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Permit 351 Dudley Street (2) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 3/03/04 Parcel Number . . . . . - - - Property Address . . . 351 DUDLEY ST ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . BEACHES HABITAT Contractor . . . . . . BEACHES HABITAT 904 241-1222 Application number 03-00026959 000 000 Description of Work SINGLE FAMILY RESIDENCE Construction type . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . v- Bui-iding Official VOID UNLESS SIGNED BY BUILDING OFFICIAL MAP SHOWING SURVEY OF: LOT 9, BLOCK 1, LEWIS SUBDIVISION, AS RECORDED IN PLAT BOOK 24, PAGE 92 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA o I N J II I (I N, r- IIw LOT 3 LOT 1 J N FOUND 1/2" IRON I ( hh PIPE (LB 3672) 11.1' B.. W M x O Z o O LJ AWL Q9 Vln ,N. U 1 w o w �-- LOT 8 0 (j 0 o kl 0 m LOT 10 W 0 � Li V) W a I O x i _O ry 3 i I tA_w I OLLCOVERED � O ENTRANCE 8.0' I L j W 11.0, t+a. �, �"\ e.2' 16.5' o w �... a w to wo J to 'Q I o> a0 Lo t� W L NNN �i982_00' BY PLAT �- FOUND 5/8" IRON FOUND 1/2" IRON~ ROD (NO CAP) 56.0 ► PIPE (NO CAP) (55.59' FIELD) DUDLEY STREET (FORMERLY EDNA STREET) 50' RIGHT-OF-WAY NOTES: 1. THIS IS A BOUNDARY SURVEY. 2. ANGLES PER FIELD SURVEY. 3. NORTH PROTRACTED FROM PLAT. REVISED JANUARY 27, 2004 4. NO BUILDING RESTRICTION LINES PER PLAT. TO SHOW U71UTY EASEMENT 5. BENCH MARK USED IS A MAG NAIL & DISK (LB 3672) IN WOOD POWER POLE AT SOUTHWEST CORNER OF LOT 8, TUIC cI io%.r-.. qs1 s CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: Type of Development: Flood Zone: Required Lowest Floor Elevation: 13, 41 If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Applicant's Signature: Date: Department Use: Required lowest floor elevation: / . ``� As built lowest floor elevation: J �� Survey filed with Building Department: Building Department Re resentative Revised 1/17/03 l � (V J J lobvilaull City of Atlantic beach N^? *** CUSTOMER RECEIPT *** Oper: JLANIER Type: OC Drawer: 1 Date: 3/03104 01 Receipt no: 37944 - _ Description Quantity Amount 2003 26959 BA BUILDING PERMITS Tender detail CK CHECKS 6277 335.00 4 1 Total tendered 335.60 L Total payment 335.08 Trans date: 3/83/04 Time: 10:46:34 . , CITY OF ATLANTIC BEACH >� �+ 800 SEMINOLE ROAD =� N� ATLANTIC BEACH, FLORIDA 32233 r INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026959 Date 10/06/03 Property Address . . . . . . 351 DUDLEY ST Tenant nbr, name . . . . . . NEW SFR, 1211RAD, 1281SCHG Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 64752 Owner Contractor ------ -- ---------------- ------ -- -- - --- - - -- - - -- - - BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE . P .O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 (904) 241-1222 ------------------------------------------------------ -- --- - ------- - -------- Permit . . . . . . BUILDING PERMIT Additional desc . . Sub Contractor . . BEACHES HABITAT Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 10/06/03 Valuation . . . . 64752 ------------------------------------------------ -- -------------- -- ---------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 30 CAPITAL IMPROVEMENT 325 . 00 ST CONSTRUCTION SURCHARGE 5 . 76 AB CONSTRUCTION SURCHARGE . 64 STATE RADON SURCHARGE 5 . 75 SEWER IMPACT FEES 1250 . 00 WATER IMPACT FEE 370 . 00 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 2517 . 45 2517 .45 . 00 . 00 Grand Total 2517 .45 2517 . 45 . 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 LIEU LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH f f PERMIT CALCULATION SHEET Date: Address Heated Square Footage / —@ $ 5 -~ per sq ft Garage/ Shed 416 @$ 21 per sq Carport/Porch @ $ l per sq ft = $ S' ey O Deck @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ 6 74, � Total Valuation 1st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: /4 + %2 Filing Fee $ FLOOD ZONE: -- O Fireplaces @ $35.00 $ - d IMPERVIOUS SURFACE: ,� c BUILDING PERMIT FEE $ WATER IMPACT FEE $ 0 SEWER IMPACT FEE $ WATER METER/TAP $ 5-;As— CAPITAL .AS`CAPITAL IMPROVEMENT$ 1.2 J— SEWER TAP $ C Q..11) RADON HRS .0050 $ SECTION H PAVING ( ) $ -- CROSS CONNECTION $ ST(/,2,?)) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13!03 WATER IMPACT FEE WORKSHEET ADDRESS: DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers,residential 2 Bathroom group consisting of water closet,lavatory, 1 Z Bidet, and bathtub or shower 6 Bathtub(with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domestic 2 " Drinking fountairaifcemaier %2 Floor drains 2 Hose bib 1 Kitchen sink, domestic 2 Kitchen sink,dorrwstic with food waste grinder and/or S dishwasher 2 r Laundry tray(1 or 2 compartments) 2 Lavatory 1 Shower cornpartTwt,domestic 2 Sink 2 Urinal 4 Urinal, l gallon per flush or less 2 Wash sink circular or multiple)each set of faucets 2 Water closet,flushometer tank,public or private 4 Water closet,private installation 4 Water closet,public installation 6 TOTAL NUMBER OF UNITS= MULTIPLIED X 20 TOTAL$ Q,[� DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE i ATLANTIC BEACH,FLORIDA 32233-4318 TELEPHONE:(904)247-5834 FAX:(904)247-5843 ?' SUNCOM: 852-5834 +J: = http://ci.atlantic-beach.fl.us Ss; PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # - Q (4 Q Applicant: (Int ft -S t`_16.ig a-� Address: D et tw . Project: NUJ — ��– Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: eewge TAP 15 A4 -ZI,4t-2� , wgrm rap wi// klmlr rd C3C �f►c� ,tee . io-1-6.3 74 Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Revieweq by Donna Kaluzniak Public Utilities Director Date / e3 Signature Contractor Notified Date � Z 0 IH. Energy Code Information: RESIDENTIAL CHECKLIST FOR ONE&TWO FAMILY DWELLINGS 1. Is the current energy code form completed properly and signed; correct climate zone and correct jurisdiction? (FBC 13-600) Yes-,"'No N/A 2. Does conditioned square feet area on plans match square feet NOTE: DRAWINGS REQUIRED TO BE DRAWN TO SCALE WITH SUFFICIENT CLARITY shown on energy forms? Yes ✓No N/A AND DETAIL-(FBC 104.2.1) 3. Is the"R"value between common walls shown? Yes _�'No N/A (FBC 13-602.1.ABC.1.1) �%_ --� DATE: �o f 4. Is the"R"value for added insulation on exterior walls shown? Yes ✓No N/A PLANS EXAMINER: 5. Is the"R"value for ceilings shown? (FBC 13-604.1 ABC.1) Yes No NIA 6. Is the"R"value for raised floors shown? (FBC 13-605) Yes No N/A OWNER: F'A /7 JOB ADDRESS:�y , Note-1 7. Are Energy Credits Claimed? Yes\ o N/A A. Attic Radiant Barrier Credit (FBC 13-607.1.A.4) Yea No N/A CONTRACTOR: Ef E f PHONE NUMBER: Y<" L'" B. White Roof Credit (FBC 13-607.I.A.5) Yes No N/A C., Programmable Thermostat (FBC 13-600.2.A.3.5) Yes No N/A ✓ (CIRCLE) 1. Survey: ✓ IV Foundation Plan: 1. Is a specific purpose survey submitted? Yes No NIA I. Are all footings shown,including interior bearing walls, 2. Is correct Flood Zone shown? Yes No N/A ✓ 3. Are existing grade elevations shown for structures located Column pads and concentrated loads? Yes No N/A 2. Are all locations of vertical reinforcement and anchor bolts shown? Yes-' No N/A in an"A"or"V"zone? Yes No NIA y 3. Are all elevation changes in slab shown? Yes ✓No N/A 4. On lots in multiple flood zones,are flood zone lines indicated? Yes No N/A 4. Is minimum concrete PSI shown? Yes :-,,No N/A 5. Is property in a flood way? Yes No N/A S. Is slab reinforcement shown? Yes No N/A 6. Is flood way line shown? Yes No N/A A. Wire mesh size and gauge? Yes No N/A B. Fibermesh reinforcement? Yes ,, No N/A 6. Is vapor barrier,minimum 6 mil.shown? (FBC 1909.2) Yes✓No N/A II. Structure Code Compliance: 7. Is minimum slab on grade thickness shown?(FBC 1909.1) Yes --No N/A 1. Are plans sealed by architect or engineer? Yes j No NIA 8. Is type of soil treatment for termites shown?(FBC 1816) Yes✓No N/A A. Are structural calculations submitted? Yes No N/A 9. Do plans show concrete footings have a specified compressive 2. Is correct wind speed shown? (FBC Figure 1606) Yes No N/A Strength of not less than 2500 PSI at 28 days? (FBC 1804 5.1) Yes--"No N/A 3. Is exposure category shown? (FBC 1606.1.8) Yes✓ No N/A 10. If pile foundation shown,is Sealed Soils Report submitted? 4. Is Importance Factor shown per FBC Table 16067 Yes✓No N/A (FBC 1805.1) Yes No N/A 5. Are pressures for wind loading on components and cladding Shown per FBC 1606.2.5? Yes ✓No NIA 6. Are pressures for wind loading on components and cladding V. Typical Wall Section: Shown per FBC 1606.2.5? Yes -/No N/A 1. Is finished grade shown? �No N/A 7. Does structure meet requirements of FBC Table 500 for number of Yes stories and allowable area? Yes No NIA 2. A minimum floor elevation adjacent Yes,/No N/A 8. Does structure meet Fire Resistance Ratings of FBC Table 600 A. Minimum ec above adjacent grade? Yes✓'No N/A ✓No NIA B. Flood protection elevation? Yes✓No N/A for structural elements? Yes ✓ C. Base flood elevation? Yes - No N/A 9. Are plans designed per SSTD 10-997 Yes No N/A 3. Is minimum footingbeneath finished A. Are all appropriate charts and tables shown? Yes No N/A''f depth grade shown? Yea --No N/A B. Are all appropriate re uirements circled or highlighted? Yes No N/A `� (FBC l foots.3) 94. Are all footing sizes shown? Yes W"No N/A 10. Are plans designed per"Guide to Concrete Masonry Residential 5. Are all horizontal reinforcements shown? Yes t"No N/A Construction in High Wind Areas"? Yes No NIA i 6. Is vertical reinforcement shown? Yes ,,"No N/A A. Are all appropriate charts and tables shown? Yes No N/A/ 7. Masonry construction. B. Are all appropriate requirements circled or highlighted? Yes No N/A f A. Is exterior wall finish shown? Yes No NIA it. Are plans designed per"WPPC Guide to Wood Construction in B. Is interior farting shown? Yes No N/A" High Wind Areas? Yes t✓No N/A r C. Is exterior wall insulation shown? Yes No N/A s A. Are all appropriate charts and tables shown? Yes No N/A D. Is exterior wall finish shown? Yes No N/A B. Are all appropriate requirements circled or highlighted? Yes No N/A 8. Wood Frame Construction 12. Are plans designed per"AF&PA Wood Frame Construction A. Is stud size,spacing, �✓No N/A Manual for One-and Two-FamilyDwellings,High Wind Edition'? Yes No N/A ea g,grade and lumber species shown? Yes B 8 ® B. Is exterior sheathing(type and thickness)shown? Yea� No N/A A. Are all appropriate charts and tables shown? Yes No N/A / C. Are nailing requirements(size and spacing)shown? Yes %_,..No N/A B. Are all appropriate requirements circled or highlighted? Yes No N/A (FBC Table 2306.1) D. Is exterior wall finish shown? YesNo N/A 15. Does bedroom open directly into garage? Yes No-'-NIAE. Is interior wall finish shown? Yes No N/A 16. Does the number of bedrooms shown on plans match the number F. Is minimum clearance between wood siding and finished of bedrooms shown on the application? Yes✓No N/A grade shown? (FBC 2304.2.5) Yes No N/A G. Are shear wall segments shown? Yes No N/A✓� 17. Is Designer's time and address shown on plans? Yes./ No N/A A. Type of hold-downs shown? Yes No N/A✓ 18. Do egress doors and landings comply with FBC 1012.1.3 9. Are ceiling heights shown? (FBC 1202.2) Yes /"No N/A and FBC 1012.1.57 Yes✓ No N/A 10. Are all hurricane anchorage and hold-downs specified and labeled? Yeso N/A 19. Are habitable rooms shown with the minimum light and ventilation 11. Is ceiling type shown,drywall thickness? Yes:✓No N/A requirements of FBC 1203.17 Yes 11,10 N/A 12. Roof Framing 20. Are garage doors,windows and other openings shown as meeting / A. Are engineered trusses shown? Yes ✓No N/A wind load requirements for components and cladding per FBC 1606? Yes• No N/A✓-✓ B. Are conventional frame rafters used? Yes No N/A s 21. Does floor plan show fireplace? Yes No N/A.+� 1. Rafter size shown? Yes No N/A,'- 22. Are stair details shown? Yes No N/A✓" 2. Species of lumber shown? Yes No N/A A. Is minimum stair width shown? (FBC Table 1004) Yes No N/A+✓' 3. Grade of lumber shown? Yes No N/A/ B. Are tread and riser sizes shown? (FBC 1007.3) Yes No N/A<<' C. Type of roof sheeting shown? Yes V00'No NIA C. Do spiral stairways comply with FBC 1007.8.2? Yes No N/A_r' 1. Thickness of roof sheeting shown? Yes✓No N/A D. Are required landing shown? (FBC 1007.4)? Yes No N/A-1" 2. Grade of roof sheeting shown? Yes No N/A E. Is required headroom clearance shown? (FBC 1007.4) Yes No N/A 3. Nailing pattern of roof sheeting shown? Yes No NIA✓ 23. If floor plan shows mixed construction,are mixed (FBC Table 2306.1) _ Construction details shown? (May require engineering.) Yes No N/A""' D. Weight of Dry-In felt shown? Yes✓ o N/A 24. If required,are tenant separations shown? Yes No N/A to" E. Type of roof cover shown? Yes✓No N/A A. Duplex (FBC Table 704.1) 1. Attachment asphalt/fiberglass shingles shown? B. Townhouse (FBC 704.4) (FBC 1507.3.7) Yes✓'rNo N/A 25. Are all columns and beams shown for porches and lanais? Yes No N/A-" 2. Attachment of tile roof shown? Yes No N/A A. Are column type,size and anchorage shown? Yes No N/A (FBC 1507.3.7) B. Are beam type,size,span and anchorage shown? Yes No N/A.f 3. Other roof covering and attachments shown? Yes No N/A 0"- 26. Are all lintel and beam details shown? Yes No N/A F. Length of roof overhang shown? Yes 40"'No N/A 27. Are engineering details provided for butt glass? Yes No N/A G. Type of soffit and fascia shown? Yes y✓No NIA H. Attic ventilation shown? Yes JNo N/A 1. Location,type and thickness of flashing shown? VII. Truss/Rafter Plan. (FBC 1503.2.1 and FBC 1507.3.9) Yes%e No NIA 1. Are engineered truss plans provided showing loads,uplifts and I. Type and ag uYe of cave metal shown? Yes ✓' o N/A required connections? Yes V,-No N/A 2. Are all headers,beams,girders and interior bearing walls shown? Yes t/No N/A 3. Framed roof. VI. Floor Plan. A. Is rafter plan shown,including size,spacing species, I. Does square footage on plan match square footage show on grade of lumber,span and connections? Yes No N/A 0" application? YesNo N/A B. Is ceiling joist plan shown,including size,spacing, 2. Are all room dimensions shown? Yes tf No N/A species,grade of lumber,span and connections? Yes No N/A'✓ 3. Are all door and window sizes shown? Yes --No N/A C. Are collar ties shown,including size,spacing,species, 4. Are all emergency egress openings shown? Yes ✓No N/A _ grade of lumber and connections? Yes No N/A 5. Is required tempered glass shown at all hazardous locations? D. Is ridge beam shown,including size,species and grade ` (FBC 2405.2) Yes No N/A-0" of lumber? Yes No N/AVI 6. Are all vertical reinforcements shown? Yes✓No N/A 4. Is roof sheeting indicated,showing type,thickness and nailing 7. Are all shear wall segments shown? Yes No N/A pattern? YesV�No N/A 8. Are all hold-downs and hurricane anchorages shown? Yesvo'�No N/A 9. Is required attic access shown? Yes;/No N/A 10. Are all plumbing fixtures shown? Yesf�,rNo N/A VIII. Floor Framing. 