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Permits 647 Beach Ave CITY OF ATLANTIC BEACH 800 SEKWOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptQcoab.us Application Number . . . . . 07-00001246 Date 10/08/07 Property Address . . . . . . 647 BEACH AVE Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 16086 ---------------------------------------------------------------------------- Application desc INSTALL POOL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------- NOVEMBER FLORIDA BONDED POOLS 647 BEACH AVENUE 8608 BEACH BLVD ATLANTIC 13EACH FL 32233 JACKSONVILLE FL 32216 (904) 641-5265 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 16086 Expiration Date . . 4/05/08 ---------------------------------------------------------------------------- Special Notes and Comments REQUIRED INSPECTIONS: *PILE STEEL *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL AND ALL BARRIER REQUIREMENTS INSTALLED) ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115 . 00 115 . 00 . 00 ' . 00 Plan Check Total 57.50 57.50 . 00 . 00 Grand Total 172 . 50 172 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PERMIT BUILDING / ZONING DEPARTMENT APPLICATION 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: N PLANNING N BUILDING Property Address: K. z 7A- ) ' r.,y), N PUBLIC WORKS Applicant: EIM �Wt�� Y) � PUBLIC UTILITIES Yw FIRE DEPT. Project: PUBLIC SAFETY LLU APPROVAL L) . �J�IRED AGENCY: RECEIVED BY: INITAL: VATJ. Z LU UYN D.E.P HUFSTETLER UJ 0 < Y N S.J.R.W.M. CARPER Q� W W Y N ARMY CORPS of ENG CARPER 0 Y N HOTELS&RESAURANTs HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDIN DA AP REVIEWED BY: INITIAJI: VATE,( I 1 1 ST REV I0 I 2-T I I PLANNING BUILD'N 2ND REV PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY 3RD REV Retu rn this form to the Building Department once you have entered your comments into the AS400. CITY OF ATLANTIC BEACH j POOL PERMIT APPLICATION Date: la — 1 — o Please submit(3)complete sets of plans with application. Job Address- E-7-ac y r--, a!3�VAT I C,BC—AC,41 �:3 a 93 ��OV4—>�VyOo-eC Phone. 01 ;�A 6 —z- I I 9L., Contractor: '-�or Phone: CA =Yxc, OH Address: S�02, BE&-- A4J-!!>Lv4 Fax: I City: k,,�I L-(- C-- State--P—L. ZipCode: Valuation of Proposed Construction: 16 Gallons: *Impervious Surface Calculation: 39'q Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, decking around a-pool may be considered impervious depending upon materials used. !'hh etyk,idefih) fqw a et, file toffif qreLii�L�ht��ys Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. 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 City of Atlantic Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in Tsuance of permit. Recent Survey— -N, �,� -,� -�',i� "M encic'tn, ��T"'o-f 2. Two(2)complete sets of plans. One(1)copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following workday; please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number,job location and type of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final FIL BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WHL BE MADE. A f qf3ll is charged for all re-inspections. 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800* Fax: (904)247-M5 9 http://www.cLatiantic-beach.fLus Revised 8/04 I hereby certify that all information provided with thi cation is correct. Signature of Owner: Z;Yq11�,Z!7 Date: I hereby certify tha( ;read a i d xamined this application and know the same to be true and t h e n J/i correct. All provisio of the laws an ordinances governing this type of work will be complied with, whether specified herein or not. T e granting of a permit does not presume to give authority to violate or cancel the provisions of a y federal,state or local rules, regulations, ordinances,or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Date: a (a Signature of Contractor: AS TO OWNER: Sworn to and subscribed before me this day of -et"- 200 Q) State of Florida,County of Duval Notary's Signature I '19e Personally kn wVVn V-. Produced Identification Type of Identification Produced V% #DD 585784 d AS TO CONTRACTOR: Sworn to and subscribed before me this j day of 200 (p . State of Florida,County of Duval Notary's Signatur Person,kly known F-1 Produced Identification Type of Identification Produced of 16 #DD 5NIM IL copy 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800* Fax: (904)247-5845* http://www.ci.atiantic-beach.fl.us Revised 8/04 Stair drawing to show thy comply with all of R311.5 width,headroom, riser height, tread depth,profile, Landings, handrails—height—continuity—grip size, Illumination. FBC 106.3.5 Riser diagram electrical FBC 106.1.1 Load calculations for electrical. FBC 106.1.1 AC drawings FBC 106.1.1 Two full sets of Energy calculations FBC Chapter 13 Two full sets of truss plans. Draft stopping for floor truss FBC R 502.12 Tempered glass in hazardous locations. FBC R 308.4 Attic access shown. FBC R 807.1 not less than 22in by 30in. Attic ventilation FBC R 806.1 Accessibility FBC R 322.1.1 one bath on grade level with 29" clear opening. FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION Bureau of Beaches and Coastal Systerns FLOR A 3900 Commonwealth Blvd., Mail Station 300 Tallahassee, Florida 32399-3000 Telephone (850)488-7708 NOTICE TO PROCEED Permittee Name: Permit Number: DU-398 Jarnes and Carol Ellen November Permit Expires: July 30, 2010 c/o Kevin Partel, President 4230 Myrtle Street St. Augustine, Florida 32084 You are hereby granted final authorization to proceed with construction or activities authorized by this notice. Authorized work must conform to the project description, approved plans, all the conditions of Chapter 6213-33), Florida Administrative Code, any preconstruction requirements, and all permit conditions of the Final Order. Project Description: Construction of a swimming pool, other structures/activities, excavation, and placement of fill. Project Location: Between approximately 97 feet and 147 feet south of the Department of Environmental Protection's reference monument R-50, in Duval County. Project Address: 647 Beach Avenue, Atlantic Beach. Special Instructions: A preconstruction conference is required. The permittee shall comply with all permit conditions. Questi ns nain this hould be directed to the undersigned at the above address. David A. riger, Permit Ma Oer Date DAK/dw cc: Permit File Permit Information Center FILE Copy ,rrey I-latch, Field Inspector Jarnes and Carol Ellen November, Property Owner City of Atlantic Beach, Building Official Post Conspicuously onthe Site ,,rm 73-13 1 (t Jpdated 2/06) Charlie Crist Florida Department of Governor Environmental Protection Jeff Kottkarnp OIL- Lt. Governor Marjory Stoneman Douglas Building FLO R_ A ' 3900 Commonwealth Boulevard Tallahassee,Florida 32399-3000 Michael W. Sole Secretary July 30, 2007 James and Carol Ellen November c/o Kevin Partel, President Coastal Consulting& Restoration 4230 Myrtle Street St. Augustine, Florida 32084 Dear Mr. Partel: Notice to Proceed, Permit Number: DU-3198 Permit.tee Name: James and Carol Ellen November Your request for a permit pursuant to Section 161.053, Florida Statutes, for construction or other activities seAvard'6f the coastal construction control line, has been approved by the Department of Environmental Protection. However, construction may not commence until after the permittee complies with any preconstruction requirements described in Special Permit Condition 1. Please read the permit and permit conditions including both the General Permit Conditions and any Special Permit Conditions closely before starting construction. General Permit Conditions I(q) and I(s) pertain to written reports which must be submitted to the Department of Environmental Protection at specified times. Forms for use in preparation of these reports are enclosed. Make sufficient copies of the periodic report form to provide the required reports. The periodic reports are due in the office of the Bureau of Beaches and Coastal Systems on a monthly basis on the last working day of each month. No progress reports are required until such time as construction activities have started. The permit will expire on July 30, 2010. Upon receipt of a timely written request signed by the permittee or authorized agent, the Department will consider extending the permit for up to but no more than three years. You must apply for a new permit for completion of any work not accomplished under the original permit. Although you may apply for a new permit, there is no assurance that such new permit for the sarne construction or activities would be approved, Any person whose substantial interests are affected by any decision of the Department on the application has the right to request an administrative hearing in accordance with the provisions of Sections 120.569 and 120.57 of the Florida Statutes. Should you desire an administrative hearing, your request must comply with the provisions of Rule 28-106.201 of the Florida Administrative Code, as indicated below. Send requests for hearings to the Department of Environmental Protection, Office of General Counsel, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399. The Department must receive the request within twenty-one (21) days after your receipt of this notice. "Afore Protection, Less Process" wwwdep.statefl.us Kevin Partel, President July 330, 2007 Page Two When the Department receives an adequate and timely filed request for hearing, the Department will request the assignment of an administrative law judge. Once an administrative law judge is requested, the referring agency will take'no further action with respect to the proceeding except as a party litigant, as long as the Division of Administrative Hearings has jurisdiction over the formal proceeding. Rule 28-106.20](2), Florida Administrative Code, explains what must be included in a petition for a formal administrative proceeding. Section 120.54(5)(b)4, Florida Statutes, and Rule 28-106.20](2) of the Florida Administrative Code, explain what inust be included in a petition for a formal administrative proceeding. Unless otherwise provided by statute, and except for agency enforcement and disciplinary actions that shall be initiated under Rule 28-106.2015, F.A.C., initiation of proceedings shall be made by written petition to the agency responsible for rendering final agency action. The term "petition" includes any document that requests an evidentiary proceeding and asserts the existence of a disputed issue of material fact. Each petition shall be legible and on 8 1/2 by I I inch white paper. Unless printed, the impression shall be on one side of the paper only and lines shall be double-spaced. (a) The name and address of each agency affected and each agency's file or identification number, if known; (b) The name, address, and telephone number of the petitioner; the name, address, and telephone number of the petitioner's representative, if any, which shall be the address for service purposes during the course of the proceeding; and an explanation of how the petitioner's substantial interests will be affected by the agency determination; (c) A statement of when and how the petitioner received notice of the Department's action; (d) A statement of all disputed issues of material fact. If there are none, the petition must so indicate; (e) A concise statement of ultimate facts alleged, including the specific facts the petitioner contends warrant reversal or modification of the Department's proposed action; (f) A statement of the specific rules or statute the petitioner contends require reversal or modification of the Department's proposed action, including an explanation of how the alleged facts relate to the specific rules or statutes; and (g) A staternent of the relief sought by the petitioner, stating precisely the action petitioner wishes the Department to take with respect to the Department's proposed action. A person may request an extension of time to petition for an administrative hearing. The person filing the request for extension must do so within the time limits for filing a petition described above and serve all parties with the request. The request must state why an extension is needed. The Department will grant an extension only when good cause is shown. If a petition or request for extension of time is filed, further order of the Department becomes necessary to effectuate this notice. Accordingly, the Department's final action may be different frorn the position taken by it in this notice. Actions undertaken by you under this permit, pending the lapse of time allowed for the filing of such a request for hearing, may be subject to modification, removal, or restoration. Kevin Partel, President July 30, 2007 Page Three Failure to petition within the allowed time frame constitutes waiver of any right that such a person has to request a hearing under Sections 120.569 and 120.57 of the Florida Statutes and to participate as a party to the proceeding. If a legally sufficient petition for hearing is not timely received this notice constitutes final agency action. When this order becomes final, any party to the order has the right to seek judicial review under Section 120.68 of the Florida Statutes and Rules 9.030(b)(1) and 9.110 of the Florida Rules of Appellate Procedure by filing a notice of appeal with the Department of Environmental Protection, Office of General Counsel, Department Clerk, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399, and with the appropriate district court of appeal within thirty days after this final order is filed with the Department Clerk. The notice filed with the district court must be accompanied by the filing fee specified in Section 35.22(3) of the Florida Statutes. Any subsequent intervention will only be at the approval of the presiding officer upon motion filed under Rule 28-106.205, Florida Administrative Code. A person whose substantial interests are affected by the Department's proposed agency action may choose to pursue mediation as an alternative rernedy under Section 120.573 before the deadline for filing a petition. Choosing mediation will not adversely affect the right to a hearing if mediation does not result in a settlement. The procedures for pursuing mediation are set forth below. A person may pursue mediation by reaching a mediation agreement with all parties to the proceeding (which include the applicant, the Department, and any person who has filed a timely and sufficient petition for a hearing) and by showing how the substantial interests of each mediating party are affected by the Department's action or proposed action, The agreement must be filed in (received by) the Office of General Counsel of the Department at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000, by the sarne deadline as set forth above for the filing of a petition. The agreement to mediate must include the following: (a) The narnes, addresses, and telephone numbers of any persons who may attend the mediation; (b) The name, address, and telephone number of the mediator selected by the parties, or a provision for selecting a mediator within a specified time; (c) The agreed allocation of the costs and fees associated with the mediation; (d) The agreement of the parties on the confidentiality of discussions and documents introduced during mediation; (e) The date, time, and place of the first mediation session, or a deadline for holding the first session, if no mediator has yet been chosen; (f) The narne of each party's representative who shall have the authority to settle or recommend settlement, and (g) Either an explanation of how the substantial interests of each mediating party will be affected by the action or proposed action addressed in this notice of intent or a staternent clearly identifying the petition for hearing that each party has already filed, and incorporating it by reference. (h) The signatures of all parties or their authorized representatives. Kevin Partel, President July 30, 2007 Page Four As provided in Section 120.573 of the Florida Statutes, the timely agreement of all parties to mediate will toll the time limitations imposed by Sections 120.569 and 120.57 for requesting and holding an administrative hearing. Unless otherwise agreed by the parties, the mediation must be concluded within sixty days of the execution of the agreement. If mediation results in settlement of the administrative dispute, the Department must enter a final order incorporating the agreement of the parties. Persons whose substantial interest will be affected by such a modified final decision of the Department have a right to petition for a hearing only in accordance with the requirements for such set forth above, and must therefore file their petitions within twenty-one days of receipt of this notice. If mediation terminates without settlement of the dispute, the Department shall notify all parties in writing that the administrative hearing processes under Sections 120.569 and 120.57 rernain available for disposition of the dispute, and the notice will specify the deadlines that then will apply for challenging the agency action and electing remedies under those two statutes. The authorized work is strictly limited to that described on the enclosed Final Order. If you have any questions pertaining to this permit, please contact me by mail at the letterhead address (add Mail Station 300), by telephone at (850) 921-7846, or by email at david.kriger_a ,,dep.state.fl.us. incerely, David A. Kriger, Pe it Manager Bureau of Beaches and Coastal Systems DAK/dw Enclosures cc: Permit Information Center Trey Hatch, Field Engineer City of Atlantic Beach, Building Official James and Carol Ellen November, Property Owner STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION Division of Water Resource Management Bureau of Beaches and Coastal Systems 3900 Commonwealth Blvd. -Mail Station 300 FLOR A Tallahassee, Florida 32399-3000 (850)488-7708 PERMIT NUMBER: DU-398 PERMITTEE James and Carol Ellen November c/o Kevin Partel, President Coastal Consulting & Restoration 4230 Myrtle Street St. Augustine, Florida 32084 PERMIT FOR CONSTRUCTION OR OTHER ACTIVITIES PURSUANT TO SECTION 161.053, FLORIDA STATUTES FINAL ORDER FINDINGS OF FACT: An application for authorization to conduct the activities seaward of the Coastal Construction Control Line which are indicated in the project description, was filed by the applicant/permittee named herein on May 1, 2007,and was determined to be complete pursuant to rule on May 1,2007. The proposed project is to be located landward of the 30-year erosion projection and the existing line of construction established by major structures in the immediate area. CONCLUSIONS OF LAW: After considering the merits of the proposal and any written objections from affected persons, the Department finds that upon compliance with the permit conditions, the activities indicated in the project description are of such a nature that they will result in no significant adverse impacts to the beach/dune areas or to adjacent properties;that the work is not expected to adversely impact nesting sea turtles,their hatchlings, or their habitat;that the work is expendable in nature and/or is appropriately designed in accordance with Rule 6213- 33.005, Florida Administrative Code; and that it is an activity or type of construction which the designee of the Chief of the Bureau of Beaches and Coastal Systems has authority to approve or deny pursuant to Delegation of Authority, DEP Directive 137, effective May 14, 2001, Based on the foregoing considerations, the designee approves the application; authorizes construction and/or activities at the location indicated below in strict accordance with the project description, the approved plans (if any) and the General Permit Conditions which are attached and are by this reference incorporated herein, and any additional conditions shown below, pursuant to Subsection 161.053(5), Florida Statutes. EXPIRATION DATE: July 30, 2010 LOCATION: Between approximately 97 feet and 147 feet south of the Department of Environmental Protection's reference monument R-50, in Duval County. Project address: 647 Beach Avenue, Atlantic Beach. PROJECT DESCRIPTION: Swimming Pool I Location relative to control line: A maximum of 45.4 feet seaward. 2. Exterior dimensions: 3 1 feet in the shore-normal direction by 15 feet in the shore-parallel direction. PERMITTEE: Jarnes and Carol Ellen November PERMIT NUMBER: DU-398 PAGE 2 3. Type of foundation: Anchor piles. 4. Top elevation of swimming pool: +16.5 feet(NGVD), for edge of the pool, which will be surrounded by sod lawn. 5. Bottom elevation of swimming pool: +10.0 feet(NGVD). 6. Maximum depth of swimming pool: 6 feet. 7. Total volume of excavation: 49.2 cubic yards. Excavation/Fill I. Total volurne of excavation: 49.2 cubic yards. Volume of net excavation: None;excavated material to be placed as fill on the project site, 2. Location of excavation: From 14.4 feet to 45.4 feet seaward of the control line. 3. Volume of fill to be placed: Approximately 49.2 cubic yards. 4. Location of fill to be placed: Frorn 18 feet landward to 47 feet seaward of the control line, Other Structures/Activities I. Demolition of a portion of existing concrete driveway. See Special Permit Condition 2. 2. An elevated post-supported deck on the landward side of the existing dwelling, measuring 37.1 feet in the shore-parallel direction and 12 feet in the shore-normal direction, and extending approximately 63.9 feet seaward of the control line. A wooden staircase will be situated at the south end of the deck providing access to the pool area. 3. Sod lawn for pool area. 4. Swimming pool lighting. See Special Permit Condition 3. 5. Wooden pool fence. SPECIAL PERMIT CONDITIONS: I. Prior to commencement of construction activity authorized by this permit, a preconstruction conference shall be held at the site arriong the contractor, the owner or authorized agent, and a staff representative of the Bureau of Beaches and Coastal Systems to establish an understanding among the parties as to the items specified in the special and general conditions of the permit. Contact Trey Hatch at 1-877-314-1329 to schedule an appointment. The proposed locations of the structures shall be staked out for the conference. PERMITTEE: James and Carol Ellen November PERMIT NUMBER: DU-398 PAGE 3 2. All rubble and debris resulting from this construction shall be removed to a location landward of the coastal construction control line. 3. All lighting shall be installed and maintained as depicted in the approved lighting schematic.No additional permanent exterior lighting is authorized. Approved plans are incorporated into this permit by reference. Done and ordered this day of �V 2007, in Tallahassee, Florida. Attachment: General Permit Conditions FILING AND ACKNOWLEDGEMENT State of Florida FILED, on this date, pursuant to S 120.52 Department of Environmental Protection Florida Statutes, with the designated Department Clerk, receipt of which i&-hereby acknowledged. Frit ettstein, Environmental Manager 11 s Deputy Clerk Date jBu au#of Beaches and Coastal Systems PERIODIC PROGREss REPORT Bureau of Beaches and Coastal Systems 7- Division of Water Resource Management Z FLOR A Florida Department of Environmental Protection PERMIT NUMBER. DU-398 Mail to: 41119119111�_ 3900 Commonwealth Boulevard Mail Station 300 JAMES AND CAROL ELLEN Tallahassee, Florida 32399-3000 PERMITTEE NAME'. NOVEMBER 1. If construction has occurred, please describe its maximum extent in the space provided below(If no work at all has been performed, please report"Not Started." If construction or other authorized activity has begun but no progress has been made since the last report, please report"No Progress"): CONSTRUCTION TO DATE INCLUDES: 2. All work performed as of this date is described above and is hereby certified to be in compliance with the project description and plans approved by the Department of Environmental Protection as part of the permit and with all conditions of the permit. Locations and elevations of all construction as of this date have been specifically verified as applicable and have been found to comply with the project description, approved plans, and conditions of the permit. No unpermitted construction or activity has occurred (Any exceptions to the statement above are to be described and explained under Item Number 1 above, as part of this report. The explanation should state why the construction or activities not in accordance with the permit has occurred.) 3. The property owner or authorized agent may sign these progress reports. However for new armoring or major reconstructed armoring, the reports must be signed by an engineer licensed in the state of Florida following each period in which construction has occurred. (Seal) Signature of Engineer(if applicable) Date Typed or Printed Name of Engineer(if applicable) Florida Registration Number(if applicable) Signature of Property Owner or Authorized Agent(if applicable) Date Typed or Printed Name of Property Owner or Authorized Agent DEP Form 73-111 (Revised 6/04) FINAL CERTIFICATION Bureau of Beaches and Coastal Systems N Division of Water Resource Management Permit Number: DU-398 FLOReA Mail to: Florida Department of Environmental Protection yam 3900 Commonwealth Boulevard Mail Station 300 Tallahassee, Florida 32399-3000 Permittee Name: James and Carol Ellen November This is to certify that the work under the permit for construction or other activities seaward of the coastal construction control line pursuant to Section 161.053, Florida Statutes, was inspected by the undersigned and was found to be acceptable and satisfactory in accordance with the approved plans and project description and with all conditions of the permit. All permitted construction or activities have been completed, and no unpermitted construction or activities have occurred. Location and elevations specified by the permit and approved plans have been verified and found to be correct, and topography and vegetation have been either preserved or restored as required by the permit. FOR WORK INCLUDING: Construction of a swimming pool, other structures/activities, excavation, and placement of fill. NOTE: Any deviations from the permit and any portions of the permitted work not actually performed shall be noted and described in detail as an exception to this certification. Signature of Engineer or Architect Date I Typed or'Printed Narne of Engineer or Architect (Sea]) State of Florida Registration Number DEP Form 73-115B(Updated 9/05) Florida Department of Environmental Protection(DEP) Division of Water Resource Management Bureau of Beaches and Coastal Systems 3900 Commonwealth Boulevard,Mail Station 300 Tallahassee,Florida 32399-3000 (850)488-77DB FLOR General Perinit Conditions Rule 62B-33.0155,Florida Administrative Code I The following general pern-dt conditions shall apply,unless waived by the Department or modified by the permit: a) The permittee shall carry out the construction or activity for which the pern-dt was granted in accordance with the plans and specifications that were approved by the. Department as part of the permit. Deviations therefrom, without written approval from the Department, shall be grounds for suspension of the work and revocation of the permit pursuant to Section 120.60(7), F.S., and shall result in assessment of civil fines or issuance of an order to alter or remove the unauthorized structure, or both. No other construction or activities shall be conducted..No modifications to project sizei location, or structural design aye authorized without prior written approval from. the Department. A copy of the notice, to proce ed-shall be. conspicuously displayed at the project site.Approved plans sha'11 be made available for inspection by a Department representative. b) The permittee shall conduct the construction or activity authorized under the permit using extreme care to prevent any adverse impacts to the beach and dune system,marine turtles,their nests and habitat, or adjacent property and structures. c) The permittee shall allow any duly identified and.authorized member of the Department to enter upon t i he premises associated with the project authorized by the permit for the purpose of ascertaining compliance with the terms of the permit and with the rules of the Department until all construction or activities authorized or required in the permit have been completed and all project performance reports, certifications, or other documents are received by the. Department and determined to be consistent with the permit and approved plans. d) The permittee shall hold and save the State of Florida, the Department, and its officers and employees harmless from any damage, no matter how occasioned and no matter what the amount, to persons or property. that might result from the construction or activity authorized-under the permit and from any andall claims and judgments resulting from such darnage. e) The permittee shall allow the Department to use all records, notes, monitoring data, and other information relating to d cons�`Tuctlori or any activity uri e:,- the- pernidt, which.are submitted, for any purpose necessary except where such use is otherwise specifically forbidden by law. f) Construction traffic shall not be operated and building materials shall not be-stored on vegetated areas seaward of the control line unless specifically authorized by the permit. If the Department determines that this requirement is not being met,positive� control measur.es, such as temporary fencing, designated access roads, adjustment of cons'truction sequence, or other requirements, shall be provided by the perriiittee at the directi.on of the Department.Temporary construction fencing,shall not be sited within marine turtle nesting habitats. g) The permittee shall not disturb.existing beach and dune topography and vegetation except as expressly authorized in the permit. Before the project is considered complete, a ny disturbed topography or vegetation shall be restored as prescribed in the permit With suitable fill material or revegetated with appropriate beach and dune vegetation. h) All fill material placed seaward of the control line shall be sand which is similar to that already existing on the site inboth colora tion and grain size. All such fill material shall be free of construction debris, rocks, clay, or other foreign matter; shall be.obtained from a source landward of the coastal construction control line; and shall,be free of coarse gravel or cobbles. i) If surplus sand fill results from any approved excavation seaward of 'the control line, such material. shall be distributed seaward of the control line on the.site, as directed by the Department,unless otherwise specifically authorized by the.permit. j) Any native salt-tolerant vegetation destroyed during construction shall"be replaced with plants of the same species or, by .authorization of the Department, with other native salt-tolerant vegetation suitable for beach and dune stabilization. Unless otherwise specifically authorized by the Department, all plants installed in beach and coastal areas — whether to replace vegetation displaced, damaged, or destr.Dyed during construction or otherwise — shall be of species indigenous to Florida beaches and.dunes, such as sea oats, sea grape, saw palmetto,panic grass, saltmeadow hay cordgrass, seashore saltgrass, and railroad vine. k) All topographic restoration and revegetation work is subject to approval by the Department, and the status of restoration shall be reported as part of the final certification of the actual work performed. 1) If not specifically authorized elsewhere in the pem I ut, no operation, transportation, or storage of equipment or materials is authorized seaward of the dune crest or rigid coastal structure during the marine turtle nesting season. The- marine turtle nesting season is May 1.through October 31 in all counties except Brevard,.Indian River, St.Lucie,Martin,Palm Beach, and Bkoward counties where leatherback turtle nesting occurs during the period of March 1 through October 31. in) If not specifically authorized elsewhere in the permit, no temporary lighting of the construction area is authorized at any time during the marine turtle nesting season and no additional permanent exterior lighting is authorized. General Perrait Conditions(itine 13,2004) Page 1 CITY OF ATLANTIC BEACH PERMIT BUILDING / ZONV4G DEPARTMENT APPLICATION # 800 Seminole Road ......... Atlantic Beach,Florida 32233 Oil 1��' (904)247-5-00 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM RE�QUIRED DEPT: W N PLANNING Property Address: —t L U-41 z L,& " balh 114 BUILDING d"a' N PUBLIC WORKS Applicant: El YJ PUBLIC UTILITIES Yjz�N FIRE DEPT. Project: PUBLIC SAFE TY U) -APPROVAL LU cc REC)DIRED RECEIVED BY: INITIAL: DATE: Z LLJ W Cr CY) N KE. HUFSTETLER 0— < Y N M. CARPER UJ Ul w r Y N ARMY CORPS of ENG CARPER 0 Y N HOTELS&RESAURANTS HUFSTETLER f s t� 07 /310/07 APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP R�YIEWED BY: INITIAL: DATE: 1 ST REV 'Sig (!51 N PG 2ND REV PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY E] E] 3RD REV Retu rn this form to the Building Department once you have entered your comments into the AS400. CITY OF ATLANTIC BEACH ;x POOL PERMIT APPLICATION Date: la - 1 - 0 Please submit(3)complete sets of plans with application. JobAddress- Phone: cA Contractor: VA�r\.A \A '-P A 70 v-k Phone: CA G,1� 1-6 OS Address: S�09 'i3&A-(-- +41E5Lv4 Fax: 04 641- ,f-ar./A City:<,-Act4��n U I L�(- a State:r-t. Zip Code:,3.:2g 16 Valuation of Proposed Construction: Gallons: *Impervious Surface Calculation: 361'% Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, decking around a pool may be considered impervious depending upon materials used 711dv vakEduffon sholddreflet-1 die tatalarea(WIM TYWOUS L,iLr_fiieefo he added uv&�'-r Z'his nerinit. Such as siflefwdk� '6901deck" 7) veiw. etc. Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. 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 City of Atlantic Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Recent Survey-,in c�ndhiq,�all arefts,with calculation- sh Jug 2-1 F C-et I -101-t-C-0 111-er-I�2 e- 2. Two(2)complete sets of plans. One(1)copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following workday; please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number,job location and type of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of$35.00 is charged for all re-inspections. 800 Seminole Road*Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800* Fax: (904)247-5845& http://www.cLatiantic-beach.fLus Revised 8/04 I hereby certify that all information provided with this Wcation is correct. Signature of Owner: Date: I hereby certify that h e read an/dxamined this application and know the same to be true and I ; Ln I correct. All proVisio of thee laws an ordinances governing this type of work will be complied with, whether specified herein or not. T e granting of a permit does not presume to give authority to violate or cancel the provisions of a y federal,state or local rules, regulations, ordinances,or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: AS TO OWNER: Sworn to and subscribed before me this 71 day of A Vi==— Vv%� 200 CC State of Florida,County of Duval Notary's Signature F C) rso I cj.. *�g\ssolv Personally k, wn c9 Ober 18 El Produced Identification ZZ Type of Identification Produced A ODD 585784 ded V�o lic d "\A" AS TO CONTRACTOR: Sworn to and subscribed before me this day of in) iE�rh- CHN Z- 20 0 State of Florida,County of Duval Notary's Signatur Person ly known Produced Identification Type of Identification Produced 1'64- -:\O'kA ��k�S E.P �1101 INV, 16 % A 4cf 15 ODD SEM Q ST 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 e Fax: (904)247-5845* http://www.ci.atiantic-beach.fl.us Revised 8/04 CITY OF ATLANTIC BEACH PERMIT APPLICATION TMENT BUILDING ZONING DEPAP 800 Seminole Road Atl antic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM RF-QUIRED DEPT: N PLANNING N BUILDING Property Address: I vc. z N PUBLIC WORKS 0 Y N PUBLIC UTILITIES Applicant: y FIRE DEPT. Project: �_N,2 PUBLIC SAFETY W -APPROVAL 4i REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: Z UJ LU 0, Y N D.E.P HUFSTETLER (D — — < Y N S.J.R.W.M. CARPER UJ Y N ARMY CORPS of ENG CARPER Y N FHOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: LbUTLAL: DATE: -7 I ST REV PLANNING 2ND REV BUILDING PUB 0 WOR <1 _PUB C I E-S FIRE DEPT. r.0........... PUBLIC SAFETY 3RD REV ........... Retu.rn this form to the BWIding Department once you have entered your commentS into the AS400. CITY OF ATLANTIC REACH Ir POOL PERMIT APPLICATION Date: Please submit(3)complete sets of plans with application. (4V 471-� ,R —1 (,-F Job Address- (�rl rl f_=AC H Owner:c-,Atm4<_�A_k?7UV_ �AnVP_VY00--e_r Phone.-(4CA) Contractor: :i�o vJ--e A 70o�_13 Yk C- Phone:(9 CA GA I—6-aG Address: S�09 'B&A,-_ii`e5Lv4 Fax: (� OH� 641— ,f_ea&q City: U I L_L (-- State-.P—L. Zip Code: 16 Valuation of Proposed Construction: Gallons: *Impervious Surface Calculation: Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, decking around a pool may be considered impervious depending upon materials used Tbis valculation should reflect the faudarea en"himervioas Ll—irfix- e to he addedul? Cie. Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. 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 City of Atlantic Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Recent Survey—LneWding till existing i mvervious area&with Calculation-,Showing ��ercewf.of lot coverLg� 2. Two(2)complete sets of plans. One(1)copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following workday-,please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number,job location and type of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WIOLL BE MADE. A fee of$35.00 is charged for all re-inspections. 800 Seminole Road*Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800& Fax: (904)247-5845& http://www.ci.atiantic-beach.fLus Revised 8/04 I hereby certify that all information provided with this cation is correct. Signature of Owner: Date: I hereby certify that h e read and xamined this application and know the same to be true and correct. All proVisio of the laws an ordinances governing this type of work will be complied with, whether specified herein or not. T e granting of a permit does not presume to give authority to violate or cancel the provisions of a y federal,state or local rules, regulations, ordinances,or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: A-A3-(?,dM,4J14 Date: AS TO OWNER: Sworn to and subscribed before me this day of Vv-, 2 0 0 Co State of Florida,County of Duval Notary's Signature p 'I'Qf 1`7ersonallyy Vknwn S1 :47 eri % F-1 Produced Identification z Type of Identification Produced #DD 585764 ded IN ljc.do ...6 Al 5, ��\X AS TO CONTRACTOR: Sworn to and subscribed before me this day of E=A!h Es Z-, 200 (g . State of Florida,County of Duval Notary's Sigriatur Persona Iyy Cknown Produced Identification Type of Identification Produced OF 8 0,V J** S 15, #DD 5W784 0 Q A. 6 01: V 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845 o http://www.ci.atiantic-beach.fl.us Revised 8/04 VGMOU MU aw S33NVNaCDjo JOV39 JIJKVUV Ao AM IIV HMM 33NVCrd0JtJtV m Aimo a3AOVddv Si.lilm3a 00 ' 00 * OO * SE OO * SE IL-401 PUL-af) 00 ' 00 * 00 ' 00 ' TuqOJ. 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ST IR!M POP!Aoid uoi auojui qojoq I . v sm,m Xjl:poo f 0 v e- B Z-rMt A OR 9 FENCE LOOSt SM PLACED By SHOVEL. AOOD N07F- "45 TC) BE STAKED AT IM LOMY ciDmpAcTm ALOW upsjW DIREL'nON OF MIE ENGINEW_ FACE OF eAtjM BALM a4cm)By r-EpCE POST ffljoN& 2-i x 4!- Oft 2 &r MIN. 01A. WOOD, STEM -.33 LBS/ FT. WN.) 4- 18 OZ NAr- REWORCED 416r, MINN PVC FAI M -MST) SIDE VIBN IF:R 10�MWT A�EW STAKEE)TiBawwv @6mLER V�o CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dej2t(@,coqb.us Application Number . . . . . 08-00000259 Date 2/26/08 Property Address . . . . . . 647 BEACH AVE Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 - ---- ----- - - ----- ------ --- -- - - ---- --- - - - - ---- ---- - - --- - --- - - - -- - - - - -- -- ----- Application desc swimming pool --- - - - ------- -- - -- --- -- --- - - - - - -- - - - -- - - - --- - -- - -- - --- - -- - - - - - - - - - ---- - - - --- Owner Contractor -------- --- -- --- -- - - - - - - - - - - -- - - - - - - - -- - ----- -- - NOVEMBER DAVID PRUETTES ELECTRICAL SVC . 647 BEACH AVENUE 331-8 PARKRIDGE AVE ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065 (904) 272-7225 --- ---- --- ---- - - - --- -- --------------------- --- - -- - --- -- ---- ---- - --------- - -- Permit ' * . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/24/08 ---- ------ - ------ --- --------------------------- - -- --- --- - - ------ - --- --- --- -- Fee summary Charged Paid Credited Due -------------- --- ----- - ---- --- --- - --- ------ -- - - ----- --- -- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08- OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 77=- 1:1 NO PERMITM z 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: V0 VIC r_ ir- T- ,777 o777 mmmm""-' 7" 77,7777, 7= 7. AMEOFCOMPAIV: 8.ADDRESS.: -'r(1Vr'7TVJ (v7-'-' —z :TI-F 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: Cc Po0?_1?_3 '36) '( 17 2 -7 ZS_ t. 72- 7 ZZ�1 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. 5 omf 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is Wnoced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at��Iafter w nc CONTRACTORS SIGNATURE: "7777 "Allow 77"',".7, 77 7:� R4, 0 MULTI FAMILY-#OF UNITS: 0 RESIDENTIAL 13 SINGLE FAMILY 0 TEMP SERVICE 0 COMMERCIAL "22" uiad',l 13 ADDITION 0 TRAILOR 47'=��' " .%="' 13 ALTERATION 1�3 S I�G 0 OLD 13 NEW 8.05 M IONAL ELECTRICAL CODE 13 REPAIR OOL SPA 13 REWIRE 11 OTHER: 2111 20.TYPE OF SERVICE: 0 OVERHEAD 0 UNDERGROUND 0 UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: 0 POWER IS ON 13 POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: 13COPPER 0 ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30AMPS:— 31-100AMPS: OVER 100 AMPS: 28.FIRE ALARM: 0 YES 11 NO 29-71 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30AMPS:— 31-100AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: gm� "Of 2"0-9130074T' N OR L'M #OF UNITS: COMP. MOTOR HIP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 7", 77,777SAF NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: DESCRIBE IN DETAIL: COAB FORM BLDG02:REVISED:1/10/2008 -HP O"cojet 7410 L09 fdr Personal Printer/Fax/Copier/Scanner Information Systems 904-247-W5 Jan 02 2008 12:28PM Last TransacOon Date Time Type Identification Duration Paues Result Jan 2 12:26PM Fax Sent 96657372 1:10 2 OK DOLE J. KELLEY, JR. L I C E N S E PROFESMISIAL EW-4NEER CONSULTING STRUCTURAL ENGINEER FLORIDA No.6519 1701 JORK ROAD E. JACKSONVILLE, FLORIDA 32207 904-396-5885 ENGINEER'S CERTIFICATION ON COMPLETION 1,, Dole J. Kelley, Jr., P.E. hereby certify that all 6 of the Sonotube Pool Pilings at 647 Beach Ave. Atlantic Beach have been installed in accordance with the plans and specifications provided by Florida Bonded Pools, by Hightower Geotechnical Services, Inc. meeting the terms of standard engineering methods and practices and any applicable Ordinances and Regulations to the best of my knowledge and belief. Signed and Sealed this 14 day of F'45W 2008. Signed, Florida Licede (Affix Seal) fi.JILE C 0 P YJ cl FLORIDA DEPARTMENT OF %K110k ENVIRONMENTAL PROTECTION I Bureau of Beaches and Coastal Systems 3900 Cornrnonwealth Blvd., Mail Station 300 FLORof,1�7 Tallahassee, Florida 32399-3000 Telephone (850)488-7708 NOTICE TO PROCEED Permittee Name: Permit Number: DU-398 James and Carol Ellen November Permit Expires: July 30, 2010 c/o Kevin Partel, President 4230 Myrtle Street St, Augustine, Florida 32084 You are hereby granted final authorization to proceed with construction or activities authorized by this notice. Authorized work must conform to the project description, approved plans, all the conditions of Chapter 62B-33), Florida Administrative Code, any preconstruction requirements, and all permit conditions of the Final Order. Project Description: Construction of a swimming pool, other structures/activities, excavation, and placement of fill. Project Location: Between approximately 97 feet and 147 feet south of the Department of Environmental Protection's reference monument R-50, in Duval County. Project Address: 647 Beach Avenue, Atlantic Beach. Special Instructions: A preconstruction conference is required. The permittee shall comply with all permit conditiofis. o Questi Vnsa linthis ce should be directed to the undersigned at the above address. 