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Permits 632 Camelia St CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030806 Date 8/08/05 Property Address . . . . . . 632 CAMELIA ST Tenant nbr, name . . . . . . ROOF OVER DECK ONLY Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 800 Owner Contractor ------------------------ ------------------------ LONG, EUGENE & MARY OWNER 632 CAMELIA STREET ATLANTIC BEACH FL 32233-252 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . 8/03/05 Valuation . . . . 800 Expiration Date 1/31/06 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUI[OLG40hVICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030806 Date 8/08/05 Property Address . . . . . . . NOWN0 Tenant nbr, name . . . . . . ROOF OVER DECK ONLY Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 800 Owner Contra ctor ------------------------ ------------------------ LONG, EUGENE & MARY OWNER 632 CAMELIA STREET ATLANTIC BEACH FL 32233-252 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . 8/03/05 Valuation 800 Expiration Date 1/31/06 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. B! G 0 'ICiA-1 CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR INTERIOR REMODEL) Date: (0 -3c) JobAddress: C6M45hy-) _577 Owner of Property: CM t;ePC. 18AA4 Address: t,32- CA-M(.'!j-#jq .3 tf Telephone: 9d q 4 16 4 70 6 Legal Description: Block Number: IJ Y Lot Number: 4P Zoning District: Contractor: -sA".e n-s 6t.-wel State License Number: Lit/-1 Contractor's Address: _S Prm-f Telephone: 's PTW-e- - - — — Fax: A4fg Describe proposed use and work to be done: T6 PO gt6QA_ 6Vek 64Ce Dmk- UVA66- Present use of land or building(s): M f 004 Te- 9,eS� Valuation of proposed construction: ?,Oo. 1)a New electrical or increase in service? Ail 11 Add plumbing fixtures? AV-14 Add fireplace? Add heating/air conditioning? Is approval of Homeowner's Association or other private entity required?IU6 If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriat Incomplete applications may result in delay in issuance of permit. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two(2) complete sets of construction plans to the Building Department which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I hereby certify that all information provided with this application is correct. Signature of Property Owner: —Date: -_50-2 ods C�_ I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page I Revised 1115103 CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: 3o -24&5 Job Address: & C~le/1-4 5 CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING'REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS TEE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION JS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR, YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER, OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSF' IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR- TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. YVONNE M.CALVERLEY t�, MYCOMMISSION#DD342`192 1 EXPIRES:July 29,2008 Bmd@dThm Nftry Public Undembre PROP&W OWNER I JH T)!