Loading...
Permits 295 Belvedere St A""'" CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT`INFORMATION` LOCATION INFORMATION Permit Number: 18127 Address: 295 BELVEDERE STREET Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SALTAIR Est. Value: Parcel Number: Improv. Cost: OWNEZINFORMATION Date Issued: 4/22/1999 Name: MAGUIRE, JEAN Total Fees: 25.00 Address: 295 BELVEDERE STREET Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 4/22/1999 Phone: (000)000-0000 Work Desc: REPLACE SEWER CONTRACTORS AP [CATION FEES STEEG PLUMBING PERMIT 25.00 .. Ins to R uiri di: :> _. . FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.0814 Date: 4/22/99 81 Receipt: 8851767 ATLANTIC BEACH 1BUILDINA3,QEPT. CHECKS 1339 88188883221888 f • • f 0 • • f - f i : o • 1 11I- Ira 2 Rt • i PW7 £� w SAW- �{' Y+k� �� Y :mss �■ III y 1�'�"'B� } k,=�Y^-'�t�y{ s. -�r•c.�'a�^rt^+�"b '�`.; "j A,.L'7t v.� $" v> 4 F•^ k f .+Toth h.4w _ ry2 P t . � '+�+r�`� t�Yy,„�' P' a ,y .tr.'}�'-w a •.i-a�str,y'��"�� ,�.��t�° � '�` ,° ,,a'�' 3`s''�'-.� s � ^".1'�`h" ).i +�� 3�' 3 r ^r�t>•tfY�v'���na�C�..�^` �iCr9� t�s "'�s� yy. •-,_..,, � ( ��,. �u tt�i��e�". S "'^" !p -z''1� i'" '^,-'mss. >.. .?. }a• � 7•iiR�,a..G'T��°-.w.=..._�ai� ��- i � a'STI�E7;'y 1 6 _ ° • � �;�" -� � 4�'Se'���.,'r � '4.J�.Y� t''!•-. S � F s•�-,W�i .r�a _.i>.x.t 1 • • - i • rX� 1•" . 5 nl1 '� z� � zit a#� r=.; l f a •ilk c� M h'.I�M (c•; '�G BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IMPORTANT—Applicant to complete all ite in sections I, II, III, and IV. 1. Street Address: LOCATION OF Intersecting Streets:Between And BUILDING Sub-division 11. INDENTIFICATION—To be completed by all applicants. 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 City of Atlantic Beach ordinances and standards of good practice listed therein. Name of Mechanical J�� f f Contractors ��� 787Contractor(Print) / j%Jt4!� Master Name of Property Owner Signature of Owner C7T� Signature of Or Authorized A Architect or En ineer 111. GENE AL ORMATION A. •T of ting fuel: B. ectric IS OTHER CONSTRUCTION 891l4G DONE ON THIS ❑ Gas: _LP Natural jGCentral Utility BUILDING OR SITE? fid J Cl Oil ❑ Other-Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BENATURE OF WORK INSTALLED Q/ Residential or _ Commercial C " Cl New Building (Provide complete list of components on back of this form) ❑ Existing Building 3'-Heat _Space _Recessedentral _Floor [A,' Replacement of existing system 2- Air Conditioning: Room Central Cl New Installation(No system previously installed) ❑ Duct System: Material Thickness Cl Extension or add-on to existing system Maximum capacitycfm ❑ Other- Specify ❑ Refrigeration ❑ Cooling tower- Capacity Qpm ❑ . _Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY Cl Elevator: _ ManliR_Escalator (Number) (Received) ❑ Gasoline pumps (Number) Cl Tanks (Number) Remarks Cl LPG containers (Number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers Cl Other-Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving ons Agency HEATING-FURNACES,BOILERS,FIREPLACES Number Units De ri tion odel Number Manufacturer CApproving 03a �fN�s_ TU)apacity�j00O enc ' f TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ; - ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000526 Date 4/21/08 Property Address . . . . . . 295 BELVEDERE ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL 6 FIXTURES ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LESTER TDG PLUMBING 295 BELVEDERE STREET 4426 LOYS DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 545-7341 --------------- ------- ------------------------------------------------------ Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 77 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/18/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 77 . 00 77 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 77 . 00 77 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH . :. PLUMBING PERMIT APPLICATION . Date: Lf A) I � d it Property Address: (S^ P C+y g d :c i\- Owner: f( rysva be s �c(L Telephone#: Contractor ► . Q-� Q�,.�„N.�j:v.� ` ✓�� Telephone#: S L4S - 7%4) Contractor Address: Li`{a L Fax#: `{ 5'%- Contractor %- Contractor Signature: ' 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 City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs �_ Showers Closets Shower Pans Dishwashers _� Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters r-AA'4e& Aox Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 = 800 Seminole Road*Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845. http:iiwww.ei.atiantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 INSPECTION PHONE LINE 247-5826 J Application Number . . . . . 08-00000521 Date 4/18/08 Property Address . . . . . . 295 BELVEDERE ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REROOF ---------------------------------------------------------------------------- Owner Contractor ------------------ ------ ------------------------ MAGUIRE, TOM SHORE ROOFING COMPANY 295 BELVEDERE STREET 914 7TH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-8842 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5900 Expiration Date . . 10/15/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. f�i 1�rJJ;. BUILDING PERMIT APPLICATION Vr CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 J,SS> Office: (904)247-5826 ® Fax: (904)247-5845 Job Address: _Aa�3 % 1f1 6Lt44Act 5 (-n f f ,aa 6f&d 32aennit Number: Legal Description -�S �� `l i= Sp/f,a;r 5-cc- Valuation cLValuation of Work(Replacement Cost) $ 500 — • pG — ■ Class of Work(Circle one): New Addition Alteration Repair Move • Use of existing/proposed structure(s)(Circle one): Commercial Residential ■ If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N/A • Is approval of homeowner's association or other private entity required?(Circle one): Yes No Describe in detail the type of work to be performed: Prouerty Owner Information Name: F&,v M-e ✓ kt I Address: 2,1S /3e_1u j dw,, f" City 4 d ev,L's, A r s,t_ State El Zip-L4233—Phone jo' ,3a) Contractor Information: Name of Company: ��/ i /2 C, ,/; .