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Permit 1226 Hibiscus St YJ CITY OF ATLANTIC BEACH (;- 800 SEMR40LE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033543 Date 7/24/06 Property Address . . . . . . 1226 HIBISCUS ST Tenant nbr, name . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2200 Owner Contractor ------------------------ ------------------------ SAUNDERS, LESTER G. DOMESTIC DESIGNS 1226 HIBISCUS STREET 438 B FLETCHER AVE ATLANTIC BEACH FL 32233 FERNANDINA BEACH FL 32034 (904) 321-0626 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 68 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2200 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68 . 00 68 . 00 . 00 . 00 Plan Check Total . 00 . 00 .00 . 00 Grand Total 68 . 00 68 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date C0(0 Heated Square Footage _@S per sq ft= $ Garage / Shed @ $ A per sq ft= $ Carport I Porch @ $ per sq ft= $ Deck. @$ par sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ Total Valuation 1st $ bah Remai Value $a per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 5" ZONING: + % Filing Fee $ �, FLOOD ZONE: _ ( )Fireplaces @$35.00 $ DVIPERVIOUS SURFACE: BUILDING PERMIT FEE $ g WATER IMPACT FEE $ SEWER IMPACT FEE S WATER 1VIETERITAP $ CAPITAL IMPROVEMENT.$ SEWER TAP $ C ( )RADON .0050 S SECTION H PAVING( ) S HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE S OTHER S GRAND TOTAL DUE: $ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031575 Date 11/09/05 Property Address . . . . . . 1226 HIBISCUS ST Tenant nbr, name . . . . . . DRIVEWAY Application description . . . RIGHT OF WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SAUNDERS, LESTER G. OWNER 1226 HIBISCUS STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 --------------------------------------------------- ------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total. 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES.. BUILDING OFFICIAL c�: CITY OF ATLANTIC BEACH ®W !� $ D.L. Fordns BUILDING / ZONING DEPARTMENTP 800 Seminole Road . Doerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax / www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: 1.2 Z r Applicant: 4�STf/ flu n olf�e5 Project: //f A-3 A) y This rmit application has been:. Fa) n Approved F-1 Reviewed and the following items need attention: Tw°1 � w P � Please re-submit yourp ' ati n when these items have been completed. Y Reviewed By: p Date: -. Date Contractor Notified: CITY OF ATLANTIC BEACH J ¢1i kCONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904247-5800 rf Atlantic Beach,Florida 32233-5445 , ax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. E°1 Date /4Q�+-goo 6- PERMIT# ISSUED BY THE CITY Job Address ' 0 -& (%r,� Permitee: Telephone# Permittee Address: Zla= Requesting Permission to Construct: Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No Date: Bell South Telephone Company Yes ( ) No Date: Ferrell Gas Yes. ( ) No Date: Comcast Yes ( ) No (,/) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach pr FI a Depaurtment 2f Transportation Standards and be performed under the supervis on of (Contractor's Pr ject Superintendent) located at,"4 -naftex Telephone#: foal,-6,S5� 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in imper.fious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Before me this day of in the County of Duval, State Of Florida,has personally appeared Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known: Produced Identification: rto CITY OF ATLANTIC BEACH `! �• OWNER/BUILDER AFFIDAVIT Date: wvy 0 If Job Address: CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE 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 AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF 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 BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL I MES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES 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 TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). 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 AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ER R/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 20_. NOTARY PUBLIC MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. MAP SHOWING SURVEY LOTS 5 AND 6 , BLOCK 230 , SECTION "H" ATLANTIC BEACH AS RECORDED IN PLAT HOOK 18, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVA.L COUNTY , FLORIDA . N WE5 r I4 T" S TRF T so R/w oa0 , o zp io2 0 O � h � 1 " N FiYD EP-� BLOCK � i � B G OC K NOTE•' •iPNGI..E'S AND /STi9NGE5 � -� /97 �` /96 V Q NO B.R . RS PER PLRT CITY OF ATLANTIC BEACH r s � PUBLIC WORKS DEPARTMENT 1200 Sandpiper Lane Atlantic Beach,Florida 32233 (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Dom- .3/J- 7-4-� Property Address: Z 2- �.