Permit 171 173 Jackson Road CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
C E R T I F I C A T E O F O C C U P A N C Y
P E R M A N E N T
Issue Date 2/05/03
Parcel Number 172129 -0000- -
Property Address . . 171 JACKSON RD
ATLANTIC BEACH FL 32233
Subdivision Name . . .
Legal Description . . .
Property Zoning . TO BE UPDATED
Owner LYLES, THOMAS
Contractor BREW CONSTRUCTION
Application number . 02- 30022775 000 023
Description of Work . TWO FAMILY RESIDENCE
Construction type . .
Occupancy type . . .
Flood Zone
Approved . . . . ` � C- Building 0 ficial
VOID UNLESS SIGNED BY BUILDING OFFICIAL
CITY OF
,4ttCurtec Seac4 -
•
800 SEMINOLE ROAD
1 t ATLANTIC BEACH, FLORIDA 32233 -5445
.41h, , TELEPHONE (904) 247 -5800
\ FAX (904) 247 -5805
SUNCOM 852 -5800
DATE a- - -0 2
JEA Construction & Maintenance
2325 Emerson Street
Jacksonville, FL 32207
Attention: Connie
Re: Rough Electrical Inspections
Dear Connie:
Rough Inspections on the following locations have been completed and
approved:
PERMIT NO. ADDRESS
3/ / ` 7 5 dro 0
/ i - 7 ` i
Please call me at 904- 247 -5826 if you have any questions.
Since
ATLANTIC BEACH BUILDING DEPARTMENT
4
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247 -5826 - FAX: 247 -5877
1 : : : : , , , , , : , : 4 ;INFpRMaTIQN ' �`� � � '" ,
Permit Number: 22775 '` "" :' ` *' n;LOCATIgl1( IN FORMATION ,,. , . �, 4Y
Permit Type: DUPLEX RESIDENCE Addre 171 JACKSON R OAD
Class of Work: NEW ATLANTIC BEACH, F L 32 233
Proposed Use: SINGLE FMLY A Township: Range: Book: 1
Square Feet: (TT) Lot(s): 13 & 14 Block; S ection:
Est. Value: Subdivision:
Improv. Cost: 57 030.00 Par N er
V ,..,v, r< WNER IN w 3 ; Fi r' „
Date Issued: 10/04/2001 Nme LES, THOMAS
Total Fees: 2,614.86 Add ARDELLA ROAD
Amount Paid: 2,614.86 ATLANTIC BEACH, FL 32233
Date Paid: 10/04/2001 Phone: (000)000 -0000
rk Desc CONSTRUCT NEW DUPLF.,(RESIDE C P LANS HAS 1186
4 o
i fl � + ,. r.,,,C . RACiTORS ,h ". yb u'§.T" i . n
BREW CONSTRUCTION INC. �PP� - TION F EES,,,. ,,
P 438 00
: J.:' R IIPAt"
MPACT : E E 1,250.00
,,� � 2 0R i W E TER Ap 85.00
R
fr ry RA DO N C AB t 5 ' ` " 5.63
' f ,` �utxH 4., & 4 h 0.30
, � �� C 'AL IMPROVE 1 . 325.00
�� ,x 4 W CR SS CONNEC k
35.00
' f4 ' ` �" ST. SURCHARGE 5.34
ti ' , , = i SC H ARGE/ATL BO ,J s A . 0.59 ,.4f4sae:Ai,''''',"'•:.t.'1,Ah,10,'„,tar,,Ivi.,4,4-'1F,Itie4mq'4 .'"''''' ". • ..''' ' ‘
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NOTICE - NSPECTI i �BE: REQUESTED Al 1,EAST 24 H C U R Sr PRI TOINSI CTION
.". , 011 .'. `° ' " rA 1.4 ° ? , ,, ,�; r { •'
BUILDING MATERIAL RUBBISH d 0 DE$ ! FFROM THIS ; WORK MU N OT BE CED IN .: BL SPACE AND
MUST BE CLEARED U( ND HAUL . AWAY BY EITH CONTRACTOR OR O ' ' E
" FAILURE TO COM I Tf T . '� 4 " S TRUCTION LIE
PROPERTY OWNER PAYS E . OR g '4' , x ®' E 1N RES T IN THE
TS.
ISSUED ACCORDING TO APPROVE HH RtTF ' , : T AND SUBJECT TO REVOCATI
FOR VIOLATION OF APPLICABLE PROVI N W. - J . ._
I Operator: CIIERYLE
J Date: 1R/22/i1 .1 Receipt: Y19S956
ATLAN IC BEACH r : U DING DEPT. Total Pari (2614.96
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address / 7/ "z t.-4 o ,u �Q
Date e 9 - 2 P -O
Heated Square Footage 06 @ $ 1( per sq ft = $ Ss - , t /e
Garage /Shed n @ $ °
per sq ft = $
Carport /Porch ' L @ $ /0
per sq ft = $ 76
Deck O @ $ v per sq ft = $
Patio 8?
@ $ 6 per sq ft = $ � 14
TOTAL VALUATION: $ s T 1 Q 2 o
Total Valuation 1st $ S" . O0 0
2 0 `? $
Remaining Value $L,.00 per thousand
oi portion thereof
TOTAL BUILDING FEE $ ;.' 2
+ 1/2 Filing Fee $ -/ G,
( ) Fireplaces @ $15.00 $ 6
BUILDING PERMIT FEE $ 4/3
WATER IMPACT FEE $ O
SEWER IMPACT FEE $ /23
WATER METER /TAP $ F 5 —
CAPITAL IMPROVEMENT $ s','. ,"--
SEWER TAP $ — 04 2 ) RADON (HRS) .0050 $ ST 7 36
SECTION H PAVING ( ) $ —0
HYDRAULIC SHARES $
CROSS CONNECTION $ 3
(WO SURCHARGE .0050 $ 6 3 y/s S
OTHER $
GRAND TOTAL DUE $ 2 ( Y. a' (.,
ADDITIONAL PERMITS OR FEES:Mechanical ; Plumbing
Electric /New Electric /Temp ;SwimmingPool
Septic Tank ; Well ; Sign Finish Floor Elevation
Survey ; Other
CALCULATIONS and /or NOTES:
�7
OB ADDRESS l I ( A V • • TYPE WORK' a0
PROPERTY OWNER k ] ' 14_ ` TELpHONE 4 i - 1 ` 17 ` ( ' ` `
CONTRACTOR Z GLY TELEPHONE �{ • (,Q
PERMITN NUMBER r) -`775 DATE I0 t (• O 1
INSPECTIONS: FOOTING
.SLAB i" P 5 l 1 R4,5 I X9 / b t (-atp
TIE BEAM
LINTEL
NAILING ''HEA.THJRG
FRAMING/COVER UP i/o
INSULATION /oa
FINAL BUILDING . 1 (7/ ZS 1 0
CERTFzCATE OF OCCDPA1VCY ` . , 03 (12-
Fr .FCTIRICAL PERMIT# ° 3/ g q-go
INSPECTIONS ROUGH / I / o
FINAL 0 I 2z. f
�}-
peLVQ-eiv" 10 2 -'2-1 02,-
MELEANICAL PERIiIlTh a 2 9 _ _3 c)
INSPECTIONS ROUGH q/ n
FLVAL • � �1
PLUMBd1vc b C p l l - c9.1 b f a bLl - It" �-
INSPECTIONS ROUG.B/UNDERSLAB 93 () ojk. 11
TOPOUT
WATER /SEWER g ,') b 1:5 ✓ - T-A fp H-13-01
FINAL (l O/
NOTES':
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247 -5826 - FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 23015
Permit Type: UTILITIES Address: 171 JACKSON ROAD
Class of Work: NEW ATLANTIC BEACH, FL 32233
Proposed Use:. SINGLE FMLY(ATT) Township: Range: Book: 120
Square Feet: Lot(s): & 14 Block: Section:
Est. Value: Subdivision:
Improv. Cost: Parcel Number:
Date Is OWNER INFORMATION ` "`
Issued: 11/13/2001
Total s Fees: Name: LYLES, THOMAS
1,185.00 Address: 60 ARDELLA ROAD
Amount Paid: 1,185.00 ATLANTIC BEACH, FL 32233
Date Paid: 11/13/2001 Phone: (000)000 - 0000
Work Desc: INSTALL 2" WATER TAP
CONTRACTORS) p , , ' PPLICATION FEES
PUBLIC WORKS DEPARTMENT # qq ,, * 1
1 50.00
eN 35.00
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A C B CH :UILD G DEPT. *1158.88 88
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De 81 Receipt: 8811888
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°' 48888883433388 c
CITY OF ATLANTIC BEA _________
CH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247-5826- FAX: 247-5877
I_ PERIWIT INFORIVIATION - LOCATION INFORMATION :
________________
Permit Number: 23015
Address: 171 JACKSON ROAD
Permit Type: UTILITIES
ATLANTIC
Class of Work; NEW BEACH, FL 32233
Township: Range: Book: 120
Proposed Use: SINGLE FMLY(ATT) Lot(s): 13 & 14 Block: Section:
r
Square Feet:
Subdivision:
Est. Value:
Parcel Number:
1
Improv. Cost:
Date Issued:
11/13/2001 Name LYLE
Total Fees: .
2,910.00 OVVNER INFORMATION Jr
: S, THOMAS
Address: 60 ARDELLA ROAD
Amount Paid: 2,910.00
ATLANTIC BEACH, FL 32233
Date Paid: 11/13/2001 Phone: (000)000-0000
Work Desc: INSTALL 2" WATER TA157:,,,t7..11;''''
- 'H_: 7,-h _
CONTRACTOR S 1,''''''".----'"::: ,..,-..-,--,.„- ,,,,,;:.:.,.:_-:s --,,-..,,,.„...----,-- 7 PLICATION FEE
PUBLIC WORKS DEPARTMENT 0 0,, , -4, -. ,,... IF '-- : , - . . ,,,,,_zs, 150.00
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? ' - - - 1
II MUST BE CLEARED UF BY EITHER t'9 ACT01: OR Q ER,
fi ::: 0 ....„_
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' fil - '' '' Tuen i -.-- ' t RESJILT IN THE
"FAILURE TO COMPL * ., , T _ '-- - R
- '" - ,,.... -- '.
PROPERTY OWNER PA l ' - XJfitle- - Er:is: • R .;-: 1, 4 '-,' '' s '' " 7 ,
ISSUED ACCORDING TO APPROVE
ID ' .--' I'.: - * H 0;? , _T c T441'1 - :, ft, 7 . - # IT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVI t, - e * - :v - "' 0 -
ATLANTIC BEACH BUILDING DEPT.
PITI ' ,E QUOTE
APPLICATION FOR WATER AND /OR SEWER TAP
APPLICANT NAME eilce -e _
MAILING ADDRESS
PHONE NUMBER 7 j -
DATE // -.. Z
SERVICE REQUESTED 2 ' ' of
SERVICE LOCATION Q
CL) T / /
DATE SET TO PUBLIC WORKS /7- / 2 -
DATE RETURNED TO BUILDING DEPARTMENT
PUBLIC WORKS DEPARTMENT
PRICE QUOTE RESPONSE / 0
WATER:
SEWER:
OTHER:
R
CI'C:
PRICE QUOTE PREPARED BY:
Signature - Title
DATE NOTIFIED OWNER
Harril Patricia
From: Kaluzniak, Donna
Sent: Tuesday, November 20, 2001 11:38 AM
To: Matthews, Carlene
Cc: Harris, Patricia
Subject: Jackson Road
Carlene, Pat told me there is some confusion about La Bahia de las Palmas on Jackson Road. The construction plans
show a 2" tap off the main, with the water line going through the units, and a meter a each unit. Does that info. help? I
will be out next week, but if you could call Pat and let her know if she charged the customer correctly. -Donna
Harris, Patricia
From: Ford, Don
Sent: Thursday, November 15, 2001 2:59 PM
To: Harris, Patricia
Subject: FW: Permit 23015 - install 2" water tap
Pat, �..
Pleasb handle this.
