Permit SFR 1090 Jasmine 2010 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 6/22/11
Parcel Number 170974 -0010- -
Property Address . . 1090 JASMINE ST
ATLANTIC BEACH FL 32233
Subdivision Name . . .
Legal Description . . .
Property Zoning . . . TO BE UPDATED
Owner
Contractor PHILLIPS BUILDERS LLC
904 349 -2999
Application number . . 10- 00000871 000 000
Description of Work . . SINGLE FAMILY RESIDENCE
Construction type . . . TYPE 5 -B
Occupancy type . . . RESIDENTIAL
Flood Zone ZONE AE
Special conditions .
2007 Florida Building Code w/2009 revisions
Approved
Bui =.. g Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY WORKSHEET
Date Requested: 44,,4
Contractor Name:
Permit #: /O - £ 47
Property Address: / /fie.
Legal Description:
Improvements to the above - described property have been completed in
accordance with the terms of the permit and are certified to be ready for
occupancy as:
�� Single - Family Residence
❑ Commercial
❑ Other: qi61.. C'
Lowest Floor Elevation: `f 1. --C
quired As Built FFE
The following must be completed before issuing Certificate of Occupancy:
Department Date Notified Date Approved Approved By
Fire Dept. "44_ _ __
Public Works 4/, C, /i /7x
Public Utilities 64 ( / i 6 /,
l - , 4'
Building „
Planning
‘4 &// 6
Tree Mitigation
Satisfied / 00
Final Survey with FFE Yes No < F t..
'
All Re- Inspect Fees Paid V Yes No
Termite Treatment Yes No
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NOTICE
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ADDITIONS or CORRECTIONS
DO NOT REMOVE
JOB ADDRESS DATE
/( 7' , ate S f r,.. _ .. 1 y/
THIS JOB HAS NOT BE COMPLE
The following addit or corrections shal be made
before the 'ob will be acce • t
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2 REINSPECT FEE 0 NO CHARGE ;
It i s unlawful for any Carpenter, Contractor, Builder or of
to cover to cause to be covered, any part
lath, earth the
work with peo th or other material, until t ing,
proper inspector has had amp 1e time to app
installation. BLDG
After additions or corrections have BLDG
been made contact the Building OD Cet MECH____ ----
at 247-5826 for an inspection. h Friday PLMG�.
hours are Monday throng
8:00 a.m. to 5:00 p.m.
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White, Debbie
From: Walker, Chris
Sent: Wednesday, June 08, 2011 11:54 AM
To: White, Debbie
Subject: 1090 Jasmine
They need to install a clean out at the property line with an RT -1 cleanout box on it.
erg wa�Pl#eie
City of atlantic £i3eacPc
?Date* &Semen utieitieo
Conveyance `.viuioion Dixectan
cwa.Men(kcoa8.ws
,1 Peon /904- 247 -5874
sax/ 904 247 - 5872
1
White, Debbie
From: Clemons, Malcolm
Sent: Wednesday, June 08, 2011 8:49 AM
To: White, Debbie
Subject: RE: CERTIFICATE OF OCCUPANCY - 1090 JASMINE STREET - 10 -871
Irrigation system installed with no backflow preventer installed. Backflow inspection failed. Malcolm
From: White, Debbie
Sent: Monday, June 06, 2011 12:40 PM
To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Hall, Erika; Doerr, Sonya
Cc: Graham Shirley
Subject: CERTIFICATE OF OCCUPANCY - 1090 JASMINE STREET - 10 -871
I have a request for a Certificate of Occupancy for 1090 Jasmine, June 7, 2011, pm inspection requested. I have
requested a final survey and elevation certificate. Please email me your results. Thanks and have a great week. Debbie
White
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247 -5826
(904) 247 -5845 FAX
P }L-1-41L)
'3
1
White, Debbie
From: Nodine, Phil
Sent: Tuesday, June 07, 2011 2:57 PM
To: White, Debbie
Subject: RE: CERTIFICATE OF OCCUPANCY - 1090 JASMINE STREET - 10 -871
OK for Public Works
From: White, Debbie
Sent: Monday, June 06, 2011 12:40 PM
To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Hall, Erika; Doerr, Sonya
Cc: Graham Shirley
Subject: CERTIFICATE OF OCCUPANCY - 1090 JASMINE STREET - 10 -871
I have a request for a Certificate of Occupancy for 1090 Jasmine, June 7, 2011, pm inspection requested. I have
requested a final survey and elevation certificate. Please email me your results. Thanks and have a great week. Debbie
White
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247 -5826
(904) 247 -5845 FAX
1
White, Debbie
From: Hall, Erika
Sent: Monday, June 06, 2011 3:18 PM
To: White, Debbie
Subject: RE: CERTIFICATE OF OCCUPANCY - 1090 JASMINE STREET - 10 -871
Debbie,
There was no tree permit for this project.
