Permit 633 Orchid St �' ; i F v CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j` r ATLANTIC BEACH, FL 32233
PHONE (904) 247 -5800
2 - Jiij %r
November 24, 2010
Thomas E. Moran
633 Orchid Street
Atlantic Beach, Florida 32233
RE: 88 W 7 Street, 88 Orchid Street, RE: 170818 -0070
Lot 7, Block 72, W10' Lot 5, Block 72, Section "H"
Atlantic Beach, Florida
Dear Mr. Moran:
As per your requested your address has been changed as follows:
OLD ADDRESS NEW ADDRESS LOCATION ID# RE#
88 W 7th St, 88 Orchid St 633 Orchid Street 5898 170818 -0070
It is your responsibility to paint the correct address on your meter can in black enamel and install four
(4 ") address numbers on the front of your house in a contrasting color.
Should you have any questions, please feel free to contact our office (904) 247 -5826.
Sincerely,
W 1 Ctou
Michael Griffin
BUILDING OFFICIAL
Cc: Duval County Property Appraiser, US Postal Service, 911 Coordinator, Public Works,
Public Utilities, Police Dept, Finance, COJ GIS
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RE # ti a =IL a a Firstl street # IStreet Name _jug_ Direction .it City 7,1R
I 170818-0070 MORAN THOMAS E ; 88 i ORCHID I ST Atlantic Beach 32233
11 I
http://apps.coj.net/pao_propertySearch/Basic/Results.aspx 11/24/2010
MAP SHOWING BOUNDARY SURVEY OF
LOT 6, BLOCK 72, EXCEPT THE NORTHERLY 50.80 FEET THEREOF,
TOGETHER WITH THE WESTERLY 10.00 FEET OF LOT 5 BLOCK 72,
EXCEPT THE NORTHERLY 50.80 FEET THEREOF, SECTION "H"
ATLANTIC BEACH, ACCORDING TO THE PLAT THEREOF RECORDED IN
PLAT BOOK 18, PAGE(S) 34 OF THE CURRENT PUBLIC RECORDS
OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: THOMAS E. MORAN, STEWART TITLE GUARANTY COMPANY, WATSON &
OSBORNE SERVICES, INC. AND WATSON MORTGAGE CORPORATION.
,/2 WEST 7TH STREET (50' R /�Y)
DEGROVE
L8. 4603
(N/
N
EXCEPTION oo -1 Y
NORTHERLY Z o w p
�� 50.80' 0 `' cn m
LOT 6 CL w
BLOCK 72 w w ,�
1 -STORY FRAME N X 2 =
ih RESIDENCE
w O td
c �p I W /1.5'EAVES N Ou_ .I
,s N N0. 86 Z O Q
80.00' (R) ,/2• \62A
DECROVE 80.06' (M) CONC 4 0' DEGROVE
e L8. 4603 I I 0.2' 0.2' L8. 4603
.5 8.9' 47.0' -�� � -
�E I
• 3 21.9' 1.9' 5.3 f--1. v `r W000 9g C7
Lkli ti
0. d9 5.8 N N 13.8' CONC. 4.0' PS $9 0.2'
W � o
SIS+ o 1 s 1
• . CONC. 10 2 . 3 ' 1-STORY FRAME --.N �,� N
° WALK "�� 1 .2.3' RESIDENCE m \ D . ., ~ In r W cr
� \ . , ° . ( W/ 1.5' EAVES N \ N
� Y m 2 .3' NO. 88 \ 0 �Uw
., `- .° • .' a a.• N 2.3' ` I `�\ 0
\� • • ,: WOOD O _ ` J W
ti a o °a 2 2.1 ' c. 39.3' STEPS r r d I X di
kr/ ° LOT 6, BLOCK 72 I Y ji ``'
EXCEPT : 'sr, ~ ° 81
kg m NORTHERLY 50.8' . ,� 3 ' 3 -' m
O % METAL SHED I a, 0 7. 0.2' 0.8' ❑-
1 2' W/ WOOD FLOOR 0 0.7'
5 '9 -� X
X -X -X -X -x7 � x -X � -
' 10' (R) 0 1 � X �
1- I 0 DEC ROVE
o I i LB. 4603
79.88' (
O 0.4)
I
IX 80.00' (R)
LOT 6 LOT 5
e � " BLOCK 73 BLOCK 73
x
51
GENERAL NOTES+
E Y R 1. ANGLES ARE SHOWN ON THIS SURVEY
,.C4- S 2. STRUCTURE NO. 88 SHOWN HEREON LIES WITHIN FL000 ZONE _L..... AS BEST
41 Z _ - - -.. �• •wII I w w ww ULNA DETERMINED FROM F.E.M.A. FL000 MAPS PANEL NO 1 DATED08 -15- 1989.
.
b
41 tZ x 5
til
: :: t : � nn t i ` c�ti mart a e e 11G h � g
Property Address: 88 OF
ATLAI No.- MORTGAGE ACCOUNT STATEMENT
'ake command of your mortgage - Visit Today!
ACCOUNT NUMBER: 20( V n „ C Af w.
wwcitlmortgage.com
Type of Mortgage �� ustomer service 1 -1100. 283-7918'
Principal Balance 1 � ' are randomly monitored and recorded to ensure quality service.
Interest Rate
tO Escrow Balance mid you like an easier way to make your mortgage payments)
Interest Year to Date � D ! In up for EZ Pay today.
� Taxes Paid Year to Date 98 Vi f
(i)1 SIS0071D- 264154032007AD08- 1110911)7 -247 - 100781 -1
THOMAS E MORAN
88 W 7TH ST
,, . / Account Activity 7, ATLANTIC BCH FL 32233 -3474
........ _
PAYMENTS CURRENT
RECEIVED PAYMENT DUE
Date 10/17/07 12/01/07 1u11nr lrlulrin11nr11nr11nln11u ,Ll,rlinlrininr11r1
Principal $151.96 $152.77
Interest $813.65 x:12.84
Escrow $321.19 $321.19
Total Amount 31,288.80 31,288.80
On 11/07/07,$63.21 was paid for FHA Risk Based Ins. Or — Monthly Highlights
Due to year end processing, payments received after Midnight Eastem on December 31st,
2007 will be posted and credited in January 2008.
Do you have more questions than answers? We can help. Just one call gets you
knowledgeable mortgage consultants, competitive interest rates, multiple mortgage
product and term options and simple answers to your questions! Call 1- 800-MORTGAGE,
ext. 2124 and mention Offer Code 25036 today for your mortgage financing needs!
Want to save money on your mortgage?
Go to w 31116takiledgittgaltaftadM to learn how The BiWeekty
Advantagesu Plan could help you save thousands of dollars in interest and pay off your
mortgage sooner!
Account Number: 2003889380-4 Due Date Total Amount Due
THOMAS E MORAN See detail baeim,. 12/01/07 $1,286.80
Please designate how you want us to apply any additional funds.
Undesignated funds first pay outstanding late charges and fees, then i+
principal. Once paid, additional funds cannot be returned. Additional Principal: $
■
o Please check box to indicate mailing address/phone number changes
and enter on reverse side.
Include account number on cheek and make payable to: Additional Escrow: $ a
111Irlr•lllr,111r1111u11111rir 111111111 /1•r11111urlll,l6.111,11.161
If payment received after: 12/16/07
CITIMORTGAGE, INC. Add late charge of: $36.62 •
PO BOX 6006
THE LAKES NV 88901 -6006 Additional Monthly Payment: $
■
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x7
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: SS W. 9 .5tre ±
OWNER OF PROPERTY: I) e II 1 )Q h 1€ ±
BUILDING CONTRACTOR: F eni1 [C., -- 6 7 T ej
PLUMBING CONTRACTOR C1.O. V14u6N i tt5tDIls Pu.tm t3 i 04% .Zic..
AND ADDRESS:
Aga -14u -c+ wan 131/01
TELEPHONE NUMBER: It '41 -0933
STATE LICENSE NO: are/0 .3870
TYPE OF BUILDING: S t n3 le.
TYPE OF WORK: '-"PLUWINO
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
1 SINKS
SHOWERS
vS LAVATORY 1 WATER HEATERS
BATH TUBS
DISHWASHERS
URINALS 1 DISPOSALS
CLOSETS
WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER c - N6•5G. 1?)
ebbs
TOTAL FIXTURE COUNT: // $3
x $3.50 + 815.00 = $ S3• ..,
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS
- (904) 247 -5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC
WORKS FOR INSPECTION BEFORE COVERING UP
- (904) 247 -5834
.1
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
, ..,__ ?U$1T ° Zi1PORMAT'Xbl4 .� _ ....' .._.. -- - .�.. LAuc,�a ,I, Uri INF() N - �
Permit Number: 11467 Address : 88 SEVENTH STRF T W ST �
P erm it Type•. PLUMBING ATUANTIC BEACH, ' F'LO R TDA 32233.
Class of Work: NEW -. LEGAL DESCRIP'T'ION _ ,:_ . :
Constr. Type: WOOD FREE Lot Block: Section:
Proposed Use: DUPLEX Township: RNG< 0
Dwellin st 1 Code: fl Subdivi ion SECTION H
Estimated Value: $0.00
improv. Cost co v $ O 00
Idol Fees $53
Amount Paid * $53.50
Date " 2/15/96
, PERNIT $53.
I CI �,T � � �, '1''''''
�` R ."
Addre � � * ' .,' �" Si'RE' W ?TER IMPACT FEE 0 *00
�� ` F LO 1`D 3 2 3 S 1ER ` IMP.AC"T P"EE $0.00
E ho'' �� �r � x 33 WA METER AP $0 , o
• TN `O1MPi"T"IO ---- -� R 01 C iB 5 0.00
N ' A .�fi . SO NS' PLUMBiN0 ' CAPITAL II PROVE. 0.00
Address . 82 %. F' ` ' BLVD SEWER TAP 50
C r " V I LLE r L .. ' aw „ ' t �; , . �r ,a. p*
�.. 4 SEC B IMPACT FEE 5 0.0 0
CONS SURCHARG 50.00
SCHARQE /ATL BCR. 00
Nt
"L F
.�- 3�s€+?�, sa -• s ":'a�n �rn.��w:a,aaaa,�o,mn.�,-wmzsm �. '� s- ,.,s£„
NOTES:
i ii"
}
n i .
NOTICE -- ALL. CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
i
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUB BISH 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 TC CO11 PLV WITH THE MECHANIC'S LIEN LAW O AN RESULT IN
' : " THE PROPERTY OWNER PAYING TWICE FOR THE BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJEC TO
" VIOLATION OF APPLICABLE PROVISIONS OF LAW. . i" 2)15T /96 111 REVOGAT Rq i 4� ;
, .
s r 1'ia a 1IQO
ATLANTI BEACH BUILDING DEPARTMENT
By: _ . .
--:' , i 1 3
( (
.
,CITY OF ATLANTIC BEACH, FLORIDA
•
a
App.o..dby APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE 19 q`U
IMPORTANT NOTICE:
IN CON OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
1
(1140 groRcl*.. (NW. /776,444(/ (IP‘,.0,(:,,t-si 7661A ctlAg).
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAti
NAME... (4.03,P- OOKS ADDRESS: W I 111 . .. • RFD BOX
BLDG. SIZE BETWEEN:
RES.( I) APT. ( 1 COMM.( ) PUBLIC,( ) INDUS. ( ) NEW (t OLD
v� l I R EW. ( 1
ADDITION ( ) TRAILER ( ) TEMP. ( 1 SIGNS ( ) SO. FT.
SERVICE: NEW (A INCREASE ( ) REPAIR ( ) FEE
CONDUCTOR SIZE DIO AMPS ICJ COPPER ( ALUM. (1)
SWITCH OR BREAKER \ 50 AMPS t PH - 1 W 2.46 VOLT RACEWAY
EXIST. SERV. SIZE AMPS PH . W VOLT RACEWAY
FEEDERS . NO. SIZE N0. SIZE NO. SIZE
LIGHTING OUTLETS , CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31.100 AMPS. '
SWITCHES
INCANDESCENT
FLUORESCENT & M. V.
FIXED 0.100 AMPS. OVER �"
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0.1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 II.P. VOLTAGE PHS
MISCFI I ANFMIc
ran zw a--3 BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BRACH, FLORIDA iaaaa
APPLICATION FOR MECHANICAL PERMIT CALL•IN NUMBER
• IMPORTANT — Applicant to complete all items in sections I, II, III, and IV,
I• s treet Address: (.kD e- �}
LOCATION
OF Intersecting Streets: Between
BUILDING � And
Subdivision / / C- ea/ a a
II. IDENTIFICATION — To be completed by all applicants
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 pert hereof and in accordance with the City of Jacksonville ordinances end standards
of good practice listed therein.
N. of Mechanical Contractors
Coelrector (hint) Ct, L Master ✓� C O L`t � I
t
Melee of / d--''
Property Owner ' l / 1 r
Signature of Owner ice/' Signature of
r ArHnori:•d Agent Architect or Engineer
111. GENERAL INFORMATION
A. Type of heating fuel: 8.
)e( IS OTHER CONSTRUCTION BEING DONE ON
THIS BUILDING OR SITE? (
0 6es — 0 LP ❑ Natural ❑ Central Utility
0 OA IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT i I L. p '")
0 Other — Specify
IV. MI0HM4ICAL EQUIPMENT TO III INSTALLED NATURE OF WORK
(Provide complete list of components on beck of this form) 129 Residential or ❑ Commercial
( )4„ Heat ❑ Spaca Q Recessed Csntaol 0 Roar New Building
r,(,Air Conditioning: ❑ Roam ❑ Control ❑ Existing Building
Drct System: M•hriel T ++ hick s� 0 Replacement of existing eystem
Maaimum capacity (X J ans. uZ New Installation (No system previously Installed)
o Rafiigerotion 0 Extension or add-on to existing system
0 Cooling tower: Capacity v ❑ Other Specify
0 Rao sprinklers: Number of heeds
0 Elevate► ❑ Manlift ❑ Escalator (n
Q 6uoline pump ( number) THIS SPACE POR OFFICE USE ONLY
o Tai (number) (16.14,0a)
Remarks
o LPG caffein.* ,(number)
o Unfired pressure velem
Q Sailers Permit Approved by p
Q Other — Specify Permit Foe 60
LIST ALL EQUIPMENT
AR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Unite Descstptloe Model Number � A i
][antlfaoturrr (�btns�
Cl D (2,,f(, .� ( *, PI°
a
I .. =.o.. .... ° °o. ° °° o ° ° °. °a °° oe.e..e.oseoo..aa..ao °000 °o o °aeooe
alp f >>~ _,� i ►,— ..^ 1r v�r, °
I r , \ 1)I -),-,_ � % \ l b �v : •, 4 �Z' - /�e t Ti� L c - - lr / /)0
o s
\-i
«tirt of (!lkcupauclr oc r r .
10,1 (itu of = :kip .J
— ; ; A li
� A Atlantic + ettrll J�ittri�tt = r,
v, �P �trtmPnt of +�utth ng Jn PCtturi '
:,
•
\ i This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard i`
0 ! Building Code certifying that at the time of issuance this structure was in compliance with the
w various ordinances regulating building construction or use. For the following. ■ 4
► . V
r � Use Classification New Duplex Residenc 11667
Bldg. Permit No.
1 = Group W* f rlae Type Construction dup Fire District Atlantic Beach 1
on-,/ Owner of Buildin T hrower Homes ,addr 88 W. 7th Street � 7� ,
tL., Building Address 88 W. 7th St. Locality Atlantic Beach, FL 32233 - a j/
1 'NI er--. l_ / By : D0N C . FDRD �i I I. Bu ildin g Official Dat e: _!? - ,2 a
I s � I
o. POST IN A CONSPICUOUS PLACE
! A�
%
I a oo x / 1'
`.�` 1 1 `� o� \ `N o o •/. .0 �!i`1,YL `�� , - \ ., i�i a te/ 'I ` • �, oC ��� V1
06/25/1996 15 :41 3968634 DEGROVE PAGE 03
MAP SHO WIN G
• BOUNDARY SURVEY OF
LOT 6, BLOCK 72, EXCEPT THE NORTHERLY 50.80 FEET THEREOF. TOGETHER WITH THE WESTERLY 10.00
FEET OF LOT 5. BLOCK 72. EXCEPT THE NORTHERLY 50.80 FEET THEREOF. SECTION "H" ATLANTIC
BEACH AS RECORDED IN PLAT BOOK 18, PAGE 34 OF THE CURRENT PUBLIC RECORDS AL COUNTY,
a I_ 0
FLORIDA c-21
2 ^
,L aii)
Buildin and -
ne
ni
W E_ s T -7 •r w
-
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So. oc
•
T �..-
r. LL ' J $ a '. J ''''-1/4 • . d O
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al �' 4
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• 15 r 0 .'
%........ J '.1 o d t v 3. - ^ 0 0 0'
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80.0
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N
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J4j
I
The property shown hereon lies in Zone X (outside the 500 year flood plain) as determined from
the Flood Insurance Rate Map, Cie) of Atlantic Beach, Florida, Community Panel NO.
1 20075- 0001D, dated 4/17/89.
I CE!lwy To SCOTT A. KISTNER. EILEEN D. KISTNER. _NORWEST MORTt4ACE. INC _ _ ATTfRMFYst MLR
INSLIRANCR Euhu
THAT TICS SURVEY x= THE REQUIREMENTS OF THE (10.00) HAS= 014 x. G. V.D. 10Z9
TECHNI STAND . - • 8 PURSUANT TO CHAPTER 61017. F.A.C.
ilk DEGRQVE o CONCRETE MONUMENT
SVRVEYORS.II1TC. X X MINCE
NUN= _ r / . • • 21613 ART DOL
. . ea - . ' ► •e P1 . P.L 8441 i2 JAS MAMMA o (I . P . ) IRON PIPE r X CRO39 CUT
DATE */ �- ► 1 t. SCALE: 1' - o '
(204) 3118.8808 r , • : ' + ? _
NOT VAUD UNIX= =DOM= 1RTfI SURPXYOR'9 SEAL row BOOS 5= 5 PAG*(S) 31 4
1 wo.s- '
RINANCIlottDgiNflt1.1c; ,py
,
Ilotice of Commencement
n IN DU►<.ICAT
To whom It mar concern:
The undersigned hereby Informs you that Improvements will be made to certain real properly, and in
accordance with section 713.13 of the Florida Statutes, tho following Information Is stated In this NOTICE
OF COMMENCEMENT.
Description of property
S � •
, . 6 s L -
400e.ECS (2 W , snde r 7.% 7
General description of improvements A) Ea- /40I1., S
Owner - - -- riA) -\ 1/\)-L
Address -
Ownerikterest in site of the Improvement 4
Fee Simple Title holder (1f other than owner) •
Name
Address
Contractor Tt
Address _!bV5 .1141'/P -- 5 4 7 it, 4774 V7 /35 eL - � -r
Surety (if any) 3 2Z33
•
Address Amount of bond $
Name snd address of any person making 1 loan for the construction of the improvements.
Name No/.V •
P.
Address 6 I - - • •
Nurse of person within. the State of Florida, other than himself, designated by owner upon whom notices or other dorymenti
may be served:
Name
•
Address w
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice u
provided in Section 713.06 [2] [bj, Florida Statutes. (Fill in at Owner's option).
Name ----- - - - ---
,:-., - ." , ..--,Z__.„... ' 77-r-,•.7 -
....
