Permit 215 Beach Avenue f ..A.At r
Jrj
, ems ?. :*,\ ., �- , CITY OF ATLANTIC BEACH
r , A . 800 SEMINOLE ROAD
j Aiii :.4. ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247 -5826
Application Number 03- 00025554 Date 2/24/03
Property Address 215 BEACH AVE
Tenant nbr, name DRYWALL UPSTAIRS
Application description . . RESIDENTIAL ADD /RENOVATE /ALTER
Property Zoning TO BE UPDATED
Application valuation . . . 2000
Owner Contractor
SIMMONS, RICHARD & SYLVIA MIKE WALKER CONSTRUCTION CO.
211 BEACH AVENUE P.O. BOX 50925
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 241 -7195 (904) 620 -8441
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . 40.00 Plan Check Fee . . 20.00
Issue Date . . . Valuation . . . . 2000
Fee summary Charged Paid Credited Due
Permit Fee Total 40.00 40.00 .00 .00
Plan Check Total 20.00 20.00 .00 .00
Grand Total 60.00 60.00 .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.
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BUILDING OFFICIAL
1001' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233 -5445
s,
,� r TELEPHONE (904) 247 -5800
FAX: (904) 247 -5805
SUNCOM: 852 -5800
http: / /ci.atlantic- beach.fl.us
1O PLAN REVIEW COMMENTS L.
Permit Application #
Applicant: M Lc .1 Lc,—
-
Address: �-- `5 I
-1 i'�
Project: ./ v' O k -
Your application is approved
o Your permit application has been reviewed and the following items need
attention:
Please re- submit your application when these items have been completed.
Reviewed by Li' IX /b 5
Signed Date
Contractor Notified Date
PREPARED 2/24/03, 9:05:01 INSPECTION TICKET PAGE 3
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 2/24/03
ADDRESS . : 215 BEACH AVE SUBDIV: `p ---
TENANT, NBR: DRYWALL UPSTAIRS BEDROOM
CONTRACTOR : MIKE WALKER CONSTRUCTION CO. PHONE : (904) 620 -8441
OWNER . : SIMMONS, RICHARD & SYLVIA PHONE : C,/)
PARCEL . . : 170188 -0000- -
APPL NUMBER: 03- 00025575 RESIDENTIAL ADD /RENOVATE /ALTER /2-5
PBRET: BLIC 00 ELECTRICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
22 01 2/24/03 LJH. \ /B ROUGH TIME: 13:00
PERMIT: BPBL 00 11/11/0 BUILDING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
1
13 01 2/24/03 LJH, BD FRAMING TIME: 13 :00
ate-_ - ---
COMMENTS AND NOTES
PREPARED 2/24/03, 16:04:56 INSPECTION TICKET PAGE 10
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 2/25/03
ADDRESS . : 215 BEACH AVE SUBDIV:
TENANT, NBR: DRYWALL UPSTAIRS
CONTRACTOR : MIKE WALKER CONSTRUCTION CO. PHONE : (904) 620 -8441
OWNER . . : SIMMONS, RICHARD & SYLVIA PHONE : (904) 241 -7195
PARCEL . . : 170188 -0000- -
APPL NUMBER: 03- 00025554 RESIDENTIAL ADD /RENOVATE /ALTER
PERMIT: BLDG 00 BUILDING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RE .LTS /COMMENTS
15 01 2/25/03 LJH ^'
- - -i
COMMENTS AND NOTES
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CITY OF ATLANTIC BEACH ; *201,1
r f30 BUILDING PERMIT APPLICATION
(ALTERATIONS /ADDITIONS)
/C 3
Job Address: (9 1 S - GectC. \ ../1 ,fit let ►1 ,c 3cL. Fi 33(9-33
Owner of Property: R t e.La rci S y 1 v� ci J i11 o n S
Address: ())1 (,),eu �✓ �f lu vt y� 1-1 3 j. 333 Telephone: ?y 1 -719 S
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: /2 )1 � e tin le e 0 1 1 I . State License Number: (! e C:
Contractor's Address: PO. (air x 5 si cs x LI, Vx 1 3 x9-10
O
Telephone: 6 O - `-I `i I Fax: L 2U S Lt L7
Describe proposed use and work to be dpne: r e � a c - � r W A ( v\ t,� '� 4 dtIC :: ; s.. r oo r1l e
•
t eV / V e v� s 1) v c c r c- r y e r . • F10E
Present use of land or building(s): G u e } b e= e)1444 FF8 2 21103
Valuation of proposed construction: ' a., 0c I -Jo * >v sci. J o (tars t
What are the dimensions of the added space: N } feet x feeP
Will the added area be heated and cooled? e x i 5� �►� o c.re New electrical or increase in service? J r e r pt v J
New plumbing fixtures? /VO New fireplace? AI° New heating /air conditioning? ,V o
Is approval of Homeowner's Association or other private entity required? A/ 0 If yes, please submit with this application.
Will Ai oject involve changes in elevation, site grade or any use of fill material or the removal of any trees?
O. Applicant certifies that no change in site grade or fill material will be used on this project.
❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
2110. Applicant certifies that no trees will be removed for this project.
❑ YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree
Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please
contact the Planning and Zoning Department at 904- 247 -5826. In order to correctly verify zoning designation, please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post- construction
topographical survey or grading plan is required. (If not required, written verification must be provided with this application.)
The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 - 5834
STEP 3. Submit Tree Removal Application if trees are to be removed or relocated.
STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if
owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic
Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826
800 Seminole Road • Atlantic Beach, Florida 32233 -5445
Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic - beach.fl.us
Page 1 Revised 1/14/03
•
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. If required by the Department of Public Works, a pre - construction topographical survey.
4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies.
5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surface.
6. Other information as may be appropriate for individual applications.
I hereby certify that all informati n provided with this application is correct.
Signature of owner: Date: 0 ` / 9 o3
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: 1- �/ Date: a00
Address and contact information of person to receive all correspondence regarding this application (please print).
Name:
Mailing Address:
Telephone: Fax: E -Mail:
AS TO OWNER:
Sworn to and subscribed before me this ( day of , 20.
State of Florida, County of Duval
<N..r DAVID J. ABRAHAM
Notary's Signature:
:4 MY COMMISSION # DD 138284
EXPIRES July 31, 2006 ❑ Personally known
` Bonded Thru Notary Publc Undewriters �. produced identification
Type of identification produced ,
AS TO CONTRACTOR:
Sworn to and subscribed before me this nA..� day of �a., , •
State of Florida, County of Duval
Notary's Signature: _.' \i _. A. _
Personally known
SO identification
` DAVID J. ABRAHAM Type of identification produc
MY COMMISSION # DO 1 °-�
38284
EXPIRES July July 31 2006
Ai %rood Thai Notary Public Underwriters
: 1 0 Seminole Road • Atlantic Beach, Florida 32233 -5445
Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us
Page 2 Revised 1/14/03
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6 � , . °'› CITY OF ATLANTIC BEACH
r S) I
800 SEMINOLE ROAD
"E")
. - ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247 -5826
Application Number 03- 00025575 Date 2/24/03
Property Address 215 BEACH AVE
Tenant nbr, name DRYWALL UPSTAIRS BEDROOM
Application description . . RESIDENTIAL ADD /RENOVATE /ALTER
Property Zoning TO BE UPDATED
Application valuation . . . 1400
Owner Contractor
SIMMONS, RICHARD & SYLVIA MIKE WALKER CONSTRUCTION CO.
211 BEACH AVENUE P.O. BOX 50925
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 620 -8441
Permit W /W /O BUILDING PERMIT
Additional desc . ,
Permit Fee . . . . 80.00 Plan Check Fee . . 40.00
Issue Date . . . . Valuation . . . . 1400
Fee summary Charged Paid Credited Due
Permit Fee Total 80.00 80.00 .00 .00
Plan Check Total 40.00 40.00 .00 .00
Grand Total 120.00 120.00 .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.
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CITY OF ATLANTIC BEACH
wJ'31, BUILDING PERMIT APPLICATION
(FOR INTERIOR REMODEL)
Date: c 9 f d i/o 3
Job Address: 15 (5 (2 Cxc,\'t / M I G\ v. -1 c 6 c-h I - 1 3 ,9,913- 3
Owner of Property: R tr.-Lord 11 Sy 1 Lilo ,S i Vv, w�c%,1 s
Address: 1\ 6) ec cL , 4v �"Ilavi 6c 1 1 Telephone: 11' 7 I 9S S
Legal Description: Block Number: ) 7 Lot Number: 1 Zoning District: l ot v i-, c i3 c 1
Contractor: r i ) 1 1c -e CJc ( L er C o . 1 c , State License Number: et5 054S1, 5�
Contractor's Address: 0 0, £ 0 x sa 99 S — ,1c , ? , >< 6 c_' r I 39-9-40
Telephone: 690 344 I `` Fax: 1, �O - 8 y �7 I
Describe proposed use and work to be done: R e l )1 c& cry t 'c 0 t v 3a ► ,, R e��y °� vv 1
• ff �t i ... ;i � i N ru71 C $E 1Cli
Present use of land or building(s): (iv e 5T � b� �;I(.D�NG OFFICE
Valuation of proposed construction: / y OC> " =� FEB 2 1 2063
New electrical or increase in service? NO New plumbing fixtures? m
By:
New fireplace? A/ a New heating/air conditioning? ----
Is approval of Homeowner's Association or other private entity required? 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.
