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Permit 836 Bonita Rd B TYPE WORI�� �� JI ADDRESS � PROPERTY OiN!VEj(�71. - TELEPHONES�1 7- q CONTRACTOR TELEPHONE ' PERWTN+ MBB DATE /dor-ch 163-6 q INSPECTIONSFOOTING SLAB TIE BEAM LXNTEL . NAILING/SHF.ATEBVG FRAAIINGCOVER UP INSULATION FINAL BUILDING %- b CER77FIC UTE(OF OCCUPANCY T, CWCAL PERMM INSPECTIONS ROUGH MEGEAMCAL PERMIT# INSPECTIONS ROUGE FINAL PLDMBINGPE8MlT3M IN"ECITONS ROMMIRYDER SLAB TOPOUT WATERISEWER FnvAL NOTES• ' J CITY OF ATLANTIC BEACH -� 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033226 Date 6/14/06 Property Address . . . . . . 836 BONITA RD Tenant nbr, name . . . . . . SERVICE REPAIR Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ LEROUX BROOKS & LIMBAUGH ELECTRIC CO 836 BONITA ROAD 42 WEST 8TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-9051 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/14/06 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 . 00 100 .00 PERMIT IS APPROVED ONLY-IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATILANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 20 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 E RI ASI NATURE: 1 OWNERS NAME:��P��DRESS:73 BOX_ BLDG. SIZE BEN: RES.(, ) APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT. SERVICE: NEW INCREASE REPA CONDUCTOR SIZE AMPS: COPPER ALUM. FEES SWITCH OR BREAKER AMPS PH W I �VfOLT RACEWAY EXIST. SERV. SIZE � J AMPS , PH W RACEWAYf FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES 2' CONCEALED OPEN TOTAL 0.30AMPS 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING I CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS l { 162 A Imo', Q ct at, UNDER 600V OVER 600V TRANSFORMERS: NO. IKVA NO. IKVA NO.NEON TRANSF. NO I VA I MA I MOTOR SIZE I SWITCH FLASHERS EACH SIGN Updated 5/20/2002 �s CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030928 Date 8/09/05 Property Address . . . . . . 836 BONITA RD Tenant nbr, name . . . . . . WIRE ROOM ADDITION Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ---- -------------------- LEROUX BROOKS & LIMBAUGH ELECTRIC CO 836 BONITA ROAD 42 WEST 8TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-9051 ---------------------------------------------------------------------------- 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. BU NG OFFICIAL CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 200!57- 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 di I IA SI TURF: OWNERS NAME: Lic oo v�, ADDRESS: '336 BOX BLDG. SIZE BETWEEN: RES�� APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW INCREASE REPAIR CONDUCTOR SIZE AMPS: COPPER ALUM. FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY < Z90 EXIST. SERV. SIZE a AMPS PH 3 W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMPS I I 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATINGCEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS IU f` UNDER 600V OVER 600V TRANSFORMERS: NO. IKVA NO. IKVA NO.NEON TRANSF. NO VA I MA I MOTOR SIZE I SWITCH FLASHERS EACH SIGN Updated 5/20/2002 r . .A4 4 CITY OF ATLANTIC BEACH f, 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029748 Date 2/22/05 Property Address . . . . . . 836 BONITA RD Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 Owner Contractor ---------- -------------- ------------------------ LEROUX, JUDITH WILLIAMS ROOFING OF JACKSONVIL 836 BONITA ROAD 6041 LIANA LEE DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32234 (9 04) 289-7314 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . valuation . . . . 5000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 t PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL .y M.f).t1lVf f S\ f CITY OF ATLANTIC BEACH Wr r�R w f _r PERMIT CALCULATION SHEET Date Address Permit fee based on dollar evaluation as indicated on permit application. I IN Heated Square Footage @ 5 per sq ft S Garage/ Shed @ S per sq ft= S Carport/ Porch @ S per sq ft= S Deck @ S per sq ft = S Patio @ S per sq ft= S TOTAL VALUATION: S S $35.00 1st 51000.00 S 535.00 Total Valuation S S 'r S .26 Remaining Value Per thousand or portion thereof. CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 5S� ZONING: + '/z Filing Fes S -2. 49 FLOOD ZONE: ( ) Fireplaces @ S35.00 S . INIPERVIOUS SURFACE: BUILDING PERMIT FEE S '&S WATER IMPACT FEE S SEWER IMPACT FEE S WATER METER/TAP $ CAPITAL INIPROVEIVIENT S SEWER TAP S C ( )RADON HRS .0050 S SECTION H PAVING S CROSS CONNECTION S ST ( ) SURCHARGE S —�-��-- OTHER . S a CITY OF ATLANTIC BEACH cc: D. Ford Ford BUILDING /ZONING DEPARTMENT 'j s) 800 Seminole Road Doerr Atlantic Beach,Florida 32233 r (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS , { i E , r Permit Application # C�.S Z► g Property Address: „1 Applicant: _ (�J t t_U-41%�-4 S �o o c eJ Project: `�•��— �,a F 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: _�I zz-t©6 t-�lo e7 03 03: 44p Information Systems 247-5845 (°• 1 n X i * FEB 17 2Q '. S A CITY OF ATLANTIC BEACH ra ROOFING PERMIT APPILICAX'It�I� Hate: Job Address: ?36 6()n i+A 4*1. 3 2 2 3 3 Owner of Property: 'T vC/.'1-1+ R0 Address: 1//7''1-15 .s e.l!/p0s M o,-i, I, 0�. A4G., _4, Telephone: � /c/Iq Contractor: W/LL/ATK.5 Rpo F1 NG State License Number:?(�DA'S-D 9 Contractor's Address: D411 L _ �rt bR. JAd-.b D N V-/L(., !_- 3 �•3 T'eluphone: go Z 19 - '73 Fax: 90 - 736 y - — Scope of Work:g e Roy-F Duck Slope: Greater than 2:12 x.73_0Less thoLD 2/:12 Valuation of work: � 000• 00 Product Name(Example:Timlaerhne): Manufacturer(Exttnple:GAF):��r�q n f-C A� c er f� .,i 4-f e ASTM DeSignation(s). Required Inspmtions: Shea ing .d Final �'Sipature of Owner: �Date: Signature of Contractor: Date. l '" 6 - AS o -AS TO OWNER: Sworn to and subscribed before me this day of �'`J _ 20_`� State of Florida.County of Duval rKENNETH R.WELLAAAN , J TAh%Wtlpi*W OF F1 R1D)A p�8�®11/xf.V, AS TO CONTRAC?OR: T- Sworn to and subscribed before me this C--(. day of \a+�r�^ 20 State of'Florida.County of Duval ( \) Nota 's Si ELLMAN PrTE OF RARIDA JTXMC07MMlSSl0N*EXWl icfi�A8bD25 MY ES JAN.21,2006 $00 So maisele Road A antic ach, for da 2 Telephone: (904)247-5$00 Eras: (904)247.5845 •ttttp:/lwww.ei-tatisntic-beaeh.ft.us Page I P�sva 2n 1/03 NOTICE OF COMMENCEMENT Permit No. State of Florida County of 0 clue The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. E# 171103 0000 Lejai description of property (Include Street Address, if available) 3 y—6o • 3e—2 S — 2 q � 0oY� I a 1„1S Vn,'t / Gy- 13 d/k, General description of Improvements e -Roo-F Owner 00 X Address 17G! e/vo. ^, A ,'-7 a Q,- . i4t/, 13 c4, 3 ZZ.33 Owner's Interest in site of the Improvement Fee Simple Title holder(if other than owner) Name Address Contractor ts._sR/ S o Q � .Q. J.�c, a o•�Yi c.c�._` AJC Address (D.d .cl t L I A�JA C>; DR...T4 soAuvtLLFSC 3 2�2 3 Surety Address Amount of bond $ Any person making a loan for the construction of the Improvements: Name Address Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713,13(1)(a)7,-Florida Statutes. Name Address In addition to himself, owner designates Of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes. Expiration date of Notic f Commencement(the expiration date is one (1)year from the date of recor ng nless a d' r t date is specified) Signatu f Owner Printed Name of Owner r 1 1 Notary Rubber Stamp Seal 1 I have relied upon the following identification of the Affiant sworn and suK4s#!d BAN i 20UJ_ OT- Y PuQ STAT Doc#2005005595,OR BK 12218 Page 2454, MY cQMMISS1i4Dt Number Pages:1 Filed&Recorded 01106!2005 at 01:56 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY PrintedNam RECORDING$10.00 �= ` 1 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001816 Date 10/28/09 Property Address . . . . . . 836 BONITA RD Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu 1 ahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DONOVAN HEATING & AIR 315 SIXTH AVENUE SOUTH JAX BEACH FL 32250 (904) 241-3785 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 99 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/26/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 99 . 00 99 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 99 . 00 99 . 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 � oAI I I I e 600 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 7 s OFFICE(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTQCOAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY ZNO 1�O DIS YES PERMIT#: lU ,2.0_c.)9 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: L't c!I Y Lt 6:c 2 rUu X 7.NAME OF COMPANY: 8.ADDRESS.: /70n0Udh Ale G-/ 3/s— cvc s- 9, 9.STATE OF FLORIDA LICENSE NO: O t 10.CELL PHONE: 11.FAX NO.:--) Yl _l2 7 YS' 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. D w- 385 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction In this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or ifconstructionor work is suspended or abandoned for a period of six(6)months at arty time after work is commenced. ARI# 'J�S� 3 CONTRACTORS SIGNATURE: is.%A44 OF ❑NEW INSTALLATION ❑NEW ESIDENTIAL '07 FLORIDA BUILDING CODE- XREPLACEMENT OF EXISTING SYSTEM ;MISTING 13 COMMERCIAL MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR ❑OTHER 19.HEAT: O SPACE ❑RECESSED CENTRAL ❑FLOOR BURNERS: 20.AIR CONDITIONING: ❑ROOM OCENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: cfm 22,REFRIGERATION: MAX CAPACITY: cfm 23.COOLING TOWER: CAPACITY: gpm 24,FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26,COMMERCIAL HOOD NUMBER: 27,FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: O PUMP ❑WELL ❑PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30,OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY t?Gf �P (,Cz) �rao�4jiLaet =ITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY i1�01 NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit App6ceton Mean:REVISED:12/1812008 1 1j,f�sy CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD rJ ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 `� �Ji3Ic r Application Number . . . . . 04-00027643 Date 2/04/04 Property Address . . . . . . 836 BONITA RD Tenant nbr, name . . . . . . INC TO 200AMP, 1PH, 3W, 240V Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ----------- -- - - ----- - --- - - - --- - -- ---- - -- - - -- - - -- LEROUX BILL THOMPSON ELECTRIC CO, INC 836 BONITA ROAD P.O. BOX 330150 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5601 ----------- --------------------------------- ----- - --- - ----- - -- -- ------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY Y OF ATI..; .i 1 IC BEACH ELECTRICAL PERMIT APPLICATION t s s Date: Property Address: 3(o 1.J' A 1/2Z t'CUQ Owner: �erow_ Telephone#: Contractor: Bill Thompson Electric co. , Irtc. Telephone#: (904) 249-55601 Contractor Address: 49 W. 7th St 1+L 32233 Fax#: (904) 270-0540 In consideration of permit given for doing the work as­_ uUcWi ion the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications wh, r, �r; a part licreof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: 1 Service: If other construction is I ❑ New Q<a_Residence ❑ New being done on this building Old ❑ Commercial j tii�,r,a f or site,list the building Inerease Permit number: O Re-wire ❑ Addition i t- ❑ Repair Conductor Size: AMPS: COPPER�I--Y kLUMINUM Switch or — RACE Breaker AMPS 'tt-✓/ PH W VOLT WAY�5 Existing Service `� RACE ;� ! Size AMPS a0 PH W VOLT ZZ10 WAY Feeders: NO. SIZE NO SIZE _ NO SIZE Lighting Outlets j CONCEALED OPEN i Receptacles CONCEALED OPEN 100 A MPS Switches I Incandescent I Fluorescent & M.V. Fixed 0.100.k4Ps avl k _ BELL Appliances I I TRANSFER. Air H.P.RATINC Ii Y Ivt i �'?� _I CEILING i KW-HEAT Conditioning COMP. MOTOR I 01 I1Lk .. I oRS AMPS HEAT r Motors 0-1 H.P. IVOLTAGE PH NO. OVER 1 H.P. PHS UNL)ER60(LV __ _ _ C VER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous 800 Sirn)inolc Rosd - Atl4iitic 13,;ach, Florida 32233-5445 Phone: (904)247-5800 • Fax: (904) 2-17-5845 a litti)://www.ci.atlantic-beach.H.us _ 1 CITY OF ATLANTIC BEACH Ss) 800 SEMINOLE ROAD -,' ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025137 Date 11/06/02 Property Address . . . . . . 836 BONITA RD Tenant nbr, name . . . . . . REPAIR METER JAW Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ GONZALES, ANTHONY ENCOMPASS ELECTRICAL TECH. , INC 836 BONITA ROAD 4348 SOUTHPOINT BLVD. #400 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 281-0600 ---------------------------------------------------------------------------- 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 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. cam.. BUILDING OFFICIAL ~ CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR DATE: 200,) 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- ENCOMPASS ELECTRICAL TECHNOLOGIES r4ff4rj �� NORTH FLORIDA,INC'./ DONALD J. THOMAS OWNERS NAME: �'/�i ��~ Z/�LC-Z ADDRESS: f .RFD-- VOX— BLDG. X_BLDG. SIZE BETWEEN: s RES. APT.( ) COMM.( ) PUBLIC(vp INDUS.( ) NEW( ) OLD(v✓ REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW( INCREASE REPAIR(14/ CONDUCTOR SIZE AMPS: COPPER ALUM.( ) FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE �O AMPS PH W VOLT R)eC'EWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMPS 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H P.RATING H.P.RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: N0. IKVA NO. IKVA NO.NEON TRANSF. NO I VA I MAJ MOTOR SIZE I SWITCH FLASHERS EACH SIGN Updated 5/202002 y CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT PEt2MfT t'N+FORM' TCC1 .;, », N'N LOCii1TIQNk INF(ORMA Permit Number: 21134 Address: 836 BONITA ROAD Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: 30 Proposed Use: SINGLE FAMILY Lot(s):13 Block: 1 Section:0 Square Feet: Subdivision: ROYAL PALMS UNIT ONE Est. Value: Parcel Number: Improv. Cost: p Date Issued: 12/12/2000 Name: ANTHONY GONZALEZ RODRIGUEZ Total Fees: 25.00 Address: 836 BONITA ROAD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 12/12/2000 Phone: (904)247-4449 Work Desc: WIRE FOR REMODELING MCCLURE ELECTRIC SERVICE PERMIT 25.00 ROUGH ELECTRIC FINAL ELECTRIC 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 PERMI,T,AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Ir +I�.M 14 «-,.- li!!1l!!//'IM a Rseei/te rwi7ilt ATLANTIC BEACIIA BUIL NG DEPT. 111N3�lllli ti µ CITY OF ATLANTIC BEACH, FLORIDA Approved GV APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE. L �� 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: c . MASTER ELECTR P N SiGNATU E l� JOURNEYMAN NAME �^y ��N Z�`t ZADDRESS:S b c`^c i`` "►l RFD BOX BLDG..9C 1 SIZE BETWEEN: \/ RESAFT.( I COMM.( 1 PUBLIC( 1 INDUS.( 1 NEW( I OLD(JO REW.( i ADDITION`O TRAILER ( 1 TEMP.( 1 SIGNS ( I SO.FT. SERVICE: NEW( 1 INCREASE 1 1 REPAIR( 1 FEE CONDUCTOR SIZE AMPS COPPER ALUM.f 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 200 AMPS PH W 44'rOLT ('�'JRACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES 10 CONCEALED OPEN 10 TOTAL 0.90 AMPS. 01.100 AMPS. S W ITCH ES INCANDESCENT (p FLUORESCENT&M.V. FIXED 10.100 AMPS. OVYR APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING ' CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT al OVERMOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED s TOTAL FEES CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 f PE1iM'F INFORAi T.LOI -, := -.. :. OCATIOI iN€ORMAXION Permit Number: 19689 Address: • 836 BONITA ROAD Permit Type: ROOM ADDITION ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): 13 Block: 1 Section:0 Square Feet: Subdivision: ROYAL PALMS UNIT 1 Est. Value: Parcel Number: PB 30 pg. 60 I Da 00 a Issued: 3/08/2 00Name: OANTHONYN NEOO EZ RODRIGUEZY,..w Total Fees: 90.00 Address: 836 BONITA ROAD Amount Paid: 90.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/08/2000 Phone: (904)247-4449 Work Desc: FAMILY ROOM PROPERTY OWNER PERMIT 90.00 I A„ - FOOTING� SLAB COVER UP FRAMING FINAL BUILDING - NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THF- PROPFERTY 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. f98.88 14 Date: 3/89/28 81 Receipt: 8848341 ATLANTIC BEACH UILDING T. CHECKS 326 18IMM3221M DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT fI 'fJR A'I'I Old - - LOCATION" I NPORJ!