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Permit 1851 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 11/09/04 Parcel Number 172123 - 0000 -7 -2 Property Address . . 1851 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- 00027694 000 000 Description of Work . . TWO FAMILY RESIDENCE Construction type . . . Occupancy type . . . Flood Zone Approved 1441*"--,_ B Official VOID UNLESS SIGNED BY BUILDING OFFICIAL Building, Planning & Zoning Inspection CITY OF ATLANTIC BEACH Department CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: NOvIvtbcB ( 1,0014 Contractor Name: .CNT. () H Wfi Aj Permit #: o4- 91 6 4 Property Address: 1S6 VOR1V C0011 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 Residence ❑ Commercial L" Other: D' V 1 E 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 1/ — q _ °474 // — 7- Q y y Planning Dept. //-,'r - 0 4 1 /1'— (� g— �j� 8 Building Dept. ti- _ r (_ 9_ 6 L Final Survey with FFE GI Yes ❑ No All Re- Inspect Fees Paid per Yes El No j` CITY OF ATLANTIC BEACH N. :j 800 SEMINOLE ROAD ;-` cr) 3 _;�..r,- ATLANTIC BEACH, FLORIDA 32233 : INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027694 Date 8/19/04 Property Address 1851 FORSYTH CT Tenant nbr, name DUPX, 1105 RAD, 1105 SCHG 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 MECHANICAL PERMIT Additional desc . NEW HVAC 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 a PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. (41\1 ( A. a BUILDING OFFICIAL • yr� �i4�,, CITY OF ATLANTIC BEACH t' j "j `' MECHANICAL PERMIT APPLICATION -.4Jii =fi —� / �, 1 Date: /P ( /S--"St Property Address: /S( / 4_,Sy'1h e Owner: L 'e'9c -hP 3 �A)4,3 4,a} Telephone #: Contractor: eow SrerTE C- Telephone #: ¢Z R. -5 Contractor Address: /5' 4 - &I & d• Fax #: ..25 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 © q_ d 9 G{ ❑ Oil 7 F i ❑ Other — Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _ Space _Recessed Ventral _Floor Residential 1 Air Conditioning: _Room R Central Duct System: MaterialDi,.J4.J pkxThickness / ❑ Commercial Maximum capacity -co cfm ❑ Refrigeration New Building ❑ Cooling Tower: Capacity gpm ❑ Ex Building ❑ Fire Sprinklers: Number of Heads ❑ Elevator: _ _ Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) X New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add - on to Existing System ❑ Boilers CI Gas Piping ❑ Other - Specify ❑ Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING, REFRIGERATION EQUIPMENT & CONDENSOR'S Approving Number Units Description Model # Manufacturer Ton' s Agency / a,/7/J / /+ Aa `/ A fro — /G- HEATING — FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Approving Number Units Description Model # Manufacturer BTU's Agency / As q /2 'E 2 0 pie- . 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 CITY OF ATLANTIC BEACH ft ,,� FLOOD PLAIN DEVELOPMENT INFORMATION Location: 1 g / , P 4 s,-r Gs- Type of Development: /i E SQ Pa of r r.9-L :Pu.Pl E)t Flood Zone: Required Lowest Floor Elevation: ) 3 2 If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying 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. COMMENTS: 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: ,....i..-of - Date: i ZA2- jo Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 Beaches Habitat Habitat for Humanity of the Jacksonville Beaches, Inc. February 11, 2004 Ms Donna Kaluzniak Public Utilities Director City of Atlantic Beach 1200 Sandpiper Lane Atlantic Beach, FL 32233 Dear Ms Kaluzniak, I have submitted a building permit application for a duplex at 1849/1851 Forsyth Court. Beaches Habitat will not be installing a fire sprinkler in this structure. In addition, we will not be installing an irrigation system. Please give me a call (904- 241 -1222) if you require any additional information. Sincerely, Paul Finley Construction Manager P.O. Box 50939 • Jacksonville Beach, Florida 32240 • (904) 241 -1222 rLy. DEPARTMENT OF PUBLIC WORKS r l r 3 , 1200 SANDPIPER LANE i AT LANTIC BEACH, FLORIDA 32233 -4318 I 1S TELEPHONE: (904) 247 -5834 ..4101, :'' 3 J • FAX: (904) 247 -5843 "'S) -� m � 17}-9--J SUNCOM: 852 -5834 J http://ci.atlantic-beach.fl.us . PLAN REVIEW COMMENTS FROM THE PUBLIC UTILITIES DEPARTMENT Permit Application # o(4-- z ( 4 Applicant:E9 t4 I Address: i Q.S t h2$ krrii Cr Project: Imo.ELJ ' Dv'?LkThL A l Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ 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= • ed by Donna Ka uzniak, Public Utilities Director _ .. J� .," , `L Date --- & — /r" - Of t Signature Contractor Notified Date -. DEPARTMENT OF PUBLIC WORKS 1200 SANDPIPER LANE ,,3 , .. ,% ATLANTIC BEACH, FLORIDA 32233 -4318 ,a?'` \ 14 TELEPHONE: (904) 247 -5834 „ ,. P FAX: (904) 247 -5843 r � . SUNCOM: 852 -5834 4:1;111t 5 ,, . A ` Q - �,,,_ http: / /ci.atlantic- beach.fl.us 1n, ''I' - r y F Jp � t i n PLAN REVIEW COMMENTS FROM THE PUBLIC WORKS DEPARTMENT Permit Application # 0 4- Z ( c) c /L- Applicant: 6E- i 1 ■9" Address: 1 8 5 `t 6P- 5k-( Cr • Projec : 1■iP`l.6 LJU tl. E)C-- 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: 53 A s 4 ( V(/ 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. Revi - , =+ by Donna Kaluzniak, Public Utilities Director 9- • Date Z —/Z 2/y Signature - 1 Contractor Notified Date 1"VP.p CITY OF ATLANTIC BEACH ---t-E"----,opzi J 1 rr_ t‘ BUILDING / ZONING DEPARTMENT L ns J, # t _ ` ? 800 Seminole Road J :-r Atlantic Beach, Florida 32233 (904) 247 - 5800 '`! JF3I9 '� (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # QC4 - 2.7 ( ct a .. -).- Property Address: 1 8 5 1 t S4- T14 GT - Applicant: I J C- - mss ( T' Project: f J,E LL) t This permit application has been: ❑ Approved E Reviewed and the following items need attention: Please re- submit your application when these items have been completed. Reviewed By: Date: LAN-1 CITY OF ATLANTIC BEACH ��Q Esarzl3 BUILDING / ZONING DEPARTMENT L. Hi ins 800 Seminole Road Doerr Atlantic Beach, Florida 32233 (904) 247 -5800 (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # o4 - Z-7 ( 0 9 't Property Address: ( 8 5 1 t c)-R 4T94 G • Applicant: 07\ ITT Project: 1.1,E This permit application has been: E Approved Reviewed and the following items need attention: Please re- submit your application when these items have been completed. Reviewed By: Date: CITY OF ATLANTIC BEACH 1 r2 j .. : PERMIT CALCULATION SHEET Date: 3 '-(2 -UL( Address f PC7 /C /(S C Heated Square Footage //O f @ $ 52- per sq ft = $ S7 it 60 Garage 0=10 @$ 1-1 1 per sq ft = $ / f 0 9 Carport / Porch � 2-- @ $ • per sq ft = $ 9 3 Deck @$ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: r . • $ S Total Valuation 1' $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: _ TOTAL BUILDING FEE $ ZONING: (I 3 — Z + 1 /2 Filing Fee $ FLOOD ZONE: yC O Fireplaces @ $35.00 $ —b — IMPERVIOUS SURFACE: �� Z BUILDING PERMIT FEE $ WATER IMPACT FEE $ 3 7 0 SEWER IMPACT FEE $ / WATER METER/TAP $ 19 S CAPITAL IMPROVEMENT $ 3 2 r SEWER TAP $ -- D • C (p$ 3) RADON HRS .0050 $ SECTION H PAVING ( ) $ — O CROSS CONNECTION $ 3 S` ST (r/or) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 1 r1 l • CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FAMILY RESIDENCE AND DUPLEX CONSTRUCTION) I tt'It.�.o Date: /1)/2 -A3 Job Address: J 2/9 I/gs"7 fo 0'7 ZA, Owner of Property: P G_? ,Jrk 4 Address: l G 7j �f-�,� " �� ,41-1 • C r>, f L 3Z 2_2, Telephone: 90. J_ 2 1 1 1_ Legal Description: Block Number: Lot Number: 7 Zoning District: fir , - C .1TT Contractor: � P h)et_ j,; L. 1 J - State License Number: Contractor's Address: JO/ �d'rt�c -i, �,, �9 T L» FL 3ZZ33 Telephone: j Z'y!_ / 2. Fax: r� f/ 9� zit / �y�.� Describe proposed use and work to be done: C-L.,n 5"i17- c., mod' J C Present use of land or building(s): // ; vI- 2 Valuation of proposed construction: `,* L Ooo, co Is approval of Homeowner's Association or other private entity required? 4. 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? ❑ O. Applicant certifies that no change in site grade or fill material will be used on this project. AYES. See Step 2 below. A proval of the Pub Works Depart ent is required prior to issuance of a Building Permit. t� ex-- ,`7'cc[h .37-t C .� of ✓ /Ecf J....&t- ❑ O. Applicant certifies that no trees will be removed for this project. [j 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. 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.atlantic - beach.fl.us Page 1 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 informati provided with this application is correct. Signature of owner: Date: /2 /r 2- 4 j 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: 4-.14 Date: 1 Z /f2 /O Address and contact information of person to receive all correspondence regarding this application (please print). Name: �Qu / Fi ✓� l �e Mailing Address: / g cif L A f 1. &,, 1 FL_ 3 ZZ 3.3 Telephone: ' 'J— 2 Y) -12 z2 Fax: f' /— 2411— 'f E -Mail: AS TO OWNER: Sworn to and subscribed before me this / day of .Cam , 20a. State of Florida, County of Duval '1 JENNIFER SCHLUETER Notary's Signature. /LA- -- dal /1,4 ,.� MY COMMISSION # DD 121301 _,. EXPIRES: May 27, 2006 ersonally known = t Bonded "[tau Notary Pubiie Underwriters ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ti , 20n. State of Florida, County of Duval JENNIFER SCHLUETER Notary's Signature: , /rlr' . '��y `"A-" . % = MY COMMISSION # DD 121301 EXPIRES: May 2, ''..7.:0.'44€7"044./ : 7 2006 Bonded I (Personally known Wu Notary Pubic Under rwters ❑ 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 " \ N o � qll. CITY OF ATLANTIC BEACH - .` ] '' '` 800 SEMINOLE ROAD .�! J ti , ;- ATLANTIC BEACH, FLORIDA 32233 v. INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027694 Date 3/12/04 Property Address 1851 FORSYTH CT Tenant nbr, name DUPX, 1105 RAD, 1105 SCHG 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 BUILDING PERMIT Additional desc . Permit Fee . . . .00 Plan Check Fee .00 Issue Date . . . 3/12/04 Valuation . . . . 59503 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 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. 4/It C ' 1 BUILDING OFFICIAL 1 � � 1yY Ai _ , �� 1 - ` , CITY OF ATLANTIC BEACH °;_ r 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 ` ` ' ' INSPECTION PHONE LINE 247 -5826 4 ' 4 bn . Application Number 04- 00027694 Date 4/01/04 Property Address 1851 FORSYTH CT Tenant nbr, name DUPX, 1105 RAD, 1105 SCHG 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 . 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 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. Q ----PL-411ftilik91.6044, A FROM : GRANGER) C PHONE NO. : 9047640038 Mar. 31 2004 11:10RM P3 0,xi :15,/ .7!302. '2z: (7,7 90 2`2 FEACHEs HAFTTA FAGS Oa • CITY OF ATLANTIC BEAr , FLORIDA A a1 L 9 t APPLICATION FOR _ PrRiSsiT .. • IMPO "i�';•1C,'x'! ^� `_' IN Cb'"SICRIVitTICJr! CIF ?Ff�.: ^* n n.� v1 - 47.I F7 IN7 11.IT Wr' *; CRIHBD IN THE I'pra�a� `;� ??? W! iR ". IN st'c nPi , ,, w In: �w R�:+� FOLLOWING W T'18� Ti? to i i IN Itfi'Y?31 ti P :Y't7 "�' n t`; A ^'T!l.'0 i.i. T. A�J!!Sl! G:. i' ..:..kov.r � 4'. .: Vr:S " ' A� A L e J vVdJ4:.j i x Vb .p! LA1v'IaNCE €�FI'iF' r FiR Z ,E ivi.: ar v�, t R EI.L'C KI r i i CTuRE . i .g �^f?+r.xt5 i�lr� r•vr.� r +DRESt9t fiLL___ ��� E.D. u SIZE IFt7 ,.. t3QX .,,,� »ary } AP T4 ) CQMM, ) PUBLIC;( ) INDUS.{ ) NEW( ) OLD( ) R!W.( ) .0DrTIONf. ) 'MAILER ) TEMP.( ) SlGN5( ) SERVICE: 1431174 z R _... — - /IMPS: COPP , - : . S I_ . VRE/4.R',��c l NAPS 1 . W W ' EXIST. SE .�.w,,,. ..W._.. A _ CLT WAY RA_ std PH W : VOLT RACEWAY • '12L "1NYrer NC. StZE 1 LIGHTING OUTLETS CONCE D OF"EJ►T - Ti^, T_'•.:. RECEPTACLES CONCEALED OPEN IIIII TOTAL !WLTCCL2r,7 +mow.. 'INCANDESCENT ' FLOURFSCNTdo `��1. W ` FIXER - _... — - 1: ,�0�TAMrs,.._" v _ __ • • APPT. ` ''ocz: — ) . � - . AIR .R..P, RA 5 i P_ RATING >3' LL I'R. NSP. 1 CONDI o ; 1 COMP, Moto ' o" R MOTORS AMPS H T � AT OVER MOTORS KT, vOLTACE PHS NO. Pi.P. yoLTA PFiS 1 N 135 CELX.I?L.rg ( �� . . y n...e s • m...aY. ,,, +.�nw,�.. �.��• UNDER NOV OVER£ v---- '._'- -. � TR ANSF0 Pia RS: NO. KVA NO, KVA 1 N 0 .NE ON T1 4N5.F, NO VA MA. ( MOTOR SIZE 1 SIVITCB - ASH' RS t N, s CITY OF ATLANTIC BEACH . ) 800 SEMINOLE ROAD i:.)1 ', :� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027694 Date 4/29/04 Property Address 1851 FORSYTH CT Tenant nbr, name DUPX, 1105 RAD, 1105 SCHG 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 . INSTALL 11 FIXTURES Sub Contractor . ADVANTAGE PLUMBING Permit Fee . . . 112.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/29/04 Fee summary Charged Paid Credited Due Permit Fee Total 112.00 112.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 112.00 112.00 .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. . C R / BUILDING OFFICIAL ,LAp r CITY OF ATLANTIC BEACH `4 11 PLUMBING PERMIT APPLICATION ‘ ,..) 4 Date: I ? - Property Address: J& / i r 7 Owner: Ber .nr ) 1 c� +� TI�- Telephone #: p� 1 ) - I Z21Z Contractor: 61N 411...)AAf3 Telephone #: 189 Contractor Address: i 'Z t 4 ilue /y, 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 0276 q ;/ Number of Fixtures: _g__ Bath Tubs Showers Closets Shower Pans __ _ Dishwashers ) Sinks Disposals Urinals Floor Drains I Washing Machine Lavatory / Water / Sewer / Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: /) X $7.00 + $35.00 = // Z 60 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us ?100 V) 0 z2 �Z_ -_, m D m ��a � c � r -01 o� Z Do 7C ADD c°O�z r Z m x P1 0 - lPD`--' " t3 23n m z �� •- CO 0 x° 0':/Z> X O r = rl —' -- o o -5 00 m D � m � ^ lrTl Z D � o cco D D �C1 m w mm -I L D f o D x) -1 x Wo >0 rTl = � D -om c 0 0 ° 0 N a) O - Dmm (AZ r m'oc Dz m <0 c/)D • o c O zi m -< om 33KO U) X) Z ° - -I i m O CO D D r�c c ,, l>. z rl O W r z (n Z --I z • m° 70 m r ° Z Z -< rn m y om D - D U r � _ w 7xi D z e �• \ - 7 j zl z 0 r Z a _ 0 O � �� 2s N j o 0 _Ti to o -- O 44 oi�, OS�� v >t 0 0 o o � ` 0 o m % ' ( "8 � p p ? •9 , 2 n �. ,,o s`)5t 3 9 � q C 0 r -- w: 0 98 C \2 Q m 0 ° � F� O�� 4s v) cn r "A6- T :.s II/ g3 m C G5 i s 2' 0 0' 9�� g 0 •• O 2 AO�iy .3 � CA/ . 4 3 R. o r 0 0-I D= OF cy °R S0, Z -� z N2 FV ` �` F O ° D v = ° n cn R 3 6' FR S F C OQ D (� r 0 M D OFD r q� S � , S 2 c �RV4 T // o • 2 .. a, n p m v ? r ? m OS. Op • 2 S' 0,? Z c D r Cr) Og 08,; __, O F -- pp. cn do C c) ° 71 ° m Ui = Z / O O • o co D r- r K Z7 C o m C) m c� > m X > �z �Z � o� ZD= v - r1 13 3 d K c) (n xi K' � 1 M D i c , ) -a -D Ccom ,1.. m 12 m • p -I co '�Z I - P 0 � m r- -1 N w (n > 0 ( � oJ o m r.3 N (0 CA SCALE: 1" = 20' T1CAr 0 �° r 0 0 —1 o X/ O --/ m .'I rn tv cn D o) m N) 53" - X ° z ix^ O D 13 m _, o (Q,31 3 �5 66� Or �V •� K Z 0 m - mZ �� M tn c I � N= o ' ' Y ` �N1 Qttn9 S n � `' fTl Or i r Z D r n to 53 s3a /� VJJ \ Z z a. 9M� NOU— ° M l " ? m 0 C7) N _ .L \ a CONCRETEI 1 m O 0 W ` PATIO c W M r m 'U D N O �� 42 6 N X N 0 \ w 0 p m ° (Jl m 0 z < �l A z 23.0' ' S1 8 ONE STORY FRAME N xi m -� i m N 0 = m m 0 RESIDENCE NO. 1851 N m_ N E m Z N; Re FINISHED FLOOR EL m K m C �� 1 0 pi y I O ' n O COMMON 1 CD cn m Z 25.5' /o� o Z (/1 t-4' t o 0 S00'34 2 "I 0 V J ti POf .29 ( - 5 - oc c� c ° +�i o 1 2 c•.) (97.58' F D c 0 pyAyf a � � Z O ONE STORt P1 6 < {,, k ? o ,0 1 5.1' Z � 4. t= m M 474_ „ x , m o FI NISHED FLOOR 1 ;r-\ � 0 n / - \ / o J \ U1 3J \ F � � M 42 4' N 01 0 m m / C \ 0_ — 7.E' BUILDING v CONCRETE L O D RESTRICTION Q PATIO \ N W C Z.) ° m O S00'34'12 "E 130.42' R1 / o 0 < 0 DP1 r 0 00 z Or zr- --I —4 CO PERMIT WORKSHEET Certificate of Occupancy 11, �1 ���.� Job Address: Type Work: E 5 I R.sLrr C e 1� PLX Property Owner: Phone # aLf I / ? Z �t3 d fs x + Contractor: Phone # r -cs / fir / .241 / ZZ Z Permit #: d`7(o9�F Date Issued: Building Inspections: Footing Slab Ste-C14 Tie Beam Lintel Nailing / Sheathing 7 -3p 7- 2q - otf Framing / Cover Up Insulation 7.31•oq Final Building Tree Permit # YES NO Electrical Permit # Date / Copy to 04 27(094 JEA Temp, Pole Permit # Date / 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# `jL ��' T Inspections: Rough Final Plumbing Permit # rAf 02:7 (.11 y Inspections: Rough / Underslab ,$ ^! c'-/ Topout Water / Sewer Final Drainage Inspection.: Pool Permit # Inspections: Steel Final Grounding Final Roofing Permit # Inspections: Nailing / Sheathing Final Fire Inspectinm: Failed Inspections: Date Paid: Date Paid: