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Permit SFAT 125 Jackson 2011 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD " A ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 11- 00001515 Date 3/30/11 Property Address 125 JACKSON RD Application type description SINGLE FAMILY ATTACHED DWELLING Property Zoning RES SF DISTRICT Application valuation . . . 75000 Application desc attached single family Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS ST 1671 FRANCIS AVENUE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241 -1222 Structure Information 000 000 Construction Type . . . . . TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit MECHANICAL HVAC PERMIT Additional desc . Sub Contractor . HUXHAM HEATING & AIR Permit Fee . . . 91.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/26/11 Special Notes and Comments *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 *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from the edge of pavement to the property line. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Erosion control measures must be maintained for entire property. Other Fees STATE MECH DCA SURCHARGE 2.00 STATE MECH DBPR SURCHARGE 2.00 PERMIT IAgpR u (�T_I,, Y IN ACCORDA6E CITY OF ¶LAJ TIC BEACHelyda zsE$ ue AND THE D A BUILDING' E . 1 C1 C1 L C7 ;' 'A CITY OF ATLANTIC BEACH Sn ) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 4Lii119 " Page 2 Application Number 11- 00001515 Date 3/30/11 Permit Fee Total 91.00 91.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 95.00 95.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Senminole Rd Atlantic Beau, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 B ADDRESS: 1 2 c 3qc. k ration # / / 5 I S PROJECT VALUE $ W AIR CONDITIONING & SEATING SYSTEM INSTALLATION Air Conditioning Unit Quantity 1 Tons Per Unit Heat Unit Quantity ! / BTU's Per Unit 914'00 Seer Rating 11 / Duct Systems: Total CFM r coo REQUIRED EPLACEMENT AIR CONDMONING & HEATING SYSTEM INSTALLATION ARI# Air Conditi onmg Unit Quantity Tons Per Unit REQUIRED Heat Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED [RE PREVENTION Fire Sprinkler System Qty (Requite 3 sets of plans) Fire .....,1. - Quantity (Requires 3 sets of pis) , ,, ,, ., • , . , , gee Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Cammercia1 Hoods Quantity (Requires 3 sets of Fire Suppression Quantity Quan ty (Requi cs 3 sets of plans) IRE PLACES TJS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's LL OTHER GAS PIPING Heat Exchanger Outlets PumPs Quantity # Veld. W Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection. Systems Tanks (gallons) Wells ►zTIER: zmit becomervoid ifwodc does not commence within a six. month pedod or warkis suspended or abandoned for six months. I hereby asrtifythstI have read is application and lmowthe acme to be trace and ca ze . AU povisio s of laws sad mammal govemieg ibis wank will be complied with whether specified not. The permit does not give authority to violate the pro / visions ofarty other stye ar local law regulation construction or the performance of construction. roperty Owners Name //ij Phone Number iechanic al Company )4,//44 , ///se / Ail TAC_ Office Phone:414&7 Fax y6-0377 Lo. Address: 9.1 o 1 / 7 &,a ` )i .64, - City /741 /off State EL Zip, a1E ;‘; kxnse Holder (Print): �ftvncs E- C , i be. 1 Slate Certification/Registration. # ccC-e' S `! i S Tofnrized Signat of H o cr,..,: T . . a n d subs�d. before this day ,2 -/ �� 20 1 , ,�'' Y 4; MIRNA A t :License_ St to o F lo N G� ofNo Public �•�P - F ' N otify Publ State o 1gIL� tffiy I .. 