11. Are all electrical fixtures shown? Yes V 14o N/A 1. Is engineered floor truss plan provided,showing loads, 12. Are all mechanical fixtures shown? Yes No N/A uplifts and connections? Yes No NIA A. Is air handler and condensor location shown? Yes�`�lo N/A 2. Is joist plan provided,showing size,spacing,span,species, B. Are exhaust fans shown? Yes✓%o N/A grade of lumber and connections? Yes No N/A„✓ 13. Are all smoke detectors shown? (FBC 905.2) Yes v�No N/A 3. Is floor sheeting indicated,showing type,thickness and 14. Does one(1)bathroom on the first habitable floor level nailing pattern? Yes No N/A V Have a 29"net clear door opening and handicap accessible / route? (FBC I I-1 l) Yes�' No N/A 'S1 CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FAMILY RESIDENCE AND DUPLEX CONSTRUCTION) Date: y 2 Job Address: 3Gt�t F1.- 32-233 Owner of Property: E, Cm iza (r�lei MA i Address: X671 F4AJ&11 AOs a rt 53CA_ FL 32-2 7 Telephone: Legal Description: Block Number: �`Lot Number: 9 Zoning District: L dflO(S Contractor: �r 4t_aE> NAE, ME State License Number: Contractor's Address: 1671 ,rn= CL. 3 2-L33 Telephone: qj o�(- 2'`11- )7-1-7- Fax: 2SL/—Y310 Describe proposed use and work to be done: Cord's.,2w-c-c 5AJI-Le FAAA tear K_R-S t _%X'nk_e Present use of land or building(s): .J T- 401— Valuation of proposed construction: 3,z) n0 Is approval of Homeowner's Association or other private entity required? A45 If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? ❑ O. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. &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 pians to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 1 Revised 1/14/03 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. Current survev 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. IF Signature of owner: 4M w Date: D 3 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: 3 Address and contact information of person to receive all correspondence regarding this application (please print). Name: ?a--i BCeAtr.AC>! 14w4; Mailing Address: 1&1 If 1 ,,.�;; AJc ,4-TL 94". i(e_ 3� Telephone: 9 ZS[)_ /21.7- Fax: 9-V- ZY/- 4/ilo E-Mail: AS TO OWNER: Sworn to and subscribed before me this o2 —day of �2 -lam ,20 State of Florida,County of Duval -. Notary's Signature: MAUREEN K1NG MY COMMISSION#DD 095084 ❑ EXPIRES:March 31,2006 ersonally known sondedThruNotsryPublicunderwrAers roduced identification R • If Type of identification produced rzX F,640-691 Sf- 4163-0 AS TO CONTRACTOR: Sworn to and subscribed before me this AV* day of�2 cx.b-tZJ , 20 11� . State of Florida,County of Duval Notary's Signature: lC , J�y MAUREEN KING = ' MY COMMISSION#DD 095080 EXPIRES:March 31,2008 F1 Personally known ,., 6orad11ruNmrYPu*UndW*'":s [EProduced identification Type of identification produced F7l>c 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 1/14/03 CITY OF ATLANTIC BEACH C For �S BUILDING / ZONING DEPARTMENT L. � S s? 800 Seminole Road Doerr Atlantic Beach,Florida 32233 (904)247-5800 L,;3 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # q ICA Property Address: 35 . UA La Applicant: Project: This permit application has been: ❑ Approved ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION All applications must be submitted with seven (7) copies and received by 5 PM on the Friday ten (10) days prior to the scheduled meeting in order to be placed on the agenda. *INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. I W F,�e I. -'94 �4C,V£S A99t7".9T dry 3c.^. FL 3't.233 9 f / 2 'Z- APPLICANT APPLICANT NAME ADDRESS TELEPHONE 2. 3�r ►� �9 -y -5'T e r ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE 3. REASON FOR PROPOSED TREE REMOVAL: LV24 - A-�o ��t E€s "To i3e )Zr, i o b 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? YES \J NOT SURE 5. PROPERTY ZONING: OSIDiNTL4L�'� COMMERCIAL 6. LIST TREES PROPOSED FOR REMOVAL: SPECIES DIAMETER MITIGATION OFFICE USE ONLY INT.. EXT. *Diameter at Breast Height(D.B.H.)is measured at 4.5 feet above grade. To accurately determine diameter,measure the trunk circumference and divide by 3.14. Diameter of multi-trunked trees is determined by adding together the diameter of each trunk as measured immediately above the forks. ** See attached dia gram for determination of interior and exterior zones. 7. SITE PL_A.N/TREE SURVEY indicating; a) Location of topography features such as hills and low areas. b) Existing and proposed structures. c) Location of all trees with Diameter at Breast Height of six inches or mofe. " d) Tree species and sizes. e) Trees to be removed should be clearly marked with an "Y". f). Trees to be preserved on-site for mitigation must be marked with brackets g) Location, size and species of any proposed new replacement trees marked with a circle "(D" h) Location of utilities and easements as applicable. 1) Location of trees to be preserved on-site with barricading noted. 8. ON-SITE REQUIREMENTS: a) All trees identified for.remo-vai MUST be marked on-site by RED flagging, paint or tape. b) All trees to be preserved on-site for mitigation MUST be marked with BLUE flagging,Paint or tape. c) The front property corners must be-marked by stakes or paint indicating the Lot 9. INCOMPLETE APPLICATIONS ORJNTACCURATELY MARKED SITES WILL NOT BE PROCESSED. 1 HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES.OF THE CODE OF ORDINANCES OF ATLANTIC BEACH. .Applicant's Signature Date Owner's Signature Date CITY USE ONLY: Tree Conservation Board Chairperson Date Book 11378 Page 214 NOTICE OF COMMENCEMENT State of i - Z {� 1» Tax Folio No. County of 7�> A L To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: l.v-' es CL 5�v Address of property being improved: 3 2.23 General description of improvements: F--s Owner: ScaLL es l chi = fir. Address: )471 /�sc -44) Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: Address: I�7s F`ra.« .�.✓� �! /� L 32233 Telephone No.: "✓/- /Z 2 Z Fax No: . 14 Surety(if any) Fi ed & Recorded . ' ol AN Address: Amount of B19f ULLER Telephone No: Fax No: CDUVAL COUNTY RELM IN6 f 5.00 Name and address of any person making a loan for the construction of the improvements TRUST FUND $ 1.00 Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone 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: Telephone 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 OWNER Signed: 4 _ Date: 9 27 Before me this day in the County of Duval,State Of Florida,has personally appeared Notary Public at Large,State of Florid unty of DuW. My commission expires: 11 ow. Personally Known: or Produced Identification: May � , Balled Thru N17 PW WC 6; i"s Jv _ CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FAMILY RESIDENCE AND DUPLEX CONSTRUCTION) Date: I2 �0.T Job Address: R-fl 11"L e^i Z5•i AT%-. 3 c Ij F� 3 2-233 Owner of Property: se-k Qa ox,4 Tn.i Address: )l&71 FA,AaL,r ATL 53� FC 13 ZZ 3J Telephone: Legal Description: Block Number: Lot Number: 9 Zoning District: Contractor: CAc-ii 9, f�46A TAT State License Number: Contractor's Address: 1671 P4APJc,_i A-K A-r, d c-w 1�& 3 z 633 Telephone: Fax: go� 2�Li3io Describe proposed use and work to be done: CO,JS,Q v+ t-r SkJG-t_E 5-4&4s. Z S' 9 KAk-e Present use of land or building(s): v 7— LZI— Valuation of proposed construction: o e-,o Is approval of Homeowner's Association or other private entity required? A45 If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material or the removal of any trees? FY O. Applicant certifies that no change in site grade or fill material will be used on this project. ES. 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.ei.atlantic-beach.fl.us Page 1 Revised 1/14/03 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: w 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: 76�14 1/0 Address and contact information of person to receive all correspondence regarding this application (please print). Name: ?0"1 1 -B C AE&4 C$' �wtr Mailing Address: .a Ate'j_ Telephone: `70S/- 2J1/— /2'7-7-- Fax: --Al— ?y E-Mail: AS TO OWNER: Sworn to and subscribed before me this a -61 day of e�-� ,20 State of Florida, County of Duval Notary's Signature: Q�.(. - '� . Y' MAUREEN KING MY COMMISSION#DD 095080 ersonally known EXPIRES:March 31,2006 k produced identification tt Bonded Thru Notary Public undenwaere r7 6 Type of identification produced7 5�� 3—D AS TO CONTRACTOR: Sworn to and subscribed before me this aZ day of 20 State of Florida,County of Duval Notary's Signature: =,;;J,y MAUREEN KING �' MY COMMISSION#DD 095060 Personally known 't EXPIRES:March 31,2006 • A`.= Produced identification Bonded„mr N-TY NOW Underwr len 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 1/14/03 , t f DEPARTMENT OF PUBLIC WORKS _ J 1200 SANDPIPER LANE ATLANTIC BEACH,FLORIDA 32233-4318 3 TELEPHONE:(904)247-5834 �. FAX:(904)247-5843 SUNCOM:852-5834 http://ci.atlantic-beach.R.us PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # 03._ a(p 9 Applicant: I a �� JC° S Ha I If (-,- Address: 1:11T- Project: l Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. ci Your permit application has been reviewed by the Public Works Department and the following items need attention: I►' CC L E/eI�I�'nT-s a�_E ��� `� �•���,� CoE�frvl P/ar, r�� fo be to Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834. Reviewed by Robert S. Kosoy, P.E., Director of Public Works Date Z3 Signature Contractor Notified Date qlgok3 r 11` I SJ CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FAMILY RESIDENCE AND DUPLEX CONSTRUCTION) Date: 12�1'�3 Job Address: 3)"Lea- 35 . _ An- El- Owner l-Owner of Property: I-A Address: )&71 FAA,)Llf Age r A TL53C.0- FL 3 ZZ&J Telephone: Legal Description: Block Number: Lot Number: 9 Zoning District: L 610(S S)D Contractor: 3e-4Gyi ,� l bs TA 1' State License Number: Contractor's Address:_ 1 of Fiunwcu -r,. '3 C-14 f-4. 3 Z-L33 Telephone: 90�1/ Fax: 9o,�(— 2,54/—-,{310 Describe proposed use and work to be done: (fo,J_y Qwtt' 5)P/_-LE f-er-Atc r 2la-Sk 9ZAk- ' Present use of land or building(s): v T- Izl— Valuation of proposed construction: .3<z, d r170 Is approval of Homeowner's Association or other private entity required? a If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of rill material or the removal of any trees? [F:1 O. Applicant certifies that no change in site grade or fill material will be used on this project. ES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. 92"'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.atiantic-beach.fl.us Page 1 Revised 1/14/03 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 survev 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. /J �/ � Signature of Contractor: �'^��-�' Date: 2 '03 Address and contact information of person to receive ` receive all correspondence regarding this application (please print). Name: a%J ��1��., J�rku�cs' � Mailing Address: I(7l 1 , Ais A-r L gt-yi 64. 32-x.33 Telephone: W— 2'l1— /22z Fax: `7� Zy/---�9i� E-Mail: AS TO OWNER: Sworn to and subscribed before me this oL day of o4 120 C . State of Florida,County of Duval _ Notary's Signature: MAUREEN KING MY COMMISSION#DD 095080 EXPIRES:March 31,2006 ❑�' ®' ersonally known Banded ThruNatery"icundermMera Produced identification Type of identification produced rzXF 5e4O-697 5f' 4fd3-0 AS TO CONTRACTOR: Sworn to and subscribed before me this day of , 20 . State of Florida,County of Duval Notary's Signature: .y MAUREEN KING MY COMMISSION#DD 095080 Personally known ., EXPIRES:March 31,2006 , ,/."y,j BwMdJbMNoteryPw*undetwriten 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 1/14/03 CITY OF ATLANTIC BEACH FFord BUILDING l ZONING DEPARTMENT L. gins jl 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 0,-3 alp q c q Property Address: a Applicant: l t Project: This permit application has been: Ap ved /0- Re wed a €allowing items need attention: /;� Q-n . Please re-submit r a plication when these items have been completed. Reviewed By. Date: t s� CITY OF ATLANTIC BEACH i BUILDING PERMIT APPLICATION (FOR NEW SINGLE FAMILY RESIDENCE AND DUPLEX CONSTRUCTION) Date: J 12 �p3 Job Address: a)"Le^i :75�s . c H. Fi- 3 22, 3 Owner of Property: 4 TA i Address: _)&?I E4 Aa`u Age , Ai-L 53 1 - Ft- 27-ZIJ Telephone: Legal Description: Block Number: Lot Number: 9 Zoning District: 16,10(S S1> Contractor: 3L-4t-49> 046i 1-A i State License Number: Contractor's Address: _/671 FkA.-jco A.pc , X-r.- 3c>4. fL 3 2.233 Telephone: _904/- Z41- )Z Fax: 2j41-- -t13i0 Describe proposed use and work to be done: eo�� Q,,.c,f' SSG-a_E FR.M%t-Y K-f--S k 9 X'Ak-e Present use of land or building(s): Valuation of proposed construction: qpo 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 removal of any trees? FY O. Applicant certifies that no change in site grade or fill material will be used on this project. ES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building ,/ Permit. E 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.ei.atiantic-beach.fl.us Page 1 Revised 1/14/03 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: D 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. /J , i2 •/� Date: "i Signature of Contractor: �`"�' - -3 Address and contact information of person to receive all correspondence regarding this application (please print). Name: ?a%-1 Vi1`-Zti B(fit JAC$' )4u 4; Mailing Address: I&I 1 i t AJc � A-ri- &-yi. ��- -?7-tZ3 Telephone: `IOS/— .2j/l- /Z27- Fax: 9-Al ?h/ E-Mail: AS TO OWNER: Sworn to and subscribed before me this oC _day of c='5_e ,20 State of Florida,County of Duval Notary's Signature: MAUREEN KING MY COMMISSION#DD 095080 ❑ ersonally known aad dThmN ryPtokundS:Match 31,eerwMera [ Produced identification �f 0-691--S� - 463-0 Type of identification produced �� F 5� AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 . State of Florida,County of Duval Notary's Signature: . MAUREEN KING y4R'! MY COMMISSION U DD 095080 ❑ personally known EXPIRES:March 31,2006 ip�xd�� Bwwedn,n,NotaryPd*Url etwrlten [Produced identification Type of identification produced FZX F.5i10—A7-7— _54 `Ll 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 1/14/03 2002 1101 MAP SHOWING SURVEY OF: j LOT 9, BLOCK 1, LEWIS SUBDIVISON, AS RECORDED IN PLAT BOOK 24, PAGE 92 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA 0 N u w J Q U N LOT 3, BLOCK 1 I LOT 2, BLOCK 1 I 56.23' FIELD •70"WATER OAK 9"TALLOW 56.00 OO 14"PALM SET 1/2' IRON 1 FOUND 1/2' IRON PIPE. LB.3672 11"WATER OAKX2.2 PIPE, LB.3672 89'56'09" 89'38'4 4"' 13"TALLOW 8"CHERRY 12"PALM 0 19"PALM ' 16.0' U n16"PALM w 19"PALM W w W ' w O (/1 a 18"PALM v _ > ry I W o t_ � O 1Z p o a 23 PALM w f 2 (n I LOT 8, BLOCK 1 � 10"PINE �� LOT 10, BLOCK 1 00 10"PINE On 1�9 0 c U Ln Q 9"WATER OAK 10"LAUR L OAK w I 0 16.0' 1 l C14_ 5.0' ck- N �lCoPoSfipe� ' 9"LAUREL OAK CONCRETE VD -17'52"' DRIVE 13"PINE 7" R O K 90'07'1 20"PALM 182.00' BY PLAT �2a FOUND 5/8" 7"WA ER 11 AUREL OAKFOUND 1/2' IRON REBAR, NO CAP 56.00 1 PIPE (NO CAP) 55.56' FIELD - a t \0 \,\85 EDGE OF PAVEMENT DUDLEY STREET (FORMERLY EDNA STREET) CENTERLINE 50' RIGHT-OF-WAY BENCHMARK NAIL & DISK FI_FVATION=11.81 (NGVD-1929) of nift SOSO TNM vaMMtsa vm sppk a gonia#, sm"Ilvtston sad *011 Weal land N��• MA doss not Wnstltute "prevst for#0 i WMM of ps MNL ConWihncs wo Asrida ft""code and SN cow applfa" balk fto and ledsr'at psnl � mimd Md of ft td����ofAt tic PREPARED FOR THE BENEFIT OF: NOTES: i�iHABITAT FOR HUMANITY OF THE JACKSONVILLE THIS IS A BOUNDARY, TREE & TOPOGRAPHIC SURVEY. opBEACHFS D/B/A BEACHES HABITAT; ANGLES AS PER FIELD SURVEY. =few ATTORNEYS' TITLE INSURANCE FUND, INC.; NORTH PROTRACTED FROM PLAT. DONAH00, BALL & McMENAMY, P.A. THERE ARE NO BUILDING RESTRICTION LINES PER PLAT, AND IS IN COMPLIANCE WITH THE MINIMUM TECHNICAL STANDARDS SET FORTH IN CHAPTER BENCHMARK: 61G17-6 OF THE FLORIDA ADMINISTRATIVE CODE. NAIL & DISK ® NORTH EDGE OF PAVEMENT OF DUDLEY STREET IN FRONT OF RESIDENCE 359, PAINTED ELEVATION = 11.90 ( NGVD 1929 BL�A,TWRIGFIT THE PROPERTY SHOWN HEREON LIES IN ViJD FLOOD ZONE "X" (AREA OUTSIDE 500 RVEYORS. R'. YEAR FLOOD PLAIN) AS DETERMINED FROM D/R�A THE FLOOD INSURANCE RATE MAP, COMMUNITY PANEL NUMBER 120075 0001 D, REVISED 4DU:RIDEN LAND APRIL 17, 1989 FOR ATLANTIC BEACH, FLORIDA. YORSPROFESSIONAL SURVEYOR and MAPPER No.3295 FLORIDA DONN W. BOATWRIGHT, P.S.M. a721711 STREET DATE. DECEMBER 20, 2002 JACKSONVILLE BEACH, FLORIDA 32250 SCALE: 1 = 20' REVISED DECEMBER 26. 2002 (904) 249-7261 FAX (904) 241-3346 TO SHOW PROPOSED RESIDENCE, THIS MAP IS NOT VALID UNLESS IT IS SIGNED AND HAS THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED LAND SURVEYOR. DWG FILE NO. 2002-1407 r j�- I t Js CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026959 Date 10/28/03 Property Address . . . . . . 351 DUDLEY ST Tenant nbr, name . . . . . . NEW SFR, 1211RAD, 1281SCHG Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . TO BE UPDATED Application valuation . . . . 64752 Owner Contractor - -------- ---------------- --------------- -- ------ BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE . P .O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 (904) 241-1222 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . . Sub Contractor . . OCEAN STATE HEAT & AIR Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --------- -------- ---------- ---------- ---------- ---- ------ Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 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 Oct 06 03 02: 33p Information Systems 247-5845 P, 1 CITY OF ATLANTIC BEACH r, t) -. . � �' MECHANICAL PERMIT APPLICATION Date: ip-2 g'y j Owner of Property: &024r 4" i jot)Address: '/ "" OF 1 ' Contractor: - Carl S}cc In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein III. GENERAL INFORMATION A. Type of heating fuel- B. Q'�Electric IS OTHER CONSTRUCTION BEING DONE ON THIS ❑ Gas: _LP _Natural ,Central Utility ( BUILDING OR SITE?1,ni 0 Oil 0 Other-Specify IF YES,GIVE NUMBER OF C N TRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK INSTALLED 0_/ Residential or Commercial J New Building (Provide complete list of components p back of this form) Z3 Existing Building all,Heat _Space _Recessed _/Central _Floor O Replacement of exist tag system W Air Conditioning: Room Central f?""' New Installation(No system previously installed) Gill'�'Ducr System: Materialc`��hickncZa� i 0 Extension or add-on to existing system Maximum capacity ,SOD cfm 0 Other.Specify i 0 Refrigeration 0 Cooling tower. Capacity gpm O Fite sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY f` 0 Elevator: _ Manlifl_Escalator (Number) (Received) O Gasoline pumps (Number) 0 Tanks_(Number) Remarks 0 LPG containers (Number) i 0 Unfired pressure vessel Permit Approved by Date 0 Boilers ❑ Other-Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQL7PME1.-T I Number Units Description Model Number Man cturer Capacity Appgoving i 47AW » (Tons) Agency .Z Vz-, i HEATING-FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Man fit rcr Capacity Approving j f (BT U) Agency IF oCta L.+ TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5145 Phone:(904)247-5800•Fax:(904)247.5845• httn:1/www.cLsdantic-beackA.as 1/14/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 0.3-00026959 Date 10/23/03 Property Address . . . . . . 3.51 DUDLEY ST Tenant nbr, name . . . . . . NEW SFR, 1211RAD, 1281SCHG Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 64752 Owner Contractor - ------------------------ ----------------------- BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE . P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 (904) 241-1222 ---------------------------------------------- ------------------------------ Permit ELECTRICAL PERMIT Additional desc NEW 150AMP SVC Sub Contractor CMA ELECTRICAL CONTRACTORS Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 95 . 00 95 . 00 . 00 . 00 F 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 FROM GRANGER)( PHONE NO. : 9047640038 Oct. 10 2003 09:21AM P1 CITY f.V A.TLA�,IC BEACx, FLORMA zoo .3 cowsmrRATm OF pm& ,aT QJVEN FOQ WINO Trig WORK AS HF:SCRMED EN TIS Fo=WWG.WS F mny AGREE SO PEI ORM SAID WORK IN A=DANCE WME r4M ATTACF; 7' 6? ptCAT=3,WHICH ARE A PART' Sit W, h�hCCOFD E WrI7i ' i.S '€��CeI.?, 11 !1'"u1A� ,^ ,:'Y A "4..ICI: %-,+r.:H '~ TM BLECTRWI MTSIONATURE., �OyrWNEP�}S(11��NAM�: yon y , Rr1 -, sRR�s� . �J� 7 f0u ,R�$© _ .LS3 DO,SIZE U, s.CpADT,( 3 Caws,.{ ) PUBLIC( ) DiDUS•( 1 NIEW( OLD( ) UW4 ) AD=jQtV( ) TR A3f SFR( SERVICE: NEV INCREASEREPAM ) Cary UCTOR SIZE AMPS' C(?PP _ FEE 5PiITCkT OR BF AKI?Ft �? S f PH 'W VOLT `• RAC AX EXIST.SERV.sim AMPS PIR W VOLT ��AY FEEDERS - IVO. SIZE NO. s N0 SIZE LIGHTING OUTLETS OONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL swzTMms INCA"MESCENT FLOURESCENT a M.Y. F .100 Q APIANCES IBELL SI'. AM M-Au,&4LILNU My,KAT'fN0lZ.. KW- AT ConiTIONLNG COMP,MOTOR Cl�'I�R IMOTORS AMPS HEAT moToRS H.P.. VOLTAGE PHS NO, 114Y. I 'VOLTAGE FkxS f I 2QUS ui �. SEP.wilyGYER 40 - .�... �J__,....... ,._,. NO. KVA NO. �KV A ",�i4tA '�;:�':�`':; a7' s'13%i'1C"���SF�Rs .�'•�.� 1 '� rR CITY 4F ATLANTIC BEACH S 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 fiJt� Application Number . . . . . 03-00026956 Date 9/24/03 Property Address . . . . . . 351 DUDLEY ST Tenant nbr, name . . . TEMP POLE/50AMP, 1PH, 3W Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --- ---- -- ----- ------ --- - - ---- --- - -- - - ------ ----- BEACHES HABITAT CMA ELECTRICAL CONTRACTORS 1671 FRANCIS AVE. 8814 DARLINGTON DRIVE ATLANTIC BEACH FL 32233 MYPT FL 32228 (904) 241-1222 (904) 765-6262 ------------------------------------------------------------- - -------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---------- ------- ---------- ---------- ---------- -------- -- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL F�j,"1, GRANGER)( PHONE NO. 904764003e Sep. 25 2003 01:36PM PI F SEACHE5 HAKTAT Fraa� k71 C11"Y OF. Wjro"ACA, FLORMA T — APPI If.A.Tlk I)AZLECTRICAL FEPZW TO M Ct*W U7.14MCAL M=701t; DAM 07 IM147 GIVEN POA DOING TKV WORK Al MRSC"RD N ME MJ.OW"4n,WE FalkW_BY ACkME TO i'�XMM JAM WOMKV l-&M THE Al-,A*=j%AW,-,U4V ARA A PAV HUMF, - k4KS AN"M il�'Ar-C':k ymLECTIUCAL 9ZGVLAYI0NS.C! N5 SAWNMCES. E'I ;'C-MMN X,'+FMf, .7UV8T.FR ELBE CTMCLA-1K_%0 0 oww3p,sD BOX idatuAl v: 74 Ar Slrlal US,r " ?LPT.( ) CCNM.( PLTT-IC( MUS.( 1%'EW( OLD( REW.t j 10 'rRAtLBR( ) .rpW $IONS( ) —SQ.FT. SERVICE: NEW( ) NCREASE( REPAIR( C517-OUC—TOR SZE Aws: CC?ZER SWITCH OR MAKE, WAY I txlst SM.SIZE AMH rx w 01tT RACEWAY FEEDERS NO, SMS NO, SIZE , NO, SIZE LIGH77NO OUTUTS CONCEALM TOTAL RICEPTACLES CONCEALED . OPEN T07AL �MURESCFRNT 41 Mllv_ i. 7-5- .7- 1 APPLLUNCES., Mll 7RANSF. M.ft:7 MMILOM-F,Mni"ll L_A,_MFs__[MAT I MOTORSap "VOLTAiCiE'.J M$ —NO, 1 RJI. --iVOLTAGE PM UNDER ER 60CV OVER 600V TRANSFGIt1�ERS: 1' No" lKVA No. KVA NO,N E! ON TWSF. T �Im ZRTiYWITCH SIDERS ON t�` J �� r �'�• , CITY OF ATLANTIC BEACH --' j 800 SENIINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026967 Date 9/25/03 Property Address . . . . . . 351 DUDLEY ST Tenant nbr, name . . . . . . FOUNDATION ONLY Application description . . . FOUNDATION ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 (904) 241-1222 ---------------------------------------------------------------------------- Permit . . . . . . FOUNDATION ONLY Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 9/25/03 Valuation . . . . 0 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 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 Schlueter, Jennifer From: Showman, Lisa Sent: Tuesday, September 30, 2003 8:16 AM To: Schlueter, Jennifer Subject: 03-26959 FYI --Approved in AS400 by PW. i CITY OF ATLANTIC BEACH t v 800 SEMINOLE ROAD r� ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026959 Date 10/06/03 Property Address . . . . . . 351 DUDLEY ST Tenant nbr, name . . . . . . NEW SFR, 1211RAD, 1281SCHG Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 64752 Owner Contractor ------------------------ ------------------ ------ BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 (904) 241-1222 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc 11 FIXTURES Sub Contractor BEACHES HABITAT Permit Fee . . . . 112 . 00 Plan Check Fee . 00 Issue Date . . . . 10/02/03 Valuation . . . . 0 Expiration Date 3/31/04 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 112 . 00 112 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 112 . 00 112 . 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 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: l JJ , OWNER OF PROPERTY: PLUMBING CONTRACTOR: CONTRACTOR'S ADDRESS: &zz STATE LICENSE NUMBER: TEL.&/3 _6y HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY _WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS c2 CLOSETS _WASHING MACHINE FLOOR DRAINS SHOWER PANS I SEWER 1 WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: X $7.00 +$ .00= Z -Off' MINIMUM PERMIT FEE: $35.00 SIGNATURE OF OWNER: 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. PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: 1315i ���(A l� S+ �Z. Property Owner: IIPhone # del 12-2- Z �n-,- %-t Cc 61' 4 Cc 1 1 Contractor: Phone # Permit#: Date Issued: Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing 0. Framing / Cover Up 9-dS 0-5 '73 Insulation ► .i .C) Final Building 3 Tree Permit# YES NO Electrical Permit# Date/CopyEto A Temp, Pole Permit# Date/Copy to O3 - JEA IO" Z3" d3 Temp. Power Letter Received: YES NO Inspections: Rough Electric 1(- -03 Released to JEA Temp. Power �dS,o 3 Released to JEA Temp. Pole Released to JEA Final 3Li Released to JEA Mechanical Permit# Inspections: Rough . 1 •p Final 1 � / 731 Ot/ Plumbing Permit# 03- Inspections: Rough / Underslab 10,3,03 1( 13.0 Topout Water/Sewer Final 3 Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final Fire Inspection: Failed Inspections: Date Paid: Date Paid: