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CITY OF ATLANTIC BEACH APPLICATION FOlt PLUMBINh JOB LOCATION: ) 8 cpU e1"A OWNER OF PROPERTY : I2 K.r4 G /0 a-ei2 BUILDING CONTRACTOR : _. ,s l�� _ _ t74 , ow PLUMBING CONTRACTOR _ Eagertoo Plumbing Co. Inc. AND ADDRESS: - - - TELEPHONE NUMBER: STATE LICENSE NO: CFC----- TYPE OF BUILDING: ------------SINKS ---_1------LAVATORY /7 �A.crr,�t,✓1� ppJ,Ltrihe.,T ____________BATH TUBS ------------URINALS 1,1tiPOsnl.;, oZ ______CLOSETS � reP-�s �° ..WnS111146 Mnc111NL ____________FLOOR DRAINS --- -- --- -:iHUWEk PANS 07'}iER TOTAL FIXTUkE COUNT: _ _ -- x *i;j, �,O $I-.. c,u = � 3.2.Sa • ^ INSTALLATION OF PLUMBING ANDPIXTURES MUST BE IN ACCORDANCIr: wIT1-t THE MOST RECENT EDITION OF THE SOUTHERN STANDARD !'1.UMkf1 N[) CALL A DAY AHEAD TO SCHEDULE: INSPECTIONS - c'�C►9 ) �' 17- ;,ti`'c. R i" 15 DEPARTV04T OF BUIL. INto1 CITY Of ATLANTIC WtI4, ;: .w. Per"i"T, LOCATION "BQIV I��sl3 tuprnb r 15191 Address 1580 . AXPdRT RC?AL? P rl t "FYI e B E �Q ATL Niit C I EACs - LCR 1nA 2 �,. + fa �C3 w ��,. .�. LIe3AL I)I:SCRF" 10IN' k Constr. °t`y 6 a WOOD DAMS S 100, Lot. TVp: 0 Pr ,d' 0-se:SL' 5. I*AMILY - Subd, x :,z Dwi a 11 f rigs 1 io Su +di Irl l an 2 400,00 f Total f es: 2' €� .Lu t e' ' 919 Qrk D,6 " Y•t alb{£ i � (9 b* � 7,lerZ— $ +. _ APPLICATION t� F D � � ' ` Add .00" FLORID& 32 01 x4"'I Ct R *' RMAT I Olt r ------- Na"` MO Addy.- 4' 61 SAS, R COURT . R 1 12225 A�, s p r I�UTBS>. i 8 l !! tr I= F f G { t NOTICE--INSPECTIQN$ MUST BE REQUESTED AT LEAST 24 HOURS"PRIOR TO IN ECTIt�lN" . BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE;ANa MUST-BE j CLEARED UP AND HAULEoAwY By EitHe C#7NTRRCTORCR OWNER "FAILURE to COMPLY W#TM THL MECHANICS' L.tE'N Lel CAN R SUL.T IN ` THE PI C PERTY OWNER PAYING, TWICE FUR'SUIL.61114, AA PN04MI.NIS' ISSU i3 ACCOAbfW TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT'AND`BUBJEG7 TO RE1FCyCATif VI©LAiiON t3F APWLICABLL PRQviStONS<1F LAW. �o�. ATLANTI "BEACH BUILDINx- EPART ENT oiwe, CITY Of ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: 1 C7 fyA\.I OWNER OF PROPERTY: CONTRACTOR: M Q n G VNCA CONTRACTOR'S ADDRESS: LA—)(-) Sc, c h C J CC_V_ 3Cir +�1 R floc; d o ZJP: 3 Z Z Z S STATE LICENSE NUMBER: C TELEPHONE: ZZ 1 —C) U S C DESCRIBE WORK TO BE PERFORMED: r,c S __ VALUATION OF PROPOSED CONSTRUCTION LA MATERIALS TO BE USED: SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY O , 19J NOTARY PUBLIC "�""p"•'',,, PaMcl8 Amett8 MY COM Liability Insurance Supplied -' '_ ;, .: MISSION N CC558881 EXPIRE: W August 27,2000 Workers Compensation Insurance Supplied .,p; BONDED TNRUTROY FAIN INSUNANCE,MG. Contractor License Information Supplied Occupational License Information Supplied q b1 { s SFAS x ✓ pan ' y-loss tp ggy� 1 �+, gyp' I dre � " IC �i �► �M� { 1.ONNA Lop TRIG Blook Sdw�la�� f� # Ff k Pot Y .fid, 4il( 90 I% * X +�. ww ' 077 1233 IWO cr. 0 -0 iN �7+ � wrcn�. •. S . cX j" v Ely4 � � TIME b" 'M s JQMMY w t } �s S, 4 AT yp, 4'/�T T1 i • ,:. rri St 5 WRSVRIO E piAC � IN i L1BE Buc SPACE, AND -WORK MU'S7 "CBR�PS1-.R� 30SH ANQ CSER CtRISFIROM THIS dTRaC dR OFt tBR 1,if AA��M���,pWt#ld'BY �t cl LAW [, por., � { � e MECO C y` AX, y{`�}y AYI WHCH pR� PART TFl1 P�R�fY �� ', IG3 f, FA IMF ATI P ► �i�� ` S YYCIIVf' /A �1 A BlE ' S t?F LAW. t y>Nt /n. AW.3' 5..5 NV AW MIKE MOM Mm, 7777 Osloi r`��' ( ,11'Y OF ALLAN i•IC BLACI-I, FLORIDA APPLICA110H Wit ELECTRICAL PERMIt - I I M 1111 I.I111 1 I I I I I IlH:AI IMIA CIMI: DATE-.: 19 1fili'DII I All I r11 J I II I Ill t;ONSiUI IiA11O11 DI I'I HI'VII1 (;TVI Il IOR DOING Illi WORK !t`.) DI SCHllll l) 111 1 fit Ill BY A(;fll I 11) I'I RI OMPA ';All) WORK IN n(:(:Dlil)ntl(:1- WII11 1111 At 1n1;1111) Ill ANS At WHICH AM & VAR l III Ill M , Atli) Ill M;CONDANCF Will 11 111F. 1-11 (J IMCAl. PHMI I Al IONS, I AtIANIICIll"AC I (MIMIANC S. 7/Z/Lw C-9,071 4S - ELECIIIICnLELE�1111C1/1N_IGNAIUIIE i rp i NAME _ in 4O e..Vu - _A1)1)11ESS: -• I O - rn y f' T_. ,�L_.IiF DLUG. SIZE . - - TIE TWEE/N: RES. 9Q API, ( 1. COMM. ( 1 PUBLIC ( I INUITS. ( I NEW ( 1 OLD Y� AUDITION 1 1 III AII LII 1 I' TEMP. ( 1 SII;NS ( 1 S(1. FI. SEIIVICE: NLW 1 I INCIIEASE ( 1 IIEPAlll CUrJU(JCIoil SIZE AMI-!S COI'I'EII ( 1 ALUM. ( 1 SWIIC11 UII UISLAIKEII AMT'S I'tl W VOLT HALLWAY EXIST. SEIIV. SIZ.I: AMPS I'll W VOL 1 IIACEWAY -- -- -- - - I"EEDEItS NO. S17E (NO. 51ZE I NO. SIZE LfGH i LNG 1)111 1 F 1 S I CONCEA111) ul'ETl 1111 A1. f1ECEl'TAUL ES I CONCEAI_LD UI'L-N IO1At. U 10 A1.1I'S 11 TUU AI.1py SMICIIE4 UNUANOe.SCErJ 1 FLUUl1ESCEIJ 1 N Ni. V. I _ PIXEU 0 100 Alit. I ()v It APPI_IAII( f9 I I BELL IIIANSI'. I Atli IIP IIAIINQ H P- 11AIltJ1; CONUIIIO►JIN(; CUrtt' MUIUII UTIIC11 MOIMIS AMI'S CHI- III-Al: KW IIf:AI f (Mit MOlons HP. VOLTA(}- PIIS NO. I ILP. VOt_1nGE I'115 ------- - MISCELLANEUl1S 1 HANSFUHNILIIS: UNDEII GUU V. OVER 6UU V, NO. KVA NO• KVA -----— - . . _ -- - --1 - _— NO. NEON TIIAN4P. IMA, MUT(Jlt SIZE 1 SWITCH C ELASIII:II EACH SIGN I I 10IIWAIIDE:D tc)►n► ftts g CITY OF ATLANTIC BEACH APPLICATION FOR PLUMMMBBING PERMIT JOB LOCATION: / ffQ ���1/✓/�<'� OWNER OF PROPERTY: PLUMBING CONTRACTOR: �1jy CONTRACTOR'S ADDRESS: STATE LICENSE NUMBER: TELEPHONE: HOW M"Y OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS -URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE _ $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. Ps384a 5 17 DEPARTMENT OF BUILDING E CITY OF ATLANTIC BEACH i PERMIT 'INFORMATION ------ � LOCATNIOPI T�I OST" CIS, i Perry# t Number z 2537' Addy . logo- 14 RT RCs 1� r Permit p rPL:UMBINC .ATLANTIC BEACH, , FLORIDA 32233 ► . H'+rk,-ALrTFRATION LEGAL DE SCRI TIO Constr., TYp :WQ ? `RAM NBlock:, Lot :, TWp; . Proposed ue:SI1 t LEFAMILY Section. 0 Subd; W4 I l f no$ Subdiuz i on Est . 'telue: 0 ,00 Totle Fen : `,25.00 ( Amours 25 '00 Date � E � 'US AND SHOWER VALVE� TION , APPLICATION FEES ----------- ERS - W- .. #ame T I'aR Ad OAU �� 00 ` 13 FLORIDA 322, E Phon � � � = .» (7 R CRMAT I NE4 mer: MAXVS T I�t1+3IIAC 11 ACKSON `t FI+OR IDA 32208 � L ai f Exp. 1� RZ NOTES, j { } 3 NOTICE-•IN$PECTI©N$ MUST BE REQUESTED AT LEAST 24 HOURS PRI©R Ta INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORM MUST NOT,gE PLACED H PUBLIC SPACE,AND MUST BE CLEARED UP AND,HAULED AWAY 8Y EITHER CONTRACTOR OR OWNER � COMPLY WITH THE MECHANICS' LIE�i ".LAW CA�t' LT Al THE PROPERTY QWIwER PIAYING TWICE FOR BUILD' Ci ``#MPR E14wS " 1$81JED ACCORDING TO APPROVED PLANS WHICH ARE "PART OF THIS PERMITAND U8JEC1i7q)tF}I�1�T t:FORS OLATION OF APPLiCABLE"PROVISION9�"O1=LAW. ATLANTIC ACH BUILDING EPA TMCNT i 7,,77777 By: o•.�. < E ` CIT'c GF � .2— (X. v v r(v Office of Building Official,/ REOUEST FOR ENS E 1ON — Permit NO. Date---- ----- A. Time M. — €C._L--Received ocality h Job Address �{ Owner's for -- -- ------ Name -- "-_--- BUILDING CONCRETE , ELECT`Rt� PLUMBING MECHANICAL Rough :Viri Rough Air Cond. & Framing Footing m}'"pole Top OutHeating I ; Re Roofing - Slab Sewer Fire Place - Insulation Lintel Final Pre Fab READY FOP. INSPECTION A.rr Wed. Thurs. Friday _ -- Mon. Tues �j Inspectior. Made -____-- j"1- Final Inspection pector_____ _.- -._ - _—`-— --- Certificate of cupancy -- Dtc --- ----------- DATE : ,? C'_��_ /_7 PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS ) HAVE BEEN MADE AND AK SATISFACTORY : 77 _J�aa4�( ----- ------------------------------------------------- �s � ------------------------------------------------- ------ ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, l "�UILDING INSPECTION DIVISION cc : FILE r. CITY OF ATLANTIC BEACH, FLORIDA AI>a•o•a by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19-22 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTI%#A �%NNANCES. 1004 South Second St JacksonvlBch FL32250 ELECTRICAL FIRM: MASTER NSE _ADDRESS: P009 RFD------BOX BLDG.SIZE BETWEEN: RES. APT•I 1 COMM.I 1 PUBLIC( 1 INDUS.I 1 NEW l ! OLD"W.( 1 ADDITION ( 1 TRAILER( 1 TEMP.1 1SIGNS j ) $O.FT. SERVICE: NEW( 1 INCREASE J- REPAIR ( i Qom'p-90-4"'4 FEE CONDUCTOR S12E 40 AMPS COPPER I I A UM. �O.O 'l TCH B KE PH V 1/ t EXIST.SERV.SIZE AMPS PH 13W OLT /44RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPO. 31-100 AMP6. t' SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AM". I ovim APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.,RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT I 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. H•P• VOLTAGE - PHS MISCELLANEOUS TRANSFORMERS: UNDER BOO V. OVER 600 V. NO. KVA NO. KVA ': NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE RV4 91 FLASHER EACH SIGN : FORWARDED TOTAL FEES y ! Ti PSR-SW f DEPARTM11t aR 13UILOIWQ x` CITY OF ATLANTIC BEACH .. ------ PERM IT, T-, PORMATION - -_ -�_- LOCATION !N RMATXC�N �»: P wt ,1`Tu`�er 15124 Address . 1880 MAY PORT ROAD Permit Tye EMODELI�NG ATLANTIC BEACH, -,�'Z,'ORIDA 3223.E ass of Wo-rk:4ZMODZL - LEGAL ,DESCRIPTION -..__� - ._ . Guns t r. Type:WOOD FRAME El cask t L+at c Twp. Q Proposed Use:SINGLE FAMILY 0 "Subd's Rng: Duel l ings s O Subdivision'. Est . Value: 0.00I Imp ov. Cost : 91000-00 { Tort a l,. Pe Am unt PJLA'1'IC7N 1 : +:s ' ION AD FLOR IDA iu41 e"cA ORA ''�yr gay y 0 3 NameCD 4M ` 'TRUSION BY" - w PLO GC ).2,6000 Exp: ' 1 # 1 "+OW.a ���� 1 NOT€S NOTICE INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION i BUILDING MAT€RIAL,RUBBISH AND DEBRIS,FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,A D, MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER i " FAIL;URE TO COMPLY WITH THE MECHANICS' LIEN. LA's' CAN RESULT IN r . TN E OR�3PE f ITY W E R P'A'If I1"�IG 'T11 1� E F+tl i B #Lfl► # i' . I + 11`k" L I tfi. :" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AMO SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 'F t ATLANTI ACH SU 1 DING P TMENT By: �, l � CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DMdOLZTIONS Owner (s) 1uGoVeoe- Address: /f gO N4 x ,a C7' Phone: z Z Lot # �oK 19 02 Black or Unit # S // Subdivision: , �p S 1�,� q, 16V 164Contractor: ,y L Du S 72ve-X1 yr ,/ ,f V ZZA,e.e i 5 State License # C S Cd 3 Address:-7'00 E �1&1471't-'rf 44X ..3L7-g&, Phone No:_ g.� �� �j C/ co 2 3 S 3 S Z ,-7 Describe work to be done: /AA"lL N w 2©d GSue j�QG� i� Se �y i.t/C_�e�$ .o�irz Present use of building: nWpLL,�,c� Valuation of Proposed Construction: DD© ``—�- Proposed use: ,DweLLl,,,g Is this an addition? /V0 If yes, what are the dimensions of the added space: ft. X ft. Will the addedarea be heated and cooled? New electrical (or increase) ? V/' New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT T19= (COJi6W CZAL) TWO (RESZDENTZAL) COMPZLrTE SETS OF PLANS, INCLUDING SZTE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF C0MWNCEMNT, AND OWNER/CONTRACTOR AFFIDAVIT, ZF OWNER ZS CONTRACTOR. Signature OWNER: !r ' * 11q1^1 Signature CONTRACTGR: Date: License Supplied: Liability Insurance: RECEIVED Worker's Compensation Insurance: AUG 1 9 1997 City of Atlantic Beach Building and Zoning FLA. 1967 LAWf # ►i 717.11 # RANCO Vom*400 Jxire Jaf 00jjamutritrimtrnt 1►RpARt IN DU►LIDA7t1 Cn to �hQ21i i� Iit2t1 tAIICPIIt; The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information N is stated in this NOTICE OF COMMENCEMENT. r �L Description of property..... .t.,2,�,...810-,lC . G3................................................... ......................I............................. �, :....1. ..»»..»