Incomplete applications may result in delay in issuance of permit.
Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor,
and two (2) 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.
I hereby certify that all information provided with this application is correct.
Signature of Property 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
800 Seminole Road - Atlantic Beach, Florida 32233 -5445
Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us
Page 1 Revised 1/15/03
•
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: li " tr ( -1 a,,C �% p
''` Date: d/ / 3
Address and contact information of person to receive all correspondence regarding this application (please print).
Name:
Mailing Address:
Telephone: Fax: E -Mail:
AS TO OWNER: 1
Sworn to and subscribed before me this L� day of A , 20 0 2--
State of Florida, County of Duval
"'Y'ri'% JENNIFER SCHLUETER Notary's Signature: ' 4� 1.�` `��. 1 �
,+ . '
4 al .,,- MY COMMISSION # DD 121301
1 z
P ersonall known •
_ _:• EXPIRES: May 27, 2006 y
Er
R(,.t` ` Bonded Thru Notary Pubic Underwriters ❑ Produced identification
•
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of , 20 •
State of Florida, County of Duval
Notary's Signature:
❑ Personally known
❑ Produced identification
Type of identification produced
800 Seminole Road • Atlantic Beach, Florida 32233 -5445
Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us
Page 2 Revised 1/15/03
A
NOTICE OF COMMENCEMENT
State of Tax Folio No.
County of
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance
with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT.
Legal description of property being improved:
Address of property being improved:
General description of improvements:
Owner:
Address:
Owner's interest in site of the improvement:
Fee Simple Titleholder (if other than owner):
Name:
Address:
Contractor:
Address:
Phone No: Fax No:
Surety (if any):
Address: Amount of Bond $
Phone No: Fax No:
Name and address of any person making a loan for the construction of the improvements.
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other
documents maybe served:
Name:
Address:
Phone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option). —
Name:
Address:
Phone No: Fax No:
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date:
Before me this day of in the County
of Duval, State of Florida, has personally appeared
Notary Public at Large, State of Florida, County of Duval.
My commission expires:
Personally Known: or
Produced Identification:
� . V. .J r
�c , , CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
r ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247 -5826
Application Number 03- 00025575 Date 2/24/03
Property Address 215 BEACH AVE
Tenant nbr, name DRYWALL UPSTAIRS BEDROOM
Application description . . RESIDENTIAL ADD /RENOVATE /ALTER
Property Zoning TO BE UPDATED
Application valuation . . . 1400
Owner Contractor
SIMMONS, RICHARD & SYLVIA MIKE WALKER CONSTRUCTION CO.
211 BEACH AVENUE P.O. BOX 50925
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 620 -8441
Permit ELECTRICAL PERMIT
Additional desc . ADD DRYER CIRCUIT
Permit Fee . . . 37.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
Permit Fee Total 37.00 37.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 37.00 37.00 .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.
1/4Q 1
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BUILDING OFFICIAL
`' - -
CITY OF ATLANTICRBEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
,TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 7- 206
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: BILL THOMPSON ELECTRIC CO., INC. MASTER ELECTRICIAN SI NATURE:
P. 0. BOX 330150
ATLANTIC BEACH FL 32233 -0150 s w i
OWNERS NAME: ? fiNi (PA,C ADDRESS: 7 ---/S ---
or / . /hie_
BLDG. SIZE BETWEEN:
RES 4. APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLVAL REW.( )
ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT.
SERVICE: NEW( ) INCREASE( ) REPAIR( )
CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) FEES
i
SWITCH OR BREAKER AMPS PH W VOL RACEWAY
7 '2 Zo
EXIST. SERV. SIZE / 7- AMPS / PH 7 W V (4 T RACEWAY
- 1
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED ,OPEN TOTAL
0.30AMPS 31.100 AMPS
SWITCHES --J
i INCANDESCENT
FLOURESCENT & M.V. I
FIXED 0.100 AMPS. OVER
APPLIANCES /-- 744 BELL TRANSF. yp Oe
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. 1 H.P. VOLTAGE PHS
- _. 1
MISCELLANEOUS W' _ /,* __ >'-ai, ��-_ --,
41 " r
UNDER 600V OVER 600V rlrnrrallIllfr2P.M
TRANSFORMERS:
NO. KVA NO. KVA _..I
NO.NEON TRANSF. NO VA MA MOTOR SIZE SWITCH FLASHERS /AM
SIGN
r+.y►'sv -"' _' - -•--_ .. �w G '%4:"!_`�:.�i...:.:- i::,�.Y';+c rt`e:.t'i4.. ' =.�i' 't' ""��s- ;�.
