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Permit 94 W Dutton Island Rd (Church Rd) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025721 Date 3/20/03 Property Address . . . . . . 94 CHURCH RD Tenant nbr, name . . . . . . SEWER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ CATTAR, FRED FOSTER PLUMBING INC. 94 CHURCH ROAD 2905 HODGES BOULEVARD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 270-0015 (904) 821-0707 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CL13ARED UP AND 14AULED 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 7 PLUMBING PERMIT APPLICATION Date: Z Job Address: Owner of Property:fg4�2D Telephone: a 70 L5 Plumbing Contractor: F2,t)M�o /A)a Contractor's Address: Telephone: Fax: QzZ-o 707 State License Number: How many of the following fixtures (re-piped or new): -Sinks Showers Water Lavatory Water Heaters Hose Bib Bathtubs Dishwashers Sewer -Urinals Disposals Other -Closets Washing Machine Shower Pans -Floor Drains Re-Pipe (List fixtures being re-piped) Total Fixtures: x $7.00 + $35.00 (Minimum Permit Fee: $35.00) Signature of Contractor: Installation of plumbing and fWuri 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 Revised 1/14/01 ..-0,;"Ab CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 03-00025718 Date 3/20/03 Property Address . . . . . . 94 CHURCH RD Tenant nbr, name . . . . . . SEWER IMPACT FEES ONLY Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ CATTAR, FRANK OWNER 94 CHURCH ROAD ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . PLUM13ING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 3/20/03 Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments SEWER IMPACT FEE ONLY TO CONNECT TO CITY SEWER. TAP IS ALREADY THERE.JS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . SEWER IMPACT FEES 1250 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 1250 . 00 1250 . 00 . 00 . 00 Grand Total 1250 . 00 1250 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PU13LIC 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 H ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL Crry OFATIANnC BEACH 800 SEMMIE ROAD ATLANnC BEACR,FWRIIDA 32233-5445 -HON&(904)247-5800 FAX.P"247-5805 SUNCOM 852-5800 httpj/cj.atjanfic4xmchfi.us C ci,\ 0 C--� I Dear Property Owner. T,he costs to connect your building to the City sewer and/or water system are as follows: V4" Sewer Tap—Labor and nuftrials to tap into sewer main $ Water Tap—Labor and materials to tap into water main $ Water Meter—Cost of Meter $ Cross Connection inspection—hispection by Pubfic Works to ensure backflow prevention $ Sewer Inipact Fees—Funds future expansion of the sewer plant $ 2—!S W?ater Impact Fee—Funds future expansion of the water plants $ Capital InVrovenient—Fund 8 ior Unprovewcats, Expansion or replacement to water system $ TOTAL COSTS $ If you have any questions concernmg these charges,please call the building department at 247-5826. Shwomly, Don C.Ford Building Official You must supply your own backflow preventer. CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: 5,' 30-07 Property,Address: ij Owner:' Telephone#: 2 10—OL?/,S-,- T t W&��Lb Telephone#:,2 k4x� <72 Contractor: Contractor Address: Fax#-. io" �ar(o Contractor Signature: 'V A In consideration of permit given for doing the work as describe in e above statement we hereby agree to perform said work in accordance with the attached plans and specifications which arvipairt hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and Extures 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, L3 New list the building permit number: L3 Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 800 Seminole Road -Atlantic Beach, Florida 32233-6445 Phone: (904) 247-5800- Fax: (904) 247-5845- http:llwww.cl.atiantic-beach.fl.us Revised 9/06 CITY OF ATLANTIC BEACH CROSS CONNECTION CONTROL BACEFLOW PREVENTER INSTALLATION REQUIREMENTS INSTALLATION: General installation instructions. I. All devices larger than 2 inch must be installed on hard metal pipe. The metal piping must include all components up to and including the first upstream and down stream underground elbowjoints. 2. Assemblies 2 inches and smaller may be installed on PVC pipe. Schedule 80 pipe must 'be used near trafficked areas. Support brackets and guard posts are recommended. 3. Device assemblies'are to be installed a minim= of 12 inches above flood grade. Measurement is to be made from the lowest point of the device. The maximum height of a horizontally installed assembly is not to exceed 60 inches. No vaulted installations are allowed. 4. Vertical installation of DCAs is permitted on fire risers only and only if approved by USCFCCCHR. 5. All Devices are to be installed in a manner to facilitate testing. All valves must be fully operational. All test cocks must be easily accessible. 6. Freeze protection is required for Fire Suppression System Backflow Preventers and is recommended for all other Backflow Preventer installations. Such protection may not prevent the unit from operating or being tested. All Backflow Preventers must be inspected by a COJB representative prior to application of freeze protection. 7. Tbermal expansion must be addressed in situations were a device application may restrict such expansion. 8. AVBs and PVBs must be installed a minimum of 12 inches above the highest outlet served.No valve may exist downstream from these devices. 9. CALL MALCOLM CLEMONS AT 247 5839 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 DIM) INSPECTION EMAIL REQUEST: Building-dept@coaKus Application Number . . . . . 07-00000735 Date 5/30/07 Property Address . . . . . . 94 W DUTTON ISLAND RD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replace 4 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CATTER DAN BRYANT PLUMBING 94 CHURCH ROAD P.O. BOX 331275 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 242-9256 ---------------------------------------------------------------------------- Permit . . . . . . PLUM13ING PERMIT Additional desc . . Permit Fee . . . . 63 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/26/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63 . 00 63 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 63 . 00 63 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 11 1111111111 WIN �OEPMOWNT OF BL" CITyr OF ATLANTIC - ------ OICAT ION IMP ON L ORKAT IMIM I T, I Nv11,OpAAT r Addre 9 4 CHURCU R01iD e Number: 12299 PLORTDA 3223,3 ATLANTIC BEACH I 'Vermit ,T�p e;,Rixotin Im JZ(JAL DZS(ZRTf1TI,0N 0 class of Noirk hLTOAT I R Twp": Ong T pe.*WOOD r Lot:: C' tr y )I ME Rng: Soot ion Subd 0 proposed :Use: 'Sub VJsiow�SECTT0N' H Dwel I ings I Or.0 Est'. value: 01 ' rov'r C'Ott-1 T *t& Fe 0.00. ---------- TION APL'CAT'ON FEES _T, O.W Pa,,me OAD j PL,OR I DA,�� FOR"'T I N AIL AT JA L: 2 2'11 NI No"", FCjjC)j,"p MMOE -ALL;C0MCRM,,f0R- $AND INSPECTE IMfORE POURINQ AFT �DA VOID'SIX MONTHS ER TE 01:1 SUE 0f)jSI4 A OT BE PLACED INr PUBLIC'SMC.F-,AND MUST BE 'SUILDINGMATERIALr ND DORIS FROM THIS WORK MUST4 UP AND"A�ED AWM SY EITHER ONTRACTOR OAOmER, MreC R AN A IN 'y W jH'-THIt r HANIC, LIEN AAW, C 'IT Mp r. Mp , MdftWYO��NQTM EFORTHE60W Mp NG I I�7 VOCATION :- 100�t ACCORDING To APPROVED PLANS WHICH ARE PART OF THIS PERNIMAND SUBJgCT AP S-OF LAW. 4tj: ATLAN't, c E CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : Address : Phone: Lf ? Lot #- Block or Unit # Subdivision: Contractor:- State License # , Cj&c- 05: 7 7'�-L Address : <no lty:r,� Phone No: ?'2- c(3 fo Describe work to be done: 10-,r Present use of building:. -rJ-,- 4 Valuation of Proposed Construction: Proposed use : Is this an addition? If yes , what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT TIMM COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER", Date: n 7-.�V- J16 Signature CC CTOR: Date: License Supplied: Liability Insurance: Worker' s Compensation Insurance: FLA 1067 L^WS RAWCO F941" A" FS 713.13 Nature of Tolmntrarrmtnt 4"CPARX am PUPLICATKI The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Dowiplion ol property........................ (--!................5.-7. ...... ............ ............................... ................!�.T ......... ....... .... .... ... .........�Id........—.—L .......... ...............................I................................................................... ............................I................... ...................................... ........................... ....................................I.................................................................................................................................... Gon*r&l desa*ion of knprovwnents........... ...... . ..................I............................ ... .'p . .......... .... ........... .......... J/t- " r- -1 C -/............ ...........I....I....*--,....I............. ................ ........................................................................................................................................................................................................................ Owner .......... ................ ..........................................I......................................................................................... Add(ess................. ..............!�-..1 .........F..T...............r+.,T.-��— If- < L�– /,... ............................ Owner's irierest in jW* of the Improvement......................................................................................... .............................. Fee Simple Ule hokfer (if other H%an owner) Name..-.......................................................................................................................................................................................................................... Ad-dro............................................................................................................................................................... .................... Comrsdor............./ L.................. .....c:�).... ......... ............ Mdra.................................................. ........... .......................... ...... surety (d any).............................................................................................................................................. Addrsa---.......................................................................................................................................4.rocok" 04 INC114 t NNW Of Pw$On w4on *0 Staft of Rork6 ds@Wwod byownw upon whm noficss or Ww doom&" "my 6e servo& N&-ne ................................................................................................................................................................. AJ&ess.......................................................................................................................................................................................................................... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 71113 (1) (F), Florida Statutes. (Fill In at Owner's option). Natne .................................................................. A,d&*Is ................................................................................................ Buschman, Ahern, Persons & Bankston 2215 S. Third Street, Suite 101 Jacksonville Beach, Florida 32250 Telephone 904-246-9994 Fax 904-246-6680 April 15, 2002 City of Atlantic Beach 800 Seminole Road Atlantic Beach, Florida 32233 Attn: City Clerk Subdivision: DONNER'S REPIAT Address: 94 Church Road, Atlantic Beach, Florida 32233 Current Owner: Cattar, Jenet (prior owner, Johnson, Inez M.) R/E Parcel No.: 172198-0010 Closing Date: April 18, 2002 Dear Madam: Please send a city certificate on the above-referenced property. I have enclosed our check for $5.00. Sincerely, (D r� R, Ann Bolles Q File No. 02-120 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT TION LOCATION.1NF0_RMAT KITI-_F_ ION ,'Permit Num r: 23297 Address; 94 CHURCH ROAD Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: Date Issued: 1/10/2002 CATTAR, FRED Total Fees: 36.00 Address: 94 CHURCH ROAD Amount Paid: 36.00 ATLANTIC BEACH, FL 32233 Date Paid: 1/10/2002 .7770 -(Q00)000-0000 Work Desc: REPIPE .4 _0NTRACT9R ION'FEES LS) -60--i _kzl 36' DAN BRYANT PLUMBING 77" .7S V AV d N S�ilc it _F 4, _6 0",0- gpo*4�-. FINAL . ........... M- K ES Asa& P ._Awe __2 IN "m S NOTICE PECTION BUILDING,MATERIAL, CED IN PUBLIC SPACE, AND MUST BE ................. IAT OR OWNER ��127:�'�N "FAILURE TO COMPLY WIT ESULT IN THE PROPERTY OWNER PAYING TVV NTS'v ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PARTOF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 7 ATLANTIC BEACH BUILDINd-DEPT. $I Rmiptl MM 2456 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMXNG PERMIT JOB LOCATION: Ca htl,�n�w P/ iv OWNER OF PROPERTY: TELEPHONE NO. PLUMBING CONTRACTOR Van -grvatf I CONTRACTOR' S ADDRESS : STATE LICENSE NUMBER: RE OoSkv�� TELEPHONE:&-,4-) ,Zp 31233-1275- HOW MANY OF THE FOLLOWING FIXTURES (:�_RE�:-PIP_�_ERM, OR NEW SINKS SHOWERS LAVATORY __-WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST ,FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES : x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 0 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: I v V Vll v ----------------------------------------------------------------- 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 CITY OF ATLANTIC BEACH, FLORIDA Approvod by APPLICATION FOR ELECTRICAL PERMIT 1� I TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ��Z;7 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNLYMAN NAME- 14 Z11c ADDRESS: 7 RFD-BOX- BLDG.SIZE 21 E BETWEEN: RES. (XI APT. ( comm. ( PUBLIC INDUS. NEW( OLD ( REW. ADDITION ( ) TRAILER ( TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW( INCREASE Wi REPAIR FEE CONDUCTOR SIZE AMPS 20,�l COPPER ALUM. SWITCH OR 13REAKER AMPS PH W Zle"d VOLT RACEWAY EXIST.SERV.SIZE IdO AMPS PH W Z�a' VOLT 6�X-f-RACEWAY FEEDERS NO. SIZE INO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED .100 AMPS. OVER APPLIANCES I I L I BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS --————————————————---——-- PSR-3644 12341 � DEPAMMM CW awwwo, CITY OF ATLA NTIC PERMIT INFORMATION LOCATION INFORMATION -------- - a rMi t Number: 123,41 Address: 94 CHURCH ROAD P0 rmi t RE-ROOF' ATLANTIC BEACH, FLORIDA 32233 Class of Wo' rk*.A'LTEkAT' IOrt, ' LEGAL DESCRIPTION ----------- onstr., ,Type..WOOD, v Block: Lot: Twp* Use: Section, 0 Subd:O Rng, Dwellings,: 'Subdivision*.SECTION H a 0 .00 Est . V Jmprov. cost,: 3 7,00".00 Tota 1 F�6 0'.00, ount 0 1011F kT I Ott , �G M1 APPLICATION FEES ---------- Nam RM T 0 .00� 'Addr: AD FLORMA C ------ RMATI Name: , LAR, LL A r. UTZ I ' CLENN ORIDA 33\20,63 Exp: Ndms: Ncyr" UL COUMV M :ftpm POWNW , PERMIT YOIp'$IX MONTHS AFTER OF,iS" 'i''BUIU)ING MATE' NAL,RUssisH AND DEORIS FROM THIS WORK MU,4T�NOT BE'PLACIED,IN PUBLIC SPACE,AND MUST BE P AN: CLEARED u 0 HAUtED By 1�#�CONTRACTOR OR OWNER, 7F LIEN LAW CAN RESULT IN ComplyVITH THE MECHANIC'S THE PMWE ,r NG11M M, A INGTWICE F0 -''T" ' 1! K PIR01PE R MENTS ACCORDW TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND 8 tPAMISIONS LAW. USJ1ECT TO' YATIQN FC* 4 OF,A M, 11PAM If J�v M IDINO DEPART ATtANT C SEACH�W ENT 00 4 CITr OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owne r(a e-z- VL LQ U;n Address:. SH. Phone: CN19 Lot #_, Block or Unit # Subdivision: Contractor: � eilcc4 Address% City, State and Zipoanolp rA,)i _____�Phone 7-j- 6 L State License # O-Q-C- C)LIL121 Describe work to be performed: �'p Valuation of Proposed Construction:_1'3,-IQO.-C)n Materials to be used: cyly1j"I 4'. Signature of Owner; Signature of Contractor: -4J,J4 Liability Insurance Supplied Workers Compensation Insurance Supplied License Information CITY OF A&4wZ z' Ve4d - 56u�d4 800 SEMINOLE ROAD ------- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 December 8, 1992 Inez Brown "ac Fl 32233 Re: Sewer Impact Fee Payment Agreement North 1/2 of Lot 10, Block 1 Donners Replat. R.E. 172198-0010 Dear Mrs. Brown, This letter shall serve as an agreement between you and the City of Atlantic Beach for an extended payment plan for the sewer impact fees to connect your home to the City Sewer system. �i The total fees due are as follows: Sewer Impact Fee $1 ,035.00 You har requested that the City accept payment of the above total in 60 monthly installments of $16. 67 each. This agreement for the full amount due shall be recorded against the above referenced property at- your expense. Upon payment being made in full , the record shall be released. In addition, the City reserves the right to terminate service if you fail to make the above payments orjany of your regular Water and Sewer bill payments. Please indicate your acceptance of the provisions of this agreement by signing in the place indicated below. Your signature also signifies your agreement to indemnify and hold harmless, the City of Atlantic Beach from any and all damages resulting from your failure to timely make the above payments, including reasonable attorneys fees and court costs. d The City of Atlantic Beach looks forward to cooperating with you under this agreement. CITY OF AT ANTIC BEACu- B Y: /,m X9. K 0. LEINBACH, C ITY MANAGER DATE BY: nez Brown DATE cc: Mayor and City Commissioners ---------4.7Te �w tuie .......... .......... L.3-714-4�. .......... CITY OF 1*&a4'e Ve4d - 9&v-�(4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 December 8, 1992 Inez Brown 94 Church Road Atlantic Beach , Fl 32233 Re : Sewer Impact Fee Payment Agreement North 112 of Lot 10, Block 1 Donners Replat. R. E. 172198-0010 Dear Mrs. Brown , This letter shall serve as an agreement between you and the City of Atlantic Beach for an extended payment plan for the sewer impact fees to connect your home to the City Sewer system. The total fees due are as follows: Sewer Impact Fee $1 ,035 . 00 You have requested that the City accept payment of the above total in 60 monthly installments of $16 . 67 each . This agreement for the full amount due shall be recorded against the above referenced property at your expense. Upon payment being made in full , the record shall be released. In addition , the City reserves the right to terminate service if you fail to make the above payments or any of your regular Water and Sewer bill payments . Please indicate your acceptance of the provisions of this agreement by signing in the place indicated below. Your signature also signifies your agreement to indemnify and hold harmless, the City of Atlantic Beach from any and all damages resulting from your failure to timely make the above payments, including reasonable attorneys fees and court costs. The City of Atlantic Beach looks forward to cooperating with you under this agreement. CITY OF AT ANTIC BEA7 BY: &1 - P(q. K114-6. LEINBACH , CITY MANAGER DATE BY: - � '� , 1 6 9- 17Z (j nez Brown DATE cc: Mayor and City Commissioners IT OF BUILDING DEPARTMOO 'CITY OF ATLANTIC,BtAdH LOCATION INFORMATION PERMIT INFORMATION A d d r e s s, �94, CHURCH ROAD f�tlrffdt t-i-309 -AC J DA 3 2 2 3 P�,,-rmit Typr--' MECHANICAL� A T L.ANTT C. BE .31 FLOP ss-s�, of (4c)r k NE14 DEISCR IPT I ON on- WOOD FPA,,ME RNG, --cl. Us 6 ST NGL t�, FAMILY 0 1 A �j�o'n ngs v 1,15 v a:t u ie, $0 .00, cost '. *0 �60 T` 00 47 00 /14/9 TRAL:�,HEAT ANO. IN RE 5,10 EN k b4l APPLTCATION_FEE$ T ION 4RMI $47_,00 'WATER 'I MPAC F F T _E $0.00 AD lr;�2 13 FE "07 '60 FLORIPA 01 '_E so Z T eg" 4 f"w"I..........t,,t,Vf't'?4�0, G A--, RADON'. $0 .00 0 FORMATION Name, WATER TAP : � $0 00 0 T AP C �V�R�w SEWER__ L �32209 HYDRAM I C SHARE $(") .00 Af,-K RE n e, R A 0 0 3 T�,Pe- 0 --INSPECT FEE $0 J)o 'K E G 01,0 H' IMPACT FE OTHER, -vX 4 so 0�0�,, 40� F ktwjm�,, NOTES. PAI JAN 14 1993 city 61 Atl*it Uh,!% PORMSAND FOOTIN S MUST 06'INSPECTE0 BEFORE POURING NOTICE-ALL CONCRETE PERMIT VOID SIX MONTHS AFTER DATE,OF,ISSUE -.':"BUILDINe MATERIAL,RUBBjSHAND DEBRIS FROM THIS WORK MUST,NOT�S;E,PLACED IN,PUBLIC SPACE,AND MUSTSE CLEARED UP AND HAULED AWAY 9*EITHER CONTRACTOR OR OWNER `6FAl!LURE,'.T0, COMPLY .%WITH THE MOC'H,ANIC$ ,L!F.N, LAW CAN"RESULT IN : NG IMP R VEMENTS-99 AY -0 0 THE PROPERTY,OWNER, P INGTWICE,FOR, ILI f I$SUtD ACCORDING TO AP PROVED PLANS WHICH PART:OF THIS PtA IT Akn'kI'fSJer%lr:TO REVOCATION FOR it6tATIO140FAPPLtcAsLEPAOVt$IbN$Of�.LAW.:% W ATLAN 44 �Mt,PA44TME T,'' �4, 04"M 74 4 P�A BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA 31133 APPLICATION FOR MECHANICAL. PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items ;n sections 1, 11, 111, and IV. Street Address: IT4 C LOCATION --eb OF - Intersecting Strools: letwooft And WILDING 11. IDENTIFICATION — To be completed by all applicants in coAs;dorot;om of permit given for doing the **it as described in the 6bcve statement we hereby agree to re,fc,m sa;d wo-, 3:::1161:e -th the ottacIlLed plant and spocificat;ons which at@ a part hereof and in accordance wifn 66 C. y of Jackson.T@ oscl,ma�res a,z i*a,-,t,--s of good pr6cf-ce listed therein. N~ *1 lkilecharikal Contractors C.04imther Ihist) M41for Home of hoporty Owner NIS A) Sii"dowto of Owner 4- A signature of ow Avth*ei"J Agee Ze-z- 84iy4 Arch;foct or Engineer Ill. QWBtAL INWRMATION IS OTHER CONSTRUCTION BEING OONE ON cr-�c THIS 13UILDING OR SITE? C] Goe—0 LP 0 IF YES. GIVE NUMBER OF C C] 02 PERMIT 0 Oth" — Spe4f, IV. billICHMICAL SWIPMONT TO 61 INSTALLEO NATURE OF WORK I Iliteviiiiiie compWis kt of components on back of this form) Ll----Residenlial or Commercial or�-Hisat 0 Specis C) Recoissiod 2,Cis 111114,111111 0 Roof 11 New Building M-A;t Centild6alinj: 13 Room O'Contrel Eft--Existing Building a G-Doc� hvftm: L404#41 /-;�bo If FAI- Twck A- 11 Replacement of existing system ff—N-e-w Installation(No System previously installed) M&94*00 capacity M-14 0 Refri"06" 11 Extension or add-on to existing system E] C00409 loweir: copecity Other - Specify C] Fire sprinUen: Nombeir of C) Ekinnew 0 Mitailift C) Escalate- jolumber) THIS SPACE FOR OFFICS US& OwLy D Ga-ruw pumps -(mor"ber) (L"Oh"41 0 Inumborl Remarks (3 M C) UO&W pmoswe vis" 0 spun Permit Approved by Do his.- 13 Ofhw — Slit"ify Permit Fe. 12gr ALL 2QUIPMENT AM COtMfTIONING AND REFRIGERATION FQULPMENT Number t1aft DisecripItion Model Number Manufacturer !TA-L)LIT OP-4 L UL 4- T"Z., , 77.� AM, AM, P"II, Ag, ou", Ago FOR OFFICE USE ONLY Date-.........lr=115-119 ;!e CITY OF ATLANTIC BEACH Permit #-----//9.3.Fee Valuation ........... FLORIDA House #..... AV I ............................................................................ APPLICATION FOR BUILDING PERMIT 70 ............................................................................ 7e ............................................................................ Apv�i�cation i's hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Ailaniie Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can Date............. 'z� ---_---------------- 19............ --------------------.-Address... ---------T'e__1_e"ph"*_'ne No....:T�............... Architect................... -------------------- - ----- ress' No----------------------------- Contractor Buil _'00 'W v4k--- ress- No.2---- Lot NoA,.?1:___.;-----to-----------------Block No Divi -----...Zone----------- 'e:� ---------- ----Je,44---A ---------------Street--------------- --------Side Between.......... ----- ...------------------------------and------_------------ ----------...............S ........ ---- Valuation ----For what purpose will building be used--.- -------00---------Type of construction. Dimensions of Building."--/ -----Dimensions of Lot---4�..............0.4- --------------- -------------------Size of Footings----1.2- ............... Size of Piers.---------------------------------Size of ---------- ---------Greatest Sill Span in ft.--........---------------Type Roof------------------------------------ How will Building be Heated?_4�6.w _02.0...............-Will Building be on Solid or Filled Ground?.__��<!�....._ Size of Ceiling Joists_--------------_--------_------------ Distance on Centers------------------------------------------- Greatest Span............................................ .. Size of Floor Joists----------- ------------- ---------- Distance on Centers_....... .................--------------, Greatest Span---........................................ 1P Size of Rafters----------------------------------------------- Distance on Centers.. -- ---------- ..................., Greatest Span-------------------------------------------- sp This rectangle is to represent the lot. Locate the buildink or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. E-4 5. When rough plumbing is completed,and ready to cover up. 3 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called forafter corrections are made. FRONT OF LOT 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 t h �tn�n tac edagqns and specifications, "which are a part hereof, and in accordance with the building regulations of the City ntic Be.Vm. Signature of Buildef..A_e�,P.'4 ...... ---------------------------------------- Address...../---- AY4-4v --- ---------------------— Signature of Owne;;_;;�_ ----.................................I..................4................ Address....................................... ot,13 'i,d-a VD -,t!ON 73 0.00 131 IV V 7d 7d WOG -j 'H D V 2 9 L N '1 -1 1 V .LV I a 2 T-5�"D- o I o I L 0 1 JOINT I JOI NT 2 SANFORD GRIP-MASTER PLATES, applied to both faces of truss at WaC7�Pntl _$ I be M gouge galvanized steel, with four 5/16" formed teeth per square inch of gripping surface. Centerlines of DESIGN FOR TRUSS- Sanford Grip-Moster plate shall be located at joint_c_e_n_te__rF1_nes un- 30 less otherwise shown. Position Nails, located as shown in Joint De- tails, shall be 1-1/2" Io_n_9__a_nn_uTc_rr*ing shank .120" diameter, 9/32" head; 0.113"diameter 1-1/2" long fillet head T-noik or equivalent .5?0# nail with common head. 3850 c 2- f — SANFORD GRIP-MASTER TRUSSES shall be fabricated in adequate 2 jigs so that upon c�.pTe_f,_.n, ._ff—joints have full bearing. a T-520 Sanford Grip-Moster 26 Sanford Grip-Mastor OVERALL SPANS, are based on the use of a 4"nominal width of h 2 (5 x 6) (2 x 3) bearing, unless otRerwise shown. Up to 8"of bearing width may be used, which will permit on increase in maximum overall span of 8". 23'- 0" Clei Live and dead load on roof 45 F Dead load on ceiling 10 F Minimum Quality Lumber as Tobulat-ad Below JOINT 3 JOINT . 4 Span A( 'Top Chord B (Web Members) C(Bottom Chord) NOTE: 33-1/1*3%allowable unil 1/40 W-9" 1500f Industrial W.C.Construction 1500f Industrial increase for short time I to k (L. F.) Fir(C. R.) 231-8" Hemlock (W. C.) Hemloc 4 + 211-9" + + to n I SDO f Industrial 1E 22'-S" Hemlock (W. C.) 23 2 1 (30_2 _T 22 321 (3 x 7)Sanford Grip-MMIter [20k-9" (324) 2-1/�' (use with 2 x 4 Kirgpost) to 1200f Industrial 318(3 x 6)Sanford Grip-Master 1 8. Fir (C.R.) 3 327 Sanford Grip-Mixister to 23'-8' 2 (use with 2 x 3 KirVpost) I (3 x 9) 151-5" 1200f Industrial 1200 f Industrial to 324 Sanford Grip-Moster to 20'-8- Hemlock K C.) Hemlock (W.C.) (3 x 8) 1 ,_��C - *2 x 3 web members must be minimum of 1200f Industrial Hemlock, Fir or S T JOINT 4A #2 Southern Pine. JOINT I Tot 4-L _L' 4 A JOINT 2 It X 12 1/4" 1 C11 2.5 Y,3* 535 (5 x 7)Sanford Grip-Moster -4 0 (use with 2 x 4 Kirgpost) — 530(5 x 6)Sanford Grip-Master - (vseith 2 x 3 Kinapost) w* 2 x 4 C JOINT 4 AMEERIC/ CAMBER 1/4" P.O. BOX ' National Dasion Specifleatlosis (NLMA) Design f c E EDGEV Criteria is %1lowod�,Ith the Following exceptiont Constr. 