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Permit 1282 Hibiscus St N M2` LLA Lij PARKINC : PAD E DUPLEX- BLDG PRDPERTY LINE mAm S V,(ALKWAY =' C-36 24 Q LOT 3� 25' OF LOT 2 6LOCK 196, SECTION "H ATLANTIC 13EACH�A _RECORDED_ IN PLAT BOOK 181 ,-Pk r 34 OF TH E_.C_UR E M.4---RU BL)_C_ REC ORDlS Off' DU VAL C0UNTY, b CITY OF 800 SEMINOLE ROAD . .............._ _ _._._._.__.._. __ ATLANTIC MCH,FLORIDA 32233-5446 TELEPHONE(904)247-5800 FAX(804)247-5805 SUNCOM 852-5800 October 29, 1997 James R. Patten, Jr. 1282 Hibiscus Street Atlantic Beach, Fl 32233 Dear W. Patten: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: Re : 1282 Hibiscus Street AIKIAJ Lot 1, Blk 231, Section H RE: 170703-0350 Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-8. Fence along West 14th Street has become dilapidated and structuraly unsafe. Repair or Replace face. You are hereby notified that unless the conditions above described are remedied within 10 days from the date of your receipt hereof this can will be turned ever to the Code Enforcement Board. Under Florida.State Statutes 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,4 F W. Giurtewald Code Enforcement Officer KWGrgah cc:Public Safety Director Certified mail return receipt requested c.e.c. 6933 asa-3aa - - DEPA,RMENT�80"M 4 CITY© ATLANTIC SF" PERMIT INr6 TION --- LOCATIOW INFORMATION �Porad t Numberj1233 Address; 1 8 RIBI«3CU8 .STREE' Permit Type S lCt ELINt ATLANTIC BEACH., FLORIDA 32233 C a's9 of i 'I~{'I.rk;AL��RATIt�N �_ .�..._ _ ' LLt3AL DESC�PTION - __-- - i C�sr� x . TyPe��N #I B ^B1aCk: 250 Lot.1,10 Twp, 'xl3PtrS tTls Stt,*G E t`AMILX Se�cti ow C1 Subd: Rn� I?welrl�.jjos:� SubdivisiowSECTION B t. A11 Q { Improv. Cost; QQ Total '5-2 -0 Amount w,,.._.. . I€ NAPPLICATION FEES _.. _�. a Nam94 yyy ��R'«• I T s2.50 PL€ XIDA , ` FLAT I PFI NE A 4 Exp. I l r NOT"--AU C� ANp FBO�'"S MM BE IN,SPEC't)BEFWE PMJRM PERMITVOI©SIX MONTHS AMR DATA 4F"k�; 3E BUkLpING MPi7#wly'AL, DEBRIS FROM THIS WORK MUST NOT BE PLACED,IN PUMIC SPACE,AND MUST BE CLEARED UP'AND HAULED AWAY s1(I=17HEfi CONTRACTOR i OR OWNER .Ui . " " � ' . ' " 'THE MECH�► C'S UEN LAW Cl�f� E��T 1f� pR t E OWNER PAVING FOR THE SUt : 1�IC ' " ISSUED ACCORDING TO APPROVEO.PLANS WHICH ARE PART OF THIS PEI U '"fbRE�4 R TkbN ,I:*,AP .ICAMEPFS` J��a"�'ICINS Of LAW. iC B H SUILDIN PA rrr 42 [ 1 r J U L 2 61996 Building and Zoning CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s): Z4me-s &0 , Address : _ L f I H I (Yl.l CV-S� r'Phone Lot # / t- Block or Unit # 1-5-0 Subdivision: Contractor: O wi" 2 State License # Address : Phone No: Describe work to be done: 1-1�� Present use of building: C.�.2 �✓P� Valuation of Proposed Construction. 000 Proposed use: C,4se sic, Is this an addition? ili If yes , what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT TiWdK COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: 1r'' Date: Z off, -6 Signature CONTRACTO : Date—* License Supplied: pF Liability Insurance: �Q�NN�NG X12 Worker's Compensation Insurance: CITY OF ATLANTIC BEACH PERMIT CALCULATION HEET AddressDate "? Heated Square Footage @ $ per sq ft = $_ - G�hed LIS 0 @ $ , .0 O per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ �l l Patio C @ $ v per sq ft = TOTAL VALUATION : $ 1/32 0 J To aj Valuation 1st $ ICAC (1 Remaining Value per thousand or portion thereof TOTAL BUILDING FEE $ -� + 1/2 Filing Fee $ 171-2 ( ) Fireplaces @ $15 . 00 $ _ BUILDING PERMIT FEE $_ WATER IMPACT FEE S_._ SEWER IMPACT FEE $ WATER METER/TAP $ _ CAPITAL IMPROVEMENT SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ _ OTHER $ GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; Swimmingpool Septic Tank Well ; Sign_ —Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : �� J U L 2 61996 0 Building 06d Zpning � o Q i s Its ARDrj OFAO WT4 � \ au ILr)ING OFFICE Wet i r*a j ' R JUL 2 b 1996 � lding and Zoning Q , Vic --- --- 09 801 rs— l \ss 7—i &A INE S T /4 TH 5TREE T N CtV � lI ' N 1 } m ° o •� C � G sr2- /00, J U L 2 6 1996 ALA 19*7 LAW& 0^14GO FOR" 4" rs 71].17 2Nrye of 10flamutrurrmritf 4"KPANG M DUPLIQ.,AI $�a fnhaia ii »g rurccern: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property..........�. ../.....x..........��........................ A R�. ........ ......5..'�, ,,1-0 w Qs T 7 y � s��-v e,(,- .............. _...................I................._........................ .................................................................................._......................................................... ........................................................................ ........................................................................................._........_................................................ _.... ......................._................................................................................................................................................. ............_...............:.................... ....... —A --- r-- Gwwral description of inWovements..............I. ..�.�'" e �.......................Ave P,2 1..................................... i r . .....................................A....................................................................._................................................................................................................. ................................................................_............................................................................................................................................................... Owner ..... / E'...5............6?6?.............. ...................... ............................................................................................................ Address...1. ..f ........1.. ..1. .(..5. v ... ................................................» .......................... .... ..........................._............. Owner's iMaest in site of the irnprovetnem.............................................................................................................._.................................. Fee Simple Title holder (if other than owner) Name.................................................................................................................................................................................................................................. Address----..._---._..................................................................................................................................................»......................................................... Contrador..... »._ ... ...».............._._..»......................................................................................................................................................................... A -...._..._ .. .............»..........................................»...................................................................................................»..... ......... . »..«........... SuretyIii ......................»........................................................................................ ................................................. Address_•.. . _...._........._._..._.�......................................................................................_................IMkoura of bond $................................ Nance of person within the State of fon& desWwod by owner upon whoop notim or other doa+n wds may be served: Name ......... ........................................................................................................................................................... .... .................................. Address..................—..».................................................................................................................................................................................................... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713:13 (1) (F), Florida Statutes. IF ill in at Owner's option). Name ............. ..............._................................................................................................................................................. ........_................................... yAddress......_............_...................................................................................... . _.._.... ......._.._.. ..... Tme SPA"Fee rrseonosn•s Ya[oNLr 6TATUTORY WARRANTY 0990—I90 FINAINCIA\tPIPINI !: Cti^�'f��f, VOL I r ��J OFFICIAL RECORQS� 'Warranty'Warrant deed THIS INDENTURE, Made this Y day of DECEMBER A.D. 19 82 BETWEEN JAMES R. PATTEN and AUGUSTA J. PATTEN, his Wife, 1400 Violet Street, Atlantic Beach, of the County of DUVAL , State o1 FLOpjDA part y of the first part, and JAMES R. PATTEN, JR., and Single mon 1400 Violet Street, Atlantic Beach, of the County of DUVAL , State of Florida part Y of the second part, WITNESSETH: That the said part Y of the first part, for and in consideration of the sum of TEN AND NO CNE HUNDREDTHS--------------------($10.00)---------------------Dollars, ,to _.._ is_hand paid by the said party of the second part, the receipt whereof is hereby acknow- ledged, have granted, bargained and sold to the said party of the second part, his heirs and assigns forever, the following described land, situate, lying and being in the County of Duval , State of Florida, to wit: r, Lots One and Two, Block Two Hundred 'Thirty One (2 31) } Atlantic Beach, Section H, according to plat thereof recorded in Plat Book 18, Page 34, of the current m public records of Duval County, Florida. rn x C �` ^1 maxi.•. \. r And the said part of the first part do hereby fully warrant the title to said land, and will defend the same against the lawful claims of ala persons whomsoever. IN WITNESS WHEREOF, the said part y of the first part have hereunto set their hand and seal the day and year first above written. SIGNED AND SEALED IN PRESENCE: -� -- -r------ ---------- ---------- ----------------- "'�'---------=� -- ;,--�`�- ------------------ ------- --- -------------'------------------------------------------ ------------ ---------------------(SEAL) ---------------------------------------------------- -- -----' -- ---- - ------------------_.._._. (SEAL) STATE OF FLORIDA ------- -- Df AMT. ` ss. CITY OF 1*&ar& Team - 9&Ud4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 "- -' TELEPHONE(904)247-5800 FAX(904)247-5805 Chapter 489, Florida Stea"s,Part I -CONSTRUCTION CONTRACTIN&requires Ormer/Builder to acknowledge the law: DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes: State law requires conshvction to be done by licensed contractors. You have applied for a permit under the 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 nVeMse the const*uction y2=elf. You may build or improve a one-family or two-faily residence or a form outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less. The building must be for your own �,=and occupence. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within 1 year after the construction is complete,the law will presume that you built it for sale or lease,which is a violatioin of this exemption. You as n^+hire an imlicemed Rmon as you cYour construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people c=loyed bby ym have licenses re >iq> ired by state law and by Co or municipallicensing ordinances. or&nances 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 a=hire unlicensed workers provided such workers be under "di rest sq"rvision of the owner,who must be on the Job site at all times while work is in progress by unlicensed trades veople." This does not allow use of unlicensed contractors. Since ommrs a=be Liable for i44am to workers they hire,the Building Department suggests Worker's Compensation insurance be purchased unless the homeowners insurance policy clearly protects 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 work. Unlicensed cgaLn d=carux t be emel=d under KW cirmx,,.►n.,ces. Owners being subject to$5,000 penalty under Florida Statute No.455.228(1). An•Occlroational License'is not adeouate. The owner should physically seethe 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 and understand all the above on this—,I (o day of Jw / , 199_. Witness,Building Dept.Employeeer ilder Ad ass Z3_ NOTE: Phrases underlined above Te emphasized by the Building Phone )epartment CITY OF ATLANTIC BEACH JR <� 1�+ S 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000693 Date 5/22/09 Property Address . . . . . . 1282 HIBISCUS ST Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6ft fence code violation ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PATTEN, JAMES OWNER 1282 HIBISCUS STREET ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/18/09 ---------------------------------------------------------------------------- Special Notes and Comments **APPROVAL FENCE MUST BE 10 FT IN FROM PROPERTY LINE ON 14TH STREET** ---------------------------------------------------------------------------- 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. N - - - - T02 C"3 PARKIN 6T_ Ln DUPLEX' 806; PRDPERTY LNE c ' L LCAT 3 ,,� 250F L0T_'2_.;_6L0CK _ 196, 5CC TSO ! " f,_ ATLAIKIT(C . BEACl.H7_:A5_ EC0RD__ED 1Wi_._PLAT-BOOK._I6, vA Ll .`.I_D_l.�'�1 V J �,'bi'ZD�5 City of Atlantic Beach _ APPLICATION NUMBER Building Department (To be assigned by the Building Department:) 3 800 Seminole Road Atlantic Beach,Florida 32233-5445 M All ?'Ju) Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Q City web-site: http://www.coab.us ___ - APPLICATION REVIEW AND TRACKING FORM Property Address: o� fit D nt review required Yes No uildi Applicant: Q 44f C151annigg &Zo ' ree Administrator Project: WTis Works u tic Utilities , 1, ir is afety V1, Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APP (CATION STATUS Reviewing Department First Review: XApproved. ❑Denied. (Circle one.) Comments: BUILDING �� PLANNING&ZONING ✓)o���b�'� � Com' r Reviewed by: Date: TREE ADMIN. Second Review: []Approved as revised. ❑Denied. PKS Comments: (9ETY IES DI PReviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Revewed by: Date: Revised 05/14409 City of Atlantic Beach APPLICATION NUMBER �s Building Department (To be assigned by the Building Department.) c? 800 Seminole Road Atlantic Beach, Florida 32233-5445 Uig Phone(904)247-5826 - Fax(904)247-5845 1'r"it E-mail: building-dept@coab.us IL Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /42�a �4'�is cis �''✓� nt review required Yes No uild' Applicant: Q 1k) �' tanning&20 ree Administrator Project: llc}� T is Works ;M61-16-Utilities 1-U—011c afety V J Fire Services Review fee $ pept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [Approved. [-]Denied. (Circle one.) Comments: (BUILDIp PLANNING &ZONING Reviewed by: Date: q d TREE ADMIN. Second Review: ❑Approved as revised. ❑ enied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) i 3 80o Seminole Road D Atlantic Beach,Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 Q;3E-mail: building-dept@coab.us Date routed: Q City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: lea L4' is clt �''� DpparhMnt review required Yes No uild' Applicant: lanninggRf&Zo ' r Administrator Project: 1,01 A Z A] L&TE Works 1 t� u lic Utilities on)e V l 0 F r,h u is afety i Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [Approved. ❑Denied. (Circle one.) Comments: BUILD] aL l/!��/� a PLANNING &ZONING � .v Reviewed by: Date: �' lam► TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Revievved by: Date: Revised 05/14109 Public Works Plan Review Comments f j Initials• P Date: �,�g)Dq � i Project Name/Address: �a$2 f{'i8►SS S1 Applicat► n Permit#: z x 4� jFf V41P 3 �, �� ' ap`2ic�•�u��aol�aAg��'om�pa` � :•��Gawzneuk°• S Provide impervious surface calculations. Provide erosion and sediment control plans with installation details and maintenance ❑ schedule. ❑ Provide drainage plans showing site topography (flow arrows, etc.)' Provide construction site management plan, including Right-of--Way Permit if using ❑ ri t-of-wa for constructionar Provide a pre-construction topographic survey t �prepazed by a Florida Licensed a Professional Land Surveyor, showing Section 24-66(b) of the Land Development Regulations requires on-site storage for increased runoff. Provide Delta volume calculations and on-site retention required ❑ er Section 24-66(b). (See attached info. Sheet) If on-site storage is required, a post construction topographic survey documenting ro er construction will be r aired. ❑ A Right-of-VJay Permit must be obtained for use A Revocable Encroachment Permit must be obtained. Pool—Wellpoint(if used) must discharge into vegetated area 10' minimum from ❑ Z et or drains a feature (swale, structure or 1 oon .driveway aprons must be concrete, 5 inches thick,4000 psi,with fibermesh from the edge of the pavement to the property line. Reinforcing rods or mesh are not 13 allowed in the ROW Commercial driveways ��� OJ Standard Detail Case X and Any utility cuts in the road must be repair g must be overlaid 10 feet in each direction from the center of the cut. Repair must be ❑ shown on the plans. P-Roll off container company must be on City approved list and cannot be placed on City right-of-way. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) c . 800 Seminole Road Atlantic Beach,Florida 32233-5445 8y5 y 16 2003 Phone (904)247-5826 • Fax(904)2 7-5 E-mail: building-dept@coab.us Date routed: d City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: f � r i� eks D nt review required Yes No uild' Applicant: Ciannin �&Zonl ree Administrator Project: �� /V� is Works '70746 Utilities PublicSafety(� 1/ Fire Services 1 `yam . „ a. Other Agency Review or Permit Required Review or Receipt Date Of Permit Verified B Florida Dept.of Environmental Protection Florida Dept of Transportation St Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: IXApproved. [-]Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by.. Date: S /ZZ/01— TREE ADMIN. Second Review: []Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14109 CITY OF ATLANTIC BEACH OWNED 6 BUILDER AFFIDAVIT 1. FLORIDA STATUTES; 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 DIN 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 BLTTLT IT FOR SALE OR LEASE. WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT WRE 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 OK MUNICIPAL LICENSING ORDINANCES IL INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; 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. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(4). 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. V.ACKNOWLEDGEMENT; 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. ADDRESS PHONE NUMBER PRINT NAME �- K 5 r�cl�',� 0 � TURE DATE Before me this 11 day of A 4o'V 20 in the county of Duval,State of Florida,has personally a eared herin by himself/herself and affirms that all statements and declarations are tr and accurate. Notary Public at Large,State of ,County of ❑Perso,ally Known oducedfde 1LEY L. J RAHAM a ry Public-Ste,cf FtCrida worn Expires Feb 14,2010 scion#'JD 518.533 „ _ 3Jod?ti BY National Notary Assn. CITY OF ATLANTIC BEACH 1' 800 SEMINOLE ROAD,ATLANTIC BEACH,FL o9 32233 w I I I h I OFFICE(904)247-5826•FAX NO.:(904)247-5845 t r : BUILDING-DEPT@COAB.US _ll . BUILDING PERMIT APPLICATION DUVAL COUNTY 2.VALUATION"OF WORK.'` s 3 Sgs FF.UNDER,R00F,.. p,1;'JOBADDRESS,;r: t,.y x. �-E- 3f 4iTEGAL`'DESCRIPTION., "'' 5 CLASS QF,WORK a T:,.c.„t °r{, ,t .,. J•wY. 6 USE OF STRUCTURE;:” ❑NEW BUILDING ❑DEMOLITION ®RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7;'DESCRIpT10N'OF WORK ':' . :- ❑ALTERATION 13 ACCESSORY BLDG. B FIRE,SPRINKLER l_-s L'a la REPAIR ❑POOL/SPA ❑YES ❑NIA ❑MOVE ❑OTHER ❑NO "xC '... 'ARCHITECT;LENGINEER. ttetaws Via,. .,':PROP.ERTY.OWNER° CONTRA A ..:TOR L,...,.r 9.NAM—710-F )ef Q i r 15.COMPANY NAME: 23.COMPANY NAME: PQ , 18.NAME: 24.LICENSEE NAME 10.ADDRESS: t {� 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 1B.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE78.FAX NO 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE 14.EMAIL EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: .,�Yr }t1y u FEESMRPLE,T{TLE HOLDER v 5 rti�Cu BONDING COMPANY °;`t rx x �.i MORTGAGE LENDEi; � �ti .,t..ri. .pF OTF1EiZ TFNN OWt3tj, r 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and 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. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work Will be done in compliance With all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. -xi ** WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. CO RACTO +'r y J F ._. a.... i, a 7 R ...,.,,y>• -., ,,..<(If AgenE,Porxot of Aggnejf orAgency t•etlef Required)z. `- w.,:� � ...:; :;,(Qualifier Signed: c Date: vze'l -L-q Signed: Date: Be re a this�iSC day of a 2009 in the county of Before me this day of 2009 in the county of Duval,Stal of Florida,has pe ppRaVppe ed Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of IJ5 County of (%Va� Notary Public at Large,State of ,County of ❑Pers nally Known ❑Personally Known roduced Identf Y ❑Produced Identification- state 01 1-Ionod Notary Signatur a'! , Notary Signature: * lissla is w, n;a7D5 °Sabonal Nctary Assn. 3LDG01 Permit Application Bldg:PEViS ED:1"_/13!2003 t :al City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) R7 800 Seminole Road Atlantic Beach,Florida 32233-5445 `! Phone(904)247-5826 Fax(904)247-58Yk Date routed: Q "1 . E-mail: building-dept@coab.us City web-site: httpJ/www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /a a�l r f fs eits J-7— nt review required Yes No wild Applicant: d(,y tannin A19nW ree Administrator Project: &M /AV/ FtuNE works u lic Utilities � /`'� �� ir is afet V Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: %Approved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONINGZ21 Reviewed b�(:_. Date: 0L TREE ADMIN. Second Review: []Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14109 -72 ..t -NOD s X,z al 1\ 19 id sc c v a P*!gin � � l//.;, � \ 1 � `� _ :. �_--F- {. ',:�:f c:t':\i Lq 9 I 7"Z c, tv I-L 7 n 7 Son-Ls "tyA,,z 2 G*zj'v H .7A C C 1.1 t`9�+W4�,bf5— (�Y •/' 70 -e, -cad c I S 9 Ce, r ZY1lJitlt �C'1l\:�CJ 1`l.t�. 1011 Tl� J11VI Vv -1.L1'Lit mjlv1L�), Ink". 'PHIS MORTGAGE Made this ............../ ..........................r ............./................................... day o1 ... of ............ .......................County, Florida, hereinafter called Mortgagor and JIM WADER HOMES, INC., a Florida corporation, with offices at 1500 North We Mabry, Timpa, Florida, 33607 hereinafter called Mortgagee. WITNESSETH: 'That Mortgagor, in consideration of the mutual covenants and conditions herein conwined and other vAmthle consideration delivered by the Mortgagee to the Mortgagor, the receipt mul sui"ficiency whcrcof is her cknowledgud, docs hereby grant, bargain, sell, assign, trautsf'er, convey and conlimt unto 1%10r1g1gec the property situattc in % L .;�L -. f /, . . . . . . . . . . . . . County, Florida, described as: Lots 1 and 2, inclusive, Block 231 Atlantic Beach, Section H, according to Plat thereof recorded in Plat Book 18, Page 34, of the current Public Records of Duval County, Florida. TOGETHER WITH all and singular the ways,Casements, riparian and other rights, and adl tenements, hcrc,;itantcnts and ahpinrten- tnees thereunto helonging or in anywise appertaining, and all 1100SCs, huildings, suuclures and other improvements no•,( on said la nd or that hcrcatler nuty be erected or pateCd(hereon, and added theicto, and all fi\tulCs attached thereto and all rents, income, issues and prof- its accruing and to accrue therefrom; 1`0 HAVE ANI)TO HOLD the above described pruperty,and said impnwcments unto the Mortgagee, its successors and assigns, in fee simple. Ntorigagor hcrchy covenants with Mortgagoc that Mortgagor is lawfully seined of the fee simple title to the above described pruperty, and has full power and authority to grant,bargain,sell and mortgage the sank to the Mortgagee;that said property is free and discharged from atll liens,encumbrances and claims of every kin(l,including taxes and assessmCnts except the lien of taxes that may not yet be due and paryahlc; that said Mortgagor, his heirs, Mgt repwsuntativus and successors, shall warrant and defend the title to said property unto the Mortgagee against the (,wiled claims and demands of all persons whomsoever, and will make such further assurances to perl'ect the fee simple title to said property in the Mortgagee as may be reasonably required. PROVIDED ALWAYS,and these presents arc upon these express conditions,that if Mortgaggor shall promptly pay to Morlgag one Z?;%� ' eCttam rn prurssory note, of even date herewith, made by Mortgagor to Monhagec in the principal amount of ``;��� . .