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Permit 1846 Forsyth Ct PERMIT WORKSHEET Certificate of occupancy� Job Address: Type Work: 4eu-)srk clujoley Property Owner: Phone # o2,q I lu.L, Contractor: Phone # Permit#: Date Issued: xq 0,3 Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing Framing I Cover Up Insulation L-zR-o4- Final Building Tree Permit YES NO Electrical Permit# Date Copy.to Fo-3 - Z V7-7-5 JEA Temp, Pole Permit# Date I Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# 2-LP9 ,7 Inspections: Rough Final I Plumbing Permit# z(.9-7-15 Inspections: Rough Underslab 611g41 1 nv,� Topout Water Sewer Final E=� Drainage Inspection: Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Final , Inuspections: Nailing Sheathing Fire Inspection: Failed Inspections: I Date Paid: Date Paid: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029826 Date 3/17/05 Property Address . . . . . . 1846 FORSYTH CT Tenant nbr, name . . . . . . 61 WOOD FENCE Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 500 Owner Contractor ------------------------ ------------------------ CARTER, GAIL OWNER 1671 FRANCIS AVE. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-1222 ----------------- - - ------------------------------------- ------- ------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . 3/07/05 Valuation . . . . 0 Expiration Date 9/03/05 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ----- ----- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH Cc: D. Ford BUILDING ZONING DEPARTMENT L. Higgins 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us 11 A PLAN REVIEW COMMENTS Permit Application # C) �3 zf.=. Property Address: Applicant: Project: This permit application has been: Z--�Appr�oved Reviewed and the following items need attention: Please re-submit you ��ppqcfi+n when these items have been completed. Reviewed By:7::i Date: Date Contractor Notified: March 11, 2005 To Whom It May Concern: (City of Atlantic Beach) Building Permit From: The Neighborhood Association of Francis Cove III We as conununity and the association have voted and approved to construct a 6X9 wood privacy fence for the concerns we have addressed. Like the safety of our community as well as our children with no intent to interfere with the drain easement or any other city codes or violation. We would appreciate the cooperation of the City of Atlantic Beach on applying for this pennit. Thank you, Neighborhood Association of Francis Cove III President: Gail Carter Vice President: Cindy Grindle Secretary. Diane Little Treasury: Darlene Bowers C-7�41D 77777777:7—a� jar ON NI'd b4-N-1U PW-�G 900Z :S381dX3 LZ AeVq LOM[00#NOISSIlIV400 AN U313MHOS 83JINN3r CITY OF ATLANTIC BEACH FENCE PERMIT APPLICATION 57 ) o6 Date: Yel 1!241 Job Address: Owner's Name: ( Daq! f n P 14ty,-o-o L-mc- Address: (Y%,(— Phone: Legal Description: Block Number: Lot Number: 2- Zoning District: Fence Contractor: ltfei Address: Phone: City: State: Zip: Fax: Type offence and materials to be used: b ?tE+W�6C- IA_Mdl-,n 104A,--k -qVjoe, Valuation Of Fence: SOO-00 Kterior Lot El Comer Lot El Dumpster or storage tank enclosure Is approval of Homeowner's A jafioiLor other private entity required? -C If yes,please submit with this application. Tree Protection: B-NO. Applicant certifies that no trees will be removed for the installation of this fence. YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. 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. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application(please print). , - ) a-,,-i-e-- Name: MailingAddress: y Phone: (q6 1-1�3 Z13 V'T 145- C C Fax: E-Mail: 312 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.us Page I Revised 3/04/04 I hereby certify that all Ainfor-matio rovided witk this apy)ication is correct. Date: z Signature of Owner: / )d /I ,!>).1� 7 b , /-/. f- I /-< C-4-Pzi, I hereby certify that I have read and examined this al5plication 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: AS TO OWNER: Sworn to and subscribed before me this day of 12005 . State of Florida,County of Duval Notary's Signature: Personally,kn"wn JENNIFER SCHLUETER is 1 01 1301 MY COMM S ON#D 2 ay --Produced Identification EXPIRES:May 27,2006 ;V Bonded Thru Notary PWic Urjdqrw(qe�� Type of Identification Produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: C] Personally known r-1 Produced Identification Type of Identification Produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ei.stiantic-beach.fl.us Page 2 Revised 3/04/04 CITY OF ATLANTIC BEACH PUBLIC WORKS DEPARTMENT 7re) 1200 Sandpiper Lane Atlantic Beach,Florida 32233 (9W)247-5834 MAR. 01 "i 401, 9, (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 05— Z!J R-Z-(,zv Property Address: Applicant: Project: WC>C>c> u Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. Your permit application has been reviewed by the Public Works Department and the following items need attention: The Homeowners ' Association approved was not provided. In statement #1 on the permit application, the last sentence states "fences shall not restrict private easement. " There is a 15 foot private drainage easement at the back of the lot. Discussed with Joyce Freeman at Habitat. Neighbor to east will have to move fence from easement also. Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904)247-5834. R k Carper,P.E.,Public Works Director Date Signature -*" Contractor Notified Date Aa, YxZ 3/7 CITY OF ATLANTIC.BEACH FENCE PERM, APPLICATION MAR U 2 Date: Y. Job Address:—M _q1I S, AA1 CCAI Owner's Name: Address: (Ye- Phone: D 1-f �1- 3 Legal Description: Block Number: Lot Number: 2- Zoning District: Fence Contractor: C-)O, S+A� 1-!n-i Address: Phone: City: State: Zip: Fax: Type offence and materials to be used: 0+(,j'1L wmeyl pa vice, Valuation Of Fence: SOO-00 E!r�interior Lot F1 Comer Lot [I Dumpster or storage tank enclosure Is approval of HomeownerL's Assoq�i@A=or other private entity required? C, If yes,please submit with this application. .1 Tree Protection: 2-N--0. Applicant certifies that no trees will be removed for the installation of this fence. M YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as apl)ropriate Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easeme - Address and contact information of person to receive all correspondence regarding this application(please print). Name: 6�, 10, MailingAddress: NLILO -06 -Z-2, Phone: (q6-'L[)3146 -Vi 45-C Ck Fax: E-Mail: ci I zyV-",- 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Page 1 Revised 3/04/04 I hereby certify that all Ainfornmnatio rovidedo this ap ication is correct. zSignature of Owner: 7 . -Date: I hereby certify that I have read and examined this aFplication 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: AS TO OWNER: Sworn to and subscribed before me this 3 day of 2005 . State of Florida,County of Duval Notary's Signature: -------- Personally lkwn 'k ly JENNIFER SCHLUETER nw My COMMISSION#00 121301 EXPIRES;May 27,2006 fErProduced Identification �Amfl' EonftdThru NoNq PuW underwobts %� ol N_=I Type of Identification ProducedFk/__C(j3jy--2_'%--�— AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: Personally known Produced Identification Type of Identification Produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 2 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Revised 3/04/04 CITY OF ATLANTIC BEACH PUBLIC UTILITIES DEPARTMENT 1200 Sandpiper Lane Atlantic Beach,Florida 32233 (904)247-5834 (904)247-5843 Fa-x www.coab.us PLAN REVIEW COMMENTS Permit Application # C--)� - Property Address: 12 4�- Applicant: c:^P---r� Project: C"4( - u-x)Q Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. u Your permit application has been reviewed by the Public Utilities Department and the following items need attention: Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call(904) 247-5834. Revi Utilities Director Date Sign—ature Contractor Notified Date CITY OF ATLANTIC BEACH FENCE PERMIT APPLICATION Date: MAR 0 2005 BY: Job Address: Owner's Name: ,Q,r es e, Address: 56(Yie Phone: Legal Description: Block Number: Lot Number: 2- Zoning District: Fence Contractor: (A 6-�Al ICA 4,�ev=) Address: Phone: City: State: Zip: Fax: Type of fence and materials to be used: Le Valuation Of Fence: SOO-00 ��terior Lot El Comer Lot [I Dumpster or storage tank enclosure Is approval of Homeowner's Ass—;abon nr other private entity required? ic 5. If yes,please submit with this application. Tree Protection: ff-NO. Applicant certifies that no trees will be removed for the installation of this fence. D YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. 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. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application(please print). Name: 6�, ) 0,,j" MailingAddress: N111t, '701-vle-sl-l-k r.121,�Ay"K— 6-r—A(A- Phone: q6LOR143 -Vi 145'-CC,%( Fax: E-Mail: )LID- co -3C2 jzy-� 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us Page 1 Revised 3/04/04 I hereby certify that all informatioDprovi edo this ap ication is correct. e .17) Signature of Owner: Date: 7 ex �R I hereby certify that I have rei and L/njcd ti;is`aFir-1i-c-a1t—ion 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 perforinance 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: AS TO OWNER: rd Sworn to and subscribed before me thi day of LKYA V0 2 State of Florida,County of Duval Notary's Signature: Pcrsonallykn"wn JENNIFER SCHLUSTV MY COMMISSION#00 121301 EXPIRES:May 27,20 Produced Identification S-W Thlu Ndary ft�ft Ur*j,#pAa?.,j I -n-.q--�— Type of Identification Produced AS TO CONTRACTOR: Swom.to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: Personally known Produced Identification Type of Identification Produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 2 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Revised 3/04/04 Cc: CITY OF ATLANTIC BEACH D. Ford �Hil ins BUILDING ZONING DEPARTMENT oe 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application ;�Lf)9 OC4 Property Address: oca Ckv-5 H odo + CLt, Applicant: 1 4-3 L4 L,(7 FOY-"- C—+ Project: uj-) Lty Th' permit application has been: A ed R ewed a nti evi nd the following items need atte on: 47 X44, 4 122- L-' Please re-submit y lication when these items have been completed. Reviewed By: r;�' Date: z �5VJL444 P L 0 T P L A N LOT 2, FRANCIS COVE THREE, AS RECORDED IN PLAT BOOK PAGES AND OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. SCALE 1- -20' F 0 R S Y T H C 0 U R T RIGHT OF WAY WIDTH VARIES N89*26'40*E 74. 0' tkool UTILITY EASEMENT w - — —— — ——— —— —pr ——— *'*111"�-191 0' go 7.5' JEA ELECTRIC EASEMENT ad ———— — —— — —— — — — —— — — —— C14—— — —— — — — D 7*5' 20 EIUILDIN13 RESTRICTION LINE 7.5' 8 z 25.33 25.33' 11L7 C-4 w 11.67' W z I 1=1 > 0 w z PROPOSED RESIDENCE 0 01 -1,' IK IV AN 0. i= \01 Ld CY-1 z 1.5m Ir 0 -j Z' m z 25.33' 25.33' 11r67' Cx b N 20' BUILDING RESTRICTION LINE --- - - --- - - ----- - S W A L E 15' PRIVATE DRAINAGE EASEMENT S89*26'40*W 74.00p x1o, U. SOUTH / 2 OF L 0 T 1 3 1 E. H. DONNER'S SUBDIVISION I PLAT BOOK 8 PAGE 4 City of Atlantic Beach Planning and Zoning Deparlowd CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FANULY RESIDENCE AND DUPLEX CONSTRUCTION) Date: 7 )23 Job Address: Owner of Property: C—Ac"C-1, Im Address: 6-71 r, Ai-,L Fc7 leflephone: 9 F UDO 1) ZoningDistrict: 30.ilic Legal Description: Block Number: Lot umber: 12 Contractor: 3 FA -.-)4;7 �r— State License Number: Contractor's Address: 7 e-14 Z 2,33 Telephone: 90�f— S:�� — Fax: Describe proposed use and work to be done: -3 r k L^ Z Present use of land or buildin (s): V4 4,1..)J> - It 6 0, t>oD, v�o Valuation of proposed construction: I Is approval of Homeowner's Association or other private entity required? W., If yes, please submit with this application. Will this project involve changes in elevation,site grade or any use of rill material or the removal of any trees? [],NO. Applicant certifies that no change in site grade or fill material will be used on this project. 9YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. SFE- -4)-r-,4 4),1 t=,b J'k:3. PR15LIA-4- P44 IQ&Or�Ia P1 ZM 0-- El NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. SCE_ A_71—A<' Vkrt> 74E!'E ,r 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. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at:1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, owner/Contractor Affidavit if owner is contractor, and four(4)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 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 - http://www.ci.a,tiantic-beach.H.us Page I Revised 1/14/03 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 marmer. I, Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all informa.on provided with this application is correct. Signature of owner: �z Date:_!2/0/03 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: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of 20 S ER My COMMISSION#DD 121301 EXPI E&May27 ZW6 Notary's Signature. pubric ndetWON" E-11-ersonally known Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 2003. V State of Florida,County of Duval Notary's Signature: JE NIFER r)o 121301 M." r Mx'13MMISSION# 2M6 E��Personally known _S�May 27 jE)(pIFF 6 derwws(s -hru , n F� Produced identification %,%p)pubk Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 -Fax: (904)147-5845 - http://www.ci.atiantic-beach.fl.us Revised 1/14/03 01 71 CITY OF ATLANTIC BEACH FLOOD PLAIN DEVELOPMENT INFORMATION Location: 0-4 S>-1 Y-0 Type of Development: . RV�-5) Ls-x, Flood Zone: —x Required Lowest Floor Elevation: 3 If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certit�irig that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. CONINIENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Applicant's Signature: AM_ —1-9-) Date: C71);7 Zo_r Department Use: Required lowest floor elevation: As built lowest floor elevation: 7- Survey filed with Building Department: 'A-o .,— ( , k Building Department Repr�sentati�'�, Revised 1/17/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E 0 F 0 C C U P A N C Y P E R M A N E N T Issue Date . . . . . . 5/07/04 Parcel Number . . . . . 172123-0000-2 -2 Property Address . . . 1846 FORSYTH CT ATLANTIC BEACH FL 32233 Subdivision Name . . . Legal Description . . . Property Zoning . . . . TO BE UPDATED Owner . . . . . . . . . BEACHES HABITAT Contractor . . . . . . BEACHES HABITAT 904 241-1222 Application number 03-00026973 000 000 Description of Work TWO FAMILY RESIDENCE Construction type . . . Occupancy type . . . . Flood Zone . . . . . . Approved . . . . . . . Building Official VOID UNLESS SIGNED BY BUILDING OFFICIAL Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: z 7_1 0 Contractor Name: 13 not the +a4: Permit Property Address: Eoysy-�k 64-_ Legal Description: Improvements to the above-described property have been completed in accordance with the terms of the permit and are certified to be ready for occupancy as: Single-Family Resident - Commercial - Other: Lowest Floor Elevation: Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. Public Works -ry-' l LI - 2- e Planning Dept. 4 Building Dept. Final Survey with FFE PYes No All Re-Inspect Fees Paid DYe s No CITY OF ATLANTIC BEACH 800 SEMINOLE,ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026973 Date 9/29/03 Property Address . . . . . . 1846 FORSYTH CT Tenant nbr, name . . . . . . NEW SFR 1105RAD, 1105SCHG Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 59503 Owner Contractor -- - ------ ---- - ---- - -- --- - ---- - - - ---------------- BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE . P .O . BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 (904) 241-1222 ------ --------- - - - ----- - --- -------- - - - --------- --- -- --- ------ --------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . . 00 . Plan Check Fee . 00 Issue Date . . . . 9/29/03 Valuation . . . . 59503 Expiration Date . . 3/28/04 -------------------------- ----------------------- - -------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 27 CAPITAL IMPROVEMENT 325 . 00 ST CONSTRUCTION SURCHARGE 4 . 97 AB CONSTRUCTION SURCHARGE . 55 STATE RADON SURCHARGE 5 . 24 SEWER IMPACT FEES 1250 . 00 WATER IMPACT FEE 370 . 00 WATER CONNECT/METER ONLY 85 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- -- --- - ---- ---------- ---------- ----- - ---- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 2076 . 03 2076 . 03 . 00 . 00 Grand Total 2076 . 03 2076 . 03 . 00 . 00 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 T14E CONSTRUCTION LIEN LAW CAN RESAJLT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVENIENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026973 Date 1/20/04 Property Address . . . . . . 1846 FORSYTH CT Tenant nbr, name . . . . . . NEW SFR 1105RAD, 1105SCHG Application description . . . TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 59503 Owner Contractor ------- ------ --------- -- - ------- -- - - -- - ---- -- --- BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P .O. BOX 50939 ATLANTIC BEACH FL 32233 JAX 13EACH FL 32240 (904) 241-1222 (904) 241-1222 ------- - ---- -- ------- - - -- ---- - ----- ----- - - -- --- -- - --- - - ------- - ------- - ----- Permit . . . . . . MECHANICAL PERMIT Additional desc INSTALL NEW HVAC Sub Contractor OCEAN STATE HEAT & AIR Permit Fee . . . . 91 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --------- ------- - --------- - ----- - - --- -- ----- - - - --- - ------ Permit Fee Total 91 . 00 91 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 91 . 00 91 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TI-IIS 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 IMPROVENIENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF TFIIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH P MECHANICAL PERMIT APPLICATION Date: Property Address: '/6 ibns!j 77.4- 1, Owner: X, P/ Telephone 9: Contractor: 3%. 