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Permit 55 Forrestal Circle South ,-- .. . Li 'J , -5 1 --'l'- 7 :r)' ,, V" 1- t * f_2;;\ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD _., ATLANTIC BEACH, FL 32233 \') ■__ -r: • INSPECTION PHONE LINE 247-5826 Application Number 06-00034422 Date 12/12/06 Property Address 55 FORRESTAL CIR Application type description TREE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 , Application desc tree removal for new residential home Owner Contractor ECHEVARRIA, RANDY OWNER 55 FORRESTAL CIRCLE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 Permit TREE PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee . . .00 Issue Date . . . 12/12/06 Valuation . . . . 0 Expiration Date . 6/11/07 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 3 X1+`1• CITY OF ATLANTIC BEACH A ' ' TREE REMOVAL APPLICATION All applications must be submitted with six (6) copies and received by 5:00 p.m. on the Friday ten (10) days prior to the scheduled meeting in order to be placed on the Tree Conservation Board agenda. The Tree Conservation Board meets twice per month on the 2'" and 4 Wednesdays. INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. 1. Applicants Name: RANDY ECHEVARRIA Address: Telephone #: 55 FORRESTAL CR. ATLANTIC BEACH, FL 32233 (904)635 -2113 2. Address or Legal Description 18-34 38- 2S-29E .40 ATLANTIC BEACH SEC H LOT 6 BLK 168, - PT BLK 169 Of Tree Removal Site 9T" ST. WEST AND BEGONIA ST. (If legal description, list closest cross street 3. Reason for Proposed Tree Removal CONSTRUCTION OF 2 -STORY RESIDENCE WITH ASSOCIATED SITE IMPROVEMENTS 4. Has this site been to the Tree Board Before? (Circle) YES NOT SURE 5. Have the proposed on -site storage areas been reviewed by the Public Wo ' ' rector (247 - 5834)? (Circle) YES C) NOT SURE Please provide the following information: 6. SITE PLAN/TREE SURVEY indicating: a. Property lines and dearly showing interior / exterior zones b. Existing and proposed structures. c. Location of utilities and easements as applicable. d. Location, species and size of all trees with Diameter at Breast Height (D.B.H.) of six inches or more. e. Location, species and size of all trees to be removed should be dearly marked with an "X ". 1. Location, species and size of all trees to be preserved on -site for replacement must be marked with brackets "I) °. g. Location, species and size of any proposed new replacement trees marked with a circle "O ". h. Location, species and size of all trees to be preserved on -site with barricading at tree drip line noted. 7. ON -SITE REQUIREMENTS: a. Barricading at tree drip line of all trees to be preserved. b. Address/legal description must be posted in a conspicuous manner on site. c. The property comers must be marked by stakes or paint indicating the lot. 800 Seminole Road - Atlantic Beach, FL 32233-55446 Phone: (904) 247 -8800 - Fax: (904) 2474864 - www.coab.us Page 1 of 4 Revised 8/06 ADDRESS .. , �:"+„ C /4-61 r BUILDING PERMIT NUMBER / r 't "� ! 51 Z7 J 9B INSPECTIONS: FOOTING /U J (2Q cat=b -G Cps �-S UNDER SLAB PLUMBING SLAB FRAMING h(q Iel COVER —UP La INSULATION 1(1 D. /(7 FINAL BUILDING CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # ra, INSPECTIONS ROUGH FINAL MECHANICAL PERMIT # PLUMBING PERMIT # I;2 e.5 NOTES: f 7 -Qk no h/ CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247 -5826 - FAX: 247 -5877 • res ` erm: `u er: s: • " ' Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: INCREASE Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: Date Issued: 3/14/2002 'lame: • - • 1 -1 • Total Fees: 30.00 Address: Amount Paid: 30.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/14/2002 Phone: (000)000 -0000 Work Desc: ESS1 (RAMPS ZOO ' Y ' ' 1 r 'IT • • r r 1 ■ . • - V 1.11 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. PAID 0 MAR 1 • „ i V Type: OC Drawer: 1 D 81 Receipt no: 43382 iI� /1� CO ��t - . i , ' , :1tl' I IM6 1 738. A ■ " — ACH BUILDING DEPT. w ' $38.88 Trans date: $/19/62 Tine: 12:58:57 's CITY OF ATLANTIC BEACH, FLORIDA ,) Appfv.l by APPLICATION FOR ELECTRICAL PERIMIT 1 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1 ) ?4d`aj / 1410." Z vv 2 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH HE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. J4 cc1�r - l'�° - '1 r �r ELECTRICAL FIRM: MAST + ELECT � RIIC IAN SIIG ATURE JOURNEYMAN NAME .ADDRESS: .I S ° �f ( t 'S F� /f J x RFD BOX BLDG. SIZE BETWEEN: RES. 1 ) Arr.( ) COMM. ( 1 PUBLIC ( ) INDUS. ( ) NEW ( 1 OLD ( 1 REW. ( J ADDITION ( ) TRAILER ( ) TEMP. ( 1 SIGNS ( 1 SQ. Fr. SERVICE: NEW ( ) 1NCREASE4 REPAIR 1 1 FEE CONDUCTOR SIZE Y AMPS 2 COPPER ( 1 ALUMX 1 SWITCH OR BREAKER Z. oQ AMPS ( PH 3 W GG VOLT 5.) L. 1 . RACEWAY EXIST. SERV. SIZE l 0..? AMPS / PH 3 W `/7.VOLT 5 RACEWAY FEEDERS NO. SIZE NO, SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL • RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT . i FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING r CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CE1L HEAT: KW -HEAT MOTORS H.P. f VOLTAGE T PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. O Q NO. KVA NO. KVA �0 rJ NO. NEON TRANSF. NO. - VA. - MA. w MOTOR SIZE ' SWITCH FLASHER' EACH SIGN _ _ ` i I 0002886 DEPARTMENT OF BUILDING I " CI TY OF�.ATLAN TiC BEACH w. -- P1 tltt9r3cT xtt>~'Cltlt'tII,TT$Gltt - - ' - ' - - - - ° - -- L•t +� T ON xl1 t`"C!l� rcf$'T XT)If .. re.rmlt ftu nber t iG �, r A t11re; sc t 1M O1'Ikl 't"!'AL. CZ`RCL.IS ' U�11 rervitrt !! A $UZLDXHlt ATi.AlttxC Is A G ' H, P . '. .,.. . 3 4.3.00,10 ,0.3... llttr`tS>E At'J03[T1C1tt 1.. —bAL. l CS11 x !"'TX0_ — `" '". rCcary tr. Type's Drat s a trt.#:�cata $ 1 ',�Jteet1€ I s rlrarpoaed U s s3[!*C'DL.m ; rAnxL'Ir' Tovrtactsl.p s 1ttll+cs s 0 Dw. Linge s 1 0,.._00; 0 0121:1411v J.