Permits 1095 Carnell Lane DEPARTMENT OF PUBLIC WORKS
1200 SANDPIPER LANE
ATLANTIC BEACH,FLORIDA 32233-4318
.. ..... . TELEPHONE:(904)247-5834
FAX: (904)247-5843
SUNCOM: 852-5834
http://ci.atiantic-beach.fl.us
PLAN REVIEW COMMENTS FROM THE
PUBLIC WORKS DEPARTMENT
Permit Application # C 3
Applicant: c2LLO�J'c Li, 0CMMC"(-r11C6 410t15
Address: Cof-heil &n
Project: tJr*)Jr--r4f-,-,utid ( ,d TV )E&b It /-47
J
)< Your application is approved as noted by the Public Works Department. Final
application approval must come from the Building Department.
,e
.��O,Your permit application has been reviewed by the Public Works Department and the
following items need attention:
0<1 PLyt- ff4f '5490'*-
Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane,
Atlantic Beach, FL 32233 in order that we can approve your application. If you have any
questions please call (904) 247-5834.
Reviewed by Robert S. Kosoy, P.E., Director of Public Works
Date JAI
Signature
Contractor Notified Date /ni2i
CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT'WITHIN CITY RIGHTS OF WAY AMD EASEMENTS
DATE k -PERMIT NO. :
ISSUED By'rH
JOB ADDRESS- (-),p K-N e_ —VALUA-nON $
PERM17TEE Q,0XXA0pLl_-,* Ljoc-�M -�,Cj
Kkc oL
PERMITTEE ADDRESS 9.',g
.�A TELEPHONE NO.
REQUESTING PERMISSION FROM THE: CITY OF ATLANTIC BEACH To CONSTRUCT
LocAroms��(REPERENCE To CROSS-STREL-r) \CRC'-
C)4 zvv� tpcu-:t QA;
I APPLICANT OCCLARES THAI' PRIOR TO FILING THIS APPLICATION HE HAS ASCERTAINED THE LOCATION OF ALL
EXISTING UTlUnES, BOTH AERIAL AND UNDERGROUND AND THE ACCURATE LOCATIONS ARE SHOWN ON THE
SKETCHES.
A LETTER OF NOTIFICATION WAS MAILED TO THE rOl I WING UTILITIES/MUNICIPALITIES:
JACKSONVILLE ELECTRIC AUTHORITY Yes (X) No ( ) . DATE:' \O-::��-c)-2
BELL SOUTH Tr-Lr-pHoHr- COMPANY Yes (X) No ( ) DATE::_
FERRELL GAS YES (X) No ( ) DATE: C)
MEDIA ONE CABLE TV YES No ( ) DATE:
2. WHENEVER NECESSARY FOR THE CONSTRUCTION,'REPAIR, IMPROVEMENT, MAINTENANCE, SAFE AND EFFICIENT
OPERATION, ALTERATION OR RELOCATION OF ALL. OR ANY PORTION Or SAID STREET OR CASEMENT AS
DETERMINED BY THE DIRECTOR Of PUBLIC WORKS. ANY Oft ALL OF SAID POLES, WIRES, PIPES, CABLES OR
OTHER FACILITIES AND APPURTENANCES AUTHORIZED HEREUNDER, SMALL BE IMMEDIATELY REMOVED FROM
SAID STREET OR EASEMENT OR RESET OR RED ATED HEREON AS REQUIRED BY THE DIRECTOR or PUBLIC
WORKS, AND AT THE EXPENSE Or THE PERMITTEE UNLESS REIMBURSEMENT IS AUTHORIZED.
3. ALL WORK SMALL MEET CITY or ATLANTIC BEACH OR FLORIDA DEPARTMENT or TRANSPIRATION STANDARDS
AND BE PERFORMED UNDER THE SUPERVISION Or pc-'-cly 14,�'je-r c, (CONTRACTOR'S
PROJECT S UPMRI HTENDIENT) LOCATED AT Iftn-,&A T-,r—A�c A 9F�t, TELEPHONE
4. ALL MATERIALS AND r-ouipmr-NT SHALL BE SUBJECT TO INSPECTION ey THE: DIRECTOR OF PUBLIC WORKS OR
His DESIGNEE.
5. ALL CITY PROPERTY SHALL BE RESTORED To ITS ORIGINAL CONDITION AS FAR AS PRACTICAL, IN KEEPING wrrm
CITY SPECIFICATIONS AND THE MANNER SATISFACTORY TO THE CrTy.
6. A SKETCH OR PLANS COVERING orrAiLs OFTHIS INSTALLATION SHALL. BE MADE A PART OF THIS PERMIT.
7. THIS PF-Rmrrrr-r- SHALL COMMENCE ACTUAL CONSTRUCTION IN GOOD rArrH WITHIN '2
, ,0 DAYS FROM THE DAY
OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN. ':Ao __DAYS. IFTHIS BEGINNING DATE IS
MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTE:E MUST REVIEW THE PERMIT WITH THE
DIRECTOR OF PUBLIC WORKS TO MAKE SURE NO CHANGES HAVE OCCURRED IN THE AREATHAT WOULD
AFFECT THE: PERMITTED CONSTRUCTION.
