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Permit 1850 Forsyth Court CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C E R T I F I C A T E O F O C C U P A N C Y P E R M A N E N T Issue Date 6/29/04 Parcel Number 172123- 0000 -3 -2 Property Address . . 1850 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 . . 04- 00027612 000 000 Description of Work . . TWO FAMILY RESIDENCE Construction type . . . Occupancy type . . . Flood Zone Approved PP Buildin Official VOID UNLESS SIGNED BY BUILDING OFFICIAL Building, Planning & Zoning CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET t� Date Requested: V� l 191 0 Contractor Name: e)C (1_ (.4"--t S VA a 1=:7\ ` k Permit #: 4 ' ! 1 . p 2 - Property Address: 18 CC) F ` S `` 4 CT 1 Legal Description: 3, t Y.-a-4 F £'' 3 PT 5 GO v - _ILL 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: Lk* Lowest Floor Elevation: 13 -CI Required As Built The following must be completed before issuing Certificate of Occupancy: Department Date Notified Date Approved Approved By Fire Dept. -- Public Works 6 AS J y' L,-2-6-- • a v i€.7, Planning Dept. 0 0 - (7- 41 1 - 0 4- 1 - '2 r -' Building Dept. 0_ C _ d q cp - 2 9 - e7( )(2 Final Survey with FFE Yes No All Re- Inspect Fees Paid No MAP SHOWING SURVEY OF LOT 3, EXCEPT THE EAST 37.00 FEET, FRANCIS COVE THREE AS RECORDED IN PLAT BOOK 56, PAGES 26 AND 26A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. b N II FORSYT N C O U R T w (S89'24'S2 "W J N89 26 '4C l 7 V) SET 1\2" IRON 5' CONCRI /?S-D 0 1 \2" IRON PIPE LB3672 P. LB3672 RG FIBELASS LIGHT POLE �' 'O ^ 5 / �/ / T iV / 7.5' JEA ELECTRIC EASEIVENT CONCRETE WALK 10' UTILITY EASEMENT c 7.5' JEA ELECTRIC EASEMENT C RANSFORMER PAD _ &A-CAW I- w w I., J 0 o 11.5' 47 CV M _ rn ° • w �— v~ � 0 � w w r w � w .. w 0 W 0 H W O L u.. N LOT 4 (N M �w � z I in < o 31 o o LOT 2 P —N (n <0 0 0 M <Z "1 , W M T a v L1Ju_W w s. W LI- W I ri In o d b S z o (T) > `d' p o o I- 7 . Z r3 W u~i O (n 2 J r0 W 0 w • M • 0 N i — w 0 cc — WI O w cn Z �aa ❑ aa 115' 25.5' 25.1' l BUILDING RESTIICTION LINES 6 N 15' PRIVATE DRAINAGE EASEMENT (37.00') b _ SET 1\2" IRON SET 1\2" IRON FOUND 1\2" IRON PIPE L83672 PIPE LB3672 PIPE LB3672 S89'26'40"W 37.00' (N89'25'55 "E 36.94' FIELD) NOTES: - THIS IS A BOUNDARY SURVEY. - BEARINGS BASED ON EASTERLY LINE OF LOT 3 BEING S00'34'13 "E AS PER PLAT. - BUILDING RESTRICTION LINES ARE 20 FEET FRONT AND REAR AND 7.5 FEET SIDES AS PER PLAT. - EASEMENTS AS PER PLAT. CITY OF ATLANTIC BEACH S SA %� "J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 'IT . INSPECTION PHONE LINE 247 -5826 4 Application Number 04- 00027612 Date 5/17/04 Property Address 1850 FORSYTH CT Tenant nbr, name DPLX W/1848 Application description . . TWO FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . • 61618 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 . Sub Contractor . ADVANTAGE PLUMBING Permit Fee . . . • 112.00 Plan Check Fee . . .00 Issue Date . . . • Valuation . . . • 0 Special Notes and Comments NEW PLUMBING 11 FIXTURES Fee summary Charged Paid Credited Permit Fee Total 112.00 112.00 •r Plan Check Total .00 .00 Grand Total 112.00 112.00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUS', UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILL RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMP. WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR V, 1 %..., s () , 616. ( ( ' w BUILDING OFFICIAL 1 , 01..AJ CITY OF ATLANTIC BEACH � PLUMBING PERMIT APPLICATION %'gaam` ' jj�g5,y t1 J � 'r 1 orily Date: 5 /7 Q Property Address: /66) 7 /i2' l/7 e') Owner: 6C , A t ' T fr/4 81 /ij Telephone #: ,„,2 /Z2 ? Contractor: ild 1 f t r f �ln� Telephone #:c:P 17"' Contractor Address: 3 2 C2,-/O) ';'/ 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 ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, New list the building permit number: ❑ Re -Pipe 0 0 1 - 1tit Z, / Number of Fixtures: 2 - Bath Tubs S 2 Closets Shower Pans Dishwashers 1 Sinks Disposals Ur' Floor Drains ' Lavatory Sewer Fees Permit Issuing Fee: $35.00 Total Fixtures: /1 X $7.00 + $35.00 = _ 800 Seminole Road • Atlantic Beach, 1• Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http CITY OF ATLANTIC BEACH I S1 . 800 SEMINOLE ROAD ! s) ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027612 Date 3/17/04 Property Address 1850 FORSYTH CT Tenant nbr, name DPLX W/1848 Application description . . TWO FAMILY RESIDENCE Property Zoning TO BE UPDATED Application valuation . . . 61618 Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. P.O. BOX 50939 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 241 -1222 (904) 241 -1222 Permit MECHANICAL PERMIT Additional desc . Sub Contractor . OCEAN STATE HEAT & AIR Permit Fee . . . 71.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 71.00 71.00 .00 .00 Plan Check Total .00 .00 .00 .00 • Grand Total 71.00 71.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ___ P1/44, BULL ING OFFICIAL • ;;S A'j 1 it l\o, CITY OF ATLANTIC BEACH ,M ',.a ' '' '' � MECHANICAL PERMIT APPLICATION ' Date: 3 -- /C ^O ce Property Address: (g$O g ,s a. Owner: ,e0,..eL 44,4' As / Telephone #: Contractor: ©f-t.a S l e , 44 Telephone #: .2(6 Contractor Address: /476 4(.7°4. -1<< !(/...F,( Fax #: Z-yl — d'I s"f 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: Electric ❑ Gas: _LP _Natural _Central Utility n v .276/2" ❑ Oil ❑ Other — Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK tom' Heat _ Space _Recessed ''' _Floor ❑ Residential 0 Conditioning: _Room 'entral GI/Duct System: Material sk /&, -C ❑ Commercial Maximum capacity roc) cfin ❑ Refrigeration ❑ New Building O Cooling Tower: Capacity gpm ❑ Existing Building ❑ Fire Sprinklers: Number of Heads ❑ Elevator: _ _ Manlift Escalator (Number) ❑ Replacement of Existing System O Gasoline Pumps s (Number) ❑ Tanks (Number) 0 New Installation O LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add -on to Existing System ❑ Boilers O Gas Piping ❑ Other - Specify ❑ Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING, REFRIGERATION EQUIPMENT & CONDENSOR'S Approving Number Units Description Model # Manufacturer Ton' s Agency HEATING — FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Approving Number Units Description Model # Manufacturer BTU's Agency .4• s.- . a ( l PF ..,t hi Aftkrz,y 4A Z-sr Cp /54 v L .TANKS 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 • http : / /www.ci.atlantic- beach.fl.us 6 I CITY OF ATLANTIC BEACH ... ,�. ss1 800 SEMINOLE ROAD - , f ;r ATLANTIC BEACH, FLORIDA 32233 f *4 INSPECTION PHONE LINE 247 -5826 '`''4 .05319` Application Number 04- 00027849 Date 3/08/04 Property Address 1850 FORSYTH CT Tenant nbr, name 150AMP,1PH,3W, NEW Application description . . ELECTRIC ONLY Property, Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor BEACHES HABITAT BEACHES ELECTRIC SERVICES INC. 1671 FRANCIS AVE. 214 COKESBURY CT. ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 241 -1222 (904) 629 -3182 Permit ELECTRICAL PERMIT Additional desc . 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 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. BUILDING OFFICIAL FROM : GRANGER)( PHONE NO. : 9047640038 Mar. 05 2004 06:07PM P4 03/04/2N4 Oa: Sr.i 9ii 12411222 BEACHE: I,` 1 - 7 PAGE 93 CITY or ATLANTIC BEACH, FLORIDA AP•PLxCATXON tl'OR ELECTRICAL PERMIT • ., , ,;. -G' : ,..a. :7a.! 7AL N,: ?roc. DAIS: ,, ;!.0 Rey'_ tli l"w• 1� 1.: C " :in A t t. F,)F ar V r;-; F:. I. :I . : wr-K ., a 1.EV,.7.:s� T rtiti. � ;;.;.. � Y FT..711ESY ,..ikz4 1:. :a . .Rt..1 5,ID wa :14 ...�C•. 'AN 1r . 7:•4 :'_T •;01. ?LAN° Ar:) C:FICATIOIN . w -1C 1 aRV. A. P. n c: • .,.- . N :,.1"',V•••r:A ? :`1^.'. ^1::'In :" a.: ^'::',.T., RE": .,. A r+r ;1:4: , C: C :% (' ATIA :.t •tf.7 . 0n;l..,: •._:.�.:A»..f. 41,l .0 x ;:ICAL 7.Z..M: Mit., TE r ; E• i is %I r.!: ...4 - ilig "w'_•r�;�S CJAME: € ..• ) -; to ..DL:V `� ?S ? y am /- 'Td� F�''._..3-1x.._ / l A LL S �i;z 3 �..._ n. _ t___ F�+ ri :_ _ 1 EG. 96 APT.( ) C01,11vM.0 ; PLTSL:C( ) '.fNO'7,3,( ; NEW; ) of. n ) R;'tW.( " , 1, .:1�1'ITIOi •� ) 7RAzi.,,ER ; rv". t '- 12,; ) S :.(3,-1S( ) ._.., . _._ SQ , FT.- — — i" > l.� - 51•taV =CE. t+tI; ,)../ ' ^3 EA , E(.) :4 A1R( ) . 17 ".air FrOxt "•.IPS: C . + Y 4 P E R c ) . S L 4 1 I S M — FEES `` - a T.SSE,�,V, ST.E _._ AMY S PIS ` W . 4 'Q',T I _rACt"'.' ■ FE.;,JER.5s N. Sin I NO_ __ SE'S . N r St _ ■ rdt}k?TIh1G OUTZETS CONCEALS OPEN IIII TOTAL ^ _ �.. PBCEPTACLES CONCEALED OPEN • f TC)TAs. �1__ r_ . - : 63OAMPS is ,1Q• - s4.r3 �} SWITCIES I ( "M PLO URESCENT & M.V. ..,_ J _�.� 1 PNED L� oo ILL; -. C� v ,� .....r ,._...�., « y.. r ".._ APPLIANCES 1 ! __ :-.1z..1., TRAN-".� 1 ALF, } , yATRAG 11'9, _j► Czi . • :1�,. -HE '., . , �.. - --- CONDITi (70I.14 .; -40T0g. 1 CTiE; :,R. R.ICTOI S ;s1.F'b : '_'$Ai MOT'OS RP, { '..'C %TY . rs_' ?KS '0'. ...i 1131'. V )LTAlE '' ...... .,, ._ MISCELLANEOUS ..w........w..... -- ..— �w.,a.r– r...� -- �.� ..•..�..w.,.w�.:,w�.r -- -.— _,.,.. :._.. ...,... � — ..... ,� i i '" , .., ...... _ .. l . ... �.,,._. . ^ NG. _ ,. 1 b < r KVA *?O .VA ._•, ..� _i._ 1 N4: ON TR �' . .A NSE. r No , A , '0T0J� :J: , • • ; S ArtT G'E3 F :.A 0; R R , 1 '' vyl N' CITY OF ATLANTIC BEACH cif BUILDING PERMIT APPLICATION (FOR NEW SINGLE FAMILY RESIDENCE AND C ii ? DUPLEX CONSTRUCTION) j � � � p Dale: ✓ - Job Address: J �7 / /f��c7 1 ' °,�s y q--» 6 — ( — Owner of Property: ee TAT Address: 1t7 F >s 4 Art 3 4Ir; FL. - 3 223 -g Telephone: ryc,iL- 2VZJ —/ � Legal Description: Block Number: Lot Number: .3 Zoning District: F.4- 4a+/t.ds / Contractor: �/F4C -h 5 /T47 State License Number: Contractor's Address: /4 '7) F Q 4,Gl d' ,q u a• , , 4-,-L. $c,' , / .3 22-33 Telephone: / 2.0 - / r-- Fax: 90 Z '— y Ji Describe proposed use and work to be done: C o"..).1,- 4 LA-40 h C5 )9 ' P'r p,t, Pe-ve,ex Present use of land or building(s): Y 4 L4N r 4.4.0D Valuation of proposed construction: � ° 1..-0 J Is approval of Homeowner's Association or other private entity required? At If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill 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. [YES. See Step 2 below. Approval of the Public Works Departme t is required prior to issuance of a Building Permit. - E4 /9 7-7-4c), & pR CAA , Yee. vie,si r64 t T ❑ NO. Applicant certifies that no trees will be removed for this project. [AYES. 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. /9- 7 5. 540k„.9 , 971 T,'c ' 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. bmit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if ,^,ontractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic ty 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.atlantic- beach.fl.us 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 manner. 1. 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 information provided with this application is correct. Signature of owner: /—f'J, Z — Date: /2-11 L /'OJ 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: / %3 Address and contact information of person to receive all correspondence regarding this application (please print). Name: OA iA - Mailing Address: /47/ FAG i s BC r i re 3Z z23 Telephone: ?oY -•29 ^ /22-t_ Fax: 04 2 4O 5 Ifz' E -Mail: AS TO OWNER: Sworn to and subscribed before me this ' day of C - , 20 State of Florida, County of Duval � Notary's Signature: !AL4LIIIIII A /1,■.- -- JENNIFER SCHLUETER • *" 11,. JENNIFER known erso P ,,, MY COMMISSION ADD 1 06 301 EXPIRES E.] Produced identification de�i?hru tary p ubi c Underwriters B o Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 1 /220.-N day of - , 20 3 . State of Florida, County of Duval _ JJ 1 ,. JENNIFER Notary's Signature: ,.,, .,� &1A r •`� � � " ' MY COMMISSION # DD 121301 May 27, 2006 z *'•,_ EXPIRES: P bii�unde.wme� ersonally known I P • �...• Bonded Trim Notary • ot . , ❑ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 Fax: (904) 247 -5845 • http : / /www.ci.atlantic - beach.fl.us Page 2 Revised 1/14/03 �,�r ' ` CITY OF ATLANTIC BEACH Cc: ,a \ BUILDING / ZONING DEPARTMENT D. Ford .. p G o ' 800 Seminole Road eiins \ r Atlantic Beach, Florida 32233 er n _ , r , _ f . : (904) 247 -5800 �J " �� (904) 247-5845 Fax www.coab.us PLAN REVIEW COMMENTS L � Permit Application # 05- i Property Address: t e 0 -i'k CL Applicant: I 1 -e a �/� '�, a b Project: f'4�2.1 1 (j2 ' -1 Ce' This permit application has been: ❑ Approved L " Reviewed and the following items need attention: _4.....4.., blautte PI itle 4ei.dta.--roti--stfr ..61.7; / /A e-sk Pa) Please re- submit yo r application when these items have been completed. Reviewed By: AMA-- Date: to /' -oS Date Contractor Notified: DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ATLANTIC BEACH, FLORIDA 32233 -4318 � TELEPHONE: (904) 247 -5834 FAX: (904) 247 -5843 �:. SUNCOM: 852 -5834 http: / /ci. atlantic- beach.fl.us h�Fr a i 4 PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # - eZ - 7 Lp I Applicant: I C L )C. 601 - I ( '" Address: I J30 FCA 1'H (� Project: D o9L /L' Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. o Your permit application has been reviewed by the Public Works Department and the following items need attention: L x Kr k --A'' c` r .` = ,e — 7 7 0 OS/A/ S' .II // / • o/ i lQ 'IJ L! 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. : e iewed by Do .luzniak, P : is Utilities Director Date z Signature Contractor Notified Date 1 1,4\4-, , CITY OF ATLANTIC BEACH l D. Ford v � _ 0, u 1 � i BUILDING / ZONING DEPARTMENT • ms , S. Doer - mow{ J 800 Seminole Road j } Atlantic Beach, Florida 32233 (904) 247-5800 O � 3 ` �� (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # 0 - 1 Cr 1 ,,L Property Address: 1 8 60 Fo j f T+ Applicant: 127 0 /hi = 5 1 1 / 3791- 1 Project: t) tJ . L - c - y__ This rmit application has been: Approved El Reviewed and the following items need attention: Please re- submit you1 °application whrt hese items have been completed. , ,,,7 Reviewed By: • ° Date: / g' 024 ' `4-j -, CITY OF ATLANTIC BEACH r � Ford � \``t4 BUILDING / ZONING DEPARTMENT ns 800 Seminole Road Doerr Atlantic Beach, Florida 32233 (904) 247-5800 p1,41 0 (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # 04-1 2:7 7- Property Address: / 5 F0/5 5/T C 1 Applicant: & E \ C I4 'iI A Project: MC-Ak D! L This permit application has been: Approved El Reviewed and the following items need attention: Please re- submit your application when these items have been completed. Reviewed By: Date: ? 6VP- , 0 * CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD r-' i w ,, � t s-)1 J j ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027612 Date 2/20/04 Property Address 1850 FORSYTH CT Tenant nbr, name DPLX W /1848 Application description . . TWO FAMILY RESIDENCE:; , Property Zoning TO BE UPDATED 'tat Application valuation . . . 61618 v�? I.; ltrill „ ,1,1 ' 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 . . . 2/19/04 Valuation . . . . 61618 Expiration Date . 8/17/04 Other Fees CITY RADON SURCHARGE .27 CAPITAL IMPROVEMENT 325.00 ST CONSTRUCTION SURCHARGE 4.95 AB CONSTRUCTION SURCHARGE .55 STATE RADON SURCHARGE 5.22 SEWER IMPACT FEES 1250.00 WATER IMPACT FEE ;, ' 370.00 WATER CONNECT /METER' ' L iC 85.00 WATER CROSS CONNECT44 35.00 Fee summary Charged Paid Credite Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2075.99 2075.99 .00 .00 Grand Total 2075.99 2075.99 .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 THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW i �_ Tay. . °r 4 . sc�L +s. . r ,. , .. BUILDING OFFICIAL, s , } r i ` I CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET ". .41st Date: ''2 f P - C1 V Address / 4 � - ( T / *4 T° 4.., Al .0 01'4 Heated Square Footage HQ . 5 - @$ �y per sq ft = $ 6 7 0 Garage / Shed/Sr a 7 @ $ a y per sq ft = $ L/ Carport <67D 2_ @ $ 2 S` per sq ft = $ / 3 © 0 Deck @$ per sgft = $ Patio @$ per sgft= $ TOTAL VALUATION: $ 6 () 6 / Q Total Valuation 1st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: ILL— _ TOTAL BUILDING FEE $ AJ/04- ZONING: + IA Filing Fee $ FLOOD ZONE: X (0 Fireplaces @$35.00 $ 0 IMPERVIOUS SURFACE: 171 BUILDING PERMIT FEE $ WATER IMPACT FEE $ 3 7 v SEWER IMPACT FEE $ / WATER METER/TAP $ 8 S� CAPITAL IMPROVEMENT $ 3 2 r SEWER TAP $ 0 -- C 0100) RADON HRS .0050 $ SECTION H PAVING ( ) $ 0 CROSS CONNECTION $ 3 3' ST(/ / 00) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03