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Permit 310 Buoy Lane CITY OF ATLANUC BEACH PERMIT ING/ZONING DE PAR l�T APPLICATION '� 000 SeminoleRoad O Q ��/ :: Vr Atlantic Beach,Florida 32233 �f -00 (904)247-59 (904)247-5845 Fax vnm.cmab.us APPLICATION TRACKING FORM RE ED DEPT: Y N PLANNING Property Addm9s: �I D ,�{LO ZJL�'l� BUILDING E— PUBLIC WORKS Applicant: gS a �� 115. Y PUBLIC UTILITIES —n Y N FIRE DEPT. Project- ��L�Ic � � Y � PUeLICSAI=tet cn APPROVAL w v REQUIRED AGENCY: RECEIVED 6Y: INITIAL DATE Z Y m D.E.P HUFSTETLER Y N S.J.R.W.M. CARPER _ Y ISI ARMY CORPS of ENG CARPER O Y N HOTELS RESAURANTS HUFSTETLER APPLICATION STATUS _ CIRCLE ONE: SITE BUILDING. DA AP REVIEWED BY: INITIAL: DATE: ® 1 ST REV Z PLANNING 2ND REV ® 24 BUILDING PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY 3RD REV Public Works Plan Review Comments r , Date: `� Z? �j Initials: 4AO off/0 ,9601v 44 IVc Project Name/Address: 252-D6. �A- Application Permit#� t p1Cdt1011aC1C121 �t1ml11elltSto � g Provide impervious surface calculations. ❑ Provide erosion and sediment control plans wi 'nstagatie�details-sn ance ❑/ sche Provide drainage plans showing site topography(flow arrows, etc.) ❑ Provide construction site management plan, including Right-of-Way Permit if using right-of-way for construction parking. Provide a pre-construction topographic survey prepared by a Florida Licensed ❑ Professional Land Surveyor, showing l' contours. Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ per Section 24-66 See attached info. Sheet If on-site storage is required, a post construction topographic survey documenting ❑ proper construction will be required. A Right-of-Way Permit must be obtained for use ❑ A Revocable Encroachment Permit must be obtained. ❑ Pool-Wellpoint(if used)must discharge into vegetated area 10' minimum from ❑ street or drainage feature (swale, structure or lagoon). All driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not ❑ allowed in the ROW Commercial driveways-6"thick). Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. AA �( of�o�vmPs �rov1der m v 3 by i::fi'om e-ah h S&' 13 a3-3c�7 � LL°I CITY 0 w- s r✓ �'.. OF ATLANTIC BEACH VX 9 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 �._. ._.�_ _ -,._ I.._.__I y� OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US t BUILDING PERMIT APPLICATION DUVAL COUNTY 3P0. 8vo,. Luna 3D °c s'yc� f %'`��E,(.'ZAL`PE�a`Gf'ttF'r`�1� �a t,.�G�. .,� aC, 'z� -�', .`�`�, ,rw,„<a. t '�.;_;� ') °•..�s5,..�. R!<; �,s,. *., :,�,;s `t .i„>, ,5a 6 �F�� `,i��?. UE,2Fm,6at,�ryca�': ❑NEW BUILDING ❑DEMOLITION IRRESIDENTIAL LOT14 1 BLOCK 4 SUB DIVISION ADDITION ❑CONVERTING USE ❑COMMERCIAL ':...d.' 9cr1.MOW _:'� ` : a. 4`.,'�' ,s`t`'r� >,�.� ❑ALTERATION ❑ACCESSORY BLDG. ,-.. /" [3 REPAIR ❑POOL/SPA 11 YES N/A IC IUll ri('A 6v;lain- cwd Sill 0A ❑MOVE ❑OTHER 113 NO q+§;tl. 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: nilzrd- ,r 16.NAME• 24.LICENSEE NAME: 10.ADDRESS: / 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: C 3 9 A*39, 18.ADDRESS: flgfa pbl� iv><CSSIa?�aJCt. 26.ADDRESS: 31233 P1. 3ZZZLf 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 221-300A I ZZ3-30-73- 13.CELL P ONE: 21.CELL PHONE: 29.CELL PHONE: et _`b3 2- (0119- 1199 14.E IL ADD ESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: ea�e�n nom-;' iv 4, fA 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: 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 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 if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Signed: Date: Signe . Date: Before me this day of ,2007 in the county of Before me this li day of A-4111, 2001%in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. f Notary Public at Large,State of ,County of N;tta�y'"public at Large,State of �+ '• laic JWu <L, ❑Personally Known 17 Personally Known A De FK T.A"+ ❑Produced Identification- ❑Produced Identification- ',',,.`57 Notary Signature: Notary Signature: " 1, COAB FORM BLDG01:REVISED:1/10/2008 3/0 �sLoo 4 AoA e. K.ty .+ ....._ . __ _ - .��"�Jtc��v s_._. _ 3..2_.0_x. _ �j''?Oo /. o-.o r. ._ • 33 __ _. Co-s ___._.____. ••-P.. 3 S5_-7_ l 7.,vo _ .A _001 _ 3 S-Z ere._._�.. x/03 7 70 o r._ 20 _- _._._ 3.y s MAP SHOWING BOUNDARY SURVE I OFT- LOT 14, BLOCK 4, SEASPRAY, AS RECORDED IN PLAT BOOK 35, PAGES 64 AND 64A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA I _ . I 11 SO, �0 s E CHORD LEN COC D LENGTH= 4.1.26' E,sq CHORD BEARING= N 83' 46' 08" E C ARC LENGTH= 42.53' ARC RADIUS= 50.00' DELTA= 48' 00' 44" SET 1/2" IRON PIPE (D.S.M. L.��B++ 6696) FOUND 1/2" IRON PIPE (D.S.M. L.B. 6696) 2A, V 00 Mq Q: i Q 7,, o a., _ 00, U ry FOUND 1/2" IRON PIPE FsrR/Cn��dNC (NO IDENTIFICATION) LOT 15 444 'h h BLOCK 4 , ryp F h O \ 'mss �S sT 2ja *� ozl� s NN 46, F"OUNp 1/2"IRON PIPE / ORc NFO d0 O �NO IDENnT7CATlON) 0-33' ,yEST 0,53" SOUTH OF TRUE CORNER OF�O ��LND 1/2'" IRON PIPE o��o L.B. 6696) 04- 4tj �.•:.� .?s s q O ti _ p0 - r\ J MY OF ATLANTTC BEACH PERMIT r I'G/ZONING DEPARTMENT APPLICATION s� 000 Seminole Road. Q Atlantic Beach,Florida 32233 o U :0/ (904)247-$000 (904)247-5845 Fax vv w.coab.ns APPLICATION TRACKING FORM RE ED DEPT: Y N PLANNING Property.Address: �I D 3 K.0 za,7'!� � � BUILDING 1-- PUBLIC WORKS Ap pHcant: 6S '41 JN V/ 0 Y PUBLIC UTILMES Y N FIRE DEPT. Project: JI eA Y N PUE3uCSAF�t ' Lu -APPROVAL v REQUIRED AGENCY: RECEIVED BY: INITIAL DATE: w Y N D.E.P HUFSTETLI=R ¢ � M,CfY N S..1.R.W.M. CARPER Lu U-1 Y N ARMY CORPS of ENG CARPER a Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS _ CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: INITIAL: DATE: ® 1STRI=II �Ni ® ® 2ND REV BUILDING PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY .® ® 3RD REV MY OF ATLANTIC BEACH PERMIT BURDING/ZONING DEPARTMENT APPLICATION Yj Vf o00 Seminole Road Aftantia Beac i,Florida 32233 (904)247- oGG (9G4)247-3i845 Fax APPLICATION TRACKING FORM RE ED DEPT: Y N PLANNING Property.address: ��a ,�!�0 Z A,71e_4 z 14 BUILDING F" PUBLIC WORKS Applicant: JNVi Y PUBLIC UTILITIES ry Y N FIRE DEPT. Project: Jn t Aq f Y N PUeLICSAFETY w -APPROVAL v REQUIRE] AGENCY: RECEIVED BY: INITIAL DATE w Y N D.E.P HUFSTETLER �5 Y N S.J.RW.M. CARPER Lu i Y N ARMY CORPS of ENG CAPPER F- O Y N HOTELS&RESAURANTS HUFSTE LER APPLICATION STATUS CIRCLE CNE: SITE BUILDING DA AP REVI EV BY: I [ DATE: 1 ST REV PLANNING ® B ING 2N❑REV PUB L C 0 PUBLI U LITIES FIRE DEPT. PUBLIC SACETY ® ® 3RD REV Public Utilities—Distribution & Collection 4-",/ Date: obi �(� Initials: Project Name/Address: �� lYa' t, t n/ �PPlication/Permit#: LIV 6 Check Box Application kin Comments 'To Add :Comment' Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247- ❑ 5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow ❑ requirements. At a minimum,will require double check backflow preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2"must ❑ be installed in a vault as noted in JEA specifications. El ❑ ri rl FAP1anReviewComments-PU.doe 0':-� +tr� CITY OF ATLANTIC BEACH RQ --..••_.I�__.�__,..._I .._.._.� 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O V .t OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-D E PT@ COAG.U S sive BUILDING PERMIT APPLICATION DUVAL COUNTY 310. (-)v L-a.4 30 GC't� S-vo f>+1 IW .�GR7krj0N>.V 'gV M: . �>, . 13NEW BUILDING 13DEMOLITION WRESIDENTIAL LOT14 1 BLOCK 4 SUB DIVISION IQ ADDITION ❑CONVERTING USE ❑COMMERCIAL ❑ALTERATION 11 ACCESSORY BLDG. ( c C f f ❑REPAIR ❑POOL/SPA 13 YES N/A lal"n' c>�4 5VA p fC k ❑MOVE ❑OTHER ❑NO �.� E rs a 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: � 16.NAME• �e �0 24.LICENSEE NAME:�ncl� 10.ADDRESS: 17.S OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 310 �vjy Cn^t t7 9 3a �-� ( 18.ADDRESS: L1312 ,bI. !V�cSSi�ne C j 26.ADDRESS:C��pch 3 Z2 3 3 P1. 