$ : Orr s A''FLA$ t'x llrA+ H T 1.1 lk L"a'tagitett i)'tso tune's C1q.00I 3t sp3r c�ry • Coat - s *0. l Tartest 1 ! e"m 3 x37. Asa .us'st tr' ,11„, it , 4' , •:'«w,. ' o t Ctut -4 +:+" ,2 '" f Wexrk alp �� . �[T�CIltT 2 1.ry, , v d na t'tATxat� «. _ ,�„;�.., .. ,... .- A! oz.XCA1'XW ra'a! �.y .. W �� 1ri'A'1`YC1I xlxt'A i sir , ," ,, AL. Cf Xlt ' 11a1Jt"t !! z, iroA 1, "� ' . i `i ... ` a ' 1 " t • rt 1 J a i ' .4: ilf ,,, t i a At i o k , , if 4 '4 ,t. ' " , * * "Ilk' It *" ''.:'". *I'" 4b ;", ''' '. o' i2 pi Irt.C:flAt4i4441 ��, -,,, d 1t1r1A'TZ MAT1 00." ...,..,. � �LCtI ..........,0 TkP __ __ . 00 0 1te► J hY3 t 6 a ■ i Z)ftAVL t flk AQ ttr"etes$ s . tie- ittz,l'"t T _� . _ X 1 rAC t gar. 3 f r 22, 2 32 t - w4 � a ) d y °fie yi e¢+�.; (( .^ r ed" " ySr , /a,brz wl, NOTES: NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. „xt ,r ON ` �1: I t s T1r � � ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN�BJECT T RE 1ON FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. �� , 4,,tt@+ *CE1 `I Rs #f I ATLANTIC 8 'CH BUILDING DEPARTMENT By: [ . l _ ' +P... c rnieloof-zr 0 / OS O 'E Andress ! �.,2r� � ..ST r4 C . ( 470 leated Square Footage �f c0 @ $ per sq ft = $ ' Aj tyv 3arage /Shy v @$ per sq ft = $ a 'arport /Porch Ci i P . @ $ per sq ft = $ deck ,� r ) @ $ per sq ft = $ • . ,ate .. = ,qt,1� (.1<'( _ @$ per $ V �� � TOTAL VALUATION: $ 3 � p � .$ /s ue Iota'. Va 1st $ /, 60 O rW,(90 JO.0 $ /O. D0 tanainder Valuation -o r thousand or Total Bu ildirg Fee $ of c. ® a IDITIONAL PERIM and /or FEES REQUIRED + k Filing Fee $ / 2 5 teical Cj'i-repiaces @ 15.00 $ BUILDING'PERMtT FEE $ 3g s , 1urbi , lectric /New _/ lectric /Ted BUILDIl�iGT $ eptic Tank MATER $ F ell SRS IMPACT FEE $ i g n Pool WATER IMPACT FEE $ ign MISCELLANEOUS $ ater Connection ewer Connection $ ater Meter $ levation Certificate GRAND TOTAL DUE $ ALCUTATIONS and /or NOTES CITY OF PROs'F DESCRIPTION i� a N eGf�l2�`GG fjear% - T642 ', ' . 716 OCEAN BOULEVARD Block # ' Section # 'iU E P.O. BOX 25 Lot #______ ATLANTIC BEACH, FLORIDA 32233 ff 1 TELEPHONE (904) 249 -2395 Subdivision: ' M 'f r 6 ' t ` �.4.' P\ • 1,- , F I DESCRIPTION OF WORK Street Name or Address: If in a FLOOD HAZARD 1 Flood Zone: L.-- area complete page 3. Brief Description :h,cc_E__ r Class Work: gLEIMF !New /Remem odel /Addition) _UaSlanaQa -- ZONING INFORMATION !, ' -- Type of if Construction :��-L; l I - - j E`rfC -'_ tA..i Building and Zoning -= Zoning , 0C. .� g � _ Proposed � jt`-"0 C ,FL t, Estimated Value S District Exceptions or Materials: / Variances Granted: Solid or (_ ,- f > " (e .) . Filled Lk I5 1 r'-1 i LCe ef t Ground: Roof: 1 ref r ' ` I OWNER INFORMATION _ Method of Heating: -- k Property Owner:__ X_y I U Phone : ae-1, - 3433 Mailing - f /� Address _q_c_6cf e, eAt _r1 ., o.n -1c., _t j cA Zip: ca CONTRACTOR INFORMATION Contractor: Phone: Mailing Address: Zip: • Expiration License Number: Date: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE 4h�y AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE k r 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, *.ZV ; i k.. REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE _v _ PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS +z, CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORREC ND THAT THE PLANS AND SUPPORTING S +C^ ., , DATA HAVE BEEN OR SHALL BE PROVIDED AS REQ IRED. / h z/2 i0 t . Owner Signature _ " Date di ii r S ` ^ Contractor Signature Date > , --- - N- te in, st A •,1 7,i- -5+ > --- . 34°,1,-.-,v±dr-2 _ , A.44 - — 1 , ( t) ) 1 4... •,, %la X' .i''''3 .4 -.. ,:. •- - `' .. `b . —4 \1/4 ° ' .•....,-, -0. - ...... ! ,,, Ca 17' A 0 .., J i?. ' • 1 i.., 4. -- i- , = - 4 **4 vl, .4 Qe► yam' 4. F -Z \ 1 - 2 f k iaa to v, 'X t As.. 7 x ,. ice \ - ,-. e G 1 9 4.4s3 r N.. a 1 t..�v' ��3 i ! a .. _ (4 _ _ .,., — P -- '. r , ,r. ,}11 r,,, > s t A- 13 1 , a f OWNER BUILDER PERMIT AFFIDAVIT State of Florida City of Atlantic Beach 3 '/f"" BE ME, the undersigned authority, personally appeared __- L /r"1f L - S i W- r who upon first being duly sworn, deposes and says: T -Cfn A L . 5i1 / and the legal owner of the following property: Subdivision __ . Block Lots . AKA 5 COQ 6:57 AL- C fey-. sou 77./ I am applying for a building permit pursuant to the Owner Builder exemption set forth in Florida Statute, Section 489.103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption Gallows y own the owner of your property, 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 commercial building at a cost of 925, 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 more than one 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 a violation of this exemption. Your construction must be done according to 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. 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- Builder permit. Further, affiant sayeth not. - /enefe7-°;" roperty s er Sworn `:« and subscribed t,eiore,me this /3 day of .(:, .c.k c..:ll , 19 gQ , PLOT PLAN OF LOT 8 _ BLOCK / AS SHOWN ON MAP OF A-7 4/4177C 8E4 i 1/14.4 4 — (J• I, T A/ ° l AS RECORDED IN PLAT BOOK 3o PAGE ,Sa OF THE CURRENT PUBLIC RECORDS OF DUVAL CO., FLA. FOR: - 7;‘ , 40/-641 S L..SM /TN NOTE: BEARINGS SHOWN HEREON ARE BASED ON THE ABOVE MENTIONED PLAT. 5 0 e,oSG .4:z.,, . Z s1a G , o Z� el 6. 1 D =25.° 8 64 j 9,���.� P c' S5 . 3 1a .. .5a*- .7- �� PC• • • s' 5 0'1 ' c N. GI \ _.--- 11 - 0) ± ce ", . 5TQ%' 1 N � , 10 Fx1 t. 31 h t i t V v N ki Is c (' c L o , o N J V ;I (1 0 \... s . s . 0 Al G9 3/ "2s "w. -- 70. 00 ' A TG4wr'c QE4C/I V1L . d OA/ pr- ,(/g Z, // r Boo, 5/, P. 13 ..r, 001932 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT I-Iff*DRIIJI#TIO11 - LOCATION II FORPIAT tett Perisit Number: 1932 Address: 55 ITORRBSTAL CIRCLE S Pero* Typxrs BUILDING ATL.AlNTIC BEACH, FLORIDA 32233 01:so* ot Work* REPAIR ,. LE0AL DESCRIPTION Copilot:. ,,Typo; H/A Lot Bloc ka Sect i all 2 Pr'oposed tJ a StHt LE F'A11I ..Y Ta xxxehipx R 1443 0 Dwellings s 0 Code: 0 Subdivieioxx: Eetis ted Value: $ 5Z5 00 I *pr ovr . Cost t *0.00 Tot *1 , } *7.' 0 A ur# x` *7. Work �, 5"1'I1\16 RESIDE.HCE � r p .1 A 1'iPL I Ca1'1`I0H FEES. w li " ap PeRtI 7 . 50 *dde sit � S'I`A!. CIRCLE 3 WATER ItIPACT FEE *O.00 I H, FLORIDA DA �S W � N AC " `EE �;� 0 Ph Y ftADOti OAS H. R. 8, 0.00 a O FORtiAridifi RADON GAS *0.00 11a AS P* ° s _ I1'10 Cot% AttlY WATER TAP *0.00 xry. » SEWER TAP _. . 00 - SWIT ' ND„ FL 32259 11YDRAUL.IC SHARE *0.00 Lis RC003 Typ s 7 RE- INSPECT FEE *0 00 ENGINEERING *0.00 OTtIER r ` NOTES: 77r 'l L NOTICE - ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURRIN , 7 1 4 1 /19 t: P0C PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE t)I4 7 1 11.. 1/19 t3 1,01 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 MECHANICS' LIEN LAW CAN RESULT IN THE. PROPERTY OWNER PAVING 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. ATLANTIC B 'CH BUILDING DEP TMENT By: aerrr. ✓ . s: '. $ �l9 : { CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT i er iS izz w /coy .Address' zip _ Phon C Architect's Address zip Phone c retractor Address oC"(og0 iazlC,ku 7 , z c+c r - c '. zip 3 •2 Phone,2r? -DJ 'S V6vntractor's License Number /Z� 3I 8 r� Expiration Date Co `0`9/ py on File k At # Block or Section # Subdivision Zoning I-3 tree t 5 s fn eos74L e T, Between ' and side .Valuation $ a Sas: L 'i`ype of Construction Purpose of Building Number of Units Fireplaces Utility Service: Water Sewer If the City if providing water or sewer service, do we need to make taps? Dimensions: Building Lot Size Footings Sz. Piers Sz.: Sills Greatest Span Sills Sz. Ceiling Joists Distance on Centers Greatest Span Sz. Floor Joists Distance on Centers Greatest Span Sz. Rafters Distance on Centers_ Greatest Span Method of Heating Solid - Filled Ground Flood Zone Roof If located within a FLOOD HAZARD complete page 2 W 17 ii^ y£Ar 13- CT -441° tal)f_ SUBMIT: 1 o complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1. When steel is in place and ready to pour footings. 2. When steel is in place and ready to pour columns /lintel. 3. When steel is in place and ready to pour beam. 4. to framing, mechanical, plumbing, electrical,. fireplace, is completed and ready 5. Final inspection. NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB., SMACKS In case of rejection, reinspection MUST be called for after } '' ar Lot Line corrections are made. In consideration of permit given for doing the cn work as described in the above statement, we ,hereby agree to perform said work in accordance ' p - H. `with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of Atlantic Beach. Signature Owner Signature Contractor AP • rorl . ice' • ne . .. CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: \ i5 1911 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 AREA PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. /' "-- 121)0kCS.4 Otivic3weri-1 , •e-4.- 4 a 9. • ' ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN( E G rcEIV �Vtaf6C.S ADDRESS: FD NAM /2/2"--67701-- CH n D" RF BOX BLDG. SIZE BETWEEN: RES. APT. ( ) COMM. ( 1 PUBLIC ( ) INDUS. ( l NEW ( ) OLD ( l REW.1 1 ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW ( ) INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM.( ) SWITCH OR BREAKER AMPS PH W VOLT j RACEWAY EXIST. SERV. SIZE 6 6 0 AMPS t PH * W Z (j �VOLT 2 G J RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. " OVER APPLIANCES 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. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCEL NEOUS O . u-u DEPARTMENT OF BUILDING 3887 • CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD FAILURE TO COMPLY THIS PERMIT MUST BE POSTED ON JOB WITH THE MECHANIC'S LIEN LAW CAN Date I. 9/20 /78 19 RESULT IN THE PROPS 3 500 Fee $ 14.50 OWNER PAYING TWICE Valuation $ ' FOR BUILDING This permit not valid until above fee has been paid to City Treasurer, and is I PROVEiVjEI a7 subject to revocation for violation of applicable provisions of law. This is to certify that Victor M. Gibbs has permission to build to enclose carport and construct a $rking slab for sufficient off - street Harking Classification res idential 7.one Owned by Wllt. & Priscilla Hall Lot Block_ SAD House No. 55 Forrestal Circle South According to approved plans which are part of this permit NOTICE —A CONCRETE FORMS 4 AND FOOTI NGS MUST BE IN SPECTED BEFORE POURING. • PERMIT VOID SIR MONTHS "n AFTER DATE OF ISSUE X 0 Building material, rubbish and debris 4 -� I. Zi from this work most not be placed in I public space, and must be cleared up and hauled away by either t ac or owner. t!. w R c: Builliat of nfikrTt" t `U` t FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER All0h> E DEPARTMENT OF BUILDING 3 855 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO . • PERMIT TO BUILD FAIZ� COMPL Y THIS PERMIT MUST BE POSTED 0 • • WITH THE MECt3ANICS LIEN LAW CAN RESULT Da 9 20 1 ' IN THE PROPERTY Orb 7 aluation $ 3. 3, 500 Fee 1 45. #' IN PAY TWICE FOR BUILDING It/PROVE- This permit not valid until above fee has been paid to ity Tres , an d is �+ MENT subject to revocation for violation of applicable p , visions . law. r7 This is to certify that I* Victor M. D .b ` '\ WII has permission to buil. 0 - nC o--. a .• _I `= 4 -- it • - rig. • slab for L f f icient . f- - : `3 %, _ .. ' t., Classification residential \ .n Owned by 4 & ` Lo Blo . /D House No • A \ •- -. 3 According to approved plans T e part permit NOTICE —ALL CONCRETE FORMS i AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS II AFTER DATE OF ISSUE O Building material, rubbish and debris ll —� Z from this work must not be placed in public space, and must be cleared up and hauled away by either contractor 4 or owner. ya o st 1 7 F ,: =,a 1 1 W 3 Li / f a 1 , HILTAL N. Da cACC . 