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Permits 250 Beach Ave ' x lil 000233 . w 1 41 DOARtfi'twi tQF BUIL011k: ` t CITY bI=Att ANTIC EAa✓H 0 BRACH r.. .32233 L. AL I�OSCH P � TION laloi�k -Soo .04t wt POO, 4 O € � ,, . uts A � 0 ,. . ..,». Oilt Ml` Ill"C"C3�i » ., . l" t I ' ,` ? �5« I +D Ac �+ rr ac 2!56 B ACH #1vru... ` �1► �. A' i«As�' IL"AGH, F SPA 3223P kr T f � A t 4399-'al 4 I ,yr y t ° ISI"K tt w p b w02 ant � ROM SAS, tixl ) A I PY07 licit AT94 TA '!' , X 11 SHARVI O.00 OTItfutsoy r - NQTICI;..;.AI.I.CON+ICI 'fE'FC3fMS AND FOQtIN $AAUST BE 1NSPECtEO 8EFC3RE Pt?tlRftG' PERMIT VOID SIX MONTHS Aj*TI+R DATE-OF ISSUE ` BUILDfiNG M,ATERiAR.Uti81SH;AND f pEFxRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC Sf'ADE,yAI+�D'MUST BE CLEARED UF'AND' HAULED AWAY S, EITHER 0ONTRACTOR OR OWNER. ULT IN'- kN E 7"H P'ROP,��:E?VI�lV� AY�tVC �'V1IICE FC�l� �U'�� ��4 ' ��R�C�V�MENTS." LIS '0E AGC+ORDING TO.ArPPROVEP I ANS WHICH ARE PART OF;THIS PERMJT AICD tUISJECT TO REVOC AtIl�h1, r ., �/tQLA1'ION OFAPPLICA81 PtR4ISI�C? S,tF-SAW. a s AT tl $EAGb ILI ING=C)EPAA , I:IzI'Y L)I.0;(-RII'I.Io11 � j F'L�ICirLI%G 7:>r::t c: ; 7 � 716 , Lot ;;.--_----_Clot !: (;- ` _--Section r_-_------ I"*Q.BOX 75 ATLAN I It'HFACH, I I"19111A 327:11 'IFLIA,110NI;WU11::W 2:31+5 :.:ttlnl!.:•it:.Lon: DESCRIPTION OF WORK or Ac,r:rrrr,: X `sc-, I� 1tt�C��i✓ C C��f If in a FLOOD HAZARD I'l r,,,,l i:r;,n•�: r'r.atn e:Ornh l.e l".� pnoe 3. Brief /1 _ I)crrtcrllrtlurs Class of wort:: � (Mew/Remodel/Addition) l YYiCyG^-�- :::C1113:IIG :I11FORIIAI•10H Type of Construction:-_ N7YVC_- Dirl's ict: fy_--G_-__lJ:ae:----- (( , -- Estimated Value a "}Ccc ------____-_ Fx.rzl)L.ionn or llss Lt-ri.n.i,n s jV1 t-J� Vur iuncccs Lirunted: -1 Solid or Ground: x- l lA e r W-111EI? INFLIMIATIOU 7 hethod of lien ting:_iV8,_�4 1-------- Proper Ly IJwn-:?r: CL-sF IX !' N-- flailing _------ -----�------------------------- Phone: Addreou ------------------------------------------------- ------------------------------------------------- - Zip:---------------- C0I11'11ACTOR 114FORIIATI0II Cols trtic,Lor:�:<� �1 � t-=•- --- Phone: c?. 4 1 ' 0�s� j-- Adctrecc C 1 (?K QLJ------------------- ----------- _^_t'�?�_-�►_ ? --- zip: ' �L -�---- --------------------- Expiration ------ L lcenr,r. Illlitlh! T : C t�C C= `i > 3!��: D stc Jill 3C ------------ ------------------------------ ° - -- -T1- €;. In c.onriderat-ion of permit given for doing Lhv wur'1c at.; dcccribed :e,!,It.I -• thea ;tbove itatcutent, we hereby agree to perform said wort; in acr -d- -e with the _ t.tar-hed plans arid specifications which arc patrt- hereof, and in accordance With all rules and regulations >•"1� ;• '� ' of the City of Atlantic Deach. t�•:tl , O•dnr•r Signature _ _ D;ate------------ Contractor Signatu.r ----,Date -7----- FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : New Building Alterations to Exis ting Isullditlg Flood Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone .,(zone A) a survey must be made of ter the slab has been poured, certifying that the "lowest flooreleva�.:ien'is equal to or allove the base flood elevation esLaGTi-sliecl 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 . COi• LENTS Applicant acknowledgement : I understand that the issuance of this permit is contingent upon the 'above *information being correc(: rind 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 developetnnt. Date Applicantls Signature --------------------------------- --- --,------------------------------ Department Use Survey filed with the Building Department- on Certified Lowest Floor Elevation Required Lowest Floor Elevation' ' Building; Department Representative Address Heated Square Footage @ $ 1/0-50 per sq ft = $ j Q S CIO,.4 Garage/Shed @ $ /E,,iDper sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ ct'y per sq ft = $ Patio @ $ n7 d per sq ft = $ TOTAL VALUATION: $____ i � -a6 Total Valuation lst $ C.4 0 a� ac. CSS" to $ 1o , Remainder Valuation .. mer thousand or portion thereof -------------------------------- ----� Total Building Fee $ ADDITIONAL PER LETS and/or FEES REQUIRED ; + z Filing Fee Mechanical ! Fireplaces @ 15.00 $ �� o0 PlLubi ng t/ ---- ------ BUILDING iPERMLT FEE $ �� 1 Electric/Neta ✓ UNDER-ROOF "" Gy FLOOR SPACE @1¢/1000sq.ft .___________ Electric/Temp Septic Tank BUILDING PERMIT $ �/ Well WATER ME ER CHARM $ Swimming Pool SEWER IMPACT FEE $ Sign WATER EAPACT FEE $ Water Connection MIS PUS $ �� Sewer Correction 1�6 0 �2 $ Water Meter f7(- 70 Elevation Certificate GRAND TOTAL DUE $ ------------------------------------------------------------------------- CALCULATIONS and/or NOTES --` PLANS REVIEW CHECK LZST� Address--- �V ------ ----Owner__; ---C - x G'� -------- ---- - - - - Legal Description -_______Contractor ----------------- ----------License Number_ckaD License on File YES NO Section 24-101 +► Zoning Regulations Zoning District___ __- Proposed Use__ Required Lot Size------------ Actual Lot Size Setbacks Required Pr OV-:, - Scctivri :_24-1'7 front O _ _ CORNER LOT _ INTERIOR LOT rear Flood Zone side-1 AT-- side-2 ------ -- Required Elevation --, - Max. Height Allowed _`____ Proposed Height-_ Section 24_82 * Minimum Lot Co_v�eragg Required Heated Area _1UU Proposed•oArea_ � -+ --- Section 24_1.61 t Offstreet Perking Number Spaces Required____ Spaces Provided p�__ Section 24_82 * Duglicate Buildings Is there a similar building within 500' of proposed building?YES }l0 Utilities Water and sewer service is to be provided bys Buccaneer Utilities City of Atlantic Beach Utilities Private Source SEPTIC TANK ELL Plans Reviewed by: Date Building Permit �1_---------- ISSUED DENIED 19877 REAL ESTATE TAX NOTICE/RECEIPT DUVAL COUNTY CITY OF JACKSONVILLE 100255 OCEAN BV PC: 08A PANEL: 560 3 EL : 00384516-2 I -531 5/85 APR AMT MAR AMT FEB AMT JAN AMT DEC AMT NOV AMT EX-TYPE SCRow ILLA E TAXES LEVIED �w CODE CODE ASSESSMENT NO. 170195-0000-4 Cl w llx 21 MILLAGE TAX AMT z ASSESSED VALUES LYNWOOD ROBERTS, TAX COLLECTOR 0 0 ROOM 107 COURTHOUSE m •. zTOTAL 54400 JACKSONVILLE, FLA. 32202 3 -jGOVT 29400 11 .4808 : 337.54 n ZSCHL 29400 5. 1708 240.22 -4 0 SD 29400 1 .9030 : 55.95 0 PRICE ROBERT F D aLEGAL DESCRIPTION 250 EACH AVE r 2PBK SEC-TWP-RGE DIST ACS ATLANTIC BEACH, FLA 32233 z 00 USD3 LLATLANTIC BEACH ZLOT 4 BLOCK 28 m ANNE M 0/R 9K 2833-766 THIS IS A STATEMENT. IT IS FOR INFORMATION ONLY ABOUT YOUR ASSESSMENT AND TAX. YOUR TAX BILL HAS BEEN SENT TO YOUR ESCROW AGENT FOR PAYMENT. SEE REVERSE SIDE FOR IMPORTANT INFORMATION. 9196 } CITY OF >4ctic �'e�2�i - ��vcida 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 November 15, 1988 I , J. M. Hixon Jr., certify on this date that the property I have recently acquired at 250 [leach Avenue from this date forward will no longer be a duplex and from here on out will be considered a single family unit and charged as a single family unit for utility services. I also am aware that by converting this property to single family I will never again be able to return it to a duplex or sell this property as a duplex. 