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Permit 1825 Hickory Lane , ' = ' CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J :,' ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 r1 W. Application Number 04- 00028689 Date 7 Property Address 1825 HICKORY LN 7/19/04 Tenant nbr, name RE-ROOF' GAF TIMBERLINE Application description . . ROOF Property Zoning TO BE UPDATED Application valuation . . . 6600 Owner Contractor KING, THOMAS M & ALINE Y. A1A ROOFING CO., INC. 48 W 6TH STREE ATLANTIC BEACH FL 32233 ATLANTIC BEACH, FL ATLANTIC BEACH FL 32233 (904) 249 -6999 Permit ROOF PERMIT Additional desc Permit Fee . . . 98.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 6600 Fee summary Charged Paid Credited Due Permit Fee Total 98.00 98.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 98.00 98.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I�JI6FFI AL Iltj4.4**** F�SR•$944 r' , u ? 16768 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ^ - PEI MIT INFO MA `ION - _ . ____ LOCATION INFORMATION -- i. Permit Number: 16768 Address, 1825 HICKORY LANE Permit Type :ROOM ADDITION ATLANTIC BEACH, " FLORIDA 32233 Class of Wark:ADDiTION _. - ck :_ Lot: yTwp _0 Proposed t1se: Section: 0 Subd :0 Rng : : 0 Dwellings: 1 Bubdivision:selva marina Est. value: 0.00 improv . Cost: 20,688 . 00 Total Fees :: 172.50 , Amount Fated, 172.50 Date Paid 7/10/1998 1ork ; Desc . � � ' S OOM PER PLANS } i j �Z AP '�.7tJ' V' �., --«� OW 4, N `Q TION -- - --#7,, -,- - A PPLICATION FEES - - - tl arn+a . . � I R S EF M W 172.50 Rdclr : " 4IICKORY' LANE fi g, ���� AT B *ACM, ';?LORIIDA 32233 5 , ,,, Phone : ( �- 1 484> . C`ON *TO I NRMAT ION Name: PATTE M t � 1 H ,, :. 6,967;ILLtIpS HIGHWAY s JACKSO'NVIL , FL 32216 Lic: CBCO57008 Exp: I i .,ro..a. , " , fi ,, N Tee: 1 NOME - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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 MECHANICS' 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 REVOC * F R VIOLATION OF APPLICABLE PROVISIONS OF LAW. + a " m ac s 7/14/98 et Rece 1 378533% -; ATLANT BEACH BUILDING DEPARTMENT 0111(0111322 By. I FP f1 PHONE f4O. : Jul , 07 1999 09: 239f1 P2 G FIIyVNGAL akrNlMy} (:.j� , vy.y notice of 4tommeneement O 4 .,...,c i_ evcuc.vq 0 0 .4 To whom it may concern: Ot Q The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713,13 of the Florida Statutes, the following information is stated in this NOTICE t p OF COMMENCEMENT. co Description of property O General description of improvements 1.S..C)_ ..,O.�m .. Owner C.S . IA_ n`f., 144fe'-'ft.A1 Address /SLt?1i_ Ce Q K. -! 5! __4 F< fiS_ 3 Owner's interest in site of the improvement - Fee Simple Title holder (if oihcr than owner) - Name • Address PATTERSON HOMES & CONSTRUCTION contractor 6967110111PS t1tGHWAY # ' JACKSONVILLE, FL 32216 - --� Address 9n 296.0045 5ureiY (if any) • Address Amount of bond S Nano and address of any person talkie a Ivan for the construction of the inrproveme s. Nome Address N, of lxnon wit the Sutc of Florida, other than hinnscl(. designated by owncr upon whom notkcs or 041,e1 doturncnu nu) be served: Name • Address In addition to himself, owncr designates the following person to receive a copy of tlrc Licnor's Notice as provided in Section 713.0( 12) [b Florida Statutes. (Fill in at Owner's option). Name Address THIS (PACE YOA RCCOADER'0 USE ONLY M C Cr m v o °� m w r - 7e-t p Owner p� r7t- 1 o p. 16. c � m t BONNIE L. OUILLET nA A \�r ma Stoll #CC 706443 c' ES° °l �a " ',t( 7 . "aaDeD 2002 •�7CD �, Sworn to an subsc ?Wall 1camo'li1NU day of _ /1( ?_day • � 7 _ Notary Pub +.ic CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address r ? 2 // /C' C. 'O t Y h 4-N 7 Date v 7 ` -/j Heated Square Footage @ $ per sq ft = $ Garage /Shed @ $ per sq ft = $ Porch Car ort P / � $ per sq ft = $ Deck ( $ = $ *r per sq 4 y / V Patio \ @ $ per sq ft = $ 0 Of 0© TOTAL VALUATION: $ 6 2-0 I �p A — c),6' )S $ /J:OO Tq a1,V ation 1st $ /f2(),6 // i d /0 O $ /00 Remaining Value $.,C per thousand or portion thereof TOTAL BUILDING FEE $ // Gi) + 1/2 Filing Fee $ .4 7.J ( ) Fireplaces @ $15.00 $ e)- BUILDING PERMIT FEE $ WATER IMPACT FEE $ 6 SEWER IMPACT FEE $ ' WATER METER /TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ / 7C2 -S ; ADDITIONAL PERMITS OR FEES:Mechanical ; Plumbing Electric /New Electric /Temp ;SwimmingPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey ; Other CALCULATIONS and /or NOTES: ccaL 41,0 11)livx qq.B-1* PERMIT APPLICATIONYREMODEL, ADDITIONS �� OR ALTERATIONS DEMOLITIONS Owner(s) : Al 4. A. 41 4. 1 AA a J Address: i� —{/ /� ` p 4* >, ► Phone: Lot #J9 Block or Unit Subdivision: 56 4vg , /4f p Contractor: bq if - 04, m State License 1 a ebe , d G :1Y' Address: t 1 Th, It 4( 'kale 6-/S– Is ( Phone No : v4 (p c7 Describe work to be done: ✓�h Present use of building: Valuation of Proposed Construction: Proposed use: J G{ el/ "c, M Is this an addition? y e 5 If yes, what are the dimensions of the added apace: ILI ft. X 22 ft. Will the added area be heated and cooled ? New electrical (or increase)? fS New plumbing fixtures ? /j/© New fireplace? ,fJO New Heat /AC? /1/0 SUBHIT THREE COMPLETE SETS OF PLANS, INCLUDING ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND SITE OWNER /CONTRACTOR AFFIDAVIT, IF OWNER IS CONT ACTOR. f Signature OWNER: _A � ■ ' r " n 98 A Date: Signature CONTRACTOR: .& C 7 , Date: G,12/jg C— 4, . 41-a `e t,4c �. License Supplied: Liability Insurance: � � xi, e_e Worker's Compensat � ,. 41suran• , .° BONNIEL,GUILLET �, P' `' ,� E '' ,• • ION * CC 706443 1 r {� C I t4 ' 4.`, EXPIRES JAN S, 2002 `� 1 3 7 (( BONDED TFMU ', J `- �` 1 \J UI. 7 f7'7ti7 ATLANTIC BONDINGCO.,INC. \'' / City of Atlantic Beach / i / Building And Zoning MAP SHOWING SURVEY OF LOT 1 9 _- _.- B LO C K _ _ _ -.. -. - ,SE 1 YR YL °-,u + A U 14LL—a. AS RECORDED IN PLAT BOOK . 3 . PAGE Z9 _ OF THE CURRENT PUBLIC RECORDS OF DuY Al_ COUNTY. FLORIDA l ( <�i1,4 (r d- (7 O Z - / / / D g / I ✓1/�V ♦►+c,cs v C: i PD.J ',Pr \ 4 " t_oT 113 `• Fo'UD '1rr 2 1000 Pin / uut+Ee UD * 3657 C2AOIA. ) I ELELr( (So't -) w.$9 35 07 -- E • 19.9 • V F�u D'12 1 • VV tQou PPE ❑ z5 u 1 C KO{Z1 1.A 1SII E 1Z 4 �,) 0 4 r< < 4 c 0 / "4Er S.S 1 U. rroS ol"e - W ` e, rr +s r GWolD? 38.77' • .0 g A' 4S oo' oo .. / Ditty, 3 a Atc 39.77 ' e'So.00 a r 27. • t . 1 S 11 7 � s: O • etc � 3 ' F t ° (a n ¢Y ----, �„ P � R Es "G , . o o :7 d Lam`. -� 3 e �q . o + 182 m - ] c 0 °o L o tc I - v oQ 0 0 Fou uD '/2 ,, 0 Ito., PIPE t! �' ' 20 1 :23 DoT 4 � w Ieo S w a W ACS O. - d / ti • 3 0.7 6 .. \° 1y .. a 't.- Z lti Y p z oe — S4vr � $ S� I' GNRe t ' f' I 0 ■ r 2 WOOD 7 � S CEWCi A''E'V a CITY . ATLARONTIC BEA ! BUF'LDiNG OF F IC p E iY DoT 20 � W a i� 1 JUL 0 8 1998 F I ` °, 5 i�' a S\ ! I. y Al h 0 0 x 1 tJ(7'I'I:: FOQUO ' 12 'Iiit:Hh: MAY 1c1: ADI IottAI, i THAT At'i'LY 'iaou GGE 'I'tlA'P Al2i•: NOT :;llt>WPl UN 'i'If15 : " JkvEY I4ur MAY Icl-: FOUND IN TEE F'tt(tl,ll' I?F:('(111I:: tlJ� PAt'If.l'i'FF.:; (1r' '0+ �4''I'Y. / /,;.::..7 o �` 8 k ECEIVED P ty G t? -1;,..,` i o JJ , ( v JUL 7 1998 NOTES: \ , _. ` City of Atlantic Beach 1. This is a boundary survey. 1 Pi l J Building and Zoning . ' . "" TEMO. Inc KELLIE PARKS-0-IAM _ —___ 2/2 98W5195 PATTRSON II 11 I \\\\ b N i 2 , I {I.\11 1 _ \I ----------11 z D - ° __( ° _ _______. xi r 1 ........" u) D _, // _______ // I ,1 , > z 1 . t _ , ___ 0 11 1 1:: ..., Z - _ tfi A = N I CLIENT /PRO.. PH.( ) DATE REVISIONS TEMO Inc. HARDMAN PHONE (810) 288 -0410 1 20400 HALL MI, CLINTON TWNSP, RI 48039 CRAM 9Y: KELLIE PARKS CK'C BY: MEASURED EY: DATE: 06 /15/98 SCALE: MOW " '" TEMO, Inc KELLIE PARKS -s IAN 1/1 98W6195 PATTRSON -- rt 1> Ill 1035 MOO+JIM ,b '1035 MOONIM ,C '1035 MOONIM ,b (II I I 11 NMI —1 Z '', N l 21 — O i '5 "11 Ill ~ I o r L 0 N rn 0 I of - Cu 7,1 N o r� b 4 - - - - -- - -- �� D z' z il l ml I ` 1 Li i I .1. 11 4' ➢AND. sECr. 5' MO. SECT. 3' DOOR L D Inc. CLIENr /PRO... PH. ( ) OATS REVISIONS TEMO n HARDMAN PHONE: (810) 286 -0410 20400 HALL RD., CUNTON TWNSP, la 48038 OfiA1tiN BY: KIP CK'D BY: MEASURED EY: DATE: 06;15/98 SCALE: CMU, Inc KELLIE PARKS -sIAN 1/1 98W6195 PATTRSON s■ 0 _ o I i 'H ,.........:..........•..,. , E. i n V " 'I n 0 k Z -n I i z P i $ Hi 1 1 w '/ i 0 i .1111 4. i CLIENT /PRO- I PH. ( ) DATE REVISIONS TEMO I HARDMAN PHONE (810) 288 -0410 20400 HALL RD., CLINTON TWNSP, HI 48038 DRAWN BY: KELLIE PARKS CK'D BY: MEASURED EY: DATE: 06/15/43 SCALE; • • • :a•1 G' -8" MIN. 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F' b � �� " Z2 N j t 1 F _ ©. _ �g " 1 i g R R t ' ) 4 r „j g i e - - - -- - -- 16757 DEPARTMENT OP BUILDING CITY OF- A TLANTIC BEACH 1 PERR.tATION - LOCATION INFORt tIT INFO AN •�rma.t `Num�r: 1 A4dr : 1525' HICKORY L TIO ANE, _ATLANTIC BEACH, 'LORIDA 322 3 Iaesrm t Ty ,esMECH3 LAICAL LEC3AL DESCRIPTION '' 32233 l ass c� W+ark,ALTERATION r Blo f Lt�t 4 T tp: 0 l 1 Props Type: Section} 0 Subd:O RRng: 0 Pr Roe r ise' ' S�abdivisior":selva manna Dural �. iz�gs : 1 � Est`. Value; 004 1 Imiprov. Cost: t ,00 AmouTotat l Fees . . ` 55 0 n Pajd' . Date Pad :r ` , , '1.9 5 1 cork Disc r'lit'I�"' tC:CM, Il$BERS AND AIR HANDLERS i3 h , �n CIIY _ ,�.,..._ ; �r '°4.' 4`.0- APPLICATION FEES _ --- __ • 1 a rea: STET! R , PE 55.0t} ONIJ i 1 f.IdL i 3. d * P , .r++9 A£� � ATf't� $ r LON I'L�A 32233- ; r �' , f`'' � hone • t I ' A . . ,, x w '° v us e .,w t. 4F 1 r .w -- CoNI �' T�.3I tATIION *me: DONOVII lItI�' IN0 tND AIR . . I ° ddr : 315 S I XTh M*NLUE ;. SOU'_H 'AX BE kCII FU)RIDA 32250 / Lic: CACO39761 Ezp: f J t ➢ w' NOTES: NOTICE - INSPECTION' NSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION . BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC, SPACE, AND MUST BE' 1 CLE UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER ; i "'FAILURE TO CQNIPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. " I ACCORDING TO ,AP r PLANS. WHSIGM: ARE,PART.QF TI4ISS PE T ,4 'III � ;.I . �W A AfiIt►'t+t; :a 'A4 � �`" N fSt6iis' LAW. . , t+�� r , `aar6ttat I < s 3221. ATLANTI BEACH BUILDING DEP' TMENT � !7 ...j 4ariii ,rx 7 xd '' �.ak.., .. as ,, �. Jrr.a,.. a ,,..A�,'�kw"a . ±., �!le...iF, a%3:€�a,. ._ . BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANtIC REACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: OF Intersectin Sheets: Pety.een - .{� ��� RC) L BUILDING Sub -diwi :ion II. IDENTIFICATION To be completed by all applicants In consideration o f permit given for doing the work as described In Ik above staler we hereby agree to perform said work in accordance with the attached plans and specifications which are hereof and ;e accordance with the Cit of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor IPrint) ills F- (r7 Ma C ster � 7 Name of d Property Owner rr te- • u!=� or Au ho Owner WI / • Architect of or Authorisexe d Agent / /�//f�J / Architeecct t or Engineer III. GENERAL INFORMATION A ' Type of heating fuel: B ' `� IS OTHER CONSTRUCTION BEING DOE ON `VI Electric THIS BUILDING OR SITE 7 1\31) ❑ G., — ❑ t ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. UFCHANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK (Provide compl.l• list of component, on back of this form) k Residential or 1_I Commercial Heal ❑ Space ❑ Recessed )1t C .nfrel ❑ Floor 1 -] New Building Air Conditioning: ❑ Room h C.nirel U?�., Existing Building ❑ Duct System: Material Thickness Replacement of existing system 11 New Installation (110 system previously Installed) Maximum c•pecity e.f.m. O Extension or add -on to existing system ❑ Refrigeration U Other — Specify ❑ Cooling tower: Capacity g.p•m• ❑ Fire sprinklers: Number of heeds ❑ Elevator ❑ Menlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumpt (number) (R.c.iwd) ❑ Tanks (number) R•merks ❑ LPG contein•rx (numb•r) ❑ Unfired pr.stur• v•ss.r Permit Approved by Date ❑ Rollers CITY OF ATLANTIC BEACH, FLORIDA ^1'1"°"•`1 I APPLICATION FOR ELECTRICAL. PERMIT TU THE (:IIIEE EI ECI IIICAL INSPECTOR: DATE:,- 7 ` - - -_ 19 98 IMI'011 1 AN 1 0(11 ICE: IN CONSIDIRAI RHI OF REI MI I GIVEN FOIL DOING 111E WORK AS DESCRIBED IN 111E. FOLLOWING, WE HEREBY AGREE ID PERFORM SAID WORK IN ACCORDANCE_ W1[11 111E AI IM:IIED PLANS AND SPECIFICATIONS, WIIICII ARE A 1'nR1 IIIII1EOF, AND IN ACCORDANCE WIIII IIIE ELECII[RCAL REGULAIIONS, CODES AND CITY OF Al LAN !IC 13EACI I ORDINANCES. �V�1inr Et E -, ELECTRICAL FIRM: MST r ECTRICIAN SIGNATURE _- _LfINEYMAN • NAME _ I A C )M Q At ADDRESS: / 82 rhe,!.-410 AilL Rru -- - BOX BLDG. SIZE 2 4-- )(TV _ __ BE T WEEK: RES. 1./r APT. ( 1 COMM. ( 1 PUBLIC ( ) INDUS. ( 1 NEW ( 1 OLD ( ) OEW. ( ) AUDITION (/r TRAILER ( 1 TEMP. ( ) SIGNS ( ) --------- ____--- - - -__- SU. FT. __ -- SERVICE: NEW ( ) INCREASE ( ) IIEPAIII ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( I SWITCH[ On BUTE11KEII AMPS PII W VOLT RACEWAY EXIST. SERV. SIZE AMPS P11 W VOLT RACEWAY FEEDERS NO. SIZE I NO. SIZE I NO. SIZE LIGHTING OUTLETS 3 CONCEALED OPEN 1UTAl_ RECEPTACLES ', CONCEALED OPEN TOTAL 0 30 h11`8 31 100 A611'6. - - - - -- SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0 10 A1trs. oven -- - _- -- _ Arr'LIAFICES BELL TRANSF. AIR 11.1'. RATING 11.P. RATING CONDITIONING COMP. M01011 OTHER MOTORS AMPS CEIL HEAT: KW IIEAT ti - - - - - -- -- - - - --- - - - - -- OVER MOTORS I1.P. VOLTAGE I'IIS NO. 11I.P. VOLTAGE MIS MISCELLANEOUS 1p f2-.0 i __ CITY OF ATLANTIC BEACH i APPLICATION FOR PLUMBING PERMIT JOB LOCATION: _Lk (1. 4ViltC OWNER OF PROPERTY: 1-•k' '1(( Y V \(i- 1`L- - 1 PLUMBING CONTRACTOR - te r O ( , ) ( - ( C r�) t i C C� CONTRACTOR' S ADDRESS: l `' C 1 ( / r / , , V u STATE LICENSE NUMBER: C Cr (V9d 1 A 6 TELEPHONE: 6C» - 3 ?5 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS I SHOWER PANS mp 6e 'rk (7r`f OTHER TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: e .� INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247 -5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247 -5834 12556 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ~ - LOCATION INFORMATION _______� Permit Number: 12556 `Address: 1825 HICKORY LANE Permit' Type :REMODELING ATLANTIC BEACH, FLORIDA 32233 Cl of Nork:RE$ODEL LEGAL'DESCRIPTION Const r' Type: �Hl ock : Lot : Twp : 0 Proposed Use: Section: 0 Subd:0 Rng: 0 Dwellings: 1 Subdivision: seal va► marina Est Value: 0.00 Improv, Cost : 4,000.00 Totaal Fe: 30 :00 Amount 30.00 .Mork '4° OOM APPLICATION FEES TION �_ -- Nome IT� 30.00 Addax ` LANE F B FLORIDA ye PSL � , < 'v ,, �s#ik� :4'".,�"" - ',., ORMA I ,7 ,Name : PRA ER * N p�Lic Exp T ,y .v -., cx .. 44 �;`i o- " /A_ d� ",.. �. ,.. ^ ,.„ i *^ ✓ #: ^ "" NOTES: NOTICE .— ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR THE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS W�ICH ARE ` PART OF THIS PERMIT;AND- SUBJECT TO REVOC.$1111111I4}R VIOLATION OF APPUCABLE'PROVISIONS OF. W. Dais. 9/t6/% 81 Receipt: 1779 r H 11.) ` 1 ATLANTI = H BUILD! G DEPA r,. ENT r SEP 1 6 1996 By: *.�` : °>. 64 iof N ._- CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET AddressiSi _ te-,---Sc_ rier-,1160:( iSel---714/cod/Lk Date to . Heated Square Footage Garage/Shed \ c- .? _ per- k A, i td arport/Porch 0 $ per sq r t VS! , . Deck (c $ ler sq r, - y l=a710 ' 0 S per sq It :- S TOTAL VALUATION: ARO 4 0 00 /S---cY-13 Total Valuation 1st /00o ()-- ________ j_ 00 p ---,---t r _ Remaining Value S. per thousand or portion thereof TOTAL BUILDING FEE o 36 :P + 1/ Filing Fee s ( ) Fireplaces @ $15.00 S_ 6) BUILDING PERMIT FEE , 0 WATER IMPACT FEE $_. SEWER IMPACT FEE S WATER METER/TAP CAPITAL IMPROVEMENT SEWER TAP $ ( ) RADON (HRS) .0050 SECTION H PAVING ( ) $ __________„ HYDRAULIC SHARES S CROSS CONNECTION ( ) SURCHARGE .0050 _____ OTHER C.: Cv _____ GRAND TOTAL DUE - - 0 * 61) ADDITIONAL PERMITS OR FEES: Mechanical; Plumbectric/New Electric/Te!iip_ Septic Tank ; Weil : Sign Finish Flooi Elevation Survey ; Other ALCULATIONS and/or NOTES: 4°. • f CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) tlT�l�/W " ` tl�i �r `n (� � q � Address: ( S 7 S` (1(4-60-Y �u(i J f j ni,' �� %' Phone: r �' Lot # Block or Unit # Subdivision: ce(( //`` Cif fv Contractor: ,- (-C ��:, aG�c° State License # • Address. Phone No: A/CVL__ Describe work to be done ��T7 tf � �. Present use of building: /17/. l. 4 Valuation of Proposed Construction: (7 / f� Proposed use: 4io J'-r� i 4 i Is this an addition? O If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures ?7 "2 New fireplace? New Heat /AC? ,44 1 Y �f-1 11 �lJ' SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF CCOMENCIDIENT, AND OWNER /CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. �.�_ Signature OWNER: \ {�,. �1. Date 3�/� Signature CONTRACTOR: Date: License Supplied: Liability Insurance: Worker's Compensation Insurance: PROPOSAL i : P__ ,, PROPOSAL NO. — — -- SHEET NO. 1 f: . - ) r is ,l.� mi l_ -=-, i 1a C; - - - -- - -, - I DATE PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: (NAME —`i S p \IAA t t Ftt,„,f,itim.,Ntx - i ADDR ADDRESS - — — �,,( � • CITY, STATE - - - -: L_ EJ t 1 If. Cr .,` t_ _ Iry 1. I CITY, STATE 1 7 � , } i DATE OF PLANS - - - -- -- - - -- - -- i Na'i`l ti -,ar- f e :) et' e-, t A-, _ i PHONE NO. j ARCHITECT =.i � V I We hereby propose to furnish the materials and perform the labor neces ary for e compje' ion of �p J Kw ■ r JJ k - - -+ -- y 4� th 1 �� - - �� t 9� :L I r J \7(> • 't . GI \ ass I b \�,f V. �'0, 0 C�� 1 �' I 6 X .) - 'J f: l Vvl: 4 C !;11 �h \.,^. \,Z1 � =': : _Lr1_c C !" ' "` , r K j rl 1 x. '-i '1- i ,. ,, F ^ L f _ i 97, t,_,-. rceV� , t\ C �1A; ( f . - l; r -/- t V 1' ` i"-` \ s lI 1 e- I / - - 1 - - - 1 , 7()' .. , L ; 0 �i Y6 1 } I ;, ~ , \•3 S� f ,ref . -„re h c s c �' e ", /V� ,,!r j1( ; �l. Y�\ r � C. t �. ( - 1A. e W _. k)ei k . _ L 1t 1� � n - �r L� , U ZC')��-- , •fit __rh PO (1. r. � t r 07 �f'1 5��51 ��� f X 1 arc � ^� 1C�r { r i h . � !'_ (� rc k 1 : -( ` \1((i:l' G,s P—j ' b ,OC) — — . _3" 1. a• "ls..l'. r' I uc,': b (ET '` S a r 1, 1 't (;_Qt.,.' 1 ti 411 -- _ t i' --.. t j : it _I-' r� _ — t } � J Y� t.tJ FrC•i:1�i < 1 �� ���� r � ( j G'7 �� 0_ c tj r ' - — 1 f f — — (Le . 0 , 4s) � e ur.i�i (2; y. r t � t ,1 O, 7 ? 7 f t l) ji _ �rt�''t r r', r, � - All material is guaranteed to be as specified, and the above work to be performed ir, <ccordance vt'ith the drawings and s ecificatiops s bmitted for above work and completed in a su stantial workmanlike manner for the sum of .,,,,%V cc V t` u i� �. y O DoJa � s (S t j C; r 1 � . 0(7_ ) with payments to be made as follows ✓.�.- :.::"''.'4;:---: ` -'' '' t t r I V/. V/ Respectfully submitted l(' '` \' .-' 11 p .111c-tenon or deviation from above at c r t Ilion ' __ -.. �l . -_ / tc executed only upon written order at d v dl ber..mre aa (patio , i / and above the estimate All agreements co ,.;., c r �� X rf l I} • y ;Ircr s or delays beyond our c ontrol. Per _ _ = .__._ . Ir r L kiY'v v � - by ! u - c E D1tV i ��-, ca s t P..A0AA `i?'e 5'.S,.,c..., v.:.. .?k S '. ,M S +Y e°t`np''TAICR ernhwC i+'P`. asZa'e .