Permit 1284-1286 Hibiscus St ADDRESS
BUILDING PERMIT#
BLDG. BLDG- ------ BLDG BLDG
FOOTING
SLAB
FRAMING
FINAL
C/o
INS.
STEEL
FIRE
ELECTRICAL PERMIT#
BLDG- -------- BLDG- ------- BLDG BLDG
ROUGH
FINAL
PRELIM.
SENT TO JEA
FINAL
SENT TO JEA
CALL TO JEA
MECHANICAL PERMIT#
BLDG- -------- BLDG- -------- BLDG- --------- BLDG- -------- BLDG. ----
ROUGH
PLUMBING PERMIT#
BLDG- ------- BLDG- ------- BLDG- -------- BLDG- -------- BLDG. ___,
UNDER SLAB
ROUGH
SEWER
PUBLIC WORKS
: 0002449:
DEPARTMENT OF BUILDING
CITY OF ATLANTIcsEACH
-----------
LOCATION INFORMATION
PERMIT rNFORMATIOR -------
i5 - 86 HIBISCUS STREET , , .
Address% 1264 12
' Permit Mulabort 44 ATLANTIC BEACH, FLORIDA 32:�33'
Permit Types BUILDING
Class of Works MOVE-ON TRAILER LEOAL DESCRIPTION
Constr. Type% WOOD FRANC Lot2 : 1-2 Blook%
Townships RUG;
Proposed Uses DUPLEX,
SubdIvIniont SECTION
0 Cod*,v 0
00. 00
Estimated ,Volue s
Improv. Coati $0.00
Tctull,',�, 0220-00
*220.00
..........
0
TING DUPLEX ER PLAN
`A�pir APPLICATZON ,FEES
RNA,
TION
CRTIES PERMIT,
IMPAC
WAT
Addi"', 0 HIBISCUS STREET FEEZ
T T 7' FE
x"PA,
#CH,' FLOR , " I
"AJ,
la",
7
m
I'M
RADON! 0AS-H. R.S.,
mv RM 5 y- $0.00
------ 0 AT40" ------- RADON GAS
_PT
WATER TAP *0.
lqovzll�
Kau*
TAP 00.00
ILLEO FLORIDA
32202 HYDRAULIC.:SHARE *0.00
RE-INSPECT FEE
Type%
Ov
ENGINEERING P
*O.Q
�Q,
W"i V.,
NOTES:
1284 -RIBINSCUS STREET #120474
ji86 liBISCUS STREET #120475
AND FOOTINGS MUST BE INSPECTED BEFORE POURING
NOTICE ALLCONCRETEfORMS
ER DATE OF ISSUE
PERMIT VOID SIX,MONTHS AFT
AL,.RU,BBISHAND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
BUILDING MATERI
WAY bY EITHER CONTRACTOR OR,OWNER.
CLEARED UPAND HAULED A ,
f4fAILURE TO-COMPLY:WITH THE MECHANICS' LIEN LAWCAN RESULT,lN
R ,6UILDING Im 5"I'mmw
''THE PROPERTY OWNER PAYING TWICE,FO ,
OVED,PLANS WHIC14 ARE PART OF THIS�PEIRMI`T AND SUBJ
REVOCAT
ISSUED ACCORDING TO APPR
VIOLATION OF APPLICABLE 0RbVl8lbNS OF LA��'
LO
CATIO!
PER*bor- 1264 _1�
Pivrluit Nu as ATLANTI
permit Types LF
_OAL
Wo k Blook
-72
Addrea
R .....
Class Lot 1, 1
Constr- Ty Township
rproposed"UTE'IN PC'
Subdivision I SEC
H B LDING E
ATLAN IC RTM T
By
&
T
3/4" WATER TAP FOR ESTIMATE ONLY SAN' MARCO PROPERTIES
CORRECTED COPY 19SO SAN MAkCO BLVD.
396-1107
JOB COST RECORD ;21 o -/;;2cy/-
DESCRIPTION QTY. MATERIALS LABOR TOTAL 1�2� HIBISCUS
STREET
2" l" TAPPING SADDT-E I $8ioo
1" CORP STOP 1 $22.36
1" 'HALE ADAPTER PVC 1 $0.77
1" 90 L PVC 1 $0.271
I" GALV. PIPE 21 ' $16.38
1 S-T COUPLING PVC 2 80
1 X 3/4" MALE ADAPTER I $0-2a
PVC
1" SCH 40 PVC PIPE 15' $3.301
3/4" CURB STOP 1 $11 .60
3/4" METER ENDS 2 $6.60
3/4" RUBBER WASHERS 2 $0.20
3/4" X 5/8" MIETER 1 $85 .00
CONCRETE METER BQX/T,T 1 $21-�W
SUB TOTAL $17d.51
10% O.H. $17 .66
TOTAL —�-1 9 4 7
3 MEN ($27.45/HR) FOR 6 HRS. $1641.701
30% O.H. $49.41
TOTAL -MATERIALS E,4&W-11 -
TOTAL $194JI71 $21d.11 $40d.28
MISC, JOB EXPENSES AMOUNT OTHER JOB EXPENSES 812CU
2 TRUCKS__($10.00/HR) IOR 6 HES. TOTAL COST
T07AL SELLING PRICE
.$-120.OC
LESS TOTAL COST
GROSS PROFIT
LESS OVERHEAD COST
OF SELLING PRICE
TOTAL. 1$1201.Od NET PROFIT $59 ..24
3/4" WATER TAP FOR ESTIMATE ONLY SAN 14ARCO PROPERTIES
193b SAN mARCO BLVD.
JOB COST RECORD 396-1107 1284[1286 hIBISCUS
AS R TOTAL STREET
DESCRIPTION QTY. MAT-ERIALS LAS
$13,25
I" MRP STOP $22 .36
1" 90 L PVC $0 .27
I" GALV - PIPE 21' $16 .38
1" S-T COUPLING PVC 2 so 0
1" X 3/4" MALE ADAPTER 1 $0,23
Pvc
I" SCH 40 PVC PIPE 15' $3 .30
1 $11 .60
3/4" CURB STOP
3/4" METER ENDS-- a6
3/4" RUBBER WASHERS 2 -$Q,20
3/4" X 5/8" METER 1 $85.00
CONCRETE METER BOX/LID 1 $21 ,00
SUB TOTAL $1811,
7
10% O.H. $18[
TOTAL $199 .94
6
8]
4
1
3 MEN ($27.45/HR) FOR IIRS. -- I $164"IZO
30% O.H. S49141
TOTAI, MAIIIAIALS- $?Ltl n TOT All
TOTAL 4,� $21411 4*t*4'e;5f
MISC. JOB EXPENSES AMOUNT OTHER JOB EXPENSES
2 TRUCKS ($10.00/HR) F R 6 HR;.--- TOTAL COST $674 ,05
'120.00 TOTAL SELLING PRICE
;m Eff LESS TOTAL COST
GROSS PROFIT
LESS-OVERHEAD COST
-%OF SELLING PnICE
TOTAL I:�[ NET PROFIT
/Aa 00
APPROVEru"
mAY 2 !) 1990
CITY OF ALANTIC BEACH
PUBLIC WORKS DEPARTNIF�'T
PRICE QL%oomm
APPLICATION FOR WATER AND/OR SEWER TAP
APPLICANT NAHE_��... - -- -------------
MAILING ADDRESS_jj��-- - --- --------
PHONE NUHBERj;�?
-------- DATE____
zd�
Of
SERVICE REQUESTED
elo,
(oo�
SERVICE LOCATIOHJg,?!��L_,e��aL
------------------------------- ----------------
DATE SENT TO DATE RETURNED
PUBLIC WORKS_ --- TO BUILD. DPT.
DATE OWNER
NOTIFIED
... . .........
RECEIVED
MAY 2 3 1990
PIJBI-IC WORKS
APPROVEU
MAY 2 !) 1990
CITY OF ATLANTIC BEACH
PUBLIC WORKS DEPARTMFMT
CITY OF ATLA I NTIC BEACH, FLORIDA 9761
Approv*d by I APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE'
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR �OING 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.
, .0%:f
Z;Q
G�w
a;_-%61- Ir 4mi
N,
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE YMAN
NAME ADDRESS: RFD-BOX
BLDG SIZE BETWEEN:
RES. APT. I comm.( PUBLIC ( INDUS. NEW( I OLD (Z REW.
ADDITION ( TRAILER ( TEMP.( SO. FT.
SERVICE: NEW( INCREASE ��REPAIR FEE
CONDUCTOR SIZE 3 /9,/ 0 AMPS ��b COPPER ( I ALUM.(.e� /5 �00
SWITC14 OR BREAKER// 0 AMPS I PH :?W LT RACEWAY -"2, 5-
EXIST.SERV.SIZE AMPS PH W i2b VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30*-PS, 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0-i00 AMPS. 111R
APPLIANCE BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR F, MOTOM AMPS ICEILHEAT: KW-HEAT
f
v
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MIMELEANEOUS
TRANRFORMERS: UNDER 600 V. OVER 600 V.
a?-7-7�
CITY OF ATLANTIC BEACH, FLORIDA
rovod by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE t) —19
IMPORTANT NOTICE:
//' 1,-2
IN CONSIDERATION OF PERMIT GIVEN FOR ING THE WORK AS DESCRIBED IN THE FOL OWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACC DANCE WITH THE ATTACHED PLANS AND SPE IFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE ITH THE ELECTRICAL REGULATIONS, CODE ND CITY OF
ATLANTIC BEACH ORDINANCES.
ti
ELECTRICAL FIRM: MASTER ELECTRICIAN S16NATURE JOURNEYMAN
NAME ADDRESS: RFD—BOX—
BLDG SIZE BETWEEN:
RES.(��( ) comm.( PUBLIC( I INDUS. I NEW( OLD( I REW.
ADDITION ( ) TRAILER ( ) EMP.( ) SIGNS ( I SO. FT.
SERVICE: NEW:��INCREASE ( ) REPAIR I FEE
CONDUCTOR SIZE :3 AMPS COPPER ( ALUM. ff� 0)
SWITCH OR BREAKER AMPS 3 w ;� 2ZVOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
ps. 31-100 AMPS,
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0-100 AMPS. OVER
APPLIANCES i I BELL TRANSF.
AIR H.P. RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
'roAlLlccf%our.9aQ. tINnFR 600 V. OVER 600 V.
0002,731
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
P6*1111T !HFOR"ATZON ------ -------- LOC ION X141FOR"ATZON -------- -
0ormit Number z Address% 128 ' 1286 'HIBISCUS STREET
Permit Typo% BUZ LDrmp A ANTIC BEACH, FLORIDA .a2
233
class of Work s., H/A ---------- AL DESCRIPTION
Constr. Type% WOOD FRANS Lot% Block% Section%
Proposed Uses DUPLEX , Townshipt RHO% 0
DvellIngs%, 2 Codes Subdivislons
Estimated Values *10368. 00
Improv. Coati *0.00
Totel0,� $1007.00
l,"4"'Y'
Afto, *1007. 00
Ji
War
a
APPLICATION FEES
ft"ATION
ERTISS
PER"rT $57.00
Ad X81SCUS STREET
WATSII
�77 �7 t X"PACT 0200.00
Cif, FLOR
Tj,
_pC
A
v
FEE
"�T
p o�, A,�)
-H, R S.
RADOM GAS, *0.00
------- 6W' HFO AfiON ----- -- RAOOH OAS - 5x *0.00
T , 1 R"
"ONE 'WATER, TAP--_ *0-00
"Addrebs4 'P."0 2655''
SEWS* TAP *0.00
JAC#"VILLV0 FLORIDA 322042 HYDRAtfLIC SHARE $0. 00
Types 1 RE-Imspx6T FEE ".00
Ix,
g-, *0011
HZERZOO
SHOT 00
71.
NOTES: C)o
,NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP ANb,,HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FAILURE TO COMPLY I'WITH THE MECHANICS' LIEN LAW CAN RESULT 11N1 ,,,1
THE PROPERTY OWNER PAYING TWICE FOR 8UILPING1MvQmAj%x 5 '
ISSUED 4CCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND,SUSJQ&'§REVOC4144 R
VIOLATIqN OF APPLICABLE PROVISIONS OF LAW.
A1170C EACH BUILDING fAR'
Bw
Y:
f
ILI,,
7 16 6 0
Address/
12,i� aS ts c U
Heated Square rootage @ $ 4-16-,!r0'Yer.sq ft = $
Carage/Shed @ $ ---__�_per pq f t - $
Carport/Pordi @ per sq ft - $
Deck -yer,sq ft - $
ratio per sq f t: = $
'IX)TAL VALUATION 1 0 67. 0
Ist $ / 16()0
0 CD (9L 0 00
�der Valuation
per thous and or .:
portion thereof
-- ---- ------------------------------ -------- � Total Buildhig Fee '3--o9.0
ADDITIONAL PERMTS arid/or FIX,S REQU, + ji Fi4� kee - $ 1 L 0
Mechanical Fireplaces' @ 15.00 $
7
BUILDING IPE RMT F M S
Plulbing
Electric/Nmq
L-------------------------------------------------
Electric/Tai4i
Septic Taik BUILDlNG PERRIT $
WAIER M, E R a.mm, $ i0gr-tOA-i
Well
AJI
S�4hitlill)g 11001 SEWE R IWACr FEIIE
E
WAIM IWACT FE $
Sign
$ -7
Water Comection' mcaimmus
$
Sewer Connection
416 AP
Water fle-ter CPU .4 1
GRAND TUEAL DUr $ 71
- --------------------------------------------------------------------------------
(ALCUlArlONS atid/or NUIES'
3/4" WATER TAP
FOR ESTIMATE ONLY SAN MARCO PROPERTIES
193b SAN 14AftGO BLVD.
396-1107
JOBCOST RECORD 1264 128b KBISCU
DESCRIPTION QTY. MATERIALS LABOR TOTAI STREET
6" X 1" TAPPING SADDLE ___L_ $13 .25
I" CORP STOP 1 $22 .36
1" MALE ADPATER PVC 1 $0 77
1" 90 L PVC 1 $M27
I" GALV . PIPE 21 ' $16 ,38
I" S—T COUPLING PVC 2 $0 ,80
I" X 3/4" MALE ADAPTER 1 $0 .23
PVC
I" SCH 40 PVC PIPE —15' $3 30
3/4" CURB STOP 1 $11 60
3/4" METER ENDS 2
3/4" RUBBER WASHERS 2 $0-20
3/4" X 5/8" METER 1 $85 .00
CONCRETE METER_BOX/LID 1 $21 .00
SUB TOTAL $181 -76
10% O.H. $18 .18
TOTAL $199 .94
3 11EN ($27.45/HR) FOR HRS. $164 .70
30% O.H. $49
TOTAL MATERIALS— $?L�l I L-1 —TOTAL—
TOTAL $199�941 $214111 $414105
MISC. JOB EXPENSES AMOUNT OTHER JOB EXPENSES $260 00
2 TRUCKS ($10.00/HR) F)R 6-HR TOTAL COST 05
3 4 TOTAL SELLING PRICE
120,00
I BA KHOE ($35.00/HR) �U� _H tS, LESS TOTAL COST
I anoss PROFIT
1140 001
L�.qg OVF rlHrAr) COST
OF SELLING rnICE
TOTAL E2 60,001 NET PROFIT 1 $674JO51
APPROVED
2� 1990
CITY OF ATLANTIC BEACH
PUBLIC WORKS DEPARTMENT
>4
a.
';b' QD
_j
14
Zd Eo
tn
La La
c-c3-- A."
E_
u
X C4
En
4J E, 2: C)
cc _j
qc 0
cri -3
C4 '4c
CITY OF ATLANTIC BEACH s Z: :z w >4 L4 .4
BUILDING DEPARTMENT u La I
$4 Z L)
INSPECTION REPORT
4-) cn r4
PERMIT# Qj (a La H
rn
SUBDIVISION
CITY OF ATLANTIC
PHONE BUILDING DEPARTI`
34 -1286 HIBISCUS STREET 2449 INSPECTION REPC
%-Ric BEA916TIORLORIDA 32233 PERMIT TYPE SECTION H JOB LOCATION l2a4 -1286 HIBISCUS STREET
CLASS OF WORK
MARCO PROPERTIES PROPOSED u"04)396-1107 ATLANTIC BEACH, FLORIDA 3223:
1-2 196 BUILDING OWNERNAME SAN MARCO PROPERTIES
ENA HOME MOVERS MOVE-on TRAX ER LEGAL DESC: LOT swel STWN
DUPLEX
INSPECTOR
CONTRACTOR HYGEMA HOME MOVERS
MOVE 0 EXIS'l-ING LEX PER PLANS
L e' P� D
Y c t-0— APPROVED F REJECTED
1 FOOTING WORK DESCRIPTION MOVE ON EXISTING DUPLE)
AM
SWD es4 INSPECTION REQUIRED 1 FOOTING
DATE INSPECTED BY Lo c
COMMENTS
MAP SHOWING SURVEY OF
IDT 1 AND THE NORTH 2 5 OF LOT 2, BLOCK 196, SECTION 'H' ATLANTIC BEACH AS FROORDED
IN PIAT BOOK 18 PAGE 34 OF THE CURRENT PUBLIC RMORDS OF DUVAL COMM, FlORIDA-
RF E- uL P,\/ E- Y
I HEREBY CERTIFY THAT THE PROPERTY SHOWN HEREON LIES IN FLOOD
ZCINE OC" AS SHOWN ON THE FLOOI) HMAW BOUNDARY MAP FOR AITANTIC
BEACH, FLORMA.
LOT 6
BLOCK 230
+1
SIT 1/2"1.R rmve
-�Vll A me.
.mlVQ
Q
IL CL 49
0
0
00
U) w
_0
im
LOT*
0
labo.
511T 1/2**I.P./ 102.00' i$9T I/Z'LP.
ftLA Me,3896
SOUTH 2 5' OF LOT 2
APPLICATION FOR WATER METER
DATE:_
CONTRACTOR: 1-X'1'e"ei':';1 '2(
------------
BILLING ADDRESS:
------------------------
7--------
/SERVIPE ADDRESS:
L 6 UNIT: SUBDIVISION:
1-:r7,�BLOCK:/-,24!9-- ----------
ACCOUNT NUMBER
--;/-----------------
METER SIZE:-- - -------
( ao (4TS
I HEREBY REQUEST THAT A WATER METER BE SET AT THE ABOVE SERVICE
ADDRESS. I UNDERSTAND THAT I WILL BE BILLED FOR TEMPORARY
CONSTRUCTION WATER UPON SETTING OF THE METER. I FURTHER
UNDERSTAND THAT I AN RESPONSIBLE FOR ANY AND ALL DAMAGES TO THE
METER, BOXES, VALVES, LINES, AND ANY PARTS THEREOF, UNTIL
PERMANENT WATER SERVICE HAS BEEN ESTABLISHED BY THE CUSTOMER.
- -- -- ----- -------
CO RACT R
C LANTIC BEACH
VT
q
1-101,
HI
emler 4'0 I.f— A AMAff-I r
�Ioe6-4A- lift
W
Ad Its y OWAM 00 Z Flrff
- . -/ - --j
ow�(Pvnvr
&We 404,01AWAM
-fa-S
_,A
Al(q r.0 AIIAIIAILla
AdIJ'
//c) '7
CITY OF ATLANTIC BEACH, FLORIDA ),7F6
Approv*d by- APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE. 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL EGULATIONS C S AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
it
NAME F f1mo%-4 'd J ADDRESS: RFD-BOX
BLDG* BETWEEN:
RES.( APT. ( COMM.( PUBLIC ( INDUS. I NEIN( OLD( REW.
ADDITION ( ) TRAILER ( I TEMP.( S ( ) SQ. FT.
SERVICE: NEW( ) / INCREASE �NREPAIR ( FEE
CONDUCTORSIZE �il;VO AMP, 1,rQ COPPER ( ALUMJ 1500
SWITCH OR BREAKER /' 0 AMPS PH W 2 ZOVOLT RACEWAY Z�)
EXIST.SERV.SIZE j// 0 AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES q CONCEALED OPEN TOTAL
1 0.30 AMPS,
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0-tOO AMPS. OVER
APPLIANCES I I I BELLTRANSF.
