Permit 1927 Beach Avenue CITY OF ATLANTIC BEACH
1?
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00001597 Date 11/21/08
Property Address . . . . . . 1927 BEACH AVE
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 16553
----------------------------------------------------------------------------
Application desc
GRUBECOSTUCCO
----------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
GRUBE, ROBERT PAUL DAVIS RESTORATION OF
1927 BEACH AVENUE NORTH FLORIDA
ATLANTIC BEACH FL 32233 5795 MINING TERRACE
JACKSONVILLE FL 32257
(904) 739-6047
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50
Issue Date . . . . Valuation . . . . 16553
Expiration Date . . 5/20/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 115 . 00 115 . 00 . 00 . 00
Plan Check Total 57 . 50 57 . 50 . 00 . 00
Grand Total 172 . 50 172 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ffPAUL,'M!
RATIDN Paul Davis Restoration of North Florida
RESTO
5795 Mining Terrace
Jacksonville,FL 32257
(904)739-6047
CBC 1252752
Client: Grube,Susan Home: (904)866-0179
Property: 1927 Beach Ave
Atlantic Beach,FL 32233
Operator Info:
Operator: TERY
Estimator: Terry Hancock-Paul Davis Restoration of North Business: (904)219-5394
Florida
Business: 5795 Mining Terrace
Jacksonville,FL 32257
Type of Estimate: Water Damage
Date Entered: 9/19/2008 Date Assigned:
Price List: FLJA5B8B
Restoration/Service/Remodel
Estimate: GRUBECOSTUCCO
FILE COPY
"PAUL DAVIS Paul Davis Restoration of North Florida
S TO It AT Itt
5795 Mining Terrace
Jacksonville,FL 32257
(904)739-6047
CBC 1252752
GRUBECOSTUCCO
Main Level
Exterior/General
PmnH1-0-
DESCRIPTION QNTY REMOVE REPLACE TOTAL
15. Stucco or exterior plaster repair- 1.00 EA 0.00 15,436.83 15,436.83
Remove east wall elevation completely
and repalce with Cokino Stucco finish to
match as close as possible to original.
Price also includes replace of stucco bands
and retaping all windows and doors on east
elevation.
16. Dumpster load-Approx.30 yards,5-7 2.00 EA 456.41 0.00 912.82
tons of debris
Totals: Exterior/General 16,349.65
Total:Main Level 16,349.65
Line Item Totals: GRUBECOSTUCCO 16,349.65
Grand Total Areas:
8,507.46 SF Walls 2,479.23 SF Ceiling 10,986.69 SF Walls and Ceiling
2,443.26 SF Floor 271.47 SY Flooring 832.00 LF Floor Perimeter
0.00 SF Long Wall 0.00 SF Short Wall 846.28 LF Ceil.Perimeter
2,443.26 Floor Area 2,656.23 Total Area 8,507.46 Interior Wall Area
4,426.99 Exterior Wall Area 435.17 Exterior Perimeter of
Walls
1,988.02 Surface Area 19.88 Number of Squares 178.44 Total Perimeter Length
46.00 Total Ridge Length 0.00 Total Hip Length
GRUBECOSTUCCO 10/24/2008 Page:2
'PAUL DAVfS Paul Davis Restoration of North Florida
RES TOR AT ION
5795 Mining Terrace
Jacksonville,FL 32257
(904)739-6047
CBC 1252752
Summary
Line Item Total 16,349.65
Material Sales Tax @ 7.000% x 14.03 0.98
Subtotal 16,350.63
Overhead @ 10.0% x 912.82 91.28
Profit @ 10.0% x 912.82 91.28
Replacement Cost Value $16,533.19
Net Claim
$16,533.19
Terry Hancock-Paul Davis Restoration of North
Florida
GRUBECOSTUCCO 10/24/2008 Page:3
MAUL DAVIS Paul Davis Restoration of North Florida
E S TOFA TION
5795 Mining Terrace
Jacksonville,FL 32257
(904)739-6047
CBC 1252752
Recap by Room
Estimate:GRUBECOSTUCCO
Area: Main Level
Exterior/General 16,349.65 100.00%
Area Subtotal: Main Level 16,349.65 100.00%
Subtotal of Areas 16,349.65 100.00%
Total 16,349.65 100.00%
GRUBECOSTUCCO 10/24/2008 Page:4
PAUL DAVIS Paul Davis Restoration of North Florida
RE S TTOF'ATlON
5795 Mining Terrace
Jacksonville,FL 32257
(904)739-6047
CBC 1252752
Recap by Category
O&P Items Total Dollars %
GENERAL DEMOLITION 912.82 5.52%
Subtotal 912.82 5.52%
Material Sales Tax @ 7.000% 0.98 0.01%
Overhead @ 10.0% 91.28 0.55%
Profit @ 10.0% 91.28 0.55%
O&P Items Subtotal 1,096.36 6.63%
Non-O&P Items Total Dollars %
STUCCO&EXTERIOR PLASTER 15,436.83 93.37%
Non-O&P Items Subtotal 15,436.83 93.37%
O&P Items Subtotal 1,096.36 6.63%
Total 16,533.19 100.00%
GRUBECOSTUCCO 10/24/2008 Page:5
Main Level
FACE SOFT N"94s
rr— :rs. }}• F1 999.01 -9.99
irr —u ,rr o fi Tr- ixr F2 999.01 9,99
Fslimatetl'Total_.1988.02.19-88
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Main Level
GRUBECOSTUCCO 10/24/2008 Page: 6
r i•
CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00001557 Date 11/14/08
Property Address . . . . . . 1927 BEACH AVE
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8436
----------------------------------------------------------------------------
Application desc
reroof
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GRUBE, ROBERT MILLBROOK CONSTRUCTION CO.
