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Permits 1973 Beach Ave Application Number . . . . . 09-00000403 Date 3/25/09 Property Address . . . . . . 1973 BEACH AVE Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------- ------------------------ Application desc sewer tap ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FINK, KENNETH N. ATLANTIC COAST PLUMBING CORP. 1973 BEACH AVENUE DBA:ATLANTIC COAST PLUMB. &TILE ATLANTIC BEACH FL 32233 Q/A: PARRISH, NICHOLAS JACKSONVILLE FL 32224 (904) 249-5381 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/21/09 ---------------------------------------------------------------------------- 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 'T CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: 3 perty Address: Owner: Telephone Contractor: Fax 6: Contractor Address: In considem6on of permit given for doing the work as describea in the abovc'statement.we hereby attrec to perform said work in-] uccordance with the attached plwu and specifications which am a pun hercul'and in&%wordiAnca with the Ciq oa'Atlumi,;Beach ordinance wW stundards of good practice listed therein. C(__�a G 5 6 .5 1�0 InstallaGoa of plumbing and fixrum3 must be in uccordance with the most recent edition of the Gowhern Stan4ard Plumbing Code. Plumbing Type: If other construetion is Wing done on this building or site. • New list the building permit numbir: • Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals floor Drains Washing Machine Lavatory water Sewer Water Heaters Other Fees Permit Issuing Fee: S35-00 Total Fixtures: X S7.00 + S35.00 800 Seminole Road - Atlantic Beach.Florida 32233-S445 Phone: (904) 247-MOO - Fax: (904) 247-6846. http:liwww.ci.atiantic-boach.fl.us '2 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028420 Date 6/04/04 Property Address . . . . . . 1973 BEACH AVE Tenant nbr, name . . . . . . SLAB PATIO W/TILE Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3000 Owner Contractor -- ----- --- -------------- ------------------------ FINK, KENNETH N. GOFF & SON TILE COMPANY 1973 BEACH AVENUE 1591 LANE AVE S 111T ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (904) 662-3054 ------------- ------------------------------- -------------------------------- Permit . . . . . . 13UILDING PERMIT Additional desc . . Permit Fee . . . . 45 . 00 Plan Check Fee 22 . 50 Issue Date . . . . Valuation . . . . 3000 Fee summary Charged Paid Credited Due ------ ----------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 P?W IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING \V�� C . 1 k k- "' BUILDING OFFICIAL Cc: CITY OF ATLANTIC BEACH D. Ford I H 0 rMjQ BUILDING / ZONING DEPARTMENT 800 Serninole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C>q- -Zsz4z—CD Property Address: 1115 6E-A,9--44 AWF- - - Applicant: L�—C) �SOP3 S I -J L-E�Z d 1 1 L-E- Project: 'S L– �P� , I This permit application has been: U3--�Approved Reviewed and the following items need attention: Please re-submit7 .7cation when these items have been completed. Reviewed By 7 Date: , - - azl CITY OF ATLANTIC BEACH N N BUILDING PERMIT APPLICATION 7, (Alterations& Additions) Date: -2 Job Address: 9 -2 3 EA C H V C. tV4_A9,Tie-- Mnnck�t tor-00 2 2 3 Owner of Property: Address: _L!�_7 6,F_-Ae_14 40,6. A7_24A,,rc t Acly Telephone: Legal Description: Block Number: Lot Number: Zoning District: Contractor: r,,e7 4/yj�j -71-c er _T jy c- State License Number: Contractor Address:2900- 2-0 Telephone: D) (I- /;�r_ Fax: Describe proposed use and work to be done: 1-4 1 L Present use of land or building(s): i Z,5� PAT 0 Valuation of proposed construction: Soc>o - C)C) What are the dimensions of the added space: / 9 feet x 2 :2- feet Will the added area be heated and cooled? *U 0 New electrical or increase in service?—IV 0 Add plumbing fixtures? /V t�> Add fireplace? /V 0 Add heating/air conditioning? ev 0 Is approval of Homeowner's Association or other private entity required? A.-3 o If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? NrNo. Applicant certifies that no change in site grade or rill material will be used on this project. r_1 YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. U/No. Applicant certifies that no trees will be removed for this project. F1 YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriat Incomplete applications may result in delay in issuance of permit. 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 904-247-5826. 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 or grading plan 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 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, 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 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/04 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. I. 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. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner: V Date: 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 will 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 tho-plans and su orting data have been or shall be provided as required. 'MIS Signature of Contra or: Date: Address and contact 4�;ation of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OVVNER: Sworn to and subscribed before me this day of C—Cjy�t 20 0�. State of Florida,County of Duval Notary's Signature: JENNIFER SCHLUETER ION#DD 121301 F� Personally known y 6 0 -S 7=S MY COMMISSION#DD 121301 EXPIRES:May 27,2006 Bonded Thr ,try Po"c nd..rtrs �Produced identification u Notary Pubiic underwriters Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval J NIFER SCHLUETER Notary's Signature. My COMMISSION#DD 121301 EXPIRES:May 27,20M F1 Personally known Bmded Thru Notary PuNic underwritart Produced identification Type of identification produced R-61 OD- -Z-7) 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 3 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Revised 1/04 MAP SHOWING SURVEY OF VA Ar LOTS 61 AND 62, NORTH ATLANTIC BEACH UNIT NO. 3, AS RECORDED IN PLAT BOOK 15, PAGE 93 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. A AAY,rA C11 1,fX A^pfoAcq COAP WAY) t-4, 9ARA -j W JUN 3 1004 . .................. ......... .............. ............ ... ,P A 'r 4' &.61 A A, A, A 1,4 oyspet 11 Af. jg� 11 1 A-=-f�; A �3 - .1 ro 04P Y tM"A 56 AP Y OrS. NP /I /I 7S,/'?7 7 1.4 zor 43 IVA.& City ofAtlantic Beach 0 a J,ee A A'ArA Planning and Zoning Department S e,- This compliance with applicable 14" 3 n a d other local land devel ent regulatlions,lut does not constitute tip, ,I Val for the issuance of�permits. Compliance app A -------- vVith Florida Building Code,qhd all other applicable cal, State and Federal O'rmitting requirements -e must be vefffied by signat0re of the City of Atlantic each Building Official prior to the issuance of a ullding Permit. proved by. Co i�elo mm Dev, goment Dire tor /Va.. 'tr'do ON e Ary'ReA r IWAr NO rT NO 0.A-.AS^fV A . ILE COPY ,ffJ'A4'~.S ffNdW-VrfrA'1A' 7 -4 A.- f_A! 1-. A' ,ld OCAPA. A 7' 4 IV I HEREBY CERTIFY THAT THE PROPERTY SHOWN HEREON I HEREBY CERTIFY TO GEORGE GOOOL E THAT I HAVE Is IN F L 000 ZONE "V8" AS S ON THE FLO 0 0 HAZARD SURVEYED THE LANDS AS SHOWN IN T ABOVE BOUNDARY MAP FOR THE CITY HODIACK So NV I LLE, FLORIDA CAPTION AND THAT THIS MAP IS A TR AND CORRECT REPRESENTATION OF THAT SURV THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM STANDARD REQUIREMENTS ADOPTED BY THE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS CHAPTER, 21-KH AND THE FLORIDA LAND TITLE ASSOCIATION. ............... JA,V"AA jwA,,r --rOl �jgjr. wt ry D 0 NN W FLORIRA---..� E-404 N.O.3291. '2f 0r'r#H ADDENDUM /V7 Londor State ----------- .................................... ------------ IX sl '61 sc-Agemeb -rnef, b IbL� - 4A RK 1.5-r LC-VEL- CAcpptr AAAA VCA IWA 4.K sr+ 15 k c. J c L-,o. 13A Zohd VeL CA tAP o k- #SA Lto Al Y A u4-LK eNyRy AMLW-4 AA,6 A D4u134LC CptAPsA.T- 37.(,7 1( 0 S- Z,'5 -LO.SS -x 4,-7 A S V -A �w '76 10 -7 00 -F 71 H JUN 0 3 2004 /Y'7 gr V Z.-L-0 W jr.9 -A. C C- 10. ay� c jk e a I c.,o Artt--,,�A -4 WA I-K /Z.6-7 4 10.6 7 : XC,te-(r,JfO C-A40(rJ Frorn�8esha Cox At:All Lines Insurance Agency,Inc. FaxID:All Lines Insurance To:Oty of Atantic Beach Date:6/3f2004 03:47 PM Pago:2 of 2 AAMR-D. CERTIFICATE OF LIABILITY INSURANCE DID 10 E DATE(MMIDONYM GOFFS-1 C1 06/03/04 PRODUCER THIS CERTIFICATE IS 13SUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE All Lines Insurance Agency Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 4828 Blainding Blvd Suite I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Jacksonville FL 32210-7329 Phone: 904-384-0783 lPax:904-384-0550 INSURERS AFFORDING COVERAGE NAIC INSURED INSURERA: Auto-Qvners Insuramce Company 18988 INSURER 8: T�la Compain , Inc. INSURER C: V540-90183r St INSURERD: Jacksonville FL 121UH-Ing INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAN)CLAIMS. INSR ADIQ LTR INS TYPE OF INSURANCE POLICY NUMBER WAY(I PW(&XAPN�N LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 A X COMMERCIAL GENERAL LIABILITY 20650129 04/08/04 04/0 8105 PREMISES(Ea occurence) $100000 CLAIMS MADE I X OCCUR MED EXP(Any one Person) s 10000 PERSONAL&ADV INJURY $1000000 GENERAL AGGREGATE $1000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $1000000 I PRQ- POLICYFIJECT F-]LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHIEDULEDAUTOS (Per person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Par accident) PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSfUMBRELLA LIABILITY EACH OCCURRENCE $ 1 OCCUR D CLAIMS MADE AGGREGATE DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND UrR"- EMPLOYERS'L(ABILITY ANY PROPRtETORfPARTNERJEXECUTIVE E.L,EACH ACCIDENT 6 OFFtCER/MEMBER EXCLUDEW E.L.DISEASE-EA EMPLOYEE $ I yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ATLIBC-1 SHOULDANYOFTHE ABOVE DESCRIBED POLICIES BECANCELLED SEFORETHE EXPIRATION DATE THERE-OF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 OAYSWRfTTEN City of Atlantic Beach NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 30 SHALL 800 Seminole Rd IMPOSE NO OBLIGATION OR LIAISKJTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Atlantic Beach FL 32233-5444 REPRESENTATIVES. JA ACORD 25(2001108) 0 ACORD CORPORATION 1998 From:Elesha Cox At:All Lines Insurance Agency,Inc. FaxID:All Lines Insurance To:City of Atantic Beach Date:6/3/2004 03:47 PM Page: I of 2 From: Elesha Cox To: City of Atlantic Beach Fax: (904) 384-0550 Fax: (904) 247-5845 Date: 613/2004 Phone: ( ) - Phone: (904) 384-0783 ext. 228 Pages: 2 Subject:City of Atlantic Beach cert Goff-Sons Confidential Notice:Information in this facsimile is confidential and intended for use by the individual or entity named above. If you received this telecopy in error, please immediately telephone us and return the original via U.S, Postal Service. Fax Message: Please find enclosed certificate of insurance as requested. Should you have any questions or need anything further, please do not hestiate to contact our office. Sincerely, Elesha Cox All Lines Insurance Agency, Inc.4828 Blanding Blvd Ste I Jacksonville FI 32210 5 MIN. RETURN DOC En%447 9 JL 19 PHO�E#.�'P- 54aO 8,DO. Pa e: 2203 Filed & Recorded 06/04/2004 11:27:39 AN NOTICE OF COMMENCEMENT jIM FULLER CLERK CIRCUIT COURT 0 Tax Folio No. DUVAL COUNTY CU Stateof bm--In REeBRONO $ 5-.00 cu County o TRUST FUND $ 1.00 REC ADDITIONAL $ 4.00 cm To Whom It May Concern: ?6 C6 The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. -�3 co Legal description of property being improved:_ 1.4 Address of property being improved: Az�-nc-H /40Q A-TtA!07(c RL:-,-ACk 0 General description of improvements: -<4 A A t,.j i-T 14 ii- �',WOwner: i; AL -AL Address: Owner's interest in site of the imprbve'men-t: Fee Simple Titleholder(if other than owner): Name: Address: Contractor: C7A Address: -11yari - 0 Phone No: Fax No:— 110AIr, Surety(if any): Address: Amount of Bond S Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: V 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: A,-6, 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(2X-b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): TMS SPACE FOR RECORDER'S USE ONLY Signed: Date: Before me this ::�3r-ck 'Jay of in the County of Duval, Stateof Florida,ha 11 appeared No*-4 Public at Uarge, State of Florida,County ot Duval. Myka6mmission expires: --�JF -2,j 1,0VI Personally Known: or Produced Identification: F:V'P JENNIFER SCHLUETER myc OMMISSION#DD 121301 EXPIRES:May 27,2006 Bwdad Thru NaM Public undowiters MAP SHOWING SURVEY OF Tz� LOIS 61 AND 62, WORTH ATLANTIC BEACH UNIT NO, 3, AS RECORDED IN PLA,I BOOK IS, PAGE 13 Of THE CURRENT PUBLIC RECORDS OF DUVAL COumtV, FLORIDA. A YtNitf, orOA.4 V,/A Y) ti A"A'10ACA( V. 0AAA W,If/ A -F A dr, A 3 st r masonry &lHame Res. Alt lq?5,'/I 7,f,14 7 7 (.0 1-004 Pr e� A CA to 41 41 Af It- low --mr- fe Oy l&ZA r A01 .111111.r 4 0 PROP(RIY SHOWN HEREON I Hi RE By CERTIFY TO GEORGE COOOLOf THAT I HkVt S I:1,lL'll0l;ol`l ED THE LAhOS AS SHOWN IN IN( A80VC I yel SHOWN ON IN( FLOOD WARD SURVEY I Y cSO I ( f loukOART AP FOR HE cil OF JAC NY LL , LORIDA. CAPTION AND THAT THIS MAP IS A 7RU( AND CORRECT REPRESENTAT I ON OF THAI SURVEY AN 0 THAT IMF SURVEY R(PQ!5fhT(C, HCR(Ok MEETS THE miwlmu- SIAPQA..'. REQUIREMENT$ AOpPT(O BY THE FLORIDA Sim tokAo or PROFESS104AL LAND SURVEYORS CHAPIIR 21-NM AND THE FLORIDA LAND TITLE ASSOCIATION. -7 - 4 DEPARTMENT Of BUILDING CITY OF ATLANTIC 13EACH PERMIT INFORMATION, ----- LOCATION INFORMATION P*t*iV'Number. 107,04, Address,* 19713 :BEACH AVENUE flermili, Type:' PLU14SING XTIO BEACH, FLORIDA 3223,3 ATLA Class of Work z ALTERATION AL DESCRI -------- L V), Constr. Type: WOOD FRAMS Loti 81 ock Section: Iropoted Us 4 SINGLE FAMILY, 'Township: RNG 0 �Dwe I I ings: 1 Code,,, 0 Subdivision:, NOXTH ,ATLANTIC BEACH tiil,imated Value: $0.00 Improv. , .Cost: Totall ees ,., $25.00 Amo t25.00 Al ZR HEATER TION A PO'CATION FEES OF PERM 1 $2,5 .00 ress. H AVENUE NAT IMPACT FEE $�0.00 �CH i': PILOR 0 AP 7 RADON ,OAS-H:i R.S. $0 .00 ------- NMI, on -------- RADON" -AS W, $0 .,00 'Name*: Is CAP IVAL IM OVE. $0.00 JAC It-sLE, Ft 32245 4MOSS CONNECTION -00 SZC, H 114PACT PER .00 -CON$T.$URCHARGE $0. 0 . ..................... -------------- NOtES. NOTICE ALL CONCRETE AND FOOTINGS MUST BE INSPECTED SEFOREPOURING PERMIT VOIDISIX MONTHS AFTER,,DATE�,OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRISFROM THISIWORK MUST'NOT BE PLACED IN PUBLIC SPACE,AND MUST BE k�ED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. IANLUR COMPLY W,ITH THE' MEC.HANIC!S UEN LAVV. CAN RESULT I N :T"t,PROPERTY OWNER PAYINGTWICE I ORTHEOUILDING"IMPROVEMENTS A4 XORDING TO APPROVED PLANS WHICH ARE PART OF THIES"PERMIT AND SUWECT TO REVOCATION FOK �'��ION:Of:,A'PPLICABLE.PflOV1810N$OF LAW. :T A*IE CCUU9111M 01 ATLANTIC BEACHBUILDING DEPARTMENT� $040 oolftomow CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION:-/_? 7 ------------------------ OWNER OF PROPERM-------------ZE z idte�— —————————————————————————— BUILDING CONTRACTORS-------------------------------------------- PLUMBING CONTRACTOR ---------- ----------------------- AND ADDRESSt 2:1 Y-5----------------- TELEPHONE NUMBERS ——————————7—a?— ——————————————————— STATE LICENSE NO: ------------------------ TYPE OF BUILDING& -------- ------------- SINKS -------------SHOWERS LAVATORY ljqyAk!L-L-WATER BEATERS ------------BATH TUBS -------------DISHWASHERS URINALS -------------DISPOSALS CLOSETS -------------WASHING MACHINE FLOOR DRAINS -------------SHOWER PANS OTHER--------------- TOTAL FIXTURE COUNT:---------- x $3. 50 $15- 00 ----------- -----------------;------------------------------------------------ INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS (904) 247-5826 CITY OF ATLANTIC BEACH, FLORIDA Approwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: - --19clq IMP013TANT 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. /-A BILL THOMPSON ELECTRIC CO., INC. P. 0. BOX 330150 AlUNTIC BEACH, FIL 32233-0150 ELECTRICAL FIRM MASTEF(ELikCTR161&rSIGNATURE JOURNEYMM r 'tAC14 A& - NAME, K W —ADDRESS: 73 S -RFD Box_ BLDG.SIZE BETWEEN: -')-01!'> S-r-r — RES* APT.( COMM- PUBLIC INDUS. NEW( OL N REW. ADDITION ( TRAILER TEMP. SIGNS ( SO. FT. SERVICE: NEW( INCREASE( REPAIR FEE CONDUCTOR SIZE AMPS COPPER ALUMJ SWITCH OR BREAKER AMPS PH W VOLT RACEWAY ),D EXIST.SERV.SIZE X AMPS PH 3 W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED -OPEN TOTAL RECEPTACLES CONCEALED OPEN wp—sl TOTAL SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMP5. OVrR APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELCA"REBUS -77 KtDtAcps& Po��p ooT li NZ-7- sc-,pAQz_er- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 8W SEMINOLE ROAD-ATLANTIC BEACH,Ill 32233-TEL: 247-5826-FAX: 247 -5877 Permit Number. 23b75 Permit Type: REMODELING Addri 1973 BEAUN AVENUE Class Of Work: ALTERATION ATLANTIC BEACH, FLORIDA 32233 Proposed Use: Township: 0 Range: 0 Book: Sqtjare feet: Lot(s): Block: Section:0 Est. Value: Subdivision: NORTH ATLANTIC BEACH Improv. Cost: 2,292.00 Parcel'Number.- Date Issued: 3/09/2002 U7 Name: I-INK Total Fees: 38.00 Amount Paid: 38.00 Address: 1973 BEACH AVENUE Date Paid: 3/09/2002 ATLANTIC BEACH, FLORIDA 32233 I —--6� Phone: (904)725-1887 Wor"DOS D�E—Pbkd—b�NT WI-Nbo--WS 777777�, MAC VKUDUCTS '/-xr,AtKl(;AN WINDOwS i(5:41�tas� 38.00 - R M-M 0 R�' 4 Ne X V V NOTI TION BUILDING MATER 7 MUST BE CLEA C SPACE,AND "FAILURETO Co PROPERTY OWNE THE ISSUED ACCORDING TO .......... FOR.VIOLATION OF A CA ECT TO REVOCATION A, *r: WITH Type: OC river: I Fate: 3/12/K 81 Rkeipt w 41967 -111IL111116 I ATLA Tjj� B;_ 14 ' PERNITS �H ILDING T. Travis nuber: 795167 CK MCKS 16%6 $182.N 16:36:12 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address—. Date 3ig ob Heated Square Footage @ $_per sq ft = $ Garage/Shed @ $_per sq f t = $ A Carport/Porch $_per sq f t = $ Deck $_per sq ft = $ Patio $_per sq ft. = $ TOTAL VALUATION: $ 2Zq2- .Cb $ Co . Total V a 14ation ist s I occ.. I 2U ' W 10.1500 Remaining Value $5�1 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_,; Plumbing Electric/New Electric/Temp_; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : *� eb LZ) Ue li : 4La bUliding Department �jUq_e14 /_*8Ub A PPR 0 V T ' CITY, OF ATLANTIC E', BUILDING 0FFIC`E r:0 8 Ft. e�161 MAR 10 2002 0, AV By; L City of Atlantic Beach- 800 Seminole Road - Atlantic Beach,Florida 32233-5445 Phone: (904) 247-5800- FAX (9D4)247-5805- I)ttp-)/w�yw/ci.atlantic-beach.fl.us PER311T APPLICATION FOR RENIODEL, ADDITIONS ANDkLTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAN11LY (DUPLEX) CONSTRUCTION DATE /-7-7 0 .kPPLICANT.— ADDRESS 'hA P, AD DRESSW HERE WORK IS TO BE PE RFORNIED LEGAL DESCRIPTION: BLOCK NtEMBER LOA NUMB �z ZONING DISTRICT CONTRACTORA_m��Cal-) Wl-ndow 1=7ATE LICENSE NU`,N1BER SC - W503 10 .ok.DDRRSS fixo_-j� Alie,- PHONE �5i— '272—q _STATF r—L zip �322(-)q FAX -7�3i-V 5>2 Lk DESCRIBE PROPOSED USE .42ND WORK TO BE DONF ��10_CJO_Me4f 60" LILS PRESENT USE OF LAND OR BUILDING(S) tq VALUAT IONOF PROPOSED CONSTRUCTION 2-2cl 2 B this tin addition? — If yes, A hat are the dii-nersion.s of the added space: _fcet by__-Jeci "V;ll t-,e added area bt!ht!aied and cooled'? New-electrical or irici-Qase in service? New plumbing dxtures? New fireplace? New heat;ns, air conditior-ing? '3 approval or Homeowner's Association or other private entity required? If yes,please submit with this applicaLloll. PROCEDURE: (In order to expedite issuance of ptrmits, please follow all steps and RL2LjqL_j� information as appropriate,) STEP 1, Verify zoning designation and proper setbacks for Lhe proposed construction. If you are unsure of this itdorilatioi,, pl�ase contact the Planr.inD arid Zoring Department at 904-2�7.5817. In order to correctly verify zoning desiguatiov,pl,-;�,se �ave, Properm,Appraiser'5 Real Estate Number available. STEP 2. Contact the City of A:Iantic Beach Dt,)artment O�"IiLbliC Work� to detttmdni! if a prt-consti%Mon or post-construction topograpEcal survey is required. (If not required, N&Titten VCrlfiCatiOn rriust be provided Mt-11 this appLcation,). Th,.� Department of Publiz Works is located at: 1200 Sandpiper Lane,Atlantic Beach,i,'!- 32233 Telephone:(9041 247-58_34 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavi* if owncr is ;ontranor, and four(4) zomptete sets of construction plans to the Building Department, which is located at th� Atlantic Beach C�'ty HaiL, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904�247-5826 Fieb 25 02 11 : 42a Building Department 904-247-5805 P. 2 In addition t,) construction and engineering detaii,plais must contair.the following information as appropriate for the t',-j1c (-,"'%�ork being P,-7forrned. So-ale of drawings shouic be sut"Ficient to depict all required mforrriationx.-a eltax and legible rritumei. I CuTent sun,ev showing the property boundary with bearings End distances and the legal description. 2 Location of;11 structures, temporary and permanent, including zetbacks, building h.-jgh� number of stories and sql-,are footage. Identify any existing s-ructures and uses� 3. Existing and/or proposed driveways. 4 If required by the Department Of Public Works,a pre-construrtion topographical survey. 5. Any sign�.ficant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6 Impervious Surtiice ares calculations. (Swirnrung pools maybe excluded from total IMT)Crvious Surfac.!t.) 7, Other information as.may be appropriate for individual applications. I HEREBY CERTIFYTHAT ALL INFO N1 TION PROVIDED WITH THIS APPLICATION IS CORRECT. S NA'IURF OF OWNER E ? 2 IC, V I HEREBY CFRTIFY TITAT I HAVE READ AND EXAMINED THIS -I&PLICATION AND KNOW THE SAVIE TO BE TRUE AND COR.R-FCT. AI.L PROVISIONS OF THE LA�VS AND ORDINANCES GOVERNING THIS TYPE OF NVORK WILL BE COMPLIED *�-NIJTH. IvViiETHER SPECO TED HEREIN ()R NOT- 'nIE GRANTING OF A PERMIT DOES NOT PRESUINIL TO GIVE AUTIIORJT'Y' 1'0 VIOLATE OR(ANCELTHE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONIS,ORDINANCES,OR L.%WS I.N .,kNYMANNFR, INCLUDING TFIF GOVEP-NING OF CONSTRLIC71ON OR THE PERFORMANCE OF CONSTRUCHON OF MLPIROPERTY. I UNDERS,rAND THAT TH E ISSUANCE OF THIS PE"I IT IS CON TINGENT UPON T HE ABON,E IN FORAIAIAON RELNG TRUE AND CORRECT AND TRAT THE P S ND SUPPORTLNG DATA HAVE BEEN OR SHALL BE PROVIDED AS 'T AND T1.LAf THE P S " SL'FPORTl'p4G DAI'i REQUIRED. SIGNATL"RE OF CONTRACTOR DATE 212-710 ADDRESS AND CONTAC NFORALATIONN' OF P SON TO RECEIVF ALL CORRESPONDENCE RECARVING THIS APPLICATIONT (PLEASE PIUNT) .(I NAME kD919), A fi- A- L ptie' . IMAILING ADDRESS 0C, PHOJNy, FAX SWORN AND SLTSCRIBED BEFORE [VIE THIS Cn I DAY OF STATE OF FLORIDA,COUNTY OF f)UVkL NOTARY'S SIGNATURE MffljSSjonGC881315 AS TO OWNER: F1 Personally known Itis October 20,2003 Produced identification J'ype of identificwtion produced ALSTO CONTRACTOR: ersorall known [��P' y Produced identification Type of identification produced.__---_--. FPCM 130RELL =-�-JEPPPTSE-z �7AX 43. 7 24,46'518'-4 Feb. 01 200-2 38: 14AM P2 APPROVE — CR OF ATLANTIC BEACH BUILDING OFFICE MAR 1. 0 2002 Projoa No.T10"l uY.- RmorfDzwlw=wy22,200I ?ZRFQW!LNQ TESS REPORT MAX66mrer GOREU fNTWRISES.NC 1330 WAM4E AVE DMIA'NA,PA 15701 Predimt Jftd5mtLn Produpt Type: DoubL.Hwg W-Mdow Sfticw%l6dci 05155 spocdcXtiox AAMANWWD.,k loi/I.S.2-97 Des*,�. R-lU0 DOWNS=(Jr X 54-)AAM&NWWDA 1011I.S.2-97 GX41DE 30 T4%1.RAfcno= See red Repo4l4c,BTC-9$-165-6330.0(dated:1/13/99)by ETC LAuratozies fw fiA dw rcsw�vt Pmdu%D*"iptibn: Aftacbed Ttw Rcaa= Aawked Tcst Equkc=2t FVr Teaft Daw. 11/27JO0 Dduflod assmbly drzwmp vbowr4 wid tinckoess of ali uwuba3,coum cousavaiDu sod Acopyof this repoft and tea naWle wl be rmkwd at FET for a pedod of4 yesm Mw rcnft ol appiy o*to the teded. No concluAww ofwW Idad,regading dx maybe drawafouidisusL The eon tmmlts weve smured by umg tlw dczWmtcd w-A nwthods aod u�ey mdwate compfikow with tka parformsaw reqokabft3 of rl=refawwod specfficatkm Tbis rqmri does ax conaibus cKd6cation ofthni pwduct,whrh my onty be Smused by ft Appwved br zg� Pxuwk FPCM 1-1:0FIELL EtITEPPRTSE3 --AX HO. : 7-244631854 Feb. Vil 2VI02 2)P.:ISAm FZ Projoa No.T106-01 sew"t:I smoam wu w0d at Mad&r Pabeta Offimne tD buck ktw-�on AnchoraW. A Ir."wi&x 112"deep wood fwaing str�p we=bcaled AMUW the pw th t"k, of ,4, and mwrior smic of the ftmc. The(ftshmg)wil pam fm-jw=cmr fi=bg strp wa,6- on casm(nombal)and bc dw extenor Ambg"ttw=9 pw=ww 12-on dw**s sik and e on ft bwd jmd AL GORM"G_5195" DQUBLE HUNG WOMW Tait Resuftx Ps"amb Tee Tide Test g4saks Allowab Rderenced Ted *dM 2.1-2 Air htfiltratiou Test (ASTM E-293-9 1) @ 1.57 pd 0.13 chalsf 0-30 cficvsf 7h*r-w�qwdnwx swets ft Perfmmme im*vt0tw bs 4LtMI1NWWDIA I 0111.&2-97for.4fr InflIfttlayt, 2.1.3 Water Resistance Test (ASTM ES47-%) @ 2-96 pse(:wM&witbout N- o Peawation No pawastion 2.1.4�2 Uniform Lftd Structural Tat *9 Optional P9Tf0-rMs=Msuks) 2.1.7 WeMed Corner Test Meft AS Stated 1 41.1.8 Forced Ra"Resistance (AMU F5W97)fttnumuce Lew]10 Type A(Section 10) Sec.10.1 Look Mw4mbdon Test No Paihm As StxW Ser-102-1.1 Test At No PsAwt As Stafted Sw.l0.ZL.2TeAA2 NO PaRRUM AS Suded Sw-10.2.13 Test A3 -NO Fmw= As SlaW Sw.10.LIA Ted M No Fw"wre As StaW See.10.2.1�3 Teo A5 240 FabM As Stftd Sec.10.2.1.6 T"A6 NO Failure As Statod Sec.10-7-1.7 Tea A7 No P=bre As stated SOM No Failure As Stated P4 FP.CN GCIFELL =HTEF-F--'T- 72.4 F,:-:Y). 01 2:2102 D::'):ITAr,l Projeallo.TIO"l GQRaL DOUM MING M2MW Tat%1galb fc(ML) Eu*u!d Test ride 1 it Rem A Rohreaced Tt*Metbod 2.2.1.6.11 Operating F*rcs Test top sksh 10 1 Tzp,I I I du 30 lb I I 1 12 lb da 30 lb &Mcok 2.21.6.2 Dq*uizg Tmt (AsTM WV-U.Medwd a) Top Mk kft sbie @ 50 sf 12% <1009A 4k swe @ 50 te 12% <100% wq r4 0 70 W 12% <10ove NWow W @ 70 W 12% <1000A Ban=M" kd swe @:so lbf 12% <10(PA s&@ 50 ffif 12% <100% top ra a 70 lbf 12% <1009/0 buftm nd @ 70 lbf 12% <100% Qpdem,w 4.3 WOW Roobtamov Twt (ASIM P-547-%) 4 7-10pd(wfth&vkbout No paxtration No pmatcWon 4.4.2 Usifo. Lowd 96voturul Twc (AMU F-330-97) (0.4%xL) @75pOpoddm O.D44r 0 0.1ir @ 75 pd-gVdi-- 0.052"0 0.1ir lfx3dw=Defloodom