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Permit 16 E Dutton Island Rd PERMIT WORKSHEET Certificate of Occupancyl Job Address: Type Work: Property Owner: Phone # P(Z('SES "zq9-(-)-I Rs- Contractor: Phone # C> r---3 Permit#: c-)4- zss-zc) Date Issued: Building Inspections: Footing Slab Tie Beam Lintel Nailing Sheathing Framing Cover Up Insulation Final Building Tree Permit# YES NO Electrical Permit# Date /Copy to I Z 2,S-Zo 1EA '9 Temp, Pole Permit# Date/ Copy to I JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric t r---o4 Released to JEA 1�5-1-7:64 Temp, Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# 04- zt IR Inspections: Rough �g-1 1-04 Final 01 O�j Plumbing Permit# c-) Z�R R 2-0 Inspections: Rough Underslab I 1 04, ToFout Water Sewer Final Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# I I Inspections: Nailing Sheathing Final Fire Inspection: Failed inspections: Date Paid: Date Paid: Jr CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028820 Date 8/05/04 Property Address . . . . . . 16 E DUTTON ISLAND RD Tenant nbr, name . . . . . . HANDICAPPED BATHROOM Application description . . . COMMERCIAL INTERIOR BUILD OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 21000 Owner Contractor ------- -------------- --- ---- -------------------- OWNER ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 135 . 00 Plan Check Fee 67 . 50 Issue Date . . . . Valuation . . . . 21000 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER IMPACT FEE 120 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135 . 00 135 . 00 . 00 . 00 Plan Check Total 67 . 50 67 . 50 . 00 . 00 Other Fee Total 155 . 00 155 . 00 . 00 . 00 Grand Total 357 . 50 357 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. QA�'G 0 CML CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date:- 0, - Address 'Do 7—(6 A� #�^J P &//�P LC4S7 - Heated Square Footage @ per sq ft= $ Garage Shed A, 0 0< _persqfl= Carport Porch per sq ft $ r Deck $ per sqft= Patio @$ per sq ft $ TOTAL VALUATION: /19 Total Valuation ist $ Remaining Value $ per thousand or portion thereof CONSTRUCTION TYPE:7�� TOTAL BUILDING FEE $ ZONING: g:=1,-, + 1/2 Filing Fee $ FLOOD ZONE: (c� Fireplaces @$35-00 $ IMPERVIOUS SURFACE: -7 -3�1'tZ- ap, BUILDING PERMIT FEE $ WATERIMPACTFEE $ 4 ,2 0 SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP S C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ ?S— ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 Cc: CITY OF ATLANTIC BEACH For L. Higgins BUILDING / ZONING DEPARTMENT S. Doerr 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C)4 - 7-88Z-0 I va— Property Address: t (-.a D 07-T-0 4 Applicant: LLC-- -TAJT,6,1f61t 6V fc-0,00 r— 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: 1 2 Date: CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (Interior Remodel) r j IT Date: Job Address: ;;-- Owner of Property: Address: /cl;z Telephone: �2,V 9--0 7 85- Legal Description: Block Number: Zoning District: Lot Number: Y,13L,2;3 Contractor: State License Number:—ev�w Contractor's Address: Telephone: zya,"-e— Fax: 'o Describe proposed use and work to be done: cz;C4A0?eL-1 %.C'I Present use of land or building(s): Valuation of proposed construction: rw e9-1,con New electrical or increase in service? Add plumbing fixtures? Add fireplace? /VO Add heating/air conditioning? 72—yjS /9 is approval of Homeowner's Association or other private entity required? AV If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two (2) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 800 Seminole Road -Atlantic Reach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/04 I hereby certify that all information provided with this application is correct. Signature of Property Owner: Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: INZ _S,>e 4,-s ofn7 57—Mee!7 dA::Z. Telephone: 079'_V_ Fax: a;24 6 E-Mail: %7� 2(r Bel AS TO OWNER: Sworn to and subscribed before me this day of 2004 State of Florida, County of Duval s Signature: TIFFANY HOEY MY COMMISSION#D0241765 7Personally known EXPIRES:AUG 17,2007 Produced identification Bonded through Advantage Notary Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this q7� day of Avnk-)ST- 20 State of Florida,County of Duval N ta 's Signature. TIFFANY HOEY 7Personally known MY COMMISSION#DD241765 D Produced identification EXPIRES:AUG 17,2007 Type of identification produced (&Bonded through Advantage Notary 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 3 Revised 1/04 CITY OF ATLANTIC BEACH 0Y OWNER/BUILDER AFFIDAVIT Date: 775 —Q !y Job Address: ze-1, 2U7rc>%) 2:24.0d �&t4�p L_;;�- CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMNIERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE-AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION.'YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY P14YSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INRJRIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS-WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT TTIE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR- TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE TTIAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ;loliRTY O,*`NER/f3UILDER .L%L SWORN TO AND SUBSCRIBED BEFORE ME THISO DAY OF TIFFAW HOEY N-0—TWY—"L I C MY COMMISSION#[)D241765 MY COMMISSION EXPIRES: EXPIRES:AUG 17,2007 NOTE: PHRASES UNDERLINED ABOVE. "Po Bonded through Advantage Notary uz�--, IS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028820 Date 8/11/04 Property Address . . . . . . 16 E DUTTON ISLAND RD Tenant nbr, name . . . . . . HANDICAPPED BATHROOM Application description . . . COMMERCIAL INTERIOR BUILD OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 21000 Owner Contractor -- ---------------------- ------------------------ OWNER ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc INSTALL 2 FIXTURES Sub Contractor STEEG PLUMBING CO. , INC. Permit Fee . . . . 49 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 49 . 00 49 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 49 . 00 49 . 00 . 00 . 00 PERNET IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. UELDING OFFICLkL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: A Owner: J�f Telephone Contractor: Telephone #: Contractor Address: Fax #: in consideration of permit given for doing the work as described in the above stateracrit,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice fisted therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, New list the buildin n urn ber: /10( Re-Pipe �!31 U V Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 800 Seminole Road - Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 - Fax: (904) 247-5845- http:/twww.cl.atiantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ............. ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028820 Date 8/09/04 Property Address . . . . . . 16 E DUTTON ISLAND RD Tenant nbr, name . . . . . . HANDICAPPED BATHROOM Application description . . . COMMERCIAL INTERIOR BUILD OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 21000 Owner Contractor ------------------------ ------------------------ OWNER ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc NEW 100AMP SVC Sub Contractor BROOKS & LIMBAUGH ELECTRIC Permit Fee . . . . 104 . 20 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ------------ ----- ---------- ---------- ---------- ---------- Permit Fee Total 104 . 20 104 .20 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 104 . 20 104 . 20 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ILDINIG OFFICIAL CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: Property Address: 16 75" oCe� Owner: Telephone#: Contractor: &kL 4,od Telephone#: Contractor Address: Fax#: ln consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: Q Trailer Service: If other construction is being done on this building New Q Residence E) Temp. >RC—New Or site,list the budding Q Old 'fi(,Commercial u Signs Q Increase Permit number: Lj Re-wire Q Addition Sq.Ft. C3 Repair Conductor Size:-X;-ANTS: 0 Q COPPER ALLNUNUM Switch or RACE Breaker AMTS ad PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 10 AMPS I I I On AMPS Switches Incandescent Fluorescent & M.V. E3 Fixed 0.100 AMPS OVER BELL Appliances / —F'o 4--,Nv TRANSFER. Air H.P.RATTNG H.P.RATING CEILING KW-HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H,P. VOLTAGE PH NO. OVER I H.P. PHS V 91 4 " I UNDE 600V V19 4 W; )CA4 L4:2- -OVER600V Transformers NO. -rKVA NO. KVA No.Neon Transf. Ea._Sign Miscellaneous 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845 * bttp://www.ci.stiantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028820 Date 8/06/04 Property Address . . . . . . 16 E DUTTON ISLAND RD Tenant nbr, name . . . . . . HANDICAPPED BATHROOM Application description . . . COMMERCIAL INTERIOR BUILD OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 21000 Owner Contractor ------------ ------------ ------ ------------------ OWNER ---------------- ------------------------------------------------------------ Permit . . . . . . MECHANICAL PERMIT Additional desc NEW HVAC Sub Contractor RIX MECHANICAL INC. Permit Fee . . . . 155 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 155 . 00 155 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 155 . 00 155 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING COD&S. BUILDING OFFICIAL CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Property Address: L k _T,�)4,4 Rd, Owner: e,V K Z_C, Telephone#:9&1-t22�J'?-Q70 Contractor* )X rn)5rd4b L4 Cd L _N C_ Telephone#: 902J-Q 2JI? Contractor Address: 77W_sSTr 5 u-I i Fax#- In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which aye a part hereof and in accordance with the City of Atlantic Reach ordinances and standards of good practice li3ted therein, Type of Heating Fuel. If other construction is being done on this building 3-/'Electric or site,list the building permit number: • Gas: _L.P —Natural —Centrul utility • oil . 0± 000980C�Lo • Other-SpeciLy MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK w(I'-Heat _Space Recessed i,-6entral Floor U Residential �W" ir Conditioning: Room L"Central ADuctSystern: Mat�n_7all�kCV(30�7(ZOThickness R-6 ar,Commercial • Refrigeration Maximum capacity--'y 000 cfin W"-Ncw Building • Cooling Tower:Capacity _gprn Cl Existing Building • Fire Sprinklers:Number of lieads • Elevator: Manlift Escalator_(Number) 0 Replacement of Existing System 13 GaSGline iu—mis _(Nuntber) • Tanks —(Number) M,-'New Installation • LPG Containers (Number) (No system previously installed) • Unfired Pressure Vessel 0 Extension or AAd-on to Existing System • Boilers • Gas Piping U Other-Specify. • Other-Specify LIST ALL EQUIPMENT AM CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSORIS Approving Number Units Description Model# MULL&Ctum Ton's Agency co/V C4�JRICK t4 HEATING-FURNACM DOELERS,FMPLACES&AER ELANDLERIS Approving Number Units Description Made(# Manuftturer BTU's Agency a= AHL4 Ld!�2,62ELAQ /0 -tA L, TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufttarcr No. Agency 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845 - bttp:]/www.ci.adantic-beach.!Lus jF/? _S7-_ 200-cr 4- NA, it wr /Ilk %0 It CfYAPP ROVE 0 0 0 OF ATLANTIC BEACH BUILDING OFFICE AUG 0 5 2004 By, b ;D ;9plk 0 EDGE OF ASF CONCRETE V PIROPOSED HANDICAP ' : 6! PARVJNG SIGN OFFICE FUTURE RENTAL 1 ,500 S.F. 3,500 S.F. FFE=15.05 FFE=15.05 0 0 A 111 0 to WAREHOUSE 10,000 S.F. FFE=15.05 lw ILI 5r AV I I