Permits 509 Atlantic Blvd CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877
PLUM-BING PERMIT
PERMIT INFORMATION LOCATION INFO IMATION
Permit Number: 24583 Address: 509 ATLANTIC BOULEVARD
Permit Type: 'PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: Range: Book: 10
Proposed Use: SINGLE FAMILY Lot(s):187 Block: Section:
SquareFeet: Subdivision:
Ett. Value:
Parcel Number:
Improv. Cost-
- OWNER INFORMATION
Date Issued: 8/02/2002 Name: GREEN, JOHN
Total Fees: 39.50
Address: 509 ATLANTIC BLVD.
Amount Paid: 39.50 ATLANTIC BEACH, FLORIDA
Date Paid: 8/01/2002 Phone: _(QOO)000-0000
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APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:
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OWNER OF PROPERTY: TEL.
PLUMBING CONTRACTOR:
CONTRACTOR'S ADDRESS: /I
STATE LICENSE NUMBER: TEL.
HOW MANY OF THE FOLLOWING FIXTURES
SINKS RE-PIPED OR NEW—SHOWERS
LAVATORY WATER HEATERS
BATH TUBS
URINALS DISPOSALS
-CLOSETS __�_WASHING MACHINE
FLOOR DRAINS SHOWERPANS
zoO *WER WATER
-RE-PIPE(LIST FIXTURES BEING REPIPED)
OTHER
TOTAL FIXTURES:__I_x $3.50 +$15.00=
MINIMUM PERMIT FEE: $25.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
INSTALLATION OF PLUMBING(1�1) 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.
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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: 24539 Address: 509 ATLANTIC BOULEVARD
ATLANTIC BEACH, FLORIDA 32233
Permit Type: DEMOLITION Township: Range: Book: 10
Class of Work: REMOVAL
Proposed Use: SINGLE FAMILY Lot(s):187 Block: Section:
Subdivision:
Square Feet:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: WM2002 Name. 6REEN, JOWN
Total Fees: 100.00 Address: 509 ATLANTIC,BLVD.
Amount Paid: 100.00 ATLANTIC BEACH, FLORIDA
Date Paid: 7/25/2002 Pbo-,.e: OO)OOO-0000--�
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City of Atlantic Beach 800 Seminole Road -Atlantic Beach,Florida 3=.QW*5 and ZOning
Phone: (904)247-5800 FAX (904)247-5805 - http://www/ei.atlantic-beach.fl.us
BUILDING PERMIT APPLICATION
FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION
(INCLUDING NEW CONSTRUCTION REIMODELADLLITIONS
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AND ALTERATIONS, MOVING 0 DEMOLITIO
JOBADDRESS DATE 7 0-:2-
APPLICANT
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ADDRESS PHONE:
LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBERJe
7 ZONING DISTR1CT ,5a
CONTRACTOR I? ( a WO t4 ?A STATE LICENSE NUMBER
ADDRESS "Z -5t.ff- TOA PHONE 70,e-l) -2
CITY ,,��X n<Ae
_STATE _/�"�, zip 12 Zl'?, FAX 2
DESCRIBE PROPOSED USE AND WORK TO BE DONEwMaa,j �J 16., 4:71
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PRESENT USE OF LAND OR BUILDING(S) 5a
VALUATION OF PROPOSED CONSTRUCTION 42,J;E1L 00
Is this an addition? If yes,what are the;din,,nsions of the added space: feet by feet
Will the added area be heated and ooled? New electrical or increase in service?
New plumbing fixtures?77 New fireplace?_ 11111/ New heating/air conditioning?
Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application.
WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL
MATERJAL?
EKO. Applicant certifies that no change in site grade or flll material will be used on this project.
El YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit.
PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide al
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 or grading plan is required. (If n6t required, written verification must be provided with this application.) "Me Department of
6/18/02 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 "1
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 efivironmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
6. Impervious Sur-face 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 INFO TION PROVIDED WITH THIS APPLICATION IS CORRECT.
SIGNATURE OF OWNER. DATE. tleZ
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 CONTRACTG, z�, DATE
ADDRESS AND CONTACT INFO"IATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING
THIS APPLICATION (PLEASE PRINT)
NAME777���\, 4-,tr-
MAILING ADDRESS 04A, Mdada yt
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PHONE Oft W,11 FAX E-MAIL
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF .0
STATE OF FLORIDA,COUNTY OF DUVAL
I,% Judith C. Wson
z N .Corn NOTARY'S SIGNATURJE\�\ "'
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rnissiOn#CC 909404
*.-Expires
March 21 2004
AS TO OWNE Atl a n Bonded Thr'.' Personally known
"oto$#% tic Bonding c(L,Inc. Produced identification
Type of identification produced
AS TO CONTRACTOR: Personally known
El Produced identification
Type of identification produced
FAY DUFFY
M COMMISSION# DO 074435
EXPIRES:November 27,2005
6/18/02 I-OOD-3-NOTA14Y FLNotarySer�ioe& ng.ira
NEW IMPERVIOUS SURFACE REGULATIONS
On January 01, 2002, the City of Atlantic Beach enacted new regulations
limiting the amount of Impervious Surface that can be developed on
property.
Within all residential Zoning Districts, the maximum amount of
Impervious Surface area allowed is fifty percent (50%). Within all
commercial and industrial Zoning Districts, the maximum amount of
Impervious Surface area allowed is seventy percent (70%). The Zoning
regulations define Impervious Surface as follows:
Impervious Surface shall mean those surfaces thatprevent the
entry of water into the soil. Common Impervious Surfaces
include, but are not limited to, rooftops, sidewalks, patio
areas, driveways, parking Lots, and other surfaces made of
concrete, asphalt, brick, plastic, or any surfacing material
with a base or lining of an impervious material. Wood
decking elevated two or more inches above grade shall not be
considered impervious provided that the ground surface
beneath the decking is not impervious. Pervious areas
beneath roof or balcony overhangs that are subject to
inundation by stormwater and which allow the percolation of
that stormwater shall not be considered impervious areas.
Swimming pools shall not be considered as Impervious
Surfaces because of their ability to retain additional rain
water, however, decking around a pool may be considered
impervious depending upon materials used.
Information verifying Impervious Surface must ,be provided prior to
issuance of Building Permits whenever new construction, including
building renovations or additions, new drivewaysl decks or porches
involves any increase in Impervious Surface area.
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City of Atlantic Beach 800 Seniinole Road- Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 FAX (904)247-5805- http://www/ci.atlantic-beach.fl.us
APPLICATION FOR SIGN PERMIT
DATE_
APPLICANT Ad'es-sa Owner:
STREET ADDRESS b09 A410r! SUITE NUMBER--.
PROPERTY APPRAISER'S REAL ESTATE NUMBER BLOCK# LOT#-- —
ZONING DISTRICT ELECTRICAL PERMIT REQUIRED: YES- �fNO
*ELECTRICAL CONTRACTOR &I-d
TYPE OF SIGN AND METHOD OF CONSTRUCTION JAID 0 A./coo 1116-w
DIMENSIONS AND TOTAL SQUARE FOOTAGE OF SIGN x 9 G
Signs over fifty (50) square feet in area and/or seventeen (17) feet in height, or any size weighing more than one
thousand(1000)pounds shall be submitted with drawings from a registered engineer. Signs with an area greater
than thirty (30) square feet shall be constructed to withstand minimum 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 Chapter 17 of the City of Atlantic Beach Municipal Code.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT.
Signature of owner or authorized agent.
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SIGNATURE PRINT NAME 0
ADDRESS AND CONTACT INF4LION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS
APPLICATION LEASE PRINT)
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NAME ' /AJ
MAILING ADDRESS 4�7r' 12
PHONE FAX (a— 37 7-7 E-MAIL
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City of Atlantic Beach- 800 Seminole Road- Atlantic Beach,Florida 322M-5445
Phone: (904)247-5800 - FAX (904)247-5805 - http://www/ci.atlantic-beach.fl.us
APPLICATION FOR SIGN PERMIT
DATE
APPLICANT Adessa Owner:
STREET ADDRESS —
_509 SUITE NUMBER
,A� 10 H h CA J'\/(-) -
PROPERTY APPRAISER'S REAL ESTATE NUMBER BLOCK# LOT#
ZONING DISTRICT ELECTRICAL PERMIT REQUIRED: YES* NO
*ELECTRICAL CONTRACTOR &1,4 -
TYPE OF SIGN AND METHOD OF CONSTRUCTION Af/2 0 LZO00 S'16--AJ
DIMENSIONS AND TOTAL SQUARE FOOTAGE OF SIGN
Signs over fifty (50) square feet in area and/or seventeen (17) feet in height, or any size weighing more than one
thousand (1000) pounds shall be submitted with drawings from a registered engineer. Signs with an area greater
than thirty (30) square feet shall be constructed to withstand minimum 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 Chapter 17 of the City of Atlantic Beach Municipal Code.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT.
Signature of owner or authorized agent.
SIGNATURE PRINT NAME /7,4
ADDRESS AND CONTACT INF&:ATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS
APPLICATION (tLEASE PRINT)
NAME ' L v/L S'
6-AJ I.Aj
MAILING ADDRESS 41S
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PHONE FAX__IJL—_3
2= E-MAIL
LETTER OF AUTHORIZATION
Affidavit
To Whom It May Concern:
Tlus letter authorizes Taylor Sip&Design,Inc.(or their Agents or Subcontractors)to act as Agent to
secure permits or variances requzed by the local govertung body,and to perform sign or awmng
installations,removaLs,or maintenance at the property located at:
�09 ZZLIA177"C 16 "o
The store frontage size is:
Aj
HEIGHT: x WIDTH: 7 squomE FEET)
The sign is:
HEIGHT: .2 —0 x WIDTH: 0 (0 SQUARE FEET)in size
PROPERTY OWNER:
Company Narne.AHouv4;(1'4_LAASPtA-2& phone D47(1�+D
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Name:&.,�L 1-1.4 M (M Title: 0_4 ID tU n e vS
Address: �;_tt� AWLAL, "R311dolla kid, C' 9�1�� C�C_A FL �_2'2
SIGNAMT–URE OF OWNERAANDtQRD
............
STATE OF FLO'REDA
COUNTY OF 'bU 0-1
Sworn to and subscribed before me this —day of AM t)S4 20 0 2_
Signature of Notary*State of Florida
a paske
Print or type Commissioned Name of Notary Public 401: IN ----
MY COMMMW DD042WB
Personally Known OR Produced Identification t/) Expires July 17 2005
Type of Identification Produced: �L_
Commission Expires (Notary Stamp or Seal Required): 07— 17- 65
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CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
JO THE CIHEF ELECTRICAL INSPECTOR: DATE: 20 OZ
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, WWCH ARE A PART HEREOF,
AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES.
tLbU-I'RJCAL FIRM:
Bill Thompson Electric Co. M ;TER ELECTRICI N SIGNATURE:
, Inc. LK tLhU YR
49 W. 7th Street Atlantic Beach, FT,
OWNERSNAME:
BLDG. SIZE —ADDRESS:_ C) Vd D BOX
BETWEEN:
RES.( APT.( COMM$'C�- PUBLIC( INDUS.( NEW( OLD(
ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( SQ. FT.
SERVICE: NEW( INCREASE(
REPAJR(
E AMPS: COPPER( ALUM.( ----.FEES
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SWITCH OR BREAKER AMPS PH W VO T RACEWAY
EXIST. SERV. SIZE zo
AM S PH W LT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN
SWITCHES 0.30AMPS 3 1.100 AMPS
WCANDESCENT
FLOURESC NT& M.V.
FIXED -100 AMPS. OVER
APPLIANCES
AIR BELL TRANSF.
H.P. RATING H.P. RATING C-EIL. KW-HEAT
CE
CONDITIONING COMP. MOTOR OTHER MOTORS
�AtMPS HEAT_
4 -
0-1
MOTORS OV
H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNUtK 600V OVER 600V
NO. KVA NO. KVA
1�0- -NEON�TRANSF. No I A MA MOTOR SIZE SWITCH FLASHERS
EACH SIGN
UP&ted 5120/2002