6�. M. Hixon Jr. 41 C�ie s Date k �— —inn ess a . R'ESOLVIED CODES ENFORCEMENT - CITY OF ATLANTIC BEACH RECEIPT OF NOTIFICATION ------------------------- I, �f�/C �_�� Cf_ Gt / U� ______ served notification to -1=- - Q/1------------------------------------------------- at _ r?_ ---------------- Atlantic Beach, Florida 32233 this day of 1988 at JLL11 - �-- PM This notification was in reference to violation of fence regulations; -------------------------- Chapter 24, Article III, Division 7, Section 24-157. ---------------------------------------------------------------- ---------------------------------------------------------------- SIGNATURE OF SERVER 7 -------------- SIGNATURE OF RECEIVER ' ►_r. ' -, -------------------------- f i� A CITY OF retic �e��cl - �wuda. 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 HAND DELIVERED July 5, 1989 Mr. and Mrs. Jose' Rixon 250 Beach Avenue Atlantic Beach, Florida 32233 RE: 170195; Lot 4, Block 28, Atlantic Beach Dear Mr. and Mrs. Hixon, Our records indicate that you are the owner ^or occupant of the above referenced property in the City of Atlantic Beach, Florida. Investigation discloses and we have found and determined that you are in violation of the following provisions of law of the City of Atlantic Beach: Chapter 24, Article III, Division 7, Section 24-157, Fence Regulations You may bring your property into compliance by 1 ) removing the illegal fence from your property, or 2) cutting the fence down to a four (4) foot height. You are hereby notified that unless the property is brought into compliance within seven (7) days from the date hereof, you will be subpoenaed to appear before the Code Enforcement Board and may be fined up to $250 per day that the violation has and continues to exist. If you have questions regarding this notification please call our office immediately. Si l y,, 00 CITY OF ATLANTIC BEACH CODE ENFORCEMENT OFFICER cc:. file Alft IMAs" Aft Aft antra .Mls, LU Q a M Q Cr CJ y w b O 'tr w O S rte- Qi 3 0 IV x o o o "t ,C LLL���JJJ 2 U � WLU J �oao a v a > LU UJ 0 fn W O '�1 a ¢ z o U g a ° +� a 15 co Z a°C W G a L 0 a z O U U U UUj �. V1 U � E- UU 4 M La 0 eC : U v O tYi H rxy m 0 in V W Qt O o V w 4 z cc z � � O w _4 0 0 Q 0 z z U z to ti U Z U O a n a w O a m z Q w z z ° p w q Ocr a w AIAM J U Z Q O� AA Aft U S3OI�y3S143V")" W NOUVW�Q + 4ft +ARb vu.rrttf tratr of (Orrupaurg CITY OF Orpttrtinent of lNuilding Atapprtiun Thit Certificate issued pursuant to the requirements of Section 109 of the Southern Standard BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORK SHEET i Date Requested : �� ��f 7 Building Contractor: Building Permit Number: 3 3 Address: .2'5Z) -Xa-t-A�� Legal Description: Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as --------------- Lowest Floor Elevation: re uired as built n/a Sales Tax Certificate: date submitted BEFORE ISSUING CERTIFICATE OF OCCUPANCY, THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED: DATE APPROVED: '- Y: Fire Chief Public Works Planning Director Building Inspector CITY OF 4,t ad� Office.of Building Official R REQUEST FOR INSPECTION 2 74-7 permit No. Date / A. District No. Time P.M. Received c kitty Job Address Con tr MECHANICAL owner's PLUMBING Name ELECTRICAL❑ Rough ❑ Air.Gond.& 0 CONCRETE Heating BUILDING ❑ Rou9hWiring Top Out ❑ 0 Footing 0 Temp Pole ❑ % Fire Place 0 Framing Slab 1// Pre Fab Re Roofing ❑ Lintel ❑ A.M. RE Y FOR INSPECTION P.M. Thurs. Friday-— ---- Wed. A.M. Tues. Mon. p,M. inspection Made Final inspection❑ Certificate of Occupancy Date 000276 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH A Jd) Al't"AtITIC llI A f I L,UO A I, I'll–-il-'R I I" I' t fill S P.1 "A" Vi. 00 00 90 4 ) 24 1. V L.I C!AT 11()f I I"[;A Id Al F Rt 00 IZA0111`1 IZA00ti (-)A',-, rs% f'..'EVIER TA P I I'i L)R A U I,I C I I A P E PE 1fI',;t1Ft:T F'EE NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH, FLORIDA s Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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 ANDCITYOF ATLANTIC BEACH ORDINANCES. ELECTRICAL IRM: MASTER ELIECTR I NAME41!0' ADDRESS:-16D &-a ekG RFD BOX BLDG.SIZE BETWEEN: RES.( APT•( 1 COMM.( 1 PUBLIC'( 1 INDUS.( ! NEW(--1' OLD( ) REW(< 1 ADDITION ( ! TRAILER ( 1 TEMP.( 1 SIGNS ( 1 SO. FT. SERVICE: NEW H-r INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER' ALUM. D SWITCH OR BREAKER U AMPS PH W OLT RACEWAY •�S� U a EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETSCONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31,100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. I OVER APPLIANCES $ELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-T OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS +neuaeendlucoc• IINDER Soo V. OVER 600 V. 000313 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - PERMIT INFORMATION LOCA,rim INf"'0F2itAT10N -------- - - t Numbe.t s :a1;3 Addrer3s:. 250 REACH ,AVE. F'ex'mit Typc:�. ELECTR'IC'AL ATLANTIC BEACH, FLORIDA 32233 Classes of Warks TEMPORARY POLE _._._ _ » L.E13AL DESCRIPTION - ------_- Constr. Type.- Lot : Planks Sections pi-i..)posed Uses !31H :lLE FAMILY Plat. Books Pages U Dwell inns 0 Ca;rise: U Subd ivinion i Estimated values "NO. 00 - _ -__ - OWNER INFORMATTON -- ------ Improv. Cost : to. 00 Naffte: CURNEL1U5 C:OrISTIiUCTIUN Total Fees l=2o. 00 Addx•eEmi 25U BEACH AVE. Amount';.Paid. , 120. OU ATLANTIC BEACH, FLORIDA 32233 Da tr+' PaId ts 1:?,,':288 Phonet. (904)241-90!51 4Varlt Des3c ' Cs, 306, E'aOAtIPS, ALUM, 9B, 60AMP5, IPH, :3W, 230VOLT, CABLE RACEWAY ------- `CCiNTRA["CfFl ("-,) . APPPLICATIU.H FEES -- -- BROClKS` &. L.SMBAIJGH ERML't .:` $20. 00 WATER IMPACT FEE $0. 00 ryF1��u SEWER IMPACT FEE ti WA'reR, METE LAt�uf rAP- ."tt: so. Go RADON UAS 5% $0- W164 I A i L/L-Ci WATER TAP $0. 00 I�� HYDRAULIC SHARE UO RE-:LNSPIr.CT. FEE $0. 00 O'rHE'R $0. 00 NOTES: i ,f j NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. i I j "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT .' iMOF A C L i-9 f6VA044 a- t:iATf +tNF01 ,A'CFN ► x l� cr+ s. X401 .AVENUE :Pea� # :, 41'�A t GA,.. X' LANTIG XA4CHt �`t..t RIDA► 3 22 LEGAL DES 'T.PTIO . �» ..A. . ` ,+Car� tx�# �r x. �+ twat �acs .ran s �P r „ tea AMY � Plat - p i P'4940 x ' ► *4th# � A►�,�� � � , � � � �� -AVENUE ' ,.Mk t�►t3 " #. tWA�CH;,: t:'tk1~t1Ft1£t � . , Mt P '. 040 06 ,* ! l . . WATER .; . *040 411 1 RADOW ATTR�# I #ICK# �Nt r Pb% {CD 31 T AP lef WA �+z Safi" " � • ' rig#✓} +kr.Rd' ftrkl- lip 00:1 NdJTM t+flT tCEft�S A[+tb FQ(3TINGS MC!$TE;tt: Pt*G'�ED BFtR PCURti . f P FtfitlIT VOID SIX MONTHS A#TEAt3,4TEOP I Stl� BUILDII G MATE RIAL R11$91W ANA p>_6144S;FR0 THIS WORK tuIUST N!�'T 8 PACE[?IN PUI311C SPA�E,,,A MUST S GLEAfi"E�i Uf?AWI "k AQ Sm Al AY' I I Hkfq C;4NTRACTQRQR 61NN i. f i 4X1 � ' i,THS 1�lEHIVC � L .1V LAWiN # lLT ( l `�' ': ►�� T'1fiE F+Ct3UIIC� N�3ICJ1`�� 1"'S�:" k l66ukt?'ACC0'lR0JNQ T ,?k#PF In t l �AfHIGH ARE PART OF THIS, Rtt+�{�-ANp'$4�BJE�T To Rtw'ft�tiAl'tON tiiC}t�. 