-.....,
, 66
6- 1
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• BOUNDARY MAP . SHOWING
-----
SURVEY OF
L 6
UT 6, BLOCK 72, TLIGE�THrR WrTWITH ' WESTERLY �
OTA BOCK 72,
O_ T 10.00 FEET O Ha 5, BLOCK 72, SECTION "H"
Iv F . ,: BOOK 1K, PAGE 34 F '1'111: ::URRf:NT PUF:LLC RECORDS OF ATL COUNTY, FLORIDA S REC
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CITY OF ;
2 . ,k,..A 1p eea% - `� ed,.det \
• 800 SEMINOLE ROAD tJ,
3 ATLANTIC BEACH, FLORIDA 32233 -5445 V ^,'
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PROPERTY DESCR I P I O f �.+f'.r Z ling (904) 247 -5800 �'
kW6Jt4// i3O of in land FAX(904)2475805 '3?
Lot # ‘ , Block # 7 , e c ion #
Subdivision: 41 '
Street Na(c DESCRIPTION OF WORK
or Address`" (1 c✓1f�
If in a FLOOD HAZARD
Flood Zone: area complete page 3. Brief Description / C 24 '' 1-, 42---4-t-•:1 5' 1 i v , _,,/y
Class of Work: ('New/
Remodel /Addition: /1/a
ZONING INFORMATION Type of Construction: /
Zoning Proposed
District: Use: " ��"., Estimated Value $ 45 2 0, my
Exceptions or Variances Materials: /Y4i� 0fvccd
Granted: 1./.4 l•-e-
Soli. or Filled
G s /
round: Roof: 3 4 J/Y
Method of Heating: ,/.P,i
OWNER INFORMATION
Property Owner: / h ✓ #01.*7 -e-1 Z y7 8.23 2
Phone:
Mailing
Address /25 g 7 i,r/ 1 ri w
74 els soovd/ , /f /. 3 Z22s— Zip :
CONTRACTOR INFORMATION
Contractor: 7 -,r- / C."7 - Phone: ? X472..-
Mailing /
Address : f 2 S 3 � vt.-' 6yr- t2, <-
,T4c JG - 7v0// / • P/• Zip: 5;-21/
cR Ca � Date: License Number: z1g1- a 0//9(
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.
Owner Signatures Date 1,744(--- Contractor Sig ature
1;/7-' -- Date r /a/"-
CITY OF ATLANTIC BEACH PERMIT CAL TION SHEET
�°�.�� 7 7, ,
Address f�
Date < �
Heated Square Footage 11S .2 $ 39 °`' /
persgft= S J /f69/a.
Garage /Shed .507 Q $/ v a per sq ft = $ 1 ) 2 9
Carport /Porch e $ C 1 -C) ° per sq ft = $ /
Deck @ $ per sq ft = $
Patio gO .Q S , 40 per sq ft = $ `-a D
TOTAL VALUATION: $/7/9 70
? 1, 7 /S -- - 6C) $ °
Tct 1 Valuation 1st $1
Rem Value $r. thousand
or portion thereof
TOTAL BUILDING FEE $ 2,0 "
+ 1/2 Filing Fee $ /3 t>
(1) Fireplaces e $15.00 $ , 5 - -°
BUILDING PERMIT FEE $ d, "
WATER IMPACT FEE $ s / / D,
SEWER IMPACT FEE $
WATER METER /TAP $ gy ;c 0
CAPITAL IMPROVEMENT $ 3 zs.o
SEWER TAP $
( /0 RADON (HRS) .0050 $
SECTION 11 PAVING ( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $ L-D
(i!i vj SURCHARGE .0050 $- i y�e
.OTHER $
GRAND TOTAL DUE $ / / s13
ADDITIONAL PERMITS OR FEES: Mechanical; Plumbing
Electric /New Electric /Temp;SwimmingPool
Septic Tank ; Well Sign Finish Floor Elevation
Survey ; Other
CALCULATIONS and /or NOTES: