Permits 390 W Dutton Island Rd IS, 53
DEPARTMENT OF SUILDINQ
'OF ATLANTIIC�$t R
------------
PERMIT INFORMATION ---
-;------ LOCATION INFORMATION
PirMi t Number: 15453
Address,- 39,0 CHURCH R
Permit -DRIVEWAY 11 * I OAD
TyVe. ATLANTIC BEACH, FLORIDA 3223-3
class of, Work:NEW
'C'Onstr. Type:WOOD FRAME LEGAL DESCRIPTI0N:.-__-,__.14�__ __
:Proposed Use., Lot : Twp.*
Section- 0 Subd-6
Dwell'ings : 1 '0
Subdivision:
Est . Value: 0 .'00
lmprov. Cost: 0 00
Total Fees : 0.00
00
Amduht "Pat,
0 .
1�" AA41
D ate
AMM
�ork KING FOR CHURCH OF THE' L'IVING GOD
ATION APPLICATION FEES ------ -
N-ame
ING GOD
0100
AD
FLORIDA 322,113,
.Phone�*,
C R1 I
gFORMATIO,$ ----
Name: PR RT
Addr.
Lic-
T
;Z
W
X
A
NOTES:
NOTICE-INSPECTION$ MUST BE REOUESTED AT L
EAST 24 HOURS PRIOR TO INSPECTION'
BUILDING MATERIAL,RUBBtSA,ANQ '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 MECHANICS' LIEN LAW.CAN RESULT IN
THE PROPERTY-OWNER PAYING TWICE FORSUILDING IMPROVEi
MENTSO
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND,SUBJECT TO REVOCATION FOR
OF:APPLICABLE PROVISIONS OF LAW.
ATLAOTIC MENT
7 GRY 01 AtIan
tic
CITY OF ATLANTIC EEACH RECEIVED
PEPI-11T APPLICATION REMCDEL, ADDITIONS, OR AL=Z"T(�M 1997
KCVTNGI ITIONS CitY Of Atlantic Beach
B
Owner (s) . 3,(?0 (f�qa tee
,r Am 157
76 s C��-
av 46
Address : Phone:_5
I Q#V004
Lot S Bicck or Un-; -- Subdi7ision:
Contractor: n tj)&)F— r-
State License
Address: NO:
C I�:y St a e 1-4c Code
Describe work to be done: AW CE —J-74E-
?rese.qt us-e ��f bufltinq:
7a-luation of 7P--c1pcseid construcz-;o�
Prccosed use:
-s 7,is an add-4 t-4 c r,
ves, w�,.a-- are the --'-e added
-4� 11 tne added area be and
space:
e d? N e w elec.--=ical. "or increase) ?
New olun�cing fix�:--,zes? New fireclace? New Heat/aC?
S= pLAH, SURVEy, Ma=y -=Me—ZMaC, AND
Ac!rCR ---TRA=0R.
Signature OWNEIR: e:
cat
S4,- Date:
,nature CONT",ACT-IR: TV
---ed before me tliis 0CJ IL
Sworn, to and subscr4l� da v of
-�, CTARY 2CEL-LC S7.;XZ FLCR--:)A AT LA2.GE
OF
PaMda Am em
my C 09
OMMSSION#GC6M1 EXPIRES
- August 27,2000
0
SOM THRU TROY FAN WURkqM INC,
APPROVED
QTY of ATLANTIC BEACH
SUILDING OrFICE
OCT 2 1997
Q�
Z4je Thurril Of Zht �Gvi Gib
lug
Thic 1hillar nub Grounb (Of 'Tile Trutil, im.
M.L.TATE,Founder 1903 F.E.LEWIS,Go-Founder
Established 1903 H.M.LEWIS,Chief Overseer Branch Office:818 4th Street
General Headquarters P.O.Box 2514
NASHVILLE,TENNESSEE West Palm Beach,Florida 33402
Phone(407)833-3094
October 13, 1997
To Whom It May Concern,
This is to certify that Elder Betty J. Key, pastor and local trustee of
THE CHURCH OF THE LIVING GOD, THE PILLAR AND GROUND OF THE TRUTH located
at 390 Church Road, Atlantic Beach, Florida, is authorized to have a
concrete parking lot added to the local chapel located at the address
stated above.
If further information is needed, please feel free to contact me at
(561) 833-3094. Thank you!
Sincerely
Bishop H. M. Lewis, President
HML:mm
Atary V
GLORIA J.MOORE
MY
COMMISSION#cc 5
97462
EXPIRES:JAnuary 2.2001
Bonded Thru N*un&wun
MAP SHOWING SURVEY OF
LOT 5, BLOCK 11 LEWIS SUBDIVISION Ai- RECORDED IN PLAT BOOK 24, PAGE 92 OF THE CURRENT PUBLIC
RECORDS OF DUVAL C)OUNTY, FLORIDA.
C7
6 .4 4r,2
70'
T n)
t-,5 774-1'
n�
I-IN
TN
v)
70' APPR
c(ty , 0 v
OF A TL4 E�0
aufL0jrq,,NTjC
oppici
OCT 2 4 ,199,,
CITY OF
FAX(%4)247-505
M SEMINOLE ROAD
ATLANTIC BFACH,FLOREDA 32233-5"5
TELEPHONE("4)247-SM
November 3 . 1995
church of the Livina God
Pillar and Ground of the Truth
10719 HaDDvvale Road
Jacksonville . FL 32246
Attention : Frank Kev
Dear Mr . Kev :
our records indicate that vou are teh owner of the followina
Drovertv in the City of Atlantic Beach, Florida :
390 Church Road
a/k/a Lot 5 . Block 1 , Lewis Subdivision
RE#172341-0000
This office received a citizen complaint regarding the
disDositina of broken concrete , toilet and other items on the above
property . My investigation verifies this complaint .
Please act accordingly to remove any debris or other items
that should be stored indoors .
Your cooperation in this matter is appreciated. Feel free to
call me at ( 904) 247-5826 .
Sincerelv ,
Karl W. Grunewald
KWG/Dah
cc : City Manager
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
CITY OF
SW SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-W-5
TELEPHONE(904)247-5800
FAX(904)247-5805
September 19 , 1995
church of the Living God
Pillar and Ground of the Truth
818 4th Street
West Palm Beach , FL 33401-4118
To Whom It May Concern:
our records indicate that you are the owner of the following
property in the City of Atlantic Beach, Florida:
390 Church Road
a/k/a Lot 5 , Block 1 , Lewis Subdivision
RE172341-0000
This office recently received a citizen complaint regarding
the depositing of broken concrete, toilet and other items on the
above property . My investigation verifies this complaint .
Please act accordingly to remove any debris or other items
that should be stored indoors .
Your cooperation in this matter is appreciated. Feel free to
call me at ( 904) 247-5826 .
Sincerely ,
Karl W . Grunewald
Code Enforcement Officer
KWG/pah
CC : City Manager
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
CITY OF
lftla&e Ve4d
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(%4)247-5805
September 19 ., 1995
Church of the Living God
Pillar and Ground of the Truth
818 4th Street
West Palm Beach, FL 33401-4118
To Whom It May Concern :
our records indicate that you are the owner of the following
property in the City of Atlantic Beach, Florida :
390 Church Road
a/k/a Lot 5 , Block 1 , Lewis Subdivision
RE172341-0000
This office recently received a citizen complaint regarding
the depositing of broken concrete , toilet and other items on the
above property . MY investigation verifies this complaint .
Please act accordingly to remove any debris or other items
that should be stored indoors .
Your cooperation in this matter is appreciated. Feel free to
call me at (1904) 247-5826 .
Sincerely ,
Karl W . Grunewald
Code Enforcement Officer
KWG/pah
CC * City Manager
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
CITY OF
Tead - 9&r6&
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
November 3 . -199-5
Church of the Livina God
P� 11 ar and 'Ground of the Truth
10719 Happyvale Road
Jacksonville . FL 32246
Attention: Frank Kev
Dear Mr , Kev :
our records indicate that you are teh owner of the followina
ProDer-tv in the City of ;tlantic Beach . Florida :
390 Church Road
a/k/a Lot 5 (),-k- 1 TeWiS Subd' vision
RE#17 2-3)4 1-0 0 0 0
T h i s office received a citizen com-laint e q a r di n a the
disnositina of broken concrete , toilet and other items on the above
property . My investigation verifies this complaint .
Please act accordinaly to remove any debris or other items
that should be stored in.cloo'-,:s .
-Zou-- cooDeration in this -matter is an-.,.-eciated . Feel free to
call me at ( 904 ) 247-5826 .
Sincerely .
Karl W . Grunewald
KWG/Dah
cc : -'� f-v Manacier
CERTIFIED MAIL
.L
RETTURN RECEIPT REQUESTED
10
A T E
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
23,3 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY:
v
----------------
----------------------------------- -------------
-------------------------------------------------
-------------------------------------------------
-------------------------------------------------
Enclosed are the blue copies of the permits.
31NCE.RELY,
A�1'3
BUILDING INSPECTION DIVISION
cc :FILE
TRANSMITTAL DOCUMENT FOR JEA
& --� 9 Q/
DATE:
The following permits have passed "rough" inspection:
Permit No. Address
exxnl=exk)axexx=xgAxlme*=apdxmxcfxxbkexypeaumL,ba. Please update
your records accordingly.
Qhnk
�,1-4
BUILDING CLERiO
CITY OF ATLANTIC BEACH
/vcb
CITY OF ATLANTIC BEACHo FLORIDA
APPLICATION FOR WCTRKAL PUMIT
To T"cmal;9&WHICAL IMWf.CTGII; bAT'E.
jmKWTANT NOTIG&
IN CONSIDERATION V#OF PERMIT GIVEN FOR DOING Tlrlzlil�l( iA.04SCRI690, IN THE f.OLUil�lk E
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE,ATTACKE4 P"K$�.ANDL$pf'C'IjICATJQ 5;
WHICH ARE A PART HEREOF. AND IN-ACCORDANCE WITH-THE ELECTRICAL REGULATIO14% CODES AND CITY OF
ATLANTIC BEACH OROMAN"4%
44
E ELEgI
RF,QL _ _x
comm.t,�_"Ouauci I lodaul I I Ng� I OLD��
#A99T" T"Llul I I TUV- SIGN64 I
5"w" law I I ""EA" -FEE-,-
com Oi ilzg COPPER I I ALUM.
JjRV.JjZf I" W
raw.
SIZE SIZE NO. SIZEL.
LIGHTING OUTLETS l4o CONCEALED cw9N TOTAL
141ECUqACLES 10 CONCEALED OPEN 19TAL
--- -T—o-llb APAPS. &$-too AmEcf�'
*WITCH&*
FLUORESCENT U-V-'
Q�,_100 A�.
ULL TRANSF.
AJR M.P.RATING H.F.,RATING
Cokofflomma Cow.MOTOR OfHER MOTORS AMPS CIEIL HEAT: VWHEAT
A
V14
MOTORS - M.P. VOLTAGE PHS- -NO. VOLTAGE
"iticiLLANEOg[ L
;Q
TRANSFORMERS: UNDER 60ay. --OVER 60ov.
NO. XVA- 40. KVA
-LAC-
uA,_ ' I mdTo 912F its A..j
7K-,o
CITY OF ATLANTIC BEACH, FLORIDA
i0it Uwl4u PIUMIT
INVORTANT NOT
lb
IN CONSIDERATION OF PERMIT GIVEN I" DOING TH64ORK AS-USCRIsi AD, IN T449 FOLLOW11
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WIT14 THE-ATTACHE4 s-AND sp"IFICATJONS;
WHICH ARE A PART HEREOF. AND INACCORDANCS WITH THE LUCT ICAI 86rei 1A AWN% CODES Aho CITY OF
ATLANTIC&QW"09094ANC&L 00,
r
CrTRICAL FIRIA: IRk
V OF
lol
",V
COW&
%Us I kaW OLD C4___, RAW. 1—
#ApT" T610. IUW4 I I "'FT.
Nov"
A�AMUWPMS
PH RAjjfiaX
him IER
AMPS VOLT
size NO.% SIZE NO. SIZE-
LIGHT CONCKAL90 OPEN
alciff"LLS CONCEALED] 9N
r 4.80 Am".
*WiTcHas
MU-0
ULL TRANSF.
N.P.RATING H.P.-RATING
ComalTIO&UNG COMP.MOTOR QfHfiR MOTORS' AMPS CEIL HEAT: KW441AT-
OWN
IAOTORS - H.P. VOLTAGE PHS- -NO. VOLTAGi MS.
MtjCE=LANf OUS_� I-JIF
gar.— `7"_
it jj-T ry 7L
TRANSFORMERS_* UNOIR 09R wo V.
NO. KVA-- -' NO.
No.w&ON TaAw. VA. fli;�
MOTOR OU
,
. �
�
DATE: /_L' /
------------
]DRE-SERVICE
__-______P8E-SE8YICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 NEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY:
� ^~ 7f- --r
_______________-___________-_______-_-___________
_________________________________________________
_____--_____-___-_-__-_-_-_____-___--------------
Enclosed are the blue copies of the permits.
�
SINCERELY,
BUILDING INSPECTION DIVISION
= .- FILE
CWHER BUILDER PERMIT AFFIDAVIT
State of Florida
City of Atlantic B*acts
13EFORE ME, the undersigned authority, Personally bppvarvd
FRAMK ...... who upon fix"t b*InW duly
F K and the legal
owner of the following p;o-p-;;t-Y-7----------
Subdivision
Block Lots 15'
AMA -------- 747
I am applying for a building permit pursuant to %b* Owner
Builder exemption met forth In Florida Statute, Section 489. 103.
Florida law requir*o that' I rhave been providged witts tho SollovinW
DISCLOSURE STATEMEHT%
DISCLOSURE STATEMENT
.State law requires construction tco be done by 11cwnsed
contractors. You have applied for a permit under an
�Xemption to that law# The exemption allows you, as
the owner of your property, to act as your own
contractor even though you do not have a license. You
must supervise the construction yourself. You may
build or Improve a one - or two family residence or a
farm outbuilding. You may also build or Imprcivo a
commercial building at a coot of $25,000. 00 or less.
The building must be for your use and occupancy@ it
may not be built for wale or lonas,. If you sell or
look& more then one building you have built yourself
within one year after the construction is complete, the
low will presume that you built It for sale or loss&,
which in a violation of thin exemption. Your
construction must be done according to building codes
and zoning regulations* It In your responsibility to
make sure that people employed by you have licensen
required by , state low and by county or municipal
licensing ordinances.
I hereby acknowledge that I have read the above DISCLOSURE
STATEMENT and that I comply with all the requirements for the
issuance of an Owner-BuIldwr permit.
Further, afliant wayeth not.
r
Property Own r
sworn. tcj and subs ribod
before me Is
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
TMC
Owner (s)
�(, A�f�[-K (� f�
Address -. 3L/0 ['O &ZCJ4 ��8AC) pbooe: ^� ������ (^�/-��7 /�0
�--------------------/------------- ----------------- '
Lot # Block or Unit # Subdivioioo: l_(�Wi,S /�
---'�-- --'---' --------_----___-�|Ve
, �-_�
Contractor : 6uO ,J ��C
Describe vor------ ----d-- ---�----�-r� �-T ----- i --- =ƒ��-----���------
[/
-__-___--___
Present use of
�
Valuation of Proposed_Col@trgctioll.- \c�
Proposed use:_(���L���f�-__-_-__-_____-_-_-___________-__-_--____-_
Is this an additioo?_Lp__� If yea, what are the dimensions of
the added speoe: ��� �t' X _ ��� �i. 0ill the added area
/HeA1co^\
be heated and cooled? (_-PS New w eleotrica
l (or inorease) ?4-_S-
-
T-"-----
New plumbing fixtures? -New lirepleoe83 /p0ew Beet/AC9________
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, ~SURVEY-'
t0E8GY CODE FORMS, *b7ICE OF COMMENCEMENT, AND -OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS COt�47�APC
Signature OWNER: ' ,
__ Date:_//m-��~
Signature CONTBACTOB : Date:___________
G
�~
^UU?
- _ -
�� 1! `J
6,150
DE
PARTMIENT OF WIWI
TLANTtd�k*64
OITYOF:A
PERMIT INFORMATION, LOCATION INFORMATION
C#URCN ROAD
�"oo�ait Nutobor: 6itio, Addroask-t-, 390,
'Permlit Type r, SUIL61�61 ATLANTIC-BEACH, FLORIDA 32233
of 'Work: ADDITION
LRGAL .DESCRIPTION- ----------
,COnoir. T pe: WOOD FRAME". Lot: Block; soctiont
Y ,
u6e: CHURCH , T64nihip: RNG s 0
I Codot, subdiv** on%
it*iivatoci :Valuel 00010.00
40*00
vat 41,60.00
MQU *160. 00
'A
2
I ITIOWVQ� CH RCK PER gLARS
APPLICATION, FEES
$0.0' 0
IAPACT FEEO
Add WAT
Add . j0,AMD
FLOR
jr
D K'L Ok�'H. R.; $0.00
t Ol FORNktok .$0.00
148004 ROP 0' kg WATER TAP $0.00
SEW
g* :TAP
HYDRAULIC SHARE $0.00
Lid lkt-IX SVECT FEE vo 00
S901,10 IMPACT. FEE $0.00
jq
NOYES:
OT
131E N _ttTlE
So
PT4,CE -Al�L CONCRETE VORMS AN U
;)FOOTINGS M 0 99FORE POURING
';rE OF I
PERMIT VOID SIX MONTHS AFTER,DA $SUE
D�IN PUBLIC SPACE,AND.MUST BE
','SIUILD,INGM4TF-RIAL,RUO,!3fSHAt4O�DESRI'S-�FROMTHt$WORK�MUSt: OT PLACE
CLEARED 60 AND.�HAU LED AWAY,:BY-EITHER CONTRACTOR ROW
0 NER
00
IN
FAILURk T -k
0 COMPLY WITH THE, MECHIA WC V�'Ot 4 V
TW1,C 0, ,
E
P EMENTS.
TH P P YING ' ' E � A: INGIM ROV
06 OWNIE PA
*"D�ACCO' RbiNo TO AOPRO�tD'kANS WHICH ARE PART OF,THIS,PERMIJ-�AI_40. SU BJEC T' *6R'
T O:'REYOCATION
IVIOL�ON OP-APPLICAB 'r sl
v Lz.P#ovi ONSOFLAW
*AT IMPACT
A"
A*LA'�TIC�6EAC
BUILDING DEPARTMENT
BY,
CITY OF ATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6)
-WATER CLOSET
_��WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
BATHTUB/SHOWER (2) —URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3) POT, SCULLERY SINK (4)
DISHWASHER (2) WASH SINK EACH SET OF
FAUCETS (2)
KITCHEN SINK (2) DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
BIDET (3) -URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (8) —COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET DRINKiNG FOUNTAIN (1/2)
BLOWOUT (2)
LAVATORY, BARBER/BEAUTY ICE MAKER (1/2)
SHOP (2)
SURGEONS SINK (3) LAVATORY, SURGEONS (2)
JACUZZI (2) URINAL STALL, WASHOUT (4)
E_ @ $20.00 EACH $ /�
e�_61�1
TOTAL FIXTURE UNITS....
JOB INFORMATION_,5"? �Va R C I/V 80,4,0
CITY OF ATLANTIC BEACH
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6)
WATER CLOSET
WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP (4)
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3) POT, SCULLERY SINK (4)
DISHWASHER (2) WASH SINK EACH SET OF
FAUCETS (2)
KITCHEN SINK (2) DENTAL LAVATORY (1)
KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
GRINDER (3)
BIDET (3) —URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (8) —COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2)
BLOWOUT (2)
LAVATORY, BARBER/BEAUTY ICE MAKER (1/2)
SHOP (2)
SURGEONS SINK (3) —LAVATORY, SURGEONS (2)
JACUZZI (2) URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS @ $20.00 EACH $
JOB INFORMATION_,_3? 0 C �Va R C IV 1:?OA-,O
6147 Mw
DEPARTMENT oil sUiLbiNe
CITY.Of ATLAN11C BEACH
-PERM IT, INFORMATION, —— LOCATION INFORMATION --------- -
Tersit Number t 6147' Address 1 341) CHURCH ROAD
Permit TON ONLY A It BEACH, FLORIDA 32233
Type 1, POUNDAT TLANt
LEGAL DESCRIPTION- ----------
of works ADDITIOW.:'
�Coniiti. Typet Wool>,�Fiijlk L6ti :Slockt Siiction:
Proposed Oise: CHURCH Tovn'0b*p 1, RHO$ 0
D I ings: Code i ,,Ol
Subdivisiomi
Estimated Valuez *O.OQ
Impr6v. Cost: $6.00
Tota
$0.00
Amou
ioo.00
,ADDITION,
EE-0111 FOR col
I-CATION FEES ----- -
'_o. ATION
OF A PPL
�l V!NP P9401:11 T $0:100
OAD_
:4ddrew WAI IMPACT FEE $0.00
0 Al
FLO I FEE.
i9d
4, 7 1 TF
P lll��p A
w
ei
0' Sll.�H_R. S. $0.00
T 0, xim N �RADPN 'GAS 5% 40.00
R ''Y ' VAT9R �10
$0.00
' 00
HYD *0.00
T EE V,*Qi�oo
�
"IMP CT FEE so.va
SE0.41"
A
3T
'I TIM
0�
E.
�NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST Of.110090UD BEFORE POURING,
PtRf,4IT,VOj0 SIX MONTHS AFTER bATEOP 1$$,Ijrz
E -PUBLIC
4L MATERIAL,RU48ISH�AND OFEOWS FROM THIS WORK MU6T.,NOT-8El,PLAC 0114
SPACE,,AND MUST BE
0 URAND�HAULED AWAY BY EITHER CONTRACTOR OR OWNER
fIE Tor
Couny,WITR THE MECHANICS' -LIEN, CAN, RESULT414
IAW
P OPERTY OWNER' AY 0 TWICE FO 1301WIN
G IMPIROVEMENTSIii, ,
..........
_F
ISSUED ACCORVING,70 APPROVED PLANS WHICH ARE OART OF TH I 'PE M 71
6 R JT�*Nb SUBjEC17, 0 RE
ION,OF A P
P LICABLE PROVISIONS OF LAW.,
T�P
THE
ATLANTIC UIL ING DEPARTMENt
B CHL
'By: 4 /_041
Y
Address 3�?6 (21-1a 90/4 �O
Heated Square Footage $ per sq f t =
Garage/Shed $ T)er sq ft =
Carport/Porch 01 $ --Der sq ft =
Deck @ $ per sq ft =
Patio @ $ Der sq ft =
TOTAL VALUATION: $
$
T—ot-a7-Valuation lst
$ 3
Remainder Valpation per thousand or
portion thereof
-------------------------------------------- Total Building Fee
ADDMO14AL PERMITS and/or FEES REQUIRED $ C)
+ 1, Filing Fee
Fireplaces (a 15-00 $
Mechanical
BUTLDTNG PEMITIT TEE $
Pluirbing
Electric/Neq -------------------------------------------------
Electric/Terrrp BUILDING PERMIT $
Septic Tank WATER METER CHARGE $
Well S3qER. IMPACT FEE $
S�rlmning Pool WATER IMPACT FEE $
Sign MISCETLkNEOUS $
Water Comection
Sewer Comection $
Water Meter $
Elevation Certificate
GRAND TOTAL DUE
----------------------------------------------------------------------------------------------
CALOJLATIONS and/or NOTES
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
FORM 1000-A-91 Section 10—Residential Perscriptive Compliance Method Climate Zones
Department of Community Affairs NORTH 1
COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAYBE DEMONSTRATED BY USE OF FORMIODOA-91FOR SINGLE AND MULTIFAMILY RESIDENCES OF 3 STORIES OR LESS
IN HEIGHT,AND ADDITIONS TO EXISTING RESIDENTIAL BUILDINGS.TO COMPLY,A BUILDING MUST MEET OR EXCEED ALL OF THE ENERGY EFFICIENCY PRESCRIPTIVES IN ANY ONE OF THE
PRESCRIPTIVE COMPONENT PACKAGES AND COMPLY WITH THE PRESCRIPTIVE MEASURES LISTED IN TABLE 10A OF THIS FORM.COMPLIANCE BY THIS METHOD WILL BE,IN M09T CASES,
EQUIVALENT TO AN EPI OF 100 POINTS GR—LESS.AN ALTERNATIVE METHOD IS PROVIDED FOR ADDITIONS OF 600 SQUARE FEET OR LESS BY USE OF FORM 10DOC-91 F A BUILDING DOES NOT
COMPLY WITH THIS METHOD,IT MAY STILL COMPLY UNDER SECTION 9 OF THE CODE.
PROJECT NAME BUILDER:
AND ADDRESS: L�% 114 t. cv'n� PERMITTING CLIMATE 1 2F] 3X
OFFICE: A�T_L ZONE:
PERMIT JURISDICTION
OYMER: INO.: I NO.:
NEW CONSTRUCTION IF MULTIFAMILY,NUMBER OF CONDITIONED so. GLASS AREA AND TYPE
UNITS COVERED BY FLOOR AREA =FT CLEAR TINT,FILM,SOLAR SCREEN
ADDITION Dd THIS SUBMIT __PR_EWM7ANT
% EAVVVERHANG SINGLE- so SINGLE- so,
MULTIFAMILY ATTACHED CHECK IF THIS SUBMITTAL LEN H FT PANE FT PANE FT
(3 stories or less) REPRESENTS A WORST CASE DORCH OVERHANG DOUBLE DOUBLE- So.
FT PANE FT
CONDITION: NE
SINGLE-FAMILY DETACHEDEJ I I LENGTH FT PA
PERCENTAGE WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FLOOR TYPE AND INSULATION
OF GLASS WOOD FRAME MASONRY woo MASONRY
TO FLOOR: M % EXTERIOR: 7T _5 UNDER ATTIC:
.7 ITEMOR: RAISED: RAISED:
R= R= =% R R R M11
ADJACENT: ADJACENT: COMMON: COMMON:
COMPLIANCE R= [I] [I R= [I]. R=M-H A
PACKAGE COMMON: COMMON: COMMON: SLAB-ON_
CHOSEN: R R R [T-1 GRADE: R
DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM
IN
UNCONDITIONED CENTRAL El NONE ELECTRIC STRIP HEAT PUMP ELECTRIC El NONE El SOLAR
SPACE: R ROOM El NATURAL GAS OTHER FUELS NATURAL GAS El HEAT RECOVERY
PACKAGED TERMINAL E] ROOM UNIT OR NONE El OTHER FUELS DEDICATED HEAT PUMP
AIR CONDITIONER PACKAGED TERMINAL
IN COND17IONED HEAT PUMP EF SF/EF
SPACE: R EIER/EER COPIHSPF/AFUE ffkld
NUMBER OF BEDROOMS
I hereby certify that the plans and specifications covered by the calculation are in compliance with the Review of plans and specifications covered by this calculation indicates compliance with
Florida Energy Code. the Florida Energy Code.Before construction is completed,this building will be inspected
for compliance in accordance with Section 553.908,F.S.
PREPARED BY: e"uwfWW DATE:
-�A � j BUILDING OFFICIAL:
I hereby certify that thisfti is in m ianzwith the Flor4z nergy Code.
OWNERAGE" DATE: lb— DATE:
TABLE 10A MINIM M REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK.
WINDOWS 904.1 Minimum of 0.34 CIFM per linear foot of operable sash crack(includes sliding glass doors).
EXTERIOR& 904.1 Maximum of 0.5 CFM per sq.ft.of door area:solid core,wood panel,insulated or glass doors only.
ADJACENT DOORS
EXTERIOR 904.1 To be caulked,gasketed,weatherstripped or otherwise sealed.
JOINTS&CRACKS
SOLE&TOP 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed.
PLATES
INFILTRATION 903;2 Infiltration barrier must be installed in exterior walls&raised wood floors.
BARRIER
INTERIOR 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed.
JOINITS/CRACKS
FIREPLACES 903.2 Fireplaces must have flue dampers,glass doors and outside combustion air intakes.
EXHAUST FANS 903.2 Exhaust fans vented to unconditioned space shall have dampers,except for combustion
devices with integral exhaust ductwork.
COMBUSTION 903.2 Combustion space and water heating systems must be provided with outside combustion air,
HEATING except for direct vent appliances.
WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker(electric)
or cutoff(gas)must be provided. External or built-in heat trap required.
SWIMMING 904.3 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a
POOLS&SPAS pump timer.Gas spa&pool heaters must have minimum thermal efficiency of 78%.
HOT WATER 904.4 Insulation is required only for recirculating systems,including heat recovery units. In such cases,
PIPES piping heat loss shall be limited to a maximum of 17.5 BTUH per linear foot of pipe.
SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG.
HVAC DUCT 904.6 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,
CONSTRUCTION, sealed,insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditione
INSULATION& space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 11/1/92).
INSTALLATION I I
HVAC CONTROLS 904.7 1 Separate readily accessible manual or automatic thermostat for each system.
-11 -
7337
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMI T INFORMATION ------ - LOCATION INFORMATION ---------
�le� Oit Number.* 7337 Address. 390, CHURCH RAOD
rMi t .�T,yp e; PLUMBING, ATLANTIC BEACH, FLORIDA 32233
''Q ' iss of, Work t ADDITION ----------- LZOAL DESCRIPTION -�---------
.6�; Str. Type: MASONRY/FIR I CK Lot , Bloit-k- Section:
i�cl :Use, CHURCH Township*. RNG: 0
i ni' s 0 , Codt, 0 Subiivision-'
Es -41hated' Value- $0 0-0
ifiprov- 1"os,t 00�
$0.:00
�Total Feist
h lu-,t P
M6 t P, $0 �00
Ao ev so +N _—Tiffli
APPLICATION FEES- -----
N
N ame,
ING' GOD PERMIT $0 .00
D 40 my WATER
0
#0
"d
R LOR
IDA 3
7 ea
on 9 Pat. 4,4 �;,1'�,
�,h e. 9
RAD014 GAS-H.R.S. $0 �00
:CONT 0 N ION 44------ RADON GAS ' - 5% $0 . 0
ame ITAL,IMPROVE _150_;_00
N INC,
ROAD SEWER TAP $0 .00
$0 09
3 �CKS_ ONV PL 32257 HYDRAULIC
SHARE
CONNECTION 0
Type., 0
CROSS
0 ,00
SEC H I"
w
CONST. SURCHARGE
OTES:,:
� 'NGTICE–ALLCONCRETE FORMS AND FOOTINGS MUST89 INSPVCT� ED BEFORE MURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
AUILbtkG;MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST,NO
T BE PLACED IN PUBLIC SPACE,AND MUST BE
LEA�, 0�UP AND HAULED AWAY BY SITHrR CONTRACTOR OR OWNER
FAIL, URE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
M S.
TI4E,# OPERTY OWNER PAYING TWICE FOR 13UILDING IMPROVE ENT
UnIF.5 V71
ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND�Puajeclia
OF APPLICABLE,PROVISIONS OF LAW.
F7
�A,,rLANTIC BEACH BUILDING DEPARTMENT
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:
OWNER OF PROPERTY:
BUILDING CONTRACTOR%
PLUMBING CONTRACTOR
ANDADDRESS:
—---------
_e /Z7/
.q 7 ....
TELEPHONE NUMBER: Z-------------------------- -
STATE LICENSE NO: -------------------
TYPE OF BUILDING: ---- ---------------------------------------
SINKS -------------SHOWERS
WATER HEATERS
----LAVATORY -------------
BATH TUBS -------------DISHWASHERS
------L____URINALS -------------DISPOSALS
CLOSETS -------------WASHING hACHINE
FLOOR DRAINS -------------SHOWER PANS
OTHER__j---- Lillo—u
TOTAL FIXTURE � IUNT------------ x $3. 50 + $15- 00 -----------
----------------------------------------- -----------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS (904) 247-5826
RAIAGO VORN 400
FLA 19#7 LAW*
I's 711.03 T
N — At-..b (flammenremnd
ature Of -W-WW�--
WMaVARS IN L)UPLSGATSO
to mm=
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.
TIA-oc-K lj....LeSo...t..Is...... ...(.2.r3.............................................
Description of property.... ............................... I.... I. ........... ...
A0...........1*3 q..()...... .......................I...........................................................................................................
.....................................................................................................................I....................................... ......I.........I......I......I.............................
................I............. ........11........................... .......... ...........I................................... ...........................;...........................
D t -T-1 6 tJ --F 4 ck e-c tj
Generaldewiplion of iriVrovements..... ......I.........I....................I.............................................................
.................................I.......I.....................................................................................................................
..... . ... ..... ... .... .....
..........I...............................................................I........................................................................................................................I.....................
C- F� U R C-!A 0 i-a T-(-t G-0 t::)
Owner. ....................I...........................................................I.................................. ....................................................................I................
A,W,.ss_3..9p COUKC4 -F/ A/,J—1 C- �3 ,E� A C-0 F-( 3
_j.........................................
............................................................................../.............I..........I..........................I.....................
Owner's irderest in as of the improvement......................................11.................. .........I........................................................
Fee Simple rids holdor (if other than owner)
Name_��W 1.to.. -.................................................I.............................................I............................. .................................................................
.... ... ... ..-
Ad&ess..................................................................................................................................................................................................I...........................
Controdor............................................................................................................................-......................................................................I...................
Ad&*......................................................................................................................................................................—........................... ............
SUr&ty (j &fty).......k A,�.0 ..............................................
.�.jo.. ...........................................................................................................................
Address...............................................................................................................................................Amount of bo#W $........................
Nann of penon within the Stale of flodds designated by owner upon whom rmk= or other downents noy
be served;
Memo c-TT KU Y F R A N
.......................................................................................................................................................................................................
C-- ...... '22 1
Address...... ..........................I..................... ................... ...... .........................
In addition to himself. owner designates the following person to receive a copy of the Lienor's Notice
as provided in Section 713-13 (1) (F), Florida Statutes. (Fill in at Owner's option).
Y
..............................................................................................I.................... .......I......I..........
C
---')'2 '2
C.............. .. .............................a.:3.........
........... ... ...
T"110 SPACS FOR RSCORDS"Is Usit 014LV I
MAP SHOWING SURVEY OF
LOT 5? BLOCK 1 t LEWIS SUBDIVISION AS RECORDFZ IN PLAT BOOK 24, PAGE 92 OF TILE CURRENT PUBLIC
RECORDS OF DUVAL COUNTY, FLORIDA.
C7 0
4
70'
or—
. . ...........
X
A
70'