-s e& J Applicant: �� f� Lc Project: Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. o Your permit application has been reviewed by the Public Works Department and the following items need attention: 01C P?z Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904)247-5834. Reviewed by Ri k er, P.E., Public Works Director Date 11161U1--- Signature 116 USignature Contractor Notified Date CITY OF ATLANTIC BEACH _ " CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF�AY �Si�dENZS. %j / 800 Seminole Road 904-247 5$10CH t i �� Atlantic Beach,Florida 32233-5445 V��uc` 904-247-584'5 6 Y �/ 042 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. oD� Date 14Q2)! 0200S7 PE Mt Y' � Job Address , � IS Y Permitee: Telephone# ybV•yW•S'L 9D Permittee Address: O� ,r�J 1 A646- L /,0 - Requesting Permission to Construct: Location: (Reference to Cross-Street) T. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes ( ) No Date: Bell South Telephone Company Yes ( ) No Date: Ferrell Gas Yes( ) No Date: Comcast Yes ( ) No (,/) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, .pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. . 3. All work shall meet City of Atlantic Beach or Fl a Depavirrientf Transportation Standards and be performed under the supervis on of _(Contractor's Pr ject Superintendent) located at�,uu, Telephone 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 8. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in imeervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Before me this day of in the County of Duval, State Of Florida,has personally appeared Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known: Produced Identification: H CITY OF ATLANTIC BEACH NOVO yx OWNER/BUILDER AFFID I T Date: _.. Job Address: CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE- OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE 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 AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF 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 BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE 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 DOES 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 TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). 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 AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ER R/BUILDER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 20,. NOTARY PUBLIC MY COMMISSION EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. MAP SHOWING SURVEY OF LOTS 5 AND 6 , BLOCK 2 30 , - SECTION "H" ATI,ANTIC BEACH AS RECORDED IN PLAT BOOK 18 , PAGE 34 OF THE CURRENT PUHLIC RECORDS OF DUVA.L COUNTY, FLORIDA. WF5T !4 T so R/w --- �o oa ry F�� X0,2 p sEr 00 J o f7 iii QQ � a 1 1\ FNp � SLOG(' � i � BG OC K NOTE•- •iVNG[ES R'ND p/STAN.GES /97 /96 lvs PER O[AT. •NO&.R..Z/ ,9S PER PLAT. CITY OF ATLANTIC BEACH PUBLIC UTILITIES DEPARTMENT Ir r 1200 Sandpiper Lane �1�r1 Atlantic Beach,Florida 32233 (904)247-5834 — (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # :51,57S- Property 51,7SProperty Address: /2. 2 (o #1-'el.S CA S J1 Applicant: Z S T�7, �fl u r 01,4 ' 5 Project: A) /i 1/ p!' Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions;please call (904)247-5834. Revi by Donna Kaluzniak,Public Utilities Director Date Signature Contractor Notified Date ¢ (eJ It/:z c� 0 C.E::L . ED 0 L yLy; CITY OF ATLANTIC BEACH BUILDING / ZONING DEPARTMENT L. Higgins oe 800 Seminole Road J _r) Atlantic Beach,Florida 32233 (904)247-5800 still) (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # e)L4 - 2 12 3 1 , Property Address: I ZZ(o (3150 oss ar Applicant: �F�U i.lTZS , L Project: A7 �X012 I This permit application has been: ❑ Approved ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: CITY OF ATLANTIC BEACH - ;v BUILDING / ZONING DEPARTMENT L. Higgins S1 s 800 Seminole Road J : v Atlantic Beach,Florida 32233 (904)247-5800 r r lll�� (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C-A- Z,?7 :9 Property Address: Z ., PSI 5SC uS Applicant: uN oELs , L . Project: This permit application has been: Approved Reviewed and the following items need attention: Please re-submit Or application wJwn these items have been completed. Reviewed Bya� 4l �`� Date: oil CITY OF ATLANTIC BEACH AUG, 5 2004 BUILDING PERMIT APPLICATION 0 4 (Alterations & Additions) BY: Date: Job Address: Owner of Property: F OX, Address: Z-YLI, 13(!ZJ8 S7-, Telephone: 26 Legal Description: Block Number: Lot Number: Zoning District: Contractor: PTS State License Number: Contractor Address: Telephone: Fax: —/_iS 4 Describe proposed use and work to be done: (2,J/12,5y fi_kpalei– Present use of land orbuilding(s): i�49� Valuation of proposed construction: 02 What are the dimensions of the added space: feet x :;'?d feet Will the added area be heated and cooled? New electrical or increase in service? wo Add plumbing fixtures? NU Add fireplace? -Zy"() Add heating/air conditioning? Is approval of Homeowner's Association or other private entity required? 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? [r/NO. Applicant certifies that no change in site grade or rill material will be used on this project. M YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ZNO. Applicant certifies that no trees will be removed for this project. ED 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. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required, (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 2 Revised 1/04 �ri�U�l jJui J. CITY OF ATLANTIC BEACH F'�vilr., OWNER/BUILDER AFFIDAVIT Date: �}`-n _ Job Address: J / ad -a, CHAPTER 489,FLORIDA STATUTES,PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE- OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE 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 AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF 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 BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE 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 DOES 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 TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). 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 AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE�,�N OWNER-BUILDER PERMIT. C TY OWNE _ R- SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF �(� 200 NY PUBL TVNOT : PHRASES UNDERLINED ABOVE. -5 ISSION Z IItES: E ��- MAP SHOWING SURVEY OF LOTS 5 AND 6, BLOCK 230,. SECTION "H" ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. WEsr 14 rH 6 7REE"T ,o a v , •0� S _ zur S 0 ct � I I O i � •.:c Jr r'ICE O GeV o � , � on n aubdtvislon s>,d NIIM ilnq► ap Val for M!(Nuala o/ / tate and "FwIw t e verfitad Beach Buildi ID"I"pw M M M! B DOCK � i � BLOCK ND idU19�1n6�iM. Nb D/ST.9N.GE5 � /97 0 I /96 ER [AT v 0 Appr*Sd W. Y Date: O 4f z OD I HEREBY CERTIFY THAT THE PROPERTY SHOWN HEREON IS IN FLOOD 'LONE: "C" AS SHOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR THE CITY OF ATLANTIC BEACH, FLORIDA. I HEREBY CERTIFY TO LESTER SAUNDERS AND JANICE A. SAUNDERS THAT I HAVI; SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION AND THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY RI-;PRESENI`F::, HEREON MEETS THE MINIMUM STANDARD REQUIREMENTS ADOPTED BY THE FLORIDA STATI' BOARD OF PROFESSIONAL LAND SURVEYORS CHA 21-H AND THE FLOR.CIDA I,ANI! TITLE ASSOCIATION. DON W. BOATWRIGHT, L.S. FLORIDA REG. LAND SURVEYOR No. 3296 SCALE: !"=20' BOATWRIGHT LAND SURVEYORS, INC. DA �IGNED DRAWN BY: GT. 1301 PENMAN ROAD SUITE D --1 -3+ f F.B. t: Fi�E JACKSONVILLE BEACH, FLORIDA 241-8660 SHEET OF CITY OF ATLANTIC BEACH IS1 800 SEMINOLE ROAD J � ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001179 Date 8/27/08 Property Address . . . . . . 1226 HIBISCUS ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc ADD 1 FIXTURE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAUNDERS, LESTER G. DERRICK CARTER INC 1226 HIBISCUS STREET DBA D. B. CARTER PLUMBING INC ATLANTIC BEACH FL 32233 3355 BOWDEN ROAD SOUTH JACKSONVILLE FL 32216 (904) 219-8308 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/23/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SE � I MINOLE ROAD,ATLANTIC BEACH,FL 32233 07- ~ OFFICE:(904)247-5826•FAX NO.:(904)247-5845 J BUILDING-DEPT@COAB.US 170 ' rf x 1F.?;i I'(x G ;l ,„i i!'" ,�C,!'i .,�C`•" "�r �5dfill PLUMBING LUMBING PERMIT APPLICATION PPLICATION Di UVALp C,'';3jOU,.. Nii TY l^ j�AjDDRC Q�%. ♦ YES PERMIT#Atlantic Beach FL 32 '-o /� " pI 4.NAME: 5.ADDRESS IF DI FERE,-h CTFROM JOB ADDRESS: 6.PHONE: LeS4 I L cc r i i' '� : N �` x 1LUM p� �sS+ N yrQ .ii'I41in'x.#1 E OF COMPA 8.ADD ESS.: � - " SA S)2 Cc ,/ k I 9. T91E�jF FLORIDgLICNSE N0: 10. ELL P N � �( , 11.FAX 12.EMAIL�ADDRESS: Y tic 13.OFFICE PHO � � r}v��� 14,'/'�t Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS ONTRACTORS SIGNATURE: IGNATURE: 18,VU .ATQRE ,wo f . 7 ❑ NEW ❑'06 FLORIDA BUILDING CODE- 13 RE-PIPE PLUMBING ❑OTHER: x 1 ati VA* "g .ill 'A.,-,II BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER(SPECIFY): ROOF DRAIN �' Y �„ ,, 2Q.�LUMBINrsR RMiT.FEES« .,G.'i g pl,- 4i� s M ,.;a, ' nl; PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 = COAB FORM BLDG03:REVISED:11/6/2007 I ISs CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD t, �r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 08-00001161 Date 8/26/08 Property Address . . . . . . 1226 HIBISCUS ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------"------------------------------------------- Application desc septic to sewer ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAUNDERS, LESTER G. OWNER 1226 HIBISCUS STREET ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee .00 Issue Date . . . . 8/26/08 Valuation . . . . 0 Expiration Date . . 2/23/09 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . SEWER IMPACT FEES 1250. 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 .00 Plan Check Total . 00 . 00 . 00 .00 Other Fee Total 1250 . 00 1250 . 00 . 00 . 00 Grand Total 1250 . 00 1250 . 00 . 00 . 00 R PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF r� A&o&e Vead _ 7� 800 SEMINOI.E ROAD ATLANTIC BEACH,FLORIDA 32233-544.5 TELEPHONE(904)247-5800 Aufi88, 1996 FAX(904)247-5805 SUNCOM 852-5800 Lester & Janice Saunders 1226 Hibiscus Street Atlantic Beach, FL 32233 Dear Sir: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: Re: 1226 Hibiscus Street a/k/a Lots 5 and 6, Block 230, Section H RE#171057-0050 Investigation of this property discloses that I have found and determined that a violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-8, i.e., storage shed in rear yard is collapsing. You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date of your receipt hereof, this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, Karl W. Grunewald Code Enforcement Officer KWG/pah cc: Public Safety Director VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED aZ& 74 t CITY OF r �ctiC Veai - 9&aialct 800 SE4fItiOLE ROAD ATLANTIC BEACH,FLORIDA 32233.5435 TELEPHONE(904)247-5800 FAX(904)247-5805 March 21 , 1995 Mr . Lester G. Saunders 1226 Hibiscus Street Atlantic Beach, FL 32233 Dear Mr . Saunders : Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida : 1226 Hibiscus Street a/k/a Lots 5 & 6, Block 230 RE#170037-0050 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinances Section 24-65 (Permit Required) i . e. , no fence permit on record; and Section 19-1 - Fence obstructs City right-of-way . You are hereby notified that unless the condition above described is remedied within fivteen (15) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 .09 , the Code Enforcement Board may impose fines of up to $250 .00 per day for a first violation and $500 .00 per day for a repeat violation. Sincerely, �rl Grun wa Code Enforcement Officer KWG/pah cc: City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED CITY OF t a otic Ve d - 14Ua (a 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247.5800 FAX(904)247-5805 April 14 , 1994 Mr . Lester G . Saunders 1226 Hibiscus Street Atlantic Beach, FL 32233 Dear Mr . Saunders : our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida : 1226 Hibiscus Street 4 a/k/a Lots 5 and 6, Block 230, Section H RE#171057-0050-0 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-(7) , abandoned pop-up travel trailer, i . e. , trailer has deteriorated and become a health and safety factor to the public . This is a re-curring violation. The original notice was on June 6 , 1992 . You are hereby notified that unless the condition above described is remedied within five ( 5) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 . 09 , the Code Enforcement Board may impose fines of up to $250 . 00 per day for a first violation and $500 . 00 per day for a repeat violation. Sincerely, ✓`-�-'- KarW . Grunewald Code Enforcement Officer KWG/pah cc : City Manager Don C . Ford CERTIFIED MAIL RETURN RECEIPT REQUESTED G9881 i iSR�3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCAT' TON INFOR TIOLN �. PERMIT' INFORMATION`--; _ {� q+ M) y� {(y�q�{y sy�(/�U STRUT ,.b. w Own Add F oz % 1 2 2 6, l l iMe.Mr.irY`T'w` 1 13 Permit Number: 91 $ 1 ' ' IC BEACH, FLORIDA Permit. Type PENCE ' LE�3�ib DESCRIPTION ' Class of work. NEW Lot.- &� Block: 06+ se t on. tonstx . Type WOOD 'FRAME Townshipt RNG: � i Proposed Use,. SINGLE FAMILY I7weItin 1 Code' D subdivision'., A�'t,AN'I?I BEACH ,.Improv , CosI~�' Asti+ $10 .00 b E R RLANS p , s ATIa ." ": a 7'w ..... — AP L I CAT r .. .a ` @V N �, PERMIT Lt NbESRS Adria SCG Vp S TREE'I' WAI` INPAC'I',, REIN Pzz � � Std 0C± Nr FLOR w, �1 n,iw. g� H� �ry9'4r 9x9,�, �#" A Ap 3 d � ' C RADoN 0AS-N a R,S. tI a D D ' ,LIQ T #PORHAI�l 00 Name' PRO �. .0 .. . >. xWR '' A' CROSS CONNECTION I'ON Std .00 Type: SEC R IMPACT PEE �a, b., . �0 w d URCHARGE q1"«1 ar� NOTES: k NOTICE-.ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPt!C'T D BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE.OF ISSUE BUILDING MATERIAL;RUBBISH AND DEBRIS FROM THIS WORK MIDST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED JP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER �`FAILIJ TO: COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PRQPERTY 0W ER pAYINGT WICE FORTHf BUILDING IMPROVEMENTS ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TQ REVt7CATION FOR VIOLATION OF APPLICABLE°P13OVISIONS OF LAW. ffi4.4Ut14 ATLANTIC B CH BUILDING PART NT 241 (041761, Y'` { 4 APPLICATION FOR FENCE PERMIT GS L_ r /Owners name ��� � � ,�1,L/� Q' �-S' Phone Job Address_- ----GQ' _,l�jyy2t-----------5 �I Lot so <, -Block and/or Unit Z-Subdivision_____________ Contractor if different from orner___ j2i%)�7 ___ -_______ ----------------------------------------------------------------- Valuation of fence __ . _ Corner or interior lot __- - Type construction__Z.202�____________________ Show location and height of fence as well as location of street(s). g ----- Date_ z�9�� Owner ai natur�'S� Contractor signature___ ------------------------------Date________ C-4 ./ CIO a - ot . x - (yd- 111.s, V ----- - J . 