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Permit 421 Sargo Road a V • .: .es.ra'a -. -_�z r......x.. -ss a. e'. v:z _r...,..:... s.. _... :: '..:eYi:....',aa.. .a°'..:::. 'x ... ..�...s;'Y XR/ .r_ .a .....� .., .. .. ..� ,. 7 2 y t o l DI- cI \.. k ._ W � � Pte - • E a ,e , a , 'V ��� Q� m q' \0 . ' . _ ^ �- . x12 . ; • » h 1 1 ,o ,,,...e.., a 1 d� S �y� y, el . tr/ ‘,/ , .. , .■ } x a r l gyp. / � 1 ;3 • 1 � '1 _n.. R m - :,2 'j 4 3 ' L ., Y _ j , y 4 • y 1 ,J, t • • ..a, -s..- b�a.<- e.::a.. .�:.r ,. ".'... .' - .,wvw^-z ...u. �. =a• ,:,:;.;.z ,.x •s. ...S,1 r-:..: �..an. :.,_w: �a,�.arc ucsyt... �,�.,. a_.,.. ,u._.,.:ass� ..� • • • h lq�{' I' \ it 4 — A j� `EI lr i I Z v r ^I Y a e ; 1 . ti . F . ... c o (7 s i ..t / z S 1 � ., CJ a 5 7.) ! .1 S <_ r i u (,!'I 1 ...- r; t,..) :...:, r / c•-..; ....' — t.) 1` L * e'i yam/ r � CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO. /9,13 Date • . - 0 97— 7 L LOCATION i � � - Street LOT NO. Ib BLOCK NO / 7 S/ OWNER � ,� D ��� �3L 4, MASTER PLUMBER ,,t, ... �.. . . BUILDER OR CONTRACTOR �- «,��!�_ d l; Bldg. Permit,..i1TO. 174 dr TYPE OF BUILDING C?.., _,_,_SINKS ,0i LAVATORY /_BATH TUBS URINALS r ot CLOSETS FLOOR DRAINS SHOWERS / WATER HEATERS DI SINASHERS __DISPOSALS OTHER l- hiti.4 , _ ` 4. . rtif TOTAL FIXTURES j :1.00 NO WORK MUST BE DONE UNTIL A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size and location of all the soil and vent pipes, and the number and location of all fixtures, (in accordance with Ordinance n•. 188 of the City of Atlantic Beach, Florida) must be shown on back of appli- cation and be approved by the Plumbing Inspector, DRA'd PLAN AND S }ECIFICITION OF ABOVE PLUMBING ON BACK. Lpproved by Plumbing Inspector Date (FOR v OF 7 i U ( 1�TL y ) ROUGH-IN INSPECTED ,�,OF/ICE , ''Y ir('G,/ REIVARY. S FINAL INSPECTION: /0- /1 -7 ? CERTIFICriTE ISSUED: APPLICATION FOR WATER CUT-IN TO THE CITY OF ATLANTIC BEACH: Application is hereby made for 3/4" water cutrelr. at the following address for 1 units. Cut-In charge of $70.50 plus min. water Street No. 421 Sargo Rd. Lot 10 Block 17 SubdivisionR/P Unit 2A Z40:0, - Ordered by: Wollitz Bui iers OWNER: R. R. Wollitz Mailing Address: 2816 E. 1st St. Jax, Fla. DATE: ACCOUNT NO.: 3529-3 METER NO.: DATE INSTALLED: Cut-in $70.50 min.water 2.00 $72.50 FOR OFFICE USE ONLY a Date _ ..?�� C ITY OF ATLANTIC BEACH Permit # " -. rye $.S °' Valuation $ -... ,�. d04 FLORIDA House #i / ( - p APPLICATION FOR BUILDING PERMIT Application is 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 Atlantic 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 be verified. � �y • 3— / Z Date 19 Owner, � Address Telephone No. Architect t Address. ,q g/G `f' _ // i' ?Telephone No. 7 Contractor Builder " .. - ` ( Address Telephone No. Lot No /6 Block No. 1 T Sub Divisiar/.e�/.00 ' -° Zone Street 4A-5 ( Side Between, ' -`` and. e/ -1 -� Sts Valuation $ For what purpose will building be used._ Type of construction 9 / Dimensions of Building g X I" Dimensions of Lot 8 6 >e 93 Size of Footings SPX IC Size of Piers Size of Sills Sills Greatest Sill Span in ft. Type Roof ee �4 � 'x' _1t How will Building be Heated ?._'�-- Will Building be on Solid or Filled Ground ?..