-.�:.......... payable In monthly installments of$ each, the fast installment being due and payable ort �...�C'�.fr./��° !`.."... �P f C.and until full t mens thcrcof, or extensions or renewals thereof, in whole or in ut and p ny nett of all other�indehicdncss or I ility that tray (krone d(� or owin;� hereunder and secured hereby, shall faithfuil uul 1)rollIptl loon�I with and crfunn each and � Y� I l y I Y p every other covenant and provision contained hcrcin on the part of Mortgagor to be complied with and pCrfornrCd,then this Mortgage and the cslate hereby created shall ccatse, determined( and become null and void. Upon full payment, as above provided, Mortgagor shall, at Nlongagor's request and expense, execute it satisfaction of this Mortgage. Mortgagor further WnVnMts and agrees with the Mortgagoc as follows: "lig pay the indebtedness reeked in aunt evidenced by said note and any extensions or mnewals theicol.,and all other indchtcdnuss ur li- ahility hcrchy secured, h0WCVercreated orevidenced;to pay all taxes,assessments,levies. tions and Cn(:urnbrallCCS(lf CVCry kind and na- ture on said property and upon this nwryage and contract am! the monics secured hcrchy promptly when due and hokwe delinquency thcrcoC;to pay all costs and expenses incurred or paid by the Mortga get: in collecting the indchtcdncs.;hereby Secured or in enforcing or protecting the rights and security of tltc hereunder,including actual court costs and rcnsonahle attorney's fees if referred to an attornCy,who is nut a salaried employee of Mortga'ce or its assigns;to keep al I bei ldinls and structurcS now c.r hereafter erected upon the mortgaged premises permancntly insured against physical damage or loss Rom fire, lohtninu and extended coverq.,e to the extent of the tosser of the actual cash value of the house or the unpaid balance of the rash price. Mortgagor must maintain the rcquirCd inSuranec covcr- aer front the date of coi nnenectile lit of construction until ti1011gag0r'S obhVations under the Contract execute(] with rcfercnce to this Monuage are fully discharged. The required policy or policies shall contain it clause rnakhg! the proceeds payable to Mortgagee to the ex- Icnt of its into rc"t in the property Mortaa'-'ec reservcs tilt right to refuse to accept an insuror ul'fcrcd by the Mortgagor if the policy i;not in the fornt of the amount acceptable to the Mortgagee. It is funhcrcovenanted that the Mortga.'ee may at its option,but in no event shall it he obligated to du so,advance monics th;tt should have been paid by Mortgagor hereunder in order to protect said property or the lien or security hereof, and Mortgagor a nvn without de- mand to forthwith repay such monies, which amount shall bear interest from the date so advanced until paid at the rate of ten (ll)`!)per Cent 1XI-3111rum and shall be considered as so much additional indebtedness secured hereby:flit no paynrcnt by the Mortgagee of any such monics shall be deemed it waiver of the Mortgagee's right to dlec kuv the i•rinciyd sural due hereunder by reason of the default or violation of Mortgagor in any of his covenants hereunder. 1'hc Mortgagor agrees that any sum or sums which may be loaned or advanced by Mortgagee to the Mortgagor at any time within twenty(20)years from the date of this Mortgage,together with interest thereon as set forth hcrcin or as agreed upon the time of such loan or advance, shall be equally secured with and have the sanrc-priority as the original indchtedness hereunder and shall be subject to all the terms and provisions of this mortgage; pruvidcd that the aggregate amount of the principal outstanding at any time shall not exceed one hundred filly percent (15it;) of the in incoal amount odgin,dly seemed hcrchy_ Nothing contained hcrcin Shall obligaw Mort pwom Io NAME • James R. Patten,Sr. ACCT. No.: PRESENT • 1400 violet St. DATE 8-10-82 -ADDRESS • Atlantic Beach, F1. 32233 PHONE 904-246-3085 -NFW HOME • BRANCH : Jax 06 ADDRESS Hibiscus St. CITYAtlantic BCSTATE: F a. zip#: 32233 AVE ht 5 NAME-IS POUS ETT AUUSEGE N0. OF DEP. RELATIONSHIP S P 43 ® ❑ Augusta J. - --`�9---�-1--�-._ -- -- EIREC7lONS TO PROPERTY (USE STREET ADDRESS OR RD. NOS. DIRECTION - EAST, NORTH, ETC. & DISTANCE FROM NEAREST TOWN) From office go Atlantic Blvd. to Atlantic Beach, T/L on Mayport Road, Go approx 1/2 mile, T/L on Levy Street, go to lst paved road on left, job site on left. EMPLUYED BV ADDRESS 904-246-5215 PHONE NO. POSITION �ou�Mayport Naval Stat . , Mayport, Fl. Tool Mechanic ..- -- ---G --- --^._CO-__ - - - --- . - - - - ------- — KIN OF USINE55 NOW LONG INCOME FROM l357NESS OTHER UUS. �NLTf PFR WK. PER M0. PER YR.i SOURCE UP OTHER INCOME - govt -----� -��'r�— ----- - - ----- wife works -- ---- -- NAME Of NEAHLST RELATIVE ADDRESS PHONE NO. RELATIONSHIP - PREVIOUS EMPLOYER - ADDRESS HOW LONG EMPLOYED DISTANCE FROM FIRE HYDRANT: 500' ❑ 1000' M NO HYDRANT ❑ SOLID 6� NON-SOLID FOUNDATION ❑ PRIME SHELTER k} SECOND HOME ❑ MORTGAGE 67, 132.60 AMT. OF POLICY 31, 100. TERM 1 YR. 3 YR.❑ INSIDE [7;�( OUTSIDE ❑ COUNTRY [] ONE STORY TWO STORY ❑ ON PILINGS[] OWNER OCCUPIED [J TENANT OCCUPIED ❑ NO INSURANCE PROVIDED FOR MERCHANTILE BUILDINGS PROPERTY TAXES PAID THROUGH (YEAR) 19810-82 DEED BOOK TBR PAGE COUNTY Duval STATE Fla. SALE DATE- SECTION H TWP RANGE SUBDIVISION Sec. H. LOT 1 & 2 BLK 231 LEGAL DESCRIPTION: (INCLUDE COUNTY & STATE) Atlantic Bch. Lots 1 and 2, inclusive, Block 231 ATLANTIC BEACH, Section H, according to plat thereof recorded in Plat Book 18, Page 34, of the Current Public Records of Duval County, Florida. 1 UUUNTY Ur --.-__.-- Before me personally appeared _. WALI�'I:I3 IIEATII SMITII ,_ --_-- CITY OF IATI-A';iTIC1 Fy LI CAT) ON_ FOR­PLU-.t:3-j NGG FLEti-llj DATE-­ LOCATION "6 'S Z ySle�c & CLS- PLU143ING FIRMr LL MASTER PLU.2l'ER4tuju—&L---f-- Cl TY/CX)UNTY OCCtPATI ON.AL LICENSE STATE CERTI Fl CATE NO.