0 I r MAP SHOWING SURVEY OF LOTS 5 AND 6, BLOCK 230, SECTION "H" ATLANTIC BEACH AS RECORDED IN PLAT BOOK 16, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. wirs r 14 rw s �� -r so /W � /w ---- o a J � h � ti 0 Vlq CR NT V A 0 �v D a o yf1ClqIV-r co 0 ,�r ".P /oz.or/P $COCK 440cK N42 re'. OgNGy64AXDRI1001V4 1.97 p 0 /A6 -No B.R.C.AS PER PLAT- v � 1y19 CITY OF 14 800 SEMOLE ROAD oz ATLANTIC INBEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 June 3, 1992 Le,,.Ztvr & Janice �-.;aundu-rs 1226 Street Atlantic Beach, FT. 32233 Dear Kr. and lirs. Saunders-: Our records indicate that you are the owner of the following desm-ibed property in the City of Atlantic Beach : a/k/a Lots--57--5-n-ff-6—, -TrrMk 230 Section "14" - RE*171057-0050 1,1vesti.(..latiori of this property discloses and I have found Land determi tied that this property is i ri violation of the lollowing City of Atlantic Beach Ordinances and Southern Building Code Sections: 1 . Chapter 1'21-1-7 - Abandoned Camper You are hereby notified that unless, the conditiurio defcxil)ed abyve are remedic-.�d within fifteen ( 15) day:: from the date he:rvcf, thi,S will be turned uvex- to the Code Enforcement Huard. Upider Florida Statute 162. 09, the Code Enforcement Board may impose, fin=s of tip to $250. 00 per day for- a fix-!3(. violation and X500. 00 per day for a repeat violation. Please contact this office at 247-5826 regarding yuua- iriterzL to bi: i�g the subj(-::,ct pioperty into compliance. racer°ely, L Don C. Fox- Code Fri fort..-.emein t ().fficeir DCF/pah C'ty f' alar 6/25/92 CITY OF ATLANTIC BEACH 9 :45 : 28 CMR007 - SPECIAL INVESTIGATION CMN007 COMPLAINT # 65 GOr? COMPLAINT DATE: 92/03/19 ASSIGNED DEPT/DIV: 00 00 PRIORITY CODE: 2 COMPLAINT TIME: 12 :49 : 58 TAKEN BY: PHARRIS COMPLAINANT: HOGAN CLAUDIE , ADDRESS: CITY OF ATLANTIC BEACH ATLANTIC BEACH FL 00000 PHONE: 904-247-5834 EXT: LOCATION: ATLANTIC BEACH FL 32233 OWNER: LESTER G. AND JANICE A. SAUNDERS - COMPLAINT DESC: RUSTED OUT CAMPER ABANDONED LOTS 5 AND 6 , BLOCK 230, SECTION "H" RE#171057-0050 0 MAILING ADDRESS SAME AS PROPERTY DATE OF INVESTIGATION : 20/52/79 INVESTIGATOR: K GRUNEWALD --------------------------------------------------------------------------- CONDITIONS FOUND: AS PER COMPLAINT ACTION TAKEN: SEND LETTER. GRUNEWALD TALKED TO OWNER BY PHONE. OWNER WILL MOVE TRAILER ASAP. 6-9-92 . COMPLIANCE: NOTES: �4 /V ,4h� lG �� CITY OF ALTANTIC BEACH ; COMPLAINT MANAGEMENT SYSTEM Irl TAKEN (date/time) : _ / / 2 COMPLAINANT: ,�, O �, oq iC) S 4 U Last Name First Name MI ADDRESS: CITY/STATE/ZIP: , TELEPHONE: COMPLAINT: y (2U T LOCATION: _ Z PROPERTY OWNERS PHONE: ( ) - v 71 T Ju&)T PROPERTY OWNERS NAME: DEPARTMENT FORWARDED TO: Q3 E ua'r��CP ru Q u COMPLAINT TAKEN BY: A IzJ��`S DATE/TIME: OFFICE USE ONLY INVESTIGATED: (date/time) ASSIGNED DEPT. /DIVISION: PRIORITY: INVESTIGATOR: CONDITIONS FOUND: ACTION TAKEN: COMPLIANCE: NOTES: MAP SHOWING SURVEY OF LOTS 5 AND 6, BLOCK 230, SECTION "H" ATLANTIC BEACH AS RECORDED IN PLAN' BOOK 18, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. wEsr 14 rN s )rw'er oa Oho , I F/V!O •a1 25- 0ar � 1 CE NZ co �0 BGDCK � i � B L OG K NOTE •i4►NGGES/4'ND�/5'TigA�GES � `4� � A5 PER t T /97 0 I 0 /96 .No 8.,q.J. RS PER PM7-- v , :DEPARTMENT OF BUILDING �+ [� CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. v 9 PERMIT TO BUILD 11 *0D T1. THIS PERMIT MUST BE POSTED ON JOB *CnC � Date 9-4- 19_84 " � 1 i Ll/19/0 6149 .Oavc Valuation$ MECHANICAJee$ 42.00 7;3 1A 11/19/' i 00rn 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. i i This is to certify that AYR ENGINEERS , INC. I has permission to INSTALL HEAT & AIR 1 Classification R_V4ZI@&VNTIA.T_ Zone—RGI A Owned by TESTER AND JARICE SAUNDERS l Lot 5&6 Block 229 SID H I House No. 1926 Hibiscus Street ` According to approved plans which are part of this permit I NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE O Building material, rubbish and debris Z from this work must not be placed j in public space, and must be cleared up a hauled away by either con- ac o owner. Building Official. I i FOR OFFICE PERMIT DATE CONTRACTOR j USE ONLY NUMBER I PLUMBING ELECTRICAL II SEWER I WATER BUILDING AND ZONING INSPECTION DIVISION CITY OF l:PL.ANTIC BEACH, FLORIDA APPLICATION FOR MECHANICAL PERMIT