- ... *.' «3..1,Amts Tie"x ACCEPTANCE OF PROPOSA". The above prices, specifications and conclttonr: r3' .,il and are hereby accepted ,,,, are au1r. 1I eI_ fp do tee ,nor!; as specified_ ' Payments will be made as outlined above. L(A„ Signature i Date _ ___ _--_____L" ' � Si nature_ A r Y \-"? ° ` `(` CC i j I . IIM (A-2 . _____ .____.... _ 1. IIWI! 1 ' III /1L!/ ii, ! ! � ' I UL i . N _...... nu .Lsig ,' now M... 4 ,,, ,,,,,,, 4 ,, .,„ 4 L _ ',,,,. k L wc Le • h ' ' CC .CC \\NT T C)C , GC 4 `� R O V E� NCN I p,'P a Ligi% 1c �\ oil 0 g � pl tvo 0 j„ ' . N A \ 1 g ° c r. / ,,, ,,,..,,.. , . \ I N ' ,,4 PSFt -3844 16 8 8 8 DEPARTMENT OF BUILDING f CITY OF ATLANTIC BEACH v - PERMIT INFORI ATION - .. LOCATION INFOR.t ATION -°- 1 • rmit' Number : 16888 A.dress: 1826 HICFCORY LANE 1 I?ermit Type :STORAGE SHED ATLANTIC BEACHI `LORIDA 32233 las of Work . N1 -' -.., _ _.. LEGAL ESCRIPT.IO1 � - Cn: ,�st�r, Type: Biock: 1 Lot: Twp: 0 Proposed Use : Sect on: 0 Subd :0 Rng: 0 -{ Dwel lines : 1 Subdivaisio .: selVa' fiariris Est Value: 0.00 • Improv« Cost: 1,SOO.00 Total Fees: 30.00 1 A,Tmourit Paid 3t? . 0D ! s Date Pao � ; 213'1'1998 a�T'k I3esc;';�fl E r a TI,ON - ��- � - . -- APPLICATION FEES _.� Mme : STEP '''' PEIk4�I ' W 30. (DCI , d : '1 i2 ,d0 t LANE t AT �0*�� F�`� 3 r LOR IDA 3223 C0N , C T " � I� ° ►R T ION I $zne: PROP r s Y,. ER � . • 1 Lic: Exp: / ,/ r rr 1 ype'' m v o- a t w . �� � P�a,.. +w e ta • NOTES ° I 1 1 NOTICE INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION i 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 MECHANICS' 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 i ' 1 VIOLATION OF APPLICABLE'PROVISIONS OF LAW. , , 438.E #%�' � • ,. - -' ;, , - - .! .. . ' - ' - 1P : ', , xt , ' ' ,_ ast ATLANTIC EACH BUILDING DEPA TMENT { By: cs-- .� - - g CITY OF ATLANTIC BEACH PEST APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DE MQLITIONS Owner(s): f;rflPhiAir& t14 1- AL Z,' 4 6otgamoS Address: I f 1 li l4 I L,f\l f, Phone: 1/4 7'1 gYg Lot * 19 Block or Unit # Subdivi i •V YV' j Sion: � �1�' !J /2--e. Contractor: { LAND Z1/n/ T/C Q �A State License * . "f�"� Address: 2©3 go0 VF"6/ &I/4 (', Ph one Nc: /z Gl4ja/1— Code 32Z yg—/ Describe work to be done: Present use of building: /V eivi yr 5 eve 7 Valuation of Proposed Construct / ion: Sod ad -- Proposed use: Wfele/t h /V r Is this an addition? Nd If �'k� f yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat /AC? SUBMIT THREE ( A i`J�~f/ ...f ,1'_IZi re, 5) (COW RCra r.) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMTCNT, AND OWNER /CONTRACTOR AFFIDAVIT, F WNER IS CONTRACTOR. Signature OWNER: 7/7 8 / Date: // Signature CONTRACTOR: Date: Sworn to and subs J' c 4 a � �'�, V f ore me this day of 001011r.e e-f- , ` / ' NOTARY PUBLIC STATE OF FLORIDA AT LARGE A v T�1 �.� ..nee� EXPIRES r it W � Awl 27. 2000 � 1A�oolDV r EXPIRES wannorawMOMMUKAAF _I... , ,.--ag --- a'" ---------------------- MAP SHOWING SURVEY OF LOT 19 BLOCK HAN A _KALINA__UNII___149_-11.:‘, Kg.P.S.A1 __. __ _. ___ ougAL... AS RECORDED IN PLAT ROOK .11_ , PAGE 14 _ OF THE CURRENT PUBLIC RECORDS OF COUNTY, FLORIDA i 0 bj lr ------- I CAPIJ °41/ VP) : 11 7 for 0 K.- 21 aeug.i.. se ‘e eu FoQuo tli . ' MOW P P E u....uEwLeoc * 3557 It A01 Al. ) • eLet..rw( rse% -) 1 35 (yr E - i A .9 41> FOukrir V, (Row PIPE l 0 - I 5 1.41c KorZi r- LA ).1 E tAec ) _ ai 1 ----- 1 a 2 2.4 - , 4 ic er 0 , I. ( ,,,,,„ . - - ',EY o U. MOS co • . .... - • - limmme 6. 5 S / C.1.101t0 36.7 ' , . 4.,,, .0. 1 4 o 8 • 1 ts r a 45' Do' oo - • / •• Delv . 3 Asc 31.21 It'Sooci . • Ur . 15 J i s • 7 '1 0 to4e, .) . l 3 • rebey •-■ , LOT 4 3 f'5 . 3 4 .....c . ; " . 0 * Jaz 0. ' ••.• Mow PIPE • , 3 0. e _ obi a 30.7 0 ,,, 0 . ..-, G. \O -- ie 1111111V •,, 4 _ PAr, 0 0 2 r 2 .40or) D ..: cEuck c'■'''' , x 3 '? ,,\`„ ,,,;" , a 1 ? - W': .t —' .I. ,c 7 ci!, °',, • )' / Co c.i' .,•:' 't 4 1 II V I el. t. 01 S a • S„, ,.•.„, ■.). • r ir APT ' . ill , t•A ■15 I : A o L ,re I 0 0 x . vs NOTE: THERE MAY PE ADITIONAL RESTRICTIONS THAT APPLY 4 Powlio i i '117ou PoPE THAT !RE NOT SHOWN ON T I+D HIS RV BE F EY BUT MAY OUND pc, 4--.. IN THE PUBI.IC RECOPI/ 01, FACILITIES OF THIS COUNTY. / It . 0 4 . / ° a t_ cevr ta NOTES: 1. This is o boundary survey. I∎ p 1c .