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Permits 178 Beach Ave --•----...--- �` to W l DEP1 TNM OF MOM, cE ONLY TOWN OF ATLANTIC BEACH, FLORIDA z . /-� Kermit No: ��7� . Fee Yaluation Application for Permit for = noun No. . Miscellaneous, Alterations, _ and repairs 1961 To the Supervisor of Buildings e enders hereby applies for pe /ca x (State rep r, alter,add to of maP buildins erect a9Yninw,tib, eta; tustalt holler,slev tor, Building On Lot No. _ k No. -Sub. Div.._... (State fractional p�art) At._.�._._.-___Side Nor .�7Q' G` St. Between— _._._.and_....____ Sta. Valuation;$�.. Q� (State cont of improvement) BUILDINGS ANDANCY What is present use of building—Residential or Busi ess? _____C'_ " _ If residential,what type--Dwelling, Garage Apartment, Apartments or Rooming Rowel Haw many families accommodated now?_ Q -07_ ` _..-.._.._.How many when altered? 92s ----– If business, what type? } food be prepared for sale on premises?.– What plumbing work to be done?.? .................................. Size of present building t°Size of extension —Size of lot__ Number of stories now,..11. ... ..after altered... _ - Material roof Material of present building. Material of extension .-_ :Q _ – NECESSARY PLANS IN DUPLICATE TO BE SUBMMM HEREWITH OIL BURNER OR GASOLINZ EQUI1%4ENT Name of Oil Burner or Gasoline Pump ......I. .._.................... –Type or ModeL ________ Name and Address of Manufacturer In connection herewith, application is also made to install:__._______ gallon capacity tank (s) (How many), made by _ of. ___ guage metal____.__._.__ (Name of Manufseturer) (IIdder or above) ._-_.of building. For---_ ------- -- onsido or outside) {Name of Purchaser) FUR=S1f DRAWING, SHOWING ENTIRE LAYOUT ON RE USE SIDE OF TB1S BLANK SIGNS Size. _ Classification— (state whether tronnd;roof,wait; pralecting,banner, special,etc.) Weight—___.__ _.._Material of construction__ Illuminated? Type illumination.._. (state whether rA mpa or Neon) Will sign be over public prOperW?._ SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INPOWATION BELOW (For canvas awnings provide dimensioned drawing on reverse side) IMPORTANT NOTICE, - - - In consideration of permitg�van for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof,'and in accordance with the building regulations of the Town of Atlantic Beach. Signature of Build gj Address_"...-...__ Phone No.— Sinature of Phone No. T CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATIO .. .:LOCATION INFOI IA'1`M�11 Permit Number: 18192 Address: 178 BEACH AVENUE Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: _ Oy 'I111F.ORMATION Date Issued: 5/06/1999 Name: KEMP Total Fees: 25.00 Address: 178 BEACH AVENUE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 5/06/1999 Phone: (000)000-0000 Work Desc: REPIPE LOWER APARMENT HC WATER CC311ETRA .'I'{7R S . ` aAPPtaCATION SES J V AND SON PLUMBING PERMIT 25.00 ass its . aired. FINAL NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.0014 Date: 5/96/99 91 Receipt: 9954381 ATLANTIC BEACHBUILDING D CHECKS 8499 00190003221000 CITY OF ATLANTIC BEACH APPLICATION FOR PLU14BIYG PERMIT r7 V JOB LOCATION: OWNER OF PROPERTY: TELEPHONE NO c;7' n PLUMBING CONTRACTOR / CONTRACTOR' S ADDRESS : STATE LICENSE NUMBER: ��047 TELEPHONE � � �S HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER PREP I PE OTHER TOTAL FIXTURES: x $3 .50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR:�- ------------------------- ------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18407 Address: 178 BEACH AVENUE Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Logs): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 1,508.00 OWNER INFORMATION Date Issued: 6/22/1999 Name: FRED SCHULTZ Total Fees: 30.00 - Address: 194 BEACH AVENUE Amount Paid: 30.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/22/1999 Phone: (904)249-5601 Work Desc: REPAIR EXISTING CARPORT/PORCH SUPPORTS AND NEW POST ON FOOTERS COMTRAC R SI APPI•IC04ON FEES PROPERTY OWNER PERMIT 30.00 Inspections,Required FINAL BUILDING FOOTING NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,'AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. dam— C` $38.88 14 ATLA TIC BEACH BUILDING DEP Date: 6/22/99 81 Receipt: 8866872 CHECKS 724 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18407 Address: 178 BEACH AVENUE Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 1,508.00 OWNER INFORMATION Date Issued: 6/22/1999 Name: FRED SCHULTZ Total Fees: 30.00 - Address: 194 BEACH AVENUE Amount Paid: 30.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/22/1999 Phone: 904)249-5601 Work Desc: REPAIR EXISTING CARPORT/PORCH SUPPORTS AND NEW POST ON FOOTERS CONTRACTOR(S) €, APPI ICA11ON FEES PROPERTY OWNER PERMIT 30.00 f FINAL BUILDING NOTICE-INSPECTIONS K RIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND kCED IN PUBLIC SPACE,'AND MUST BE CLEARED UP AND HAULED I "FAILURE TO COMPLY WITH TF =SULT IN THE PROPERTY OWNER PAYING TWICE FOR BL ISSUED ACCORDING TO APPROVED 13wN51NHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. t!:)i U-._ C—" $38.88 14 AT LA TIC BEACH B iLDING DEP . Date: 6/22/99 81 Receipt% 8866872 4 CHECKS RECEAILT-D CITY OF ATLANTIC BEACH ,;s iia 1 c 1999 PERMIT APPLICATION REMODEL,ADDITIONS, OR ALTEt,T19N ian is Beach MOVING, DEMOLITIONS �! Building and Zoning Owner(s): fl e b S'e L v i r -- Job Address: 7 5? 7,4A e� hyc Phone: Lot# Block or Unit# 2A Subdivision: t o Ak N&L� Contractor: 0 W^j /2, State License# Address: 114 t-'00-4 A/1, Phone No: �a "L7-a City Arm,n e- r '�e4C I, State Zip Code Describe work to be done: 16-10r 2 OF FX t ST/,+ ,i Ca!Pd RT 1?r�r-4 s u ed•'u s Present use of building: Re-S 1 D E.,--74 L Valuation of Proposed Construction: 15 : 13 Proposed use: 54j'K it - K!44- Is i Is this an addition? Ai -z If yes, what are the dimension 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, INCLUDING SITE PLAN, SURVEY, S, NO NT, AND OWNERICONTRACTORS A IDAVIT,IF OWNERS IS CONTRACTORS Signature OWNER: Date: Signature CONTRACTOR: Date: AS TO OWNER: Sworn to and subscribed before me this 4;�av of ,i�� NOTARY PUBLIC nAMOOMp� ryp�^Cc \ // PAW LAS�I AS TO CONTRACTOR: :�'`'�'KA' MY COMMrSSOM M August V,2 t`°,b gDNDED'RMiUT�(FAININS�1 Sworn to and subscribed before me this day of NOTARY PUBLIC , �d 1 47 /Z7 jay � 7 y AL] �I f ZJT- 6e.k a CITY of ATLANTIC BEACH. r UILDINC OFFICE 15 zi LTJ •,- ::� - t (.��J�„�,���,�.Ie f^=�J�..lr-.'.l�4:✓ 1�.. y��.�'...,�'f���'�1.X�t.i.,... -d.JG.fr�f,,,r.�..:.r..sfa ,�. �� y„ CITY OF ATLA/N�TIC BEACH PERMIT CALCULATION SHEET Address I-J iff sk t4LIf Elk t rt- E (S ry) C/F��'�7 Date_�� Heated Square Footage @ $ per Sa ft = S Garage/Shedd $ per sq f _ = S Carport%Porcr, ,a $ per sq ft - Deck 17P. r S per sg ft = S Patio �h' d S per sq t - f 3 TOTAL VALUATION : — $ Total,-V uat1on 1st 1l � Remaining Value ner thousand or portion thereof- TOTAL BUILDING FEE S + % Filing Fee $ / Fireplaces @ $15 . 00 5 r-?}- BUILDING PERMIT FEE S WATER IMPACT FEE $ SEWER IMPACT FEE S� WATER METER,'TAP S CAPITAL IMPROVEMENT S SEWER TAP S RADON ( HRS ) 0050 N SECTION H PAVING ( ; $ HYDRAULIC SHARES S CROSS CONNECTION $ ( ) SURCHARGE . 0j5% S OTHER, $ GRAND TOTAL DUE Y t ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric%Temp : SwimminaPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF 1*6119tye t eac( - 9&uda 800 SEMINOLE ROAD ATLANTIC INCH. FLORIDA 32233-5445 — � TELEPHONE(904)247-55F30#1 FAX(904)247-5805 - SUNCONI S52-5800 - CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH 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 $25,000.00 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 15 COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS 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 ZONING 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 REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO 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 TO 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 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT To $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN `OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE'S TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR, TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. , I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE-STATEMENT AND THAT I COMPLY WITH ALL. THE REQUIREMENTS FOR THE ISSUANCE OF At+.OWNER-BUILDER PERMIT.. PROPERTY OWNER/BUILDER l 9v 3 net,A141 ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THISD F I t;60&e �G.l1 NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING y�,�,,�A�_�-..,�,y�,� ,Numgr NOW NII{N1ft DEPARTMENT. ����°��r''.,s r: MY COMMISSION M CC5WIlI EXPIRES August 27,2000 A. 'P, BQNI ED T MM1 TADY FAW MOMMIX,W v I r 06/11/1999 09: 41 9042800831 THE DEKINS CORP PAGE 01/01 �C�Q,M DATg�MtrWD9m1 ODUCER (W)280-0424 THIS CERTIFICATE 18 ISGUED AlA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TbIE CERTIFICATE MS.DSKIN$CORPORATION HOLDER, THIS C,@RTIFICATE DOES NOT AMEND, EXTEND OR "44 BBACN BLVD,SUITE 18-118 POLICIE6 29LOW, ACK5ONVILLEr FL 92280 jy, CQMPANIEB,AFFORQING�.QypjtA3E COMPANY ASSUkANCE COMPANY OF AMERICA ..., ..._..._............,...__.__.__._�...,.._._.... ._ a_..._.._._.-,.. __._. _., ... _.._.....�...., SURED COWANY B&6 BELL'S CONCRETE, INC, ■ A830CIATIED INDU$TRIES INSURANCE COMPANY 00 DUDLEY ST. ATLANTIC BEACH,FL 32233 COMPANYPANY COMPANY b THIS 13 TO CERTIFY TMAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMSO ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH TH15 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS. EXGlU310N8 ACONDITIONS OF SUCM POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED AY PAID CLAIMS. ND .I . tRI TYPE OP INSURANCE POLICY NUMBER PVLWr lrPEOrroI PQWCY WFIRATION LIMITS Pi NERAL LIABILITY COMMECV+L , 0ERNlRA.r!Voaa ltol coiA 3SCP 31570768 8s/8e 6/26/99 e.E IBILITY l I iffi - 3xy,0000 O00QD0 MP! P CLAMS MAP@ i X i OCCUA j FVERSONAL 6 ADV INJURY OWNQR'l A CONTRACTOR'S PROT I FACE OCCURRENCE !_ffi._ 1,000,000 I FIRE!2RMA01 (A�y 6M fro) ! 300,000 MM _ •-••_ MEC EAP (A"y Ono person) ffi 10 W� AUTOMOBILE LIABILITY I COMbINEt?fiINGLE LIMIT ! I A X ANY AUTO I SCP 31570750 8/23/08 S/23/99 300,000 ALL OWNEb AUTOS BODILY INJURY 3 SCHEDULED AUTOS i . (Per P~) __... ......... . .. . . .., MIRED AUTOS j NON-OWNED AUTOS j gFQokY INJURY ! . ... _ .. I PROPERrr DAMAGE l GAMOK MAOILITY AUTO ONLY.BA ACCiDrNT ANY AUTO ' `OTHER THAN AVYO OKLY; eACMACCIDENT ffi �EXCE88 UA131LITY I RACW 000UPpF.,NCF is UMBRELLA FORM Acaak�ArE s 07141A TIANN UMBRCLLA FORM 1 ffi B YVORKlA'Jf CONIFiNacATIGH AND 982319751 ®117199 S/1 /g® J Tvr s Mrprs� OMPLpYBAS'LIABILITY _ EL EACH.ACCIDENT 100,000 THE mom.rm .)( ,INCL EL CiSRASE-POLICY LIMIT 11 r�nTWegeisxEa;s�v6 .. ,. aFI AM: X RACL EL DillAf •EA EMFLOYEs`s '1001000i OTHER , DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS $MOULD ANYOF THE ABOVE DESCRIBED POLICIU ee CANCELLED SIFORE Till MR, FRED SCHULTZ OF AAI MN OAT!TwEM96f, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 194 BEACH AVENUE 10 DAPI Wg1TTEN N0Tft TG TME ORPMPICATe MOLDER NAMED TO TME LIPT, ,r _ T B & B CONCRETE 50 Dudley Street ATLANTIC BEACH, FL 32233 (904) 246-7758 FAX (904) 247.1357 June UP 19" SUBMII"TFD TO;Mr Fred Schultz 194 Beach Ave. Atlantic Beach,Fl 32233 Ph.270-2621 LOCATION: same If customer does not have a account with Florida Mining,please take note to the following instructions : your 1 l/ X&Eft of 3000 Wi.emerete wt fiber, $30.13 can be dyftad to Fj&dda ddyers license#at the top of the check w/expiration date for Identificatio0 Big gnly These underlined items must be"r ase by owner priol:to delivery YOUR TOTAL MATERIAL COST: $3p.13 CONCRETE COMPANY:Florida Mining (904)353-7373 SCOPE OF WORK:Footers B&B]Bells Concrete,Inc.Propose to furnish/ / Remove&Disposal of existing /Dig 4#2'6"x2'6"x1' +2#3101il' peirs/ I Place Reinforcements w/#5 rebar caged/Frame footer 6"to meet existing surrondings/ / Existing cap2' 10'x20' / Four/Rough Broom Finnish/ / Leave area clean of all debris. A,pupt,Qfs $1125-00 for Lsba/Lumber/Reinforcemen1l only. Make check payable to B&B Bell's Concrete,Inc. on completion. ACCEPTANCE: The above prices,specifications and condition are hereby accept. You are authorize to do work specified.Payment will be made as outlined above. P-a'ZI Date '/'���� �� Date x'17-9�i B BEUIS CONCRETE,INC. AUTHORIZE SIGN TURF CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT IAIFORMATION I`OCAION'IIVFOI2MATlOt�I Permit Number: 18192 Address: 178 BEACH AVENUE Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWttIER'INFf}RMATiQN Date Issued: 5/06/1999 Name: KEMP Total Fees: 25.00 Address: 178 BEACH AVENUE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 5/06/1999 Phone: (000)000-0000 Work Desc: REPIPE LOWER APARMENT HC WATER COITRAtTOR S :APPLICATION FEES J V AND SON PLUMBING PERMIT 25.00 s ns<R uh+ed. FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.0014 Date: 5/86/99 81 Receipt: 8854381 ATLANTIC BEACH BUILDING DEPT:-- CHECKS 8499 88188883221888 i DEPARTMENT OF BUILDING 3352 � CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB r I Date April 20 19— 7 Valuation$ 100•W Fee$ N20e This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that G{'t►rae E_ Farrel 1 . I I I has permission to build a sun deCk I Classification RAr.i dAntl a i Zone Owned by George E. Feere11. 111 Lot Block House No 178 aeach According to approved plans which are part of this permit i NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- J SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS tI AFTER DATE OF ISSUE ♦ �. ► O Building material, rubbish and debris ZI from this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. I R C VMAI Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR I PLUMBING ELECTRICAL SEWER WATER FOR OFFICE USE ONLY Date-­*. . . ..z ....19 Z.7 Permit #--------- ........Fee e... CITY OF ATLANTIC BEACH Valuation $.rOD-. .�............. FLORIDA House #17�- --------------- AP-PROVED APPLICATION FOR BUILDING PERMIT CI BUILDINtG�OFFBCE£µ ----------•---•---••APR.2.Q--P—.----------- ------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and confor4o with thi1A'ng n ce of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors besub itted to this office so that licenses can be verified. _ Date.........---------•-•------•--- �`�•. ----•• ��1 /� .-, 19 Owner.... �t.4��e��s. -/�� _ �2 E"C C ---�Z---•----- Address---�-/9-----tae---•------`fir---.......Telephone No��-�-��//... Architect----•------------....../`!..P.ZLLE-- ---------•----------------------------Address..........----•-•-------•-•----------•----......-•--------.-Telephone No.-•----.....-•--•-•-•------•- Contractor Builder----- �— A./W­'65-------•---------------------•--------......Address-•---­­..............------------------••--------------Telephone No.----------•-------- LotNo------------------- ------.Block No....--- .--.--Sub Division.-------------------------------------------•-------------------------------.-Zone............. � EN ✓moo-•------- StreeddeSrr A/ Side Between......1.5i.....-5rnr-r -----and--- 'QN..Q._��ri2z .T.......Sts. Valuation :p _ .....--For what purpose will building beF uCs:ed...d t>S<17_AI_._.. .............Type of construction------ Dimensions ............... Dimensions of Building---l;2!4_7- ------.Dimensions of Lot-----------------..............................-.......Size of Footings...................................... Size of Piers-------------- -------Size of Sills---------------- ------Greatest Sill Span in ft--------------------------Type Roof--s rtiH ............- How will Building be Heated?__-----------........__...-. -_. ---------------------- -Will Building be on Solid or Filled Ground --------..._.....- Size of Ceiling Joists-------------------•--------------......... Distance on Centers. --..._....--------------•-•-----........, Greatest Span............................................ It Size of Floor Joists----------------------------- --•----------, Distance on Centers-- ----., Greatest Span.-----..................................... to Size of Rafters....•Z� .-X_-�---- ---------_.---_._- Distance on Centers.. ..�2._ /-2 -----------------•-----•-, Greatest Span--------- ............................ to / / This rectangle is to represent the lot. a.locate the building or buildings in the ght position. Give distance in feet from �DQ all lot-lines and existing buildings. �! REAR LOT LINE Two copies of plans and sp ifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. a a 4. When framing is completed. o 5. When rough plumbing is completed,and ready to cover up. a 6. When septic tank drain field or sewer is laid but before it is covered. q W A 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the CitAtlantic Beach. -- R' Signature of Builder _ �.. .' Address. ..�. ......... Ji..A G Ij .......... Signature of Owner.._. - .......... . Address...................... .-C!-..ko ._.............. r r. .. WA1 ,. L If � a I { f I I i � N 'r s� m i r APPROVED ��.. CITY of ATLANTIC EEACH BUILDINC OFFICE Date.................................................... p. cap � u+ S ,HA2 � � op c r CITY OF ATLANTIC BEACH, FLORIDA E Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ — 19yu IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATUREYMAN NAME -"'��/' �°--- -� ADDRESS: FD BOX BLDG.SIZE BETWEEN: RES.(kK APT. ( ) COMM, ( ) PUBLIC ( 1 INDUS. ( 1 NEW( ) OLD (,-►''" REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP,( I SIGNS ( ) SO. FT. SERVICE: NEW ( 1 INCREASE ( ► REPAIR (,-r' FEE CONDUCTOR SIZE ? AMPS G4) COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE lj 0 AMPS PH W d VOLT RACEWAY FEEDERS NO. SIZE p0 NO. SIZE QZ> I 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 N.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0 1 OVER MOTORS H.P. VOLTAGE PHS NO, I1I.P. VOLTAGE PHS MISCELLANEOUS G ,DATE � `✓ � • _ PPE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORIT`i WEST DUVAL STREET JACKSONVILLE, r'LORIDA 3"'30.2 THE F0LLOWING FINAL INSPECT10M i,AVS'. Bc-EN `l ALL AN,;; At. SATISFACTORY : - - -- --- C= '�`=�-------------- ------------------------------ ------ -------------------------------------------------- ------ ------------------------------------------------- ------ -------------------------------------------------- Enclosed are the blue copies of the permits. SINC BUILDING INSPECTION DIVISION cc : FILE ENT of 8UILV Nd , CITY'OP ATLANTIC BEACH PE' I' . INFORMATION _�--»-- A Id re 118 SSE � �t3 . e mit Number>. 16450, ATI ANTIC. „SEACKr.: Ld R I A .'3223,3 Permit Type.PLUMBINGDESCR'lP" Ifl .: f Work', ALTERAT ION Bl ► �C'�V Lit a Cojj$t . it OD FRAM Sevctioti; Subs; .Dal i ings 0 Est value 0 .00 r.av Cast . Total Fera 2 5.00 C? ikhfN-9 .M EN SINK r �^ �i ge , - AP rr ICATION. FEES a ERRI'I n3B E IDA. 32Z ilw t ? 3 � � rr i r To 1 14 aJ1 r V A fair,--7- L;EP LANE ATLANTIC S 4,0 FLA. 3.2,233 EXp r»:wv« f•, k.< H i NOTES f ' ` NOTICE'-INSPECTIONS MUST SE'REOUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MU$T,NOT$E PLACED IN PUBLIC$PACE,AND MUST BE CLEARED UP AND HAULED'AWAY BY EITHER CONTRACTOR QR OWNER ”FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY 01NNER.PAYING TWICE F '?R SUILpING II4A'pROdE1VIENTS:' LSSUED ACCORDING TO ARPRQVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT T�7JREDCAT � , fI ATION Q'1 APPLICABLE RR0VISIONS OF.LAW, ATLAN BEACH KBUILD�JIG PARTMENT f By: y CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: J �� OWNER OF PROPERTY: PLUMBING CONTRACTOR: , �-9j, CONTRACTOR'S ADDRESS: - 2-,V- STATE LICENSE NUMBER: (' Ij� TELEPHONE: b- 17 '�7�� HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE _ $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. s 'DEPARTMENT OF OUIL0.010 CITY OF ATLAANTIC BEACH LC * ' 'i t A ldr EACH AVENUE it 'Type: BUI L NO AT'LA T IC' BEACH,. Fl# A , ALTERATION' LEGAL 00CRI '"P Cci ak it.r . '; +�: WOOD FRAME', Ldt t B S I NGL FAN. L �own i 'RNC; 0 wr .13 x I cOd � �ubdisxon_ 'ATLA.NTICtEAC E tf rted valuet $594.00 pwV Cost ' Amour t ti 0 At n�� "5 "` j aE r3 fie' � 3 rt� , A '" ON �' -� � PVt CAT` ON` 1*E 9 �. Amt ' S VE1 UE . Iii AC SEE COV,KA z 91 WATER NEER All RALDONI .. . '. R " FORMAT RADON CAS Nle 0 CH�EE... ., iA EA ..M. ,4 Adages SEWER `A k 1 w HYDRAULIC $jARE, Fl RE-I 'SPECT, "E'EE a NC3TES; , s r, NU ,ICE IN ALL CONCRETE FORMS AND FOOTINQS MUST IE $PECTIED BEFORE OtJpRI a .'r a PE) N117 VOID SIX MONTHS AFTER DATE 00-1851.1E UtLDING MATERIAL,RUBBISH AN[3 t�Et3R1S.FROM THIS WORK MUST NOT BE'PLACEO 1N PUBLIC SPACE,AND MUST BE CLEARED EIP AND HAULED AWAY-6- EI ' EA C6NTRACTOR OR OWNER `FAILURE T CC3MPLY WITH THEMECHANICS' . EN 3 aL t 11 GA 1 f SULT I THE,,PROPER" !, WN E1 `PAYING TWICE Foil 6,61L iN i IMPROVEMENTS." ISS�ttED ACtORDIIN ", PPROV0 LANNS WHICH ARE FART OFTHIS'PET A1ND'SU T�► REF .V LATION CF APPLIOABLE PROVISIONS OF.LAW. ATLANTIC BEACHVLDING DEPARTMENT- _ �- q � CITY OF ATLANTIC BEACH BUILDING PERMIT CALCULATION SHEET Address- Date Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = S _ Carport/Porch @ $ per sq ft = $ Deck . S5 A �s �@ $ 9.06 per sq ft = $ P�a d o $-4--_.per sq ft = S TOTAL rVALUAT I ON: $--�--- Total Valuation 1st $ Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE + 1/2 Filing Fee $ 7 (o) Fireplaces @ $15 .00 S �-� - t• BUILDING PERMIT FEE $ `� BUILDING PERMIT S WATER CONNECTION SEWER CONNECTION $ _ WATER METER/TAP $ CAPITAL IMPROVEMENT $ ( ) RADON (HRS) .0095 $ ( ) RADON (CAB) .0005 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ _ OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES: Mechanical __; Plun-bing____ Electric/NewElectric/Temp _; SwimmingPool Septic Tank Wells; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : d-Ayw -5 1 d Address : 13FJAC-t1 jkA2LZ- phone :_ 71W"r' Lot # Block or Unit Subdivision:___ Contractor : Address' Phone No: Describe work to be done: lop6XCC2- 16K 2� P7 Present use of building:- &C- AT/I -3. Valuation of Proposed Construction: Proposed use: Po V/6(- F mc -0 F. Is this an addition? L'IL- 1 - If yes , what are the dimensions of the added space: 6 ---ft . X 6 -ft . Will the added area be heated and cooled? A10 New electrical (or increase)? "-/0 New plumbing fixtures? A10 New fireplace? A10' New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OW N E R Date: -J Signature CONTRACTOR: 0'j Date: MAP 181993 Building and Zoning t cJ ' r a d-- �s S v \� t y r _ f ©mv a, 7 z O C1 a�A Q,.m v � r v we�7;f 6 ti � 1 G, I C'N '{ s r p I P 1 i t,i8y'4O APoV ,R 2? ,99, k 1 � . t r < yt c •ft r E r. y t ' r V• aA k��,�,�C'l Ca s r ' Al CAR WARM S R / f .fix a a e a � .k � Sino�ss�.Peotrcc �,Z, _- r " 1Ca�o;sfuaarcpourr `p i i �"e •,��� 1 _ � F1 f r x :141 t bo � r I > • � �F t r• �. S q V 9£t b 1 1 M��x,J OWNER BUILDER PERMIT AFFIDAVIT STATE OF FLORIDA ) COUNTY OF DUVAL ) ss CITY OF ATLANTIC BEACH ) BEFORE ME, the undersigned authority, personally appeared before me who being by me first duly sworn, deposes and says : I , -- K , am the legal owner of the following pro erty: Lot Block Subdivision A/K/A r f '7_W I iii—Ac-A A TLAt4 Tic L-�t=4,-14 7Q g p Street Address I am: apRlying for a building permit pursuant to the Owner Builder exemption set forth in Florida Statute, Section 489 . 103 . Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEMENT State law requires construction to be done by licensIed contractors . You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though 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 $25 ,000 . 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 more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is in violation of this exemption . Your construction must be done according to the building codes and zoning 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 . 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-Builder permit . Further , affiant sayeth not . - PROPER OWNER FLA. lib? LAWS �A€ e.A F".J'Bd C1 A"rs 713.13 oft"k .6 te mmrarn-n-Wrnt Wa[►ARt IN DU►LIC4741 dIa fuhom it Mq taro = 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. 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General description of r........ ....... .....«.....«........................................ ..........................................•.............................................................................................................................«......w............................................... ......................................... Owner...........(. .1 .��1 c.t„i Ga�aC�...»S.c..a' fi.�. �.. ��........................... ......................................................................................................... Address....... F...»................................................................................................«.........«.«......»..»•........»........................................ 1 Owner's interest in site of the improvstrient................i<: :./.-.......� F:...........................»...........»................................. I" Simple Tele holder (if other than owner) ryam............... .`t?L'/.1 .1z...................................................................................................................................................................................... ...........................»»...«.....................«.......................................................................................«».......«...«...........«....................I....... Contradon.... .G L.►.2 .......»..•.«..«...«.........................................................................................•........w........................•...........................« e ...............•....»....••.w�.�..«•«.........•«..•«.•..•....«••«...ww•.•....•........•........................I...............•..•...•«.......«.•..••.««•««•«»« . suretyGf am►l._.«....�:`�..:.a...........«.........».........•w.............................................................................. ....»«w.w.»«.....»«.................:x:.......« Addrew....._..»».......»«««.»...........««................«.«.............................................................................Amaw of bond .........I.......I.............. Name of person within the Stats of Heide de4risted by owner upon when notice= or other doameNs may be served+ fume......»....-`I...1�............««...»...«.......»....«..............».....................................................»...........................«.»».....«.»•.«................................. Address.....,.... .«»».. ..«.....«........»»..«...»......••.......«...........................................................................................».......«....................................... In addition to himself, owner designates the following perspn'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..._.J :J .:.».........•..•...»...»...........»..»»»...............».....».....................................«....................................»..»..«»........«.................................. nue erg►oR Rs aoRDewo ues 014LV