Thanks,
Erika
From: White, Debbie
Sent: Monday, June 06, 2011 12:40 PM
To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Hall, Erika; Doerr, Sonya
Cc: Graham Shirley
Subject: CERTIFICATE OF OCCUPANCY - 1090 JASMINE STREET - 10 -871
I have a request for a Certificate of Occupancy for 1090 Jasmine, June 7, 2011, pm inspection requested. I have
requested a final survey and elevation certificate. Please email me your results. Thanks and have a great week. Debbie
White
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247 -5826
(904) 247 -5845 FAX
1
White, Debbie
To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Hall, Erika;
Doerr, Sonya
Cc: Graham Shirley
Subject: CERTIFICATE OF OCCUPANCY - 1090 JASMINE STREET - 10 -871
I have a request for a Certificate of Occupancy for 1090 Jasmine, June 7, 2011, pm inspection requested. I have
requested a final survey and elevation certificate. Please email me your results. Thanks and have a great week. Debbie
White
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247 -5826
(904) 247 -5845 FAX
1
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White, Debbie
From: Griffin, Michael
Sent: Wednesday, June 15, 2011 4:31 PM
To: White, Debbie
Subject: RE: 1090 Jasmine St.
Looks good, thanks.
Mike G.
From: White, Debbie
Sent: Wednesday, June 15, 2011 4:15 PM
To: Griffin, Michael
Subject: FW: 1090 Jasmine St.
Mike, Elevation Cert attached for 1090 Jasmine.
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247 -5826
(904) 247 -5845 FAX
From: Tony f mailto :tonvCtboatwriahtland.coml
Sent: Wednesday, June 15, 2011 2:49 PM
To: White, Debbie
Subject: 1090 Jasmine St.
Hi Debbie, the final survey an elevation certificate is attached. Let me know if you have any questions.
Tony
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CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY WORKSHEET
Date Requested:
Contractor Name:
/o- E�
#: /
Permit �Y G
Property Address: /° 1 ° � --- <Yr.. Legal Description:
Improvements to the above - described property have been completed in
accordance with the terms of the permit and are certified to be ready for
occupancy as: ❑
Single- Family Residence
❑ Commercial
❑ Other:
Lowest Floor Elevation:
Required As Built FFE
The following must be completed before issuing Certificate of Occupancy:
Department Date Notified Date Approved Approved By
Fire Dept.
Public Works
Public Utilities
Building
Planning 7/.6 I
Tree Mitigation / /
Satisfied ley I4 G "'c
Final Survey with FFE Yes No
All Re- Inspect Fees Paid Yes No
Termite Treatment Yes No
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6
White, Debbie
From: Walker, Chris
Sent: Friday, June 17, 2011 9:47 AM
To: White, Debbie
Subject: RE: 1090 Jasmine
Yes the RT -1 is there.
From: White, Debbie
Sent: Friday, June 17, 2011 9:31 AM
To: Walker, Chris
Subject: RE: 1090 Jasmine
Malcolm want me to have him call him about this. He told me yesterday he was leaving City Hall to go and install it. Is
your part okay?
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247 -5826
(904) 247 -5845 FAX
From: Walker, Chris
Sent: Friday, June 17, 2011 8:50 AM
To: White, Debbie
Subject: RE: 1090 Jasmine
The RT -1 box is there but there is not a backflow preventer. He needs to have that.