---a- 9 Size of Ceiling Joists ot X O , Distance on Centers G '' , Greatest Span /V- ) PP Size of Floor Joists , Distance on Centers , Greatest Span » G'' fSL ) PP Size of Rafters ' X , Distance on Centers l , Greatest Span This rectangle is to represent the lot. Locate the building 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. 0 Inspections required. ./s{ 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. ►a ��r j 4. When framing is completed. r f o 4 5. When rough plumbing is completed, and ready to cover up. 3 7 6. When septic tank drain field or sewer is laid but before it is covered. q W 7. Electrical inspection by City of Jacksonville. v s A 8. Final inspection. 1 Note: In case of any rejection, re- inspection MUST be called for after corrections are made. t`C 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 attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builder. .,. / v & - . Address Signature of Owner ___.,l/1-- <- .�� r Address -- - - kV/ l F , t DtPAR ENT OF BUILDING 4 0 2 8 I CITY OF, ATLANTIC BEACH. FLORIDA PERMIT NO P E R MI T TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 4/5 19 7 3 5.00 Valuation $ 500.00 Fee $ This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that Walter L. Barnes has permission to build 2 slabs per plans submitted. Classification residential Zone_ Owned by Walter L. Barnes Lot Block S/D House No 42 Sargo Road According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS $ AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE • ► 0 0 material, rubbish and debris _____I —� from this work must not be placed in public space, and must be cleared up and hauled away by either contractor 4 or owner. Walter L. Barnes Building official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING l ELECTRICAL -', SEWER i ::- WATER v— — oafa, mi,,, URE TO COMPLY WITH THE MECH I � ,,�r M\C'S FOR OFFICE USE ONLY LAW W CAN RESULT IN THE PROPERTY Date V ,S 19 7. F OWN�;R PAYING TW R RTY �i � �CI�� AC Permit #.YQ�s Fee $ - - OZ) �PROVEME TS. Valuation $_...5 CID FLORIDA House #...!�.1..- -.. .1.e.4 ...01-.i - ,. sot d. APPLICATION FOR BUILDING PERMIT Application is 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 Atlantic 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 be verified. Owner (A24 %--)( �2 i.� eli C.""S Date - a �— 9 , 19 Address P/ -'4O 41 Telephone No.29 4(o73.' "78-4.// 2 o,b Architect Address. Telephone No Contractor Builder. .Z4r? Lt ,/ __/ -,: -, /7 & Address Telephone No. Lot No. /0 Block No /[ Sub Division Zone 44 '7 ....Vi Z — Street Side Between and Sts. Valuation $ ..__ • For what purpose will building be used t ,4 t 9, ?.?0 �e of constructioner. 54 �s3I .< sZ% Dimensions of Building .34'X ?' • Dimensions of Lot Size of Footings / .4. fa" Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof How will Building be Heated? 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 PP Size of Rafters , Distance on Centers , Greatest Span PP This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot -lines and existing buildings. Two copies of plans and specifications shall REAR LOT LINE . 7 be submitted with application. '`� ;1;1' ..:. � r Inspections required. 