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Permit 1862 Hickory Lane (2) < I` - CITY OF ATLANTIC BEACH r i 800 S EMINOBEACHLE ROAD ° j ATLANTIC , FL 32233 fi t) INSPECTION PHONE LINE 247 -5826 Application Number 06- 00033656 Date 8/16/06 Property Address 1862 HICKORY LN Application type description RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc KITCHEN REMODEL Owner Contractor SHELTON, DAVID A. CHARLES COLLIER REALTY INC. 1862 HICKORY LANE 4552 BAY HARBOUR DRIVE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 641 -7533 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 155.00 Plan Check Fee . . 77.50 Issue Date . . . Valuation . . . . 25000 Expiration Date . 2/12/07 Fee summary Charged Paid Credited Due Permit Fee Total 155.00 155.00 .00 .00 Plan Check Total 77.50 77.50 .00 .00 Grand Total 232.50 232.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r js ��`J o s a CITY OF ATLANTIC BEACH ss� _ '' PLAN REVIEW SHEET Routed to: ski Building Department Public Works & Public Utilities Departments L. Higgins 800 Seminole Road 1200 Sandpiper Lane Atlantic Beach, Florida 32233 Atlantic Beach, Florida 32233 R. Carper (904) 247 -5800 (904) 247 -5834 D. Kaluzniak (904) 247 -5845 Fax (904) 247 -5843 Fax Public Safety PLAN REVIEW COMMENTS n Permit Application # up- 531.0 42 Property Address: 1 8( ()A CKor /U no Applicant: CJir 1 l_ CoIr Project: k,J 4 1hff1 Pf7Ode This permit application has been: Cr Approved as noted by the P) Department. Final application approval must come from the Building Department. Reviewed and the following items need attention: • Please re- submit your application when these items have been completed. Reviewed By: Date: 0(q/06 Date Contractor Notified: LAN 'o' CITY OF ATLANTIC BEACH ; BUILDING PERMIT APPLICATION (Alterations & Additions) Date: 1 • if ea? Job Address: /1 <; 2- ' l ok7 Lm . /{J ti4 y f : el y Owner of Property: O4 r e- 4 Hei Cs�, .s 4 e //v'q Address: Jg 6' /-/ 4 s vr h . Telephone: L S/ - Legal Description: Block Number: Lot Number: Zoning District: Contractor: Le,( /! Lv'e/ Ike . State License Number: G /PC dp6'0 77 Contractor Address: ' 5r 2. IQ q l � `o ar 12 1. J li ol . P/ 31 z- Z- S Telephone: ,4 y/ 7s 3 7 Fax: y/ •71,'/ Describe proposed use and work to be done: Qe f Lsl4 r' f �e A. ,t;.f AI S7; / ith elf S Add L %� :1, J .1.1 ' Present use of land or building(s): //p o ».i e. Valuation of proposed construction: Z S-1° b a What are the dimensions of the added space: ,r// feet x feet Will the added area be heated and cooled? /1/ New electrical or increase in service? Add plumbing fixtures? J 44 Add fireplace? A6 Add heating/air conditioning? IA, Is approval of Homeowner's Association or other private entity required? 1, If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? 14 NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. ❑ 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.atlantic- beach.fl.us Page 2 Revised 8/04 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre - construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information prov d d ith a lication is correct. Signature of owner Ail J' 'L U jr. Date: Ep • 1 ' tJ EP V � I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: 17,444 Date: 8' 6 Address and contact information of person to receive all correspondence regarding this application (please print). / if Name: �4Q y/ ,/ � ' C � / /` ; ,/� .� l Mailing Address: 'f sm . , 4' ( y f�T ✓ Q bi- J-� 7 2 '3 -2-3 Telephone: Y1 • .S 7.7 Fax: yam- 223 / E -Mail: c. /J • �3 •l /08 AS TO OWNER: Sworn to and subscribed before me this day of (jLL 0 , 20 0 b. State of Florida, County of Duval f� Notary's Signature: i C - • JoAnn C CoNler My Commission 00116038 ® Personally known N or w Expires August 21, 2006 ❑ Produced identification Type of identification produced AS TO CONTRACTOR: �l Sworn to and subscribed before me this ZS day of 0.96eAt , 20 State of Florida, County of Duval Notary's Signature: Jomn a comer My Commies 00116038 ► Personally known o '" ecPires August 21, 2006 ❑ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 3 Revised 8/04 1 6 sommes 1% .. '''''' , k <— Z..-11„___ f- . �•� R; Y� j u (.i1 '\ 3 r C r,14, 1 1 / 4 7 7 / r e a'$ 4 t - x i,1 T i i , . , J / & j t Z xr_a_.,,2�,4_a;ct_ / :l_p,,� I ✓ a I <.k1 r o r 1 �� , ( .0 .„ MOH I U 1 ( .� Q \ 1 . b W i ■ ; 1 p C c oy ? Ii p z r- 7o \ ti, T c) m � ��ttt�nurrrrurririq� i o * R041 �0.• ••O'% \ \ -: • 0 z 1 .. • cif'nt \ • 011111101 ------- --_-.':--- �CZ • D r o • O .� '� 0 001 ,, ,, o — *; i • . � 0 />' • •• • �rr I urrnnmm1n Doc # 2006276962, OR BK 13444 Page 1 riff, Number Pages: 1 Filed & Recorded 08/0812006 at 02:57 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT State of r:19 T Folio No. County of tie ,s To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Address of property being improved: 8 2. ; • DY Irf , r- - / - General description of improvements: At s »// if to J• 4 ,1d .444 eat , d.1: L Owner: P , J Address: )7 2- iG / ^ s ✓, 4 , e 1r 4y !a: • s /, 1 • Owner's interest in site of the improvement: Fee Simple Titleholder (if other than owner): Name: Address: Contractor: e .w r e Y ' a.i '' Address: 11'7 if ..f .o !rQ r 6 • [� v ,7 q x . f ,' , h Phone No: 6 yf . 3 Fax No: /- Surety (if any): Address: Amount of Bond S Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents maybe served: Name: Address: Phone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2Xb), Florida Statues. (Fill in at Owner's option). -- Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OW� Si e� gn ft wo Date: ,4 $ - Oe Before me this ; day of in the County of Duval, State of Florida, has perso Ily'• ppeared Notary blic at Large, State of Florida., CounV of Duv 1. My commission expires: 8 • uR Personally Known: 1 V or Produced Identified ion: J nAen c coNior f My Commission 00118039 1 0. 0 , Expires August 21, 2006 CITY OF ATLANTIC BEACH ""`" DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION' INFORMATION Permit Number: 18224 Address: 1862 HICKORY LANE Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): 27 Block: Section: 12 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 5/14/1999 Name: DAVID SHELTON Total Fees: 25.00 Address: 1862 HICKORY LANE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/14/1999 Phone: (904)249 -4484 Work Desc: WIRE FOR ROOM ADDITION COlV1TRACTOtS). APPLICATION FEES TRI COUNTY ELECTRICAL CONTRACTOR PERMIT 25.00 Inspections Required ROUGH ELECTRIC FINAL ELECTRIC NOTICE - 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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. C � #25.8014 A L�ITIC BEACH U ILDING DEPT. Date: 5t1413`3 01 Receipt: 5. 1 CHECKS 114' 0010E603221060 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247 -5826 - FAX: 247 -5877 PERMIT INFORMATION Permit Number: 18090 LOCATION <IIVFORMA'1"IDI1I Address: 1862 HICKORY LANE Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): 27 Block: Section: 12 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: 6,864.00 OWNER INFORMATION Date Issued: 4/16/1999 Name: DAVID SHELTON Total Fees: 67.50 Address: 1862 HICKORY LANE Amount Paid: 67.50 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/16/1999 Phone: (904)249 - 4484 Work Desc: ENCLOSE EXISTING SCREENED PORCH CONTRACTORS) .... <APPLICATION FEES JOHN E. DAVIE PERMIT 67.50 SP:ect[ons Refgtdred COVER UP FRAMING INSULATION FINAL BUILDING FOOTING NOTICE - 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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. cti L. - $67.5% 14 , ATLANTIC BEAC BUILDING DEPT. Date: 5/97/99 01 Receipt: 8854635 CHECKS 1271 08100003221000 • CITY OF ATLANTIC BEACH g :,, PERMIT APPLICATION RE DUEL, ADDITIONS, MOVING, MOLI TIONs App 1 5 1999 Owner(s): y P41/1 �� �1 i el,tc �1 of Atlantic Beach , C i t Job Address: 1 1 1 6 . 2 , N1tk4+2y 24, Atiopng and zoning �rGVY1�'9honG': c.� Lot # 2' Block or Unit # )2 Subdivision: fU /Vtyy el. Contractor: ' ,E . ' DA ' . State License # [;i1j.CO219S2 Address: 5 -4S1, AT /L& Rti.) 5414060: 6S5-3elig City State Ft Zip Code Describe work to be done ► ti/e eccsEvn. q &m eet! parch . Present use of building: 6/Fs C 1d1e4tCQ • Valuation of Proposed Construction: 461rO s Proposed use: '14444 i rov fre. Is this an addition? If If yes, what are the dimensions of the added space: w- ft. X ft.' Will the added area be heated and cooled? New electrical (or increase)? y4/1 New plumbin fixtures? 410 New fireplace __New Heat /AC? '1 0 I SUBMIT TIM=E (COMMERCIAL) T7 V (RESIDENT ) capon= SETS OF PLANS, mczmoI2IG SITS PLAN, SURVEY, amaar core • •, •;, NOTICE or AND OWN /CONTRACTOR AFFIDAVIT, il .- XS ature OWN: i Signature � ♦.v / � �i Date: Signature CONTRACTOR: 1 /�' g �t[ll..� .L Date: • • `. AS TO OWNER: III! �"�� Sworn to and subscribed before me this r 41 day of 1 4 ).-, , 19 . MARY S. SiviIFH Ikea • _, Notary Public, State of Florida •TARY PUBLI ' `~'� "��' --- AS TO CONTRACQi9FComm. expires June 2, 2001 � ■ Comm. No CC 651891 Sworn to and subscribed before me this\ 4 day of f r A ,199.9 NOTARY PUBL' MARY S. SMITH Notary Public, State of Florida My Comm. expires June 2, 2001 Comm. No. CC 651891 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600C -97 Residential Limited Applications Prescriptive Method C NORTH 1 2 3 Small Additions, Renovations & Building Systems Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600C -97 for additions of 600 square feet or less, site- installed components of manufactured homes, and renovations to single and multifamily residences. Alternative methods are provided I r additions by use of Form 600B-97 or 600A -97. PROJECT NAME: BUILDER: , j�J 2]• - � • AND ADDRESS: r //► 1 I�tl�, PERMITTI • CLIMATE lialE «ir�.r� '. r „ � OFFICE: ' r • tf • ZONE: 1 2 3 ��YVV OWNER: �.„ 11 u e . PERMITNO.: j , g `, 62-. [i' JURISDICTION NO.: /2 � f r 0 SMALL ADDITIONS TO EXISTING RESIDENCES (600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C -1, 6C -2 and 6C -3 apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value of the building). Prescriptive requirements in Tables 6C -1 and 6C -2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS. Only site - installed components and features are covered by this form. BUILDING SYSTEMS Comply when complete new system is installed. Please Print C K / 1. Renovation, Addition, New System or Manufactured Home 1. ✓ If 2. Single family detached or Multifamily attached 2. NT 3. If Multifamily -No. of units covered by this submission 3. il fA 4. Conditioned floor area (sq. ft.) 4. t 5. Predominant eave overhang (ft.) 5. 6. Glass area and type: Single Pane Double Pane a. Clear glass 6a. sq. ft. q. sq. ft. b. Tint, film or solar screen 6b. sq. ft. - sq. ft. , 7. Percentage of glass to floor area 7. 2 C % V 8. Floor type and insulation: I.... I =^ a. Slab -on -grade (R- value) 8a. R= TCI lin. ft. b. Wood, raised (R- value) 8b. R= sq. ft. c. Wood, common (R- value) 8c. R= sq. ft. d. Concrete, raised (R- value) 8d. R= sq. ft. e. Concrete, common (R- value) 8e. R= sq. ft. 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R- value) 9a -1 R= sq. ft. hen ~ • 2. Wood frame (Insulation R- value) 9a -2 R= /1 C396 sq. ft. _ 1)IE b. Adjacent: 1. Masonry (Insulation R- value) 9b -1 R= sq. ft. ._..h! 2. Wood frame (Insulation R- value) 9b -2 R= sq. ft. c. Marriage Walls of Multiple Units* (Yes /No) 9c 10. Ceiling type and insulation: /� a. Under attic (Insulation R- value) 10a. R= GX1gor• 4, sq. ft. b. Single assembly (Insulation R- value) 10b. R= 1t sq. ft. 11. Cooling system* D (Types: central, room unit, package terminal A.C., gas, existing, none) 11. Type: in oN & .4 /C.,/ ' / P SEER /EER: q' I • 12. Heating system *: (Types: heat pump, ele s natural gas, L.P. gas, 12. Type: gas h.p., room or PTAC, existing, none) HSPF /COP /AFUE: //1 7t 13. Air Distribution System *: a. Backflow damper or single package systems* (Yes /No) 13a. h16 b. Ducts on marriage walls adequately sealed* (Yes /No) 13b. h f& 14. Hot water system: 14. Type: h ei . (Types: elec., natural gas, other, existing, none) EF: * Pertains to manufactured homes with site installed components. I hereby certify th. e Is a . .1 : ., covered by the calculatio ar • Review of plans and specifications covered by this calculation indicates compliance compliance with t- - Flori it r r' . = / • DATE: J A . i s 9 with the Florida Ener Before constru Ion is c g gy pleted, this building will be PREPARED BY: 'f `7, i for complianc in a ordance with ecti 3.9 , F.S. � � I hereby certify th. : 1, p • �� . ce with,t � Florida Energy Code. l l BUILDING OFFICIAL: t_ 0---',.-- ,t OWN Dfl OWNER AGENT: DATE: DATE: - - -1- CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 1 (Q, - k \ C kl a . 1 IN M f Date LI -10 Heated Square Footage 2(i C/ @ $ itti, 0 per sq ft = s / / / 0 Garage /Shed @ 5 per sq t t = 5 Carport /PorcE- fit/S 1/4 24y @ (L Lk per sa ft _ K 2 . ! Deck @ S _ aer sG _t = S Patio $ per sa ft _ 8 TOTAL VALUATION: 5 C 6 If Tctal ju tion 1st $ /000 Remaining Value $_5- per thousand or portion thereof TOTAL BUILDING FEE ti -SL5_ + 1/2 Filing Fee $ S ( ) Fireplaces @ $15.00 5 — n- BUILDING PERMIT FEE S WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER /TAP S CAPITAL IMPROVEMENT S SEWER TAP 5 RADON (HRS) .0050 8 SECTION H PAVING ( $ HYDRAULIC SHARES 5 CROSS CONNECTION S SURCHARGE .0050 OTHER $_ A GRAND TOTAL DUE $ 6 7. ADDITIONAL PERMITS OR FEES:Mechanical Piumbina Electric /New Electric /Temp ;SwimminaPool Septic Tank ; Well ; Sign Finish Floor Elevation Survey ; Other CALCULATIONS and /or NOTES: AF2f906A i MAP . SHOWING SURVEY OF LOT 27 SE L. va MAR /NA UN/ r NO. /2-0 AS RECORDED IN PLAT BOOK 37 PAGES 29 OF PUBLIC RECORDS OF D4/1/4L COUNTY, FLORIDA FOR '/EPTUA/E BCJ /LDERS ........a GOIi LOT 2 , T. 2 S. R. 29 E. ; RANGE 29 E4ST 90.0a' 90.041 – d. 1 2O, 0 � _ Scree_ ne �bres ii_ I — Ail if iev; H r 22' ,: \\ 48 20' i\ X"OU/vvQ 77 c. LOT 26 O LOT 28 01 /= /N. .c'LCC, E-L. = (/ 0. Sl 3) i4' dr 20' O Q 1 \ N O „, N 22' 23' ' 0 90.(0 RECEIVED APR 1 5 1999 Hi C KO R Y (moo -R /n•) L 4 NE City of Atlantic Beach Added p ‘' 5 /9-g Building and Zoning �r'c ��? //„/ L GJ y�. TYPE WORE 41' --�—('9 10B ADDRESS � �/ _ PROPERTY O laic ) TELEPHONE 9- 'V`/ CO NTRACTOR 1c ` TELEPHONE 3 S E G gf PERMTT'NUMBER / efu 96/ DATE 1 7 1 / INSPECTIONS: FOOTING SLAB TIE BEAM LINTEL NAILING/SHEATHING FRAM:PIG /COVER UP S— / 7— 9? INSULATION FINAL BUILDING / 4' CERTIFICATE OF OCCUPANCY FT.FCTRICAL PERMIT# / Y J` INSPECTIONS ROUGH S' FINAL / / —i6 MECHANICAL PERMIT# INSPECTIONS ROUGH FINAL PLUMBING PERMIT# INSPECTIONS ROUE /UNDER SLAB TOPOUT WATER/SEWER FINAL NOTES: t<1 ` 1 Lr \ ',: CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 ELECTRICAL PERMIT `' PERMITIIlFOl2MATiON.. :LOCATION INFORMATION: Permit Number: 18224 Address: 1862 HICKORY LANE Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): 27 Block: Section: 12 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: Improv. Cost: OWNERINFORMATION Date Issued: 5/14/1999 Name: DAVID SHELTON Total Fees: 25.00 Address: 1862 HICKORY LANE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/14/1999 Phone: (904)249 -4484 Work Desc: WIRE FOR ROOM ADDITION APPLICATION FEES TRI COUNTY ELECTRICAL CONTRACTOR PERMIT 25.00 . fnspeectlo Required: ROUGH ELECTRIC FINAL ELECTRIC NOTICE - 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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. PAID MAY 1 4 1999 City ot Atlantic Bch. C AT4TIC BEACH UILDING DEPT. CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT ----;pp70wd DY - 19 _._. p AT E : co THE CHIEF ELECTRICAL INSPECTOR IMPORTANT NOTICE'. I CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBE ANN AND SPECO WING, WE � HEREBB Y AGREE TO PERFORM SAID WORK IN A- CE WITH THE ELECTRICAL REGULATIONS CODES AND CIT RDANCE WITH THE ATTACHED `Ai BEACH ORD�NANCESND IN ACCO . j r. ATLANTIC iRI COUNTY ELECTRICAL ,,' :ONTRS, INC . ER .. E . IEC ECTR IiiCAL FIRM.. MAS ER T• IA► . t . t • is 00------130X ._.�- .410 is �, ADDRES : • • NA t dSTtNE6N; cJ BLDG. SIZE _...�� 6 INDUS. ( ) NEW ( ! OLD REW, ( 1 APT. ( 1 COMM. ( ) PUBLIC l 1 RES. SO. FT. TRAILER t ) TEMP t ) SIGNS ( 1 HIE________,-- ADDITION REPAIR ( 1 SERVICE; NEW ( 1 INCREASE ( ) �__ AMPS pPPE' ALUM, COtintICTOR SIZE _�� -T - ..... -- - ----`- im plin AMPS ._.. PH I T rOR E3R AKER ` OLT )C� AMPS PH EXIST T • S_ E R V . SIZE E ._..� ---- -^ SIZE ...•---- -- ----` SIZE NO. SIZE NO -- --- FEEDERS O. ---I r OPEN �_ TOTAL �------ -•-•-" Z CONCEALED LIGHTING, OUTLETS ?--- - TOTAL _......, --- __C- � OPEN 4 __ CONCEALED P1.100 N . SWITCHES RECEPTACLES _ r Q 30 AMPS I - ...-.----- INCANDESCE � N7 . - -- _ FLUORESCENT & M. V. ov_E BELL TRANSF. 0.100 AMP6 FIXED APPLIANCES _ „ ---- "”" H P. RATING AIR H.P MOTOR - OTHER TORS_ ,AMPS CELL HEAT KW NEA __ ___- -----" CONDITIONING ________. ---- _.__... OVER VOLTAGE im PHS 01 H P �/OLTAGE PHS N0. MOTORS ----- _%., _%., -- -- .. M15CELLANEOUS " , �„",.•,,,_. I OVER 600 V. UNDER 600 "` -- __ ..��cnQMFFS: V• .... I ' • CITY OF /MANTIC BEACH APPLICATION TO MAKE ADDITIONS OR AL1EI (IONS Own mod. Y`/4rr, , + v� al 54 e b? e7 Address i ad /4 c ka r y Lane Phonekl ` Architect Address Phone /6 7 "rem a,21 Contractor f\� p t o i *�f,i r, Ad dress /fie / inane . Contractors License /Certification Nuibers �" ( -G : - ' () • Expiration Date 6 ' Property Address /f /7iG karc 1171, Zoning Lot / 7 Block or Unit # Subdivision ` j?/j/'c? /Via t »i Valuation of Construction Type of Construction Fr-6441e Describe Work to be performed Add e- e hey se_ Materials to be Used ari e — Present Use of Building Re. i d e./l e Proposed Use of Building R6 /c e e Flood Zone Dimensions of New Area: • • l II:AIED GUAM OR S'IURAC CARFOIUS OR PORQI DECK ' PATIO YES • NO NUTIBER Will there be an increase in number .of units? • Will there be a decrease in timber of units? Any additional pluubing fixtures? Jam' Any new fireplaces? - SUBMIT 1WU CUMPLEIE SETS OF PLANS INCLUDING SITE PLAN • • Signature OWNER j Date Signature CONiltAC1OR G J Date 5'/,9 - . • Address / -6, Z '/ / c E „,.. �,� ,, Heated S Footage @ $ per sq ft = $ Garage /Shed @ $ Der sq ft = $ Carport /Porch "6 @ $ . er sq ft = $ 4 ,W10 2 :7 Deck @$ per sgft =$ Patio @ $ per sq ft = $ TOTAL VALUATION: $ / 2 � , / r ,D.0 Va Tota ( 00 1st $ � ( •,/'' $ „5 , ` Remainder' Val Valuation ' $ � er thousand and or portion thereof Total Building Fee $ ' 9-€) ADDITIONAL PERMITS and /or FEES REQUIRED + k Filing Fee $ se. Mechanical Fireplaces @ 15.00 $ Plumbing BUILDING TERMIT FEE $ / ? 5-° Electric /New Electric /Temp , S© Septic Tank BUILDING PERMIT $ ��- Well WATER METER CHARGE $ Ssunning Pool SEWER IMPACT FEE $ Sign. WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE $ /i CALCULATIONS and /or NOTES i i- w _ W N cm C " / ' l CS 1.11 C C4 cm al W N, CI 1171 a N. 03 m r, 5 z 0. W < m c Z ^ W to N �� N v C I) � n k i v O til L `N L 0--; U N ,,1I I • + •..1 s V ---1 1 0 \._ A � _ ' a y olL i vi in I J. / co N. {, cr \ _. S a. itl �A :�. N NI— d C P `I- Z "' M � N Vi 71 7 ® C� o d1 T . N Cr p c o y Z . > �4 S N w I Q CG i ' :It ! �' 2 M '.' a. 1,1 :w w z z Ri C3, 1 L — I I vd 1 . . — r �0 _ ' `� r I I i k 0 C 0 — - - t - I - N i y 3 -- � cal — `0 I1 o _ q 1 t. ,II 7 ' I t . IT ! . \__ AV CS = m N L _ J N Cna V " 4 v CC ° ° N Sit) J .4- 1" N .Li LAJ m ' ii 43 , L I =�_ 1 `" / - » Z Qx a / � , -� -1. , 4 , / "rte N ' % NJ 'r . { tire "4 Z O a x C U 0. 1 w vl 1 44 / Z ‘c". 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W a m s �- � ,-, h to w = ki \ c-) m 'c r , Q = 1a 0 - ' . c N r 1 14 1 g. toi ci ! o a ∎ 1 - -- V V) is 1 r W y� tI ! -- I , r> ts V K `' k _ '4 o °` \ L ' I:: t �--1 � f q - — 1 i \ _ 1 Sn 1-.1 01.1 / J �� 4 AF 241906A • r MAP .SHOWING SURVEY OF L 27 SEL V,4 MAR /NA !JN/ r NO. /2.0 AS RECORDED IN PLAT BOOK 37 PAGES 29 OF PUBLIC RECORDS OF 04/1/.4L COUNTY, FLORIDA FOR 1 VE °70A/E 8CJ /LDERS • GOt�l LOT 2 j T. 2 S. R. 29 E. , R4NG� 29 E4ST 0 90.0 4' "---,, 0 90.01 20,0 ._Sc r'eened. 7b r a /i- --_ I \.._ .1,... 22' :\ \ -- 20 ' 48' K � OUNU. r /C \ L07 06 -L. LOT 28 CA /-' /N. .c'LC.OR t.:.. = ( /0. '3 ) h 0 z \ 0 „' N 22' 23 ' 0-- 90.0' a H/ C K O f? Y (Go ,4 /w) 1- A NE A c)re‘ s /4 -PP >r. DEPARTMENT OF BUILDING PERMIT cm, of ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 3/24 19 R3 Valuation $ MECHANICAL Fee $ 49.00 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. 97 b i{ G & AC OCEAN STATE HEATING J ` This is to certify that / 4 has permission tom ingtall_ heat & air Classification, KIUDIKSXMain SINGLE Fie PUTJ Owned by MR. & MRS . DAVTD SHRT,TON Lot 27 Block S/D House No. 1862 HICKORY LANE According to approved plans which are part of this permit NOTICE —ALL CO; AND FOOTINGS SPECTED BEFORE PERMIT VOID AFTER DATE — /- ---- -� O Building material, ri -1 from this work mut in public space Ad up AO = t a h �d�QFFICE PERMIT oN`y NUMBER u5t L`-1JILL1NG AND f t.: 1 Ik!SrE CTION DIVI IOIJ CITY OF LTLAN'11C BEACH, FLORIDA A PPLICATION FOR MECHAIN;ICAL PERMIT . I}!PORTANT-- __Applican to canptsfo ell ;toms in '(.coons (, II, III, end iv. l • /V� A f1 On _Sid• of 1 0kP..4. R)CE`4j-_ 1,0 let.- :.,,_ St /kiwi LO ATION Worth, South, Ito. West (Ad ) -dreu St. F ) (tntesettiwq Street,) O f � uILDING Lot No t"' t'.od No _ Svb- d;.;r:on _ (State po- {:.-,n of 64 if L. thtn fug {oh-At/rd.' 4. description pa• el.oJ in duptic•te if ne e-- /-ere) II. _TYF'c OF FftOr`OsEo ). ",EC- WOP.K -- f.)I cppticcnti co n�!f• P rfs A - D A. U.7. OF WILDING It. C'N1:F: : ;HIP - - RESIDENTIAL 15. Pr: +eta (;reef ; :?,;•1, crsrcref;oes, I. One family ❑ Utility .rp. --At irit;hrtiyr,..4c.) / ' 11. IC ❑ Rubric (Fadors.l. Stela or local 9erovr .ftrewf) 2. ❑ Two or more Lamily - 12. ❑ Sctool, ro -ery. Enter rumba:. rumba, of roc-„_ ot1,•r v5a cat:ora1 C. NATUt:E OF WORK 3. 0 Transient, hotel. mor.l, 17 1,1e � rn roo'nq how's - 13. ❑ S1-ors. ntisrc errf71. 9 m Enter number of units _ Doer lie ❑ Esisf;nq Peruse. . 4. ❑ Oilier r.s;denf;al _ _. 14. ❑ OTHER SPECIFY - 11. ❑ Re r1acerr. i of ezirfing c m -- -- 20. Ns,/ i stat•stion (Noti Serra rr_- .•;Drily 1.4- 0•1',ed) NON-RESIDENTIAL. - -- 21. ❑ Elf -±- or cdd--CA fo es;st ;ng r aen. S. ❑ Arnuinm•nt, merECti<.nel 22. ❑ 0i11-:, - Sprtify 6. ❑ Church, other r.tigiows 7. ❑ Indsslri.I , I. ❑ Gerecs, s•r.;c• stet;- 9. ❑ Hosp;t.l, insfifut;onai E. TYt °: CF gUIt..C 10. ❑ Office, bank, professional 36 NI, mbar of sturiet '2 37. K _ Wood frame D. MECHANICAL EQUIPh.eaNT TO CE 045TAL!-Ej3 38. ❑ t asenry end u--.041 (Provid. comp!.te list of cor;..an•nts on L-cck of this form) 39. ❑ Zoinror teed concrete 23. K Furnace: ❑ Space ❑ Itecetsed K Central O Rao( 40. ❑ Structural ' }a.*, 24. 12 Air Conditioning: ❑ Room pl Central f 4I. ❑ Other 25. til Duct Sysfam: t.rtatr-41 DUCt 1fierka -D Thic1M1 - ice,; , -um •r -achy 1 - D--Ca c' c.f.m. - - TOI\AGE• - 26. ❑ Rsfri ;eret;on - - • 27. ❑ Cooling tower: Ca; RCtty THIS SxrACE FOR OFF-fs US ONLY 9A-m- (u s.,.si.+d ) Ii. ❑ Fire sprinklers: Nur. (..-.•r of ha.edt 29. ❑ Hereto, ❑ N,e-lift ❑ Es.:_lstor� lrtwe.Ser) 30. ❑ Gesorine purnpt -- - (Run! ar) 31. ❑ Tanks _(nut, er) R,.-,arks 32. ❑ LAG containarL.- - _(number) 33. ❑ Unf;r,.d pressure res, el P•rmit /,*4.4.u•d Irt Data 34. ❑ goiter 35. ❑ Oti, ^r - Sp,•.cify P•rrn;t Fa• + III. GENERAL INFORMATION A T o h 6•t.M1C� TUN.: B. IS OTHER CONSTRUCTION EEING DONE ON _ i 42. I i ' E'r ctric THIS BUILDING OR SITE? CS I 41 - 11 Gel-- l LP f1 h.4-....t ri r_....0,..! itcG'.. - -"- 'i� ,% CITY OF ATLANTIC BEACH, FLORIDA S ig 44 ij . / APPLICATION FOR ELECTRICAL PERMIT ,_ l t , / , , TO THE CI� iF M arch 10 ELECTRICAL INSPECTOR: DATE: 10, 19 8_3 11110 < ;tTICE: IN " ! SIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY BEE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH A ' ' A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTI :PEACH ORDINANCES. 4.000. I' B:I.vins ,..c tic C m•an t .1 ,t _ . ,,e �- David Braddock RI. ° 'F AM: 11E115 E MASTER LEC RICIAN SIGNATURE R9 S9 JOURNEYMAN( NAmg H e r Ts' lor ADDRESS: 1862 Htckory Lane RFD BOX BLDG SI BETWEEN: • t RES (X) APT; ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW (X) OLD ( ) REW. ( ) AOOMoNiti 1. TRAILER (' ) TEMP. ( ) SIGNS ( ) SO. FT. - -BER ►.; NEW (X) INCREASE ) REPAIR ( ) FEE #' F 3 #4/0 AMPS 200 COPPER ( ) ALUM. (X ) $4419 11 O ` I KER 200 AMPS 1 PH 3 W 240 VOLT Cslhl p RACEWAY 15.00 . S E ` SIE AMPS PH W VOLT RACEWAY YY dr 1 .� s : " '4' . SIZE _ NO. SIZE NO. SIZE y LI(sTING ' ,1;,ETS CONCEALED OPEN TOTAL ' R Ap ' : -. CONCEALED OPEN TOTAL ' 0.30 AMPS. 3 1. 1 OO AMPS. SWftCHE , Y , R11 1DE I , IR pi 0.100 AMPS. OVER APPLUAN I BELL TRANSF. AIR ' ' " H.P. RATING H.P. RATING ' CXIIIIIII TIO COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT C ei: It OVER SRS H P. VOLTAGE PHS NO 1 H.P. VOLTAGE ` r • : $1 " NAw "00emp Residence t "q SP "'V [`P PPP i 1 r.,. f $10.00 R F ERS I T UNDER 600 V. OVER 600 V. I DEPARTMENT OF. BUILDING 5 7 8 3 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date JANUARY 24 19 83 Valuation $ /W F $ 296.25 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. This is to certify that : EPIUNE BUILDERS ' `""" lt r 163'7 ARROW[Th.i ;_ TR. , NEPTUNE BEACH, FLORIDAY11 t �! 1 is /ii has permission to build SIi. GLE FAMILY HOMERPER PLANS " 1IITT'D. •`' s it , BP ENCLUDES I i,E-FAB FIREPLACE. 1 it L! F u, 11ifl Classification SING] !: FAMILY Zone PUD Owned by MR, MRS. DAVID A. SHELTON Lot 27 Block S/D SELVA MARINA : UNi1 & LZ C House No. 1$( : HICKORY LANE - ` According to a ,p roved plans which are part of this permit b PP I' P P 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 -1 from this work must not be placed in public space, and must be cleared up and hauled away by eithe n- trac;Or,.'or owner. / . f 1 f4310 081 f' Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING 578t, ELECTRICAL 384: SEWER WATER MECHANICAL 57€ S Cllrrtifirair of ®rrupattr j ` CITY OF 1* of & !Beads - R. ,ff, Er artmrnt of Building Jnwprrtion 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 40 various ordinances regulating building construction or use. For the following: , Use Classification 1n (� /f 7 0/72/! + , Blc Permit No. _ J 7g3 _ Group _.__.._ Type Construction /2 IX Fire District.. { . . ,. (tit-It: i t: e C - }, . Owner of Building in f / f [ 5 . S/) f 1 _ � 1 Address _ __ / _ Building Address Address_ J& f0 l I }I l a Locality tr r l ' ,y am . \ Bu Official Date: __.