permit 860 Bonita Rd CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
S)
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
C sill
Application Number . . . . . 05-00029878 Date 3/15/05
Property Address . . . . . . 860 BONITA RD
Tenant nbr, name . . . . . . REROOF TIMB GAF 30YR
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4600
Owner Contractor
------------------------ --------------------- ---
LEINEWEBER, ROBERT ROMANO ROOFING SERVICES
P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 545-7878 (904) 246-5649
---- ---------------------------------------- ----- ---------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 83 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4600
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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
COI)ES.
X 9
BUILDING OFFICLA1
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address
Date
Heated Square Footage (a-), $ per sqft= $
Garage Shed petAq ft= $
Carport Porch (,Z,�if) 0 Ppie`r�s Iq ft= $
Deck @$ per sq ft= $
Patio @ $ per sq ft= $
TOTAL VALUATION: $
$
Total Valuation
3(veb $
Remaining Value per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $
ZONING: + 1/2 Filing Fee $ .2
FLOOD ZONE: )Fireplaces@$35.00 $
IMPERVIOUS SURFACE:
BUILDING PERMIT FEE $
WATERIMPACTFEE $
SEWERIMPACTFEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT$
SEWER TAP $
C ( ) RADON .0050 $
SECTION H PAVING ( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $
ST( ) SURCHARGE $
OTHER $
GRAND TOTAL DUE: $ Fns-
CITY OF ATLANTIC BEACH Cc:
D. Ford
BUILDING / ZONING DEPARTMENT �L. Fri �in
800 Seminole Road S. Doerr
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # 0-13
Property Address:
Applicant:
Project:
This permit application has been:
[])I/ Approved
El Reviewed and the following items need attention:
V-11
<�A
Please re-submit your application when these items have been completed.
Reviewed By: L4- Date: o-5
Date Contractor Notified:
CITY OF ATLANTIC BEAC�H
..........
ROOFING PERMIT APPLICA-fION
Job Address:
Owner of Property:
Address: VXIA Telephone: --0t61,"S—Wt
Contractor: , 9Q1"AA10 wcle�141 Ve"evle-i�r State License Number: -0-Oy7g I
Contractor's Address: -3 e) /1/ 17 -1 I-w e-7- 19V=4n17-jc- 11 el ZZ J2 a 3,3
Telephone: CjQ 4(- VV4. 7�5� 4F Fax: go -,2 C/j� —1,4
ScopeofWork: F e-- ro4,(
Deck Slope: Y,�Z 2- Greater than'2:12 Less than 2:12
Valuation of work:
Product Name (Example:Timberline): cS 0 6 et, A-7,2--A--,
Manufacturer(Example: GAF):
ASTM Designation(s): 3(0'+
Required Inspections: S thing d I
Signature of Owner:;� a;� Date:
A
Signature of Contractor: Date: s
AS TO OWNER:
Sworn to and subscribed before me this day of (VIO 120Dt�?
State of Flori t"�A I
""*Atl ?I V/T
ELAIN A PRO Notary's*Signature: e�SN��111
My Co�&USSIoN 0 DDIS7393
11 2008
MOMS:sWwnba 23,2008
Fl.NOWY IX..wt Aswc.Co. Personally known
J-800-3-14-'Mly
2"Produced identification
TO e of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 01b rch 20
State of Florida, County of Duval Notary's SignatureCjdLj��q
El Personally rlauwn
-w-- EL A ROMANO -1 Produced identification
W, CoMmISSION#DD357393 r
OUUtFS:Sp,.,,b,23,2008 Type of identification produced
Fl.Navy D300wt Asso�Co'
1-900-3-NOTARY
800 Seminole Road Atlantic Beach,Florida 32233-5445