From: White, Debbie
Sent: Thursday, June 16, 2011 4:20 PM
To: Walker, Chris; Clemons, Malcolm
Subject: 1090 Jasmine
The contractor has says he has installed the backflow on the sprinkler system and applied for the permit and says he has
installed the RT1 box. Could you guys verify and let me know the results of your inspection. Thanks, Debbie
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247 -5826
(904) 247 -5845 FAX
1
White, Debbie
From: Clemons, Malcolm
Sent: Friday, June 17, 2011 2:34 PM
To: White, Debbie
Subject: RE: Certificate of Occupancy Inspections
Debbie, 1090 Jasmine has backflow preventer installed.lnspection OK. Malcolm
From: White, Debbie
Sent: Friday, June 17, 2011 7:59 AM
To: Clemons, Malcolm
Subject: RE: Certificate of Occupancy Inspections
Thanks, let me know about 1090 Jasmine. Says he installed the backflow. Thanks again, Debbie
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247 -5826
(904) 247 -5845 FAX
From: Clemons, Malcolm
Sent: Friday, June 17, 2011 7:57 AM
To: White, Debbie
Subject: RE: Certificate of Occupancy Inspections
Backflow inspection ok.Malcolm
From: White, Debbie
Sent: Friday, June 17, 2011 7:49 AM
To: Clemons, Malcolm
Subject: FW: Certificate of Occupancy Inspections
Malcolm, Have you checked the backflows at 125 and 127 Jackson Road?
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247 -5826
(904) 247 -5845 FAX
From: Walker, Chris
Sent: Friday, June 17, 2011 7:46 AM
To: White, Debbie
Subject: RE: Certificate of Occupancy Inspections
I send someone over there first thing this morning.
From: White, Debbie
Sent: Friday, June 17, 2011 7:45 AM
1
To: Walker, Chris
Subject: RE: Certificate of Occupancy Inspections
Great, 1090 had some issues and they said they corrected them. ? ?? Thanks, Debbie W
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247 -5826
(904) 247 -5845 FAX
From: Walker, Chris
Sent: Friday, June 17, 2011 7:45 AM
To: White, Debbie
Subject: RE: Certificate of Occupancy Inspections
I told someone a few days ago that 125/127 were good to go. I will let you know about 1090 today okay?
From: White, Debbie
Sent: Friday, June 17, 2011 7:43 AM
To: Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm
Subject: Certificate of Occupancy Inspections
I have three pending c /o's all approvals except Public Utilities as follows:
1090 Jasmine Street
125 Jackson Road
127 Jackson Road
Please email me your results. Thanks, Debbie W
Debbie White
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
(904) 247 -5826
(904) 247 -5845 FAX
2
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2TMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE 1 OMB No. 1E
Expires Mar
ergency Management Agency
tod Insurance Program Important: Read the instructions on pages 1 -9.
t
SECTION A - PROPERTY INFORMATION P r t 0°mPa
ng Owner's Name SCOTT HULIHAN rljc Nw ber
`5 'ii' ` ''
ng Street Address (including Apt, Unit, Suite, and/or Bldg. No. ) or R oute and Box_No. ,0 n nk1 1 C I n1(
VINE STREET 16 9d P.O. J4 S/y/ /kJ E
ATLANTIC BEACH State FL ZIP Code 32233
arty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
OCK 180 & LOT 3, BLOCK 179, ATLANTIC BEACH SECTION "H" (PLAT BOOK 18, PAGE 34)
ng Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL
de /Longitude: Lat. 30° 19' 57.16" N Long. 81° 25' 24.54" W Horizontal Datum: ❑ NAD 1927 ® NAI
h at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
ng Diagram Number 1A
building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
quare footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A
o. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attache(
,closure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A
otal net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A
ngineered flood openings? ❑ Yes ►:l No d) Engineered flood openings? ❑ Yes 2
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
community Name & Community Number B2. County Name B3. State
BEACH 120075 DUVAL FL
'Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevi
075 0001 D Date Effective /Revised Date Zone(s) AO, use base flo
N/A 04/17/89 "X" SHADED N/A
ate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
] FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe)
ate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) N/A
building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes El
(nation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
ig elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construc
r Elevation Certificate will be required when construction of the building is complete.