- BUILDER OR 0a4TRACTOR------------­---—------- TYPE OF BUILDING ­ S I NKS 2_LAVATORY 1 ­31ATER HEATERS 'I-BATH TV3S ---Dl Shl,,'ASHEPS _UiRl MALS —DI SPOSALS :'--CLOSETS 1—',,,ASHI tr-, M.Aaril NE -FLOOR DriZA I NS OTHER q__TOTAL FIMRE CCU,4T I NSTALLATI ON OF PLL14,31 NIG AND Fl XTURES M-UST BE I N ACCORDANCE WI TH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PMSING CODE. I. I NG I IT TDATE A C-) N Y, EW TYPE OF BUILI)ING OWNER'S NAME REP I PE RESIDENTIAL ADDITION CO"IMERCJ,AL LOCATION PLUMBING FIRM PILX ADDRESS gka� MASTER PLUMBER plea e print CITY/COUNTY OCCUPATIONAL LICENSE NO, STATE CERTIFICATE NO. & BUILDER OR CONTRACTOR Loco le-R s ------------------------------------------------ -------------------------- SINKS LAVATORY BATE TUBS URINALS FLOOR DRAINS CLOSETS SHOWERS WATER HEATERS DISHWASHERS' DISPOSALS WASHING MACHINE OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE •SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMLA.ND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE C11T WATER SYSTEM. SEC. 27-3 BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W10 OVER SHOWER STALL, WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DO'�EESTIC (2 UN: TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK & TRAY DENTAL LAVATORY (2 UNITS) (3 UNITS) (1 UNIT) KITCHEN SINK CONBINATION SINK & TRAY W/ DENTAL UNIT OR CUSPI- (2 UNITS) FOOD DIS. (4 UNITS) DOR (I UNIT) KITCHEN SINK W) DRINKING FOUNTAIN (� UNIT) DISMIASHER (2 UNITS) WASTE GRINDER FLOOR DRAINS (I UNIT) LAVATORY (1 UNIT) LAVATORY, BARS! LAVATORY, SURGEONS (2 UNITS) BEAUTY PARLOR SHOWERS GROUP PER'HEAD SURGEONS SINK (3 UNITS) (3 UNITS) (2 UNITS) FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP POT, SCULLERY URINAL, PEDESTAL, SYPHON JET STAND (3 UNITS) SINK (4 UNITS) BLOWOUT (8 UNITS) URINAL, WALL LIP URINAL STALL, URINAL TROUGH EACH 2' (4 UNITS) WASHOUT (4 U-NII SECTION (2 UNITS) WASHING I-IACBINE RES. WASH SINK EA SE (3 UNITS) OF FAUCETS WATER CLOSETS, TA-NK- WATER CLOSETS, VALVE (2 UNITS) OPERATED (4 UNITS) OPERATED (8 UNITS) TOTAL FIXTURE UNITS i .jim�Walter homes, Inc. ! CUSTOMER'S NAME PHONE 3mes R_ Patten. Sr. 246-3185 ADDRESS (ROUTE#,CITY,&STATE) HOUSE COLOR Hibiscus St Atl.Bch.Fl Adobe SIZE AND MODEL HOUSE TRIM COLOR 24 X 48 Lexington clot. Bram SALESPERSON DATE SOLD ROOF COLOR TM d 8-14-132 eadar Red DIRECTIONS BE SPECIFIC ! (USE ROAD NUMBERS AND NAMES-ALSO DISTANCE BETWEEN TURNS) FROM THE OFFICE From office go Atlantic Blvd. to Atl- antic Beach, TA on Ma ort Rd, go appx 1/2 miler, T'fL on Levy St., go to let paved .road on left, job site on left. 133 1 LIST ALL OPTIONS S@�`Q f 2 ft. addt. v \� Flg. 'Opt 5, 36 pc Solid Fndt. 154 valval Co. Codi: elect. Pkg. a Elect. opt #1 Flub Pkg. E Flub Qot #6 and 15 f HAVE CHECKED THE ABOVE DIRECTIONS AND FOUND THEM TO BE CORRECT. I HAVE INSPECTED THE PROPERTY AND FIND IT SUITABLE FOR BUILDING AND AS REPRESENTED. SIGNED (MANAGER OR CONST. MANAGER) DATE ` FORM 4296 !7 ED c��?.'.kE i?xl?.'zrE //��- ( S pEr s. f. - E {i'l'.1%A E S;: D) (e $ 1 cr s. f. per s. f. $ $ per s. f. 62 • - 0' r $ per S. f $ A DEPARTMENT OF BUILDING 5 C �I �1� ,/l7 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 375 `I_..I -`` 71 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 7 -'A Date SEPTEMBER 10 19 82 Valuation$ 41,032.70 Fee$ 174.75 This permit not valid until above fee has been paid to City Treasurer,and is .�d subject to revocation for violation of applicable provisions of law. This is to certify that JIM WALTER HOMES 2 2667 Phillips highway, Jacksonville, Florida has permission to build Single Family Home' as per plans submitted i Classification SINGLE FAMILY Zone RG-1A IT �EE li Owned by JAMES R. PATTEN, SR. Lot 1 & Z Block 231 S/D = '_•1J THR SIZE -- House No. 1282 HIBISCUS STREET j S=' .F, C= C T Z ON: According to approved plans which are part of this permit ~! NOTICE—ALL CONCRETE FORMS CG' ' CTI01 Ii: = AND FOOTINGS MUST BE IN- "..__R SPECTED BEFORE POURING. I PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE !il 4--i O Building material, rubbish and debris ------------- ACCOUNT NO. _ z from this work must not be placed in public space, and must be,Opdeared up and hauled away by e' er con- - r owner. b I - - yu4 BItAt 9/10/8 f- 4 FOR OFFICE PERMIT DATE CON RAA TOR * USE ONLY NUMBER UUCAC I OUU PLUMBING 47•__ , I i ELECTRICAL SEWER it WATER j M A P SLJ ^WING SURVEY OF Lots 1-'through 6, inclusive, Block 231 , as shown on the Plot of Sect*Ori 'III" , Atlantic Beach as recorded in Plat Book 18, Page 34 of the Current Public of Duval County , Florida. For: James R. Patten .g ME5 T 14TH 5TREE T �� 11 Z536L c w �oz�jo orttan�n9 140ne oil hi r 1!.y 'n A f`.1 1L a2Aaac� dv 'o 'Ilk � � 0 o c9g. DEPARTMENT OF BUILDING 5 3 7 6 1 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. I PERMIT TO BUILD M THIS PERMIT MUST BE POSTED ON JOB Date SF.PTFMRF.R 2R 19_82__ Valuations PLUMBING PERMITFee$ 9.00 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 BUDS WESTSIDE PLUMBING 8122 WEST BEAVER STREET, JACKSONVILLE, FLORIDA has permission to build INSTALL NEW PLUMBING AS PER PLANS SUBMITTED. SINGLE FA14ILYRS-2 Classification Zone Owned by JIM WALTER's BIOMES Lot 1 2 Block 231 S/D House No. 1282 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 ISSF T z --� 4 10. O Building material,rubbish a � }t a from this w must n�i°t bL c'I''c� in public sp `And mtts�be 4l f up And, ,hauleAJ'Zrvay by eithreiI acto 0*115 ( Q 9/20/8 Building Official. FOR OFFICE PERMIT DATE u.p CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL t SEWER WATER `y) r v 1, i Size and style of the house to be as follows: k}. The house to be built,and the goods and services to be furnished are more fully described in Exhibits A and B which bear the same date as this contract,are atta ed hereto,made a part of this contract and were furnished to the Buyer prior to the execution of the contract. Buyer warrants that he owns the property described above free and clear of all liens and encumbrances. 2, Mortgage, This contract is or will be supplemented by a Mortgage providing for a lien as described in Paragraph 7 below,in the form to be supplied { Seller, in recorclabl form,and containing a complete description of the property upon which the house is to be constructed.Buyer agrees to execute the Mortg B promptly upon request by Creditor. 9€ 3. Amounts to be Paid by Buyer. Buyer covenants and agrees to pay for said house the sums and amounts set forth pursuant to the following terms: (1) CASH PRICE (1) $ . . . . . • . . . . . (2) CASH DOWN PAYMENT (2) $ (3) UNPAID BALANCE OF CASH PRICE/ UNPAID BALANCE/ AMOUNT FINANCED (1 MINUS 2) (3) $ . . . . . . . . . . . . . . . (4) FINANCE CHARGE (4) $ (5) TOTAL OF PAYMENTS (3 PLUS 4) (5) $ . • . . . . . . . . (6) DEFERRED PAYMENT PRICE 0 PLUS 4) (6) $ . . . . . . . . . . . . . . . . . . . M ANNUAL PERCENTAGE RATE (7) . . . . . . . 1�% . . . . . . . . . . . . 4• Method of Payment, Buyer covenants and agrees to pay said Total of Payments in equal monthly installments of$ e the first installment to become due and payable on the I day of the month next following the thirtieth day after release of house to Buyer,and installment to become due and payable on the day of each succeeding month until full payment of the remaining unpaid balance of the said Tot: Payments.The FINANCE CHARGE begins to accrue thirty days prior to the due date of the first scheduled installment. 5, Pre a ment Rebate. Buyer may prepay in full the unpaid balance of this contract at any time,and,upon prepayment,Buyer shall receive a refund cr for all unearnedc arge�s,including a refund credit for the unearned FINANCE CHARGE computed pursuant to the"Rule of 78's'. 6. Late Charges, Acceleration. For each installment not paid in full within fifteen 0 5)days of its scheduled due date,Buyer will be charged$5.00 or 5' the unpaid installment whichever is less. In the event that Buyer is in default in the performance of any of his obligations under this contract or Mortgage descr above,the entire remaining balance of the Total of Payments set forth above shall immediately and without notice or demand become due and payable,at Credi option,and any failure to exercise said option shaft not constitute a waiver of the right to exercise the same at any other time. In the event of such accelera Buyer shall receive a refund credit for the unearned FINANCE CHARGE computed pursuant to the"Rule of 78's." In addition Buyer agrees that if this contra referred for collection to an attorney who is not a salaried employee of Creditor, Buyer will pay reasonable attorney's fees and actual court costs in connec with the collection of this contract. 