1. When steel is in place and ready to pour fo ng. tiii,,i. 2 7 1 f 9 w w 2. When steel is in place and ready to pour columns and /or lintel. Z x 3. When steel is in place and ready to pour bed a a 4. When framing is completed. L . i i � i , O ItUJ .I � �� �; A P R Cl V t p CITY or SCII 5. When rough plumbing is completed, and ready to cover up. 8 u I W I N G 0 "r r- 6. When septic tank drain field or sewer is laid but before it is covered. W A 7. Electrical inspection by City of Jacksonville. ■ 1 979 8. Final inspection. 0 )A0 Note: In case of any rejection, re- inspection MUST be called for after B ' /I - L 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 attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the C�ity� Be . Signature of Builder. v " ` cam - - -r - -- - S Address. -l.. Afr AL,.. Signature of Owner Address 0 CITY OF ATLANTIC BEACH 716 OCEAN BOULEVARD ATLANTIC BEACH, FLORIDA ADDENDUM TO BUILDING PLAN 1. Building location: 2. The attached plan for the above building is approved subject to mooting the following applicable construction requirements: a. Footings shall be continuous monolithic concrete unaer exterior walls, reinforced with two 5/8" deformed reinforcing rods for one -story buildings and theee 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods shall be placed in the lower one -third of the footings, properly placed and fastened on metal sales with wire. Footings shall be sic inches wider on each side than the wall above, shall be at least eight inches thick and shall rest on firm soil at least twelve inches below undisturbed soil. b. In hollow masonry unit construction, each unit cell shall be reinforced with at least one No. 4 bar at all corners, poured and tamped with concrete; such reinforcing shall be properly tied into the footing and spandrel beam. c. All wood truss rafters (roof construction), shall be securely fastened to the exterior walls with approved hurricane anchors or clips. d. Construction of nearby one -- family dwellings, which are duplicates or intensely similar, shall be avoided. Such similarity considers the external configuration and appearance (i.e., roof, outer wall materials, window size and design, and other like characteristics) of structures. In accord with the foregoing, similar or duplicate Mmes shall not be constructed Within close proximity of each other, and shall be at least 500 feet apart if any one similar dwelling is visible from any other similar dwelling. e. The final connecction between the house pl. .ing drain and the sewer service connection (at the property line) must be spected the City before being covered. / 4 40*- Ci ger Tha undersigned hereby certifies that he has read the above and understands that this addendum takes precedence over any contrary details to the plans and specifications and agrees to comply with the intent of this addendum. Contractor /Owner Date Dr. i.e./)( �Z:= B �Q fir_ 5-.5.44 = fds QM. ZX Al, °79R sr,' 9.104 ®d Slat+ 14x 24, 34 let 59rt_ ( 7/ vt, c- 1 q;,, �°�� _ _ ® -- - - -P i 1I 1I 1 11 I i1 ;� _® • . I4 4+J i s 4 k ;` 1 t ' 1 1 J t! K ;L I1 L J A P P R O i. E D CITY OF ATLAN IC BEAaCs . eUILDING oFFtc"' f APR 3 1979 '� y/ By • • y e a t o I N .1 ,I:1 0 0] : ,1„..- ` . ��� j nla • --, J c°_, g/L J / C74: 6 Ef L._ 4 i/ceje4c,e c __-c.: --A-(_,i ,../..i...../ . eefil... .64.._ ..--(7 -el d..e. • Z /4--)71) 1,9-- /4.5...e e ) • X '' ./tx:,1-c_ r e_ - _.,.•cl ..