3 z 1 y 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 223-300A 2z3�-30`7S 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: w -$3 2- (OIL) 1999 14.E / G r 22•EMAIL ADDRESS: 30.EMAIL ADDRESS:e- -Wen ®Go ( C 4i' 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: 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 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 if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. INp Signed: Date: Signe Date: LS OC, Before me this day of 2007 in the county of Before me this 2,5y#day of A/��L, 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. ! l Notary Public at Large,State of County of Notyar'.Public at Large,State of �",y LT9�rETr^dp , t�;.;. ❑Personally Known h Personally Known • �� ue i'[aL_,..'�t,�t ❑Produced Identification- ❑Produced Identification Notary Signature: Notary Signature: ' s, i1 e : ns::.c.. COAB FORM BLDG01:REVISED:1/10/2008 i ..:... ..... . - SMervi_vv s .._ 3 2 0� 5F?P, 7o o C.o s.+__ _..._. . . ,•,P..__ 3 S5.7 J 700 r oo_ 3 -- pee, _.._ . 2o = �osf 36.93 Ffs — 3yss 22_s. CITY OF ATLANTIC BEACH PERMIT J =� BURDING/ZONING DEPARIAMNT APPLICATION �J V� 000 Seminole Road Atlantic Beach,Florida 32233 (904)247- 500 (904)247-5845 Fax www.coabms APPLICATION TRACKING FORGE RE ED DEPT: Pr®pc>ty Address: _ �I D 3kay z d,_r,4 � Ird BUILDING 1}ppRean$: �� VL 0 Y PUBLIC UTILITIES yJ Y N FIRE DEPT. Projects ��'�� Y N PURLICSAFEtY -APPROVAL v REQUIRED AGENCY: RECEIVED BY: INITIAL DATE w Y ISI D.E.P HUFSTETLER C7= r� Y N S.J.R.W.M. CARPER Lu Lu Y N ARMY CORPS of ENG CARPER I- O Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP IEWED BY: ,rye INITIAL: DATE: ® ® 1ST REV PLANNING BUILDING ® ® 2ND REIT 10 1 El I PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV s iw�r CITY OF ATLANTIC BEACH j!y 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08-V .r� OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US 4'u=� BUILDING PERMIT APPLICATION DUVAL COUNTY ,40$ ,Gl�r $s5MOM Q,F•T'"IAERG,4', 3F 0. 8va° LckAt 3 p 00c S-vo ;'�SRI,4EGALypESGRI(?,TlON.� ,1.bKK�,>4t�ta^�"�?`�� „ "`r, �a. �'tA, '» i,1y ..a., 5�'CLA5$QFW R�,tn�„= 111 s, alt;`., � �)�``a,tAF..i°�?11RTS1RE.•��,.'T,t [3NEW BUILDING ❑DEMOLITION MRESIDENTIAL LOTft BLOCK 4 SUB DIVISION IQ ADDITION ❑CONVERTING USE ❑COMMERCIAL x."1 ❑ALTERATION ❑ACCESSORY BLDG. C [3 REPAIR ❑POOL/SPA ❑YES N/A a4r d 'A ❑MOVE ❑OTHER 13 NO " �:, 13: * ,l?fi•tre .h "7`'�a$rst+7"a},'ze ?,.p.,.. r.b fa xh.` MRA ,•RaHTECT 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: /1G�1< tJtVt-IO �Zn"F 16.NAME• 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 310 ��y CA�z 0 3 4 2,33a 18.ADDRESS: L13f 2 dlb�d /o kSS;C wl G1`: 26.ADDRESS: Z2 33 91. 3 ZZ Zy 11.OFFICE PHONE: T7- : 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 721-300;, 27-3-30--75- 13.CELL P ON 21.CELL PHONE: 29.CELL PHONE: � -13z 1x714- 1199 14.E �� t�'. ®G o 4r 22•EMAIL ADDRESS: 1 30.EMAIL ADDRESS: 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: 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 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 if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. *kk WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Signed: Date: Signe Date: Before me this day of ,2007 in the county of Before me this 2i57”'day of Arsov V 2006in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. / Notary Public at Large,State of County of Not�ary'"public at Large,State of ,tt§6k3bt�o#i L SD ti n t ❑Personally Known 1r Personally Known q� - I lel D@ t�ca.�: al.&x."_"s ❑Produced Identification- ❑Produced Identification- A f jl" r Notary Signature: Notary Signature: ammaim, COAG FORM BLDG01:REVISED:1/10/2008 _ _ 9h 001 4 ty CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT PERMIT NVFOR lAA7-f N ---R— Permit Number: 23163 _ _ OCATIOi1i 1NFt3` MATION - Address: --- 310 BUOY LANE Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: SEASPRAY Est. Value: Parcel Number: _ Improv. Cost: _ _ ©truNEI'INFORMATION _ Date Issued: 12/18/2001 LName: KORTH, TRAVIS Total Fees: 25.00 ,Address: 310 BUOY LANE Amount Paid: 25.00 ,` ATLANTIC BEACH, FL 32233 Date Paid: 12/14!2001 in� g0'„ 00Q-0000 Work Desc: WIRE FOR DE --- ( CONTRACT FEE fi ATION S R & R ELECTRIC COMP p �x 25.00 - A E r Y r ± tet' ROUGH ELE TRII °� F { P l NY, NOTICE - IN ?EC1 lON61*1 T BE REQUESTED A`fi LEAST 24 t-P RS PR10 TO INSPECTION_`] BUILDING MATERIAL, Ft S818H ANQ RJS FR0MWS WORK M X. 15EPLA IN PUBLIC SPACE, AND MUST BE"CLEARED UP AQ-401~ EIV:. ITHER COOR 1WN 1 "FAILURE TO COMPLY WIT ,T;1 TIIN I RESULT IN THE PROPERTY OWNER PAYING F Ii * . MENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. � k = 'S.9B 14 ATLANTIC BEACH BUILDING DEPT. Dates 12/19/91 It t�aceipts 8828454 j G�qt& b258 ------ NiUMMIM CITY OF ATLANTIC BEACH, FLORIDA G Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 12-14 ry 2001 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED i THE FOLLOWING, WE HEREBY AGREE TO PERFORM. SAID WORK IN ACCORDANCE WITH THE ATTACHED PLA AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH ZELECTICAL REGULATI S, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. R & R Electric of North Florid Iia. X /C7 G ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME Travis Korth ADDRESS:_ 310 Buoy Lane -RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES.(vEAPT.( ) COMM. ( ) PUBLIC( ) INDUS.( ) NEW( OLD ( ) REW.( ) ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SQ.FT. SERVICE: NEW( ) INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH 3 W / VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES 14 CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF: AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS Kitchen Remodel T-' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029579 Date 1/24/05 Property Address . . . . . . 310 BUOY LN Tenant nbr, name . . . . . . I ` CHANGE OUT AHU Application description . . . EDECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ KORTH, TRAVIS MATT VU ELECTRIC INC 310 BUOY LANE 4053 ST AUGUSTINE ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32241 (904) 247-8730 (904) 270-8819 --- ----------------- ---------------------------- ------ ---------- ------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/24/05 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 r PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �4K BUILDING OFFICIAL Y CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION (� Date: Property Address: �7 uJV(� �l L n Owner:��a.Il ( ( 0 H- Telephone Contractor: '\ i C -)-jC1 C 'Telephone#: Contractor Address: ST P L/Cy S—I�[; RQax 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. Building: Building Type: ❑ Trailer Service: 1f other construction is ❑ New —Q— Residence ❑ Temp. ❑ New being done on this building CL Old ElCommercial 13Signs ❑ Increase or site,list the building Permit number: ❑ Re-wire ❑ Addition Sq.Ft. O- Repair Conductor Size: AMPS: COPPER ALS Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Q-10 AMPS 3 1-100 AMPS 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 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 c,u -A ii 0 w r V-c-- i.� G�MQP 800 Seminole Ro d-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.atiantic-beach.ft.us �ss1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029640 Date 2/02/05 Property Address . . . . . . 