__._ !! - ,2,) "L . 011, POET IN A CONSPICUOUS PLACE . -- - _ _ 1)!;; E N KW - - - - - - - - - - --- _ ._ - - .1 yPE _OF r NA".E :i_P I PE R -.:.S I DI,NTI AL, _ - - _ __ ()CAT I ON - - - . ___ A.DDl T1 ON CO::'.1KRC1AL L:_*:-!,) NG Fl 3-Y, ADDRESS -- - - - S J E E EE PLU:-:i;ER _ ----- -- p1_se print CITY 0 F ATI z.NTIC BEACH 1 II/COL:NM OCCURAT1 ()NAL L] CENSE NO. BUILDING OFF-10E TATE CERTIFICATE NO. - " 2 , i __ ___ __ ____ ___ fl.)R OR CONTRACTOR - - - - p_ SINKS . N.. 1_!XJORY 1 BATH TUBS UR I NALS 7 FLOOR DPI:INS _ 3 CLOSETS 1 VAT ER E EA 1 ERS / DISHWASHERS _ i Di SPOSALS W..tSHING ......-tCH I NE OTHER TOTAL FIXTURE C:OUNT _ S TA.1 OF P 1 ii1 NC, AND FIXTURES MUST j: ACCOI- CE WI THE 1 E F CENT EDITION N l '2' 11: CU-R N STA2:I.ARD PLU CODE. S] GNATURE OF l'-',AST F_R PLU X X X FT): TURF UN I T . 3 T-; --- (-:_DOWYN i).1 UNITS AT-C- ESTnISHED AS THE :'.',E__.t.SUi OF V.L:IiIR 1 FOR LACE •ATiER FlY.ILRE UNIT ..: TA1 LEI) ..*--..ND CONNECT -.D TO THE CITY WATT SYS T 'M. THE WATER. SIT CHARGE IS HERT_BY iD1ED Al LKILLL.RS PLR Fi VI Li UNIT CONNECT ED TO THE CITY AIR SY Si E2 SEC. 27-3 (c) GROUP CONSISTING OF BATH .TUB (/OR WO OVER s0 ST MI, WATI.- CLOSET, LAVATORY S BATH I-F L__D SHO■s (2 UN1 TS) 1_` TIC (2 U:: TUB OR SHOWER STALL (6 UNI TS) BIDC,ZT (3 UNITS) ;; TRAY — COBI NATION SINK & TRAY (2 UNI TS) D LAVATORY ( 3 UN I TS) (1 UNIT) K I TCHEN SINT. CONB I NAT I ON S T. ra: & TRAY W/ (2 UNITS) DENTAL 'UNIT OR CUSPI- FOOD DI S . (4 L TS) DOR (1 UNI T) __,....i K Li ChEN SINK W, — DRINKING FOUNTIN A (1/2 UNIT) N IP-- DI SHWASHER (2 UNITS) WASTE GRI DER - — FLOOR DRAINS (1 UNTT) LAVATORY (1 UNIT) LAVATORY , _ 1 SLR ,- (2 UI N TS) SHOWERS GROUP PER H. F_AD -- SURGEONS SINK (3 UNITS) - --- (3 UNITS) (2 U I TS) POT, SCUL1 ERY -- FLUSH I NG RIM Si NK (8 UN 1 TS) --.. SERVICE E S1 N} . 1 RAP - -- _ URINAL, PEDESTAL, SIPHON JET STAND (3 UNITS) URI NAL STALL, BL0'..:O1JT (8 UNJ TS) URINAL, ':.'ALL LIT - — - WASHOUT (4 UN I i URINAL TROUGH 7 _ACH 2' (4 UT 1S) - wASH I NG C:-: I NE RES. SH I NE E I.:A .`..-) A SE SECTION (2 UNI TS) — (3 UN1 TS) OF FADCL.T TS 1 WAT ER CLOSETS, "IA_N ':'A I EP, (_.--!„ OS E TS , VALVE (2 UN, TS) C.:: ERA. i E.D (4 UN TS) / GPERA ED (8 UN I TS) _■ u : ±, I_ ; i 1. - -.. '-. --_ i IS ,s, err `rte FO / ' ' FORM 900 AND 901 -12 �n R �I . EFFICIENCY DIY CODE „�, � ' Ft* � -0 .. iii os& u T o BO6\GRA$AM SECTION 9 ENERGY oFftcE vtt �. o POINTS ” METHOD 1 E X. NEStE11, 111RECTCfl 4 F PREPARED‘. Y: gOtikIMAII4 KtifINS DEUAY — # 4 .� " tt �f , ' ������� E IwIq�iMIEER8 DT NAA JURIDtCTION ; M ' , , G BINS PERMIT • { �R TO Si YM. L U * it etas. orrtcat to its 111 r SI y °`' i STA ,, ICAL. DATA -. y sa ' .4, y STEM TYPE ..!.'I..Nd i�:'� ,.,. ,�.. ty M OF tANT= WAS ' OIL SOLAR RUUC. OAS 011 SOLAR ClR 1, � � j {� : I p i 1 , DATA TO K SCOT TO TWO OOvjsOus'I s11SMT OPP$CI sr.T11t 111011.0100 Or►IC1M. UPON IRS ST 3 U., , : — *5 — �)( , as S "gips. ToTAL ` MMM ?s WOOS MINT SAv*sI y a a . k�. a 4 t,z , , , - " EI i ' y_ - CREDIT P ITS( .:. " 9E 1 S l PENALTY I T$(P ' , R .K . *COND. 11 FM / ‘1,4,004 40 *VRR I•C•4 3 , on AIIAT t I T T t • MAX. 0111#1104 0f •6A$$( 40% • y ,,.,.. 1MRI.t f _ ( sws w a j M 11 r PAN (1. $ emits") • ° TOTAL s� y 0 + I PERSc,PTIvE MEASURES 1 ; , 6.0E+c FOOk C011AtFUNIOS siteTiel C•Edt 41ATMI• SYRTRS � $1iNCT 503.4 0 b . 5. �7`�111RM0 44011'410s." 110&•? C 0wTT • Oi:♦ ., ' '1011 110&10 MATU pitAre t As AIC *0 TS tiM�t1 #04 R •NOMINM 1!OL• •04.1 L,i21 rcC TORS 104., -, �.. DEPARY CITY NT OF BUILDING OF ATLANTIC BEACH, FLORIDA PERMIT P ERMIT NO 9 74 THIS PERMIT TO BUILD BE POSTED ON JOB valuation $ I Fee l9s50 r Date MAY 20 � 19 t A 6/08/Ell This permit t totrc until above fee has been paid to City Treasurer, ' r r 1 � r l This is to certify that violatio of applicable provisions of law. and is r R �� ,', ��2t#t57Q X 637 ' 1 f3!'1!'} has permission to build AoAD TRAIL ', - .. NEPTUNE BEACH Classification Zone + , Owned b Lots 2= Block .7------------■--, I House No. Accordin to : • � I ! S/D z Ai I approved plans which are part of this * permit i I 1 NOTICE—AL AND FO N G CO NCRETE TE F ORMS SPECTED BEFORE M UST BE IN 4 PO URING, PERMIT - ----�� i A VOI H S Building AFTER DATE OF ISSU -f from this work amus and debris in pubc 1 P a a space, and must be be cleared � • or owner. by either an FOR OFFIC —�'— /, _ j E ONLY PERMIT NUMBER DATE Buil.' ; Offidal. f PL UMBING CO NTRACTOR ( ELECTRICAL - lift SEWER WATER 11111.111S1 OW offek r i � ISs j,+ 0011. 1 i � S r T �; i ' f , DE PAR T IVI NT OF BUILDING C ITY OF ATLANTIC BEACH z �- LOCATION INF'4 RflA1 X0N `�" IP , 'CfRI4ATIa Addre s x 8 '2 NI{a 0 - L ADE . _. °'. t»'f " t�U �EI. ®INO . ' ATLANTIC I:tEACH, F'L.4�Ir�IDA �'"� LEO DESCl IPTIt U CAN � ''' �� P Dt4ITIOti " ` - _ 1 C- Lo t Blau x ran ��,� *114':1:1.17-!• 400» 'FRAME ; 'q- ;4: 1~i18EN ENCLOSURE Plat 600 Ic s P r x Y 4J Codes 0 ubd .v iaiou SELVA fJR'IHA' tor l*:,.':,..,:,. nB, I.k �t0. t0 -- °- OTHER INFD:14 �4't"I4 N *Y n� *212 . 20 14000% veal DAH'6 SHEL.'TO '; Y 1. '1.='•''' m $1' .' 0 Addy z x HICKORY LANE k , *0. A1`L.ANTIC BEACH, F"IG.41R ID, A 322 E3 . � 1 Phone* ( f � ? NCt I`E PER FLANS � SM 1 it r d -. TC i 37 FEES WATER ItiPACT FEE * .00 1 *ISM# L i. g SEWER X1 N 'E. 041, . + ' 4.14 W k �1 e „d`"t a +: , ` {�y ,Tw a d[ r as # ' 'S= { „{ tN"* �1 g,�� I ##�{�4. , r ': , r s ” ,, a,, Y r n 43 s a wt . 1A, , ,,4 , 0-',0" . 4,. $ 'd a w '' 1! flat. i� `' � RADON OAS '~ 4,Q. 0 . I / WATER TA *0 . 00 ' — ''''''' ]''':'''''''''';'''''''' ''v't'''''';'''''''' • '''''' ' ''''''''''''''''''''''''''' ' ' '' HYD1 tAUD.I4: :3HAI E *0« 00 , , x � � RE yy,�� - ^^ - �� I t 3S �+ P E � C r T 00 - 4 ' 1 , -' -% ,,f N(fl N EERING 'di O ar� OTHER NfT w s' r i.,' ,, 4 t 3 l it -. s , '' Y 1 ' �'S!, 1, 4'! � N � W. A L L C ONCRETE F ©RMS AND FOOTINGS MUST BE INSPE BEFORE POURING P ' : _ PERMIT VO1D SIX MONTHS AFTER DATE OF ISSUE , 'I'' .' ' ::......„...;Aki'';''''''''.:::''''ll'";lii.'''';:::: NG , q ? , # Il L, RUBBISH THIS K MUST NOT BE PLACED IN PUBLIC SPACE AND MUST BE D yf $D.H 4ULED AWAY BY AND,DEBRIS EITHER CONTRACTOR FROM WORK OR OWNER. ! I 4 IN L ; t �.1"O COMPLY W ITH THE MECHANIC LIEN LAW CAN RESULT IN i TP °' FRTY OWNER RAYING TWICE FOR BUILDING IMPROVEMENTS." � „ ` A® � , + +�t iG TO'A PLANS WHICH A RE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ', r, it 0 ; * A PPLICABLE PROVISIONS OF LAW. ' B ' 'BUIL DING D EP T RTMI=NT I Bit. ` i " 'y v �. Address //g;{, 7 - Heated Square Footage @ $ per sq ft = $ Garage /Shed @ $ per sq ft = $ Carport /Porch @ $ °( per sq ft = $ , / S" Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ /, 2a / $ � �-- lo?�, / QO Total Valuation 1st $ �� - / � o r�i S. Z er"- $ ts% Remainder Valuation '$ 5. pper thousand or portion thereof Total Building Fee $• ADDITIONAL PERMITS and /or FEES REQUIRED /. + Z Filing Fee $ [� Mechanical Fireplaces @ 15.00 $ .---- Plumbing BUILDING !PERMIT FEE $ / Electric /New Electric /Temp Septic Tank BUILDING PERMIT $ 7f- Well WATER METER CHARGE $ -- Swinming Pool SEWER IMPACT kE $ — Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ — Water Meter $ Elevation Certific,i GRAND TOTAL DUE $ _//7. s°-- CALCULATIONS and /or NOTES PLANS REVIEW CHECK LIST 7 , Address-4 Owner,,..._ Legal. Description Contractor ./. .,...//.17.(2241.0,462-ALLLicense Number ,Cd C 6 2-C 9 i2a_ License on File YES NO Section 24-101 * Zoning Regulations Zoning District Proposed Use Required Lot Size y,,- Actual Lot Size_4‘24/0 Setbacks Required Provided Section 24-17 front 1/)g 1 CORNER LOT INTERIOR LOT rear Flood Zone side-1 ....y6.- ' 'r zz_: ,, Required Elevation /.. -a side-2 t . Max. Height Allowed ,23 -- C) ' Proposed Height /0 • Section 24-82 * Minimum Lot C verage Required Heated Area ,4, Proposed Area Section 24-161 * Offetreet Par ing Number Spaces Required__ 4 Spaces Provided I , Section 24-82 * Duplicate Buildings Is there a similar building within 500' of proposed building?YES NO Utilities Water and sewer service is to be provided by: _ ___ \\ __ Buccaneer Utilities __ City of Atlantic Beach Utilities _ Private Source SEPT C1TANK WELL .. $.7 '--,.--'------- Plans Reviewed by: Date Building Permit # '" ISSUED DENIED • .a 1 • II U T I C E T O C O H T R A C T 0 N S S C H E D U L E , or I H S P E O T I O U S • • • • llequents for inspections will be accepted from 8,00 AU until 1s00 1'ti. All inspections will be made the following day between. 0100 Alf and 4 ► 00 PH. • SCHEDULE 0' INSPECTIONS, 1. Footing • • 2. Rough Plumbing 3. Slab 4. I "rnming, Rough Electrical, Mechanical To rirr'j'J.noo, 1 ,u1 r p .Out Plumbing. .•rS • 5. Final Inspection • • 6. Certificate of Occupancy Other inopections may be required in certain situations. Duilding Curd IIUST be posted or no inspection will be made. Pour no concrete or cover -up any work until building card in SIUHED by the inspector. You will be required to uncover any work that has not been inspected. In cane of failed inspection, *10.00 re - inepeotion fee must be paid prior to calling for re- inspection: • • • • BUILDING DEPARTHENT CITY OF ATLANTIC•BEACU 249 -2395 ' • • 1' 11(11' 1• :I: 1' Y t f C R l 1' l' 1 MI 1. 1 1 1 Lis 7I6OCEAN IIUULE%'AI1D 1.0t N_ 7 _Block N Section N P. U. 110X 25 • ATLAN1IC IIEACII, FLORIDA 32233 Oubdlvinions 5f:///e? / `'- -/ i / - C7 TELEI'1IONEID64)249 -2396 . Strut Ilnme • s9 ji DESCRIPTION OF WORK ' or Address s /OW 'A -!! ' c r G+. a-47 If irpf a FLOOD HAZARD • • t. Flood Zones nrea complete page 3. Brief p 1�J V � / Denori tion s c '•eCQ I c AC r /er Clews of Work ! t I �f�' (Hew /Remodel /Addition)As/2/../Z494, _ . 7_ 13111H 1H g �!! FORHATIOII D 0 AUG 14 1 VV �+ Type of Constructions / / , ,f >''� 69 Zoning Proposed Districts Uses Estimated Value A Cre - Building and Zoning • . Excerptions or haterialst Variances Granted: Solid or Filled _ Ground t _SOZ; lloof t OWNER II1FOIIIIA ' • Method of Ilcating t ___Mz2,e__ A_ Property Uwnar s -- _w3' _ ;_ `(l..ir -57 tL _ .t:1 .ClE. /dad Phone t ig ' r !tailing ,/ / Addresc__ / "6.. �Yl-C4� - ____Z.,4i.jZ e- • Zip: 3 -r •42 • COHTHACI 011 INFORMATION Con tractor :___A/e122 ' C90 inie ~r - 4 n C Phone! f - 7 5.- tlailing Address s __,,/,s.6 __Are ,, /,,E, -7 ' , - -- 4 - _ e.__e Zips 2,2 C Expiration License !lumber tC a . r� .f 0 Date: In consideration of permit given for doing the work as described 1i I•„ the nbove statement, we hereby agree to perform said work in ` ^j accordance with the attached plans and specifications which are K ...,,t ~ +T n part hereof, and in accordance with all rules and regulations • .1 �•�r ) '';• of the City of Atlantic Beach. / 4e r^''r:i ' 1 . ,1'\ Owner Signature Date .r.,f 4.