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Permits 1643 Beach Ave PAUL A. ANDERSON 1643 3E'ACH AVE. ROSINA M. ANDERSON ATLANTIC BEACH, FLORIDA 32233 December 18, 1991 Nr. Robert S . Kosoy, P.E. Director of Public Works City of Atlantic Beach - Florida 1200 Sandpiper Vane Atlantic Beach, Florida 32233-4381 Dear Mr. Kosoy; As owners of the residence at 1643 Beach Ave. , Atlantic reach, Florida, A PART OF LOTS 9 AND 10, NORTTI ATLANTIC BEACH UNIT NO. 11 a-C-",,-S CORPORATION, AS RECORDED IN PIAT BOOK 15 PAGE 10 OF THE Clrn"r11ENT PU7LIC RECORDS OF DTJVAL COUNTY, FLORIDA, TOGETIIER WITH A PORTI.O-1 OF DEWEES AVENIP7, CLOSED BY DIET) BOOK 1319 PAGE 427 OF SAID PUBLIC RECORDS, we understand that the design we are using for a temporary sewer hook-up -to a point of approx. 100 ' north of our property is not in accordance with the current city plans . Tie understand if the city at a later date installes seder lines in front of our residence, we will be responsible for the normal fees in connection therewith. We also understand that we are responsible for the maintenance of that temporary line. Sinc1X, f ANDERSON PAU '_ '// //-?"A at� ROSINA M. ANDERSON Dear Mr. Jensen; At the suggestion of the Mayor I art faxing this to you. Please call 'nim at your earliest convenience. Thank you. Rosi Anderson CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18359 Address: 1643 BEACH AVENUE Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION � Date Issued: 6/10/1999 Name: ANDERSON Total Fees: 27.00 Address: 491 SATURIBA DRIVE Amount Paid: 27.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/10/1999 Phone: 000)000-0000 Work Desc: 1 CU, TWR030,TRANE,2.5, REPL CONDENSER ONLY CONTRACTOR APPLICATION_FEES A C CENTRAL INC PERMIT 27.00 I •I I i I I Ansppctions'Re aired. ROUGH MECHANICAL FINAL NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1 I 521.88 to ATLANTIC BEACH BUILD Date:G DEPT. 6/11"' 01 Receipt . 8963�j1016 C 96 08100803221 BUILDING AND ZONING INSPECTION QiWj,9jQN CITY OF ATLANTIC BEACH ATLANTIC REACH, FLORIDA 32233 'each APPLICATION FOR MECHANICAIOERMIT _oninvl-L-IN NUMM IMPORTANT Applicant to complete all Iter'n Sin sections 1, II, 111, and IV. LOCATION Street Add, OF Inferiecfinq Streets: Bef—en BUILDING 11. IDENTIFICATION — To be completed by all applicants In consideraf;on of Pr'lTl;f gi.Pn for d0jr,q file work as dvst,Jed in is, at,- perform said worl, is accord6ncr, wjf), fhq aflaC[Ird PlanS And Spe6f;Ca1;OnS -11;0' are 6 rew hereof And in accordance -if!, file (:;Iy of Jacksonville ordinances end sinf)(115lds of good practice listed C Name of Mechanical I— 0 11 Contractors Contractor (Print) Matter Name of Property Owner Signature of Signature of Owner or Auf1lior4od Agent Architect or Engineer III. GENE"L INFORMATION A, Typo of hosting fuel: IS OTHER CONSTRUCTION BEING D NE ON Heclric THIS BUILDING On SITE 7 ❑ Got —LJ Us Ej Natural E] Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION C] Oil PERMIT C] Other — Specify IV. MECHANICAL EQUIPMENT TO IIIE INSTALLED NATURE or WORK (Ps-o%,ide complete list of components on back of this form) j4L— F'1esidentIaI or (J Cotnlnetcial 0 Heat 0 Space 0 R@c*%tad U Control 0 floor 1.1 Now But(dlng jP"FxIsting Building 1<Air Conditioning: ❑C] Room Central Replacement of existing sys1w • Duct I System: motor4l New Installation(No system pi Maximum capacity Extension or add-of, to exIstin • Refrigeration [j Other — Specify ❑ Cooling tower: Capacity Ex LS7"'J C—_ 9.p.rn. ❑ Fr* sprinklers: Number of head C) Elevator C3 Manl;ft C] Escalator--((number) THIS SPACE FOR OFF C3 Gasoline pump, (number) (Racal" 4 0 Terils (number) Remarks [J UIG containers_("umb4ot) C] Unfired pressure vessel Potm;f Approved by Date ❑ toilers Permit Fva— ❑ Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING AND RET-RK;ERATION VQUIVl`lIENT CAPtiselty A pmvtng Unna Unx Descriptlon Model Number MoLnufacturer (Tom) Igenvy U A i AGENDA ITEM OF APRIL 28,2003 CITY OF ATLANTIC BEACH CITY COMMISSION STAFF REPORT AGENDA ITEM: Request to construct fence within public right-of-way SUBMITTED BY. Sonya Doerr,AICP Community Development Director DATE: April 15, 2003 BACKGROUND: The residents of 1643 Beach Avenue, Mr. and Mrs. Paul Anderson, have requested permission to construct a four-foot high fence along the front of their lot, which would encroach into the right-of-way of Beach Avenue approximately two feet. (Please note that the property owner has submitted this request on an application form for a Zoning Variance. Staff has advised the property owners that construction within the right-of-way is not a request that can be granted as a Zoning Variance. The Zoning Variance application fee has been refunded.) Mr.Anderson has provided that landscaping by an adjacent property owner, which extends into the right-of-way, causes vehicular traffic to encroach into his yard and damage his driveway. Mr. Anderson has also stated that his driveway is frequently used as drop-off location for beach-goers. RECOMMENDATION: Staff has concerns about any construction of structures, fences or substantial landscaping within public right-of-ways and easements, particularly considering recent efforts to clear intersections and right-of-ways of obstructions. ATTACHMENTS: Applicant's supporting documents. REVIEWED BY CITY MANAGER: du � z� L1/ / 04-28-03 regular meeting APPLICATION FOR ZONING VA CE City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • FAX (904)247-5805 • http://www/ci.atlantic-beach.fLus Date ' File No. 1. Applicant's Name 2. Applicant's Addressn 3. Property Location vtra� 4. Property Appraiser's Real Estate Number e Z y5: 5. Current Zoning Classification 6. Comprehensive Plan Future Land Use designation 7. Provision from which Variance is requested request to place fence/crate across driveway at 1643 Beach Ave on city propertyas shown att. 9. Size of Parcel v"� 10.Utility Provider 8. Statement of facts related to requested Variance, which demonstrates compliance with Section 24-64, Zoning and Subdivision and Land Development Regulations (attached to this application). Attach as Exhibit A. Statement must clearly describe and depict the Variance that is requested. 11. Provide all of the following information: a. Proof of ownership (deed or certificate by lawyer or abstract company or title company that verifies record owner as above). If the applicant is not the owner, a letter of authorization from the owner(s) for applicant to represent the owner for all purposes related to this application must be provided. b. Survey and legal description of property for which Variance is sought. (Attach as Exhibit B.) c. Required number of copies: Four (4), except where original plans, photographs or documents larger than 11x17 inches are submitted. Please provide eight (8)copies of any such original documents. d. Application Fee($150.00) 1 HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT: Signature of owner(s)or authorized person if owner's authorization form is attached: Printed or typed name(s): Paul A. Anderson Signature(s): ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION Name: Paul A. Anderson - Mailing Address: 1643 Beach Ave., Atlantic Beach, FL 32233 Phone: 904/246-6627 FAX: 904/641-2145 E-mail: rander05l7@earthlink.net Paul A. Anderson 1643 Beach Ave., Atlantic Beach, FL 32233 904/246-8627 Daytime: 904/641-2140 Fax 641-2145 Attachment to Application for Zoning Variance Justification 1. Public use of driveway to load and unload beach gear (easement for use as a walkway/passageway for the general public is adjacent to property). If we have to place fence/gate on property line it would not justify cost because people would still park on our driveway. 2. Dewees Ave is currently only 18'wide because property owner has taken about 20' of city right of way for his use thus requiring vehicles to use our driveway to make turn onto Beach Ave., especially big trucks. If we place fence/gate on property line vehicles would still use our drive to make turn on to Beach Ave. We have sustained cracked and damaged pavement already because of heavy trucks on driveway. 3. Security --- With fence/gate will provide better security to our home. Discussions There are numerous locations on Beach Ave. where home owners have built walls, installed shrubbery and other devices to block parking near their property. In this case we only want to block out use of our driveway. ALL ALUM. BRONZ POWDER COATED V V "t!" CHANNEL RAILS 3/4"X3/411 PICKETTS 2X2 POST CO&OTAL run CO. OF ORANGE PARYt, INC. 1621 BLL==G BLVD. WIDDUBURG, FL 32068 904 282-0100 3"J40 AL C. 4' SIGH loss, 4' H , 30 02-D4- 95 F=, Z2 0 Paul& Rosina Anderson, 1643 Beach Ave.Atlantic Beach,FL 32233 Home 246-8627 Office 641-2140 Photo disc. # 1 at 1643 Beach Ave.looking to north end of driveway #2 north end if gatelfence #3 south end of driveway #4 north end #5 . driveway entrance to building #6 1650 Beach Ave. About 20' of RT of way taken #7 same #8 wall construction to pave road #9 gate/fence to roadway. Also type gate/fence we will install. #10 on Beach Av same #11 " #12 1. Gates/fence will be 4' high--powder coated Alum. Stock—Bronze 2. Gate/fence as shown on drawing 24"of the paved roadway at south end,and 6"oft'at north end. 3. Gatelfence is on city right of way 51to 6'.Request variance. 4. Reason for gate/fence: a.Dewees Ave narrows(18')requires trucksicars to use driveway to make turn onto Beach Ave. b.Property adjacent to Beach Walkway.People use driveway to load & unload beach gear. c. Cars park on driveway blocking garages. d. Skate board activity-- e. Security MA SURVEY Of1 A PART OF LOTS 9 AND 10, NERT'H ATLANTIC BEACH UNIT NO. 1, R-C-B-S CORPORNIMN, AS RECORDED RN PLAT BOOK 15 PAGE 10 OF THE CURRENT PUBLIC RECORDS OF- DUVAL 'COUNTY, FLORIDA, 7.'OGETHER WITH A PORTION OF DEWEES AVENUE CLO;ED BY DEED BOOK 1319 PAL" 427 OF SAID PUBLIC RECORDS. SEE ATYACIiM LEGAL UESCRIPTION. A TLAAY Ti C Fauara NaIL a,s1c 1 .(S 05°8.7'28"E OCE EAN 66, �-$Sen 68. 050 M106e E FIELD) C yy K �.$Jl jrI dN Pfd T_ Lr ±{.Le.ae� EROSION CONTROL LINE Wm tC.C.C.L. MO .,No.R-4& O04 M 10 CY C.C.C.L.MON.,No.R-47. OO N It+IOT LOCATED THIS SURVEY) 1 a SL t,?qa�, ►" v fo 704 r� 0 °ION LJME � ` m ;a C.C.C.L.MON.,No.R__ (d Co Z FLOOD ZONE "yE" CONCRETE S'TooP 44` SCR48.0 FLOOD ZONE ")C- MEN" �: ""-M PORCH � 1 FA u : L -� U. NOTES: RES1 1C u FRAME -to 1) BEARINGS BASED ON COASTAL CONSTRUCTION CONTROL LINE F — Z Na 1693 0 CY o MON. Nos. R-4,58 R-46. let 2) NO BUILDING RESTRICTION LINE p in U PER PLAT. m O W iri CONACOE Y "=�t b h o 3) THIS IS A BOUNDARY SURVEY. 4) THERE IS A 4.6'OVERIMANG ON a C'• 4&6' a.'vi EACH SIDE OF THE RESIDENCE AS p' SHOWN. TIES TO SIDE LOT LINES CHOP Tia " ARE FROM MAIN STRUCTURE. W J o F Z W = OD CAPIAOM p1pE . O `•.:•q;;1.' � ':tic LEAF ON A1pg fence ACS! AV I_ w � 30 R/W(RAI— U `— (0 0 1IIJ - Z 4. 4' Y CITY OF ATLANTIC BEACH CITY COMMISSION STAFF REPORT t asp AGENDA ITEM: Request to construct fence within public right-of-way SUBMITTED BY: Sonya Doerr,AICP Community Development Director DATE: April 15, 2003 BACKGROUND: The residents of 1643 Beach Avenue, Mr. and Mrs. Paul Anderson, have requested permission to construct a four-foot high fence along the front of their lot, which would encroach into the right-of-way of Beach Avenue approximately two feet. (Please note that the property owner has submitted this request on an application form for a Zoning Variance. Staff has advised the property owners that construction within the right-of-way is not a request that can be granted as a Zoning Variance. The Zoning Variance application fee has been refunded.) Mr.Anderson h, > into the right-of-way ;way. Mr. Anderson h i for beach-goers. ' 1 RECOMMENDATION: Staff has concerns about any construction of structures, fences or substantial landscaping within public right-of-ways and easements, particularly considering recent efforts to clear intersections and right-of-ways of obstructions. ATTACHMENTS: Applicant's supporting documents. REVIEWED BY CITY MANAGER: 04-28-03 regular meeting APPLICATION FOR ZONING VA CE City of Atlantic Beach • 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us Date �" File No. --F � 1. Applicant's Name 2. Applicant's Address /0 3. Property Location S 4. Property Appraiser's Real Estate Numberr� 5. Current Zoning Classification 6. Comprehensive Plan Future Land Use designation 7. Provision from which Variance is requested request to place fence/aate across driveway at 1643 Beach Ave on city pro]?erty as shown attdrawing 9. Size of Parcel -�/ c� -0 10.Utility Provider 8. Statement of facts related to requested Variance, which demonstrates compliance with Section 24-64, Zoning and Subdivision and Land Development Regulations(attached to this application). Attach as Exhibit A. Statement must clearly describe and depict the Variance that is requested. 11. Provide all of the following information: a. Proof of ownership (deed or certificate by lawyer or abstract company or title company that verifies record owner as above). If the applicant is not the owner,a letter of authorization from the owner(s) for applicant to represent the owner for all purposes related to this application must be provided. b. Survey and legal description of property for which Variance is sought. (Attach as Exhibit B.) c. Required number of copies: Four (4), except where original plans, photographs or documents larger than 11x17 inches are submitted. Please provide eight (8)copies of any such original documents. d. Application Fee($150.00) I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT: Signature of owner(s)or authorized person if owner's authorization form is attached: Printed or typed name(s): Paul A. Anderson Signature(s): ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION Name: Paul A. Anderson - Mailing Address: 1643 Beach Ave., Atlantic Beach, FL 32233 Phone: 904/246-8627 FAX: 904/641-2145 E-mail: rander0517@earthlink.net Paul A. Anderson 1643 Beach Ave., Atlantic Beach, FL 32233 904/246-8627 Daytime: 904/641-2140 Fax 641-2145 Attachment to Application for Zoning Variance Justification 1. Public use of driveway to load and unload beach gear (easement for use as a walkway/passageway for the general public is adjacent to property). If we have to place fence/gate on property line it would not justify cost because people would still park on our driveway. 2. Dewees Ave is currently only 18'wide because property owner has taken about 20' of city right of way for his use thus requiring vehicles to use our driveway to make turn onto Beach Ave., especially big trucks. If we place fence/gate on property line vehicles would still use our drive to make turn on to Beach Ave. We have sustained cracked and damaged pavement already because of heavy trucks on driveway. 