IMPORTANT/-App/Goan(t ttoo comptate all Roms in sed*POm I. Il, 111, and IV- 1. tide of /�(o�lO 1V��-�/1l 6*1 am St. a.d S1. LOCATION (North,South.East.Wad) (Address) (Infenectieq Streets) OF BUILDING Let Ne &lock No Su"44si0n (State portion of bf if len t6a full bhAtfsd lgal description par deed in duplicate if nec~ry) 11. TYPE OF PROPOSED MECHANICAL WORK - AA applicants tempi,,• Parts A - D A USE OF DUILDINC &. OWNERS/HIP 11ESIDEN L IS. pf (swat,(indiv;dvol,cerporaPan, nonprofit ift04 ion,etc.) I, 1 One family 11. ❑ Utility Its. ❑ Public(Fvderel,State or but govete'eed) 2. ❑ Two ar more Family-- 12. ❑* School.library. Enter number of roan, other educational C. NATURE OF OF WORK 3. [3Transianl,Wal.metal, 17. B New Building rooming house- 13. ❑ Ston.n+arcanfile Enter number of uaitlOther 18, ❑ Eaisfing&uitdieq. 4. ❑ Other *s;do-fi&l 14, ❑ OTHER-SPECIFY Ft. ❑ Replecemeat of autfinq syatMa , 20, Na,e installation (me,system pwlovsty inaMlW) NONRESIDENTIAL 21. ❑ Eahnsion at add-on to e,afing system. S. ❑ Amwsoment,recreational 22. ❑ Other-Specify 6, ❑ Church,other religious 7. ❑ Industria B. ❑ Garage.service station E. TYPE OF 6UILDIt4C 9. ❑ Hospital,institutional 36. ❑ Number of 10. ❑ Office,bank.professional 37. ❑ Wood fume 0. MECHANICAL EQUIPMENT TO &E INSTALM 38, ❑ Masonry and wood (Provide complete list of compoaonh on back of this form 39, ❑ Reinforced concrete 23. �/��/ecmace: ❑ Space ❑ Reused Canfral ❑ Floor 40. ❑ Structural steel 24, Air Conditioning: ❑ Roo �eafral 41. ❑ Other25. VDuct System: Material Thicknost- Masimum capacity ©tJ cJ.m. 26. ❑ Refrigeration THIS SPACE FOR OFFICE USE ONLY 27. ❑ Cooling tower: Capacity 9-pin. (Raeei.ed) 28. ❑ F,re sprinkhsn: Number of heads 29. ❑ Elevator ❑ Manlill ❑ Escalator (number) 30. ❑ Gasoline pump, (number) 31. ❑ Tanks. (number) Remarks 32. ❑ LPG conlaiaom (number) 33. ❑ Unfired prassurs wua Permit Approved by Date 34. ❑ (toilers Permit Fee 3S. ❑ Other-Specify 111. GENERAL INFORMATION A. Type of h ting fuel B. IS OTHER CONSTRUCTION BEING DONE ON 4ZElectric THIS BUILDING OR SITE?. 43. ❑ Gas-❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER Of CONSTRUCTION�/ ;7 44. E3 Oil PERMIT _ L 4S. ❑ Other - Specify N. IDENTIFICATION - To be completed by all applicants In con64er46on of permit givea for doing the work as described is the above statement we hereby agree to perform said work in accordance with the aNacMd gylens and specitiu/'roma which are :part Mrect and in accordance with the City of Jacksonville ordinance and standards of 96ad practice fisted therein. Nana of Machaniul Signature of Contractor (Print) Cortrsctor Agent xv Name of Owner IPrint) _ Address Sig"Nro of Owner Signature of a or Autnonlad Agent �� ({ Archiled or Engineer CJ 7T;ACTORS LICENSE NUMBER LUU JOB ADDRESS / —/�`` - f CONTRACTOR OWNER , �,� BUILDING PERMIT ELECTRICAL PERMIT ! l ( % PLUMBING PERMIT MECHANICAL PERMIT FLOOD ZONE DATE SURVEY FILED called in approved JEA Temp-pole Slab Footing v r' Framing Plumbing (R) Electrical (R) Mechanical Fire Place Top Out Electrical Final � '�� �' / '� FINAL INSPECTION Certificate of Occupancy Issued COMMENTS : CITY OF r �uit�c Ve d 716 OCEAN BOULEVARD --- --- P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 November 28 , 1984 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory : Permit #4881 - 312 Second Street Permit #4882 - 310 Second Street Permits issued to Barkoskie Electric Company. , and, Permit #4117 - 1226 Hibiscus Street Permit issued to Brooks & Limbaugh Electric Company, and, Permit #4015 - 1845 Hickory Lane Permit issued to Allstate Electric Company, Sincerely, / 1. �L �L �'� •'�L� },.�:�_ ..\,� John M. Widdows Building Inspection Supervisor JMW:ra I g I STATE OF FLORIDA I DEPARTMENT OF HEALTHr ! & REHABILITATIVE SERVICES I SEPTIC TANK CONSTRUCTION PERMIT I t Duval County Health Dept. No. 5(T�Sl I t Owner S uart SI-ratton 1 For Installation At:1226 Hibiscus St. Lot 5 & 6 I ( Drainfield Size 280 sq ft Sand Filter Size Septic Tank Capacity Minimum 750 gal Grease Trap Capacity Minimum Dosing Tank Drain Tile I (a) Installation must be in accord with requirements of Chapter 1 10D-6, Florida Administrative Code. t (b) Final inspection required before work is covered. (c) Permit void if not used within one year. i (d) Approved installation does not guarantee performance. jDate of Appl' ation 8/29/84 Issue 9/7/84 Issued By aures E. Sa.Lzer, Supervisor INCITE: Public water required. Provide 26" of jelevation(suitable Oakridge sand in area 30x48. grade. Cover with 9-12" of clean sand and sod over. Per letter Fran AA dated 11/6/84 '.