0' d., Bail* ( 4 4 .01 1 a 0 / in tF - FOR OFFICE PERM‘ K CONTRACTOR USE ONLY NUMB I PLUMBING ._- ELECTRICAL. EP_ SEWER �■ WATER MOW atIlMa -„ -- /J FOR OFFICE US ONLY /� Date 19 7 ,1v Permit # J ��� Fee $ /5. EiEglEavit r CITY OF ATLANTIC BEACH Valuation $ - ,.. - FLORIDA House # - ze l ' ...,1 ) 17 197 APPLICATION FOR BUILDING PERMIT C TY OF ATLANTIC BEACH ' /2 ice/ 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. Xe 9- / F _ 7`, Owner..1A. °E' ei't t, ., AI � r,r Add ress ,"" `t"- 4 Telephone No. Architect Address. Telephone No. / M - 2 1 3 I V !'q ri r f:" Telephone No?ltFV' (o �f3 Contractor Builder. -V. /� � t1 � 1 - - -- f Address 7 � p Lot No 9 Block No. / Sub Division Zone Street Side Between and Sts. i Valuation $ 3 For what purpose will building be used_. Type of construction Dimensions of Building 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 'r Size of Floor Joists , Distance on Centers , Greatest Span " Siz of Rafters , Distance on Centers , Greatest Span It C et This rectangle is to represent the lot. N Locate the building or buildings in the A +" t..0.24.-A-12_ APPROVED right position. Give distance in feet from CITY OF ATL: TIC BEACH all lot -lines and existing buildings. i le 1' Q` .-%, • BUILDI OFFICE REAR LOT LINE Two copies of plans and specifications shall s V' 9 be submitted with application. � / i % -'— Inspections required. /4)? / 1. When steel is in place and ready to pour footing. B // L /� i W W 2. When steel is in place and ready to pour columns • o n . Z 3. When steel is in place and ready to pour beam. .a 4. When framing is completed. E-4 5. When rough plumbing is completed, and ready to cover up. W W 6. When septic tank drain field or sewer is laid but before it is covered. e, A 7. Electrical inspection by City of Jacksonville. m m 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 an specifications, which are a part hereof, and in accordance with the building regulations of the City of 'c Beach. Signature of Builder rf .. -- - Address V / 7 w ..e d''v1 v 21�- . Signature of Owner-LUM'(C :4 Address ( Q"1 � 'r' 1 1 f 0 v . , 4 ,...‘ ,, t „A) 0 6 , ,L, ii, ..) \ 4 , , 0_ ‘4-■.. ! 1 \ o o \ . la i is i man& IINIMINILIIIIINIA c.) 0 ;14 M�� *4 ) / 1 • - - i 1 a... -- w \ ,i ' A c i ....... k.N ' 1 ) 4:3 k \,) i 's- r%.4.‘ \ • --- 1 k ,\,.._ .11 V..-- 4)- sb/A1-1- .-------"N.-.- \. 1 y b . . ----'"'Idk . 9/ 71/AA---7 LI . k . 1%, v... 0 ,,,, I___. RI , u- ---1, dl 1 I . ..: ,- • ,..,._ . . ,.. - c.) ) ,, Q.,... ,...... _, .. _ . . , u .., ,...r. / ....., 1 . 2 ----. ,/. 0 . . .4. . 4 .N O ,11 -4- 1_,'•Nif A,,_ \--, --a -.,.. -.....,, / i k i . . 1 / cAA / .,_ _----------' ,____------- ----- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD — ATLANTIC BEACH, FL 32233 — TEL: 247-5826 - FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION 31 Permit Number: 22543 Address: 55 FORRESTAL CIRCLE41 Permit Type: FENCE ATLANTIC BEACH, FLORIDA 322 Class of Work: NEW Township: 0 Range: 0 Book: Lot(s): 9 Block: Section: 1 Proposed Use: SINGLE FAMILY I Square Feet: Subdivision: ATLANTIC BEACH VILLA Est. Value: Parcel Number: Improv. Cost: 500.00 — OWNER INFORMATION Date Issued: 8/22/2001 Name: RANDY AND LINDA ECHEUANNIA Total Fees: 10.00 Address: 55 FORRESTAL CIRCLE NORTH Amount Paid: 10.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 8/22/2001 Phone: (904)886 h Work Desc: ERECT STONE COLUMN ALUMINUM,fENCE / NO PORTION TO EXCEED 4' HIGH ---- CONTRACTOR(S) 0 ,7_, , ,,FRItio 10.00 :. ,,,Ap.. pucATION FEES 1 PROPERTY OWNER = 44, ,---, , ., • ',...s... = -'— -- - . '' 4.—k";',-,ssi';':t. - -,: - ,% • • --, , :,,.,,; "‘ T t "'S s ' *,',.- f. ' .7- ,' • ' - ' . 1 — — , ,-, .7''' '''' ;:' — NOTIC INSPEC '''' .f 'BE REC4141-8'''M DAT LEA,PT 24 HPORS PRI TO INSPtCTION ...,,;4 ',..: -- ,1413 Lie SPACE AND BUILDING MATERIAi, RUBBIS '''' 4:0513R,2 , ItlIOD M TI-IIS WORK M UST NOT BE P CED IN P MUST BE CLEARED Cie AND HAUL -!. BY EITHER CONTRACTOR OR 0 J. R ' 4.5 ,, .... "FAILURE TO COM; 14 T $''... ONS:TR:::1,10.r 0 N LIEN L ' I AN RESLyer IN THE PROPERTY OWNER PANG s '‘-- — * - 1 1 N , , - "' ' • E - :ls,07, ..._ - • - .... S .. - ` I:, s H R , 1 , 1 b r • - AN UBJECT TO REVOCATION ISSUED ACCORDING TO APPRO _ . , _ FOR VIOLATION OF APPLICABLE PR S J. .4 ..,41 ,,,,... — —..) -- / ,- _ / / $18.88 14 --1 - La L? ATLANTIC BEACH BUILDING DEPT. D ate: 0885138 8 1 11 Cl e f : 8/29 1 81 81 Receipt: Vii? i BOUNDARY SURV OF MAP SHOWING AS SHOiPN ON �' OF LOT LC?C ilTG 'Atilt 3 64e 84 u 4 cl/✓i 1 AS RECORDED IN PLAT BOOK _ FLORIDA Q PAGES OF THE PUBLIC RECORDS OF DUVAL COUNTY V /1R /R i 84 7 /%/C / t i /Jiff 1: R1 ? girl o4/c 1 % 7'L . 6 • i • CE'R7IFIED POI?: G �A�} 4. � C � A. CS . Cii?cc /0.00- y' v I . -Is .5 _�a GYM - ../ . :," i t , , , O. L • ... . , . Z? "0.. (4 ....5!;1q ..",. , e 9 s o>..." M , 1 i'\, , , \ \--.--/- — 1 )..t. 1 i v - ° / \ e - • . - - 1 v. \ .r.-.. • \ • 'M l \` c ° i' • /3 `rc ,` �`� U V) 1.0 - , • , ir `''' \ \,,,..„ � z � io / / � vl rAv k 0 -Y K X.,�c fe,IW �� I \ . - i / 0 ‘ ,. : , , I P Pr / i . . i . . q . .4 b 1 . ' fr. : : . 7 . . .' . . . ' 1.0' - APPROVED \f.:, ,/ /, W d ' 3 / � 7 ' / , /j,C . CXD CIT OF ATUI 1C BEACf1 hir .. , /V PLAN/4,W k ' rrn nfFICf G21 i►1 er -- .. , ,.,r,cor,i „ u BEARINGS BASED c . " , -. LINE AS SHOP. IT2 E Z tut . CITY OF ATLANTIC BEACH City �n Atlantic L�� :.; APPLICATION FOR FENCE PERMIT Owners/ /r /0- d and ✓ ° ch &ir r, - Phone fl SS / ea - 6 ss - SO 2 — Address 53 k f7e, c h -1 e: r eje .t( Lot C i Block and/or Unit # / Subdivision * ,i II 1 aci, g//, .Z ,/,* Contractor if Different From Owner Valuation of Fence $ , - .1760 CZ.) Corner or Interior Lot x fa Type of Construction S ne cok,,iJyj cx /;i� (- ..) - 7 Ce- ( a /i� '0 r4 ca t he c 1C f i€ Sj Z,. �. -f ,- .e . -,fie / ` ZK V:5 c0 i)e�E I cc--/e... �L4r06k co te cteci / --, Ve 4,-teJ 14 Attach Survey Showing location and height of fence as well as location of street(s). /� / i. 1),` Io q r 0) /8- 1 ( I 1 C ( li ' / .. C All ( , 4 {_ i , m y i fJ / ( I lyi kQh 3 ' AO K( co /lt'\ � ((An, /y / � o lki , (' , --1 /4 e Cd6 i4 l' � � f kitqk r Owners Signature---1-??