-- /ILZAZ 1'7/ .,a..-Leir__e t-41.4,—/. / dAL,ei., Jeri-, -/// 6 1 i Je-k(-3. a .. cee/e Ze 6 . 4 ge z:‘f- e.L-1/ ': /2-/Le-a- / f (46 Z lit-Cl/ "(LicL d V c) 9,:eZ 1.-----,—.,....-------- ......._.------- ---- , . 4 a e . . . 0 k . ■ :-. . , . "efe4 . • /, CITY OF ,* 4urtec &4ci 800 SEMINOLE ATLANTIC BEACH, FLORLi .s 233 -5445 TELEPHONE (904) FAX (904) 247 -580; CERTIFICATE 'F SERVICE I. , hereby certify t!_.: I delivered a notice to Walter L. Barnes at 421 Sargo Road , Atlantic Beach, FLorida 32233, this � `—' at 1994 O'clock � M, This notification was in reference to CITY OF ATLANTIC BEACH CODE ENFORCEMENT Walter L. Barnes 421 Sar:o Road SIGNATURE OF SERVER: •-z , � ERVER : SIGNATURE OF RECEIVER: // -/* r MIS" DATED: � P-- Date " 7414 " -47— ..1! ..«mil" t, Permit 7 cQ FN L. 3.c OF ATLANTIC BEACH RICEI/ID Valuation $ �.!� �1�.:'�' - - �r�''�' ..... a r ^n r FLORIDA House #.. / 1 « ., .... c ^._. GCT VI � PERM" TION FOR BUILDING PER ,- , ,c,..:4, ,If . ;.,,,, C.ITY OF. MIAMI Application is 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 Atlantic 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 be verified. 42 .`t, a 7 , 1! . Owner.. l� �'� t �= 2 � �� t ' C Address-- .l�:J.f .,4 -.y- x' c, .. Telephone No.W � -A Architect Address Telephone No. 75 ? .. Contractor Builder Address Telephone No. Lot No Block No. Sub Division Zone Street Side Between j and / Sts Valuation $../a C)os For what purpose will building be used // eM , Type of construction - CO /v c- .�l C / . Dimensions of Building._...`. .. iiI/m.5 Dimensions of Lot Size of Footings Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof How will Building be Heated? Will Building be on Solid or Filled Ground? Size of Ceiling Joists , Distance on Centers , Greatest Span. .. N Size of Floor Joiste. - - -. _. Distance on Centers._.....- , Greatest Span ~ Size of Rafters , Distance on Centers , Greatest Span oy This rectangle is to represent the lot. Locate the building 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. W 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed, and ready to cover up. R, rvi 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. en 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after 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 attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of A c Beach. W Signature of Builder 0 �� r " . ...... ... .— .......— ..... Address Signature of Owner...6 .. /,.... Address / - 6 0 ,f 11/./ Alt IIIVIE3 DEC 14 1994 Building and Zoning CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS J DEMOLITIONS Owners) : /9 /�- + ( % L 11.6 f' E3 Address: 4;-4 :c E44 Phone: - 9 f ' ° ?6 f Lot # Block or Unit # Subdivision: Contractor: 5Z /,l State License #/% Address: Phone No: Describe work to be done: itr/I -t vim.: Oh - ' / 09-A-4 1 /t.' .s' 4 - N 6 -. .. A , r Present use of building: ✓ , ---e Valuation of Proposed Construction: rli c7 G��7 Proposed use: a c Is this an addition? �e If yes, what are the dimensions of the added space: ft. X K ft. Will the added area be heated and cooled? ` New electrical (or increase)? New plumbing fixtures?— New fireplace ?-- New Heat /AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER /CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER 4 f:: � -- Date: Signature CONTRACTOR: Date: License Supplied: Liability Insurance: Worker's Compensation Insurance: • rt.* / *N LAMPS 0 aerae'S gee re fli./& 1ut of emuntoncemmt wenws el eMruenN go fnlMIt It 31111 tote -.�- The undersigned hereby informs all concerned that improvements will be reads to aril* reel property, and in accordance with section 713`13 of the Florida Stouts the 1ollorsMy intorwtetion is stated in this NOTICE OF COMMENCEMENT. of prop«fir - C.i[ C .. Ai ,1-24_„i z__, iyE----7-), - 7 ,-1,3 6enwal J sepfil n tal Iwewovemease ALa r`i c?-'4/ Q.6 Q/1 "--cra _ /i- -,.4 L - - erY. .s, Owner••.�...�•l....— 4 w' /_ .. IPA • Lr .1iL E Address•— - s m .,....; I ....; , r 4. Owner's inters* in silo el die i... __ fee simple This fielder pf odor dies aw* Nam _......_..._...... Addrsf .. • • o Gntreeer Addy s ( `'-'C swag Add` AMMO 1111 `sad 11--,----- Name el man wan disc Soo el I sdis dolipoild by .user loo slew audios w ether iserowas spry w soma w oe ........... Addrela•... In addition to himself, owner ieei«nusee the Mowing moan lit nuke a aapy N do Lisnar's NNW, as provided in Section 713.1E ! 1) (F1, Florida Stout OM M at Owners idled. • Adieu --- n«e 10•41011 � sea Ida 1 . . ' I P9R.3844 DEPARTMENT ENT OP BUILDING . CITY OP ATLANTIC BEACH - PERMIT ON -- __-""_"` -'" LOCATION IN'OATI Persil. Type. BUILDING Addrssss SARcIO ROAR. I ss of Ware : ALTERATION A`LAAtTIC BBAC �rxs r. TYPE= ;W OD P'RA P _.. .._. - --- , P`LQR 32233 I' ,os d use: ' WOOD L G DEscRIPTTON .. + , yp- A s. 1'AMfly B1c k< S ect aria_ - ^'Mi� 4. r Value: 1 � �'+� //�� A yy� (�'�j{ .{ {�y a} j / ROYAL � i ,i1 1 V f Improv Cost a 'tat $} x Arno ell ��ept ; " $37.50 .`& $37.50 s i NFS ION : . as ",,,,,A „,,,9''' _ LTG R PEES ` ” " ASP ATTO --- - ,, l` ROAD PERMIT $37 50 P s � ,, T 3 RO P LORI � ",v " . y W IAd ?AC . PER $U 0 T , O " 1 FOR 4AT4 1 J - - RAL90 GAS -N , R A S . $0°0' a° Tsatt� : RQ + NER RADON CAB 5% CAP/TAL IMPROVE 10 00 , SEER TAP L a s ,, ``� CR SS CONNECT/0 fit? . 00 Ct. NOTES: ' - sC 617A mf i h W ,, .,... / / 4 /ty of Rt/ 11#!0 NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTECI BEFORE PouRINS PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE p LACED IN PUBLIC SPACE, ANQ MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ' 'FA1LURE Tp CtJMpLy 1NlTH THE MECHANICS' USN. LA CAN RESULT 1N TE PRCJPERTY OWNER PAYING T1N10E FpR B U1L ®ING 1MPRQVEMENTS." IUE© AC COApING TO App OVEQ PLANS WHCH ARE WART OF THIS P I r VSLA T IOO FAPPLtCABLE PROVISIONS OF LAS/ RMIT AND SUBJECT TO REV ... ONION FOR' ATLANTIC BEACH BUII,QING DEt'ARTM EN`T r 1 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 0./ Date / /- 5/-- �� -/ , q� j '�� �» �, F -. per sq ft = $ Garage/ Shed @ per sq ft = $ !• -, Carport /Po { rch @ $ per sq ft = $ Deck ��% $ per sq ft = $ Patio \, @ $ per sq ft - - $ TOTAL VALUATION: $ Total Valuation 1st $ ) 2 O 0 _ Remaining Value $ S' per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ i 2 _37..) ( ) Fireplaces @ $15.00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER /TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ _ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ 3 7- bb ADDITIONAL PERMITS OR FEES:Mechanical ; Plumbing Electric /New Electric /Temp ;SwimmingPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey ; Other CALCULATIONS and /or NOTES: • own* GUILDER PERMIT AFFIDAVIT ---,'- S trte of Florida ) • City of Atlantic Beach s _Te, th• dersi ned authority personally appeared fit W.A. +1.1, _t/t Y ly &worn, deposes and sa ys • who upon first being duly ____1„ __ _ .,.....,_ -... and owner of the following property. the legal • Subdivision _ _ Block 4. 