�� rz-it Z-5-ac Ll D-oa,I-C) SWORN TO AND SUBSCRIBED BEFORE ME THIS Y F 20e)s_� .2&AY J ARY PUBLIC COMMISSION EXPIRE NOTE: PHRASES UNDERLINED ABOVE. CITY OF ATLANTIC BEACH 401, ROOFING PERMIT APPLICATION FRID Date: Job Address: (cj I- 01W ek 1 .5 Owner of Property: L-"-u 6 e,.j-e �p" Address: (0.3 CAAt4-ej,-)f - 57 Telephone: tf 47 6 6 Contractor: ii-m-e— State License Number: 1A Contractor's Address: 5 A-M --e— Telephone: %) I A L(& 47 0& Fax: AX Scope of Work: Ago f t'h co JL 6 a-eo, eX r5 T I t!A Deck Slope: 12— Greater than 2:12 Less than 2:12 Valuation of work: 4 !�Coo- od Product Name(Example: Timberline): iT Manufacturer(Example: GAF): (f-P A P ASTM Designation(s): 13-31J&2 18- Required Inspections: Sheathing and Final Date: Signature of Owner: &" 901— Signature of Contractor: Date: AS TO OWNER: Sworn to and subscribed before me this day of Lf 20 O-S-7 State of Florida,County of Duval X17 Notary's Signature: YVONNE M.CALVERLE", MY COM MISSION#DD342i,- V EXPIRES.July 29,2006 0/1'ersonal k wn BIdId Th,Nfty Pwj,underwrlteq L!j Produc�ei ntification Type o entification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20_. State of Florida, County of Duval Notary's Signature: M Personally known E] Produced identification Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page I Revised 2/21/03 CITY OF ATLANTIC BEACH Cc: D. Ford BUILDING / ZONING DEPARTMENT 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 cc)it 1 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: Applicant: G Project: --P,-Do f-- C�0 T-)efy— This permit application has been: \J JUL P---A-pproved ins v ew and the following ite W1 (7,(E- LL4 L 5 rr, q, SL I Wet U)" Aa +44 \-,15AV�4�e (�c Please re-submit your application when these items have been completed. Reviewed By: Date: L4:-- Date Contractor Notified: In's IMMI��,�MIMMMM Mal MINNOWN INUMMIUMMINIMICZANNIN IN =mum! Mal Mal el. 'tee, v %) 1/4 MAP SHOWING BOUNDARY SURVEY OF LOT 6, BLOCK 134, SECTION "H" ATLANTIC BEACH, AS rECORDED IN PLAT BOOK 18, PACE 34, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: EUGENE LONG NAVY FEDERAL CREDIT UNION FIRST AMERICAN TITLE INSURANCE COMPANY LOT 6 BLOCK 135 N 01'16'00" W 70.00' (PLAT) N 01*27'05" W 69.99' (MEASURED) SET 1/2" REBAR FOUND 1/2- IRON PIPE STAMPED "ACM LB 6702" NO IDENTIFICATION 9,3- 0.0',( 0 )1 N 0.0., X — — — — — — — — — — — — — — — — — — — — 0 1 R T 0 R I V E — — — — — — — — — — — — — — — — — — — — — — LOT 6 BLOCK 134 STEPS pEq'(//// (Al OX z (J) r////;w"o.,K z w 00 Oo CD 5M1111 (o Co 31.9, 2&2' 9.9 (D 'o (:5 C3 C3 C3 NJ IZED m 0 0 'o.8, Ln o TWO STORY m m 0 0 EVC�: 0 FRAME LOT 5 POSTED # 632 BLOCK 134 mz 'o, 0 CD 0 0 56 0 0 (D V) 0 C) So c� > 28.1' zs 31.9, 10,0, m u M m r- > m STEPS > > > (f) Ln c: ;o m m FOUND 1/2- IRON PIPE SET 1/2- RESAR NO IDENTIFICATION S 01'26'36" E 70.01' (MEASURED) STAMPED "ACM LEI 6702" S 01*16'00" E 70.00' (PLAT) CAMELIA STREET (50.0' RIGHT OF WAY) NOTM ACCEPTED BY: LEGEND: R = RADIUS —X— = FENCE L = LENGTH 0 = CONCRETE NOTES: 1. BEARINGS ARE BASED ON THE ---PLAT ... BEARING OF S 89*02'00' W __ ALONG THE REVISIONS SOUTHERLY BOUNDARY LINF OF SU�FJFE-FPARCFI ------------- 7478 DEPARTMENT OF 8UlLbI NO CITY OF ATLANTIC SEACH PERMIT INFORMATION LOCATION INFORMATION' ]Iti t --------- I Wnber. 7 4-17 e, A�'dress-. 6,32 CAMELIA STREET mi t T UTTLITIES �P L ype. ATLANTIC BEACH; FLORIDkl. 52.2-13 :6f 144ork NEW _-�____ ' LEGAL DESCRIPTION t r,-, ":Type,: WOOL� FRA SINGLE FAMILY !R-Jock,- Section- Pse. Tovnthlp: 0 Code: 10 S bdivi -on. SECTION 11 s aiti m a,t,ed� Value cost , 8-25 . 00 Ar6pqtt x"1� W A fPv-g, ,qppv y o I ON, PLIICATION PER$ ----- - - AP ,ifERMIT $0.00 STREET MARY F.� 0 PACT F FLORIDA :E '0A 6 .0 �00 RADON GAS-H 0 IoNj MAT RADON GAS 'Pu KS EPAR CAPITA4-IMPROVE.,,. $3 2.5-,,�O WER SL TAP $0 1 00� `HY1RAUL I C SHARE Vno 7:7_ CROSS CONNECTION Type: 0 $ -IMPACT FEE 7 7 NOTICE—ALL CONCRETE FORMS AND FOOTI"S MUST#E INSPECTED BEFORE POURING 771 PERMIT V0,'Ib;S4 X M, THSAfTE, SU R,&Tt,�O�AS E 10� 6UILDINGIMATERIAL,Wj"Li4 AND DEO�RIS,�R. Zi'�, OM HIS WORK M $T NOT Bf.PLACED IN PUBLICSPACE,AND MUST-BE CLEARE6 ORAND MAULIt 'AWAY BY EIT ACTOR:OR OWNER HER CO OMP Cf ANICS' UEN LAW CAN RESULTIN "FAILURIE11 Ly 't,H E Me I THE I WITH , P,I I `]� % , NAUI V4 WNEAPAVI OPE , ICE # .-PINOIMPROVEM TV' iSSL ED U ACCORDING TO A IPPR , ,�,N H ARE;PAAT 0 t-PERMIT AND tUBJEfjfjfP REVamial WHJC '7 , 0 1 O'F,�,A-P�o�'L,I,CABLEPRMiii';V ''0,.LAW. Town: *2� MOVE AA 'flow #AJMER*. TLANTIC BEACH BUILDiNG DEPARTMENT 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. ,z— BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH 1 2, (8) TUB OR SHOWER STALL ,(6) WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) —SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) 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 DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (112) BLOWOUT (2) LAVATORY, BARBER/BEAUTY 0 ICE MAKER (1/2) SHOP (2) LAVATORY, SURGEONS SURGEONS SINK (3) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS $20.00 EACH $_ JOB INFORMATION 67 cc TZ 6z (90 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING $00 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-PAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18471 Address: 632 CAMELIA STREET Permit Type: DRIVEWAY ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: SECTION H Est. Value, Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 7/08/1999 Name: EUGENE B. LONG & MARY F. LONG Total Fees: 25.00 Address: 632 CAMELIA STREET Amount Paid- 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 7/08/1999 Phone: (904)246-4706 Work Desc: NATURAL-DRIVEWAY I -- CONTRACTOR(SI APPLICATION FEES - _NR-OPERTY OW-NER PERMIT 25.00 Insvections Reaulred NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PRO ERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT�,110 Rl��V(qj N FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.00 14 Datet 7126/99 61 Receipt! 9%7AITI 1239 ACH SUI DING CHECKS A�4TLANTI EACH BUI DING DEPT. 00100083221000 CM' OF ATII-A�MC P-F-4CH C--NSTRU=CN PE:RMr7 WTHIN CrrY RIGHTS OF WAY ANC E-ASEIMEI,�,-: CAT E 30 —PERMIT NC. LSSLJZ0 By -HE C17- SUBCIVISiCN CrTY STREE:7 PE:,Rmmy--- "�u6.6--- AjzF REPM47;F-E ACCRESS (,�2- CAole 1�11 5-1 7F-LEPHCNE NC.'10 -2 4 7 REcj-iE�Tiuc PERMISSION FROM THE C,,-ry OF ATI ANTIC BEACH TO CONSTRUCT �'utd I-OT-6 q oV O-Kmelo+ 'STRe-&-r aPic Lf&-ti-, LoCATIONS: CREFF-RE14CF TO CROSS-STREET) LZ4-,-,T' i,lk d CA-i0fl,a 4ee 4 16 t3 q JUCH TO -�Lt"G THIS APfmLtCATtl-� "C '�AS ASCE.RTAI, Qlzl OUNO AN-D 74-4E ACCL4:4ATE -OCATIO#4S E FOLLOWING UTILITIES/M YES No YES I'lo YES No '/M -11CA71ON YES NO ION, RE.PAJR. IMPROVEMEN 7 F AL-' . OR ANY POFMCN F O� WORKS. ANr OR ALL 0 ]SAI *O'ER, 5 Lt RIZED "eRetjtw*o)`E LOCATED �4ERE-00+A�S -4EO4jIRED BY THE 7,4R4-rC7CR OF P6aLjC EE: UNL.E-SM SLEIZ48LaRS-F-MENT IS AU7H�RIZE=. BEACH OR FLORIDA CEPARTMENT OF-7*RANSPIF;LA71ON 37ANCARCS OF e(j6e,--,r- )-olLr, �CON7RAC77--R S L--U G e,4-e Lo �,0?1- A 46-Y?0 4- 4, AL-, mA:rE:RIALS AND ECLII IECT =- LN-'SPZ=-Tnu BY THE CIREC77CR CF P'15qf IC WcabLs OR "IS DESIGNEE:. 5. ALL C�-- PROPERTY SHALL ErE` Hr-zl0"r-!d 71Z r7S Orn-UMAL O-_-rMMON AS FAR AS =FZAC71CZ-. r7q KE--Prm� wm� Crl- SPECIFI-CATICINIS AND THE 1 1*ON P-5ATt!!WAC70R� T-0 THE CITY, A si�,c?-4 OR P,-ANS CovEqimn rp---Aif q CLF -,I-US IN SkiAL- BE MA E: A. RART 0 0 -- 17. F 'ILS,PER111 7. HIS PERMI77E=- SHALL COMMENCE: ACT UAL CONSTRUCTION IN 0000 FAITH W17HIN DAYS FROM 7HE: DAY OF SAM PERMIT AP-ROVAL ANID SHAr-' 3-E Wn-,fM );Z 0 DAYS. IF BE--INNT?9,U =AT-- IS -r"4*14 6C DAYS FROM D*T`E C�F F--RMtr APPFRcv*L, 7i-+Ei* P---""tT-reE MUS7 REVtEW T I-+E YMTH THE C*I'R�-"D'c;�OF PUBLIC WORKS T4O-M'1 E S4'-kRE NO CHA#4C� I-4AVE OCCURRED IN 'T-+E AREA 71 1 W404JL0 AFFEC7 THE PERMI17 ED CCNSTRLU--nCN� e. IT IS UNCERSTCOC AND AGREED THAT THE RIGHTS AND PRIVILE:GFS HE:REIN SE7 OUT ARE: GRAN7E:D ONLY 7C 7-HE: E)(TENT'OF THE CITY'S RTO-HT. TM-L--AND INTERES7 TN 7-,fE LAND = BE E:NTE:.czF--- UPON Aivo USE= Err 7HE �OLOER. At*O �HE r-4CL=ER W+LL. AT ALL 7�-�ES, ASStJf-tE ALL RtSK --I- AND NCSIMNIF�, DEFE.-#O. AND 5AVE HARMI --SS 71�-,E C17Y OF ATLA04T;C BEAC>+ Fr-40M AND AG04NS�T A4Y ANQ ALL LOSS. IDA�-�E. A04-0 COST OF EXPENSF-S ARLSING IN ANY MA"&E-R OF 'rl-JZ EXERCISE OR AZ-rEl�ZO FX RCISES BY 7HZ HOLZER OF THE AFORESAID RIGHTS AND PRIVILEGES. 9. 7KE DIRECTOR OF PUBLIC WOMCS SHALL BE NOTIFIE=TwEwry-F-cuiR (24) HOURS PRTCR =1 S7ARTrPqU WORK AND AGAIN IMMEDIATELY UPON C01,,tPLET�ON. SUBMITTED BY d%�" —(PLACE: CORPORATE: SEAL IF APPLLCABLE) SWORN TO AP40 suescRisE:m BEFORE ME 7HJS�;�CDAY -o W6 MAP SHOWING SURVEY OF 6>7--:!5* q,4' 6�4- AS RECORDED IN P--L5NT--- BOOK =- PAGE OF THE ZUKNEUT-F-1 OF MUVAU,- COUNTY, FLORIDA LOT 6�;, 4 L-OT LOT 1 Z.6 LOT Z I--C?T 134 (y) V,) L0 T- LC)T L(-7)T<�, 6 L)AP- 13 q sec-Ti6td L-V c�7 U c A e. cemeL,A ,taee (4 00 cul- D P rw A',( eeT -SI DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT No. 5745 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date JANUARY 12 1982 54 273-40 219. Valuation$ Fee$ _75 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that EUGENE & HARY LONG 986–A ELDORADO STREET, IfAYPORT, FLORIDA 32227 has permission to build A SINGLE FA111LY HONE AS PER PLANS S0111ITTED Classification SINGLE FA11ILY —Zone RS-2 Owned by EUGENE & MARY LONG Lot 6 —Block 134 VD 11111i House No. 632 CAMELIA STREET According-to approved plans which ate part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS _n AFTER DATE OF ISSUE 4 10 4 00 0 Building material, rubbish and debris z from this work must noP W q4ce&I. in public space, and mu!@ 0.$4*KtT up an&hau!pjL bway blygeit*y 1c)Dp8 j .'...tra, r-,ow C, 17 1 g officij.0 a U FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING RES – 3818 ELECTRICAL DAROWSKI ELECTRIC SEWER WATER IIECIIANICAL 5749 N & L HEATING–Z- AIR loop^ p CITY OF �7 114 A), 716 OCEAN BOULEVARD P.0.BOX 25 TELEPHONE(904)249-2395 ATLANTIC 13FACH,FLORIDA 32233 Septc-,_mber 29, 1983 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville, Florida 32202 Dear Sirs: The foll(7,qing final inspection has been made and is satisfactory: Permit #3721 - 632 Camelia Street, Atlantic Beach Pe,,7,ydt issued to Bill 'Ilhc�.-jipson Electric COT flpany, Tnc. Sincerely, i 01-M M. Wiakiaqs Building Tnspectim Su?ervisor Jl',_'�,!/ra CITY OF ATLANTIC i,,I:ACH I N s 11 F C11,I ON s BUIT.DING PERMIT No.s-�2 ELECTRICAL PEIRMIT NO.3�� PLIYMBING PERMIT MFCHANICAL PERMIT PERMIT JOB ADDRESS CONTRACTOR OWNER insRe5ted called in approve isaproved reinspected JEA FOUNDATION FOOTING SLAB PIX-111BING (R) TOP OUT �IFWER fE,'�T POLE ELECTRICAL (R) 040 ELECTRICAL (F) ---1 FRAMING PLUMBING (F) LINTEL/BEAM COLU'TIN STEEL S11OOT GRADES LOT CLEARING FTNAL INSPECTION �IECHANICAL HEAT/AC FIRE PLACE DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT No. 5746 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB, Date 9/15 8 4 6*��U T 19�� 4('Je�UCKT i Valuation$ P�UMBING _Fee$ 48-50 IP 9/1�/q �ii4c' 9UULAM This permit not valid until above fee has been paid to City Treasurer,and is A 9/15/8 subject to revocation for violation of applicable provisions of law. F.W.FAIR This is to certify that PLUMBING has permission to bui INSTALL AS PER PLANS Classification SINGLE FAMILY Zone EUGENE AND MARY LONG Owned by Lot 6 Block 134 -S/D House No. 632 QQXLIL STREET According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 01 4 –0. 0 Building material, rubbish and debris zq from this work must not be placed in public space, and must be cleared up.,vid hauled away by either con- a owner. L Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER 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. EL ICAL FIRM: MASTER EL CTRICIAN-SeNATURE JOURN&YMAN NAME Z-044e- ADDRESS: 3; Z_ RFD----BOX BLDI ,S17-F -BETWEEN: RE&M APT.( I COMM.( PUBLIC INDUS. ( NEW I OLD( REW. ADDITION f TRAILER ( TEMPA SIGNS ( _SQ.FT. I SERVICE: NEW_A�0_ INCREASE I REPAIR FEE CONDUCTOR SIZE 2- AMPS COPPER I ALUM.f X<- SWITCH OR BREAKER AMPS 3W J 3 VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLTI RAqEWAY FEEDERS NO. SIZE INO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN- TOTAL 0.30 AMPS, I-to AMPS. SWITCHES F_ INCANDESCENT FLUORESCENT&M.V. _o-vao OVER Allik"6' S AIR H.P.RATING H.P. RATING CONDITIONING- COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT OVER MOTORS H.P. VOLTAGE PHIS NO. I N.P. VOLTAGE PHS MISCMAREOUS 10,00' TRANSFORMERS: UNDER SW V. OVER 600 V. NO. 11 KVA NO. lKVA NO.NEON TRANSF. �O. VA. MOTOR SIZE SWITCH FLASHER EACH SIGN T FORWARDED TOTALFEES i�,,7 S H (21 I IA (211 ..................... 11,U 11.D I N G LOT: I'LL:11B I NG: M I'CHAN I CAL: ELFCTR I CAL: BUILDING PERMIT WORKSHEET .J-y 1,S-3 QL HEATED SQ 161E FOOTAGE: @ $ q per sq. ft. = GARAGE (PRIVATE/SHED) : @ $ per sq. ft. = CARPORT: @ $ per sq. ft. = PORCHES: @ $ per sq. ft. = DECK: @ $ per sq. ft. = SIM.zd PATIO: @ $ per sq. ft. = TOTAL VALUATION: PERMIT FEES 0 /13 6 1-5-6 TOTAL V LUATION DATA Ist -1?/' �2-7 41-0 $ @ �-'Oaper thousand or portion thereof PR t TOTAL BUILDING PERMIT FEE. . . . . . . . . . . PLUS 1-2 THE BUILDING PERMIT FOR P� FEE. . . . . . . . . . . $ 5 . 76- TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ------ ------------------------------------------------------------------------------------------- PLUMBING PERMIT FEE; MECHANICAL PERMIT FEE: ELECTRICAL RESIDENTIAL: $ ELECTRICAL TEMPORARY: WATER METER SIZE: FEE: $ SEWER CONNECTION CHARGE; SQUARE FOOTAGE: FEE $ WATER CO!,,NECTION CHARGE: FIXTURE UNITS @ $10.00 PER UNIT: ACCOUNT NO. : APPROVED BY: TOTAL BUILDING/PLAN FILING FEES: $ TOTAL WATER METER CHARGE: P R 0 V 'E- D TOTAL WATER CONNECTION CHARGE: Tic ';.Al. I BEACH EU11-01NG OFFiCE TOTAL SEWER CONNECTION CHARGE: 7:5- ..............1. GRAND TOTAL DUE: D Al E I Kw -1 AL Y:i-P I YE ADIDI T]ON C I AL I o N .111i�]ING YJ FYI ADD)�ESS please print -'f1(-()U,",T)' OCCUPAIJONAL LICHINSE NO. AE Cr-R*J I FICAIE NO. I i-DER OF CO'.'TILACTOR -- -- - - --- --- --- ---- - -- --- ------------------------------------------------ ---- - -- - -- - ----- S S VA 10 RY BATH TUBS U?J',ALS 17LOOK DRAINS DJSH-,---AS3!IERS DISPOSALS C)TiF-R TOTAL FIXTURE COUNT "ALLAIJOIN OF A-ND FIXI S IST W17H 'DiE '-IC)ST TKHCENT ;'-DIT30N S C U S DARD P LL7'IB I NG CODE. S 3 GNATURE OF S 1—ER P E�ER FOR OFFICE USE ONLY Date....................................19 ...... Permit *........................Fee .................. CITY OF ATLANTIC BEACH Valuation $----................................................. FLORIDA House .......................................................................... APPLICATION FOR BUILDING PERMIT *...*-----------**----------------------- ------------- 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 duIy licensed in the City of Atlaniic 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.... .............................................. Owne r.Z9)_G.a_kJ 4-� �_.l A---I R_�Y_ -----4-0. 6--------------------------------Address_3�__l .46,...Y 4_4�4�91.�Q...5.n..Telephone No..2....... _?4�4 Architect...........A,0M.AF......-------------------------------------------------------------Addres&..........................................................Telephone No------_---------_-_----- ContractorBuilder...... ----_-------_-----------------------------------------------------Address...........................................................Telephone No........ ------- Lot No-----------....G--------------------------------Block No-------- .......Sub Division............-H ................................................................Zone--_------------ ..............--------------------------------------------Street---- ------------Side Between...................................................and------------------------------------------------------Sts. Valuation $.........-----------..........For what purpose will building be used.JR4-'51.0 #A!---Type of construction....W.&AP----------------- Dimensions of Building__,a_F':K..3P............Dimensions of .............'Size of Footings----W......A...20//---- -------------Type RoofqAp#,q/-7 s#w6L9 ............................. Size of ----Size of Sllls_,�-----X -------------Greatest Sill Span in ft............. How will Building be Heated?A;14--- 1a.0.0Z1VAA0:S.........Will Building be on Solid or Filled Ground?...... ................ Size of Ceiling Joists-24-0A---q- --------------------- Distance on Centers............. .......... Greatest Span............... -----_------------ Size of Floor Joists... ------...............Distance on Centers........ ................... Greatest Span--------------�!�....................... Size of RaftersJ_'_.X_Y'__/j_-..KA ------------ Distance on Centers........ ...../61.11................. Greatest Span-------------------_----_-__------_ This rectangle is to represent the lot. Locate the building or buildings in the ri APpRo right position. Give distance in feet from Ty ATI z 1. vie 0 all lot-lines and existing buildings. .,NTIC 8 SuILDING EAcli REAR LOT LINE Ev Two copies of plans and specifications shall be submitted with application. 36 ( Inspections required. 1. When steel is in place and ready to pour footing. C'� ............ h LOG Z Z 2. When steel is in place and ready to pour colum��n or e 4_fl�, :4 3. When steel is in place and ready to pour beam. EA 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. 0 7. Electrical inspection by City of Jacksonville. rn S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. A FRONT OF LOT 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 building regulations of the City of Atlantic Beach. Signatureof Builder.............................................. .............................. Address..........................__--------------------------------------------------- Signature of Owner. ............... ...I................ Address..!?;�4? ....... M.AV)OW.17 P 3 2 7 Z7 MODEL NEFIGY EF`F:lClENCy CODE FLOiRIDA NG C0t4STV;LjCTION CLIMATE ZON-S FOS BUILDI'1,9H pOINTS METHOD NORTH 1 ',3 902 SECTION gr OF . I!: IRS FOR SRAHAM DEPARTMEN OMMUNITY AF G OVf FtNOR ZONE NAME zip PERMIT NO. PFIOJE JURISDICTION NO. go ADDRESS I�. ND TYPE BUILDER 0/() ..I..I..I..I..I..I -�EKIXIII lzq 1�11 TI T' CS GLASS TINT OFt FILM OVWVN 8 C-L)CC-A) S r UNITS Cl r _rAR L IF MUL I-f AMILY, NO LAI' N SGL ON, COVERED By THIS CALC 6L C3RENOVAT% CALCULATIONS REQUIRED ADDITION tSEPARATE CASE UNIT INSU ATIO14 FOR EAC4 WORST EILING ASSEMBLY tA\3\_Nj-FAMIL' TYPE.) SEC. "go,.1 CONDITIONED UNDEFt ATTIC SGL- -ULATION' ;:LOOR AREA R= REA AND IN R= GR LL R= FRAME OT iVATER YSTEA PRAIIII SOLAR CEIS By H A IN SYSTE NONE RESISTANCE GAS s ST E, P IP GAS 13 HEAT RECOVERY cop CO LI NONE S SOLAR cl t)ED. HEAT PUMFI, crNT OIL 13 0 UNITARY 0 HEATPUmv-. Cov, 0. OTHE EER.SEER OTHER, ALCULAT D 3.11) P IANCE ApPR ACH" (SEC DATE ALLOWED (from ATE pRESCRIpTj E CO MA)(. E-P-11 By "ALTERN COMPLETION COMPLYING DATE FOR lbuiidinu offici I CHECK IF CHECKED BY, CERTIFIED By 3CAL BUILDING DEPARTMENT. I HIS DAT IS T 13 SENT TO DCA BY THE U ,IS DAT IS T NOT EXCEED VALUE SHOWN BELOW) ED (CALCULATED E-P-1- MUST Igol- 2A01- 2301- ALL isoi- 1701 9A MAX- E-P 01- jjOi- 1301 1700 1900 � 2100 2300 ABOVE C D TIONED (3-900 100 1300 1500 100 95 90 85 80 1982) -10.0 110 tobw FLOo AREA 120 115 :R HEAT PUNWI as of October 8 0 EERISEE - 2.5 EFFIt NCY LESS THAN . ........ BASE E P 1 A/C j;�-VVALLS (maximul''I'l of 5 vointo— - 6.0 MULTI- MILY' COMMO I CEILING and/or FLOOR (maximun" 12 points) DEDUCTIONS , I MULTI M LY. C III .............................................................I TOTAL DUCTIONS DEDUCTIO S MAX. E.111.1. ,!ILOWED ASE E.P.I. mom COMP E MAX. ED E.P.%- THE "ALTERNATE PR SCRIPTIVIt COMPLIANCE V4141CH PLY WITH THIS CODE B R EXCEED ALL MINIMUM PRESCRIPTIVE *BEE SEC ;IDENCEl- MEET 0 H 903. ARE REQUIRED TO AND ALL OTHER APPLICABLE HADED BLOCKS ON THIS FORM, APPROAC LEIVELS INDICATED 8 LISTED IN TABLE 9B. THE E.P.I. FOR A HOUSE COMPLYING QUI ENTS BE PRE -SCRIPTI LCULATED BUT WILL BE THE MAXIMUM E.P.I. ALLOWED FOR IS ETH D NOT CA TABLE 9A. THE STATISTICS SECTION ABOVE SHALL BE UNDER ........... S OWN ON SE SIZE SUB ED TO THE LOCAL BUILDING DEPA -ENT2."i, ......... CITY OF 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 September 29, 1983 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville, Florida 32202 Dear Sirs: The following final inspection has been made and is satisfactory: Permit #3721 - 632 Cawlia Street, Atlantic Beach Permit issued to 13ill Thoapson Electric Conpany, Inc. Sincerely, John M. Widdows Buildiq-, Inspectirn Supervisor JIV/ra CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT OWNER'S NAME LOCATION MASTER PLUMBER STATE/COUNTY OCCUPATIONAL LICENSE NO.- CERTIFICATE NO. CONTRACTOR TYPE OF BUILDING SINKS /SHOWERS a-LAVATORY / WATER HEATERS __LBATH TUBS /--DISHWASHERS URINALS DISPOSALS -CLOSETS 14ASHING MACHINE FLOOR DRAINS ----OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH.THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. Al cruy oil ALTANTIC BEACH CoNlIfA'LNT MANAGEMENT e MP�LA I 1i ANT: Last Name F 1 Y/S�:)TATE Z I P L,0CATION: -I<GP---RTY 64NERS PHONE: z ",')PLIPTY OWNERS NAME: PAr�TMENT FORWARDED TO: 15:�, -,114T TAKEN BY D TE/TIME: Al OFFICE USE ONLY -714-V','ST1r GATED: (date/time) ASSIGINED DEPT. /DIVISION: 11RIORITY:--.- 1,4VES11GATOR: C�IDITIONS FOUND: g2 ACTION TAXEN: ------------- C"OKPLIANCE: N(��T E S --------------