7. Security Interest. In the Mortgage executed or to be executed in connection with this contract (referred to in Section 2 above) Buyer grants to Set lien upon real property upon which the house is to be constructed and in addition a lien on the house to be constructed,together with all buildings,structures other improvements now on said land or that may hereafter be placed thereon,or added thereto,all fixtures attached thereto,all rents,income,issues and pr accruing therefrom and all ways,easements,riparian and other rights,tenements,hereditaments and appurtenances relating thereto. Said Mortgage secures not only the amounts to be paid by Buyer under the terms of this Contract,but in addition any future loans or advances mad Creditor to Buyer, or on behalf of Buyer which Creditor has the option,but is not obligated,to make under the terms and provisions of said Mortgage,wheth protect the property described therein or otherwise,and all obligations of any nature owed to Creditor by Buyer, & Required Insurance, Buyer's Election. Creditor requires Buyer to keep the house to be built under this contract permanently insured against phy damage or loss from fire and lightning,such insurance to include extended coverage. Buyer has the option of furnishing the required insurance through any ii ance company authorized to do business in Florida. Buyer must maintain the required insurance coverage from the date of commencement of construction Buyer's obligations under this contract are fully discharged. The required coverage must insure the house to the extent of the lesser of the actual cash value o house or the unpaid balance of the cash price.The required policies shall contain a clause making the proceeds payable to Creditor or its assigns to the extent interest in the property. Creditor reserves the right to refuse to accept an insurer offered by Buyer if the policy is not in the form or the amount acceptab Creditor. In the event Buyer fails to furnish an acceptable policy of insurance,premiums prepaid,or in the event Buyer fails to keep in effect the required cove Creditor shall have the right,but not the obligation,to purchase such coverage for Buyer,and either add the premiums to the outstanding indebtedness or der reimbursement from Buyer for the amount of said premiums.Creditor's right to purchase such insurance shall continue until Buyer delivers or causes to be deli to Creditor an insurance policy or policies providing the requisite coverage together with satisfactory evidence of payment therefor or until Buyer's indebtedne Creditor is fully discharged,whichever occurs first. Buyer may choose the person through which any required insurance is to be obtained. Buyer has the option of applying for insurance coverage thr Best Insurors, Inc. If fire and lightning and extendad coverage in the amount of the casR sales price shown above is acquired through Best Insurors,Inc.,the i annual premium is ESTIMATED at$ Ifor the one-year term of the policy, Seller is unable to advise Buyer of the estimated premium if the insurance is not procured through Best Insurors, Inc. BUYER MAY CHOOSE: (Initial the Applicable Box) eT�The undersigned Buyer elects to obtain the insurance through Best Insurors, Inc. The undersigned Buyer elects to furnish the required insurance through an insurance company other than Best Insurors, Inc. Buyer must make all insurance premium payments,whether for insurance purchased through Best Insurors, Inc.,or from another company directly 1 agency or company from which the insurance is obtained. No premiums for insurance are included in the amount financed in this contract nor are any pren paid for through Buyer's down payment or monthly payment. 9. No Oral Agreements; Additional Conditions. This instrument and the other instruments signed in connection with this transaction contain the pric all the terms an i -•-- ---- - c�cQpLfiSi..Ds aQreed upon by �3nver anti SP IF-r and nn ctatamon+ ranrocon+ +f n� t v k. f.° V IV r ' ` alj Y 2 Vi e g.� 7ga j r w.+Rw+.�► h �� ��r"4� °r: � '#i W�v��f b� � � ��4 K.'�• � ��,,;< # 7"', a 5y�s- , '° k a �M1 p N } tM v"`�'p R -opog UNITS yf� N x w NQ, OF UNITS 'w# T hI' 'p� 'i .y� i��py �+�. 'i�r^�y vty ,.! YEVRS�OR�9Y000 *rm W, h' y, NU, D61eN. FT„ 77 •° `�. ,`#' 4' ��` Maw ` ' r r«� • x, r� r of a FORM 900-123 ,MEs ,r, FLORIDA MODEL ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION BOB GRAHAM SECTION 9 GOVERNORS ENERGY OFFICE GOVERNOR POINTS METHOD LEX HESTER,DIRECTOR PREPARED BY- BRASHAM KUHNS DEBAY- CONSULTING ENGINEERS PROJECT NAME rkit e s JURISDICTION ` v5 .f AND ADDRESS f(� ��� _ BUILDING PERMIT NOL BUILDER "; , W14 / cr co wt OWNER ,war ,s4 zfAJ To I�rn.Liv im o IL ,l::���� STATISTICAL DATA ZONErimae SRO!! !LA!! R- E cor M M g►f 2 2� 33 HEATING SYSTEM TYPE HOTWATER SYSTEM TYPE ccm moo« NUMUR Of UNITS STRIP WE 'UMP GA! OIL SOLAR ELtG CT t{A! OIL SOLAR C!! (RAYL 8UNI p - tt TMIC DATA TO ft CCITT TO TNC #*veil gII'I CNCM7 OIIICC 07 TMC t1U"144 9"ICIAL UPON AtQ4JW E81JOOET COMMON WALLS COMMON ROOM MAXIMUM ALLOWED XS — X12A/►ODIX C MV911 Tr7AL POINTS NKAW CIICATIM s"W" E►1 TIFIED BY: �� v//dcrvt DATE 27�'L EPI FORM 900-123 FLORIDA MODEL ENERGY EFFICIENCY CODE FOR BUILDING -CONSTRUCTION RA AM SECTION 9 GOVERNORfS ENERGY OFFICE ""��• BGOVERNOR POINTS METHOD LEX FESTER,DIRECTOR PREPARED BY: BRASHAM KUHNS DEBAY•CONSULTING ENGINEERS PROJECT NAME If JURISDICTION J5 f . AND ADDRESS A N <<c- A e- L . BUILDING PERMIT N BUILDER (rv% W'4 licA, A/me, OWNER rv�r �4 L/11 folic «��i it oia�s�c��� STATISTICAL DATA ZOIK 9AIQl1 ROSS S R RAR- COP M £'t nE 2� �►2 S2 6b. '7 •5� .� SOU HEATING SYSTEM TY E TWATER SYSTEM TYPE NUMBER OF UNITS STRM PN"T GAS OIL SOLAR CLIC. r •AS OIL SOLAR CSS I<RAW9 i1'Z'f i i 0 L ❑ 01010101 0 T"Is DATA To It I49T?0 r"c 40vemooml togmT apples IT TUt emm"O 0"fam WON ftsum BASE NA02T COMMON MALLS COMMON NOW MAXIMUM ALLOWO x0 x1t a ►ROM Appowx I rcwcn TOTAL f qw" IRAM SWATSII "Val" E*) CERTIFIED 8Y: u Am0v- DATES 8=.2:dE E1 - 91�Ll 9D DESIGN CREDIT POINTS(CP) =DESIGN PENALTY POINTS SPP) CaLINS FANS ew eom~91 1 M I'M MASH=!!A!b ONYtR (I em SMAXI 3 MULTI ZONE A/C p CRAOL9 Imo) !f MAX.OPENINS OF $LASS(40% S moot OPERABLE MINDO*S(spot a+foolr)at oet **aPER ROOY 1 WHOLE HOUSE FAN 11.6 cvufIF) 6 TOTAL 9G I PERSCRIPTIVE MEASURES CHECK FOR COMPLIANCE SECTION CHECK HEATING SYSTEM EFFICIENCY 303.4 AIR CONDITIONING CONTROLS 803.7 A/C DUCT CONSTRUCTION 303.9 ?IPINOINSULATION 04eefe.aTIr41 503.10 srinss 1 WATER WATER t AINAAt 90-TS LAWLI 504.2 SWIMMING; FOOLS $04.2 ❑ TOTAL SHOWER FLOW R£STRICTORS $04.6 B-1 EDGE INSULATION PERIMETER WPM GWP <i►W- 92.7 Qaw RO - 2.9 { . fiod R3 - 5.9 69.S v� 4 R6 &UP 1 46.4 4110W SINGLE DOUBLE OR AREA SINGLE DOUBLE WOF GWP OR AREA SOF 4SP CLit I TIN CLR TIN M 1S7.4 120.8 110 5 , N 120 un 100 336 NE 1S7.4 120.8 NE 21 186 190 E157.4 120.8 `�( 7 e E 7 9 242 2S1 eq = SE 1S7.4 120.8 _ SE13Q�wal 219 226 10 s 15 7.4 120.8 o'a(i •2 < s 1611<SW 157.4 120.8 3w219226. 10 y` W 157.4 120.8 oC1 s242 l�Q w Nw 1 5 7.4 120.6 t Nw166 1 1J 46.4 79.3 J 408q IL < � r o �z 0 0 o � M=HORIZONTAL GLASS (SXYLIGHTS) FOR TINTED GLASS SL ph 0.83 SEE SEC.902.2d L Old TOTAL GROSS WINTER POINTS tya TOTAL GROSS SUMMER POINTS 7 Amfow— ......... IaIrT GLASS 1"FIBERGLASS 1-IS s'fisa�oLAs ( 1.12 Q _<i� i.a• a.a►ss 1.12 SOO., c zDUCT ill cmmsl 1.00 Q�DUCT IN cowom 1.00 HSM FROM TABLE 9A 7qQ e x Q 35 f e2 CSM FROM TABLE 98 166, e X/,o Yo FLOOR AREA(DIVIDE) FLOOR AREA(DIVIOE) o0, 5`77 3 ANW16 WINTER POINTS (WP) SUMMER POINTS(SP) 7 00 FORM 900AND 901-123 ZONES 123 WINTER POINTS SUMMER POINTS HOT WATER POINTS CREDIT POINTS PENALTY POINTS i FEWER TOTAL POINTS ARE ENCOURAGE FOR MAXIMUM ENERGY SAYINGS. B-3 '.'_l`l i?'. Z'�'^t{ G i�' �=tea\ '`�` f:_`���� ° �:'•?°moi r-'— �� . , 'nt-i-NG!7 ..�7t,�71 ��r%r \�C�`� '�.C'.O� ':i '.1.�^ 7� •C��-z, r';v _� 'vds,,5x,z I C'-IBIt!s '=; IES=hGD s(T Ln �( 1S 10(` t---1-13 1�1` + ' j�_31� ti I'D Iva „9 X,Z Co I LTJ N/-t 3 l d le X.1 r''1 •• 1 0n_5 31cidl�J� tr.'s G'i77'� :•t;�'; • ✓�: j \�'' (`7 1s�voh�Fi�S- � � � C7Ny31�<Y?/,� '�'L� � ��O „�� ..c:{1J �.1`:�'�c.�l1i-!•�\ ,,. ����`.!I e NAME • James R. Patten,Sr. ACCT. NO.: PRESENT • 1400 violet St. DATE 8-10-82 .ADD*ESS • Atlantic Beach, F1. 32233 PHONE 904-246-3085 NEW HOME . BRANCH Jax #: 06 ADDRESS • Hibiscus St. CITYATlantic BC$TATE: F a. ZIP#: 32233 SE AGE NAME SPOUSE N AGE 0. OF DEP. RELATIONSHIP 43 I C� ❑ Augusta J. 549 1 DIRECTIONS TO PROPERTY (USE STREET ADDRESS OR RD. NOS. DIRECTION - EAST, NORTH, ETC. & DISTANCE FROM NEAREST TOWN) From office go Atlantic Blvd. to Atlantic Beach, T/L on Mayport Road, Go approx 1/2 mile, T/L on Levy Street, go to 1st paved road on left, job site on left. EMPLOYED BY ADDRESS 904-246-5215 PHONE NO. POSITION � r0Ma ort Naval Stat. , Ma ort, Fl._ Tool Mechanic KIN OF USI NESS LONG INCOME FROM BUSINESS OTHER BUS-ET PER WK. PER MO. PER YR. SOURCE OF OTHER INCOME —govt-., _ IJHCW 0_yr � ----___--- ------�_�wife works NAME OF NE.4HLST RELATIVE ADDRESS PHONE NO. RELATIONSHIP PREVIOUS EMPLOYER - ADDRESS _ HOW LONG EMPLOYED DISTANCE FROM FIRE HYDRANT: 500' ❑ 1000' NO HYDRANT ❑ SOLID bd NON-SOLID FOUNDATION ❑ PRIME SHELTER :FC] SECOND HOME ❑ MORTGAGE 67, 132.80 AMT. OF POLICY 31, 100. TERM 1 YR. 3 YR.❑ INSIDE [3C OUTSIDE ❑ COUNTRY ❑ ONE STORY (d TWO STORY ❑ ON PILINGS❑ OWNER OCCUPIED TENANT OCCUPIED ❑ NO INSURANCE PROVIDED FOR MERCHANTILE BUILDINGS PROPERTY TAXES PAID THROUGH (YEAR) 19810-82 DEED BOOK TBR PAGE COUNTY Duval iSTATE Fla. SALE DE, SECTION H TWP RANGE SUBDIVISION Sec. H. LOT 1 & 2 BLK 231 LEGAL DESCRIPTION: (INCLUDE COUNTY & STATE) Atlantic Bch. Lots 1 and 2, inclusive, Block 231 ATLANTIC BEACH, Section H, according to plat thereof recorded in Plat Book 18, Page 34, of the Current Public Records of Duval County, Florida. s L VUN'rY OF -----------e'tLtwl'i[i I Cr Before me personally appeared __.-___-___.__W 'r' ' _HEATH: SMITIi� A.r77 iVx�.d �..ilLU1Er +lL-ll� litL/ll(� �JttVi YVI1L1La1` 11\//V1.LUr 11v�✓, �^ 7 a THIS NIORTGAGF Made this 1. ,_ day of ......... .. :�............................. . f 19 .� hctw' tJ�� i /',1C/i7,. ....�/Cy�i:'t.�._. ........... ��'/1iL....: ...........I............................. V of ............ k/�� ............................County, Florida, hereinafter called Mortgagor and JIM WAUFER HOMES, INC„ a Florida corporation, with offices at 1500 North Dale Mabry, Tampa, Florida, 33607 hereinafter called Mortgagee. WITNESSETH: That Mortgagor, in consideration of the mutual covenants and conditions herein contained and other valuable consideration delivered by the Mortgagee to the Mortgagor, the receipt and sufficiency whereof is her cknowledged,does hereby grant, bargain, sell, assign, transfer, Convey and confirm unto Mort fill the tprOI)CIty situate in ��L/ 4. . . . . . . . . . . . . . County, Florida, described as: Lots 1 and 2, inclusive, Block 231 Atlantic Beach, Section H, according to Plat thereof recorded in Plat Book 18, Page 34, of the current Public Records of Duval County, Florida. TOGI-THFR %v1T1-i all and sim.,War the ways,casements,riparian anal other right~,and all It hcreditaluell ts and appurten ances thereunto belonging or in anywise appertaining,and all houses, buildings,,struclures;uid other improvements n(m on said land or That hercaf ter stay be crected or placed thereon,and added thereto,and all fixture;;attached thereto and all rents, income, issues and prof- its accruing and to accrue therefrom; TO HAVE AND TO HOLD the above described property,and said improvcnrents unto the Mortgagee,its successors and assigns, in fee simple. Mortgagor hereby covenants with Mortgagee that Mortgagor is lawfully seized of the fee simple title to the ahove described property and has full power and authority to grant,bargain, sell and mortgage the same to the Mortgagee; that said property is lice and dischauged from all liens.encumbrances and claims of every kind, including taxes and assessments except the lien of taxes that may not yet be due and payable; that said Mortgagor, his heirs, legal representatives and successors, shall warrant and defend the title to said property unto the Mortgagee against the lawful claims and demands of all persons whomsoever, and will make such further assurances to perfect the fee simple title to said property in the Mortgagee as may be reasonably required. PROVIDED ALWAYS,and these presents are upon these express conditions,that if Mortgagor shall promptly pay to Mortg:lgc'Cnre y� ) cellaln promissory note, of even date herewith, made by Mortgagor to Mortgagee in the principal amount of ?l f, - ;.......... payable in monthly installments of$ �� c. �� each, the last installment bring due and payahle oil and until full payment thereof,or extensions or renewals thereof, in whole or in part,and payment of all other indebtedness or liability that may become due or owing,, hereunder and secured hereby,shall faithfully and promptly comply with and perform each and every other covenant and provision contained herein on the part of Mortgagor to be complied with and performed,then this Mortgage and the estate hereby created shall cease, determined and become null and void. Upon full payment, as above provided, Mortgagee Shull, at Mortgagor's request and expense, execute a satisfaction of this Mortgage. Mortgagor further covenants and agrees with the Mortgagee as follows: To pay the indebtedness recited in and evidenced by said note and any extensions or renewals thereof,and all other indchtedness or li- ability hereby secured,howevercrcated or evidenced;to pay all taxes,assessments, levies, liens and encumbrances of every kind and m- are on said property and upon this mortgage and contract ;out the monies secured hereby promptly when due and before delinquency thereof; to pay all costs and expenses incurred or paid by the Mortgagee in collecting the indebtedness hereby secured or in enforcing or protecting the rights and security of the Mortgagee hereunder, including actual court costs and reasonable attorney's fees if referred to an attorney,who is not a salaried employee of Mortgagee or its assivils',to keep ail buildings and structures now er hcreafter erected uplm the mortgaged premises permancntly insured against physical damage or loss from fire, lightning and extended coverage to the extent of the IeSSCI-of the actual cash value of-the house or the unpaid balance of the cash price. Mortgagor must maintain the reduired insurance cover- m,,c from the date of commencement of-construction until Mortgagor's obligations under the Contract executed with refercncc to this Mortgage are fully discharged.The required lxslicy or policies shall contain a clause making the proceeds payable to Mortgagee to the ex- tent of its interest in the property. Mortgagee reserves the ri�"hl to refuse to acrcpt an insurorolf end by the Mortgagor if the policy is not in the f0rnl of the amount acceptable to the Mortgagee. It is furthercove nanted that the Mortgagee may at its option,but in no event shall it be obligated to do so,advance monies that should have been paid by Mortgagor hereunder in order to protect said property or the lien or security hereof, and Mortgagor agrees without de- mand to forthwith repay such monies, which amount shall bear interest from the date so advanced until paid at the rate often (1011"i)per cent per annum and shall be considered as so much additional indebtedness secured hereby-,but no payment by the Mortgagee of any such monies shall be deemed a waiver of the Mortgagee's right to declare the principal sum due hereunder by reason of the default or violation of Mortgagor in any of his covenants hereunder. The Mortgagor agrees that any sum or sutras which may be loaned or advanced by Mortgagee to the Mortgagor at any time within twenty(20)years from the date of this Mortgage,together with interest thereon as set forth herein or as agreed upon thy:time of`such loan or advance,shall be equally secured with and have the same priority as the original indebtedness hereunder and shall be subject to all the terms and provisions of this mortgage; provided that the aggregate anutunt of the principal outstanding at any time shall not exceed one hundred fifty percent (150!(%) of the principal amount originally►rc urc`i hereby. Nothing contained herein shall obligate Mortgagee to � .t u��i cnrh lay..,. ...-,.,1.,.n.....• Tl...�,1.v-�..,,...,.1...-.t.,,. ,..,.,., ,-.1...,�,n.C :.I...,..�.,,,.-� � •t�, �I-:,.. .t i4 .,1...-...,f FOR OFFICE USE ONLY Date------------------------------------19 ...... CITY OF ATLANTIC BEACH Permit #........................Fee#........................ Valuation $---•.......................••------------------------- FLORIDAHouse #----------------------------------------------------------- •--•................•--------••--•.......-----.......-••--•---•---•••---••-- APPLICATION FOR BUILDING PERMIT f , Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. �J _ Q Date............. .....................,/191. .... Owner._ iZ.l»1. .'S-.R_--------1 �} ------Address) �.I C---- .. -Telephone No... ,vn. .305's, Architect----------------- . ----•••------------•------------------••-------..... •-------....Address.....•-------_----------------•- •--•-----------•--.Telephone No..................--------- ision-/�1fati-� (..(.. lS.f. t - -' TelephoContractor Builder-.J /YlfCA- lC .... ress... 4...... � 733:dZ2_,<; ) - ! � Lot N _--.---•.. .......Block No.--.,;Z3../....-------Sub Div reU:V..#----------Zone..A*&__!'4 -y� A S. lies f /.. .1.. .. 4 Street - .Side Between.... - y ..•---------------and......�e Lly ................ Valuation $_Z(1.0.0 �.For what u S » �........-.Type of construction- ' � C� -- .......... purpose will building be uaedc/�Ri. fir.. At...1./. T �� -----• - -- Dimensions of Building 4 .� .Dimensio�ns of Lot.. --- � X ------------------Size of Footings................yJSize of Piers.------..__.__------------------Size of Si s----- --- ---..Greatest Sill Span in ft.-.........................Type Roof..... '.�r/ • ........ . How will Building be Heated?. _.!.t.<..._&/ c ..-..- Will Building be on Solid or Filled Ground?...-->C1 .r Size of Ceiling Joists-_-.. Distance on Centers.-........ ............. Greatest Span---------- ........................... » / Size of Floor Joists.......2 K........................... Distance on Centers- ...... ...1.�..r..._...__.........__.., Greatest Span...--....4Z........................... of r/ Size of Rafters...- -- .°Z":.1�.. ....... - , Distance on Centers ..... . --_-------------- Greatest Span.----•f-�---•----...----............. » This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall �b be submitted with 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 and/or lintel. z ZZ. 3. When steel is in place and ready to pour beam. "� a 4. When framing is completed. f� 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksorville. 0 8. Final inspection. 1� Note: In case of any rejection,re-inspection MUST be called for after corrections are made. `6'2' FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the y of Atlantic Beach. Signature of Build 4,ffi ---.0...... .............. Address---------lsz7 (/ 1 /`--j- 5 .... -------..1 Signatureof Owner .................................................. ................ .....-- Address----..................-•--•--••-•--•---•--......................-•----.............................. CITY DF ATLANTIC F.ACH 16 OCEAt: BOUL EVl-,RD ATLANTIC BEACH, FLORIDA ADDEI4DUM TO BU I LD 114G PLAN Building Location: The attached plan for the above building is approved subject to nte.eting the following applicable construction requirements: a_ Footings shall be continuous monolithic concrete under exterior hails, reinforced with two 5/8" deformed reinforcing rods for one-story buildings and three 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods shall be placed in the lo,tier one- third of the footings , properly placed and fastened on metal cables with wire. Footings shall be six inches wider on each side t�an the wall above, shall be at least eight inches thick and shall rest on firm soil at least twelve inches below undisturbed soil . b. In hollow masonry unit construction, each unit cell shall be reinforced with at least on No. 4 bar at all conrners, poured and tapped with concrete; such rein- forcing shall be properly tied into the footing and spandral beam. C. All �-.,00d truss rafters (roof construction) , shall be securely fastened to the exterior walls with approved hurricane anchors or clips. d. Construction of nearby one-family dwellings, which are duplicates or intensely similar, shall be avoided. Such similarity considers the external conficuration and appearance (i - e. , roof, outer ::all materials, window size and design, and other like c�.aracteristics) of structures. In accord raith the foregoing, similar and shall be at least 500 feet apart if any one similar dwelling is visible from any other similar dwelling. e. The final connection between the house plumbing drain and the sE.aer=service connection (at the property line) must be inspected by the City before being covered_ City Manager undersigned hereby certifies that he has read the above and understands that this �ndum takes precedence over any contrary details to the plans and specifications and es to comply with the intent of this addendum. *ae or/Darner -- cif t F cit.�t,q i��u;rI.nl 1�1ru1far3u�iv�l trqulit!Ul C0NSfRUCTYON ND�1S rRYfiLtC�E�ISIN lf8l1AR0 CONSTRUCTION INDUSTRY ' ' 1" LICENSING RCARD 5/21/81 CR C001032 0110 WALKFR. THOMAS E jERIIFIED RESIDENTIAL CONTRACTOR JIM WALTER HOMES INC "WAM11;1) }111;1 t ?tt 15 CERTIFIEO �' CERTIFIED OENT IAL CONTRACTOR [.i^vl)I�.I{ 'l il{. ,'tfl t�,'!` l�)�:(; OI'' ( } !.Af' ► f,li 489 jr't 1!3 i�� I' 1 Ilii. � �. � I;I ti Itl I! 11''il,lt 489 IlF; �'i ':'�►t ►��:t'►li� �.r JUNE 30. 1983 ��� � tt�; 7 iti;�. '"�� J 3 r 1 83 WALKER. THOMAS E A•;f r ,fr,.f�f;,.,,,f f�l�y JIM WALTER HOMES INC �� � � ., �rf�,.,,f(�v r� f , � 4„�.ti ,✓ f„f.,e,� P 0 BOX 22601 TAMPA FL 33622 ll-ONSTRUC T ION I NOUST Rr LICENSING BOAR VOST OFFICE BOX 2 JACKSONVILLE. Fl 32201 u IN A tP♦ wM(i T i .L”Ti" e•74C47uT�t3t*"it(I�tlt'7L'3�ff"33"ACE�� S�':ui t _ RC0010 321 01.14,. t,90.00 STATE OF FLORIDA DEPARTMENT OF HEALTH s�= & REHABILITATIVE SERVICES -• j SEPTIC TANK CONSTRUCTION PERMIT ! I I Duval County Health Dept. No. 18601 I Owner James R. Patton,Sr. For Installation At: Hibiscus Street-Atlantic Beach Drainfield Size 420 Sand Filter Size jSeptic Tank Capacity Minimum 900 Grease Trap Capacity Minimum Dosing Tank Drain Tile Hold building sewer stub-out level with natuudral (a) Installation must be in accord with requirements 3 :hapter + 10D-6, Florida Administrative Code. (b) Final inspection required before work is covered. (c) Permit void if not used within one year. (d) Approved installation does not guarantee performance. Date of Application 8/11/82 Issue $/26/82 Iug a , Supery Issued By Doisor i 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. car= ELECTRICAL fl - MWER ELECTRICIAN NADDRESS: _ RFD BOX ` SLOG.SIZE BETWEEN: RES.(/!' APT.( } COMM.( 1 PUBLIC( } INDUS. ( 1 NEW(-T'OLD( } REW.t } ADDITION( I TRAILER ( 1 TEMP.( } SIGNS ( I SCI. FT, SERVICE:': NEW( l INCREASE( } REPAIR l 1 FEE CONDUCTOR SIZE AMPS Q COPPERf ALUM. SWITCH OR OR KER d PH 90LT RACEWAY / 00 EXIST.SERV.SIZE., AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL 100 RECEPTACLES CONCEALED OPEN TOTAL 0-30 AMPS- 91.100 AMPS: SWITCHES C� INCANDESCENT, C7 FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. Q AIR M.P.RATING M.P.RATING CONDITIONING ' `COMP.MOTOR OTHER MOTORS AMPS , EIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS. UNDER OW V. OVER 600 V. NO. KVA NO. IKVA,,, NO.NEON TRANSF. 140. VA. MA. MOTOR SIZE SWITCH (?LAS111E EACH SIGN » - „ _ FORWARDED