Page I Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Revised 2/21/03
Mar 15 05 10:06a leine 904-247-2270 P.2
I
A. S�ettldffient Statement U.S.Deparinlarit of Housing and Urban Developrinent
S.Type of Loan OMB No.2502-0265 REV.HUD-1(3186)
1, OFMA 2, OFmHA 3. ECony.Unins. 6.File Number 7.Loan Number &Mortgage Insurance Case Number
4, OVA S. QConv.Ins. 5020044
C.Note: 7..lr=�W'I'Aside the closingi;they are wpw and hat in Ins laws. Tftielixpress Settlement Systril
WARNING�N Is a oriMe to kmo�kriaryr a**has "so swes am this ar any other sixtriar form.ft"oes upon
corwica"rant incAmse 0 Am and a U.4 raft Section I W end SWA4n 1010. Primed 0211 0=5 at 11:51 CT
D.NAME OF BORROWER: ROBERT R LEINENWEBER and LARA 8 LEINENWEBER
ADDRESS: 860 BONITA RD.,JACKSONVILLE,FL.32233
E,NAME OF SELLER: EDWIN A GYLILIN,It
ADDRESS: 5535 MCCRACKEN ROAD,HERNANDO,MISSISSIPPI 38632
F.NAME OF LENDER: SSM FINANCIAL,L.P.dba BROKERSOURCE
ADDRESS. 13901 SUTTON PARK DRIVE,SUIT E.JACKSONVILLE,FLORIDA 32224
G,PROPERTY ADDRESS: 860 BONITA RD.,JACKSONVILLE,FL.32233
H.SETTLEMENT AGENT: All State Title Group,LLC,Telephone 904-384-3554 Fax 904-384-3599
PLACE OF SETTLEMENT: 4751 San Juan Ave Ste 1Z Jacksonville,FL 32210
1.SETU?%T&A&. 01012
00
OF BOWW-Eh TRANSACTION: K.SUMNWY OF SELLOVS TRANSACTION:
100,GROSS AMOUNT DUE FROM BORROWER 400.GROSS AMOUNT DUE TO SELLER
101. CMW sales price 145,000.00. 401. Controal saw price 14,000.01)
102. Perwrial Prowtir 402. Per%nal Property
103. Settlement charges to borrower(line 14001 3,n3.19 403.
104. 404.
105. 405.
Adjustmients for itemss pald by selffer advance Adjustments for Oerns paid by seler advan
109. 409.
110. 410,
Ill. 411.
112. 412.
120.GROSS AMOUNT DUE FROM ORROWER 148,M3,119 42D.GROSS AMOUNT DUE To SELLER '145.000.00
200.AMOUNTS PAID BY OR ON BEHALF OF 80 OWER 500.REDUCTIONS IN AMOUNT DUE TO SELLER
2DI. Deoosit or eameSt money ZSX.00 Sol. Excmss 0%mg(see instrucoonal 2,500.00
202, Prindpal^unt of new]Qans 105AC-00 502. Setoement OM to Seller(line 1400) �2.900-001
20. Blistina loan(s)taken subiW to = E)dsting ban(s)taken subied to
2D4. 504. Payoff:8326W 116,323.76
CITIMORTGAGE
205. W5.
2M. Mo. I -
2Q7. 507.
209. 509.
200. 508.
Adiustments for Items uposid bv eller Adjustments for items unpold by lot
211. County taxes 0110105toll2tillit(IS 205.98 511. County taxes - 0`1101105to(12110105 205.98
213. 513.
214. 514.
215. 615.
216. 518.
217. 617.
2% 518.
219. Big.
220.LOTAL PAID BYIFOR BORROWER I 10T.705.98 520.TOTAL REDUCTION AMOUNT DUE
300.CASH AT SETTLEMENT FROM OR TO SO ER - S&CASH AT SETTLEMENT TO OR FROM SELL J45,000.00
301. Gross amount due from borrower(0ne 120) 14JR1194-601. Grm amount due to seller(Hrie 42D) 12t929.14
302. Lou amounts paid byft borrower(line 220) 107,M5.981 6M. Less redudion amount out Seller(fine 5201
30.CASH FROM BORROWER 40,99 LER 23,070.26
SUaSTrTIjTE FORM 1M SELLER STATEMENT:The WOMOtion conigbisal herein is ingiartanj tax Infournitition and is being furnished to the red I file a nifitm.
add an yoW it this fern Is Mquired to be tepgftd and the IRS d4WVnin@*(hat it has W been=-11IX .11104=bd on
sa"oft.
SELLER INSTRUCTIONS:it thet real*"a"s Wndpol ramiderice,lk Forrm 2119.sale at exenaw or Principal Rmidence,for any qvirt,with your Incorne sag morm.for other Wonswilont,
a
Co., I#,hdandow*peftQjFom4n7.Fom andoor Schedule b(Forin 1040).
