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Permit 416 Irex Road (2) DEPARTMENT OF BUILDING 4 /� 0 0 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. �} PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB DatP June 17 19 80 Valuation $ Fee $ – ' 1 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 Felipe S. Dancel has permission to build as addition according to plans submitted. Classification Residential 7.one I Owned by Felipe S. Dancel Lot 3 Block 11 SAD Royal Phtn House No. 416 Irex Raod According to approved plans which are part of this permit NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE f" — ♦ • ► 0 Building material, rubbish and debris from this work must not l public spac mast �� ` public c" and hauled by a tW, or owner r ()LICA i 6/17/6U Bill M_ Davis Buildia offielaf. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTR ICAL SEWER • WATER 4011000k 40%,4 `' CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 09- 00001834 Date 10/30/09 Property Address 416 IREX RD Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 4800 Application desc REROOF FL1251.7 Owner Contractor DANCEL, FELIPE SHORE ROOFING COMPANY 416 IREX ROAD 914 7TH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241 -8842 Permit ROOF PERMIT Additional desc . Permit Fee . . . 74.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 4800 Expiration Date . 4/28/10 Fee summary Charged Paid Credited Due Permit Fee Total 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 12 r t CITY OF ATLANTIC BEACH • =' x i 800 SEMINOLE ROAD j �� r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027978 Date 4/01/04 Property Address 416 IREX RD Tenant nbr, name ROOM /ADD 559 RAD & SCHG Application description . . RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 41925 Owner Contractor DANCEL, FELIPE OWNER 416 IREX ROAD ATLANTIC BEACH FL 32233 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 240.00 Plan Check Fee . . 120.00 Issue Date . . . Valuation . . . . 41925 Expiration Date 11/04/04 Other Fees CITY RADON SURCHARGE .13 ST CONSTRUCTION SURCHARGE 2.51 AB CONSTRUCTION SURCHARGE .27 STATE RADON SURCHARGE 2.65 WATER IMPACT FEE 120.00 WATER CROSS CONNECTION 35.00 Fee summary Charged Paid Credited Due ° Permit Fee Total 240.00 240.00 .00 .00 Plan Check Total 120.00 120.00 .00 .00 Other Fee Total 160.56 160.56 .00 .00 Grand Total 520.56 520.56 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Z BUILDING OFFICIAL cc- O y; CITY OF ATLANTIC BEACH i 0 r , \: BUILDING / ZONING DEPARTMENT mot , � s % 800 Seminole Road --...S2 1.5 - 4 w Atlantic Beach, Florida 32233 (904) 247 -5800 JR' (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # C - ,) 7 y 7 2 Property Address: i/ /( f ;J( Ex Rd Applicant: FE 1 s p e c, i' el Project: Ja''`r; ry-k a ci cl1, II C ,s This permit application has been: ❑ Approved Reviewed and the following items need attention: ypr OF sl/24ps /j/6 ,p)(0,c?S 1( ) ,,gxFTr / ..--- S- J c c 6 /t-f t9 S r I�014(fit etz 6 / 4 /5O o 4 G ■2/f 04: r' T y e / - 0 #--- <<9 r06r. S 7 1 a r c..9 (A) 0 b E/ ( S y o t) 0 ti -- Fao �-i A. 6 ,S(7j n) 6 C E.f T yPC '- Cci I 43 1) Zd K) ,— Please re- submit yo application when these items have been completed. Reviewed By: t--.. Q. ` Date: 3 ` 3 (- o 3 c_A `C t.D 2 Ji,. /014 CVK 5 MIN. RETURN Book 11727 Page 605 PHONE #a-' a NOTICE OF COMMENCEMENT State of Fl Tax Folio No. County of Duval To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Lot "I Block 11 ghnwn nn map of re plat of P i-rt of Royal Pa1mG Unit Two A Address oT property being improved: 416 Irex Road Atlantic Beach, FL- R77 General description of improvements: bcdroom & family room addition /remodelling of existing family room Owner: Felipe & Grace Dancel Address: X116. improvement: Road Atlantic Beach, Fl 32233 norm �V 99/{�g Owner's interest m site of the mprovement: Personal Intcrcot 1 1127 Fee Simple Titleholder (if other than owner): g F, j. Name: Address: Filed pa &R ecorded U 9 /Ulf U04 11:48:34 AM JIM FULLER ,Cn Contractor: F�lipP S- Dancel CI RI( CIRCUIT COURT `p�,� Address: 416 Irex Rd _ Atlantic Beach, Fl _ 322 - 43 DUVAL COUNTY 'h . 