� $fie\mfl 3�3ad"0 -.6A atWt� as's '�aL Salu�ut �o - dui}nt" gu�pl` ting a, a'p°� �uQti9ana�suoa„u1pt- 9u znu} atpst�'��a� sY4Z .,sn a a,u��all anss} a0 t nss� baa aua�3 Iupnsi� p o aye ,,uv siy9 �11� oa sbm s ssua'"�ay}n u� � aye V}}m aalu�aun S a�{7 j° 601 ' fA%s �ropu��s � pia4fQK �� r)T: --- ---- ------ - --- :�}:011:1'ICAI.: } 1;I CAS.: ,--�- BUILDING PEVC41 T u01-KSHEET �- �, ° `�'f" r L'ARE FOOTAGE: Cat 4 @ $ fs Per sq. f t. _ $_ Ii:ATED S O � lyl _ ---- ;/:RAGE (PRIVATE/SHED): - @ $ `--- ____ _ Per sq. ft. _ $_ _ _-- -AITURT1 @ $ _ per sq. f t. _ $, per sq. ft. - $ 06- PORCHES: - -- DECK: _ @ $ _ _ _— per sq. ft. _ $- PATIO: @ $ per sq. ft. _ $ TOTAL VALUATION: $ ,� PERAIT FEES TOTAL VALUATION DATA is$_/ _ So c7Z) RE'MAI'NDER VALUATION @ $ per thousand or portion thereof TOTAL BUILDING PERMIT FEE. . . . . . . . . . . . . . . . . . . . . . . " . . . . .$1p�� ®� PLUS 15 THE BUILDING PFR*SIT FOR PLAN FILING FEE. . . . . . _ . . . . $_ TOTAL F —E DUE. . . . . . . _ . . . . . . . . . . . . . .$/� �. ----------------------------- --- --- ---------- ---------------------- —5 PLL.•.B1tiG PERMIT FEE: $ 1-Z CPA_NICAL PEP.IIT FEE: ELECIRICAL RESIDENTIAL: $ ELECTRICAL TL:,—LPOR_k_RY: $ WATER _METER SIZE: FEE: $ SEWER CONNECTION CHARGE: SQUARE FOOTAGE: FEE S NATER CONNECTION CYARGE: FIXTURE UNITS $10.00 PER UNIT: $ ACCOUNT NO- : APPROVED BY: TOTAL BUILDI`:G%PLAN FILING FEES: $ CITY Lsc �i i..;,2?tt:, c;:;+"; TOTAL 1-LATER . E'+ER CHARGE: $ TOTAL WATER CO':`:ECT1ON Cr'_ARGE: TOTAL SEWER C ":ECTI \ CEARGE: $ Qf GP__:D TOTAL DUE: PLUMBING WORKSHEET SINKS rr SHOWERS l D1 SHWA.SHERS CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE ! WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MF-46UREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO T}3E CITY LATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10. 00 PER FIXTURE UNIT CONNECTED TO THE CITY EATER SYSTEM. j� BATHROOM, GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINTK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUT:TAIN (15 UNIT) URINAL, WALL LIP (4 UNITS) FLOOR DRAIN (1 UNIT) �J WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED _ WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) SHOWER STALL, DOIESTIC BATHTUB (W/OR L,'/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY +� BIDGET (3 UNITS) (2 UNITS) DISI-11 (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SIr"K/I:ASTE GRINDER (3 UNITS) TOTAL FIXTURE 17-NITS@ $10._00 EACH, ��� it w +fir DEPARTMENT OF BUILDING 1 O CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD 1 *nD r THIS PERMIT MUST BE POSTED ON JOB QCs{ s? i�taKT Date Sept. 4 19 84 77u.� I A x/117/13 46,818. 80 208.50 61`"` .GfICAC Valuation$ Fee$ 7705 1 4 9/07/6 1110C1 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. STUART W. STRATTON This is to certif that 3365 Silver Palm Drive Jax Beach #CRCO27268 has permission to build Sinal ami 1 T h nmp a s spar plans submitted Classification Residmtial Zone RGlA. Owned by Lester gmd Janice Saunders Lot 5&6 Block 229 S/D H House No. 1226 Hibiscus Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE --► 4 O Building material,rubbish and debris Zi from this work must not be placed in public space, and must be cleared up and led awaytbeither n. tr " a owned Building Official. FOR OFFICE PERMIT DATE !!! CONTRACTOR USE ONLY NUMBER V PLUMBING ELECTRICAL SEWER WATER v CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING P;E��RMIT Owner, 7(yg J �✓tei ,�Sof, Alt)f,QS�,�/W�ddressR�_/ff*& �• !_�T103; f Phone Architect Address Phone Contractor 57y g 2i W• S-t-fZJ71MJ Address33"Si(.k&m jx( eq- Phone -)f5i --,� License Number_2,A& ,'?710 Expiration Date_ai o-%_ 30, 1185- Lot `t85-Lot # 51f Block # 2 2 Subdivision Zoning Street L�/815GUS Between /¢ and side wss7' Valuation $ 649640 Purpose of Building a Const-406-low- Dimensions : -406-low- Dimensions : Building 28'G`k¢8'G Lot /00 'y /OZ Sz. ootings t? A, Sz. Piers 8-k 14 Sz. Sills Greatest Span Sills Sz. Ceiling Joists' 5�� Distance on Centers 2¢ to, Greatest Span Z 7V Sz.Floor Joists Z kto Distance on Centers /4 r Greatest Span I S1 G �. Sz. Rafters Distance on Centers Greatest Span Heating 4i¢ f Solid-Filled Ground Roof Flood Zone �, If located within a FLOOD HAZARD ZONE fill out reverse of this application. ' Inspections Required: 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. J,�✓� .. 4. When framing, mechanical, rough plumbing and fire place is completed and ready to cover up. 5. Rough electrical. 6. Final inspection. In case of rejection, reinspection MUST be called SETBACKS for after corrections are made. In consideration of permit given for doing Rear ,Lot Line the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and w specifications , which are a part hereof, and CL in accordance with the building regulations fD m of the City of Atlantic Beach. t-' t-4 Off - O rt ��",� f�C rt L M 1r M LFront Signature OWNERSignature BUILDERit/, Lot Line FLOODPLAIN DEVELOPMENT It,'FOR.MATION Type of Development : New Building AItCr,31t-lors to F--.i`f-iI1z Blli1C 5ng Flood Zone (a? Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) a survey must be made after the slab has been poured, certifying that the "lowe'st floor elevation is equal to or above the base flood elevation established for that zone. No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS Applicant acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed developemnt. / Date A licant s Si l> PP n.atur g ----------------------------------------------------------------------- Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative REPORTING FOSM SW " "„� FLORIDA MODEL ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION 4 SECTION 5 • BUILDING DESIGN BY COMPONENT PERFORMANCE APPROACH ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS ..,` CODES AND STANDARDS SECTION STATISTICS: RESIDENTIAL AND NON—RESIDENTIAL BUILDINGS PROJECT NAME: (,qW JURISDICTION: ADDRESS: / ( 00S -r4if7 CITY, ZIP CODE: 4 Z . 73 m-et,-,r--e- 3--y3 3 JURISDICTION NO. _ BUILDER: S--IvA.Qi �. S-I-�Qa-L j-b ZONE: OWNER: .4i_57-E2 .t *WjGP 4)A/DE,/LS BUILDING CLASSIFICATIONIS?: BUILDING VALUE: S ✓p p p BUILDING INFORMATION COMPONENT R—VALUE OF AREA INSULATION ONLY WALLS CBS ❑ FRAME ❑ OTHER 9_V ' R- 9.'79 / o 4 7L3 GROSS AREA CBS ❑ FRAME ❑ OTHER R- q-,7f 2 /L 4 GLASS CLEAR ❑ TINTED❑ SC- ! ROOF/CEILING WOOD ❑ CONCRETE ❑ OTHER R- .30 FLOOR OVER UNCOND. SPACE WOOD ❑ CONCRETE ❑ OTHER R- / 5 O SYSTEM INFORMATION AIR CONDITIONER EFFICIENCY EER/COP= HEATING SYSTEM TYPE STRIP ❑ HEAT PUMP 0 GAS ❑ OIL G SOLAR ❑ HEATING SYSTEM EFFICIENCY EER/COP= �'.L/moo HOT WATER SYSTEM TYPE ELECTRIC ❑ HT. REC. jp GAS ❑ OIL ❑ SOLAR ❑ I UACTUAL- OrnACTUAL= �7`-• 2!s ). KE C OTTV X- 210 I OQ�' '•(\f t �• L WABLE= ALLOWABLE= C + i IFIl BY: • DATE: OF �� : ! de). Ok ,DP•>�'r (SI N AND SEALI Rip E CITY OF ATLANTIC BEACH, FLORIDA Avo.owd by APPLICATION FOR ELECTRICAL PERMIT � ,� .. TO THE CHIEF ELECTRICAL IN CTOR: DATE 1 ! IMPORTANT TIC � , /� "7` )# IN CON 1 TION 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 BEACHORDINANCES. r Jc ELECTRICAL FIRM: �- R NAME, ADDDRESSa;, �. . 1 fFD� B4X BLDG.SIZE` BETWEE RE& I APT. ( ) COMM.( I PUBLIC( i INDUS.( I NEWI( 3 OLD( ) REW..( I ADDITION ( i TRAILER ( ► TEMP.i SIGNS 1 1 SQ.FT. SERVICE: NEW( ! INCREASE;( 1 REPAIR t I FEE CONDUCTOR SIZE< AMPS COPPER I ALUM SWITCH OR BREAKER AMPS PH YY V LT RAQEWaY MUT.SERV.SIZE' AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING.OUTLETS CONGEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMM, 31.100 AMPS. SW ITCHES INCANDESCENT FLUORESCENT&M.V. FEXED 0.100 AM". OVER APPLIANCES BELL TRANSF. AIR H.P.RATING ".PG RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CE#L HEAT: KW-HEAT` o _0.1 If F. MOTORS H.P. VOLTAGE PHS NO. 1`H.P. VOLTAGE PHS ISCELLANEOU TRANSFORMERS: UNDER 600 V. dVER 6©0 V l CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION lz z CR /Z 6/ 0S 51' PLUMBING CONTRACTOR LICENSE NUMBERS OWNER BUILDING CONTRACTOR 577v RA F ST/2 AT T urJ TYPE OF BUILDING ,/ SINKS SHOWERS _LAVATORY _WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. DEPARTMENT OF BUILDING184 T, • „ 1 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD 8224 1 A 1`'/u1/s THIS PERMIT MUST BE POSTED ON JOB ;tU4 I n 1 t'1/01/04 Date 9494- 19 84 1 MC 1 Valuation$ PLUMINGFee$ 38.00 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. i This is to certify that WILLIAMS PLUMBING COMPANT I ! has permission to b& INA[TALL PLUMBING Classification RF-r,101)FNTTAT. Zone RGA - Owned by Saunders Lot 5&6 Block 229 S/D H House No. 1226 HIBISCUS STREET According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS S` AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS i AFTER DATE OF ISSUE 4--i; 4 C O Building material,rubbish and debris z from this work must not be placed in public space, and must be cleared up aud-;#>tsuled away by either con- t�x'ct o ner. / Building Official. f FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL t SEWER , ` WATER i CITY OF ATLANTIC BEACH, FLORIDA Pry+ Y ARPLICATION FOR ELECTRICAL PERMIT OTO THE CHIEF ELECTRICAL INSPECTOR: DATE:__. ' 19 IMPORTANT NOTICE: IN CONSIDERATION 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. RE JOURNRVMAN ELECTRICAL FIRM: M&gERE T T NA J 7i / -l"�Tr/fJ -ADDRESS: I�6I SGUS RFD.�.._BOX BLDG.SIZEAle1 ��1: '�" iC l�,S� BETWEEN: riMC 2Z Sc�r,� RES.(X APT. ( 1 COMM.( 1 PUBLIC f 1 INDUS.( 1 NEWP<) OLD( 1 REW.( I ADDITION( 1 TRAILER( 1 TEMP.j 1 SIGNS ( 1 SQ.FT. SERVICE- NEW f ,. '10CREASE( 1 REPAIR( ( FEE 00N0=0R SIZE AMPS COPPER I ALUM. f/�7 _ SWITCH OR BREAKER AMPS PH W '�"/'VOLT vR CEW Y � 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 AMws. a�.too HNPs. SWITCHES INCANDESCENT._ FLUORESCENT&M.Y. FIXED; 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIS. H.P.RATING H.P.RATING �A" HER MOTORS; AMPS T 0.1 OVER MOTORS H.P. VOLTAGE OHS NO, 1 H.P. VOLTAGE PHS MISCELLANEOUS f oc�) TRANSFORMERS: UNDER Std V, OVER 600%V.