Permit 1876 Beach Avenue Tert tratt of Mrrupanq
Titu of
Atlantic N=4 — Flariba
Devattutnt of Nuilbing Inspation
This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use For the following.
UseClassificatio, SiPAI'e 1'e-Ii-LY Yesiderlce Bldg. Permit No. —60-36
Group 8 1 f r��Mkl� Type Construction Z:11/ii FireDistrict Atlantic Bp�r—'
OwnerotBuilding bc-an Wnst�i- Address
BulidingAddress 1876 Beach Al—r—
304814
LOT 34, BLOCK 1, BEACHSIDE, AS RECORDED IN PLAT BOOK 42, PAGES 14, 14A, 14B AND 14C OF
THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
5'-d-.75
07�:7
f,(,-IV7
"d/Vc,
—----------
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r_,Iryl M.4
--7—
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—,8yo=,4AT- -X�x d1z'
MAR 2 2 1993
Building and Zonin
ell Ve-,-,714-44 4--A->---1 7-Ito-'
# BEARINGS ARE BASED ON THE NORTH LINE OF LOT 34
AS BEING N.89029'00"E. BY PLAT
* THIS PROPERTY LIES IN FLOOD ZONE "X" BY FLOOD MAPS
REVISED APRIL 17, 1989, COMMUNITY PANEL NO. 120075 0001 D
I HEREBY CERTIFY TO:
304814
LOT 34, BLOCK 1, BEACHSIDE, AS RECORDED IN PLAT BOOK 42, PAGES 14, 14A, 14B AND 14C OF
THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
515; 7:5
----------
k.N
'Ile
W
7 UN
0,
IJJ2
4 Z' t"' 't
CITY OF
.!R0PER1'Y DESCRIPTION
7-�7,7 77��7--
�N 'OU ROAD
800 SL,IIN
Y4---Block 0 --Section ATIANTIC BENCH,F1,0RIDA 32233-5445
.ot
lt�'TFLEPIIONE (904)247-5800
F'Ax (9()4)247-5805
;ubdivir.ion:
and zo�! 'I
3treet Name DESCRIPTION OF WORK
)r Address
If in a FLOOD HAZARD
Zone:..............area complete page 3. Brief
Description:
Clovs of Work:
(New/Remodel/Addition)
�OIIING INFORMATION Type of D&
Construction: 7). ..................
.oning Proposed
4atricti......... Estimated Value
.01-------------
c t7-j-U
.xceptiona or Motor is I a:
ariances Granted3------------------------- Solid or
------------------------------------------ Filled
Ground%- ---Root ------
OWNER INFORMATION
Method ol Hentings
Property Ovnvr.�-e4'l`1 ----------- Phone%
hailing --------------
Address
------------------------------------------------- Zip%----------------
CONTRACTOR INFORMATION
Contractor P h a n e
mailing
...............
;�r -.4
Zip:
---------------
Expiratic?n
License Number:--c- 9--------------- Date:
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND X14OW THE SAME TO LIE TRUE
AND CORRECT.. ALL PROVISIONS OF THE LAWS AND ORDINA"CES GOVERNING THIS TYPE OF WORK wILL PE
COMPLIED WITH WHETHER SPECIFIED BERLIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PPFf;U!�E- TO
GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL PL'L-:,,
REGULATIONS, ORDINANCES. OR LAWS XH ANY MANNER. IUCLUDINO THE COVEnHtNo is RU(-.Tl N n�'
OF COI T 0 , TvE
PERFORMANCE OF CONSTRUCTION Or THE PROJECT. I UNDERSTAND TUAT THE ISSUANCE OF THIS PLnJ'1JT I-
CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT
AND THAT THE PLANS AND SUPPORTING
BEEN OR SHALL BE PROVIDED AS REQUIRED.
DATA HAVE
Ir
C01vner Signature Date
------------------ -------------
g__tur_
nature late
JOB ADDRESS F-)eA Of) Pt V_C TYPE WORK t��)Lt
PROPERTY OWPIF-R ej(
ARb'dAUr MEPHOPTE
comwAcToR7h,c- -Furn- aJ,ej Cc , M- �-PHONE3 7 0'-? 0
-DATE (r )vlo2-
IMPECUONS: FO0TJ7VG
SLAB
M BE"
.�2JJ
LLYM
NA.LLEVGSEE4nMVG
0 FBA&ffiVGX0VER UP r7 �2_Lj
MULATrON r7l-2-(, 1',-:77:2-
FWAL BUH-DiZVG ' t 0 1 --)-_'� ) 0-2--
cm=cAl-E OF occz7pAvcY
ELEcn?rc4LpER,um
XVSPECAMNS RouGu
F17VAL
3MCEUMC4L IERMM
JMPECITONS AOUGU
FlM4L
LVSPEMOM ROUGEMMERM-4B
ropouT r7l -z A4 10-2-
WATERISEWER I . i
177VAL 2, :5
NOTM.
S 14 t1eldM5
ADDRES ----------------------------
BUILDING PERMIT NUMBER- - --------- --------------------------
INSPECTIONS: UNDER SLAB PLUMBING
-------------- ---------------
FOOTING ...............
SL A B -----------------------------
'7
FRAMING
COVER-UP
INSULATION 3-------------
FINAL BUILDING -------
CERTIFICATE OF OCCUPANCY
ELECTRICAL PERMIT
INSPECTIONS ROUGH- - ----------------
p X13
FINAL_-_-,.-.
MECHANICAL PERMIT
PLUMBING PERMIT
NOTES:
Address
Heated Square Footage
Der sq ft = $
Garage/Shed per sq ft = $
Carport/Porch per sq ft = $
Deck @ $ 2-7
yer sq ft = $
Patio @ $ er sq ft = $
TOTAL VALUATION:
Total Valuation Ist $
Z n(D
Rmainder Valuation De
r thousand or
ion thereof
-------------------------------------------- Total Building Fee
g $
ADDITIONAL PLM,= and/or FEES REQUIRED
+ -, Filing, Fee $
Fireplaces (a 15.00 $
BUILDING PEPMJT FEE $
Plubbing
Electric/Naq
---------------------------------------7---------
Electric/Temp I r , -L
Septic Tank BUILDING PERKIT $ 0 (. j )
We 11 WATER METER CHARM $
&Amning Pool SEIJER Dv1PACT FEE $
Sign WATER DTACT FEE $
Water Connection MISCE1JANE0US $
Sewer Comection
Water Meter
Elevation Certificate
GRAND TOTAL DUE I- CZ)
4--V 4 4
C>c --j j 1 (.67 U
----------------------------------------------------------------------------------------------
CALCLIATIONS and/or NOTES
CITY OF ATLANTIC BEACH
Fixture Unit Workshect 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
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)
-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)
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)
URINAL STALL, WASHOUT (4)
BIDET (3)
FLUSHING RIM SINK (8) —COMBINATION SINK AND TRAY WTTII
FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2)
BLOWOUT (2)
LAVATORY, BARBFR/BEAUTY —ICE MAKER (1/2) 5
SHOP (2)
LAVATORY, SURGEONS (2)
SURGEONS SINK (3)
JACUZZI (2) URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS $20.00 EACH
JOB INFORMATION
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
FORM 900-8-91 Section 9—Residential Point System Method Climate Zones
Department of Community Affairs NORTH 1 TL-3-
PROJECT NAME BUILDER: ;7t*7c-K
PERMITTING L=7 77,,-LL CLIMATE
AND ADDRESS: OFFICE: rT( ZONE: 1 2
PERMIT JURISDICTION
OWNER: NO.: NO.:
NEW CONSTRUCTION IF MULTIFAMILY,NUMBER OF CONDITIONED so, GLASS AREA AND TYPE
UNITS COVERED BY FLOOR AREA FT CLEAR TINT,FILM,SOLAR SCREEN
ADDITION THIS SUBMITTAL: PREDOMINANT
-- - - —I ME OVERHANG SINGLE- SQ. SINGLE- SQ�
MULTIFAMILY ATTACHED CHECK IF THIS SUBMITTAL LENGTH FT PANE FT PANE ITTUFT
REPRESENTS A WORST CASE PORCH OVERHANG F-T< DOUBLE- SO DOUBLE- SQ
SINGLE-FAMILY DETACHEDk CONDITION: LENGTH I .1� FT PANE 14%FT. PAN E = FT'
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R EXTERIOR FRAME R = EXTERIOR STEEL R EXTERIOR LOG R
1"�ZtSO. So. so, so.
o I FT, FT. FT FT
ADJACENT MASONRY R ADJACENT FRAME R ADJACENT STEEL R ADJACENT LOG R
I Sol 0:111 so. SQ. M I I I I I SO.j
FT' FT., i Ll FT i M_j
CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION
UNDER ATTIC R SGL ASSEMBLY R SLAB PERIMETER R RAISEa W CON E R
so. M
FT R SFIT Ed 45
DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM NOT WATER CREDITS
IN SOLAR:
UNCONDITIONED XCENTRAL ELECTRIC STRIP YHEAT 0 CEILING FANS XELECTRIC S.F.
SPACE R ROOM NATURAL GAS PUMP 0 CROSS VENTILATION ONATURAL GAS
I I/ IL61E] PACKAGE TERMINAL ROOM UNIT OR OTHER 0 WHOLE HOUSE FAN OTHER FUELS HEAT RECOVERY(CHECK)
L-P-1 AIR CONDITIONER PACKAGE TERMINAL FUELS DEDICATED
IN CONDI�IONED NONE HEATI PUMP D NONE D ATTIC RADIANT NONE HEAT PUMP:
SPACE R = BARRIER E.F. = n .
COPlHSPF1 ULTIZONE NUMBER OF
SEER/EER AFUE M EF BEDROOMS =
26
INFILTRATION
15 41411 14 X 100
PRACTICE USED I
1:1 #1 #2 El #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I.
lk CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
I hereby certify that the plans and specifications covered by the calculation are in compliance with the Review of plans and specifications covered by this calculation indicates compliance with
Florida Energy Code the Florida Energy Code. Before construction is completed,this building will be inspected
PREPA— IMt�I�j?0ii- for compliance in accordance with Section 553,908,F.S.
DATE.
I hereby certify tha is uilding idomplianNce w1ith JZFlorida Energy Code. BUILDING OFFICIAL:
owl DATE: DATE:
Pool-DeCK
j7
6' Concrete Floor—
#3 Bars C 12" o.c.
Each Way Hydro-Static POOL Data
Release Valve vOkffne
Turn Over
Lonaftudinal Section Filter
PumP
-�ecl<
3.5" Conc. Deck (2500 psi pea rock)
with Koo"' Deck Finish
.N
6 X 6 Ceramic Tile
Steel Bars
1.7o.c eaoh way
ampe
Cross Section Pool Finished with
exposed aggregate.
N.T.S.
6"
Wall Section
N.T.S.
772' X 'ej-, SHIMMER
-0
0 -u
0 >
0— (D :2<
z rn
3 G)
(D (D
z 8 ft.
--i cu 0 (4
0 M M (D 6 A (D
(D (D a z CD (D CD
0 0
M
U 0 17ft
(D (D :3
(0 COVER
W (n 0 F" VAULT
B/R/L
(D
x (D 13 M
WC 3 o ;z
(0 W X
0 cn
(D --I z --i
D
(D >
(D <
Z) -0 M
0
0
M
Job No.: 22110 Designed By: SurlSide Pools
Designed For: REICHLER, Richard & Michele Drawn By: Cynthia Bradshaw
Address: 1876 Beach Ave. Salesman: Bill Vohwinkel
Atlantic Beach, F1 32233 Scale: 1/8" = V
Subdivisioly.- Oceanside POOLS - SPAS - SERVICE Date: September 3, 2002
PERMIT DRAWING
POOL 39' X 17'
AND
8' X WSPA
EASEMENT
PAVER
39 ft
3 ft.
4-U, POOL
QUICK CLEAN MODULE Deep Deep
..... MIN
--——————--
Uzj 18"x 2' 2
2 SMALL 2 40OW LIGHT
9: U)
5 BENCH
CY
LLJ E 01%
_j RESIDENCE
L)
tTAVER DECK�
0
z
W
z U)
W TER t--.PAVER DECKj
W PLAN
0 Vent Line bUpforPool OP 0
U. Ve b Up for Spa
ST,
L nt Line S U
RESIDENCE
a IL
.2
6.2 Symbols Key:
di Drain
Skimmer
E
t 3 way _012 2 way Therapy Jets
400w/ Pool Light
10OW/Spa Light
Vent Line Stub-Up
Pool Depth
Quick Clean Module
Pool/Spa with Quick Clean
and Heat Pump
Filter Schematic
(Not to scale)
Approved Swimming P(
Dual Main Drain Atmosl
Complaint with 424.2.6.6
for Residential Swimming P
No
3*-0" Minimum
_N-c i--.§l—a-_exc e—p 6—on_u-n'd- e- r—
Installation Protocal
1'-6" Mini mum
(Typ.)
Window Screen
(Typ. 2 Places)
Stainless Steel Clamp
(Typ. 2 Places) Maximum distance to ASME/ANSI Al
Atmospheric Vent Tee or Anti-Vortex
Connection 1'-0" Sumps (Typ. 2
Suction Piping
maximum underwater
length 50 feet
1 1 2 A
1 1/2" PVC Tee
Maximum
of atmosp
1 1 �2" PVC Pipe
--Ground level, Pool
Deck or maximum
Pool Water level, Pump — r_U
whichever is greater
1 1/2" atmospheric vent tee shall be located not less than
iches, measured from the bottom of the straight leg of the
'2'* tee, above the ground level, pool deck, or meximurn Pool
er level, whichever provides the greatest elevation.
Atmospheric Vont Dotall
No Scale
MW---
.I %ova and Wading Pool
ieric Vent Arrangement
the Florida Building Code
As, Spas and Wading Pools
MMV
NOTES
Test-Proto-col-AndRopults-
* Tested In compliance with Florida Building Code 424.2.6.6
suction entrapment atmospheric vent test protocol.
* The actual suction entrapment
atmospheric vent testing was accomplished under
my direction and supervision In Florida for pools and spas
on 8 December, 2001 and 17 January, 2002.
* The Maximum Vacuum attained during the above tests
19,8M1987 listed Grates with one sump plugged and a body entrapment
iates with matching Main Drain on the other sump never exceeded 4.5 inches of
laces) mercury. The entraped body released
in less then three (3) seconds.
Installation,-Protocol
• All suction piping and fittings shall be either 1 1/2" or 2".
• All atmospheric vent piping and fittings shall be 1 1/2".
)ospheric Vent Piping * Maximum suction pipe water velocity six (6) feet per second.
6 feet per second water velocity in 1 1/2" pipe is 38 GPM
6 feet per second water velocity in 2" pipe Is 63 GPM
• Spa grates may be located on two different design
planes; i.e., one on the bottom and one on a vertical
side wall; or two separate vertical walls.
If there are multiple pumps repeat the plumbing protocol
for the second system.
!ndcrAater length
er�c vent piping 30 feet
Vent to Atmosphere
in a manner that the vent
will not be blocked by infestation,
debris build-up, or microbiological
contamination.
0 NOT HANDLE"
-abet vent: "POOL SAFETY DEVICE D 1'K,
;ee Atmospheric vent Detail
S7,1 7.
-S C
4,
D �s
Rowley International Inc
AOUATIC 0=19n. Engineeong & �Onsung
2325 O&W Vwd" Dm- **&'
16v" 312 license OxPlres
Pat" verl"t Eauu*. CA 002716-2"Mt
TEL 13101 377-5724 FAX 2/28 12CK
4, o
LC2 m
Mel
—WW
L�ot
--21
4 41
-Z, -4e 1W v
50
-A-- -t,04
I W-A 19 Lt
6417
DEPAWMENT OF,KOLDING
L
CITY OF AT ANT16,89ACH
Tlvw Int
Permit , Number: 6417
:AddroSS; 1876, BEACH AVENUE
Permit Type* UTILITIES
kTtANtl4C BEACH, FLORIDA . 32231�
Cl a'as of-Work: NEW ---- LEGAL DESCRIPTION
Const.t. Type: N/A Lot.* Block:
Section.
P -Se Use FA�l LY, T8w
--Subdivisl TR, ATL"Tf ViZACR
Mal Value*.
00
Cost* $0.00
prov
S,
1 11 .1 1 $560 ,00
T t al flee
Am
_Ount Paid-
2/18/93
Date , Palc .
L 14 1 RIGA to' M
R T N
4
EL
Oft" MIA P M I T
dressi", VENUE �q j�
# ; �r� WA $0 .00
q, k TER IMPACT FEE
FLORI S2233 , SEWER IMPACT FEE So.00
on 1,40
W, MET
P'L'.,�r P
A IFIZ,
41"
CL
771
S0 �00
S ZR, 'TAP $0 .00
RAULIC SHARE
�_4
RE-INSPECT PRE $0.00
IMPACT, PEE
Of OTHER
4.
N
E S�,
�,"QTO:F.: ALL,CONCRE
TE FORMS AND,FOOTINGS MU, OE INSPIECTEP.8111FORE POURING
PERMIT VOflD,$IX MONTHS,AFTER DATE OF ISSUE
SIADING MATERIAL,RUS91SH AND'DFEBRIS�f ROM THIS WORK MUST NOTSE PLACED IN PUBLIC SPACE,AND MUST BE
6`1.EARet),UO�AND HAULED AWAYBY EITHER CONTRACTOR OR OWNER
kA
�TO C M EC S' U9,N W CAN RESULT IN
OMPLYL�WITK THE "ANIC
!,' �:' ,TNEF$l PERTY, '0 'EMENIT
OWNERPAYINGTWICE. FOR-OUILDING MPH V S
YKIDATIEN
TIME:,12t32,PN
VOCAtIOWORL
ACCORDING,TO APPROVED PLANS WRICK ARE PART OF THIS PERMIT 'AND SUSW&O RE
-,OF'LAW.
QlLATfON Of AP CABLE PROVISIONS
ova
I&MI)JI MAW(*. (87%72
A TIC BEACH BUILDING1)EPARTMENT
N
W"
exi :
C CITY OF
1*4vttce Ve4eelt
NO SEMINOLE' ROAD
I FLITHONI:(904)2-17 58(10
FAX (904) 2-17-5SO5
NOT ICE
To- Water Department
City of Atlantic Beach
Date:
---- -----------
Please be advised that the final buildinq inspection hia.--3
been completed on each of the following add i E?1.3 a I d
construction vater is no longer required :
Permit Number Address
t"y"
-------------- ---------------------------------
--------------
-------------- --------------------------------------
-------------- ------------------------
-------------- ......
Sincerely,
/-Y- e-
Don C. Ford
Building Official
DCF/pah
cc: City Manager
CITY OF
4&4ft4-C
Office of Building Official
REQUEST FOR INSPECTION
Permit No.
District No.
Received P�M.
1(:6-;7,6 SeqC/-1 /f&'(f
Job Address Locality
Owner's 11�
Name— L-2- Contractor A)
BUILDING r-t�RU�r--, ELECTRICAL PLUMBING MECHANICAL
Framing 0 Rough Wiring 0 Rough 0 Air.Cond.& 0
Re Roofing 11 Slab Temp Pole 0 Top Out 0 Heating
Lintel Fire Place 0
Pre Fab
READY FOR INSPgaTI.Ok
kM.
Mon. Tues. Wed. T u Friday. P.M.
"—�A..M.
Inspection Made /*
Inspector Final Inspection 0
Certificate of Occupancy
Date
CITI� OF
BeaC4-47-tto4a,-,
Office ot Building Official
REQUEST FOR INSPECTION
Date Permit No.
T e M
IT 69 M
Re eived --
Job Addre
Owner's
N e
ame Contractor
BUILDING ONCRET ELECTRICAL PLUMP-114G NIECHANICA.1-
Framing Rough Wiring Rough E Air Cond. &
Temp Pole Top Out Heating
Re Rooting C Slab
Insulation El Lintel 11 Final Sewer
Fire Place
Pre Fab
READY FOR INSPECTION A
Mon. Tues. Thurs. Friday F
0 A.M.-
Inspection Made — M,
n
al Inspection L',
Inspectot
Certificate ot occupancy
Date
CITY OF
4&4a14-c lleacA-&7&U.4&
Office of Building Official
REQUEST FOR INSPECTION
Date /,j, Permit No.
Time A.M.
Received P.M. District No.
/ y � 6 q C t� A oc
Job Address Locality
Owner's
Name Contractor
BUILDING ��CRE ELECTRICAL PLUMBING MECHANICAL
Framing 0 0 Rough Wiring 0 Rough 0 Air.Cond.& 0
Re Roofing 0 Slab 0 Temp Pole 0 Top Out 0 Heating
Lintel X, Fire Place 0
Pre Fab
R E Y FOR INSPECTION — �3�' �A
Mon. Thurs. <:�Fri�d.y _00 M.
TROV 1
A.M.
Inspection Made P.M.
Inspector Final Inspection 0
Certificate of Occupancy
Date
CITY OF
4&4#d4-C
office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M. District No.
Received P M
Job Address y
owner's Contractor
N—
BUI D CONCRETE ELECTRICAL PLUMBING MECHANICAL
�01 Footing 0 RoughWiring 0 Rough 0 Air.Cond.& 0
Re Roofing 0 Stab 0 Temp Pole 0 Top Out 0 Heating
Lintel 0 Fire Place 0
Pro Fab
READY FOR INSPECTION A.M.
Mon. T.es Wed. Thurs<A.:M:) Friday—P.M.
Inspection Made -2 -3-
Final Inspection 0
Inspector
Certificate of Occupancy
Date
CITY OF
4&odwc Be".4-49&u
Office of Building Official
REQUEST FOR INSPECTION
L
Date Permit No.
Time A.M.
Received P M District No.
-7 40�-
Job Address Locality
Owner's
Name -L-f Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAI,
Framing 0 Footing Rough Wiring 0 Rough E Air.Cond.& 0
Re Roofing 0 Slab 0 Temp Pole 0 Top Out 0 Heating
Lintel El Fire Place 0
Pro Fab
READY FOR INSPECTION A.M.
Mon. Tues. ed. W Thurs. Friday—P.M.
Inspection M.6. /11,L& 2— — ------—P.M,
Inspector Y Final Inspection 0
Certificate of Occupancy
Date
low
CITY OF
4&#d1x AeaC4-40r&UC&
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No,
Time A.M.
Received P.M
Job Add,ress Locality
Owner's Contractor _2Q. I 15_'1___Z__
BU ILDIN�G CD�NCRETE ELECTRICAL PLUMBING MECHANICAL
c.t'ng L_
�F�,. —�F Rough Wiring I Rough E Air Cond. & F
Re Roofing Slab E" Temp Pole Top Out 7' Heating
Insulation Lintel F� Final Sewer 1-� Fire Place
Pre Fab
READY FOR INSPECTION
A.M�
Mon. Wed. Thurs. Friday---P.M.
A.M.
inspection Made V
!ncp,,ct0r_____ 0�-,�inal Inspectio
Certificate of Occupancy
11,1,4 Date
CITY OF,
BeacA-0;&%da
,ce of Building Official
iEST FOR INSPECTION
Permit No.
A.M.
P.M. District No.
Locality
Contractor
ACRETE ELECTI�l PLUMBING MECHANICAL
,oting 11 RoughWiring 0 Rough El Air.Cond.& 0
�Iab 11 Temp Pole Top Out 11 Heating
Lintel 0 Fire Place 0
Pre Fab
�OOR INSPECTION A.M.
Tues. Thurs. Friday-P.M.
Final Inspection 0
Certificate of Occupancy
Date
PREPARED BY AND RETURN TO:
American Fir§t Coast Title Services, Inc. .
�4457B South Third Street
JacksonVille Beach, FL 32250
B4307
FG0452
NOME OF COHMCMCM OFFICIAL RECORDS
To whom it may concern:
lot
7he undersigned hereby Worms you that improvementa will be made to
certain isal property, and in accordance with section 713.06(2) (b) , Florida
Statutes,, the following information is stated In this NOTICE OF CCMMENCE-
MT* This Notice shall be effective for a pirLod of six months from
date of recording,
Lot 34, Block 1, BEACHSIDE, according to plat thereof
recorded in Plat Book 42, pages 14, 14A, 14B and 14C,
Description of property.—
of the current public records of Duval County, Florida.
General description of improvements - Construction of a Single Family
Dwelling
DEAN J . GLASEL
Address- 9251 Spring Forest Drive, Indianapolis, Indiana 46260
Owner's intorest in site of tho -Improvem4at Fee Simple
Fos simple title holder (if.other than owner) Memo: 7?6
Address Q
CHUCK HARDMAN BUILDERS
Coatra,cto
1644 Parli Terrace West, Atlantic Beach, kiorl-aa 3 233
Addres Ln
Surety (if any) NONE
Address- Amount of bond
Construction Leads FLORIDABANK, a Federal Savings Bank
C-1
6320 St . Augustine Road, Japksonville, Florida 32217':n,28�j 7,
Addras M C')
C
Name of person within the.State of Florida designated by owner upon whom
noticss or other documents may be served:
M.
NAM—,
Address
In addition to oiwner ilm following petsoa shall receive a copy of the
ussar's Notice:
FLORIDABANK, a Federal Saving's Bank
DATE:
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND'. ARE'
SATlSFACTORY :
13 693-j�7ajwu_
------ ---------------------------
�5 LNJ;4�.Q E L Y,
A
c
(;UIL)DING I?NSPECTION DlVISION
cc:FILE
CITY OF
4&4^4'c Be"4-
Off Ice of Building Official
Date REQUEST FOR INSPECT.[ON
Permit No.
�A.MI.——
ve /��
Recei,ed District No.
176
Job Aj0dreps
Owner's
N me
a Contractor
BUILDING CONCRETE CTRICAL PLUMBING MECHANICAL
Framing 0 Footing C� Rough El Air.Cond.& 0
0 iring []
Re Roof i ng 0 Slab 0 Tamp Pole 0 Top Out 13 Heating
Lintel 11 Fire Place
--!(--4!4 Pre Fab
REA�OFIO' R INSVECTION
Mon. Tues. Wed. Th u rs. Friday
Inspection Made A.M.
P.M.
Inspector_ Final Inspecti OX
Certificate of Occupancy
Date
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received P.M.
6 o6c
Job Address Locality
Owner's
Name 4", contractor
-LDING; CONCRETE PLUMBI G 'MECH�N[CkE--,
11 Footing j Rough Wiring D Rough E]--Ar—C.—nd-8,
Re Roofing 1� Slab 1-1 Temp Pole 11 Top Out Ll Heating
Insulation M Lintel F Final F1 Sewer D Fire Place 0
Pre Fab
READY FOR INSPECTION
Tues. Wed. Thurs. Friday
A.M.
Inspection Made PM
Inspector
of Occupancy
Date
J. Lo u
MAP SHOWING BOUNDARY SURVEY OF
LOT 34, BLOCK 1, BEACHSIDE. AS RECORDED IN PLAT BOOK 42, PAGES 14, 14A AND 14B,
or THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERIARED TO-
RICHARD L. REICHLER AND MICHELLE D. MCDONOUGH
ALLIANCE MORTGAGE COMPANY
STEWART TITLE GUARANTY COMPANY
WATSON AND OSBORNE, P. A.
BEACH ' AVENUE
(25.6 R(GHT OF WAY)
S 03'19'00' E 716S (PLAT)
(MEASURED) r llf WON pm
FUL"M 1/2-WON FK S 03-13'160 E 73.66 QMWCAYM AW11
SpAum-to 4 55.7V(PLA'T)
.u?kUTf
J.
AND T
<
0. <
uj
'-'UJ
cn
a.
7
LOT 34
L BLOCK 00
0",f . . — . i 1 6
fr zn 0
7.6f
5.4' a%
15.9*
25 4* DORY
0$
4.0'
LOI 33 THREE STORY
P4 LOT 35
BLOCK I FRAME BLOCK i
'3 POSTED # 1876
41.r
Lai 0
bi 4"w.
>
0 0 p p
OVED
00 i, ,��BENCH
I ' �c
C4 S4 (n (n -FICE
CO
Z
z
rA
tly�V
J�cq (4 b�-.
c
Lf
0.2 No WNWAV04
1/2'W 15'CANNAM UTUM ANO SEww CASMENT
No OMNKArOM
N 0313*40" W 7.3.71' (MF_ASURED)
N 03-19'00- w 73.63' (PLAT)
LOT'g
BLOCK I
Ew7m;
4
LOT 34, BLOCK 1, BEACHSIDE, AS RECORDED IN PLAT BOOK 42, PAGES 14, 14A, 14B AND 14C OF
THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
-7-
65)
1,17
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lob, -9 1 � 't
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eno
ef
0
-4v-5-,e- elf 71-,115
'i- 7
'JJ
M E R E 8 Y C E R T I FY T 0! Z A/
SECTION B (All other Applicants)
I . Property Zoning:
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/ DSH of six inches or more
d) Tree species and sizes
e) Trees to be removed should be clearly marked
f) Trees to be relocated shoulo 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 easement-4.
1 ) Location of vehicle travel corridors
m) Location of commercial sprin'kier/irrigation systems
n) Landscape maintenance plan (commercial only)
o) Staging areas :'for equipment and material storage
SECTION C
i
I !agree to comply with the rules and practices established
in Chapter 23, Article II bf the Code of Ordinances of
Atlantic Beach.
C
OwnjVrs Signature date
QUEY-M Ly
Applicant has complied with all provisions of Chapter 23 and
requirements of the Tree Conservation Board.
Tree Conservation Board Designee Date
NOTE: "Tree Protection for Builders and Developers— is
available at City Hall or from the Division of Farestrj ,
8719 West Beaver Street, Jacksonville, FL. 32220. ( 781-1434 )
TREE REMOVAL
SECnCM A APPLICATtON MUST 38 RECEIVED By NOON OF TUZ WEDNESDAY BEFORE THE MEETING.'
PW"OwnWs NAn mi Aft
2. 1 1 1 0
L0Mbnc(TmRonw9jSb
SEC710H a (ro bs owqftbd by gpft* pq"b we IN
2.V4Wl$#wpxpmofftm; ,,,pmmo dw"O
3.SpftNy bM pmp=W Ow mnovd n tlm&- t
TREECOW SPEUM. qm(mxn�Tj CONMON
4.VM OWN VM b9 rdkK*W On 10 WM
5-ffno4wWl@PlwWl ftabopkiftO
6.SPOdfY
SPECM SIZEMX
TREECOUNT
7.AllaCh eke PLIM
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development:
Flood Zone:
Required Lowest Floor Elevationz
If building in located within a Slood hazard zone, a survey* must
be iAade AFTER THE SLAB HAS BEEN POURED, certifying that the
LOWEST FLOOR ELEVATION in equal to or above the base flood
elevation established for that zone.
no f inal inspection will be made and no certi-licate of occupancy
will be issued until the survey in onfile, vIth the Building
Department.
COMMENTS:
Applicant Acknowledgement% I understand that the Issuance of
this permit In contingent upon the above Information being
correct and ihat the plans and supporting date have been or shall
be provided an required. I agree to comply with all applicable
provisions of Ordinance No. 25-7-11 and all other laws or
ordinances affecting the proposed development.
...Applicants Signat
-------------------------------------- --------------
Department Use
Required Lowest Floor Elevation
As Built Lowest Floor Elevation
Survey Filed with Building Departm;nt ...........
I
-----------------------------------
BuildIng Department Representative
page 3
0 C
o ij,
7N
rq
.... ........
471 J
Q0
TT 4FA
e p,
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
OB LOCATION:
PLUMBING CONTRACTOR: h=4
LICENSE NUMBER:
OWNER: 5cL
BUILDING CONTRACTORS
TYPE OF BUILDING: Fj)
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
To TAL FIXTURE COUNT: + $15.00
----------------- ------------------------------------------------------------
6
INSTALLATION Of PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUThERN STANDARD PLUMiING CODE.
444
)6
DEPARTMENT OF IMILMNS
CITV OF A TLANTIC SEA
C
H
PERMITcINF00MATION ------ -------- LOCATION INFORMATION ---------
Permit Number: 6066
Address; 1876 BEACH AVENUE
Permit Type: PLUMBING` ATLANTIC BEACH, FLORIDA 32233
of Workz NEW LEGAL DESCRIPTION ------ -----
:Constr. Type.- Lot z Block: Section:
.`-Or posed Uset SINGLE FAMILY Township: , RNO: 0
b"'llings: 1 Codet 0 Subdivision:
ue,
;lKati i.. ted 'Val $0.160
Improv. , Costi
'Total e 44 �974. 50
$74. 50
A m o u oft,,,
1 2/92
W , BING: IN NEW SINGLE FAMILY RESIDENCE
A or,- M
MATION —— APPLICATION FEES
t
AVENUE PERMIT $74. 50
Add WATER IMPACT PEE $0. 00
T
C14 FLORIDA�,'� 3� 9� $0,09
FE
41
P
0
RADON GAS-H. R.S.
$0.00
T NFOkMATt�ON RADON GAS 5% $0. 00
E L0 Ir-90 �$0. 00
Name-, T WATER TAP,
T
I*-f 1T]RE041
SEWER 'TAP $0. 00
M, BkACH FLORIDA 3223 3 HYDRAULIC SHARE: $0.00
Liar, 4`401 -INSPECT FEE --$Q.00
.,OF 0 Type. 4 RE
SEC. N IMPAcr FEE
4
NOTICE ALLCONCRETE FORMS,AND FOOTINGS MUST SE INSPECTED'SEFORE POUAING
PERMIT,VOID SIX MONTHS AFTER DAT
EOF,ISSUE
�'�BUILDI'Ng,MATERiAL RUBBISH AND DEBRIS FROM THISWORK MUST N T BE PLACED IN PUBLIC SPACE,AND MUST BE
LtAA '(PAN
jb,',U
D HAULED AWAYBY EITHER CONTRACTOR OR OWNEII
TO COMPLY. WITH 'HE M,ECHAN'CS'rLIEN1AW CAN RESULT IN,
A 'U
�1,141- PRO PE RTY PAYING TWICE- FOR BUILDING iMPROVEMENTS.19
OWNER
I lw-: ud::17 R11 ,
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SU64ftip REVOCAT
'VOLATION OPAPPLICABLE PROVISIONS OF LAW.
00
ATLANTIC 6EACHSUILbING DEPARTMENT
By:
d�71
QITY OF ATLAN TIC BEACHl FLORIDA 60 ,53
APPLICATION FOR 9L9CTltI6%L PIJUAIT
To ThIll CAIU;f.0=111C" CATf.!
po"TANT NOTIC9;
WDN E
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE��K ".Q95c"lab THE foLu
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH-THE,ATTACH&Q P e'l
.AND SPECISICAT40 S;
WHICH AREIA PART HEREOF, AND IN'ACCORQANCf WITH-THE ELECTRICAL REGULATION%'COVES'AND CITY OF
ATLANTIC UACH ORDINMCg
IAMEO'L
rIAL I
ADD
.'UTWFfX*.
Go"I I MOUG I INDUI OLD I I Row#' I
AM
T" I T6w.I I SIGN& I
0XVIG& ilaw(L)--� w"9A.69 RgrAls I -FEE---
*ZA AMPS fimig ALUM,iu_�-
Ej PH R&Glux
HOTCH
gXgl.SIERV.SIZI PH- W
regal" NO. SIZE SIZE NO. SIZE-
LIGHTING OUTL9T8 CONCEALED OPEN TOTAL
RECEPTACLE&- CONCEALED OPEN PTOTAL
I - 1 71.100 A=:.-
FLIJORESCEW M-V--
FIJ"D . . 00 AUP0. I ovgn
U LL TRANSF.
AAR H.F.RATING H.F.,RATING
CONDITIONING COMP.L40TOR OTHER MOTORS:: AMPS CEIL HEAT: KWHEAT-
6.3 OVER
MOTORS N.F.- VOLTAGE PHS- -NO. VOLTAGE
MISCELLANEOUS
J
/ V
TitAN&FORMERS: UNDER WO V. --bVER 6WV.
XVA-
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR KLICTRIC4& PIRM''IT
DATf
TO Tma cmgr.gLiwTwC%'U PAPECTOR.
06VRTANT NOTICII.-
IN CONSIDERATION OF PERMIT GIVEN FOR DOING TH646�K is-4=9164D.IN THE FOLIJii4ik E
HEREBY AGREE TO KRFORM SAID WORK IN ACCORDANCE WITH THE-ATTACHEQ PLAK$,,AND,$pEPIfICATJ0el-Sl;
WHICH ARE A PART HEREOF. AND IN'ACC RDANCE WITH THE ELECTRICAL REGULATION% CODES AND CITY OF
ATLANTIC UACH ORDWANCE&
MASTED f -n um a
,LErTus Am,clhuA
"OREM
UTWU-N-
OL6
I Afi-I I MUG I INDUS w6w R9W.
AWT"I I T"1698 I I T&Ws tj�61414
-FEE--
"AVIG& laww Rg"g 89FAIR I I
AMPS A) copelift I ALUM.I
A UZ
(EA Lo-6 AMPS- PH
KXIM URV.SIZI I" W RACEWAY-
NO.'. SIZE
No size I NO. SIZE
LIGHTING OUTLETS CONCEALE01- OPEN XTOTAL
RECEPTACLES CONCEALEDI OPEN TOTAL"
wwww�__ *-SO AMPS.— 31.100 A
&WITC1496
ioLuo 66CFAT 4k M.V.-
orl"l) . 0.122 AMP$.
APPLIANess 16 -.1 .. I I ULLTRAJ"F.
AIR H.P.RATING. H.P.MATING :�
CONDITIONING COMP.MOTOR- OTHER moToRs Amps. 6-IL HEAT: KW-H"' T*
ovix
MOTORS H.P.- VOCTAGE PHS-- -NO. VOLTAGE
MISCELLANEOUS a 44 1/ 4' 44 4
/.( A /kr*//A Uy--�& 4L,=k 4
TRANSFORMERS: UNDER SW V. --i)VER wov.
;'0.
NO. "A---'
DATE: - 2-
. _//-----------
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC ALJ'I'IiCJkll'Y
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECT10N(S) HAVE BEEN MADL AND ARE:
SATISFACTORY:
---------------
------ -------------- -- --- --------
S'IXG"�L Y
BUILDING INSPECTION DIVISION
cc%FILE
8978
DEPAOITIMENT OF BUILDINO
CITY OF ATLANTIC BEACH
P ERKI, T INFORMATION ------- LOCATION 114FORMATION ----------
Vl�;el�i Number, 8978 AddreZz : 1�76 BEACH AVENUE
it TypeJILTILDING )kTLANTX(,* BEACH , FLORIDA 32233
;laiss, ot Work: ADDITION ------ LEGAL DESCRIPTION ----------
oistr � Type* WOOD FRAME
Lot . 34 B,l ock : 1 Section:
proposed use* 'PAT DECK Township i, RNG-, 0
Pwel lings , I Code: 0) Subdivision: BEACHSIDE
� ' Eitimated Va I ulm ' $2314 �00
os t to oe
Tmpro*
Total �ees'.
9/2,3/94
rk. �CABANA PEP PLANS
TION 4111111111 APPLICATION FEES -----
tA. -------
MIT
Name N I L A,S E I P E R
Wl' VENUE WATER IMPACT FEE $0 00,
2 2
ACH , FLORIPA SE,*" IMPAqT FREA
TIV
0/F Am
I , 1 11
36 M.R, S
T INFORMATION ----- -- RADON CAB 5% $0.00
Namell- 0 NEP 4,k CAPITAL IMPROVE. $0 010,
etc
addrez- - SEWER TAP.
RO S S CONN
ECTION $0 .00
SEC H IMPACT PER $0 010
Li-cense Type:
Ogel', CONST.SURCHARGE �i r I of)
AT
H
41A.
SCHARGE/ BC,
NOTES;�
NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUB131SH 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
OF ", LURE TO ' LIEN LAW CAN RESULT IN
Al , COMPLY, WITH THE MECHANICS
THEPROPERTY0,WNERFAYING TWICE FOR BUILDING'4MPROVEMENTS.
ED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT,AND SUBJECT TO REVOCAtIOWFOR
-APPLICABLE PROVI
ION OF SIONS OF LAW.
77777,
7
00000W 0
ATLANTIC BEACH BUILDING D EN -0000(X= 137.5014
O/q/% 01 IkIft: W76726
CKM
'r77
f
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEE
Address 2 ,1 C (If Vt tj'r%-�
Date, Y- 2
Heated Square Footage C) @ $ —per sq ft = $
Garage/Shed @ $ per sq ft = $
Carport/Porch 00 per sq ft = $
Deck @ $ (!f) per sq ft = $
Patio D per sq ft = $
@ $
TOTAL VALUATION :
'157,00 $
Total Valuation is t $ J0 0.6
15 , y —/ a - 0 6 $
Remaini/ng Value $-'> per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $
( ) Fireplaces @ $15 . 00
BUILDING PERMIT FEE
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP
CAPITAL IMPROVEMENT
SEWER TAP
) RADON (HRS) . 0050 $
SECTION H PAVING ( $—
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE s
ADDITIONAL PERMITS OR FEES: Mechanical_; Plumbin
Electric/New Electric/Temp_; SwimmingPool
Septic Tank Well__; Sign_Finish Floor Elevation
Survey other
CALCULATIONS and/or NOTES:
1994
L; I!'! Ag and Zon"
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
Owner(s)
-7 � Q,-,ac� A V La tl(\ L C� P h o n e r7
Address :...... ZZ
Lot # Block or Unit # Subdivision: . 91�e_ja_e:�
Contractor: 6C�X)&t—
Add r es s : -Phone No:
Describe work to be done: o- FT
Y_P_CA 006(t�_Vcl_
Present use of building:
Valuation of Proposed Construction:
Proposed use: _"3o C I al S
Is this an addition? If yes, what are the dimensions of
the added space: -- ft . X ft . Will the added area
be heated and cooled? New electrical (or increase)? W6
New plumbing fixtures? New fireplace?_&�_New Heat/AC?
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, 'SURVEY ,
E-N����S, - -P' AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER:
Date:
'00�6
Signature CONTRACTOR: - Date:-
Wag
ONE
ONE
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PRO
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if
fill:
1�4 8 14
0 0"e7— ec
I I
LoT 34, BLOCK 1, BEACHSIDE, AS RECORDED IN PLAT BOOK 42, PAGES 14, 14A, 14B AND 14C OF
THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
4 Voe::��VI-Ag�5
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IN
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JK
.....................
...........
71-63 Ira
-'C 4Le., 11140AW 4-
--111W I-Al-U I':--- V=71 T'll
oBEARINGS ARE BASED ON THE NORTH LINE OF LOT 34
AS BEING N.89029'00"E. BY PLAT
# THIS PROPERTY LIES IN FLOOD ZONE "X" BY FLOOD MAPS
REVISED APRIL 17, 1989, COMMUNITY PANEL NO. 120075 0001 D
FLA 1941 &.^W*
40
Urt Of (90MMtnictment
The undersigned hereby informs all concerned that Improvwnents 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.
I '.1,1-� , I I
of swoperty.. ..... C . ......
..............J�
............ ....... .........
............... ..... ......................................... .................
CWW6I J*W*d" of Wo-a I WIM116.
......... .....I............................................ .......................................................
................................................ ................................................................................ ...........................
(L)
Owner.-..... ........ ..................... .............................................
Owner's iniered in its OF dw ksprovwxwd........ ..........
F** UY* We W&r W WW *M OWW)
No"......-.4........................................................................................................................................... ......
Adtiress.....—............. ..........
(--j
................
...................
Suretytj .................... .......
Addrow--..---. ........................
NWW of P -3-ft W*Wn 06 Swe of RWW6 doorwed hy OWW upon Whm nolim or Ww domma my
64 serve&
Ad*m........
I m addition to himself.owner designates tM following psr=6 to receive a copy of the Lienor's Notice
provided In Section 713.13(1) (F), Florkle Statutes. Will In at Ownses option).
................
......................................................................................
TWO OPPA6 VOR RXISONSWO W84 4016V
FL^� 1167 LAWS nA&WO r4m"4"
PS 713AS
Runtre of CuJunwnrenwnt
4"SPANG I"OUPUGATUS
go kahom it nov M==
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.
D"cription at property..kKLI. .......11-b..Q.Ku...�.�.'�' C�
C 0
...Q1 ..... ....................
"'Ar
............... .... . .. ........b.. q C
............................... L.................................................................................................. ....................
Gwwral Jesaipion of vemwds... .............
...... ...........I..............................................................................I........I....................................................................................................
......I.......I..........................................................................................................I............................................................................................................
Ownw......... ...Vc—&-c..... P............
Ad&es&.....\......?...........................ii'�. ��........
OWn4lr'S inisred in site of the kWovwnw..... ................ ...... ............... ....................
Fee SWW6 7*6 holdw (4 o0w t6n owrwl
Nam- .......................................I........................................................................................................
Addrew.....
Cmitradar.... .................
........................................... ................................ ........................................ ................
. ......... ...... ..........
...........................
my
LOT 34, BLOCK 1, BEACHSIDE, AS RECORDED IN PLAT BOOK 42, PAGES 14, 14A, 14B AND 14C OF
THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
elzv
Pwo Y/o IRV,
PAP
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14 A4
JA-
p ell
4.1
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SIR- r
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evw�&L
--------------------
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.'11111� oe�_Z
le.
3wx 0=
go.- N
1'4—�7%- ll I-A I"
72P
@BEARINGS ARE BASED ON THE NORTH LINE OF LOT 34
AS BEING N.89029100'tE. BY PLAT
- THIS PROPERTY LIES IN FLOOD ZONE "X" BY FLOOD MAPS
REVISED APRIL 17, 1989, COMMUNITY PANEL NO. 120075 0001 D
CITY OF / L-11 -'S
4&4t4-0 B" A 1,1A
fft"
L
Office ot Building ial
0
REQUEST FOR INSPE 10
7 -2, Zq
Date 10 1 -4� Per t 4N
Time f A.M.
Received PM.
Job Address Locality
Owner's g-C-A (J/-) Le actor —
Nam ----L �IK -Thz
L
4Be�:DIN�G:,) CONCRETE -46�CTF1,1'CAL CLU�BING MECHANICAL
0 Footing 11 Rough iring El ----gtrl El nd. & Ej
F,a
Fra g Rou
Re Rooting Ll Slab E Temp Pole E) Top Out D Heating
Insulation 1-1 Lintel D. Final El Sewer [I Fire Place El
Pre Fab
REAW--FqR INSPECTION
Mon. Tues. (,W
�ed Thurs, Friday
A.M.
Inspection Made P.M.Final Inspection
Inspector Certificate of Occupancy Fj
Date
CITY OF
4&44d W. 13e44CA-1&1". 14
Office of Building Official
REQUEST FOR INSPECTIOVN
Date k- 0-2-- Permit No
Time A.�—
Received RM.
/ 00 J0 rk e/1 (at-
Job dress Locality
ob
Owner s
Name Contractor
BUILDING tCGN-CREr�-� ELECTRICAL PLU NG MECHANICAL
Framing El 9 El Rough Wiring E-1 Rough E Air Cond.&
Re Roofing El Stab E Temp Pole E Top Out D Heating
Insulation El Lintel F1 Final 0 Sewer E Fire Place
Pre Fab
READY FOR INSPECTION
Tues. Wed. Thurs. Friday
k A.M.
Inspection Made P.M.
Inspector— Final Inspection El
Certificate of Occupancy El
Date
T—
CITY OF ti�N(Y
0.,A �z f q -9(9L(
Office of Building Official
REQUEST FOR INSPECTION
Date.. 10 Permit N
Time A.M.
Received PM.
9 �(,=. ?,> Aq&
Job Address Locality
Owner's
Name Contractor
BUILDING Z(Ofl��R ELECTRICAL PLUMBING MECHANICAL
Framing ting 11 Rough Wiring D Rough E-I Air Cond. &
Re Roofing Ej Slab 11 Temp Pole El Top Out El Heating
Insulation E-) Lintel D Final D Sewer 0 Fire Place
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. Thurs. Friday A.M.
-PM,
Inspection Made P.M.
Inspector Final Inspection El
Certificate of Occupancy El
Date
CITY OF
4&4A4(4C jeeacA-99k
Office of Building Official
REQUEST FOR INSPECTION
Date o Permit No.
Time A.M.
Received
z
C-J66-Address Locality
Owner's
Name J�Y OA Contractor 14 0
BUILDING CONCRET
ELECTRICAL PLUMBING �MECHANICAL
�0 Rough Wiring D Rough
Framing 0 �otln�g 1-i Air Cond.& 11
Re Roofing 0 Slab 11 , Temp Pole E) Top Out El Heating
Insulation 0 Lintel Final 1-1 Sewer 11 Fire Place
Pre Fab
READY FOR INSPECTION �M
Tues. Wed. Thurs.
A.M.
Inspection Made PM.
Inspector Final Inspection 0
Certificate of Occupancy Ej
Date
CITY OF
4&a,a1w AeacA- Y V/36
Office of Building Ofti I �9 Q/
F
g fti I
�r
REQUEST FOR INSP CTION 2 Y qk d
Date Permit ct
Permit 146
Time A.M.
'Received RM.
Job Address Locality
Owner's
"C
Rci Y- _131(l (L#A V\1
_qr 7" " /Y
CONCRETE 67:L�E C'FR I PWM -'MECHANICAL
Footing El Rough Wiring
Re Roofing ?731- Slab 11 Temp Pole U Top Out .1ingg
Insulation Ej Lintel D Final El Sewer E3 Fire Place
REAnX F R INSPECTION PMV
Mon.
Tues. Thurs. Friday P.M.
Inspection Made A.M.
�P.M.
Inspector Final Inspection 0
Certificate of Occupancy 171
Date
CITY OFI)
yq�_59
4&4^4*C BeaCA-99&$da i
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received P 1A--
Jo Locality
,b,-Adjr-e
')'vne,'s
Nagj_ Contract
RI III,DI CONCRETE ELECTRICAL PLLIMBING MECHANICAL
UIL
Framing Footing LJ Rough Wiring D Rough El Air Cond,& E3
lab Ei Temp Pole El Top Out 0 Heating
I sulation ntel D Final El Sewer 11 Fire Place El
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. Thurs. Frid
Inspection Made A.M.
lnspector7�� P.M.
Final Insp,.ct,.n D
,0 Occu
Certificate of Occu
Date
CITY OF
4&6^4c Bea:A-
Office of Building Official
REQUEST FOR INSPECTION
HDate Permit No.
Time A.M.
Received RM.
�:D t42
Job Address Locality
Owner'S 117
Name —ARtzt, Contractor <Urmi
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing E Footing 0 Rough Wiring El Rough E Air Cond. & 11
Re Roofing D Slab 1:1 Temp Pole Ll Top Out 0 Heating
Insulation 11 Lintel El Final El Sewer 11 Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. Cnd.y��
A.M.
Inspection Made P.M.
Inspector Final Inspection El
k-,U,/r Certificate of Occupancy El
100A,UL, Y'O-) -i—) Date
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
CATIO ATLANTIC 89ACH. FLORIDA SX233
APPLI N FOR MECHANICAL PERMIT — CALL-IN NUMSEA
IMPORTANT Applicant to complete all items in sections 1. 11. 111. and IV.
Sires# Address: eA A
LOCATION
OF - Intersecting Streetu Between And
BUILDING 1
11. IDENTIFICATION — To be completed by all applicants
In cons.*dorot;on of,permit 9;v*n (or do;Aq the wort as dsbcr;bod in the sbeve statement we hereby ogres to Re-1c'm J6;d .0-4
W.th the attachpd plans and ipscificos;ons wh;ch are a part hereof and in accordance w#'th fh* C;ty of Jockjonw.lIq ard;nomces &-a j*#.#,zj
of good practice listed #heroin,
Nam@ of Mechanical Contract*,$ "A
Contractor Irriot) Maile,
Name of
Property Owner
! asturs of Owner Signature of
�Avfhewrizssl Agent 1 41. Architect or Entionear
Ill. ttLftCINFO��ON
IS OTHER CONSTRUCTION BEING DONE ON
Elodric THIS BUILDING ON SITE?
0 Gas—C) V C) Natural 0 Control Utility I
OF YES. GIVE NUI`4 19 OF CfiNSTRUCTION
0 of PERMIT
0 Other — Sit"lly
IV. mICHANICAL SOUIPMOn TO U INSTAUED NATURE OF WORK
it loss") Residential or Commercial
IF go;if complete kt of compownts opt back of Ois
ft Halt 0 Space Cl Rece"od 4 Central 0 Floor Now Building
IAir ConslMoming: (3 Rom Control Existing Building
Dod System: matoria 11siclusass 0 Replacement of existing system
z, Now Installation(No system previously Installed) 6D
masimsion capacity 00 Cf^ k
C) Relligim two 0 Extension of add-on to existing system
C] COO169 towel: Capacity I-Pin. C3 Other— Specify
13 Fine sprinklon: Nwrnbor of Is" T
13 Slevohw 0 MsAift 0 Es"Ists, THIS SPACE FOR OFFIC4 USE ONLY
,C) 640100 pumps —(mimbs,) (Rod"di
0 (number) Remarks
C) LPG ve-k (Numbar)
0 Us%red pmum v~
13 Permit Appnw" De
13 OIhv — Sw* permit
IJ9r ALL EQUIPMENT
AM CONDITIONING AND REFRIGERATION EQUIPMENT
vArulAty Apprvftj 0
Number Veft Descript3oft 31o&I Number u"Uracturer
cp
_.y e.0 CA—lle-z 4,11,
RECEIVED
MAY 2 4 ^q
City of Atlantic Beach
Building and Zoning
City of Atlantic Beach- 800 Seminole Road- Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 - FAX (904)247-5805 - http://www/ci.atlandc-beach.fl.us
BUILDING PERMIT APPLICATION
FOR SINGLE-FANULY OR TWO-FANIILY (DUPLEX) CONSTRUCTION
(INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS
AND ALTERATIONS, MOVING OR DEMOLITION)
DATE �5_(L,9,-:2-1 Z
JOB ADDRESS /?-7 V41
APPLICANT—LAW 1 14 F- AJ 11 G=E
ADDRESS de*R!�CAiP�L iCt- 12a I Q PHONE: &!h 3 F:Z 0-7-7 C)
LEGAL DESCRIPTION: BLOCK NUNMER LOTNUMB F&_2L
ZONING DISTRICT&4CYJ/D F
STATE LICENSE NUMBERC&_&� IS-0
CONTRACTOR .:FdE: Z I
ADDRESS 1�/jq 4&e50_j+6-1_ 6L R- SX-2- 0 PHONE 19-7-7 0
CITY LA+I-k STATE ZIP _32-.1- FAX (-IeLl) g3 1�3_
=:!g -4 A-)
DESCRIBE PROPOSED USE AND WORK TO BE DONE L-1 L
e T) 11-1 Z Z, a 14 V 0 2-V
PRESENT USE OF LAND OR BUILDING(S) 1*/ A2 6-L 41 F144-1 L-��d
VALUATION OF PROPOSED CONSTRUCTION �S_5, 64,00
Is this an addition? — A) If yes,what are the dimensions of the added space: feet by feet
Wili the added area be heated and cooled? New electrical or increase in service? 421D
New plumbing fixtures? VA14q New fireplace? New heating/air conditioruing9
Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application.
PROCEDURE: (In order to expedite issuance of permits, please foHow all steps and provide all
information as appropriate)
STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please
contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation,please have
Property Appraiser's Real Estate Number available.
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey is required. (If not required, written verification must be provided with this application.) The
Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834
MUM
STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and
four(4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall,
800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826
In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work
being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
1. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and
square footage. Identify any existing structures and uses.
3. Existing and/or proposed driveways.
4. If required by the Department of Public Works, a pre-constructioxi'topographical survey.
5. Any significant environmental features, including any jurisdictional wetlands, CCCL,natural water bodies.
6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.)
7. Other information as may be appropriate for individual applications.
I B3EREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH TFIIS APPLICATION IS CORRECT.
SIGNATURE OF OWNEk' DA1*
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO.BE TRUE AND
CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WELL BE COMPLIED
WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR
LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF
THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION
BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS
REQUIRED.
SIGNATURE OF CONTRACTOR'�z=�� DATE
ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING
TEaS APPLICATION (PLEASE PRINT)
NAME
MAILING ADDRESd I Ll 4 L-RZ C t�G-L- -1'( , L)A--.,< F( 3 X-'z 10
PRONE &�39-? -6-77p FAX_(IAQY) 3 9-9 -23 T-3 E-MAIEL 4 1/1�5 W-#Age L-. Lam.
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF Ck:LA�
STATE OF FLORIDA,COUNTY OF DUVAL
NOTARY'S SIGNATURE_qata�
.Q*p Paidda T No"
AS TO OWNER: ersonally known My Comn*&Ion DDI 12379
a-P �Poj Expims May 10,2D06
C] Produced identification
Type of identification produced
pedde T NOW
AS TO CONTRACTOR: Personally known rUN.- MyCWvn"onD0i12V9
Produced identification �4T./ e0MM-00,2DOG
Type of identification produced
02/29102
,NEW IMPERVIOUS SURFACE REGULATIONS
On January 01, 2002, the City of Atlantic Beach enacted new regulations
limiting the amount of Impervious Surface that can be developed on
property.
Within all residential Zoning Districts, the maximum amount of
Impervious Surface area allowed is fifty percent (50%). Within all
commercial and industrial Zoning Districts, the maximum amount of
Impervious Surface area allowed is seventy percent (70%). The Zoning
regulations define Impervious Surface as follows:
Impervious Surface shall mean those surfaces that prevent the
entry of water into the soil. Common Impervious Surfaces
include, but are not limited to, rooftops, sidewalks, patio
areas, driveways, parking Lots, and other surfaces made of
concrete, asphalt, brick, plastic, or any surfacing material
with a base or lining of an impervious material. Wood
decking elevated two or more inches above grade shall not be
considered impervious provided that the ground surface
beneath the decking is not impervious. Pervious areas
beneath roof or balcony overhangs that are subject to
inundation by stormwater and which allow the percolation of
that stormwater shall not be considered impervious areas.
Swimming pools shall not be considered as Impervious
Surfaces because o their ability to retain additional rain
)f
water, however, decking around a pool may be considered
impervious depending.upon materials used.
Information verifyine Impervious Surface must be provided prior to
issuance of Building Permits whenever new construction, includin2
buildin2 renovations or additions, new driveways, decks or porches
involves any increase in Impervious Surface area.
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233 - Tel: 247-5826- Fax:247-5877
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 24460 Address: 1876 BEACH AVENUE
Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s):34 Block: I Section:
Square Feet: Subdivision: BEACHSIDE
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 7/17/2002 Name: REICHLER, RICHARD J.
Total Fees: 25.00 Address: 1876 BEACH AVENUE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
-07
70
�1�87
Date Paid: 7/17/2002
Work Desc: INSTALL 5
,
,50r,", tT
CONTRACTOR(
—WPLKATION FEES
AMERICAN ELECTRICAL C
25.00
.........
6,
"T, T 1'211'11"?�'
x
NOTIC P
PECTION
E - 1
BUILDING MATERIAL, FRO �LIC SPACE, AND
MUST BE CLEARE
"FAILURE TO COMPLY. LT IN THE
PROPERTY OWNER PX
............
"A' ERMIT AND SUBJECT TO REVOCATION
ISSUED ACCORDING TO APPROVED P
FOR VIOLATION OF APPLICABLE PROVISI S
IMM 0C fj�: I
WC 7"
ATLANTIC BEACH 81JILDING—OE-RT. W6
a&W 3W
71" "n.,
Building Department 904-247-5805 P. 1
CITY OF ATLANTIC BEACH, FLORIDA
App---di&v� APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:J(AIQ I r7 W,;
IMPORTANT NOTICE- I
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE
HERE13Y 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.
e- z�
atz -4., ;&, :1
ELECTRICAL FIRM- MAMR ELECTRICIAN SIGNATURE JOUENEYMAN
NAM e C'ni —ADDRESS; to__ 15r1Lv_+1 6oERFCL_3OX_
SLOG.SIZE BETWEEN:
RES.tyll" AFT.( I COMM.( PUBLIC( INDUS.( NEW I I OLD( REW.
AODITION ) TRAJLER TEMP.i SIGNS ( ) _SCL Fr.
SERVICF_ NEW( INCREASE( REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ALUMJ )
—SMTCH-OR BREAKER AMPS PH W1 VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W1. VOLT RACEWAY
FEEDERS NO. SIZE No. SIZE NO. SIZE
LIGHTING OUTLETS -CONCEALED 1OPEN ITOTAL
RECEPTACLES CONCEALED I OPEN TOTAL
0-30 AMPS.
SWITCHES AMPS.
INCANnEscEuT
FLUORESCENT&M.V.
frixan 0-IQ*AMPS. 1 ov BELL TRANSF.
APPLIANCES
AIR H.P.RATING H.P.RATING
CONDITIONING Camp.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW.HEAT
MOTORS H.P. VOLTAGE 10 VH.Fjpt.
pHs NO. VOLTAGE PHS
MISCiLMEOUS
TRANSFORMERS. UNDER 600 V. OVER 600 V.
NO. KVA I I NO. 1KVA
NO.NEON TRANSF. NO. —[VA. MOTOR SIZE SWITCH FLASHEW
EACH SIGN I
FORWARDED
TOTAL FEES
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAK 247-5877
TI0_N___
RMATION
Permit Number: INFORMATION
--2-448-1 ------Address: 1876 BEACHAVENUE
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: ADDITION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s):34 Block, I Section:
Square Feet: Subdivision: BEACHSIDE
Est. Value: _-Parcel Number:
Improv. Cost:
____QWNER INFORMATION
Date Issued: 7122/2002 Name: ME_K�HLER, RICHARD J.—
Total Fees: 25.00 Address: 1876 BEACH AVENUE
Amount Paid: 25.00
ATLANTIC BEACH, FL 32233
Date Paid: 7/22/2002
L 387-0770
_HV A-_C___ #
Work Desc: REPLACS
AX:
CONTRACTOR(S) TION FEES
rA U-AIR COOLING SERVIC
ado
�",AJ
..............
g
4NSP TION
NOTICE
7L��'- -----------------------------------
PIS717ROm THISWy0R_ K--fAQST-,N
BUILDING MATE L"� Q8 "1*4 6-T-e- ` ' '
..... ... ...
Y, IC SPACE, AND
'6
MUST BE CLEARED U :Y13 f4� A
"FAILURE TO C PL
IN IHE
PROPERTY OW R PAYI
ISSUED ACCORDING TO APPROVED T AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISI
W: =13
me: 7MM $11
14 POETS-MLIXIS .1
ATLANTIC BEACH-11
BUILDING DEPT.
a cow 2M
yrm date: 7/23/$2 Tim: 19:06.16
P.
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH. MORIDA=.33
APPLICATION FOR MECHANICAL PERMIT
IMPORTANT—Applicanr to t;omplete all ittems in sections 1. 11, 111,and M
1. 1
I C v
LOCATION OF latersecting st"OKS:BetwCea 6 j-A Knd
BUILDING Sub-&visim 6-cucksicjg�,
II. IINOE.NTIFICATION- o becompleced by all appficants.
In cotisiacmiun olperrrut given fo(doiagehe work as d*Wribed In rheabuves:taxement wehett.*agree to perfaFn=idwcrkin
uxurdance with the attached plum and sqeCitiCagioas which Ite a PW herco(and�A uxwda%Qr WIE4 the City of N44AW;concla
ordinartctsa and standAtc"aigond grccticc liated therein,
Name Uf stectut"I cluntuctors
contructne(Print) A cc-u MI%roe
Name offroparry
owner �,ejr
S ignature 0 towner Signature of
Or Authotived A ent ArChiteVE or Enginccr
[11. GE N E RA L EN]FORM AT tO N
A�p Type of hizxciag hal:
Q Ekctria IS OTHP-5 C0NSTXUCn0N 9 ENO DONE ON TIV$
0 Gas; _L? _�Natumt Peutrat Utility BVILDINO OR Strt?
Q 01il
0 Other-Specify IF YES.GIVE NLUBek OUTT11crION
i PCLk�IT
IV.
MECHANICAL EQ UIPINIENT TO BE t4ATUILF OF WOAX
INb-FALLED 4 Residential or Corrimacial
(Provi6it complair list o(compomats;on i,%ck of this ffim) Cl New Suilditlg
)21� Existing Building
Q Meet —Space Kw,"Ad (:Cucmj Floor C) 'Itift System
RCp(aQdMQ(13 f= I
U A,r Conditioning: Room &n-rMl 0 Now installation(No sy tuly instaged)
,sicm previo
a Duct System: materill :11ickv-415— Extemiou ur add-cia to 'bT1ft8,Sy!;,z
maxichum Other- Speci�r.