4 /4,2� 1pl�o4lo- Telephone #: Contractor Address: lV76 -oo�etlao-141 XI-cel — 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 are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: 3" Electric Q Gas: _LP —Natural —Central Utility 13 Oil 7 El Other-Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat Space _Recessed /Central —Floor 0-- Residential 31 Air Con—ditioning: —Room —leentral 5K Duct System: Material ?/Pr x Thickness--je-6 0 Commercial • Refrigeration Maximum capacity ffOO cfm ;11*" New Building • Cooling Tower: Capacity gpm E3 Existing Building • Fire Sprinklers:Number of Heads 13 Elevator: —- Manlift Escalator—(Number) 0 Replacement of Existing System U Gasoline Pumps —(Number) C3 Tanks (Number) Er" New Installation Q LPG Containers (Number) (No system previously installed) Ll Unfired Pressure Vessel 13 Extension or Add-on to Existing System • Boilers • Gas Piping Q Other-Specify ZI Other-Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency r HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency .04%0*40 Zy /5-At, 4)4.- JANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road -Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845 e http://www.ci.atiantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026973 Date 10/23/03 Property Address . . . . . . 1846 FORSYTH CT Tenant nbr, name . . . . . . NEW SFR 1105RAD, 1105SCHG Application description . . . TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 59503 Owner Contractor ----------- ------------ - ------------------------ BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE . P .O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 (904) 241-1222 ---------------- ----- - ------------------------------------------------------ Permit . . . . . . PLUMBING PERMIT Additional desc . . 13 FIXTURES Permit Fee . . . . 126 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 126 . 00 126 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 126 . 00 126 . 00 . 00 . 00 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 TFUS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Job Address: r Owner of Property: 8,6jj_e_< h�812� t —Telephone: Z Plumbing Contractor: d& Contractor's Address:— A zz A�;Pq)y 4,15; Telephone: cA 2 2 Fax: ;-2, zY 3 It 0 ",.-State License Number: b3 �24,1 75 How many of the following fixtures (re-piped or newy.' Sinks Showers Water -Lavatory --/—Water Heaters Hose Bib -Bathtubs Dishwashers ewer Urinals Disposals Other C. sets __�__Washing Machine Shower Pans Floor Drais Re-Pipe (List fixtures being re-piped) Total Fixtures: x $7.00 + $35.00 Mimum Permit Fee:S35.00) Signature of Contracton. ef 7— fiXtura Installation of plumbing and. USt�e in accordance with the most recent edition of the ,Southern Standard Plumb* Code. Ing Call a day ahead to schedule inspections: (904)247-5826 800 Seminole Road Atlantic Beach,Florida 32233-5445 - -- . ____ 1-1 - .- -2 -2-!_ L�---2- .n S, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026973 Date 10/23/03 Property Address . . . . . . 1846 FORSYTH CT Tenant nbr, name . . . . . . NEW SFR 1105RAD, 1105SCHG Application description . . . TWO FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 59503 Owner Contractor ------------------------ ------------------------ BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241-1222 (904) 241-1222 ------------ ---------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc NEW 150AMP SVC Sub Contractor CMA ELECTRICAL CONTRACTORS Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 95 . 00 95 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TFIIS 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. BUILDING OFFICIAL MG11 tRANGER)C PHONE NO. : 9047640038 ep):4", J!11-�.-A L Oct. 10 2003 09:23AM P3 cl -) 3 CITY OFATLANTIC HEACH� FLORIDA .U'I'LICATION V-f El""A ItICAL M.Ruk-UT TO TM C�M SLMMCAL DATE- ' 200-15 IN CONSMEUMN OF PMWT OlVtN FOR W7XQ T�M WRK AS DISCA191191)N Ta F=owm,-WE 1mTi,-baykrjm-,o MUMM 39D WOU M A.=OMAKS VrH TM ATTACEM PLANI AND$PECjFXATt0NC WQi AU A PARI MMI, N'v, AM)INA!.,M IR.11)I Vc 11;77- M 754.t�MM�V-, n TiT.T.iMOS15,r,',M4&'�X�-�',M" 77 J�MC tp.A CF.0�', 'IE—ECTRIMM Pmm- -Ilck-s *trrRCTMcIAN M—NATT.7Z.- 00A 4, OWNERS 'ArXn3k'3,--S: %Qy BLDG. ........... RZS-(J'�, Ar-'f.( CONNi.( PLTSLIC( INDVS.( NEW( OLD( REW.( Amlvoli( J� -,v&uwzak kkt J:-A REP ConuCTOR SIZE AbTS; COPPE -AL V� (c A�Ll -Y "?T SWITCR OF,BIM A KFA 40 AMPS pm -LWLVO—LT AY EXIST,$-BRV.3= P14 J_ RACEW Issou's No, size SIZE . NO. -��G—KTMG OUTLETS i CONCRALSI) OPEN TOTAL LUCEPTA"Es OPEN TOTAL INCANDESC,ENT FLO�-TRESCZNT A NLY. APPMANCES BELL * sp. Am CONDM 0 1 M17 ir W., X&93 MEAT morogs mp. 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