1f C L�4tIC Rt 4 r�i#t13L1 1 P Q 1C 0'A. i ATLANTIC BEACH BU#1.I�IN�'pIrPARTMl NT , B , APR-17-97 THU 10:43 AM MAILBOXES ETC FAX NO 904 241 2294 ARCHITECT/ENGINEERS CERTIFICATION COASTAL CONSTRUCTION CODE FOR ALL 14AJOR STRUCTURES TO BE LOCATED WITHIN CITYp OF ATLANTIC BEACH, FLORIDA APPLICANT' S NAME-LA.U L __5 , L f' PHONE NO 737-6b7&DATE._.-1 -618) OWNER NAME:,JAN Htku`( i CHUCK H I R� � TAX N0. : . TYPE OF PROJECT: ( )New HomeResidential Addition ( )Garage ( )Pool ( )New Commercial ( Commercial Addition ( )Other 911 STREET ADRESS: © -- ( ) We claim the structure to be exempt as follows : ( ) Garage with no provision for occupancy - detached one and two family only ( ) Pier , Dock, etc. ( ) Other (Specify) �___..___.. .,__..__�� I also certify that no- structure listed above may be remodeled or converted to a non-exempt use without being upgraded to fully comply with the ordinance . Signed : ----------- -Date . - -- CERTIFICATION This certifies that the plans and specificatio7s submitted and seared by the undersigned meet all criteria set forth by the City oL Atlantic Beach Coastal Construction Code . Roof covering is exempt fro;n ,the 110 mph requirements of the Coastal Construction Code , but meet all the other requirements of the City of Atlantic Beach Building. Code . ! p/1 The structure including foundation , frame , roof decking , exterior walls and floors has been designed for wind loads of 110 mph, with all design complying with the 19 Chapter 12 , Standard Building Code. - �'y�Windows , doors and all other exterior devices comply with the 110 mph wind load. (� - + y The structure islocatedoutsidethe area affected by ^wave forces , OR } The structure is capable of withstanding wave forces resulting from a wave crest height of feet ab(�vt- MSL including uplift forces . - he structure islocated in. FIA Zone A and thefoundation *-'--design has considered possible exposure to water and erosion, OR ;L,�' The structure is located in FIA Zone X and the founda}ion will not be exposed to hydrodynamic , hydrostatic loads or water our , OR Foundation design has been completed with floor elevation above the specified stillwater elevation, and to resist wave, hydrodynamic , hydrostatic and wind loads acting simultaneously with ?ipad I narlc F_rnai nn r.nrnnIW*=hi nne fnr t}ks F^Aint4n+'i nn A 1 CITY OF r -00 -� MINOLL ROAD l <,1 ;COM CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAWREQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTCRS. YOU HAVE APPLIED FOR A PERMIT UNDER AN a-,CEMFMON TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNED CF "._l;R �oCPcgTY, TC AC'T AS "S._n OWN CONTRACTOR EVEN THCUGH YOU DO .NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO'FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU .MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $?a5,COO.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY, IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER�THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT 4T FOR SALE OR. LEASE, WHICH 15 IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZCNING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE RECUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,QOQ) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY 00 'WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH 'WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST Be ON THE JOB AT ALL TIMES WHILE 'WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TQ WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND(OR FORM 1099 REOUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRACES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,CCO PENALTY UNDER FLORIDA STATUTE NO. 455-228( 1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE OLORIDA."CONTRACTORS CERTIFICATE" TO ASCERTAIN iF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-SUR-CER PERMIT. PROPOWNER/ UILDER 0 __ FL ADDRESS TELEPHON y��yify�Z SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 19l 7(( NOTARY NOTE: PHRASES PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING DENA DA1,NESE FORRESTER DEPARTMENT. Notary Public, State of Florida My Comm. expires Oct. 23, 2001 Comm. No. CC 688279 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET / AY-E��9(30` A 3V 1 T<QAddress Date �• - /a P Heated Square Footage@ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = S Patio ��@ $ per sq ft = $ D� TOTAL VALUATION: Total Valuation 1st $ $ Remaining Value $ . per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ 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 $ D ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: RECEIVED CITY OF ATLANTIC BEACH jUL 2 1998 PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTW ofi �t�antiC Beach MOVING, DMIOLITIONS Building And Zoning x Owner (s) : x Address: j( Phone: ll X Lct #� Block or Unit # '219 Subdivision: i( iq Contractor: -r State License # N/A Address : N14 Phone No: Nle itv (�� State ^ Zl ^ ode Describe work to be done: / ®0� C,� IjUI'�S (Present use of building: M11) X valuation of Proposed Construction: )< Proposed use: Me1Vi ke-sieklce x' Is this/fan addition? Os If yes, what are the dimensions of the added space: 7 ft. X 2—) ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures?vk> New fireplace 4b New Heat/AC? ks SUBMIT TRREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENC2MENNT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. -7hL/�R (Signature OWNER: _ Date: Signature CONTRACTO 0 Date: Sworn to and subscribed before me this �2 Y)d� day of 19�� N TARY PUBLIC STATE OF FLORIDA AT LARGE DENA DANESE FORRESTER Notary Public, State of Florida My Comm. expires Oct. 23, 2001 Comm. No. CC 688279 "�Y 07/14/1998 09:37 9047372385 PAUL S LI ENGINEER PAGE 01 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 smart Addldone.Ftenovatlons&building Systeme Department of Community Affairs Compliance win Method C M chapters of the Florida Energy Emclency Code may be demonstrated by the use of Form WOC-97 for additions of No square feel or less,sae-Ini low components of manufectwad homes,and renovations to sinyN and mullifemiy residence. AIIemellve methods are provided tot additions by use OI Fam 6008.97 or 60OA-97. PROJECT NAME: IDU 1 O BUILDER: AND ADDRESS, PERMITTING, 1,( ON OFFICE:ALAW 1 E04LONE: 1 2 _ 3 OWNER: J ,{. L PERMIT Nit. JURISDICTION NO (`n� SMALL ADDITIONS TO E KISTINO RESIDEN S(600 Square test of4$$of Conditioned area), PreMAplive rsquiremenis in Tables 6C-1.6C•2 erv7 6C-3 opoly only loin* components of Ina addition.not 10 the enaling budding, Space hooting,cooling.and water heating sauipmeni efficiency levels must be met only when equil merit is installed soscddaay 10 serve tits DOOieon or Is being Installed In conjunction with this addition construction Components saperaling unCon01fio0e0$PACO$from condh4j red spaces mutt masl ine orescribed minimum,multgion fevers RENOVATIONS(Patidenlgl buildings undergoing renovations costing more than 30%of the assessed valy of the budoog), PresCripllve requiremems in Tables 6C-t and 6C-2 apply only to the components and equipment being renovated or replaced, MANUFACTURED HOMES AND BU PINGS.Only see vroteneo componaMs and features are covered by this form.BUILDING SYSTEMS Comoy 0190 complete new system is installed, Ptssse Print CK 1. Renovation,Addition,New System or Manufactured Home i2. Single family detached or Multifamily attached 121. • 3. if Multifamily-No.of units covered by this submission 3. 