0 Phone No: (904 )2 4 9 - 7 610 Fax No: RECORDING $ 5.00 Surety (if any): > TRUST FUhD $ 1.00 Address: Amount of Bond $ Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: Felipe & Grace Dancel Address: 416 Ircx Road Atlantic Beach, FL 32233 PhoneNo:(/i 0/) 2-49 7610 Fax o Name of persoitwit in 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)(6), Florida Statues. (Fill in at Owner's option). -- Name: Address: Phone No: Fax No: Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY • NER • 3 _ o Signed: • .r► Date: Before me .'e)? is 2 4 day of )11/ ■ ,»c' in the ou nty of Duval, State of Florida,Atias personall appeared re-k4 F6 Notary Public at Large, State of Florida, County of Duval. 4%1% v My commission expires: 0 3 a G F ' MERLYN A. At "' 7 ' = Personally Known: or r " f Produced Identification: F L /04 b 53 `)57 3 7- i i " 7 t,t.'.t— . 4 ,t, CITY OF ATLANTIC BEACH CITY OF ATLANTIC BEACH MAR 2 5 2004 !, " i J,ilt) j' BUILDING PERMIT APPLICATION (ALTERATIONS /ADDITIONS) Date. ---- e - , --- ate: 3/25/04 Job Address: 41 ti TrPV gnarl Atlantic BEach Fl. 32233 Owner of Property: PPLi_pe E. Grace DAncel Address: T } - Beach, F1. 32233 Telephone: (904)249 -7610 416 Irex Legal Description: Block Number: 11 Lot Number: 3 Zoning District: p P G i rI P n t i a 1 Contractor: Felix P 5 Dancel State License Number: Contractor's Address: 4,16 Irex Read Atlantic Beach, F1. 32233 Telephone: Fax: (901) 2/194-7610 Describe proposed use and work to be done: Room 11dd i t ion:and. remodelling of existing family room Present use of land or building(s): R P q i r1 P nr P Valuation of proposed construction: $35,000.00 What are the dimensions of the added space: 27_7 feet x 20-3 feet Will the added area be he. -. d cooled? YCs New electrical or increase in service? Add plumbing fixture - Add fireplace? No Add heating/air conditioning? Ye s Is approval of Homeowne . •ciation or other private entity required? N0 If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of till material or the removal of any trees? ❑ NO. Applicant certifies that no change in site grade or fill material will be used on this project. [] YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ® NO. Applicant certifies that no trees will be removed for this prpea.«R ❑ YES. Removal of Trees will be required for this project. T EE REMOVAL PERMIT REQ RED. Tree Removal Permits to be reviewed by the Tree Conservati 1 ,,q,,a1:d, Wcic''h meets two tWmes ea 1 inonth. Procedure: In order to expedite issuance of permits, please follow allsteps. and provide all information as 'appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904- 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post- construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 1/14/03 r'� 1 CITY OF ATLANTIC BEACH �23a� OWNER/BUILDER AFFIDAVIT Date: March 25, 2004 Job Address: 416 TrPx Rnacl Atlantic' RFarh, F1 CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING 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 YJOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. 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 ADEOUATE. 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. 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. PR ERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED B F • i �� -1 as) DAY OF ) 11 Cv1.L. 20 C Ns� 7- 3 �' Q ° .47 'p''''' y 1 F2102- � ' _ MERLYN A. ALYo Florida / t e . /',� C • (16)0,6e/Le I. Nata�r Public _Astarte. � I --. my Gomm. Expires Mal 3. 2023 NOTARY I UBLIC r i lion it MOMS MY COMMISSION EXPIRES: NOTE: P I." • - � �til a '' CITY OF ATLANTIC BEACH 5 - 1#4* ` A \ J PERMIT CALCULATION SHEET 4.01i > Date: / • ©1 Address V1‘ /AY?' P " 13, EP ? 1 PP1 T% a4) Heated Square Footage S S `J @ $ 7 J per sq ft = $ 4(69 2 Gara / Shed @ $ per sq ft = $ Carport / Porch @ $ per sq ft = $ Deck @$ per sgft= $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ $ Total Valuation 1 $ $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: `VI TOTAL BUILDING FEE $ ZONING: NS - 2-- + Filing Fee $ FLOOD ZONE: )( () Fireplaces @ $35.00 $ © — IMPERVIOUS SURFACE: SOX BUILDING PERMIT FEE $ WATER IMPACT FEE $ / 0 SEWER IMPACT FEE $ # WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ • C (S T5) %) RADON HRS .0050 $ SECTION H PAVING ( ) $ - O CROSS CONNECTION $ 3,c ST(sf ?) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 Js ; ," . CITY OF ATLANTIC BEACH r3 ' � BUILDING PERMIT APP LICATION (ALTERATIONS /ADDITIONS) Cte o Date: 3/26/04 Job Address: 41 h Trex Read Atlantic BEach Fl. 32233 Owner of Property: PP1 ipe Z. Grace DAncel Address: , _ _ . . _ _ _ . _ _ Telephone: (904)249-7610 • Legal Description: Block Number: 11 Lot Number: 3 Zoning District: R P s i d P n t i a i Contractor: > Pi ; nP c Dancel State License Number: Contractor's Address: 4,1415 Irex Rrlad Atlantic Beach, Fl. 32233 Telephone: ( 904) 24947610 Fax: Describe proposed use and work to be done: Room Addition and remodelling of existing family room Present use of land or building(s): p P G i ri e n c P Valuation of proposed construction: $35,000.00 What are the dimensions of the added space: 2 7 _7 feet x 2 0 — 3 feet Will the added area be heated and cooled? yc �, New electrical or increase in service? Yes Add plumbing fixtures? Yes Add fireplace? N Add heating/air conditioning? yes Is approval of Homeowner's Association or other private entity required? N If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees? ❑ NO. Applicant certifies that no change in site grade or fill material will be used on this project. 53 YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. El NO. Applicant certifies that no trees will be removed for this prat.., ❑ YES. Removal of Trees will be required for this project. T EE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each Month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904- 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post- construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic - beach.fl.us Page 1 Revised 1/14/03 0 • i r' l .,�� 1 CITY OF ATLANTIC BEACH J 40y "'vii s.) ,, OWNER/BUILDER AFFIDAVIT Date: March 25, 2004 Job Address: 416 Trex Road Atlantic RFach, Fl. "3223 CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING 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 Y/OU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. 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. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT 1 COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER - BUILDER PERMIT. PR ERTY OWNER/BUILDER SWORN TO AND SUBSCRIBED B F • L, 0 •r a J r DAY DAY OF , 11 ail, r,,,i 20 G'/ D53U -,.9S " 3 6 i 7- 3 } ` G ' FZIOL dk""Y 1. 4, 4 ALVARO id g ', MERLYN A. of Flor. _ ) 1_,,,111, C� . LL �^ ' Np[�1 Pubiic -Stag -7- -- -r lay Comm. liras WY 3, 2003 NOTARY I�UBLIC . r ' * 000226N Co't MY COMMISSION EXPIRES: NOTE: P 1." ' - t "" ' si CITY OF ATLANTIC BEACH 1 ,, FLOOD PLAIN DEVELOPMENT INFORMATION Location: 416 Irex Road Atlantic Bcach, Fl. 32233 Type of Development: Recidential Flood Zone: Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS: r Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25 -7 -11 and all other laws or o dinances affectin the proposed development. C 7 Applicant's Signature: \ Date: n h4 LA Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 CITY OF ATLANTIC BEACH o a BUILDING / ZONING DEPARTMENT � , ms ,, SDoer .. + "` ss1 800 Seminole Road A tlantic Beach, Florida 32233 J (904)247 -5800 vs (904) 247 -5845 Fax PLAN REVIEW COMMENTS Permit Application # ri-i 2 '7 c> , Property Address: AI) ( .