Ym ont red M.PWAr idenatiod'an AwrnbeC
=gd tby Ir orm wan yaw tw4c,taxpayer identiricallon Nrober,it yox,w not Provism your w"act uxwtw idendrKmion
y . =
NO:
nurbof, bylaw.Undgrponolliagal p rjury.I Cerlifi,thal.the nWnbW 111110WIN 04"S 111111kiltnifInt IS"OMM9
TIN:_j_SELLRR(S)SIONATUPM(SY i
KLLERIS)NEW MAILING ADDRESS:
SILLER(S)PHONE NUM*R$: (H) (W]
mar 15 05 10:06a leine 904-247-2270
0 P.3
1.1.8,DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT File Number 05J1-0061 PAGE 2
SETTLEMENT ITATEMENT REV.HUD-1(3106) TiftExivess Settlemeo System ftled(IM0102005 IISICT
L. SETTLEMENT CHARGES PAID FROM PAID FROM
700.TOTAL SALES*R2gR`S COMMISSION based on price$145,000,00 Q 0.000 SORROWERS SELLERS
DIVIslop of cogrilssim ttins TQQ)-"101110": FUNDS AT FUNDSAT
701, $ to SETTLEMENT SETTLEMENT
zq.-$ to
703. icommission pgiq at Settlement
SIX).ITEMS PAYA13LE IN CONNECTION WITH LOAN
M. Loan Oftftafion Fee _%
n Loan Discount %
803. Aporalsal Fee to Richard D.Smith 300.00
804. CmdA Rewn
W6. Processina Fee to SLIMLAITT MORTGAGE 350.00
W6, Administr0on Fee to 8SM FINANCIAL,L.P.dba BROKERSOURCE LR 88.50 536.50
007. &HuMion Fee
809.
810, Monona Bwker Comoonsation to POC to Summit by SSM($54110.65) S POC by Lander
900,ITEMS REQUIRED BY LENDER TO BE PAID IN DVANCE
901, InIvest Fmm 02MO12005 to 0=005 A$- -17.6198 My 19 Days LR 334.T8
W. Mg_ftM noe Premium for �o
903. Hazard Insurance Ptemium 1w A,Preferred Insurence-Company 802-00
904.
W5.
1000.RMRVIES DEPOSITED WITH LENDER FOR
1001.Hazard(nsurame 3 mo.O$ 66.83 imo LR 200.49
1002.Momage Inswance Mo.Q S __Imo
1001,cft Promy Tat mo-A$ Imo
1004.-County Proom Tax 6 mc.A$ 156.1%imp LR 939.84
1W5,SftDI Taxes Mo.02
1009.AweWeAMysIs;A
1100.TITLE CHARGE§Augment to BSM FINANCIAL,L.P.d1ba BROKERSOURCE LIR -469.92 0.00
1101.SeWsme0orclosingfes to AlIstste Title Group,LLC. 125.00
1102.Abstract or Oft search w AI!jWe Title Group.LLC. 125.00
1103.T"WeeKaiNnatIon t Allstate Title Group,LLC. 100.00
1104.Title Insurang2 binder
1105.Document Pravaration
1106.NoIn Fees
1107.AttomcYs fees
[includes above items-No:
1108.'ride Insurance -_ - to Allstate Title Group,LLC. 125.00 950.00
(includes above Items No:
I i0g.�endfWs Nk 105 -125.00
I 110.Owner's Policy 1145,000.00 .950.00
li-II.ALTA8.1 --- to Allstate Title Group,I.I.C. 25-A
I III ALTA 9(ON LENDERS) to AlIjIgg Thle Group.LLC,
I 19.QMrIgr/H gFees to AtIstate Title Group,LLC. 30.00
1200.GOVERNMENT RECORDING AND TRANSFER CHARGES
112M.Rowdin-a Fees Deed S 18.50 :Moirtwe S 214.00 :Re4ease s 232.50
1202.0 mmentavy$tons Dead$1,015-DO MD"w"$367.50 367.50 I.M.00
1203.Intangible Tax Dq@d$ - Mortame,S 210.00 210.00
I&R-wor-d Relvases to ARstate Title Grow,I.L.C. lazo
$1205.-A10T140NAL SETTLEMENT CHARGES
""S
1301.Su
_ roey
1302.Pest Inge2ft
im.
13134.
1307-
1308.
11400.TOTAL SETTLEMENT CHARGES (ertler an lines 103,Seg)on J and L02,Section K)
MUO CERTIFIC-ATION OF BUYER AND BLUER
I Nive=reviwecl the NUO-1 SDW~t Sw*mnt 4114 to the bW of="4098&-d b4hef-K Is 0 VUG"&4=III6 S(II(Ormd of INS mftl^&W Cksburiternwftmode,CA vry secottnt or by me
In Bell W I kftW cw*ftl I he"%Ceil�a copy of the HUO.I Sol '"So11WW(I 09(ve to ftxftl bdJWt1W" Ihe-0111 Ot WMS br onftsions and W4&nWy wid rod
holf4ex;S(Afieft"RAt AWt SQ*M such wror or oftftsions.