850 660 1.7d6M Allowable stresses for 2 x 4 Construction Fir and LCnftr. MAST ER 2 x 4 Construction Hemlock as chartei SANFORD GRIP L C 0 p Y r I g h t 1961 -sonfor I,HA Form 2005 For accurate register of carbon copies, form Form approved. VA Form VB4-1852 may be separated along above fold. Staple Budget Bureau No. 63-R055.17. kf�v. Scl)j- 11464 completed sheets together in original order. X DESCRIPTION OF MATERIALS ' No. ,,:i Proposed Construction (,Io hc insciled hN 1`1 IA ol VA) Ej Under Constructio N-Ir'Lot 10, Block 1,t Donner's Fteplat Property address Church SUiwt# Atlantic peachsriao city State— The Charter Compmw Mortgagor or Sponsor Wddress) (Nauw) 507 ) Contractor or Builder Caroline RAy Real-Estate Serviess Jaeks=ville Beachl, Fla- 32250 Name) (Addiess) INSTRUCTIONS i. For additional information on how Als form is to be submitted, number required, then the minimum acceptable will be assumed. Work exceeding of copies, etc., see the instructions applicable to the FHA Application for minimum requirements cannot be considered unless specifically described. Mortgage Insurance or VA Request for Determination of Reasonable Value, as 4. Include no alternates, "or equal'' phrases, or contradictory items. (Con- the case may be. sideration of a request for acceptance of substitute materials or equipment is 2. Describe all materials and equipment to be used, whethof or not shown on not thereby precluded.) the drawings,by marking an X in each appropiiate ch;iclk-boi and ettteriog the 5. ncludo signatures required at the end of this form. information called for in each space. if space is iFrdequate,*ntor,','See misc.'' 6. The construction shall be completed in compliance with the related drawings and describe under item 27 or on on attached sheet. and specifications, as amended during processing. The specifications include this 3. Work not specifically described or shown will not be considered unless Description of Materials and the applicable Minimum Construction Requirements. 1. EXCAVATION: Bearing soil, type — San4_ Loan 2. FOUNDATIONS: 2500 M (2) l/1r-0 Conte steel rods Footings: concrete mi strength psi Reinforcing Foundation wall: material Cow"tte __K0nQlithiQ Slab Reinforcing Interior foundation wall: material Party foundation wall Columns: material and sizes Piers: material and reinforcing Girders: material and sizes Sills: material Basement entrance areaway Window areawa Ys Waterproofing imppol 40—t Fwting drain's Termite protection NonolithiO Slab Basementless space: ground cover ol�San�4 foundation vents insulation Special foundations Additional information: 3. CHIMNEYS: 4" Air Jet Material_G&W. StAW1 Prefabricated(inake and size) Flue lining:'material Heater flue size Fireplace flue size Vents (materia 1 and size): gas or oil heater approved water heater_3" Round Additional information: 4. FIREPLACES: Type: 0 solid fuel; 0 gas-burning; F� circulator(inake and size) Asti (lump arid clean-out Fireplace: facing lining hearth __; mantel Additional information: S. EXTERIOR WALLS: Wood frame: wood grade, and species Corner bracing. Building paper or felt Sheathing thickness width F1 solid; F-1 spaced_" o. c.; Fj diagonal; Siding grade type size---; exposure_"; fastening Shingles grade type size—; exposure—"; fastening Stucco thickness Lath ; weight lb. Masonry veneer __ Sills Lintels 6 x 12 Rein-conmte 64 J": E] 1pligo[j" n stuccoed; total wall thickness facing thickness facin& material U010111111M 41M Backup material thipkness—_"; 16ndirij, Per PILmas ' Pre6is—t X reu D;or s7il s- Window sills Lintels I X 2 FT Interior surfaces: dampproofing,-- coats of furring Additional information: Exterior painting: material 2. *"to PVA numbe 1,cmt, Gable wall construction: [] same as main walls; & other construction 3/8" factorr 6. FLOOR FRAMING: 1 x 2 PT battens joists: wood, grade, and species other bridging —_ ; anchors I - 24M PST . -:_1