1 C . P r. >N ATLANTIC BEACH BU DING T. 116111 2amw Q111% x tlf,'111 X316 IQS,�1 Tom; 13.Zg.?3 P. 2 Uq 55 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC 8F,AC1A. FLORIDA 32273 APPLICATION FOR MECHANICAL PERMIT WORTANT—Applicant to t:om tete all iterns in sections E. IT. III, and IV. 1. stratzAddrcss:403 Atlantic B Bch Fl 32223 LOCATION OF 1Qtec3actia&Strt `s:Betwecn Sherr d And Atlantic BUILDING Sub-division tore #01 -8874 11. INDENTIFICATION,To be com (ett:d b all a lieattts. Ln considerstwn of pattut given for doing,the work as dese,•ribed to the abovo statentcut we hereby agree to pertbrm said work in accordance with the attached plans and specitdcations which are a putt hen of and in accordance with the City ofAdantic Cb ordinances and ilandanls of wood pe2etice listed thtroin. Namu of Mechanical R.W.S.M. Co. Inc.1 Contractors Contractor(Print) Master Name of Ptoperry Owner Radio Shack Corporation Signature o(oSignature of Or Auehorizcd Aeclu Architect or En. 'neer Ill. GENERAL INFORMATION A. .Type of betting Net: B. O Electric IS OTHER CONSTRUCTION BEING DONE ON THIS ❑ Gas: LP Natural Ccutral Utility wiLDLNG Oft SITE. Ye s ❑ Oil Cl Oder—Specify IF YES,GIVE NUMBER OF CONSTRUCTION Psrwrr Iv MECHANICAL EQULPNIENT TO BE K.kTURIL OF WORK O Residential or —2L Commercial INSTALLED 0 New Building (Provide complete list of components on back of this form) Z Existing Building ❑ Hent —Space _Rtrcttanl _Centtnl —PI" (X Replacement of existing system O Air Conduionieg: Room Ceou-410 New lastalintion(�to system previmaly installed) �l Duct Sy3tem: Material Thie..kttessr�_ CX Extension,or add-00 to existing system Maximum capoo, QQ QEF t' Q Other• Spa ily O �t1'Lteration 4 Cooling tower Capacity cpm ❑ Fire sprinklers.' Number of bads 'tHiSSFACH FOR OMFICk USI,Oj-4LY ❑ Elevawr: _ ManiiltEscalator (Nutttba) (Received) O Qualinc pumps ..� (Numbw) ❑ Tanks (Number) Remarks O LPG containers (Number) O Unfired pressure vessel Permit Approved by Datc BoilersSheet Metal Duct— W1 uct W Qlhir—J,pr 'ly L rl L Pct-tnit Fee LIST ALL F UIPNIENT AIR CONDIVOWNG AND REFRIGERATION CQULPMFA4 T' Number Units Description ModaiNumba Manufacturcr Capacity Approving ons Avenc MATING—FURNACES,BO(LERLS,FLREPLACES Number Uoits Description Model Yumbcr Manufacroxv Capacity Approving /DTTP A enev TANKS How Many Numinal Capacity Type Liquid Name of Sial Approving And Dimensions Contained Manuthemmr No. q enev Ray Williams Sheet Metal Co. , Inc. �' . N1fN. RETURN v- r. Cz PHONE# r,�nn i.rn f LMtNOIL/OnµeD{ NOTICE- OF CO«,1,4ENC:-ME-N 1 ' Na•.at M .Veil�we er State of Florida Boo IKAGF -1 County of Tho urtd.rsipned hereby Inlo,mo oil coneerr%#d that Irnprova rnetilt n accordance with section 717.13 of Itis Norld. Vialutt.{, 114a�1 Ilowlnp inform&tttion�Is statedInIIn 1hi. NOTICE OF COMMENCEMENT. Description of ,tsg. ....."AP,c°SS... a A* 2 .................... Oenaral d scilpUon of Improvem►nls .....{?.(�I V �?`?!= vie.Q {..,�(,,1QM1M�is ........... ............................... ............................................... Add,•.i✓ ^-...1M.....3Q°.5 :.......J. J ........ ...�"!.Qr` `. T......[.�f ....................... Owner'i intsrset In site of th+ Imorovement ..V4�.t��.��....h !+'.''... ...Pt4La/iLtSrJ............................ Fee simple T uo holder [if other than owner) !,'e ms t'3....4. th'1.J.if4; '.KV.J-Toy, .. Address . ...33 .......... �lT` .... �...... ?. 3 ......................... 449 tyaCtor...MejI-�,.. coli-S f-APN.. ................................................. burtlySllanyJ .........1. �t•t............................................................................................. .. Addrasr ......................................................................................!,mount of Win: S ............... Any p4rscn mekino a losr, fol the constrvtllon of the Impiovemomi: Nems ...................... .j��........,.............................................................................. ... Address ........................................................................................................................ Frnon within �J1-hh_e.J*\Cuts of Florid/js��des;�rutsE by owner upon whom no:i:et or other dtrurner,ts may 5c server: .......CLO Address .!-0....w...,.... ...6'�:;x.... LW . ......... 'q.l IOclmP...... ......3a9 in addition Ic hima•1!, owner cesion.ler Vie lolio.win. twicn t: ittelut a Copy o! the lienor's Notite er prov;oed ire Sr;tion Flo:ids SS�a:-v�{tes. IFIlk lr, s: owwna s o tion). 33 y J YT7�. a��-.�� PAc: ... rl........ a-3 3..... rets .�..... ..................� .............. . 7fit: :!AC:rOr.P. 01A DLii': U ^lY:y r � Q2- 0o sso� , �`' 1�a;o 5 �..+..So - ....� t�i�;s b� Pte . : 10 Pi�eR 932 fiwCtr. :C endfbrC be:crr ns this ............................... Filed i Reeelfded W12/200f'. 10134:05 FM 1131 FILLER LC1'l-�J............................1 .r �'.� � um COutT TIM FIM1 4 1.00 IM Y cc wrrrwa+ . .� r /.....,...... COPY FEE : 1.00 p RFCORDIi1B 4 5.00 r . C n� sass s...7 {(MtNOIL IOM1btlo{ „ J1i17 NOTICE OF C01,41,4ENC%M N i nee..ef M eV.\le.7f. :tots of Florida l County of J The Vnderelpn►d hereby Inlorms all eonterr.e.d that Immovem►nte wltf be merle to earteln reel pronertt'. mr-d In eecordenoe with section 717.13 of ther Florida Statutes, the following Information Is stared In this NOTICE OF COMMENCEMENT, Description of property ��P�.�P...�?e�..Fti�ta.21�Z.�...�©Saf�2P.Tt�'..Q�, ... ....... � ,,�+� ...AeP �...S/L..(�. ..�, •,�.g.. -.. A. s...o�..CD3..tZ7 ;Ig... Osneral d scriptlon of Improvements .....j?.(O("4U�J.I,ON.. P.= n!',`. 4!�'.Qp... ��1JsTf.......... ...l..ag.P6.- *qH................................................................................ /ddret(3 ... ..... RD .,�f :......�wal.>°.Q. ........ .... Q .....�X......�.1?1b2....................... Owner's interest In (Ito of 2!>'a Imorovemenl ..V�!.��.�p.....!� d�'. '...J.' . ....PL�MISPJ.............................. For Simpie 1Js holdsr (It other than owner) r; 3....tf 1 .- i .. hj,fN v.-... .................................................... Addre{s ... �.3U.......... 1,IJ .... ......��.....3�.a33......................... Conus ctor ...... 1 j-4 �� C (ON.. C' v o �.. .• 3 3 Acars s( .1 .. r..... :.... ....�.�..:... -.�.... ............ . 9 Surtty (l( an)•) .........!."'..�. ........................... .��aar!iCEI-Y". .. ............................. .............................................. mss... . . .��rn ou^1 of ocn: S ............... :any psrscn making a )oar, fo; the cors uclion o1 � hems ...................... .l•��....... IantiG 6e.ach............................... d Zoning; Person within !'-h♦ Suls of Florida dr�sr r r or outer deeume ,;s may be terve G: ;anr ...�.(7"�.......CON&J.C�r;. ............ 1 Addrstt .� �.!....V.�!.r....4•�.V',z't....G !..... :........ .��.lJs?� .".i�.......!.. ,..... a in adaition tc himsaf;, owner cesigneres Ju folio-'In ,o teeelve a cony o! Int Lienor s Nol:ce as provieed in Section ;�,13 111 (h), Fiorict SIA:vIe/s. (F11 In s: Owner'A o^ �Q ,�[fir-l' c �L L j -�J�/ .......�...... ). .. ...... ..... .. ................................... r f t tax 33 .. �. � �' ... �� ...... -3. Z Swcrc and su,te:ibe:e m,t ;his ................ ............... JUN-26-2002 WED 03:19 PM MEAD CONSTRUCTION INC FAX NO. 3212553921 P, 02 REEFEIVE'a, iUL t I ^!IO? t� City of Atlantic Beach f Building and Zoning City of Atlantic.Seach • 800 Seminole Road Atlantic Beach,blorida 32233.5445 Phone: (904)247-5800 FAX (904)247-MOS • http:/iwww/cl.atL=dc-boach.lam 0 BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-F.AINULY (DUPI.XX) CONSTRUCTION L (INCLUDING NEW CONSTRUCTION,REMODEL, ADDITIONS AND ALTERATIONS.MOVING OR DEMOLITION) v DATE, 0626-02 ?/, JOB AIDDRF;SS_RadioShack Store #01-8874, 403 Atlantic Blvd., Atlantic Bch., FL 32223 U APPLICA:�T RadioShack Corporation AI1DRESS 300 W. Third St., Ste. 800 PHONE: 817-413_-3544 Ft. Worth, TX 76102 101Tgal-L18 2211 1 al-1L T 11�� NU& E8�� 855 '�� i� rl 855 To 858 LEGAL DESCRIPTION: BLOCKt(IMYi%It'2 CONTRACTOR _ mead Construction., Spm, STATX L10ENS7NUMBER—CSG_Qn22Cj7 AnnRESS 1301 W. Eau Gallie Blvd., Ste. 100 PHONE 321-255-3920 CITY Melbourne STATE FL 2TP 32935 FAX 321-255-3921 tu DESCRIBE PROPOSED USE AND WORK TO BE DONE Interior Fit—up PRESENT USE OF LAND OR BUILDINGS) Retail VALUATION OF PROPOSED CONSTRUCTION ____ $58,494 1s — — this an addition? Yfc� _ If yes,what are the dinecmioos of the added space: feet by ._ feet Will the added area be heated and cooled?`n/a ._ New electrical or increase in service?' New plumbing tixtures? yes _ New Greplacc'?__,n/a _New heating/air con itioniag? y,s , Is upproval or tfo=owncr's Association or other private entity requited? .