310 BUOY LN Tenant nbr, name . . . . . . CENTRAL ELECTRIC HEAT Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------ ------------------ KORTH, TRAVIS AIR PRO SERVICE CO INC 310 BUOY LANE 14116 IVYLGAIL DRIVE NORTH ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 382-3101 (904) 221-9595 ------------------------------------------------- ----- ---------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---- ------ Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 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 s MECHANICAL PERMIT APPLICATION Date: Property Address: G7 d 4 V /- h Owner: �r q v i D r �- Telephone #:3 8 2 -3 1 0 / Contractor:_ A- lr p f-© Telephone #• a2 z !J1 9 J Contractor Address: f �v �,,i/ �,�, )U, Fax#: .22 / (/j—0 In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work i i 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 Electric or site,list the building permit number: ❑ Gas: _,LP Natural _Central Utility NOL] Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space _Recessed (Central _Floor Residential ❑ Air Conditioning: _Room _Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm Ll Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm A Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalator (Number) Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Boilers ❑ Extension or Add-on to Existing System ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number UnitsDescr Description PF/ �FM/odel# �M^anufacturer BT/U''s Agency 34, 00 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• Fax: (904)247-5845• http://www.ei.atiantic-beach.tl.us r CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 at it ' Application Number . . . . . 08-00000591 Date 5/13/08 Property Address . . . . . . 310 BUOY LN Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 30000 ---------------------------------------------------------------------------- Application desc storage building/sun room ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NORSWORTHY FASANELLI DEVELOPMENT CO 310 BUOY LANE 712 SHIPWATCH DR E ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 614-1999 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 180 . 00 Plan Check Fee 90 . 00 Issue Date . . . . Valuation . . . . 30000 Expiration Date . . 11/09/08 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C.O. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off dumpster provider must be from City franchise list . ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 13 ST CONSTRUCTION SURCHARGE 2 .43 AB CONSTRUCTION SURCHARGE .27 STATE RADON SURCHARGE 2 . 56 ---------------------------------------------------------------------------- PERMIT I9gVPRWW6? 1W IN ACCORDAFib9 ALL CITY OF k 4►&TIC BEACICQIW*4A��XdS AND THE ft'02IDA BUILDING CODES. IS CITY OF ATLANTIC BEACH s1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 08-00000591 Date 5/13/08 ----------- ---------- ---------- ---------- ---------- Permit Fee Total 180 . 00 180 . 00 . 00 . 00 Plan Check Total 90 . 00 90 . 00 . 00 . 00 Other Fee Total 5 . 39 5 . 39 . 00 . 00 Grand Total 275 . 39 275 . 39 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ` CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000833 Date 6/26/08 Property Address . . . . . . 310 BUOY LN Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------ Application desc revised to Oft fence ----------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NORSWORTHY OWNER 310 BUOY LANE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/23/08 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US Roll off container, if used, must be from City franchised provider. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 �RMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA 'DING CODES. �y City of Atlantic Beach , APPLICATION NUMBER s Building Department (}-13" (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Dete routed City web-site: http://www.coab.us _ APPLICATION REVIEW AND TRACKING FORM Property Address: ! �l�a z—71 P" nt review required Yes No p Buildi Applicant: T- in lannina &Zona 'CE f1mift Works �::• v• ::-- J-e .Public,Utilities - Project: � Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of EngineersP y Division of Hotels and Restaurants i L t Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: QApproved. enied. (Circle one.) Comments: - � 1060 BUILDING �P�LANNlNG &ZONIN Allb Ali, PUBLIC WORKS Reviewed Date. PUBLIC UTILITIES Second Review: pproved as revised. ❑Denied. PUBLIC SAFETY Comments: FIRE SERVICES , R i d Date: Z Third Review: QAppro\4ed,as revised. QDenied. Comments: Reviewed by: Date: MAP SHOWING BOUNDARY SURVEY OF.- LOT 14, BLOCK 4-, SEASPRAY, AS RECORDED IN PLAT BOOK 35, PAGES 64 AND 64-A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA �0,suo R'-10/0s 1 � Y C(jC OC CHORD LENGTH_ 41-26' ��c' CHORD BEARING= N 83" 46' 08" E ARC LENGTH= 42.53' ARC RADIUS= .50.00' DELTA= 48' 0(3' 44" SET 1/2"IRON PIPE 113 6696) S FOUND 1/2"IRON PIPE (D.S.M. L.A. 6696) �V 0Q- N n3 cw OO FOUND 112"IRON Pl-f: 2p (NO 10FN711ICA710N) 'STR10�70yv o LOl 15 BLOCK 4 o �; s 2 61, S zjz 0 9 S'FS � o O OO. 60 r f I1rAJr1r City of Atlantic Beach APPLICATION NUMBER 800 Seminole Road Building Department (��1 ( �j . (To be assigned by the Building Department.) t Road 1 lj1 v ' Atlantic Beach,Florida 32233-5445 7 j 3 - Phone(904)247-5826 • Fax(904)247-5845 r ri Vis' E-mail: building-dept@coab.us City web-site: http:/iwww.coab.us Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: l &&Oy Z-71Qap nt review required Yes No _Buildi Applicant: '�j f .Planning& ninn Works ._:,. ,.., . . .... .i?ublic. tilities Project: t Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: T- APPILLCATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING PUBLIC WORKS Reviewed by: /71 Daao Date: PUBLIC UTILITIES Second Review: []Approved as revised. ❑Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: �� I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 CITY OF ATLANTIC BEACH OFFICE:(904)247-5826•FAX NO.:(904)247-5845 �. BUILDI NG-DEPrrQCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY klw U 6L.. Ln s-G0 ;'::;t:�.r#�C..?�E::Ls.Fr"9 tl�2,..JR"[3Y�K1.:...................................... .,„ .,:«<•;:,«•;:.:«<•»:;:<o«•>:...:•>;:«•;7>77««>;:«. r. .. 5 5...A .....�./....................................:.{::::,:::::::::::•:::,:•:::::::::::::::::::::.:�=:�B.EU31I'L�DVI.�N1GRK::::::::•::::::::::::::•:::::::::::::,:::.::::,:&0 DEMOLITION � I LOTBOCK SUBfDIVISION >5-64 ),C)r- 13 ADDITION ❑CONVVERTING USE OMMERC.lAtGLS'i.:E :;,,,;;:;,:• .. ... .... .... ....:.:..........................:.............. 7 [3 ALTERATION ❑ACCESSORY BLDG. XREPAIR ❑POOL/SPA ❑YES /A 0 4COCe, IKMOVE ❑OTHER ❑NO _.:.<;:;<•;;:«;:,,::«:«.;:<•;;:;;r:.::;>::::<ts>:«<:>::<:::......:: ..C...... .:«.::.«<:::,;:<::::;,,:....:::::::.::::::::.�:::,mF1iCHFfF�z.:E3I2IIE Fir...:::.::.::::::::.. I.NAME: f Jew( 15.COMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO, 310 ��.�y L✓� 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO 19.OFFICE PHONE: 20.FAX NO.: 27,OFFICE PHONE: 28.FAX NO.: 01011 910 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: qU 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: 1'er Ire Cv L C)S . ne-- 777777777777777"-77;- :.. :::«•:;:«:«<;>:;::<o>:::<;;:<;:;»::•;;;; #SQPfDEP41fI �Ai1#ANfr i;: :;:;E:;; >:;:< r ' <E: :NE.. Ei's ....:; `ili<» ` : ;:E�9xNE3ifi;OWf?fF#':;:..: '�^A�x" 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: ,—f}^ 34.ADDRESS: 36.ADDRESS: 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 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 if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: t YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF rf)MMFNCFMFNT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE > OBTAIN FINANCING, CONSULT WITH YOUR ;ECORDING YOUR NOTICE OF COMMENCEMENT. ..:.:....:•.:.:::::.; :.;:.>;:;:.:<.. ;� V• �_(� Signed'. Date: ounty of Before me this day of ,2007 in the county of `�y ` Duval,State of Florida,has personally appeared T1 ) ,lG �S ms are herin by himself/herself and affirms that all statements and declarations are J ( J O 5 naD true and accurate. Notary Public at Large.State of ,County of Q ` ❑Personally Known ❑Produced Identi ication- `/r`7 O, C� Notary Signature: 0 v REVIEWED FOR CODE COMPLJA CITY OF ATLANTIC BEAC r _ 09— SEE PERMITS FOR ADDITIONAL # ,a REQUIREMENTS AND CONDITION FILECOPY �� REVIEWED BY: DATE_ / �MFYP+YNi<+'eMlir..e, .ArM1.,y..Wr.u.:l.+".AwAtwltiLYM'itA'x ttt� MAR SHOWING BOUNDARY SURVEY OF: LOT 14, BLOCK 4, SEASPRAY, AS RECORDED IN PLAT BOOK 35, PAGES 64 AND 64A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA '50, suo CHORD LENGTH= 41.26' CVC SDE S CHORD BEARING= N 83e 46' 08" E qC ARC LENGTH= 42.53' ARC RADIUS= 50.00' DELTA= 48• 00' 44" SET 1/2"IRON PIPE (D.S.M. L.B_ 6696) S FOUND 1/2"IRON PIPE �/e 0 U V O- L� Q: ,a 7T� zn 00, V•�; 7j 7 CUi O A 0,:. N' 20, FOUND 112"IRON PIPE RFS•�RC B&ux I,yc (NO IDENTIRCAflON) LOT 15 ti m Js BLOCK 4 " lb k ro 09 ss � z� J 9' ST W s O Q pc 40 ry QP t } FOUND 1/2"IRON PIPE / i4 �! / (NO IOENTIFlCATION) OWEST,0.53'SOUTH ,� OFF Tr RUE CORNER FOUND 1/2"IRON PIPE A7C (O.S.M. C.B. 6696)/ �\\ `4•c,� .:� as k f k\X\X .265" Q ' l A/ } 0, 00 k co 10Q�k\X�k 1` �G!y V� (o LOT 13 �1 C BLOCK 4 FOUND 1/2"IRON PIPE \ (NO IDENTIFICATION) v O~ FOUND 4" X 4" CONCRETE MONUMENT N U� ICP c r 20 t lY) �--. F. I Coy � •� ,, • e, ul 14 qj Noll APPROVED CITY OF ATLANTIC BEACH r q q Cl 1Y OF ATLANI l C REACH 716 OCCEM BOMEliAID ATLAtMC SEACH, FiL CRI taA Q1. Sul Iding LoawMan 2. The vhlached F I an for the blkm but 141 ng 19 approved subject to neetl rrg the fol I owi ng aWlcable constractl rue re"f romrets. +n. Egatl M shal i be continuous, mm*MMc concrete waderw iaaterior° ensl Is, reinforced with two S/a" d<uf©rusid reinforcing raft for we-oft" tsol I di ngs Brad three 5®8" dmNwmd rot nforel nq rams for tv*,;sw" but I di ngs.. Rei nforcl r4 roads shaI I be p 1 aced f n the I over ***-%I rd of the footings, prqwly p 1 aced crud fastened an metal smdd l es with wl ie►. Fi ngs shag 1 be six inches wider on errata side ltaaa the erai 1 ambo v*, slasl I be at I east eI ght Inches tie i ck and e#aea I i rest on firm sot I at lent tore 1 ve Inches be l car eendl stuff sof 1. b. WmLiaa► =am unit 19rae such unit col 1 shag I be reinforced with earl° Ieast one No. S bar at a1 I corners, poured and 1 d of th concrets; ®nch rei nfami ng shot l be properly tied Into the footing spandrel bow c. AIA'I wA Jmm oftimm irmd_canab3stign) sfuael I be securely fastened to the extort or oral I a wl th approved hurori cane anchor& or c I I ps. d. Construction are of r4 arby one-faai IV *of I Ings, which we dupi 1 caetes or i r tense l y similar, shal I be avoided. Such similarity considerd the edwml configuration and appearance (I.*., roof, caster +ate l l materials, wi+ x+ sirs and design, and other I I tae ahalrtteri stics) of strm+jr w. I n wi th the fel ng, Simi far or dapr I tented homes shal I not be conartreact ed4 of chin e f ose pr ad mi ty of each atherr, ,.and shal I be at least Std toot sWot If w► arum al oei R ar° dwel I I n# I s vi sl b1 a fume any a"wr, sleet for diel I I ag. od Serer wrrvl ce +contoctl ons naarst be probed art th c I aaan r nut reds i n the presence of a C1+V I nslnct ar. f. The f l oa l connection on between the house p l wbbi rag f n end clot sq1w service connection (at the property 1 i ne) as + be I by I being The grood hereby cern f I as that he has read the abarve undsrstonds -Kart�i takes pravedence anter any Contrary 1 in the and spool f I ca" &W agreas to cm*I V of th the I at ent s Orrreer 7ff Oarl'� "'17Y OF AMAYTIC SbK"Y TfR MlIhNI". Y014.� 3/4" Tai WA'11�514 C-11 14 E. UPIV, 1;)," AAh"U", W85.00 4.00.: const. water F 14 4 Y" 'V Seaspray P .O . Box 23452. Jax. FL 32217 7 7 Je IN DEPARTMENT OF BUILDING 3694 CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date_ 4,/2S/?�$ 19 Valuation$PLUMBIC Fee 12.00 This permit not valid until above fee has been paid to City Treasurer. and is , t. 8 2bfect to revocation for violation of applicable provisions of law. This is to certify that ]Don Harris Plumbs ng has permission to build to install I sink, 2 lavatories. 2 bnth t 2 closets, 2 showers, 1 water heater, l dishwasher, and waghing ma-chine Classification residential Zo e Owned by .Tnhn nil i ldebr., Int-_ ' Lot_ 14 Block $ SSD Rea m Z'>Ity--- 1 House No. 310 .Bupy Lane According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS '+I AFTER DATE OF ISSUE ► 0 Building material, rabbis�M11 Z from this vfjkj7 ust nptpublic space%`tinfl mnst4 and hauled ",Ay.by either cpI or owner. Bill Y1. Davis Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER F WATER Awk C17Y OF AAAMC OEMN AMWLQ W mmim ftwlw „�drJn! crf...... ....�._ ply �p�,y�;g � .fig ; p ...�..__...a..._....�.. �....._.........�,.._... .,�_ V++I��+rggQYI WiR�GT ai l mr ! ..�,.,,,,.,.,,.,... Am some ?, VAS �' ,r. M ✓- Z - m MMtiNE,,,- Ilrlxm cow r WtAUAUM OF FWM 16 AM IFIXVM OW GE I too If" t y CITY OF ATLANTIC BEACH IIAT8% OONA1EGTi ON OWM L,WAT'IOM U c-i n1 JG3 v "km PuJIML . gnL:,OR o t't 2_0C u TYPE OF �l1tim"t Fztn` Gfi :: AA MW CONSISTING Oil �_._.__� STALL, B2 tAt9'!S? WAM CLOSET, LAVATORY A IIA OR's STALL l4 UNITS ,_,.,,..,SHOT tS (GROW) PER HM l3 UNITS DA'M (tAITN OR if#MW O!M ..MfWM-, SINK (3 UNITS) WA SHVAM (2 UWTS) _R.ISHIMB RlN SiliC is UNITS) _BIwr a UNITS A_SE&1iiCE SLAC-'iii' STAND, (3 WITS) _oMl m%TI ON SINK S IMY (3 UMI 75) ___,,SWICE SONK-P TOP C2 UMTS) cowimnom SINK -;'i`y id/P06D DI SPtI AL UNIT Q4 umiTS3 ...._,...M, SCUD ~511+ l4 UNITS) AL UNIT OR CUSPIDOR i ilii Tl f_.__._M NAL, P ' " TAO., SYPNOt�i JET, IE.VAOUT to UNITS? __.006X LAVATOW f t UNIT)' _WNAL, MALL LIP 0 UNITS) FMOMIN (4� UNIT)` URIML STALL, INA "mff d4 UNITS? ol iftAS#M (2 UIIO"it)' TilO4W tFJIM 2-"- SECT' M „�_FL WAINS C UMI T; t2 UNITS? l2 link TQC''. _,,,LwSi Ns WOOME (RES.) l3 UNITS' SINKEACH SET CF PAtOE IC iW_CI M t2 UNITS) T5' t;Jl IJ1T0111t I UNIT) IM M CLOW, TANK-OPE%TW (4 UNtiTS) �LA VATW, mWo, WAtM MOR �..__..ayo (:LCWT, 'VALVE.- TO (2 UNITS) (a UMI TS' MWORY, SIMOONS Oil Ui1NIIS3 jAmm my (2 tN I TS) CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION :- a t () Z 6 f.P OWNER OF PROPERTY : yJ�� ,p e PLUMBING CONTRACTOR j l wf7 CONTRACTOR' S ADDRESS: =3� 7 L'� `- r) STATE LICENSE NUMBER: ' � / TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS _ SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - S25 .00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 PSR-W4 P, 893 DEPARTMENT Of BUILDING CITY OF ATLANTIC BEACH � .,. . PERMIT INFORMATION .. ------ LOCATION INFORMATION Porm t Number . 15893 Address: , 310 BUOY LANE Permit Type-PLUMBING ATLANTIC BEACH, FLORIDA 32233 CIRIt of ork:ALTERATION --------- LEGAL DESCRIPTION ----------- Constr.. Type.*WooD FRA14E ProposedUset Elack: Lot" wp Dwellings: Se tao 0 SubdaO Rng. 01 subdivision: Est . Value 0 .00 Tmprov, Cost : 4.+311 Total Fee fs . 25 .00 Am ount ;NNF 5100 .- TION - «�� AFPLI�'A'�IO�T FEES . ! ,3lltlt e �� T �` Addy 3 Ay - .{? ► A ,t '' p�� g�r � ''fit� 9r. a;° +,, �•h . "� 1:� e. „ F SAT I I x ' s *aMe ' ATTI a A PLUM TILE Add ,°, 323 9TH ;. '"E EUE NORTH µ, NOTE,$: f NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 1 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 t`FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN { 't`kt PROPERTY OWNER LAYING TWICE FOR BUfL©ING IMPROVEMENTS," ISSUED AGCQ► � WED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR i Y[p1.ATlE9t OF, ' I-YVISIONS OF LAW. SMA 14 r : ' � ATLANTIC ACH # U 131�ARTMENT k i w 1 DEPARTMENT OF BUILDING 3692 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date_ 225178 is Valuation$ 38,328 Fee$ 107.32 This permit not valid until above fee has been paid to City Treasurer, and Is subject to revocation for violation of applicable provisions of law. This is to certify that Jobo Builders. Inc. has permission to build a residential Classification sZf dwelli m Zone Owned by antics $u,Nears. Inc. Lot 14 Block 4 S/D POSAPK iy House No 310 Buoy Lana According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS 11 AFTER DATE OF ISSUE ► O Building material, rubbish and debris Z from this work most not be placed in public space, and must �I e� and hauled away by eith c�actd#" or owner. '17 0'.CK T p pya $al$13 ) 5 FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER FOR OFF-CE USE ONLY Date---- ...........19>13 -v Permit #........................ CITY OF ATLANTIC BEACH Valuation $__ FLORIDA House ....... APPLICATION FOR BUILDING PERMIT Ot- Q .....4...rS'4.d Wo ----••--- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. �'!, Date.................••----••..............................................1 19............ Owner--•--•----- Ja-u-�----..!✓.�S• 1__.c `s----------.•-f _:_....._.._.Address 1� -•-•--•-------•--•--•-----_Telephone No....p.�.f�.2- Architect................------............. --•--------•-----••-•-•---------------------------Address._�.—_- 1114 ........Telephone No...-----....----•---•-- - Contractor Builder.......... Address. 1..t--------------Telephone No....... ---------- Lot No... Block No.. Sub Division......._ 'G-- -----------------------------------Zone---------------- 0�-------••-4a-10e----------------Street-------..-------......Side Between._... �t-!�.T�.C`�_'�._.. //" _. .............Sts. Valuation ------------------ 011 what purpose will building be used........_...� ....................Type of 'construction._.__ f4. ._e_..__.__,.. /q8/ a0 X100 g" f Dimensions of Building-------------------------....._.._.__..Dimensions of Lot_.._..- •-.---•----_---_.-•- Size of Footings--------_-. --.X-.___ -.---.__ Size of Piers-------------------------------Size of Sills-------- ------Greatest Sill Span in ft-.........---------------.Type Roof.Tn'5. .._.4C.... �d1�{! How will Building be Heated?.._---------- 1-f'C----------.......................Will Building be on Solid or Filled Ground?..........1e3._.._..._._._...._. Size of Ceiling Joists-,-,,_.... ........... , Distance on Centers.__.-..-.... , Greatest Span.._.---------------------------------------- ------- ...__._...._...._.._.._. . . " Size of Floor Joists-.,. ... 5 - • ----- - .-_-- _.__._- h , Distance on Centers._......_. S_ Greatest Span...._.i°_i�'--•--• ---.�� -- „ Size of Rafters------------------- ------------------------------, Distance on Centers........ ................. Greatest Span-.-............................. ,. This rectangle is to represent the lot Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. a r '' 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. q 7. Electrical inspection by City of Jacksonville. S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. In consideration of permit give for doing the work as described in the above s work in accordance with the tac plans d ecifications, which area p regulations of the City of A antic a ch. Signature of Builder_____._. ` ... .......... '" PSR-3944 X447 DEPARTMENT OF BUILDING - CITY OF ATLANTIC BEACH w PERMIT INFORMATION - -------- LOCATIONINFORMATION - Perm t Number 94'47 Address! 314 BUOY DANE Permit t 'TFP RE-ROOF ' ATLANTIC BEACH, FLORIDA 32233 Class of Work. NEW ..�. �..� .._.._ LEGAL DESCRIPTION Coxl tr, 'T'IrP WOOD FRAME Lc�t • Block: Section: �� PrOPOSO4 Ise.' SINGLE FAMILY Township: RNC. � Iwn, 1 Codec t? usd �riefon. esti a.t4d Value: $3000 -00 ImP ov 0S t : To a 22, 51 Arco . U 22x5D - { QrKy ! r. i aww w. `I#N ` - �- .� APPLICATION FEES is PERMIT ),ddre AIME WA TMPAC FEE $0 .'CH, FLOIR + { PRE 330 WAT METER TAP $000 RADON OAS-H.R. S: O NF'OAWAx «.w RA2ON CAS 5 $0 .00 i CAPITAL IMPROVE. $0 .Oda I W 4 1163 KRIDGE ROAD SIKER TSP x - 3 CK ..„ ELLE, FL, 32225 CROS CONNECTION . ' Type: 0 SEjC= H IMPACT' FEE � $/C�� ,0 ; .,xC,0x=wr,uaURC� R� ". i �y: SCBAROE/ATL.BCH '$" oi:# ` NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS`'AFTER'DATE OF ISSUE BOOING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND'MUST BE >,IP AND-HAULED AWAY BY EITHER CONTRACTOR OR OWNER TO CCS' ,, MITI HANK.$' LIEN LAW CAN RESULT IN � a x PEATY TWICE >r©R BUILDING IMPROVEMENTS. TO, A VED S WHICH A PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR N Ise OF ABL, F t � 1 iSi ay�{y } ' } x „ 'ptA�t1F*'. Lh4�► - 4. CITY OF BIS?IC BUCK ROOFING PENHT APPLICATION Owner(s): Address:_ Ot/ A" Phone: Lot # Block or Unit # Subdivision: Contractor: , Address:. City, State and Zip �17- i,x f 3 22 -ZS- Phone / State License # �C"Cc Describe work to be performed: Lf2 SOF Valuation of Proposed Construction: 36'0 Materials to be used: ,`,V�/5 Signature of Owner; Signature of Contractor:— Liability Insurance Supplied Workers Compensation Insurance Supplied License Information�f/ DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -� !'I1t!!S"!'' Z'Rt!'"'�ttMA`1'SCJ!# -- LC"kcATSt1H ST1`f"'Clhlt!!`T.tCEN: l"w7t'ort Pppot Palk dnAmxvAt.. A"t`LAMTXC W!$I4C", I-X.0 tXVAZ-3.3 +clamt:s OS works, I#Itw -, LvohL zt rChxt'`f x�M L"Ctnwtr.. Type I wmo "Anz Leat z b beet z itec"tIan s rroposo,cl Use% IstmoLls rAIIXLX 'Towar sahxp% rtIm 0 t3w�xl�ti srs a CC40,2 a ".�t4bETlvx xe�rit vastimast" vaJl.ue% C!C► zoprov. costs +ria►."+guar ^rextee to as ar t s.00 A cw+�x s WSO.two k 1 r s pA! tC? ^- � A!'YLXcAtXoN ! ve a '"r,a>~ +. ,..... IN is .• , 41% Ackst ! Ak "QMH b y I..yyAMLP �y y �► y� 'ytlpAµ"yty,laGyh 3!!l Jyk�w'y3� 1^2�v1y �krydw t �Cyf p'��'� ; �+iF �� 4��, �Zri•.�.��i.A �."f++W •�F iF+i7�7Ra+kFtliiS��dR Sr 111� �J.'+i"ii �M �+A++ i !'l11ti9iwlh e a-e ' ' ri•. .•S '4 m ; hA t ft t3h1a=ikt: le. " ►: i� `l� R Nl+I�1hhA'!ak l+t "AVON DAM tkx 1FCa.00 �5 � OW I, '�`�Ctnr m Nome TitZla WATERp1ClL TA!" u�}.Kms? abC�4 « RD ".! .0 JAC I-L =201 "'rV AULXC Z-NAltE 00.00 lr.xcase��wr� WyF r ypwt 4M 1y E—xi�"y=1primat), V)Mµ0 v Cf'!'"Imit r" L b 4 y� ,Y t" •. NOTES: 'ILL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE FROM THIS WORK MUST NOT BE PLACED 1N PUBLIC SPACE,AND MUST BE �- 'NTRACTOR OR OWNER. AE MECHANICS' LIEN LAW CAN RESULT IN �G TWICE FOR BUILDING IMPROVEMENTS." .tI*Tlom DATE: 6118919 WHICH ARE PART OF THIS PERMIT ANDSUBJECT T ATiON FOrax ` l LAW. cwtw 9«.� BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH r ATLANTIC BEACH, FLORIDA'.32233 3-3 o44 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT - Applicant to complete all items in sections I, II, III, and IV. I. LOCATION Street Address: 3 10 V d w OF Intersecting Streets: Between And BUILDING Sub-division II, IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the ettech_ed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good..practice listed therein. Name of Mechanical Contractors Contractor (Print) CnT` L C-11 rA S Mater Name of Property Owner \ S Signature of Owner Signature of or Authorized Agent _ Architect or Engineer Ill. GENERAL INFORMATION C( 'Z_� ?Crv' ZcL A, Type of hooting fuel: B. IS OTHER CONSTRUCTION BEING DONE ON .c THIS BUILDING OR SITE? roesLP (3Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0 Oi) PERMIT 0 Otl+er- SPeufy IV. h @CK4 ICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete lid of components on beck of this form) ❑ Residential or ❑ Commercial ❑• Heat ❑ space ❑ Recessed O Central O Fksor ❑ New Building C1 Air Conditioning: ❑ Room ❑ Central ❑ Existing Building O Deef System: Materiel Thickness ❑ Replacement of existing system ElNew Installation(No system previously Installed) Maximum capacity c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify d Cooling tower: Capacity g.p m. (] Fire sprinklers: Number of heads_ C) Elevator Q Manlift ❑ Escalator, (number) THIS SPACE POR OFFICE USE ONLY Q , Gasoline Pum (number) ID. Tenks. (number) Remarks Q LPG contains M (number) Q Unfired Pressure vessel Permit Approved by Mie Beihm (� Other Specify Permit Fee LIf r ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Cq&dty AA NumberUnits Description Model Number 11[aaufaaturer ( ) V 0002860, DEPARTMENT OF BUILDING00 CITY'01F ATLANTIC BEACH — I+ 7rri1 �. N1aI�ltarer9r x C► A*or,� =*i '3101"iitY,7Y`' LAND t4rti-*I V. Ty►pol sulL.Iw►rNICi ATL.JRTifitC £t>8"AGItl, I"L.giiI1�A 1 ��"lt 00l oZ 1Iorit ---------- LII 'AL - c vnC OD p**A"r ii.t oc t °1!Q►O#y CTA 1 ,, itM!ll,l�i'f�fiSE 3 N:'GYQIR+t �' �1ilAQ�.V1��.CITi A tatimat@Q Yill.ool *aI tie.CJD 1ti11DC?wA9t81'4 �'lm4�t�3 �9►1137.�°i� ta � � ' ear ► ,d Wow It J n.. A ►rL.rA�* tH � � — »... �1q� .� � *ATM" T �I� it..x"^ 1I�.R aWl9+ y�1��y +�,{ �{�1 A r 4yy � .M �i IF.a3 � ) 5. �.� F ± ♦ 1!�'L.IpH DA ISIS1�Ult .