CITY OF ATLANTIC BEACH
•
BUILDIN ROAD 32233
AND ZONING
800 SEMINOLE
ATLANTIC BEACH FLORIDA 3
INSPECTIO PHON LINE 904 - 247 -5826
Application Nu mber 02- 000 24819 Date 9/16/02
Proper A ddress 215 B EACH AVE
App licati on de - „RI ONLY
Property Zo O B i ED
Applica valua +h
Owner a. ,,,,00. V .,
o rac or
SIMMONS - - -
;n f 0 ,PS EL ECTRIC C INC
211 BEA ," E v ,' 0. : B 015
a 3223 �, ATLANTA
ATLANT BEA �" EAC FL 32233
� � ( 904) 2 49 - 6
r
Perm . W� ,, ' EC ERMIT
Add ` Tonal v, - „.. '. , ;; 4 11, -
':-..s pia F OR RE MOD.
Pe t 'ee �'�� 00 =Plan Ch eck . 00
I e x, Valua 0
Fe summa ' ` , Paid Cred e
P: it F T� R b S W 0 � 1
$ � � � fit '. � . a �.� s r. ��� *`b 3 , - ' r � � 3, � 0
Gr n t 2 .005 ,00� Iy . 00
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MU NO T BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY B EITHER CONTRACTO OR OWNER "FAILURE TO COMPLY WITH
THE CONSTRUCTION LIEN LAW CAN RESU IN THE PROPERTY OWNER P TWICE FOR BUILDING
IMPROVEMENTS” ISSUED ACCORD TO APP ROVED PLAN WHICH A RE PART OF THIS PERMIT AND SUBJECT TO
REVOCATION FOR VIO OF APPLICABLE PROVISIONS OF LAW.
Q *N ''' . BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Owner(' 019 t W Address Phone a v 7 Qw i
Architect Address Phone
Contractor < ,,",,, 4 Address 2/i f,¢G/yoc//t Sr Phone ,q6
License Number i ig, 5`b Expiration Date
Lot # Block # Subdivision Zoning
Street Between and side
Valuation $ Purpose of Building Sum Roo" Type Const.u-
Dimensions: Building 9 C' fig Lot Sz.Footings
Sz.Piers Sz.Sills S` V" Greatest Span Sills '`�``
Sz.Ceiling Joists .7YC Distance on Centers .74" Greatest Span
Sz.Floor Joists Distance on Centers Greatest Span
Sz.Rafters Distance on Centers Greatest Span
Heating Solid- Filled Ground Roof 7,4,z4 R.exAc
Flood Zone If located within a FLOOD HAZARD ZONE fill out
reverse of this application.
Inspections Required:
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns /lintel.
3. When steel is in place and ready to pour beam.
4. When framing, mechanical, rough plumbing and fire place
is completed and ready to cover up.
5. Rough electrical.
6. Final inspection.
In case of rejection, reinspection MUST be called SETBACKS
for after corrections are made.
In consideration of permit given for doing Rear Lot Line
the work as described in the above statement,
we hereby agree to perform said work in
accordance with the attached plans and c vn
specifications, which are a part hereof, and m
in accordance with the building regulations
of the City of Atlantic Beach. o 0
r• w
m r�
Signature OWNER
Signature BUILDER
Front Lot Line
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development: New Building
Alterations to Existing Building
Flood Zone
Required Floor Elevation
Actual (as built)Lowest Floor Elevation
If located within a flood hazard zone (zone A) a survey must be
made after the slab has been poured, certifying that the "lowest
floor elevation" is equal to or above the base flood elevation
established for that zone.
No Final Inspection will be made and No Certificate of Occupancy
will be issued until the survey is on file with the Building Department.
COMMENTS
Applicant acknowledgement: I understand that the issuance of this
permit is contingent upon the above information being correct and
that the plans and supporting data have been or shall be provided
as required. I agree to comply with all applicable provisions of
Ordinance No. 25 -7 -11 and all other laws or ordinances effecting
the proposed developemnt.