___.np If yes,please submit with this application. WILL TI:IIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE' GRADE OR ANY USE OF FILL MATERIAL? ENO. Applicant certifies that no change in site grade or fill material will be used oa tg33c pro]eet. (] YL& See Step'2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE., , (In. ardor .to expedite iisauance of permits, please follow all steps and Iiroyide aI1 information as'aopropriate.) . SPEP 1. verit�zoning desipoaion and proper setbacks for the proposed construction. If you aro unsura of this Information,please contact the Planning and 'Zoning Department at 904.247.5817. In order to correctly verify zoning dcsigaalioa, please have Properly Appraiser's Real 8statc Number uvailwa. My 2. Contact the Cary of AtLintle Beach Deptetmrnt of pubiic Works to daermino if a pre eanytrvction or poat•consawtion tnhogmphiesl survey or grading piss is r4quirai. (If not tequircd, written verification must be provided +vilh this application.) The Departnvnt of Public Worsts is lo;:ated at! 1200 Sandpiper Lane,At4,rstic Beach,FL :2M Telephone:(90.4)247-5834 6!l 14Rf2 G'/dc% at-I-' pay /a� shQll -A 91vd. 1 JUN-26-2002 WELD 03:21 PM ME.60 CONSTPUCTION 1NC FAX NO: 3212553921 P: 03 V LAX I. Plcasc subrut 83rwrgy Code Foams,Nctice of C'orrimcncem,:nt,0wncr/Contrsator Affidavit if owner is contractor,and four(4)compicto acts of construction plans to the Building f5epantnent,which is located u the Adantic Bcach City l(all, 800 Seminole Road,Atlantic Bcach,f`I, 32233 Telephone,(904)247.587.6 In addition to construction and engineering dvail, plans macs contain the following information as nppropriatc for the typo of work being performed. Scala of drawirvp should be auff:cient to depict all eNtaired tnformatioe in a clear and legible manner, 1. Current iurvey showing Ute property bound:xy with bearings and distances aid the Ic6pi daxcription, 2. I.awation of all structures,temporary attd per=ncnt, including setbacks,building height,number of stories and squats footage. Identify any existing structures and Uses. 7. i xieting and/or proposed driveways. a, If roquircd by the Deptutettcnt of Public W614 a pre-censtruction topographical survey. S. Any tigttificunt cntviroamcctal f mtures,including any juriedictianal wetlands,CCCL,Datura)water bodlas. 4, ItnpervIOUS SnrfUce area calculations, (Swimming pools may be excluded from total Impervious Surface.) 7. 00cr information as may be oppmprtua Cor individual applic;ldons. I URRR13Y CL+IiTI1:'Y THATA IN ATION PROVIDED WITH THIS APPLICATION IS COR Lief. SIGNATURE OF OWNiEFL_ c ��iRo refMA-4 e2 DATE_, Sat'4 ;"r 8:� joti 410999`a C64p. I HERF)W CEKnFY THAT i IIAVE READ AND F,,XAMINXD THIS APPLICATION AND KNOW THE SAME TO SE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING TRIS TYPE OF WORK WiLL HE COl►PUFF, WITH.METHER SP'ECIF'IED Hlfltt>:dN OR NOT. TIIE GRANTING OF A PEIL'1RIT DOP.'S NOT PRESUME TO GIVE AUTHORMY TO VIOLATE OR CANCEI.TIIR PROVISIONS OF ANY FEDERA1,STATE.OR LOCAL RULES, REGULATIONS,Oiw1NA.VCT S,OR LAWS IN ANY MANN M. INCLUDINGT11A GOVYRNING OF CONSTRUCTION OR THE PL+RFOIi.KANCE OF CONS'CRUCTION OF THE PROPf>XCY, I UNDERSTA."THAT TILE ISSVANCX OF THIS P%mviIT IS CONTINGENT UPON TIIM ABOVE INFORMATION B[INO TRUE AND CORRECT AND THAT Till, PLANS AND SUPPORTING DATA HAVE SEEN OR SILALL BE PROVIDED AS RXQUixrD. SIGNATUR:OFC04TRACTO DATF ADDAMS AND CONTACT INFORMATION OF PERSON TO RECEIVE AJLI, CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE T'AIN'T) NAME Mead Construction, Inc. — Byron D. Mead _ MAIUNti ADDRESS 130 : W. Eau Gallie Blvd., Ste._._lQQ Melbp_Une F �L 32935 PIIONE-_X21-255,-3920 FAX 321-25S-3921 F-MAJIL a zc�ti�On.ccm SWORN AND SU ZCRIBED BEFORE ME THIS /7-ei DAY OF 4e ° —� STATE,OF FLORMA,COUNTY OF DU'VAL NOTARY'S SIGNATURE —� AS 70 O WNF�R: E!rPcrscnsaily 1claown �T r] Produced idcrttitacation Type of identi'ieation produced AS TO CON'TRACT'OR: �Personally known Produced idcnacstion Typc of ideatitacarion ploduced MARY J.GOWAMc-ohmmmom BMW N�C�% tJ 611V02 • Jk*a 2003 CINDY MALLOY Notary Public,State of Florida My comm. exp. Oct.271,2004 Comm. No. CC 976798 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address-4/6-3 A71 /riVT/C �� y/� '' .�N�F/�'/r►P2 "D Air' C- Date 7 II2 - QZ-- Heated Square Footage _�@ $ per sq ft = $ Garage/Shed �0@ $ per sq ft = $ Porch Car ort P / @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio Q� @ $ per sq ft = $ TOTAL VALUATION: $ 15;-(y 419y A- (0 $ Total Valuation 1st �- $ -� �- - Rema ning Value per thousand ov portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ Cb SEWER IMPACT FEE $ p WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION ( ) SURCHARGE . 0050 $ p OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : 1. JUN-26-2002 WED 03; 19 PM MEAD CONSTRUCTION INC FAX NO, 3212553921 P. 02 JUL City of Atlantic kit Beach Building and Zoning City of Atlantic Reach 800 Seminole Roud •Atlantic Beach.klorida 32233.5445 Phone: (904)2.47-5800 FAX (904)247-.580.5 • httpc/iwww/ci.atl=tic-beach.n.us BUILDING PERMIT APPLICATION FOR SINGLF-FAMILY ORTWO-F.AAHLY (DUPIX:tC)CONSTRUCTION (INCLUDING NEW CONSTRUCTION,REMODEL,ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE 0626-02 J08 ADDRESS RadioShack Store #01-8874, 403 Atlantic Blvd._, Atlantic Bch., FL 32223_ APPLICAINT RadioShack Corporation ADDRESS 300 W. Third St., Ste. 800 PHONE: 817-413-3544 Ft. Worth, TX 76102 58�951;8� 3raf LEGAL DESCRIPTION, BLOCKBLOCKN'UMYiER 10-1tS 1egal-1L�T E � 1S 855 TO 858 CONTRACTOR _ Mead ',onatrnr�tinn TMc, STATE LICENST NUMBER—CDC_Q32307 ADDRESS 1301 W. Eau Gallie Blvd., Ste. 100 PHONE 321-255-3920 CITY Wilbourne STATE FL 7,1P 32935 FAX 321-255-3921 DESCRIBE PROPOSED USE AND WORK TO BE DONE Interior Fit—up _ PRESENT USE OF LAND OR BUILI)INC(S) Retail VALUATION OF PROPOSED CONSTRUCTTON — $58,494 S� '� .�.�.00!:!7g&.#.0:-..ge a 4L-e� Is this m addition? Ifo _ If yes, what arc the dizn:mions of the added spa- _��(cci by ._ feet Will the added area be heated and cooled? n/a _ Ncw electrical or increase in service?'. New plumbing fixtures? .Xes _ New&glacc?_ ,n/a _New heating/air cotutitionias? _ Ups is upproval or Yormowncr's Association or other private entity required?—.no— If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE CRADE OR. ANY USE OF FILL MATERIAL? SINO. Applicant certifies that no,change in site grade or fill material will be used on this pro)ect. ❑ YES. Sec Step 2 below. Approval of the Public Works Department is required prior to issuance of 7 Building Permit. PROCEDURE: (Ila. order .to expedite issuance of permits, please follow all steps and 6mvide a I informatloa,;as apdroprlAte.) STEP 1. Verity coning cicsipttation and proper setbacks for the proposed construction. If you aro unsure of thio Information,pleaso contact the Planning and 'Zoning Department at 904.247.5817. In order to correctly verify zoning dcsigoulion,please have Property Appraiser's Rdal Estero Number uvailable. Imp 2. Contact the City of Atlantic Beach Bcpartm=4 or Public works to dctcnrino if spec-construction or post-construction te"graphical survey or grading pica is required. (If not rcquircd, written verification must be provided wish thin application.)The Depwtnwnt of Public Works is located at: 1200 Sandpiper Lana,Athnde Beach,FL :2237 Telephone.(904)247-1834 W i MR)i JUN-26-2002 WED 03;21 PM "IE;?0 CNISTIRUCTION INC FAX NO. 3212553921 P, 03 $ er I. Please;ubaa t pncrly Code Forms,Neucc of Commcncem nt,Owncr/Contraetor AfTdavit if owner is contractor,and four(4)compicte sets of consiruation plans to the Building rmportmoot,which is located U tho Atlantic Beach City!toil„ 900 Seminole Road,Atlantic Bach.rl, 32233 Tolophonct("4)247.5826 ' In additi<m to construction ar:d vnginoaring detail, plans must contain the following information as appropriate for the typo of work being performed. Scaic of drawi%3 should be wTicient to depict all to uired information in a clear and legible nwncr, 1, C=vnt survey showing the propony boundwy with ho,vings and distances and the Icbbral dmtcrtptwn, 2. !.ovation of all wvctarea,tornporaty and permanen(, including setbacks,building height,number of storivi and square footage• identify any existing structures and uses. 3. exiaing mover proposed driveways. A, If required by the Depamcm of P'ablic Works,a pre-censtraction topographical survey, S. Any xiofic t tatvironmcntal fcutwm including any junad ocnal wetlands,CCCL,mum)water bodies. 6, Impenlons So*ca area calculations. (Swimming pooh may be cxciuded from total(oaperviouS Surfaca) 7. Outer information as maybe uppropriora for individual appiicudons. I UERFAY CERTIl•Y TRAT A IN ATION PROVIDED WITH THIS APPLICA'rioN 15 COR ECT'. SIGNATURE OF OWNER_ Atm de UATIL_ �7 460t%e"r Oto ' doti 864169 JAck Coop. I HERFAY CERTIFY THAT I IIAVE READ AND RXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF TIMI LAWS AND ORDINANCES GOVERNING TATS TYPE OF VvO1RK WILL BE COMWIM0 WITH.WIIETHER SP'ECIF'IED HIU8,UN OR NOT. THE GRAN'T'ING OF A PIKIVNt T DOTS NOT PRESUME TO GIVX AUTHORITY TO VIOLATE OR CANCEI.TILE PROVISIONS OF ANY FEDE AT.,STATF.OR LOCAL RULFS, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING TM GOVVRNING OF CONSTRUCTION OR THE PL+R8OW%(ANCF,OF CONSTRUCTION OF THE PROP9)kTY, I"DMI'ANU THAT TILE ISSUANCE OF TRIS PL+Iwrr IS CONTINGXNT UPON TIM ABOVE INFOR,4tATION RKING TRUE AND CORRECT'AND THAT Tin, PLANS AND SIJPPORTING DATA HAVLC BEEN OR SHALL BE PROVIDED AS RSQU ill BD. SIGNATURE OF CONTRACTUAL DATA' C.- a ADDPYSS AND CONTACT INFOTRIYIA170N OF PERSON TO RECEIVE ALI, CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRITM NAMEMead Construction, Inc. - Byron D. Mead NfArUNG ADDRESS_ 1301 W. Eau Gallie Blvd., Ste.__jQ2,L MelbotxcDgL FL332935 PIIONE__ .. ?55-3920 FAX_,_ 321-25,5-3921 E-NWL tructi .cern SWORN AND SUIiSCRl$ED Bl;b'D1tE ME THIS—�-- DAY OF-=—T �L a --&"`ar STATE,OF FLORIDA,CO"TY OF 3DU'VAL ,IOTARY'S SIGNA'I'ZJRI AS TO O WNF.R: E�'Pcrscnally known L] Produced kicntiticatlon Type of identification produced ASTO CONTRACTOR: Personally known r1%Produced idcnacatioa Typc of ideatitication oduced .— _-- ,�t iAARY J.GONI ZAl.a mr'f co ASN arm �"'* 25.