The URL can be used to link to this page

Permit 415 Irex Road (2) `' � { CITY OF ATLANTIC BEACH ' + ` �� 800 SEMINOLE ROAD } „ { ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 09- 00001879 Date 12/04/09 Property Address 415 IREX RD Application type description SHED PERMIT Property Zoning TO BE UPDATED Application valuation . . . 3995 Application desc 10 X 14 SHED Owner Contractor SLUNK, CLYDE BUILT ON SITE SHEDS 415 IREX ROAD 977 BLANDING BLVD ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065 (904) 213 -9019 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 70.00 Plan Check Fee . . 35.00 Issue Date . . . Valuation . . . . 3995 Expiration Date . 6/02/10 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED TO MEET 120MPH WIND LOAD. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS *2007 FLORIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED TO MEET 120MPH WIND LOAD. Roll off container company must be on City approved list and cannot be placed on City right -of -way. Roll off container company must be on City approved list and cannot be placed on City right -of -way. Fee summary Charged Paid Credited Due Permit Fee Total 70.00 70.00 .00 .00 Plan Check Total 35.00 35.00 .00 .00 PERMIT IS RFAIW ACCORDANCE WM1 LQ `e.ITY OF AT RJCPrIB OEACH ORDINANCI#$QtND THE FLORID?O 0 BUILDING CODES. Legal description of property being improved: f ^O } 2 &Lock iD — o P&4 r '- p 3t pe5.4e /!p i6,4, llad /Id! ![ vi- gob Address of property being improved: 415 1 a E k / `6\ tri `CJ B&'> 'CL, 3 2 Z-3 General description of improvements: /OX 00D *:) 64iepr' 6e. Aecil Owner 01_ d e , LL>z. Address . 1 F ( 43.41 A41/4 1.1 /3t hi Owner'nterest in site of the improvement 0/,/a /C, ✓' Fee Simple Titleholder (if other than owner) Name Address Contractor -c-1/0 >Nx) ( IT-4 ' ''4 Address q22 $Lli. YltJ I /1 R4.0 . , Y� 1 L.. 321:74:6 Phone No. q"bcd 13 .915 Fax No. 4O5 02/?7 1/ 4 Surety (if any) Address Amount of bond $ Phone No. Fax No. a Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address , Phone No. Fax No. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): De. e._ 7�T J 2oD, THIS SPACE FOR RECORDER'S USE ONLY OWNER DATE - Before me this l g day of Ale) V 2_1/ D in the — Mate of- _F ida as �� ly ppeased Doc # 2009282879, OR BK 15077 Page 1105, County ,v+�7t 6{f�vyldb2Ci�,►r a L� Herein by Number Pages: 1 himself/ hersof and affirms that aU statements and declarations herein Recorded 11/23/2009 at 03:42 PM, are Prue and accurate JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY / RECORDING "117.1 � l r / Notary Public at Large, Sta "' "' •�t�I My commission expires: 7 4 Personal/ Known T;''1 + t � o Produced Identification b - .n, /70 r CITY OF ATLANTIC BEACH 09 ✓ / ,, may/ ; s 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 ��.,.,�v ' e wu �'. Y OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 •,.Y! s BUILDING- DEPT@COAB.US sa) BUILDING PERMIT APPLICATION DUVAL COUNTY w a 2 VALUPTION S . , ; . . , �,', 3!50 FT.IIN.DERROOF'�_�, t , ,1;�JOB ADD ', . , _ ' ,.r. _ .. .;....... ,. _ .:� . r ,, .. OF yoRkI S f �t 5 .1 X 12‘)/40 -3q S,c s , f, •;5 :`CLASS OF WQRK. ° it 2 r, .r ,:.. r -0S /4/0 '. fi: EOFSTRU6Tl1RE. �� 4 "D q7 n 0 NEW BUILDING ❑DEMOLITION ESIDENTIAL LOT BLOCK iv F SUB DIVISION c ?A2. PALifns L kA } ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL ❑ ALTERATION ACCESSORY BLDG. 8: FIRESPRINKLERP ,� T,DESCRIPTION QF WORK ai � ,...?�. -� - +} ' � ` ,' ' ' " ❑ NIA /� /1/ / _ _ ❑ REPAIR ❑POOL /SPA ❑ YES Ci ,vj ❑OTHER o ?ARCHITEG, • /ENGINEER 9 ;N 5. C E: t, j , a PROP.ERTY;OWNER , /gii../E + 23. COMPANY NAME 9. NAME: 1 , ` � CL DE l3 Lu N K „tows.) M PtaciL Optki-why4 24. LICENSEE NAME: 16. NAME: k) C 4 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 10. ADDRESS: ry r�/ 8C 12 5 + y I y 1 `'' - t�+G�v 18• ADDRESS: . G {�( 26. ADDRESS: 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE 20. FAX NO.: Z 27. OFFICE PHONE: 128. FAX NO.: 4b'l 372. C 78 I Roy 3 g ©I / I tiO 4�- d ?i 21. CELL PHONE 29. CELL PHONE: 13. /; CELL PHONE: 21. "�� 4o 4 - •� --"e 0 7,4,- 30. EMAIL ADDRESS: ,c 7 14. EMAIL ADDRESS: 22. EMAIL ADDRES 46 1 &)V S: qr -^^ � ��* � FEE SIMPLE TI H OLDER BONDING COMPANY _ r }: � i - MORTGAGE LENDER tu,�eq ` �' i .k '. t .4F OT THAN ORJE �,• ,. . r •. ti .., ,. .... .. _.: r.. ,.. .: ... _....,. 31. NAME: 33. NAME 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a pen 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. *** WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT A NOTICE RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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. OWNER o'r AGENT - CONT.RACTOR , ( I f Agent Pow er:of Attomeyor Ag Le R tter equired) er O [ t < / Date: / t "r '' D Si gneB: 6� �rl. `: / Date: 4j � . py .. ' ' t/ Sign �� Before me this / B day of JUL ✓ , 2009 in the county of Before me, is 0/71) 1 y of N ) OKt � -in J , 2009 in the unty of M. Duval, State of Florida, has personally appear9id Duval, S of Florida, has personally appeared � Lca,� j k ) h A Fc cL_ , . C:1• 4 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. 11 ,g f IJ 0 0 Notary Public at Large, State of { 4 -- , County of D V 047 /J ' rt... County Notary P at Large, State of H o ❑ Personally Known - ! 1 ersonall Known r� ■ c'G � ❑ Produce , IdentScation - 4 j ; M U N N • t . 1 i j �- _ • Notary Sign. u re: • f 1. - - . - r al! A ` : r ..Y/ t v � ;;V • d l as CITY O ' � 'V:: � � . . r _ � � PA 7. �� PAMELA L. ANDERSON 1 SFF PE • „ r.. �: U DiTI rl ,:ary Public - SOW of Notary Public -State of Florida I i • h r { I \ r " .r14 nn Expires . • `My Commission Expires May 22, 2010 REQUIREMENTS AND CONDITIONS. , � o. 5 r5,.. # BLDG'J1 Permit Application Bldg. REVISED. 12'/' 3/2003 \sue Commission # DD 555554 l REVIEWED BY: . DATE: 3 '" -. ,e , ,,, . National Notary A ssn.: MAP SHOWING A SURVEY OF . LOT 24 BLOCK 10, REPLAT OF PART OF ROYAL PALMS UNIT TWO A AS RECORDED IN PLAT BOOK 31, PAGES 16, 16A, 16B, 16C AND 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. .." rtA-3/4„ q. (4,6ci-EA. Z k i 3-_ P f Q A.i n1' I `I Le g- 7t c- t a uft pa. ti ► 3z 5F c 't SF 23 5I 5'' LOT 4 ,--9 I LOT I I � 61.A. J- � ' y p . 5� II \ 1 F OU N D 1 E -- IR Z4 "D 4 5f W � N PIP E 00 p.2' .. GAP N$ 0.1 4 5 , 5a „ g3. OD J 1 , ' 0.8' 3 Q 84 ' FIEF -D � r U E 92. N 82'39'59” FOUND 1 /2 • 0.2 O 1 5 - RON PIPE L A/G PAD O 0 "N0 CAP" X0.3' iD ❑ l Z 25.6' 35.6' \ o I C — 0 39' 1 STORY a i a? .94. V t oys I � � 1— '4. I� �� f r "' 1 � J ROCK MASONRY Z �`� N \ of GARDEN & 1.61 C ONCRET V E '-' I�,I Q�m. 25.4 FR AME N PATIO `rte o RES' ' i ca � . cr, . ; I I ►`? #41 6. P, CO LOT 3 :'I \ _ I gym\. o.X f6 \G v! o I � N N �1 2 65' I \ 6 WOOD FENCE 1 m CONCRETE I DRIVE go I ., .0 f 5� O p 1 1 NO 1 /2" I , 5 Q Y 9307 FIEC,D oo� N PIPE '- 0.2 5 82'39'2 W (� f I CAP: ,. �O . Z FO 1/2" o S 82 3 I I RON PIPE u. I Q 'NO CAP" I I LOT 25 J Z w \ C.C° 0 ' Zr, A rn 1 F OD 1/2" z 1 IRON UN PIPE "NO CAP" TRITON ROAD NOTES: 1 )THIS IS A BOUNDARY SURVEY. i A. ' ON N O O 1 i O O O : " �' 'A H 5i ' 114 I N Z ' t - : ,"1 - - - 1 1:41 l• Illama OD H pzi 11115 x � 1 S5, PA) 1 1 1 tri H y Mk 1 La gi Ellirl 04 X H 2 0 OW m8 i. 11 �1 ro P i RI O ! ? �o � -ln r . pZ i -En' x vi ronmw tq _ 1111 �Z ms or � � � IN m �-�n 3 b H H 70 2 740 -n c it I —i C 2 6 PI ■INNI sm. ?1 1 i v to (n m • o g � < O W "C 1 o r as .111111111.111.1.11111111 11.111 N N N ~ r M 7 IV x ■ n 1 1111111111111'"----- MI 7 d Z w / o xb x M pp � rr r i : ..._ 04 .� W vn 5 ..-3 . / ?, : — iz v� '1 by E x \\\ to ... ,, PP N 14 aa OS ii r Ed �y■� H 0 . Lt a ` ( ( c - SID&PALL 1, - a ', ..,� . •D.A1M :' JlO DATE: 01 -07 -05 THE BARN Robert Theodore Haug P.E. BUILT OW SITE SEEDS " FLOOR FRAMING 1820 E. Edgewood suite 105 977 BLANDING BLVD � I � . ,• 1 "' • APPROVED L ake land, FI. 33803 ORANGE PARK FL 32065 �,, o _ 901- 213 -9019 Il1 ,, SCALE: Nrs I I r p, N O 07 O 0 0 0 Q,'J N N N N w r W 00 I 0 01 o SEE FLOOR FRAMING DETAIL o N N ZV .1:. >nr n n inn11011 z - rr9 -C Lo •' iiiiii ff H f Ii II , II it II II II it II II II II II II II o x m 2 ° ° ° iI u II II II II II II II II II II II II II v)T IIIlilll �IIIIIIIIIIIIIIII 0 / 1 Ill r "' II II II it II II II II II II II II r x I- CD it d„ 1111111 u o ,q W / .. `, I1111111111 1 i,� / " C v� O CA Ng � a: N .1P q? 81Hi t o � � m i or x , S ®j @-ipp S. �11 w m N , x ` r o r p m , ~ y N a W C N R r � y po a c. U X N ,- `g ' LI y LO V r R8 8 A N 5 A A . ` ( 'rc � 'I 1 w N . 3 a lO > D A .n u A w N r 0 • v o d o pp y �� mo Z�C� r illi V ! ( ¢� 7 7 r HH � cy J (�y Y' rui od1-4 u, N N X P H N H F '"G .. t�l ° W t' g (� tp' M q 1/4 O S 4 H H Y . y K• N r j � pp N r ,..1 z H ch ON A ( d y o myN 8b p i 0 47 n rn y �� N w w • i' 'Cl • t < H 1 C o C r pQ 4 r too t7 tij to '''' ' '' ',...4.::; • \ II V,.,./ . .;,,.:.''."7. LA 1 a nATS: 01 THE BARN R1820 oben Theodgedore H0d aug s P G. 105 BUILT ON SITE SHEDS 971 BL ., ,, , 1 . „ w, puc cl FLO OR FRAMING E. G2wte UmING BLVD ., � . . I . N ,^ • 1 ORANGE PAM EL 32065 ae Lakeland, Fl. 33803 904- 213 -9019 t: ....1 SCAN : !ITS j 1 . N G C 4E H p�O ppM ppH 0 0 0 O O H i 7. M � 6Q W O Z l •• M P4 W r r r M w 1 ~ 01 0 1 8 8 i i a ro z)i �j r - g ';.31 x aCA�l Ir.;o � T - \ N AUae \a W �i 5—, N r y; x Q e H \ o � � i o � 47 � ( 4 j x \ \ i i 5G y pp oo pp ,w v A 7 O b 888 n 0 H z 0 O W ii \ \ a f r , ic 411 z A y a a_ � I MII ' 41 d \\\ GyyN n ppH � 1 O H O t+ M = w n) i 1r 1 La `\ 0 - MU y ■ g III a A N QII z li r A p c, „ _,. rr, ,... A- H - -. rnG - 5 C + $ '� Il pr A m➢w0cp --- C ��nq QQ N Q A W W N � us 7p rga2+6p �� n On Z 10 /0 10 0 i 73 C ! 1 - .O 0Rt th d N NN yq hill K1 0 d d d D K D n T7 -0 ( �-� x \ C r A O NNNN rTl pph1 a —1 x01 lq p W � ir....