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Permit 1610 (1608) Coquina Pl PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Wor Property Owner: Phon # c7ycj 34"70 n1 IC A,a C; � rn(**- Contractor: /� Phone # �"Gcc(Son l_'bn` -rnc toi-S Permit#: 't 0� _ Z,5 Lr Date Issued: i C 1 -2slC Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing 5,2c,c Framing / Cover Up ,o Insulation 1y 03 Final Building 2 Tree Permit# 01,q 174YES NO Electrical Permit# Date/ Copy to Le 1.4 Lo JEA Temp, Pole Permit# Date/ Copy to Z-U 4! JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole 5.2-9-C, Released to JEA Final Released to JEA Mechanical Permit# - a 5-Ccz4 ►0 3 Inspections: Rough u=17•c2> Final 2 C.u� t',essu►e fcs a 3Z,0 Plumbing Permit# 103 ° SL,14V �- Inspections: Hougn i underslab �, Topout Water/Sewer lv.3,o Final Drainage Inspection: Pool Permit# c-3 Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final Fire Inspection: Failed Inspections: Date Paid: _ Date Paid: Building, Planning & Zoning CITY OF ATLANTIC BEACH Inspection Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: Contractor Name: C�' 0-r--) Permit #: Ll� Lj Property Address: Legal Description: Improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: 0-)o.vi q z:4 cA op ( Single-Family Resident Commercial - Other: Lowest Floor Elevation: Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. •----- Public Works Planning Dept. Building Dept. Final Survey with FFE Yes No All Re-Inspect Fees Paid s No CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 12/17/04 Parcel Number . . . . . 169560-0000-1 - Property Address . . . 1610 COQUINA PL ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . MICHAEL SMITH Contractor . . . . . . COALSON CONTRACTORS, INC. 904 249-3470 Application number 03-00025646 000 000 Description of Work RESIDENTIAL ADD/RENOVATE/ALTER Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . Building Official VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ;J �l ATLANTIC BEACH, FL 32233 Ptr INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031845 Date 12/20/05 Property Address . . . . . . 1610 COQUINA PL Tenant nbr, name . . . . . . INSTALL CU & AHU Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SMITH, MICHAEL L. WEATHER ENGINEERS INC. 1000 EDISON AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 356-3963 ------------------------- --------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 63 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63 . 00 63 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 63 . 00 63 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL • '' ' '' CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Property Address: t L t b Ca Q 1-A c',r- Owner: �'1A P_ k 1 r LN Telephone#: 657 ?_ g c is Contractor: (/J C et 71-1, ceL t,< S Telephone#: 5?`"I l 7 � Contractor Address: (0 '30 k:Z>i s°'y A-j e- Fax#: 35-5- ""'A In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of Rood vractice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: I( Electric O Gas: _LP Natural —Central Utility ❑ Oil ❑ Other-Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed Central _Floor Residential O Air Conditioning: XRoom Central ❑ Duct System: Material Thickness ❑ Commercial CI Refrigeration Maximum capacity cfin D New Building O Cooling Tower: Capacity gpm ❑ Existing Building D Fire Sprinklers:Number of Heads D Elevator: __ Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) o Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify. ❑ Other-Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency A / C VAf r M5077*1 /hITV SjbISht 9#so 'bru C HEATING-FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency 1^�'"" �PItT �yVv�j tN t+i,TS.7biS4i Qa�o V Z. TANKS Nominal Capacity Type Liquid Serial Approving How Manx &Dimensions Contained Manufacturer No. Agency 800 Seminole Road.Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• http://www.ci.atiantic-beach.fLus t CITY OF ATLANTIC BEACH r } 800 SEMINOLE ROAD -� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 .N� r Application Number . . . . . 09-00000923 Date 6/26/09 Property Address . . . . . . 1610 COQUINA PL Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu lahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SMITH, MICHAEL L. OCEAN STATE HEAT & AIR, INC. 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/23/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 06/26/2009 07:49 FAX 9042498949 OCEAN-STATE-A/C 1 ATLANTIC-tstAUM l�rvv��vv• v CITY OF ATLANTIC 96ACHoA�06" 'o 600 SEMW40LE ROAD.ATLANTIC BEACH.FL 3220 7 OFFICE:(YWI241-026 0 FAX NO.,(YM)ZO-M5 8UILOIW-DEPTDWAe.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY irrd_ �/ O YES PERMITS, 6/ 9 4 WAME' 4 ADDRESS IF DIFFERENT mom JOe ADDRESS, C MOW_ ?,NAME OF COMPANY' I ADDRESS Can S4J�r, 4• .40- N47 b t• Qlt.B K dr..e�. �/Fc s d: 6 STATE OF FLO$WpA UCFm0r 10.CELL PHONE' 11 FAX NO, 12 EMAIL ADDRESS: U.OFFICE 10MMI. 14 i %( — Ay?_AAZI ApOcabn is hereby mads to DMIn a pemYl to do the work Wid UKteflatlonc as kdeated. I canfly that EN work w8i be perfomlad to meet the atendards of all taws regulating Construction In thle oWdictlon. Ttga permit becomes rktl nd Void If work is not commenced vAmn six(6) months,or 0 construtltlon or work Is suspended or abandoned for a parlod of six y • CONTRACTORS SIOW •� �'v 1.,11 +. �.�,.�.,...•:,,, yR ,y!.,; . f -0A+ �1.1 �,' 13 NEW INSTALLATION D NEW O R D WFLORIDA BUILDING CODE- C2 REPLACEMENT OF EXISTING SYSTEM O EXISTING :!: HEA ME ECHANICAL 0 ALTERATION/ADDITION TO EXIST SYSTEM CI REPAIR p 19.HEAT: 0 SPACE O RECESSED XCENTRAL D FLOOR ®URNERS: 20.AIR CONDITIONING: a ROOM CENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22.REPRIG£RATION: MAX CAPACITY. c" 23.COOLING TOWER: CAPACITY: � 24.FIRE SPRINKLER: NUMBER OF HEADS: 26•SIFT SYSTEM: @LEVATOR: MANLIFT: ESCALATOR: AUTOLIPT; 26.COMMERCIAL HOOD NUMBER: V.FIREPLACE: PREFABRICATED; MASONRY: 21.IRRIGATION- O PUMP Q WELL D PIPING, 29.GAS PIPING: 0 OF OUTLETS: 0 GAS Aft Q GMS WATER HEATER: 30.OTHER-SPBCfZ- SOLAR HEATING, 8OILERS,UNFIREO PRMLI RE VESSEL.HEAT EXCNA &R an COIL IN DUCTS ETC VALUE FOR OTHER ITEMS: .i4;"{7�:�'p''+%.%4r� ,�trY.;s` ,; �t�,4"i+4!,•_+r• �F:.�• � y� �+�.r. �yw�.h.+ �� f �i• rl', r, 'Il v1YT�', *.'++ y'if i' 111•��;s�:}.. .1��i _ !i4'Y ". �•}'.� NUMBERN OF UNITS DWRIPTION MODEL a MANUFACTURER TONS AGGNCY _...- - rte-+ I;,� , r• ;#.'b ,r . ST.i;1;p•'r r.. SeL: r,• I;�n.'n7 .ii ''. ',!'.�• "l R'• '1 �""4'� '1,:� ;7l''i�•,l'�v'';,: Y,�I�,. UNITStDFSCRiPTION MODEL a MANUFACTURER BTU ' ':.r. !tqw, :'ic,; »�» •1 sir ri�u' t�,r ,�• +� ,�a• '�. 'A ..!y;s�•, .1.• ,,1! »i, NUMDER OALLONS ggNTAINED MANUFACTURER SKRIAL8 A Y 81.0001 Pmmlt APrMOM Meeh:REV19E0 JOIN" 3 xw; CITY OF ATLANTIC BEACH 09. I L I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 �l OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US DUVAL COUNTY MECHANICAL PERMIT APPLICATION 2,IS THIS A SUB PERMIT: TE" 1.JOB ADDRESS: A NO ;12? 1il0— ❑YES PERMIT#( �J PRCIPER YO NER: 5 ADDRESS IF DIFFERENT FROM JOB ADDRESS. 6.PHONE 4.NAME: MECHANICAL CONTRACTOR: ' 9 8 ADDRESS. 3 2 Z3-.$ 7 NAME -Z PAN�i� AA — �`� ` ,/// /J% � /7/. „/f ( /`t'1� 10.CELL PHONE. /J6ll!' 9.STATRID —NO'. G O 14 12.EMAIL ADDRESS: 13.OFFICE PHONE: lfoq - 2't1V-S2I-I Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null-and void if work is not commenced within six (6) months,or if construction or work is suspended or abandoned for a period of six ny Ime a er r Is d. CONTRACTORS SIGNAT E: IS.CLASS OP.WORlt. 16. ERVICE: 18.CURRENT COC1E; . ❑NEW INSTALLATION ❑NEW ❑R ENT L ❑ 06 FLORIDA BUILDING CODE- 0 REPLACEMENT OF EXISTING SYSTEM E] EXISTING ElCOMMER MECHANICAL o ALTERATION I ADDITION TO EXIST SYSTEM ❑OTHER ❑REPAIR bAEGHANIC/1LEQUIPMENTTO"BEINSTALL!~D: 19. HEAT: ❑ SPACE CC] RECESSED CENTRAL ❑ FLOOR BURNERS: 20,AIR CONDITIONING: ❑ ROOM CENTRAL THICKNESS: MAX CAPACITY: cfm 21.DUCT SYSTEM: MATERIAL: 22.REFRIGERATION: MAX CAPACITY: cfm 23.COOLING TOWER: CAPACITY: Spm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING ❑GAS AHU: ❑GAS WATER HEATER: 29.GAS PIPING: #OF OUTLETS: 30.OTHER -SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER VALUE OR COIL IN DUCTS ETC UE FOR OTHER ITEMS: - 31:COOLING EQUIPMENT: AIR CONI�ITIQNING R FR ERATION'S UIPMENT CC)NDEN QR5 51 APPROVING NUMBER OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY JI-Ir <,�� V row 32."HEATING"EQUIPMENT: FURNA S BOILERS,Fl Ef?LACE AIR HANDLERS ETC: OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY FVS 110 �Llo 33.TANKS: r A NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit Applicaton Mech:REVISED:12/18/2008 y CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD j.p ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 JAI, Application Number . . . . . 03-00025646 Date 3/11/03 Property Address . . . . . . 1610 COQUINA PL Tenant nbr, name . . . . . . REMODEL/DECK ADDITION Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 280000 Owner Contractor ------------------------ ------------------------ MICHAEL SMITH COALSON CONTRACTORS, INC. 10 N 10TH STREET #3-60 524 1ST STREET NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-3470 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 1000 .00 Plan Check Fee 500 .00 Issue Date . . . . Valuation . . . . 280000 Expiration Date . . 9/11/03 ---------------------------------------------------------------------------- Special Notes and Comments APPLICANT IS ADVISED THAT, IN ACCORDANCE WITH VARIANCE APPROVED BY THE COMMUNITY DEVELOPMENT BOARD 10-15-02, THE DECK AND ENTRY FEATURE MUST BE CONSTRUCTED WITH A SOLID ROOF. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER IMPACT FEE 250 .00 WATER CROSS CONNECTION 35 .00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1000.00 1000 .00 . 00 . 00 Plan Check Total 500. 00 500 .00 .00 . 00 Other Fee Total 285.00 285 .00 . 00 . 00 Grand Total 1785 .00 1785. 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. RI RT.T)TNG OFFICIAL CITY OF ATLANTIC BEACH t� 800 SEMINOLE ROAD r ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025601 Date 3/10/03 Property Address . . . . . . 1608 COQUINA PL Tenant nbr, name . . . . . . ADD POOL Application description . . . POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 21000 Contractor MATTOX, ELME R POOLS BY JOHN CLARKSON 1608 COQUINA P E 13997-4 BEACH BLVD. ATLANTIC BEACH 32233 JACKSONVILLE FL 32224 (904) 223-4050 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . POOL WIRING Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments APPLICANT IS ADVISED THAT THE ADDITION TO THE RESIDENCE MUST BE CONSTRUCTED AS PROPOSED DURING VARIANCE PROCESS, SUCH THAT THE POOL IS NOT LOCATED CLOSER TO THE FRONT LOT LINE THAN THE RESIDENCE. PER SONYA DOERR Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS YAUCH ARE PART OF THIS PERMKT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025483 Date 2/03/03 Property Address . . . . . . 1608 COQUINA PL Tenant nbr, name . . . . . . INSTALL 30 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner -------- Contractor - --- ------------------------ / MATTOX, ELMER B & G PLUMBING 1608 COQUINA PLAC 13997 BEACH BOULEVARD TLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 223-3585 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 245 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 245. 00 245 .00 . 00 .00 Plan Check Total .00 . 00 . 00 . 00 Grand Total 245 . 00 245. 00 . 00 . 00 a 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 WHICIJ. PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. RIIIMING OFFICIAL 1 Lel s� CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: 2 - 3 -6 z Job Address: 1669 c 0 4L V4_„i,, PL4c,E Owner of Property: Telephone. Plumbing Contractor: a G P L v,wo w G c o Contractor's Address: 13 9 9 -7 4 t5i,c.y Telephone: Z23- 3 5 8 S Fax: 223 - 375'o State License Number: c r c a 2,26 9 3 How many of the following fixtures (re-piped or new): I Sinks Z Showers 1 Water 8 Lavatory 2- Water Heaters 3 Hose Bib 1 Bathtubs 1 Dishwashers 1 Sewer Urinals 1 Disposals Other 6 Closets 2- Washing Machine Shower Pans Floor Drains Re-Pipe (List fixtures being re-piped) Total Fixtures: 3 e x $7.00 $35.00 0 0 (Minimum Permit Fee: $35.00) Signature of Contractor: Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Call a day ahead to schedule inspections: (904) 247-5826 800 Seminole Road • Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Revised 1/14/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026392 Date 6/27/03 Property Address . . . . . . 1610 COQUINA PL Tenant nbr, name . . . . . . UNDERGROUND TANK/POOL Application description . . . MECHANICAL ONLY Property Zoning . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ -- ---- -------- --------- SMITH, MICHAEL L. COALSON CONTRACTORS, INC. 524 1ST STREET NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-3470 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 arged Paid Credited Due -------- ---------- ---------- ---------- 70 . 00 70 . 00 . 00 . 00 . 00 . 00 . 00 . 00 70 . 00 70 . 00 . 00 . 00 Cityy of Atlantic Beach ee* bATKR RECEIPT *** Open CKOMDREK Type: OC Dramer: i Date: 6/27/83 81 Receipt no: 69343 Descri ion 26392 oty Amount BP WILDI PUMITS 1 478.88 Teennderrddetail $78.88 Total tendered f76.88 Total payment :78.88 Trans date: 6/27/63 Time: 11:45:14 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Owner of Pro„C,*� Job Address: 10 �L� Q LLiC Contractor: �6�Lsoj In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. III. GENERAL INFORMATION A. Type of heating fuel: B. ❑ Electric IS OTHER CONSTRUCTION BEING DONE ON THIS Gas: ,LP Natural _Central Utility BUILDING OR SITE? ❑ Oil ❑ Other–Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK INSTALLED Residential or Commercial New Building (Provide complete list of components on back of this form) ❑ Existing Building ❑ Heat _Space _Recessed —Central _Floor L3Replacement of existing system ❑ Air Conditioning: Room Central ❑ New Installation(No system previously installed) ❑ Duct System: Material Thickness V Extension or add-on to existing system Maximum capacity cfrn ❑ Other-Specify ❑ Refrigeration ❑ Cooling tower: Capacity gpm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift_Escalator (Number) (Received) ❑ Gasoline pumps (Number) td. Tanks 1't)S0 &f0 o r-i (Number) Remarks ❑ LPG containers ( %-f Lc D_c v uik Ad_(Number) ❑ Unfired pressure vessels S 1', ti I El Boilers q Permit Approved by Date ) ❑ Other–Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving (Tons) Agency HEATING–FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving BT Agency TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency ' G ) ry !71 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800•Fax:(904)247-5845• htty://www.cLatlantic-beach.tl.us 1/14/03 CITY OF ATLANTIC BEACH t} 800 SEMINOLE ROAD j y ti ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r- Application Number . . . . . 03-00027297 Date 12/02/03 Property Address . . . . . . 1610 COQUINA PL Tenant nbr, name 1" WATER METER FOR IRRIG Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -------------- ---------- ----- - ---- -- - - -- - - - - - - -- SMITH, MICHAEL L. COALSON CONTRACTORS, INC. 524 1ST STREET NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-3470 ---------------------------------------------------------- ----------- ------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 12/02/03 Valuation . . . . 0 --------------------------------------- ----------------- ----- - -------------- Other Fees . . . . . . . . . WATER CONNECT/METER ONLY 145 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------- --- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 145 . 00 145 . 00 . 00 . 00 Grand Total 145 . 00 145 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 13 LDING OFFICIAL Mss7/CE r GODARD DES A 0 A S 1 - -------LAMA" ux�c.vE 4oermee f I i r 528 N-1 st Str boot 447-7 I I i ��. �II III 'I o F -f9041247-7 fl IIIA I„ rsnw ' •r�vau� } Oce rf arr 1m�w pst_d y r OOYYNYOl OTOMY t4OlYor.►MIDOwRrl4« rfi = fa6�LrL�IRVr.OWi'W �' �M �P-V IYI Otl W Q1OYbp'.101CMO1G 1IA SIS URVEY =ti L2 0 3 v�• CITY OF ATLANTIC BEACH r � Jc BUILDING AND PLANNING 800 SEMINOLE ROAD s' ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 .