3D -7 riger, Date David A. riger, Permit Ma DAK/dw cc: Permit File Permit Information Center 'Frey Hatch, Field*lnspector James and Carol Ellen November, Property Owner City of Atlantic Beach, Building Official Post Conspicuously on the Site .,rm 73-131 (Updated 2/06) 01ECTIM Florida Department of Charlie Crist Governor Environmental Protection Jeff Kottkarnp -Al Marjory Stoneman Douglas Building Lt.Governor f f 3900 Commonwealth Boulevard Tallahassee,Florida 32399-3000 Michael W. Sole July 30, 2007 Secretary James and Carol Ellen November c/o Kevin Partel, President Coastal Consulting& Restoration 4230 Myrtle Street St. Augustine, Florida 32084 Dear Mr. Partel: Notice to Proceed.., Permit N.urnber:. DU-3.98 Permittee Name: James and Carol Ellen November Your request for a permit pursuant to Section 161.053, Florida Statutes, for construction or other activities r sea. �ar��_8-f-'the coastal construction control line, has been approved by the Department of Environmental Protection. However, construction may not commence until after the permittee complies with any preconstruction requirements described in Special Permit Condition 1. Please read the permit and permit conditions including both the General Permit Conditions and any Special Permit Conditions closely before starting construction. General Permit Conditions I(q) and I(s) pertain to written reports which must be submitted to the Department of Environmental Protection at specified times. Forms for use in preparation of these reports are enclosed. Make sufficient copies of the periodic report form to provide the required reports. The periodic reports are due in the office of the Bureau of Beaches and Coastal Systems on a monthly basis on the last working day of each month. No progress reports are required until such time as construction activities have started. The permit will expire on July 30, 2010. Upon receipt of a timely written request signed by the permittee or authorized agent, the Department will consider extending the permit for up to but no more than three years. You must apply for a new permit for completion of any work not accomplished under the original permit. Although you may apply for a new permit, there is no assurance that such new permit for the same construction or activities would be approved. Any person whose substantial interests are affected by any decision of the Department on the application has the right to request an administrative hearing in accordance with the provisions of Sections 120.569 and 120.57 of the Florida Statutes. Should you desire an administrative hearing, your request must comply with the provisions of Rule 28-106.201 of the Florida Administrative Code, as indicated below. Send requests for hearings to the Department of Environmental Protection, Office of General Counsel, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399. The Department must receive the request within twenty-one (2 1)days after your receipt of this notice. "More Protection, Less Process www dep.slatefl.us Kevin Partel, President July 30, 2007 Page Two When the Department receives an adequate and timely filed request for hearing, the Department will request the assignment of an administrative law judge. Once an administrative law judge is requested, the referring agency will take'no further action with respect to the proceeding except as a party litigant, as long as the Division of Administrative Hearings has jurisdiction over the formal proceeding. Rule 28-106,20](2), Florida Administrative Code, explains what must be included in a petition for a formal administrative proceeding. Section 120.54(5)(b)4, Florida Statutes, and Rule 28-106.201(2) of the Florida Administrative Code, explain what must be included in a petition for a formal administrative proceeding. Unless otherwise provided by statute, and except for agency enforcement and disciplinary actions that shall be initiated under Rule 28-106.2015, F.A.C., initiation of proceedings shall be made by written petition to the agency responsible for rendering final agency action. The term "petition" includes any document that requests an evidentiary proceeding and asserts the existence of a disputed issue of material fact. Each petition shall be legible and on 8 1/2 by I I inch white paper. Unless printed, the impression shall be on one side of the paper only and lines shall be double-spaced, (a) The name and address of each agency affected and each agency's file or identification number, if known; (b) The name, address, and telephone number of the petitioner; the name, address, and telephone number of the petitioner's representative, if any, which shall be the address for service purposes during the course of the proceeding; and an explanation of how the petitioner's substantial interests will be affected by the agency determination; (c) A statement of when and how the petitioner received notice of the Department's action; (d) A statement of all disputed issues of material fact. If there are none, the petition must so indicate; (e) A concise statement of ultimate facts alleged, including the specific facts the petitioner contends warrant reversal or modification of the Department's proposed action; (f) A statement of the specific rules or statute the petitioner contends require reversal or modification of the Department's proposed action, including an explanation of how the alleged facts relate to the specific rules or statutes; and (g) A statement of the relief sought by the petitioner, stating precisely the action petitioner wishes the Department to take with respect to the Department's proposed action. A person may request an extension of time to petition for an administrative hearing. The person filing the request for extension must do so within the time limits for filing a petition described above and serve all parties with the request. The request must state why an extension is needed. The Department will grant an extension only when good cause is shown. If a petition or request for extension of time is filed, further order of the Department becomes necessary to effectuate this notice. Accordingly, the Department's final action may be different from the position taken by it in this notice. Actions undertaken by you under this permit, pending the lapse of time allowed for the filing of such a request for hearing, may be subject to modification, removal, or restoration. Kevin Partel, President July 30, 2007 Page Three Failure to petition within the allowed time frame constitutes waiver of any right that such a person has to request a hearing under Sections 120.569 and 120.57 of the Florida Statutes and to participate as a party to the proceeding. If a legally sufficient petition for hearing is not timely received this notice constitutes final agency action. When this order becomes final, any party to the order has the right to seek judicial review under Section 120.68 of the Florida Statutes and Rules 9.030(b)(1) and 9.110 of the Florida Rules of Appellate Procedure by filing a notice of appeal with the Department of Environmental Protection, Office of General Counsel, Department Clerk, 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399, and with the appropriate district court of appeal within thirty days after this final order is filed with the Department Clerk. The notice filed with the district court must be accompanied by the filing fee specified in Section 35.22(3) of the Florida Statutes. Any subsequent intervention will only be at the approval of the -presiding officer upon motion filed under Rule 28-106.205, Florida Administrative Code. A person whose substantial interests are affected by the Departmen*t's proposed agency action may choose to pursue mediation as an alternative remedy under Section 120,573 before the deadline for filing a petition. Choosing mediation will not adversely affect the right to a hearing if mediation does not result in a settlement, The procedures for pursuing mediation are set forth below. A person may pursue mediation by reaching a mediation agreement with all parties to the proceeding (which include the applicant, the Department, and any person who has filed a timely and sufficient petition for a hearing) and by showing how the substantial interests of each mediating party are affected by the Department's action or proposed action. The agreement must be filed in (received by) the Office of General Counsel of the Department at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000, by the same deadline as set forth above for the filing of a petition. The agreement to mediate must include the following: (a) The names, addresses, and telephone numbers of any persons who may attend the mediation; (b) The name, address, and telephone number of the mediator selected by the parties, or a provision for selecting a mediator within a specified time; (c) The agreed allocation of the costs and fees associated with the mediation; (d) The agreement of the parties on the confidentiality of discussions and documents introduced during mediation; (e) The date, time, and place of the first mediation session, or a deadline for holding the first session, if no mediator has yet been chosen; (f) The name of each party's representative who shall have the authority to settle or recommend settlement, and (g) Either an explanation of how the substantial interests of each mediating party will be affected by the action or proposed action addressed in this notice of intent or a statement clearly identifying the petition for hearing that each party has already filed, and incorporating it by reference (h) The signatures of all parties or their authorized representatives. Kevin Partel, President July 30, 2007 Page Four As provided in Section 120.573 of the Florida Statutes, the timely agreement of all parties to mediate will toll the time limitations imposed by Sections 120.569 and 120.57 for requesting and holding an administrative hearing. Unless otherwise agreed by the parties, the mediation must be concluded within sixty days of the execution of the agreement. If mediation results in settlement of the administrative dispute, the Department must enter a final order incorporating the agreement of the parties. Persons whose substantial interest will be affected by such a modified final decision of the Department have a right to petition for a hearing only in accordance with the requirements for such set forth above, and must therefore file their petitions within twenty-one days of receipt of this notice. If mediation terminates without settlement of the dispute, the Department shall notify all parties in writing that the administrative hearing processes under Sections 120.569 and 120.57 remain available for disposition of the dispute, and the notice will specify the deadlines that then willapply for challenging the agency action and electing remedies under those two-statutes.- The authorized work is strictly limited to that described on the enclosed Final Order. If you have any questions pertaining to this permit, please contact me by mail at the letterhead address (add Mail Station 300), by telephone at(850) 921-7846, or by email at david.kriger@dep.state.fl.us. neerely, David A. Kriger, Pe KitManager Bureau of Beaches and Coastal Systems DAK/dw Enclosures cc: Permit Information Center Trey Hatch, Field Engineer City of Atlantic Beach, Building Official James and Carol Ellen November, Property Owner STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION Division of Water Resource Management Bureau of Beaches and Coastal Systems 3900 Commonwealth Blvd. -Mail Station 300 FLOR A Tallahassee, Florida 32399-3000 (850)488-7708 PERMIT NUMBER: DU-398 PERMITTEE Jarnes and Carol Ellen November c/o Kevin Partel, President Coastal Consulting & Restoration 4230 Myrtle Street St. Augustine, Florida 32084 PERMIT FOR CONSTRUCTION OR OTHER ACTIVITIES PURSUANT TO SECTION 161.053, FLORIDA STATUTES FINAL ORDER FINDINGS OF FACT: An application for authorization to conduct the activities seaward of the Coastal Construction Control Line which are indicated in the project description, was filed by the applicant/permittee named herein on May 1,2007,and was determined to be complete pursuant to rule on May 1,2007.The proposed project is to be located landward of the 30-year erosion projection and the existing line of construction established by major.structures in the immediate area. CONCLUSIONS OF LAW: After considering the merits of the proposal and any written objections from affected persons, the Department finds that upon compliance with the permit conditions, the activities indicated in the project description are of such a nature that they will result in no significant adverse impacts to the beach/dune areas orto adjacent properties;thatthework isnotexpectedto adversely impact nesting sea turtles,their hatch]ings, or their habitat;that the work is expendable in nature and/or is appropriately designed in accordance with Rule 6213- 33.005, Florida Administrative Code; and that it is an activity or type of construction which the designee of the Chief of the Bureau of Beaches and Coastal Systems has authority to approve or deny pursuant to Delegation of Authority, DEP Directive 137, effective May 14, 2001, Based on the foregoing considerations, the designee approves the application; authorizes construction and/or activities at the location indicated below in strict accordance with the project description,the approved plans(if any)and the General Permit Conditions which are attached and are by this reference incorporated herein, and any additional conditions shown below, pursuant to Subsection 161.053(5), Florida Statutes. EXPIRATION DATE: July 30, 2010 LOCATION: Between approximately 97 feet and 147 feet south of the Department of Environmental Protection's reference monument R-50, in Duval County. Project address: 647 Beach Avenue, Atlantic Beach. PROJECT DESCRIPTION: Swimming Pool I. Location relative to control line: A maximum of 45.4 feet seaward. 