( c ----- 'c.-etTY Ot A r LANTIC BEACH PLANNIN & ZONING OFFICE Contractors Signature 7 1 200 By 2 9 A --1 ILaglis RECEIVED CITY OF ATLANTIC BEACH MAY 1 11E. PERMIT APPLICATION R IODEL, ADDITIONS, OR ALTERATI MOVING, DEMOLITIONS City of Atlantic Beach Building and Zoning Owner (s) :L. 11 a. ft a (1 l(1 6._r 1`., (` C k . vci_r ►") G „ `,, _.... ,, _I c�•444D—St.0r i Address: ) f`c 4"r�°•`>Tl� Co Cel � £� 5ne : �O`I - 635"_2 1.3 Lot # Block or Unit # Sub division: � � � ( ��Z (� I�fC. _L 1 -' ��� Contractor: . � T State License 4 Address: Phone No: ,..,_ c. State ode Describe work to be done:l CkkIf )Q' X i5, .� - t K s I S. r C d 1 tA\ V •-, C J . Present use of building: re .�,‘Cle_,; -� Valuation of Proccsed Construction: ku ( } (jam ■ Proposed use: S A..(6t( Is this an addition? \� e� I f yes, what are the dimensions of the added space: l _ . X `1 f i f _ t . Will the added area be heated and cooled ? _ -' ( - ) I4ew electrical (or increase)? \le New plumbing fixtures V'S New fireplace? f ONew Heat /AC? nc SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT , AND OWNER /CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. S ignature OWNER: iy � /,Z/ ` " L� Gl Date: 7/- Signature CONTRACTOR: Date: (� Sworn to and subscribed before me this ,,,f� day of .41/12S..... , i G / NOTARY PUBLIC STATE OF FLORIDA AT LARGE r k Patricia Amonette , i` III MY COMMISSION # CC653881 EXPIRE:: ��a •?• "s: August 27, 2000 '�'f pd fy°,P` BONDED MU TROY FAIN INSURANCE, INC. x6b4b DEPARTMENT OF BUILDING C ITY OF ATLANTIC BEACH. - PERMST INFORiIA'TI ON - - LOCAT ION INFORMATION *+ I ° ermit Number: 16545 -- Acdress: 55 FORRESTAL' CIRCLE N 1 ATLANTIC BEACH, FLORIDA 32233 Permit Work N ADDITION - LEGAL DES+CRIPTION - -,- - -- lass of r4�rk .: PtER - Hl o+c1e :1 Lot : 9` �TWP 1 C`onst i4 ., Type :HOOD 'FRAME Proposed Use: SII4k3LE FAMILY Sect ion ., 0 Subd : 56 Rng : 0 I?c�eIlin1s: 0 S ub v z s i oz::: ATLANT I C BEACH VILLA Est. Value: 0 00 tt9PrOV» Co t: 326 j Total Fees • 225.00 .mount Pai A ' i ,,. , 225 u 0C 1 irk r'5 ;y FER PLANS 1 OWN�t °, � ' _ N - _ " ` - - - ,,, PPLICATION FEES -- --- - 105 »00 I,.: µ `,L 'A h x� "� RD tcREVARRIA PERMIT 12t3 . t1t} d dt : 55 F d, a L � 'IRCLE NORTH RATER IMPACT x FEE ATL $I1Z AQ QRIDA 322 a i ; d ' ,� t y` 4 CON' kTO� i Ntt,MAT ION #, .,,ee : PROPER1 Y' OWN R r Lao: EXpi , /... i , . .7 '. " S 5 bk .x R, ', y 5 u e ° , � ..ma '; tTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BU ri; MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE I CL =° l UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER «4I uRE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN, `RESULT 1 I 4 N THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.'' S CORDING TO APPROVED PLANS WHICH A PAR OF THIS PERMIT AND SUBJECT TO REVOCATION FOR �. OF APPLICABLE PROVISIONS OF LAW. ,81 Da te : Cep bl 24I9I! Di . It ece i li : B X5783 EACH BUILDIN D A 1 983 fir.... , it FLA. 19117 LAWS {!� RAMCO FORM 40e FS 713.13 �r 5 4N. RETUR PION a -53G� afire of Coniturt-ttement O IN PUFLICA7t1 tQ fuijtnn it nuig alter' Book 8939 Plg 1808 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. Description of property - \c' F -- >� , 'z C ,,,.-?).(- ,e'&4. .'d-k- / &,--e(d.e.- i (-L L.t.,.. .4a..., / ( General description of improvements. 4 ((\ ` - )(A ` � .=)- r ` \ ` - L\Ci :.% LA3 l k (,--. L,' \. C--4 Owner 1d.G.,... rr l cc Address _S -1 C2 Q .. :1. .s,....1. CA( L: w — Owner's interest in site of the improvement. .., :Z ..:Y:� ..2. ��.C_ Fee Simple Title holder (if other than owner) Name , Addreu Contrador•• (lf -i ''t Address Surety (if any) /1/1 �. Addreu Amount of bond $ Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: //� Name .l1,1 Address I n 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). Name / 1/4 Address M I CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 4 .j.S -- r0 /Z/d t ST11- Ct Date 5 20 `? Heated Square Footage 5 $ 1 / 4 1 1 , OD per sT - - 1/, Ogg Garage /Shed f� $ per - - - r /t/ ;a 5 / *:?" = s a3 Carport/ Porch _ �q = i per sq `�. _ Patio t _` TOTAL VALUATION: = /1, 3Z6 /6326 /5.00 /5. Total a i tion 1st $ ("v /D i 55. s . G., Remaining Value $5 per thousand or portion thereot TOTAL BUILDING FEE + 1/2 Filing Fee Fireplaces @ $15.00 $ —0- BUILDING PERMIT FEE 5 /cS'° WATER IMPACT FEE $ ) 7D.AEb SEWER IMPACT FEE S WATER METER /TAP S CAPITAL IMPROVEMENT 5 SEWER TAP ,S ( ) RADON (HRS) .0050 SECTION H PAVING ( ) $ HYDRAULIC SHARES 5 CROSS CONNECTION S e( < ( ) SURCHARGE .0050 5 OTHER $ GRAND TOTAL DUE Z Z )� ADDITIONAL PERMITS OR FEES:Mechanical Plumbing Electric /New Electric /Temp ;SwimminaPooi Septic Tank ; Well ; Sign Finish Floor Elevation Survey ; Other CALCULATIONS and /or NOTES: 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 SINX WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (2) URINAL STALL, WASHOUT (4) FLUSHING RI2i 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 V *20.00 EACH $ / 2 Q 0 JOB INFORMATION 515 j fog E T ( FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600C -97 Residential Limited Applications Prescriptive Method C NORTH 1 (3 Small Additions, Renovations Si Building Systems Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600C -97 for additions of 600 square feet or less, site- installed components of manufactured homes, and renovations to single and multifamily residences. Alternative methods are provided for additions b use of Font) 600B -97 or 600A -97. PROJECT NAME: Ntcl +,af n E- p p . rri 4 BUILDER u)mp AND ADDRESS: 6.S FDff ,aJ� PERMITTIN CLIMATE o./ O F FICE :4L,At-nq . j# 88- ZONE: 1 2 �3 OWNER: PERMIT NO. :' 1 JURISDICTION NO.: et 1 n ( l ` 6 Q SMALL ADDITIONS TO EXISTING RESIDENCES (600 Square feet or less of conditioned area). Prescriptive requirements In Tables 6C -1, 6C -2 and 6C -3 apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value of the building). Prescriptive requirements in Tables 6C -1 and 6C -2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS. Only site- installed components and features are covered by this form. BUILDING SYSTEMS Comply when complete new system Is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. R+ aVa �t'orl 2. Single family detached or Multifamily attached 2. 3. If Multifamily -No. of units covered by this submission 3. 4. Conditioned floor area (sq. ft.) 4. * 38' 5. Predominant eave overhang (ft.) 5. 6. Glass area and type: Single Pane Double Pane a. Clear glass 6a. iiik sq. ft. /,.,2.- sq. ft. b. Tint, film or solar screen 6b. sq. ft. sq. ft. 7. Percentage of glass to floor area 7. 1 7 1 "Yo 8. Floor type and insulation: a. Slab -on -grade (R- value) 8a. R= [77j lin. ft. b. Wood, raised (R- value) 8b. R= sq. ft. c. Wood, common (R- value) 8c. R= sq. ft. d. Concrete, raised (R- value) 8d. R= sq. ft. e. Concrete, common (R- value) 8e. R= 0 16Y sq. ft. 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R- value) 9a -1 R= sq. ft. 2. Wood frame (Insulation R- value) 9a -2 R= 30 3(.0 sq. ft. b. Adjacent: 1. Masonry (Insulation R- value) 9b -1 R= sq. ft. 2. Wood frame (Insulation R- value) 9b -2 R= ars sq. ft. c. Marriage Walls of Multiple Units* (Yes /No) 9c 10. Ceiling type and insulation: a. Under attic (Insulation R- value) 10a. R= 3D 56$ sq. ft. b. Single assembly (Insulation R- value) 10b. R= sq. ft. 11. Cooling system* (Types: central, oom u , package terminal A.C., gas, existing, none) 11. Type: �� SEER/EER: 12. Heating system *: (Types: heat pump, elec. strip, natural gas, L.P. gas, 12. Type: A -..L,, JP . ` _-■ gas h.p., or PTAC, existing, none) HSPF /COP /AF E: to . 3' 13. Air Distribution System *: a. Backflow damper or single package systems* (Yes /No) 13a. Ali* b. Ducts on marriage walls adequately sealed* (Yes /No) ` 13b. 14. Hot water system: 14. Type: N )//4- (Types: elec, natural gas, other, existing, none) EF: /4' * Pertains to manufactured homes with site installed components. 1 hereby certify that the, lens an sp cifications covered by the calculation are in Review of plans and specifications covered by this cal ion indicates compliarce compliance with t, Fl r'4 E with the Florida Energy Code. • - constru n is •. , et :,. this building witi be • - - Inspected for compliancein .:'.,•ance e cti• 55 '8' .S. PREPARED 9Y: DATE: r I hereby certify thad �' • i f • mpliance with the Florida Energy o e. BUILDING OFFICIAL: _ y e OWNER AGENT: a.� : L DATE: !��_ rlrl � g/- DATE: Ce 1 7J _ � . ; x:11 CITY OF r l • Eead - 9 &vr cea � Soo SEMIN'OLE ROAD ATLANTIC BEACH. FLORIDA. ::1- , T1 .45 J1 TELEPHONE X )O -( 2 7-.), -w) • • SI "NCOJI CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER /BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CON51I-tUCT1ON 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 Y..I_'R OWN CONTRACTOR EVEN THOUGH YCU DO NOT HAVE A LICENSE. You MUST SUPERVISE THE CONSTRUCTION YOURSELF. You MAY BUILD OR IMPROVE A ONE - OR TWO RESIDENCE OR A FARM OUTBUILDING. You MAY ALSO BUILD OR IMPROVE A COMMERCIAL 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 CF 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 PHYSICALLY 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 INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1 099 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(I ). 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 THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER PERMIT. `-- "PROPERTY OWNER /BUILDER ADDRESS TELEPHONE .2yei'S }�L' Z - � V- SWORN TO AND SUBSCRIBED BEFORE ME THIS l( e •Y OF - ! ✓ , 9:J it NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ,,,�;';y Amonette ARE EMPHASIZED BY THE BUILDING * ��� �* MCOMMISSION # 1 1 DEPARTMENT. I,- ��,� August 27, 2000 �. ,�,y�+ BONDED NMI TROY FAIN INSURNICE, INC, CITY OF 800 SEMINOLE ROAD 't _ A'T'LANTIC BEACH, FLORIDA 32233 -5445 TELEPHONE (904) 247 -5800 , .,t+. FAX (904) 247 -5805 SUNCOM 852 -5800 October 23, 1997 Linda Nicol 55 Forrestal Circle Atlantic Beach, Fl 32233 Dear Ms. Nicol: Our records indicate that you are the owner of the following described property in the City of Atlantic Beach: Re: 55 Forrestal Circle It has come to our attention that the assigned house street numbers are not permanently attached to your building. This is required by Chapter 6, section 108 of the Code of Ordinances of the City of Atlantic Beach and Jacksonville Electric Authority Rules and Regulations section 2.19 The absence of these numbers affixed to your building and visible from the street is a determent to your safety should you require police, fire or medical emergency services. I urge you to install a minimum of four inch high numbers in addition to any numbers presently displayed on a mail box. Failure to properly display the numbers can result in this violation being brought before the code enforcement board. Under Fl . S.S. 162 you can be fined $250.00 per day for a first violation and $500.00 dollars per day for a repeat violation. Sincerely, Karl W. ewat Code Enforcement Officer KWG /gah cc: Public Safety Director CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : 53 p,-;;J; Ti? IR. &- PLUMBING CONTRACTOR: P22 xi 6 /A- L I CENSE NUMBER OWNER: BUILDING CONTRACTOR : TYPE OF OF BUILDING : SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS / WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT : 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. " °i ` DEPARTMENT of BUILDING CITY OF ATLANTIC BEACH Pe • i PERMIT IN`ORMATION . t Number : 2 - -- LOCATION X FORl A? QN Address: 35 FORRESTAL CIRCLE ► H Permit Type:RocM ADDITION ATLANTIC BEACH; FLORIDA =32233 Class of Work :;AD ITIaN -- - LECTAL I ESCRIPTIoN �. r , P Cofiat r. 1 E/pa': D FRAME �B1 ook rt Lo : 9 NEI: _ , °ro to3 d #IM E � `At LY `' E :ticnn: 1 Stabd: Rng: 0 �e 0 Subdivision :ATLANTIC BEACH VILLA est. alte. 0,00 1 Improv Cos«t.: 3 r 000.00 ' Total Fe -3 37. 50 t ° MC tin c Date 1/19 Wdrk r .;_ DRY ROOM ADDITION PER PLANS Name d k , °EC#II'UANI�I IT"" AP PLICATION PEES - _ -___- _ , , Add IRCLE NORTH 37.50 FLaR I DA 3 mo w`" - 1F „ 9 0 R ?ORMAT I ' - - -- Name: `ES �� O ER CON CTIESN , j w s , E 9 ' » .. . , -° , d *!4ty#- �... .w*y. ,. ..� r :x�p sup J'A K SO : FLORIDA 22 8 Lia:, s 61' Exla: / / T 1 C-` uc.; z x.6=..53.1.#%., n✓.:.us',t« ; eo-n xaw �'>. ti«k.#s�M+ Nr + m '1 ?TES; 1' , NOTICE — ALL CaNCTGETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BIJILE/ING MATERIAL, RUBBISFI 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 FAIL COMPLY WITH THE MECHANIC'S LIEN LAW CAN ' RESULT IN E PROPERTY OWNER PAYING TVVICE FOR THE BUILD la IMPROV E T ►” ' UI ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TOc� E t �[ oN 4 .0 +" �► „ APPLICABLE ' #SIGNS OF LAW i , ' i � iss , '( r .? s . ATLANTIC BEACH BUILDING a PAflTMENT By: / - 7,5-'........ r i . , Book 8459 Pay 2324 Book 8.459 Pq 23 NOTICE OF COMMENCEMENT 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 (Revised 1- 1 -92), the following information is stated: a : ri 'De Lot 0I c.K l L ..,4<< -BeucL ACA . Laglrlbscri'pti'ori' of the Property: ' General Descr of Improvements : kk �. ri r C 0(9 Owner's Name (printed :. - Address: e ineArlI`MIS Owner's Interest in Property: - • Fee Simple Title Holde . (if other than Owner) Name (printed) :• *; • 4 - i''' ► 4 Address: 5 31 • • • , • . ^' ,, Contractor •rinted): • "a us : o��1u3'ipoza: Surety (if any) (printed): Amount of.Bond $ Address: Person or Lender making a loan for construction of the improvements described above : Name (printed) : �C K &"( is U ‘, x Address: °IOOO Sep I A t rw -81 tlri • Kid - WARNING: OWNER CONSULT LENDER OR ATTORNEY BEFORE RECORDING THIS NOTICE OF COMMENCEMENT. Person within the State of Florida designated by Owner upon whom notice or other docyments ` may may served: Name: t ri C t o c b Address: •► - - _ In addition to himself, Owner designates the following person to receive a copy of any Lienor's Notice as provided in Section 713.03(2)(8), Florida Statutes (Fill in 2 lines below at Owner's option) . Name (printed) : Address: Bk . 8459 Pie 2324 DocM 96217729 Filed i Recorded D� 4lD �Q4 O 1on6/96 /ice //t.� i : / _ / ire ) HENitr i Owner's Sign- ure Date Signed CLERK CIRCUIT COURT /// �- i� COUNTY, FL `r oja /Wet. "OUJ►�'r _ c. 6.00 Owner's Name (printed) County State STATE OF FWRIDA COUNTY OF V UL The foregoing instrument was. cknowledged before me this day of 0C ber , 1995 by 1,.IA Q A heir'df ( personally known to me or who has produced a driver's license as identification and who did not take an oath. ,---, DommAJUKIB igifi&A-IL1Z22/./cee4)----. CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner (s): CV r_ V d i p U Address: r - QS+CA 1 Cc4r‘ S 3 & Phone: � ILA Lot # C I Block or Unit # I Subdivision: I"IA► Contractor: LO , e �' � ' � \ I �-�' Co 1'1 (:,-11, I, State License # C = CO S-62/ 'c3 Address: , J 3 5 ( C, , ( Phone � — 3 38 Phone No : 5"f Describe work to be done: je Li ... h (loo V n ' Present use of building: eS 1 Q t� 1 Valuation of Proposed Construction: 3 DoO C7 G Proposed use: t., Gl t om. � d �" � i Is this an addition? Ye. C If yes, what are the dimensions of the added space: /0 ft. X / p, ft. Will the added area be heated and cooled? / l i d S New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat /AC? SUBMIT TREE (COhDKERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER /CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: • is _ Date 10""1. Si CONTRACTOR- 4r. /O _ 9 Date: License Supplied: 1,60-\c, �FE���' F g1171. s Liability Insurance: _ „c, . / , • Q , � JI " � l , r F 1996 Worker's Compensation Insurance: �C " "' .° ?� ,> nip Building and Zoning CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address S / (.% i a F S ,r i4 c. (, ( a , c („ 1 0N 0f y c''_c Date I -11- c_ Heated Square Footage � � @ $ per sq ft = $ ( ___,,� Garage /Shed J < @ S per sq ft = $ Car port /Porch @ $ per sq ft = $ i ' J Deck ( ( ✓ .@ $ per sq ft = $ r Patio fl @ $ per sq ft = $ C t j TOTAL VALUATION: $ NY OOO /)'- $ /- 3 Tot Al Valuation 1st $ / 0 Ei ' CC ° / 0 $ 0- Remaining Value $,S. per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15.00 $ f BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ ,` WATER METER /TAP $ CAPITAL IMPROVEMENT $ E _ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ J r CROSS CONNECTION $ ( ) SURCHARGE .0050 $ / OTHER $ t GRAND TOTAL DUE $ 3- 7, v ADDITIONAL PERMITS OR FEES:Mechanical ; Plumbing Electric /New Electric /Temp ;SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey ; Other — CALCULATIONS and /or NOTES: FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600B -93 Residential Component Prescriptive Method B NORTH 1.2 3 Department of Community Affairs Compliance with Method B of Chaplet 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600B -93 for 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 ma of the prescriptive component packages and comply with the prescriptive measures listed in Table 6B -1 of this form. Compliance by this method will be, in most cases, equivalent to an EPI of 100 points or less. An alternative method is provided for additions of 600 square feet or less by use of Form 600C -93. If a building does not comply with this method, it may still comply under other methods in Chapter 6 of the Code. PROJECT NAME: ADQI TI Utz "iU Pvt,) i.. -i.