Permit 1203 Begonia Street APPLICATIOU roil BUILDING. PERMIT
CITY OF
REQUIRED SUDHITTALS
710 OCEAN DOULEVARL)
Each application for building P.0.DOX 25
p e r Tn i t will be accompartied b y ATLANTIC BEACI 1,FL(AUDA 32233
two complete setEy of plarls, including 11,1�1,FJIJJONE t9041249-2395
a detailed site plan indicating location
of utilities, parking, size of yards and
other Pertinent data; one set of Florida Energy
Efficiency Code sheets; recent survey (on new construction) .
SCIJEDULE OF IUSPECTIONS
Requests for inspections will be accepted from 8'300 All until
4 :00 I'll. All inspections will be made the :following working
day.
1. Footing
2. Rough Plumbing
3. Slab
4. F"11 Mint], HoUgh E'lect-ji-ict:11, flechaiiical, Top Out I'lumbinu,
5. Finnl Inspection
G. Issuance of Certificate of Occupancy
Other inspectionu may be required in certain situations.
Building card MUST be posted or no inspection will
be made.
Pour no concrete or cover any Work until building
onx-d i ur SIGHCD by the irif-.1pector. You will L)C.-
required to uncover any work that has not been
inspected.
In caue of failed inspection, -1110. 00 re-inspection
f must be paid prior to calling for re-inspection.
r-7
-I c
716 UCFA'Nl3OL11.1;%'A1ID
tion 41 1'.0.BOX 7.5
ATLAN'l W 11 1:,%(,l 1, 1 1 OPI PAI�!�
'I PAXPI It 11!1;jw I)::it, U.15
I clol 1:
11amo S C R I P T I ON 0 F W 0 I'U',
ox, r c-f,r,- ;.A
a FLOOD HAZARD
oo,I 7c,11'. Brief A POO ICT C
lit.,ctcv J.1-s Ae- ----..- —
OA. ZOO-?—
Class of Work:
(flew/Remodel/Adc
'111FORIIA-1-:1011 Type of
Cons Lruction: ----------
Prc.,poned Estimated Value
'LO-0,0------------
the----------------------
or
it. ,,cLv Ux-cmLod:-------------------------- Solid or
Filled
------------------------------------------- Ground: 1100i-------------
OWMER
Method of Heating ..................
vroj-.)(-,rLY Ownel ----------------7----- Phone:--------------
liniling
Addreou
-------------------------------------------------
------------------------------------------------ Zip:----------------
COUTRAC1OR INVOINIA'rimi
co I)trac;Lor: 6& P I 10 11 e f— 14—0
---------- 21.A= 5 ------- -------------- -
AddrOCO
-----------
-------------------------------------------------- Zip:
.. Expiration
1-1conn.c! 11M,ibc.-r:............ Dzi Le-
--- --------------
In c.c.mrAdcra Lion of r)ermit given for doing Lli(., wai-h z%i; dr�-scri
the n b ov e s L a t e m c n t, we hereby agree to pr-rform said vork
accox-dance with the at.tached plans und specificationu which
n P;1vL ;ind :i.i% -m-corrimice wiLh nil i-u.l.(-r, mid legultit.
of Lhe CiLy of ALlanLic Deach.
OWII(....r Signature D-..)L e
-- --- ----- ----- ----------
Oop4
Cor''trnctc.ir
- - ----------Date
FLOODPLAIN DEVELOPME'NT INFORMATION
Type of Development : New' Building
Alterations to Existing Building
Fj.00d
Required Floor Elevation
Actual (as built)LowesL Floor Elevation
If locaLed within a flood hazard Zone (zone A) a survey must be
made after the slab has been poured, certifying that the "TOWOSL
--Te 1-011 is equa
floor e —ViFE'" '--- I to or a-U—ove the base 'flood elevation
-Es—LaUrJ--sFi-e—cFr--o—r that zone.
No Final Inspection will be made and No Certificate of Occupancy
will be issued until the survey is on file with the Building Department.
C01-MENTS
Applicant acknowledgement : I understand that, the issuance of this
perinit is contingent upon the 'above 'information beihij, corr
LhaL Lhe plam; a' nd supporting data have been' or shall, be provided
as required. J agree to con'iply with all applicable. provisions of
Ordinance No . 25-7-11 and all other laws or ordinances effecting
the proposed developeiiint. "
Date ApplicantIs Signat�ure
--------------------------------- -----------------------------
Department Use
Survey ,filed with the Building Department on
certified Lowest Floor Elevation
Required Lowest Floor Elevation—_
Building, Department Representative
Address /xa
* 1 1 0
Heated Squn e Footage @ per ,sq ft = $
Garage/Shed @ $ _per sq ft = $
Carport/Porch @ $ per sq ft = $
Deck @ $ per sq ft = $
Patio @ per sq ft = $
TOTAL VALUATION:
Total Valuation lst $
Remainder Valuation per thousand or
portion thereof
-------------------------------------------- Total Building Fee
ADDITIONAL PERU:TS and/or FEES REQUIRED + �, Filing Fee
Ifechanical Fireplaces @ 15.00
BUILDING"PEPMT FEE $
Pluabing
Electric/No,, UNDER-ROOF -'.''@1�/1000sq.ft -------------------------
FLOOR SPACE
Electric/Toup
Septic Tark BUILDING PER'= s 7S_0
Well WATER H=R CHARGE $
ST..7imning Pool SEWER IMPACT FEE $
Sign WATER IMPACT FEE, $
Water Connection 1,,1ISCELLANEOUS $
Sewer Connection $
Water 11e�ter $
Elevation Certificate GRAND TOM DUE $ TO
-----------------------------------------------------------------------------------------
CALCULATIONS and/or N=S
77-
�,4
DEPARTMENT OF BUILDING
CITY10F ATLANTIC BEACH
------- --------- -
R"IT INFORMATION LOCATION
236
Addressa 1203 BEGONIA STREET
BUILDING ATLANTIC BEACH, FLORIDA- 32233
c 40 k;,i ALTERATION LEGAL D9SCRIPT10N ------- ,
Loti Slock i Soction:
rype
1i OTHER', Plot sooks, Pago t 0
�O Codo s
4 U04 OWNER INFORMATION ---------
ob
I apr14V44_Cowt-v *1000. 00
T4�ii�,L 4'rovo STREET
*7.,50 'Addresai 1203 BEGONIA
''47i 50 ATLANTIC, IDEA 32233
C", FLORIDA
_N2
' Phonos (904)249--2-571,
NO? T SHELTER
''t BOA
WOrk,
Ap, CATION F96S
al
10 1" ,"��X, '
7*50
WATER IMPACT FEE 00-00
"k 1-4 ' 1 ki jpo./Di
gal
&K, ge ii
R7 Doc
Is
4 1
*0.00
SIX
RADON GA9
$0. 00
WATER TAP
T P:
A
. .... ......
HYDRAULIC SHARE *0.00
$0. 00
RE-INSPECT FEE
14ER
OTt
S.
F
NOT E ON. 6 F
r E
CR, TE,FORMS,AND FOOTINGS MUST85 INSPECTED E ORE POURING
7
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
6UILDING MATERIAL,RUBBISHAND.DEBRIS FROM THIS R S
WO KMU T NOT BE PLACED N PUBLIC SPACE,AN
EARE P
-H U
CL D:V A LEI' AWAY."BY EITHER CONTRACTOR OR OWNER'
----------------
FAILURE TO COMPLY WITH-THEVECHANICS, LIEKLAW CAN RESU
THE PROPERTY:QWkER'PAYI NGTWIICE FOR BUILDING IMPROVE
11SSUED'ACC6RDING TO APPAOVEO
NS WHICH ARE PART OF.'THIS PERMIT AND SUBJECT TO4
VIOLATION'01F APPLICABLE PROVISION$OF,LAW.'
7
�1'.JA
W-IQ BEACH BUILWVG
ATLA
DEPARfM6NT
L r
ay' )?v,;vf.Q
DEPARTMENT OFSUILDING PERMIT NO.7452
Cirf OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 2/7 19 86
Valuation$ jee 00
This permit not valid until A fee h bee id 7toreasurer,and is
ove as (I
�pr us
subject to revocation for violation of ap7�ble pr 'ons of law.
This is to certify that V
has permission to budd Wat ell m t a teriological Tes
Report -for Cevificate of Occi'r 3 %1
Classificati Rim.Q i ri +i-.q I Zone
Owned by- tansell
Lot 2 9 S 'k lock 205 S/D_ Sect. H
House No. Beaonia StrJ____ ' "
According to approved plans which APV of this pe
OTICE—ALL CONCRETE FORMS
ND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
;a
T44— 0. 0 Building material,rubbish and debris
zq from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tractor or owner..
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.7452
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 2/7 1986
Valuation$ —Fee 1 00
This permit not valid until above fee has bee id to 7't reasurer,and is
In 0
ap\
subject to revocation for violation of a pr ions of law.
ble I
This is to certify that
has permission to build t\"ell: Must Submit Bacteriological Teat
Report .for ficate of WcUDQM
Classificati n D__.A t*111 Zone
Owned by- Gf�&&S�tansell
BI
Lot 2 & 3 &,Jjock 20A S/D—SeCt. H
House No., Begonia St
According to approved plans which a
of this pe
OTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
I
OA]
S,
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
-0, 0 Building material, rubbish and debris
4 from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tractor or owner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
DEPARTMENT 01"BUILbING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT No.1452
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 2L7 19
Valuation$ Fewe
This permit not valid until above fee his bee paid to reasurer,and is
subject to revocation for violation of app ble pr ions,of law.
This is to certify that
has permission to bui uhaitJk=#ud&1a0rA' TWd
Mcate of
z
own'"_
Lot ock 20S, S/1) Sea 11
House No– Begaida
Ac rdi I to approved plans which avid of this p m
TICE—ALL CONCRETE FORMS
AN
D FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
;U
4 0 Building material,rubbish and debris
Z_i from this work 'must,not be placed
in public space, and must be cleared,
up and hauled away by either con-
tractor or owner.,
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT No.7452
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 2/7 1986
Valuation$ -,Fee 1 0
This permit not valid until above fee has bee aid to reasurer,and is
subject to revocation for violation of app ble Pr ions of law.
This is to certify that
has permission to bu t�r 11: Must Submit Bacteriological Test
Report for ficate of ftcuva4�
Classification D- Littia
_1' Zone'
Owned by— 0;6ze ktansell
Lot 2 & 3 _-Alock S/D SeCt. 11
4 House No.- Beizonia Stri
According to approved plans which a�P�ri of this p:egn
MOTICE—ALL CONCRETE FORMS
D FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4 01 4 01 0 Building material,rubbish and debris
zq from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tractor or owner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL I
SEWER
WATER
w,rrtifiratr of (Ornipattry
CITY OF
oft"Q_� &OA- Rai&
Uppartment of Buithing �Yusvrrtim
This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the followinu
Use Classification Bldg.Permit No.
Group---Type Construction— _-2—Fire District,
Owner of Building Address----
Building Address Lxicality
Building Official Date:
POOT IN A CONSFICUOUG FLACIE
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2396
August 14, 1986
Pre-Service Section
Jacksonville Electric Authority
233 West Duval Street
Jacksonville, Florida 32202
The following final inspections have been made and are
satisfactory:
Permit #4776 - 1203 Begonia Street
Permit issued to Brooks & Limbaugh Electric Company
Permit #5013 - 630 Jasmine Street
Permit issued to Dennis Electric Company.
z Sinc
rs
Rene' Ang e
C ommu
nity Development Director
cc:building file
CITY OF ATLANTIC BEACH, FLORIDA
Approv"by I APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: D A T E: Z'-a 19-24 A
t
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.
'Ro2oors
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNA URE JOURNEYMAN
NAME ADDRESS:2963 R�- Afllll -!�er' RI'D-BOX-
BLDG.SIZE BETWEEN:
RES.ly APT. I I comm.( PUBLIC INDUS.I NEW( OLD ( REW.
ADDITION ( ) TRAILER ( TEMP.I I SIGNS ( ) SO. FT.
SERVICE: NEW( INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ALUM.Av)
sn// \ ; o 0
SINITCH OR BREAKER AMPS PH W 15C/otV6LT RACEWAY
EXIST.SERV.SIZE AMPS P.H Wl VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0*30 AMPI, 31-100 AMPS
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMP OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KWHEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
-MISCMANEOUS- I 777<7-)7r177X�
TRANl.qFnRL4FRS- UNDER SOO V. OVER 600 V.
-DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO., :r
49*00CKT I
PERMIT TO BUILD 7616 I �A 7/24/15'
THIS PERMIT MUST BE POSTED ON JOB 7450 tonrA ,11111
Date 2/7 1986 7619 1 A 7/Ph/8;
Valuation$ Fee$ 49 -00
This Introit 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---- NORTH FT RIDA PLM4BING- H/AQ
has permission to
Classification Residential --Zone
Ownedby George Stansell
Lot 2 S 3 Block 205 S SeCt.- H
House No. gonia Street
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
0 Building material,rubbish and debris
-zi from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tract4i'or owner.
ng Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
40W
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
Qc
JOB LOCATION d S41 e(2
PLUMBING CONTRACTOR IJ4
LICENSE NUMBERS EEC() /91 ?,
OWNER
BUILDING CONTRACTOR
TYPE OF BUILDING I&
S INKS
SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
'Z— CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT No. 7451
PERMIT TO BUILD 0,00 T
THIS PERMIT MUST BE POSTED ON JOB 42,rMCKT
94� 1 A ofaufl')
Date 2/7 1986 7451 110CAC 1
42.00 '941 'i 5/0 S
Valuation$ Fee$ 11100 1
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 WILLIMAS & SONS HEAT & AC
has permission to'Q Tnnt.01 Hegit a Air
Classification Residential —Zone
Owned by Genrge Stan-,al I
Lot 2 & 3 Block 205 S/D Sect H
House No. Begonia Street.
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
;a
4 10 4 10 0 Building material, rubbish and debris
z
_`1 from this work must not be placed
in public space, and must be cleared
�up �� hauled away by either con.
wner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
BUILDING AND ZONING INSPECTION DIVISION
C17Y OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN—NUMBER
IMPORTANT Applicant to complete all items in sections 1, 11, 111, and IV.
LOCATION Street Address-
OF Intersecting Sfro*fs: Between And..,
BUILDING Sub-division
11. IDENTIFICATION — To be completed by all applicants,
In consideration of permit given for doing the work as described in the above statemani we hereby agrae to perform said work in a ordance
with the attactLipci plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances andcsrfandards
of good practice listed therein.
JI&VIK;t*1_111_
Name of Mechanical Contractors
Contractor (Print) Master
Name of
Property Owner
Signature of Owner '1-11 Signature of
or Authwized Agent — Architect or Engineer
Ill. GENERAL INF6RMATION
A, TYR of heating livol: IS OTHER CONSTRUCTION BEINS 00 ON
Electric THIS BUILDING ON SITE?
LP C) Netvrol 0 Central utility
IF YES, GIVE NUMBER OF CONSTRUCTION
C3 Oil PERMIT
(3 Otlitor Specify
IV. MWMAHMAL NOUIPMINT TO N INSTALLED NATURE OF WORK
fpmvwo complete list of compo mts 0"back of this form) Residential or El Commercial
*—Host 13 Space 0 Itoconed P41cont"I a PAW Now Building
"-dAr condwo"ing: Itoom, Control Existing Building
KDuct System: Mets-A E] Replacement of existing system
New installation(No system previously Installed)
Molimmm copec; [:1 Extension or*W-an to existing sySt*M
C) toorigonat;on 0 Other — Specify
C] cooling lower. Capacity
13 Fine sprinklen: Number of heads
0 Movater 0 M&nlift 0 Escalator THIS SPACE 11101t OPFKM U' S111 ONLY
0 GeWifte Pump&--- —(number)
C) To .1 number) Iter"As
13 LPG=644i Inumber)
C] Unfired pmuufo low@ Permit Appmv*d
C3 loillors
C3 0tIW — Specify Permit F*a—
L19r ALL EQUIPMENT
AjR CONDITIONING AND REFRIGERATION EQUIPMENT CA
jpae4y
X0"NUMber X"Uracturer (TO")
INSPECTfON LOG
JOB ADDRESS 0
CONTRACTOR UVc,
OWNER
BUILDING PERMIT- TJA9 ELECTRICAL PERMIT
PLUMBING PERMIT_ _�(� SC) TEMPORARY POLE PERMIT
MECHANICAL PERMIT -7-1 S I MISCELLANEOUS PERMIT
FLOOD ZONE DATE SURVEY FILED
Called-In Approved J .E.A.
Temp Pole 3117
Footing _ YJ3
Slab
?00w Framing �01 9
Plumbing (R)
Electrical (R)
Mechanical
Fireplace
Top out
Other
Electrical (F)
FINAL INSPECTION
Certificate of Occupancy Issued
COMMENTS :
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERNIT
Owner/'
7A- (-d Address )-3,- k., ' -z -5 7- zip e '5�%;r-�l
Architect,p 1) & P&c, /C Address e zip----___YhonE�_
Contractor _57a-
, k, y e, Address Phone
Contractor's License Numberc,c: oc:,/ -z. Expiration Date- V,7-t, 8r,,'Copy on File
Lot it L_4_
or Section # g o Subdivision e-,-�ff
--, - // Zoning_j��,
Street &;C2 Q 6- �- 4C Between �L) and llye*-z --c —side
Valuation/$ T�rpe of Construction
Purpose of Building P-W& Nurber of Units Fireplaces
Utility Service: Water Sewer
If the City if providing water or sewer service, do we need to make taps?
Dimensions: Building. X 1-1 Lot )1)1) x -L- Size Footings 10 A �Z 0
Sz. Piers Sz. Sills Greatest Span Sills y
Sz. Ceiling Joists. .,7-y y 5.5 Distance on. Centers Greatest Spanw�-" 41
Sz. Floor Joists 2- Distance on. Centers
Greatest Span__Z��..
Sz. Rafters Tr" s.S6- Distance on Centers Greatest Span
Method of Heating_,,��§olid-Filled Ground Roof
Flood Zone_4�,- _If located within a FLOOD HAZARD conplete page 2
SUBIvaT, Two complete sets of plans, including a detailed site plan.
Florida Energy Efficiency Code Sheets
Recent Survey
Inspections Required-,
1. When steel is in place and ready to pour footings.
2. When steel is in place and ready to pour colums/lintel.
3. When steel is in place and ready to pour beam.
4. When framing, mechanical, pludbing, electrical, fireplace, is completed and ready
to cover up.
5. Final inspection. SETBACKS
NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB.
In case of rejection, reLnspection MUST be called for after Rear Lot Line
corrections are made.
In consideration of permit given for doing the
work as described in the above statenent, we Fj.
hereby agree to perform said work in accordance
with the attached plans and specifications,
which are a part hereof, and in accordance rt rt
with the building regulations of Atlantic Beach,
Signature Owner
Signature Contractor IN
Front Lot �1—ne
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development ,' X New' Building
Alterations to Existing Building
Flood Zone
Required Floor Elevation
Actual (as built)Lowest Floor Elevation
If located within a flood hazard zone (zone A) a survey must be
made after the slab has been poured,, certifying that the "lowest
floor elevati&'nis equal to or above the base flood elevation
established fo—r that zone.
No Final Inspection will be made and No Certificate of Occupancy
will be issued until the survey is on file with the Building Department ..
COMMENTS
Applicant acknowledgement : I understand that the issuance of this
permit is contingent upon the above information being correct and
that the plans and supporting data have 'been or shall be provided
as required. I agree to comply with all applicable provisions of
Ordinance No, 25-7-11 and all other laws or ordinances effecting
the proposed developemnt .
Date Z )�PJZ __ Applicant � s Signature,
F11"
---------------------------I---------I---------------------------------
Department Use
Survey filed wi,th the Building Department on
Certified Lowest Floor Elevation
Required Lowest Floor Elevation
Building Department Representative
PLUMBING WORKSHEET
SINKS SHOWERS DISHWASHERS
CLOSETS BATH TUBS FLOOR DRAINS
WASHING MACHINE WATER HEATERS DISPOSALS
LAVATORY URINALS OTHER
TOTAL FIXTURE COUNT
FIXTURE UNIT BREAKDOWN
FIXTURE UNITS ARE ESTABLISHED AS THE MEASURE�ENT OF WATER DEMAND FOR EACH WATER FIXTURE
UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY
FIXED AT $10- 00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT)
WATER CLOSET, LAVATORY, AND
BATH TUB OR SHOWER STALL Z� ��SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
DRINKING FOUNTAIN (1-, UNITI URINAL, WALL LIP
0 FLOOR DRAIN (1 UNIT) (4 UNITS)
URINAL, PEDESTAL, SYPHON WASHING MACHINE RES.
JET BLOWOUT (8 UNITS) (3 UNITS)
WATER CLOSETS, TA.N`K-OPER-ATED WATER CLOSETS, VALVE OPERATED
(4 UN I T S) (8 UNITS)
BATHTUB (W/OR W/O OVERHEAD SHOWER STALL, DOMESTIC
SHOWER) (2UNITS) (2 UNITS)
BIDGET (3 UNITS) LAUNDRY TRAY
(2 UNITS)
DISHWASHER (2 UNITS) lK (2 UNITS)
KITCHEN SIN
YlTCH-EN SINK/1-.7ASTE GRINDER
3 UNI T S
TOTAL FIXTURE UNITS @ $10.,00 EACH
14132'S
MAP SHOWING SURVEY OF
ZQTS 4 2 k3 och" P,04-4 ZDZ:f J
,. ,2 4 30 &OCK 205
- X TZ A NTIC 8 'C91 SEC TION 14
Recorded in Plat Book-------Id--------Page--------3-4-----------------------------of ------ Public Record8 of Duval Co., Fla.
for: -.610 R-jGE---A-�---5-7-'ANSELL------------------------------
LEGEND
o Denotes Iron R. L. CROASDELL & COMPANY NOT INC.
x—x—x— Denotes Fence CIVIL ENGINEERING & SURVEYING Date—AM-Y---4r-,,-1983-------
P.R.M. Denotes Permanent
Reference Monument 429 East Adams Street - Jacksonville, Fla. Scale 1" -----------------
CERTIFICATION: This survey meets the minimum
technical standards for a boundary survey as set
forth by the Flori da Board of Land Surveyors,
pursuant to Section 427-07, Florida Statutes.
SIGNED:
12 21 22L
J-AtD� X2'
jeoAl PiAE 0.2
204
/02 , 102 ' 0
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0 C3
41
11�.
x :;Z,
x
3
3
102 , 102,
204 '
4 4
141 32.B
MAP SHOWING SURVEY OF RS
Z 0 T5 4 2 6 3, 9L 06AV ZQ4 & Z QZ:j k 3, j5/-OCR' 20S
I 47YANTICE "CH. SECTION14
Recorded in Plat Book------18--------Page--------3-4-----------------—----------of----,CL1t:eV71-------Public Records of Duval Co., Fla.
5-7--A&M-L-----------------------------
LEGEND R. L. CROASDELL & COMPANY NOT INC.
o Denotes Iron . Date-MAY-4,1583.......
x—x—x— Denotes Fence CIVIL ENGINEERING & SURVEYING
P.R.M. Denotes Permanent
Reference Monument 429 East Adams Street - Jacksonville, Fid. Scale I" = -A2.......—---------
CERTIFICATION: This survey meets the minimum
technical standards for a boundary survey as set
forth by the Flori da Board of Land Surveyors,
pursuant to. Section 427-07, Florida Statutesi
.Z'e"
SIGNED:
U2 6
FXD. V2' A 0'
IROAP PIPE
/02 102
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2
x
3
3
102' 0.8
102 ,
204 '
4 4
DEPARTMENT OF BUILDING PERMIT NO.TdAl; T
CITY OF ATLANTIC BEACH,FLORIDA 031 *75CM�
PERMIT TO BUILD A 2/10/0 r,
THIS PERMIT MUST BE POSTED ON JOB 744� *MC AC 3
0414 1 A V/I n/9S
Date 2/7 1986 (190 1
Valuation s, 58,848.00 Fee$ 231,75
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 George Stansell
561 Begonia StTeet; Atlantic Beach, FL 32233
has permission to build– Single Family Rome
(Satic Tank Permit Required)
Classification Residential —zone RS2
Owned by George Stansell
Lot 2 & 3 Block 205 __s/D Sect. H
House No. 1203 %bgonikaSt
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
4 4 10 0 Building material, rubbish and debris
Z-4 from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tii��Ir or owner.
ing Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
Address
,Heated Square Footage N911 @ $ Z9, 00 per sq ft = $ S 34�� : oo
Garage/Shed @ $ ---Per sq ft = $
Carport�A�®r &I @ $ 8. 0 S� per sq ft = $ q(0 0
Deck 1121 @ $ &,9 0 __per sq ft = $ 16�Col 0
Patio $ ____per sq ft = $
TOTAL VALUATION: $ 518 , C811 10�1 Do
51 SI-1 9 1 00
Total Valuation Ist $
R� la�-1 1 00 D C)
Remainder Valuation a.o�)per thousand or
portion thereof
-------------------------------------------- Total Building Fee $
ADDITIONAL PERMITS and/or FEES MQUIRED
$
+ �, Filing Fee
Mechanical Fireplaces @ 15.00 $ 1S. 00
PluTbing BUILDING!PER4IT FEE $
7—
Electric/New
Electric/Temp
Septic Tank BUILDING PERMIT $
Well WATER METER CRARGE $
Swhmdxlg Pool SEWER IMPACT FEE $
Sign WATER IMPACT FEE $
Water Connection MISCELLANEOUS $
Sewer Connection $
Water Meter $
Elevation Certificate
�uf&� GRAND TOTAL DUE $ 57
---------------------------------------------------------------------------------
CALCLIATIONS and/or NOTES
o)
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STATE OF FLORIDA '
STATE OF FLORIDA DEPARTMENT OF HEALTH
DEPARTMENT OF HEALTH & REHABILITATIVE SERVICES
J & REHABILITATIVE SERVICES
SEPTIC TANK CONSTRUCTION PERMIT
SEPTIC TANK PERMIT
County'Health Dept_ No. 24434
DI-rvjA --County Health Dept. No. 244541
Owner Geome W. Stw—seli
At: 1175 E'e-9mia St.
-f ve T tml--ell
Owner C- — ------ For Installation
11-5) Beconia St.
Installed At:— 320scr.ft.
Drainfield Size Sand Filter Size
installed By: A A Tank Septic Tank Capacity Minimum 750cml.
Final Inspection By: -T- F11 i—y-d Grease Trap Capacity Minimum
Drainfield Size Sand Filter Size Dosing Tank Drain Tile
Septic Tank Capaicity-22—q I—Prease Trap (a) Installation must be in accord with requirements of Chapter
Dosing Tank —Drain Tile S
Type of Tank 1013-6. Florida Administrative Code.
(b) Final inspection required before work is covered,
Note (a) The approval of septic tank construction (c) Permit void if not used within one year.
does not guarantee performance.
(d) Approved installation does not guarantee performance.
(b) If sanitary Sewerage becomes available, Connection is
hin 365 Days after availability 5/23/84 6/201r/E4
is Required Witi Date of Application Issue
notification. :,.A-All
L -t-- 0&-0fh1f-; -180��isor
�J ICCU 1 1C. with . 17e�p z.rm,
111013 evel 70tural crade
issued BY: T. S3 iva. Date 541/85 1 wells
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