Q colAitig toww Capacity
0 Fire sprinklers' Nuinbcr of heads THIS SPACE POP,06TICk 1.1$X ONLY
In (Received)
0 GawliricpumP3
M Taas- (Numlacr)
0 LPG con"trs —(Number)
0 UnOred preasAre vessj Pcrmitkppeoved by_ Vitt
Q Boueft
0 Other-Specify Permit Fee
'LIST ALL EQUMMENT
AIR CONDITIONING AND REFEUGERAMON EQUIPMENT
Number Lski Description MWel Number Nuaufactury cipwicy Appeo-itis
act") A4eocv
KEAL'INCi-FtJRNACES,BO(Lf-RS,FIW, LACES
Number Units Descriptiou Model Number Manufactaror cap"dry Approviag
(13TQ) Av
.............
TANKS
HOW M=Y NQUIiAMI C40ACity Type L�4uid Mime of Srial Approv,
AM Dimenaions. Conco�ined Manatac(urer No, A
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 24189 Address: 1876 BEACH AVENUE
Permit Type: REMODELING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s):34 Block: I Section*
Square Feet: Subdivision: BEACHSIDE
Est. Value: Parcel Number:
Improv. Cost: 55,000.00 OWNER INFORMATION
Date Issued: 6/04/2002 Name: REICHLER, RICHARD J.
Total Fees: 420.00 Address: 1876 BEACH AVENUE
Amount Paid: 420.00 ....... ATLANTIC BEACH, FL 32233
6/04/2002 -�,,,904)387-0770
Date Paid:
Work Desc: REMODEL SUNRQP
CONTRACTOR(S
1,,_��A�TION FEES
420.00
THE TURNAGE COMPANY
IN
RM
OS,1,
-Pllxi��4� 777 m,25'4
-.0
0,Fr
-Y 3,
K
RA
t
R V
.........
NOTIC
TION
BUILDING MATERI I IC SPACE,AND
MUST BE CLEAREi
"FAILURE TO COMP IN THE
PROPERTY OWNER
ISSUED ACCORDING TO APPROV IT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE P I
L: =To Type: 0C kuff: I
W: 6146M 01 Rkaip!L w: 62971
14 PEWWWRI)ING I $M.(*
Ilk .IV6 IVE
ATLANfl-C—BEACH BUIUDING 26109 SM.00
Tram dot*: 6/06102 Time: 11:11:23
Rpr 05 01 12: 39p Building Department 904-247-seos P. 1
7 6r. CITY OF ATLANTIC BEACH
APPLZCATION FOR PLUNMING PZPXZT
/s 7(o v
,:�F PR02ERm.Y: T�T_'EPHDNE NO.
il/ Je tz-
CONTRACTOR
ACDREESS : c� 314 -t-
-7 LICENSE NUMBER: TELEPHONE:
HOW MMY OF THE FOLLOWING FIXTLMES
RE-PIPED OR NEW
S:NKS SHOWERS
—IAVATn-RY WATER HEATERS
BATH TUBS DISHWASHERS
7 IS CISPOSALS
-NAIJ
CLOSETS WASHINIG XACHINE
FLOOR DRAINI� SHOWER PANS
s 11 I'll E R W.A T ER
(LIST FIXTMkES BEING REPIPED)
OTHER
TOTLL FIXTURES : $3. 50 + �15. 00
MINIMUM PERMIT FEE $25. 00
S-_SNATU��Z OF OWNER:_
S13NATURE OF CONTRACTOR:
-----------------------------------------------------------------
�NSTA:,LIATION OF PLUMBING AND FIXTURES I-JUST BE IN ACCORDANCE WITF
THE MOST RECENT EDETION OF THE SOUTHERN STANDARD PLUYBING COCE.
DAY A?EAC TO SCHEDULE INSPECTIONS - 11904 ) 247-5826
F0 0�- L4
CITY OF ATLANTIC BEACH
APPLICATION FOR POOL PERMIT
leach
()f All- Wj(-� r
JOB ADDRESS
LOT # q BLOCK# SUBDIVISION 04-di4 SC 0 E:
OWNER C-4,44-d *Rq, �ctyLz-a
ADDRESS ee,. '16 K4-Ch 4 UE
CONTRACTOR John C. Scott. III,SurfSide Pools
ADDRESS 313 Beach Blvd.. Jacksonville Beach, F1 32250
TELEPHONE ;6
LICENSE# CPCO 44080
VALUATION GALLONS— C 0
SITE PLAN
ftont
Ity
C I Atlantic i3each
r1waft and Zoning Department
9ppMVM verifts wmpiiance vAth appROGNS
z ng, subdivision and other local land
d lo regulations, but does not constitute
*w the issuance of permits. compliance
Florida Building Code and all other applicable
t. state and Federal r,,�rmitting requirements
be verified by StLl'�- Of the- City of Atlantic
ch Building 0 1 al pj3T to the i a ce of a
B ding Permit.
A)proved By- ,—i
Director
U ate:
rear
SIGNATURE OF OWNER DATE 0-2--
SIGNATAURE OF CONT OR DATE
CITY OF ATLANTIC BEACH
BUILDING AND ZONING
800 SEMINOLE ROAD
ATLANTIC BEACH FLORIDA 32233
INSPECTION PHONE LINE 904-247-5826
Application Number . . . . . 02-00024798 Date 9/18/02
Property Address . . . . . . 1876 BEACH AVE
Application description
Property Zoning . . .
B ED
Application valua
Owner
0 rac ,, r ,
----------- ------
-----------
REICHL�R
HARD E—P S
VD.
NUE `3 L D
1876 B A
ATLANTI B 2233
FL 32250
(904 2,46-' -6
6 f
----------
------------ - -------------
Perm' � ILD IT
A
Add' ional
IOL
Pe Plan Check, 154 .00
it*%Fee
Iss
—Valuation ,
61800
id
Fe ,- -.Lmma redited
e
L
-- wl�I
7-�7, 7
V t F 3
F, . 00
P-L . 00
Grin T t
. 00
F
NNX
K
BUILDINGMATERIAL, 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 OEAPPLLCABLE PROVISIONS OFLAW.
Q ( - qo--�
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH PERMIT , CaLCULaTION SHEET
Address— 1-(�' 9-)eA-et-k- Pry
Date
Heated Square Footage ----p e r sq ft = $
Garage/Shed per sq ft = $
Carport/Porch $—p e r sq ft = $
Deck $_per sq ft = $
Patio $_per sq ft = $
TOTAL VALUATION : $
�2-
Ttal Valuation 1st C-CC,
_ e_ cc-- 4(p
Remaining Valule dz�&bper thousand
Tportion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $-
Fireplaces @ $15 .00 -$:
BUILDING PERMIT FEE $
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT, $
SEWER TAP $
) RADON (HRS) . 0050. $
SECTION H PAVING $
HYDRAULIC SHARES $
CROSS CONNECTION $
SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE $ e-1(g
ADDITIONAL PERMITS OR FEES : Mechanical_.; ..Plumbing_
Electric/New Electric/Temp_; SwimmingPool
Septic Tank Well_; Sign Finish Floor Elevation
Survey other
CALCULATIONS and/or NOTES :
Book 10658 Page 927
flotire ot ommencement
(POILPARC IN DUPLICATZ)
To whom it mav concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE
OF COMMENCEMENT.
Description of property -------- ---------------------
------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------
General description of improvements -----------------------
--------——------- —------------------------------------------------------------------------------
Owner -----------------------------------------------------------------
Address
Owner's interest in site of the improvement ----------------------------------------------------------------
Fee Simple Title holder (if other than owner) -------------------------------------------------------------
Name ----------------------------------------------------- -------------------------------------------------
Address --------------------------------------------------------------------------------------------------
4 Contra I
07 ctor -,S-L- JCS�Q(K- Q�L�':. ------------------------------
2 t7L. 2—S-,C�
Address ---------- ------- ---------------
Surety (if any) --------------------------------------------------------------------------------------------
Address -----------------------------------------------------------------Amount of bond $--------------
Name and address of any person making a loan for the construction of the improvements.
Name ---------------------------------------------------- -------------------------------------------------
Address ---------------------------------------------------------------------------------------------------
Name of person within the State of Florida, other than himself, desipated by owner upon whom notices or other documents
may be served:
Name ------------------—---------------------------------------------------------------------------------
Address ------------------------------------------------------------------------------------------------
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.06 [2] [b], Florida Statutes. (Fill in at Owner's option).
Name --------------------------------—----------------------------------------------------------------
CITY OF ATLANTIC BEACH
0
800 SETVIINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 02-00024798 Date 11/01/02
Property Address . . . . . . 1876 BEACH AVE
Application description . . . POOL
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 61800
Owner, Contractor
------------------------ ------------------------
REICHLER, RICHARD SURFSIDE POOLS
1876 BEACH AVENUE 313 BEACH BLVD.
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 246-2666
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . WIRE FOR POOL
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 . 00 . 00
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 T14E 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.
BUILDING OFFICIAL
OCT-29-2002 02:16P FROM:
TO:19042475877 P*1/3
CITY OF ATLANTIC BEACIE4 FLORIDA Vkw
A"LICAnON FOR ELECMCAL PERMTF
70TmcKwmwmCALINSPwrcm: DATE: 20 oc)-
DAPORTANT NMCE.
IN CONSIOULATION OF PERMrT GIVIZN FOR DOVXTIM WORK AS DESCRIBED IN 711E FOLLOWING,WE HMMY AGREE To
PEIWORM SAID WORK IN A=RDAM"T WTH THE ATTACHED PLANS AND 51718LIFICATIONS,WHICH ARE A PART[Zltm.
AND IN ACCORDANCE WrIll THE ELECTRICAL RPOULAnOtM CODES AND CITY OF ATLANnc ORDINANCES.
ELECTRICAL FTW: S
_tnvid ptudy-*s �Wkiad sw__-s Mic.
OWNERSNAME:. Ralc_k I er ADDRESS: Ave RM—BOX—
BLDG.S BETWUN:
RES.��APT-( ) CO)AM ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW
ADDMON( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.yr.__
SERVICE* NEW( ) INCREASE( ) RJBPAIR( )
CONDUCTORSIM AMPS: COPPEIRt( FEES
SWITCH OR BREAKER AMPS P" W I VOLT RACEWAY
RACEWAY
EXIST.SERV.SIZE 150 AMPS I PH W OVOLT
FEEDERS NO. SUM NO. SIZE NO. SIZE
LlOtnlNG OUTLETS CONCEALED OPEN ITOTAL
RPCEPTACLES ICONCEALED OPEN TOTAL
I 0.30AMPS I 31,100AWS
SWITCHES r
INCANDESCENT
FLOURESCENT A M.V_
FIXED 0.100AWS. I OVER
APPLIANCES I J BELL TRANSF.
AIR XP.RATING KP.RATING I CETL. KW-HEAT
CONDITIONTNG COW.MOTOR OTHER MOTORS -AMPS HEAT
0-1 OVER
MOTORS xp- VOLTAGE PHS N I H-P. VOLTAGE PHS
MISCELLAMOUS
UNDER 600V OVER 600V
TRANSFORMERS:
NO. lKVA IN IKVA
NO.NEONTRANSF. NojvA_ MAJMOTOR�� HERS
EACH SIGN
UpdWA=0=02
41
ARCHITECT/ENGINEERS CIIRTIPICATION
COASTRL CONSTRUCTION CODE FOR BLL MAJOR STRUCTURES TO
BE LOCATED WITHIN CITY OF ATLANTIC BEACH, FLORIDh
APPLICANT' S NAME PHONE NO- �Y,7-�P �A!;E
OWNER NAME:- J-)'e0' —R.E. TAX NO. :
TYPE OF PROJECT: ( )New Home )Residential Addition )Garage
( )pool )mew commercial )Commercial Addition
�+)other 6 (a'n (/:� r-
911 STREEI ADRESS: /'S 7 6 T�d 61'7-t =-6�4 61
Wo 'claim the structure -to be exempt as follows:
Garage with no provision for occupancy - detached one
and two family only
Pier, Dock, etc.
Other (Specif Y) �� o
I also certify that no structure listed above may be remodeled
converted to a non-eXompt use without being upgraded to fully
comply with the ordinance*
Signed: nave
----------------------------------"-----------------------------
CERTIFICATION
This certifies that the plans and spocificatiors submitted aiiJ
sealed by the undersigned meet all criterii' set forth by the Cit .v
of Atlantic Beach Coastal Construction Code. Root covering is
exempt from the 110 mph requirements of the Coastal Constructic.,
cod*, but meet all the other requirements of the City of Atlantic
Beach Building Code.
11--'
4/) The . structure including foundation, frame, roof decking ,
exterior walls and floors has been designed for wind loads ot
110 mph, with all design complying with...�the 191TI , Chapter 12 .
Standard Building Code.
-- - ------ ------ mw-�--M---------------------------
X�74--------
Windows, doors and all other exterior devices comply with t�.e
110 mph wind load. I
---------------------
(V� The structure is located outside the area affected by wavE
forces, OR
The structure Is capable of withstanding wave forces resultin,
from a wave crest height of feet above MSL includiii..:
uplift forces.
- m----- ----------------------- - -
The structure is located in FIA Zone A and the foundatic.�.
design has considered possible exposure to water and erosi..;:i
OR
( 0 The structure in located in FIA Zone X and the foundation wi 1 .
not be exposed to hydrodynamic, hYdrostatic loads or wate�
scour, OR 1 .
Foundation design has been completed with floor elevati�;,.,
above the specified Stillwater elevation, and to resist wavf!
hydiodynamic, hydrostatic and wind loads acting simultaneous I
with dead loads. Erosion Computations for the fonntiati ,1'.
'Fir-
%J%J-r
1994
OWHER BUILDER PERMIT AFFIDAVIT
r
Stuto of Florida
City of Atlantic Beach I
BEFORE ME, the und&rnignod authority, Personally &pp&4rvd
----- ---------V---- ------- who upon fisat bW&nV duly
a.worn, deposes and sayst
14, C, and the legal
owner of"N; i;llowlno property#
Subdivision
Block
I so applying for & building permit pursuant .a tho Owner
SuIlder exemption set forth In Irlorlds Btatuto, Section 460. 102.
Florida low requires that % ,how* been provAdod with the jollowing
DISCLOSURE STATEMERTs
DiscLOSURE STATEMENT
state law requires construction to be done by licensed
Fontractorso You have applied for a permit under an
exemption to that low* The exemption allows you, as
tho 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 roold*nce 6r a
form outbuildings You may also build or Improve a
commercial building at a cost of 025,000,00 or lesso
The building aunt be Car your use and occupancy* It
way not be built for sale or losso, It you sell or
laak& more then one building you have built yourself
within one year after the construction As compla,too the
low will prosume that you built It Sor sale at lease,
which to a violation of this *n9aption, Your
construction must be done according to building codes
and zoning regulationins Xt to your responsibility to
make sure that people employed by you have liconsew
ro,quired by state low and by county or municipal
licensing ordinances*
I hereby acknowledge that X have read the above DISCLOSURE
STATEMENT and that I comply with all the requirements for the
issuance of an Owner-bullder permit*
Further, offlant wayoth not*
;;;Party
Sworn tca and subscribed
befor this d7y
4,
OMPARTMOT OF BUIL01144,
CITY OF ATLANTIC B#AC H,
-LOCA
-T INFORKATION, TION INFORMATION ----- ---
'9141"ber t 6036 Addxoss; I' 1 8:76"bEACK AVJENUE
i�it �type: BUILDING, ATLANTIC I BEACH, FLORIDA, 32233'
-----------
ki �VEW LOUL, DESCRIPTION
Lot 3* Section:
Type: WOOD FRAKEI Blocks, :'l
d u Otg "PAMILY 0:
Town0hip't" R
I Code%, 0, Subdivivionl ,:� q Side'
5000,�00 :
'ated'' Value a $16
*01 00,
t
d
*2
tv P 9Z
61Y,
Dif --- .APPLICATION -FEES
I T *I 2C)J. 50
2
M, illfttT FEE' $630.00
FLORIDA , 322,34, SEWER
$04 35
RADON �GAS '5% ,
ATION
44, HAR
WATEA1,;TAP
i 1$44 AR RRA S , WEST -IA;�- -,*0.-Q,0
b HYDOAULM SHARE
JITI
SEC,4:41WA& FEE'
OTHER
NOTES.-
�:*Ovo AL R TINGS�MUST BE I k9'PECTtD.BEFOftE,POURINQ
9 LCONCRIkTIEF0 M$,ANDFOO
'PERMITVOID SIX MONTHS,AFTER OATE�OF ISSUE-
RIAL-i USSISH�AND DEBRIS FROM THIS WORKMUST NOTBEPLACED IN PUBLIC SPACE,AND MUST BE
D,HM)L�EbAWAY SY EITHER CONTRACTOR'OR OWNER
ILT I
LY WITH THE MECHANIC31, V
E:"To
N W CANAESU
A
`0W
R, NER PAY OR SUILDING"ItAPROV, PS
ING TWICE F
tA XORDING70 APPROVED PLANS WHICH ARE PART OF TH14:PERMIT
CT 10"R
APP;,icAsLE,PRovISIONS OF LAW.
T,' '26 19112
SUILDJNG DEI A
NTIC AC H RTM15-NT
A b",
7Xw
62C
DEPARTMENT OF PUILID*G
CITY'OF ATLANTIC BEACH
PERMIT INFORMATION ------ -------
LOCATION INFORMATION ---------
t Nolobor 1 -621051 Address; 1876 BEACH AVENUE
'Permit Type: ' MECHAMICAL ATLANTIC BEACH, FLORIDA 32233
Claso ',of Work.- -MEV ----- LEGAL DESCRIPTION
Constr. Type s WOOD FRAME Lot: Block Section:
"Proposed Uses SINGLE FAMILY '
Township: RNG: ' 0
lin,96 f Code; 0 Subdivisioq; NORTH' ATLANTIC BEACH '
gpt.ioated Value�;:, $0. 00
0 pro
1�� Cost: $0.00
T ot
al ,
069.00
-9/92
Da
AL
vk HEAT AND ,AI9, IN MEW RESIDENCE
'M�
APPLICATION :FEES . -----
"ATION ......
PER $69.,00
4d4 st AVEMUE WATER IMPACT 'FEE *0 00
C44, FLORIDA��` FEE *0.-Oa,
W- .L
g
RADOM GAS
'�ORMATPM
RADON GAS 5% $0.1-00
T,
CE TA . HEAT & ,,A
WATER TAP $0. 00,
....... $0. oar
'i��weWf 476 SEWER�tAp-
NEPTI �BEACR,, FLORIDA 3223�i HYDRAULIC SHARE *0.00
3 RE-IMSPECT FEE -'so.00
SEC. H, IMPACT FEE Sd�-OO
NOTE
NOTICE, ALL CONCIR9TEIFORMS AND FOOTINGS MUS REINSPECTED BEFORE POURING
T
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ,
BUILDING'M.�TERIAL,RUBBISH ANDIDEORIS FROM THIS WORK MUST NOT BE PLAC40 IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CQNTRA&6R OR OWNER
FAI'LU 01,�TO,C THE MECHANICS11tIEN IA f RES
-OM,K
Y �u
Ty u
ROF R OWNS RPAYI NG TWICE, FOR�B% ILIDING MENT
071*
RECEIPT MMO.-
CORDING TO,'APPROVED PLANS.�WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION F014
V
I LA N 0 PROV
PAPOLICABLE ISIONS OF LAW.
A HS UlL0tNQ DEPARTMENT
ATL NTICBEAC
-777 77
7,
TRANSMITTAL DOCUMENT FOR JEA
DATE:
The following permits have passed "rough" inspection:
Permit No. Address
Enclosed are our (blue) copies of the permits. Please update
your records accordingly.
4n 01
BUILD?NG CMK
CITY OF-ATLANTIC BEACH
/vcb
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address
Date
Heated Square Footage @ $—per sq f t = $
Garage/Shed of @ $_per sq f t = $_
Carport/Porch @ $—per sq f t = $
Deck @ $_per sq ft = $
Patio @ $
_per sq ft = $
TOTAL VALUATION: $ 000
�, 6 () (; C)
Totalf' aluation— ist s �-a 0 0 6 ID $
'r n o�3 2- 6 $ 2--0
Remaiiiing Value $ per thousand
o�*portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $ 0
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $—
) RADON (HRS) . 0050 $
SECTION H PAVING $
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $
OTHER $ Q
q
GRAND TOTAL DUE $
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing
Electric/New Electric/Temp_; Swimmin I gPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES:
S.-MIN-.7 [TURN
PHONE RUZZ=T7 0 'a" 2018
NOTICE OF COMMEN62*MP'
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
To whom It May Concern:
The undersigned hereby Informs you that Improvements will be made to certain real prop",and In
accordance wfth Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: q.2 -1 q 19 1 -A_S-.Xq, jF 13 e 4 Q,4,5'1 D pZ
Address of property being improved: li-7 BeaLd --- AVE ,
General description of improvements: L�L A-A.A Inq- %5-L-4 he?="L% 10LO
- 13 60 IL"IM _Z L K(4 t_.)D K��
Owner_jzlrj±tjiLD -J, gilt - 4_Llig 111
Address_LJtLQ &-40_0 14va .
Owner's interest in site of the improvement Fe&- -11 m pLz-
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor
tj:t�- Z&R,4�
Address i-
C�
Phone No.j�&J) J,?:z- - Fax No.
;-Ck Surety(if any)
Address Amount of bond S,
CIS Phone No. Fax No.
Name and address of any person making a loan for the Construction of the Improvements.
Name
R) tq Address
'T
Phone No. Fax No.
Name of person Within the State of Florida,other than himself,designated by owner'upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided In
Section 713.06 (2) (b), Florida Statutes. (Fill in at Owners option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the exj5iration date Is one(1)year from the dat6 of recording unless.a
different date Is specified): I.,
TkFiFik'ClE FOR RECORDERIEUSP CiULV I