�'3 6!18!02 • k* CINDY MALLDY . •. Notary Public, State of Florida .., My comm. exp. Oct.27,, 2004 Comm. No. CC 976798 CITY OFATLANTIC BEACH 800 SEMINOLE ROAD { ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 .'' http://ci.atlantic-beach.fl.us w July 02,2002 Byron D. Mead Mead Construction, Inc. 1301 W. Eau Gallie Boulevard, Suite 100 Melbourne, Florida 32935 Re: Improvements to 403 Atlantic Boulevard, Radio Shack Dear Mr. Mead: Your application for a Building Permit for renovations to this existing structure has been reviewed by the Planning Department. Pursuant to Section 24-177(a) of the City's land development regulations, this project is subject to applicable provisions of the landscape requirements. I have enclosed a copy Division 8 from our Code. I recognize that this is a previously developed site with limited opportunity for landscaping. The regulations provide some administrative flexibility allowing the waiver of certain standards in the case of such sites; however, a landscape plan is required which demonstrates compliance with the regulations to the maximum extent possible. Please submit you landscape plan directly to me, and feel free to call me at (904) 247-5817 with any questions. Sincerely, t a.�J4J� Sonya Doerr, AICP Community Development Director cc: Don Ford, CBO, Building Official Duval County Property Appraiser- Parcel Summary Page 1 of 1 Parcel Summary- Values from the 2001 Certified Tax Ro11 RE No.: 170703 0000 Owner's Name: 403 ATLANTIC BLVD Property Address]- [403 ATLANTIC BV Unit No. ATLANTIC BEACH Mailing Address: P O BOX 330108 ATLANTIC BEACH , FL 32233-0108 Property Use: 1191 STORE, RETAIL Legal descri tion: 10-16 21-2S-29E SALTAIR SEC 3 LOTS 855 TO 858 Neighborhood: _�003115 SALTAIR SEC 03 (COMM) Sec-Twn-Range: 21-2S-29E OR BK& Pa e. 09430-0889 Map Panel: 115622 Sale Date: 9/28/1999 No. Buildings: Ill Sale Price: $375,000.00 Land Value: $150,000.00Heated Area: 2611 Class Value: $0.00 [Exterior Wall: CB STUCCO Improvements: $61,086.00 Taxing Authority: USD3 Market Value: $211,086.00 nty Tax: $1,489.38 Assessed Value: $211,086.00 School Tax: 11$1,748.22 Exem t Value: 7$0.00 District Tax: 11$640.08 Taxable Value: $211,086.00 Other Tax: 11$105.65 Sr. Exempt: $0.00 Voted Tax: $128.97 Sr. Taxable: $0.00 Total Tax: $4,112.30 This page displays values from the 2001 Certified Tax Roll with weekly updates of ownership & sales. Map-It maps & data are updated & maintained by COJ-GIS, not the Property Appraisers Office. Please direct inquiries regarding the maps & data to Map-It Feedback (below), not the Property Appraisers Office Map-It Feedback Home -PRC- Map-IT Taxes Payment Feedback Appraisal Feedback http://pawww.coj.net/pub/Property/RENO.asp?RENUM=170703+000O 7/2/2002 EAD onstruchon ncorporated DATE JOB NO. FL CB CO22207 ATTENTION (321) 255-3920 S� 1301 W. Eau Gallie Blvd., Suite 100 RE: `` t Melbourne, FL 32935 TO WE ARE SENDING YOU Attached ❑ Under separate cover via the following items: ❑ Shop drawings K Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order t-""A i COPIES DATE NO. DESCRIPTION G i �2>t✓ YV Irl .►.,.� - .� THESE ARE TRANSMITTED as checked below: XFor approval ❑ Approved as submitted 11 Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS R µ!Vi I i and Zoning COPY TO SIGNED:' �'-'— if enclosures are not as noted,kindly notity us at once. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 Fermi#Number 21131 IC Address YU3` ATLANTJ IC BOULEVARb Permit Type: COMMERCIAL I ATLANTIC BEACH, FL 32233 Class of Work: REPAIR Township: Range: Book: 10 Proposed Use: COMMERCIAL I Lots):837-838 Block: Section:3 Square Feet; Subdivision: SALTAIR SECTION NO 3 I Est. Value: Parcel Number: Improv. Cost: 27,831.00 Date Issued: 12/11/2000 �.x M Name: 403 ATLANTIC LVD., INC. Tota! Fees: 228.00 Address: 403 ATLANTIC BOULEVARD Amount Paid: 226.00 DatePaid:Paid: 12!11/2000 Phone: {904)821-4977 ATLANTIC BEACH, FL 32233 Work Desc; STRUCTURAL REPAIRS _ k Q r, _ 225. VANTAGE CONTRACTOMG.0.. C,/. PERMIT ' "` � - d 00 I I I j f f I . I FFtANINC'!COVER-UP FINAL BUILDING 1 I 1 � I j I NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION IBUILDING 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 l "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROP !__OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" PROPERTY I ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I 1mN 14 - ATLANTIC BEACH . i� ltl11�M IMIcrl�ts 4111"S Sl� /if1lN�tlll� _ a0 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 __ PERMIT INFORMATION — — LOCATION INFORMATION Permit Number: 20355 — —Address: 403 ATLANTIC BOULEVARD Permit Type: COMMERCIAL ( ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: 10 Proposed Use: COMMERCIAL Lot(s):857-858 Block: Section:3 Square Feet: Subdivision: SALTAIR SECTION NO 3 Est. Value: Parcel Number: Improv. Cost: 10,000.00OWNER INFORMATION^ Date Issued: 7/13/2000 j Name: 403 ATLANTIC BLVD., INC. Total Fees: 90.00 Address: 403 ATLANTIC BOULEVARD Amount Paid: 90.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/13/2000Phone: (_904)821-4977 Work Desc: NEW WALLS, REMOVE/CAP (AFF PLUMBING FIX. PAINT_,STUCC_O,H.C.DOOR FLOOR T1 CONTRACTORS _ --- T APPLICATION FEES— -- - FORD COMPANY, THE PERMIT l Inspections Required -_-- --__—-- -- COVER UP -- --- -- -- FRAMING - !FINAL BUILDING INSULATION l 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 IMPROVEMENTS" ' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION I FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I 1`90.00 i4 Date: 7/14/0001 Receipt: 0072562 CHECKS v'3' ATLANTIC BE B LDING PT— ®a1al��s�a221e413 Component Performance Method for Commercial Buildings Form 400B-97 ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department Of Community Affairs FLA/COM-97 Version 2 .2 PROJECT NAMERadioShack 01-8874 PERMITTING OFFICE: ADDRESS: _-403 Atlantic Blvd _Atlantic Beach -Atlantic Beach,Flor�ida CLIMATE ZONE: OWNER: -Radio shack -------- AGENT: PERMIT NO: - JURISDICTION NO: 261100 BUILDING TYPE: Mercantile (Retail) CONSTRUCTION CONDITION: Existing Bul'1ding DESIGN COMPLETION: Renovation CONDITIONED FLOOR AREA: 2586 MAX. TONNAGE OF EQUIPMENT( PER SYSTEM: NUMBER OF ZONES: I 5 COMPLIANCE CALCULATION: METHOD B DESIGN CRITERIA RESULT ENVELOPE NO CHANGE ---- LIGHTING INTERIOR LIGHTING 7348 . 00 7728 - 63 PASSES LIGHTING CONTROL REQUIREMENTS HVAC EQUIPMENT PASSES COOLING EQUIPMENT I . SEER 11 . 00 10 . 00 HEATING EQUIPMENT PASSES I . HSPF 7 .20 6 .80 PASSES AIR DISTRIBUTION SYSTEM INSULATION REQUIREMENTS 1. With Insulated Roof 6.00 00 6 . REHEAT SYSTEM TYPES USED PASSES NO REHEAT SYSTEM is USED WATER HEATING No CHANGE —--------------——-—------—-—-—-—- COMPLIANCE CERTIFICATION: -------------- I hereby certify that the plans and Review of the plans and specifica- specifications covered by this calcu- lation tions covered by this calculation are in Compliance with the Florida Energy Efficient indicates compliance with the y Code. PREPARED BY: Florida Energy Efficiency Code. DATE: Before construction is completed, this building will be inspected for compliance in accordance with I hereby certify that this building is Section 553. 908, Florida Statutes. in compliance with the Florida Energy •BUILDING OFFICIAL: Efficiency Code. OWNER/AGENT: DATE: DATE: I hereby certify(*) that the System design is in Compliance with the Florida Energy Efficiency Code. ARCHITECT : SYSTEM DESIGNER REGISTRATION/STATE MECHANICAL: PLUMBING *010,51 OR(.0 ELECTRICAL: OCK6 LIGHTING BUILDING ENVELOPE SYSTEMS COMPLIANCE 401 .--- GLAZING--ZONE 1- _ __ CHECK Elevation Type U SC VLT -� --v_ Shading Area(Sgft) N/A NONE Total Glass Area in Zone 1 = 0 0 402 .—WALLS—ZONE 1 Total Glass Area = 0 Elevation Type U Insul R Gross(Sgft) N/A NONE Total Wall Area in Zone 1 = 0 Total Gross Wall Area = 0 403.--DOORS—ZONE i--- ---- _ 0 Elevation Type _M U Area(Sgft) South . 75 GLASS DOOR .3 Total Door Area in Zone 1 = 42 42 -- Total Door Area = 42 404 . -ROOFS--ZONE 1-- ----------- 3'YPe --- - ----`- Color - —U—Insul�R -Area(Sgft) NONE — Total Roof Area in Zone 1 = 0 0 405 . FLOORS-ZONE -- _ Total Roof Area = 0 Type Insul, R Area(Sgft) NONE — Total Floor Area in Zone 1 = 0 0 406 . ---INFILTRATION Total Floor Area = 0 Infiltration Criteria in 406 . 1 .ABCD have been met. CHECK MECHANICAL SYSTEMS N _ _ _ CHECK HVAC load sizing has been performed. (407. 1 .ABCD) 407. -------COOLING SYSTEMS-------------__ _ Type No Efficiency IPLV Tons I. Split System -3 —11 9 .4 4 .83 408. HEATING SYSTEMS - Type No Efficiency BTU/hr 1. Split System 3 7 .2 — �- 55000 409. -VENTILATION - Ventilation Criteria in 409. 1 .ABCD have been met. CHECK 410. AIR DISTRIBUTION SYSTEM - _ CHECK Duct sizing and design have been performed. (410 . 1.ABCD) _I AHU Type __ -_ Duct Location R-value 1. Air Source Heat Pump With Insulated Roof 6 1 CHECK Testing and balancing will be performed. (410. 1 .ABCD) - 411. -PUMPS AND PIPING-ZONE _ �— Basic prescriptive requirements in 411 . 1 .ABCD have been met. PLUMBING SYSTEMS 411---PUMPS AND PIPING-ZONE 1-- Type R-value/in Diameter Thickness 412. WATER HEATING SYSTEMS-ZONE 1-- _ Type Efficiency StandbyLoss InputRate —Gallons — ELECTRICAL SYSTEMS 413. ELECTRICAL POWER DISTRIBUTION— CHECK Metering criteria in 413. 1 .ABCD have been met. 414 _ Motor efficiencies in 414 . 1 .ABCD have been-met.- - 415• LIGHTING SYSTEMS-ZONE 1 _ Space Type No Control Type 1 No Control Type 2 No Watts Area(Sgft) Type B(Fin 1 Stepped-3 Leve 4 Stepped-3 Leve 4 6668 2040 Fine Activ 1 Stepped--3 Leve 1 336 385 Corridor 1 Stepped-3 Leve 2 224 85 Toilet and 2 Stepped-3 Leve 1 99 124 160 Total Watts for Zone 1 = 7348 Total Area . for Zone 1 = 2684 Total Watts = 7348 Total Area = 2684 Lighting criteria in 415. 1 .ABCD have been met. CHECK 16. Operation/maintenance manual will be provided to owner. ( 102 . 1) -^ 06/27i2000 08:26 FROM THE FORD CO General Contr . TO 2419857- P.el xB L t t _ �c�4SG �I P7 l Gr+zS G!^Gl� i ` Building, t-jn11 Zoning; CIT+ OF ATLANrxC Pm;W7 .APPLzairICp FOW=L, ADDITICUS, CR ,ALrj=TSCSS JK?VMG, LITICXS Owaer(s) : 403 ATLANTIC BLVD. , INC. j 3 Address: 403 Atlantic Blvd, phone: -6 2r ~ 7, } Lot # Block or Unit #855-858 Subdivision; SALTAIR - Section 3 Contractor: ©� ' Sta_�_ State License # Ga3��p Address: // 2323 '-Phone NO:_ —`7�� Q SOX � City_.�_V+_ 43 1 State— f- L„ 'Zip Code 3ZOO� Describe work to be done; S e QC/y!p IV etd l c�c� Its r -T aC alert T/iIs Ile- Present le I Present use of buildi Office/Retail valuation of Proposed Construction; Proposed use: A/4- �Ile/ Is this an addition? A If yes, What are the dimensions of the added space: f t. X f t, will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures?4--New fireplace? New beat/AC? 1 t71C1 (Ai's2L 1'I11L1 ccwrx= SSTS of Pl'.ilW, nczwxw f/Cc, 5 prate, 4 yzr, err cm RE=, N=Cff Cr ara�r�r, AND . J °" r, u ss card. Signature OWNER: Date- 6/28/00 igna ure CONTRACTOR: Date: �•>``a "fly AS TO OWNER: .� r'o, ` Mary F.Farwell � I Agworn to and subscribed before me this ,� -day o f �./ _'* *= MISSION N CC653168 EXF IRES p".•.... •� June 5, N INS i� ' BONDED THRU Tppy FAIN INSURANCE, N AR C AS TO CONTRACTOR: i. Sworn to and subscribed before me this day of 2400_ NOTARY PUBLIC 1 TOTAL. P.01 CITY OF 800 SD.IINOLI ROAD -- --- -- -- ATLA NTIC BEACH. FLORIDA 32233-5445 TELEPHONE'904) 247-5800 FAX(904)347-5805 SUNCOM 352-5800 �Q• � �a�./Va.• �a l- �cl.�7 C A3( r ..Glessa�'� 6:o�:) 1 � CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 4-10 3 4 ........... ............. � f Tr Date Heated Sauare Footage Garag-e/Shed per Sq t - = 8 Carport/Porch. Iry is $—__—Per sq f t = D e c-1- $—per s.,:F ft = Patio e r S q ft TOTAL VALUATION : Tot.j1 Valuation _t 7 Remaining Value $-ti7. Per thousand or portion thereof TOTAL BUILDING FEE + I Filing Fee Fireplaces @ $15 , 00 BUILDING PERMIT FEE WATER IMPACT FEE SEWER IMPACT FEF WATER METER/TAP CAPITAL IMPROVEMENT SEWER TAP ...... RADON (FIRS) Gor-o $ SECTION H PAVING HYDRAULIC SHARES CROSS CONNECTION $ SURCHARGE .0050 OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES: Mechanical P't urr'bing Electric 'New Electric 'Temp _._-,wimmingPoo1 Septic Tank Well Sign_ xi Floor Elevation Survey Other CALCULATIONS and/ or NOTES ! 41 METCU CITY OF ATLANTIC 0EACH- ' t *C)Rl ATJON -14, LC AVON INP'OftATi{3N w:1LC� A - #Q hT>�AiT T C BOULE1iARl3 . AT>► N BEACH x +",LORR I pA3-,,2,r3 � � oil LEGALON` 91 ock lip Lot 0 ' Iq s O Subdiv sion. 0 _ 5 .00 anffiM 4 4, , ,Y ON . �»y � �- �r� . "-_`- APPLICATION FEES, - y Aid LE AHI# PERMIT MAU .0 41v i . MTa: t E.. 14ORTH t_x i H FL. 32250 R t*'9K ��'?p � ai e i :�Ea.�t +.,�sM1 awrr.. w sana.. ,s.+syan » , • an.. F r a t�•i ,za+=n ma 2 ��fi �1�� F •- k i• r ! t?FICE »ALtCdt GR 1 ,F4RIVI AND rcooriN�s MUST 1lE.IN$aE�CtEp 8EF©RE P0uRJNo' PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 6ufLDINGz MATERIAL, . { FtUE3RISH AlYD fJEBRiS FROM THIS WORK MUST NOT BE PLAC IN RUBLIC SPACE,AND MUST SE, CLEARED UP,ANO HAULED AWA`-8-"Y'EIT,HER CONTRACTOR OR OWNER `TA Lu e T+t COMPLY wtTH THE MECHANICS' LISW'LA CA�a RESULT IN HE �R,I*' TY � LAYING '1'1IVICE I= R SuIL©!NG IMPROV IIIIENTS " 1 UED ACGORQING TO APPROVED:PLANS-WHICH ARE PAflT OF THIS PERMIT ANb SUBJECT TO REVCiCAT10N FOR t1J4T�ESN C>F APPL'ICABLE Pi OV AI.C?NS O LAW. k 3 ATLAtTI BEACH BUIgAATMENT � 12 , • . 1 BY, E ,.. i CITY OF ATLANTIC BEACH, FLORIDA "PP'°w1 by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:- J _ 19� IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 2 ELECTRICAL FIRM: MAS ELECT CIAN SIGNATURE NAME-CKL(-- � ADDRESS RFD BOX BLDG.SIZE / BETWEEN: RES.( ) APT. ( 1 COMM.�/ ) PUBLIC( 1 INDUS. ( 1 NEW( ! OLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( 1 J� TEMP. ( ) SIGNS ( ) S0. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR 1 1 FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS �--j PH W VOLT RACEWAY FEEDERS NO. SIZE NO. ::;SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0ZRATINGH.P. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 APPLIANCES BELL TRANSF. AIR H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I N.P. VOLTAGE PHS ,- ! z1 MISCELLANEOUS 1 9 1 4 ` LITY F'ATLAig EdtG � Y14y$ i:``os fir" r tU a py�Qy Al IV l�• p � �� 1 1}} t 1 ftg '7 t rr ?fit ar g s $ .I ,c5a u t r' �r °€ W4"�k A° ; � r > a � x� NV3'r 1 +�2uy t S r& , R art �- sr a t - "'Fr >Y AL'rd r r '"?.$--rf. �'y d ` r ,i k,M�»ate r .� - .. 7r w �i r gs k fi t N ,Jl e€t4 t3 e A q'we spa DM.+w, ✓" ) FY1,Y r MOTI p, li, abYp�' gcj t { F �9x f is i A {T 010 S7INI HS AFT�i.� 4 b 1�.`r Ft sm," PROM THIS WORK Mut 1`i-OT t � ��1� *� � '�w �� 4 C©NTfiACT©R GSR C)1MN& E, MECHANXS`�LIVE� PA t;a ( QiP FpfQVED PLANS WHICH ARE PART OF THIS PiMI AMID SUBJECT tt�.�l* ! lkTl�'1�i` # f ,1f3 ?I Q1!l,Stf3NS OF LAW. t a :fA L T� f ACH' UILI� N,G DEPARTMENT 1 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I, LOCATION Street Address: OF Intersecting Streets: Between_ JVs ' LQ�ID T- BUILDING ^^d 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 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 o�Jacksonville ordinances and standards Of good practice listed therein. Name of Mechanical Contractors Conhactor (Print) � S C Mester Name of Property Owner Signature of Owner Signature of or Authorized Agent Architect or Engineer III• GENERAL INFORMATION A. Type of heeling fuel: g, ❑ Electric IS OTHER CONSTRUCTION BEING DONE ON , /t� THIS BUILDING OR SITE?_ N ❑ Gas—❑ LP [3 Natural ❑ Centre) Utility ❑ Oil IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of componenh on beck of this form) Cl Residential or l " Commercial ❑ Heat ❑ Spec* ❑ Recessed ❑ Central ❑ poor ❑ New Building ❑ Air Conditioning: ❑ Room ❑ Centre) X Existing Building ❑ Duct System: Materiel Thickness ❑ Replacement of existing system Maximum capacity c f m X New installation(No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ ❑ Cooling tower. Capacity g.p.m. Other — Specify ❑ Fire sprinklers: Number of hoed ❑ Elevator ❑ Menlift ❑ Escalator (number) ❑ Gasoline pumps (number) THIS SPACE FOR OFFICE USE ONLY (R.eiwd) ❑ Tanks (number) Remarks ❑ LPG contains, (number) ❑ Unfired pressure vessel ❑ Boilersi,(� Permit Approved by Ds ❑ Other — Specify __.�)_-�I-Q–tt 410 J9_ Permit Fee-_ I LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Unit. Description Model Number Manufacturer Qapadna /►f�ncYci;y Apprwin� �`�^ 11 Ifni METAL IT m aLtr-,- Co 4. 4. APL S W Pe- Peri--MjE-w-- AL MA-r -� N S• WdTH 120 ILQA � '� �' car• , Wg i a � 3" AiR SPAq �s �« ha v5-rIC- ON CCI�.tNG � � �7r : .�Tm �.�1 �LL�EQ HCo1 TAI . A E TAS. SAC AS - "�.�!ti...ra.i��rA► � ',_.=^�- .;aL.t� FRQMT =Lrw ATioN a � a H000 SY-s-re t-,A___. T�+E ANJ a i BYL-^Th`lt.oKS �T� , A-C, �E . w1714 METAL- ALF PIA K E a D/Y.. IE'aO� hlRt 7"'0 Co �. �- tl�K's W �= / �E pe Pks H Val: t10 F WE D� �s �� Q vSTtG 3" Ai 4 a,» -Lf ws MET AIL b E ON C C l t lt/G /G X71? ► : T` k--trI��,D E D �p r ALL arm N A E rAL 4 F !00-V7 avbrION _Srn �L E V r ! Old i�i T-C etE_N Hoo p !S"f, r�1 :::-o Ln,- w- Ow, 7- +E Avp—NL1 Ei )OTLANT1 6&i4Ch� i By'--T; -X L,o 9 S �T�j , A-C. 71--71 ,' `4MrY #l*'vo T R� I //++� '!** zJx � . F 2 ,r• t x at a J tt f 't � e''y e Avy JR`t '� °F �., � r tis`xi€d �� D ,a ss't� z r t• � � r I r F� .air, $4 ti t ��S• y x �i r..r'Wf.�ik +t xa �y'i�f'J7` 4p .� E':ta. fY t r !j z „s �`" '� " � "+ I ... art t� �� x� z '�,�R�,,'s ^,s'�"3 �;•'. ^� _ jJ xp '� ;��ih�r - �x�.xrr.5�'F` ;+" 31 14, 44b 4*1 -t r ss,y k ry s a t f t rte, to rr' rr >< 71, s � , £ ExR g 77777 A. IN ,fir k x e,�' `!�� t��` ;• Sf I. €t� � - � *7�+e'z'""',�^.#'" �a• .rte bf kh r�t� sRd� =��,'R�'v"�Y�;t� �. �S>},+�"'rc ',� r�`" ��e ,yah x✓"€?*i �fi;��'Ck��''�;"eta t r�i �r �t k ,,"`r '�{4� .�t'$��EA '� } '� QV �,�a�X '� tw ,�*' � ��,„�r 3�y,{�t'�rA�tr�.�g�p� .��' d�w° � ^.s �. 41V,R[��♦ w�TIJ�+€ h �y y� �r }S >7 a4 � j � �Y��, �r r�s�ku` . fb�` �,`�` 3 " v IWE - � T Y- 3 1 xr 1&7 yC#f- `P T •� � g a , �t i t f.R f shy a� y�`�d4s Y 71 y,t 5V, e r or ``> , €. CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: �j/� �� t /J�./ OWNER OF PROPERTY: PLUMBING CONTRACTOR: Al ilf' CONTRACTOR'S ADDRESS: -3 Z-V7 STATE LICENSE NUMBER: jZp e!.03t, TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS _LAVATORIES f/As0J5 ^-4. WATER HEATERS — _ BATH TUBS _DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE _ $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: -------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. t CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address__ y�3 #471-i41V 7"1 C. o6 Gy Date Heated Square Footage per sq ft = $ /3 / Garage/Shed @ $ per sq ft = $ p� onNp/�rie,c� S f QJCrO�tiK Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: l � oa Total Valuation 1st $ $ Remaining � 3 $ 'g Value $ °aper thousand o portion thereof TOTAL BUILDING FEE $ O p p + 1/2 Filing Fee $ 7 S, p p ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ '> > . 0Z1 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 $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Survey Other Sign Finish Floor Elevation CALCULATIONS and/or NOTES: 12!04/2000 09: 19 FROM,THE FORD .CO ,General Contr TO ,2475805 P.OS rd CompaR� PO Box 2323 Porte Vedre Bch,FL 32004 Voice(904) 821-4977 Fox(904)821-4980 Re kkatol&Commercial Construction CB U37969 April 3, 2800 City of Atlantic Beech 608 Sewinoie Rd Atlantic Reach,Fl 32233 Fax(904)247 SM Att: Don Ford Dear Mr Ford, This is in reference to the permit at 403 Atlantic Blvd. As 1 explained the owner cancelled the contract shortly after we got underway into the project ff you need more information,please give me a call, R Robert Ford TOTAL P.01 x /ECEVE DEG 2000 City of Atlantic each §Wliging And UnIno CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS Owner(s) : 4'0 3 '472 4T C_ Ri I/-4�) 0 Job Address: 1.9x/% v Phone Lot # Block or Unit # Subdivision: Contractor: j/,L7T�jp ,e^ C�,irir?