0 • = My Comm. Exres Oct 18, 2012 C ' "• ".. 44 CommissioN OD 890487 ,- * `, ` ' Bonded Through aHOml Notary Assn. S CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 11- 00001516 Date 3/30/11 Property Address 127 JACKSON RD Application type description SINGLE FAMILY ATTACHED DWELLING Property Zoning TO BE UPDATED Application valuation . . . 75000 Application desc attached single family Owner Contractor BEACHES HABITAT BEACHES HABITAT 1671 FRANCIS AVE. 1671 FRANCIS AVENUE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241 -1222 (904) 241 -1222 Structure Information 000 000 Construction Type TYPE 5 -B Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit MECHANICAL HVAC PERMIT Additional desc . Sub Contractor . HUXHAM HEATING & AIR Permit Fee . . . 91.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/26/11 Special Notes and Comments *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 *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS All concrete driveway aprons must be 5 inches thick, 4000 psi, with fibermesh from the edge of pavement to the property line. Roll off container company must be on City approved list and container cannot be placed on City right -of -way. Erosion control measures must be maintained for entire project. Other Fees STATE MECH DCA SURCHARGE 2.00 +� QQ��EEpp STATE MECH DBPR SURCHARGE 2.00 BUILDING ES'umm� W HH IN ACCORDA c 1LL CITY OF ' BEACHe R DI�'1 C AND THE FbORe A s ' _ f fts‘ ` CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J - " ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Page 2 Application Number . . . . . 11- 00001516 Date 3/30/11 Permit Fee Total 91.00 91.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 95.00 95.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlas Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 B ADDRESS: /c 7 4 r-..- c) PERMIT # I /-- / 5 1 r PROJECT VALUE $ Sac - KW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity l Tons Per Unit o Heat Unit Quantity l BTU's Per Unit Sl 4047 Seer Rating / Duct Systems: Total CFM / eve REQUIRED &PLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: T Unit Quantity Per REQUIRED Unit Quantity BTU's Per Unit Se Duct Systems: Total CFM REQUIRED [RE PREVENTION 3 sets of plans) Fire Sp® ' System Quantity ( � 3 sets of plans) Fi re V:,1�,.,1� U,,. _. • , �, Fire Main Value (Requires 3 sets of pltaus) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 seta of pisns) Fire Suppression Systems Quantity (Requires 3 sets of plans) IRE PLACES US: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Bow BTU's LL OTHER GAS PIPING Heat Exchanger r Outlets h Quantity # w BTU's # Water Heaters Solar Collection. Systems Tanks (gallons) Wells ►THER wit becomes voidifwo& does not commas wide/asncmonthperiodorwadcis suspended or abandoned for six. months. I hereby aitfytb tIbaveroad is application and bow** same to benne and caaact All revisions of lases and audinances govemiog fl>ia wait will becomplied with whether specified not The permit does not give amt,od tyto violate the / pro // visions of any other state or local kw construction at The j —•. once of . rope rty Owners Name < i' fife Phone Number fechanical Company c//, rr7 ?/t 4 rZ 'rt Office Phone cl+fa� ) / Fax 25/6 - 0 ) 377 `•o. Address: a t 0 fl n2icr d i , /i.