1 22 . 1 ../ . ..--"--...... Lo A KA =GA �X7 ..../4 ....__. • I am applying for a building permi! Builder exemption set forth in Florida Statute.�•nSeCtio Florida law requires that I. have been provided with the toilowiny C2SCLOSURE STATEMENT. DISC{.OSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied tor • permit under an exemption to that 1•v. The exemption allows you. as 4h. owner of your property. to .act as your own contractor even though you do not have • license. You must supervise the construction yourself. You may build or improve • one • or two family residence or • farm outbuilding. Yew may also build or improve • commercial building at • cost of 025. 000.00 or less. The building must be for your use and occupancy. It may not bet built for aisle or lease. IS you sell or leabe more than one building you have built yourself within one year after the construction is complete. the lav will presume that you built it for wale or lease, which is • violation of 'this exemption. Your construction suet be don, according to building codes and zoning simulation's. It i• your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that Z have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner- Iuilder permit. Further, •ttisnt sayeth not. • . . J.::?/1 . Property vner Sworn to and subscribed betox .e this .e - - -- ' 4.e. # ISPf NOTARY PLUM= I 2eS Alit eo.r4 FAersitts SAll.. •w M Ir FM •.a• V 0 10 ••► Nv�rie�.e Ci 'p 2z' Ril�.rs a /(." 0. C C. a 12. Collar +•47 • 7 / 0.c. ' e C4Cl, R il' er • S C'' Al.•,. Ea tr:P I - - - — - - ‘11....."."'s ‘11....."."'s EXIS1.',,.g FIa1 Roo 1 yl ! ! rcno..< Tai • rock II w Vi� 1. Fwt.w ri,f Ctt l;.. i • Y pp Sa�4'. alov..d/ P tr�.., <�t li ••tr�ar'< : I + T1 iwa iv to, Rct+ers Eaatf %.•s 131.,k ..tl . I E P _ t • EYi61•4/3 F...4141,+:0 .1 t { Y S G. '• Weal StC _ 1 I ....0 r. i t NCO 1 CONer,tt --1— -- E , P S(4 9 L. — 0 NA 4 J. _ _ APPROVED -' .. PITY OF ATLANTIC BEACH . B1'LDINCa OFFICE y � t I •,itra +t Pad Whitt" - DEC U '� TvrraO •Ow.J t1 C �J /�1) •'(f• � / /4"/ C ry •0- c o. wI e r 1,„r c L i4 r t , c N wq 1, I ' i , ifairly•Igtr • 1 cEC141994 !T)r q Mrs W. L. 4R►ve5 i'ldi ding and SCALE: APPROVED BY: ng and 'DATE V4 r''t s DRAWN BY K b G' 1 2 -iQ - q Y REVISED L1 21 5 rc�O A •! � DRAWING NUMBER A 4 ! N c PQa cI) 1 13 2 09V S33d 111101 $ 03QIJVMHOd _i NOIS H3V3 a3HSV1d H311MS 3215 8OlOW 'VW 'VA , 'ON 'ISNVal NO3N 'ON VAN - 'ON. VAN 'ON 'A 009 113A0 'A 009 83aNl :91:13WaOdSNVa1 Sf103NV1133SMW SHd 3DV110A •d"111, 'ON SHd 30V110A 'd'H $1101011 8 I 3A0 11 1V3H'M)1 :1V3H 1133 SdWV Sl101001 83H10 HO10W 'dW03 DNIN011IQNO3 JNI VB 'd`H DN11V8 'd'H 11V 'dSNV1111138 S33NVL1ddV 143A0 , •SdwV 001 Q3XId 'A 'W Pit 1N33S380f11d 1N33S3ONV3N1 S3Ha1IAi1S SdWV OO1 8414V O 11/101 N3d0 031V30NO3 i $310V143338 1V101 N3d0 a31V33NO3 5131110 0141114 F 3 'ON 3Z1S 'ON 321S 'ON S83033d AVM33V8 1110A ,/pz/ M Hd / SdWV �f9/ 321S 'A83S '1SIX3 AVM30Vl1 ) 1 G �zy M Hd / SdWV W- 113NV 88 80 H011MS � c2 ) ( •Wl1V Z ) 1:13d403 SdWV` 0-4 z, 3Z19l80J.0f10N00 333 ( 1 HIIVd3k1 ( ) 3SV31:10N1 ( ) M3N :331Al13S '1d `09 ( ) SNDIS ( ) 'dW31 ( 1 8311V111 ( 1 NO111O0V ( ) 'M311 ( ) 010 ( 1 M3N ( ) 'SlaNi ( ) 3118ld ( ) 'WW00 ( ) '1dV (X '938 :N33M139 3215 '0018 X08 add 0 //"' I�.0'" 1 0 - y 0 " 7Z :SS380aV z"r r p s 3WVN NVWA3N8l0P 3Hf11V is NVI3 81 313 831SVW :W!!I11V311113313 'S33NVNI0d0 H3V3S 311NV11V JO A.L13 aNV S3003 'SNOIJV1fD38 1V31)313313 3H1• HlJM 33NV08033V: NI aNV 'd03113H 12IVd V 32IV H31HM 'SN0I1V311133dS 0NV SNV1d 03H3V11V 3H1.1-1.1.1M 33NV08033V Ni )1210M OIVS Wd03213d 01332IOV A83113H 3M 'JNINI0 3H1 NI 030183S30 SV N21OM 3H1 ONI00 ii0i N3AIO 111Al213d 30 NOIIV813GISNO3 NI :33110N 1NV1110dW1 DErAIRTMENT OF BUILDING - C 4 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. ( J PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB D ec. 18 85 µ2. ^11 T Date , 19 �►� . (JOCK T Valuation $ MECHANICAL Fee $ 4 c r. 1 12 1 A I / { 1i / 73jL « .Of1GPl This permit not valid until above fee has been paid to City Treasurer, and is u, 12 I t 1 +� 6 / 1 fl / 8 subject to revocation for violation of applicable provisions of law. This is to certify that AIR MIMS la_ MU '1• I NSTALL NEW BEAT & AIR. SYS 1��i has permission to �mtld , Classification RESEAL Zone "` I .. Owned by BARNES Lot Block S/D House No. 421 SARCO ROAD According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 44i: 4■ O Building material, rubbish and debris -1 from this work must not be placed in public space, and must be cleared up and hauled away by either con - trn' o • or owner. `, �' / 1 / , i,i _j___ _, uilding Official. 1 FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL I SEWER 1 WATER 1 4 OW, ImPORTd \pplicant to complete I• - Street Address: 1 1 31 KG LOCATION - LO OF Intersecting Streets: Between And P tCr2A BUILDING I Sub - division 11. IDENTIFICATION — To be completed by all applicants 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 Jacksonville ordinances and standards of good practice listed therein. Mecbanicat r� State Certification or Q I t Contractor Name , IG... Registration Number C--FN (L . S - Dualifying Agents -, Masters Card CIO v vl� Signature t Number Property Owners Signature of Name � A f-Aj Architect or Engineer III. GENERAL INFORMATION A. Type heating fuel: B. IS OTHER CONSTRUCTION BEIN DONE ON Electric THIS BUILDING OR SITE? ❑ LP Gas ❑ Natural Gas 1 ❑ 011 ❑ Solar ❑ Wood IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Other - Specify PERMIT IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provip complete list of components on back ()IOU; form) A. V B. ❑ Commercial eat: A. ❑ Space B. ❑ Recessed C. Central C. ❑ New Building ❑ Floor to Fire ace ❑ Wood Stove D. clAisting Building Ir Conditioning: A. Air- to-Air Heat Pump E. ❑ R lacement of existing system B. ❑ Water -to -Air Heat Pump C. ❑ Straight Water Cool F. Vaew installation (No system previously Installed) D. ❑ Straight Air Cool ❑ Duct System: Total Capacity 1 LAO cfm G. ❑ Extension or add -on to existing system H. ❑ Mobile Home ❑ Refrigeration ❑ Cooling tower: Capacity g.p.m. ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) ❑ Gasoline pumps (number) THIS SPACE FOR OFFICE USE ONLY ❑ Tanks (number) (Received) • ❑ LPG containers (number) Remarks ❑ Unfired pressure vessel ❑ Boilers ❑ Rangehood Permit Approved by Date ❑ Cooking Equipment ❑ Water Heater Permit Fes LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approving Number Units Description Model Number Manufacturer (Tons) Agency HEATING • FURNACES, BOILERS, FIREPLACES Capacity Approving Number Units Diacription Mode! Number Manufacturer (BTU) Agency 01 o. k.w:tket ut4eDiA Itato Root) Li a 1 not, 101,- t CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT y:27 c s -- TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 12_20 19 85 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. f • R & R Electric Co. „t . ELECTRICAL FIRM: . ER ELECT; I I N i . L ; . : , E , NAME Walter 'Barnes ADDRESS: 421 Sargo Rd. RFD BOX BLDG. SIZE BETWEEN: RES. (X ) APT. ( ) COMM. ( ) PUBLIC (° ) INDUS. ( I NEW ( ) OLD ( ) REW. (1► ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. 1 ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE A 0 0 AMPS / PH 3 w ” / /a" - VOLT Z30 RACEWAY FEEDERS NO. SIZE NO. SIZE ' NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL , RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 131.100 AMPS. SWITCHES INCANDESCENT : FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPL1ANCES 1 BELL TRANSF. • AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT 04 OVER " TORS PI, • . ; Vl 1.TAGEz` :. NO 1, H.P. VG T r. a, . • \ MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. DEPARTMENT OF BUILDING aa CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO 4 4 2 2 E PERMIT TO BUILD T HIS PERMIT MUST BE POSTED ON JOB Date July 25 19 80 Valuation $ 10,420.00 Fee $ 35.25 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that. Walt pr L. Rarrip4 has permission to build a room addition according to plans submitted. Classification Residenati youne Owned by Walter L. Barnes Lot Block SAD House No. 421 Sargn Rnarl According to approved plans which are part of this permit NOTICE —L COCRET FORMS AND FOOTIN MUST BE IN- SPECTED BEFORE N POURINE G. R PERMIT VOID SIX MONTHS • AFTER DATE OF ISSUE 1 ■ 0 Building material, rubbish and debris from this work must not be placed hs public space, and must be cleared up and hauled away by either contractor or owner. f[ 6 Bill N.Iavis . ilt �Rl;,il 1 Htli�fOi Otry _I .i i / '/1$j FOR OFFICE PERMIT Mad USE ONLY NUMBER DATE CONTRACTOR jae`ii�F I PLUMBING ELECTRICAL SEWER WATER seswilieSSIBOBSIMBOans CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL 247 -5826 - FAX: 247 -5877 PERMIT INFORMATION Permit Number: 9468 � LOCAL INFORMATION Permit Type: BUILDING Address: 421 SARGO ROAD Class Work: ALTERATION ATLANTIC BEACH, FLORIDA 32233 Proposed Use: Township: 0 Range: 0 Book: Squar pose Feet: Lot(s): Block: Section: 0 Est. Value: Subdivision: ROYAL PALMS Improv. Cost: Parcel Number: Date Issued: 12/14/1994 OWNER INFORMATION { Total Fees: 37 50 Name: WALTER L. BARNES Amount Paid: Address: 421 SARGO ROAD Date Paid: ATLANTIC BEACH, FLORIDA 32233 Phone: (904)249 -3619 Work Desc: REMOVE OLD ROOF AND INSTALL 5/12 PIE ROOF OVER FLAT CONTRACTORS) APPLICATION FEES PERMIT 37.50 inspections Required FINAL BUILDING NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. 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