2. Exterior dimensions: 31 feet in the shore-normal direction by 15 feet in the shore-parallel direction. PERMITTEE: James and Carol Ellen November PERMIT NUMBER: DU-398 PAGE 2 3. Type of foundation: Anchor piles. 4. Top elevation of swimming pool: +16.5 feet(NGVD), for edge of the pool, which will be surrounded by sod lawn. 5. Bottom elevation of swimming pool: +10.0 feet(NGVD). 6. Maximum depth of swimming pool: 6 feet. 7. Total volume of excavation: 49.2 cubic yards. Excavation[Fill 1. Total volume of excavation: 49.2cubicyards. Volume of net excavation: None;excavated material to be placed as fill on the project site. 2. Location of excavation: From 14.4 feet to 45.4 feet seaward of the control line. .3. Volume of fill to be placed: Approximately 49.2 cubic yards. .4. Location of fill to be placed: From 18 feet landward to 47 feet seaward of the control line. Other Structures/Activities I. Demolition of a portion of existing concrete driveway. See Special Permit Condition 2. 2. An elevated post-supported deck on the landward side of the existing dwelling,measuring 37.1 feet in the shore-parallel direction and 12 feet in the shore-normal direction,and extending approximately 63.9 feet seaward of the control line. A wooden staircase will be situated at the south end of the deck providing access to the pool area. 3. Sod lawn for pool area. 4. Swimming pool lighting. See Special Permit Condition 3. 5. Wooden pool fence. SPECIAL PERMIT CONDITIONS: I Prior to cornmencement of construction activity authorized by this permit, a preconstruction conference shall be held at the site arnong the contractor,the owner or authorized agent,and a staff representative of the Bureau of Beaches and Coastal Systerns to establish an understanding among the parties as to the items specified in the special and general conditions of the pen-nit. Contact Trey Hatch at 1-877-314-1329 to schedule an appointment. The proposed locations of the structures shall be staked out for the conference. PERMITTEE: James and Carol Ellen November PERMIT NUMBER: DU-398 PAGE 3 2. All rubble and debris resulting from this construction shall be removed to a location landward of the coastal construction control line. 3. All lighting shall be installed and maintained as depicted in the approved lighting schematic.No additional permanent exterior lighting is authorized. Approved plans are incorporated into this permit by reference. Done and ordered this 0 day of_ 2007, in Tallahassee, Florida, Attachment: General Permit Conditions FILING AND ACKNOWLEDGEMENT State of Florida FILED, on this date, pursuant to S 120.52 Department of Environmental Protection Florida Statutes, with the designated Department Clerk, receipt of which ilbereby acknowledged. *Fritettstein, Environmental Manager 411,11 '--Deputy CIA— Date Bu au of Beaches and Coastal Systems PERIODIC PROGREss REPORT TWO Bureau of Beaches and Coastal Systems 7- Division of Water Resource Management rA' Florida Department of Environmental Protection PERMIT NUMBER: DU-398 Mail to: 00 Commonwealth Boulevard Mail Station 300 JAMES AND CAROL ELLEN Tallahassee,Florida 32399-3000 PERMITTEE NAME: NOVEMBER 1. If construction has occurred, please describe its maximum extent in the space provided below(If no work at all has been performed, please report"Not Started." If construction or other authorized activityhasbegunbutnoprogresshasbeen made since the last report, please report"No Progress"): CONSTRUCTION TO DATEINCLUDES: 2. All work performed as of this date is described above and is hereby certified to be in compliance with the project description and plans approved by the Department of Environmental Protection as part of the permit and with all conditions of the permit. Locations and elevations of all construction as of this date have been specifically verified as applicable and have been found to comply with the project description,approved plans,and conditions of the permit. No unpermitted construction or activity has occurred (Any exceptions to the statement above are to be described and explained under Item Number 1 above, as part of this report. The explanation should state why the construction or activities not in accordance with the permit has occurred.) 3. The property owner or authorized agent may sign these progress reports. However for new armoring or major reconstructed armoring, the reports must be signed by an engineer licensed in the state of Florida following each period in which construction has occurred. (Seal) Signature of Engineer(if applicable) Date Typed or Printed Name of Engineer(if applicable) Florida Registration Number(if applicable) Signature of Property Owner or Authorized Agent(if applicable) Date Typed or Printed Name of Property Owner or Authorized Agent DEP Form 73-111 (Revised 6/04) FINAL CERTIFICATION Bureau of Beaches and Coastal Systems �L' Division of Water Resource Management Florida Department of Environmental Protection Permit Number: DU-398 FLORIVAfA:7 Mail to: 3900 Commonwealth Boulevard Mail Station 300 Tallahassee,Florida 32399-3000 Permittee Name: James and Carol Ellen November This is to certify that the work under the permit for construction or other activities seaward of the coastal construction control line pursuant to Section 161.053, Florida Statutes, was inspected by the undersigned and was found to be acceptable and satisfactory in accordance with the approved plans and project description and with all conditions of the permit. All permitted construction or activities have been completed, and no unpermitted construction or activities have occurred. Location and elevations specified by the permit and approved plans have been verified and found to be correct, and topography and vegetation have been either preserved or restored as required by the permit. FOR WORK INCLUDING: Construction of a swimming pool, other structures/activities, excavation, and placement of fill. NOTE: Any deviations from the permit and any portions of the permitted work no t actually performed shall be noted and described in detail as an exception to this certification. Signature of Engineer or Architect Date Typed or Printed Name of Engineer or Architect (Seal) State of Florida Registration Number DEP Form 73-115B(Updated 9/05) Floiida Department of Environmental Protection(DEP) %M11to Division of Water Resource Management Bureau of Beaches and Coastal Systems 3900 commonwealth Bouievard,Mail Station 300 Tallahassee,Florida 32399-3000 (850)488-7708 FLOR A General Permit Conditions Rule 6213-33.0155,Florida Administrative Code 1 The following general permit conditions shall apply,unless waived by the Department or modified by the permit: a) The permittee shall carry out the construction ot activity for which the permit was granted in accordance with the plans and specifications that were approved by the Department as part of the permit. Deviations therefrom, withoiit written approval from the Department, shall be grounds for suspension of the work an.d revocation of the permit pursuant to Section 120.60(7), F.S., and shall result in assessment of civil fines'or issuance of an order to alter or remove the unauthorized structure,or both. No other construction or activities shall be conducted. No modifications to project size, location, or structural design are authorized without prior written approval from.the.Department. A copy of the notice to proceed.shall be.conspicuously displayed at the project site..Approved plans sha'11 be made available for inspection by a Department representative. b) The permittee,shall conduct the construction or activity authorized under the permit using extreme care to prevent any adverse impacts to the beach and dune system,marine turtles,their nests and habitat,or adjacent property and structures. c) The permittee shall allow any duly identified and authorized member of the Department to enter upon the promises associated with the project authorized by the permit for the purpose of ascertaining compliance with the terms of the permit and with the rules of the Department until all construction or activities authorized or requi�red in the permit have been completed and all- project performance reports, certifications, or other' documents are received by the Department and deteftnined to be consistent with the permit and approved plans. d) The pem-,ittee, sh�all hold and save the State of Florida, the Department, and its officers and employees harmless from any damage, no-matter how occasioned and no matter what the amount, to persons or property. that might result from the construction or activity authorized under the permit and from any andall claims and judgments resulting from such darnage. e) The permittee shall"allow the Department to use all records, notes, monitoring data, and other information relating to construction or any activity undeT the permit, which.are submitted, for any purpose necessary except where such use is otherwise specifically forbidden by law f) Construction traffic shall not be operated and building materials shall not be stored on vegetated areas seaward of the control line unless specifically Authorized by the permit.If the Department deterruines that this requirement is not being met,positive control measures, such as temporary fencing, designated access-roadg, adjustment of-consiruction seq i uence, or other requirements, shall be provided by the pem-iittee at the.directi.on of the Department Temporary construction fencing.shall not be sited within marine turtle nesting habitats. g) The permittee shall not disturb existing beach and dune topography and vegetation except as expressly authorized in the permit. Before the project is considered complete, any disturbe&topography or vegetation shall be restored as prescribed in the permit with suitable fill material or revegetated with appropriate beach and dune vegetation. h) All-fill material placed seaward of the control line shall be sand which is similar to that-already existing on the site in both coloration and grain size. All such fill material shall be free of construction debris,rocks, clay, or other fdreigia.matter; shall be obtained from a source landward of the coastal construction-control line; and shall be free of coarse gravel or cobbles. i) If surplus sand fill results from any approved excavation seaward of 'the control line, such material. shall be distributed seaward of the control line-on the site, as directed by the Department,unless otherwise specifically auth6rized by the.permit. j) Any native salt-tolerant vegetation destroyed during construction shall'be replaced with plants of the same species or, by authorization ofthe Department,-with other native salt-tolcrant vegetation suitable for beach and'dune stabilization. Unless otherwise specifically authorized by the Department, all plants installed.in beach and coastal areas — whether to replace vegetation displaced, damaged, or destroyed during construction or otherwise — shall be of species indigenous to Florida beaches and-dunes" such as sea oats, sea grape,,saw palmetto,panic grass, saltmeadow hay cordgrass, seashore saltgrass, and railroad vine. k) All topo.graphic.restoration-and revegetation work is subject to approval by the Department, and the status of restoration shall be reported as part of the final certification of the*actual work performed. 1) If not specifically authorized elsewhere in the permit, no operation, transportation, or storage of equipment or mate.rials is authorized seaward of the dune crest or rigid coastal structure during the marine turtle nesting season. The marine.turtle nesting season is May 1.through October 31 in all counties except Brevard,.Indian River, St.Lucie,Martin,Palm Beach, and Bioward counties where leatherback turtle nesting occurs during the period of March I through October 3 1. m) If not specifically authorized elsewhere in the p6m-iit, no temporary lighting of the construction area is authorized at-any time during the marine turtle nesting season and no additional permanent exterior lighting is authoriz.ed� General Pemiit Conditions(June 13,2DO4) Page I CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029713 Date 2/28/05 Property Address . . . . . . 647 BEACH AVE Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12870 Owner Contractor ---------- --- ----------- ---- -- ----- --------- - --- NOVEMBER, JAMES ROMANO ROOFING SERVICES 647 BEACH AVENUE P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 --------- ------ --------------------------------- ---------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 143 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 12870 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 143 . 00 143 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 143 . 00 143 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BI JI D OFFICLA1 7, aol� �:EB 1 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION,-,,,, ........... Date: 2 Job Address: -1117 ge.4oA Ad e-, r,4Az be, A Owner of Property: Address: & .-'L2 ;9.'-'A6A Telephone: Contractor: RQMAA10 Woaf Ve,,e V i&i?s State License Number: Contractor's Address: e) 9 &f-7- _/27X,�qa17-1c_ J3 d , ZZ Y.2 a 3-3 Telephone: C?,o I/- —Fax: 2,0 V_.2 qi� _/Z1 2j Scope of Work: Deck Slope: /,24 —Greater than 2:12 Less than 2:12 I Valuation of work: 2,9, Product Name(Example: Timberline): Manufacturer(Example: GAF): & ASTM Designation(s): 1��4(�02� Required Inspections: Sheathing and Fmal All�_IYIO Y?' 3 370 Signature of Owner: Date: /A,Signature of Contractor: Date: AS TO OWNER: Sworn to and subscribed before me this day of 20 E)5 St Notary's'Signature: P1%_ ELAINAR MY COWSSIOPN�,� EXPUtES111 SSTPIO� it I 400TARY Fl.Notary t Personally known Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this / 0 day of F-ff State of Florida,County of Duval T Notary's Signature: NTA ROMANO M(ON#DD357393 -�Tnbt%23,2008 Personally known 7M 1.801-1- nt An=Co. Produced identification Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 - http://www.ci.atlantic-beach.H.us Page I Revised 2/21/03 CITY OF ATLANTIC BEACH Cc: BUILDING / ZONING DEPARTMENT 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS B 1, o(I Permit Application # C)5- Z-9-1 13 Property Address: q 3CE;�Nc-��- AVT-::- Applicant: I-I n:12 0 2:5b r=t Project: 'ke PD"f-- This permit application has been: El Approved F-1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET IM Date I t Address fA� 4Q a- Permit fee based on doUar evaluation as indicated on permit application. .Heated Square Footage @ S per sq ft= 5 Garacre / Shed @ S per sq ft= 5 Carport Porch per sq ft= S Deck @ 5 per sq ft= S Patio @ S per sq.ft S TOTAL VALUATION: A— S 535.00 V, S1000.00 S 535.00 Total Valuation S Rex�aining Value Per thousand or portion thereof. CONSTRUCTION TYPE: TOTALBU ILDINGTEE S ZONING: + 1/2Filin,-Fee 5 M FLOOD ZONE: Fireplaces @ S35.00 S LNIPERVIOUS SURFACE: BUELDING PERI)ET FEE S WATER EMTACT FEE S SEWER EMPACT FEE S WATER IVICETER/TAP S CAPITAL INIPROVEM ENT S SEWER TAP $ C )RADON BRS .0050 5 SECTION H PAVING S CROSS CONNECTION $ ST ) SURCHARGE S OTB:ER . . . N 6405 00PARTMIENT 00 aulLomal CITY OFATLANTIC BEACH 7 t. PERMIT INFORMATION 'LOCATION ------ - *405 INFORMATION --- T' '64 EACH AVENUE 7 b ermt�' Yoe, MECHANICAL MT ON, ATLANTI c B I iis- of, �40 k ALT " EAC FLORIDA i2233' H r 0AS Ty e W06D LBOAL ,DESCRI -------- tr, p f op*S ed ,,Us e Slockv 'FAH on'. I LT Township: ROO,. 0 Cbdo*, 0 ACfj ' Va '$0 06 Su I ' ATLANTIC' E bd !ue. V 01- 00, a :F0 $63.00 f4p t $0.06 , "D, -k VIrftAL6 HEAT AND� Ajg APPL I C RMATIoN AT I ON FEES 10 T V LOW $63.00 WATER IMPACT FEE $0 CH, P'LORIDA,,,,,32; �3 P 8 IMPAC PREW7 $0 .00" &4 e OP 4% r I NPORMAT;ON RADON " e. - dxls - e lit - 5% 1 $0#00 no ANO,��A _e ivti: 'Tap Add 71�, , r ss : 40.00 AN , TING B D , Vg -TAP, $06 1 00", AC W5 HY, !)RAfjL J,C SHARE $0 .00 License: C Type,: 0 RZ-�INSPXCT PEE -.00 $0, R IMPACT PEE 0 . , A. NOTES: NOT C014C ICE ALL RETiE Fqj 00TINGS UjT Rt POURING - ,"SAND�F Son a rlto ' EFO Olbr PERMIT V Rr SIX MOI4THS AFTE DATE OF ISSOt 6 MATERIAL,RUSSISH'AND DEORIS'r FROM THIS WORK MQ' d L E,AR' lEI U� STWOT SE PANDIHAULEDAWAY YE OW r I 1 11 PLAIqED114PUBLIC SPACE,AND MUS B ITHER CONTRACTOR OR NtR` TSE E R,A LA "COMPLY WITHr THE MECHAMCS' LlEN W CA THE,PA RTY N RESULT IN PAYING TWtCE,lFbK'bUrlL0i 4 -I-SUED Al CCO'D'NG TO APPROVE'D PLANS WHICHARE PART OF' T4'$'rf"E ;'lOLAT'ON OF APPLICABLE PROVISIONS Of LAW. RMITAN ECT,TO,R FOR ,�'l HPAC W As j Moor 7ATLANVcaEACk PUILDIN,G DEPARTMENT z P7 ��i 7,7'77, 7,77 7_�, BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC EjEACH ATLANTIC SEAC". FLORIDA 32233 APPLICATI N FOR MECHANICAL.- PERMIT CALL-IN NUMBE'A' ' IMPORTANT — Applicant to complete all items in sections 1, 11. 111, and IV. Street Address: LOCATION OF Intersecting Street&: Between '7 H And 7',/ WILDING sU6-4;V4I;o" ll. IDENTIFICATION — To be completed by all applicants In cons;clortt;on of po?m;f 9;v*n for doing the woA as described in the abcve statement we hereby acites, to 1:@,fc,," sa;d o-i ze Wait the istfackpd plans a"d specifications which are a part hereof and in accordance w;til the C�ty of Jackso—We ord;marcei 6�13 $161-1alis of good practice listed Aerein. Nam@ of M"haftical ontractots, coalracliv (Print) //It/'-�' Closter /W Name of Property Own" t'==4of Own r signature of imW Aj:"f Architect or Enq;noer III. GW8ukL INFORMAiKM A. Type of hosting ffiff: B. 13 OTHER CONSTRUCTION @EING DOME ON"'t'�,o /s- soct'ic THIS SUILDING OR SITE 1 13 V (3 Natural 13 Control Utility Of YES, GIVE NUMBER Of CONSTRUCTION C) 04 PERMIT 0 0400, — SP1116111 IV. iiiaemMICAL EQUIPUINT TO K INSTALLO NATURE OF WORK to-pleft No of compon"Iis on beck of*1 21 Residential or f ) Commercial "*at 0 Space E3 Rwo"Od conlinal 0 Rom 0 Now Building Cor,6600int: EC3 Roomm Existing Building I Replacement of existing system 0 �Dtsct SO"- militeris - M43100411111 COP4161ty CIA. 0 NOW Installation(No system previously installed) 0 Extension or&dd-on to existing system C1 Other — Specify C] coorwill lowel: COP64ty C] Fin Sp6jkiiieft: NSWAW Of L-16 savater C3 m"Is E3 b"'aft THIS SPACE FOR OFFICS USA ONLY G I-A I I PUMP16 —lauffiber) Towks (numb") C) Los D Uefilod Pressure v~ a III, Fernsit Approved Do 0 0AW — SW-4 femill Fee Lifirr ALL EQUIPMENT AUt CONDMONM AND REFRIGERATION EQUIPMENT caftsmity A YvAu 39umberUaft DeftripuOn Wild Number Manufacturer 6-tb Z-3-e�-_!� k7r Y-,f 4/ DE �ARTMEN OFOUILDING CJT T YOF A LTANTI C BEACH �vkxm IT In Mr ; ft%TION t P�4 ber:,, 6411 LOCATION- Ad INFORMATION ---------- it Type 41 ELICTRI dr 647 -BEACH AVENUE CAL f -'ALTERATION Work C BEA li, PLORIDA. 32233 � LZGAL 'DZSCRIPTrON AMR e f Ly Lot: , u Section. Ang's: e! ' 0 slibd 1 0 Rua: , 40 .'00 V, Isli on ATLANTIC BRACH $20.00 �'.W81 Nor CONDI N A6AM PSIPR,314 , 240V CALBE p W P*ATION d Ad el H AvEsug - WATER IMPACT PER L I FAC4, "j;& $0.00 P j ll� RlbA 322, 3 ' , -l::SRwg j Q ' 21 IMPACT PEE $0.00 one .90 68-' 6b I'l T 4, �METXR- MR ---$0�00 7--1 CONT R INFO RADON (;AS-If.1 R.S RMATION- ----- - $0 ,00 RADON $0 .00 R" A$ - OMPANY LECTRIC,.,C e S., WAt-RA tAp E ROAD 60.00 Rol SEWER TAP 00 AM 3L92 lb Iwo $0 .00 $0 .00 NOTICE ALL CONCRETE FOR104 ANP FOOTINGS,Mo' ST. 66INSPOCT00 891FORE PO,UatNG PEAMIT VOID SIX'MONTHS AFTER DATE OFJS§ UE MATER'IAL,RUBB18H AND DEBRtS FROM THIS WORK MUST'NOT41g.PLACED INPUBLIC SPACE,AND MUS ' E CLEARED UP AND HAULED AWAY BY EITHO' CONTAACTOR OR OWNER TB .�FAJLURR TO C M OMPLY WITH ECHAMICS1 THE LIEN LAW C THE,PROPERTY OW YINO TWI PIN RESULT IN G IMPROV 14ER PA CE,FORAUl EMENTS. 3 ISSUED ACCORDING TO APPROVED PLANS W OF THIS PERMIT APPucAB EPROViSIONS OF AND suej OC LAT16�:OF HICH ARE PART �T L A 00 1 Afl-ANTIC KACH DEPART MENT 7 CITY OF ATLANTIC BEACH, FLORIDA Approv"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 TWE 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. RECTRICAL VIRM: ICIANSiGNATURR JQURNEYMAN NAME -ADDRESS: 6,141Y &Z"71-Al RFD_BOX_ SLOG.SIZE BETWEEN: RES.I/ AFT.( COMM. PUBLIC I INDUS.I NEW( OLD REW. ADDITION I I TRAILER I TEMP.( SIGNS ( I _SQ. FT. SERVICE: NEW( INCREASE( REPAIR ( FEE CONDUCTOR SIZE AMPS COPPER I I ALUM.( $WTCH OR §REAKER AMPS PH W --- . VOLT RACEWAY EXIST.SERV.SIZE ;?g 0- AMPS PH j W ��Yt)VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED IOPEN TOTAL RECEPTACLES CONCEALED IOPEN TOTAL 0 AMPS. 31.100 AMP6. SWITCHES — INCANDESCENT FLUORESCENT&M.V. FIXED 6.1 oo AMPS. I J APPLIANCES I IaELLTRANSF. AIR H.P.RATING H.P.RATING CONDITION1 NG COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELANEOUS 'r0ALlCCf%0UC0Q. itrinvurmv DEPARTMENT OF BUILDING PERMIT INFORMATION ---CITY OF ATLANTIC,SeACH -- , LOCATIONI INFORMATION --------- "Ve rml v N umbo r '711. Address: 1271 BEACH AVENUE�� ' e.tn�it Type- WELL �)Cl of ATLANTIC BEACH, Work- NEW PLOR,I DA 32233 LZOAL DISCRIPTION 'Onstr'. Typet N/A Block: Lot: Section, '' 'Pro o UTILITY Use. Township: RNG* 0 we lings : I Code 0 , Squbdilvi,zion.- E$ItiMated Value: Cost: 0-00 Total Fees : �� .Amount Paid - $10-00 Date Aid;� 7/28�/93 ork Des ._WELL FOR IRRIGAT 'ON, PURPOSE$ ................ ------ TION APPLICATION FEES PERMIT �Addressl VVW, U AVENUE WATER IMPACT FEE, $0 .00 S $0.00 EWER IMPACT FEE F kH, FOR 1 2 3, 0 R -KIN WAT METER $0 .0 R '4 40 FORMAT W 'g m AMS oWAT11A TAP $0 .00 dd ' �s 0 0' Add 7 SEWER TAP Woo TL "C ACH $0.00 HYDRAULIC A SHARE pe-* CAPTTAL .'IMPROVE.' SEC,.HjMPACT FEE �$O . 00 OTHER 00 -A ��'�NOTICE'—�ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING 7 PERMIT VOID SIX MONTHS AFTER DA OF ISSUE: BUILDING MATERIAL,.RUBBISH AND DEBRIS FROM THIS WO MUS 40T,$E PLACED'IN PUBLIC$P�ACE,AND MUST BE RK T LEAPED UP AND HAULED AWAY�BY EITHER CONTRACTOR CYR OW C NER L FAILURETO COMPLY WITH' THE MOCHANICS" LIEN, LAW CAN RESULT IN THE'PROPERTYOWNEA PAYING TWICE FOR BUILD' INq IMPROVEMENTS. C ISSUED'AC OADfNG.TO APPROVED PLANS WHICH ARE PART OF THIS PERMITAND SUBJECT TO REVOCATION FOR PAID LATION OF APPLICABLE PROVISIONS OF LAW. :'ATLANTIC BEACH BUILDING DEPARTMENT CitY Of Atia tic B*! n By- 7 ZZ42 "27 M _q� low- Approwd bV CITY OF ATLANTIC BEACH, FLORIDA 3D PPLICATION FOR ELECTRICAL PERMIT < TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IWACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: R ELECTRICIAN SIdNjffURE JOURN L/ NAMEAZ� dLio weil VAnnRESS: /p ll-,2 4 eZXCII _e RFD-BOX- BLDG.SIZE, BETWEEN: RES.I APT. COMM.( PUBLIC INDUS. ( NEW( OLD( ,--"' REWA ADDITION TRAILER ( TEMP. SIGNS ( -SQ. FT. SERVICE: NEW( INCREASE (-I' REPAIR FEE CONDUCTOR SIZE AMPS,,2),Q,0 COPPER ALUM. SINITCH OR BREAKER AMPS PH W 2;j�2 VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W J-el'Q VOLT RACEWAY ,FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS 'CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-so AMPS. 31-100 AM SWITCHES INCANDESCENT FLUORESCENT&M.V. Q.lOQAMP-a-- OVER— BELL TRANS Fo IAN AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS No. I VOLTAGE PHSI MISCELLANEOUS TRANqFnRUFRq- IllunpRamv nvpp am, v I UOiDVUINOO lVH3N39 IN30V W3NM0 SS3uoav MO:l 3NOG ONRONVOM W3HlO 33)ION3:13)10 V3H *d003 AV13 U3MOd V lH911 A113 :S31111iin Gmvmwo . 3:1 VA)l 'ON VAN 'ON 'A 009 W3AO A 009 MaNn :SU3WUO:ISNVVI SdWV 110A 'ON VCkLVV3N3D dWV SHd 110A I d'H ON Volow v OR SHd SdWV 'ON SHd4l SdWV 'ON 3dAl V3WHO:JSNVHl *lUd lUd :Skf3al3M sn03NV113381W SNOIS U38wnN 133NNO33W SNOIS M3swnN 133NN03SIG SdWVl.LN33S3uonja H31IMS 3WIl SdWVl IN3:DS3aNV3NI ARMICA-nmT m'i, v*,'�urj ri-,m il,.Tr CITy OF I�U -rC , .0 PROPERIY UWR Name: Addressc- APPLIDW, IT 0111ER '111AN MNER None: Pay Fhun�i- Address: JOB Address oz Location: Z�2 1,4�gal Description: Is well to be imed for drinking purposes?__,,�Za Any person, individual, corporation or other entity receiving a pernCLIC as provid6d in Section 22-40 of the Atlantic Beach Code, and W-1ho DlarlS to water from the per.qmtted well for drinking ptnposes, nXist first- obtain a bacterio logical test report from.the State of Florid,.t Health Departirmit:, fumishing a certified copy thei.-eof to the building department of the Cit--�, ol-' Atlantic Beach. A certificate of occupancy will not be issucd i.mitil ';mid report is on file �,xith the building departumt. reparmkmt Notes: agree to c(-xtLr)lv with regulations stated herein: CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT LOCA [ITAFONATIOW-12-1 R Permit Number: 22359 Address: 647 BEACH AVENUE Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: Date Issued: 7/21/2001 -Name: JAMES NOVEMBER Total Fees: 25.00 Address: 647 BEACH AVENUE Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/20/2001 Phone: (904)246-3712 Work Desc: IRRIGATION 77 FEES AGRICARE PJ�Ryff 25.00 1 NIP ff W '24, HOURS F01OR TO It,4 NOTICE- INSPECTIO,', I T BE REQ��ATLSAST SPECTION BUILDING MATERIAL,,RUB 64)kt4D DEBRIS FROM THIS WORK MUSI�JkT BE�PLA&D IN PUBLIC SPACE, AND MUST BLk.QLEA1RE6�,.AN - tONTRACT40 OR OWNER Q-1-fAlk 0 AWAY BY EITHE RF 16 "FAILURE TO COMPLY 7114E"C ' t, LT IN THE P PROPERTY OWNER P�A�YCO FO�"Mi�' L=I ISSUED ACCORDING TO APPROVED PLA 41tO�ARI!' ZW.,Tk�ERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS ATL�NTIC Q CH BUILDING DEPT. Mot 7/21/9111 Rmipts 0674M QECKS 1W "188116REIM CITY OF ATLANTIC BEACH APPLICATION FOR PLUI-MING PERMIT JOB LOCATION :_�2 7 OWNER OF PROPERTY: -N'o v et;,lb e t- TELEPHONE NO. 37 PLUMBING CONTRACTOR At c CONTRACTOR' S ADDRESS : cnQ L&Q ,,s+ STATE LICENSE NUMBER: -7 TELEPHONE: '� (i S-3 y-3 HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER, RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER A+ .6 "1 TOTAL FIXTURES : x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: 0-7- ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS ( 904) 247-5826 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Sewilip -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 SM313 PLUMBING PERMIT RIM�W to 19111814 14412 Tio Address: 647 BEACH AVENUE 1 Permit Number: 223b Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: IRRIGATION/DRAINAGE Township* Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: Date Issued: 7/20/2001 Name: JAIVII=,-� OTERM Total Fees: 1,145.00 Address- 647 BEACH AVENUE Amount Paid: 1,145.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/20/2001 Phone: (904)246-3712 Work Desc: NSW-IRRIGATION METER 560.00 WATEF PROPERTY OWNER I = ,, METE P 'bN 35.00 CRQtS CONNE T! r%A I Mf 0 �o'. 550.00 0 4 4 77r, 777* 5OR TO I$SPECTION NOTICE- INSPECTIO BE RE LEAST 24 H OUR$Pj* 7t� BUILDING MATERIAL�RUBBIS-H-&D DEBRIS FROM-THIS WORK MUS T BE,PL46ED IN PUBLIC ONTRACItR OR OWNER 'C AND HAULiE&1��AY BY EITH SPACE,AND MUST Lf N FAILURE TO COMPLY _PSULT IN THE PROPERTY OWNER PAYI FO I P ISSU CORDING TO APPROVED P I A PAA ERMIT AND SUBJECT TO REVOCATION FOR ION OF APPLICABLE PROVISIONS 0 W be A T H BUILDING DEPT. htel 7/201111 Rmipt: 19747M 400886M333se Ag HarrU t4c"alltJ 904 247 5972 P. 1 P. 1 juj� 11: 23a Building Dopartment 904-247-5805 01 02:09P pl,I "'CEQUOTE APPLICATtION FOR WATER ANDICR SEWER TAP APPLICANT NAME MA)LING ADORESO.(-o �J -h- c 2L, PHONE NUMBER .,:21/co DATE SERVICE REQUESTED SERVICE LOCAT ION DATE SET TO PUBLIC WORKS (o DATE RETURNED TO BUILDING DEPARTMENT PUBLIC WORXS DEPARTMENT PRICE QUOTE RESPONSE OTHEP- PRICE QUOTE PREPARED BY: iil&!-,�z- Signature -Titie DATE NOTIFIED OWNER DEPARTMENT OF BUILDING 8841 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 50 T 7/02 S Date July 2 19 87 884 1 0 IFTA Valuation S 3,00 412 1 7/n2/1 00 Fee$ 7.50 This perruit not valid un4 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 Allan Brown has permission to Aux re-roof Classification Residential —Zone Owned by Allan Brown Lot Block S/D House No. it 647 Beach Avenue According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 0 Building material,rubbish x'nd debris Z_i from this work must not be placed in public,space, and must be cleared up,�afid �auled away by either con- r r owner. Building Official. FOR OFFICE PERMIT DATE Cl� /,.ACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER AOW- Awl CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT BUILDING OWNER:]�_��af\ PHONE JOB ADDRESS AC4,0ent-ke- LOT# BLOCK OR UNIT # SUBDIVISION CONTRACTOR P1 IONE ADDRESS LICENSE NUMBER EXPIRATION JOB VALUIVHON $ MATERIALS: c) SIGNATURE OWNER DATE SIGNATum CONTRACTOR DATE CITY OF ATLANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS Owner 41—Z�4 A) i3RC Address Phone Architect Address Phone Contractor 70A*'WPr- Address Phone Contractors License/Certification NLubers Expiration Date e -7 p Property Address 7zning Lot # Blcok or Unit Subdivision c4onstru ti Valuation of Construction $ 06 Type of c on Describe Work to be Perfonirad Materials to be Used / S-10- 6 t 11) Present Use of Building_ Proposed Use of Building Flood Zone Dimensions of New Area- HEATED GARAGE OR STORAGE CARPORT OR PORCH LECK PATIO 'YES NO NLMER Will there be an increase in nunber .of units? W ill there be a decrease in nurber of units? Any additional plimbing fixtures? Any new fireplaces? SUBtal' M CDn= SETS OF PLANS INCLUDING SITE PLAN Signature OWNER, /-VA/9,1 Date Signature CONMCIOR Date ............. CITY OF 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 July 2, 1987 Mr. Allen Brown 6855 N.E. Expressway Atlanta,Georgia RE: 647 Beach Avenue/linc drop Dear Sir, After talking with Alex Limbaugh of Brooks & Limbaugh Electric Co. , we will allow an additional 30 days before the line will be dis- connected. Mr. Limbaugh stated be will have the service rebuilt within this time. Thanks for your attention in this matter. S' erely, Don C. Ford Building Inspector cc: file F F_t(_o tj -Atj DCF/te 6- BUILDING AND ZONING INSPECTION DIVISION 6 Act z CITY OF ATLANTIC BEACH, FLORIDA Z V-i LL 0 :t (b ,101 ELECTRICAL' ', PERMIT 4 Dote ZAW Fee $ 20.00 Permit No. "14 30: 16" Location 647 NOWA AVOMW Betv*en ux and This is to certify that broe" a umbofth V" "mks (Electrical Contractor) (Master Electrician) has permission to install Electrical Construction as described herein in C.9 accordance with the provisions of the Electrical Code and regulations U z of the City of Jacksonville, and subject to the information shown on the Lu application, drawings and specifications which are mode a part of this 3: permit. for blow LU Type of work: "Sukawla Own M"ft SERVICE: *x1sting 108aW 1ph 3W 240MIt =U TOCOW Feeders: Outlets: 0 V Receptacles- au cc Switches: Incandescent. Fluorescent: Appliances: Air Conditioning: Motors: Transformers: Signs, Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: Electrical lnsp;4on Supervisot MONTHS PERIOD, PERMIT BECOMES VOID. FIELD ELECTRICAL INSPECTOR'S REPORT APPROVED INSPECTION DATE -By -INSPECTER INSPECTED TYPE 0 TE By INSPECTED TYPE DATE By INSPECTED Type DATE BY INSPECTED TYPE DATE By INSPECTED TYPE DATE By INSPECTED TYPE DATE b ly DE F E C TS: COMMENTSt UTILITIES CITY FLA. POWER & REA CLAY COOP OTHERS LIGHT CO. RESET RESEAL MTA. NO. V. AMP PHASE MTR. SET NO. V. AMP. PHASE MTR. SET NO. V. AMP PHASE MTR. SET NO. V. AMP. PHASE SET WIRE V. AMP. PH METER TAKE OUT METER NO. V. AMP, PH. METER TAKE OUT METER NO. V. AMP. PH. METER METER TAKE'bUT METER NO. V. TAKE OUT METER NO. V. AMP. P�-4. METER LINE - FT. REFER. COM. OROP CURRENT ON TAKE DOWN OLD LINE WIRE$ CITY OF ATLANTIC BEACH, FLORIDA Approwd by 11 APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:— -7 J9 9'7 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. -B&V- LS4 tlawp ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN / z-1-7 14F NAM —ADDRESS: RFD—BOX BLDG.SIZE BETWEEN: R "'�Kk APT. comm.( ) ES, PUBLIC I INDUS. I NEW( OLD REW. ADDITION ( I TRAILER I TEMP.( I SIGNS ( —SCI. FT. SERVICE: NEW INCREASE ( REPAIR I FEE CONDUCTOR SIZE AMPS COPPER f ALUMJ SiNITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE /406) AMPS :3W Zw�OLT RACEWAY FEEDERS NO. SIZE INO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL _ 1 0.30 AMPS, 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. I 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. VOLTAGE PHS NO. I N.P. VOLTAGE PHS -MISCELLANEOUS lV74AX:- -7]F,-/kl 8=xm 1 4-% 7127 c vmu 29 g U19 . 00 C29L/v f%%ICD Ann%J UOIDVUINOO IVU3N30 IN39V H3NM0 UOA 3NOCI ON138)IHOAA U3HIO 33)ION3:13)10 V3U *dOODkVI3 U3MOd V IHDII 'Vl:i Allo :s3unun GUVMUO:f-.33:J ON VAN �- 'ON 'A 009 H3AO A 009 U3(3Nn :SU3WUO:JSNVUI SdWV IIOA M.x 'ON UOIVU3N3D dWV SHd IIOA WH 'ON UOIOW'DW. SHd SdWV 'ON SH& SdWV 'ON'-3dAl U3WUO:ISNVUI lUd Ud :SU3013M sn03NVII33SIW SNOIS U3swnN 133NNO33U SNOIS U3swnN 133NN03SIO SdWVI IN33S3uoni:i H31IMS 3WIl SdWV"I .LN33S3(3NV:)NI CITY OF 716 OCEAN BOULEVARD JL P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 June M r. All x o w n A t 1 a x i ta, RE- 6 3 4 �-ic-,uch Aveuue, AtlafiLic Beach, Flul: j.da D(-:�ar Mr r u,w r i, Duo t.o tho above r c-f(--,r c,ri c o pi-oper ty, t h u servic;(.� L i iie lizi-- talle-ri frorn the side of the hQuE;o. We have contacted Ji-Acklxorivii1e Electric Authority tor- a r) 0 rn e i q e ri u.y d i su-unxic,c ,. u n t 1-1 L he sevv ice can be repa il-L-d. Plc-la2el contact mQ it you ll�-lvf-� any queE't.ion2 orl thi'- matter. 'c C'— Buildilly Irmpector cc: f ile C'j