�C) City /L f'- / if State / ?gip !2 4 3cense Holiest (Print): TRvrtt &--% bea-T State C on/Regisfration # Cis4C0S`1 ffl S ... MIRNA A• �'�``�� es ": P w ' •'s Notary Public - State of Florid • da y of 201 O ct 18, 2 + "' � ���� "`- „' .; M Comm. Expires I CLL • p 7 s Commlasio p 1 Notary 83048 Aa la ,,:, of Notary ilia i uERTIEiED ii WWW.atrririrre i ''1 Certificate of Product Ratin 0 s 1. AHRI Certified Reference Number. 3842467 D ate: 1119/2010 i Product Split System: Heat Pump with Remote Outdoor Unit - Air - Source Outdoor Unit Model Number. GSZ130241B* Indoor Unit Model Number ASPF18301613* 1. Manufacturer GOODMAN MANUFACTURING CO., LP ISTINCTIONS, EVERREST, ONE HOUR AIR GOODMAN, JANITROL, AMAN�► Trade/Brand name: } CONDITIONING AND HEATING, ENERGI AIR � for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Manufacturer responsible i : nce with AHRI Standard 210/240-2006 for Unitary Air- Conditioning and Air- Source i He u s follows in accordance of rating accuracy by AHRI.sponsored, independent, third X Heat Pump Equipment and subject to verification i Party testing: 1 Cooling Capacity Btuh): 24000 i , EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.00 1 �� ,.. Heating Capacity(Btuh) @ 47 F: 22800 Region IV HSPF Rating (Heating): 8.20 Heating Capacity(Btuh) @ 17 F: 13200 t 1 is x i i 3 } . indicate evio ate a voluntary rerate of prusly published data unless accomanied with a WAS, indite an involuntary rerate. • Ratings followed wed by an asterisk (h - , . i : DISCLAIMER fisted on this Certificate and makes no repr rdtions, warranties or a t and assumes no responsibility for, t the p o des not endorse the Certificate. disclaims all y for sages of any kind arising out of the use or performance of the product(s), or the , f the uto d alteration on of to fist o this expressly disclaims valid only for models and corrfiguratiorns fisted in the directory at .vav+x.ahritrectary.or &,. i , unah utiwrized attention of data fisted on this Certificate. Certified ratings TERMS AND CONDITIONS A�litl. Certificate ate on be used for individual, personal and confidential idereiice Pure Thin contents of and tie contents are not, proprietary k bo e ror in p disseminated; entered into a computer database: or otherwise utilized, in any The corrterds cf dris Certificate may not, in whole or in part, be repoduced: for the user's individual, personal and con reference. o EinP fpm or manner or by arty means, a CERTIFICATE VERIFICATION at vnnrr.atariciirector. ar3, Air Condi #ianir�, F seating, Tick V i te" inkaedan nit enter rtherddcate Number and ihe date on a .'� find ioefrigerat"i ®rs institute wink h the certificate was issued, on "Vfy Certficate" ue d, veh is Meted 1 Certified Reference above, vAlicuerMeted above, and the Certificate No., ...rich is listed below ©2010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129'338041767546203 05/2512011 14:49 904 - 2490703 BROOKS AND LIMBUAGH PAGE 01/02 1� EARLY POWER AGREEMENT & RELEASE - z M.. ,, CITY OF ATLANTIC BEACH Electric power is requested now under the conditions and terms of this fully executed Agreement & Release Job Address: i ri 5 -j c 1 <c ocl �' 4 Permit No. 1 l ^ GCOQ ; 'S Service Type (Circle One): Overhead Underground We, the undersigned General Contractor and Electrician, understand and agree: 1. "Early or Fi is pnspe ions (Ce er rtifi convenience, ccu Occupancy) att must he issued before occupan substitute y, te £or Final Inspect! 