Permit 1290 Hibiscus DATE.
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
2313 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S ) HAVE BEEN MADE AND ARE
SATISFACTORY :
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Enclosed are the blue copies of the permits.
SINCERELY,
BUILDING INSPECTION DIVISION
cc: FILE
CITY OF ATLANTIC BEACH, FLORIDA
APWO"dbV PPLICATION FOR ELECTRICAL PERMIT
7
TO THE CHIEF ELECTRICAL INSPECTOR: 0 A T E: __7
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
ATLANTI�gfi
ORDINANCES.
1 s actric Co
1004 South Second St
JaCksonvi Bch FL32250
ELECTRICAL FORM: ER ELECTRICIAN SIGNATURE JQURNEYMAN
NAME_ 4gLJJdL 12-- IADDRESS.I(Qqo RFD_____BOX
BLDG.SIZE BETWEEN:
RE& ArT.I I COMM.( I PUBLIC I I INDUS.( NEW I OLDSY—�REW.
ADDITION ) TRAILER ( TEMP.( ) SIGNS I ) SO.FT.
SERVICE: NEW( INCREASEI,� REPAIR ( I FEE
CONDUCTORSIZE AMPS COPPER ( A L_U M,I
SVATCH OR BRE KER AMPS PH 4 w 'govou e4 i"AgmAy
EXIST.SERV.SIZE AMPS PH !� W o24 ZVOLT . 4ti"ACEWAY
FEEDERS NO. SIZE I NO, SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALEDI IOPEN TOTAL
RECEPTACLES CONCEALEDI OPEN TOTAL
1 0.80 AMPS 31-JOC AMP@,
SWITCHEG
INCANDESCENT
FLUORESCENT&M.V.
FIXED OADO AMPS, I ovan
APPLI^NCES BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COW.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
0.1 OVIR
MOTORS H.P. VOLTAGE pHs NO. I M.P. VOLTAGE PH$
./ '� % - 42 4 1 - "t"0007=6-
MISCELLANEOUS 41 4
( (A ,) g:IIVI I Q: Z;4 6&id ttyl6v —'�lp ff-c-A-M-0 _OCII
TRANSFORMERS: UNDER 800 V. OVERGWV.
CITY OF ATLANAC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877
ELECTRICAL PERMIT
A TREET
-7--pERM#�W 0
A(
M
Address: 1290 HRJISC
Permit Number: 22227 1 L ATLANTIC BEACH, FLORIDA 32233
Permit Type: ELECTRICAL Book: 18
Class of Work: ADDITION Township: 0 Range: 0 Section:0
P P, Lot(s):1 Block: 239
roposed Use: SINGLE FAMILY Subdivision: SECTION H
Square Feet: Parcel Number:
Est. Value: 5R--MA
Improv. Cost: Name: MILLNER
D Date issued: 6/25/2001 Address: 1290 HIBISCUS STREET
Total Fees: 25-00 ATLANTIC BEACH, FLORIDA 32233
ov.
T I F
m t 25.00
LAmount I Paid: phone: (904)249-4308
D 9 Paid: 6/25/2001
ITt
Work Desc: c)UT-LETS, RECEPTACL wmtz)
25.00
RVI
WCt_LURE_EE(j IC S T
'e, hr,
M,
0
ik-,
'aw
---------------
AT LEAST 24 HOUR,%PRIOR T0,1,NSPECTION
EQ
NOTICE - INSPECTIO ST.PEM ' UESTED -----------------�_
S FROM THIS WORK MUST N0Tj3E PLACED INVUBLIC SPACE,AND
BUILDING MATERIAL, RUBBISH AND�DEBRI BY EITHER CONTRACTOR QWbWNER
MUST BE CLEARED UP AND HAULED AWAY
"ONSMUCT1101W 'jt'rLAWV" ULT IN THE
A K
"FAI
VRT _4E C ! 0
�y
LURE TO COMPLY
PROPERTY OWNER PAYIN0-T", Cg'
ISS CC To APPROVED PLANIS�Wl;0QH ARt POT` T+06"PERMIT AND SUBJECT TO REVOCATION
ISSUED ACCORDING TO APPR
FO VIO TIO 0 LI P 0 IONS OF'tkV77-I"'�
FOR VIOLATION OF APPLICABLE PROVIS
6/25AU It Rmiptt NW7
ATV-ANTIC BEACH BUILDING DEPT. ca
CITY OF ATLANTIC BEACH, FLORIDA
Appm by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 2,
zoo
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 IWACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
VA 'X'� .
ELECTRICAL FIRM: MASTER ELE I N SIGNATURE JOURNE-YMAN
NAME tYll Pel-i (-Yl- AD13RESS: z 12'212 S" RFD_8OX_
BLDG.SIZE BETWEEN:
RES. APT.( I COMM.I I PUBLIC( I INDUS. I NEW OLD k) REW.
ADDITION W TRAILER TEMP.( SIGNS SO. Fr.
SERVICE: NEW INCREASE REPAIR ( FEE
CONDUCTOR SIZE AMPS COPPER I I ALUM. ( I
SWITCH OR BREAKER AMPS PH Wl —VOLT I RACEWAY
EXIST.SERV.SIZE AMPS t PH ; Wl 240 VOLT] RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30^Mps.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. I ov"
APPLIANCES BELL TRANSF.
AIR M.P.RATING M.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
)RA
0-1 OVFI
MOTORS M.P. VOLTAGE P"s NO. I M.P. VOLTAGE PHS
MISCELLANEOUS A ( I A
I-x'LL k 1 0 ry
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. I KVA I i.I I NO. lKVA
NO.NEON TRANSF. �0_ IVA. I MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
_F
FORWARDED
TOTAL FEES
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
8W SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL 247-5M-FAX: 247-5ff?7
PERMIT INFORMATION LOCATION INFORMATION
Permit Number. 21416 Address: 1290 HIBISCUS STREET
Permit Type: ROOM ADDITION ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY Lot(s): I Block:230 Section:0
Square Feet: Subdivision: SECTION H
Est Value: Parcel Number:
Improv. Cost: 19,800.00 OWNER INFORMATION
Date Issued: 2/07/2001 Name: MILLNER
Total Fees: 165.00 Address: 1290 HIBISCUS STREET
Amount Paid: 165.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 2107/2001 Phone: (904)249-4308
Work Desc: BEDROOM/STORAGE ADDITION
I CQNTRAC"(S) WL PM-"' APPUCMWN FEES
PROPERTY OWNER PERMIT 165.00
4,
FOOTING SLAB FRAMING
FINAL BUILDING INSULATION
NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TVACE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
t Q" �'�lt�� $165-88 14
ATLANNTIC BEACH EYUILDING'-D--EPT. DAte: 2/W%l 81 Receipt: U32426
CHECKS 2889
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address"' 2--110 R[61,SCL)-3 —7-0 ox)
Date 2 -6 - 01
Heated Square Footage @ $ per sq ft = $ 91106
Garage/Shed @ $_per sq ft = $ 1�1
Carport/Porch @ $_per sq ft = $
Deck @ $_per sq ft = $
Patio @ $ per sq ft = $_
TOTAL VALUATION: s
eo s
Total Valuation 1st $ lavo
� I? IF 00 $
Remaining Value per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $
WATER IMPACT FEE
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 :
REcrIV
FEB aol
City Of �tld,-
CITY OF ATLANTIC JRF7A Iluilding 8nd bc Beach
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATI Oning
MOV2NG, DEMOLITIONS
Owner(s) : L -Ef
?hone:
Job Address:
Lot Block or -Unit i Subdivision:
Contractor: State License
Addxess : Phone No:
-7, State Zip Cade "
City
Describe work to be done:
Present use of building:
Valuation of ?roposed Construction:
Propose J
d use:
Is this an addition? if yes, what are, the dimensions of the added
ft. X ft. Will the added area be heated and
cooled? New electrical (or increase) ?
New plumbing fixtures?=!:21-New fireplace?- -New Heat/AC?
S T TmRzE CcmdERcIA.L) 7o ccmwzE2w sETs or P.LaNS INCIUDING
AND
XTE P MaMGY COPAff ItRKS,
-IS/cOMNTRACTC:R 7.F7F.'Ayl xr oiiav—zi'Cownuc;Fm.
Signature OWNER: �/�IAJ Date':
Signature CONTRACTOR: Date:
ol
04 AS TO OWNER:
Ray K Nielson
Sworn to an* Aft""ObQTW4918me this- day 206x.
IV , a f
10AM4M,2002 '
*My Commission CC724098
#4,F,,00 Expires May 23,2002 NOTARY OBLIC
AS TO CONTRACTOR:
Sworn to and subscribed befoxe me this day of 2000.
NOTARY PUBLIC
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 6000�97 'Residential Limited Applications Prescriptive Method C NORTH 1 2 3
Sinall Additions,Renovations&Building Syderns I Depa I rtment-of Community Affairs
Compliancei with Method C of Chapter 6 of the Florida 97ergf=;F79;'nay be;;;onstraled by theosd of Form M-97 for a'dcrdions of 600 square feet or less,site-installed components
of manufactured homes,and snovations to sinos arld opit[Witily residences. Alternative methods are provided for additions by use of Form 6008-97 or 60OA-97.
PROJECT NAME: I/ 13UILVER: (*_Y4�1 gf:�&
AND ADDRESS: /I PERMITTING -
j clel CLIMATE
-_ OFFICE: ZONE: 102F]3D,-,
OWNER��I I PERMIT NO.i JURISDICTION NO.: T11
11
SMALL ADDITION9TO EXISTING RESIDENC15S(600 Square feet or less oficonditioned area). Prescriptive requirements in Tables 6C-1,6C-2 and 6C-3 apply only to the
components of the addition,not to the existing building. Space heating,cooling.and water heating equipment efficiency levels must be met only when equipment is installed
specifically to serve the addition or is being installed In conjunction with the additionconstruction. Components separating unconditioned spaces from,conditioned spaces must
meet the proscribed minimum Insulation levels. RENOVATIONS(Residential buildings undergoing renovations costing more than 30%of the assessed vaiue of the building).
Prescriptive requirements in Tables 6C-1 and 60-2 apply only to thecomponents and equipment being renovated or replaced. MANUFACTURED-HOMES AND BUILDINGS.Only SRO-
Installed components and features are covered by this form.BUILDING SYSTEMS Comply when complete now system is Installed., Please Print CK
1. Renovation,Addition,New System or Manufactured Home 1. N14LW04
2. Single family detached or Multifemity'atteched 2.
3. If Multifamily-No.of units covered by this submission 3.
4. Conditioned floor area(so.ft'-) 14. '1_4 5_6
S. Predominant save overhang(ftj 5.
6. Glass area and type: Single Pane Double Pane
a. Clear glass 6a. sq.ft. sq.ft,
b. Tint,film or solar screen 6b. sq.ft. sq.ft.
7. Percentage of glass to floor area 7. 0/6
Floor type and Insulation:
a. Slab-on-grade(R-value) 8a. R= lin.ft.
*2,n r
b. Wood, raised(R-value) 8b. R=
c. Wood,common(R-value) 8c. R= Sq.ft.
d. Concrete, raised (R-Value) 8d. R= ft'.
e. Concrete, Common(R-Value) Be. Rtz sq.ft.
9. Wall type and Insulation:
a. Exterior:
1. Masonry (Insulation R-value) ga-1 R= sq. ft.
2. Wood frame (insulation R-value) 9a-2 R--' sq. ft.
b. Adja�ent:
1. Masonry (insulation R-value) 9b-1 R= sq. ft.
2. Wood frame'(Insulation R-Value) 9b-2 R= sq. ft.
c. Marriage Walls of Multiple Units,* (Yes/No)
10. Ceiling type and Insulation.
a. Under attic(Insulation R-value) 10a. R= sq.ft.
b. Single assembly (Insulation.R-value) 10b. R= sq.ft.
11. Cooling system*
(Types:central, room unit,pAtkage termin al A.C.,gas,existing,none) 11. Typ a-. I
SEVERIEE
12. Heating system*: (Types�heat pump,else.strip,natural gas,L.P.gas, 12. Type: F-Y,i
gas h.p.,room or PTAC,existing,none) HSPF/COP/AFUE:
13. Air Distribution Systemfk:
a. Backflow damper or single package systems*(Yes/No) 13a. EX.�S-tikV
A
b. Ducts on marriage walls adequately sealed* (Yes/No) 13b.
14. Hot water system:
14. Type:
(Types:elec.,natural gas,other,existing,none)
F.- t
Pertains to manufactured homes with site Installed components.
I hereby carti that th 'A S icationecovered by the calculation are in Review of plans nd P riscmrodbyMca lation
ner� 4
com withthe F a
loft E fore c ;!%-q- this�b'U=n§will be
W#
PREPARED llalr� A.A "a" Inspected for compil4noo in
buil -1climpli
I hereby cmertify I Flor DFP*CJA#JL-
ida Energy Code. Kft
DATE:
OWNER AGENT: DATE-,
Revised 19M
%018 W026161
Page: 1570 26161
Filed I Recorded Pa
.je:
02/02/Ml 02:42:59 PH 0
Mod ed
JDl FULLER NOTICE OF COMMENCEMENT OZR yoded
0 MW CIRCUIT COURT r :59 P11
r% WA couny
In TR
WIL0
_.-,,.-OMT MA=NCERN:
A&Wfoks s:po
Cn 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 fo owing
information is stated in this NOTICE OF COMMENCEMENT.
r% Description of PropertV
a General Description of ImprovementsL e,112 P&Pi77W) Qtv
ntlk.
an-—, Ch
Owner 6e'A ncl
_N Address:__ AT75 PTE 12r�h
r JIF
er's interest in site of improvements:
/,Fee Simple Title Holder(if other than
Name
Address
Contractor– S L(Petc
Address—
Surety (if any)
Address –Amount of Bond $
Name of person within the State of Florida designated by owner upon whom notices or other
documents may be served:
Name
Address
In addition to himself, owner designates the following person to receive a copy of the Leinor's
Notice as provided in Section 713.13(l)(F), Florida Statutes. (Fill in at Owner's option).