�� ^:,, , CITY OF r' 7 Eea! - 7 C'<vccda , I)0 SEMINOLE ROAD CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER /BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE CONE BY LICENSED CONTRACTORS. YCU HAVE APPLIED FOR A PERMIT UNDER AN ,- EMPTICN TO THAT LAW. THE EXEMPTICN ALLOWS YCU. AS THE OWNER OF "CL_P ° °OpcRT' TO ACT AS OWN CONTRACTOR ✓EN THOUGH YCU CO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF You MAY BUILD OR IMPROVE A ONE - OR TNO FAMILY RESIDENCE OR A FARM OUTBUILDING. You MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25.CC0.00 OR LESS. THE BUILDING .MUST SE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTEWTHE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YCU BUILT IT FOR SALE CR LEASE, WHICH IS IN VIOLATION CF THIS EXEMPTION. You MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED SY YOU HAVE LICENSES REQUIRED 9Y STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PE,RSONAL OR rAMILY USE. AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) SE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORCINANCE STATES OWNERS MAY PHYSICALLY CO 'WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS SE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE 'WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. - THIS COES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,CC0 PENALTY UNDER FLORIDA STATUTE No. 455 AN 'OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA."CONTRACTORS CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR, TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT ANO THAT I COMPLY WITH ALL. THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER BUILDER PERMIT. - , i , , , , P RTY 0 NER /BUILDER lair (C �- L 0 -k ADDRESS �� K TELEPHONE gt L.. SWORN TO AND SUBSCRIBED BEFORE ME THIS DA OF y 1 IP II NOTARY PUBLIC .. NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: „9}m ARE EMPHASIZED BY THE BUILDING ,� R Amonette DEPARTMENT. • I Vi i % 3+% MY COMMISSION k CC663881 EXPIRE& ''.-‘ 'Q August 27, 2000 1 ,430 BONDED THOU TN01' FAIN INONMNRE INC Jun -30 -98 07:50A P.01 'q it 4 i g 1 i ii ii i i j : 3b � ��� g i � . 1 ` ill � � N / ill ill ' -- -- 1 g a t NI 1 a r 4 U ._... n hill I ll C7 air; ��j�.� wii u un liiiiiiioii 1 _ (-� I I1IIH11IIH , ' ill I I — I w — l—,— — - l I I I I � ���� .0-M , IIIII I S 11 ..1==.1 1 ■ , O N ! : P - 11 A I tk Ii i ! � a � N n ii 1 ,A- ,Z! I { P$R.1144, , I ' �„ 9550 , , D PARTMENT OF BUILDING "' ITY OF ATLANTIC BEACH - "PERfdIT ItIFORMATIONi .. - _-- -__ LOCATION INFORMATION . Perniit limber `: 9550 Address: 1825 HICKORY LANE '' Permit Type: FENCE ATLANTIC BEACH P 'LORIDA 32233 l as of Work: - -- �_ LEOAL DESCRIPTION - - - 'onstr, Type: VINYL, I ot: �' Block: Section: Pr op,osed tlse': SINCMLE PAMILY Township: RNO: 0 Dei:lins: 1 Code: 0 Subdivision: selva marina =' Estimated Value: $0.00 j Improv. Cost: $0.00 Total F' es _ $10.00 1 Atoun '; $11 *? N } Dat . ;j � /I,P /95 1 W Die . '' ,, :„ foot Pr ivac ► fence } 1 - ,*-. �. - ! IOR' -,.. . ,� 1, . *, * ,A pLzc p .... 1 . , MAN' , , , , 4 $10.00 �- �" '` PERMIT Addy" w T LANE WA'M` IMPACT PEE S $D . 00 j , .,„,. „� f I , f, FLOR I OA 3 A FEE a 0 3 h t, 9 a �� I 1 � ” RADON GAS -1 R . S . $0 > 00 s ° , FORM VTI - - _. -- RADON CAB 5% BD . 00 a ,Name : Off" ,� ER CAPITAL IMPROVE, BD y 0t j Add w ..., tae, SEWER" TAP 0 00 1 4 „ NOTES: PAID D F { JAN a 1995 J City of Atlantic Bch: NOTICE - ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING P ERMIT VOID SIX MONTHS AFTER DATE OF IS BUILDING MATE 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 MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY' WNER PAYING TWICE FOR BUILDING IMPROVEMENTS.” ' 10#0 ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOIE 4 r< ' ;VIOtt'IE N OF- "APPLICABLE P ROVISIONS OF LAW. ATLANTIC BEA H BUILDING DEP 'TME T 000090000 $14.8( 14 I 1/10/95 `8I f p + t: 3731 j 1 i .... CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s): .1-Wt4ci I 5. 40e 62010-PS Address: 1 Z Ce6vt— Phone: >y7-uv Lot # Block or Unit # Subdivision: Ceti/ dt444'V Contractor: 4 (A) Fi,v,6 co , State License 1 Address: - M-F7 r CT Phone No: 73 - WO Describe work to be done: 6Ir cvpxs gv,t(c (I Present use of building: Al Valuation of Proposed Construction: , , Proposed use: //WRY (, 64,7A-Iiiq Is this an addition? / If yes, what are the dimensions of the added space: i ft. X ft. Will the added area be heated and cooled? - New electrical (or increase)? New plumbing fixtures? 64 fireplace? New_Heat/AC2- _..... __ ,.... -SUMMteHR EE - COMPLEMSETEFerPLANS,(-INCLUDING S SURVEX7 ' ENERGY -0F,COMMENGIND OWNER/Cti _ AF FIDAVIV. 7- TF7QHHFLUOHTROTOR. C Signature OWNER: (f(11 ( / 7 - IT ----- Date: Signature CONTRACTOR: Date: P % occs 1 License Supplied: PY .1 ' * ' 0 ' rq I / C‘ 00 ) / 1 Liability Insurance: Worker's Compensation Insurance: 1' A Si 0-' MAP SHOWING SURVEY OF 7 ckV ( LOT '19 BLOCK ,SELVA NI ARIAIA ULiIT Ldo.12.0 RE PLAT AS RECORDED IN PLAT BOOK __37 , PAGE Z9 OF THE CURRENT PUBLIC RECORDS OF OuV AL COUNTY, FLORIDA A►u4LE Pout y c 9 � • G. L 0 1 FoUUD I /Z IRou PIPE 0u OER4RouuD w 365'7 (¢ADIAL\ ELE.T21c Cio( -) ^/ {.1. f39 35 07• E • _ � .,.� �A FouLD I / Z • C KO�ZI( U I S f I, r I ■ , �� ire. RIPE I r • LA 1.1E iA � 'o 27.4 o i '` c� Q•0 1.1. 72'05 07 e • Eo 55 "U " ' P • CHORD' 31 • c,u`. . o. s 408 gala JS • ' r I ' e- 4s• op' oo •• / aely - EC 39•71 • Q•SO.00 E .:... o a r A ti 1' 2 • Z�. o t.s (4M • IV ST " , 1 0 PL 3 RE ME o Wm' Q) LOT 4 3 5 3 S m Lu� c �'C I ° * 18 ZS . n4 ° J`M W O. FcuuD 12 L ' 0 2 V (cow PIPE f'.I. 2 0 0 1 1 w M S . ti v d w o ■ 4u. er 0. 30. 'tit; a / �i ' / ti V - o : ( T . I k 0 `Otic J 8 i P4 • ix. 0 r 2 • 4. r . 2 ..IO•o D v FE LICE 4. J Q ti _oT 20 ■ W Q / I � 5! ' M LoT 5 S a S ' • v m N v ■ x O C-) .. n t L FOQUD ii ',f., 4f A. f�L.i- MAY HC t.• I .��'•,�L k} S1R1� I'I��NS THAT APPLY IRou PIPE � ,� \� ql . :HA:' APE ')T SHOWN ON THIS . PUT MAY PE FOUND +4 5c c A ,, , N THE YURLIC FE((HP:� Uk FA I I,I'FIES OF PHIS rc rr:'. 4 2 \ ' � ��' t 08 0 \ 7 � i ', / LoT v NOTES: 1. This is a boundary survey. 2. Flood zone Y as best ascertained from Flood Insurance Rate Map, community panel no.Izoo15 - cz.c,1 D dated 4 -17•89 3. Bearing datum based on EAST LIVE or LOT l9 pE,►AC., s.00' Z4'53 E i DEPARTMENT OF BUILDING CITY OF ATLANTIC B EACH, FLORIDA PERMIT TO BUILD PERMIT No. 7 9 THIS PERMIT MUST BE POSTED ON JOB Date NOVEMBER 18 Valuation $ 70,004.95 19 $2 Fee $ 267, 75 This permit not valid until above fee has been l c to o City Treasurer, oflaw and is subject to revocatio for violation of applicabl icable provision of law. This is to certify that 2 14 ORANGE STREET, NEPTUNE B has permissio to build S INGLE BEACH, FLORIDA FAMILY HOME AS PER PLANS SIIBMTTTED, i Classification SINGLE FAMILY Owned by G Zone KID Lot - � � 0 I' ;��' House No, 1825 HI Block l_ 2— C —_S/D SELVA I I According LANE g to approved plans which are part of this permit I CKDRY NOTICE —ALL CONCRETE FORMS i AND FOOTINGS MUST BE IN SPECTED BEFORE POURING. �__ _�� PERMIT VOID Si X MONTH '� AFTER DATE OF I - -� 0 Building s SSUE 1 from thimaterial, rubbish and debris work must not be • placed in public space, and m s4 : uled re� away b ' '� . caner. y CKT t j �• b on / USE ONLY PERMIT 7�4 Bri ing(/ FOR OFFICE • NUM BER DATE I^'"'t/ PLUMBING 5719 CONTRACTOR 11 -1 8 -82 F. W. FAIR P ELECTRICAL 3DO.rj. PLUMBING 11 -18 -82 FERRIS ELECTRIC COMPANY SEWER antliftill WATER alililliglain MECHANICAL S 741 11 -24 -82 OCEAN ovalk- STATE HEAT & AIR CONDITI-rN BUIIUING: 5739 7 — LOT: / — 9 , �PlU1?Q� L>i!J / �` -- __ 07�' PLUMBING: s 7 /� - - 40 Pea S h /e/ 0R .1.9 VS MECHANICAL: $s'7q/ — - — ELECTRICAL: 3G a.5 BUILDING PERMIT WORKSHEET HEATED SQUARE FOOTAGE: 795 — @ $ .x'$! per sq. ft. = $G $"�S25:7 - GARAGE (PRIVATE /SHED) : 1 7 LQo @ $ 16./4 per sq. ft. = $ 6, 787 a CARPORT: @ $ per sq. ft. = $ PORCHES: @ $ per sq. ft. = $ DECK: @ $ per sq. ft. _ $ PATIO: 7.2 @ $ 9. „30 per sq. ft. = $ 442,0o TOTAL VALUATION: $ 74 DOi/. pS- PERMIT FEES 76, .00S! 9s /34. SO $ /3/_ . .Sb TOTAL VALUATION DATA 1st $ c is - e 9 , pm, p, ao od y. 95 _ y, ex." $_ %2 oy REMAINDER VALUATION @ $ 0 2 . vo per thousand or portion thereof TOTAL BUILDING PERMIT FEE $ / 7 ?, s PLUS z THE BUILDING PERMIT FOR PLAN FILING FEE $ /9. 4.2_, TOTAL FEE DUE $ 02 6 7 7.5 PLUMBING PERMIT FEE: $ ,.. MECHANICAL PERMIT FEE: $ ELECTRICAL RESIDENTIAL: $ / 0 - fls�.00 ELECTRICAL TEMPORARY: $ WATER METER SIZE: 3 /fl FEE: $ gs 00 SEWER CONNECTION CHARGE: SQUARE FOOTAGE: 64d <S'hi9Pe FEE $ 8 .OU ? WATER CONNECTION CHARGE: FIXTURE UNITS o /@ $10.00 PER UNIT; $ ea$ 9, OD ACCOUNT NO.: oV /O /e2 `/ APPROVED BY: TOTAL BUILDING /PLAN FILING FEES; $ 4,7, 7� APPROVED CITY OF ATIOIPO BIWA TOTAL WATER METER CHARGE: $ k6 ; BUILDING OFFICE. TOTAL WATER CONNECTION CHARGE: $ c ,25 - 0,06 : , 1 8 ; 5 we- TOTAL SEWER CONNECTION CHARGE; $ ffes - - Oa IV 3. GRAND TOTAL DUE; $ 1 41O 7, 7,S" Date ........._.. - IF Y . . CITY OF ATLANTIC BEACH P. Valuation $ FLORIDA House ...... ...... _ .._......_ .............._...... APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the Cit y of Atlantic Beach shall be complied with, whether herein specified or not. The Contractor or Owner - Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub- contractors be submitted to this office so that licenses can be verified. Date. 10 [ 1 — lY. .......... Owner (' .e z,'✓ `", , . 1 -m(- -tom_ 6 -. Address '/ �5 /Z ��.., Telephone No.2 yf /f %Z Architect. Address. Telephone No.. Contractor Builder 5 i-rt t✓ Address f 4'- f4'- -4'-. Telephone No. -ri"- t- ut No. 1 7 Block No. Sub Division Lot ,! -� ,... &„� Zane ` - .... rte ......... i'"∎` S� Side Between - • � - -• - and. St. =....x..1.1 .For what purpose will building be used...,., Type of construction �D. i,r, .•- Dimensions of Building..�.�.. e.s./ Dimensions of Lot....CeR,,�l, �v Size of Foo tugs. , .m ......Al c •� . le .,t[ �o Size of Piers i ze #.� of Sills Greatest Sill Span in ft. / Type Roof. How will Building be Heated?.., e.44. - -gs ,en- - Will Building be on Solid or Filled Ground? .. 1..tiZi Size of Ceiling Joists... `i,., - k , Distance on Centers 2../ , Greatest Span. ./‘' . p Size of Floor Joists Z-)!` ° , Distance on Centers iy if , Greatest Span. ....,.<! Size of Itafters....,i..,X ( an. , Distance on Centers — 1 r " , Greatest Spam ' N 2 k» 0 G -L A I e R o v E D This rectazle is to represent the lot. Q s-% CITY OF ATI O TIC R AC pi G ive d buildings i Bu:LD4 la F Pang J lot and eads buildings. n the Two copies of plans and specifications shall `` 1 '1 1982 REAR LOT LINE be submitted with application. Inspections required. dr . Z/ f / f 1. When steel is in place and ready to pour footing . 8. When steel is in place and ready to pour col. ,, , , . or lintel. f /7/ 3. When steel L in place and ready to pour beam. ��` " 4. When framing � s Is completed. 5. When rough ugh plumbing is completed, and ready to cover up. a 64 84 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after corrections are made. FRONT OP LOT 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 building regulations of the City tic each. �� Signature of Builder ..._'-"°^ :... ....._ ................ .• Address �Y1 4 • A 6 +( —/,, V .0° • {.v. Signature of Owner Address I: \ i \ , «�++y ' \ 1 S ` (1 i rtif icati of ®rrixpattrg . ` CITY OF ?!u & Gads - Flaid , r lirpartmrnt of +&nilhing Jnsprrtinn This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following: 1 ' p t- ! `,_ Use Classification ".....,5/ LE / J / / y Bldg. Permit No. _ 39 9 • / + x" Group Type Construction � r�m P Fire District.. � T IQn� t � � _� QL� 1 Owner of Building / Q � i n5 . Address t 1 4 ' �p p� • , Address I Q& 5 c L /e..I, Q., i Building ocaG _ � do— I -_j /� .t , L By: n/� �� J C K j 3 okr, 111. t�t� � Qw�3 Building Official 3/ 1 - 8 Date: ___. I �_l p_3 I POST IN A CONSPICUOUS PLACE 4 - / . _ _ �� o . i . \,;, :_ : -. V.:111.-:' , j 19 j DEPARTMENT OF BUILDING PERMIT NO. I ` � - 'CITY OF ATLANTIC BEACH, FLORIDA P ERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 130VE1`SBER 18 19 82 56.50 PLI7riBI Fee $ � Valuation $ I This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. �� F. W. FAIR PLUMBING COMPANY This is to certify that Florida 3225fl P. O. Box 51149, Jacksonville Beach, has permission to build Install new aumbin as per plans submitted. Sin le Email Zone PUD I Icatio n C1asslf I Owned by • y �`T T `re MARTTrIA Block 1�-C --- .S/D Lot House No. J CKORY LANE According to aPP plans part P roved lans which are of this permit NOTICE—ALL CONCRETE FORMS P AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE O Building material, rubbish and debris ----► —► -i from this work must not `1 fie.iSlce in publ' _ ! ace, and mustWitm4 it °tip • ' ' r2 w a y inl e l 1 [i' ` tr, ovlf3'fit, - •s.Dflc +ci :uilding Offici tJ ir CONTRACTOR , FOR OFFICE _ _ DATE USE ONLY I1 PLUMBING I ELECTRICAL 11111111111.110.0.00.M SEWER 11111111111111111.1......r.1.1111.1 WATER I JAW *Mt An'Ll i Ai loN )(A: il.1'::!,ING 11.1:MIT i/ - e 7, - __ _ DATE __ +ai , 7 e, NEW TYPE_OF BUID:NO OWN 1.?f ___ EeS tME )-r . REPIPE __ _ RESIDENTIAL V / g: i fiabrty . -- --- ADDITION_ CO* _ .._ LOCATION .' PLUMBING FIRM faig./ ADDRESS 42 e g s- y 1 . MASTER PLUMBER ral FA Ig- please print CITY/COUNTY OCCUPATIONAL LICENSE NO. i i(2- g 4 STATE CERTIFICATE NO. _ frf1 . . - _ BUILDER OR CONTRACTOR 6 t 0 __ -------------------------- _ ------------------------ SINKS 3 LAVATORY / BATH TUBS URINALS _ FLOOR DRAINS CLOSETS / SHOWERS / WATER HEATERS / DISHWASHERS / DISPOSALS - / WASHING MACHINE OTHER TOTAL FIXTURE COUNT 45 4 ,----) if INSTALLATION OF PLUMBING AND FIXTURES MUST Vitl if.j,/; BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. SEC. 27-3 (c) BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W/0 OVER SHOWER STALL, WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DOMESTIC (2 UN TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK & TRAY _ (2 UNITS) (3 UNITS DENTAL LAVATORY ) (1 UNIT) KITCHEN SINK CONBINATION SINK & TRAY W/ (2 UNITS) FOOD DIS. (4 UNITS) DENTAL UNIT OR CUSPI- DOR (1 UNIT) / KITCHEN SINK W, DRINKING FOUNTAIN (1/2 UNIT) / WASTE GRINDER:3 DISHWASHER (2 UNITS) FLOOR DRAINS (1 UNIT) / LAVATORY (1 UNIT) LAVATORY, BARB' LAVATORY, SURGEONS (2 UNITS) BEAUTY PARLOR SHOWERS GROUP PER'HEAD SURGEONS SINK (3 UNITS) (3 UNITS) (2 UNITS) FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP _ POT, SCULLERY STAND (3 UNITS) SINK (4 UNITS) URINAL, PEDESTAL, SYPHON JET URINAL STALL, BLOWOUT (8 UNITS) URINAL, WALL LIP WASHOUT (4 UNIT (4 UNITS) URINAL TROUGH EACH 2' SECTION (2 UNITS) / WASHING MACHINE RES. WASH SINK EA SE (3 UNITS) OF FAUCETS / WATER CLOSETS, TANK- WATER CLOSETS, VALVE - (2 UNITS) OPERATED (4 UNITS) OPERATED (8 UNITS) Z C TOTAL FIXTURE UNITS