... o. .r.... .. t�.................................................. ......................................................................................................... General description of improvements..l./.0(:f,!....... D.. ..,(.5. ' .... ......ll� ..c,.�... .LEC ? e t` ....... Iu ........................................................................................................................................................................».......»................................................ ti I .......... ..................................................................................................................................................................................................................................... LIJ Owner............ ..C.t..7"..LfC V F /. aJ /.F.9.0Address.......... ... QT........ ......... T.��..........P.,.�...�....................r....,.G.„.. ....................................... rQ .... .�., ........... Owner's interest in site of the improvement..... .... Sll ?..P .................................................................. .................................. Fee Simple Title holder (if other than owner) Name............D ............................................................................................................... Address...................................................................................... ............................................................. Address•.....................................................................................................................................................................................»..................................... Surety (if any).....� `.........................................................................................................................................». ...............»............................. Address.......................................................................................................................................................Amourd of bond s.. Name of person within the State of Florida designated by owner upon whom notices or other doaxnems may be served: Name ....../..Cf..f{:.......................................................................................................................................................»»........_...................................... Address In addition to himself, owner designates the following person to receive a copy of the Lienor's Noti as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option), Name....A.. ............................... Address................................ This SPAC[POR 11[C0R0[R'e US[..ONLY . ............. .............................................. ;VbC7S ;R-<ru co C r- . Ownw C1+01- .-(jI s1P11Q�m ' CM .. \S4F+ %J O-giC0Cil V17 m�� Sworn to and subscribe efore met ' ....: ..<................... �; 3 voj. 19 , C: / Notary Public WWI. P*W AmonetteMY COMMISSION N C0%W1 EXPIRESfi August 27,2000 BONDED TNRU TROY FAIN INSURANCE,INC. OEryOF OF BUILDING �.. ATLANTIC BE,CH.FLO PERMIT To- RIGA 7 OUILD PERMIT NO. / 460 � THIS..PERMIT MUST BE POSTED ON JOB Date Valuation$ 2��'� Fee$ 7.50 This permit not valid until above fee • has been subject to revocation for paid to M T isolation of a 1• City Treasurer, d.+5 3 t.f PP[cable and is I T111S 1S t0 certify Provisionsoflaw. 74 6,j ° IfY that AL, r • Clp� T GW ! , �P � has permission to bums � RapF Classification Owned by Zone Lot �_Z�'nVER House No. Ian �?AYpp Block----_ S According to approved plans which are part of this permit P NOTICE— AND FOOT NALL G�NCRETE FORMS SPECTED BEFORE POUST B IN- PERMIT RING,VOID SIX MONTHS ��♦ X AFTER DATE OF ISSUE ' Z Building material, rubbish I from this workics and debris in Public must not be placed u pace,n and must be cleared act r ed away by either con. FOR OFFIC-�" USE ONLY PERMIT GATE 8 Official. PLUMBING CO ACTOR ELECTRICAL SEWER WATER 16966. ' QEpAf�'1'MEN"T CiF�t�1�1Nfr� 01 OF ATLAN TIC lEAtr 114f,MT1C> 1 -� w LOCAL i-t? iFO v 9 C1R - � r ►lttum3er� 1 _ � .�. +e mit Type:RbfODZLI*d dry 4� SA�y P�J�1yT R�?,r�lb { w� y TLAIT i $'�kr# dLli ,R ,F.A G!w r� Work:REMODEL . w .. � s fly- L: '' 0 D ,SCRjF`T ,6 ». ._.... --- NRS .' R i3ck: LG3t: '1'W � ' Pssl U �ETRCL1 FL ctit.� t�� ub+d: pt 0 Dwellings- Subd i vx: PTJt } l € Est..:. vAl ue: A..�O Ima> V Cost : x 813 C1t o 0 4`00 t r. ate, £bCrz � V1 ME1V"I' PLR PLANS APPL I A "" Tf3N FLEE 0.00 f d 'eµ ' I ZTI al w it �i4�Ry I N VkT * ovuryy T � � 3,2233 � Liv T : 1 NOTICE-INSPECTIONS MAST BE REQiIES' D-AT LEVET 24 HOUR;�S PRI4R T�►1� PEC'fitC�h� BUILDING MATERIAL,RUB,0ISH AND,DEBRIS FROM THIS WORK MUST NOT 8E PLACED IN PUSI.IC SPADE,AND°MUST e CLEARED UP AND HAULED AWAY'13Y EITHER CONTRACT©R OR OWNER E `FAIL.EiRE TO CC)MPLY WITH THE MECHA.I ICS' LIEN I AV�t Ca1V 1 e T:'1a. THE PRGPERTY OWNER PAYING TWICE #©R BU�tC�1NG �� P i LA i+<?tV A P�.ICABAPPROVED E RAVt©NS OF LAW. ARE PART OF THIS PEA 1T ANp SOB Ct;TO f IT{7CAT1©N FOR ATlANT1 BEACw BUILDING DEPARTNIE.NT'' s °<i CITY OF ATLANTIC BEACH PERMIT APPLICATION RE2gSDEL, ADDITS®NS, OR ALTERATIONS MOVING, DEMCLITIONS Owner(s) : ktloene Dau- a C Address: 'SCJ � �{)v'� /&/ Phone: Lot # BlockorUnit Subdivision: Contractor: Ly ,�/� �o�S751J0✓� �rJC r State License Address :— � 7 _/Sf - Phone No:—. yty� a �l State -cde Describe work to be done: h Present use of building: 5Ff "valuation of Prcposed Construction: � �a qU o Proposed use: Sarr�F' Is this an addition? /-1/0 If yes, ghat are the dimensions of the added space: ft. x ft. -J11 the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT TRR= (COJ.