-W.K Zv J
WARN GLY MAKE FALSE STATEMEN7510 rKE The MUCIA 14 1 M-ent Mch
U..TE'11ITTWOC.N.IST(oft 4AS"' CONVICTION
0 J.j of INS w"ClIm.
I he tre fUnds to
C A N I No L U 0 9 A F WE AN 0 MM I;WW.F?(RqMbpEEjA1ALL3TSqE3E UTPI TOLNE 18:
U.S.COOFSECTION1001 AMOSF=ION 1010.
Mar 15 05 10: 06a leine 804-247-2270 P. 1
A facsimile from
6ftTw-4 wwus c4"wnur-TroN,rNc.
To: City of Atlantic Beach 1015 Atlantic Blvd., Suite 240
Attn: Bonnie Atlantic Beach, Florida 32233
Fax number: Ph.904-246-6056 Fax. 904-247-2270
Date: 3/15/2005
Regarding: 860 Bonita Property
Comments:
r
'n
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
INSPECTION
BUILDING PERMIT LOG ELECTRICAL PERMIT
PLUMBING PERMIT MECHANICAL PERMIT
JOB ADDRESS_r� 0
CONTRACTOR
OW N1 E R
CALLED IN INSPECTED INSPECTED JEA
APPROVED REJECTED
Foundation
,o*ooting
Slab
Plumbing (R)
Top-Out
Electrical (R)
Electrical (F)
Temp-Pole
Plumbing Final
Framing
Sewer
Lintel/Beam
Other
FINAL INSPECTION
'00*
Av
r--,-S -: -- ;-D iN
T C '.'-:7,N' t
LD
FT.
L.- F�
PA _J
7 C
lOiAL
I T
-'%7 !t!. V.
C,T
ER
264 kR-3944
.7�
DEPARTMENT Of BUILDING
CITY OF ATLANTIC BF-ACH
PLMM I T 1,N P ORM ------ ------- LOCATION INFORNATI.,ON'
ATION
t mAmb e r 9264 kddres,s BONITA RD,
ATLANTIC BEACH, FLORIDA ,32233
Type BU,I LID I NO
�'Rjjo,� :of Work: GARAGE ---------- LEGAL DESCRIPTION
f*omstr . Type., WOOD FRAME �ot : 15 Block; I Section:
Township. RNG� 0
O � � sea Use: QARAGE/CARPORT
r0plo
code 0 5ubdivision, ROYAL PALMS 1
ed V
' iM
E
at a, �$4480.,00
C,,t
$0.0 0.
"'Total F $52 � 50
Amoun �$52 150
2A
113 E IN PRONT at Z
YTAtTNa GARAGy
411�1
TION
#'-`1 11, , , , �i� , f--- APPLICATION FEEIS
H NO 4 PRMIT
T PL $52 . 50
W A T ZE 0 & .00
T
p
5 rLOR I Dkgi 4,f
GAS_H.R.'S. $0.oo'
RADON
C R ORMATTO* ------- RADON CAB 5%
VI
CAPITAL IMP�RQVE�,
_0 0
Pt
Voss- SEWER TAP $0.00
A"
C
ROSS CONNECTION $0 .00
H IMPACT FEE
Type: SEC
to 00",
CONMSURCHAROE ,
,,NOTE$:,
NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED,BEFORE PO U-RING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
9UILbfN0,MATERIAL,RUBBISH ANDrDEBRIS FROM THIS WORK MUST NOT.BE PLACED IN PUBLIC SPACE,AND MUST BE�
CLEARED UP AND HAULED AWAY BYEITHER CONTRACTOR OR OWNER
Or LT
"FAILURE T COMPLY WITH THE MECHANICS' .LIEN. LAWCAN RESU IN'
R PAYING
f1g: PROPERTY 0WNE TWICE FOR BUILDING IMPROVEMENTS.
T:TO REVOCAT N'POA
ED ACCORDING TO APPRO UB*C
V.ED�PLANS WHICH ARE PART OF THIS PERMIT AND S
IC 6
PROVISIONS 01'LAW.r
A LA
T.jON OF-APPL A LEE
ATLANTIC BEACH BUILDING DFARTYENT
Zo
PL.A. 1*67 L^W9 Wo"M am
Ps
f3hom it n&XV can==
The undersigned hereby Informs all concerned that improvements will be mods to certain real
propertV, and in accordance with section 713.13 of the Florida Statutes, the following information
is stated in this NOTICE OF COMMENCEMENT.
Description of property.....2.6..L... ..................
................
................................................ Z- C,2-7 .................... .....................................
........................................................ ............................................................................ .........................
.............I................................................................................................................................... ...... ....................
General descrOon of ...... ........
.......... c-'Z 05,�......
............................I......................................................"..........
.......... ....... ......../C7......... Z2�......................................................................
AdcIress.-L'LL A ................. ......I........ .................................
Owner's interest in a* of the ...........ak!R�-&...................... .............................
I" Simple, Tole hokl4w (if 90w Ow" qwjw)
Nam...... ..................................................................... ................ .................1—.............
...... .... ... .........
.............".—......... .....................................
Contrador...... ............................o....................................................I................................... ........................................
A"ess.........................................................................;...........................................................
2,.1.
Surety Of ww�—�a ............ ..............................I.......................................
$...........................
NWW of P W81W Widift 16 518" Of P"W* &dPW*d hY 9W1W WON WhW P N Or 40W &0AWA My
60 serve&
.............I..........
Ad*ew......... ...................................... .........
In addition to hicmlf,owner designatss th@ following person:to rMi"a copy of the Lionor's Notice
as provided in Section 713.13 11) (F), Fl(wWo StatuteL (Fill In at Owner's option).
42.../.......................... ..................
3
TWO QPA$X 0100 x=**WW-S USK S,MLV
CITY OF ATLANTIC BEACH PERKIT CALCULATION SHEET
Address--� t T A
Date 6
Heated Square Footage @ $ per sq ft = $
G a r*e:/S �-d @ $ t(-(.00 per sq ft. = $
Carport/Porch @ $_per sq ft = $
Deck @ $_per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION : $
Total Valuation ist $ /V00 --
3q F6-- 0 �� - R C-) - C5 0 $
Remaining Value $ ".r'Oper thousand
;�' portion thereof
TOTAL BUILDING FEE
+ 1/2 Filing Fee $
Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE
WATER IMPACT FEE
SEWER IMPACT FEE
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
) RADON (HRS) .0050
SECTION H PAVING
HYDRAULIC SHARES
CROSS CONNECTION
) SURCHARGE . 0050
OTHER
GRAND TOTAL DUE
ADDITIONAL PERMITS OR FEES: Mechanical_; Plumbing
Electric/New Electric/Temp_;SwimmingPool
Septic Tank_ Well Sign Finish Floor Elevation
Survey other
CALCULATIONS and/or NOTES:
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
Owner(s) : tl-��A"
A d d r e s s 7- Phone:—,I,//
Lot # Block or Unit Subdivision:
Contractor:
Address: Phone No:
Describe work to be done: 14,X I)z.'rq c6�s o
('7 Z /5- a4�
I-"'UA?--5U4- A1T- T-0
Present use of building:
valuation of Proposed Construction:
Proposed use:
Is this an addition?-,-&A� If yes, what are the dimensions of
the added space: / 46 -f t X ft . Will the added area
1?41d be heated and cooled? Now electrical (or increase) ..
00 1
New fireplace? 'New Heat/AC?
New plumbing fixtures .61 d-
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
7
S�lVature OWNER:��'/""- Date:
Signature CONTRACTOR: 51 Date:
T"
c) 1994
lu
NORTH WALL
19/3'21 plywood
ridge board
f 11 berg I ass Sh i ng I es
2X6 rafters 24" O.C.
double 2X4 top plate
in
in
7
06.
0
APPROVED
5 reb r CITY OF ATLANTIC BEACH
BUILDING OFFICE
0 M4
0 0
MONOLITHIC SLAB
CD
41 16' WIDTH
EA'ST VIEW
double 2X4 top plate
U
cs
Ix
"C
7
C4 7
5
c MONOL I TH I C SLAB Wl TH 12" X 20-
0 0
FOOTERS AND -2 *5 REBARS
co
.04 20' LENGTH
Ile
'NINII SOUTH WALL
19/32 plywood
ridge board
f iherglass shingles
INI
4'-IX6 rafters 24" O.C.
double 2X4 top plate
0
c
N
in
in
"0
C
C4
a.
5 reb r
0 la'X20" f ooter w i th 6" 0
monolithic slab floor,
co
16' WIDTH
4EST VIE�v
double 2X4 top plate
U
ci
in
iN
4)
0
a.
5 reb
0
MONOLITHIC SLAB WITH 12" X '20"
0 0
FOOTERS AND 2- *5 REBARS
CD
20' LENGTH
MAP SHOWING BOUNDARY
SURVEY OF.;
LOT 15, BLOCK 1, ROYAL PALMS UNIT ONE, AS RECORDED IN PLAT BOOK]
30, PAGES 60 AND 60A OF THE CURRENT PUBLIC RECORDS
OF DUVAL COUNTY. FLORIDA.
801VI TA ROAD
60'RIamr-Or- WAy
wvemo
S. 4950
mo.Sir,
A
Z5-&11dwq Oshwmw Z/,�*6 v Rol
o
(p A J'JV4NIV
St OCK A2,'cS1D--A10E-
ft AALcQ&0
It
%)
;ell
f
Sei "Irvp
4k
at Aw Dw-ioge jjthj*.� �y
�prfa e 0 By lbl'o'.!e A
in I-3'ehvm�&�m it/O"co&vm
Al 85otO'02" 'N
nce
1? -A
p,
z
NOTE:
BEARINGS ARE BASED ON THE NORTH LINE UF LOT
15 AS BEING S.85420*02-E.BY PLAT.
CMP DENOTES CORRUGATE13 CONCRETE PIPE.
THERE MAY BE RESTRICTION LOWS OR EASEMENTS 2 1994
THAT AFFECT THIS PROPERTY BY ZONING OR RECORDED
IN THE PUBLIC RECORDS OF Tt*S COUNTY THAT ARE
NOT SHOWN ON THIS SURVEY,:
ii�.ilfl and,
b
THIS PROPERTY LIES IN FLOOD ZONE"X"BY FLOOD
MAPS REVISED 04/17/1989.COMMUNITY PANEL NO.120075 0001 D.
0W11rR BUILDER PERnIT AFFIDAVIT.
Stwto of Florida
City of Atlantic Beach
BEFORE ME, the undersigned authority, Personally bppvervd
-------------- who upon flxdt bolrow duly
&worn. deposes, and sayss
2 of ty 67Z�� Z- j:�ff---------------- 'and the legal
owner of the goN owIn* proportys
IT f-',c'�96 7-
Subdivision
Block Lots
AMA IfC.-
I so applying for a building permit pursuant Lo the, Owner
SuIlder exemption set forth In Florida Statute. Section 469. 102.
Florida law requires that I P have been provided witto tts& follawinW
015CLOSURC srATENEUrs
DzscLosunt STATEMENT
atate Lev requires construction to be done by licensed
contractors* You have applied for * permit under an
*xomptlon to that law& The exemption allows you* as
th* owner of your proportyo to act as your own
contractor evon though you do not have a license. You
must supervise the construction yourself, You may
build or Improve a one - or two family residence cor a
fare outbuilding# You way also build or Improve a
commercial building at a cost of *25,000o00 or lease
The building must be for your was and occupancy* It
way not be built for sale or lesnm* Is you mass or
leabo more then one building you have built yourself
within on* your after the construction An completes the
low will presume that you built At for eel& or leas*,
which to a vA040410n Of this *UomptAono Your
construction most be done according to building codes
and zoning regulation'so Xt An your responsibility to
make sure that people employed by you have license*
required by state low and by county or mun1c1paL
licensing ordinances.
I hereby acknowledge that I have read the above DISCLOSURC
STATEMENT and that I comply with a1L the requirements for the
issuance of an Owner-buildor permit,
further, offient sayeth not*
rr"Up' �W6wnwr
Y
Svorn to and sub cribed
before we this d.w
;i-7-�' k
PSA-W4
9194 :
DEPARTMENT OF'SUILDING
CITY OF ATLANTIC BEACH
--------- ---------
PERMIT INFORMATION ------ LOCATION INFORMATION
Pe�rmjit Number: 9104 Address : 860 .BONtTA ROAD
�eilrmit Type, PENCE ATLANTIC, BEACH, FLORIDA 12233 4'
CIA s s of Work: NEW ---------- LEGAL .,DESCRIPTION -----------
Const r. Tyret CHAINLINK S I o c,k Section:
Proposed Use: SINGLE FAMILY Towns h,i p- RNG, 0
1:1 i ngs I Code., , 0 5ubdivision: ROYAL, PALMS
Estimated Value: $100�00
Jr.pprov. Cost
$10 -00
nt
m
"4F,40 "M
va
y 11
i Ww'?,
t
IV-
vqrr�ik -1, PENCE PEK FLAWS
0
TI N
APPLICATION FEES
I'M
PERMIT 10 0 0
0
jAddr-eis Lo� OAD WAT31ir!"AMPACT OPER
�so 09
A' PLORID4,0` '24"'a",
#W* 4- 0 re"o,
WATER MRTkRjTAP $0 .00
RADON GAS-H.R.S. $0100
C R RMAT Id
------- RADON CAB .5% $0 .00
Rame,,* -PROPE OWN CAPITAL AMPRQVIE. -$0 -00
A4 r,
SEWER TAP $0.00
"ROSS CONNECTION
to-,00
Li'c Type. I
SEC H IMPACT PEE 0 a�,
0 oo -
SC AR E/ TL.ECH.
