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Permit 1912 Creekside Circle Ti 1`11. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 f/ INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031361 Date 10/13/05 Property Address . . . . . . 1912 CREEKSIDE CIR Tenant nbr, name . . . . . REPLACE DECK & EXPAND Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . TO BE UPDATED Application valuation . . . . 1000 Owner Contractor ----------------- ------- ------------------------ WEEDER, ROGER OWNER 1912 CREEKSIDE CIRCLE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 --- --__. ___. Permit . . . . . . BUILDING PERMIT .._ Additional desc . . Permit Fee . . . 85 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1000 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 Y PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILiI N6 OFFICIAL CITY OF ATLANTIC BEACH Cc. BUILDING / ZONING DEPARTMENT g ins 800 Seminole Road Atlantic Beach,Florida.32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # DS-)-'31 Property Address: I "1 I A Cra&dV a C if-) Applicant: fD W( 8 k CLCL 06(cl-cr Project: ecpl YC6I C V-i n + df C IL This pe it application has been: Approved 0 Reviewed and the following items need attention: Please re-submit you ' r ap cation when these items have been completed. Reviewed By: "'P G�IJ�� Date: Date Contractor Notified: CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations &Additions) �f Date: Job Address: Owner of Property:," Address: 1 G( a � ree f " t be' t. Telephone: a�,7 Y1 Legal Description: Block Number: Lot Number: Zoning District: Contractor: �e t---�- State License Number: Contractor Address: f Telephone: Fax: Describe proposed use and work to be done: 16"'V�11 Gizi" Present use of land or building(s): 12 r r yet et j>-c; Valuation of proposed construction: 0� c'c` t' 11 What are the dimensions of the added space: '` feet x feet Will the added area be heated and cooled? - New electrical or increase in service? �. Add plumbing fixtures? Add fireplace? Add heating/air conditioning? Is approval of 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, or the addition of 51111 or wo-e- to the original 'impervious area or the removal of any trees? C3'NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. DINO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction 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 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atiantic-beach.fLas Page 2 Wised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information 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 information of person to receive all correspondence regarding this application(please print). C_�j4Name: , ,1 Je Mailing Address: Telephone: Zvi _ ,te/ Fax: E-Mail: V` d s&.::.�(�i ink AS TO OWNER: (Sworn to and subscribed before me this 6.' .'> day of l.% C C 1 r` ,20_ ` State of Florida,County of Duval ,tw i (, MOLLY M.MONTANYE Notary's Signature: ZL -I ' 7 F MY COMMISSION N 00 32M EXFIRES:August 4,zoos Personally known 1-0006440TARY FL Notary 04Count AM=GM ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ei.atiantic-beach.fLus Page 3 Revised 8/04 J3 < r CITY OF ATLANTIC BEACH -+ �r Wilt ' OWNER/BUILDER AFFIDAVIT Date: Job Address: CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE- OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK.THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TILS WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMF`i.OY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN -OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-58217 IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSU F AN OWNER-BUILDER PERMIT. 30,NJTANYE 0 328= ?.200a PROPER R/BUILDER 11D00 9 NC TC.1` 3� :�s co. SWORN TO AND SUBSCRIBED BEFORE ME THIS_QDAY OF ; " 0 55; NOTARY PUBLIC '•l MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. v 144,4 qeks1se s-& .02-Ck ,4 fi, &?,a R- po c�2q?- (kms) _— o' r 3' -- 8'q c� cpoe� ° a FILE CN, prop 0 S6 ��--- z i �a► � � ;� 5 3 -33 i 4k 4 h ftp a ;•- �Oed� 12/28/13 05:20 FAX VE Y MA P SHOWING SUI Lot 9, as shown on the Plat of Selva Marina 'finit 12, rls rm:or(lccl i.,►' k►I 1 ic:i:► ! nocords Volume' 4704, Page 13.01 of the Currc-l►t Publ i.c 14-L-Ot-OS c]I' D«v.1.1 County, Florida . For: Alto>re, Inc. City of Atlantic ON �• MutNng and Zoning 0411►srMwnt 11Nt app WW wrMas don OWIN wtlh appiloable toning, subdivision and other local land Y": , �VebpnleM regulations, but does not constitute appiawI forgo issuance of permits. compliance wkh iWW@ BWWIng Code and all other applicable - local, State wW Fedwrat permitting-tt4u+roma nts theat be veAitad sfpnatwe of the City of Atlantic s �Z) Besah Buhwg i prior to Ms Isonce of a am" Pennb. Appmost!9r, Community 01 dor• r _...------•— l r�� CITY OF ATLANTIC BEACH Cc: 'j' v5 � BUILDING / ZONING DEPARTMENT � iins 1 =- 800 Seminole Road . oer� ilRd Atlantic Beach,Florida 32233 r\ j (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # jot-5i Property Address: l 'Wvn�d-(" C l� � Applicant: �( 9i Project: Leo ALI 4 ( a + Arc 6 This permit application has been: 7Approved F7 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Uk Date: 10116 Date Contractor Notified: j CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Alterations &Additions) Date: dr 3 . c�C� 6" Job Address: l re,C i -e tic A Owner of Property: �p« P + 1/0,1 L1G�. 1 ' Address: I C( i of C:reC K s I d e l l2el Telephone: Legal Description: Block^Number: Lot Number: Zoning District: Contractor: �1 State License Number: Contractor Address:�d rPme.es.,: r• � Telephone: Fax: – Y( Describe proposed use and work to be done: ��lC�(�F% d C.IC� 6 11 c� e 1(,0,1kid 1 L ,n Present use of land or building(s): 1' l ist ct ltst AL+ii�� - Valuation of proposed construction: P 1, 0 0 0 What are the dimensions of the added space: feet x 3 feet Will the added area be heated and cooled? -- New electrical or increase m service? �. Add plumbing fixtures? — Add fireplace? Add heating/air conditioning? Is approval of 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, or the addition of 5% or more to the original impervious area or the removal of any trees? [3'NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. []''NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction 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 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atlantic-beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided with this application is correct. Signature of owner: JDate: !O/E 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 information of person to receive all correspondence regarding this application(please print). Name: Q //tt 'Q I MailingAddress: j J I C r!e-e kS -e 12 c t`L _ Telephone: aC -7 g �(P�_ Fax: -2 y?—5_1?Cp f E-Mail: r W<,M4 oe Q ISP Its 6 c l k �h� AS TO OWNER: worn to and subscribed before me this t4 day of lJ__�;� ,20_&_S State of Florida,County of Duval ��yry MOLLY M.MONTANYE Notary's Signature: �1 //I �`i/a��'YR-- �Iy�� MY COMMISSION* DD 2� al EXPIRES:August 4,2009 140004440TARY FL Notary Obao rs Aso=ft Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ei.atiantic-beach.fLus Page 3 Revised 8/04 Z CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: Z0 3 Job Address: lqtgtL r E side �(R c fe— CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE- OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIFS TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMI=LOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSU F AN OWNER-BUILDER PERMIT. '10v Ply* � 7 �� pWONTANYE ,` �. (1 ✓✓ n +nq# DD 328333 (.,�'`v nF i"0� - gust 4,2008 PROPER O R/BUILDER I-W"NOTARY FC.r'Vc,vry JfscounlAssoo.Co. SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 0 200.s7 -14 pv NOTARY PUBLIC MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 'l. } � ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027599 Date 1/28/04 Property Address . . . . . . 1912 CREEKSIDE CIR Tenant nbr, name . . . . . . RESET KITCHEN SINK Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --------- - - - - -- -- -- ----- - - - -- - -- - - ----- ----- --- - WEEDER, ROGER CHRISTY FIRST COAST PLUMBING 1912 CREEKSIDE CIRCLE P .O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 - - ----- --- ------ ------ -- - ---- - - - - - - - -- --- -- --- - - - - - - - - - - - --- - - ----- Permit . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------- ---- ---- - - - - - - - --- -- - - - - --- -- - -- -- - --- - - - - -- - -- - - - Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 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 ART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL 1 CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION r /1Date: / Property Address: Owner: Telephone#: ol Contractor: C71RWY COAST ALLt'MVG,tl .Telephone#:©P. a #aff 30446 Contractor Address: Jacksonville Beach, FL 32250 Fax#: In consideration of permit given for doing the work as descatibed in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, New list the building permit number: O Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters �- QI RC1 Others "In Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 800 Seminole Road• Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845. http:Uwww.ci.atlantic-beach.fl.us s, CITY OF ATLANTIC BEACH s 800 SEM HOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027702 Date 2/13/04 Property Address . . . . . . 1912 CREEKSIDE CIR Tenant nbr, name . . . . . . REPL RECPT & SWITCHES Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ---- -- - ---- -- - -- -- - -- - - - - - - - -- - - - - - - - - --- -- - - - - WEEDER, ROGER VALDAN ELECTRIC CO . 1912 CREEKSIDE CIRCLE 338 19TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904 ) 716-3626 ---- -- ---- - - - - -- -- - - - - - - - -- -- -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- --- - - -- 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 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 AWART OF THIS PERMIT. S JECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL d1y9 c�i � : cd-��V4 n, CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Property Address: Owner: Telephone #: Contractor: � L �� �� (-- L�ILtC Telephone #: Contractor Address: [O f- hW+,V jt(, (3 E4XJ� Fax#: Ay)93 PV t s-/ In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New Residence ❑ Temp. ❑ New being done on this building 1( Old ❑ Commercial C3Si ns ❑ Increase Or site,list the building 'l' g Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN I I 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign // Miscellaneous Lb°14 ` L&jrt W— 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.cLatiantic-beach.fl.us S , JtS, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027697 Date 2/23/04 Property Address . . . . . . 1912 CREEKSIDE CIR Tenant nbr, name . . . . . . REPL KITCHEN CABINETS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6200 Owner Contractor ------------------------ ------------------------ WEEDER, ROGER OWNER 1912 CREEKSIDE CIRCLE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 6200 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Grand Total 97 . 50 97 . 50 . 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. B _ DING OFFICIAL ? rl J `Ie1 r „p CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: (9— Job —Job Address: 1 9 Q of icle, CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE- OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS 7DAY OF 266.'-1 ti1"?';,•• JENNIFER SCHLUETER MY COMMISSION#DD 121301 PUBLI i o,€ EXPIRES:May 27,2006 T MMISSION EXPIRES : NO Cc: CITY OF ATLANTIC BEACH D. Ford J� BUILDING / ZONING DEPARTMENT Fr-Friag—airs i f 800 Seminole Road Doerr r S) J _ Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # Z-7 (0,9'1 Property Address: 191 -z Applicant: L�EE7i✓(?- ., Project: EPL k-l-r-LitUd CA 8 ►►JE�L� This permit application has been: Approved � �' 40 IRW; Reviewed and the following items n x 4 �g Please re-submit your application when these items have been completed. Reviewed By:�(�' Date: t z( e''L� W W O CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR INTERIOR REMODEL) Date: Job Address:Owner of of Property: f�r1 ,� � f _ Address: (-116° (j�,/ —ri,e r4, Telephone: Legal Description: Block Number: Lot Number: Zoning District: Contractor: rA" " 0C State License Number: Contractor's Address: Telephone: Fax: f Describe proposed use and work to be done: ka'A Cy ���Gi�� ►��'S K.( r1en Present use of land or building(s): Y`e 5--kAg n Valuation of proposed construction: 1�� app t t New electrical or increase in service? Cs.s Add plumbing fixtures? Add fireplace? Add heating/air conditioning? =0 ,5 Is approval of Homeowner's Association or other private entity requiredWO If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two(2) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I hereby certify that all information-provided with this appli tion is correct. ( '�� � f Signature of Property Owner: �` � Date: eq I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/15/03 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: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of 2004. State of Florida,County of Duval , ANA MY Notary's Signature: �IX-44k MY COMMISSION k DO 121301 EXPIRES:May 27,2005 ❑ P sonally kno ft &ndedTtruNo"PuUrl er 0 Y01* ^ 3rroduced identification Lam' Type of identification produced (00"� `ll'(J` rJ).3` AS TO CONTRACTOR: Sworn to and subscribed before me this day of , 20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/15/03 Feb 12 2004 1 : 52PM HP LASERJET 3330 p. 2 i )UOTE0 TO: PRICE: W. U. NO.: --RRWEEDER THIP TO: P. 0, NO.: i COST. N0; _01 NO: PLAN N0, INSTALLED: DEL: 13.0 INST: 114.0 EXTRA: 6.75 0001 COUNT: 23 )ATE: f0-13-23 HOUSE TYPE: POL Reg: 0.0 PCL Curvei; 0.0 NODD; 23 MEL: 0 1USTOMER: SSEMBLER TOTAL: APPR. DEL DATE: j C/T BOX: 1.5 ADDRESS: G, TOTAL: PREP. BY: :CHECKED BY: TELEPHONE: DELIVERY: :ustomer fully understands layout a d acknowledges styles 6 colo rs.Sign: Date: SIGNATURE 1 IGNATURE 1 ----VILLAGE MAPLE ---- ILLAGE MAPLE: ---- --�-- MAPLE APLE i 1 SPICE 2 ICE VENEER SKINS SNEER SKINS ----SIR MAPLE KNOB ---- R MAPLE KNOB ---- --i-- 5 PIECE DRAWER PIECE DRAWER STEEL SWR 8OX TEEL DWR AOX !r N PARTRY RETAIL K 424/166 151 6" .4 r� TRASH 2.2 40 40 '45] S SFT q FT 61 41 020 WIG u DU RAIL "1 44 2 RO'S T 4.5 zi C616p, , bog © tb 4 RO'S I 6634440 WOOD VENEER Fill lO E PANEL 613X2440 UO uENEER Wye PANEL F— ..t4/t'bOT i i i i I fn•�.vps-lc..�..r� 11 �51• gl i i i I 1 14 DtW-CM2�o) 0 T, COMIN WOO VENEER t -[ 1 f ) f1 LE ST L ROIL T -6mm COO-RDS) =C4 ROOR) t Z ) SNC FRONT Ti AT Ow"N, coo-SrT) I eiiiI Oom Ori 2. �f APP OVER i CITY OF AT ANT1C BEACH 0014 3; / BUILDING OFFICE / DOM 4' �4 / /I FEB 12 2004 !1 By: - Monday, October 13, 2003 "n VVV��V/ N O o G 3 O Z � y fn ! M in 0 d o 0 rJf�S Computer rendering may not be 100% accurate 23-RRWEEDER Feb 12 2004 1 : 52PM HP LRSERJET 3330 p. 1 Fa►x ftviri lllw iar�+ o MUM u.MOWN(M)M4 =Uftvmvp TWO y , -�-. f d Ax &p 9M Adomil A I t, IlL 32M t� fs�� �(ON)433400 MIN. RETURN Brook 11633 Page 641 PHONE NOTICE OF COMMENCEMENT State of (_ 6 Tax Folio Na County of 1)GA L) E.t 0 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT'S / Legal description of property being improved: K-Sk de. Cl r C C, 3�a3,3 Address of property being improved: 'tt General description of improvements: Owner: C 1. Address: a 6_ Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Address: Contractor: {� Address: c Phone No: Fax No: Surety(if any): Address: Amount of Bond$ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone Phone No: Fax No: Name of person within the State of Florida, other than himself,designated by owner upon whom notices or other documents maybe served: Name: Address: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY !' � WN� � �Signed: Date: a��—��l Before me this _')day of F'=(' , in the County 0149 of v t fStat�e f Fl rid as ersgna yap eared . 116 3 n , �. Pate: 641 toy Public M Large, State o Florid C my of Duval. Filed 11 Recorded My commission expires: �� 02/12/2004 10:59:19 IN Personally Known: or JIM FULLER Produced I CLERK CIRCUIT COURT DUTA COMITY ; 5.00 ,ti JENNIFER SCHLUETER RECORDItRi :: MY COMMISSION a OC=a._311 TRUST FIND $ 1.00 = �aL EXPIRES:May?i.2Or.r, I s ; ' BftWTruu NW", Pak DEPARTMENT OF BUILDING 3847 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD FAILURE TO COMPLY THIS PERMIT MUST BE POSTED ON JOB WITH THE MECHANICS ' SI/14��19 LIEN LAW CAN RESUL Date IN THE pROPmry Valuation$ 44,864 Fee$ 124.00 OWNER PAYING TWICE FOR BUILDING This permit not valid until above fee has been paid to City Treasurer, and is IMPROVEMENTS. subject to revocation for violation of applicable provisions of law. Cy This is to certify tha* Al Tore, Inc' has permission to build a residential Classification S/F Willing Owned by Al Tore. Inc. Lot 9 1912 Block S/D 'Q�1 House No *0ft* Creekside Circle According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE .�� ► Z Building material, rubbi }� from this work must no P { -1 public spacp,,I0l must'$g $18 and hafiled away�#y ei�her or owner. • ` r € 700 Bill Bill M. Davis I sl Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER c: "tM FOR OFFICE USE ONLY Date-•-----•-- /..............19?A. Permit * ...Fee$.••/2-J................... Ls-4 F ATLANTIC BEACH Valuation $ ................... FLORIDA House ..............Vii.._.......................... .................. ..LV ............ C;Ty OF ATLAPhRCHT ION FOR BUILDING PERMIT C14.. � ........ .......... ze)."�' �2 0............. ...... . Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlanfic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. --,;)V Date_....... Z 3 ............................................. 19Z:i --------------_------------ ----------------_--------- Owner. . ..... .................... Architect.....&- /z,? - I F-----------& -----------------Addres&-.-/---Ftot elephone No� .. ............ Contractor Builder-/_-. F_—-------------- .. .............Address-�.V------�-�,F-.-_4_.!v......_1.�1._�Aelephone '- -- Lot No------------ ........------------------------Block No.!;��A)_;.!---1;;�n.Sub ---------- ----- ......C;.P0!;.Stre,t--------_-----------....Side Between.l.I ---------5;�-------- ........Zone-_-------------- ------t ...and------------------------------------------------------Ste Valuation $--------------------------------For what purpose will building be use------F;.Yf'DE)Off'4/.Type of construction................................. Dimensions of Building._�/---- -------------Dimensions of Lot_-_ of Footings.... ------- Size of Piers---......_----_--------------...Size of Sills.---_---------- ----------Greatest Sill Span in ft.�_/............Type Roof__- .. ........ How will Building be Head?------4� _ ----- --_----Will Building be on Solid or Filled Ground?.-.,-:- .............Size of Ceiling ----------..... Distance on Centers..--... ...... Greatest Span_.._..__.._ . ...................... of Size of Floor Joists_______________________________________________Distance on Centers__...._... .......----------------------. Greatest Span........__-_____.................._.____.... -- --- - --- - Size of Rafters-----------------.........------_------__........ Distance on CenAep --0.V__E D------_------_- Greatest Span-------------_---------.................. .. CITY OF ATLANTIC This rectangle is to represent the lot. BUILDINGBEACII Locate the building or buildings in the OFFICE: right position. Give distance in feet from SEPall lot-lines and existing buildings. 3 1978 REAR LOT LINE Two copies of plans and specifications shall be submitted with application. BY Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. `1 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for in e work as described in the above statement, we hereby agree to perforrr work in accordance with the attached sand specifications, which are a part hereof, and in accordance with th,- regulations of the City n49Bea Signature of Builde .... .. . . ......... ......................... Address.. ............ ................. .. .......... ................... . . ........... ............................ Address.-- .............................. ..... Signature of Owner... .. ....... DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 3839 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 9Z13f?E3 19 Valuation$ PUMBING Fee$. 11.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that F. W. Fair Plumbing has ermission to build_ to install 1 411111A sink,--3 lavatories, 2 ba1 �tub�is, 2 closets, 1 water heater, 1 dishwasher, and 4 2110CIAZAte Classification rjaA i dent;,a] Zone Owned by Al Tore t Inc Lot # 9 Block * S/D "12 House No According to approved pians which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE 4 10 11 ► O Building material, rubbish and debris from this work not be placed in public space, andd must be cleared up and hauled away by either contractor or owner. Bil1�Nt� , IE3avli, , Bail Q Off el t* pv� .t r •� CAM FOR OFFICE PERMIT ii4:ff €, y` ' USE ONLY NUMBER DATE. CONTRACTOR t= PLUMBING ELECTRICAL SEWER i, WATER mow ter., gr AMUR .. .k». .. ....�.. a. .. �.._...�.. ..�.m.n.,.�..�. STATE Com"I FI .w.m.....�, Ot .'aRa,Mp1.'.�Ra]S+'-�mw.WW�sM.s+IYMrW✓,uM."nPMWlitf�!�+'LMq WM�WA�{f.si'W9�!'w�aMl.@M�sp1gpY ta— —Z—X.%TM W�TM lzvom forn" COM I "&LATBt" OF K%Blkg AM frQ ; - T SE ON ACOWAWM WITH THE f4w W.Vir EO0TPQM xW SDJTWM PLVAI Ma MY OF ATLWIC OEAC3i VATSt OMMi CM 014M MAV ONt � / i ..i0 P "s'w«1wR+wrI+YNY¢war,NwrNaNaneyM1 01sr W� 'wI,IR.LIII•�BIMRe4lIMAYMWv4YweIMNRONNy61NM1.MA,IIMWp%tr WILDER OR wcr IAbwW-TYK NiMPWW.p.W,..,P�lw/(MYp.m/.rpMw.I M.3rypp I V i.I.I'Y Nr t/.bbtsYr iAMbM16 2mtitp' t) (7 +Mbw1..Ww APR aN4s�..,.t.r .. •. r�auawv 071M CMT' i iwAr f a iii8f'ltRaD OR MMM STALL (5 unl*j) PER HM M tml lMlfm (€dg' 3 OR V,17mw CSR 'SUMS S i w t-1 units) W-M SMM) (2 ung ) cavi s) ,..,...., VLUSHIHG Rite SOW CS units) r ,SMICE CSC S i W,.TRAp S'CAw:QA vol 1 _CMINAM M SONK PtlD TRAY C3 on1tt' i T (4 uni tz) , SOLLERY SINK (4 unl`s) _,,,,„d,„„„CMAL I' M Com'i UM 0 unit) -.1UROMAL, PEMTAL, SYPHM jET, .JDWAL LAVATM C unit) —,URINAL, EKC: LIP (4 units) "_0R9NKfH9 FOUNTAIN Q unit) ,URINAL STALL, %tASMff C4 crani is i (2 unift) „Ki TCWA S i W C` us i'E'n! JMHIMB WOOKE (RES.) V units is ,,,,,,,,,,,,,,,,,K6 TDCN S!ASC V/FM WMX Gala .,......... 'H S i MK, EOCH SEB” OF PAU= (3 v a#t s) (2 units) —.f......L+YA31 Y t t unit) __ . TER tLOSM, TAW agMTEDr (4 units) (2 units) ...a.,.�JWATER CLMM, Y`N.YE 4TED Cid units) LAUMM MY Ul units) CITY OF ATLARTIC AEACH APPLICATION FOR WAYER CU?'-f# ADPL CA I SMY ,LS HfoREBY MADE Foo 3A IFATER A THE FOLLO'WNG AWRESS FOR-- CHARGE OR — "ce"t"T f A n. it, Rso—R9'N "f TE -ep+ dr,`� coo COO L 0l� �� I° � f . i CO YY OF ATLANTIC MACH mUcapol EM am memo= AaXA1 NO w .�... � -/3 Leo - — -n" OF, MIOLDIOq �� V' 4` •�lR� I I Ild I�O i� E L'�ir0 'CITY OF MOM SEAM 716 OCEM BLVD. A'fi AWIC ill, FLMDA 2. The triached plan far the abwso bui i di ng Is ppprar+ed subJeot tai *00109 the far I owi ng wept l b l* conaetrvaH ext r ogeri res; 0. ,.j„ m:- shal l be cmtl nous moml i thi c c aner+s% under acto4 or %at Is, rot eeforced mal th 4W* 5/61, defer rel-nforet ag.row for +oma- " but I di W and "tree ". deformed -rei.raf mW ng-rods. for tww-*" but i dI ngs. fei nfvrcl ace raft Arae 11 be p l ice the iteor;,moi rat of fitae► f4*+I nv, Properly Placed and faer9 saw on +sail *NMI** tri tit Mire. Pow i ngs stol I be six i sew wider an each of rs +Own the +seat 1 l i be at ISW Blot Indies #bk* and eatatl nest an fitie sof l at toast twalve Isel a bslaw waradi sturbod sof I. b. h unit cereal I be reinforced of" at I-east Ossa No. S bW at Al I c o asrerse, pxorerr snd ILL -A %if% cancrarn; sine rai nfeml e g mat I be proWly tied Into the f(Xti seg WA Spetw1ral berms. c. t I be eecuraI y #listened to "to tar war i Is with hel—r°i or el IPS. d. C nstewrcti on of gwrby amt-facer IV Aal i i ep, ah)ch aro dup i i tsor Into l y slat for, shall bar veolded. Such viallarfty e "oiders a external cxnfiguratic aced eptrara Vne I (i.e., roof, cuter weI I u�ed*-l a l s, window of ma anal reef gn, eed DI f ha scteri stl cat or sew vros. In accord with the f+orsgref Mf, similar air duplIce% haaeeei'+ahat I not is cans+hvclqd within doer prpo ally of each ~, and ,aftl I be► at la 3 feet apart If u on suet ar° ue dl1tseg is v1sable fr`4w any s;lallar diwiling. a. Sewer sake eannettl+anis Hees+ be probed with c IBeer-cut reds i n "ie po oseree of a Cf tjr ;lea 'hor° #. Tia final canneotton the Phobf and '!fie *"a* conneo#'i+on► tat the +,DumpePtIF I i no) i "to of bet ag coverad. Mir lY The wederallpied tmvby certifies "Wt he has nod thr above and wedrd+.r<ltaetds that "is addenOn lata pr,v:.etiieeaa an r } ra/ dotal Is tothat plane &W opal floe"on � and myr�ee +0 c Wly with tft Inl eal of this oddwmW Caatas�cxrloeeneer b Addros 4.w' _61 k ,y. Or tom' . 'T ORM w �`M1, �. ~:A r '� •,�eK' �3'y��°,> '+� f a�4^�ry k� a,�.'� " i F,'� 'fii WN > » W 4 U� VJW aWtt'� .X y t4 F'uF "Y*` t 4 Y RM, A. s 1. 4 w�' w�' 0^ `�„� �, �. m,r�� Y�P.: '�' •r,�.{ a, ���0y3�� 4 y� �'d p�` �, "y >�t'�;' oaf 4y�, Ru' x ty. �7��5t ,aik s t� 5�- 4 'a � ua�•..,xt `� to� � Y. v not <f et" ��# `��.d'�' �+�; "�rg���. �' � ''� '"' � � `d^id;.�. -r '"zr �°S '•� �."�t'� ice' + "' �, ms' s. �� az��'"'4�+- a � @ a g2�s"°�+• ask,. t&, i +t��'". � q � � x""'�;15w ' �.• j` ! � � � � "AA`G�' t �� h 1 Y f fYi 'f •: ��`�,'o � .y{ 4 �41 -0,04Qe � zat ,^� a h! '7 �. y}� � WWW W x yT l �A � 2.ff: Y '[ eY,;,�,y,x�5,, / a' by!< ) kw,pfr'gt?Y L.5 s. xt�&., ,. 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