�. Oi C ontractor Signature r. Date P - V 1 ‘ .-65 V • • FLOOD LAIN DEVELOPMENT INFORMATION • , ;;.1 '),I.'l'I1f,.l['1k ':fry • S,..C.I;i) .'''. • Type • oJ Developments' '. • ' ' ►t►. ,1 1rl . s ' s ' • :'''Altea:aL'ions,,,t,. Exiuting Building newxlibA • Flood ...w:�..�_ a'.,,1 . . Zone 1' tt!:'a.[1I.I;t Floor ' ' :1 t... • , . : r► . • Required z Elevation �' � ......:�: '+ I ► • Actual (as bullt)Lowest Floor Elevation„ :. t'�►;•111':, .• a. 1,. j ' • IJ 1 1.' L.iahlA 1(1 tr t�r�,( ... r - , ;11 ' ; j.'' 1 • If located. within a flood hazard zone. ( zone A ) : made after the slat) has' been a survey mus t• be ; . , , ; floor elevriLioii " equal to o elevat es tablUred for.• that zone. t; : 1 �1r`'•' 0.1 +, :i'lli:. , : • 1 ' • • No Final Inspection will be made 'and No Ce.rt1,ficate''of Occupancy • will be Issued until the survey. is' on' Department; • • • • ' I: +t�.1•:i:r.;.' i1 F I; L'•I'• :1►.t.;i f)1• . • '' COz l WNi S '. ; 1.. .1 ,i• r'f l • • • ' • • '. ...1�' 1 J... 1 ...0;':l•a.J,,!)J 1P•11J.:.'1:L,, • Applicant acknowledgement:' x understand• tlhat'the•''issuance 'of ibis perinl,t is contingent' upon the ' above ''information'beittg''.correct and that the plans and supporting data ltave 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. . • . , • i •I• •, +'! .d'11! 1. I'.►,:::I:►:Jrliltt-41i•.l ,'• ' ' 1 ' . 1.;[!ul11 tr1t; i . i . Date Applicantiq Signature 4 , ''1 :r • 1.10',''...,•: ..1,. '.l • , ' • '►1 i , : ► :J ;:•' rN , frll:) It.i: '.1' .. . • ► • r 1 : I) » l i :►'+);[',c :4l' • • Department Use 1 ` "s . :1 ;1;;►'I l'►j:41 • ,r ;' :trk' d ,'+ • • . : 1 I . 1...11; 11I'�r.'• `t. tOd'i 1 . Survey , I ,r ' ' +�..Z1 0a. j1', i ,' ,' 1 '' ! r 1 • • S ' ur ey LE,led with the Building Department on ' • Certified Lowest Floor EleVati.on Required Lowest ' ' ' • l Floor Elevation ' . . , :..1 ;41..i.i. 1d.. :. r' , 1 Building Department e ' : _ "...,' t 1 1 ; • ! De par t R t , . • J ►: "': ' .1 ,i• . . 1 t . ,, S i. ti M 4. M V vi I N �-� �„- V y Q t'�X 6 C i c w w N. CA L X A m o o S . o N. ' — • ki MI. Z O W 6 m � :° W W R - U) f v G Ii t 0-a - (f) cc / I , j I - 1 ,� _ - `1) L 0 A �` Iii , dy CV ] C . ■ . . : - - - --' ) N . '. 4- 400 t/ ) ! 1 \ 1 ' lippoli 1 APPROVED - CITY OF ATLANTIC BEACH BUILDING OFFICE AUG 1 1 y89 \ 5,989 Building and Zoning d , W V) 6 i:LN., K. CI d .. V u a M N J - . ` N W c Fa N 11.1 — ca o\ Ui • f. • -- r -- - . 5 w J w • n W N, a a La W z AIA Z L - - __II [- 1 i , i ' F I 1 LtT - ;, 1 TL- I I k 1 1 c •0 F --- - ' Iti- 11 I 4 i I. v ( 1II `) (� 4 1 CS Z m N WW ( V W C4 Ez N t -� N (n v) t) v) m t 5 Q. (,L ) = ti 2 > F la I r �Z 1$ V) ! 1/ ) a 1 (----- — IN CJ t�� e N . v R' CO 1 1 0 I O 1 __` V f- '` 4' Z tit `4 a> Q > 1 =� K 0 -_-.4 ( k k uJ ? U. � ' W o ,\\ <CI V x i / 4J' r , / aSno)./ 0U/ fs ,, ..,,, , . . AF2690041 i MAP SHOWING SURVEY OF LOT 27 3EL Va MAR /NA UN/ T NO. /2 -0 AS RECORDED IN PLAT BOOK 37 PAGES 29 OF PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA FOR N5 °7 BCJ /LDERS dT. LOT 2 T. 2 S. R. 29 E. � RANG 29 E457 <s..--77 , C30v � � 90.0.1 ' -0 ,.�.._ 90.04 e A 01 /4/. _ S'cr'eene . d. Fbrak— r 20.0 ' . I / �jf %on f k - K 22' -\ ,...,1/4. .` 48 2O' K LOT 26 -L. O LOT 28 01 ��A/. ,� - LOOR �.: .. = (/o. q3) /¢, kr Zo' O t. N < 0 /1 W N O 26, o a , w rz a> N >. o Q' . 0 z 22 , 23' Lr z N [L " o - >- 4. Q a m 1- m 0-- p 90.0' H / C '`c►r1 t rct R /w) L A NE BUILDING OFFICE A 5 1989, A ) / , 0113 ACIC1 tere 4 'S "/g `88 , 3; r NG PERMIT NO 5 •� 4 \ PARTMENT OF pE BUILpI I , ATLANTIC BEACH. 1 I CITY OF q FLORIDA BUILD I' PrCRIM TO E POSTED ON JOB i � THIS PERM 19 �= Date C 1 3` * tU T I Fee $ 59•n ;.alC�t� ' ��1 . �i an is `� � t�t� Valuation $ PL aid to City Treasurer, i ' + ,I�iG i o 41aw. > m til above fee has been licable Pr ovisions i ' L 4 1 This ::: not valid of applicable pI,Lf218i I G r�,a,tion for violation � � I ' subject to 13 & c ertify that ] 3997 BEAGII BLS' closets This is tO 3 lay 2 tubs sinks --- instal sin to b is tt P D I � has permission dw 1 Y Zone SINGLE FAQ pgINA SH EI,TGN SELVA ' Classification 1.W... & MRS. DAVI A• Awned by___ Block =� 1 Iota 152 HICKORY LAN ermit _ LL CONCRETE FORMS I art of this p A M BE IN- i House No•� plans which are p N OTICE U ST I to ;tp proved p AND FOOTING URIN 3 I 4 According BEFOR PO MO NTHS SPE PER VOID SIX PERMIT TE OF ISSUE AFTER D A laced E material, rubbish and debris I a], 41----------1" z Building this work mast not be placed from a ce, and must be ■ _.�► in public s pace, away b either con- 1 I -I - - and, hauled up _Y owner._ ! 'tract Pr j '' cal y . Y Buil d i ng Offs I 1 ` � I �. I i CONTRAC D ATE 'i NUMBER PERMIT I FOR OFFICE 1 USE ONLY I, 1 1 PLUMBING I — , ELECT RICAL it 7— WER '' : AT VW 400. CI Ty Gr . r A 71,4 ,, Yti c 41.3E- czi _ _,FjoR pt. LI.4 3 /NQ pE DA re 3 ---..c: --- - 1. OIC!&I -, 1 1 ON jcp‘c.? -__Y___. --------__„. -----_____ o i P I.LU:31 NG F ( rim --- ___.?_2 _ ____ _________ At4 S TER pi_ u. ___ :3c-tfr- _____4-. 1 1 _ t c ___ _ t. ------ -----_ _e,er CI Ty A;ouN __ ry cezr _ ATI ONAL 577; iNrn 14 uCT ITIFICATE NO .,1 !,1 1 11 1 , 11 ir t 11 „ ,1 11 id , il li i ii ',.,