1927 BEACH AVENUE 2605 SOUTHSIDE BLVD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 8436
Expiration Date . . 5/13/09
----------------------------------------------------------------------------
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH 08-
P 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826•FAX NO.:(904)247-5845
1. �•. BUILDING-DEPTQCOAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
- \ WT77W47777
❑NEW BUILDING ❑DEMOLITION RESIDENTIAL
LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
❑ALTERATION ❑ACCESSORY BLDG.
XREPAIR ❑POOL/SPA ❑YES ❑N/A
��p „' ❑T iRE ITE T. `•, OINEE e�; ,a�.�.
OTHER
9.NAME 15.COMPANY AME: 23 COMPANY NAME:
�/y��/� pfy)i I f k Co n 4fuch e
Y �A-• Ue t'n-� Gtt V dO 16..WME: 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO..1 25.STATE 0F FLORIDA LICENSE NO.:
CCG 133 7 39 4
/ 6 L--A C,H}. )4t/l—i V(E 18.ADDRESS: 26.ADDRESS:
v5 `"out s 11) cwt F�
11.OFFICE PHONE: 12..FAX NO.: 19.OFFICE P NE: 20.FAX NO � 27 OFFICE PHONE: 28.FAX NO.:
13.CELL PHONE: 251.CELL PHONEY ` ' 29.CELL PHONE:
14,EMAIL ADDRESS: 22.EMAIL ADDRESS: 7 30 EMAIL ADDRESS:
I,.-c 57caq Hc�n .��}�►
F \ zwwnm
�a
31.NAME: 33.NAME: 35 NAME:
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.
a
Aihp
r
a
Signed: ..!! Date: a O Signed: Date:
Before me this ay of N DV e 14bt ,2007 in the county of Before me this day of ,2007 in the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. j� true and accurate.
Nott Public at Large,State of IU!- �,County of dJ 11✓0. Notary Public at Large,State of County of
Id Personally Known ❑Personally Known
❑Produced Identification- ❑Produced Identification-
Notary Signature: Notary Signature:
* * MY COMMISSION i DD 760913
EXPIRES:February23,2012
N�1'FOF FL9 Bb*d Tho Budget Nfty SK"
COAB FORM BLDG01:REVISED:1/10/2008
p
CITY OF ATLANTIC BEACH
�, xs 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00001475 Date 10/30/08
Property Address . . . . . . 1927 BEACH AVE
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5322
---------------------------------------------------- ------------------------
Application desc
deck only
----------------------------------------------- -------------------------
Owner 1
------------
------------------------ `
GRUBE, ROBERT ��*) 7TORATION OF
1927 BEACH AVENUE
ATLANTIC BEACH FL 32233 '``` �� , SCE FL 32257
W �
-
---------------------------
------------
Permit P'
Additional desc . . 0
Permit Fee . . . . 30 . 00
Issue Date . . . . 5322
-----Expiration Date . . (
-------- le ------------
Fee summary Charged Due
Permit Fee Total 60 . 00 . 00
Plan Check Total 30 . 00 00 . 00
Grand Total 90 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
17
CITY OF ATLANTIC BEACH Q
.�4 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
0V-'
OFFICE:(904)247-5826•FAX NO.:(904)247-5645
_ BUILDING-DE B.
ft1�r BUILDING P IT APPLIC DUVAL COUNTY
JOB ADDRESS ,„ `,'e„ r, 2.VALUATIQN OF WQRK.„
3 Q:,FTi UNDER R00F , - -
I y f��,q,; �rvr✓�„�. 4l, iii° sr-
t ;5.'CLASS WORK+Y, 6'-U SE'OF,STRUCTURE
4 LEGAL;DESCRIPTION c„S, , , ,_
❑NEW BUILDING ❑DEMO ON 'J.(2ESIDENTIAL
LOT_BLOCK SUB DIVISION ADDITION ❑ VERT NG USE ❑COMMERCIAL
T}gESCRIPTION OF WORK r=r, ❑A ACCESSORY BLDG. 8:;FIRE SPRINKLER„z,,-
t\�V�
)KtREPAIR ❑POOL/SPA ❑YES WA
I1 D rc2(4-� J9,V_ ❑MOVE ❑OTHER NO
<'PROPERTYOWNER n,ws, „ .; CON CT '-,F . , !'ARCHITECT/ENGINEER..::'
gmNAME: r1" 16.NAME:15 COMPANY NAME: 23.COMPANY NAME:
/• •�'v�.�c, G�� �� �t�
`Q 24.LICENSEE NAME:
EL._ mUMf
10,ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
Cf a-, 13l,j2r_0 /jvLZP"u IF%Cr.
18.ADDRESS:�'r �M IN V ,� 26.ADDRESS:
o�vtt.u: r s.A U a1
11.OFFICE PHONE: 12.FAX NO.: 19.ncF,rF DunNF• 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
S7 -_7J 33 - r 5 IqU
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
ip 1 3z
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
FEE SIME'TITLE_HOLDER""` BONDING COMPANY A r F MORTGAGE LENDER
PL
OT4R'n Oy11NE12) ,.s
31.NAME: 33.NAME: 35.NAME:
kl0Ge AC--L.•D �n f� t ►,�S .
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
Q 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
p 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
CE OF COMMENCEMENT.
CONTRACTOR
_Powe Attorney or Agency Let(er Requlred) ( y�alifier Only)
Signed:
" � %-'�_Date: I L-7Z4 Signed: t Date:
L
Before me this ay of r�e&6e_/ 2008 in the county of Before me this day of 914h ,2001 in the county of
Duval, tat of Florida,has personally appeared Duval,State of Florida,has personally appe�ed /
Ila e- / Avg
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of FLT County of r ) jg Cj Notary Public at Large,State of County of dot-'ti c f
❑Personally Known 4_ Er-personally Known
l9'('roduced Identification- O j--• ❑Produced Identification-
!J
4A Notary Signature:
ro,"" ugcti KINDRpLGEORa2 !
(,OIIE LI
IONIM ATLANTIC C►WWISSION DD�oe13
23EXPIRES:F 23,2012
rnWl FOR ADl]F �01�EVI S AND COft o°I T'"'B UWM
D (7 ATE:7xni.F
r PAt1f.b4VIS Paul Davis Restoration of North Florida
A[BTOAATl:ON
5795 Mining Terrace
Jacksonville,FL 32257
(904)739-6047
CBC 1252752
GRUBECODECK
Main Level
Exterior/General
qWIM :Pdom1:abh
DESCRIPTION QNTY REMOVE REPLACE TOTAL
24. Framing hurricane tie 32.00 EA 0.00 4.74 151.68
23. Framing repair-Remove two cedar 1.00 EA 0.00 4,918.33 4,918.33
post on rear deck,install new glulam beam
@ exterior back elevation of deck.
Remove old handrail on rear lower level
and repair front bands. Install new simpson
joist chairs at wall band to current code.
Totals: Exterior/General 5,070.01
Total:Main Level 5,070.01
Line Item Subtotals: GRUBECODECK 5,070.01
Adjustments for Base Service Charges Adjustment
Carpenter-General Framer 107.32
Total Adjustments for Base Service Charges: 107.32
Line Item Totals: GRUBECODECK 5,177.33
GRUBECODECK 10/24/2008 Page:2
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aE
)'PAUL DAMS Paul Davis Restoration of North Florida
RESTORATION
5795 Mining Terrace
Jacksonville,FL 32257
(904)739-6047
CBC 1252752
Client: Grube,Susan Home: (904)866-0179
Property: 1927 Beach Ave
Atlantic Beach,FL 32233
Operator Info:
Operator: TERY
Estimator: Terry Hancock-Paul Davis Restoration of North Business: (904)219-5394
Florida
Business: 5795 Mining Terrace
Jacksonville,FL 32257
Type of Estimate: Water Damage
Date Entered: 9/19/2008 Date Assigned:
Price List: FLJA5B8B
Restoration/Service/.Remodel
Estimate: GRUBECODECK
City of Atlantic Beach APPLICATION NUMBER
Building Department, (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
$ Phone(904)247-5826 • Fax(904)247-5845 G
E-mail: building-dept@coab.us Date routed: �a"1
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: kl�W) &,G'aVDepartment review required Yes No
_
Building
P +� J V i
Applicant: � � Planning &Zoning
Public Works
Y, Pu,blic,Utilities.,
Project: Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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:
APPLIPATION STATUS
Reviewing Department First Review: Approved. inied.
(Circle one.) Comments: G , 1 Y /L c7 �a�''� c
BUILDING work ) U Ip P - r C)o 1 J1 U
QV
PLANNING &ZONING l ` C
Date:
6PUBLIC WORKS Oo�q�
8`
\S00\OM �
PUBLIC UTILITIES Second fel 00�
PUBLIC SAFETY Commen 0� t`�
h� o (v
FIRE SERVICES
Date:'."o$Ko¢,ES,.�<
Third Review: baaZ _ enied.
Comments: t�bec�abs`gym
Reviewed by: Date:
Nov 03 08 02:21p Mike Mumford 9047391596 p.3
F-7
CITY OF ATLANTIC BEACH
: n 1,
WO SEMINOLE ROAD.ATLANTIC PEACK FL 32233 / OvR
e
•� OFFICE:(904)2475628•FAX NO.:(9NW7-GW
SLMLONG-DEPTt$C04E,.tlS..._._.....,r
BUILDING PE �APPLICATMff' DUVAL COUNTY
1_JOBADDREJIS: :...:.-..". . . ,..'... :.099OF
UATION OF_ K;'.-. .'. . 8.,SQ FT.UNDER ROOF .. .
I ti a em. �}ve..l1.= 4�� . S ti. goo S>+-
4.LEGAL.DESCRIPTOw: WORK u5EOF STRur-TUR E:
0 NEW Ilei 0 DEMOLITION 15,RESIDEWIAL
LOT_BLOCK_Su9 DIVISION 0 ADDITION 0 CONVERTm us E 0 COMMERCIAL
7:DESCRO'TION OF VaJRIt O ALTERATION 0 ACCESSORY BLDG. a•FIRE SPRINKLER:...
REPAIR ❑POOLI SPA 0 VES WAL
j1 0 rez4c �x"v +�, aMOVE ❑O ND
PRP OWN r ARCHI7EC EER:
C IL NAME 19.COMPANY NAME: 28.COMPANY NAME
•�1J4 1/ G 10.NAME V/1 S N 24,LICENSEE NAME:
EL 1"h V M ft
10.ADDRESS 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NQ:
IC1a'7 36W.,,+ /1vU-1104c,L C-'
18.ADDRESS:Vr)9,5 /!'1,PAI&.rt, TVV28L ADDRESS:
A .33 z 7
It.OFFICE PHO`1E 12.FAX NO.: 19.nvar•c 12D.FAX NO.: 27.OFFICE PHONE 2e.FAX NO.:
13.CELL PHONE1.CELL PHONE 29.CELL PHONE:
—V
14 EMAIL ADDRESS .EMAIL ADDRESS: 30.EMA&ADDRESS:
kMDNG COMPANY: : .1110RTGAOE LENDER:
QfrERTlWI OMMAh _ - _
31.NAME: 34.NAME. 38.NAME: -
2t0 =Ful E>r+i'Lo 's f N S .
32.ADDRESS ADDRESS: 36.ADDRESS:
Application is hereby made to aMain a permit to do the work and insulations as indicated. 1 oartify than no work or dation has
commenced prior to to issuance of a permit and that all work will be permed to most the standards of all laws regulatir g construction in this
�{ jur"diom This permit becomes null and void It work is not commenced v tln six(B)morphs, or if construction or work is suspended or
?• abandoned for a period of six(6)months at any time after wait is commenced. 1 understand that separate permits must be secured for
Electrical Work,Phanb ft Signs,Welts.Pools,Fumacea,Boilers,Heaters,Tanks, Air Conditioners,ate.
OWNER'S AFFIdAM-i certify that all the foregoing information is accurate and that all work w7 be done in compliance with all applicable
Laws regula ft construction and zoning.I will not occupy or use the referenced bulldkV or any part theraf•until all Inspections are tinaled and
prior to obtaining a certificate of occupancy or completion issued by the builft official,as required by taw.
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
0 COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR
C- LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
aPTQ9:
of REVE
O
Before me slim ay of - ��2006 in taunty of W101e me thla day of Gr .20M in the oou rNy of
BEC L,; Duval.Stab of Florida.has personale)a ,
d dee ars herin by ItknoW/hwW and airmns anal all state i m, and d edaratims aro
t R Me and accurate.
jNotary Pub k at Large,Stale of Ft,County 9f
Z � D'�reorallyKnean
❑Prodrwae Wordicadan.
Notary SWatum Notary Spnature
4 .fay LD FOR CODE COMP MN � L
EIlP1RES:F n-mg CM'OF XM4,NT"f; S t My I rivy2,M2
�+q�a t d taMoll SMMaw SEE[ERPHTS FOR ADD1TI(}t�y F��� p
COASFORM ELM21-1P"Sef1morJ00a WiQulIREMENFSANDCOND('4"10� . Do www
a , REVIEWED BY: DATE:&0619•7�'C•.._.
P
Vi f
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
�J
Application Number . . . . . 05-00030244 Date 5/04/05
Property Address . . . . . . 1927 BEACH AVE
Tenant nbr, name . . . . . CONNECT TO CITY SEWER
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
GRUBE, ROBERT CITY OF ATLANTIC BEACH
1927 BEACH AVENUE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
--------------------- -------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 5/04/05 Valuation . . . . 0
Expiration Date . - 10/31/05
----------------------------------------------------------------------------
Other Fees . . . . . . . . . SEWER IMPACT FEES 1250 . 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 1250 . 00 1250 . 00 . 00 . 00
Grand Total 1250 . 00 1250 . 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 THE PROPERTY OWNER PAYING MCE 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.
W 3
,I
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach, FL 32233-5445
Telephone: (904) 247-5800
-� Fax: (904) 247-5845
www.coab.us
Date: s 1 �
SEWER/WATER
Name < QUOTE SHEET
Address
Telephone# —�
The costs to connect your budding to city: and/or system are:
WATER
3/4f� »
Sewer Tap Labor and materials to tap into sewer main $
Water Tap Labor and materials to tap into water main $.625:91} 6f 0.00
Water Meter Cost of Meter $
Cross Connection Inspection by Public Works to ensure $-19.-0-0 46:60
Inspection backflow prevention
Sewer Impact Funds future expansion of the sewer plant $
Fees
Water Impact Funds future expansion of the water plants $
Fee
Capital Funds for improvements, expansion or $ 32� 55_��
Improvement replacement to water system
C b l _�,m5 '�,� TOTAL COSTS
SQL S �1 S ` -� $-885:8A 11#5:90
2,96
Homeowner must hire a plumber to install a backflow preventer and make the connection from the private
property.
vii
C1T�,Y�OF M
A� Q. Oficial
of guild+�SpE�10
T FOR 1
REQUES
permit N°'
P.M � lity
Date .
Time. L-
Receved ,� �; G9. p141CAl-
C� meCvj
fob Address Contractor PLUMgiNGCi Air Gond.&
1- Rough }{eating Q
� .,,,,place
C,Nnef's ETE h Wiring rt -Top Cut :� pre Fab
Nam CC Temp } ewer M
e NCa Bough pole S
U11 D114
Footing Ci p.M•
day
Slab REApY FOoo
R 1NS'Ei / Fr1r
Re Roofing1{mel Thurs L
tnsulatlon Wed. g,flA-
"CuesP.M ection
'. F1nal MsP Occupancy t
Mon. '7 4 of
na 1 { Date "^"
To
J ^ nJ V
f = �
1.
CITY OF ATLANTIC BEACH
4 ` 800 SEMINOLE ROAD
j
ATLANTIC BEACH, FLORIDA 32233
P
INSPECTION 10 DINE 247-5826
Application Number . . . . . 05-00030231 Date 5/03/05
Property Address . . . . . . 1927 BEACH AVE
Tenant nbr, name . . . . . . INSTALL EJECTOR SYSTEM
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
GRUBE, ROBERT CANNON PLUMBING, INC.
1927 BEACH AVENUE 1794-1002 ROGERO ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 744-6350
---------------------------- ------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODESr�
BUILDING OFFICIAL
e
CITY OF ATLANTIC BEACH
w
PLUMBING PERMIT APPLICATION
/Jif Vii'
Date: j 0�' o
Property Address: zz? 2 U�
Owner: Telephone#:
Contractor: Telephone#:ala
1 41
Contractor Address: ddb- 60 t� Fax#: —`�
Contractor Signature: 1"llavZ
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.
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,
❑ New list the building permit number:
X Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
X _ Sewer( ).u4 sySt *4)- _______` Water Heaters
Sprinkler System Other
Fees
Permit Issuing Fee: $35.00
Total Fixtures: X$7.00 + $35.00=
800 Seminole Road.Atlantic Beach, Florida 32233-5"5
Phone: (904)247-5800• Fax: (904)247-5845. http:ilwww.ci.atiantic-beach.fl.us
Revised 1104
JOBADDRESS G TYPE WORK 'n
PROPERTY O T ONE �
CONTRACTOR �/U`� '�' TELEPHONE -?,� `,1% 1 1 0 0 99. �
PERMIT NUMBER /PG 33 DATE 6 y
INSPECTIONS: FOOTING
SLAB
TIE BEAM
LEVTEL
NALUNGIWE'ATHING
FRAXIMICOVER UP
INSULATION
FINAL BUILDING
CERTIFICATE OF OCCUPANCY
ELECTRICAL PERMIT#
INSPECTIONS ROUGH
FINAL
MECHANICAL PERMIT'S /77D
INSPECTIONS ROUGH
FINAL
PLUMBING PF?AlM
INSPECTIONS ROUGHIVNDER SLAB
TOPOUT
WATER/SEATR
FINAL
NOTES: y�sIr 7 l j-_ 2 o y' _�Z-u
r
'F -
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
I800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18033 Address: 1927 BEACH AVENUE
Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ADDITION Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 2,500.00 OWNER INFORMATION
Date Issued: 4/06/1999 Name: BOB GRUBE
Total Fees: 37.50 Address: 1927 BEACH AVENUE
Amount Paid: 37.50 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 4/06/1999 Phone: (904)24456.0-1 1
Work Desc: CONSTRUCT STAIRS PER PLANS/REPAIR ROTTED WOOD
CONTRACTORS) APPLICATION FEES_
VONTZ CONSTRUCTION CO., INC. PERMIT 37.50
I i
I j
<Ins ion R aired
COVER UP FRAMING INSULATION
FINAL BUILDING
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED AI CORDING TO APPROVED PLANS VHHICH NYCE PART OF THIS PERMIT AND SUBjEC T TO REIIOCA T iON
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
t C �J�— $37.5014
Date: 4/87/99 81 Receipt: 6946W
A NTIC BEAC BUILDIN --DEPT. CHECKS 2327
08186893221888
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Ada_ess / �l V
3 ' 3 2
Ha t`u -Sr
GaraaejSnee (� $ Iyer s
Carpor j Porch ioS
—per sa .t - 1
Deck fd S per sq ft. _
a
PaT_O r,ar sa ft
TOTR7- ALJ `r_0i-
Total Valuation Ist �/Gores
Remai nirna Value per thousand
or 'oortion thereof
TOTAL BUIL I NG EEE
J
+ Filing Fee $ /�•
Fi ren., aces ( i 5 C- S .—
T T _
F)V T u`7_` i E RM_7' FE_ s _
WATEr-: IKPACT FEE ;~
SEWER IMPACT'' FEE; —
w'hTER MFTER J T P
IMP
SECTI DIv h PAV I Pdt--= S�
is y' nhUT I. SH? r E_
R C S C O N P p'[T
1 SURCF RKF E �..�'.J. L.• J
U' Hi-IR ;
GRAND TOTAL DUE
?; =iiT?OTen_ PERMIT- >F: FELE . Nie=hariCa _ P uiTu inC!
ivew E e, ..m(r, _.mrr,_naPooi
1 --�- t tl_ �.. .Liiisn F Ioo E vat�.O-i
CAL"UT RTIONS ane/01— NO'TEc :
ma"ECEIVED
CITY OF ATLANTIC BEACH n 2 2 1999
PERMIT APPLICATION REIKOUEL, AUDITIONS, OR A RMy o�TrT SSBeach
AWING,DEMOLITIQNS City o
Building and Zoning
Owner(s)
Job Address: Phone: C �- U/
Lot # Block or Unit # Subdivision:
Contractor:_ X
�L�Tz �,US7WUc7Td > (—ClState License #
3� f n� m
Address:_ f�� �z>� ('c/ Phone No: �9� ���8 �� /
City `��ax Tc�# State r--L Zip Code 3Z2�
Describe work to be done: r�l�ll7vsu
��= iyTlc� Cor�ivr� C� / 2' `�yLZ xrc2ic�z
Present use of building:__ S�/L
Valuation of Proposed Construction: G
Proposed use:
Is this an addition? /Ub 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) ?
New plumbing fixtures? New fireplace? New Heat/AC?
suma7 TBRrz (ccosalaclaz) rm (Itrsznjx zaz) cc#wzziw sE'Z's or Pzawa, INC umNG
sS2z PLi114', stJ tvxr, IIgLRGr CODC ,>!t7l a, NGTxcr or COMMMMMMOT, AND
OMiA'7/00N7RaCT0R ArJTSnaVrT, T!' 01/lP87{ Y9 G'CIITTRACTOR.
Signature OWNF&: Date:
1
Signature CONTRACTOR: Date:
AS TO OWNER:
Sworn to �' bscr ]13&dW me this / day of
z COMMISSION#CC 685662
o EXPIRES NOV 27,2001
BONDED THRU
OF F�� ATLANTIC BONDING CO.,INC. NO Y PUBLIC
AS TO CONTRACTOR:
Sworn to and subscribed before me this day ,19*-3
NOTARY PUBLIC
pa Wa Mona*
'-.
MY COMMISSION M CC553881 EXPiRF`;
August 27,2000
BOM)ED TM TROY FAIN INSURANCE,INC.
DOW,)
i
47
1
"ECS IV IL
MOR 2 2 1999
City of Atlantic Beach
�3 Building and Zoning
,D )X Al
/�27 9614c1/ A tle�7—
Ft���B PGS
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PR01E(iIOM
FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Beaches and Coastal Systems 011925 !�
l 3900 Commonwealth Blvd.-MS 300 Permit Number:
FLORf .A 1 Tallahassee,FL 32399-3000
(850)488-3180 No. of Pages Attached:
FIELD PERMIT PURSUANT TO SECTION 161.053 or 161.052,FLORIDA STATUTES
FINDINGS OF FACT AND CONCLUSIONS OF LAW: The request for a permit was considered by the staff designee of the Secretary of the
Department of Environmental Protection and found to be in compliance with requirements of Chapter 6213-33, Florida Administrative Code
(F.A.C.). Approval is specifically limited to the activity in the stated location and by the project description, approved plans (if any), attached
standard conditions, and any special conditions stated below pursuant to Paragraph 161.053(5), Florida Statutes. This permit may be suspended or
revoked in accordance with Section 62-4.100,F.A''.C.
PROJECT LOCATION: �V
PROJECT DESCRIPTION: >
/ , 77
SPECIAL PERMIT CONDITIONS: This permit is valid only after all applicable federal, state, and local permits are obtained and does not
authorize contravention of local setback requirements or zoning or building codes. This permit and public notice shall be posted on the site
immediately upon issuance and shall remain posted along with local approval until the completion of any activity authorized by this permit. Other
special conditions of this permit include:
C.0
STANDARD PERMIT CONDITIONS: The permittee shall comply with the attached standard field permit conditions.
APPLICANT INFORMATION I hereby certify that I am either: (1a)the owner of the subject property or;'(1b�I have the owner's consent to
secure this permit on the owner//'S behal€;and that (2) I shall obtain any applicable licenses or permits wh€ch-may be required by federal, state,
county,or municipal law prior t mencement of the authorized work; (3)I acknowledge that the authorized work is what I requested;and(4)I
accept responsibility for comgIta ce with a permit conditions. %-
Applicant's Signature - `-~- Date Telephone No. j
Applicant's Printed Name F: �l� ,�'�.. _ Address
If applicant is an agent. i, 7 14&.
printed name of property owner property owner's address property owner's telephone no.
DEPARTMENT FINAL ACTION AND FILING AND ACKNOWLEDGMENT: This field permit is approved on behalf of the Department of
Environmental Protection by the undersigned staff designee,and filed on this date,pursuant to section 120.52,F.S.,with the undersigned designated
Deputy Clerk,receipt of which is hereby acknowledged.
QI"_JG> l� JCL
Staff DesigneelD7pmyClirk Printed Name of Designee/Deputy Clerk ate
PUBLIC NOTICE IS ON THE BACK OF THIS PERMIT. EXPIRATION DATE: r
(Emergency permits issued pursuant to Section 6213-33.014,F.A.C.,are valid for no more than ninety days and other field permi s de falio fo no
more than 12 months. The staff designee may specify a shorter time limit.)
EMERGENCY PERMIT: ❑YES ( NO Approved plans are attached: `ld 11 YES ❑NO
POST PERMIT AND PUBLIC NOTICE CONSPICUOUSLY OTN THE SITE
DEP Form 73-122(Rev.8/98) [White Copy-Tallahassee Office] [Yellow Copy-Applicant] [Pink Copy-Staff Designee]
CITY OF ATLANTIC BEACH
P DEPARTMENT OF BUILDING
BUILDING PERMIT
PERMIT INFOI:tMAT1aN< LOCATION!1I11FORMATI3N
Permit Number: 17729 Address: 1927 BEACH AVENUE
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0
Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0
Contractor: TROPIC HEATING AND A/C Book: Page:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 1/29/1999 Name. BOB GRUBE
Total Fees: 25.00 Address: 1927 BEACH AVENUE
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 1/28/1999 Phone: (904)249-5601
Work Desc: REPLACE HEAT PUMP
APPL[CATION FEES
PERMIT 25.00
I
Iles `ctians Re wired
FINAL
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
C /LK $25.8814
Date: 2/81/99 81 Receipt: 8638538
ATLANTIC B ACH BUILDING DEPT. CHECKS 169
88188883221888 i
M
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 1, II, III, and IV.
Street
LOCATION reet Addre++: (] �y +
OF Intersecting Streets: Belween_ 1_ ZV�~ And
BUILDING
Sub-clivi+ion
II. IDENTIFICATION — To be completed by all applicants
In consideralion of permit given for doing the work as described in The above slaternenl we hereby agree to perform said work in accordance
with the atteclLed plans and specifications which are a pert hereof and in accordance with The City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor 1 Prinf) -TraPl(_ AC A/C- Matter fsC ltc S
Nerve of
Property Owner Mir r C'ru(�'P_
Signature of Owner Signature of
or Authorised Agent Architect or Engineer
III. GENERAL INFORMATION
A. Type of hoofing fuel: ET. 15 OTHER CONSTRUCTION BEING DONE ON
uric THIS BUILDING OR SITE
❑ Gas—❑ LP ❑ Naturel ❑ Contra) Utility
IF VES, GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ Other — Specify
IV. M"ANICAL EQUIPMENT TO It INSTALLED NATURE OF WORK
(Provide complete list of compononh on back of this form) U Residential or U Commercial
Heel ❑ Space [I Retested 0 central O Flow 1_1 New Building
❑ Room Central ❑ Existing Building
❑ Air Condlfioninq: ❑ ❑
0 Duct System: Material
Thickness �K Replacement of existing system
U New Installation(No system previously installed)
Maximum capacity e.Lm.
Cl Extension or add-on to existing system
❑ Refrigeration
IJ Other — Specify
❑ Cooling fewer: Capacity 9-P.M.
❑ Fire sprinklers: Number of head-
0 Elevator ❑ Monliff it❑ Escalate r Inumberl THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps (number)
❑ Tents Inumber) Remarks
❑ LPG contain* (number)
❑ Unfired pressure vessel
Permit Approved by Doti
❑ letters
❑ Other — Specify Permit Foy
LIfST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
C�ty A res
ee
Number Unit. Derlptlon Model Number Manufacturer (TOM) �emey
LA/64aio fir EM 24 F-HP U L
CITY OF ATLANTIC BEACH, FLORIDA 0�
Approved by —_ APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
Sla-WMPSONG'
P. 0. BOX 34150 p� n
ATLANTIC BEACH, FL 32233-0150 /�p l(p
ELECTRICAL�FIRM: MASTER ELECTRICIAN SIGN
A
TURE
-
JOURNEYMAN
NAME!= ) ADDRESS: /�! .� � '- '1. ,rf'C' RFD BOX
BLDG.SIZE BETWEEN:
RES APT. ( 1 comm. ( 1 PUBLIC 1 ! INDUS. ( 1 NEW( ! OLD(-''t► j REW.( )
ADDITION ( 1 TRAILER 1 1 TEMP.i 1 SIGNS ( ! SO. FT.
SERVICE: NEW( 1 INCREASE ( ) REPAIR -) FEE _
CONDUCTOR SIZE AMPS COPPER ALUM.
ITCH OR BREAKER AMPS PH W VOLT - RACEWAY
'
-� z
EXIST.SERV.SIZE % AMPS PH W 40VOLT :---r-//
RACEWAY
FEEDERS NO. SIZE NO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0•30 AMPS. X1.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
CITY OF
y4&44dis Beads-Q01ija
Office of Building Official e
REQUEST FOR INSPECTION
Date _ Permit No.
J
Time � � � A.M.
Received P.M. District No,
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE LECTRICA PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough ❑ Air.Cond.& ❑
Re Roofing ❑ Slab ❑ Temp Pol@ ❑ Top Out ❑ Heating
Lintel ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION
on. Tues. Wed. Thurs, Friday P.M:
A.M.
Inspection Made P.M.
Inspector Final inspection
Certificate of Occupancy
Date
EACH FLORIDA �413
CITY OF ATLANTIC B ,
Approwd by APPLICATION FOR ELECTRICAL. PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ 191L.
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL F M: MASTER ELECTRICISIG TUBE
NAME:./J'� 1�/_ �1�Gf � ADDRESS:_, / Z 7f - AFD BOX
BLDG.SIZE BETWEEN:
RES, APT.( 1 COMM-( ! PUBLIC( 1 INDUS.i 1 NEW( ! OLD( 1 REW.( 1
ADDITION ( ► TRAILER ( 1 TEMP.( ► SIGNS ( ) SO. FT.
SERVICE: NEW( 1 INCREASE ( ► REPAIR.P4- FEE
CONDUCTOR SIZE AMPS COPPER ALUM.
SWITCH OR BREAKER AMPS PH W YOU RACEWAY
EXIST.SERV.SIZE 6: AMPS PH 7W z OVOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
1 K:NTINP,MITI FTC I rnNCF01 Fn APFN TATAI
ti
09PARTMONT OF SUILDING 6
Cl 6 ATLANTIC BEACH
RR T` I F`ORRAT'If H . : , _ .� - LI3 t+� ORXATIO
P ►x' t .Hu l x's3473
Addre i4s. i927 EACH AVENUE
F' r t T" s ELFT*TRI AL ATLAS IC REAC�I, F`L OR a
C +4* o Work;, I'N�CREASE` LEI A « I�IwSCR�PT'IQti �
C t fi s W#Tt FRAMELot,: aio a #tc►
l c aa:d 11,aa : 'SIN( LE FAXILX Twnshigs. RNG t t3
I, Code t, 0' Subdivisioni
LaitimAted Val 0,40 QG
:Total, Faaaaas *25, 00 "
A+aac nt P it' f **25
kDot �rrP
AT'It R ---------, .�.�q r yy�.y+��iaFPLICA TIOlt `EE$ ,,y».
A
WATER IMPACT FEE �C#.
ON
�" FLORIDA 2 SW�� LR 'ACT, FEE
'hb p APT 1
9r Wr P r1 # „� KP ,. dollff` fi
__=�=�- yyClRlfr �A°{Frolt��a P��ry �w
RADON
1+.4S
Name D "s,.,,, ''ELEC:T UC cc, #.a ..-WA 1 A TAP :00
4 „
s $ .: SEWER TAP., �tt�.l j
L N M, + , _F '.. � " k GRAlu C SHARE
+ E TypeRt 2 RE-INSPECT FEE .
:SEG, ItIMPACT FEE
(L :r
OTHER
777,
IV
iR
'Xy
F
lk
-�l�►t��. NCR T v*ms AND FOOTINGS",IG���R� FO"
RIK
4"RINC
01
st
all
{LV"ll
Aft
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r {h 1
k4 V
Po
yi
CITY OF
r*aot& Vead - 57&?Z&
716 OCEAN BOULEVARD
P.O.BOX 26
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2396
March 13 , 1984
Mrs. Elizabeth W. Lee
1781 Sea Oats Drive
Atlantic Beach, Florida 32233
Dear Mrs . Lee,
I have yet to receive your payment for the remainder
of your water connection charge for 1927 Beach Avenue
as we discussed on February 28 .
The meter will be pulled if the account isn' t cleared
by Friday , March 16. A 10. 00 charge is required to
re-set the meter.
Sincerely,
C � 11-2,Rene Angers
Building & Zon'n
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1,.DDRESS FOR
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I,OT LOCK SUBDIVISION
BL I1-DING Dr PAR`S==Tv`_r
',-TER 140. DATE INSTALLED
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CITY OF ATLANTIC BEACH
WATER CONNECTION CHARGE
`
DATE
LOCATION
0;^JER --
P LU`3 I N G FIRM ' r
'IAS T E R PLUMBER
BUILDER OR CONTRACTOR _
TYPE OF BUILDING
. BATHROOM GROUP CONSISTING OF. _ SHOWER STALL, DOMESTIC ( 2 L
WATER CLOSET,LAVATORY AND BATH
TUB OR SHOWER STALL. (,6UNITS) SHOWERS GROUP PER HEAD ( 3 L
BATHTUB ( WITH OR WITHOUT OVER SURGEONS SINK ( 3 UNITS)
HEAD SHOWER) (2 UNITS)
FLUSHING RIM SINK ( • 8 UNITS
_ BIDET (3 UNITS)
SERVICE SINK TRAP STAND ( 3
CO::BIt%A,rION SINK AND TRAY ( 3 UNITS)
POT,SCULLERY SINK ( 4 UNITS
CO`a;INATION SINK AND TRAY W/FOOD DIS.
( 4 Units) URINAL, PEDESTAL,SYPHON JET
BLOWOUT. ( 8 UNITS )
DENTAL UNI"f OR CUSPIDOR ( 1 UNIT)
URINAL, WALLL LIP ( 4 UNITS)
DENTAL LAVATORY ( 1 UNIT)
URINAL STALL, WASHOUT ( 4 UN
DRINKING FOUNTAIN (!I UNIT) ,
URINAL TROUGH EACH 21SECTION
DISHl:ASHER ( 2 UNITS) ( 2 UNITS)
FLOOR DRAINS ( 1 UNIT) / WASHING MACHINE RES. ( 3 LRII
/ KITCHEN SINK ( 2 UNITS;#' WASH SINK EACH SET OF FAUCET
( 2 UNITS )
KITCHEN SINK W/WASTE GRINDER
( 3 UNITS) -- WATER CLOSETS, TANK- OPERATE
# ( 4 UNITS )
LAVATORY (--1 UNIT )
WATER CLOSETS, VALVE OPERATE
_ L-AVATORY ,BARBF.R,BEAU'IY PARLOR ( 8 UNITS )
( 2 UN 1,'I'S )
1,NU`:DkY TRAY ( 2 UNITS )
a -_ IAVATORY, SURCEONS ( 2 UNLTS)
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247.5828-FAX: 247-5877
MIT INFORIVI TION L3CATiO1V1N RMA ION, m..�
Permit Number: 22029 Address: 1927 BEACH AVENUE I
Permit Type: FENCE ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 2,000.00 - OiIR:( `OtNIAON'
Date Issued: 5/25/2001 Name: BOB GRUBS
Total Fees: 10.00 Address: 1927 BEACH AVENUE
Amount Paid: 90.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 5/25/2001 Phone: L904)249-5601
Work Desc: NEW 6 ' VINYL FENCE
PROPERTY OWNER PERMT 90.00
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FINAL FINAL
NOTICE=-NSPECTIdN ST BE REQUESTED AT LEAST 24 HOURS PR�R TO INSP.P-CTION
BUILDING MATERIAL,�AUBBISH ANO DEBRIS FROM THIS WORK MUST NOT BE, ACED IN PUBLIC SPACE,AND
MUST BE CLEARED UP'AND HAULE0,AWAY BY EITHER CONTRACTOR OR OSIER11
"FAILURE TO COMPLY WITH T MZONSTRUCTION LIF„ 4:" CAN RE4VLT IN THE
PROPERTY OWNER PAYING EA OR §d�'1LDN9TMP E T "-
I
ISSUED ACCORDING TO APPROVED NtiNHIC4ARI "PART F Tt4fi$ F? RIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROViSTON&O LAW""
11119-M 14
ATLANTIC ffCH BUILD114G DEPT. CHECKS 5/25/11 11 Receipt, 9668681
21811
CITY OF ATLANTIC BEACH
APPLICATION FOR FENCE PERMIT
Owners -C.c� -R ^`' Phone
Address
Lot Block and/or Unit# Subdivision
Contractor if Different From Owner -
Valuation of Fence $ D ()0 Corner or Interior Lot
Type of Construction v-,\)c,
Attach Survey Showing location and height of fence as well as location of street(s).
f
Owners Signature
Contractors Signature