4. Conditioned floor area(sq. ft.) 4. -�?�T�-� S. Predominant eave overhang(ft.) S. 1,4017 5. Glass area end type: single Pane Double Pane a. Clear glass Qa. sq. It. ;e) sq. I. b. Tint,film or solar screen 6b. sq. It. sq. I. �n 7. Percentage of glass to floor area 7. Z % ( ^,N 8. Floor type and Insulation: ++ a. Slab-on-grade(R-value) 8a. R= 0 1 lin,It b. Wood,raised(Revalue) 8b. R= Sq. ft c. Wood,common(R-value) 8c. R= sq. ft d. Concrete. raised(R-value) 8d. R= sq ft e Concrete,common(R-value) se. R= sq,It 9. Wolf type and Insulation: a. Exterior- 1. xterior1. Masonry(Insulation Revalue) 9a-1 R= sq.ft 2- Wood frame(Insulation Revalue) 9a-2 Rea 1 sq.It b. Adjacent; 1. Masonry(Insulation R-value) 9b•1 R= Sq. It 2. Wood frame(Insulation R-value) 9b-2 Re sq. it _ c. Marriage Walls of Multiple Units'(Yes/No) 9c 10. Ceiling type and Insulation: a Under attic(Insulation Revalue) 10a, R= �OS sq. It _ b, Single assembly(Insulation R-value) 10b. R= sq.it 11. Cooling system' (Types central,room unit,package terminal A.0,gas, existing,none) 11. Type: y Iz 1 I la e� SEER/EER: to - 12. Heating system': (Types,heat pump,elec.strip,natural gas,L.P.gas, 12. Type: j&,X_lovT I gas h.p.room or PTAH,existing,crone) HSPF/COP/AFUE: _ 13, Air Distribution System*: a Backflow damper or single package systems' (Yes/No) 13a. b Ducts on marriage walls adequately sealed'(Yes/No) 13b. ---- -----t 14. Mot water system: 14. Type: NT� (Types:elec,nalunl gas,other,existing,none) EF: •pertains IO m6nu4041We01 hprh03 with 31ts Installed components. I nereoy CVI Iy t I e ns an spa io epversd by IM Calculation are in Reyrowdplansanospecincsiionscoveredbythnulcoviioninaic escompianca compliance wnl e F End with the Florida Energy C alae eonstivs c I tet building will be PREPARED 6y• mspodoil for complian40 0 rdaflGO with Ipl �, $ I hereby Certify i -rrfrh the Flonde Energy r COW, euILOINo OFFICIALS OwNeA AGekl �'~ OATE / DATE, 07/14/1998 09:37 9047372385 PAUL S LI ENGINEER PAUL UZ ClimeZones 1 2 3 TABLE 6C•t PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS(600 Sp.FIL and Laos).RENOVATIONS TO EXISTING BUILDINGS AND SITE INSTALLED COMPONENTS OF MANU CTUREO NOli MINIMUM INSULATION MINIMUM JE - v) LED COMPONENT INSULATION INSTALLED EQUIPMENT EFFICIENCY NCr Concrete R-7 --^•---��--`� Central A/C-Split SEER = 100 Frame,2 x a R•11 =:-J .-�— g 1' S1nplePkp SEER = 9.7 ._._ Frame.2 x 6 R-19 3 Common,Frame R•11 ROOM unit or PTHC EER = B 5' Common.Masonry R•3 Electric Resistance ANY UnDer ANIc R'30 Heat pump Split HSPF . 6 6 HSP uo Single Assembly Enclosed Frame O •t9 Single f>rg. HSPF 6.6 HSP Z Metal Pans R-13 = Room unit or PTHP COP 2.7• HSPI U.1 Sing a Assembly:Open R•10 w CO Common.Frame R-11 No Minimum Q Gas.naluril Or propane AFUE s 78 AF c� SIaD on gradE Fuel Oil AfUE = 76 FV - cc parsed Wood R-19 O Rarseo Concrete Electric Resistance EF 86 Common frame R-11 - E K Gas. Natural or L EF .5e E In unconorUoned space R-6 Fuel Oil EF . .50 x In conditioned space No minimum — — 'Ste Table 6 3.6.7 TABLE 6C•2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY Maximum percentage glass to Noor area eliowed is selacied b type,overhanglength,MD shading coefficient Maximum•/._ _._- in-tailed% GLASS TYPE,OVERHANG.AND SHADING COEFFICIENT REOUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 20°i UP TO 30% UP TO 10% UP TO 50% Single Double Slnpte Douba Single Double Single DOL le pH• SC OH-SC OH-SC O H• C OH•SC OH H SC 1'• 1 0 0• 90 2'• 1,0 T'• 2. 90 3 . 90 t 86 0 NOT 1 70 NOT 2 • 70 0• 65 0 86 ALLOWED 0'- 50 ALLOWED I - 50 0 00 SHGC or SC may be obtained from the manufacturer. Single clear SC e 1 0,double clear SC- 90.and single lint SC= .86. SHGC • 87=SC TABLEfiC-31 MINIMUM REOUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS _ _ .CHECK Exterior Joints 6 Cracks 606.1 TD De caulked,gaskibisid,wissather-sliripped or otherwise sealed _Exterior Windows d Doors 606.t Max.0.3 elrnysq.h,window area, 5 clm/sq It door area. Sole A Top Plates 606.1 Sole plates and penetrations through top plates DI axtehor wells must be 2011160. Recessed Lighting 606.1 Type IC rated with no penetrations(two allernesive6 allowed). illulti•alory Houses 606.1 Air barrio(on perimeter of floor cavity between 110012. _ - -�+- E Knauss Fans 606 T Exhaust tens vented to unconditioned space shall have dampers except for combustion devices with inisigtral exhaust ductwork. Comousuon 606 1 Combustion space and water heating systems must be provided with OVISIGG combustion rpr,^y y HeatingeMCe 1 for direct vent a henco6 Water Healers 612.1 Comply with efficiency requirements in Table 6.12. Switch or clearly marked circuit breaker(elecli ) or Culoff as must by provided, External or bui4•In heat U6 re uired __ I _ Swimming 612 1 Spas A heated pools must have rovers(except solar heated) Non-commercial coots must have a. Pools A Spas pump timer.Gas spa A pool heaters must have minimum therms(efficiency of 78% Mol Water pipes 612 1 Insulation is required lot hot water circulating systems(including heal Yac very units) _Shower Meads_ _ 612 I Water Now must be restricted to no more then 2 5 jabons per minute at 80 PSIG HVAC Outl 610 1 All ducts,linings,mechanical equipment and plenum Cnambefs shall be mechanically atlachea. .� Construction, sealed.insulated and installed In accordance with the criteria of Section 610 1. Ducts in anics mut, be Insulation A Installation insulated to a minlRsum of R•6. Air handlers shall not be Installed in attics unless in mechanical CIO etS. 16.040 MVAC Controls 607,1 Separate readily accessible manual or automatic thermostat for each system. : %EFA:DIRECTIONS ,I wt Tie 1•M.cate Ina A.Alye Or int,n6ufAtrpn bang booed 10 each r:OmooneN and Ina fxldMCy It-sit d flee agwprneral being IA$I&i* All A aivgs and viclexles lnSUuto Ina,mtll U•ln,tt0 t Co^ourtrs are edu•pmerr nsene,gemq ad0t0 ria rengvaltm may ge len DlaM. Ao711ONS ONl y DelenMne the DerCl•lage of new glasa rocondlllattd floor affaIn IN INdion as lodows. Total trio areas OI all glass.Ingo•+%,sliding g,o55 coon lino glass coo,per m Dovo. nt arta int :a' %''glass Mg 100•IO int g,er,'Ou1 IOtAI when elate in tnarrrlg fsltn0l Pees i3bill IKmOgO a fncloLaO Dy IM eodlson en amounl eguar 10 IM loin area 01 IMS glass("by be w0avM troth 101V glaY,.It. ,c"t A:I:540 glass Alli 10131 by the cOrdrhohso ado,A,"Of Ire 8004,0.,mulapty fly 100 to pie trio PalesM.Find IN Wgetat gtaia pe,ct,Nage unoer wAlch your celeuiUd pafcanlbge f-I'S On Table C 2 111 D1-5 ,!,4 hoe of glass IS•gte or Dtude Dane)and tree oremarg(ON)paced with a shaoy+p coefllclsnt(SC) Fa A given glass lype ant a.eMlnD[Me m.M num srwo'n0 tote,aent 1s w, ,1101 •a.al gl;, .'e;1-1 a le 0011.e,erlerati-.4 400.0,~S or Ine wase 0,.a Ging relnswitto in xw lDOrtgn 00 not newt to Comply wen OM ovemang ono trading cot Irclenl,eou'remtnit on•ode K 2 Ailf.w at;In Ih.A n•-; -.s' e0'+•t ItW't'nrm 10,one of[me oDllons m 1M gross co'cenuge C416yay you ind'eaI60.Trio Ova"N(OH)dsNnce,s meeW,ed perpaw,cutuq lion,the face of v e grass Ica can,veruv angel it wit m jsi all, :'F:,tmanS '. AE%OVAIIONS ONLY.Rtolacametil etas%needs to Intel IN faloe••ng 16QWrfrMnl%. Any gust floor and Ihaanp wemrnrtl may Detailed lot gib Krebs.NCA all under of lead a 1-0'061 4.e,nao ;nc wrp,IO-.%' !;Y ICtI rpt ene•o luno!.Ivan a left 40th ale OveKlalg. Gill Altai Oeing rMOvalee IMI all not Klee,rho 91060 musl a tare,single pans tolled.ow,ble Dane dee,a gOudtDare•niPt C•JIID,Nu Sy STErAS Compo fler,ne■system Is installed lot systan-Asupea. the tMoynalion foausstee on IN loo nail of page 1 AAA:'u-tiontarn Atow emMls fa$Mau Accordant;ang rtenovitions•.Tabes 6G3,and Chet%all a0d CAW Items offal%ISh 0,M dAle Ine'DrMr/Agent'CfmsCatton Slit anlant On gage 1. -2- PS► 4 09PARTMENT OF SUMMING CITI(DF ATLANTIC lSEACH TI©N - _ LCATII4N INFORMATION',PERIT INpOf- A .: Ile:rmit: Number: 16771: i A dress . . 2608Z4CR AVENur k PfiM1t T�VeIROOM "IDITION ATLANTIC BEACH, FLORIDA 32,233 -44$ ot O drl + ' * I N -- ' LEGAL DESCRIPTION SrtlICION r r.w....... .a... ._ t)Yl:StX, Type 06D ' A1r"1E Block:2Q Lot : ' ' p: Pt6posed Use.SINGLE PAMILY Section., Q Subd. I@Aq: IJ I3wte�ll e a w 4 : Subd�ivi-s' Qn:ATLANTIC BEACH 'fAv Eft':: VAJ 41 t T n rc►v Ccss t ; 50,tl00 .00 T. tal Fees:#' 391 .t�f� . M6 t-ut. 1 P ' ,ktiz a 39€ .00 s ' r t wx E � . . ADDITIONS }N ... «. APPLICATION FEES � _ �... ..t pAST M �pV # 0 �e r� + } ISA 3 2 2 3 44Wr T Op a A 'fid xp nz#- t M1 F Y i tY. i j NOTICE INSPECTIONS, MUST 8E REQUESTED AT LEAST OURS,1*RIOR TO 1114SP£C F f t�UILAING MATERIAL,RUBBISH AND L?EI30IS I~ROM THIS,WORK Al1U5T NG?T 8E PLACED I{d PURLiC ai�ACE,AIVI�RALt�T IAB I:EAR I UF'AND HAUL-.E0*WAY 8Y EITHER CONTRACTOR OR t)WIVER ' TWA f�!1�, oef, Y 1�t� � �'�►Yj' � �lC1 E FOR BtlI�. 1, I C4RDiWt TO.'APPROVED PLANS WHICH ARE PART OF THIS,PB'PMI' AND U0JECT TO,REVp.C�1 QF APPLICABLE PROVIS16NS tJ�LAW. � ' � '�,��F,�� , ATLANTI BEACH BU;ILQtNG, RARTMENT FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions,Renovations&Building Systems Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 60OC-97 for additions of 600 square feet or less,site-installed components of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 60OB-97 or 600A-97. PROJECT NAME: Apu I-T © BUILDER: +S AND ADDRESS: O OFF CEWrLAWrIGPERMITTING TE ZONE: 1 2 ❑3 IINE'eHARLtS W ANJAN HULY PERMIT NO.1 I I I I I I ] JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDEN S(600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Onlysite- installed components and features are covered by this form.BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. 2. Single family detached or Multifamily attached 2. 3. If Multifamily-No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. 5. Predominant eave overhang (ft.) 5. 1 , 6P7 6. Glass area and type: Single Pane DoublePane a. Clear glass 6a. sq. ft. (,0!5! sq. ft. b. Tint, film or solar screen 6b. sq. ft. sq, ft. 7. Percentage of glass to floor area 7. �-�•S_ % �pN 8. Floor type and insulation: a. Slab-on-grade (R-value) 8a. R= O L lin. ft. b. Wood, raised (R-value) 8b. R= sq. ft. c. Wood, common (R-value) 8c. R= sq. ft. d. Concrete, raised (R-value) 8d. R= sq. ft. e. Concrete, common (R-value) 8e. R= sq. ft. 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 9a-1 R= sq. ft. 2. Wood frame (Insulation R-value) 9a-2 R= �. sq. ft. b. Adjacent: 1. Masonry (Insulation R-value) 9b-1 R= sq. ft. 2. Wood frame (Insulation R-value) 9b-2 R= sq. ft. c. Marriage Walls of Multiple Units* (Yes/No) 9c 10. Ceiling type and insulation: a. Under attic (Insulation R-value) 10a. R= 3sq. ft. b. Single assembly (Insulation R-value) 10b. R= sq. ft. 11. Cooling system* (Types: central, room unit, package terminal A.C., gas, existing, none) 11. Type: I SEER/E/EER: 12. Heating system*: (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type: Cay, gas h.p.,room or PTAC,existing,none) HSPF/COP/AFUE: 13. Air Distribution System*: a. Backflow damper or single package systems* (Yes/No) 13a. b. Ducts on marriage walls adequately sealed* (Yes/No) 13b. 14. Hot water system: 14. Type: (Types:elec.,natural gas,other,existing, none) EF: * Pertains to manufactured homes with site installed components. I hereby certify tXrthpons an spe io hovered by the calculation are in Review of plans and specifications covered by this calculation indicates compliance compliance witLtfhi. e F En, d r n with the Florida Energy Code. Before construction is completed,this building will be PREPARED BY: ATS inspected for compliance in accordance with Section 553.908,F.S. I hereby certify bui ding i in-c priance with the Florida Energy Code. BUILDING OFFICIAL: OWNER AGENT: DATE: DATE: _ 1_ FLA. 1987 LAWS RAMCO FOAM AO! FS 7 1].1 3 1F7 Boob 8995 pg 1932 VII[►Alli IN PU►LICA7[I `(eta full= it xttxtg rmtrtm The undersigned hereby informs all concerned that improvements will be made to certain real rJ property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. RR I f ►I C Description of property..... .................................. 1 ..._.......J. .f.... U: �w:S.11� ......... ....fit...................... l n^ % 6k .4 �q. ?.11. ................! ... ... ....J�..........................................�5..... ..............� ...........................-.............1-.............................................................................I.......I........................................I..................................................................z p .....................................................................................................................................................................................»......._.............................................. 0. General description of improvements.................�..............rUa�?..............��J��»✓..'.o�,:s ......................................... ........................................................................................................................................................................».......».»».................................I......... ..............................................................................................................................................................................................:r.......I........................... % J .gyp f � .-T Owner........�.��.�.�............... �� q' 1�-- ....................................................:............... c .al lCL Address.. - ...........................:.....�».......�..... ......:............_............. Owner's interest in site of the improvement...............................................................................................................».................................. Fee Simple Title hol&r (if other than owner) Name..............:-:...c.X,........v::.:�: .....�,t-�.�......�..�.la..�`!::�.�;...�...................................................................................................................... Address..................................................................................................................................................................».......................................................... Contractor.......................................................................................................................................................................................................................... Address................................. . ..............................................................................................................................................»...... ..............»»».........» Surety (if any).............................................................................................................................................................»..»............................................. Address....................................................................................................................................................... MiourM of bond $................................ Name of person within the State of Florida designated by owner upon whom notion or other documents may he served Name .......... ..»....... . ..».................................. Address.............................................................................................................................................................................»......................I......................... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name ..................................................................................................................................................................................._......»................................... Address.................................................. 11tt CITY OF 4&4ft4C Beac4ttt-"t�OZfQ�s Office of Building Official REQUEST FOR INSPECTION Date / Permit No. +l 6 7 / Time f/ 2 A.M. Received Job Address Locality Owner's Y Name � ��'!�✓ Contractor ST,/(1s BUILDING CONCRET ELECTRICAL PLUMBING MECHANICAL Framing ❑ Rough Wiring Rough ❑ Air Cond. & Re Roofing 1 Slab Temp Pole - Top Out Cl Heating Insulation CJ Lintel Final ❑ Sewer C� Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. Friday A.M.P,M, Inspection Made v P.IVI. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date Y PW3544 J t3EPARTMENT OF BU44.Q4>4 CITY'OF ATLANM1b.BE'Ar 1 A e 50EZAM AVENV P it Tyj *:EL C 'tCAL „ F'LOR16A lf223 da ass. €a €.SAL' � R --� .�� LROAL VIDSCRI PT I OR 10 on Se ti - i proposed, c, on: Dwellings " Esis value: 0.00 Taiprov, asst Q } ' 4 215, 00 Total 25 .00 �klm' �+.1 ,%'. '� r�� AAll � 3 on INC L RR4 # "+ Ezt a yRe. NOTES: I t E NQTtCE -41 ' SCT tai MUST BE REQUESTED AT LEA$T 24 M©URS PRIOR T4 4t ECTt#!� i $ 11 OING MATERIAL, RUBBISH AN13 DEBRIS FROM THIS WORK MU$T NOT BE PLA 11V PUBLIC SPACE;AND MUST BE Gt EARED UP ANC3.tiAUt.ECi AWAY BY EITHER CONTRACTOR OR OWNER,' t � FA1Ll `Q: LV— 11 ii 1,��"N, E 11�ETWICCH�ki� �� �� 'l.#� +���I► s f *�W�+�."�' 1N yP ;�WHlCF1 ARE PART OF TH1S PERMIT AND SUBJECT TO RiEVE)CA R 74E3«� N BEAGH BUK.Dt 4*0 EP TMENT �s tj{ z CITY OF ATLANTIC BEACH, FLORIDA Appco%*d by APPLICATION FOR ELECTRICAL PERMIT. TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 10149 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 ORDINANCE-S. BJLL 0N"EL CTRIC GO.,Mkit P.0. BOX 334150 ^�, n/- ATLANTIC BEACH, FL 32233.0150 (� (p ELECT AFIRM: MMIER ELECTRICIAkillaK NAME ADDRESS: 25) ,3 , RFD BOX BLDG.SIZE BETWEEN: RES AFT.( ! COMM.( 1 PUBLIC( I INDUS. ( 1 NEW ( I OLD REW.( ) ODITI )?N TRAILER ( 1 TEMP.( ) SIGNS ( 1 SQ. FT. SERVICE: NEW( ) INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER I I ALUM. ITCH OR BREAKER AMPS PH W VOLT RACEWAY Z ��- L EXIST.SERV.SIZE ZvC� AMPS PH W 2OLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS / CONCEALED OPEN I TOTAL RECEPTACLES A5 CONCEALED OPEN I TOTAL 0.30 AMPB. ]1.100 AMPS] po SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 10.100 AMPS. OVER APPLIANCES I I I 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. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS .� t TRANSFORMERS: UNDER 600 V. OVER 600 V. ed •. os, 041, , %, Q o t 8� rs obgaar �d Fkv �Q g O) S rio,� 9 c , gab tl, �F� A'oa p oo(e rriry9 9< °airy \�j� A0 q Th6rs �'�c�yq eA e a b ,., �t•^ Ce fc((�spec(/ �rirydy �a ce �l`? Oa(e\ of 9 Oa/e e e°e.`ems s Q Of e4��a�' B ess �' ICO 79 Ofticla' Ncq � 4es T9OoghCr"9/C apjO� ° �� �� FCp/dry seweo°/ \ �> QFC \\\ q ThGrs yep CO ti4 4' jai/ aay , ate pfO \q,� \ cc4aa °Cy AA11���� ����,,� //CITY OF .��►_ �+/{�Q�i & /3 —4Ki''t>d4 Office of Building Official j REQUEST FOR INSPECTIO r6 7-7 2- Date Date Time A.M. Received PM. Job Addre s r Locality Owner's (.. Name Contractor LDIN CONC TE �LECTR C PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Rooting ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION M Mon. Tues, Wed. Thurs.M. /Frid A. �7"" Inspection ade 7� / I pector Final Inspection erti icate of Occupancy❑ �� n' Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247.5826-FAX: 2475877 PERMIT 1NFf)RIMATION - L�7C11 t3tV 1NF'OR14�ATitl�1 Permit Number: 23054 Address: 250 BEACH AVENUE Permit Type: SIDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s):4 Block: 28 Section:0 Square Feet: Subdivision: ATLANTIC BEACH "A" Est. Value: Parcel Number: Improv. Cost: 5,000.00 DINNER INIrORI41ATIO Date Issued: 11/21/2001 Name: JANET HEALY Total Fees: 52.50 Address: 250 BEACH AVENUE Amount Paid: 52.50 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 11/21/2001 Phone: (904)241-4929 Work Desc: REPLACE SIDING AT 214 CONTRACTOR � == PLICATION FEES [ ) STE N GEUTHER _ I 52.50 X i -14 y�, th" MR., r `< s`a=•s+'n idi NOTICETQiN (-Tit - BUILDING MATERIAL ISHiCl1�l Tt-tiS IIT ialQT,F31� D`11 LIC SPACE,AND MUST BE CLEARED U #dl Myt%�Y BY EITHER COI 'CAT 01=t ORO lR . "FAILURE TO COMPLY . TIN THE PROPERTY OWNER PA h ? was ISSUED ACCORDING TO APPROVE ` = F'_ T AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVI t d fSe.511 14 AT IC BEACH BUILDING T. Bite: 11/26fol it Receipt: U151477 DEUS 2M 861!®9f13�19i8 5 MIN. RETURN �j �� _� t Baalc 10228 Page 1406 PHONE# ~Doc. aoci a'910 a5 FLA. 1977 LAWS &&:-rdVffq rl —� Jr�( FS 713.13 Pae* 1406, Fifed a Recorded RCU NOttce C0MMen.eeme4 11/ 1 02:24:16 PH WACC NTYYIT COURT TRUST FIN S 1.00 To whom it may concern: RECORDING $ 5.00 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Description of grope „C.?:k:.. .... `,t��. ... .:,...,." :►,J•lS.lQf1.../ ................................ f� tar �... ! .. F.l.ca �c�4�►,.......4�.�....C�,...4rdf.,,c ....�r.... •1A.iF "............... C k,...S .... �b` ...., ..`4,t-..-C-%ALV x5--VV. ...��.s.�P�.�.....I;:-�cdS................ �.\arxgLQ..r........................................................................................... General description of improvements ' / ✓ '¢�"� /Q "'7- r,F-- EX TcTitr. iZ !Sf0.1"'t ' a..