ions — Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/A0. Complete (ter
according to the building diagram specified in Item A7. Use the same datum as the BFE.
mark Utilized Vertical Datum NGVD 1929
rsion /Comments
Check the measurement used.
op of bottom floor (including basement, crawlspace, or enclosure floor) 7.6 ® feet ❑ meters (Puerto Rico only)
op of the next higher floor N /A. ❑ feet ❑ meters (Puerto Rico only)
ottom of the lowest horizontal structural member (V Zones only) NIA. ❑ feet ❑ meters (Puerto Rico only)
ttached garage (top of slab) DETACHED. ❑ feet ❑ meters (Puerto Rico only
Dwest elevation of machinery or equipment servicing the building 7.2 ® feet ❑ meters (Puerto Rico only)
)escribe type of equipment and location in Comments)
Dwest adjacent (finished) grade next to building (LAG) 6.7 ® feet ❑ meters (Puerto Rico only)
ighest adjacent (finished) grade next to building (HAG) 6.9 ® feet ❑ meters (Puerto Rico only)
owest adjacent grade at lowest elevation of deck or stairs, including N /A. ❑ feet ❑ meters (Puerto Rico only)
tructural support
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
ication is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
n. I certify that the information on this Certificate represents my best efforts to interpret the data available.!
<d that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0
k here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? ❑ Yes ❑ No
Name DONN W. BOATWRIGHT, P.S.M. License Number LS 3295
iSIDENT Company Name BOATWRIGHT LAND SURVEYORS, INC. \-#'
N
500 Rio a R S DRI E City JACKSONVILLE BEACH State FL ZIP Code 32250
Date 06/10/2011 Telephone (904) 241 -8550
m 81 -31, Mar 09 See reverse side for continuation. Replaces all pre.
NT: In these spaces, copy the corresponding information from Section A. F,'titYbe Co
eet Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. ?W
INE STREET ,, '°
4TIC BEACHState FL ZIP Code 32233 Cortt1 t`OQ titorbe
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
;ides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
SECTION A5 INFORMATION IS APPROXIMATE AND DETERMINED FROM GOOGLE EARTH.
:2e ELEVATION TAKEN ON TOP OF PLATFORM FOR A/C UNIT.
Date 09/17/2010
❑ Check here if
ON E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOL
AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sectio
Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
:le elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest
(HAG) and the lowest adjacent grade (LAG).
D of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HI
of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the V
uilding Diagrams 6 -9 with permanent flood openings provided in Section A Items 8 and /or 9 (see pages 8 -9 of Instructions), the next hi
ation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
led garage (top of slab) is . ❑ feet ❑ meters ❑ above or ❑ below the HAG.
f platform of machinery and /or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain m
ance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
y owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA- issued or community -i:
must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
vner's or Owner's Authorized Representative's Name
City State ZIP Code
Date Telephone
❑ Check here
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
;ial who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, I
Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9.
information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or e
authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
;ommunity official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AC
following information (Items G4 -G9) is provided for community floodplain management purposes.
Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
rmit has been issued for: ❑ New Construction ❑ Substantial Improvement
in of as- built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum
(in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum
nity's design flood elevation ❑ feet ❑ meters (PR) Datum
al's Name Title
Name Telephone
Date
❑ Check here
181 Mar 09 Replaces all pre%
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J
s , , A , E ARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement & Release
Job Address: /0 ei 0 iii-
Permit No. / — F7/ Service Type (Circle One): Overhead nderground
We, the undersigned General Contractor and Electrician, understand and agree:
1. "Early Power" is purely for our construction convenience, it is not required by Codes and does not
substitute for Finallnspections or the CIO (Certificate of Occupancyjtfiat must be issued before occupancy,
and as such is at the discretion of the Building Official.
2. The City of Atlantic Beach will make a special inspection prior to the early power energizing. All rough
inspections must have prior Approval, including meter base connections.
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early
electric service. Such action is expressly prohibited and penalized by The City of Atlantic Beach
Ordinances. A violation of this Agreement shall result in a request for prompt removal of electric service
after a twenty -four hour notice.
