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Permit 1878 Beach Avenue CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,TL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032514 Date 3/15/06 Property Address . . . . . . 1878 BEACH AVE Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ STUCK WHITES ROOFING COMPANY INC 1878 BEACH AVENUE 14262 PLEASANT POINT LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 220-5546 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 120 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120 . 00 120 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 120 . 00 120 . 00 . 00 . 00 MAR � 5 ZOp6 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUII.DING:0FF1C1A L t CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date Heated Square Footage @ $ per sq ft= $ Garage/ Shed @ $ per sq ft= $ Carport/Porch 0 @ $ per sq ft= $ Deck. @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ Total Valuation is` $ 1000 Rema'nsng Value $ per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ tj ZONING: _ + 1/2 Filing Fee FLOOD ZONE: ( )Fireplaces @ $35.00 $ DvTERVIOUS SURFACE: BUILDING PERMIT FEE $ 120, WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT.$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING{ } $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: CITY OF OF ATLANTIC BEACH C« BUILDING/ZONING DEPARTMENT ° >> rI 800 Seminole Road .Higgins J - Atlantic Beach,Florida 32233 Jia (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # No-t 4 Property Address: &zb bcaah a venue-) Applicant: ("-hea! k Project: eab)- " This permit application has been: Approved E-1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: U' Date: 31 tot f o6 Date Contractor Notified: ti j y lt.E fly' I J" ek CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: 3-8-2006 Job Address: 1 878 Beach Ave. Atlantic Beach, Fl. 32233 Owner of Property: Mr. Stuck Address: 1878 Beach Ave Atlantic Beach, Fl. 3223lelephone: 249-2094 Contractor: Timothy White (whites Roofing) State License Number: Contractor's Address: 14262 Pleasant Point Lane Sax. Fl. 32225 Telephone: 904-220-5546 Fax: Scope of Work: Deck Slope: 4/12 Greater than 2:12 Less than 2:12 Valuation of work: $9 ,800 .00 Product Name(Example: Timberline): Timberline Manufacturer(Example: GAF): GAF' ASTM Designation(s): Required Inspections: She 1 Signature of Owner: Date: Signature of Contractor: Date: -`�_0 AS TO'OWNER: Sworn to and subscribed before me this 8th day of March ,20 06 . I YMt f Duval% EJ.RITTER Notary's Signature: - > .� �.SSION#DD498844S: Dee.lz.zoo9Personally known Notary Service.com ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 8th day of March 120 06 State of Florida,County of Duval Notary's Signature: a_ apT°a' DEBBIE J.RITTER [Personally known e MY COMMISSION*DD499944 Produced identification Ofi> 1 EXPIRES: Dec.12.2009 Type of identification produced (407)350-0153 Florida Notary Service.com 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 1 Revised 2/21/03 NOTICE OF CON MENCENfNT State of Florida Tax Folio No. County of Duval _. To Whom It Nfay Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated ed�thi,$,i�iOTICE OF CO E1'. � ti Legal Description of property being improved: Address of property being improved: 1878 Beach Ave Atlantic Beach, Fl. 32233 General description of improvements: �� Owner Mr. Stuck Address: 1878 Beach Ave Atlantic Bch, Fl, Owner's interest in site of the improvement: �(,..✓� �/' Fee Simple Titleholder(if other than owner): Name: r; ' Whites Roofing. g CoIn c (Timothy White) Address:, 14262 Pleasant Point Lane Jax. F1. 32225 TelehoneNo.; 904-220-5546 Fax No: Surety(if any) Address: Amount of Bond S. Telephone No: Fax Name and address of any person making a loan for the constructioi °,c, l rtr(z Name: .s,- Address: �:( D J VA L Phone No: Fax Name of person within the State of-Florida, other than himself, designated by owner upon whom notices or omen may be served: Name: Address: Telephone No: Fax No: In addition to himself owner designates the following person to receive a copy of the Lienor's Notice as provided is Section 713.06(2)(b),Florida Staraes_ (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: </ Date- a 4tro6 Before m this _day of Loi in the CorSnty bfDu" vat,State +8 ' , DEBBIE J.RITTER Of Florida,has personally appeared a9 n r, y i � MY COMMISSION rrfq F EXPIRES: Dec.12.2009.2009 Notary Pubfic at Large,State ofFiorida,County of oval. R� (407)33&0153 Florida Notary service.com My commission=pn=: - a- 2 00 9 Personally Known: ✓ or Produced Identification: CITY OF ATLANTIC BEACH 4ta�'s f' 800 SE11'IINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032539 Date 3/16/06 Property Address . . . . . . 1878 BEACH AVE Tenant nbr, name . . . . . . INSTALL AH & HEAT PUMP Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ STUCK, JAMES DONOVAN HEATING & AIR 1878 BEACH AVENUE 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WrrH ALL MY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL ' CITY OF ATLANTIC.M .- H MECHANICAL PERMIT APPLICATION / M Date: [ ..� Property Address: 1878 gee cin �v� Owner: c k Telephone#: Contractor: a Telephone#: 2 W Contractor Address: �ve ©tom-+- Fax#: 0. s Contractor Signature: In eonsiderati�mbl permit given for doing the wodt above statement.we hereby a¢tee w perBorm said accordaaea with the wtmched plans and speoificadons which aro a part hereof cad is aeoordaace with the Ciry of Atlantic Beach ardinaoee�.aod titwpdarda of. good ce listed therein Type of Beating Fuel: If other construction is being done oa this building or site,list the building permit number: 0 Electric x ILP Natursl Centra!Utility O Oil t 0 Other—Specif MECHANICAL EQUIPMENT TO BE INSTALLED• NATURE OF WORK 0 Heat Space Racessod Floor a Residential 0 Air Conditioning: r Room 0 'Duct system: Material en O Commercial F Maximum capacity cfzn 0 'Refrigeration O New Building O Cooling Tower:CapacitytxDm 0 B a o,—Fire Sprinklers:Number of Heads O Elevator: Manlift Escalator (Number O Replacement of Existing Sptcuk. O �Gasollne Pumps _ New 0 Taub om ) 0 (No system Pre Iously installed) LPG Containers (Numbq) O Un&ed Pressure VesselO Extension orAdd-on to Exiadtttg system { O Boilers O' Gas Piping O Other-Speai$+ p: tither —Spec LIST ALL EQUIPMENT AM CONDMONING,REFRIGERATION EQUlPMZNTM CONDENSOR'� Ton'a Agency Number Units Description O z BEATING—FURNACES,BOILERS,FIREPLACES dr ATR HANDLER'S APPro i .'Nu Units Description Model it Manufacturer BTUs Agency TANKS Nominal Capacity Type Liquid Serial APPm +i How A Dimensions Contained Manufacturer No ency 800 Seminole Road•Atlantic Bench,Florida 32233-5445 Phone:(904)247-5800 a Fax: (904)247-5845 9 htti)://www.cf.stlantic-beach.fl.us Rovlsed 1104 CITY OF ATLANTIC BEACH SSt i } 800 SEMINOLE ROAD .; w. ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r Application Number . . . . . 04-00028802 Date 8/03/04 Property Address . . . . . . 1878 BEACH AVE Tenant nbr, name . . . . . . REGRND METER CAN Application description . . . ELECTRIC ONLY Property Zoning . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ STUCK, JAMES ADVANCED WIRING SERVICES INC. 1878 BEACH AVENUE P.O. BOX 350177 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32235 (904) 744-4446 -------------------------------------------- -------------------------------- Permit . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due -------------- --- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 g PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODE , .. ( . BUILDING OFFICIAL X CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Property Address: 1 'W &ac_! p V e.Yl u -c— Owner: —10-0ne 5 S': Telephone#: Contractor. 