-L BUILDER: AND ADDRESS: 6 jogs. , r-.'::;17 c-- i le.„ PERMITTING CLIMATE OFFICE: ZONE: 11. 121 13 XI 1 OWNER: 44\1 f PERMIT NO.: I 1 JURISDICTION NO.: i L (1/n. C ✓ C'�L . �k � GENERAL DIRECTIONS 1. New construction including additions which incorporates any of the following features cannot comply using this method: raised wood floors without continuous stem walls, steel stud walls, single assembly roof /ceiling construction, or skylights or other non - vertical roof glass. 2. Choose one of the component packages "A" through "E" from Table 6B -1 by which you intend to comply with the Code. Circle the column of the package you have chosen. 3. Fill in all the applicable spaces of the "To Be Installed" column on Table 6B -1 with the information requested. All "To Be Installed" values must be equal to or more efficient than the required levels. 4. Complete page 1 based on the "To Be Installed" column information. 5. Read "Minimum Requirements for All Packages ", Table 6B -2 and check each box to indicate your intent to comply with all applicable items. 6. Read, sign and date the "Prepared By certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form. Please Print CK 1. Compliance package chosen (A -E) 1. A, 2. New construction or addition 2. ADP l �I U L! 3. Single family detached or Multifamily attached 3. `-�, I", fl ' 4. If Multifamily -No. of units covered by this submission 4. 5. If Multifamily, Is this a worst case (yes / no) 5. . 6. Conditioned floor area 6. 7 Z c ' sq. ft. 7. Predominant eave overhang (ft.) 7. 11 G1 8. Porch overhang length (ft.) 8 . 9. Glass type and area: Single Pane Double Pane a. Clear glass 9a. sq. ft. 9 sq. ft. 07 I�tw b. Tint, film or solar screen 9b. sq. ft. sq. ft. 76 Exvi 10. Percentage of glass to floor area 10. 0 I % 1 Nt1 11. Floor type, area and insulation: a. Slab on grade (R- value) 11a. R= 0 1 1 0 lin. ft. b. Wood, raised (R value) 11b. R= sq. ft. r,. c. Wood, common (R- value) 11c. R= sq. ft. d. Concrete, raised (R- value) 11d. R= sq. ft. e. Concrete, common (R- value) 11e. R= sq. ft. 12. Wall type, area and insulation: a. Exterior: 1. Masonry (Insulation R- value) - 12a -1 R= __ -sq. ft. 2. Wood frame (Insulation R- value) 12a -2 R= 1 I 7 3 C sq. ft. b. Adjacent: 1. Masonry (Insulation R- value) 12b -1 R= sq. ft. 2. Wood frame (Insulation R- value) 12b -2 R= sq. ft. - 13. Ceiling type, area and insulation: . a. Under attic (Insulation R- value) 13a. R= 'O 72c 'sq. ft. b. Single assembly ,(Insulation R- value) 13b. R= sq. ft. 14. Air Distribution System: Duct insulation, location 14. R= 15. Cooling system , 15a. Type: C I" LI'T (/ ,L - c T (Types: central, room unit, package terminal A.C., none) 15b. SEER /EER: k9, 15c. Capacity: I a ©Nf 16. Heating system: 16a. Type: _ (Types: heat pump, elec. strip, nat. gas, L.P. gas, room or PTAC, none) 16b. HSPF /COP /AFUE: 7. 16c. Cacity: 1, pa �j ':G' N 17. Hot water system: 17a. Type: G Lk L- Y -1 - (Types: 'elec., nat. gas, L.P. gas, solar, heat rec., ded. heat pump, other, none) 17b. EF: l 9 C I hereby certify that the • : s d six; 'ficatio' c e d by the calculation are in compliance with the Review of plans and specifications covered by this calculation indicates compliance'with Florida Energy Code. / . 'i9 Q / the Florida Energy Code. Before construction is completed, this building will be inspected % - - �� L / e . DATE: 7- 1 ` 1 a, for compliance in accordance with Section 553.908, F.S. PREPARED BY: / 4 ^► I hereby certify that i - 1. ilding i in compliance i the; Po E y ode. ' BUILDING OFFICIAL: OWNER AGENT: 11 ' l ) I `.� .: ...An DATE: M C. - rib DATE: - 1 - HAP SHOWING BOUNDARY SURVEY OF LOT 9 BLOCK / AS SHOWN ON MAP OF A 4Ah C t3 1 KtL4 Ali// - T.v'o \ / AS RECORDED IN PLAT BOOK 1 7° PAGES 6 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CER T7F /ED FOR: G/A/M 4. 8CN V4R /p : 341 A//iL//C / ; ,4,W & Wnl .?),.4✓L.7' -717 ZJ. C. ; S e0451 ?ILk S.RV/ 4, mac. 1-- politioa .. ifi ,,,, v - ,,, ��, X0/-7' ,„ , 3.3„.„-, /./3". OCT 1996 /0. oz:, Building and Zon .f,„ w.so 5 ' , • , z2 /'. v3.g . \ c\ 1 j3 ,S CY /� V' v � �f �' .� 25.,x. L: \ r / 4 Z - sl 2 L. \ k ar x ° v .IV / S?0,� Y 4 , y�� 7 -, /� )1,11rf N 0 SIf I.. N n' 0/ - \ \ /IL q,41 \ i \ AA ...,„ SN,CD I . u' /�..x' . - • / / /AI /U. �O / "W. /�'C).(X� M4A ", /AI NOT VAUD UNLESS EMBOSSED Ifl TH .SEAL OF THE UNDERSIGNED. BEARINGS BASED ON VW LINE AS SH01Ml, THE PROPERTY SHORN HEREON APPEARS TO LIE INTHIN FLOOD HAZARD ZONE X AS SCALED FROM FLOOD INSURANCE RATE MAP 1 FOR THE CITY OF 472,44/11C.. 3G f • FLORIDA, DATED 6 1 -1 I- ) . AND IS SHORN AS A COURTESY ONLY AND DOES NOT CONSTITUTE A CERT7FCA77ON OF SAME. CITY OF ATLANTIC BEACH, FLORIDA Approved by • APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ff 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. AVAeki416441ifiik- 1 • t5P / ELECTRICAL FIRM: �i/� MAST - R ELEC ICIAN SIGNATURE JOURNEYMAN NAME 1 1 2� ( 7 ADDRESS: ` J S rotie5 /^ � `IiC.//� `- ^rD BOX BLDG. SIZE BETWEEN: RES. ( ) APT. ( ► COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ► OLD ( ) REW. l ) ADDITION ( ) TRAILER ( ) TEMP. 1 ) SIGNS ( ) SO. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31 -100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.10 AM • ER / 1 APPLIANCES / 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. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS / /L 'l(s f/f,/e�r eli TRANCFARMF I 11NDFR 6M0 V_ 1111 OVER 600 V.