4. "Early Power" release authority is the Electrician and/or the Contractor and must not occur before:
a. Equipment, devices and fixtures are installed (or blanked off) safely.
b. Panel is complete with breakers and cover, and (labeling required at fmal inspection).
c. Service connection and grounding is complete.
d. The electric system has safely passed through electrical check.
e. Meter can is permanently marked with address.
f. Temporary address numbers displayed (Permanent numbers are required for C /O).
5. This fully completed form is to be submitted to the Building Department by hand, mail or fax.
6. Future such Agreements will not be accepted from those who violate any one of the above items.
CONTRACTORPfrIUil P5 &J J42( p('S e-_, L- C DATE mil/ y i 2 / /
+
PRINT NAME mI 6=1 �L 1� ` L(il OS � , P / i.1 L /
ELECTRICIAN DATE /, 1 l2 201(
PRINT NAME 7-. K"v i r
800 Seminole Road, Atlantic Beach FL 32233
Phone: (904)247 -5826 Fax: (904)247 -5845 http: / /www.coab.us revised 11.29.06
Ar-
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
'±' . 0 31 %
Application Number 10- 00000871 Date 8/09/10
Property Address 1090 JASMINE ST
Application type description SINGLE FAMILY RESIDENCE
Property Zoning TO BE UPDATED
Application valuation . . . 127412
Application desc
new home
Owner Contractor
PHILLIPS BUILDERS LLC
1250 SELVA MARINA
ATLANTIC BEACH FL 32233
(904) 349 -2999
Structure Information 000 000
Construction Type TYPE 5 -B
Occupancy Type RESIDENTIAL
Flood Zone ZONE AE
Permit ELECTRICAL PERMIT
Additional desc . TEMP POLE
Sub Contractor . DANCIN ENTERPRISES INC.(ELEC)
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 2/05/11
Special Notes and Comments
VERIFY FINISHED FLOOR ELEVATION
SURVEY /CERTIFICATE WAS PROVIDED
PROPERTY IN A FLOOD ZONE
FINISHED FLOOR ELEVATION SURVEY
REQUIRED AT SLAB INSPECTION
FINISHED FLOOR ELEVATION SURVEY
REQUIRED AT SLAB INSPECTION
25 -foot wide natural vegetative buffer required on west
side of lot. No clearing or development is permitted in
this area. Buffer must be shown of final survey for CO and
deed restriction must be recorded. See attached.
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
PERMIT IS API'RtlV E T IP&L4 Y4 aQNC I' 'ITW PQ OTATWI F E 1Cg ai lWl S AND THE FLORIDA
BUILDING CODES.
�r °� CITY OF ATLANTIC BEACH
�� s z
800 SEMINOLE ROAD
j r x .; ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
- C S)
Page 2
Application Number 10- 00000871 Date 8/09/10
Special Notes and Comments
* AN ELEVATION CERTIFICATE SHALL BE SUBMITTED BEFORA A
FRAMING INSPECTION CAN BE PERFORMED.*
A twenty -five foot wide natural vegetative buffer must be
provided on western side of lot. No clearing or
development is permitted in this area. Buffer must be shown
on survey submitted with request for Certificate of
Occupancy. Deed resriction must be recorded. See Attached
for guidance.
Garage to be moved 5 -feet to the west. Approved for zoning
only; must meet flood zone requirements per Bldg. Dept.
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible.
A sewer cleanout must be installed at the property line.
Cleanout must be covered with an RT1 concrete box with
metal lid. Cleanout to be set to grade and visible.
A reduced pressure zone backflow preventer must be
installed if irrigation will be provided or if there is a
private well on the property. Backflow preventer must be
tested by a certified tester and a copy of the results sent
to Public Utilities.
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.
f s , CITY OF ATLANTIC BEACH
= .� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
4 "4,01.119 . '"
Application Number 10- 00000871 Date 8/09/10
Property Address 1090 JASMINE ST
Application type description SINGLE FAMILY RESIDENCE
Property Zoning TO BE UPDATED
Application valuation . . . 127412
Application desc
new home
Owner Contractor
PHILLIPS BUILDERS LLC
1250 SELVA MARINA
ATLANTIC BEACH FL 32233
(904) 349 -2999
Structure Information 000 000
Construction Type TYPE 5 -B
Occupancy Type RESIDENTIAL
Flood Zone ZONE AE
Permit ELECTRICAL PERMIT
Additional desc .