101d uo-o 2A Telephone#: -A14-X�Vlvj�p Contractor Address: L< <kCLn � Fax#: 9 In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached pians and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: __BuKding_TType:_ --__a_ Trailer- _. Service:_ if other construction is _ ❑ New Residence ❑ Temp. ❑ New being done on this building Or site,list the building Old ❑ Commercial ❑ Signs ❑ Increase Permitnurnber. ❑ Re-wire ❑ Addition Sq.Ft. Repair Conductor Size: AMPS: -,I o o COPPER ALUMINUM Switch or RACE .Breaker AMPS PH W VOLT WAY Existing Service a RACE Size AMPS o�)O D PH � W � VOLT WAYS Q-LA Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS v v Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Si Miscellaneous J\eIr'C)U(1& Q,j C t 2 r- LGA(� 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800. Fax: (904)247-5845. http://www.ci.adantic-beach.fLus CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028650 Date 7/12/04 Property Address . . . . . . 1878 BEACH AVE Tenant nbr, name . . . . . . USED CREDIT FROM 28615 Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . 0 Owner Contractor ------------------------ ------------------------ FLEET LANDING DAVID GRAY PLUMBING INC. 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 744-7255 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 r VITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING Jul 12 04 09: 09a DAVID GRRY PLMBG 7235668 p•_1 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION BANK: Wachovia Check Number : _ o�f6 Date: 2-1,0 q Property Address: Owner: i, �,� Telephone#: Z,,�C�- Ztxly Contractor: DAVID CRAY PJ 11MBING, TI-C Telephone#: 724-72) ] Contractor Address: 8850 Corporate Square Ct . Fax#: 723-5668 Jacksonville El 32216 In consideration of permit given for doing the work as described in the.above statement,we hereby agree to f rfoM said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, 0 New list the building permit number: a'—Re-Pipe Number of Fixtures: Bath Tubs Showers 3 Closets Shower Pans f L Dishwashers Sinks f Disposals Urinals Floor Drains _ Washing Machine I Lavatory _ Water Sewer _ �_ Water Heaters _ Other 4 Fees Permit Issuing Fee: 535.00 Issuing Total Fixtures: _ X$7.00 + $35.00 800 Seminole Road. Atlantic Beach,Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atiantic-beacti.fl.us .� ci!� CITY OF fQB4- Office of Building Of cial REQUEST FO IN ECTION 1760-3 Date / Permit No. Time Received l Job Addr s ocality Owner's Name _ Contractor BUILDING CONCRE ELECTRICAL PLUMBING MECHANICAL v— Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab —�� gt_�Fj�ADY FOR INSPECTION Mon. Tues. Wed. Thurs. :F,,day A.M. Inspection Made / P.M. Inspector (_, Final Inspection ❑ Certificate of Occupancy ❑ Date PSR-38" ; 17603 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - LOCATION I'NFOR 4ATION ermit Number: 17603 A dr ass < 1578 BEACH AVENUE Permit Type;DRIVERAY ATLANTIC BEACFI , FLORIDA. 32233 lass of W00c:NEW -------- - LEGAL DESCRIPTION .. ----_ ---- Constr. Typ#fWOOI} FRAME ' Block* Lot : ' Twp* C Proposed U'se*$INGLE FAMILY Section: D Suibd: Rncj: C D el I'ngS :L Subdivision T Est . Values 0 .00 Improv. Cost ,, 0 .00 Total Fees„ 2 .0 Amount Paid: 25,00 Date P% Work D sc' ER MAIN WILL BE COVERED 101 APPLICATION FEES Mme: NA TV 2 �00 dr ' ." Ld FLORIDA .3223:3 A 57 ead ` )N 1 M ATION Mme CORN O O 9TR CONAT. 4dr; 47 WF 2 TR I?t a 32233 NOTES: Th b NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION v ' 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 T4 COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR SUIL.CING I IIPR VE LIEN ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. >E .lt 14 Date% G783 ATLANTIC CH BUIl.01 DEftRTMIINT 88i1111�11lI 8y b4 CrY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CfTY RIGHTS OF WAY AND EASEMENTS I _ -6 DATE PERMIT NO. 1 JOB ADDRESS_) BY THE CITY JOB ADDRESS � C t � , VALUATION PERMITTEE l.. . T i'o 6"C t �;M 0:�r v— r�1ca 1�� l' .i P� 'S t1�he ✓,. PERMITTEE ADDRESS 7 f7/cry 1. TELEPHONE NO. -44 / REQUESTING PERMISSION FROM THE CITY OF ATLANTIC BEACH TO CONSTRUCT LOCATIONS: (REFERENCE TO CROSS-STREET) vI , I . APPLICANT DECLARES THAT PRIOR TO FILING THIS APPLICATION HE HAS ASCERTAINED THE LOCATION OF ALL EXISTING UTILITIES, BOTH AERIAL AND UNDERGROUND AND THE ACCURATE LOCATIONS ARE SHOWN ON THE SKETCHES. A LETTER OF NOTIFICATION WAS MAILED TO THE FOLLOWING UTILITIES/MUNICIPALITIE JACKSONVILLE ELECTRIC AUTHORITY YES (V)) NO ( ) DATE: BELL SOUTH TELEPHONE COMPANY YES (�V)) NO ( ) DATE: FERRELL GAS YES (V/) NO ( ) DATE: MEDIA ONE CABLE TV YES ( W) NO ( ) DATE: 2. WHENEVER NECESSARY FOR THE CONSTRUCTION, REPAIR, IMPROVEMENT, MAINTENANCE, SAFE AND EFFICIENT OPERATION, ALTERATION OR RELOCATION OF ALL, OR ANY PORTION OF SAID STREET OR EASEMENT AS DETERMINED BY THE DIRECTOR OF PUBLIC WORKS, ANY OR ALL OF SAID POLES, WIRES, PIPES, CABLES OR OTHER FACILITIES AND APPURTENANCES AUTHORIZED HEREUNDER, SHALL BE IMMEDIATELY REMOVED FROM SAID STREET OR EASEMENT OR RESET OR RELOCATED HEREON AS REQUIRED BY THE DIRECTOR OF PUBLIC WORKS, AND AT THE EXPENSE OF THE PERMITTEE UNLESS REIMBURSEMENT IS AUTHORIZED. 3. ALL WORK SHALL MEET CITY OF ATLANTIC BEACH OR FLORIDAEPARTMENT OF TRANSPIRATION STANDARDS AND BE PERFORMED UNDER THE SUPERVISION OF e/ (� (CONTRACTOR'S r PROJECT SUPERINTENDENT) LOCATED AT 47 (��� 2np' S TELEPHONE NO. L l Z1 4. ALL MATERIALS AND EQUIPMENT SHALL BE SUBJECT TO INSPECTION BY THE DIRECTOR OF PUBLIC WORKS OR HIS DESIGNEE. S. ALL CITY PROPERTY SHALL BE RESTORED TO ITS ORIGINAL CONDITION AS FAR AS PRACTICAL, IN KEEPING WITH CITY SPECIFICATIONS AND THE MANNER SATISFACTORY TO THE CITY. 6. A SKETCH OR PLANS COVERING DETAILS OF THIS INSTALLATION SHALL BE MADE A PART OF THIS PERMIT. 7. THIS PERMITTEE SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN DAYS FROM THE DAY OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN DAYS. IF THE BEGINNING DATE IS MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST REVIEW THE PERMIT WITH THE DIRECTOR OF PUBLIC WORKS TO MAKE SURE NO CHANGES HAVE OCCURRED IN THE AREA THAT WOULD AFFECT THE PERMITTED CONSTRUCTION. 8. IT IS UNDERSTOOD AND AGREED THAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO THE EXTENT OF THE CITY'S RIGHT, TITLE AND INTEREST IN THE LAND TO BE ENTERED UPON AND USED BY THE HOLDER, AND THE HOLDER WILL, AT ALL TIMES, ASSUME ALL RISK OF AND INDEMNIFY, DEFEND, AND SAVE HARMLESS THE CITY OF ATLANTIC BEACH FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, AND COST OF EXPENSES ARISING IN ANY MANNER OF THE EXERCISE OR ATTEMPTED EXERCISES BY THE HOLDER OF THE AFORESAID RIGHTS AND PRIVILEGES. 9, THE DIRECTOR OF PUBLIC WORKS SHALL BE NOTIFIED TWENTY-FOUR (24) HOURS PRIOR TO STARTING WORK AND AGAIN IMMEDIATELY UPON COMPLETION. SUBMITTED BY: %�1 (PLACE CORPORATE SEAL IF APPLICABLE) SWORN TO AND SUBSCRIBED BEFORE ME THISly N6TXRY PUBLIC MY COA��ON N CC55al EXPIRES August 27,2000 80"D Tft TROY FAIN INSWAMM,INC. Jan-04-99 01 : 51P P_04 00 rct.c,e j� `.. r,Ve vf.� Ive w _ k s�,V%- i �. cd 7 ..- .X i S �'`,�C� r _. XL _ _ Jan-04-99 01:50P P.03 MAP SHG 1�i NG BGUNDAR Y SUI 'EY GF"; LOT 33, BLOCK 1, BEACHSIDE, AS RECORDED IN PLAT BOOK 42, PACES 14, 14A, 14B AND I4C OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. vv- tt fa�Nv y�g'"/.Por ,rroa Pis vase ;r �PE(.9 4435) '•'� Jam".Q �� �� TOC 07 �j ---- ✓'�. i h J✓r ;ti SoN�Tafry o9 t,� \\ .��. • SFYIER ' 1 V 7/t�✓ENT o l=r -� l�4 6.q' - ?oVN . 0 f x% c� G4' 20.9 . � � x .. oA x / I 'vae0 / O I oT ?,�osTRrr:.. i /, K \e � ,SES/I7,ENGr m 1 1`0 mK Eo52,E),v 7 �!U7/u 7C'S < �7s 7Y, vita/i✓ sv✓EPS� T2 x J N 3/B / o Dom.. ToO.C�.o9 I RoV/v��4x53) 3 1 k0�6/L 0 -BEARINGS ARE BASED ON THE WESTLRLY RIGHT-OF-WAY LINE OF BEACH AVENUE AS BEING S.03°19'00"E. BY PLAT. -NO BLDG. RESTRICTION LINE SHOWN ON PLAT, THERE MAY BE RESTRICTION LINES OR EASEMENTS THAT AFFECT TIIIS PROPERTY BY ZONING OR RECORDED IN THE PUBLIC RECORDS OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY. -THIS PROPERTY LIES IN FLOOD ZONE "X" BY FLOOD MAI' REVISED 4/17/69, COMMUNITY PANEL NO. 120075 0001 U. —/Ii—'T.�s-NOTES V/ST.�!✓CE/�PT 70 SC•aLE I HEREBY CERTIFY TO: / A'F'T TN��^'T f7/`/E•4GE5/yE//3L/Ai^'.)F/RSrfl`OIyZOC S4✓/NIS��oaN AssNOF Pc✓T�"aM CovNTY; ffr70�NEYs"TY E/NS.FU�'v/NC•�/-/a✓y✓aov/vJ./:��G THAT THIS SUr'.EY MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS, PURSUANT TO SECTION 472.027 FLORIDA STATUTES AND CHAPTER ZkDUR[mnDEN �pLAN® 61G17-G FLORICAADMINfSTRATIVE CODE. FRIV �(®RS INC. LB 6645 PROFESSIONAL LAND SURVEYOR NO.1674 FLORIDA �r H. BRUCE DUR „ DENASR. 1 103 SOUTH THIRD STREET DATE; —/�1 4�'C N ; /,RD15 97 dACKSONVILL£ BEACH, FLORIDA 32250 - (904) 24.9-7261 FAx (904) 241-1252 SCALE: rHis HAS THE ORIGINAL RAISED SEAL OF THE HAp OF SURVEY IS NOT vAND THE FLBE USED FOR INFORMATIONAL PURPOSES ONLY UNLESS IT IS SIGNED AN-0ORIDA LICENSED LAND $URVEyOR WN,OSf NAMc is on,.,..-,. ..__ CITY OF > ctie geaz4 - 9&aud4 800 SEMINOLE ROAD .ATLANTIC BEACH.FLORIDA 32233-5445 TELEPHONE (904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 Am"* aev 9-7 c1 , HP OfficeJet Fax Log Report Personal Printer/Fax/Copier Jan-04-99 01:53 PM Identification Result Pages I Date Time Duration Diagnostic 5843 OK 04 Sent Jan-04 01:49P 00:03:45 002584030022 7.6.0 CITY O/F 1 Office of Building Official REQUEST FOR INSPECTION I,- ---? /, � Date � Permit No. / Z/( Time A.M. Received p M, Job Addre lily Owner's . Name - � •`l Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ i ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION M Mon. Tues. Wed. hurs. _Friday P.M. ) Inspection Made 60 PM. Inspector Final Inspection�f Certificate of Oc//cu ancy ❑ Date F 44 . t DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT "INVORMATIOSI ,. -- LOCATION IOFOR TImoi': —,,.... ... 1407 1878Permit Number, aEACH AV M, E Permit ATLANTIC BEACH., FLORIDA 32233 Class , of _ ,-..» .. _ LEGAL DEBCRIPT'ICN ; Constr. T :[+ OC3I3 PRAME Block: Lot: Twp: 0 Proposed Use,!SINGLE, FAMILY Section: O. 8ubd: 0 Lw61 ina: " ' { Subdivision.. , 0.00 0 .010 Tot* Fra ,. .tD S,M q,k tp (tY i y P,V 27.00 -`rye ha wark I£)N _" .�' ,� 1PFLIOATCYI FLES �-- Name�_F"w � �� PERMIT_ . 2.7 .0p ey E B FLORIDA 323` Phon ro t CANT 1 Name, $&CaSER S Rddr: ,.54"" T"° STREET ATLANTI CH FL 32.2.33 { L . CA 8� s� Exp / f ` NOTES: F NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST 80 INSPECTED BEFORE POUFIINti PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE I ' BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN-PUBLIC SPACE,AND MUST BE CLEARED UP AND;HAULED AWAY BY EITHER CONTRACTOR OR OWNER `FAILURE 1COMPLY WITH THE MECHANICS' LIEN LAW CAN, 4, 0LT IN TIDE PROPERTY OWN ER`PAYING'TWICE FOR SUI LO1N0 NPROV T$*y9 , ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REYOCATt�t,� VIOLATION OF APPLICABLE PROVISIONS OF LAW. ' �t ATLANTI ACH BUILDI D ARTMEN7k` E.t1lI 8y: tC k BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 ' APPLICATION FOR MECHANICAL. PERMIT CALL-IN NUMBER IMPORTANT --'Applicant to complete all items in sections I, 11, 111, and IV. t. ,y i LOCATION Street Addnst:. f;�TOF Intersecting Streefl: 11etWeen� And 2,:5) BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit glren for doing the work as described in the above statement we hereby agree to Ce•lorm said wo•i a:::•se-:e With the attached plans and specificelions which are a pert hereof and in accordance witt the City of Jactsonv;l'e ordinarces a^o s•a-ze•os of good practice listed therein. Name of Mechanical Contractors Contr#Ckr (Print) '� L G'–C.Cz.L- Master Name of r Property Owner Signature of Owner Signature of w Authorized Agent Architect or Eng4neer 111. GIENHtAL INFORMATION A. Type of ,ting fuel. 15 OTII[R CONSTRUCTION BEING DONE ON Eiectr4c THIS BUILFING OR SITE T ❑ Gas—❑ LP ❑ Natural ❑ Control Utility If YES, GIVE NUMBER OF CONSTRUCTION ❑ 09 r PERMIT ❑ Other — Specify IV. MiCi•MICAL EQUIPMINT TO If INSTALLED NATURE OF WORK (Provide comploto list of componenh on batt of this form) (11Y'—Residenliaf or f] Commercial ❑ Haat ❑ Space ❑ Recessed O Control O How ❑ New Building "I Condrfioning: ❑ Room Centrall[s "E Isling Building ❑ Nct System: blaht4al n,ict.... Replacement of existing system tluintwn capacity a f.m, ❑ New Installation(No system previously installed) ❑ Refrigeration11Extension or add-on to existing system , ❑ Coolieq Hoer: GpacifyC� Other — Specify [3Fire eprsnklere: Number of hwr� ❑ Nosretw ❑ ManUt ❑ Escalator (number) THISr S/ACE FOR OFFICE USE ONLY ❑ GOSCA a pum— (number) ( ) , ❑ Tanks (numbor) Remarks ❑ M coafaiRem (number) Y ❑ Unfired prMwre ,ou I; ❑ ' hnn4t Approved by pah,._,_,_,..I..,_,�_ ❑ Other — Specify Permit Few , it LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT tr wraYlsa>)c Jitmsbtt Volt. Description ![ode)Number 11[aslutacttltrer X.—) HEATING = FURNACES, BOILERS, FIREPLACES CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 March 26, 1992 Mr. Floyd Matthews 1878 Beach Avenue Atlantic Beach, FL 32233 Dear Mr. Matthews: It has been brought to my attention by Jacksonville Electric Authority that the insulator is broken on the weatherhead at the service line to your residence. This could cause the service line to break and create a dangerous situation at the meter can. Please contact your electrician and have this repaired as soon as possible. If you have any questions regrding this matter please contact me at 247-5826. Sc ncerely, Sc Don C. Ford Building Official DCF/pah CITY OF ATLANTIC BEACH Ss1 J 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002376 Date 4/08/13 Property Address . . . . . . 1878 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ----------------------------------------------- Application desc header install ---------------------------------------------- Owner Contractor - ------------------------ ----------------------- WALLS, THIMAS D WCI GROUP, INC. 1878 BEACH AVE 1100 SHETTER AVE STE 203 ATLANTIC BEACH FL 32233 QA KEVIN PATRICK FITZGERALD JACKSONVILLE BEACH FL 32250 (904) 242-4444 --- Structure Information .0.0-0--000-__PEPLACE WALL HEADER Occupancy Type ,.,=:' . . . . . RESIDENTIAL -------------------�------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Sub Contra for ALL SERVICE ELEC GROUP 00 Permit Fee 62 . 20 Plan Check Fee 0 Issue Date _ ___--_.-_-- ---- Valuation . . . . Expiration Date 05/13 ----------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. --------------------- ------------------------------ Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 _____ _ ________ -- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- --- Permit Fee Total 62 . 20 62 . 20 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 20 66 . 20 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. POTSmodeml To:247-5845 Building Dept . (2 of 2) 04-08-2013 10 :48 AM -0400 Apr 08 2013 10: 53AM ALL SERVICE ELECTRIC GROU 9047450400 p• 1 ELECTRICAL PERMIT APPLICATION (CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233, Ph X904)247-5826 Fax(904) 247-5.845- '-': ...* ' JOB ADDRESS.- '9 NEW SERVICE ❑Overhead .11DUnderground ❑Underground np Pole ❑Residential(Main)Service 00-100 amps ❑101-150atnps O151200amps i� amps #o Meters ❑Commercial.(Main)Service i 11 CT Service amps 0 0-100 amps 0101-150amps ! 0151-200amps ❑ amps Conductor Type Oze ❑Multi Family(Main)Sete I #of Unit Meters 00-100 amps ❑101-150amps I 0151-200amps ❑ amps ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ �Mps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100 amps ❑150amps 0200a1s ❑ amps ❑CT Service arnps ADDITIONS,REMOD� 6!30ampsl REAIRS,l UILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: —31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps AIC Circuits: 0-60amps 1 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets,Including Fixtures: -7 OTHER ELECTRICAL PROJECTS hp ❑Swimming Pool ❑ Sign CSmoke�etectors city ❑Transformers KVA C]Motors FIRE ALARM SYSTEM (Requires 3 set's of plans &Fire Alarm Checklist) Qty voltstamps i VALUE OF WORE'$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can Ll Safety Inspection ❑Panel Change 00H to UG ❑Other: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six rk will. 1 hereby certify that I have read this application and know the sale to be true and"6i;t All provisions of leas and ordinances governing this work will be complied with whether specified or not The permit does not give authOritY to vio�ate the provisions of any other state or local law regulation construction or the performance of construction. %r W Phone Number Property Owaws Name `� Fax v � �/fGc� Office Phone r �15� fd Electrical Company �- �� / ty, State f L��, f Zi P �S W117 FZt)A Ci Co.Address: C�3t� License Holder(Print}: C-J/, State Cettification/R.egistration# Notarized Signature of License hTold 20/3 �►•�► Notary PuDlb 9"Ot Ficifte Swomnd subscribed before this Timothy C Watson C thy commission EE0641094 Signatu e of Notary Public V Expiroa�2/131Z015 li CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002376 Date 4/02/13 Property Address . . . . . . 1878 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ---------------------------------------------------------------------------- Application desc header install ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WALLS, THIMAS D WCI GROUP, INC. 1878 BEACH AVE 1100 SHETTER AVE STE 203 ATLANTIC BEACH FL 32233 QA KEVIN PATRICK FITZGERALD JACKSONVILLE BEACH FL 32250 (904) 242-4444 --- Structure Information 000 000 PEPLACE WALL HEADER Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee 37 . 50 Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 9/29/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 . 50 37 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 116 . 50 116 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. k REVIEWED FOR CODE COMPLIANCE �. CITY OF ATLANTIC BEACH SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDMONS. REVIEWED BY: DATE: f� t i 0 (� 96 : ,,;• •; moi cn = o •o �i F ``. (° . .......... O�NEER, `���� 9 O o � N � m c00 (D M1° x aj DO 03 CL o 0 O n Q -n (D m _ C r` G � W 0 N • U1 '" N f I o � 5 �J1 L 0- --Fr A o � � P � � 0 od � � y r �1 . L .10 o ZCD 10 cr x oo �v 2 Vic) Q C�7 Q 7J CCD m N N O t` r -n y P � U E NY f G N � uI nn 1l 0 O • � �•� i X QJ NCD 0 • N13 oma aCow • �, • N 0 '< o CD C 0 CD v (n ��•• i � �1 xW ? a � � Vl ^ N CL (0n 10 Q — ; 0 T1 Z, :0 Z: (D aO A � -pw wp � �2•.'9 lopO N ''i�4zpERI j11`````k l` ' a. ' City of Atlantic Beach APPLICATION NUMBER i� Building Department (To be assigned by the Building Department.) 800 Seminole Road j --�� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Z 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property y Address. Department review required Yes No / Building Applicant: Planning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ElApproved. ❑Denied. (Circle one) Comments: /I `0 BUILDING /U PLANNING & ZONING Reviewed by: Date: S_ZI73 TREE ADMIN. Second Review: []Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 31 3 76 r I 11W Eft t; CITY OF ATLANTIC BEACH 1 _ 0 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I 1 I I JDFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK:. -1Slle &Xh Ave 5, , 4.LEGAL DESCRIPTION: 5.C' WOFWORK: - ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.D ION OF WORK: 2rALTERATION ❑ACCESSORY BLDG. pe1M0 YIVnQ i I n r Y per �{� ❑REPAIR ❑POOL I SPA ❑YES WA I ric Ilu ;U5 C v ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: 9.NAME � 15.COMPANY NAME: 23.COMPANY NAME: <O1 • ` 16.NAME:,s,,, 1 24 ICEN EE AME: Vsckl 10.ADDRESS: 17.STATEOFFLORIDA_LICENSFNO.:� 25.STATE OF_FLORIDA LICE�O.: \8` 8- ��Ch Ve ,2 CCC 5l/^q IYJ LC_ 3l5 1ktooS� 'y� 26.ADDRESS Plk Jc 1`2C3 2t 5s 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27 OFFICE PHONE. 28.FAX NO.'. 2`-12-X14`-lt-4 2Lt2--7c-i-7 '-IL--k t -202 I 13.CELL PHONE: Sot I $Sq 21.CELL PHONE: 29.CELL PHONE: L 53`x- `-1 2- 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: In�v W QJ C e ly� FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME. 33.NAME. 35.NAM[ 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If e ,Power of Attorney or Agency Letter Required) (Qualifier Only) Signed: Date:2I(�II 1 3 Signed: ?/1 3Date: /Q//3 Before me this 1 -day of Q 3 / 1 3 3 ,2009 in the county of Before me this day of C / 1 2009 in the county of Duval,State of Florida,has ersonall appeared Duval,State of Florida,has personally appeared OM Towsy�fO herin by himself I herself and affirms that all statements and declarations are herin by himself I herself and affirms that all statements and declarations are true and accurate. true and accurate. /l IN tt Public at Large,State of County of _ Notary Public at Large,State of County of��^'r Personally Known 0/2arsonally Known ❑Produced Identificati ❑Produced Identificatio �t /� Notary Signature: Notary Signature:rt /\1O G ZU C SW JOKANN5 =o,,,Ry PUS? SARA JOHANNS * . � MY COMMISSION#EE 195566 MY COMMISSION#EE 195566 EXPIRES:May 3,2016 *oflfki * EXPIRES:May 3,2016 s'rFc`F`O9P B'on&dThruB11dgetNowySmas BLDG01 Pe-t Appli-t-BIdq2*ffA#RIbThN Budget Notary Services Doc#20'13081147,OR BK 16311 Page 2306, Number Pages:1 Recorded 04/02/2013 at 10:17 AM, Permit No. Ronnie Fussell CLERK CIRCUIT COURT DUVAL Tax Folio No. COUNTY NOTICE OF COMMENCEMENT RECORDING$10.00 State of 7:1-- County of�u, The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: 2. General description of improvement: 3. Owner information: a. Name and address: Irv) YVa�1s �' � ave. JF:L 3 a a b. Interest in property c. Name and address of fee simple titleholder (if other than Owner): 4. Contractor Prep By: Contractor: WCI Group, Inc. 1100 Shetter Ave. Suite 203 Jacksonville Beach, FL 32250 Contractors phone number (904) 2424444 (Fax) 242-707, 5. Surety a. Name and address: b. Phone number: W c. Amount of bond: $6. 1-ender a. Lender Name Et Address: b. Lender's phone number: _ 7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.130)(a)7., Florida Statutes: b. Phone numbers of designated persons: 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.130)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER 0 AN ATTORNEY BFF RE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 7�J,_� 13 Signature of Owner Date The foregoing instrument was acknowleci 'ed before jnp this day of , in the County of Duval, State of Florida, has personally appeared cn�lherein by himself/herself and affirms that all statements and declarations herein are true and accurate. Per anally Known OR Produced Identification --Type Type of Identification Produced os •p��c $ARA JOHANNS MY COMMISSIONIl EE 195566 _ 5ignature of Notary P btic-state of Florida Print,Type,or 5 Pmiss€�)6EIR88pWq(i(�tli�y Public j''FoF c,,60� Bonded Thm Budget Notary Services Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Signature of Natural Person Signing Above IN CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001077 Date 8/16/12 Property Address . . . . . . 1878 BEACH AVE Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------ Application desc panel change ----------------------------------------------------------------------- Owner Contractor STUCK JAMES D BILL THOMPSON ELECTRIC CO, INC 1878 BEACH AVE 49 WEST 7TH ST ATLANTIC BEACH FL 322335939 ATLANTIC BEACH FL 32233 (904) 249-5601 ------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/12/13 ------------------------------------ ------------------------------------ Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ----------------------------------- ------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ----------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: cY 4V,e , PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2,%2 VOLTS Z PHASE VALUE OF W RK S �C� , NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole PResidential(Main) Service [:0-100 amps 1101-150amps 1 1151-200amps amps # of Meters _1 Commercial(Main) Service 1-10-100 amps ❑101-150amps -i 151-200amps amps ❑CT Service amps Conductor Type Size DMulti-Family(Main) Service [ 10- -1ary Pole r 1 0 amps ` 101-150pamsps ! 1151-200amps i amps #of Unit Meters rl SERVICE UPGRADE I l amps 1 1 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) J 100 amps 1-7150amps ❑200amps I_I amps i 1CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSC RY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS 17 Swimming Pool ❑ Sign I I Smoke Detectors_Qty I Tran formers KVA I1-Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ]Replace Burnt/Damaged Meter Can _i Safety Inspectionnel Change I IOH to UG ]Other: Permit becomes void if work does not commence within a six month period or work is 5 uspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name ` /—Gl Phone Number 2l 20 7 Electrical Company A// Office Phone Co. Address: Qy 3 �� p City Stater Zip3 z Z i License Holder (Print):', tate Certification/Registration# W Notarized Signature df License Holder Sworn and subscribe jorthe th' day of 20_Z— Signature of Notary P