Thanks
Don
Original Message
From: Matthews, Carlene
Sent: Thursday, November 15, 2001 10:35 AM
To: Ford, Don
Cc: Walker, Chris; Matthews, Carlene
Subject: Permit 23015 - install 2" water tap
Don, I've talked to Pat & Chris concerning the above permit. No one seems to know what this is about. Does the water
meter /tap include a meter? Understand that there's going to be a 6" line and all the units are going to be individually
metered and each unit has paid impact fee for water and sewer, capital improvement charge and cross connection. Need
to know what this permit is for. If the above permit is for additional meter I need to add utility account. Thanks for your
help.
c
1
1
1
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247-5826 - FAX 247-5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 23015 Address: 171 JACKSON ROAD
Permit Type: UTILITIES
ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book: 120
Proposed Use: SINGLE FMLY(ATT) Lot(s): 13 & 14 Block: Section:
Square Feet:
Subdivision:
Est. Value:
Parcel Number:
Improv. Cost:
OWNER INFORMATION
Date Issued: 11/13/2001 Name: LYLES, THOMAS
Total Fees: 1,185.00 Address: 60 ARDELLA ROAD
Amount Paid: . 1,185.00 ATLANTIC BEACH, FL 32233
Date Paid: 11/13/2001 Phone: (000)000-0000
Work Desc: INSTALL 2" WATER TAP - - - - --. ---.- -
CONTRACTOR S ...tat,: ,, i."-lez:. -::... iv z , ' '"`. '''•• ' • PLICATION FEES
PUBLIC WORKS DEPARTMENT -_, ::: - -.,--rt,i- _ - - 1 - -- lqiipf - ...„- 1,150.00
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A .7 B ' CH :UILD G DEPT. - Date: 11/14/01 81 Receipt: ::11088
CHECKS
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48000883433300
Nth OP S MIN RETURN 9 PHONE #_311
1114 7i NOTICE E O CYIMME N�r
EMF
STATE OF FLORIDA
COUNTY OF DUVAL
Boo The undersigned hereby gives notice that improvement will be made tt certain e al �� 9 e 371
property, and in accordance with section 713.13, Florida Statutes, the following information is
stated in this NOTICE OF COMMENCEMENT.
Description of property Lb S (Gf 20
N6E '2110
General description of improvemen / v ILCU O _E k_ - "S
Owner a 1.. 6 T ,
Address Q l GL �� ' F R Z 3
Owner's interest in site of the improvement_EU L
Fee Simple Title holder (if other than owner)
Name
Address
Contractor c-o/OS (
Address G S AY k G b , A , e 3 Z2
Surety (if any)
Address v
Amount of bond$
Name and address of any person making a loan for the construction of the improvements.
Name
Address
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 ✓
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
r
i 4I rrni ,;
Signature of y er
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877
ELECTRICAL PERMIT
— -- PERMIT I FORM 'i 3N - -- _ _
Permit Number: 23189 LOCATION IIVFt?R TM I,R ON — _
Permit T Address: 17 JACKEACHSON ROAD — ��
Class of Work: ELECTRICAL
ATLA NTIC B, 33
■
Proposed Use: SINGLE FMLY(ATT) Township: Range: Book: 120
Square Feet:
Est. Value: Lot(s) : 13 & 14 Block: Section:
FL Subdivision:
Improv. Cost: _ Parcel Number:
_„!
Date Issued: 1212112001 - tm-s—es:: t3WIIER INFORMATION Total Fees: 45.00 N LYLES, THOMA — ��Amount Paid: 45.00 Add 60 ARDELLA ROAD
_ Date Paid: 12/21/2001 • A TL A NTIC BEAC FL 32233
Work Desc: NEW 150A _ fi .e 000 -0000 „it RICHARD GRAVES ELECTR w � ".� jam: : ` ° TION FEES
y 1 F � � _
CONTRACTOR 45.00 �
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NOTICE - INS t 5 _, . , � ° 1 I ° �:7-T2-4Nrott°14-7, � G SPECTION
BUILDING MATERIAL R ` .. - , a I ,RS F ; } ' f4 MU M `
MUST BE CLEARED UP A F t °°' C TO ; I - 3 ' UBLIC SPACE, AND -,, .:,,,..._„3 , ., - *17 „:„. „ _ „,,, ,_
"FAILURE TO COMPLYi tile ULT IN THE
PROPERTY OWNER PAYING xx, ., ' ; ,
ISSUED ACCORDING TO APPROVED PLANS a T ,, .
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. PERMIT AND SUBJECT TO REVOCATION
II i
4TLANTIC BEACH BUILDING DEPT. Date: Receipt: 14
1 e: 12/21/81 B1 Receipt: 86215!
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