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 byy elctric before a formal C/O constitutes, fraudulent use of o the early O service. ,Such action is � sh result in and penalized for o prompt removal of electric service afe a a twenty f ur hou not this . Awn 4. "Early Equir release et, devices and t fxt a e n�ll (or the f)) saafelymust not occur before: p�m Coon b. Panel is complete with breakers and cover, lat . d (labeling required at final inspection). c. Service connection and grounding is o t electrical. check. d. The electric system has safely passed . through e. Meter can is permanently marked with address. (Permanent numbers are required for C/O). f. Temporary address numbers displayed { 5. This fully completed form is to be submitted to the Building Department by hand, mail or fax. 6. Future such Agreement will not be accepted from those who violate any one of the above items. I A .‘ lit 11.410111 DATE NI'RACTOR _ RINT NAME, a., .. 1 - • DATE E LECTRACIANT J 1,, NAME c� /� �ti t'1 1`f ' .r 800 Seminole Road., Atlantic Beach FL 32233 Phone: (904)247-5826 Fax: (904)247 -5845 hitp :/ /www.eoab.us revised 01 30 09 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 6/17/11 Parcel Number 172134 -0000- - Property Address . . 125 JACKSON RD ATLANTIC BEACH FL 32233 Subdivision Name . . . DONNERS S/D Legal Description . . . Property Zoning . . . RES SF DISTRICT Owner BEACHES HABITAT Contractor BEACHES HABITAT 904 241 -1222 Application number . . 11- 00001515 000 000 Description of Work . . SINGLE FAMILY ATTACHED DWELLING Construction type . . . TYPE 5 -B Occupancy type . . . RESIDENTIAL Flood Zone ZONE X Special conditions . 2007 FLORIDA BUILDING CODE WITH 2009 REVISIONS Approved ki Bui fig Official VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: (/s (1 Contractor Name: -e -d(v S 1-(—ec.6'i Permit #: /-C 1 3 f Property Address: 12_ V Or Legal Description: Improvements to the above - described property have been completed in accordance with the to of the permit and are certified to be ready for occupancy as: Single- Family Residence ❑ Commercial ❑ Other: 2 Lowest Floor Elevation: 3 U 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 W/ ( I / /b Public Utilities 0//47z 6P (I NA) /Pte-- C Building 0 / /c7Z /'5 /// 4 Planning WY Tree Mitigation (01 Satisfied fr Final Survey with FFE ✓ Yes No All Re- Inspect Fees Paid /Yes No Termite Treatment VYes No x 159 19th Street North�i s Order: 35498 k, FL 32250 rvR. °° E IArsx :c Date: 06/10/11 Friday i } • Phone (904) 242 -9002 Fax Jac (904) 242 sonville Beach 9 010 . � 1 800 575 FR OG R oute: •:. iFRMRF [ hAI c SYSFFMS me: 08:00 Tech: 2 =ST PREVENTION' 174 r s ''ces t ` MIKE DAINING Location: [103248] Bill -To: [103248] BEACHES HABITAT Target PAUL FINLEY Phone 904 - 334 -2278 get Pest: 127 JACKSON ROAD Last Service:01 /14/11 ATLANTIC BEACH, FL 32233 Eirfi !C , i , x o'E: F r , , v ; F 7 ..y.� �'.. _ e 7r, " �,,, � x j 1," * ` . .7, PRECONSTRUCTION PRECONSTRUCTION $0.00 Subtotal $0.00 We are grateful for you business. I Tax $0.00 Thank you, Total $0.00 DAVID HONRATH, 0 NER Amount Due $0.00 I ,, 11 • Once -A -Year Pest Prevention • Rodent Proofing ;• ;A • Quarterly Pest Prevention • Real Estate Inspections (WDO) ---_ • Termite Baiting Systems • Preconstruction Soil Treatments PLEASE REMIT STUB WITH PAYMENT n o o �tl =, F c � �. F ° a P. w G o o o ► '1 y w ? i,9- 0 4 "n � <° ��pp w E o h o el) a' p 'd ° . o 5 8 R f ' lz To eD .c ' o h d K H !i ' fo j i 4 F p m ` iI ° * m a o N eD 'i o p w o o ^ \ 9 to I� N .'" t C M , ■ fi t `< o a F M] tt s e% y 5 y a a eD 0 "' w N t, o ig • 13 a a D eD eo e F't. o f-,: ) ; 2" 1:1 ---- 1 Ili EV eD V V y 1 - F+ I. ` a F •- 