�ZAL) TWO (RESIDENTZAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, MrZRGY CODE FORMS, NOTX= OF COMdMVG.. dZNT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. 6're47E OF Fc.OZDA. Goulvey or PL/v/94. Signature OWNER: ,tU {{,i Date: Signature CONTRACTOR: Date: Sworn to and subscribed before me this day of 1993 15-1-(ZA6677,1 eL619-ty r'DL C fob_2Z1-lab-�a7-0 NOTARY PUBLIC STATE OE ORIDA AT LARGE ICU�G--rlr � n1 VSE FOLD M 200-7;t*-S3- 9J -O 24AVAIMSW W40fttaymumt r CONTRACTOR PAYMENT REQUEST Homeowner: RUTH E. GLOVER Payment #1 -33%Complete _ Address: 1880 MAYPORT ROAD Payment #2-33%Complete Atlantic Beach,Florida 32233 Payment#3 - 100%Complete a ,� Contractor: BARNETTE CONSTRUCTION, INC. Amount Requested S fC>n-, *************************************************************************************************** Contractor: I hereby request an inspection to receive payment#_3 for the amount of S��,o , I certify that I have satisfactorily completed the necessary work to justify this request and that all bills incurred for labor used and materials furnished in malting said repairs and iumprovements have been paid in full to this date. . Attached is a description of the work com leteand-the amount of payment requested by work item. Contractor's Sign ure Date: Homeowner: UAVs hereby agree that the work stated by the contractor has been completed and approve payment to the contrictor in accordance with the contract and contingent upon inspection and conciureuce by the Rehabilitation Inspector. It is understood that the actual amount disbursed will be based on the findings of that inspection. Owner's Signature `D�l C9' Date: Rehabilitation Iuspector: I hereby certify that I exercised reasonable care to determine that the work performed at the above address meets specifications and was completed in a satisfactory manner however,neither the undersigned nor Jacksonville HUD is in any way responsible for the acts or omissions of the contractor,any subcontractor,or any of the contractor's agents or employees,or any other person performing work under the construction agreement. The contractor has provided a release of all liens,if any,in connection with this contract and has provided the property owner with a copy of each warranty or guarantee due the property owner from the contracto or work pe orm Rehab Specialist: Date: Program Administrator: I hereby agree that the work stated by the contractor has been completed and approve payment to the contractor. Program Administrator: Date: **************************************** *********************************************************** Approved. Forward to Finance Department for payment this date. Date / Director, ehabilitation Loan Program CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT BUILDING OWNER HONE oG JOB ADDRESS LOT# BLOCK OR UNIT # SUBDIVISION t CONTRACTOR `/ PHONE ADDRESS LICENSE NUMBER EXPIRATION JOB VALUATION $ MATERIALS: SIGNATURE OWNER SIGNATURE CONTRACTOR DATE FOR OFFICE USE ONLY Date .-• -•--•-•--•--------•---19 w Permit #--?-A--I-L....Fee$ 3.....------_--. CITY OF ATLANTIC BEACH ' : Valuation $...G.o: ..�"-...............19) FLORIDA House #---/ro------� ------ ..... APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date . ... - , 19 a �s Owner.- -- - -------- Address ---Telephone No. Architect------ •----------n------------•--- -----------------_Address------ -.............----' n---• ---------------------Telephone No.....---------------- Contractor Builder_.-.� x -.. ---------------------------------------------` Address.33. 4...:--- _�W__._ telephone N -/ --- Lot No..----------:�--------------------------Block No...... ----------------.---...Sub Division-------L _ Street - 'Side Between_.. --------------------------------------and....- ---- ...... ------- Sts. Valuation $_J Or??--_--__._-._For what purpose will building be used-...--... ^ ''� (_.___.Type of construction_-_-- Dimensions of Building_-._-__-�---y..X_z. ....Dimensions of Lot-...` ... ._:�___.�_7..L---F--------- of Footings Size of Piers---------------------------------_Size of Sills-------------------------------Greatest Sill Span in ft---------------------------Type Roof-----.-------------------------------- How will Building be Heated?--------------------------------------------_-_._----.-...._.-Will Building beonSolid or Filled Ground?-_.._.._.------_.-._.-----..----------- Size of Ceiling Joists-----�_-x----i�_------------------- Distance on Centers.............. L. ------------ Greatest Span-------------------------------------------- " Size of Floor Joists-----------------------------------------------Distance on Centers.--...-- ---------------- Greatest Span.------------------•-------------------- " Size of Rafters__ �- 4__&------------­ ------, Distance on Centers........ ...��,� -------.- Greatest Span - " This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. z Z 3. When steel is in place and ready to pour beam. a a 4. When framing is completed. a S 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. A 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the o B ach Signature of Build . ---••............. Address. Signatureof Owner-----.......... _•---•------------------- ---- Address................................................................ ----------•---------•----. use -t,3I�Ac. i } I �? J i i ll; �p os „ z t 4 � �•` AV's i `iRtta Co.,s T ' i } F iY�aOVE CITY of !`T► ASE151% E$UIL IiiI' O"FP at s . i � -�.�.� mit► ~� rte► ..�a, Y A &. W&Ael,4vvl c!✓W►S d*rA Y,r2.c+.t rs e `r •fir�w " J k*I!� ... :f c w�aj t y h. ffi x •.� ��2:. Y�8� Aa,J.+G�..1c3tZ �7lQ��i.'!'',5,;. Z YZ��G 3 iZ'a ss S f r,. �s 17119 QEPARTNIENT Op OUILIbIl4a 01TY`OF ATLANTIC REACH PERXT I NPORNATl ON �- - .._�- LOCATION ,��I�'fl�tMA�'�CSP#- -------- 011i ---_---011i Address, : 191 13 MAYPORT ROAD P#r it Ty►Pe;P1:QHBING ATLANTIC BEACH, FLORIDA 32233, LEGAL DESCRIPTION, Constr . Type WOOD PRUP. Block: Lot : T p:_ O + ed Us :SINGLE FAMILY 5ectiow 0 Subd. Rhcj 0 1 e11in Ck Subdivision. mt Value: 0 .00 I�tprov. Cost: 0 .00 Total Pees:. 3250 Aiai�aat P��d: B �. 32 k 54 Date Pea 13eac: O 5'k9 4Wt"�k w �'.'AT"� acme; RCITH r ';: g 2 .50 BTL ' G ORIDA 32233 5, 0 111011-11,441: * 'ellild OONT T ON �IvAo EAOE m. X, c: CIF 32624 'Pe: rw NOTES, G Lr„ N�TlCB-INSPECTION MIST 0E REQUESTED AT LEAST 24 HOURS PRIOR T4 tNBPEC'TION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST SE CLEARED UP AND HAULED AWAY BY,EITHER CONTRACTOR OR OWNER . FAILURE, TO COMPLY WITH THE MECHANICS' LIEN I AW CAN RESULT IN ' 'HE PI t PEI TY ' ON "�# PAYING TWICE FOR:BUILDING MPR V'EI��IwT�." ISSUED ACCORDING TO APPRt3V f3 PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO RIsV€IGAT#QN 6�F� Y` ''AYION,O APPUCAS 'PRQYt tONS OF LAW. 1 ATLANTIC BEACH BUILDING DEPARTMENT ill By: CITY OF Office of i3uidinglOffi iai REQUEST FOR INSR CTfON \ 3� '7 Permit No. --- Date- Time A.M. Received ___- —_----. P.M. - -=---------- Job Address , Owner's EUIL CONCRETE ELECTRIC )VIBING� tJ FCFiANICAI_ aurin Footing Rough Wiring ough F.i.Cond. R Re Rooting Slab _ Temp Polo r 'bp Out Heating dower Fire Place nsulation Lintel Final Pre Fab READY FOR INSPECTION ` Thurs. Friday Mon. V ----------- A.M. Inspection Made — --� ---- ---------P Final Inspectio Inspector_-_-_ --- — Certs scale o ccupancy Date — -- —--- - -S s t CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD '-� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001181 Date 8/19/09 Property Address . . . . . . 1880 MAYPORT RD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------------------- Application desc REPLACE HEAT CIRCUIT --------------------------------------------- Owner Contractor ------------------------ ------------------------ GLOVER, ALFONSO E-4 ELECTRIC, INC. 1880 MAYPORT ROAD Q/A: BEHNCKE, JAMES ATLANTIC BEACH FL 32233 1247 BOCA GRANDE AVE. ATLANTIC BEACH FL 32233 ------------------------------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date Valuation . . 0 Expiration Date . . 2/15/10 ------------------------- Fee summary Charged Paid Credited Due ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. A CITY OF ATLANTIC BEACH 09- \ � 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 n) OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTGCOAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1 JOB'ADDRESS:- 2.IS THIS A'SUB PERMIT: 3'DATE ONO Teo Mcl \ d(-(1 R<� ❑YES PERMIT#: PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: ELECTRICAL CONTRACTOR: 7.NAME OF COMPANY: 8.ADDRESS.' E 'LI lecrrl`C, Znc� �3 Gf�,`seQ LA/ 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: E:KI r 3r U3C( 7�(��j u 39 ;6 12.EMAIL ADDRESS: 13.OFFICE PH E: 14. eI«fr.� (j�lVl�l !,. c Irv\ 46 393 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is_commenced. CONTRACTORS SIGNATURE: 16.CLASS OF WORK: 17.SERVICE: 18:METER NUMBER: ❑MULTI FAMILY-#OF UNITS: WsRESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.B ILDING: 79.CURRENTCODE 'WALTERATION ❑SIGN LD ❑NEW ❑'08 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: OVERHEAD ❑UNDERGROUND ❑UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: L _J;.POWER IS ON ❑POWER IS OFF 22.SIZE OF CONDUCTOR: t /© AMPACITY:24g- ❑COPPER _tMWMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25.FEEDERS: #of I AMPS: l� #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW. 33.MOTORS:. NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 600V: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: p R144-2167 eP�ac� f cti f i.V,� wl/l)C�?t.C, BLDG02 Permit Application Elec:REVISED:0720/2009 ' ' It CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001240 Date 8/31/09 Property Address . . . . . . 1880 MAYPORT RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc reroof flat --------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GLOVER, ALFONSO OWNER 1880 MAYPORT ROAD ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 450 Expiration Date . . 2/27/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1 CITY OF ATLANTIC BEACH A 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- I I I I r y OFFICE:(904)247-5826•FAX NO.:(904)247-5845 J = BUILDING-DEPTGCOAB.US r =yv BUILDING PERMIT APPLICATION DUVAL COUNTY •,,1;JOB'pODRESS.',' ;,2.VALUATION OF WORK 3.SQ:FTi INDER ROOF, 4iLEGALbESCRIPTIOtJ " 5.CLASS'OFVVORK`•' 6„U$E,OF UCTURE ❑NEW BUILDING ❑DEMOLITION ErIFESIDENTLAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL *'I DESCRIP,TJON OF;VVORK ,, ar . . » . .,.'' ❑A RATION ❑ACCESSORY BLDG. 8 FIRE SPRINKLER. REPAIR ❑POOL/SPA ❑YES /A ❑MOVE 110 THEIR ❑NO PROPERTY,QWNE CONTRAC OR..”-° , ARCHITECT 9 ENGINEER.,'', 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME `` 18.