-( Gc Qualifying Agent: _ '%%/u L Address:_4'� / r_�<�, yl„- k l� City _y&/3C",4 State Zip 3 2 Z -0 Office Phone %d-,2(41 3 Job Site/Contact Number 1 0� - 2 Z C - 2 liG ,Z State Certification/Registration# C C C U S ej gw l i Office Fax#_ S4-q3 Architect Name&Phone# Engineer's Name &Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of�a permit and that all work will be erformed to meet the standards of all laws regulating construction in thisjurisdiction• This permit becomes null and void ifwork is not commenced within six(6) months, or It construction or work is suspended or abandoned for a period of six ((6) months at anytime afftter work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Yells,Pools, Furnaces, boilers,Heaters, Tanks andAir Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Thereby certify that Ihave read and examined this application and know the same to be true and correct. All provisions of laws and orddinances governing this type of work will be complied with whether specified herein or not. The grti ann rw a permit does .cot presume to gave authority to violate or cancel the provisions of any other federal, state, or local regulating construction or tl g perform c construction. X 411 4 Signature of Property Owner: /10 Signature of Contractor: Sworn to and sub ribed before meSworn to and sub ribed before m this Day of JC�,I t a.oU this—t-q-Day of p(%\ l,Cbsr(5 —T—S = Notary Public: Notary Public P AAAR,Jp IE a AOAMSrMN2R•••••��%Vi" 0 f! - _�oppr r�ey� CC1M1� .aun� UP REVISED 03.OS.07 �•"0=r�00° _'`�'"r'L ;.: col+•rr00049ear� sonded d+t„(aooK32-423.: ly rx +o+�ot2ooe 3..... ...Florida Notary Assn. Inc ' 13on�ft-(900)432-4254: -.__ - •..•••:••...t i..,... ia Notary Assn.,Inc C Florida.Building Code Online Page 2 of 3 I, Date Validated 06/20/2005 FILE C Date Pending FBC Approval 06/25/2005 Date Approved 06/29/2005 t I Summary of Products _ FL Model Number am* IDescription 1956.1 Elite Glass-Seal AR ht 3 tab as It shin le. UI>! of Use(See Other) Cer6ficadon Agency Certificate Appro`ve"aTo?tom'iii-HVHZ: nstalladon Insdvct One Approved for use outside HVHZ: PTID_1956_Rl_I Tamko_let 061705.pdf Impact Resistant: Verified By: Design Pressure: +/- Other:Asphalt shingles shall be used only on roof slopes of 2:12 or greater.Not approved for use in HVHZ. 1956.2 lass-Seal AR A 3 tab asphalt shi2gle. Umits of Use(See Other) CAwtfficndon Agency Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other.Asphalt shingles shall be used only on roof slo=of ved for 1956.3 He 30,0 R hea wei ht dimensional asphalt shi le. Umits of Use(See Other) on Agency Certificate Approved for use in HVHZ: nstallation Instructions Tor use verified By: Impact Resistant: Design Pressure: +/- Other:Asphalt shingles shall be used only on roof slopes of 2:12 or greater.Not approved for use In HVHZ. 1956.4 Hera 40 AR A hma mdaht dimensional as alt shingle. Umits of Use(See Other) Cartification Agency Certiticslte Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other:Asphalt shingles shall be used only on roof slopes of 2:12 or greater.Not approved for use in HVHZ. 1956.5 lHeritage 50 AR hea weight dimensional alt shin le. Umits of Use(See Other) ceition Agency Certificate Approved for use in HVHZ: nstaliation Instructions Approved for useouVerified By: Impact Resistant. Design Pressuresletside HVHZ: FILE COPY Other:Asphalt shingles shall be used only on roof slopes of 2:12 or greater. Not approved for use in HVHZ. 1956.6 lHeritage Declaration heayvelght triple laminate as halt shin le. Umits of Use(See Other) rtificatlon Agency Certificate Approved for use in HVHZ: Ration Instructions Approved for use outside HVHZ: Verified By: Impact.Resistant: Design Pressure: +/- Other.Asphalt shingles shall be used only on roof slopes of 2:12 or greater.Not approved for use in HVHZ. http://www.floridabWding.org/pr/pr app M.wpx?pamm—wGEVXQwtDgs%2finGFoyT6... 1/22/2008 Florida Building Code Online Page 2 of 3 Product Approval Method Method 1 Option A Date Submitted 06/09/2005 Date Validated 06/20/2005 Date Pending FBC Approval 06/25/2005 Date Approved 06/29/2005 Summary of Products FL lHodel Number or Name Description iiiiiaaiaiim 1481.1 114aster Smooth An asphalt saturated organic underia ent. Umits of Use(See Other) Certification Agency Certificate Approved for use in HVHZ: installation Instructions Approved for use outside HVHZ: PTID_1481_Ri_1_file r1027.pdf Impact Resistant: Verified By: Design Pressure: +/- Other.For use under discontinous roofing syMins, .e.as slopes greater than 2:12. Nota roved for use in 1481.2 Moisture Guard Plus self-adhering SBS modified bitumen u ria meet. Umits of Use(See Other) girtification Agency Certificate HVHZ: Illation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other:For use under discontinous roofing stems, i.e.asphalt shingles with slopes greater than 2:12.Not approved for use in HVHZ. 1481.3 INail Fast SBS modified utll undeda meet. Umlts of Use(See Other) CArilification Agency/Certificate Approved for use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other. For use under discontinous roofing systems, i.e.asphalt shingles with slopes greater than 2:12. Not affmved for use in HVHZ. 1481.4 jNo. 15 ASTM D 4869 Asphalt Saturated 2=nlc Felt Umits of Use(See Other) Certification Agency Certificate Approved for use In HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other:For use under discontinous roofing stems,Le.asphalt shingles with slopes greater than 2:12.Not a ed 6or use in HVHZ. 1481.5 fNo. 15 UL Asphalt Saturated Organic Felt . Umits of Use(See Other) CKYfication Agency Certificate Approved for use in HVHZ: Installation instructions Approved for use outside HVHZ: Verified By: Impact Resistant: Design Pressure: +/- Other:For use under discontinous roofing systems,i.e.asphalt shingles with slopes greater than 2:12. Not.a roved for use in HVHZ. 1481.6 114o.30 UL R Saturated O anis Felt : Umits of Use(See Other) Certification Agency Certificate Approved far use in HVHZ: Installation Instructions Approved for use outside HVHZ: Verified By: http://www.flori&building.org/pr/pr app dtl.aspx?param=wGEVXQwtDquHIFzfePouW... 1/22/2008 NOTICE OF COMMENCEMENT Tax Folio No. $tate of �`"� County of i� tt To Whom It MW Cmccm with,Section►713 of y'o'o tLaet��ba made to� ,and in armor Tits u �ao is dried in fib NOTi(�OF do F>otida St&b ,�,�: Lego DesuiPtim of pra ..V being (' Address of Property bB0g 1°Vw*vd- t3ere W dwa0w of iP'°mmam'b: Addmm owner. Ct/r S v N t n t, owner's intro ad in site of flea nnPvvwwnt Fee Simple Meholder(if other tem owm)'- Name: Coottaeta: F` Address: T �,- _ cIo 7 � y I � �,4 y 2 FaxNo: J smvty(if my) Amoumst of Bond$ Address- FaocNo: Tdep�� . ,•. Name end addross of SPY PmaO°mdd98 #loan for the of the bv&vemants Mame: Address: Fax W. Phone No' by own►an'noon whomn a° documents may be Name of Person within the Stria of Fkwida,other dam himsall; served: Nansx Address: FmxNo: 'r of*a Liana's Notice as prod in Section tb0 follne1lag PagO°°' X01 reed" a OW In 3-�). s bion) Name: Address: Tel oncNo: FaxNo: date of"c"ding udate is Oa n Me is oro(1)yaw f m flu unless a different � data of Notice of . vaeffieft. THIS SPACE FOR 's U38 ONLY oR►�� i t___-DaW Mr. hu AMM-T\� �yp�C atIMS%�ofFbdde.COemY ofUuvaL wtyc h o-aq or _ _ .., �.. = _.;„=._ ��► '��,x�, '(1\ C�.�s.7-err-'J- Y1a� M.ADIIMS44IIRRUP� com w 0004aw" Bonded thm( 25d' 3...,., ,,.„_.,F!ohda Notary Assn.,Incj • V]1:49A If Eels • � - ! • • • • • I-,% Lei 0 _ _ • : / • • Q 'ri t�� � ,ar � ,�•�>"�r� y� �z ;��r-ah � �"�,�v � ten. x. x r XWN r mss" v. Oh � s Mm, . ''� '�� -i.���Ya,^ x+y. ...c�.�r ''cam a`�` a>~ �•'".,... ..ms.�. �'S.; .:.=L .-..r.._,..._ .,x,.?>�. z� �..-,-�'s,•:r ? �.. _Wiz#' ps NR tix�' 4���� ..���"vi� s K�.- ]+N.k"'`':r`e>�i7iisfi '"'�^� '�• `TM-„~z r, ..�-'�.�.'�.a,L ,r��^'�, �%. ^� WWI ars^ • � � �,? 'u�, '{� TllrAe���rr� '�y�t+l.�l' �� i •.� rn a>, r - .�<aai' :::p.....�.,a a'n s. .-.h�..x_M�E:..-„+a ze.3......�a+aM_. -�'•f'�-�r�����d.,�fiC+._-#�°=. 7..1n_i�._.,W,_,x,-..�.- --e. BUILDING A tr�2�.� z .�... .w+�. � )rK '4'"`...3�d "•F�3+-'+-y ,�,., .���_ �'.� � 1 . a �i' I'"� E �' $,c' icAet', ° • S � .a`tEr"Y s' '^/�„ �«r ,.+n.'�.tc3.w „q� +S ,. z tvv A r i ° 13s�d.+ni WL ° a C/ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD :. ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001050 Date 8/05/08 Property Address . . . . . . 295 BELVEDERE ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc service upgrade 100 amps to 200 amps ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WESTON ACE ELECTRICAL SERVICE 295 BELVEDERE STREET OF KISSIMMEE ATLANTIC BEACH FL 32233 1692 DELORES DR KISSIMMEE FL 34746 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/01/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NO BICMIM M ROAD,An AW C BIACK FL 22293 +. MICE:tf04a4T-f020«FAX NO.:(904P4r-ff45 ftJ ume-caprocam.W ELECTRICAL PERMIT APPLICATION DUVAL COUNTY a e 9s' rld i(eo��E S7: . ... 'MY" �ktljals 32 C-h—TL 2 233 _o 4.NAMs: !.AWR9s IF aFFFRRgMr FROM JOG ACt1RW; WOW 7.=; OP CCMpAw" bs o.9r'AT5 OF ROMA u0 l1m N0: 1a ce.L FNONe �.FM NO.: 3'1 f - 12.EMAIL AOORMB.: 12.Ofmce P►��� D 14. 13.Appkabm is tweby mads 10 OWO a pamlt to do ltw vmt and fnstelowns as IrKkdw. I Oatf9fy that as w ft 1Mt1 to pa*mwd to meet 1119 standards Of Of WA t2"Ung Ow"hlCllon in(his jurlsdlction. TW pwmlt bacon►as MA and rolO If WO*Is not o0rrntw*W WKtMn six(6) months,or If conotrucBan or work Is suspended or aWrldonad for a psrW of sig(0) st any ttma Is COWUCTORS YICNAIURE: . .v' MUL"n FAMILY-#OF UNITS, R RESIDENTIAL 0 SINOLE FAMILY O TBMP StiRVICE a COMMERCIAL O ADDITION 13 TRAILOR is.IWLOIN6:7:: !a. O ALlTRAnoN C SIGN D 0 NEW D'a5 NATIONAL ELEMM CODE $I REPAIR 0 POOL I SPA p REWIRE 0 OTHER., MALL WgMQ... ' .. . .. 20.TYPE C! NCE: XOVERHEAD 0 UNDERGROUND C3 UNDERGROUND UP POLE 21.NEW SERWGE: CONDUCTORS PER PHASE: R IS ON O POWER 18 OFF 22.SIZE OF CONDUCTOR: AMPIC". 7!+P 13COPPER ALUMINUM 23.SWITCH OR QR!'AKER a12'L'" 'S' _ Pk: W: VOLT:.fit RACEWAY$IN. 24.LixiWaIIG SEIMCE SIZE: AMPS: 0J pH; W.'-,;-- VOLT' RACEWAY 8Gt1": 2ILFEEDERS: #OF ArYIPs: nor ARW$i It CW A$9;9-. 2s.LWHTIMO FIXTURES: INCANDESCENT: FLUORESCENTS M.V.: 27.FIXED APPLIANCES: 030 AMPS: , 31.100 AMPS: j _ OVER 100 AMPS: 211.FIRE AL.AM. O YES 0 NO .� o AWLr ro rA MOOR- 2%SMolM gMrToRS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31400 AMPS: OVER 100 AMPS: 31.SWITCHES. AMPS: 31.100 AMPS; OVER 100 AMPS: Atli i 1: .t�::4''i 5'�• :''J11. 0 OF UNITS. COMM'.MOTOR HP RAYING: AMPS: HEAT KW: 0 OF UNITS: _ COMP.MOTOR HP RATING: AMPS: HEAT KW: — NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: KVA-UNbER 600V: NUMBER: 600V: NUMBER, KVA' DE&CIiIBE IN DETAIL, j r-X v r L-e (A 40,6 A4c COAMFORMoWo02:nfVbea:$11M 07 I,d 9m-8,zto6 WOWS uo�ewjo)ul IBBZ:S(} 10 It 6ny CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT JO THE CHIEF ELECTRICAL INSPECTOR: DATE: 20in IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE: Bill Thompson Electric Co., Inc. 49 W. 7th Street /Atlantic Beach, FL OWNERS NAME: j'Ufr'L ADDRESS: Z6�)S&II/,eje1e_j D BOX_ BLDG. SIZE BETWEEN: RES[4 APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLL�_ KEW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT. SERVICE: NEW( ) INCREASE( REPAIR( } CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W /GDLT RACEWAY NO. SIZE Claritin-D 12HOur Claritin-D 24HOur a mgioatii �iPO mgpseudoephe�inesu(afa,USP �10mglordtatlre/240mgpseudoaphe�nesate,USP) OPEN TOTAL Fk'?dB�P52aSATabfPIS 8 f Tak C/a/7tifRed%Tabs® Claritin Syrup OPEN TOTAL 1ogftahadinemod"isiroongW*b) (loratadine)io�per oma 3 1.100 AMPS 1 BELL TRANSF. ATING CEIL. KW-HEAT R MOTORS AMPS HEAT OVER 1� U NO. 1 H.P. VOLTAGE PHS ;NO. ER 600V OVER 600V TRANSFORMERS: KVA NO. KVA NO.NEON TRANSF. VA MA MOTOR SIZE I SWITCH FLASHERS EACH SIGN Updated 5nonoo2 PERMIT WORKSHEET Certificate of Occupancy Job Address: l v e Its r Type Work: ✓2 Q 0 Property Owner: i I d Phone # Contractor: l i Phone # Permit#: _ �J� Date Issued: S Tree Permit# Foundation Permit# Demolition Permit# 17 BUILDING ELECTRIC # MECHANICAL # - PLUMBING # Tem .Power# Footing JEA Release Date Temp. Power Slab •1iLetter Rec'd. Underslab Tie Beam Temp Pole# Lintel JEA Release Gas Piping Date Nailing/ Water/ Sheathing ,'1 Sewer Rough/ Framing Rough Rough Top out Insulation Q ,0 JEA Release Date Building Electric Mechanical Plumbing Final Final Final I Final JEA Release Date101E .0u Drainage Inspection: pp i pg P 3 , Pool Permit# �V6 Inspections: Steel LP Final Elec./Grounding Final Roofing Permit# Inspect: Nailing/Sheathing Final Fire Inspection: Failed Inspections: Date Paid: /r ri1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ' ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032074 Date 1/25/06 Property Address . . . . . . 296 BELVEDERE ST Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7900 Owner Contractor --- -- ---- -- -- --- --- --- - - ------------------------ SHIELDS, JAN WHITES ROOFING COMPANY INC 296 BELVEDERE STREET 14262 PLEASANT POINT LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 220-5546 ---- - - - - - - --- ---- -- -- - ------------------------------------------------------ Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 7900 Fee summary Charged Paid Credited Due --------- - ------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 4, PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address ---_7Q L eL4e-:C(Cr (Z-L Date�j f Z�{ !a�e Heated Square Footage @ $ per sq ft= $ Garage/ Shed @ $ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ 3 S' Total Valuation 1 $ geed Remaining Value $5 per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ o ZONING: _ + '/z Filing Fee $ FLOOD ZONE: ( )Fireplaces @$35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ l 05 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT.$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ CITY OF ATLANTIC BEACH cc: BUILDING/ZONING DEPARTMENT 800 Seminole Road =L. Higqrins�) Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us -Vv VV c PLAN REVIEW COMMENTS Permit Application # �Q - ,�P)b Property Address: _lA 9 y—f to --Ci±( Applicant: 1 *+-f kw+i ALI Project: iUru)-f--- This permit application has been: o Approved Reviewed and the following items need attention: ZA-Wiae- C2- oo i-- A I ( tf-C Please re-submit your application when these items have been completed. Reviewed By: Date: 6 Z''Co(, 1 /7q let, Date Contractor Notified: sil s CITY OF ATLANTIC BEACH ;A > J 5 ROOFING PERMIT APPLICATION '•�.JF313%' Date: Job Address: Owner of Property: A t e,Lot K Address: Telephone: " %)D03 Contractor: �^ 'State License Number: Contractor's Address: Telephone: Fax: Scope of Work: L� In d tnr �n -Gr �a� o 1L^) Deck Slope: Great4 than 2:12 Less than 2:12 _ Valuation of work: 21 o Product Name(Example:Timberline): n. Manufacturer(Example: GAF): ASTM Designation(s): I tf Required Inspections: Sheathing and Final Signature of Owner: �� Date: 1- 213-046 Signature of Contracto . _ Date: ( �- t AS TO'OWNER: Q)_ (k- Sworn to and subscribed before me this day of ,20� , State of Florida,County of Duval Notary's Si tore: f i �— Personally known , ,. ❑ Produced identifi Paula Drake Dean ffitrission#DD397559 Type of identific#ion , (3F tiwToy Fain-Inwona,Inc.a"6.7019 AS TO CONTRACTOR: Sworn to and subscribed before me this 23 day of nJ G r State of Florida,County of Duval Notary's Signature: L' Personally known ❑ Produced identification Type of identification prod Paula Drake Dean .Commission#DD397559 800 Seminole Road •Atlantic Beach,Florida 3223 Expires April 2009 bnNd Toy Fain•In�unneo,,1 Ino,800,196.70119 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci-atlantic-beach.fl.us Page 1 Revised 2/21/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD l : „r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001413 Date 10/17/08 Property Address . . . . . . 296 BELVEDERE ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 CU 1 AHU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ EVANS, DANIEL DONOVAN HEATING & AIR 296 BELVEDERE STREET 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/15/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH SMSEMNOWFaAAMLAHMSEEAMFILZM ��/�{o,�-�,,�,�/^s�NoLoomaenscomms oa�* ��a�/►�- ��{�w, /'►� `1 SRy MECHANICAL APPLICATION DUYAL COUNTY 1.JOB ADDRESS: ~=,..: ,.;� ?:M 7M A SUSPER11iii`. ; 3 DAiB 1-3.Q 1 verb t r- -Py- Atlantic Beach 1?L 32233 Pyr& U ? f C's 4.NAME: 77 ADDRESS F OFFER9fT FROM.tOa AooRIss: ptptE �c SYlr" eMECHANICAL Can � o�S Y T.NNIS OF COMPANr Awm2ss: 9.STMEOFFLORM CEN$ENOc ILCELLPHONe LsA N)-- IZEMM_AflO ` 13.OFFICEPHONe 14. Appicallon is hettby 1 91 to obtain a Penna to dO the work and 1108E1050tts as I` I 1 why Out a1 work WE be petbtmed b meet 1118 stmrerds of al tans mgn oft conshucdon in this"Isddion. This pmlit becomes MA and void if walk land canrnenosd vAitt sbk(6) nwnft or if oott*uction orwo*is s ovetded or abmdoned for a period ofsbk(8)mon11ts at any 6me allerwork is coram med. t:ONtR�cTORsstBw►3uttt✓ GC�r `�. /JZQ�--� Ili:CLAW OFIIVOW.- iNSTAU.ATKM a NM FlORO - _NENT OF EwsTMSYSTEM! 11 CO 1rClawcAi_ D ALTEMIMN/ACCITEON TO EXIST SYSTEM Cl KPAR D OTHER . ........�x,....$%:T ;� .«.•...:``h.+ Z... _..':.z;.X�Y"'�?...,_n- .. - - .Y'T ::.pffi -yhp'-�'YC,..: ft HEAT: D SPACE D FtE<XMSED ME mPtAL D FIAOR BURNER& 2L AW COM] I MNG: O ROOM 21.DUCT SYSTM MATMAL.- THIC101EM MAX CAPACITY` dm 22. tURNMMI MAX CAPACITY: _ cftn 23.COOLM TOWER: CAPACITY: gpm 2L FM SPtiN QJ3t: Nle OF HEADS: 2S.LIFT SYSTEM' ELEVATOR MMUFI- E=SCALATOEt: AUTOLET. 2B. r, r --NERgAL.H l00D NUMBER 27.FMEPI.ACE: PRE,FAMi1CATED. MASONRY: 28.IRRIGATMN- D PUMP D WELL D P031M 20.GAS PIPING: #OF OUTLETS: O GAS AHtX O GAS WATER HEATER 30.OTHER-SPECWY: SOLARttEAMNe.SOREM[SFMED Pimvtam'WaTE]mmom ORCOLINDUCtSEtk:. FOR OTTER Rte ..... ...�: S _ AR-COMMON M- Amme NUMBER APPROVMG OF UNITS OESCtaanWN MODELS MIMFAC'•RKMt TONS AGENCY HEX FURNACE& &M OF UNfiS 0 'iDNMODEL# MINOWACTURElt giU AGENCY /C Lt -3C)0©o �. ..... NUMBER GALLONS cam FORM SLOW&REVISED:anslaw NOTICE OF COMMENCEMENT State of Tax Folio No. County of �l To Whom It May Concern: 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 thi NOICE qF COMMENC MENT Legal Description of property being improved: ]1/ �V ( � A44 A4--. N Address of property being improved: 4 t G r General description of improvements: (-J r c�, n b S n r, Owner: Address: c 1 lV�t Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: I n ) C Address: rn 0 C. Telephone No.: �`�j Fax No: ,Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone 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): THIS SPACE FOR RECORDER'S USE ONLY OWNER Doc#2006024752,OR BK 13024 Page 309, Signed: �f XCr Date: Number Pages: 1 Before me s day of in the County of Duval,State Filed&Recorded 01/23/2006 at 10:25 AM, Of Florida,has personally appeared -Oj d JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Notary Public at Large,State orida Qe ty of v RECORDING$10.00 My commission expires:� � \ � Personally Known: or Produced Identification: Pa-111A Wake Dean Commission A DD39755c, ,(�` Expires April 8, 2009 GF f Bonded TNy Faln.Inw sme,Inc.AGC npo+ Certainked C-1 Technical Product Data FUNTLASTIC® GTA- APP MODIFIED BITUMEN ROIL ROOFING PRODUCTS Product Product user FLINTLASTIC GTA is designed for use as a roofing membrane over various types Description of substrates for both new construction and re-roofing installations. It is suitable for both low and medium sloped roof decks and may be used for roof system flashings including wall treatments, base flashings and field flashings. Limitations:FLINTLASTIC GTA is intended for torch application only and should not be exposed to adhesives or solvent base materials. Rolls should be stored off ground, comp)etely protected against weather. Roof decks shall be structurally sound,dry, smooth and meet or exceed minimum requirements of the deck manufacturer, local code and CertainTeed. Additional specifications and precautions are contained in the CertainTeed Commercial Systems Specifications Manual, Product Composition and ileatures. FLINTLASTIC Modified Bitumen products are manufactured on state-of-the-art, dedicated Modified Bitumen roofing lines that were exclusively designed for the production of the products. FLINTLASTIC GTA is produced with a high performance, non-woven polyester mat which is impregnated and coated with a superior grade, Modified Bitumen compound. ELIN-119TIC GTA sizer 393/x" X 33' 3" CITY OF PPROVED V BEACH Coverage': One square Pwhen appued according to BUILDING OFFICE GartalnTeed':speculpatlanl Approximate Weight; 105 lbs./per roll (.96 IbsJsq, ft.) AN 2 4 2006 Top surface: Mineral Granule Back Surface: Polyethylene Torchable Film Syr Applicable Standards:FLINTLASTIC GTA is approved by Underwriters Laboratories or use in various Class A, B, and C roof assemblies. with aggregate and other types of optional surfacings, by SBCCI (#9401A), by ICSO (#ER4887), by Factory Mutual Ul.3Y8A1.AM), and by Dade County (Protocols 97-0520.01-.06 and 97.0521-.04). Consult CertainTeed, UL, SBCCI. ICSO. F.M. or Dade County for details. Meets ASTM 06222, Grade G, Type 11 and Canadian General Standards. Technical Moditred Bitumen Coating:Non-oxidized (Flux)asphalt, blended with various thermoplastic Data atactic polypropylene polymers and co-polymers. Support Mat.High performance, puncture and tear resistant, non-woven polyester mat. Test Descri an TQLMethed Results* • Softening Point: ASTM D-36 310°F Tensile Strength: ASTM D-5147 0 73.4*/. 3.64F MD/XD 106/92 lbs./in. ®0+/.3.6°F MD/XD 133/116 lbs./in. Elongation: ASTM 0-5147 0 73.4+/-3.6°F MD/XD 57°/x/62% Q 0+1- 3.6°F MD/XD 20%/229x° Dimensional Stability: ASTM D-5147 MD/XD 0.50/6/0.3x/° Low Temperature Flex: ASTM D-5147 Pass a 8°F Compound Stability: ASTM D-5147 250°F Thickness: ASTM D-5147 4.2mm *NOTE:Published results are nominal production values confirmed by independent laboratory testing. 8Z6-d 600/ZOOd 1.18-1 2111-061-11,08 AIddn S 0@Y-"00d WY20:01 9002-qZ-or Product FLINTLASTIC Modified Bitumen roofing systems shall be applied in accordance with Application installation procedures contained in the CertainTeed Commercial Systems Specifications Manual. The following information is intended for general information purposes only and is not all-inclusive. preparation:Substrates to receive a roof system shall be firmly attached, smooth, dry, clean and free of sharp projections and depressions. Substrates requiring priming shall be primed with asphalt primer and be allowed to completely dry. Substrates shall provide positive drainage. Roof shall be tapered to drains. Installation.Install one ply of GLASBASE or other CertainTeed approved alternate Base Sheet lapping 2" on sides and 4' on ends. Base Sheet shall be mechanically fastened to nailable substrates, and either solid or spot mopped in hot asphalt to non-nailable or insulated substrates as specified in the CertainTeed Commercial Systems Specifications Manual. Apply Base Sheet in such a manner to provide and maintain a minimum 6' offset between side and end laps of base ply and FLINTLASTiC finishing membrane. Over the base ply, install one ply of FLINTLASTiC GTA lapping 314"on sides and 6" on ends with end laps diagonally staggered, not less than 3 feet apart. Side and end laps should be inspected to insure a minimum 3/a" flow of modified compound has been achieved. Precautions:Cold weather applications require special handling to prevent damage to the rolls and to insure satisfactory installation. Do not apply roofing systems over improperly prepared substrates or substrates which contain moisture. Follow all safety recommendations relating to the use and maintenance of liquid propane gas torches and equipment. Refer to the CertainTeed Commercial Systems Specifications Manual for additional safety information. Maintenance.FLINTLASTIC Roof Systems do not require any additional maintenance beyond normal yearly roof maintenance procedures. CertainTeed recommends regular roof maintenance and inspection to determine the condition of drains, flashings and other similar items. 1 Warranties CertainTeed offers a number of different types of Roof Membrane Warranties designed to meet the building owner's specific requirements. Please contact your nearest CertainTeed office for additional information and requirements. Technical CertainTeed provides technical assistance in the design, selection, specification and application Assistance and for all CertainTeed Roof Systems. Architectural and field representatives are available for Services consultation within each region. COLLFCTbO ' Western Region Central Region Eastern Region CertainTeed m 2021 Las Positas Court, Suite 129 5525 MacArthur Blvd.. Suite 900 2900 Bird Street ) Livermore. CA 94550 Irving. TX 75038 Charleston,SC 29405 (925)606-7434 (972)580-5600 (843)744-7451 www.certainteed.com (925)606.1097 fax (972)580-5645 fax (843)744-7338 fax coM M-020 8ZE-� E00/E00'd til@-1 Z11Z-OE1-1►09 Rlddng JgV_gpad AVZ0:01 9002-irl-NVP I X, fts d'z, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 / INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00031925 Date 1/04/06 Property Address . . . . . . 296 BELVEDERE ST Tenant nbr, name . . . . . . INSTALL CU/AHU/DUCT Application description . . . MECHANICAL ONLY Property Zoning . . _ _ _ _ _ TO AE TJPDATF,T) Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SHIELDS, JANET NICK' S SOLAR & AIR SYSTEMS 296 BELVEDERE STREET 4891 TIMIQUANA RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (904) 737-5499 ----- ----------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 91 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 91 . 00 91 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 91 . 00 91 . 00 . 00 , 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL ' CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION ga Date: Property Address: ' --�— 2 (,-vl d p 4 c" `D Telephone#: � i� Owner: c�� Contractor: i Telephone 1,112 Contractor Address: 4�-C 4-, 60 4 CJ' I#aA#: 77`Z ZO Contractor Signatur In consideration of permit given for g the work as describethn 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 City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel- If other construction is being done on this building or site,list the building permit number: ❑ Electric ❑ Gas: LP Natural _Central Utility ❑ Oil ❑ Other—Specify, MECHANICAL EQUIPMENT TO BE INSTALLED Ny--ATURE OF WORK ❑ Heat _Space Recessed Central _Floor �j'� Residential El Air Conditioning: Roo _Central ttt ❑ Duct System: Material_Thickness L) Commercial Maximum capacity cfin ❑ Refrigeration ❑ New Building ❑ Cooling Tower:Capacity Existing Building ❑ Fire Sprinklers:Number of Heads r ❑ Elevator: __ Manlift Escalator (Number) ❑ Replacement of Existing System L3 Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify /k( m O Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency vm HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer s�yy BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 9 Fax: (904)247-5845• http://www.ei.atiantic-beach.fl.us Revised 1/04 f,; f CITY OF ATLANTIC BEACH . '` 800 SEMINOLE ROAD t) r^ ATLANTIC BEACH,FL 32233 ' INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031901 Date 12/29/05 Property Address . . . . . . 296 BELVEDERE ST Tenant nbr, name . . . . . . REWIRING EXISTING SERVICE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ------------------ ----- SHIELDS, J MASTERS ELECTRICAL SERVICE INC 296 BELVEDERE STREET 2043 POMPANO PKWY ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073 (904) 626-4776 ----- ------------------------------------------------------------ ----------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ------ ---- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH - ELECTRICAL PERMIT APPLICATION Date: io�-j Q Property Address: 2 (0 3 eJ v Q. Q__/" �"f Owner: j j„ e Telephone#: Contractor: V-1cSif-J-5 Telephone#: _02.30 -600 - Contractor Address: ? Zz>')Fag#: 26y 2-17- 3 C 3E Contractor Signature: In consideration of permit iven for doin ihe work as described in the above statement, we hereby agree to perform said work in accordance with the attached p ans ecifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: B ilding Type: ❑ Trailer Service: If other construction is ❑ New Residence ❑ Temp. ❑ New being done on this building Old ElCommercial ❑ Signs ❑ Increase Or site,list the building Permit number: ❑ Re-wire ❑ Addition Sq. Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service �1 / RACE Size AMPS l✓ t-' PH ! W VOLT,-2 vo WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED a�� OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT C{ Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf, Ea,_Sign Miscellaneous ! ?`er �! �• 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800. Fax: (904)247-5845. rtto:;"i���s�s,e8,atiant:r-ti:aci;,:.. s Revised 1/04 y CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031174 Date 9/08/05 Property Address . . . . . . 296 BELVEDERE ST Tenant nbr, name . . . . . . INSTALL FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------- ----------------- ------------------------ SHEILDS, JANET J.D. VAUGHN & SONS PLUMBING 296 BELVEDERE STREET 2822 HUFFMAN BOULEVARD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 641-0833 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee 119 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 119 . 00 119 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 119 . 00 119 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUI F..FICIAL 5 J f ' CITY OF ATLANTIC BEACH J r,W yr PLUMBING PERMIT APPLICATION Date: —I V Jos Job Address: Owner of Property: vPtf1� dS Telephone: C'On ✓�Cv�- Plumbing Contractor: JD Vaughn & Sons Plumbing CFC033870 Contractor's Address:_2822 Huffman Blvd Jacksonville, FL 32246 Telephone: 904/641-0833 641-0884 fax State License Number: C 7cb How many of the following fixtures (re-piped or new): Sinks Showers Water Lavatory _Water Heaters 3 Hose Bib Bathtubs Dishwashers Sewer Urinals Disposals _Other t.0--A4r1 1P _Closets _Washing Machine Shower Pans Floor Dr Re-Pipe (List fixtures being re-piped) 60 Total Fixtures: x $7.00 + $35.00 = /0( (Minimum Permit Fee: $35.00) Signature of Contractor: Installation of plumbing drid 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 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.cLatiantic-beach.fl.us Revised 1/14/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030835 Date 8/03/05 Property Address . . . . . . 296 BELVEDERE ST Tenant nbr, name . . . . . . ROOM ADDITION Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 64000 Owner Contractor ------------------------ ------------------------ SHIELDS, JANET CHARLES COLLIER REALTY INC. 296 BELVEDERE STREET 4552 BAY HARBOUR DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 641-7533 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 316 . 00 Plan Check Fee 158 . 00 Issue Date . . . . Valuation . . . . 64000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 316 . 00 316 . 00 . 00 . 00 Plan Check Total 158 . 00 158 . 00 . 00 . 00 Grand Total 474 . 00 474 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. iL- i • B OFFICIAL � � CITY OF ATLANTIC BEACH cc: r' BUILDING / ZONING DEPARTMENT s� 800 Seminole Road rr = - Atlantic Beach,Florida 32233 Fuji 1�'' (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 0(5 Property Address: Applicant: VL OL r It r Project: k. D d Y-K QGL -K nk-> This permit application has been: LTJ Approved El Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: NA- Date: ('lg I dGJ Date Contractor Notified: b NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: 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. Legal description of propert�Y�bein improved: �6 r/ 73 IecA `� SYS,;e.� d/A Address of property being improved: General description of improvements: 4,A Owner: h A 1 A fati.. 71 1 .; Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Address: Contractor: Address: 5'_rI , N.• d x zy' Phone No: 4 y/ Fax No: ,r 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: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents maybe served: Name: Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida 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): THIS SPACE FOR RECORDER'S USE ONLY JWNER Signe' c." Date: Before this T day of in the County of Duv` , State of Florida,has per pally a peared Sa ZJoAnn C Collier My Commission DDI 16039 Notary Public at Large, State of Florida,County of Duval. My commission expires: �;Z_O C7 or rV. Expires August 21,2006 Personally Known: ✓ or Doc#2005284683,OR BK 12657 Page 634, Produced Identification: Number Pages:1 ` Filed&Recorded 08/03/2005 at 12:10 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 CITY OF ATLANTIC BEACH y JS �:�aSz r 'rAL BUILDING PERMIT APPLICATION (Alterations & Additions) DiAll Date: Job Address: Owner of Property: Y4" n 6:t SX r S Address: 2-1Z -5'7, Telephone: ?r-f 2_0 Legal Description: Block Number:/ �'y' Lot Number: Zoning District: Contractor: �i�,/�•�S (tea/!,-e.1 State License Number: ' e. 0 i Contractor Address: S'S'z, la 4,k"h y w.- Al 4�rt ,fl> Telephone: 7,_.3 3 Fax: 4 V1-9P ?,r Describe proposed use and work to be done:^,4 e-14-1,W, o! Present use of land or building(s): /44,"A// Valuation of proposed construction: fa yy l What are the dimensions of the added space: feet x feet Will the added area be heated and cooled? ��s New electrical or increase in service? Add plumbing fixtures? Add fireplace? Add heating/air conditioning? Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? 21 NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. C�NO. Applicant certifies that no trees will be removed for this project. ❑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 appropriate. 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 8/04 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. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. 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. ° 2/�Lk Signature of owner: f 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 the plans and supporting data have been or shall be provided as required. Signature of Contractor: /�j� �-K� f/er'2 `� Date: -/ � Address and contact information of person to receive all correspondence regarding this application(please print). Name: e"'A 4,e�.r—S 104�' 6V /A � �s Mailing Address: 2. L ✓ 0"t, V4 dd ' ' Telephone: 61+�4/ '�,5` '�� Fax: E-Mail: AS TO OWNER: / w c�— Sworn to and subscribed before me this ( day of State of Florida,County of Duval � _ Notary's Signature: t222 IN Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 124 day of 20 r State of Florida,County of Duval r� Notary's Signature: Personally known Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http:l/www.ci.atlantic-beach.fl.us Page 3 Revised 8104 J SS J CITY OF ATLANTIC BEACH !,f , FLOOD PLAIN DEVELOPMENT INFORMATION Location: 9 d 4- /-�A,e- 'f' A Oe;,,:7%',L a::5�-A Z25.7 Type of Development: iQ s f Flood Zone: X Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for 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 affecting the proposed development. Applicant's Signature: Ci C �r7 _ Date: Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 1.1.E - k—„LD11 t UAi'UiuillU1N AND WATSON & OSBORNE TITLE SERVICES, INC. LOT 1, BLOCK 4 SEASPRAY, PLAT BOOK 35 PAGES 64 & 64A 3 F k 5' EASEMENT FOR DRAINAGE 75.41' (M) UTILITIES & SEWERS-i5.00-1/2- IP 75,00' (R) (R) ---j--NO CAP-y5.34' (M) 9 1/2- REBAR _ 25.00' (FFA X T6' - _�—____^_D_—0• LB 5488 O PERPETUAL UTILITY EASEMENT 0� 2D 1' 08.1.3' FRAME SHED AS PER DEED BOOK 827, 90 I b 19 6, ' (WOOD FLOOR) r 89-S��s�h 0 b a b CA N y N PATIO r o r o b STONES �_jl 0 0 0 o o 0 O 10.8' p6. m oo. 0 2 23.2 11.1' 0 0. O cn < �. o b.D. J 7.8' Z o a {' v'N b z 1 STORY BLOCK N R _ m y p rN„ & FRAME RESIDENCE +- -o Z o D vy v N0. 296 f° o m �, bI� 15.0' �A 00 "0 C 10.7' 17.7' �OVERED m 11.7' n7,8' 'oNC. CONC. ' N CONC. N WALK 8g S > 0� CONC. 0r` — — 25.00' (R) r�01 2' APRON 10.7' 1/2- IP 75.00' (R) I”L13 5488R NO CAP 75.21' (M) o BEL VEDERE STREET 50' R/W 1/2- IP a 50.00' (R) & (M) NO CAP o — 0 LOT 454 ctT -g? � .. -. ✓ 3/4- IP S CITY OF ATLANTIC BEACH Cc: Eard BUILDING / ZONING DEPARTMENT D. 800 Seminole Road oe J Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: 171 �- Applicant: Ck a b Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: � � Date: 7'Zoo 'yS Date Contractor Notified: CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION JUL0Q5 (Alterations & Additions) r: (�!� BY. Date: Job Address: Owner of Property:�%4 n et Sl i C Id 5 ,0 Z4c,�Address: 2-g6/ Vay".cec 1�. Z! L Telephone: Z-a D-r Legal Description: Block Number: ��4/' Lot Number: Zoning District: Contractor: ZX d ,!t 5 State License Number: Contractor Address: 40,,17rZ X14 ,t .j? L, Telephone: v/ '61 -ZZ-3 3 Fax: Z VI-r Cdr Describe proposed use and work to be done: A d /� t b I Present use of land or building(s): �f, Valuation of proposed construction: 6 --/,g y a What are the dimensions of the added space: feet x feet Will the added area be heated and cooled? 11,1_5 New electrical or increase in service? Add plumbing fixtures? Add fireplace? Add heating/air conditioning? Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? 21 NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. [�NO. Applicant certifies that no trees will be removed for this project. ❑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 appropriate. 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.ei.atiantic-beach.fl.us Page 2 Revised 8/04 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. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. 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 applicationiscorrect. Signature of owner: I � � / ^' Date: /� i �� b 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 the plans and supporting data have been or shall be provided as required. Signature of Contractor: ���7 1����`�c.�f Date: y'' f Address and contact information of person to receive all correspondence regarding this application(please print). Name: ew/-r-S Mailing Address: 6� C-r2✓ r Telephone: 1*41 '� 7 Fax:Z '��� � g�'' E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of 920 —� State of Florida,County of Duval Notary's Signature: Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this / day of '20 !J J e L� State of Florida,County of Duval r Notary's Signature: MR Personally known Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 3 Revised 8/04 NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: 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. Legal description of property bein improved: +/ 8 r��C egZr r Q„ST* eQ Address of property being improved: General description of improvements: b1, Owner: h . A VA,Pic, Address: 77 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Address: Contractor: ct Y1�e-e a. 7Z.7-1' ' h U Address: S t' i dA �-3— Phone No: Fax No: V 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: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents maybe served: Name: Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida 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): THIS SPACE FOR RECORDER'S USE ONLY WNER Signe' �' '.CJ � � Date: �/ C/ Before this^1 day of in the County of Duv , State of Flonda,has per nally a peared SA sw JoAnn C Collier IS My Commission DD115039 Notary Public at Large,State of Florida,County of Duval. My commission expires: 9, /— O0 �d an Expires August 21,2006 Personally Known: c/ or Produced Identification: r CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: 9 d ����. Y� !"�' A 06,7-1 ,L 21K-A i l l',2 72-1-,-7.7 Type of Development: Flood Zone: X Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for 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 affecting the proposed development. Applicant's Signature:.-,? Date: Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 NOTICE OF COMMENCEMENT State of Tax Folio No. County of To Whom It May Concern: 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. Legal description of prop rt being improved: —"e, vv �Y o ,r, r4S-T. E/h 7 Address of property being improved: General description of improvements: ZZ444,T1 4,,4 Owner: {h Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Address: Contractor: TA c-- Address: Address: 5'x'`2 'H, Phone No: Fax No: 4 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: Phone No: Fax No: Name of person within the State of Florida, other than himself,Tesignated by owner upon whom notices or other documents maybe served: Name: Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in - Section 713.06(2)(b),Florida 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): THIS SPACE FOR RECORDER'S USE ONLY WNER Signe !" Date: 71.211S Before this ;Z-1 day of in the County of Duv' ,State of Florida,has per pally a geared S/ea JoAnne Collier MY Commission DD118039 Notary Public at Large,State of Florida,County of Duval. • +o,FdF Expires August 21,2006 My commission expires: Personally Known: or Produced Identification: CITY OF ATLANTIC BEACH cc: D. F BUILDING / ZONING DEPARTMENT Higgins 800 Seminole Road err Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS 0J, U rY-) Permit Application # c�-� - 3 OW' Property Address:' 9 z Applicant: ✓/e s' 4i '0 1 1 0 Project: > X, .- This pe it application has been: Approved �� 0 Reviewed and the following items need attention: Please re-submit your ap lication when these items have been completed. Reviewed By: Date: qlJ Z� Date Contractor Notified: --- CITY OF ATLANTIC BEACH - -- DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 _ PERMIT INFORMATION _ LOCATION INFORMATION -� Permit Number: 24479 _ Address: 296 BELVEDERE STREET�� Permit Type: WELL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: _ Improv, Cost; OWNER INFORMATION — ' Date Issued: 7/22/2002 _ Name: SHEILDS, JAN Total Fees: 10.00 Address: 296 BELVEDERE STREET Amount Paid: 10.00 ATLANTIC BEACH, FL 32233 _Date Paid: 7122/2002 t 04853-2003 Work Desc: SHALLOW WELL F , A ---_CONTRACTOR(S) TION FEES L.N. WILLIAMS .r _ 10.00 awFYh!IIIIF� 4�'�r, ry � t .. V 1 a � �H� m• '' r 4 "'..x ,j e ',, .}, y * �'�' �•+. x.l; F ;r�,a ,- ✓Al ✓ray a' ` Nib ! . if Y NOTICE $PTI �R UES1iEp AT t�tST 2 # J# PITI D4 TION _ BUILDING MA ERA (3JU€:7It 11V+QRfST1tTE g IN LIC SPACE,AND I MUST BE CLEARED UF, . .D��j3 A 1 3 �#�I C �C` O}R OR � "FAILURE TO COMP L IN THE ( PROPERTY OWNER PAYi ISSUED ACCORDING TO APPROVED A IT' AND SUBJECT TO REVOCATION j FOR VIOLATION OF APPLICABLE PROVISIO I �, 00w: i In . 0C Orsirar. 1 %te: 7MAe 0 hisANt a: 75 26 -� ` 1� lBdIITs-MltalMG 1 010.0 ATL NTIC BEAC—HtBUILDIN PT. 01Ct0MIQ?Z10N a an Trm dds: 7M/02 Time: 11:09:15