� S3 FAX:(904)247-5845 http://ci.atlantic-beach.fl.us September 9, 2003 Z To: Jacksonville Electric Authority / Property Appraisers Office Bellsouth Communications ' Atlantic Beach Water Department United States Postal Service Pat Welte, 911 Emergency Coordinator Atlantic Beach Police Department Atlantic Beach City Clerk Office PLEASE BE ADVISED THAT THE FOLLOWING ADDRESSES HAVE BEEN CHANGED: OLD ADDRESS NEW ADDRESS 1608/1610 Coquina Place 1610 Coquina Place PLEASE ADJUST YOUR RECORDS ACCORDINGLY. Sincerely, Don C. Ford, C.B.O. Building Official HP OfficeJet K Series K80 Log for Personal Printer/Fax/Copier/Scanner Information Systems 247-5845 Sep 12 2003 10:42am Last Transaction Date Time Twe Identification Duration Pages Result Sep 12 10:41am Fax Sent 96657372 0:31 1 OK CITY OF ATLANTIC BEACH BUILDING AND PLANNING ` Sil 800 SEMINOLE ROAD ,.. ATLANTIC BEACH,FLORIDA 32233-5445 r' } TELEPHONE:(904)247-5800 FAX: (904)247-5845 http://ci.atlantic-beach.fl.us September 9, 2003 To: Jacksonville Electric Authority Property Appraisers Office Bellsouth Communications Atlantic Beach Water Department United States Postal Service Pat Welte, 911 Emergency Coordinator Atlantic Beach Police Department Atlantic Beach City Clerk Office PLEASE BE ADVISED THAT THE FOLLOWING ADDRESSES HAVE BEEN CHANGED: OLD ADDRESS NEW ADDRESS 1608/1610 Coquina Place 1610 Coquina Place PLEASE ADJUST YOUR RECORDS ACCORDINGLY. Sincerely, Don C. Ford, C.B.O. Building Official Cc: CITY OF ATLANTIC BEACH D. Ford 5 BUILDING / ZONING DEPARTMENT L. Higgins 3� 800 Seminole Road S. Derr r rl Atlantic Beach,Florida 32233 " (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 03 - C S L04(.P Property Address: �� 0 Co 1hH i_n ( Applicant:- L..1_ L 1.-�V ^C) \ aN�l Project: This per applicat' has been: Ap ed Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: -!{r �'n� 89(:59 4876588844 XAN' PACS 82 (21A lzx tio R-.&W r 1 - 2 1,;U* i� f W.AY 1iLAs Com. (V 0 Cl lbd rw1)M"j;Wt i OAC-' &fw 4 7 4"� ✓ ov },10"t E ` AGI. L a s � f3 0 L ",7 _ 574irj 4,sz s s 574zzc.. r 61,14.5 170 2 1D a o -eoo 1= du -- -- r CO MCAETfc 51,A,8 j( CITY OFpATLANTIC BEACH BUILDING OFFICE a SEP�Jo�I�?( By 'BA'SF of POST r o V p -- I� ©�' +�� . :-�l,aoo PST 05'02/2003 09:59 4076500044 SAFARI { PAGE 04 r u L act* , i 3-4q J M �laX�n� lo��otr 12-I$" J 05!02/2003 09:59 4076500044 SWARI PAGE 03 Z-Zl v { , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r� ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 247-5826 h kl Application Number . . . . . 03-00025601 Date 3/03/03 Property Address . . . . . . 1608 COQUINA PL Tenant nbr, name . . . . . . ADD POOL Application description . . . POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 21000 Contractor MATTOX, ELMER B POOLS BY JOHN CLARKSON 608 COQUINA CE 13997-4 BEACH BLVD. AT CH FL 32233 JACKSONVILLE FL 32224 (904) 223-4050 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 135. 00 Plan Check Fee 67 . 50 Issue Date . . . . Valuation . . . . 21000 ---------------------------------------------------------------------------- Special Notes and Comments APPLICANT IS ADVISED THAT THE ADDITION TO THE RESIDENCE MUST BE CONSTRUCTED AS PROPOSED DURING VARIANCE PROCESS, SUCH THAT THE POOL IS NOT LOCATED CLOSER TO THE FRONT LOT LINE THAN THE RESIDENCE. PER SONYA DOERR Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135. 00 135. 00 . 00 . 00 Plan Check Total 67.50 67 .50 . 00 . 00 Grand Total 202 . 50 202 . 50 . 00 . 00 1 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "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 3 MIN. RETURN Book 10943 Page 144c PHONE#�a�? NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of County of >�concern: that improvomonls will be made to cortain real property,and In rn linwinn Wn r—ft—1.of yln.f In fhI. Nr1Trr•C rw a MI.R. Kt i URN Book 10943 Page 1442 PHONE#-2a*?-'4050 NOTICE OF COMMENCEMENT (PREPARE W DUPLICATE Permit No. Tax Folio No. Stale of County of To whom it may concern: The undersigned hereby Informs you that Improvomonts will be made to cortain real property,and In accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF COMMENCEMENT. Q L Legal description of properly being improved: IO"1( 1-9. iUi.l� ��QII rryti" f/✓!rT l Address of property being improv 0 17".4a ta, General description of improvements:_.�it1 r 11'11 YLt 7('u 1 - s I Owner ` , • Address Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor 1INX0 \✓f.f `,S `iCW Address r`�1✓1 �. H— ,67 Phone No. �3�4Q � Fax N . I 3,i Surely(if any) Address Amount of bond S Phone No. Fax No. Name and address of any person making a loan for the construction of the Improvements. Name Address Phone No. Fax No. Name of person within the Slate of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of ilia Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the oxpiralion dale Is one(1)year from the dale of recording unless a .� different date is specified): M SNis SNACE FOR RECORDER'S USE DULY OWNER ,n a , �) M � r Signod: 2 Dale: it 1 C) r ©afore me this day of in the Q A f Count of Duval,State of Florida,has personally appeared rq < �L Doc# 2003063034 y y pp 1-'A 31 Book:.10943 w a z Page: 1442 _,`i' .�'/C ��r'i 1�� z k Filed & Recorded Notary Public at Large,Stale of Florida,County of Duval 0 11; JIKOFULLER003 02.19.13 PM y 9/l8ja3 8 -� M commission expires: K CLERK CIRCUIT COURT Personalty Known l _or DUVAL COUNTY _ RECORDING $ 5.00 Produced idonliAcation TRUST FUND $ 1.00 \ COPY FEE $ 1.00 CERTIFY S 1.00 BP950UO2 CITY OF ATLANTIC BEACH 2/28/03 Application Tracking Individual Step Review 08 : 25: 59 Application number . . . . : 03 00025601 Application type . . . . . : POOL Revision number . . . . . . Agency/path/step/seq . . . : PLANNING A 01 00 Date submitted, resulted . . 22703 22703 Approval code . . . . . . . : AP APPROVED Reviewed by . . . . . . . . : SD SONYA DOERR Revised est cpl date . . . . 30403 Copies of plans . . . . . . . Seq Comments Prt Date 1 . 00 Applicant is advised that the addition to the residence Y 22803 must be constructed as proposed during Variance process, such that the pool is not located closer to the front lot line than the residence. 2 . 00 3 . 00 Bottom F3=Exit F12=Cancel dtE7t rAJ q 2 i Dm SEcauofwa u+r+. ovw OWUOEo 1"1?2 AWA I � I tovFNeO fbten FIEM OccK E• f-' 1 �- /J GO" T Z-Svk%DiGK J i i _ W i, t=XKttW.Su�Q J SflBnc-K f.�ME � Z fu r[KE 9vY-fI5+4n I GONCO.E7C 9Vj.� p a NORTH —� 5�1\a QES\O�Ne� Ib10• Ib08 C['�1nsA RxE 5K(E'�IAN se..e Jlj=�o I 7 COAISON IS t�j•'�� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD C, xll "" . ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 `y FAX: (904)247-5805 R w SUNCOM:852-5800 rid http://ci.atlantic-beach.fl.us w, PLAN REVIEW COMMENTS Permit Application # CC C 1 Applicant- 0S) r Address: C C Project: )R }� dal 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. t_--a 2-(,' S (c 73 Signed Date Contractor Notified Date RECEIVED CITY OF ATLANTIC BEACH r ( BUILDING 8 ZONING ' v CITY OF ATLANTIC BEACH FEB 2 7 2003 J3 POOL PERMIT APPLICATION BY: Date: © 3 Job Address: 160,K C.aQ,d�rL� �a-c t Owner of Property: Telephone: 7 0 Pool Contractor: o Contractor's Address: ze� Q �57� af��S _ /`��F Q /�� Zy;, , — Telephone: Fax: 3 - 0 3 6f State License Number: C_' -6 c' Lfs Valuation of proposed construction: ©d o Gallons: /�, 000 SITE PLAN front rear Signature of Owner: Signature of Contractor: 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (9.,Q4)'247-5800• Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us Revised 1/14/03 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 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 froin total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION 1S 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 t 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 ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME Joky, fid . MAILING ADDRESS n.S '1ie, 342Z S PHONE 2Z 3- 4570 FAX 12,23— 0-13 5 E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF Jo2DD STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE a AS TO OWNER: Personally known SHARON LEE SOUNDERS ❑ Produced identification wT,�y Puax.STATE OF FLORIDA Type of identification produced COMMMBB1oN r D0034761 zt �488.WTARYI AS 1Iv"1'ttACTOR: ® Personally known ❑ Produced identification SHARON LEE SAUNDERS Type of identification produced NOTARY PUBLIC•STATE OF FLORIDA CoMNYBSSION M[X)034761 EYJNM WIMO03 SONM 11M 1.688-NOTARY[ 6/18/02 CIjV 'CFnT 1; T� ' "+ .`) I BUILDING 3 ZC NIN "l t CITY OF ATLANTIC BEACH FEB 2 ' 2003 POOL PERMIT APPLICATION fi i By> L___ -_- Date: c;- _ © 3 Z-)/Job Address: Owner of Property: AS'„�.<� Telephone: 0 Pool Contractor: t dDl"- Contractor's Address: 0 t S f��s /�� A • Telephone: ,3 3 - �/d 5 FaX: 3 p z 3 S" State License Number: 1.2c- ci Valuation of proposed construction: m d c► Gallons: �, , 000 SITE PLAN front rear Signature of Owner: Signature of Contractor: 800 Seminole Road- Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.atlantic-beach.1l.us Revised 1/14/03 o UP, NO3uoan Fooll" .-alotA oda Sia ina°�Sp9� p-0-311pp 1 C 1 E4 ? 0) '1 ? 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OF THE CURRENT R:13LIC RECOROS OF DUVA! COUNTY, FLORIDA. CERTIFIED TO: V,CHACL SMITH COUNTRY'A'IDE HOME LCANS, INC. -._ Ap4jr _ STEWART TITLE GL;ARAwy COMPANY RICHARD T. MtOREHEAD. P.A. LUT BLOCK 50,00' (PLAT) ffur.0 :/r la;xr vr'C II N 00'02'17" E 50.00' (MEASURED) 1100 CAD O:S1N0rCD s.1 V Crr K r x x - r --x if-- u p CUNCRCIC At COHN.H Cn;Fv CN1 �' •t fOL\;� 1/1* li�;n I'-;'(_ '".� VC CiKtf1�A LCR: 1 OPJ✓: 4c 7t1:0 STORY LOT 2 MASONRY Sc FRAVE BLOCK 4 POSIED -; 1608 A AND 115,10 AIN CO�OITIr)ICR rx` PAO 2.8' C.1' to 6' D .-. , Lij Lli Ob 1- < 7rrD ` L i Ltd Starr , � � OvtktlAvL r I O 0^ Q I' N Q (.J LOT .1 r; O — ^ BLOC:{ 4 i Yc' >wam�s .c LL J T 1 It Ltl]N10 r'- t: Mo c Aa Yis O yGYS / 0 W 9f3L! ro I rnou tYq n-1 a :o O 1 rnM N111trcp T .� l co L� r.t a yt 00 Z L>..I a U V) x�av Allx I I c3 -i Lit oroc U 6= i mutYnxa;ta I I ,. I O S' Lll C —.._.._.._.._.--------- _.. .............. . 0.6 I ' N 00'7?'00- W 0.4* 50.00' (ALAI) �; X9.69' (vCA5uBC01 fou"0 1/1' IRON VIP[ :NOVO N IfICA ON No)DEN bfKAnON S 00'02'17" w 50.06- (MEASURED) 0 gt' 'lrlCAt.ON 501 (NLA ) NO rCENrIftCAkau COQUINA PLACE (4U U' HICK- OF NAY) NOTES ACCevt[0 tlr: LECErjD: R RAJI�;S ---x— FE\CE --- - L I.cucrii CONCRETE HU NES: - ASSUTAEU nrwDtuf. nc H 90'001'00;'Af ALONG THE REVISIONS Y MAP SHOWING BOUNDARY SURVEY OF LUT 3, CLOCK 4, OCEAN -ROVE UNIT NO. 1. AS RECOROED IN PLAT BOOK 15, PAGC 62. OF THE CURRENT P;)3LIC RECORDS OF DUVA! COUNTY, FLORIDA. CERTIFIED TO: MICHAEL SMITH COUNTRYIA90E HOME LOANS, INC. STEWART TITLE CL;APANry COMPANY RICHARD T. MOREHEA0. P.A. LOT BLOCK � 50.00' (PLA T) rcul.o /i• IN JN PrL (� N 00'02'17" E 50.00' (MEASURED) RED CAD 04STNOY[0 S IVCrr iET X X - r--�- X Y--- ( ugCUNCRCI[ Al CUNNE-H r n ia� lOL10 1/T• 17:l+ 1'lJ( �_ c' v IEIrY Enzr�Er.l 1 vC IClIrrl[AI.u: IY ONE & 1t':0 STORY L0. 2 MASONRY Sc FRAVE BLOCK 4 POSTED T; 1608 AND 1610 Ala co.olnnN[a"' rY— PAo 10 6' LJ I C I tl' Q a W •t a �— < Tr,v .. :2rL JL1J sl:rtY x `� til c OYCkNAVC I M ON ry Q OI' dLT Q GLGC:<a a Q l i iCt IOiCP66�pa.-1 I K 7 t LLJ tU]Hl0 ��.00/�./�� O �Y ria Y ' 4015 C I / '� xam y 0 se;tu uouowa-1 O i rnM orusm � i v a.c a 9y� co LJ O \ Mt L2l i Z faJ i �ranu"nl`r�,nonuro oa ry f Z (n xaao Man a3w DLC l i � 1 � ✓L I I U 4'- i mnomaw I 10 S' LL! C I !I--'-- �ana>fausm-l- ...............--'-- Ofi' II N 001Y00• W • i 0.4' 50.00' (Pt.All ((( ►+ cO•r�•se• r 49.60* (VEASuaEO) rovNo I/T' IRON DINE —+ NO JDrNllrKA110N a i0(F" 1• IRON PIPE CORNER Or IN1(RS(C40ti S 00'02 17 W 50.06 (MEASURED) NO tOtNrrICAroN Imlio J' RON Plot 50.00' (Plq No IOENIIrICAuoN COQUINA PLACE (4U U' KILN- Or WAY) NOIC%' AC��PTCO tlY: LECENO: R RAOI�;S — x— FENCE --- L U NGTH COINCRETE NU1ES: -- -.. ASSUb1EU nCA2imr nr K 90'00'00_ -__ ALONE THE REVISIONS GE 3Uymay. pOOL p►R�'' 70 Ft�- -' I POOL PERIMETER - tOMOVE _ OWNETtgYWR 11 . -- -- DECK 1 1 1 Tf 1 LINE 1 one ,ROP ,C NEW'Df-CK , 5••S� � s,..BY p7tIER5 I eC��CtS to use. �S�N6 i DE (',uSt011(1 CpNC E O 31Lfi+ ` I of tll6 ft?��°�t `M p`t doors O'►�"'_pW '' I 1 _ CJ SWAM c�j AW�'' I d,ld � Ir M I . Qtbet a►air '` 3 I tie t►-a m' W� �� mer IC►itir�►1S' ��`'... `I Gusto vqv p SZORY tt SPTMERS � I SECO 6 O c DECK two c 131L 1 q COVERED DECK ►cJtm COQIJINAp1.P+ PIE DAD GTE: on re C,60 of N, contingent.p urvey "and ,. At r;1 111 l I �.� ► ;sem ��: � r _ t4 ,1_�I�1.�I L l�� rel � � �__• i�[1'1-P:1110"{ C-) O'm ate° ro i lr f T►o�I' 1 1 res ��--- I— X•—I �J X ILp U CI _I X [t1 � � .ter• r7;:.r �•jx`� �� (') iwi �uM pOt S P, L ,M114s•�-�M V PPZ QN 42..2-5Nsc6 R�g1DE 101A1NLORo NcE 8u LDvgG GODS ©up`LSU �N ACCOF FLORIDA Sx,N,aFJ+ , .04crr S rµ ry,.{Ea+at� G�ptYv� Sp1r p t � L� Such yams L rs�'�frs cc :-o 0tpf 1 tsse►1 `� ` C v0a ptF rti c•� St!^°• 1 Nuc NG PG t oU nrt w vt. S1N�SN AN Ngt612 VlLU11µ y+-_6R /.� �E �IT1A •�tE Ago jw0s. Wxt�`n�{7 Z S SOp supp�tr �� p�N,fl ,yEa bt '" S OR S9 Gp UM V PCU fl go " �{ v t►. �`5 StZ t61 ntEM ,Mr ie jo ON AW+ .r s `-+ csw"st SUO Z — n"rwa,o p8a wdy Hat RY tN3 S `Z r o ,a* SUIX OF M s �`�N,oa oL ANG L SUCT�pN 1G VIA . s=oNa��• w�?+Eaz &V P�rA05p�� s+�nAN �►c,m yaa+ �y 1.1 r��`ca r.�DP1pA "QS Dos tTMc+` � A 1S�YO tSFY'CN ✓ ,� , c u,csXDa s rtan� o�(tG�NO g-1p SA AFL©RtDA sv,a�` R¢pUiF tNGpoo p tgNA s+te''�„�L�revs' tt Sp,,,cvSGau,s�ror�cs + \ OS � DN P. Vlt_vf �✓' msGG,3Do ` NO1 0�\JS r1L's1l ISc L K1l 17� WFpPgK' Z5?-4�'� 1N �5 g°`°+z S�ycTjON N AcGF pang �no71�' SpASa oN�° °v,ts�` 1 h j104 AN .21OIT 98M FPx ,gyp PE O• NESE �p qty Ac hw A six Ea Ea �.� �MIAt4s, i t r ✓ "T Nt CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD =° N� ATLANTIC BEACH, FLORIDA 32233 v INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025439 Date 1/30/03 Property Address . . . . . . 1610 COQUINA PL Tenant nbr, name . . . . . . FOUNDATION ONLY Application description . . . FOUNDATION ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4800 Owner Contractor ------------------------ ------------------------ OASIS COALSON CONTRACTORS, INC. 524 1ST STREET NORTH JAX BEACH FL 32250 (904) 249-3470 ---------------------------------------------------------------------------- Permit . . . . . . FOUNDATION ONLY 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 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. 1, o BUILDING OFFICIAL r _ : 4 { a — ��r1,t J t N 2 {{_ , z .r City of Atlantic Beach • 800 Seminole Road •Atlantic Beach,Florida1M233-59.4.5_ -.... -- - Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE JOB ADDRESS /610 coa l,i 1^>o, C- APPLICANT — ,Z.—.� ADDRESS -E 1 '4 5f lZiZA h1QjJ.,"f AC 1;64a� PHONE: LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER ZONING DISTRICT CONTRACTOR ��/�cL-Sud -JGile�� 1 TiVC STATE LICENSE �NUMBER�� . ADDRESS J� -1� ISA S K t � PHONE 1 V4 " 24 3 "- ,S�-26 CITY -, Prrz0' STATE ZIP ., tJ D FAX '2_ - — "A t DESCRIBE PROPOSED USE AND WORK TO BE DONE �i PRESENT USE OF LAND OR BUILDINGS) \�z�Sl C��z��Z l✓�-� VALUATION OF PROPOSED CONSTRUCTION Is this an addition? If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? IL New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? 'KNO. Applicant certifies that no change in site grade 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. 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. 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 6/18/02 A. « "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 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 NFOR TION PROVIDW 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 PL SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. n SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONT NFORMAT N OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION I EASE PRINT) NAME S--) MAILING ADDRESS S V �-�1�7 l � PHONE ZC41^3+2✓ FAX `Z ` 1 ( E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS_ 3 DAY O STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: Personally known ❑ Produced identification SHARON LEE SAUNDERS Type of identification produced NOTARY PUBLIC-STATE OF FLORIDA COMMISSION#DW347S1 EXPIRES 9118f2003 BONDED THRU 1.88MOTARYI AS TO CONTRACTOR: Personally known ❑ Produced identification SHARON LEE SAUNDERS Type of identification produced NOTARY PUBLIC-STATE OF FLORIDA COMMISSION#DOW761 EXPIRES 9H 8/2003 BONDED THRU 1.888-NOTARYI 6/18/02 EXISTING FOOTING EXISTING q OEXISTING GE CFO EXLSLAB OUSLAyF POURED OVER EXISTINGPOURED O EIETING BOCK. q B BLOCK. I— — — — — — — — — — — 0 e u1 EXISTING FOOTING O 'i a h C a C D 0 THICKENED EDGE OF SLAB O a e `` POURED OVER EXISTING 7 BLOCK. ID C r id r C ili g / D11 - - - - - - - 1 F- I 10 W a 1 vlose t I I I I D17 D18 Gose I I G NEW FOOTING, nt rtainln e 9 THICKENED EDGE OF SLAB �/ '• �� I q10 POURED INTO EXISTING a D12� BLOCK IS r ce Ceiling / D r P / IBedroom Bedroom / r g #1 #2 ° e 1 I I 1 `q10 !. (_ D L3 -W g- — X15 — 1-4 — — C\- ' 1L Shower OASIS RESIDENCE FOUNDATION PLAN 1608 Coquina Puce Rowson Cc At �antic Beach , EE SCALE: 1'-0" Ir THICKENED 3000 FSI SLAB VI7H - NEV 4THICKENED P SLAB VI?N 'HICKENED EDGE KEV tOM=ACTED F1LL710 CON�IMUOUS ip' REINI_RCEMENT LDN7;M000S 4' 6'I -qPOUR THICKENED EDCE OF NEV SLAB INTO NEV NEV VERTICAL BOLt DRILLED NEV VERTICAL 3p' Ek; TING SLABEPO?IED INTO +E;NE ORCEMENT EVER<•-0' ALOCK WITH F 1 CC EVERT A-0'C \`-E-OXN REINFORCEMENT INTO Eki SIT ING FOO7INC F OUNDATION SECTION ) FOUNDATION SECTION l� SCALE 1/4"= 1'-0" SCALE 1/4'= 1'-0" NEV 3000 PSI SLAB POJRED NEV CO PA TED%.LLQ FLUSH '❑ BLOCK ED_E NEV 3000 PSI SLAB W'I'C +CV COM ED r:-LL� 7HICKENED EDGE 1 l � I < %;STING KKK AND WALL <' J E x.STIPiG SLA 3---� C) 4�f„'•' p EpPN�xlFF�VVcGE I_•_A._I �� EXISTING SLAB Ci �u1L 1 v� F-NUNDA-7NN SECTINN 3 F-OUNDATION SECTION SCAT E: 1/4`= 1'-0" SCALE: 1/4'= 1'-0" ❑ASIS RESIDENCE FOUNDIATION SECTIONS 1608 Coquina Place Coa � son Cc A-t '.o. n-tic Beach , FL j SCALE, %4° EXISTING FOOTING, EXISTING FOOTING NEW F SL F SLAB SLAB O POUREDNOVEERGEXIOSTINGAB P❑REED TO EXISITOING BLOCK, O EXISTING SLA OVERGE ❑FO BLOCK. I u s / EXISTING FOOTING. 0 THICKENED OVER E O SLAB POURED C a C p a e / BLOCK. ID I C r id r D o X10 I D17 Me Close' I NEW FOOTING. rtaining THICKENED EDGE OF SLAB �10 POURED INTO EXISTING } D 1 BLOCK j I S r e / I Ceiling ( I Dr p I s / r g Bedroom � Bedroom e 1 � q�1 0 r L - - - - - - - DL - - - - -J L _ _ _ -J �- — DM 6t - - --W 8- - - - g- - - r15 ii - - - - - - - J Shower ❑ASIS RESIDENCE FOUNDATION PLAN 1608 Coquina Place Coalson Cc Atlantic Beach , EL SCALE: % _ 1'-0' Ir CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 S TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 0 Y http://ci.atlantic-beach.fl.us 01PLAN REVIEWCOMMENTS Permit Application # Applicant: 0117 -�Yw C �S Address: �2 C Project: O U our 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 �� Dated Contractor Notifie Date ►...`- `1� CITY OFATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.fl.us r�F ` DOYI PLAN REVIEW COMMENTS Permit Application # D 3 - <�? � Applicant: 0004sor) O Address: & /a 11 Project: F-n tori opt >�/U- c3 Your application is approved /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 /-m i2 V)Signed � ate - Z - 3 C � Contractor Notified Date CITY OF ATLANTIC BEACH 4 Sr 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 .t,,. INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025646 Date 4/10/03 Property Address . . . . . . 1610 COQUINA PL Tenant nbr, name . . . . . . REMODEL/DECK ADDITION Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 280000 Owner Contractor ------------------------ ------------------------ MICHAEL SMITH COALSON CONTRACTORS, INC. 10 N 10TH STREET #3-60 524 1ST STREET NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-3470 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc NEW HVAC Sub Contractor LES ' S HEATING & AIR Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . Valuation . . . . 0 Expiration Date . . 10/03/03 ----------------- ----------------------------------------------------------- Special Notes and Comments APPLICANT IS ADVISED THAT, IN ACCORDANCE WITH VARIANCE APPROVED BY THE COMMUNITY DEVELOPMENT BOARD 10-15-02 , THE DECK AND ENTRY FEATURE MUST BE CONSTRUCTED WITH A SOLID ROOF. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS - CH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL �q r) CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Owner of Property: Job Address: Contractor: exs� �— In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. III. GENERAL INFORMATION A. Type of heating fuel: B. Electric IS OTHER CONSTRUCTION BEING DONE ON THIS Gas: _LP _Natural _Central Utility BUILDING OR SITE? ❑ Oil ❑ Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE �ATURE OF WORK INSTALLED Residential or Commercial ❑ New Building provide complete list of components Druck of this form) 3— Existing Building Heat _Space _Recessed _Central _Floor ❑ Replacement of existing system ❑ Air Conditioning: Room Central 0f Duct System: Material /�G — Thicknessew Installation(No system previously installed) Or Extension or add-on to existing system ❑ Refrigeration Maximum caci ty Q624:2cfin ❑ Other-Specify ❑ Cooling tower: Capacity ¢nm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift_Escalator (Number) (Received) ElGasoline pumps (Number) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel Permit Approved b Date ❑ Boilers pp y ❑ Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving I 0q (Tons) Agency D3G wu HEATING—FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving TQ Agency TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800•Fax:(904)247-5845• httn://www.ei.atlantic-beach.fl.us 1/14/03 •} CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 "'41 :)r Application Number . . . . . 03-00025646 Date 5/02/03 Property Address . . . . . . 1610 COQUINA PL Tenant nbr, name . . . . . . REMODEL/DECK ADDITION Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 280000 Owner Contractor ------------------------ ------------------------ MICHAEL SMITH COALSON CONTRACTORS, INC. 10 N 10TH STREET #3-60 524 1ST STREET NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-3470 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . BILL THOMPSON ELECTRIC CO, INC Permit Fee . . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments SERVICE INCREASE TO 300AMS, 1PH, 3W, 240V AND REWIRE ENTIRE HOUSE. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- .`, Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 85 . 00 85 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. r BUILDING OFFICIAL r J ° CITY OF ATLANTIC BEACH, FLORIDA r s� ELECTRICAL PERMIT APPLICATION TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 20 ,3 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK A6/DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL CONTRACTOR d 5clq � to 0-0. _ - MASTER ELECTRICIANS SIGNATURE: Q�7� OWNER OF PROPERTY: JOB ADDRESS: ID RES APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW`,Qj,_ ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW INCREAS REPAIR( CONDUCTOR SIZE ]Eg? AMPS: 21 U� COPPER ) ALUM. FEES SWITCH OR BREAKER AMPS PH W LT RAC WAY /j EXIST. SERV. SIZE AMPSPH W O RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS /77 CONCEALED OPEN TOTAL RECEPTACLES C9,", CONCEALED OPEN TOTAL 0.30AMPS 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT ld2lle-&--1 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS M SCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. 1KVA NO. 1KVA NO.NEON TRANSF. NO I VA I MA MOTOR SIZE --[SWITCH FLASHERS EACH SIGN 800 Seminole Road.Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atiantic-beach.R.us RevigM 01/17/03 $!�4L`j, CITY OF ATLANTIC BEACH { s 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 ' its) ' Application Number . . . . . 03-00026141 Date 5/27/03 Property Address . . . . . . 1610 COQUINA PL Tenant nbr, name . . . . . . #6,AMPS50,ALUM,YES, TEMP P Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------ ------ ------------------------ MACK BROTHERS GENERAL CONSTR. BILL THOMPSON ELECTRIC CO, INC 10601 THERESA DRIVE P.O. BOX 330150 JACKSONVILLE FL 32246 ATLANTIC BEACH FL 32233 (904) 249-5601 ------------- --------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL s Ll CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 20v6 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.ft ELECTRICAL CONTRACTOR:�r(� I`Q7�1L75�1 �t c C5. (a c MASTER ELECTRICIANS SIGNATURE: OWNER OF PROPERTY: JOB ADDRESS: r RES.( ) APT.( ) COMM.( ) PUBL C( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( TEMP , IGNS( ) SQ. FT. SERVICE: NE INCREASE( ) REPAIR( ) CONDUCTOR SIZE AMPS: 3'0 COPPER ) ALUM.(!, "" FEES SWITCH OR BREAKER S AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30AMPS 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES I BELL TRANSF. AIR H.P.RATING H.P.RATING CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. IKVA NO. IKVA NO.NEON TRANSF. NO I VA I MA I MOTOR SIZE I SWITCH I FLASHERS EACH SIGN 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us �l`S LOhl�1�G di �elil G�Y� C/m�lf' !�/�l Pl i / ey1X11' e�7; HP OfficeJet K Series K80 Log for Personal Printer/Fax/Copier/Scanner Information Systems 247-5845 May 27 2003 8:56am Last Transaction Date Time Twe Identification Duration Pages Result May 27 8:55am Fax Sent 96657372 1:03 2 OK i.► ► r��, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD �} r A . e' ATLANTIC BEACH,FLORIDA 32233-5445 5�. TELEPHONE:(904)247-5800 r, FAX:(904)247-5805 —` SUNCOM:852-5800 ., http://ci.atlantic-beach.R.us PIAN REVIEW COMMENTS Permit Application # C',3 - J S(..c4(o Applicant: Oc / S O r-) 0 n 4rcP C 10�S Address: I u)D P/ Project: c—,i' ? l our applicati&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 b Signed Date Contractor Notified Date r�J�ll.! cit �l' AI N 1 IC.i J�./=Hli!`) 4 BUILDING � ZrJN�NG t{ MAR 0 7 2003 All' City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Flori Phone: (904)247-5800 • FAX (904)247-5805 • littp://wwwlci.atlantie-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS,MOVING OR DEMOLITION) DATE JOB ADDRESS CIO �G t ►'til J71 ri E`C, APPLICANT^AIt -�'�. 5>1-"t t-R') - ADDRESS 10 ItT V PHONE: a LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER ZONING DISTRICT CONTRACTOR CGL t'1 � `� STATE LICENSE NUMBER CleC 0,�7 io3 ADDRESS _ 57--1 (Vy r 5} S+�� PHONE >f ` " 2` q - 3 Btaq� C� CITY 5AY- ct� STATE -- ZIP DESCRIBE PROPOSED USE AND WORK TO BE DONE PRESENT USE OF LAND OR BUILDINGS) VALUATION OF PROPOSED CONSTRUCTION _ -0 00, Is this an addition? n U If yes,what are the dimensions of the added space: r"I(=I �.,feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? 5 New fireplace? [ } CV New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? n C> If yes,please submit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? NO. Applicant certifies that no change in site grade or till material will be used on this project. tjYES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. 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. 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 8/02 L 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 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. S. 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 3-q— b3 I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SA11IE 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 PLAD&S AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRALTO DATE �� "O ADDRESS AND CO CT INF ATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) (' �1 NAME Pte+Cir B.CflG��un W i� 1.D�a Ort 0V?*C&,4A Ort'S 81 yJC-- MAILING ADDRESS t� - �ItPS•� b C 3JU PHONE -24q• -94!JQ FAX gct.249" clall E-MAIL fJ10 SWORN AND SUBSCRIBED BEFORE ME TIIIS _DAY OF (�Q,r�n , 2003 STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: [Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: [Personally known CoaA5on Cpr r �p ��h`! ❑ Produced identification 5a4 :S+reek Type of identification produced -B vtiscne o,Ch� 3aa5t� 44' tit& A *tiN axwd"im cclum WI 8/02 Jul as OZ 01 : 3Up HUN JLIKvc 1111- MAP SHOWING BOUNDARY SURVEY OF LOT 3, BLOCK 4, OCEAN GROVE UNIT NO. 1, AS RECORDED IN PLAT BOOK 15, PACE 82, OF THE CURRENT P:/3LIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: I:,CHAEL Sm17H COUNTRY`A1IDE HOME LCANS, INC. STEWART TITLE G.L.ARANTY COMPANY RICHARD T. MOREHEAD. P.A. LOT " BLOCK 50.00' (PLAT) ft:1 N1D :,;•1.:k: pvc N 00.02'17' E 50.o0' (MEASURED) � aro c.> ;.11'cff Y Y G 9 Cl7\(:Fl.l[ Al lU�rla_N Y _ - `-GU�il.:lY (AiI'.l:(tlt -�� N7 1(:CNfflrkiail: ONE & Iwo STCRY L07 2 MASONRY F(:AVF BLOCK 4 POSTFDIf 150H ( ANO 1610 COvCl brx+[a f� FAO 2.6' D-J' in los' LJ Q — r-. V) _ 0.t Ll 4 n O o LOT 4 6 0 BLOCK 4 = — M to 1,,.051 Drt:t m Li I co Ulk'CK 4 .�\\\\\\\ 1 ( L Ld LLI p Y Y___—. _, v o fi. �• I N wi 2 Go"W I ,.0.i =0-00 (PLAT) N CO'J75H'F _ 49AIT (vEaSURCD) fOU,YI 1%!' 1N4N tk1+E ;mxvo f•1RDN PIP( MN !.01DE�lIri<.Nor: S 00.0::17" W 50.06' (MiCASURED) "�o 1D[NTIrIc^T.a sw.o a-vtoN DoE NO OENhF1CAi10N COQUINA PLACE (40 U* Rior of wAY) AC['PIED BY: LEGEND: R z RADIUS FLN"L L . LENGTH E CONCRETE 1;O 1E5: As L1.+_1> I: ,Doan;,` a REVIS1Gv5 T. SEaRrrrG$ ARE fiASEJ 0:: Tek` _ _ - i3EnR1�G (:F ;• O:ac air SOUTHERLY BOUNDARY LINE C: SI+J._:•i P1,RCE.. 2. BY GRAPHIC PLOTii.\G (k1LY TA'_ CAPtK_�r1FD LA+:DS LIE 111714,11HO,1D Z^1.,, :.S SIu7wN ON /1IE GATE DESCRIPTION NATIONAL FLOOD INSURANCE MAP DATLU APRIL 17, 1969. C0IJItUt;ITY Nvvcj:_q 1.2-5075, PANLL wnaw+oe t niw uw. z { �1�'1�1C9N4Fi1i ' "'""..(�.�,��i1►+41F'aP�plM�{l�fr�'�!a� 1 - •e.�.+n■ua+�■anrarermc• � i Jam_ r"UPON �- •`tae�YNaht'�i1�i'�td+ y PaPi��u�lri�#� dao s � l iM Pwift M1 At .a"MW J6 UWM MOOS uoitjli =lk NIIl1 M WMjl gM ag tg fiat v4F IV MUNK l�AP11i �D101�'sAIL til4{�15'� M, �-•-----•----- — - - - pii�Matd►ut��of �� 1%imw0' Pon WW f4WWWW=*MWARW*MOM OOAPAWMWA~"A' Pam -,w .. 5Havoolov"W Ao MON • r ..��mioc�arauiGA�u �awraw.roo�s�orrjrtla�cr�oasv.� trt � I now Kom l.• Ap -� j A18[tflWOOf:QOS' M TVT nt:Zn enip�iri► FORM 60OA-2001 FLORIDA ENERGY EFFICIENCY CODE ' FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Oasis Residence-Whole House Calculation Builder: Coalson Contractors, Inc. Address: 1608 Coquina Place Permitting Office: Atlantic Beach City, State: Atlantic Beach, FI Permit Number: Owner: Jurisdiction Number: 261100 Climate Zone: North I. New construction or existing Existing _ 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap:36.0 kBtu/hr _ 3. Number of units,if multi-family I , SEER: 12.00 4. Number of Bedrooms 3 _ b. Central Unit s� Cap:48.0 kBtu/hr 5. Is this a worst case? No _ ! �.S SEER: 10.00 _ 6. Conditioned floor area(W) 3464 ft= c. N/A 7. Glass area&type _ a. Clear-single pane 0.0 W _ 13. Heating systems b. Clear-double pane 427.0 ft= a. Electric Heat Pump Cap:36.0 kBtu/hr _ c. Tint/other SHGC-single pane 0.0 It, _ HSPF:6.80 _ d. Tint/other SHGC-double pane 0.0 112 b. Electric Heat Pump (,y, S{. Cap:48.0 kBtu/hr 8. Floor types _ HSPF:6.80 a. Slab-On-Grade Edge Insulation R4.0, 160.0 l 2 _ c. N/A b, Raised Wood,Adjacent R=0.0,108.0 ft2 c. 1 Others 20.0 112 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:66.0 gallons _ a. Frame,Wood,Exterior R=1 1.0, 1908.0 112 - EF:0.88 b. Concrete,Int Insul,Exterior R=3.0, 177.0 ft2 _ b. N/A c. Frame,Wood,Adjacent R=11.0, 121.0 ft2 _ d. Concrete,Int Insul,Adjacent R=3.0,72.0 ft2 _ c. Conservation credits _ e. N/A (HR-Heat recovery,Solar 10. Ceiling types DHP-Dedicated heat pump) a. Under Attic R=30.0, 1793.0 ft2 _ 15. HVAC credits _ b. N/A _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts _ PT-Programmable Thermostat, a. Sup:Unc. Ret:Con. AH:Garage Sup.R=6.0, 125.0 ft MZ-C-Multizone cooling, b. Sup:Unc. Ret:Unc. AH:Garage Sup.R=6.0,175.0 ft MZ-H-Multizone heating) Glass/Floor Area: 0.12 Total as-built points: 40412 PASS Total base points: 42623 1 hereby certify that the plans and specifications covered Review of the plans and ZfIE Sr 411 this calculation are in c mpliance with the Florida specifications covered by this y0 ar o Energy Code. .+..-� calculation indicates compliance with the Florida Energy Code. PREPARED BY: Bruce Ellis - r Before construction is completed 1.14 aj;i v DATE: 'Z,\ this building will be inspected for I hereby certify that this building, as designed, is in compliance with Section 553.908 compliance with the Florida Ener g' de. Florida Statutes. °D WE OWNER/AGENT-, ' BUILDING OFFICIAL: DATE: DATE: EnergyGauge®(Version: FLR1 PB v3.22) FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1608 Coquina Place,Atlantic Beach, Fl, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 3464.0 20.04 12495.3 Double,Clear S 1.3 14.0 38.0 34.50 0.99 1299.7 Double,Clear E 7.5 16.0 60.0 40.22 0.75 1799.1 Double,Clear N 1.3 15.0 8.0 19.22 0.99 153.0 Double, Clear N 1.3 14.0 19.0 19.22 0.99 363.2 Double,Clear W 1.3 16.0 10.0 36.99 1.00 368.5 Double, Clear W 1.3 13.0 11.0 36.99 1.00 405.0 Double,Clear S 1.3 6.0 29.0 34.50 0.89 892.4 Double,Clear S 1.3 7.0 100.0 34.50 0.93 3191.8 Double,Clear S 1.3 7.0 10.0 34.50 0.93 319.2 Double,Clear E 1.3 9.0 30.0 40.22 0.98 1183.9 Double, Clear N 1.3 5.0 21.0 19.22 0.93 377.0 Double,Clear N 1.3 5.0 27.0 19.22 0.93 484.7 Double, Clear N 1.3 8.0 20.0 19.22 0.98 375.6 Double,Clear W 1.3 6.0 24.0 36.99 0.94 831.9 Double,Clear E 7.5 16.0 20.0 40.22 0.75 599.7 As-Built Total: 427.0 12644.6 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 193.0 0.70 135.1 Frame,Wood,Exterior 11.0 1908.0 1.70 3243.6 Exterior 2085.0 1.70 3544.5 Concrete, Int Insul, Exterior 3.0 177.0 1.30 230.1 Frame,Wood,Adjacent 11.0 121.0 0.70 84.7 Concrete, Int Insul,Adjacent 3.0 72.0 0.80 57.6 Base Total: 2278.0 3679.6 As-Built Total: 2278.0 3616.0 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 151.5 6.10 924.1 Exterior 151.5 6.10 924.1 Base Total: 151.5 924.1 As-Built Total: 151.5 924.1 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 1793.0 1.73 3101.9 Under Attic 30.0 1793.0 1.73 X 1.00 3101.9 Base Total: 1793.0 3101.9 1 As-Built Total: 1793.0 3101.9 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/ResFREE'2001 FLR1 PB v3.22 FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1608 Coquina Place, Atlantic Beach, FI, PERMIT#: BASE AS-BUILT FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 160.0(p) -37.0 -5920.0 Slab-On-Grade Edge Insulation 0.0 160.0(p -41.20 -6592.0 Raised 128.0 -3.99 -510.7 Raised Wood, Post or Pier 0.0 20.0 2.80 56.1 Raised Wood,Adjacent 0.0 108.0 2.20 237.6 Base Total: -6430.7 As-Built Total: 288.0 -6298.3 INFILTRATION Area X BSPM = Points Area X SPM = Points 3464.0 10.21 35367.4 3464.0 10.21 35367.4 Summer Base Points: 49137.7 Summer As-Built Points: 49355.8 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 49355.8 0.429 (1.081 x 1.147 x 1.00) 0.284 1.000 7495.6 49355.8 0.571 (1.090 x 1.147 x 1.00) 0.341 1.000 11993.0 49137.7 0.4266 20962.1 49355.8 1.00 1.246 0.314 1.000 19330.9 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge@/ResFREE'2001 FLR1 PB v3.22 FORM 60OA-2001 t WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1608 Coquina Place,Atlantic Beach, Fl, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Point .18 3464.0 12.74 7943.6 Double,Clear S 1.3 14.0 38.0 4.03 0.99 152.4 Double,Clear E 7.5 16.0 60.0 9.09 1.11 604.4 Double,Clear N 1.3 15.0 8.0 14.30 1.00 114.4 Double, Clear N 1.3 14.0 19.0 14.30 1.00 271.7 Double,Clear W 1.3 16.0 10.0 10.77 1.00 107.8 Double, Clear W 1.3 13.0 11.0 10.77 1.00 118.6 Double,Clear S 1.3 6.0 29.0 4.03 1.08 125.9 Double,Clear S 1.3 7.0 100.0 4.03 1.04 418.8 Double,Clear S 1.3 7.0 10.0 4.03 1.04 41.9 Double,Clear E 1.3 9.0 30.0 9.09 1.01 275.9 Double, Clear N 1.3 5.0 21.0 14.30 1.00 301.2 Double,Clear N 1.3 5.0 27.0 14.30 1.00 387.2 Double, Clear N 1.3 8.0 20.0 14.30 1.00 286.2 Double,Clear W 1.3 6.0 24.0 10.77 1.02 262.7 Double, Clear E 7.5 16.0 20.0 9.09 1.11 201.5 As-Built Total: 427.0 3670.5 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 193.0 3.60 694.8 Frame,Wood,Exterior 11.0 1908.0 3.70 7059.6 Exterior 2085.0 3.70 -7714.5 Concrete, Int Insul, Exterior 3.0 177.0 7.30 1292.1 Frame,Wood,Adjacent 11.0 121.0 3.60 435.6 Concrete, Int Insul,Adjacent 3.0 72.0 5.10 367.2 Base Total: 2278.0 8409.3 As-Built Total: 2278.0 9154.5 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 151.5 12.30 1863.5 Exterior 151.5 12.30 1863.5 Base Total: 151.5 1863.5 As-Built Total: 151.5 1863.5 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 1793.0 2.05 3675.6 Under Attic 30.0 1793.0 2.05 X 1.00 3675.6 Base Total: 1793.0 3675.6 1 As-Built Total: 1793.0 3675.6 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/ResFREE'2001 FLR1 PB v3.22 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1608 Coquina Place,Atlantic Beach, Fl, PERMIT#: BASE AS-BUILT FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 160.0(p) 8.9 1424.0 Slab-On-Grade Edge Insulation 0.0 160.0(p 18.80 3008.0 Raised 128.0 0.96 122.9 Raised Wood,Post or Pier 0.0 20.0 5.76 115.3 Raised Wood,Adjacent 0.0 108.0 10.40 1123.2 Base Total: 1546.9 As-Built Total: 288.0 4246.5 INFILTRATION Area X BWPM = Points Area X WPM = Points 3464.0 -0.59 -2043.8 3464.0 -0.59 -2043.8 Winter Base Points: 21395.2 Winter As-Built Points: 20566.8 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 20566.8 0.429 (1.060 x 1.169 x 1.00) 0.501 1.000 5504.3 20566.8 0.571 (1.069 x 1.169 x 1.00) 0.501 1.000 7339.1 21395.2 0.6274 13423.3 20566.8 1.00 1.245 0.501 1.000 12843.4 EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/ResFREE'2001 FLR1 PB v3.22 FORM 60OA-2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 1608 Coquina Place,Atlantic Beach, Fl, PERMIT#: BASE AS-BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 3 2746.00 8238.0 66.0 0.88 3 1.00 2746.00 1.00 8238.0 As-Built Total: 8238.0 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 20962 13423 8238 42623 1 19331 12843 8238 40412 PASS w�4o�TK1 sT9��0 EnergyGaugeTA° DCA Form 60OA-2001 EnergyGauge@1ResFREE'2001 FLRIPB v3.22 FORM 60OA-2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 1608 Coquina Place,Atlantic Beach, Fl, PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE _ _ CHECK Exterior Windows&Doors 606.1.ABC.1.1 Maximum:.3 cfm/sq.ft.window area; .5 cfm/sq.ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall; foundation&wall sole or sill plate;joints between exterior wall panels at corners; utility penetrations; between wall panels&top/bottom plates; between walls and floor. EXCEPTION:Frame walls where a continuous infiltration barrier is installed that extends from,and is sealed to,the foundation to the top plate. Floors 606.1.ABC.1.2.2 Penetrations/openings>118"sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. Ceilings 606.1.ABC.1.2.3 i Between walls&ceilings;penetrations of ceiling plane of top floor; around shafts, chases, soffits, chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 cfm from conditioned space,tested. _ Multi-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors,dampers; combustion space heaters comply with NFPA, have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) _ COMPONENTS SECTION REQUIREMENTS _ CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker(electric)or cutoff(gas)must be provided. External or built-in heat trap required. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a pump timer.Gas spa&pool heaters must have a minimum thermal _ efficiency of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed, insulated,and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics:R-6 min.insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1 1 Ceilings-Min. R-19.Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGaugeTM DCA Form 60OA-2001 EnergyGauge®/ResFREE'2001 FLR1 PB v3.22 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* =83.0 The higher the score,the more efficient the home. 1608 Coquina Place, Atlantic Beach, Fl, 1. New construction or existing Existing _ 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap:36.0 kBtu/hr 3. Number of units,if multi-family 1 _ SEER: 12.00 4. Number of Bedrooms 3 _ b. Central Unit Cap:48.0 kBtu/hr 5. Is this a worst case? No _ SEER: 10.00 _ 6. Conditioned floor area(ft') 3464 ft2 c. N/A 7. Glass area&type a. Clear-single pane 0.0 ft2 _ 13. Heating systems b. Clear-double pane 427.0 ft2 a. Electric Heat Pump Cap:36.0 kBtu/hr _ c. Tint/other SHGC-single pane 0.0 ft2 _ HSPF:6.80 d. Tint/other SHGC-double pane 0.0 ft2 b. Electric Heat Pump Cap:48.0 kBtu/hr 8. Floor types _ HSPF:6.80 _ a. Slab-On-Grade Edge Insulation R=0.0, 160.0 ft= _ c. N/A _ b. Raised Wood,Adjacent R=0.0,108.0 ft2 _ c. 1 Others 20.0 112 14. Hot water systems 9. Wall types - a. Electric Resistance Cap:66.0 gallons a. Frame,Wood,Exterior R=11.0, 1908.0 112 _ EF:0.88 b. Concrete,Int lnsul,Exterior R=3.0, 177.0 112 _ b. N/A a Frame,Wood,Adjacent R=11.0, 121.0 W d. Concrete,Int Insul,Adjacent R=3.0,72.0 ft2 _ c. Conservation credits e. N/A (HR-Heat recovery,Solar 10. Ceiling types _ DHP-Dedicated heat pump) a. Under Attic R=30.0, 1793.0 112 _ 15. HVAC credits _ b.N/A (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, It. Ducts PT-Programmable Thermostat, a. Sup:Unc. Ret:Con. AH:Garage Sup.R=6.0, 125.0 ft _ MZ-C-Multizone cooling, b. Sup:Unc. Ret:Unc. AH:Garage Sup.R=6.0, 175.0 It MZ-H-Multizone heating) 1 certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed(or exceeded) ZAE s74T�° in this home before final ins p . Otherwise,a new EPL Display Card will be completed . based on installed Code 1 fe to d� / ut np� Builder Signature Date: Q Y ,, A _ Address of Home: l�t1�7qe..^k GC_ City/FL Zip: / °'rLv' 9c v_. *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. If your score is 80 or greater(or 86 for a US EPA/DOE EnergyStarTmdesignation), your home may qualify for energy efficiency mortgage(EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 3211638-1492 or see the Energy Gauge web site at www.fsec.ucfedu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 8501487-1824. EnergyGauge©(Version: FLRIPB 0.22) RIGHT-J BUILDING ANALYSIS REPORT 1st Energy Design Systems 1065 Oak Vale Rd,Jacksonville,FI 32259 Phone:904-287-5339 Fax:904287-1258 Email.energydesigni%at bl.com Project • , • For: Oasis Residence 1608 Coquina Place,Atlantic Beach,FI Design Information Htg CIg Infiltration Outside db(°F) 32 93 Method Simplified Inside db(°F) 72 72 Construction quality Average Design TD(°F) 40 21 Fireplaces 0 Daly range - M Inside humidity 50 Moisture difference(gr/lb) - 56 Heating Component Btuh/ft2 Btuh %of load VW&++ InMeWn Wale 7.1 8189 28.4 Windows 29.0 4814 16.7 Doors 18.4 2044 7.1 Ceilings 0.0 0 0.0 Floors 32.4 5174 17.9 Infiltration 26.1 7239 25.1 Ducts 1373 4.8 Total 28834 100.0 Component BtuhfW Btuh %of load OWMI o.M VYYib e Walls 3.6 4147 20.7 Windows 56.6 9403 47.0 Doors 11.3 1257 6.3 Ceilings 0.0 0 0.0 Floors 0.0 0 0.0 Infiltration 7.8 2172 10.9 Ducts 1818 9.1 Internal gains 1200 6.0 wMo . Total 19997 100.0 Cooling at 82%SHR=2.0 ton Cooling air flow=476 cfmtton Cooling at 70%SHR=2.3 ton Cooling at 400 cfm/ton=2.4 ton Overall U-Value=0.317 Btuh/ftz--°F WARNING:window to floor area ratio-9.9%-less than 10%. vvr-#v l'7tS0ft RW-,%its Residential"'5.0.86 RSR29784 2003•FetQ812:35:13 Cmocuments and SettinwoustomeAmy DocumentslWrightaoltlThe Oasis,1st Floor.rsr Page 1 RIGHT-J LOAD AND EQUIPMENT SUMMARY 1st Energy Design Systems 1065 Oak Vale Rd,Jackwkiile,FI 32259 Phone:904287-5339 Fax:904.287.1258 Email:enerpydesignCattbi.com Project • For: Oasis Residence 1608 Coquina Place,Atlantic Beach, FI Notes: Design Information Weather: Jacksonville, Int'I Airport, FL,US Winter Design Conditions Summer Design Conditions Outside db 32 OF Outside db 93 OF Inside db 72 OF Inside db 72 OF Design TD 40 OF Design TD 21 OF Daily.range M Relative humidity 50 % Moisture difference 56 grub Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 28834 Btuh Structure 19997 Btuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 OF Design heat load 28834 Btuh Use mfg. data n Rate/swing multiplier 0.98 Infiltration Total sens.equip,load 19597 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Internal gains 920 Btuh Ventilation 0 Btuh Heating Cooling Infiltration 3600 Stuh Area(tt2) 1671 1671 Total latent equip.load 4520 Btuh Volume(ft3) 15039 15039 Air changeiftur 0.66 0.37 Total equipment load 24118 Stuh Equiv.AVF(cfm) 165 94 Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a Na n/a n/a Efficiency Na Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooing 0 Btuh Hea, temp rise 0 OF Total cooling 0 Btuh Actual'heating fan 0 cfm Actual cooling fan 0 cfm Heating air flow factor 0.000 cfm/Btuh Cooling air flow factor 0.000 cfm/Btuh Space thermostat n/a Load sensible heat ratio 0 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. G� Wr140 YtSo, RW-Suite Residential-5.0.66 RSR29784 2003-Feb2812:35:13 C:1Documents and SettingsNcustomerft DocumentslWriahtsoR\The Oasis,1st Floor.rsr Page 1 RIGHT-J BUILDING ANALYSIS REPORT 2nd Energy Design Systems 1065 Oak Vale Rd,Jeckeonvllle,FI 32259 Phone:904-287-5339 Fax:904-287-1258 Email:energydesignQattbi.com -Project • • • For: Oasis Residence 1608 Coquina Place,Atlantic Beach,FI Design Information Htg Cig Infiltration Outside db(°F) 32 93 Method Simplified Inside db(°F) 72 72 Construction quality Average Design TD(°F) 40 21 Fireplaces 0 Daily range - M Inside humidity 50 Moisture difference(grfib) - 56 Heating Component Btuh/fF Btuh %of load Walls 3.6 4024 16.5 I�w.uon Windows 29.0 7569 31.0 Doors 18.4 743 3.0 Ceilings 1.3 2367 9.7 wlrmlows Floors 5.0 645 2.6 Infiltration 26,1 7874 32.3 Floors Ducts 1161 4.8 Total 2,084[__ 100.0 • • Component Btuh/fF Btuh %of load Wallis 1"Mm ask" Walls 2.2 2475 11.5 „ Windows 34.6 9094 42.3 Doors 11.3 457 2.1 Ceilings 1.5 2663 12.4 •� Floors 0.6 81 OA Infiltration 7.8 2362 11.0 w oew Ducts 1953 9.1 CO&W Internal gains 2400 11.2 Doors Total 21485 100.0 Cooling at 82%SHR=2.2 ton Cooling air flow=476 cfm/ton Cooling at 70%SHR=2.5 ton Cooling at 400 cfm/ton=2.6 ton Overall U-Value a 0.118 Btuh/fF--°F Data entries checked. wng1-1tSC3ft Right-Suite Residerdial"-5.0,66 RSR29784 2003-Feb-2812:35:13 C:1Documents and SeWnge%customeriMy Docume to WrightsoMThe oasis,tat Floor.mr Page 2 s ��H� LOAD AND EQUIPMENT SUMMARY Energy Design Sy'swme 1065 Oak Vale Rd.Jacksonville,Fl 32259 Phone:904-2875339 Fax:904287.1258 Email:enerpydesignCattbi.00m Project • . • For: Oasis Residence 1608 Coquina Place,Atlantic Beach, FI Notes: Design Inf• s Weather: Jacksonville, Intl Airport,FL ,US Winter Design Conditions Summer Design Conditions Outside db 32 OF Outside db 93 OF Inside db 72 OF Inside db 72 OF Design TD 40 °F Design TD 21 OF Daily.range M Relative humidity 50 % Moisture difference 56 grub Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 24384 Btuh Structure 21485 Btuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 OF Design heat load 24384 Btuh Use mfg.data n Rate/swing multiplier 0.98 Infiltration Total sens.equip.load 21055 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Internal gains 920 Btuh Ventilation 0 Btuh Heating Cooling Infiltration 3916 Btuh Area(ft2) 1793 1793 Total latent equip.load 4836 Stuh Volume(ft') 14344 14344 Air changes/hour 0.75 0.43 Total equipment load 25891 Btuh Equiv.AVF(cfm) 179 102 Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade Na Trade n/a n/a n/a Efficiency n1a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating outpurt 0 Btuh Latent cooling 0 Btuh Heating temp rise 0 OF Total cooling 0 Btuh Actual heating fan 0 cfm Actual cooling fan 0 cfm Heating air flow factor 0.000 cfm/Btuh Cooling air flow factor 0.000 cfm/Btuh Space thermostat n/a Load sensible heat ratio 0 % Printout certified by ACCA to meet all requirements of Manual J 7th Ed. 0&V V"Q"t5AC>ft RightSuite Residential^u 5.0.66 RSR29784 2003-Feb-28 12:35:13 CADocuments and SethngstustomerlMy Documents%Wdghtsofffhe Oasis,1st Floor.mr. Pape 2 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Sa Date: 3 9 C) � Address /w/6 11 — Heated Heated Square Footage @ $ per sq ft= $ Garage/ Shed @$ per sq ft= $ Carport/Porch @$ per sq ft = $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ t� C aov $ Total Vd luation 1st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: s - 2- _ + %2 Filing Fee $ FLOOD ZONE: (a) Fireplaces @ $35.00 $ —0 — IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ b G' SEWER IMPACT FEE $ C> WATER METER/TAP $ CAPITAL IMPROVEMENT$ G SEWER TAP $ C ( ) RADON HRS .0050 $ G SECTION H PAVING ( ) $ CROSS CONNECTION $ 3 ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1113/03 /WATER IMPACT FEE WORK SHEET ADDRESS.- DRAINAGE FIXTURE UNIT �`` FIXTURE TYPE VALUE AS LOAD FIXTURES U ITS �Y{>rfac Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 Bathroom group.consisting.of water closet, lavatory., bidet, and bathtub or shower 6 / J Bathtub (With or without overhead shower or whirlpool attachments) 2 Bidet 2 G Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 A 2T Drinking fountain fc=E 1/2 It Vt 2— Floor drains 2 , Kitchen sink, domestic 2 ` Kitchen sink, domestic with food waste grinder and/or / dishwasher 2 / °3 Laundry tray (1 or 2 compartments) 2 Lavatory 1 Shower compartment, domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS =3d5 ) l . MULTIPLIED x 20 TOTAL$ ,�.� Q� CITY OFATLANTIC BEACH ' 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 tf1 TELEPHONE:(904)247-5800 FAX:(904)247-5805 S7 SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # 0 3 - a S("4('r Applicant: C c a l,5O n Co 4rac. �o r-s — Address: { Project i !I tr Your application is approved ❑ 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 } n'J I' J� 19 Signed -,.- .._ Date r Contractor Notified Date k� EC`' E e f LAJ11. t Na ' r � tJ r �t d 1 t � l Ui119" 1 ' City of Atlantic Beach 800 Seminole Road Atlantic Beach,Florid 33= 445 - l Phone: (904)247-5800 FAX (904)247-5805 http://www/ei.atlantic-beach.il.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE JOB ADDRESS P(eL C i. APPLICANTr L c ADDRESS I(� Iv I l � C �'�v PHONE: LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER 3 ZONING DISTRICT CONTRACTOR CGCL L50t'•N Cc r�� STATE LICENSE NUMBER Cle C r>-17-1 ADDRESS 52-"-1 N v r -�-K I + } r C{' PHONE Z q 9 - 3-LIQ CITY i4XBea t STATE rte- ZIP 2 `I�] - / 171 I DESCRIBE PROPOSED USE AND WORK TO BE DONE L.�1(YIZ� i Co t'IUCi"� C� -Pn_"a s.0 AKrr <<<„`T PRESENT USE OF LAND OR BUILDING(S) Jf Z,� VALUATION OF PROPOSED CONSTRUCTION 2ss `7'p . Is this an addition? n 0 If yes, what are the dimensions of the added space: r feet by feet Will the added area be heated and cooled? New electrical or increase in service? y S New plumbing fixtures? 5 New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? Y1© If yes,please submit with this application. WILL THIS PR( LTION, SITE GRADE OR ANY USE OF FILL MATERIAL? [j NO. Applic ��"�r�t/� erial will be used on this project. YES. See Ste lent is required prior to issuance of a Building Permit. PROCEDURE: mits, please follow all steps and provide all information as at � STEP 1. Verify zo (v ;E7S struction. If you are unsure of this information,please contact the Planning rectly verify zoning designation, please have Property Appraiser's Real Esta STEP 2. Contact t determine if a pre-construction or post-construction topographical survey of ation must be provided with this application.) The Department of Public W 32233 Telephone: (904)247-5834 6/18/02 4 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 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 t existing structures and uses. I 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. S. 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. a SIGNATURE OF OWNER DATE 3-q— b3 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND r 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 TIIAT �PLAND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. E SIGNATURE OF CON TRACTO DATE 1 '%'�_�_ ADDRESS AND CO CT INF ATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) lUKn 4 NAME 1' Gl' �)• Cl>&ISM W 1.1'h AS Ott *C a4A oes I I v1c MAILING ADDRESS 5a%4 ',1,r54 5�• -Tri1•&06&, 3t 3aa5l) PHONE VA"Zgq- �9ErJO FAX gD%4•ZN9` qJa E-MAILfqJq SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF Mnr�1n . 2003 STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE • �Cl e �LLI,cJ AS TO OWNER: [✓Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: [Personally known 0-01&SDtI ❑ Produced identification 5a4 NomhC f-&- 5kreek Type of identification produced Sot c,�csonv��\e acan,� 3--&a5D "' urds MOCMW ,r Mr commis"cc,-oele 6/18/02 Jul 26 02 01 : 30p rt�h ,uJ:vcJ �11.A MAP SHOWING BOUNDARY SURVEY OF LOT 3, BLOCK 4, CLEAN CRCVE UNIT NO. 1. AS RECORDED IN PLAT BOOK 15, PACE $2, OF THE CURRENT P:JSLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: U,.CH ALL SUITI-I (:O0NTRY'idfOF IiCIAF LCANS, INC — tyrfr >-- STEWART TITLE GI,ARANTY COMPA14Y RICHARD T MORFHEAD, P.A. LOT ' BLOCK 50.00' (PLAT) r(:w,o :/2. 14CX: PcC N 00'02.17" E 50.00' (MEASURED) aCD C•° i wED :.UVCFCIC AI •. �_L J nl'� Cn."e.Fr�f n1 r+l U1r.wTEI V•i(n• _ ONE k IV'O STORY i LOT 2 f.�ASC;tJ:2Y , FI,'!1:IJ'_ BLOCK 4 �0: 1E01 11 16 8 nN0 1f C 0,'fPIAONNCRw 2.6• I C.2' IU 6' I iAJ � Td !al -_ 01 H)3 w La a V) n O q •c7 O ( 1 i � � CJ L07 n c•i 1 r 6LCC:K 4 _ - '— 13 t' IAj to Ld L(YS (n i J o .._.�.0 5• W O S 4v IVIAII N CU'7Y5N" E <').E7 (vEAA1RE0) EOuuD %!" lai%N I'PC :0'J.vp I' IRCNJ PWC No IDEM1'1�rtiAilvl� C 1 C l NO IDENTVICAT-ON CORNER OF wTCNS PIPE C; ao a 'T7" �� t�.o�' ().;c,q,ul�ca) JOtJJ:O 3 ,ICN PIS[ NO IOENTIEICATION 50.00' (PLA-) coQUINA PLACE (40.(,'' RICH- OF WAY) LEGEND: ------ ----- R -- L LENGTH NO1ES. ��✓J kEVIS1(DIN S I. BEARINGS ARE EASED O`' 111E '�5't'I')'O - 11 9000q.i '�, _ -- cJ�ARINt, F __.-__-_-.________ ALONG 1 _ SOUTHERLY BOUNDARY UNE OF SI,D_=:;i PARCE.. PATE DESCRIPTION 2. BY GRAPHIC PLOTTI.AG UNL'r CAPu1�iAr) LANDS LIE wrmiJ FIOFIO Z^�:C �' __. )5 SHOWN ON 111E NAn OVAL FLOM IPJ SUR ANICE 1a AP OA TCD APRIL 17. 1980, CONI:.VI'ATY NUvO_R 12J075, F'AN LI. 3. THIS SURVEY REFLECTS ALL EA'_DAEKT`S & 51cI:TS Cr WAY AS P..R RECJRl)rin PIAT &/ort TITLE COL1t.�(TVENT T: SUPPLIED. UNLESS OD4[IewI5E 'SIA'ED, sO 0111LR TITLE HA, F7CCN PCPfCRU-D 6Y RIE UNDERSIGNCU NOT VAI WITHOUT III[ CRICI,'AL SIGNAIURE ANO CUGO( X.) SEAL 01 IH[ 'tRTWf JNG 5URVT-YOR �._ `— vtiroiva ur:lu rAA OU42480101 COALSW?COAIBORN 0= aomwo_cumw FAMMMFOP MW ]took xoaal Papa E iu 4+�aM.rM.d ery.l�•etge ,- M. Pill �'N!�Kral li.rber"� 1 I.M • w�s.soHiroe�nos,racs�4wrn� �—�•-�-�-~�+a.�wtt�►rr7r�saea�+!��-- .; p NOTICE OF CCs# MIMI RENT 1 Gb Tart Folio tic ti 4-1 no 91 MGM ,'1'V t dWOP d bwW Om webs ow hopi -I=MAA M Aids 10 Mum nd btoWWO u t In in 1 am 06A* TO of go foo* tM 110 1+r4 L Arvrleiod M drla Norm o bW■MwQmI�F. :? Leaf daaeelpdon prgwry prrdude Addreya,Uabl.) 1 L R ovioe't test in*%of ti,.>m ns - Foe 700 tlotdrr or oe+or Pw MIX. MOM &AZMUHLee lea '�i�`s�_ y `� IMn+ary• paw Foy, Aad 'AdotMb; ANtoom tl�a 0*of ftli a *holo DID&I R or owu fo."r►la W"be"r"d to►t* i rro3aQa 71L7 dpo f=1M*21111661L tia a oopY el�a t1eUo�'a ltaena�p�tdai h 8+dan 79h,1�i�9hhsliN. �'"`4��•..»••.-� � 4 1 dad a Mi4w of Co W*ftrwwt¢f*u0ift dW 4 i Ym Gan Ary deer of "I sr-d"dada w rpo�loct� j syM�..to.� rr.ru hr.► •x�rNx rr.,+rsw. i f�riltsM W++�Bf�+��Mwftlerir aC O.N RiMt��bQ' "q°rse K+�w,ei:a at�ap�r�l / elm •wpb MRl 1.gapt�RYt } 10 'd 6 'ON XVJ wd 96: 10 Eni Eo- 1-ah CITY OFATLANTIC BEACH 800 SEMINOLE ROAD r r�' ATLANTIC BEACH,FLORIDA 32233-5445 t1 TELEPHONE:(904)247-5800 FAX:(904)247-5805 1 .r SUNCOM:852-5800 http://ci.atlantic-beachJl.us #411/1 November 08, 2002 � . Peter Coalson on behalf of Michael Smith 524 First Street,North Jacksonville Beach, Florida 32250 Re: Order of Community Development Board approving Variance Dear Mr. Coalson: Enclosed herewith is an original signed order and a copy of the order from the Community Development Board approving Michael Smith's variance request. Please advise Mr. Smith to maintain a copy ofthis order for his records, and feel free to call me at 247-5817 if you have any questions. You may also wish to notify Mr. Smith that he may dispose of the orange zoning notice sign placed on the property. Sincerely, Sonya B. Soeir, AICP Community Development Director a-: u ; it City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-544 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us ORDER of the Community Development Board for the City of Atlantic Beach, Florida APPLICANT: Peter Coalson on behalf of Michael Smith 524 First Street,North Jacksonville Beach, Florida 32250 FILE NUMBER: ZVAR-2002-19 DATE OF HEARING: October 15, 2002 ORDER GRANTING VARIANCE The above referenced Applicant requested a Variance from Section 24-107 (e) (2) and (3) to reduce a required 20-foot rear yard to 4 feet and to reduce a required side yard from 7.5 feet to 2 feet, 9 inches to allow improvements to be made to an existing non-conforming structure on property located at 1610 Coquina Place. On October 15, 2002, said request was considered at public hearing by the Community Development Board for the City of Atlantic Beach. Having considered the application and supporting documents and statements made by the Applicant, the Community Development Board found that the request complies with Section 24-49 and Section 24-64 the City of Atlantic Beach Zoning and Subdivision Regulations, and granted the request, finding as follows: (1) Special conditions and circumstances exist which are peculiar to the Land, Structure or Building involved and which are not applicable to other Lands, Structures or Buildings in the same Zoning District; Page two Order ZVAR-2002-19 October 16,2002 (2) The special conditions and circumstances do not result from the actions of the Applicant; (3) The Variance granted is the minimum Variance that will make possible the reasonable Use of the Land, Building or Structure; (4) The granting of the Variance will be in harmony with the general intent and purpose of this Chapter and the Variance will not be injurious to the area involved or detrimental to the public welfare. NOW THEREFORE, based on said findings, the Community Development Board hereby GRANTS a Variance from Section 24-107 (e) (2) and (3) to reduce a required 20-foot rear yard to 4 feet and to reduce a required side yard from 7.5 feet to 2 feet, 9 inches to allow improvements to be made to an existing non-conforming structure on property located at 1610 Coquina Place. DATED THIS 'Z, �„� DAY OF � �.� , 2002. Don Wolfson, Chairman Community Development Board The undersigned certifies that the above Order of the Community Development Board is a true and correct rendition of the Order adopted by said Board as the same appears in the record of the Comm ity Development Board minutes. Community D4velopment Director BP255UO2 CITY OF ATLANTIC BEACH 3/10/03 Application Tracking Action Log Maintenance 10: 56:35 Application number . . . . 03 00025646 Address . . . . . . . . . . 1610 COQUINA PL Application type . . . SINGLE FAMILY RESIDENCE Revision number . . . . . . . Path/step/seq . . . . . . . . A 01 00 Agency . . . . . . . . . . . PLANNING Type information, press Enter. Action date . . . . . . . . 31003 Action by (F4) . . . . SD Action code (F4) . . . . . APN APPROVED AS NOTED Time spent (hours) . . . . . 00 Correction report item . . N Y=Yes,N=No 1=Add new comment 2=Change comment 4=Delete comment Opt Seq Comments Print _ 1 . 00 Applicant is advised that, in accordance with Variance Y approved by the Community Development Board 10-15-02, the deck and entry feature must be constructed with a solid ro�* More. . . F3=Exit F4=Prompt F9 Add std comment F12=Cancel F21=User defaults MAP SHOWING BOUNDARY SURVEY OF LUT 3, BLOCK 4, OCEAN GROVE UNII NO. 1, AS RECORDW IN u1 AT annt< tc% PA(-,r R—) OF INE CURRENT P:JSLIC RCCORD5 OF DUVAL CC CERTIFIED TO: N,CHACL SMITH COUNTRY'AIDE HOME LCANS, INC. v\ STEWART TITLE GI;ARAr!(Y COMPAt S rt RICHARD T. MOREHEAD, P.A. A LOT " BLOCK � x ; :IO.OG' (PIAT) _ rclu.o :/2- I i,-w pr'E I� N 00'02'17" E 50.00' (MEASURED) RCD CAD 0:51-OVED %1V' Crr iE f X X X Y-- U, CUNCRE1C Al CUHn:N OFJC 1N:U 5107Y LOT 2 MASONRY & FRAVE BLOCK 4 POSTED ; 1608 AND IEIO A,R AtisMk sch CONO,r,tX+C 4 r PAD }Zoni�q aWMnsnt 106 .� vwtlt�*sanpps�+wt�l ("bdivition *ad s3Mr 1004�1kland LLJ CC Moss trot oonstttWe (tn `(r-o d' a o' IRttM yow yi��.O� w ftvksb* 2100 S I:r{Y ^ftft ld.j/✓ of s w, � sewSIt _ a�no�1 •t LLJ ALO15 GN0�3S-� T Cf61S00 VMI 00 LJ I V) lt! < I I —J C LLJ c a tlro1S aNYM�:O� � � � 3�OW:y of YlHMp I v I 0.6 k 0012,00' w �.O.i 50.00 (Pi.AI) N C072'58' r ' X9.69' (�EASuA(D) rovmo 1/2' IRON HPE i0UV0 1• IAON PWC NO roENnrICAn°" S 00'02'17` W 50.06' (MEASURED) I.o IDENtvlcAr.01+ Co+�xror•�qc*i Kqa. NO ICEWiNCALUN 50.00• (NLA"; COQUINA PLACE (40 0' RICH- OF MAY) NOIC%' ACC.PtED tlx: LEGEND: R . RADri;S —X--- •• f CNCE --- - L • I.ENGTH a CANCREIC NUIES: ASSUInCU IirARING OF --R 90'0000' 'A' A REVISIONS -------_-__-- Lavc rHE M�.L+CJ.7 EXISTING FENCE PROPERTY -- - — -- -- - — - - — - ---- -- - -- - - LINE -- - — - -- — OWNER TO REMOVE EXISTING 1 14—DECK AND STAIR I CONCRETE _ I DRDRIVEWAYi i POOL SIZE: 21'X 25'-9" BELOW I I POOL AREA: 373 Sq. Ft ' I I 9 ft. POOL PERIMETER: 72 Ft • w DEEP CARETAKER -- - —- -— — WITH LEAF 1 ft. TRAP , I 5 ft.4 in. � I • 12 ft.8 in. SWIMOUT �A 5 ft. u�� I EXISTING V-011WALK-IN ' c SECOND STORY DEEP I �A DECK STEPS c l i - i i—COVERED DECK `r 13 ft. p D Wo73 zf ^ _ m 'D C N C: - 'O411 .N..i p Q W n o < N� . — =In � �� n _� Smith Family S _. 0 '.Oma �y N' m� 1608 COQUINA PLACE � � o CL r c; o f6 ' 'M CL -AQUA RITE o o ■ " n " -SOUTH BEACH a B g o UGHTPUMP � $ a 03 a siw n c4 � J§ PIE � a = PAD NOTE: Plan is contingent upon receipt of certified foundation survey - and is subject to all neigborhood / COALSON CONTRACTORS, INC. OCEANSIDE BANK 19201 524 NORTH FIRST STREET JACKSONVILLE BEACH,FL JACKSONVILLE BEACH,FL 32250 63-1427/631 (904)249-3470 3/10/2003 PAY T 0 DER OFE Atlantic Bch.Bldg Dept. Federal Reserve - 'ICkSOnVi13s $**1,785.00 t5 - One Thousand Seven Hundred it. an /100***i .; ******* ****** ******************************+ , p� DOLLARS Atlantic Bch.Bldg.Dwt. + ` 0 3^ZLS'4 q(- j30- & .. r7sk S71,0 r"i7.#,0 MEMO Oasis Building Permit �y r.:_ :>.; f S:wt T :.. ;t - _ - - _ Aa Il'O L 9 20 111' r:0 6 3 111, 2 ?61: 0 20 500 9 511' .y'0000 L 78 500,,' i-co Af OAAt,,� 3 j,23 I BANK OF AMERICA Page I of 1 H1 RETURN ITEMS FL9-600-01-27 Bank 00075 P. 0. BOX 45144 Center 0002511 JACKSONVILLE FL 32232-5144 Divider: 1 1953 Code 5 Deposit Account: 210-120-5719 Charge Account : 210-120-5719 Store/Reference: 0000000000 CITY OF ATLANTIC BEACH DEPOSITORY ACCOUNT 800 SEMINOLE RD ATLANTIC BEACH FL 32233-5444 Date of Notice: 03-17-2003 Dear Valued Customer: The item(s) below, which were deposited to your account, have been returned unpaid. Therefore, we have charged them to your account. Fees for analyzed accounts are itemized on the account analysis statement. If you have any questions or need additional information, please contact one of our Customer Service representatives at 1-888-287-4637. Thank you for choosing Bank of America. Number of Returned Items: 1 Amount of Returned Item(s) : 1,785.00 SEQUENCE/ ABA NUMBER/ MAKER NAME/ RETURN REASON/ AMOUNT DEP DATE DEP AMOUNT CHECK DATE I .D. 0010008078 0631-1427 INSUFFICIENT FUNDS 1,785.00 03122003 51918.08 S 79. a74 2Ocloo 00 odn City of Atlantic Beach Building and Zoning APPLICATION FOR ZONING VARIANCE 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 Date /O�( D o� File No. 1. Applicant's Name eba- u-11 1:6U__ 1kd4Dy_6 Z 2. Applicant's Address 5,?4 /5,t Ytek Ajoa� aT asa, at, L /°J•� u, 322SO 3. Property Location /(0 /0 i WULA* 10_ PW4_ 44,�i, la�ekIt-we 3 . Rm-aL.4 4. Property Appraiser's Real Estate Number 5. Current Zoning Classification /l.s - A 6. Comprehensive Plan Future Land Use designation 7. Provision from which Variance is requested /tea✓ ,r. +-✓d- S* -- fit —_• 9. Size of Parcel 10.Utility Provider 166 8. Statement of facts related to requested Variance, which demonstrates compliance with Section 24-64, Zoning and Subdivision and Land Development Regulations(attached to this application). Attach as Exhibit A. 11. Provide all of the following information: b. Proof of ownership (deed or certificate by lawyer or abstract company or title company that verifies record owner as above). If the applicant is not the owner,a letter of authorization from the owner(s)for applicant to represent the owner for all purposes related to this application must be provided. c. Survey and legal description of property for which Variance is sought. (Attach as Exhibit B.) d. Required number of copies: Four (4) , except where original plans, photographs or documents larger than 11x17 inches are submitted. Please provide eight (8)copies of such documents. e. Application Fee($75.00) I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT: Signature of owner(s) or authorized person if owner's authorization form is attached: Printed or typed name(s): Signature(s): ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION Name: Pati, UgAsdu. (!on.tsc+_ C&4,44z s :roe- Mailing Address: 5o?4' 15.6 SFrGe�_ lloy4�4, T";SgkyV U.c_ /JtAt l y -FCr 37;L60 Phone: M04)A41-3470 FAX: E-mail:C0Wja►'u-(a ea.�kk_•t•�e* City of Atlantic Bach REPRINT CUSTAER RECEIPT Oviff-: XM ITH Type: CC Drawer: I Ste: IWO21r, 01 Receipt. no: 405 kv.Tivt ion at'; Alkount 2Wi 11KW- 4 BP BUILDIX PERMITS 1 $75.00 UOu--r detail (.1 CHECKS 18707 V5.00 Total tendered $7400 TrAal payikent $75.00 Trams date: WK102 Tixe: 15'08:16 4 City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-544 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atiantic-beach.fl.us ORDER of the Community Development Board for the City of Atlantic Beach, Florida APPLICANT: Peter Coalson on behalf of Michael Smith 524 First Street, North Jacksonville Beach, Florida 32250 FILE NUMBER: ZVAR-2002-19 DATE OF HEARING: October 15, 2002 ORDER GRANTING VARIANCE The above referenced Applicant requested a Variance from Section 24-107 (e) (2) and (3) to reduce a required 20-foot rear yard to 4 feet and to reduce a required side yard from 7.5 feet to 2 feet, 9 inches to allow improvements to be made to an existing non-conforming structure on property located at 1610 Coquina Place. On October 15, 2002, said request was considered at public hearing by the Community Development Board for the City of Atlantic Beach. Having considered the application and supporting documents and statements made by the Applicant, the Community Development Board found that the request complies with Section 24-49 and Section 24-64 the City of Atlantic Beach Zoning and Subdivision Regulations, and granted the request, finding as follows: (1) Special conditions and circumstances exist which are peculiar to the Land, Structure or Building involved and which are not applicable to other Lands, Structures or Buildings in the same Zoning District; Pagetwo Order ZVAR-2002-19 October 16,2002 (2) The special conditions and circumstances do not result from the actions of the Applicant; (3) The Variance granted is the minimum Variance that will make possible the reasonable Use of the Land, Building or Structure; (4) The granting of the Variance will be in harmony with the general intent and purpose of this Chapter and the Variance will not be injurious to the area involved or detrimental to the public welfare. NOW THEREFORE, based on said findings, the Community Development Board hereby GRANTS a Variance from Section 24-107 (e) (2) and(3) to reduce a required 20-foot rear yard to 4 feet and to reduce a required side yard from 7.5 feet to 2 feet, 9 inches to allow improvements to be made to an existing non-conforming structure on property located at 1610 Coquina Place. DATED THIS 2� DAY OF 52002. Don Wolfson, Chairman Community Development Board The undersigned certifies that the above Order of the Community Development Board is a true and correct rendition of the Order adopted by said Board as the same appears in the record of the Commurlity Development Board minutes. Community velopment Director CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025270 Date 12/04/02 Property Address . . . . , . 1610 COQUINA PL Tenant nbr, name . . . . . . REM. INT.DRYWALL,WALLS, POR Application description . . . DEMOLITION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SMITH, MICHAEL PETER COALSON 524 1ST STREET NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-3470 ---------------------------------------------------------------------------- Permit . . . . . . DEMOLITION PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE INTERIOR DRYWALL,NON-BEARING WALLS, AND REAR PORCH Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100. 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. -FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. " C e -'( BUILDING OFFICIAL `a� City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ei.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS N AND ALTERATIONS, MOVING OR DEMOLITION) DATE ��- ()Z U Z JOB ADDRESS— u in APPLICArRIPTION: Cip ADDRESst S t ,PHONE: �_A--4"= LEGAL DBLOCK NUMBER LOT NUMBER ZONING DISTRICT CONTRASTATE LICENSE NUMBER ADDRESS PHONE CITY STATE ZIP FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE �{ (Zmt• � \,�I �* � �Qyl L PRESENT USE OF LAND OR BUILDINGS) VALUATION OF PROPOSED CONSTRUCTION Is this an addition? If yes, what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? 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. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? ❑NO. Applicant certifies that no change in site grade 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. 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. 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 6/18/02 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 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 ADDRESS AND CONTACT 0 FORMATIO �OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS PHONE FAX E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNAT AS TO OWNER: ❑ Personally known ❑ Produced identificati n Type of identificatio roduced AS TO CONTRACTOR: ❑ Personally known Produced identification , Type of identification produc '7*0 7ldl b; 7 /nn"tte!.Hawkinberry r- MYCOMMISSION# DD124960 EXPIRES 6/18/02 '�• July 15, 2006 �'��,, BONDED THRU TROY FAIN INSURANCE,INC NEW IMPERVIOUS SURFACE REGULATIONS On January 01, 2002, the City of Atlantic Beach enacted new regulations limiting the amount of Impervious Surface that can be developed on property. Within all residential Zoning Districts, the maximum amount of Impervious Surface area allowed is fifty percent (50%). Within all commercial and industrial Zoning Districts, the maximum amount of Impervious Surface area allowed is seventy percent (70%). The Zoning regulations define Impervious Surface as follows: Impervious Surface shall mean those surfaces that prevent the entry of water into the soil. Common Impervious Surfaces include, but are not limited to, rooftops, sidewalks, patio areas, driveways, parking Lots, and other surfaces made of concrete, asphalt, brick, plastic, or any surfacing material with a base or lining of an impervious material. Wood decking elevated two or more inches above grade shall not be considered impervious provided that the ground surface beneath the decking is not impervious. Pervious areas beneath roof or balcony overhangs that are subject to inundation by stormwater and which allow the percolation of that stormwater shall not be considered impervious areas. Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rain water, however, decking around a pool may be considered impervious depending upon materials used. Information verifying Impervious Surface must be provided prior to issuance of Building Permits whenever new construction, including building renovations or additions, new driveways, decks or porches involves any increase in Impervious Surface area. OWNER'S AUTHORIZATION FOR AGENT is hereby authorized to act on behalf of (( ,f �. Sm\`�{ the owner(s) of those lands described within the attached application, and as described in the attached deed or other such proof of ownership as may be required, in applying to the City of Atlantic Beach, Florida, for an application related to a Development Permit or other action pursuant to a: ❑� Zoning Variance ❑ Appeal ❑ Use-by-Exception Fence or Pool Permit ❑ Rezoning ❑ Sign Permit ❑ Plat or Replat Other —pG��.��d�� BY: Si uFe of O ner M I C,j L s Print Name Signature of Owner Print Name Telephone Number State of Florida County of Duval Signed and sworn before me on this day of,2001. By SHARON LEE SAUNDERS NOTARY PUBLIC-STATE OF FLORIDA COMMISSION*D0034761 EXPIRES!/18/2003 Identification verified: BONDED THRU 1-888-NOTARYI Oath sworn: Yes No otary Signature My Commission expires: CITY JUL Go UG w I- MAP SHOWING BOUNDARY SURVEY OF LOT 3, BLOCK 4, OCEAN GROVE UNIT N0. 1. AS RECORDED IN PLAT BOOK 15, PAGE 82, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: MICHAEL SMITH COUNTRYWIDE HOME LOANS, INC. — STEWART TITLE GUARANTY COMPANY RICHARD T. MOREHEAD. P.A. LOT BLOCK 50.00' (PLAT) FDUNO :/2• IRON PIPE II N 00'02'17" E 50.00' (MEASURED) RED CAP D:STROYED 5.19'CFFSEi CONCRETE AT CORNER UT4;ry EnSEL+ENr — TOL%0 1/2' IRON PoE NO IGEN T.FIC A TION °3 _ _ 2.9' f ONE & TWO STORY L07 2 MASONRY & FRAME ;, BLOCK 4 POSTED n 1608 AND 1610 AIR X.. COa'DIA ONER P 2.8• C 2 Q Io.s' Ld Q2ND 4 STORY J c OVERHANG a i O o N I p o Cc) 0 o p LOT 4 d Cj BLOCK 4 t3.1 2a.r x W 3 77�0 I M 2TCRYCH 00O W.DpI DICX LOT 3 j93D • 1 00 W ^ p BLOCK 4 I Z Lij p � I F— o Z ^ ! Cn N - 05' N 00'12'00"W 0.6' I •••�• �.0.4' 50.00' (PLAT) N CW22'55' E 49.69' (11EASURE10) FOUND t/2 IRON PIPE A FOUND 1'IRON PIPE CORNER OF INTERSCCTION C50 NO IDENTIFICATION S 00'02'17" W .06' (MEASURED) NO IDENTIFICATON FOUNO 3 IRON PIPE NO IDENTIFICATION 50,00' (PLAT) COQUINA PLACE (40.0• RICH- OF WAY) NOTES: ACC7PTED BY: LEGEND: R - RADIUS —X— R FENCE L = LENGTH Q CONCRETE NOTES: REVISIONS 1. BEARINGS ARE BASED ON THE _ASSUMED__ BEARING OF -_N_90'OC'00_1A___ ALONG THE SOUTHERLY BOUNDARY LINE OF SUBJ_CT PARCEL. DATE DESCRIPTION 2. BY GRAPHIC PLOTTINIG ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD ZONE X AS SHOWN ON THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17, 19$9, COMMUNITY NUMBER 120075. PANEL 3. THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PI.AT &/OR TITLE COLIw TIENT I: SUPPLIED. UNLESS OTHERWISE STA-ED. NO OTHER TITLE VERIFICATION HAS BEEN PERFORV:O BY THE UNDERSIGNED 4. THIS SURVEY NOT VALID WTHOUT THE ORIGINAL SIGNATURE AND EMBOSSED SEAL OF THE CERTIFYING SURVEYOR. ,nQ . ,nlZi I FWATC nc vwi n cI laves- 07-74-09 DATE OF ISSUE: 07-25-02 SCALE: i" = 20' Sam AT ttftrtttt of (�rru ztr (nitg of Atlantic +each — 3loriba Department of Nuilbing 3upertion This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the carious ordinances regulating building construction or use For the following. Use Classification single family attached Bldg. Permit No. 17212 Group w.frameType Construction sfa Fire District Atlantic Beach Owner of Building Fl mer B. Mattox Address 1608 Coquinn Place B ' g Address 10 o u e Locality Atlantic Beach, F . 32233 -L.� "'j By: DON C. FORD G Building Official Date: 3 _ / POST IN A CONSPICUOUS PLACE CITY OF >��ustic �eacl - T�a�uda 800 SEMINOLE ROAD ATLA.vTIC BEACH, FLORIDA 32233-31.45 TELEPHONE(904) 247-5800 F.4.\ (904) 247-5805 NOTICE TO: Water Department FROM: Building Department DA T E: k Please be advised that the f?nal bui1ding ins pect_cn has beer, completed on each of the following addresses and car-structicm ;pater is no longer seeded: Permit Number address Sincerely, Cc- Cr, Building Department 5 -2 L)A-717 - — -------------- T TACN—ONVILLE ELECTIRTi-- AUTHORITY WEST D U V A L S ,CNV '_! C L L W "I G Si'i A L I T 1 L L A 1 7 A C 7`0;{'.,' 1-7�2 ----------------------------------- -------------------- L ---------------------------------- ------------------------------------------------- --------------------------------------------------- ----------------------------------- --------------- Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION DIVISION (=c : FILE l .a..�_.wK r i ��I - • V�/j fir/ '�•✓� I 1 vLAc- 46 i 1 7' f I Xg APPROVED {} a C I CITY OUATLANTIC ATLANTIC BEIVG `, eul201HG ois r� � OCT 2 7 T iqFCEiViD 1998 I Building and 7I - I 6 2- . 1 .. 5 P.Q.DOX 24051 ! JACKSONVILLE,FL 32241 / / r/ (904)642-",'88 FAX(904) 7 s7 71i+� XZ JR [(jj p- 00 00 B/ w !M/f"'Rd0 G W .'t. ✓�' � � ,/ JOA A 11Z,•rro �r Do li i !'11"11- Jriu w.Lj iu .uu+JIY1JH1\ I Jul\ V 1. I LJl" LOT 3, BLOCK 4, OCEAN GROVE UNIT 110.1 AS RECORDED IN PLAT BOOK 15, PAGE 82 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CO Q U/N,4 PLACE 1 ms/ . /JVwh�Ne+4rµiOR� / Tsv, d fi'/raf Aa/.ue i0) � 5�05(grhnslJ so• /A!•cdrf) �J.. / . ery a-erY °'f' 0�- wpb Cibk T•Y ' �1 No N �+L1 LOT 2 S � �'C' I � 6 LOT -0 C v4 (3.2• AA16 14 ey A' , U-6.*h ScI G.we dw fi A~Awe +/t<.+s .ofl' t Cel 1 �; I rwrnd'1t%nn R,wor(tslala)S'.itlrRncr.7�fT•+r n..e..'�.t car tor 12 B/ock s , I I Bock/0 I I NOTES: 1 I 407'// NO BUILOM RESTRICTION LINE BY PLAT,BUT THERE MAY BE g/°ek/0 RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS L--• PROPERTY BY ZONING OR RECORDED IN THE PUBLIC RECORDS I OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY. I I � THIS PROPERTY APPEARS TO LIE IN FLOOD(ZONE-X-BY I FLOOD MAPS REVISED 4/17/1969,COMMUNITY PANEL I NO.120078 00010. 1 Frrn��P/isrsc 1 1 Skray..rm I L._.----------i CERTiF1ED TO (DURDENN LAND I `V IG li 90 RIS INC. � LB 6645 PROFESTIONAC LAND SURVEYOR NO.1674 FLORIDA H. BRUCE OUROEN, SR. 1 103 SOUTH THIRD STREET OArE: MAY 15 , 1998 JACKSONVILLE BEACH, FLORIDA 32150 SCALE. 1 =20 (904) 149-7261 FAX (904) 241-1251 T;415 AIAP nF 411RVFY IS NOT VALID (JNL£SS IT IS SICNrn eun CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING BUILDING PERMIT PERMIT INFORMATION " LOCATION.INFORMATION Permit Number: 17753 Address: 1610 COQUINA PLACE Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: SINGLE FMLY(ATT) Lot(s):3 Block: 4 Section: 0 Square Feet: Subdivision: OCEAN GROVE Est. Value: Parcel Number: "Improv. Cost: OWNER INFORMATION Date Issued: 2/04/1999 Name: ELMER B. MATTOX Total Fees: 25.00 Address: 1610 COQUINA PLACE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/04/1999 Phone: (904)246-4379 Work Desc: GAS WATER HEATER/120 GAL PROPANE LPG CONTAINER------- CONTRA CTONS ONTAINERCONTRACTORS APPLICATION FEES SAWYER GAS PERMIT 25.00 I I i I i In, ectins Re aired ROUGH MECHANICAL FINAL I NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN 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. I f25.80 4 Date: 2/10/99 81 Receipt: 88326 2 TLANTIC BEAC BUILD DEPT. CASH U 88180883221880 I'JNl- orii-I W 11Vu LuulVl mI,, I Jul\ V i. I ul- LOT 3, BLOCK 4, OCEAN GROVE UNIT 110.1 AS RECORDED 1N PLAT BOOK 15, PAGE j 82 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. COQVINA PLACE 1 I M-- /w/O) ,SQ.Q✓�' oiil�e� 50' /�mrvJ Fs.v�1!/mn Ap(Ne/oJ P wvery / ovc',bk�T,K tu a 1-10 v I 1 e/ems i as I C.or 4 � �L .o• ,p e/eek 4 v nr C 04el 01. �'�• PpRO� � 3 , a T fir' dr C or e/Ock NOTES ND BUILDING RESTRICTION LINE BY PLAT,BUT THERE MAY BE 6/eek/0 RESTRICTION LINES OR EASEMENTS THAT AFFECT THIS L.—• PROPERTY BY ZONING OR RECORDED IN THE PUBLIC RECORDS I OF THIS COUNTY THAT ARE NOT SHOWN ON THIS SURVEY. I THIS PROPERTY APPEARS TO UE IN FLOOD jZONE"X"BY I FLOOD MAPS REVISED 4/17/1989,COMMUNITY PANEL I NO.120075 0001 D. , Fume/P/ice 1 I Shrag�e Ar�v I L._._._._._.—.J CERTIFIED TO: �TQ/C/A --. dfFFR/fS ADURDEN LAAO® I SUR SURVEYORS INC. LB 6645 PROFES ZONA LAND SURVEYOR NO.1674 FLORIDA H. BRUCE DURDEN, SR. 1103 SOUTH THIRD STREET DATE. MAY 15 , 1998 JACKSONVILLE BEACH, FLORIDA 31250 I =20 (904) 249-7261 FAX (904) 241-1252 SCALE HIS MAP OF SURVEY IS NOT VALID UNLESS IT IS SICNFD eNn TRANSMITTAL DCCUMENT FOR JEA DATE: l-- ZG' % l ,r The following permits have passed "rough" inspection: Permit No. Address _ 7 L !G�" cj G_zrruz�y � / 7 aL 1 � Please update your records accordingly. Tha y , BUILDING CLERK CITY CF ATLANTIC BEACH /vcb RECEIVED CITY OF ATLANTIC BEACH 2 j rad PERMIT APPLICATION REMODEL_, ADDITIONS, OR A6jtMr ltig Beach MOVING,DEMOLITIONS Building and Zoning Owner(s) : Elmer B. Mattox & Patricia S. Jeffries /(; 1,© Address: ttt6—B Coquina Place- Phone: 246-4379 Lot # 3 Block or Unit # 4 Subdivision: Ocean Grove Contractor: Mack Brothers General Contractors, Inc, State License # RG - # 0003716 Address: 5521 Barker St. Phone No: 642-5689 city Jacksonville State FLorida zip Code 32207 Describe work to be done: addition -second level over downstairs ri_dencP ,&L&-) d:9&77- f- 0 Present us-e of building: residence Valuation of Proposed Construction: //� G Proposed use: residence Is this an addition? yes If yes, what are the dimensions of the added space: 1 , 499 ft. X ft. Will the added area be heated and cooled? yes New electrical (or increase) ? yes New plumbing fixtures?yes New fireplace? no New Heat/AC? yes SUBMIT TE1REE (COIOIERCIAL) TWO (RESIDENTSAL) CaWLETE SETS OF PLANS, INCLUDING SITE PLAN, SUR , ENERGY CODE FORMS, NOTICE OF CObDTCFFI�TT, AND OWNER/CONTRACTOR IDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: 1 Datef / O Signature CONTRACTOR: Sworn to and subscribed before me thisV1 day of 19!O. NOTARY PUBL STATE OF LORIDA AT LAAGE PAMELA J.HRYNCEWICZ MY COMMISSION k CC 720920 EXPIRES:March 2,2002 p °;�` Bonded Thru Notary PublIc Undaryvdtere CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: f eo C_ OWNER OF PROPERTY: jam" TELEPHONE NO. PLUMBING CONTRACTOR �� CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER:C1,GO!541�77TELEPHONE: J HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS 3 LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS / DISPOSALS �- CLOSETS / WASHING MACHINE f FLOOR DRAINS SHOWER PANS SEWER Iz WATER REPIPE OTHER TOTAL FIXTURES: x $3 .50 + $25 .00 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ------------------------------------------------------------- INSTALLATION OF PUMING AND FIXTURES MUST BE IN ACCORDANCE WITH 2"h'E' ma5T RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLEDINTOPUBLIC WORKS FOR INSPECTION PRIOR ra cvnRING UP (9 04) PSR•3844 17429 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION Oermit Number: 17429 Address 1610 COQUTNA PLACE Permit Typ *PLUMPING ATLANTIC BEACH. F'LOB,PrA 32233 flass of Work:NER -.,, LEGAL DESCRIPTION Constr. Type:WOOD FRAME Black : 4 Lot - 3 Twp. D Proposed Use:STNGLE FML!'f A'IT Section : 0 Subd, Rngt O Dwellings * 0 Subdivision OCEAN GROVE Est . Value, 0 .00 Improv. Cost 0 .00 Total Fees : 60 , 50 Amount Fazd: 60 . 50 Date Paf& 98 erk I��o� �S LI4G IN NEW RESIDENCE x B N APPLICATION FEES _ -- 2a ` �'�E vasa � t> ":� ' 6050 dd r: s �,� AT LAN OF I DA 32233 al kat's3§- All S# R.�p „ PON AT I ON _. me KEN TL, INC ddr:.,. FT. 1 "EOx OR TSA. "25� 6h' CEVTLLE � , r_» C`FC0 417 9D '`pe< 4. rAa a NOTES: i NOTICE INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 'UILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE EARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER r' ILURE TO COMPLY WITH THE MECHANICS' LIEN LAW, CAN RESULT IN PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS," 'CORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR )F APPLICABLE PROVISIONS OF LAW. %0.5614 Date; 11111198 111 Reveipt& lot 2 CI ELKS 247 BUILDING DEP RTMENT 88188883221886 f 17578 t)EPAR W,fl:$OILbING CI"fY t)E ATLANTIC CH PERMIT I I"FORMATI ON ------ �...�� ,LOCATION INFORMATION -- ermit Neer 17578 A dre g:" 1610 COQUINA PLACE Permit Type:MECHANIC.AL ATLANTIC BEACH FLORIDA 32233 Tlassi of W +rk d SEN .- LEGAL DXSCRIPTION i onstr: T, ��-WOOD FRAME B1o�k�: 4 Lbt 3 Two: 0 re�p�a;sed �e s, I NGLZ "MLY(ATT) Rectus.: 0 Subd: Rnq: 0 Dvte111 rgs: 0 Subdivisid :OCEAN GROVE Este Val11e- 0 .00 Tmprov.. Cost: B .€ 0 Total Pees 51<.0D Date Pal 998 Work AIR .. N E _- �xi APPLI-CATTDM `EES ------- ddr,'. AT ORIDA 33. . x; 1196 r ° CCN TION NICK"' $D R SST dd �1 _.. . ACF-,$OM1 FL 32207 r I.ic: 8 Exp NOTES* NOTICE- INSPECTIONS MUSTJW,REQUESTED AT,LEAST 24 HC bRS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBF�lS.FR©M THIS WORK MUST'NOT'BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED 13P AND HAULED AWAY BV EITHERONTRACTOR'OR OWNER PAID "FAILURE. TO Mi LY ~W 'H THEM H ► i1 ►' DING,]L1 t LAW 1 IULT 1N 014 DIED AC CORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND 'SUBJECT TO REVOCATIQN I VIOLATION OF APPLICABLE PROVISIONS OF LAW. AD ANS' H E#ltlLDl Q D ARTMENT BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82298 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT L— Applicant to complete all items in sections I, II, III, and IV. I. Street Address:_�V C LOCATION — OF Intersecting Streets: Between_ !I And BUILDING Lo 1-U Sub-division II. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical �q � Contractors Contractor Print) A f 0 I Master ya elS Name of �^ Property Owne od Signature of Owner Signature of or Authorised Agent Architect or Engineer III. GENERAL IN RMATION A. Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON ❑ Electric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — specify IV. MECHANICAL EQUIPMENT TO EE INSTALLED NATURE OF WORK I►rovide complete list of componenh on beck of this form) Residential or ❑ Commercial ❑ Heat ❑ Space ❑ Recessed O Centel O Flow New Building �[ Air Conditioning: ❑ Room (3 Central Existing Building Duct System: Material Thic Ross ❑ Replacement of existing system ' ❑ Maximum capacity e.f.m. New Installation(No system previously Installed) . ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower. Capacity 9.110-M. El Other — Specify Q Fire sprinklers: Number of heads Q Elevator ❑ Manliff ❑ Escalator Inumber) THIS SPACE FOR OFFICE USE ONLY Q Gasoline pumps (number) IRaeeived) Q Teske (number) Remarks Q LPG containers Inumber) ❑ Unfired pressure vessel Q Beilers Permit Approved by Date— Other amOther — Specify Permit Fe- LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Ca�ae�� Number Unit, Description 11[odel Number Manufaeturer (rib ) fi g► 2� i ,/64 CITY OF ATLANTIC BLACI-I, FLORIDA APPLICATION FUR ELECTRICAL PERMIT _ - _ CJ tU THE CHIEF 171 [1,110CAI_ Ii1SPFCIOW DAiFi. IMP011iANI N(JIICT: It') CUNSIDi-RA 11011 OF VEitM11 (;IVrN J OIt DOING 111E WORK AS DEScftlll(A) IN III f Ol f OW111", WE flFURY AGIRL 1U 111-11FORM SAID WORK IN ACCORDANCE WIIII fill- AI iACIIED 11ANS Alit) SPHAl ICA11ONS, WHICH At?[- A PARi III REOF, Atli) IN ACCOIMANUE WI111 111E 1-1 1 (:Ilticnt. ltFGllLnllUtJS, CODES ACID (',fix Of' ni LnN t 1c ilEnclf OItDINnNCEs. l/ ✓�� /,L - - - - �C ELE Ti11C MAST Ell Et_I:CIHICIANSIGNAIUiIE / p NAME . f11ESS:_, / `�v� ---- - BLDG. SIZE --- - �----------- .[IF 1 W F E N:3_�z ETES. Atli. ( I COMM. ( I Pumm, t { INDUS. 1 I NEW ( ! 4L1))O� iIFW. ( ► ADDITION ( 1 I IIAILEFI 1 { 1 EMP. ( 1 SIGNS ( I ___ _ ___ ____ SU. F T. SERVICE: NEW ( 1 INCREASE ( 1 11EPA111 FEE CONDUCTUII SIZE AMPS CUI'I'EII ( -_ At Uhl. SWI iCii Ull (111EAKE(i _ _-_ _AMPS_ P11 ___W VOLE RAULWAY EXiST. 5EtiV_SIZE-- � _._.._..AMPS. f Ptl W VULf iIACEWnY FEEUEiIS NO. SIZE f NO. SIZE I NO. SIZE LIGHTING OUT LFI S CONCEALED UDEN 10 1 Al- FIECEPT ACLES CONCEALED 01,EN I O TAL U 90 li Rtl H. 31 IOU nld l'6. 5W1{CIf[8 } INCANDESCENT FLUOf1ESCEN T & M. V. _ --- --- ----- - - - _- -. - VIXEb v.too nttrs. even nrrl_InrlcFq ` I - _ } ortL it1ANSF. AM II.r. 11AIING 11.11. 11Ai1NG CONDI 11UIJING COMP. MO,IOil 01111711 Mo1UflS AMPS CEIL IIEAT: KW IIFA I U-1 0011 MO1011S 11.P. VOLTAGE Pils NO. 1ILP. VOLTAGE flits M1S(� ELLAt4Eo �� r,1 - CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL. PERMIT I IIIE CI11FF Ll E(,IMCAL INSPECIoil: DAZE:_ ` 19 IMPDII 1 AFj 1 NU I ICC:: IN CUNSIDLIIAII01) OF I'F►iMII GIVCN IOU DOING IIIE WORT( AS DESCRIBED IN 11IF. FOLLOWING, WE NFIZFIIY AGPFE 10 I'LRFORM SAID WORK IN ACCORDANCE WHIT IIIF AT lA(AIED IA-ANS AND SPECIFICATIONS, WHICH ARE A PART [ifPLOF, AND RJ ACCORDANCE WIT11 THE ELECIRI(;AI_ IIIGUI-AHONS, CODES AND CITY OF AT 1 ANTIC 13 F_nci T ORDINANCES. n �*-- ELEC RICA FIRM: MASTER ELECT RICIAN_SIGNATUfIE —J'"BUEYMAN NAME % � — - - - — RFDBOX_--- BLDG. SIZE--- P �� Gs_ _d ----BETWEEN: TIES. h I APT-. ( 1 COMM. 1 I PUBLIC ( I INDUS. l I NEW � OLD 1 1 REw. i ADDITION TTIAILER ( 1 TEMP. ( 1 SIGNS SO. FT. ___-- ---- _ SERVICE: NEW INCREASE ( 1 REPAIR ( 1 -F E E------------- CONUUCTOII SIZE � G/ AMT'S lvi> CUPPE II (_ ALUM. - SWITCH O11 STREAKER AMT'S P11 _W Ao VOLT /Z RACEWAY EXIST. SERV. SIZE - - - AMPS PIT W VOLT RACEWAY FEEDERS NO. SIZE NU SIZE NO. SIZE LIGATING OUTLETS CONCEALED OPEN 101AI_ RECEPTACLES CONCEALED OPEN TOTAL 0.30 A611'8. 31 100 AHTS. SWITC11E3 Z2- INCANDESCENT c FLUORESCENT & M. V. FIXEDl vivo Atlrs. oven - - nrru nttcEe Z UEI_L TRANSP. C AIR 41.I'. 11AIING I1.P. RATING - CONUITIONING COMP. MOToil OTHER MOTORS AMPS CE11_ ITEAI: KW HEAT --- - ------- ----- ------- 0-1 OVER MOTORS 11.11. VOLTAGE PIIS NO. 1 II.P. VOLTAGE ITIS MISCELLANEOUS -------------- PSA-3844, 17212 D PARTMENT'OF SUILDING CITY OF ATLANTIC BEACH i .. PF . INFORMATION � �..� ; - LOCATION INFORMATION -------- PermitNum : 17212 A are �A; 1610 COQUINA PLACE W 0 imi t T 'BUILDING � A,TLANTXC REACH, FLORIDA 322`33 fbass ;df o :NEW __ ��:��«�_ 110AL -F?SSORIPTIOPT _... _-..-___ Constr. T'y e:WOOD ;FR E 81ack: 4 Lot : 3 Twp: 0 P opo d e:SINGLE FMLY(ATT) Sect *n; 0 Subd: Dwei SuWivis .an:OCUN GROVE Est Values 0 .00 ra rov. Cost : 115 ,000-00 �l Fees : 3, 1I0. 4 A.:nvunt Paid lla.00. Date Pit998 ar e3 -' , FAMILY HOME TO DUPLSR I R: 1 NEW RESIDENCE/NO RADON :AP APPLICATION FEES - , ... EIxR; a R R� 755 .'00 der: . AT rMPACIT FRE 220.00 °d C?ItIbA 3223 . . r� 1 n eON .00 1 y�yAT(}ION ADOt Iwo 0.00 e1dr: 104, V RS AP IMPROVE. 325.60 . �} lame EWER AGI t1NV1L FLORIDA 32246 S ROSS C NNECT ,ON 35 .04 Lia, HC €? " I+ Exp: '. d EC H, I OKC:T FEE- 0.00 xPST.SURCHARGIt DO M:w 0 +yx w NOTES. NOTICE-INSPECTIONS MUST Of REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS:FROM THIS WORK MUST NOT SE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNERhl FAILURE TO"CQ PLY WfWe THE MECHANICS' LIEN LAW CAN RESULT- IN THE '00OPE TY PAYING TWICE SU Lt �lG II�PNCVE�fENTS." a I D ACC0,QJNG 'fi0 APPROVED PLANS WHICH ARE PART OF THIS PERMIT.AND SUBJECT,TO REV AT FdR O �4PPLIC PROVISIt NS OF LAW. . retort. CIERYtE ATLAN , EACH BU DI DEPAfiTMENT BY: 4 CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER OF. AND 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 SYST&M. BATHROOM GROUP CONSISTING OF SERVICE .SINK TRAP STAND WATER CLOSET, LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) b 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) j STASHING MACHINE (3) � POT. SCULLERY SINK (4) _DISHWASHER (2) WASH SINK EACH SET Or FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) LITCM SINK WITH WASTZ DENTAL UNIT OR CUSPIDOR (I) GRINDER (3) BIDET (2) 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 `TAKER (I/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS $20.00 EAC:i $ ,� .2-0 .0 Q JOB INFORMATION CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address l l b © f u tw A 6,&c,F-., Date Heated Sauare Footage4. 1cci per sq ft = S Garaae/Shed _C� $ Per sq -t = Carport/'Fnrc,n. ---�d S _Per sa ft = `' r,e!-- S per scr ft = at_O ��✓ cl. = -'er Sa r S T CTRL V RLUAT 1 1, 17/6 4/60.00 Total Vdluat©gr, 1st S_�,,�,_ Remain ng Value SS .©a per thousand or Dortion thereof TOTAL BUILDING FEE S 0 + 1; Filing Fee ( 1 Fireplaces fd ai5 . 00 S �-� '— BUILDING PERMIT FEE SSS—.oO WATER IMPACT FEE $__ ,2Z0.0 SEWER IMPACT FEE S „?S"-a•00 WATER METER/TAP 2 E CAPITAL IMPROVEMENT S �� 2 LS".Oct_ SEWER TAP S ; RADON ( HRS ) . 005�j SECTION H PAVING i $ HYDRAULIC SHARES 5 CROSS CONNECTION $ SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE DC7 ADDITIONAL PERMITS OR FEES : Mechanical Pluirwina K ectr_c{New E1 ect.ri cj Tem_r. ; Swim,mi ngPool Sen },; c Tank We l Sign Finish Floor Elevation Survey Other CALCULATIONS ana/ or NOTES : ►LA. Irs7 LAWS 11AMC0/011M "SO'S 717.17 / .• 1 ire�axnxrt�x�ac�rx�.�x�� 41PRIEPAR41 IM OUMICAT[I to fullont it nutg uuI"nu Book_ 9079 Pq iso The undersigned hereby informs all concerned that improvements will be made ke certain real property, and in accordance with section 713.13 of the Florida Statutes, the following Information is stated in this NOTICE OF COMMENCEMENT. Description of property....1 608-B Coquina . a Place Jcksonville FL 32233 .................................. ,- 3................`. �. ............... .. ............................................................................... ...................................................................................................................................................................................._................................................ ..............................................................«....................................................................................................................................................I........................... General description of improvements..........Addit,ion.............. ........... .............................................................................................................................................................................»............................................... .................................................................................................................................................................................................................................... Owner.....B.Liner....a......til.attrax...&...P.a.tr.i.ci.a....S.......J.eff ri.es..................................................................................... Address..1.6.08„-A,.Co-quina Place Jacksonville .FL 32233 �� _ ...... ..I............... ........................................ ....... ... . Owner's interest in site of the improvement................................................................................................................................................... Fee Simple Title holder (if other than owner) Name..................................................................... . ......................................................................................................................................................... Address..................................................................................................................................................................».............................................._.......... Contractor....Mack...Brothers...Geri6'A' `l 6fitractors7....Inc.'..... .................................................................... ;frli.'. + ..... Addreu.......552.�....Barker ...St................Jacksonville.'....FL..3.2207......................................._.. ........ . ............ Surety (if any)............................................................................................................................................................._................................................... Address....................................................................................................................................................../lrnounl of band $.................I.............. is Name of person within the State of Florida designated by owner upon whom notices or aha docurnents may be served Name ......... ....................................................................................................................................................................................................I............... Address............................................................................................................................................................................................................................... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name ................................................................................................................................................................................__............................................. t. Address................................................................................................................._.-_.................�..., .................................................. CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owners) : L-12 e-f Address• co .471 Phone• Lot # Block or Unit # Subdivision: Contractor:-. da� nS GO��rvs Address : /r// �ifl2t�vJ�R l7arc, l�of` City, State and Zip_ J�X � ,S 2�,/(o Phone State License # 03-ZQ 3 Describe work to be performed: '.'gc aaz ,4 Valuation of Proposed Construction: loo Materials to be used: sr.vs/e el %0:� t11 Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information CITY©F ATLANTIC BEACF'I .. PERMIT INFOR"TIOW .- ermat Number« 12105 Addreee« 1.600 ,CC�U�IYA Pet �rt t Tae«RRCCP ATLANTICRRA�� R €A . 23 , ..--_--� LWAL DZS6 �PITT�t �f. 'tlass ca f '0 o k:4ARA0� � �� TSP Cont r. ;'Type t 060D 'PRA B1 cock{ Prppos d Use,: Section« ? . SubdaD . Rn « 0; Doel n sSubd:ivi s ion O,OCON GROVF. u:N IT #-1 est . value« 000 14prov.. cost: Total re 2S,00 , mount ' 21$,-00, i APDL C�ITIt Id PL1�S C,IT I N ttr�� ITrr 25:00 -Addy+ PLACE FLORI DA TS i m 0 Im IAC $O- It 32216 UC « a Lr mu.w.c:a - a'mw�wnwe k NtY1`!CE--AIA. 0"10 FORMS AND FOOTINGS MUST SE INSPECT 0R000R P PERMIT VOID SIX MONTHS AFTER DATE,OF ISSUE BUS I IQ MATERIAL,Ru0SISHA-ND:D9$RI FROM THIS WORK MUST NOT,BE PLACER N PUBLIC SPACE:AND MUST BE UP ANI4 HA I LED AWAY.BY EITHERR CONTRACTOR OR OWNER �+� y e j IN k ISSUED ACCC}Rfl it TL}A►PPROveo OLANS WHICH ARE PARTOF THIS I>ERIVt"�"PAYING,TWCFE FO"W;s*� tT'' Rrmml a vo(ATIQN CI;APOLIGA,BLE I t }1/I 3I S P LAW. ATLANTIC BEACH I U1LDING'DEAKR" EW, By � . c 'PSR-3844 { DEPARTMENT OF®UlLOING, CITY OF ATLANTIC"BEACH f i - PERMIT INFORMATION '-�-� --�- - -- LOCATION INFORMATION .. Permit Number: 134, Address : 1668 COQUINA PLACE ----- � Permit Tye:PLtMIC ATLANTIC BEACH, FLORIDA 3223.3 'Class of W6rk:ALTZRA'TI.ON _-- --- - �LZOAL DESCRIPTION ,._.:_�� . � " � Constr. T ►p4:WO1OI� `RAE _B1cck Lot: Twp: :0, Use Section € Subd:O Rn Q Dwellingubdi v1 s i ou:OCZAN GROVE [ Est . Value,: 4 .04 Improv. Cost : ' '0 .00 'Total Fe � � �25,pL� Amount ��r X25.00 � i Vork f APPLICATION FEES' - , --A„- Nam PERXIT 25.00 Ad d LRCSW 01y, �. F � r FLOR I DA' 32 All 0 ORI TION ------ 'Name: CH STY { 3T CCA�T F' I NE3 JACKSON 3'�EAC:H r FL 32240 44 4 .�.. �" 4` NMS., NOTICE"---ALL C6kC ETE"F()JtMS AND FOOTINGS MUST 6E'INSPECT0P S00ftIS POPRIT"G" i PERMIT VOID SIX MONTHS AFTER DATE OF ISSU , SUjLDING MATERIAL,R SISISH AND OE.13RIS FROM THIS WWORKMUSTNPT PLACED"IN PUBLIC SPACE,AND MUST_SE CLOAAED"UP ANO HAULEI:)"AWAY Y;EIT°HfR CONTRACTOR OR OWNER FAILURE. Q.C1 ►1 #Pt.Y WITH THE MECNI�►N.ICS',l.IE�1 tI,1 A fEUL.t 1' 14' T 1E PRORERfi1 ,t fi�1ER 1 AY1� G^MICE F1, ,R. 1#.1a1�+�1C"1M000"ENTvg.�y I VIED ACCORDING TO,A_'PRO �''PIiANS"1AIHtCH;ARE PART OF THIS PERMr AND'S3U8JECT TO:FIEWOCATIQN FOIA �ATtON C?f"APRLICASLE P ( ► . CANS C>P AWV. 4 i i ATLANTIC BEACH BtIILDkN.G Def'' A'IMEPIT 44 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBIN/G PERMIT JOB LOCATION: 600 C-f) C41, 1 �l�G OWNER OF PROPERTY:/h�l�✓' �Ccu�� PLUMBING CONTRACTOR: S `rl -S ' CONTRACTOR'S ADDRESS: J�(�e 6o X 500 11 —i-Axe 13 cA STATE LICENSE NUMBER: C_(`Co5146? ( TELEPHONE: HOW MOY OF THE FOLLOWING FIXTURES INSTALLED 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 = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: -cry ---------------------------------------------------------•-------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. Pfta16{4 c ; 09913 DEPARTMENT Of BUILt 0 CITY OF ATLANTIC BEACH LOCATION t14FORNATI4N - P �ak k + iuit Type, AT'L"TI C BEACH, FLORIDA 3223 C aias f �Wbrk": .R 3 EL .�.,-..�.,. LEGAL ; IPT'IE}M _ � _,.. o tr . yp : F OOD' FRAME 'Lot: Block: sects oh V —os Ute.. S OL F`Afi I :T Town ip� ANO 0 Code t Subdivision; OCR GROVE TjNIT I t, mat4d Valu D Bf2-00 Improv-i, ens 'S,16$.0 77 e:� � " . _P � T` $L65 ® A, PACE 'C�`TE PA T` PES t} : � IACz#; F LCB'D L}A2 RA ` F :R ►, C I I `t�lRI ATS OIV - R D Name', AIS CAPITAL , Il�I��tOVE Add ass� '�d � ��44.�;�� 'A�' � CROSS COi $ 0 Ls .se h CRS Type. I SLAC B kot FEE04 S HAR. E/Alow NOTIr3:" j NOTIDE—;AiL.L D4NDRMlQRMS AND FOOTINGS MUS7`:BE Ih1SPEDT,Ep BEFORE POURING 'PE 90 SIX ItACNTH AF`I 1=fi A't OF ISSUE Buil DING MATERIAL.,.RUBBISH.ANIS fi ERtB Rom THIS WORK MUST"N©T"BE PL AC,Ea IN PUBLIC SPACEy AND MUST SE CLEARED UP AND.HAULER*0y ayY 1"1'HEF CONTRACTOR dR{a1NNl R © TO Colvilpty # HTHErMECHANICSLIENLA + # x aim L SL,IED ACCORDING TO APPROVED PLANS WHICI-DARE FART OF THIS PERMIT AND SUBJECT TC?"RE1t#3CATION FOR: ' Sll ? sTION OF APPLICABLE PROVISIONS OF LAW. ATtiANTIC BEACN".BUILDING©EPAHTMENT t10t1dtlIIE/�G:11111111Qt113L i # L4 ,...�... 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CITYOFATLANTIC BEACH PERMIT CALCULATION SHEET Address 0,2_(� a l ,2 L)(A.,& P4 A C 6 X�A-loOg �- Date Heated Square Footage . 10 @ $ per sq ft = $ Shed Gara a (� g i ` @ $ per sq ft = $ Carport/Porch ��L @ $ per sq ft = $ V i Deck , r @ $ per sq ft = $ S Patio ©� @ $ per sq ft = $ TOTAL VALUATION: $ C96 00,06 Tl Valuation 1st .oa $ Remaining Value per thousand or portion thereof TOTAL BUILDING FEE $ / 10,01') + 1/2 Filing Fee $ :` <' # — ( ) Fireplaces @ $15. 00 $ - BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ T.G ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: BY CITY OP ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALT TIONS DEMOLITIONS�/ �y owner(s) : C/M 61111 �1`� ,� r' U '�irY n•^� 'Is. 22, . Address:. / O � L��- �� Phone: Lot # /�F3 Block or Unit # Subdivision: & °ZA It xa&;• e__7 Contractor: i � 4- State License # ,(,4RC- 03A474 - Address: POSOY OX /3oS Phone No: r2V2--9127 Describe work to be done: Ae m,► g_ �_ n�� /740a-4L 4"!z C Present use of building:,, -�'G- /Z�s"23"rrt -fi .SLi2�-eT _,f�cY✓� Valuation of Proposed Construction: �. G Proposed use: 4rE� Is this an addition? Z10 If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? A/� New electrical (or increase)?_ New plumbing fixtures? A-"O New fireplace? !/L New Heat/AC? -'0(,/0 SUBMIT THREE COMPLETE SETS OIC' PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OP COMMENCEMENT, AND OWNER/CONTRACTOR APPIDAVIT, IP OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: License Supplied: Liability Insurance: ' r J ✓{W)4.9� 4 Worker's Compensation Insurance: .. al d ARCH I TOC-11 ENG I NnE.11S, CRRTIVICRTION COASTAL CONSTRUCTION CODU FOR DLL 117",76n STRUCTURE6 TO BE LOCATED RIVIIN CITY OF ATL"TIC DUACH, FLORIDA APPLICANT ' S NA1iE��90)kP11ONE NO . DATE 114K OWNER NAME: dw& R E. TAX NO. :_ TYPE OF PROJECT: ( )New Rome )Residential Addition ( , )Garage ( )Pool ( )New Commercial ( )Commercial Addition ( )other 911 STREET ADRESS: if 01 ( ) we 'claim the structure to be exempt as follows : ( ) Garage with no provision for occupancy - detached one and two family only ( ) Pier, Dock, etc. ( } other (Specify) I also certify that no structure listed above may be remodeled ov converted to a non-exempt use without being upgraded to fully comply with the ordinance. Signed: Date: ---------------------------------------------------------------- CERTIFICRTION This certifies that the plans and specifications submitted and sealed by the undersigned meet all criteria set forth by the City of Atlantic Beach Coastal Construction Code. Roof covering is exempt from the 110 mph requirements of thea Coastal Construction Code, but meet all they other requiroments of the City of Atlantic Beach Building Code. The structuro including foundation, frame, roof decking , exterior wall: and floors has been designed for wind loads of 110 mph, with all design complying with..-the 19q/ , Chapter 12 , Standard Building Code. ----------------------------------------------------------------- Windows, doors and all other e:tterior devices comply with. the 110 mph wind load. ----------------------------------------------------------------- � ) Tho structure io located outside the area affected by wave forccas, OR ( ) The structure is capable of with3tanding wave forces resul tine from a wava creat height of feet above 14SL including uplift forces. ----------------------------- ------------------------------------ - The --------------------------------_-- - ) The structure is located in FIA Zone A and the foundation design has considered possible exposure to water and erosion . OR The structure is located in FIA Zone X and the foundation will not be exposed to hydrodynamic, hydrostatic loads or water scour, OR ( ) Foundation design has been completed with floor elevation above the specified stillwater elevation, and to resist wave , hydrodynamic, hydrostatic and wind loads acting simultaneousIv � F 09989 ,1111 , DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -------- LQCairI oil .I>11V4RMATIO>"I mit Address: 16 QUIN PLNCR . Pest ' "TP :. I:LLO' ICAI AT TI MACH � I�'LflI� L3A 3 "cl*tNoA A QI'T QN,, _........-;._. L 4IL DO CI ITTIt N IaIa� Type 4 ? I� Iaat. 81sek 'Sect + Ia: I rc gsa ed Use: ,1t� LIQ ,#XM L� �'owxa bip� Ft'Bt3� 13 $0 .00 'ott :'C►d? 1 � 0 }. WIVIV,V51 Az' a , 7 " A 'Lmak' F 1 ON TZIC �-0 AM + C � P4irzz B t3 " OB LtSPat TAS' �? ON WON £"7✓+LA �.3 TV 3J BEACHI tlo �3 2 Q$ +"iSY.f S I L�r'L.i� Lr A 'KuF $0.00 P r SIItC I . �x€�A� 'I .,t {I P _ � all y.k NQTES., ! {CE-*-: 1IvL I�tll +ti E IFtR $AI+tQ FOOTINGS MUST:BIS INREG?IE«I3'IIEwG1fr Pt31lFIl�1a PERMIT VOlb SIX MONTHS AFTER DATE OF ISSUE. SUILI�IN MAT.EI IAL:,F N0 DEBRIS FROM THIS WORK MUST-NOT BE PLACEa CIV"PUSLIC 3PACEr AIVD MUST BE l.E i l ©UP AND:H t1L:I*0,,A 1A, ,- Y:EITHER CONTRACTOR OR OWNER T l 01 Y WITH THE �IIECHAN[ �S LIEIy LA � �UL.T II�1 : ►W� R vINGTWICE FORTHE E3�,lII:,I��I��'�I I�'00 GENTS" torr ACCORDING T0;4PpROVI*p.PLAINS WHICH ARE PART OF THIS PERMIT ANIS SUBJEC 'TO( VOCATION EOE Vl r# C3N OF API?k I ABt.E.,F I C41f) ONS OF'LAW, ATL� BEACH SUILNG [?EPARI'MENT 4tIUI i4I '0000"* 14 Dates 4fc"!95 Ol Ilk III3# Or {/ w�,r t,.: �z, t',rr .s 1, "�,yu,.r .,-„�S �:”�'Y-.�.2,s°s�;�'.,s..�•.-,i,.., sir.e.�,, a*tc;..a .,.,.. x� a,.',ir 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 Cl OF ATLANTIC BEACH ORDINANCES. x2A)OA4y ELECT CAL FIRM: MASTER ELECTRICIAN SIGNATURE NAME ADDRESS:ADDRESS: 1 FD BOX BLDG.SIZE BETWEEN: RES.66 APT.( COMM.1 ) PUBLIC( 1 INDUS. ( ) NEW( ! OLD ( ) REW. ( ) ADDITION TRAILER ( 1 TEMP,( 1 SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE() REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER I ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV,SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. '` SIZE IND. SIZE 1 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. I OVER APPLIANCES BELL TRANSF: AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 4' 04 asr .. DEPARTMENT OF BUILDING '. CITY 4F AT ANTId,81EACH t "' ';It FCRi C.0 t :�. ---- ---- ..» LOCATION INFORt�A'�It� •. .� .._..� "1 . Address» 1548 COQUINA ST. Pers t � '�` e : I'L'OMBINO ATLANTICBEACH, FLORIDA 32233 Claw of, WorkAI, "ERATIOPt LEGAL DESCRIPTION Ci Type CO 'FRAME, Lot; IIock: Section- P-roposed Use SINGLE; *ANILY Township; RNLI: f} . t Ow Ia 1 Code (� Subdaviaon: North At1 a Bch, st titarted Valuer : $0: 07 I aprr v Cri t : $0 ."00 'Total,: ,Fees . j Amta _ $18 50 pa �C31r € De's rr 11et * ~-� APPI,I CiT I ON FERE i w rk rt PERMIT $18. 50 SIT, NATER IN ACT Fww $ .00 I CB n FLORIDA �$ IMPAC ' �'E $0 OG A UfA .B (J - `ORNAyTT�Iy� ------ CAB N Cl�.B 5 �+ 0 .0C� ,I�LCI ;G7.S.4'4 ..was.. .�.:,�e... r.. — +�JAP RATAP IMPROVE. Y�: . Q ' -jkddr _ VIIJbANO .. - f .4t?" m. L J8,44QACU a':FLA., 32233 RB RAULIC !LAI2E` oe� 003 'Type: 4 � CROSS. GONNB �IO�is�QO E .H IMPACT EE SIS I tf NOTICE ALL COINCRETE10AMS AND FOOTINGS AAUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE" OUII.L)IIVG MATEF?IAL,RU881SH AND DEBRIS FROM THIS WORK MUST NOT Bi;.\ISI ACI.I7.;IN PUBLIC SPACE,AND MUST BE i El RED UP AND MAULED AWAY BYEFTHER CONTRACTOR OR OWNER 4 WITH THE MECHANICS' LIEN LAW CAN RESULT IN TYING TWICE FOR a LD11 1�lP V` I IENTS.s� r ' '08400:ACCORDING TO�APPA46VED PLANS WHICH ARE PART OF THIS PERMIT AND.SUBJECT TO REVOCATION FOR. �I,1TIC?N 4F APPLICABLE P'Rlr1ViSIONS OF LAW. x LATIt?t3EAiILDIN�C EpME .T 1x�t s7I11. PfI 41 'tm :4 +Nsm F S CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: (?ioj,49?x OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMBING CONTRACTOR � AND ADDRESS: TELEPHONE NUMBER: E STATE LICENSE NO: � TYPE OF BUILDING: TYPE OF WORK: � .- HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $3. 50 + $15.00 = $ ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 i -8028 .Y ua�e WEBE00 :jdz83&N 00 %ILIIE :84ea IUISAH") :.ao}e as @ DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION - __. -- -------- LOCATION INFORMATION --------- ' Permit __ __-Permit Number: 8028 Address 1608 COQUINA PLACE Permit, Ti'l'e: UTILITIES ATLANTIC BEACH , FLORIDA 32233 171ass of Work: NEW __w_ - LEGAL DESCRIPTION ---------- ' onstr _ Type: WOOD FRAME Lot , 3+ Bl act: 4 Section: E'roPe�sed Ttse: SINGLE FAMILY Township: RNG: !;i LweIIi 1 Cwode . 0 SULJ�division : OCEAN G'Ft.OVE UNIT #I Estimated Value : $795 .00 Irrmprov , cost : 50 .00 Total Fees : $795 , 00 r Amount Paidj : /7 5795 . 0,0 ' 94 Work Des4`" WATEF SEPVIF`E 1 ' . �� .» C► IATIQN -------- - ..m__ APPLICATION FEES W-_-- 1 Name: I PERMIT SO . 00 Ad l rs #1 yr 014 PLAC.I:. NATER IMPACT FEE 3 5o . c 0 AT 4EACHr FLOR?LA 1223 SEWLR , IMPACT ,,FEE $0'. 00 Pu na*: °S ATE E'I' APS $85 .00- R'ADON "014B�fifi�"".°R . S . �TRAC.TOR rNFORMAT I ON ------ RADON CAB 5 _ Name ; PO LDEPARTMENT CAPITAL IMPROVE. $$325 .00 AddresM ; " " SEWER TAF 0x00 HYDRAULIC SHARE 50 . 00 License ; ` ', Type : 0 CROSS CONNECTION $35. 00 ' SES".H IMPACT FEE $0 ,00 CONST. SURCHARGE 50 .00 1 ,i4 fi NOTES; *The above fees are being paid under separate agreement between Elmer Maddox and 1 the City of Atlantic Beach. r The exam of $400.00 payable herewith -- $120 of said amount to beApQ1ie��o the I water meter of $85.00 and Cross Connection of $35.00. Balance pa#able r agreement. NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE MIDILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT8E PLACED IN PUBLIC SPACE,AND MUST BE I IT \RED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER r k ` P (LURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN.RESULT IN E PROPERTY OWNER PAYING TWICE FOR .BUILDING IMPROVEMENTS.91 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR E LATION OF APPLICABLE PROVISIONS OF LAW. " ATLANTIC ffPtCH BUILDIN D PART ENT _perator: CRYSTAL k k Date: 3/17/114 00 Receipt; 0038303 i r r ' f Total Payment $85.00 By: _ � CITY OF-- ATLANTIC BEACH FLORIDA NAMELr ADDRESS7- - 4 4 CITY ........... .....................................................................�0- PAID . 1 1994 ` When Si%jeAtj&t*c6QU Numbered, This Becomes an (flftt> G400606M $98.75 54 City Received Pe 7/14/94 01 Rept: OW776 MAKE CHECKS PAYABLE TO S 076 CITY OF ATLANTIC BEACH, FLORIDA TREASURER CITY OF ATLANTIC BEACH N° 11825 FLORIDA 4/15/94 19 — NAME Mr. Elmer Mattox ADDRESS 1608 Coquina Place CITY Atlantic Beach, FL 32233 April 1994 payment on Water Impact Fees Capital Improvement on 1608 Coquina Place Old Balance $ 395.00 Less Payment ( 98.75) $98.75 New Balance $296.25 o all� o -o 0 rr�1 Peri; No. 8028 When Signed, Dated and Numbered, This BecomOepRogffeceipt MAKE CHECKS PAYABLE TO ReceiAWepa + 00 Receipt: 0045968 Total Ilaywrt $53.75 CITY OF ATLANTIC BEACH, FLORIDA TREASURER CITY OF jctic t e�ac�i - ��vtida 800 SEMINOLE ROAD -.-_ ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 March 16 , 1994 Elmer Mattox 1608 Coquina Place Atlantic Beach , Fl 32233 Re: Lots 3 & 11 , Block 4, Ocean Grove Unit No . 1 R. E. # 169560-0000 Dear Mr. Mattox , This letter shall serve as an agreement between you and the City of Atlantic Beach for an extended payment plan for the water impact fees assessed against the above referenced address . Fees due are as follows: Capital Improvement $325 . 00 Water Impact_ Fee $350 . 00 Total Fees $675 . 00 You have offered to pay $400 initially , of that amount $120 will be applied to the water meter installation and cross connection inspection , the remaining will be due in four (4 ) payments of $98. 75 each , due and payable on the fifteenth of each month . A lien for the full amount due shall be executed and recorded against the above referenced property . Upon payment being made in full , the lien shall be released of record . Please indicate your acceptance of the provisions of this agreement by signing in the place indicated below. Your signature also signifies your agreement to indemnify and hold harmless , the City of Atlantic Beach from any and all damages resulting from your failure to timely make the above payments , including reasonable attorneys fees and court costs . The City of Atlantic Beach looks forward to cooperating with you under this agreement. CITY OF ATLANTIC BEACH : BY: K �LEI�,6ACH , CITY MANAGER DA-TE APPLICANT: ELMER MATTOX DATE cc: City Commission f + 8025. ' tl4 a ; 'OE> 6rlCtf£ 184 DEPARTMENT OF BUIi:DING CITY OF ATLANTIC BEACH 1 PERM" t INFORMATION LOCATION INFORMATION - � 8rm" Number. 8028 Address: 16438' COQUII!}'A PLACE Permit TYPO, UTILITIES ATLANTIC ; BEACH, FLORIDA 32233 Class 6f 'Work: NEW LEGAL DUCK IPTION - . ••,� i Constr. Type WOOL? FRAME Lc>t;r'- +y Black: ' 4 Section: I Proposed Use: SINGLE FAMILY T'ownshi��., RNG: 4 e1jings : 1 Code 0Subdivision: OCEAN GROVE 'UNI'T #1 9 "ti-M ,ted� Value: 879 .O Pu0" r, ov. Cost: $0 .00 ' Total Fees : Ama t t �d . 5" $7.95..00 ork De 4" WATER SERVICE; 71F M PW aq'I't aRR. ...It•f L1i rr• .YI w W10 lot ----- 4w Addr PLACE WATER TI10A, T FE ' .Q43 . CH, FLORIDA � � S � IMPAC' FEE � 360 -00 $0 Phi " '1` Alm . .. , O FORMATION ------ RADON CAB 843.00 �jN terteY: L 0 DEPARTMENT CAPITAL IMI�ROVE. $125.00/■y} ,��%�5.43�ATA.K m# `4 '.. .✓ #i'�I�N#XS...T •:,e... .. K VY HYDRAU'L TC HA X _ 0 .00 icons*:, Type 0 CRO CONNECTION $35`.00 S9C.H IMPACT FEE U.`00 CONST, 80RCH RGE $6 .0 r+l€ �rl:s;: ? The above fees are 6i g paid under separate agreement between Elmer Maddox and I the City of Atlan>Kic Basch. V The aaum}of $400.00 payable herewith --- $120 of said amount to be applied to the WAtek,meter of $05.00 end Crass Connective of $35.00. BaI4000 p aable or, agreement. I NOTICE—ALL CONCRETE PORMS AND FOOTINGS MUST"BE"INSPECTED BEF©RE P4u ING J I PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ' b'ING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT SE PLACI IN PUBLIC SPACE,AND MUST BE' RC ! UP AND HAULED AWAY�BY EITHER D RACTOR OR OWNER LURE,TO COMPLY WITR THE MECHANICS' LIEN, LAW CAN' RESULT IN PRd►PER TY Q�'VNER PAYINQ TWICE FSR D1 TY I IPRt)VEMENTS." 'J*IEb ACCORDING TO"APPROVED PLANS WHICH ARE PART OF`THIS PERMif AND SUBJECT TO RE-VOCATION FOR ON OPAPP ICABI E PROVISIONS OF'LAW. � Ib RLANTIC CH U1 ART EP1Tratc►rs`I `t'I;1H. ., T Batt 3/17/94 00 *gwiots 603M 1 Ur a1 $MOO ter,, CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 -- �— TELEPHONE(904)247-5800 FAX(904)247-5805 Dear Property owner: The costs to connect your building to the City sewer and/or water system are as follows : Sewer Tap - Labor and Materials to tap into $ a D sewer main Water Tap - Labor and Materials t+ tap into $ water main Water Meter - Cost of Meter $ K00 Cross Connection Inspection - Inslection by Public Works to ensure backflow Sr C3 prevention $ Sewer Impact Fees - Funds future expansion of the sewer plant $ Water Impact Fee - Funds future expansion of the water plant $ { Captial Improvement - Funds forimprovements, expansion or replaoment to - water system $ a�� • �� TOTAL COSTS $ �] 00 If you have any questoins concining these charges please call the building department at 247-5821 Sincrel y, Don Ford Buiing Official DCF/pah /608 -1610 � . JOB ADDRESS PROPERTY OWNER 'z 2_ PERMIT NUMBER 17Z-1 2 DATE INSPECTIONS: FOOTING__ SLAB TIE BEAM LINTEL NAILING/SHEATHING FRAMING/COVER UP /-ZO INSULATION r-7-7- FINAL -7FINAL BUILDING CERTIFICATE OF OCCUPANCY ilob �' /610 ELECTRICAL PERMIT# / -7 Y 2-- 172-91 INSPECTIONS ROUGH ` 2-o- 9 r- z " '> � FINAL MECHANICAL PERMIT# r 75-7 7,-7S-3 INSPECTIONS ROUGH I-e FINAL PLUMBING PERMIT# �2 INSPECTIONS ROUGHIUNDER SLAB I L 4Ll' /i- Z-� Y -- �"�''�S TOPOUT 5 WATERISEWER FINAL 2-9 ,9 NOTES: 111 I 3:3 3 -7k, JOB ADDRESS PROPERTY OWNER PERMIT NUMBER DATE ' INSPECTIONS. FOOTING -5-3l 'i SLAB TIE BEAM LINTEL NAILINGISHEA THING FRAMING/COVER UP -/-/7-�-3- INSULATION 41-1 k- FINAL BUILDING a-2- -Y CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT# g q 8 ? INSPECTIONS ROUGH -7_9f FINAL - ' 7 S MECHANICAL PERMIT# INSPECTIONS ROUGH FINAL PL UMBING PERMIT# INSPECTIONS ROUGH/UNDER SLAB TOPOUT WATERISEWER FINAL NOTES: < rz./9 - - �/yi