Name
Address:
Ray K Nkftw O"r
*1 *my CwwwWon CC724098 5f IZ
Swom to a4ki�h0afe me this V of A ,e,�i 49
't:�
#P Pk Ray K NieLSW f4ota9f Public
my commbWon CC72400
ripres May 23,2002
41"
Til
MAP S�HOWING BOUNDARY SURI/Er OF
LOT- BLOCK _?00AS SH04td DN MAP OF
oeer "e" 4r44AIrIC
zo/v
AS MECORVEO IN PiAr &00K__Lg__pAors 44 or THE _jgkeA?�!y!: ��,g
e.4
CERVIED
pipe
k�j
if"s
lot
6v,
'07L
S7R 6 e 7-
-7 V-7
IAI
CITY OF
800 SEMINOLE ROAD
ATLANTIC REACH,FLORIDA 32233-5445
TELEPHONE(904)247-5900
FAX(%4)247-5805
May 1, 1995
Ms . Dorothy Millner
1290 Hibiscus Street
Atlantic Beach, FL 32233
Dear Ms . Millner :
our records indicate that you are the owner of the following
property in the City of Atlantic Beach, Florida:
1290 Hibiscus Street
a/k/a Lots 1 & 2 , Block 230, Section H
RE#171056-0050
An investigation of this property discloses that I have found
and determined that a public nuisance exists thereon as to
constitute a violation of Section 12-1-3 of the Code of Atlantic
Beach (high weeds and grass) .
You are hereby notified that unless the condition above
described is remedied within fifteen (15) days from the date
hereof , the City will remedy this condition at a cost of the work
plus a charge equal to 100% of the cost of the work to cover City
administrative expenses , which will be assessed the property owner
or occupant . If not paid within thirty (30) days after receipt of
billing , the invoice amount plus advertising costs , will be posted
as a lien on the property.
Within fifteen (15) days from the date hereof , you may make
written request to the City Commission of the City of Atlantic
Beach for a hearing before that body, for the purpose of showing
that the above listed condition does not constitute a public
nuisance.
Sincerely
11 arl W. runewald
Code Enforcement Officer
KWG/pah
cc : City Manager
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
--------------
12
t)EPAWUF.W Of SULWO,
-CITY OFOLANTIC BEACH
LOCATIO!,
Ti
t N*ftber. Address:
ATLA T
P e rmi �BjACJJ 'Ott 'XID
jC
Cp
P*rm i t TYPO 1 pir I iD14
------ IS
r,. ',Typo V L6t
s 0 ALT
w or
Slocki
t pt"
lo Subd:_
' 'prop sea u S is S I if!a t P. FAMILY t i A
r o
Subdi vi 0 100 SF.CTTdt4 �:i
0
Dwe I I ugs
'o �0()
v U4
Q:.,Oo
'OV Cr':®r$�
50 ;00
0-0
t
T LA to tag 1% Id
j:
tON lZIM,
TON
PERMIT 5'0� 00
REET
r
Afe
T
vt,40RIDA
1 0
C RHAT ------
R
C
R-D
89,2 Nq Dy BOULEV
sott lPLORl D 32221
A",
NOjWA,..w_ALL,Cot4CAM�"AND FWTINGS MUT
THS AFT DATE'Cf I,"UE
Mrt VOID SIX MON ER,
0
THIS WORK MUSYNOT Be PLAC1501:10 PUBLIC.MOE�AND
at"NG MATERIAL,"BISH'AND DEBRIS FROM
bop By
FITHF
fj,CONTRACMR OR JJ)V�
AND HAULMAWAY
UL
E MECHANIV$ N
#4ftE FM OF AW.
ATLANTIC BEACH Sw��040
BY,
g
`77
P.I
05 96 A�a*llAll ATL BCH CITY HALL
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING ftRMIT
JOB LOCATION; aq r3
q_s
L.-T
OWNER OF PROPERTY:-
PLUKBINC CONTRACTOR: Cc- __Svc . 4--o'j <
CONTRACTOR'S ADDRESSt
STATE LICENSE NUMBER; 2- TELEPHONE
NOW MaY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWE�S
LAVATORIES WATER HEAT9RS
-BATH TUBS DISHWASHERS
-URINALS DISPOSALS
-CLOSETS WASHING MACHINES
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERMIT FEE $25.00
6Z/
SIGNATURE OP OWN A, /09
, y_.mv
SIGNATURE OF CO rnL4.nl �z zw-:��
AV
-- ------------------------------------------------
INSTALLATION OF PLUMBIN AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-3826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834,