8' S 0 White, Debbie To: Carper, Rick; Nodine, Phil; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm Cc: Graham Shirley; Jones, Mike Subject: CERTIFICATE OF OCCUPANCY INSPECTION REQUEST The C/O's have been requested on the 2 below: 11 -1515 125 Jackson Road 11 -1516 127 Jackson Road Please email me your results. Thanks and have a great day.. Debbie Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247 -5826 (904) 247 -5845 FAX 1 CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: 6 / 4 !' Contractor Name: / Permit #: /` 4S-73-- Property Address: v im . G- �- z- ch-�., ;&J 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: El 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 • annin: Tr - e Mitigation Satisfied Final Survey with FFE Yes No All Re- Inspect Fees Paid Yes No Termite Treatment Yes No �,,., /Or B �ACI� A'it�TIC SET aryl OF CY WOE P"' • CC�� MAP SHOWING SURVEY OF UNIT 1A. ACCORDING TO THE DECLARATION OF CONDOMINIUM OF HUANG VILLAS, A C• .' � INIUM, AS RECORDED IN OFFICIAL RECORDS BOOK 15555, PAGE 1110 %k THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. , \ ,%'.9 �ti EASEMENNT RETENTION �� POND I , �-- -TOP OF BANK I UNIT 3A xi ( N89'51'55 "E 1 •,A I 30.02 FIELD ) FOUND yJ ' 1 FO a • 1/2" IRON x EAST, 30.00' � FOUN CAP I I N IRO IRO 2 • PIP , CAP LB3672 _ II - - - - 0.7' x— x —x ==x. -r =ft -x 4 CHAIN LINK FENCE 0 9✓ • 1.0' UNIT 1A UNIT 1B CONCRETE A/C A/C CONCRETE STOOP. PAD PAD STOOP ❑ ❑ L - J UNIT 2B I II 9.8 20.2' 20.1' " 17.4 — 1 1 �op z 7, z(-. O Z 1Z m ch Z m —I V) x E5 4z ,,,0 er g~ °o N o 0 ° Z 8 C, 0 $$ l o o -I P j 8-. —I� 8m m o r pNZ =o 73 ZM r' - -- O z a II 01 (--) Xi c a 0 ° °. D c w m K Z in N m 0 V - tD 20.1' O 20.2' 9.9' CONCRETE CON,CBETE 7 n . POR CH. PORCH - Q 10 20 40 D D m x r z (1 G , —' c SCALE: 1" = 20' -< '- 0 --1 9' CONCRETE 0 CONCRETE T 0 CO, DRIVE 0. DRIVE 'co UNIT 2A l.J v v - ELECTRIC METERS "f E BOX ELECTRIC BOX 1 ° 25 EASEMENT FOR ACCESS CONCRETE WALK D c> / AND JTILITIES + 1 —{ ,.,':.,00 PO'NER POLE I ASPHALT PAVEMENT FOUND MAGNAIL & DISK, LB3672 DISK No. 4707 W EST 30.0 � & DISK,M 83672 JACKSON ROAD ( S89'5912'W 10' ALLEY PER PLAT — PAVED 29.97' FIELD ) NOTES 1. THIS IS A BOUNDARY SURVEY. 2. BEARINGS ARE BASED ON THE LINE DIVIDING LOT 1A FROM LOT 1B BEING NORTH, AS PER THE DECLARATION OF CONDOMINIUM AS RECORDED IN OFFICIAL RECORDS BOOK 15555, PAGE 1110 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 3. FINISHED FLOOR ELEVATION BASED ON N.G.V.D. 1929 DATUM. THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE THIS SURVEY WAS MADE FOR THE BENEFIT OF THE 500 YEAR FLOOD PLAIN) AS WELL AS TOILE A. MOORHEAD; BEACHES HABITAT FOR CAN BE DETERMINED FROM THE FLOOD INSURANCE RATE MAP COMMUNITY PANEL HUMANITY, INC.; FLORIDA HOUSING FINANCE No. 120075 0001 0, REVISED APRIL 17, CORPORATION; OLD REPUBLIC NATIONAL TITLE 1989 FOR THE CITY OF ATLANTIC BEACH, INSURANCE COMPANY; and DONAHOO, BALL & DUVAL COUNTY, FLORIDA. McMENAMY, P.A. NOT VALID WITHOUT THE SIGNATURE AND THE STEPHEN W. CREWS, P.S.M. ORIGINAL RAISED SEAL OF A FLORIDA UCENSED FLA. LIC. SURVEYOR AND MAPPER No. LS 5996 SURVEYOR AND MAPPER." FLA. LIC. SURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DRAWN BY: swc 1500 ROBERTS DRIVE DATE: MAY 20, 2011 FILE #: 2011 -0353 JACKSONVILLE BEACH, FLORIDA 241 -8550 SHEET 1 OF 1 CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: 6 /4 // G Contractor Name: � Z / Permit #: Property Address: �` C, /21? P p rty 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 (e A7 WI ( to Tr - e Mitigation �P / Satisfied I y Final Survey with FFE Yes No All Re- Inspect Fees Paid Yes No Termite Treatment Yes No or A MAP SHOWING SURVEY OF .' v 1A, ACCORDING TO THE DECLARATION OF CONDOMINIUM OF HUANG VILLAS, 0� �(;, \ NDOMINIUM, AS RECORDED IN OFFICIAL RECORDS BOOK 15555, PAGE 1110 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 0 RETENTION EASEMENT POND _t I f-- -TOP OF BANK I UNIT 3A • > II (� N89'51'55 "E I ''30.02' FIELD )• 1 FOUND 1/2" IRON x EA 30.00 FOUND �:/ IRON . PIPE, CAP LB3672 PIPE D AP L - - - 0.7' x —x —x – " 0- x 1 t 4' CHAIN LINK FENCE 0 9•J ` 1.0' • UNIT 1A UNIT 1B CONCRETE A/C A/C CONCRETE STOOP. PAD PAD STOOP 7 _ L _ J UNIT 2B 9.8' 20.2' 20.1' "1 7.4' II m z V z 1 ^ z ,z Azrnd 8 r1,(_/(5),8% o (n Q Z p o m m O - • 0 n - 2N) Z-1 = Z j Am w 7-. 1- - -- o z a uu(- C uP o? z PI > - + K o c w K = wNm 0 P1 (0 ° •l 20.1' 0 20.2' O 9 9 ' 9 � CONCRETE .A CoNC6ETE 7 ' 4 co x n PORCH. , PORCH ? Q 1 2D 40 O7 r > D m r r. r m (O � , ( 0+ -- a 1 SCALE: 1" = 20' M p y .A v �� P CONCRETE 0 CONCRETE o UNIT 2A 0 M DRIVE 0 DRIVE p� 73 - WATER "F ~ TRIG METERS sir I0'.. BOA ELECTRIC -' BOX I— 0 ° 25 EASEMENT FOR ACCESS CONCRETE WALK D b AND JTILITIES o —{ ,.; OD POWLIR ____--/ POLE ASPHALT PAVEMENT FOUND MAGNAIL & DISK, LB3672 — — — — DISK No. NAIL 4707 W EST 30.00 , ® & D K MLB3672 JACKSON ROAD ( 29.97' 10' ALLEY PER PLAT - PAVED 97' FIELD ) NOTES 1. THIS IS A BOUNDARY SURVEY. 2. BEARINGS ARE BASED ON THE LINE DIVIDING LOT 1A FROM LOT 1B BEING NORTH, AS PER THE DECLARATION OF CONDOMINIUM AS RECORDED IN OFFICIAL RECORDS BOOK 15555, PAGE 1110 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 3. FINISHED FLOOR ELEVATION BASED ON N.G.V.D. 1929 DATUM. THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X" (AREA OUTSIDE THIS SURVEY WAS MADE FOR THE BENEFIT OF THE 500 YEAR FLOOD PLAIN) AS WELL AS CAN BE DETERMINED FROM THE FLOOD TOILE A. MOORHEAD; BEACHES HABITAT FOR INSURANCE RATE MAP COMMUNITY PANEL HUMANITY, INC.; FLORIDA HOUSING FINANCE No. 120075 0001 D, REVISED APRIL 17, CORPORATION; OLD REPUBLIC NATIONAL TITLE 1989 FOR THE CITY OF ATLANTIC BEACH, INSURANCE COMPANY; and DONAHOO, BALL & DUVAL COUNTY, FLORIDA. McMENAMY, P.A. -,eLgt - C ---- STEPHEN W. CREWS, P.S.M. "NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED FLA. LIC. SURVEYOR AND MAPPER No. LS 5996 SURVEYOR AND MAPPER." FLA. LIC. SURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY: BOATWRIGHT LAND SURVEYORS, INC. DRAWN BY: swc 1500 ROBERTS DRIVE DATE: MAY 20, 2011 FILE #: 2011 -0353 JACKSONVILLE BEACH, FLORIDA 241 -8550 SHEET 1 OF 1 White, Debbie 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 White, Debbie 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 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 1 , � t� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 09- 00001809 Date 10/27/09 Property Address 125 JACKSON RD Application type description DEMOLITION (ENTIRE BUILDING) Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc SINGLE FAM HOME DEMO Owner Contractor DAVIS, JOSEPH ARWOOD, INC. 125 JACKSON ROAD JOHN CARL ARWOOD ATLANTIC BEACH FL 32233 13255 LANIER ROAD JACKSONVILLE FL 32226 (904) 696 -9990 Permit DEMOLITION PERMIT Additional desc . Permit Fee • • . 100.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/25/10 Fee summary Charged Paid Credited Due Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 100.00 100.