3. Security --- With fence/gate will provide better security to our home. Discussions There are numerous locations on Beach Ave. where home owners have built walls, installed shrubbery and other devices to block parking near their property. In this case we only want to block out use of our driveway. FROM COASTAL PENCE PHONE NO. : 9042826591 Mar. 24 2003 12:41PM P1 ALL ALUM. BRONZ POWDER COATED 1' X2' "U" CHANNEL RAILS 3/4"X3/4" PICKETTS 2X2 POST QU&STAL PRIM CO. OP OI MOR PARK, INC. 1621 BLLVWI: C BLVD. '1lUDUMUR0. FL 32068 04 282-0100 vim= 3"/4A ALTW. V BIttH -oa- Laat 4' 02-04-15951=A, 22URa Ur 27) so vz FACED Paul & Rosina Anderson, 1643 Beach Ave. Atlantic Beach,FL 32233 Home 246-8627 Office 641-2140 Photo disc. # 1 at 1643 Beach Ave.looking to north end of driveway #2 " north end if gate/fence #3 south end of driveway #4 u north end #5 driveway entrance to building #6 1650 Beach Ave. About 20' of RT of way taken #7 same #8 " wall construction to pave road #9 gate/fence to roadway. Also type gatelfence we will install. #10 on Beach Av same #11 #12 1. Gates/fence will be 4' high--powder coated Alum. Stock—Bronze 2. Gate/fence as shown on drawing 24"of the paved roadway at south end,and 6"off at north end. 3. Gatelfence is on city right of way 5'to 6'.Request variance. 4. Reason for gatelfence: a. Dewees Ave narrows (18')requires trucksicars to use driveway to make turn onto Beach Ave. b. Property adjacent to Beach Walkway.People use driveway to load& unload beach gear. c. Cars park on driveway blocking garages. d.Skate board activity--- e. Security MANDESHOWING SURVEY Of A PART OF LOTS 9 AND 10, NORTH ATLANTIC BEACH UNIT NO. 1, R—C—B—S CORPORATION, AS RECORDED I3 PLAT BOOK 15 PAGE 10 OF THE CURRENT PUBLIC RECORDS OF 'DtT AL 'COUNTY, FLORIDA, TOGETHER WITH A PORTION OF DWE'ES AVENUE CLOSED BY DEED BOOK 1319 PAC-. 427 OF SAID PUBLIC RECORDS. SEE NTTACHM LEGAL DESCRIP`43U4. I;OUP Px. 1A s oA1s Zs a 4CEA V t.a asi¢�t$o/sK o t06�68.66 FIE WOOD B�7: !IRpp PIP, Fooft E watK �g•as�� EROSION CONTROL LINE OD W.-+ i C104 CCL. MOI.,NO.R-45."4 i 19 I~ ' ` N 19 Ai L.MON.,NO.R-47 :lb N p p N (NOT LOCATED THIS SURVEY) � - ,3 0 I.0 S 84' 12. S O A� 84 EC7°ION CON° LINE. fl C.C.C.L.MON.,No.R- 6. m m Z FLOOD ZONE "VET, 11.2E ?; CONCRETE STOOP r SCREEN 4a0 FLOOD ZONE "X" y —PORCH bc o * �' FRAME w NOTES v� 1) BEARINGS BASED ON COASTAL ° ►- �W 1644 o CONSTRUCTION CONTROL. LINE p :CD . o N MON. Nos.,R-4S& R-46. ii 3 2) NO BUILDING RESTRICTION LINE PER PLAT. B O W C PNpDRE7E �% � o c 3) THIS IS A BOUNDARY SURVEY. 46,6 cm OD c N 4) THERE IS A 4.6'OVERHANG ON EACH SIDE OF THE RESIDENCE AS SHOWN. TIES TO SIDE LOT.LINES LL! sONCRp T "` ''''' ' ARE FROM MAIN STRUCTURE. 0) w 0 0 � Z W - '---_�- .- No YA2; ON PIPE N. O p , s NO yA RON PIPE �. A BEACH AvE- 0-U-E u s�" 30 R/W(PAVED) V""--- UI t)Y\ O �- 2 2 a CL j ( 1/3 Cl tirtc' otic City of Atlantic Beach *** CUSTOMER RECEIPT *** Oper: CKOMOREK Type: OC Drawer: 1 Date: 4/07/03 01 Receipt no: 48330 Des tion Qty Amount 200s 1012 BP BUILDING PERMITS 1 $150.00 Tender detail CK CHECKS 703 $150.00 Total tendered $150.00 Total payment $150.00 Trans date: 4/07/03 Time: 13:49:16 APPLICATION FOR ZONING VARIANCE City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us Date (" 7— File No. 1. Applicant's Name 2. Applicant's Address ,Zile �� ✓'L! 3. Property Location S' 4. Property Appraiser's Real Estate Number l� �S 5. Current Zoning Classification 6. Comprehensive Plan Future Land Use designation 7. Provision from which Variance is requested request to place fence/gate across driveway at 1643 Beach Ave on city propertyas shown att. 9. Size of Parcel ,��Y�/� a d 10.Utility Provider 8. Statement of facts related to requested Variance, which demonstrates compliance with Section 24-64, Zoning and Subdivision and Land Development Regulations(attached to this application). Attach as Exhibit A. Statement must clearly describe and depict the Variance that is requested. 11. Provide all of the following information: a. Proof of ownership (deed or certificate by lawyer or abstract company or title company that verifies record owner as above). If the applicant is not the owner, a letter of authorization from the owner(s) for applicant to represent the owner for all purposes related to this application must be provided. b. Survey and legal description of property for which Variance is sought. (Attach as Exhibit B.) c. Required number of copies: Four (4), except where original plans, photographs or documents larger than 11x17 inches are submitted. Please provide eight (8)copies of any such original documents. d. Application Fee($150.00) I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED VgTH THIS APPLICATION IS CORRECT: Signature of owner(s)or authorized person if owner's authorization form is attached: Printed or typed name(s): Paul A. Anderson Signature(s): LZu� ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION Name: Paul A. Anderson - Mailing Address: 1643 Beach Ave., Atlantic Beach, FL 32233 Phone: 904/246-8627 FAX: 904/641-2145 E-mail: rander0517@earthlink.net Paul A. Anderson 1643 Beach Ave., Atlantic Beach, FL 32233 904/246-8627 Daytime: 904/641-2140 Fax 641-2145 Attachment to Application for Zoning Variance Justification 1. Public use of driveway to load and unload beach gear (easement for use as a walkway/passageway for the general public is adjacent to property). If we have to place fence/gate on property line it would not justify cost because people would still park on our driveway. 2. Dewees Ave is currently only 18'wide because property owner has taken about 20' of city right of way for his use thus requiring vehicles to use our driveway to make turn onto Beach Ave., especially big trucks. If we place fence/gate on property line vehicles would still use our drive to make turn on to Beach Ave. We have sustained cracked and damaged pavement already because of heavy trucks on driveway. 3. Security --- With fence/gate will provide better security to our home. Discussions There are numerous locations on Beach Ave. where home owners have built walls, installed shrubbery and other devices to block parking near their property. In this case we only want to block out use of our driveway. FROM COASTAL FENCE PHD E N0. : 9042826591 Mar. 24 2003 12:41PM P1 ALL ALUM. BRONZ POWDER COATED 1' X2' °U" CHANNEL RAILS 314"X3/4" PICKETTS 2X2 POST COQ► TAL 1+8NCB CO. OF OP-*J= PAn, IXC. 1631 BLAMING BLVD. ] .LiDt)ZJM (;, 7L 32088 Q4 282-210 30f4% ALmf. 41 HIAH MMM aO 024XZMI NOW,RM "i • i " WRT ED RAMCO FORM t NCOM ..,, .. 4090 �� 493 Of FWIAL. RECORDS this Warranty Beed Made the 6th day of February A. D. 1976, by JAMES M. HARBEN And LINDA 0. HARBEN, his wife, hereinafter called the grantor, to el"W4.i, PAUL A. ANDERSON And ROSINA ANDERSON, his wife, whose postoffice address is 1643 Oceanfront, Atlantic Beach, Fla. 32233 hereinafter called the grantee: (Wherever used herein the terms "grantor" and " ranlee" include all the parties to this instrument and the heir, legal representatives and assigns of individuals, and the successors and assigns of corporations) Mnesseth: That the grantor, for and in consideration of lite sum of'$ 10.00 and other valuable considerations,*receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, re- miser, releases, conveys and confirms unto the grantee, all that certain land situate in Duval County, Florida, viz: A portion of Lots 9 & 10, North Atlantic Beach, Unit No. 1, RCBS Corporation, and also a portion of land formerly con- stituting DeWees Avenue, as recorded in Plat Book 15, Page 10, of the current public records -of Duval County, Florida, all being more particularly described as follows: For a point of reference commence at the Southwest corner of said Lot 9, thence Run North 4°39 ' West along the 'Easterly right of way line of Garage Approach Roadway, a' distance of 16 . 38 feet to the point of beginning of the lands° to be conveyed by"this description; thence run North 81053 ' East, a distance of 202. 25 feet to an existing bulkhead; thence run North 6912 ' 27" West along said bulkhead, a distance -of 68.74 feet to a point, thence run South 77056 ' West, a distance of 201. 84 feet to the Ld ' Southwest corner of Lot 11 of said North Atlantic Beach, Unit No. 1, thence run South 4039 ' East along the aforementioned Z Easterly right of way line of Garage Approach Roadway, a distance C of 55 feet to the point of beginning. Also, all lands lying UEasterly of the above described property to the ordinary high 0 water mark on the Atlantic Ocean & lying between the Easterly I - extension of the previously described Northerly & Southerly ,,,y, boundary lines. LM l. , V , STAT of F L..O R I C:)A � QOC.UPtiENTARrS T DEPTR ` .OF EW�NUE _ e '76 2A3M8P: T5AoiX rf -.11029 9 7� w t F i j I { i 1 i i 1 t MAP SHOWING SURVEY OF A PARI' OF LOTS 9 AND 10, NORTH ATLANTIC BEACH UNIT NO. 1, R-C-B-S CORPORATION, AS RECORDED IN PLAT BOOK 15 PAGE 10 OF THE CURRENT PUBLIC RECORDS OF '`UVAL COUNTY, FLORIDA, TOGE'T'HER WITH A PORTION OF D&VEES AVENUE CLOSED BY DEED BOOK 1319 PAC; 427 OF SAID PUBLIC RECORDS. SEE A`nACI-iED LEGAL DESCRIPTION. FOUND P.K lA s oAN-rjq OCEAN 11 L•9, 3672L a DISK o 57' 25 E. 68.66 FIELD S 05 c WOOD OL7�� 68��5� FOUND PIV2- `WALK PE ' �`�"" �t•e•se7a. EROSION CONTROL LINE w O _ C.C.C.L. MO .,No.R-45.4"OD M 0 o - W C.C.C.L.MON.,No.R-4T. NN O Ci N (NOT LOCATED THIS SURVEY) S- -2 3 'Q S.8�a"7°4040�, I^c. S O6AL CON lICTtON CON LINE iNE io + 65.39 co of D C.C.C.L.MON.,No.R- ao Z FLOOD ZONE " VE" 1CONCREjE STOOPIV 4.4` ..s EEN 48.0 FLOOD ZONE "X" PORCH `[ �' ®D 3 i 0 a ^' .� W c% let\ 4 a ° FST FRAME 1s -4 LL NOTES:? `�, ©� a LL �" RESI NCE 1) BEARINGS BASED ON COASTAL NO. ISci a CONSTRUCTION CONTROL LINE d _ w 4;(o 'C o cu MON. Nos.,R-45 6i R-46, 2) NO BUILDLNG RESTRICTION LINE O qa U) D ' PER PLAT. Z-" Q ci CONCRETE o © 0 3) THIS IS A BOUNDARY SURVEY. N (D 4) THERE IS A 4.6' OVERMANG ON a c� far, ass' EACH SIDE OF THE RESIDENCE AS SHOWN. TIES TO SIDE LOT LINES CorocRETE ARE FROM MAIN STRUCTURE. W srooP lod O 0 J OD FDUND t NO CApIRON PIPE N. FO N0o C ON PIPE a4� 51�4`55,(30 Is - FIELD) ACE-1 .4VF E 30'R/W(PAVED) LL 0 ICL IX Paul& Rosina Anderson, 1643 Beach Ave.Atlantic Beach,FL 32233 Home 246-8627 Office 641-2140 Photo disc. # 1 at 1643 Beach Ave.looking to north end of driveway #2 K north end if gate/fence #3 south end of driveway #4 north end #5 K driveway entrance to building #6 1650 Beach Ave. About 20'of RT of way taken #7 same #8 K wall construction to pave road #9 gate/fence to roadway. Also type gate/fence we will install. #10 on Beach Av same .ill 1 K K K #1Z K K K 1. Gates/fence will be 4' high—powder coated Alum. Stock—Bronze 2. Gateffence as shown on drawing 24"of the paved roadway at south end,and 6"off at north end 3. Gatelfence is on city right of way 51to 6'.Request variance. 4. Reason for gate/fence: a.Dewees Ave narrows(181)requires trucks/cars to use driveway to make turn onto Beach Ave. b.Property adjacent to Beach Walkway.People use driveway to load& unload beach gear. c.Can park on driveway blocking garages. d.Skate board activity— e.Security AU 1N 1111 t t r iva rr 1 APRIL 14,2003 ORDINANCE NO. 65 - 03` 32 AN ORDINANCE OF THE CITY OF ATLAN'T'IC BEACH, FLORIDA, AMENDING CHAPTER 19 OF THE CODE OF ORDINANCES, STREETS, SIDEWALKS AND OTHER PUBLIC PLACES, BY ADDING A NEW SECTION PROVIDING FOR SIGHT DISTANCE REQUIREMENTS AT CERTAIN INTERSECTIONS, PROVIDING FOR SAFETY ZONES ALONG THE EDGES OF ROADWAYS, AND PROVIDING AN EFFECTIVE DATE. WHEREAS, throughout the City of Atlantic Beach there are various items placed in the city rights-of-way without permission which may create 'safety hazards for motorists and pedestrians, and WBEREAS, it is necessary for the health, safety and welfare of the citizens of the City of Atlantic Beach, and all others who might travel on the City streets and roadways, that limitations be placed on trees, shrubbery, berms, fences, walls, or other structures which might obstruct the vision of motorists passing through certain intersections or create safety hazards along the City's streets and roadways. NOW THEREFORE, BE IT ENACTED BY THE CITY COM[SSION ON BEHALF OF THE PEOPLE OF THE CITY OF ATLANTIC BEACH, FLORIDA: SECTION 1. The Code of Ordinances of the City of Atlantic Beach, Florida, is hereby amended by adding a new section to be numbered Section 19-5, which section shall read as follows: "Sec. 19-5. Intersections: Sight distance requirements and safety zones. (1) Sight distance requirements: (a) For purposes of this section, "defined intersection" is any intersection that has a City owned or maintained road, street, or any other type of roadway as one of the roadways comprising the intersection. Excluded from this definition is any intersection where there is a required stop condition (multi-way stop, traffic signal, or continual flashing red light) for each roadway traffic lane entering the intersection. (b) To ensure adequate visibility at "defined intersections," the owners or occupants of private real property shall not do any of the following which could obstruct a driver's view of approaching traffic at such intersections: 1. Plant or permit the growth of shrubbery or any other vegetation in the City right-of-way higher than thirty (30) inches above the established grade of the right- of-way; 2. Allow tree branches to extend below the height of ten (10) feet above the established grade of the right-of-way; f]�7L`1\LH 11 L`ATI 1f I" APRIL 14,2003 rw 3. Allow any berm, wall or other .structure to be erected, placed, or exist in the City right-of-way. (2) Safety Zones: (a) For purposes of this section, "safety zone" is a relatively at, unobstructed area along the edge of a roadway for the recovery of errant vehicles, and shall consist of the area for at least two (2) feet from the edge of the pavement into the City right- of-way. (b) No persons shall plant, erect, place or allow any plant, wall, fence, structure or other object in the safety zone of a roadway except for mailboxes and sod or other ground cover. (3) The City shall have the right to remove any tress, shrubbery, vegetation, berms, walls, fences, structures or other objects in violation of this section, with or without prior notice. Removal costs shall be charged to the owner, occupant or representative in an amount equal to the City's costs incurred, plus a charge of 100% of said costs to cover the City's administrative expenses." SECTION 2: This ordinance shall take effect immediately upon its final passage and adoption. PASSED by the City Commission on first reading this day of , 2003. PASSED by the City Commission on second and final reading this day of , 2003. ATTEST: MAUREEN K3NG, City Clerk JOHN S. MESERVE, Mayor/Presiding Officer Approved as to form and correctness: ALAN C. JENSEN, ESQUIRE City Attorney CITY OF ATLANTIC BEACH COMMISSION MEETING April 28,2003 AGENDA Call to order Invocation and pledge to the flag 1. Approve minutes of the Regular Commission meeting of April 14, 2003 2. Courtesy of Floor to Visitors A. Jeff Sheffield of the Metropolitan Planning Organization with a report on the Transportation Improvement Program 3. Unfinished Business from Previous Meetings A. City Manager's follow up report on issues from previous meetings 4. Consent Agenda ALL MATTERS LISTED UNDER THE CONSENT AGENDA ARE CONSIDERED TO BE ROUTINE BY THE CITY COMMISSION AND WILL BE ENACTED BY ONE MOTION IN THE FORM LISTED BELOW. THERE WILL BE NO SEPARATE DISCUSSION OF THESE ITEMS. IF DISCUSSION IS DESIRED, THAT ITEM WILL BE REMOVED FROM THE CONSENT AGENDA AND WILL BE CONSIDERED SEPARATELY. SUPPORTING DOCUMENTATION AND STAFF RECOMMENDATIONS HAVE BEEN PREVIOUSLY SUBMITTED TO THE CITY COMMISSION ON THESE ITEMS A. Acknowledge receipt of monthly reports from the Building Department and Utility Sales for March(City Manager) B. Approve contract with VIA Concepts in the amount of$26,174.00 for design, bid documents and construction administration of an approximately 6,000 square foot skate park facility (City Manager) C. Acknowledge receipt of report on Pension contribution rates (City Manager) D. Award a contract to Bluewater Environmental of Florida, Inc. in the amount of $17,960.00 for Ditch Spraying pursuant to the specifications of Bid No. 0203-11 (City Manager) E. Award a contract to R&B Contracting in the amount of$114,402.75 for CDBG Sidewalks, Paving and Drainage Project pursuant to the specifications of Bid No. 0203-10 (City Manager) F. Award a contract to Underground Utility Contractors, Inc. in the amount of $233,261.23 for Milling and Paving pursuant to the specifications of Bid No. 0203- 13 (City Manager) G. Approve a one-year extension to the contract with Industrial Equipment Services, Inc. for electrical motor and pump repairs, at the current contract prices (City Manager) 5. Committee Reports 6. Action on Resolutions 7. Action on Ordinances A. Ordinance No. 90-03-181 Public Hearing and Final Reading AN ORDINANCE OF THE CITY OF ATLANTIC BEACH, COUNTY OF DUVAL, STATE OF FLORIDA, ADOPTING ORDINANCE NO. 90-03-181 REZONING LANDS AS DESCRIBED HEREINAFTER TO PUD (PLANNED UNIT DEVELOPMENT); PROVIDING FOR SPECIAL CONDITIONS; PROVIDING FINDINGS OF FACT; PROVIDING A SAVINGS CLAUSE; REQUIRING RECORDATION;AND PROVIDING AN EFFECTIVE DATE B. Ordinance No. 5-03-41 Public Hearing and Final Reading AN ORDINANCE AMENDING CHAPTER 2, ADMINISTRATION, ARTICLE VII, FINANCE, DIVISION 1, GENERALLY, SECTION 2-316, FEES SHALL BE PAID TO CITY GOVERNMENT, TO REMOVE REFERENCE TO DAILY PAYMENT AND THE CITY TREASURY,AND TO PROVIDE AN EFFECTIVE DATE (City Manager) C. Ordinance No.20-03-59 Public Hearing and Final Reading AN ORDINANCE AMENDING THE OPERATING BUDGET FOR THE CITY OF ATLANTIC BEACH, FLORIDA, FOR THE FISCAL YEAR BEGINNING OCTOBER 1,2002 AND ENDING SEPTEMBER 30,2003 D. Ordinance No. 90-03-182 Introduction and First Reading AN ORDINANCE OF THE CITY OF ATLANTIC BEACH, COUNTY OF DUVAL, STATE OF FLORIDA, AMENDING ORDINANCE NUMBER 90-01-172, CHAPTER 24, ZONING, SUBDIVISION AND LAND DEVELOPMENT REGULATIONS, SPECIFICALLY TO AMEND . ARTICLE IV, SUBDIVISION REGULATIONS, PROVIDING FOR RECORDATION AND PROVIDING AN EFFECTIVE DATE. 8. Miscellaneous Business A. Approve Change Order No. 1 in the amount of$22,718.00 on Aerated Sludge Holding Tank at Wastewater Treatment Plant No. 2 (City Manager) B. Approve Change Order No. 1 in the amount of $15,360 on Ocean Boulevard water line replacement project (City Manager) C. Award a contract for engineering for Well Rehabilitation and Replacement for Well Nos. 2, 5N, 1N, 2S, and 6S, Phase 1, to CH2M Hill in the amount of $42,890.00 (City Manager) D. Approve Change Order No. 7 in the Core City Improvements Project in the amount of$44,365.80 (City Manager) E. Authorize staff to begin negotiations with the top ranked firm, Camp, Dresser & McKee, for engineering services for the Hopkins Creek Retention Pond Project 3 r) -2- 9. City Manager A. City Manager's report 10. Reports and/or requests from City Commissioners and City Attorney Adjournment If any person decides to appeal any decision made by the City Commission with respect to any matter considered at any meeting, such person may need a record of the proceedings, and, for such purpose,may need to ensure that a verbatim record of the proceedings is made, which record shall include the testimony and evidence upon which the appeal is to be based. Any person wishing to speak to the City Commission on any matter at this meeting should submit a request to the City Clerk prior to the meeting. For your convenience,forms for this purpose are available at the entrance to the Commission Chambers. Every effort is made to indicate what action the City Commission is expected to take on each agenda item. However,the City Commission may act upon any agenda subject,regardless of how the matter is stated on the agenda. In accordance with the Americans with Disabilities Act and Section 286.26, Florida Statutes, persons with disabilities needing special accommodation to participate in this meeting should contact the City Clerk by 5:00 PM, Friday, April 25,2003. -3- 17630, " DEPARTMENT OF OWLDING CITY OF ATLANTIC BEACH PERMIT" INFORMATION ------ LOCATION INFORMATION er t Number: 17630 A dreg : 1643Szata AVENUE Permit Type,,RE-ROOF ATLANTIC BEACH, FLORIDA 32233 i s of Iark :RE 'AIR ®.. _ LEOAL' DESCRIPTION ---------- tons tr. Type..14D F`RAMV B1o7ckY, • ,Lest Twp, 0 Se t'io O B t ;Q Rng* Dwellings . I '` Subdivision: Ut . value: 0 .00 ntptov .. coit': 20,000 -00 Total Fees.' 110,100 Amount Paid., " p �; 10 .00 Date. Pit 999 ` Tfork react IRS ------- APPL OAS ION FEES 110.00 ATL ORIDA 32233 a Keane �� H:. CON I T I01 - s PRCPE H F Ad d r L n Exp. .41 NOTES. f NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 241JOQRS PRIOR TO INSPECTION t BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLA" !tN"PUBLIC SPACE, AND MUST BE CLEARED UP AND,IHAULED;AWAY'8Y- EITHER CONTRACTOR OR OWNER" ";FAILURE TQC�MPLY "KITH TIDE MECHAI+II�S' LIEN LAW CAN, RESULT IN PROPERTY C WNSR PAYING:TWICE F0, UIL,t)ING IMPRt31� lE ITS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS' PERMIT' AND SUBJECT TO"REVOCATION FC I 1t1 ATION OF APPLICABLE PROVISIONS OF LAW. , ` r3h ATLANT BEACH BUILDING DEPAR ENTI i „ k k y t Woo- � t t-r', 0.Aoo.�i''; St> ). Two ^:i' S. z«"r f lvlo�) t PANIC ww" , v ....«,f' w.. ane � �' `as smxr� * s sA. �4�� t�3«. W ° C” .� _•�xt xrt�r«` -r�� r ' t� 1 P 1 f'� .� '?" i,.�+.�ra 3S'a � '� ,fit "� F� S � t4."� `� n'"� �* q x� `� B ytr; POE ah. q` y `t vco i i v„ $ i CITY OF AT LANTIC BEACH FCCOFiNG PERMIT APFi_1CATION JCB LOCATION: / �Z12 f� � OWNER OF PROPERTY: CONTRACTOR: D-z�-v�.a✓ CONTRACTCR'S ADDRES . ZIP. STATE LICENSE NUMBER: /J TEL=.=HCNE. DESCRIEE WCRK TO SE PERFORMED: (k' VALUA71CN CF PRCPCSED CONETrRUC7CN apex c-20C o c o MATERIALS 70 BE USED: SIGNATURE CF OWNER: d=✓�" Q f�'i' '��'" `�' G+:.�� SIGNATURE CF CCNTRACTOR: SWORN TO AND SUESCRIBED SERCRE ME THIS-- 2 DAY OF NOTARY PUBLIC Liability Insurance Supplied IJ:V p i F -_ _ Wcr<ers Ccmpensadcn Insurance Suppliea *__ MY' A %I'ON �ccs�eet MRV 2000 Contractor License infcrmadon Supplied �fBONDED TftTRuOYFAININSURUCE INO Occupational License Infcrmadcn Supplied SI CITY OF / r� SOU SEMINOLh, IlUAD 4 aTLA,NTIC BEACH. L•'Ll)RLDA :=:;:;-5445 �— TE LF I'll ONE 1904) 247-5800 Fa\,904)2-17-5805 SUNCONI >52-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 469. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000,00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION, YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228( 1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUI R ERMIT. Gni PROPERTY OWNER/BUILDER /16 9j 14�E,6fl ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS f'0� D F NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: Art10119K8 ARE EMPHASIZED BY THE BUILDINGIS+;;y''-,, P8MCI8 _1" DEPARTMENT. '- MY COMMISSION#(C55011 EXPIRR August 27,2000 SONDED THRU TROY FAIN INSURANCE,INC. DEPARTMENT OF BU#LOING t CITY OF ATLANTIC BEACH' a PERMIT INFORMATION LC.'A'TIO» INFORMATION Permit Number.i 13658 Address* 1643 BEACH AVENUE Permit Type.PENCE , ATLANTIC BEACH, FLORIDA 32233 . " Work: � LEO*, DES tIPTI.0N ------ Constr. --- Constr4 Type:CONCRET'E BLOCK Block: Lti`t : Twp Proposed Use: S ctl an.; CJ Subd.Q Rnq: Dwellings: I Subdi v s i on:NORTH ATLANTIC, BEAD: Est, Value: 4 .0 Improv' 0 .00 Total F . 10 .00, Amount Y 10.00 14,'hG g 1 ar TO *^.,«� _ AELICATIt?N PEER � � PERMIT ----------- Name,: Addr 10 .00, ESTE Ph-o { C il AlB ,,FLORIDA RM '' Name; PIS Add ER'I NE A r ii.7n GSA" �� , �� • j � ' , „" F TOTE. # A %W 1 NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORj POURING PERMIT VOID;SIX MONTHS AFTER DATE OF ISSUE BLfIt,D{Na MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT-BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY,BY EITHER CONTRACTOR OR OWNER FAILURE TQ COMP LY WITH THE MECHANICS' LIEN LAW CAN E$ULT 1 ,THE PROPERTY�t�'V�/NER PAYING TWICE Ft R BUILO1.141 ,1MPR J ► NT To i ItiUER ACCORDING TO APPROVED PLANS WHICH ARE PART OF TN1S PERMIT AND SUBJECT TOR to It I+ ATION OF APPLICABLE PROVISIONS'OF,LAW. ATLANTIC BEACH BUILDING ART NT If6ll�Zll I Bx: APPLICATION FOR FENCE PERMIT Owners Name fAZI Xya�awohone Job Address /6 Y 3 4,,v► Lotj�Block and/or Unit # Subdivision Contractor if different from owner Xyl& � Valuation of fence $ Corner or interior Lot Type of Construction Show location and height of fence as well as location of street(s). INGCL APR 3 1997 pity of Atlantic Beach Sullding and Zoning Owner Signature Date Contractor Signature Date MAP SHOWING SURVEY OF A PART OF LOTS 9 AND 10, NORTH ATLANTIC BEACH UNIT NO. 1, R-C-B-S CORPORATION, AS RECORDED IN PLAT BOOK 15 PAGE 10 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, TOGETHER WITH A PORTION OF DEWEES AVENUE CLOSED BY DEED BOOK 1319 PAGE 427 OF SAID PUBLIC RECORDS. SEE ATTACHED LEGAL DESCRIPTION. A rLAN ri C oc A SET V2 i.P.,No.3872 /1 �f'iN 5� OV�+N SET II2"I.P.,No.3672 0 E. 68,8.51 SURVEY LINE ' EROSION CONTROL LINE _ d C.C.C.L. MO -45. Q N C.C.C.L.MON.,N*.R-47. « O O 4m CY F` "all OOI)ZOIyE MOT LOCATED THIS 1tN M) 3 >� a Iz S Oso 34 E. UCT►ON LINE 6s.3� � C.C.C.L.MON.,No.R- - r z o 3 y[ C"T -j 0 "I a .4 MY j �.8� NOTES ©� y 1) BEARINGS BASED ON COASTAL �E`rI� D I- • „ v CONSTRUCTION CONTROL LINE O W m C N?�c MON. Not.,R-45 a R-46. m� r d� "` 2) IMPR�EMENTS TAKE�NN fj0 W — e gat 8URY Y 8Y H.A.OtiRl�N AIM, e9 �• a m a DEC. 9,1983. oo Z 0� N 3) TN13 IS A ROtJNDARY SURVEY. cc c ni pst�`, tit : in o JF ~ W s6.7' 5.9 M M � O • VED-j .✓ z F n 0 I APR 31997 z _ cd I City of Atlantic Beach 04*35 27W 55. 1 /2"I.P.,N�.3672 Building and Zoning 55.10 16. $ ENUE �FAVED) o a I HEREBY CERTIFY THAT THE PROPERTY SHOWN HEREON LIES IN FLOOD ZONES "B" AND "C" AS SLAV ON THE FLOOD HAZARD BOUNDARY MAP FOR JACKSONVILLE, FLORIDA. silo 4�PA ENT OF'SU#L0108j, TTYCIF ATLANTIC B ; .'. PERMIT INFORMATION - ..: LOCA'I'IC11+I INFORMATION Permit Numkwr». 6110 Adc�r�atar :1��;3� � � ' SEACH +AYENIIE Permit T}rpe z BUILDIIHO ATLANTIC'` BEAC, FLORIDA 32233 Class of Work REPLACHT 'PORMIT ML96AL j)ESCRIPTION _ onst5ri Type z WOOD 'PMAMIE .cit» Mi�ak z Section: '� PrI00 +aetf Use `: SINGER FAMILY Townal ipzKNG» 0 O� Nlin� » i Cedes ! ureiv�ieicx ziCR ' , ATI.ANI'ICtLIH � 1 ed Value z �8�3L�8«Ofl r carr. COat: *0.,:00. ``T'�►t�l F` ,: z � . Cid �#lacaiunrw '' ;P Bs«ESA 492 CQHST QF GARAGE APT AND SCREENED 'PORCH - - A"TICIN - �°+ AP ON FE _ ,„ rT J; 'PERMITsa .Op Addax: EACH ,AVENUE vA'T" IMPACT PEE :FO«OD q_ Ph RAD Ot 00 ON ` _` .. FORtIAT N ," RAT)Li�C bAS '* 9G SO.CIO Na`rni�►. C3FER � M WATER TAP `1�f1 OCI Addr+Is SIR '"APO'. OQ z HVI7 UUC HANE,Type REINPT PEE., 00 1 ACT `*VIP 3< j I NOTES, t � l i fr , NOTICE--:ALL CQNCRt `E fCSRM$AN FOOTINOS MUST BE INSPECTED 8EFORE POURING i PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE SUILDI`Nd MATERIALRUBBISH AND DESATS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MIDST BE CLEARER UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER Ii "FAILURE TO COMPLY 1 ITH THE' MECHAN# ' Ll N LAW CAN RESULT 1N THE PROPERTY OWNER `PAYING 'TWICE FOR BUl�t3�NQ1 tMPR+t�Y�`NIENTS " VkIDRT1(W DRtI: 11i arm; #1 Jf3c i' SSI AC piI TO APP,ROVEO PLANS WHICH AFIE PART OF THIS PE�tM1T'AND SUR, �IEVOCATIOiftfI fi 3T�C ttIGABkE Pi#OVIS.I©NS OF1 LAW. .4D i 1 ATLANTIOIEACN SL1#1,4INt3 DEPARTMENT CITY OP ATLANTIC BEACH, .FLORIDA `'o q � 7 App—-,-Eby APPIIC.AYICN4 FOR Wt.'CYRICAL PERMIT t TO THE Chi-F ELECTRICAL INSPECTOR: DATE: p J 14 IMPORTANT NOTICE: • IN CC'-,'SIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY 1(-,REE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, Vdl-IICH ,.RE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC 13EACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JQU-131iE.Y-4'rL( I'; E_!eil ADORESS: j 1J2e�c.1 Amita. RFD -BOX_..--.- BLDG.SIZE BETWEEN: RES. APT. ( ) comm. ( ) PUBLIC ( ) INDUS. ( 1 NEW ( ) OLD ( ) REW, ( ) AODI)•ION ( ) TRAILER ( ! TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEWX INCREASE ( 1 REPAIR ( ) FEE CONDUCTGR SIZE ANIPS COPPER f ALUM. ( ) SNITCH OR L-:"'EAKER AMPS — PH W VOLT RACEWAY EXIST. SERV. SIZE ISO AMPS I PFi 3 W IZ1yvVOLT S�� RACEWAY FEECE_RS NO. SIZE NO. _ SIZE NO. _ SIZE LIGATING OUTLETS CONCEALED gEN TOTAL RECEPTACLES CONCEALED ).30 AMPS. 31.100 AMPS. SWITCHES ___—._ --• — INCANDESCENT __ -- — --- FLUORESCENT & M. V. — _-- FIXED 0.100 AMPB. OVER — ar�I. BELL TRANSF. A)R _ _ H. RATING H.P, RATING CONDITiONliNG Cu';?, MOTOR OTHER MOTG7S AMPS CEIL HEFT_ KW-HcAT �.� OVER ^_ fdOTORS H.P. VOLTAGE Pr1S NO. 1 H.P. VOLTAGE PHS — i W1 CELL Prn .�2A1^.ems. �.�,�'} I�c�.'�-1 dam... i (Z��'1 ._.��S.t•L�''_L t�1�2 d, ___-� _ T"At�SFORtr,ERS: UNDER 30ov. OVEsi ECO V, f O DEPARTMENT OF BUILDIN v CITY OF ATLANTIC BEACH r PERMIT I NFORM,AT I ON - -------- LOCATION I NFORMAT I OIC Address : ------ -643 + iM_� � ~643 - I BEACH AVENUE PermitNumber . 9 3 ermit Type: BUILDING ATLANTIC BEACH FLORIDA 32 33i til ass of Work* REPLA' MT PERMIT - LEGAL DESCRIPTION - Con tr_, T pe: WOOD FRAME Dear . BIo k> Section: y • ; Pro se b APARTMENTS Tounshi RNO_ C 1 ings p I code: Q Subdivision,* ATLANTIC BEACH Estimated Value: 0) ,'Improv. Cost $0 .00 Totat. Fees Amonl: S D off. ERMIT #6763 GARAGE APARTMENT AND SCREEN PORCH . _ TION - - APPL I CATION FEES ------ Name." �4�� PERMIT 5�C�0 AdC � ,9 �� AVENU ' WATER ER ` S0 .00 y 00EACH, FLORIDA �3`?2 3 �Syyy IMPACT, FEE��k�t�;�� .; $' "d s X7(5 �' ."'t•` ai 7a; ,� X137, {TAP, *,tea '" o {pp a r zL a try F « r N+e q .. _ .� T INFORMATION - RADON CAB 5% $0 , 00 tl1C1E' E C"APIT L I iPROVE• $0 .00 Addre � SEWER TAP_ . � ..a CROSS COXNECTION0 ,00 ieense +tg ` Type: 1 SEC H IMPACT FEE $0 .00 y. .e CONST �SURCHARGE ; SES Dfl OE. H " + SCHARAL C # � {k .NOTES. - ttf 1 NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER 'FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PRt PERTY OWNER-PAYI NG TWICE FOR BUILDING IMPR VEMENTS." ISSUED ACCORDING TO APPROVED,PLANS WHICH ARE PART OF THIS,PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OPAPPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUlLDI Ca[11`PA TMENT t 1 !' I`I XSj ze-21 -J DATE i /_Q 41 -9') PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN !LADE AND ARE SATISFACTORY: ------' ------------------------------------------------- ------ '------------------------------------------------- ------ ' ------------------------------------------------- ------ ' ------------------------------------------------- EnclWe copies of the permits. SINCUILON DIVISION cc:FILE DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION -------- LOCATION INFORMATION --------- Permit Number: 5594 Address t 1643 BEACH AVENUE Permit'' Types, ELECTRICAL ATLANTIC BEACH* FLORIDA 32233 Clean of Werk: ADDITION - LEGAL DESCRIPTION ---------- Constr. ___., _. --- Conatr. Type: WOOD FRAME Lots Blacks Section: Proposed Use: SINGLE FAMILY T'ovnehipt RNG: O D� ellings: 1 Codes D Subdivision: NORTH ATLANTIC BEACH Estimated Value- $0.00 Improv. Cost; $0. 00 Total, Fees: $17. 40 Aur to $17, 40 Do :F +x,130152 Work De" g ' TLETS, `RECPTACLES tiMATION --_�- APPLICATION FEES Na, PERMIT $17.40 Acid � AVENUE WATER IMPACT .FEE 00.00 I CHPh , , FL,ORIDA�,, S FEE Std.0 3 x � F , f ', tu , RA DM GAS-M. R.E. $0.00 -_-_ 0 FORMAT T IN ----- RADON OAS - 5% $0. 00 Name: TI L RICAL Qb TRACTOtS WATER TAP $0. 00 Address �M... ER.,.,STF�EET "" *.. S1 I SEER ,TAP ... $0. 00 JACK LLE, FLORIDA 32203 HYDRAULIC SHARE $0. 00 Liam z E 2 �� Type: RE�-INSPECT� FEE �,. Q.00 SRC._H IMPACT FEE $0.00 IV6 N ' NOTES: NOTICE--ALL CONCRETE FORMS AND FOOTINGS MUST OF.INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE.OF,ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UR AND'HAULED AWAY BY EITHER CONTRACTOR OR OWNER. °'FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR SUILDING IMPROVEMENTS. ISSUED ACCORDING TO APPQVER PLANS WHICH ARE PART OF THIS,f ERMIT AND SUB J ), E R VIOLATION O APPLICABLE PROVISIONS OF LAW. TtI1t11 $17.44 00 ATANTIC B Id BUILDWMIPT WWI 41 * NTICI DEPARTMENT AC. ,< . .2 BY' i f , < A " d r x a i x , 5 k ny X 1 C � M04:1 40 con V b� Oyu CPA VAISKAWAAMITAK on �&W PAINS ----- 331M .�13 FX YJV'4,1114403 ") Rit f a. °'.f�✓S,fr � t rte= ` `s"' Vol CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:. 1� .�,tlz 19 -L IMPORTANT NOTICE: AN 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 ORDINAN ES. ELECTRICAL FIRM:-- MASTER ELECTRICIAN SIGNATURE NAME ADDRESS: - RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES.( APT.( ) COMM.( 1 PUBLIC( ! INDUS.( 1 NEW( ! OLD( ! REW.( ) ADDITION ( ) TRAILER ( ! TEMP.I 1 SIGNS ( ) SO. FT. SERVICE: NEW( ) INCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM.( s SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZEAMPS PH W `Z VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90)kMPs. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P.RATING CONDITIONING COMP,MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS i Tw�lY....A wr w.. •. .�..� www.. �..--. MOTORS H.P. VOLTAGE PHS NO. H.P. VOLTAGE ,PHS $ SIGNS NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN INCANDESCENT LAMPS TIME SWITCH FLUORESCENT LAMPS DISCONNECT NUMBER SIGNS RECONNECT NUMBER SIGNS MISCELLANEOUS WELDERS: PRI. PRI. TRANSFORMER TYPE NO. AMPS PHS NO. AMPS PHS MG,MOTOR NO. H.P. VOLT PHS AMP GENERATOR NO. K.W. VOLT AMPS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA FWFORWAK-D UTILITIES: CITY ( ) FLA. LIGHT&POWER ( 1 CLAY COOP.( ► REA ( }- OKEFENOKEE( } OTHER ( ► __ WORK BEING DONE FOR ADDRESS OWNER-AGENT-GENERAL CONTRACTOR a wa PNumb Er FSM I T jy�j�i�� .151 s >V'1i l �', T V1L �`F rREP z IT hstr x xTx aA a reaart 0 0 � Will I J � t k APPLICATIONA PERMIT , P tCR It19 " IMPACT, �a $5.00r E 3 .2yr` 4g f*a k „ o 4" � (axx.w f limy; RADON AAs _ R. ol r y� }� y+ So.�y W AT Z J,APi 4 '4,T' Ng SE+7O TAP $0 .�} _^ RI INSPECT " p Sea.: H 8��'+'+.3.'f- }k f ■ �yy � i{" t` s.r'°tM1N:NF'v^!X✓:ry+ww Afire M BE IN SITp BEFORE Pt1URtfbiG 1CMo. SEuE 2 i � N PCS ��PUaLIG SPACE,AND MuSrj6lf ] x nt 1!► � E �y v z Y i g J ^.'sS al. s � t w r Y. IMP _ .. � e n a v. w u �V �F �a 041 DEPARTMENT OF BUILDING �F'Rw, CITY OF ATLANTIC BEACH PERMIT, INrORMATION - LOCATIO0 INVQPblATlOi+i. - -:. P I it 4um er: i6 1 Ad+ r : 1643 EISACH AVENUE Pee rnai t R -ROO)� AT -ANT C ,BEACH, F FOR 1 A 32 2 3 Class of Work NEW ...�,�,»..�, .�...,LAGAL 08SOMT'�I00, i xBtar, Typo: WOOD , RAkB Lot,� � t1D 8 t; Plr posed V. r�Y�CLI� I A �ICY ' Towuohip. RISC. 10 13weI 1 in Ccrd+ Subdivis ,o a NORTH A 'I,ANTI;G BEACH st mat d v 1ue:` $p.t?4 'e Improv. Cost : $0.00 j , A PP : .�, E`FTON �- � j� 1jAPPt�TCATIft P$ES --- .. . PERMIT Add es ' 2 ,50 ' , ; M. � $0 .00 JP1.0R I , � .' B $0 .00 NPOTOry - RAI4N` A .0 l3 .,. Yams: PR .� W '� t "' "AP_ ... $0 .4Q . ° R,w.STRER TAP D QAC LL'g PL 32101 B 'D AULTC BA . CT FE I NOTES- Ai f, NOTICE AAI.CONCRETE:FOAMS AND FOOTINGS MUST`8E#NSPECTED 9I:II=ORE PQURING PeRWT VOID SIX MONTHS AFTER DATE OF ISSUE BtI1LQFVG MATERIAL,RUBBISH AND{)EBRIS FROM THIS WORK MUST NOT 8E PLACER IN PUBLIC SPACE,AND MUST BE CLEARED UP AND,HAULEO AWAY EY E.ITI IER d,ONTRACTOR OFA C.W'NiER TQ COMELY IrAl1TH THE MECHANICS LISN,LAW CAN RESULT N TH 'F it?I EM ONER "NG 't 10E FEAR BUiLtIMPROVEMENTS.:' 31 II #TIt F7 #'$SUED ACCORDING' TO APPROVED PLANS WHICH ARE PART OF T 16 PERMIt AND SUREYOCA DR VICLJkTIt"JN OF APPLICABLE PROVISION OF LAW. � ATLAI4tTIC BEACH-.SUIL©ING DEPARTMFNT w , CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) : Pos; 4✓t,,o r-so s-, _ Address:- /! & c L rtv L Phone: 62 ?d,2 7 Lot # Block or Unit # Subdivision, Contractor: Address: g(� Ce�g� S- '�o.•� FL Phone: 39g� 3gS 3 State License No. CC C C o 302 S.2 C7 Describe work to be done: IA p Materials to be used:�� Signature OWNER:_ to: oZ L Signature CONTRACTO : Address Ar 3 .ci�c�p _ heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch (pS3 @ $ �'• '� per sq ft = $ Deck /� @ $,,.. f% per sq ft = Patio @ $ per sq ft = $ TOTAL VALUATION: $� 8 S" i othl "Valuation 1st Remainder Valuation 3 .ahper ffousand or f P ortion thereof -------------------------------------------- Total Building Fee ADDITIONAL, PERMITS and/or FUSS REQUIRED � . + k Filing Fee Mechanical `,Fireplaces @ 15.00 $-----�—��l Plurbirt BUILDING[PERMIT , — $ g Electric/No4 �----------------- ------------------------------ ;- r Electric/Tem BUILDING PERMIT $ Septic TbAc Well , WATER METER C1]ARGC $ D.ohmthig fool SEWER IMPACT ITEE $ Sign WATER RAPAGT FEE $ Water Connection' MISCELLANEOUS $ Sewer Connection $ Water Meter $ I:levat-i.on Ccrtiricaw 1 GRAND TOTAL DUE $ 3 7. ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES PLANS REVIEW CHECK LIST Address_ki-3 _ _ -�=_------Owner_ ---------- Legal Description ��_L_ Contractor t4l_ __�-_________ License Number , -- - - --------------------------- -------- License on Fil YES NO Section 24_101 * Zoning Regulations Zoning DistrictProposedA_ Use �. --- ----� Required Lot Size_,Q{O- Actual Lot Size Setbacks Required Provided Section 24_17 front CORNER LOT INTERIOR LOT rear 1L" ro Flood Zone ----,t-�/ side-1 (S S Required Elevation side-2 e�'" Max. Height Allowed_-� ----- Proposed Height__` Section 24-82 * Minimum Lot Coverage Required Heated Area �/� _ Proposed Area &/, : �d - ----- -- - ------ Section 24-161 * Offstreet Parking Number Spaces Required___ ___ Spaces Provided Section 24:82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES NO Utilities Water and sewer service is to be provided byt Buccaneer Utilities City of Atlantic Beach Utilities Private Source SEPTIC TANK WELL Plans Reviewed by:------------------------------Date Building Permit #---------- ISSUED DENIED x MAP SHOWING SURVEY OF A PART OF LOTS 9 AND 10, NORTH ATLANTIC BEACH UNIT NO. 1, R-C-B-S CORPORATION, AS RECORDED IN PLAT BOOK 15 PAGE 10 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, TOGETHER WITH A PORTION OF DEWEES AVENUE CLOSED BY DEED BOOK 1319 PAGE 427 SEE ATTACHED LEGAL DESCRIPTION. ATLANTIC OSE i fic SET 1/2"1.P.,No.3672 N S. 050531061�E. SET I/2��LP.,No.3672 V G 68.651 SURVEYLINE Building and Zoning b 9 J _, rFL EROSION CONTROL LINE 0 OD Of �--.� oC.C.C.L. MON ,NOR-45.- OCVO C.C.C.L. MON.,No.R-47.O O (NOT LOCATED THIS SURVEY) a S. - N ' ZOlyE'B� � � 1�E,868.72, � IOIV E C o 3 S so S.�g440� ._.. 12 ASTA L CONSTRUCTION S• 06016 54 E. CONTR L 1 N E CDiQ to 65.39 f y o C.C.C.L.MON.,No.R- 6. 'COO 3 � F °D J d I n S REE P CH H Q 0 V 3 32.4 b � U _ cr 14.3' -j NOTES: n C p Cis C a 1L �_ Z 1) BEARINGS BASED ON COASTAL Z H ti CONSTRUCTION CONTROL LINE w CD yy M z MON. Nos.,R-45 9 R-46. M W a'p 2) IMPROVEMENTS TAKEN FROM p ti> N - fO 'wi " a SURVEY BY H.A. DURDEN 81 ASSOC., W U z n DEC. 9,1963. W p x d -1 1 3) THIS IS A BOUNDARY SURVEY. % p Q Z Q: 0 F ILLi 1N 7 - W � 185.1 46.7' - 5.9 J ih M L J ti G C) �•-� Z F c 0 , FND.I/2"I.P.,N.C. N 040 �� SET 1/2"I.P., No.3672 27 W.5,9.00 is BEq�H qVr 30 R/W(PAE UE LL O — F- 2 2 � O a a. I HEREBY CERTIFY THAT THE PROPERTY SHOWN HEREON LIES IN FLOOD ZONES "B" AND "C" AS SHOWN _..Ml. 7TLP- _Fr_O_fl HAZARD PfVjA! 111T?V M71n !7vDP -TA(-Wgf-)NT`/TT T,V Pf.r)T?T(lA T WPRPRV rPRTTFV 1Y1 PATTT. AMr)P.RC(1nT 'TITAT T PAVIT c1TPXX�VPr') TFTF' T ANIM Ac QW(YAW 7N 'Mt: APf)X ~ rAMTrW A P P L I C A T I O N F O R B U I L D I N G P E R M I T CITY OF 1*4Utic REQUIRED SUBMITTALS 716 OCEAN BOULEVARD Each application for building P.0.BOX 25 permit will be accompanied by ATLANTIC BEACH,FLORIDA 32233 two complete sets of plans, including TELEPHONE(904)249-2395 a detailed site plan indicating location of utilities, parking, size of yards and other pertinent data; one set of Florida Energy Efficiency Code sheets; recent survey ton new construction) SCHEDULE OF INSPECTION Requests for inspections will be accepted from 5:00 AM until 4: 30 PM. All inspections will be made the following working day. 1. Footing 2. Rough Plumbing/Sewer CALL IN WITH PERMIT 3. Slab NUMBER FOR EACH TRADE 4. Framing, Rough Electric, Mechanical, Top Out Plumbing S. Insulation 6. Final Inspection/Issuance of Certificate of Occupancy ------------------------------------ BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Pour no concrete or cover any work until building card is SIGNED by the inspector. You will be required to uncover any work that has not been inspected. 910 fee is required for all re-inspections. • PRU#ERTY DESCRIPTION -_----- 716 OCEAN BOULEVARD Lot # L ___Block #__--_--_Section #_ P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 Subdivision:N Or�•�j,Lo.M��C_$taC� �Q__�___ Street Name DESCRIPTION OF WORK or Address: t lQ�k 3 �t�� Va• --------- ---------------------- If in a FLOOD HAZARD Flood Zone:___________area complete page 3. Brief Description: 4sf�nl�._g�.�.: or _�x,'��+KS Y4pJ��Ji Q► Class of Work: (New/Remodel/Addition) A ZONING INFORMATION Type of Construction: ` ----------------------- Zoning DD C Propose ` District s w5_�__Use:_ �____ Estimated Value S 15 c0 0 ----- -- --�---------------- Exceptions or MaterialsCpr►Cs�• _ .w�rlv..}v��O� t�1w-� Variances Granted: ------------------------- Solid or ------------------------------------------- Filled Ground: Roof: ------------- ----------- OWNER INFORMATION Method of Heating: N_SM1g�........... Property Owner:QAv� C�Q`_:1------------------------ PhoneV�o" �PsZ�_�_ Mailing Address-1tA3_1.'•ta�c _ ±_v_�--------------------------- Q =------------------------------ Zip 4 aA 3 3------- CONTRACTOR INFORMATION Contractor: Ra<C 06o- Phone: a9q T6 I Mailing Address: ��►0 SIt plv�vL .rVt - . - -------------- ------------------------------- Zip: n Expirsti Date: q License Number: t _ C D �g 1-------------------------- _� 9-�------- In consideration of permit given for doing the work as described 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 all rules and regulations �•_ `', =' of the City of Atlantic Beach. 75. Owner Signature Date 4� ,�( a Contractor Signature„" -- Cly=----Date'IlSJ- FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: ............................................ Flood Zone: Required Lowest Floor Elevation:�Y.,L a %EL;Tq sc.*4&^Qa P ecc�\ If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances allecting the proposed development. Date-J-C->/-Th�_____Applicant's Signature _ ---------------------------------------------------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed Filed with Building Department ___________ ----------------------------------- Building Department Representative page 3 :001552 DSPAflTM1E NT OF BUIL LING .CITY OF ATLANTIC BEAM'{ LOCATION INF'gRtIATICIM I'iu b r iD"" Addre0tA t 16 :3, BEACH AVENUE `t`�?' t, LIUIL.DY ATLANTIC ISSACH, FI.CIRII)A 3223 cb It+� lcs� ADDITION f II# . ., LECAkL. DESCRXPTI: ,. ._ « C y Hwy B��c�ti ^ls R T�" `.t WOOD i"Ai7`�� %MGLZ PAWL€ P1' I+x+t c P t. s 0 Ol c yl�Ilr k 4td " - ----------- Value� +CI�1�tI�l!� I NFQIEtIEIA'C IQH *O. 00 Ns s PAUL ANDERSON Ilk "I' *37.50 Add3rvow 1643 BRACH AVENUE !I~l a t i0 ATL.AI TIC EEEACH, FLORIDA 32 33 Luff, FEW LICATION FEES tit PEB ��#Fi IM • nrt �T�'i f 9 'r i i YJ'T }�L '"+,A ! ` RADON GAS—Hi +li . !►O. " "`f � RADCM AS O I � 10 .. *0�r 00,. . .x, WATER E#AEH TAS'. � *0112 . I"tYDtt+A4tiL CC SHARE �0.€30 r ? ` f�E�IN1�EC�` SEB E : NO i NOTICE=ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING f PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE k 6 E3IAtLDItVG.MATERIAL,RUBBISH ANp DEBRIS FROM THIS WORK MUST NOT PLACED IN PUBLIC SPACE,AND MUST BE R 'CLEARED UP AND HAULEDAWAY'BY EITHER CONTRACTOR OR OWNER. f FAILURE 0M.TQ C4MILYII/ITH THE MECHANICS" LIEN LAW CAN RESULT 114 1'�H PR PEI:iT1l C�1V R PAY#NC TWICE FOR BUILDING IMPROVEMENTS." �>fl AG C3RDING.TO APPRdVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION E " L ptTl©N pIr:APPLICABLE 0ROViSIONS OF LAW. ATLAfVTt ILDING DEPARTMENT Syw OU NT I CITY f)F.A►TLANTIC k r Olt" is�y+, e+� �.