�AT ION e rmit Number 16564 A dr ag. 83 BONITA ROAD P m t Trig »PORCH, AT TIC BEACH FLORIDA 3 2 2 3 1 We z~ �N W DESCRIPTION ----- ------ � rt `�' ? :HnOI� `RAl�i Black: Lcat: Twp c�Pc� d Ua*: INGLE -,FA ILY O Subd'. � 'Vs ;i l ue: 1pprov. ,Ga t`a , 961r+..OQ T0 a, 6,0 ,0tt Amoun! P t� 60.06 199a �y ► � --- ON �1PPLICATI N ami; V � IC�G?iR I C3UE2 '- 4 dr: - 6 AT �' A 'LORIDlA 122, s c v �T I 'Y`I0 PIcI'J �i`Y` R b R`v?��,� y yT$yA f �` Yf t ✓ r.i* '�wf h .+51" '+ -. 'NOTES. 4 NOTICE INSPECTIONS MUST BE REQUESTED AT LEASt,.24 HOURS,PRIOR Tgj"SPECT ON } BUILDING MATERIAL,RUBBISH AND DEBRIS FfiE7M THIS WORK MUST.NOT SE PI ACEQ�N PUBuC SPACE,ANa MUST BE CLEARED,UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER w FAILURE:.T COtUtp .Y VYtTH' THE MECHANICS' LIEN LAW CrAN R' BULT IN . THE PROPERTY.OWNER NER PAYING TWICE F`QR �3UiLD NG iMPR�V I41�ENTS." ISSUED ACCORDING TO'APPROVED PLANS WHICH ARE PART CSF' THIS PERMIT AND SUBJECT TO`REVOC/�� j �AR ., ViflLATION OF�APPLICABLE PROVISIONS OF LAW. a r?41,0108 at ATLANTi EACH BUILDIN DEP RTMENT •: . aw \ 3 ,� b f CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner(s) AnAAnlonq LTOYIZ�4't2. (Z0CL'rUe- 7— 1, A 2 3 Q 130r, S -7, ✓� { Address: L�%1; '��ec.cd�, PL 32233 Phone: �Dy1� Z q-2 — L{L4,4 C1 iS C Lot # Block or Unit # Subdivision: Contractor: c Uj i�j�p_ State License # Address: Phone No: City State Zip Code o Describe work to be done:Pen OlC..�\ft Present use of building: 0C-e 0 Valuation of Proposed Construction: goo ., Proposed use: P d ac, I+ Is this an addition? 4 es If yes, what are the dimensions of the added space:�yft. X /q ft. Will the added area be heated and cooled?��_ New electrical (or increase) ?_ 4t) New plumbing fixtures? NO New fireplace?X 0 New Heat/AC? IVO SUBMIT THREE (C0 2CIAL) TWO (RESIDENTZAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COK4ENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: Date: Sworn to and subscribed before me this day of 19�( REcp l�Q VED NOTARY LIC STATE OF FLOR DA AT LARGE MA r' 2 6 199 Patricia Amonette *: %- MY COMMISSION#CC553881 EXPIRES C' "// of Atlantic n �., August 27,2000 Build. each �'�pF,h BONDEDTHRUTROYFAININSURANCE,INC. an B d Zoning SCHEDULED INSPECTIONS Requests for inspection are taken from 8:00 a.m. until 4:30 p.m. Inspections are made the following working day; please specify a.m. or p.m. inspection. When calling In an inspection please have (fie permit number, job location and type of inspection needed. Inspections are scheduled as follows: 1. Footing 2. Under slab plumbing/sewer/electric 3. Slab 4. Cover up (framing, rough electrical, mechanical, plumbing call for cover-up on building, use building permit number and reference other applicable permit numbers (electrical, plumbing, mechanical and building, etc.) 5. Insulation 6. Final Inspection 7. Drainage Inspection 8. Finish Floor elevation survey/Certificate of Occupancy BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE Concrete cannot be poured and work cannot be covered up until building card is SIGNED by the inspector. You may be required to uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to post the building card. A fee of $15.00 is charged for all reinspections. NOTE: This application may be subject to covenants and restrictions for the permitted property. The enforcement of the covenants and restrictions are the responsibility of the homeowners association. .r a ago vo VP �U�voZ pve\Id ole"a0Wo O)JO 03 5-A r �0011 .27,0 S x,04 �y OX � �x ��7� 'Soo ,a4> tfro$ �p5 k 5 vi e,4- z s�fps ,ILA �©ash ��ii per b �Ocly- CITY OF ATLANTIC; BEACH PERMIT CALCULATION SHEET Address `� © KJ (76 () D0 C� a C Date Heated Sauare Footage 0 @ per sa ft = S Garage/Shed 0 (6 $ e s j _ _ = Carport/Porc, �� _d C7.06 �e sq = S S7- Patio per =a _ S TOTAL VALUATION : �--s `d_ Total Vaivation 1st $ loob J Remaining Value $5. per thousand or portion thereof TOTAL BUILDING FEE S U + 1 / 2 Filing Fee Ica ( ) Fireplaces @ S1S . 0C S BUILDING PERMIT FEF. S WATER IMPACT FEE S _ SEWER IMPACT FEE Si WATER METER/TAP S CAPITAL IMPROVEMENT S SEWER TAP S RADON ( HRS ) CC50 a SECTION H PAVING i $ HYDRAULIC SHARES S CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE U. ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimminaPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF r��t?ctx�ir �'eACli - ��vtidct 800 SE\IINOLE ROAD —-- ATLANTIC BEACH.I LORIDA;;'l'_';;3-: 415 TELEPHONE 19041 24;-5800 FAX 19041 24,-.1805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO'FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) 19E UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS, THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455'5-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA."CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 582(5) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. N PROPE OWNER/BU E 90 236 3e,n; 2d A l...l.c &.tL FL 3t2 33 ADDRESS TELEPHONE �j SWORN TO AND SUBSCRIBED BEFORE ME THIS AY OF Patricia Amonette SS(ON N G S I EXPifi NOTARY PUBLIC . oma: August 27.2000 NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ?F,Fk`' WNMDTHMTROY FAIN INSURANXE,IN",,, ARE EMPHASIZED BY THE BUILDING DEPARTMENT. jti G6,y�' s CITY OF �'�aatic Seac! - 1T��,da 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 31133-5iWg TELEPHONE(904)247-5800 u, FAX(%4)147-5805 July 3, 1995 Mr. Robert H. Fuller 590 Ocean Boulevard Atlantic Beach, FL 32233 Dear Mr . Fuller: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 836 Bonita Road a/k/a Lot 13, Block 1, Royal Palms #1 RE#171103-0000 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of City of Atlantic Beach Ordinance Section 23-36 (high weeds and grass) . Posted 6-30-95 . You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date hereof , the City will remedy this condition at a cost of the work plus a charge equal to 100% of the cost of the work to cover City administrative expenses, which will be assessed the property owner or occupant . If not paid within thirty (30) days after receipt of billing, the invoice amount plus advertising costs , will be posted as a lien on the property. Within fifteen (15) days from the date hereof , you may make written request to the City Commission of the City of Atlantic Beach for a hearing before that body, for the purpose of showing that the above listed condition does not constitute a public nuisance. Sincerely, �"rl W. Grun�wald Code Enforcement Officer , KWG/pah cc: City Manager VIM CERTIFIED !TAIL RETURN RECEIPT REQUESTED Axl fa e CITY OF r�tfactic i�i'eac! - ?il vtida 800 SEMINOLE ROAD --- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)241.5805 September 19 , 1995 Mr . Robert Fuller 590 Ocean Boulevard Atlantic Beach, FL 32233 Dear Mr . Fuller : Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 836 Bonita Road a/k/a Lot 13 , Block 1 , Royal Palms #1 RE#171103-0000 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of City of Atlantic Beach Ordinance Section 23-36 (high weeds and grass) . Posted: 9-18-95 . This notice represents the seventh of like notices . You are hereby notified that unless the condition above described is remedied within seven ( 7 ) days from the date of posting , the City will remedy this condition at a cost of the work plus a charge equal to 100% of the cost of the work to cover City administrative expenses , which will be assessed the property owner or occupant . If not paid within thirty ( 30) days after receipt of billing, the invoice amount plus advertising costs , will be posted as a lien on the property . Sincerely , " Karl W . G unewald Code Enforcement Officer KG/pa cc : City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED CITY OF 800 SEMINOLE ROAD - ---,__.__-- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)205805 loci May 19, 1994 Mr. Robert H. Fuller 590 Ocean Bouelvard Atlantic Beach, FL 32233 Dear Mr. Fuller: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 836 Bonita Road a/k/a Lot 13, Block 1, Royal Palms Unit 1 RE#171103-0000-0 An investigation of this property discloses that I have found and determined that a public nuisance exists thereon as to constitute a violation of City of Atlantic Beach Ordinance Section 23-36 (high weeds and grass) . You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date hereof , the City will remedy this condition at a cost of the work plus a charge equal to 100% of the cost of the work to cover City administrative expenses, which will be assessed the property owner or occupant. If not paid within thirty (30) days after receipt of billing, the invoice amount plus advertising costs, will be posted as a lien on the property. Within fifteen (15) days from the date hereof, you may make written request to the City Commission of the City of Atlantic Beach for a hearing before that body, for the purpose of showing that the above listed condition does not constitute a public nuisance. Sincerely tl :Karl W. runewald Code Enforcement Officer KG/pa Enclosure cc: City Manager Don Ford CERTIFIED MAIL RETURN RECEIPT REQUESTED 1p CITY OF ALTANTIC BEACH COMPLAINT MANAGE.MENT 3YESIP1111 (date/time) c'01-IPLAINANT* Last e Firs Name ADDRESS: (7i'TY/STATE/ZIP: TELEPHONE: C014PLAINT: LOCATION: .] PROPERTY OWNERS PHO-NE: Pl',OPERTY OWNERS NAME: DEPARTMENT FORWARDED TO: COMPLAINT TAKEN BY: DATE/TIME: OFFICE "y INVESTIGATED: (date/time) ASSIGNED DEPT. /DIVISION: PRIORITY: TNVESTIGATOR: CONDITIONS FOUND: ACTION TAKEN: COMPLIANCE: NOTES: a CITY OF 8N SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-;445 TELEPHONE(904) 247-5800 FAX(904) 247-5805 July 15, 1993 RobeIt H . Ful lez- 590 Ocean Boulevard Atlantic Beach, FL 32233 Dear Mr . Fuller : Our record: indicate that you are the owner of the foll -"wing property in the City of Atlantic Beach, Florida : Lot 13 , Slack 1, Royal Palms Unit1. alk/ RE#171103-0000- An investiciatio.n of this property discloses that I have found and de=termined thatt a public nuisance exists t.hei:eon as te; constitute a violation of Section 12-1-3 of the Code of Atlantic Beach (high weeds and grass continuously present on the prop,--ty ) and Section 23-36 (gr-owth over 12") . You ' are hereby notified that unless the condition above described is remedied within fifteen (15) days from the plate hereof , the City will remedy this condition at a cost of the wort_ plus a charge equal to 100% of the cost. of the work to cover Ciry administrative expenses, which will be assessed the property owner or. occupant . If not paid within thirty (30 ) days afters reCeipa Cr billing, the invoice amount plus advertising costs , wi. 11 be poste(3 as a lien on the property . Within fi.ftr:en ( 15) days from t:.he agate hereof , y,)u rr;ay rl-61 - written request to the City Commission of the City of Atla-nt-i Beach for a hearing before that body , for the purpose of 3hnwir. that the, above Iisted condition does, not constit.ut- a rubli. nui.sance .i. Sincerely , Karl W . Grunewald Code Enforcement Offi (,---i KWG ,I 4 pah r'l-lCl sures c'c . City M:-+nage VT?'f CERT(FTFT) X71' Tlj ,r. CITY OF ALTANTIC BEACH G� COMPLAINT MANAGEMENT SYSTEM TAKEN (date/time) : COMPLAINANT: Last Name First Name MI ADDRESS: e� ! CITY/STATE/ZIP: , TELEPHONE: COMPLAINT: -- �� LOCATION: aic..