AIR H.P. RATING H.P. RATING
CO�DITIONING COVPWTOk QTVER MOT0ftS jAMP,% ICEIL HEAT: KW-HEAT
4 c-
OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MIMLIAMUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
A T 0. R B U L T
1A Ay 2 1 1�,9 9 0 CITY OF
pnd Zonin vcadc �(,Irewct
Build j 91TTALS
IRED SUB
716 OCFAN DOULFWARE)
Eacl, application for building P.0.DOX 26
permit will be accompanied by ATLANTIC 13EACII,FLORIDA 32233
two complc-�te sets of plans, including TELEPHONE(904)249-2396
a detailed site plan indicating location
of utilities, parking, si7-e of yards and
other pertinent data; one set of Florida Energy
Efficier—Y Code sheets; recent survey (on new construction)
SCIIEDULE OF' 111SPECT1011
Requests for inspections will be accepted from 8s00 AM until
4 3 30 PH. All inspections will be made the following working day.
1. rooting
2. Rough Plumbing/Sewer
CALL III WITU rrmti'r
3. S.Inh NUMBER FOR EACH
TRADE
4. Fiaming, Rough Electric,
Hechaijical, Top Out Plumbing
5. Insulation
6. Final Inspection/Issuance of Certificate of Occupancy
------------------------------------
BUILDIIIG CARD MUST BE POSTED OR HO IHSPECTIOH WILL BE HADE
Pour no concrete or cover any work until
building card is SIGNED by 'the inspector. You
will be required to uncover any work that has not
been inspected.
MA
!�10 fee is required for all re-inspections.
J'J?0l'F1lTY DESCRip,riou
716 OC FA N 130 U 1,E VAR 0
t�ot 0 6, 13lock 9 Section 0 '110X 211
ATLANI IC BEA01,FLORIDA 32233
ITAXHIONE 190412,19-2395
Subdivision:
Street flame DESCRIPTIO11 OF WORK
or Addreass—
If in a FLOOD HAZARD
Flood Zones__C.........area complete page 3. Brief
Descriptlon.
Clar; rk
--------------
Z01111IG 111FOWIATIO11
Type of
Conotruotiont
Zoning Proposed
Dist.rictl�& Uvel----- Estimated Value 0
Exceptions or hatorialal--------------------------
Yo%rinticf?n (JunnLnris
Solid or
Filled
Ground eja _Ro., F(e?6,e6-L.4c%,
-----------
OWHER 111FORHATIOU
Moth ad Of H41-11k ti IS g 1 C4 ------------
P It a n e I, -wl';'
Property W r-4=L�-
Moiling
Addresr
vAi—,J
7------------------ Zipt
----------------
CONTRAC'1*01Z IRFORIIATION
e i .39Z
.4 L--j Phon
Addrer,E3s—/
-------------------- ------ Zip 1
expir"tio
Number i
License 3
...... Datei
I RFREl1Y CFnTIrY TNAT I HAVE READ AND EXAMINED THIS APPLICATI011 Alin XNOW Tllr SAHr To r1E' TRUE
Al?D crinnrcr. ALL Pnovxszoiin or TNE LAWS AND ORDINANCES COVE1`11111113 71115 Tyrc OF wonK WILL PE
WHFTHEnj SPECIFIED HEIZEIN OR NOT, TNE GRANTING or A PEnHIT DOES NOT P"ESUMr TO
comrLIED WITII,
OIVF AUT11ORrTY TO VIOLATC OR CANCEL TIJE PROVISIONS OF ANY FEDERAL, StATE OR LOCAL RULE5,
nFOULATIO113, ORDINAHCrS, OR LAWS III ANY MANNER, INCLUDING THE GOYFnNillo OF COUSTnUCT1011 Oft 711E
rEJtrOn11AJ1CF Or C0113TRUCTI011 OF TIFE PROJECT. I UNDERSTAND TRAT THE ISSUAP40F Or Tl,ys I-EnmiT z.q
C011Tzituritr urON THC ASOVE INFORMATION OF-IN(I TRUE AND CORRECT AND Tl(AT TNE PLANS AND SUPrIORTZHO
DATA HAVE BEEN OR SlIALL VE PROVIDED AS REQUIRED.
Owner Si
gnature Date
Contractor Signature-
A&—a—Lo t e
FLOODPLAIII DEVELOPHEUT 111FORMATIOU
Type of E-0-1-6 14 4�,,-72 A
Flood Zone:
Required Lowest Floor Elevationi
If building is located within a flood hazard zone, a survey must
be made AFTER THE SLAB IIAS BEEN POURED, certifying that the
LOWEST rLOOR ELEVATION is equal to or above the base flood
elevntiori entablinhed lor, that zone.
Ila final inspection will be made and no certificate of occupancy
will be issued until the survey In on tile with the Building
Department.
COMMEIITS:
A 1)1)11 L;,i t i t Acknowle.dgement s I understand that the Issuance of
this permit is contingent upon the above in-formation being
correct and that the plans and supporting data have been or shall
be provided as required. I agree to comply with all applicable
proviniol)n of Ordinance 140. 25-7-11 and all other lawo or
ordinances aller-Ling the proposed development.
Date -,-- j-&I-�4--Applicant'a Signaturen
----------------------------------------------------
Department Use
Required Lowest Floor Elevation
As Built Lowest Floor Elevation
-----------------
Survey riled with Building Department 7--------
---------------------- 4------------
Building Department Representative
page
PLANS REVIEW CHECK LIST
Address Owner L>2
L I Descri Contrac A4 -a-
LAI
;tor
ptiod
----- Z7 �z
License Number
)------------ ------------------------
License on File( YES NO
Section 24-101 * Zoning aRgHlAtions
Zoning District e Proposed Use
Required Lot Actual Lot Size-----------
Setbacks Required Provided Section 24-17
4q� n' CORNER LOT INTERIOR LOT
front
rear --- -------- Flood Zone
side-1
Required Elevation��
side-2
Max. Height Allowed-- ., Proposed Height-----------
Section 24-82 * Minimum Lot Coveragg
Required Heated Area Proposed Area_z��------
Section 24-161 * Offstreet Parking
Number Spaces Required__7---- Spaces Provided----
Section 24-82 * Duplicate Buildings
Is there a similar building within 500' of proposed building?YES
Utilities
Water and sever service Is to be provided by:
Buccaneer Utilities
City of Atlantic Beach Utilities
Private Source SEPTIC TANK WELL
Plan Reviewed by: ------------------------------Date----------------
Build�ng Permit #---------- ISSUED DENIED
Address
Heated Square Footage @ $ ______per sq ft =
Gara,ge/Shed $ per sq ft = $
Carport/Porch $ ___per sq ft = $
Deck $ ___yer sq ft = $
Patio $ ___per sq ft = $
TOTAL VALUATION: $
Total Valuation lst $
Reminder Valuation per thousand or
portion thereof
--------------------------------------------I Total Building Fee $
ADDITIONAL PERMITS and/or FMS REQUIRED I
+ 32' Filing Fee $
Fireplaces @ 15.00 $
Mechanical
BUILDING I PER11T FEE $
Plumbing
Electric/New
-------------------------------------------------
Electric/Temp BUILDING PERAIT $ op
Septic Tank WATER NETER CHARGE gt '' 2 Z
Well SEWER IWACT FEE $
Swimming Pool WATER E,,JPACT FEE $
Sign NISCELIAMUS $
Water Cormectian
Sewer Cormection $
Water Meter $
Elevation Certificate GRAND TOM DUE $
------------------------------------------------- ----------------------41---------------------
0
CALCULATIONS and/or NOTES
MAP SHOWING SURVEY OF
NORTH 25.00 F OF Wr 2, MOCK .196, TOGMHER WITH LOT,,eAND nE/S&r��f -�0 ��Wr 5,
I- ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18 PAGE 34 4 THE CURRENT PUBLIC RECORDS OF DWAL COL
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APPLICATION FOR WATER AND/OR SEWER TAP
APPLICANT NA
---- -------------
MAILING ADDRESS_I�L-- -- - - - --------
PHONE NUMBER_:-�— _/
Z.�__Z DATE
SERVICE REQUESTED_je!�
SERVICE LOCATION-/MqAL-4�-ak- -------
------------------------------------------------
DATE SENT TO DATE RETURNED
PUBLIC WORKS TO BUILD. DPT.
DATE OWNER
NOTIFIED
RECEIVED
MAY 2 3 1990
RIJB1,1C WORKS
APPROVED
I-ARY 2 !) 1990 llfc-1
a
CITY OF ATLANTIC BEACH
PUBLIC WORKS DEPARTMENT