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ATLANTIC BEACH BUILDING DEPT. rah J ` DEMOLITION — PROPERTY OWNER J RELEASE FORM ;:-4, 0511 9%" Date: / � To Whom It May Concern: I / We the current property owners of: Lot Block /� l Legal Description of Property AKA 0 '- c a4Sc n kc have contracted with to have (Address of Property) f ifw c c; "X c to remove the S :4 rt ie_ (Company Name) (Singh Family, Duplex, Qbmmercial, etc.) Prior to the construction of : As a condition of issuing the permit we agree to the following: 1. All utilities are to be located and clearly marked. 2. Once house is removed, lot is to be graded and leveled. 3. All construction debris is to be removed from the property. 4. Affected area is to have grass or seed in place. 5. Erosion control devices will be put in place and will remain in place until grass has covered affected area or new structure is completed and landscaping is in place. _ ! ►�+_� 1 nature Signature THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: 4'4 ` - Date: t / Before me thi da of in the Coun of Duv / S Y ty to e Of Florida, has personally appeared BZ., 7 •t.,j /t y Notary Public at Large, State of o 'd. Count�ofDuval. My commission expires: Personally Kno ..� • ot; „ ; ; _ or Produced . -ntific / �I I'i ' ' #161M Commission # DD 518433 7 .. .e. :y National Notary Assn. NOTICE OF COMMENCEMENT State of Florida 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: Part of Block 14, E.H. Donner Subdivision Address of property being improved: 125 Jackson Road General description of improvements: Demolish house, shed, driveway and sidewalks in preparation for building new residential �uplexes Owner: Habitat for Humanity of the Jacksonville Beaches Address: 1671 Francis Ave., Atlantic Beach, FL 32233 Owner's interest in site of the improvement: Fee Simple Titleholder (if other than owner): Name: Contractor: Arwood Waste and Demolition Address: 13255 Lanier Road, Jacksonville, FL 32226 Phone No.: 904 - 626 -6663 Fax No.: 904 - 696 -9925 Surety (if any): Address: Amount of bond $: Phone No.: Fax No.: 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 Statues. (Fill in at Owner's option) Name: Arwood Waste and Demolition Address: 13255 Lanier Road, Jacksonville, FL 32226 Phone No.: 904 - 626 -6663 Fax No.: 904 - 696 -9925 Expiration date of Notice of Commencement (the expiration date is one (1) year form the date of recording unless a different date is specified): Warning to owner: Any payments made by the owner after the expiration of the notice of commencement are considered improper payments under Chapter 713, Part 1, Section 713.13, Florida Statutes, and can 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 attorney before commencing work or recording your notice of commencement. THIS SPACE FOR RECORDER'S USE OWNER A ,7 . - I_ - / - 4 ' _ I, CITY OF ATLANTIC BEACH a `' .� 800 SEMINOLE ROAD >- ATLANTIC BEACH, FL 32233 ,, INSP ECTION PHONE LINE 247 -5826 Application Number 09- 00001832 Date 10/30/09 Property Address 125 JACKSON RD Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc sewer disconnect Owner Contractor DAVIS, JOSEPH CERTIFIED ENVIRONMENTAL 125 JACKSON ROAD SERVICES DBA METRO ROOTER ATLANTIC BEACH FL 32233 8892 NORMANDY BLVD JACKSONVILLE FL 32221 (904) 695 -1911 Permit PLUMBING PERMIT Additional desc . SEWER DISCONNECT Permit Fee . . . 62.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/28/10 Fee summary Charged Paid Credited Due Permit Fee Total 62.00 62.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 62.00 62.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES.