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Permit 16 Donner Road CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 yJr3 Application Number 03-00026235 Date 11/13/03 Property Address . . . . . 16 DONNER RD Tenant nbr, name . . . . . . CAAR EXISTING UNIT Application description . . . COMMERCIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . 1200 Owner Contractor -- ------------------- --- -- --------- ------------- B-K PROPERTIES PRIMO CONSTRUCTION SERVICES 5501-2 BEACH BLVD 1339 CESERY TERRACE JACKSONVILLE FL 32207 JACKSONVILLE FL 32211 (904) 545-9682 (904) 744-0500 --------------------------------------------------------- --- ---- ------------ Permit . . MECHANICAL PERMIT Additional desc 2 EVAPORATORS, 2 CONDENSERS Sub Contractor MARVIN WRIGHT REFRIGERATION Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation 0 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 WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL r t CITY OF ATLANTIC BEACH ,J j n, MECHANICAL PERMIT APPLICATION f3� Date: Property Address: Owner: I, -' �L- t'r� �� Telephone#: ContractoL l ' Telephone#: J S-73 7 Contractor Address: d Z 7 Fax#• 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. Type of Heating Fuel: If other construction is being done on this building L3 Electric or site,list the building permit number: ❑ Gas: _LP Natural _Central Utility Q 2 ❑ Oil J ❑ Other–Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed _Central _Floor 13 Residential ❑ Air Conditioning: —Room _Central ❑ Duc stem: Material Thickness Cho ercial Maximum capacity cfm ` Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpm El Fire Sprinklers:Number of Heads Existing Building ❑ Elevator: __ Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Boilers ❑ Extension or Add-on to Existing System ❑ Gas Piping ❑ Other-Specify ❑ Other–Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency D HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• http://www.ci.atiantic-beach.fl.us PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: Property Owner: Phone # 3 ? K Contractor: liet Cc:►�5 `J�}c Phone # 7 l - 0 C? Permit#: D e� �, ��23� Date Issued: Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building Tree Permit# —� YES NO Electrical Permit# Date/ Copy to JEA Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# Inspections: Rough .Final �! Plumbing Permit# 03- 2('cam(. 1 Inspections: Rough / Underslab Topout Water/Sewer Final c1- - Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final —� Fire Inspection: Failed Inspections: Date Paid: Date Paid: x�: SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J �.z. . ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 lilt INSPECTION EMAIL REQUEST: Buildin�dept&gab.us Application Number . . . . . 07-00000703 Date 5/25/07 Property Address . . . . . . 14 DONNER RD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc safety inspection ---------------------------------------------------------------------------- Owner Contractor - ----------------------- ------------------------ ALL CITY ELECTRICAL CONTRACT. 13768 WEBB ROAD JACKSONVILLE FL 32218 (904) 714-0131 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . 5/21/07 Valuation . . . . 0 Expiration Date . . 11/20/07 ---------------------------------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THF BUILDING CODES. CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD w ;r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Application Number 07-00000703 Date 5/22/07 Property Address . . . . . . 10 DONNER RD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc safety inspection ----- ----------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ALL CITY ELECTRICAL CONTRACT. 13768 WEBB ROAD JACKSONVILLE FL 32218 (904) 714-0131 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . 5/21/07 Valuation . . . . 0 Expiration Date . . 11/17/07 ---------------------------------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r',f r HP Officejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 May 22 2007 8:30AM Last Transaction Date Time Tvne Identification Duration Parses Result May 22 8:29AM Fax Sent 96657372 0:43 1 OK M ' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: B'_ . �&us Application Number . . . . . 07-00000703 Date 5/21/07 Property Address . . . . . . 14 DONNER RD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------------- Application desc safety inspection -------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ALL CITY ELECTRICAL CONTRACT. 13768 WEBB ROAD JACKSONVILLE FL 32218 (904) 714-0131 ----------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 Expiration Date . . 11/17/07 ---- ------------------------------- Fee summary Charged !70 . Credited Due - - ------- ---------- Permit Fee Total 70 . 00 0 . 00 . 00 Plan Check Total 00 0 . 00 . 00 Grand Total 0 . 0 0 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t CITY OF ATLANTIC BEACH , ELECTRICAL PERMIT APPLICATION Date: J07 Property Address: o n n P r Owner: /c��e.�Jr f'} Telephone#: L f 96�a Contractor: � �� y C i�'� C)P+yQC'l' YLQ Telephone#: — Ql Contractor Address: 7( ' d,o )'R� Fax #: 379 — 06 0 ,-:2 It 4 Contractor Si nature: In consideration of permit givIfooing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached d specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of ooce listed therein. Building: Building Type: ❑ Trailer Service: if other construction is ❑ New ❑ Residence ❑ Temp. ❑ New being done on this building Old Commercial ❑ Si Or site,list the building Signs ❑ Increase Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUNIlNUM Switch or t RACE Breaker AMPS PH W VOLT `{d WAY Existing Service Size AMPS PH W f� RACE VOLT .��d WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Rece tacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V O ER 00V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800. Fax: (904)247-5845. http://www.ci.atlantic-beach fl us Revised 1/04 v W J7 ;mss v'-4 Fac;9��N�GnnEi �'\meq APP l � �oNr��a R�► ROVE) �C'Al E CI LIV DGOFFICENBCH w� w . �, „» . ----------------- ---------- ___ �� _. i G i t ,l6 , y nit iVO Iz. � A - i k Ckova tAN� s b e,acs�pswl°`'{'i N Zoe A� /erk; U,,Q+� Ya e,6, F v L o �S cop y . ILA o FILE COPY I��,� � ►�� q "-74'1? ,�C'L1l.E v++� lei,' APPROVE? CITY OF ATLANTIC BEACH BUILDING OFFICE FIL COPY ; ➢a 1, ,u )fu"" _ l e; =� �.,;, k ��_� a ,.��.�,; .: ,., 1 � � G _ I�,lo� � Co�,.Pte�• �3�eM��}+a� �� 0.bQve W TN S�1'0.11 $�a i+"S� �a L.��r �•}�c-a goo ° CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j a ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 f� Application Number . . . . 03-00026061 Date 5/14/03 Property Address . . . . . . 14 DONNER RD Tenant nbr, name . . . . . . INSTALL 4 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ 13 & K PROPERTIES, INC. PLUMB-PAL, INC. 1728 SABEL PALM ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 743-2233 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING 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 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 4. VEHICLE TOWING AND/OR NOTICE OF IMPOUNDMENT 1.VEH.YEAR 2.MAKE 3.MODEL 4.C.E.C.# REPORT �cV (�A� U ATLANTIC BEACH CODE ENFORCEMENT 5.COLOR 6.TAG NUMBER STATE YEAR 800 Seminole Road a 247-5800 16.WAS VEHICLE IMPOUNDED? 7.VEHICLE IDENTIFICATION NUMBER j YES ❑NO THE OWNER HAS BEEN NOTIFIED OF THIS ACTION 8.OWNER'S NAME(LAST,FIRST,MIDDLE) YES 0 NO NOTIFICATION BY PLACARD 9.OWNER'S ADDRESS CITY STATE 0 NOTIFICATION BY PLACARD AND U.S.MAIL 10.DAY,DATE,TIME OF OCCURENCE �^ " 17.ARTICLES TAKEN FROM VEHICLE(MUST BE PLACED IN PROPERTY ROOM) 11.LOCATION VEHICLE REMOVE6 FROM f� y-moi E NUMBER 18.INVENTORY AND CONDITION OF VEHICLE 12.NAME OF WRECKER FIRM J^ YES NO YES NO 13.ADDRESS VEHICLE REMOVED TO RADIO STRAIGHT WIRED p`s TAPE DECK KEYS IN LOCK 14.REASON VEHICLE TOWED TAPES( ) DOORS LOCKED C.B.RADIO TRUNK LOCKED SPARE TIRE VEHICLE DAMAGE TOOLS AREA OF DAMAGE 0 NA 15.RELEASE OF VEHICLE BATTERY 0 I HAVE PAID ALL CHARGES TO THE TOWING COMPANY AND REQUEST MY VEHICLE BE RELEASED. OTHER ITEMS 0 1 HAVE PAID ALL CHARGES TO THE TOWING COMPANY AND REQUEST A HEARING. 0 1 HAVE NOT PAID CHARGES BUT REQUEST A HEARING AND UNDERSTAND THAT MY 19.THE INVENTORY OF THIS VEHICLE IS CORRECT VEHICLE WILL NOT BE RELEASED UNTIL THE CONCLUSION OF HEARING. V SIGNATURE AUTHORIZATION TO RELEASE VEHICLE 20.HEARING DATE TIME: Date: Code Enforcement Officer HEARING OFFICER FINDINGS: SIGNATURE OF HEARING OFFICER 21. IMPORTANV'NOTICE TO OWNER- IMPOUNDED VEHICLES A. You are hereby notified that the above described vehicle16-being impounded pursuant to Atlantic Beach City Ordinance Number . Towing and storage charges will be assessed against your vehicle. You may elect to: 1. Pay towing and storage charges to the towing company; 2. Request a hearing as to the propriety of the impoundment and as to the owner's liability for charges; 3. Pay the towing company and storage charges and then request a hearing as stated in #2. B. Failure by the owner to request a hearing within five(5)days after receipt of this notice may act as a waiver of his right to a hearing and may result in the placing of a lien against the motor vehicle for the towing and storage charges without a further notice to the owner. C. It will be necessary for the owner to obtain a vehicle release at the Atlantic Beach Code Enforcement Office before the vehicle can be claimed. Proof of ownership and payment of charges to the towing company must be presented at the time of the release. 22.OFFICER'S NAME 23.I.D.NUMBER 24.SUPERVISOR I.D.NUMBER COPIES: White-Atlantic Beach Code Enforcement Department Canary-Release Copy-Wrecker Company Pink-Owner Copy NOTICE TO THE OWNER AND ALL PERSONS INTERESTED IN THE ATTACHED PROPERTY This property, to wit: C%a '�'� a" r�.� :�� '' � 77/'4--e=i� located at: is improperly stored and is in violation of the Ordinance Code of the City of Atlantic Beach, Florida; Chapter 21, Article 11, Division 1, Section 21-24 (a) and must be removed within ten (10) days otherwise it shall be presumed to be abandoned property and may be removed and destroyed by order of the City of Atlantic Beach. If the property is a motor vehicle, the owner will be liable for the costs of removal and destruction. Dated: Signed: Cod Enforcement Officer City of Atlantic Beach 800 Seminole Road Atlantic Beach, Florida 32233 (904) 247-5826 16 I V'��BiILDING AND ZONING INSPECTION DIVISION c �) 1 U CITY OF ATLANTIC BEACH, FLORIDA z i, N z ELECTRICAL PERMIT i Date 4194174 Fee $ - SO Permit No. 0 � J LU Location 14 ' anatJt U" m Between and Q This is to certify that a -L $ `` .. _ ty (Electrical Contractor) (Master Electrician) E, has permission to install Electrical Construction as described herein in W a accordance with the provisions of the Electrical Code and regulations V °c of the City of Jacksonville, and subject to the information shown on the = c application, drawings and specifications which are made a part of this 3 Y for 4U4 and Lts%4A Wo. Sexy e oe v W 0 a _ Type of work: C80*tA+CUt lwlt" 1EI t p o SERVICE: C0111U # ' a N a � H V Feeders: LU Outlets: O V Receptacles: m Switches: '^ incandescentl zt- Fluorescent: Appliances: Air Conditioning: I Motors: Transformers: Signs: Miscellaneous: JCA &LA IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: - - &A&L MONTHS PERIOD, PERMIT Electrical Inspection Supervisor BECOMES VOID. FIELD ELECTRICAL INSPECTOR'S REPORT APPROVED INSPECTION DATE BY INSPECTED INSPECTED TYPE DATE BY INSPECTED TYPE DATE BY INSPECTED TYPE DATE BY INSPECTED TYPE DATE BY INSPECTED TYPE DATE BY INSPECTED TYPE DATE BY DEFECTS: COMMENTS: UTILITIES CITY FLA. POWER g REA CLAY COOP OTHERS LIGHT CO. RESET RESEAL MTR. NO. V. AMP. PHASE MTR. SET NO. V. AMP, PHASE MTR. SET NO. V. AMP PHASE MTR. SET NO. V. AMP. PHASE SET WIRE V. AMP. PH METER TAKE OUT METER NO. V. AMP. PM. MET ' TAKE OUT METER NO. - V. AMP. PH. METER TAKE OUT METER NO. V. AMP. PH, METER TAKE OUT METER NO. V. AMP. P,M. METER LINE FT. REFER. COM. CROP CURRENT ON TAKE DOWN OLD LINE WIRES A�� .4 S!.%LV- 1v� CITY OF ATLANTIC BEACH ss� 800 SEMINOLE ROAD y F ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026236 Date 6/06/03 Property Address . . . . . . 14 DONNER RD Tenant nbr, name . . . . CAAR EXISTING UNIT Application description . . . COMMERCIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . 1200 Owner Contractor ------------------------ ------------------------ B-K PROPERTIES PRIMO CONSTRUCTION SERVICES 5501-2 BEACH BLVD 1339 CESERY TERRACE JACKSONVILLE FL 32207 JACKSONVILLE FL 32211 (904) 545-9682 (904) 744-0500 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . Valuation . . . . 1200 Fee summary Charged Paid Credited Due --------- -------- ---------- ----- ----- - --------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 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 VyGF CH ARE PART OF THIS PFRMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Jk BUILDING OFFICIAL 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 S FAX:(904)247-5805 SUNCOM:852-5800 tyr http://ci.atlantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # Applicant: Address: , .-- Project: Your application is approved p it ap ' o as eviewed and the following items n attention: gh 'Wb.' - 15r �G o . l A90 U Please re-submit your application when these items have been completed. Reviewed by %i U z " "' — Signed_ _Date h •S • 3 Contractor Notified Date CITY OF ATLANTIC BEACH .r i3 BUILDING PERMIT APPLICATION (FOR INTERIOR REMODEL) Date: o(o —0 o� Job Address: jnLoAjAje; . Ptd Owner of Property: B+(C Qr 0�"rAi e-S Address:X41 .. Z gt prClx !&ATelephone: 94,T-- ?(o92- Legal 4,T-- ?(og2Legal Description: Block Number: Lot Number: Zoning District: Contractor: State License Number: CGC. OSpa S? Contractor's Address: 1.339 CASe C9 JACksoN u d(-e PA -12z 1 S Telephone: 5-L[$'— 437!449----' Fax: Describe proposed use and work to be done: >e.&.Jj�` mss,N j- 0-6rfe , Z' V,%N Present use of land or building(s): C'o fy t%x. Valuation of proposed construction: a 1 Zoo New electrical or increase in service? rJ es New plumbing fixtures? Al e New fireplace? t-1 0 New heating/air conditioning? se5 Is approval of Homeowner's Association or other private entity required? AJ61f 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 a ication is correct. Signature of Property 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 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: �ns� C.� w71 Date: - 04-0-3 Address and contact information of person to receive all correspondence regarding this application (please print). t Name: S •�C, 'a 0 E' C'tS rr Mailing Address: 2L3EACtn VG )CECt�5cAu1��IQ t 3Z.ZO i Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day day of `J - ,20 . State of Florida,County of Duval JENNIFER71MOa UETER Notary's Signature: ' r ' IvAy CQMMISSDD 121301 FXP!RESi,2005 0onaod Thr Notr Underwriters ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: / Sworn to and subscribed before me this day of1'� C1 ,20 Z . State of Florida,County of Duval Notary's Signature- R", ignature: �?Y'PV+• JENNIFER SCHLUETER *� :�3VON#DD 121301 ❑ Per sonally known R May 27,2006) ❑ , �PuNicUnderwriters Produced identification - -w-�- 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 1/15103 hl`�y 12 U3 Q3_3! a OS/12/20 o3 IJ:SS PAZ 04� 3582 ALDOlt SAL S INC904388254S P-2 t .... . ....r��T�Septet kr7ovMtk�wt swiss; .conte to In Our .r�s._arg F 'Rovingh to de iVe �e are evaWabte du .Ind the ftibe 4 aw OF or*dr sty, -. .tt rb. r.�Ot„n +Otatcr i �.N,e n9. t��Cltrt � �; . mft.'►atk �bhtS,'�_�R�0 1 d .sKraiu:yd gt et__ c �1 n,pty ,q'r.�«'°'!'k•+i X27 C G3.try.A "„rY f it,( [e &CAM ID L,k "._r.''y=o t+,,r r,�`� n"�sr' �er�'nth""c�+ah t+at 5 m r °'was t t r tbp q Iea TForst�Xftf"b^" u_ "dam• ,, /a±� ,,L� °i°w„ns Ott° ""k f,�x't Sys, ��t0 7 V* �,a `err ~r,• 'Cat Jus faift bqD 01 rfA rij� o O [fit q wt+ fill i b I Iro G 1' N� � �7 A�1•� Il �� 11 �$ � 1 ~: $ � � tea m cc iJ/ ,APT � 'ti. to i ,1 �,• ...'._ L.0 ¢YN, tel Ini1pJ � IS7Qi rcj OA m ra N U1 IA 05/12/2003 13:38 FAX 9047883882 SALES INC 004 s ASIA DCPR CORPORA Q.EARANCE REQUIREMENTS-MOI? x N - •:�'. i 14.•A . i'r of DEM ENRON PAmm SE�Gn;"CS a A-1 A-2 X Y V HAND UP TU 8' 6" OPTRATIM UP TO 10' 6" b" 21" 1tY' 21" DIRECT UP TO 8' W 6" 21" 10" 21" DRIVE UP TO 10' ilr 6" Z2" t0" 2i" CHAIN OVER 10' 10" 6" 23" 11" 23r REI)UC.ED UP TO W lwl 6" 20" t0" 20" DRIVE UP TO 10' 10" 6" 21" Il" 23" CHAIN UP TO 16' IO" 6" 23" 11" 23" UP TO 20' UP' 6" 1 24" 1 1Z" 24" S-&de Ri.Require& Mors over 14'0 W-We and 92 to 20'M14c,add 1"to A-2. r { - �..•.�iaC7AO•OF CTJI �r DOOR su"OR7 am%cm TS Ocwm of"E"WIC lemma"" I ISECTION QEVJ►T{ORI ca".0 'a".m 0.04 mm w'm CmAW " of* iMfVCL_ ETWOM6 ON 1MQ INS166 SAGNG AUT. Dorno rca a DN 9.1". t/GAM W. I tie 31 1 CITY OF �'�tEcsatic �Z�►atl� — �G�da, NO SFMINiOLE aaw ATLANTIC WACH,FLORIDA 32233-5445 TELEPHONE(9M)247-Me FAX("2^SWS February 13, 1995 Mr. Fred Lewis 5 Fairway Lane Jacksonville Beach, FL 32250 Dear Mr . Lewis: our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: ' 14 Donner Road Royal Palmis Unit 1 RE#171090-0000 w Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Chapter 12 , Section 12-1-( 6) (Unsound Structure - Debris). i .e. , The canopy over the garage has deteriorated and is about to collapse. There is an accumulation of building material stored in front . You are hereby notified that unless the condition above described is remedied within ten (10) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 .09, the Code Enforcement Board may impose fines of up to $250 .00 per day for a first violation and $500 .00 per day for a repeat violation. Sincerely, Ile Karl W. Grunewald Code Enforcement Officer KWG/pah cc: City Manager VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED SENDER: • Complete items t and/or 2 for additional services. 1 also wish to receive the • Complete items 3,and 4a&b. following services (for an extra m • Print your name and address on the reverse of this form so that we can return this card to you. fee)c --yy►►�� m • Attach this form to the front of the mailpiece,or on the back if space 1. Gp-&A ddressee'S Address does not permit. N Gf • Write"Return Receipt Requested"on the mailpiece below the article number. • The Return Receipt will show to whom the article was delivered and the date 2. ❑ Restricted Delivery C delivered. Consult postmaster for fee. m 3. Article Addressed to: 4a. rticle Number .r! /11 4b. Service Type ❑Registered ❑ insured / Certified ❑ COD 5 CT 4 C&S�V!(/110 ` ❑ Express Mail ❑ Return Receipt for 3 OG Merchandise 0 3Z Z� 7. Date of Delivery , / O O 5. Signatu re ) 8. Addressee`s Address(Only if requested Y H r and fee is paid) m LU 6. Sig ure (Agent) Ir- PS Form 11, December 1991 *U.S.GPO:1M-352a14 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE Official Business PENALTY FOR PRIVATE USE TO AVOID PAYMENT U.S.MAIL OF POSTAGE,$300 Print your name, address and ZIP Code here CM OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL,32233-5445 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026151 Date 5/28/03 Property Address . . . 14 DONNER RD Tenant nbr, name . . . . . . INSTALL SEP. 3/4" METER Application description . . . IRRIGATION/SPRINKLER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ B & K PROPERTIES, INC. OWNER ATLANTIC BEACH FL 32233 ---- ------------------------------------------------------ Permit . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 00 Plan Check Fee . 00 Issue Date . . . . 5/28/03 Valuation . . . . 0 ---------------------------------------------------------- Other Fees . . . . . . . . . WATER CONNECT/TAP & METER 525 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 560 . 00 560 . 00 . 00 . 00 Grand Total 560 . 00 560 . 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 V411CH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 4 BUILDING OFFICIAL 4 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD =. ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027514 Date 1/16/04 Property Address . . . . 16 DONNER RD Tenant nbr, name . . . . . . PARTITIAN WALLS,DROP CEIL Application description . . . COMMERCIAL INTERIOR BUILD OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 30294 Owner Contractor --------- - - -- - -- ------- - - -- - --- - --- --- ---- --- --- B & K DEVELOPMENT PRIMO CONSTRUCTION SERVICES 1339 CESERY TERRACE JACKSONVILLE FL 32211 (904 ) 744-0500 ----------------------- ----- -------- ------- - - - - ---- --- - - - - - - - - - --- -- -- ------ Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 556 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 30294 ------ - ---- --- ------------------------ - --- -- - -- - - -- ---- ----- -- - --- -- -------- Other Fees . . . . . . . . WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- --------- - ---- ------ -------- -- Permit Fee Total 556 . 00 556 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 35 . 00 35 . 00 . 00 . 00 Grand Total 591 . 00 591 . 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. k1 - BUILDING OFFICIAL i t f CITY OF ATLANTIC BEACH ice. .• ,5 PERMIT CALCULATION SHEET 4 Date: G �o N.�F•2 /� Address Heated Square Footage -@ $3_per sq ft = $ 30 , z 9 Garage/ Shed @ $ per sq ft= $ Carport/Porch @ $ per sq ft= $ Deck @ $ per sq ft = $ Patio @$ per sq ft = $ TOTAL VALUATION: $ 3 O Z p e-/ 30� i -7 � $ 3 Total Valuation Ist $ oo n $ Remalning Value �er thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ /,:Pj— ZONING: + %2 Filing Fee $ 23 FLOOD ZONE: ( ) Fireplaces @ $35.00 $ - 0 IMPERVIOUS SURFACE: 7)t3t . FEE - P.<oJEcr sr.,W6 - ,-BUILDING PERMIT FEE $ 2 7 Px 2 � S� 13E Fo its. WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 Gc - -� CITY OF ATLANTIC BEACH L.D. Ford BUILDING / ZONING DEPARTMENT S. Doerr J tt4 800 Seminole Road s) Atlantic Beach,Florida 32233 Jraf, (904)247-5800 ` (904)247-5845 Fax VV VV O PLAN REVIEW COMMENTS Permit Application # C-1-1 - -,2�T Property Address: Applicant: f r t rnK� �L1r��`�► a - Project: an M r" r f-1, This permit application has been: Approved ❑ Reviewed and the following items need attention: �- L L J ()O S N 104_ /VaPlease re-submit your application when these items have been completed. Reviewed By: �—.. Date: 01/13/2004 13:06 FAX 6194354760 _ THE UPS STORE 10002 ,Ian ,13 04 02: 32p Information Systems 247-5845 p'2 1 CITY C BEACH d BUILDING PERMIT APPLICATION f (FOR INTERIOR REMODEL)' 0,i Date: Job Address:1110 Ab Afl�� e, � Owner of Property: Address: a! L►� Jfi t/��le ��. - Telephone: 9�� •- Legal Description: Block Number_ _ Lot Number: ______Zoning District: Contractor: Ali)"a C19�t1 �roti1 State License Number: . Contractor's Address: Telephone: lJ Fax: Describe proposed use and work to be done; '�itJ(�CR �p/e- ��' �N wAL&5 ,Qe riu �iz// l�Xr�S�%�9 !tF✓�r igdd S�o�+C.L — Present use of land or building(s): �i+4 N�Q r^c r"rPZ- ltJf��/!t'—/`der✓`S E Valuation of proposed construction:_ 2—j140 -- New electrical or increase in service? /4-40 Add plumbing fixtures? Add fireplace? /tea Add heati4air eondit' ' 97 Is approval of Homeowner's Association or other private entity required?FIf yes,please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as approprinte. 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 BWlding Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)147-5826 In addition to construction and engineering detail,plans must contain the following info ntation as appropriate for the type of work being performed. Scale of drawings should be suflident to depict all required information in a clear and leipble mWmcr. 1 hereby certify that all information provided with this `cation is correct. X4 ^ —O Signature of Property Owner: � I)ate: '2-� 1 I hereby certify that I have and ed 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 compiled with,whetber specified herein or not. The granting of a permit does not presume to give authorhy 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)247-3845 -bttp://www.ci.stlantic-beach.fl.as Page I Revised IWV03 U1i1siZUU4 13:06 FAX 6194354760 THE UPS STORE [Q003 .Jan. 13 04 02:32p Information Systems 247-5845 p. 3 governing of construction or the performance of construction of the property. 1 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 rcguired. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: C Mailing L7A-C,4 &tVU/Ale_ �rq Telephone: [? rj'hhaz Fax: E-Mail- AS TO OWNER: Sworn to and subscribed before me this� day of `� � 20A. State of Florida,County of Duval JENNIFER SCHLUETER Notary's signature -'' .: MY COMMISSION#DD 121301 EXPIRES:May 27.20D6 `% R:f,do eo„yeaThru N My Pd tic Ur lerm lei; 9Personally known Produced identification Type of identifietWon produced AS TO CONTRACTOR: Sworn to and subscribed before tate 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-s44s Page 2 Telepbone: (904)247-5800 -Fax: (904)247-5845 .http://www.cLatiantic-beach.il.us Revised 1/lSrU3 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 in o ation 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 L �— ,20" State of Florida,County of Duval Notary's Signature: LEO C.HARMON + p�'k Notary Public,State of Florida ❑ Personally known My comm.expires Jan.27,2006 educed identification No.0066603 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 EA� LEO CHAR O..� [4.ELQduced identification Notary Public,State of Florida Type of identification produced �� My comm.expires Jan.27,2006 No.DD86603 800 eminole Road •Atlantic Beach,Florida 32233-5445 e ep one: 247-5800 -Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.us Page 2 Revised 1/14/03 1( FILE COPY �'rCOr. e,,e Tiv Avok t3a,L p o-u-r. 1 1 1 it ; 1 1 i i J I i I iii I j ! + i i ; I I ! i t ` 1 is 1 I, Ad� rdl ilk -47 Av ALC \j Pr Ar. P.40. \ry � �, � � � � ; � iiia � � � � � ��, �� 1�, �,©oa i JOA- A Z.& j2A*4 kl 600 r b,,-^A •p6-5 4 1"r,.Nf um 1LFtm. Pet POOL, EWA trot 01/13/2004 13:06 FAX 6194354760 THE UPS STORE 1QJ001 CiliC � �1 tee, w A PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: Property Owner: Phone # Contractor: - .�_ Phone # t�rZ�r-tv �-ti� cr2. �c 7q - •c ,c� Permit#: _ , aJ Date Issued: o - Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building - Tree Permit# —� YES NO Electrical Permit# Date/ Copy to JEA Temp, Pole Permit# Date/ Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# Inspections: Rough Final Plumbing Permit# Inspections: Rough /Underslab Topout Water/Sewer Final Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final Fire Inspection: Failed Inspections: Date Paid: _ Date Paid: .�y,- CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027493 Date 1/09/04 Property Address . . . . . . 16 DONNER RD Tenant nbr, name . . . . . . 150AMP, 1PH, 3W, 220V, 1 . 5RA Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ---- - - --- --- - - - - --- ----- ------ - ---- ----- -- - --- - B & K PROPERTIES KNIGHT ELECTRIC LLC 172 CANAL BOULEVARD PONTE VEDRA FL 32082 (904) 273-6969 --------------------------------------------------- --------- ---------------- Permit . . . . . . W/W/O ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 110 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 110 . 00 110 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 ,. Grand Total 110 . 00 110 . 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 y': tra. CITY OF ATLANTIC BEACH J ~ ' ELECTRICAL PERMIT APPLICATION Date: Property Address: 1 U✓ PC's Owner: (,yi-,tP Telephone#• Contractor: L'e'i LM-Z-WIC CLL- Telephone #: Contractor Address: �72 6,jj/, -j utQ• ^�c G� '�: Fax#: 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 being done on this building El New C3 Residence El Temp. ❑ New Or site,list the building ❑ Old 0' Commercial ❑ Signs @"-Increase Permit number: Fir—Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALS l Switch or l VOLTZC11la" RACE WAY ( � Breaker AMPS PH W Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches 0 30 AMPS 31 100 AMPS Incandescent 02- Fluorescent LFluorescent & p M.V. t� 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. jVOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.atlantic-beach.fl.us t" CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ,3 ATLANTIC BEACH, FLORIDA 32233 ` INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027514 Date 1/16/04 Property Address . . . . . . 16 DONNER RD Tenant nbr, name . . . . . PARTITIAN WALLS ,DROP CEIL Application description . . . COMMERCIAL INTERIOR BUILD OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 30294 Owner Contractor ------------- ----------- - ---- ----- ------- ---- - -- B & K DEVELOPMENT PRIMO CONSTRUCTION SERVICES 1339 CESERY TERRACE JACKSONVILLE FL 32211 (904) 744-0500 ---------------------------------- ------------ ---- -- - --- ------- ------------- Permit . . . . . . PLUMBING PERMIT Additional desc 2 FIXTURES Sub Contractor ANDERSON PLUMBING Permit Fee . . . . 49 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- --- ------- - ---- - ---- ---- ------ Permit Fee Total 49 . 00 49 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 49 . 00 49 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLE UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAI RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVEr WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW BUILDING OFFICIAL Y 4 --,.,,�. "'°�.. -= t CITY OF ATLANTIC BEACH _ PLUMBING PERMIT APPLICATION s� a3 Date: Property Address: Y�e+� Rkj) Owner: 3 4 K PYA j�e, f�-') Telephone#• Contractor: AyV1eVs0_f) Telephone#: Contractor Address: 1500 IAO war 12d 'Fax#: 11T*-) 9 7 5 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. 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�ermit number: ❑ Re-Pipe /-'<< ' 7 5 t 4 Number of Fixtures: Bath Tubsc;� Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other 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://www.cl.atlantic-beach.fl.u.- i d s I BUILDING AND ZONING INSPECTION DIVISION c 0 CITY OF ATLANTIC BEACH, FLORIDA z o 0 N ELECTRICAL PERMIT Q a z Date Z4%al; Fee $ 7.50 Permit No. 13WUA 0 J Location o Between and Q This is to certify that a `c (Electrical Contractor) (Ma1�1�ster Ele>tctricion) E has permission to install Electrical Construction as described herein in W 0. accordance with the provisions of the Electrical Code and regulations u °e of the City of Jacksonville, and subject to the information shown on the = c application, drawings and specifications which are made a part of this 3 Y permit. t 0 for FIrAd *4t 112 3. j W V I a Type of work: Now soxvi= o m SERVICE: Conductor 342 Alum. $*itch 200 ps a � { IP'S 3W 230 Volt Cable race► a U ' N U Feeders: U, :E i Outlets: A Ou 3 Receptacles: A m Switches: rn Incandescent: Fluorescent: Appliances: Q Air Conditioning: ? 1 Windeft Ao 0 Motors: I Transformers: 1 1 Signs: Miscellaneous: IF NO WORK IS DONE UNDER vnel THIS PERMIT DURING ANY SIX ISSUED BY: O" MONTHS PERIOD, PERMIT Electrical Inspection Supervisor BECOMES VOID. 1 FIELD ELECTRICAL INSPECTOR'S REPORT APPROVED INSPECTION DATE BY INSPECTED INSPECTED TYPE DATE By INSPECTED TYPE DATE BY INSPECTED TYPE DATE By INSPECTED TYPE DATE BY INSPECTED TYPE DATE BY INSPECTED TYPE DATE BY DEFECTS: COMMENTS: UTILITIES CITY FLA. POWER & REA CLAY COOP OTHERS LIGHT CO. RESET RESEAL MTR. NO. V. AMP. PHASE MTR. SET NO. V. AMP, PHASE MTR. SET NO. V. AMP PHASE MTR. SET NO. V. AMP, PHASE SET WIRE V. AMP. PH METER TAKE OUT METER NO. V. AMP. PM. MET 'R TAKE OUT METER NO. V. AMP. PN. METER TAKE OUT METER NO. V. AMP. PH. METER TAKE OUT METER NO. V. AMP, P.H. METER LINE FT. REFER. COM. DROP CURRENT ON TAKE DOWN OLD LINE WIRES /^k.. i BUILDING AND ZONING INSPECTION DIVISION c { U CITY OF ATLANTIC BEACH, FLORIDA Z CIO Ll� i Cn a. Z ELECTRICAL PERMIT a Date in�� s-s Fee bsl `v' Permit No._ 3 O j J LU 00 Location Between and Q ' This is to certify that n. UJo I tractor) ' 101a ion) W y has permission to install Electrical Construction as described herein in W °a accordance with the provisions of the Electrical Code and regulations u $ of the City of Jacksonville, and subject to the information shown on the = c application, drawings and specifications which are made a part of this 3 3 permit. :a for-sr" Vs 14 N 1 a Type of work: IAti o m SERVICE: Con"etar 102 AI=. SVitCh 100 &Up# > IPP 34 2" volt 1 1/2 RAMmmy a N Feeders: f 111 Outlets: U Receptacles: m i Switches: N Incandescent: Fluorescent: 1 Appliances. Air Conditioning: Motors: i Transformers: Signs: Miscellaneous: ? IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: it MONTHS PERIOD, PERMIT Lle ltca on Supervisor BECOMES VOID. FIELD ELECTRICAL INSPECTOR'S REPORT APPROVED INSPECTION DATE BY INSPECTED INSPECTED TYPE DATE BY INSPECTED TYPE DATE BY INSPECTED TYPE DATE BY INSPECTED TYPE DATE BY INSPECTED TYPE DATE BY INSPECTED TYPE DATE BY DEFECTS: COMMENTS: UTILITIES CITY FLA. POWER & REA CLAY COOP OTHERS LIGHT CO. RESET RESEAL MTR. NO. V. AMP. PHASE MTR. SET NO. V. AMP. PHASE MTR. SET NO. V. AMP PHASE MTR. SET NO. V. AMP. PHASE SET WIRE V. AMP. PH METER TAKE OUT METER NO. V. AMP. PM. MET�R TAKE OUT METER NO. V. AMP. PH. METER TAKE OUT METER NO. V. AMP. PH. METER TAKE OUT METER NO. V. AMP. PH. METER LINE FT. REFER. COM. DROP CURRENT ON TAKE DOWN OLD LINE WIRES !/90%.. AIN CITY OF ATLANTIC BEACH PLU PLUilB3l,..; BUILDING DEPARTMENT INSPEC7j2jS MEDICAL E JOB LOCATION PERMIT# SUBDIVISION OWNER NAME PHONE LEGAL DESC: LOT BLOCK 16 DQMtWR ROAD PERMIT TYPE 2595 ATLANTIC BEACH, FLORIDA 3=MSS OF WORK CONTRACTOR PROPOSED USE - FRED LEWIS � ~ WORK DESCRIPTION ELECTRICA J TEMP S_:kV INSPECTION REQUIRED BARKOSKIE ELECTRIC SERr"MR �" SINGLE FA KERS{ LL DATE INSPECT 1 T� �y 100 MISS 1 PH; 3K; 24ORM& - INSFECTX9kT9WQrCE READN 12 FINAL ELECTRIC AM COMMENTS j� q� y AMk d0k AM c�Q—( -13 L An PDVI9 �IINV11V Q Ago Srjj4 1x3 - I - i 0 9 ao� s a kE� E CriA N� --AAAg-0 i lt,,-cv,4,-Q �a�..v nn��2►},�c�`Y1v�� ria►cn saos:�j L dl►1 c.�Lrti� +$!Ora I xZ d QQ� 0 CITY OF ATLANTIC BEACH i1 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031080 Date 8/26/05 Property Address . . . . . . 16 DONNER RD Tenant nbr, name . . . . . . CHANGE OUT METER Application description . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ B&K PROPERTIES KNIGHT ELECTRIC LLC 13997-4 BEACH BLVD JACKSONVILLE FL 32246 (904) 247-9884 ----------------------------,------------------------------------------------ Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 8/26/05 Valuation . . . . 0 Expiration Date . . 2/23/06 ---------------------------------------------------------------------------- Special Notes and Comments PERMIT ISSUED AT NO CHARGE. CUSTOMER HAD CREDIT FROM PERMIT ## 05-30956 . $19 . 00 REMAINING. 8 . 26 . 05 KJC. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUAWRftFICTAL ATLANTIC BEACH,FL 132233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030956 Date 8/12/05 Property Address . . . . . . 1937 W SEVILLA BLVD Tenant nbr, name . . . . . . ADD 2 FIXTURES Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - - - - - - --- - - --- - - - - -- - - - -- - - - - - - - - - - - - - - - - - - - - - - - BULL, JR. , GEORGE KNIGHT ELECTRIC LLC 1937 SEVILLA BLVD .W. 13997-4 BEACH BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 247-9884 - - - - - - - - - - - - - - --- - -- - - --- - -- - - - - -- - ------- --- ------------------ Permit . . . . ELECTRICAL PERMIT = ,� Additional desc . . Permit Fee . . . . 159 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due - - - - - - - - - - - - - - -- - -- - - - - - - - - -- - -- - - - - - - - - - - - - -- - -- - - --- - - - Permit Fee Total 159 . 00 159 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 159 . 00 159 . 00 . 00 . 00 Cit yy of Atlantic Beach CUSTOMER RECEIPT Oper: DSMITH Type: OC Drawer: 1 lJv Date: 8/12/05 81 Receipt no: 76329 Descrippt��ion Quantity AmountRM t � BP j BUUILDING PERMITS 1.00 (159.00 O Tends detail (� CK CHECK 1165 $159.081 Total tendered 159.08 $ (J Total payment (159.00 Trans date: 8/12/05 Time: 9:02:28 :E WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLOr lJ` 1 1% CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: -A-M- Property Address: ski -ZC! Owner: iJt- K PifD Telephone#: V6.. y6 12 Contractor Kms'j lr �Zt�iG hone _ Tet l tap t€: ' Contractor Address: �1' �( �u«� �';�c{, 'ht)'� ?221y Fax#: 90f- 2117-1 off � - i In consideratim of permit given For doing the work as described in the above statement, we hereby ogee to perform said work in—i I accordance with the attached plans and spomfications which an a part hereof and in accordance with the City of Atlantic Beach ordinance Iand standeadt of good pmtke listed lberew Building: a Residence 0 Tetnp. t] Newi 3une on this lntilding a New t�Commercial a Signs a Increase Or site,list the hWiding a-' Old o Addition Sq.Ft. _ U Repair mit nuntKx o Re-wire La Trailer Semce: V other amwvuian is hang Building T�rpe: Conductor Size: AMPS: CO PER -- ALU NUM rSwitch or — RACE Breaker AMPS PH W VOLT WAY Existing Service ( ? RACE Size AMPS PH W I VOLT ' WAY Feeders: NO. SIZE NO SIZE NO SIZE 1 Lighting Outlets -- -- --- - - -� E 'CONCEALED OPEN { Reewixies CONCEALER OPEN i ? 0.30 AMN 31 100 AMPS Switches 4 trtcandescent 1 Fluorescent & M.V. Fixed Appliances 0.100 AMPS OVER i j.B E L L — -- --� TRANSFER. All y H.P.RATING 1 H.P. RATING CEILING 1 KW-F(EAT Condititmin j COMP.MOTOR OTHER MOTORS AMPS ( HEAT Motets 0-1 H.P. VOLTAGE PH NO. c OVER 1 H.P. t PHS UMJ R600V [)VI R600y form S Transers NO. KVA — z _ NO. KVA t ( No-Neon Transf. ! ? t ora. sign 1 � i �Mi—sc`el►an—eous��'�i:C.. G�� M�T�12. �t' .��}iti`S r Revised VO4 70� j •d Eb86 Gb2 b06 01-J'40013 '4421U)l e9g :T1 SO 92 2nd d S CITY OF ATLANTIC BEACH S� 800 SEMINOLE ROAD r, ATLANTIC BEACH,FLORIDA 32233 +, v INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027514 Date 2/02/04 Property Address . . . . . . 16 DONNER RD Tenant nbr, name . . . . . . PARTITIAN WALLS,DROP CEIL Application description . . . COMMERCIAL INTERIOR BUILD OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 30294 Owner Contractor - ----- - -- -- --- - -- -- -- -- -- ----- ------------------ B & K DEVELOPMENT PRIMO CONSTRUCTION SERVICES 1339 CESERY TERRACE JACKSONVILLE FL 32211 (904) 744-0500 -------------------------------------------------------- --- ----------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Sub Contractor . . EAST COAST HEAT & AIR INC. Permit Fee . . . . 107 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 107 . 00 107 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 107 . 00 107 . 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. BUILD G OFFICIAL r� CITY OF ATLANTIC BEACH s' MECHANICAL PERMIT APPLICATION Date: Z& o Property Address: 16 Dongr goa.J Owner: Wr^b CJOf, nr _ -Lo Telephone #: Contractor:_ L'QS4 [oas{ 0t a f " E(, Tw. Telephone#: 3 1 -0033 Contractor Address: lij L - earn Fax#: 60 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. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: 0 Electric ❑ Gas: LP Natural _Central Utility ❑ Oil C�'j ` o), S !:�j ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK El Heat _Space _Recessed ✓Central _Floor ❑ Residential d"-Air Conditioning: _Room _-Central ;V"Duct System: Material Thickness a"' Commercial Maximum capacity /&Glp cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System L3 Boilers �,v5'rVMJMC/ �,,p t yr . ❑ OGasther Piping W1 J",6-)AC+ 0^d y �� _rte VV ❑ Other-Specify p'' Other—Specify t"�� c'�M LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency C / ' u C P k L;Dgt TAS► L q "d HEATING—FURNACES,BOILER ,FIREPLACES&AIR HANDLER'S Approving Number Units Descript n Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road.Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845. http://www.ci.atiantic-beach.ft.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026059 Date 5/14/03 Property Address . . . . . . 16 DONNER RD Tenant nbr, name . . . . . . INSTALL 4 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ B & K PROPERTIES, INC. PLUMB-PAL, INC. 1728 SABEL PALM ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 743-2233 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING 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 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 WkUCH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL r : CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: 1-3 Job Address: Owner of Property: f t24� Telephone: -7 99, ZZ 3 3 Plumbing Contractor: I'( u/1', ,6 — �'✓� '''� Contractor's Address: / Z SA-0 Cc' R(.�-. C�.�, -► x �c� c l �(. Zz °. Telephone: C Fax: Z_ v State License Number: C r C r 6 7 j— How many of the following fixtures (re-piped or new): 0 Sinks I Showers Water Lavatory -o Water Heaters 1 Hose Bib tp Bathtubs Dishwashers O Sewer � 6 —Urinals © Disposals C,-) Other Closets tl Washing Machine U Shower Pans (, Floor Drains __ Re-Pipe(List fixtures being re-piped) Total Fixtures: x $7.00 + $35.00 = (Minimum Permit Fee: 535.00) 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.atlantic-beach.fl.us CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026152 Date 5/28/03 Property Address . . . . . . 16 DONNER RD Tenant nbr, name INSTALL SEP. 3/4" METER Application description . . . IRRIGATION/SPRINKLER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ B & K PROPERTIES, INC. OWNER ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 5/28/03 Valuation . . . . 0 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER CONNECT/TAP & METER 525 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 560 . 00 560 . 00 . 00 . 00 Grand Total 560 . 00 560 . 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' n BUILDING OFFICIAL �6 Al 0002595 11 TA DEpAgTMENT©IF E3UILRINt3 CITY OF ATLANTIC BEAChI . . . .' PERMIT I'Ilii—FO M Pe�rasit Numbers +` "' Addiresss 16 DONNER ROAD 3223 Paer i l Types ELECTRICAL, ATLANTIC REACH, FLORIDA -- .---- �- LEGAL DESCRIPTION ---- CSI eo* of �Icar>st t TEMP NER�t ICS F1f.E L�rt� yµ Ble�csk s See�st�c�>n�.. Cra»ptr. `Types N/A Torrr:aahips rRNOx 8 Proposed Uaae>a 3INt3LE FAMILY Subdiv3asiorx: 1?weell rI'gals 0 00401 t O getjoated Voluol 400.010 Irprpreray. Cost I total Il'ewar t �9�.0�1 Attsesurot,P#� lf`a aRr33«OIr1 6119190} ir PH; 3W; '246 VOLTS INVar-xv, JUN WERVTCE ar Gv �� M F'OIIrNATIO ---.� ell"K, PERMIT I%Ap WATER IMPACT PI +�► a"�` � R ROAD 0.00 � "EACH, F'LORIDAr� � 233 9E�IER IMPACT I*"E�� fi � ii ER METER y3TDVM `` fl 7x a,P�"0 vSJb � e re%:4`" %'• " INPOR, NATION --- ---- R � RADON GAS ELIwCTI . 0 SERVICEWATER 9'AP OQ /Iddre r 9tIT v AVE. N, RE11fElt 'AF' D«tN . 5O' HYDRAUt:I# SNARE ' . RE-INSPECT FEE �9 0.00, L.lc�rr��eea 11It�t? Type '�' ENGINEERING X90* OTHER « l' �i b�� tlk �d Yf4 Ste+ r:.r.,f4t+ ,,a.F °aFV6 r a .,+rmtinw; .9.✓ "'� , '15 :k NOTES:" 1' Ijg�1 �- 1��, NOTICE —A-L CONCRETE FORIM$AND FOOTINGS MUST BE INSPECTIE©BEFORE POURING ' PERMIT VOID'SIX MONTHS AFTER BATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS-FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST SE CLEAREb IJP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER., `¢FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING'TWICE FOR BUILDING IM'PROVEME'NTS." tta DAT ISSUED,ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND U�BJECT T(xmlN FOR VIOLATION OF APPLICABLE PROVISIONS O'F"'LAW. #�« . I�IPT ffi:TLANT IC ACH $UILDINGi,I�EPARTMENT A By; r +' e i ,. �.. t `:.,... �t y ",; CITY OF ATLANTIC BEACH, FLORIDA ApProvW by APPLICATION FOR ELECTRICAL PERMIT ID ss TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 —2 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. Ir�o 2�j .a — r ELECTRICAL FIRM: EIFt*Rlr-IANSI!gblA-TURE JOURNEYMAN N 1 NAME 4-- ADDRESS: RFD—BOX— BLDG. FD $OXBLDG.SIZE BETWEEN: RES.( 1 APT.( ) COMM.1 PUBLIC( 1 INDUS. 1 1 NEW( ) OLD( REW.( 1 ADDITION( ) TRAILER l ) TEMP.( 1 SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( I REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS _PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W yV VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS " CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 3t-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: -KW-HEAT OVER MO' ^E PHS NO. 1 H.P. VOLTAGE PHS TOR S yp rc, INCANDESCENT LAMPS TME SWITCH FLUORESCENT LAMPS DISCONNECT NUMBER SIGNS RECONNECT NUMBER SIGNS MISCELLANEOUS WELDERS: PRI. PRL TRANSFORMER TYPE NO. AMPS .PHS NO. AMPS PHS MG MOTOR NO. H.P. VOLT PHS AMP GENERATOR NO. K.W. VOLT AMPS TRANSFORMERS: UNDER 600 V. OVER 000 V. NO. KVA NO. KVA OR ARD UTILITIES: CITY( ) FLA. LIGHT&POWER 1 1 CLAY COOP.i 1 REA( ) OKEFENOKEE 1 1 OTHER ( 1 WORK BEING DONE FOR ADDRESS OWNER-AGENT-GENERAL CONTRACTOR i `F p NOTICE TO THE OWNER AND ALL PERSONS INTERESTED IN THE ATTACHED PROPERTY This property, to wit: �6c'�l �'�" ,4�Z �/r'e��- located at: is improperly stored and is in violation of the Ordinance Code of the City of Atlantic Beach, Florida; Chapter 21, Article 11, Division 1, Section 21-24 (a) and must be removed within ten (10) days otherwise it shall be presumed to be abandoned property and may be removed and destroyed by order of the City of Atlantic Beach. If the property is a motor vehicle, the owner will be liable for the costs of removal and destruction. Dated: Signed: Code En orcement Office City of Atlantic Beach 800 Seminole Road Atlantic Beach, Florida 32233 (904) 247-5826 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING BW SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT!NFOR ATION _ ICATION.INFORMATION - Permit Number: 22069 Address: 16 DONNER ROAD j Permit Type: DEMOLITION ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s):, Block: Section:0 Square Feet: Subdivision: + Est. Value: Parcel Number: __ J Improv. Cost: OWNER!NI~ORMANICJN' ! Date issued: 6/15/2001 Name: FRED LEWIS, INC Total Fees: 100.00 Address: 1800- 17 MAYPORT ROAD Amount Paid: 100.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/01/2001 Phone: (904)241-9051 ^Work Desc: DEMOLITION — C NTMC "QR(S�_ P!l:ICAT# N PEES PROPERTY OWNER PERMIT 100.00 ��i 1SG1p a i qvi t v 3RD y W M Ade � A 3 , r FINAL NOTICE-INSPECTIQNS: ST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL,_�RUBBISH AC' D DEBRIS FROM THIS WORK MUST NOT BE Rk A CED IN PUBLIC SPACE, AND MUST BE CLEARED UPLAND HAULED AWAY BY EITHER_CONTRACTOR OR OVAERT "FAILURE TO COMPLY"WITH THE RUCTION LlE6AW CAN RESUCT IN THE RTY OWNER _G :�OR�1 "Its' 1/E I TS"- PROPS O E Y!!► ISSUED ACCORDING TO APPROVE[3- A WH_IIC ►RC P" T F T� PF,. IT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROV VV11,_ � --`�-t- °q �-- ATLAi TIC BEACH BUILDING DEPT. Bate: 6/15/81 81 Receipt: 14 —__j .•..R p 8865761 8818888321888 1432 , a CITY OF ATLANTIC BEACH REcEIVED PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS, / MOVING, DEMOLITIONS CitY 0 Job Address & l D�t1N��C . Phone ,'—qY—�o38� Jn,� aOd cin aCh �a Ir�� Lot# Block or Unit# Subdivision Contractor O W N1V k_ - State License# Address qs S ATL, Phone City a State �� Zip �zz33 Describe work to be done )&M 0 1 TOA)fl Present use of building _�+P�ti (y mmn b�S� Valuation of Proposed Construction !r S O(v`� Proposed use Is this an addition? NO If yes, what are the dimensions of the added space: ft.x ft. Will the added area be heated and cooled? V New electrical (or increase) New plumbing fixtures? Al b New fireplace? P 0, New Heat/AC? WD SUBMIT THREE (COMMERCIAL)TWO(RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFF , F OWNER IS CONTRACTOR. Signature of OWNER Date: SDC ' l bf Signature of CONTRACTOR Date STATE OF FLORIDA COUNTY OF TV/&t, Sworn to(or affirmed)and subscribed before me this— --day of J V 1200 ! AS TO OWNER: Notary's Signature �Ew Personally known HAROLD HAAT? EW ❑ Produced Identification Notary Public-st do of Florida Nry Comm. E:Vims WY 14,2005 Type of identification produced tooCommission#DD025740 Sworn to(or affirmed)and subscribed before me this day of 200 AS TO CONTRACTOR: Notary's Signature ❑ Personally known ❑ Produced Identification Type of identification produced CITY OF ATLANTIC BEACH /x, NOTICE TO OWNER AND ALL PERSONS INTERESTED IN THE ATTACHED PROPERTY This property, to wit: Make: Model: Color: Tag#: State: VIN#: a.- Located at: is improperly stored in violation of Chapter 21 - 24 - (a) and must be removed within ten (10) days or, if the property is a boat, thirty (30) days of this notice; otherwise it shall be presumed to be abandoned property and will be removed and destroyed by order of the City of Atlantic Beach. If the property is a motor vehicle or boat, the owner will be liable for the costs of removal and destruction. Dated: Time: Signed: Title(Include Badge/ID#) Any inquiries may be directed to the department indicated: CODE ENFORCEMENT OFFICE CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach, FL 32233 (904) 247- 5855 CITY OF ATLANTIC BEACH /X- ` NOTICE TO OWNER AND ALL PERSONS INTERESTED IN THE ATTACHED PROPERTY This property, to wit: Make: Model: rz— Color: Tag#: State: , ¢ VIN#: 10 Located at: �So is improperly stored in violation of Chapter 21 - 24 - (a) and must be removed within ten (10) days or, if the property is a boat, thirty (30) days of this notice; otherwise it shall be presumed to be abandoned property and will be removed and destroyed by order of the City of Atlantic Beach. If the property is a motor vehicle or boat, the owner will be liable for the costs of removal and destruction. Dated: Time: _"7 Signed: Title(Include Badge/ID#) Any inquiries may be directed to the department indicated: CODE ENFORCEMENT OFFICE CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach, FL 32233 (904) 247- 5855 NOTICE TO THE OWNER AND ALL PERSONS INTERESTED IN THE ATTACHED PROPERTY This property, to wit: Q Ro w N c) To-u/C Cl C- V 28 4 F i a t.: located at: is improperly stored and is in violation of the Ordinance Code of the City of Atlantic Beach, Florida; Chapter 21, Article II, Division 1, Section 21-24 (a) and must be removed within ten (10) days otherwise it shall be presumed to be abandoned property and may be removed and destroyed by order of the City of Atlantic Beach. If the property is a motor vehicle, the owner will be liable for the costs of removal and destruction. Dated: -�" -�2 Signed: Code Enforcement Officer City of Atlantic Beach 800 Seminole Road Atlantic Beach, Florida 32233 (904) 247-5826 CITY OF 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2345 Dater February 20, 1991 Chief David Thompson Atlantic Beach Police Department 860 Seminole Road Atlantic Beach, FL 32233 Re: Junk Automobiles Dear Chief Thompson: Please have the following cars tagged with a 10-day Notice (on private property) : 16 Donner Road - Red/gray Corvett - 4 wheel drive no tag no VIN# Thank you, Don C. Ford Code Enforcement Officer cc: City Manager E NOTICE TO THE OWNER AND ALL PERSONS INTERESTED IN THE ATTACHED PROPERTY This property, to wit: K —\-� c y �� "o,C' 2_11 \ , M,: ` \v � located at: is improperly stored and is in violation of the Ordinance Code of the City of Atlantic Beach, Florida; Chapter 21, Article II, Div- ision 1, Section 21-24 (a) and must be removed within ten (10) days otherwise it shall be presumed to be abandoned property and may be removed and destroyed by order of the City of Atlantic Beach. If the property is a motor vehicle, the owner will be liable for the costs of removal and destruction. Dated: . Signed: Police Officer Atlantic Beach Po ce Department 850 Seminole Road K Atlantic Beach, Florida 32233 (904) 249-5606 w i R NOTICE TO THE OWNER AND AI,L PERSONS INTERESTED IN THE ATTACHED PROPERTY This property, to wit: _� s� IL jo located at: is improperly stored and is in violation of the Ordinance Code of the City of Atlantic Beach, Florida; Chapter 21, Article II, Div- ision 1, Section 21-24 (a) and must be removed within ten (10) days otherwise it shall be presumed to be abandoned property and may be removed and destroyed by order of the City of Atlantic Beach. If the property is a motor vehicle, the owner will be liable for the costs of removal and destruction. Dated: _ ;Vit_. C" Signed: \yy Police Officer Atlantic Beach Po. cc Department 850 Seminole Road Atlantic Beach, Florida 32233 (904) 2.49-5606 k 6 t ' CITY OF � 716OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEAt'I'',FIAMIDA 3'233 TELEPHONE(904y 249-23: )5 Date:- February 20, 1991 Chief David Thompson Atlantic Beach Police Department 860 Seminole Road Atlantic Beach, FL 32233 Re: Junk Automobiles Dear Chief Thompson: Please have the following cars tagged with a 10-day Notice (on private property) : 16 Donner Road - Red/gray Corvett - 4 wheel drive lit"Ir.7r no tag no VIN# Thank you, f Don C. Ford Code Enforcement Officer cc: City Manager 05/12/2003 13:36 FAX 9047863862 Ali SALES INC W304 s ASTA DOUR CORPORATI X. L ,AR SNC RE i g `a'ge ��`S• y=..�. C QUME ANT'S-MUD DIMENSION PANT M (MMMUM HEIG A-1 A-2 x Y V HAND Up To 8' 6" 9 MY, 2Q9 OPERATE)) UP TO 10' 6" 6" 21*' 10" 21" DIRECT UP TO 8' 10" 6" 21" 10" 21" DRIVE UP TO 10' 10" 6" 21" NV' 21" CHAIN OVER 10' 10" 6" 23" 11" 23" REDUCED UP TO W 10" 6" 20" 10" 20" DRIVE UP TO 10' 1(Y' 6" 21" 11" 21" CHAIN UP T ) b10" 6" 2,3" 11" 23" UP TO 20' 10" 6" 24" *Side Rtrwm Required. Doors over 14'0 Wide and up to 20'Wide,add 1"to A-2. Y � RnSRMN pc CEJ!a1101a►Y• X DOOR SUPPORT 6RACKM =MIR�� OPEJwMO ,� HE1G"T ODEMIIVG WIOTM s ECT�q N ECF VATION CtNJnW: LOCAT£ OWALMMOMS -WD CLEAPW40; ON DIMEM 10" P""M_ STANDING ON 1N£ IMSIO6 rM7NG ,OUT. OPUASOO e5 ON I-£IT. LWaA= 0Tj4BVWWa 3PECWILD. J� • A Page 31 ti May 12 03 03: 31a K. Erhayel 9043982545 p. 3 05/12/2003 13:36 FAX 9047863862 +1L M SALES INC Z03 MODELS AVAILABLE Model 1000_ j A,.labie in 110-240-X-GV ssrtgte phww/3 Frarn I,- to 2 H.P G -4 rho Modr't 10WOffers a y`" 'AN NEMA options a-silabte no d.rry cot ttPt4reW1 door to sires too:a.2 fort—di' � ky 14 feet ntgh Thts.s a i dpor titpt Oticm.the r.3,1.. 49 31 tatrtain sttl:t a3 Otho+ y - •� ftdl-Uta Door tt+odeFt Mt.s J 9=tLon trey ecvnomKat 7rt0e ExIvAor S:r_son ' XaV Model 1400 fortno-_ t=orn•t-rtx+to ._ ptpnmmR'�1 dpurs n i•tG^L uO i0 > • IB rzes.••do oY 14 5¢rt htgit. Easyopwahon.-Jwp:itor OPS an r �`•., For large ope-ungs up to ouulandttp door-vwy ah.iet 45 feet w+dc I 500 tz h[Itni•5th dna PVC • _ _ ruChrr ltd@ A0rJP V M •• ! c'0 �77� �, ovw o tr rttsat w-M.1.34 oo-nact ; F x added Situnly t atuf tonsure a aws,.eta MOW I and corwe*ttance oeeranrtp door. � I' ...^---- :z• t.7r_ty' Hoods Madel 231 fol help heeel rWd r•t .: `,.J-�: l•up shdear il.earputattt:sW iRtilader From the.elements • @,arta:!poo.-.,xa Moda12�1 ; _ .. ol6ets tha best."r""motaat 4�4 andittdus•rwiaWK=atwr a1 ``20 at•.Ubfdkbht ops:.M dmhs t s top to 21 Met and to tTt^•up to TO teat.mrw:-W xwet ttortortt angle sed atdtor 14 of [` 12 tynrge guides die+'�r'Jrh d tMs tcadd v tw+tawpiesad. Icop Draft Stop , The door Larrtaiat to t,otKtnrered Vision Lite : ,.*h trot nAbw or atiat and Maria of rasdient rubber to :• - tubber"M stnpptny avoiding tonsure a ogbt seal at Lde headw For vMwing M i wool m nwiml ta.md. �., .�. . Clotr4ezrlietWe Er.•:ry window 1 Mtn!232 ; x i 1/2'highhighz' -4 Thelm"232 comb-nos tits *37.Ulm" �s r,•a,.,:N•'sc-• • • smongdt and s¢taetty of ilia AAwd.1231 wah c•IFKtttn 1.ilrfs t int.daton tot UNW420 WWW !::7r,Z^ conservevon t roapled rerun myktr!trial"[ w _rodttm radiant"we kow. i-, Stsnde+d fewu es•nt Ade '•! rOn<rr Rkma o(w t .`irti:•'}"�r drah$loe ehar, —th e..••r "- inw-ftdomClose&the op S2d-, D,a- Stoa .•r,,:::.: ::{. -- odiat.eatfnr tt SastU•D. ) To help prevent.vtttd and ItoearhLir antro pettetrattng the For ate transfer ;tde jumbs of the openttnq Model 233 _ _._ . ,► - st The Modso ma W-Sock pro+das etre rrto.t rwnd petac:to"t nitr� M�� _ � Watley can a►at a xtee � t-ptt't Irs.rya.atr�yr.Eagrtta+ea * .• - to tttne:t s.tdl Ppndi at-.1tb•'S 1 Corgdb"ew,snvdtrpdCOW viieket Daor " fortttealned.the WoCd�]I.td For personal access. t> _U*Wd a AS NSF tsa4 and adtttx--I op emrWhoer m a 114 mph rte.' ,''.may end Cprrlletaents ttaee'ds'xrA tOtr arS steer as a a.x soon+ 1 ''m-""'— Pass gear ` .4h 'Gas Is S, t F13v tousum ASIA w rt.tttcawe ftxetr..ttds.:a l _ doom vjte a aM c.ae4 to operas!.Ota►ted door need"i UGlroFt) 1 { dwalttG tltglnlfted P' a.9t - »��a. I o1 sdtss std wJl eoeraQ. __•_.. i -Cue:taet factory For sa.&C'Malas an saecdc saws e- Mai 1� ©3 p3;31a 0511212003 �' Erha&el 23:38 PAZ 904786882 AOR SALES YNC9O43982545 P-2 X02 be RSTA Secret AST lead th e ind Cel•cantint�s know ho+nr a Yin en�I to $ntrr rootlet 2p0 Sg'ratty d,�.j4n, heat prl0 fs es-no lttn9 in Dur irTd�;are the finest available to qua tlrvCr th highestre cgrisirtitted se<xr Y durability,Rerf ta�s�of b `KY and Orman.., With" are "'0mer 30year�strd'°IFercan nurrrber one choice," . Ura- �p t Process "The Asu ft irand � 98610 the Much and ditst of the Otfir beaf fare 6f me- Per p saran qsT� 0 Hot dr4 528 > AS 44 A.S25 tzed 4`60 tires tor Vb0y+baSsrauem�Y WC t per r o adAftOn.4 .i.. iohnlhet ,Rt �3t21 m,lg e,�_erh. V an ++ n ~ m1p dn ° J214j � lke; gRahlersau,rr••- ti �-W sLLw! mill S44r ' •' C..4,1.o 1 G � lilde � wJmlhisr.If � sectrr,ng •N2a4. *epkreaea da ".rWte+ to to y.N%,h cha,n� ,, •.r ?'C irk oty. Exck.6we "s�"Ir^run Q retlucrion. •rr . ..- r+, ..rt.; eta fez twO p Is x the Hi rYSMy im t 1rja�t 3,�e••:••s ami.!`Its CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026235 Date 6/06/03 Property Address . . . . . . 16 DONNER RD Tenant nbr, name . . . . . CAAR EXISTING UNIT Application description . . . COMMERCIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1200 Owner Contractor ------------------------ ------------------------ 13-K PROPERTIES PRIMO CONSTRUCTION SERVICES 5501-2 BEACH BLVD 1339 CESERY TERRACE JACKSONVILLE FL 32207 JACKSONVILLE FL 32211 (904) 545-9682 (904) 744-0500 -------------------- --------------------------- ----------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00 Issue Date . . . . Valuation . . . . 1200 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total 20 . 00 20 . 00 . 00 . 00 Grand Total 60 . 00 60 . 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 IICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. l BUILDING OFFICIAL ��. CITY OF ATLANTIC BEACH 1T� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 i TELEPHONE:(904)247-5800 %> FAX:(904)247-5805 r S} .;� SUNCOM:852-5800 rtw ` http://ci.atlantic-beach.fl.us PLAN REVIE�V COMMENTS Permit Application # c J - ZL--' 3 ca C-0 Applicant: { i h-f c ` Address: Project: C.` f Your application is approved Your permit a lication has been reviewed and the following items need atten i f t iL—W UA Please re-submit your application when these items have been completed. Reviewed b'L'' Signed '`�L Date ' S•a Contractor Notified Date I J g1 CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR INTERIOR REMODEL) /.P , ,- !. Date: D Lo-oma(--03 __. F Job Address: to DorgrVl:r,_ A-Nii- I=Aeh j L�2�8 Owner of Property: Address: s'ai-2 53c �1n '3l.yr� }JA�kSc�vi�1Q 'PLA Telephone: 6104 Legal Description: Block Number: Lot Number: Zoning District: Contractor: W- t-tnc 0c►uS�ruC-��`Q�J State License Number: (2(,,r !1 gni Contractor's Address: C'P__Seej�,j Te,rCe �gckt+>We SLA 3 221 1 Telephone: -- 9-744F Fax: Describe proposed use and work to be done: ` i Present use of land or building(s): e„ &#,j,4 Valuation of proposed construction: I Zoo- •'� New electrical or increase in service? N o New plumbing fixtures? �6,3 o New fireplace? N p New heating/air conditioning? Ve.S Is approval of Homeowner's Association or other private entity required? PQ 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 app' ation is corr Signature of Property Owner: Date: I hereby certify that I have read 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.atlantic-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: c +1J u Date: Qua D 44—03 Address and contact information of person to receive all correspondence regarding this application (please print). Name: (?j i K Rf hex-stiff' s c f Mailing Address: s�L1 C�RACI1 Z11od fi . )f�C1C�Cpwluj��e !i-n7L 7Jp j Telephone: q(a gig. Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of e \r `�� ,20L,4;�- , State of Florida,County of Duval t*Ay. JENNIFERSGHLUETER Notary's Signature: '� MY COMMISSION#DD 121301 Lj EXPIRES:May 27,2006 ,.•` BoMdWThMNcUry Public underwriters Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR: r Sworn to and subscribed before me this day of P , 20�.1'�. State of Florida,County of Duval r` Notary's Signature: +�� ^t. J�ENNiFER R Personally know j MY COMMISSION#DD 121301 ❑ Produced identification ;; EXPIRES:May 27,2006 ers Type of identification produced l,�PfM1,r BdndedThruNotaryPublicUndonvrit 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Revised 1/15/03 1 _ 1 N O rs�LAND� f X30 0 T� 7 2;stns i Y li,Lc rr:ads zx�25��ir¢ t O•o CiwRA�F DDDR_ A EniCaQ�'^�Q�e �x�s�'�ag Doom _ -Nate co nr+P(��c. �,�a��c� �� c�Vic._.c.► l _ rs�L�►�b� 1 i 2 (o bra rj}CPQ l��J�Cr7 t t i� 7xl25f��ps k t o-C_ CgiARAQs��DooR_+� E►�Co,QS��a�'e. �x�s � g �+ t-r.A (rMU , Rt�wn Dw.,els .,Ncfe OL6-yt. t,. +o ca.ppe S+ora.g C S v E 7�a ec ,O now g �XisTi►�S CMIA i DON R R8 A l RfA C 6e cx* -rig SCALE: S'o -M l� a 7-a ,o p, 4 Cmu ! !� DoNKIER Rd A} l RtA c &-a -h SCA LC 1l