Sub Contractor . DANCIN ENTERPRISES INC.(ELEC)
Permit Fee . . . 115.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 2/05/11
Special Notes and Comments
VERIFY FINISHED FLOOR ELEVATION
SURVEY /CERTIFICATE WAS PROVIDED
PROPERTY IN A FLOOD ZONE
FINISHED FLOOR ELEVATION SURVEY
REQUIRED AT SLAB INSPECTION
FINISHED FLOOR ELEVATION SURVEY
REQUIRED AT SLAB INSPECTION
25 -foot wide natural vegetative buffer required on west
side of lot. No clearing or development is permitted in
this area. Buffer must be shown of final survey for CO and
deed restriction must be recorded. See attached.
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
PERMIT IS API QNC ITII4PQ oTgailigfitEgiRckliAWANWM AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
; ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
4 ' 01079.
Page 2
Application Number 10- 00000871 Date 8/09/10
Special Notes and Comments
* AN ELEVATION CERTIFICATE SHALL BE SUBMITTED BEFORA A
FRAMING INSPECTION CAN BE PERFORMED.*
A twenty -five foot wide natural vegetative buffer must be
provided on western side of lot. No clearing or
development is permitted in this area. Buffer must be shown
on survey submitted with request for Certificate of
Occupancy. Deed resriction must be recorded. See Attached
for guidance.
Garage to be moved 5 -feet to the west. Approved for zoning
only; must meet flood zone requirements per Bldg. Dept.
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible.
A sewer cleanout must be installed at the property line.
Cleanout must be covered with an RT1 concrete box with
metal lid. Cleanout to be set to grade and visible.
A reduced pressure zone backflow preventer must be
installed if irrigation will be provided or if there is a
private well on the property. Backflow preventer must be
tested by a certified tester and a copy of the results sent
to Public Utilities.
Fee summary Charged Paid Credited Due
Permit Fee Total 115.00 115.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 115.00 115.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION 0
`' d ` T
N
CITY OF ATLANTIC BEACH .l 0 ~ 9 _7 /
800 Seminole Rd, Atlantic Beach, FL 32233 r'
Ph (904) 247-5826 Fax (904) 247 -5845 �
JOB ADDRESS: ID 70 S c� , A. r ] t - e e4,,/Ld, ' c ffe'tic � I� rL PERMIT #
NEW ERVICE Overhead n Underground n Underground up Pole
esidential ( in) Service /
[10-100 amps ❑ 101- 150amps
yi_51-200amps ❑ amps # of Meters
❑Commercial (Main) Service
❑O -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑CT Service amps
Conductor Type Size
."°" ( 4,—
❑ Multi- Famil (Main) Service
❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps am s # Unit Meters
❑ Temporary Pole ❑ amps t\ei0J CA1V
SERVICE UPGRADE ❑ amps ❑ CT Service . ps
NEW FEEDER (ADDITIONS, ACC SSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps .. v 9 Damps ❑ amps ❑ CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 5 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: /S
OTHER ELECTRICAL PROJECTS
❑ Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑ Replace Burnt /Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑ OH to UG
❑ Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. p an Y &•• -C_ I f c� - G Property Owners N e Pk i l I l S 23v ( ( c) t ( Phone Number 7.0 f '3' l /
Electrical Com t ✓� � Fit I f p i 1 S e � Office Phone WI �n` /(c� -10 1 Fax 701/ 9'k, ' rp9i y
S -L �
Co. Address: 35 O 3C. -4Z. L c& ,. 1 f City ,Jc .c k5VA V; 1( State Ft .Zip 3 b
z
License Holder (Print): 10 Ck. . • iim T� State Certification/Registration # X00001
Notarized Signature of License Holder pro-
.,�Y t
'k, PATRICIA D. HURD ti
4) " " .. c MY COMMISSION ii DO 915722 Sworn and subscribed before is / day of /`� �i S 7� 20 /
# ?., � r
J 4 '!' �e EXPIRES: a T u B e i d9 m ��M 2 s Signature of Notary Public rFor C(�L /