8, IT Is UNDERSTOOD AND AGREED THAT THE: RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO
THE ExTewr or THE CrrY*S RIGHT, TITLE AND INTEREST IN THE LANE) TO BE ENTERED UPON AND USED BY THE
HOLDER, AND THE HOLDER WILL, AT ALL TIMES, ASSUME ALL RISK OF AND INDEMNIFY, DEFEND, AND SAVE
HARMLESS THE CITY or ATLANTIC BEACH FROM AND AoAjmsr ANY AND ALL Loss, DAMAGE, AND COST OF
EXPENSES ARISING IN ANY MANNER Or THE EXERCISE OR ATTEMPTED EXERCISES BY THE HOLDER OF THE
AFORESAID RIGHTS AND PRIVILEGES.
9. THE DIRECTOR OF PUBLIC WORKS SMALL BE NOTIFIED TwENTY-rOUR (24) HOURS PRIOR TO STARTING WORK
AND AGAIN IMMEDIATE
SuamrTrzo BY: (PLACE CORPORATE SEAL IF APPLICABLE)
SWORN TO AND SUBSCRIBED BEFORE ME THIS r t�ovembar
T.;AfTLp-l* AUDflEY
N0TAR'?-MtLIC
MY COMMMN#DD 11"M
DEPARTMENT OF PUBLIC WORKS
1200 SANDPIPER LANE
ATLANTIC BEACH,FLORIDA 32233-4318
-5834
TELEPHONE:(904)247
FAX:(904)247-5843
SUNCOM:852-5834
http://ci.atlantic-beach.fl.us
PLAN REVIEW COMMENTS FROM THE
PUBLIC UTILITIES DEPARTMENT
Permit Application # - G-1- ,2'-Z/5-7
Applicant: (C00'.C1,'j-!j ('0rhMU-r1(ccj-4tc�as
Address: C q-L� 0 1) --ki r-i i Ln
Vroject: a)0s.4r.u421 'tMOU14CeIn /� QJec4t-tund (-!.,-iT,/ ELL
-i
Your application is approved as noted by the Public Utilities Department. Final
application approval must come from the Building Department.
c3 Your permit application has been reviewed by the Public'Utilities Department and the
following items need attention:
k,91-�2 lo'477w d!22&A�Lc
/S.ee- aZ&
4111 A 15i6l .19�
j!�&" zL�& ae
Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane,
Atlantic Beach, FL 32233 in order that we can approve your application. If you have any
questions please call (904) 247-5834.
Reviewed by Donna Kaluzniak, Public Utilities Director
Date
Signature
Contractor Notified Date hllZtllljj
CITY OF ATI-ANTIC BEACH CONSTRUCTION PERMIT'WITHIN CITY RIGHTS OF WAY AND EASEMENTS
DATE kC%--
Issuzo ay Tme CITY
JOB ADDRESS C nK cxp k� VALUATION $
PERMITTEE
)C\
PERMITTIEE ADDRESS g:;Ck--k%X TELEPHONE NO.
RwuF-s,nNc; PERmissioN FROM THE CrTy OF ATLANTIC BEACH TO CONSTRUCT_QLQ&
CC*A k(-%A
p r c-, 'Q
LocAnoNs�J(RerenEmcz To CROSS-STREET) XCA—,Z, I_oLne_ %C\ v�c*kc':.:h4. n4 ix�� �pnf:t QLA- ;
I . APPLICANT DECLARES THAT PRIOR TO FILING THIS APPLICATION HE HAS ASCERTAINED THE LOCATION Or ALL
EXISTING UTILITIES, BOTH AERIAL AND UNDERGROUND AND THE ACCURATE LOCATIONS ARE SHOWN ON THE
SKETCHES.
A LETTER or NOTIFICATION WAS MAILED TO THE FOLLOWING UTILITIES/MUNICIPALITIES:
JAcKsow,nLLE ELEcTRic AUTHORITY YES (X) No ( ) . DATE: 0':k
BELL SOUTH TzLr~pHowr- COMPANY YES (K) No ( ) DATE: -Ak- b?�
FERRELL GAS YES C X) No ( ) 0 AT E: C)_-J,
MEDIA ONE CAeLmTV YES ( No ( ) DATE:
2. WHENEVER NECESSARY FOR THE CONSTRUCTION,'REPAIR. imimnovrmew, MAINTENANCE, SAFE AND EFFICIENT
OPERATION. ALTERATION OR RELOCATION Or ALL. OR ANY PORTION Or SAID STREET OR EASEMENT AS
DETERMINED BY THE DIRECTOR or Puauc WORKS, A14Y OR ALL OF SAID POLES, WIRES, PIPES, CABLES OR
OTHER FACILITIES AND APPURTENANCES AUTHORIZZO HEREUNDER. SMALL BE IMMEDIATELY REMOVED FROM
SAID STREET OR EASEMENT OR RESET OR RELOCATED HEREON AS RZOUIRED BY Tme DIRECTOR Or PUBLIC
WORKS, AND AT THE EXPENSE Or THE PERMI I I Z UNLESS REIMBURSEMENT IS AUTHORIZED.
3. ALL WORK SMALL MEET CITY or ATLANTIC BEACH OR FLORIDA DEPARTMENT or TRANSPIRATION STANDARDS
AND BE PERFORMED UNDER THE SUPERVISION OF Qc_cij( �-,%ve_c c-j,,- (CONTRACTOR'S
PRojecT SUPERINTENDENT) LOCATED ATf'::jc:j-,�%A T_
'r Tr_LErPHONr_ No.-Ig�_WA&j
4, ALL MATERIALS AND reouiPmew SHALL se suejecT To INSPECTION BY THE DIRECTOR or PU13UC WORKS OR
HIS DESIGNEE.
5. ALL CITY PROPERTY SHALL 23C RESTORED To ITS ORIGINAL caNOITION AS FAR AS PRACTICAL. IN KEEPING WITH
CITY SPECIFICATIONS AND THE mAmNeR SATISFACTORY To THE CITY.
is. A SKETCH OR PLANS COVERING DETAILS or THIS INSTALLATION SHALL BE MADE A PART OF THIS PERMIT.
7. THIS PERmrrTEE SHALL commeNct ACTUAL CONSTRUCTION IN c;ooD rArrm WITHIN '�O DAYS FROM THE DAY
Or SAID PERMIT APPROVAL AND SHALL BE COMPLETED WrrHtN_Q�0__DAys. IrTHE BEGINNING DATE is
MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST REVIEW THE PERmrr WITH THE
DIRECTOR OF PUBLIC WORKS TO MAKE SURE NO CHANGES HAVE: OCCURRED IN THE AREA THAT WOULD
AFFECT THE PERMI I I D CONSTRUCTION.
a. IT IS UNDERSTOOD AND AGREED THAT THE: RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO
THE iDcrEmT or THE Crry'_4 Ric;HT. TITLE: AND INTEREST IN THr- LAND -ro BE ENTERED UPON AND USED BY THE
HOLDER, AND THE HOLDER WILL, AT ALL TIMES. ASSUME ALL RISK OF AND INDEMNIFY, DEFEND, AND SAVE
HARMLESS THE CITY or ATLANTIC BEACH FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, AND COST OF
EXPE14SES ARISING IN ANY MANNER OF THE I!XERCISE OR ATTEMPTED EXERCISES BY THE HOLDER OF THE
AFORESAID RIGHTS AND PRIVILEGES.
9. THE DIRECTOR OF PU13UC WORKS SHALL BE NOTIFIED TWENTY-FOUR (24) HOURS PRIOR To STARTING WORK
AND AGAIN IMMgtDfj7y!20 PLETiqN.
Suamrrrmo BY: (PLACE CORPORATE SEAL IF APPLICABLE)
SWORN To AND suaSCRiaziD BEFORE ME THIS Y r t�ovember n . 29' a- 3 .
N0TARl?'AI5UC AWW&=W
MYCOMMUMIII)IDUM
*Jui amilark2m
4-01n. Ir SOWN ram BUONO"Ovy BOOM
S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00027197 Date 11/11/03
Property Address . . . . . . 1095 CORNELL LN
Tenant nbr, name . . . . . . UNDERFROUND CATV FACILITY
Application description . . . RIGHT OF WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
CORNELL, ALMA LEE COMCAST COMMUNICATIONS
1095 CORNELL LANE 5934 RICHARD ST
ATLANTIC BEACH FL 32233 JACKSONVILLE FL
JACKSONVILLE FL 32216
(904) 380-6423
----------------------------------------------------------------------------
Permit . . . . . . UTILITIES PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 11/11/03 Valuation . . . . 0
Expiration Date . . 11/11/03
----------------------------------------------------------------------------
Special Notes and Comments
DO NOT HIT STORM LINES, AVOID WATER AND
SEWER MAINS AND SERVICES (SEE ATTACHED
MAPS) NOTE: ATTACHED MAPS DO NOT HAVE
INFORMATION ON NEW SERVICES FOR CORNELL
ONE SUBDIVISION (HAVE NOT RECEIVED
AS-BUILTS) LOCATIONS ARE BEST AVAILABLE
INFORMATION.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 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 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
BUILDING PERMIT APPLICATION
JURISDICTION OF
APPLICANT TO COMPLETE SECTION A ONLY SECTION A
JOB ADDRESS
LEGAL LOT NO. BLK.
1 DESC R. (g<SEE ATTACHED SHEET)
MAIL ADDRESS z'P PHONE
2 'ZER 0 e-
6� I\ Qxyy,,W LA
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3 S h=m
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
6 CLASS OF WORK: 2NEW F—JADDITION RALTERATiON []REPAIR OMOVE E]REMOVE
7 BUILDING CHARACTERISTICS C.PRINCIPAL TYPE OF FRAME G.DIMENSIONS
A.PROPOSED USE GROUP —MASONRY NUMBER OF STORIES
RESIDENTIAL NON-RESIDENTIAL —WOOD FRAME TOTAL SQUARE FEET OF FLOOR
—STRUCTURAL STEEL AREA,ALL FLOORS.BASED ON
—REINFORCED CONCRETE EXTERIOR DIMENSIONS
POONE FAMILY DWELLING []ASSEMBLY —OTHER —SPECI FY_ TOTA L LAN D A R E A,SO. FT.
F�TWO OR MORE FAMILY DWELLING; E]BUSINESS (OFFICE) . H.NUMBER OF OFF—STREET
NO.OF UNITS EDUCATIONAL D.TYPE OF HEATING FUEL PARKING SPACES
[]HOTEL,MOTEL,DORMITORY, ENCLOSE V A I
NO.OF UNITS FACTORY-INDUSTRIAL —GAS OUTDOORS_
_OIL
nGARAGE HAZARDOUS �4CELECTRICITY 1. RESIDENTIAL BUILDINGS ONLY
OAL
f_]CARPORT INSTITUTIONAL —OTHER -SPECIFY NUMBER OF BEDROOMS 6z
ROTHER-SPECIFY E]ME RCANTI LE E.TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROD�LS--
[]STORAGE X—PUBLIC OR PRIVATE COMPANY FULL
F1 OTHER-SPECIFK— —PRIVATE (SEPTIC TANK,ETC.) PARTI AL
F.TYPE OF WATER SUPPLY
1—y"PUBLIC OR PRIVATE COMPANY
PRIVATE (WELL,CISTERN)
B. NON-RESIDENTIAL- DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING.
8 VALUATION OF WORK
A. BUILDINGS B. PLUMBING$
C. MECHANICAL$ D. ELECTRICAL$
E. OTHER$ F. TOTAL VALUATION 0 0
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPROVED (It-5 c-o,"'07_4
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. CITY of ATLANTIC 6WH
ALL PROVISIONS OF LAM AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED 1pilL mr"m
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE Da 7t.1
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT-
ING CONSTRUCTION OR HE PERFORMANCE OF CONSTRUCTION.
�f_,A lo
SIGNATURE OF CONTRACTO e R UTHORIZED AGENT (DATE) 0.*
(DATE)
SJIGNATUREOFOW EROFOWNE R BUILDER)
BUILDING PERMIT APPLICATION
JURISDICTION OF
APPLICANT TO COMPLETE SECTION A ONLY SECTION A
JOB ADDRESS
LEGAL LOT NO. BLK. TRACT
1 DESCR. T (O'SEE ATTACHED SHEET)
2 OWNER MAIL ADDRESS ZIP PHONE
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
3
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
6 CLASS OF WORK: F�NEW [-]ADDITION DALTERATION E]REPAIR E]MOVE E]REMOVE
7 BUILDING CHARACTERISTICS C.PRINCIPAL TYPE OF FRAME G.DiMENSIONS
A. PROPOSED USE GROUP -MASONRY NUMBER OF STORIES
RESIDENTIAL NON-RESIDENTiAL -WOOD FRAME TOTAL SQUARE FEET OF FLOOR
-STRUCTURAL STEEL AREA,ALL FLOORS.BASED ON
FJONE FAMILY DWELLING E]ASSEMBLY -REINFORCED CONCRETE EXTERIOR DIMENSIONS-
-OTHER -SPECI FY- TOTA L LAN D A R E A,SQ.FT.
[:]TWO OR MORE FAMILY DWELLING; 0 BUSINESS (OFFICE) H.NUMBER OF OFF-STREET
NO.OF UNITS E]EDUCATIONAL D.TYPE OF HEATING FUEL PARKING SPACES
HOTEL,MOTEL, DORMITORY, ENCLOSED
NO.OF UNITS F�FACTORY-INDUSTRIAL -GAS OUTDOORS
OIL
-]GARAGE []HAZARDOUS -ELECTRICITY 1. RESIDENTIAL BUILDINGS ONLY
r -COAL
F]CARPORT INSTITUTIONAL -OTHER -SPECIFY NUMBER OF BEDROOMS-
OTHE R-SPECI FY- ME RCANTI LE E.TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROOMS-
[]STORAGE -PUBLIC OR PRIVATE COMPANY FULL- ,
OTHER -SPECI FK-- _PRIVATE (SEPTIC TANK,ETC.) PARTIAL-
F.TYPE OF WATER SUPPLY
-PUBLIC OR PRIVATE COMPANY
-PRIVATE (WELL,CISTERN)
B. NON-RESIDENTIAL- DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING.
8 VALUATION OF WORK
A. BUILDING$ B. PLUMBING$
C. MECHANICAL$ D. ELECTRICAL$
E. OTHER$ F. TOTAL VALUATION
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAM 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 OTHER STATE OR LOCAL LAW REGULAT-
ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
SIGNATURE OF OWNER (IF OWNE-R BUILDER) (DATE)
BUILDINd.PERMIT APPLICATION
URMICTION Of
APPLICANT TG COMPLETE SECTION A ONLY , 'SECTION A
JOB ADDRESS
LOT j70-. TRACT
DESCR.
P TTACHEO S41EET)
EIA,
9WNER I
MAIL ADDRESS ZIP
ct o i
CTOR
MAIL ADDRESS 'PHONE Lict
3
N- ARCHItECl,'T OA DESIGNER
i��f:�ADDRESS AHONE LiP*t NOV
5 ENGINEER MAIL'ADDRESS PPONE
6 CLASSOFWORK: L:]NEW MADDIT16N []ALTERATION
_]REPAIR []MOVE [J,REMO\(t
BUILDING CHARACTERIVICS C.PRINCIPAL TYPE OF FRAME a,DJMENSIbN$�:Ll
A.PROPOSED USE GROUP
—MASONRY NUMBER,0 F STOR I ES
RESIDENTIAL NON-RESIDENTIAL —WOODFRAME TOTAL SQUARE FS ET OF FLOOR
—STRUCTURAL STEEL AREAALC FLOORS,BASED ON
P_f<NE FAMILY DWELLING ASSEMBLY —REINFORCED CONCRETE EXTERJOR j 4)IMENSIONS
—OTHER-SPECIFY— :fOTA�
LtAND AREA,SQ.FT.
MI W
[:]TWOORMOREFA LYD ELLING; n BUSINESS (OFFICE)
NO.OF UNITS KNUMBE8,Of�Of.:f 4STREET .
D.TYPE Of HEATING FUEL -PARIMNOSPAdg�
F_�EDUCATIONAL
HOTEL,MOTEL,DORMITORY tNCLO IX,
'SE
NO.OF UNITS FACTORY-INDU�T,RIAL OUTDOOR,�".
�014'
E]GARAGE F�HAZARDOUS )�ELECTRICITY RES DE AL Vtt_0IffGS,ONtY-, L
—60AL
CARPORT I NST ITUTIONAL —OTHER-SPECIFY NUMBER OF BEDROOMS
n OTHER-SPECIFY.
ME RCANTI LE
E.TYPE OF SEWAGE.DISPOSAL NUMBER OF BATHROPI�S
[]STORAGE 0 �FULL
Y PUBLIC R PRIVATE COMPANY
41,
OTHER-SPE CI'FY— —PRIVATE (SEPTIC TANK I E TIC.) PARTI
F.TYPE OF WATER SUPPLY
A�PUBLIC 04PRfLVATE COMPANY
—PRIVATE (WELL,ciSTERN)
B. NON-RESIDENTIAL-DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING.
8 VALUATION OF WORK
A. BUILDING$ B. PLUMBING
C. MECHANICAL$ D. ELECTRICAL$
E. OTHER$ ON,
F. TOTAL
I HE;EbY Ci;TIFY THAT I HAVE REA D AN D E XAM I NED,TH IS
APPLICATION AND KNOW THE SAMETTO BE TRUE AND CORRECT'.
A PROViti
LL I DNS OF LAM ANJ)ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIEO WITH W14ETHER SPECIFIE
D
..HEREIN OR, NOT., THE I GRANTING, OF A PERMIT DOES�,NOT
RESUME TO GIVE AUTHO tY TO� VIbLATE OR CANCEL THE
_PROVTSl`(
),NS.OF ANY OTHER STATE OR. LOCAL LAW REGULAT-
W,
JING,CONM E PERFORMANCE OF CONSTRUCTION,
Oft TH
S b tr C ONt R
THORIZED AGENT
(DAT
SIGNATURE OiF-dWNER(!FOWNER
H FLORIDA
FOIR IQIZISTi�-"'
A-p-p-1-1.c J.0 n is he3:eby --�nz�d`e water cut-ill
wi-- the- fc-01�.cvdng
t-3,.-In (Aha"',
S-,-,re,et
;c
Date
Account No
Date installed—:2jE!j;!?
Meter No.
CITY OF ATLANTIC BEACH
APPLTCATION FOR PLUMBING PERMIT
DATE :
Z,
BLOCK NO. S/T.)
JS
BLDG .
(j I 4T R A C T 0 R 41-2L PERMIT NO .
A^-, I-lzwee- rz/e a""."Z",
IL
—LAVATORY __BATH TUBS URINALS
FLOOR DRAINS —SHOWERS
1HEATERS DISHWASHERS DISPOSALS
@1 .00
�7�';f7< MUST BE DONE UNNITL A PERMIT HAS BEEM PROCURED
7)T� S
2� rCIFICATIONS Must show a plan and description of the
of all the soil and vent pipes , and the
n rrt
of all fixtures , (In accordance with
-1o . .1-38 of the City of Atlantic Beach, Florida)
�-,hown on back of application and be approved by the
')'�AT,,� �'-IAND SPECIFICATION OF ABOVE PLUMBING ON BACK
Approved by
Plumbing Inspector
Date
(FOR OFFICE USE ONLY)
lj-.-nected
REMARKS
-n�;-c �7 CATE ISSUED :
DEPARTMENT OF BUILDING 3211
CITY OF ATLANTIC BEACH, FLORIDA PERMI
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
10/8/76
D 19—
Valuation$ Plumbing Fee S 8. 00
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of law.
This is to certify that Able Plumbing
has permission to build to -install 1 sink 2 lavatory, 1 bath
tub, 2 closets, 1 shower, 1 water heater
Classification res.- single family zo
Owned Alma Lee Cornell
Lot Block— S/D
House No- Inc)5 nnrnell _ T.ane
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
x
A-1111. 0 Building material, rubbish and debris
zfrom this work must not be placed in
public space, and must be cleared up
and hatiled away by either contractor
or owner.
R.C. Vogel
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
PERMIT NO. DATE:
LO CAT STREET
LOT NO . BLOCK NO . S/D
OWNER
MASTER PLUMBER
BUILDING
' BUILDER OR CONTRACTO PERMIT NO .
TYPE OF BUILDING
SINKS LAVA.TORY BATH TUBS URINALS CLoSETS
FLOOR DRAINS--Z—SHOW.ERS _Z WATER HEATER,S D I SHWAS,1�49S
DISPOSALS OTHER
TOTAL FIXTURES @$1.00
NO -WORK MUST BE DONE UNTIL A PERMIT HAS BEEN PROCURED
PLANS AND SPECIFICATIONS must 's1kpw a plan and description of the' size and
location of all the soil and vent "pipes, and the number and location !of all
fixture's, (in accordance with Oedinance no. 188 of the City of Atlantic
Beach, Florida) must be shown on back of- application and be approved by
the Plumbing Inspector.
DRAW PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK.
Approved by
Plumbing Inspector
Date
(FOR OFFICE USI� ONLY
ROUGH-IN INSPECTED REMARKS
FINAL INSPECTIONII � CERTIFIACTE ISSUED:
NOTE: To assist in precluding infiltration of ground water into sewer lines
in the City, plumbers will be required to:
a. Probe sewer service connections (laterals) using clean-out rods
in' the presence of a City Inspector.
b. Have the final connettion at the sewer inspected by the City
Inspector before covering.
(Call 249-2303 for Inspector)
DEPARTMENT OF BUILD114G 3247
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date DenemhAr 7
Valuation S 625. 00 Fee $ 3 00—
This permit not valid until above fee has been paid to City Treasurer, and is
on* of law.
subject to revocation for violation of applicable provisi
This isto certify that Alma L A r-nrnp-11
has permission to build a 4' fence
Class
Owned by Alma Lee Cornell
Lot Blo
House No 10CIS corn.011 T-ania
According to approved plans which are part of this permit
NOTICF—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
All. job, 0 Building material, rubbish and debris
zfrom this work must not be placed in
public space, and must be cleared up
and haiiled away by either contractor
or owner.
R _ C
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY. NUMBER
PLUMBING
ELECTRICAL
SLWF-R
low
FOR OFFICE USE ONLY
Date_.....Z;�'171ZJ�'_19 ......
CITY OF ATLANTIC BEACH Permit #.......................Fee ........
Valuation $......................................................
FLORIDA House #----/.QJIX�... ...... . .....
...........................................................................
APPLICATION FOR BUILDING PERMIT
---------------------------------------------------------------**-----------
............ ---------------------"......
Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlaniic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contmctors be submitted to this office so that licenses can
be verified. Di C ----------------------------
tte A�_��n---- 7 ...........
Owner�- ---- --- ---------- -- -------- Address- ....Telephone No'z'�/
Architect-__............... ----------------------------------*------_------_----Address,-----.....................................................Telephone No-----_---_---_----------
Contractor Builder----- .....e-----------------------------------------Address--------- ------- -----------------Telephone No-----------0_5------�__O
LotNo----------.......-------- ...........Block No--------------------------------Sub Division.------------------------------------------------------------------------------Zone.................
---- .......Street.... ------------------Side Between................... ------_-----------------and.................. .... ..
&------------
------ Sts
what purpose will building be use X
Valuation $---/6. d (EX—el---------Type of construction.-_ � ...........
Dimensions of Building.--------------------------------......Dimensions of Lot------------ Size of Footings--------------- _-------------------
.............................................
Size of Piers---------------------------------Size of Sill's-------- ....... ---------Greatest Sill Span in ft----_------------------_Type Roof.....................................
How will Building be Heated?------_-------......------- -----------................Will Building be on Solid or Filled Ground?........................................
Size of Ceiling Joists------------------------------------...... Distance on Centers............................................ Greatest Span............................................ ry
Size of Floor Joists----------------------------------------------- Distance on Centers.......... ...........__-----------------, Greatest Span------------_-............................ op
Size of Rafters----------------------------------------------_---- Distance on Centers. --- -------------------------------, Greatest Span---------------------__................... Pf
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z
3. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspeetion MUST be called for after
corrections are made.
FRONT OF LOT
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 plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City of Atlantic Beach.
Signatureof Builder............................................................................... Address-------------------------------------------__.......__..............................__------
Signatureof Owner................................................................................. Address....................................................................................................
i�-It AUN
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026648 Date 8/18/03
Property Address . . . . . . 1095 CORNELL LN
Tenant nbr, name . . . . . . 1095-1107 CORNELL PHONE
Application description . . . RIGHT OF WAY PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
-- ---------------------- ------------------------
CORNELL, ALMA LEE BELL SOUTH TELECOMMUNICATIONS
1095 CORNELL LANE 301 W BAY ST
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32202
----------------------------------------------------------------------------
Permit . . . . . . UTILITIES PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 8/18/03 Valuation . . . . 0
Expiration Date . . 8/18/03
------------------------ ----------------------------------------------------
Special Notes and Comments
AVOID EXISTING WATER MAIN ON NORTH SIDE
OF RIGHT OF WAY, SEE ATTACHED DRAWING
Fee summary Charged Paid Credited Due
-------- --------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 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 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
DEPARTMENT OF PUBLIC WORKS
1200 SANDPIPER LANE
ATLANTIC BEACH,FLORIDA 32233-43 18
TELEPHONE:(904)247-5834
-5843
FAX:(904)247
SUNCOM: 852-5834
http://ci.atlantic-beach.fl.us
PLAN REVIEW COMMENTS FROM THE
PUBLIC UTILITIES DEPARTMENT
Permit Application # c,3 - zL.(,ci- 1-1 ,S
Applicant: �So t'c.-I I
Address:
Project: lk—ct
Your application is approved as noted by the Public Utilities Department. Final
application approval must come from the Building Department.
zi Your permit application has been reviewed by the Public Utilities Department and the
following items need attention:
4110ab iW —rm2c- A)422'� X,07A) 44 _A20et-7?4 S1
4J SeZ 4 C 1,1AF,6 ZZ.,JW;A-)6=
Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane,
Atlantic Beach, FL 32233 in order that we can approve your application. If you have any
questions please call (904) 247-5834.
Reviewed by Donna Kaluzniak,Public Utilities Director
J4 5� 7
9
Date
Signature
Contractor Notified Date (0-iceol. d1Y1,03
CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS
DATE --7 PERMIT NO.
ISSUED BY THE CITY
JOB ADDRESS I ot6-�o z)*7 c"LL- rl� YALUATION $ &�" V., I
PERmrrME:B FU,�5DO-rk F'L 5 Com rvl I CA-77'oJ ear C' L-k t-�74
246 p
PERMrrrEE ADDRESS -6ot I;) 13A Y 11 7ELEPHONE NO. 7545 0 2-2�'5?S
REQUESTING PERMISSION FROM THE CITY OFATLA44TIC BF�ACH TO 4;ONST;UCT PLACIE:1 i3org-leo cpi?4ep-p- -
-F (S 041k -75p-�'O- 1-),j CE
�j 0":ix ">F-T—mAq ?bf;r--r W-1)
LOCATIONS: (REFERENCE TO CROSS-STREEIJ
APPLICAN-r DECLARES THAT PRIOR TO FILING THIS APPLICATION HE HAS ASCERTAINED THE: LOCATION OF ALL
EXISTING UTILITIES, 130TH AERIAL AND UNDERGROUND AND THE ACCURATE LOCATIONS ARE SHOWN ON THE
SKETCHES. E)ur4ej40E- -5mrQf-
A LETTER or.No-nmcAmoN WAS MAILED TO THE FOLLOWING UTILITIF-S/MUNICIPALITI OpAS CAL-1-
,JACKSONVI— ELECTRIC AUTHORITY YES ( ) No ( ) DATE:— 4-32- 4-770
BELL SOUTH TELEPHONE COMPANY YES ( ) No ( ) DATE:
FERRELL GAS YES ( ) No ( ) DATE:
MEDIA ONE CABLE TV YES ( ) No ( ) DATE:
WHENEVER NECESSARY FOR THE CONSTRUCTION, REPAIR, IMPROVEMENT, MAINTENANCE, SAFE AND EFFICIENT
OPERATION, ALTERATION OR RELOCATION OF ALL. OR ANY PORTION OF SAID STREET OR EASEMENT AS
OETIERMINED BY THE DIRECTOR OF PUBLIC WORKS, ANY OR ALL OF SAID POLES, WIRES, PIPES, CABLES OR
OTHER FACILITIES AND APPURTENANCES AUTHORIZED HEREUNDER, SHALL BE IMMEDIATELY REMOVED FROM
SAID STREET OR E-A-SEMIENT OR RESET OR RELOCATED HEREON AS REQUIRED 13Y THE DIRECTOR OF PUBLIC
WORKS, AND AT THE EXPENSE OF THE PERMiTTEE UNLESS REIMBURSEMENT IS AUTHORIZED.
3. ALL WORK SHALL MEET CITY OF ATLANTIC BEACH OR FLORIDA DEPARTMENT OF TRANSPIRATION STANDARDS
AND BE PERFORMED UNDER THE SUPERVISION OF 14vLv-:;J CALkf5fIA -(CONTRACTOR'S
PROJECT SUPERINTENDENT) LOCATED AT3209. AA111DE4 9D .- TELEPHONE No.15 51-'377 S IS
4. ALL MATERIALS AND EQUIPMENT SHALL BE SUBJECT TO INSPECTION BY THE DIRECTOR OF PUBLIC WORKS OR
His DESIGNEE.
5. ALL CITY PROPER,Y SHALL BE RESTORED To ITS ORIGINAL CONDITION AS FAR AS PRACTICAL, IN KEEPING WITH
CITY SPECIFICATIONS AND THE MANNER SATISFACTORY TO THE CITY.
5. A SKETCH OR PLANS COVERING OF-TAILS OF THIS INSTALLATION SHALL BE MADE A PART OF THIS PERMIT.
7. THIS PERmirrEE SHALL coMMENCE ACTUAL CONSTRUCTION IN GOOD FAITH WITHIN 130 DAYS FROM THE DAY
OF SAID PERMIT APPROVAL AND SHALL BE COMPLETED WITHIN (g(:> DAYS. IF THE BEGINNING DATE IS
MORE THAN 60 DAYS FROM DATE OF PERMIT APPROVAL, THEN PERMITTEE MUST REVIEW THE PERMIT WITH THE
DIRECTOR OF PUBLIC WORKS TO MAKE SURE NO CHANGES HAVE OCCURRED IN THE AREA THAT WOULD
AFFECT THE PERMITTED CONSTRUCTION.
a. IT IS UNDERSTOOD AND AGREED THAT THE RIGHTS AND PRIVILEGES HEREIN SET OUT ARE GRANTED ONLY TO
THE EXTENT OF THE CITY'S RIGHT, TITLE AND INTEREST IN THE LAND TO BE ENTERED UPON AND USED BY THE
HOLDER, AND THE HOLDER WILL, AT ALL TIMES, ASSUME ALJ- RISK OF AND INDEMNIFY, DEFEND, AND SAVE
HARMLESS THE. CITY OF ATLANTIC BEACH FROM AND AGAINST ANY AND ALL LOSS, DAMAGE, A140 COST OF
EXPENSES ARISING IN ANY MANNER OF THE EXERCISE OR AtTEMPTED EXERCISES BY THE HOLDER OF THE
AFORESAID RIGHTS AND PRIVILEGES.
9� THE DIRECTOR OF PUBLIC WORKS SHALL BE NOTIFIED TWENTY-FOUR (24) HOURS PRIOR TO STARTING WORK
AND AGAIN IMMEDIATELY UPON MPLETION.
SUBMITTED BY: t� &- z< �' r� (PLACE: CORPORATE SEAL IF APPLICABLE)
f�IL-L �Too'5T -11, r)-vl�
BEFORE ME TH� 0
SWORN TO AND [I(-JL _Y F I
JENNIFER SCHWETER 44�j AkA�,� A
N 07%-
Ap. My COMMISSION#DI)121301 PUBLIC U
A
- - EXPIRES:May 27,20UW
g,- son Underwriters
dedThru NotarY Pubfir Underwriters
\ %� -
lG
-)o
0 4 Dr
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
17
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026674 Date 8/18/03
Property Address . . . . . . 1095 CORNELL LN
Tenant nbr, name . . . . . . REPL EXISTING ROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1000
Owner Contractor
------------------------ ------------------------
CORNELL, ALMA LEE ALPHA CONSTRUCTION SVCS, INC
1095 CORNELL LANE 4747 CRESCENT ST.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205
(904) 563-2405
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 53 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 1000
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 53 . 00 53 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 53 . 00 53 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DE13RJS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAUL-ED 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.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
JjJ9
Date:
Job Address: (�r� L/-1U I AL�UWi-: &4E511 14Z 13Z2 33
Owner of Property:
Address: -Z 5- Telephone:
Contractor-.,#4P//`f
AC. State License Number: Ce-C
Contractor's Address: ZiLk5c�VV, ZZ9 5-
Telephone: -543 - 7,�'05' Fax: tle-30
Scope of Work: z:II IzvIC 4
0
09:
/;24 49Re9
Deck Slope: Greater than 2:12 Less than 2:12
Valuation of work:
r
roduct Name(Example: Timberline):
Manufacturer (Example: GAF):
I �il )1, C
L 7tr=��3-oj
ASTM Designation(s): 6t
equired Inspections: She,athing and Final
Signature of Owner: Date:
Signature of Contractor:
AS TO OWNER:
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's Signature:
A;;9SCHWETER F1 Personally known
my COMMISSION#DID 121301 n-Produced identification
EXPIRE&May 27,?W6
-,Y PUI*Und"r" Type of identification produced
aoixIad ThM NOW
S TO CONTRACTOR:
Sworn to and subscribed before me this day of C,
State of Florida,County of Duval
Notary's Signature:,-Iz
JENNIFER SCHLUETER
my commiSSION#DID 121301 F� Personally known
E�roduced identification
si EXPIRES-May 27,2006
otaq puu�,UndI
Bonded Thru N -C-�,1-10—)-
Q,5.rN Type of identification producedy
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us
Page I Revised 2/21/03
CITY OF ATLANTIC BE.ACE PERXIT -CALCULATION SREET
Da t e
Heated Square Footage per sq f t
-Garage/sh.ed ner .sq ft $
Carpoct/Porch -Per sq ft
Deck per sq ft
Patio -'Per : sq ft
TOTAL VALUATION:
ss
. .Total Valuation Ist s I
Remaiaing Va I u.e $ per thousand
or .,portich thereof
TOTAL BUILDING FEE
1/2 Filing . Fee 77—
Fireplaces . @ . $15 .00
-IT F-EE
�-BU I LD ING , PERM
PACT FEE
W.ATER IMI
:IMPACT FEE
WATER* MZTER/TAP
CAPITAL IMPROVEMENT.
TAP
-RADON (HRS) . 0050.
SECTION H PAVING
HYDRAULIC SHARES
CROSS CONNECTION,
SURCHARGE .0050.
OTHER
GRAND TOTAL DUE
ADDITIONAL PERMITS OR ' FEES - .Mechanical ..Plumbia
Electric/New Electric/Temp ;Swimmingpool
TAmk well Sign Finish Floor ElevatLon
Survey
.Other_
CALCULATIONS aad/cr NOTES :
Cc:
T CITY OF ATLANTIC BEACH Q F d
BUILDING / ZONING DEPARTMENT
S. Doerr
800 Seminole Road
Atlantic B�each,Florida 32733
(904)247-5800
(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application # o s - ao(o-74
Property Address: . t 0-Ct Ey ('-oRK3 cLL Lpq3c-
Applicant: A L-f5:f4A no'SMPL)C1710*1 C.S' ai3c—
P roj ect: IZEPL
F
This permit application has been:
Cl/Approved
r7 Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date:
Liu-to,
09 's
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PERSION: MAMEN kANDY
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MAP SHOWING 'SURVEY OF
That certain piece, parcel or tract of-land situate, lying and being in the City of Atlantic
15eAch,, County of Duval, State of Florida, to-wit: Part of the Castro Y Ferrer Grant,
Section 38, Township 2 South, Range 29 East, Atlantic Beach, Florida, as follows: The
Westerly 150.00 feet of the following described tract: I Commencing at the intersection C
the centerline of Mayport Road with the centerline of Atlantic Boulevard; thence North 210
1510011 East, along centerline of said Mayport Road, 1521. 70 feet; thence South 68*451001,
East, to the Easterly right of way line of,said Mayport-Road for a point of beginning, said
point Wing also the Southwest corfi-e-r of Sugg & Odom Tract, as described in Deed Book
556, Oage 187, Current Public Records of Duval County , Florida; t hence continue South
68045100" East, along the South line of said Sugg & Odom Tract 200. 00 feet; thence South
210151011 West, 100. 00 feet; thence North 68'45100" West, 200. 00 feet to the East right oi
way line of said Mayport Road; thence North 21015tOO" East, along said right of way line,
100.00 feet to the point of beginning.
For: Cornell to Godwin
NOTE: Legal description as furnished this office.
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