�•��„ PROPERTY OWNERS PHONE: ( ) PROPERTY OWNERS NAME: ' DEPARTMENT FORWARDED TO: g- COMPLAINT TAKEN BY: �y ���-�,t �7 DATE/TIME: I OFFICE USE ONLY INVESTIGATED: (date/time) ASSIGNED DEPT. /DIVISION: %,rpm PRIORITY: INVESTIGATOR: � ,-�� n - CONDITIONS FOUND: ACTION TAKEN: COMPLIANCE: NOTES: 13 R.4 ell p p'� A T Jy, v iC A E /� �� p 4& 4 *A s CITY 0) 1*&ot& Vend - 9614la 800 SENUNOLE ROM) _....__....-..___.__ ATLANTIC BEACH,FL.ORMA 32233-5445 TELEPHONE(404)247-5800 L?ALX(9114)247-5805 AZI 14 , B, Dear Sir : Our records indicate that you are the owner of the following property in the City of Atlantic Be ch, Florida : lee" S3 X/ ns An investigation of this property discloses that I have found and determined that . a public nuisance exists thereon as to constitute a violation of Section 12-1-3 of the Code of Atlantic Beach (high weeds and grass) .14A�-d 5'. c- ,-Z3-- 3 G' du�R You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date hereof , the City will remedy this condition at a cost of the work plus a charge equal to 100% of the cost of the work to cover City administrative expenses , which will be assessed the property owner or occupant . If not paid within thirty (30) days after receipt of billing , the invoice amount plus advertising costs , will be posted as a lien on the property . Within fifteen ( 15) days from the date- hereof , you may make written request to the City Commission of the City of Atlantic Beach for a hearing before that body, for the purpose of showing that the above listed condition does not constitute a public nuisance. Sincerely, Karl W . GrunewaId Code Enforcement Officer CG/pa cc: City Manager VIA CERTIFIED MAIL CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5845 TELEPHONE(904)2415800 FAX(904)2415805 June 21el, 1992 At -1 ,mJ. i.c Detach, FL 32233 tw'nl Mr. Puller . -'c- the' G1wric.-l- of foll�:lwil�itl -1 x -'r c---,c oy cl r' i"rack c a�t. 4,11at you al i L) d p r o p e i t,, in thti? City of At.lawtic Bc:ac : a/k/a !.,(-.)t 13, Block 1, Royal Pai-i:EUnit 1* 1 hIL"#171 ,U)3_0000 0 of thi.-: p.Tupel-Ly I h I v(-, i'-:I I:;dl :"id dc' ce I 11,i r I e d that t h i_s F r o p'? t.,, :i.t> if] vi c.il k.l ti c (I of tis (_;.:i Ly ot Atl,�-int.icc Beach (,)-, dinarice--; arid l'2-1 -6 .- Weeds You are he:( L-by notified that unle's's, ti.;(? <15ck'vc-, nic, remedied within thirty (30) day:i f; cmt tliv date ( ase Will 1.w turned over to CUdf-' 1-103rd. Under Florida Statut.e 162. 09, the Code Bc)aid mi-y mtpoe fines of up to �250. 00 pc-:t di-ay 'fc-lc a fil-st vicl �-lticm arld '::C)C-. C)(,, pej, day for a repeat violat-ion. cont,zicL at- 247-5132G nt.r-tjt U) hs-'Ing f-w-rciperly into compliance. C 0 d E fcrI c m 0 CC City Ilanagey CERTIFIED MAIL 11E.TURN PECEIPT REUUFSTE'D 09/05/87 FRI 12:00 FAX 804 44," "5U r.Vulix al+r.+: ��•• �� �f� U� I ti ~�N MAP SHOWING BOUNDARY SURVEY OF LOT 13, BLOCK 1, ROYAL PALMS UNIT ONE, AS RECORDED IN PLAT BOOK 30, PACE 60 AND BOA, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: ANTHONY GONZALEZ RODRIQUEZ COMMONWALTH MORTGAGE TRANSCONTINtNTAL TITLE OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY BONITA ROAD (60.0' MONT OF WAY) FOUND fl:e AGN pi E o.� S 8520'02" E 80.65 ad 'ouNo 11rnaM r r � 1-t • M 25 BURDINO 9011 MON UNE s. ONE STORY CW0kr x !'— LOT 14 7`i MASONRY LOT 12 BLOCK 1 POSTED If 936 BLOCK 1 w 0 bi 0 o P o IZ IAT 13 PoY C� y BLOCK 1 nw,�AN;'U easdr6Nr at' axe raw //��'' 'DRNMon o' W 85'20'02" W 90.6.57' D,r LOT 22 p R vG 8�P\cE BLOCK 1 P��PN \,ac?cF (Ll b QF `� E 1by 0 LEGEND: CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 Permit Number: 19689 m Address: NFORIVIATION, PERM T-'INFORMATION ress: 836 BONITA ROAD Permit Type: ROOM ADDITION ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): 13 Block: 1 Section: 0 Square Feet: Subdivision: ROYAL PALMS UNIT 1 Est. Value: Parcel Number: PB 30 pg. 60 Improv. Cost: 10,000.00 QWNERrIi�tORM/ TION = . . Date Issued: 3/08/2000 Name: ANTHONY GONZALEZ RODRIGUEZ Total Fees: 90.00 Address: 836 BONITA ROAD Amount Paid: 90.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/08/2000 Phone: (904)247-4449 Work Desc: FAMILY ROOM = CKr U wow =.aPP " fI .FEE,S PROPERTY OWNER PERMIT 90.00 . I FOOTING SLAB COVER UP FRAMING FINAL BUILDING I I 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 THS 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. Date: 3/89/88 81 Receipt: 0048341 ATLANTIC BEACH UILDING T. CHECKS 326 88188883221888 Book 9555 Page 263 rLA. 1191 LAWS 1 RAMCO ro"M 4M ra 711.1) INafirr of ire "'Jammritermrxtt aaaraaa 1N ourucA�a1 Zia Wimm it ' c>ancem The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Descriplionof property........ b .....#.....13../-......B . ........................................... . ......................................I....... . . ........................................................................................................................................................................................................................... .............................................................................................................................................................................................._................................................ ......................................................................................................................................................................................................................f........................... General description of improvements....... !4 ?..�./ ...........(`...�. ./' 1.......... 1.4+i........ .L!'�....... d`C ........ ................................................................................................................................................................................................................................................ .........................................................f..........................................................................,................................................................................................ Owner........H.1n f?.n. .........4 'O v\Z.:,A Ie L......................................................................................................................................... Address......?.a� ....7!;ao 'a "—t a.,� cf ec-, � L: ...... ...... ... ;, ........ .... F .................................. ............. Q� Owner's interesl in site of the improvement........... .Y.......?.c! .!1......U...S-e ................................................................................. Fee Simple Title holder (if other than owner) c %W45246 Pa e: 263 Name......................... ........... � .................................................... . 02/29/00 03:32:37 Ph HENRY N COOK Address................................................................................................................................ CLERK...CIP"11-COURT............................................... DUVAL COUNTY Contrador.............. ..� ......................................................................................... TRUST FUND............ _ ....... 1.00 ...... ..,.. � ..RE£{iRDt;NG.. ..;... ...D;.0Q.........I............. Address...................................................................................................................................................................................... ...... .. .................. Surety (if any)....................................................................................................................................................... ............................................. Address.......................................................................................................................................................Amourd of bond s............... ....... ........ Name of person within the State of Florida designated by owner upon whom wk*s or other dooarwnts may be served. Name .......... .... ............................................................................................................................................................................................. Address............................................................ ............................................:................................................................................................................ In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option). Name.------------ r i U.0 �UlP11n j nAT13ks ' i�00mA�d �� { �JNiCy. 1n8AM ° Cl 3 A O AI IV J-1 IA l ru PA C3 S i t f e r Add, 4 Y 3 s E t e t€g t 4 Sg 4 t s i Y S r 4 L T \ t; x .tea.».-.__... — ..._._.-..-.. -.......�._.. ,�.__.,e.....�w .m.._„�_ 4 rr f' � r r i q 1 g )� I' � tiv < v'tic)n � d conc.,�c c .r.` . eC,V-"-\ eC.� C x r i tI rJ i © �1 4 t Ax * --r--�'- 4 t I i 3 E ! � � I d 5, k i l _ .. > �0 i 4 1 P. c d t _ g l 4 2ou.�s Conc-r c �� lit. �.s ,��; k�,� w� vp •= Ib ter' G �C. O a C. C7 O (b G �7 OC � Q RECr-IVED FEB 2 0 2000 CITY OF ATLANTIC BEACH City of Atlantic Beach PERMIT APPLICATION REMODEL, ADDITIONS, OR kbMRWGTQKi9ng yy�� 1111 MOVING, DEMOLITIONS Owner(s) : Ay14\0V%V cy'oV A 12Z Job Address: L4 Phone: 21 O � �( -91?0 Lot # .13_ Block or Unit #�_ Subdivision: Contractor: OW v\ cc) a.C� State License # Address: Phone No: City State Zip Code Describe work to be done: Fpwv, Present use of building: CI�YZ Valuation of Proposed Construction: Ila�000 - - Proposed 0Proposed use• U S+! Is this an addition? If yes, what are the dimensions of the added space: /I ft. X y -q" ft. Will the added area be heated and cooled?� New electrical (or increase) ? New plumbing fixtures?NO New fireplace? N0 New Heat/AC? f—�651n k SUBMIT THREE (COMIERCIAL) TWO (RESIDENTIAL) COWLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMIENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER I5 CONTRACTOR. Signature OWNER:—AA LDate: y_O Signature CONTRACTOR: Date: AS TO OWNER: Sworn to and subscribed before me this ay of -Q/ 2000. T NOTARY PUBLIC AS TO CONTRACTOR: ' �Y r MY C0MMSSION ocoul EXPIRES qupum 27, 000 TW FAJN 1 'INC. Sworn to and subscribed before me this day of DED ,� NOTARY PUBLIC FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OC-97 Residential Limited Applications Prescriptive Method C NORTH 1 2 t } SnmN Additions,Renovations&Building systems Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6tOC-97 for additions of 600 square feet or less,site-Installed components of manufactured homes,and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 6008.97 or 600A-97. [AND OJECT NAME: BUILDER: Lv ADDRESS: �) tZ PERMITTING CLIMATE 2 Z 3 OFFICE: ZONE: 1 112x3 NER: LL2=3 -� c. PERMIT N0. JURISDICTION NO.: (0 SMALL ADDITIONS TO EXISTIN&RESIDENCES(600 Square feet or less of conditioned area).`Prescriptive requirements in Tables 6C-1,6C-2 and 6C-360-3 apply only to the components of the addition,not to the existing building. Space heating,cooling,and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATiONS(Residential buildings undergoing renovations costing more than 30%of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS.Only site- installed components and features are covered by this form.BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK 1. Renovation,Addition,New System or Manufactured Home I AJJ1 '0 2. Single family detached or Multifamily attached 2. 5"'1& S l K 3. If Multifamily-No.of units covered by this submission 3. 4. Conditioned floor area(sq.ft.) 4. tf r,;L 5. Predominant save overhang (ft.) 5. 2_ Ff S. G_jass area and type: Single Fane Double Pane < - Sear glass 6a. sq.ft. 70 sq.ft. b. Tint,film or solar screen 6b." sq.ft. sq.ft 7. Percentage of glass to floor area 7. % 8. Floor type and insulation: a. Slab-on-grade(R-value)` 8a.' R= lin.ft. b. Wood, raised(R-value) 8b: R= sq.ft. c. Wood,common (R-value) 8c. R= sq.ft. d. Concrete, raised(R-value) 8d.: R= sq.ft. Concrete,common(R-vaiue) Be. R= 77- /1 YZW%q.ft. 9. Wall type and insulation: 'a. Exterior: Masonry(Insulation R-value) 9a-1 R= 3 (2- sq.ft. 2. Wood frame(Insulation R-value)- 9a-2 R= sq.ft. b. Adjacent: Masonry(Insulation R-value) 9b-1 R= _ 4 2- sq. #t. 2. Wood frame (Insulation R-value) 9b-2 R= sq.ft. c. Marriage Walls of Multiple Units* (Yes/No) 9c 10. Ceiling type and insulation: ' a. Under attic(Insulation 8-value)- 10a. R= sq,ft. Single assembly(Insulation R-value) 1Qb. R= sq.ft. 11. Cooling system* J (Types:central, room unit,package terminai`A.C.,gas, existing, none) 11, Type: SEER/EER: 12. Heating system*: (Types:heat pump,elec.strip,natural gas,L.P.gas, 12. Type: Elta, S gas h.p.,room or PTAC,existing,none) HSPFICOF/AFUE: 13. Air Distribution System*: a.' Backflow damper or single package systems*(Yes/No) 13a. b. Ducts on marriage walls adequately seated* (Yes/No); 13b. 14. Hot water system: 14. Typ ec _ (Types:elec.,natural gas,other,existing,none) EF: *Pertains to manufactured homes with site installed components. I hereby certih+that*hqansnd specifications covered by the calculation are In Review of plans andspecifiicationscoveredbythiswith thy Code. with the Florida Energy Code, re construction aREnnt�ED sv: DATEinspected for compliance in a ce with 3.9t " .Si hereby certify t a thin corrpila the Florida Energy Code, BUILDING OFFIGAu OWNER AGENT: DATE: DATE: _1_ CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH.FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489, 103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS, IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES, ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 1.DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE, THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OW ER/BUILDER s 3 (, -Bo , ; f + 12d a 1-'1 i 9 o ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS OF _ NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING wmift DEPARTMENT,,. ®�� � 1GW� �` _ 11�I1�1 WON',Yrn�n INC �JNN�4 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 6 0N rl `J Date 3 ` ~ ©r Heated Square Footage @ $ per sq ft = $ Garage/Shed -- �� @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ DeckC'�� @ $ per sq ft = $ Patio v @ $ per sq ft = S � TOTAL VALUATION : SO / /0t5 $ To1 Valuation 1st t,� $ 060 � �— s Lles 6) Remaining Value SS• per thousand or portion thereof TOTAL BUILDING FEE $ .J + 1/2 Filing Fee ( ) Fireplaces @ $15 . 00 $ O r BUILDING PERMIT FEE $ WATER IMPACT FEE $_ _ SEWER IMPACT FEE S WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP S i ) RADON (HRS) . 0050 S SECTION. H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ) SURCHARGE . 0050 $ OTHER $_ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : 09/05/97 FRI 12:00 FAX 904 44,'1 . --1U LVAU1Ll MAP SHOWING BOUNDARY SURVEY OF LOT 13, BLOCK 1, ROYAL PALMS UNIT ONE, AS RECORDED IN PLAT BOOK 30, PAGE 60 AND BOA, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED Y0: EI VED ANTHONY GONZALEZ RODRIQUEZ COMMONWEALTH MORTGAGE TRANSCONTINENTAL TITLE I=E LS 2 8 2000 OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY City of Atlantic Beach Building and Zoning BONITA ROAD (60.0' RIGHT OF WAY) FOUND I/2' IRON PIPE G.tY S 85'20'02' E 80.65, 'OUND 1/t IRON P1PC tro aEN11P1uiloN a°� 777 25 BUILDINO RESIRIOOON UNC NMI y ONE STORY ;, CARPORT x LOT 14 MASONRY A LOT 12 BLOCK 1 POSTED 936 BLOCK 1 w �� 3 IJ Ee cG o>, � o10 (��-ems o 0 LOT 13 P O0 BLOCK 1 Q o O V RMAGE AND U11U1Y IASELENT T 344-02! b 3OL � FON o1'�tttrlc�oNwe d N 8570P02" W 80,65 D'' Fyra lmrana�Oa'voi LOT- B 2 BLOCK 6y 0 LEoEND: d i 4 A GCI, L� I } { .,�__ ._ ... ............W.s-...-.m.....,_...,,.�-..»-�...^-»:,�..:...M.,.-wee"'°"'= S { S 9 f a I M t i