/►c'/OAC �;Z—AlC State License # C6 o22 U,12 Address: �/�� / �SCC'FoC/4 .�iOc^ Phone No: City�Jg�,(�scNVc(L•= e� State / Zip Code 22,)_ Describe work to be done: �572 0�,?A C i2�`�r��RS Present use of building: valuation of Proposed Construction: Proposed use: ej!WA/1 r,'5?n, j9( Rc�l�/C Is this an addition? AIC If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? — New electrical (or increase) ? — New plumbing fixtures? New fireplace? — New Heat/AC? SUBMT-7 TI= (CaldkE 2CTA T.) TWO (RESIDENTIAL) COMPLETE SETS OF PIANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FCP.KS, NOTICE OF CCINSENCEME NT, AND ORMMICONTRAC'TOR FFIDAVIICONTRACTCR. Signature OWNER: F S Date: Signature CONTRACTOR: 7 Date: /Z- Ly•_ do AS TO OWNER: n Sworr� !� and subZ6etrjlefor me this �day f1!?/�,c� 2000. MY COMMISMaON#C2002 05 EXPIRES *' BONDED THRU TROY FAIN INSURANCE,INCAA I OT L AS TO CONTRACTOR: Swor y p, and suj*jjti.&ftA� before me this _day of .� ,2000. .. — =., r- MYCOMMISSION#CC743405 EXPIRES oma: Mtty 25,2002 foN 4 rNRU T of PMN INSURMCk INC NOTAR U I C ort B U I L 1) 1 N ® P E R H I T CITY OF REQUIRED SUBMITTALS 07cae4/, �( Each application for building 716 OCFAN BOULFWARD permit will be accompanied by P-0.13OX 25 two complete sets ofPs, includinATLAN7,1C BFACIF. FWRMA 322.13 lan a detailed site Plan indicating location ion TELE1,110NE(9041249-2396 of Utilities, parking, other size of yards and Pertinent data; one set of Florida Energy Efficiency Code sheets; recent survey (on new construction) SCHEDULE OF 111SPECT1011 Requests for inspections will be 4 :30 pri. All inspections accePtecl fx*Dm 8100 AN Until will be - made the following working clay. 1. Footing A 2. Rough Plumbing/Sewer 3. S.1 CALL III WITIl pr NUMBER FOR EAC11 4- FraMirm, Rough Electric, TRADE Top out Plumbing 5- Insulation, G. Final Inspection/Issuance-Of Certificate Of -------- ------------------Occupancy BUILDIJJG CARD MUST BE POSTED OR 110 INSPECTION WILL BE HADE Pour no concrete or cover an building card is SIGNED by work until*the inspector. _jj will be required to Uncover you been Inspect ed. nnY work that has not X10 fee is required for all re-inspections. 1'i1!_:!'FRTY DESCRIPTI011 f,9 1 lJt- at,(C >C�c1C� — iC07c ct l.o? +--------B.1aclr #_-•-_ ____Ser-Lion # 71GOCFAN!1OULFVARD 11M 2r, ATLANTIC BEACH,FLOMDA 12211 Subdivision: 7'1[,El'lIUNE(904)249-2195 Street !lame or Addresa t ? „ %/f DESCRIPTION OF J�Ijnx �If in a FLOOD HAZARD Flood Zones__-------_---.-area complete page 3. Brief r Description ---------- �gII� cl tPdasrW/w/,�1?emodel/A dition9 Z011IUG 111FORNATIU11 -------------- A n ! of (GAY 1 i9Q Type o£ x y 1 . Constructions Zoning Proposed and Zoning ----__ Districts -_Use: - Building ---_- Estimated Value 9 Exceptions or Vmrinticf?ry Urat1Lnd1 r, ------------------------- ^_J ------------------ Solid or --------------------------------------------- Filled : OWNER 114FURt1AT10N Grounds--, `--'------Roof flothod of Hen ting1 __ 1 Property Own.zr s Phones �%. -- r I Plnlling � - --::._ _...».,�.-_-_____..,._.-__...__.. Address _1. "`" .. �., - _ �---------------------------- --- ---- ----__--_-_ Zip CON'1'HACToR 111FORHAT10Pt Controctori 49 Hailing =�-.I:. _ ________ Phone Address + - -- --_ ------------ P_— 8 . .� h•.'. -_ __-� ------------- Zips_ �€ ...., License Numbers - `+ � �� Expirntion - s --- ' ______________ Dates2 —------- ' i fl"ERY CERTIFY THAT I IIAVE READ AND EXAMINED THIS APPLICATION AND KIM3W ALPO CORRECT, ALL rROVISIONS of THE LAWS AND ORDINANCES OOVF.RIIINO THIS Tyrr SAME TO RE TRUE Y1�titi�j conrLIEO WITN, WIIF.TIIF,R, SPECIFIED NEREIN OR NOT. THE ORANTINO OF A PERMIT DOES FNOT 17rRE LrNF TO OYVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, TO a .k ��f r�• RFOULATION3. O(16IIIANCF:S, OR LAWS STATE OR LOCAL RULE..^>>. INCLUDIUpr'- 'lr�' -*�;:'• VE rF.RFORNAIIC;E OF C01i;,TRUCTIOiP OF ]'l1EIdPR03ECT'SNERI UtiDERSTAPU(DTTHATOTIIENISOUOF ANCEOOFTTNISIOU On THE Fir_✓`-�� 1' A=+•,* Ct711T77tOEtPT UrgN T'lIE GROVE IIiFORt1A7ION 5EIN0 TRUE AND CORRECT AIID THAT THE PLANS AIID SurroRTIND �f,1�)-•� �. .` DATA HAVE BEEN Of? SIIALL DE PROVY ED A REQUIRED. f- Owner Signature ---------Dat Da y \r+.-. �7'+�• ._._.t. �, .. pry , '—__•'. te__..___-.._......`a/_ Signature w r _. ---Date FLOODPLAIII DEVELOPMENT I1IFORHATIOU Type of Developments Flood --ones ""'-------®-----_--_________-- Required Lowest Floor Elevations --------------- If ----T---•------If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB 11AS BEE11 POURED, certif in LOWEST FLOOR ELEVATIO11 is equal to or above the gbaseat the c'leVntlOr, to for,, that zone. flood 110 final inspection will be made and no eertifi.cate of occupancy Will me Issued until the survey is on :File with the Building Department. COMMEUTSs Applicaist Acknowledgements this permit I understand that the issuance of is contingent upon the above information correct and that the plans and supportingbeing be provided as required. I a data have been or shall provicivns of Ordinance tlo. gxee to comply with all applicable ordinances affectin 25-7-11 and all other laws g the proposed development. or Date --------------Applicant's Signature " ---------------------------------------------------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation _-_-_-------------- Survey Filed with Building Depart__ment------------- - ------------'-------------- Building Department Representative page 3 �a r 9333 P$P1�84d ,§ DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH __ LOCATION I NFORMAT I Oft ;. PERMIT IN�'ORM:ATIOR ddtr ss. 403 ATLANTIC BOULEVARD mit Number. 9383 ATLANTIC BEACH t FLORIDA 223 san i t Type. ELECTRICAL >' LEGAL DESCRIPTION --------_.._ Cljj of Work ALfiEATiI cit.« Block« section: ; °ma 'tr. Type. WOOD FRAME" Township:, RNG. 0 propose►c d Use: COMMERCIAL/OTHER C dp« uhdiv is n:. ATLANTIC BEACH timated Value. S0.100 tmprov« Cost: $0.00 ' trtai FeesS255-00 rnc�unt ,.P ,9 40 1 X22/94 'OOD LIGHTS FOR $ION TION -. APPLICATION FEES ` . ._.." _ " a ® t U3 Name D OAV'I D�{ C Z" IERM 'I Andre ` ryi+. C BOULEVARD WATER IMPACT Iz'L�E kso .0 0 ML�ACT FEE140 .00 "` FLORIDA _12,234 �� Fh0 �� y, ..,.� �F €3ABi«R«a. 4«'O ► . . RADON SCABS 0 .00 Name. B O CfiRIC 'VICE CAPITAL IMPROVE. $0 .00 , � SEW1* `1 I+t0 . add r4s ti,_520_,n 'w t UE DI f JACKS O LE BEACH 't FL. 32250 , 'CROSS CgNNEC'FION $fl .�O SEC II " IMPACT FEE « Le " RUCK Type; 0 CONST«SURCHARGE , �. 'O «40 SCHARaZ 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 �fPAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN TI4E 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.. I}dl<�;� ��j 1»fs-f+.F� l!.P IN.�M'4.d � k f t✓.w, p ATLANTIC BEACH BUtLDING DEPARTMENT f B ,. CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �'7� 199Y IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 6 ��J ELECTRICAL FIRM: - MAiTEWELATRICIAN SIGNATURE JOURNEYMAN Q MES t NA `'` � Lp)& ADDRESS: -RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES.( ) APT.( ) COMM.0 PUBLIC ( 1 INDUS. ( 1 NEW( ! OLD ( ) REW. ( ! ADDITION ( ) TRAILER ( ) TEMP.( 1 SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH Z W Z- v VOLT RACEWAY FEEDERS ' NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 10.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS A MISCELLANEOUS _ r x,. y aEPARTMEW OF su(L CITY C3F ATLANTIC BEACH T?E TI`T TNFORMA'TION -�� . �-- LOCATION INFOA& Address• 403 ATLANTIC BOUL>�VAS�' n hermit Nu er 7��.i~t6Ci' A'TLAN'TIC BEACTi� FT FRIBA sectic SIGN Lzon DESCRIPTION l exxas 8f work NEW Lott: BI ock: Can tr. + N A Township: R1�tI. Proposed Us ae> COMMEI�CIAL�OTHITR Subd�v�sa�bn: ATLANTIC BEACH T3welTin todee 0 stir ated Value: $0 .00 Improv. Cast 21.a0 00 Total Fees ' , Amo $2 ,00 Tia I 21195 Work D ON PAINTED ON BUILDING .,� a AgBL I GA'T ION FEES _-;_,�_ '�Y�7I� - "` $27 .00 ' Z CI "TIT A ` pF; 4�T ` TIC BOULEVARD,, WATER I4PACT FEE $0.001, Ad OP CTI FLCR'I FEE T A AF I" 2 �.0 0 �� RAS AB- A.R.S. X0 .00 Olt -- RADON CAS, 5* $0.00 ... _. �.... 1 Ff�3CA ITAL IMPROVT . $Q .�0 Name RO Y NT R pa A t A s a.w CROSS',CONNECT ION $0 .00. S1 C H Ii~!IPACT FEE 0 .00 Type'. 1 $ 00 Lige CQTgST. t3LCHARGE 0 NOTES: r ` NOTICE ALI.CONCRETE FORMS AND FOOTINGS MUST aE INBPEC't�D BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE f ILDING MATERIAL,RUBBISH.AND DEBRIS FROM THIS WORK MUST NOT BE PL.ACNwD.IN PUBLIC SPACE,AND MUST BE BU CLEARED UP ANC)°HAULED AWAY BY EITHER CONTRACTOR OR OWNER " Tp C�}MpLY WITH THE MECHIANIC'S LIEN LAW CAN RESULT IN "FAILURE r TIME RI 1I ERTY CIWI IE PAYINGTWICE FORTHE BUILDING IMPROVEMENTS ISSUED ACCORDING TO APPROVED PLANS'WHICH ARE PART OF THIS PERI T AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICA►BLIE PROVISIONS OF LAW. ., ` t l ilea } Rt: L I ATLANTIC BEACH BUILDING PA TMENT By , � � CITY OF ATLANTIC BEACH APPLICATION FOR SIGN PERMIT tJArts: F / 0V t� �/ r ADDRESS: l 0 3 �17L_A-v I L _PHONE:: 7 6- 6c.5,(o TYPE OF SIGN: 61'A ec/ 6A) 9/), SIZE: PROPOSED LOCATION: Q!J S,'� j L,)A L U Eos •vk S H` WILL THE SIGN REQUIRE AN ELECTRICAL PERMIT? Nv O ELECTRICAL CONTRACTOR: M Signs over fifty (50) feet in area, and/or any sign which is more than seventeen (17) feet above the ground, or any sign weighing more than one thousand (1,000) pounds, must be submitted with drawings from a registered engineer. Signs with a solid area greater than thirty (30) square feet must be erected to withstand a wind pressure of at least thirty-five (35) pounds per square foot. Drawings must also show that weight of sign will be supported by the roof or ground support on which it will be erected. This application must be submitted along with the following: 1. A plot plan of the land, showing the position of the sign in relation to buildings or structures. 2. A blueprint or ink drawing showing the plans and specif- ications, and the construction and/or attachment,to the building or in the ground. 3. Other information as may be required under Sec. 17-2(b) , Code of Ordinances, Ci f Atlantic Beach. APPLICANT SIGNATURE: Z Date• OWNER SIGNATURE•_ Date: yM A „ 11995 0*t0 Building and Zonin IvP �o��G��c, l� 14 rtaeH-eS L-°^'J r' � �ery'bdd��s Crti� for... hA C9 f A. � r �1. pro P-ou T "), 0 .S (� F }, k PSR-3844 4' � DEPARTMENT OF RU11LDING CITY OF ATLANTIC, REACH CATION ------ --------- 40CATION IN R11 ,TI0N ------- Permit Number, 113 8 Address: 403 ATLANTIC BOULEVARD Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Claus of Wti rk! ALTERATION ------- LEGAL DESCRIPTION ' --------- Constr. Type= WOOD FSR Lot : Block $e:otion; ProPosesd Uses. OFFICE BUILDINt1Tc�wRa.hiP': RNG: 0 IIwellingro- 1 Code: O . Subdivision: ATLANTIC BEACH Estimated Value: $0.00 Improv. Cost $0.00 Total Fee' $25.00 Amount Paid- $25.00 D 1/19/96 Cork 1TLETS FOR NEW OFFICE SPACE --------- APPLI TION FEES ��. -- NameV� PERIT 85.00' Add �ptC B�Oyt� LEI g r�ITY OF, '¢WATER IMPAC" FEE $0 .00 $0.00 M#0 a 00 EACH, FLORIDA.t J L� iMPAC PEE {�V .0 0... P)l 01WAX A •1r C INrOPjaT ON ---- »- RADON CAE 5% s0 F 00 Narm L ON ZLE RIC CO, INC CkPlTA-L IMPROVE. �SCI .00 Address: .O 301519 ,SEWER. TAP $0 .00 w License: EA0 876 Type SEC H IMPACT B`11+E $0 .00 'CONST, SUR CHAROE 0.00, SCARG9/ATL.BCH. $ 00 MOTES:' NOTICE—ALL CONCRETE FORME 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 RRE3P ATY t l/NER PAY ICE FOR"THE SUILDINIMPRV O EMENTS 1SSUEO ACCORDING:TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND,SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS°OF LAW. :oat; 1/19/% ATLANTIC BEACH BUILDING DEPARTMENT 1706 Bjr I; CITY OF ATLANTIC BEACH, FLORIDA Approwdby APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMP013TANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. SILL T1i0MPSON ELECTRIC CO., INC, P. 0. BOX 330150 ATLANTIC BEACH FL uamma ! ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAMEDTAC AIC \Ip, ADDRESS:_ `j(b t� 441_O.Yl 1C' JLIA RFD BOX BLDG.SIZE BETWEEN: RES.( ) AFT. ( ) COMM. PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ADDITION { ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE O-oD AMPS ( PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS 2.--- CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O-JO AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. overt APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS l TRANSFARMFRC• I INnCR RMV nvt:o ann�i CITY OF AW444C Ve d - 9&uW4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 December 5, 1995 Mr. Ben Davidowitz 403 Atlantic Boulevard Atlantic Beach, FL 32233 Dear Sir: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 403 Atlantic Boulevard (On the Boulevard) a/k/a Lots 855-858, Saltair REf177703-0000 Investigation of this property discloses that I have found and determined that you are in violation of National Fire Protection Association 58, Section 3. 2.4.1(c) Where physical damage to LP gas containers or systems, of which they are a part, from vehicles is a possibility, precautions shall be taken against such damage. Example: Installation of concrete filled pipe to prevent such possible damage. This protection is normally provided by your gas supplier. You are hereby notified that unless the condition above described is remedied within fifteen (15) 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. Grunewald Code Enforcement Officer KWG/pah cc: City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED ' CITY OF t'�a�ctie �iea� - �l�vtida 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)24x5805 November 29, 1995 Corner Inc. 314 Plaza Street Atlantic Beach, FL 32233 Dear Sir: Our records indicate that you are the owner of the following property in the- City of Atlantic Beach, Florida: 403 atlantic Boulevard (On The Boulevard) a/k/a Lots 855-858, Saltair RS#170703-0000 Investigation of this property discloses that I have found and determined that you are in violation of National Fire Protection Association 58, Section 3.2.4.1(c) Where physical damage to LP gas containers or systems, of which they are a part, from vehicles is a possibility, precautions shall be taken against such damage. Example: Installation of concrete filled pipe to prevent such possible damage. This protection is normally provided by your gas supplier. You are hereby notified that unless the condition above described is remedied within fifteen (15) 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, t� � Karl W. Grunewald Code Enforcement Officer RWG/pah cc: City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED s 11 " DEPARTMENT CIP SWLDING CITY OF ATLANTIC EIEACH _---- PERMIT INFORMATION, ------ LOt:AT I ON INFORMATION �-- POx tit 1Numwb+ r; 1215 Address : 403 ATLA>YTIC 'BOULEVARDM Permit TyP .PLUMBINt3 ATL ANT IC BEACH FLORIDA 3223 CIS A$$ of Work:ADDITIoN _-.»-..-- LIrt3FiL 'DESCRIPTION------- Constr. Tye:Wt�t�It II'RAME �83ok: Lot . ---- Proposed Use. Twp: (I Dwe►ll1ngs . Serct,ion. 4 Subd.0 Rng. Subdiv sion.ATIANTIC BEACH Est . value. 0.00, F ' Improv., Cost. 0 :00 Total 'e 25'.0�4 Amount' 21; 0 MEW Tit?N " APPLICATION FEES Nero 1�°ItAVID OCVITZf PERMIT =_~25.t?Q �SOULEVARD FLORIDA 4' C` R R' PORMATI Nate!. W I L UMII Q . CROON L' R Zip10;IN 5 NC)TES. NC"= ALL C WAM FORMS AND FANGS MUST SIE#NSPECTIz©BLI=+4RE POURING PERMIT MD SIX MONTHS AFTER DATE OFISSUE BUILT INCi MATERIAL,RUBBISH AN1 t E IIES>FWm THIS WORK MUST Not BE PLACED IN PUBLIC SPACE,AND MIDST CL"RED UP AND HAULED AWAY S' Y EiTMER CONTRACTOR OR OWNER " UR C L THE MECHANIC'S Ll#,N L.A�1l CAN E'+�iULT IN "P YI i TWICE FO T' #E t � r; }VI» E I4]BE ISS AtxCORDIN TQ APPROVE(>P1FANS"'WHICH ARE PART tat"THIS PERMIT R lw APP_ ABLE ICABLE 0 $10Ns dF LAW. AMM BEACH F3U1I.[JINt3 DEPARTMENT s ,7777 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: �T/ 7-1-- 16,10 OWNER OF PROPERTY: PLUMBING CONTRACTOR: CONTRACTOR'S ADDRESS: STATE LICENSE NUMBER: 256143k _TELEPHONE: HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS _LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS __CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 -+- $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ---------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owner(s) : P 'e. v dew h GN e1'd Address: 1-103 Cllud Phone: Cp Lot # , Block or Unit # Subdivision: Contractor: �G�1G1�gr1 � G�F�n Address: �-1-) C) Sc 1 F bash C-7 City, State and Zip )C'C- )C SU Phone ,?Z ( - G S State License # C-© d Li -7 3 L Describe work to be performed: flc f c c, G ` e421c. er� '� Valuation of Proposed Construction: Ca ,Opo, ` Materials to be used: C\ b ; + C, d Signature of Owner; Signature of Contractor: ~'^` Liability Insurance Supplied Workers Compensation Insurance Supplied License Information 12229 DEPARWENT OF BWLD#NO CITY OF ATLANTIC BEACH PERMIT t.NP`b MATIO . LOCATION INPORMATION _, Psrm .t Nui6er: 1.2225 Address. 443 ATLANTIC BOULEVARD.~ #?ezlnft TYPs;RE- CI13F' ATLANTIC BEACR ?LORIDA 32233 ss of Works NEW' _�_�. :�_.,.. LEGAL DESCRIPTION Constr� "TYPe.WC}Q17 FRAMEB$tck: Lcat s Twos. ... Proposed Use, Section'. Q Subd:0 Rng 0 Dwerll;ings. tI SubdiVision ATLANTIC BEACH Est.. Value: 10100 T,mprov. Cost. 6DC�fl.4p Total ro, s r2$.00 �$.00 A� L unL 5.rV0 Dotter ' 0/1996 . Work D APPLICATIONFEES --------- ftme /DAVID Q' IT 25.00 Add _BOULEVARD FLORIDA 3 pho a mTI I am*. M4 A JACK60M E, FL 3.2225 NOTES: NOTICE-- A6L CO#VIrRETIE FCOI AS AND FOOTINCS;MUST BE INSMCM BEFORE POURING PERMIT VOID SIX MONTHS AFTER DA OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND KAULED AWAY BY EITHER CONTRACTOR OR OWNER FA► L URE 0 COMPLY WH THE MECHAi��C' LIEN VV' C�td RESULT UL.T 1 ''THE � YING�CE F©RT HE.BU .� �7i pR E E uT g}. ISSUED ACCORDING TO APPI lED'PLAN:S WHICH ARE PART OF TEAS .PERMIT 1�%EV0tA 1' FDi VIS ATIQFN OFAPIiCAHLE"'PtSIONS OF LAW. 1 ATLANTIC BEACH BUILDING FITMENT fn 77 u DEF%RTMENT OF BUILDING CITY OF ATLANTIC BE PERM I T INFORMATION ------ ------ L©CATION I NFORMAT I©N -------- 'Permit Nuritber: 12390 Address : 403 ATLANTIC '$OULEVARD . .Permit Typ�sFLI�CTRICAL Class of Werk;REN IEL ATLANTIC BEACH, FLORIDA 3223 - - LROAL DESCRIPTION - ~Canstr. TyPeaCONCRET~ Proposed use: Block: Lit: Twp:Dwelgs : 0 Section: 0 Subd:0 Rng: 0 Est . Value: 0.00 Subdiv eion:ATLANTICBEACH I Prov. Cost : 0 .00 Total Pe 25.00 Amount' 25.00, "Work c TION -- --- APPLICATION FEES ---------- THE BO IT -- Nare THE�BO - IT ��-00 Add C BOULEVARD a FLORIDA Name.. I3I T t? E ,ECTR O. INC e e ATLANTI � r PL 32233-0150 ' - .. arsro..rY'N .w .n' rek/eW',MMd �..ats,rw eA' NOTES. NOTICE—ALL CONCRETE Mill$AND FOOTINGS MUST 8E INSPECTED BEFORE POUR" PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DESAIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER $F N- LURE1,TO' ComPLY WITH THE MECHANIC'S 1.lEhl LAW ►NRESULT iN TYrr AYINGTWICEFOR • WIL.©INC IV1RtYEMENTS" ISSUIED ACCORDING TO APPAOVED PLANS WHICH ARE PART OF THIS PERMIT AND •E ftV. fV0 14 VIOLATION OF APPLICABLE PROVISIONS OF LAW. � ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT 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 ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOMPSON ELECTRIC CO., INC, -i.o--- P. 0. BOX 330150 ATLANTIC BEACH, FL 32233.0150 ELECTRICAL FIRM: J MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME �JIn Th 7,1IQ• ADDRESS: __ 40?) � RFD BOX BLDG.SIZE BETWEEN: RES. ( ) APT. ( ) OMI. PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ( ) REW ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH �W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE . NO. SIZE LIGHTING OUTLETS 6 CONCEALED OPEN TOTAL RECEPTACLES �� CONCEALED OPEN TOTAL .r O.JO S. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR I OTHER MOTORS AMPS CEIL HEAT] KW-HEAT � I � I � 0'1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS' I MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. I Film 12416 DEPARTMENT OF BUILDING' CITY OF ATLANTIC BEACH w .. . PERMIT INFORMAT�+ '' ' LOCATION INFORMATION errtt�,t Number: 12 .6 , Address: 4-03 ATLANTIC BOULEVARD'M Ir fermi t. TTpe:REMODELtff 11 ATLANTIC BEACH, FLORIDA 32233 C114$$, of Work'.REMODEL,- ---------- LEGAL DESCRIPTION __ ConAtr. Type:WOOD FRAME �Bloek:� Lot : {, Twp. _w�� Prapoaed +$@: rS'ettiont 0, Subd*0 Rng: 0 Dwellings 0 Eubdi.v sion:A'1LANTIC BEACH Est . Value: 0 .00 Improv. Cost 9,00b.00 Tot all Fe 82 R�Jtl '4mt un t, 82 *So �•�yI Y■qty 4 N .. ..... .rw. :. - - . =711 APPLICATION FEES ___..___,�__ Nam /DAVID O T Add> : 52.50 BOU LEVAR.D y,. B F'LOR I DA #� .» ._. R{ ORMAT�I - Nl apie TO r CC RU T ION C' JACKSO ,, FLORIDA 32207 Li 0 Exp: 3/31/19 6 . t 8. aame9a<,°ma o-w'.a¢�, pr ' xie.ea Axa+xflva PORMS AND FOOTINGS MUST Be INSPECTED OBFt3FfE POURING. PERMIT VOID SIX MONTHSAFTER DATE OF ISSUE tP=ISH AND IRIS FROM THIS WORK MUST NOT BE FLACEt IN PUBLIC SFACE,AND MBE AWAY'BY EITHER CONTRACTOR OR OWNER UST w�. E 'COMPLY, WITHAhILUIR THE MECHANICS LIES! LAW, CAN RESULT IN ` TY N]EPAYINGTWICE ORTHE # .E� N I RGV'EMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF-THIS PERMIT w l } VIC ,.AroN OF APPLICABLE P ISION OF LAW g 113b ATLANTIC BEACH BUILDIN RT NT CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : 1 aV'1Q�1� Address : ch �o-�i < 1✓ �„�,ar2 ��h2r Phone .. Lot # Block or Unit # Subdivision: Contractor: bNc /S?', � � G'p State License # CBCoSud 7U Address • 35-/5- S/ A Phone No: 399kS/� Describe work to be done:_�G�G� Present use of building: Valuation of Proposed Construction:_, °o0 �B Proposed use: Is this an addition? ti ° If yes , what are the dimensions of the added space: ft . X ft. Will the added area be heated and cooled? ti New electrical (or increase)? /_-/ " New plumbing fixtures?2 New fireplace?p New Heat/AC?_. SUBMIT TffiM COMPLETE SETS OF PLANS, INCLUDING SITE PLAN SU ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS . 0 TRACTOR. , Signature OWNER: x\ Date: Signature CONTRACTOR: C Dat License Supplied: J Liability Insurance: In PQ�P y� Worker's Compensation Insurance: Q� A LJ C 21996 VA ' Building and Zoning CITY OF ATLANTIC BEACH PERMIT CA ULATION SHEET Address.z/6 3 T f,)-F( L v(�. i i�,,zio Date_ V- Heated Square Footage ��© @ $ per sq ft = $_ Garage/Shed "r 4 @ $ per sq ft = Carport/Porch J $ per sq ft = $ Deck r @ $ \ �( per sq f t = a� - Patio ly 1 @ $---per sq ft = TOTAL VALUATION : Tot 1 Valu8"on 1st $-1600 .00 - -- ` ' 6 00 $ Yo0 Remaining Value $ 01per thousand oT portion thereof TOTAL BUILDING FEE $ 370 + 1/2 Filing Fee $ P-3-75T— BUILDING Fireplaces @ $15 . 00 $PERMIT FEE $_ �,� .s0 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 GRAND TOTAL DUE $ _`FO ADDITIONAL PERMITS OR FEES : Mechanical _ Electric/New Electric Tem Ptumbing - Septic Tank Electric/Temp _ ; 5wimmingPaol Well Sign Survey Other .._Finish Floor Elevation ; CALCULATIONS and/or NOTES: - -= C K /ti AXIS"i rNcT To I I-v T AL or-ArlmJ . q . i _ 1 � 44F t" 1 i lJE1k) \o PF NI NC t Ste.AJ .S� NIW� W�N61v�U (fit'hl i5 I N� / exis-tii��, p p R pN�C N Z S ha lv-r-4 ,("I's .7(r_ �►O� A(A�Ff 1GE wo �JN 1996 Al' �•-0t?t-1V e� vG4 0FF r.,I-,j e" Q► A" y :.5 1 � it'+if Dear Bill: Thanks for being supportive and listening to my position. Although, I know it has nothing to do with the zoning issues. I am frustrated by what is about to happen. Thanks again. 4 y`.6 Mayor: 4f` At the request�of Ruth Gregg we reseaxh our records and it dde not . appear that a waiver' of the 1,500 foot r ' triction was either requested by or granted to Ms: James for alcohojiC beverage sales at On the Boulevard. Maureen ;r t �► *n the ff3ulevard 403 Atlantic Boulevard • Atlantic Beach, Florida 32233 • (904) 246-0056 Elizabeth James Imported Groceries Mayor William Gulliford Atlantic Beach City Hall Atlantic Beach, F1 . re: Public Hearing to Consider the Request of Thomas Dorn to Waive the Provision Concerning the Distance of a Like Business Being Within 1500 feet of Another In reference to the above, I feel , as a concerned business owner , that to change current zoning or elimination of these codes could open a Pandora's Box . If a variance is granted for one individual business, how can you deny variances to other like businesses? Atlantic Beach could benefit from a variety of specialty businesses, not a combination of beverage stores, grocery stores, convenience stores and/or restaurants all selling alcoholic beverages. We at On The Boulevard have worked very hard to create a business that is an asset to the community. Our clientele includes not only the Beaches but professionals from all over the Jacksonville area, Fernandina Beach, St . Augustine and other cities in Florida and Georgia. Our newsletter is mailed monthly to places as far South as Miami , as far West as Dallas and as far North as Michigan and New York . Our focus has always been a broad range of specialty foods and catering, paired with a well rounded and extensive selection of fine wines. I would also like to respond to a comment made at the July 12 meeting relative to On The Boulevard being located 300 feet from a school and church. I bring to your attention that On The Boulevard is not a beer and wine shop . We are licensed as a Grocery/Meat Market . Only one-third of our 1600 square footage is given up to beer and wine. The other two-thirds is utilized for the sale of foods and food preparation. Please consider the ramifications of relaxation of current zoning codes. The codes that are in place were designed so that Atlantic Beach residents could live in an upscale community that everyone could be proud of and , as a result, enjoy a rewarding quality of life. Thank you for your consideration. Sincerely, Eliza eth (Betty) James cc: George Worley, Zoning Commissioner Alan Jensen, City Attorney Wines . Fine Cheeses • Coffees . Teas • Spices for Your Life & Kettle • and Pasta, Please! 0002454 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ». -----=- L&ATION INFORl' ATION - Permit Numbers 2454 Addaremas 403 ATLANTIC BLVD. Permit Types BUILDING ATLANTIC BEACH, FLORIDA 32233 Close of Works ALTERATION LIMAL. DESCRIPTION Constry Types 'WOOD FRAME Lot: 9E4ock a sections Proposed Uses RETAIL STORE Townships RNG 1 0 t atelTin sa O Codes O' Subdivisions totimated Valuers *2000. 00 Improv. , 'Cost a *0 00 TO : . *7. 50 Ame3uE tI S i6 f w 0 1/190 WJ=k * � r s' NIT STRIP CEN TEft T13 2 UNITS PER PLANS ACCT #20019 ad r� n . NATION --- APPLICATION FEES CATION , PERMIT *7. 50 k.4"M WATER IMPACT FEE 00.00 CH FLORI am a I P " FEEO OII y; �k' tii` �9 pP eq ur (t w P`.'� TiF} ' , N � , i RADOM GAS Tt JNFORMA'T4ON RADON SAS 5% 00.00 p l -Nome f fto OI 9E N WATER TAP" 00. 00 Addrer>lss�s"g 57 M..AVENUt BES 00.00 J'AX OH, ix'LA, 32200 HYDRAULIC SHARE $0,00 Li w9li er # (IC Typo% 1 R �IN�SPECT` FEE' -40 00 i P e ik F�9i y X17+$ s6rfrv_ Ptd t� $.g a i�' IAh7 skR i i[ S .7V use NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE 114SPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT SE 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 OVI/N1=R PAYING TWICE FOR BUILDING IMPROVEMENTS." s�..l!��tc� uarEA marks ISSUED ACCORDING TO APPROVED PLAINS WHICH ARE PART OF TH16 PERMIT BJECT TO F \I CATION FOR VIOLATION OFAPPLICABLE PROVISIONS OF LAW. coo ATLANTIC BEA BUILDING DEPARTN By: Address Heated Square Footagea. A @ $ ger.sq ft - $ Garage/Shed @ $ der ,sq ft a $ Carport/Porch per sq ft = $ Deck � @ $� _per,sq ft - $ Patio -,- ✓ @ $ ' 'per sgft - $ " ,.xOTAL VALUATIONt. $ 1'04ta a ua t oil IS t $ , Itambi ler Valuatiotl ' per thousand or Portion thereof : Total Building Fee nUDirzoiani. >?r��ru'rs-arta%or-r-------------------------------------------- - ADDITIONAL , + I Filing kee Mecltatlical Fireplaces @ 15.00 $ P1uiUing BUILDING WE IMT F M, Electric/Neto Electric/ Eq) r- r - -~;- --------Err------------------ Septic Tanc BUILDING PERMIT Well , WA1tiR M, E, cl at)GC $� StiLitititig 1'001S' ,R IMPACT , sl: $ Sign WA1T,Tt IMPACT FEE $ Water Catulectiotl' MISCELLANEOUS $ Sewer Cotnlection ` s Water Meter 1:1evrtti011 CcrtiLicaL GRAND TUM I=, $ '� . ----_----r------------------------~----Err-Err r r .rrrr rr rr,.-r--r----------------------- CALCULNUONS and/or NGIM' F • ,. N v �� t4 r,.la .t N C1. «u1tr�'.,iii. r z4•�.�Y�,I'tf r•' {. R; . . , ;!' NG s I VIA t c�va*,j C�t�.pR 4 t 3� ll,i l � k .r.._ 7a { - A +11c�t3 PA21 i 3,0 ! r a i s\' CUTS. i pA;t„'i,00 APPCITY U AT ASN CCBEACH BUILDING OFFICE D 198 yq M� M - By ( MAY 1 6 i9gp Ouilding anZoning d g UNIT y AC W AFx 3.4 } Nom. f 40` e E 1 9 t } i ffi 1 a .y I Q&— � .- . A� APfR0V` D CITY Of ATLANTIC BEACH BUILDING OFFICE tv 81989 Poon LLos� -V- VA k.�y` K ,A W7 ---G5=1 1 ! V' 1\1 So i 1 Am 51 4 c W PA/0't Tk*w, ! i - ,---� LU.r `X7 go" f oFF�.►a�ni Cs tr o (gay APPROVED MA1r 16 9 CITY OF ATLANTIC BEACH � BUILDING OFFICE Building and Zoning Ay 1 81989 k x UMIT 4-07 C z RE e-�o DSL q h t sr AIC W I{~ E Xxn'r EK\Sl ... P i LIN Ir 40� AZ 05�P7,r - / t 1' i rp � t ! 3 f �( APPROVED (LP A CITY OF ATLANTIC BEAM s BUILDING OFFICE MAY 1 81989 Ut,3\-j 4Ck--� I' �cf�� C'"� flf'1'L1l.Al1U1� tUl♦ ,�ll•l� 1 Ll�ill Sec. 20-3. Sign Permits - Required - It shall be unlawful for any person to install alter or relocate any sign , marquee , canopy , awning or other advertising structure permitted under section 20-2 without first obtaininj a permit from the City Manager and making payment to the City Clerk of thf required fee . All illuminated signs shall , in addition , be subject to th( *provisions of the City Electrical Code and any permit fees required there- under.__SOrdinance_No__60_66_124_Z_______________________________________ TYPE OF SIGN Name , Address & Phone No. Applicant Flat — —i6 ,w4g i!/y_�el Horizontal Projecting ��,�,� �v Vertical Projecting Roof( 0 �- Pole Name , Address & Phone No. Owner Marquee or Awning VALUATION61411 Address of the Sign42!Q&ifFG 39-233 �3 ��l .v,�zc �au«7.tYtcy V6 2 2 3 ----------------------------------------------------------- ATTACH T11E FOLLOWING TO THIS APPLICATION: a. The location fo the building, structure or lot to which or upon which the sign or other advertising structure is to be attached or erected. b . A Plot plan showing the position of the sign or other advertising stri ture in relation to nearby buildings or structures . C. A blueprint or ink drawing of the plans and specifications and method of construction and attachment to the building or in the ground. d, The name of the person/contractor erecting the structure. e, Any electrical permit required and issued for such sign.. f. Registered engineer" s4drawings must be submitted with applciations fo: roof signs over fifty square feet in area, and for any sign the top of wh ' is more than seventeen feet above the ground or weighing more than one thousand pounds , or solid sign of area more than thirty square feet, show, that such sign will be erected to withstand a wind pressure of at least thirty-five pounds per square foot and that the weight of such sign will amply supported by the roof of the building or the ground support on whic' it is to be erected. Such other information as the City Manager shall require to •show full compliance with Chapter 20 and all other la s n inances of the City. SIGNATURE OF APPLICANT t. DATE ��-�!` � SIGNATURE OF OWNER - ATE_f t U Pgilding and Zoning Oo a� Op t Z� a cu 0 � `z Z LOTS 855,856o85708 8c saltair Sec, #3 according to the pilot. Recorded in the, plot book 10 page 16 of the current public. records of Duval Qo, Florida, Building # 40194031405. Atlanticp Blvdo Atlantic Beach, F1, LOTS 855o856.8570858o saltair Sec. #3 according to the p ot. Recorded in the, plot- book 10 page 16 of the current public. records of Duval Qo, Florida. Building: # 401*4039405. Atlantic, Blv&o, Atlantic Beach, F1. LOTS 8559856,857858. saltair Sec. #3 according to the plot, Recorded in the, plot book 10 page 16 of the current public• records of Duval Qo, Florida. Building: # 401.4031405. Atlantic# Blvd'; Atlantic Beach, Flo LOTS 8�5,856,85%8 8. saltair Sec. #3 accord ng to the plot. Recorded- in the,, plot book 10 page 16 of the current public. pecords of fuval Qo. Florida.. Building-# 4019403,4056 Atlantic, Blvd'; Atlantic Beach-, Fl. MAP SHOWING BOUNDARY SURVEY OF L 0 T _ PLOCK AS SHOWN Off/ MAP OF r 0 r AS RECORDED /N PLAT BOOK PAGES-Z-0-OF TN£(z4qQRT IVEZ&Z U'e ayN 7,?—, CERTIFIED TO. 92y4live-e4 w� Z-67 ER►'�' I GNe 71 ;. too %zp/o 5• •c 7-Z 3'� o 1 a� T 855 p %A c• - - --- _ nor G�� .�• .. IL 6�7 a ONE- 572WY A. O y aavc $� vi v,N q w/s7vc o`er Z � '. GOT BS �• ` O 1 � ' v• V� ' JA a . .r fj►� v 9. u t.2 N S uV SrCr cid 3 r.� i o i. . s � Y !O�( �(gCJ I60. ATI.ANT 1G fja)G6 V1I 1'15r ArE �o a A it -!-A �:.,�./ v� ins .pnv )•�' °� �.�s: k E 12608 CITY OP ATLANTIC.-9H r i . .,. : fiINFORMATIONLOCATION INFC}1R14ATION �_ �' rmit bor: I.`1609 Addroxot 403 ATLANTIC _BOULE'VARU�M Perms !'� :SI Ai AT'LANT'IC BEACH, FLORIDA 32233 LL''�3 CJ ,ss of Work-NEW .. - AL DESCRIPTION -_ �"<sllt t.r R Ty1De:C0XCRMTE �$ 63C C$ Lc�t; a _{� Prtpt� ed Ude: Section: A Subds4 Rng 0 U +t x 0 subdiwi s i bo-ATLANTIC BEACH Est . Vis l ue. 0.00 I Ia V. 'Cot 0.00 .. To 2L.00 Am =Lai or ITT�I +R APPLICATION PEES t+ '. /Ox THE�BOULEVAR PERMIT � 21.00 Adtr ziLEVARI3 ' B C FLORIDA � :.. C 0090, T1 - ------ 1 AA z 230 MD IAL LOO FLORIDA 32073 Exp. ' i TSMlipoumNe ,. AU x 7777 r, , � y.(■y,Y'y1�jy.., ,gt y1yj..,� i ,_ WORK� R�. - �,�'#iL,JV; F"/'S..Wy/�fND x7F VC ` , > , r �1N -+ �`y�`yy..,yg'jy� y#TQ A-1 1�•jk�sP O SIO�VFi t1C ftiJ, T1 x. 110N F � CT� OC #1 aw i 1 CITY OF ATLANTIC BEACH APPLICATION FOR SIGN PERMIT NAME: C \I,- �7� `nom � fZf� 1A c C S ADDRESS: ti3 °S I�`'t�iti T ti P 1- P PHONE: °C TYPE OF SIGN: W f'LL_ SIZE: 3, l� A l �• N `P"K G 1-E v P P"n PROPOSED LOCATION:_ If u 3 (j-T L A P T+c 6 y WILL THE SIGN REQUIRE AN ELECTRICAL PERMIT? -S ELECTRICAL CONTRACTOR: Tie&M�5°��, Signs over fifty (50) feet in area, and/or any sign which is more than seventeen (17) feet above the ground, or any sign weighing more than one thousand (1,000) pounds, must be submitted with drawings from a registered engineer. Signs with a solid area greater than thirty (30) square feet must be erected to withstand a wind pressure of at least thirty-five (35) pounds per square foot. Drawings must also show that weight of sign will be supported by the roof or ground support on which it will be erected. This application must be submitted along with the following: 1. A plot plan of the land, showing the position of the sign in relation to buildings or structures. 2. A blueprint or ink drawing showing the plans and specif- ications, and the construction and/or attachment to the building or in the ground. 3. Other information as may be required under Sec. 17-2(b) , Code of Ordinances, City of Atlantic Beach. APPLICANT SIGNATURE: \ 1 �.; �. - Date• ��J , of - QOWNER SIGNATURE• G�o1,Datgb ; 1� CS 0� nil \J F, 31996 Building and Z ,l)in , w of . N N m mr -xi a m x N D Z m v D S m v O 0 z m O z J oN y'oao X S Z- my►mZ v O O D CO 9 , ��P�D Alli r a rn OD�W r J-0 W DEC-12-EOW 12:37 FRom: T0:9042475805 P,002r002 F6,.,191)Lews FS 1n,q a.WCO FOMe 40 i Notice o Commencement f a To WltOat it MAY concern: MIN. RETUIpt OHONE The undersigned hereby informs all concerned diet improvements will be made to terrain real property, and in accordance wilt section 713.13 Of the Florida OF COIuIMHNCirM1;Nry'• Statutes,the following information is stated in this NOTICE t3 NDescription m ip n of property..........`/A,.,�,,.. ! !./. ;.... j 0 General description of........................................................................................... ........ ... ...,............. .................. ....... ..... A unprovements...../30ct.�lAf�t.,..lx/��3'7�...,L�47V[/V.�4/,t,P.!41.................... ...................:....................... ....,.,......,....,............................ Owner...,fLR,.3„r47-Z4V7tC...°tilV..Q...YX.(/...........................................................................-................ .. ,.... ......................................... address..+?.Z.�Z..!47.�e4Gu!��....:�s/.l�a...A! ...... . ....... ........................................ Owner's interest in site Of the U , ..... 2 3,.,•......................... Fee SimAle Title holder ifolher thanemeat...............:.......... Address../�wsyp,ectrQ. f ,..YAC' r} ................................................... Contractor....Y.A�Y7`epG ..4a�" 9f�Q. Si� ^r .. ..d �`o' '``•............................. Address y. '..`/,..t1SCe!q,1 ..!QVst?: .. ....................................... Surely(if any)....... Address ....... ............... A.-.....,.,..-.,...-.,...... .......................................................................... N naperson making o loan for the eoaspvetion improv....... Amit ofbond S......... _ ne ......................................... Address ...:.............. ....................................................... ..,...._.................................................... NPerson within die State of Florida designated by owner upon whom not, or Other documents may be served: ame............................................................................ .............................-,-,.,.,.,..-................................ .................. Address..................:..... �$ In addition to himucif,owner designates the follow ............. Section 713.13(1)(h),Florida Statues, (Fill in at owtios�option�ceive a copy of the I.ienor's Notice as provided in Name................................................. Address This space for recorder's use only Oamer � SW to and subscn'bed before me this .4 day of ' �.............a®�A.... Notary public e4ass F :t,qe red iq_sMd +blit] 11�Y16101133 AIMcow sots�tWtsovlaNat¢ M CCOUN r T tow • r IG • • - • � + • • • _ • � �`",.'. ^r.3''-crw...is _.:�"d.`r"^,L.�,•y ry�� a ^.,. �"�a .sir'.�-y�* ,� ��s- ppplll a��Mk��" ''` -"+4 .G �nC• � t 'lrJ, �?t�'13i�"..�'E'.'q�� rnt ` s-.y y.y r � 7k+ ...•>a..,.atw a,.+. :. Y •✓i.�}.-��:F,�' '"W..�,.i`v3�'F`3r�� 7•.X�g��a -�t ,P xi�'��1�4 � '� �I9 s''@'may' sa.�, -;' ..,5.i.' 'a �•s1i r '."`s ' -res <� j4 �. r� F . _ :,.��• �i 4 ^ Ggg-]ate' x�.%+'."�ve ,� {t �C '�`�-!�ru x r� K