Permit 1930 Francis Ave PERMIT WORKSHEET Certificate of Occupancyl
Job Address: 6 Ali, Type Work: it,P
Property Owner: 7-N 7' Phone #
�/ - 7,7,
Contractor: /:/-�7 xi Phone #
Permit#: Date Issued: 9. 2
Tree Permit#
Foundation Permit#
Demolition Permit#
BUILDING ELECTRIC # MECHANICAL # PLUMBING #
Temp.Power#
Footing JEA Release
Date
Temp.Power
Slab Letter Rec'd. Underslab
Tie Beam Temp Pole#
Lintel jEA Release Gas Piping
Date
Nailing/ Water/
Sheathing Sewer
Rough/
Framing Rough Rough Top out
Insulation JEA Release
Date
Building Electric Mechanical Plumbing
Final Final Fin I Final
JEA Release
Date
Drainage Inspection: -t d,4 J7 rq 41-2
Pool Permit#
Inspections: Steel IFinal
Elec./Grounding
Roofing Permit#
Inspect: Nailing/Sheathing Final
Fire Inspection'.
Failed Inspections: I Date Paid:
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00034082 Date 10/16/06
Property Address . . . . . . 1930 FRANCIS AVE
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----- ---------------------------------------------- ----------------- --------
Application desc
1CU 1AHU
---------------------------------- ---------------- ----- ---------------------
Owner Contractor
------------------------ ---------------- --------
HUXHAM HEATING & AIR
2101 FLORIDA BLVD.
NEPTUNE BEACH FL 32266
(904) 246-6721
-------------- --------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 79 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/14/07
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ----- ----- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
A( I I
(ITY OFATLANTICB11,
7�4
N11,"CHANICAL
PropertyAddrev': Icv-so
owlic
Contractor: pholle
An -1 Ale—
Fax it:
Colitractol- A(ldl,cs.s. )POY
III ck)lI-,I(1cla1%oI1 of 1willill pvcll Im doing 111C ��illk W�OU7,clibcd ill 111C a1mve stalellicill, we agice to 11cl folm �old d
111C allaclicki p1all.%;Illd�pc(,lflcallkms%N lild)o1c a pall Ilucokilld ill acculdalli�c NI101 JJIV t'11� �11 Al1;IIlhC BC.11.11 111dit0it,I
Type of I 1c;tting, Flo-1: Ifollicr coll."011dii'll r, dolw oll dil
kW"itc, li:,�111c hklilkhll?�pk�111111 III1111h,I
Cj -J A, ---Natm al 1--C.Clawl Utflity
u Wl
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NfECECANICAL BE' INSTALLEA) NATURF, OF NVORK
SIMCC RCLC�6C(l Cclitlal ---- Floor U" kc:odcllti�ll
K00111 Tcnlral
C2 DULt SYSM11: -I'll icklicssl—. 5 k,w I I I I I cl 6a I
Maximum Capacity fin
21" ilov Hllildill)�
U Coolln�Tomr: Capac I ly _--g,pill U kximill)-"I kulding
L) Firc Sprink1cr.s: Numbci ot'llcads
cl Elevator: U Rcidaccinclit Ill 1.1'ximijl)�Nv:,[k ill
L) Gasoline flumps___ __(Number)
TallL:; 6' NCI,v 111:itallatioll
LP(,,i Containers __(Number) (No�iyslcljl pic�iou:1% illst.ilk d)
U111-11-cil Prcssurc vc�;scl
Lj Lxlcw�iotl ot Adkkm(kk I
Ga% Piping U (Mici
LJ Other— si)cclfy---
I,IST A 1,1, 1.,,Q u i i,rvi E NT.
AIR CONDITIONIN(;,l(EFRIW%;tATION V1Q1Jll1,N11,,NT&CONDENSOR"i
Numkr Unas Dcscl�ptioll Model It MM101:1CRUCt Tou,%
HEATING—FURNACE...i,11011JAUS,FIREPLACES&Alit 11ANDIJAUN
Numba Units Docliptioll mudel/I Malallawlicl
-A)/"co
TANKS Nominal Callauty TYI)c Liquid Smal t� pl kivilir,
I low Nially &Dillicilsioll.. CooWlillcd Mallillachilcr lw�-
Soo 6ciainolc Road - Atlinfic 11cach, Florida 32233-54-15
I I I', �INIO F,,- f 1)0 f), " ('T I, 10hr!" ),I --i wil k;llic 1 11
NJ
CITY OF ATLANTIC BEACH
PLAN REVIEW SHEET
tmankowsO
Building Department Public Works&Public Utilities Departments
5, S9 800 Seminole Road 1200 Sandpiper Lane
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233
(904)247-5800 (904)247-5834 'R.Kaluz:Zak
(904)247-5845 Fax (904)247-5843 Fax Pub Mc afety
PLAN REVIEW CONMENTS
U n
Permit Application# ,
Property Address: q 5D vtN -5- a Itgue,
Applicant: "abi
Proiect:
This permit application has been:
Approved as noted by the 4z4_1) —Department.
he9�_7 Final application approval must come from the Building Department.
E*' Reviewed and the following items need attention:
Erosion control required for all four sides. Cannot leave
entire street frontage unprotected.
Provide driveway measurements (18 'planned -- exceeds
allowable for condo/duplex) .
Provide construction site management plans.
Provide on-site storage calculations and documentation that
proposed volume meets requirements.
Drainage plan does not show flow paths.
Please re-submit your application when these items have been completed.
Reviewed By: _:;O/� Date:
Date Contractor Notified:
CITY OF ATLANTIC BEACH
BUILDING PERMIT APPLICATION
(FOR NEW SINGLE FAMILY RESIDENCE AND
DUPLEX CONSTRUCTION)
Date: 7/20/06
Job Address: 1928-1930 Francis Ave(duplex)
Owner of Property: Beaches Habitat
Address: 1671 Francis Ave.,Atlantic Beacb.FL 32233 Telephone: (904)241-1222
Legal Description: Block Number:Francis Ave Condos,Units 5&6 Lot Number:_Zoning District:
Contractor: Beaches Habitat State License Number:
Contractor's Address: 1671 Francis Ave.,Atlantic Beach,FL 32233
Telephone: (904)241-1222 Fax: (904)241-4310
Describe proposed use and work to be done:construct residential d lex
Present use of land or building(s): vacant land
Valuation of proposed construction: $80,000.00
Is approval of Homeowner's Association or other private entity required?No 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?
0,,blO. Applicant certifies that no change in site grade or fill material will be used on this project.
Er YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
0 NO. Applicant certifies that no trees will be removed for this project.
91"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.
(See attached tree removal permit.)
Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as approuriate
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 ver*zoning designation,please have
Property Appraisees 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 Seniinole Road—Atlantic Beach,Florida 32233-5445
Telephone:(904)247-580—Fax::(904)247-5845—http://www.ci.atiantic-beach.fl.us
Page I
Revised 1/14/03
In addition to construction and engineering detail,plans must contain the following information as appropriate for they type of work
being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
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 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. i4z�, Date:
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 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:
X
Address and contact information of person to receive all correspondence regarding this application(please print).
Name: Paul Finley,Construction Manaizer -
Mailing Address: 1671 Francis Ave.,Atlantic-Beach.FL 32233
Telephone- (904)334-2278 Fax: (904)24143 10 E-Mail:
AS TO OWNER:
JSworn to and subscribed before me this day of 20
Sta!S of lorida, ntt of Duval
PATRICIA X REEVES Notary's Signature: A-
NOUNY Public-Slab d Fbift
<Y��know
-.ftC0nn"WExI*nMisy30,.2D10
Z W Produced identification
CQMMhWm#00 557M
0 still Bon4al By Naftal Nolwy Ann. Type of identification produced
AS TO CONTRACTOR.
Sworn to and subscribed before me this day of '-fJJf-4--
20
State of Florida,County of Duval
Notary's Signature: I A
Z 'i
- - - - - - - - - -
PATRICIA A.REEVES onall known,
NoWy Pubic-StMe ol FWida Produ i entification
Type of identification produced
Cwa6sbnEVkftMey3)D.2010
0
Commis"8 OD 557380
Bar4W By N&*W Nobq Assn.
800 Seminole Road—Atlantic Beach,Florida 32233-5445
Telephone:("4)247-580—Fax::(904)247-5845—http://www.ci.atl*ntic-beacb.fl.us
Page 2 Revised 1/14/03
S
CITY OF ATLANTIC BEACH
PLAN REVIEW SHEET RouteclJo:
(�i�makqws�
Building Department Public Works&Public Utilities Departments
r -1--mkigins-
800 Seminole Road 1200 Sandpiper Lane
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233
(904)247-5800 (904)247-5834 Kaluzniak
(904)247-5845 Fax (904)247-5843 Fax Public afety
!u!TejJ
PLAN REVIEW COMMENTS
Permit Application#
Property Address:
Applicant: 19 IA,,
Project: V,-(W
This permit application has been:
IL;�Approved as noted by the Department.
Final application approval must cogiotrom the Building Department.
El Reviewed and the following items need attention:
Please re-sp%mit your application when these items have been completed.
,J 1-7
Reviewed By: Z4L"��- Date:
Date Contractor Notified:
A NJ,
j,--�--Vi-
CITY OF ATLANTIC BEACH
PLAN REVIEW SHEET Routed-to:
1� (Z�Makqw��
Building Department Public Works&Public Utilities Departments
800 Seminole Road 1200 Sandpiper Lane
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233
(904)247-5800 (904)247-5834 Kaluzniak
Public afety
(904)247-5845 Fax (904)247-5843 Fax
PLAN REVIEW CONMENTS
Permit Application# 0(n —1�1 �0-il 5
Property Address: q A6 �t a t V1 UC)
Applicant:
P'lp
Project: 1AA D If
This permit application has been:
Approved as noted by the X(/(Lp Department.
Final application approval must come from the Buil&rq/pa-r-t�mrent.
Reviewed and the following items need attention:
7Z9 Ae 1)0'9/&-A/OJ e&9TZ12:92 b-7-1r1t*SAVb
00 610
-,rO I-A Wket—e-6" 72*eX M,1-0 _e 7-','er- ,q
X,,17Z) ff
4 Ah5 5 Y10
IF
Pub 91 11.0 &7/1 S" A 4 7 S'-S 15
:1�bK4 10 fA)(-j
Please re-submit your a ication when these items have been completed.
Reviewed By: 4-- Date:
11-11"vz
Date Contractor Notified:
HP OfficeJet 7410 Log for
Personal Printer/Fax/Copier/Scanner Information Systems
904-247-5845
Sep 14 2006 11:11 AM
Last Transaction
Date Time Type Identification Duration Pages Result
Sep 14 11:11 AM Fax Sent 92414310 0:40 1 OK
CITY OF ATLANTIC BEACH
PERMIT CALCULATION SHEET
Date Pen-nit Number 06--3 3.5:c>-80
Address
Contact Name Phone
Heated Square Footage @ $ per sq ft= $
Garage Shed @ $ per sq ft=$
Carport Porch @ $ per sq ft= $
Deck @ $ per sq ft= $
Patio @ $ per sq ft= $
TOTAL VALUATION: $
Total Valudion
ist $
Remaining Value $ perthousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $
ZONING: + 1/2 Filing Fee
FLOOD ZONE:
)Fireplaces@ $35.00 $
INTERVIOUS SURFACE:
AB CONSTRUCTION SURCHARGE $
CAPITAL IMPROVEMENT $
CITY RADON SURCHARGE $
SECTION H INTACT FEE $
SEWER INTACT FEES $
SEWER TAP FEES $
ST CONSTRUCTION SURCHARGE $
STATE RADON SURCHARGE /911 $
WATER CONNECT/METER ONLY $
WATER CONNECT/TAP&METER $
WATER CROSS CONNECTION $ 1 A.
WATER INTACT FEE $
OTHER $
GRAND TOTAL DUE:
1/13/03
WATER IMPACT FEE WORKSHEET
ADDRESS: a5ue. / )�O 496- 33-53T
DRAINAGE
FIXTURE UNIT
RXTUR�TYPE VALUE AS LOAD FIXTURES UN17S
Automatic clothes washers,cominercial 3
Automatic cidthes washers, resideniial 2
Bathroom group consisting of water ciose� lavatory,
Bidet, and bathtub or shower 6
Bathtub(with 6r without overhead shower or whirlpool
attachments)
2
Bidet 2
Combinadon sink and Iray 2
Dental lavatory 1
—aishwashing machine, domestic 2
-Drinking fountainAcemaker
Roor drains 2 .
Hose bib 1"21
Kitchen sink, domestic 2
Kitchen.sink, domestic with food waste grinder and/or
dishwasher 2
Laundry tray (1 or 2 compartrwts) 2
Lavatory 1 ;2
Shower comparhent domestic 2
Sink
2
Urinal 4
Urinal, I gallon per flush or liess '2
Wash sink (circutar or multiple)each set of faucets 2
Water cioset flushometer tank, public or private 4
Water closet, private installation 4
Water clowt, Public insUlabon 6
TOTAL NUMBER OF UNITS:-
I MULTI ED X 20
J— TOTAL$
9
Beaches Habitat
Habitat for Humanity of the Jacksonville Beaches, Inc.
July 20, 2006
Ms Sonya Doerr
Community Development Director
City of Atlantic Beach
1200 Sandpiper Lane
Atlantic Beach, FL 32233
Dear Ms Doerr,
I have submitted a building permit application for a duplex at 1928-1930 Francis Avenue.
Attached is (1) a copy of the survey for the undeveloped lot, and (2) a detailed site plan
for the duplex.
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 -b (904) 241-1222
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00033554 Date 7/24/06
Property Address . . . . . . 1930 FRANCIS AVE
Tenant nbr, name . . . . . . TEMP POLE
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
BROOKS & LIMBAUGH ELECTRIC CO
42 WEST 8TH STREET
ATLANTIC BEACH FL 32233
(904) 241-9051
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODE&
CITY OF ATLANTIC BEACH
ELECTRICAL PERMIT APPLICATION
Date: 712��IW_
Property Address: FV_AP ej-5 4vf--
Owner- —L" zhzaza:�L Telephone 2-ZL,
Contractor: &22:2e'o 4 Telephone W1 -63o s-,�
Contractor Address: A\, E",yt _57)-a-z Fax
Contractor Signature: I
In consideration of perTnit given for i4ngth *Woras described in the above stittement, we hereby agree to perforrn said work in
accordance with the attached plans and specthe-Winns which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed thertin.
Building: Building Type: D Trailer Service: If ,offier construction is
• New 0 Residence 0 Temp. El New being done on this building
Or site,list the building
• Old C3 Commercial Q Sips 0 Increase Permit number:
• Re-wire C3 Addition Sq.Ft. 0 Repair
Conductor Size AMPS: —9_QC PPER AL
Switchor RACE
Breaker trk AMPS PH W J/ VOLT 1A,,4_,) WAY
Existing Service RACE
size AMPS PH W VOLT WAY
Meter
Number
Feeders: NO. SIZE NO SIZE NO SIZE
Lighting Outlets
CONCEALED OPEN
Receptacles CONCEALED
OPEN
Switches o in AMP-, i nQ A MPS
Incandescent
Fluorescent &
M.V.
Fixed 0.100 AMPS OVER BELL
Appliances TRANSFER.
Air H.P.RATING H.P.RATING CEILING KW-HEAT
Conditioning COMP.MOTOR OTBER MOTORS AMPS HEAT
Motors 0-1 H.P. VOLTAGE PH NO. P. PHS
UNDER600V OVER600V
Transformers NO. KVA NO, KVA
No.Neon—Transf
Ea._Sign
Miscellaneous 14
800 Seminole Road - Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800- Fax: (904)247-5845* http://�v%,iv.ci.�tiaatic-beach.fl.us
Revised 1/04
................
City of Atlantic Beach Building
Department Certificate
Of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the
Florida Building Code certifying that at the time of issuance this structure
was in compliance with the various ordinances of the City regulating
building construction or use. For the following:
Date: January 18, 2007
Owner: Beaches Habitat
Address: 1930 Francis Ave., Atlantic Beach, Fl 32233
Construction Type: Wood Frame
Use Classification: Duplex/Residence
Permit Number: 06-33558
DAVM HUFSTETtEk
BUILDING OF)nCIAL
"I ss� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
. ...... ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00033829 Date 8/30/06
Property Address . . . . . . 1930 FRANCIS AVE
Application type description ELECTRIC ONLY
Property Zoning . . : . . . . . TO BE UPDATED
Application valuation . . . . 0
---------------------- ------------------------------------------------------
Application desc
NEW SERVICE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BEACHES HABITAT BROOKS & LIMBAUGH ELECTRIC CO
42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-90S1
------------------------- ---------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date 2/26/07
--------------- ---------------------------------------------------
Fee summary harged Paid Credited Due
----------------- --------- ---------- ---------- ----------
Permit Fee--T-otal--1 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 .00
Grand Total 95 . 00 95 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORD�NCE WITH ALL CITy OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES. i
CITY OF ATLANTIC BEACH
ELECTRICAL PERMIT APPLICATION
Date: -7 J-3 J..")v 6
Property Address:
Owner: Telephone 9:
Contractor: -Y- Telephone #:
(al,,C Contractor Address: Fax 4:
ontrac'o
C Contractor Signature: Et4 1 'r
olntr cto P described in the above statement, we hereby agree to perform said work
In consideration of permit given foya5m� I le`�ot U1
e a
dance with the attached plans and spetificatiMs which are a part hereof and in-accordance with the City of Atlantic Beach
I co'si ' t'�
c'
d: "
"'lirl"ce ,
orlinance and standards of good practice listed therein.
Euilding: Building Type: �3 Trailer Service: If other constiaiction is
New I!f- Residence L1 Temp. New being done on this building
Or site,list the buflding
o Old Q Commercial U Signs Increase Ptrn�f number:
Lj Re-wire Ej Addition Sq. Ft. o Repair
Conductor Size: ANTS: )_57? C PPER ALUMINUM
Svitcb or RACE
Breaker AMPS /_1-0 PH W VOLT WAY
Existing Service RACE
Si2e AMPS PH W VOLT WAY
Meter
Number
Feeders: NO. SIZE NO SIZE NO SIZE
Lighting Outlets � CONCEALED OPEN
—Receptacles 1CONCEALED OPEN
01Q AMPq I I I nQ A MRS
—Switches
Incandescent
Fluorescent &
MY.
Fixed 0.100 AMPS OVER BELL
Appliances TRANSFER.
Air H.P.RATING H.P. RATING CEILING KW-liEAT
Conditioning COMP. MOTOR OTTIER MOTORS AMPS HEAT
Motors 0-1 H.P. VOLTAGE PH OVER I H.P. PHS
PUNDER600V _dVE_R600V
Transformers NO. KVA NO. KVA
;No.Neon Transf
Ea._Si
neous
Miscellaneous
800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904) 247-5800 - Fax: (904)247-5845 -
Revised 1/04
HP OffiCeJet 7410 Log fbr
Personal Printer/Fax/Copier/Scanner Information Systems
904-247-5845
Dec 20 2006 3:41 PM
Last Transaction
Date Time Tvpe Identification Duration Panes Result
Dec 20 3:39PM Fax Sent 96654470 1:47 4 OK
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number 06-00033827 Date 8/30/06
Property Address . . . . . . 1930 FRANCIS AVE
Application type de cription FOUNDATION ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-------------------------------- --- -- ---------------------------------------
Application desc
FOUNDATION ONLY
------------ -- --------- -- - -- - -- ------- ---------- - -- -- ---- -------------------
Owner Contractor
------------------------ ------------------------
BEACHES HABITAT BEACHES HABITAT
1671 FRANCIS AVENUE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 24 1-1222
-------------------------- --------------------------------------------------
Permit . . . . . . FOUNDATION ONLY
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date 8/30/06
---------------------- - ---------------------------------------------------
Fee summary harged Paid Credited Due
----------------- --------- ---------- ---------- ----------
Permit Fee Total 100 . 00 100 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 100 . 00 100 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES. I
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
71
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00033828 Date 8/30/06
Property Address . . . . . . 1930 FRANCIS AVE
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc i
INSTALL 13 FIXTUREE
------------------- ------ ---------------------------------------------------
Owner Contractor
-------------------- ---- ------------------------
BEACHES HABITAT ADVANTAGE PLUMBING
GREG GAUSE INC
ATLANTIC BEACH FL 32233 632 2ND AVENUE NORTH
JAX BEACH FL 32240
(904) 247-9848
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 126 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/26/07
----------------------------------------------------------------------------
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
PERJWT IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACE
------ PLUMBING PERMIT APPLICATION
Date: 7 /3 f
Property Address: 19 3'::� 5 ;-
Owner: &Q C_ 4. �T Telephone#:
Con tractor: 81 N A t t4e, Telephone 4:
,_ r Cj_
Contractor Address: ri I 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,
M/ New list the building permit number:
U Re-Pipe
Number of Fixtures:
'2- Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Other
Fees
Permit Issuing Fee: $35.00
Total Fixtures: ),S X S7.00 + S35.00 0o
800 Seminole Road - Atlantic Beach, Florida 32233-5445
Phone: (904) 247-5800 - Fax: (904) 247-5845 - hftp://www.ci.atlantic-beach.fl.us
Revised 1/04
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00033558 Date 9/28/06
Property Address . . . . . . 1930 FRANCIS AVE
Tenant nbr, name . . . . . . NEW DUPLEX
Application type description TWO FAMILY RESIDENCE
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 80000
Owner Contractor
----- ------- ---- ----- --- -------- ----------------
BEACHES HABITAT
1671 FRANCIS AVENUE
ATLANTIC BEACH FL 32233
(904) 241-1222
---- ------------ -- ------------------------------- -------- -------------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 280 . 00 Plan Check Fee 140 . 00
Issue Date . . . . 9/27/06 Valuation . . . . 80000
Expiration Date . . 3/26/07
--------- ------------- ---------------------------- --------------------------
Other Fees . . . . . . . . . CITY RADON SURCHARGE . 33
CAPITAL IMPROVEMENT 325 . 00
ST CONSTRUCTION SURCHARGE 6 . 46
AB CONSTRUCTION SURCHARGE . 71
STATE RADON SURCHARGE 6 . 40
SEWER IMPACT FEES 1250 . 00
WATER IMPACT FEE 400 . 00
WATER CONNECT/TAP & METER 525 . 00
WATER CROSS CONNECTION 35 . 00
---------- ------- ------ -------------------------------- ------- - --- ----------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- - --- ------ ----------
Permit Fee Total 280 . 00 280 . 00 . 00 . 00
Plan Check Total 140 . 00 140 . 00 . 00 . 00
Other Fee Total 2548 . 90 2548 . 90 . 00 . 00
Grand Total 2968 . 90 2968 . 90 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
BUILDING PERMIT APPLICATION
(FOR NEW SINGLE FAMILY RESIDENCE AND
DUPLEX CONSTRUCTION)
Date: 7120/06
Job Address: 1928-1930 Francis Ave(dWlex)
-6wiFe;of Property: Beaches Habitat
Address: 1671 Francis Ave.,Atlantic Beach,FL 32233 Telephone: (904)241-1222
Legal Description: Block Number.Francis Ave Condos,Units 5&6 Lot Number: Zoning District:
Contractor: Beaches Habitat State License Number:
Contractor's Address: 1671 Francis Ave.,Atlantic Beach,Fl, 32233
Telephone: 04)241-1222 Fax:- 904)2414310
Describe proposed use and work to be done:construct residential dwlex.
Present use of land or building(s): vacant land
Valuation of proposed construction: $80,000.00
Is approval of Homeowner's Association or other private entity required?No 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?
0 JNO. Applicant certifies that no change in site grade or fill material will be used on this project.
9'YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building
Permit.
0 NO. Applicant certifies that no trees will be removed for this project.
eYES. 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.
(See attached ft-ee removal permit.)
Procedure: In order to expedite Issuance of permits,please follow all steps and provide all Information as gopropriate
Incomplete applications way 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)247-580—Fax::(904)247-5845—hftp://www.cl.attantic-beach.fl.us
Page I
Revised 1/14/03
In addition to construction and engineering detail,plans must contain the following information as appropriate for they type of work
being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Cunvnt survey showing the property boundary with hearings and distances and the legal description.
2. Location of all structures,temporary and permanent,including setbacks,building beight,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 jurisdictional wetlands,CCCI,natural water bodies.
5. Impervious Surface area calculations:include driveways,sidewalks,patios and other Impervious Surfaces. Swimming pools
may be excluded from total Impervious Surrace.
6. Other information as may be appropriate for individual applications.
I hereby certify that all infon-nation provided with this application is correct.
Signature of owner. x�, a7� Date: -7
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"I be complied with,whether specified herein or not The granting 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.
-tor: Date:
Signature of Contrac
Address and contact information of person to receive all correspondence regarding this application(please print).
Name: Paul FinIM Consl;Mction Manager
Mailing Address: 1671 Francis Am,Atlantig Beach,FL 32233
Telephone: (904)334-2278 Fax: (904)241-43 10 E-Mail:
AS TO OWNER.
Sworn to and subscribed before me this day of—J14, A4 20
SLate of FloridaCoun!X�f Ruval
PATRICIA A.REEVES Notary's Signature--�&
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AS TO CONT;AjFX;L7
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's Signature: -AA 4
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$00 Seminole Road–Atlantic Beach,Florida 32233-5445
Telephone:(904)247-580–Fax::(904)247-5845–http://www.ei.atiantic-beach.ft-us
Page 2 Revised 1/14/03