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST 13E INSPECTED BEFORE POURING
PERMIT V61D SIX MONTHS AFTER DATE OF ISSUE,',
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED,IN,PUBLIC SPACE,AND MUST BE
CLO RED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
'.47FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT11IN ,
J
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.
ANTIC, ACH BUILDING DEPARTMENT 000,00m 000000000 $10.00 JA
10/07/% a J001m
APPLICATION FOR FENCE PERMIT
Owners namv_a� 6
Job Address-_ 0 T,1 ----------------
Lot Block and/or Unit Subdivision
Contractor if different from owner
--------------------
---------------------------------------------------------------
Valuation of fence *__ /Oc- __ Corner or interior lot--
0__ Z_
Type construction L
Show location and height of fence an well as location of
streetta).
Owner signature
---------------Date-/ ------
Contractorsignature---------------------------------Date,--------
--: O�ToofXi-W6(4;OK 1, ROYAI- F;Ai.M5 UN17 ONE, AS RECOFtOED IN Ill-AT UcU(JK
so 0 AND 410A Die Tflit CUP11011tNT fOU19LIC AltCOM09
Oil DWVAL CouNTY, Ifi-010410A.
,601VITA ROAD
ro 0'RI q Af r-oe*- WAjv
"Iron
kao-em.v
I f.'Irm AiAe
cb,o) , S. 65*20"02'vE.
x
IA
%b
-a 2'
/Cll
Q�
Affl-OCK RIESIANFAMF
AAL 4#6 0
%
Poe
zl'
Set f"llronjolv*
w,joh klr c 0 1 !1'-
ff 8 Abi AT ���4—�-j
owxy Y1,1ron A
-5,A%rfofwwe&i;1;7c7 s PC
it 4,Aviq.idh;f b.;,,6r Ailto, lei 5
S'fh&;v Vak —Al 84-502?0,02"rA/-- 490cos
NOTE:
BEARINGS ARE BASED ON THE NORTH LINE OF LOT
15 AS BEING S.85*20-02-E.BY PLAT.
CMP DENOTES CORRUGATED CONCRETE PIPE.
THERE MAY BE RESTRICTION LINES OR EASEMENTS
THAT AFFECT THIS PROPERTY BY ZONING OR RECORDED
IN THE PUBUC RECORDS OF THIS COUNTY THAT ARE
NOT SHOWN ON THIS SURVEY.
THIS PROPERTY LIES IN FLOOD ZONE--X-BY FLOOD
MAPS REVISED 04/17/1989.COMMUNITY PANEL NO.120075 00010.
I HEREBY CER77FY TO:13RYAN L. 8 MARY K.SMITH;COMMUNITY
MORTGAGE CORP.;OLD REPUBLIC NATIONAL TITLE INS.CO.:BARON
L.BARTLETT.PA.
THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL
STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF
PROFESSIONAL LAND SURVEYORS, PURSUANT TO SECTION
:46,
16785
op sUfLOING
M
t CITY OF ATLANTICBEACH
PERMIT IN
FORMATION ---- LOCATION:::INPORMAT4,0jN
I ermi t Number-
Mdress $60 B19"I ' :ROA
PermIt Type-MECHAOICAL R -3
ATLANTIC BEACH, , PLO IDA, 322, 3
ass -of 'Work�4.#I*�," I �, I I� ---- ''I � �i
"LEGAL ZZSCR, PTIOf;,:
tdhstr. Type.1CHUNLINK Block: "Lot-
T
0,
Proposed Use: Section. �Subd:0
Due 111 n9s: ' Subdi'viiion:16YAL PAL" Arig: 0
Est. Value* 0 00
Improv. Cost : 0.00
Total Fees
4 .00
Amount P a i d,t
V giXk D
I �Alk
N APPL ICATION:� FEES
M-A
- id D'
0,A PON
-ORIDA 322
VO
j
A' 4� V
bono,�lell, -
�zP
CONt W-F, I"ftXAT 100
AM CON,
tanie.*., SNYDEiCj1E Co.
JACKSONVIL)
FLORIDA �32245
'Lic., CWCOI,46412.
Exp
N
�NOTES-
i7
NOTICE-INSPECTIONS MUST BE REQUESTED AT-LEAST 94 UR.$
PRIOR TO,J$�PEP
in6o
BUILDING MATERIAL,RUBBISH AND,DEBRIS,FROM THIS WORK MUST NOT BE PLACED'IN P B-L' T'BE
CLEARED UO,AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER IC SPACE,AND MUS
FAILURE170 COMPLY WITH THE MECHANICS 'LIEN LAW. C
7, � AN A'
WSULTiN
T, HE PROPERTY OWNEAPAYING TWICE FOR 'BUILDIN VEMIE TS'10
PRO
N
�AS'SUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF,THIS PERMIT'AND SUSJ I E I CT'I tb'R,EVOCATION FOR
VOLATION OF APPLICABLE PROVISIONS OF LAW.
44
14
T a
ATLAN n . Axas
EACH BUILDING PEPART ENT
M,
By:
o 0
........................
WILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATI-ANVIC 611AC". FLOmfoo.fes$*
0 L( 01i
APPLICATI N FOR MECHANICAL PERMIT CALL-IN WUW7EW'
IMPORTANT Applicant to compleN all items insiections 1, 11. 111, and IV,
LOCATION
co IfAvrW%4 fivefts. And—
ii. MENTIFICATION — To be completed by all applicants.
re-4,4006660 of piptWit'ITWOR for doing 1he Werlt as dettrilsta in this Gbove ststaimeno we hist" gp&jo&to porform sold work in siccordants
..ft lk* #s4sthpd p4as specAce6"I which aro a per# Nstoof ond ;im iorcist4smse with the tyly,of cisonviN ordinso4ces vist 0#64tirdt
ej $004
Odom* of bifetk44014901
C."0444- All, Moos#
.,,A CO.Z/ --> 7
1A VL r
of &
00"f - 4
of Ow"r Of
ij*4 A$oof A,411411f or 14101hatr
is VITHU C"S"Weviom 09100"wit ON
T1418 OVILDIM6 00 SITC I M6
D L* 0 f4spoW 0 CoW VWft
If Y98, GIVE MOUSER OF CO"11TRUCTISO
Cm PERMIT
04ho, —
v. mSCK*oW-AL Wmmw To a DWAUW HATUR
bp4 of 0 MOICI&I
Cam
0 C3.
11116111011 :::w4
Air
of existing system
Pt*A*U*Insts"O.
or tmtm�oft to smistine
Q#w %waff
t"409 seven capeft
pwo IV 4 0 boo of We&
13 se-oftw IP me" 0 0 k1h 11,1116 rpm p" 0W= UN 4fty
C)
C3 WO&W PMNR VM"
C) Abu% Pwu* Amem
C3 04v am
UNT A" 3*)WbWW
C*141111101*41141 AM OWMATIM! EQUVMW
W%mobbov,111IMS Domeem 219"N'tom"W 0 m Afpft*W
^BMW
IF F
rl—A A 6 30
WAT614 rA=
NWWAW
CITY OF ATLANTIC BEACH, FLORIDA
Approvod by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 7-8-98 19
IMPOBTANT 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 AREA PART HEREOF, AND IN'ACCORDANCE WITH'THE ELECTRICAL REGU TIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
& R Elecfri� of Northi Florld6, ifl.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JQURNEIMAN
NAME Brian Smith —ADDRESS: 860 Bonita Rd. —RFD—BOX—
BLDG.SIZE BETWEEN:
RES.tl� APT. ( comm. ( PUBLIC INDUS. NEW( OLD REW.
ADDITION ( TRAILER TEMP. SIGNS —SQ. FT.
SERVICE: NEIN( INCREASE4--� -REPAIR FEE
CONDUCTOR SIZE X0 COPPER ALUM.
-Amps
LT RACEWAY
SWITCH OR BREAKER AMPS Z PH _3 W
EXIST.SERV.SIZE ZK2 AMPS PH 3W QLT RACEWAY
FEEDERS NO. SIZE INO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES I - I IBE LL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MPTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 22�21�
0-1 OVER
MOTORS H.P. VOLTAGE PHS No. I H.P. VOLTAGE- PHS
MISCEMANEMS 7—prvice increa7e': Hea'
D A"
PRE-SERVICE DIVISION
TACKSONVILLE ELEC'TRIC AUTHORITY
J —
77,3 WEST DUVAL STR'T_F_T
jACK—SONVILLE, FLORIDA 3-2-2022
THE FOLLOWING F 7 NAL 'NSPECT-ON( S ) HAVE BEEEX .11ADE AND A�v.__-'
SATISFACTORY :
7 7 -eL -_,�,���__ I tc_t-_to- ----------------------
-------------------------------------------------
--------------------------------------------------
-------------------------------------------------
-------------------------------------------------
Enclosed are the blue copies of the permits.
E LY,
BUILDING INSPECTION DIVISION
cc : FILE