- J C (X Rd Applicant: re 1 t r e d- _- t )e f'I' Project: 6'f`( r~r1 cL el (4 r rC n This permit application has been: [121 Approved ❑ Reviewed and the following items need attention: Please re- submit y r plication when these items have been completed. Reviewed By: ,t421/1.. Date: , � 3 - 29-all �0 yL`l i'x , R -- E G E! V O / ,, CITY OF ATL ATTIC; SEACH r a _ ;.,4;,,,,,,;;- r - CITY OF ATLANTIC BEACH MAR 2 5 2004 1 .x 1.0. BUILDING PERMIT APPLICATION } (ALTERATIONS /ADDITIONS) D r e . - - 3/2 Job Address: 41F, Lr_e Rnar7 Atlan +ir' pFar'h 32233 Owner of Property: FP ti PP S. Grace DAncel Address: Telephone: (904)249-7610 416 Ircx Road Atlantic B ach, I'l . 32233 Legal Description: Block Number: 11 Lot Number: 3 Zoning District: R P s 1 ri P n i AL Contractor: Felipe S Dancel State License Number: Contractor's Address: 4 .1A TrPY Pnarl Atlantic Beach, F1. 32233 Telephone: (9 04) 2194i)-7610 Fax: Describe proposed use and work to be done: Room Addition -and rcmodelling of existing family room Present use of land or building(s): R P s i ri en c P Valuation of proposed construction: $35,000.00 What are the dimensions of the added space: 27_7 feet x 20_3 feet Will the added area be heated and cooled? Yc c New electrical or increase in service? Yes Add plumbing fixtures? Y Add fireplace? No Add heating/air conditioning? Y Is approval of Homeowner's Association or other private entity required? No If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material or the removal of any trees? ❑ NO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. ® NO. Applicant certifies that no trees will be removed for this t •= °'" E] YES. Removal of Trees will be required for this project. T EE REMOVAL PERMIT�TS RF�Q RED. Tree Removal Permits to be reviewed by the Tree Conservati B •d, wliic'h meets two times eac onth. Procedure: In order to expedite issuance of permits, please follow alksteps,and provide all informition'as 'appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904- 247 -5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre - construction or post- construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247 -5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us Page 1 Revised 1/14/03 v , , i t i „ ,, 1 f ,, CITY OF ATLANTIC BEACH J . � Jr �� OWNER/BUILDER AFFIDAVIT Date: March 25, 2004 Job Address: 416 IrPx Road Atlantir RFarh, Fl. 17291 CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING 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 Y,OU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES'. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. 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 ADEOUATE. 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. 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. PR ERTY OWNER/BUILDER -F!' D<-(---..,...r7- 3 �> -G; SWORN TO AND SUBSCRIBED B F • L. �� -« .../, $ DAY OF )'1 t C►'I,Z, � 20 c'y L / p "� LYN ALVARa -) ) . at:„) �., .�/ ,� "`` '� Notary MER Public - State of Flp�fda `� ?� � W ? . _ .: C mo ires WY 3. 2005 NOTARY PUBLIC r j,. Cow # 000228>i� MY COMMISSION EXPIRES: NOTE: P , _. r, is _ - • . BP502I01 CITY OF ATLANTIC BEACH 8/19/04 Inspection Inquiry 14:31:13 RE number 171420 -0000 - Property address 416 IREX RD Appl, structure nbr 04 00027978 000 000 Permit type, seq nbr . . . BLDG 00 BUILDING PERMIT Inspection type, seq nbr . : 16 0001 BD FINAL Inspection status, date . . : INSPECTION COMPLETED 6/18/04 Requested date, time, by . : 6/17/04 8:00 CJJ Override date, time, by . . User ID to request, result CJENSEN CJENSEN Phone interface number . . : 60780 Inspector assigned LJH LARRY J HIGGINS 6/18/04 Results status, date . . . : DISAPPROVED Final inspection flag . . . : N Penalty amount .00 Inspection request comments FAILED 1. FIRE ALARM REQUIRED IN BEDROOM 2. CLOSE IN /RODENT PROOF EXTERIOR Bottom Press Enter to continue. F3 =Exit F5 =Land inq F7 =Insp result comments F12= Cancel -'<2 / 19 Pk , ciait t K) OA CJ S /19 uQ caLQD t `' `' n.� .e-ti C . I -z ,v.os. _ lz y CITY OF ATLANTIC BEACH J „3,Y, FLOOD PLAIN DEVELOPMENT INFORMATION Location: _ _ - _ - _ - . Type of Development: Recidcntial Flood Zone: Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS: / Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25 -7 -11 and all other laws or o dinances affectin the proposed development. C� J''� — Applicant's Signature: Date: Department Use: Required lowest floor elevation: As built lowest floor elevation: Survey filed with Building Department: Building Department Representative Revised 1/17/03 �� �' CITY OF ATLANTIC BEACH --...%. ��; � s� 800 C SEMINOLE ROAD ; ATLANTI BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027978 Date 7/14/04 Property Address 416 IREX RD Tenant nbr, name ROOM /ADD 559 RAD & SCHG Application description . . RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 41925 Owner Contractor DANCEL, FELIPE OWNER 416 IREX ROAD ATLANTIC BEACH FL 32233 Permit W /W /0 ELECTRICAL PERMIT Additional desc . Sub Contractor . VALDAN ELECTRIC CO. Permit Fee . . . 140.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 140.00 140.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 140.00 140.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. \ 0 40 L ( * / BUILDING OFFICIAL Lti 152 4 p-1- o ��; , ': � , CITY OF ATL EA H ON � ' ' " � s ELECTRICAL PERMIT APPLICATI Da te: G "" Property Ad dress : hi ( c� Ailey( 4/1C° f Z x !� A/4 � Owner: PL( NC Telephone #: 07Y 76,/0 Contractor: JA � �- �. � . �� � t ��� Te #: 7/6 - 3 z �( Contractor Address: 3 � �C ��'E � 1_ Fax #: �7 ` U3/ 3-4 In considerat of permit gi ven for doing the work as described in the a bove state w hereby agr to perform s aid wo in accordanc with the attach plans and specifications whic are a part hereof and in accordan ce with the City of Atlan tic Beac ordinance and standar of good practice listed therein. Building: By�lding T ype: ❑ Trailer Serv If o ther c onstruction is ❑ New �I Residence ❑ Temp. ❑ New being done on th c is build ❑ Old L3 Commercial ❑ Si ns Ft. ❑ I ncre a se Or site, list the bu g P erm it numi�er ❑ Re -wire ❑ Addition Sq. ❑ Repair — `� - J Conductor Size: AMPS: COPPER • ALUMINUM ■ Switch or R / Breaker AMP 2 P H W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO � , . ZE Lighting Outl � ; '� a CO Rece.tacles CO "' :'ms & ; - : 1' Switches :.° � y ; Incandescent 1111V1::44"r ��' �„� �' , �` i. �� � ` , � ' Fluorescent & G � i M.V. � ' ~ �' � �� Fixed o loo X x ; B ELL A s . 'lances ; T SFER. RAN Air H P ��� �_ C EILING KW -HEAT Conditionin_' C O 4 :, , �,.�.. ��° � HEAT k ' h u Motors 0 -1 H.P. VOLTAGE P H NO. OVER 1 H.P. PHS UND ER600V • VE' 600V Tran sformers NO. KVA NO. KVA No. Ea. Si � / / `� Miscellaneous eI1ckk �t�t � 14)-f 1414v (�c�r1t� 544' , - c() - 0.(<1 � s 4 '( C� crl - L�- 4� — out �, 800 Seminole Road • • Atlantic Beach, F l o rida 322:33 -5445 ch.fl.us Phone: (9 247 - 5800 • Fax: (904) 247 -5 845 • http : / /www .ci.a tlantic- bea ` CITY OF ATLANTIC BEACH y K ss 800 SEMINOLE ROAD r". ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Application Number 04- 00027978 Date 7/21/04 Property Address 416 IREX RD Tenant nbr, name ROOM /ADD 559 RAD & SCHG Application description . . RESIDENTIAL ADD /RENOVATE /ALTER Property Zoning TO BE UPDATED Application valuation . . . 41925 Owner Contractor DANCEL, FELIPE OWNER 416 IREX ROAD ATLANTIC BEACH FL 32233 Permit W /W /O PLUMBING PERMIT Additional desc . Sub Contractor . STEEG PLUMBING Permit Fee . . . 210.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 210.00 210.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 210.00 210.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ) BUILDING OFFICIAL tl CITY OF ATLANTIC BEACH '" PLUMBING PERMIT APPLICATION r y Date: 7 0) -o Property Address: if/6 —r/1 X Owner: PA% / ,Pgh<t° ( Telephone #: Contractor: S t- ,i co - "(._ Telephone #: 9 57?/ Contractor Address: /6O/ gdj� "57- 46 Fax #: DIY/ - .6 ,-7 In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in I accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: , If other construction is being done on this building or site, New list the building permit number: � 1 0 Re -Pipe Number of Fixtures: Z' Bath Tubs / Showers 2 V Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine ,3 Lavatory — Water Sewer / Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: D X $7.00 + $35.00 = 800 Seminole Road • Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : //www.ci.atlantic- beach.fl.us r �,$ � 1 ! �/�� CITY OF ATLANTIC BEACH �; y , �� BUILDING AND PLANNING S 800 SEMINOLE ROAD 53 ATLANTIC BEACH, FLORIDA 32233 -5445 J a TELEPHONE: (904) 247 -5800 ` — FAX: (904) 247 -5845 http: / /ci.atlantic- beach.fl.us Imo, Un 17rTh July 9, 2004 a C.)°,) _ i_ � Sb Mr. Felipe Dancel �' Y - -t P , 416 Irex Road r� G , \-, Atlantic Beach, Florida 32233 -2519 Y Y'1 I t 1 t , - , Dear Mr. Dancel, \n-> , Our records indicate that you are owner of 416 Irex Road in the City of Atlantic Beach. Investigation of this property discloses that there was unlicensed electrical work going on that was also not permitted. All electrical work must be done by a licensed electrician and electrical permits must be pulled. Please have a licensed electrical contractor contact the building department to obtain a permit application within ten (10) days of receipt of this letter or your electrical service will be turned off. Failure to obtain a permit as required per Florida Building Code, Chapter 1, Section 104, will result in the case being turned over to the Code Enforcement Board. Under Florida Statute 264 the City of Atlantic Beach may impose a fine of up to $250.00 a day. Regards, L ■■•■••••■ C / 1.P Don C. Ford, CBO Building Official Cc: Larry J. Higgins, Deputy Building Official Alex Sherrer, Code Enforcement Official file f y - t _ j.:!' ' CITY OF ATLANTIC BEACH J , _ � � � � BUILDING AND PLANNING 800 SEMINOLE ROAD 7 ,J ATLANTIC BEACH, FLORIDA 32233 -5445 TELEPHONE: (904) 247 -5800 FAX: (904) 247 -5845 http: / /ci.atlantic- beach.fl.us July 9, 2004 Mr. Felipe Dancel 416 Irex Road Atlantic Beach, Florida 32233 -2519 Dear Mr. Dancel, Our records indicate that you are owner of 416 Irex Road in the City of Atlantic Beach. Investigation of this property discloses that there was unlicensed plumbing work going on that was also not permitted. All plumbing must be done by a licensed plumber and a plumbing permit must be pulled. Please have a licensed plumbing contractor contact the building department to obtain a permit application within ten (10) days of receipt of this letter or your water service will be turned off. Failure to obtain a permit as required per Florida Building Code, Chapter 1, Section 104, will result in the case being turned over to the Code Enforcement Board. Under Florida Statute 264 the City of Atlantic Beach may impose a fine of up to $250.00 a day. Regards, C.) C Don C. Ford, CBO Building Official Cc: Larry J. Higgins, Deputy Building Official Alex Sherrer, Code Enforcement Official file '`.• $ t MAp :SNOW / t` � � u ,; .� GSlRV�Y OF . r to L OT - 3 - • BL o L ,,, K „. " ` , 'l, ` ¢`i i v , , � ' - '' "x c -'� r f • 1 „ :7:.'''' . :1* '. -' k . x . ' A '� ,Q�'�G A T n OF ' ' BA RT` o,' QC 4 j "A w : t P, cror "eo 3/ < L �.4 GM. S . 11NfT' T !✓O ,' :Q rF . • A QECoRa1CO /Al � Ae pq le A ' 8 " t N6 PN , s.. -� x . , - • 'd. -k11i v . Y �. - s tl(14.K 4 ' / \�� 4 R/4'� ..i _ 4 ai" j + • t -.'- •. - 4. .., r ,.. M. y+ `'. 'F •m � � kX 2r F y t C of 4;1 . - y, p a '. � _ .4 3'- � � � a °ra.•"-�" ay �. rv -. . 4 �9 � -+K cam. a• 4)4r t�C �j !. c - e '�. + �.a°`r Y' ,r • i a.. : :: : ; . .- •, oe - .. + 4t-' - . •s" sr 9 r L " ,s ,,, R Vi s. a ° . c 9C "' +a,'r `t -� '7""17- 7 ' + ik *44 `5' l -, ;g`y5 k . "' . � # K+! 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' - -i4` y r s ,- .. :re.�• :, S s 9a �# Jay -.4 .- ,, x ' �; 'A•.;•:":$.".--.,-_-4 ,,o y; c, - • r :s . • ......i- a. ♦ - T...' , R a-4 . .t 'S yR °Yi_4 4,, , 't BUILDING AND ZONING INSPECTION DIVISION OF ATLANTIC BEACH IVISION APPLICATION aACH, FLORIDA eerie R MECHANICAL PERMIT CALL•IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION S treet Address: L k 6 OF Interacting Streets: Between K . GL l G y v„�, WILDING And_ Svb•divisien N f II. IDENTIFICATION — To be completed by all applicants , In cons;d•ret;on of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance .nth the attacked plans and specifications which are • part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed sher•;n. N•swo of Mechanical ��_ Ceatrector ( Prin I�tx".. �-,-j_ Master M " �. Mesta► Nome Property Owner r DI�✓lG Siyatore of Owner or A.Nsorised Agent ' `Architect o �r.4! � Architect ��..�. f– o► Engineer M. GENERAL INFORMATION A. T of booting fool: 8. (� Sothic IS OTHER CONSTRUCTIONSIN DONE ON J� THIS •UILOING OR SITE? O 6es — ❑ V 0 Natural Q Control Utility ❑ 04 IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT O OtA.r _ Spocifi IV. NRCNANIC,AL 1110UIMMBNT TO INSTALLED NATURE Of WORK (Provide wa►pieh list of teTparants ea bed this f Residential or ❑ Commercial Al Heat ❑ Specs ❑ Seamed Getasl 0 Asa ❑ New Building Alr O Roam f; ooh t Existing Building O acct Systow: Materiel CST Tile& Replacement of existing system M•iwsws upoeity ago. ❑ New Installation (No system previously Installed) ❑ Refrl4orel+ee ❑ Extension or add-on to existing system ❑ Coding tower: Capacity 111,0" ❑ Other — Specify ❑ tiro eprinkIeos: Nens el hoed, 0 &Meter ❑ Momlift ❑ Esabter. —.... ..._,,.(swasbet) Q 641.0441110 pe (se THIS SPACE /OR OiCtal use ONLY O T (netnbor) (RoeeMd) Romads O LPG eoarshoora (aunsbof) O Uottod peewee tower O bikers Poona Approval by IMP ❑ OMer — Specify permit LIFT ALL EQUIPMENT Aa OOND(TIONING AND REFRIGERATION EQUWMENT Number Theta Despiptles Model Number Maautactsuvr (Zbsk Sr Awl r l� L 112 7 CITY OF ATLANTIC BEACH, FLORIDA Approwdby APPLICATION FOR ELECTRICAL PERMIT I TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_, ?'"'/ c 19 9,Z IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FO • DO G THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN A ORDA CE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDA CE WIT THE ELECTR L REGU • IONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. '/ c J ELECTRICAL FIRM: InI� 15TER E LECTRICIAN SIG - JOURNEYMAN NAME GA ADDRESS:_, 1 1/6 - i e. feet . _ RFD BOX_ BLDG. SIZE BETWEEN: RES.`(7C) APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) OLD , REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SO. FT. SERVICE: NEW ( ) INCREASE` Q REPAIR ( ) FEE CONDUCTOR SIZE .9/r1 _ AMPS , °,- Ci c COPPER ( ALUM. � ► SWITCH OR BREAKER G 0 AMPS / PH 3 W VO VOLT 3 '.. RACEWAY EXIST. SERV. SIZE / 6 0 AMPS / PH _ ) W 2--96 VOLT Ste, RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZ LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0 .30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0. 100 AMPS. OVER APPLIANCES T BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT l i 3 4 0.1 I OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS _ MISCELLANEOUS I I 11 11 1 TE THIS SECTION l COMPLETE THIS SECTION ON DELIVERY I ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. Si.ature NI your name and address on the reverse so that we can return the card to you. iii►: ` Age • Attach this ' ∎� card to th of the mailpiece, B i Received by a • ddress,- or on the front if space permits. y (Pant Rece ed Name) C. Date P. of .e iv_ 1. Article Addres � ^ t sed to: ► .. • D. Is delivery address different from item 1? • Yes If YES, enter delivery address below: • o Mr. Felipe Dancel 416 Irex Road Atlantic Beach, FL 32233 3. Sent' a Type edified Mall ❑Express Mali [[[]]]]]] 0 Registered ❑ Return Receipt for Merchandise Insured Mail ❑ C.O.D. 2. Ars,..r NI imhar 4 . Restricted Delivery? (Extra Fee) -,. Yes PS -- - - __ 102595 -02 44.1540 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1, 2, and 3. Also complete = item 4 if Restricted Delivery is desired. ® J `` . ( 11 A _ ■ Print your name and address on the reverse , so that we can return the card to you. • Attach this card to the back of the mailpiece, B. Rece v� by (printed Name) Date of Detive�+ or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from Item 1? 0 Yes if YES, enter delivery address below: s Mr. Felipe Dancel 416 Irex Road Atlantic Beach, FL 32233 3. Service Type Certified Mall 0 Express Mali 0 Registered 0 Return Receipt for Merchandise 0 Insured Mail 0 C.O.D. 4. ,Restricted Delivery? (Extra Fee) 0 y 2. 'Article Number (rrensfer, from service /abed 700 1000 0004 _7230_4020 PS Forrh 3$11, August 2001 Dome Return Receipt 102595 - 02 - - 1540 1 4: (/ s I 'La, t4 , cy 4 {/} y ., 4 -, f S ._ _ � —. [ . z3 1 J H --- . H ..I ,__ '4,� 1 1 '„,..'":,4 1 V k. , I t T / :«: ii la b Irmo ,. ,1 5A- ∎ .. x" d p o 1 P � `h N , >,-k : + L , 1 , ., ml ..., , ' ' '''''': '; El . 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L Mat FOR OFFICE USE ONLY r Date Feb. 26 19 70 P ermit # 903 Fee $ 30.00 CITY OF ATLANTIC BEACH BEACH graxnatxxlusNa Valuation $ -- T "0 D17 "0 QD FLORIDA House # 416 Irex Road APPLICATION FOR BUILDING PERMIT Ct- . .. 44= .:` * 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. 2 - - 649 t "Yan"""wa Jacks - orivi i 1 e" Owner.. -.R. � - -• Address ?agX RJelephone No..373 .'/09 Architect R. L. Johnson - Constr . Co. Address. Telephone No. Contractor Builder + {4 Address 1558 San Marco Telephone No. 398-3777 Lot No. 3 Block No. 11 Sub Division Royal. Palms Zone Irex Road Street west Side Between Triton Rd and SAabalo Brie Valuation 2.....3.0 For what purpose will building be used re 5 Type of construction Brick Veneer Dimensions of Building- krihr/AV 80 x 93 � Dimensions of Lot Size of Footings 8 x 20 Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof AShdp Shs. How will Building be Heated? Cent Gas Will Building be on Solid or Filled Ground? Sol Span I, Size of Ceiling Joists- _.Trus.aeS , Distance on Centers , Greatest S p Size of Floor Joists Slab , Distance on Centers , Greatest Span Of Size of Rafters 2 x 4 Trusses , Distance on Centers 24 , Greatest Span 1, P r-� i i j ! � ° This rectangle is to represent the lot. t ) I 1 E I Locate the building or buildings in the J s right position. Give distance in feet from all lot -lines and existing buildings. C L ? i ), U i' /6 REAR LOT LINE Two copies of plans and specifications shall be submitted with application. THE CITY OF ATLANTIC BEArll Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and /or lintel. 3. When steel is in place and ready to pour beam. ::'.1 a 4. When framing is completed. 2 5. When rough plumbing is completed, and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. al A 7. Electrical inspection by City of Jacksonville. 51 r 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 attac d plans and specifications, which are a part hereof, and in accordance with the building regulations of the City o ti ach. 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