�'ffrA r" rItM t . i �Z "1 A ` w , r " ro } M>f�'A9p't!lATXiClN' 1RA>I n ahezx *4 s � � �� fitful,`]!OR 'rAir' _ A1C?.�►G AiTi.Ai!' �-..SL"iA�CflI�, rL r lr" "i9"': t HL*r,0ftAix#1 tC- SH*,tlt rDt! L.�c�" i `411r" Type x ] 3"IsH al►4�.fit'! fitc. H :rfwrAcr per i 1*y00 w p, t NOTES- NOTICE ALL.CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED W PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS,WHICH ARE PART OF THIS PERMIT ANT CT TO RE o ION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. DAR .�I ATLANTIC UACH BUI N PARTMENT rc By: Address ff}-dU�' (7- Jested. Square Footage f @ $ �k 5 per sq ft = $ (, /.5 (o . 0 D iarage/Shed `- @ $ Per sq ft = $ 3arport/Porch `— @ $ per sq ft = $ )eck @ $ Per sq ft = $ 'atio �-- @ $ per sq ft = $ TOTAL VALUATION $ Cv+ /5 Co , O o btal Valuation lst $ /, 00o. o d S156. 00 C -�s $ ;remainder Valuation `$ �.opera an or portion thereof ------------------------------------------; Total BuildIng Fee $ 21DITIONAL PEM41TS and/or FEES REWIRED � + k Filing Fee $ so bdunical ; 6- Fireplaces @ 15.00 $ plumbing � BUILDING!PERMIT FEE $ Cv _S_o lectric/New +------------------------------------------------- lectric/Temp BUIIDING PEfiNIIT $ (0 7 5O eptic Tank . ell $ d - wi�i ng Pool SEWER IMPACT FEE $ --U WATER IMPACT FEE $�L 60. 00 eAter Cormection /3 b�v $ ,p ewer Connection $ ater Meter levation Certificate /a 7 6 GRAND TOTAL � $ -------------------------------------------------------------------------------- .9ZZATIONS and/or NOTES City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. 1 __BATHROOM GROUP CONSISTING OF _SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH t8> TUB OR SHOWER STALL (6) _WATER CLOSET VALVE ___WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) ' _-BATHTUB/SHOWER (2) _ URINAL WALL LIP (4) /� r v SHOWER GROUP PER HEAD (3) ____FLOOR DRAIN (1) _ VSHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) __I--LAVATORY ( 1) __ __COMBINATION SINK AND TRAY (3) lJ WASHING MACHINE (3) _ __POT, SCULLERY SINK (4) __ __DISHWASHER (2) _ ___WASH SINK EACH SET OF FAUCETS (2) __KITCHEN SINK (2) _DENTAL LAVATORY ( 1) __KITCHEN SINK WITH WASTE GRINDER (3) __ DENTAL UNIT OR CUSPIDOR (1) BIDGET (3) ___ URINAL STALL, WASHOUT (4) -----FLUSHING RIM SINK (8) ___ _COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) _ __URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) ___ -DRINKING FOUNTAIN ( 1/2) -4 __LAVATORY, BARBER/BEAUTY SHOP (2) _ __LAVATORY, SURGEONS (2) SURGEONS SINK (3) -----ICE MAKER ( 1/2) _---- v WET BAR (2) TOTAL FIXTURE UNITS___ 5 ____ @ $20. 00 EACH $__ C) "r)� ------------------ `--) / NF_ 0fT (Q'A.) __� / � JOB INFORMATION _____ ____________ _ CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING 'PERMIT Required Submittals: 1. Two complete sets of construction plans 2. Detailed site plan including setbacks, utilities & parking 3. Recent survey 4. Florida Energy Efficiency Code forms 5. Copy of contractor's license and proof of insurance REMOVE NO TREE OUTSIDE THE BUILDING LINE THAT IS LARGER THAN SIX INCHES IN DIAMETER UNLESS A TREE REMOVAL PERMIT HAS BEEN ISSUED. Inspection Schedule: 1. Footing CALL-IN WITH PERMIT 2. Rough Plumbing/Sewer NUMBER FOR EACH 3. Slab TRADE 4. Framing, rough electric, mechanical, top out plumbing 5. Insulation 6. Final inspection/Issuance of CERTIFICATE OF OCCUPANCY ------------------------------------ Requests for inspections will be accepted from 8:00 am until 4:30 pm. All inspections will be made the following working day. In case of refection, re-inspection must be called for after corrections are made. There will be a 910. 00 charge for all re-inspections, paid prior to the request for re-inspection. Pour no concrete or cover up any work until the building card is signed by the inspector. You will be required to uncover any work that has not been inspected. BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Building Department Q " I'oa vt 716 Ocean Boulevard Atlantic Beach, Florida 32233 249-2395 Building and Zoning pan= 1 { CITY,0F ?ROPERT! DESCRIPTION AtBOULEVARD __ _ot f _Block *_- --Section #- P. box 26 tLoODA 322M Subdivision: --------------------- -- ` PHONE(M)249-5896 Street Hawe j DESCRIPTION OFYWORK it Address:_ 1O ------------ If _ _If in a-FLOOD HAZARD � 4� 'lood Zone:..............area complete page 3. 8riet �' Daar3pionsJ �1 ?i� ,cSt - b�tr.Q c ClaewV Work tNer Remodel/Addition)_ MNING INFORMATION TYP,• r' Caction: t9tX7b } 2 x -- --- :oning Proposed C )iatrict: Uses Eatiiaated Value � �OC9d'^__ ------- ------ -_---- ..__ - Matesialsss__ AV :receptions or $ lariances ----- .. # - �� ----------------------- 1 e ___.. I ;� Fill d r,"• " ,- ___.-____ Ground:. Q -__Root: (�,e T ` OWNER INFORMATION � ,'�u°- «,I�h-,sw' �°� •+ � ��,�' �'`' � � _ {........_......�........' Y1 N f,. * ,:,:- Y fF t y;,. s�tt Property Own*r i-.rl� „- � M - .< ,.:.....- Phone s 1T'.F. --GS_--_ i Mailing Address- — �i9,- . Y Y .-J CONTRACTOR INFORMATION Contractors_1.1.CJ �C:_.._L`;-3G1.":..�.c.. ~�.:_! .-: _•��^� x_ Phone:_ �rs.=� ..GZ Mailing �1 �, L� Addreaa s -JLg3.4,. s ax ``�P�w� on Lieeare Number .�..f �€.J..r�ra..rw,r.r.��,►.._ "�1L4'�.3e_1�.. },,•�d' t K=XST CMIrY TEST"I " RlAD ANF" AND CORRECT. AL1. NWI0400 O< TNR �11R ,� O TION N MG. THE or W m RR TRUE tDVtRN! TRIB_TYPt OF WORM WILL RC COMPL.ItD WITH, WMRT1NM ff*CIIICD MMUM OR NOT. INE 0RANTIMG Or A M MIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATS OR CANC-= THC'PROVISIONR OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAY$ IN ANY MANNER,, INCLUDING THE GOVERMING OF CONSTRUCTION OR THE PERFORMANCS of CONSTRUCTION OP TNR PRQICCT. I UNDCRRTAND THAT TNR 28SUANCE OF THIS PERMIT IS COUTIMGCNT UPON THS ABOVE 20"MMATION BEING TRUS AND CORRECT AND THAT TUC PLANS AND SUPPORTING DATA HAVE BEEN OR SMALL BE PIMVIDRD An RZOUIRED. Ovner Signature ----- _ ___ --Date--------------- ' CC ptractor Signature - , 4 -Date _�'___- IJ 4R y FLOODPLAIN DEVELOPMENT INFORMATION i r Type of Developments Zone:___- Required Lowest Floor Elevations_______________ 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 Y°lood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on -filo with the Building Department. COMMENTS: K Applicant Acknowledgements I understand that the issuance of this permit in 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. , 23-7-11 and all other laws or ordinances affecting the proposed development. Date..............Applicant's Signature___________ --------------------------------------------- ------ Department Use Required Lowest Floor Elevation ................. An Built Lowest Floor Elevation Survey Filed with Building Department ........... Building Department Representative page 3 s STATE OF FLORIDA (DEPARTMENT OF PROFESSIONAL REGULATION CONSTRU;'TION; INDUSTRY `LICENSING BOARD LICENSE NO. NAMDRI; ? ; ONTRACT4 r UNDER THE PRo; �I()N CHAPTER FE�� TMS k�AR`3 EXPIRING '`�t�� 992 x KURT(#►•;JOHN: H KURTZ I CONTRACTORS P o NOx' 49164 ; JAcKsNVLf ocW.', FL 32250 oe @QB IN ON EZ a s�ov aHos QINP p►Y ,%�# I R�I��s!UtA► fP�.ACs .. ... !�o> ►M1X., 1�r J MAP SHO'"LING SURVEY OF LOT 14 EILOCK 4 AS "SHOWN ON MAP OF SEASPRAY AS RECORDED IN PLAT 60OK 35 PAGE Ce_—At A OF PUBLIC- RECORDS OF DUVAL CO. FLA. FOR Joao BUILDE25 � T Pd. 1.R Q 5 8 3 _ 6^ - Fd.LP -- 2a 5O• �t�?n �� ,oc) M O, LOT 15 R? Fd. I.P 2.2 41 0 U 47 -STORY woolo o ?W&c[-I 1310 '� O up PATO � b A C PAD v ti Aw O. •r �� 11� �t•�J 11� V� • { zs• oo �� LOT 1 -5 Fd. I P. r� y R CITY OF ATLANTIC - BEA FLOR DAA . APPLICATION FOR ELECTRICALER a z s ..;,y,. TO THE CHIEF ELECTRICAL INSPECTOR: DATE IMPORTANT NOTICE r , , INCONSIDERATION 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 ATLAN'.IC BEACH ORDINANCES. /4 ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE' r"' ' JOURNEYMAN NAME �- ADDRESS. ��`'� �, ' �� RFD BOX BLDG,SIZE BETWEEN RES. APT:( ► COMM.( ► PUBLIC 1 ► INDUS.( 1 NEW( ► OLD( ` REW.( 1 ADDITION(� TRAILER ( TEMP.I ► SIGNS 1 ► Sn.'FT t `; r SERVICE. ., NEW( ► INCREASE( ► REPAIR ( ► >µ FEE CONDUCTOR SIZE U AMPS ._ TCH OR BREA o a l PH S' W �4�u VOLTL "I C" , .Y ;,r GQ' EXIST. IZE " AMPS' PH W VOLT "x 'RAC AY .. .. ..r...-. . FEEDERS t-V` ` NO. I f)-,I, SIZE NO. ZE LIGHTING OUTLETS OPEN TOTAL" o .= CONCEALED ,;r, RECEPTACLESf� w - CONCEALED ��OPEN' •rTOTAL�i �' f " 0.30 AMPS. 31-100 AMPS SWITCHES a + "�" n �' .`mow• ., �-,.�.. INCANDESCENT ,-`� , .`, . FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES :BEL'CTRANS """ AIR, t` H.P.RATING H.P.RATING a `.. CONDITIONING""' 'COMP.MOTOR `""OTHER MOTORS" ° "AMPS"CEIL`"HEAT: "`KW-HEAT ""` a , 0.1 } :OVER° MOTORS _ "H.P.- VOLTAGE PHS ' ' NO. 1 H.P. �-`VOLTAGE ""—PHS r. MISCELLANEOUS' CG1 Z2 C,/ - .� BUILDING AND ZONING INSPECTION DIVISION O ,. CITY Of ATLANTIC BEACH, FLORIDA z o` ELECTR ZA . PERMIT Date Fee $ Mss Permit No. O Location go between and This is to certify that �', CL } ink 14e (Electrical Contractor) (Master Electrician? has permission to- install°Electrical Construction as described herein in accordance, with the.provisions of the Electrical Code and regutoions t1 N s R{ Of the City of Jacksonville, and subject to the information shown-'aA the application, drawings and specifications which .are mode a part of this f, permit. -Sol" }- for .� Type of work: ao Feeders: Outlets: 0 Receptacles Switches: incandescent: Fluorescent: Appliances:. Air Conditioning: Motors: transformers: Signs: Miscellaneous If NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY:`' MONTHS Pi RiOD, PERMIT i�aetr , to actio!# +P�vlso BECOMES VOId. CITY OF ATLANTIC BEACH, FLORIDA l Approved by APPLICATION FOR ELECTRIAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 2- 3 19 F7 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. � m- ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME MIW Ake'l- '/-EA/'S ADDRESS: J/G '91�-c Y L)-lvF RFD BOX BLDG.SIZE BETWEEN: RES.(-�4 APT. t 1 COMM. ( ► PUBLIC( ) INDUS. I 1 NEW( 1 OLD M REW. ( ► ADDITION ( ) TRAILER ( 1 TEMP.( ► SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER I ) ALUM. ( 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-90 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 57"i//1 M/F16 POOL, TRANSFORMERS: UNDER 600 V. OVER 600 V. DEPARTMENT OF BUILDING 7 Q A Q CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.__ V I VV�# 1 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date June 16 19B7 Valuation$ 00 O Fee$ 37.50 37,5f] T C 17,50UP This permit not valid until above fee has been paid to City Treasurer,and is 9"94.5 3 la VMS S subject to revocation for violation of applicable provisions of law. ",784 0nrA fThis is to certify that Florida Banded Pools Inc. me CPC009S95 has permission to build r Classification Residential Zone Owned by Margaret Lewis Lot 14 Block 4 S!D am"xax j House No. 310 Rwy Lane IAccording to approved plans which are part of this permit I NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING, PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE '1 ► f-----► O Building material,rubbish and debris Z from this work must not be placed in public space, and must be cleared j up and hauled away by either con- itrac gr�wner, Building Official. FOR OFFICE PERMIT =' j D USE ONLY NUMBERDATE CONTRACTOR fPLUMBING j ELECTRICAL SEWER I WATER cd CITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT Job Address Q Lot # T BI o # Subdivision Owner Address Contractor Address S (009 ai License Number C O l,�)_7 valuation $ � Q Gallons SITE PLAN front c� N N- r- rear Signature Owner Date Signature Contracto Date r; , • r r 1 �S .t .��h�. • MA( � Sr SHO' :,AI ING SURVEY OF LOT BLOCK 4 ---AS SHOWN ON MAP' OF SEASPRAY AS RECORDED IN PLAT !LOOK 35 PAGE !o_ -, G4 A OF PUBLIC RECORDS 'OF DUVAL CO. FLA. FOR J060_$UlLDE25 _...__._.�. F W 41.84 . '�� 6 3•q,G,�O 8'� 2, so. At 00, , 4-OT 15 (b ' Fd toLF' 2.2 40 0 0� /—STOR)o, woloo 0 a4 4� OW&L L/NG azo� a U IAT/O n A G PAze J R, v v . N y tti LOT ••� / I -f Fd. I.P. ,t 1 RECER'11PIED W.O. 0- aT JAW. 22 , 1919 ( NO mKic's). 0004 `_ # RTI ENT Q.y�. 8l1tL.D11+�G S ' „ Y7 �� QF Att�@ t-�Ci 9EACti f �� ' r M LOC TIOWINFORMATION,- ----- 77 Wo r LANE; ATLANTIC BEACH, FLORIDA�� 322;33 ` a� Lot�� S�kackt t ionm .. ;,Su Rr F t3>Cx i R .. .4 +liINFORMATION 'Addroilow s 3,xv IWOY LANE � � t "A:�LAIt+iTXC BEACH, FLORIDA 32233 004 i 249 TO 9 ICATIOR FEES WA�1 .M ACT FEE $fit. 0 R . �. AQ Ilk" PIA � s.7i K•, a+ GAS ,�� y TAP - &z Ott 1 y F 1. 00 -00WER TAP uIbRAULIC SHARE RB-1i4I PIRCT PC ob. 0o .A. F N©7iGE 1�L�CQNGI11*TE 1�3JRM At+iD FOOTINGS MUST BE INSPECTED BEFORE POURING, PE —IT i% ID SIX MONTHS AFTER DATE OF ISSUE BUtkUt l a l+tiAkF C t,R $ ISH t [sORIS FAO CHIS W4''F K MUST NOT BE PLACED IN PUBLIC SPACE,AND MI�SI $I , GLEAF Q UP A�ElAULED AWAY 1�E Tt R CONTRACTOR OR,©WNER. " `�fA tE1RE Tb 1(z ]ECHANICS LIEN LAW CAN RESULT IN ; 4 PIt3PETT `; � R= +IYIII+C " `' VISE FCR BUILq NGMPROV`EMEfi�TS." 1; 8l EtJ ACCC3RI II�CG Tt�A3 C1V [ RLI WMICH ARE PART DF THIS PERMIT AND SUBJECT To REVOCATtf)N"I"I�R ! OLA Yt N €APPLE ABL PRt I i ',Q l A . A LA. a H w(L'o I N [ E PARTM 1 T kLr Jay m+ & Address V /6 Heated Square Footage $__Q� .-5'& per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ 1UTAL VALUATION: $ $ 9 Total Valuation 1st $ ,/-S; --7 $ Sr Remainder Valuation , 2 54 r thousand or portion thereof -------------------------------- -----------� Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED ; + 2 Filing Fee $ i Mechanical Fireplaces @ 15.00 $ Jlj, C� Pluming BUILDING'PERMIT FEE $ `?6, OU Electric/New ------------------------------------------------- Electric/Temp Septic Tank BUILDING PERMIT $ , , C, C, Well WATER METER CHART $ D:rimdng Pool SEWER DTACT FEE $ Sign WATER II,'1PACr FEE $ Water Connection MISCELLANEOUS $ Sewer Connection ICC $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES PLANS REVIEW CHECK LIST p Address----- Owner---/3 --' -rr -t -------- - --------- Legal Description__ Contractor tu- --------------------------------------License Number c. License on File ES NO Section 24-101 * Zoning RegulationsA Q r) Y f R Zoning District__- Proposed Use , G - =-- Required Lot Size f�_____ Actual Lot Size_•_______ Setbacks Required Provided Section 24_17 front � _pCORNER LOT INTERIOR LOT rear - ---- - - Flood Zone __ side-1 U ------ side-2 ✓lRequired Elevation---------- --- Max. Height Allowed J Proposed p sed Height_-_-'V Section 24_62 * Minimum Lot Co-_veragg Required Heated Area .�"------ Proposed Area Section 24_161 * Offstreet Parking Number Spaces Required__(__ Spaces Provided _ Section 24_82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES NO Utilities Water and sewer service is to be provided by: ----- Buccaneer Utilities ----- City of Atlantic Beach Utilities Private Source SEPTIC TANK WELL Plans Reviewed by:------------------------------Date Building Permit Permit #---------- ISSUED DENIED CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owne jt� -G�ddress�3 ja Buoy zip S 22,E Phone IZ11-20/� tect Address,� &,�-t� �Q �J zip Phone tractor n 7~c7i,�/� CoAddreS Phone2,909-o2 '" Contractor's License Number2R y�oG, 8 Expiration Date Copy on File 6 Lot # Block or Section # Subdivision Zoning Street_ /O Between�("_and 4 ' (_j a side,$ -- Valuation 000,'15pe of Construction Purpose of Building Number of Units Fireplaces Q) Utility Service: Water .— Sewer If the City if providing water or sewer service, do we need to make taps? _ . Dimensions : Building__ Lot Size Footings Sz. Piers ^_Sz. Sills Greatest Span Sills Sz. Ceiling Joists Distance on Centers Greatest Span Sz. Floor Joists Distance on Centers— Greatest Span Sz. Rafters Distance on Centers_ Greatest Span _ Method of Heating Solid-Filled Ground Roof _ Flood Zane If located within a FLOOD HAZARD complete page 2 SUBMIT: Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Codi Sheets Recent Sqrvey� APPROVED CITY OF ATLANTIC BEACH Ins Ctions C1ulred/ BUILDING OFFICE 1. 1 is n p ace an rea y to pour footings. 2. When steel is in place ready to pour columns/lirntel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, plumbing, electrical, fireplace, c let9eq1 andre to cover up. �/�,,(,� ��.�i•�2c�-- �c.o��I�iG,t��.p,� 5. Final inspection. NO INSPECTION WILL BE MADE IF BUILDING CARD I NOT POSTED ON JOB. In case of rejection, reinspection MUST be called for after Rear Lot Line corrections are made. In consideration of permit given for doing the work as described in the above statement, we w hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof, and in accordance i d ; with the building regulations of Atlantic Beach. Building and ZOnln Signature Owner ,c S Signature Contractor .Front Line FLOODPLAIN DEVELOPMENT INFORMATION Type of Development :' New Building Alterations to Existing Building Flood Zone Required Floor Elevation Actual (as bui.lt)Lowest Floor Elevation If located within a flood hazard zone (zone A) a survey must be made after the slab has been poured, certifying that the "lowest floor elevation" is equa to or above the base flood elevation established or that zone . No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department . COMMENTS Applicant acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No . 25-7-11 and all other laws or ordinances effecting the proposed developemnt . Date Applicant ' s Signature ----------------------------------------------------------------------- Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative AP SHO' (� WJG SURVEY OF LOT 14 DLOC J; 4 _AS SHOWN ON MAP OF S EA S P 2A Y AS RECORDED IN PLAT GOOK 3-5 _ PACE C�!h..... 4 A - OF PUBLIC RECORDS OF DUVAL CO. FLA. FOR JO_B0_ 5UILDE2s 41.2(0 F d. 1 P. 4 6_ -- - - - �.,q Fd.LP - 2 = 5�• Aj �� LOT 15 Fd. I•F' co � Z• S.S. � 0 (40) �2 6 /-STORY WOOD � DINEL LING � 9 PAT/O 1\0 a A C PAD 0 , o v 61 0' Q V co w LOT 13 Fd, I.P. r xrS7iir/¢, -UA /-L iw 0 o a C) Z 3- &X'1-5 7AU 19 -o r, 7o IM T le SCu/7C& lid (c j - ---- -- - - r llu�.�L i(f(nI ; i w l l U o w 70 /9-/!J t w le14) C/2 ccFS .C7co� S' 3 4-0 131 � S. i N � I � MO 901vedi" j I � N N Atlantic Beach.R 32233 ON)249-0925 6 17i i j oo�t� (,QA(/ i I i i I FLORIDA ENERGY EFFICIENCY CODE FORM 1000•C-89 FOR BUILDING CONSTRUCTION SMALL ADDITIONS SECTION 10 —RESIDENTIAL PRESCRIPTIVE COMPLIANCE METHOD CLIMATE ZONES AND RENOVATIONS DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAY BE DEMONSTRATED BY USE OF FORM 1000C-89 FOR ADDITIONS OF 600 SQUARE FEET OR LESS,AND RENOVATIONS TO SINGLE AND MULTIFAMILY RESIDENCES.ALTERNATIVE METHODS ARE PROVIDED FOR ADDITIONS BY USE OFZORM 1000A-89 OR 900A-89. PROJECT NAME 7W BUILDER: S ,# AND ADDRESS: /o i3cjcjqPERMITTING CLIMATE 1 ❑ 2❑ 3❑" _7 22 3 OFFICE: ZONE: OWNER: / PERMIT JURISDICTION ( NO.: I NO.: RENOVATION ❑ CONDITIONED O SQ NEW GLASS AREA AND TYPE IF MULTIFAMILY,NUMBER OF FLOOR AREA FT CLEAR TINTTFILM,SOL4R SCREEN ADDITION UNITS COVERED BY PREDOMINANT _ �•� FT S NGLE =FO SPAGLE-NS❑ � FTSAVE OVERHANG MULTIFAMILY ATTACHED ❑ THIS SUBMITTAL: FM ORCH LENGTH SINGLE-FAMILY DETACHED❑ LEENGTHOVERHANG ❑E FT D PANES ®FQ D PANES j FT WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FLOOR TYPE AND INSULATION FOR ADDITIONS ONLY: WOOD FRAME MASONRY UNDER ATTIC: WOOD MASONRY PERCENTAGE EXTERIOR: EXTERIOR: R• = M. RAISED: RAISED: OF GLASS R = R = ❑ ❑ SINGLE ASSEMBLY: ❑ R =❑•❑ R =ME] TOfL00R: ADJACR= •❑ ADJACENT:m• R= m•❑ COMMON:❑•❑ COMMON:(TI ® R % R I I L COMMON: •❑ COM R = R=COMMON:m .❑ GRADE:ON = •❑ 16— DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM El CENTRAL ❑ NONE ❑ ELECTRIC STRIP F1HEAT PUMP ❑ ELECTRIC ❑ SOLAR UNCONDITIONED SPACE: R = ❑ ROOM ❑ NATURAL GAS ❑ ROOM/PTHP ❑ NATURAL GAS ❑ HEAT RECOVERY ❑. Ela ElPTAC ElOTHERFUELS ❑ NONE F-1NONEFUELS ❑ DED. HEAT PUMP IN CONDITIONED NO NEW SYSTEM NO NEW SYSTEM ❑ NO NEW SPACE: R = SYSTEM EF = ,m SF/EF = ❑.m ❑•❑ 1 SEER/EER = ❑.❑ COP/HSPFIAFUE =❑•m NUMBER OF BEDROOMS = E In accordance with Section 553.907 F.S.,I hereby certify that the plans Review of the plans and specifications covered by this calculation indicates and specifications covered by this calculation a in compliance wit the compliance with the Florida Ener Code.Before nstruction is completed,this Florida Energy Code. building will be inspected r co in acro ante with Section 553.908 F.S. OWNERIAGENT: BUILDING OFFICIAL DATE: DATE: TABLE 10A MINIMUM REQUIREMENTS FOR SMALL ADDITIONS AND RENOVATIONS COMPONENTS SECTION REQUIREMENTS CHECK WINDOWS 904.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK. EXTERIOR&ADJACENT DOORS 904,1 SOLID CORE,WOOD PANEL,INSULATED OR GLASS DOORS ONLY. MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA. INCLUDES SLIDING GLASS DOORS. EXTERIOR JOINTS/CRACKS 904.1 TO BE CAULKED,GA KETED WEATH R TRIPPED OR OTHERWISE SEALED. LE&TOP PLATES 903.2 SOLE PLATES AND PENETRATIONS THROUGH TOP PLATES OF EXTERIOR WALLS MUST BE SEALED. �— INFILTRATION BARRIER 903.2 INFILTRATION BARRIER MUST BE INSTALLED IN EXTERIOR WALLS&RAISED WOOD FLOORS. INTERIOR JOINTS/CFACKS 903.2 ALL OPENING IN INTERIOR SURFACES OF CEILINGS AND EXTERIOR WALLS MUST BE SEALED. FIREPLACES 903.2 FIREPLACES MUST HAVE FLUE DAMPERS GLASS DOORS AND OUTSIDE COMBUSTION AIR INTAKES. EXHAUST FANS 903 2 EXHAUST FANS VENTED TO UNCONDITIONED SPACE SHALL HAVE DAMPERS,EXCEPT FOR COMBUSTION DEVICES WITH INTEGRAL EXHAUST DUCTWORK. COMBUSTION HEATING 903.2 COMBUSTION SPACE AND WATER HEATING SYSTEMS MUST BE PROVIDED WITH OUTSIDE COMBUSTION AIR,EXCEPT FOR DIRECT VENT APPLIANCES, MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND STANDBY WATER HEATERS 904.2 LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF(GAS)VALVE MUST BE PROVIDED. AN EXTERNAL OR BUILT-IN HEAT TRAP MUST BE PROVIDED. SPAS AND HEATED 904.3 SPAS AND HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NONCOMMERCIAL POOLS MUST HAVE A SWIMMING POOLS PUMP TIMER. GAS SPA&POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%. HOT WATER PIPES 4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS. IN SUCH CASES, PIPING HEAT LOSS SHALL BE LIMITED TO A MAXIMUM OF 17.5 BTUH PER LINEAR FOOT OF PIPE. SHOWER HEADS 904.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 80 PSIG. HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHNICAL CODE.JOINTS IN UNCONDITIONED CONSTRUCTION 904.6 SPACE SHALL BE SEALED.DUCTS SHALL BE INSULATED TO A MINIMUM OF R-4.2. HVAC CONTROLS 904.7 A SEPARATE READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM, RENOVATIONS ONLY GLASS t 03.0 MEETS THE REQUIREMENTS OF SEC 1003.0 SEE STEP 3 OF PAGE 2 OF THIS FORM, 1 ` G� CITY OF ATLANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS !47-t's=,a Owner `fRt> 12r LL �S Address Phone,11y 5-ac, 5 Architect Address Phone Contractor Address Phone Contractors License/Certification Numbers Expiration Date Property Address 0'4M Zoni= Lot # N Blcok or Unit Subdivision cya S,a 4 Valuation of Construction $ Type of Construction Describe Work to be Perforrmd t- Materials to be Used L u v o Tn K p n P c R �41-I- Present Use of Building Proposed Use of Building Flood Zone Dimensions of New Area: f HEATED GARAGE OR STORAGE JUL 1 ' CARPORT 0 I'ORCI I 1 i r t d n fy a t1 d Zo r n LECK PATIO YES NO NUMBER Will there be an increase in number •of units? Will there be a decrease in number of units? r� Any additional pltnbing fixtures? Any new fireplaces? SUBMIT M COMPLETE SETS OF PLANS INCLUDING SIZE PLAN Signature OWNER "so a ? ''- Date!6 &-,,1 _.. Signature 00NTRACIOR Date MAP St�G'�,yNG SURVEY OF LOT 14 SLCAC R; 4 AS SHOWN ON MAP OF SEAS Pi2AY AS RECORDED IN PLAT WOK —:P5— PACE S_�?`} A OF PUBLIC- RECORDS OF DUVAL CO. FLA. FOR JOBO BUILpE25 i • �v � 1 41.Z(o Fd. 1.P. 5g3e46 - - .- _ - - 4. Fd.I.P - - SOS ��?o A,1� m ••r.' 'y. �O•Q.. LOT 15 Cb ZFd. I,P. 0 2.2' N ' V 4r) 0 (2I.o) /-STORY WOOD b v DW.-I-L/NG pi 0• CD ? PArlo Fl� D AG. PAD , Q• � p,• s 6 � 0 � I F� 1 P •0 ti A/ Q. h J �. w 4 LOT 1 3 • 00.0 , Fd. I.P. RECERZIFIED W.O. O- a-T JAIJ. 22 , 1911 CND CIlAtiIG �• `� FINAL SURVEY Wo. C-2133 -IE5-F5' 05 5E-PT.8 , 19-78