�9.........f��w..... !'' .. ........................................................... a ON.... LEAST...Staff. OE 'EL--...l..s�c""'c{, r c.+Iy ................ .... .... ..... ..... ......... ......... ..... ................................ ......................... . Owner...C.,\,p,>;.���.. !►- . ... . ..7�1�Svot...�.�K�►....,Sbx.-.k"�...�.... . Address ..�Stb.... i: ... ... Ck��. +.�C..�.....�`�c�1C�►tCS,A1C.....L9'.��1.... ...3.�Zr�jJ?... Owner's interest in site of the improvement............................................................................................................... Fee Simple Title holder(if other than owner) Name . Address....................... .... .... ... ......:.................. ... .. ..... ........................ ... + ontractor ` '3�r..3E[;i.?Eve72E. s'_ .'`���t Address...........I........... ......... ................ . ........... .. ... ................. ............ .................. Surety(if any) ........................................................•..............................................,..................................................... Address ...!........................................................................................................... Amount of bond S ....................... Any person making a loan for the construction improvements: Name........................................................................................................................................................................... Address....................................................................................................................................................................... Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name ....... .. i Addressr'►:. .�.................................................................................................................................................... ... .. .................................................................................."*",**"*'****".."*"***'*"....•...***......*—....—*....*"*' In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(h),Florida Statues. (Fill in at Owner's option). . Name ......................................................................................................................................................................... Address ........................................................................................................•............................................................. This space for recorder's use only Owner CELESTE R. BEALE Notary Public-State of Florida Sworn to and subscribed before me this. ..... day, of #AyCarrrrriaronEiOiesot1 2 B.ZOQ6 ' Commission S DDO6S0flt' "' """"""' � Bonded By National Notary Asan. /A�" P" W UP �......... �. K ...... Notary Public ���,��reun p � z -,tet ,.. CI Y.p krt T1_C`SEAdH PERMIT APPLICATIOf RItMODEI� -AiDl ,IONS, OR LTERATIONS MOVING, DEMOLITIONS + Owner(s) Q- Job Address 25o f f 14vF. Phone 2V1- -1/9'Z 9 1► Lot# Block or Unit# e)b Subdivision Contractor &01 W HIM 6 State License# C b G. 0 1-5 Address 380, ZME a erze- T Phone Z-19- &9Z2-'S City ATLANTIC BEACH, FL 32233 State - 11 Zip Describe work to be done &-040��, IRwL <zc r5 tG iaCE Q T-Lao?, F-AIT WA4.L_ Present use of building '' ►�'�� Rej, Valuation of Proposed Construction Proposed use _ lit e Is this an addition? Ko 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? SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING �'.�, �-'�«l, SURVEY, r� FBFZfbIS, NOTICE OF COMMENCEMENT, AND OWN R/ CONTRACTOR AFF RVI F OW RI CON CTOR. Signature of OWNER '� tate: .� Signature of CONTRACTOR Date STATE OF FLORIDA COUNTY OFr _ Sworn to (or affirmed) and subscribed before me this day of 200 AS TO OWNER: Notary's Signature .••;�•. CELESTE R. BEALE IWO Personally known Notary Public-Stela of Florida ❑ Produced identification .=IMp Carrnissim EspiY+s Od 28.2006 Commission i 00088081 Bonded By Na lonal Notary Assn, Type of identification produced OF Sworn to (or affirmed) and subscribed before me this day of , 200 AS TO CONTRACTOR: Notary's Signature ❑ Personally known ❑ Produced Identification Type of identification produced May- 27 -58 09 : 49A OAT)INSAVER.5 7861294 P . 02 ►07417 MAS' SHOWING BOUNDARY SURVEY OF LOT 4 , ril.o(:K 28, SUDDIVI S I ON "A" , ATLAN'I I.0 BEAC!, AS RECORDED i N PLAT BOOK 5 . PAGr, 69 OF1'Hr: l:U1tKLNT PIy11LTC Kr:Ca)cn5 OF DUVAL COUNTY , F'LUV 1 DA. qDBuILDERs .�.�-r ATLANTIC BEACH, FL 32233 j 1 5.5 z/ sY/ Po�'c H ' 1 j of i y�I'.i��/V4✓��`' �/ f� � I t"( � . ` Ir 1X�" Tl�17 / U awIlleaK xt E x 13-101 M ,LI 1pe N /�f�" �'L.A. .�.��etP� L'✓•.+ii.� trc• `moi✓r✓,+/�-K.,•� LINEAL D I N tH s t ON 1MV-DEN074171 rum 7 TCMTIIa AMQ 4 NUNDALT114 OF A FOOT h,.p�sciic�iNl �csr,�r/C7ivN G.rc tsy�C aT / 7 m Gif /N 1-4 o 4, ..X,. rvN/C.v /s CUrSic�e� or T�rr 5"I f3 Y f'L d 00 Mem S'E✓f s eC' W117le 50 Cpi•{n!c%i YY r.�,e,�/c�G Nc. 12ea7S OOd/ L7 s t sit" Cf) C'7 N N C'7 co CC LLI Ca to m U F-- z Q i- Q P :jJiA Jk ti. Cc: S�"L,��✓ CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT L. Higgins ss� oerr J 800 Seminole Road Atlantic Beach,Florida 32233 - (904)247-5800 rlJ;3l�'� (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 99 Property Address: 7- 5o Applicant: ►"dot-t r4r•30 t F tt3 Project: - F This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By:- L �' Date: t d Jt r 1rt CITY OF ATLANTIC BEACH ' x f �" PERMIT CALCULATION SHEET �J,fl�r Date to Address %�-5C� �y2i - ► ( Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ $ per sq .ft= $ Garage/ Shed @ $ per sq ft= $ Carport/ Porch @ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ $ <<�v $35.00 1st $1000.00 $ $35.00 Total Valuation Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: TOTAL BUILDING FEE S 66. C ZONING: + '/z Filing Fee $ -3;3 FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER UVIPACT FEE S SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL EMYROVENVIENT $ SEWER TAP $ C ( )RADON HRS .0050 $ SECTION H PAVING $ CROSS CONNECTION $ ST ( ) SURCHARGE S OTHER $ GRAND TOTAL DUE $ Inc Ari t'`5'�.1r1 J� CITY OF ATLANTIC BEACH IS' 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -= INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029189 Date 10/26/04 Property Address . . . . . . 250 BEACH AVE Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6450 Owner Contractor ------------------------ ------------ ------------ HYMAN, CHUCK ROMANO ROOFING SERVICES 250 BEACH AVENUE P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-4929 (904) 246-5649 ------------------------------------------- ---- ----------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 98 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 6450 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98 . 00 98 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 98 . 00 98 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUR DINDES. q BUILDING OFFICIAL 12108 Page 2373 NOTICE OF COMM (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of 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. 1 ry e Legal description of property being improved: Address of property being improved: General description of improvements: ,= Y' Owner Address ' �3 Owner's interest in site of the improvement ' Fee Simple Titleholder (it other than owner) Name Address Contractor orrli3Np 6a�.1 A/ �� k"i C S Address 3 D l,J, Q T rX c e;r. ,�r�, �v' i $ c /r / 3 2 3 3 Phone No. �t'D y� -SG y 9 Fax No._ D�/ d7 ylo'/�o'qg T 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 may be 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 Statutes. (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 fro the date of recording unless a different date is specified): CITY OF 41Aza c Awc 4-14m- a Office of Building Official REQUEST FOR INSPECTION Date `(l ti ( Permit No. � Time A.M. Received P.M. District No, Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBIN MECHANICAL Framing ❑ Footing ❑ r Rough Wiring IDRough ' Air.Cond.& ❑ Re Roofing ❑ Slab emp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. < Thur.. n nn Friday P.M. InspectionMade Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF ATLANTIC BEACH , BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION PERMIT# � 01. ,. 250 BEACH AVE. SUBDIVISION 233 ATLANTIC BEACH, FLORIDA 32233 A OWNER NAME PHONE , , JOSE HIXON 1904)241-0698 N. F LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE CLASS OF WORK BUILDING a#010� CONTRACTOR PROPOSED USE ALTERATION z CORNELIUS CONSTRUCTION COMPANY SINGLE FAMILY z o WORK DESCRIPTION Aft I` remodel single family dwelling to replace duplex INSPECTION REQUIRED INSPECTOR .p 4 COVER �-UP AM DATE INSPECTED .J "�`�' BY L! 4A2 APPROVED �� REJECTED F COMMENTS ►� CITY OF ATLANTIC BEACH ✓ BUILDING DEPARTMENT 250 BEACH AVEINSPECTION REPORT . 233 JOaLOCATI ATLANTIC BEACH, FLORIDA 32233 PERMIT# A SUBDIVISION y JOSE HIXON (904)241-0698 OWNER NAME PHONE V) BUILDING LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE ALTERATION w CORNELIUS CONSTRUCTION COMPANY CLASS OF WORK SINGLE FAMIL of* CONTRACTOR PROPOSED USEy� z a f Qz remodel single family drelling to replace duplex A WORK DESCRIPTION 4 COVER-UP PM z INSPECTION REQUIRED INSPECTOR p / e DATE INSPECTED 3/'�F;9 BY /�/f X ��Cic®/"` ' APPROVED EJ REJECTED COMMENTS CITY OF ATLANTIC BEACH r' ROOFING PERMIT APPLICATION �•£X;3t� 121 Date: Job Address: Owner of Property: Address: Telephone: C1 04 Contractor: I&MAWO o i✓ e e elle—e State License Number: CC-C DSX l (o Contractor's Address: W 9 .,S"`rw e-7- /2Z6gn/7"/c 13 ej Z/ ,3 a iO 3-3 Telephone: SCI 1/ - et S/�o/Slo V(7 / Fax: pp9©y'.�2 yt� /Z ,9.? Scope of Work: Deck Slope: - Greater than 2:12 Less than 2:12 Valuation of work,�, Product Name(Example: Timberline): 141 11 Manufacturer(Example:GAF): '� ASTM Designation(s): Required Inspections Sh J d ' /signature of Owner' Date: of Signature of Contractor: Date: AS TO OWNER: Sworn to and subscribed before me this rIL65-- day of ,200 y�, 7— State of Florida,County of Duval_ — GLORIA J�CpSTERLINE-McLAUGHVptary's'Signature: " � My COMMISSION#CC 976739 EXPIRES:December 8,200A ❑ Personally known 'tura° ❑ Produced identification .I ' ,.n,rlTgny FI (e�njpry c..nn/irn R,,, . - - Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this /s day of_L , 20 6741 State of Florida,County of Duval Notary's Signature: r .�• P& GLORIA J.CASTERL{NE-McLAUGJ1Li' ❑ Personally known' My COMMISSION#CC 976739 ❑ Produced identification >jE of °4 EXPIRES:December 8,2004 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 1 Revised 2/21/03 JaneAt X and Char Hyman e Atlantic Beach, Florida 32233 (904) 241-4929 March 11, 2004 Dear Mr. Ford, My husband and I have met with Bobbie Nelson and based on our conversations with her, we have decided to use the General Permit for Construction as attached. It is our understanding we must submit this application precisely and completely to get approval. In light of this, would you consider adding the reference to Rule 62B-34.040(2)(d), F.A.C. in your letter? Thank you, again, for your time. We will keep you posted of our progress. Sincerely, Jan Healy R.O.W.Permit Attachment of / for �� � R.O.W.Permit# issued�/ �-- ,20 Atlantic Beach,FL 32233 Owner's Name: � R1cs Property Address: A,-k 4 A41Afl4, I ft c, 3 a23 3 Subdivision: Lot#/Block#: lo4 -43 86,_k a R.E.#: 5-6y 14o as - �9I REVOCABLE ENCROACHMENT PERMIT �S REVOCABL ENCROACHMENT PERMIT, issued on this day of y , 20 , by Atlantic Beach, Florida, a municipal corporation organized and existing under th aws of the S to of Florida,hereinafter referred to as"CITY"and of Atlantic Beach,Florida, hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: ),js 4►(;✓ A u inS 0, to s_ C o-,c(LiJX.) Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty (30)days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: 0239 6£P,-J, A0& The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the pen-nit shall meet the current requirements of the City Code, Building Codes,Land Development Code, and all other land use and code requirements of the CITY. The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The Page 1 of 2 I 'd stBs-GbZ-to6 nH 4aeag ailueT4d Jo RgTj dis :ao so To qaJ USER shall,at the discretion of the CITY,be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this I_day of 2006. CITY OF ATLANTIC BEACH,FLORIDA, By: �Pt.-c- a municipal corporation: Property Owner — By: x "anso _ M--- r Attest: Rick Ca ,Pub c Works Director STATE OF FLORIDA COUNTY OF DUVAL On this day of '4�b(L(WV 204 personally appeared before me, a Notary Public in and for said County and tate, , the property owner of 3-zC+'-k AJ'E. , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. I By: otaryblic in for said County and State Pr rty Owner (toWe signed in presence of the N ary AUGUSTA B.WHITHAM notary Public,State of Florida My comm.exp•June 19, 2009 Comm.No.DD 442369 Page 2 of 2 Z -d 5 85-LbZ-b06 ne 4oeou oi3uel4u jo F4tO ds'S:20 90 To qaj JOB ADDRESS O Q(�l PROPERTY OWNER PERMIT NUMBER 6 -7 7 DATE INSPECTIONS: FOOTING 1 SLAB TIE BEAM LINTEL NAILINGISHEATHING FRAMING/COYER UP /O -4- INSULATION /0 FINAL BUILDING CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT# INSPECTIONS ROUGH j® ' 9 `> FINAL -3 -31 - 91 MECHANICAL PERMIT# INSPECTIONS ROUGH FINAL PLUMBING PERMIT# INSPECTIONS ROUGHIUNDER SLAB TOPOUT WATER/SEWER FINAL NOTES: C/ t CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: /'�-Aa 19 fp, 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. i �- ELECTRICAL F RM• MASTER ELECTR CIAN SIGNATURE JOURNEYMAN NAME[�,mil -ADDRESS:c? .�� �'`-C. RFD BOX BLDG.SIZE BETWEEN: RES.( ! APT.( ) COMM.( ) PUBLIC( 1 INDUS.l I NEW 4--l--- OLD( ) REW.( ) ADDITION O TRAILER ( ) TEMP. ' SIGNS ( 1 SO.FT. SERVICE: NEW( ) INCREASE( ) REPAIR ( ,1 FEE QD CONDUCTOR SIZE 6 AMPS e' COPPER I ALUM. SWITCH OR BREAKER AMPS J PH 3 W dVOLT, ACEWAY EXIST.SERV.SIZE AMPS PH W 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 0.100 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 MISCELLANEOUS TRANSFORMERS• VNQER_6 OVERy,