Date Applicant's Signature
Department Use
Survey filed with the Building Department on
Certified Lowest Floor Elevation
Required Lowest Floor Elevation
Building Department Representative
% hts i oo.•ii GAiv advzp c vvl , , �7 su.v
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DEPARTMENT OF BUILDING A
CITY OF ATLANTIC BEACH. FLORIDA ?- PERMIT 9
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date November 8 ' 19 84 � �
,a0CKT
Valuation $ 2,036.65 Fee $ 19.50 1 / 09/0 4
.00C This permit not valid until above fee has been paid to City Treasurer, and is 1 fCl9 /0 i
subject to revocation for violation of applicable provisions of law. 1 3
This is to certify that Jacqueline W. Gustafson
215 Beach Avenue, AtlatlLi.c Beach, Florida
has ermission told Enclose existing porch: NOTE; TO BE
USED AS A SUNROOM ONLY, NO HEAT OR AIR COND. OR
ELECTRICAL. Residential
Classification Zone
Owned by Jacqueline W. Gustafson
Lot 1 Block 77 S/D At1 ant•1 r Reoc
House No. 215 BEACH AVENUE
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
�-- -► 4-7 O 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 con-
tractor or owner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
an naMil
ADDRESS MECHANICAL PERMIT#
PLUMBING PERMIT #
BUILDING PERMIT WORKSHEET ELECTRIC PERMIT #
TEMPORARY ELECT. #
Heated Square Footage @ $ per sq ft = $
Garage /Shed @ $ per sq ft = $
Carport @ $ per sq ft = $
Porches @ $ per sq ft = $
'.SLL N /Morel '
Beek P :
— - 2.4",3 �� @ $ .' __per sq ft = $ . 1 C1 7 << ^')
Patio @ $ per sq ft = $
TOTAL VALUATION $
Total Valuation Data lst $ -.) 0( * *, C, .
' �
Remainder Valuation @ $ ' C`C , per thousand
or portion thereof t
TOTAL BUILDING FEE $ 3 ,
+ k FILING FEE $ CTh , `-7,77\
FIREPLACE @15.00 $
TOTAL BUILDING PERMIT $ f , , .` ; -'
PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
ELECT. TEMPORARY $ ELECTRICAL PERMIT $
WATER METER SIZE $ ACCOUNT NUMBER
SEWER IMPACT FEE $
WATER CONNECTION $ ( @10.00 per fixture unit)
APPROVED BY: TOTAL BUILDING /PLAN FILING FEE $ ,
TOTAL WATER METER CHARGE $
- -° --: - - TOTAL SEWER IMPACT FEES $
TOTAL WATER CONNECTION CHARGE $
MISCELLANEOUS CHARGES
$///
7 -.. .ti
GRAND TOTAL DUE: $ 1 CI Z .'
CITY OF
Mantic Beach- itzlotida
i 1 Office of Building Official
` 1 1 .401 63 REQUEST FOR INSPECTION
Date ` 1 — ' 1 Permit No, _ 2.3 4 31
Time A.M.
Received P.M.
2 4 r- '&.0 f\v-L,
Job Address Locality
Owner's f , CA
U-
Contractor v� ���� , ll
BUILDING CONCRETE ELECTRICAL PLUMBING MEC
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION
Tues. I* Thurs. p_ li
Inspection Made ,' /fin �� P.M.
Inspector 1!`,_
Certificate of Occup ncy ❑
N
N v b CYO O (� - ( , r Date ° 2 I- n - r c ".� .,t,.
PREPARED 4116/03, 8 :32 :01 INSPECTION TICKET
CITY OF ATLANTIC BEACH PAGE 2
I NSPECTOR 1ARRv t t Ir r e ,,� i:' ,
ADDRESS :211 BEACH AVE
�K:,
TENANT, NBR: REPLACE SIDING ON UTIL RM 6 � 1"�' �'
CONTRACTOR MIKE WALKER CONSTRUCTION CO. ' � i ive ,
OWNER SIMMONS, RICHARD & SYLVIA , ;� , :
-' ,
PARCEL . . : 170188 -0000- t x
APPL NUMBER: 03- 00025553 SIDING �`
;INUIT: BLDG 00 BOILDIAG BRUIT : " '
REQUESTED INSP DESCRIPTION r�$
TYP /SQ COMPLETED RESULT RES „ , ice
Iwx '
17 01 3/13/03 LJH BD SATHING s �� '�~'.
3/14/03 AP x ,
910 923 ,
16 01 4/16/03 LJH BD INAL TIM , ° r : �°1 `s ' ' �` '
�C1 E WALKER 9I
_ 2._:
1.?M .izK myy.•+ �arr,' $ x '�d f4:�,.Tv fr,�F`2: 4