-.: 70 23 01 rn W VQC ' N 01 (� to y M 8 P n Scp • In ro y 1 gy CCI N N ry t- w &. N X 4 Z H y y P P A A N I-1 tfl HH Y v Z K 0 O � j.•• H t" H y ov)rn w z ` z 'I - O ui A w N z " ~ H 22 lNV v N a �Ow Y 4W wCI ^SI W M toH �VZECa r r us sCO j ha th�otA / �t � pp y x Z O 'R�.0R W Y 5111 9• W i,1 .. CO ,a '10 a0 2 1 ?) g OC p p QQ y yyy+ {q y 88 n -ox w dMxr rZ O K7 � a p ,g BOO ry � yy 2 WWWWWW � 1 O 7� YOrr G WO � �Q ' ••� �H 7�7t� /?, MMMC }69 y ~ QZO K M HMOB f��qAQy Q Mr y � !l�ppyf �C„ O� . tC � � � O 441 C g ZgO .yy aem 1 N y n � � > � ).go '� ro khk077 y v H y L n p m 15,,IR uy++ H N t+ r tr7 _� -. . A • b La z � Qv ii .a [ = yy t � ® Ip h��J ' ,pwg0 r O O 'Z W fA N 40 O N H J A 40 ig ��yy ti r p - 11 N7 AT H�Q d N fA1 T 070 O v v ,,f. �z m ,' K to e + � � 1 * �� :4 : ,ra DAT 01 -07 -05 T HE BARN R o b e rt Theodo Haug P.E. BUILT ON SITE SHEDS , . ' 1 820 E . Edgewood suite 105 977 BLAlID33iG BLVD -- TWORING DETAIL ORANGE PARK PL 32065 g r '} Lakeland, FI. 33803 904- 213 -9019 , :'..,,c ., .` - \1 , , k 4 I-. .•. ■■ z Cr. N O m O O O O y 8 ~ i r N N 2' 2x4 STUDS @16 "oc (TYP) 2' I CD N N M . r H O A H La • N � " o Y ! I N t. i l k N - 63 O~i n I tn 5. � N ^ N n y x s. y a � G1 X y d ° p., ro $ I �R�.� d Ned o m� �` � p7 o y r0 S 03 y to ` y C . '� t7 O. G1 o ��do 8 i° N i o :£ d Z 0tl 1 /1 R . ° x ° x • y r 1 /.'•'• V N 0 .. n rJ lO . . . , N O m J CA o Na Ti J yRz trx § pp < J' , ,C z o, o, a. A b a � 0 0 0 0 .. i ' 7. Z m H A N >_ E y CU .3o a gig > I II a r ^F��e3 g cr 8H e°a � r -I- ,.., p m0w jC�W to 1 O N to N „ R+ � � wbtd Dz 3 N N N N A z 7d en .4 H wC —_--! 70 : 3 p A A A e to 8 o y ° t o d d o y "� z I { Pa ? H IA C to In� r v) ( d M �„ " '0_ M CA SS 7A o. a T y N N N N y C .�. , r 'U z H p i i i 'y ; 0 g . t";: i Olyv� v i O z aroma m 8G1 3A r w w (A a m 1-3 0"j C n vHE� M"`t H p� IA x R41 K1 Q 0 bm g , . r � . a �o 8 6 t rH� � jJ C y b CC � +° ° o ... 11 i Ebn V1 w W.d .�Z � 70 � g t+ tl � rp ��nnab� I M OA N 0 7 mi 8 xi �i Z5 �j Q " y �+ y 8 to to a 1 ■ i PAII;Fti '. > X t r ,, . ''`,'+ ,,.I-4 + s `+ l F tC V �7q y c.': j M ` �l , �1 DATE: 01-07-05 � • 4 ` D j THE BARN Robert Theodore Haug P.E. BUILT ON SITE SHEDS fi e. (.. ,u 977 BLAHDSNG BLVD 1. o • WALL DETAIL 1820 E. Edgewood suite 105 ORANGE PARK FL 32065 Lakeland, H. 3380 904- 213 -9019 \ 1 • a, N O m H yy O O O O y RAFTERS n24 " oc dtl m N 2 o I1 SEE SCHEDULE BELOW I z TY, I V F. o+ E --1 H V+ Z CD °$a� n u n u II u 11 n 1 w n u n n u u n n II 11 11 II 11 II II II \\ p W 8 " b 0 1 II 11 n 11 II II II 11 ^ O "L ,o� II II II II II II II II ' Co ' Q x u u u n u n \ �" O A . m M ti 11 11 n II 11 11 it II „ � M8 x II II I II 1 II II II o § \% ` , La I II 11 II R F it II II I n II d N.) I N T H r r ✓ Z I V j CO A N O n 2 N N C ..4 L C m H rntp+ M � : Z C E n r , D c rn N t4 x . N r .. n M O A O N N N N ..'' H H H >t 3 CT A A A N 1 iiimmiNII,11 ', \!' ,,,.,) \lir, IL ' t, N H C 1. Vi i'7 I-1 S ` . 'd 00001p a C j N N N N d A ! n 'Y. } - :O Z' T t 7 O - x o LI/ I - O v _ A A A k1 ° ..1 H y C� p lC �Z o v o c7 u, 5 i 7 < g m Q — 7C n Y — (/) N rg "n „ v � r 0 ri ccy � N , v2r H S s ` — s �I x N 2 K1 m z ,� y •d [2cj C C , ee u , Cr m emrn to — p Z Y c oe n w '� r :: r ya �J M p r J. °1 5 z < m N 'J Z H in 0 VI a � y 2 . . 4 M ' m V y ti S t �+ .+ Z oo 2 \ � I r,, r <.l . � ; 1 4 a ! � no DATE 02 -o � -os THE gel R rt ore I lau8 PE. ;' 1 820 obe E. Th Edgewood eod suite . IOS. BUILT ON SITE SHEDS 9l BLANDING BLVD a � 1 , 'c e u a i av ROOF FRAMING Lakeland, FI 33803 ORANGE PARK FL 32065 �. ±. �'. ".` APRIOVtD 904- 213 -9019 sGLC: errs z O tn t% O 0 o r h to o N$ b � y o 0 x c 0 N O x Hi u N E d H h7 N O N d y )r htl 41 x N H x [tl . Li c�II y BNEARMALL DiiICN NAIL SPACING I M tn Ca y O Z ` r Cy�T.tS ,E ��' E '!, r n ~ Y� �dM zO ['�H a N g c H N tl t' O H , W N N 0 1 2 r WO OH o 5 �g 2 z 8� O Z O H ro 0 7tl N N H w A 4 ; d 5 N 6' 6' O N 'Jd Z � xxz z z x ° 8 W W �pp�1 _ ~ ,O CO J CA y LA a 0.1 y w n> r td N X NIy (/) I I .. .I i o H d H N OO y t"I o y ri CJ N x7 a H N x 1 .. I N 1 1 ,3 .2 2, iMi N taM� A rort ( : ta d $� N m n y rc yy C yy yy td yy yq M� 1 1 1 N - F" t' '04 N 7% N M 0 wNJ to a r 0 H z fi t. 4 N n N n n y 1 1 d zr �" g g .8 .3c b y to y � 8 y t ( W t + y Z H CO 70 btl ` RIDGE "' , N I - I N " '� Z8 00 1-105 N C7 tNn �W n roH Z 0 C ro U r XNNO S ' R 1 1 g N hI N Nt Ot*IZ N��O D' nx to y 0 en W I ..I 1 I M 44�h+ O H C7 O H t" O H N G1 to H p y 7 F' Xl O pd to 'h t N to � O � Y I N I I S IN lvvK N 0 N NN NN o H d R 1-. N I I I I H p. IP N Nd N n xU 1 z �i � N y N N L W W 2o a d oh H i r O Q �- 0 '' U u ' ` H K' fC D�] 8 O N tU o K P Q ~ H t yq � + �y N r t to y ¢! 2 z ; 4 0 - e: to - M t PyH 9 0 O Oz' L. 0 t. P K E N ti H n 71 OYO ^ C S' r l 1 N O [n c(�n�7 x 7 < K TQ y.Z�'2 ON 0 e+ o ff' r MH to '0 i g 7 ' al - C�C � �� N ~ RY r+ Z, N Z N d n (p tv ' N O r F mN r 0 ' " Ntv K r ;n - •=1rom� Ecn—i yN q M ? � p � G 1 tb� y a+ro H y 0 N d 0 Ca H .e N x �K - vZ O Nn CO� x y 0 co W - H g NN n 0 2 0 Z Z (( �� D , t+ ro t d b N g H X 7 - + � C S v , m. � — n d in H 9 HHN Fe tC G�S 0 w < o R tb M r+ D : Z E D >. m r{ D O N H n q N � d 0 O 0 H H Zw� -- mr' fq O� [�tl lI !-1 to r o D rr � 6 X H w ro w S m tpt rv Z H 2 z '< ' n r m tn M yH y - 7 @ ((��F t� �a E v ; O o x z 0 t-' v Hr+ e d Wi yp Cm 0c) m o N bOU o r Y S td yy \ r ZDG g H N� ��>, r ,y q�. 1 C gz r )4 . � 2 � - : H T a►o' DATE: 0I -07 -05 THE BARN BUILT ON SITE SHEDS v` � i., `� ' o Robert Theodore Haug 0 0 CHECKED NOTES 6 DETAILS L3 I820 G. Edgewood suite 105 977 BLAND ING BLVD • ORANGE PARK FL 32065 Iii . APPROVED L akeland. 01. 33803 904-213-9019 ecALE: NTe t z7 F) zz o • z� -i z • N �NAC1.1 �• • to 11 � �� • • Crl '4 rilo\ 0 \• • •• o >< '< z 0 •• O " O s cA "' Z s z � v z z m ON OA " g t;�om O H A O r ii pr ii ri t-49 o. > to ....3 O O ril 7z ci 7Z H q Cn b tn 00 0 co 0 cc m � M 'Ida g co, •X, w o w ,..,,, .,.. ,..., ..„,, ,,,,,. , r ,4-_' \\,..:.:., .., P, ,r, ., . ; 4 .s. \ r , , ....X3 . {t ti ti, ■ O b C7 'r7 Ctf d P p Y to d n p a aj b g .'t .7. 01 C0 0 0 n ›• i > c,e7 cn cn Pc : ',%•... ' • 15 Ili 0 az 0._ / E g 1 0 § CI ar c z o n& 2. 5 L o 0 �! m d C p w ,� p C N . * 1-' a R, N ti i, c **/ Z r t_`, o o 0 c t . ?. • rk ��o ° c U` s' o 5 d 1 N R 6, . ; c ! p C G •`• C '0 n C t .0 p m r^ 0 `O ti C 'gyp < FO 0 1 m a f0 0 o m o rf C E. E O V C CD p c O < C 0 B cr f9 c1 M. O C � - p N . C i 00 • o p '� � Y G7 '.= 5t C C 17,,, ' r i r": . , Q a 2 Q O % ' q L i i t / Ea 5 a o > � o q ' r z ° o 0 z ,., . II I IN r a U r U4 W CO tr 11 - r .n a 1 ! 1 • . i . 2 t, - ::::_,, ,,:.• S 0 ° z i i 5 o 1.:...::,- ,.:,i ..;.: 5... 0 g . _ c) o G ct t .ii, t ' ' .._,::. :„... __ -- .-1. N 4. r V CO c a _ , r I ! 1 1 n ro • a 99 g o s . , L A a P. hs: i tv i e it Ez 6 R. tri . 2 u § 1 .. er i ew g 710 O 8 h; E n 't C) 5 : • ), _ ... g E 4 5 a 0 o § o P=I o m ti ›. , 74 z n i n . @ ; i 0 q o . a • ao^ fl i ti g _____ b ? sl _ �� " F � n ° � ° 6 b o r`\ ' ' 'i' •• . F., .., -,.. y \ Q a. �. e ." (p 1 a o e b ( ''. L> ^ • q c. -4. p.. i tA to y 3 C/1 e ' al\ P > CTlE p. .�3C3 1 i '-; P , ITe rn e o ), . A a m ^ o ' 1 , t l • ac c \_ } n a c r Po "'a C i cs .43 ' A C dry. > 'y " A I. • $ Q wi ) Q` , ^, .. a ` It • k T E'let61 11 11 .1 A City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned b the Building Department) 800 Seminole Road Atlantic Beach, Florida 32233-5445 !'liTN- Phone (904) 247-5826 • Fax (904) 247-5845 029 0 9 • E-mail: building-dept@coab.us Date routed: City web-site: hftp://vvvvw.coab.us APPLICATION REVIEW AND TRACKING FORM 'roperty Address: 4/6 ..."-Zg SO Rcl Department review required Y Culldnu- kpplicant: cti17 J1-76 n fling & Zonin Tree Administrator 'roject: / / !-S1 ) Public Wor Pu. s Public Sa e Fire Services girefferani 'ClitWEESIESTRI Review or Receipt Other Agency Review or Permit Required Date of Permit Verified By 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: L‘roved. EIDenied. (Circle one.) Comments: BUILDI2G) PLANNING & ZONING Reviewed by: Date: TREE ADMIN. Second Review: [Approved as revised. ODenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. riDenied. Comments: Reviewed by: Date: evised 05114109 1 A 1-) City of Atlantic Beach APPLICATION NUMBER n . Building Department (To beassigned b the Building Depiaitment:) ; �,`': 800 Seminole Road :a "'' ' � *,.v. r Atlan Beach, Flor 32233 -5445 _ 5 ? _.. Phone (904) 247 -582G Fax (904) 247 -5845 ., .: _ / 02 a . $ 9 ; . <- Date routed: _ _ E -mail: building - dept @coab.us City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM roperty Address: 4 Z i e g (.0 ' 4:1 Department review required Yes No 4 : g &zonin. uild's • •_ pplicant: u/ /� Oil l J :A 45 P pp / S14'1&i U , ree ' . minustratar /iX roj ect: i 4 C/) d Public Wore Pus ic• Public Sa e Fire Services w arM3; �. 2 G ° al e l'1- t fi t ' °. Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By 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. APPL ATiON STATUS reviewing Department First Review: tgApproved. ,/ ❑Denied. � �� (Circle one.) Comments: ✓� i� BUIL J i. .3 /' C ING & Z• ■ ► , = Reviewed by: _40 Date: // 5 TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. (Denied. Comments: Reviewed by:_ Date: evdsed 05/14109 City of Atlantic Beach APPLICATION NUMBER : Building Department 1 ' v 1 (To be assigne"c "the Building Department) t. 800 Seminole Road 1 NOV ,2 4 2009 9. Atlantic Beach, Florida 32233-5445 0 Phone (904) 247-5826 Fax (904) 2445 building-dept@coab.us . Date routed $ - City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM roperty Address: Rcl De. artrnent review required Yes No 4 Build', 11111 pplicant Rt//7 Jr/6 Shi'AS di & Zoning ree grninistrator roject: X /4 ,_D#4 (i) d Public Wor Public Sa e Fire Services erie: Review or Receipt Other Agency Review or Permit Required Ve Date of Permit rified By 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. ODenied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: TREE ADMIN. Second Review: EApproved as revised. ODenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. F7Denied. Comments: Reviewed by: Date: evised 05114109 -taqtri. City of Atlantic Beach APPLICATION NUMBER 14,t):04 Building Department 0 2, 4. 2C1) (To beassigned b 7e Building Department) 800 Seminole Road Atlantic Beach, Florida 32233-5445 . _ Phone (904) 247-5826 • Fax (904) 247-75845 - E-mail: building-dept@coab.us — ; Date routed: //076 -; City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM roperty Address: 4/5 Rcl Department review required Yes No . • pplicant: 1.t//7 /V ji16 SM-AS d i Planning & Zonin• ree • rninistrator roject: /IN( /4 1-#4 d Public Mik AI Public UtTlIt'ffs Public Safe Fire Services "ancof$MITEZEW'ragMEOD,VrarA WIMINPROTINI Review or Receipt Other Agency Review or Permit Required Date of Permit Verified By 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 teviewing Department First Review: Approved. ODenied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed b Date: 11-- TREE ADMIN. Second Review: DApproved as revised. ODenied. PUBLI it • RK Comments: • • :LI _.1 S 2. PIP: IC SA ET'( Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. riDen led. Comments: Reviewed by: Date: evised 05/14109 J * 1',:i'ss\ CITY OF ATLANTIC BEACH 00 SEMINOLE ROAD U 3 , ATLANTIC BEACH, FL 32233 , . INSPECTION PHONE LINE 247 -5826 ,.��V531r r' Application Number 09- 00000205 Date 2/19/09 Property Address 415 IREX RD Application type description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation . . . 700 Application desc 6FT FENCE Owner Contractor BLANK, CLYDE OWNER 415 IREX ROAD ATLANTIC BEACH FL 32233 Permit FENCE PERMIT Additional desc . Permit Fee . . . 35.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 8/18/09 Special Notes and Comments *2004 FLROIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING - DEPT@COAB.US Owner responsible for reinstallation of fence in easement if removal is required by City utility work. 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. MAP SHOWING A SURVEY OF LOT 24 BLOCK 10, REPLAT OF PART OF ROYAL PALMS UNIT TWO A AS RECORDED IN PLAT BOOK 31, PAGES 16, 16A, 16B, 16C AND 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. C � i w 0 1 r � 3 \ 5I5' O 1 4 . \ \ L 23 I� \ ' FCI iND t /2" i - nnrl PIE ., 93.00'0. N CAP _1 1 5 .., 8 '43'5 43 E FIEI D v N E 9 ' 0 FOUND t/2. 0. N g2'39'S9 (J) IR PIPE • ^NO CAP" ' i A/C PAO • c,+ O Q � I Z 25.6' 35.6' o_ 1 0 1 -STORY l`➢ iN \o? 1 JZ � 1 o I RocK M AS ON" I ....19, G ARDEN r 8 .8 & 1.6' CONCRETE \ \ � I O N 25. FRAME PATIO m fr1 N 0 RES :::).1.y, .e' \ Ica � 3 X415 I i I 0 I T , Io LOT J 1 N N 0 20 ' 26.5 W CONCRETE I6 000 FENCE 1 I DRIVE '"•" 0.2', 1•0' 1 O 0 F• ND 1/2" ' 0.2'1 s 82 W 9 61E31.0. 00, II J_______..N N PIPE O Q CAP" FO • 1/2.. o S 82� 3 58 W � IRON PIPE �- \ \ "NO CAP" u �' \ c°g LOT 25 \. Z mA o a �O� FOUND 1 /2" i Z ILEC p ' IRON PIPE "NO CAP" City of Atlantic Beach Ptannb* end Zoning Department This approval verities compliance w$th applicable TR1 TON toning. subdivision and other local land R development regulations, but does not constitute the issuance of permits. Compliance ail otMr a placable ente m a era a t CMy of Atkin* � g • But$ding Permit. �' a , PAK, Approved NOTES: 1)THIS IS A BOUNDARY SURVEY. 2)BEARINGS BASED ON EAST LINE OF IREX ROAD AS N 7'16'02" W. 2973 SQUARE FEET OF IMPERVIOUS. 3)25' BUILDING RESTRICTION LINE PER PLAT. 4)ALL FENCES 4' CHAIN LINK UNLESS �.Ali: City of Atlantic Beach APPLICATION NUMBER d ,- Building Department 4 (To be assigned by the Building Department.) , , ,: ` 800 Seminole Road /) , ' [ ra Atlantic Beach, Florida 32233 -5445 7 d Phone (904) 247 -5826 • Fax (904) 247 -5845 '� 4usio E -mail: building- dept @coab.us Date routed: a ////o9 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address: nning & zonjiwg r.i ree Admirnstrator Applicant: L G7) e i.- lic Wor u is Utilities Project: P ublic Safety Fire Services Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By 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: APPLIC TION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.) Comments: BUILDING 'LANNING & ZONI 1 c TREE ADMIN. / Reviewed by: Date: O 211 j PUBLIC WORKS Second Review: ['Approved as revised. ['Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ['Approved as revised. ['Denied. Comments: Reviewed by: Date: F '' s '1a'r� CITY OF ATLANTIC BEACH o(9, - I I I } I I . ,,,t t ; ti: 8 00 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 ° . (Y r-# ax =' '" ' _� sP. OFFICE: (904)247-5826 • FAX NO.:(904)247 -5845 Y�� BUILDING- DEPTC.COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1: JOB gDDRESS: /5 - ,, . - 2. VALUATION OF WORK., -'; 3. SQ. FT. UNDER ROOF . ' ' -- - ,�� R f X �J . � QUO. oa 4' LEGAL DESCRIPTION: -,- - :;. .. ❑ 5. CIASS OF NEW BUILDING : ,,. � ''- , < 6. U OF STRUCTURE: , LOT BLOCK SUB DIVISION ON VEITI N OMRCI RESIDENTIAL N ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7. DESCRIPTION OF WORK.. ❑ ALTERATION ❑ A CESSORY BLDG. 8. FIRE SPRINKLER ❑ REPAIR EOOL / SPA ❑ YES ❑ N/A ❑ MOVE]] OTHER ❑ NO s , +';!, , , PROPERTY OWNER:, ': ', ,;CONTRACTOR: ' ' +', ARCHITECT 'I ENGINEER :. r' 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME: left (v ^ t\ 16. NAME: 24. LICENSEE NAME: t^�, 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: ` it ..+ ' ` // A R./ 18. ADDRESS: 26. ADDRESS: 44 -1 , c 5e .c FL_ 32.233 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 128. FAX NO.: COq - sr17 13. Ll C�ELL PHONE: -77 // 21. CELL PHONE: 29. CELL PHONE: /; '((� -4 1/` 7 t �� - p'C g C 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: C( 84,4 ice c"4.5" e) FEE SIMPLE TITLEHOLDER ' BONDING COMPANY MORTGAGE LENDER: ,; ' (IF OTHER TFIANOVIMER) � ..- -. � : " 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. *irk 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 RECORDING YOUR , LENDER OR AN ATTORNEY BEFORE RECOR NOTICE OF COMMENCEMENT. - OWNERor AGENT -, . , CONTRACTOR (If Agen er of Attorney or Agency Letter Required) (Qualifier Only) Signed: Date: Signed: Date: Before me this / 0 day of 1 `: f g , 2009 in the county of Before me this day of , 2009 in the county of Duval, State of Florida has personally appeared Duval, State of Florida, has personally appeared �► i� d ,. Gam) K herin by mself / herself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are true and accurate. G / \� true and accurate. Notary Public at Large, Stat- .f / , County of k41.l(4/ /., Notary Public at Large, State of , County of ❑ Peponally Known ter'♦ ❑ Personally Known roduced Identification - F1- 2 ./.,J ❑ Produced Identification - / w4� Notary Signature: Notary u 9na yrri >. -. ∎•''' 'RY P u y.(i7l:i�l�'"'efrtr�..+' . ,..:-+':, , .`� = Notary Pub is - State * Florida =Nr My Commission Expires Feb 14, 2010 %;F ;!! P °= Co mmission # DD 518533 Assn. ' Sonde 8y Nati onal Notary BLDG01 Permit ' ppli« � }..xlr City of Atlantic Beach APPLICATION NUMBER s' !�� ,, (To be assigned by the Building Department.) . J S i Building Department 800 Seminole Road Q d f,: Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 -•� \\:,,,.,.,' / osillP• E -mail: building- dept @coab.us Date routed: o //! 0 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM De • artment review required Yew No / /. 1- XC V gd = uildni • Property Address: - - nning & Zon . g tree Administrator Applicant: 6 1,0 t Z. - • l ic Wor 0---u. is Utilities) Project: r Public Fire Services Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By 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: APPL ATION STATUS Reviewing Department First Review: Approved. ['Denied. (Circle one.) Comments: UILb NG PLANNING & ZONING Reviewed by: /71 Date:dil // f TREE ADMIN. PUBLIC WORKS Second Review: ElApproved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ['Denied. Comments: Reviewed by: Date: ='gar, CITY OF ATLANTIC BEACH 09- I I I I I • y 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 "- 4` ) OFFICE: (904)247 -5826 • FAX NO.:(904)247 -58 BUILDING - DEPT @COAB.US \ ` BUILDING PERMIT APPLICATION DUVAL COUNTY �JFlI�'r 1. JOB ADDRESS: 2. VALUATION OF WORK: 3. SQ. FT. UNDER ROOF 4 l/ _ R1 x ??J 70 00 4s LEGAL DESCRIPTION: 5. CLASS OF WORK 6. U OF STRUCTURE: ❑ NEW BUILDING 0 DEMOLITION RESIDENTIAL LOT a BLOCK SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL 7. DESCRIPTION OF WORK: = ❑ ALTERATION ❑ CESSORY BLDG. 8. FIRE SPRINKLER: ❑ REPAIR OOL / SPA ❑ YES ❑ WA ❑ MOVE I��ffljj] OTHER ❑ NO PROPERTY OWNER: CONTRACTOR: ARCHITECT / ENGINEER: 9. NAME 15. COMPANY NAME: 23. COMPANY NAME: C...� ( f ell` 51.41c 16. NAME: 24. LICENSEE NAME: 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: i7' ` 1 r I ! \ EA- R./ 18. ADDRESS: 26. ADDRESS: 4*(414" c 5 cc 1 233 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 128. FAX NO.: Co 41 - 24a ' '' .-rt 29. CELL PHONE: 13. CELL PHONE: 21. CELL PHONE: 40- 60.3 -,7C? C 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: C(/ de- - 8/ ice tcrcGsf_ ne. FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 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. 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. OWNER or AGENT CONTRACTOR (If Agen er of Attorney or Agency Letter Required) (Qualifier Only): Signed: Date: Signed: Date: Before me this / U day of `"" , 2009 in the county of Before me this day of , 2009 in the county of Duval, State of Florida has personally appeared 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. [ r /T�- / true and accurate. Notary Public at Large, Sta - .8 ! L- , County of Y/ZI1(a/C� Notary Public at Large, State of , County of O Peponally Known ❑ Personally Known . ` 2 ,J) ❑ Produced Identification - roduced Identification - � _ Nota ' / w,m Notary Signatyts �RSYtTliti�lllll�l 711iPa1•a: -rner im lJ 4 , _ . ��.