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Permits 190 Club Dr �j rL1�r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026052 Date 5/16/03 Property Address . . . . . . 190 CLUB DR Tenant nbr, name . . . . . . 5 ' CEDAR SHADOW BOX Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4400 Owner Contractor ------------------------ ------------------------ IV, WILLIAM R. THOMPSO A-1 FENCE MFG. INC. 190 CLUB DRIVE 10913 BEACH BOULEVARD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 642-4800 ---------- ------- --------- -------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 i BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL n CITY OFATLANTIC BEACH ' $ t 800 SEMINOLE ROAD c`3 ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # Applicant: 0 i I I T h o m o,5o n Address: /9 o o 1 ij h t7r Project�S e'er Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date d S `/� Contractor Notified Date J � S) CITY OF ATLANTIC BEACH FENCE PERMIT APPLICATION Date: Job Address: / 7 �� Owner's Name: f Address: A& Phone: Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor: Address: Phone: City: State: Zip: l Fax: Type of fence and materials to be used: Valuation offence: Is approval of Homeowner's Association or other private entity required?14—If yes,please submit with this application. ❑ Interior Lot Rcomer Lot ❑Dumpster or storage tank enclosure Tre Protection: CNO. Applicant certifies that no trees will be removed for the installation of this fence. ❑YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION: 1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) 2. Provide completed Owner's Authorization Form if applicant is other than property owner. I hereby certify that all information provided with this application is correct. Signature of Owner: C r'� " —' - Date: 0 . Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print): Name: t° � Mailing Address: �- Phone: Z `I�f`- 7�.5Fax: E-Mail: 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Page I Revised 1/14/03 JS rs r,,\Jrr, Z, CITY OF ATLANTIC BEACH FENCE PERMIT APPLICATION �53W) Date: d1-310' Job Address: Owner's Name: ZZ rj4-, ,v Address: Phone: Legal Description: Block Number: Lot Number: Zoning District: Fence Contractor. Address: Phone: City: State: Zip: Fax: Type of fence and materials to be used: Valuation of fence: !-` Is approval of Homeowner's Association or other private entity required? If yes,please submit with this application. ❑ Interior Lot [Corner Lot Dumpster or storage tank enclosure Tree Protection: ,29�NO. Applicant certifies that no trees will be removed for the installation of this fence. ❑YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION: 1. Attach copy of property survey showing location,height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) 2. Provide completed Owner's Authorization Form if applicant is other than property owner. I hereby certify that all information provided with this application is correct. /s, Signature of Owner: � >`' " �' `" Date: - G� Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print): Name: r) �////>l a / `----- Mailing Address: Phone: `fl`— T y Fax: E-Mail: 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 Zoo I/ MAP SHOWING BOUNDARY SURVEY OF LOT 1, CLUB MANOR, AS RECORDED IN PLAT BOOK 25, PAGE 62, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: WILLIAM R. THOMPSON, III AND LINDA G. THOMPSON SUNTRUST BANK STEWART TITLE OF JACKSONVILLE, INC. WATSON AND OSBORNE, P.A. CLUB DRIVE (50.0' RIGHT OF WAY) N 85'32'15" E 68.22' (PLAT) N 85'28'51 E 68.23' (MEASURED) • `' FOUND 1/2" IRON PIPE FOUND 1/2" IRON PIPE NO IDENTIFICATION NO IDENTIFICATION City of Atlai itic Beach ryod Planning and Zoring Deparimm t �N • ' This approval vskes oof Vftnoe with appNmW .4 , _ � 4 WOOD WALK onin9, subdtv`�sion d other local land evelopment r"uiations, but does flet ooneftto FOUND 1/2" IRON PIPE pprOval for the Issuance porn nce NO IDENTIFICATION f h Florida Billldlnv Cc am ad ether, ;, .. cal State uMd Fedeml NE F 4 - - gni of 0 � a ' COVERED W000 DECK �I ,D P1. 18.9' FI 43.5' AN—plp s-III U /1 Lu wI 5 zl ONE STORY N o d Q �I n FRAME W �I POSTED # 190 p N u �1.7' au .- Q C0 zo.20.7' N X W 3 Qi LOT 2 J 00 .v, 9.3' 8 u .. 0 a O UJ r' aEQ is x o w 4 d o o Do PLC) b �t� Ld LO 00 I o N U rO (D I POOL ..:0 5.3' n n 19.7' i- O z O Z I N •' LOT 1 c X X XX .4' FOUND 1/2' IRON PIPE ' FOUND 4x4 CONCRETE MONUMENT NO IDENTIFICATION 10UTILITY EASEMENT 0.8'-- NO IDENTIi`ICATION S 85'23'39" W 83.92' (MEASURED) S 85'32'15" W 83.88' (PLAT) LOT 10 NOTES: ACCEPTED BY: LEGEND: R = RADiLS —x-- = FENCE - LENGTH L s o CONCRETE CITY OF ATLANTIC BEACH e511 800 SEMINOLE ROAD f ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031520 Date 10/28/05 Property Address . . . . . 190 CLUB DR Tenant nbr, name . . . . . . MSTR BEDRM/BATHRM RENOV. Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 50000 Owner Contractor ------------------------ ------------------------ MAHLER, J. , ASBURY, D. GENESIS BUILDING CORP 190 CLUB DRIVE 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-0320 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 330 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 50000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 330 . 00 330 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 330 . 00 330:00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDINIOFFICIAL NOTICE OF COMMENCEMENT State of `t74)W11-t Tax Folio No. County of /, raV,�y To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: ,4-f f •� > - 4�' �7"s fi Address of property being improved: Re c4-q tj General description of improvements: 13e,P,Pv sL 1157y dfd o////97o Owner: .3-4 vt Address: Owner's interest in site of the improvement: t es/D•oi9e e Fee Simple Titleholder(if other than owner): . Name: 4 Address: Contractor: 1-19,,If XaL-' Co t r Address: � �,t'PO/'f r' — /',, LGA 3 23..-3 Phone No: iZ f/-p 3�o Fax No: X4.1-031 Surety(if any): .✓1�9 Address: Amount of Bond S PhoneNo: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fac Nw. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents maybe served: Name: — Address: -- Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: -- Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY } Signed: Date: A f o� Doc#2005399284,OR BK 12851 Page 433, Before a this ay of in the County Number Pages:1 of D al, State of Flori a�Aper on y appeared Filed&Recorded 10/28/2005 at 02:31 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Notary Public at Large, State of Floiida,County of Duval. RECORDING$10.00 My commission expires: sonally Known: or ce Identification: WILLIAM L. POPE Notary Public, State of Florida My comm. exp. Oct. 19, 2007 Comm. No. DO 259726 CITY OF ATLANTIC BEACH cc: _ BUILDING /ZONING DEPARTMENT C.Ford... gins 800 Seminole Road Atlantic Beach,Florida 32233 s_ !,• (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # -"--2jnc-L) Property Address: �� ��1b rVC) Applicant: C=fnmD-2)— ( jcuno ac2 Project: V This mit application has been: Approved 0 Reviewed and the following items need attention .- Please re-submit your application when these items have been completed. / Reviewed By: U Date: Date Contractor Notified: Jl CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION '' j (Alterations & Additions) �^[% Date: Job Address: Cid Cl-t4 P/f Owner of Property: '50A 4 € Address: I gn Ck u 4 09 F 1 • 3 a- .33 Telephone: 70.f — 7,y3 Legal Description: Block Number: Lot Number: ' Zoning District: , Contractor: ���'I�'�J1 N r�yi7/ C.'�,�'. State License Number: e- C Contractor Address: ;L-/;7 1Af,#,yd05 'r /0 f A e 16�G ,7 3-x-'33 Telephone: !`I—d' 3 o Fax: .2- Describe proposed use and work to be done: A8 Present use of land or building(s): Xe-t/Ae r1,f ` sh'457?_4i PAPt%WM 4-,V1t7R no" /1 � Valuation of proposed construction: S c C'00 What are the dimensions of the added space: feet x feet Will the added area be heated and cooled? New electrical or increase in service? Add plumbing fixtures? X 8f, _ Add fireplace? y`c, Add heating/air conditioning? N0 Is approval of Homeowner's Association or other private entity required? ./Lv'c, If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5`5a or more to the original impervious area or the removal of any trees? NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. Applicant certifies that no trees will be removed for this project. IVYES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree k144' Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as aaorooriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction pians to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ei.atiantic-beach.fLus Page 2 Revised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. S. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information vidith this a on.