�+.()j IMF 32433 �. «. OA .DCRI10Lot I wq - ± 4TWN 00 + : t �. .. > At ► M �;� " 0t� (904)* 1► fx+4 �rsat, lb# p+ r, �� Aw►t�lt, �>t .v r> *00, ly ;., '� OPAOtL * ! fop° � +� yy F ` N i� € r ~G « 00 '00. PT �, & +^ EwYdP` �s.n„w �vwa�.,«a nom- � ,;�,.✓a n� �;,sr�.a�, .�' 1E r r Nt?TICE y-aLL. 1JNC�tETIE: Ft DIMS AN0 OOTINGS MUST 81:"iMBf�IE CTED�frEZf�iRE POURING" i?EFtAflIT'VUI0 SIX MtN711S A7Ei CfATE DF ISSUE ` B1ILIING MATERIAL,Au Al51n dRR15"FROM THIS WU€?K MUST NOT BE Pt.ACED""'IN PUBLIC SPAC ,,AND MUST B ;,Ct»E;AREI� tJE'AN13.MAUti b A, XN OY, i I Irl C)NTRACI C)R DR OWNER: LU ” � Ti THE EC1 ,�►R�I LIEN L�41I�t '; t�h1 R St�LT 1� AYINGTw . f' i B4,2 M�G'r hN C� " "1 lE t'1'S." � �INf3 7f3 �A< FIMNA 1�AN5 WHICH ARS PART OF T�i15 PERM"1'F ANp'3UBJECT TC7'R? r I�? �1 tCA 1 E POV%104S,O LAKY, tk t :. 'IT BiI.CING + IT'. L 000314 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH r" AI'i A "wrc sr.l t T FI.1';{,;'i V C�.' .,i'-A ozF-zi 6 .Y t8c=e k , pt � I��t, �.;>ltd;:3» #_t a ,_�a��-, y ;'� k��:+� 1 '• }..t 1 t»!'P N A # Pe;F •i.'R kt aF} Y "2 t �' H-�: Fw i�l 3 ti^3k.�f ..,c.> A{'r rt� _ 195,'.^V s..(1 t"fib cif�. sraE:ytt1�t a# I UNT RAC,raft, ,.. I^,t Ji €D STATE Et.Ft„'"T�'P! .<'«# I tIP �.,�: Ii T t . { in.,�qE.V I ttF Af..'f F€'1"" a t'c,Ifi iI% 'f:t:: Il. R, W Alk t- i'A 1 ,��.'.�/"Y Gdtx Gtj"t.t gg y >.'�y,f_Y, f�Ef E •� NOTES: f f j NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By; CITY OF ATLANTIC BEACH, FLORIDA Approwd by APPLICATION FOR ELECTRICAL PERMIT ELECTRICAL INSPECTOR: DATE: 12. 14 TO THE CHIEF EL IMPORTANT NOTICE: ^1(23 IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF,AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER EL CTRICIAN SIGNATUR NAME ,L � r�"�''/201 ADDRESS:- Z2�- - RFD BOX BLDG.SIZE BETWEEN: RES.((,RAPT.( i COMM.( ) PUBLIC( ) INDUS.i l NEW( ! OLD(0,-- REW.( ) ADDITION ( ) TRAILER I ) TEMP.( f SIGNS ( ') SO. FT. SERVICE: NEW( f INCREASE( )' REPAIR ( FEE CONDUCTOR SIZE 7i d AMPS COPPER ALUM. SWITCH OR BREAKER Tnjj2h=8ACEWAY EXIST.SERV.SIZE J 21 AMPS PH -TW 2-Yd VOLT 6t�-C-RACEWAY FEEDERS NO. SIZE I NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 3t-t00 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES i IBELL TRANSF. 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 H.P. VOLTAGE PHS MISCELLANEOUS........Ad 0 - . -]r iii _ INCANDESCENT LAMPS TIME SWITCH FLUORESCENT LAMPS DISCONNECT NUMBER SIGNS RECONNECT NUMBER SIGNS MISCELLANEOUS WELDERS: PRI. PRL TRANSFORMER TYPE NO. AMPS PHS NO. AMPS PHS MG MOTOR NO. H.P. VOLT PHS AMP GENERATOR NO. K.W. VOLT AMPS TRANSFORMERS: UNDER 600 V. OVER 000 V. NO. KVA NO. KVA F ORWARD UTILITIES: CITY ( ► FLA.LIGHT&POWER ( 1 CLAY COOP.( 1 REA ( ) OKEFENOKEE( 1 OTHER ( ) WORK BEING DONE FOR ADDRESS OWNER-AGENT-GENERAL CONTRACTOR BOATWRIGHT LAND SURVEYORS, INC. BLS JOB NO. 89-491 MR. S MRS. PAUL ANDERSON '. PART 01' LOTS 9 AND 10, NORTH ATLANTIC BEACH UNIT NO. 1, R--C-e-S CORPORATION AS RECORDED IN PLAT BOOK 15 PAGE 10 OF TIP. CURRMNT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, TOGETHER WITH A PORTION OF DEWEES AVENUE CLOSED BY DEED BOOK 1319 PAGE 427 OF SAID PUBLIC RECORDS, AND BEING MORE PARTICULARLY bri-SCRIBED AS FOT.,LOWS : FOR A POINT OF REFERENCE, COMMENCE AT THE SOUTHWPOT CORNER OF SAID LOT 9; THENC8 NORTH 01.1035127" WEST, ALONG THE EASTERLY RIGHT OF WAY LINE OF BEACH AVENUE (ROI:NERLY GARAGE. APPROACH ROADWAY, A 30 FOOT RIGHT OF WAY) r A f ISTANCV OF 16 . 36 FEET TO THE POINT OF BEGINNING; THENCR CONTINUE NORTH 0403512710 WEST, A,ND ALONG SAtn RIGOUT OF I7*Y x,7tK.F;, A DISTAkNCE OF 55.00 FEET TO THE SOUTHWEST CORNER OF LOT s^A:ID, ::OE:'"i':: A a t,e►►4i I.,. vEA....ii UN1 6' t:.. . -C-E--s CORPORATION, ' AND T,019 CENTERLINE OF A ] 0 FOOT EAREMENT AS DESCRIBED iN DEED BOOK 1318, PAGE 116; THENCE NORTH 77059133" EAST, ALONG THE CENTERLINE OF SAID 10 FOOT EASEMENT, A DISTANCE OF 201 . 80 FEET TO THE EROSION CONTRGI,, LINE FOR DUVAL COUNTY, AS RECORDED IN PLAT BOOK 35 PAGES 59, 59A AND 59B; THENCE SOUTH 05053106" EAST, ALONG SAID EROSION CONTROL LINE, A DISTANCE OF 68 . 85 FEET; THENCE SOUTH 81056 ' 33" WEST, A DISTANCE OF 202 . 03 FEET TO THE POINT OF BEGINNING. 1401 PENMAN ROAD SUITE"D" TELEPHONE JACKSONVILLE BEACH,FLORIDA 32250 241-8550 3 ( yf�yh .k RIIATICIS rM's x§ as -tn,1a 0 SPAR C of ATL ITY LOOM� ;g � ENUE 'BEA6.r P"ERTiFCJFtIATDK Air ANTICTION 4771, . FLlRx�A �� p� r�eit Nu +lax' UTILIT3E5Tyl ' it Type' w 10 CeO:f To ar u aIN� E Pro ed, LFAII I pagg 0,x, jasted 1 ng�irt3•OC? 1: . E i raka i at I mproly . Coat, *336.23Total a t Av+DUIEk 'y TER WIFE VICE �1 " AP AR tN FEES ' tare ATaN z A ` T Ora $0,0 #r AVENUE � CH PLOR, �� RC1.EJtG A OA N«Vit.tea. *0#00 00 �3R1�A � TAS' } # , 00 --- '; P,A Neese s UBL wC _ tI. " MAREQ. Typea Oi • ' �",00*,- _ � 'r"+#Swi.Bi 'rva'',u.,H' i ARIl +f F d j ,ag t tiat' t yS7 J. ', rai»w "T• ilwPJM,.. .fl',;s "'? c t aF.,, - C7:NEt it $8 �v s �� p!t r rI E�ALOt4,CRgTE FOK D F T.B ' 010 r 41 ., m ' a �� v... � __ .. '. a :. ,. '�FP:u`� c§ `,;1`ran' :�`y„"" g''p^ mac, �' w.R..... r � .,� � � `t . ... ., .. �E � r �. Y �.. a� s,�5t; �.. � �. ��. � t� a �, ,.., � � �'i - k ��' ?.��, 4�� c _ ..... 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E � ark � k � �(�€ � �' � P s jE r' '�. � � � e $ �, l �i,� ��' i P # PRIcE Quote APPLICATION FOR WATER ANS/OR SEWER TAP APPLICANT NAME / Q I '- Jl' MAILING ADDRESS !Me-j PHONE NUMBER _ DATE SERVICE REQUESTED 1)---------------------- r) / SERVICE LOCATION �� l � C_'f� ��ce.a„« -----1 --------------------------------------- ------------------------------------------------ DATE SENT TO DATE RETURNED PUBLIC WORKS A-,, -��_-- TO BUILD. DPT.DATE OWNER OWNER NOTIFIED--------------------- ,r DEC 30 ion 4 (( ;� g�. L,a. t_ ... CITY OF ?ROPERTY DESCRIPTION 76'r a4 UNIT 1 N/A , w 7160CEANBOULEVARD mot )►9 & 1 Black ---_„__Section i_ l -, k , ww....---- i-. P.O.BOX 25 ��j ;� ATLAN77C BEACH.FLORIDA 32233 Pd e3 Eve.i� --w- TELEPHONE(901)248-2495 iubdivisions_N/A -,.-----.,,.,.,..,..--- _ ``U' 1011ding and roayr- !✓E.Mia��t a,. street Mame 1643'iBeach Avenue DESCRIPTION OF WORK sr Address%----....-------......------------------ 6 It in a FLOOD HAZARD 'load Zansii_•,__X,,_�„--_ssrea co"plate page 3. Brief guest house , garage , NO Descriptions and-screened-porch-_ Class of Works Addition (NerlRemodellAddition)----------_-_- TONING INL?ORMATYON Type of conc . block • Constructions----------------------- ,latriat.RS-2 usep In------------------ gle family residential Estimated Vilue s_ 9?_52 ------ •-- ------- :xceptions or none Materials, jQ ,.� d wood _-__---- arianees Granteds......._-...,..-- :---......--- Solid or Filled prefab ww ww�.wwwww-- Ground s•s,p,lij--____Roots„ OMNER INFORMATION Method of Meetings ------ Paul Anderson phones-246-8627 Property Owners---------..-..-....-..- ---........-..-......_....------ ------------- Mailing 1643Beach Aven!u?�j/(� y� i ~� r5r"A-C H /I L/t- Address-------------------....-� ------------�_-....-..----- Atlant•ic Beach,i FL 32233 .. w-....-..----. ..-- ----------•------------ Zip s---------------- CONTRACTOR INFORMATION I! N/A Car+traotor s ........................... Phone Phone:-N1 A--------- Nailing N/A Address s------------------------.....---------—..-----�----- 1 ..__............----------------------------- Y------ Zips-- ----------- Expiration License HumbersL -----www_------- w--------- Dates-------------- 2 NERtST CERTIFY THAT I NAR READ AND [XANIN[O THIN APPLICATION AND KNOW TN[ SANE TO RE TRUE AND CORRECT. ALL PROVISIONS OP THE LAMS AND ORDINANCES OOVERNIMO TNIS TYPE OF YORK WILL BE CONPLIC0 WITH, MNSTUCK-SPECIFIED NERtIN OR NOT. THE ORANTINO OrNA PtRNIT DoE! NOT ►RE2uRE TO 1t ! OIVS AUTNORZTY To VIOLATS on cANCXL THE ►ROVINiOUS 0I ANY FEDERAL, STAT[ OR LOCAL RUL£G. �(� REOULATIONS, OROINANCSS, OR LAWS IN ANY MANNER, INCLUDIHO THE OOVERNINO OF CONSTRUCTION OR TWE ''' rjlT � �• PERFORMANCE OF CONSTRUCTION OF THE PROJ[CT. i UNDCRSTANO THAT TM[ ISSUANCE OF TNit ►ERNit IS CONTINOSMT UPON TMS ASOVS INFORNATION RLINO TRUE AND CONR[CT AND THAT INC PLANS AND Su►►ORTTRG I ',►1.• , • DATA HAVC /ESM OR $HALL' MS PROVI / REOUIREO. A( Is Owner Signaturejj _ f �.•t! Contractor Signature----- -------Date_ 4848 DEPARTMENT QF BVILDiNG CtTYOF'ATL,ANTIC:BRACN . .� ,. H ` 'O t __.. .:�� . LOCATION INFORMATIN Perial Number 1 --1 & CH AVENUE Permit Type t BUILVTNOC...., ATLANTIC REACH, )~LORILI Clik" of Warks. ADDIT1OJf ----- __- LEG' ,DESCRIPTION Constr. Type; WOOD FRAME Lots , Bloch t Sectio :µ rcta t :a ' ii IPAL-V YWID Ttvrshia¢ RHO: E} ' I t l z I x +O Suhdl.jisfibra t No Atl'. Sch. ROU06ted Value: *8938a.00, Imparev. Coat t $0000 Total Fee'; 1955.O Amount Paid's *1955.OC ids 1/27/92 dI ion Sp -- _, _.� �APPLICATION FEES IDEM PERM T r a " � WATO IMPACT FEE " � , .' s C BiCH, fiLflHI A' 33 9EWE� IMPAC'!` FEE S3 CJ3a WATER�,MET 3A5 $0.O , ACTOR INFO �¢ tlxwo x ,. , 3 + WATER TAF $0; Ad e k SEWER TAS 3 H`>tI�1�AtJLIC SH ARE £# SEC. If IMPAtt' EE, NOTES: 17 "P p NOTICE--ALLCONCRETE FORMS ANO,FOOTINGS MUST 819 iW$PECtf 0 B.IEFORE POURING PERMIT VOID,SIX MONTHS'AFTER PATE OF ISSUE, CUl C31NG MATERIARUBBISH AND DEBRIB FROM THIS WORK MUST'NOT'SI;,PLA+CED IN PUBLIC SPACE,AND MUST BE LEARED UP AN0,14 AWAY BY EITHER CONTRACTOR OR OWNER. I"AL.tE , ' ' CI LY WITHH TMEC'HAN S' LIEN LAW SAN RESULT IN TH TY t WNER PAYING TWICE FOA BUILDING IMPRQVENIENT t # ACCE I OINC3 0;APPROVED PLAN WHICH ARE PART OF kJS.PeRMIT AN13 S tBJECT TQ REV N F I VI ► N+Qi1*'R F L:lCA81E PROVISIONS OF LAW. Vw ' ,f n A I;ANTIG BEACH St1ILDING DEPARTMENT 7=7k j; i� r l a 5 y r <. 4.rK: 0 "a. ;�'.. a# $: rG `„U`` R'a 0 & 0 01 d1' :" 4 f..,a ', nit w' „3 a'!R,' 3 s 4Y�, '��t`�r s.. a it 4. 1,,.,,.}f`` n :." 4 1' a R " 3`1'q ?'f +`va " '4t s 4843 DEPARTMENT OF BUILDING ----- PERMIT INFORMATIIONOFATLANTIC BEACH ------- LOCATION INFORMATION - Permit Number: 4843 Address: 1643 ! Permit Type: BUILDING ATLANTIC BEACH, FLORID 3' Class of Work: ADDITION ---------- LEGAL DESCRIPTION -- Constr. Type: WOOD FRAME Lot : Block: Sectio ► i ` '�` t � I �I£ I AT") Township: RNG: o Dwellings: l Calc-: U Subdivision : No. Atl. Bch. gstk mated Value: $89388. 00 Improv. Cost : $0. 0 Total Fees: $1955. 0 Amount Paid: $1955. 0 Date :Paid: 1/22/92 orch addition --------- ---- APPLICATION FEES ----- Name: PAUL ANDERSON PER . 051 Address: 2643 -1 BEACH AVENUE WATER IMPACT FEE $290. 00 ATLANTIC BEACH, FLORIDA 32233 SEWER IMPACT FEE $1035. 0 xane: (904)246-8647 WATER METER 50. 0 RADON' GAS-H. R. S. $0.0 „f ----- -- CON'T'RACTOR INFORMATION ------w- RAD014 GAS - S% so" Name: WATER TAP $Q. Address: SEWER TAF HYDRAULIC SHARE $0. 0 License: Type 0 RE-INSPECT "- , $0. 0 ! SEC. H IMPACT FEE $0. 0 OTHER $0. 00 , 119* NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING' PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE t BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER PUBLIC SPACE,AND MUST BE j f "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." VALIDATION DATE: Of 22/� ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REV N FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ;I,i cKga 3. FATLANTICACHBUILDING DEPARTMENT CONTRACTOR COPY 5304 DEPARTMENT OF BUILDING' CITY OF ATLANTIC:BEACM -`- PERMIT INFORMATION - -------- LOCATION INFORMATION Permit Number z 5304 Addrea s t 1643 BEACH AVENUE Permit Types MECHANICAL ATLANTIC BEACH, ' FLORIDA 32233' C.Ikaass 01 Work: NEW ---------- - LEGAL DESCRIPTION Constr, Type z WOOD )FRAME Lot: Blacks section z Proposed Use t SINGLE FAMILY Toxnsb.ip a RNC: 0 044,11iangat 1 Cade: O Subdivision; -NORTH ATLANTIC BEACH Estimated Valuez $0.00 I�aprav: Ct t: 60.00 Tot l e z , a47.00 Asou $47.00 I1et 5 , 1/92 , Work TIAL HEAT AND AIR ?t r AT ON ,•�= � _-7 APPLICATION FEES _ .f r � PERMIT 047. 00 Adan AVENUE WATER IMPACT FEE $O.+313 Ph I GH, FLORID � a M � E FEE � .� EO.�►t� t, e p PR3 �A- 71 "'q RADON GAS-N. R. S. *0.00 R O FORMATTIN " RADON GAS -', S'% $0.00 Names EA ; A NEAT & ` R MATER TAP $fl.Od �. .e . Adds^ a+ rw f�- .. 'r SAP m. 4t}. 16 0 NOt EACH, FLORIDA 3223 HYDRAULIC'. SHARE $0.00 L1+cxet� R Typet3 RE-'INSPECT FEE . CLQ SEC.'H, IMPACT FEE SQ' O NOTICE—.ALL,CONCRETE FORMS AND FOOTINGS MUSTSIR INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS'AFTERHATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORT(MUST NOT,BE PLACED IN PUBLIC SPACE,AND MUST BE ' CLEARED UP AND tiAULED'AW,AY BY EITHER CONTRACTOR OR OWNER. #i AiLURE TQ COMPLY WITH THE MECHANICS' LIEN LAW, CAN RESULT IN THE PROPER"t'Y owNER PAYING TWICE KROUILDING IMPROVEMENTS. LITIa � s 1� :ACCORDING;TO APPROVE() PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ EVOCATIC�F R ' R �ItI4F-APPLICABLE PROVISIONS OF LAW. I.94 ATLANTIC BEACH OPILD1IdQ.:C PAIRTMENT Sy: a t E N ..S �, .. f, A :adm• my q C-00 Iq 70 low n"..k ��e ...4 P1030 CIA�'`ls�� ts,.t }`: � s-'•;�. ir` 1 :t:.;; Pty•. #`,.E.;tS r a UM", ;W t.tk s#;;A n3 1TA44, #_.. A4'! tf -z"Ahf VI 'yy ,..�}Y NOW }},t �p a�p��.a :, 1 Nan t .L4t k h Y.4 a.�} 01 & gui,'' 'x.5F" �� Bh '' 1 a BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BF�,ACH ATLANTIC 019ACH. FLORICA S a!3 % APPLICATION FOR MECHANICAL- PERMIT ~ CALL-IN NUMBER IMPORTANT �--- Applicant to complete all items in sections 1, 11, 111, and IV. LOCATION street Address: �(,Ef�{�"' ._ Ash L O!: Inteirsectiag sfreels: detwaen And BUILDING Suh•e(wirion 11. IDENTIFICATION -- To be completed by all applicants In consideration of permit given for doing the wort as described in the above statement we hereby agree to perlo•n+ said wort with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonvil'e ordinances a-a s1e-ae•as of good practice listed therein. Nance of Mechanical Contractors Conlraelor (trial) �"� Mallet [�AC4?2 s , Brine of t V l 3 ,may Properly Owner /'� signature of Owner signa/un of w Authorised Agent Architect or Engineer 1 111. GENERAL TION A. typo of hooting fwl: 8' 1 , IS oTNER CONSTRUCTION BEING Dome ON ric THIS BUILDING OR SITE T �. Q Gee--O V O Nehrral O Central U+;lily IF YES, GIVE NUTABER OF CONSTRUCTION O Oi PERMIT 1 Q Othw —Spot* IV. &*K*ANICAL EQUNIr1WT TO K INSTALLED NATURE OF WORK (?MOW*cempiete hitt of cornpenonfe on back of thio Isretl Residential or i f] Commercial Sl Neat O Spon O RecAned k Control O Hoa New Building CoWrlioning: O Roods l�(—Contml O Existing Building Deet hVism: Motorist �SL—�21�T1►icLaoa.--Lam:—.—.. C� Replacement of existing system Mailawn apeetlY l 6�d a1.ls. New Installation(No system previously installed) ❑ Extension or add-on to existing system OvMe ❑ Other— specify T O CeoRog flow.►: CePedly v Q fin pttWM: Nuseber of bas,' --.•-- C) BMW O MeaFifl O Eaetetss41 THIS VACS POR OFFICE USE ONLY t7 Ge*&*PUMP4 (R..dee411 (El Toil_ {.w ►I Romeds O LPG conNiaota —1nvasbet1 p UeP..�Flacon yeller hail! Approved dl► Data - C) Bob" 13 Oder— Specify ftmit a.. LIST ALL EQUIPMENT • AIR CONDITIONING AND REFRIGERATION EQUIPMENT Ca>;,aAppravinR ?Mer L mbVdta Dweslptlots MOM >rtaatuGtatttlrer 1 ") wiroef t Co/U l._ D� W DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: t 1/y /6 v ------ ------------------------------------------------- ------ ------------------------------------------------- ------ ------------------------------------------------- ------ ------------------------------------------------- S I HCE� ELY, _ J T BUILDING INSPECTION DIVISION cc:FILE CITY Or ATLANTIC BEACH, ,FLORIDA' PP .=by FOR ELFCYRICAL PERMIT, � r: TO THE Chi"F ELECTRICAL INSPECTOR: DATE: w, 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 i.RE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. • r .ts r.. � iY ELECTRICAL FIRM: IAllsrc y s— /Ea-r- 'KAASTER ELECTRICIAN SIGNATURE •��HI�.EY�i!�I . ('� • 2 �`�`� -' ADDRESS: �lc�}3 l* e, c(�. �p•r -RFD—BOX---- NAIr;E , BLDG.SIZE t.. BETWEEN: -rE+ S r RES. APT. (APT. ( 1 COMM.( ) PUBLIC( 1 INDUS..(° 1 NEW l OLD ( 1 REW.IV) ADDITION ( ) TRAILER I 1 TEMP.( 1 SIGNS l 1 SG.FT. FEE SERVICE: NEW l ) INCREASE ( 1 REPAIR ) CONDUCTCR SIZE APAPS COPPER ALUM. SWITCH OR 6C-.EAKER _ AMPS _ PH W VOLT RACEWAY EXIST.SERV.SIZE I C� AMPS PH ' W I%L�PoVOLT S RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPENTOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED + n APPI..IANC.ES - _^ BELLTRANSF. AIR H.P. RATING N.P. RATING CONDITiOAiNG CO!:"?,MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-Hc.AT - , OVER — ------- .. MOTORS H.P. VOLTAGE pHs NO., I ILPVOLTAGE PHS MISCELL:'1_iEOUS (Momk-L ,, i•c e � ;2 4 76 Qh, .0 7-Ah'SFORMEHS: UNDER 300 V !� OVElli 603 V. - - - - CITY Or ATLANTIC BEACH, FLORIDA' APPrAby' APPLICAYIW-4 FQR Elr•CYRICAL PERMIT` t: TO THE CHI,:F ELECTRICAL INSPECTOR. DATE: IMPORTANT NOTICE: .q. f„ I: -IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY rGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, +: WHICH i.RE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF > ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: E7�js�ASTER ELECTRICIAN SIGNATURE JOQ$jjMIASI N �' �. rZ. +- A�SSADDRESS:' X1023 1e►�cr: A✓� RFD 80X_.---_ BLDG.SIZE ` BETWEEN: T 5� 20TH Sr RES. r APT. ( ! COMM.( ) PUBLIC( ) INDUS.'(! NEW(A OLD ( i REW.( ! AODIYION ( ! TRAILER ( ) TEMP.( ) SIGNS ( ) SG-FT. SERVICE: NEW V) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE �© AMPS 5�0 COPPER I I ' ALUM. • �Vc� SWiTCH OR fli;FAKER J, SO AMPS I, PH 3 W /1-Y0 VOLT RAC YWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN' TOTAL RECEPTACLES CONCEALED OPEN TOTAL I 0.90 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT _ FLUORESCENT&M.V. FIXED 0.100 AMPS, _ OVER APDL-!ANTES BELLTftANSF. _ AIR H.P.RATING H.P. RATING - CONDITIONING G0t11?,MOTOR OTHER MOTORS I AMPS CEIL HEAT: KW-NZAT OVER' , MOTORS H.P. VOLTAGE PHS NO;" t N.P. .; VOLTAGE PHS MISCELLANEOUS - .. ....�.. r- ... -.•�.�+...� ..-...ice. _ -.._ - ' TTANSFORMEPS: UNDER 300 V. OVEIi 6C0 V. . - ,_.,.iF" a '�� r,� t�a !1 �tra�w t is ., ..; •� 7i e M CITY OF ATLANTI ' � A APp•e,Y.aby APp41CATJONQ,R ,ltr•r. ;F �1.,}t�f y,;, ^ �,:M1 Y• .. , .. 1, Z• . 5 I d 5 ' 1pyll�•Y r, tl 1� SS 3 ,ji 1. }. 1`.. , yl ,. ,+ i i .'�\} �., ril'*� ••ISI,�� j t'�'�{ �'°+ .� T TO THE CHi"F ELECTRICAL INSPEOTOR: DATE: IMPORTANT NOTICE: i" /*� . `'a^+'+ i' ,�►j'—i'1' *'� IN CONSIDERATION OF PERMIT GIVEN FOR DOING'THE WORK �S DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, it WHICH i.RE A PART HEREOF;ANQ IN ACCORDANCE WITH THE., jigNS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATSlRE ' ' r JOQBtigYM�Y EcLI/7K " �S.SQC i >��S ADDRESS: X BLDG.SIZE I I RES.(V!" APT.( ! COMM.1 ,! PUBLIC , 44D l ! REW.1 ! ADDITION ( ! TRAILER'( ! TEIrIIP.(� SIGNS (' 1 •FT: �ti, t FEE��•GO SERVICE: NEW(INCREASE l 1 REPAIR( J « �. , CONDUCTOR SIZE AMPS ` " ' '''COPPER '• M• 'ITCH OR UREAKER d P Y EXIST.SERV.SIZE AMPS PH W ` •" ' V w CEWAY FEEDERS NO. SIZE. NO. ;SIZE NO ' SIZE ; LIGHTING OUTLETS CONCEALED OPEN' TOTAL _ RECEPTACLES CONCEALED OPEN "' {� TOTAL 0.30 AMPS. 5 , 31-100 AMPS aY r SWITCHES r INCANDESCENT FLUORESCENT_&M.V. h •' t St *, _- - i•-_• FIXED 0.100 AMPS.' OVER 1;, ' °.", . :.� "• + APPLIANCES t' BELLY AIR H.P.RATING H.P. RATING k } - CONDITIONiNG COMP,MOTOR -OTHER MOTORS AMPS' •EIL HEAT: KW-HEAT +" ►'' VOLTA R - . 0.1 .. � ;• OYERMOTORS' . HP. GE PHS NOS `..1 M.P. ` 'VOLTAGE' PHS MISCELLANEOUS t :,�.y 1 � — T�AhSF Rr ' ERS: UNDER SOC V' t 7 OVEit coo V. .6 F4 '' ` xx PRICE Q%A04"M APPLICATION FOR MATER AAD/OR SEWER TAP 0 APPLICANT NAME -------- --- -------------------------- MAILING ADDRESS PHONE NUMBER L"6 � � � ��4&1?17DATE Al)_ 471 SERVICE REQUESTED__ ,�� G = SERVICE LOCATIONS"� --.-------------------------------------- ------------------------------------------------ DATE SENT TO DATE RETURNED PUBLIC WORKS_________________ TO BUILD. DPT. ________ DATE OWNER NOT AFPR • VEi NOTIFIED '41u""a' --------------------- 0 0 T 1991 CITY OF ATLANTIC BEACH _ PUBLIC WORKt 9cP!.P'rM,'NT T This sewer service is proposed as part of the �✓ �� , i Beach Avenue water and sewer project. Residents ill be notified shortly of project schedule and whether they will be willing to pay assessment for-work. :• r , � ' 1° UU /� DATE: PRE-SERVICE DIVISION 3ACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 ,� y THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: ------ --------- --------------------------------------- ------ ------------------------------------------------- ------ --------------------f-__________---------____-----_ ------ --------- --------------------------------------- j' RELY, ( BUILDING INSPECTION DIVISION cc:FILE w a ' 061 I/ QEPARTMENT OF 84J#LDiNG 1 CITY OF ATLANTIC BEACH .: .0ERMIT 'IN�'t�>RATION �-___-- w LUCATIt ]! INFORMATION _. . � ' N 4761 �Addx Pas t 1643',BEACH AVENUE _:P ► + it Type'Q 1'LU34HINC ATLANTIC BEACH, F"Lfl1�T)GA bl'"Word a. NEW -- LEGAL DESCRIPTION ... .. ._ . . „'"�►m ►trA TY P 'x WOO O FI A iE L of rt_.. Slock s' S ata an Prop osgod 'Use,x SlNdLE ;E:AMILY fic�vnehip l RNU% 0 Eir ► Bina " a 1 Cvd Ir C) 5ubd �riicn Fte t Ya uo-1 *0.Od . . improv. 00,t a ,aLl Ic to l *es: $4G. 60 A u 046.50 } 2/ tI/,9 LATx®N - - �r �.. APPLICATION F'EEIa -. ..�� $. PERKIT $46. 50 R WATER IMPACT FEE $0.00' Aod a AVENUE . k CNS 'LflFtIl3� � B I PEE Via.Qs y I#14r1�O$ 'OASl� N, R.E. g �+�3t CI4 >N OR Cf. t3Q OA "E1tt TAP $0.00 E ".;; .` ' 0.0 0 HYDRAULIC GiRC .LQ "AG" i " r4p ' IEETy .. EEC. NIMPACT .FEE ^w'tt'k�eNt.�, . r. rA.M✓„., � ' num wsFwa . a"aa.am. w.aav: 0,v i ,N6TESI ICONCRSTFc FQRM8 ANd FOOTINGS MUST BE lA13 '"am —4t�RB POURING PERMIT VOID SIX MONTHS AFTEF#DATE'4F# SU WILDING MATERIAL,RUBBISH ANDD��3RIS. FRQMTHIS WORT{MIDST NQT SSI:P.ACED IN PUBLIC SPACE,AND MUST BE Bl] CLEAFIED UP AND-H*ULED AWA .BY,E !,HER CONTRACTOR OR OWNER. i FAILURE "T + itP .Y WITH THE MELAW CAN RESULT IN PICPERT'Y �111lI PAYING TWICE, Ft R SU1a ,1NG 1N11 + / NEN"1` .�� ' v Lz�TIt DATE: s2/�f�> 135ve ACCt�R�CN�a T© APPWt3VED PLANS WHICH ARE PART OF TRIS PERM T AND sU i TQ RE1tOC FOR vI1ATION CSF APP#.IGABLE Pt�risldN8 QFAw. .E1 ATLANTIC REACH BUILDIN', IIEPARTMEt�T L,,,.. -, 1.77 7 , I,Y, a .._. ....... +...va.......`.....y,„,., ...,.,..�,.:...+amu w..xw..:,..: s x i A t s _ F 'r 1:1 44 ,:g) 3- M:':: :`19.} ;i'�l le S+bt.,..t .. .k, ,-';''.yl fy{r1�'.i. �"kr i. '.Tn M, ,# 'E:"7` ".,� '...#Sha "€'7 r.,�k.. r, .:4�i trid.�s;��,; r,i.. f1��E',n S'�a r �`*;�`t`,�„� "'�'.�` -s.�r t":ti ;�..i.�-+:iy •.q� �i. 0' - i 9 {:? a '^ _? ,kf:# ,� d"a- p,X+ a.»n' ��y s mob'`*. ° �� `4� ' �, 53,11 X �� µis' 4 8,' 7 yy y day F ;;q.4",r ko-o-hJ cf } CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: iF3 />e PLUMBING CONTRACTOR: y Svc. LICENSE NUMBER: CO S567 OWNER: /A°r, NJOr (0•J BUILDING CONTRACTOR: TYPE OF BUILDING:- SINKS UILDING:_SINKS SHOWERS Z LAVATORY WATER HEATERS L BATH TUBS DISHWASHERS URINALS DISPOSALS Z CLOSETS / WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT:., + $15.00 ------------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. d I ,� t.� Am HEALTHCARE EQUIPMENT SERVICE, INC. 285 4803 SAN JUAN AVE. 388-6668 JACKSONVILLE, FL 32210 1 , a2T r r $ Por E eI ORDER OF.- - -- __— is ---DOLLARS Southeast Bank, N.A. �s ut EDGEWOOD BANKING CENTER BS32 Cfll1 ii 380 SOUTH EOGEWOOD AVENUE J JACKSONVILLE,FLORIDA 32205 116000 M Su■ 1:0630002L21: 0 2 L 0230S61" 11110000004 6 SOliE r ' • , C 5h , �� Address Heated Square Footage L GAO @ $ 5"3 C 4 per sq ft a $ S �, Garage/Shed 0„per sq ft a $ Carport/Porch �1 @ $ / 00 per sq ft s $_ Deck per sgft - $ Patio @ $ per sq ft = $ 70M VALUATION: f 41 3 C? cep $ 6C. CC� Total Valuation 1st $ 5-0 , 0�CZE.4 0 a 17 Cl P 3 k(Y G $ /6 O'co Renainde Valuation . °-per an or potion thereof ---------; Total Building Fee $ 2 d ADDITIONAL PF W4M and/or FEES REQtT W it + Fi].iM Fee Mechanical ✓ = ()Fireplaces @ 15.00 $ ---�`- Plumbing ✓ BU11DING PER= FEE $ 3 d .C) 0 Electric/New L------------------------------------------------- Electric/TaT _ �,/ Septic Tank BUILDING PERMIT $ � S 0 Well WATERME= CHARGE $ 9..A=d.ng Pool SEWER IWACr FEE $ S O Sign WATEK IMPACT FEE $ 9 0 .(-)0 Water Connection MISCEUAMMLIS $ -----__ Sewer Connection /G' �j $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ----------------------------------------------- -------- ---------- -- ---------------- ---------------------------------------------------------------------r'----------------------- 4 CAtaUTIONS ----- CALCUGATIONS and/or NOW r CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner(s) : Mr . Paul Anderson -------------------------------------------------------- Address:--1643 Beach Avenue Phone: 246-8627 ------------------------------ - -- ----- Lot # 9 &_ 10 Block or Unit #_ One _ Subdivision: DT A ----------------- Contractor:_ NJA................................................. Describe work to be done:_ uest house , arae , and screened _porch ----------------------------------------------------------------- ----------------------------------------------------------------- Present use of building: single family residence ----------------- Valuation:- ________________Valuation: $92 ,520. 00 Proposed use:--single family residence __-_---- ----------- ------------------------------ Is this an addition?YeS _____ If yes, what are the dimensions of * the added space: See below - ( 1 ) -_____ Will the added area * be heated and cooled? Yes _L2) Nev electrical (,4hr// /1- Yes _ Nev plumbing fixtures? Yes Nev fireplace? Yes Nev Neat/AC? Yes SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: _ Date: - ------- --- -- - -- ----1--[-- Signature CONTRACTOR: N/ _________ Date: ----------- * ( 1 ) Added space : guest house: 956 s .f. `y} garage : 528 s .f . screened porch: 966 s .f . ,.. r ✓ � * (2) The guest house DEC - 21991 Building and Zoning CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS a PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) Co WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) r WASHING MACHINE (3) POT, SCULLERY SINK (4) ____DISHWASHER (2) - WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) Q BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) S' SHOP (2) LAVATORY, SURGEONS (2) SURGEONS SINK (3) JACUZZI (2) `-' URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS / y'`� @ $20.00 EACH $ 00 t` JOB INFORMATION FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 900-A-91 Section 9—Residential Point System Method Climate Zones Department of Community Affairs NORTH 1 2 PROJECT NAME: .3 BUILDER: AND ADDRESS: PERMITTING CLIMATE OFFICE: ZONE: 1❑ 2 n 1:13 k OWNER: PERMIT JURISDICTION NO.: NO.: ]� 4 b NEW CONSTRUCTION ® If Multifamily,number of CONDITIONED GLASS AREA AND TYPE units covered by FLOOR AREA [I[JASQ, FT. Clear Tint Film Solar Screen ADDITION this submittal: PREDOMINANT Single- SQ.Single- SQ. EAVE OVERHANG n pane �.FT. pane FT. ❑ MULTIFAMILY ATTACHED [-1 Check if this submittal LENGTH 11 represents a worst case PORCH OVERHANG0]11 FT. paneDoubls M F(T. pane Double- Sol SINGLE-FAMILY DETACHED 4 condition: � LENGTH NET WALL AREA AND INSULATION EXTERIOR MASONRY R= EXTERIOR FRAME R= EXTERIOR STEEL R= EXTERIOR LOG R= FT.SQ- ❑❑ � FT. ��L J ❑�FT. ❑❑ �❑FT. ME] ADJACENT MASONRY R= ADJACENT FRAME R= ADJACENT STEEL R= ADJACENT LOG R= ❑� FT. ❑❑ lLL_J�J FT. ❑❑ SQ111:1111 L _J�J�J m1 FT 1 ❑❑ CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC Rrn= SINGLE ASSEMBLY R= SLAB PERIMETE R= RAISED: WD CON R. FTT.. LIJJIJ � FT. [11 FT. ❑ / " DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS In Unconditioned Central ❑Electric Strip ® Heat ❑Ceiling Fans Electric Solar: ❑ m S ace Pump []Cross Ventilation ❑Natural Gas ❑Room ❑Natural Gas Other Heat Recovery(CHECK) 9 ❑Room Unit or Fuels Whole House Fan Other Fuels R= 5 Packaged Terminal ❑ ❑ Dedicated Heat❑�❑ In on droned Air Conditioner Packaged Terminal[]None ❑Attic Radiant ❑None Pump: EF= Space None Heat Pump Barrier NUMBER OF [] R= ❑f]nn SEER/EER=❑❑ COP/HSPF/AFUE= ❑Multizone EF=L0 I BEDROOMS= O INFILTRATION PRACTICE USED 3 _ 17-1110 0 171 X 100 ®,Ft I TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I. E1#1 ❑It3 CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. I ereby certify that the son and spe!'ficVt'orjF qpvared by the calculation are in compliance with the Review of plans and specificati s vexed by this Icula7tiindi catescompliance w th Florida Energy Code. l f the Floriida Energy Code. Befo con ruction is feteds�► `tl es will be inspected PREPARED BY: DATE: L for compliance in accordancet Se ion 553.9 ,F.S. I hereby certify that t building is in compliance with the Florf)Alergy Code. BUILDING OFFICIAL: OWNER AGENT: DATE: DATE: T -/ 9A I PRESCRIPTIVE MEASURES(must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECK WINDOWS 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack includes sliding lass doors). ✓ EXTERIOR& 904.1 Maximum of 0.5 CFM per sq.ft.of door area:solid core,wood panel,insulated or glass doors only. ADJACENT DOORS wo EXTERIOR JOINTS 904.1 To be caulked,gasketed,weatherstripped or otherwise sealed. &CRACKS ✓ WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric) or cutoff as must be provided. Externalbr built-in heat trap required. SWIMMING POOLS 904.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a &SPAS pump timer.Gass a&pool heaters must have minimum thermal efficiency of 78%. SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. HVAC DUCT 904.6 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached, CONSTRUCTION, sealed,insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditioned INSULATION space and air handlers located in attics must be insulated to a minimum R-4.2(R-6 after 1/1/92). &INSTALLATION HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. INSULATION 904.9 Ceilings-Min.R-19. Common Walls-Frame R-11 or CBS R-3. Common Ceilings&Floors R-11. -1 - SUMMER CALCULATIONS CLIMATE ZONES 1 2 3 Z GLASS BASE BASE z SINGLE-PANE DOUBLE-PANE SUMMER AS-BUILT W AREA x SUMMER = SUMMER AREA x SUMMER POINT MULT. OR SUMMER POINT MULT. x OVERHANG= GLASS FE PT. MULT. POINTS o CLEAR TINT' C TINT' FACTOR(9B) SUM. PTS. N 38. N 40.7 41.5 38.3 X 34.9 NE 57.7 NE 61.5 61.6 157.71 51.0 E 00 79.7 E O 84.9 83.9 79.7 68.9 SE 79.1 SE 85.4 1 84.3 79.1 68.8 S 66.2 S 73.2 72.7 66.2 58.2 SW 79.1 SW 85.4 84.3 79.1 68.8 W 79.71"33W 84.9 83.9 79.7 68.9 NW 57.7 NW 61.5 61.6 57.7 51.0 N H 66.2 H' 290.2 250.1 267.0 195.3 N C7 t COND. TOTAL BASE BASE ADJUSTED AS-BUILT .155 x FLOOR t GLASS = ADJUST. x GLASS = GLASS GLASS 15 AREA SEA FACTOR SUBTOTAL BASE /Z"� C SUBTOTAL • ` . COMPONENT BASE SUMMER= BASE COMPONENT SUMMER AS-BUILT DESCRIPTION AREA x POINT MULT. SUMMER DESCRIPTION AREA x POINT MULT. = SUMMER PIT (9C THRU 9G) POINTS EXTERIOR / .9 ADJACENT .7 3 EXTERIOR 6.1 i. L C ADJACENT 2.4 0 C7 UNDER ATTIC d .6 O rob Q4 I IL J OR SINGLE w ASSEMBLY .6 V BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING.AS BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE. � r it SLAB PERIMETER -37.0 forob Ir - oC RAISED(AREA) d - 3.99 J LL FOR SLAB-ON-GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE. v 1 INFILTRATION I If 4P 11 1 8.0 It SW.o I lads .d USE TOTAL FLOOR AREA OF CONDITIONED SPACE, TOTAL C MP N NT BASE SUMMER POINTS I TOTAL COMPONENT AS-BUILT SUMMER POINTS BASE COOLING 773TAL BASE BASE TOTAL AS-BUILT I AS-BUILT I AS-BUILT AS-BUILT COOLING SYSTEM x SUMMER = COOLING AS-BUILT x OM x CSM x CCM = COOLING SYSTEM MULTIPLIER I 0,F2jNR SUM.PTS. 9H 9K 9L POINTS1991 .42 fpanuw I _ 1992 .37 vx �•f 3� 9 e NUMBER BASE BASE AS-BUILT NUMBER AS-BUILT AS-BUILT AS-BUILT HOT OF x HOT WATER = HOT WATER HOT WATER OF At HWM x HWCM = HOT WATER WATER BEDROOMS I MULTIPLIER POINTS SYSTEM DESC. BEDROOMS 9M 9N POINT SYSTEM 380317 'xj7� ISO 'H = Horizontal Glass(Skylights) 2For glass with known Shading Coefficient,see section 903.2(a). Tint Multipliers may be used for glass with solar screens,film,or tint. -2- 91 HEATING SYSTEM MULTIPLIERS(HSM) CLIMATE ZONES 1 2 3 SYSTEM TYPE HEATING SVqTFM MULTIPLIERS Central Heat HSPF 6.4-6.79 6.8-6.89 6.9-7.39 .4 9 7.9-8.39 8.4-8.8919.4-9.89 Pump Units HSM .53 .50 .49 .43 .41 .36 HSPF 10.4-10.8910.9-11.3 11.4-11.8 11.9-12.39 12.4&U HSM .34 3 .31 .30 .29 .28 PTHP COP 9 .89 2.9-3.09 3.10-3.29 3.30-3.49 3.50-3.69 3.90-4.19 HSM .38 .37 .34 .32 .30 .29 .26 Electric Strip 1.0 Gas&Other Fuels 1.0 See Table 9J for Credit Multiplier) 1991 Minimums: Central Units-Air Source 6.4 HSPF,Water Source 3.4 COP,Ground Water Source 3.2 COP, PTHP 2.6 COP. 1992 Minimums: Central Units-Air Source 6.8 HSPF,Water Source 3.8 COP,Ground Water Source 3.4 COP,PTHP 2.7 COP. HSPF means Heating Seasonal Performance Factor. COP means Coefficient of Performance. HEATING Y MRIERS;(HCM) HEATING CREDIT MULTIPLIERS Attic Radiant Barrier HCM .98 Multizone HCM .90 Natural Gas AFUE .68-.72 1 .73-.77 .78-82.82 .83-.87 .88-.92 .93-Up HCM .52 1 .48 .45 .42 .40 .38 Other Fuels HCM 1 .65 1 .64 .59 .56 .53 .50 Where more than one credit is claimed,multiply HCM's together.Enter product on page 4.AFUE means Annual Fuel Utilization Efficiency. 9K O IN TEM LTIPLIER M SYSTEM TYPE DOLING SYSTEML L R 7.5 8.0 8.5- 8. - 9.5 10.0- 10.5 11.0 11.5 12.0- CENRAL UNITS RATING 7 9 8.4 8.8 9.4 9.9 10.4 10.9 11.4 11.9 12.4 (SEER) CSM .45 .43 1 .40 k .38 .36 1 .34 1 .32 1 .31 1 .30 1 .28 PTAC&ROOM UNITS RATING 12.5- 13.0- 1 13.5- 14. - 14.5- 15.0 15.5- 16.0- 16.5- 17.0- 17.5 (EER) 12.9 13.4 13.9 14.4 14.9 15.4 15.9 16.4 16.9 17.4 &Up CSM .27 .26 .25 .24 1 .24 .23 1 .22 .21 J .21 1 20 1 .19 1991 Minimums:Central Units-Air Cooled 8.9 SEER.Ground Water Cooled 10.0 EER.1992 Minimums:Central Units-Air Cooled 10.0 SEER.Ground Water Cooled 11.0 SEER.PTAC--see Table 9-11 A.EER means Enerav Efficiencv Ratio.SEER means Seasonal Eneray Efficiency Ratio. IT YSTEM TYPE COOLING CREDIT MULTIPLIERS(CCM) Ceiling Fans .86 Multizone .90 Cross Ventilation or Whole House Fan(Credit for only one) .90 Attic Radiant Barrier .95 Where more than one credit is claimed,multiply CCM's together.Enter product on page 2. 9M HOT WATER MULTIPLIERS HWM SYSTEM TYPE HOT WATER MULTIPLIERS Electric EF .80-811.81 .82-.83 .84-85.85 .86-.87 .88-.90 .91-.93 .94-96.96 .97&Up Resistance HWM 4183 4081 3984 3891 3803 367 3560 1 3450 Natural Gas EF .43-47.47 .48-.49 .50-.51 .52-531.53 .54-551.55 .56-571:57 .58-.59 0-.61 .62-.631 .64-.65 .66&Up HWM 2732 2448 2350 2259 1 2176 2098 2026 1 1958 1 1895 1 1836 1780 Other Fuels HWM 2121 1 2368 2467 2586 1 2665 2570 1 2481 1 2398 1 2321 1 2248 2180 Water heaters must comply with minimum efficiencies in Table 9JA of the Florida Energy Code.EF means Energy Factor. 9N HOT WATER CREDIT MULTIPLIERS HWCM SYSTEM TYPE HOT WATER CRE IT MULTIPLIERS Solar Water Heater SF .1 .2 .3 .4 .5 6 .7 .8 .9 1.0 HWCM .9 .8 .7 .6 .5 .4 .3 .2 .1 .0 Heat Recovery Unit With Air Conditioner Heat Pump HWCM .62 .58 Dedicated Heat Pump EF 2.0-2.49 2.5-2.99 3.0-3.49 1 3.5&Up HWCM 1 .44 1 35 .29 .25 A HWM must be used in conjunction with all HWCM.See Table 9M.SF means Solar Fraction.EF means Energy Factor. P INFILTRATION RED TI N PRACTICE MPLIANCE CHECKLIST(See Section903.2111)) COMPONENTS REOUIREMENTS FOR EACH PRACTICE CHECK PRACTICE#1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES ON TABLE 9A. PRACTICE#2 COMPLY WITH#1 AND THE FOLLOWING: Exterior Walls and Floors Top plate penetrations sealed.Infiltration barrier installed.Sole plate/floor joint caulked or sealed. ✓ Exterior Walls&Ceilings Penetrations,joints and cracks on interior surface caulked,sealed or gasketed. v Ductwork Ductwork in unconditioned space must be sealed. M Fireplaces Equipped with outside combustion air,doors,and flue dampers. Exhaust Fans Equipped with dampers.Cumbustion devices see 903.2(f). PRACTICE#3 COMPLY WITH PRACTICES#1 AND#2 AND THE FOLLOWING: Ceilings Infiltration barrier installed. Interior Walls Top plate penetrations sealed or joints&cracks on interior walls caulked,sealed or gasketed. Recessed Lights Sealed from conditioned space&insulated from ventilated attic spaces. Ductwork All ductwork located in conditioned space. Combustion Appliances Be in unconditioned space(except direct vent),draw air from unconditioned space,exhaust by-products to outside.Stoves see 903.2(f). -6• VVIN I CK UALUULATIONS CLIMATE ZONES 1 2 3 Z BASE WINTER BASE SINGLE-PANE DOUBLE-PANE WINTER AS-BUILT Uj GLASS X POINT = WINTER GLASS x WINTER POINT MULT. OR WINTER POINT MULT. x OVERHANG = GLASS o AREA MULTIPLIER POINTS Cr AREA CLEAR TINT' CLM TINT' FACTOR(96)I WIN.PTS. N 7.3 N 13.8 13.6 1 7.3 8.1 NE 4.6 NE 10.7 10.5 4.6 6.0 E 40 - 9.2 E - 3.8 - 3.6 - 9.2 - 5.7 SE -22.7 SE -18.1 -17.5 -22.7 -17.3 S -28.4 S -24.0 -23.0 -28.4 -22.3 SW -22.7 SW -18.1 -17.5 -22.7 -17.3 W - 9.2 • W - 3.8 - 3.6 - 9.2 - 5.7 NW 4.6 NW 10.7 10.5 4.6 6.0 H H' -28.4 H' -67.6 -59.1 -57.7 -45.0 fA Q J COND. TOTAL BASE BASE ADJUSTED AS-BUILT .155 x FLOOR + GLASS = ADJUST x GLASS = GLASS GLASS ARE6 &REA I FACT05 I SUBT21AL BASE WP SUBTOTAL .15 COMPONENT BASE WINTER = BASE COMPONENT WINTER AS-BUILT DESCRIPTION AREA x POINT MULT. WINTER DESCRIPTION AREA x POINT MULT. = WINTER P 1 T 9C THRU 9G POINTS J EXTERIOR '7 2.2 a ADJACENT 3.6 3 1 1 EXTERIOR 12.3 0 o ADJACENT 11.5 0 1 � UNDER ATTIC 1.2 i OR SINGLE 1.2 A SEM LY 1. BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING.AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE. SLAB PERIMETER 8.9 CRAISED(AREA) .96 0 _ x U. FOR SLAB ON GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE. 1 Y INFILTRATION 7.4 USE TOTAL FLOOR AREA OF CONDITIONED SPACE. TOTAL COMPONENT BSE WINTER POINTS r TOTAL COMPONENT AS-BUILT WINTER POINTS BASE HEATING TOTAL BASE BASE TOTAL AS-BUILT AS-BUILT AS-BUILT AS-BUILT HEATING SYSTEM x WINTER = HEATING AS-BUILT x DM x HSM x HCM = HEATING SYSTEM MULTIPLIER POINTS POINTS W,INN. �. PTS. 9H 91 9J1991 .58 •,P ISSi 1992 .55 0-I . -?to r. }'co /�,1s ' .� .c f '? • BASE BASE BASE TOTAL AS-BUILT AS-BUILT I AS-BUILT TOTAL J COOLING + HEATING + HOT WATER = BASE COOLING + HEATING + HOT WATER = AS-BUILT FC POINTS POINTS POINTS POINTS POINTS POINTS POINTS POINTS o From P.2 From P.2 Enter on P.1 From P.2 From P.2 Enter on P.1 ?�sG•Z G 3G�:� 7Gd Co V40?,a 01 00S%0 7354P Zr�✓S.3 'H = Horizontal Glass(Skylights) 2For glass with known Shading Coefficient,see section 903.2(a)'. Tint Multipliers may be used for glass with solar screens, film,or tint. -4- f SUMMER POINT MULTIPLIERS (SPM) 913 SUMMER OVERHANG FACTORS(SOF) For single and double pane glass. CLIMATE ZONES 12 3 10. OH RATIO ,11 .12-.17 .18-.26 .27-.35 .36-.46 .47-.57 .58-.70 .71-.83 .84-1.18 1.19-1.72 1.73-2.73 2.74+ N .94 .91 .87 .83 .79 _ .76 .72 .69 .63 56 .50 M i NE/NW 11.01 .94 .91 .86 .80 .75 .71 .67 .63 .55 .48 .42 ,�',o E/W 1.0 .95 .92 .86 .80 .73 .68 .63 .57 .47 .39 .31 --SE SW 1.0 93 .90 .82 .74 .66 .60 .54 .47 .39 .32 .27 S 1.0 .91 .86 .77 .68 60 54 .51 .45 .39 .35 .31 10-OH LENGTH* 1 ft. 112 ft. 1 2 ft. 1 3 ft. 31h ft. 1 41/2 ft. 5Y2 ft. 6Y2 ft. 91/2 ft. 14 ft. ft.+ *To select by Overhang Length,no pad of glass shall be more than 8 ft.below the overhang. OVERHANG RATIO= QH LENGTH OH HEIGHT T-�L ' H L IT H a� H 9C WALL SUMMER POINT MULTIPLIERS(SPM) FRAME CONCRETE BLOCK' FACE BRICK WOOD STEEL INT.INSULATION Fr.INSUL R-VALUE WOOD FR LOG n10.92.1 J EXT ADJ NORMAL WT. NOR.WT. 0. 6.9 2.4 6 INCH .2 7.6 p•g R•VALUE EXT ADJ EXT 7-10.9 .6 R•VALUE EXT 8 3.5 1:30- 2.9 2.2 1.1 2.2 11-18.9 .4 0-2.9 1.5 .7 2.7 1.03. 4.9 1.3 8 .8 19.25.9 .2 3-6.9 1.0 .6 2,5 0.95. 6.9 1.0 .7 .5 26&Up .1 7&U .8 .4 2.2 0.8 7.10.9 .7 .5 .3 R•VALUE BLOCK 8INCH .2 1.2 1 0.4 11 -18.9 .4 .4 .0 0. 2.9 1.0 R-VALUE EXT 19.25.9 .2 .2 3 6.9 .6 0 2.9 1.0 26&Up .1 .1 7- 9.9 .4 3.6.9 .7 10&U .2 7&U 6 9D DOOR SUMMER POINT MULTIPLIERS(SPM) 9E CEILING SUMMER POINT MULTIPLIERS(SPM) DOOR TYPE EXTERIOR ADJACENT UN ER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF R-VALUE SPM R-VALUE SPM CEILING TYPE WOOD 6.t 19-21 1.1 10-10.9 2.9 R-VALUE DROPPED EXPOSED 22-25 11 -12.9 2.6 10• 13.9 3.2 3.5 INSULATED 4.t 1.6 8 13-18.9 2.4 14-20.9 2.2 2.4 E30-37.9 .6 19.25.9 1.8 21 &U 1.5 1.6 9F FLOOR SUMMER POINT MULTIPLIERS(SPM) SLAB-ON-GRADE RAISED RAISED WOODY EDGE INSULATION CONCRETE OR UTSFLOOUR SPM CONSTRUCTION R IINSLATIONA NT R-VALUE SPM R-VALUE VSPIN! SPM /SPMx 0-2.9 -41.2 0-2.9 - .8 0 6.9 0.0 2.2 3-4.9 -37.2 3-4.9 -1.3 7- -1.4 2.3;..<:> 8 5-6.9 -36.2 5 6.9 -1.3 -1.3 -1.9 1 .7 7&U -35.7 7&U -1.3 -1.1 - 9H DUCT MULTIPLIERS(DM) 913. INFILTRATION SUMMER POINT MULTIPLIERS(SPM) eturn ucts Return Ducts R-Value In Unconditioned Space In Conditioned Space INFILTRATION PRACTICE SPM Supply 4.2-5.9 1.10 (See Table 9P) Ducts in 6.0-6.6 1.10 1.07 Unconditioned Space 6.7&up 1.09 1.06 PRACTICE# 1 Supply 4.2-5.9 1.10 1.00 Ducctt y PRACTICE x 2 PRACTICE�3 5,P s in 6.0-6.6 1.07 1,00 Conditioned Space3 6.7&up 1.06 1.00 ' For multipliers for other types of concrete block construction see section 903.2(b). 2 For multipliers for other types of raised wood assemblies see section 903.2(e)1. 3 Ducts in conditioned space need to be insulated only to the R-Value necessary to prevent condensation. -3- WINTER POINT MULTIPLIERS (WPM) 9B WINTER OVERHANG FACTORS(WOF) CLIMATE ZONES 12 3 No- OH RATIO 1 .0-.11 .12-.17 .18-.26 .27-.35 1 .36-.46 1 .47-.57 .58-.70 .71-.83 .84-1.18 1.19-1.72 1.73-2.73 2.74+ SINGLE PANE GLASS N /1-01 1.05 1.08 1.12 1.16 1.20 1.24 :1..45 1.31 1.38 1.45 1.51 NE/NW 1.0 1.09 1.13 1.20 1.26 1.33 1.39 1.50 1.63 1.74 1.84 E/W 1.0 .67 .50 .16 -.20 -.60 -.95 -1.73 -2.51 -3.31 -4.05m SEISW 1.0 .92 .88 .77 .10 -.21 -.48 -.74o� S 1.0 .95 . .13 -.24 -.54 -.67 LU I DOUBLE PANE GLASS ' N 1.0 1.09 1.13 1.19 1.25 1.31 1.37 1.42 1.48 1.58 1.69 1.79 NE/NW 1.0 1.15 1.23 1.35 1.46 1.58 1.68 1.78 1.87 2.09 2.28 2.46 E/W 1.0 .85 .77 .62 .46 .28 .12 -.05 -.24 -.59 -.96 -1.29 i SE/SW 1.0 .93 .90 .82 .72 .61 .51 .40 .28 .03 -.19 -.40 S 1.0 .96 .94 .87 .78 .67 .55 .41 .27 --.04 -.29 -.40 ►IOH LENGTHS 0 1 ft. 11/2 ft. 2 ft. 3 ft. 31h ft. 41h ft 5'h ft. 61h ft. 91h ft. 14 ft. 20f *7b select by Overhang Length,no part of glass shall be more than 8 ft.below the overhang. OVERHANG RATIO= OH LENGTH OH HEIGHT L � H L H Fli H z 9C WALL WINTER POINT MULTIPLIERS(WPM) FRAME CONCRETE BLOCK' FACE BRICK WO00 STEEL INT.INSULATION EXT.INSUL. R•VALUE WOOD FR LOG R-VALUE ADJ EXT ADJ NORMAL WT. NOR.WT. 0- 6.9 12.6 6 INCH 0- 6.9 11.1 10.4 15.1 13.1 R•VALUE EXT ADJ EXT 7-10.9 4.2 R•VALUE EXT 7.10.9 4.4 4.4 7.3 6.6 0- 2.9 11.2 6.8 11.2 11 -18.9 3.5 0.2.9 4.5 11-12.9 3.7 3.6 5.7 5.2 3. 4.9 7.3 5.1 5.6 19-25.9 2.2 3.6.9 2.8 13-18.9 34-mf 3.3 5.2 4.9 5. 6.9 5.7 4.2 4.3 26&Up 1.4 7&Up 2.1 9 25. T 2.2 4.6 4.4 7-10.9 4.6 3.5 3.3 R•VALUE BLOCK 8 INCH 26&U 1.5 2.7 P,6 11-18.9 3.0 2.6 2.2 0- 2.9 7.9 R•VALUE EXT 1925.9 1.9 17 3 6.9 5.7 02.9 3.0 26&up 1.3 12 7- 9.9 3.8 3-6.9 2.2 € 10&U 3.0 7&U 1.7 9D DOOR WINTER POINT MULTIPLIERS(WPM) 9E CEILING WINTER POINT MULTIPLIERS(WPM) DOOR TYPE EXTERIOR ADJACENT UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF R-VALUE 011k R-VALUE I WPM CEILING TYPE WOOD 12.3 11.5 19-21.9 2.0,11 10-10.9 3.2 R-VALUE DROPPED EXPOSED 1.7 11 - 12.9 2.9 10- 13.9 2.9 3.3 INSULATED 8.4 8.0 -29.9 1.4 13-18.9 2.6 14-20.9 2.0 2.1 30-37.9 1.2 19-25.9 2.0 21 &-Up 1.3 1.3 38& U .9 1.3 -17777- 9F FLOOR WINTER POINT MULTIPLIERS(WPM) SLAB-ON-GRADE RAISED RAISED WOOD2 EDGE INSULATION CONCRETE ---MST OR PIER STEM WALL W1 UNDER R-VALUE WPM R-VALUE WPM CONSTRUCTION FLOOR INSULATION ADJACENT WPM WPM WEB 0-2.9 18.8 0-2.9 9.9 R• 0. 6.9 13.4 .4 3-4.99.3 -4. _ 3-4.9 5.1 -L;.1L9 4.1 ' 1`6 <>: 4.4 5.6.9 .7.6 5-6.9 3.6 2.9 7&Up 7.0 7&Up I2.9 1.9 .8 9G INFILTRATION WINTER POINT MULTIPLIERS(WPM) 9H DUCT MULTIPLIERS(DM) Return Ducts Return Ducts INFILTRATION PRACTICE WPM R-Value In Unconditioned Space In Conditioned Space (See Table 9P) Supply 4.2-5.9 1.14 1.10 PRACTICE a 1 10.9 Ducts in 6.0-6.6 1.10 . 1.07 PRACTICE a 2 q Unconditioned Space 6.7&up 1.09 1.06 PRACTICE a 3 Supply 4.2-5.9 1.10 1.00 Ducts in 6.0-6.6 1.07 1.00 Conditioned Space' 6.7&up 1.06 1.00 For multipliers for other types of concrete block construction see section 903.2(b). 2 For multipliers for other types of raised wood assemblies see section 903.2(e) 1. ' Ducts in conditioned space need to be insulated only to the R-Value necessary to prevent condensation. -5- 4698 ' DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ___a_ PERMIT INFORMATION _ - ------- LOCATION INFORMATION ------ Permit Number: 4658 Address: 1643 BEACH AVENUE Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: N/A LEGAL DESCRIPTION Constr. Type: WOOD FRAME Lot: Block: I Section: Proposed Use: GARAGE/CARPORT Township: RNG: O Dwellings: I Code: O Subdivision: Estimated Value: $0. 00 Improv. Cast: $0. 00 Total Fees: $25. 00 Amount Paid: $25. 00 DatgA ----- ---- OWNER INFORMATION -------- - APPLICATION FEES Name:; PAUL ANDERSON PERMIT �a2`=r. 00 Address: 1643 BEACH AVENUE WATER IMPACT FEE S0. 00 ATLANTIC BEACH, FLORIDA 32231 SEWER ,IMPACT, FEE $0. 00 Phone: (944)24G-8627 WATER METER S0.00 RADON GAS-H. R. S. $0. 00 - ----- CONTRACTOR INFORMATION ----- RADON GAS - 5% 50. 00 Name: PROPERTY OWNER WATER TAP $0. 00 I Address: SEWER TAP $0. 00 HYDRAULIC SHARE a0. 00 License: Type: I RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE SO. 00 OTHER 00. 00 NOTES: i NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVPPA VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CONTRACTOR COPY -71 WIG T OF n CfTY pTLAI�i tto of �1C1°# „� ✓ R, 3�I ,4'f�. � i•;; VA «.....�.rr e� .w+«w: t- Addrwama 1 - P+ r�t t Iluax�s ' A`` A '0II' 1 Olu 11J>1 ` Lot I TYpv m .VOD` t]pI ' . s p P 1po aed Jjs s %A e kod,RT rst 1 t _ O r Nd. *,J*�� tdAoeo, Total t # '« .alb i1 ttTit", � 025.00 8 F I PPftT A OI 'Toll , : ' l "'' Agn- t ► t # > � PEE . e # r �k "N "" flz a s �� a, ell � . ' ' A l OI � Ntl ., ,�081.C0 mil XC-9 so 00 TYPE s f 777 i ►t : t. u 'z1 Nt,�TfCfc pfOQNC#fE't F3RMSrANCN FOOTING$MUST go INS�II�it;tll�b�15RC)R�P(lllsi#NQ ' PERMIT VOID 140P V DATE OF ISSUE 7-4 ' iL€}INO 'MATE RtAL, wu stS ,Ara RO., 'T 47RK cap PLAryI h PUSLIC � t�, ;, �'MU$T ' OLtARED P,A{JC3 HA AWA' coI Acro +` ' .. 40 A. ENTS w YWIC AD.AOCORD##VC3 TC? A# PROi►E0 FLANS WH*GH ARE PART CSF THIS f�EMiT Afs#0 SIJS.I � = ATF4A1'C 'A ' i � Rt3? #$i41!I^OF IvN: �y p, A Ilf31NQ IE .ARTME'NT' ATLANTiC'I c13 R ; • TREE REMOVAL OWNER EXEMPT SECTION A APPLICATION MUST BE RECEIVED BY NOOK OF THE WEDNESDAY BEFORE THE MEETING: t. y Owners Nanw Aftm Tetephor>f 2 Locattmof Tose RornmW18110AtNrMiOn SECTION B (To be con"W bymppomftwtton propoq bzoned residerdA includes an exiMirgd-vom ;andw"b notproomnwownmooalp so t.What charges mop—posed b Mi011bm proNedd1e4 2.What b the playas@ of fta p opoNd dwlW 3.Spectly trees props #orranoWas blows: TREE COUNT SPECIES. 8tm(m x 4.WN ftwbres be rsbcMed on the sumprnpW 5.It M.wN oplsoerit !A bees be pMKNed? . 1 g Spay proper replace wo trm as fola TREE COUNT SPECIES SME x i 7.Attach Ste plan. ' (SKIP SF.CTION C ANO COMPLPT°"SECTEEml D; FLORIDA ENERGYEFFICIENCY CODE FORM 1000-C-91 FOR BUILDING CONSTRUCTION SMALL ADDITIONS Section 10 Residential Prescriptive Compliance Method Climate Zone AND RENOVATIONS Department Of Community Affairs NORTH 1 3 Compliance with Section 10 of the Florida Energy Efficiency Code may be demonstrated by use of Form 1000C-91 for additions of 600 square feetor less, and renovations to single and multifamily residences.Alternative methods are provided for additions by use of Form 1 OOOA-91 or 900A-91. PROJECT NAME:LALvl3 - e c r.- BUILDER: AUL ,f•!t/ ,eeS d AND ADDRESS: 3 L4cPERMITTING CLIMATE OFFICE• T,c,, 4)r/C 13c,4c 9 ZONE: 1 ❑2 ❑3 OWNER: ' PERMIT JURISDICTION 19 / NO.: q 3 NO.: Cs t It 107e) NEW CONSTRUCTION CONDITIONED �' SQ NEW GLASS AREA AND TYPE unitss c If Multifamily,number of FLOOR AREA IIJFT. Clear Tint,Film Solar Screen ADDITION covered by PREDOMINANT this submittal: PREDOMINANT SQ.Single- ��(�SQ. MULTIFAMILY ATTACHED EAVE OVERHANG ane FT. ane ll II II FT LENGTH j!]JIFT. SINGLE-FAMILY DETACHED PORCH OVERHANG Double SQ.Double��SQ LENGTH FT, pane FT. pane FT. FOR ADDITIONS ONLY WALL TYPE AND INSULATION CEILING TYPE AND FLOOR TYPE AND INSULATION WOOD FRAME MASONRY INSULATION WOOD MASONRY EXTERIOR: EXTERIOR: UNDER ATTIC: RAISED: RAISED: PERCENTAGE R= R= M R= , R= M11 R= m• 11 GLASS ADJACENT: ADJACENT: TOO FLOOR: % R= .D R= SINGLEm� ASSEMBLY: R=m•O COMMON: []].O ORMMON:m•� COMMON �.� CRMMON: �•� COMMON: SLAB-0OWGRADE: (—( R= R= DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM n Unconditioned 0 Central Electric Stripa 0 Heat 0 Electric 11111111111irr, ❑Solar S ace 0 Room N� Pump 0 Natural Gas 0 Heat Recovery NA ?TV ❑Natural Gas 0 Otges R=F-P 0 PTAC Q Other Fuels 0 Dedicated Heat Pump In Conditioned No New System El Room UniUPTHP a.m 0 Y 0 None 0 No New System EF=•m Space sn F None Q No Ne w System SF/EF= R_ •i� SEER/EER=m•1 COPMSPF/AFUE= NUMBER OF BEDROOMS= 1 I hereby certify that the pus an aejovered by the ca loulation aro in compliance with Review of pians and specifications covered by this calculation indicates the Florida Energy-9, compliance with the Florida Ener Code. Before construction is completed,this PREPARED BY: DATE: ' W W bing will be inspected for compliance in accordance with Section 553.908,F.S. 1 hereby certify that building is Incomplisnce with the a Energy Cods. BUILDING OFFICIAL: OWNER AGENT: DATE: DATE: TABLE 19A I MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK` Windows' 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack includes sliding lass doors). 1111,111101- Exterior&Adjacent Doors 904.1 Maximum of 0.5 CFM per sq.ft.of door area:solid core,wood panel,insulated or glass doors only._ Exterior Joints&Cracks 904.1 To be caulked,Basketed,weatherstripped or otherwise sealed. Sole&Top Plates 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed. Infiltration Barrier 903.2 Infiltration barrier must be Installed in exterior walls&raised wood floors. Wf Interior Joints&Cracks 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed. Fir aces 903.2 Fireplaces must have flue dampers,glass doors and outside combustion air intakes. Exhaust Fans 903.2 Exhaust fans vented to unconditioned space shalt have dampers,except for combustion devices with integral exhaust ductwork. Combustion 903.2 Combustion space and water heating systems must be provided with outside combustion air, Heating except for direct vent appliances. Water Heaters 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric) or cutoff(gas)must be provided. External or built-in heat trap required. Swimming 904.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a Pools&Spas pump timer,Gas spa&pool heaters must have minimum thermal efficiency of 78%. Hot Water Pipes 904.4 Insulation is required only for recirculating systems,including heat recovery units. In such cases, piping heat loss shall be limited to a maximum of 17.5 BTUH per linear foot of pipe. Shower Heads 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. HVAC Duct 904.6 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed,insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditionec Insulation&Installation space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92). HVAC Controls 904.7 Separate readily accessible manual or automatic thermostat for each system. Renovations Only Blass 1003.0 Meets the requirements of sec.1003.0. See step 3 of page 2 of this form. -1 _ J SECTION B - (All other Applicants) 1 . Property Zoning: RS-2 2. Submit the following: SITE PLAN/TREE SURVEY indicating: a) Site topography, existing and proposed grades b) Existing and proposed structures c) Location of all trees w/ DBH of six inches or more d) Tree species and sizes e) Trees to be removed should be clearly marked f) Trees to be relocated should be clearly marked g) Location of any proposed replacement trees h) Identify trees of special or unique characteristic i ) Identify trees within 10 feet of construction areas j ) Show location and type of tree protective barriers k) Location of utilities, accesses and easements. i 1 ) Location of vehicle travel corridors m) Location of commercial sprinkler/irrigation systems n) Landscape maintenance plan (commercial only) o) Staging areas for equipment and material storage SECTION C I , agree to comply with the rules and practices established in Chapter 23, Article II of the Code of Ordinances of Atlantic Beach. Ll 2(9 - It Owners Signature Date CITY USE ONLY Applicant has complied with all provisions of Chapter 23 and requirements of the Tree Conservation Board. — Tree Conservation Borrd Designee Date NOTE: "Tree Protection for Builders and Developers" is available at City Hall or from the Division of Forestry, 8719 West Beaver Street, Jacksonville, FL. 32220. ( 781-1434 ) I it OWNER BUILDER PERMIT AFFIDAVIT—''-' Stute of Florida ) City of Atlantic Beach ) BEOORE ME, the undersigned authority, personally appeared Mr .- -Paul Anderson- ---------- ---, who upon fir gat being duly --- ---- - -------- sword, deposes and says: _ ' Paul Anderson - and the legal owner cif the following property s Subdivision N/A -------------------- Block Unit One Lots �9 ani"IY----- AKA ----------------------------------- I am applying for a building permit pursuant to the Owner Builder exemption not forth in Florida Statute, Section 483. 103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENT% DISCLOSURE STATEMENT 0 State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of *25, 000. 00 or less. The building must be for your use and occupancy. It may not be built for Sale or lease. If you sell or lea's& more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state lav and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. J� ------------------------------ Property Owner Sworn to and subs ribed before- ioe this _ __ day ILA. 10{7 LAWS RAN"ton"Me If 713.13 T �tId-gr a of Comumnrenwnt, rllsnr.11s w ovKla�,'Itl �Iu ithmtt it tatttern: - The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. pt prqm� 1643 Beach Avenue, Atlantic Beach FL 32233 l�escri ion of ...._......».......................»..........»...».......................»:..»....._...._..._»..»............c.._.................. ».........»» See attached copy of legal description .......................»»................»............».......»....»..........................»...........».......... ...................»..........»....»...»..»»........_..».......»...»...»»..»»�»�•. ................................».................»......».....»..»....».....»»..........»........»...»..»................................»............. ..........»..........».».... ....................................»»..»..........»............»...........»....»....................................................»..............»....»..».....».............»».....�.»... .... • uest house cera e Genesi d�pan of improv +ts..» ....................................r.....` ........... ....�..».»»....... orch............. ...........�..._.... _ ...................................................»................».......................».................».......................... ».._...».»».......».....»..»»...........,,,».._.»...»..»»........_..» _. Mr . Paul Anderson ....»».».....»..................»..........................»..».................._............. Owner.............................................................. .....»...............»...».. ....».».... . Address 164,3 .Beach »Avenue, Atlantic»Beach, FL 32233 _ Fee simple Owner's interest in sit* of the wnprovement...».................»................ »....»..»._..».»._...»......».»....»»».»....».». _....._..». Fee Simple rkle holder (if other than owner) Name......N Z A...............................................„.»...,....»......».......................................................................... .....»»»...«...». ..» »...»......»....». . Address N .....................».......».....».......»...»........................................................».........»..................... »....................».................................». . ContradorrA.............»..............».»..»»......».»......:..............»........»........................».........»............».....................»...................... Address».»N/A..»............»._............._...........................«.._.»...._...._........._.... »...»........»...».....»»....»....... (if any)••N/A Surety »».»...........» .»..... ..»..........»».....».»..»»»....»..»........»...»........«....»......... of 401111 =•N�A.......»... Name Of person within the State of F)oride das*W*d by Owner upon whom notices or aher doaseents Noy be served, .........................».»........»........»»..».«»..»...................».»...........».»....»«.....»........»»....»....... _ Address••N A.._................»..............»..»....»...............».»......_............»....................»... .»...............».».....».».... ._...........»........... ._...» In addition to himself,owner designates the following person'to receive a copy of the Lienors Notice as provided In Section 713.13(1) (F), Florida Statutes. (Fill in at Owner's option). Nsme.................................»...»..»......:.....»..»..............»...........»... .........»»......»»..»....»................»....».........». .......»..»....... » Address....................».................................................................»..............».. ......,,........... ._.... ........_..................»...:...»...».». . TN1e *PACs from RAGOROeR's use ONLY ' A» l ' { FLAMPL.AIN DEVELOPMENT INFORMATION Type of Development t-N1A--------------------�......._------------- Flood Zones N _..._..........r_....r........_.. Required Lowest Floor BlwatiOtt: If building is located within a flood hazard zone, a survei aust be wade AFTER THC ALAE NAB BEEN POURED, certifying that the LAMEST FLOOR ELBVATSON is equal to or above the base flood elevation established for that zone. ,no final Inspection will be mwW and no oertI.01cate of occupancy .*will be issued until the aenrvey is anfile with the Mailding Department. • COMMENTSs ' AppAlcont Acknowledgesento I understand that the issuance of this permit is ooatIrMent upon the above information being correct and that the pians and anwppoariing data have been or shall = be provided as required. I agree to comply with all applicable i provisions of Ordinance No. 25-7-11 and all other lava or ordinances affecting the proposed development. Date /�� ` LApplicant0a Si- �ature__P-CU-4-e- ---------- _----_r-_-��-�-�. Department Use Required Lowest Floor 61 anon ,----------- As Built Lowest Floor Elevation ----------------- Survey Filed with Building Department ----------- ------------6----- - -_-. rr---------6----- -r Bu1ldng. Drerp.arrtrwent Representative t t page 3