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: Ito 18.ADDRESS: 26.ADDRESS: �c 11„"Ell-'PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: Y4-; 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: 14,EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: o r FEE SIMPLE TER,nIa owHNDER BONDING COMPANY MORTGAGE LENDER 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I QWNER"grAGENT CONTACTOR (If Agent,Power of Attomey or Agency tetter Required) (Qua(Ifier Only) Signed: Date: Signed: Date: Before me is 3—L—day of 2009 in the county of Before me this day of 2009 in the county of Duval,State Florida,has personall app/e red Duval,State of Florida,has personally appeared f herin by himselfrself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurst . true and accurate. Notary Public at Large,State of L County of jAA it& Notary Public at Large,State of ,County of ❑PersoD211y Known ❑Personally Known P uced Identifi tion- 1 17 ❑Produced Identification- Notary Signature: Notary Signature: BLDG01 Permit Application Bldg:REVISED:12/18/2008 800 Seminole Road f ` Atlantic Beach,Florida 32233 k,S� Telephone(904)247-5800 FAX(904)247-5805 Construction Site Management Plan Compliance A construction site management plan conforming to Atlantic Beach City Code Sec 6-18 has been approved as a part of this building permit. The Construction site management plan was approved based upon the following information. 1. Parking plan-parking plan showing how site will be accessed and all onsite and abutting street parking areas. 2. Location of construction trailers, loading/unloading area and material storage area. 3. Location of chemical toilet area-chemical toilets must be kept out of City right-of-way and not further than 15 feet from structure under construction. 4. Location of dumpster- dumpster must be from approved waste company(in accordance with Chapter 16 City Code). As of 2009, approved dumpster companies for Atl. Beach are Advanced Disposal,Realco Recycling,and Shappells. Dumpsters are to have tarp covers or rigid covers on windy days. Dumpsters must be removed prior to issuance of Certificate of Occupancy or Completion. 5. Traffic control plan, showing access with dimensions, area to be stabilized, narrative on phasing of construction with adequate parking and delivery of materials. 6. Site cleanliness. Contractor must have the entire construction site cleaned by Friday of each week. This means removal of scrap lumber, concrete remnants and other such construction debris including cans, metal,plastic and paper. 7. Erosion and Sediment Control. Contractor must maintain all elements of the approved Erosion & Sediment Control Plan(silt fence, catch basin filters, etc.) until sod or other stabilization has been placed and approved by Public Works. 8. Other activities,where special conditions are identified by the Building Official. Failure to comply with the Construction Site Management Ordinance may result in a Stop Work Order being issued in accordance with City Code Sec. 6-17 (3) Revised 6/2009 jr. CITY OF ATLANTIC BEACH (OWNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$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 YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. 111. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 0n (q&q) 2`'l(- 2 `lg � CRESS P1g0NE N�BER PRINT iiyNAME SIGNA DATE Before me this �/day of A20_ in the county of Duval,State of Florida,has personally ap re erin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of County of ❑Personally Known "%1 SHIRLEY L. GRADHAM t3 Produced Ide tion- p`o�ar P�Bi'r. Notary Publi -State_My Commissic Expires FCommis on#DD Notary signature: Bonded By `vational No RBLDG/Owner-Builder AMdavit;REVISED: 4/16/2009 CITY OF ATLANTIC BEACH r, sJ 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-582 09-00001179 Date 8/19/09 Application Number 1880 MAYPORT RD Property Address . . Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------- Application desc 1 cu 1 ahu ------------------------------ Owner Contractor ------------------------ -------------- ---------- GLOVER, ALFONSO AIR EXCELLANCE INSTALLATION 1880 MAYPORT ROAD AND SERVICE INC ATLANTIC BEACH FL 32233 3813 BALD EAGLE LAJACKSONVILLE FL 32257 - -------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 83 . 00 Issue Date . . . Valuation 0 Expiration Date . . 2/15/10 ---------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- ---------- - Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. / ': CITY OF ATLANTIC BEACH ,. I I L I I p s; Boo SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09 n �I OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTOCOAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.19 THIS A SUB PERMIT: 13.DATE: 15QO MaG �7 Rh ❑YES PERMIT#:PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: RU VY LOVE MECHANK AL CONTRACTOR: 7 NAME OFCMPANY: R S.: Za EccC�vcti vC 1� mew 9.STATE OF FLORIDA LICENSE NO: 10.,,�,�LPH NE: ` 11.FAX NO.: GAC.110 SAO 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. ARI# 13D)�� _ CONTRACTORS SIGNATURE 16.CLASS OF WORK: 16.BUILDING: 17.SERVICE: 16.CURRENT CODE: ❑NEW INSTALLATION ❑NEW ESIDENTIAL ❑'07 FLORIDA BUILDING CODE- EPLACEMENT OF EXISTING SYSTEM ISTING ❑COMMERCIAL MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR ❑OTHER MECHANICAL EQUIPMENT TO BE IN(STALLED: 19.HEAT: ❑SPACE ❑RECESSED ENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM CENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22.REFRIGERATION: MAX CAPACFTZ0 Cfm 23.COOLING TOWER: CAPACITY: gpm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑PUMP ❑WELL ❑PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: 31.COOL6NG EQUIPMENT: NUMBER AIR CONDITIONING,RE RIGERATIC N EQUIPMENT,CONDENSORS,ETC, APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY 7- &M10l Ume 32.HEATING EQUIPMENT: NUMBER FURNACES. I OF UNITS DESCRIPTION MODEL# I MANUFACTURER BTU AGENCY qAA/DL6 I, 33.TANKS: TYPE LIQUID APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit AppNc2rton Meen:REVISED:12/1812008 4 , , t� 3: g s It `4 K.e , k'; �a �� � Vit✓. �' ti��a � tb F r X �Dr .„-m.+.`».....,.w,�--,+.,..e.........,e...M-=�....w.«.rte....—...+..—�-,..a.�......_.»..w..�..a..,..a..�.:.a... _,.__.�.-�,,...�...,... _...m .,...e..,«...,..... .,mow.,,,.^.,... qyy� t t 1 p y AAAAA; '%rYw` S Yd e }� s. i dz. Sid*' r r DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA 4106 PERMIT TO BUILD PERMIT No. THIS PERMIT MUST BE POSTED ON JOB 7/12 is 79 Valuaon� Fee � 250.00 Date 5.00 i ti This permit not valid until above fee has been paid to City Treasurer, and is s2bject to revocation for violation of aPPlicable provisions of law. This is to certify that Mr• & Mr S. A.T.G1over has permission to build d fiber glass addition to eX182 tng garage. See plans. Classificatio residential 0Q, T Owned by Kr*_Z& Mrs. A.T. G aver IIe 3 I ; 711 Z/7 Lot " . 1880 14a Block House No YP�r't Igjp,B,d 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 'I AFTER DATE OF ISSUE �► ---� 0Building material, rubbish and debris Z from this work must not be lac Public space, and must be cleared p and hadled away by either contractor or owner. I ill MAL- Davis Bulbfing offieW. FOR.OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER t l Date-----.?/- ... ...... .� CITY OF ATLANTIC BEACH Permit*..Y' ---F« Valuation ;-? to ':..{'t'S... ............... FLORIDA House .. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- Ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licemes can be verified. r'! �/J 01 Tg�(),Ll-ele Date.-.........)-.�.�./��.......--�-`� /...................... a2?. Owner------- -------`...5- ` _-.Address._.SS Td h'1 alt r G ..Telephone Architect.......... n-!�. S........................................................... Address.................................. .................... Tek ................................ phone No.............�.�.......... Contractor Builder-.... .lU_ �..�__......-•---•--••----•--..._-•-•-••---•--•-•----Address........................t�............_..................Telephone No............U........... LotNo...................................................Block No--------------------------------Sub Division................................................................................ one................. -..al -...--...--..........-•------......q... .))...........Street---------------- -------jSide Between.........................__......._....._.--•--• .and......................................................$ts. Valuation ;_._o�..•:��.-t/._V....For what n n ••--•....Type of construction.................... purpose will building be wed_--�.!4�.�Ip2 Dimensions of Building......................-----------.------Dimensions of Lot......---:.....:......................-..................Size of Footings...................................... Size of Piers....................................Size of SMS.........................•......Greatest Sill Span in ft........................... Type Roof..................................... How will Building be Heated?................................................................Will Building be on Solid or Filled Ground?......................._..._.._._... Size of Ceiling Joists--------------------------------........... Distance on Centers..........-........_....._.................. Greatest Spam .............••--•--••--------- ~ Size of Floor Joists-------------------------------------.......... Distance on Centers.......... .-_..-......................... Greatest Span............................................ M Size of Rafters.................................- ------------- Distance on Centers. _........ ........... - , Greatest Span............................ M This rectangle is to represent the lot. Locate the building or bitildingg in the �� ',,�e . s-�,, , ' .,,c 9;;.; ; ' �•�.. ail lot-des omidG��d & irons REAR LOT LINE Two copies of plans and specifications shall be submitted with application. A'i' P R O V E D CITY OF 'iiA�JifC Inspections required. J r�o BEACH L When steel is in place and ready to pour footing. o�F;C� S. When steel is in place and ready to pour columns and/or 1 3. When steel is in place and ready to pour beam. 9 1 4. When framing is completed. 5. When rough plumbing is completed,and ready to 6. When septic tank drain field or sewer is laid but before it is covered. f=1 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for utter corrections are made. In FRONT OF LOT consideration al permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance.with the building regulations of the City of Atlantic Beach. Signature or Bnilder. l .t.. .frl.�.t/�..r&6fj,. Address.....1.�7 t ... Y�....... .. ..... d . .. ..... ..... Signature of Owner.. Address....................�/ CITY OF ATLANTIC BEACH 716 OCEAN BOULEVARD ATLANTIC BEACH, FLORIDA ADDENDUM To J39ILDING.PLAN 1. Building location: 2. The attached plan for the above building is approved subject to mmeting the following applicable construction requirements: a. Footings shall be continuous monolithic concrete under exterior walls, reinforced with too 5/8" deformed reinforcing rads for one-story buildings and t wee 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods ell be placed in the lower one-third of the footings, properly Placed aged fastened on metal saddles with wire. Footings shall be six inches wider on each side than the wall above, shall be at least eight inches thick and shall rest on firm soil at least twelve inches below undisturbed soil. b. In hollow masonry unit construction, each unit cell shall be reinforced with at least one No. 4 bar at all corners, Poured and tamped with concrete; such reinforcing shall be properly tied into the footing and spandral beam. c. All wood truss rafters (roof construction) , shall be securely fastened to the exterior walls with approved hurricane anchors or Clips. d. Construction of nearby one-family dwellings, which are duplicates or intensely similar, shall be avoidedsuch swimil riity t considers the size externaldc igng�ion and appearance (i.e. , roof, u other like characteristics) of structures. in accord with the foregoing, similar or duplicate homes shall not be constructed Oithin close proximity of each other, and shall be at least 500 feet apart if any one similar dwelling is visible from any other similar dwelling. ing drain and sever service e. The final connecetion betveenthe s P speat ty before being connection (at the property line) must covered.. ... r< The undersigned hereby certifies that he has read the above and understand$ that this o addendum takes precedence over any cwtrary details plans ns and agrees to comply with the intent of this addendum. Contractor/Owner —' Date ,� sx^�-•-« -�, � ,�s max ,.wr-'�'' .,p+� �j _ �{ �• � .��1�"'�k.'a�'� i,r are .`r P. Yepi .71 ( 7$ =F "tal��.r, vp { 1/ APP R0VE0 /V CITY OF ATLANTIC BEACH BUILDING OFFICE jil 4� / s 0 �� �.� j�'.}-fl•%,4')f .�//•y�f�(��� `,1 F'�f" a�^� p` ""_yyy�� /y+�f * �� t ; � '� �` f/i� /�; w r. 09 t C r a � a r s f. 3'. t FOR OFFICE USE ONLY r _ .-�/ - ---195---- Date__-�----- �! ✓� r C) Permit 4.47-020-Fee..Q�.Fee $------ -•—•X----�� TOWN OF ATLANTIC BEACH da Valuation $----------- FLORIDA ------FLORIDA House # ----- ------------ APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town 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 Town 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. / c Date---- -------------------------------- --------- ---------------Address---0A�.�a7Vu.��cw�rll �� Telephone No.-C.�-.3�9-- --Address---C-�7----- �1 ---------------------------Tele hone No.-E V-y.` -�-- Architect-._:�.,�-�__k-��.f��.� - -- - p 1j�7 Z Contractor Builder� ��__.�.!-��T-C��G=Ti-p+-j---C�--.-.---Address-__aTelephone No._FV" Lot No------------0----------------------------------Block No__.._-:�3-----------------Sub Division -1----------------Zone....----------- G� ---We-S t---.Side Between-1•--�=-y'- '- -------------- ----------------and---------------------------------------------------'Sts. Valuation $_A !1;�-. ?P------_For what purpose will building be used_� �.��-amu«...-------Type of construction- 5h' 4 Dimensions of Building---Z?'_X4d-----------.------Dimensions of Lot_----- --------------------Size of Footings----------._.--------------.- Size of Piers!S'S_'x-1(2`---------Size of Sills.A x_ '_p._L___.Greatest Sill Span in ft------ 0_--------Type Roof--Z►O__. ��+��k R� _ How will Building be Heated?-------------.---------.___-____.----------_.__.._-----Will Building be on Solid or Filled Ground?._ ..__----..--_.-___ Size of 'Ceiling Joists--_2"_X_-!PR-----------------=---- Distance on Centers---------- q.Vit:----_-.- Greatest Span----- .- _-------_--___- " Size of Floor Joists-------��rl x g"----------------------- Distance on Centers.--._..�� Cl.�. ......--------, Greatest Span_../j( U- ____.. " Size of Rafters----------2 X-__ -----------_._._._.., Distance on Centers.-_.`� -'-© -------------- Greatest Span...LL-------------------------__-_-- " This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. � �� 9�� H 4. When framing is completed. p 5. When rough plumbing is completed,and ready to cover up. a 6. When septic tank drain field is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection, vl Note: In case of any rejection,re-inspection MUST be called for after +� ` corrections are made. - FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the Town o Atl tic Beach. it %J� 33 53 1 _ _ Signature of BuilderC-'=���_--"!'�-.yes---'.--- - -- ------- •-••------------- Address.------'---------------'- ------- ------ - -- - --------- - --- g " r / Signature of Owner(! -a-�---- -L------C---L' - Address `�1 ''� Instructions to Builders and Contractors building or working in the Town of Atlantic Beach 1. No work on any building ;hall be started without obtaining the necessary permit. Z. No changes in the approved plan shall be made without the approval of the building inspector. 3. inspections: The following inspections shall be called for: A. Foundation, when steel is in place. B. Plumbing, rough. C. Lintle, when steel is in place. D. Framing, before any wall covering is placed. E. 8lectrical, City of Jacksonville. F. Septic Tank or Sewer, before covering. G. Plumbing, final. H. Final, when all work is complete. Any concrete poured or wrack covered without the necessary inspection shall be removed or uncovered at the request of the Building Inspector. 4. After the final inspection and upon submission of a drawing showing the size and location of completed building on lot to the Building Inspector a Certificate of Occupancy shall be issued. No building shall be occupied before said certificate is issued. 5. Plumbing permit does not cover sewer connection permit. 6. All contractors and sub-contractors shall have occupational license issued by Town of Atlantic Beach before doing any work within the Town Limits. Contractors shall furnish certificate of liability insurance when obtaining license. 7. The penalty for violation of any provision of the Building Code or of Ordinance #186, shall upon conviction thereof be punished by fine not exceeding 8500.00 or imprisonment for not exceeding 90 days, or by both such fine and imprisonment. 8. Copies of The Southern Standard Building Code and Ordinance #186 are available at the Town Sall for reference.. 9. When a sidewalk exists across front ofbuilding lot, said sidewalk shall be placed in first class condition before final inspection is requested& I have read and been furnished a copy of e instructions in connection with Building Permit No. S, Date f��� Signed �:... "