* co Signature of owner: Date: /©! I hereby certify tha have read and examid this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and co ect and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: �� Date: /'c� 3'��/0 5 Ip► — Address and contact information of person to receive all correspondence regarding this application(please print). Name: I4" t9yeo _ Mailing Address: y/ .i191q &;— Telephone: —0 3 Yo Fax: 1 't7 3 yb E-Mail: be- 4-1*1 AS TO OWNER: Sworn to and subscribed before me this day of 20 d?f— State of Florida,County of Duval Notary's Signature: Y• Personally known ❑ 'Produced identification 1Af I? i s !.. POPE Type of identification produced `!i. ` ?ae of Florida My cc ., ._, (?rt. 1 , 07 AS TO CONTRACTOR: �.'u, JL 259726 Sworn to and subscribed before me this 14r day of 4 ,20 CO State of Florida,County of Duval Notary's Signature: iLG� Personally known WILLIAM L. POPE Produced identification State of Florida Type of identification produced Notary Public, Y 800 Seminole Road •Atlantic Beach,Florida 32233-5445 COMM,No. pD 259126 Telephone: (904)247-5800 •Fax: (904)247-5845 •bttp://www.ci.stiantic-beach.fl.us Page 3 Revised 8/04 CITY OF ATLANTIC BEACH is1 r _ a 800 SEMINOLE ROAD ` ATLANTIC BEACH,FL 32233 / INSPECTION PHONE LINE 247-5826 l� Application Number . . . . . 05-00031590 Date 11/08/05 Property Address . . . . . . 190 CLUB DR Tenant nbr, name . . . . . INSTALL 13 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -------------------- - - -- ------------------------ MAILER DOUGS DRAINS & MORE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------- ------------------------- ---- ----- -------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 126 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due - -------- -------- ---------- ---------- ---------- ---------- Permit Fee Total 126 . 00 126 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 126 . 00 126 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. A'3 BUILDING OFFICIAL 1r` CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION r J, iiS>'a Date: Property Address: Owner. Telephone Telephone#• Contractor: �, s � •��f Telephone T— Contractor Address: Z�S� ,yam' 7 Fax#: X72 V Contractor Signature: 4��& ---- In consideration of permit given for doing the work as described in the above,stateinent;we hereby agree to perform said work in ,. accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein Installation.of.plumbing and fixtures must be in accordance with.the.most recent edition.of.the Southern:Standard Plumbing Code. Plumbing Type•' If other construction is being done,on this building or site, New` list the building permit number. Re-Pipe – -- Number of Fixtures: Bath Tubs Showers Z °"'losets Shower Pans Dishwashers j Sinks Disposals / Urinals Floor Drains / Washing Machine Lavatory Water Sewer �- Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 �p Total Fixtures: I3 X$7.00 + $35.00= Z d' 09 �i 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845. http:ilwww•ci.adantic-beach.fl.us Revised 1104 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 11�� rel ATLANTIC BEACH,FL 32233 'f l` INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031587 Date 11/08/05 Property Address . . . . . . 190 CLUB DR Tenant nbr, name . . . . . REMODELED SERVICE 200 AMP Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ IV, WILLIAM R. THOMPSO LORE ELECTRICAL CONTRACTORS 190 CLUB DRIVE 210 N. ROSCOE BLVD ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 ------------------------- --------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Tot-al 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL r CITY OF ATLANTIC BEACH !l - ELECTRICAL PERMIT APPLICATION Date: Property Address: ( q o a Owner: 0,5_ 1,�c2 D Pc'rm� Telephone#: Contractor: ��pC ; (�rx X Telephone#: ` - — �- Contractor Address: )OO Fax#: 5:43- L k eo Contractor Signature: In consideration of permit given fdr4loing 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: O Trailer Service: If other construction is ❑ New �f-• Residence O Temp. ❑ New being done on this building Old ❑ Commercial ❑ Si O Increase Pe site,list the building $� Permit number: ❑ Re-wire ❑ Addition Sq.Ft. O Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE , Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN l� Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT 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 d ' room tkt; cul 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• http://www.ei.atiantic-beach.fl.us __T—— — ---- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 - _ _ LOCATION INFORMATION m:t —_ PERMIT INFORMATION -- Address: 190 CLUB DRIVE �PerNumber. 23902 ATLANTIC BEACH, FLORIDA 32233 Permit Type: SIDING Township: 0 Range: 0 Book: 4 Class of Work: NEW Proposed Use: Lot(s): 2 Block: Section:0 L Square Feet: Subdivision: CLUB MANOR Est. value: Parcel Number. Improv. Cost: 7,000.00 OWNER INFORMATION Date Issued: 4/19/2002 T Name: WILLIAM & LINDA THOMPSON IV i Total Fees: 68.00 Address: 190 CLUB DRIVE Amount Paid: 68.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/19/2002 _ _ Phone: {904)249-5356 � _ Work Desc:-REPLACE SIDING. _— APPLICATION FEES_ CE CONTRACTORS i 68.00 —' RICE-BROTHERS CONSTRUCTION i. J7 . . ........ >'r""' . gibRANt w r. 27 ' _ 4 Y'�'� 'f+`''ii .n i Ka+.�,y� ^c^'�4 s�'r��f�w.?.{`� x�h•C�4R f L y� .��i �..•. _�.-ern � ?��3�a _ ;,°��,.e„ � i.ii, �� "tA4 _ NOTICEItDT! T AT4 :s SRI1SPiTION BUILDING MATERIALS . ED IC SPACE,AND MUST BE CLEARED "FAILURE TO COMPLtf IN THE PROPERTY OWNER PA -- -- ISSUED ACCORDING TO APPRO E E D SUBJECT TO REVOCATION ! FOR VIOLATION OF APPLICAB rR Oper: DIERYLE Type: OC Draver: 1 Date: 4/24/82 81. Receipt no: 52834 14 PERMITS-BUILDING 1 11U.88 I _--_ ---- — 198 CLUB ATLANTIC BEACH BU DING- CK CKCKS 6W u,8.go -- — Trans date: 4/24/82 Time: 14:18:43 Book 10446 Page 1326 5-MIN. RETURN oc00 a72f37 PHONE# ` S ! 0 l � gg i3z Filed & Recorded 04/17/2002 09;15:38 AM 1IN FILLER CLERK CIRCUIT COURT DUVAL COUNTY TRUST FUND 1.00 RECORDING # 5.00 NOTICE OF COMMENCEMENT TO 4'/HON( IT MAY CONCERN: The undersianed hereby informs all conc.emed that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the fallowing information is stated in this NOTICE OF 03MMEtNCEMENT. Qescrtptian of Properly .General Oezcriptan of ImprovementseIGCA- 2.u%3�-z�•a Address-___/ p ,� Owner's interest in site ef.improvements: Fee Simple Ttte Halder(if other than owner) Marne Address RICE BROTHERS CONST.VC ,antr=c; 12 PONTE VEDRA CIR Address PONTE VEDRA BEACH FLA. 082 4 Surety (if any) Address Amount of Bond Name of person within the State of Florida designated by owner upon wham-notices or other documents may be served: Name Address In addition to himself, awner designates the fallowing person to receive a copy, of the Leinars Notice as provided in Section 713.13(1)(F). Florida Statutes. (Fill i6 at Owner's option). Name Address: Ow er LEE FAUSr- MINI MPJ$10N*DD ASwam.to =n� A� ATLANTIO BEAC CITYH C1FF1Cb �a City of Atlantic Beach- 800 Seminole Road- Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • FAX (904)247-5805• http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION RICE BROTHERS CONST.INC 12 PONTE VEDRA CIR DATE `I— 1 s - az- PONTE VEDRA BEACH, FLA APPLICANT 32082 ADDRESS PHONE: 2 &0 — 02 0`4 ADDRESS WHERE WORK IS TO BE PERFORMED 1 9 O CGk b Pr. LEGAL DESCRIPTION: BLOCK NUMBER qajlfOT NUMBER_ZONING DISTRICT CONTRACTOR 'C,e-, fl} cr-1 Con! 1- Znc. STATE LICENSE NUMBER C C.o ,.3.5_Tpff ADDRESS _ff12 FQ n-k. Vt&c. Cts PHONE . 2 d o — b ZOy CITY�)n i t VCG(/L4 STATE �_ ZIP 2-O 2, FAX Z. J0 — 02-0q DESCRIBE PROPOSED USE AND WORK TO BE DONE &OQ cA, S1 PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION 00 Is this an addition? 0 If yes,what are the dimensions of the added space: feet by feet�L� CtCt Will the added area be heated and cooled? New electrical or increase in service? s New plumbing fixtures? New fireplace? New heating/air conditioning? ` Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available lL. ©3 /6 00007 STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904)247-5826 Ot/02/02 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL, natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH,WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE Y O 2- ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) RICE BROTHERS CONST. INC 12 PONTE VEDRA CIR PONTE VEDRA BEACH, FLA. NAME 32022 MAILING ADDRESS PHONE Zi�D — O Z n N FAX 2 P 0 - 0 2-01-{ E—MAIL SWORN AND SUBSCRIBED BEFORE ME THIS /01'1 N DAY OF 46�ZL -OC STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE �c MAYrI, # TONIFAUST AS TO OWNER: •.� �t MY COMM( orl?gr� � vVn for f og EXPIRE9DaR4ftd1SW ide tification - 3*NOTY FL NOhh s'^^ filen fication produc ����188��a•°• �"l` AS TO CONTRACTOR: 4to . _❑ Personally known Produced identification • pccy8 Type of identification produced C/— L • G� MAP SHOWING BOUNDARY SURVEY OF LOT 1, CLUB MANOR, AS RECORDED IN PLAT BOOK 25, PAGE 62, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, CERTIFIED TO: WILLIAM R. THOMPSON, III AND LINDA G. THOMPSON SUNTRUST BANK STEWART TITLE OF JACKSONVILLE, INC. WATSON AND OSBORNE, P.A. CLUB DRIVE lv1, (50.0' RIGHT OF WAY) O Q`' N 85'32'15" E 68.22' (PLAT) N 85'2851" E 68.23' (MEASURED) • `a� FOUND 1/2" IRON PIPE FOUND 1/2" IRON PI IE 14P NO IDENTIFICATION NO IDENTIFICATION_ c . o° ry0 •a WOOD WALK a n . FOUND 1/2' IRON PIPE NO IDENTIFICATION s i.Q 25' BUILDING RESTRICTION LINE 16.7' 8.4' Q z COVERED WOOD DECK .0 w mI H �I 18.9' U 43.5' V) o �I w.. Lu �I o ONE STORY iv o i Q 9I FRAME N w mI POSTED # 190 0 N1.7' X lo r- ry N2 Q 0000 -00 20.7• X 7 } a $ LOT W4 0 J00 vI •ov o o aQa ma 33 x o a wuj Z _ a Low n w oI N U rO 0O I POOL O O v s.3' o 5.4'o ,9.T I- ..' 8.1 moi- O Z I O � Z (n t i i LOT 1 .il. v 0.4' -� o x X X X .4' FOUND 1/2- IRON PIPE ' FOUND 4.4 CONCRETE MONUMENT NO IDENTIFICATION 10UTILITY EASEMENT 0.8 NO IDENTIFICATION S 85'23'39" W 83.92' (MEASURED) S 85'32'15" W 83.88' (PLAT) LOT 10 NOTES: ACCEPTED BY: LEGEND: _ R = RADIUS —X— = FENCE PSR-SW 12028 ©EPAFrrMEI OF SU40II d CITY OF ATLANTIC LEACH -- PERMIT ' INFORMATION - M-- LOCATIONINFORMATION °- - -t Permit Number: 12028 Address: 1.94 CLUB DRIVE Permit Type:ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Cl as c�i `Work:REMODEL, - - LEGAL DESCRIPTION ,. C an tr . TyPe:WOCaI� P`I AME �Blo ,kf .I.ot 2 Twp: 0 Proposed Use: Sictian: 4 "ubd:Q Rng: U Dwellings: I Sub+division:dtua MANOR Est Vs1ue: 0 CSO Improv. Caste 0401 Total 'Fe :Amount 25.00, Sate 4 99I� Woo'k TI ?N � . APPLICATION FEES, -- N&me,F Ht�I*1) St3 1 I T25.00i Add . VE B , FLORIDA Pb R tma I N arrme: BI T� O, INC ATLAIyTI CH f F '32233°-0150 Lid: bs. ko': / I 2 2 NCYTI-B• 1 i i NO M--�ALL CONCft�FSS ANIS FOanNGS NIt1$1 SE INVE Eb EEFORE.POURINQ PERMIT VOID SIX MONTHS AFTER DM OF ISSUE i ` BUILDING MAkTMAL.,RUBBISH ANO E)EBRI$Mi OM THIS WORK MUST NOT BE,PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAI ' T COMPLY �� � MECHANIC,� LIEN W �rA�7;RSULi, �[�1 : E fi ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT.A + VBM-JTJR AE T VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1 r ATLANTIC BEACH RDEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 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. BILL THOMPSON ELECTRIC CO., INC, P. 0. BOX 330150 ATLANTIC BEACH FL 3 ` ELECTRICAL FIRM: MASTER ELECTRI N SIGNATURE JOURNEYMAN NAME /moi/ ADDRESS: ��� L'/ ib RFD BOX BLDG.SIZE BETWEEN: ES. APT. ( ) comm. ( 1 PUBLIC ( ) INDUS. ( 1 NEW ( ! OLD ( ) LRE_W. I�b ADDITION ( ) TRAILER ( ) TEMP. ( 1 SIGNS ( 1 SQ. FT. SERVICE: NEW ( 1 INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY Z`-FG EXIST.SERV.SIZE Zip AMPS PH 3 W "OVOLT RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN I TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES S INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVCR APPLIANCES BELL TRANSF. AIR N.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS- MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: jO C �(} VJ k� +r• OWNER OF PROPERTY: t it f bouacc.. 1 V� Sal PLUMBING CONTRACTOR: V"y` «V"k 61nod rw CONTRACTOR'S ADDRESS: 'W qd W�rDcbC� �P STATE LICENSE NUMBER: 00 &(o 703 TELEPHONE: �� �_ I / HOW MATY OF THE FOLLOWING FIXTURES INSTALLED d SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE _ $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ------------------------------------------------------- --------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. s PSRQ6Wa ". 12074 , DEPAP"ENT OF SUILMNG CITY OF ATLANTIC BEACH PERIL I T ` I NFORMAT I ON ------- LOCATION INFORMATION - Perm t 'Number: 12074 Address; 190 CLUB DRIVE Permit Type:PLUMBING ATLANTIC BEACH, FLORIDA, 32233 Classof ,Wc�rlt:ALTERAT`YOPI -_..� .� .. LEGAL DESCRIPTION --- - Constr. Type:WOOD FRAME Block:. Lot:Lot: 2 Twp: ; Projposed use: section: 0 Suk►d:U Rng. ; 0 Dwellings: 1 Subdiv sio :CLUS MANOR Est . Value: 0-00 r Improv. '''.Cost: 0 .0D Total Fe : 25 .0 Amount 25.00 991 gat wank , l T14N -y �- APPLICATION FEES --- - Name,- �- HOPSO I` - 25.CLQ' Addy. IVB FLORIDA Ph r ge"lot R OPMA!T I 4 1Nem: WL I DL NO A44*r JACRSON FL 32,207 T NOTES: k M " NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST Be INSPiECTEtS BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE $UII_D1NG MATERIAL;RUBBISH ANL}DEBRIS"FOOM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND# AULEO AWAY BY EITHER CONTRACTOR ORO NER 4: "FAILURE TO COMP- ` WITH THE MECHANIC S UEN LAW Cly► lLT IN SO OWN PIN ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REV fAXj* R VIOLATION OF APPLICABLE PROVISIONS OFLAW. c ;f t ATLAI4ITIC BEACH BUILDING DEPARTMENT y z r 11936 DEPARTMENT OF SUW,NG CITY OF ATLANTIC BEACH --� PERMIT INFORMATION �- -- LOCATION' INFORI43TI4N Permit Number: 1193E Address : 190 CLUB DRIVE Permit ' Type:BUILDING BUILDING ATLANTIC SEACH, FLORIDA 32233 Claes of` ork:RD40DEL :_.-,. LF OAL DESCRIPTION -------- Constr. Type:WOOD FRAM, Block: Lot:: Twp: {} Proposed Use: Section: 0 Subd d Rng v Dwell i n 1 Subdivision; Est . Valu, 0.00 Improv. Cost : 22,000.00 Total Fe 100 .04 Amount 180.00TION ,�. APPLICITION FEES . ... ... tam IT iS0,OQ Addr: £ VL OLORI DA Pb,o S ' R FORMATI Name: PR ER NER A t Li Exp ! t Nt3TE5: NOME.--ALL CONCRETE ORMS►AND FClOTING$MUST BE IN$P#C`l' D,9EFORE POURING PERMIT VOID SIX MONTHS AFT15R DATE OF ISSUE ' SUILDI G'MATERIAL,RUBBISH 'AND BRIS;FROM THIS WORK MUST NOT BE PLACED IN PU8UC SPACE,AND MUST BE CLEARED UI'AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILUI . TO :0MM, WITH THE MECHANIC'S LION LAW CAN RESULT IN THS P ? "' t I `I' PAYIN TwI E FC31 TH aU#L�II�I �P '�EMEHTS' r ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT,A %Tfl REV f VIOLATION OF APPLICABLE PROVISIONS OF LAW. + E►WWI '. .. 3 I on ;h' L,#�I'ftC.I��EACH,BUl,LDI PA: .MINT ., f v , MOM I'm _ x .,n� eQaar CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address r 90 1- UF-9tP6 jZF— MQ E(-� Date (0 Heated Square Footage Garage/Shed e r S-a S Carport/Porch sa Deck j�Sper sq Patio e r S a ft TOTAL VALUATICIN S Total Valuation 1st 91 Q02 ,00 S /0 Remai,hing Valuer-'ODer thousand Xr portion thereof TOTAL BUILDING FEE $ + 1/ 2 Filing Fee $ (q 0 0 ( ) Fireplaces @ $15 , 00 $ 0 BUILDING PERMIT FEE WATER IMPACT FEE SEWER IMPACT FEE WATER METER/TAP CAPITAL IMPROVEMENT SEWER TAP 5 RADON (HRS) . 0050 SECTION H PAVING HYDRAULIC SHARES CROSS CONNECTION $ ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES : Mechanical P!Lu-nbinq--- Electric/New Eiectric/Temp : SwifftmingPool Septic Tank ; sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: l= f } i �.��➢ 3 i ti.`.J.:1 V Mrxwu,. -i CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : (Y14;'f11 Address : �_L c'..\( I—)) Phone:, .21_L/ ff Lot # Block or Unit # Subdivision: Contractor: tlPr State License # Address: Phone No: Describe work to be done: hGj ��nnA �` I c,,n i n - 11V I' jol On m A t�n n0 qc�n Present use of building: komt- Valuation of Proposed Construction:` Proposed use: �,Y-\A_( Is this an addition?! ._. If yes , what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled? New electrical (or increase)?.� New plumbing fixtures?� New fireplace?4LNew Heat/AC? _ SUBMIT MV&W COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF, COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: - Gt/�,_ Date: .�jA3 46 Signature CONTRACTOR:, Date: License Supplied: Liability Insurance: Worker' s Compensation Insurance: 96619T AN a31JA0 VNiQ-rine H0VM 311NV11V 30 IUia a3A0adld'' CITY OF 300 SEMINOLE ROAD ----- -- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-SM FAX(904)247-SM Chapter 489, Florida Statutes,Part I 'CONSTRUCTION CONTRACTlN(P requires OwntvBuilder to acknowledge the law: DISCLOSURE STATEUMT for Section 489.103(7),Florida Statutes: State law requires construction to be done by licensed contractors. You have applied for a pennit under the exemption to that law. The exemption allows you as the owner of your property,to act as your own contractor even though you do not have a license. You must supervise the construction,yourself. You may build or improve a one-family or two-Nily residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building trout be fer your own un and occupance. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within 1 year after the construction is complete,the law will presume that you built it for sale or lease,which is a violatioin of this exemption You may not hire an unlicensed persgq as you contractor, Your construction mast be done according to building codes and zoning regulations. It is your responsibility to retake sure that people employed by y=have licenses regyyred by state law and by coo 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 building permit and pass all normal inspec ons. The ordinance states owners may physically do work themselves;or mV hire uWiaensed workers provided such workers be under "direct nrvision of the owner,who must be on the job site at all times while work is in progress by unlicensed trades people." This does not allow use ofunlieensed contractors. Since owm rs may be lid,for injuries to workers they hire,the Building Department suggests Worker's Compensation insurance be purchased unless the homeowners insurance policy clearly protects 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 work Unlicensed contractors cannot be employed and rsircurne ccs. Owners being subject to$5,000 penalty under Florida Statue No.455.228(1). An'OcmQetional License'isnot adeZ&tc. The owner should physically seethe county'Certificate of Competency'or the Florida'Contractom 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 and understand all the above on this- day of 199(p Wigiless.iBuilding Dept.Employ uilder Oki Al Address ad rsI/Ut r ) NOTE: Phrases underlined above c-2 V/-V ZZ,S- are emphasized by the Building Phone Department. FLA. 1141 VAws RAMCO FORM dee ♦a 1►a.1a N — JL40 u arae of CamnWnrentent t+O t►Ati/M DYKIRATi/ To fnhcm it UU1v cau=W The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statute; the following information is stated in this NOTICE OF COMMENCEMENT. Description of property........................ z...................�..�p.......» ......:... .................».»»..»........ .I.�.� .».._... .�»»..»»..._»........»..........�........... ............ ...._ �. . »__......... .............I........................... ......... ............»...................._..............._... I ....:». ._ »�»_ ....._. ................................_.......................»»............».....».............»..........................(...,....»............»L......»_...»......__...._ .._ _....� General description of improvements....»...... .....»»..�,.»►.A..�..� .......... . .'�.�1�.e.n.......... ....: ... : ».........................................................»._..........»......�....... ...r. .._...»»..»....... Owner...... .....1,.:�,'1.(, . ................................»..._.......»...» ._..» »».»..»_........... ...... r�..L.k..2......._........1. 1........................a .......... Owner's interest in site of the kWovonwa...........fYA- 1. .... .. ........»..........».............._».. »». .�....... fee Simple Title holder (if other than owner) Name........................................................».............,...».......................................................»................_.............»....». .. .._.».. . . Address................»...........»...............................................»..........._»............................................ .....»... ..._.�. ...» .. Contractor.»..».....l.,.;..1�,►..,1. ..t'..a..».....»..._..................»..............................................................»...».»......�............ ... ......._._._ FLA. 1967 LAWS " RAMCO FORM 409 FS 713.13 .Nrtttr.&r of IPRRPAItE IN OUPLICA-rel - Zia fuiltom it mag t.antrern: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF CONIMENCEMENT. LoDescri tion of Pro ertY.......................... ......�...... .........................................................................................................................:....................... ..........................................................................Cu...15....... 00J.......................................................................................... ..................................................................................................................................................................................................................I............................ ................................................................................................................................................................................................................................................ .i.�.i �.Nt��I �. � � General description of improvements......•.. .•......• .•.. ............................................. ..... ................................................................................ ................................................................................................................................................................................................................................................ ....n/.............+.......t.................�.....t......1........ ..........�........................................................................�....................................................................(.I�..4..r...F..!..... Owner...... vn ...W.25...U.� C( .UI � . ........... ..... ! Address........�9.0........ouls.......... ...........�TL.....G(1A..... ............. Owner's interest in site of the improvement................................................................................................................................................... Fee Simple Title holder (if other than owner) Name................................................................................................................................................................................................................................... Address.............................................................................................................../............................................................................................................... Contractor........J&oo..... C T'j / Address...... . .,...... -i�!.........[_J.l l-4..�....... .... :i .........T::.. ........S.. .S.0............... Surety (if any)................................................................................................................................................................................................................ Address.....................................................................................................................................................Amount of bond$.................................. Name of person within the &ate of Floric'a designated by own-or upon whom notices or other documents may be served: Name............ ......................................................................................................................................................... Address............................................................................................................................................................................................................................... In addition to himself, owner designate,the following person to receive a copy of the I_ienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name................................................... ............ ........................ ...........,.... ......,............................................................................................................. Address.......................................................................................................................................................... I 6856 DPA bO OF BU1LD,iNG y p *CITY OF ATLANTICBI-ACH INFORMATION ---- - LOCATION' INFORMATION -- Re m tr Number:,. 6856 Ado ass : 190 'CLOa DRIVE Pei rmit Type: BUILl3IN() ' ATLANTIC BEACH, FLORIDA 322.33 "lass of Work: ADDITION _ .� _��.�� �� LL dAL DVSCRIPTION � ---- rProposed use: SINGLE FAMILY c��r� l�fp: RNC: 0 E !Rw l : 1' rs 0, ubdi�isi,p ` CLUB MANOR � E timate Value: $250.00 � Improv. Cost Sc� ,ala Total Fees : ' . $137 .50 Amount $i37 .50� Dai �4 APPLICATION, FEES -- - F Nam 'Tx f86� I ,, : FEMAT $37 . 50 'AddRIME IMPACT FEE 100 .00 CR FLORIDA '� BE IMPAC FEE f 0 00 � PAZ" ° � ��� ` RAO $f OAS-H,.R,S. 90 ,00 . Q P"C>R lAT I N ------ RADON GA � % Address'.�� RINC WATER .TAP $0 .00 N Ems a L &3 ACT 00 ? JACK LLE BEACH, PL 3 250 14YDRAULIC SHARE I ceng,,g. �" " Type* O ; �A� '��kt I'M x�OV1�, M$011, 0 r t)EC li MPAC REE 0? X30 NATES: PAI RAY 2 7 City of Atl NOTICE-•ALL CONCRETE FORMS AND FOOTINGS MUST 3E msrl CTEIh BEFORE.POURING � PERMIT VOID SIX MONTHS AFT R L7AT8 Of 4SSUE BUILDING MATERIAL,RUBBISH AND`DE.SRIS FROM THIS WORK MUST NOT,BE PACED IN PUBLIC SPACE,A CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR"OR O1+�NER `TAILOR '1"0 C IVI 'L.�l 1/=1'F `" "H M =Ct r 1�1: 8$ LIEN tAW CAN RE � AXI " "1 /t E FOR UIL ING IMP F �Y �1A # UI. ACCORD}IAt£3,T6�APOAOVE[ PLAN" WH1CH,;ARE PART t F.THIS PI:FiMtT'AND SU Tt� 1 Y1Ol.AT10 O APPLICABLE PROVISI�31~4$4F LAW. TBWJB . tPT MfllRz ATLANTIC BEACH BUILT�ING I EPARTMENT k By R 0 CITY OF ATLANTIC BEACH BUILDING PERMIT CALCULATION SHEET Address 5 U C1-0 f3 -Z)� �r3�TN Date S" 2- 6 - 2 U Heated Square Footage @ $aper sq ft = $ �� Garage/Shed @ $ per sq ft = Carport/Porch @ $ per sq ft Deck @ $ per sq ft = $ _ Patio @ $ p e r s q f t = $­-­­ TOTAL -VALUATION, . _ ­__ TOTAL •VALUATION: $---� Total Valuation 1st $ 4,006 Remaining Value $� per thousand or portion thereof VE TOTAL BUILDING FEE $ + 1/2 Filing Fee $___L-2 ( } Fireplaces @ $15 .00 $. ----��0,,���� BUILDING PERMIT FEE $_ 7_ _ BUILDING PERMIT $ _ WATER CONNECTION SEWER CONNECTION WATER METER/TAP CAPITAL IMPROVEMENT ( ) RADON (HRS) .0095 $ ---------- RADON ^__RADON (CAB) .0005 SECTION H PAVING HYDRAULIC SHARES OTHER GRAND TOTAL DUE ADDITIONAL PERM' TS OR FEES; Mechanical--_; 1-1umbing.a_z___-_-- E l e c t r i c/N e w___t/M�E 1 e c t r i c/T e��►p��.,.,�.._..__: S w i rnm i.nc.�P a r�l__,.____.._.___._..___ _..____ Septic Tank_ _ Well.. ; Sign­__Finish Floor Elevation Survey _____; Other__ __,_ CALCULATIONS 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 CONNE.CT1D TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT 'T'WFNTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. ` I BATHROOM GROUP CONSISTING OF SERVICE, SINK TRA PI! STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL. (6) iWATER CLOSET f WATER CLOSET.', TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WAIL 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 (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL. STALL, WASHOUT (4) TOTAL. FIXTURE. UNITS_ � _ @ $20.00 EACH $ /-(j 0.00 JOB INFORMATION MAS 191993 ITY OF ATLANTIC BEACH Bui,ldin and Zoning PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATION DEMOLITIONS i Owner(s ) : M n Address : � 1( ala-L 'D1 1 T_Llan���_f��.Phone :+ Lot # Block or Unit # Subdivision:CIU1� �1"1Q n01� i Contractor : 6 Address : Phone No: 4�,q- ,5_& Describe work to be dobe: 6a j�Zr"Dr W„r'zn(i �/�J � i Present use of building: Sam c, L11 a- ���1 r�o ��, C,�,M1,1V Valuation of Proposed Construction: Proposed use• Is this an addition? Yp- S If yes, what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled?_yP_S New electrical (or increase)? eS New plumbing futures?� New fireplace? New Heat/AC? S _ i SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, !SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. j Signature OWNER: _ Date: _ Signature CONTRACTOR: Dat �►P CpSL �FNq!:vp pt 0 AjZNIgACM NOFFICE& O r ` I ,n a ,9 j K K APPROVE CITY nf N Bull S1L MAY 26 1 61 vy4 I Lft M FAY 191993 Building and Zoning � I / 4�� �p0�. �ld� ►O�. 1= O o r PI as o . �_...._ l_.-_-. -.._<._. to 5 2 we- 1-2 T©P Puff s LA # Z ` Y, — i ( T%4 s�lu� ► oma,. 14 f, Cock ,, ►f s ( C �"K u O- � Q'T' P rc OL ti.i1�.1 ,—�. 51_� I-ct3- a 'n � K I , ✓ j , `\ APPROVED Jl C OF ATu'rN'17,BUI.LDIN /}' ., -► -- CCI^C MAY 2 - - U By. D1 DLAW MAY 191993 Building and Zoning �Ctt(A r'oo�. .M to 5 SSG{ib � 9� �ID v � 2 Tu fZ Or-if 14 VT,S • l � 2 S lad ' u' ©.0 . otic�e e(4Z SDO PSI, U' tiot,01;kUG \ � v'c c:v IVB G -5-�.1q a3 - - - FLA. 1967 LAWSRAMCO FORM 409 FS 713.13 Natirr o IPRKPAR[ IN DUPLICAT60 (`oto f 404 it Mq tort,rern: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. tcT C, f,� /(4o,4v r Description of property..................... ................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................ General description of improvements......15atk..`.QC..I........ ....dd-l-'1104...................................................................... ................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................ Owner... ....... �=.......................................................... Address...... `.D.........G...... .. ..........Q.........►!eI....., . . ...,I......FL............3.223.3........ Owner's,interest in site of the improvement.........................C ...................... . ................................................................. Fee Simple Title holder (if ffotth�her than owner) Name..........................................1.......�. :-..................................................................................................................1........................................ Address.......................................................... ................................ .I............................................................................................................................. DC .. � ............. ` .. t. . .., Contractor.......... . :....: ..... ..........`...`.::' . .. ..S.............................................................................................................................. Address............2.. .................:C...��.......�1............ v" ...............................{'L....................................................................................... Surety (if any).................................................................................................................................................................................................................. Address......................................................................................................................................................Anmurd of bond $...................I............ Name of person within the State of Florida designated by owner upon whom nolkes or other doaaMnts may be served: Name.................................................................................................................................................................................................................................... Address.................................................................................................................... ......................................................................................................... I In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). tName.................................................................................................................................................................................................................................... Address.............................................................................................................................................................................................................................. THIS SPACE FOR R[CORD[R'6 Uf[ONLY � HiQ pIEPARTMENT OF BUi:1 DiN+B t . " CITY OF ATLANTIC"BEACH PERMIT. INFORMATION �..:_ ,: .. , � .. L4CAT (3N ; INPOP-1 ATION P+ rm t Number`*. 6828 Address'- 190 CLUB ; DRIVE Permit Type. ELECTRICAL -BEACH, FLORID,A 32233 ? I>as Work: ADDITION. "LE(#AL DUCRIPTION w a -const r . 'rI'ylae: CONCRETE Lots I31 csrrk« Sept� a�; " Proposed' SLlrlt�"L�E' FAMILY -visi on: '�.owns�'i.ip RrICs« �..'; aV-al u « . � Tl1j r QV. Cpst'« `Q".fC T6tLr, , .. �..� � 'TICN, w - - � ��z ».. .ARFL.ICA"TION P'ER$ , T 935-00 ' Address RIVE �; HA "LNPACT FEE ��� C �}�► r� Ph ' . A. RADON GAS-H.R.S $0 ,00 RA.1✓tON CA.S . 5' 0 .0 . N me .. BILL i` I' C "_.I L,E ,,.; CC e_.T ". , A ER *TAP G .: . 3 8 E' ER "TAP, .S}� ATL :�BEACII, 'L. 322 33 RAfiTL►ICARE y t? Type* 2 CAPITAL- IMPROVE w w THER NOTES: L. NOTICE, ALL CONCRETE FOflMS.AND FOOTINGS MUgir,""FNSPECtED BEFORE POURING , 4 PERMIT tiC?ID SIX MONTHS AFTER®RTF JF.iSSklE J :0LIILgtNC3 MATEAIAL,RUBBISH AND DEOR1S FROM THIS WORK.MUST NOTBE PLACED IN PUBLIC SPACE,AND MUST BE C 4 D UP AND HAULED AWAY OY'E THSR CONTRACTOR CA 01+ 1 ; OFAI.LUI�E TO COMPLY.WI.TI4 THE MECHANICS' LIEN LI�►W CAN RESULT IN THE 4RERON OW 1 I AMINO TWICE �� �l�tL.pING hMPROV'EMENTS.'° Q 4 1 UED ACt�41'It1fNG TQ APPROVED PLANS xf11HIGH ARE i;!ART OF lWt PE�th+IIT,AND ECT Tb FOR ►T14hi 3F AP" ltCA6LE 0R6VItiONS-,OF.LAK IEM iRTtIERF ALAt�tTIC BE H3lIILD"IN,t DEF";RTMEhIT 4 q �' t jAt�tge '! CITY OF ATLANTIC BEACH,- -FLORIDA = APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:—Of 19-,?3—; 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 INgN S. BILL THOMIPSO0. BOX 333011500 + GO ATLANTIC BEACH,Ft 32233.0150 Z;S5 ELECTRICAL FIRM: MASTER ELECTRICIA SIGNATUSE NAME e& � ADDRESS: .l?© Z",&12 RFD BOX BLDG.SIZE BETWEEN: RES. APT.( ) ' COMM.( ) PUBLIC( ) INDUS.( ) NEW( .1 OLD( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SQ. FT. SERVICE: NEW( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 00 AMPS PH W ALT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE s LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES �-- CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED i0.100 AMPS. OVER ----- APPuArrcEs 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 i MISC L NEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. 8a x , DEPARTMENT OF BUILDING s CITY OF ATLANTIC EACH . _ . PZM41T INFORMATION --__k_ : __....��� LOCATION_ INFORMATION Permit Dumber': 6885 Address: ,19t3 CLUB DRIVE Permit Type: PLUMBINGATLANTIC BEACH, FLORIDA 32233 j +�1�►s of Work. ADDITION . ...,_.. :...�... LI AL DZSCRIPTION .:----�-___- Ccirtt>w. Type: WOOD FRA1+ E Lot; Block: Section: Proposed Use: SINGLE FAMILY ��� Towoships" RNG: �+ Dwellings. 1. Cade': O Subd wisia� Estimated dal ue: $O ll{t0 ` Improv. Cast ; $0.00 Total Fees: $25.50 Amcsuntd• $25 : 50 . ; 2/93 ' � ork Oe .. �.. < u�b >nq in addition, _..�'"..�., ION .. .� .._ ::. APPLICATION FEES ... --- k : �� yPERII T . Name Add ° fE WATER , IMPAewT FEE $0 ,00 Cif, FLOR I ISA A2 2 1, IMPACT,IEEE X011"t $0 .00 low S. ow PIFOR ►T I -.� - SOON t3A8 - 5'% $0 . 0 . No W'A'DER $0 .00 50 . W EET , SEW "R-TAP -to.00 -SZACH `FLO 'IDA 32233 HYDRA[JLIC SHARE $0.00 "Li +e_sase CFCOType w 4 CAPITAL IMPROVE. $0 00 OTHER $o NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTRNGi$MUST 1E INSPECTED BEFORE POURING 4{ ' PERMIT VOID SIX MONTHS AFT R,DATg,OF ISSUE $I UlLOING,MATE`RIAL,RUBBISH ANb DEBRIS,FROM THIS WORK MUST NOT BE PLACED N PUBLIC SPACE,AND MUST BE CLEARED UP AND`HAULEO.AWA,Y BY EITHER CONTRACTOR OR QN1 T 0 4FAI�.URE Tt QMPLY V�tITH THL MECHANIC t' L.1EN LAW C, N RESULT IN THE PROPERTY OWNER'PAYING TWICE FOASUIL LING IMPROVEMENTS.' ISSUED ACCORDINQ TOA 'PRC?VED. PLANS.WHICH ARE PART 6 T14 PERMJT"ANDI BJECT A ION FOR VIOLATION OF APPLICABLE PRC)VISIONS C)F LAW. 1�D f2S,5fI ATLANTA✓BEACH BUILOING DEPARTMENT mi j CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION:_______ PLUMBING CONTRACTOR: Ccy, LICENSE NUMBER:_ OWNER: 1J BUILDING CONTRACTORS c TYPE OF BUILDING: � SINKS , � SHOWERS LAVATORY WATER HEATERS w • BATH TUBS DISHWASHERS / URINALS DISPOSALS L CLOSETS WASHING MACHINE FLOOR DRAINS OTHER V TOTAL FIXTURE COUNT: + $15.00 i v ----------------------------- w-w----------------`.---------------- INSTALLATION rrrrrrrrrr..r...INSTALLATION OP PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. r CITY OF ATLANTIC BEACH, FLORIDA APPrw.o by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19L-„G 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 ORDINANCR BILL THOMPSON ELECTRIC U., P. 0. BOX 330150 - ATLANTIC BEACH, FL 32233-0150 ELECTRICAL FIRM: MASTER EL9CjRI IAN4lgNATURIE / M NAME lalJ �/-1 ADDRESS:_ �JO GIU �!�, RFD BOX BLDG.SIZE BETWEEN: RES. APT.( ) ' COMM.( I PUBLIC( ) INDUS.( ) NEW( ! OLD()4- REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( 1 SIGNS ( ) SO. FT. SERVICE: NEW( ) INCREASE J- REPAIR ( ) FEE CONDUCTOR SIZE AMPS Z-OCp COPPER ALUM. SWITCH OR BREAKER -?tPVpSPH W !Z Pro LT RACEWAY EXIST.SERV.SIZE IIJ'-V AMPS /PH 3 W ?iOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE 4 LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 1 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR N.P. RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEII HEAT: KWHEAT I 0•I OVER MOTORS H.P. I VOLTAGE PHS NO. I N.P. VOLTAGE PHS MISCELL EOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. -- � ' DaTE-' : � . FHL-SERVICE DlYISIO0 J6CKSO0VILI-E' E-'L2CT8IC AUTHORITY 2�j3 WEST DUVAL, S7BSE3 ^ J&�--K5ONYlLLE° FLORIDA 32202 \ � T8C FOLLOWING FINAL. INSPECTION(S) HAVE BEEN MAD2 AND ARE: �ATISFACTO 8Y� ' ---_ __-- -_-_��_-____-__-___-______ -_ Sl0C£B2Ly, - / \ / BUILDING INSPECTION DIVISION _ `' 6784 ­"DtPARTMENT QF SUIL©INt3 r CITY OF ATLANTIC 6ACii ti -- PE MIT INFORMATION -. LOCATION INFORMATION - 'er Ru be 6784 Address: 196 CLUB DRIVE" Pet' s t `Type: SWTMMINC POOL ATI�APITIC` BEACH,, FLORIDA, 3223; c I a s s cif Work. NES ---- LZOAL DESCRIPTION --_---..--. Constr. ,Type: CONCRETE, Taut; BIock, ' Section: Proposed Use* SINGLE FAMLL ' Township. RNG. 0 vel l Ings I Code 0 L subdiv�si6n: CLUB MANOR itimated Value; TB ,,0000 Improv. Cast : $0 .00 s Teat 'r ' 53q » �3 rn u€i30.DD , r � . . fi /93 ; IIMNC POOL PER PLACE" W ... - TION - - � .,�� APPLICATION FELE ----- N w °� "4 a. PERMIT $$30»00 Acldt" S 4 . DRIVE WA I` I .P'AC` 'FEE ° $0 .00 I N . FLORID �* y, /� yrr� ,w;yhp,� ,g'"� P`L r �t„” . ., .T R 'Z 'V ai'$ �Stl°T ���tr'5 .`�!. °�,'�r e � P.6'Ttaar � , '�}�yy{Y gg�� ,,mo�ww,, ��»» {,� $0 .00 +v/'} ppyy��qq R F`ORMATI 9 _ RADON CAB - 5 $0 .00 Name* RF . " ". P �L$ WA RF '`A1 { Ad�lr+ .s,^� . ..b \* i.,a.. w , i 7�Jw .e � $0 .00 ATLANY BEACH, `L 32233 H` DRAULIC allARE 0 .00 L c:ei .. 03 Type* 5 REr-INSPECt FEE SEC Y 14. IMPACT FEE tIC�TES NOTICE ALL CONCRETE FORMS AND FOOTING$M"T BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING,MATERIAL,RU$81SH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST.BE CLEARED UFS AND HAULED AWAY BY EITHER'CONTRACTOR OR OWNER "FAI'LURE TO COMPLY WITH THE MECHAI CS' LIEN LAW CAN 'RE IN .THE PROPERTY'OW,NI R P4YI#VG TiN1 I*`O UIWO N IMPROVEMENTS " I 1,►ED ACCORDING10 APPROVED PLANS WHICH AREr PARI OF THIS PERMIT AND SUB TO RE A� $bR i ATIC t t'�F'A,'PLICABL 5 P'RQV��S NS,OF LAW. II TPT -Rt 0474N, ATLANTIC H Bt1iLDING DEl�ARTMEN f I ` CITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT Job Address- Igo Lit ep T�C4L/6 Lot # 1 Block �# "� Subdivision Owner ��. t`�Q,S l L T�4C) 19's0 1 Address (go 0'"p) T 3 VE, Contractor- Q L� 1..1 C. T k�l,) '_ I CI Address �./ 1 .��►�. 0-�-.1 �l- 22�1� License Number ' 220AA:�-) 1 Valuation• $ �j , 9002-11 Gallons �p�r1ri r] SITE PLAN front 4 'All V - 71993 N• H• ' a a ru cu g and Zoning rear Signature Owner—, Date y� Signature Contractor ' 4 - , Q R0 3 BUILDING AND ZONING INSPECTION DIVISION L3 CITY OF ATLANTIC BEACH J ATLANTIC BEACH,FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. 1. O LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division- 11. IDENTIFICATION To be completed by all applicants , In consideration of permit given for doing the work as described in the abovestatement 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 Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) `�-- Master ` 7�c� Name of 16 Property Owner Signature of Owner Signature of or Authorised Agent 524, Architect or Engineer IN. GENERAL 1 ON A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? f ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other— Specify IV. MICHANIM EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Meat ❑ Space ❑ Recessed )( Central O peer New Building Air Conditioning: ❑ Room A Centro) tr ❑ Existing Building Duct System: Material ❑ Replacement of existing system Maximum capacity '.'Oro C> c.f.m. X New installation(No system previously instolled) Q Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Capacityg.p.m. E) Other — Specify Fire sprinklers: Number of heads Q Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE NOR OFFICE USE ONLY. ❑ Gasoline pumps (number) (beeiwd} Q Tanks (number) Remarks ❑ LPG containeK (number) 0 Unfired pressure vessel OIoil011's Pertnil Approved by Date ❑ Other — Specify Permit I" PST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT C"NIAlli AppwUr Nulmtbsis Vaitis DeWilIV lon KOM�Nunnber >1Mmuiaellauvr (�oslsij� �._._ DEPARTMENT OF BUILDING 9363 j r CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. `"q 3 6 3 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB i j Date 12/17 19 87 j Valuation$ Fee$ 20.00 r'.nf} I I This permit not valid until above fee has been paid to City Treasurer,and is pry j t subject to revocation for violation of applicable provisions of law. 93 63son�fl�' This is to certify that OCEANSTATE `` r.. 1 t has permission to bid INSTALL HEAT €t AiR RESIDENTIAL Classification Zone Owned by THOMPSON r j Lot Block S/D House No. 190 CLUB DRIVE According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS I ' ' AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. I PERMIT VOID SIX MONTHS f „ AFTER DATE OF ISSUE ---► --i z Building material,rubbish and debris z from this work must not be placed in public space, and must be cleared up and hauled away by either con- trac tf" or owner. . { G'1c a;oB official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER I PLUMBING ELECTRICAL SEWER WATER i� aAM�n ` FF, $10.00 APPLICATION POR VOL PERMIT CITY OF ATLANTIC BEACH PROPERTY OWNER Name: 9,00y Day Phone 2Address c / o l G � , �fJ�l G13 G Zip 3 x•z 3 APPLICANT, IF OTHER THAN OWNER. . ~_ NaPhone Address,, y . Zip-3 y z JOB _c / Address or Location:, Z& I-If Legal Description: ��t ( n.0r Is well to be used for drinking purposes? y Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: I agree to comply with regulations stated herein: Signature Date 1 DEPARTMENT OF BUILDING "]'O CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 1 O i PERMIT TO BUILD li THIS PERMIT MUST BE POSTED ON JOB 00 T1 1 0*R01:IfT Date March 29 19 88 9935 IA 3/29/0 I 10.00 1325 .00CA Valuation$ Fee$ 9936 IA 3/29/ In00 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 Lawrence Williams has permission to M1'� install Shallow well NOT FOR DRINKING PHRPMES. Classification Residential Zone Owned by Thompson Lot 1 Block S/D Club Manor House No. 190 Club Drive 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 — 0 /---- ♦ 0 Building material, rubbish and debris -Zi from this work must not be placed in public space, and must be cleared = up, d hauled away by either con. ct r or o*ner. /Ouildinj Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER i CITY OF ATLANTIC BEACH, FLORIDA Approvwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE�ICNECP- 19RO 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 APART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. rn L ZV BILL THOMPSON ELECTRIC CO., INC. P. 0. BOX 50398 UISCJ`'( t (4) ToFl ow! MAf"tR ItLI56RICIAN NAME @JI.m . E, T me�m�- R ESS:lqo _\ ,t I LbIr l I -P RFD BOX BLDG.SIZE BETWEEN: RES.1Ix APT.( I COMM.1 1 PUBLIC( 1 INDUS.1 1 NEW( 1 OLD( 1 REW.( 1 ADDITIONX TRAILER ( TEMP.( SIGNS ( 1 SQ.FT. SERVICE: NEW( 1 INCREAS€ 1 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER,f I ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE Zn2AMPS PH W Z-,0VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR ` OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0•I OVER MOTORS H.P. VOLTAGE PHS N0. I'H.P. VOLTAGE PHS MISCELLANEOUS Q BUILDING AND ZONING INSPECTION DIVISION o Z4 CITY OF ATLANTIC BEACH, FLORIDA Z ii c ELECTRICAL, PERMIT a ' Date tz/Ili/w Fee $ 20.00 Permit No.CLM mm Location I" #e 01 ;a Between and ; a This k1wSwohm IluianctIV LU , (Electrical Contractor) (Master Electrician) has permission to install Electrical Construction as described herein in ae Lu accordance with the provisions of the Electrical Code and regulations u z of the City of Jacksonville, and subject to the information shown on the W application, drawings and specifications which are made a part of this 3 permit. for cc Te of.work: Type 7>x» AMMO c SERVICE: 3t tom' ISO SOP. 1ph 3W S Volt > ;` 4 s N V Feeders: Outlets: p Receptacles: m. Switches: H Incandescent- Fluorescent: Appliances: Air Conditioning: Motors: Transformers: Signs: Miscellaneous: IF NO WORK IS DONE UNDER '' THIS PERMIT DURING ANY SIX ISSUEDBY: MONTHS PERIOD, PERMIT Electrical inspection Supervisor BECOMES VOID. .. . ,, CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING-PERMIT JOB LOCATION- PLUMBING OCATION PLUMBING CONTRACTOR LICENSE NUMBERS 7/9, OWNER �� 2lLe BUILDING CONTRACTOR ?� TYPE OF BUILDING- SINKS SHOWERS / LAVATORY / WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER --q-TOTAL FIXTURE COUNT . INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. III DEPARTMENT OF BUILDING 9288 I CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB '_14001 T Date November 23 19 87 234*00CKT l42 1A 11/P3/ 24.©a 9 �� . ICAC Valuation$ Fee$ 4 42'5 ; A 1 /23/S'. This permit not valid until above fee has been paid to City Treasurer,and is loon subject to revocation for violation of applicable provisions of law. j This is to certify that 8teeg Plu bing CFC037196 I has permission to bJAXX install plumbing Classification Residentftl Zone ( Owned by Bill Thompson j Lot Block S/D House No. 1.94 Club Drive 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 4--0 4--, 0 Building material,rubbish and debris ` —Zl from this work must not be placed in public space, and must be cleared up and hauled away by either con- for or owner. I uilding official. FOR OFFICE PERMIT DATE CONTRACTOR i USE ONLY NUMBER PLUMBING ELECTRICAL -- SEWER WATER {I I Address• i Mated Square rootage :2 ff @ $ _) per sq ft Garage/Sited .--- @ $ per sq ft $ Carport/Porch @ $ Per sq ft Deck r--" , @ $ per sq -ft = $ Patio @ $ per• sq ft = $ TOTAL VALUATION: 0 v to a ua tion 1st Isnaiitler Valuation aper thousand or . portion thereof Cl) - ----------------------------------------- -- Total Building Fee $ � ADDITIONAL PEMITS mid/or EMS REQUM_ # .} ' Filing Fee • $ Cl 7 places @ 1.5.00 Mecltanical 'Fire � + • P1u+Uit�g BUII�JING CPEIMT ' ' Electric/No4 ✓ -__ __'I-_,__..-------- ------------ ------------- Electric/Tet+p Septic Tattk BUILDING•PERST 41e11 WA[TR MLIER CIW=l $ \ S��Lttttittg Pool SEWER IMPACT FEE, Sign Water Connection MISCavMOUS $ Sewer Comectiott Water Meter $ Elevation Certificate ' GRAND TOTAL DUG $ ---------------------------------------------------------------------------------------------- CALCULATIONS acid/or NGTE5 ,' 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 TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. ____BATHROOM GROUP CONSISTING OF _SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH - (8) TUB OR SHOWER STALL (6) , ---WATER CLOSET VALVE _ _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 GRINDER (3) _ -_DENTAL UNIT OR CUSPIDOR (1) __BIDGET (3) __URINAL STALL, WASHOUT (4) __FLUSHING RIM SINK (8) __COMBINATION SINK AND TRAY WIT ____URINAL, PEDESTAL, SYPHON JET FOOD DISPOS. (4) BLOWOUT (8) __DRINKING FOUNTAIN (1/2) ___LAVATORY, BARBER/BEAUTY SHOP (2) _ _LAVATORY, SURGEONS (2) _SURGEONS SINK (3) _ __ICE MAKER (1/2) TOTAL FIXTURE UNITS ---- @ $10. 00 EACH � � CQ Q cc JOB INFORMATION D� CITY OF ATLANTIC BEAM APPLICATION TO MAKE ADDITIONS OR ALTERATIONS Owner ���m (l Ida, mps d�AddressJ � " Phone obi- /9,� Architect Address Phone Contractor ��, p r Address Phone Contractors License/Certification Numbers Expiration Date f Property Address �(� (' 01& D, t�S� C�f� ls_ r Ilk— Zoning J� Lot # Blcok or Unit # Subdivision ',)© Valuation of ConstructionType of Construction Describe Work to be Performed JIM i of ,S 6(, ed,(nx Materials to be Used ()rY4 U Present Use of Building LQ,jj Q Proposed Use of Building .Q j Flood Zone � ! r. � Dimensions of New Area: V' HATED — ` b ,3C�` 1,4 U v I l IJ 8 l GARAGE OR STORA(Z CARPORT OR PORCH Building. and Zoning DECK f PATIO YES NO NU�MM Will there be an increase in number ,of units? Will there be a decrease in number of units? Any additional plumbing fixtures? _ Any new fireplaces? SUBMIT TWO WMPLEIE SETS OF PLANS INCLUDING SITE PLAN Signature OWNER Signature OONTRACInR Date FRAU FLORIDA DEPARTMENT OF REVENUE N.7/87 CERTIFICATION OF PAYMENT OF FLORIDA USE TAX hereby affirm that I am aware of the provisions of Florida law which imposes a 5 percent tax on the use in Florida of goods and services purchased outside of Florida; that it is the obligation of the purchaser to remit the tax to the Florida Department of Revenue if it was not collected by the seller; and that I have remitted or will remit any applicable Florida use tax to the Department of Revenue in the month(s)of . 19 [1 J Type of License [2] License Number i ;! [31 Type of Business Activities [4) Issuing Authority [5] Date of Issuance [6] Name Address City,State,Zip (' A& Sales Tax Number—,) Ln —D a - G 9y 7_�-7— ` Dt7 Telephone Number �('� -,� -V 7 9,�_ 1 V 9J ature of Applicant Date . LIssng Ami thority Signature off airtant-Official 26933 REOROERFROM QUALITYbUSINESS fbAMS.(NC. ON1396-7657 ' CITY OF ATLANTIC BEACH No. 6068 FLORIDA November 13 19 87 NAME Wm. & Linda Thompson ADDRESS 190 Club Drive CITY Atlantic Beach 32233 60.011 Ti_ 60.U11CKT� f�31 I A 1,1/25/8, 6168 .00CAC! Water Impact Fee #40.343-3700 oil X40.dd %25/E': OUC" PAID Lot 1 Club Manor NOV 16 198/ 190 Club Drive When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER 1 DEPARTMENT OF BUILDING 9260 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. I PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 156,00 T Date November-13 19 7 , l{ Ctt't j80�� 1r1 itl? /0 Valuation$32,903.00 Fee$ 156.00 9260 000CAt'. This permit not valid until above fee has been paid to City Treasurer,and is 1 fin", 1 subject to revocation for violation of applicable provisions of law. This is to certify that William and Linda Thompson has permission to build addition/as per plans - Classification Residential Zone RS-2 Owned by Wm & Linda Thompson i Lot 1 Block S/D Club Manor House No. 190 Club Drive 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 �----► 4-----111. O Building material, rubbish and debris zq from this work must not be placed in public space, and must be cleared up and hauled away by either con. traeter<op owner.. Building zi al. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER 4 ._ e mok f i I DEPARTMENT OF BUILDING b`CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO.,':!7:9:8PERMIT TO BUILD 12'15S 9/1/18 THIS PERMIT MUST BE POSTED ON JOB { Date Sept. 2 19 86 Valuation$ Fee$ no ch&r- -e 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 W.R. THOMPSON 4 has permission to build FENCE f f Classification RESIDENTIAL Zone Owned by W.R. THOMPSON Lot Block SID House No. 190 ELUB DRIVE 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 4 01 4 i O Building material, rubbish and debris -zi from this work must not be placed in public s , and must be cleared up and u away by ither con- tract o wner. suilding tial. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER � r PLUMBING ELECTRICAL SEWER WATER ` w �tM1►" CITY OF ATLANTIC BEACH INSPECTIONS BUILDING PERMIT NO. ELECTRICAL PERMIT N0. PLUi-iBING PERMIT P70. MECHANICAL PERMIT NO. JOB ADDRESSCJ �� s ` CONTRACTOR OWNER 1�z called in ins e ted approve—dcisaproved reinspected JEA FOUNDATION V FOOTING SLAB PLUMBING (R) TOP OUT Aglk EWER TEMP POLE ELECTRICAL (R) CJ- ELECTRICAL (F) FRAMING --- -! _ PLUMBING (F) LINTEL/BEAM COLUMN STEEL SHOOT GRADES LOT CLEARING FINAL INSPECTION MECHANICAL HEAT/AC FIRE PLACE CITY OF ATLANTIC BEACH, FLORIDA by APPLICATION FOR ELECTRICAL PERMIT 14 ?TTHE IEF ELECTRICAL INSPECTOR: DATE:_ 19 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. G r Le ELECTRICAL FIRM: M ER JLECTRICIAN SI TRE JOURNEYMAN NAME - -ADDRESS: / � / +�'- ,/?✓l RFD BOX BLDG.SIZE BETWEEN: RES. APT.( 1 COMM.( 1 PUBLIC( I INDUS.f 1 NEW( A OLD( f REW.( 1 ADDITION ( 1 TRAILER ( 1 TEMP.( 1 SIGNS ( 'I SO. FT. SERVICE: NEW( 1 INCREASE REPAIR ( ) FEE CONDUCTOR SIZE / AMPS COPPER I I ALUM. SWITCH OR BREAKER t",5-VAMPS PH -3 W /w/_&_9T !CARACEWAY EXIST.SERV.SIZE AMPSPH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.50 AMPS. $1.f 00 AMPS: SWITCHES INCANDESCENT i 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 el 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1,H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. *»*****************»*********************************************************** WATER HEATING ******»************************»************************»***»**»»*»******«*«*»* === BASE === } === AS-BUILT === NUM OF x M\KT = TOTAL | DESCRIPTION EF CAP x MiKT x CRE}iIT ' 1(V01 BE8RMS -1 RAT lO M]/LT �� � ���` `���' �'������ 1 3803.0 3803.0 1 Electric 0.R8 1 .000 3803.0 1 .00 2803.0 ******x**************x*************************************«*****x***o***o**« x* SUMMARY COOLING HEATING HOT WATER TOTAL | COOLING HEATING HOT WATFR [OTN- MINTS + POINTS POINTS = POINTS 1 POINTS + POI [�INT� �............ �� ... .....��........ 5072. 1 4148.R 3803. 0 130P3.9 1 3995.5 4755.8 35MR. W5bi .P *****«****»****** * EPI = 96.4 * ***************** y*************»***»***********************e*****************»****»*»****»»***»» WINTER CALCULATIONS ='= BASE T �^'= G| ASS '-----' ----- � UMIEN ARFA x BWPM ` foci INTS | TYPE SC ORIEN AREA x WPM x WDF ' PIlNTK ��.....�������������'�� ` N 32 .0 7 .3 233.6 | DRK CR N 7.0 7.3 1 .40 71 .4 1 DBL CLR N 25.0 7.3 1 .31 23n.5 E 40.0 ' 9.2 368.0 1 DHL FL E 1P.0 -9.2 0. 59 66 .7 | DBL C\'R E 14.0 -9.2 0.64 'w!,0 1 DBL CiR E 14 .0 - 9.P 0 .5o' to, S 41 .0 -2R.4 -1164.4 i DDL Ci.R S 30.0 -28.4 -0 .26 0720.. | DAL CiR S 11 .0 -28.4 0. 15 Y7 .0 | � | | | � � � � - -` - ---'--......... -` -------------- -` ------` ---- - -`--- --` ----' -- ` - - -- - . 13 x COND. FLOUR / TQTAL C.'.11-ASS = ADJ. x GLASS = ADJ GLASS | OLASS AREA AREA FACTUR POINTS POJPAT S - - -- - - ---'- `--- -- -- - `----- ------ -- ----'------ `--- --`- - ------- ` - --` - . 15 750.0 113.0 0.996 129R.8 � AREA x 8WPM = POINTS 1 TYPE R-VALUF ARFA x WPM '` P/ '] Nl� _.......... _____ __ Fxt 5013.0 2.20 1155.0 1 Ext Wood Frao/c .0 5P5.0 3. 170 | VAP , 5 | DOORS ----- --' | � CEILINGS-- - -- | i|A 7�0.0 1 .P0 900.0 | U//drr Attic 30.0 300.0 1 .P0 | Single Assembly 26.0 450.0 1 .30 385.0 } R�^| 750.0 0.96 7P0.0 | Rsd Wood 19.0 750.0 1 .90 1 //P5.0 | INFILT�ATION - -' -'- | 750.0 7 . 40 5550.0 1 Prartice #2 7� 0 7. i0 TOTAL WINTER POINTS | 7031 .9 . 5 | TOTAL x 8YSTEM = HEATINR | TOTAL x CAP x DUCT is SYSTEM x CRE 0IT '^ HEA\ IN�i WIN PTS MULT POINTS | COMPON RATIO ��0-T MULT MULT PUINTS '-- ------'-'--- -'---------' ----- --- --'--' - -- ---- -- -- -- -- 7031 .9 0.59 4148.8 10227.5 1 .000 1 .000 0.465 1 .000 ************************************************************»*******»****»»*»** SUMMER CALCUiATIONS ****************************************************************************»** === BASF AS- BUILT `'== GiASS-----....-.....---- | 8RIEN AREA x 8SPM POINTS | TYPE Sc ORIEN AREA x SM it SOF MINIM -----... .....-'-..... --- ------- ........-.....--'---- ----.........--- -----.............. -.........---..... --- ------- -- - - - '- N 32.O 38.3 1225.6 | DRI CL R N 7.0 3R.3 0.7� 19R.0 | DD - [%.R N 23.0 3R.3 0.79 158.4 E 40.0 79. 7 3188.0 | DBL CR E 12.0 79 .7 0.85 p10.5 1 DB\ CLR E 14.0 79.7 0.97 Y67 .0 1 DBI CIR E 14 .0 79.7 0.BP 91H .7 S 41 .0 66.2 2714.2 1 DBL CLT,,' S 3O.0 66,2 0.35 704.� | DBL CL F-1. S 11 .0 66.P 0.?7 � � � � | | | | | --- ------------- -- ........-.....-----.............----.........---' .......... ---- -- --'-- -' ---' ' - - - - - . 15 x COND. FLOOR / TOTAL GLASS = ADJ. x GLASS = ADJ GLASS | 4 ASS AREA AREA FACTOR POINTS POINTS | PUTNl �� - ----'-- ... ........----' -'---'..... '.....----- ...... .....-- ------ ----- -'--' -.........-'- ...... - ----- ---' --- - - ' . 15 750.0 113.0 0.996 7127.8 7096.3 \ A/'PB. 1 | ARFA x BSPM = POINTS i TYPUE AREA x SPM ' PL'lN| � ---'----'------`--'---`-----------`----- ------'-------------`---` - `----- '- ' WALiS --'------- | Ext 525.0 0.90 47P.5 1 Ext 4k*d F/ ame 11 .0 52M0 1 .70 | DOORS-- --- --- | � CEILINGS--'----- -- | UA 750.0 0.60 450.0 | Undar Attic | Single Assembly 26.0 450.0 1 .20 540 '0 | Rsd 750.0 -3.99 299P.5 | RM Wood 19.0 750.0 1 . 10 RP5. 0 | 0 R.00 6000.0 < Practicp #P 7�0.O 8.00 TOT0� S\�MMER PDINTS } \ TOT!.A. x SYSTEM COO| ING 1 TOTAL it DUCT it SYSTEM x CRF0IT ` (TD| ING SUM P 15 M|U-T POINTS | COMPON MULT MULT MULT P0INT3 11026.3 0.46 5072. 1 1 11415. 6 1 .000 0.350 1 .000 1004 1" Extm'ior Walls & Ceilings joints 00d ' zacxs on s"nface naulksd , sealed , and 4OMMeO Dw:tWork Ductwork in unconditioned space must bc +nalnd . F� � eplar,s Eqoipped with outside Cmxbu"tion aj / , d/*/ V , and flue dampers. Fxhauet Fans EqVOpped with do/opors. rwxbustion devi ' p* see 903.2 M . Combustion APp] iances Provided with outside combustio/' M / . -.... —.....-------- -------........---- ............. ........... ----------'--- ....... ---..... ------- - '---- - - -- -- - In Acc »rdance with Sec . 553.907 F.S. | Review of the plams and s},pci on� I Hereby nortify that the plans and 1 covered by this calculation indicaues specifications rovcred by this calco- \ complian( e with the F] ('ridK Ow, qv lotion are in compliance with the i Code. Dofore construction is complcWJ Florida Ene/ gy Code. 1 this building will bo Ompcctad h'/ | compliance in accordance with Sonhi'xn | 553.908 KM � UWNFR/AGENT: | BUT! DING OFF JCIAL :_ _ | }�ATF: _ _ _ _ 1 DATE;,.. ** PRESCRIPTIVE MEASURES (Must be mut or exceedod by all residences) »* COMPONENTS SECTION REQUIREMENTS WINDOWS 904. 1 Maximum of 0 .5 CFM per linear foot of oper.�blo sash crack . .... ....... � ....... ����� .................... ..........�.....�.....��`..... ................. ���' FXTERIOR & 904. 1 Max iomm of 0.5 CFM per sq . ft . of dvn/ a/ pa . ADJACENT DOORS Includes sliding glass doors' solid core, woud panc] , insulated , or glass door on! v ,, ------- '----------`------------------`--------------------- ---..... --- --- -- FXT. JOINTS & 904. 1 To be raulkeO , qasketed , weatherst/ ippcd o/ CRACKS otherwise sealed . �........ ��.....� .......... ­ 11, . � �� ....�... . �� �� ��� ' WATER HEATERS 904.2 Must bear label indicating compliance standard 90 or comply with cffi/ irncy nod standby loss requirements. Switdh or cicaVlv worked circuit breakrr (olect/ U ) , o/ cut- orf (gas) must he provided . An external or b`/ilt in heat trap omst bo provided . -`---- `-- `- - - ------' ---......... ---.........-.... ----- --- -`-- ----`--- ------- ------ - -- ` SWIMMING POOLS 904 .3 Spas and heated pools must havc covcrs (r«rp0t & SPAS solar heated ) . Non-commercial pools must have a pump time/ . Ras spa & pool hcaters must minimum thermal efficiency of 754 -------` ------------- - ---` ---------------------------- ---' ---- - - - HOT WATER 904.4 Insulation is required only for rccirculatio1 PIPEsystems. In such cases, pipinq heat lot" shall he limited to 17.3 BTU/H/Linear Ft . of pipe . ..........� ..........' ... � ... ��...... �'� ���' ���. ��� SHOWER HEADS 904.5 Water flow must be restrictod to no more than 3 gallons per minute at 20 to 80 PEIR. �'..... � ��� ......... � ��� � ���� '.....�����..... ��� . ... .......� '� HV0C D\ /CT 903.P Constructed in accoydance with indus< ry CONSTRUCTION 904 .6 standards & local mechanical codes . Ducts io \h'conditioned s['ace omst be insulatcd to minimum R-4.2 I joints must be snalvd . ......... `... ............ ��� �'��'� �........ �.....� �����.............. '........ HVAC CONTROLS 904 .7 Separate readily accessible manual or autmoatic thermostat for each system, -- -' ---' ---.... - -'-............ ------- ... ... .............------ '------ --......................--- -'----'--- - - '- CEJLING INSUL. 904 .9 Minimum R- 19. ** INFILTRATION REDUCTION PRACTICE COMPKIANCF CHECKLIST »* COMPONENTS REQUIREMENTS PRACTICE #1 Comply with Infiltration Prescriptives in abovo table. -.....- _......... --__-___ _-_-_-_-___'__-- -__-__. - '___-- _ - PRACTICE #2 Comp} y with P/ actice #1 and thc fol lo, ino . �......... . ..... �`������ Fxterjor Walls & Floors Top plate penetrations sealed . Infiltiatson harrier installed . Sole plato/flom joint caulked or scaled . THOMPSON FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 Coo'plianLe Program--Residentia] Point System Methnd Version 1 .05 March , 1987 Department of Community Affairs Printout Submitted in lieu of Form 900A-86 -'—'--- ........................... --' -------............................-------.........--.........--.....--------------.....' -'------- PROJ�CT NAME: yC�° Y�� 1 PERMITTING OFFICE: AND ADDRESS: | CLIMATE ZONE: 1 ? CID�� �����' - BUILDER: ' ( PERMIT NO. : --.....' ... ... _' ___-__.............______'_.- ___ JURISDICTIUN NG. : ............. . __ �............ ...........� ���� BUJLDJNG OFFICIAL COMPONENT VALUE CHECKLIST WIND['i t'lS Double Clear Total Area: 113.0 WALi'S 1 . Ext Wood Frao/e Area : 525.0 R-Value: 11 .0 CEILINGS I . Under Attic Area: 300.0 R-Value: 30.0 _..... ........ _.... _ _ _ 2. Single Assembly Area: 450.0 R-Value: 26.0 __.....____ _ _ FLOORS 1 . Rsd Wood Area: 750.0 R-Value: 19.0 DUCTS In Cond . Space Length : All COOLING 1 . Central A.C. SEER: 9 .75 HEATING 1 . Hpat Pump COP: 3.00 HOT WATER Bed/ ooms: 1 1 . Electric: EF: 0.88 INFILTRATION Practice: 2 Conditioned Floor Area: 750.0 AS BUILT POINTS / BASE POINTS * 100 = EPT 12554.2 13023.9 96,/� GiASS TO FLOOR AREA RATIO = 0. 1507 CITY OF 1*610ez cad - 747C6a 716 OCEAN BOULEVARD -- - - -------- ---— P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 October 18, 1983 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval SLreet Jacksonville, FL 32202 Dear Sirs : The following final inspection has been made and is satisfactory : Permit #3707 - 190 Club Drive, Atlantic Beach Permit issued to Bill Thompson Electric Company. Sincerely, / John M. Widdows Building Inspection Supervisor JMW/ra