`� Notary Pub c -State Flo lorida REVIEWED FOR CODE COMPLIANCE f f • My Commission Expires Feb 14, 2010 CITY OF AT ;,,, ° - ft.C(4trussion,#R,D044863 4 h .:::,,, ATLANTIC BEACH r n ; .. SEE PERMITS FOR ADDITIONAL F BLOGO7 Permit • ppli - REQUIREMENTS AND CONDITIONS. I L E COP ' ' REVIEWED BY DATE: af 4 0 • - C _t3iCe,iT4:ufsTirz -Exrro `- - �r ik / ' Ir . ,, 1 City of Atlantic Beach ».., APPLICATION NUMBER s ' Building Department r. (To be assigned by the Building Department.) 9 800 Seminole Road /�,,,� / 1 ° � /) ,gZ y c-) Atlantic Beach, Florida 32233 -544S' , �j 7 v Phone (904) 247 -5826 • Fax (904) 247 -5845 l a l , b .0;31r) E -mail: building- dept @coab.us Date routed: c:9 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM D e pertinent review required Yes No /' uild�� Property Address: ' iE ,P1Inning & Zojg c Tree Administrator Applicant: O £D7) t Z. lic WorRO u is Utilities Project: �' G P ub Safety Fire Services Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By 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. A nDenied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed b : / Date: O - 'o9 TREE ADMIN. P = IC We - KS Second Review: DApproved as revised. ❑Denied. Comments: P B ' UTIL IES P I BLIC SAFETY FIRE SERVICES.. Reviewed by: Date: WO lT1 (Tt€ t.' eAs me ci -, Third Review: ]Approved as revised. nDenied. ep.i Comments: Reviewed by: Date: ss ar z -. , CITY OF ATLANTIC BEACH 09- I I I I I a 1 ; 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 ( 1 t r ,!•: { - f4 V � OFFICE: (904)247 -5826 • FAX NO..(904)247 -5845 7 BUILDING- DEPT @COAB.US s<: f 3,19 - BUILDING PERMIT APPLICATION DUVAL COUNTY , , , .'1 - ...1013 ADDRESS: . _ , , 2. VALUATION OF WORK:' . ; " ;3. SQ. FT. UNDER ROOF - ' _ 4 /15 - ` tar J 700..00 4: LEGAL DESCRIPTION:', , ' ` 5. CLASS OF WORK -'- : . 6. U OF STRUCTURE: ❑ NEW BUILDING ❑ DEMOLITION RESIDENTIAL LOT& BLOCK SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL , , 7. DESCRIPTION OF WORK , ❑ ALTERATION ❑ A CESSORY BLDG. 8. FIRE SPRINKLER: . ❑ REPAIR OOL / SPA ❑ YES ❑ N/A ❑ MOVE OTHER ❑ NO .- PROPERTY OWNER:, ' : ; CONTRACTOR: ',;, ARCHITECT I ENGINEER:. 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME: r �J7 1 i d e - '5 ( -A i \ 18. NAME: 24. LICENSEE NAME: 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: ' t r3" .l R EA Zl 18. ADDRESS: 26. ADDRESS: 4 4l#,C 6..z(cL FIL 3 ;233 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 128. FAX NO.: 41-24/2.-?s(1 7 I 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: 40 ° ?Gds C 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: C ^ 84,4 iCtOCCisICe,S94. r1C.," FEE SI T HFJ2 PLE TITLE NOLDER,;° - BONDING COMPANY . MORTGAGE LENDER: " - (IF O THAN N MER) . . . , ,., 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. *** 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. OWNER or AGENT.' CONTRACTOR ' (If Agen er of Attorney or Agency Letter Required) (Qualifier Only) . Signed: "�' . Date: Signed: Date: / 1 Before me this 1 U day of • , 2009 in the county 2009 in the county of Before me this day of ty of Duval, State of Florida has personally appeared Duval, State of Florida, has personally appeared 0 i ,vd �LGCYI K 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. [ r Alta". true and accurate. Notary Public at Large, Sta - •f ( L , County of 44t lta". Notary Public at Large, State of , County of ❑ Pe nally Known ter' ❑ Personally Known LJ.I"roduced Identification - � �° 1 L ❑ Produced Identification - / w4 Notary Signature: Notary ' 9na, ' ' 4 - - "j.,-_ - ---: -- '' '1r117t:Pl��AA�ri" : 2 R . «`0 Notary Pub is - Stale 41 Florida • EMy Commission Expires Feb 14, `"•cc 2010. - %°F! ;,P, Commission # DD 518533 Bonded By National Notary Assn. BLDG01 Permit PPII� -tio = • . - gs iA i :f , J, City of Atlantic Beach APPLICATION NUMBER 04 . � Building Department (To be assigned by the Building Department.) � 800 Seminole Road * f Atlantic Beach, Florida 32233 -5445 �, ` e26.6 a a ! OZ� Phone (904) 247 -5826 • Fax (904) 247 -5845 `Q 0 , 2 r1, E -mail: building- dept @coab.us Date routed: o9 /P /O9 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM De artment review required Yes No Property Address: 7 / � I (0 Rd 4 u i l nn g & Zo g 1 ree Admirnstrator Applicant: O W e t gic Wor ic Utilities Project: P ublic Safety Fire Services Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By 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. /1 )�, G, Nr, (Circle one.) Comments: ' 1 •" M., 01 Y I " r l /� / ,/� P _ ?4c //, .ethe -" BUILDING r e_ $-S ,� e f PLANNING & ZONING r.!, e...- kt�?dr -f'c'� 4 )/� l TREE ADMIN. Reviewed by: Date: / / CN PUBLIC WORKS Second Review: QApproved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: , r ,, , 3sar CITY OF ATLANTIC BEACH 09� I I I I I A ; 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 (- �. .'( ftti OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 ev - BUILDING-DEPT (if COAB.US f "11)' ; ' BUILDING PERMIT APPLICATION DUVAL COUNTY ti JOB ADDRESS: ' = 2. VALUATION OF WORK' - ' 3. SQ. FT UNDER ROOF- , . ' _ , - 6' /15.-- - "ReX Rd. 700 - 0© 5. OF WORK - ' � STRUCTURE 4t LEGAL DESCRIPTION: • ` P ' � 5 CLASS >� � i 6. U OF S E� ❑ NEW BUILDING ❑ DEMOLITION RESIDENTIAL LOT At BLOCK _SUB DIVISION ❑ ADDITION ❑ CONVERTING USE ❑ COMMERCIAL 7; DESCRIPTION OF WORK: - . - ❑ ALTERATION il7CESSORY BLDG. 8: FIRE SPRINKLER.: ❑ REPAIR OL / SPA ❑ YES ❑ N/A ❑ MOVE OTHER ❑ NO ' %±Y, - PROPERTY OWNER:, '' CONTRACTOR: ` . ARCHITECT' ENGINEER :: +! 9. NAME: 15. COMPANY NAME: 23. COMPANY NAME C 1 7// v' "' �J7 (4d A I\ 16. NAME: 24. LICENSEE NAME: 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 1 1 ir L i E.k R/ 18. ADDRESS: 26. ADDRESS: ,- 140., 5.e r c 4 Ft- 32.23 7 11. OFFICE PHONE: 12. FAX NO.: 19. OFFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: qii K- 2412e * ?VI 7 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: Cl/de - - R / kt cc,^cw5,- ne•r FEE S TITLE HOLDER; BONDING COMPANY MORTGAGE LENDER: ' � . ' (IF OTH THAN 1NNER • ; 3 �' - '. .. .. 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. OWNERS 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. 1 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. *** 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. OWNER or AGENT CONTRACTOR (If Age er of Attorney or Agency Letter Required) (Qualifier Only) ��.` Signed: Date: Signed: Date: Before me this y U day of "' • , 2009 in the county of Before me this day of , 2009 in the county of Duval, State of Florida has personally appeared Duval, State of Florida, has personally appeared 6 / 'Ltt 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. �i true and accurate. Notary Public at Large, Stat- .f / , County of A Ja/(/ i Notary Public at Large, State of , County of ❑ Peponally Known ❑ roduced Identification - i Personally Known L 11► ❑ Produced Identification - i ' �w� � Notary Signature: Notary gna sy , ,,, r117f:I71rT:7! RVa i r+„i': Notary Pub is - State 0 Florida ,' My Commission Expires Feb 14, 2010 • %;F! ,?,: Commission # DD 518533 iiiin Bonded By National Notary A ssn. BLDG01 Permit • ppli: = - - • ' � b° CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ,��- w�� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 4 ,0111 9r. Application Number 09- 00001953 Date 12/21/09 Property Address 415 IREX RD Application type description RESIDENTIAL ADDITION /ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 6000 Application desc ENCLOSE EXISTING CARPORT Owner Contractor BLUNK, CLYDE OWNER 415 IREX ROAD ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type . . . . . TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit BUILDING PERMIT Additional desc . Permit Fee . . . 80.00 Plan Check Fee . . 40.00 Issue Date . . . Valuation . . . . 6000 Expiration Date . 6/19/10 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Fee summary Charged Paid Credited Due Permit Fee Total 80.00 80.00 .00 .00 Plan Check Total 40.00 40.00 .00 .00 Grand Total 120.00 120.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. f r J G I .. r CITY OF ATLANTIC BEACH i1 800 SEMINOLE ROAD t;) ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 09- 00001953 Date 12/21/09 Property Address 415 IREX RD Application type description RESIDENTIAL ADDITION /ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 6000 Application desc ENCLOSE EXISTING CARPORT Owner Contractor BLUNK, CLYDE OWNER 415 IREX ROAD ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type . . . . . TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit ELECTRICAL PERMIT Additional desc . Permit Fee . . . 90.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 6/19/10 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Fee summary Charged Paid Credited Due Permit Fee Total 90.00 90.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 90.00 90.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. y �= , - ` s CITY OF ATLANTIC BEACH i;-' g j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 ,,, r?tSl Application Number 09- 00001953 Date 12/21/09 Property Address 415 IREX RD Application type description RESIDENTIAL ADDITION /ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 6000 Application desc ENCLOSE EXISTING CARPORT Owner Contractor SLUNK, CLYDE OWNER 415 IREX ROAD ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type TYPE 5 -A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 83.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 6/19/10 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Fee summary Charged Paid Credited Due Permit Fee Total 83.00 83.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 83.00 83.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH O Q� I I I I r' 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 v n OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 r. a BUILDING - DEPT ©COAB.US Z"ro :�� ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3. DATE 1 4/ .1 Rr x iz/ ❑ 4tH.- +r t l3C. c'L F 1 - 7 2 7-3.7 YES PERMIT #: a -2-0 - 1 PROPERTY OWNER: 4. NAME: C / e , A / C 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6. PHONE: 0 l / 6 i ?-3 ELECTRICAL CONTRACTOR: 7. NAME OF COMPANY: 8. ADDRESS.: 9. STATE OF FLORIDA LICENSE NO: 10. CELL PHONE: 11. FAX NO.: 12. EMAIL ADDRESS: 13. OFFICE PHONE: 14. 15. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. CONTRACTORS SIGNATURE: 16. CLASS OF WORK: 17. VICE: 18. METER NUMBER: ❑ MULTI FAMILY - # OF UNITS: I• RESIDENTIAL 0,9$NGLE FAMILY ❑ TEMP SERVICE ❑ COMMERCIAL ADDITION ❑ TRAILOR 19. BUILDING: 7 19. CURRENT CODE: ❑ ALTERATION ❑ SIGN ❑ OLD Ld NEW ❑ 'O8 NATIONAL ELECTRICAL CODE ❑ REPAIR ❑ POOL / SPA ❑ REWIRE ❑ OTHER: LIST ALL ELECTRICAL WORK: 20. TYPE OF SERVICE: LOVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22. SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ ALUMINUM 23. SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24. EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: # OF AMPS: # OF AMPS: # OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT & M.V.: 27. FIXED APPLIANCES: 0 -30 AMPS: 31 -100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑ YES ❑ NO 29 -31 DO NOT APPLY TO NEW SINGLE FAMILY, MULTI- FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31 -100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0 -30 AMPS: 31 -100 AMPS: OVER 100 AMPS: 32. MR CONDITIONING: # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33, MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34. TRANSFORMERS: UNDER 600V: NUMBER: KVA: OVER 600V: NUMBER: KVA: 35. MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: GA/r 4 Jd/i- G-t S xr-tu fe BLDG02 Permit Application Elec : REVISED: 07/20/2009 %,, , CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 O� _ I I I I I ' t . `� . sl) OFFICE (904)247 -5826 • FAX NO.:(904)247 -5845 BUILDING - DEPT @COAB.US ' -:1_T • v PLUMBING PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRESS: , O 2. IS THIS A SUB PERMIT: 3. DATE: G 4-1-1 4,L /3(A L FL 32:735 ❑YES PERMIT #: PROPERTY OWNER: 4. NAME: 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6. PHONE: /1'/c Sit/ AIA 4 0- 3-3 -e )-6 PLUMBING CONTRACTOR: 7. NAME OF COMPANY: 8. ADDRESS.: 9. STATE OF F ORI A 1 0. CELL PHONE: 11. FAX NO.: .....4 12. EMAIL ADD SS: 13. OFFICE PHONE: 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. CONTRACTORS SIGNATURE: 15. Nf�T URE OF WORK: 16. 17. 18. CURRENT CODE: E7'NEW 0 '07 FLORIDA BUILDING CODE- D RE -PIPE PLUMBING ❑ OTHER: 19. NUMBER OF FIXTURES: BATH TUB ( SEWER CONNECTION BIDET 1 SHOWERS DISH WASHER SHOWERS PANS DISPOSAL I SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER i LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): ROOF DRAIN 20. PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $55.00 TOTAL FIXTURES: 4 x $7.00 (PER FIXTURE) + $55.00 = BLDG03 Permit Applicatiion Plumb: 12/18/2008 4. 17 ,,_: CITY OF ATLANTIC BEACH 1 _ L _ _ ' ' 800 SE MINOLE ROAD, ATLANTIC BEACH, FL 32233 �+r Egli OF FICE (904)247 -5826 • • FAX N0.:(904)247 -5845 �f , BUILDING- DEPTg�COAB.US 09- _ � BUILDING PERMIT APPLICATION DUVAL COUNTY 1. JOB ADDRESS: 2. VALUATION OF WORK: 3. SQ. FT. UNDER ROOF 4/f 1 I E )< ROAI Air, 13a FL3» 1 4 (J' s q3 4, LEGAL DESCRIPTION: 5. CLASS OF WORK 6. OF STRUCTURE LOr ❑ NEW BUILDING ❑ DEMOLITION RESIDENTIAL BLOCK SUB DIVISION g 0 7 I. ( 1 t- 6 ❑$b0N El CONVERTING USE ❑ COMMERCIAL 7. DESCRIPTION OF WORK: A LTERATION ❑ ACCESSORY BLDG. 8. FIRE SPRINKLE C18 S (, c f A Ar / O i T ❑ MOVER O ❑OTHER SPA S t PROPERTY OWNER: CONTRACTOR: ARCHITECT( ENGINEER: 9. NAME: 15. COMPANY NAME 23. COMPANY NAME: Ct 8i,11e 16. NAME 24. LICENSEE NAME: 10. ADDRESS: 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: 18. ADDRESS: 26. ADDRESS: 44,4_1, 7 c,( F/ 3 .2,5 11. OFFICE PHONE: 12, FAX NO.: 19. OFFICE PHONE 20. FAX NO.: 27. OFFICE PHONE 128. FAX NO.: t- L td -- 0 7 13. CELL PHONE 21. CELL PHONE: 29. CELL PHONE: 9r?3 -a 6 a-6 10.,EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS: 0 -Fla c fr.,.., r -rie 404. G0^1 FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 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 ail applicable laws regulating construction and zoning. t will not occupy or use the referenced building or any part therof, until all inspections are frnaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. >* 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 OWNER or AGENT CONTRACTOR s , (If Agent, Power of Attomey or Agency Letter Required) (Qual Only) Signed Dabs: 1/ _3'1 Signed: Date: < GIL. } Before me this day of , 2009 in the county of Before me this day of , 2009 in the coun • C' Duval, State of Florida, has personally appeared Duval, State of Florida, has personally appeared } C ` herin by himself / herself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations a ` L ( i true and accurate. b true and accurate. r , 1 Notary Public at Large, State of Coun of Notary Public at Large, State of County of I " O P�isanally Known i ❑ Personally Known roduced Identfi. _� ; ' 0 Identification - 1 f I ri Notary Signature: ■_v�11111M No . - .,, ''�, ' SHIR 0 GRAHAM REVIEWED ` ° o L e �, WED FOR CODE COMPLIANCE =o ., � , w � , ; Notary Public - State of Florida CITY OF ATLANTIC • « . •;My Commission Expires Feb 14, 2010 TLAN 11C BEACH BLDG01 Permit Appll. oh ' -' a-.. ' , D: 12r/SIBM5SiOn # DD 518533 SEE PERMITS FOR ADDITIONAL • "° Bonded By National Notary Assn. REQUIREMENTS AND CONDITIONS. REVIEWED BYL j" DATE: .../2-____-' 2 CITY OF ATLANTIC BEACH WNER / BUILDER AFFIDAVIT I. 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 525,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 11. 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(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT. 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. 1 // 5 1 ,? - 20. ,E gay- /?7—a6 ADDRESS �t j PHONE NUMBER 0 PRINT NAME fl -o, ATUR t' DATE Before me this day of I 6t1 , 2 0 O the county of Duval, State of Florida, has personally appeared herin by himself / herself an affirms that all statements and declarations are true and accurate. ,�\ Notary Public at Large, State of ` , County of " at.--J ❑ Pe ally Known . . duced Identification - SHIRLEY L. GRAHAM =* : ; Notary Public -State of Florida Amp- t• M Commi ssion Expires Feb 14, 2010 Notary Signat L . =�, `�;= Com mission # DD 518533 ''' °, ° Bonded By National Notary Assn. F: BLDG / Owner - Builder Affadavit; REVISED; 4/ ' 2009 41) ' CITY OF ATLANTIC BEACH PRODUCT APPROVAL SPECIFICATION SHEET (short form) As required by Florida Statute 553.842 and Florida Administrative Code 9B -72, please provide the information and approval numbers on the building components listed to be utilized on the construction project for which you are applying. We recommend you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Statewide approved products are listed online @ www.floridabuilding.org Category/Subcategory Manufacturer Product Description FL Approval # (s) EXTERIOR DOORS a. Swinging r I / O I' 1'i g g ✓ o j (�/G n Lf� +l�l �r�crr, /ceS Po, � [ v "1 "! 7 b. Sliding c. Sectional /Roll Up d. Other WINDOWS a. Single /Double Hung /Ze 17/1/- 5, -,1/c 7— /,L4 /,,..r, - ij,nz b. Horizontal Slider 75 /c1 zvn4, / /(J / 7(?. c. Casement d. Fixed e. Mullion f. Skylights g. Other PANEL WALL a. Siding b. Soffits c. Storefronts d. Glass Block e. Other ROOFING PRODUCTS a. Asphalt Shingles b. Non - Structural Metal c. Roofing Tiles d. Single Ply Roof e. Other STRUCTURAL COMPONENTS a. Wood Connectors b. Wood Anchors c. Truss Plates d. Insulation Forms e. Lintels f. Others NEW EXTERIOR ENVELOPE I understand that, at the time of inspection, the following information must be available to the inspector on the jobsite: 1. A copy of the product approval. 2. The list of performance characteristics which the product was tested and certified to comply with. 3. A copy of the applicable manufacturers' installation requirements. Further, I understand a product may have to be removed if approval cannot be demonstrated during inspection. If Applicant Signature Date H: /Product approval spec sheet short form.xlsx f MAP SHOWING A SURVEY OF LOT 24 BLOCK 10, REPLAT OF PART OF ROYAL PALMS UNIT TWO A AS RECORDED IN PLAT BOOK 31, PAGES 16, 16A, 16B, 16C AND 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 23 \ 5 5'\ 4 LOT I L OT 11 I 1 I 1 Fo0u�p 1 /2" t I<' ^I PIPE L ii i 1 \ E 93.00'02' I °N CAP" N g '43' 58" /0.2' 9 'FIO D 0 1 I r 0 FOUND 1 /2" j 82 '39' 59" E "NO IRON CAPPIPE " to A/C PAD 10.3' C W O ❑ 25.6 35.6' I o. I � - -- — I Z 1 0 1 —S TORY h \.( n o M ASONRY m !N p 1 --.1z ROCK -� ° GARDEN _ I z a 8.8 84 1.6' CONCRETE + .I �N 25.4' FRAME 1m f*1 �1 ' PAT IO /� N; , ;475. 1.sto \io\ �� I �� 71 \LoT o. 1 9 is' f mI ( p f� AMP 1 N N *-I, p v O 1 CO CONCRETE .. 26.5' I 6. WOOD FENCE 0 O ()RIVE 0.2' 1.0' 1 1 �"� 1 F• ND 1/2" /�+ 0.2' S 82'39 ' W 93.07 FIELD 00, IRAN PIPE W N CAP' 0 FOUND 1/2" o S,- . . ' Y ,,' 3 58 \ IRON PIPE '. N "NO CAP" u! -II \ ► OT 25 \ . \ \ l ek I� A A FOUN 1 lz 1 IRON PIPE "No CAP" TRITON ROAD NOTES: 1)THIS IS A BOUNDARY SURVEY. 2)BEARINGS BASED ON EAST LINE OF IREX ROAD AS N 7'16'02" W. 3)25' BUILDING RESTRICTION LINE PER PLAT. 2973 SQUARE FEET OF IMPERVIOUS. 4)ALL FENCES 4' CHAIN LINK UNLESS r "-�4� City of Atlantic Beach APPLICATION NUMBER Building Department 24 z? (To be assigned b the Building Depaitment:) 800 Seminole Road 4 Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 • °.ry � E -mail: building- dept @coab.us Date routed: . /2/1 /d/ / d.ff' . . City web -site: hftp://vvwvv.coab.us / APPLICATION REVIEW AND TRACKING FORM aroperty Address: 7� ,�L'D .- c:J. !]epa ent review required Ye No 1ppiicant: �(� Nanning & Zoning Tree Administrator 'roject: C iesg. 64-473, � Public Works V �``"" Public Utilities )61St,,fl Public Safety Fire Services ELL ASIMC:' qStitW*IELFMFAIIWNWRRVMni Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By 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 teviewing Department First Review: [ ‘proved. ['Denied. (Circle one.) Comments: BUILD PLANNING & ZONING Reviewed by: `f? Date: /2 - 21-0 TREE ADMIN. Second Review: [ID Hied. ❑Approved as revised. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: UApproved as revised. nDenied. Comments: Rev ed by: Date: wised 05/14/09 3 ^ -, - > FOR OFFICE USE ONLY Date Feb. 26 19 70 CITY OF ATLANTIC BEACH Permit # 909 F $ 30.00 Valuation $ 10 .000.00 FLORIDA 415 Irex Road House # APPLICATION FOR BUILDING PERMIT 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. R. L. Johnson Constr. Co. Date 2 . -19 -757 19 Owner V$$X$$�gXx$'�� Address_ -- - Teleph a No Architect 649 Appian Way, Jax, Fla. - la . R. ,,L. O SOri OriStr. Co, Address. Telephone No. Contractor Builder- .1tM.x Address - _.x. San__ MQa.r-oo Telephone No e-317 Lot No. 24 Block No. 2.0 Sub Division. .. Royal_- .P-a.1m. Zone Irex Road Street East Side Between Trition Rd. and Sabalo Drive Sts Valuation $ 1 0 # 000 For what purpose will building be used re s . Type of construction-- l3rl_ @k_-- vC'.Y1eer Dimensions of Building.41§AP D imensions of Lot 80 x 9 7j Size of Footings 8 x 20 Size of Piers 1078 Siz S of N s Greatest Sill Span in ft Type Roof How will Building be Heated? cell. ga S heat Will Building be on Solid or Filled Ground? solid PP Size of Ceiling Joists trusses , Distance on Centers , Greatest Span S 1 a b Size of Floor Joists , Distance on Centers , Greatest Span " Size of Rafters 2 X 4 trusses , Distance on Centers 24 , Greatest Span Tj t ) r t I , ' , f - 1 i r� This rectangle is to represent the lot. E i f .' '' if L ocate the builing or buildings in the u ' ` � 1 � ' right position. Give distance in feet from -- all lot -lines and existing buildings. r L U , V K REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. THE CITY OF ATLANTIC BEACH 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 z 3. When steel is in place and ready to pour beam. .7 4. When framing is completed. o 5. When rough plumbing is completed, and ready to cover up. •7 6. When septic tank drain field or sewer is laid but before it is covered. A W A 7. Electrical inspection by City of Jacksonville. r`n 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after corrections are made. 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 part hereof, and in accordance with the building regulations of the City ji : each. , Signature of Builde Ad ess /_ , Cz Signature of Owner ' ' AP.'" -. ` . -'► fIP _ e `'"-- DEPARTMENT OF BUILDING 3136 CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 7/27 19.. 76 Date I Valuation $ 3013. ©0 Fee a4 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that Gregor1O M. Dorado 4 5 ex Rd atlantic Beach l enlarge existing Patio, has permission to build new slab. C1asSlfication_ Owned by ° . s. . sr 1 .i a Block 10 S/D House No 415 Irex According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS 4 AND FOOTINGS MUST BE SP CTED B FORE POURING. IN PERMIT VOID SIX MONTHS . AFTER DATE OF ISSUE „ 0 from this work ial, rubbish in and debris � from thi s work must t not be placed in public either and must be cleared up and hauled away by either contraa ctor 4 or owner. Building Official. t PERMIT CONTRACTOR FOR OFFICE DATE USE ONLY NUMBER PLUMBING MIT 1 ELECTRICAL SEWER 111 1111111111111111 WATER BUILDING PERMIT APPLICATION JURISDICTION OF APPLICANT TO COMPLETE SECTION A ONLY SECTION A JOB ADDRESS LEGAL LOT NO. BLK. TRACT 1 DESCR, /0 ( []SEE ATTACHED SHEET) OWNER MAIL ADDRESS ZIP PHONE , CGP..1GOQIO D OQAAo " AiL -aaTnC ZAA CIA 31.133 2-O-0/710 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. 3 ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 �e dd ENGINEER M IL ADDRESS PHONE LICENSE NO. 5 6 CLASS OF WORK:. ❑ NEW ADDITION ALTERATION REP AIR MOV REMOV ❑ u n � E 7 BUILDING CHARACTERISTICS C.PRINCIPAL TYPE OF FRAME G.DIMENSIONS A. PROPOSED USE GROUP /MASONRY NUMBER OF STORIES RESIDENTIAL NON - RESIDENTIAL -WOOD FRAME TOTAL SQUARE FEET OF FLOOR _ STRUCTURAL STEEL AREA,ALL FLOORS. BASED ON DONE FAMILY DWELLING ASSEMBLY REINFORCED CONCRETE EXTERIOR DIMENSIONS -OTHER - SPECIFY TOTAL LAND AREA,SQ. FT. TWO OR MORE FAMILY DWELLING; El BUSINESS (OFFICE) NO. OF UNITS H.NUMBER OF OFF - STREET EDUCATIONAL D.TYPE OF HEATING FUEL PAR KING SPACES []HOTEL, MOTEL, DORMITORY, ENCLOSED NO. OF UNITS [] FACTORY - INDUSTRIAL - GAS OUTDOORS _OIL GARAGE [] HAZARDOUS _ELECTRICITY I. RESIDENTIAL BUILDINGS ONLY _COAL CARPORT ❑ INSTITUTIONAL -OTHER - SPECIFY NUMBER OF BEDROOMS QOTHER - SPECIFY 3 : 4 1 LOGI -. [] MERCANTILE S ' t & k ?' `O � # []STORAGE E. TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROOMS PUBLIC OR PRIVATE COMPANY OTHER - SPECI FY PRIVATE (SEPTIC TANK, ETC.) { PARTIAL F.TYPE OF WATER SUPPLY _PUBLIC OR PRIVATE COMPANY - PRIVATE (WELL, CISTERN) B. NON- RESIDENTIAL - DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING. 8 VALUATION OF WORK_, . CA 0 A. BUILDING$ B. B. PLUMBING$ C. MECHANICAL $ D. ELECTRICAL $ E. OTHER $ F. TOTAL VALUATION I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT- ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIiATURE OF NTR R O AUTHORIZED AGENT (DATE) r Q'1ti0 '�`• 24 t is SIGNO OF OWNER (IF OWNER BUILDER) (DATE) µa' BUILDING PERMIT APPLICATION JURISDICTION OF APPLICANT TO COMPLETE SECTION A ONLY SECTION A JOB ADDRESS LEGAL 1 DESCR. LOT NO. BLK. TRACT 1 } (❑ SEE ATTACHED SHEET) 2 OWNER I MAIL ZIP ADDRESS PHONE i f t , T ', : i a. , ,,I, fA v 1 i - ..a 1 i 1 ' ' w � . .r `. , A e � 1 .° I{ 3 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 .,., •' 5 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 6 CLASS OF WORK: Li NEW ErADDITION ❑ALTERATION ( REPAIR rj MOVE EREMOVE 7 BUILDING CHARACTERISTICS C.PRINCIPAL OF FRAME G. DIMENSIONS A. PROPOSED USE GROUP` MASONRY NUMBER OF STORIES RESIDENTIAL NON - RESIDENTIAL —WOOD FRAME TOTAL SQUARE FEET OF FLOOR _STRUCTURAL STEEL AREA, ALL FLOORS. BASED ON REINFORCED CONCRETE EXTERIOR DIMENSIONS []ONE FAMILY DWELLING QASSEMBLY _OTHER - SPECIFY TOTAL LAND AREA,SQ. FT. ETWO OR MORE FAMILY DWELLING; J BUSINESS (OFFICE) NO. OF UNITS H.NUMBER OF OFF— STREET QfDUCATIONAL D.TYPE OF HEATING FUEL PARKING SPACES HOTEL, MOTEL, DORMITORY, ENCLOSED NC). OF UNITS 0 FACTORY - INDUSTRIAL _GODS OUTDOORS []GARAGE HAZARDOUS _ELECTRICITY 1. RESIDENTIAL BUILDINGS ONLY COAL CARPORT INSTITUTIONAL _OTHER - SPECIFY NUMBER OF BEDROOMS OTHER - SPECIFY , ` f ` °' .. 0 MERCANTILE I I +s , P , t ,'4 o • t ../ E. TYPE OFSEWAGEDISPOSAL NUMBER OF BATHROOMS ]STORAGE FULL _PUBLIC OR PRIVATE COMPANY ) OTHER - SPECIFY _PRIVATE (SEPTIC TANK, ETC.) )` PARTIAL F.TYPE OF WATER SUPPLY _PUBLIC OR PRIVATE COMPANY _PRIVATE (WELL, CISTERN) A B. NON- RESIDENTIAL - DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING. 8 VALUATION OF WORK At, . A. BUILDING $ B. PLUMBING $ C. MECHANICAL $ D. ELECTRICAL $ E. OTHER $ F. TOTAL VALUATION HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS f' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT- ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. • 7 . SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) , , q s ,: , .' r`..ft k t,? ( I L . SIGN ATU i E OF OWNER (IF OWNER BUILDER) ; (DATE) i BUILDING PERMIT APPLICATION JURISDICTION OF APPLICANT TO COMPLETE SECTION A ONLY SECTION A JOB ADDRESS LEGAL LOT NO. BLK. TRACT 1 DESC R. (SEE ATTACHED SHEET) , OWNER MAIL ADDRESS ZIP PHONE CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. 3 ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 5 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 6 CLASS OF WORK: I I NEW (ADDITION HIALTERATION 1 IREPAIR LI MOVE EIREMOVE 7 BUILDING CHARACTERISTICS C.PRINCIPAL TYPE OF FRAME G.DIMENSIONS A. PROPOSED USE GROUP _MASONRY NUMBER OF STORIES RESIDENTIAL NON- RESIDENTIAL -WOOD FRAME TOTAL SQUARE FEET OF FLOOR _STRUCTURAL STEEL AREA,ALL FLOORS. BASED ON DONE FAMILY DWELLING Li ASSEMBLY REINFORCED CONCRETE EXTERIOR DI MENSIONS _OTHER - SPECIFY TOTAL LAND AREA,SQ. FT. OTWO OR MORE FAMILY DWELLING; El BUSINESS (OFFICE) NO. OF UNITS H.NUMBER OF OFF - STREET EDUCATIONAL D.TYPE OF HEATING FUEL PARKING SPACES LHOTEL, MOTEL, DORMITORY, ENCLOSED NO. OF UNITS ❑FACTORY - INDUSTRIAL GGA OUTDOORS El GARAGE El HAZARDOUS _ELECTRICITY I. RESIDENTIAL BUILDINGS ONLY COAL Li CARPORT ❑ INSTITUTIONAL -OTHER - SPECIFY NUMBER OF BEDROOMS OTHER - SPECIFY MERCANTILE E. TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROOMS STORAGE FULL PUBLIC OR PRIVATE COMPANY J OTHER - SPECIFY PRIVATE (SEPTIC TANK, ETC.) . PARTIAL F.TYPE OF WATER SUPPLY _PUBLIC OR PRIVATE COMPANY PRIVATE (WELL, CISTERN) B. NON - RESIDENTIAL - DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING. 8 VALUATION OF WORK A. BUILDING$ B. PLUMBING$ C. MECHANICAL $ D. ELECTRICAL $ E. OTHER $ F. TOTAL VALUATION I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT- ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) DEP ` ., ea111, OF BUILDING FOR OFFICE USE ONLY CITY OF AT y' C REACH, FLORIDA Date 19 Permit # Fee $ „ ' A• I. -tion . 0 Permit �� Valuation $ C,P D, i L f -r M sc. Alterations 1 House # a d Repairs i DESCRIBE: C kR Pcm- r t7�� S i iLW i R -1t t k1.0 -,. 404 t— a31 (state if to repair, alter, add to or move building, erect awnings or signs, etc.) Building on: Lot No. Bik No. Sub.Div. - Address 9/4 ► R. 32)s.41CM- Valuation $ G Sn Owner's Name G- 11-'€.Gr01z.t o M • D ( 9Z) BUILDINGS & OCCUPANCY Building Use _ - .Residential or Business What Plumbing work to be done? Size of Prezent Bldg. Size of Extension Lot size Material of Roof No. of stories now after altered Material of Present Building Material xtenision PLANS MUST BE SUBMITTED HEREWITH SIGNS Size' Classification _ (state whether ground, roof, wall, projecting banner) Material of Construction Illuminated? Type of illumination (State whether lamps or noon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HAN "ING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reserve side) IMPORTANT NOTICE: 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 •uilding regulations of the City of Atlantic Beach. Southern Stand ;Ld Bui n od Signature of Builder or Owner . M Address Phone 2'/4- ogres DEPARTMENT OF BUILDING FOR OFFICE USE ONLY CITY OP ATLANTIC BEACH, FLORIDA Date 3 Z 19� 7 Z Permit # / Fee $ q.0 0 Valuation $ 75,64 Application for Permit for HOUSE # 1.5 p� Miscellaneous Alterations, YK and Repairs D CRIBS: - .. ( tate if to repair alter, add to or mo •uilding, erect awnings, signs, etc.) /A Building on: Lot No. Bi No. f Sub.Div. gs _ "4 ■ A', valuation , valuatio "``• -••.. Owner 8 N e - :.� ...r,.m.+�- «► BUILDINGS AND OCCUPANCY Building Use - Residential` or Business What Plumbing work to be done? Size of Present Bldg. Size of Extension Lot Size 1o. of stories now after altered Material of roof ' Material of Present Building Material of Extension NECESSARY PLANS TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump Type or Model Name and Address of Manufacturer In confection herewith, application is also made to install: gal. capacity tank (s) made by of gagge metal Under .or Above) ground. (Name of Manufacturer) ( Und =y* or. Above) of building. For (Inside or Outside) (Name of Purchaser) FURNISH DRAWING SHOWING ` ENTIRE LAYOUT ON REVERSE SIDE . OF THIS BLANK SIGNS Size Classification (State whether ground, roof, wall, projecting,banner) Material of Construction Illuminated? Type of illumination (State whether Lamps or Neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reverse side) s4 % fit IMPORTANT NOTICE: �' - - D . 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 art hereof, and in Gccordance with the building regulations of the City of Atlantic Beach. ( Stand= d Building Code). signature of Builder or , Owner . - 1 Addre - = a - Ph.. - o. ;. FOR OFFICE II ONLT Date �,G. ff o v Permit # _. _.......Fee s�� CITY OF ATLANTIC BEACH valuation: ! ' ........... FLORIDA House #._... ../f - ;ii • 7 AiN /// FOR ILDING PERMIT Application is hereby made for a . .. . of the detailed statement of the plans and specifications herewith submitted for the building or other structure , - 1. , This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, , 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 embarrasmsnt regard- ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can bs .. D s t t Ki p J1:�" '.L-Q .� ' ' ... isa ... Owner... ,.,.:,,, , , ti t . Q :. `' .,,,.:.. „Address `" "` " ' -- "'� it.,..i it L , 0 ,/,-;,- , d«. zy , ` Telephone > o.. 2 :72 : 0 a7 Architect .Address. Telephone No. Contractor Builder Address:,.:::: : ...:.....:.:.:...:.:....:::..: .::::..:::.::..:::.:..Telephone No. ::::: :. :: :, :: :::: :,::, - - - - Lot . Block No. :::::. : :,:::..::: ::::.::.:: :::: Sub Divi sion::::,.,::: .::::..::...::.:.::.:..........::.::..:::.-- .-- ,:: :....:::::::,:..: - --Zone Street Side Between and Ste. Valuation $ For what purpose will building be used ' -% t- Valuation `'„) 14 ' ` Type of construction Dimensions of Building Dimensions of Lot Size of Footings Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof A' 4 A ti 4i i.K..t_L How will Building be Heated? Will Building be on Solid or Filled Ground ? - ° "" L -- 6 r I 4 Size of Ceiling Joists , Distance on Centers , '"' , Greatest Span 4 0 + " Size of Floor Joists , Distance on Centers , Greatest Span " Size of Rafters , Distance on Centers , Greatest Span " 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 be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. M int ETVI 2. When steel is in place and ready to pour columns and/or lintel CO g 3. When steel is in place and ready to pour beam. pp,S ' ---- '' 4. When framing is completed. 5. When rough plumbing is completed, and ready to cover up. 8. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. m 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby apse 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 City of Atlantic Beach. Signature of Builder._ .__ 4 Address Signature of Owner i Address 71". R. I " . l t- I I A I-1- P , +4 - 1 C. " Z I 4 - L.. l p A 9 1©" i . • ______. .• _____ 7 7 l' 4'x4 1 i I I I ; 1 +23M£ NoTC �(.► _a S9AcINa d, JaisT& 81 BIAS At° N , I 0 _ N, . c>UTLokle or -TK I PAY % NT I I 1 ? j 1 1 d n r j . t i . . ��... I _. � __. . 1_ __ - i PAve" T .RlMr 1 i f.krig FNTRAIJ[':r .. J �r , e er N ! r ;, oval( Sf . fi etL,.. t • r i / #' ' (y {, • • M q 't y ' ' „' a`k :, , ,x µ r; ..+�r- , , . . '''' ,w.......- w,,.,. <..r '**Y • tt "A -A , • h kA N g, ; " tif.' Cati•Sr,' .'' - -. ' " / i ,•- ., .. - 0 ms ^ • A . " s` ,. .I . vri i/ .,2 , . , rt � ., y ..,.,..• --^.. + ••-- r / . ---.. x . ' . '� M `• 9w • • z l e a 1 0,),,, .t .t . y 4 s' - • •L'' 1 _ › , , k . • —", ' a ,TI.0 1 r i s t rr6i , 0 � • " ," . P ` 4,: t k � r t A . 6 , fit ' b J • y DEPARTMENT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, Fyp Date - i 7 permit *' $' Fee Application for Permit for Valuation S, w 4'4 Miscellaneous Alterations, HOUSE # '' -" f fj l, ` and Repairs 4' - 21 DESCRIBE: fg" C b',4 L.1 Nk' 76p7 '" (State if to repair, alter, add to or move building, erect awnings, signs, etc.) Building on: Lot No., .27C Blk No. / Sub,Div. Address .s— /R (*, ', R.0 Valuation $ 3 St', :., --' Owner' s Na 77/ »m1 A 1 , 1, 134/Ay BUILDINGS AND OCCUPANCY Building Use - Residential or Business What Plumbing work to be done? Size of Present Bldg. Size of Extension Lot Size No. of stories now after altered Materiel of roof Material of Present Building Material of Extension NECESSARY PLANS TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump Type or Model C //A'N 4 Nk Name and Address of Manufacturer In connection herewith, application is also made to install: gal, capacity tank (e) made by of gagged al g ^::'1 - ground. (Name of Manufacturer) + Ur_6 ,,,. or ALsve ) (Under .* r Above) of building. For (Inside or outside) " (Name of purchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS Size Classification (State whether ground, roof, wall, projecting,banner) Material of Construction Illuminated? Type of illumination (State whether Lamps or Neon) Will sign be over public property SUBMIT ►RAWI SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL 'INFORMATION. BELOW -'' (For canvas awnings provide dimensioned drawing on reverse side) Cp•P1..ETEi7 I•rORTANT NOTICE: DAT E,, / In consideration of permit given for doing the work as described in the above statement, we hereby.agree to perform said work in _,C accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. (Southern Standard Building Code). Signature of Builder or Owner /& CT ; Flcr` ^r Address S o ', -v Phone No. ?f - x-5"' F- DEPARTMENT E NT OF BUILDING PERMIT NO PA FLORIDA OF ATLANTIC BEACH. CITY - " 4 PERM T O B L D THIS PERMIT MUST B JOB Jun 22 19 -- I pate 21.00 Fee$ Valuation $ City. .rTea„L, and s n paid to Y of l until above fu has been ovisions Gfl � 1 it n ot valid on for violation of applicable pt AIR 1 ` a [}C CVI l T>us v ,,,,�s=��[{ MATING subject to y t 11131 ru"' ;T - that 19100a, ; I This is to certify L AIR COI3UITIaSINC' ! �, 6 /'�? i INSTAL 99G:' has permission to bum Y "1 M Zone RESIDENT Classification ppNELL S/D Block_ --�` — Owned by Lot : I CRETE FORMS ' ` • art of this permit CR BE IN- Ho in plans which are p NOTICFOOT N ONMUST NG• to ap proved p POURI AccordinS D ORE MON AND T VOID SPE PERMIT DATE SIX. ISSUE \ t AFTER d debris material, rubbish an placed Z Build hi work must n ot be p leared from a ce, and must be con- 4 i n public s pace, away b e ither and ha led "Jul �'. ow i tr . for ner. j32 /, C ONTRAC TOR DATE PERMIT FOR OFFICE NUMBER USE ONL I PLUMBI NG ELECTRI SEWER 10•0111111 \ WATER i BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 92299 APPLICATION FOR MECHANICAL PERMIT CALL -IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. 1. u LOCATION Street Address: 7/ 5 7 / 4 �- � a J . OF Intersecting Streets: Between And BUILDING Sub- division II. IDENTIFICATION - To be completed by all applicants fn 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 attacked plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical ,/ Contractors Contractor (Print) #0)1. hip -yk) '/ g /,? I ✓t c 8 � 11 Mester / 4) Name of Property Owner 1,O 1,. 04 Pe 6v` l / AA. ea 7..- V / q Signature of Owner / Signe #urs of or Aulhori:•d Agent S'2.4,___ Arcbi #ee# or Engineer 111. GENERAL INFORMATION A. Typo of heating fuel: 8. IS OTHER CONSTRUCTION BEING DONE ON D Electric THIS BUILDING OR SITE? � V 'bar ❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION o Oa PERMIT Q Other - Specify ' i ' 5Y ,` vs : -.A'Sr 1z3L ^Hrh✓ IV. NICNANICAL EQUIPMENT TO 1E INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) X Residential or ❑ Commercial ❑. Neat 0 Space ❑ Recessed 0 Central 0 Root ❑ New Building , - Air Condstiening: ❑ Room pACentnI Existing ; Bullding Q pact System: Material Thickness _ ❑ Replacementof existing system Maximum capacityple 1 l sy, l " c.f.m. ❑ New installation (No system previously Installed) Q Refrigeration or add -onto existing system ❑ Other - Specify — a d ,L d Cooling tower: Capacity g.p.m. , Q Fir* sprinklers: Number of heads Q Bowater ❑ Maeliff ❑ Escalator (number) THIS SPACE POR OFFICE USE ONLY Q ; Gasoline pump. (number) (Resolved) A Teaks _.(number) Remarks O I.6 containers---(number) O Unfired pressure vessel Q 'ieilera Permit Approved by Oaf* © Olbsr Specify Permit Fob 1� gr ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT �ci y Number Vita Description Hotta Number Manufacturer ('�oosj i�1 60 p 6,11 -; L— I Tid,,, .'fill, � y . .1. �,'. ;f 11,, p r 1f `• � ''I " � 4,.. •- rFMril.ealr'�".' + , .� .r,,, A ,'K:1 /4 r� a ..': t - ''''. `a ,; ' 71r t ' CITY• OF ATLANTIC BEACH, FLOR'DA 7O j) r , ; ASIPP W ' ° . I. - APPLICATION POR ILICTRICAL PIRMIT . G J ` d a •, y ■wti . .6 . 4 mow .glicmcm. IMPECTOR! OATH, , I WIT NOTICL , ' IN CONSIDERATION OF PERMI•r GIVEN FOR DOING 'THE WORK AS DESCRIBED IN THE mamma WE HEREBY AGREE TO PERFORM SAID WORK RDANCE S AND SPECIFICATIONS. • ' HIGH AREA PART HEREOF, AND I E WITH THE E R NS CODES AND CITY OF TI ANTIC BEACH ORDINANCES. • • . 11 (' - 1 i A, . 1 . :2 1 ) ' e-lif:r.k*"-jC2 ) . `EVJUCAL PIRM•i i i-`), - MASTER ELECTRICIAN SIGNATURE C ( f i C'i \ �: JOURNEYMAN • RAIL *-' . O :ADDRESS: • I • Q-- UC, • e NP . SIZE, BETWEEN:. • 1 1 i APT. ,1',1, COMM. (1 PUBLIC 1 1 INDUS.1 1 NEW f 1 OLD 1 e1 IIEW. ( ) • ' • ADDITION ! TRAILED 1 i flMP.1) SIGNS f ) s0. P ` ' PEE • S ERVO* NW 1 1 INCREAS V REPAIR 1 1 9 J Y vet. �.• 4 1 . `. v .. .+ r ...... . ON000TOR SIZE _ .. r AMPS COPPER 1 ALUM. ( 1 f _ ! NW NZ I r AMPS MUM VOLT �C _. . FEEDERS NO..... Sinn NO. - SIZE NO. SIZE .. . LWHTINO OUTLET= NM CONCEALED OPEN TOTAL ' :ft rrA_LES CONCEALED 1OPEN TOTAL ;., t.. a :, ... OEBCEIrT i PLUORE10ENT & M. V. ._.., . • ...r.. .. r rump r• 0•1oo A ' . ' . x • A PPLIANCE$, , • . 4- . . BELL TRANSP. .. ... _.� .' AIR . H.P. RATING H.P. RATING CONOITIONINO - COMP. MOTOR `"• OTHER MOTORS . AMPS EIL HEAT: KWHEAT .... B.1 ... OVER N MOTORS H.P. VOLTAGE i MS NO. 1 11.P. VOLTAGE PHS - 4 =El. EOM l _ I I ) 4 . .1 )4../C 9 1v _ __ - - Aa.VA AAA U - PSR•384¢ 17424 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - LOCATION IN1PORI4ATION per T�►p+� :I?Lt11�IBINt� A•dre�� 415 IREX ROAD .I c Wear} RAL gRAT'ION ATLANTIC BII'ACH, FLORIDA 32233 C eiss o r T FI LEGAL DESCRIPTION Cox z ea , Us o :BINDLE FAMILY Bieck: Lot: °__- Sect 0 Euhd: 0 Dwe11 ings 0 Rng a Est. Value: Subdivision ImprGv. Cost :I.O0 A Tot al Pees. 0.00 ' ��? . 00 mount Pat d; . 50.00 Date a x a r k Desc ' : Pt 3 AND REPIPE d arne d : WIL LI r ""' � APPLICA'I'I FEES A'LAa LORIDA 32233 :, � aiowl hang �, ON '4 s "ro x ' ` ICON 8ti i : EAGE � ddr: 1093 M AEStSNv1Z laic: CP032624 .P� I�p y NOTES: 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 r - CI.EARED U!? ANA HAULED AWAY BY EITHER CONTRACTOR OR OWNER Y "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN. RE THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.» IN ISSUED ACCORDING TO RPPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Il'.911 1 ATLANTI BEACH BUILD G w' PARTMENT DILL 3 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING; PERM: 308 LOCATION: OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMBING CONTRACTOR _ �4 9 � 1C PM», d ,, N AND ADDRESS: - ---- ......._ J - Co �.ve. 4 9 3 NO- 0 , t74 � --ta 4u." TELEPHONE NUMBER : 3 fe. 6.7d./ STATE LICENSE NO: ,C.F0032624 - -- 2 TYPE OF BUILDING: 1. SINKS SHOWERS • LAVATORY - .-- ._- . -• -•' -._ - --- -• - -._ -.--. WATER 11EAT1.I BATH TUBS DI SIIWASHi-.W.; URINALS -- ....U CLOSETS MACHINE FLOOR DRAINS _SHOWER PANE. OTHER TOTAL FIXTURE COUNT : - - INSTALLATION OF PLUMBING AND FIXTURE THE MOST RECENT EDITION OF THE SOUTHERN M STANDARI, NI,L�UM81' AN O . fi CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 504) 247- ,ili:'6 , r PSR= „. ++r p r 1 I 02 , ' DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH I - - _ PERMIT INFORMATION . ------- LOCATION INFORMATION Permit Numbers 15Q27 Address: 415 IREX ROAD Permit Type :14ECILAI4 I CAL ATLANTIC BEACH, FLORIDA 32233 i C1 as s of Work s At,TERATION W ------- LEGAL DE CRI -- ------ ., f C nstr. Type: B1ock Lots Twos 0 I I Propo ed Use Sections 0 Subd :0 Rng 0 Dwe'11in s 1 :' Subdivis on :ROYAL PALMS Est. Value: 0.00 Improu. Costs 0,00 Total E'e13 ; 71.00 j Amount ', '4 72.00 Date .' ! ' s' t 1 997 I Work f 1 _ -.,. * x .z TI ON .' -, ,, t : ---- APPLICATION FEES Name 4 s V � ' 'pA P IT 7 _ 0 _ Addy” ,.R 00,00 Ph V ( f , } w y I� d u r w fitf .. + . , v , � v , I � �' t" � 1 �e re �, P iX Ts k� y %s „� j u" r�via.rew C A � f R ORIATIO' Natnme : DO VAN " ,TI ` 0 AND A Add,315 SIX VEI Ea., h r: ' AR BEA '`LOR. I DA 32250 C `` 1° Y Ex s / / i NOTES: , NOTICE — INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION G BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE i CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REV?R 1 FOR ,, VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1 ' Date: 8/05197 8I _ Receipt: 757 6 ' 1 ! _. ATLANTIC ACH BUI DING EPA TMENT w1$ 3D2i x i ., By: «*ti.� x , a 1 1 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL•IN NUMBER IMPORTANT --- Applicant to complete all items in sections I, II, Ili, and IV. 1. LOCATION Street Address: bcZ l OF Intersecting Streets: Between c BUILDING ►— / And Subdivision II. IDENTIFICATION — To be completed by all applicants 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 City of Jacksonville ordinances and standards of good practice listed therein. Neme of Mechanical Contractor (Print) 0 `4,. /� I Contractors Name of Y } C/ Master Property Owner Yin Q n/ VCAv D _ Qr1 Signature of Owner V � � 1 � or Authorised Agent Signature of Architect or Engineer W. GENERAL INFORMATION A. Type of heating fuel: B. Electric IS OTHER CONSTRUCTION BEING DONE ON THIS BUILDING OR SITE? N,5 0 ❑ Gas -- ❑ LP ❑ Natural ❑ Central Utility ❑ Oil IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT ❑ Other — . Specify �S IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form){ ""� Residential or ❑ Commercial Heat ❑ Space ❑ Recoiled ' Central ❑ Floor ❑ New Building AX Air Conditioning: 0 Room j Control k Existing Building Duct System: Meter»: Th ick net. *, Replacement of existing system Maximum capacity c f m ❑ New installation (No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Coolin tower: Capacity ❑ Other — Specify q.p.m. ❑ Fin sprinklers: Number of heady ❑ Elevator 0 Manlift ❑ Escalator (number) THIS SPACE FO OFFICE USE ONLY ❑ Gasoline pumps (number) eceive ❑ Tanks (number) ) Remarks ❑ LPG containers (number) ❑ Unfired pressure veuol ❑ biters Permit Approved by Dot• ❑ Other — Specify Permit fy LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capstcl>y Approving .._ d' t f - ►�LZei t 'hozss �►te11CY �r qq y f,:,, , , . . DEPARTMENT OF 6UILDtNO / .4 46 CITY OF ATLANTIC BEAC H rd ' ;.. -: Yr� PERMIT R ,` OR � .kt w -� �- {(y (� y y�y� ■♦ y)� wry} (yy} F i4 �{4+ � M Number': Y ' Y� _ _ _ ..; .r .TQLii is iM EOx " i i I ril Permit "T _ dr _s s : X35 IREX RC3AQ pe: RUi L?I I �TLAN' IC BEACH, ` LORSLA 32 l asst r� Wark : REMODEL 233 l s o Type: VINYL "" LEGAL DESCRIPTIO _ P°r1;osed;Use: SINGLE ,F L•t: Sla ck: �w :ngs: 1 AMIL1� Tcn ►wnsh RO p : AL PALMS RNG: an0 s im tted Value Ccsde: Q 5 bdavis ToQ• Y 1 ina.pr+d Cost: :0° .Qa - a 25.0o ( , $ 2 . O C?.: [.. �ICnp � � g.z ! 1. mar r.s..:rwrr d r r . v is � :. .� f ,... ZON , p AFPLICATIGN FEES dress � "� ' D ERMIT $25 . flC► Plg'4:41*'4111; i P .4 HATER PACT' , f " -r PLORIDA 3 ,4" h!'re AP gAT T s R g ; E I CO �AG I =ATLO 5- S. D. CCt w. S� _ RADON R' T 5 " � � �ER�ORS,_� �� .. �� ., M.. 5� . D O � s;,:4�D F- iATER� 'TAP ,I PS UW'Y 1A ... 5C? � t u �;� °�AGZ�3O SEER � TAP � : - P� 32256 50.4Q _ : R YI RAUL I C SHARE $ Type CAPITAL IMPROVE, - rrawh r FC�.,H k�° 0 �� NOTES: OC'HE'R ��,C'.��'�, a� , } � . DO ,�`��.��, � r , i NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING I ' ' .L''', PERM11� VOID SIX MONTHS AFTER DATE OF ISSUE ' ''''':';(:: :.;.:.;':',',f,''' B ILatNG.MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK,MUST N O T CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR. OR OWNER BE,PLACED IN PUBLIC SPACE, AND MUST BE ( , :- aFAIL,URE'T© .COMPLY WITH THE MECHANIC ' i THE �IOPERTY OWNER PAVING TWICE FOR BtUILDIN IIMPRAN RESULT IN C " lSSIiEO �kCCOR01NCi TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND �, o Y $. R � VIO LA F:AP,BLE PROVISIONS OF LAW, S UT TO R' ' " �,! �i�I� � � OR ATLANTIC. w CH'SI 1,.DI.DING DEP RTMENT otte IP1 t EI#� A99Ifw ' . # 1 ii a e ' ^ 'ter : x r r' CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner (s ) PC)tOd__ — Address' L/c Acme: 0 72_ Lot # or Unit #_ _ Subdivision:__ Cont ractor Addre S .7...IVQ111:LitS40.11 01^ phon No 0V-0 - Describe work to be done:_____ILayia 1j745- Present use of building:_____________ Valuation of Proposed Construction: Proposed use: I this an addition? If yes, what are the dimensions of the added space: ft. X _ Will the added area be heated and cooled? New electrical (or increase)?_ New plumbing fixtures? New fireplace ?New Heat/AC?_______ SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. [ Signature OWNER:___ Date ____ Signature CONTRACTOR:__